802 Golden Meadow RdCITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHON E: 454-8100
BUILDING PERMIT Receipt #
To be used for
Est. Value ' Date ,19
Site Address
Lot Block Sec/Sub.
Parcel No.
Name Address
City Phone
Name
Address
City Phone
Address
Phone
I hereby acknowledge that I have read this application and state that the
information is correct and agree to comply with all applicable 5tate of
Minnesota Statutes and City of Eagan Ordinances.
Signature of Permittee A 8uitding Permit is issued to:
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City ot Eagan Ordinances.
Building Off
OFFICE USE ONLY
On Site Sewege Occupancy
MWCC System Zoning
On Site Well (Actual) Const
City Water (Allowable)
PRV Required # of Stories
Booster Pump length
- Depth
S.F. Total
' Footprint S.F.
APPROVALS FEES
Engr./Assess. Permit
Planner Surcharge
Council Plan Review
Bldg. Off. SAC, City
Variance SAC, MWCC
Water Conn.
Water Meter
Road Unit
Treatment P1
Parks
TOTAL
Permit No. Permit Holder Oate Talephone ?t
Plumbing
e.
H.V.AC.
Electric
Softener
Inapeetfon Oate Insp. Comments
Footings I
Footings II
Foundation
Framing ?1-1/1
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireptace 1.
Final Htg.
Final Plbg.
Bldg. Final ?.
Cert Occ.
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp.
Site Address
Name ?
?o Address '
c City Y Phone ?-
Name
3 Address
O Ciry Phone
FEES
COMM/IND FEE - 196 OF CONTRACT FEE
, APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE 8 CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
PLUMBING PERMIT
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122
PERMIT #
RECEIPT # L% LLD
DATE:
BLDG. TYPE WORK DESCRIPTION
Res. New
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NQ. FIXTURES TOTAL
-,;lrWater Closet - $3.00 t _
--,L-Bath Tubs - $3.00
-c,L-Lavatory - $3.00
__,?_Shower - $3.00
_4 Kitchen Sink - $3.00
Urinal/Bidet - $3.00 ., r^
Laundry Tray - $3.00
___?__Floor Drains - $1.50 -
? Water Heater - $1.50
Whiripool - $3.00
?Gas Piping Outiets - $1.50
(MINIMUM - 1 PER PERMIT)
SoRener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
Sec/Sub
FEE: ; i • '?-? ?
STATE S/C: ^- ?
FOR: CITY OF EAGAN GRAND TOTAL•
PERMIT #
MECHANICAL PERMIT RECEIPT # -' f
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE;
CONTRACT PRICE: PHONE: 454-8100
Site Address e BLDG. TYPE WORK DESCRIPTION
LotrBlock
? / Sec/Sub Res. New
Nam4 Mult Add-on
°-'
m
Address
-
, Comm. Repair
c City Phone Other
FEES
Name RES. HVAC 0-100 M BTU -$24.00
3 Address 7- ADDITIONAL 50 M BTU - 6.00
O CitY _
- Phone (RES. HVAC INCLUDES A1C ON NEW
.? _ CONSTRUCTION)
A
UT
ETS
MI
M
TYPE OF WORK G
S O
L
(
NI
UM - 1 PER PERMIn - 1.50 EA,
COMM/IND FEE - 1% OF CONTRACT FEE
ForCed Air ? .;;M BTU APT. BLDGS. - COMM. RATE APPLIES
Boiler
M BTU $ TOWNHOUSE & CONDOS - RES. RATE APPUES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
Unit Heater M BTU REMODELS - 12.00
Air Cond. p^ gTU $ MINIMUM COMMERCIAL FEE - 20.00
Vent CFM ? STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Outlets # BEYOND $1,000)
O
ther $
FEE:
7
S/C: SIGNATURE OF PERMITTEE
TOTAL•
FOR: CITY OF EAGAN
?--- _
' CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHON E: 454-8100
BUILDING PERMIT Receipt #
To be used for Est. Value Date ,19
Site Address OFFICE USE ONLY
Lot Block Sec/Sub.
On Site Sewage
Occupency
MWCC System Zoning
Parcel No. On Site weil (Actual) Const
ac Name Ciry Water (Allowable)
W
Address PRV Required # of Stories
3
o
City Phone Booster Pump Length
Oeptn •
¢
.o Name
. S.F. Total
U q Address Footprint S.F.
1E City Phone APPROVALS FEES
Um
?y W
Name Engr./Assess. Permit
- =
s -
Address Planner Surcharge
? W City Phone Council Plan Review
Bldg. Off. SAC, City
I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC
information is correct and agree to comply with all applicable State of Water Conn.
Minnesota Statutes and City of Eagan Ordinances. Water Mefer
Signature of Permittee Road Unit
A Building Permit is issued to:_ _ Treatment P1
on the express condition that all work shall be done in accordance with alf
Parks
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official TOTAL
Permit No. Permit Holder Dats Telsphone #
Plumbing
H.V.AC.
Electric
Softener
Inapection Date Insp. Comments
Footings I
Footings II
Foundation
Framing 0*
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Final Plbg.
Bldg. Final v
Cert Occ.
Temp. LP
Deck Ftg.
Deck Final
wen
Pr. Disp.
F•--- _ . . . . _ _ . .. . . . . . . .
PERMIT #
' ? ? PLUMBING PERMIT I J
CiTY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 pA'iE
CO RACT PRICE: PHONET 454-8100
Site Address ? ?? -?':`? ' ./•-?<y r! /1?.•?ay
Lot \1_ Block Sec/Sub
? Name " a ,;,. y.: ti or ., <<. ij,
?
m
? Addre?
c City o go",
? Name 1 c Address UtJU 'S ::?rv(
O City M--- Phone
COMM/IND FEE - 1°No OF CONTR FEE
APT. BLDGS - COMM RATE AP.IES
TOWNHOUSE & CONDO - RATE APPLIES
MINIMUM - RESIDENTI EE - $12.00
MINIMUM - COMM/I FEE - $20.00
STATE SURCHAR ER PERMIT - .50
(AOD $.50 S/C IF ERMIT PRICE GOES
OF PERMITTEE
FOR: CITY OF EAGAN
BLDG.TYPE
Res. ?
Mult.
Comm. ?
Other
DESCRIPTION
Add-on
Repair
REG. ONLY - COMPLETE
FIXTURES
Water Closet - $3.00
=Bath Tubs - $3.00
-3-Lavatory - $3.00
Shower - $3.00
Ki!chen Sink - $3.00
' allBidet - S3.00
? Laun Tray - 33.00
? Floor Dra - S1.50
? Water Heate $1.50
fHE FOLLUWINCa:
TOTAL
S t
?JJ V t/
'0 o
?. p O
/• ?D
f Whirlpool - $3.0
::/,Gas Piping Outlets - 1.50 ? a
(MINIMUM - 1 PEii RMIT)
Softener - $5.00
Well - St0.00
Private Disp. - $10.40
Rough Openings - $1.50
FEE: 3 2,
STATE S/C: 1
GRAND TOTAL: C' ?
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHON E: 454-8100
BUILDING PERMIT t. ' . :'.. ' '!- ,N Receipt #
To be used for Est. Value Date ? ! ' ° • `'
Site Address t302 GQL: ? i: Rt1AU
Lot ` Block 1 Sec/Sub. ' iNG ADlJ
Parcel No
rc Name '?K CAI-V1N CUfIST
= Addriss 14? 3 i..Y';?X C't'
° City ' Phone
a
,a •
Name
z1-
? ?
Address
?¢- City Phone
U¢
FW
Name
_ ? Address
U
? W
City Phone
I hereby acknowiedge that I have read this application and state that the
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Signature of Permittee
A BuQding Permit is issued to:_" ?-
on theexpresscondition that allwork shall be done in accordance with all
applicabfe State of Minnesota Statutes and City of Eagan Ordinances.
BuildingOfticial
1.12? 1
19
OFFICE USE ONLY
On Site Sewage Occupancy
MWCC System f Zoning
On 5ite Well (Actual) Const Vn
City Water ? (Allowable) Yw
PRV Required N # of Stories
Booster Pump Length
Depth -°b
S.F. Total
Footprint S.F.
APPROVALS FEES j
Engr./Assess. Permit ' gi$•??
Planner Surcharge 51 • 50.
Council Plan Review 259.25
BIdg.Of(. SAC, City 1?•??!
Variance SAC, MWCC 525.00 ;
Water Conn. SZ 5 • 00'
Water Meter 67• 001
RoadUnit 305•00j
Treatment P1 130•001
Parks
5
7
r
TOTAL 3
.25
'",
BLDG. PERMIT N0. t --? ?
