4425 Lynx CtCASH RECEIPT
CITY OF EAGAN
P. O. BOX 21-199
EAGAN, MINNESOTA 55127
RECEIVEO
DATE
?
) -7
19
AMOUNT $ I
dt DOLLAR$
1 ee
E] CASH [] CHECK
Fow ?
FUND CODE plADUNT
Tha You
??? B Y
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
, CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 .
? PHONE:454-8100 ?j
BUILDING PERMIT ReceiPt
Te M osed fw 1/2 DUP.& rAilit. Value `??" ?n ` Date FEBSHRRY 27 . 1944
Site Aderess 4425 LYPiX
?, ,_Er?t t ?
Occupancy
Lot •`
WOOD
Block Sec/Sub.
10-53301-060-01
j
Alter
?
Zoning R`-
N A
ParcelNo. Repair ? FireZone
LEE KEI,LER Enlargo p Type of Const. V
„
,oc Name
Move
?
# Stories
; Addre
ss
Demolish
? ?
Length 2n
b
City
Phone
Grade
? t? ^ 1
Depth `' Sq. Fi.-
o ruame SUNSEINE COivTSTRUCTIO:vT
:F.S I,ANE
o? Address 7 7'IiOI4
u?• City 'AN Phone 454-7435
FW Name
x? Address
?uZi City Phone
I hereby acknowledge that I have read this applicotion and state that
the information is correct and ogree to comply with oll applicable
State of Minnesota Statutes and City of Eagon Ordinonces.
Sipnoture of Permittee
A 8uilding Permit is issued to: S[4'5
.
oll wark sholl be done in accordonce with o f ppp icable Stme of Minnesoto Statutes
Buildinp Officiol --
Assessment
Water & Sew.
Police
Fire
Eny.
Planrxr
Council
Bldp. Off.
APC
Pertnit 298.00
Surcharge 217 • 50
Plan check 149.00
SAC 525.00
W ter Conn. ?? ? ?
Water Meter C, 3 - o0
R?d Unit
Totol +' , ...50
on the express wndition tlwt
y of Eagan Ordinances.
Permit No. Permit Holder Misc. Permit No. Holder
Plumbing
H.V.A.C.
a S
S
Wall
Water
Disp.
Sewer
Electric S 6 A46 £ ? qC?• S d
Inspeetion Date Insp• Other
Footings
Foundation
Framing
Rouyh PIW
=Jd
J
X/zv
r
i
o
aP
l
b 3pep ?
Final HVAC
Final
Water Deseribe Location:
Wall ,
Savuar '
Pr. Disp. .
CITY OF EAGAN ?T pp
? 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 p054
? ' - PHONE:454-8100
(1,. . f
BUILDING PERMIT Receipt
T. 6. w?d for 1/2 BUP.& GP.REst. Volue 55,000 Date ?''?BRL'l?RY 27 , 19 E 4
SiteAddress 4427 LYINX
Lot G Block 1 sec/Sub. OFiKWOOD HTS. 2
Parcel No. 10-53801-060-01
ri Neme LE.T' T°:ELLER
; Address
b City Phone
? GLJNSHI^dE CO,^dST.
o Name
o? Address 1471 `I'1I0M11S LPf.
V? City ^'`?-'' Phone 454--7435
WW Name
P_19 Address
?uZ, City Phone
I hereby atknowledge that I have read this application and stote that
the informotion is correct and agree to comply with all oplplicabie
State of Minnesoto Stotutes and Gity of Eaqon Ordinances:
Sipnoture oi Permiftea
Erect [1, Occuponcy R3
Alter ? Zoning R?
Repoir ? Ftrc Zone ?'7/A
Enlarge ? Type of Const. V
Move ? # Stories
Demolish ? Length 2 4
Grade ? Depth 4? Sq. Ft.-
Assessment
Water d Sew.
Police
Fire
Enq.
Plunner
Councl I
Bldg. Off.
APC
Pertnit +' -233' 00
Surcho
rge 0
Plan check O
SAC O
Water Conn. 450.00
Water Meter 63.00
Rood Unit 260.00
rorol 51 ,772.50
A 8uilding Permif is issued to: ---?j<< : - ?? - on tha express condition thm
oll work sholl be done in accordarxe with all upplicabla Staro of Minnesota Statutes ond Ciry of Eagon Ordinances.
'j_
Buildirg Officiol
Permit No. Parmit Holder Misc. Permit No. Holder
ease
Plumbinp
H.V.A.C. ,3 S? 3 a-3
WaU
Water
Disp.
Sewar
Elactric V ? A 6 L£ 9 8 qw 5 0
Inapection Dete Insp. Other
Footings - j-? /?? 15
Foundation
Fnming ?
Rouph Plbp. GcJ . U-?5/
?
Rouph HVA ?
Insulstion
Final Plbp. ?
Final HVAC
Flnsl
Water Dsaeriha Loeation:
Well .
Sevuer
Pr. Disp.
Repipt MECHANICAL PERMIT
CITY OF EAGAN
fill in numbered apaces
Type or Prini /egibly
1. Date 2. Installation Cost _
3. Job Address???"?-> Lot Blk.
-?
i
4. Owner ??JGf//Nr ? .: ,-
1 Tract
5. Contractor N7 c Phone
? -
6. Address
7. City State 2ip J?, 4
8. Building Type: Residential $ Commercial ? Institutional ?
9. Work Description: New QJ Add ? Alter ? Repair ?
10. Describe Fuel Type %'`
11.
No.
` E.quioment 8TU - M. Ea.
