4867 Knottingham CirCITY OF EAGAN Remarks
Addition R.R.TTTANY $TH A N. Loc J+ Rik 2 Parcel 10 15007 040 02
Owner Street 4$b? Knottingham Cr. state Eagan, MN 55122
Improvement Date Amount Annual Years Payment Reeeipt Date
STREET SUR F.
STREET RESTOR.
GRADING
SAN SEW TRUNK 1976 12.23 1
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA /0 / 1 $Ej 536.oo 1
STORM SEW TFiK f0 fO 1986 2.00 62.80 1
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
't
Poad $280.00 58179 12 1D 85
WATER CONN. ''jQa.QQ
SUILDING PER. 113$4
SAC
PARK
CITY OF EAGAN
' 3830 PNot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDIMG PERMIT Receipt # SF DWG/GAFt Esc vaiue $119 , 00 0
4$67 KNOTTIN(UFiAA9
Site Address
Lot 4 Block secisub. BRIT
Parcel No.
a 'POLLEFSO:J BUILDE,
Name
; Address ?
o -
City EAGAi? Phone
o Name SAl?,X P?
=
?°, ¢ Address Assessment _
~ Ciry Phone Water 8 Sew.
?
a Police
F Name Fi
= _
re
? n Address Eng
.
i & CitV Phone Planner
Erect Dv" Occupancy I:3 ?
Remodel ? Zoning lt
Repair ? Type of Const. u
Addition ? No. Stories
Move ? Length
Demolish ? Depth 60
Int. Impr. ? Sq. Ft
Install ?
vvui
I hereby acknowledge that I have read this application and state that the Bld9
intormation is correct and agree to comply with all applicable State of
Minnesota 5fatutes and City of Eagan Ordinances. APC.
Var. I
Signature oi Permittee
i'ULLE;FSON BUILDERS
_ Surcharge
_ Plan Review 0
- SAC
- Water Conn. u ' o
- Water Meter 63700
Road Unit? O?
- Tr. PI.
Parks
_ Copies ` . 5
T..6n1 ti L ,
A Building Permit is issued to: on the express condiUon that
all work shall be done in accordance with all applicrle State of Minnesota Statutes and Ciry of Eagan Ordinances.
Building Official ,-, ;, ? ._ _
II IPa^mtt No. I Prrml1 Molder I Dds I TNipAone 1f I
O
Plbg.
Htq.
Plby.
Fty.
DIRP.
?,-?-
? •
PERMIT #
?? S?
RECEIPT #
DATE
CITY OF EAGAN
PLUMBING PERMIT
454-8100 sAw-
FEE
SiC
MINIMUM RESIDENTIAL FEE - $10.00 + $.50 TOTAL 3?-? S t?
MINIMUM COMMERCIAL FEE - $20.00 + $•50
1. Bldg. Type: ResX, Comm Inst 2. NewX Add Alter Repair.
3. Total Bid Price 4. Job Address zf-G 7 //vG i?Lot ? Block z- Sec nh N`/ &,; 7-(f ' 5. Owner ?",( 'e ??? ?«N S
6. Contractor L--'???? ?/r?/?}?? 5- ':?. rt-, ?-.1 ,/iN7/_/q NV
(Name) y (Street) (Cily) (Zip)
7. Contractor Phone #
NO. FIXTURES
--.-=-Water Closet - $3.00
-Bath Tubs - $3.00
?Lavatory - $3.00
?Shower - $3.00
NO. FIXTURES
?Laundry Tray - $3.00
Fioor Drains - $1.50
J-Water Heater - $1.50
-L-Whirlpool - $3.00
NO. FIXTURES
-Well - $10.00
Private Disp Syst - $10.00
_,I-Rough Openings w/o
Fixtures - $1.50
-j--Kitchen Sink - 4i3.00 d _?_Gas Piping Outllts - $1.50 -
-Urinal/Bidet - $3.00 -Softener - $5.00
COMM./IND. AATE - 1% OF TO AL BID PRICE PLUS $.50 STATE SURCHARGE FOR EACH $1,000 OF FEE.
Signed: for /
r J
Approved Inspections: Date Rough Insp. Date Final Insp.
., :
PERMIT# CITY OF EAGAN
MECHANICAL PERMIT
RECEIPT # 454-8100
MINIMUM RESIDENTIAL FEE - $10.00 + =.50
DATE MINIMUM COMMERCIAL FEE - $20.00 +;.50
1. Bldg. Type: Res Comm Inst 2. New ?'+ Add -
3 Total Bid Price 4 J b Add
FEE
S/C • ?
TOTAL ? ?-
_ Alter Repair
. . o ress , ? . ? -
15 Lot ? Block ? Sec 7- %A'?f ? 5. Owner
6. Contractor "- 'v ?-? x.y?. ? , , y'?=k' ?,??• cr _ . ?? • 'c_ ` .. ` _?
(Name) ' (Street) (Ciry) (Zip)
7. Contractor Phone
RESIDENTIAL H6TING - 01-100,000 BTU's -$24.00. Each additional 50,000 BTU's vr fraction -$6.00
RESIDENTIAL COOLING - Ot -24,000 BTU's -$12.00. Each additional 6,000 BTU's or fraction -$6.00
MODIFICATIONS/ALTERATIONS -$10.00 minimum fea
L HEATING VENTILATING HOT WATER STEAM AIR COND.
