662 Hillside Dro _. . ?y }
?.
wtmficate nf. Cccupanc?
;, , .. .. rt,. .
??t?j D? ?Rga1t ? -
This Cenifrcate issued pursuant to the requirenrents of the Uniform Building Code
-- certifyiRg that at the time of rssuance this structune was in conrpliance with tlie various
Ir
ordi»ances of the City rrgulating building construction or use. For the following:
gr EM 1N 1
ilse Classificauon: Bldg. Pamit No.
oC-PMICr'rype R3M1 nw? Tr
Ownuofsuilding LdiT7FT1f?2TTI:, ? ?? _ el
suwmg naamss 662 HEL-_SrrF ERIVE 1"Adity I.S, S1, BUR QAK
r
Dw 03/30/q3
sading officW
POST IN A CONSPICUOUS PLACE
?
1 .
a
I
. ?----?---.
. . Control
INSPECTIUN RECURD ? No. 1???
` CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number: 001291
Eagan, Minnesota 55123 Date Issued: 11 {# p/ g 2
(612) 681-4675
I SITE ADDRESS: LRj , r, g tpet'.APPLICANT: ,
I f?c7:' HItLSIDE nk WtItENNFtYMq OOMALD
? Ft1.iR f1AK HILIS ?ND (612) 4615-7134
PERNlIT SMBTYPE:
TYPE OF WORK:
m
INSPECTION
fOnt ?r??, .. .
Pf?f1MIN?i ..
YM!V:11?_A11i)M FIIiAI
f 1pFNLAg'f t
RF'MARk S: S 6 W r,AMtRaC 1dR - oENt-itYAM! P1 ee
,,..? :
? ? ` -- ---- - - _ ? - - - _? ??'----?.;1 t?
aermn wo. Permn Hoklw oaa r.i.Pnom •
s/w
PLUMBiNG
HvAC
APS
i
ELECTRIC t
ELECTRIC
Inspwtlon Date Inap. Commants
F°oWW ' 11-IT-92 ? ?-o rlsv 1.
FoundaUM ?
Frerrdn9 3 buz
Rodirg
Rough Plbg'
Rough Hi4.
Isul.
Flreplaoe
Final Htg.
Orsal TOM Pv
Final Plbg. -? c-' Plbp. tnspet.'LD?- NWify Plumber
Const. AAeQer
EngrA%n
Bidg. Fin31 3 9 ?
DeCk Flg.
Deck Finel
weu
Pr. Diap.
_ ? ?
INSPECTION RECORD
? CITY OF EAGAN PERMIT TYPE:
t 3830 Pilot Knob Road Permit Number: `f'' E1 I:' H 4 '
Eagan, Minnesota 55122-1897 Date Issued: r9R j24 1,4 6 i
(612) 681-4675
SITE ADDRESS: APPLICANT:
.. Ilili•.lli1 111; s; i;fi i i i
H! y f t cr A t: N i ! t : . 1 N i i {t.) ;' ) 4:1)• 1 fr L N j
PERMIT SUBTYPE: TYPE OF WORK:
. . , . NE w
1 00 1 1 Nr,'. I I I ; 1 MA!
Permit No. Permit Holder Date Telephone 11
ELECTRIC
PLUMBING
HVAC
Inspection Date Insp. Gomments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBCi
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
9SMT FINAL
•
DECK FTG
oEc?c Fir.aL i
7;?
Address 662 HnZ,SIDE DtutrE Zip 5512 1
Lot 'S Blk 2 Sub Btt!t oAK xrta.s 2nID
THESE ITEMS WERE / WERB NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: 03 30 93 Yes No Inspector:
Final grade (6" from siding)
Permanent steps (garage) t/
Permanent steps (main entry)
Permanen[ driveway
Permanent gas ?
Sod/Seeded grass j/
TraiUcurb damage ?
Porch ?
Basement finish VIO'
Deck kl"'
Please verify with the builder the removal of [oof test caps from ihe plumbing system and the shut-off of water supply to
the outside lawn faucet before freeze potential exists.
Contact engineering division at 681-4645 before working in righ[-of-way or installing underground sprinkler system.
White - City Copy Yellow - Resident Copy Pink - Contracror Copy w
.- o1c-2919--l-
??.?-5 ? -? --? F -271 y
, a? ?ev
&-J'A
e4
? es a?e Fire N. RougO-in Inspeclion
Re?uRed+ ? Reatly Now Wil? Notiry Inspec?
?Yes C No Winer,
I? li
d
t
'
?
cense
con
racror ? owner hereby request inspedion of aDOVe electr
I work at:
Joo tltlrss 1 reet or1 o te No1 n
? l , 1'? • Ci ?
