805 Golden Meadow Rd
Use BLUE or BLACK Ink
For Office Use I
I ra()
City of Eajan i Permit
111I I
I Permit Fee. 59- l/ I
1
3830 Pilot Knob Road ! G 1 I
I Date Received:
Eagan MN 55122 I
Phone: (651) 675-5675 1 I
Fax: (651) 675-5694 I Staff:
2011 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: /A 2-`' l I Site Address: 965- fZO 0c.-G+
Tenant: Suite
RESIDENT / OWNER Name: 0O aye "r` -F V `1(3 a A+ "q 10- Phone: 4,;j- W, (~Q
Address / City / Zip: So 5 6, o W*,i r ego" [-Z d Eckl e4AA M> 1 X123
CONTRACTOR Name: License
Address: City:
State: Zip: Phone:
Contact: Email:
TYPE OF WORK -New X Replacement -Repair _Rebuild - Modify Space `t Work in R.O.W.
Description of work: ru lace- Wt -f- klNcLC L)i4-fcl- Sv t Tc ,e,,r
PERMIT TYPE RESIDENTIAL
Water softener
Water Heater
Lawn Irrigation RPZ PVB) Add Plumbing Fixtures Main Lower Level)
Septic System Water Turnaround
_ New
Abandonment
RESIDENTIAL FEES:
$55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$35.00 Lawn Irrigation (includes $5.00 State Surcharge)
$55.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround" (includes $5.00 State Surcharge)
"Water Turnaround (add $166.00 if a 5/8" meter is required)
$105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
$95.00 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge)
TOTAL FEES $
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.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
x x
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground Rough-In Air Test Gas Test Final
INSPECTI4N RECORD
•,--C4T,N OF EAGAN PERMIT TYPE:
.
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: t. n r= 4 Bt. oc K: I APPLICANT:
?tt: UOlf1EN ME+1Up1.1 t?D NA1tVEY HQMES 11VC
? k INI3 ?NG ApfJtTIUN TO Fp4AM (612} 645-9666
PERMIT SUBTYPE:
p (tl,t(TYPE OF WORK:
Control No. 0081
141111 41iM11
@0AM:3;i
03/:,'0/92
m
NFN
INSPECTION
rt,is I I rif, D• O
t?:o-?r? ??v?? ••
IkSUT A i I IoIV F IMAL
FtRE1, 1 pf;F"
?,- (+h MARK 5t RF.CEIi' `' M
PRV
K1N6SWAY 1'! N[i
? . ?
Permif No. Permft Noldar Dsta Telephone #
SNV
i PLUMBIN(3
HVAC
ELECTR !,I 9 ?
ELECTRIC
Inspection Date Inep. Comments
Foou^gs I yl ??lz u1.?..
Foundation
Framing
CO
Rooflng
Rou9h PIb9• .d_
yo
9A
Rough Htg.
14
lsu,.
Flreplace 71
13 /
Nv N ? - -2-
Final Htg. ,
,q.
!
Orsat Test
Flnai Plbg.
O Pibg. Inspector - Natify Piumber
Const. Meter
EnprJPlen
Bldg. Final
deck Ftg.
Deck Final
Well
Pr. Disp.
4?--
?
?
??[?4 .
oN REcoRn
CITY OF EAGAN PERMIT TYPE: "" ill' r"G
3830 Pilot Knob Road Permit Number: - 0%' / 4 40 ?
Eagan, Minnesota 55122-1897 Date Issued: ??f? ?•'?' ?`?f?
(612) 681-4675
SITE ADDRESS: APPLICANT:
? ?? ? ?1 ??! ?r? a i
. ??,?i i?; f? r?? n??uii H?? ,,;,,?, ? i t i i? ???i??. ? r ? r?a
I f•14I .'IJU Allil 1 i t-IJ t 41 9 At-r1N 1".k;.• );;q ;, q?1', ?
PERMIT SUBTYPE:
i s Il, , ;i
F(».?'f i Nit
t l(1' ?!
TYPE OF 1NORK: ?
