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650 Hillside DrCITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: I PERMIT SUBTYPE: I I : t a'f 1 N(i UN RECORD PERMIT TYPE: Permit Number: Date Issued: ' v 1 ""p ? APPLICANT: ke iii 'r !1 (bl0b4 - 4i4 '+ TYPE OF WORK: NE W I ; f NAI I I I l & Permit No. Permit Holder Data Talephona # ELECTRiC PLUMBING HVAC Inspection Dsta Insp. Commonta FOOTiNGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FtREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG m,,3 f?'at? ? rn,•-(ry 70 • DECK FINAL J,Zr ? f'- v v /? ,•? /I.??,• p, INSPECTIUN RECURD CITY OF EAGAN PERMIT TYPE: 1" 1' 1.' 1"' 3830 Pilot Knob Road Permit Number: 0,' 4k.f? ti Eagan, Minnesota 55123 Date Issued: 0-1 j' t4i /414 ? (612) 681-4675 ; SITE ADDRESS: APPLICANT: ? 1. .. Ii I 1 1', I i?l t?t ; 1 r•: . i i?? ?11I,N1 t: i WF ` 11l11, r, ?,. i+ t t I, ,'1'J1? 1 41+1 .. PERMIT SUBTYPE: TYPE OF WORK: i INSPECTION .A . .. I ? I ? ? J Permit No. Permit Holder Date Telephone i SMI PLUMBING HVAC ELECTRIC ELECTRIC InspscHon Date Insp. Commerits Footings I Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Fireptace Fnal Htg. Orsat Test Final Plbg. Plbg. Inspector - Notify Plumber Const. Meter EngrlPlan Bldg. Final Deck Ftg. Dock Final Well Pr. Disp. * i. 4 aY "6 W"VMlicate vf eccuvanc? ?? ? ?" ligiAii «M •f sum"s 3»owtion , This Cenificate issued pursuant to the neqairenrerus of the Uniform Buildireg Code cernifying that at the rime of essuance this strucrure was in compliance with the variaus ondiieances of the Ciry regulating building constrrrction or use. For the fo!lowing uae classiecac;oa: SF DW Bidg. r,erm;t NQ 1355 ODCUP-Y TyPe Zoaing Diatrict Type Caost Owvnerof Building Haws BY CHM Addmss 1601 xi? ??, MMMM 650 HILMIDE DRIVE ??, I,8, B2, BUR OAK HILIS aD Addrm ? 1?i2C)/Q2 .,_._. POST IN A CONSPICUOUS PLACE r ! ? INSPECTION RECORD ? CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number. Eagan, Minnesota 55123 Oate Issued: (612) 681-4675 SITE ADDRESS: h" 0 HII_l.riltlF Dit AIlR UAk Hf1 l. S : NU PERMIT ,?S?UBTYPE: Control No. 1020 HuI t ri r"e •o136F 0s/a3/92 et nr.r• . : APPLICANT: HQIIES !IY f.HABE (612) 89b--6337 TYPE OF WORK: 107w INSPECTION I ",t ; 1 r.?, . F'RAMl N D. tN',1111 A1 t[iN FINAI. i ?RF..P1. AfiF RtMANK'+: PRV S x W CpN1"RACTtIN -- Ai,TA MFCN . i ?x? ,• ? • 1? ?- '£ `~?3 1 -? - -z•- t??..?::xt1?`?I~ _ _ h.: ? ?i .. -_-?Y r ?, i`'`?:. 1 . . .. ? ? -?rtiE? *.s!?? r-v? . . . .- - ? . ? - . ? ? ¦ wrmn 110, aan„tt iiokler ow T.Wpnon.s SIW PLUMBING HVAC ELECTRIC Ov ELECTRIC Mspectlon DaOt lnsp. CommN+h Foundatbn I Framing / PMO&V Rough PVV- R°ugh Fltg' isul. Ftreoaco , - Fktal Htg. D ? Aset Test Fural Plbq' 7 Ptbg. Inspectar - Not?fY PlumCer COnsl. AAetar EngrJPlan Bldg. Final o, 2? fl Deck Ftg. Deck Fmel welf Pr. Disp. REQUEST FOR ELECTRICAL INSPECTION ???F? ?/ E/B-00001-09 • 7 7/ , See mstmctions for completmg ihrs torm on Dack ol yellow copy {,??¥?{[J? 8 // G Sv - ?"` 'r J "X" Below Work Covered by This Request r;?;„, Ne Add ep Type of Bwiding App;iances.NNred Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management Comm./Indusinal Furnace Other (Specify) Fartn v Conditioner Olher(sDeaty) ConVaclors Remarks. Compute Inspection Fee Below: JF Other Fee k Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200_Amps Above 1 0-Amps SI OS Inspecror's Use Only TOTAL ? Irrigation eooms ' L O Special Inspection L AlarmlCommunication THIS INSTALLATION MAY BE OR CONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rouyn,n oete cedify that the above inspecnon has been made. OFFlCE USE ONLV Thia request voi7 18 months hom 0- 441 4 ? , Requesl ale Fre No Roug -Iq nspeclion Reqwretl iosoernon IherThan RougRin IYOU musl call inspeilor wnen eetly) ady Now ? Will Nolify Inspeclor 7 ? Ves o Date Reatl I icensed contractor ?owner here6y request inspection of above electrical work at: Job Atltlress (Street, eox oe Route N. ) ^ ' [ I. Qty ' S Section No. Township Neme or No Range No County Occupa RINT) Ph ne 97 Pawe $upplwr Adtlress Eiec?n w ctor (Comp y Name) ConU l s Licanse No ? Z/ - MaAing Atltlress (COnVactor or Ownar Makin stal iwn) O AWh ' tur o t tlOwner Making Inslellahon) P ? C MINNES A S E BOARD OF ELECTHICITY THIS INSPECTION REQUEST WILL NOT Griggs-MWway BtEg. - Haom 5-128 II II I I I I I I I I I I II BE ACCEPTED BV THE STATE BOARD 1827 UnlvOnity Ave., Sl Paul, MN 55104 UNLESS PFOPER INSPECTION FEE IS PM1Ore 18141 BA4-OR1111 F_NC.LOSED ppK BIL.i.g 2ND .Address: 650 FIILSSIDE DRIVE Lot g Blk z Sec/SubgUp These items wece/vere not complete at the tlme of the final inspection. t• 10/29/92 Yes Na S Tnqppcror- Final grade (6" from siding) Permanent steps - garage Permanent steps - main entry Permanent driveway Permanent gas • Sod/seeded grass Trail/curb damage Porch Basemant finish Deck Pleasa verify vith the builder the ramoval of roof tast caps from the plum6ing system and the shut-off of water supply to tha outside lawn faucet before freeze potential exists. & necrnEOwv[n White - City copy Yellow - Resident copy Pink - Contractor copy - PERMIT C°" °"° 1020 CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Permit Eagan, Minnesota 55123 Numlier: 001355 (612) 681-4675 Date Issued: 0 9/ 0 3/ 9 Z SITE ADDRESS: 650 HILLSIDE pR LOT: 8 BLOCK: 2 BUR OAK HILLS 2N0 DESCRIPTION: rBuilding Permit Type Building'Work Type UBC Occupancy Construction 7ype x" Zoning ? Building Length Building Width ? SF DWG NEW R-3 M-1 V-N R-1 64 3e rrt, ?: f i ? ?,??''