Sechon N. Township Name or No qanga No Co ry
a
Occu ant fPRl TI PtWn9 No ?-
{ I
Power Sup lier !W@ s
?
EI ralComrec or ?Com?any Name) Co recto 5 Ucensa N
?
M in,tltlress IGOntrec or Owner Making IM ?
Avt n:etl Signalure (on racrouOwner Makmg Inslall
YP ion)
Num r
MINNESOTA STATE BOARD OF ELECTRIGRY
Gr{ggs-MlOwey Bldg. - Poom S1)3
1821 Universlty Ave.. St Veul. NN 55104
Plpne (612) 6412-0800
THIS INSPECTION REOUEST WILL NO?
BE ACCEPTED BV THE STATE BOAHD
UNLES$ PPOPER INSPECTION FEE IS
ENCLOSED
n?Q?rJ REQUEST FOR ELECTRICAL INSPECTION °?"•'? ea -oa
5u^16• ? See mstruceons? br compleeng this lorm on beck M yellow mpy.
???,?
G(
? 711 "X" Be/ow Work Covered by This Request
N'ttli p rypeofBuiidmg ApphancasWued EqwpmentWiretl
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Bmlding Dryer - Other (Specity)
Comm./Industrial urnace
Farm Av Conditioner
Other ftxdy) ConrrecmrB qemerks.
Compufe Inspechan Fee Below:
# Other Fee F Serwce EnlranceSrze Pee # Cucuits/Feeders Fee
Swimming Pool 0 ?0 200 Amps 0 to 700 Amps
Trensformers Above 200 _ Amps Above 100 _ Amps O
SignS Inspector5 Use Only 70 AL
C/?
Irrigation 8ooms
Y p?
? ??'??
Special Inspection 2?
Alarm/Communicauon THIS INSTALLATION MAY BE ORDERED DISCONNE?ED IF NOT
Other Fee COMPLETED WITHIN 78 MON
I, the Electncal Inspector, hereby pou9mm ? oa?e
certify that the above inspection has
been made. Date
-
OFFICE USE ONLY
This request wi0 18 months irom
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EACAN MN 55122
651-681-4675
New Canstfuction Renuirements
• 3 registered site surveys showirg sq. fl. of lot, sq. R. of howe; and all roofed areas
(20%maximum lot coveraga allowed)
• 2 wpies of plan shovnrig beam & window sizes; poured faund design, etc.)
• 1 sel of Energy Calculatians
• 3 copies of Tree PreservaUon Poan if lol platted after 717193
• Rim Joist Detail ODbatts seleclion sheal (bldgs with 3 or less units)
DATE 11 illi$ Loo-1)
SITE ADDRESS _ C,oQ MULTI-FAMILY BLDG Y4-"N
TYPE OF WORK I. -?SfIREPLACE(S) _ 0_ 1_ 2
APPLICANT
STREET ADDRESS
TELEPHONE #
PROPERTY
1'04
13ri` P vitJ CITY t??M STATFlf?ZIP SS
CELL PHONE # 6,0-deP'Y;0?_ FAX #
TELEPHONE# 651' 7y?'-71,?7
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNLSOTA RULES 7670 CATEGORY 1 MINNCS01'A RliLI'S 7672
(J submission type) . Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Su6mitted
• Energy Envelope Calculations Submitted
Plumbing Contractor. _
Plumbing system includes:
Mechanical Contractor:
Mecliaruc:il sys[em includes:
Sewer/Water Contwctor.
Air Conditioning
Hca[ Recovery System
Phone #
?? 75-
Fee: $90.00
Fee: $70.00
I hereby acknowledge that I have read this application, state that ihe information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicanf
I
OFFICE USE ONLY
_ Water Softener _
_ Water Heater
No. of Baths
zn 6: 7zs a'
VALUATION
RemodellReoair Reuulremenb
• 2 wpies of plan
• 1 set of Eriergy Calculatlons for heated addihons
• 1 stte suney tor exterior additbns & decks
• Indicate if home served by septic system for adtlilions
_ Phone #
Iawn Sprinkler
No. oF R.I. Baths
Phone #
Certificates of Survey Received Tree Preservation Plan Received _ Not Required _
Updated 4/02
OFFICE USE ONLY
? Ot Foundation ? 07 05-plex ? 13 76-plex ? 20 Pool ? 30 Accessory 81dg
? 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 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Parch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fira Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg only) • Give PCA handout to 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 W idth
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footings (deck) FinaUNo C.O.