INSPTR. • D
• I
I
. ?I
J
Permit No. Permft Holder Date Telephone N
ELECTRIC ?G?o? 9? t.??`? ?? G
PLUMBING
HVAC
Inspnction Date Insp. Comments
FOO7INGS
T
FOUND
FRAMING
?D 3/ ?6
r? R""'d` p-.Ac"' rJa"'" 13„`1-
?.ed
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
apd,
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAI HTG
ORSAT
TEST
BLDG FINAL ?/
'1-
BSMT R.I. _
I,
BSMT FIPJAL
DECK FTG J-7C ?j i ?(P
DECK FINAL i
RESIDENTIAL
BUILDING PERMIT APPLICATION
VCrrY ?'I. ??J OF EAGAN
??l? ? 3830 PILOT KNOB RD - 55122
651-681-4675 9 O Q ? 7Y
New Conatruedon ReauiremeMa RemodeVReoair Reauiremenffi r
• 3 registered site surveys showirg sq. ft of l06 sq. ft. of house; and all rooled areas • 2 capies of plan
(20% mazimum lot coverage allowed) • 1 set of Eneyy Calculatiore for healed additbre
• 2 CopiPS of plan shawing beam & window saes; poured faund design, etc.) . 1 site survey for ezterior additians & decks
• 1 set of Energy CalcWatbns . Indirate if home served by septlc system for add'Nons
• 3 Copies of Tree Preservation Plan d lot platted after 711193
• Rim Joisl Defal Options seledian sheet (bldgs wiUi 3 or less unils)
DATE ! VALUATION /0 UW e?
JOB SITE ADDRESS %? GOId J\ YNC?daW Ra '
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNER 7\00..^ "l' TO d- 8 Ka-L ? 1'\C"-
TYPE OF WORK TQ-u?'& ? C IkA-(oo F-
APPLICANT l( i/J LiV?2- (. cryiS +Y'ln.C
r I
t
ADDRESS « 16%P , ?TE
s
PAGER # CELL PHONE #
FIREPLACE(S) _ 0 _ 1 _ 2
_ PHONEW15)') 6"(')? J?-1USS
ZIPCODE
fAX #
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventila6on Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
_ MINNESOTA RULFS 7672
New Energy Cade Worksheet Submitted
Plumbing Contractor:
Plumbing 3ystem Includes:
Mechanical Conhactor: _
Mechanical System Includes:
Sewer/Water Contractor:
_ Water Softener _
_ Water Heater _
_ No. of Baths
_ Air Condilioning
_ Heat Recovery System
Phone #
Phone #
Fee: $70.00
All above infortnation must be submitted prior to processing of applicaBon.
I hereby acknowledge that I have read this appiication, state that the inf mat? i c rrect, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordina ces ?
SlgnatureofApplicant J
Phone #:
Iawn Sprinkler Fee: $90.00
No. of R.I. Baths
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updaled 1I01
Address:$OS GOIDIN ME,AD(7W R(1AD Lot 4 Blk 1 Sec/SubKING 2ND ADD'N PO EP1'?AN
+These items were/were not complete at the time of the final inspection.
Date: 9/24/92 Yes No
Final grade (6" from siding)
Permanent steps - gatage
Permanent steps - main entty
Permanent driveway
Permanent gas
Sod/seeded grass
Trail/curb damage
Porch ?
Basement finish ?
Deck
Please verify wlth the builder the removal o£ roof test caps from the plumbing
system and the shut-off of water supply to the outside lavn faucet before
freeze potential exists. ?
cFfCLF?ARP
White - City copy Yellow - Resident copy Pink - Contractor copy
?? ? ? ? RESIDENTIAL
BUILDINC PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-887-4675
New Construction Reauirements
• 3 registered sile surveys showing sq. 8, of lot sq. k. of house; and all mofed areas
(20% maximum lot coverage allowed)
. 2 copies of plan showing beam 8 window sizes; poured found design, etc.)
. 1 set of Energy Calculations
• 3 copies of Tree P2servation Plan if lot plalfed after 711/93
. Rim Joist Detail Optiom selection sheel (61dgs with 3 or less units)
DATE
12) nI b2
3"\ cs .
RemodellReoair Reauirements
. 2 copies of plan
• 1 sel of Energy CalculaGOrts for heated additbns
• 1sitesurveyforexterioraddAions&decks
• Indicate if home served by septic syslem for additions
VALUATION 2 vi Z'v
-1S
SITE ADDRESS MULTI-FAMILY BLDG _Y _N
TYPE OF WORK FIREPLACE(S) _ 0_ 1 _ 2
APPLICANT
STREET ADDRESS S?SR ???K S?•?- ? Dc?-rFl CITY ?? STATE M-? ZIP SVU-6
TELEPHONE # GY>R J(D3(A CELL PHONE # Z - ?M"cZ'03 FAX # 4 9`i -)3 &?
