4377 Livingston Drar;CW-!,?`a?..
CITY OF EAGAN
` 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BU4kDING PERMIT Receipt #
Site Addre
Lot -j-'
Parcel No.
SF DWG/CAR Est. value $8111,000
4377 LIVINCS'[OH DR
31ock Z SeciSub..LtX1NGTON P(]INT
W Name J(1E MIL[.ER HQMES
o Address 18133 CEDAR AYE S
City FARMINGTON Phone 431-2001
o Name 5AME
?Q Address
m
City Phone
?w Name
? ; Address
<w City Phone
I hereby acknowlege that I have read this applicalion and state that the
information is correct and agree lo compiy with all applicable State ol
Minnesota Statutes and City of Eagan OrCinances.
SignaWre of Permitee
A Building Permit is issued to: 30E MIR,LER tiLIMBS
on the ezpress condition that all work shall be done in accordance with all
applicable State of Minnesota StaWtes and City of Eagan Ordinances.
8uilding OHicial
4! 1?557
? J ? ?
1990
OFFICE USE ONLY
Octupancy R-3 M-1 FEFS
Zoning PD R-1
(Actual) Const -Y--M Bldg. Permit 550• 00
(Allowable) V-N
Surcharge
49•Qb
# ol5tories
Length 47 " Plan Review 357.00
Depth SAC, City 1oo•oo
S.P.Total -
SAC, MCWCC 6???
S.F. FoolpriNS - 62S
?Q
On Site Sewage _ Water Conn .
On Site Well - Waler Meler 90.00
MWCCSystem xx
?0.??
City Water ? Acct. Deposit
PRVFequired - S/VJPermit 30•00
Booster Pump - S/W Surcharge • SD
7reatmenlPl 252•00
APPROVALS RoadUnit 335•00 '
Planner
ncil
Co - park Ded.
u
BWg.OfL _ Copies
Variance - TOTAL 39029.50
Permit No. Permit Holder Date Telephone A'
'WATER ?rYlL 741Qa?-i „?4 kl?C7
SEWER
PLUMBING n c?J? ?/? SO
H.V.A.C.
ELECTRIC
Inspection Date Insp. Comments
Footings 1 ?' 2- ?' p IJ S
Foundation
Framing 3 2? 9
Roofing
Rou9h Plbg.
Rouqh Htg. 7 :5 1
i5ui.
Fireplace
Final Htg.
Final Plbg.
ConSL Meter Plbg. Inspector - Notify Plumber
Engr./Plan
81dg. Final 2.
Deck Ftg.
Deck Final
Well
Pr. Disp.
CONTRACT PRICE:
Site Address
? Lot Block -
Fa Olfk:e Use Onty:
MECMANICAL PERMIT PERMIT # ,
CITY OF EAGAN RECEIPT # I
3830 PILOT KNOB ROAD, EAGAN, MN 55122 . ?
PHONE:454-8100 DATE: i
Name
? Address
c City Phone
? Name
c Address p City Phone
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent
Gas Piping Outlets i
Other
? M BTU
M BTU
M BTU
M BTU
CFM
PERMIT FEE:
SlC:
TOTAL:
BLDG. TYPE WORK DESCRIPTION
Res. ?- New
MuR Add-on
Comm. Repair
FEES
RES. HVAC 0-100 M BTU
ADDRIONAL 50 M BTU
(RES. HVAC INCLUDES AIC ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - t PER PERMIT)
COMM/IND FEE -1% OF CONTRACT FEE
APL BLDGS. - COMM. RATE APPLIES
TOWNHOUSE 8 CONDOS - RES. RATE APPLIES
- $24.00
- 6.00 i
1.50 EA.
MINIMUM RESIOENTIAL FEE - ALL ADD-ON & {
REINODELS - 12.00 ?
MINIMUM COMMERCIAL FEE - 20.00
,
STATE SURCHARGE PER PERMIT - .50 1
(ADD $.50 S/C PER EACH $1000.00 Of PERMIT FEE) ?
