4860 Knottingham CirBLDG. PERMIT N0.
• ??:?< ? ? ,.
01-3210 _ Bld"g. Permit
01-3422 Plan Check
01-3445 Surch./Adm. ?
- 01-3446 SAC/Adm.
01-2155 Surcharge
17-3860 Road Unit
20-2275 SAC
20-3865 Water Conn.
20-3868 Water Trmt. <
20-3716 Water Meter
20-2252 Acct. Dep.
20-3713 Water Permit
20-3743 Sewer Permit
79-3866 Sewer Conn.
11-3855 Park Ded.
TOTAL <•'k '~_:;
? CASH RECEIPT
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
_?
DATE - 19
RECEIVED , s
FROM `
AMOUNT $
. . I
& DULLARS
1 oo
? CASH ? GHECK
• ' ?
FOR . J . .
t / _f %
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
Thank You
BY
CITY OF EAGAN Remarks
Addition BRITTANY ATH ADDN_ Lot 15 eIk 2 Parcel 10 15007 150 02
Owner Street 4$60 Knottingham Cr. State Eagan, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 19'] 12.23 15 ?
SEWER LATERAL
WATERMAIN
WATER LATERAL
U)a WATER AREA I 1$6 536.oo 35,24 I.
STORM SEW TRK 1Q Q 1$6 942.00 62.80 1
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
5AC
PARK
CITI/ OI
3830 PILOT KNOB RC
PRICE: v PHONE:
Site Address
?
LotBlock Z Sec/Sub
. .?
? Name
? Address
c ?
?
?
Ciry ???jj/
_ Phone
Name j ?' ?
3 Address ' ?-
p Ciry Phon--(/,W4.i1
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $72.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
/ ?.
44-
SIGNATURE OF PERMITTEE
FOR: CITY OF EAGAN
PERMIT # n X V 7
ERMIT RECEIPT # 7,? 9S 7
GAN
EAGAN, MN 55122 DATE: 291 "0 -7
WORK DESCRIPTION
ew
Add-on
Repair
PLBG. ONLY - COMPLETE THE
FIXTURES
_Water Closet - $3.00
_Bath Tubs - $3.00
?_Shower - $3.00
iSi?chen Sink - $3.00
Urinal/Bidet - $3.00
_,L-Laundry Tray - $300
_?Floor Drains - $1.50
4-_Water Heater - $1.50
Whlripool - $3.00
_,L-Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMin
Softener - $5.00
Well - $10.00
Private Dis - $10 00
TOTAL
4, L, t'
/Z c: G-
-
i ?
? ? •
P.
. Rough Openings - $1.50
FEE
STATE S/C: -
_ GRANU TOTAL: --
-, .
;j. . •.?._ .
, , ; ? , . .
, .. , . . . . .
• , -• ' PERMIT#
MiCHANI CAL PERMIT RECEIPT #
CITY OF EAGAN
'
? 3830 PILO T KNOB RO AD, EAGAN, MN 55121 DATE
CONTRACT PRICE: ' PHONE 454-8100
Site Address TYPE WORK DE3CRIPTION
BLDG
Lot Block Sec/Sub .
" w
R
N
es.
e
? Name Mult Add-on
? Address ' Repair '
Comm
c City Phone ' .
Othgr
Name FEES
?
c Address RES. HVAC 0-100 M BTU -$24.00
p Ciry Phone ? ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
ADDITIONAL 6 M BTU - 6.00
TYPE OF WORK GAS OUTLETS - 1.50 EA.
Forced Air M BTU COMM/IND FEE - 1% OF CONTRACT FEE
Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00
Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00
Air Cond M BTU STATE SURCHARGE PER PERMIT - .SQ
(ADO a.50 S/C IF PERMIT PRICE GOES
Ver?t. CFM BEYOND $1,000.00)
Gas Piping OuUets # ?
Other
FEE
? ?
SIGNATURE OF PERMITTEE
S/C: --
TOTAL• '
FOR: CITY OF EAGAN
(gertifiratt nf (IDrruptttcry
Citp of (f agan
prprtmrn# ? iniiding jwprtiva
This Certifrcale usued pursuant ta the requirements af Seetion 306 of the Uniform BWilding
Code cerufying that at the time of issrrance tAis struclure was in complrance with tire various
ordirrances of the City regulating building eorlstruction or use. For the following:
ux caassi6cauoo SY DWG/GAR Maa. Rrmit No.13381.
Oacupancy Type ' Zonm District ' '[ype Consc. " 1
lo'iefBOn ??12617 ,.??az7'?.i-ri !.t-e„
ow„et or e?,ad?
Building Address 6 0 ! ?:? O C C d. i s`? ] <^? T( ? ? = t- L.yhty :.15, B2, ?'• L ? ? ?: A 11Y i7
JunB 16, 1o.?_.
Date:
6wlding Olficial .
PQST IN A COMSPICUOUS PLACE
a.
CITY OF EAGAN
' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHON E: 454-8100
BUILDING PERMIT Receipt#t
To be used for Est. Value Date Slte Address ' ' ' %'" j n
' .:. ;
Lot Block Sec/Sub.
