4366 Livingston Dr? CASH RECEIPT
W.,? I
CITY OF EAGAIV - >> .
3830 PILOT KNOB ROAD ' •
EAGAN, MINNESOTA 55122 '
DATE q- "?• y 19?
AMOUNT $ ? /?}ry
Lf (?.?
8 DOLLARS
im
? CASH a??CHECK .
?/? .
./1{/ Wr
Thank You ?
BY
C 7t? ?? ? ?,i,p ?yY
Pink-File Copy
CASH RECEIPT
CITY OF EAGAN 1
3830 PILOT KNOB ROAD "
EAGAN, MINNESOTA 55122
DATE q r? , 19 + ?
RECUIm
AMOUNT $ 3,
& DOLURS
'w
? CASH ? CHECK
-
,
C ??7s ?d? ?,
Pink-File Copy
Thank You
BY '?/ _
X ? 08/20/91 CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
PERMIT
.
SF (?4d:J[?
Site Address '
lot 12 Block
Parcel No.
SeGSub."^j^Alur
I hereby acknowlege that I have read this applicalion and state Ihat the
inlormation is correct and agree lo comply with all applicahle State ol
Minnesota Statutes and Ciry of Eagan Ordinane'es: -?'-SignaWre of Permitee
A Building Permit is issued to: NILLIAM NUTTNER CONST
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Stalutes and City of Eagan Ordinances.
Building Official ?
OFFICE USE ONLY
Occupancy R-3 M-1 FEFS
Zoning PD A=1
(AClual) ConSt V-IM , Bldg. Permit 664•00
(Allowable) V-N Surcharge 53.50
# ot Stories
n
521
Plan Review 432.00 '
glh
Le
Depth ?
?
SAC,City.
100•00
S.F. Total - SAC, MCWCC
S.F. Footprints -
On Sile Sewage _ water Conn 625.?
On Site Well Wafer Meter .90• 00?
MWCCSystem xx
xx
Acct. Deposit 30•00
City Water
PRVRequired _ S/W Permit 30•00
Booster Pump - S/W Surcharge • 50
Treatment PI 252.00
APPROVALS Road Unit 355.?
Ptanner
nal
Co - park Ded.
u
81dg.Off. Copies
Variance - TOTAL 39232.00
P4rmit No. Permit Holder Date 7elephone #
ATER
SEWER
PLUMBING
H.V.A.C. Y ?O
ELECTRIC O g? ?,p #; ?? gO ?
Inspeetion Date Insp. Comments
Footingsl
.
Foundation j
Framing S Z? G Ls ?Z 3 S'" - o?
Roofing
Rough Plbg.
Rough Htg. ty (J ?? .
Isul.
Fireplace
FinalHtg.
Final Plbg.
Const. Meter
Engr.lPlan ?
Bldg. Final
Deck Ft9.
Deck Final
Well ?
Pr. Disp. S ?
CONTRACT PRICE:
Site Address
Lot Bbck
? Name
? Address
c City
PERMIT #
MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
PHONE: 454-8100 For Office Use Only:
BLDG. TYPE WORK DESCRIPTION
Sec/Sub Fies. New
_ Mult Add-on
Comm. Repair
_ Other
1!)lIP.... .... ..:.... ? Name <
3 Address ,
p City ? Phone
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent
Gas Piping Outlets #
Other
M BTU
M BTU
M BTU
M BTU
CFM
FEE:
S/C:
TOTAL•
FEES
RES. HVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M 8TU - 6.00
(RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA.
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAI FEE - ALL ADD-ON & a
REMODELS - 12.00
MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000)
SIGNATURE OF PERMITTEE
FOR: CITY OF EAGAN
, PLUM6ING PERMIT For
; CITY OF EAGAN PERMIT #
ONTRACT 3830 PILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT
PRICE .
Lot
m Name 1J1Au
? Addre s? S sc ' i
? City /?9JU/7f Phone 23-
Name e C? cf
c Address uQ r it- 4, CU
? City C4 yyn Phone V5a7-308'8
FEES
COMM./IND. FEE - 1%OF CONTRACT FEE
: APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE 8 CONDO - RES. RATE APLLIES
MINIMUM - RESIDENTIAL FEE $12.00
MINIMUM - COMM.IND.lFEE $20.00
" STATE SURCHARGE PER PERMIT .50
(ADD $.50 S/C PER EACH $1,000 OF PERMIT FEE)
BLDG. TYPE WORK DES CRIP710N M1
Res. x New /11-
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING: ?
N FIXTURES TOTAL
? Water Closet - $3.00 $ ? OD
d
3 i
'
Bath Tubs - $3.00 . o
? Lavatory - $3.00 ?'• VO ;
Shower - $3.00
T Kitchen Sink - $3.00 ?
? UrinalBidet - $3.00
Laundry Tray - $3.00 ---
? ?
I Floor Drains - $1.50 ?
? Water Heater - $1.50 71
T- Whidpooi - $3.00
Gas Piping Outlets - $1.50 ;
(MINIMUM - 1 PEH PERMIT) ?
Softener - $5.00 `-,
_ Well - $10.00
T- Private Disp. - $10.00 ?
I Rough Openings - $1.50
_ U. G. Sprinkler System -$12.00 s
PERMIT FEE: _T3• u
STATES S/C: '3D
GRAND TOTAL: 33. ??°
?
DATE:
?
04/30/90
' RE: 4366 LIVINGSTON DR ;
x . your Sewer & Water Permit for the above property has been completed. It will be held at the
UWW Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
,,§W
L PUBLIC WONKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
- Your Sewer F. Water Permit for the above property cannot be completed for the following
reasons:
Your Sewer & Water Permit for the above property has been completed, but the meter cannot
be issued or occupancy allowed until further notice.
COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
DATE: 04/30f90
?
RE: 4366 LIVINGSTON DR
X Your=?ewer & Water Permit for the above property has been completed. It will be held at the
Fublic Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
, SALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
- Your Sewer & Water Permit for the above property cannot be completed for the following
reasons:
- Your Sewer & Water Permit for the above property has been completed, but the meter cannot
be issued or occupancy allowed until.further notice.
- COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
PERMIT SUBTYPE:
ii I ,, I
TYPE OF WORK:
i i?_i;nriE0a
iu (Iit0!)p Il3R I HRtiuM 1
INSPECTION D, ON TYPE DA
I Pi
Ml;kti:?J- A.`.i'1'H{iAI1 I! It PII I I', !t f 11f11{r{ 11 tUlt hP!'/ 1'I IlMli)Nli I
II1-
I
L
?
Ff-f(+ii'A1 IJURh:
Permit No. Permit Holder Date Telephone S
SNV
PLUMBING
HVAC
EIECTRIC 110
ELECTRIC
Inspectlon Da[e Insp. Comments
Footings I
Foundation ,
Freming
Roofing
Rough Plbg.
Rough Htg.
I6Ui.
Firepiace
Finel H[g.
Orsat Test
Final Plbg. Plbg. Inspectar - Notiy Plumber
Const. Meter
Engr./Plan
Bidg. Final
/
Deck Ftg.
Deck Final
well
Pr. Disp.
2 41 F t-er-7' DooRTrer No7i JNV ` Hcynft"
%W I
INSPECTION RECORD I C°"tr°' "°. 0971?
CITY OF EAGAN PERMIT TYPE: HIl 1 L p 1 Mtl
3830 Pilot Knob Road Permit Number. 961310
Eagan, Minnesota 55123 Date Issued: mR/2119Z
(612) 681-4675
SITE ADDRESS: tdl: 12 BLut; K t '3 APPLICANT:
4366 I.IVIN[iSTQN (7N CO% RUSSELL
I
4EXIMA7RN P(IINTf. f,TlS (612) 663-9410
PERYIT PUBTYPE:
TYPE OF WORK:
?
L ?
