621 Lantern Ct? CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number.
Eagan, Minnesota 55122-1897 Date Issued: '
(612) 681-4675
, ?. .
SITE ADDRESS: 114; APPLICANT:
PERMIT SUBTYPE:
I I f MI;
TYPE OF WORK:
faf'si'Er fv i ! OPf
1liAl
Nt F>+rrii
tr4 f?OuF fS, T[I?eM t:sAMAfaf
I F:i' R1'RIl0('1N1; Flt)IS`,( & Ftf'4'ASF"tlNfi 6APA11i
Permit Holder Date Telephone li
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARO
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BIOG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
coNDucrivin
TEST
HYDROSTATIC
7FST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
+k
L-
? CASH RECEIPT
'?" •
. '*,..,1..
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE /(7 - ,. S 1 19 1/: l
/
0. , :' ? •
?
{ c
?i} r 1 p --- /
'?i'
FROM ! Jl rA ?{1. 1? kr? • ?{1-d ?:' ?? 1 ?? "`' C
AMOIJNT $ ? CASH 0 CHECK
im
DOLLARS
C 10916 ?^, ??,,
Pink--Fde Cpry
Thank You ;
BY
SEWrtR & WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
•
DATE 0 OCT 31. 1990
..?
METER #
CHIP # -
ICE USE ONLY
_ PERMIT DATE 11I01 / 9C
_ PERMIT # 11702
METER SIZE B.P. RECEIPT # '
ISSUE DATE B.P. RECEIPT DATE 10/31 9U
x PRV - BOOSTER PUMP
SITE ADDRESS 621 LA!r`T@Ril CT PERMIT REQUESTED
LOT 31 BLOCK j SEC/SUB COUliTRY HOLLOR
X SEWER x WATER _ TAPS
APPLICANT.
ADDRESS:_
CITY, STATE
PHONE: _
- COMMlIND
ZIP X NEW
PLUMBER: ' ? fSOV? T"I ?r? ?7i? a
ADDRESS: = `O 4o4A*+- PIRST St S
CITY,STATE :`+ '?.?"?t? r±?r? ?^?`1 ZIP 56069
PHONE:
OWNER: CEROLD BQOtHERS COP.&TRUCTION
ADDRESS: 1704 260TH 37 W
CITY, STATE NF.W PRAGUE. MN ZIP 56071
PHONE: 445-3171
__XL RESIDENTIAL
EXISTING
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 ORDINANCES
SIGNATURE WHEN METER ISSUED
E ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
PERMITS, CONTACT ENGINEERING DEPT.
SEWER & WATER PERMIT
CITY OF eAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
DATE OCT 31, 1990
?/ OFFICE USE ONLY
METER# ??T yo-3 37 PERMITDATE 11/01190
CHIP # a??? P??? PERMIT # 11702 l
I'
METER SIZE y ?Cl B.P. RECEIPT #'-i
ISSUE DATE B.P. RECEIPT DATE
X PRV - BOOSTER PUMP
SITE ADDRESS 621 ?ATE:t,' ti
LOT 39 BLOCK 3 SEC/SUB
? APPLICANT.
ADDRESS:_
CITY. STATE
PHONE
ZIP
PLUMBER: ? ? f-C, ov? P? ur+? tM a
ADDRESS:360 -1-4-4-64Ay FIRST ST S
CITY, STATE M u.,--i' I v„1 ec v ln P?1 Zip 55069
PHONE: /-?-6 D I
OWNER: GEROLD BROTHERS CONSTRUCTION
ADDRESS: 17W+ 2SOTH ST A I
CITY, STATE NEW YRAGUE, N,N ZIP 56G; 1
PHONE: 445-3172
rr'. r 7-6lt1
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.
? \ . ???Gk,. `=-• '-?..k_?
I AGREE TO COMPLY WITH CITY OF
EAGANARDINANCES
GNAT 1aE WNEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
C?.??
CONTRACT
PRICE
Site Address .
?
Lot
O
m Name -Z
? Address_
? CitY4ft
Name
? Address_
City -
PLUMBING PERMIT For Office Use Only i
CITY OF EAGAN PERMIT# X"C'-n
3830 PILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT?
PHONE 454-8100 DATE:
BLDG. PE WORK SCRIPTtON
BI dc ? Sec/Sub Res. New
l- Mult. Addon
Comm. Repair
ah9f
Phone
FEES
COMM.AND. FEE - 1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APLLIES
MINIMUM - RESIDENTIAL FEE $12.00
MINIMUM - COMM.IND./FEE $20.00
STATE SURCHARGE PER PERMIT 50
(ADD $.50 S/C PER FcAN $1,000 OF PERMIT FEE)
CITY OF EAGAN
RES. PLBG. ONLY - COMPLETE THE FO LLOWING: ?