Parcel No.
a Name '?" ??•"
W Address
City Phone
,o ame
? i Address
? City Phone
Phone
I hereby ecknowledge that I have read this appiicatlon and atate
that the information is conect and agree to comply with all applicable
State of Minnesote Statutes end City ot Eagan Ordinancea
z- r
?
;.
?.. _ r
On Site Sewaye OccupanCy
MWCC Syatem _ Zonlnp
On Site Well Type of Const
City Water = (Actuan
(ANowable)
* of Stories
L
h
enyt
Oepth
S.F. Totel
Footprint S.F.
APPROVAL
ABSessmente
Water/Sewer
FEES
Fire
Engr.
Plenner
Council
Bldg. Otf.
APC
Variance
Siynature of Permittee .
?.• ?: i'•''
?; . ._ . i .? .. _ .
A Building Permit ia issued to:
all work shall be done In accordance with all applicable State of Minnesota S
. ?; •.
. ?
--??*-t-- s
. i
,.
on the express conditfan that
I City of Eegan Ordinancea
_ Plan Review
_ SAC, City
_ SAC, MWCC
_ Water Conn.
_ Water Meter
_ Rosd Unlt
_ Treatmer?t Pt
_ PBrks
Copiea
TOTAI
Prrmit No. Permlt Holder pite Tslephone X
pl'umbin9 ?•? `?? ? i
H.V.A.C. y
.t. 4,
Electric ? .? ^,,e `? L,, ,:',/?•, ,??,/? ce;.
Softener
Inspection Date Insp. Comments
Footings I
Footings II
Foundatio
Framing
Roofing
Rough Plbg. > . y--'? ,,; '
Rough Htg. .?p, A'A
Isul. ? AlP
Firepiace ?
Final Htg.
Final Plbg. ?_-
Bidg. Final
Cert.Occ.
Temp. LP
Deck Ftg.
Deck Frmg.
Well
Pr. Disp.
cin oF eacAN
3830 Pllot Knob Road
P.O."?Box 21199
Eagan, MN 55121
Zoning: r1
Owner. Tollefson Blars.
SEWER SERVICE PERMIT
PERMIT NO.:
DATE:
No. of Units:
i Date ot Insp.: Total:
Insp,: Date
L_
--- -
CITY O'F EAGAN Permit No: pate: 5-14 - r 7
3830 Pllat i:nob Road Meter No: Size:
P.O.'Box 21189 Reader No: Date:
Eagan, MN 55121
,..-.--- 'i'oll.:: sotl B1dzs.
? Site Address:
?
. Pl?imhor
Conn. Chg: - - 5• 00p d
Acct. Dep: 15. QflD d
Permit Fee: 11). (11 %o d
Surcharge: • r??'1 ``°
Tr. Plant ? `>J.t?U; ?rl
Meter
.
Misc
:
.
Zoning:
No. of Unlts: I
I agree to comply wlth the CNy of Eagan
Ordinances.
By
WATER SERVICE PERMIT
?
CITY OF EAGAN Pe1'mit NO: - pa{e; `' 14 T
O ? Size;
3830 P1e1 Knob Road Meter No:
P.O. Box 211" Reader No: ? d Date: s- x7 Y7
Eagar,;• MN 55121
Owner. To1larsort :rs
Site Ad?ress: 4,860 '*n° ircte L15 '32 Brittany Sth
Conn. Chg: i,cornn9' i
Acct Dep: - •' ?-' Oo.e?
PermitFee• - ?1IAr,?
Surchargec I ayree to compty with the City of Eagan
Tr. Plant 1 ? • ?? Ordinanc . -
Meter.
Misc.: BY
WATER SERVICE PERMIT
I agrae to compy wtth the City of Esgan Connection Charge: 525,001d
Ordinancea. Account Deposit: 15, UoRd
Permit Fee: 10. 002d
Surcharge: • 5 C" 2`1
gy Misa Charges:
' CASH RECEIPT
- ' • GTY OF EAGAN •
3830 PILOT KNOB ROAD
EAGAN, MINN? TA 55122
? ATE ? . / 19!
RECEIV6 -t/??C-'L/ > ??I 4,
FROM L? d
c ?.
AMOUNT $ a0
*
E] CASH
FON 1. <-
?.
1 FUNO - ? COOE YMOVNT
? sd ? v
/ ? a G
70
Thank You ?
? .
BY
N _ 73444
White-Payers Copy
Yellow-Postin9 CoPY
Pink-File Copy
' CITY OF EAGAN No- 13 3 81
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE:454-8100 ? y
BUILDING PERMIT
To be used for SF DWG/GAR Est. value $12 7, 000
Receipt # -
Date A7A12CH 26 ,1987
SiteAddress 4860 KNOTTINGHAM CIR
Lot 15 Block 2 5ec/Su6. BRITTANY 8 On Site Sewage
MWCC System
Parcel No. On Site Well
Ciry Water
, Name TOLLEFSON BUILDERS INC
= Address 12617 FAIRGREEN AVE
? City A•V- Phone 431-1100
, o Name SAME
oQ
U Address APPROVALS
: City Phone Asseuments
Water/Sewer
W w Name Police
??
Address Fire
Engr
a w
CityPhone .