Forced Air No. Equiament CFM
Ai
H
dli
Mfg. r
an
ng:
Boilers ,
_
Mfg. _ Mech. Exhaust
Unit Heater
_ Mfg. Other
Air Cond.
Mfg.
Gas, Piping Outlets
12. 1 hereby certify that the above information is true and correct, and 1 agree to
comply with all ordinances and codes governing this type of work.
Signed: for
Rough F inal
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Permit No.
Fee S/C •
Tot.
Receipt MECHANICAL PERMIT Parmit No. •
CITY OP EAGAN
Fae
L FiII in numbered spaces S/C
Type or Prini /egibJy •
Tot.
1. Date 2. Installation Cost
3. Job Address Lot Blk. Tract
4. Owner
i
5. Contractor y''eO/L/Ei'"I Phone
,
6. Address
7. City State Zip .
8. Building Type: Residential a' Commercial O Institutional ?
9. Work Description: New EY Add O Alter O Repair ?
10. Describe Fuel Type
11.
?
No, Equipment 8TU • M. Ea. No. EQUipment CFM
= Forced Air _ Air Handling:
Mfg.
Boi lers
- - Mech. Exhaust
Mfg,
Unit Heater
_ Mfg. Other
Air Cond.
Mfg,
Ga.S..?'.-dRPg Juflets
E 12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of vyork.
Signed: for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-8100
Receipt PLUMBING PERMIT Permit No.
- ,
- , CITY OF EAGAN
Fee .
Fill in numbered spaces S/C
Type or Print legibly
T
ot.
1. Date 2. Installation Cost
.i?...'?-
.?
3. Job Address
Lot Blk: C Tract _
4. Owner
5.
?,. . -
6. Address % ""? . : ? • . ? ? , ,(__
7. City State Zip 8. BuildingType: Residential Commercial ? Institutional ?
9. Work Description: New D-? Add ? Alter ? Repair ?
? 10. Describe
I 11.
No.
- ? . Fixtures
Water Closet No. Fixtures
Cess
ool/Drainfield
' Bath tubs p
$eptic Tank
_ Lavatory
Softner
Shower Well
/ Kitchen Sink
Urinal/Bidet Other
Laundry Tray
? Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed: for
Rough ' Finel
Inspections: Date Insp. Date Insp.
This is Your permit when numbered and approved.
Approved CITY OF EAGAN 454-6100
Receipt _
IV2 "°`
1. Date
3. Job Address
4, Owner
aPLUMBING PERMIT
CITY OF EAGAN
Fill in numbered spaces
Type or Print legibly
Permit No.
Fee '.
S!C
Tot. ?
2. Installation Cost
Lot Blk.' Tract
J - -? ;
5. Contractor ' .'i /? Phop€
6. Address
7. City State Zip
8. BuildingType: Residential O? Commercial ? Institutional ?
9. Work Description: New Q' Add ? Alter ? Repair ?
? 10. Describe
I 11.
k!
.?
No.
_ Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs Septic Tank
Lavatory Softner
- Shower Well
Kitchen Sink
Urinal/Bidet
Other
Laundry Tray
! Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply wiih all ordinances and codes governing this type of work.
Signed: for
flough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved , CITY OF EAGAN 454-8100
Y OF EAGAN Remarks?
Additio OAKMOOD HGPS 2ND ADDN Lot 6 Blk 1
owne? screec 4425-27 L1fNX COURT
Improvement Date Amount Annual Years Payment Re ' t Date
STREETSURF. 1984 395.40 39.54 10 355.86 Aff3571 2-22-84
STREET RESTOR.
GRADING g lftk 49.62 3.31P 15 36.4 A013571 2-22-84
SENER LATERAL 7 1981 34.31 a 25 2 9
SAN SEW TRUNK 5757 1981 IS 10.65 20 ,110
SEWERLATERAL 514 1981 24.45, 1.22 Z 19.57
WATERMAIN
WATERLATERAL 1981 45.43 20 36.35 A013571 2-22-84
WATER AREA ] 1951 213.15 . IO 170.55 11 1 r
WATBR LATERAL 575 1981 28.72 1.9. 21.08 " "
STORM SEW TRK 956 1984 717.2 47.81 K 1 669.39
STORM SEW LAT
DtAINAGH 1984 3.58 35.36 10 3 23 A013571 2-22-84
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN 900.00
BUILDIN ER.
SAC
RK
CITY OF EAGAN WATER SERVICE PERMR
3830 Pilot Knob Hoad
P
O
Box 21199 PERMIT NO.:
.
.
Eagan, MN 55121 DATE:
Zaninp: No. of Unirs:
`.i!LY:.?1PtC
OWMr_ r
?_.6iiST
_
^ddrm:
Site llddrcas:
l'n?.?: g .
,tS :.
Plunber
.
Meter No.:
Connedion Charge:
Size: AccouM Deposit:
?)
`
?
Reader No.: Permit Fee: 1
•
? `
?
1 ayrw fe emply wili tw Clh ef EeYaw Surchorge:
:1 .... .
(i(i
i_ i
Ordinanw. Misc. CFaryes: ?
.
Totcl:
gy Date Poid:
Date of Insp.: Irap.:
CITY OF EAGAN
3830 Pp
K
R WATER SERVICE PERMR
noc
ot
oad
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55121 I I ? DATE:
Zoning:
Owner, No. of Units:
ss0
???
Addross: %
A ??•,-r•
,43T
Z
?
Pzmbe'r??i0
.,. _ ,
AAeter No':?-+c? Q, .
