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863 Lakewood Hills RdNo. C177 OF EAGAN 3795 Pilot Knob Road Eagan, Mlnnesoro 55122 Phone: 454-6100 Date: Site Address: PERMIT 861 Lakewood Hills Lot Block Sub/Sec. Nome . ? Address CitY Phone: Name r ? I ? Address s CitY Phone: This Permit is issued on the express condition thar all work shall be Minnesota Stotutes ond City of Eogan Ordinances. INSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS Receipt No.: Single I Residential Multi Res., Comm./Ind. I New/Alter./Repair Cost of Instollation Permit Fee Surcheme Total done in occordonce with all appliwble State of Building pfficiol No. 71 INSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS CITY OF EAGAN 3795 Pilot Knob Roed Eagan, Minnesoro 55122 P6ene: 154-6100 PERMIT Date: Site Address: Lot Block Sub/Sec. Name 7?fcl'.w.X: . °e Address - ? City . ?._ ? Phone: Receipt No.: City - - Phone: Name p. L ? Address 0 u Single I Residential Multi Res., Comm./Ind. New /Alte r. / Repai r Cost of Installation Permit Fee Surcharge Total This Permit is issued on rhe express condition thot ol6 work shail be done in accordance with all opplicuble Stcte of Minnesoto Statutes ond City of Eagan Ordirronces. Building Official ? CITY OF EAGAN • . 3795 PiIM Knob Road Engan, MN 55122 PHONE: 454-8100 BUILDING PERMIT Receipt # To bs wed for Est. Value Dcte N2 6396 -, 19 Site Address Ered ? Occupancy Lo? Block?- Sec/Sub,i??'l`,rf?=- er ? Zoning Porcei # ' ? d? Fgl ??f7 L' /A; p 0 ? pair ? Fire Zone SEnlarge ? Type of Const. W Nome Move ? #k Stories 3 Address Demolish ? Front ft. ° Ci Phone Grade ? Depth k. ? Nome ? Avvrovab Foea 0 V? A?ress Assessment Permit ~ Ci Phone Water & Sew. Surcharge t Police Plan check W Nome Fire SAC uz Address Eng. Water Conn. <W Ci p??e planner Water Meter Council Road Unit I hereby acknowledge that I have read this application and stnte that Bldg. Off. the information is crorrect ond ogree to comply with all applicoble State of Minnesota Statutes and City of Eagan Ordinances. APC Total $ignature of Permittee A Building Permit is issued to: on the express condition that all work sholl be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordirwnces. Building Official ?_ . J PWMk # peM lard PNwltlw Plumbin9 -21,72 ? -/5?-Yj ? Mechonical ? C /?, _7C -rO e? -77/ /- 7 INSPECTIONS DATE INSP. RapMln Final FOOtings a e Insp. Date Inqr. Foundation ' Plumbing Final Mechaniwl ??. $ Remarks: 3' ( ? CITY OF EAGAN. Include 2 sets of plans, 1 site plan w/elevations & ? BUILDING PERMLT APPLICATION 1 set of energy calculations. Zb Be Used For 9 01,4 C Valuation Date 53"v Site Address u? 6 OFFICE USE ONLY Lot slock sec./sub. Occupancy Parcel #: /4 ,?'?f3D1? D/? OD F11ter zoning ?- / RPpair Fire Zone Owner: p Enlar!e TYPe of Const. Nbve # Stories B Acklress: ?gS 4 y nia -t)R??L?" Demolish Fmnt City/Zip Code: "I?. s,Zv11'Le= ,y,J Grade Depth 49' ft. Phone #: V S'y- 6S7 ? Contsactor: /3u1C0&Xs i+1C Address: IG9a PA7NL= s?L) C City/Zip Code: -67- . tn,? L l''/,L2 Phore 7'7 l - Arch./Eng.: Address: City/Zip Code: Phone #: APPROVALS ?S o Assessments Permit o ' ?4ater/Sewer Surcharge Police Plan Check - Fire SAC 4n,4°' Eng. Water Conn. AeA Planner Water Meter A,4A Council Road Unit Bldg. Off. APC TOTAL 9?? ?s' CITY OF EAGAN 3795 Pilot Knob Rood Ecgan, MN 55124 PHONE: 454-8100 BUILDING PERMIT APPLICATION N? 6396 Receipt # To ba usad for SF DWG/GAR Est. Value 50,000 Date 11-26 19-8Q Stte Address 861 Lakewood Hills Rd. Erect ?Q Occupancy R3 Lot 4? Black ?