_AIR PIPING PROCESSED PIPING AIR HAND. EQUIP. RrFRIG.
RES. GAS PIPING OUTLETS -$1.50 TANKS: L.P. UNDERGROUND OTHER
COMM./IND. RATf - 1%.OF TOTAL BID PRICE PLUS $•SO STATE SURCHARGE FOR EACH $1,000 OF FEE.
Signed: for
Approved Inspections: Date Rough Insp. Date Final Insp.
. PERMIT#
PLUMBINCi PERMIT RECEIPT # D?
CiTY OF EAGAN b _ ? ?
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE:
Site Addreqs ?;z
Lot ? - 'I Black
? Name
? Addre
c City '
_
Name _
3 Address
p Ciry ?
FEES
COMM/1ND FEE - 1% OF CONTRACT FEE
MINIMiJM - RESIDENTIAL FEE - $10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
PERMITTEE
BLDG. TYPE WORK DESCRIPTION
Res. New
Mult Add-on ?
Comm. Repair
Other
NO. FIXTURES TOTAL
Water Closet - $3.00 $
Bath Tubs - $3.00
Lavatory - $3.00 'I
Shower - $3.00
Kitchen Sink - $3.00 ,
Urinal/Bidet - $3.00
Laundry Tray - $3.00 IFloor Drains - $1.50
Water Heater - $1.50
Whirlpool - $3.00
Gas Piping Outlets - $1.50
?Softener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
FEE '
?
STATE S/C: '
?
GRAND TOTAL• ? r
FOR: CITY OF EAGAN
CITY OF EAGAN
3830 Pi1Q; Knob Road
P. O. Box 21199
Eagan . MN 55121
Zoninp;
Owner:
Addrcss:
Site Addross;
Plumber. _ ;:i.*tZ-1
rs.
SEWER SERVICE PERMIT
PERMIT NO.:
DAl'E:
No. of Units:
1? rfttSny_?M
-i i
173
? ?fwhbefw???,
By -
Dote of Insp.:
Gonnaction Charpe;
Account Deposit:
Permlt Fee:
Surdhwrpe:
Miac. Chqrper
Totof:
Dots Paid:
CITY OF EAGAN
3830 Pibt-Knob Road WATER SERVICE PERMIT
P. O. Box 2 i 199 PERMIT NO.:
Eagan, MIV 55121
2onirg; _ O^TE:
Owner.
' - No, of Units:
Address:
Site /lddross: ? :?. 1-_ -?? C}• ' " ••' r
?
Pltxnber.
Mster No.: ConnedFan Chorge:
Size: 1lcoount Deposit:
Reoder No,;
Pe?mit Fee: '
I olm h eoM* wkb !y C*y of Eqpn Surdhwrge:
Onliwnwaw Misc. Chcrges: i"
8
Y Totol: '• -??? ? ? r •
Dofe of IrKp.:
t
Date Paid:
Imp.:
CITY OF E
P. C ,ox 21199
Sixe ae
• "
Reader No.: ?
AGAN
3830 Pilot l Cnab Road
Esgan, MN 55121
Zoninp:
Owner: ?P,
Address;
51fie /lddrons:
Piwsrber: . , .
Metar No. • ?0?7 , ?,?
1 NrM 10,,e6ii* wl&
By
Data of Insp.: T`
WAM SERVICE PERMiT
PERMIT NO.: - DAl"E: - - - No. of Units: I
+lpcaanr ueposlt:
rem,Er Fee: _
Surchorge;
Mise. C?arpes: _
Totol:
Date Roid:
?L _1 , v; , I ''
zn. 071
11.3
13Li °p
63. C3L ? ?teter
CASH RECEIPT
• CITY OF EAGAN •
P. O. BOX 21-199
EAGAN, MI ESOTA 55121 ?j.?
DATE ?-?'?S 19 d'
weeflveo
PROM
AMOUNT $ ?
ef'?7 1-j ?
FUND COO - AMOUNT `
?
._ J L -
7 /
?
?
Thank You .,
BY
N_ 60006 ) ,
White-PaVers Copy
Vellow-Posting Copy
Pink-File Coov
& DOLLARS
0
? CASN ? ECK
CITY OF EAGAN N O 11384
3RRf1 Pilnf Knn6 Rmd PA iinv 97_i00 F.n.n MN SS19i
PHONE:454-8100
BUILDING PERMIT Receipl#
DECEMBER
To be used for SF DWG/GAR Est Value $119,000 Date 7 -
10
85
, 79 _
4867 KNOTTINGHAM CIR
Site Ad ress
I .t
Erect L't
Occupancy R3
R
Block z Sec/Sub. $RITTANY
Lot 8TH Remodel ? Zoning ,
Parcel No Repair ? Type of Const. V
. AddRion ? No. Stones
TOLLEFSON BUILDERS Move ? Length
i Name NORWOOD DR Demolish ? Depth 60
o Atldress
EAGAN
31- 100 Int. Impr. ? Sq. Ft
Ciry
phone Install ?
o Name SAME APProvals Fees
i
o¢ Addres5 ASSe55m0?t Permit $ 480.50
? city Phone Water&Sew. Surcharge 59.50
240.25
1- W
F W
Name
z
?
a Address
a w City Phone
I hereby acknowledge that I have read this application and state thatthe
information is correct and agree lo omply w all applicable State of
Minnesota Statutes and City of ¢?ry?a Ordinnce,W. , n
Signature of
Police
Fire _
Planner
Council
eldg. Orf. 12/7/85
Var. Date
Plan Review
525
00
SAC .
