674 Hillside DrNacnvm Fm vMAe
rHVm ERAIZ-cx?686-643e (W)e85-7187
(gtr#ifira#t uf (Orrupanry
titp of eagan _
Ervwammt af sutdam iwtriim
Thls Ctrtificcue irsu?d pursaant to tAg rrquirements of Section 306 of the Untform Building
Code certifying tlrar eu tlte iime of iuuance rlris strrecrure was In compliance witli rJre Fwrious
ordinartees of 1he Crty regulatixg building construcAivn or usv- For the followixg:
? SF ? R3/M ? ? ? R? n`' ?t ? 1?8T51
o*-« d souis IC7P VALUE t?'.S A&k= 14870 GANAM A4B, AML V
Bui)ft A A? 74 HILLSIIE DRIVE Locaty L3,1B2, BUR QAK I= 7sID
POST IN A CONSPICUOUS PLACE ,
- . • . INSPECTION RECORD
CITY OF EAGA ?"pNpwNM PERMIT TYPE:
3830 Pilot Knob Road 38 (W)?PeRnit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: tOT, 3 Hi OI; k , ., APPLICANT:
r>f.1 Hyt tsror OR '1hP vni.uF HawES
RiM nAK MtlLS :Np (617) Vit•-2222
PERMIT SUBTYPE:
, I r?w.,!_0
TYPE OF WORK:
Control No. 1
b?U 11.1? [ M?i
•?LNbI
12f??j9?
?
INSPECTION
t???? i i ra?? .. .
i?anM i r?+?+ ..
1
IN5l.It AT I?N FINA!
F 1HfH1 ACf" '
ittMlARlc S : RFCE Ft'"1 0
PRV 5 & 4 CQMfiRACTAR -- MCDERMOtT P11314i
Permft No. Pormlt Naldsr Oae 7tNphone N
S/W
PLUMBING
HVAC
ELECTRIC
ELECTRIC
knspwtlon DaM inop. CanmeMs
Footlngs I
Foundetion
Framing
Rbofing
Fta+9h Ptb9•
Rough Htg'
iskii.
Fmpkm c -.'
Fnel Htp. ? L
J
Orsat'IisBt ?t It
Finel Pbg. Plbg. Irspecta - Nolify PlumGer
Con9t. Meter
Engr./Plan
Bldg. Ftnel
Deck Ftg.
D,& FinW
weli
Pr. Diep.
r/i' I
2
Address 674 t1ua.SIDE nzuvE Zip 55121
Lot T5 Blk 2 Sub aut oax tmLS 2rm
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date:
02/18/93 Yes No Inspector:
Final grade (6" From siding) ?
Permanent steps (garage) ?
Permanent steps (main entry) ?
Permanent driveway
Permanent gas ?
Sod/Seeded grass ?
TtaiUcurb damage ?
Porch ?
Basement finish
Deck
Please verify with the builder the removal of roof test caps from the plumbing system and the shuhoff of water supply to
the outside lawn faucet before freeze potential exists.
Contact engineering division at 651-4645 before wnrking in righbof-way or installing underground sprinkler syslem.
White - City Copy Yellow - Resident Copy Pink - Contracror Copy ?
REQUEST FOR ELECTRICAL INSPECTION
? Sea mswclions lor compleUng iM1is lorm on back ol yellow copy
d 3 9 8 7 9 'X"6elow Work Covered by This Request
EB.00001-08
ew Add qep Type0f8uilding AppliancesWired EquipmeniWired
Home Range Temporary Service
Duplex Water Heater Electnc Heating
Apt.Bmlding Dryer OtheF(Spacify)
CommJlndustnal Fumace
Farm Air Conddioner
? Olhermyectyi Gon!ractor5 Re
Compute Inspection Fee Below: '"an's-h SJi ,Unl SL
N Other Fee # ServiceEnlranceS¢e Fee # Cvcuns/Faetlers Fee
Swimminq Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above 100 - Amps
Signs mspecmr's uu Onry. T
pTp,
Irrigation 6oom5 ?
?? p?
i
Special Inspechon
niarm/Communication THIS INSTALlATION MAY BE ORD ISCONNECTED IF NOT
Other Fee COMPLETED WITHIN YB H5. !
I, the Electrical Inspector, hereby
a?e Ir??
Rough-in mp,
certify that the above inspection has
been made. F,nei oe?e
OFFIGE USE ONLY
Tbis repues[ voitl 18 monihs Imm ?
?
nM 0 ?sy5o
i/
i
qeQUest Date
/O Frte No. Rough-in Insp wn
? Reatly Now ?II NatAy Inspedor
Wh
R
tl
'+
Ves G No en
ea
y
10 licensed contractor 0?cwner hereby request inspection of above electrical work at:
Joa?s IS eet BoM ar ? te ' ?