3
a
SIGNATURE OF PERMITTEE
FOR: CITY OF EAGAN ?
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122
, PHONE 4548100
SNe
Lot Addr/e? s -? / / ?
; 7 - Block
Se
? Ea
Name
?
c Addres?
City ? ?
Phor
v
Name "l
c Add
s ? 4
?
FEES
COMM./IND. FEE - 1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CANDO - RES. RATE APLLIES
MINIMUM - RESIDENTIAL FEE $12.00
MINIMUM - COMM.IND./FEE $20.00
STATE SURCHARGE PER PERMIT .50
(ADD $i50 S1C PER EACH,,$1,000 OF PERMIT FEE)
FOR: q-ITY OF
PERMIT # _
RECEIPT #
BLDG. TYPE WORK DE2CR)DMN ?
Res. New v ?
Mult. Addon
Comm. Repair ?
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTA ?
? Water Closet - $3.00 $
? Bath Tubs - $3.00 ?
_7 Lavatory - $3.00
Shower - $3.00
? Kitchen Sink - $3.00 ?- ?
Urinal/Bidet - $3.00
? Laundry Tray - $3.00
7 Floor Drains - $1.50
? Water Heater - $1.50 ?
Whirlpool - $3.00
? Gas Piping Outlets - $1.50 ?
(MINIMUAI - 1 PER PERAAM
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
? Rough Openings - $1.50 ?
_ U. G. Sprinkler System - $12.00
PERMIT FEE: ?
STATES S/C:
GRAND TOTAL: ??
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number: 1.1
i
Eagan, Minnesota 55123 Date Issued:
' (612) 681-4675
i SITE ADDRESS: APPtICANT:
. i ?.??P;.,,triiJ ??r-?.i.?,i ? ?•?;i?t ?1? i..
. ? ??. : ?:?? , , ? ?? i : • i t ? , i ? .?-. . . ? ,t .
j PERMIT SUBTYPE: TYPE OF WORK:
.? 11 N t i., , ?: /? t I i r 11 I IIr r,;
INSPECTION D. • D•
;.?:idf?ll I f) I! I,:. ( 1 fJiil
IkElqAliKb : ',Ff'AltAtf Pf tiMl i`: AHf 817q111Ft11 Fi)Ft 11NY I'I UMftING UR PIFf.lt+ICAI I,lOftl
A
Y
Permft No. Permit Holder Date Talephone A
SNV
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspectlon Dete Insp. CommeMs
Footings I
Foundation
Framing
Roofng
Rough Plbg.
Rough Hig.
Isul.
FirepleCe
Final Htg.
OrsatTest
Final Plbg. Plbg. InspeCtor - Notify Plumber
Const. Meter
EngrJPlan
Bldg. Final
' 95
Deck Ftg.
Deck Flnal
Well
Pr. Disp.
:
z1 ' B
(grrtifiratir vf (Orrupttnry
titp of Cagan
EPpa1'bri1Prit Of llt[IbWg JWPtYIDri
This Cerlificate issued pursuant to the requiremenls of Section 306 of the Uniform Building
Code certifying lhat ar the dme of issuance this stnecrure was in compliance with the vanous
ordinances of the City regutating building construction or use. For the following:
Use CLaificauonSF DW/GAR slag. R,mt No. 17557
oauwncy Type R3 I zoning a?? PD I T- ? 11N
m 8mo .TOE MIILiF.R OM. Addnm 18133 CmAR A'VE S, FAIMDiGM
B A? n ?? ? rA, sz, i..a?cmrr Po? ?
ry
MAY 29, 1990
ding
OfficMl-
POST IN A CONSPICUOUS PLACE
SEWER& WATER PERMIT OFFICE USE ONLY
CITY Cf EA4:4N
' 3830 Pilot Knob Rd METER # PERMIT DATE 0e1 Zt3j9U
.
kagan, MN 55122-1893
CHIP # 11248
PERMIT #
METER SIZE B.P. RECEIPT # C 6550
r DATE ISSUE DATE B.P. RECEIPT DATE02 2bV9Q
PFiV
BOOSTER PUMP
-
SITEADDRESS ?,377 T,2v1n:*ston ' ).N'.ve PERMITREQUESTED
LOT " BLOCK =SEC/SUB LGxb:17tC " °o:irtc: lt `:.