Water Conn. 500.00
waterMeter 63.00
Road Unit 280.00
Tr. PI. 132.00
Parks
Copies
280
25
Z
.
Total .
A Building Permit is issued to: TOLL$:FSON BUILDVIS? on ihe express condition that
ail work shall be done in accordance with al lic le State of Min esota Stat tes nd City oi Eagan Ordinances.
8uilding Official
REQUEST FOR ELECTRICAL INSPECTION . ee-00001.04
ck of yellow coOV• ,ry
c ' See instruc[ions for completing lhis form on ba 9G
1oll
f?l nn..,nn n '?
Do _ (+ X -- 8elow Work Covesetl by fhis Hequest
HdA Reo. Type of Bmlding Aaoiiancea Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Lightin, Fixtures
Apt. Building Dryer Electric Heatin
Commercial Bldg. Furnace Silo Unloader
Industnal BIAg. Air Conditioner Bulk Milk Tank
Farm thvr neci(v ther ISneciFyl
t nr Suecity Other Olher
ompute Inspecuon fee Below
M Fee ServiceEMrance5ize p feer Feetlers/Suhfeeders P Fee Ciromis
S` 0 to 200 Am s 0 to 30 qm s 0 co 30 Am s
Above 200 Amps 31 to 100 qmps Sc2s? 31 to 100 A s
Swimming Pool Above 700_Am s A6ove 100_Am
Transformers rrigation Boonis 5?• Partial.'Oth e
Signs Special Inspection
?
$
?G
J,
TOTAL E
Pemarks r - '
w
Rough-in I
I Date p
'f'-2?7' I,the EI tric
Insoector, ebv
certify that the above
I Final E?'e
?0?? ingpection has beB.
mede.
This request void 16 monthe trom
Thts request votd ((/
mon[hsirom
a 097324 ?y y
Rcques ?ate Fve No. Rouph-in InsDert n
Req ireA? .?-?/'
?Aeady Now ?grvill NotMy Inspev
3
3 Yes ?NO T?or When Reedy
'?.rcensed Electncal Conuactor 1 hereby requast inspection of above
? Owner electrical work installed et:
Sveet Address. ^Bo?x or Rou?te o.
/ i ? r , J Crty
? UC
ecbon o. Township Nama or No. Range No. Counry
Occupnnt(PRINT)
?-'G LC ? FsO? Phone No.
yS - ?//' 9 73
P Suppher Address
Ele tncal Conttact r(Comu ny Namel Contractor's License No.
a?
// S-
.
Madine <.tldress (COnvactor or Owner Making InstailatioN
76
Authon 5inture IContract Owner Maki g tallatioN Ph ne Number
MINNESOTp STATE BOAXD OF ELECTNICITY ? THIS INSPEGTION REQUESTfWIIL NOT
GrigBS-Mitlway Bldg. - Aoom N•797 BE ACCEPTEO BY THE STATE BOARD
1821 Unrveryity Ave., SL Paul, MN 55104 UNLESS PNOPEX INSPECTION FEE IS
Phone 1612) 297.2111 ENCLOSED.
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651•681-4675
New Construction RaouiremeiAs
• 3 regislered sAe surveys showing sq. $. of lot, sq. ft. of twuse; and all roofed areas
(20% maximum lot coverage allowed)
• 2 copies of plan showing beam & window sizes; poured found design, etc.)
• t set of Energy Calculatlons
• 3 copies of Tree Preservation Plan if lot platted after 711193
. Rim Joist Deiail Options selection sheet (bldgs with 3 or less unAs)
DATE kl -b-e-C' Ca
0?f1i1?c?J.
? - 1
SITE ADDRESS ?I 4W(.c-+ Ckf G\'Q. MULTI-FAMILY BLDG _ Y _ N
TYPE OF
APPLICANT
STREET ADDRESS
TELEPHONE #
PELLA WiNL)OWS & UOORS
15300-25TH AVE. N. STE. #100
' PLYMOUTH, M1V 55447
C 763-745-1400
1 LICENSCE #20165884
FIREPLACE(S) _ 0 _ 1 _ 2
STATE _ ZIP
? FAX #
?- - - -- _j
PROPERTY OWNER SCZk} ?j?8tY0.. TELEPHONE#IOSI•13`r•U33a
COMPLETE FOR KNEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNI?SOTA RUI.LS 7670 CA7'EGORY l MINNESOTA RULr:S 7672
(d submission type) . Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submifled
• Energy Envelope Calcula8ons Submitted
Plumbing Contractor:
PlumUing system includcs:
Mechanical Contractor:
Mechanical system includes:
Sewer/Water Confractor.
