658 Hillside Dr
r.
For Office Use j~
Permit
City of Ea
d E I Permit Fee:
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received: j
Phone: (651) 675-5675 I t
Fax: (651) 675-5694 ► Staff: I
I I
2009 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: SVd-ditl~-
Tenant: Suite
RESIDENT / OWNER Name: G~iari S Aetlgs~ Phone: Z251- gd3'' (21d l
Address / City / Zip: i/ISrde
Applicant is: Owner A"-Contractor
TYPE OF WORK Description of work: h OL R UIhy~ sedmi
Construction Cost: ~a 6qs r Multi-Family Building: (Yes / No
CONTRACTOR Name: 14AC-6-fuM e ense 0 D I STS-641
Wow Sandy Li ~ bat _
to. r5lj"V
Address: o/o7 ~t
S t4~,r /6 9v h u
City: iV r*w K6#2 State:. Zip: MC)c
Phone: 763 "t O ;O'Y Contact Person: cPe ~
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672
Energy Code • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet
Category Submitted Submitted
(4 submission 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 Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets.
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 of 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 I s.
/UJL~'~ 6 -2 _w
x hike SG~t~de X
App ical nt's Printed Name Ap ican 's Signature
Page 1 of 3
. - .. -+
W¢rtificate uf cccupanc?
WU4 of Cfagatt
Tepwttmmt of isaiibhoo 3K800*m
This Certificate issued pursuant to the requirements of the Uniform Building Code
certifying that at the tirne of issuance this structure was in cnmpliance with the various
orrdrnances of the City regulatireg buildrng construciron or use. For the joUowing:
SF DWG 203
U???. BW ? ?15
O-UP•CrType c'oksT" tV?` KU`
owner or suiksng naaress TU-, •
s,damg AaareSS Localiry
L m q )Pl DMe: APR 22 , 1993
Buildin ial
POST IN A CONSPICUOUS PLACE
.
` CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ODDRESS-
PERMIT SUBTYPE:
ON RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
i?t? r tan ? n+?;
0,10 1111, .. .
APPLICANT: •
. ??? i i? i,; , i ? 1•i . f:' 1 tl ?,?, c•.
i
TYPE OF WORK: .
Al
{'.
?
i
INSPECTION D• • ••
? I
. • {
?
?
!t1'sMAftKSs 'i Si W Il! Iift •- :i1:14t Kt'I-4 (lI lifi Pt?t1
-1
PermH No. Permft Hoidw Dete Tebphone t
S/W
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspeetion Date Msp. CommMtfs
FooUngsl
F«unaatio, 3 f?
Freming
?
Roofing
R°"gh PI°g. ?< 7 IU' -?S = V ?'t?`
Rougn Htg. j ? : • -
Isul. 10
Freplace 3
Flnal Htg.
omc rog
Final Plbg.
cJ Pibg. I - ' Plumber
Const. Meter
Engr./Plan
Bldg. Final
Deck Ftg.
Deck Final
weli
Pr. Disp.
/
ACIdI0S5 658 H1LT,STDF. DR Zip 5512_
Ipt " b' Blk 2 Sub BUR OAK HILLS 2ND
THESE ITEMS WERE ! WERE NOT COMPLET'E AT THE TIME OF THE FINAL INSPECI'fON.
Date: nPR 22, 1993 Yes No Inspector:
Final grade (6" from siding) ?
Permanent steps (gazage) ?
Permanent steps (main entry)
Permanent driveway ?
Permanent gas ?
Sod/Seeded grass ?
TraiUcurb damage ?
Porch
Basement finish ? b Wes f zlevel
Deck
Please verify with the builder the removal of roof test qps from the plumbing system and the shut-off of water supply to
the ou4side lawn faucet before freeze potential exists.
Contaa engineering division at 681-4645 before working in rightaf-way or installing underground sprinkler system. ?
White - City Copy Yellow - Resideat Copy Pink - Con[ractor Copy
fiequ st Da a
/?- Frte No. Rough-in Inspection
Ra mrBtl'+
? Featly Now ill Nobly In3pect?
?
o? ? ye4 ? No " !
,<icensed contractor O owner hereby request inspection of above electnca at:
Jo0 Atltlress 18lreel Box or Ram N ?
-
Ciry z!?