Permlt No. PertnH Holder Date Tetephone 7f
S/1/H
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspwtlon Dste Insp. Comments
Footings I
Foundetion
Framing
ROOflny
Rough Plbg.
Rough Htg.
Isul.
Frepleae
Fnal Htg.
Orsat Test
Finel Plbg. Pibp. Inspector- Notify Plumber
Const. Meter
EngrJPlen
Bltlg. Final
oedc Fig.
Deck Finel
Well
Pc Dlsp. -
?g o - ciSTS ?- i?..r
?
SENEP. 8 WATER PERMIT
CITY OF EAGAN
3830 Pibt Knob Rd.
Eagan, MN 55122-1897
DATE 70,
METER #
CHIP #
METER SIZE
ISSUE DATE
ADDRESS 43?"G LaI:VGSTUN DR
-BLOCK SEC/SUB
LICANT.
RESS:
'. STATE - ? , ZIP
NE 'i
ZIP
PERMIT DATE04j?ver90
PERMIT # t 13 5E:
B.P. RECEIPT # -- 7476
B.P. RECEIPT DATE 1 12 0
X)STER PUMP
PERMIT REQUESTED
- SEWER - WATER -
- COMM/IND
- NEW
Lawn Sprinkler Meters are to be Installed
- Ahead of Domestic Meters on Water Line.
Credit WILL NOT be given for Deduct Meters.
I AGREE TO COMPLY WITH CITY OF ?
_ EAGAN ORDINANCES ?
i
SIGNATURE WHEN METER ISSUED
CALL 454-5220 FOR INSPECTIONS. FOR STORM
STATE ZIP .
SEVYER & WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
, J
DATE_
OFFICE USE ONLY
METER #!?37 s6-7 -2? PERMIT DATE 04%3C j y'_
CHIP # dZ Sd 1/ 9D E PEAMIT # 11358
METER SIZE 7-*?o S B.P. RECEIPT # C 7 t, -„
ISSUE DATEA' ? ?70 B.P. RECEIPT DATE L "' ti0
BOOSTER PUMP
ADDRESS 4366 LIVINGSTON DR
- RLOCK ?L SEC/SUB
LICANT:
RESS: 96 STATE ZIP
NE:
PERMIT REQUESTED
- SEWER - WATER
COMM/IND
EXISTING
TAPS
RESIDENTIAL
NEW - EXISTING
Lawn Sprinkler Meters are to be Installed
1ABER: ) r z e` ?lu ?u 'r-nA Ahead of Domestic Meters on Water Line.
RESS: 1018 MUUND SPRINGS jL'r: ??P Credit WILL NOT be given for Deduct Meters.
',STATE BLOGtfIHGTOR ZIP =?5'v2G
NE: 884-4149
, STATE
ZIP
I AGREE TO COMPLY WITH CITY OF
_ EAGAN ORDINANCES
SIGNATURE EN METER ISSUED
i. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT. r??
CITY OF EAGAN N 0 1776 7
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt #
To be used for ??/GAR Est. Value $107 , 000 Date APR 27 , 1990
Site Adtlress 4366 LIVINGSTON DR
Lot 12 Block 3 SeciSubLEXINGTON POINTE
Parcel No.
W Name WILLIAM HUTTNER CONST
a Address 960 WATERFORD DR W
City EAGAN Phone 452-3088
I
o Name SAME
OQ Address
'- City Phone
Name _
Address
City _
Phone
I hereby acknowlege that I have read ihis application and state that the
information is correct and agree to comply wSth all a plicable State of
Minnesota S1aWtes and City oj?agan Ordina ?`e _
Signature of Permitee ? l "
A Building Permit is issued to: WILLIAM HUTTNER CONST
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
OFFICE USE ONLY
Occupancy R-$ H--_t FEES
Zoning PD R=1
(Adual) Const V=N Bldg. Permil 664.00
(Allowa6le) Y--R Surcharge 53.50
x oi storias -
52 '
Plan Review 432.00
Lenglh
Deplh 48' SAC. City 100.00
S.F. Total - SAC, MCWCC 600.00
S.P. Foolprinis -
On Site Sewage _ Water Conn 62 5_(1(1
On Site well - Water Meter 90.0
0
MwCC system XX- 30
00
City Waier XX Acct. Deposil .
PRV Required - 5/VJ Permit 30.00
Boosler Pump SIW Surcharge .5
n
Treatment PI 252.00
APPROVALS Road Unit ? 5 5_ nn
Planner - park Ded.
Council
BIdg.Ott _ Copies
Variance - TOTAL 3,232.00
REQUEST FOR ELECTRICAL INSPECTION
? ? See in5iruciions for complefing Ihis torm on 6ack of yellow copy.
K 2 3 4 2 8 X" Below WorN. Covered by This Request
EB-00001-OB
ew Add Rep. TypeofBuildinq AppliancesWired EquipmentWired
Home F,iange Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer OtheK-(Spe 'fy)
CommJlndustrial Furnace p
Farm Air Conditioner
Otner (speciry) Contrecror's Remarks:
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pooi 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
Sigf7S Inspector's Use Only: TOTAL
Irrigation Booms ?,5 U
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby
tif
th
t
h
b
i Rough-in Date
y
cer
a
t
e a
ove
nspection has
been made. Final Date ?„??
OFFICE U5E JNLY
This request void 18 months hom
. .n•j Q
.s f- .i -r L ... .
o^O
C`
?
"
/
eJ
-
Raq esl ate ,
?? ?? _?? Fire No. Hough-in Inspection
Required? . ?[
O!'Ready Now ? Will Nofity Inspector
d
7
?? ? Wh
P
G Ves No
en
y
ea
I 631icensed contractor p owner hereby request inspection of above electrical work at:
?
Job Atldress (Street. Box or Roure No.)
'
?
Ciry
ri?
3C? i r S Q
Section No. Township Name or N. Hange No. Gounty
Occu t(PRtNT) Phone No.
Power pplier
' Atldre .
C6 6
. I I /17
Electr I Comrac r ICompany Namel ConlrectoYS License No.
Mailinq Atltlress (Coniractor or wner Making Installa bn) .
Q ' ,
uMOrized Signawre ICOmractor ner Ma g Instauation) P ne Number
?? - - - Cn -7`VVO
MINNES&A' STATE BOARD OF ELECTRICITY
Grigga-MiCway Bltlg. - Room 5-173
1821 Universky Ave., 5l. Paul, MN 55104
Phone (612) 642-0800
THIS INSPECTION REQUEST WILL NOT
BE ACCEPTED BYTHE STATE BOARD
UNLE55 PROPER INSPECTION FEE IS
ENCLOSED.
??yyREQUEST FOR ELECTRICAL INSPECTION ee•ooooi-os
10- §ee instructions for completing this form on back of yellow copy. .? .6
--X" Below Work Covered by This Request '"???
Ne% Add Rep. Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Du lex Water Heater Electric Heatin
Apt. Buildin Dryer Load Management
Comm./Industrial Fumace Other (S eci )
Farm Air Conditioner
Other (specify) ContracWr's Remarks -
Compute Inspection Fee Below.•
# Other Fee # Service Entrance Size Fee # CircuitslFeeders Fee
Swimmin Pool 0 to 200 Amps 0 to 100 Am s
Transformers Above 200 Amps Above 100 _Amps
Si f1S Inspectors Use Only: TOTAL
Irrigation Booms y? • dU ?
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Otfier Fee COMPLETED WITHIN 7 NTH .,
I, the Electrical Inspector, hereby
certify that the above inspection has
been made. Rough-in ,
F'"ai ? Dat?_?
?
oae 34-7-?T
OFFICE USE ONLV
This request void 18 month6 from
0-100=958
0
'[? `?????