'
- SEWER - WATER -TAPS
.j
APPLICANT.
ADDRESS:
- COMM/IND - RESIDENTIAL '
CITY, STATE ZIP Y NEW - EXISTING 1
PHONE: 6
?ri ?1t11+th'?ri
`'l?"' ? e???
? Lawn 5prinkler Meters are to be installed
PLUMBER:
-
ADDRESS: ^- 7e*:voo<? '?T . Ahead of Domestic Meters on Water Line.
Credit WILL NOT be given for Deduct Meters.
"?
CITY, STATE , '' 2e ll$11Ry , ' "a' ZIP 551214
./
? ?, • '
?
?
PHONE: '??t.-G,99P t ? ; ,? ,,
. I AG E TO COMPLY WITH CITY OF
OWNER: '-n? *?i 17 ar HnmeaR EAG ORDINANCES ?
ADDRESS:
a
CITY,STATE ;?Y'Tiin`=tc'Y]. ZIP 55,9214 t
PHONE:
- SIGNATURE WHEN METER ISSUED
;
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 4545220 FOR INSPECTIQNS. FOR STORM ,I
'
SEWER PERMITS, CONTACT ENGINEERING D
? EPT.
._;_ __ ._ . . ... _ _ ..
._,_._.....:
-- ._? .._._... ... _ __, ___ ..-- __..4>•u
SEWER & WA'FER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
DATE
!OFFlCE USE ONLY
METER #6/-37 4 7? y? PERMIT DATE 02/28/90
CHIP#/) L4 y / 77d PERMIT # 11248
METER SIZE 110CA B.P. RECEIPT # C?•550
ISSUE DATE B.P. RECEIPT DATE02 26 9G
- PRV - BOOSTER PUMP
SITEADDRESS 4377 Li-:;r. ^ton Drive
LOT BLOCK ?SEC/SUB r?t-x(bn^?¢^ rolnf;e ;t- i?
APPLICANT:
ADDRESS:
CITY, STATE ZIP
PHONE:
PLUMBER: ^; ,m '-es5lan p1U1'1h' Yi-r
' ADDRESS: 7-21 "Pedrti`OOCI '-??'.
I CITY,STATE ?rnlE' Va11EY, Tn,T ZIP 5ci1211
PHONE: !t
?' ?
PERMIT REQUESTED
X SEWER ? WATER - TAPS
_ COMMlIND - RESIDENTIAL
?- NEW - EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Credit WILL NOT bq given for Deduct Meters.
?. q?
i 1 ?
I AGE TO COMPLY WITH CITY OF
? OWNER: To,- "il l er Flomeg EAG N ORDINANCE
ADDRESS: 197 "ec1A.r AvA. : o. ?
f ,?81^?,3.:,r';tcTl. ';T".T cc0?1!
? CITY, STATE ZIP a-
' PHONE: SIGN TURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, C,ONTACT ENGINEERING DEPT.
?
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-5100
BUILDING PERMIT
To be used for SF DWG/GAR Est. Value $$0, 000
N° 17557
Receipt # (" J CJ
Date FEB 26 , 1990
SiteAddress- 4377 LIVINGSTON DR
Lot 4 Block 2 Sec/Sub. LEXINGTON POINT
Parcel No. 5T
W IName JOE MILLER HOMES
o Address 18133 CEDAR AVE S
City FARMINGTON Phone 431-2001
=a Name SAMR
°vOAddress
?
? City Phone
??
ww Name
?