?:?L?i; REMARKS: C ?-D.p(,Cj PRV S& W CONTRACTOR - ALTA MECH FEE SUMMARY: VALUATION Base Fee Plan Review 5urcharge SAC SAC % SAC Units 5ubtotal $594.50 $386.43 $45.00 $700.00 100 $1,725.93 $90,800 MISCELLANEOUS $1,610.50 Total Fee $3,336.43 CONTRACTOR: - Applicant - sT. Lz OWNER: NOMES BY CHASE 18955337 000161 HOMES BY CHASE 1601 KNOX CIR 1601 KNOX CIR BURNSVILLE MN 55337 BURNSVIILE MN 55337 (612) 895-5337 (612)895-5337 ? I hereby acknowledge that S heve read this application and state that the informat3on is correct and agree to comply with a11 appliceble SCate of Mn. Statutes and City of Eagan Ordanances. APPLICANT/PERMITEE SIGNATUy/.-" ISSUED V. SIGtJ E PERMIT M cirr oF EAcaN 1992 BUILDING PERMIT APPLICATION 681-4675 3303 L.q3 AUG 2 1 RECo SIN6LE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of ene'rgy calcs. Penalty applies when typing of permit is requested, but not picked up by last working day of month in which re uest is made or lot chan e is re uested once ermit is issued. Date ? 9Y / / Valuation of work 163,6oo Site Address: 4??v STREET STE 0 Tenant Name: Lor eLaK sueo./-'uil"?' I P.I.D. x d Descri tion of work: The applicant is: ? Owner ? Contractor ? Other (oesoribe) Name T Phone Property LAST FIRST Owner AW Address , • STREET STE # City State7?;? , ZiP . 33 :Z.. Company Phone Contractor Addre License N?A? ZIE Exp..9' 3 City State Zip Company Phone ArchitecU Engineer Name Registration # Address City State ZiP Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with a applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: vrrwt uae urvLY BUILDING PERMIT TYPE O 01 Foundation ? 05 Apt. Bldg ? 09 Basement Finish Et 02 5F Dwg. ? 06 Garage/Accessory ? 10 Swim Pool ? 03 Two family ? 07 Fireplace ? 11 Res. Add./Porch ? 04 Multi-fam. T.H. O 08 Deck ? 12 Comm./Ind. WORK TYPE g,31 New ? 32 Addition ? 33 Alterations ? 34 Repair ? 35 Tenant Finish ? 36 Move GENERAL INFORMATION Canst. (Actual) (A1Towable) UBC Occupancy Zoning i of Stories Length Depth APPROVALS ? 37 Demolish ? 99 Undefined V- N Basement sq. ft. lst F1. sq. ft. r -I 2nd F1. sq. ft. R-I Sq. Ft. total Footprint Sq. ft. 6tir- On-site well On-site sewage Planning Building Engineering Variance REGIUIRED INSPECTIONS ? Site ? Wallboard ? Footing ? Final ? Framing ? Draintile ? Insulation ? Fireplace Permit Fee v.iL.c;on: : 90,00o Surcharge Plan Review 6 A1246? ? 3Z Z 7oy License MWCC SAC ----- Z Y. l2 % ?? City SAL Mater Lonn. .? - --- : lpBO X I(o r I0, 9?8o Water Meter Acct. Deposit ay K ao = ygo S/W Permit 5/W Surcharge z2 x 26 = 5?2 Treatment Pl. Road Unit f)oa)clN= J$ yoo ? Park Ded. I sT F? ocR : Trails Ded. _ Copies 6'Q?MT= Il?? t I'02 X`j = 13 al : To P?txI ox SAC % 6-A 1 2= '72 SAC Units ?-z ooX53-' $9,8So C7-°73 PCb71,5_wFac. ? 14 Agricultural ? 15 Misceltaneous MWCC system YES City Water ? PRY Required Booster Pump Fire Sprinkler Census Code 7c-)/ SAC Code 0 e Assessments ri 'iCc54 IL'r.TAf^E5 F' i;LL It4C T?-"- i;il:r'.:.- R'90-5 - - - 2:iG p225 FC7 es<:1i ri ; ????? R*_'Vi3EtJ 5-03_92 TO ShiOW ME:ti kOt1SE 4J b:! 'u ?i: e?JS e?' tf'te {' Lb , n, u o \ a?? 4l°i4a,35'if" N89°38'18"E e5a.s BEiVCH PfiRRK TC1P Oh S'1?E = 259.@5` ? h ? ? 1 a ^ - 1 ? ,? - UI j0 1r/--,6 7 H^v*:SES BY CHASE 854.3 p G` ! ?'a(?,/ / a ?? GbRAGE ? ??r t :n,q 7 i d ? p `? ?js? • ? -'?.----- ? . r ? I ? I 1-UT ??GR21?:'?fiG Q UTiLiTY 10 / e:99°E&iEH7 F'ER Pu1'ih t_. ?. l?- o } ??'r ..' ? i? I? P, roi nl ? ? i NOYe: ffiL'ROIt?i; tAKiENSiOPe5 SHAY/N ARZ FOR S^ORixC}kPtAL !".s b??.`'YC.'.!. LzD:,- fi7iUV. CF S?Rfk;'7"Jk.tS?s:' NGT£: @ i?pt}<k+Jd'livht D1CAci?lsS3ti?. ?+ - LE?v0T-c5 P;GPOScu IS:JRFACt DRAINAuE G DEtiJ i ES ?^nGN b.A:rNe;+tEN''f SE T 0 GEi.G°aES iR 0 1 ?! Fi?vN U.M. Eti? ic 0 F.'RD XGGG.O ? c` EVAT!?+N CE40TES EX`Siiv G (G t0.li) xr - n lE i`?iJ :1 .r`.. Yi?V?' V :+=:J ::i%u'/il'.'-..df`' 0 - _ - ? / I 120?????? ? C6 Z0 ? HWuE N 42.6 'j c n `l1 ? ? $ 1 1% r}!') iTi ?N t ML L. t il/i v ?? ??? ?E Ow"' "U" I R E 0' P:O S;'i:"CF7C $Cn..S ONVESTK'iAT16N t4A5 BF2N C,CNJ'iitETEI 04 TriIS LD'i $Y YFiF "JUi{VEYOR. Ti? SUIYAk.`Il!iY OF 5Ct! S TO SUPSi.'7SFY TriE SP'eCiFIC !iL`E7S£ KOPOSEC7 IS NCT -ric RESr^Ot45i81LI7Y 6F 7}IE SUr'TVEYOR. ? 1NCi!i,? FEET LCY.O?s ?EET - FFEE7 i u wt?? WEHERESYCEqTIFY70 HOrAES 3Y CNaSE T» Lls REFr?.cSESV'"ATIO.R' OF A SURVc`! vF;= $vUivuARIES GF. J %?i DF" ?F?CC?IAT??? LG" 3,SIOCk 2, SE3R OAK i-?it..l..S ."-,C?-, °.'?'?G?.:e.?'?3P?°.?tg'?v" Y7t@ f'dCo:wFiC4 pl4Y TP4(14G"JS', :JG'?:h"C`< CGL:sS.°yo IT DOtS NOT °URPOFc? 70 SHOW IMPF.OVEIMEN7S OR E^iCRQACNtd?NTS, EXCcPT AS SHOWN AS SIIRV"cVf0 5Y PAE Oh UNDER MYDfREC( Sy,=,`=RLif,?SEOiV 1"r.'!S 17?'Hi DkYOF JULY , 799?. PkG."GSe`.C) Gr 40w5 SNGkN1i W:.N£ 'r'?7'M TME Cf%tAL+E?aG?BZAiid&iJ.?. itS Eb1Clfi;pk CON1Y^n0tPLAhi "0R 8UR CiAiC }i9LtS ::r:J hDD., LlaSs Od7FO 6-Q-69 .}At?;z.?;S Z, HiLL..'•tiC. PqOP03ED On 1 V rWFa'Y JO'rfN C. LARSON, Lt;tVU SUFiVcYOFt W.?+IdE.c,07A LICENSE NJM3ER 13828 { ? t 1, ?"I ?( d?i?'.•?' i?r"' si v ;?, p uL':..i...J i0 m"?' -? xr i ? Eo,?'?i >?; ; ?. EYORS ;'?.?'' •"ANNERi { ?N`asE??RS I SURV ?3 2u00 `m"!. CTY. RL7. 42 v 4URNSh+lLLE, P+irN. 55&97 a 612-890-6044 _-. :.:e?. ? - ?'°- -,. ,_.•. . ?„ - - -"'.:t,n .s..:m..:,.r ?-,. _ _ - u.. - ' :h' ? 7 2tu ?Y I , • ?. :Ilr AuultESSt Lo; Ei44.D4k ZN/, A iJ?;/V . Rv::?:.•,?.?? , :uninncTOn; rnoueI PErEnntIiE. Vronr,ma suunne coorncE oF Encn ?t , . , ;.. :• . • .. .. . . ., .. . . '. lOIAL EXPOSEb lMll MIEA.,...... sq rt x"U", ' ??? •• p? .,? ' . 