654 Hillside Dr? ,-
?
IiLCTIVAIR 1CR U=--M/26/93
STSVE ADM454r7!!2
(gier#i#iratie uf (Orrupan?y
titp of (Eagan
mmubarnl a# %ahing insprttmt
77ris Cerrtj'raate issued pursuant to !he reqaireneenls of Section 306 ojtlre Uxiform Brrilding
Code certifyirrg that at the tilne of rssucurce tbis structure mu la con:p/ianoe wrth llee vorious
onlinances of the G7itp ?+e8rdann8 building consvuction or use Fvr rht jollowuW
SF DWOM
14M 410
row VN
DEL F.PGAN
7/17/q2
POST IN A COkSPICUOUS PLACE
INSPECTIQN
- CITY OF EAGAN a-? ? rx?.x?l2s? i
? 3830 Pilot Knob Road i`?#.??2
Eagan, Minnesota 55123
' (612) 681-4675
RE C ORD ? Control No. 03 5 0-
PERMIT TYPE: 1.1111 1 111 "1',
Permit Number: 000410
?
Date Issued: O
?' / A ? j ? ? '
SITE ADDRESS: LQ r t I NLdC?, APPLICANT:
bbq Htl.LSIDE DR lHUV'.inH N014ES BkIAN L
AIiR UAK. tIl t l S 2Mb ( tf 1) +I64--0644
II ,
` PERMITUBTYPE: TYPE OF WORK: Krw
` SiTE' „ FUofI'N13
r F+AM 1 NU I MSUL A1 1(1N
?
FINl11 f IREP1. ACf.
?
kLMAkk1;: ittCCIpT # !'RV 9&W Pf.BR. R RAY HAEQ Pl.NU
1
- ? -- ? - ?; ?
x
? ?;r L f ::. 3 _, - .,?5 t _ -µ? ?,•? „? 4. :
i `?'??r-•-? ?' ? _! ?? .:P `_ .lr ?.-i. "? '. is
-r '? . .. R _-.. . .
PKmit No. PsrmR HoWeir Date 7bleptuono R
SNV
PWMBING
HVAC
ELECTRI
ELECTRIC
Inspwtlon W" Inrp. Commenft
Footings 1 s//? , . 1
?.v
Foundffiion
Framing
J
Roofing
Roupfl Potg .(J
Ro"gn m9. * °/4, s
W.
Fi^*x*
Final Htg.
Orset Test
Mnsi Pib9. PH9- lrwPwta-?JOdffY Plumber
Corst_ Meter
EngrJPlan
Bldg. Flnal
C
Do* FiS.
Dedt Final
VY611
Pr. Dlap.
Address: 654 HILISIDE DRIVE Lot 7 Blk 2 Sec/Sub gUR OAK HILLS 2ND
These items were/were not complete at the time of the final inspection.
Date: 7/17/92 Yes No Insperfor,
Final grada (6" from siding) P?
Permanent staps - garage
Permanent steps - main entry vl-
Permanent driveway
Permanent gas
Sod/seeded grass
Trail/curb damage
Porch y
Basement finish
Deck
Please varify with the buildar the ramoval of roof tast caps from the plumhing
system and the shut-off of water supply to the outside lawn faucet before
freeza potential exists. ?
wj
vc,amwa
White - City copy Yellow - Resident copy Pink - Contractor copy
,. -) /7'v1-E' 7/?//9-2
/071-2o e //7 S95;1d' I
J"45352 dttox- A
Bequest Date F,reNo Rough-in Inspecfion
_- Repun >
L es ? N.
?ReatlyNOw ?J.N1IITlo ?ectw
h ?
IP censed contractor ? owner hereby request inspecbon of above electrical rk J?
Job Atldless ISireet^BOx or oure No ?
\ /? City
y
SecUOn
'OUp T ns ip Name No ange N Gounty
Occu P / 4J
?
Power 5 I rn Atltlress
Elec ¢ I Comraci (any Name) 61,6?
1 L/ ?,
_S_ d'' Con [ad
? 5 Lsense ye
c
MeiL Bss (010, or ner Makrnq InstallaLOn)
?'? ?j' ppp
?? ? •??-_ !" 4/-
Aulb zea S?qn e IC U ctor/Owner Making Inslall li n? Pry 1u er
z:-. , .
MINNESATAISTATE BOARO Of ELECTflI IT
Griggs-Mitlway BIEg. - Raom 5413
1821 Unneralty Ave, St Paul, MN $5106
Plwne (612) "2-0800
THIS INSPECTION REQUEST WILI NOT
BE ACGEPTED BY THE STATE BOARO
UNLE55 PROPER INSPECTION FEE IS
ENCLOSEO
REQUEST FOR ELECTRICAL INSPECTION
J45352 • See mstmclions for compleling Ihis form on back ot yellow copy
"X" 8elaw Work Covered by This Request
?aTMb''N ER-00001-M
/OSJ`'7S?`
New Ad ' F p rypeofBmlding AppliancesWiretl EquipmeniWiretl
Home Range Temporary Service
Duplex Water Heater Electnc HeaOng
Apt Builtling Dryer Other (Speafy)
Comm./Intlustriai urnaCe
Parm Air Conditioner
Otther uWmcity)
Compute Inspechon Fee Belaw: ConVactor's Remarks:
# ' Other Fee # ServiceEntranceSrze Fee # Circwts/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Apove 100 _ Amps
- Signs inspecroi's Use On1y, Tp L /T
v
Irrigation Booms ?n
p3 -j-(} 3 7
Speaal Inspection ?
L
Alarm/Commumcation THIS INSTALLATION MAV BE ORDERED DISC04ECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby
Hough-m r'^
' t Date
.?
certify that the above mspection has been made
OFFICE USE ONLY
This,equesl voi0 18 monlhs irom ,,, F: ely ` ?.L_?