Planner
Council
I hereby acknowledge that I have read this application and state 81dg.Off.
thattheinformationiscorcectandayre tocomplywithalllicable APC
State of Minnesota StatuTes City f Eagan rdina
? es. Vaaance
Signature of Permittae '
TOLLEFSOL BUILDERS INC
OFFICE USE ONLY
Occupancy R3
X 2oning Rl
Type of Const
? (Actuap
(Allowable) v
# of Stories
Lengfh
Depth 4 fi
S.F. Total
Footpfint S.F.
FEES
_ Parmit $ 584-50
_ Surcharge 64 50
_ PlanReview 297-25
_ SAGCity 1 00 _ 00
_ SAC.MWCC 57r;_00
_ waterCona 595 _ 00
_ WaterMeter 67_00
_ RoadUnit '105 _00
_ 7reatmen[ P1 1 R 0_ 00
_ Parks
Copies
25
TOTAL
A Building Permit is issuetl on the express condition that
all work shall be done in ac ordance with all appligaple State of lvrneqolp Statutes and Ciry of Eagan Ordinance&
? .
Building Official
7 REQUEST FOR ELECTRICAL INSPECTlON kVh ee-ooooi-os
? 57
/ See instructions lor completinp thia form on bBek o7 yellow eopy.
C' fA97 1A "X" Below Work Covered by 7his Request
AAd flaD. TyPe OI BuiIC,nO APPl iOncea Wirad Equipmenl WIreA
Home Range 7emporery Service
Ouplex Water Heater Lightin,y Fixtures
Apt. BwlAmg Dryer Electric Heavn
Commercial Bldg. Fumace Silo Unloader
Intlustrial 81Ag. Air Conditioner Bulk Milk Tenk
Farm thrr peci y CtherlSner.rtyl
? >r SuocJy Other Oiher
Compute Inspectlon Fee Below
p Fea ServieeEntreneeSize p Fea feede.s/Subteetlers a Fae Circwts
U to 200 Am s 0 to 30 Am s 0 to 30 Am s
Above 200 qmps 31 to 100 qinps 31 to 100 A s
Swimmin Pool - Above 100_Am s Above 100-Am s
Transiormers Imgation Booms Partial."Other Fee
Signs Speciallnspection
dL-
$
TOTA
emarks ` ?i
7-bo
Houph-in
/1,117 Date p7
y-lV C I 1,the EI '
i^aaecio., na.eev
certilV Ihet the ebove
Fnal
I inspection has been
mede.
mis rapuest voitl 10 months Irom
ihis requesl void 7 X
18 months (rom
t 92214 Heqa?'4Datc. ' fira P1o. flouph-in Idspecbon
2''' Req iredTi ?Neady Nuw ?W?II Notily InsDec-
)
Y ?/ yes ?No br When Reedy
Licensed Electrical ConVactor I heraby request inspeeLOn of e0ove
Owner elechical work installad at:
SVeet Atldress, Box or
fl
oute No. Crty
/
/
ection o. 7oh.nship Name oT No. Ranee o. Counly
Occupant (PPINT) Phone No.
T ?c?s C ? S -3/ - / O"U
Power pplier Adtlress
&a",ec-67 ?6
Electrical Conttactor (Company Name) Contracror's License No.
MaiTnQ?ess ICOntractor or Owner Making
` Instailanonl
.? ti
/w 3 „6 5?37 ?
Author ed Signature (Contractor Owner king Installation Phone Numbar
r
MINNESOTp STATE BOAflD OF ELECTRICITY THIS INSPECTION qEQUEST WILL NOT
Gripge-Midwey Bltlg. - Xoom N-191 BE ACCEPTED BV.TME STqTE BOARD
7821 University pve., 51. Paul, MI N 56104 UNLESS PROPEN INSPECTION FEE IS
NCLOSED.
Phona 16771 692-0800 E
?-?d 33 I
PLUMBING (RESIDENTIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
Please complete for: Single Family Dwellings
Townhomes and Condos when permits are required for each unit
-?' /S, S6
Date D3 /_11_I 03
Site Address '-I"g (o O 91, n7 f f h/, 1l(i rY7 l t! Unit #
Property Owner ?- n Fri I Z Telephone # ((?21 ) -4-5 2 - 13'7 1
Contractor b4-r::1-tX_ h/( -kr? )rC?L
Address li4t°)`T City -ec-ke?111e-
State I' Ih . Zip 55?>4 Telep6one #(`).5a i53 '-Li?-73
The Applicant is _ Owner Contractor _ Other
Septic System New _ Refurbished Submit 2 sets of plans and MPC license $ 100.00
Includes County fee. Atltlitional consultant fees may apply.
Alterations To Ezisfing Dwelling Unit, Including
_ Adding fxtures to lower levels or room additions, excluding water softener and water heater $ 50.00
_ Abandonment of septic system
_ Water turnaround (+ 5/8" meter if needed -$121.00)
Other:
_ RPZ _ new installation _ repair _ rebuild $ 30.00
_ Lawn irrigaGon system
f'' v i -- 1?
?
?
_ water sottener _ Water 6eater
_ replacement Vadditional i?