101 AL RU01"/CE I L 11lG ARCA........ ?/d ? ' sq f t x flUu •' . ?? , . C?? t.T.1.. " i. IoTnL exrosEn tInLL nnEn cnLcuLnrinnst . , . , ., . . . .. . 7ota) exiiosed taall • . •..?' . ' nrca above floor.•...... • 'O? sq rt ? . ?.. ,. . • . .. . .': •,.'?.?' .. n) 7otn1 riall arindow areal •? • • • sq f t x'lull rylozed,,,,,, sry ft x "U" _ ITZ ? -?`= b) Totol donr nrca ........'. 9n ft xo'U't c) ? lotnl s11Jln ' i:??. . r.; •, .? tl ttlals'Joor !ry rt x.?,u,.# - r qlezeJ.*.aq, rt x "U" d) Total flreplaca wnll eren _•• ??,'??_ sil rt x"U" c) Tota) tJOII fraining ereo ? ? (n?????ic! 10?,)............. sn rt x?,u,, f) 7otnl net 4ra11 orea above • r . ?? ° i • ? , ? fl001' {IIISOI71?CtI?....... $ ft ItUi1 ??/• • ti _ O X . ? w /??9 T !I) 7ot:+l rlm Jolst .aroa...... sq rt x"U'! U y/ e .? Tolol foundatlo?? ' nrca (Exposed).......... sn (t . . . li) lotnl foundatloit ' wlnJo?? aren............ '??f • ? sq rt x nun e Totn) nr.t foundntion. • . .;? /,•:?? •',., • ?. • area above,gradQ%....,..' ,:?(O'ti`? sq rt x"U,, 1,51 . n ? T01hL a) thru 1) ? te ? C ,, m S t17C Silme 09 OY lQ9S S ? (11ilI"S??Ft?R111 01, yoV (IOVO INRt tlle lIttCtlt Of • . . ectlon GOQG . . . ,: ' . ? IUI/11. FXI"qSt U 1l90 F/CEILIti(3 ,(:qLCULAfIuRSt 'Totnl axposcd ? . ,... .... . . ' . , rnof/cclllnll orea.s, 464.4 12 . o ?- f t ? • . . ., . . . q --+ ..: . . j)? IOtDl SkYI (pht. orea.'.... ' id!t,,?? ' • ? • .. -- ? e q f t x"U" , • e • 1 ! ?'? ' I:) Total roof/cr.lllnq framlrtg ? iil,.. Fli h??•-•1I' I I ' !- ' •=''? • , nrea (Averane 109,) ? ? ?' . '.•? , • . . • . •_.?.. ?„_.,_:a r c x ??u?, ;, ? ? ? " ? lotal net InsulatcJ ., . . r? .,., . , too!/cal llnq orea ` ...... ' . . . .•? ?'? . . . ' ,_ ' ' Sf' rt X IrUi1 ? TUTAL J? thru cotnl 'oF P? , t Is C tt'c same as or lefs ) thnn,/?2e,'Ydu Irove m Section 6606 ( I.• I t 4 ? ' ? e c t e . Intent oF .? ,r • . • .. , ? . r . ?. .. . • • • , ' ' ,. . .; • . . .?:1...,' •. ? ;. .. -•?• isf4';•?..?::'•' . . , ? . . .. . • . . . . .: . . • , ? . . . . . nlrEnnnIE. IJUILbI?Ir;EIIVELOPE DCSIt;N ' . • ?? utllltc th? tote) cnvolope systcm melhod,,the v0111e4 ? Itmns N) ond ph slioll n estobll h b d '.. , s ot e qreatar than the`sum of Itemt pl e b Y tlie a wn . 1. • • ?' , and N2. ' * ? ? .. . . . q 3. ? . + h. . ? ' . ' 1 b . . ? ' • ' • • ? . . ? '?? . ' . , . ? . , ?. r`?.... .. • „ . , , * . . .? _ ...?•... . ' ' . . . . C E 11 7 1 F tt G n T I n il • ( hereby certif ' vilucs hcrcln o??d lhntYlla?n1tulicllnn here ,.. ulcscrfltad me'otsD Or o excoe?l?,tthe Stote itto of Illfinesota Encrpy fonservntion Act. . ., -...? . . Jq§T.7.n,Ature • ?...W CITY OF FAGAN CASHIFK: S TERMINAL k0a 35 DA7F: 05/20/37 TT.MF; 14:38:22 ID : NAME s LAURA L F'FkFCY 3210 9001 650 H.T.LLSIDE C1R 50.00 2155 9001 650 HILL5IDE DR 0.50 V Tnta1 Receipt, Amount: 50.50 CFU74133 USI=R ID: NANCY PERMIT CETY-OF EAGAN ? 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMITTYPE: guzLozNs Permit Number: 029999 Date Issued: 0 5 j 2 0/ 9 7 SITE ADDRESS: 650 IiCLLSIDE DR LQTa 8 BLOCK: 2 6UR OAK HIILS 2ND P.I.N.: 10-15501-080-02 DESCRIPTION: U6i1d3nq"--ZermiC Typ2 DECK r'Bui3cfing Wb.t.k Type NEW 434 ALT, RESIOENTIAL i' = ` '" 3 ? ? :r-': ? • ""9 •'?'l REMARKS: FEE SUMMARY: Base Fee $60.00 Surcharge .50 Total Fee $50.50 CONTRACTOR: OWNER: - Rppiicant - PERRY STEVEN i 650 HILLSIOE DR EqGAM MN 55121 ' (612)454-4749 ? T h-ereby acknpwledge, tYtat Z havoread `this,- ap'piiQ'at9tr-It and sta't:e that the informatian zs cor,reet €,n,d ,aqree t?o ccr+nply., wi.th 4,11, aPPlicable. State of Mn. Statutes and Czty of Eagan Drdinancas. < F.. _. ? - - - ?ocja -- APPLICA T/PERMITE SIGNATURE ISSUED e SI ATURE k tqqqt 99 T BUILDING PERMITAPPLICATION (RESIDENTIAL) .?„?(?.?(? CITY OF EAGAN , 3830 PILOT KNOB RD 56122 Co'I 'kJ`Q 19 681-4675 New Construction Reaufrements ? 3 regiatered aite surveys ? 2 oopies of plan • 2 capies of plans (fndude beam S window sizas; pouretl fid. desipn; etc.) ? 2 site aurveys (exterlor addkions & dacks) ? 1 energy eaiculations ? 1 erroigy calwlations for heatetl additions ? 3 copiea ot tree preservation plan if lot platted eRer 7l1l93 required: _ Yes _ No ' . ? DATE: 5- 7' 27 CONSTRUCTION COST: DESCRIPTION OF WORK: IUI I"- )11 ct- deC ?- STREET ADDRESS: &-? o 1-tillSI dc% yrf Ve- LOT ? BLOCK o?. SUBD.IP.I.D. #: '?.:.1dIJc_fLJlLt';? ? ??v )AfL PROPERTY Name: - YkC Ve-kA- Phone q-;4 `t 7 Y y OWNER ?? T? I ?51?2 ?f? ?? 'f?3 ? 7855 Street Address: 57c City: Ea ?C^''?- State: m?. Zip: CONTRACTOR Company: J e I-c- Phone Street Address: License #: City: State: Zip: ARCHITECTI Company: Phone #: ENGINEER (' J Name: '7'?r ? n <' ? Registration #: Street Address: City: State: Zip: Sewer & water licensed plumber (new consWction only): . Penalty applies when address change and lot change are requested once pertnit is issued. I hereby acknowledge that I have read this application and state fhat the infortnation is State of Minnesota StaWtes and City of Eagan Ordinances. OFFICE USE ONLY Certificates of Survey Received Tree Preservation Plan Received Signature of Applicant: Yes No _ Yes _ No - Not Required comply with all applicable iNAY 07 1997 OFFICE USE ONLY BUILDING PERMIT TYPE 0 01 Foundation o 06 Duplex n 02 SF Dweiling o 07 4-plex 0 03 SF Addition ? 08 &plex 0 04 SF Porch ? 09 12-plex 0 05 SF Misc. ? 