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-9675
New Construdion Reauiremeirta
• 3 regislered site surveys showing sq. R. of bt, sq. ft. of house, and all roofed areas
(20% marzimum lot cove2ge allowed)
• 2 copies of plan showing beam 8 window sizes; poured found tlesign, etc.)
• 1 set of Energy Calculations
• 3 copies of Tree Preservation Plan rf lot plafled after 711/93
. Rim Jast Detail Optio`s selection sheet (bldgs wBh 3 or less units)
DATE
_?-/6 -(::Q
Phone #
SITE ADDRESS ??/ A hlf;lrJ u/- MULTI-FAMILY BLDG _ Y
TYPE OF WORK T D, It erer9P FIREPLACE(S) _ 0_ 1
APPLICANT
STREET ADDRESS `7 ?Zno / S' ?4-p__ .
TELEPHONE # '7G3 -5V/-d_? CELL PHONE #
FAX #
,(--ry
_ Z
1SSyy/
PROPERTYOWNER geCe- 4074 TELEPHONE# 6S/`?/Sy 7SJ`,,7
------------------------------------------------------------------------------------
COMPLETE THIS SECTION FOR KNEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINIVH;SOTA RliLFS 7670 CA'ItiGORY 1 b1INNESOTA RULES 7672
(J submission type) • Residential Ventllation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
. Energy Envelope Calculations Submitted
Plumbing Contractor: _
Plumbing system includes:
Mechanical Conhactor.
Mcchanical system includcs:
Sewer/Water Contractor.
Air Conditioning
_ Heat Recovery Sys[em
\ (-? -?-- 71 `?_
Fee: $90.00
Fcc: $70.00
Phone #
------------------°°---------------------------°------------°--°--------°-------° -------°-----------°----------°
I hereby acknowledge that I have read this application, state that the information is correcT, and agree to compiy
with all applicabie State of Minnesota Statutes and City of Eagan Ordi; ances. ?T?? n?n ? n
?i, i? i?l IIII
Signafure of Appl(cant
OFFICE USE ONLY
_ Water Softener
_ Wa[er Heater
_ No. of Baths
RemodellReoair Reauiramenls
. 2 copies of plan
• 7 set of Energy Calculalions for healed additions
. 1 srte survey (or eaterior additians & decks
. Indirate if home served hy septic system for additlons
_ Phone #
Lawn 5prinkler
No. of R.I. Baths
VALUATION 611//D
Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _
Updated 4102
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. p 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)" ? 43 Reroof ? 46 Windows/Doors
0 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MCIES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bidgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footings (deck) FinaUNo C.O.
_ Footings (addition) _ plunibing
_ Foundation HVpC
_ Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Au/Gas Tests _ Final
- FranunB Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ _
Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Building Inspector
? CITI? OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
Control No. 0350
OifiMIT TYPE:
Permit Number:
Date Issued:
BUIIDING
000410
05/01/92
DESCRIPTION:
Bu'ilding Permit Type SF DWG
Building Work Type NEW
UBC Occupancy. R-3 M-1
Construction Type VN
r Zoning ? R-1
Building length 63
Buildin9 Width 51
,
.
PERMIT
654 HILLSIOE DR
LOT: T. BLOCK: 2
BUR OAK HILLS 2ND
REMARKS:
RECEIPT N0, C) I TS 71
PRV SSW PLBR. = RAY HAEG PLBG.
FEE SUMMARY:
VALUATION
$120,000
Base Fee
Plan Review
Surcharge
sac
SAC $
5AC Units
Subtotal
$709.50
$461.18
$60.00
$700.00
iee
$1,930.68
MISC FEES $1,610.50
Total Fee $3,541.18
CONTRACTOR: - applicant - sT. LIC. OWNER:
THORSON HOMES BRIpN L 14540644 0001317 THORSON HOMES
4466 WEDGEWOOD DR 4466 WEDGWOOD DR
EA6AN 19M 56123 EAGAN MN 55123
(612) 454-0644 (612)454-0644
I hereby acknowledge that i have read this application and state that the
information ie correcC and agree ta comply witfi alI applicable State of P9n.
Statutes and City of Eagan Ordinancec.
L
APPLICANT/PERMI7EE SIGNATURE
ISSU V SIC,NATURE
1992 BUILDING PERMIT APPLICATION
CITY OF EAGAN
REQUIREMENTS: ApR g 0 RfCO
SINGLE FAMILY 2 SETS OF PLANS, 3 REGISTERED SITE SURVEYS, 1 SET ENERGY CALCS. ?
MULTIPLE DWELLINGS 2 SETS OF PLANS, 3 REGISTERED SITE SURVEYS, 1 SET OF ENERGY CALCS.
# OF UNITS RENTAL FOR SALE
COMMERCIAL 2 SEfS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SEf OF
SPECIFICATIONS, 1 SET OF ENERGY CALCS.
PENALTY APPLIES WHEN TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING
DAY OF MONTH IN WHICH REQUEST IS MADE Q$ LOT CHANGE IS REQUESTED ONCE PERMIT IS
ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH
ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
To Be Used For:
S Address ?
,n/e-cd valuation:
Lot I Block Parcel/Sub 6ic
Owner 7?a iso .r/ /J"'
Address
City/Zip
? ?/
Phone -??ry- 0? s?Y?
ContractorJ 217ge ?.?.s
Address (.?k ??ou
City/Zip ?d?iayJ /Y;
On-site sewage
o re On-site well
MWCC System
?i Ciry water
PRV
Booster Pump
Phone ?- ?L- gL ?/ ,/ License
Arch./Engr.
Address
City/Zip Code
Phone #
APPROVALS
Planner
Council
Bldg. Off.
Variance
Date: ?-
Bidg Permit
Surcharge
Plan Review
License Fee
SAC, City
sac, nnwcc
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trail Ded.