Setlmn No. awnship Name or No Renge No. Counly
61?
Occu tV 7 ? Phone
9 -
Power upp
5
40 j1dd-s
-
/ ?
Ele onVactorlComOany Name? Contr o 5 Lmense No
Maning amress (Conygaor or Owner Making Installati n)
7-9
Authonzetl t t racbV ner abng I allal?on? Pho mber
? 3,32-3
MINNESOTA STATE BO,0#6OF ELECTHICITY iTMI$ INSPECTION REOUEST WILL NOT
GriB9a-Midway Bltlg. - poom3493 8E ACGEPTED BV THE STATE BOARD
1821 UnivereNy Rve.. St. iaul. MN 55106 UNLE55 PROPER INSPECTION FEE IS
Phana(el])6i2-0B00 ENCLOSED.
d-Q9531
REQUEST FOR ELECTRICAL.INSPECTION
? Sea InsVUCYions for completing ihis larm on beck af yBllow cOpy
"X" 8e/ow Work Covered by This Request
i
?
0
c;??J EB-0t0001-
Jr
7.r 7
ew Add Rep. TypeofBUAding AppliancasWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electnc Heating
Apt Bmlding Dryer Othev-(Specify)
Comm./Industrial Fumace
Farm Av Conditioner
Olhartsyecityl ConVacmr§ Ramarks
Compufe fnspection Fee Below:
# Other Fee ?i ServroeEmranceSize Fee # CircwtslFaedars Fee
Swimming Pool / 0 to 200 Amps i ? a t0 100 Amps yy
Trenstormers Above 200 _ Amps Above 100 _ Amps
Signs Inspecmr§ Use Only TOTAL
Irrigation8ooms %A
,.J'YJ Bfp'?U
r
Speciallnspecnon O
`
K O?? 1
Alarm/Communication TFIIS INSTALLATION MAY BE ORDERED DISCONIdECTEI IF NOT
Other Fee COMPLETED WITHIN 18 S.
I, the Electrical Inspector, hereby Rough-in
certity that the above inspection has
been made F,nai - e?e
OFFICE U5E ONIV "?1L
This requesl voi0 1B mOnMS IrOm
PERMIT
?C CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: Ru t i o T ra r.,
Eagan, Minnesota 55123 Permit Number: n 2 0 315
(612) 681-4675 Date Issued: 02/10/ y 3
SITE ADDRESS:
ssa H rGL s1:t.?F ok
i_01r. s L;l-nCK: 2
E,uR nP,i< u u_'S 7 N u
r=.? 5 01 -0 e0 - 0 2 .
DESCRIPTION:
,$ui.ldiriq f'e+ rni c Type 5F' UW6
B6ai1d.1nql,Jrrk iy!''i- N EI,.I
IJEtC Dccupancy R-3 M-1
Construr.t.lon 1"ype• V-N
Zoning R-1
F;uSLdiny lEriytPi
Bu3ldi.nq W.'tcitNi . `-,?
.1 ?
-i P- li
' I(
REMARKS:
SF, W PLr,f3 - 8(:ViERC-_li PLB6i PRV
s.
FEE SUMMARY:
V w?urTr0 r! ?1 1 , 0 0 0
Bdse F°:u 3.?13 .0e mrscei.i.F,niEOU, ?.?.1;1,?741_,=0
-I n f:e`?i.ew 45 1ot:a1 Fec $3.731.45
Sur"I'idi rIe ?6v1e50
;AC SPr.P, o
sr?c :s s?c,
S A C
Uni?s
1
-------
SubtoC,oJ $1,9f,6.95
CONTRACTOR: - s-. ?_r. cOWNER:
ME(dRMAIVN CONSFRUC TION AL 7891110.0 ?400261 6 FlI- I1ERHMOM1IN CDNS'T
535 STONt RD 5:Sg Sl"ONE '2D
EPdDO'iFl HF ]G FI't5 MN 5505O MEi?lDOT(d F1F.:CGti7S MN 65120
fGIG7 IS 3i-7.30 0 (ti1:18 31-:11PI47
I hereby ackn owledge that I have reatt this appla.catiun and stata i.'riat tFcl
in'Formation i s correr_t and ayree to comply with all applicable S?atv ai Iln.