01-3210 Bldg. Permi t
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. - ' a
20-3868 Water Trmt. ? -=?? - -
20-3716 Water Meter
20-2252 Acct. Dep.
20-3713 Water Permit
20-3743 Sewer Permit u
79-3866 Sewer Conn.
11-3855 Park Ded.
TOTAL ;:.?? Jv?'I ??;,1
CITY OF EAGAN Permit Na 91,2-' pate: 10--6-67
3830 Pilat Knob Road Meter No: -i 4 Size: o r
P.O. Bbx 21199 r"ieader No: tl? Date:
Eagan, MN 55121
Owner.
Site Address Z)02 ('-olden : "eak?To?a ?'.oac?
Pliimhnr ?-?a£;$11 P1.1111117111-
Conn. Chg: 525.0012?MAK NOP
Acct. Dep: 15. oo, ? . Ap1600(ditilS 1
Permit Fee: ?-? • ????
CTRIC - GAS Ete
E
Surchar
9e:
+- .
?
agree to co with the City ot Eagan
Tr. Plant 1??0. j 0[ff1C?11 IIDC Dr??n
Meter.
MISC: - ?.r_ rT, ' [;-• B
WATER SERV ICE PERMIT
??. .. vAV•.: . ....-x?
?"' .. .e. ? . _
d.'. ?v,#-.. ?Siti+•.. . .YF,.y+!:1T??C:w.'i'Y.
-ITY OF E?!'
3830 PR-itK ;AN Permit No: ?724
Date: "?"??
b R
n
?.0. Box 211 o
oad Meter No:
99 ?
'Reader No:
Siz?
:agan, MM 55121 Date:
}wner.
>ite Address: 32 PYiaeii i"eaciow Road L2 $1 fiinf* Ad dn ,
mn, Chg: 525 . v0 d Zoning:
;ct Dep; I5_0024 No. of Units: ?
?rmit Fee: 10. O(1nd
ircharge: - ..SOpd I agree to comply with the City of Eagan
Plant 16 0.OO2d Ordinances.
ater. - r.."? AA_?
sc.:
WA By
TER SERVICE PERIIAIT
FF4GAN Permit No: 1 r127L
10111(dob Road B/P No: 7??F1
)f 21199 MN 55121
Site Address: `=27 Celc9an ?te..a ;: 1'n?a,1 T'> a?l i'irp kA
Plumber: =',a?? +'P I Ur*b
? - ?
MWCC: 5oxZoning• ?Z'
City Chg: _ 00 d }
No. of Units:
Acct. Dep: ?% . 00t'(?
Permit Fee: 10.0oRd I agree to comply with the City of Eagan
Surcharge: . so Ordinances. ?
Date: lrl•-6_2j ?
Date: R? ?
.. ?
?
ey
SEWER SERVICE PERMIT I
PERMIT #
•
? MECHANICAL PERMIT RECEIPT # ?
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE PHONE: 454-8100
Site Address ' . 11 01 gLDG. TYPE WORK DESCRIPTION
Lot Block Sec/Sub
Res. ?
Name l°'
Mult
Add-on
m Addre? ? L Comm. Repair
c City Phone , Other
L Name " .?.-
3 Address NL ` i7_ yc'?? e
p City Phone ' )
TYPE OF WORK
Forced Air S:?_' M BTU `
Boiler M BTU
Unit Heater M BTU
Air Cond. _'M BTU
Vent. CFM
Gas Piping Outlets # ._.?_ ? $ /, •,?
Other
..
? -
FEE:
S/C:
TOTAL•
FEES
ie
R0-100 M BTU
L 50 M BTU
INCLUDES A/C ON
NEW
TION)
TS (MINIMUM - 1 PER PERMIn
FEE - 14'o OF CONTRACT FEE
T. BLDGS. - COMM. RATE APPLIES
TO HOUSE & CONDOS - RES. RATE APPLIES
MINIM RESIDENTIAL FEE - ALl ADD-ON 8
REMODELS
MINIMUM C MERCIAL FEE
STATE SURCHA E PER PERMIT
(ADD $.50 S/C IF P MIT PRICE GQES
BEYOND $1,000)
OF
- $24.00
- 6.00
1.50 EA. I
- 12.00
- 20.00
- .50
FOR: CITY OF EAGAN
RESIDENTIAL
?7 BUILDING PERMIT APPLICATION
*' ? aj IS CITY OF EAGAN
3830 PILOT KNOB RD - 55122 ?J
651•681-4675
New Construction Reauirements RemodellRepair Reauirements
. 3 registered site surveys showing sq, ft. of lot, sq. ft. of house: and a0 roofetl areas . 2 copies of plan
(20°k mazimum lot coverage allowed) . t set of Energy Calculations for heated addifions
. 2 copies of plan showing beam & window sizes; poured found design, etc.) . 1 sile survey for eztenor addilions 8 decks
• 1 set of Energy Calculations
. 3 copies of Tree Preservation Plan if lot platted aRer 7l1193
• Rim Joist Detail Oplions selec6on shcel (bkigs with 3 or less units)
DATE q 18 Gj VALUATION (EXCLUDING LAND)
JOBSITEADDRESS 02- ? e.h //llQddlnl 9A,
IF MULTI-FAMILY BUILDING,( HOW MhANY UNITS?
PROPERTY OWNER '?&
TYPE OF WORK `)L V(,l-h qA4hhL_PIREPLACE(S) _(-' YES _ NO
APPLICANT V ? PHONE # ?Z B9U-o7?I?
PAGER # ?g?0 K CELL PHONE # r FAX #
NEW RESIDENTIAL BUILDING ONLY - FtLL OUT COMPLETELY
energy Code Category , MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted --.
- Energy Envelope Calculations Submitted
?
_ MINNESQTA IiULES 7672
- New Energy Code Worksheet Submitted
I
Plumbing Contractor: Phone #: - ---
I'lumbing 5ystem Includes: Water SoFtener Lawn Sprinkler Fee: $90.00
Water Heater No. oFRL Baths
No. o,fq Ba
Mechantcal Contractor: ? ? (' n o"""? Phorte # ??Z-9?6'6A5A
Vlechanical System Includes: _ Air Condi[ioning Pee: $70.00
Heat Recovcry Systein
Sewer/Water Contractor: Phone #
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that the information is correct, grtqi a rgee to comply with
oll applicable State of Minnesota Statutes and City of Eagan blydir}ppc?s. , ?? ?
Signature of
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 1101
CITY OF EAGAN No 14 9 2 4
3830 Pibt Kiaob Road, P.O. Box 21 -199; Eagan, MN 55121
BUILDING PERMIT PHO N E: 454-8100
Receipt# U ?7
To be used ior ADDITION Est. Value $12, 000 Date s--? '? 7S ,7 g
SiteAddress 802 GOLDEN MEADOW RD
Lot Z Block 1 Sec/Sub.KING ADD TO EAGAN
Parcel No.
3lName ?K CALVIN I
Address 802 GOLDEN MEADOW RD
a City EAGAN phone 454-2501
UalName SAME (CALVIN CONSTRliCTION) I
ou qddress
? City Phone
OFFICE USE ONLY
On Site Sewage _ Occupancy
MWCC System _ Zoning
On Site Well _ (ACtuaq Cons}
City Water _ (Allowable)
PRVRequired _ #o(Stories
Booster Pump _ Length .
Depth
S.F. Total
Footprint S.F.
R-3
20'
141
a
W Name_
W
= Address
u
W CitY _
I hereby acknowledge that I have read this application and state lhat the
information is covect and agree to comply with ail applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Signature of Permittee
ABUildingPermitisissuedto: CALVIN CONSTRUGT19N_
on Me express contlition that all work shal I be tlone i n accordance with al I
applicable State ot Minnesota S[.aItuteWs an,d City of Eagan Ordinances.
8uildingOfficial LIHtj??.?,tl?I Illi? _
?
APPROVALS
Engr./ASSess.
Planner
Council
eldg. OR.
Variance
FEES
Permit
Surcharge
Plan Review
SAC,Ciry
SAC, MWCC
WaterConn.
Water Meter
Road Unit
Treatment P1
Parks
TOTAL
122.00
6.00
61.00
189.00
, * CliTlf OF EAGAN N_ 14 2 31
' 3830 Pilot Knob Road, P.O. Box 27-199, Eagan, MN 55121
P NE:454-$100
BUILDING PERMIT (WOOD FOtiND? Receipt# ? ? $? ?
