670 Hillside Dr? CASH RECEIPT ? ??
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
onTE 1 II J
? +? r' 19 r/
nEC,ErvEO
fROwf
AMOUNT $ ` ,----? & DpLLARS
loo
p CASH ?CHECK ?
-7G
FM 1
_ l
1 1 T-
BY
C 016261 Whte--PayeR?Y
Yellow-Posting Copy ?
Pink-File Copy
Thank You
SEIM,ER 8 WATER PERMIT . ' „
CITY OF EAGAN
3830 Pilot Knab Rd.
Eagan, MN 55122-1897
DATE NOV 19, 1991
? OFFICE USE ONLY
METER #? C?yy I Q S? PERMIT DATE i l/Zd/91
CHIP ? -7 PERMIT # 12386
METER SIZE S? h5 N S B P. RECEIPT # ?
ISSUE DATE ?-;? ? 9? B.P. RECEIPT DATE 11 19 91
X PRV _ BDOSTER PUMP
SITE ADDRESS 670 HILLSIDE DR
LOT 4 BLOCK Z SEC/SUB BUR OAR HILLS 2ND
APPLICANT:
ADDRESS:_
GITY, STATE
PHONE: -
COMM/IND YC_ RESIDENTIAL !
ZIP X NEW - EXISTING
PLUMBER: MCnoNat n Pi 4IF(B7N . RYST .MG ZNC
ADDRESS: 18271 KENWOOD TB
CITY, STATE LAKEVILLE MN ZIP 55044
PHONE: 435-3334
OWNER: MITTELSTAEDT BxOTAERS
ADDRESS: 785 S11NSET DR
CITY, STATE EAGAN MN zip 55123
PHONE: w?o-ylz9
PLE?iSi rA LQGV- T{Ir6_*OR NG DAYS AR PROCESSINC
SEWER PERMITS, CONTACT ENGINEERING DEPT. ,-
PERMIT REOUESTEO
X SEWER X WATER - TAPS j
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Credit WILL NOT be given for Deduct Meters.
I AGREE TO COMPLY WITH CITY OF
EAGAN ORDINANC
i-1/1
',Q n n - T-A A N, - I U m S NATURE ETER ISSU D
FOR INSPECTIONS. FOR STORM
'- , j ,ti / 1 • ?1''cnrTY?- f : f '
SE?ER &?i1.?1TER PERMIT
CIT OF'?E'7?GAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
DATE NOV 19. 1941
OFFICE USE ONLY
METER # PERMIT DATE 11 /ZO/91
CH1P # PERMIT # 12386
?
'1
METER SIZE B.P. RECEIPT #
ISSUE OATE B.P. RECEIPT DATE11 / 19191
X PRV - BOOSTER PUMP
SITE ADDRESS 670 HILLSIDC DR
LOT 4 BLOCK 2 SEClSUB BUR OAK NILLS 2ND
APPLICANT:
ADDRESS:
CITY, STATE
PHONE: _
ZIP
PLUMBER: -DO At_n P111YtgTN . SYSTFM4t1iC
ADDRESS: 18271 KENWOOD TR
CITY, STATE 1,AiCEVILLE MN Zlp 55044
PHONE: 435--3334
OWNER: MI'T'I'E1.STABDT SROTHERS
ADDRESS: 785 SUN3ET DR
CITY, STATE EAGAN MN ZIP _ 55123
PHONE: 456-9725
PERMIT REQUESTED
X SEWER X WATER - TAPS '
- COMM/IND _X__ RESIDENTIAL .
x NEW
EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Credit WILL NOT be given for Deduct Meters.
1 AGREE TO COMPLY WITH CITY OF
EAGAN ORDINANCES
SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT. ,
' CITY OF EAGAN NO 19892
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PERMIT PHONE: 454-8100 Receipt # Co (, I
To be used for SF DWG/GAR Est. Value $108,000
Site Address 670 HILLSIDE DR
Lot 4 Block 2 Sec/SUb. BUR OAK HILLS
Parcel No. 2ND
w Name MITTELSTAEDT BROTHERS
o Address 785 SUNSET DR
City EAGAN Phone 456-9125
, o Name _
:.
