782 Golden Meadow RdCASH RECEIPT
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19 y
RCCEIVHD .
FROM
AMOUNT
? GASH El CHECK
FOR
L-
FUND COOE AMOUNT
?-? •4
Thank You BY
a
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
BLDG. PERMIT NO.
0173210 Bldg `Permit
01-3422 Plan Check
01-3445 Surch./Adm.
01-3446 SAC/Adm.
.
01-2155 Surcharge
17-3860 Road Unit
20-2275 SAC
20-3865 Water Conn.
20-3868 Water Trmt.
20-3716 Water Meter
20-2252 Acct. Dep.
20-3713 Water Permit
20-3743 Sewer Permit
79-3866 Sewer Conn.
11-3855 Park Ded,
TOTAL • ?
CASH RECEIPT ?
OF EAGAN -?
3795 PILOT KNOB ROAD
r EAGAN, MINNESOTA 55122
i
.- ? '.
DATE ? -? 19
G
RECq1VED FRa4
j?
AMOUNT $ ` I ?
"
[:] CASH ? CHECK
roRi?•: . .? 1i ? ??'`? `? '? ? ? ???
BY
. 65900
,
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
Thank You
CITY OF EAGAN r?3830 Pilot Knob Road P O Box 21-199 Ea an MN 55121 12496
• • ? g ,
PHONE: 454-8100
. BUt?DING PERMIT Receipc #
S? UWG/G1? $63,000 86
AUGUS`t' 25
To be uaed ror Est Value Date 19
Site Address 7 S 2 GOLDEN M EADOhi RD Erect N Occupancy x3
Lot-3 Block Sec/Sub T. E. M. AD`J Remodel ? Zoning J?D
.
Parcel No. Repair ? Type of Const Vi+
Addition ? No. Stories
¢
W Name J05EPFi MILLER CONST Move ? Length
4
Lp Demolish ? Depth
o Address t I
?
I Ft
S
c;ty FAR!`dYNC,Wati 892-1010 n
mpr.
Install ? q.
,o
W
z?
0<
s
h
Phone
?-¢
F W Name
u n Address
i W City Phone
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.
Signature
A Building Permit is issued to:
all work shall bo,done in acco
Building Official
Assessment
Water & Sew.
Police
Fire
Permit
Surcharge
Plan Review?T
Eng. Water Conn. - "" . "'
Planner Water Meter--- W3' SQ
Council Road Unit 24U' 0 a
Bldg. Off?? Tr. PI. ---TST' 4g
APC Parks
Var. Date
MILLF.R CONST
of Minnesota
Copie
Total ? .OC
on the express condition that
of Eagan Ordinances.
PwmN No. PNmN Holdsr Dab Tdephone k
Plu" ?,%'; -6 "'? l o (n ??c- :? 5-, IL-)IC.218 ,
m.VA.C. 77
ei.c+?ic - c o
san.ne.
Inspectfon Date Inrp. Commenb
PoonnQ. 1 1?1-76 IiJ
Footinys 11
Foundafbn
Frsminy
Roofin9
Rouyh Plby.
Rouyh Mfy.
Insul.
Fireplace
Ffnal Mtq.
Final Plby.
&dy. Flnal ?l
Cert. Oee.
Doclc Ftq.
Dsck Frn?y.
Well
Pr. Dhp.
PERMIT # _
I Site Address _L?
? Lot Block
? Name _
? Address
c City _
MECHANICAL PERMIT RECEIPT #,
CITY OF EAGAN
. ?-
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE
PHONE 454-8100
` ' BLDG. TYPE WORK DESCRIPTION
ec/Sub
? ? t ? ? -- - -
Res. New
7 Mult Add-on
?
Comm. Repair
ne? '' Other
? Name '
c AddresS. ? - • ?° ! c_, l :
p City Phon ? /
? TYPE OF WORK
-1 r•.
_ Forced Air ? E M BTIi `rk
Boiler M BTU
Unlt Heater M BTU
Air Cond. M BTU
Vent CFM
Gas Piping Outlets # -
Other
FEE
S! C:
TOTAL•
FEES
RES. HVAC 0-100 M BTU - $24.00
ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
ADDITIONAL 6 M BTU - 6.00
GAS OUTLETS - 1.50 EA.
COMM/IND FEE - 1% OF CONTRACT FEE
MINIMUM - RESIDENTIAL FEE - 10.00
MINIMUM - COMMIIND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
OF PERMITTEE
" 11
FOR: CITY OF EAGAN
Site Address J =a
Lot Block
m Name
? Addre
c City _
? Name
3 Addre
O CttY ?