? ; Address
<W City Phone
I hereby acknowlege thal I have read this application and state ihat the
intormation is correct and agree lo comply..with all applicable State of
Minnesota Statufes and 'ty o( Eagan i?ancesJ
Signature of Permitee 'c 4 1 C'L
A Building Permit is issued to: JOE MILLER HOMES
on the express condition that all work shall be done in accordance with all
applicable Slate of Minnesota Statutes and City ot Eagan Ordinances.
Building Official nivl_?.1.d„
OFFICE USE ONLY
Occupancy R-3 M-1 FEFS
Zoning PD R-1
(nduaq Const V-N eldg. Permit 550.00
(Allowable) V-N
Surcharge
4O.00
# of Stories
Length 47 ' Plan Review 35 7- n0
Depm 54' sac, ciry 100. 00
S.F. Tatal - SAC, MCWCC 600.00
S.F. Footprinis -
00
625
on Site Sewage _ water Conn .
On Si1e well - Water Meter 90. 00
MWCC Syslem xx 30
00
Ciry water XX Acct Deposil .
PRV Required - S/W Permit 30. 00
Booster Pump - S/W Surcharge . 50
Treatment PI 252.00
APPROVALS Road Unil 355.00
Planner - park Ded.
Council
BIdg.OIL _ Copies
SO
3
029
50
Variance - TOTAL ,
.
31=20219o 9ep 4/s
C? ?3 706
,??r
•
Request Date
3- Z ?- 9 ? Fire No. Fough enspection
O Ready Now Will Notify Inspector
Re uire ?
h
R
d
?
en
ea
y
Yes ? No
I licensed contractor p owner hereby request inspection of above electrical work at:
Job Atltlress (Street. Box or Route No.) City
4377 Liviny,??fon Duue ?:uyan
Section No. Township Name or No.
Range No.
County
I D ¢kota
Occupant(PRINT) Phone No.
aoe lUQ.Le,r Con.h-?auctjon Co. 431-2009
Power Supplief Atltlress
[7¢ko.f¢ ELec;bLic f¢2miagiorz, l'"IN 55024
Elechical Contrector (Company Name) Coniractor'S License No.
('l.idiand Uecf2ic Irzc. 049610
Maihng Atloress ICOntrac+.or or Owner Making Installationj
14055 92¢nd Ave So, Sub-'e £ Bu2ahL,iiie /7N 55337
Authoriz ture (ConiractoriOwner Making I tallation) Phone Number
892-6688
MINNESOTA STATE BOAFO OF EIECTRICI7Y ? THIS INSPECTION REOUEST WILL NOT
Grigga-Midway Bltlg. - Room 5173 BE ACCEPTED BY THE STATE BOARD
1821 UMversity Ave., St Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phpne (612) 612-0600 ENCLOSEO.
31,,Ja/go REQUEST FOR ELECTRICAL INSPECTION
? Sea instmctions lor completing this form on back ot yellow copy.
C? 3 6 7 0 6 ? :'X" Below Work Covered by This Request
?
ee-00001-07
,,,qqq???
?? /
v'
e 11'Add Repr TypeoBuilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Oiher (Specify)
Comm./Industrial Furnace
Farm Air Conditioner
Other (specify) Contractor's Remarks:
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # CircuitslFeeders Fee
Swimming Pool 0 to 200 Amps 0 io 100 Amps
Transformers Above 200 Amps Above W_ Amps
S19fIS Inspector's Use Only: T07AL
Irrigation Booms ? ?
?• 71so
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MO HS. y
I, the Electrical InsPector, herebY
tif
h Rouqn-in Date•Z ?G
y t
cer
at ihe above inspeciion has
been made. Final
vi 44,&-71 a? ?
?.+.?l.?