5tatu .?s an ?ity F:agari OrQinariees.
L -
? 11kf ? ?a
APP?ICANT/ ERMITEE S NATURE ISSUED BY:, IG ATUR
f'
?* * l.
* Pioweea
* ene
Certificate of Survey for:
w?
House Address: ? HILLSIDE, DRIVE
Model Name: Vermllilon_
P.B1
2422 Enterprlsa Drtvo
Mendotc Hnlghte. MN 55120
812) 681-1914•Fox 681-9488
625 Hlghway 10 Northoas!
Bloinc, MN 55434
f812) 783-1880•Fox 783-1883
Vi
.W
65??
4q9 ?.?
\
?
.te3
?
y \
o? \
x,
?' i ,?\ ?? tre a ! ?F\
. ? v ;1(1 td' `r
\ ?.MCb
\
1 s
1
,b 86 i.3
? k -4
1
1
1 "
Z ?
i
i
? i
? i
? i
?o k v?
IKZ,3C'?d
-D€PT
G°?oG°o?Io ?? u
K soo.o penotes ExiSiing Elevalfon
.?? Denotes Praposed Elevation
- .-- Denotes Drainage & Utility Eosament
- Denotes Drainage Flow Direction
--o..- Denotes Monument
la- Denotes Offset Mub 8earings shown
LOT 6 , BLOCK2
PROPOSE HOUSE E_ EL VATION
L,oweat F1oar Elevation: $fp.¢'3k
Top of 91ock Elevation:jeLC&,ra3
Garage 51ab Elevation:?;Iw
are ossumed
DAKOTA COUNTY. MINNESOTA
( herdfy certlfy thet this wrvEy, plen er report w s prcpared 6y meo,r. under my direct su B ision and thet 1 em duly Reqietered lAnd Surveyor
undsr the lawf ol tha Stata of Minnesota, Oeted thie day of G 7 e+'5r ? A,D. 19.
`
?• 4
. „
.. o
lC .A ti. KO. f e ?; ^.
pOYlRP $1
iar&e :-
4Q ?at
i ,
//mvAb
?
a
. rr
.`
1LOT BIIRPEY Cffi9C1CLI8T !OR 1tL8IDENTI7IL
? fII77/-
Date 7RXIT APfLI ION ?
PROPERTY L(iAL2
? or survy: Tr / F-r
p4CIIKENT BTMD ftna
p' Q 0 • ReqiBtered Iand Surveyor siqnaturo and company
[?YD 0 • Building Permit ]lppiicant
O?D • Legal description
0 0 • ]lddress
0 • North arroW and bar scale
D 0 • House type (=ambler, walkout, split w/o, split sntry,
0-13 lookout,etc.) • Directional drainaqe arzows vith slope/qradienL =.
0 • proposed/existiaq sewer and water services
t? 0 • Street name
p?b D • Driveway
ELEVATIONS
Existinc
D 0" 0 • Sewer service
II"' 0 D • Lot corners
d' 0 0 • Top of curb at the driveway
0' 0 0 • Elevations of any exfstinq adjacent homes
proooaee
M'? D 0 • Garage floor
0' D 0 • First floor
Q' 0 0 • Lowest exposed elevation (walkout/window)
ty 0 D • Property corners
Id' 0 0 • Front and rear of home at the foundation
pONDZHG AREAB (if annlicablel
n ?0? ? Easement line
NWL
O [r O • xwL
? Pr
0 • Pond ?! desiqnation
D? 0 • Emergency Overtlow Elevation
e D .0 • Lot lines
Ir D D - Right-of-vay and street vidth (to back oi curb)
0 0 • Proposed home dimensions iacluding any proposed aecks,
overhangs qreater than 21, porches, atc. (i.*. all
structures requiring permanent lootings)
? D 13 • Show all ensements of record and any City utilitias within
those easements
? 13 p • Setbacks of osed sPnts. ture ar?d setback of adjacent
existing h s
fl 0?0 • Retaini v i if any ?
• Reviewed: .2,
N e / Date
Detober 1992
REACTIVATE _
'PERMIT-#
GITY OF EAGAN
1993 BUILDING PERMIT APPLICATION
681-4675
F E B 0 5 RECo
z-9
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: 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 O1Z G ?a
Site Address:
STREET SUITE N
Tenant Name: (commercial only)
IAT 6_ BLOCK ? SOBD.e P.I.D. M
c"!'