#
PLUMBING PERMIT RECEIPT #
ClTY OF EAGAN
3830 PILGT KNOB ROAD, EAGAN, MN 55121 DATE:
BLDG. TYPE WORK DESCRIPTION
' Res. New '
Mult Add-on
Camm. Repair
.,
Phone Other
NO FlXTURES TQTAL
?Water Closet - $3.00 $
Bath Tubs - $3.00
pn„no Lavatory - $3.00
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
MINIMUM - RESIDENTIAL FEE - $10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD a.50 S/C IF PEFiMIT PRICE GOES
BEYOND $1,000.00)
SIGNATURE OF PERMITTEE
FOR CITY OF EAGAN
Shower - $3.00
?Kitchen 5ink - $3.00
Urinal/Bidet - $3.00
?-
Laundry Tray - $3.00
Floor Drains - $1.50
Water Heater - $1.50
Whirlpool - $3.00
' Gas Piping Outlets - $1.50
Sottener - $5.00
Well - $10.00
.Private Disp. - $10.00
- Rough Openings - $1.50
FEE
STATE S/C: '
GRAND TOTAL: .?
- CITY OF EAGAN 16444
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt #
D ?:C K. *SAY 1 I
89
To be used for Est. Value Date , 19
Site Address ??? WLD=y "'?A`?'?T•? ROAfl
Lot 3 Block 1 Sec/Sub. Z•' ••'' • OFFICE USE ONLY
Parcel No. occuPancy FEES
$Rl.f??: ?fZT?I
. vt,
. Zornng - 7 ,
M. {?t;
W .
Name (Actual) Const _ Bldg. Permit
3 AddreSS SAmi?' (allowable) - S
h
0 arge
urc
City Phone 681-92 f' # of Stories
?
t ?
Plan Review
Length
p Name '?Ae" Depth 1 t' ? SAC
City
Z .
O
¢ Address S.F. Total -
U SAC. MCWCC
? City Phone S.F. Footprints -
Water Conn
On Sfte Sewage
?
W w¢
Name
On Site Well
-
Water Meter
FW
Address MwCC System -
Acd. Deposit
Q W City Phone cicy wacar -
S
W P
it
PRV Required - ;
erm
I hereby acknowlege that I have read this application and state that the Booster Pump - S!W Surcharge
information is correct and agree to comply with all applicable State of
Mmnesota Statutes and City of Eagan Ordinances. Treatment PI
5ignature of Permitee APPROYALS Road Unit
A"iiFv? ??'?Jva:i
A Building Permit is issued to: Planner
Park Ded.
on the ex ress condition that all work shall be done in accordance with all Council
2
applicable State of Minnesota Statutes and City of Eagan Ordinances. gldy. pn. _ Copies _
12
Building Official Variance - TOTAL
PermH No. Permit Holder Date 7elephone #
WATER
SEWER
PLUMBING
H.V.A.C.
ELECTRIC
Inspectlon Date Insp. Comments
Footings I
Foundation
Framing
Roofing
Rough Pibg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Flnal Plbg.
ConsL Meter Plbg. Inspector- Notify Plumber
Engr./Plan
&dg. Final
Deck Ftg.
Deck Fnal
Well
Pr. Disp.
CITY OF E,AGAN
3830 Pilot Knob Road
P. O. $ox 2118R
Eagan, MN 55121
Zontnp; . i 1
Ownar: .7oe '4i1
Addross:
Site /4ddrcsa: ? -' r'o 1
Plumber: ` t_ •' L'
Mstar No.:
T.
R". No.:??a7?_3 ?`,?;r?4C•"?'" - c)4 d
1 qwe te oow?pl?r wilh eM cihr oE ??},?'Q . 50 d
On?iweneM. t eK I56.Of_lpd T-P i
? R?Vs?o 63 . 50pd -?et gr !
eY Dots Poid:
,r---
Dace o# lnsp.: 6 Insp,;
0. Box 21
igan, MN !
ninp; "
rner:
Idr+ess: ?
s /lddross:
Wnber. -
rter No.: _
N WATER SERVICE PERMR
Road
PERMIT NO.:
DATE:
No, of Units:
WATER SERVICE PERMIT
PERMIT NO.:
D/ITE: _. ?
No. of Units: 1 _
leT Coc".?:~,
No..
M oomply wilh !M Cih ef Ee9ew
Conriection G+arpe:
/kcount Deposit: _
PeRnit Fee:
Surchorge:
Mlsc. CFarnes: _
Tofal:
Dote Paid:
CITY OF EAGAN SEWlR SER1/ICE PERMR
3830 Pilot Knob Road
P. O. Box 2110-19 PERMIT NO.:
Eagan, MN 55121 DATE:
Zoninp: No. of Untts:
Owner.