_ Footings (addition) plumbing
_ Fouodation HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final Pool Ftgs Air/Gas Tests Final
_ Framing 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
S8W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Building Inspector
Total
RESIDENTIAL
/ ?la 7r
BUILDING PERMIT APPLICATION
?? ? ? ? CITY OF EACAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New ConsWCtlon Reaulranionb RemodellReoair Reauirements
• 3 registe2d site surveys shmving sq. ft. of bt, sq. R af house; and all rooled areas • 2 copies of plan
(20% maximum lat coverage allowed) . 7 sel of Energy Calculatbris for heated addifions
• 2 copies of plan showirg beam & window s¢es, poured found design, etc ) • 1 sde survey for exterior addNOns 8 decks
• 1 set of Eneryy Calculations • Indicate if home served Gy seDfic system tor addNians
• 3 copies of Tree Preservation Plan if lo[ platted after 7/1193
. Rim Joist Delail Options seleclion sheet (Wdgs vnth 3 arless units)
/
DATE VALUATION (?4
SITE ADDRESS 66??Z A'Ijstde G2ii?C MULTI-FAMILY BLDG _ Y ZN
TYPE OF WORK :Cn . actepc-rp FIREPLACE(S) _ 0 _ 1_ 2
APPLICANT
STREET ADDRESS
TELEPHONE #
th
SS
CELL PHONE # 4-? a?-Aff_ FAX #
PROPERTY OWNER ?E12 Pki('.aP TELEPHONE #???
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MIN[VESOTA RUI.ES 7670 CA'CEGORY 1 MINVESOTA RULES 7672
(J su6mission type) • Residential Ventllation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor:
Plumbici; system includes:
Mechanical Contractor.
Vlechanicail system includes:
Air Conditioning
Hcat Recoven• System
Fee: $90.00
Sewer/Water Confractor. Phone 2-^?
i
I hereby acknowledge that I have read this application, state that the information is correCt,-a?agee to cor?ply
with all appiicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant
OFFICE USE ONLY
Phonc #
_ Water Softener ? Lawn Sprinkler
Water Heater No. of R.I. Baths
No. of Baths
Phone #
Certificates of Survey Received Tree Preservation Plan Received _ Not Required _
- Updated 4102
OFFICE USE ONLY
? 01 Foundation ? 07 OS-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 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multl
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •DemoliHon (Entire Bldg anly) - Give PCA handout to 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) FinaUC.O.
_ Footings (deck) FinaUNo C.O.
_ Foorings(addition) plumbing
_ Foundation HVAC
_ Drain Tile Othec
Roof _ Ice & Water _ Final Poo] Ftgs Au/Gas Tesu Final
- FrarrunB Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ _
Final Windows (new/replacement)
_ Insulation _ Retauung Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
Ciry sAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Building Inspector
Total
53 ?? RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Construction Reamramants
• 3 registereC site surveys showirg sq. R. of lot, sq. ft. of frouse; and all roofed areas
t20°h mazimum lat coverage allowed)
• 2 co0ies of plan showing beam fl window sizes: poured faund desgn, etc )
• 1 sel of Eneqy Calculations
• 7 copies of Tree Preservalion Plan if lot platted after 711193
. Rim Joist Detag Options sHection sheet (bidgs with 3 orless unAS)
DATE (A?3-6p?
RemodeVReoair Reauirements
• 2 copies of plan
• i sel of Errergy CaIcWa6ons for heated aCaitions
• 1 sAe survey lor ez[enor a0tlitions 8 decks
• Indirate it home sened by septic syslem tor addrtions
VALUATION G1 l3 9 ?
SITE ADDRESS MULTI-FAMILY BLDG Y N
TYPE OF WORK 77 B,?ercx?? FIREPLACE(S) _ 0_ 1 _ 2
APPUCANT
STREET ADDRESS
7L
TELEPHONE # 763'Syl-c>3 cK,Z CELL PHONE #
CITY STAiE WAIZIP --55,O
FAX #
PROPERTY OWNER TELEPHONE # ?OS?- yyy 7/137
-------------------------------------------------------------------------- ---------------------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ N1INNlSO'1':1 RULES 7670 C:1"I'EGORY I MINYESO'1':1 RLiLIS 7672
(J submission type) . Residential Ventllation Category 7 Worksheet Su6mittetl • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Conhactor:
Plumbing system includes:
Mechanical Confractor.
Mcchviic.il svs[cm includcs:
Sewer/Water Contractor:
Air Condiuoning
Heat Recovcn Svs[cm
Phone #
Phone #
Fee: $90.00
Fec: 570.00
------------------°--------------------•-----------.._..__.._...---------------------•----•-----------°-----------°----
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicanf I
OFFICE USE OtiLY
_ Water SoFtener
_ Water Heater
No. of Baths
_ Phone #
Lawn Sprinl:ler
No. of R.I. Baths
Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _
Updated 4102
OFFICE USE ONLY
? 07 Foundation ? 07 OS-plex ? 73 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? Og 06-plex O 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
0 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? Oa 02-plex ? 10 OS-plex ? 78 Oeck 0 23 Porch (screened) ? 36 Multi
? OS 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •Demol(Hon (Entire Bldg only) - Give PCA handout to 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 IN SPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footings(deck) FinaUNo C.O.