. '4
;CConnection Charge:
Size: r -, ' e ' hAccpunY OepoSlt:
T
Ren o '" L--' Pertnit Fee:
1 agrae M sanply wM6 Me Cify ef Bagan Surcharge:
AdiwnpL Miu. Chorpes:
Totol:
BY Date Paid:
Date of Insp.: Insp.:
CITY OF EAGAN
3830 Pilot Knob Road SEWER SERVICE PERMIT
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55121 DATE:
Zaninp; No. of Units: - ' `
OWBNC
Addrcss:
, . .
$ite Address: , ,
Plumber.
-., _a . .
I .ym fo oo.iPy wt11i eu. Ciry of Eeyee c.onnscrta, Chorye:
OirdIM11CN. ACCOUM Dlposit:
Pertnit Fee:
Surchorye:
Bv Misc. Chorpss:
Date of Insp.: Total:
Insp.: Dote Poid:
CITY OF FAGAN SEWER SERVICE PERMIT
3830 N.iot Knob Road
P. O. Box 21198 PERMIT NO.:
Eagan, MN 55121 DATE: '
Zw:tnp: No. of Units: uu:? 1 B:i
Ownsr:
Address:
SiM Addi
Plumber.
1syree M eemply wHb Nia CMy of Eapn
Ordinanaa.
Connsction Chorpe: $13 . 00
Accowrc Deposir:
Permit Fae:
Surchorpe: '
MiK. Charpes:
Totol:
Doft Void:
BV
Dote of Insp.:
I nsp.:
CITY OF EAGAN
3830 wilot M nob Road WATER SERVICE PERMIT
P. G. gox 21189 PERMIT NO.: Eagan, MN 55121 DATE:
Z"^i^9: No. of Units: A`
OwrNr: '
Address:
Sita Address: . . : ; - • _ .
Plumber:
AAeMr No.: Connaction Charge: a"
Size: Account Deposft:
Reader No.: Permit Fee: 1
1nsrM M eomply wieh tir Ciqr of Eaysw Surcharge:
OrdlneneM. Mlst. Choryes: ' i: t„?•
Totai:
8y Date Paid:
Date of Insp.: Insp.:
CITY OF EAGAN WATER SERVICE PERMR
3830 Pilot Knob Road
P. O. Box 21199 PERMIT NO.: '
Eagan, MN 55121 DATE: ---'-'?
2oning, No. of units: ? 1up 1 ex
Owner: iit:iSilCe!TA,
IRddress:
$ite Addrl55: ?-? _tl»71 , C:Ji1T't, i.? ?j iiill: 11•'t5 i:l
`?Plumber: 33
V?Meter N.: D o6q4y`}4on Charge: -45 G.') 02d
$ize: `? , ,-"' AccouM Deposit:
Rea (r No.:
Permit Fee: -
I a9me bemph wftb tMe Ciry of Eayan Surcharge: -•k) ?l
Orllnsnop. Mix. CFarpes: G-d
Total:
BY ? : Dote Paid:
Date of Insp. - Insp.:
CITY OF EAGAN Remarks
Addition Lotz r- 6 Blk 1 Parcel 7 fl s3am 069 Qj
Owner Street 4427 LynX CouTt State Eagan, MN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF, 1954 8.1.d unde OTl inal 1
STREET RESTOR.
' GRADING jJHl ?1
sewer lat 1577 1981 "
SAN SEW TRUNK 19$1 it
SEWER LATERAL 19$1 11
WATERMAIN
WATER LATERAL ISHZ 11
WATER AREA 1981
water lateral 1981
STORM SEW TRK 853 1984
STORM SEW LAT
rainage 1984
CURB & GUTTER '
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER. Se
SAC
PARK
CITY OF ES4GAN Remarks *
Addition naxwnnn Lot PT 6 Blk 7 Parcel If) S4R/17 fl(,l flj
Owner Street 4425 Lynx Couz't State Eagan, NIN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. 1
STREET RESTOR.
GRADING 1981
sew - 8
SAN SEW TRUNK 5- 1981
SEWER LATERAL 1981
WATERMAIN
WATER LATERAL 1981
n n
n
WATER AREA
water 1 ter 1 981
STORM SEW TRK sf? 1984
STORM SEW LAT
drainage XJ7 1984
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER. Sef,
SAC
PARK
. CITY OF EAGAN pp
?. 3830 Pilot Knob Road, P.O. Box 27-199, Eagan, MN 55121 AT lr ? 0050
• PHONE: 454-8100
Y
BUILpING PERMIT Receipt #
To bs used For 1/2 DUP. & GAPEO_ Value $ 55,000 Dote FEBRUARY 27 19 84
SiteAddress 4427 LYNX Erect Occupancy R3
Lot 6 Block 1 SeclSub. OAKWOOD HTS. 2 Alter ? Zoning R2
ParcelNo. 10-53801-060-01 Repair ? FireZone N/A
LEE KELLER Enlarge p Type of Const. V
W Name Move 0 # Stories
; Address
b Demolish ? Length 24
City Phona 6rade ? Depth 4 2 Sq. Ft.-
? SUNSHINE CONST. Approrals Fees
o Name oU Address 1471 THOMAS LN. Assessment Permit 298.00
u? City EAGAN Phone 4 54- 7 4 8 5 Woter & Sew. Surcharg?
P
l o 0
Pl
k
Ww Name o
ice
Fire on chec
SAC 525.00
?-?? Address Eng. Water Conn. 450.00
`W City Phone Plonner WaterMeter 63.00
Council Road Unit 260.00
I hereby acknowledge that I hove read this application and state that Bldg. Off.
the information is torrect ond ogree to comply with all applicoble 772 • 5?