/tiddrcss: ?
5lte Address: - - - - :?r•- ? ? '?- -
Plumber. - - - - - r - `" - ? = -
_ .. .. . 'p?. .•.i1.??r`..
' oom ? ?ply wkA the MN> of iagaA \rllnnection VhVrge• - ? i.10pil
Y? AR.f7{Fni vCposit:
Permlt Fee:
Surdwrpe:
By Misa. Charpes:
Dcta of irop.: Total:
I?uP•= Dots Poid:
CITY OF EAGAN No 12496
3830 Pilof Knob Road, P.O. Box 21-199, Eagan, MN 55121
' PHONE: 454-8100
L
BUI
DING PERMIT Receipt p
SF DWG/GAR
$63,000 86
AUGUST 25
7obeusedtor
Est.value oate 19
SiteAddress 782 GOLDEN MEADOW RD Erect ?L Occupancy R3
Lot3 8lock 1 Secisue. T.E.M. ADD Remodel ? 2oning PD
Parcel No Repair ? Type of Const. Vn
.
Adtlition ?
No. Stories
? JOSEPH MILLER CONST
N Move ? Length
W ame
18133 CEDAR AVE SO Demolish ? Depth 4$
p Address I
t
l
? FL
S
n
.
mpr. q.
Ciry FARMINGWPA 892-1010 Install ?
o Name SAMF.
o
u a Addres5
City Phone
.a
oi w
Name
E
=a Address
a w Ciry Phone
I hereby acknowletlge that I have read this appl ication and state that the
information is correct and agree to comply with all applicable State of
Minnesota Statutes and\CityAf Eagan Ordipauqs.
Signamre of
A Building Permit is issued to: p V°
all work shall be done in accordance with all
Building Official
Fees
Assessment Permit $ 322.0(
Water & Sew. Surcharge 31.5(
Police Plan Review 161.0(
Fire SAC 575.0(
Eng. WaterConn. 500.0(
Planner Water Meter 63 . 5(
Council J Road Unit 290. 0(
81dg.Off. 8?25?8t? Tr. PI. 156.01
Var. Date Copies
Total $2.049.0(
MILLER CONST
on the express condition that
ij)AState of Min sota tatutes and Ciry of Eagan Ordinances.
.. ..
BUILDING PERMIT
DECK
CITY OF EAGAN N? 16444
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
Receipt #
$1,000
Est. Value Date MAY 11 89
19
Site Address 782 GOLDEN MEADOW ROAD
T. E. M.
Lot 3- Block 1 SeGSub.
OFFICE USE ONLY
PBfCBl NO. Occupancy - FEES
w BRUCE NORTH
Name zoning
(Aduap Const -
- Bldg. Permil $26.00
3 Addl255 SAME (Allowahle) - • 50
0 Surchar9e
City Phone 681-9283 # of storias
161 Plan ReviBw
Length
o Nam6 SAME Depih 16, SAQ City
i
p
0 Address S.F. Total -
, SAC, MCWCC
? Cliy Phone S.F. Footprints -
?Nater Conn
On Siie Se
wage
_
Na On Site Well
t
M
l
W
rmm-
AdeSS
MWCCSystem
er
a
er
e
-
-
City PhOnB Ciry Water _ Accl. Deposit
S/W P
i
PRV Required erm
t
_
I hereby acknowlege that I have read this application and state that the Booster Pump - SNV Surcharge
informalion is correc[ and agree Io comply with all applicable State of
Minneso[a Statutes and Ciry of Eagan Ordinances. Treatment PI
Signalure of Permitee x.ma\f,1.'"p?Mat?111 ? APPROVALS Road Unit
A Building Permit is issued to: - BRU:.E NOM IV Q L' • I Planner - park DeA.
on ihe express condition Ihat all work shall 6e done in accordance with all Council -- 2.50
applica6le State of Minnesota Statmes and 2ky of Eagan Ordinances. Bldg. Off. Copies
29 • ??
Building OtfiCial -l? -7?!?`-"- r1
!/ Variance - TOTAL
.. , 1989 BIIILDING PERMIT APPLICATION - CITY OF E9GAN °
3INGLE FAMILY DWELLIIVG5 N241?? ? ?.
INCLUDE 2 SETS OF PLANS, 3 C RTIF ATES SUR Y, SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOt9i0WNER M03T DESIGNATE WHICH 9DDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BIIILDING PERMIT I3 I3SOED.