Tobeusedfor SF DWG/GAR Est.Value $105,000 Date SEPTEMBER 30 19 87
Site qddress
Lot 2 E
Parcel No. _
802 GOLDEN MEADOW ROAD
1
: Name MARK CALVIN CONST I
= Address 4443 LYNX CT
° City EAGAN phone 454-2501
? Name SAME
0
oa Address
a
City Phone
f?
ww Name_
ti
'x za Address
ui
Q W CitY_
I hereby acknowledge that 1 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 of Permittee
A Building Permit is issued to: MARK CALVIN CONST
on the express contlition that all work shal I he done in accordance with al I
applice6le State of Minneso Statutes and Ity o( E?qan Ortlinances.
BuildingOffiCial r.
Sec/Sub. KING ADD
OFFICE USE ONLY
On Site Sewage _ Occupancy R3
MwCCSystem X Zoning Rl
On Site Well (ACtual) Const Vn
Ciry Water X (Allowa6le) VN
PRV Required X # of Stories
Booster Pump _ Length 52
oeuth 46
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr./ASSess. Permit $ 518. $0
Planner SurCharge 52.50
Council Plan Review 259.25
81dg.OH. SAC,City 100•00
Variance SAC,MWCC 525.00
WaterConn. 525.00
Waternneter 67.00
Road unit 305.00
Treatment P1 180.00
Parks
532.25
$2
TOTAL ,
Clty of EapIl
3830 Pilot Knab Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
15?6e'.Y!1se
i Permit#: I553-96 ?
I
?
? Pertnit Fee: 30,50 1
I Date Received: ?
? StaN:
I ?C? I
- - - - - - - - - - - -
2008 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: ?15 Site Address: 3lloc (1a642.Yl 1 &OA6/11 f'-d -
Tenant:
5uite If:
RESIDENT/OWNER Name: )n Phone:??
Address/Ciry/Zip: .SQ.1"YLP, ('il`Z, 0 hZlr'P>
CONTRACTOR Name: IA )A,??,/J/2 License #: CSt I'-2a2
j
Address 0, S
City: State: Zip: c3 ?a
Phone: ?p 11,?k b ZQ a -? ?D'q Contact Person: JQ CM
TYPE OF WORK ?-New _ Replacement Repair _ Rebuild _ Modify Space _ Work in R.O.W.
Descri tion of work: ,{ r I'
PERMIT TYPE RESIDENT/AL
Water Heater Water Softener
Lawn Irrigation Add Plumbing Fixtures
k
7
I RPZ /_? PVB) L Main _ Lower Level)
Septic System _ Water Turnaround
New
AbandonmeM
RESlDENTIAL FEES:
$50.50 Minirum Water Heater, Watar Sottener, or Water Heater and Softene; (incfudes $.50 Siate Surcharge)
$30.50 Lawn Irrigati0n (includes $.50 State Surcharge)
$50.50 Add Plumbing Fixtures, Septic System Ahandonment, Water Turnaround' (includes $.50 State Surcharge)
'Water Tumaround (add $136.00 if a 5/8" meter is reryuired)
$100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
$90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
TOTAL FEES $
I nereby acknowledge that this inFormation is complete and accurate; that the work will be in c
Eagan; that I understand this is not a permit, but only an application for a permit, and work
accordance with ihe approved plan in the case oi work which requires a review and approval o
x Gi ?U?, / G"lIG?., x
Applicant's PriMed Name - A an1
x wilh the ordinances and codes of the City of
start withoujya permit; that Ihe woiic will ba in
??
1987 BIIILDING PERMIT 9PPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS
INCLIIDE 2 SETS OF PLAflS, 3
OF SIIRVEY, 1 SET OF ENERGY CALCOLATIONS
r
NOTE: ADDRESSES FOR CORNER LOTS - CONTR9CTOR/HOMEOANER MOST DESIGAATE fiHZCH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BDILDING PERMIT IS ISSUPsD.
M[TLTIPLE DTaEI.LINGS - RFSIDENTIAL RENTAL (INITS FOR SALE UBITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SIIRVEY - CHECg WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATZONS
COLMMRCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
7 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
To Be Used For: f?EzJ `?,r.S'(: Valuation: Iate: ?'' 2
E`a te:? ?r.s?9e:r '
Site Address ((' L y C?!F
Lot -;,' Bloek /
OFFICE USfi ONLY
On Site Sewage Oceupancy J?-3
MWCC System V Zoning PI-I
On Site Well Type of Const
City Water tl? (Actual) V- N
(Allowable) V-t./
# of Stories
Length 5;p- '
Depth
S.F. Total
Footprint S.F .
9PPROVALS FEFS
Assessments Permit 5191,50
Water/Sewer Surcharge 52.50
Po13ce " Plan Review 25 .2 S
Fi.re
?R SAC, City /OD.OD
Engr SAC, MWCC Z .00
Planner Water Conn 5 Z.DD
Council Water Meter 00
Bldg Off Road Unit D,O O
APC Treatment P1 180,
Varianee Parks
Copies
TOT6L a7$.3?.as
Parcel/Sub
Owner
Address ?r?? ?y''?'? G/ •
City/Zip Code ?"'/jy,elr/ SS ?Z3
?
Phone
Conf;ractor
Address
City/Zip Code
Phone
Arch./Engr.
Address
City/Zip Code
Phone 11
. ?
3ZX 22- `7Oy
? x
-.--
6y2 x 12 = 8 3 0L1
$Sm 'f ? rsr Ft-ook
3ox a2,= (? 6p
1?? )(.= 2bg
6X 9 = sy
---
lOo2 x bs = 5811(?
Z1vD FLOO/.Z
30 x a6 = 760
?X1D.= 96
S'76xHy= 385yy
ivv9(Oy
Laia -. '"- _
i.
R 6 '
• I?i . • • .
?x - _ uz?-es.r••?^- MINNESOTA d? (Aaa
EXSERIOR ExVELOPE AVERAG ' U' COMPUTATIOA 4
DilNER?????'/???
SITE ADDR£55
?????.??? DATE ??
CO PRONE
NTRACTOR - - -
Determine rozking square footage of each.???,pg
,? ? • q. Pt://+??_'-
???
1. Totall erposed vall erea S
z
l1?0? ?? 5• Fi. ? ?_
?, T'o[al zoof/ceiling area 4
Tota2 expcsed wall area above fIoor ?1.06
a.
b.
e.
d.
e.
f.
9•
h.
i.
Tota2 va11 windov area ........................
Tata door area .................• •••••••• " '
?otal Sliding g2ass door area .................
Total fireplace wall area .....................
Tota2 wall framing area (average lOt}.........
Totnl net wall area aDove floor••••-•-••••'• "
Total rim joist area ..........................
:otaZ eYOSed foun3ation area= ?
..._
Sotal foundation vindov area ...............
To:ai net foundation area above grade...,....•r
? Determine ' U ' valae of each wa21 seqment.
- '
x v
c X" D '
.
. ?
? : . ?
d. ?j
?? • "'? x ? u ?
•
J
?? ? Z 7e
e 2N3. x . u ' ?
. 0730. zi r m u p ? ?? . .??-.
f.
. •
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X N a
g•
x
? p ??j ?
h - --- -- --- - :-
- -
i. -- p4 ? -:
x
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3. 2 ?.lqm _TOSat
Zf ttcm Iq3 lr the asae it , or Icas than ites you h°ve?met ?he 1
? Sec. 606 (c) ?.
?....??,._,...?.?.-,.- ........--....,,_-?.-,-...----•-°'r--cc"'--•.e....?;q;-...?.?
-.._. _,._.
. . _ ?-? , . . .
a
. _.'. iotaI exposeC roof/ ceiling areao
Totel erposed roof/ ceiling aream
j. rota2 skyligAt •ree .......................
................ ?j
k. Total roof / ceilinq freming azea .... : . . . 10.t .. _.... ?
. .. ;. .
1. Tota1 ntt tnsulated roof / ceiling area ................... Lo?,Dic"y?
Betermine • p' vaIue for eacA roof/ ceiling seqaent r
?
7• ? X ' U • ?j' ' ?
:
k. Ql/Do U? X' U` oC)?
i. 1f???'S<77 x - u • . oz -_?2?•I?.
1• • ? `? °`?? 70ta1 _
Sf [ota2 of 4 is the same as, or Iess then / I, you have met tAe intent
SBC 6006 (c) I.
To utilized the toal enveIope system method, the valoes es
sum of times /_3 end M I sha11 not D o?greatez than the su
a . a ?
4.
-0
y
1
?s?TShe?ky t,
of items M\1 e
e
?
?
0*0-
?
_
"__ _" " '_ _. .: _ ..
. . ___'-?.-"?,.,.yp . .. .r.
_.._,..,.... _ .. .. ._'_. ..__._. . _ .__._. .._. ....,-...,_.?„"'"_.?..: ., ',. ,....
- -- _•-.__
Certificate For:
Mark Calvin.Construction '
.