Qfl? ? ??t
Descri tion of work: POP-,-) Co,?)S'?"r?c
The applicant is: ? Owner WContractor ? Other (Describe)
Name Phone
Property LAST FIRST
Owner
Address
SiREET STE #
City State ZiP
Company e1,1-m yLN Phone ?'?7/-ll00
Contractor Address 535- 57h2?C_- x-°d_ License # Z-61.6 Exp. 3/?-,/
City Me.udvfi4 L,c;?TS 5tate Zip SSlZa
Company r oweer Phone
Architect/ -
),- 15tl- d/'- Registration #
L12, 2- Cn,fcl- /
Name 2
Engineer ,
-
Address ?1'lz?.cLc4 4 L
City State ??/ti- Zip
Sewer & water licensed plumber Sc? erer A/u?, rtir . Processing time for
sewer & water permits is two days once area has been proved.
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?''"'??""? C?`-'s ?'?`'`"`i"?
Signature of Appl icant: ???
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 foundation
K02 SF Dwg.
? 03 SF Addition
? 04 SF Porch
? 05 SF Misc.
? 06 Duplex
11 07 4-Plex
? 08 8-Plex
? 09 12-Plex
? 10 Multi. Add'1
WORK TYPE
t? 31 New
? 32 Addition
? 33 Alterations
? 34 Repair
GENERAL INFORMATION
:.
? 11 Apt./Lodging nish
? 12 Multi. Misc. ? 17 Swim Pool
? 13 Garage/Accessory ? 18 Comm./Ind.
? 14 Fireplace ? 19 Comn./Ind. Misc.
? 15 Deck ? 20 Public Facility
? 21 Miscellaneous
? 35 Tenant Finish ? 37 Demolish
0 36 Move
Const. (Actual) v- N Basement sq. ft. MWCC System >'E3
(Allowable) v_,.j lst F1. sq. ft. City Water y?r_ -
UBC Occupancy M-i 2nd F1. sq. ft. PRY Required
2oning ? Sq. ft. total Booster Pump
# of Staries Footprint Sq. ft. Fire Sprinkler
Length ? On-site well Census Code o i
Depth sz, On-site sewage SAC Code ?
?"g"s
APPROVALS cv.,., ?, w... • t ^.?
Planning Building z-993 p g Assessments
Engineering Yariance
REQUIRED INSPECTIONS
? Si te
? Wallboard
? Footing
? Final
[I framing
? Draintile
? Insulation
? Fireplace
Permit Fee
Surcharge
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 Oed.
Copies
Other
Total:
sAC x ?
SAC Units ?
vatmtim: $ 12- ) 0 J, l
r
6 ,cR.A?-6; 22X zz-veq x/c. _ 7?yy
z&MT% 3oA 2y = 7? X/? = /0 8no
mA,A, ?tFvC'?S; zy 4 3o= 72o
2-vx?L1"600
IIX'Z ; 21
?3 zxsa= 71 j z?
i.2uK3+?-720 ?
r ? r -- y
? ?? D?? $?`(
W
0
16x3f?NX 220: . _ ??6?
/ 2v C 7 '/
??..
? •
Owner
Site Address_
. Contrector
Phonc Date'.
Buliding Classification: Type A1 (Sing)e Famfly b Duplex)
NOTE: Complete pages 3 and 4 flrst.
. (Other) GENERAL INFORMATION
1. But.ading PerimeterL;En VIVV?WTft.
2. Wall heigh[ (ground to eave)-?'2Mnu??.k leA'Ift.
?. ?: . . Z .
3• 1. x 2. (above) gross wall area Z? ? Z fL.
4.
5•
•6.
Z- Type A2(Residentlal)
(3 stories. or ess
? (Over 3 stories)
Bullding dimensions (L) --^' X(W) ft.Z roof 6 floor area
Square foot area of rim Jofst - Floor Joist size (2 x )C7 ) Q .
. /OZ X Perfineter = Rim oist area ? ?•J? (? ft2
12 ? eo
Doors - Al*ea
,., ihickness in
Type of Construct on
? ' . Manufacturer
7: Total door's perimeter
ft.