` Sec/Su . I e '?'" ? Zoning Rl L a ? ? ? ? ? Parcel # ji ' '\ °_?S epoir ? Fire Zone - Vri Enlorge ? Type of Const. - W Ncme S3IIlUE1 ROCZSWOOd Move ? # sro??es 1 _ z 3 Address 9$5 Lydia Dr. Demolish ? Front _ 42 k. 0 Ci R oseville, MnPh 484-6575 Grade ? Depth 48 ft. one Q? Neme Gausman BlllldeT'S IriC .. Apprmols Fees _ 0 ou Address 1092 Payne Ave. u F- r... St. Paul. Mn oti,...e 771-8124 Name Address Assessment - Water & Sew. Police Fire Eng. - Planner - Council _ I hereby acknowledge that I have read this application and state thot gldg. Off. the informotion is corred and a to comply with oll applicable APC State of Minnesota Statutes an ty?an Ord' ces. e Signature of Permittee Permit i-4v . ?v Surcharge 25.00 Plan check 70.25 sAC 525.00 Water Conn. NA Water Meter NA Road Unit 185.00 Toral 91+5 .75 A Building Permit is issued to: 3USIDSn Builders IriC . on the express condition that all work shall be done in accordance wit cll applicable State?of Minnesota St tutes and Gity of Eagan Ordirwnces. Building Official ? ? ? / 9g.4!? ?e s?di3? ?e - ?os?V,ll,? d ? FROM THE D6SK OF M SAM ROCKW1OOD ?Af1Cii?O? 4 1'Yw n,i.c. CO ? ?7o OZZ o1 . i i-c Q a vS e? 1 i h ?-m c-e s S b..d&ue ?e F&/ ew004e e. o r.ssC CL-7' <&O La. G?e w a, o .! s ?' . ?-- ? 0 17 rp u S f? S Lv ? cc, m?.1 / [ GCe C 4cL CcL tit k Ct, `3 ? l "7? Lt -2 ?it C? V S, !? s i 5 P1 u t? j.e- b? e x C; e-cLs o ves-e. ,ti S-61 -r-v be 9,63 I's s!j? v- Sl?-T w?jd?e-: -774 e, Lt m vs ?U1a. u L?.t cc? ?t?t o?, 1 S e l??° ?' ?t o v j o e c.? ? _ tA ? ? ? ? ?y ? ,. ? Y ? t ? ? tlp? j ?" =F •. l i2s44 2 1??? Y''"CJ ?? ?'.? ?.'\?; "' ?? ? '? ? it ?. 14 Y ?. z ?EX ?'E?t`IOR EltVELOPE AV?:kAGE "l!" GQ?4???17??I?"r•? .?? : ; ? `` T. , . , QVkNElt ' - . - -- --?-?--- =?=?----?---? -.-!.--,_, < fi , ? SI?TP'ADDRES5 , = : -, C0N'f(2hCTOR ?iAtE P'rl(9t?1E- .. : :... ,. : ._ ., ., .: Oetermine-workin s?'? ,. E. g quare footage of eaeb; ` - x 1: Total expo5ed 'wAl l area sq...ft. x,?;?8 2. ?otal roaf%ceil{ng °area ..... /Or9? sq. ,f.t. x _j t Totdl 'exposed wa11 area aboYe fi oor a. 7ota1 wal l windQw area ., ' 4 . , b. Total door area ... ;....... .. , • ?. c. Tota1 sl'iilin9 1ass door area ` ? ,,. ?? , ° . . . .... .... 9 . ° ?d: Total . fireplace wa 11 area ..... . : . ? E , . ,. e; total Wa71 framing area (average 10%? , ?/ S,"•j ?j ? f Total ne? wal}area above €-loor -.. _ g. Total ri`rn joi st arca •• ., ..... . .. Total ezpro5ed faundatian area ?z =b. Total #oundation :window arca ... : .. i. Toal net 'fpundation ,area abcve gr??de Determine 'U° value cf each wall segment. . . . . . ? .. a. ? : , ? .f7. ?(Jl?? X-Ou11 SJ ' at ? ? ? 3 ? ?? •?? ? ? '-JI' .O . . Jt ` U 11.2 ? . b ? , : - s „ = 40,f (aS : - .--?--------- ? ? .. . . . ;; c: l?(1 ?x , , a. X„V$:_ --..?.?.- . , , z e, X . -?---?- ; - ?-. f,. K ltU" 07. y . „ = S?, U6 ; ? .. g• f:??a.S'O. X °u" G6 7, 5? ?- .. . . , , ? (5,X????,, ,- h ? ? 4a . ? 3........................ 4, ... ...... ..Total Y. ?_. If item-03 i s.the. samLi aslessthan iGem ?1, .;?a?r. have met.?he???i?ntent- ?y of S8C:6006(c)2?:?, 4 ? + d :y ? .'..p _ - 'v . s?. , . , ,.>5. _ •` . .. . _ , ._ -s.?p -.n-i?v , .. ..?r`c? `i?',daF .m? ' ?*„ ALL Stt Tal2N8 w ,.. ` -?--------?-- . ?: ? =^ ? • ? ? ° t ? ? h? w ?que araU arqafor =s U4eI3? ot 6 . ? f'rame constructlon Co?st?i'ian . ' , y. ? • 1. C i i f'ilm: ?LL? , . . ? j. ??1 i:nchcs sofr iaood " ? ?" . . 