664 McFaddens Tr«'A•.,a
iKertificate nf Cccupanc?
W" ot Cfagatt
zqartment of exim" anoadox
This Certijicate issued pursuant [o the requirements of the Uniform Building Code
certifying that at the rime of issuance this structure was in compliance with the various
onlinances of the City regulating building construction or use. For the following:
Use Classificadon: SF DWG Bldg. Pecmit No. 20271
Oocupa-r ? &nirig viga;cc R Type
6ATZ ? VN
ConsL F[lC0
J
OWIICf/ (?'sU1ld1Rg f1?[GS4 '???j
BILIpNIg /+?[Y3S L.O(alILY ! ! +i`??+++
j / -?
?
'.? nau: 06/2 1/93
sk;w„g oMcW
POST IN A CONSPICUOUS PLACE
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
INSPECTION RECORD
REacrzv m BSMf FIMSH 12/30/93 PERMIT TYPE: '
DOU PETESCtI 83-3654 454--8157 Permit Number. - 1a
Date Issued: ?+ -`' l ' ? ? I `?'?
SITE ADDRESS:
PERMIT SUBTYPE:
11f1- APPLICANT:
• ??w:??, -r?? ?;r?. • ..
?? ? ??????i w•, i; . .??? , , ? ? -
TYPE OF WORK:
INSPECTION .. . .•
,. ? , .
? i
? , ; ?•? ,, ? `
ftf..MARKS r RECE11' 1 ti RI NR t-A1?M I M(4Tt1N
7
. ,? .
I_ .
Pem,lt tro. Permk Hotaer uate Tilephone #
S/1N
PLUMBING
HVAC
ELECTRIC
ELEC S;O 9 yt
Inspection Date Insp. CommeMs
Footings 1 2-2 !3 p?s
dJ
FOUrxifltlOfl
Framing
3l 3
J ' . TvcO TO s v?, /o BL??
,
Hoofing
Rough Pibg.
,?--
R°ugh mg. 3 Aopv? kY re 2(, PSi
l5ul.
FirePlece
Flnal Htg.
7
Orsat Test ?
Final Plbg. Plbg. Inspector - Notity Plumber
Const. Meter
ErgrJPtan
Bldg. Final 14 ?-?
Deck Ft
g. B ?
lJt•?/??icr G'^ v'..r ? s
Deck Fnal ?
weli /p
Pr. Disp.
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
? (612) 681-4675
' SITE ADDRESS:
1 A h i V I l W f t t A 1 1
PERMIT SUBTYPE:
': f
Ilt 1E1.1 1 Ihlo;•.
INSPECTION RECORD
PERMITTYPE:
i Permit Number:
Datelssued: 01.10!, •14
APPLICANT:
TYPE OF WORK:
F { ri:, I
m
Permtt No. Permft Holder Dste Telephone #
S/VII
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspectlon Dats Insp. Comments
Footings I
Foundalion
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Flrepiace
Fnal Htg.
Orset Test
Fnal Plbg. Plbg. Inspector - Notiry Plumber
Const. Meter
EngrJPlan
Bidg. Final
Deck Ftg. ? C
O
Dedc Final ` C
Well
Pr. Disp.
IN
;ON RECORD
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITEADDRESS: ? r, .•;r? ?? h
PERMIT SUBTYPE:
PERMIT TYPE:
Permit Number:
Date Issued:
APPLICANT:.
TYPE OF WORK:
i'l ., , . I i ilr?
1 11 1 a«
?. ?? rt r
E4+! ?; . !tS 7
ni rfr?nr?r?a
? nt?1 HE ??h c,aa? )
INSPECTION ., • .A
. , .
?!I!•,I? ; t: f l?+ t I tJJI?
?
?
?
PermR Ffo. Permit Holder Date Telephone 8
ELECTRIC ?Go?D? J D?
PLUMBiNG
HVAC
Inspectlon Dete Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFINO
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATiNG
(3AS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAI HTG
ORSAT
TEST
BLDG FINAI
BSMT R.I.
BSMT FINAL
DECK FfG
DECK FINAL
/
f rtiil' ? ZS??
_?? ON-R-FOORlY
CITY OF EAGAN PERMIT TYPE:
,--?3836Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
i (651) 681-4675
, ,
SITE ADDRESS:
N ?; i ?,>
i..atL i trr,t? :
APPLICANT:
. ,.., ?
c i, t> s ? 41.4 r: .t ?
` PERMIT SUBTYPE:',
TYPE OF WORK:
f,i,i?l
ri I I tir rif
:3pt?Al
•, ia? r.,,
INSPECTION .. . D•
i
MAW;: P LAN REVIFWflI B1' WAYN{" Mtl I ER fRIFPl.ACI'INt'f+f FtlN t'Xt}lRF1) t'(`RMiI ?:•'?!Hl tIAlf I
A •7? -117 1 .
IL
?
Permit Holder Date Telephone 1k
SEWER/
WATER
PLUMBING
HVAC
Inapectfon Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
coNOUCnvm
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FfG
DECK FINAL
Address 664 MZFADDINS TRAII. Zip 55123_
L.ot 26 Blk I Sub t.nKEvrEw rE61[.
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: 06/21/93 Yes No Inspector:
Final grade (6" from siding)
Permanent steps (garage)
Permanent steps (main entry)
Permanent driveway
Permanent gas ?
Sod/Seeded grass
TraiUcurb damage V
Porch
Basement finish
Deck
Please verify with the builder the removal of roof test caps from the plumbing system and the shuboff of water supply to
the outside lawn faucet before freeze potential exists.
Contact engineering division at 681-4645 before working in rightvf-way or installing underground sprinkler system. ?
White - City Copy Yellow - Resident Copy Pink - Contrecror Copy
Ui
y
?
R uest ate ire N Roug?.m Inspeqron
Reqm? 1
J
C ReaOy NowAI Notify Inspector -AW
- as - ?
When Reatly?
I ?censed contractor D owner hereby request inspec4on ot above electrical work at:
Job Atleress (Sheet Box or Route rvo ) Clry
Seqmn No TownsNp Name or No Range N. Counry . I
Occupanl(PRINTi Phone N.
Power Suppli? ? A Atltlress ?
Elecinwl Gomrac>im COnO= Name) L Contrecro?r's L¢_ense `No/
Mailing Aaaress iCOnhactor or p.vner Makinq Installation)
?
:G 3
,,y
??
mor¢etl S?gnal TGomractor,O
wn¢r Aaki g Inslailauon) Phone Number
MINNESOTA AST TE BOAR O ELECTPIi v? THIS INSPECTION REQUEST WILL NOT
Griggs-Mmway Bltlg. - Room 5-173 BE ACCEPTED BY THE STnTE BOARO
1821 Universiry Ave.. S1 Paul. MN 55100 UNLESS PFOPER INSPECTION FEE IS
Phone(61I) 602-0800 ENCLOSED
/ r,;r- REQUEST FOH ELECTRICAL INSPECTION
.ll, See ?hstwcnons for completing Ihis lorm an back of yellow copy
a 0 6 5 6 5 ljt?k-
'x" Below Work Covered by This Request
e Add Pep Typeof0wltling ApptiancesWired EqwpmentWired
Home Range Temporary Service
Duplex Water Heater Electric HeaAng
Apt. Bmiding Dryer Other (Specity)
Comm /lndushrel Fumace
Farm qv Condrtioner
Other (sVnAy) ConVaMOrS Remarks
Compute Inspecfion Fee Below
# Other Pee # Service Entrance Srze Fee # Cirouits/Feetlers Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
SignS inspecmr4 Use Only. -1 TOTAL
hrigation Booms
pecal Inspe V
AiarmiCommunication IDISCONNECTED
THIS INSTALLATION MAY 8E ORDIF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, Ihe Electncal Inspector, hereby
certity that the above inspection has
been made. Rough-m oa?e
Fi
nal
?
OFFICE USE ONIY
This repoesf voia te months tmm
/1 a• ? OFFlCE USE ONLY This requeslvoid 18 months Fom wlidanon dale pr"mied in?J is bmc.
???
?'
?
? ??? ?? ??
Idlll II IIII Ili III I II II II II IIII II
-
??
--
* 0 4 1 6 2 0 L 2* pLEASE PRINT OR TYPE
Reqaest Dab
Roughin irtspeclion reqoiredz Yes ? No
InepMion Oiher Than Rough!^ ? Heody N. Will Call
I (Vou must mll ihe inspecbr when reody) Date Ready.
I, ? licensed conhacror Pnowner hereby requesf inspeclion of Ifie above electrical work ot:
Jab dreu ?Srceel, Bon, or Rou N I
T
P
? Ciry ".., Zip Code
,-A,
F
.K S
Secnon No. Township Name « N. Nange N. Firc No. Couny
Occuponf Phone N.
Power Svpplier Address
Elacrciml Conkocror (Comporry Namel Connaclor licenx Na AAosrer Lic. No. ?Plant Ekc1 Only)
se l?
Mailiig Addrev (Canrcacbr w Owncr Pehorming Insmllahon)
5 be
A
ulhwired Signalure (Crnh
a
dor
o
r Owm
rer Performing Insmllvlirn Phore No
y
/
?
?
?
?
I? .ls?.? ni4.Cl ?-"? ?
EBOOOOIA-I 1 8/96 STpM BOARD?E6PY - SEE INSTHOC710N5 ON BACK OF YELLOW COPY
41_6-201
21 RkQUEST, FOR ELECTRICAL INSPECTION /a
Minnesota State Board of Electricity
7821 Unrversily Ave., Rm. S-128, St. Paul, MN 55104
Phone (612) 642-0800
Home Duplex Api. Bldg. Other: New Addn
Commercial Indushi Farm Remod Re ir
Air Cond. Htg. Eq
#u, Waler Fih. Load M mt. Olher:
Dryer Range Elx. Heaf Temp. Senice f1
"X" above 'he work covered by this request Enter remorks in this space and on the back of rhe white copy only.
