4863 Knottingham CirBLDG. PERMIT N0.
?
• . ' • -?'--
,
.,..? --.?
r .
01-3210 Bldg: Permi
?
01-3422 Plan Checic
01-3445 Surch. /Adrr..
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 Permi
20-3743 Sewer Permi
79-3866 Sewer Conn.
11-3855 Park Ded,
TOTAL
0' • CASH RECEIPT
CITY OF EAGAh'
•
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
. DATE 19
R6C6tV6D . ! . . .
FROM e• ' ' AMOUNT ? I
f
? DOLLARS
too
E]CASH n CHECK
BY
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
Thank You ?- .-S ,
CITY OF EAGAN Remarks
Addition BRTTTANY $TH ADnN _ Lot 3 Blk 2 Parcel 1.Q 1 5Q07 QTO-(??
owner 5treet 4$63 Knottingham Cr. state 10 15007 030 02
Improvement Date Amount Annual Years Payment Receipt Date
STREET SUfiF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 197 12.23
1
77Ii
SEWER LATERAL
WATERMAIN
WATER LATERAL
% WATER AREA /Q 1986 536.oo 35.74 1
STORM SEW TRK IpSO ]_ $(j 942.00 62.80 1
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
. . , • ,. ?
.
(gprfiftrate uf (Orrupanry
titp of Cagan
EPpa1'tmptt# Df lltdbtM jt[S.ppttiOti
This Certrf cate issued pursuant ro the requirenrents of Sectton 3116 of tJre UniforrM Building
Code certifying that at the time of issuance this structure was in compliance with the various
ordinances of the City regulairng buildrng consmecliart or use. For the following.•
uKc??.eoo ? ?;/GAR i4:a_
Bidg. Rrmit No.
o-Wwacr Typc R3 zoning niwicc F i TyPe cmm '
OwoerdBw]di?q ?.??`? ? Addr=12617 j?ivW&a'1ti AVE, A.V.
Buildiegnddreas -1,863 Wn"Mi!"•i: t«aliry 13, ffi. ER?T,L'?;!' M_?
Dtte: ., ? r• i r r '? + !.?l „
Bu7ding OffitiW
POST IN A CONSPICUOUS PLACE
i - CITY OF EAGAN ,
. ' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 12953
PHONE: 454-8100
BUILDING PERMIT Receipt # %
? To be used for Si f)WG/GAit Est. Value $120 i 000 Date DEC:'.4B£R 8 1986
Site Address 4 8 6 3 KYOTT I NGHAM C I R Erect IN Occupancy R3
Lot-_'.Block 2 Sec/Sub. BR bTTANY 8TH Remodel ? Zoning R1
Parcel No Repair ? Type of Const V
. Addition ? No. Stories
cc N
TOLL r FSON BLDRS Move ? Length 54
ame
1261
dd 7 FAIRGRELN AVE Demolish ? Depth 47
ress
3 A
? ' Int. Impc ? Sq. Fr
ti . V .
Gity ?
? 7 - ? ? (; ;?;
Phone Install ?
Z o Name SAME
? Q Address
~ City Phone
?a
F W Name
? n Address
z
i W City Phone
I hereby acknowledge that I ha+
information is correct and agri
Minnesota Statutes and City a
Signature of Permittee_
A Building Permit is issued to: -
all work shall be done in accordai
Building Official
aya?? V?vn?P??4VA.
TOLLEFSON BL
e with all aoalicable Sta,
Assessment
Water & Sew.
Police
Fire
Eng.
Planner
Permit $ 483. 00
Surcharge 60.00
Plan Review 241.50
SAC 575.00
water Conn. 500 . U U
Water Meter 63.50
Road Unit 290.00
Tr. PI. 156.00
0
of Bldg. Off. tC/ o/ 0
APC
INC
Var. Date 1 Copies • Q O
Total ,
on the express condition that
Statutes and City of Eagan Ordinances.
? PermN No. Pwmlt Molder Dafe TMephone M
Plumbinq 7 i
H.Y.A.C. Ak
E?ac+.k s/87%
sottaner
liupsctbn Dale lasp. Commenls
Fooringa I
Footlngs 11
Foundptbn %
/
Frsming
Roollny
Rouqh Plbp. ?
Rouph Hty. 3
ln.ul. d s
Fireplaes
Finel Hly. ?
Flnal Plbp.