Copies
SUBTOTAL
Penalty
Lot Change
TOTAL
FEES
Sewer/WaterLicensedContr. ?ar d'?ecr Processingtime
for sewer/water permits is two ay once are as en appro .
WignitUi?e_ agrees that ail work shall be done in accordance with
oi fiermittee
all applicable State of Minnesota Stffiutes and City of Eagan Ordinances. "
'S
odd Q.2 I
:_2
Occupancy
Zoning
Actual Const
Allowable
# of stories
Length
Depth
S.F. Total
Footprint S.F.
PEwMII # . = ' CITY OF EAGAN ' • •
1992 BUILDING PERMIT APPLICATION
681-4675
SINGLE & 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 energy 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 Yaluation of work
Site Location:
STREET STE #
Tenant Name:
L0T ? BLOCK Z SUBD.aNy4- 04k P.I.D. It
2No
Descri tion of work:
The applicant is: ? Owner ? Contractor ? Other (Deseribe)
Name Pho ne
Property LAST FIRST
Owner
qddress
STREET STE tl
City State Zip
Company Phone
Contractor Address License # Exp.
City State Zip
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 appraved.
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:
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation
lg 02 SF Dwg.
? 03 Two family
? 04 Multi-fam. T.H.
? 05 Apt. Bldg.
WORK TYPE
§K 31 New
? 32 Addition
? 33 Alterations
? 06 Garage/Accessory
? 07 Fireplace
? 08 Deck
? 09 Basement Finish
? 10 Swim Pool
? 34 Remodel
? 35 Repair
? 36 Tenant Finish
GENERAL INFORMATION
? 11 Res. Add./Porch
? 12 Comm./Ind. New
? 13 Comn./Ind. Add
? 14 Comm./Ind. Rem.
? 15 Public Fac.
? 37 Move
? 38 Demolish
? 99 Undefined
Occupancy IZ-3 M-I Basement sq. ft.
Zoning ? lst F1. sq. ft.
Const. (Actual) V- N 2nd F1. sq. ft.
(Allowable) Y- N Sq. ft. total
# of Stories 2 Footprint Sq. ft.
Length (&3 On-site well
Depth 5 l On-site sewage
APPROVALS
Planning Building IJS l??J$Z
Engineering Yariance
REQUIRED INSPECTIONS
? Site
? Wallboard
? Footing
? Final
? Framing
? Draintile
? Insulation
? Fireplace
Permit Fee 70q,50 vaiuac;d,: $12
Surcharge 66,00
Pl an Review ? GAK?GE1 10 X 22 = Zzo
License aou ZZ ? clqo
MWCC SAC
Cit
5AC p =18f60
6 16
y
Water Conn.
60. Oa
. ,DO
??"ti--' a69 ZZ =- 572 ?
Water Meter
z X?`?
Acct. Deposi t
S/W Permit , p
, - ,
$$8 x lf- ?8 a@
S/W Surchar9e
Treatment Pl .
pp
L?? : Z. K 572 2
Z 2- ,
Road Unit 00
Park Ded.
S =
?
Trails Ded. Y
Copies
O
h z2)c 24' ?$
?
?-
5? !
3=G5
t
er
Total : ?
23 ?C ,
5
SAC % po .2 qXa2 =6316
w ?
SAC Units tzx
7?
?3 =
,A
6b s
, C?InIo
a ? 1? 22?ayZx -
. •-• a /_SG
.
? 16 Agricultural
? 17 Building Move
? 18 Demolition
? 20 Miscellaneous
MWCC System YEs
City Water ?
PRY Required ?
Booster Pump
Fire Sprinkler
Census Code 10 1
SAC Code oi
Assessments
,. .,
?f ..
?..
? )wner
;ite Address LoT
:ontractor
LJVln j 1nI ?
BASED 09 f,HAPTE
NO ERGY CODE
A4op[lun EEf*ct
? . R,p 0ear u,c
?hon
suilding Classification: TypeAi (Single fa:nily 3 Ouplex) ?/ Type A2 (Residential
(3 stories or ess
(Other)
(Over J Starie5)
iENERAL INFORHAIION ,
1. 8utlding Perlmeter \ ?(o ft.
>.. Nall hei9ht (ground to eave) \?c ft.
2
3. 1. x 2. (above) gross Nall ar€a ?p ?4 fc.
3. Building dimenslons (L) -4p x(N) z(o • LZZ Z ft.2 roof S floar area
S. Square fcot area of rim joist - Floor joi<_t size (2 x1o? )
;_ x Perimeter • Rim ,7ost area ¦ ZO,o ft2
6 • Doors - Area -13, -1 . -1 1
Thlckness3/q" n.-U-Tactor
Type of Constructton --TeNueter_jco. 3z ?- ?5.4v-,fL.
ManufacWrer?
7. Total door's perimeter Z % ft
8. Ilindoxs:. Manufacturer State approved_
U factor _ 5 Z
TYPE
SIZE
e ?. \.1 -Ilk4,
?' So3 C
AR:A (f,-.2) "IUMBER Of
EACH UNiTS
l0
l S 59
Z t el . 59
a
S.
TOTAL FEET Z
_ (,4 . Z, c)
_
' g, iotal ft.Z Glass
106 fireplace area: W1dth x heiaht • {? x Q- ¦ Ft,Z %
11.Exposed foundatlon: Helght x Perimeter ?? x??(o • '7 ?j Ft.2 "
:)MPlE1I0N Of TNIS FORM IS REQUIRED FOR AlL NEU COIISTRUCTIOK, MAJOR REMODELING AND BUILDI.'IGS BEIMG ?
I)VED wHERE EkERGY, OTHER THAN TNE MININAL CODE ALLONANCE, IS USEO. .
- 1993_£DI7LON_
3
Phone ^a •
Fr&snSng aree • 10% of grofs rnill area.