1 a3 9? ?- i.z $-?ZO °
Reques[ Date
? ??3 ? Fire No. Rough• n Inspec on Required
ecror ?hen read
)
(You mV call ins Inspactlon Olher Than R ugh-In
ins
ector
? Read
Now ill Notif
? y
p
? y
p
y
Yes
No Dele Read
I 1L licensed contractor 4wner hereby request inspection of above electrical work at:
Job Atldress (Street, 8ox?" Route No.) f
'
? Gity
_
87?y) r,
'i
C36 ? f-- 1 ?i
Section No. Township Name or . Range No. County
ant(PRINT)
wSSP.I ( l?O k Phone No.
Power Supplier Address
Electri I ontractor (GOmpany Name) ConlracroYS Llcense No.
ri eV w `-?
Maiiing Address Contracror or Owner Making Insiallation)
OV
Authorized rmner Makinq Instellation) Pho/ne Number
4?9/ - L ?// ?
MtNNESOTA
C
iCiTy I OT
?
Rom
Blg. v
n
B
B
8
ty
II III I I I I I 1 1111 1 j j?j j jj?j I (I I III P O
F?E
E
21 U
vee/
A
e.
Sto
Pu I MN
5
104 I R INSPECTION
PROP
S
Phone16121642-0800 SE
EN
5/r&/f,
? ?M,17 P)
REQUEST FOR ELECTRICAL INSPECTION
? See instmdions for completing this torm on back of yellow copy.
"X"^8elow°Work Covered by This Request
a?
? ? Ea.o?o,-08
?,(y?? ?/s5?63
ew Add Rep. TypeofBUilding AppliancesWired EquipmenlWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm.llndustrial Furnace
Farm Air Conditioner
Other (specily) Contraclor's Remarks:
Compute Inspection Fee Below: ???? ? ?mnc'? "'oC`d '+Ok
# Other Fee # SarviceEntranceSize Fee # Circuits/Feeders Fee
Swimming Pool O to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Atove 100 _ Amps
SignS Inspectrn5 Use Only: OO TOTAL s?
Irrigation Booms so
Special Inspection
AlarmlCommunication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 78 MONTHS.
I, the Electrical Inspector, hereby Rouyn-in oate +?/?
certify that the above inspection has
been made. F;nai
y
OFFICE USE ONLY 7his request wid 18 monms from
??/& 5/ C'/j 4e?53
a ? ?13 56 -
/
ReqIfest Date
S?/ Fire No. R •in InSpeclion
q ? 7 ? Ready Now Will Notify Inspector
h
R
tl
?
Yes ? No en
y
ee
10 licensed contractor Kowner hereby request inspection of above electrical work at:
Jo0 Adtlress (Strcet, BOx a Route No.)
3&(
?
X Ciry -
v
?/?)
• n
Seclwn No. Township Name or . Range No. Counry -
M (PRINT) Phona No.
?
?.Ls s L/ Co ( 73 ' /
S5
PoWer Supplier Adtlre55
Electrical Contractor (Company Namet Gontredor§ Licensa No.
omE ow nf_/'
Maiiing Adtlreu (Cantractor or Owner Making I n5laliation)
Authorketl$gna e(GontractoU er Maki Ilati rt?` Phone Number
/ : l r L
MIlF?SOTA STATE BOAHD OF ELV'CT?CITV ?THIS INSPECTION REOUEST WILL NOT. .
Griggs-Mitlway Bldg. - Room S173 8E ACCEPTED BV.THESTATE 80ARD
1521 Unlvenlty Ave., St. Paul, MN 55106 - - - UNLESS PROPER INSPECTION FEE IS -
Plqne(8/2)642-0800 ENCLOSED. .
? 0,4 5 81,Gioa
Request 071W- ire No. ough-in Inspection
Requir . ? Ready Now ill Notity Inspector
es ? No n Ready?
I licensed contractor ? owner hereby request inspection of above electrical work at:
Job Address (Street, Box or Route No J ? Ciry
C CA
/ ir P* /r'"
Section No. ownship Name or No. Range No. County
Occupant (PRIjJn Phone No.
Power Supplier qddress ,
Electrical Convactor Company Name)
` Contra or§ License No.
O ¢L
Mailing Address (Coniractor or Qwner Making Installation)
` ?
?
Authonzed Sig atur (CoMre or/Owner Making I tallation) Phone Number -
v/T, -G-3- by
MINNESO7A STATE BOARD OF ELECTHICRY THIS INSPECTION RE4UE5T WILL NOT
Griggs-Midway Bldg. - qoom 5773 BE ACCEPTED BY THE ST.4TE BOARD
1821 UnWersity Ave., St. Peul, MN 55104 - UNLESS PROPER 1NSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
???/G? REQUEST FOR ELECTRICAL INSPECTION
? ? See instructions br completing Ihis form on back ol yellow copy.
p ,pf"&?-tq 1 "X" Below Work Covered by This Request
es-ooaoi-ot
Acid ep, Typeof8vilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./Industrial Furnace
Farm Air Conditioner
Olher (specify) Coniractor5 Remarks:
Compute Inspection Fee Below:
# Oiher Fee # ServiceEniranceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 00 Amps f?,6 a / to 100 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
SIgt1S Inspeclor$ Use Only: •.rd
TOTAL
Irrigation eooms
3. 0 ?
,
Special Inspection
Alarm/COmmunicaiion
Other Fee
I, the Electrical Inspector, hereby
if Rough•in oat
i
?
cert
y that the above inspection has
been made. pinal
r Date
.gw
OFFICE U5E ONLY
This request voitl 18 months from
,, I
Address: 4366 LIVINGSTON DRIVE Lot 12 Blk 3 Sec/SubI,EKR467W pOINTE 5IH
These items were/were not complete at the time of the final inspection.
DATE: EY'TOBER 25, 1990 Yes No INSPECNR:
F.inal grade (6" from siding) ?
Permanent steps - garage tz
Permanent steps - main entry ?
Permanent driveway
Permanent gas
Sod/seeded grass
Trail/curb damage
Porch
Basement finish
Deck
Please verify with the builder the removal of roof test caps from the plumbing
system and the shut-off of water supply to the outside lawn faucat before
freeze potential exists.
White - City copy Yellow - Resident copy Pink - Contractor copy
7 (003
?r 4; s °
2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: single family dwellings & townhomeslcondos when permits are required for each unit
Date ` /0 / v / 0 S
SiteAddress e134 G i t ?j ?pn XJ7'' ?e Unit#
Property Owner I?43J (?!ax Telephone#(6S/ ) 633' 4'Y/8
Contractor
12153 Nicotlet Avenue South
Street Address City
?h006: 952- 4B-52O0
State
s202 Tetephone # ( )
Bond #: -
SRfl S467 Expires:
The Applicant is _ Owner 54 Contractor _ Other
Add-on or alteration to existing dwelling unit $ 30.00
furnace _Additional _Replacement
air exchanger
? airconditi oner _New >-Replacement
other
State Surcharge $ .50
Total g 3 u s-0
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 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
appro n in t?ase of work which requires a review and approval of plans. -
Applicant's Printed Name Applicant Signature ! ?)I1?
?I
! ??
??? Cr 0 ? 2005 ? . . . ??.?.. ._ . .
? CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit IVumber:
Date Issued:
c"GoO
auxLoING
625036
01/12/95
SITE ADDRESS:
P.I.N.e 19-45074-120-03
DESCRIPTION:
4366 LIVTNG57pN DR
L07s 12 BLOCK: 3
LEXINGTON POTNTE 5TH
f"-?? (BEDRQOM/BATWROOM)
t?.,lda,n???Permit 7ype SF (MISC.)
riidi,ng 04rk 7ype AL7ERATION
?.
Li M?
