657 Hillside Dr
W-ertificate nf ?ccu?anc?
Wit4 of ?a.gan TcpWtNteat of 13»lYbicg
Tltis Certificate issrced pursuant to the requirements of the Unrfor?n Building Code
certifying that at the time of issuance this structure was in compliance with the various
onlirrances of the City regulating building cnnstruction or use. For the foUowing:
Use Classificadoo: SF DWG Bldg. Ptlamit Na 1977
Occup-cy TAX R3/M 1 zoning Disnict RI 1 eTc.?a???.
???? JOHN W. STAHt3KE A? BOX 83, BE
8????657 HILLSIUE DRI`IE ?sryL , ,
?
Date: 03/26/93
euil&ng offirial
POST IN A CONSPICUOUS PLACE
il \ 1?l i
I ? '?ITIf -OF EAGAN
? 3830 Pilot Knob Road
? Eagan, Minnesota 55123
? (612) 681-4675
?. SITE ADDRESS:
f??alr ,iA?. ??l! I •? .Nf?
PERMIT SUBTYPE:
?` .?..?•
N RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
?PPLICANT:
:
TYPE OF WORK:
INSPECTION .• . D•
?ZF M A f?k»., e?t It' J 1' ]" 0
f'1tV 'a b_W COhi lRAC TOk . `_-AWA6)A f? BA17MA 6'f. 86
-1
PermR No. PertnR Holder Date Telephona #
S/IN
PLUMBING
HVAC ?. J. . A/?/I
ELECTRIC
ELECTRIC
Inspactlon Date Insp. Comments
Footings I
Foundation
Framing ? LO-S .-,,10 s rlm/L
Rooflng
R-0 Plbg. '
Rough Htg
isui. 1- /'S 9J P? T i-J - ? 7
Freplaoe
Final Fftg.
Orsat Test
Final Plbg. Plbg. Inspedor- Notity Plumber
Const. Meter
EngrJPlan
Bldg. Fi?al
Deck Ftg.
Deck Final
Well
Pr. Disp. .
? I
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
! Eagan, Minnesota 55122-1897 Date Issued: 01.
`.• `? r?".
' (612) 681-4675
' SITE ADDRESS: APPLICANT:
I u 1 ! r. t? I ?.,? i. ;
? ?' 1{ l l 1'? 11lt i11•' ! t:?'7'7:? . i!?;iiifil.l
t{!){3? It 11. L •o 4 fi?? 'I?04 f) ?
PERMIT SUBTYPE:
i i ! I
TYPE OF WORK:
fi1 ?l.I 1014
k,i0 t i N I i
t i 114 n r
c'F` .- 4
?`?€
N F I-l
f 1`; Al W Ai?Y" i N
Permit No. Psrmit Holder Date Telephone #
ELECTRiC
PLUMBING
HVAC
Inspection Dete Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
AOUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLUG FINAL
BSMT R.I.
BSMT FINAL
QECK FTG
Address 697 HTTTSTDF nur F Zip 5512 ?
LAt` , 16. Blk 3 Sub $UR OAK HILLS 2ND
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: 03 26 93 Yes No Inspector:
Final grade (6" from siding)
Permanent steps (garage) Ll?
Permanent steps (main entry) 611/
Petmanent driveway i/
Pertnanentgas L/
Sod/Seeded gtass W/
Trai]/cutb damage
Porch
Basement finish
Deck
Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to
the outside lawn faucet before freeze potenGal exists.
Contact engineering division at 681-4645 before working in rightof-way or installing underground sprinkler system.
While - Ciry Copy Yellow - Resident Copy Pink - Contracror Copy ?
5 7 16 7Z14 6 3 -
Request Date % Fre N. oug?-i speciwn
a mr ? Ready Now Will NoLty IrrsOector
n Read
Wh
'
?