; .?. :
? 4- f, 2
r'ross wal l area ? (D
} NindOr+ area A ft.Z U windows ¦ , Q
7 x A? ?q0
Rfia Joist area A \-,7?1? tt,Z
^ i
poor area A ' ,a) -7 _ -r-r ft.
F1reDl+ce area A _?- f:.Z
a
Exposed foundation A
Framinq area A ft.'
Net watl area A f t.
U filll j0{$t ¦ . Q'a U X A * d- i-?-
:l doorarea ¦ U x A •
U iirepl3te =-EH?- U x a •?
U foundation ¦ .\\ U Y. A -
;1 franing ar ea U x A =
,l walt u x n • o
. ?
(ttv; . . . . . . . . . . U x
0, Gross wall area x 0.11 (A-1 single family S du;.;=x • allowable U.c A/Code
(13. above)
x 0.23 (A-2 other resiCentia'.;
x .23 'Other building<`
,c .2E (Over- 3 storie.) TUH +!ust be larger than
A x l1 Ccde 138 ;bove
5., Cailing framing aren (Af) aquals 10.". )f csili-a area ? or the same a,s)
5A. Gross ceiling area *(l? -? n x(a ??Z ft.2
38 Joist erea (Af) • 10" ceiling area - ft.2
5L, yet ceil ino area (.4C) (15A - 158) -?_?? ft.2
U cei 1 f ng r k c_ ??.r
U framing x A f- C)x_???
50. -OTAI U x A .......................................
Ce11Sng area (15A) x 0.026 (A-1 sinyle `amily 3 Cuplex - c a loaable U x A
---?-- .
x O.C33 (A-2 other residz.^.tial)
- x 0.06 (other)
BTUH Must be larger than 1F0 (abo'v!)
A(15a) x tlfto6e}" .,O0 F (or the same as)
2?_ o?
HOTE: Use U and a values obtained f••of" nrs 1, 3 and 4.
,
WALL ?
SECYYOM
`..
';.
sTL'D
StCTION
2ND UAGL
5 EC i ('N:
e1M
JOISi
?.?_ r. ?IC?,•r.,=? ? .?yq?? -? t l:a:?'.?`A•;.',??p ?• .
?'.: "ib?.?' :??' 1? . . • '?1,?Y,V•?V Yi°F??.!'i{'4??
',. .,•:. •::ra, ::.?T?4.t: ?,????';. r,.&..;,. .? ,.:
[nMtdR ?ai? 'i?k?? `?``.t„:' •?.?r , ?. .:??:;?. . .,
tntertot rait ,4°5 (Valt) l7 • t '?
!zsu:a[Lvn
`0eatAtng
statnR . (eZ? u_ ? 04
Jnu(d• alr film .11 ? t
R TOTAL
Insidr str Eilln .68
: V C, Intrrior •+ail ?.?4g'? ?
"SdCA ?3. (Framleg) U . F .
I q NwJ, ^?hrathing Z„o(,s
Sldtns . `'1
11 oucs,ae atr i11n .17
. TOTAL
Inside atr tilm R• .68
Inter ior vai 1 .'45
insulstlon pp (Wa ll ) .: • R • `
Shea[hing ` Z •o a ?
f:ccerlor va ll coveeing
Extarlor alr t11in n ..17 ,043
R rorAL Z3 . o "3
In[tsiur air (fiT ?' .63
? ?sala : i o. i
r.
?q.oo
I} ir,ch au(t wuud
11
R=1.89 (R1t U ? ? .
N?Qf
IS• 4)
??5h. ?hl
- ,
,8
i
V' 1-tit'er`ior wall cuvertng.•??
?. Zatertor atr tilm Re :17
,04
?
I
?
? t TOTA L 4(91
? Inc.rtor ai: t:t-k R' .66
S PS*:?.?..? lnsula:tor. 4..ob
a?%- Pounda[iue -Z-•?o ?
(Fdn, ) U • A' ¦
? xtector air ftln R¦ .17
F rorAL R_9
frpused 31uck -?-?
I• ? ?
r,raee 's.
;
?;.
.?
?.
?
?,.
f
?k .
,
?
ry:'
i?
a
lnslde air fi?m
Ceiiing
Jotst (stud
Insulatton
Air space
Roof detkiny -
Insulaclon
Built-up roof _
Outslde +ir f11
Totil R
1 8 U
R -
It YALUE
CEfLIiIG
0.61 ,
' iindow lnfiltreticn .5 cfm/lineat foot of crack
; t4sjdentlal door infiltration 0.5 Cfm/squ3re foo: or dcor and mininue code requiremtnt
? Opn-residential daor infiltratton 11.0 cfr/lineal `oct of crack
+=, 1p 12" conrrete block no insu9atlon =.47 R 2.1
" lp 12" concrete block lnsulated cores - .26 R 3.8
. )b 11" lightwsiQht block - .12 R 3.1
' ;p 12" ligntweight block idsulated cores - .12 9 9.3
sinyle glass ¦ 1.13; wlth stom window .54
•..? doubl• ylass • .56
1 triple glass • .41
?
111 exterior walls and ceilings must have a vapor barrier (C.10 perm irax.).
ipor Oarrier must be on the inslde (heate4 sfde) of wall.
[=,Aipor barrier: of the polyethelene thin film have no R value.
? .. .
t. .
,
.
..._ 0'4?.
- 3L?5
' 4.34n
.-
? , aA
O.E1
3't.93
?oZ?4
O,. _ .;?.f??G•??i#??
* ,,t:r:f;;'X" ???;•.???;. ?
Air iftm 0.61 "
InSulation 44.O • ?
Ceiling
Air Film 0.61
rotal P1
u oz % a .