REMARKS:
A SEPARATE PERMI7 IS REQUIRED FDR ANY PLUMBING OR ELEC7RICRL WORK
FEE SUMMARY:
VALUATTON $3,000
Base Fee $54ee0
Surcharge $1.50
Tatal Fee $55.50
CONTRACTOR: - flpplicant - 5T. LIc. OWNER:
R 0 CQNS'1` 14523575 0004988 COX RU5S
980 STpNY POINT RD 4366 LTUINGSTON DR
EAGAN IHN 55123 EAGAN MN 55123
(612) 452-3575 (612)683-941e
Ihef^eby acknowledge 'Chat I have read this applicatipn and st??? that -"-o
infiqrmation is coi*recit ar[d agree tct eom{?:??r with a2I'a'p0?:.iC-able 5'?ate of Mn.
StaCutss anr3 GSty af Lsga-n Ordinances. ,
,
L
J
APPLICANT/PERMITEESIGNATURE ISS D SIG URE!
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: L o r: 12 e Lo c K: 3 APPLICANT:
4366 LTVTNGSTON DF2 R 0 CONST
LE7lING70N POINTE 5TW (612) 452--3575
PERMIT SUBTYPE: TYPE OF WORK:
SF (PiI5C.)
QESCRIPTION
eusL oxN 0
025096
01f12/95
ALTERATION
(BEDROOM/BATHROOM)
INSPECTION
FFtAMING .. .
ROUGH IN PLBG ..
ROUGW IN WTG FIMAL
REMAf2K5: A SEPARATE PERMZT IS REQUIREO FpR ANY ALUMBING OR ELEC7RICAL WORK
C?...,. . . _ _ ?
, , • ?
t ?,
CITY OF EAGAN
1995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
iAm
New Construdian Reau'rrements RemodeVReDair Reauirements
? 3 registered sfte surveys ? 2 copies of plan
? 2 copies of plans (include beam & window sizes; poured fnd, design; etc.) ? 2 sRe surveys (exterior additions 8 decks)
? 1 energy calculetions ? 1 energy caiculations for heated additions
? 1 tree preservation pian N loi ptatted afler 7/1193
required: _, Yes _ No
DATE: CONSTRUCTION COST: ZS?? op
DESCRIPTION OF WORK: 1?*?4 P, -:,s4
STREET ADDRESS: 4
LOT BLOCK ? SUBD. ? j! J P.I.D. #
PROPERTY Name: Cg± K IL5 S Phone 69;3' 9 y
OWNER us* °IRST
Street Address: q 3 6 6 L? ?, -? ? 17e r?
City: ?as z K State: ?-•.? Zip: ss' ,)- 7
CONTRACTOR Company: Phone #: `151`
Street Address: 9 S`4 //d K Y Pt ?Iat License #: qqgr?
Clty. Ft G aLIX
. A-t K. ti?/ 2- 3
ARCHITECTI Company: Phone #
ENGINEER
Name: Registration #•
Street Address,
City:
State:
Zip:
Sewer & water licensed plumber: . Penalty applies if address change or lot change
are requested once permit is issued. '
1 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 Ciry of Eagan Ordinances. Z
Signature of Applicant:
OFFICE USE ONLY
E
Certificates of Survey Received _ Yes _ No JAJ1 10 1995 ?
Tree Preservation Plan Reoeived _ Yes _ No ?---_---.---`----?,?
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MN 55122
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation o 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dwelling ? 07 4-plex ? 12 Multi (Misc.) 0 17 Swim Pool
? 03 SF Addition ? 08 8-plex o 13 Garage/Accessory ? 20 Public Facility
a 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
OR? 05 SF Misc. ? 10 Multi (additional) ? 15 Deck
WORK TYPE
? 31 New V 33 Alterations ? 36 Move
0 32 Addition ? 34 Repair o 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MC/WS System
(Allowable) Main level sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. Census Code y3
# of Stories sq. ft. SAC Code
Length sq. ft. Census Bldg. ?
Depth Footprint sq. ft. Census Unit ?
APPROVALS
Planning
Building Engineering Variance
Permit Fee Valuation: $ Z Sdv
Surcharge
Ptan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter ?
Acct. Deposit
S/W Permit
S!W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Tctal:
°lo SAC
SAC Units
? CftY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
PERMIT Control No. o[] 71
.-a
PERMITTYPE: auILoxNG
Permit Number: 001310
Date Issued: 0 8 J 21 / 9 2
4366 LIVING570N DR
LOT: 12 BLOCK: 3
LEXTNGTON POIN7E 57M
DESCRIPTION:
Permit Type
Work Type
DECK
NEW
R-3
1$
14
REMARKS: C, () -';yC
'rm aw?g g%
: :'
k
1 ' hl '. ? ...
_•;?i? .
FEE SUMMARY:
Base Fee $25.00 COPY $.50
5urcharge 1.60 7ota1 Fee $26.00
SUbtotal $26.50
CONTRACTOR: OWNER: - Applicant -
COX RUSSELL
4366 LTVIIUG5TON DR
EAGAN MN 55123
(612)683-9418
Z hereby acknawlsdge tMat I have read tha.?s ap plicatian and state thiat the
information is cnrrect ,a"nd agr:e$ to eortrpXy with, all applicable Stete af Mn.
Statutes 4nd Gity nf Eagsn Oretinan:ces.
?;GLs2-??
?
APPLICANTlPERMITE NATURE I SUED W. GNATURE
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
INSPECTION RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
Control No. 0971
BUTI.qING
001310
08J21/92
SITE ADDRESS: L OT : 12
4366 LIVINGSTON DR
LEXIN6TON POIMTE STH
PERMIT SUBTYPE:
DECK
? ..
i
,
e Lo c K: s APPLICANT:
COX RUSSEI.I.
(612) 683-9418
TYPE OF WORK:
NEW
?
?
?
?
PERMIT #
REACTIlATE
t31?
CITY OF EAGAN
1992 BUILDING PERMIT APPLICATION
681-4675
SIN6LE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, I 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 9 / -1-6 / qy Valuation of work ?'_)-049
Site Address: 4366 ?y-
STREET SUITE N
Tenant Name: (commercial only)
IAT BLOCK ? SUBD. P.I.D. dk
Descri tion of work: ?dd ?2L?
The applicant is: (g Owner ? Contractor ? Other (Describe)
Name C'v>>C ? ?S?elf Phone
PrOpelty LASi FIRST
Owner pddress ? 3 66 L? UIm 9 5 f?k, Dr
STREET STE /
City _ E?dcl a rn • 5tate A4/U Zip S?/2-3
Company _ < Phone
Contractor Address License # Exp.
City State Zip
Company Phone
Architect/
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has een approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with 11 applicable State of Minnesota Statutes and City of
Eagan Ordinances.
o
Signature of Applicant: /4 4:?
OFFICE USE ONLY
BUILDING PERMIT TYPE
O 01 Foundation
0 02 SF Dwg.
O 03 SF Addition
O 04 SF Porch
? 05 5F Misc.
? 06 Duplex
? 07 4-Plex
? OS 8-Plex
? 09 12-Plex
? 10 Multi. Add'1.
? 11 Apt./Lodging
O 12 Multi. Misc.
? 13 Garage/Accessory
? 14 Fireplace
? 15 Deck
WORK TYPE
f? 31 New
? 32 Addition
O 33 Alterations
? 34 Repair
O 35 Tenant Finish
O 36 Move
. ? 'D I6'BSsement Finish
O 17 Swim Pool
? 18 Comm./Ind.
O 19 Corren./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
? 37 Demolish
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MWCC System
(Allowable) lst F1. sq. ft. City Water
UBC Occupancy -? 2nd F1. sq. ft. PRV Required
Zoning Sq. Ft. total Booster Pump
# of Stories footprint Sq. ft. Fire Sprinkler
Lerigth ? On-site well Census Code W?
Depth On-site sewage SAC Code
APPROVALS ,
Planning Building Assessments
Engineering Yariance REDUIRED INSPECTIONS
?