PROPERTYOWNER_V°a`R KAL`+' f'` TELEPHONE# (jb(°-`1 S a"
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CA'1'EGORY 1 MINNESOTA RULES 7672
(J submission type) . Residentlal VentilaUon Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor: ___
Plumbuig system includes:
Mechanical Contractor.
Mechanical system includes:
Sewer/Water Contractor:
Air Conditioning
Heat Recovery System
Phone #
Fee: $90.00
Fee: $70.00
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Appllcant
OFFICE USE ONLY
Water Softener _
_ Water Heater
No. of Baths
_ Phone #
Lawn Sprinkler
No. of R.I. Baths
Phone #
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
llpdated 4l02
? CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMITTYPE:
BurLorNG
Permit Number: 0 2 7 4 4 0 •
Date Issued: 0 5/ 2 0/ 9 6
SITE ADDRESS:
P.I.N.: 10-41951-040-01
PERMIT Mos-7o? ?I-5
805 GOLDEN MEADOW RD
LOT: 4 BLOCK: 1
KING 2ND ADDITION TO EAGAN
DESCRIPTION:
(INCL DECK)
Permit Type SF PORCH
/Building I.}?o:c.k 7ype NEW
; Census Cpda 434 ALT. RESIDENTIAL
M^ ?,
'5'
r r
t. ?, i . ti? :! t ( e L?
REMARKS:
FEE SUMMARY:
VALUATION
Base Fee
Plan Review
Surcharge
Lic. Search
7ata1 Fee
$174.75
$87.38
$5.50
Fee $5.06
$272.63
$11,000
I:UrvIHAI:IVFi: - ppplicant - 57. LIC.OWNER:
SONNERFIELD CONST, KEN 18432495 0002896 SCHMITT GREG
RR1 P 0 BOX 4 805 GOLDEN MEADOW RD
MAZEPPA MN 55956 EAGAN MN 55123
(507) 843-2495 (612)681-9164
I hereby acknowledge that'I have read this application and state that the
information is cor`rect and agree to comply with ell applicable 5tate of Mn.
L Statutes and - :City of Eagan Ordinances.
?. ._
?,
APPLICANTlPERMITEE SIGNAT RE ISSU ? B SI T R2
_-j
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
?1896 BUILDING PEaMIT APPLICATION (RESIDENTIAL)
687-4675
? 3 registered sile surveys ? 2 cropies of plan
? 2 copies of plans (indude beam & wlndow sizes; poured Tnd. design; etc.) ? 2 ske surveys (exterior addRions & decks)
? i energy eakulatfons ? 1 energy ealculations (w heated additions
? 3 copies of iree preservation plan H lot plal[ed after 7!1/93 .
required: _ Yes _ No - ,
DATE: CONSTRUCTION COST:
DESCRIPTION OF WORK: 1k+2-e Lcasm, lforL? °F- OecK
STREET ADDRESS: gDS CAcleti, ltle adaw !C oacr
LOT , 41 BLOCK 1- SUBD./P.I.D. #: ???tiT s?ca? 4`64O"
PROPERTY Name: lo reG + I-tLr/t rna SclnJli Phone #: (Og1- ?l(oq
OWNER
StreetAddress- gb5 L>U" AeaSow ?. -
City: a, a....? _ State: 14??d Zip: sScps
CONTRACTOR Company: Kenu Phone#:lS0) Sy.3 -?L;25'
Street Address: ee ? ?ox q License #-
City: azP?? , State: Zip:
ARCHITECTI Company: Phone #:
ENGINEER
Name: Registration #•
Street Address-
City: State: Zip:
Sewer & water licensed plumber.
change are requested once permit is issued.
Penalty applies when address change and lot
i hereby adcnowledge that I have read this application and state that the information is correct and agree to comply with all
applicahle State of Minnesota Statutes and City oi Eagan Ordinances.
20
Signature of Applicant:
?
OFFICE USE ONLY RECENED ?