NO. FIXTURES TOTAL
1
Water Closet - $3.00 $ 1
? Bath Tubs - $3.00
Lavat
ory - $3.00
? Shower - $3.00
?
? Kitchen Sink - $3.00 i
UrinaUBidet - $3.00
Laundry Tray - $3.00
?
?
Floor Drains - $1.50
Water Heater - $1.50 1 • ,
Whirlpool - $3.00
? Gas Piping Outlets - $1.50 1 • ?
(MINIMUM - 1 PER PERMIT)
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
_ U. G. Sprinkler System - $12.00
PERMIT FEE:
,.; I • u ?.?
STATES S/C: •? ?-
GRAND TOTAL: ? ? =?U
PERMIT #
MECNANICAL PERMIT RECEIPT #
CITY OF EAGAN
3830 PIIOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE: PHONE: 454-8100 For Office Use Only:
I Site Address BLDG. TYPE WORK DESCRIPTION
Lot Block Sec/Sub n New -?
Res
.
Name Mult Add-on
Comm. Repair
Address
Other
c City j /c'
r ? U1n Phone
-
p
EES
Name ; ? • • .=? ` RES. HVAC 0-100 M BTU - $24.00
c Address ADDITIONAL 50 M BTU - 6.00
p City Phone (RES. HVAC INCWDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA.
TYPE OF WORK
? i COMM/IND FEE - 14'o OF CONTRACT FEE
E
Forced Air
?,%M BTU APT. BLDGS. - COMM. RATE APPLI
S
TOWNHOUSE 8 CONDOS - RES. RATE APPLIES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8
Unit Heater M BTU REMODELS - 12.00
Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
Vent CFM $ (ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Outlets # BEYOND $1,000)
Other
,
FEE: f
' SIGNi4IURE OF P€RMITTEE
;. S/C:
?. TOTAL• FOR: CITY OF EAGAN
q$ . . , R,`tl
(gerfi#iratr of (Orrupanry
Citp of (Eagan
lRrparburtd of Nuiidiag -3nwertian
This Cutifuate issued pursuant w the requiretxenu oJSeclion 306 oJthe Unijorm Building
Code certifyn+8 that at dre time ojissuance tkZrstrxcture Has in complimece wilh the mrious
ordinancer ojthe City regulaWtg bur7ding onnstrudion or use fnr thefoUowing.
un Ck=xb0;a, SF DWG/GAR BW& Pani;,Nm 18495
p=,p,cy Tra R3 /M ] Zoakg oka;a R I rya com• VN
o..oerotWasa Con II RRrtS. lYNqI'_ Add,m I704 28(YITI Si' W- NEd PRPII]E
eowirc,+ea,m 621 TMKM IAX i„aay I31. B3. MN i?f MUM
I_
i.
.iAta]ARY 4. 1991
wmaa o&W ?_ .
POST IN A CONSPICU WS PLACE
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt # ?
T(1 AP IICP(i fllf SF DWG/GAR G?, ",,,,e $104.000 M...,. OC
Site Address -
Lot 31 Block
Parcel No.
w Name GEROLD WTHERS CONST
? Address 1704 2801M gT W
Ciry NEW pRAM Phone 465-3171
Building Official OFFICE USE ONLY
I hereby acknowlege that I have read Ihis application and slate that the
information is correct and agree lo comply with all applicable State o(
Minnesota SlaWtes and CAy of Eagan Ordinances. .
Signalure of Permitee
A euilding Permit is issued to: f+ERQLD BROTHERS CWNST
on 1he express condition that all work shall be done in accordance wilh all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
2-3 M-1 FEFS
R-1
V-N Bldg. Permit 654.00 -
v-N
Surcharge
52,00
509 Plan Review 425.00
52' sac. ciry 100.00
- SAC,MCWCC 600•00
Water Conn
Water Meler 90.00
ncct. Deposit 30.00 ?
S!W Permit
30 . 00
'
?
S/W Surcharge • 50
Trealment PI ?
252.00
355.00
?