$? Address
? City -
us
w W Name _
¢? Address
aw City_
Phone
I hereby acknowlege that 1 have read this application and state Ihat the
information is correct and agree to comply with all applica6le State of
Minnesota Statutes and City of Eagan Ordinances I
Signamre oi
OFFICE USE ONLY
Oaupancy R-3 X--1 FEES
2oning R -1
(ACWaI) Consl V-N Bltlg. Permrt 668_ nn
jqnowaniel V-N 54 00
0 ol stories
Lengih
oevtn
S.F. Tolal
S.F. Footpnnts
On Site Sewage
On SRB Well
MWCC System
City water
PRV Required
Booster Pump
RPPROVALS
ABuildingPermitisissuedto: MITTELSTAEDT BROTHERS Pianner
on the express condition Ihat all work shall be done in accordance with all Council
applicable State of Mmnesota StawJtes and Ciry o( Eagan Ordmances. BIdg.Off.
Builtling Official tu?iA.Q„ILL I14,,Y Variance
Phone
Surcharge -
? Plan Review 434.00
52' SA0. Ciry 100.00
_ snc, Mcwcc 650.00
walerConn 660.00
waterMeter 95.00
X
x
AccL Oeposit 30.00
x S/w Permit 30.00
- S/W Surcharge .50
Trealment PI 276.00
Road Unil 370 - 00
- Park Ded.
_ Capies
- TOTAL 3,367.50
"_+ DATE: NOV 20, 1991
RE: 670 HILLSIDE DR (MITTELSTAEDT BROTHERS)
X Your Sewer 8 Water Permit for the above property has 6een completed. It will be held at the
Public Works Garage (3507 Coachman Road) until the meter is picked up. BE SURE TO
CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
_ Your Sewer & Water Permit for the above property cannot be completed for the following
reasons:
_ Your Sewer & Water Permit for the above property has been completed, but the meter cannot
be issued or occupancy allowed until furlher notice.
COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES-TELEPHONE, ELECTRIC, GAS, ETC.
- REOUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
98
0
' „d ?as4vs?
•
8
o
?,C?? ? ?
Request Date
? - Frte No Pough-in Inspeclion
Reqwretl
es L No
G Reatly Now?Will Notdy Inspeclar
When Reatly4
I hcensed contractor owner hereby request inspectwn oi above electncal work at:
ob Adore55 (SVeet Bax ar Raule Nod City
7b S d A ?
Sedion No Townsbi0 Name or No Ranqe No Counry
Occupanl(PRJNT)
1 - Phona No
Power Supplier Atltlress
z,
EleqncalConimctor(Company Name) Comractor'S 4cense No
_FiJ.J?e.? E"L?'?.?,r/?_??G ?Y
Matl?m.g?qrotl-rays's?iComraaor or owner Meking Ins?allatwn?/J ?/ ?j
Aut?onze ignalu ¢ ICO . Ctor,Owner Maiing In5lallalion)
????,....?.. P?On2 NUmber
tlllo
MINNESOTA STATE BOARp OF ELECiRICITY THIS INSPECTION REOUEST WILL NOT
Gnggs-Mbway Bltlg - Room S173 BE HCCEPTED BY THE STNTE BOARD
1921 Univeraity Ave. 51 Pavl. MN 55106 UNLESS PROPER INSPECTION FEE IS
Phone(6t2?64]-0800 ENCLOSED
REQUEST FOR ELECTRICAL lNSPECTION
? Sae insvuctio'W lor complaling tbis fonn on back oi yellow copy
"X" Below Work Covered by This Request
EB00001-OB ?