V [ N.
y
e
I, hcensed convador D owner hereby request mspection of above electncal work aC
Job tlress (SVeet Boz o Route No I,
5-7 / LL S•;o? Cily
Section No Township Name or No Range No Counly
ocaoam IPRINTI
?- PM1One No
POwer $uDplier /'
Aadress
Elecn¢ai Contractor ICOmpany Name, ConVacror's Lwense No
/
---L c
MaiLng Aporess IConUactor or Owner Maxinq Inslallation)
utnon ? Signawrc ?COm?aclo^O er Making i Ilanon) Phone Numoer
. ,? /
NNESOTA STATE BOAflD OF EIECTRICITY THIS INSPECTION REOUEST WILL NOT
tlgg5-Mitlwey Bldg. - floom 54)3 . 8E ACCEPTED BV THE STATE BOARD
1BY1 Universry Ave., 51 Vaul. MN 55104 UNLE55 PROPEP INSPECTION FEE IS
Phone (612) 6024900 ENCLOSED
REQUEST FOR ELECTRICAL lNSPECTION
jl? See m9mclion9 lor'ompleling this lorm on back ot yellow ropy
0-rj 71 R7 "X" Below Work Covered by This Request
EB-000l01-OB
ew Ayd Rep- - TypeofBudding AppliancesWVetl EquipmentWiretl
Home Range Temporary Service
Duplex Water Heacer Electric Heahng
Apt Building Dryer Other (Speciry)
Comm /Indusinal Fumace
Farm Air CondihOner
)
Omer (sVeaty) ConVactors Femarks
(N ?C i?rG C
Compute Inspection Fee Below'
u Olher Fee # Service ENrance S¢e Fee # Cucuitseeders
lF Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transtormers Above 200 _ AmpS A ve 100 _ Amps
Signs Inspectors Use Only / TOTAL ?
Irrigation Booms I I???v , . ?
Special inspeqion ?
AlarmlCOmmumcanon THIS INSTALLATION MAY BE O ' DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MON S.
I, ihe Electrical Inspector, here by RO09n"" Datez
certify that the above inspection has
been made F,,,ai oace
?f
OFFICE USE JNLY
Tnis request vaid 18 monlhs irom
RESIDENTIAL BUILDING
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
-`-] ?
? a00
Telephone 9 651-675-5675 FAX # 651-675-5694
New ConsWChon Reouirements RemodeViteoair Reauirements O(fice Use Onlv
3 registe2d site surveys showing sq, il. of lot, sq. iL of house; and all roofed areas 2 copies of plan Ced of Survey Recd
(200/o maximum lot coverage albwed) 1 setof Energy Calculations for healed additions Tree Pres Plan Recd
2 coples of plan showing beam & window saes; poured found design, etc. i site survey for additions & decks Tree Pres Not Reqd
7setotEnergyCalcula6ons ' Additloo-irMicatei(on-sitesepfrcsysfem _On-sileSepticSystem
3 copies of Tree Preservatbn Plan if lot platted after 7/1193
Rim Joist Deteil Options selection sheet (bidgs wilh 3 or less unils
Date S / (3
SiteAddress /,3'5 Construction Cost 16? 60,5
UnibSte #
Descripfton of Work
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2
Property Owner ??c?l? ?l,q.yyr5 Telephone #
Contractor C? e i S-f {.?ti ?
Address
State ,.?/
City /-?i4
Zip Telephone #( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Energy Code Category - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
, . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
• Energy Envelope Calculatlons Submitted
Licensed Plumber
Telephone #(
Mechanical Contractor
Telephone #(
Sewer/Water Contractor
n?A?r i s 2cn3 ,,
I hereby apply for a Residential Building Permit and acknowledge that tq?tinformation is complke and accurate;
that the work will be in conformance with the ordinances and codes of %e City of F,agax-?-?e State of MN
3tatutes; I understand ttris is not a permit, but only an application for a pZdt; "an? work is not to star[ 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.
ApplicanYs Printed Name Applicant's Signature
OFFICE USE ONLY
Sub Types
? 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. Att - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bidg. ? 42 Demolish (FOUndation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement *Oemolltlon (Entlre Bldg) - Give PCA handout ta applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units _ Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) FinallC.O.
_ Footings(deck) FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ RI. _ Air Test _ Final _ Windows (new/replacement)
_ 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 Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
P.I.N.: 10-15501-160-03
DESCRIPTION:
PERMIT
657 HILLSIDE DR
LOT: 16 BLOCK: 3
BUR pAK HTLLS 2ND
PERMIT TYPE
Permd Number:
Date Issued:
FTS ALREAOY IN
ermiC Type DECK
Uk Type NEW
41RINN, 434 ALT. RESTDENTIAL
yt?t?'k#s`igA'i aim Na flg.a ??i a^`vs ui xc?? 7°?`k?%'a?y
m ?, wi ? ee ?L
?a?P;2? m?? ???xs?? ?? wi '? ?? ??#v Aen ? ?