OFFICE USE ONLV
This request voitl 18 monihs from
? CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
P.I.N.: 10-45074--040-02
PERMIT
PERMIT TYPE: B U I L D I N G
Permit Number: 023172
Date Issued: 0 4/ Pr 5/ 9 4
4377 LIVINGSTON pR
LOT: 4 BLOCK: 2
LEXINGTON POINTE 5TH
DESCRIPTION:
BW'ilding`1,Permit Type
B`uilding Wa?rk Type
J
BASEMENT FINISH
ALTERATION
REMARKS:
SEPARHTE PERMITS ARE REQUIRED FOR ANY PLUMBING OR ELEC7RICflL WORK
FEE SUMMARY:
6ase Fee $35.00
Surcharge $,Sg
Total Fee $35.56
CONTRACTOR: OWNER: " a P p 1 i c a n t -
LACKBURN ALEX
377 LIVINGSTON DR
AGflN MN 55123
(612)452-5554
T hereby acknowledge that I have read this application and state that the ;
information is correet and agree-to comply with all applicable 5tate of Mn. ?
Statutes City a'F Eagan Ordinancas. ,
L • _ _ _. __ ?
AP I ANT/PE MITEE SIGNATURE I?UED :?GNATU ER?1?
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: Bu z Lo z N G
3830 Pilot Knob Road Permit Number: 023172
Eagan, Minnesota 55123 Date Issued: 0 4/ 0 5 J 9 4
(612) 681-4675
SITE ADDRESS: Lo T: a B L 0 C K: 2 APPLICANT:
4377 LIVINGSTON OR BLACKBURM ALEX
LEXINGTON POIN7E 5TH (612) 452-5554
PERMIT SUBTYPE: TYPE OF WORK:
BASEMENT FINISH ALTERATSON
INSPECTION
FRAMING .• .
INSULATION .,
RQUGH IN PLBG FINAL
I
REMARKS: SEPARATE PERMITS ARE REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK
?
' -
--- -r---- ------ ---- -- _ - - -
? , , •,. ,.?, . . ,i ?.
'?- ,
15111
CITY OF EAGAN
1994 BUILDING PERMIT APPLICATION
681-4675
GA;r'(
;
,
,
.._......_e ?
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date q ? Valuation of work
Site Address:-7
STREET SUfTE f!
Tenant Name: (commercial only)
LOT ? BL
?
OCK SUBD.
5'?`' A-?(• P.I.D. #
0-y6D-7- vp-oA
Descri tion of work: dy'?
The applicant is: Owner ? Contractor ? Other (Describe)
Name b(a(??(k= A( eY? Phone
Property LAST FIRST
Owner
address Y?117 bV6 aSLUj
STREET ? STE #
city "AA? state /YI/1/ zip 651,?-.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 been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with 11 pplicable ate of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE 004
0 01 Foundation ? 06 Duplex ? 11 Apt./Lodging
? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc.
? 03 SF Addition El 08 8-Plex ? 13 6arage/Accessory
? 04 SF Porch 11 09 12-Plex O 14 Fireplace
? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck
WORK TYPE
roo"! r. u a... •.p??
U 16 Basement Finish
O 17 Swim Pool
? 18 Comm./Ind.
O 19 Comm./Ind. Misc.
? 20 Public Facility
O 21 Miscellaneous
? 31 New Q 33 Alterations 0 35 Tenant Finish O 37 Demolish
? 32 Addition 0 34 Repair ? 36 Move
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
Length On-site well Census Code
Depth
On-site sewage ?
SAC Code a
d
C
Un
APPROVALS ensus
i
t 6
Planning Building Assessments
Engineering Variance
REGIUIRED IN SPECTIONS
? .Site ? Footing ED Framing El Insulation
? Wallboard ID Fi nal ? Draintile ? Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
vetuacion: g
SAC %
SAC Units
,.