Certficates of Survey Received _ Yes _ No A?? 2 5 '39(j
Tree Preservation Plan Received _ Yes _ No _________.,_..___
OFFICE USE ONLY
BUILDING PERMIT TYPE
0 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ?
? 02 SF Dwelling o 07 4-plex ? 12 Multi RepaidRem. ?
? 03. SF Addition ? 08 8-plex ? 13 Garage/Accessory ?
? 04 SF Porch ? 09 12-plex ? 14 Fireplace ?
? 05 SF Misc. 0 10 = plex 15 Deck
?
WORK TYPE
? 31 New ? 33 Alterations ? 36 Move
0 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual)
(Allawahle)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Raad Unit
Park Ded.
Trails Ded.
Other
Copies
Totai:
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. R.
sq. ft.
sq. ft.
Footprint sq.ft.
4Y
?
YVY.M +Vrcs. ` .
? p r
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscelianeous
MC/WS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bidg
Census Unit
Building Engineering Variance
/ -?P-
Valuation: $ ?nc>
/yy/ 12- . & ?7 ?
l??xs/- ?S3-?
f
_elyf?.
?
-?
?-
le?91 7S?5
% SAC
SAC Units
?WNEYOR'S CERTIFICAI'E GREG 8 KARMON SCHMITT
ACCEPTED & APPROVED:
6 BY_`
L_l. I
l
?
?c J
?
V
942.7 A
-8000 N89058'15"E ? °y?
; Date
/ 5r ? J??S
'??DRAINAGE 8 UTIIITY ? ?
r EASEMENT PER RAT-
?
1 1 I
?
Lo I
W ? T 4
_?
?
21 z I
NI
955.6
IT
?
NBEHCH MAPK
TOP OF PIPE
ELEV. ?34.36_
9320
wooo
RETAININc
WALL- -
y3 ?. ? ?? 1
937.9
929.0 ,
R 922.4
d
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930.3 ?p / E 2.? ?
x. ?l A f0 nj
929.5 a sQ ?. ? ? 0.+
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1`1 ?z.o' '
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3 ARAGf
931.? 2Q.3.? 0 ? . !
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/ ' "•07. '
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R.SR,
922.8
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m
a928.1
u
m
V ?
W
F PW
T
N
N = OP
O
E
ELEV.• 932.76
? x=
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? `asae n
N
3 4s % ?/
?O Dc? 93B.0 ? f S
93g.7
M? 935.a
qp0W 935.6
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SCALE: I INCH=30 FEET
. .
Ja.mes R. Hi , inc.
PLANNERS ! ENGINEERS / SURVEYORS
2500 W. CTY. RD. 42 o BURNSVILLE, MN. 55337 0 612-890-6044
4b
.. ,. HF'R 20 '9G CIS: Jit P:.H'S_i dI_LUI•Ifi6f;
HPk 15 'S6 11:42
C1TY OF FA4AN
? 71C1N
E7(TERIB S?p 6?41g9A STAE ENERGY COOE)
S1TE ARDRESS:
DA7E: a ? PHANEo
CON7F2ACTOR: ?P•J'U?zc4'-?P ... '?.-?^ -•.
? sa. tt. x .?1 = _._.?..2.. .5
j, T0?1 expaaed walUtoundatlAn area ahove grada 1? aa• ft. X.D78 ?,.«.. ' lO'?
Z, 7'otal exposed reoilteiAng area . . . . , . . . . . - • I 7 ? sq, ft. x .Oa
3. Tatal axposad tinarlcae8levared area . . . • . • • _...---------
5-4?
a. l'otaf watl window area . . . . . . . . . . . . . . . . . . . . . . . ., . . . . . . . . .
.....,...
,........
b. Total daor area . . . . . . . . . . . . . . . . . . . . . .
Q Total sllding gla5a area . . . . . . . . . . . . . . . . . . . . ., . . . . . . . ? . . . ,
..................
d. Total fireplace wall area . . . , , . • . • • • - - • • • -
......
e. Total wall frarning (evara9e 10%) - See Fig. . . .. . . . . . ,
f. Total W wall area aBave OooY (rim joist) - See Fig. .............
.........
g. 7otal rim jo{st area - Ses Fig. 3 . . . . . . . . . . . . ... .. . . .