Air Conclitioning
Hcat Recovery System
Phone #
? P'ee: $70.00
Phone #
I hereby acknowledge that I have read this application, state that the infoFmation is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordi fnces.
Signature of Applicant
OFFICE USE ONLY
Watcr Soflener
Water Heater
No, of Balhs
RemodeURaoair Reouiremenb
• 2 apies of plan
. 1 set of Energy Calculafions (or heated additions
. 1 site survey foreztenor addilions 8 decks
. Indicate if home served by sephc system for additions
00
VALUATION D? i l
Phone #
_ L,awn Spiinkler r?----Tee: $90A0
No. of R.I. Baths ?
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
OFPICE `iJSE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 6ct. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition , ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 WindoWS/Doors
? 34 Replacement "Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy ? MCJES System
Census Code Zoning ' City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
. REQUIRED INSPECTIONS ,
_ Footings (new bl'dg) Final/C.O. '
_ Foorings(deck) FinaUNo C.O.
_ Footings (addition) _ plumbing
_ Foundation HVpC
_ Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Frazning _ Siding Stucco Stone
_ Fireplace _ R.I. _ Au Test _ Final _ Windows (new/replacement)
_ Insulahon _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Building Inspedor
Pella Windows 8[ Doors m Twin Cidea, Ina
?
Iune 8, 2001
Ciry of Bagan
3836 Pilot Knob Road
Eagan, MN 55122
Dear 7an:
Wd9E:1 'uor amil paniaaay
15300 ZSTH AVE. N. STE. #100
PLYMOUTH, MN 55447
763/745-1400
WATS 1-800-462-5359
FAX 763f745-1401
Elder Jones Corporation is authorized to pull building permits for Pella Windows &
Doors -"Itvin Ciries, Inc. Please a11ow their representative to provide that service for us
in Eagan. Ttris authorization shall be valid until such time as the division manager
expressly revokes it, in writing to the G`ity.
I request that this authorization be accepted expeditiously, so as to not delay the
processing of our building permits any further. Please call me if there are any questions,
I can be contacted at 763-745-1432.
'4'our irrunediate attenlion to this matter is appreciated.
cerely, ?
Bryan . May
Replacement Sales Manager
EfT?E W.B?
?
wo.??m.er.se?
cc: Kaza - Eldcr Jones ???'
Denna Krafly - Replacement Sales Process Coordinator
Windows, Doors,
& Skylights
7nnM
enrrr? ?rur-srua
hiar cai 7ro vwa IT'CT rva
rnionion
':::[7V C)F !: P.GFtn
l':r'35;i{IIrFi::; y (fEli7'31t4A1_. NQ:
UF}1'Ea 04/20/99 T:Ct1t':a I.3%T.1O: i2;
7r;:,
A!(-lM':w r.il?T1F:11 VnLuE r:xrE::F<:i:or.S SNC:
320 9001 4F,367 I:NO_f f CPdV?41M II67.2.5
2.t5c:l 9001 4067 i":N[)'!.T1NHAil $.,50
r
,
'T'otal. f'tt,r_F:•i(?t Arota,.mi;:; 17:t„7;
?:R:LiJWt)
U`iF:f2 TT?; NAN{.;y
mY,;if #YF)XYd:?YF#?r?k.?:?%?F"<',,;:1:?Y5kk;ic:?:m`(:?"1F:icR+W>R$`:k:?F'?>Y??FW
- J
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN -
3830 PILOT KNOB RD - 55122
651-681-4675
New Conshuction Reauirements RemodeVReoair Reauirements
? 3 registered site survays showing sq. IL ofloR aq. 1L olhouse ? 2 copies of plan
and ?Il roofed areas (20% maximum lot covereae ailowed) ? 1 set of energy wiculations for heated additions
? 2 copies of plans (show beam 8 window sizes; poured fnd. design; etc.) ? 7 site survey for eMerior additions 8 decks
? 1 set of energy calculations
? 3 copies of Vee preservation plan if lot platted aRer 7!7193
DATE: 9?2 CONSTRUCTION COST: A/
DESCRIPTION OF WORK: TEtr2 erFF - (ZC t2c?pF
STREET ADDRESS: L} S?o7 ?fJOTTI Nb NRWI ?' e-
LOT: LV BLOCK: ?. SUBD./P.I.D. #:
Namc: ?3 SL-2V A sr-o 4-'T Phone #1: ?'SI ^(p SG -
PROPERTY ?t YME
OWIVER
StreU Address:
City Statc: Zip:
Company. r¢ODeTO V'R'[.uE EX7z-?T i?/1 S Phone #: (PS! -Y-5-3-9'/ 7 7
COA'TRACCOR
StrectAddress:-#7 s/bN/+C I?l?-?-5 licensep o2q798y/4 Fxp.3 31 00
City Staze: LVLI.1 tiP:
ARCHITECT/
ENGINEER
Ciry•
Phone #:
Rcgist:arion N: _
State: 7Zp:
Sewer & water licensed piumber (reauired for new construction oniv):
PenaRy appiies when address change and lot change is requested once permit is issued.