_ Footings (addition) _ plumbing
_ Foundanon HVAC
_ Drain Tile Other
Roof _ Ice & Water _ F inal Pool Ftgs Air/Gas Tests Final
_ Framuig _ Siding Stucco Stone
_ Fireplace _ R.I. _ Atr Test _ Final _ Windows (new/replacement)
_ Insularion _ Retaining lA%all
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply 8 Storage
S8W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanicai Permit
License Search
Copies
Other
Total
Building Inspector
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT
c°"t ° "°. 1285
PERMIT TYPE:
Permit Number:
Date Issued:
BUILDING
001291
11/1@/92
SITE ADDRESS:
652 1111 L5:[DE DR
f_OTv 5 BLOCK: 2
BU{i DAK IiIILS 2ND
DESCRIPTION:
:8uildiiny Permir.'rype Sr DwG
Building`,Work Type NEW
UI3C Occupane.y R-3 M-1
Construction Type V-iV
Zonirig I -\ R-1
3uilding Length 54
Building WidT.h ` 4$
/
.
?i -,-
771'/'.-'Y/'r_t! ,.
?? Cl
REMARKS: (I- p Z I CPOCp
S& W CONTRAC'iQR - GEN7-RYAN PLBG
rEE SUMMARY:
VALUATTON
Base Fee
PLan f2evisw
SurcFiarge
S AC
5P-rC 2
SFlC Units
Subtotal
$643 .00
$417,95
$50.60
$ 7 0 0 .0 0
1
$1,811.45
$101,000
MISCELLANEOUS ____ -$1_,510.50
T"otal Fee $3.421.55
CONTRACTOR: OWNER: - flpplicant -
WILLENBRTNG L1LINALD
810 RINGER CIR
W 5T PAUL hIN
(612)455-7130
T hereby acknowledge that T hava read this applicetion and state thaC the
i.nfarmation is correct and agree T,a comply with a.l], applicatsle 8tate ofi Mn.
Statutes and Czty of Eagan Urdinancas.
?? ?
??
I PP? ANT/PERMITEE SIGNA ?ISSUED B SIG ATRE
PEAI'`, 7. ,
RE.,'X'i.VAIE _
I tq 1
CITY OF EAGAN 4.?, 'L ^_ I .'?_
1992 BUILDING PERMIT APPLICATION
681-4675
- 1Y 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COiqMERCIAL 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 Valuation yf work ! ootp»' -F 'Lc,- Zz,qo0
Site Address: -? + - 1411 .L .S/DL- U R ? ?, ?'
4 (? ? SiREET SUITE M
Tenant Name: (commercial only)
LOT 5 B SUBD. G uR OAK !q1?-LS
N
P.I.D.
ZND Abo !T /G?J
Descri tion of work:
The applicant is: (B Owner 11 Contractor er (oe6«tce)
Name v'?fL1-[-N 6RJNG DotvAR Phone y=is -7130
Property LAST FtRST _
Owner
Address 78 E 10TH sT -?-;-? nrT ssoz _
SiREET STE M
City State MI/v1) Zip 3S101 _
Company _ S_q ri L-:' /A s .4 B? ?e Phone
C011tf8Ct01' Address License # Exp.
City State Zip
Company No Phone
Architect/
Engineer Name Registration #
Address
City State Zip
Sewer 8 water licensed plumber GL 7? Z- R`1RfJ . Processing time for
sewer Q water permits is two days once area as been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation
q 02 SF Dwg.
? 03 SF Addition
? 04 SF Porch
El 05 SF Misc.
WORK TYPE
Eg 31 New
? 32 Addition
? 06 Duplex
? 01 4-Plex
? 08 S-Plex
? 09 12-Plex
? 10 Multi. Add'1.
? 33 Atterations
O 34 Repair
GENERAL INFORMATION
? 11 Apt./Lodging
? 12 Multi. Misc.
? 13 Garage/Accessory
? 14 Fireplace
O 15 Deck
O 35 Tenant Finish
? 36 Move
Const. (Actual) v- N Basement sq. ft.
(Atlowable) V-N lst F1. sq. ft.
UBC Occupancy ?:3 M-i 2nd F1. sq. ft.
Zoning
?? Sq. Ft. total
?' ot' Stories . Footprint Sq. ft.