8: Windows: Manufacturer ?/U'?f L (?{r?j? r State approved '
U f?ctor -
TYP E.
U factor, 144
, .
- Peri'meter ft.
SIZE
AREA (Ft.2) NUMBER OF TOTA? FEET 2
• EACH UNITS .
9• Total ft.Z Glass 2 ? 51
10. Fireplace area; W(dth X helglit = - X ' Ft.2
il. Exposed foundatlon: Helght X Perimetcr -? I 7( Ft.2
COMPLETION OF THIS FORN IS REQUIRfp FOR ALL 11L6T f.bll;IRUCIION, HAJOR REMODEUNG AND BUILOINGS f
1 FfOVED WHERE ENERCY, OTfiER TIIAN TIIE MINIIIAL f,OUE ALLOW/1NCE, IS USED.
?iikiL uku,Ui 6UUt l.f1Ll.ULNIlUNS
BASED ON CIIAPTER 5 OF THE
MODEL ENERGY CODE - 1983 EDITION "
. • Adoptlon Effective /1/84 •
yI U4a aI ea? .
' ,. .,,Cross• Kall area?G?G?'7 , Z ft.2 . .? ' ?• " ?
,.
Indoir arca A'?I fj 2 U alndows = • ? U x? A ¦? I l2
Rtm ,?olsE area 11 2 ' U rim Jolet +
U
?
t
x
_ OoaD area ft,z U door area •
P1'?TI
• I4-1 U x l
A ¦
'?z
A
_
area A ?Z ft.z
- U 11=4aSQ '__ U x ,
A
Exposed foundatton•A ft,2 U foundatlon ¦? ?? U
x
-?
Framing area A ?g4,a?, ?
-' 2
ft A¦
i
., --
. U framin9 area •?U x A¦?S I?
Ile! wall area A ?k,17?7ej U Hall U x A••
. • , • (17I1) 10TA1 . . . .
' U
' A ?
?
.
. . . . . .
x
• - - . -?L
14. Gross xall area ?tR0.1?A=1• singla family d(1uplex ? aliowable U x A/Code
• (13, abova)
• • x 0.23 (A-2 other resldentlat)
• x .23 ( Otl?cr 6ulldtngs) ' •
• x .@D ( Over 3 storles) ' ' .
• BiUll Hust
x A ?9
' ? ' ¦ •Z 9i 1
?P
8 be larger
.
.
3 above
15. Ce(l ing framing area (At) equals• 10Z of ce111ng area ' (oP thA sama is)
15A. G`ro;s ce11 Ing'area ¦ ' ?L) ?--- .-??? "'
. x (W)
• ? C? `?? ri.2
158 . Joist area (Af) ¦ 10% celling area •_ j(pQ" ft
Z
15C: .
He! celling area (Ar) (15A -.158) ¦_'. ??'??O fi
? •
.
U cell ing x A c-
p o ZZ x
_
U traminq x A?, i o Z 3
150. 7
?
TOTAL U x A
\?
7
7
............................ ??
............•
?
16. Ce111ng arca {15A s{pyie famlly b duplex - code allowable U.X A
• x 0.033 (A-Z otlier residential)
• x 0.06 (otiter)
• '
•
• • A(15A1 1?0?.+?• • Z??31111 Iltist be larger tii
f x!11cszJs]= f
(or kha sama an 150 (aba,
ds)
.
'. •` . . . . • . • . . • ' • .
' IIOTE: Use U aiiJ'Avalues obtalned from nps l, 3 and 4
? .
: . • • . . ; .
, -
-. - , . . ,
...___.?_.
---? ? -
??? ? ... . ..... _......__. .
5?o X (z(?-h2(v-I-'z?4
??x (?t- 5?2? 3Z) = I 7 I ?, ?
?? . ?----- .. _. .._.... ..
: _._....
. ....?.. _.._... ..
??-24 Xcoo =41 ,zx3?&4F
.._..:?..?_?:...
- ??...
o . . ? ... . ..._....: ._.... _.._...?. .....::_...
..
?S _. . _. .... _ ? ? ? ?
8 ...._ ._
t54 . .. .__ ;,:?. _ .
s
NALL •
SECYION
StVD .
SLCTIOH .
2lIO WALL
SLCiIoH
iP .