&dq. Final
Ced. Oce.
Deek Fty.
Dack Fmp.
WNI
Pr. Disp.
3830 PILOT KNOB ROAD, EAGAN, MN 55121
PHONE: 454-8100
Site Address T" ?' =
Lot Block
ri, ? .i,. Kj
m Name
m Addre:
c City ?
L Name
3 Addre
p CitY =
PEHMIT #
RECEIPT # L 2
DATE ? ? ? ?
WORK DESCRIPTION
Res. ? New X
Mult Add-on
Comm. Repair
Other
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
MINIMUM - RESIDENTIAL FEE - $10.00
MINIMUM - COMM/iND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYONO $1,000.00)
FOR: CITY OF
9O. FIXTURES OTAL o
Water Closet - $3.00
? Bath Tubs - $3.00 $
?
?L.avatory - $3.00 / y n rJ
L Shower - $3.00
I Kitchen Sink - $3.00
Urinal/Bidet - $3.00
? Laundry Tray - $3.00
? Floor Drains - $1.50 0
l Water Heater - $1.50 J
Whirlpool - $3.00 U
? Gas Piping Outlets - $1.50
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
?-
Rough Openings - $1.50
FEE Z-
STATE S/C:
GRAND TOTAL• -= -
PERMIT #
• MECHANICAL PERMIT RECEIPT # ' L
CITY OF EAGAN
3630 PILOT KNOB ROAD, EAGAN, MN 55121 DATE 'T`''W``RY /A, 11? ' 7
CONTRACT PRICE: PHONE: 454-8100
Site Address Knot* i n harn ci rc 2e gLpG
TYPE WORK DESCRIPTION
' Lot Block 2 Sec/Sub .
B i.*_tan 8 h A9i? _•,D .-:X: . x}; N
R
es.
eW
m Name ENL- M
l
Add
-on
u
t
o? Address 4 74 5 Comm
Re
air
.
p
, c City _;e:nount. MN Phone ` 23-11 d Other
Name rFSQN . FEES
I m
c 12517 Fat
Address reen r.venue RES. HVAC 0-100 M BTU -$24.00
0
City ' P'.'alley,
MNphone 431
-I lOC, _
ADDITIONAL 50 M BTU 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
ADDITIONAL 6 M BTU - 6.00
' TYPE OF WORK
1
0?? 24' 0r ???
.
Forced Air M BTU COMM/IND FEE - 1% OF CONTRACT FEE
Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00
I Unit Heater M BTU MINIMUM - COMMIIND FEE - 20.00
Air Cond. M BTU STATE SURCHARGE PER PERMIT - .50
(ADD $.SU S/C IF PERMIT PRICE GOES
? Vent CFM BEYOND $1,000.00)
,
Gas Piping OuUets #
, , 5(1
Other
FEE 05.50 ? `. 1 F L
.50 SIGNATURE OF PERMITTEE
S/Q*
TOTAL: 26
? FOR: CITY OF EAGAN
CITY OFUEAGyCW
SEWER SERVICE PERMIT
3830 Pilot Knob Road
P.O. Box 21189 PEFiMiT NO.:
Eagan, MN 551?1
'- 4-8"1
DATE
Zoning: ? 1 No. o( Units: 1
Owner. iol.lefson "ldrs.
Add----:
S1te
Plur
I ayree to comply with the CFty ot Esgan
Ordlnances.
BY
Date of Insp.:
Insp.:
Connection Charge: 4 75, t?Opk`
Account Deposit: 15, 00?''
Permit Fee: 10, Surcharge: •
Misc. Charges:
Totel:
Date Paid:
CITY OF ,?i4GR.N : Permit No: Date: 7- 4'
3830 PNot Knob Road Meter No: Size:
P.O. Box 21199 Reader No: Date:
Eagan, MN 55121
Owner. "-r11f'?fiA_:. ?ii Xs.
SiteAddress:- 48('3 3'nottin^ham C2'. L3 32 ^ rittanti '
Plumber Getl ``Rqali
Conn. Chg: '''i3 • 001?d Zoning: ? l
Acct Dep: 15. QQPA- No. of Units: i
Permit Fee: 10• ooF3
Surcharge: . 5 ft4 I agree to comply with Ihe City of Eagan
Tr. Plant 156-• ='0Pd Ordlnances.