MQLTIPLE DWELLINGS RENTAI. UISITS FOR SALE ONITS / OF ONIT3
INCL[IDE 2 SETS OF PLANS, CERTIFIC9TE OF SURVEY - CHECH WITH BLDG. DEPT.t 1 SET OF ENERGY
CALCULATIONS
COMAfERCIAL
INCLUDE 2
1 SET OF SETS OF ARCHITECTURAL
SPECIFICATIONS AND 1 & STRUCTURAL PLANS,
SET OF ENERGY CALCULATIONS (j ?I 1989
To Be Used For: Valuation: ? G'nn Date: ?
. _?
Site Address 1 '6 d
Lot ?3 Bloek I
Parcel/Sub /` E7 - x') ` U-k
Owner gt-m.Q, IV ?
Address
City/Zip Code ?ZE1,P,U? ? J6 ?
Phone ?i ?
Contractor
Address
City/Zip Code
Phone
Areh./Engr. _
Address
City/Zip Code
Phone ll
Occupancy FEC3
Zoning
Actual Const Bldg. Permit 6.00
Allowable Surcharge =tneia-,
# of stories Plan Review
Length I&' SAC, City
Depth /`' SAC, MWCC
S.F. Total Water Conn
Footprint S.F. Water Meter
Aeet. Deposit
On site sewage_ S/W Permit
On site well S/W Surcharge
MWCC System _ Treatment P1.
City water Road Unit
_
PRV required Park Ded.
Booster Pump _ Copies ?
TOTAL
APPROVALS
Planner _
Couneil
Bldg. Off. j?E5/lq
Varianee
NOTE: Sewer & Water Permit Pees and account deposit fees rill be ineluded in the building
permit fee. Processing time Por sewer and water permits ia two days onae a licensed
plumber has applied for a permit at City Hall.
N 89°44'36"E 329.00 "--"
- s .?.,r...._.
- ?..
-? I DJ. P. WATERM?N ? I ?
8 P.V.C. SANITARY SEWER - -
GOL DEN`--_ ? ME?100W ? ROAD
- . R- T RM-•-SEWE\h - -- ?
C?..cr?te urb ?
i
?wBr&TBleDhort / C-._-.__ C--P. P.
? 215.00 *
- ? ? - - - ? ? ? Pines ? .
cs /
1 rO S?w ? Pines ?
Q?.
_ Zc; f-Bl 36 Sq. 'Ff
3 ;. GoT3
0
yPines Vt
N l.. i . ?' 71C
?lk
?Trc< ?
A\` . .
ro O
?
?P
?
\
-ppppF'P,'iY DESCRIPTIOC7 -
a (/ 76
1986 BDILDING PERlIIT APPLICATIOH - CITY OF EAGAN
NOT6: 6LL CONTRACTOES M[JST BS LICfiNSSD flIRH THE CITY OF EAGAN
3INGLE F94IILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
MOLTIPLE DAEI.LINGS - RESIDENTIAL
INCLUDE 2 SETS OF PLANS, CEA
1 SET OF ENERGY CALCULATIONS
EENTAL Q9ITS FOR SAL6 DNITS
OF SDRVSY - CHECB HITH HLDG. DEPT.,
INCLUDE 2 SETS OF ARCAITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
ed-2
To Be Used For: Valuation: ? Date:
Site Address //Jp( -,LLQ,y,(,I,QM If OFFICE USE ONLY
Lot J Block ? ?• Erect ? Occupancy 9-3
P
S
T
i
?L Remodel Zoning pp
arcel/
ub
! •/ i i•
2?t.[il/'Li . Repair _ Type of Const ? v
Addition # of Stories
Owner Move _ Length 17&-
Demolish _ Depth yy,z
Address Int.Impr. Sq Ft
_
Install
City/Zip Code _
Phone APPROV9LS FEES
Contraetor?[?, (??? Assessments Permit 3Z?
Water/Sewer Sureharge .3ISO
Address ?? ? 3? 01 L-e •?_ Police Plan Review
Fire SAC
City/Zip Code d QAV}1 .1 /V1Q?, S/ JUd? Engr Water Conn r'
?
I? Planner Water Meter ?3. Se
Phone ?
? Council Road IInit 290
Bldg Off Treatment P1 /
Mch./Engr. APC Parks
Variance Copies
Address TOTAL ? G 99
City/Zip Code
Phone #
HOTE: ADDRESSES FOR CORNER LOTS - CONTR9CTOR/HOriEOiiNER MIIST DESIGNATfi NHICH 9DDRESS
IS DESIRED. NO CHANGES WILL BE ALLOiiSD ONCE BDILDING PERMIT IS ISSQSD.
?c,-- )31
TRl-LAND C0.
SURVEYING
SERVICES
4655 NICOLS ROAD
EAGAN, MINNESOTA 55122
SITE PLAN FOR :
JOSEPH MILLER COST.