Length sT On-site well
Depth -TS-7- On-site sewage
APPFiOVALS
Planning Building
Engineering Variance
REQUIRED INSPECTIONS
? Site
O Mallboard
? Footing
? Final
11 framing
O Draintile
? Insulation
? fireplace
Permit Fee 643.00
Surcharge - so.so
Plan Review 417.95
License
MWCC SAC 700.00
City SAC 100.00
Nater Conn. 675.00
Nater Meter 95.00
Acct. Deposit 30.00
S/N Permit 30.00
S/W 5urcharge .so
Treatment Pl. 300.00
Road Unit 380.00
Park Ded.
Trails Ded.
Copies
Other
TOtdl: 3.421.95
SAC % /po
SAC Units --T-
velustim:
GA_ &AGE ;
85MT :
$Idl.ooo?
3a uay. 5lto,
A X.Z-9 = (yz)
3 X6' `:
7S0 X 16 = 12paa ?
26x4q=Ilay_
G x?,3 = ?s
1 Z2'Z
IST ?Lao2
SSMT= 1122
7.x2%4_ 48
:lvi x14= 3S
Zy /o= ?
1325' X53=
X1S= fk530
'7b) 22 S'
°
• /?, ??
"r ? gr'y n,4
..
? 16 Basemen"trin'isTi
O ll Swim Pool
? 18 Comm./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
? 37 Demolish
MWCC System YM
City Water Y"_
PRY Required ,
Booster Pump
Fire Sprinkler
Census Code , o
SAC Code ei
Assessments
?MR 39 '93 15:07 MERILA & qSSOC., INC. P.?J2
C RTIFICATE OF SIRYEY
FQ : 3-D'S CONSTRUC-T1ON :
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wa bsreby cenHy ehse ehts is a true and oorroce rowssennelon ot a wwav of
Ure baunderies af the phuva descAhadland and of tAe loeption of alt huDdings,
M j1VC.
irA & AssocrArES if anY, thereon and ail visible encroaehmanik ff any, from ar an wld land.
E ,
WEERS, SURVEYOfl8.517E OLANNEHS qs ,s ?y pfj??'?' IS
? 8401 73rdAvenue North • Snita E 63
1 ,? Min11. Rp. Ulo.??
1
BrooYiyn ParW Minnesota 65428
7819phGnB: (812) 533-7695 ?
Jab Ne. 2,77 -49.-Y 8dok ' ppe
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Rm97% 612 533 1937 03-30-93 03:07PM P002 2022
Cities Di ital 4uality Control
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EXTERIOR ENVELOPE AVERACE "U" COMPUTATIDN
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, . ,
LONTRALTOR: O?n„ DATE: S .,7- PHONE:
. DETERMINE NORKING SOUARE FOOTAGE OF EACH: ?
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CONSTRUCTIt1N
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R VALUC
CEILINf SECTION (INSULATED):
I Interlor afr ffTm
2 ?•` YA I3p?¢RD S8
3 Musa ?
4 Exterlor alr fllm stlll r1 F1
• TOTAL
CEILINf FRAHIHG SECTION:
1 Intertor alr ftlm
2
3 ?4 Interior alr fllm
S Fachas--caL
Mi
0 - i/R - •bag
CEiLING SEf.T10N (INSULATEO):
I' Interior atr film n,61
2
3
4 F.xtertor air tlm still 0, ?
TOTAI R ?
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1• Interlor afr fil 0; 1
2
3
4 Exterlor air Im still n. 1
S Inches soft wood
TOTAL R ?
U a 1/R - .Oaa,
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INSTRUCTfON
AMING SECTION:
-R VALUE
Interior atr fllm O.Aq
BcqRD .t
_ 5?" nches so [ wood RS
as/aa" SHr6. 2 ni
Exterior a r im n, 7
T07AL R
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uALI SLCTIOfI (INSULATED)
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FOUNDATION INSULATION nc4uirctu:
Min. R-5 on entire watl UR
Min. R-10 down to frost depth
TQTAL R ? 7d!
U- 1/R?
SLAB ON GRADE
cr"'
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FOUNDATIOtI SECTION:
U - 1/R - • Og//
---(1 Interlor alr fllm ? Rq
-{2 " v 14?'t? BLL?eK /..'t8
---{3 1•• ?E ir)•B9 S DO
---(4 Exter or a r llm n.17
l5
Heated Slabs:
Minimum R - 8:5
,,.ci;?•-d- Unheated Slabs:
?•?Q • : Minimum R = 6.2
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ELEVATIONS
Existina
? H 0 • Sewer service
?? ? • Lot corners
?? • Top of curb at the driveway
??? • Elevations of any existing adjacent homes
Proposed
Q? 0 ? • Garage floor
0,11 ? • First floor
M? ? 0 • Lowest exposed elevation (walkout/window)
0---0 ? • Property corners
Ci? ?? • Front and rear of home at the foundation
PONDING AREAS (if sunlicable)
C?C? ? • Easement line
? 0? ? • NWL
? CY 0 • IIwL
? ? ? • Pond # designation
? C? 0 • Emergency Overflow Elevation
?