.' .
aiit
' Jo[ST
..
I I
. R-'/AI.UE • U VALUE
in¦ld• alr ELlm .68 .
G{tnrtor v4ll . 01,1;7 • (p;ll) •U . L
(tuulttLon 1?,60
Sheathing Z,.p(D ?
•0
stair,g . . ,?7 • "' •'.----
ouc.tae .tc cLtm .17 .
• R IOTAL Z3.p3 Ins ldealr Ellm .68
Interivr vall ??.?-' • • ,
Aa .cud ((O") Rv .t.?di?(?.SO(framinS) U. A .
31ieit thing ??(e
Slding (07 ' ?d95
OuGslde alr flira .11 • .- -
R iOiAL b.S'? ,
Ini[de air film ' Rs .68 • ' '
InterLor rall . • . , , ,
`Inaul?elon .(Sfa11 ) U + ? .
EXteTLaL VSL? Cittg . . •
E:t.rlar alr film' R I01'AL •
Interlor air tllm Ry :68 •
InsulatLon ?1,C6 . •
l? lnch,eo(t wnod R=1.88 (R{m ?¦?n
Slieatitlng ' 2,0(? Ja1st? .
• •oi"I .
Exeerlvr wall ecveeing ,(07 f .
Exteclor air fllm R? ,17 ' • , n TornL
intectvr air film. Ra .68 ' .
tnsulitlon . 'S,pb • .
Counda[lon 1,29
.•.'1
Extnrtor air fllm, A, .il ' (Fdn.) V • •
. R iaTA4 -]. r?i • •t t4'
Expo,nl 9tuck -;C== 1
-., - tLlIs?.a
: ?? ??
? . .
.
:- -- -
------ •
----
-
. ?`r?ic?n ?.i??i? 4EIIT?t1??TT1_ r____, SrncE noovE
. . ? `iZLer A-9KLuE
FRni+tnc ce tLtrIc
.• O.bi Atr Ftlm
Tata) R
. o Z3
u 1It? ?7..,
n ? ?d ?.G.r
R.Ar noaF an c__,trii??nni. cEILtIic
iR-'7aTue
FR,111IHG'
0.61 '
.
------------
.
0.17
R 'lAl.llE
, cEtLtna
Inslda alr f11m 0.61
C?Illn
JnI?E ?s u
i?.??l+? tSnn
Ir
pnnt Jocking .
Inaulation
Au11t-up roat
Outside alr fltm 0.17
To t a 1 R ' . .
? t:• ' _____. I
U .
llndow lnfiltretian 5 cfm/ltneal foot of crack '
lesldential door 1nf11tration U.5 cfm/square faot or door anJ minimum code•retiuirement
lan-reiidentlal door 1nPiltratlon 11.0 cfjn/lincal foot of crack
lb 12 concrete block no lnsulatlon ,
Jb 1Z" cancrete black insulated cores •.?47. R 2'1 '
15 12" llglit?uelght block .26 li 3.0 : , .
1b 12" ligh hWelgitt 61ock lnsulatg'•32 R].l .•, : •
d' COrC$ s•1Z R B•J . • '
1 Single gla;s ¦ 1.13; witll storm'.wInJo,q'.54 • , •
1 dou6le 91ass • :Sy • ' ' ' ' •
1 triple glass ? .41 •. • . • .
111 exterlor xalls and cellings
PaPar barrler must b must liave a vapor barrler (0.10 parnl max.), •
e on the Inslde (lieate(i sldr.) af 1a,li,
iapor 'barrlers of the palyethelene tliln fllm hav? n? p valuo, • ''
, .
. . ' . 0.61 Alr Film 0.61
?__ 3G?,6D Insulatton
Ja I s t ' .•
? •
? ? ' • •?__ n_____ Ca I 1 I ng
.: l? /
CITY OF EAGAN
3830 PIIAT ICPIOS ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
FOR CZTY USE ONLY
PERMIT #
RECEIPT # r
DATE:
- -
jt,$?,IAEN`.?PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
..:.......... .:. .............. .
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
---- -------------------------------------'--
WORK DESCRIPTION
NEW CONST _
ADD ON _
REPAIR
OWNER NAME: A /JP,2m0?rn egnsA
SITE ADDRESS: /?S8 /T//l5il?" /Je. /
*.oT: ? stocx ?-' sUsD. Zjjj?t ?