?GOLDEN MEADOW _ROAD _
S 89°44'36" W
215.00
iD 'nnyQ,. t U};I?}v 6useMen?i11
:?
I
?-- 9 ------------ -7
? - ?
(?PV
^Mi
I ti $015?
I 3
? LOT 3
?
I ?
v
.
?
?? ,.?
? ?1
//r ?????
/ \?O
/ `
PROPERTY DESCRIPTION
LOT 3 , BLOCK I ,
T E M ADDITION
accordinq fo tha recorded plat thereof
DAKOTA Counry, Minnesota
LEGEND
a DENOTES IRON MONUMENT
? DENOTES WOOD HUB SET
DENOTES EXISTING SPOT
ELEVATION
DENOTES PROPOSED SPOT
EIEVATION
? DENOTES DRAINAGE DIRECTION
I Aaedy cartHy ihat fhis survey, plan or
reporf wes proparsd by me or under my
direct suparvision ond that I am a duly
Reyistered Land Surveyor under ths
Laws of the State of Minnesota.
Bradley J.`"pnso , Mn. Req. No. 15235
u r Oate ? e /S / c?' .?
N
SCALE: I"= 30'
PROPOSED GARAGE FLOOR ELEVATION= O..f_33jr0
PROPOSED FIRST FLOOR ELEVATION=
PROPOSED BASEMENT FLOOR =
ELEVATION
NOTE ' VERIFY ALL FLOOR HEIGHTS WITH
FINAL HOUSE PLANS
.r _,,.
One or` Tao Family
All Other
CITY OF (Ja
BUILDINa DEPARTh1ENT
l:XTERIOR ENVII.OPE AVERA(iE IOUIO 0014PUTATION
(To be eubmitted with building permit application)
Dwelling Owner ?ALQ}?
Bite Addreae
Contraator JC1E Iv1 ?J 1?.v7 /,t)A }5ZrDate Phone
LINEAL FEET OF/y?
EXPOSED YU1LL 7??-'?wf?/?'??j ti ft. aboVe gTade a_11301 . eoo owi
. TOTAL EXPOSED WALL AREA BQ. FT.
OPAQUE WALL CONSTRUCTIONt "Ull Value x Area •
Detsil ?''1?MF "U" , d x SQ. FT.' ?? (U)(A)
reTerence L "u d
" x 8q. FT.yE°?9?(V)(A)
from nptt p Y SQ# FT• jN.22 a?.H.s U)(A)
attached "?° x 8Q. FT, - ?U)(a)
sheete IIU° X 8Q* FT. a (U) (A)
uUo x 8Q9 FT. ? (U)(A)
WINDOW3t "Ulf Value x Area
Make & TyPe ??l)LG?1?olY\tnUn X 8@ . FT. 1 (U)(A)
o u-?---?T
u
? U x SQ. FT. ? A)
n ?? npn x SQ. FT. = ?U)?A)
iIV° X J3Q. FT• a (U)(A)
DOORS s "U" Value x Ares
Fialce & Type IIUIII x 8 .
u n p. npn a$Q.
u it x xQ.
olpir, x BQ,
TOTALB l ~jD 3, DO
TOTAL (U) (A) VALUE3
DIVIDED BY TOTpL WALL AREA I403?OIOa ?
i
AVERAQE IOUII ?
• 15 leee for 1&2 famiiq ngH
ROOF/CEILINat ???? ,?
TOTAI. AREA: --? '
'
Detail referenae
x
SQ.
from
ettached sheete. upu x s@.
Deacribe openinge
in rooY.
TOTAL (U
)%A) VALUES DIVIDED BY
'TOTAL ROOF/CE
_AREA
A?ERA(fE ?? ? .025 fo ventilated
'1'T. 9" a I00 (UXA)
FT. 100 a ? (L)(A)
FT. a (U)(A)
F'T. I70 . 9 (D)(A)
mr•_ 9 5co a /I?u)(a)
FT• ...?._ (U)(A)
FT• _ (U) (A)
AF+T• a ?U)?A)
?? 3L
roora. ?pZ?
.
_--
-
e.PAJ??
?-
??J?jX
_.--____-----
?X3?
2n x 40 = U,ldoX ¢ 2bw _
24x ? = ?O?a x 7 = 4Z?oa .
z4-x ?t3 = _ S, x 4
1s2, 60?
zma
io °" -P??'r?a ?P,? _ - q2 ?o . __ -- _ ?'` -
190 3,Zo
78
?Im ????2z
W ?? 152 ? CoCo
1460.34
Detormining uUit valuea at Rooft IYalls Itim, nnd Uono. Bloalc
h00F/OEII.INU
I.) Interior Air !'ilm
2.) 51800 (IYP. Bd.