?,?"":'•,,? { ,
e? T.dd Rep - TypeofBmlding ApphancesWiretl EqwpmentWired
Home Range Temporary Service
Duplen Water Heater Electnc Heating
Apt Build?ng Dryer Other (Specity)
CommJlndustrial Fumace
Farm Air Condilloner
D:her(syeatyl CnnVactors Remarks
Campute Inspechon Fee Below:
x Other Fee # ServiceEntrenceSize Fee # QrcwtsiPeetlers Fee
Swimming Pool 0 to 200 Amps f? 0 to 700 Amps
Transformers Above 200 _ Amps ' 100 _ Amps
Sgns Inspaclor's Use Ony/ TOTAL
Irngation Booms
Speaal InspeCtion
Alarm)Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MO (
I, the Electncal Inspector, hereby R0O5n-'" ,
ceriify that ihe a6ove inspection has
6een made F,,,a] ? oeie
OFFICE USE ONLY ?
This request voitl 18 monfihs imm
1991 BUILiSI ?? LCATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS NfLI.TIPLE DWELLINGS COFAfERCIAL
2 SETS OF PIANS 2 SETS OF PLANS 2 SETS OF ARCHITECTRRAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCUTATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SfiT OF ENERGY CALCUTATIONS 1 SET OF ENERGY CALCS
OF RENTAL UNITS
# OF FOR SALE UNITS
pENALTY APPLIES RHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH RB(ZUEST IS MADE.
IAT GHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/NOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIREA. NO CRANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For: 51?roj_ rMvtLY
Site Address
Lot 'f Block a
Valuation: ? Date
OFFICE USE
Parcel/Sub &2 F/rt,-c, 2 AA-
Owner
Address
City/Zip Code
Phone
Contractor ?/?ti17?e?l)T f,^]!2-
Address 795 7?ey- l12o,/a
City/Zip Code E4&,4J /7.y vr,s'i 2 3
Phone !25?9/x?',
Arch./Engr.
Address
City/Zip Code
Phone #
Occupancy R3 M-
Zoning K-1
Actual Const Y- N
Allowable V-N
# of stories
Length 70 "
Depth 52.1
S.F. Total
Footprint S.F.
On site sewage_
On site well
MWCC System ?
City water ?
PRV _
Booster Pump
APPROVALS
Planner
Council
Bldg. Off. 5
Variance
lg,
FEES
00
U05
Bldg. Permit ,
Surcharge 54100
Plan Rev3ew Lis 100
SAC, City OLO eOJ
SAC, MWCC Sa,OJ
Water Conn. "O,oo
Water Meter 951
?
Acct. Deposit ,30,00
S/w Permit 0,00
S/W Surcharge Ifl
Treatment Pl. ,Zq(o,OD
Road Unit 3 0OO
Park Ded.
Trail Ded.
Copies
SUBTOTAL
Penalty
I,ot Change
TOTAL •? Q
Sewer ter Licensed Contr. ML!J A cG'N/?r.-7 ?
agrees that all wpTk shall be done in accordance with
(Signature of Contractor)
all applicable State of Minnesota Statutes and City of Eagen Ordinances.
i .. . +i ..:T •
b h
GARA&E'
c20? 22` Lic(.p
1o x2o? ?,?
&Yo x !s= g?,oo
.g ?
avx3? _ "7zo
? x19 _ a
?y xrz- Z8S
12 x3z? 38N
rqoo xty = 196aca
? ST :FLooy 1
gSr/ST = I 4 0 0
? xzy uz y?
?'?2 K 7Y2
1 y9 ? x ,?3= ?J8228
1 O'"7/w 2 0
-oi2 /aS,000?-
„
,.,
'`.
SURVEYQR'S CERTIFiCIRTE
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N 6g' ?$
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/
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s-
+4-- DENOTES PROPOSED SURFACE DRAINAGE
O DENOTES IRON MONUMENT SET
• DENOTES IRON MONUMFNT FOUND
X000.0 DENOTES EXISTING ELEVATION
(000.0) DENOTES PROPOSED ELEVATION
2V.