Total expased watk BPea a#7iLv.a foundation=..................
.................
h. Total foundagon wlpdow area . . . . . . . . . . . . . .
..,
i, Total t1a foundatlon area ebove grade - Sae Fig. 4 • • , . • ? ? • • ? ? '
. , ........,
Total expoaed faundatl4n area = . . . . . . . . . . . . . . . . . .
a
b. -- -"-
c. _ 7 ?-----
d,
' 3 ? 7
8
2
g ,
x ,u' .?..7
x'U' ?-
x'U'
x 'U' ?
x 'U' __,.,-! dr?4 ----
X ;U . .0Q3
?----
z?
------------
3B'?7
x ?.9
___-.--
-_ z? ?9
-----------------
??.
?
--------------
= ,?-'- -
h x w - ?„--,-?.
?
i. X ,ui ?-- .
q, YyA,,U actual 'U' value fqr exposed wolUiaundatl4n area ?--°-
(11 Item #4 ls the same as, or kass than item ii1, ya4 haVe mat the intent o! Ihe Stale FnerSY Cade.)
,,
AFRF. LU '-!?? J:?{ia l,r!I?I_LUI'16Ek ??t P. ??
? • . 15 '7c 11:42 ..,... cLlL A7 C4nN...s_.. P.4i19
•;0 t tl n!! ^ a.
j. Total sirylight area . . . . . . . . . . , ?
k. Total rooflceiiing framing area (aver2ge 10%) - See F)g. $Ig
.?j
1. Totai pc insulated roaflceiling area • See Fig. 5/6 .,,,,,,
• Tatal exposed raoflcailing area . . . . . . . . . . . . ! ?8
........... _
?
OO?f
x'u' _-...?.?.......... - .-?___.
k. _ ? 7?,.$......_. x'u' d 3
I. _. /Wk, Z x -u- ?.,,.L9____.,
S• ISlw actua! 'tl' value for rnof/ceiling area =
6?
-. '.._,S
..._..
(If #6 ig tha sama aa, or less than 7I2, you have met the Intent ot the gqtq Eher(iy Cotle.)
IIetenn?ne aauare foatane af ga w ? oqrlea t I"Efig aBa o o a..
m. Tota! flooqaantilsvQrec! framing area (average 10%) - 3ee Fig. 8, ..?
ii. Total aeA insulated tloor/Ceiiing area - See Fig, 6..,.......... U0.
2 ^?
Totai axposed ilonNcantilevered area
.................... ? 7t.
?@?]Il12'U' value o} ea -h o„ Q..d i?oodcantlle ?
M. _ f 7? B x v' _• Du? ,__ .g4
a,_,_, (00 Z x'U' .. w`
D3 . . Pl l
8. Tntat aelual 'U' vslua {or floor/c8ntifaysrad area = ? 7
(If iJS ia the sama as, or less than #3, yau have met thm. intent of the State &ne?gy Cvde.)
Altemate Quildtng Envelope peaign
To ulilae the total envelope system meihad, the values asteblished by the sum af Item *4, #8, and #8 ahall not be
greater than the sum of Item #1, #2, and #3.
k3_-.Ztl..Z-...?
.
a. 01 +6. ?. '?S +s S 7
1 hereby Certify that I have calCUlated the 'U' f2Ctor5 and 'R' vglues herein and that the building herein CesGriped
meqts, ar exceeds, the 1994 State of Minnesaca Energy CodO.
PERMIT
CITY OF EAGAN,
3830 Pilot Knob Road
Eagan, Mlnnesota 55123
(612) 681-4675
SITE ADDRESS:
DESCRIPTION:
PERMIT TYPE
Permit Number:
Date Issued:
805 GOIpEN MEADOW RD
LOT: 4 BLOCK: 1
KIN6 2ND ADDITTON TO EAGAN
Buildinq.-Permit Type
Build3ng l?kork Type
, UBG qcnupancy.,
ConsCruction Yqpe
Zoning
Building Langth
$uilding Width
5F DWG
NEW
R-3 M-1
V-N
R-1
62
51
? C 4 F ? ?yt
Ltls J
REMARKS:
RECEIPT # ?Of?PjQL
PRV
Control No. 0081
euiLoiroG
000033
03/20f92
KINGSWAY GLBG
FEE SUMMARY:
Base Fee
Plan Review
Surcharge
SAC
SAC %
SAC Units
Subtotal
VALUATION
$811.00
$527.00
$74.50
$700.00
100
1
$2,112.50
$149,000
LICENSE SEARCH $5.00
MISCELLANEOUS $1,610.50
Yotal Fee $3,728.00
CONTRACTOR: - Applicant - ST. ]O71NNER:
HARVEY HOMES INC 15469066 0001 77 HARVEY HOMES INC
1045 NATHAN LN N 1045 NATHAN LN N
MINNEAPOLIS MN 56441 MZNNEAPOLIS MN 65991
(612) 546-9066 (612)546-9066
L
T hereby acknowledge tkat Z hawe read' this appiicatiart and state that the
fnformation is correctjand agree to camply with all applicable State ofi ldn.