4. 77-, ITIGT 'x 8}L SIC 6. Extcz?ior am : 0.17 WALL Total, ? ? X :.. FIG. #1 FRI+tfE i?IATiL l. Intcrior air.film :?. 0.68 7. ???' 3. ? -. . ? . • ' ._ ._._....._., ? ?', , ._ _ _... 4 . 6. EXtar ox a?:r. # lm. .v .,19 FIG. #,2 . -. ' 5 . .. :? . , ,?. . ? .' 1. i? ?i1m A iG]c a 3r 0. ?e w?Y??. •....?.? ' • 2 . ? ? W:w.. • . 3 u ... -.r. .+ / /P +?..-.? . . 4 .r..? .? ? f . 77 ?" ' 5 -- -7 :, fa.ip.re :al •- - ? ° , ? i . """0 • f,. Sxtorior ai t lm 0117 , , ?1 ? ? , . . •::;. • . ti . t T6?d1 ? /('a vZ k, . ? 1. Intcrior air film 0:68 ; £j1:iJATI0N * ?• : ? . ,t ? a1 ' , 2. ' ?v r '??? . • , ?? ? t1 ' - 3. ? ' 41' • p; _ : . • 4 - .' ?.n JC ? 5. , "-i?'/1'~' ?. ' 6. Sxteiiole air film ff. t7 . y ---?; . • ? . , : < „ . siAa oN cRADa , '. ?d. .. 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MINNESOTA 55121 PItONE: (612) 454-8100 AEQOEST FOR CHANGE OF IDDAESS AOTE: pOTIFY DAKOTA COQNTY UTILI?Y SEAVICES OF ADDAESS CHANGE NarE: SAM Pcx-*-Ltooc,) ADDRESS: L`1?1/-? }(C7jsvlL(-e (13 PgONE #: 4-8 4 ' Vf) -7 -5 1DDAESS CHANGE HEQUESTED FOR: VC ELLWN Ltoo PAOMti5 EGPN o+?w K cusrnrsc PAMEu NkCRU VEOOORf wr.cfn cov,rl ?As.bsn 1F? 1#DGE` cor +e*i+*aa EUGEr1E v,w wFx Cwr CWk S?OI 1?K?4-±c7?D ?L4?; F.?..?. (to L9? 7z2 ? nnncc?e AEASON F4R CHANGE: blZf(a(PAL ? ?r to Ca9 500 bza o i i,?tinL? > F7 _, WTO (C) (04 -r-.D Ozl ol ? 10 Ca45C0 o2..7- ol. 77-IE ACCY-E:+''-E.3 l-IrLL LrvEWOOCJ lI I L( S F-U Fc:f- lo ?4 cZ NIuS '9 rof, 10 &45oo ozz o I. ;`? 9 =? /90 ? (DATE) (SIGNATURE) OFFICE IISE 0ltLY 1iE1W ADDRESS 8(03 LAv-C-,.I.JCoU 0 IC., S ?l7 IAT D 2 Z BLOCb O( AAME OF PLAT ROGk.W W3 V?Jp ElS THE LONE OAK TREE ..TFffi SYMBOI OF STitENGtH AND GROWiH IN OUR COMMUNITY . , : e _ oa ~ ~ f ~ . . . ~ ~Q. L. . . . ~ . . ~ . , . ~ ~ . . ' . . ~ . ~ ~ ' ~ o ~ . ~ ~ ~ ~ . : . ~ . 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ZJ ~"Ak At . ~ ~ rF ~ ~ ~ ~ `wr. wv ~ t. , . . . ~ . PERMIT City of Eagan Permit Type:Building Permit Number:EA118058 Date Issued:10/25/2013 Permit Category:ePermit Site Address: 863 Lakewood Hills Rd Lot:022 Block: 1 Addition: Rockwoods Woods PID:10-64500-01-022 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - 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 by law in ALL single family homes . Inna Bodnar Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 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 - Jane G Rockwood 861 Lakewood Hills Dr Eagan MN 55123 (651) 456-9704 Intelligent Design Corp 4009 103rd Ave N Brooklyn Park MN 55443 (612) 919-2596 Applicant/Permitee: Signature Issued By: Signature i � Use BLUE or BLACK tnk r...._.__�..�--.�.� ! � For pffice Use —^�y_~— ( ' I � • ��.:��'�`� ��i� ' Pem,n#:_�,C.��7 _ � , C�ty of �a�aIl 5 �� ; . . � � 3830 Pilot Kr►ob Road SEP 0 5 2014 �ar� ��+ � PermtFee• IIa� � Eagan MN 56�122 � � ` � Date Received: 7'�-1 i Phone:{651)675-5675 ��'i ���--��-�-- � �Q�,� � I Staff: � Fax: (651)675-5694 �____________!____� � 2014 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: �'��20/y Site Address: �b ✓�l�.�woc�',i �l�I�o ae dt Tenant: __ �lJ//7 ��i L- 3uite#: ResidentlOwner = Name: �rt �a /�, L whone;,��/�9�`29/ -�� = Address 1 City/Zip: " •w�e�/ �. e�l. Name: >.�Li.�. Y�-�"' �f C'v � License#: ��� Address: � iSD"3�8�J'� City: �,�w�riR�c7�/� Con�ra�atdr Z // �� 6r�`�ss 32z State:� /� Zip: T`5 O ,�_ Phone:�-�� T��-7�y , . �:: r / : Contact: V'�� Email: / �- c�.