?2D596?s'
BUILD NG
027682
05/24/96
REMARKS:
FEE SUMMARY:
Base Fee
Surcharge
7ota1 Fee
$45.00
$45.50
CONTRACTOR:
??3ra
:j 'x"
OWNER: - Applicent -
TWOMAS RTCHARO
657 HILLSIDE DR
EAGAN MN 55121
(612)452-6049
i P
7"
? 1
3830 PILOT KNOB RDN 55122
1996 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
Ramodel/Reoaii Reavirement<
? 3 registered site surveys ? 2 copies of plan
? 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ? 2 site surveys (exterior additions & decks)
? 1 energy calculations ? 1 energy caleulations tor heated addilions
? 3 copies of tree preservation plan if lot platted efter 7/1/93
2quired: _ Yes No
DATE: 5-ILT A6 CONSTRUCTION COST?
DESCRIPTION OF WORK: ??-Zr?LGt h
Li -1,
STREET ADDRESS:
LOT ? BLOCK tl v
\3 SUBD./P.I.D. #:
?
'6 #
PROPERTY 0i43
Name:7 :
Phone
OWNER
G5 ? ? / ?'p"
--N-
( ISICQ
Street Address I
-
E State: M
I Zip: 6-1I
ertn,
City: . _
coNTrtACTOtt Company: ' Phone #:
Street Address: License #:
Ciry: State: Zip:
ARCHITECT! Company: Phone #,
ENGINEER
Name: Registration #:
Street Address•
City: State : Zip:
Sewer & water Ifcensed plumber: . Penalry applies when address change and lot
change are requested once permit is issued.
I hereby acknowiedge that I have read this application and state that the informa " n is correct and agree to comply with all
applicable State of Minnesota Statutes and City of Eagan Ordinances
Signature of Applicanr
OFFICE USE ONLY
Certificates of Survey Received _ Yes No
Tree Preservation Plan Received _ Yes _ No
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex
? 02 SF Dwelling ? 07 4-piex
? 03 SF Addition ? 08 8-plex
? 04 SF Porch ? 09 12-plex
? 05 SF Misc. ? 10 _-plex
WORK TYPE
OF, 31 New
? 32 Addition
0 33 Alterations
? 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Ailowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
? 11
? 12
? 13
/--Irl
? 36
? 37
Basement sq. ft.
Main level sq. ft,
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building
Apt./Lodging ?
Multi RepaidRem. ?
Garage/Accessory ?
Fireplace ?
Deck
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscelianeous
r
1q."t :C,;,ore,+1ys .4PV??ut3
Move 3 fiQS• J* m
Demolition
MCNVS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code. ?
SAC Cade O/
Census Bldg
Census Unit 0
Engineering
Variance
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
5/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: $
% SAC
SAC Units
PERMIT
x CITY OF EAGAN
3830 Pilot Knot3'FPoad ' PERMIT TYPE: e u r Lo r Nc,
Eagan, Minnesota 55123 Permit Number. 4101 9 7 i
(612) 681-4675 Date Issued: B 1 i06/ 9 3
SITE ADDRESS:
f, .7.11.: 10-1550 1-160-0 3
DESCRIPTION:
557 HTLLSIDE OR
I f1T: C90 16 FLOCK e 470 (?3
`JUt'i OFIK HILI_5 2NO
Build9'rt9 Permil' rype
Building'Work Tyoe
lJi3C Oc.cupancay
Conetrur_tion Typc,
Zoniiig
t3uildirig Lcngth _
Euilding Width
SF DWG
IV F. 6d
f3-: M-1
V _N
ft-1
A8
i_
REMARKS:
k E C F I F,, ar ? a aJ
FEE SUMMARY;
f3asw reri
Yla?i R'! view
Siir.r.har9e
SA(.
SAC ?
SflC Uni.t_?