I hereby acknowledge that I have read this application, state that the information is cortect, and agree to compiy with all applicable
State of Minnesota Statutes and City of Eagan Ordinances.
? Signature of Applicant: ?o
' OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
I r' I
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling 0 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea.)
Q 03 1 of _ plex ? 08 B-plex ? 13 16-plex ? 18 Deck O 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging 0 20 Pool ? 25 Miscellaneous
WORK TYPE
? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
? 32 Addition ? 36 Move Bldg. ? 40 Gas insert ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bldg. ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. Census Code
(Allowable) Main level sq. ft. SAC Code
UBC Occupancy sq. ft. No. of Units
Zoning sq. ft. No. of Bldgs
# of Stories sq. ft. MC/ES System
Length sq. ft. City Water
Width Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
APPROVALS
Planning Bu ilding Engineering Variance
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Traiis Ded.
Other
Copies
Total:
SAC Units
Valuation: $
% SAC
CLAIM VOUCHER - REFUND REQUEST
CITY OF EAOAN;."
_ . • a .
MAKE CHECK PAYABLE TO: Added Valne E:teriors
ADDRESS: #7 Signal HWs
Wat St Psul, MN 55118
LOCATION:
RECEIPT#/DATE:
REASON FOR REF[1ND: 4567 Knottlngham Cir
106810/4-20.99
Should be storm dsmage N/C P.LDJLEGAL:
VALUAITON:
PERNIIT #: Lot 4, Block 2 Britfsny Sth
$9,000.00
35244
TYPE OF REFUND:
Elechdcal Permit 3211-9001 S
Plwnbing Permit 3212-9001 E
Mechanical Permit 3213-9001 $
Building Pe[mit Fa 3210-9001 $ 167.25
Plan Review Fee ' 3422-9001 S I
SAC (MC/WS) 2275-9220 $
I
SAC (City) 3866-9379 $
I
SAC (Admin) 3446-9001 $
Weter Comection. 3865-9220 ? $
.
Sewer Permit 3743-9220 S
Water Permit'"' 3713-9220 $
Account Deposit 2252-9220 $
Water Meter 3716-9220 $
WaterTrcahnent 3869-9220 $
Surcharge 2155-9001 S
Utility Acct Overpayment 2250-9220 $
Curb Box Deposit Refimd 2253-9220 $
Conshucdon Meter Dep Refund 22549220 S
Water Usage Charge 3711-9220 S
Other a
.
TOTAL S 167.25 ,._ .
I declare imder the penalties of law that this aaount, claim, or demand is just end that no part of it has bcen paid
3IGNATURE v
DATE
1985 BUILDING PERNIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRAC?ORS NUST HE LICENSED YfITH THE CITY OF EAGAN
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF S URVEY
1 SET OF ENERGY CALCULA TIONS
To Be Used For: SFD Valuation: ??q,ppO Date: LFC`.7 r tCp_o
Site Address: 4,f?OFFICE USE ONLY
,.-
--•
r
Lot: 4- Bloc k sectlsub gza/??lY4ect K Occupancy IZ•3
Remodel _ Zoning K•I
Parcel ll Repair ? Type of Const
Addition 11 of Stories
Owner Length
Move 'I co
?
Demolish Depth (oo
Address Int.Impr. _ Sq Ft
Install
City/Zip Code ?
-----------------------------
------
Phone APPROVALS FEES
Contractor IO
LL3LFarI?I UILDE-? Assessments Permit ?
4-?-?
Water/Sewer ? Surcharge Sq. -
Address police ? Plan Review 240 Z-'-
Fire SAC SZS.
City/2ip Code ED1E-'q z5LZ-7, Engr Water Conn Soo.
' Planner Water Meter L0 3.
Phone Council Road Unit 2250.
Bldg Offl Treatment Pl 132.
Arch./Engr, pPC Parks
Variance Copies
Address TOTAI.
a $-'
=110
City/Zip Code
Phone,p
2 Co 3 Cn 4 x S? ?- l 11 2
? ?
? e s
lz(G>o X ? = 73o8CD
?-/x22 ` ?9o K J`'b ' I14l64
24 x2?
(? x ies ` l
;
I ? ? 9 S-a-
. . CITY OF BUILDINa DEPARTIAENT
' EXTERIOR ENVII,OPE AVERACiE "U " COMPUTATION
(To be submitted with building permit application)
One or Two Family Dwelling 4-_ Owner
All Other
Contractor TvLC.a-?SoA1 $u1LvW Z?.' .
PGAxu *- 9- 99(n
LIPFEAL FEET OF
E'1CF'OSED l'JALL ft.
0?AQUE WI;LL COD:STRUCITIOTi S "U" Value x Area
Site Addrase
Date Phone
above grade = f?? UO. OD T?
TOTAL r,XPOSED YYALL AR'r;A SQ. FT.
Detail rK&WrZE „U.o43 X s2.
reierence ^a?cs?? "U" 040
? x 5G?.
from - Ri? oIS
"U't
.o4D
x
SQ.
attacned VOUlt
X
sQ
.
sheets nUu x Si.
nUu x SQ.