Road Unit ;
Park Ded. ?
Copies '
-ti' s. 11. 56
TOTAL ,
? Permit No. Permit Molder Date Telephone #
iNATER f
SEWEfl
PIUMBWG
H.V.A.C. /?/n
ELECTRIC ric! ???3yC
Inspection Date inap. Comments
Footirgs l 90 ?
founda6on
Framing
Roofirg
Rough Plbg.
RoughHtg.
Iwl. /2 • p0 Ar.
L - 1 '
Fireplace
Final Htg.
Final Plbg.
Const. Meter Plbg- Inspector - Notify Plumber
Engr./Plan
Bldg. Final
Deck Ftg.
Deck Final
Well
Pr. Disp.
, . CITY OF EAGAN NO 18495
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PERMIT PHONE: 454-8100 Receipt # ' / OqltO
To be used tor SF DWG/GAR Est. Value $104, 000 pate OCT 31 ,? g 90
Site Address 621 LANTERN CT
Lot 31 Block 3 Sec/Sub. COUNTRY HOLLOW
Parcel No.
w IName GEROLD BROTHERS CONST
a Address 1704 280TH ST W
City NEW PRAGUE Phone 445-3171
o Name --_ SAME
?? Address
1- City ? Phone
U
?y W¢ Name
Address
aW City Phone
I hereby acknowlege Ihat I have read this application and state that the
information is conect and agree to comply with ali applicable State oi
Minnesota Statutes andZi(y of Eagan Ordinances.
Signamre of
OFFICE USE ONLY
Occupancy R-3_M-1 FE ES
Zoning R - 1
(Actuaq Const V?- ` Bldg. Permit 654 _ 00
(Allowable) y'N Surcharge 52.00
# ot siaries
Length -
?Q
Plan Review 425. 00
Depih 99, SAG City 10.00
S.F. Total - SAC. MCWCC GOO. 00
S.F. Footprints -
On Site Sewage _ Water Conn 69 5_(1(1
On Sile Well - Water Mater 90.0
?
MWCC System X
Acct. Deposit
30.00
ry Warer
Ci ?
PRVRequired X S/WParmit 30-0
O
Booster Pump - S/W Surcharge - 50
Treatment PI 252.0
0
APPROVALS Road Unit 355.00
A Building Permit is issued to: GEROLD BROTHERS CONST Pianner - park Ded.
on the express condition that all work shall be done in accordance with all Council _.
appticable Slate of Mi nesola Statutes and Ciry ot Eagan Ordinances. eldg. Off. _ Copies
Building Official ? ? 1N? 1.VA/A-J I 11?CI Variance - TOTAL 3+ z13 • SQ
I ? .
. - .. . . . . ? . . .. . , ,
DATE:' NOd 1; 1990
" RE: 621 LANTERN CT (GEROLD BROTHERS CONSTRUCTION)
X
-Yotr Sewer & Water Permit for the above property has been completed. It will be held at the
.oPublic Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
- Your 5ewer & 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 further 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, C9LL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPAR4MENT FOR WATER TURN ON POIICY.
Secretary, Building Inspections Dept.
Addre;gs: 621 LANTERN LANE Lot 31 Blk 3 Sec/Sub I-OUNTRY HOLLOW
These items were/were not complete at the time of the final inspection.
Yes No INSPECTOR:
?
Final grade (6" from siding) ?
Permanent steps - garage
Permanent steps - main entry
Permanent driveway
Permanent gas
Sod/seeded grass
Trail/curb damage
Porch
Basement finish
Deck
Please verify with the builder the removal of roof test caps from the plumbing
system and the shut-off of water supply to the outside lawn faucet before
freeze potential exists.
White - City copy Yellow - Resident copy Pink - Contractor copy
2730
%Request ire No. IB5 ug -in Inspection
Req ed?
? Reedy Now K Will Notify Nspector
? Q g ? No When Reatly?
Vl6Iicensed con[ractor ? owner hereby request inspection of above electrical work at:
Job Address (Slreet, Boz r Route N I C'lY
e
$"n No. Aa?z"f e Np})y , S
{ Counry,
,
Occupa 1 INT)
.? P?ho;e No. #
?c
?S-? q
Power SuPP er .{
Address ?? O0'? 4ZO ? S? W? I
i
O"t 1\ .
Electrical Contractor (Company Name)
? Coniractor's License No.
6 ?
t ? e?..