�b�er' • (� S : � � �,;�1���Of}Wot;�cy —�ew �="`p�acement _Repair _,_,Rebuild ,_,_,Modify Space _Work in R.O.W. k� r?.. � . -T-.^ y.. � � . ��'"'��;-'� `' ��'� ; Description of work: i k • ; RESIDENTIAL ' � Water Heater : ' Lawn IRigation(^,RPZ 1,_,._PVB} Wat�r Saftener � '���������,� Add p{umbing Fixtures(,!Main l,,,_Lower Level) ::, � �s��x� Septic System , r�_. New Water Tumaround = Abandonment ' RESIp�NTIAL FEES: $60.00 Water Heater,Water Softener, ar Water Heater and Softener(inciudes$5.00 State Surcharge) $60.00 Lawn Irrigation (includes$5.00 minimum Sta#e Surcharge) $60.OQ Add Plumbing Fixtures, Septic System Abandonment, Water Tumaround*(includes$5.00 State Surcharge) a er dd$200.OQ if a 518"meter is requirec� $175.00 Septic S�stem N� : 0.00 per as buiit)(includes County fee and$5.00 State Surcharge) �, i TOTAL F�ES$�� ; CALL BEFORE YOU DIG. Call Gopher State One Ca{I at(651)454-0002 fof protection against underground utili#y damage. , Ca1148 hours before you intend to dig to receive locates of underground u#ifitfes, www.qonherstateonecaf�,org ; I hereby acknowledge that thfs informatlon Is complete and accurate;that the work wUl be in confonnance with the ordinances and codes of the City of Eagan; that I understand this is not a permtt, bat only an apptication for a permit, and work !s not to start without a permit;that the work wlil be in ' accordance with the approved plan in the case of work which requlres a review and approval of plans. ' X�/�-�y��� Applican 's printed Name App ant's Signature ;r = ;�„ ,�"�;= ;"' i :��� �'� `FOR,��„��IGEj����. - �-- r ��# ���Redie� �� � ,,� e � �fate;:� / . � 3 � �: �. ��� ,, -. � ; d t Requ�r,ed�Irssp��j�r�i� ��.i��"���G���'� Ro�i�h 1t� - _,_;��rTest 5 ~GasTes� - �;Final - M�ter:ReEated ltem� Met�r'�i��� Radio Rea�i_;; Manom�ter �taff: EAGAN 3830 PILOT KNOB ROAD 1 EAGAN, MN 55122-1810 (651) 675-5675 1 TDD: (651) 454-8535 1 FAX: (651) 675-5694 buildinginspections(a�citvofeagan.com I– For Office Use Permit #: Permit Fee: /—Q • V Date Received: Staff: 2019 RESIDENTIAL BUILDING PERMIT APPLICATION Date: %o//c/ 1 61 Site Address: 86rS� `"'�'� � (S /1 ` Unit #: Resident/ OWI]@r Name: 1'e & 1/N \ Phone: 65oZ el -Cc)/ 1 /,� (� , n I� A4-4-44-0 ° 't \ k c4=1 A el •A 5 -5 -1? -3 Address / City / Zip: 86 5 La _ / Applicant is: X Owner Contractor Type of Work Description of work: _/Ut? <.J S' AA Construction Cost: 75Z.x.)U • ""iJ Multi -Family Building: (Yes / Nod( ) Contractor Company: Contact: Address: City: State: Zip: Phone: Email: License #: Lead Certificate #: If the project is exempt from lead certification, please explain why: In the last 12 months, Yes No COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? If yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Fire Suppression Contractor: Phone: Phone: Phone: Phone: NOTE: Plans and supporting classified as non-public documents that you submit are considered to be public information. Portions of the information may be if you provide specific reasons that would permit the City to conclude that they are trade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeaoan.com/subscribe. 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. 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.gopherstateonecall.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. x Jo? eAJ V,. &A/ Applicant's Printed Name x Applicant's Signature