J I
i Ciry
e
S
SecOOn No Town5ho Neme or No Ranqe No Cowty
Occ ntIPRINT
'j Phone No
ii/
Power $uOPiier ACEress
Eiecmcal Gon ac ? ICOmOany Name; ConVector's License No
? r)? ea wng- r'
Maihng Atltlr t ontraqor or Owner Makmg Inslallatwn)
00 ?qe--
A rze ignaWre IC nnac?o?? ner M Installationl Phon9? ber
6 6 -d4??
MINNESOTp STATE BOARD OF ELECTRICITxe y 5?? • THIS INSPECTION REQUEST WILL NOT
Griggs•MlEway Bltlg. - floom 5•173 ? BE ACCEPTED BY THE $TATE BOARD
1821 Univarsiry Ave, St Paul, MN 55100 ///??? ??Ai'5b UNLES$ PROPEP INSPECTION FEE IS
Phom (612)662-0800 ENCLOSED.
., u G /0 8 9R5
i a/V-
z /
-
FeQ est Date
/? Fre No Rough.n Inspecnon
Reqwretl'
? Raatly Now jVlNel Notity Inspectw
R
W
,
Yes ? No hen
eatly
I-Xlicensed contractor ? owner hereby request mspection ot above electrical work at:
Job Atltlre4s (Slreel Box or RoWe No
6 ?
n Ciry
GT
? ! 47a
Sectian N. Township Name or Na Raige No Coun
Occupan?IPFINT? /
? VQ?ue Phorie No.
Power SuppLer
//S P qptlress
Elecincal ConVactor ICOmpany Name)
.? lec?i- c -Z-hc CqnVactor5 L'cense No
C'Ao 111`3
Maihng ACtlress (GOmraMOr or Owner Making ins?al Vo 1
,,,I s41,le
?? C
a oa ?
?ne
f
Authonietl Signal re o <IOnOwner Installation) Ppone Number
y.s's-= 3?? b
MINNE50TA STATE BOARD Oi ELECync1TY THI$ INSPECTION REOUEST WILL NOT
Grigga-Mltlway Bltlg. - Room S179 BE ACCEPTED BY THE STATE BOARD
1811 Unlvenity Ave., SL Paul. MN 55104 UNlESS PROPER INSPEQION FEE IS
Pfwne (612) 6C2-0800 ENCLOSED
? REQUEST FOR ELECTRICAL INSPECTION eeooomaa
? See ms?mc0ons lor completing tM1is brm on Eack of yellow mpy. 9 9 5
K 3 6 6 2 ^X" Below Wdik?Covered by This Request N.;?.
ew Adtl Rep TypeofBuilding ApplianceSWired EquipmentWired
Home Range Temporery Service
Duplex Water Heater Electric Heahng
Apf.Building Dryer Other-(Specdy)
- Comm./Industnal Fumace
Farm Air Condiiioner
ONer (ryecityl Conlractor's Remarks,
Compute Inspection Fee Below:
# Other Fee # ServiceEnlranceSze Fee # Circuds/Feetlers Fee
Swimminq Pool 0 to 200 Amps /S O 0 t0 100 Amps Q
Transformer5 Above 200 _ Amps Abo 100 Amps
Signs Inspect«s use oniy TOTAL ?
Irrigation Booms
Special Inspection
AlarmlCommunication THIS INSTALLATION MAY BE ORDERfDAISCONNECTED IF NOT
Other Fee COMPLETED WITFIIN t OAITHSv'/?
I, the Electrical Inspectoc hereby _a
Rougn-'"
ata
certiry that the a6ove inspection has
been made. Final te
OFFICE USE ?NLY
This request voitl 18 montns lrom
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Constructbn PeaulremeMs
• 3 reglstered sAe surveys ahowing sq. tt. of lot, sq. N. ol house; enG all moted areas
(20°k meximum bt Covetege allowed)
. 2 copies of plan showing beam & wcMOw s¢es; poured found design, etaJ
. 1 set of Energy Calculailons
• 3 copies of Tree Presenanon Plan n rot platted atter 7lt/93
. Rim Joiat Detail Optbns seleclion sheet (bklgs wah 3 or less uniGC)
DATE CP f I'O ?O Z
1?3."ls
BemodeUHeoair Aeaulremente
. 2 copies W plan
• 7 set M Energy Cakulatbns Mr heated addlfians
• 1 sAe survey lar eMerior atld0bns & tlecks
. IndicHte if hOme 89rv6tl by septiC sy5tem for aCd'Ahns
VALUATION J ?06
SITE ADDRESS ( all 41 II S 1 de Dr f Up, MULTI-FAMILY BLDG _ Y
NPE OF WORK Neck) 'PoO t- FIREPLACE(S) ?0 _ 1
APPLICANT
STREET ADDRESS
TELEPHONE
/N
_2
21P, 5"?' 510
PROPERTYOWNER A A a .0 L) IK.W,1 etSlLti y TELEPHONE#rp5l ?T(p7Oq
----------------------°------°---°-----°---------°-----° °---°--------------------------
COMPLETE THIS SECTION FOR MNEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNFSOTA RULFS 7670 CA1'EGORY 1 MI
(J submission type) • ResidenGel Ventllation Category 1 Worksheet Submittad •
• Energy Envelope Calculations Submitted
Plumbing Confractor: Phone #
Plumbing system includes: Water Softener Lawn Sprinkler
Water Heater _ No. of R.I. Baths
? No. of Baths
Mechanical Contracfor:
Mechanical system includes:
Sewer/Water Conhactor.
_ Air Conditioning
_ Heat Recovery System
I hereby acknowledge ihat I have read this application, state that the
wiTh all applicable State of Minnesota Statutes and City of Eagan Ord
Signature of Applicant
JUN 11 2002
IS
OFFICE USE ONLY
Phone #
Phone #
Fee:
Fee: $70.00
comply
Certificates of Survey Received ? Tree Preservation Plan Received _ Not Required _
ucdBtaa 4102
OFFICE USE ONLY
? 01 Foundation O 07 05-plex ? 13 16-plex O 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace O 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex O 09 07-plex ? 17 Garege ? 22 PorchlAddn. (4sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 38 Mutti
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Yor_ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
O 32 Addition ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair
O 33 Alteration O 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
O 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Boaster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type af Const W idth
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaUC.O.
_ Footings (deck) _ FinallNo C.O.
_ Footings (addition) _ Plumbing
Foundarion HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ RI. _ Air Test _ Final _ Windows (newlreplacement)
_ Insulation _ Retaining Wall 1
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Building Inspector
,* 2422 Enterprise Drlve
Mendota Helghts, MN 55120
PlONEER ' (stiz) sa?-iaia?Fax eei-saea
y W7? SURVEYORS - CIViL ENCINEERS
*eing nee r e+g Lµ4 PLANNERS. LANOSCME ARGiI7ECT5 625 F{ighwCy 10 NOrthCast
* Blolne, MN 55434
(612) 783-1880•Fax 783-1883
Certificate of Sur-vey for: TOp. VC1I U 2 H OI'1'1 eS. In C.
House Address: Hlilside Drive. Eagan. MN
`
,
G???• ? eo9•9 \, ?-
o
?' ar,??\\o?\ \
N
LP
,` ?,s ? oq kA \ ? ?' ?
? 6, 11 • ? ?'9? / / ?fj?b
1\ ? ? r ?fa 8?Q•?? \
ti, ? W $71%?j ? ? •,os
? ?•J ?£ ?
?p W.O
? N, `• l, ? y9 0"? „ E .
• ??
D V?.J AJ(
EA GA.Id ENGINEERING DY'PT
` AY_._.
?
Z`1- ?.
: r ?o?ayo ?F?s",{rU?
DenoL x 9?? Danntes Proposed'Ele a'tion PRQPQSED HOUSE ELEVATION
--- Denotea Drainage & Utility Easement Lowest Floor EIevation;865,05
-- nenotes Droinage Flow Direction Top of Biock flevation:873;16
-o- Denotes Menument Garqge Slab Elevation:872.83
---e- Denotes Offset Hub 8earings shown are assumed
LOT 3, BLOCK 2 BUR OAK HILLS
i hcreby o.«;rY that tni?wKv?oy planQorrieo rcM?sNPEep? ed b.. -2? ?,?TI O N
? rv s o aud cliec fam Uuly Reyi?tored Lind Surveyor
under the laws of the Stete o( MlnnesaU. Oeted ehif ?A daV Of A.D. 1y Z J
ncn= 5( )teet
,
? 9i1H3.03
- - - - - - - - - - - - - - - -- - - - - - - -- - - - - - - - - - - - - - - - - - - - - - -
';?f ,OF EAGAN
39..?'Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
B uzi.olivr.,
0 ih l 8 51.
12192/92
SITE ADDRESS:
67a litLLsiDt uR
I_(1T: 3 RI.QCK: 2
EUFi OFlK Fi1LLS 2ND
DESCRIPFION:
J/
? BuiJ.dinci Permi.t: TYPe
Bi.iildirig".Wor4c l"yne
UeC nccuparic,y
Construction T,ype
Zoning
i3uildiiig Lengrh `
Building WidLh `
E'ua7.rJinq st'ariES,,
:i
SF DWG
NEW
R-i M-1
V-N
R-1
50
5@
2 _,
_''?.???7 ?t??;l (?;,,?L? ?_?ti`7?; ??'..".Ll:.: ?1
REMARKS:
R E ce:l P'r # eD'? jg'6-T PRv
9 & w r.ONrRNC-ruR - ricnERMorT aI_er
FEE SUMMARY:
VALUAT,T.ON $93,000
Pase Fee $6 0 8e0 0 Mi 7:SCELLAIVE0 US .610 .50
Plan Review 139S.20 Tota.L Fee $3,360.20
Swrcharqe $46.50
SAC $700 , 00
SAC o 168
SAC U'lLts 1
5u6tota] _..__._...,_..$1.749.70
CONTRACTOR: - apQ i icant - s r. ? ? cOWNER:
TOP VALUE HOMES 14312222 000A572 TOP VALUE HOMES
7,q870 GRANADA AVE 327 14870 GRANADH FlVE
APPI.E VALLEY MiV 55924 APPLE VALLEY MN 55120.
(612) 431-2222 (512)431-2222
?
:i 27
I heraby aoknowledge that I have i•ead T.his applicaT.ian and state that the
intorrrisrion is correct and agree to comp.Cy w3th al]. applicab.le SCate ni` h1r7.
Stat'utes and Gity of Eagan Ordinances.
A PLICANT/PERMITEE SIGNATl1RE ? ISSUED Y SI? CjD-Af-U R E
Control No. 13JC 2
PE`MIT #
RE,P-IVqtE _
CITY OF EAGAN
1992 BUILDING PERMIT
681-4675
APPLICATION
REcn
c P . Q , " 1 I h
?
SINGLE 6 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 Valuation of work
Site Address: I,'1 ? W?-'/???--
STREET SUITE N
Tenant Name: (commercial only)
LOT ? BIACR 7 SOBD.,(II?T? `
d/ P.I.D. N
Descri tion of work: 1?e 12_
The applicant is: ? Owner Contractor ? Other coeg«tbe>
Name Phoiee
Property LAST FIRSi
Owner
Address
STREET SiE 1
City State Zip
Company Phone Z Z
Contractor Address License Exp.
City , &'-2 G cU??? Z
State Zip S %
Company ?r`'?- - ? C? ??"' Phone
Architect/
Eng(neer Name Registration ?i
Address
City State Zip
Sewer 6 water licensed plumber Processing time for
sewer d water permits is two days once area has een approve .
I hereby acknowledge that I have read this application and state that the infarmation 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
P 02 SF Dwg.
0 03 SF Addition
D 04 SF Porch
? 05 Sf Misc.
? 06 Duplex
? 07 4-Plex
? 08 S-Plex
? 09 12-Plex
? 10 Multi. Add'1.
O 11 Apt./Lodging
? 12 Multi. Misc.
? 13 Garage/Accessory
? 14 fireplace
? 15 Deck
WORK TYPE
11 16`Irahment Finish
O 17 Swim Pool
? 18 Comn./Ind.
? 19 Camm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
p 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish
O 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. Jz 00 . MWCC System
(A1lowable) Vltl lst F1. sq, ft. ? City Water ?
UBC bccupancy -3 M-/ 2nd F1. sq. ft. PRV Required ?y-
Zoning - Sq. Ft. total Booster Pump
I of Stories 2- Footprint Sq. ft. Fire Sprinkler
Length SO On-site well Census Code
Depth 5-0,3 On-site sewage SAC Code
APPROVALS
Planning Building Assessments
Engineering Variance
REQUIRED IN SPECTIONS
? Site 0 Footing ? Framing ? Insulation
? Wallboard ? Fi nal ? Draintile ? Fireplace
Permi t Fee vewocia,: g y 3 600
Surcharge
Plan VteW
?
""
'?
License
MWCC SAC -
-
City $AC -2 kXzY -67z ??yy
Water Conn.
Water Meter 1z0Dk ?? ?? ?,^
Acct. Deposit ?°?" 9
S/W Permit
?z,r ay : ?z8 r
z 3? z
J
S/W Surcharge
Treatment P1 D08
.
Road Unit ?o x z = zo
?
Park Ded. izS`Gks3 = t?? S68
Trails Ded. ?----
Copies
Other
Total:
sac x
sac un;ts
.
?
?
.
. ?
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r.,, "j'ri?.,t7. _ , rt'i rir:l g:1-_-5!>:, ino;- er e:a.., , . .. . ..e .. 77.7722
t::!. 1-of'al F:r'c;?7.:;c::ei .:trea ..,.u,,,..,..,.,,......„ 0
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?:. i:'?1'.?ll. 'fi _.if. i'CiriE:?f'_°: l2;',Cl r'Y'i%(i`.. Z:l . ".F.ci, . .. .. 129.0
7„ '-ntei r,r.=+ ;1<.it i-c:r,,f/r_-r-i1i.^.:x •arr:ra ......,..., 1163.2
DC.'{'3.,rm7fi% U" .,./..i'SLtfE' rC1"' e;:;C1't rqOfi:1C!. E;'.1mE?t't.
31, 0 : W. 0 - LY
, 1 ^", c_. "! I^ 0.026925 3.494884
`, l.l;:,O,.. .. 91u i,.0;_,_ •-?->T._ - 26.62869
7 .....,,, . ... ..,,, . ,-. ,,....1., ,. ....,. .„ .,, ,'I'r)4'EZ],
':i), 12356
11 1tti;fq :N:? 1. Fl 'C.hc: 'ii.omE3 :o<-i r.,,. 7 x:.c:c' i"!'2(9„ :.'c:BfMl #s'. `;/r:r1_r 'r}:;.'`!Ci IfIE'F thp
.::neray _ rr?d.: a..,, ,_ _AI..: 1.16000 ;? i" 1.
fl FI,.IJ C
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_
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(av.i. 10i:).
(>.
p, ?!:i'?'.,.... I,h{,i= l f-(!>_,.lc tpr•_ f l'7o:'"7Ci.tl'k.. _.r!_i,a.. . . ., .. ,. 6.3
O_::}r,Y'fti1P15., "I!" •,}1':.t.At:' ioY' E? iAC_f"i f3nor.•'c:aant. `aecament.a
r:a. 0.7 ,"t 1" 0.064144 = 0.044901
p. 6.3 , "U" 0.029386 = 0.185131
........
3- ... . ..................."fcr{-,a1
....
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4..2;_1.,.1
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n_-.i: 7.Y-F::u_Ld,",vCI {-lnr_Y'/C::::1-it. tires.,....e ._.S
Deter-minr_. "f!" ;.lu,r,> i=c.-,i•. ,_ch Flc.ir.,r,'car,t.. segment.
Q. c;,:' ,. "W" 0.057432 = 0.4:0?'i94
i-.. _ ??;..9 x i:U" 0.027994 = 2.05E577
i v n?? ?t ? n u. a n .u.• a n u n n u v u u? c v a i u e u u u c e I oti 1 4.529571
If ?.'k.s.=,(r: i?'-'r i.- --t5-_:, .3:a.!'Yi' Cx:-: .... 1eE° j-F1<3t1 7.{'r;(1'i 04 .rnu f1=,.='r' met t.he
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Vl=if_4;t:.: r':Elif.iil'•I =?PiO l"'-iAI 3'FiC: `.?`_ !:L.T?lNt:: ; IcCl4c zyE'cqCF':L-t[D h4EETS C1R EXGFEDS
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LOT BIIRVEY CBECRLIST FOR REBIDENPIAL
BDILDIIJG PERMIT 71PPLICATION
? ? PROPERTY L8GAL0
? l
Date of 8urvey: `L
DOCOMENT BTANDARDS
0'?
' 0 • Registered Land Surveyor signature and company
'¦
¦
? 0 • Building Permit Applicant
0
0 • Legal description
0 e ll • Address
0 • North arrow and bar scale
[? 0 ? • xouse type (rambler, walkout, split w/o, split entry,
lookout, etc.)
[YiCi
" 0 • Directional drainage arrows with slope/gradient H.
0
0 0 • Proposed/existing sewer and water Bervices
D' 0 0 • Street name
0`0 ? • Driveway
BLSVATIONB
Exfstina
? 0?? - Sewer service
0-' ? ? • Lot corners
L' 0 13 • Top of curb at the driveway
Q? ? 0 • Elevations of any existing adjacent homes
Yrooosed
['?D
? ? • Garage floor
0
? ? • First floor
C? ? ? • Lowest exposed elevation (walkout/window)
? • Property corners
0 • Front and rear of home at the foundation
pONDING AREAS (if acDlicable)
D ?D ? • Easement line
O t? ? • t1wL
O 13' ? • HwL
D ? 0 • Pond # designation
0 0 • Emergency Overflow Elevation
DIMENSIONB
P 0 : Lot lines
1? Right-of-way and street width (to back of curb)
u? 0 • Proposed home dimensions including any proposed decks,
overhangs greater than 20, porches, etc. (i.e. all
structures requiring permanent footings)
0? ?? • Show all easements of record and any City utilities within
those easements
d ?? • Setbacks of proposed structure and setback of adjacent
existing ho s
0 0 • Retainin a1,1 requi nts, if any
- Reviewed: ICI 7 ,
October 1992
itEACT1YATE ? MCEgVED - cinr-.OF EacAN
# 93 BUILDING PERMIT APPLICATION
?UG 1 2 1993- 681-4675 .
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: 1) when permit is typed, but nat picked up by last working day of montA.
uested once permit
e is re
h
l
q
ang
ot c
in which request is made, 2) address is changed or 3)
is issued.
Valuation of work
Date ?yy
i.Z
y
,
,
_
?i
?t(N 551?.1
aI,,
.?
.,,
.
Site Address:
sra¢er suIre r
Tenant Name: (comnercial only)
lAT - BIACK o? SUBD. ?7A .I.D. N '
Descri tion of work: EN
The applicant is: fiiLowner E3 Contractor ? Other (D*scribe)
t Phone j86-o3o
Property Name N ,.
LA:T FIRST . .7 955-7 t e 7 64j)
Owner pddress f>?¢ hn'"t
SiAEET LTE Y
City state I-RN zip 5S13 /
?•
Company Phone
Contractor Address License i Exp.
City State ZiP
Company Phone
ArChitECU
Registration t
Engineer Name
Address
City State ZiP
Sewer 6 water licensed plumber . Processing time for
sewer 5 water permits is two days once area has been approved.
I hereby acknowledge that I have read this a lication and state that the information is
licagRe State of Minnesota Statutes and City of
l
p
correct and agree to comply with al
Eagan Ordinances.
Signature of Applicant:
? -BUILDING PERMIT TYPE
- ? 01 Foundation
'0 02 SF Dwg.
?'LO 03 SF Addition
'D 04 Sf Porch
? 05 SF Misc.
-woRK nrPe
pt 31 New
O 32 Addition
.- --OFFICE USE ONLY?-?.-"?.?
- ? --- ;"?
? 06 Duplex > D 11 Apt./ladging
Finish
-??? Bas_ ert
? 07 4-Plex O 12 Multi. llisc. ? 11 Sw1m fuol -:
? OB 8-Plex ? 13 6arage/Accessory O 18 Comm./Ind.
? 09 12-P7ex ? 14 fireplace ? 19 Comm./Ind. Misc.
? 10 Multi. Add'1. OP"eEP ? 20 Public facility
. ? 21 Miscellaneous
O 33 Alterations
? 34 Repair
GENERAL INFORMATION
? 35 Tenant Finish
? 36 Move
? 37 Demolish
Const. (Actual) Basement sq. ft. MWCG System
(A1Towable) lst F1. sq. ft. City Mater
UBC Occupancy ? 2nd F1. sq. ft. PRY Required
Zoniny 5q. ft. total Booster Pump
/ of Stories Footprint Sq. ft. Fire Sprinkler
Length On-site well Census Code ?
Depth On-site sewage SAC Code
?
APPROVALS
Planning Building Assessments
Engineering Yariance
REQUIRED INSPECTIONS
O Site
? Mallboard
0 footing
44Final
gFraming ? O Insulation
? Draintile ? 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 Ded.
Copies
Other
Total:
SAC %
SAC Units
vtu.tia,: g
REACTIVATE ?
PERMIT N
/
/
TFECEffVED CITY OF EAGAN
893 BUILDING PERMIT APPLICATION
AUG 12 1993 681-4675
---------------
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy af energy
calcs.
COMMERCIAL 2 sets of architectural 6 structural plans, i 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 1?0)5+ Valuation of work
&4? ??avr iuA) 55I2?..1
Ilil45/ 4v
-
Site Address:
STAEET SUITE /
Tenant Name: (commercial only)
IAT ? BIACK ? SUBD . c ? • *
J
Descri tion of work:
7he applicant is: f?LOwner ? Contractor ? Other (Oaceribe>
J6-?¢?
??
Phone
?
Property Q
y
vi d
Name l
LAST FIRSt G? 7 5 ' -7 I? -7 Cw?
Owner pddress 674_ 67?IW?_ IJI??? - '
ST0.EET ? STE Y
State Z1p
City
Company Phone
Contractor Address License # Exp.
City State ZiP
Company Phone
AfChit2Ct/
Name Registration #
Engtneer
Address
City State ZiP
Sewer & water licensed plumber . Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the informatlon is
f Minnesota Statutes and City of
t
St
bl
e o
a
e
correct and a9ree to comply with all pplica
Eagan Ordinances.
Signature of Applicant: ??
OFFICE USE ONLY
i
BUILDING PERMIT TYPE
? 01 Foundation
? 02 SF Dwg.
? 03 SF Addition
? 04 Sf Porch
? 05 SF Misc.
WORK TYPE
9 31 New
32 Addition
? 06 Duplex
? 07 4-Plex
? 08 B-Plex
? 09 12-Plex
? 10 Multi. Add'1.
? 33 Alterations
? 34 Repair
? 11 Apt./Lodging
? 12 Multi. Misc.
? 13 Garage/Accessory
O 14 Fireplace
X 15 Deck
? 35 Tenant finish
? 36 Move
? ,Y
? 16 BasementFinish
? 17 Swim Pool
? 18 Comn./Ind.
O 19 Comm./Ind. Misc.
? 20 Public Facility
O 21 Miscellaneous
? 37 Demolish
GENERAL INFORMATION
Coast. (Actual)
SAlTowable)
UBL ccupancy
Zoning
M of Stories
Length
Depth /U
?y?.
APPROVALS
Planning
Engineering
REQUIRED INSPECTIONS
0 Site
? Wallboard
Basement sq. ft.
lst F1. sq. ft.
2n? Fl..sq.hft.
'•Bq;.., Ft. t'otal g
Footprint?Sq.-fi'.'
On-site well
On-site sewage
Building
Variance
?Footing
Final
MWCL System
City Water
. PRY Required
:. `Boo3ter Pump `
?
Fire Sprinkler
Census Code ?
SAC Code
1
0
Assessments
? Framing ? Insulation
? Oraintile O Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Oeposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
?)L Yeluatim: $ .
SAC %
SAC Units
?
r ?te4• a?9•4 ??. \.
'% \
?? 4?? 4• 3 'S? p9,-^ `C+? 1'? ?
4?,22 , ??? ? N,\w, o•? ?
% 5 6e 32 , ;' • ? '' ?? ? ?
, 8?S1D \ !^?- N '^?0 \? V' ? '? {
1 \?
O?aJK I I ? ^• .? / / ? 'O Y,p ?b rJ` +,O 1A V' .
v
c ? c C 5 a ?Ny1 ` . , c ? \
S'? ?i , £fl91o o•r' ? ?n? 8rn9.?'"
?? ? P'?2T
.? Lil
c0 Ns / r ..
,
'T
?
. sca.o Denotes Existing Eievatian
= sco.q, Denotes Proposed E{evation PROPO5ED HOUSE ELEVATION
?- :.Co .n .,r- -- •?•^ 1_nw>9i Flnnr ?loy'r+jn... s7&C /1c.
--- ?u i:?yc oc V Ui?iy ccsemenc
Dlenotes Droinage Fiow Directicn Top of Block Elevation:873.16
--o-- Denotas Monument Gorage Si4a Elevation:872.83
-a- 7enotes Offse: Hub Bearings shown are cssumed
LOT 3, BLflCK 2 BUR OAK HILLS
i he.et,Y c.r.ilv tb DAKOTA COfJNTY. MINNESOTA 2 N D D D I TI 0 N
ot !Ri ? sunry, pian ar reoart i as prepnrad 5y rr.?p?.?ywr,yeT-d, g errt?in tlulY RR9istQretl WnA Survayor
unAer rhe lavn of Me S'ste ef Mlnnesota. Oated tiila aTH daY Of. p? p. 192
?
S _ ? • • '"' ?.r , ?p 2
ScalC: 1 nCn -3 O et ROBfiRTB, 1 IChI}.5. G 0.34g91
?•
Tj 41t83.03
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
PLEASE COMPLETE FOR SINGLE FAMILY DV?ELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMTfS ARE REQUIRED FOR EACH UNTT.
NO. FIXTURES EACH
SHOWER 3•00
WATER CLASET 3•00
BATH TUB 3.00
LAVATORY 3•00
KITCHEN SINK 3•00
LAUNDRY TRAY 3.00
HOT TUB/3PA 3•00
WATER HEATER 3•00
FLOOR DRAIN 3•00
GAS PIPING OLJ'TL,ET • minimum • 1 3.00
ROUGH OPENINGS 1.50
X^ WRT"n cOzT,r_u`n 5,00 ?
-fy
PRIVATE DISP. • DeiLcty. iic.
1$.00
U.G. SPRINKLER • eome uneer oonsi. 3•00
ALTERATIONS • w ecsting 15.00
WATER TURN AROUND 15.00
STATE SURCHARGE .50
TOTAL:
•?---
SITE
OWNER
INST.
ADDRESS: / 00I LiX.e S v
CITY: <?e) . S? - &l STATE: ?/???? ZIP CODE:rn? f
PHONE #: (-1-fs/) og7 c/ /
-11
1993 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6514675
ru. !}7 . //?o„#- /? 41,1-5!4-
1993 PLUMffiING PERMTf (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
FAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR ALL COMMERCIALINDUSTRIAL BUILDINGS. ALSO FOR MULTI-
FAMILY BUPyDINGS WI-IEN SEPARATE PERMTfS ARE NOT REQUIRED FOR EACH
DWELLING UrtT.
_ iv'EW C8NSTRiiC77ON
ADD ON
_ REPAIR
WORK DESCRIPTION:
CONTRACT PRICE: $
FEE: l% OF CONTRAGT FEE
STATE SURCHARGE 530 FOR FACH S1,000 OF P?RHI?' FEE
MINIfi4tiH9 FEc: S 25.00 ,,,.._ _.::..
CONTRACT PRICE X 1%
STATESURCHARGE
TOTAL
SITE ADDRESS:
$
$
$
1'E!dA.*.'T N.'A.3ZE: STE #
OWNER NAME:
INSTALLER:
ADDRESS:
CITY:
PHONE #:
STATE:
ZIP CODE:
FOR:
CITY OF EAGAN APPLICANT
PLUMBING PERNIIT (RESIDENI7AL)
CITY OF EAGAN
3830 PII,OT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR SINGLE FAMII,Y DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMTTS ARE REQUIl2ED FOR EACH UNIT.
NO.
SHOWER
"vVA'I'ET2 CLUSET
_L BATH TUB
/ LAVATORY
/ KITCHEN SINK
? LAUNDRY TRAY
HOT TUB/SPA
WATER HEATER
r FLOOR DRAIN
GAS PIPING OUTLET • -ini um -
ROUGH OPENINGS
WATER SOFTENER
PRIVATE DISP. • nekay. uc
U.G. SPRINKLER • noma unaer oonsL
ALTERATIONS • to ?ting
WATER TURN AROUND
STATESURCHARGE
EACH TOTAL
3.00
3.Cx3
3.00
3.00 3
3.00 13
3.00 3
3.00
3.00 3
3.00 3
3.00 3
1.50 ? S e
5.00
15.00
3.00
15.00
15.00
.{ S o
d ? .SQ
TOTAL: JIF, oc
STTE ADDRESS: ?o Z41
OWNER NAME: %? I' U.a S
INSTALLER: AY -t?. -7-/,/ G
ADDRESS: ?2.3 Sd GL , d ??t }2 ,? a S 4 r3 lj?
CI']'y: _R?n ni 5 u,STATE: K? ZIP CODE: S? 3 3?
PHONE #: ( ) g r e - 5`0 gy
e 1A./, a5??_
SIGNATURE OF PERI ITTEE
. d? ^'y?,` ? L.<... 's}?Z? weP'? ??>.. ? ?'i?. ?' ?' . ?.'?.?' ??' ?
..:.<. a,¢3. .?..o-><,.o a :S?;yc>r. £' "?:w?:2<?#,?;.?SR? ?y'D.a ?. t;? ?? . ?£oxe , ?r:r::a: ?'^$??.. . . .iFa.;. y .,.,ob: ` <ak,. ;` ` R >r•n 9??,
<
u
r. ..
PLEASE COMPLETE FOR ALL COMIIERCIAIJINDUSTRIAL BUII,DINGS. ALSO FOR MULTI-
FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNTT.
_ NEW CONSTRUCfION
ADD ON
_ REPAIR
WORK DESCRIPTION:
CONTRACT PRICE:
FE& 196 OF CONTRACT FE&
STATE SURCHARGE $.50 FOR EACA $1,000 OF 0,FEE.
MINIhIUM FEE: $ 25.00 "°"8'''"
CONTRAGT PRICE X 1%
STATESURCHARGE
TOTAL
SITE ADDRESS:
PLUMBING PERNIIT (CObII17ERCW.)
CITY OF EAGAN
3830 PII.OT KNOB RD
EAGAN MN 55122
(612) 681-4675
$
$
$
1"'r.1ANT NA?irfE: STE. #
OWNER NAME:
INSTALLER:
ADDRESS:
CITY:
PHONE #:
STATE:
ZIP CODE:
FOR:
CITY OF EAGAN AppLICANT
,q93
MECHANICAL PERMIT (RESIDEN'17AL)
CITY OF EAGAN
3830 PII.OT KNOB RD
EAGAN MN 55122
(612) 681.4675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMTfS ARE REQUIRED FOR EACH LTNIT.
X NEW CONSTRUCTION
_ ADD-ON A/C
AT D-ON FURNACE
DATE Jan. 5. 1993
HVAC: 0-100 M BTU
ADDITIONAL 50 M BTU
GAS OUTLETS (MINIMUM 1 @ $3.00 EACH)
ADD-ON/REMODEL (ExtsTnvG coNSTaUCrtoN)
STATE SURCHARGE
TOTAL
FEES
$ 24.00
6.00
Jtr0
$ 15.00
.50
STIBADDRFSS: 674 Hillside Drive
OWNER NAME: Top Value Homes ']'ELEPHONE #: 431-2222
INSTALLER• McDermott Plumbing Inc.
ADDRFSS: 12350 River Ridge Boulevard
CTI.,: B u r n s v i 11 e STATE: M N ZIP CODE: 55337
TELEPHONE #: $ 9 0- 9 o a 4
SIGNATURE OF PERMITTEE
MECHANICAL PERNIIT (CONIIIZERCIAL)
CITY OF EAGAN
3830 PIIAT KNOB RD
EAGAN MN 55122
(612) 681-4675
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:
CONTRACI' PRICE:
FEES
1% OF a???' :?? FEE
PIPING: $25.00
MINIMUM FEE: $25.00
STAT'E SURCHARGE $.50 FOR EACH $1,000 OF FEE.
TOTAL $
SITE AUDRESS:
OWNER NAME: TELEPHONE #:
TENANT NAME: (IMpROVEMENTS ONLY)
INSTALLER:
ADDRESS:
CTTl':
STA
ZIP CODE:
TELEPHONE #:
SIGNATURE OF PERMITTEE CITY INSPECTOR
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 674 Hillside Dr
Lot: 3 Block: 2 Addition: Bur Oak Hills 2nd
PID:10- 15501- 030 -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:
Evgeniy Khaletskiy
674 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
EA091989
11/12/2009
ePermit
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA165094
Date Issued:10/19/2020
Permit Category:ePermit
Site Address: 674 Hillside Dr
Lot:3 Block: 2 Addition: Bur Oak Hills 2nd
PID:10-15501-02-030
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 -
Evgeniy Khaletskiy
674 Hillside Dr
Saint Paul MN 55121--235
(651) 335-5932
Excel Exteriors Inc
6230 10th Street N, Unit 420
Oakdale MN 55128
(651) 414-0919
Applicant/Permitee: Signature Issued By: Signature