Cakulale Inspxtion Fee - This Inspection Request will not be occepfed withoaf fhe correct fee:
Other Fee S Service Entrance Size Fee # Circuits/Feeders Fee
Mobila Home Park Stall 0 to 200 Amps 0 to 7 00 Amps
Sheet Lig./TraRic Sig. A6ove 200_Am 5 Above 100_Amps
Tmnsformer/Genemror INSPECTOB'S USE ONLV TOTAL
SignlOutline Lfg. %fmr. ?i
?BrICC ro/7/?CC D•?O
Alarm/Remote Conhol ? p/ fJ i??
Swimming Pool ? ?G?'
I herb, cent mot I in kd Me alechrcal ?nsmllanon dexnbed hcrem on ihe dares smkd
Irri9ofion Boom Rwghan Dore
Speaol Inspeclion
Investigalive Fee Fi?ol oere
TNIS INSTALLATION MAY BE ORDEREn
?IS O N C ONTHS_
/iM?
G? 2480-
REQUEST FOR ELECTRICAL INSPECTION
? See ?slrucLOns lor complehng tnis foim on bick bl yeliow copy.
"X" Be/ow Work Covered by This Request
EB-00001-08
e A'dd Re 7ypeofBUilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Bwldmg Dryer Load Manegement
Comm./Industrial Furnace Other (Specrfy)
Farm Av Conditioner
Other(spenlyl Gantrector5 Ramarks 1
Compute Inspection Fee Below: ? 5 m\
i/ Other Fee 8 SerwceEniranceSae Fee k Cirwks/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above WO _ Amps
Slgns Inspectors Use Onry
/ TOT L ??
Irrigalion Booms '
?O.
Speaal Inspecaon
AlarmlCommunication THIS INSTALLATION MAY 8E ORDERED DI5CONNECTED IF NOT
Other Fee COMPLETEO WITNIN 18 MONTHS.
I, the Elecvical Inspector, hereby gRin
O
U o ?,?.L
/
cerlirythattheaboveinspectionhas
b
een made. [R
T
N
oa
OFFICE USE ONLY
TNS requesl voitl 18 momhs Irom
I
9
C? 0 4 0,Z lv /
Re0uesl Del¢ re o.
?, ./ ?
y ? Raughdn Inpseclion ReOmreE
(YOU mu II inspatlpr whBn ree0y) inspecuan Other Than aughdn
? qeatly Now WIII NotHy InspMOr
Vee ? No Dale Reatl
IEl licensed contrector owner hereby request inspection ot above electrical work at
Job Atlaress ($Ve 1 Box or RouI No I
fA Qy
G a .s ,lr.
SecUon No TownsNO Name or No. Range No, Couny
u0ant(PRINT) ( Phone No,
u 1qs e?e
Power Suppiier Address
Eleclnc Co ratlor?COmOany Name) Conhactor5 License No
a ? o whe-?"
Madm Aatlr S/ICOnVac
to
r or Owner Making Inslallatmn)
?
Vq
/ ' ?/V C-
Aulhonze?wner aki sl iauon? Phone Number ry
? -a !5
MINNESOTA STAT 80APD OF E ECTflIQTV THIS INSPEGTION REOUEST WILL NOT
GrIB9s-MlOway Bltlg. - floom S-173 n S BE ACCEPTED 9Y THE STATE 80ARD
1821 Unrvastly Ave.. SL Peul. MN 551D0 UNLESS PROPER INSPECTION FEE IS
Ppone(812)6a2-OB00 T? ENCLOSED
'0" City of Eap
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675.5675
Fax: (651) 675-5694
2008 AAECHANICAL PERAAIT APPLICATION
oete:a-!i-o& Sna;Add.ess:??ov/ a.a??&m Lzd
RESIDENT/OWNER Narne: bLU0 PPfeSC;`'2 Phone:
b(o
GUL??denJTrCa i l
/Ci
/Zi
A
d
d
ress
ty
p:
7
CONTRACTOR
Name: DP ZI P,I f-IeC1_4-7h c4 F14'i2 rn Lcense 7l:
Addrm: I UI13 rri Rvc Ne__
I
City: YJ??{T'?C I o State: M A 1v Zip: r7
Phone: lu?>- (_L'" `( ' 3)CI IP )-Contact Person: Mn(•` li 1ol aLq-? QC/%
TYPEOFWORK -New _ZReplacemeM _Additional _Alteretion _Demolkion
Description of work: {i I nu Purn tl (.e-
NOTE: Both roof mounted and grounal mounted mechanlcal equtpment is reqvired to
be screened by C/ty Code. Please contact the Mechanfcal lnspector or one of the
P/anners for informa8on on pefmitted screenln mefhods.
PERMIT TYPE / RESIDENTIAL COMMERCIAL
? Fumace -
New Construction In[erior Improvement
Air Condi6oner _ Inslall Pipirg _ Processed
Air Exchanger -Gas _ Exterior HVAC Unit
'
_ HVAC units must ba screened
_ Heat Pump Under / Above grourM Tank ? Install /_ Remove)
pther " When installinglremoving taNc(s), call fw inspeclion by F2
Marshal and Plumdn I or
RES/DENT/AL FEES:
$50.50 Minimum Add-on or alteration to an existing unit (iricludes $50 State Surcharge)
$90.50 Fire repair (replace bumed out appuarnces, ductwodc, etc.) (includes $50 Srate Surcharge)
SO
5a
EE
, ,
TOTALF
$
COMMERCIAL FEES:
$70.50 Underground tank instailation/removal OR Cantract Vatue $ x 1%
$50.50 AAinimum (includes State Surcharge)
_ $ Permit Fee
- If Perrnn Fqa is less ihan $1,000, suicharge is E.50.
- I} PertnO Fee is > $1,000, surcharge increaseS by $.50 for each =$ State Surcharge
$1,000 Permlt Fee (i.e. a$1,001-$2,000 Permit Fee requires a$1.00 surcharge).
$ TOTAL FEE
-----------------,
; r-« orece uSa i
j Permittt: v/
? iii????? ?
? Pertnit Fee: I
I
i ?
? Date ReceWed: a?/ I
i srae:
-----------------?
I hereby adarowledga ttiat Mis iMOrtnatian Is comple[e arM ucurate: ihat the xork will be in conrformance wilh the ordinances arM cotles ot the City ot Eagan; tnat .
I urWerstand this ia rat a partnit, bu[ ony an application for a permk, and vrork is rat to sWrt vrilhout a permtt; that the work wltl he in acmNance with the approved
, plan In the cesa M xrork which requires a review end approval M plans. -
?, ??. x?U?
AppllcanYs?rin ApplicenYsSigrmture
FOR OFFICE USE
Revlewed By:
Date:
Required Inspections: _Under Grourxi
Rough In _Air Test Gas Service Test _In-floor Heat _Final
A-11) RESIDENTTAL BUII.DING
Permit AppBcsNon
City Of Eagan
3830 Pilot Knob Road, Esgan Mn 55122
Telephoue # 651-675-5675 FAX # 651-675-5674
New ConsWctian Reauiremenb RertroEe4ReoairReauiremanb OfRce Use OnW
3 2gomred srte surveys sho+riig sq. R of bL sq. fl of haae: arM II rooted arees 2 apies of pWn _ Cert of Survey Red
(20% memmum lot covmge allawed) 1 aet of EneigY CalwMatlaro fa heated edditlore Trae Pms Phn Read
2 apiea of plan shnwug beam 8 wMw sims; poured fauM design. ek. 7 si0e smvey ta additlons 8 dedcs Tree Pres Not Reqd
7setofErreigyCalalaUona A"on•iM'cdedm-sdesep6csystem _On-imSepllcSyskm
3 wpies of Tree Preservatlon Plan i1 bt plat0ed aMar 717193
Rim Joiat Detail Opfiai9 aelectlai sheet (bldgs wtl) 3 w less uMla
Date -L-/ Construcdan Cost )l
V
SiteAddress _ ((/? A NA(?.\??`p ? Unif/Ste #
Description of Work 1'C
Muld-Family Bldg _ Y?-N Fireplace(s) _ 0 _ 1_ 2
Yroperty Owner Telephone # (4
?
Contractor (-X6(A 1AV)0QAL
Address ?p j??"(?? I City l I c C r1 (1 u df4
State Zip Telephone # C/ a?
COMPLETE THIS AREA ONLY IF
A NEW BUILDING
- Minnesota Rules 7670 Cate og_yr 1 Minnesoh Rules 7672
Energy Code Category . Residendal Ventllatlon Category 1 Warksheet-?,-. _? • New Energy Code Waksheet
(J submisslan type) 5ubmitted ''i Submitled
. Errergy Er.relope Calw!?, au SubmitSEd
JU?s 1 l ? '
Licensed Plumber I?Telephone #( J
Mechanical Conhactor .Tele`phone #( ?
Sewer/Water Contractor
Telephone #(
I hereby apply for a Residential Building Permit and acimowledge 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 pemrit, 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.
?
MT,a- 'Nw(o\s ,
Applicant's Printed Name Applicant's Signature
OFFICE USE ONLY
Sub Types
O 01 Foundatlon O 07 05-plex ? 13 16-plex O 20 Pool
? 02 SF Dwelling ? 08 08-plex ? 16 Fireplace O 21 Porch (3-sea.)
? 03 01 of _ plex ? 09 07-plex ? 17 Garage O 22 Porch/Addn. (4-sea.)