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30
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DEPT
NOTE: 84t.DING OIMENSIONS SHdNN ARE FDR FpRIZONTAL
AApiI?TEGTV41,. q,ANS Fdt BU dNG AE ?{ipINIGAtICr!
oiMENSaqs.
NOTE? NO 51"909C 90" INVEg71WT10N
I.OT 8?Y TME?S? R? 71TMS
1E
SUI7MILITY OF SO4S tp gtk4W
THE x'uiIC MOl!$E PIbP07E0
IS NfJI' TNE RtBPpNqrLRY OF
7HE SUMEYOq.
SCALE; 1 INCH -
PROPOSED GARAGE FLOOR -
PROPOSED LOWEST FLOOR -
PRpPOSED TOP-OF BLOCK -
?- AR, V R C?(0
30 FEEf
B 70, 3 PEET
8& z, b FEET
870, ? FEE7
WE HEREBY CERTIFY TO MITTEL$TAEDT BROS.CONSL THAT THIS IS A TRUE ANb CORR? C ??
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF•
Lot 41 Biock 2, BUR OAK HILLS 2ND ADDITION,acCOrdinfl ro the
reCOrded pfat thereof, Dakoto Counry, Minnesotp,
IT pOES NrJT PURPORT 70 SHOW iiNPROVEMENTS OR ENCROACHMEN7S, EXCEPT AS SHOWN. AS
Sl1RVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 13T11 DAY OF NpVEMBER , 1991.
PROPOSED GRADES SMOWN WERE TAKEN
FAOM THE GRADINO,DRAIN,4pE d
EROBION CON7ROL PLAN FOR 8UR
? OAK MILLS 2ND AOD., LAST
DATED e-a-ee
y
m m r <p p W O 3l r. O
pm ?m A p T i o [_>
O pz O
?
? v
a'
A->.+
m
Z
m p Z ? y Z ? m
O m
Y
JOHN C. LARSON, LAN SUqVEYOR
MINNESOTA LICENSE NUMBER 1982$
James R. Hill, inc.
PLANNERS / ENGINEERS / SURVEYORS
2500 W, CTY. RD 42 a BURNSVILI.E, MN. 55337 0 612-890-8044
ES.8. HILL, INC.
c
DATE / /S 4/
EATERIOR ENVELOPE AVERAGE "U" COMPUTATION
OWNER T?16 L"#Nt.-t0 Pj
SI2E ADDRESS
CONTRACTOR M1 TTE LrisTM E I]T l.l fi/ITLf m/L/, LEi_.y .&TILtt_TW.) I N[..
ADDRESS_'] $ S St c.cT &A. ?R4fiw.? PHONH yllD
? 411. ti
DETERMINE WORRIRG SQUARE FDOTAGE OF EACH. -_ l
1. Total expoaed wall area ... pZ,?j, 3 aq: ft. z
'i .11 ???[333•?/
2. Total roof/ceiling area ... /y 7$, D s4. ft. x•026
? -
Total exposed wall area abova floor °
a. Total wall aindow area ......................... 2 9G.9
b. Total door area ................................ 2kq,'4
c. Total sliding glass door area ................. L 3.le
d. Total fireplace wall area ...................... O
e. Total wall framing area (average lOx) .......... 10 2. 7
f, Total net wall area above floor ................ ? Q q 2, 2
g. Total rim joiet area .......................... 31.1,2.