Li.ce S2ar-ch F?e
Snb2'.otal
?F:v ? F. w r,oN rr:acror -- s0 wA on & Fa+aiaNr? ?1- H e
VPLUAT:fON
:NP*73.0?D
$ 1 L"1.95
$50,5o
$'7 5 0 . Vl &7
100
?
-?
0 0
?1,^oSfi.AS
$101,Oay
M]'SC;f_I_I_A IV?:ClU5 .,..._.__.._?1 ?i 74a5 0
ToL -sl i=ci-2 $3,610.95
CONTRACTOR: - A np iir.a rit: -- ,t'. i.7cOWNER:
STAHNh:E., JGHN W 17552000 0004466 JOiiN W STAHNKE
1' 0 HOX 83 PO L'OX 81 3
BE"IhlEl MN btiNO5 0F1"FIEI MN 55005
(572) 755-2800 (G12)755-20047
I hei-eby acknowledge tha5. .T. have i°ead this application and state Chat the
in1`ormat1ofl is coi•rer,G and a9reo to comply wiCh alJ, applicable SCaGe or ilri.
Statutes and City of Eagan Ordinanr.as.
APPLICANT/PER ITEE SIGNATURE ? ? ISSUEO : SIGM URE
PERMIT #
REAGiiVATw
lqqf
SINGLE 8 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 % Z / 3 CJ / 2? Valuation of work i o 3. oo?
Site Address:??
STREET SUITE /
Tenant Name: (commercial only)
IAT A-/p SLOCR ? SUBD. P
D
k
I
cUl_ .
.
.
Descri tion of work:
The applicant is: ? Owner M Contractor ? Other (oe8«tbe) S 1 A"
Name 7`? o?? 5 '?? r C,Phoeie
Property usT FIRST
Owner
Address
STREEi S7E f
City State Zip
CompanyCloL/,?y,r. ?c?+isThone ?5S-2-a? n
Contractor Address i`= 4. '?Le k 9'3 License #_ I-lylelg Exp.
City -RE T/f,f L State yl1-1'4/ Zip
Company Phone 112
AfChItECt/
Engineer
Name c? ? ^' "?YC/?S Registration #
Address -3 2 O E• 41 6-,Z- S
City e 4- 1#- State 44 Zip SS-3c3
Sewer 8 water licensed plumber--<?L/Al-c? 4 (1' ,glf??ti?l¢ l}?Lc,vihiti?c Processing time for
sewer 3 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.
f A
li
Si
gnature o
pp
cant:
CITY OF EAGAN
1992 BUILDING PERMIT APPLICATION
681-4675
??,4(b.??J
a ! - v :!L F?3 ???.?
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation
JO 02 SF Dwg.
? 03 SF Addition
? 04 SF Porch
? 05 SF Misc.
? 06 Duplex
? 07 4-Plex
? 08 8-Plex
? 09 12-Plex
? 10 Multi. Add'1
? 11 Apt./Lodging
? 12 Multi. Misc.
? 13 6arage/Accessory
? 14 Fireplace
? 15 Deck
WORK TYPE
X31 New
? 32 Addition
O 33 Alterations
? 34 Repair
GENERAL INFORMATION
? 35 Tenant Finish
? 36 Move
Const. (Actual) V-N Basement sq. ft.
(Allowable) V- N lst F1. sq. ft.
UBC Occupancy (L-3 M-I 2nd Fl. sq. ft.
Zoning R-I Sq. Ft. total
?' of Stories
- Footprint Sq. ft.
Length Tv- On-site well
Depth yg On-site sewage
APPROVALS
Planning Building
Engineering Variance
REGIUIRED INSPECTIONS
? Site
? Mallboard
? Footing
O Final
? Framing
? Draintile
? Insulation
? Fireplace
Vermit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Mater Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
vatLmcim: g -Jul pa, ?
C?A- aAG?'? 34 x g Y= ?16
zx?z= (z14)
BSMTI ? IG =
.7NX2?I= 57?
?x33;
b x S`_ ?3a)
°ojClo= go
? 2gs x 1s=
l sr F_wvi
GSm r? 12 F6 x s'3 =
?IN, ?' It
i
? 16 Basemen? Finish
O 17 Swim Pool
O 18 Comm./Ind.