10 = plex WORK TYPE ,0'31 New o 33 Alterations 0 32 Addition o 34 Repair GENERAL INFORMATION Const. (Actuaq (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS 0 11 Apt./Lodging ? 0 12 Multi RepaidRem. ? ? 13 Garage/Accessory ? ? 14 Fireplace n W 15 Deck 0 36 Move 0 37 Demolition , 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous Basement sq. ft. MC/WS System ? Main level sq. ft. City Water ? sq. ft. Fire Sprinklered sq. ft. PRV sq• ft• Booster Pump sq. ft. Census Code. y 3 Footprint sq. ft. SAC Code 01 Census Bldg I Census Unit o Planning Building ? Engineering Pertnit Fee Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies ? Totai: Valuation: $ Variance °h SAC SAC Units J/ i0:54 II"l:1"Ai'itS R HiLL i1?IC ??:kYi F i CAT vc. ., Z:; %S R_V17ED 6-05-92 70 8NO'dd NEW kJiiSE :_l/ ; +o //- `- ? PROPOSED / OR IVtWi.Y ? ? ?859.0) A d ? d e / v ? h d `?. ? OAR n ? r ? i ? ? N i 2 ? 8 x ' -?-- 7ib9.8 -- r / ? (s / LUCOT `??iiftQltiACiC 6 UTILITY 10 wStii.iF:NT Ptq RA L .?. ?_ ? G , 0 - - - -? ? •,? i ? P i PR6P00fD ? HIkJ'3E N Q ? ? 42.0 •.s- /?' ? I' ? ?J 0 8 s4?? zjjF? IPEK 4 ? t ? zW N f„ ? ? ! 1?- .Sii`.6W^i1'U.7?' W '- ? ?-?r•?-? I=P.^nr' 'r'rI 'k .? .???"i kC) ry? i ?iint D??I/ : 4,O nr,r ?? i't i o i ? V ? iT?-?p a ? ?St_ +???? i HL???? k:i3e: bUi;.UI^iG Cii.i`r;ii?k5 SMfiWri kA? Fo? wmizowra4 9 vi'RYICu. W-- F,7iG4 GFF Sfm;c'fUii; vti?::. ffist.':; NO7E? cr?,:,?r::cru;.u KAtW n..t E1u,t.uIrsG !: ht.t.Wudl"ICid G1i.7iW3:ChiG. OENQ7ES PRGFOSED SJr:FxCE DRAINAGE O DENO7ES IFcON MGwUMEti'i' SLi * GEP.u1'ES IRON PiiONU;v1EN1" FOUND k'vOJ.C GtN^v'fES EXfS3ItvG ELEVA"itO': (i,CJ.Gi Gcr•;31"25 P.R.Va REQUIRED NO RCFiC SOIIS IMVE57R'iA710N HAS BFEN COARFLETEI ON TMIS LC7 8Y YHE 3VRVEYOR. TF£ StNTA8I411Y OF SOi(.5 YO SuPPORY 7HE. SPECIFIC HOUEE f'AOPOStiD IS N07 Tiic RE5PONSIBILITY OF 7HE SURVEYOR. WE HERcdY CEA""IF'Y'i O HOMES BY CHASE RErrRESEIVTR1lON OF A SURVEY GF TrIF BOUNOARIES CF C_Gi u, 19iOCli '?'J.1 S O!i v=l:'? i 1:.1.r] a`.iVD :°.C: tha ai:at muYcaGlf' l7GK0'ii+ GoUI+?Vo IVili1('?40YO. I'i DOES NG7 PURPpk7 70 SNO1N iMPROVEMENiS OR ENCROACHivIENTS, EXCEPT AS SHOWN. AS S::rWcYEEO SY bna. Oh UNDER MY DnFCT?n'1ISION TNIS 17TN pAY OF JU LY ,1992. JkjFF;S R. FhL!INC. F'nCit':1;iCU T'riE ci.J'..,Oiu :A:tl'f:?"vL 'e'1.AN rOr+t 'LUR . . E.yr ?? , J;.i; t1iLL5 :':^iJ +::+D. , LhSY y? JOH-N G, LARSON, LANOSURVEYOR i•, ??:;-,;=,r,?, -.'. MINNESOTA LICENSE NOM14}3v'Rfto ... , Zp; $ + ? ;. I I ?.1? ?" ? I` sJ 4i f,i G? tz;r ?` ? In.i ?n ? = '?? {lL ? fnls' nl ? IC?e Lt, •-?l p?.? 51i ! 'M? ? G n C ?7C ?! It?i G?^ ! 7f L??' ! i; ?` -s ?- 1? C ? 0 TFI_ I Ifi: E. L2 850-6244 4225 PO1 HOMES BY CHASE I 7 ? EENCH rAaRrc N TOP OF Pi PE M = d99.89 ? ?.. , r ."o.- 4?~ Pt:.ANNERS I ENGIN?ERS-Y SIJRVEYb`Ft?` ??mqso!:?:-s H ''n c, i ' 2500 W. CTY. R0. 42 0 SURNSVILCE; MN. 55337 • 612-890•6044 ._ .. .,. . . _ .. .. _ _, .. _ ?.,... ?_. . ? .. _......?.?,?.::..?..: ?r..?:?e.. ? -?? .._..__.? M`""rt??b) 6 0 d r?i G°1•3°@35'?Ir}(" i N6S?y°?3?8?'jI$'?E ssas 4.'5?J.6y r.1.i ?1`D.5O . vORR f CiTY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT CK /v-o3 - 9v PERMIT TYPE: Permit Number: Datelssued: BUILDIN6 024643 09/30/94 SITE ADDRESS: P.I.N.: 10-15501-080-02 650 HILLSIDE DR LOT: B BLOCK: 2 BUR OAK HILL3 2ND DESCRIPTION: Bu iding-permit 7ype FIREPLACE Building Work Type NEW .` I_ ? f;- ? 7i?? REMARKS: FEE SUMMARY: Base Fee $25.00 Surcharge $.50 Totel Fee $25.50 CONTRACTOR: - Applicant - sT. LIC. OWNER: FIRESZDE CORNER INC 16331042 0001068 PERRY STEVEN 2700 N FAIRVIEW 650 HILLSIDE DR R03EVILLE MN 55113 EAGAN MN 55121 (612) 633-1042 I L Z hereby acl?nowledge that I have read this application and state that the information'is correct and agree to comply with all applicable State of Mn. Statutes and City of Eagan Ordinances. APPLICANT/PERMITEE SIGNATURE Lo ,l I lh,? IS°S E 1? BY: IG URE CITY OF EAGAN 1994 BUILDING PERMIT APPLICATION ?'??• ? 14L43 681-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 capy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed or 3) lot change is requested ance permit is issued. Date _5? p Valuation of work ?.30 R . Site Address: 50 A,Qid4 hR STREET SUITE q Tenant Name: (commercial only) IAT BIACK SIIBD. P.I.D. # Descri tion of work: The applicant is: ? Owner ? Contractor ? Other (Describe) Name Phone?? Property LAST FIRST Owner ? n. Address (c 5o 1 4?J. rL STREET STE M City State t'S\r?J+ Zip Company R?n ai?mL.bo ?Phone (p3g Contractor Address q26 1jn nj ?. ) A.o License #jr?g '3F_ Exp._ 9 s C it? ?/4001il? ? $td?.8 "4?`iV\ L1p 4/I - Company Phone Architect/ Engineer Name Registration # Address ' City State Zip Sewer & water licensed plumber . Processing time for sewer & water permits is two days once area has been approved. - I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: iAgL OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation O 06 Duplex ? 11 Apt./Lodging ? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 05 SF Misc. ? 10 Mult1. Add'1. 0 15 Deck WORK TYPE ? 31 New ? 33 Alterations ? 35 Tenant Finish ? 32 Addition ? 34 Repair ? 36 Move GENFR4L 114FO!?MAT!nN Const. (Actual) Basement sq. ft. (Allowable) lst F1. sq, ft. UBC Occupancy 2nd F1. sq. ft. Zoning Sq. Ft. total # of Stories Footprint Sq. ft. Length On-site well Depth On-site sewage APPROVALS Planning Building Engineering Variance REQUIRED INSPECTIONS ? .Site ? Wallboard ? Footing ? Final ? Framing ? Draintile O Insulation O fireplace Permit Fee riuYi.hdi g° Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: vohwctoo: g •_ . _. . •?. ? • •?r .?. ? 