entry,
f? ? ? • Lot lines
C? D ? • Right-of-way and street width (to back of curb)
EJ? ? ? • Proposed home dimensions including any proposed decks,
overhanqs greater than 21, porches, etc. (i.e. all
structures requiring permanent footings)
Ci? ? ? • Show all easements of record and any City utilities within
r those easements
L1 ? ? • Setbacks of proposed structure and setback of adjacent
? existing homes
? ? • Retaining wall ire ts, if any
Reviewed• 6 .S ?-
Name / D te
LOT SIIRVEY
PROPERTY LEGAL•
DOCIIMENT BTANDARDS
FOR
APPLICATION
Date of survey: /? /.Ta/ 9oZ
• Registered Land Surveyor signature and company
• Buildinq Permit Applicant
• Legal description
• Address
• North arrow and bar scale
• House type (ramhler, walkout, split w/o, split
lookout, etc.)
• Directional drainage arrows with slope/gradient %.
• Proposed/existing sewer and water services
• Street name
• Driveway
October 1992
r - •
OMW XtO
C7:TY fiF 1=AGAN
CA'_iFi:f.ER: 9 ?'E'n'M:[PdAI_ l.pe 1144
riA11:,: f)F;/r9/96 71'AtE: LJ.:,1.i:08
ID;
NAMFa 'n7ftC:Y IF..':I'ME'T'
'i2.lU 9001 66c'. 11I1_I_3ti(:S?L= 45.00
2M 900:1. a;,f;F' H'I:}..I. SIF.i:[:IE 0.50
Tr)1::.t.I. I','•ere,.pt Amcii..ntr, 45,,50
CF'OC,36?34
l1S1=1; l:Lia N7NCY
Y6??#?:?k?yt?C?k?k?KYF?k?kN????Y.?k?F%?M#a°.?k?Y?kM %kWWX?%??k%c?r?*
PERMIT
CITY OF 5AGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMITTYPE: aurLozNG
Permit Number: 0 2 8 6 8 4
Date Issued: 08/ 2 9/ 9 6
SITE ADDRESS:
662 MILLSIDE qR
LOT: 5 BLOCK: 2
BUR OAK HILLS 2ND
P.I.N.: 10-15501-050-02
DESCRIPTION:
??..?
BuildiVg,,Permit Type
/Building 'W,ork Type
Census Code
?
$ _ ?+ t
y. 4
DECK
NEW
434 ALT. RESIDENTSAL
?? f?? ' ? ° ?°t a? ? ; ra?£:"'•,? ? ?,: s r?_ ? ? z"
i
?' \y?. r ?
f•?'l„..q,. `ti ` ? .t .?.. ?i... r .;? ?$ ?. ?s3 / ' I? .> ?Si
J
REMARKS:
FEE SUMMARY:
Base Fee $45.00
Surcharge $-50
Total Fee $45.50
CONTRACTOR:
OWNER: - Applicant -
ZEIME7 JEFF
662 NILLSIDE DR
EAGAN mN
(612)437-1610
I hersby ecknowledge tMat I have read this application and state that the
? information is corrept and agree to comply,with a1l a,pplicable 9tate of Mn.
Stetutes and City of Eagan Ordinanaes.
? ' -
° AP /PERMITEE SIGNATURE ISSUEO B. URE
. • ' CITY OF EAGAN
O 3830 PILOT KNOB RD - 55122
1996 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681 -4675
RemodeUReoair ReaufremeMs
?
?
??
? 3 repistered ske suneys ? 2 coplea of plan ?t
? 2 cop'ies of plans (Induda beam d window sizea; poured fid. deaign; ele.) ? 2 ake surveys (exterior additions & deeks) ?
* I energy plculetbM ? 1 energy aalculetions tor heated add'Aions
? 3 eopks of lree proseneNOn plon N bt platted afler 711183
reyuired: _ Yaa _ No
DATE: CONSTRUCTION COST: a3`??? a'1
DESCRIPTION OF WORK: ?V,
STREET ADDRESS:
LOT `5 BLOCK
&Q,
? SUBD./P.I.D. #:
'H-?
?'37-1 610
PROPERTY Name: 2eu .? ?? Phon?: 6g7-D7Y9
OWNER '"" fq61
Street Address ?4?.?-
City: Lw?gh. State: M P\- Zip•
corr7rtAC7ort Company: Se-? Phone #:
Street Address: License #-
City; State: Zip'
ARCHITECTI Company: S?I ? Phone #-
ENGINEER
Name: Registration #:
Street Address•
City: State: ZiP:
?