Mailing Address (Contractor or Owner Making Installation)
{?• O
ww ? O7
Authoriz i (Gontractor,?
= 9 4 I?n /??wytn ? Phone Number p O
MINq?,.R11 STATE OARO OF ELECTRICITV THIS IN?C?'I"REOIJfST WILL NOT
Grl?-Midway Bldg. - Room 5-173 BE ACCEPTED 9Y THE STATE BOARD
1821 Unirersity Ave., St. Paul, MN °57ft Waiii pROPER MSPECTION FEE IS
3/c?D REQUEST FOR ELECTRICAL INSPECTION
? P, See instmctions !or completing this form on back of yellow copy.
'R6 2 7 3 0 "X" Below Work Covered by This Request
EB-00001-07
99 C/Zrs
?... `??
„?,•
ew Ad Typeof8uilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Healing
Apt. Building Dryer Other (Specify)
Comm./Industrial Furnace
Farm Air Conditioner
Other (specify) Coniractor5 Remarks:
Compute Inspection Fee Below:
# Other Fee # ServiceEntrance5ize Fee # Cirwits/Feeders Fee
Swimming Pool 0 to 200 Amp ,rC, - ;t 0 to Amps p•?
Transformers Above 200 _ Amps A Amps 1
^
07
Signs Inspecror's Use Only:
- TIVAL
Irrigation Booms a°
.
AZ
.-
?
O.S?
Special Inspection ,
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED T S
Other Fee COMPLETED WITHIN 18 MO 1 p
I, the Electrical Inspector, hereby
if
h Rough-in o J n p
l
y t
cert
at the above inspection has
been made. Final ? oaie
?
OFFICE USE ONLV
t
This reque5l void 18 months from
?
'/
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(6112) 681-4675
SITE ADDRESS:
p.I.N.: 10-18275-310-03
DESCRIPTION:
REM#W:FING HpU5E & REPATRINfi GNRAGE.
FEE SUMMARY:
FF?IO6pA"f"TO9RSPECIALISTSPp 1?17586662
P.O. BOX 128
NEW PRflGUE MN 56071
(612) 758-6662
PERMIT
PERMIT TYPE: guILoING
Permit Number: 033125
Date Issued: 09/ 0 2/ 9 8
621 LflN7ERN C7
LQT: 31 BLQCK: 3
COUN7RY HOLLQW
pEc+nnF/cTURhf DAMAGE
STQRM DflMAGE
Type REPAIR
494 AL7. RESZpENTIRL
qt;:
W'h1J34Kffg'AgIL07.4t4%
?l=N
OWNER:
?ELrzs sRAp
621 LflNTERN C7
EAGAN MN 55123
(661)405-0099
APPLICANT/PERMITEE SIGNATURE I l1ED BY: SIGNATURE
1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY QF EAGAN
3830 PIIATKNO ? RD - 66122
a "
New Construction Reauirementa
• 3 registered site surveys
• 2 copies of plans (inGude beam & window s¢es; poured fid. design; etc.)
• 1 energy calculations
• 3 copies ot tree preservation plan 'rf lot platted after 717193
required: es _ No
DATE:
D SC TION OF W K: ?+
.? _ . ? .
STREET ADDRESS:
LOT: 3 l BLOCK: ?
?
RemodeVReoair Requirements
0 2 copies ot plan
? 2 site surveys (exterior additions 8 dedcs)
4 1 energy calculations for heated additions
CONSTRUCTION
n °, c?.rc,._.,? t
_ T-- , ` I
SUBD./P.I.D. #: ?. ?T?U ? lo uJ -
PROPERTY
OWNER
Name:
Lest Fint
Street
Phone #:
City _ State: Zip: SS
Company: Phon :
CONTRACTOR ?
Street Address: License # ? ,?
City State: / „?'„?. Zip: ?
ARCHITECT/
ENGINEER
.
Company:_
Name:
Street Address:
City
Sewer 8 water licensed piumber (new construction onty):
and lot change is requested once permit is issued.
I hereby acknowledge that I have read this application and state that the
State of Minnesota Statutes and City of Eagan Ordinances.
Signature ofApplicant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes ` No
Tree Preservation Plan Received ` Yes _ No _ Not Required
Phone #:
Registration #: _
State: _ Zip:
PenaPty applies when address chang
to
\ ! -.'? V L`
Vll
ith all appliqbl
7z ?rz\?