Total expoaed foundation area
h. Total foundation aindov area ................... //. 3
i. Total net foundation area above grade .......... 1G0. D
Determine "U" value of each vall segmene.
g. 234.9 x„oll . y2 - 107. q
b. 34, y xloU,t
C. G3.? x„ut?
a. o xllnot a - o
e. 302 .'7 z'fu" ,1( - 33.3
f. I!J91-2 x„U" dy3y - 82. 1
g. 34t ?. 2 x,fUlt , o H y
t,. If. 1 x I,??f A/ 7 . y.7
i. zIfull
3 . ...............................Total
If item 63 is the same as, or leas than item'A1; you hava met.the intent
of SBC 6006 (02.
-1-
??tj.. c \.? a. . "_ _' _.
Total exposed roof/ceiling area - /y17 g
J. Total skylight area ........................... p .
k. Tatal roof/ceiling framing area (average 10I).. q?, y
1. Total net insulated roof/ceiling area .........
?etermine "U" value for each roof/ceiling segment.
.i • 1) x "Ull ? a
k. _ 92 S/ X nvrr .02 SS ° 2, y
1. /-23 gS G z,?U" . axr 8 - '?.1
4 ....................................... .Total
i
- --?
If tatal of 94 is the same as, or less than 92, you have met the intent
of SBC 6006(c)1,
Alternate Building Envelope Design
To utilize the total envelope system method, the values eatablished by
the sum of items A3 and B4 shall not be greater than the aum of items
dl and b2.
.
I. `
.,._ ? + 2.
3. + 4• s
-2-
Ci 1 Y 0f EAGAN 4RD
_ ? 31?9a 3830 PILOT RNOB &OAD
EAGAN, MN 55122
PHOttE: (612) 454-8100
?iECHANICAY:'=<Y?RMIT
FOR CITY USE ONLY
PERHIT #
RECEIPT #
DATE: ?
,..
?ID8AITSAL:': PLEASE COMPLETE IIPPER PORTION ONLY FOR SZNGLE 1
? : :.. ....... ::..... ... :... .
TOWNHOMES/CONDOS L7HEN PERMITS ARE REQUIRED FOR EACH UNIT.
------------------------- ------------ ---------------------------'
WDRK DESCRIPTION
NEW CONST V
ADD ON _
REPAIR _
OWNER NAME: Ih /7WS7?/?o?7- ?,?QC• LU?US?
SITE ADDRESS: ?/I /D ???5/Q?iU ??l'71/ .
IAT:41 BIACK C? SUBD. ?W IJ?{Il
INSTALLER:
BurnsVllle Heating & A/G, inc.
ADDRESS: 194$1 Rhode Island Ave. So.
Savage, MN 553`/1177-
ctxY: ?s?005
PHONE #
FEES
DWELLINGS &
ADD-ON MINIMUM $15.00
HVAC 0-100 M BTU 4.00
ADDITIONAL 50 M BTU 6.00
6AS OUTLETS - MINIMUM
OF 1 PER PERMIT
SUBTOTAL: 7 00
STATE SURCHARGE: 0
TOTAL: $ a7•SU
?? vJ
SIGNAT'[JRE OF P^RMIT EE
C03MERCTALjiNDUSTRIAL; PLEASE COMPLETE THIS PORTION FOR ALL GOMHERCIAL/ZNDUSTRIAL BIIILDINGS,
?APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDZNGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLINC IINIT.
-____----- ___--------- __-_------- ______-_____--____-
CONTRACT PRICE:
OWNER NAME: _
SITE ADDRESS:
IAT: BIACK _ SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
YHONE
FOR:
CITY OF EAGAN
FEES
18 OF CONTR4CT FE£.
STATE 5U$CHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
PROCE5SED PIPING - $25.00
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18 $
STATE SURCHARGE $
TOTAL:
$
(SIGNATURE)
CITY OF EACAN
3830 PIIAT KNOB ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
COMPLETE THE FOLIAWING:
N0. FIXTURES EA. TOTAL
ADD-ON MINIMUM 15.00
/ SHOWER 3.00 3 -_
? WATER CLOSET 3.00 4-
? BATH TUB 3.00 ?
? LAVATORY 3.00 ?