11465411
1990 SUILDING PERMIT APPLICATION
CZTY OF EAGAN
SINGLE FAMILY DWELLINGS
MULTIPLE DWELLINGS
;FEB 2 2 1990
COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PI.ANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For: ?(?il) tV
Site Address '}'S_ I I it
Lot ? Block ?
uation: ? Date :
,
narcel/Sub 1-C--X1N600N Po7N-M .5f" AA,vP
G?•rner
:?ddress
City/Zip Code
Phone
Contracto
AddressN? 3 LL&A G?}-Q, .?.
City/2ip Code ' 14;suu
Phone
Arch./Engr.
Address
City/Zip Code
?o/ ?? ^ OFFICE USE ONLY
NN(,J /"
Occupancy R-j M-1
Zoning pp R-1
Actual Const y-N
Allowable y-M_
# of stories
Length
Depth 54'
S.F. Total
Footprint S.F.
On site sewage_
On site well _
MWCC 5ystem
City water
PRV _
Booster Pump _
APPROVALS
Planner
Council
Bldg. Off. IjLZ/2Z
Variance
FEES
Bldg. Permit S60,00
Surcharge OD
Plan Review 361LO-a
sAC, City 100 -00
SAC, MWCC 600000
Water Conn 62,5,00
Water Meter D OO
Acct. Deposit ,p
S/W Permit 30,OQ
S/W Surcharge _.0_5b
Treatment P1. 2S,2,ofl
Road Unit 355,0?
Park Ded.
Copies
SUBTOTAL
Penalty
TOTAL
;?1? W
Phone #
?
VALU , "I,
m .
22x22 ? H 9Sy '?C 15= ??2?a
BSMT
a 4')IyD= 9?d
?x5 z. r12
g x N = ?s?t
--____----
I I 2? X ly = ?56fSt?
?
??r ??o rz,
SSrnT-- 1I Z,=,
K i ZY ?cSZ>
v19 34?
- . .,
-- -------._.--
, UiTY OF ' nUII,UI110 UEPAit'PIUIN'i'
• • ? EX'Pk;ItIO[t ENVEL0['Fl AVENAC1C IIUII COIIPUTATIOI(
(Ta be suUmitted tvitL buildil?g permiti appliaation)
?ne or Two E'aroily Dwelli?ig Owner . 1
,11 other : 81te Addreee
:ontraotor ??Y-?? ??li(,.?'? • Cpf??j'r,
?. -.:
LIIIF;IIL E'EE'1' OF 1) 11, .
EXPOSED YlAL4 WQ?`? ?r??'?"N , fto
5T(-1 A-D:DiXN ?
Dat e Pl?o ne
6lboV8 gY'&d9 a ?4 ??' ?
TeTnL ExposEU wni.t, nizRn sq, FT?;
OPAnUE WALL COt1STRUcS'Ploll t "U" Value x AreQ
? , Detail -' upn _e;kq 3 x 8q.'FT. 1'700 j 600 -7 1i,,.11 (U)(A)
referenoe > IOU11 -
a/l-119 x SQ. FT. O 2= (U)(A)
from -?N'!S._ ??pu nJc°a x Sq. Fm. Z.U)(A)
sttaclted ????? x 8Q. FT. - U)(Q)
61?eet6 1 U 1 X A?. F'1'.
x BQ. F'T. _ M(A)
WI1IWWB1 "Ull Vulua x Ares • Ilake & TyPe 'M-,IA i Gt'1"
u Wx1",-??U?? •. ic?!? x 8q. F"1'. ZZ?Io*5n (U)(A)
i?
u n - .uuu x 8R. F'r. = tU)(A)
IOU I? x B4. F?r. _ (U)(n)
????? x aR. F°r. _ (u)(n)
WOIt9I "Ull Value x Area • . .
1lalte & TyPe ?4-i upll
x BF?o FT. i0 (U)(A)
loull n q ? npu 7 ?x 8t?. F''. ` h r? • = 1?0?4-r" (U)(A)
x aq. I-m.
x SR. FT. (u) (A)
ToTni,s r•m.i 7? (U) (n)
• 1lVEl2AUE nUn
TOTAL (U)(A) VhLUES ?v'1
UIVIDED BY TOTAL 1'IAL1, AItEA,2_71?jQl+
?-----? -,
AVERAQE IlUl ,??go?Xeea for 1&2 family?,d%velllnge , .