1990 BUILDING PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
MULTIPLE DWELLINGS
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
?
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES 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.
TOCT 2 5 RECD_
To Be Used For: Valuation: ,f) Date: L d 2 S
Site Address _62 I 1-cL,6-4e4,,-
Lot 3? Slock -R
Parcel/SubrDc.jn q U.QI.IOu) L-6 ACWn,
Ocaner (SernI!' kfyS. [ ?S C? •
Address (7dY ,??'p?? S?.(.,c!?,
City/Zip Code ,veL.L ArrkG kc:J\qt-3. 5'6071
?
Phone y 6- 7
Contractor Sc?,W,4? a S A GjsZ
Address
City/Zip Code
Phone
Arch. /Engr _ S Jr-ALn z'.Cl'
Address
City/Zip Code
Phone #
OFFICE USE ONLY
-7
Occupancy
Zoning
Actual Const
Allowable
# of stories
, Length
I Depth
S.F. Total
Footprint S.F.
R-3 M-1
R- I
v-N
v-N
?
JG
On site sewage_
On site well
MWCC System ?
City water ?
PRV _
Booster Pump _
COMMERCIAL
FEES
Bldg. Permit (0$,1100
Surcharge 52.00
Plan Review 'qZS,Oo
SAC, City JOO,Oo
SAC, MwCC 600,00
Water Conn 625, 0 0
Water Meter 90,0a
Acct. Deposit 3o•oa
S/W Permit 30, 0o
S/W Surcharge 15b
Treatment P1. ;2.5Z.10
Road Unit 35S.00
Park Ded.
Copies
SUBTOTAL
Penalty
TOTAL ?„I3• l?:
APPROVALS
Planner
Council
Bldg. Off. t??a
Variance
VALuXWONar.. > ?.
p V
Y s
2?jx2o = ySo x 15=7200
SsrnT, -
__-_--?
?oxz6 = 1300
yxz? "L)
lLbcs?! x ?N= /c?G
?nuS?
?.--
gsm r= 1 yo Y
? Y z(- ; 5 2.
? z-
Z?
I ?ta = to
ly°?y
x 51 = 76! 9y
.
l03 oso
,- ?
00 .
!869.0% l8.5a DRAINAGE AND UTILITY EASEMENT
(869 a) o ^
(D ?
I \
\
1
\\ \
40"
? i \ ?
('f) ??` \ N6j
?
a
t? ('f? A4 ?'v
?
I \
0
O
I
ID , N? o
//' lq)r?' s \
P
\ ?4?
30' FRONT BUILDING SETBACK LIN!,
p0
p0/ \ e o
o, o r0 00
I-ctJ 3.? Pb?
? -,
N 269 68 ? n
'S-S3'j4„?
L O
T 30
?
I ?826. Z?
?, . 2)
??
i?- YlY ,,;?ol? ?
`0?;' `Q
i J
i O
U
?
t JSA?fn Y1 $"p, k " ' ,
WE Oy ',`??e? t ,.
- ,t
a4
??
• z?'`
s fl ?
? ?r? q ??, ?
4.> r
? ?` ?? ,?r?:
?'
M,a E?Y?' `??L?. A?A
? o e U t
?
•
v ? r
•
dr . . ,r^r
ti
O0!F/CE6i.9t3G AfA jq
D ? At- tt °v'
4
? w z
??.
..,v.... ?z•:
? • i .
ef'??
.
AacA caLCUtATodN5:
I
WAL EPosEo VAc v
,
.
,
T 4 i
to:?? exposed waoa
of" above ?Rloar s?
i •a?as0 t e
Pt
?
'
irat8l wali rwYnUfw smaZ , . . . . , . ..
ti ::
??/y,
oaaea•
ft ?
x
,
'?a#° ??+? . , . .*, .,.
Sq
..,.-.-?...
V) utal i7Wr area • ? ? ? ? a o o a ..u.?++ e'9 ?Q n
e) Total s0idlng giasa door.ares: ?
?` ?,,,, ?0?13?lS. e..•. ?? 9q f [ X oW . 3? m il 4? '
, p _
. ? „?B?d ? ? o e s es4
f$
x i r,,.....?._-•-.-..?._... ' ?