3.) Ineulstinn
4.) .
. 5.? Exterior Air Film
(BTILL)
R VALU .
0.61
.56
4't00 ..
.61
.. ??pi1 a 1/Ro rOZ? 'L+OTAL (R)w 7-.S7g
.
R VALU
60 .Interior Air Film 0,68
7.)
8. )
.8e) i" aYP. gd.
Ineulstion .115
<<],00
9.)
)
lU .?w',tv-{',?rr
Maeo
lt
sid 2.0
1
. e
n
i»g .6
11.) Exterior Air Film .17
Ilull i'i 1 j TC1TAL (n)a ?!+
LIA R VALU
'12.) Interior Air Film 0.68
13.) Ineulation 1q
14.)
211 Fir nim Joieb :8
?
15.)
16.) .Pvxrl! ,e,rF
MaeolllEa Siding z o,?-
.(
17.? Exterior Air Film 017
uU1.1 0 1/Ra , O?D TOTAL
? (R)a
z?.??•
?
FOUtIDATION
R YALU
180 interior Air £ilm 0.68
19.)
20.) tc-N STI?lPI?b II o0
210 1218 Uonorate 91oak 1.28
2P.)
23.) Bxterior Air Film ; »
iipa e 1/RQ 007(9 TOTAL (R) m/3 I?
.
CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECT(ON
. ?
*TOn: PAYMW OF F. FE AT TIIM OF *
; arPLscAmoN ooFS NOr mNsriT.rrE ?
* APrxovAr. oF PERMIT. *
? .
* ZNSPDGTION OF SEWEt ADID/OR F4,'1FTT2 *
*t aMnrTaTTONS WILL NOT HE SCHED- *
? [7I,ID UKiIL PEE2MIT HAS BEEN •
r
* APPROVID. ,*F
It ?
P ease Print
? 1) PROPERTY ADDRESS : •-
LEGAL DESCRIPTION:
?-Lot Block Subdivision or Tax Parcel ID )
g' EXI3TING SI'RL'CILrRE, DATE OF ORIGINAL BIIILpING PERMiT ISSL'ANCE: " • -
?
(Mon Year -
PRFSENP 7ANING/PROPOSID OSE:
[] C0.1Z]ERCIAL/RETAIL/0FFICE
IPIDCSZRIAL
? INSTITLITIONAL/GOVIIWENT
2)
?r R-1 SINGLE FAMILY '
Q R-2 DUPLEX (1t.A Units)
? R-3 40WNiOLSE (Three + Units) ( Pnits)
[j R-4 APARTA'IENT/CONIDOMINIUM ( Units )
NAME: ._??K.. r
ADDRFSS:- - ?- -`.- ? S
CITY, SPATE, 22P:
PHONE:
• 3) u ?: ?• NAPE. l? .? Y?-!? ?_
ADDRESS: i CZTY, STATE, ZIP:
PHONE:g?a _ o ,0 ?i MASTII2 LICEbISE#
4) ?a« • ? ? i?-
NAME:
_ ADDRESS:
CITY, STATE, ZIP:
PHONE:
i
Plimibers License:
Active
EkPired
Not recorded
Sta Irutial
'SJ 1./ V• ' i'1 Y' •?' ' Dli? ' D? U' 11Y?i '
. ? CONNECPION 1n CITY SEWER ?R7 CONNECI'ION TO CITY WATII2 ? OTHER-'.
'W
6) ?"' ?•'['? PLEASE HOLD APPROVED PERMIT FY)R PICK-C?P BY ONE OF ABOVE
PLFASE MAIL ApPROVID PII2MIT 10 1, 2, 3, 4, ABOVE .
(Circle one) 7) r r,
u• • . ? ??- 6 ?- ?
FOR CITY USE ONLY
PERMIT # ISSL'ED
Pd w/Bldg. Permit FEES:
$ $ SEWER PERMIT ( INCLIIDE SL'RCHARGE )
$ $ WATER PERMIT ( INCLL'DE SL'RCHARGE ) ..
$ L-•3-S? $ WATER METER/COPPERHORN/OCTSIDE READER
$ $ WATER TAP (INCLL'DE CORPORATION STOP)
$ $ SEWER TAP
$ $ ACCOUNT DEPOSIT - SEWER
$ $ ACCOC'NT DEPOSIT - WATER
$ O c9 $ WAC
$ $ SAC
$ $ TRLNK WATER ASSESSMENT
$ $ TRL'NK SEWER ASSESSMENT
$ $ ' LATERAL BENEFIT/TRLNK SEWER
$ $ LATERAL BENEFIT/TRL'NK WATER
$ 'o ?J $ WATER TREATMENT PLANT SLRCHARGE
$ $ ' OTHER:
$ V ' S U $ S ?• ? 7) TOTAL
RECEIPT RECEIPT
DOES UTILITY CON NECTION REQUIRE EXCA VATION IN POBLIC RIGHT OF WAY?