'dJIPIDOWS: "Ut' Value x Area
FT. J . Z. 55,7q (U) (A)
FT.. 134.00= 13.13 (U) (A)
FT. ,oo= (?.&a,(U)(A)
FT. - (U)(Q)
FT. _ (U)(p)
FT. - (U) (A)
Make & Type /ur vL• d5H7RT °Uft •¢$ x SQ. FT. 7,I1•33 = 101,¢3 (U) (p)
11 n uUu x SQ. FT. - (11)(A)
n n nUu x SQ. FT. _ (U)(A)
IT It npn x SQ. FT. _ (U)(A)
IOORS: "U" Value x ATea
?Ia:ce & TYue ?C. iv?.,e?L I nUn
u u YA'fl D uu ti
n n uUIi
n n _ njjn:
TO'
,/4- x SQ,
.48 x SQ.
x sQ.
x 3 Q.
rtws 1400.0o sQ.
AVERADE °UII
TOTAI, (U)(A) VALUES 704-•dZ -
DIVIDL;D BY TOTAL WALL AREA •07
l yoO.oo -
AVERAC3E "Ull , 15 r less for 1&2 family dwellinge
RoOF/CEILINa:
TOTAL AREA: 1530.00
FT. 47,oo = (o.SCv M(A)
FT. Z,OO = Z°,/(o M(A)
FT. - (U) (A)
FT. - (U)(A)
r'T. zo4. oZ- (U) (A)
Detail reference ifUlt OZ/ x SQ. FT. 8/ 30 (U) (A)
from IVUll x SQ. FT. . (U) (A)
attached sheets. "Ull X SQ. FT. e (U)(p)
Describe onenings itUll
x
SQ.
FT. _
(U)(A)
in roof. ??U?? 8 SQ. FT. - (U)(A)
TOTAL M(A) VALUES DIVIDED BY TrAUS 1,630 NfT 38•43 CuYA>
t
TOTAI, R00^/CE v'(} p12Ep I$3(J•pp • dZl
AVF:RAGE Z?or ventilated roofe.
I GJoP-K ?PWF-E.-r "
?'?a55 ExPasED cJ.9?.c_
coNe- ,
.(v7X ?s°?-5ot5ot,5D? _
?i /11 lilS?
lOiuJ>v cv ?
,7oX367 = 5•00 X
Y. 3& _ &• oo x
zq X a-s = s.C'o X q?
?o X&o = S. 33 X
Z4 X lco = lO,ov x I Z=
ect s
3°SrL q5.c
Zg ytt • sE,e.
b°- PAT{D
- Zg. o0
= 21.0(7
- 42,op
iUr,7 wm-L- Ec?v,4&s
1, qoo. oo 4v.
l34: oo -?-
1(p(o. Cc) -J-
S.oo
6', o0
7Z , op
$.3?.
lZO.00
z//.33 -lIk--
U)^(. f, 900.00
G?SS dove. /34.00
?? ?r/t't !Iv[?.oo
?r ??"? Ll!• 33 -'(002• 33
'A-Va:5
. ?, 297&7-k
op _
?SX3Z =
zx14=
?zXld =
I S X ZS =
4xQ- _
! Z/(o.ao
zs,oo
IZO, GO
?SO•oo
I (v, o0
l, S3o. oo ?-
k
. - •
--YlA.LL AMITI4ll--
Determinipg "Ulf valuae at Rnof, Wallp 'lifms und Ouua. ]11oa1c
p00F/9FTT,7N(7 ,(R) VAi.OE
1.1 Tnterior Air e'ilm o.61
2.) 5/8,1 (IYP. Qd. .56
3. ) Ineulation 44- o0
!?. )
5.) Exteriar. Air Film .61
( S'PII.L )
uUn a 1/R= OZI i'OTAL (R)=-qs.79
, A1,I (R) VALUE
6.) Interior Air Film o,68
7.) }II oYP. Bd. .45
8.) Inaulution 17.4,o
90) ZS/.?4z:? BvuT-I??T?' 2•09-
10.) 1?luauuiCn 81d1u? .oJ
110 k;xCorJor Air Eilro .17
??pu n 1/Ra ,p?3 ToTAL (R)=z3.oJ
IiIM OP vai,uE
120 Inl:ui•for Air N'ilia 0,68
13.) Ltuul u lf on 19•p0
th.) 211 Va,, i+im ,roiut 1.88
190) Z+/5r!' K,H1:i 4i 1!, 2. oq
16.) MuuouiLu uldius .67
170 hxturlor Air V71m .17
1OU'I o. IINr •f74 10 TOTAL (R)=zj,gj
?FOIi?pATjOt (P VAI.UE
18.) Intorior Air Film 0.68
19.) •
20.)
21.) 1211 Oonorete Bloc{c 1.28
22.) ?ILIA IN5,4A1-• $.oo
23.) Exteri.or Air Filro .17
TOTAL (R)
-?-_
TjIl'efson'Bi,dlders Inc,
.