16 Basement Finish ? 17 Swim Pool ? 18 Comm./Ind. ? 19 Comm./Ind. Misc. ? 20 Public Facility ? 21 Miscellaneous 0 37 Demolish MWCC System City Water PRV Required Booster Pump Fire Sprinkler Census Code SAC Code Census Bldg Census Unit Assessments SAC % 5AC Units LOT 9) BLOCK r-2- SUBD.<<-' ?? ?? IJL?L aoy RECEIPT # /IIIIyV & DATE -? CITY OF EAGAN UNDERGROUND SPRINKLER SYSTEM PERMTT 1993 Application Date: October 13, 1993 _ Commercial project Gallons per minute/commercial only Residenrial project (sprinkler systems far development projects) X Facisting residence Area/addressto be sprinklered: 650 Hillside Drive Installer. Plumbing Services, Inc. Street address: 1628 Hwy 10 N. E. state & zip: City Minneapolis, MN 55432 , 783-9080 Telephone #: Owner name• St.eve Perry Street address• 650 Hillside Drive City state & zip: Eagan, MN , Phone #: Hm. 454-4749 Wk. 463-7855 Irrigation contractor, if different: Heltz Irrigation Phone #: 434-3322 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable City of Eagan ordinances. ? Signature of Permittee New service required Fee due: $ 15.50 Calculated by: 7 Y CITY OF EAGAN UNDERGROUND SPRINKLER SYSTEM PROCEDURE 1993 1. A plan must be submitted to the City's Engineering Department for approval before installing a lawn sprinkler system. If digging in the boulevazd, a right-of-way pemut may be required. 2. Once plan is approved, it will be presented to the City's Plumbing Inspector for sizing of the meter. 3. Jerry Wobschall, Finance Department, will ca]culate permit fees as follows: a. Commercial project: $ 25.50 underground sprinkler permit. $ 50.50 water permit fee onlv if new service is installed. $100.00 per tap if installed by City. Please consult with Engineering Department regarding feasibility of City installation (City wil] only instal] taps up to 1"). b. Residentia] project: $ 15.50 underground sprinkler permit. $ 50.50 water permit fee if new service is installed. $695.00 per connection - WAC. $324.00 per connection - water treatment plant. c. Existinia residence: $15.50 underground sprinkler permit -(fee not required if backflow preventor previously installed); however, plan must still be presented for approval and an application must be filled out. 4. Once meter size is determined, Protective Inspections Clerk Typist will contact Utility isiiIing Cierx £or cosi anti noti"ry insiaiier oi ail cosis associdieti wiin projeci. if new service lines are not re uired, one check may be written for meter and permit costs. No meter will be sold before all sewer and water inspections are rnmplete on a new service--(Engineering Department will advise Utility Billing Clerk when meter can be sold). Receipt will be coded to 20-3716 (meter portion only) with pink copy forwarded to Utility Billing Clerk. 5. The installer is to contact Protective Inspections at 681-4675 for inspection of the inside water line and backflow preventor. The Public Works Department may be reached at 681-4300 for water turn-on and set and seal of ineter. Inspection hours are 8:30 AM to 3:30 PM, Monday through Friday. Requests for AM inspections should be made on the preceding work day. Requests for PM inspections will be accepted until 12:00 noon that day. CITY U9E ONLY L ? BL oZ RECEIPT #: ? SUBD. 6Ziyay? DATE: ?O?7 S 1995 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 FILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? single family dweliings ? townhomes and condos when permits are required for each unit New construction Add-on furnace ? Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc. Date: IJ4 ? Minimum Fee: Add-on/Remodel (existing residence only) ? HVAC: 0-100 M BTU Additional 50 M BTU ? Gas Outlets (minimum of 1 required @$3.00 each) ? State Surcharge TOTAL SITE OWNER NAME: L-$ 20.00 24.00 6.00 .50 20-1 ?In PHONE #: ? ?----- -------? INSTALLER NAME: ( Preferred Mechanical Services, Inc. I-? 7643 Logan Avenue South I STREET ADDRESS: ' Richfield, MN 55423 ? Bus:866-7611 Fvc:866-0125 I CiIN. PHONE #: ( ) .. . _ _ . ._..,, crPr LIsE oNLv L __ BL _ SUBD. RECEIPT #: DATE: _ 1995 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? all commercial/industrial buildings. ? multi-family buildings when separate permits are IIQt requised for each dweiling unit. ;.. ,. CONTRACT PRICE: ?!fVAftK TYPE: _ NEW CONSTRUCTION iNTERIOR IMPROVEMENT .?' I(3FFCR•tP'TION OF WORK: . .-: FEES: $25.00 minimum fee p( 1% of contract price, whichever is greater. Processed pipin9 - $25.00 - ,., .?' ,,;:?'' ? r •. State surchargS af $.50 per $1,000 of oermit fee due on all permits. ,'EHTR? ACT PRICF x a %- _ • ? ?? ? `:?rfSSED P w' IPING ? SURCHARGE Q?• ? ',.L.. ip'. ?.T6? ,•, ? ?? . . . . ??1? .i _?S.-? ?.w..? , ? ? . ? . ' "; •y' ??? •. ^w?'? .? ? . . w . . _ . • i qs.', - , i . . :4'4 .. .. ? _.?=;:?•??-,,.;? : - ?: ..-,:.?.._.;.? ___ ? . .rt!*RNAME: _' _ _ , '_ ? • ?.::. ;: .'r ,T.7jM?c:F«E #: ,, ' ------'?^z •. -?-, w?. .. ._ .. . . - . • ?- . . • .. . . ' • ° Na,NT NAME: (?MF-Roi?tMENts 0NLv) ?.;."?:_,r.='_-=-.? --- ; • . . . . ,...? ..?,,,_° `? ' • '. . ' _ . . _ . ... , Y . ??'.` " ' ?? . . . ""`^ .. ?- • „ ' ? .w. ';a' i. 'i% • ., • • IRSTALLER: _ . ?:. ;._.: - ;,, .: ..• ?? s -- . . ; . -?---?-- _ ;_.?:.? ??:?,..•i__? ?...::;?: ' ADDRESS: -- •*~ •.s..':,. ;, .,, ,??,N:?= _ ?,,..__.??..?-:..,:.;,+? '- . • - . " cirY: ? u?,.•} '?• ?_? '` ;4T?.? ?:•- ,. • ? ?IP:._._ ,- , '<. - =-? .