A
F!.4T ROOF OR CATHEDRAL CEILIUG
QYa ue
fR,;MIN6
c ?.. •
;?,. • a.
t+
?? H
^? •,? :
?; `• •
?
?? •
•?S. '
I.? .
Y ?
.?
, • %? ?.
, •I .
? ?'. t
ti ?. .
: .
i ?
.. '.
raq?? - a??CV
lloon
l71
fettlens aI
wtndo,ra silelnq ci.s¦ ooor¦ coora
a... s.* s..
Mag• 4 Mot1 3 MOtt i
NOtfl t0 Ta01• • • • . . • ?
' 111 CoIllnqs vb1cA Wat en* ef tM [ellovtng erlarla satlafy !
tAl• rputrugntt • j
(
A. R-71 tArovqhovt the •ntlrs colllng.
. •
I
, ¦. tt o porclen?et the eo111nq (s lut 04a Il-te, sDe
lngvlatlep !n the rwln0o• •f the ea111nq wae Do lncnueA eo
ri.ia •n oruall •retaq• tAermal realitinet at wt lets tAan ?
a-78 vsliq the tollwlny "uoelen. .
' 11r ' (Ae ' A1) / f1?ol ' Al/A11 . • i
vh*ret • ?
R' ' R Ya]W Ol tAf lRSYlatS011 (11 tAe rfaalllder .
et tAil eatliny.-
' A- totel
t
h
lll
"
? ,
an• e
t
e u
ny
lt
. .
ar
e1 th
ll!
t
A i
R ?
ea
e tie
ag v
t
s
osa eMn
-]?. •
R1 ? x ralw ot tM eolllny veleh !a )esf tAan
R-78. • .
.
?
C. trhare the *roof at e1N yerlwter ef t?e ea111nq privent• ;
lnstal3atlon oL (nsylaLlen b hil Oopsb, sM latvlattan [n tAo
rhafnder et the cellirpq erae DR Int»ated t0 reduee tAe evsrali
? ce/ltnq fNat ldis e? w sert iW lt 11-]! Mad Deen lnac?lleA F
onrovqneut the •nclre eelljny.
(7) For the fnaulaeed eavltr et opaqve vail ond r!• jelaca, Luc ;
net tound&cion valls.
(7) for tAe tnaulated uvlty 09 lteeri Ot 1109t9d SpOcea o+r@r . i
veAoaeW spocu. • . ,
(4) tuiirm qlus •ree ms net eseeed 12 peremt of eM area of
e:terlor valls not lnclud?nq lsundatton wlls. A11 •lodevs sAall
a dovble qlasid or lure sLOes vlndevs,
1
?(S) MaalMS qla:i *area uy.wet •seeeQ tea pereent ef the area ef
•aterlot• wlls, net lncludlng (owdaNew volls, vMn a slldln,
'
oLia deer ls fnatalled. All q1au sMll M deuel• q1aaeA or
Mr• aten vindovi.
Iq A 1-7H lnch reul [aeeA Qoor syatNS rtth •n (nsulased ceri
PfOvid{110 a11 R Ya1VI pVal LO O( 7Ctltft thN11 3,0 Of •
eenventloeal deoe •nA ston desr. •st ps;..rr eoors wst Aaw
.
dvrable waehorterlpplny. . •
I /ouMatlpd Nll tmtllatleo. / TM 1N1 Code f/K1f1-
?
1 D• ' •
?O?• ' c.llr rear r?t wn ?C e? •i Intrlattao M+at floert +bve tM /evadatfa
vol) M1 Mt Intlrlatff. tl{w the fMA/atip11 41L hIre 1.10 InSYlltlpll
. .
• .volled rrem sM teo er i?e ieineui« ea enc rro?t tf.t r1.y IR+•16etft
,
n
? • So01e4 erer tM gntlrt wll. Matt Uat tM 9 Va1re tµclflN Is fa' tM
?
?
• . •
00
• .
III{YIaNpn YIfNaI OI1l). .
l
.. . ??'M•RNf I
:00rE. Tly I"r1ry/ tlKe.y) reflLl6wtf d tM IMYIa-
? • . {IM 1/OY { f IHlM 0i IKolN W Yahfalld /lOOft Ke I/K1(1N in
? . . 14614 !-1. TM INtrlatl" tigt Illa" I0-1.014 Ireo tM tew of tM slos q
. ? • , the IrwS 114@ w Iaw.#N 4!M NtteO d tM 1146 tAee twrt:e¦tjlir
?
^W? .?? .
?? Mftatll It /v M lqYIvIIM{ 411lMtf. ThIf requlreaifnt'14 tM 1944 COd!
I
V A
?
1 s INotlC4l q tM 197i CsN. p?
r •
.
l
! .
oots ovtr unheated sp.1ces nust havc wtnia. um R-fac[or oE R-20 ([uck-under garages). _
oo[s ovcr outdoor air (ovcrhanss) nusc liave a ninimua P,-fae[or of R-39.
?
e?
. . i • . ? , `
?
1}" Aal I41104 %wajop "
HM pwo
1 ,
'/Lfllln?/ O.p? .
11N [Me
Mi 7fela
0.01!
Mlnlnr A valus¦ !or Glll ---?
^9• Ma33. aM f
a
*me A-I su1lAtnqs
:iUAVE-YC?R'S CER71FICATE
BRIAN THURSUN HOMES
e
BENCH MARK
TOP OF
eLEv.=e . fl-__?
B56 ~I
No '.v0
?99 q??,? aas ?
?a„ ` ?' ? 858.2
4D o
iaa : ?1ss
r
p. . ? 8393 ? ?
G.
862.0 _
• ? ? ? ?a, / r , N?
983.3
0
? ,? • ?? 4 ?
/ _31 p'? o £ /o n
^ ? a ?
, ? w
,-
? rJ x .? ?%
o? / ? ?`?zaene . ?haz oW
?