? KITCHEN SINK 3.00
/ LAUNDRY TRAY 3.00 ?
? HOT TUB/SPA 3.00 ?
/ WATER HEATER 3.00 Q?
/ FLOOR DRAIN 3.00 .?_
GAS PIPING OUT.
/ (MINIMUM - 1) 3.00 ?
? ROUGH OPENINGS 1.50 Y- 5-0
OTHER
WATER SOFTENER 5.00
_ PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
SUBTOTAL S y3 sa
ST. SURCHARGE .50
PLEASE COMPLETE UPPER PORTZON ONLY FOR SINGLE FAMILY DWELLZNGS &
TOWNNOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNZT.
WORK DESCRIPTION
NEW CONST ?
ADD ON
REPAIR
OWNER NAME:
SITE ADDRESS: h /U ff „/1
LOT:+/ BLOCK oZ SUSD.
INSTALLER: L
ADDRESS:
CITY:!
PHONE #: -? ?
ZIP:
/?j$tG?NATURE ?F' PE`RMITTEE TOTAL: $ /-J[f r,
? 9
COHMERGiAL?iNDUST$IAT-? PLEASE COMPLETE THIS PORTION FOR ALL COMMERGIAL/INDUSTRIAL BUILDINGS AND
Y MULTI-FAMILY SUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:_
IAT: BLACK ,
INSTALLER:
ADDRESS:
CITY:
PHONE
FOR:
CITY OF EAGAN
ZIP:
SUBD.
FOR CITY USE ONLY
PERMIT #
RECEIPT #
DATE: SFEES
1$ OF CONTRACT FEE.
STATE SURCHARGE _ $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 1%
STATE SURCHARGE
TOTAL:
(SIGNATURE)
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
COND05 WHEN PERMITS ARE REQUII2ED FOR EACH UNTf.
NO. FIX1'URE5 EACH
SHOWER 3.00
'
'vV TER i.L?SET
?
BA UB 3.l1L'
.00
3
3? ?
LAVAT 3.
_L
KTTCHEN S •00
LAUNDRY TRA 3.00
HOT TUB/SPA ? 0-k-,- 3.00
WATER HEATER 3•0
FLOOR DRAIN v?9 3.00
_
GAS PIPING O • minimum - t ?
ROUGH OP GS 1.50
:L'ATiR . Er:E:t S.CuJ
PRIV DISP. • Da1cCry. tic. 15.00
LJ ER • me under const.
ALTERATIONS ' to austing ? 3•00
15.00 /,S . 00
?'ATER TURN AKUUND 15.00
?-
STATE SURCHARGE .50
STTE
OWN
CTI'1': Z-4?'??STATE: ??G'f //'?I.
ZIP CODE: 250 PHONE #: uz? S ?3 ?-
?7?-/ ?i?- 93 L e w e-• l avz ?,f3a f? ? r.r l P6?d? ,? ?
V
ATURE 0 ERMITTE
1993 PLUMBING PERMIT (RESIDENT7AL)
CTfY OF EAGAN
3830 PII.OT KNOB RD
EAGAN MN 55122
(612) 681-4675
TOTAL: . ;? ?
PLEASE COMPLETE FOR ALL COMMERCIALIINDUSTRIAL BUII.DINGS. ALSO FOR MULTI-
FAMILY BUILDINGS WHEN SEPARATE PERMTTS ARE NOT REQUIItED FOR EACH
DWELLWG UNTT.
_ NEW CONSTRUCTION
ADD ON
P..?„DA:P.
WORK DESCRIPTION:
CONTRACT PRICE:
FEE: 1% OF CONTRAGT FEE.