DELMAR H. SCHWANZ
LANO SURVEYORS, INC.
Rplelxa0 UnEei Lawe et TM Slele a! Minnesob 14750 SOUTH ROBEfiT TRAIL ROSEMOUNT, MINNESOTA 55068 8121623-1769
SURVEYOR'S CERTIFICATE
z v
\ p9\
.3,
1?-
Scale: 1 inch = 90 feet \j?
9 ? ?• r ? /
OiD ? ? `9 ao `? aq!? - .
= Proposed elevation
from Development
Plan LJI
Drainage & Utilityx?
Easemeits / ,q3•
V?
a?
A \"
p 4
1 reDy eertily that thie survey, plan, or report wea
repered by me or unGer my direct aupervielon snd
ihat 1 em s duly Regiatered LsnA Surveyor under
ths laws o1 the Stste ot Mlnneaota.
Detea September 24, 1987
? Lot 2, Slock l, KING ADDITION TO EAGAN,
according to the recorded plat thereof,
Dakota County, Minnesota..,
• ? ^ ., ?
Delmar H. Schwenz '
Minnesota RegisirallOn No. 8625
. / 76 3-
6 13s ? RESIDENTIAL BUILDING
Permit Application
City Of Eagan 9?
3830 Pilot Knab Road, Eagan MN 55122 !/7
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWC6on ReauiremenLs RemotleVReoau Reouiremenls Office Use Onlv
3 reg'stered site surveys sharing sq. R of b; sq. R of house; aM all roofed areas 2 coples of plan Cert of Survey Reoi _ Y_ N
(20°k maximum lot coverage allowed) 1 sel of Energy Calculafions (or heated additians Tree Pres Plan Recd _ Y_ N
2 copies o( plan showing beam 8 window sizes; poured tountl design, etc. 1 site survey for additans & decks Tree Pres Reqd _Y _ N
t set of Energy Calculatlons Addition - indicate ilarsife septic system Oo-site Sep6c System _Y _ N
3 copies of Tree Preserva0an Plan'rf bt platted atter 711193
Rim Jaist Detail Options selectbn sheet (bldgs wiN 3 or less un0s
Date ?/ 16- / O 3 Construction Cost ? Uc?
5ite Address 96 _?, { jpl, p ?? `\j M aAz_)Oc?J Lf,4 L Unit/Ste #
Descrip[ion of Work ?_) il?-?- ?S
Multi-Family Bldg _ Y_ N Fireplace(s) _ D _ 1 _ 2
Property Owner Telephone # ( )
Contractor WiA--'1-,I
Address ??z 1'Z ?ff/?K QV?
State h? r? Zip cSS'/2 2 Telephone #(6-S1 )?? 9?
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential Vantilation Category 1 Worksheet • New Energy Code Worksheet
(J su6mission type) Suhmitted Submitted
• Energy Envelope Calwlatlons Submitted
Have you previously constructed a building in Eagan with a?similar plan? _ Y _
fee applies.
Licensed Plumber Telephone #(
Mechanical Contractor
Sewer/Water Contractor
? v e,-Telephone #(
Telephone #(
N if so, 25% plan review
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and cocies-of agan and the State of MN
Statutes; I understand this is not a permit, but only ap ' ion a permf and ' n start without a
permit; that the work will be in accordance with the a ved pl in the case o vt rk ?'ch requi es a review and
approval of plans.
ApplicanYs Printed Name pRlicanYs Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn.(4-sea.)
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo)
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_YOr_N ? 25 Miscellaneous
Work Types
61?d 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundatlon) ? 45
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroaf ? 46
? 34 Replacement *Demolitlon (Entire Bldg) - Give PCA handout to applicant
Val uation L Occupancy 1' 3 MC/ES System _
Census Code GV .S`( Zaning (/L'( City Water
SAC Units '-' Stories `-? Booster Pump
Nbr. of Units " Sq. Ft. ? PRV
Nbr. of Bidgs - Length ? Fire Spnnklered
Type of Const ? Width
?
Footings (new bldg)
? Footings (deck)
_ Footings(addition)
Foundation
Drain Tile
Roof Ice & Water Fina)
? Framing -
_ Fireplace _ R.I. _ Au Test _ Final
Insulation
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 EM. Alt - SF
? 36 Multi Misc.
Siding
Fire Repair
WindowslDoors
REQUIRED INSPECTIONS
FinaUC.O.
? FinaUNo C.O.
_ Plumbing
HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tesu _ Final
_ Siding Stucco Stone
_ Windows (new/replacement)
_ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
----------
?
`J
C-
Building Inspector
CerCifitate For:
Mark Calvin Construction '
DELMAR H. SCHWANZ
IAND SURVEYOPS. INC.
Rpb1xM VnMr Lao ol TM Sub al Minnewta
11750 SOUTH ROBERT THAIL ROSEMOUNT, MINNESOTA 550?88 612/1231789 .
SURVEYOR'S CERTIFICATE k ?3 GO<
a y
s \
?) d`` ??4
?9,
• / ? ? ? ?d -00,?, ?
w? ? ? ? ?''
Scale: 1 inch = 40 feet \b?
i \
OK? = Proposed elevation fxom Development
Plan
. O?'n?!` ?Drainage & Utility?
Easements j ,q3•
M • ., . ?
?Y
Lot 2, Block 1, KING ADDITION TO EAGAN,
?
according to the recorded plat thereof,
Dakota County, Minnesota..
I Irsby certNy tAet [his survey, plen, or raDOrt wae
properoA Dy ma or un0ar my direct aupervieion and
Ihel 1am e duly Regiatered Lsnd Surveyar under
Ihe I&wa ot tAS Ststs ol Minnesote.
p?ted September 24, 1987
Delmar H. Schwanz '
Mlnneaota Repiatrallon No. 8625
1988 HUILDING PERMIT APPLICATION - CITY OF EAG9N
SINGLE FAMILY DWELLI11G5 / y ? a
INCL[TDE 2 SETS OF PLANS,?3/CERTIEICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL HE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL IINITS FOR SALE UNITS # OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.o
1 SET OF ENERGY CALCULATIONS
COh4fERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET' OF ENERGY CALCULATIONS
S
?`7ccEC?DY? ,/ .
To He Used ForValuation: ? Date: `Y-?-?
Site Address 0002 Lot X- Block /
Parcel/Sub ? zAgzxgp.r1
Owner / %?rt 6G0Z<u
Address 902 (J-4&ri /,?ui AeJ
City/Zip Code SS123
Phone
Cantraetor ?,?CJ/f[1 /:D.?'l
Address l'fJ?1?f2
City/Zip Code
Phone
Arch./Engr.
Address
City/Zip Code
^ avo' urr
/^
pn site sewage_
MWCC system `
On site well
City water _
PRV required _
Booster Pump _
APPROVALS
occupancy R-3
Zoning
Actual Const
A1lowable
IF of stories
Length 2_0_'
Depth 14'
S.F. Total
Footprint S.F.
FEES
Engr/Assess
Planner
Couneil
Sldg. Off. A??Vf
Variance
122,00
6.00
vo
?
Permit
Surcharge
Plan Review
SAC, City
SAC, MWCC
Water Conn
Water Meter
Road Unit
Treatment P1
Parks
Copies
TOTAL
Phone If
2004 RESIDENTIAL BUILDING PERNIIT APPLICATION
City Of Eagan
L 1+QI (-{ ? 3830 Pilot Knob Road, Eagan NIN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
'% r2C c)()
New ConstrucNOn Reauirements RemodeVReoair Reauirements s?n
3 2gisteied stte surveys showing sq. ft. of lot, sq. ft oF house; and all roofed areas 2 copies of plan GR? ??? ^ s
(20%marimum lotwverege aliowed) 1 set of Energy Calcuiations for heated addPoons n, j? .
2 copies o( pWn showing beam 8 window sizes; poured found desgn, etc. 1 site survey for additions & decks MArwe?k
1 sel ot Energy Calculations ' Addifion - indicate ifon-sdesepfic sysfem
3 copies ot Tree Preservation Plan if lot platted after 711193
Rim Joist Detail Options selection sheet (bldgs with 3 or less units .
Date 6/j y / Oq Cons[ruction Cost 2-3O
Site Address ro Z UuiUSte #
TU Z
"
?` /"?
USe
Descripdon of R'ork a .Y
e- D
Multi-Family Bldg _ Y_ N Firep?ace(s) _ 0 2
Property Owner ? yl , s}'+'k, /; Telephone # gF ` 0 -3 7
MODELING, ? C.
Conhactor ELA ?F?G g? RE
R mag, LUD•
Address 5541
S PARK+M?