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screeNgazebo)
O 05 03-plex 0 11 10-plex ? 19 Lower Level ? 24 Storm Damage
O 08 04plex O 12 12-plex Plbp_vor_ N ? 25 hTiscellaneous
Wark Types
a 30 Accessory Bldr
? 37 6ct. Alt - Mutti
? 33 Ext Alt - SF
0 36 Multl Misc.
? 31 New ? 35 IM Improvement O 38 Demolish (Interior) O 44 Sidinp
O 32 Addition 0 36 Move Bidg. O 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteradon ? 37 Demolish (Bldg)• 0 43 Reroof 0 46 WindowslDoors
O 34 Replacement 'DemolNion (EMire Bldg) • G(ve PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning Ciry 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
_ Foundadon HVqC
_ Dcain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ FIaminB Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _
_ Finai _ Windows (newheplacement)
_ Insulation _ Retaining Wall
ApProved By
Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility ConnecHon Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
' RESIDENTIAL BUII.DING
Permit Application
5 9 Q-?3 City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Reouirements RemodeVReoair Reauirements O(fce Use OnN
3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 wpies of plan Cert of Survey Recd
(20 h mazimum bt covarage allowed) 1 set of Energy Calalations for heated additions Trce Pres Plan Recd
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for addi6ons 8 decks Tree Pres Not Reqd
1 set of Eneigy CalculaGons AddiG'on - indrcate 'rf onsite sep6c syskm _ On-site Septlc System
3 copies of Tree Preservatbn Plan if lot platted afler 711193
Rim Joisl Dehail Options selecdon sheet (bldgs witli 3 or less units
Date ? l ? Construction Cost (_?IJV- /
Site Address UniUSte #
Description of Work I n tIA X ,n
Mu1ti-Family Bldg _ Y_ N Fireplace(s) _ 0 ? 1 _ 2
Property Owner ThAv? ? ? uf? _TQkL,'.? Telephone # (L4?j
FIRSIOE HEARTH & NOME
Contractor 3850 IJ HWY 13
Address BURNSV I L L E NN 55337 C;ty
State L I C #Z
?-@8A-A7S8 Zi Tele hone#
p p ( >
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Categorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category t Worksheet • New Energy Code Worksheet
(Jsubmissiontype) Submitted Submitted
. Energy Envelope Calculations Submitted
Licensed Plumber
Telephone #(
Mechanical Contractor
Sewer/Water Contractor
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
pernut; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval ofplans.
V` n
Applicant's Printed N me
pplicanYs ign tur
OFFICE USE ONLY
Sub Types
? 07 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 O 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or_N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bidg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)` p 43 Reroof ? 46 Windows/Doors
? 34 ReplaCement 'Demolition (Entire Bldg) - Give PCA handout to applicant
dalua.ia7 Cccupancy MC/ES Sys!sm
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 bldg) FinaUC.O.
_ Footings (deck) FinaUNo C.O.
_ Footmgs (addition) _ Plumbing
_ Foundarion HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs Air/Gas Tests Final
_ FraminS _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insularion _ 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
,. • RESIDENTIAL
BUILDING PERMIT APPLICATION
, • CITY OF EACAN
r 3830 PILOT KNOB RD, EAGAN MN 55122
0 651-881-4675
New Construetion Reauirements
• 3 regislered site surveys showing sq. ft, of lot, sq. fl. of hauu; and ell roofed areas
(20% maximum lot coverage allowed)
• 2 copies of plan showing 6eam 8 window sizes; poured found design, etc.)
. 7 set of Energy Calculatiore
. 3 wpies of Tree Presenation Plan rf IW pla8ed after 717193
. Rim Joist Detail Options seledion sheet (bldgs wiU 3 or less un'rtS)
DATE bl40l 2"00 °Z
RemodellReoairReouirementa - Q"_g? V\N?'J? d\
. 2 copies M plan
• 7 set of Energy Calculations for heated addilions
. 1 site survey for exterbr add'Rians 8 dedcs
• Indicate if home served by septic system for additions
VALUATION
SITEADDRESS d?y mc-Faj?S TY-M-il MULTI-FAMILYBLDG_Y _N
TYPE OF WORK PIREPLACE(S) _ 0_ 1_ 2
APPLICANT
,?- r,.,, P-?f-e-So4
STREETADDRESS ?t 1-t MC, fiad4a?-S
TELEPHONE # iurl' YS`("Si,57 CELL PHONE #
6S"l-4os-otRO(w)
PROPERTYOWNER Sa?' e TELEPHONE#
--------------------------------------------°-------------------------------------------------
COMPLETE THIS SECTION FOR "NEW° RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MI,YNESOTA RL111:S 7670 CATLGORY 1 MINNESOTA RLILES 7672
(4 submission lype) • Residentiat Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor: ____
Plumbung system mcludes:
Mechanical Contractor:
Mechanical system includes:
Sewer/Water Contractor.
Air Conditioning
_ Heat Rccovery SysLem
"' ----- °"- ^"""""-----""----- --"'-"-' -""""-° -""----""'
I hereby acknowledge that I have read this application, state that the
with all applicable State of Minnesota Statutes and City of Eagan Orc
Sfgnature ot Applicant
=-'?r-`_-? -------------------
correct, and agree to comply
OFFICE USE ONLY
_ Water Softcner
Water Hcater
No. of Baths
_ Yhone #
Iawn Sprinkler
No. of R.I. Baths
?STATE 'lNLIP ss -Z3
FAX #
Fee: $90.00
Phone #
D?F
n JUN 2 7 2002
P Vh #
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
OFFICE USE ONLY
? 01 Foundation
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-piex
? 05 03-plex
? 06 04-plex
O 07 05-plex ? 13 16-plex
? 08 06-plex ? 16 Fireplace
? 09 07-plex ? 17 Garage
? 10 OS-plex ? 18 Deck
? 11 10-plex ? 19 Lower Level
? 12 12-plex Pibg_Y or_ N
? 20 Pool
,)< 21 Porch (3-sea.)
? 22 Porch/Addn.(4-sea.)
? 23 Porch (screened)
? 24 Storm Damage
? 25 Miscellaneous
? 30 AcCessory Qldg
O 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi
? 31 New ? 35 Int Improvement ? 38 Oemolish (Interior) ? 44 Siding
x 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement `Demolltion (Entire Bldg only) - Give PCA handout to applicant
Valuation ?a-o Occupancy 2-3 MC/ES System
Census Code ?i3Y 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 bldg) FinaUC.O.
? Footings (deck) Final/No C.O.
_ Footings (addition) _ Plumbing
_ Foundation HVAC
_ Drain Tile Other
Roof Ice & Water Final Pool Ftgs Air/Gas Tests Final
? Frammg Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _
_ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By
Building Inspector
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
?6 l,Zf ep ? = /66,ra
- -.?--?--?? -- -
DENOTES EXISTING ELEVATION
( 944. o) DENOTES PROPOSED ELEVATION
- J- INDICATES DIRECTION OF SURFACE DRAINAGE
944.33 = FINISHED GARAGE FLOOR ELEVATION
937. 7- 9 = BASEMENT FLOOR ELEVATION
! 945'- 33 = TOP OF FOUNDA710N ELEVATION
SCALE : 1' = 30'
? No7C- : PR<•PVSEU ,9196E7 E=CEUf1TioN5' i%9.?G/ FR.o1)l f%E'O?F.GT ,9R46>11V,9 A.NU !7EliELAPi/JENT pli9,V.
?- .
?
i
?-?
rn S Sg° 30' 54.. E
5.00
99,:e, ???P .?v o
30 FT. FF-oN7 B??f (AlNG ? ? I,?C" o J
5E78ACK LlNE
?, ;.. C94-1-,0)
?ia.ce ? a , ?949, 33? 9¢3,0, ,
Hv6: 9¢3.56
n
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C94/.o2) z,??q, ?94/,78? ?99i, 53?
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yve= 943,21
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r
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94/.z, ?Lll.SO ?•16:so._ ?? P-o
4-10U?
ah?q e?
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,
? kc?tcN G, Y,?;Zr
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938 _3 `
? D,QA/t/.46E AN0
UT/L/Ty E49E171e5/7-
I hereby certify that this is a true and correct representation of a tract o:
land as shown and described hereon. As prepared Uy me thi.s 2Eday o
.)Arn/RKY , 19 93 ?!'
- / ._-_ ??
, TG 41. The public hearing was closed and the final assessment roll for Project 854
(Parkcliff 1sc_3Ta Additions - Street Overlay), excluding Parcel No. 10-5670-030-
01 (4640 Parkcliff Dr) was approved; and re-notification of a final assessment
public hearing for Project 854 for Parcel No. 10-5670-030-01 (4640 Parkcliff Dr)
for November 7, 2002 was directed.
TC 42. The public hearing was closed and the final assessment roll for Project 796
(Cedar Cliff/Mari Acres - Street Overlay) was approved.
OLD BUSINESS
Mike/TC 43. A conditional use permit, right-of-way vacation and variance for WAJCO, Inc.
was continued to the October 15, 2002 City Council meering.
---
44. A conditional use permit for poug & Tracey Petesch (664 McFaddens Trl) to
exceed the 25% maximum impervious surface requirement in a general
development waters shoreland zoning district for Lot 26, Block 1, Lakeview Trail
Addition (Tax Pin 10-44330-260-01) was approved; and a variance of 9% to
exceed the 20% building lot coverage requirement in a residential area was
approved.
Mike 45. A planned development amendment for APPRO Development Inc. to allow
construction of a pylon sign on property located at 3235 Denmazk Ave, legally
described as Lot 1, Block 2, Olson Burger Addition in the southwest quarter of
Section 10 was approved.
Mike 46. An interim use permit for James Oberg to allow outdoor storage on property
located south and east of Red Pine Lane and Hwy 3 in the southeast quarter of
Section 36 was approved per modification.