I 9
f
r MA}; i 4 2003
illi
$ 15.00
Y
'
State Surcharge $ .50
Total $ j 5
I hereby apply for a Residenual Plumbing Pemut and aclmowledge that the information is complete and accurate; that me work wW
be in conformance with the ordinances and codes of the Ciry of Eagan and with the Plumbing Codes; that I understand this is not a
pemut, 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 wluch requires a review and approval of plans.
JO?e?? h1?h ?e- 61.1 n o
Applicant's Printed Name A' 1'cant's Signature
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Conatructbn Reaulnmenm
• 3 registeretl sNe surveys showing sq. It. of IM, sq. il. of house; an0 gjl roofed areas
(20% mezimum rot coverege ellowed)
. 2 wpies of plen showing beam & window saes; poured Mund Casign, etc.)
• lsatolEnergyCalculations
• 3 copies of Tree Preservatbn Plan if bt platted aMer 7/1 f93
. Rim Jalst Detail Optbns selectbn sheet (bldgs with 3 or less untts)
DATE S?ZyJo ->,
RemotlellRenalr Reaulremente
. 2 copies ot plan
. isetofEnergyCakulatbnsforheatedad '?
• tstlesurveyforexlerbradditbns&decks
• Indicateilhomeservedbysepticsystemforatld'dions
VALUATION ? 01-A 3
SITE ADDRESS ` 40 ' l n L54i n ? AAim ??/r MULTI-FAMILY BLDG _Y
TYPE OF WORK rF r'VO E FIREPLACE(S) _ 0_ 1
CJI'?S
APPLICANT &
XI'1?
k4q
STREET ADDRESS ? qG7 6 wd S ?0 n S CITY " ?+'? Mra"_
TELEPHONE # 5'2 4?1 -eZ32 CELL PHONE # FAX #
?n
_ 2
TEn'L'v ZIP ?L s 3y?
PROPERN OWNER e0Y1 iELEPHONE #?S?-
--------------------- ------------------ ----------- ------------- ---------------------- -°------
COMPLETE THIS SECTION FOR -NEWff RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 _ MINNESOTA RULES 7672
(J submission type) • ResiUenfial Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
. Energy Envalope Calculations Submitted
Plumbing Conhacfor: Phone #
Plumbing system includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00
Water Heater No. of R.I. Baths
No. of Baths
Mechanlcal Conhactor: Phone If
Mechanical system includes: _ Air Conditioning ? j FI?'AY ???•?OZ D
_ Heat Recovery System
Sewer/Water Conhactor. Phone # B
---------------------------------------°------°------------°----°°------------------°-----------°°----°----------
I hereby acknowledge thaT I have read this application, state that the information is correct, and a ree to comply
wlm all applicable State of Minnesota Statutes and City of Eagan Ordinan
Signature of Applica
OFFICE USE ONLY
Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _
Updated 4102
OFFICE USE ONLY
? Ot Foundation ? 07 05-plex ? 13 16-plex 0 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace O 21 Porch (3-sea.) 0 31 Ext. Alt - Multl
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex O 12 12-plex Plbg_Yor_ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvament ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair
? 33 Alteration ? 37 Demalish (Bldg)• ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement 'Demolition (EMire Bldg only) - Give PCA harMout to applicaM
Valuatlon Occupancy MC/ES System
Census Code 2oning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bidgs Length Fire Sprinklered
Type of Const W idth
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footings (deck) FinaVNo C.O.
_ Footings (addition) _ Plumbing
_ Foundation HVpC
_ Drain Tile Other
Roaf _ Ice & Water _ Final _ Pool
Ftgs
Air/Gas Tests Final
_ Framing _
_
Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ _
Final _ Windows (new/replacement)
_ Insulation • _ Retaining Wall
Approved By , Building Inspector
----------------------------________---------------------------------------_-----------
Base Fee ?y __ .--- --- -- -
Surcharge
Plan Review
MC/ES SAC
City SAC . ?
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant ? 'I Ot 1????( ?
i
Plumbing Permit
Mechanical Permit W ?
License Search
Copies
Other ?
Total -
3 ?
3
7987 BOILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS .
INCLIIDE 2 SEPS OF PLANS, 3
OF SQ80EY, 1 SET OF ENERGY CALCQLATIOHS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOANBR MUST DESZGNATE WHICH ADDRfiSS
IS DFSIRED. NO CH6NGES WILL BE ALLOiIED ONCE BOILDING PfiRMIT IS ISSQED.
M[TLTIPLE DWEI,LINGS - R&SIDENTIAL RENTAL DNITS FOR SALE QBTITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SORVEY - CHECK AITH HLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COMMERCI9L
INCLUDE 2 SETS OF ARCHITECTUHAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
41 12 7, 0?0
To Be Used For: jdAl"A Valuation:
t •
Site Address OFFIi
Lot J,5- Block On Site Sewage_
MWCC System Z
Parcel/Sut(?? ?- On Site Well
City Water ?
Owner lj1i
Address
City/Zip Code _
Phone
Contraetor
Address j ,;[? I _
City/Zip Code ?
Phone '`/ 3
Arch./Engr.