? '
?' .. .
a9) Teee9 f 1,1°ep4ae,e 1vaI 1at'ea sq f e x '?io? „C? `7? a? p. ,,, •?
e'I Total mlI fAP8?1OAg B!'ea
?1/ers"- 1V%) q M?i
VP
#D Total no• w87, Brea a\R1VO , . ' . . :
fboot (lnsalatffid),......?? ? aq
? ft x .°W". , ?q
-0;A"L
?13
1 6 S
Total r8m Jolst aeoa ......
Im
f t
x
Total tamdstlati .
ams (Ixposead).....a....,,,,°Z eq fs .
h). Tote1 fondaeloai sr ?,q.
? L sq . s °i
Wf11Qw arC4.*** ft x °Ut0
?eae???s??? •
i) Total mt foundatlon • ,
arraa abo+?e greda+....... ft x °?" ? •? p? ?
'tOtAl. 0)
if item #3 Ba ehe seme as, ear teas thsn 8iom SI, You hav+e a+et tts ADtan8 of
2 MCAR 1,16008 A aad 0. .
t4ome ce, 62( Lo-C 3G, /B l K, 3 A-C)a
.
. °`TOTAL EXPOSED ROAF/CE I L O NG ,.ATiULA710NS :
totel expoeed
?f/oe111nA aroa........ ?y o y eq tt '.
.... q tt x "u"
..,_,?.r.,,,,? .?...._...... ,. ,.?..;
? 1) Totai skyllght ere+e... a
? .
k) Total roof/celitnq fraaing p area (Avaraae I(R) sq f t R 'Y
` . . . . . . ? f?N' 1) Tot.l net insulated
f00¢/Ceil0flQ e?8. ••.•.• mq ft 7? s?" fo ml.7a 3
, mTaL ) li?u
` totel of eh Is the seme as. or less then A2. you 0?ave aset the Intant oP
1tCAIi 1.16008 A asd 0. I AITERNATE BUII.DING ENVELOPE DES16N
'o utlllae the total envelope system method, the ve0ues asstebitsfied by the sum
of Iteras pj and 14 ahell not be greater then the sum of Items 01 and 12.
1. t' a. °
y. + 4. _
C E R T iF i C a T 1 0 N
, ......____.,,._..,._r__
1 hereby eertify that 1 Aave ca0culaeed ehe "U" fectors and "°R"
etues 1?eretn and tAat the bull.dinq hcra.described meets or exceeds the State
f Mtnnesota Eoerqy Coaservetlon Act.
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L S/ BL CITY USE ONLY
?
SUBD.
1996 PLUMBING PERMIT (RESIDEMTIAL)
CITY OF EAGAM
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4875
AJa
Please complete for: ? singie family dwellings
? townhomes and condos when permits are required for each unit
FIXTURES EACH dQ,. TOTAL
Shower 3.00 x =
Water Closet 3.00 x =
Bath Tub 3.00 ;c =
Lavatory 3.00 Y =
Kitchen Sink 3.00 :c =
Laundry Tray 3.00 x =
Hot Tub/Spa 3.00 :c =
Water Heater 3.00 ;c
Floor Drain 3.00 ;c =
Gas P'tping Outlet * minimum -1 3.00 x =
Rough Openings 1.50 :< _
Water Softener 5.00 x =
Private DiSposal * Dakota Cty. license 65.00 =
(new and refurbished systems)
U.G. Sprinkler' home under const. 3.00 =
Alterations * to existing 20.00 =
Water Turn Around 20.00
STATE SURCHARGE .50
TOTAL ? 2?-?
SITE ADDRESS:
OWNER NAME: W-"
INSTALLER NAME:-?
STREET ADDRESS: 04
CITY: &?,,s pa-,?
PHONE #: (
RECEIPT #: -
DATE:
S5 Iz
STATE:Av?-&:-, ZIP: ?? ?
~
o ~ ~
~6 Z ~ _ _ _ NORT
~ ; ~8~5~ DRAlNAGE AND UTILITY EASEMENT ,8b9,o
869,0) o ' . _ ~ C SCALE . 1 30
~ ~ lo
~
.
.