Mike 47. A planned development amendment for A.B. Systems, Inc. to amend the use from
an off-sale liquor store to a 15,000 sq ft 2-story office building on property
located at 2260 Cliff Rd, legally described as L,ot 2, Block 1, Oak Cliff 9`h
Addition in the northwest quarter of Section 31 was approved.
•?
c.r. r? ?.:,i.-. -.N?Au
? ?' ?
r_,?:"::r *'. +n,? ?v?._ Nr? :,?s
,.._r,::, . tc . r„,.k?? .
CA.. ,
2E31 i_{-??i...
_?:
664
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055 ,4201 ;Aa ;'•i.r;"I???.qii.3??; ?..tJ:l
..,
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i:
?._.
? CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT
PERMIT TYPE
Permit Number:
Datelssued:
euzLazMs
0?9787
04/22/97
SITE ADDRESS:
664 MCFADDENS TR
LQT. 26 BLQCK: 1
LAKEVSEW 7RAIL
p.IeN.: 10-44330-260-01
DESCRIPTION:
07k"'- (NO BEDft00M5)
Permit T y p e BASEMENT FINISH
T y p e A L T E R A T I O N
434
?Aq 71 AI_T. RESIDEIVTZAL
%
W
?
-nm`ypr . s&St 4??
..^il•fiiW'4? .y.
S?
?
SE4 N .:'' ' 61S@'R
le
G?^ ?
?
Y 9'A
?9
G
2
??
s-
? ?
A?+T`"% 4•Ci T ? i.M4
ggp?yy FxI gry???? ?{
^` ?y?!,? !s ?
dfi"
REMARKS:
A SEPARATE PERMIT IS REQUIREp FQR ANY ELEC7RICAL OR PLl1MBING WORK
r
FEE SUMMARY:
CONTRACTOR:
?
?
Ciase Fee
5urcharge
Total Fee
Z hareby?a 0 4010 ?1 is d'qe tpa? ? ff'a?
i n f o ?"ma Li#snI-S
5?'d_?Y+???. a??.CF'• G??? ?-? ?.?9?? ??`?4?
• : ,,
$50.00
.50
$58.50
OWNER: - Applicant -
PETESCH nOUG
664 MCFADDENS TR
EAGAN MN 55123
(612)454-8157
APP[.fCANT/PERMffEE 51GNATURE
fSS n
UED SIG ATU ?
iE
?-
` BUILDING PERMIT APPLICATION (RESIDENTIAL) ?;?O,Sp
?? Iff997
CITY OF EAGAN
3830 PILOT KNOB RD - $5122 881 -4675
? 3 registered site surveys
? 2 eopies of Dlans (indutle 6eam 8 window eaes; poured fid. tlesign; eta)
? 7 energy calcuiatlons
? 3 copies W tree preaervation plan H Ia plaltetl after 711/93
required: _Yes _ No
DATE: --?// 'I /I 7 C(
DESCRIPTION OF WORK:
RemodeVReoair Reauirements
? 2 topies of plan
• 2 sita surveys (exteAar addkans 8 decks)
• 1 eneigy calwlations 1w heated adtldions
?700
STREET ADDRESS: ' ?!? ? c F"+-ct?,( P?' Ti'-a..C.,l'
LOT I L BLOCK I_ SUBD./P.I.D. #: ?,?aH.Pr?Y _ I Al11Y ,
PROPERTY Name: P??eSc{?r ?a?-?' Phone#:
owNeR ? 1 v
Street Address:
T
City: State: ?l p Zip: 3T1 Z 3
coNrw?croR Company: s4t''t--?- Phone #:
Street Address: License #:
Ciry: State: Zip:
ARCHITECTI Company: Phone #:
ENGINEER
Name: Registration #:
Street Address:
City: State: Zip:
Sewer & water licensed plumber (new construction only): . Penalty applies when address change
and lot change are requested once permit is issued.
I hereby acknowledge that I have read this application and stete that the information is correct and agree to Comply with all applicable
State of Minnesota Statutes and City of Eagan Ordinances. ?
Signature of Applicant:
?
OFFICE USE ONLY
CertificatesofSurveyReceived _ Yes _ No L661 v T bd11
Tree Preservation Plan Received _ Yes _ No _ Not Required Q I??211
BUILDlNG PERMIT TYPE
OFFICE USE ONLY
?.
0 01 Foundation ? 08 Duplex o 11 Apt./Lodging a' 16 Basement Finish
n 02 SF Dwelling ? 07 4-plex o 12 Multi RepaiNRem. 0 17 Swim Pool
0 03 SF Addition o 08 &plex n 13 Garage/Acxessory o 20 Public Facility
0 04 SF Porch ? 09 12-plex ? 14 Firepiace n 21 Miscellaneous
0 05 SF Misc. ? 10 = plex o 15 Deck
WORK TYPE
0 31 New .a"33 Alterations o $6 Move
a 32 Addition o 34 Repair o 37 Demotition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MC/WS System ?
(Allowable) Main leve l sq. ft. City Water /
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
length sq. ft. Census Code. w34
Depth Footprint sq. ft. SAC Code ol
Census Bldg i
Census Unit o
APPROVALS
Planning Building PAf; Engineering
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S1W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Toial:
% SAC
SAC Units
Valuation: $
Variance
.
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 687-4675
SITE ADDRESS: APPLICANT:
LOT: 26 BLOCK: 1
664 MCFAppENS TR PETESCH DOU6
LAKEVIEW TRAIL (612) 683-3654
PERMIT SUBTYPE:
DECK
TYPE OF WORK:
NEW
BUILDING
023817
06J07/94
INSPECTION D. . .A
FOOTINGS FZNAL
F
L
?
PERMIT
ClTY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMITTYPE:
BuxLoirvG
Permit Number: 023817
Date Issued: @ 6/ 0 7/ 9 4
SITE ADDRESS:
664 MCFADDENS TR
LOT: 26 BLOCK: 1
LAKEVIEW TRAIL
P.I.N.: 10-44330-260-01
DESCRIPTION:
Building-.Permit Type DECK
,`8uild3ng Work 7ype NEW
r ?.
4
--
?
i
/?' ? r -?
(( ? N ?
J??
?t ????'
?/J \\ ?:.?) 0
REMARKS:
FEE SUMMARY:
Base Fee $30.00
Surcharge $.50
Total Fee $30.50
CONTRACTOR:
OWNER: - Applicant -
PETESCH DOUG
664 MCFADDENS TR
EAGAN , MN 55123
(612)683-3654
I hereby acknowledge that I have read this applicati^on.and state that the
information is correct and agree to comply with all•,applicable State of Mn.
Statutes and City of Eagan Ordinances.
L
Iy-
APPLICA T/PERMITEE SIGNATUFiE --ISSUED BY SIG ATU ?
i CITY OF EAGAN
1994 BUILDING PERMIT APPLICATION
681-4675
?j ?, {fo)
SINGLE & MULTI-FAMILY 2 sets of plans, 3 register d' li?eUs6k'Vy?,Lq opy of energy
calcs. Jill 1+ 0 2 1994
COMMERCIAL 2 sets of architectural & s ructural plans, 1 et of
specifications, 1 copy of e ' "-- ""-
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date JAvt Val uati on of work J'?00'
Site Address: 66`/ Mc FL?p-i-,s 7-ra41, EQy_.?, S-?_Ia 3
STREET y SUITE #
Tenant Name: (commercial only)
LOT zc, BLOCK SUBD. d-??4(???q?'la1'?V Q P.I.D. #
Descri tion of work: J? e
The applicant is: 10 Owner ? Contractor ? Other (Describe)
Name PetPs,L p Phone
Property Lasr FIesr -3951 w )
Owner qddress a`l, M-FC-daleys Tr-1-;`1 , Lamai-i EE-3_
STREET STE q
City State /411 I" Zip ?l-z 3
Company Phone
Co ntractor Address License # Exp.
City State Zip
Company Phone
Architect/
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY ? . '
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging
? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc.
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace
? 05 SF Misc. ? 10 Multi. Add'1. 13 15 Deck
WORK TYPE
? 31 New ? 33 Alterations ? 35 Tenant Finish
IZ 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zaning
# of Stories
Length
Depth
APPROVALS
Planning
Engineering
REQUIRED INSPECTIONS
? 5i te
11 Wallboard
Basement sq. ft.
lst F1. sq. ft.
2nd F1. sq. ft.
Sq. Ft, total
Faotprint Sq. ft.
On-site well
On-site sewage
Building
Variance
? Footing
Final
? Framing
O Draintile
D/
?
v
? Insulation
? Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City 5AC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment Pl.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
veimt;m: g
14
? 16 Basement Finish
? 17 Swim Pool
? 18 Comm./Ind.
0 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
? 37 Demolish
MWCC System
City Water
PRV Required
Booster Pump
Fire Sprinkler
Census Code
SAC Code
Census Bldg
Census Unit
Assessments
SAC %
SAC Units
. P 7C CorvST.6/e7lalc/
CONSUlTIH3 EWOINEEfli
PIP.'INEOS ond IpND fUNYEYONS v 'Z-5491.0/
.4AIGINEERING OK.19o
` .. P4. 64
? COMPANY, INC.
1000 EAST 196tA SiREET, BURNSVILIE, MINNESOTA 55337 PH 432-3000
CERTIFICATE OF SURVEY
Legal Description: LOT aWCk ? LAKEV/?u/ T,??? ADD/7%oN
bAK07A DUrV7?Y y /yl/A/NE.S'OTA.