$?
Stote of Minnesota Statutes and City of Eagan Ordinances. APC - •
Totol
Signoture of PermiMee ,
- /
A Building Pertnit Is issued foe
on the express condition thnt
oll work sholl be done in ecmrdonce with Ikapplicable ate f Mi
tatutes and City of Eagan Ordinances.
?
Building Officiol v61.a.c.e
CITY OF EAGAN ?7
3830 Pilot Knob Road, P.O. Box 27-199, Eagan, MN 55121 jr ? 8849
PHONE: 454-8100 ?
BUILDING PERMIT Receipt # ?
Te ba used for 1/2 DUP.& GA4;t Value $ 55r000 Date FEBRUARY 27 1 y84
SiteAd ress 4425 LYNX R3
? A . N?rect Occuponcy
Lot Block Sec/Sub. Alter ? Zoning R2
Parcel No. 10-53801-060-01 Repair N/A
? Fire Zone
W Name LEE KELLER Enlorge ? Type of Const. U
Move ? # Stories
; Address Demolish ? Length 24 ?
b City Phone Gmde ? Depth 4 Z? Sq. Ft.-
? SUNSHINE CONSTRUCTION Approvalf Fees
o Name
?? Address 1471 THOMAS LANE
1- citv EAGAN pnone 454-7485
rj W Name RICK MERRICK
?
U0 Address
,:W
< City Phone
I hereby ucknowledge that I have reod this applicotion und state that
the informotion is correct and agree to comply with all opplicoble
Stute of Minnesoto Stotutes and City of Eagan Ordirwnces.
Signoture of Permittee _
A Building Permit Is issued to:
oll work sholl be do in oc
Buildinp Officiot
Assessment -
Water & Sew.
Police
Fire
Eng.
Planner -
Council _
Bldg. Off. _
APC
Permit $ 298.00
Surchorge 27 • 50
Plan check 149 . 00
snc 525.00
Water Conn. 450.00
Water Meter 63.00
Road Unit 260.00
rorol $1,772.50
on the express condition thm
State of Minnesota Statutes ond City of Eagon Ordinances.
- , S -
?
, CITY OF EAGAN ^' y r' Q Include 7 sets of plans,
1 Gertificate of Survey,&
BUILDING PERMIT APPLICATION set cf energy calculations.
'Ib : Se Used For Valuation Date - U'' _? _ ?/
;•
Site Address OFFICE USE ONLY
Lot ? Block ! Sec./Sub.?)J/?l?-I.i? i/( OccupancY
paroel #: 3 g ol _ U 1o6 ° D ? alter zoning ? -
, Repa; r Fire Zone
Owner: a?l_ 4P l jF'Y EnlarSe Z'yPe of Co nst.
Nbve # Stories
Address: Denolish Front
Grade Depth ft
City/Zip Code:
Phone #:
?
Contractor: S!i °,-;.,,'??
AcldreSS:
I?'1 ? ?
-t k1^' v-7
City/Zip Code:
Phorie #: 4 y`f
AYCh./Ehg..
Address :
City/Zip Code:
Phone #:
APPROVALS FEES
Assessments Permit o?9
Taater/Sewer Surcharge 97
--
Police Plan Check
Fire SAC S?5
Eng, Water Conn. 5'h' 40
Planner Water Meter
Council Road Unit
Bldg. Off.
APC
TOTAL ) ' S
CzTY CF EAGAN
BiJILDING PERMIT APPLICFITION
Ir_clude 2 sets of plans,
1 Gertificate of Suivey•?
1 set cf energy calculations.
To Be Used For ?Tq-7, , Valuation ?v ? O's'fl Date o'7-
Site Address yt(') 7' ? OF'FICE USE ONLY
Lot -E Block ? Sec./Sub. cy:cupancy
Parcel #: ( U- 53 a0? - ???- O? Alter Zoning
Repair Fire 2one
Owner: Jyl o EnlarcJe `Iype of Const.
Mpve # Stories
Address: Demolish Front ft.
City/Zip Code: Grade Depth fte
Phone #=
Contractor:
AGldT'2SS: ? 41-7
City/Zip Code:
Phone # : 7 `el f6'
Arch./Ehg.:
Address:
City/Zip Code:
Phone #:
P.PPFtOVALS FEES
Assessments Permit 299
-
JX4
?4ater/Sewer )
Surcharge a
Police Plan Check ? q 9 C°
Fire SAC 'S"RS Ov
gig, Water Conn. ?SO
Planner Water Meter
JL?
-
Council Road Unit a ?on ?
Bldg. Off.
APC
TOTAL
f?7 7 a ?? C?
Weathrrstrips A'?'h.Y't'. Constrnctiou No.
Guide
C:.`indows Doon ReFerence Out. Wall Int. WaH Ceiliae Roof ?loor K?a
"ca-. o I Ycs-?o 19- ? --
FlQ Room Length ? n Width '(Q'' Fieight I qF1.Cj?h Room1
Windows and Doors-Crac;cage and Arca II Win ws and D oort--Cr
Nn. ? ot t+ana _ o! X. j l1i
No- ofw1D0atn1+ o Hsithl
of Dane No u:
?•hu Llnsal [0.
ot cratk An•
?G. tt_
j 11 11,8"
? 1 ! 1)
Cocf. &a
lafiitration d
Cilaee vZ O
Ecp. wall
Net exp. wall q
lnt. wall
Floor
Ceil. wiaio li•isnc ? Na
? Total Btu. "
Revuired sq. It. E.D.R. or sq. ine. W.A. Leader atea
?F1•1 LI ? Room j Lengih/,2 ta'' wiathHeight
1L';...7....,. ¦n Dnnrs_..-Craekaae end Area
Na K94tn
ot pana Hel[ht
ot Dan• No, ot
11[ht•
- Llnar.l [t.
of eraek Araa
q. n-
,?,? ? u 3 I
coer. Eku
Infiltration
Glau f
Esp. wall
lJet ezp. wall
Int. wall
F7oor
Ceil.