City
State ID #00 Zip Telephone #( srZ ) Z 86 ? 7 7/
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Energy Code Category . Residential Ventllation Category 1 Worksheet • New Energy Code Wodcsheet
(Jsubmissiontype) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a buiiding in Eagan with a similar plan? _ Y
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
_ N If so, 25% plan review
Telephone # (
Telephone #(
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge 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 pernut, 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.
Applicant's Printed Name
ApplicanYs, gnature
RESIDENTIAL MECHANICAL
Permit Apptication
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675
Please complete for. Single Family Dwellings & Townhomes and Condos when pemuts aze required for each unit
,930 _Sz7
Date !Q / d,3 / 03
Site Address ' ( J ? ?(?l?/I 9 / LYC! ( ?.?{.l ! ?' Unit #
Property Owner SJ' I r1.? `f- l ?'Ja?i(,/q
J Telephone # (?/f 3 T?
fi,'6ilti8CffiC
Bulrltivijle y c.
StreetAddress 12481 Rhode Island Ave. So. ?ity
State Zip Telephone # 9SZ)ti / L? ?,VS
Bond #:0" /W SO-S Eapires:
The Applicant is Owner '?CConhactor Other
Add-on, modification or alteration to eaisting dwelling unit ?
??? $ 30.00
? furnace replacement D ?5 lUJ
?
_ airexchanger ??j ??'? 2003
air conditioner _ New _ Replacement
other _?----'
Stafe Surcharge $ .50
l $ ? "?S?
Tota
I hereby apply for a Residential Mechanical Permit and acknowledge 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 with the Mechanical Codes; that I understand tlus is nof a
pemut, but only an applicarion for a permit, and work is not to start without a pemut that the work will be in accordance with the
aped plan in t case of work which requites a review and approval of plans.
7 rr1 rYJ17"a-12 (f'lrQ
ApplicanYs Printed Name Applicant's Signature
PERMIT# " p
RECEIPT DATE:
EOOE iiESIDENTIAL PLUM$INfi PERM1T APPLICATION
C1TY OF KA&m
3$30 PILOT KAOB $D
gA6AN, MA 551 ES
651-681-4675
Please complete for: single family dwellings, townhomes and condos when permits are required for each unit,
backflow preventer for irrigation system
SITE ADDRESS:
OWNER NAME: :
INSTALLEP NAME:
STREET ADDRESS:
CITY: La 'VvaU t I, I J
mKv ZIP:
_ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00
includes $40.00 County fee
Note: Additional consultant fees may apply
. MODIFICATIONIALTERATION TO EXISTING DWELLING UNIT, INCLUDING:
_ Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00
_ A6andonment of septic system.
_ Water turnaround - existing dwelling unit (+ 5/8' meter'rf needed -$118)
Other:
_ RPZ: new installation/repaidrebuild $ 30.00
_ lawn irrigation system
'
ReplacemenUadditional: _ watersoftener /K
waterheater $ 15.00
State Surcharge $ .50
tal ? pN 2 9 2002
T $hi- -5-6
o
I herebyacknowledge that I have read this application, state ihatthe infortnaHon is correct, and agree t p rable City of Eagan ordinances. It
is the applicanl's responsibility to notify the property owner that the City of Eagan assumes no I" 6ility r any damages aused by ihe City during its normal
operetional and main[enance activiqes to the facilities constructed under this permit within C' p opartyldght-of-way/ ement.
SIGNATU OF PERIvti EE 1102
CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
^TOT6: PAYMENT OF Fk:E AT TIIM OF
APPLIcATToN noES Nvr CONSrm=
APPROVAL OF PY?tI1IIT.
INSPDCrION OF SESAM ADID/OR mTFIt
ruSrar.rAnpNS WILL IVC7P BE 5('FgD-
UIM UNPII, PII2NIIT HAS BF.FSd
APPROVID.
P ease Print
^
1) PROPERTY ADDRESS:
LEGAL DESCRIPTION:
IF E}TSTING STROCIL'RE. DATE OF ORIGINAL B[JILDING PERMIT ISS[.'ANCE:
Mon YearJ
PRFSFNf ZANING/pROPOSID LTSE: -
? CObA'IERCIAL/REPAIL/OFFICE
IbIDL'STR7AI.
? INSTI4S)TIONAL/GOV?'p
R5- R-1 SINGLE FAMILY '
Q R-2 DL'PLEX (Zkv C?nits)
R-3 10WNiODSE (Three + Units) ( Onits)
Q R-4 APARZbENT/CObIDOMINILTf ( Units)
2) ?
ADDRESS:
CZTY. STAT'E. ZIP:
PHONE: ?s?/ d9f?o
3) ? ?ME• For City Use ..
??a•? ??i?r??;??. Plimbers License:
ADDRFSS: .?6?f ?ros,rroa? C-7- Active
bcpired
CITY, STATE, ZIP:_ La-qk'n ,S'S-l Not reCOrd2d
PHONE:_t/S'.2 MASTII2 LI(ENSE# '77- .3a Staff Init1al
4) ?ak • i?,p /
NAME: "?-1') 0. r?." &U't 1ADDRESS: ,37a ° 9 5/zX j' 7- '
CITY, STATE. 2IP:_
PHONE:_ 06=7-?-?a`
5) n v ? r• ?: o • o? - ??
M?CONNECfION 1O CITY SEWIIt (?' Cp?7tI0N TU CITY WATER ? O'S'fIER ' .
f?? ?
6) ?? • • r ?? PLF,ASE HOLD APPROVID PERb'lIT FC)R PICK-DP BY ONE OF ABOVE .. ---' -- -
?PT.E',ASE MAIL APPROVFD PERMIT TO 1, 2. 3. 4, AHOVE , .
? /? (Circle one)
7) c.?_ ku: - ??.,c. _4??C -
TOR CITY USE ONLY -. ?
PERMIT # ISSUED
? '.
Pd w/Bldg. Permit FEES:
$ $ /O -SEWER PERMIT (INCLLDE SORCHARGE)
$ $ WATER PERMIT (INCLUDE SC'RCHARGE) ..
$ (?> 7.U O $ WATER METER/COPPERHORN/OCTSIDE READER
$ $ WATER TAP (INCLUDE CORPORATION STOP)
$ $ SEWER TAP
$ $ IS CN? ACCOUNT DEPOSIT - SEWER
$ $ ACCOUNT DEPOSIT - WATER
$ SZ S ' 0-? $ WAC
$ (OZ S-• O? $ SAC
$ $ TRCNK WATER ASSESSMENT
$ $ TRL'NK SEWER ASSESSMENT
$ $ ` LATERAL BENEFIT/TRLNK SEWER
$ $ LATERAL BENEFIT/TRL'NK WATER
$ $ WATER TREATMENT PLANT SDRCHARGE -
$ $ OTHER:
$ o--z) TOTAL 77 ?
R-- C i/ O
DOES LTILITY COIVNECTIO[V REQDIRE EXCAVATION IN PC'BLIC RIGHT OF WAY?
F--j YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC
Q
ROADWAY" MUST BE ISSDED BY THE ENGIIVEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY: &Ay L?
TITLE:
DATE: ?D/
- lp
,- /p 7
T +
lfoldtV oF eagan
THOMAS EGAN
Mayor
August 5, 1996
PATRICIA AWADA
SHAWN HUNTER
SANDRA A. MASIN
iHEODORE WACHTER
Council Members
MR OCTAVIO ARGUELLES
THOMAS HEDGES
802 GOLDEN MEADOW RD Ciry Adminisirator
? EAGAN MN 55123 E. J. VqN OVERBEKE
Ciry Cierk
RE: YOUR JULY 12, 1996 REQUEST FOR INSPECTION
Deaz Mr. Arguelles:
On Friday, 7uly 12, 1996, you telephoned and reported that you were experiencing problems with
your existing deck. An inspection was scheduled and we requested that you dig alongside the deck
posts to check for footings. This revealed that there were no footings under some of the posts. The
posts with footings had raised and settled and pushed soil beriveen the footing and the deck post and
the ones without footings were raising from frost.
A check of our records revealed that a building permit to construct this deck was not applied for and
thus, no inspections were made. It is our suggestion that you dig up and place footings under all
posts as indicated in the attached deck handout.
If you have any further questions, please contact me at 681-4676.
Sincerely,
William Bruestle
SeniorInspector
WB/js
attach.
MUNICIPAL CENTER
3830 PILOT KN09 fiOAD
EAGAN, MINNESOiA 55122-1897
PHONE: (612) 681-4600
FAX:(612) 681-4612
iDD;(612) 454-8535
THE LONE OAK TREE
THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITV
Equal OpporiuniiylAttirmative action Employer
MAINTENANCE FACIIITY
3501 COACHMAN POINi
EAGAN, MINNESOiA 55122
PHONE: (612) 681 -4300
FAX: (612) 681-4360
iDD' (612) 454853-.