(??? o ) DENOTES EXISTING ELEVATION
( 944-, o) DENOTES PROPOSED ELEVATION
_.-- INDICATES DIRECTION OF SURFACE DRAINAGE
944.33 = FINISHED GARAGE FLOOR ELEVATION
937, z9 = BASEMENT FLOOR ELEVATION
? 4145-.33 = TOP OF FOUNDATION ELEVATION
SCALE : 1' = 30'
)(N07E : PROPv,SEU .51KEE7- E4E0<1T119N-? 44A,?X/
FRoM ?RO?EG7 6K9L'11V6 .4N0 l7El?ELAf'/?lEN7- PG9N.
-- --- *-- - ?- - --- ----- - ?----
???o.bbl?_ H)601 PT. a.SoY
2,17q,
_ Fr/7cKE ceu7? J
?S 8 ° 30' S4" E
I IB5. Oo
'9418 , o 0 0 ?94z 9?
(94f,4)
30GT, FRONT 8VlLplAJI? V- "' ?
SETBAcK uNE
'/e.cb 944,33 ?-32o, c?44:6?
f1?g=943.56 ? ?o,oo? 22.33 H?8=943.2/
GARA6E N !
; N NI C9946)
3.5ra L 8.50
tjF7
` ? ? ° ' ! DAYUGr1 r ,r
1 O._ ?-- 3y.2? - w?NOa^rsrr • ? C
(7 M
siuo' bA "iiI
°' xis' ro ?.H
lz NX.
LOT 20
I
A' ,"" ' ? •a,
DRA/d146E ANO
?-- --? UT/L I T % E45E,W6/7-
0 0
EL.3' 9? 3a' SSE ?y4o.i?
I hereby certify that this is a true and correct representation of a tract of
land as shown and described hereon. As prepared by me this 267N day of
.JA,,JVARY , 19 93
?re,le Minn. Reg. No. 16085
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 687-4675
IN5PECTION RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
ciz- ozivr,
a02027J
02/01/93
SITE ADDRESS:
1_or. eez6
604 MCFAD0EN8 Tft
I RI:EVII`_bJ TRIiII.
PERMIT SUBTYPE:
SF IJWLI
e10cf\: 000 f1PPLICANT:
T c cor•asT 7Nc
(E12) 469--3723
TYPE OF WORK:
NEUI
INSPECTION
FOOTTIdti .. •
FRlaM:LhICi .•
IhdSU! PoT70N FTplAL
1"JfiL'I%1.ACf.
f2L IhNRk:Sa ftECL1P7" it
?
PRV S&W PLBR - FARMJNGI'Uhd P N
? . _ ?
CITY O,F EAGAN
3830 Pilot Knoti Road
Eagan, Minnesota 55123
(612) 6$1-4675
PERMIT
PERMIT TYPE: e u r i, n 111 e
Permit Number: 0 -11 0 2 7 a
Date Issued: 021m 1! 9 3
SITE ADDRESS:
F.1.rJ.: 10-44330-260-01
ssa Mc=AOner!s rR
LUT: 0026 LlOCi;: 0001
LNKC, V 1FW 1'ttA11-
DESCRIPTION:
'Bui.lding !'ermi.Y Type SF DWG
6uilding Worl< 'Yypc; fdE6J
UBC Qccupancy ft-3 M-1
Coristruction 'Iypa VN
2oning ft-1
F3uildinq length ;
6uild3.ng W.I.d'tFt '
I
GG
5?
. ? . - . ,.. . _. . _ ? ,
REMARKS:
H CCE11'1 it
pnU 0 &i.J pLESt? - FHRMLNCi I UIV P& H
FEE SUMMARY:
trALuATi:nn!
iia^,.. FC'.r
P lan 4tzVit:W
Siararq e
SflL'
Sf1C Un] TG
.`>ubt:otal
$776 .00
$ !7t-0n,q0
$b9.5m
q,75 y, r,10
1NG7
,l J a?? 0 Fi A
MJ cC Ff:C ;
loLal. Pee
$44.40
$ 2 ,0 9 9 .9N
1,G?301
' CONTRACTOR: -- r?ppl.icant. - sT. LzcOWNER:
l C COPdS i 1 hlt: 14693>2:i 0001076 7 C f:ONSTRUCI rON 7NC
6202 S'.441'fhi ST E 6202 ?_A@TH
, EI_KO MN 55020 zL.KO MN 55020
, (fi7:) A59-37"3 (51::)469-3723
I hereby acknowledge that I havQ read this applicati.an and state thaY the
in'formation 3s cori°ecC and -ayree t.o comply wSFh a11. applicahl-, SCcjtc oF Mn.
Stat.utes and C.ity of Eagan CJrdi.riances.
? ?.
?
2 , -
? & 44
APPLICANTlPEAMITEE SIGNATURE ISSUED BY: "ATURE
REACTIVATE _
PERMIT d, .
CITY OF EAGAN
1893 BUILDING PERMIT APPLICATION
681-4675
JAN 2 6 RE6A
'# 3 L?b
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural 8 structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date Valuation of work A0 W 1??
7"d4t
o "L
?
-
Site Address:
STREET SUITE M
Tenant Name: (commercial only)
IAT r > BIACK SUB . P.I.D. N
`
?
Descri tion of work: C' C_o n/\ E
The applicant is: bl Owner ? Contractor ? OthEl' (Describe)
P h o n e 7' rp
O ?lnC
%
_ _
c C
Name
Property LAST FIRST
Owner Address C??o_'?2 o
STREET STE Y
City r i k- Q State m`'+^ ZiP
Company ?C?.LtiN e Phone
Contractor Address License #()0v10-76 Exp.' L/9
r
City State ZiP
Company Phone
Architect/
Engineer Name Registration #
Address
City State ZiP
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once ea has been approved.
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.
Signature of Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE I
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging
Ef 02 SF Dwg. 0 07 4-Plex ? 12 Multi. Misc.
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory
O 04 SF Porch ? 09 12-Plex ? 14 Fireplace
? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck
WORK TYPE
ja 31 New ? 33 Alterations ? 35 Tenant Finish
O 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
? 16 Basement Finish
? 17 Swim Pool
? 18 Comm./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facility
O 21 Miscellaneous
? 37 Demolish
Const. (Actual) v- N Basement sq. ft. MWCC System YEs
(Allowable) v- N lst F1. sq. ft. City Water YEs
UBC Occupancy R-3 M-I 2nd F1. sq. ft. PRV Required vc-"s
Zoning R-1 Sq. Ft. total Booster Pump
# of Stories Footprint Sq. ft. Fire Sprinkler
Length ? On-site well Census Code /v/
Depth ,5 a On-site sewage SAC Code aL
APPROVALS
? ?
C?,+sus bll
?
6.visws, a.?n;
Planning Building ?-Z9 q? p? Assessments
Engineering Var9ance
REDUIRED INSPECTIONS
? Site
0 Wallboard
? Footing
? Final
? Framing
? Draintile
? Insulation
? Fireplace
Permit Fee veiuation: $ I39,000 -
Surcharge
Plan Review Gq^ rzAGE; 32 XZ4 ? ry?g
License Z x 12= (zH)
MWCC SAC
City SAC BSMT1
---- 3ox28=gy0 '144 X
1119 6y
Water Conn. Zx??Y2= (Z3
Water Meter
A
t
D
i 8i? x?s-_
L ?2?25s'
cc
.
epos
t aW?Lev?t.,
- 3
S/W Permit -
ax2(, = ?8o x'(?3-zo? _ 2s? ?cl o
5/W Surcharge
Treatment Pl. fAaiN LEVGL;
--`_ 2 6x3p = o
Road Unit
Park Ded.
Trails Ded
.
3 o v?bz I1 Xo
Copies o u 36
Other 2 x ? : (9
Total: Zxg ^ /b
SAC % 100 s
2*?
l {?
SAC Units (
aXb ?? ?
8?2 5
Ilobs X ,.
53 i36, 14LI
CONSUITiNG ENdINEEflS TC 6aN97-,Q11['7/D,{/
?.R'?.>
E PIFYMEAS ond IAND fUI1VEYORS :
JR6 B'
EPIGINEERING aK,'9o
COMPANY, INC. PG. 64
? 1000 EAST 1461h STREET, BURNSVIILE, MINNESOTA 55337 PH 432-3000 -".T
CERTIFICATE OF SURVEY
Legal Description: z07 Zr,, LAKEV/EU/ ?ll- ADD/T/ON
DAKOTA CDU?t/7Y ?iYl/A/NE.S'DTfI.
?
DENOTES EXISTING ELEVATION
( 944-. o) DENOTES PROPOSED ELEVATION
??- INDICATES DIRECTION OF SURFACE DRAINAGE
944.33 = FINISHED GARAGE FLOOR ELEVATION
937, z9 = BASEMENT FLOOR ELEVATION
945-.33 = TOP OF FOUNDATION ELEVATION
SCALE : 1' = 3U'
*NoTE : PRoPoSED S79EET E6EV<17101i9 7.4K?/
G20M PRO?EGT 69AO1N6 ANO OEl/El1lP/JJENT p/,qN.
? /yIcA-740,06t/S TRA/L
- ?--?-----x- - --?-
t?k-6?1..F-`µ?H pT. o.so% ?94/.50?
p ?94-l,oz? z•17q
Cv7uaE cukD-v
m g 8° 3a' 54" E
5.00
(-741, 7
30G7f. FRONT BVILDINfi
5
56T13ACK LrNE
le.o0 ? 944, 33 r ¢30, ?4?:6?
Hu8°943.56 8.e? ?o.oo.? 22.33 ? Hu6=943.2/
0
° GARA6E N ?9446?
I
10.00
`?? S 94/•2 --- 3.6? u.so ? ia.so u, 0 3 f` ?
P I
PRoPDSED
!o
?"`? ry<}- O sb.oo d' r
oAYU6rlr(,- ? -
, ? ?39.2? w?N?avs/ • - '?