O Site ? Footing O Framing ? Insulation
O Wallboard PI Final ? Draintile ? Fireplace
Permit Fee 25.010 voiuacion: g
Surcharge . ,Sp
Plan Review
License
MWCC SAC
City SAC Mater Conn.
Water Meter .
Acct. Oeposit
5/W Permit
S/M Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded. Cop ies , sp
Other
TGtal:
SAC 9G
SAC Units
1990 BUILDING PERMIT APPLICATION
CITY OF EAGAN
?
SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UI3ITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTORjHOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Se Used For: i3 /.2. rzm'(/yvaluation: Date:
Site Address
Lot i z Block 3
?az Parcel/Sub ? yIl?' ? J t?
Owner
Address
City/Zip Code
Phone
Contractor
Address ?Q
City/Zip Code S?12 2'
Phone ?SG) ?G' ? / Z?
Arch./Engr.
/07j 000 OFFICE USE ONLY
Occupancy
Zoning
Actual Const
Allowable
# of stories
j Length
? Depth
S.F. Total
IlFootprint S.F.
RJ m''
PD. R_ I
y-N
V- N
------7-
8
On site sewage_
On site well
MWCC System ?
City water 27
PRV _
Booster Pump _
APPROVALS
IPlanner
?Council ?
? Bldg. Off.
IVariance
Address
City/Zip Code
FEES
Bldg. Permit (70
Surch arge $ -, SO
Plan Review (?Q
"'r Z,
SAC
City _
.
I U C),oL?
,
SAC, MWCC &0Q10D
Water Conn r
Water Meter ' 0100
Acct. Deposit 30.00
S/W Permit 30, OD
S/W Surcharge r50
Treatment P1. ?
Road Unit ?DO
Park Ded.
Copies
SUBTOTAL
Penalty
TOTAL
tO
Phone 4
... .n, ,,.
V,A Li;S;,/.\T
? ?. .v : ...
Z2X2z= y84 x /S=? r74 6n
$sm*r-,
__._.-----
-2?, x S2 p
-
12x ?o=
I??Z
120
ISD4 X IH= Z1bSG
15oY.
12
?
1 5? 8 K 5 I:'7 g?-F 3`r'3
Iv??Sy
i
,
?, • (Fc,zm De??eloped by thc Sca:e of ?:in?esota i.uilcis:& CGCC liiVisio:t)
TO EE SU9:tITicD L,'II'3i IlUILDINC PiM`fIT APPLICATZO:i
. ?j -? . • • ? ? fXTE?:IOR F:IVF.LOPE AVERAGE "U" C013UTATION '
pL_
t ? SZTE ADDRESS: ?nT 1'7 61, 3 Lz-,?4L /T _--
?2' ? ?/
CONTRACfOR: ?,1.? ? Wrd??K?sr DATE: `T Z5"-/dq PFIONE: Ke °3,o F5
> CIC/? r
az,
Determine vorking square footage of each
1. Total exposed wall area......... Z Z /Z _ sq.ft. x s/ = Z,
2. Total roof/ceiling area......... / 3 o T sq.ft. x? 026 e 33, 94
3.• Total exposed wall area calculations:
Total exposed wall area above floor ? 2107
a. Total wall windoW,a.rea..............................
b:' Total door area ..................................... S 7
c. Total slidfng g2ass door area ....................... 4/c?
d. Total fireplace wall area ........................... -
e. Total wall franing area (average 107.) ............... ZII
f: Total net wall area above floor ..................... 14p7-
g. Total riu joist area ................................ //o
• Total exposed foundation area ? ?0 S
h. Total foundation window area ........................ -
i. Total net foundation area above grade ............... lor
Determine "U" value of each wall segment
. H. 7 g nuit 96,
- b 57 X .,U„ , 3f _ 12, L 7
.
.
. ? ? qb X .,U„ 2 ?, -0
H• ?-- x Iltfll ?- . r
Y ... - .
. e
. • Zr? x ,pU„ ,07 _ 1`1?J7
' ? f. l?I 9 z X ,l„to . 59, 68
. S. ?! C) X flff ?V f i
V
. L
lL ^ v
A lIUII
t!
X IIUII t! V r ??? ]
34 • TOTAL ., . ? :707.7 ' .
?'.
If item #3 is the same as, or less than item O1, you have met the intent of
S8C 6006(c)20
•
•' •' l
4. Total exposed roof/ceiling ealculations:
? Sotal e;cposed roof/ceiliag area a ?3U?
4'
J. Total skylight area ............•......................
~ k. Tota1 roof/ceiling framing area(averap,e 107.)......... /3 0
1. Total net insvlated roof/ceiling area................. 7?
Aetemine "II" value foz each roof/ceiling segment
" --_
J. X nIIn ?
k. I 3 o R„U., 2e4
x„U„
4. ' ?TOTAI. o v ?
-._--
If total of A is the saae as, or•2ess than 02, you have net the intent
of SBC 6006(c)1.
Alternate Building Envelope Design
•? . : . . .
•.?.•, . .. .. .
To uti2ize the total envelope system method, the values establislied by •
the sum of itetas 03 and #4 shall not be greater than the sum of items #1
and 02.
1. + 2. •
3.
+ 4.
,
.`
C£ R T I F I C A T I O N
I hereby certify that I have calculated the "U" factors and R values
herein and tha[ the building hera described meets or exceeds the State bf
Minnesota Enezgy Conservation Act. .
. . ?.f ?'
? (Signature)_
. (Aate) '
"i? : .
1JAT,L
' Ise ]U: of Tl7jyu^ Wi11 arc.i for
:r.amc com:tructiun
ll ?1 n
?
A
4)AI,I,
Constr»ction R-Valuc
•, L l ' `
1, inYerior air SiJm 0.60
2
,
:.>
g, ' inches soft wnnd •+."=?
4
.. ._ ,
_,... ,:
. .,
6. Exterior air film : U.17
FZG. 41 TOPVIEI4 QF -
. FRT.t:E i•;T.LL
. { ? • .
1
` . ?
ll???' ' • ?
FSG. ?? r.-I? --?- l
--''
31 "-
51[L 1Se.;L_=_
=riphr-ral
i?a ]
:t72iDATI0.1I
VIl?_I.I:
-??
--?V
-?i
--?
? ?•
., .-?* . .
C
. ,. . .
.:
-•. •.l .?:??
•...
.
? U p
. .> A Tw
.Q o
o._.d.!
[. . ? .
. ?t. , •d?
• 1? •
? . .
•r• ?;
. l4 .
1 '
1. Intcrior air filr.i
2. ,..
3.
6. ??terior air filn
:
Total `1
f
l" -7
? v ' •?
0.6E3
.
0 . ].7
Zbtal ? %
?
1. IntcrSor air filni 0.68
3.
9. `'r .. . . ,
6. Er.terior air film 0.17
TOtwl '
l. Interior air film 0.68
2.
• 3, . . ,
4.
5. '
6. ExLerior air film 0.17
Total
SI,71B O:7 G?2Alli.
?IG. #3
r!1 = %,?_
= /!!
(?(
? ? • •6 ` o L?
. • n . ? ' , ?s. •
. ? . ?
? • . .
P .• -/• . b '
' f • `
' r , `
. . e.
p . •
?- ?: • .. • • ,a : '
• ?t' ?? r l f 'r • • ' ' _ ' ?
I?! " ' • ' -
..t[i ? ?' . . . .
/fI
FIG. 04 1!t k 't? , •, p •'• ?r
• %tr _ '< x ? ` ? l??
NoTE: Indicatr. iype, "F." Valun, derth and
. placenent of insulatioii. .
f /
? . .'P ' R001'/CEILI:7G
?
f.
?. _ .
FO
??? ?? I? ?} it •. ? I '_':}'??
• ? %i??ll\????7111?!I?:?.I?y ?' ??