W LOT 31,-BLOCK 3, COUNTRY HOLLOW,
_ ~ TA COUNTY MINNESOI'A.
m ~ ~ DAKO , ~ ~ i ,
~ ~ ~ 0 0 ,~52 0,,
~ •4 ~
a . Q 0
4;~' FRONT ~UiLDING SET~ACK LINE
,
, o, '
,~~'~qo,~
' ~ l~b~ ~ ~ \ ~ '1I ~
\ ~ s~oo ~
/ " fq ~l~ ' ' ~888, o~ 0 ~4 ~ ~v - ~ o
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888, o ' o' ' ~ L~' ~ ) w , . ~ o t2 \ \ ~ 4~ Q ~ o/ ~ o ~ ~a 2S ~n N_ o p gc~ o~ o;~1 .z2 , ,o
~ ~o l~' ~ ~ p ~ 2 tl~~qM, ~ ~ti Q z'OO ti 'V i ~
~ o ~ °.o _ ~ ti ,
\ 26 Q o o . , p ~ °Q ~ 0~ - d i 0! ~
~ ti ' ,'o~ .°,'o` 3 :6~~0~ ~ ~ 'titi~ \ ~Q~', 3 St
~ ~.'Ni ~ ~i 269 ~ ~ t0ti I
N ~ 0 68 n.. ' ~ 3~. .-~o~ ~ S 5--3, \ ~ , ~ o, I
3 ~ 4" \ ,~i ~ 2- ~i ~ cy ~ 8z 8, o ~ E~1STlNG Ei.EYATION
~ 1~ I DE~OTE /D ~M I
r~ ~ ~ ~ 828, O
h v C ~ DENOTES PROP~SED F~.EVATION I
g~. I ~CE DRA6NAG~
~~Z~ ' l~DICATES DIRE~TfON OF SURFACE DRA{NA+ <°Z6, Z ~ ~ I
i ~ ~ ~C 828.33 = F3NIS~iE~ GARAGc Fi.00R E~E~ATaO~ kT1ON
820.6Z _ - BAS~~E~T F~~OR EL~~ATION
828.66 = CK ELE~ATION TOP OF 6L~
. ~ ~k-0 ~ ~ ~F'Sa~. :~9 ~ r . ~ ~ ~ s ~m ~ . ' ~ ~ a.
~ ~ ~ ~ ~ . ,
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, ~~J9
. . . . . ~ . ~ 'as~~~ ' ~ 1` f ~Eff,as . ~ . . . . . . i . . . . . a tt ) ~i F, . ..,i3 E r~~ d~ _ .
. . . . . „ . . _ . DESIGkED CHECNED SHEET REV. 3ROS.
. 6 HENEBY GERTIFY THAT THIS PLAN YdAS ~ ~ PREPARED FOR. CONSUITIN~ EN~lNEE~~, > PREPARED BY h9E OH UNDER MY DIRECT - . DRAWN DATE OR:
P~ANMEAS ~nd IAND SURVE~OAS suaERV~s~ow AND TNAT ~AM Ao/O~ULY . LAND~S K~EY - ! TT /0•2490 ! REGISTERED
, UNDER THE LAWS OF THE STATE ~ ~ 'i SCAIE ~'I.::;. OF MIN SOTA. . . . ~ ~ c 3~' : MOLD
m ' ~ - a > J08 N0. 0 o _ L~ 0 F
0~ ~D ~ N0. DATE BY HEMARHS . 32/B~~I I m AT Zq'9 PEG.N . bOSS . . . . . Te ~ 0 0~ . REVISIONS P ONST. '
i. ` i,:;, 1000 EAST 146ih STREET, 9URNSVILLE, MINNESOTA 55337 PH 432-3000 ^
Jr
For Office Use
;`• , , •a, Permit#: r
EAGAN -
Permit Fee:
�� ECEIVE :•: �lor/
r Date Received:
3830 PILOT KNOB ROAD EAGAN,MN 55122-1810 jj t
(651)675.5675(TDD:(651)4544535 I FAX:(651)67 gqI �y 1 I 1 Staff:
buildinainsoedionsti�cityofeaaan.rota mAR [ s ZO i L .,
201 RESIDENTIAL IT APPLICATION
Date: 3-3S-1 Site Address: 1e V/ 1.444erl ((AA+ Unit#:
)
Name: 4-77/n Sin/h-1-7 Phone:
, Resident/ i /1_4
--Owner— I Address!City./Zip: (pl Lail 4eittl (..1 • . .
t
j Applicant is:• _Owner _X Contractor Wil (iu (/l C 4FiTiO(� 1
Type of Work ; Description of wont r led �!% //l i1 i r:. :•. 14 , i(
YP _.�.-/
j Construction Cost ;5S.-5Multi-Family Building:(Yes_/Ny'� _
! Comp n t d4:1_ � 1 Itkce�5contaet (11
•
Contractor Address: &6335 t/ hay /obi City: xzezioi
a) jT : 5355 Phon 1701 Ern .• 847 cdP'hi• &are) '
1 Sb�el1ILL p � � i
/ryy Y//� '/19 #.ti1T/66a�-� ,
� License 4t.�C�7 7�70 / Lead Certificate.�. ;
If the project is exempt from lead certification, please explain why: '.