Address
City/Zip Code _
Phone #
AYPROV9LS
Assessments
Water/Sewer
Police
Fi-re
Engr
Planner
Council
Bldg Off
APC
Variance
Date: 3 1a6 '7
Oecupancy I? 3
Zoning R I
Type of Const
(Actual) SL
(Allowable) SL
# of Stories
Length 54
Depth 4LR
S.F. Total
Footprint S.F.
FEES
Permit 584 •so
Surcharge
Plan Review Z92. ?s
SAC, City Ioo.
SAC, MWCC 5'Z5•
Water Conn 525
Water Meter (o"I
Road Unit 305
Treatment Pl 1 P?D.
Parks
Copies
TOTAL ?
? S--
t " 2 I x?4 ? 504 K Sv - Z?2? 2-.
T714
Iq-.?c 2¢ V ?3? x l 2- = 4o3 Z
S-dC) x (2 ?- (0000
? ? ?2 = ?og ? ?2 f 129 ?
I 2?(?? z4-
aosE
ENGiNEEfiING
COMPflNYf INC.
? 1000 EJlS7 1462B S7RE:T,
qlr& TOIIEFSoN E.eNir.
COHSULTIHO Eli61HEfA5 . 80'? L$ P?E 33
pIANHEflS cnd LAHO gllRVEYOQS
BtlANSVILLE. YIHHESDTa 5S337 pF! 422-3000
?4?1 .?7escr?p?iorL: LDT16, eLocK 2, 8R1'TTANY 8ru aDomoN
. DAKOrA COUNN, MINNESrJTA
( 9'ii=s) DENOTE:- EXISTING F16vAn0N
(171. S ) DENOTES
INDICATF$
q?+63 = pNISNED
SCALE-3o?
PROR05ED ELEVATpN
DIRFLTION OF SVRFACE DRAINAGE
GARPGE FIQOR ELY-V.4-1l0N
? r-- ;
W
J
?
U?
Q
L4
30'FRONr BvIL
sEr84cK uNE
I ?" i
lo ( ?
W
('7
N0' ? ?.
a, I C?
( s
DRAINAGE !+'•JD v i 1LI -i'(
EASE M0?T r
N ,.'5 °2? OS / 'r s
?
1
?
? ? LOT l5 10
'' ? ; i ? 1?^• I/ I'.
_ .
,4.5) ?
?
7
-
34.0 ? s?s ? I
O o
" QARACE ?
-- 1
v_ ?
?2.0 (9l'?-r')
'± IPRoPOSED
I HoUSE
` I
.o
s ? ?87-161 ?H74•s?
L S?
6 ?a
I
? f•o
.
H.o
res
;n 23s
(17 4 S)
? .'
? ?
h5?9 / • ? °
- - 15
o,
l! 1
o-`r)
d^ cV
(?I N
-o
0
C?-yo ? / 30.00" ??? 9i
30.0 ? .S ° •
?qb7.9) 89 37 ? 37? W
I hereby cartify that thia in a t:ae and correct 2^epz'aeenatioa_of t.tTaet of
1a?? shavri and deacribed hereon.• 1?e prepared by tnn on this '?daY of .
, 19 Y7,
•_ _ .
.
I ---? v . .. . : .. . . "_._ ._..__ _ .. ---
-- --- - - - -- -__.- -h.•;. ,
CITY OF SUILDINa DEPARTMENT
EXTERIOR ENVELOPE AVERA6E "Ull C014PUTATION
(To he submitted with building permit application)
One or Two Family Dwelling ' Owner 7oLt FF nf 4 LiA .Ik IZ?
All Other Site Addreea
Cotttrsctor _T_O?LEF'Som P?illUlD02,f-p Date Phone 464-(p07-?'
LINEAL FEET OF
EXPOSED FJALL ?, U10?Kr-?122? Yto above grade = a?s.aa
TOTAL EX.°OSED WpLL AREA Sq. FT.
0?AG,UE WtlL COP:STRUOITIOtis "U" Value x Area
Detail P:RaM?F P'U" . D43 x Sq.
reference onnlG i'Ull .pQQ, x Sq.
from 121M flUts .[X{D x Sq.
attached flUtt x Sq.
sheets IIp° x 32.
IfUll x Sq.
FT. 1?1a9•?'r e z.C? L (U) (A)
FT. es•-76- a 4U (U) (A)
FT. IFi-T4R= 7• 6 Q (U)(A)
FT. _ ?U)(4)
FT. _ (U)(A)
FT. - (U) (A)
WINDOWS: "Ulf Value x Area
Make & Type SA6W.06M7- uUn •4¢, • x SQ. FT. L.4 a1, 4L(U)(A)
is u npll x Sq. FT. _ (U)(A)
u n nUu x`JQ. FT. = (U)(A)
n u npu s.3Q. FT. = (ll)(A)
DOORS: "U'l Value x Aree
t•ia2ce & Tyae _ST flUff .. /4 x 3Qo
of u PqnO VIUVO .4-7 x SR.
n n nuIi X gR
.
u n nUn 8 SQ.
TOTALS ?a?•a?SQ.