0 i -,-r
? L_li i
LoT 7 /
?'>DRAINAGE &1 UTILITY
' S/ FAS6MENT PER PLAT-?,
X_ ? 10
O 1 O /
saWsi oa w -- ?e; ?U,s)
r1! r.r
?v ^pir? nr?r?i??r•pi
L
NOTE: BVILOiNG DIMENSIONS SHOWN ARE Fan 1qRIZONTAL
a VERTICAL •LOCA7ION NO7E:
OF S7RUC'fURE ONLY. S?E NO SAECFIC SOILS INVE9TI3A710N WAS BEEN COMPIETED
NgAL 1'LAN9 Fpq BUILDfNG 6 f'OUNDATIOfJ
M ON 7HIS WT BY THE SURVEYOR. TME SUITABILIIY oF
DI
ENSp $OILS TO SUPFORT THE $PECIFIC FiWSE pA0p05E0 IS
• DENOTES PROPOSED SURFACE DRAINAGE NoT THE RESPONSIBILITY oF 7HE BURVEVOR,
O DENOTES IRON MONUMENT SET SCALE: I INCH - 30 FEET
• DENOTES IRON MONUMENT FOUND PROP05ED GARAGE FLOOR -.?'G6-9 FEET ,
X000.0 DENbTES EXISTING ELEVATION PROPOSED LOWEST FLOpR -$ 5f, Y FEET
(000.0) DENOTES PROPOSED ELEVATION PR?1?C.?.SED TOP O.F BLOCK -R G 3.1 FEE7
WE HEREBY CERTIFY TO BRIAN Th
REPRESENTATIpN OF A SURVEY OF
Lot 7, Bbck 2, BUR OAK HI
ihereof, Dakota County, Mln
IT DOES NOT PURPORT TQ SHOW IN
SURVEYED 8Y ME OR UNDER MY DIF
PROPOSED GRADES 9HOWN WERE
TAKEN PROM TME tlR,4oING,
oHAr+AOE a EAO910N CONrROL
PLAN rOR BUR OAK HILL! 2ND
AODITION PREP.ARED BY MERILA
9 a9lOC., INC. DATED 2-3-B&
m ? 00
° A v
m o? N° o ?, o cna
O ? p N Z ? ? z ? m 7c ?
O m v' N
James R. Hill, inc.
PLANNERS i ENGINEERS / SURVEYORS
2500 W. CTY. RD. 42 • BURNSVILLE, MN. 55337 0 612-890-6044
IVInV1VCJV IM LwEivoE ivannocn 1oo2a
CITY OF EAGAN
3830 PILOT KNOS ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
YI?87LNG;??!??
FOR CITY USE ONLY
PERMIT #
RECEIPT
DATE:
&?qAEi?3PSe1S::`
PLEASE COMPLETE
IIPPER PORTION ONLY FOR
SINGLE FAMILY
DWELLINGS &
„?a ?? Y? TOWNHOMES/CONDOS WHEN PERMITS ARE REQIIIRED FOR EACH UNIT.
-
------
------
------------------------ -----
WORK DESCRIPTION -------------------------- ---°--------
COMPLETE THE FOLIAWING:
ND. FIXTURES EA. TOTAL
NEW CONST K
Z ADD-ON MINIMUM 15.00
'
ADD ON ° SHOWER 3.00 e
-.-
REPAIR z2 WATER CLOSET 3.00 (o, ?
L BATH TUB 3.00 c,?_
? , LAVATORY 3.00 CJ_ _
I
OWNER NAME: /d'? -L?_-? KITCHEN SINK 3.00 ?3. -
LAUNDRY TRAY 3.00
SITE ADDRESS: l.? S`l " I oCll/?C?(1-C? HOT TUB/SPA 3.00
? WATER AEATER 3.00 3 --
IAT: ? BLOCK a SUBD. -/A
' ? '?
Q* ?o Lt°? ??=?-c?.r ? FIAOR DRAIN 3.00
a? GAS PIPING OUT.
INSTALLER: ? (MINIMUM - 1) 3.00 ?
r
3 ROUGH OPENINGS 1.50
Lf?' ?.^ ?U
ADDRESS: 7gn ?? _ OTHER
• ?/ WATER SOFTENER 5.00
CITY: ZIP: PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
PHONE 1 9 O
SUBTOTAL 6 :5-0
ST. SURCHARGE .50
? NATURE OF PERMITTEE 61 ! ?
TOTAL: ?f
DII$'1'&IAL:; PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND
Ci?MMEi?CIAk .:........: ::...?...... -.
......... :. ......:... ... ,. -
MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
CONTRACT PRICE:
OWNER NAME: _
SITE ADDRESS:
LOT: BLOCK _ SUED.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE #:
FOR:
CITY OF EAGAN
FEES
18 OF CONTRACT FEE.
STATE SURCNARGE _ $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18
STATE SURCHARGE
TOTAL:
(SIGNATURE)
CITY OF EAGAN FOR CITY USE ONLY
3830 PILOT KNOB ROAD
EAGAN, MN 55122 PERMIT #
PHONE: (612) 454-8100 RECEIPT # 60
DATE: go? 7
W?EMW PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS 6
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
-----------------------
------------
---------------------
WORK DESCRIPTION --- ----------------------
COMPLETE THE FOLIAWING:
N0. FIXTURES EA. TOTAL
NEW CONST ADD-ON MINIMUM 15.00
ADD ON _ SHOWER 3.00
7
REPAIR _ WATER CIASET 3.00
BATH TUB 3.00
LAVATORY 3.00
OWNER NAME: KITCHEN SINK 3.00
LAUNDRY TRAY 3.00
???
SITE ADDRESS: j?? HOT TUB/SPA 3.00
?_? _
WATER HEATER 3.00
? /?