Total Btu.
Requirsd sq. ft. E.D.R. or sq. ins. W.A. l.eader aree
j 171•16?(?r} Room ?Lengthlgyr t' Width qipit He:eht M
Na P'Idth
of Dane HdpM
ot pana Yo. ot
Ilsht• Llnetl iL
of crQick Arx
Oq. [t,
lt J/ 14 V
Coef. Btu
Infiltration 1 q `
Glass
Esp, waU
Net exp. wall ? 4qqLq
Int. wall
E'loor
Ceil.
Totsl B;u.
Required s.l. ft. ED.R or sq. ins. W.A. [.eadcr area
`J?a Z P1L =- 30, 8i? ?'?uh
I
In5ltration
C,lasr
Ex? 11 -
13et eap. wall
Int. waU
Floar
0
??-
Tntnlstion
How Applied
O il Width ? q H
and Arca
?.?. i"Y 51Totnl Bm.
Required sq. ft E.D.R. or sq. ins. W.A. l.eader area
F1.1 ' ? Room tL.ength 0"Width f/
Windows and Doora--Craclcage and Area
wldtn rlelsht No. ot LIn•sl tt. wre.
Ne. of oaoe of pane ]IibU o[ u?cN p. fl.
--I--
1n61tratiun
Glass ?
------
Exp. wall
Net exp. wall
lnt. wall
F1our
? Ceil.
Tntal Btu.`
quired sq, h. E.D.R. or aq. ias. W.A. L.eader ares
•l.I# Room I Length ?,I Width )?'? Hei
...A Or.s
Btu
•
Na •' Wldth
of p?na
. I (! •' Height
oQDan•
1Q No. o[
Ilshts Llneil tt.
o[ etack Atel
sa. tt.
Coef. Bcu
In6ltration
C,lass ?
Exp. wai;
Ne[ lzp. W1ll ! f [ ~
Int. wall
Floor O
11
CUI, 0
Total Btu.
Requirec) s4• ft. E.D.R. or aq. ina. W.A. Ltader area
Weathcrstrips A Cuide CO???etion No.
V,rindoae Doon Reference Out. Walt Int. WaA Ceilieg Roof
Yeo ( Yee-No 19- -
? Room Length ) r ei W;dhfi !0 If }kig{,t jQ11 11 ?
FIC*T
Windows end Doors-Crac;cage and Ana Windows
Ne• W1EU1
o! Dino Hsl(nt
of D?n• Nu. o:
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of tnct AN?
sa, (4 -
• ?O N l Il
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lafi}tration
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fsp. wall
Net exp. wall rf
Int. wall
Flonr
Ceil.
Tota! Btu.
ReCuired sq. ft. E.D.R. or sq. ins. W.A. l.eader nrea
p? ?,11y(i RoomI Length/ #,1l WidthI
Windows and oors--Crackace end Arew
N0. wlatn
Ot ytne Helgnt
of ?in• No. ot
IIght• Lla.al et.
ot CraCk wr.a
s0. R
1011
Coef. Btu
?ab?tratioc -lJ0 /290
CJau Q
Fsp. wal! ?
Net ezp. wall
In4 wall
R°°r ) 4-63
Ceil.
rotal Btu.
WinrInwx a
No. R'Idl?
e1 D??• }{elpTl
of Dans :lo. of
If6hts Llnatl [l.
ot crtek Area
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Net e:p. wau
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F7oor Q
Ceil.
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of
Imnlstion
pFind How A
RoomI Length](J'Widtt
o176--Croeknge and Area
st Nn. a[ L19.?1 Lt. Are•
I I I lCoef.1 BtLL
lnfiltration
Exp. rvall
Nei e:p. wall
lnt. wall
F!oor
{'-1.
Twnl Btu.
Requiccd sq. ft E.D.R. or sq. ins. W.A. Leader area
U/h?FP {9/1? Roomll.ongthrJ'(y" Width-?7-?
IS/:..,1...... s...1 (1...,..1'rarlrxoo nrt[j Area I
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of 9i0! He16ht
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IVet ezp. wall
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Ceii.
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Required sq. ft. E.D.R. or sq. ins. W.A. Leader aren
Fl.I Room I Length Width
lv.,.l.,..,. ,...i wnti area
Na WIJIh
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et crack Area
sp. tt.
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Total Btu.
Req;:ired sq, ft. E.D.R.,or sq. ina. W.A. Leadet atea
RESIDENTIAL BUII.DING
Permit Appiication
City Of Eagan
3830 Pilot Knob Road, Eagaa Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
New ConsWC6on Reauirements RemadeUReoair Reaui2menls Office Use Oniv
3 regisfered site surveys showing sq. R of bt, sq. R M hause; and ?II rooled amas 2 copies o( plan Cert of Survey Reod
(2096 maximum lot ooverage albweM 1 set of Eneigy Calatatims for heaOed addiGOns _ Tree Pres Plan Recd
2 coPies of Dlan stv&" beam 8 window sims; pourad fouM design, et 1 sife wrvey for additlam & dedc9 _Tree Pres Not Reqd
1 set of Eneigy Cabailatlons Additlon - ind'wate i/ai-ste septlc system _ On-sife Sepdc SysEem
3 copies of Tree PreserveUOn Plan if bt plaW after 711193
Rim Jaist Defail Optlons seloedOn sheet (bldgs Wffi 3 w less unils
Date + / / () 7> Construcdon Cost ? Io o o
Site Address ? y' o? ? j L-? ??'(, ??' • UniUSte #
Descriptlon of Work S k vU 1 ?4
Multi-Family Bldg _ Y_ N Firepiace(s) _ 0 _ 1_ 2
Property Owner PCY" (, prl D 1 Telep6one # ( (q?)