?- ?__ ? TOfALC1lnEAta?
Uetail referenae ' ilOu 107-1 • x 9Q. F'1'9 (pI (U)(A)
from ' nUu x 9Q. F'P. . (Il) (A)
attaclied slieete. xsQ. FTe n (U)(A)
Ueecribe openi»ge x gR. F'p. ? (U)(A)
iu roof. upn x 8Q. FYr. (p)(A)
To'TAL M(A) VALUES DIVIDCD BY 51.f-i' ??O?,U??
TO'PJIL ROOF/0$II.I1I0 AI2E1l Q?
?
11VE[tAGE IIUI? .02ventilnted roof I e. I
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.
v]*K ??-I???1',?
?n X(??z-? 32t Aoi ?e?
zz?ca , A
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3- zoXcoO = 3?X1=33,0
? - ?(x ?"? = zz ? 5x 5= (01 1 5
?- z?X?? ? ?3?`15x1= 33?75
3- Zr? X??0 ? ?. ? X I= z I, n
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60
r
9?-,11v ?-, = ????c?
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iUOP'/dEi_ ],^j11U . N YIILU
•
1.) L?terior 1?ir t'ilm
tlYp. $d 04-61
3• ?
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Liaulabiop .56
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?
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5.) Exberior ltir Film
. .61 '
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.
olull
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Wu'L It V11LU
6.) Interior Air F11?q 68
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7. )
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Ineu].atio11 0
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io. ) irpn'oiiitp' Siail,t; z 67?.
11.) Exterior Air Film 6
17 •
,
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12.) InEarior Air Y'i1m 68
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l9.00 '
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1'?uiGr-?0 r? 1188
.
t6.) Flaoouiba.siaing 2Ioq.
067
17
. Exberiox Air Film ?17
^
npn d I/tta .04-0 TomAL
...-_= (ri)n z f{?j1?
• •
FoU1iUA'rlotf ? !1 V/lLU
lU.) Inberior Air Film' p?68
19.) • • •
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Z16) 12" doanrete Bloolc ?.28
22.) .
230 Exterior Air Film ?17
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I a.a-5 l
2oo6RESIDENTIAL BUILDING rERMnT ArrLicATioN
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
Nevr Conshuction Reauiremenis RemodeltRepair Reuuiremants afla;e U58 Orik4
3 regstered sde surveys showing sq. 0. oi lot, sq. fl. of house; and all roofed areas 2 copies of plan showing foofirgs, beams, joists Cet of Swvey Recd '. Y N:
(29°/o ma)(imum lot coverage alloxed) 1 setot E.nergy Calculationsfor heated addiiions Tsee PresAtan ReGS -'_Y
2 copies ot pl2n shovnng beam & window sizes; poured found design, etc 1 site survey for additions & decks Tree Rrss RequFetl Y_ N
1setMEnergyCalculaiions Addifron - indicatedon-sitesepticsystem QnsdeSepticSgstern...._ . : Y TN.
3 copies of Tree Preservatbn Plan rfbt pPatted after 7l1193i
Rm Joist Delail Oplions selection sheet (buildngs wiih 3 or less uniis)
Minnegasco mechanicai ventilation fonn
Date ConstruckionCask
Site Address _ y3 7 Li vl-nryale i! Qr` UnitJSte #
Description of Work
j-
Multi-Family Bldg _ Y_??
Fireplace(s) _ 0
_ 1 _ 2
Property Oscner M)C kae( -r(it T n Q Telephone #(6P )f9y^- f2loc
Contractor
Address ?t I'1.YaJ City ? /????} l?
State Zip Telephone # (sY) ??Sf--??