AVERAOE "U"
TOTAL M(A) VALUES _ .O1
DIVIDED HY TOTAL 57ALL ARE03*;O'aa
1
AVERA(iE "Ulf ?(1,ar less foT 1&2 family dwellittge
ROOF/CEILIN(3 2
TOTAL AREAs EAO
Detail referenae IIUII • a? x SQ*
from olUit x SQ*
attached sheete. ovUle x SQ.
Describe oneninga flUff x SQ,
in roof. to0ll x gQ,
TOTAL (U)(A) VALUES DIVIDED BY 1-7.6¢ a
FT..?=? (U)(A)
F'T. = (U) (A)
FT, e (U) (A)
r'T. (U) (A)
17.?
FT. ?. ?(U)(A)
FT. (U)(A)
FT. ? (U)(A)
FT. n (U)(A)
(U) (A)
rrh1,5 .? ?.? L?.il-CuyA-?\
TOTAL R00F/CEILIN(i A13EA 640 ' 0??
AVERACiE IOU'l .025 for ventilated roofa.
. '
' ?IZC?ss ExR7?-D WALL
q.5o x (30 +F=E?7-0 ) = 11 G-7 - o0
8.83 xr--?g + Eg + 30 + 36) - _I IB3 • zz
-238?--R?-*
fo'7 X C3€3 -+- W +- -:;-18 +-a -2-1) = g 5. -76 *
ViM S'ovsT
yC (?-& fiSZ +"SLk '-- C_,72?) _ IB-7. Sg -?
W ? N ?owS
-?6 X56 = S.OD XZZ-., ? 1 0. 00
a0 X"1D = g.', X I = g•h
a4 xLO 0 = ?o.o
a4 x4B = ?.o X -Z? = 16. D
44.60 ?-
ICcO25 Nev ExpoSED WAu, Eo-UrtLS
3= srZ- w( sL? = zg . bp ?2c?ss wA-u_ z, 38n . z7_
ZB STL G;c R- = zl • dU LE;r, CDKC-. 85.-X,
6° v/a-no x z= e4.00 21M 187.-C?3
10-3. oo ? wrNmnls 44?Lo -450.94
bo01Ls t33QD
2m? --
3oxz8 = g4Dw
! 9,;o. a8 ?-
CITY OF EAGAN
-- ,
.-
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTiON
1) PROPERTY ADDRESS:
LEGAL DESCRIPTION:
ease
*1C77.'F': PAYM6'Rr OE EEE AT TIIME C:
arPiscrTIorr poFS Nom oorszz2vrE
APPRWAI: OF PERMI'r. .
INSPEcriori oF sEtM arm/Ct W=
T11SR`A77ATT?'j WILL NOT EE $QjID-
ULID f]NPIL PERNffT AAS BEEN
APPRC3VID.
(LOt/tllOCK/St1bd1V151oi1 OL TaX PdrC01 ID #) IF F3ISTING 5'ZRCtZL'RE, DATE OF ORIGINAL BI.'ILDING PE.RMLT ISSL'AI9CE: .
PR£SENI' ZONING/PROPOSID LTSE: (Mon Year)
Q COD21ERCIAL/REPATr /OFF2CE
Q SIa1C'STRIAI,
n INSTIZL'TIONAL/GOVERNMENT
Ple-RI-1 SINGLE FAMILY
Q R-2 DL'PLEX (74.o CTnits)
? R-3 20Id[EOUSE (Three + Uni.ts)
? R-4 APARTMENr/COAIDOMINIL'M
( Onits)
( Units)
Z)
NAME: 4s9-AC
aonPEss:layd
CITY, STATE, .s S 37,7 =
PHONE: 22j_74 b U
f 3) • u ri?•
NAME:
ADDRESS:
CITYr STATE, 2IP:Alrafie-?
PHONE: MASTFR LZQISER
Pliunbers License:
? Active
Ecpired
NOt LE'COSd2d
Sta?tial
4) ?i.?ru•:?? ?;.iu?; ?
NP,I?E:
ADDRESS:
CITY, STATE, ZIP:
PHONE:
.5? „?i v ?- •? r: •a?• :au •?•u-'Yy??
O-CONNECTION TO CITY SE*r7ER "? CONNFX_'PIOU 2C) CITY WATER Q 0'IHER ' .
6) ?,n r ?- .• i- ? PI,EASE HQLD APPROVFD PEF2MIT FCR PICK-C?P BY ONE OF ABnVE ---- --
. ? PLEASE MAIL APPROVID PERMIT TO lr 2./?4. p.BpVE
` (CirCTe one)
7) -, C ?. u•,- `?'J'J.tt??? ? ??? ?a? ??..'?? .S - 7-&'?
-:lY: •IY Y I: YY ' ¦ • • LI" •' 1' •? • •1' `?J I:A ? ? 1 Y]? ? 4Y` 901• °Y.. . ' D? ?• L ?
FOR -CITY USE ONLY
PERMIT # ISSL'ED
(`' Z_.