, ` \??`? --------,
1???te3 Lcat f101:
up
PIG. #S ?
-?.o?,?_? ? 4?' ?1'\e1 :T•.1_'?rL:t?.O-_?S'>,i C?r q?.? Y.? t
-- --=---- =-- - _-.?
,. 1 2 3
I:eat flotl up
C.on°tr.uction R-Value
Interior ai.r f ila: 0.61
z. ?,. , „ .. . 3. ! ;"
9. T.xtcrior air film (5:t:i11) O.G
'!•otal
: . J ..,_
..-.. .,y: •
?
?
1. InLcrior air film O.
G1
2. t If ,...
?
3.
4. Er.terior air film sti11) 0. bT
. 4'otal 4 _? , U _'
? .
.vented
' .
J
a
1, Iriside air fil.m 0.61
2.
:t .
9. S. Outside air film -0.17
Total
?? • t;0.3-VLt:'Tc.?D . . .
.. . 6
.• , . Flcat ? .
flov up
.
FIR. 07
Nntc: U_:c additional ::hects if morc: spar.c i!
ncedcd for details aiid calculations.
. .
it #
1991 LINIPLITION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS ?tiTLTIPLE DWELLINGS CO?II4ERCIAL
2 5ET5 OF PIANS 2 SETS OF PIANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PIANS
1 5ET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGX CALCUI.ATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES iTHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY IAST WORKING DAY
OF MONTH IN WHICH REQUEST I5 MADE.
IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A lICENSED PLUMBER.
Valuation:
Zf36
To Be Used For:
Site Address
Lot I j Block
Parcel/Sub
Owner &" & c_.a?C _
Address LL3 U b `-f t, ih q S I7J.? 1l?Y'i vQ
City/Zip Code C?qati. 5'Sl L'a
q
Contractor 5-e4
Address
City/Zip Code
Phone
Arch./Engr. _
Address
City/Zip Code
Phone #
AVG 2 ': RECD
Date:
OFFZCE USE ONLY
. FEES
Occupancy Bldg. Permit
Zoning Surcharge
Actual Const Plan Review
Allowable SAC, City
# of stories SAC, MWCC
Length /e ? Water Conn.
Depth / y-1 Water Meter
S.F. Total Acct. Deposit
Footprint S.F. S/w Permit
I 5/W Surcharge
On site sewage_ Treatment P1.
On site well Road Unit
MWCC System _ Park Ded.
City water _ Trail Ded.
PRV _ Copies
Booster Pump _
SIIBTOTAL
APPROVALS _ Penalty
Planner Lot Change
Council TOTAL
Bldg. Off
Variance
?
Z x
Se:RW sed Contr.
agrees that all Frork shall be done in accordance with
(Signat e of Contractor)
all applicable State of Hinnesota Statutes and City of Eagan Ordinances.
I p u
? 1991 LtIGNAII)TION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
2 SETS OF PLANS
3 REGISTERED SITE SURVEYS
1 SET OF ENERGY CALCULATIONS
MULTIPLE DWELLINGS
COMMERCIAL
2 SETS OF PIANS 2 SETS OF ARCHITECTURAL
REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
(CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT I5 REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF HONTH IN WHICH REQUEST IS MADE.
IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NaTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALIAWED ONCE BUILDING PERMIT IS
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A
PERMIT MUST SHOW A LICENSED PLUMBER.
AUG 19 19g1
To Be Used For: DEM FOOTINGS ONLY Valuation: N/A
Site Address 4366 LIVIIiGSTON DRIVE
Lot 12 Block 3
Parcel/Sub LEXINGT()N PpINTE 5TH
Owne r RUSS CAX
Address
City/Zip Code EAGAN, MN 55123
Phone 683-9418
Contractor gaEOWNER
Address
City/Zip Code
Phone
Arch./Engr. _
Address
City/Zip Code
Phone #
OFFICE USE ONLY
Occupancy
Zoning
Actual Const
Allowable
# of stories
Length
Depth
S.F. Total
Footprint S.F.
On site sewage_
On site well
MWCC System _
City water _
PRV _
Booster Pump _
APPROVALS
Planner
Council
Bldg. Off.
Variance
FEES
Bldg. Permit
Surcharge
Plan Review
SAC, City
SAC, MWCC
Water Conn.
Water Meter
Acct. Deposit
S/w Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trail Ded.
Copies
SIIBTOTAL
Penalty
Lot Change
TOTAL
N/C
Sewer/Water L" sed Contr.
agrees Lhat all woik shall be done in accordance with
( ignature f Contractor)
all appiicable State of Minnesota Statutes and City of Eagan Ordinances.
LEGAL DESCRIPTION? LOTJ?L 9 BLocK-3-1 ""•
ACCORDING TDAK4T? COUNTY,M NNESOTA
THEREOF
? SCALE• 1 "=30' 2 ?K
? u3 66 1-tv1a)5{v1..
(?t7 6 ?3-9y9?
?97-5kq 9
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PROPOSED FULL BA5EMENT - WALKOUT ? S?I T
LEG£ND IPdVERT ELEVATION AT SEF?VECE EX.TFNS10N=-- -
,
o DENOTES IRON MONUMENT PROPOSED GARAGE FLOOR ELEVATION = '957
o DENOTES WOOD HUB SET PROPOSED FIRST FLOOR' ELEVATION _ q79 0
DENOTES EXISTING SPOT PROPOSED BASEMENT FLOOR
ELEVATION ELEVATI ON ??,? ?? ` q83. S
OENOTES PROPOSED SPOT
ELEVATION NOTE: VERIFY ALL FLOOR HEIGHTS WITH
? DENOT6S DRAINAGE DIRECTION FiNAL HOUSE PLANS
I hersby certify that this survey,plan or
rsport wos prepcred by me or under my '%- ?? Req. No. 15235
direct superv ision and that I am c duly ?erodiey J. S en ,
- . . __? .._-•-..,._ ....w_. •ti. . ,.,??'''?.._._ • L-/ A71 hT.l ?-.
2004 RESIDENTIAL BUILDING PERNIIT APPLICATION
(03 Z? ? City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construdion Reauiremenis RemodeVReoair Reauirements ?
3 registered site surveys showing sq. ft o( lot sq. ft. oi house; and all roofed areas 2 copies of plan
(20% maximum lot coverage allowed) 1 set of Energy Calculatlons for heated addilions TAW ?res .P1a??
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks ??
1 set of Eneigy Calculations Addition - irMirate iion-site septic sysfem 3 copies of Tree Preservation Plan if lot platted after 711193
Rim Joisf Detail Optlons selection sheet (bldgs wiUi 3 or less units
Date .< l/ I l ?.fJD Construction Cost "lG id
Site Address ?/ 3??, L..1 ?? ? f 5?!v? ?f' _ Unit/Ste #
Description of Work l.v Ca?tti-r?? i?r.:oe.,.l.ocl C-Prlr?? ?tn_ G-al-f
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2
Property Owner ?USv Telephone # ( (5( V'II?
Contractor 5--e
Address City
State Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Categorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(4 submissiontype) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee appiies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
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 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.
?•?ii,4s el l C?-, Cox - Llt_y? q; 0 0
ApplicanYs Printed Name ApplicanYs Si ature
OFFICE USE ONLY
Sub Types
? 01 Foundation 0 07 05-plex ? 13 16-plex ? 20 Pool ? 30 AccessoryBldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck O 23 Porch (screen/gazebo) ? 36 Muiti Misc.
? 05 03-plex ? 11 10-plex 19 Lower Level ? 24 Storm Damage
O 06 04-plex ? 12 12-plex Plbg_Y orx N? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
O 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
9 33 Alteration ? 37 Demolish Buiiding* ? 43 Reroof ? 46 WindowslDoors
? 34 ReplaCement *Demolition (Entire Bldg) - Give PCA handout to applicant
Valuation ?eGG" Occupancy /20-.3 MCES System ?