„• , se°?,.---?--- . ---_? , " PHOHlE #: ... ? ?... , ° _ a . , . . , , , , • - ?, .. -,.. ,?= ---?-:- • : ? . . . •e?. ? '? , _?. ?...- .,...; ? . ..? , SiGNATURE: •`,f?F. PERMITTZEE -Clp'C'f? GNWI`^TOP, ? ? . ., ? ' ' ' ' ? .. :'i, `?.. • . . . . . 4? .. ? . n ' . CITY OF EAGAN Page 1 of 5 PERMIT TO AORK AITHIN CITY PROYERTY/RIGHT-OF-iJAY/EASEMENTS . l + 2 3 4 Indicate below items to be affected and include a sketch or plan of work to be done. Curh & Gutter Street Surface Trail/Sidewalk Trees: Pond/Wetlands Public Traffic Control Devices/Signs Private Drainage Utilities Structures/Bu3ldings Other NONE Method of Installation or Construction CERTIFIED TORO CONTRACTOR PER PLAN W/ PTPEPULLER B S BREN INSTALLE 5. (rk?o start on or a ter: /a'A and shall be completed by: 5/93 unless an extension granted to: by: DATE STAFF/DATE 6. Will detouring of traffic be necessary? Nn . If necessary to detour traffic, describe suggested route: DETOURS: The Director of Public Works shall be notified in writing at least 72 hours in advance of any detour being estahlished, changed or discontinued. NAME OF APPLICANT HOLTZ IRRIGATION PHONE 434-3322 PLEASE PRINT ADDRESS 21005 EVE ETH ST N W CEDAR MN. 55011 _ STREET CITY STATE ZIP NAME OF PARTY OR ORGANIZATION PERFORMING WORK STEVE PERRY RESIDENCE CONTACT YERSON: ROBFRT ROWLES EMERGENCY (24 HR.) PHONE #: 431-3437 ADDRESS+2745 ?nA*,?En cT nV *+N 55124 DAYPHONE SAME STREET CITY STATE ZIP The undersigned herewith accepts the terms and conditions of this permit by the City of Eagan as herein contained and agree to fully comply therewith to the satisfaction of the City of Eagan. Signed: 'tle: DATE: _// / -3 --------------------------------------------------------------------------------------------- FOR CITY USE ONLY FINANCIAL SECURITY: Fee: $ AUTHORIZATION OF PERMIT AMOUNT: Receipt No, TYPE: (Cash,bond,LOC,etc.) Permit No. In consideration of agreement to comply in all respects with the regulations of the City of Eagan covering such operations, and pursuant to authorization duly given by said City of Eagan; permission is hereby granted for the work to be done as described in the above application, said work to be done in accordance with special provisions as hereby stated: APPROVED BY: DEPT. OF PUBLIC WORKS _ BY: /DATE ALL LEGAL REQUIREMENTS SHOWN ON REVERSE SIDE AND ON ALL "SPECIAL PROVISIONS" TO BE COMPLIED WITH! THE DATE WHEN WORK IS COMPLETED MIJST BE REPORTED TO THE EAGAN CSTY ENGINEER. Permit No. Page 2 of,5 , PERTINENT REGULATIONS Safety 1. Traffic shall be allowed to pass and to be protected at all times. If iL• is not possible to allow traffic to pass, a suitable detour must be provided and plans submitted to the Director of Public Works 72 hours in advance. 2. Barricades shall be erected in a manner which wi11 provide suitable visibility in all directions. All barricades shall be in good condition, and all signs shall be of such size and legibility to provide adequate warning to oncoming traffic. At least two 7" flashing amber lights shall be mounted on each end barricade with one on an advance warning sign. 3. Excavations must be shored or sheeted when necessary to prevent under-mining of roadway, trailways, utilities, or for safety reasons. 4. Guys or stays shall not be attached to trees on right-of-way or private property without written permission. 5. Flagmen shall be furnished by the party or organization performing the work whenever the work being done creates a hazard either to the traffic using said road or the personnel engaged in the construction, or when directed to do so by the City. OPERATIONS 1. Permit on Job--Permits or copies shall be kept on the site of the work while it is in progress in the custody of the individual in charge, and shall be exhibited upon request made by any City official. 2. Provisions and Specifications--These general provisions, specifications and Std. Plate P-1 shall be considered as forming an integral part of each and every permit issued for operations within Eagan. The work authorized by this permit shall be done at such time and in such manner as shall be consistent with the safety of the public and shall conform to all requirements and standards of the City. If at any time it shall be found by the City that the work is not being or has not been properly performed, the permittee, upon being notified by the City, shall immediately take the necessary steps, at his own expense, to place the work in condition to conform to said requirements or standards. 3. Execution--The permittee shall use diligence in the execution of the work authorized under this permit in order not to endanger or unnecessarily obstruct travel along any road or trailway. Operations shall be so conducted at all times as to permit safe and reasonable free travel over the roads and trailways within the limits of the work herein prescribed. All safety measures for the free movement of traffic shall be provided hy the permittee at his own cost. 4. Conformity to Laws--The installation shall be made in conformity with all applicable laws, regulations and codes covering said installations. All installations shall be made in conformity with regulations of governmental agencies for the protection of the public. a. The applicant shall furnish a bond or financial guarantee in the amount to be determined by the City which is required to ensure adequate & timely completion of repair. This bond or financial guarantee shall remain in effect for 2 years suhsequent to completion of street repair to protect the City from defects in material, worlcmanship or non-compliance with City Standards or specifications. 