-
Scala• V'-30' JACKSON - SURVEYORS
?
r Denotea Iron
_ =Urs inaga
11[OIfT[Rt0 UMOiR LAWS 0/ /TAT[ 0/ MINNUOTA
- -lDrainage 6 Utiltty Esstuen!
000.0 =Exlsting Elav.
-.
3816 EAST 65th STNEET, MINNEAPOLIS, MN 66{17^ ...
Propoaed Garage Floor Blev, / o/..r
¢ACbtpOt'1 ICtttt(f[ate ?, ?
O9?
? \\
?
?" \ \
S?
`\\
?
1 Mcr+EYY C[NTIrY THAT TMi AYOVi 11
Or,11682
188-22
.?. ?°
?\ „?-?_ ?• k ;y5
m ?a { J
?
o?
\
.? ?
i
?
LN_M .
\\
/ /? ?\ \\ •
?01
*4\
"? V • ?? ? ?/8 • V?
? I
?
d_ . .o
\';? ' 3q9v
co1111ic7 ?wr w fuRvcr w
I.at 4,Block 2,Brittany Sth. Additinn,
Dakot• County,Mlnnesota.
2nd.
As 6uPV[Y[C MY M[ TNIs-- OAY
Dac. 1985
SION[ I ? / ?- .9 ' v. - F. C. JAGK80N, MiNN W w R[a1sTMT1oN.'NO. 3600
,
?
2/84
CITY OF EAGAN
% APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTIODI
(PLEASE PPIN7)
1) PROPIIZPY ADDRESS:
T'FfAT' DESCF2IPTION:6072?/
(Lat /81ock/Subdivision or Tax Parcel I.D. N Y)
IF STRLCI'[;TiE, DAi:, 0° ORTGi IAL nliIIDL'G F?'S; ISS?:NYC7:
? l `' or. _^.% s ear )
? PRES-"'..T --.^.:IItiY;/PROFOSr.,?J C-Q,?: +.R-1 Si7GLE FANIILY
? R-2 DCTPIEX ('P.;O LtiZTS)
? R-3 TOWNHOiJSE (TH,REc + IINITS) ( UNITS)
[] R-4 ivPP127T=/CCNDCMINIiM UNITS)
p CONMEF2CIAL/REPAI7,/OFFICE
? IMUSTRIAL
? INSTIT[Ti'IO:IAL/GOV?T
APPLICANT (PLEASE PRINT)
NANE: /
Qi??li?& 0 /,-9i?
ADDRESS: Z2 (!?p / 2
CITY, STATE, ZIP:
PHONE:
3) pLUMggR ?+ENa. ANPPO" FOR CITY USE ONLY
NA
t"IE:
ADDRESS: ' 4-1• ' kOSERT A1! PLUMBEPS LICENSE:
= Atti
CITY, STATE, ZIP:
.;L 'a? ° ve
? Expired
PHONE: df?5-11w pLUMBER LICENSE Not of Record
a nitia
4) OCCUpANT/a?IER NAME_ (PLEASE PRINi)
ADDRESS:
PHONE:
5)
6) IIv'pIGA'i'F. ON'E:
7) SIGqA'iURE:
CITY, STATE, ZIP:
INDICATE WFIICH PEFNIIT IS SEING REQUESTI:D:
326CONNECTION TO CITY SLIr7ER
?VgCOm=ION 'IU CITY WATEft
Fl dPfIER (PLEASE DESCRIBE)
r-I PLE'.ASE HOLD APPRWID PERNIIT FOR PICF:-UP BY ONE OF ABOVE
PL?'1\SE MAIL PROVID PER.*jilT TO 1, 2,4?91 9 l1BWE
? (Circle one)
DATE : lJ" !O
. ?
. . . .. . . . , ?O
F O R C I T Y U S E O N L Y M`
PERMIT '-` ISSUED
FEES: $ /C 5 ?=
$
$ ? 3 ?` J
S
$
$
$
$ r L G.-Z
-? ? -'
$
$
S
$ «
SEWE.°, PERMIT (2?ICLCDE SUP.CLIARGc)
WATER PERII1IT (INCZ.UDE SURCHARGE)
WATER METER/COPPERHORN/OUTSIDE READER
WATER TAP (ZNCLUDE CORPORATION STOP)
SEidER TAF'
ACCGUNT DEPOSIT - SEWER
ACCOUNT DEPOSIT - WATER
WAC
SAC
TRUNK WATER ASSESSP4ENT
TRUNK SETAER ASSESSMENT
LATERAL BENEFIT/TRUNK SEWER
LATERAL BENEFIT/TRUNK WATER
OTHER Gc?7? ??r.?_L
$ TOTAL
$ AMOUNT PAID/RECEIPT # ? ,?1/ J f
1
J'.S U i
DOES UTILITY CONNECTION REQUIRE EXCAVATION ZN PUBLIC RIGiiT OF WAY?