Census Code <-13 41 Zoning L)_ City Water -
SAC Units ' Stories - Booster Pump -
# of Units ? Sq. Ft. - PRV -
?
# of Bldgs
Length - Fire Sprinklered
-
Type of Const ? Width ?
REQUIRED INSPECTIONS
_ Footings (new bldg) FinallC.O.
_ Footings (deck) ? FinaUNo C.O.
_ Footings (addirion) Plumbing
_ Foundation ? HVAC
Drain Tile Other
Roof
Ice & Water Ftgs _ Air/Gas Tests Final
Final
Pool
_
_
? Framing _
_
_ Siding _ Stucco _ Stone _ Brick
Fireplace
R.I.
Air Test Windows
Final
_
_
? Insulation _
_
_ Retaining Wall
Approved By:
Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
6c)-C3? 3q
2004 RESIDEAITIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
5n.s-n
Date 7 ! ? ! O q
Site Street Address 3 6i? Z. /.r Ag- ?, ?v- Unit #
Property Owner Cr. (?;X Telephone # fYl b'
Contractor _ S Telephone #
Address City State Zip
The Applicant is: ? Owner _ Contractor _Other
Alterations to existing dwelling
_Add fixtures to rooms, excluding water softener and water heater
_Septic System Abandonment
_Water Turnaround (add $121.00 if a 5/8" meter is required)
?Other: L; c? ? hti- u.. 1-?/A pY/ 7??h $ 50.00
Water Softener Water Heater
_ replacement _ additional $ 15.00
Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00
State Surcharge $ .50
Total $
I hereby apply for a Residential Plumbing 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 plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the event a plan is required to be reviewed and approved
? ? s-e /1 ?' 4?x - L?d
ApplicanYs Printed Name Ap IicanYs Signature
2007 RESIDENTIAL BLTILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWction Reau'uemenis
3 registered site wrveys showing sq. ft. of lot, sq. ft of house; and all roofed areas
(20% maximum Iot coverage allowed)
1 Soils Report if praposed building is to be plated on disturbed soii
2 copies of plan showing beam 8 window sizes; poured found design, etc.
1 set of Energy Calculafions
3 copies oi Tree Preservation Plan if lot platted aRer 711l93
Rim Joisl Detail OpUons selectlon sheet (buildings with 3 or less units)
Mnnegasco mechanical venblation torm
4160.60
RemodeUReoair Reauiremen4s Office Use OnN
2 copies of plan showing foo5ngs, 6eams, joists Cerf of Survey Recd _ Y _ N
1 set of Energy Calalafions for heated addi6ons Soils RepoA Y _N
1 sife survey for addiGons & decks Tree Pres Plan Recd Y _ N.
Addi6on - indicafe if on-site septic system Tre e Pres Required ' Y _ N
On-site Septic 5ystem Y _ N
l0 • 29 Cck&-d-
Plans are considered nublic information unless vou state thev are trade secret and the reason.
?? Construction Cost 7
Date / /?"'
L-1 V ? r[ 6
v
T
Site Address ??? UnitlSte #
Description of Work 'Tl N { Zv°„" 1n ? Se "T f
Multi-Family Bldg _ Y_ N Fireptace(s) 0 _ 1 _ 2
Property Owner 'K Telephone #
Contractor
Address -702 ?tac?•w Ur.-i ? " t `? e
ciri L ?- s
State Zip (o Telephone # (6571 ) zb 0 /o yc?
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
EnOrgy COd2 Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(4 submission type) Su6mitted Submitted
• Energy Envelope Calculalions Submitted
In the last 12 monfhs, has the City of Eagan issued a permit for a simiiar plan based on a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber ? ?
Mechanicai Contractor
Al L
Sewer/Water Contractor
Telephone # (
Telephone #(
Telephone # (
I hereby app}y for a Residential Building Permit and acknowledge that the inTormation is comptete ana accurace;
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 permit, and work is not to start without a
permit; that the work will be in accordance with the approved pl/ihe ase of work which requires a review and
approval of plans.
W? 7?4 ,,e a
Applicant's Printed Name
Signature
DO NOT WRITE BELOW THIS LINE
Sub TYpes
? 01 Foundation
? 02 SF Dwelling
? 03 Ot of _ plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
Work Tvaes
? 31 New
? 32 Addition
? 33 Alteration
? 34 Replacement
? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo/pergola) ? 36 Multi Misc.
? 11 10-plex 0 19 Lower Level ? 24 Storm Damage
? 12 12-plex ?
? 25 Miscellaneous
? U
?A
--?-? y ? 0-1 w * ti s
? 35 int Improvement ? 38 Demolish Interior ? 44 Siding
? 36 Move Building ? 42 Demolish Foundation .? 45 Fire Repair
? 37 Demolish 8uilding* ? 43 Reroof ? 46 WindowslDoors
•Demolition (Entire Bldg) - Give PCA handout to applicant
DOSCrIpt10l1: Water'Damage _ Yes
Valuation
Plan Review 100% or _
Census Code Li ? I
SAC Units
# of Units
# of Bldgs
Type of Const
Occupancy TRC ( MCES System
25%
Zoning City Water
Stories Booster Pump
Sq. Ft. PRV
Length Fire Sprinklered
Width
_ Footings (new bldg)
Footings (deck)
_ Footings (addition)
Foundation
Drain Tile
? Roof _ Ice & Water _ Final
Framing
Fireplace _ R.I. _ Air Test _ Final
?o Insulation
REQUIl2ED INSPECTIONS
_ Sheetrock
FinallC.O.
? Final/No C.O.
HVAC
Other
Pool Ftgs Air/Gas Tests Final
Siding _ Stucco Lath _ Stone Lath _Brick
Windows
_ Retaining Wall
Approved By: , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
5/ay?
2007 RESIDENTIAL MECHANICAL PExMI'r APrLrcATioN
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for. single family dwellings & toumhomes/condos when permits aze required for each unit
Date
??
Site Address
`? Unit #
Property Owner Telephone # ( )
Contractor
S
Add Cit
treet
ress y
State Zip .S .? 3 7-2-Telephone # (lo l z
Ex
Bond #• z ?
ires: ` 17 l v(?-
0
? p
The Applicant is Owner X Contractor _ Other
Fire repair (replace burned out appliances, ductwork, etc.) $ 90.00
This fee applies when extensive mechanical repairs are made to a building.
Add-on or alteration to existing dwelling unit $ 50.00
furnace _Additional _Rep lacement _ New
air exchanger
air conditioner
_ heat pump
?C' hJei--
other
State Surcharge $ .50
Total $
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 flus is not a
permit, but only an applicati for a permit, and work is not to start without a pe ; that the work will be in accordance with the
approv? plan in the cas fe rk which requires a review and approval of plans. ? ?.
,
l? ^
Applic Printed Name / ?p,p1i 's Signatuxe
? ao?q
2007 RESIDENTIAL PLUMBING PERnniT aPPUCarioN
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
s o,o
Please complete for modifications to existing residential dwellings.. Do not combine inside and outside.
lumbin on the same a lication; se arate a lications and ermits are re uired.
Date?//? / 0?
/?
Site Street Address r VUnit #
Property Owner C US S 64) ? Telephone # (6JI ) 68 ? ZI19
Contractor Telephone # (6(;Z) 9A2 - 90
Address?c City jC,,e?:;h State ? Zip ?
The Applicant is: _ Owner & Occupant Licensed Plumbing Contractor
Septic System _ New _ Refurbished Sub it 2 sets of plans and MPC license Inclutles County fee
$ 100.00
Per as-built $ 10.00
Fire Repair (replace burned out fixtures, etc.) $ 90.00
This fee a lies when extensive lumbin re airs are made to a buildin .