Meter. SapE
Misc.: By
WATER S ERVICE PERM IT
CITY OF FAGAN , Permit No: Date:
3830 Pilo1 hnob Road Meter No: 3 7? s? 31 Size:
P.O. Box 21199 Reader Na QZO -7 ?j / z S" Date: 3//-87
Eagan, MN 55121
Owner. ??-1 eg5na v'_ irs.
Site Address: j':ilc tt Li har•i Cr i3 32 ?,- • ,
I tt:i
PIum6Pr- 'i?L- Rvan
Conn. Chg:
Acct. Dep: 1 3. i?r,;, ? M» • E.- g:
? ?f U nits:
1
Permit Fee: -'- %•'? e? re di R?n rali -,?
Surcharge: • TE U . PNn;IiF E? r^
?--4T4w&?s°mmMy
Tr. Plant ? ?'?? • "' ?c? Y,! nces.
Meter. -- ? ra-, BAw
' By
WATER SERVIGE PERMIT
with the City of Eagan ?
.• CASH RECEIPT •
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MIN7 TA 55122
91ATE ? 19 weceWeo
AMOUNT I$ ? G
??.
& OOLLARS
?oo
F-I CASH e-t HECK
FOR
FUN? CO E pMOU T
U C
7 '
C/ U
Thank You
N_ 71183
White-Payers Copy
Yellow-POSting Copy
Pink-File Copy
J
?
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55721 N2 12953
PHONE: 454-8100 BUILDING PERMIT Receiptp
Tobeusedfor SF DWG/GAR Est.Value $120,000 Date DECEMBER 8 1986
SiteAddress 4863 KNOTTINGHAM CIR Erect ?] Occupancy R3
Lot 3 Block 2 Sec/Sub. BRITTANY 8TH ftemodel ? 2oning Rl
Parcel No Repair ? Type of Const V
. Addrtion ? No. Stories
a Name TOLLEFSON SLDRS Move ? Length 54
? 12617 FAIRGREEN AVE
Address Demolish ?
? Depth
Ft
S d?
o
Ciry A.V. Phone 431-1100 Int. Impr.
mstan ? .
q.
o Name SAME Approvals Fees
?¢ Address AsS0SS?11Bnt PeRfiit $ 483.00
? Ciry Phone Water & Sew. Surcharge 6 0• 0 0
Police PlanReview 241.50
??
F W Name Fire SAC 575.00
?? nddress En WaterConn 500.00
g. .
<W city ahone Planner waterMeter 63.50
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
i Minnesota Statutes and Cijy of Ea _ idinances.
Signature o(
A 8uilding Permit is issued
all work shall 6e done in a,
Building Official
all
SON
INC
Council
Bldg. Off. 12/8/86
APC
var.
RoadUnit 290.00
Tr. PI. 156.00
Parks
Copies
Total 52.369.00
on the express condition that
of NqffFS03ota Statutes and City of Eagan Ordinances.
Th.s ruquest wid
months fwm ?
? , V 14 6
71g2?; -;,
k?ff ? p&Ic.GG
Hequest oale
s
- Fire No. flougJl-in InspecLOn
Requirad?
Heatly Now ?WiII Noufy InsPec-
?
?
7
?'" MVes ? No tor When XeaEy
ffLmensed Elecvical Convacmr 1 hereby reouest insoection oi eDove
? Owner electrical work insfalled at:
Stree't /Address. Boa or Raute No.
/tJ&2,???/7°' Qtv
= wnship Name or No. HangQ o. Counry
Otcupan((PpINTI Ppone No.
Pawer SuOPlier Address
Elec[r cal Cnntractor (C?omOany Name) Conh(e?cmr's l.cen?g No?
MailinB AdJress ICOntracmr or Owner Making I von)
1 ?' ?3
Auffior¢e ignawre on rac?or ner kmg Installabonl Phone NumbQr 'l?^ j. ?
.?.y
MINNESOTA STATE BOARO OF ELECTRICITV THIS INSPECTION HEQUEST WILL NOT
Gripgs-Midwey BIdB. - Aoom N•181 BE ACCEPTED 0Y THE STATE BOAND
1821 Unfversitv Ave.. St. Peul. MN 66100 UNLESS PqOPEN INSPECTION FEE IS
Phenw18721664-0800 ENCLOSEO.
.31,?9187 REQUEST FOH ELECTRICAL INSPECTION ee-ooooi-oe
/ Sea inatructions fer completing this form on beck ol yellow coov.