1 Permit No. Page 3 of 5 ? b. The applicant shall furnish evidence of public liability insurance of not less ? than $100,000/300,000 and property damage of not less than $25,000 issued by an insurance company authorized to do business in the State of Minnesota on which the City is named as an additional insured party. c. Except for the negligent acts of the City, its agents and its employees, the permittee shall assume all liability for, and save the City, its agents and its employees, harmless and defend same at its sole cost and expense from any and all claims for damages, actions or causes of action arising out of the work to be done herein and the continuing uses by the permittee, including but not limited to the placing, constructing, and reconstructing, maintaining, protecting and use of said facility under this application and permit for construction. 5. Existing Facilities--The utility facility and installations shall not interfere with any existing utility facility on the City's right-of-way or easements. It is the responsibility of the applicant to call for necessary locations of existing utilities. (Gopher One 454-0002) 6. Private Property--The work permit or permit for construction as issued does not in any way imply an easement on private property. 7. Quality of Work--Finished surface, base and sub-base of road or trailway upon completion of work shall be at least equal to or better than specifications of originally provided road or trailway in accordance with City Standard Specifications. Surface shall be finished within 48 hours upon comvletion of backfill. 8. Cutting Trees--The permission herein granted does not confer upon the permittee the right to cut, remove or destroy trees or shrubbery within the legal limits of the right-of-way, easements that are not specifically identified on the plan attached to this permit or relieve permittee from obtaining any consent otherwise required from the owner of the property adjacent thereto. 9. Drainage--All waterways and lines of drainage shall remain operative. 10. Pole Anchors--Pole anchors, anchors, braces or other construction will be permitted within right-of-way or easements and will be approved on a case by case basis. 11. Driving Limitations. a. Driving or parking on City trails or sidewalks shall only be permitted for those operations requiring direct access to the boulevard area. b. Vehicles operating or parked within the right-of-way area shall utilize their warning flashers at all times. c. Vehicles driving on trails or sidewalks shall not operate in excess o£ 5 miles per hour. Vehicles shall operate at slower speeds when weather conditions, trail conditions, poor visibility, obstructed sightlines or other conditions require special precautions to ensure the safety of trail users and the general public. d. Driving shall not be permitted within those boulevard areas where damage to turf trailways or other infrastructure may occur. e. Vehicles shall not be parked on trails or sidewalks in such a manner as to unnecessarily impede the safe and efficient use of trailways by the general public. Permit No. Page 4 of 5 12. Vehicles or equipment traversing roads or trailway surfaces shall not utilize studdad or chained tires, caterpillar traction, or any other form of traction which will result in damage to the surface. ? 13. Clean-Up--Street, trailways and affected right-of-way shall be scraped clean ae the end of each work day and swept clean after construction is completed and left in a neat and presentable condition. 14. Trees and Vegetation-Burning or disking operations and/ar the use of chemicals to control or destroy trees, brush and other vegetation is prohibited without prior approval from the City. 15. Replacement of Sod--Wherever top-soil and sod are disturbed, they shall be replaced and maintained satisfactorily until the turf is established. The undersigned hereby declares ha/she has read and will comply with all the PERTINENT REGUTATIONS as stated above and relevant City Ordinances. DATE: SIGNED: Revised 5/93 LTS#1-PERMIT.FM PAGE 5 OF 5 PROPERTY LINE I ? SAME AS REMOVED (3" MINIi/UM) SAME AS REMOVED (C" MINIMUM) I TRAILWAY 1 2 3 Curb and Gutter shall be removed only after saw cutting at joints and replaced according to specifications or Standard Plate. Bituminous pavement area removed shall be saw cut prior to patching. Boulevard sod removed shall be replaced with minimum 4" of topsoil and cultured sod. 4. 2341 bituminous wear course shall be paved between May lst and November 15th for permanent patch. Temporary cold mix patch should be used November 16th to April 20th (or as permitted by weather). 5. Class 5, 100% crushed aggregate base. 6. Roadway closures in accordance with Appendix B- Traffic Control for street or highway work zones - MnDOT/MUTCD. 