YES IF YES, THEN A"PERMIT FOR WORK WITHIN
PUBLIC ROADWAY" MUST BE ISSUED BY THE
NO ENGINEERING DIVISION. LZST AS A CONDI-
TION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY: /i ,:_
TITLE:
DATE:
masASwM "m:md MIUM Pa OMUMM
Clty 0? ?apIl
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 6755675
Fax: (651) 675-5694
?-----------------
? Fo? Otfi___q? Use I
? Permit #: S
? Permit Fee•
? Date Received:
I Staff: C?? I
i
------------------
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address:
Tenant:
Suite #:
RESIDENT/OWNER Name: R?Qfda. (,QGOA-A" Phone: (9 12-4339 `(o33a
Address / Cily / Zip: A-8 lv-t Kno? ?lt-? 5512.2
Applicant is: _ Owner Contractor
TYPE OF WORK Description of work: ? 2
0.r Uan,?
?
Construction Cost: 1000 Multi-Family Building: (Yes No ?
CONTRACTOR Name:MNS}a}P???c1e 2crir94e-m?' =)License#: 20_* 5 1f'?315
Address: IJ(o 2."-4 IOU
City: N odsor? State: \N 1 zip:
Phone: -1lo7i-544 -«Z:O Contad Person: MaA+ tSUG1^?r?c?Yl
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category Su6mitted Submitted
(4 SUbmission typC) • Energy Envelope Calculations Submitled
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 Contrector: Phone:
Sewer & Water Contractor: Phone:
NOTE: P(ans and supporting documents that you submit are consfdered to be pubilc Informafion. Portlons of
the informatlon may be classliled as non-publlc !f you provlde specific reasons that would permlt the C(ty to
condude fhat the are trade secrets.
I hereby acknowledge that ihis information is complete and accurate; that ihe work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand ihis is not a permit, 6ut only an application for a pertnit, and work is not to start withou[ a permiY that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of pl J11--,
x / l GL4 p vG ?i'lr"!1 x ApplicanYs Printed Name AppllcanYs Sig ature
Page 1 of 3
DO NOT WRITE BELOW THIS LINE
SUB TYPES
? Foundatlon ? 05-plex ? 16-plex ? Accessory Building ? Pool
? Single Family ? 06-plex ? Fireplace ? Porch (3•season) ? Ext. Alt. - Multi
? 01 of _ Plex ? 07-plex ? Garege ? Porch (4-season) ? Ext. Alt. - SF
? 02-Plex ? 08-plex ? Deck ? Porch (screen/gazebo/pergola) ? Multl Misc.
? 03-Plex ? 10-plex ? LowerLevel ? Storm Damage
? 04-Plex ? 12-plex ? Mlscellaneous
WORK TYPES
? New ? Interior Improvement ? Siding ? Demolish 8ullding'
? Addition ? Move Building ? Reroof ? Demolish Interior
? Alteration ? Fire Repair ? Windows ? Demollsh Foundatlon
? Replacement ? Egress Window ? Water Damage
' Demolition (enhre huilding) -give PCA handout to applicaM
DESCRIPTION:
Valuation Occupancy MCES System
Plan Review Code Edition SAC Units
(259/_ 100% Zoning City Water
Census Code Storles Booster Pump
if of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Const. Width
REQUIRED INSPECTIONS
Footings (new bldg)
Footings (deck)
Footings (addition)
Foundation
Drain Tile
Roof: Ice & Water Final
Framing
Fireplace:_R.I. _AirTest _Final
Insulation
Reviewed By:
RES/DENT/AL FEES:
Base Fee
Surcharge
Plan Review
MClES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
Total
Sheetrock
FinaUC.O.
FinallNO C.O.
HVAC
Other:
Pool: _FOOtings _Air/Gas Tests _Final
Slding: _Stucco Lath _Stone Lath _Brick
Windows
Retaining Wall
Building Inspector
Page 2 of 3
Clty Of EBpIl
3830 Pilot Knob Road
Eagan MN 55722
(651) 675-5675
RESIDENTIAL BUILDING PERMIT APPLICATION REQUIREMENTS:
New Construction Requirements
? 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas
? 1 Soils Report if proposed building is to be placed on disturbed soil
? 2 copies of plan showing beam & window sizes; poured found design, etc.
? 1 set of Energy Calculations
? 3 copies of Tree Preservation Plan if lot platted after 7/1/93
? 20% maximum lot coverage allowed
? Rim Joist Detail Options selection sheet (buildings with 3 or less units)
? Minnegasco mechanical ventilation form
Remodel / Reaair Requirements
? 2 copies of plan showing footings, beams, joists
? 1 set of Energy Calculations for heated additions
? 1 site survey for additions & decks
? Addrtion - indicate if on-site septic system
Office Use Only
? Certificate of Survey Received
? Soils Report
? Tree Preservation Plan
? Tree Preservation Required _
? On-Site Septic System
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA161289
Date Issued:05/15/2020
Permit Category:ePermit
Site Address: 4867 Knottingham Cir
Lot:4 Block: 2 Addition: Brittany 8th
PID:10-15007-02-040
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation. When a weather barrier is installed or
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 -
Scott B Bjerva
4867 Knottingham Cir
Eagan MN 55122
(612) 839-6332
Legacy Restoration Llc
15350 25th Ave N, Suite 114
Plymouth MN 55447
(763) 354-7660
Applicant/Permitee: Signature Issued By: Signature