' tinat Lakes :Window & Siding .
Contractor LZV0800Z ?
? NW 1411111110 Q,lertft Drln
Address ' alloy s 55124 _ , .. .
?M ena .s.
State - ?0 ?Nl? OS?? , . . :. Zip
COMPLETE THIS AREA ONLY IF
Energy Code Category - Minnesota Rules 7670 Cateeorv 1
(J submission type) • Residentlal Ventllation Categ?y 1 Worksheet
Submitted
• Energy Envelope Calcu tlons 4iWnitted
licensed Plumber ? l n r, _ s
Mechanical Contractor
Sewer/water Contractor
A NEW BUILDING
Minnesota Rules 7672
. New Energy Code Worksheet
Submitted
'Tel?hone #(
/, Telephone # (
',if
'-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. -
? LI? ??? fUJ S C^ `
Applicant's Printed Name Applicant's i ature
OFFICE USE ONLY
Sub Types
? 01 Foundatlon
? 02 SF Dwelling
? 03 01 of _ plex
O 04 .02-plex •.
? 05 03-plex •
? 06 OMplex
Work Types
? 31 New
O 32 Additlon
? 33 Alteration
-? 34 Repfacement
O 35 Int Imprnvement ? 38 Demolish (Interior) O 44
0 36 Move Bidg. n 42 Demolish (Foundation) O 45
? 37 Demolish (Bldg)• ? 43 Reroof O 46
'Demolitlan (Erntre Bldg) = Givs PtA handcs:rt to app8cant
O 30 AcCessoryBldc
? 31 Ext. Ait - Multi
? 33 Ext Ait - SF
? 36 Multi Misc.
Siding
Fire Repair
WindowslDoors
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs LengUi Fire Sprinklered
,,.,..,.•:
Type of Const . .
,.
.,°:4:.i Yi<
.
??
-W tl?
?
. •
. ,...._. . ._. . , t'{ . ' li.?rQr? ?".'?3"i? _ . __
t . ' _.. ?.-,= .. _. _._•._ __• .. .. i t?N
•.
' _ ' _"_. . ._ R?M?V l? .A? GV?d.9 __
a AREQUIRE
?:;, ? ?;?
,•? g,, ,
. . 'A .,?Jr??f?1A..?Fl?.i:Y? __... __ , •
D INSPEG11OlaTTse15415 f0t-"
Footings (new bldg) ;
.
_ Footings (deck) FinaUNo C.O. .
_ Footings (addirion) _ Plumbing
_ Foundadoa HVpC
_ Drain Tile Other
Roof _ Ice & Water _ Final Pool
Ftgs
Air/Gas Tests
Final
_ Framin8 _ _
_
_
Siding Stucco Stone
_ Fireplace _ RI. _ _
Air Test _ Final _ Windows (new/replacement)
_ Insuladon _ Retaining Wall
Approved By , Buitding 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
? 07 05-plex O 13 18-plex O 20 Pool
O 08 06-plex ? 16 Fireplace O 21 Porch (3-sea.)
0 09 07-plex O 17 Garage p 22 Porch/Addn. (4-sea.)
? 10 08-plex ? 18 Deck O 23 Porch (screeNgaze6o)
0 11 10-plex O 19 Lower Level 0 24 SWrm Damage
O 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
RESIDENTIAL BUII.DING LAaPermtt Application
City OlEagsn
3830 Pilot Knob Road, Eagan Mn 55122 .
Telephone # 651-675-5675 FAX # 651-675-5674 .
,.
New ConsWcdon Reauiremenb ,- RertrodeN2eoair ReauiremenLa ' Otfice Use OnN •-
3 registered site surveys shawing sq. R of bt sq. R. ot house; and ?U roofed areas 2 oopies of plan _ Cert ot SLrvey Read
(20% maximum btcwera9e aftowed) ".. •. 1 set of Eneigy Cakula6on.a fa heated addidons _ Tree Pres Pfan Reod
2 ooPies ot plan showmg beem 8 wirbow srses; Poured found design, etc, 1. site survey far additions 8 dedca _ Tree Pres Not Reqd
1 set of Eneigy Calculatlore Adftn -indk:afe if on,sRe septlC sYstem _ Onarte SepUC Sysiom
3 copies of Tiee Presenatlon Pkin d bt ppCed aRer 711193
Rim Jaist Detail Optlans seletJon sireet (bldgs with 3 a less unifa
Date q / 7 / 2 a d3 Coostructlon Cost (.? (TO
Site Address q92 7 L?,/1'1 k Ct UniUSte #
Descriptlon of Work .? d? n ` 7i 6? , DV? IK X
Multi-Family Bldg Y_ N Fireplace(s) _ 0 _ 1 _ Z
Property Owner Ka re r-a ?Dv rr a H PcHi Telephone #((yS!) Z-?'43 Q
Contractor (?? r-C ot t? ? (;?Z f _. 0 u
f(,d 11'? G
Address 61-cnd a D r City A /C ol
State 111 h VirJ' p tcu ` Zip &?'? Telephone #(q
COMPLETE THIS AREA ONLY IF
Energy Code Category Minaesota Rules 7670 Cateeorv 1
(J subm?sion type) ' Residential Ventlladon Category 1 Worksheet
Submitled
• Energy Envelope Calaiatlons Submi4ed
Licensed Plumber
Mechanical Contractor '• '?,r , ? ? 1':
Sewer/Water Contractor
A NEW BUILDING
Minnesota Rules 7672
• New Energy Cade Wwksheet
Suhmitted
Telephone #(
Telephane # ( )
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 Eaga"n and the State of MN
Statutes; I understand this is not a permit, but onty an application for a permit, and work is not to stazt 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.