Alterations to existing dwelling $ 50.00
? Add plumbing fixtures to _ main level ? lower level. This fee includes
installation of a water softener and/or water heater at the same time. !f you are
insialling onlv a water softener and/or wafer heater, do not complete this section;
move to the next section and place a checkmark next to the appliance(s) you are
installing.
_Septic System Abandonment
_Water Turnaround (add $136.00 if a 5/8" meter is required)
Other:
Water Softener _ Water Heater $ 15.00
_ new _ replacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ .50
Total $
I hereby apply for a Residential Plumbing Permit and adcnowledge 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 piumbing codes; that I understand this is not a permit, but
only an application for a perinit, work is not to start without a permit and work will be i accordance with the approved plan in the event
a pla is equired tl??oy? reviewed and approved.
AppqcanYs Printed Name AppiicanYs Signature
' TRI-LAND C0.
SURVEYING
SERVICES
1875 PLAZA DRiVE
EAGAN, MINNESOTA 55126
CERTIFICATE OF SURVEY FOR:
HUTTNER CONSTRUCTION
LEGAL DESCRIPTlON; LOT-12,,BLOCK3 , LEXINGTON PDINTE 5th AQD,
ACCORDING TO THE RECORDED PLAT
?r THEREOF DAKOTA GOUNTY,MINNESOTA
L SCALE; I"-30'
?L":) ?i
?
h-
Lcr.E,yn
o DENOTES IRON MONUMENT
o DENOTES WOOD HUB SET
DENOTES EXISTING SPOT
ELEVATIQN
OENOTES PROPOSED SPOT
ELEVATI ON
? DENOTES DRAINAGE DIRECTION
I hKSy certify that tAis survsy,p?on or
report wcs prepcred by me or under my
direct supervisian and that I om a duly
Reqistered Land Survtror under the
Laws of tha State ot Minnesota.
M ?
?if) Cq
4 n f+7
Cl: (C
PROPOSED FULL BASEMENT - WALKOUT %0 SRLI T
1NVERT EI.EIAYIQN AT SERVIrE ExTFNG!pN=_- _
PROPOSED GARAGE FLOOR ELEVATION = 9e>7 =
PROPOSED FIRST FLOOR ELEVATION = 987, ?
PROPOSED 9ASEMENT FLOOR = q79,o
ELEVATION
1,k1.lCUT 5t.EV. _
NOTE'. VERIFY ALL FLOOR HEi6HTS WITH
FINAL HOUSE PLANS
AlU?i?.?Y_?-
Br'ad?ey J. S enfsoaf, Mn. Rey. No. 15235
pate '
. TRI-LAND C0. CERTIFICATE OF SURVEY FOR:
SURVEYING
SERVICES HUTTNER CONSTRUCTION
1875 PLAZA DRIVE
EAGAN, MINNESOTA 55126
LEGAL DESCRIPTION: LOT-2-,BLOCK3 , LEXINGTON POINTE 5th ADD.
ACCORDING TO THE RECORDED PLAT
?ITHEREOF DAKOTA COUNTY,MINNESOTA
I
L SCALE; 1 "=30'
M?
i?
/Q 9S`
??
, a ;
\ q 4D ro
/o
(Z'
?
\
?
.q
o ..
.C-)
\ `.
?
?
9 ?
......... 4
06
ir• o \ ?
980
r 978+? O T '/? L?
`?
?
. ? ?
Ee'BG+°Y111 E
LEGEND
o DENOTES IR MONUMENT
a DENOTES WOOD HUB SET
OENOTES EXISTING SPOT
ELE VATION
DENOTES PROPOSED SPOT
ELEVATION
? DENOTES DRAINAGE DIRECTION
I hersby certify that this survey,plan or
rsport was prepared by me or under my
direct supervision and that 1 om a duly
Reyistered Land Surveyor under ths
Laws of fhe State of Minnesota.
EERING DEPT
20
N?
dcc nri
-
M?
.?
QD
PROPOSED FULL BASEMENT - WALKOUT ig SP'LlT
INVERT ELEVATION AT SERVICE EXTENSION=
PROPOSED GARAGE FLOOR ELEVATION =?187 0
PROPOSED FIRST FLOOR ELEVATION = `j87• ?
PROPOSEDBASEMENT FLOOR = `a`7`?•°
ELE VATION
V-1kL.l:ou7 G[.Ev =
NOTE ' VERIFY ALL FLOOR HEIGHTS WI7H
FIMAI. NOUSE PLANS
04?_.
J. SveeniSOR; Mn. Req. No. 15235
Date I
Date:
City of Eaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
r �
For Office Use
Permit #:
Permit Fee:
Date Received:
Staff:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
• 16 1-3 Site Address:
'/,3 66 L/ ut N6 S7-oisl 1)tL
Unit #:
Cc..
Resident/
Owner
Name: AciS5 60 ( Phone: 6J'! 66.2 9E?1 b'
Address / City / Zip: I-1366 GewriGs--0,1
Applicant is: Owner -✓ Contractor
Type of Work
Description of work: ' 12O0W 12-40 . rf -zr
Construction Cost: ro..SDio . '• Multi -Family Building: (Yes / No ✓
Contractor
Company: 6/710- Contact: ,o ,JTAncj/
Address: 26-3 s- Dg10 tenon City: l!1 inn ora-of-Ea6
State: /71n Zip: SSl 240 Phone: -.4 0 • JFb' - 76G3
License #: �G ‘1,5- 8$1 ( Lead Certificate #:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
In the last 12 months,
Yes No 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:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
Phone:
NOTE: Plans and
the information
supporting documents that you submit are considered to be public information. Portions of
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.qopherstateonecall.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 Code must be completed within 180
days of permit issuance.
x �at.I.410 cf C£_y
Applicant's Printed Name
x
Applicant's signature
Page 1 of 3
Use BLUE or BLACK Ink
r________________"'�
� For Office Use �
' �I • i�� I
Permit#: I
Clt� of ����� � - ��� �
� Permit Fee: �
3830 Pilot Knob Road � �
Eagan MN 55122 � Date Received: �
Phone: (651)675-5675 I I
Fax: (651)675-5694 � Staff: I
I i
-----------------�
2015 RESIDENTIAL BUILDING PERMIT APPLICATION
S `
Date: � �� � �Site Address: ��C,r�(p L� �ld��'�G o�? �i�, Unit#:
�� 4*-� 4� 5������9 °t� �rz��'� T�r�
�* y Name: Phone:
� � �� �
� l Address/City/Zip:_� �Z� ��2 �� V t �-7 G s�pt� �9 l� ��Z
Applicant is: Owner Contractor
Description of work: �� ��� C��--�✓��� ��'
Construction Cost:��`t� -� Multi-Family Building: (Yes /No��
Company: f�l� / a�'a �.-° 4'D►� Contact:�����G�"zy�a�/��"
�� Address: ��� �� " `'�� �� City: �/��.�
� `
��.� } State��Zip: ��'�� Phone: Z�� ��` mail:
� �, „ q t�t _A License#: G�P 2���0�2- Lead Certificate#: ���`— 7�. �1��'—�
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months,has the City of Eagan issued a peITnit for a similar plan based on a master plan?
_Yes _No If yes,date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
�� .
_ !�,.,. _ _ _� _�-_-: _ _
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.aoaherstateonecall.ora
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 Code must be ompleted within 180
days of permit issuance.
X �Sfvr� � � X �
Applicant's rinted Name ApplicanYs Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA170969
Date Issued:07/26/2021
Permit Category:ePermit
Site Address: 4366 Livingston Dr
Lot:12 Block: 3 Addition: Lexington Pointe 5th
PID:10-45074-03-120
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
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 -
Gary G Jr Sifferath
4366 Livingston Dr
Eagan MN 55123
Schwantes Heating
6080 Oren Ave N
Stillwater MN 55082
(651) 439-3331
Applicant/Permitee: Signature Issued By: Signature