RECORD OF COMPLAINT
Date
Complaint taken by
Type of building
Name
Address - PO'a A4? )&,6,i,-ur
Legal description
Phone number LS 7-2a e-,r
Complaint
Action taken
Signature
BLTII.DING COMPIAINT GUIDELWES
• When a complaint is received, get the address, name, phone number, and a general idea
of what the problem is.
• Always have two City empIoyees present to (1) verify the comersations, (2) offer
additional opinions, and (3) lead credibiliry.
• Get "both sides" of the story if there is a conflict
• Ask other inspectors and City employees if they are familiar with the address or the
problem.
• Contact other agencies or departments (ie. Dakota County Human Services, 431-2424;
police depanment; fire department), if necessary.
• Provide hand-out materials if they are available.
• Maintain a record of inspections and conversations on a City complaint form.
CLAIM VOUCFiER - REFUND REqUEST
CITY OF EAGAN
CLAIMANT EAGAN PLUMBING & HEATING
ADDRESS4445 T.VNX COi RT
F.A(:AN MN SSI23
Location 802 GOLDEN MEADOW RDAD
?1,2. B1. KING ADDITION
Receipt No./Date 78781/11-2-87
Reason for Refund DUPLICATE PERMITS '
Type of Refund Electrical Permit 01-3211 $
Plumbing Permit 01-3212 $ 37.50
Mechanical Permit 01-3213 $ 25.50
Surcharge 01-2155 $
Water Connection Permit 20-3713 $ -
Sewer ConnecEion Permit 20-3743 $
Account Deposit 20-2252
, g
Utility Account Over-vayment 20-2250 $
Other: $
$
TOTAL $ 63.00
I declare under the penalties of law that this account, claim or demand is ,just and
tha/t n?o part of it has been paid.
" NOVEMBER 4. 1987
Signature Date
CLAIM VOUCHER - REFUND REQUEST
r-IIY OF EAGAN
CLAIHANT MARK CALVIN - _------------ __
ADDRE 5 S 802 GOLDEN MEADOW ROAU___________________.
EAGAN, MN55123
Location 802 GOLDEN MEADOW ROAD
_ L2 •_ B ls_KING ADDITION TO EAGAN I
Receipt No./Date 21187-0_IL23L4_.......
Reason for Refund ELECTRICIAN TOOK OUT PERMIT.
Type of
Refund - - -----
Elec[rical ---- - -------
Permit
3211-9220 $ 40.00
Plumbing Permit 3212-4220 $
Mechanical Yermit 3213-4220 $
Surcharge 2155-9220 $
Wa[er Connection Permi[ 3713-9220 $
Sewer Connection Permit ' 3743-9220 $
Account Deposit 2252-9220 $
Utility Account Over-peyment 2250-Q220 $
Other: $
S
TOTAL $ 40.00 I declare under penalties of law tha[ this account, claim or demand
is just and that no par[ of it has been paid.
-- -- ' <!???17?L----- -- 04101 /44
IGNATURE ?/ 9 y DATE
P ? ? ~ ?
Certificpte Fcr: ?
Mark Calvin Construction
fllc.
DELMAR H. SCHWANZ
LAND SORVEYORS.INC.
RegielereA UnUec La" 01 the State el Minnsaob
14750 SOUTH ROBERT TRAIL ROSEMOUNT, MINNESOTA 550??68,, 812/4231789
SURVEYOR'S CERTIFICATE ?, ?-'?3 GO<T
935.0
?S %\
9)4.6 ?
r >> 4` ?
rov Hua
954.0 ?
?0°
933.1 y \
TOP 1RON / ?/" ? • v ?9.9?? ?/?+
926.6
%433.8
\ b 1\ ??y
q0 ' f!)
x
lb 9269 /?? \ ?t-
Scale: 1 inch = 40 feet \? ? ?? ? M1s?34? ?° TOP NVB
v?? 937.6 .
Proposed elevation from Development 9212
Plan ?9 L
TOP MUB
928.1
, 0? Drainage & Otility? LP
Easements / 1q?j•
o. V
A? r
9e2 s-o,e,ri
? Lot 2, Block 1, KING ADDITION TO EAGAN,
according to the recorded plat thereof,
Dakota County, Minnesota..
House staked and elevations shot
Sept. 25, 1987_
?r .
I reCy certify thet this survey, plan, or report wes
repered by me or under my direct aupervision and
that I am a duly Regialered Land Surveyor under
tha lews of the State of Minnesote.
Dated September 24 1_987
Delmar H. Schwanz '
Mlnnesote Regletration No. 8625
(1 ??
RECORD OF COMPLAINT
Date -? 12 ? 0 U
Complaint taken by _ F1 i'Vi
Type of buflding I< <S idCn
Name
Addres;
Legal descriptioa
Phone numbor V.() / _
Complaint _ WLLlP.v j? ?d?ntn`} ???h?O6Y??
ehvl?-dn yntOtd ` -' ?I'i`Cla S
,?-?-
Action taken
Comments
?
-F-
±?
Signature L`"',
V-1) REQUEST FOR ELECTRICAL INSPECTION
? See instrucuons lor completiny this form on back o1 ysllow copy.
N a2517 "X" Below WorJc-Govered by This Requesf
ix
I -/<-
?K'
EB•00001•08
•,?
e Add Type of Building AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex _ water Heater Electric Heating
Apt. Building Dryer Loed Management
Comm./lndustrial Furnace Other (Specify)
Farm Air Conditioner
Other (specdy) ContractorS Remarks:
Co mpute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Aboue 200 Amps Above 100 Amps
Signs . Inspector's Use Only: TOTAL
Irrigation Booms • ? ?
Special lnspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT I
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby
certity thaYthe above inspection has
been made. Rough-in
F;,,ai Date
Dale
OFFICE USE ONLY
ThiS request void 16 months hOm
V 1' I?C ? ?? O Vl '
- ---- - --- - ------ - -- ---- - - -------------- - -------- -----•._.
M02517
Request Oate Fire No. Rouqh•In Inpsection Requhetl
(`?ou must call Inspeclor when ready)
0 Vaa No Inspectlon Olher Than Rough-In
Ready Now ? Will NotHy Inspector
0 Read
ID licensed contractor ? owner hereGy request inspection of above eleCtriCal work at:
Job Atldress fStreet. Box or Route No.)
902, f Pw waol - Ciry
? - '
Sedion No. lOwnship Name or No. Range No. Coun
Occupant (PRINT)
0 ? ??? f Phone No.
7! 270
Power SupPlier Addre55
Electrit3l Contractor ICompany Name1
?Ce?v e CQDW CoMreCtOr'S LiCense No.
Maihnq Atltlress IContractor a Owngr Makmq InstallBUOn)
A?i qr ??king Inslallatwni
?, Ph umber
NN SSTATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Grigge- dwey Bldg. - Room 5-173 BE ACCEPTED BY THE STATE BOARD
1821 Unlversity Ave., St. Paul, MN 55104 UNLESS PFOPER IN5PECTION FEE IS
Phona (812) 642-0800 ENGLOSED
i8 s
?o
C? 02?3 D°°
Repuest DetB
^- Fire a. _1 11 h-In npsection RequireE
musl call inepeaa? when reaEyl 50 n OtM1er Tnan Rough-In
? qeedy Now X Will Natily Inspector
Ves ? NO DereReaEy
I;<licensed contractor ? owner hereby request inspection of above electrical work at:
Jo0 Adtlress (SVe¢I. Box or Poute N I Ciry
D
Section No. TownsM1ip Name or No. Range No. Coumy
Occu0an1(PRINT) Phone No.
Power Suoplrer Adtlress
Elecincal Comractor IGOmOany Namel GonVaclor's Llcense No
.
? ? ,
Mailing AOtlress (Convactm or Own r Mai ng Installation)
co ? -
th ii Ignai e ConU r M k?nq Inst ion PM1 ne omber
S -
MINNESOTA STATE BOARU OF ELECTPICITry` ,I
Grlggs-Mbway Bltlg. - Room S/]3 U?Vw
1821 UnivereNy Pve.. St Peul. MN 55104 V??C a'?a
Phone (612)642-0800
TMIS INSPECTION REQUEST WILL NOT ?
BE AGCEPTED BV THE STATE BOARO
UNLES$ PROPER INSPEGTION FEE IS
ENGLOSED.
3/a Y'
00- 2 3
REOUEST FOR ELECTRICAL INSPECTION
? See In9lrvclions lor complelinq Ihis lorm on nck of yellow copy,
"X" Befow Work Covered by This Request
`?TM ? EB-Op00L08
? ?.. ?