Jv??? ? f?VL ???? & -
Applicant's Printed Name Applicatifs Si ture
OFFICE USE ONLY
Sub Typea
? 01 FoundaUon p 07 05-plex ? 13 16-plex p 20 Pool
? 02 SF Dwelling ? 08 06-plex O 16 Fireplace ? 21 Porch (3-sea.)
? 03 01 of _ plex 0 09 07-plex 0 17 Garage ? 22 PorchlAddn. (4-sea.)
? 04 02-plex 0 10 08-plex 0 18 Deck ? 23 Porch (screenlgazebo)
0 05 03-plex O 11 10-plex O 19 Lower Level O 24 Storm Damage
p 06 04-plex p 12 12-plex Plbg_Y a_ N O 25 Miscellaneous
Work Types
0 30 Accessory Bldc.
? 31 Ext. Alt - Multi
? 33 Ext. Ait - SF
0 36 Multi Misc.
? 31 New O 35 Int Improvement 13 38 Demolish (Interior) ? 44 5iding'
? 32 AddiUon O 36 Nbve Bldg. 0 42 Demolish (Founda6on) ? 45, Fire Repair
0 33 Alteration ? 37 Demolish {Bldg)• ? 43 Reroof . O 46 WindowslDoors
-- p 34 RepiaCement . , 'Damofitfon (EnCre 81dg) - GEve PCA handout to appiicant
Valuation Occupancy MCIES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. ' PRV '
Nbr. of Bidgs Length Fire Sprinklered
Type of Const Width •
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footings (deck) _ FinaUNo C.O.
_ Footings (addition) _ Plumbing
_ Foundation HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tesu _ Final
_ Framing Siding Stucco Smne
_ Fireplace _ RI. _ Air _
Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
- lapproved By,
-
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S8W Permft 8 Surcharge
Treatment Plant
License Search
Copies
Other
Tatal
8uiiciing insPector
SURVEYOR'S CERTIFICATE ? SUNSHINE CONSTRUCTION COMPANY
.. . .
' 0 t17-L 0 1- 3037159»F 130.00
N8 --'? A
.
? = - -- ?
?,sEMENr `?
???--ORAINA6E AND UTlLl7 p?R TNE PLAT
LOT..
0lp
9094
9
?9G8.2 yo1.0
q`
? ? ?
o N0tl5?? . /,?' i
? `\ 0?$ q ? PRppOSED 906.N \?
O o--, 64R.
. ? '---? GAR ?.
o
`. 5\ qol. ?9nr ZJ
J x
??\ PPOP ?1$ ` ? ? ?? ?
w?`? _ OSEp pR/VE'tYq?, 4 /? f??
\\ ` .o \
??
Q /1$ ?Q
qy -?,?,e p5 ?0 `°' ;
qpb qf 6 9Q ? x' ?
qoQ•66°Sp¢
?\ ( 1 O o os\,d,
?
/ o '6O , O ?os
? ?y ? • 9?b?)
--?- DENOTES PROPOSED SURFACE DRAINAGE
O DENOTES IRON MONUMENT SET SCALE: 1 INCH = 30 FEET
• DEPJOTES IRON MONUP1ENT FOUND PROPOSED 6ARAGE FLOOR = ?o 9'5 FEET
X000.0 DEPlOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR = 9-9$• 5 FEET
(000.0) DEtlOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK = 9d8•8 FEET
I HEREBY CERTIFY TO SUNSHIhE CONSTRUCTIOtJ COMPANY THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Lot 6, Block l, OAKWOOD HEIGHTS 2ND ADDITION, according to
the recorded plat thereof, Dakota County, A4innesota.
AND OF THE LOCATION OF ALL BUILDINGS, IF ANY, THEREON, ANC ALL VISIBLE ENCROACHhtENTS,
IF ANY, FROt4 OR ON SAID LAND. AS SURVEYED BY ME TiiIS 2ZNflDAY OF FE'tRUAQy 198d-.
SIGNED: JAMES. ILL, INC.
,
BY :
ROLD C. PETERSON, LAND SURVEYOR
MINPJESOTA LICENSE N0. 12294
PROJECT NO. BOOK / PAGE JAMES R. HILL, INC.
84549 75//3
Planners / Engineers / Surveyors
FILE NO. 8200 Humbold[ Avenus South
FO L D E R sbomin9ton, Mn. 55431 612-684-3029
'f ? qp1r REQUEST FOR ELECTRICAL INSPECTION ee-ooooi-on
..3 ..n
/ ' See instructions for completing this form on back ot yallow copy. ?? ?
?. ?.?