?? J ? ?I (944? ? (14o,o) EA
? ? ?v1
?WYNa
? LO1 26 I ?
DEPT
5 I r- I / 1?. i/ r I
'
?A/d/!!6E AND
UT/L/TY E49EIYlENT
o ?
85, 00
9° 3aSSE ?9qo.?
?o lr? ??/ ? ?^? L:. ?r V? l?? L? u
2 hereby certify that this is a true and correct representation of a tract of
land as shown and described hereon. As prepared by me this 26'N day oi
JANVAKY , 19 93 • '
Minn. Req. No. 16085
LOT BIIRVEY CHLCICLIBT !OR RLSIDENTI7LL
? SIIILDXNG pERtIIT ,P?LIC71TION ,
pROPERTY I.EGlrLi ?
? aat• ot aurvp:
40CVMENT BTANDI?ADB
C?,D 0 • Reqietered Lnnd Surveyor signature and campany
t'1) 0 • Building Permit Applicant
0 ?D • Leqal description
0 0' 0 • Address
V103 • North anow and bar scale
D • House type (rambler, valkout, split w/o, split
lookout, etc.) '
WI0 0 • Directionai drainaqe anosrs with siope/qradient i.
D V 0 • Proposed/existinq sewer and water sezvices
0° 0 0 • Street name
0?0 0 • Driveway
LLEVATIONB
Exiatina
13 8`?D • Sewer service
0r 0 0 • Lot corners
0' 0 0 • Top of curb at the driveway
6? 0 E) • Elevations of any existing adjacent homes
BroDOSed
eD 0 • Garaqe floor
[r 0 0 • First floor
@' 0 0 • Lowest exposed elevation (walkout/window)
fl 0 • Property
D corners
Cd? D 0 • Front and rear of home at the toundation
PONDSNG I1REA8 (if annlieablal
0 p? 0 ?Lement line
0 0r 0 • HwL
0 0r 0 • Pond # designation
D V D • Lmerqency Overflow Elevation
sntry,
DIKENBIONS '
? ? 0 • Lot lines
d 0 0 • Riqht-of-way and street width (to back of curb)
0 0 • Proposed home dimensions includinq aay proposeC decks,
overhangs greater than 21, porches, etc. (i.e. all
atructures requiriag permanent footing6)
E? 0 0 • Show all easements cf record an8 any City utilitiea within
those easements
1,1' 0 Q • Setbacks of proposed structure and setback of adjacent
/ existing homes
D • Retaining w !7 - ents, if any
- Reviewed:
41
October 1992
?? . ...r ?.p.
!i . ' r: , . . . .
EX'PLRIOFt ENVELOI'E AVERAGE "U" COMPUTATION
? .. ? ,
OWNER .,.___-?-G.___.L-Q??.J _??L? __???
,
SITE ADDRESS LOGK_( ;,LqKEy1E%,.??'AA;W'P?_i?
- •l=._.?._____ t
CONTRACTOR? .C CL5,L1 `uT• __.__nATE_.._._._ PHONEJ.??
,
Determine workinQ squareifoota6e qf each.
1. Total exposed wall area..... (p97• _sq. ft. x
2, Total roof/ceiling area..... sq. ft . x.02So
Total exposed wall area above floor m ISDCa
a. Tota1 wall window area ................... ???,'L
b. Tota:t door area.... ................... 3? o
-
c. Total sliding glass door area.............
d. Total fireplace wall area ................. e, Total wall framing area (average 10%)..... , 12`1.0
f. Total net wall area above floor...,....,..:. 1' 2?_
g. Total rim ,joist area .....................
Total exposed foizndation area ? ____]?,_7_,__ •
h, Total foundatlon window area..............
J.. Tqtal net foundation area above grade...... -71T_
Determine "U" value of each wall segment.
a. iiUii ! ,'1'? --,? , ~??•?:a ._..
X IIU11
?.) ? .
C. .
d , _"'
11UII I ?
X ?Un
e X „U„
f. ? [W•r?J, X ??U"
('10 X aVu
?•
h. "
,, -
1O `-?-
_
X iiUn ...-.. y ?
? ^7•?' Y. "Un
1 '
?
°
3 . ................. .........Total
If item N3 is the same as, or less than?it•ern N1, you nave met the
lntent of SBC 6006 (c)2. ,
? ', •; ..
,, .
?; . .
Total expoaed roof/ceiling area ? : "'?Pr"??• Total gross roof/ceiling area =
J. Total sk,ylight area ................ ?
k. Tot•al roof/ceiling framing area....
1. Total net insulated roof/ceiling area'
1
Determine "U" value for each roof/ceiling segment.
-- X "U"
1 .
3
+ 2,
} 14.
Materials Therm, Resistance "R"
Exterior Air il]
Siding Material ?
Sheathing
Insulation
Sheetrock
Interior Air
Studs
Rim
Conc. Blks.
k , ??•?v Y nUn
i. x itUri
?
L.?
OJ °
?
?a . ....................................Total = ?O
If total of Hh is the same as, or 1.ess than N2, you have met the intent
of SBC 6U0E (c) 1.
To utilize the tetal envelope system method, the values established by
the sum of items if3 and.Nh, shal.l not be qreater than the sume of items
N1 and #2.
a
ciTV oF EAcnN
GASH.T.Eti: 'i 7ERM2NAG N0: 670
DA7E- 02/25/33 1'TME: 15:29:22
Iz':
NFlMF_s DOllG FETESCH
3210 300i. 664 MCFADUENS 60.00
2155 3001 664 MCFADLiENS 0.50
3430 9001 664 MCFALiDEDlS 1.U0
Total. Recei.pt Amotant; 61..50
CRiC13204
USEFt ILI: NANCV
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(651) 681-4675
PERMIT
PERMIT TYPE
Permit Number:
Date Issued:
HurL nf uc
Vi','tSi7
o'-'I?S159
SITE ADDRESS:
P.I.IV.w 10-14330-260-01
664 Mrl ADDFNS 11S
LOT: 26 L;LOCY: 1
I_AI<EVTEW il2AI1
DESCRIPTION:
,
Eu_ildtnc-•Permit 7vpe
E7`aiiclino I,Jl:xk TyF;e
Xeri>us Code \
?
\
r, .
. f,
ESASEMFNI FIidISN
hI,'(ERNiLOPI
434 RLT. HESi.pEt4T:.Al
?
..:/
REM:ARKS?EV'1Y_WEq uY Wl1YNE hITILER i:'t??LACtMFid! FUR F_XPIi<Eq PPRIq1T 1:2Ri&i UFI"I!J
9-1.L-9i).
ScPtRfilL FEkMTI" REUUIRE4' rOR APIY PLUMf>ING WOHK. ..
FEE SUMMARY:
I)nsi= Fee $ 6 0 .0 0
Sierei'iarou $.50
TotaJ. Fee $60.569
CONTRACTOR:
r
OWNER: - ApoLacanr -
PETESCH UDUG
664 MCFADDENS TRAfL
EAGAN NIV 551:13
(E5l)A54-8157
? itvY`Cb+? hCk,owl.-u- ,Ji<i _ havp rea17 `y<: np.] Scotiun end ',dra _lir- ' i,
int-md>?ort i.s corrac r. Uni-l ,iur?¢ -o c;ornplv wii:h mJt .-iPPli cUble SLctP o'Y MI.
. cotut:,. :entl ::itv ol' ?-..-,n V,ri-nancp;
I
APPLICA ERMITEE SIGNATURE
r,JSSUED BN SIGNATURE
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN ?
3830 PII.OT KNOB RD - 55122
(651) 681-4676
New Construction Reauirements
? 3 registered site surveys
? 2 copies of plans (include beam 8 window sizes; poured fid. design; etc.)
? 1 energy calculations
? 3 copias of tree preservation plan if lot platted after 711/93
required: _ Yes No
DATE:
DESCRIPTION OF WORK:
STREET ADDRESS: 6? Y ? C l?oC ?S 71-c`'tl ?
LOT: ' (° BLOCK: ? SUBD./P.I.D. #: ??-C'9
PROPERTY
OWNER
CONTRACTOR
ARCHITECT/
ENGINEER
?
Nacne: ? 4eSC P6, ? Phone#:
Last First
Street Adc
City _
Company:
Street Adc
City _
Street
City
Sewer 8 water licensed plumber (new construction only): _
change and lot change is requested once permit is issued.
RemadaURenairReauirements ?
? 2 wpies of plan
? 1 site surveys (exterior additions 8 decks)
? 7 energy calculations for heated add8ions
CONSTRUCTION COST:
State:
Phone #:
?--?`3 p o0'a o a
Zip: a-Z)
License lt Exp.
State: Zip:
Phone #:
Registration
State:
Zip:
Penalty applies when address
I hereby acknowledge that I have read this application, state that the information is corcect, and agree to comply with all applicable
State of Minnesota Statutes and Ciry of Eagan Ordinances.
Signature of Applicant: ?
OFFICE USE ONLY
vv"J?-
Certificates of Survey Received _ Yes _ No
S&?e
Tree Preservation Plan Received _ Yes _ No - Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex
? 02 SF Dwelling ? 07 4-plex
? 03 SF Addition ? 08 8-plex
? 04 SF Porch ? 09 12-plex
? 05 SF Misc. ? 10 = plex
WORK TYPE
? 31 New ? 33 Alterations
? 32 Addition ? 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
APPROVALS
Planning
? 11 Apt./Lodging ?
? 12 Multi Repair/Rem. ?
? 13 Garage/Accessory ?
? 14 Fireplace ?
? 15 Deck
? 36 Move
? 37 Demolition
Basement sq. ft.
Main level sq. ft.
sq.ft.
sq. ft.
sq. ft.
sq.ft.
Footprint sq. ft.