s
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUI • =
• In the last 1 • - k s the City of Eagan issued a permit for a similar plan ba -• - master plan? ;
i
Yes _No If yes,date and a•• - er plan: i.Licensed Plumber: Phone:
•
i
Mechanical Contractor ?hone: 1
Sewer&Water Co , •r. Phone: ?
•
• Fire - •pression Contractor: Phone: i
NOTA Plans and supporting documents that you submit are considered to be publicinformaLbn. Portions of the information mayIe . `
classified as non-public if you provide specific reasons that would permit the City to conclude that they are tradesecrets.
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.cityofeaoan.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 01G. Call Gopher State One Call at(651)45`•0002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities. www.gooherstateonecafl.orq
I hereby adcnowledge that this information is complete and accurate;that the work will be in conformance with the ordinances end 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
�inn the case of work which requires a review and approval of plans.. '
x t A/r7s7 6✓, ,:g., x eili GG4ZG/re/ 1Gd�
Applicant's Printed Name Applicant's Signature
•
Z 'd IOZE .°N AdLI V9 6loz 'SZ "A
DO NOT,WRITE BELOW THIS LINE 602/ . ft'rn l e'f54170
SUB TYPES
Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration (Single Family)
Single Family _ Garage — Porch(4-Season) _ Exterior Alteration (Multi)
_ Multi — Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous
— 01 of_Plex — Lower Level _ Pool — Accessory Building
WORK TYPES
New _ Interior Improvement _ Siding _ Demolish Building*
Addition _ Move Building _ Reroof _ Demolish Interior
Alteration _ Fire Repair _ Windows _ Demolish Foundation
Replace _ Repair _ Egress Window _ Water Damage
Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION
Valuationjti t�l7 Occupancy ,EL MCES System
Plan Review Code Edition vV41.4.01 ( SAC Units
(25%_100%4) Zoning a City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction \/b Width
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
Footings(Deck) Final I C.O. Required
Footings(Addition) y Final/No C.O. Required
Foundation Foundation Before Backfill HVAC_Service Test Gas Line Air Test_Hood
Roof:_Ice&Water _Final Pool:_Footings _Air/Gas Tests _Final
Framing 30 Minutes 1 Hour x Drain Tile
Fireplace: _Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS
Insulation Windows
Sheathing Retaining Wall: _ Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression: Rough In_Final
Braced Walls Erosion Control
Shower Pan Other:
Reviewed By: 7\1/
, Building Inspector
RESIDENTIAL FEES /0/
_
Base Fee
Surcharge \.\
Plan Review �� iIA
,
MCES SACI
City SAC 6 i-)
y
Utility Connection Charge / D
S&W Permit& Surcharge (3 /
Treatment Plant
Radio Meter Read
Copies
TOTAL
Page 2 of 3
For Office Use
• • i r Permit#: / � )
I EAGAN
Permit Fee:
les Jo;c
Date Received: q-..36 "/7
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 AP^ 0 ""•^
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff:
buildinoinspections@cityofeagan.com 7 -I
2019 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 3O'- I 1 Site Address: Lp1,0\n-ter( (' ( Unit#:
Name: \ -raC'--C- '`-N Phone:
Resident/
Owner Address/City/Zip:
Applicant is: Owner Contractor
Type of Work Description of work: f e rod
Construction Cost: Multi-Family Building: (Yes /No )
Company: IY 5 4t u\.)�a(o Con �r�;� ,ply Contact: n r�L
Contractor Address: 1M c;rcle City: f.o ets.r\
•
State:W'R1i Zip59l Phone 1`-3aI-1`0r Email: AbkoC0(15 ivclipi l qcr• \.Con-,
( U
License 56 7C)3 Lead Certificate#:
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:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
II.
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.
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.citvofeagan.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.00pherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conform-nce 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 •t o start without a •ermit; that t - work will be in
accordance with the approved plan in the case of work which requires a review and approval • •I.• .
x
rew ;nCr R. ckMon 6 x
Applicant's Printed Name Applicant's Signature