Statutes and Gi[y of Eaqan Ordinances.
4w-mr? 1".
APPLICANT'/PERMITEE SIGNA URE
SSUE : SIGNATURE
I
I
?-
cirY oF EAcaaN -
1992 BUILDING PERMIT APPLICATION _
681-4675 JOnR o 5
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, l copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies when typing of permit is requested, but not picked up by last working day
of month in which re uest is made r lot chan e is re uested once ermit is issued.
Date 02 / 28 ? 92 Valuation of work N-151 ?
Site Location: ? Golden R4eadow Road
STREET STE Y
Tenant Name• Greg and Karmon Schrmitt
LOT 4
I
BLOCK 1 -- --` -- -,
SUBD: King Second Adclition
I
p, I.D. #
_ to Eagan
Desc1'i tion of work: New Home r_onstruction, single family wood frame
The applicant is: El Owner ? Contractor ? Other (Deseribe)
Name Schmitt Greg and Karmon Pho ne 681-9164
Property LASt F3RST
OWner Address 4259 Sandstone Drive
STREET STE #
City Eaeen State nZN Zip 55122
Company Harvey Hom es,Inc. PhOr1e 546-9066
V?p
Contractor Address 1045 Nathan Lane North Licens e # 0001577 R•ql•Q4
City Minneapolis Stete MN Z;p 55441
Company J.H. Dahlmeier Engineering, Inc. Phone 424-8566
ArChiteCt/
Engineer Name John Dahlmeier RegiStPation # 9212
FNDN/Engine rAddress 10650 Countv Road 81 Suite 214
C1ty nlaple Grove State MN Zip 55369
Sewer & water licensed plumber Kingsway Plumbing . Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that th e information is
correct and agree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
?
Signature of Applicant:
OFFICE USE ONLY . . 5
,as
BUILDING PERMIT TYPE "P 1
„s-.:.a_...
13 01 Foundation ? 06 Garage/Accessory ? 11 Res. Add./Porch ? 16 Agricultural
?Z 02 Single Family ? 07 Fireplace ? 12 Comm./Ind. New ? 17 Building Move
? 03 Two-family ? 08 Deck ? 13 Comm./Ind. Add ? 18 Demolition
0 04 Multi-fam. T.H. ? 09 Basement Finish ? 14 Comm./Ind. Rem. ? 20 Miscellaneous
? 05 Apt. Bldg. O 10 Swim Pool ? 15 Public Fac.
WORK TYPE
PF90 New ? 93 Remodel ? 96 Move
? 91 Addition ? 94 Repair ? 91 Demolish
? 92 Alterations ? 95 Tenant Finish ? 99 Undefined
GENERAL INFORMATION
Occupancy R-3 1?7-1 Basement sq. ft. l6? MWCC System .?
Zoning 7--7- lst F1. sq. ft. /6/l/ City Water x
Const. (Actual) ? 2nd F1. sq. ft. sjS PRV P.equired x
(Allowable) VAI Sq. Ft. tatal Booster Pump
# of Stories Footprint Sq. ft. Fire Sprinkler
Length 2.3 On-site welt Census Code
Depth So," On-site sewage SAC Code
APPROVALS
Planning Building
Engineering Variance
REQUIRED INSPECTIONS
11 Site
? Wailboard
? footing
? Final
Assessments
? Framing ? Insulation
? Draintile ? Fireplace
IMCC SAC
snc z
x
SAC Units
Fces:
Permit Fee
Surcharge 9y.sr?