Q YES IF YES, THEN A" PERMIT FOR WORK WITHIN PLBLIC
Q
NO ROADWAY" MUST BE
DIVISION
LIS ISS[!ED BY THE E[VGINEERING
.
T AS A CONDITION.
SUBJECT TO THE FOLLOWING CbIVDITI0N5:
APPROVED BY:
TITLE:
DATE :
-
i ?
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
cirv oF E?cAN
3830 PILOT KNOB RD - 55122
657-681-4675
New ConstrucNOn Reaulremenh _1? Bemodel/Reodr Reaulremenh
> 3 reglstered site wrveys alwwing aq. H. of lot, tq. tl. of houte 2 coplea of plan
antl gl roofed areas (20°6 maximum bt covemae allowe? ?j 3? rJ C) 1 set ol energy calcWallons lor heated addlNons
> 2 coples ol plans (show beam & wlndow sizea; poured 1nd. deslgn; etcJ v 7 sife survey for extedor addlNons & decks
t set ol energy calculaHons
: 3 copies of tree presenaNOn plan it lof plaMed Wfer 7/1/93
DATE: r) CJ I-) C? CONSTRUCTION COST: 11 ? '/00
-? • v
DESCRIPfION OF WORK: Te.q[r o4-?? d d'C - l?'U v-F I( multl-famity bldg., how many units?
STREET ADDRESS:
LOT: -??
BLOCK:
Name: e.S /Yi1wfi glp'.qin,svr?.a Phone #: J?, .:E/ ' 114s- ? a 9 4
PROPERTY wst Flrst
OWNER
Sheet Address: 7 A;2 Go IcJ e s, rI'1 &aGf4O W 16c?
city &4 Ak state: /?'Jb) zip:
Company: Sc'n.tf, s;j c Cn 617- .x'na Pnone:: c)lj?? ?)y9 - 'YS69
(area code)
CONiRACTOR
SheetAddress: /1o7di ,h6lcssucl& /n LlCensetl .bo/'Vel/j' Exp. 00
aty 6de;. srara: /77/7 zip: Ar?gw
ARCHITECT/
ENGINEER Company: Name:
Telephone #: ( )
Sheet Address: Registratton Y:
CHy
Stafe:
Sewerlwater licensed plumber (if Installina sewerlwaterl: Phone #:
Zip:
I hereby acknowledge Ihaf 1 have read fhis appllcaNon, atate that 1he fMortnalion is cortect, and agree to comply wiTh all applicable State
of Minnesota Stafutes and Cify of Eagan Ordinances.
Signalure ol AppUcanh 'c4
Certificates of Survey Recefved _
Tree Preservation Plan Received _
OFFICE USE ONLY
Yes _ No
Yes _ No _ Nat Required
flEQUEST FOfl ELECTRICAL INSPECTION Ee•ouooi.oa
, See instrucUOns for comoletin9 thia lorm on back of Vellow copy.
"'X" " Below Work Covered by This Request
C 44168 -?'
NWAAddl Neo. Tvoe ol Builtlina Aooliuncee Wirwd , Equiument Wire!f I
Fi
-H ? Comersia? Bidg" Furnace Silo Unloader ?
Indusmtrial Bldo. Air Conditioner Bulk Milk Tank
k Fee Service Entrenca5ize H Fee Fexdars/Subfeeders IX Fee Circwts
0 to2 00Am s Oto30As Oto30Am s
Above 200 qinps 31 to 1U07, ps 1 to 100 qm
Swimming Poal Above 100 _Am s Above 100_Am "
Transtormer5 ?rrigation Booms r eIg P&rtial-"Other Fee
L. I I Signs iSUecial Inspection AS ,/?TOTAL FEE
Aemarks ??? I AQ
Final
Tms muuast voia ie
I,the Electrical
Inspector, hereby
certi(y that the above
insoection has bean
3
This requesl voitl
isnms r,om .
C 44168c-?;
c,iG3
-fi F. ?. nd e-4 -*
RGauast,Dato
l
? Fire No. RouBh-in Inspection
Re ireA7
yes ]No
Ready Nuw W.II Notily [nspec-
?
[or When PeaAy
? licensed Eleclrical ConLactor I hereby requast inspection ot above
? Ow^er eleciricel work instelled at:
Street AddreSS, Box r RoWe No.
78a oldeh Meadocu
rQd Gty ?