Pd w/Bldg. Permit FEES:
c -Z)
$
$ (?;7cZ
$
$
$
$
S
e
$ /d • 5
$
$
$
$ 43-
$
SEWER PERMIT (INCLUDE SURCHARGE)
WATER PERMIT (INCLLTDE SL'RCHARGE)
WATER METER/COPPERHORN/OCTSIDE READER
WATER TAP (INCLIIDE CORPORATION STQP)
SEWER TAP
ACCOUNT DEPOSIT - SEWER
ACCOC'NT DEPOSIT - WATER
WAC
$ SAC
$ TRONK WATER ASSESSMENT
$ TRUNK SEWER ASSESSMENT
$ LATERAL BENEFIT/TRUNK SEWER
$ LATERAL BENEFIT/TRC'NK WATER
$ /x?` d c-o $
WATER TREATMENT PLANT SL'RCHARGE
$ $ OTHER:
? ?$ TOTAL
- 7/q ? ? ??V??, .
RECEIPT RECEIPT
DOES UTILITY CONNECTION REQDZRE EXCAVATION IN PUSLIC RIGHT OF WAY?
Q YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC
ROADWAY" MOST BE ISSDED BY THE ENGINEERING
Q
NO DIVISION. LIST AS A CONDITION.
30BJECT TO THE FOLLOWING CONDITIONS:
?PROVED BY:
TITLE
nnmc.
401? Clty of Eapn
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
?--,--; -----------,
? Permit#:
I Pertnit Fee:
? DateReceived: V I? ?
? sta8: C?- e I
i
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: ?43 -U&T SiteAddress: 4SK6 ti/ nq .c/m /f-
Tenant:
Suite #:
RESIDENT/OWNER Name: jlGcJI?? ??Pl?'1P{qs Phone:(2!E!(2) Y/o?-?IUQS
Address/City/Zip: '4$60 k?IOtTlnahliw d!I^
Applicant is: _ Owner ? Contractor
TYPE OF WORK Description ofwork: Qoo-{=rwg
?! 5???
m %
Construction Cost: ? a 20-0 . " Multi-Family Building: (Yes _ / No ?
CONTRACTOR Name: c?i ?G ??l ?PS/?,..i License #:
?
Add ress: CZ
City: !?,4 t/u.rF State: ?? Zip: -27_
Phone: 6952- ?003'G'/6 rJZ Contact Person: !?am ?17yf 6o) /725-' ?7/?Z2.
,
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672
Energy Code . Residential Venlilation Category 1 Worksheet • New Energy Code Worksheet
C8t0gory Submitted Submitted
(4 submission type) • Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit 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:
NOTE; Plans'and,supporting'documenfs ihat-you submit a"re,considereal to be publlc infoimafion. P_ortions, of _
the infoiroatiorrmay.be classrflied as non public rGyou,provide speciiic.reasons thatwould permit theCity to`?; ,
` -`-`conclude that the are tiade secrets: '- - ' -
I hereby acknowledge that this information is complete and accurate; that the work will be in confo he ordinances and codes of the City of
Eagan; that I understand this is not a perznit, but only an application for a pertnd, and wo not rt thout a permd; that the work will be in
accordance with the approved plan in the case of work which requires a review and appro of pla .
x ?G Gn. ?d..'! v?,, x
ApplicanYs Printed Name ApplicanYs Si atu
Page 1 of 3
?j plir. 2 9 2008
------------------
i Far OHlce Use ?
j Permit #: ?5 734
j
I Permit Fee: 130.oD
Date Received: ? ?2`"i
I
? I
I Siatt. ?
2008 RESIDENTIAL BUILDING PERMIT APPLICATION C9tn13
1 - 2---
Date: ? - z-9 -? Sile Address: `k-6 (00 KJI'tT•IvV 171~ ? a-r- L`1-
Tenant : ia? C1-r-Mcy\.i S Suite#:
RESIDENT / OWNER Name: G-e=t"A&W5 Phone: b?( 90S QZ 4'"I
Address / City / Zip: "(.'C7 G««?-?
Applicant isX Owner _ Contractor
TYPE OF WORK Description of work: KtPl.ft4- ?rGK
Construction Cost: Multi-Family Building: (Yes No
CONTRACTOR Name: License ft:
Address:
City: State Zip:
Phone: Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheel • New Energy Code Worksheet
Category Submitted Submitted
(4 submission type) • Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanicaf Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submFt are consfdered to be public information. Portions of
the fntormatiott may be classliled as non-public if you provlde specPflc reasons thai would permit the C/ty fo
conclude that the are trade secrets.
I hereby acknowledge thal ihis mtormation is complete and accurate; ihat the work wlll he in conlormance wilh the ordinances and codes of the Ciry of
Eagan; ihat I understand this is not a permit, bul only an apphcalion for a permiL and work is not lo starl without a permil; ihat Ihe work will 6a in
accordance with the approved plan in the case of work which requires a review and approval ol plans.
x (AV ..C? C?LC'Y?lf_.??) X l
Applicant's Printed Name , Applicant's Signature
Page 1 of 3
DO NOT WRITE BELOW THIS LINE
SUB TYPES
? Foundation ? 05-plex ? 16-plex ? Accessory Building 0 Pool
? Single Family ? 06•plex O Fireplace ? Porch (3-season) O Ext. AIt. - Multi
? Ol of _ Plex ? 07-plex ? Garage ? Porch (4-season) ? Ext. Alt. - SF
? 02•Plex ? OS-plex %P Deck ? Porch (screen/gazebo/pergola) ? MuNi Misc.