? 19 Comn./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
? 31 Demolish
MWCC System
City Water
PRY Required ?
Booster PumP
flre Sprinkler
Census Code /oi
SAC Code o I
Assessments
I 2?6'72
19 p 2yo
6:1 s ? s-a
/ op?? Zo
SAC %.
SAC Units ?_
N
CERTIFICATE OF SURVEY
FOR: STAHNKE CONSTRUCTION
?QSr. r
Sanitnry Sewer 7
Invert Elev.. _ $'? 0 p ?
Scale: 1 = 30' _
o Genotes Iron F1on.
X
V 1?
?
\? s ? A
c ?
O1 \?
? AC
9?5? 8 5
e ?
,? s \w
\cy
•3??
LOT_ 16
olw 8sa i
2q
? r ,
6Z.? ?
?
?
9 yz ?i ? ?
? ? AJ 4G :
-1 \ CJ ?l ?3.
?1
20
m u
b o
•
? zo °°(? ?
? s.o
: 33
J? r
?
?Qa
? Denotes Proposed Elevat
? Denotes Exiating Elevat
ycz•7 Top of Foundation
gs7•4 4bp o ?LBasemen? Floor
<;
i?,o+ ssZc
?\ Q
s
W
\
? < -
s ? ?
?11 ' P3dtl G DiE.
\, IS
DEPT
?
?O z G .?GP. 5?' x ysq.4
2
N 6°?°
-- ? kre,pss.?9 38 Te. ss4xo
?
?s • 7'c?o 0 0 ov ?
859. ? T p a? BQSrr+atn?' H?O, Le ?! ?
MERILA & ASSOCIATES, INC.
ENGINEERS, SURVEVORS, SITE PLANNERS
8401 73rd Avenue North • Suite E 63
Brookiyn Perk, Minnesota 55428
Telephone:18121633-7686
-,c?O
LEGAL DESCRIPTIDN
Lot I& . 81ock 3
BUR OAK HILLS 2N0 ADBJTION
Dakota County. Minnesota
We hereby cartify that this is a true and correct representation of a survey of
the boundaries of the a6ove described Iand and of the loeation of all buildings,
if any, thereoM1 and all visible encroachments, if any, from or on said land.
As survev d this day o??. 199z
i??-;+ Minn. Hsp. No. 11" L.
Land Su r
Job No. 90? /SC? 8ook - Vape
.?
LOT BURVEY C88C1CLIBT IPOR REBIDENTIAL
? BIIiLDI?B8R1SiT 7?PPLICl1TI6N
? 4ROPERTY •1?6ALt Pd'.
Date ot Surveps _ /_421-244 2---
CIIi2£NT aTA*DAM8
[3" 0 0 • Registered Land Surveyor siqnature and company
O 0 • Building Permit Applicant
r? 0 • Legal description
0 Dr 0 • Address
Br 0 0 • North arrow and bar scale IY 0 0 • House type (rambler, walkout, aplit v/o, split entry,
lookout, atc.)
? 0 ? • Directional drainaqe arrows with slope/gradient !.
l9? 0 • Proposed/existinq sewer and water services
0 0 • Straet name
0?0 0 • Driveway
ELEVATIONS
Existina
0 0' ? • Sewer service
Q' 0 0 • Lot corners
La' 0 D • Top of curb at the driveway
? 0 ? • Elevations of any existing adjacent homes
proposeC
D 0 0 • Garaqe floor
? 0 0 , First floor
Lowest exposed elevation (walkout/window)
rQ? 0 D • Property corners
U D 0 • Front and rear of home at the foundation
BONDING AREAS (if aopiicable)
n @? ? • Easement line
D 0"? 0 • xwL
D Q' 0 • HwL
D L'jjp , Pond # desiqnation
0 Emergency Overflow Elevation
DIliENSIONB '
C1?0 ? • Lot lines
8" 0 0 • Right-of-way and street width (to back of cuzb)
8? 0 0 • Proposed home dimensions includinq any proposed decks,
overhangs greatez than 21, porches, etc. (i.e. all
etructures requiring permanent footinqs)
?0 ? • Show all easements of record and any City utilities within
f those easements
L 0 0 • Setbacks of proposed tructure and eetback of adjacent
existing homes [?0 • Retainin e eme
? nts, it any
- Reviewed: I r^ -c--
October 1992
. .