? ?
ecuon o. Township Name or No. flange o. County
OccuoantlPplNTI
Joe MI Iler Phune No.
Power SupPlier
N5P Atltlress
ElecRic I Con raqor ? ompanY amel
'1/?
dt
? Cartractor's License No.
/
r
at?c E
eC-hr I L LI16Io-a-
MailinB Addrass ICOntractor or Owner Makine Installarion
asoo 1N Co /Pd zk? urn.svrlle
Authori ed SiB?aWre onVa tor Owner Making Installation) Phone Number
??ra-4b?1
MINNESOTA STATE BOAXD OF E ECTflICITY THIS INSPECTION flEQUEST WILL NOT
Griggs-Midway Bldg. - Noom N- 97 BE ACGEPTED BY THE STATE BOAXO
1827 UniversilV p.va., St. Paul, MN 56704 UNLESS PROPER INSPECTION FEE IS
Pl.nn. IBt 21 297.2111 E NC LOSE D.
REQUEST FOR ELECTRICAL INSPECTION Ee-oooo?-oo
, See iostructiens for camoletine <his iorm ortback o1 vellow copy.
A„4 7 9' "X" 8elow Work Covered by 7his Hequest
Navy FAd Ne' Tvoe oi 9uiltling Apol.aocea Wired Equiument WireA
Home Range Temporary Service
Duplex Water Heater Lighiiny Fixtures
Apt. Building Dryer Electric Heatiii
Commercial Bldy. Fumace Siio Unloader
Indusirial Bldg. qir Conditioner Bulk Milk Tank
Farm +nef Pe(:tfv ine.(sno,bi
t er uoci y Othar Other
Compute Inspection Fee 8elow
N Fee ServiceEntranceSi¢e B Fee iexders/SUCleeders p Fea Circuits
0 to 200 Am s 0 to 30 Am s 0 tn 30 An? s
Above 200 qmpy 31 to 100 Amps 31 to 700 qm n
Swimming Pool Above 700-Am s Above 100_Amlri
Transiormers Irri ation Hooms PartiaL'Other Fee
Signs Special Inspection g TOTA
F
-
'
Rema.ts L
EE
?
.G' /
Nough-in Date 1, the ElecVic?
? ??{:?(/LR!!?'" '3 InaPector. M1erebY
cerlily that the ebove
Final L L?einsDeetion hes been
c? Z }' maaa.
Thb reauest voltl 18 monlha Irom
h; e4 e o,dia-ay-S4 I /- 3 .?i,C? ? "p''a?
18 mpnths (rom .
C 443 79.
flequest Date Ffre . qouPh- innsVeGion
Requrtetl? .
?Aeadv Nuw ? Will Noviy, InsPer
?yes ?NO ior When Featly
? Licensed Electn al Convactor I hereby requast insoeetion of above
.kOwner 7(? aleclrical work installed et:
v
Streat Atldress, Baz or Route No. City
ectmn o. Township Name or No. RanBe No. County
Occu antlPqlNTI Phone No.
6
Power. Supo I i er ?yJ (' Atltlress
O
Q ('( /+/L.G/ i l? V-A4
-
E eclrical Contraclor (COmuany Name)
4,
Cnn[recmrs License No.
Mailin0 Address IContrector or Owner Making Insteilationl
Authorized Sipnature (COntractod0 ner Making Installation) /PhoQne? Number (?-
Y
MINNESOTA qTE BOARD OF ELECTpICITY THIS INSPECTION PEQUEST WILL NOT
Grig9s•Midwey Blde. - Aoom N•197 BE ACCEPTED BY THE STATE 9pqqD
1827 Univarsity Ave., St. Paul. MN 56104 UNLESS PROPEH INSPECTION FEE IS
Phnno 16121297.2111 ENCLOSEO.
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA159546
Date Issued:12/30/2019
Permit Category:ePermit
Site Address: 782 Golden Meadow Rd
Lot:3 Block: 1 Addition: Tem
PID:10-74950-01-030
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
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 within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Teressa Pivec
782 Golden Meadow Rd
Eagan MN 55123
(612) 722-5343
J Carver Construction Inc
1345 Schletti St
St. Paul MN 55117
(651) 645-5488
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA166208
Date Issued:12/21/2020
Permit Category:ePermit
Site Address: 782 Golden Meadow Rd
Lot:3 Block: 1 Addition: Tem
PID:10-74950-01-030
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 - Residential Additions, Alterations
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 within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 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 -
Teressa Pivec
782 Golden Meadow Rd
Eagan MN 55123
(612) 722-5343
J Carver Construction Inc
1345 Schletti St
St. Paul MN 55117
(651) 645-5488
Applicant/Permitee: Signature Issued By: Signature