? 03-Plex ? 10-plex ? Lower Level ? Storm Damage
? 04-Plex ? 12-plex ? Miscellaneous
WORK TYPES
? New ? Interlor Improvement ? Siding ? Demolish Building'
? Addition ? Move Bui lding ? Reroof ? Demolish Interior
? Alteretion ? Fire Repair ? Windows ? Demolish Foundation
? Replacement ? Egress Window ? WaterDamage
' Demolition (entire building) - give PCA handout ro applicant
DESCRIPTION:
Valuation Occupancy --gZC- t MCES System
Plan Review ? Code Edition w, n2AND'7 SAC Units
(25%_ 100 % ? Zoning City Water
Census Code u3-1_ Stories Booster Pump
# of Units Square Feet PRV
# oT Bufldings Length Fire Sprinklers
Type of Const. Width // ,6.
REQUIRED INSPECTIONS
Footings (new bldg) Sheetrock
? Footings (deck) _ FinallC. O.
Footings (addition) y Flnal/No C.O.
Foundation HVAC
Drain Tile Other:
Roof: _Ice & Water _Final Pool: _Footings Air/Gas Tests _Final
Freming Siding: _S[ucco Lath _Stone Lath _Brick
Fireplace:_R.I. _ AirTest _Final Windows
Insulation Retaining Wall
Reviewed By: Building Inspector
RESIDENTIAL FEES:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility ConnecTion Charge
S&W Permit & Surcharge
Treatment Plant
Copies
Total
Page 2 of 3
C • To?I?asuN
nOpG CCNSllLTiH6 E3i(31HEf9S . 81D? Lg P?E 3'3
PiANHEAS nnd LA!{0 l?uRVEYOf15
PECNGINCOING
COMPRNY, INC.
? 1000 EA57 148ri S7REE7. BUftHSViLLE, YkkNEB6TJ1 5Z337 PH 44 323000
CE'TZ Z?Z Ct2ze
c?
?gCl .DC.SCT^4P2ZCrt: ?--0T15, BLOCK 2, BRI ,?70N
. DAKOT'A COtJlJTY,MINrr ,4
(?V:
( 9? i_S) DENOTE:, EX1STiNG r?f---:VA7F0WTE- 1 I t
IIUILDING IiVSPEC 7VONS DINOSSC9R'1
(17 l.S ) DENO7Er PROP0 SED ELEUfiT10N
t..? WDICATE,S DtREC770N t7F SURFArE DRAlNAGE
FiNISNED Gp,FAGE FLflpR Qa-VAS10N
DRAINAr3E AJD
EASE i ,?
' ^qJ
i
30 FRUMT BUILDING 13A--14 J i
SETPACK UNE LOT /57 ?
Cq/73.o?
? ! ? / •-.?•.. ? . ?__ ?
--
? q?4.s
W
! ? ? ? .? ,7? C ,•-. ? t:.?
,I- ? fia o sa.o _ ^ ? o- ivr
1 ? 1?.• W 7 N G4RAGE ? 74.Z? N
I
,? ?? y? Q I VRoPOSFC V??K' ? -o
Q ?t- . ? Hpi?SE H O
o - ?a
*Di
N L]?4:5)
SCALE:Ia3p' 0 N.o n 23.5 Z ? _% q7??5 \
io ? -
30.0 0i /30•00.,
?41.7,9? v 89° .37? 37 iN
I heTsby eartify that thia ia a t:ue and carrect rspreaen ttioavof.a: &cof?f
iand a: sho+rsi' srsd deaeribed hereon.• Aa prapdrnd by mn ?on this
Mwu?f 19 9Z - `-. -r>:*-=*??'??•' ?= ,--`' = -
? •
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA107950
Date Issued:11/06/2012
Permit Category:ePermit
Site Address: 4860 Knottingham Cir
Lot:15 Block: 2 Addition: Brittany 08th
PID:10-15007-02-150
Use:
Description:
Sub Type:e - Furnace & Air Conditioner
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to Mark Anderson , State Electrical Inspector, (952)
445-2840
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 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 -
TIMOTHY CHAMBERLAIN
4860 Knottingham Cir
Eagan MN 55122
Lofgren Heating & Air
5708 Upper 147th St W
Suite 102
Apple Valley MN 55124
(952) 431-5811
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA125749
Date Issued:08/01/2014
Permit Category:ePermit
Site Address: 4860 Knottingham Cir
Lot:15 Block: 2 Addition: Brittany 8th
PID:10-15007-02-150
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 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 -
Timothy Chamberlain
4860 Knottingham Cir
Eagan MN 55122
Minnesota Exteriors
8600 Jefferson Hwy
Osseo MN 55369
(763) 391-5514
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA162113
Date Issued:06/26/2020
Permit Category:ePermit
Site Address: 4860 Knottingham Cir
Lot:15 Block: 2 Addition: Brittany 8th
PID:10-15007-02-150
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Timothy Chamberlain
4860 Knottingham Cir
Eagan MN 55122
All Craftsmen Exteriors Llc
1020 East 146th St
Ste 226
Burnsville MN 55337
(952) 898-4680
Applicant/Permitee: Signature Issued By: Signature