7
C_ 4 F "x- BeloW Work Covered by This Request ,
PN&4FAd ReD. TYOe of 8u01n9 Applianeee WiraE Equiumenl Wired
Commerciai Bldg. ? ? Fuace Silo Unloader I
Industnal Blda. AvmConditioner Bulk Milk Tank
p Fee ServiceEnimncsSize N Fee FeeEers/Sublaeders N Fee Circuits
U to 200 qm s D to 30 qm s /.R 0 to 30 Am
Above 200 qmps 31 to 700 Ainps S.IXX? 31 to 700 A S
Swimmin Pool Above 100_Am 5 Above 100_P?m 5
Transiormers Irngation Boorris So Partial-"Othe Fee
? I Signs I I ISpecial Inspection
t/,?
emarks S?sCy?O TOTAL EEC7(0
f - - `? I, the Electncei
3:a?F-? Inapector, hereby
cartily thet the abave
Final /? c Dnte ?i?qpaction hes Eeen
1l? il .?o-? a! I moae.
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Construction Reauirements
. 3 registered site surveys shoxing sq R. of lol, sq. ft of house; and all roofed areas
(20%maximum lot coverage allowed)
• 2 copies of plan slwwing beam 8 wmdow s¢es; poured (ound desgn, etc.)
• 1 set of Energy Calcula6ons
• 3 copies of Tree Preservalion Plan if lot platted after 711193
• Rim Joist DeWil Options selection sheet (61dgs with 3 orless units)
DATE
=37f6:i
/V? 'g° 0,2 -4)
RemodeUReoair Reauirements
. 2 cooies of plan
. 1 set of Enertgy Calculations for heated additions
i 1 site survey for eztenor adddions & decks
. InCicate if home served by septic system for additions
VALUATION _??7J3. C?aL
SITE ADDRESS yB?C? `Z n+?rYt? ?? ?r IP F 44,61 rr -a MULTI-FAMILY BLDG _ Y ? N
TYPE OF WORK FIREPLACE(5) ?0 _ 1_ 2
APPLICANT lcl?vae?n.,-?Xsr?p/tn2S
STREETADDRESS 75/6Cn C._L.,S?oyi 4,,,, CITYI.?.++??,ikieSTATEQ1AZZIP
TELEPHONE # 95??'-8R"[ R"?23? CELL PHONE # FAX #25,2SR/-rQ5//
PROPERTY OWNER ?2('CA 1>a jPrpX9 TELEPHONE # G5/- 68'/ - 9/Y9
-----------------------------------------------------------------------------------------------
COMPLETE THIS SECTION FOR "NEW° RESIDENTIAL BUiLDINGS ONLY
Energy Code Category _ A?IIVNGSO"t':A RULES 7670 GA"CL•:GORF t 'VIINNtiSO"G1 RI?I.I:S 7672
(J submission type) • Residential Ventilation Cate9ory 1 Worksheet Submitted • New Energy Code Worksheel5ubmitted
. Energy Envelope Calculalions Submitted
Plumbing Contractor:
Plumbing systcm inchides:
Mechanical Coniractor:
Mcchsmical systcm includcs:
Sewer/Water Contractor:
Phone
---------------------------------------------------------------------°°------•-------•
I hereby acknowledge that I have read this application, state that the information
with all applicable State of Minnesota Statutes and City of Eagan Ordin,pnces. ?
Signature of
OFFICE USE ONLY
_ Watcr Soflcner
Watcr Hcatcr
-- No.ol'13aths
-- .air Conditioniug
-- Hcat Rccoacry Syslcm
----- Pltonc # ------------
Iann Sprinklcr Fcc: $90.00
\o. of' R.I. I3aths
Phone #
Pcc: $70.00
Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _
Updatetl 4/02
OFFICE USE ONLY
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 76 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demofish (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 MC/ES 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 . .