7. Bituminous trailway closure requirements same as roadway in #6 above. g. Backfill shall be thoroughly compacted by the "Specified Density Method" of compaction. All suitable backfill material placed below a depth of five (5) feet below the final pavement surface shall be placed in maximum lifts of twelve (12) to eighteen (18) inches and compacted to a minimum ninety-five (95X) percent of ASTM Specification D698- 64T (Standard Proctor Density), method "A". All suitable backfill material placed within five (5) feet below the final pavement surface shall be placed in lifts not to exceed twelve (12) inches and compacted to a minimum of one-hundred (100Y.) percent of the above ASTM Specification. standard L i? ly of eagan STREET AND BITUMINOUS TRP.I! WAY approved : plate #: P U B L I C EXCAVATION/PATCM DETAII 5/93 P_1 WORKS TRAFFIC CONTROL REQUIREMENTS , 9 DEPARTMEN] I I 2005 RESIDENTIAL BTJILDING PERNIIT APPLICATION *iD -Gm ? City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Cons4uction Reauirements RemodeUReoair Reauirements Olfice Use Onlv 3 regisfered site surveys showing sq. tt. of lot, sq. ft. of house; and all roo(ed areas 2 copies of plan Ced of Survey Recd _ Y_ N (20°h maeimum lot coverege allowed) 1 set of Energy Calculations for heaDed adddions Tree Pres Poan Recd _ Y_ N, 2 copies ot plan showiiq beam & window s¢es; poured fourW design, etc. 1 she survey for additions & decks Trea Pres Required _ Y_ N 1 set ot Energy Caiculatans Adddion - irMicete ilonsite septic system Dnsila Septic Syslem _ Y_ N 3 wpies o( Tree Preservation Plan'rf lot platted a8er 711193 Rim Joist Detail Options selection sheet (buildings wBh 3 or less unils) Date 05 Site Address o Construction Cost UniUSte # DescriptionofWark o/ Mul[i-Family Bldg _ Y_ N Fireplace(s) _ 0_ 1 _ 2 Property Owner r5t Telephone # (O/ Cantractor injc 5yii it/1/ - Address 7?r. n 13iA .v ?G State /lf/yrlor.t?,?]fj i ` City ?oi? In 0 iAr'f Zip A'JS14¢? Telephone#(?63 )?4/-0 3 D? COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv l Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category t Worksheet • New Energy Code Worksheet (Jsubmissiontype) Su6miHad Submdted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Telephone # ( Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone # ( I hereby apply for a Residenrial Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which quires a review and approval of plans. , • ,? ? ? ??? ApplicanYs Printed Nam Applicant's Signature OFFICE USE ONLY Sub Types O 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 AccessoryBidg ? 02 SF Dwellfng ? 08 06-plex O 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt- Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc. ? 05 03-plex 0 11 10-plex ? 19 Lower Level ? 24 Stortn Damage ? 06 04-plex ? 12 12-plex Plbg_Y or_ N? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement O 38 Demolish Interior ? 44 Siding O 32 Addi[ion ? 36 Move 8uilding ? 42 Demolish Foundation ? 45 Fire Repair ? 33 AI[eration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement •Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaVC.O. _ Footings (deck) Final/No C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & W ater _ F inal _ Pool _ Ftgs _ Air/Gas Tests Final _ Framing _ Siding _ Stucco _ Stone _ Bri ck _ Fireplace _ R.I. _ Air Test _ Final _ Windows _ Insulation _ Retaining Wall Approved By: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total Building Inspector City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 650 Hillside Dr Lot: 8 Block: 2 Addition: Bur Oak Hills 2nd PID:10- 15501- 080 -02 Use: Description: Sub Type: Work Type: Description: Census Code: Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 3,000.00 Contractor: Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264 -4777 e- Windows/Doors Windows/Doors-New/Replacement House 434- Applicant/Permitee: Signature PERMIT City of Eaan Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes. BL - Base Fee $3K Surcharge - Based on Valuation $3K Construction Type: Occupancy: $88.50 $1.50 Total: $90.00 - Applicant - Owner: Steven M Perry 650 Hillside Dr Eagan MN 55121 Permit Type: Permit Number: Date Issued: Permit Category: 0801 9001 I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Issued By: Signature Building EA092221 12/03/2009 ePermit PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA151698 Date Issued:09/07/2018 Permit Category:ePermit Site Address: 650 Hillside Dr Lot:8 Block: 2 Addition: Bur Oak Hills 2nd PID:10-15501-02-080 Use: Description: Sub Type:Residential Work Type:Alteration Description:Fixtures Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Steven M Perry 650 Hillside Dr Eagan MN 55121 Window Concepts Mn 291 Eva St St Paul MN 55107 (651) 905-0105 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA161514 Date Issued:06/01/2020 Permit Category:ePermit Site Address: 650 Hillside Dr Lot:8 Block: 2 Addition: Bur Oak Hills 2nd PID:10-15501-02-080 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 1,500.00 Fee Summary:BL - Base Fee $1500 $62.50 0801.4085 Surcharge - Based on Valuation $1500 $0.75 9001.2195 $63.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Steven M Perry 650 Hillside Dr Eagan MN 55121 (320) 250-4269 Window Concepts Mn 291 Eva St St Paul MN 55107 (651) 905-0105 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA164167 Date Issued:09/21/2020 Permit Category:ePermit Site Address: 650 Hillside Dr Lot:8 Block: 2 Addition: Bur Oak Hills 2nd PID:10-15501-02-080 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Steven M Perry 650 Hillside Dr Eagan MN 55121 (320) 250-4269 Anchor Roofing and Exteriors 101 Bridgepoint Way, Suite 140 South St Paul MN 55075 (612) 363-7443 Applicant/Permitee: Signature Issued By: Signature