EXTERIOR ENV$LQPE AVERAGE "U" COMPUTATIUN
n + : OWNER:
SITE ADDRESS: Ldi taao, OAl< Wl<6S, ?WD ?ibb/?a)J
CUNTRACTOR:!S?4aK,Y-Z ?n`15r. UATE: PHONE:
- DETERMINE WORKING SQUARE FOOTAGE GF EACH:
i. TUTAL EXPOSED WALL AREA. ... 212'1 S4 sq ft x"U" . 11 =?"3d•G
2. TOTAL ROOF\CEILING AREA.... 1ZES(o sq ft x"U" .026
3. TOTAL EXPOSED WALL AkEA CALCULATIONS:
Total exposed wall
area above floor...._ 21Z'I-S4 sq ft
(t)
a) Total wall Window area:
lazed.... lL9•V sq ft x "U" 25) '4
Elazed....- sq ft x "U" _
b) Total door area.... 51- 1 sq ft x"U" ?ZS = cl •4
C) Total sliding glass door area:
lazed.... (.t( • °v sq ft
x "D" ,12
e`rlJ =
3i • ?
alazed.... sq ft x "U" _
d} Total fireplace wall area S? sq ft x "U" oS = 3,2
e) Total wall framing area
(Aqer age 10%)............ l54-S sq ft x "U"
f) Total net wall area above
floor
(insulated)........
t3?3 S sq
ft x
"U"co S 5.1
g) Total rim joist area..... q ft x "U"
Total foundation
area (exposed)........... '11 sq ft
h) Total foundation window
area . .................... sq ft x „U., _
i} Total net foundation
area above grade ......... _ I?sq ft x "U"
TUTA L a } t hru i )
If item #3 is the same as, or less than item #1, you have rnet the
intent of 2 MCAR 1.16008 A 2r.d 0.
ENEFGY CALCUi,ATION
1 of 2
. ?`-.
4 . . •
,4. TUTP.L EXPt3SED ROOF\CEILING CALCULATIONS:
- Total exposed
roof\ceiling area..... . l?(o ?q ft
,]) Total skylight area... . ? sq ft x "U"?49 6,
k) Tutal roof ceiling
framir.E area
(averzge 10%)......... . l2'1,1 sq ft x " U" Zci4
i) Total net insulated
roof\ceiling area..... . k 14S_?sq fi x " U" ,ozl = 24•1
TOTAL j) thru 1) = 34'Q S
If tutal of it4 is the same as, or le--s than 02, you have me; t;:F
intent of 2 MCAR 1.16008 A and 0 .
P.LIERNP.TE BUIL•DING EN'vELOrE DES1C:i
To utilize the total envelope system metnud, tiie v,,.lues
estabiished by the sum of items 93 and r4 sha11 not be gr=Gter
than the sum of items #1 and 92.
i. - 2'5¢ + 2. •4 - 4
3. 20L: + a, ??l??S - 238,25
CFR`P1F ,pi T (?-pl
I}1°YE?.'jr C°Yi,liy f,hat. I rCVZ CclCUldi,BG thC' '.U,• fdC'i.OT'-? ^c::i
"R" values hereir. 2nd that the bnilc_ng he're described rr.ee;,s cr
exceeds ;the State of Minnesota Ene_ y Conservation Act.
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--------------,
Fw O(fice Use I
City of EalaIl PermR#: a 3 S ?
? ? Permit Fee:
3830 Pilot Knob Road 1 6" i ?
Eagan MN 55122 I Date Recaived: ?
I
Phone: (651) 6755675 ?
cd 7??l? ?
? StaN: ?
Fax: (651) 675-5694 ----------------'
2009 MECHANICAL PERMIT APPLICATION
Date• Site Address:
Tenant: Sulte
?
_.??-
?" M qowr?o Phone:
N
RESIDENT ! OWNER ame:
Address / City / Zip:
CONTRACTOR Name: ? #:
Address: `
NQ Zip: ?