_ '-our.dation HVAC
_ Drain Tile Other
Roof _ Ice& Warer _ Final _ Pool _ Ftgs _ AidGas Tests Final
_ Framine _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows(new/replacement)
_ Insula[ion _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply 8 Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Totai
3.c?p
Building Inspector
1986 BDILDI9G PE1diLT APPLICA'fION - CI?Y OF EAGAN
AOTE: ALL CONTRAClORS M[JST BS LICEBSBD WITH THS CITY OF EAGAN
SIHGLE FAFIILY DiiBLLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SIIRVEYt 1 SET OF ENERGY CALCULATIONS
MOLTIPLE DiiE[.LIAGS - ESSIDE9TIAL RENT9L D9ITS FOR SALS DNITS
INCLUDE 2 SETS OF PLANS, CEHTIFICATE OF SDRYEY - CBEC[ WITH BLDG. DEPT.,
1 SET OF ENERGY CALCQLATIONS
COHI4ERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANASCAPE BOND
I 20i 086
?
To Be Osed For: Valuation:Date: 1,2 - 3- 17lp
Site Address ? OFFICE USS OALY
Lot ?.3 Block ? Erect ? Oceupancy 2•3
Remodel Zoning IZ•1
Parcel/Sub Repair _ Type of Const 7T
Addition 11 of Stories
Owner ?lp 10 Move _ 4ength ?
Demolish Depth ?
Address Int.Impr. _ Sq Ft
Install
City/Zip Code
Phone APPEOV9I.4 FEES
Address
City/Zip Code ?A /o
Phone
Mch./Engr.
Address
Assessments Permit 483,
Water/Sewer Surcharge
Police Plan Review
Fire SAC S `7 S •
Engr Water Conn 5 00.
Planner Water Meter
Couneil Road Unit IL90•
Bldg Off/_ -• Treatment P1 IS(o.
APC Parks
Varianee Copies
mrgL
City/Zip Code
Phone lk
NOTE: ADDRESSSS FOR CORNER LOTS - CONTRACTOR/HOFIEOfiNER MOST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES iTlLL BE ALLOiiBD ONCE BDILDING PERNIIT IS ISSIIED.
21x 42 = 8?2 ?? ?? = S? ?s?
? 2 x 2.5 `?a x 12 ? 9?, co
4-00
43l2
&'°x- S6, ^ce 73
71_CEFSoN BuitoERS
AOSE CONSUlTiHO El161HEfA5 .
NGiNEE1i1NG PIAHNEpS ond LAHD iURVEYOIfS
rE COM(?ANY, INC.
.
L I000 E,t57 I46tn 57AEE7, Bl1ANSVILLE, 41HNESOTA 5e337 P41 1=2-3000
C4ErZ
Z'Z ccci!e 5`urYe [?
?e?at IJe.sca~Lp?'ian: LOT 3, BLOCK Z, BRITTANY BTH,ADOIT/oN,
? DAKoTA CouN7Y, MlNNESoTA
C0MD DENOTES EXISTIN6 ELEVATiOM
(959.s ) pENOTES PROPOSED ELE\/ATION
?- INDlCATES DIRECT/ON OF SURFAC6 DRAINA6f
7-,M93 = FINISHEO 6ARA6E FLOOfZ ECEVAT/ON
scAtF • M' _ 30'
% v
\ '
3t I
N
M
?
1? ?p
o_
2
I
I
I
I
I
I
I
L-l? l
S 69° 37'37"W
/29.72
?? (9^I•3
/ (yS9.,$?
?
f?
1 ?
,J
1959.3i
4 1
4lu ;-?
O
1 ?
ca
141MsM .,
? /
QVC/
7
?
?
? I
I ry
N ?
I ? ?1
a?1
N
U
V
?I
Z1
O
Y
?
?2se
)RAwnsE Awo `' i? 139•08 ?E
?Tlury EqSEN}ENT -`^ ?lo qb' D9??
? 30' F"NT BvIc.DiN6
1 5Z' -r sE-raacK L/NE
C 5:.4? i ? ; ,
I her:by cartify that thia ie n t:ae and correct repreeents,tioa of a traet of
ljnd as •hovn'and deacribed herson.• Ae prsparnd by fie on,this i,_ aar of_ Y
J ?aue_
Kinne xis. •Ho. /??5.
CITY OF BUILDINa DEPARTWIENT
'. k:XTERIOR ENYII,OPE AVERpaE IIUII C014pUTAT10N
?a • (To be submttted rovith building permit application)
One or Two Family Dwelling
All Other
Contractor
o,?er?-?,?Ll?lrlet_t; _
8ite Addreae 15F3z .51&vVCxxl lnli,l?,1
Date Z 7 Yhone -164 -&9 15
LIIIEAL EXI'0 ED FV'JALI, oF fte abova grade = ??