LOT: BLOCK ? SUBD. l?AN FLOOR DRAIN 3.00
GAS PIPING OUT.
INSTALLER: z2:2 i4L 2 (MINIMUM - 1) 3.00
ROUGH OPENINGS 1.50
ADDRESS:
4?/ rI'Y1?+ /.? ? S d OTHER _
__, X WATER SOFTENER 5.00
CITY: ?O???/?ci ? ZIP: PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
PHONE #:
S ?U
SUBTOTAL $
ST. SURCHARGE .SO
IGNAT OF PERMITTEE
TOTAL; S
aOI?MERCiAL.iNDUSTRiAI.c:
...
.
.
? PLEASE COMPLETE THIS PORTION FOR ALL COMAfERCIAL/INDUSTRIAL BUILDINGS AND
.
...........
...
. ..
-... ... . . ..._
MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
°-_-___
-------------- ------
CONTRACT PRICE: -°_----------
FEES
OWNER NAME: 18 OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
SITE ADDRESS: EACH $1,000 OF PERMIT FEE.
LOT: BLOCK _ SUBD. $25.00 MINIMUM FEE.
INSTALLER: CONTRACT PRICE x 1% $
ADDRESS: STATE SURCHARGE $
CITY: ZIP:
TOTAL: $
PHONE #:
(SIGNATURE)
FOR:
CITY OF EAGAN
CITY OF EAGAN ? S 5- ?f a
Lf B? ' d ME CHANICAL PERMIT RECEIPT # l
SUBD. (612) 681-4675 DATE q - 15-r-1 ?-
RESIDENI7AL
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, COMPLEI'E FOR
TOWNHOMES/CONDOS WHEN SEPARATE PERMITS ARE REQUIRED FOR EACH DWELLING iJNIT.
owxEx: 6 N linrne-s FEES
STfE ADDRESS: ADD ON/REMODEL (EXISTING
CONSTRUCTION ONM S 15.00
UCJ' C" HVAC: 4100 M BTU 24.00
INSTALLER:
ABDRESS: 1 a Q.
[?Q ADDITIONAL 50 M BTU
GAS OUTLEI'S - MINIMUM 1@ $3 EA. 6.00
CITY: ZIP: 55JLI7 SURCHARGE: $ .50 ?
SIGNATURE: TOTAL: $ 1 •
COMMERCIAL
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAIJINDUSTRIAL BUILDINGS. ALSO COMPLETE FOR
pPARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMIT3 ARE NUT REQUIRED FiJR
EACH DWELLING UNIT.
WORK DFSCRIPTION: CONTRACf PRICE:
196 OF CONTRACT FEE FEES
STATE SURCHARGE IS $.50 FOR EACH
$1,000 OF PERMTf FFE. a
PROCESSED PIPING • 525.00
MIPiIMUM FEE - $25.00 $
OR'NER: TOTAL: $
SITE ADDRFSS:
T'ENANT:
SUITE #:
INSTALLER: .
ADDRESS: -
CI71': ZIP:
PHONE #: CITY SIGNATURE:
SIGNATURE:
REACTIVATE X V?j?(//?? CI1Y OF EAGAN
PE?tI#1993 BUILDING PERMIT APPLICATION
? APR 2 1 1993 681-4675
?- ------ -
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural fl structural plans, 1 set of
specifications, 1 copy of enerqy 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 once permit
is issued.
Date Valuation of work
D HQAN ?°iM' ssl 2 ?
NI`5
?
i
7
Site Address:
SiREEi SUITE /
Tenant Name: (commercial only)
IAT BLOCK 2
1 SUBD. (OPrK 1-I,
F.I.D. 0
NO
Descri tion of work: G? C'-/(?--
The appl i cant i s: a Owner O Contractor ? Other (Deccribe>
J 2 Vhone S y??
e
- c
Name
Property
Owner LiST FIRST
? Sq G?2 i-l/
Address
STREET STE X
, City ??ztIrk-) State /"rN Zip SSI Z 1
Company Phone
Contractor Address License # Exp.
City State ZiD
Company Phone
AI'ChiteCt/ ? NQ
#
O "
Engineer Registration
Name ??
'
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 a licable State of Minnesota Statutes and City of
Eagan Ordinances.
5ignature of Applicant: U'?
OFFICE USE ONLY
BUILDING PERMIT TYPE
11 OI Foundation
? 02 SF Dwg.
? 03 SF Addition
? 04 5F Porch
? 05 SF Misc.
`NORK TYPE
31 New
32 Addition
? 06 Dup7ex
? 07 4-Plex
O 08 8-Plex
? 09 12-Ptex
? 10 Multi. Add'1
? 33 Alterations
? 34 Repair
? 11 Apt./Lodging
? 12 Multi. Misc.
? 13 6arage/Accessory
? 14 Fireplace
?;15 Deck
O 35 Tenant Finish
13 36 Move
GENERAL INFORMATION
Gonst. (ActUal)
(Allowable)
UBC Occupancy ?
Zoning
N of Stories -
!_ength tq xeG
Depth !b)jjh
APPROVALS
Planning
Engineering
REQUIRED INSPECTIONS
? Site
? Wallboard
tsasement sq. ft.
lst F1. sq. ft.
2nd F1. sq. ft.
Sq. Ft. total
Footprint Sq. ft.
On-site well
On-site sewage
Buildin9
Variance
? Footing
O Final
? Framing
? Draintile
? Insulation
? Fireplace
Permit Fee 149? v.iu.c;a,: g
Surcharge
Plan Review
I irgnca
MWCC SAC `-
Lity SAC
Water Conn.
Water Meter
Acct. Deposit S/W Permit
S/W Surcharge
Treatment P1. '
Road Unit
Park Ded.
Trails Ded.