Plan Review sz?
License v - V7
City SAC /90
Water Conn.
Water Meter ?
Road Unit r)
T „- ^..,?„t-° ; Mrvcc ?oo
-Road-UnIt-,yu-, D?P?
?
L' n
'
_
p
-?a,-?c-oea-. 9
co 3 0
? .S'/w .fvr , S'0
Other 360
Total: ?-3,1 00_
;
;V.
Zsr3?zc.
11033,60
% yS,&o2, 1
Yaluetim: f
/
i y.r 3 = YZ
/4?)x3 - - 3s,o/
z.? /q•?? - 3),311
??.??Xz = 33.3
? X /p$?/ 39,'13
2h
? 7'1" Z " 3 v
1'G k1-2- _ /9Z
6?v
i? z o. 3= 2 ?13, ?
Zz.3,rzo ? yyb
?? ?oklln?
44
RPR-02-'92 7}M1J 14:28 ID:JW'£5 R HILt INL 7EL' q0:617 89?6?44 q263 pgZ
SI?AV?YOFt'S CER7IFICATE CAM 8 KARMON sc„ti„rr
r_
-e000 NAB°eg'IS"E ?
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?FABGQlIT IER ??A?ATi.?
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YR.t n /?`n_ ?? • r?Yi?\
?a'8?ac1
-'SL`I?E+?]I I pE6T
v ?
a
ins AN ?? ? Jarnes R. Hill, inc.
? Z ? ?,? m PLANNERS / ENQIN? 1 SURV?ORS
o
2500 W. M. pD. 42 + BUHNSVILI? MN. 8&4S7 9 81II-By0t041
- ,.?- x iru in:rt iu:7MES R HILI INC
TEL N0:612 890-6244 b263 POS
SUWVEYOR'S CERTlFICATE
OREG d KARMON BCNMfTT
Ntl1E: 9WL011q mIpMOM 9NONM Mi
?'?eC?,,,??
xoYe? ho axric so0.a i?7G+mea 1111e 99d calM.ei[o
ON Tf18 40I !Y TI! CWUCYdr. 7HE lttoORT' W spm ?T? Ma'ONSIn1,JTY OFFTH ?yeyy? 1s
' 008"OTES PtoPO3ED SuRfnCE 6NAINAGE
O DBIOtffi VRON MONUMEHT 56T
0 DFNOTE$ IRON MONIjMFM FOUND
xoqp.o DENO7FS DasTNG R6vAtroN
(OObA) UEN07ES PROp03Ep ELEVATION
8CA1-F-- I Iryqi - 80 FFEr
Pltoa03ED GARAQE FLOOR - 4?4 S PM
PROPOSED LOWEST FLOUR - 928.1 FJEf
PROPOSO TOP OR BLOdC+93L, p .
FeET
WE H07EBY CERTIFYTO GREG 9 KARMON BbiMl7T TNAT THI$ IS A TqUE ANb CORRE(,`T
Rfif"9ErRA7K7N 6F A SUflVEY OF THE BIXINDARIES OF:
Lm a, Bbek 1, KING gEC01m QpDIT10N 7o Epapty ecm,dinp ro rM raoMop
abt tMreof, pnlcma Ceunty, MNneapfo_
It DOES NO7 pURPpRT TO SNOW IMPROVEMEN78 OA ENCqOACHMENTS, IXCFpf pg gryq%N, Ag
SuRVETED 6Y ME OR UNDER MV OIRECT Sl1PERV1gION THIS IE7N pAY OF FFA.
.1Y92.
31ONEO: AM R, NN.L, INC. '
a; r
JOHN 0. URSOtl LAND SURVEYpq --
_ MINNE9pTA LICENBE NUMgEq 18828
X
ames R. Hill, inc.
PLANNERS / ENGINEERS / SURVEYORS
2800 W. CTY. RD. 42 • BURN8VRIE, MN. 6g931 • 612$90-BDµ
t
r
[??,`trtificate nf cccupanc?
?? ? ?m
tatut of es" 3060ft*"
This Certif?cate issued pursriant to the requirements of the Uniform Bui[ding Code
certifying dwt at the tinw of issuance this structure was in complrance with the various
orrGnances of tlie City regulating building construction or use. For the following:
use c?ficadom- SF DWG alag. P"mit xo. 33
0-aPa-Y TMPe Zoning District r 7ype const.