'?•??, ?-
ew Atltl Rep: TypeoiBuilding AppliancesWired EquipmeniWired
Home Range Temporery SBrvice
Duplex Water Heater Electric Heating
Apt. Builtling Dryer Load Men2g¢ment
Comm.Andustrial Furnace Other (Specify)
Farm Air Conditionef
Other(syecity) Co
nh a tor's Re r s:
f
?c l
v j?e , tir 6
Compute Inspection Fee Below: ,
.
M Other Fee # Service Entrance ize Fee # ircuits etlers Fee
Swimming Pool 0 to 200 Amps 0 m 100 Amps
Transformers Above 200 _ Amps Above00 _ Amps
SignS. Inspeclor5 Use Only: ? 7p7/?
'
Irrigation Booms
n ? D
?j?
Special Inspeclion ?`??
AiarmiCommunication THIS INSTALLATION MAY B ER ?NNECTED IF NOT
Other Fee COMPIETED WITHIN 16 HS.
I, the Electrical Inspector, hereby
tit
h
h Rough-in Y
cer
y t
at t
e above inspection has
Ceen made.
OFFICE OSE 9NLV
IThis reQuest voitl 18 monIDS irom
This renuest void
18 rtpnths from
D 41581/
-r CP-D
I? /) ? X• u / I RequireA7 --"--.._.. IQRCatlY Nuw i' ,II Nnjitv. InsPec' I
? N. or When Ready
?Icensetl ElecVical ConVactor 1 haraby request inspection ol ebova
? Owner , electrical work instwllwd a,-
St A?ess x o R te No.
ecuon o. Towns p Name or No. Ranye No. City
Count
v A
?
Og?cypannt,?P Ti K? L V
?v?4?' 1 Phone No.
Power pVlier Address
Electncal Contractor ICompany Namel
KE?rnRrrrr
*
Fr.mn..• C..,rar,mr's I.icense No.
?
,
py
Ma?linef+d??ess Lonh fOr??ilationl
14540 PElVNO
CK L A
Aut r?SUH??Q??gq?gliystallation)
li 1 ? lvjld 1 ?4
Phone, Number
.iq SIATE BOAPO OF ELECTqICITY TMIS INSPECTION NEOUE57 WILL NOT
Griggs-Midwav Blde. - Noom N•797 BE ACCEPTED BY THE STATE BOAflD
1821 Universitv Ave.. St. Paul, MN 55104 UNLE55 PROPEN INSPECTION FEE IS
Phone (612) 642?0800 ENCLOSED.
j a3(7'cl REQUEST FOR ELECTRICAL INSPECTION
? Sea insimclions for compleling Ihis torm on Oack ol yellow copy.
0?jqr G 517 "X" Below.Work Covered by This Request
¢p1B?x ee-ooom-ae
?.?,4?`?! 0?!/87
e Add Rep. Typeo7Building AppliancesWired EpuipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Buiiding Dryer Loed Manegement
Comm.llndustrial Furnace Other (Specity)
Farm qir Conditioner
Olherlspecilyl ConVac1ar's Remarks:
Compute lnspection Fee Below:
? Other Fee # Service Entrance Size Fee # CircuiislFeeders Fee
Swimming Pool 0 fo 200 Amps 0 to 700 Amps
Trensformers Above 200 _ Amps Above 100 _ Amps
SignS , Inspec[ar's Use Only: TOTAL
Irrigation Booms 5 0
Speciallnspeclion
?J
Alarm/Communication THIS INSTALLATION MAV BE ORDERED DISCONNECTEO IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, ihe Elechical InspeCtor, hereby
tif
c
th
t ih
b
i Roiqn-In oate
y
er
a
e a
ove
nspection has
been made. F;nai oale
OFFICE USE ONLY
This request wia 18 months Irom
C? CTl c,e q i 0 v?
0 0 2
Pepuest Oate
2
'„/ ' y4 ire Raugh-In Inpseclion Repui
(YOU muel call inspectar when reatly)
? Ves jo-N. Inspeclion Other t?an Roughln
qeatly Now ? W III NotiTy InspMOr
Date ReeC
I El licensed contractor Kowner hereby request inspection of a6ove electrical work at
Jo0 Atltlreu(?SVe^e'Jt Box or Roule Nro /?D
OGfi?-FNI /wt Giry )
Sec[ion No. Township Name or No. Range No. C
V Phone N??
/J
PowerSuppller qatlrp55
Eletlrical Conl (COmpany Name)
r' ? Gu .:Pe %.i Conlractor's License No.
Mailinq Adtl:ess (Convac;or or Owner Making Installation)
AUIhOnE _ ? o a[t aking InStsllalion)
i / PM1One Numb?
%a
1*iryGSO,/n STATE BOARD OF ELECTPIGTV THIS WSPECTION REQUEST WILL NOT
Grlggs-M(tlway BICg. - Hoom 3473 BE ACCEPTED BY THE STATE BOARD
1821 Unlversity Ave.. 51. Paul, MN SStOJ UNLE55 PROPER INSPECTION FEE IS
VMne (612) 642-0800 ENCLOSED.
REQUEST POR ELECTRICAL INSPECTION
EB-00001-06
/ Sea instructiuns br comoleling this form on bacN oi yellaw copy. ???0
?
D A. 1-5$ 1 "X" Be/ow Work Covered by 7his Request
of Builtlin0 APUlianca. Wiretl E9uiUment Wirerf
Runge Temporary Service
Water Heater iyhtiny Fix[uies
uflAin? yer Electric He.itin
M rcial Bldy. Fumace Silo Unloader
rial BIAg. qir Contlitioner
B???k Milk idnk
ptnr, pec, .ine?
SUCV OtM1?r
ln? Fm Ro/n-
nprtinn
N Fea ServiceEntranee$ite tr Fee Feeders/5ubfeeders
Ccuits
'r
U to 200 Am ?s 0 to 30 Am s 0 tn 30 An:
s
Ahove 200 Amps 31 to 100 Amps t 31 to 100 q
Swimming Pool
Above 100_Amps 5
Above 100.
Amps
Transformer5 Irrigation Booms _
Partial.Oth r Fee
Signs Special Inspectiun \
Nem arks S TAL EE^
Hou¢?-in Da?e
I, the EI
U /? ?? Inspectaq hereby
Final p.,e certify [hat [he above
? (? ?4 Oeclion has been
/ r de.
tliia reuuast roitl 18 monNS Irom '
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City of Eagan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee: 931.0q
Date Received:
Staff:
4-67
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit #:
Resident/
Owner
Name: F r i () Ru I o-+ Phone: 0t J A S — ` I C10 LF
Address / City / Zip: ' ) L.. , 14 I ' - . ( C v
Applicant is: Owner Contractor
of
TypeWork
r /,,1
Description of work: Pep int 1 I7j I U Ii/ I1 i t bl was (4/ £ /o(ice ! �is
/1
(i 1O-2 0° Multi -Family Building: (Yes I No X)
Construction Cost: `t' J b
Contractor
Company: in I i DVO 11 Vl✓(O ,UCl c i' Ilkontact: BI I a 11 1-te5 S
Address: 1+2-09 1,/1/ . IAO 1SI City: q(11V c I 0 l,>
State: 1111\1 Zip: 653-1Q) Phone: ((42,12"--)2C1-2— _ 2 1 3-7
: Lead Certificate #:
--(License
If the project is exempt
L__.,,tv7 z1 al-
from lead certification, please explain why: (see Page 3 for additional information)
. sue.,;,7y K-` 1),\i 1 al
In the last 12 months,
If
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?
yes, date and address of master plan:
_Yes _No
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
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.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.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building muscompleted within 180
days of permit issuance.