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Ertergy Code Category '- MSnnesota Rules 7b70 Cateeorv 1 _ Minnesota Rules 7672
• Residentaal Ventilation Category 7 Worlcsheet • New Energy Code Worksheet
(ti submission type) Su6rtutted Submifted
• Energy Envebpe Cakulations Submi@ed
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address oF inaster plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
7elephone # ( )
Telephone # (
I hereby apply for a Residential Building Permit and aclanowledge that the information is complete and accurate;
that the work will he in conformaz?ce with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a pernvt, but only an application for a pernut, and work is not to start without a
pernut; that the work will be in accordance with the approved pLan in the case o? wor?,which requires a review and
approval of plans. ., / n a/ / f
Apph"tanYs Printed Name Apptcant's SignMCue ? 11??
?
?
TRI'L.AnID CO. CERTIFICATE OF SURVEY F4R:
SURVEYING
SERVICES MILLER CONSTRUCTION
1875 PLAZA DRIVE
EAGAN, MINNESOTA 55126
LEGAL DESCRIPTION; LOT4,BLOCK-2-, LEXINGTON POINTE 5th ADD.
ACCORDING TO THE RECORDED PLAT
?r THEREOF DAKOTA COUNTY,MINNESOTA
SCALE: I"=30'
^0/1
LOT 5
? ?? • 3?•-
L
'q? j
?o
P:
?
LOT 3
\ ?
9g?y
_OT 4
G
9g??
V
?
l? •
'•?
.?
i
?S1> ?
? ?- 98Z.95
in
4A! 15
9B? eg ??? J
?
Vv
9e?1 D,,3$
ca ? •3 >1 s '.. 7 -? .
A.
?'
GAN E?3C?iP3i?ERI?TG D
LE- GEND
o DENOTES IRON MONUMENT
a DENOTES
9e0. s(- DENOT ES
M-79 ?-)DENOTES
e- DENOTES
WOOD HUB SET
EXISTING SPOT
ELEVATION
PROPOSED SPOT
ELEVATION
DRAINAGE DIRECTION
I hsrsby certity that this survey, plan or
report wos prepqred by me or under my
direct supervision and thot I am a duly
Reyistered Land Surveyor under ths
Laws of the State of Minnesota.
Bradley J. $*h soq, Mn. Req. No. 15235
Date ?
.?
n?
?
69/
PRoPocEp SPLi"f' ENTKY - No WALkoU7'
INVERT ELEVATION AT SERVICE EXTENSION=
PROPOSED GARAGE FLOOR ELEVATION = 983 i-
PROPOSED FIRST FLOOR ELEVATION =
PROPOSED BASEMENT FLOOR = 979
ly-
ELEVATION
NOTE: VERIFY ALL FLOOR HEI6HTS WITH
FINAL HOUSE PLANS
City of Eapll
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
� 2✓,�(f.
Permit#: l r ti 1 C
Permit Fee: I 0 �• 3l
Date Received:
Staff:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 01-16 ' 13
Site Address: ii3?7 LI U i,t16STO.4) j7 '
Unit #:
Resident/
Owner
Name: AlCNAEL-fuKil�fj' Phone:6Sf 94Y (Z/r3
Address / City / Zip: zit 3P2 L- t 1 -wo' s'TO./ P
Applicant is: Owner x Contractor
Type of Work
Description of work: ' /i E — Roo
p S
Construction Cost: 6 8 Z =v-. Multi -Family Building: (Yes / No )
Contractor
Company: N5.0-) _7,04 /'o57 -o 5 L Contact: ,e0/9 LOPU ✓9LV'V1 t` Z,
Address: 2'Z d sT PI qu e 1 City: N ,S.7"",y v G
State: /14A) Zip: 53'/o 9 Phone: 6 /Z. 5-52 9'009
License #: ( il 5-9 S S 5 I 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 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 Code must be completed within 180
days of permit issuance.
x K LO.h/ 4W)/(€c
Applicant's Printed Name
x % amour.,
Applicant's Signatu
Page 1 of 3