Sewer 8 water licensed plumber:
change are requested once pertnit is issued.
Penalty applies when address change and lot
I hereby acknowiedge that I have read this application and state that the informaHon is correct and a ree to comply with all
applipble State oi Minnesota Statutes and City of Eagan Ordinances. ?
Signature ot P.pplicant:
_ _...rr+nnOnn
OFFICE USE ONLY ? °1?""-
U? `?
Certificates of Survey Received _ Yes No
Tree Preservation Pian Received _ Yes _ No ' ?
OFFICE USE ONLY
BUILDING PERMIT TYPE
0 01 Foundation o 06 Duplex
0 02 SF Dweliing ? 07 4-piex
0 03 SF Addition o 08 8-plex
? 04 SF Porch a 09 12-plex
0 05 SF Misc. ? 10 _-plex
WORK TYPE
X 31 New
a 32 Addition
0 33 Alterations
0 34 Repair
? 11 Apt./Lodging o
0 12 Multi Repair/Rem. o
0 13 Garage/Accessory ?
0 14 Fireplace o
,w'15 Deck
0 36 Move
0 37 Demolition
GENERAL INFORMATION
Const. (Aciuai?
(Allowable)
UBC Occupency
2oning
# of Stories
Length
Depth
APPROVALS
Pianning
6ase-meni sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building i143 Engineering
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SRC ?
:vaier Conn.
Water Meter ?
Acct. Deposit
SNV Permit
SNV Surcharge
Treatment PI.
Road Unft
Park Ded.
Trails Ded.
Olher
Copies
Total:
Variance
Valuation: $ '? 0' • ?
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
??
rviIwvvs 3ybi2iT /
City Water ?
Fire Sprinklered
PRV
Booster Pump
Census Code. N3q
SAC Code o r
Census Bidg '
Census Unit o
°k SAC
SAC Units
i 41RR 31) '93 `15:67 MERILA & ASSOC., INC.
P. 22
CER'PIFICATE QF StOR1/EY
F4R: 3-D-'S C4NSTRUCTION
5tat ln . me ..
?L.. . _ ...._.. I rea No?.. ? .
C? ProPo? B1evatintt 611.d- 46 Elevat
?
86 eP
g?. ?+ of Bas?e Floor
161 o
`?
?56}., 5Au?7?42c? S?Je?lA? ?? K a."
,9a . O
k? te?0°
5 `?? ?t ? ? O ?9 O •'
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p 4 C i0
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LEBAL DE9CqSPTIDII
7
Q?
,y;qA
at 5. 81ack a
?„ry„Y
C= 1s.3? 9llR OAK NItLB 2ND Ap91TS9N
C.1b7-G.= aio° 10)•47.?"a Aakota County. Nfne+fata
We hareby certity shn this is a tnue and aorrqct ropraeencton of a wweV of
riu haundsria ot th• abavr daxribed land and of tAe loqnion of elf 6uldinps,
ME ILA & ASSOCIATES, INC. if any, thereoM1 and all viaiWe eneroachmanp, it aeY, irom m en said land.
E tNEQRS, SUpVEYOflS, SI7E PIANNEt?S qs iy?y ?y ?y o{1???' t4
? a4m 7srdavenue tmnh • 8uite E sa ?? Minn. pp. wo.'l ?z
? droOWyn POrk, Minne6ntA 55628
791epbona: (812) 533-7595
bb No. -fg-7 -09 v gomc _ pame
111E /?g' /.s? 3a --AS +
R-97% 612 533 1937 03-30-93 03:07PM P002 #22
??? ??
G??
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C1TY OF EAGAN
L5 B oZ ?d MECHANICAL PERMIT
SUBD. ?lQa.?. Go? (612) 681-4675
RESIDEIVTTAL
xECEIPT # ?-
DATE a?3 ?----
PLEASE COMPLEi'E 1JppER pORTION ONLY FOR SDdGLE FAMII,Y DWELLWGS. AISO, COMPI,ETE FOR
TOR'NHOMFS/CONDOS R'HEN SEPARATE PIItAflTS pRE gEQTJIRED FOR EACS DWELLING UNIT.
owxEx: - 5 f
STPE ADDRFSS:
\/ ADD ON/REMODEL (FJIISTING
CONSTRUCPION ONLI) $ I5.00
INSTALLER: GENZ-RYAN HEATING HVAC: 0-100 M BTU C 24.OU?
PHONE #: 423-1144 ADDITIONAL So M BTU 6.00
ADDRESS: 14745 South Robert Trail GAS oUTLETS - MIWIMUM 1@ S3 FA.