Applicant's Printed Name
x
Applicant's Signature
Page 1 of 3
gOa Golden NIcortoto Rd
DO NOT WRITE BELOW THIS LINE
SUB TYPES
it Foundation _ Fireplace
Single Family _ Garage
_ Multi _ Deck
_ 01 of Plex _ Lower Level
_ Accessory Building
WORK TYPES
_ New _ Interior Improvement
_ Addition _ Move Building
_ Alteration _ Fire Repair
I' Replace— Repair
— Retaining Wall
DESCRIPTION
Valuation 3740a
Plan Review
(25% 100% +/r -
Census Code L/34
# of Unit /
# of Buildings
Type of Construction
1
REQUIRED INSPECTIONS
Footings (New Building)
Footings. (Deck)
Footings (Addition) /2 '.4&t
2V- Foundation
Drain Tile
Roof: _Ice & Water _Final
Framing
Fireplace: _Rough In Air Test Final
Porch (3 -Season)
Porch (4 -Season)
Porch (ScreenlGazebo/Pergola)
Pool
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Insulation
Sheathing
Sheetrock
Reviewed By:
Siding
Reroof
Windows
_ Egress Window
_ Storm Damage
_ Exterior Alteration (Single Family)
Exterior Alteration (Multi)
T Miscellaneous
_ Demolish Building*
_ Demolish Interior
_ Demolish Foundation
Water Damage
*Demolition of entire building - give PCA handout to applicant
/RC -1 MCES System
,2 ca? SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Meter Size:
Final / C.O. Required
Final / No C.O. Required
HVAC — Gas Service Test Gas Line Air Test
Other
Pool: _Footings Air/Gas Tests _Final
Siding: _Stucco Lath _Stone Lath _Brick
Windows
Retaining Wall: — Footings — Backfill _ Final
Radon Control
Erosion Control
�'i • , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
5» ?�
359 /L
fti.Padc.A. A/044 43 ,At a 1 woo ,2,
h,/7N /y1 ASS+'
Page 2 of 3
05/22/2013 03:57 9524476169
Date:
r City of Eagan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5678
Fax: (651) 675-5694
RE E cD
MAY 211013
PAGE 01/01
Use BLUE or BLACK Ink
For Office Use
Permit#: '
Permit Fee:
Date Received:
Staff:
2013 SEWER AND WATER REPAIR / DISCONNECT PERMIT
City Sewer City Water
Description Of Work'
Repair Disconnect
Fee: $65.00
Street Address for Proposed Work 3 0 L. C�-ok
Owtwir ,;
�drmat
Name: C e.. (0\ Vi -C
Phone:
Address / City / Zip: c L l -j D (d t'LLA
Applicant is: Owner &Contractor
Licensed Pipelayer Master Plumber Property Owner
•
Name: s,RILL- • /� •, �� _ Phone:51r "b
d 5—
Address /City /Zip: ( , � � � � Laut_ /VVI 53�/ 7
Pipelayer Training Certification Card #: z('"1- f `
or Master Plumber License #:
I acknowledge that the information is complete and accurate and 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 is Is not a permit, b . • ely an application for a permit, and work is
not to start without a permit
rkcv
Applicant (Print
llama)
)
n Signature
CALL BEFORE YOU DIG. Call Gopher State One Call at •51) 4544002 for protection against underground utility damage,
Call 48 hours before you intend to dig to receive locates of underground utilities, www.gopherstategnecall.org
. s
Use BLUE or BLACK Ink
-----------------i
� For Office Use � �
I
Permit#:_
Cit� of Ea��Il ��= t��� � � '
� Permk Fee: ���� j
3830 Pilot Knob Road �j�,�, � � ��1�'�°� � ''
I
Eagan MN 55122 � Date Received: ° I� �� 1
Phone:(651)675-5675 � � �
Fax:(fi51)675-5694 I S�ff; f
�----- --- ------����- � �
2014 RESIDENTIAL BUILDING PERMIT APPLICATION � '�'�` �
�� ��
Date: Site Address: Unit#:
Name:�1'�°'C �"� /!"�N �� �� �V Phone:
Resident/
Owner Aad�e�f c�y i z�p: 53'�0l �I CIC� �t�a4au� �� ['�z��?�'t� S5%�3
Applicant is: Owner Contractor
� � �� j�� $tf�-�' YyTe � �,.1�SV iG'i-EL �Kv�mC
T @ Of WOI'�f Description of work:_ ' �i��/�t Ir-C:/�1 G��� ���'L UJa 1� htl�c•n. /6v�( �w.''t�i�ro c yr� _�- �
Yp �/ ��
Construction Cost: "7��� Multi-Family Building:(Yes /No �) ;
Gompany: JJ� � ��� � ��YLU��CZi�ti?.�`�0`J Contact: ` b������/'���hG••�
Addrass:_�(�� �(�1��2 /��`�C- City: (9u n C'`G K-( �
Contractor -� �
State: !�1� Zip: 5�^r�,3� Phone: �o�G -���9'L��S�mail: �►�l� � �U�S'�•� lT r��� •Cf9�'� 1`•
License#: __k7�GY lv�7SlS Lead Certiflcate#:
�
G1
If the project is exempt from lead certification, please explain why: {see Page 3 for additional information) Q
�1 �
COMPLETE THIS AREA ONLY IF CQNSTRUCTfNG A NEW BUILDING �
. 1C
,
In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan? `1
_Yes _No If yes,date and address of master plan:
S
Licensed Plumber: Phone:
Mechanical Contractor. Phone:
Sewer�Water Contractcr: Phone:
NOTE;P/ans and supporting c�ocunrerrts fhat you submit�e cc�nsider�af to`#e publlc iM�ma�'on. Porf#or�s of :
the irrformation tnay be c/assi�ie�l as rtatf-pubtFc�i`you provide specii�c rea,�a►na that wat�lal permit the Gi#y to
conclude that#he ars trede secr�etsR
CALL BEFORE YOU DIG. Call Gopher Sta�One Call at(651)454-0002 for protection against w�derground udlity damage. CaN 48 hours
before you irrtend to dig to r�ceive locates of underground utilities. wuvw.000herstateonecall.orq
I hereby acknovuledge that this inforrrration is complete and accurate;that the vwrk will be in conformance with the ordinances and codes af the City of
Eagan; that I understand this is not a permit, but only an applicaGon for a pennit, a�d virodc is not to start without a pennit; that the work will be in
accorclance with the approved plan in the case of work which r�equires a rewew and approval of plans.
E�cterlorwork authorized by a building penmlt issueci In accordance with the M1nn�ota State Building Gode must be completed wlthin 780
days permit issuance.
x t��� If��' Il/� x ;�
Applicant's Printed Name ApplicanYs Signature ��
Page 1 of 3
" ` DO NOT WRITE BELOW THIS LINE � �� (�
SUB TYPES
�� G�.i��. w���E�� �,Q �
Foundation Fireplace _ Porch(3-Season) _ Storm Damage
� Single Family _ Garage _ Porch (4Season) _ Exterior Alteration (Single Family)
Multi Deck Porch (Screen/GazebolPergola) _ E�cterior Alteration (Multi)
01 of Plex Lower Level Pool _ Miscellaneous
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 /
Valuation � ���. Occupancy ��. MCES System
Plan Review Code Edition �C�tT°f �'1`�l3� SAC Units
(25%_ 100%� Zoning �_ City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Sprinklers
Type of Construction ��j Width
�
REQUIRED INSPECTIONS
Footings (New Building) Sheetrock
Footings (Deck) Final /C.O. Required
Footings (Addition) '� Final/No C.O. Required
Foundation HVAC
Drain Tile Other:
Roof: Ice &Water Final Pool: �Footings _AirlGas Tests _Final
� Framing Siding: _Stucco Lath _Stone Lath _Brick
Fireplace:_Rough In _Air Test _Final Windows
� Insulation Retaining Wall: _Footings_ Backfill_ Final
Meter Size: Radon Control
Erosion Control
Reviewed By: �T 1 , Building Inspector
RESIDENTIAL FEES
Base Fee �ca`�'� �o.S � � P� �- L`c��� S `� ��
Surcharge �� � ��5 '�
Plan Review
MCES SAC
City SAC ,J�t(,�U'�-e,� '`�f�� �
Utility Connection Charge �' " �
S&W Permit 8� Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 2
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA170048
Date Issued:06/17/2021
Permit Category:ePermit
Site Address: 802 Golden Meadow Rd
Lot:2 Block: 1 Addition: King Addition To Eagan
PID:10-41950-01-020
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Includes Skylight
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. We encourage you to retain an electronic copy of
photos until the project passes a final inspection.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
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 -
Matthew & Erin Weaver
802 Golden Meadow Rd
Eagan MN 55123
(651) 702-1300
Built Strong Exteriors Llc
2215 Quebec Ave S
Lakeland MN 55043
(651) 702-1300
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA172018
Date Issued:09/13/2021
Permit Category:ePermit
Site Address: 802 Golden Meadow Rd
Lot:2 Block: 1 Addition: King Addition To Eagan
PID:10-41950-01-020
Use:
Description:
Sub Type:Residential
Work Type:Gas Line
Description:Gas Grill & Fire Pit
Comments:Please call for a Rough In and Air Test, prior to the Final Inspection.
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
210-0754.
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 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 -
Matthew & Erin Weaver
802 Golden Meadow Rd
Eagan MN 55123
(651) 353-2580
Bruckmueller Plumbing Inc
3992 Pennsylvania Ave
Eagan MN 55123
(651) 686-6696
Applicant/Permitee: Signature Issued By: Signature