INSTALLER: 'SCA"? Pla/1Zhi/lr-
AADRESS: Ayx>aq
CITY: / ?0? t_o,1,fp
ZIP:
PHONE
OF PERMITTEE
COMPLETE THE FOLLOWING:
N0. FIXTURES EA. TOTAL
ADD-ON MINIMUhi 15.00
? SHOWER 3.00 -3. DO
T WATER CIASET 3.00 3•?
L BATH TUB 3.00 3 0
? LAVATORY 3.00 3 O-P-?,
( KITCHEN SINK 3.00 3?o[J
? LAUNDRY TRAY 3.00 3,00
HOT TUB/SPA 3.00
? WATER HEATER 3.00 3,00
? FLOOR DRAIN 3.00 OU
GAS PIPING OUT.
? (MINIMUM - 1) 3.00 3.0C)
3 ROUGH OPENINGS 1.50 .iF Sp
` OTHER
WATER SOETENER 5.00
_ PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
SUBTOTAL ,? J/1 SD
ST. SURCHARGE .50
TOTAL: $ 3a °v
PMMERGTAL;jI2?I1iS9T8?.... IA7.? PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/IN?USTRIAL BUILDINGS AND
. . ..... MULTI-FAMILY BUILI7INGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
------------
CONTRACT PRICE:
D'wTvEn ivrshiE:
SITE ADDRESS:
LOT: BLOCK _ SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE
FOR:
CITY OF EAGAN
FEES
i$ CF CCN:^ACT. FEE.
STATE SURCHARGE _ $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18
STATE SURCHARGE
TOTAL:
$
(SIGNATURE)
1993 MECHANICAL PERMIT (RESIDEIVTIAL)
CITY OF EAGAN
3830 PII.OT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIltED FOR EACH UNTT.
? NEW CONSTRUCTION
ADD-ON A/C
ADD-ON FURNACE
DATE
FEES
HVAC: 0.100 M BTU $ 24•00
ADDITIONAL 50 M BTU 6.00
GA$ OUTLET$ (MINIMUM 1 @ $3.00 EACH) .00
ADD-ON/REMODEL (ExisTING CoNS'rxuCTloN) $ 15.00
STATE SURCHARGE .50
TOTAL ? 30,50
SITE
.
?
OWNER NAME: n--? ?' TELEPHONE #: //D 0
INST.
a--o . _?4 . i
)aA--- STATE: ??- ZIP CODE:
C1TY: vA61
TELEPHONE #:
SIGNA RE OF PER ITTE
1993 MECHANICAL PERMIT (COMIIERCIAL)
CITY OF EAGAN.
3830 PIIAT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR ALL COMMERCIAUINDUSTRIAL BUILDINGS. ALSO COMPLETE
FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMII,Y BUILDINGS WHEN SEPARATE
PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNTT.
DATE:
NEW BUILDING
INTERIOR IMPROVEMENT
WORK DESCRIPTION:
CONTRACT PRICE: $
FEES
1% OF PpVTRA[;`(' FEE $_
PROCESSED PIPING: $25.00
MINIMUM F'EE: $25.00
STATE SURCHARGE $.50 FOR EACH $1,000 OF PERNOT FEE.
TOTAL $
STTE ADDRESS:
OWNER NAME: TELEPHONE #:
TENANT NAME: (IMPROVEMENTS ONL1)
INSTALLER:
ADDRESS:
CITY:
TELEPHONE #:
STAT'E: ZIP CODE:
SIGNATURE OF PERMITTEE CIT'Y INSPECTOR
G,5(013
2004 RESIDENTIAL BUII,DING PERART APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
? ?D 06
New Constructlai Reoui2menls RemodeVFieoair Reauirements
3 registe2d site surveys sharing sq. tt of bt, sq. tL of house; and gM roofed areas 2 mpies of Plan '
(ZD% rtmximum bt coverage aliowe? 1 set of Eneigy Calcula?ns for heated addifions -'
2 copies of plan slmw6ig beam & window sizes; poured found design, etc. 1 s'de survey for additions 8 decks '?'