CI1'Y: R semount ZIP: 55068 SURCHARGE S so
SIGNATURE TOTAL:
` U
COMMERCIAL
PI,EASE COMPLEI'E T$IS PORTION FOR ALL COMbtERCIAI/INDUSTRLAL BUILDINGS. AISO COMPI.ETE FOR
APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUII,DINGS WHEN SEPARATE PERMTTS ARE NOT REQUIRED FOR
EACH DWELLING UNTI'. ?
R'ORK DFSCRIPTTON: CONTRACf PRICE
196 OF CONTRACf FEE F'EES
STATE SURCAARGE IS $.50 FOR EACH
$1,000 OF PERhITP FEE
$
PROCFSSID PIPING - $25.00
MINIIMiTM FEE • $25.00
$
•
OWNER: TOTAL• ' $
STfE ADDRFSS:
TENAIVI':
SUTl'E #:
INSTAI.I.ER:
ADDRESS:
CTIY: ZIP:
PHONE #: CiTY SIGNATURE
SIGNATURE
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIF2ED FOR EACH UNIT•
NO. FIXT[JRES EACH TOTAL
SHOWER
0 3•00
_
3_ WATER CLOSET 3•00
00
3
G
-.2_ BATH TUB .
00
3 ?
?
LAVATORY • ..
? KTTCHEN SINK
3•00 ,
?
3
°"
? LAUNDRY TRAY 3.00 3
HOT TUB/SPA 3•00
I WATER HEATER 3.00
FLOOR DRAIN 3.00 3 ?
GAS PIPING OLTTLET • minimum • t 3•? ?
ROUGH OPENINGS 1.50 l
WATER SOFTENER 5•00
PRIVATE DISP. • Dak.Cry. lic. 15.00
U.G. SPRINKLER • home undec const. 3•00
ALTERATIONS ' to adsting 15.00
WATER TURN AROUND 15.00 3- 50
STATE SURCHARGE .50
TOTAL:
STTE ADDRESS: , n /
OWNERNAME: G'a .vsl•outj I o,.J
INST.
ADDRFSS: %D r?' ?T ?/' G'• 44z f 7 `
CTI'I': ?"?• O/a ?( _ STATE: /"),Ir..? ZIP CODE: rl UIP
PHONE #: (G/ 2 ) l?/6 - / ei'qG
1993 PLUMBING PERNIIT (RESIDIIVTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-
FAMILY BUILDINGS WHEN SEPARATE PERMTTS ARE NOT REQUII2ED FOR EACH
DWELLING UNTT.
_ NEW CONSTRUCTION
ADD ON
REPAIR
WORK DESCRIPTION:
CONTRACT PRICE:
FEE: i% OF CONTRACT FEE.
STATE SURCHARGE $.50 FOR EACA S1,000 OF F"!1' FEE.
MINIMUM FEE: $ 25.00
CONTRACT PRICE X 1%
STATESURCHARGE
TOTAL
SITE ADDRESS:
$
$
TENANT NAME: STE. #
OWNER NAME:
W STALLER:
ADDRESS:
CITY:
PHONE #:
STA1'E:
ZIP CODE:
FOR:
CITY OF EAGAN APPLICANT
1993 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 662 Hillside Dr
Lot: 5 Block: 2 Addition: Bur Oak Hills 2nd
PID:10- 15501- 050 -02
Use:
Description:
Sub Type:
Work Type:
Description:
Census Code:
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264 -4777
e- Windows/Doors
Windows/Doors-New/Replacement
House
434-
Applicant/Permitee: Signature
PERMIT
City of Eaan
Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes.
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Construction Type:
Occupancy:
$88.50
$1.50
Total: $90.00
- Applicant -
Owner:
James Anderson
662 Hillside Dr
Eagan MN 55121
Permit Type:
Permit Number:
Date Issued:
Permit Category:
0801
9001
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
Building
EA091775
10/26/2009
ePermit
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA163353
Date Issued:08/27/2020
Permit Category:ePermit
Site Address: 662 Hillside Dr
Lot:5 Block: 2 Addition: Bur Oak Hills 2nd
PID:10-15501-02-050
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 -
Miguel A Santana
662 Hillside Dr
Eagan MN 55121
Archer Exteriors
324 Concord Exchange South
South St. Paul MN 55075
(651) 775-7017
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA176347
Date Issued:05/12/2022
Permit Category:ePermit
Site Address: 662 Hillside Dr
Lot:5 Block: 2 Addition: Bur Oak Hills 2nd
PID:10-15501-02-050
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation. When a weather barrier is installed or
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 -
Miguel Angel Santana
662 Hillside Dr
Eagan MN 55121
Archer Exteriors
820 N Concord St Ste 106
South St. Paul MN 55075
(651) 493-4156
Applicant/Permitee: Signature Issued By: Signature