""X" Be/ow Work Covered by 7his Request ? r
Nsio, Add ReD• Type of Building Appliances Wired Equipment Wirad
Home Ranye Temporary Service
Duplex Water Heater Li,yhtiny Fixtures
Apt. Building Dryer Electric Heatin
Commercial Bidg. Furnace Silo Unfoader
Industrial dldg. Air Conditioner Butk Milk Tenk
Farm Other Vecify Other(SVLr_ify)
t P.f S{T0CI(Y
sc-
OI Cf
07l11'.(
Comoute Insoectron Fee Below /
p Fee Service EntrBnCe Size #t F¢e Feeders/5ubfeeders 71 Fee Circuits
.p ' 0 to 200 Am s 0 to 30 Am s ??-. 0 to 30 An? s
Above 200 Amps 31 to 100 Amps 31 to 100 A s
Swimming Pool Above 100_Am s Above 100_Amps
Transformers Irrigation Boorns fsj) Partia ' r Fee
Signs Special Inspection
$ ?
TAL
Remarks . SD, fV, ?
.
..
?
AouBh-in r ?-
, /? the ical
Inspactor, hereby
wrtify that the above
final
' a1e ,? .
? nspection has been
mede.
Thia reduest void 18 months from
This reQUest voiE 4S 11
18 months from O 1 V
A
Request_Date _ Fire . Rough-in Inspection
3 ? R y ired? DReady Now Will NotifY ?nspec-
Yes ?No tor When Ready
Licensed Electrical Contractor I hereby requestinspection of above
Owner electrical work installed at:
Stree Address, Box or Route No.
L. City
ecUOn o. Township Name r Na. anee No. County
O?t (PRINT) Phone No.
Power upDlier Address
Elec cal Contracmr (Company Name)
?
e4)' Contraclor's License No.
? Wo 4
Mailing Ad ss ( onirac[or or Owner Making Ins ailation)
i-?. - dc'?? - /vcV
i11??
•r
Authorized Si_gnjture (Contrac or Owner Makin$ Installation) Phone Num6er-
?
MINNESOTp STATE 90ARD OF ELECTRICITY ? THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bidg. - Room N-191 BE ACCEPTED BY THE STATE 80ARU
1821 Univarsity Ave., St. Peul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phnnw 16121 297-2177 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION . EB-"""'
? W
' Sae instructions for completing ihis form on back ot yeliow copy.
_'X'" Below Work Covered by This Request Y1117
tNomw HAd ?="P. ?Type ot Building Appliuncns Wired Equipment Wir¢d
Home Ranye Temporary Service
' Duplex Water Heater Liyhtiny Fiztures
Apt. Building Dryer Electrlc Heatin
Commerciai Bldg. Fumace Si!o Unloader
Industrial Bldg. Air C nditioner Bulk Milk Tanlc
Fafm O '?fy Other (SUCr.ify)
t er Specify t e Othe:r
Compute lnspection fee Below p Fee Service EntrencaSize # Fee Feeders?Subieeders N Fe¢ Circuits
0 to 200 Am s 0 tn 30 Am s .? v'? 0 to 30 Am s
Above 200 q?nE)s, 31 to 700 Amps 31 to 100 A s
Swimming Pool Above 100_Am s Above 100_Am s
Transtormers Irrigation Booms ?$Q Partial.'Other Fee
Signs Special Inspection S T?
Remarks ?
??
// 1? /rf 1/_ I t -VL %
Roueh-in D? the ectrical
'77T InspeCtor, herehy
cartiiy thet the above
Final ? nspection hes deen
made.
Th18 feQuest void 18 months from
This reques[ void 3? 9•? ?/ ? y• S b
18 Amonths from ?
FL11 D ?? A . N?.. U. _1 w? r
,?_3L?
e aes[ Date
i e o./ ?.w v v?. r
Rough-in Inspeclion
Requiredl . + -
ReadY Naw ?Will Notify, Inspec-
?
' u1'es ? No lor When Ready
r-
? Lir.ensed Electrical Coivractor I hereby re4uest inspection of above
Owner alectrical work installed et:
Street Address, Box or Route No.
44jS Crty
_
o. Township N me or No.
73n7
I
Range No.
County
OccupantlPRINTI A Phone No.
1
Power SUpplier Addres5
?
Elec f. cal Con(ractor (Company Name) Contrdctor's LiCense No.
Mailing Add s(Contractor or Owner Ma ing I stailati n)
?
?
?
? w V ?•??
Au[horized SignalucaLCon[ractor/Owner Making Installation) Phone Number
MINNESO7A STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midwey Bldg. - Room N-197 BE ACCEPTED BY THE STqTE BOARD
1821 UniversitY Ave., St, Paul, MN 55104 UNLESS PROPEH INSPECTION FEE IS
Phone (672) 297-2111 ENCLOSED.
City of Ea�all
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
r
Use BLUE or BLACK Ink
For Office Use
Permit #: InDV)
Permit Fee: (6(' (9a
Date Received:
Staff:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: CF /t{ 1.3 Site Address: q Y
Resident/
Owner
Name: .._,2.J'A-lk. (u D Oa k Phone: 61 %"6 6U '-G 40-c2
-// L
Address / City / Zip: L(4 -/ _\{4 1 C.---I--
.---I-Applicant
Applicantis: c./ Owner Contractor
Type of Work
Description of work: re.. c00 --c
Construction Cost J Multi -Family Building: (Yes _Ti,.. -- No
Contractor
Company: S
917P Contact:
Address: City:
State: Zip: Phone:
License #: Lead Certificate #:
If the project
(
is exempt
from lead certification, please explain why: (see Page 3 for additional information)
/
f
In t e last 12 •nths,
\ es 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:
Licens- Plumber:
Mechanical , ontractor:
Sewer & Water ontractor:
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 • Ah) vct !/-
Applicant's Printed Name
x
Applicant's Signature
Page 1 of 3