1YlTAL EXPOSEALL ARr^,A gQ. F1'.
0?AQUL 4VI11, COP'S'PRU7TIOI7. "U" Value X Area
Uetail nUn_, 43
fr
L
° 8 u2. FT. 00-0&-& (U) (A)
ref'erence fio
.
U x SQ FT
-
?. . . ?
_ 9.4(, (p)(p)
from nUn_.i5Z x SQ. FT. 7Sh 4U) (A)
attached "U" x SQ FT
. . _ (p)(A)
slieets ????? X 8q FT
, . _ (U)(A)
npu x BQ FT
. . : (11) (A)
Y1II1 DO'NS: "U" Value x Area
P114ce & TyPe ??I?i1?T?- nUn x S FT
n n Q. . (U)(A)
S/ =?g2
npn
x
&Q
FT .
n n . . _ (U)(A)
??Un x JQ FT
n it . . = (U)(A)
upn x SQ. FT. = (U)W
Dooi2S: "U" Value x nrea
tda'ce & Tyne
n n
ToTAI, (ll) (A) VALUES q3 =
?f -
DIVIDED BY TOTAL 17AI,L AREA (Xi
AVk;12A4E l'U" .115 or lese for 1&2 family dwellinga
ROOF/CEILIPI4 s
TOTAL AREA: --?
FT. O (U) (A)
FT. di. =_?(U)(A)
xr. ? (u)(a)
FT. _ (U) (A)
b'T.- L. 1J? (U) (A)
betail reference ifUll_ .?7 x gQ. FT.Iq„??(U)(A)
from
lttached sheete. rlUti X
IfUII SQ. FT. ? (U)(A)
Describe oneninga
i x
°Uvl x SQ. FT.
3Q. FT. _ (U)(A)
_ (U)(A)
n roof. '?U?? x 3Q• EIT• =
M(A)
TOTAL {U)(A) VALUES DIVIDED BY ly,5_3
a rTAI.'j .N.fr CU(M
To7'AL ROOF/CEILirra aREa 930 OZ
,
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.
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A
a
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CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
*AT03: PAYMFTTP OF FEE AT TIIME OF
APPrscATzoN DoFS rxrr oONSrzlUM
APPFtOVAL OF PF12MIIT.
xxSPrx-riort oF sMmt AND/1Ot wnTEt
rnfirars.nTrONS WIIi. NOT BE S(RED-
ULID Z]NPII. PERMIT ARS BFESI
APPROVID. '
.... __°__°_-- - ----- --- - _
, P ease Print)
"1) PROPERTY ADDRESS:
LEGAL DESCRIPTION:
sion
_ .i Y-4
IF EXISTING STRCCIL'RE, DATE OF ORIGINAL &JILDZNG PERMIT ISSCANCE: :
(MOn Year1
PRESENr ZONING/PROPOSID L'SE:
Q CO1?PMCIAL/RETAII,/OFFICE R-1 SINGLE FAMILY
Q IfIDC'STRZAL 0 R-2 DCPL.EX (7.tvo IInits)
F-I INSTZTL'TIONAL/GOVERNIENT C( R-3 TOWNHO(JSE (Three + Units )( L?nits )
0 R-4 APAR7MNT/CODIDOMINZLTI ( Units )
2) F-,Nnw;ko?
ADDRESS:
CITY, STATE. ZIP: ?_ ,q,? ?? . /J'?.? . S-,S3 `7? '
PxorE: A9?i-7 6 a a
3) .„ ?.,,. For City Use
NAME= e?a= Plumbers License:
AnDxFSS: 9 Active
Jti7?s_r .s. ?6jr=c:j= Expired
CITY, STATE, 6? IVot recorded
PHONE: MASTER LICIIVSE#
St Initial
4) ???u• s i?-
rAME: 7 o LcK-sz?
. ADDRESS :121 i?
czTY, srazE, zzP: ?
I PHONE:_?`?/? l,/ o p• ? ?
-5) f u V• Y'" '1 r: .?, --- ,? • o? U:ti'Y47?
?CON[1EC.'TION TO CITY SfiSVII2 y??CONNECTION 'IC CITY WATER Q OTfEf{ '- .