Building
Engineering
Variance
Permit Fee
Surcharge
Plan Review
License
MC/E5 SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: $
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
Census Code
SAC Code
Census Units
Census Bldg
MC/ES System
Ciry Water
Booster Pump
PRV
Fire Sprinklered
% SAC
5AC Units
REACTIVATE
PERMIT # ,.; .tio ??i 19,11
CITY OF EAGAN
1993 BUILDING PERMIT APPLICATION
681-4675
SINGLE 3 MULTI-FAMILY 2 sets of plans. 3 registered site surveys, i copy of energy
calcs. .
COMMERCIAL 2 sets of architectural E structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of awnth.
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date a/ z 1 43 / / Valuation of rork
m
1
E
'????
??
c
?
Site Address:
LTREET SUITE /
Tenant Name: (comnercial only)
IAT BIACK __L_ FuBp. r d P.I.D. N '
.4G ?V
• o-?.?? *s`^? ?C
cy64 lk%
Descri tion of work: w'a.1_22
The applicant is: Owner ? Contractor ? Other (o..«tbe)
De`?7 Phone 693-345V
ftSc z
Property .
Name
L.ST FIRST `t?-g/s7
Owner Address ??'?L-t)
iTREET iTE Y
City State ZiP
Company Phone
COntrBCtOf Address License # Exp.
City State Zip
Company Phone
Architect/
Engineer Name Registration i
Address
City State ZiP
Sewer d water licensed plumber . Processing time for
sewer 8 water permits is two days once area has been approved.
1 hereby acknowledge that I have read this application and state that the information is
L
f
ity o
correct and agree to comply with all applicable State of Minnesota Statutes and
Eagan Ordinances.
?
_
Signature of Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex O 11 Apt./Lodging -,0 16 Basement-finish
? 02 SF Dwg. ? 07 4-Plex 0 12 Multi. Misc. O 17 Swim Pool
O 03 SF Addition ? OB B-Plex ? 13 6arage/Accessory ? 18 Coam./Ind.
O 04 SF Porch 0 09 12-Plex O 14 Flreplace O 19 Comm./Ind. Misc.
O 05 SF Misc. ? 10 Multi. Add*l. O 15 Deck Cl 20 Public facility
? 21 Miscellaneous
WORK TYPE
O 31 New ? 33 Alterations ? 35 Tenant finish E3 37 Deawlish
? 32 Addltion O 34 Repair O 36 Move
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC dccupancy
Zoning
i of Stories
length
Oepth
APPROVALS
Planning
Engineering
REOUIRED INSPECTIONS
? Site
O Wallboard
Basement sq. ft.
lst Ft. sq. ft.
2nd F1. sq. ft.
Sq. ft. total
Footprint Sq. ft.
On-site well
On-site sewage
Building
Variance
? Footing
0 final
A Framing
? Draintile
MWCC System
City Mater
PRY Required
Booster Pump
Fire Sprinkler
Census Code
SAC Code
Assessments
O Insulation
O Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAL
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
topies
Other
Total:
v.luscia,:
SAC %
SAL Units
L o2?P sl CI1T OF EAGAN
' ?y? PLUMBING PERMIT
SUBI?, (612) 681-4675
RESIDBNTIAL
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS
WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
LD USE ONLY
PT a??
1
? a
ALSO, FOR TOWNHOMES AND CONDOS
WORK DESCRIPTION
NEW CONST ?C
ADD ON _
REPAIR _
1
OWNER NAME: ?-n 'eVl FIE
SITE ADDRESS: ro,(,Z t/ 01C Fi9lXr.?,-.o
I3qSTALLER: ?Wrrnin??.?a ??U?VIYJ?noL?H?{??n17
nnnxEss: a10 sLl Gh;oFrAJw(c AVC-
CITY: "4r1NIiNCs6k ZIP: S,SO.'t.y
PHONE #:9n3- -79aZy
COMPLETE THE FOLIAWING:
N0. FIXTURES EA. TOTAL
REPAIR/ADD ON 15.00
? SHOWER 3.00 ?_?
'L WATER CIASET 3.00 (°. N
1 sATH TUS 3.00 3•00
3 IAVATORY 3.00 9.0 U
KITCHEN SINK 3.00 .oo
IAUNDRY TRAY 3.00 3-ob
_ HOT TUB/SPA 3.00 •3 60
_ WATER HEATER 3.00 3•00
FLOOR DRAIN 3.00 3.00
GAS PIPING OUT.
(MINIMUM - 1) 3.00 3,00
? ROUGH OPENINGS 1.50 ?
_ ozHEx
WATER SOFfENER 5.00
PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
W. T[IRNAROUND 15.00
STATE SURCHARGE .50
c L a7 1AX-Ar w... .xwiaAxsvN.-.
SIGNATURE OF PERMITTEE TOTAL: 4Lio
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-FAMILY
BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT.
WORK DESCRIPTION:_
OWNER NAME:
SITE ADDRESS: _
TINANT NAME: _
SUITE #:
INSTALLER:
ADDRESS:
CITY:
PHONE
FOR:
CITY OF EAGAN
ZIP:
CONTRACT PRICE:
1% OF CONTRACT FEE. .
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMOM FEE.
CONTRACT PRICE x 1% $
STATE SURCHARGE
TOTAL:
$
$
(SIGNATURE)
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
?NEW CONS7RUCTION
ADD-ON A/C
ADD-ON FURNACE
DATE a ' I S- q':?s
FEES
HVAC: 0-100 M BTU
ADDITIONAL 50 M BTU
GAS OUTLETS (MiriIMUM i@ S3.00 EwCH)3
ADD-ON/REMODEL (Exisr[rrG CoxsT[tUCr[oN)
STATE SURCHARGE
TOTAL
$ 24.00
6.00
?
$ 15.00
.50
SITE
OWNER N
TELEPHONE #: "'t (, Cl - :':?' 7 g) _-:?
CTI'Y: ? Q'C (Y\_ ?n STATE: `(Yl ? ZIP CODE: 2LSJ 7
TELEPHONE #: ° ? - °)
MECHANICAL PERMIT (RESIDENI7AL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4675
MECHANICAL PERMIT (COMMERCUL)
CITY OF EAGAN
3830 PIIAT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR ALL COMMERCIAL,/INDUSTRIAL BUILDINGS. ALSO COMPLETE
FOR APAR'I'MENT BUILDINGS OR OTHER MULTI-FAMII.Y BUILDINGS WHEN SEPARATE
PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT.
DATE:
NEW BUILDING
INTERIOR IMPROVEMENT
WORK DESCRIPTION:
1% OF
COTVTRAL'1' YItTCE:
FEES
FEE $
PROCFSSED PIPING:
MINIMUM FEE:
TOTAL $25.00
STATE SURCHARGE
$25.00
$.50 FOR EACH $1,000 OF ?Rj= FEE.
$
SITE ADDRFSS:
OWNER NAME: TELEPHONE #:
TENANT NAME; (IMpROVEMENTS ONL1)
INSTALLER:
ADDRESS:
CITY:
TELEPHONE #:
STATE: ZIP CODE:
SIGNATURE OF PERMITTEE CTI'I' INSPECTOR
L 0?6 BL ? CITY USE ONLY
SUBD.
RECEIPT#: ?D?IO?CB
RECEIPT DATE: `5 ?a I 9
PERMIT # ? 4 "I
1999 PLU14I$INC PEitMIT (RE.SIDENI7AL)
crrY oF EasAx
3$30 PILOT KNOS RD
£A6AN. MN 55122
(651)681-4675 Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES
EACH /!
TOTAL
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
Ges i ifl Outlet ` minimum - t 3.00 x = $
Hot tubls a 3.00 x = $
Kitchen sink 3.00 x = $
laund tra 3.00 x = $
Lavator 3.00 x = $
Minimum fee alterations to existin dwellin 30.00 x = $
Private Dis osal S stem new/refurbished ' re uires MPC iic. 75.00 x = $
Private Dis osal S stem abandonment 30.00 x = $
RPZ new installation/re air 30.00 x = $
Rou h o enin 1.50 x = $
Shower 3.00 x = $
Under round s rinkler if dwellin is under construction 3.00 x = $
Under round s rinkler if existin dwellin 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x = $
water softener if dwelling under constructlon 5.00 X = $
Water softener if existin dwellin 30.00 x = $
Water turnaround 30.00 x ---- _ $
State Surchar e 50 --> ----> ----> $ 50
TOtdl °> --? ----> ----> $ ?•.5-D
r
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
-------- • ------- ---------------------• ---------- •----------------------------------------- -----------------------------------------------
I hereby acknowledge that I have read this application, st2te that the infortnaGOn is cortect, and agree to comply with all applirable Cityof Eagan ordinances.
It is the applicanYS responsibilily to notify the property owner that the Ciry ot Eagan assumes no liability for any damages caused by the City during its
normal operational and maintenance activities to the facilitles conshucted under lhis permit within Ciry propertylri9ht•of-wayleasement.
SITEADDRESS: ? 7 Md S T/,-
OWNER NAME: TELEPHONE #:
'T (AREA CODE)
INSTALLERNAME: eEc -l e ??CfY 7:!&i TELEPHONE#: ?(r?AREA CODE)
- ` STREET ADDRESS: T /?o A eY B- 3 •
CITY: n n STATE: ZIP: S1'O ?T
SIGNATU OF P RMITTEE
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA112070
Date Issued:07/25/2013
Permit Category:ePermit
Site Address: 664 Mcfaddens Tr
Lot:26 Block: 1 Addition: Lakeview Trail
PID:10-44330-01-260
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
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, call for framing
inspection. Call for final inspection after installation.
Window or Door:Replace 1 patio door within existing opening.