,k.- .,, R-:u:_- HARVEY F65 M A?._.... 1045 PIA'}AAN IANE N, M.5
LocalTy
Date: 4/24/42
Bmldioy
POST IN A CONSPICUOUS PLACE
/%3o/9?
416°129
? REQUEST FOR ELECTRICAL INSPECTION G?
Minnesota State Board of Electricity
1821 Universiry Ave., Rm. 5-128, St. Paul, MN 55104
? Phq{1lk612) 642-0800 010
Pq -Home Du lez Apt. Bldg. Other: New ddn
Commercial Industrial Form Remod Re air
Air Cond. Htg. Equip. Water Htr. Load Mgmt. Other:
Dryer Range Elec. Heot Temp. Servi<e
"X" above !fie work covered by fhis requesl. Enter remarks in fhis space and on the back of llie whife copy only.
CakulaM Inspection Fre - This Inspection Request will not be occepted withoul ffie correcl fee:
Other Fee k Service Enirance Size Fee N Circuits/Peeders Fee
Mobile Home Park Stall 0 ro 200 Amps 0 ro 100 Amps
Street ltg./Traffic $ig. Above 200_Am s ve Amps
Tmnskrmer/Generolor INSPECTOR'S USE ONLY T??
Sign/Ouf?ine Lfg. Xfmr. ? rv
Alarm/Remote Confrol
Swimming Pool
i hemb ?eni irbr i m: d
rion d«+?bed herem m il,e dare::io?d.-
Irtigalion Boom p? a--
S
eciol Ins
ecfiort
p
p
Investigafive F.
F??al i ? L?
THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NO OMPLETED WITHI 18 OPITHS.
`9 jW Cl" j?o y/??,.(? OFFICE USE ONLY This requesl wid 18 momhs (ran validmiwr daie printed in rihis box.
! vi`^" ?D 103?7,
II
* 0 4 1 6 1 2 9 5 * PLEASE PRINT OR TYPE ' 7 D
Raqv ?? ?/^?
7 Roughin inspectiw required? Yes ? N.
(you mun mll fle inspeclur when ready) Inspedion Olher Than RoogMn: ? Reudy No ill Call
Oote Ready:
I, ? licensed conhactor owner hereby request inspection of Ihe above elechical work al:
Jo6 d ss ?Sheeq Box Ra
r? ? ?? te ?? C? ?n G c W
Ciy Zip Code
Setlian No. Township Nama w No.
I Range No. Fim No. Cowy
Occo ?
N e
S? l?rn ? ?f
Phone No.
Power Svppliar Address
Ebcniml o d« (Company Nome)
l'h ? 0 wv) Conkocror Licrose No. Mascer lic. Nn (%om EIM. Onlyj
AMiling Addreu ?Cryqxyr or Ovmer Perbiming Inztallorionj
/??j?V OVIf-I
A Mr' ed Signawre ?COnh«1or w er Pe?(or?irg Insmlknon)
Ph N.
u81-Rt6
EB060011A-17 6/96 STOTE BOGND CObV - SEE INSTFIICTONS ON BACK OF YELLOW COVY
PERMIT
City of Eagan Permit Type: Mechanical
Eaaan. Permit Number: EA100451
Date Issued: 08/05/2011
OR Permit Category: ePermit
41 it~ of E3
E
Site Address: 805 Golden Meadow Rd
Lot: 4 Block: I Addition: Kina 2nd
PID: 10-41951-01-040
Use:
Description:
Sub Type: e - Furnace & Air Conditioner
Work Type: New
Description: Furnace & Air Conditioner
Comments: Questions regarding electrical permit requirements should be directed to Mark Anderson. State Electrical Inspector. (952)
445-2840
Fee Summary: ME - Permit Fee (Replacements) $50.00 0801.4088
Surcharge-Fixed $5.00 9001.2195
Total: $55.00
Contractor: - Applicant - Owner:
Holmin Heating & Cooling LLC Todd A Kalina
900 Park Knoll Drive 805 Golden Meadow Rd
Eagan MN 55123 Eagan MN 55123
(651) 405-383
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 Cite of Eaaan Ordinances.
ApplicantiPermitee: Signature Issued Bv: Signature