6) ?'? M?" •' i' Q PI.EASE HOLD APPROVE9 PERMIT ECR PICK-IIP BY ONE OF ABOVE -' -- -' -
. ?( PI.F.ASE MAIL APPROVID PERMIT 70 1. 2. 4. ABOVE ,
(Circ e one)
7)
FOR -CITY USE ONLY
PERMIT # ISSIIED
Pd w/Bldg. Permit FEES:
$ $ /U -S--7) SEWER PERMIT (INCLODE SDRCHARGE)
$
s
$
$
$
S S C U??
o
$
$
$
$
$ J Z_
?? ly9
RECEIPT
$ ?D• j? WATER PERMIT (INCLC'DE SIIRCHARGE)
$ WATER METER/COPPERHORN/OL'TSIDE READER
$ WATER TAP (INCLUDE CORPORATION STOP)
$ SEWER TAP
$ ACCOUNT DEPOSIT - SEWER
$ ACCOIINT DEPOSIT - WATER
$ WAC
$ SAC ,
$ TRDNK WATER ASSESSMENT
$ TRUNK SEWER ASSESSMENT
$
$
$
$
$
7
RECEIPT
LATERAL BENEFIT/TRONK SEWER
LATERAL BENEFIT/TRLNK WATER
WATER TREATMENT PLANT SIIRCHrIRGE
OTHER:
TOTAL
DOES UTILITY CONNECTION REQOIRE EXCAVATION IN POBLIC RIGHT OF WAY?
Q YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLZC
Q ROADWAY" M()ST SE ISSUED BY THE E[VGINEERING
NO DIVISION. LIST AS A CONDITION.
SOBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE: ? ? ? ? 7
PERMIT#
RECEIPT DATE: `Jv''oI?
MIDEPTIAL PLUM$1N6 PEiiMiT APPIICATIOR
CITYOf £A6AN
. S$SO PILOT I{NOB {iD
- -
- _ ` - -- - EABAN. Eift 55122
,- 651-681-4675
Please complete for:
SITE ADDRESS:
OWNER NAME: :
? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for irrigation system
BARONE,CARA
4863 KNOTTWGHAM CIRCLE
EAGAN, MN 55122
(651) 681-9149
INSTALLER NAME:
STREET ADDRESS:
CITY:
DI? nMn,L ? rL n v# 4n #6n nurmiT wnr4 }vno
TELEPHONE #:
(AREA CODE)
STATE:
ZIP:
New residential dwelling unit under construction and not owner/occupied $ 90.00
X Add-on, modification or alteration to existin dwelling unit, including: $ 50.00
• abandonment of septic system
• new installation/repairlrebuild of RPZ
• lawn irrigation system
• water turnaround
Y'2a7tQ.cib wa+cr h eaia
Nature of work:- ?
Septic System, newlrefurbished - $ 225.00
• inciudes County & Consuiting Inspector fees
• requires MPC license
State Surcharge $ 50
$ 6p `'-
Total
Reminder: Be sure to schedule inspections of alterations, Le. wa[er neacers, wacer sorceners, ecc.
I hereby acknowledge that I have read this application, state [ha[ fhe informatlon is correct, and agree to comply with all applicable Ciry of Eagan ordinances. It
is the applicant's responsibilily to notiy the property owner that the City of Eagan assumes no lia6ility for any damages wused by the Cityduring its normal
operetional and maintenance activities to the facilities consVUCted under this permit within City property/right-of-wayleasement.
SIGNATURE OF PERMITTEE
TELEPHONE #:
(AREA CODE)
Updated i101
_ 7s 7.s7
2006 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX 4 651-675-5694
New Constmction Reauirements
3 registered site surveys showing sq. ft oi b4 sq. N. of house; and all roofed areas
(20% maximum lot coverage allowed)
1 Soils RepoA'rf proposed building is to 6e placed on disturbed soil 2 copies of plan showing 6eam & wintlow sizes; poured found design, eta
1 set of Energy Calculations
3 copies of Tree PreseNalion Plan if lot platted after 711193
Rim Joist Detail Options seledbn sheet (buildings with 3 or less units)
Minnegasco mechanipl venlilation form
RamodeUReoair ReauiremenGs
2 oopies of plan showing (ooGngs, beams, joists
1 set of Energy Calculations for heatetl addi6ons
1 site survey foradditions & decks
AddBion - indirate i(on?s8e sepNc system
'a 7D O?)
Oflice'Use Oi'dv
ShcsRep`oit`:.?,„:?::?';
F `.?:....-% '?