Copies .? o
Other
Total:
SAC %
SAC Units
1'\\ '?• ?;
*•
? 16 Basement Fini?h
O 17 Swim Pool
? 18 Comn./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
0 37 Demolish
MwLL System
City Yater
PRV Required
Booster Pump
Fire Sprinkl.er
Census Code
SAC CodeII
+r6
6w4/?
?,
???
?v5u5 unic?. o
?
Assessments .00
I 9SVRVEg OR'? ?ER7'eFICAYE BRIRN TH(JRSON HOMES
... •• ' ?
BENCH MARK
TOP OF pIPE
E LE V. = 8 61. SI ?
.;
AV
/
862.0 x _?ry ?
883.3
/
7
??O /
ti
L0T
''uDRAINAGE 9 UTILITY
E4SlMEr.? PER._Pt.Ar...
o ` -
(ok'O) ?- 165.67 SI
Gllr?i G i.`P ^nni i?lr) I?^-i cIrl
.1 ? i ? ?_i-Ji-1i? IrV?. 1..:? i i%.r-1'_
NOTE: 81/4DiNG DIMENSIONS SHpWN ARe tOq FqRIZONTAL
9 VERTICAL • LOCA7ION OF 57RUC7UHE OMLY. SpE NOTE :
ARCN17ECfUAL F'LAN$ Fpq BUILDING 6 FpUNDATION OIMEN S qN$. '
's DENOTES PROPOSED SURFACE DRAINAGE
O DENOTES IRON MONUMENT SET
• DENOTES IRON MONUMENT FoUND
X000.6 DENOTES EXISTING ELEVATION
(000.0) DENOTES PROPOSED ELEVA710N
.
,
8 58.6 )r.I?//
/\?? /
se.s •)'??;???
? H
B3T.9
4a Q e5s ?
`0 6?99 , bfi6 ?
D'O 858 2
.o
'c ` ?`'? %?'ssF+
N\ ? . M
- r?c ? s
? I 1 V6
ry
a-?
o
'r N xo'1
U ?
`ai.s -- ^ ,J X . ?? ? w O J
? 66QB ? f ;? m?-W
C 1 i8fi0.2
, O
L_l ? i
861.0
O
,
C?I?IL. l?1LL 111?/IV
Np $p[CFIC SOILS INVESTIGATION F14S BEEN COMPLE790
ON 7H13 LOT BY TNE SURVEYOR, Tlf SUITABILIYY OF
SOILS TO SUPFORT THE SPECIFIC NWSf pROpOSED IS I
N07 Tt1E RESPONSIBIUTY OF 7HE SURVEI'QR. SCALE: 1 INCH - 30 FEET
PROPUSED GARAGE FLOOR - ?60• 9 FEE7
PROPOSED LOWEST FLpOR -8 S,f Y FEET
PRQPOSED TOP OF BLOCK -fil3.47 FEET
WE HEREBY CERTIFY TO BRIAN tHORSON HOMES 7HAT THIS IS A TRUE AND CORRECT
HEPRESENTATION OF A SUFVEY OF THE BOUNDARIFS OF:
Lof 7, Bbck 2, BUR OAK HILLS 2N0 ADDITION, accOrdinq to the recorded plot
theraof, Dokoto County, Minneaota.
IT pOES NOT PURPORT TO SHOW IMPROVEMEN7S OR ENCROACHMENTS, EXCEPT AS SfiOWN. AS
SURVEYED BY h9E DR UNDER MY DIRECT SUPERVISIUN THIS 7TH pAY OF APRIL , 1992
JM
PROPG?SED_ ARADES 9HOWN WERH SfG. .:_ j y R. HILL, ING.
? ?pr661,3
.
C?s o
PERMIT
City of Eagan Permit Type: Building
3830 Pilot Knob Rd Permit Number: EA092300
Eagan, MN 55122 . Date Issued: 12/14/2009
(651) 675-5675~~~ EPermit Category: ePermit
www.ci.eagan.mn.us lflflUl tflflLLL
Site Address: 654 Hillside Dr
Lot: 7 Block: 2 Addition: Bur Oak Hills 2nd
PID 10-15501-070-02
Use
Description:
Sub Type: e-Windows/Doors Construction Type:
Work Type: Windows/Doors-New/Replacement
Description: House
Census Code: 434- Occupancy:
Zoning:
Square Feet: 0
Comments: huprovements 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.
Fee Summary: BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
Valuation: 3,000.00
Total: $90.00
Contractor: -Applicant - Owner:
Renewal Andersen Steven K Roth
1920 County Road C West 654 Hillside Dr
Roseville MN 55113 Eagan MN 55121
(651) 264-4777
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.
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
r _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
I For Office Use I
I
~ Permit
City of EaRd
I Permit Fee: I
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff:
I I
2011 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: y ~(s )Is;,O C - Unit M
Name: 7?o 4A Phone:
RESIDENT
OWNER Address / City / Zi : CL 5- /7
Applicant is: Owner Contractor
TYPE OF WORK Description of work:
Multi-Family Building: (Yes / No
Construction Cost, =cl-
Company: Contact:
CONTRACTOR Address: City:
State: Zip: Phone:
License Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes ~o If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE. Plans and supporting documents that you submit are considered to be public information. Portions of
the information maybe classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive. locates of underground utilities. www.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that 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 requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Buildin st be completed within 180
days of permit issuance.
X_ 7 GC' Ve_ x o
Applicant's Printed Name App c is Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA165817
Date Issued:11/20/2020
Permit Category:ePermit
Site Address: 654 Hillside Dr
Lot:7 Block: 2 Addition: Bur Oak Hills 2nd
PID:10-15501-02-070
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 K & Karen J Roth
654 Hillside Dr
Saint Paul MN 55121--235
Anchor Roofing And Exteriors
101 Bridgepoint Way, Suite 140
South St Paul MN 55075
(612) 363-7443
Applicant/Permitee: Signature Issued By: Signature