Kara Benson
Valuation: 500.00
Fee Summary:BL - Base Fee $500 $40.00 0801.4085
Surcharge - Based on Valuation $500 $0.50 9001.2195
$40.50 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 -
Douglas J Petesch
664 Mcfaddens Tr
Eagan MN 55123
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature
1
« Use ~~LU or BLACK Ink
I For Office Use I
j Permit "
City of Eap I Permit Fee:
3830 Pilot Knob Road I 1
Eagan MN 55122 Date Received: j
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 1 Staff: CAI,
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: ~a44, r Unit
Name: ocl ~_F -f/l I XC4 Phone:
Resident/
Owner Address /City / Zip: /~1c o S 7'r~.' /,a2 arm ~l/~• 5l 2 3
Applicant is: _,K' Owner contractor
Type of Work Description of work: ka?oE f r Jer-~ i-+^ S71e4S
Construction Cost: 2 00 0 Multi-Family Building: (Yes /No X)
Company: $ ~°I Contact:
Contractor Address: City:
State: Zip: Phone:
1
License Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
hose /
W COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
fi
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: 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 (851) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities.
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 withal 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 - cy u C 7'-~
x (
Applicant' rinted Name Applicant Signature
Page 1 of 3
z
%D' 7WRITE BEL4THIS LINE 115910
SUB TYPES
Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage
Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family)
_ Multi Deck _ Porch (ScreoWGazeba/Pergola) _ Exterior Alteration (MultQ
_ 01 of Plex _ Lower Level _ Pool Miscellaneous
Accessory Building
WORK TYPES
_ New _ Interior Improvement _ Siding _ Demolish Building*
Addition _ Move Building _ Reroof Demolish Interior
_ Alteration _ Fire Repair _ Windows _ Demolish Foundation
X Replace _ Repair _ Egress Window _ Water Damage
Retaining Wall *Demolition of entire building - give PCA handout to applicant
DESCRIPTION
Valuation SJ~D Occupancy MCES System
Plan Review Code Edition SAC Units
(25%_ 100% )L) Zoning _ City Water
Census Code Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) J Meter Size:
Footings (Deck) J ~L Final / C.O. Required
Footings (Addition) cc Final / No C.O. Required
Foundation HVAC _ Gas Service Test Gas Line Air Test
Drain Tile Other:
Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final
Framing Siding: -Stucco Lath -Stone Lath -Brick
Fireplace: -Rough In Air Test -Final Windows
Insulation Retaining Wall: _ Footings _ Backfill _ Final
Sheathing Radon Control
Sheetrock Erosion Control
Reviewed By: , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Reviews
MCES SAC y
Cit
y SAC
fNA
Utility Connection Charge
S&W Permit & Surcharge (1 5
Treatment Plant j/
Copies
TOTAL
Page 2 of 3
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CGNSULTIN+3 ENGINEERS
PLAINCAS and LAND fURVEV0A5
.:AGINEERING 3K.190
PQ. 64
A COMPRNY, INCO a
1000 EAST 1461h STREET, BURNSVILLE, MINNESOTA 55337 PH 432-3000
CERTIFICATE OF SURVEY
Legal Description: LOT z,(o Bco K / L~1KEV/acv 7,e4,(4 d22ZZrar~I
24"724 ez VAl7Y ZV1A1JV 5'4T~4
(fig o } DENOTES EXISTING ELEVATION
044•,o ) DENOTES PROPOSED ELEVATION
INDICATES DIRECTION OF SURFACE DRAINAGE
.3 FINISHED GARAGE FLOOR ELEVATION
937. z9 = BASEMENT FLOOR ELEVATION
74.5-.33 TOP OF FOUNDATION ELEVATION
SCALE : I"= 30'
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F901V PWPa GT 6R.~10/N6 f~,MQ /~EYELQP/l1ENT p(~y,ll,
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m $ S ° 3o'54-" E
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X8.0,0 94¢, 3 3'0. _ 04467
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° GARAGE N (944:6
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30' 5.5" E 4D. 1)
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T hereby certify that this is a true and correct representation of a tract o
land as shown and described hereon. As prepared by me this 26 77' day o
JA N yA gy
Minn. Reg. No. 160,65
637q50
xDE ALAfAtii. 0/kJ,: ESE
INSTALLED IN ALL NEW SINGLE FAMILY
AND MULTI FAMILY DWELLING UNITS.
Fde Echt Bu4kl Terrairr Litarary A) CAD Tools
1:1U165 S
Help
HT
> „7„, iLW
ORS ARE REQUIRED
GILk_t f_VEL OF THE HOUSE AND N
EVERY SLEEPING ROOM AND IN EVE
HALLWAY LEADING TOA SLEEPING RO
71 A
iT
ISPECT CMS DR/ISION
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA146188
Date Issued:10/12/2017
Permit Category:ePermit
Site Address: 664 Mcfaddens Tr
Lot:26 Block: 1 Addition: Lakeview Trail
PID:10-44330-01-260
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Includes Skylight
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: 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 -
Douglas J Petesch
664 Mcfaddens Tr
Eagan MN 55123
(651) 343-1553
Krech Exteriors Inc
5866 Blackshire Path
Inver Grove Heights MN 55076
(651) 688-6368
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA169570
Date Issued:06/01/2021
Permit Category:ePermit
Site Address: 664 Mcfaddens Tr
Lot:26 Block: 1 Addition: Lakeview Trail
PID:10-44330-01-260
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
210-0754.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 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 -
Douglas J & Tracey A Petesch
664 Mcfadden Trl
Saint Paul MN 55123--217
Standard Heating & Air Conditioning
130 Plymouth Ave. N
Minneapolis MN 55411
(612) 824-2656
Applicant/Permitee: Signature Issued By: Signature
Address / City / Zip:
Applicant is:
EAGAN
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651) 675-5675 I FAX: (651) 675-5694
buildinainspections1 citvofeagan.com
P6'
r For Office Use
Permit #: 4542,
Permit Fee: oZ `r I j
Date Received: 2_ / s f
2D
Staff:
J
2022 RESIDENTIAL BUILDING PERMIT APPLICATION
Site Address: 664 McFaddens Trail, Eagan, MN 55123 unit #:
Date: 2/2/2022
Name: DOUG J PETESCH Phone: (651) 343-1553
664 McFaddens Trail, Eagan, MN 55123
Owner Contractor Owner Email: dpetesch@comcast.net
Description of work: 5.135 KW DC solar array flush -mounted to south roof of home.
Construction Cost: $7702.00 Multi -Family Building: (Yes / Now
Company: TruNorth Solar, LLC Contact: Donna Pickard
Address: 3735 Dunlap St. N. City: Arden Hills
State: MN Zip: 55112 Phone: 952-500-07% Email: dpickard@trunorthsolar.com
BC639643 N/A 12-- 1A '' e� -r►�1
License #: Lead Certificate #:
If the project is exempt from lead certification, please explain why:
We will not be disturbing any interior or exterior surfaces over 1' x 1'.
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
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:
Fire Suppression Contractor: Phone:
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at
www.citvofenan.com/subscribe.
CALL BEFORE YOU DIG. Contact Gopher State One Call at (651) 454-0002 or www.gooherstateonecall.orq for protection against underground utility
damage. Contact Gopher State One Call 48 hours before you intend to dig to receive locates of underground utilities.
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.
x
Donna Pickard
Donna Picka
X
telly signed by Donna Pickard
O US, CNkDanne Pickard, O•'huNorm Soler,
-dpickaN®trunoMeoler.com
I am the author of tits document
your signing location here
22-02-02 16,15:25 0
Applicant's Printed Name
Applicant's Signature
SUB TYPES
Foundation
✓ Single Family
Multi
01 of Plex
WORK TYPES
New _ Repair
FOR OFFICE USE ONLY
Site Address: 10 et M LFel e v T O _ Permit #: I
_ Fireplace
_ Garage
Deck
Lower Level
Addition
Alteration
Replace
Fire Repair
Water Damage
Egress Window
DESCRIPTION
Calculated Valuation`s 1702-e°
Plan Review
(25%_ 100% ✓)
Census Code
# of Units
# of Buildings
Type of Construction VQj
REQUIRED INSPECTIONS
Footings (New Building)
_ Footings (Deck)
Footings (Addition)
Foundation Foundation Before Backfill
Roof: _Ice & Water _Final
Framing / 30 Minutes 1 Hour
Fireplace: _Rough In _Air Test _Final
Insulation
Sheathing
Sheetrock
Fire Walls
Braced Walls
Shower Pan Reviewed By: Jail/5 `(c v
Porch (3-Season)
_ Porch (4-Season)
_ Porch (Screen/Gazebo/Pergola)
Pool
Siding
Reroof
Windows
,/ Solar
Occupancy \ZC. 1
Code Edition 2.02V
Zoning 10' 2-1
Stories
Square Feet
Length
Width
Miscellaneous
Accessory Building
_ Retaining Wall
Move Building
— Demolish Building*
*Demolition of entire building — give PCA
handout to applicant
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Suppression Required
Meter Size:
Final / C.O. Required
Final / No C.O. Required
HVAC _ Service Test Gas Line Air Test Hood
Pool: _Footings _Air/Gas Tests _Final
Drain Tile
Siding: _Stucco Lath Stone Lath _Brick _ EFIS
Windows
Retaining Wall: _ Footings _ Backfill _ Final
Radon Control
Fire Suppression: _Rough In _Final
Erosion Control
Other:
, Building Inspector
Stormwater Management
Permit Required:
RESIDENTIAL FEES
Calculated Valuation c,if-7702 .s
Base Fee
Plan Review
State Surcharge
MCES SAC
City SAC
Treatment Plant
Water Supply & Storage
S&W Permit & Surcharge
Radio Read
Other:
Copies:
TOTAL $ 0.00