-
ciry:
J
phpne: Contact Person:
TYPE OF WORK - New _ eplacement _ Additional _ Alteration _ Demolroon
Desalptlon oi wark;
NOTE: Both roof mounted and ground mourKed meahanlcal equlpment !s requlred to
fx screeneal by Cfty Code. Plesse contact the Mechanical lnspector or one ol the
Planrrers /or In/ormaNon on permiffed sdeenln methods.
RESIDENTlAL COMMERC/AL
PERMIT TYPE New Corxtructlon - Interior Improvement
umace
/<Air Condi6oner -
- Install Piping - Processed
EMedor HVAC UnR
Gas
Air Exchanger _
_
Under / Above ground Tank (_ Insfall /_ Remove)
Heat Pump
- y„ _
_ " When installing/removing tank(s), call kr inspection by Fre
rZ}v Marshal and Plum6ing Inspactor
RESIDENTIAL FEES:
$50.50 Minimum Add-on or alteration to an existing unit (indudes $.50 State Surcharge)
$90.50 Fire repair (repiaca burned out appiiances, ductwork, etc.) (includes $.50 State Surcharge)
3 'SC??TOTAL FEE
$
COMMERClAL FEES:
$70.50 Underground tank installation/removal OR Contract Value $ x 1%
$50.50 Mlnimum (includes State Surcharge)
Pertnit Fee
- If P rmi Fee is less ihen 51,000, surcharge is $.50.
- If Prmit F?,g is > $7,000, surcharge increases by $.50 for each =$ State Su?chargB
$1,000 Pertnit Fee (i.e. a a1,001-$2,000 Permit Fee requires a $1.00 surcharge).
$ TOTALFEE
arc6nances nd cades ot tha Gty of Eagan; that
1 hereDy acknovAedge that this information is complete and accurate; fhat the work will be in c o
ih,
I untlerstand this is rwi a permit, but only an application for a permit, a' ou pa work vrill be in acwrdance Hith the apOroved
ffl
se oi work cq reQUires a review and apprwal of plans. ?
pl?i ir?thg,
?
? ? ?? ? .. /l.r? .
X
ApWL _"
r??..?
Ap icant's Printed Neme ??..?
0
FOR OFFICE USE
Reviewed By: Date:
Required Inspectlons: _Under Groumf _ Rough In _Air Test Gas Service Test _In-floor Heat _Rnal
EMeria HVAC Screening Inspeclion
----- -------i
? For Office Use
? Permit #•
? PermitFee. O ?cc)
? Date Receive?AR 06 2009 I
I ?
I Siatt ?
I
2009 RESIDENTIAL BUILDING PERMIT APPLICATION
?'-?6'..57 f?' /?S1 L/ ? SSI? 1
?ate: ?C -/?i Site Address: ''P ?// ez
? ?w? ,/
Tenant: lc?l??AS G'!/ H?/"Yl?i!x Suite#:
RESIDENT / OWNER Name: ?Jr omAS 4 ,/ _"h'D % Phone: l/? ' 9/y- 77,2 3?
Address I GityI Zip: .U?/ v-c,
Applicant is: v Owner _ Contractor
TVPEOFWORK Descriptionofwork:zAyG' /ris'$ - ?i/,'r, e
- ? ?
N
o I
Construction CosC Multi-Family Building: (Yes
CONTRACTOR Name: /YOryf Ou/A/2R /SA 'we- License#:
Address:
Gty: State: Zip:
Phone: Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category i Worksheet • New Energy Code Worksheei
CBteyofy Submitled Submitled
(4 submisslon type) • Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contrector: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be pubfic lnformation. Portlons of
the Informatian may be classified as non-public if you provide specific reasons that would permit the City to
conclude fhat the are trade secrets.
I hereby acknowledge thal [his information is complete and accurate; ihat the work will 6e in contormance with the vrdinances and codes of the Cily ot
Eagan; that I understand this is not a permit, bul only an application for a permit, and work is not to stan without a permiC Ihat the work will be m
accordance with the approved plan in the case oi work which requires a rewew and approval of plans.
X ?om?is j.? A/`C ?/ X ?``? ?• - ?'-?