STATE SURCHARGE $.50 FOR EACH $1,000 OF P??' FEE
MINIMUM FEE: $ 25.00 "" ' ' "
CONTRACT PRICE X 1%
STATESURCHARGE
TOTAL
SITE ADDRESS:
$
$
?..*J?'N'T :`:?.R:E•
OWNER NAME:
INSTALLER:
ADDRESS:
CITY:
PHONE #:
STATE:
ZIP CODE:
FOR:
CI17' OF EAGAN APPLICANT
1993 PLUMBING PERMIT (COAMII2CIAL)
C1TY OF EAGAN
3830 PII.OT KNOB RD
EAGAN MN 55122
(612) 6814675
L q gL CITY USE ONLY
/'J cv {
SUBD. ?.lU'(' ?'?LT'1 ?i l I GJ ? n?"
RECEIPT #:
RECEIPTDATE:
PERMIT# ? 1 f -1
2000 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PIIAT [@IOB RD
EAGAN, LMI 55122
651-681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinklersystem
FIXTURES
EACH #
TOTAL
Alterations to existing dwelling - minimum fee
Describe: $ 30.00
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
Gas pipin outlet ' minimum -1 3.00 x = $
Hot tublspa 3.00 x = $
Kitchen sink 3.00 x = $
Laund tray 3.00 x = $
Lavatory 3.00 x = $
Septic System nrewlrefurbishad • requires MPC uc. 75.00 x = $
Septic System abandonment 30.00 x = $
RPZ new installation/repaidrebuild 30.00 x = $
Rough opening 1.50 x = $
Shower 3.00 x = $
Underground sprinkler ir dweiling is under conswaion 3.00 x = $
Undergroundsprinkler if existing dwelling 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x = $
Water softener If dwelling under construcdon 5.00 x = S
Water softener if exlsting dwelling 30.00 X = $
Water turnaround 30.00 x -- = S
State Surcharge .50 -? --> -> $ .50
TOtal -' -' --' ---' $ ?
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
---------------••---...-•-------------- ---•-----------------------------------------------------••---._..__..._
1 hereby arknowledge that I Pave read this application, atate that the information is correet, arM agree to comply with all applicable Ciry of Eagan ordinances.
It is the applicanl's responsibiliry to notify the property owner that the City of Eagan assumes no liabiliry for any damagas caused by the Ciry during Its
vitfes to the facilities wnstructed under this pertnk wkhin Ciry propertylright-of-wayleasement.
normal operational and maIM
SITE ADDRESS:
NER NAME: : tx`/[v JI'IYh7??LF' TELEPHONE #: ??`SZ"• ? ?--1"
OW
' (AREA CODE)
INSTALLER NAME: TELEPHONE #: CQf?-.,/ (? 3
(AREA CODE)
STREET ADDRESS:
CITY: 67K STATE: /$ ZIP: CS
SIGNATURE OF PERMI E
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 670 Hillside Dr
Lot: 4 Block: 2 Addition: Bur Oak Hills 2nd
PID:10- 15501- 040 -02
Use:
Description:
Sub Type: e- Reroof
Work Type: Replace
Description: House & Garage
Census Code: 434 -
Zoning:
Square Feet: 0
Comments: P
Fee Summary:
Valuation: 3,000.00
Contractor:
ctures are not acceptable in lieu of inspections.
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total:
Applicant/Permitee: Signature
Construction Type:
Occupancy:
Owner:
Konstantin Kotovskiy
670 Hillside Dr
Eagan MN 55121
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$88.50 0801.4085
$1.50 9001.2195
$90.00
Building
EA077750
05/15/2007
ePermit
- Applicant -
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
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA165093
Date Issued:10/19/2020
Permit Category:ePermit
Site Address: 670 Hillside Dr
Lot:4 Block: 2 Addition: Bur Oak Hills 2nd
PID:10-15501-02-040
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 -
Konstantin Kotovskiy
670 Hillside Dr
Saint Paul MN 55121--235
(651) 331-1150
Excel Exteriors Inc
6230 10th Street N, Unit 420
Oakdale MN 55128
(651) 414-0919
Applicant/Permitee: Signature Issued By: Signature