1 set of Eneyy Calculations AddlUon - Mdicate ii on,vfe sep6c system
3 cDpies of Tree Preservatlon Plan if lot platted afler 711193
Rmi Joist Defail Optlons selecbon sheet (bldgs with 3 or less unNs
/ ?g
Date 7 ConstructionCost ?azq
p
Site Address ?0 UniUSte #
Descriptiou of Work dl?/?oa,(
Multi-Family Bldg _ Y ? N Fireplace(s) _ 0 2
Property Owner /(AZ?'rr O/'4/LI•4? /1 Telephone # ( )
e/-"
ST
f
r.
'
Contractor
Address 0 `/3T AYf /`? City
State /5//? Zip SJ$W Telephone #o:?3
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Energy Code Category - Tvlinnesota Rules 7670 Cateeorv 1 Minnesota . New Ene?9Y Rules 7672
. Residen8al Ventilation Category 1 Worksheet Code Worlcsheet
(d subm'ission type) Suanitted Submitted
. Energy Envelope Calculatlons 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 #( J
11
2?04
Mechanical Contractor ':Ij? JUL 2 3 Telephone #(
Sewer/Water Contractor Telephone # (
I hereby apply for a Residential Building Permit and aclmowledge that the informarion 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 pemut, but only an application for a pernvt, and work is not to start without a
permit; that the work will he in accordance with the approved plan in the case of work wluch requires a review and
approval of plans.
000?e ?
ApplicanPs Printed N e Applicant's Signature
OFFICE USE ONLY
Sub Types
? Ot 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 Ex[. AR- Multi
? 03 01 of_ plex ? 09 07-piex 0 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex O 12 12-plex Plbg_Yor _N O 25 MiSCellaneOUS
Work Types
? 31 New O 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Aiteration ? 37 Demolish Building' ? 43 Reraof ? 46 Windows/Doors
? 34 ReplaCement •DemoliUon (Entlre Bidg) - 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) FinaVNo C.O.
_ Footings (addition) _ Plumbing
_ Foundation HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final _ Pool Ftgs _ Air/Gas Tests Final
_ Framing _ Siding _ Stucco _ Stone _ Brick
_ 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 8 Surcharge
Treatment Plant
License Search
Copies
Other
Total
Building Inspector
PERMIT
City of Eagan Permit Type: Building
3830 Pilot Knob Rd Permit Number: EA091986
Eagan, MN 55122 . Date Issued: 11/12/2009
(651) 675-5675~~~ EPermit Category: ePermit
www.ci.eagan.mn.us lflflUl tflflLLL
Site Address: 658 Hillside Dr
Lot: 6 Block: 2 Addition: Bur Oak Hills 2nd
PID 10-15501-060-02
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 Christo. J Bienash
1920 County Road C West 658 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
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA111782
Date Issued:07/11/2013
Permit Category:ePermit
Site Address: 658 Hillside Dr
Lot:6 Block: 2 Addition: Bur Oak Hills 2nd
PID:10-15501-02-060
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Crystal Cochran
7588 Washington Ave S
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Angela M Cunningham
658 Hillside Dr
Eagan MN 55121
Pronto Heating & Air Conditioning
7588 Washington Avenue South
Eden Prairie MN 55344
(952) 835-7777
Applicant/Permitee: Signature Issued By: Signature
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)BB$+%/, S4.0I+ .. '=+J,/ >0.5<<>.*'#A '=+J,/ >0.
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA163639
Date Issued:09/08/2020
Permit Category:ePermit
Site Address: 658 Hillside Dr
Lot:6 Block: 2 Addition: Bur Oak Hills 2nd
PID:10-15501-02-060
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 -
Angela M Cunningham
658 Hillside Dr
Eagan MN 55121
Anchor Roofing And Exteriors
101 Bridgepoint Way, Suite 140
South St Paul MN 55075
(612) 363-7443
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA165859
Date Issued:11/24/2020
Permit Category:ePermit
Site Address: 658 Hillside Dr
Lot:6 Block: 2 Addition: Bur Oak Hills 2nd
PID:10-15501-02-060
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 -
Angela M Cunningham
658 Hillside Dr
Eagan MN 55121
Diversified Plumbing & Heating Inc
125 E Railroad St
Norwood Young Americ MN 55368
(952) 583-9646
Applicant/Permitee: Signature Issued By: Signature