ApplicanYs Printed Name App icanYs Signature
Page 1 of 3
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation
? Single Family
Multi
01 of Plex
Accessory Building
WORK TYPES , rLfT ?•<- L2E ?y? .L?'?.-??? ? ? lfi? ?(e?.f??LG7rG"`y/
New Interior Improvement Siding Demolish Building'
pddition Move Building Reroof ? Demolish Interior
Alteration Fire Repair Windows ` Demolish Foundation
? Replace _ Repair _ Egress Window _ Water Damage
'Demolition of entire building - giva PCA handou[ to applicant
Valuation
Plan Review
(25%_ 100%
Census Code
# of Units
# of Buildings
Type of Construction
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
_ Drain Tile
Roof: _Ice & Water _Final
Framing
? Fireplace: _)[Rough In ?Air Test --Vinal
Insulation
Meter Size:
/
Reviewed By: ?
1til
Occupancy
Code Editian
Zoning
Stories
Square Feet
Length
Width
t >L C?j MCES System
9),?UT SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Sheetrock
Final 1 C.O. Required
? Final / No C.O. Required
HVAC ,?7
k Other: f t AAQ, rh.ff-43
Pool: _Footings _AidGas Tests _Final
Siding: _Stucco Lath _Stone Lath _Brick
Windows
Retaining Wall
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Building Inspector
D?'?2'1 ? /?itr??
?7
Treatment Plant
Copies u
A
TOTAL
1
Fireplace Porch (3-Season) _ Storm Uamage
_ Garage Porch (4-Season) Exterior Alteration (Single Family)
Deck Porch (ScreenlGazebo/Pergola) _ Exterior Alteration (Multi)
' Lower Level Pool Miscellaneous
City of Eapn
?----------------
I For?O?ce,Use
? Pertnit#. '
? Pertnd Fee: ? ? ? ?
I
? Staff:
L---
i Date Received: y?p_ V p?_
mHn o
2009 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: SiteAddress:6": 5 7 'E?r.usl ??/,'2?
Tenant: Suite #:
RESIDENTlOWNER Name: /hOiYJNS [?? ?a9iPOt? Phone://Z-9/l'n-'7?;1 ?
Address / City! Zip: l,5 % H?IL ` idP
CONTRACTOR Name: License #:
Address:
City: State: Zip:
Phone: Contact Person:
TYPE OF WORK _ New _ Replacement -?-Repair _ Rebuild _ Modify Space _ Work in R.O.W.
Descri tion of work:
PERMIT TYPE RESIDENTlAL
\
? Water Heater Water Softener
_ Lawn Irrigation ? Add Plumbing FiMures
C RPZ !_ PVB) ? Main _ Lower Level)
_ Septic System _ Water Turnaround
New
_Abandonment
RESIDENTIAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation (includes $.50 State Surcharge)
$50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround' (includes $.50 State Surcharge)
'Water Tumaround (add $165.00 if a 5/8" meter is required)
$100.50 SeptiC SyStem New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
$90.50 Fire Repair (replace bumed out appliances, ductwork, etc.) (includes $.50 State Surcharge)
TOTAL FEES $
I hereby acknowledge that this information is complete and accurate; that the work wlll be m contormance wim me orainances ano cooes u, uie Cny u-
Eagan; that I understand Ihis is not a permit, but only an application for a permit, and vrork is not to start without a permit; that the work will be in
accordance wRh the approved plan m the case of work which requires a review and approval of plans. .
e
%
Applicant's Printed Name / ApplicanYs Signature
FOR OFFICE USE ° "Reviewed By: Date:
Requiredlnspections ?•-UnderGround- _AirTest ',kaGasTest? =Final .,.
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA131370
Date Issued:06/16/2015
Permit Category:ePermit
Site Address: 657 Hillside Dr
Lot:16 Block: 3 Addition: Bur Oak Hills 2nd
PID:10-15501-03-160
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
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: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 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 -
Joshua Nelson
657 Hillside Dr
Eagan MN 55121
Gold Star Contracting
2124 Swallowtail Dr.
Shakopee MN 55379
(612) 308-3878
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA159399
Date Issued:12/16/2019
Permit Category:ePermit
Site Address: 657 Hillside Dr
Lot:16 Block: 3 Addition: Bur Oak Hills 2nd
PID:10-15501-03-160
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
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: 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 -
Joshua R Nelson
657 Hillside Dr
Eagan MN 55121
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature