678 Hillside Dri
Wertificate nf cccupanc?
?? ? ?as
Pon aKa- t ? SUMUS 3iCoccti•»
This Certificate issued pursuant to the nquiremenis of the Ilsiform Building Code
? certifying that nt the time of issuance tleis strWCture was in compliance with the various
ordinances of the City regulating building canstnection or nse. For the following:
SE DWG 20963
use caassiscafim- sW Pftmk ro.
?v?r'iYr? ? I zooinx _ ?_? ?Rl ?ry?? ???? VN
owner ot sail? ? ??C?I Iffi = 11382 BURR RIDG? IN, MM-PMM
?s --
s,?a??M -
`.%
? DaW
B-Iding _.,
POST IN A CONSPICUOUS PLACE
? ?.
?----?-- ?? ?
?'-CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
oN RECORn
PERMIT TYPE:
Permit Number:
Date Issued:
SITE ADDRESS:
'?'i 14Fif' H 1
PERMIT SUBTYPE:
? ?? i . f,? ??? ? . ' [
.'td(t
F ..
WORK:
INSPECTION .. . ..
?
I , - : I flliK:i: Qi Lt id 1'l ItF
' ??:
Permit No. Permit Holder Date Telephone #
S/W
PLUMBING
HVAC
ELECTRIC
ELECTRIC 9/J% ?Q 93 5? d°
Inspection Date Comments
Footings I PL-
Foundation
Framing 0.5
Roofing
Rough Plbg.
if?_ l)
-)-' ? /?
f,
?..
Rough Htg. L a10131t3 l?.cr,?' ?f&?I
Isul. /r7l?.?
Freplace
Final Htg. 5
Orsat Test
•
Final Plbg. L (j",t.?--_
Ibg. inspector - Notity mber
Const. Meter
Engr.IPlan
Bldg. Finai Qlf.? /l
d
Dedc Ftg.
Deck Final
Well
Pr. Disp.
?l/1j?,2.l?/lP/1? ? ?• ? .?•v v- ? .
(?N/
U?
A?
Y3
Request Oa e
?
61 Flre No Rough-in Inspection
Reqwretl? ? Reatly NowAWill Nohty Inspector
Wh
R
d
'
?
?
en
ea
y
."=Yes
o
IXlicensed contrector p owner hereby request inspection of above electrical work at:
Jo0 AtlOres?s ISVee1. Box or Ram`a No.)
S( Cny
lq 1 ?t U \ VC..
Secnon No Township Name or No Fange No County
D
k
a
a
OccupeN IPFINTI Phone No.
q i
rs+ rvG* i il- o
Pow9r Sup0lier Atltlress
Eleclncal Conlractor ICompany Nama?
T Conttactor5 4cense No.
7
s, ??? ???,? f f c_ iai
Mailin-g?AfaGres5(CO?ntrector or O.vner Makmg Inst611ation)
o'?`}'S rcrn ido
Authon Signamre ICOntractorr1' Owner Makrng Inst ati n??
LnI? Phone Number '
MINNESOiA STRTE BOAqD OF EIECTRICITY / THIS MSPECTION REOUEST WILL NOT
Crlpps-Mltlway Bltlg. - Room 6173 y.+Q' BE ACCEPTED BY THE STATE BOARD
1821 Unlvereity qve., 51. Paul, MN 55709 UNLE55 PROPEP INSPECTION FEE IS
Vhone (812) 862-0800 SV ENClO$ED. '
REQUEST FOR ELECTRICAL INSPECTION E800001-0e
,? ... ?a.
? Se?nstrupiorR'for complating this fortn on back of yellow copy. ? ,
d 4 3 5 8 9 •?x" Below Work Covered by Tbis Request '???.y ' ( f
ew Atld Rep: - TypeofBuiltling AppliancesWired EqwpmeniWired
Home Range Temporary Service
Duplez Wa[er Heater Electdc Heating
Apt Budding Dryer Other-(Specify)
Comm.llndustnal Fumece
Farm Air Contlrtioner
Otner (Syeafy) Contrei RemaAS.
Compute /nspection Fee Below:
T1Z),1"p0,Iy
# Olher Fee # ServiCe EntrenCe Size FBB # Circuns/FBeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Trensformers Above 200 _ Amps Above 100 _ Amps
Signs Inspecror5 Use OnlyI TOTAL
Irrigation Booms
Special Inspection ?
AlarmiCammunicaLOn THIS INSTALLATION MAY BE ORDE CONNECTED IP NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby
certity that the above inspection has
been made. Rough-in
Final ^??. uaw
Dete
OFFICE USE ONLV '
Tnis request witl 18 months Irom
?y
?
?? ? /.?
? a
Requ st Date
\
\ Fve o Rough-in Inspection
Requiretl? ? Ready Now ?WAI Nohiy Inapector
??
??
C Ves G No When ReatlyT
I )Ikficensed contractor D owner hereby request mspection of above electrical work at:
400 AtlOress iStreet. Box or Route No )
6r1 Qry r
? l??S? hVC. C
Sadion No. TownsNO Neme or No Range No Caunry
G
occupenllPRWrI Pnone N.
Power SuppLer AtlOress
Elecrc¢al Coniractor ICompany Namel n
Contrac?o?s Lwe
se No
7 l
?
?R?` ?
em
Mailing Atltlress (Conlractor or Owner Making InstallaLOn) '
c t1o4
Au;nonzetl S netura (Gonhaciorrbyner Making Installal nly\
? M1J Phane Number
- O
MINNESOTA STATE BOARO OF ELECTRICITV THIS INSPEGTION REpUEST WILL NOT
Gnggs-Mitlwey 81tlg - Poom S-073 BE ACCEPTED BV THE STATE 90ARD
1811 Univeraity pv¢„ St Vaul, MN 55106 UNLESS PFOPER INSPECTION FEE IS
Pfwne (812) 642-0800 ENCLOSED
d 57988
REOUEST FOR ELECTRICAL INSPECTION
? See msimctions fa.410111111h J'fiis lorm on Oeck al yellow copy
"X" 6 ow Work Covered by This Request
?""`? eaooooi-0e
a
eVv Adtl' Rep. TypeoiBuildmg ApphancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electnc Heating
? Apt.Bmltling Dryer Other-(Speciry)
CommJlndu5hial FUmace
Farm Air Conditioner
Other (sVecityi Connactor's Remarks.
Compute InspecGOn Fee Beloww% C?- \-ao
# Other Fee # ServlceEniranceSize Fee # Circuits/Fe ers Fee
Swimm?ng Pool 0 to 200 Amps $. ? 0 to 100 Amps
I Transformers Above 200 _ Amps Ahove 100 _ Amps
S:gns Inspector5 Use Only TOTq{[? A <<-
?
Irrigation Booms V
'?;?
Speciai Inspection e -? -!
?
AlarmlCommunication THIS INSTALlAT10N MAY BE OROER ONNECTED IF NOT
Other Fee COMPLETED WITMIN 18 MONTHS.
I, the Electrical Inspector, hereby
certiry that the above inspection has
been made. Rough,m oa Jr
F,,,,i ? oa?a
41
OPFIGE USE ONLV
Fv""e , .v` w .........e .. ....
Address 678 [u[LSIDE nRIVE Zip 55121
Lot • y Blk Z Sub BUIR OAK HILLS 2nd
THESE ITEMS WERE / WERE NOT WMPLETE AT THE TIME OF THE FINAL INSPECI'ION.
Date: ?4A /r? Yes No Inspector: 6646,
Final grade (6" from siding) ?
Permanent steps (garage) s?
Permanent steps (main entry) ?
Permanent driveway t?
Permanent gas
Sod/Seeded grass ?
TraiUcurb damage ?
Porch ?
Basement finish
Deck V/
Please verify with the builder the removal of roof test caps from the plumbing system and the shuboff of water supply to
the outside lawn faucet before froeze potenUal exisfs.
Contact engineering division at 681-4645 before working in rightof-way or installing underground sprinkler system. ?
White - City Copy Yellow - Resident Copy Pink - Contractor Copy
PERMIT x CITY UF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
.-?,
Bfa`?l?iefi% Permit Type
5F DWG
Builrling`Work Type NEW
:
l18•? 17CCUpari?k?
?
'' R-3 M-1
Eonstruotion 7
y?A.e V-N
26mfng ,., R-1
Building 6ength. 46
8sjs3ziirag Width 52
\ ,-
ti? ?'_
?"`"
F
.
? 4 .1
\1 k r?
ok,-o 7?
BUILD?I
?3
020963
05/24/93
SITE ADDRESS:
678 HIILSIDE DR
LOT: 2 BLOCK: 2
6UR OAK HILLS 2N0
P.I.N.: 10-15501-020-02
DESCRIPTION:
?? .?n?
:.+?fi?* ?3Lt `?Y ?'S
REMARKS:
S & W PLBR -
FEE SUMMARY:
Base Fee
Plan Review
Surcharge
SAC
SAC %
SAC Units
Lic. Search Fes
Subtotal
VALUATION
$756.50
$493.03
$67.00
$750.00
100
1
$5.00
CONTRACTOR:
KEE CON3T INC
11382 BURR
EDEN PRAIRIE
(612) 941-8980
$2,@73.53
PERMIT TYPE:
Permit Number:
Date Issued,
$134,000
MTSCELLANEOUS $1,744.50
Total Fee $3,81$.03
cant - ST. LIC
19418980 0001744
RIDGE LN
MN 55347
KEE CONST INC
11382 BURR
EDEN PRAIRIE
(612)941-$980
RIDGE LN
MN 55347
i herehy acknoWl,e•dge thaC i haluo? reed Chis appk#catisan ond state that ttte :
informotion is oorirect and agree tq ucrmpiy u3,tkr a,tl xPRl.tcabXe 1$tat4 of_0,0.
Statutes and CiLy af Eaggtr, OrGinaneec.
L
APPL ANT/PER E SIGNATURE
ISSUED BY: SI ATURE
REACTIYATE ??CE?,?ED
PERMIT # ?
mY 1 4 1993
cmr oF EAc,arv
.J
1993 BUILDING PERMITAPPLICATION
681-4675
AAZA
SINGLE & MULTI-FMIILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural 8 structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit 9s typed, but not picked up by last xorking day of month•
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date MAY / 13 17,73 Yaluation of work ?'/35 12:0 -"-z-A*.0
Site Address: l,°?? I?lLLS/1?? Z?e;t/r_-
SiREET SUITE ¦
Tenant Name: (commercial only)
IAT 2 BIACK ? SUSD. 3ZZ?/v//&-S 2t' P.I.D. M
Cescri tion of work: 45(A! _5'?l^4ex- F4k111-K
The applicant is: ? Owner M Contractor ? Other coe.«ftm>
Name 7Z1AIpCJU/i6r -f=7fAW/r_ Phone <f3l-/19?
Property «ST F1RST
Owner Address 1?355C) (_?,? ,?-
STREET STE k
C i ty _Z-41Z(//LLF- State MN, Z i psS?
Company 4AEE ('_Q9.,-,-i7d.1G770R/ ZYr_, Phone 9¢1-9790
Contractor Address 1/?S37_ Fd/W Z72:,t-? L9At License #1")50170 Exp.?
City ,? ?-.9?/E IY, - State l&' Zip
Company Phone
ArchitecU
Engineer Name Registration N
Address
City 5tate 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 app1lcation 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: ? 1 4/??? _
OFFICE USE ONLY
BUILDING PERMIT TYPE t:?;? ?
O 01 Foundation O Ob Duplex ? 11 Apt./Lodging 016`BaseAnt f ni
12.'02 SF Dwg. O 07 4-P1ex ? 12 Multi. Misc. O 17 Swim Poal
O 03 SF Addition ? OS 8-Plex ? 13 Garage/Accessory O 18 Comn./Ind.
O 04 SF Porch ? 09 12-Plex ? 14 Fireplace 0 19 Comm./Ind. Misc.
13 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public facility
? 21 Miscellaneous
WORK TYPE
tr 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Oemolish
O 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATtON
Const. (Actual) v- N Basement sq. ft.
(Allowable) v_ N Ist F1. sy. ft.
UBC Occupancy Q_2 M-? 2nd F1. sq. ft.
Zoning R_1 Sq. Ft. total
8 of Stories footprint Sq. ft.
Length ? On-site well
Depth SZ " On-site sewage
APPROVALS
Planning Building
Engineering Yariance
REGIUIRED INSPECTIONS
O Site
? Wallboard
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Yater Conn.
Yater Meter
Acct. Deposit
5(W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
cop;es
Other
Total:
SAC % ) v J
SAC Units T
? Footing
? final
? Framing
0 Draintile
MWCC System
City Mater
PRV Required
Booster Pump
Fire Sprinkler
Census Code
SAC Code
r r. 10' ( ) ,p,(?
I
?$ x
?
Assessments
Y?5
?
-° ?-
?
O Insulation
? Fireplace
Y.tu.t;o,: sI 3yr ? 1,-,
Ga62AG-e' ayxzz= 528 x lb 84?18 ?
--?_ (
BSmTi Au x 36 = g6til
?X12=
(Sj'Ft,uu/t ?
??-m7_ ?51(0 " ??-1...
1____ qo K22,-=?&?lv
22Y. 25 = jS-U
3?s0 x S'?l _? yi J x-?'?
336qy
Z KZS' -
S?
8 ?12= I- Q?(?
y,Sy X ?
I 1J /..a a- uv .- I - _.. - ..
CERTIFICATE OF SURVEY
FUR: KEE C4NSTRUCTI4N
?
l•a 300
o p? xraa wr?•
N ?? s.•.. ,?i?? I?j
?? </??- c U t/?6 ?/rs,
?59 rele MTTb?gO? ^?'?.??
t
? ° ? "?_'. • _ 4 ? ?.
a N ?w
619,33
• if? ? ? ?'?? ? ? '?. ' ? °p " ? Q ?? a
?3"S ?`.? ?3a:.3 _
d a
?
• 0
fl
4 tA
] Denotes Proposed Elevation
Denotes Existing Elevatipn
3 Top of Foundaibn
2. TOp of 88sdment Floor
a ..-------'?
LBBAL DE86RIP1ION I
Eat 2 . S1oCk Z ?
9UR t1AK H1F-48 2ND A9D11IOM
Dakata CountY. Minnoaata
We herebY csrtify ?at tWis is a true and corract repnsentation of e survay of
the boundatiss of tbr abave descrihad lend and of tMe loution of ab buiidings,
LA & ASSCICIATES, INC. if any, thereon and all visihte encroachmant$ if any, from or on said land.
tEERS, SURVEVORS. SITE PLANNERS As wrvsyW thia dsy of , 19?•
84W 73rdAvenue North • 6uite E 63 I{ ;?? ' Minn• asp. NO•
BrookVyn Park, Mlnnes62a 55428 ?? .
7elavharte: 1612! 833•7595 bb No, f??`? BOOk - Pp0
6
LOT SURVEY CHECRLIST
FOR RESIDENTIAL
. LU
W N SUILDIN PERMIT PPLICAT ON
m
6
m J
a:
PROPERTY LEGAL:
F a m
U< N Date of survey:
?
< Z ? DOCUMENT STANDARD3
??&1 Registered Land Surveyor sig nature and company
¦ : Building Permit Applicant
Legal description
Qr° ? • Address
??7 ? North arrow and bar scale
0" ? ? House type (rambler, walkout, split w/o, split
? lookout, etc.)
17
0 o • Directional drainage arrows with slope/gradient ?.
pr? • Proposed/existing sewer and water services
?J ?
" • Street name
@
? ? • Driveway
ELEVATIONS
Existina
CX ? ? • Sewer service
C? ? ? • Lot corners
? • Top of curb at the driveway
?? 0 • Elevations of any existing adjacent homes
Proposed
? ? ? • Garage floor
e? ? • First floor
V? ? • Lowest exposed elevation (walkout/window)
0?'? ? • Property corners
0-- ? ? • Front and rear•of home at the foundation
PONDING AREAS (if aDGlicable)
? e? • Easement line
? ? ? • NWL
? C? ? • HWL
? • Pond # designation
0 ? ? • Emergency Overflow Elevation
entry,
0"?6 ? • Lot lines
8? ? 0 • Right-of-way and street width (to back of curb)
.0?? ? • Proposed home dimensions including any proposed decks,
overhangs greater than 21, porches, etc. (i.e. all
structures requiring permanent footings)
?? ? • Show all easements of record and any City utilities within
those easements
H0? • Setbacks of proposed s ucture and setback of adjacent
existing home
? a-"[1 • Retaini ements, if any
Reviewed
/
October 1992
I .
• EXTERIQR ENVELOPE AVERAGE "U" COMPUTATION
owt+ER
,
SITE ADDRESS L7 j? p? O YL 7?3i12 ?C ?.CGS L"? ??7y? 4
CONTRACTOR DATE_5?PHONE 26L S`^f?'?
' petermine working square footage of each.
1. Total exposed wall area ..... sq. ft. X:??
2. Total roof/ceiling area ..... lWyl sq. ft. X,?` _- I---=??
A. Total wall window area ......................... ;5
B.
Total :
door area ................................ ==
y
C. Total slidin9 glass door area ................... 41'
D. Total fireplace wall area.C.?.Af'-A?.CLCT•O?z... - ?
E. Total wall framing area (average 10$)........... Z/7 4$
-,-
F. Totsl Rim joist area............................ jsm? ?
G. i'otal Net wall area above floor.................. MM
Total exposed foundation area -
H. Total foundation window area .................... yK?, 66
I. Total net foundation area above grade ........... $,3,?
I Z?kz,-s"z Determine "U" value of cach wall segment. \
\-
. a. el3 X "U"
b. ?q5 x .,U„
C. ?U x l.u..
a. .?4 x ^u??
:c .lu,l
f. /S7 x .,u„
s- /9,4,-0 X ..u.,
,o? = D32
? /?' = 2 ,Sb
•? = 7. ,
h. ' X "U" ' _ -
i. W X .1u.. i/
3 ...................................TOta1 27 ??
O
If item $3 is the same as, or less tfian item 171, you axv"e'met tlie intent of
SBC 6046(c)2.
Tota1 exposed roof/ceiling area
i
J. Total skylight area ................................
k. Total roof/ceiling framing area (average 10$) ....-. /7
l. Total net insulated roof/ceiling area .............. / 7?? ?
• Determine "U" value for each roof/ceiling segment.
x .,u.l
k. ?7 ` X I.ull
x "pn
4 ........................... . .......TOtal
If total of #4 is the same as, or less than #2, you have,met the intent of
SBC 6006(c)1.
Alternate Buildin9 Envelope Desiqn
To utilize the total envelope system method, the values established by the
sum of items #3 and #•: shall not be greater than the sum of items #1 and #{2.
1.
3.
+ 2. _
+ q. _
. .,
• ' • 'r7hLL Si;?:TiONS
tu•I"' UGP i5i uf opaque wall area for
frame oonstruction
i, .
FRA11E SIALL
?0,7?,
ConstrucYion ' R-Value
1. ? f.1
2. ?2 ?r? • ?' .
g, t .nches sof' wood . '
4. .r- 2 .Ob
5.
? • 6. Exterior ai film ? ? ? 0.17 ,
• Total . : OC??/ . .
. , ? ,` .,.?..... ..
. _ ?.?`...-.?? . . .
1.
2.
3.
4.
5.
6.
1.
z.
3.
4.
.•
FGCK7aTICN
. VpT i.
!
1??.??-- . • •
?/? V ? • a' r. ? ?1
6
i
? t
•
.. ?
^
ri . . il?
?
FIG. 64
!!1
6
'
-
: E l!e
Nn'Pli: InrliCatr, typm, viluc, drnY.h and
. ,-- --..__. ..r ... ....?..f:..n
? v 5.
' 0
17
6. r
Exterior film .
Totsl 23,SL?
? •
1. Interior air film 0.68
\
2. u ?
•
3D y1. `(
r "Al
. g
D • ' 4• .
5.
" 6. Exterior air film 0.17
Total
%$ .
??p
O
S
N
l
?
? n
IYY?
.l?
???
•?
-
^ ri Kfi .
t'1•^,. 93
? v • ` ''
• ea . ' r,_ .
- ? - ROOI /CEILING
}' I-(J3 U f'
?"?
VF1dT ?.? I? 11' "? ? ?-
Venced Hea[ £low
up
.
FIG. p5
Y..v 1...•_S.Y -•s?!1?'?':til?:L4_=-? ,__? ?-s?
• -?._?:
.... '?m.
i Construoti _on (USe for Item L) x? V?
1. In?gte??rior air film ?0.61
2. 3. 518? -3T >, . 0. bI
4. Bxtcrior air film (still)
Total 7$
L/ =,62
Q.G. FRAMING(Use for Item K)
1. Interior Air
2. '?S " ' &
3. Inches soft'
4. Inches insul
5. Air Pilm
film. 0_61
•Aj&
#ood
above framing .?.?
?.61
. Y0fid1 3Fa./3
!J =,b21. Interior air film 0.61_
2.
3.
4. Exterior air film (still) 0:51
Total -
_ FIG- #6
3
?
? . or!Q.???!3"J
? ? ?..?.?'r. ..
H0;2-VC2?'TPD
' . }lcac
flov up
., . . .
1. Insi.de air film • 0.61
2.
3.
4.
5. OuCsidc air. film 0.17
Total
Nniu: Use 03di.Cional shect,: if snore St'a?C,
'---- I;cedrd fur d6tails aud calculaLinns•
flient Floci up , ; vented
14i1?7
_,.
<: ..?.. .. .:tex....,? ,
.,.... ,.,...;<,,. .....;?„......._..?.... .
, .. .:..., ... ?..a..:t;:'L`.?h..:....r,.., ?
:..,Y
Y
i::.,l.? n:CS!.ie
x,,'.',.??.f.::. .f?'.?:fi•• ,3?a .
, 4 .?... ? .
..ai'.r
,_ . . .?. +.? ? .. ..
r.eu!i/?
?.`:..?
s
; ?..:
;
,
. ...... . : .: :. ?
:.6..:
, . .. . ..t,T
? . ;•
„ .
?. . .. . ? ^...R£ .. x .: " ..
?Y!.?.,.'?'..?
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOIvfES AND
CONDOS WHEN PERMTTS ARE REQUIKED FOR EACH UNTT.
------------ - - - - - --
1993 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4675
NO. FIXT[TRES EACH TOT?-
SHOWER 3.00 3.
-
WAT'ER CLOSET 3•00 '?
-
2- BATH TUB 3.00 •
Y LAVATORY 3.00 ia. °°
! KITCHEN SINK 3.00
LAUNDRY TRAY 3.00
HOT TUB/SPA 3•00
WATER HEATER 3•00
? FLOOR DRAIN 3.00 3. o-v
1 GAS PIPING OLTTLET • mtn+mum - 1 3.00 3•
3 ROUGH OPENINGS 1.50 , so
WATER SOFTENER 5.00
PRIVATE DISP. • nalLay, uc. 15.00
U.G. SPRINKLER • eome uneer wnsi. 3•00
ALTERATIONS • to adsting 15.00
WATER TURN AROUND 15.00 ?
STATE SURCHARGE .50
TOTAL: 0.0
SITE ADDRESS: ?`) p
OWNER NAME: '?-' .,'•\?
INST
ADDRESS: 6,2?3 1?w i l`1 W QS?
CTI'Y: K`-F Qk- STATE: ZIP CODE: SS 3-s
PHONE #: ( (,t2 ) Q79 - 6?!S
SIGNATURE OF PERMITTEE
?. , ::.F. .
PLEASE COMPLETE FOR ALL COMIAF-RCIAI/INDUSTRIAL BUILDINGS. AL.SO FOR MULTI-
FAMILY BUP -DINGS WHEN SEPARATE PERMTTS ARE NOT REQUII2ED FOR EACH
DWELLING U:t:T.
_ NEW CONSTRUCTION
ADD ON
REPAIR
WORK DESCRIPTION:
CONTRACT PRICE: $
FEE: 1% OF CONTRACT FEE.
STATE SURCHARGE $.50 FOR EACH $1,000 OF PER11STf FE&
MINIMIIM FEE $ 25.00 " CONTRACT PRICE X 1%
STATESURCHARGE
TOTAL
SITE ADDRESS:
$
$
TENANT NAIVIE: STE. #
OWNER NAME:
W STALLER:
ADDRESS:
CITY:
PHONE #:
STATE:
ZIP CODE:
FOR:
CITY OF EAGAN APPLICANT
1993 PLUMBING PERMIT (COMMERCIAI.)
CTTY OF EAGAN
3830 PIIAT KNOB RD
EAGAAI MN 55122
(612) 681-4675
?D•?:c?:
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNI-iOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNTf.
? NEW CONSTRUCTION
_ ADD-ON AJC
ADD-ON FURNACE
DATE -;Z/oZ 2 114'3
FEES
VA : 0-100 M BT $ 24.00
IONAL 50 M BTU 6.00
GAS OLJTLETS INIMUM 1@ S3.00 EACH) ,00
ADD-ON/REMODEL (ExIsr[NC coNSTxucnox) $ 15.00
TATE SURCHA$.PiE
?--- .50
_
TOTAL
SITE
OWNER NAME: I°2 vn?c?--e u is? TELEPI-iONE #: Pl°,I -?'/R0
INST
VA
STATE: /? ZIP CODE: S.S 3 G/
TELEPHONE #:
SIGNATU E OF PERMITTEE
1993 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PII.OT KNOB RD
EAGAN MN 55122
(612) 681-4675
??•.. .: ' . . ..... . .. .... ..
1993 MECHANICAL PERMIT (COMI4IERCIAL)
C1TY OF EAGAN
3830 PII,OT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR ALL COMMERCL4L/INDUSTRIAL BUILDIIVGS. ALSO COMPLETE
FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMII.Y BUILDINGS WHEN SEPARATE
PERMTTS ARE NOT REQUIRED FOR EACH DWELLING UNTf.
DATE:
CONTRACT PRICE: $
NEW BUILDING
INTERIOR IMPROVEMENT
WORK DESCRIPTION:
FEES
1% OF CON7RACT FEE $
PROCESSED PIPING
MINIMUM FEE
STATE SURCHARGE
TOTAL
SITE ADDRESS:
$25.00
$25.00
$.50 FOR EACH $1,000 OF FEE.
$
OWNER NAME: TELEPHONE #:
TENANr NAME: (IMPROVEMENTS ONLY)
INSTALLER:
ADDRESS:
Cl1'Y
STA
ZIP CODE:
TELEPHONE #:
SIGNATURE OF PERMITTEE CITY INSPECTOR
BOULEVARD TREE PLANTING
OFFICIAL PERMIT r,• fz
PART III , L o f- 2/ l,?c Gc k z
APPLTCANT INFORMATION:
APPLICANT NAME:
TELEPHONE: ?-
ADDRESS OF PROPERTY TO BE PLANTED:
Q Jc s
OWNER OF PROPERTY (If different from Applicant): c'3AYle 3V3 (?CW-
TREES TO BE PLANTED:
Tree Varietv Size Location
Example:
j, urc dA) c N;lls z„j
iI -1
i
G
Please attach a rough diagram of your lot and the right-of-way area showing the location of
,
i
3. n?
4.
DIAGRAM:
Distance
from curb
MarshalPs Ash 1 1/2" dia. 15 feet south of driveway 1P
?. m ? ?S aa?? ?°""?
z. ? ?
;
structures, buildings, driveway, street edge or curb, and location of tree(s) to be planted.
VJA?
lY),
?,?}2?? ?? ? 1'UL?.? c? f Wti?. ?2?.?,Ld ? ? I/L?t.?-?_ • l ? -?ylC1?
AGREEMENT:
I agree to plant the boulevard trees according to the above stated conditions. I have read ,
and understand the City Ordinance pertaining to tree planting and maintenance and
understand iu contents. A copy of the ordinance is attached to and made a part of this
pemut herewith.
I understand that the City of Eagan assumes no liability or responsibility for injury or
damage to persons or property however caused through the issuance of this permit. All
work done under this pemut shall be performed without cost to or obligation by the City
of Eagan.
Date
ahu\5? - t Lil ? C-? C/
Signature of Properry Owner Date
(Please keep information sheet (Part M and return this signed portion to City Hall, 3830
Pilot Knob Road, Eagan, MN 55122.)
FOR CI'C'Y USE:
Property I.D. #/D - 15,7 01 - D;-D - o Lot L n f 2 Block P-
Subdivision )3ur pr4 lc W11 s " nd
Application Record
Reviewed by: I j",da
Reviewed by:
Recorded by:
/0-2p-1y4
Date
tc) - -s- -`?
Date
!o-2S•?4
Date
22wp:blvdtree.pia
?' - ?J, °Z5
8?q/ D
2006 RESIDENTIAL BUILDING rExMiT arrLicnTioN
City Of Eagan
3830 Pitot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWclion Reauiremenis
3 regislered site surveys showing sq. ft. of lot, sq. ft of house; and glj mofed areas
(20°/< maximum lol coverage allowed)
1 Soils Report 'rf proposed 6uilding is to he placed on tlisturbed saii
2 copies of plan showing beam & window sizes; poureA found des'gn, etc
1 set of Energy CalalaUons
3 copies of Tree Preservation Plan'rf lot platted aftar 71153
Rim Joist Detail OpOons selection sheet (buildings with 3 or less unirs)
Minnegasco mechanipl ven6lation fortn
RemodeUReoair Reauiremenis
2 copies of plan showing footings, beams, joists
1 set of Energy Calcula4ons for heafed addifbns
1 stta survey far additions 8 dacks
Add&on - indicefe i/onsite sepfic sysfem
al I7s
9a - O0
oifice ti?e onH -
CeA oFSuN9YAe,Ctl';? ,!,?;; ,Y, < rN
Tree.PieS?Alan _itecd^, ;° :...?sy:« •_ N
Tree Fras?ReQuired;`?
0n4ite Septie System
Date 66_ Construction Cast 04l !5?
Site Address
?? f-t
i u S?G '7?
/P L X'
UniUSte #
Descrip[ion of Work R p ? y j A e- -
Multi-Family Bldg _ Y ? N Fireplace(s) _ 0 _ 1 _ 2
t
O
P Telephone #(4rJ f)?'r7.,? - cJ?o oZ oZ
wuer
y
roper
Contractor ?1/1 Q r?`EG Q CC( dL? h/J S4u &7-51Un -
Address 1-1,1. /V . City ?? 11&)Q,f-C/'
State Zip 0-571F,;2 Telephone # (/ 57) '`,1?J ,;XD
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(Jsu6missiontype) Submitted Submitted
. Energy Envelope Calculations Submitted
In the last 12 months, has fhe City of Eagan issued a permit for a similar plan based an a master planB
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone #(
Telephone #(
I hereby apply for a Residential Building Pernut and aclrnowledge that the information 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 permit, but only an application for a permit, and work is not to start without a
permit that the work will be in awordance with the approved plan in the case of work which requires a review and
approval ofplans. 0.-Y' y g, AkV t'/f? S a. AC?
Applicant's Name ApplicanY ignature
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA127142
Date Issued:09/22/2014
Permit Category:ePermit
Site Address: 678 Hillside Dr
Lot:2 Block: 2 Addition: Bur Oak Hills 2nd
PID:10-15501-02-020
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
Valuation: 500.00
Fee Summary:BL - Base Fee $500 $40.00 0801.4085
Surcharge - Based on Valuation $500 $0.50 9001.2195
$40.50 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 -
Sherrie D Rundquist
678 Hillside Dr
Eagan MN 55121
(651) 452-0622
Pella Northland
15300 25th Ave N #100
Plymouth MN 55447
(763) 355-1300
Applicant/Permitee: Signature Issued By: Signature
*'
City of Eaan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit#: am' (:(/7
Permit Fee: /b6 -
Date Received:
Staff:
2016 RESIDENTIAL BUILDING PERMIT APPLICATION
Date:
Site Address:
Unit #:
Name: s���^
Address / City / Zip:
Applicant is: Owner X Contractor
Description of work: Z-_
CC
Phone:�S /- 4/5 -2 -O..)2 -
Construction Cost:
Multi Family Building:: (Yes Mw / No
Contact: L» /CG 5-,m
Address: J// ? 7> City: 1i /
i '7C5-777
State:,hlW Zip: 5-5y6r Phone: 76 3'o -g,3‘.6 Email: Zuotoe- /7�5,i4/tlse' A -,e,4-6-
I License #: ,36' Ips 75"5 Lead Certificate #: /(/47- F. .? "? yq "72 -
If the project is exempt from lead certification, please explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
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:
Phone:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Fire Suppression 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 they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gooherstateonecall.orq
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 not 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 plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
Applicant's Printed Name
x
Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA165518
Date Issued:11/04/2020
Permit Category:ePermit
Site Address: 678 Hillside Dr
Lot:2 Block: 2 Addition: Bur Oak Hills 2nd
PID:10-15501-02-020
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 -
Sherrie D Tste Rundquist
678 Hillside Dr
Eagan MN 55121
Guardian Services Contracting
1042 20th Ave N
South St Paul MN 55075
(800) 617-8450
Applicant/Permitee: Signature Issued By: Signature