7? fee P = res_planRecd _Ys-? N.
.- ?r .ed?.;':.=_- ,nN
Tree,P.,re,??Eieqtii`Y"`'-'?
unv anpnno
Date / I l 7i7 / 0(0 Construction Cost llrr3`)z l
SiteAddress q p&3 KUD//[?+10" UniUSte #
Description of Work (,-wD (,2 GA 5A*'^'
Multi-Family Bldg _ Y_& N Fireplace(s) _ 0 _P(,1 _ 2
Property Owner Cl'71L? i ,??} I L^JL5? Telephone #( (0)-/ )Zq6 -3?o
Contractor ilmd 8 NonN TecMObAI
11pa
"
: N, Y1C,
Address ?-......o
:-
r?rmr.
?1?
1. ?
-
-
--
City
State ?
.
,
?a1' ?
?61/CSl
•4 801
Zip
Telephooe # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Calegory 7 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
In the last 12 monihs, has the City of Eagan issued a permit for a similar plan based on a master plan2
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone # (
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of pla7lL A/C, ww wy-?
ApplicanYs Printed Name Ap icant's Signa e
DO NOT WRITE BELOW THIS LINE
Sub Tvpes
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screenlgazebo/perola) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex ? 25 Misceilaneous
Work Tvaes
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building` ? 43 Reroof ? 46 WindowslDoors
? 34 ReplaCement 'Demolition (Entire Bldg) - Give PCA handout to appliwnt
DesCl'iption: WaterDamage_Yes
Valuation Occupancy MCES System
Plan Review 100%or 25%
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. ,wd.cOWnff;,,,f OMOH gftedS
# of Bldgs Length ?re ?he?N cbi" si? e4tr
BUD??@mwsMI
Type of Const Width '?jIzi qe o:1Fro?eap
t98S-C8B1P48
REQUIRE D INSPECTIONS
_ Footings (new bldg) Sheetrock
_ Footings (deck) FiuaUC.O.
_ Footings (addition) FinaUNo C.O.
_ Foundarion HVAC
_ Drain Tile pther
Roof _ Ice & Water _ Final _ Pool Ftgs Au/Gas Tests Final
_ Framing _ Siding
Stucco Lath
Stone L,ath
Brick
_ F'ueptace _ R.I. _ Air Test _ Final _
_
_
Windows
_ Insulation _
_ Retaining Wall
Approved By:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Building Inspector
NOV 8020D6
November 27, 2006
City of Eagan
Attn: Permits
3830 Pilot Knob Road
Eagan, MN 55122
Attention Inspections:
Our work at the following address has been canceled. Please refund the permit
fee of $ 70.00. Thank you.
Address: 3417 Rolling Hills Drive
Owner: HAYES
Permit No. EA075759
Please send refund to:
Fireside Hearth & Home
2700 North Fairview
P.O. Box 130847
Roseville, MN 55113
Sincerely:
¢ocina Hammer
Retail Install Coordinator
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA124387
Date Issued:06/30/2014
Permit Category:ePermit
Site Address: 4863 Knottingham Cir
Lot:3 Block: 2 Addition: Brittany 8th
PID:10-15007-02-030
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 -
Richard Barone
4863 Knottingham Cir
Eagan MN 55122
(651) 246-3907
Window World Aka Probuilt America
2211 11th Ave E, #130
N St. Paul MN 55109
(651) 770-5570
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA139415
Date Issued:10/21/2016
Permit Category:ePermit
Site Address: 4863 Knottingham Cir
Lot:3 Block: 2 Addition: Brittany 8th
PID:10-15007-02-030
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 within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Richard Barone
4863 Knottingham Cir
Eagan MN 55122
(651) 246-3907
Window World Twin Cities
2211 11th Ave E, #130
N St. Paul MN 55109
(651) 770-5570
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA161800
Date Issued:06/12/2020
Permit Category:ePermit
Site Address: 4863 Knottingham Cir
Lot:3 Block: 2 Addition: Brittany 8th
PID:10-15007-02-030
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 -
Richard Barone
4863 Knottingham Cir
Eagan MN 55122
(651) 208-6534
Legacy Restoration Llc
15350 25th Ave N, Suite 114
Plymouth MN 55447
(763) 354-7660
Applicant/Permitee: Signature Issued By: Signature