4336 Hamilton Dr
10/04/2010 MON 16:57 FAX 6514378831 2002/002
Use BLUE or BLACK Ink
I-------- _ .
City of Eagan v € Permit I /
1 Permit Fee:
3830 Pilot Knob Road I i
Eagan MN 55122 1 Date Received: €
Phone: (651) 675-5675 € s
Fax: (651) 675-5694 I sta-----------------
2010 i1 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: ID ~ 2-DIO Site Address,
_'"i 510 Rmft aiV
Tenant: DouqlAs Suite
RESIDENT/OWNER Name: r- r~_ C)ow Q S Phone:
Address/ City / Zip:. 4-3 0 H a€ i f i llo n I..,rr) yo
CONTRACTOR Name:!ti t~
r t'3ur t) I uWj31Pi..~.. CW:.~- ~l'1CeLicense#:
A
ddress:
-City:
t ( 1- 4111 7
State: _ Zip: G60 2 3 _ Phone: L')si ,'T
Contact: bt a_y Email: ft. e
TYPE OF WORK T New X_ Replacement Repair _ Rebuild Modify Space Work in R.O.W.
Description of work:
PERMIT TYPE RESIDENTIAL
Water Heater Water Softener
Lawn Irrigation Add Plumbing Fixtures
RPZ / _ PVB) Main Lower Level)
Septic System Water Turnaround
New
`Abandonment
RESIDENTIAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater p d Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation (includes $50 State Surcharge)
$50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge)
*Water Turnaround (add $166.00 if a 5/8" meter is required)
$100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
$90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
TOTAL FEES $
CALL. BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to di receive locates of underground utilities. hers_ teonecalI.or
9 y~+wwqoo a
E 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 but only permit, an application fora 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
X~~Pj bant bmftm~ x QVIw, ~ p work which requires a review and approval of plans. cip t ~
A licant's Printed Name Ap cant's Signature
t ~,G~Y'~` Fv x s 1 G~^ t ~ • r rod,.,. ~~z;
~0 I\90i~~g~SE 't1S f,, i~i3 l~e*Y.~ yf 4 If M,i^.yr !T'~`j t A' ~y
Rgtttred Irisptlons. t~c1e~,.Groiani~uf~~lffkAt~ ss# t7a lest
..w..
1.2/31/2009 THU 9:28 FAX 6514378831 IM002/002
pp j Permit I
City of EaRail i !
l ~t~ t
3830 Pilot Knob Road I Permit Fes.
Eagan MN 55122 ( t
Phone: (651) 675-5675 i Date Received I
t !
Fax: (651) 675-5694 Staff: i
i
- - - - - - - - - - - - - - - - -
2009 MECHANICAL P RMIT APPLICATION
Date: it- -M Site Address; '7 ~Jt f(`dt/l
Tenant:
uite
RESIDENT / OWNER Name: Phone:
Address / City / Zip:
CONTRACTOR Blame: g~Q NsU4"< 0,W 1 * e~ T~~/ • Lice #A 1C L-
Address: 4 4
City: '1174 1, fi y-4 State:~L&._..
Phone: 5-1-413`7- cj/ -2-7 Contact Person:
TYPE OF WORK New Repla ement Additional Alteration Demolition
-14
Description of work: °t (L
.~B,~,~t
dc£untei~ 1'ycii Macro
~Se sc e ned~§Y,_q? r y ah ~ J~ase caMc sthe- few tatrt% ,a ns e o► bx tf~ ff~ `
I. h
laces fl rnq~maltan,or~ e~tr)rtted,cfe btlads; a"
,nrlt
PERMIT TYPE RESIDENT/AL COMMERCIAL
Furnace New Construction Interior Improvement
Air Conditioner Install Piping Processed
Air Exchanger Gas Exterior HVAC Unit
Heat Pump - Under / Above ground Tank Install / Remove)
" When installing/removing tank(s), call for inspection by Fire
_ Other Marshal and Plumbing Inspector
RESIDENTIAL FEES;
$50.50 Min_, imum Add-on or alteration to are existing unit (includes $.50 State Surcharge)
$90.80 Fire repair (replace burned out appliances, ductwork, etc.) (includes $_50 State Surcharge) $ ✓ TOTAL. FEE
COMMERCIAL FEES:
$70.50 Underground tank installation/removal OR Contract Value $ X1%
$50.50 Minimurn (includes State Surcharge)
- if ermit Fee is less than $1,000, surcharge is $.50. _ $ Permit Fee
- If Permit Fee is > $1,000, surcharge increases by $.50 for each
$1,000 Permit Fee (i.e. a $1,001•$2,000 Permit Fee requires a $1.00 surcharge). $ State Surcharge
$ TOTAL. FEE
I hereby acknowledge that this information is complete and accurate; that the work will be in confor nce with the ordinances an odes of the City of Eagan; that
I understand this is not a t only an ap ication fora permit, and work is not to start without a ermit; that the work will " accordan a with the approved
a * i the case of worst whit re ires a revtpvl and approval of plans.
x (1 l
X
Ap cant's Printed Name t► Appl' an 's Signature
FOR r3FFICI USE
t -
777
f eview d lay: v Da
Required lnspectrons t~nder'G ound Ficugh iii Air 1esY Gas Se vi e Ees#
in.ffoorHedt Final
1 r
. : `_Ext?nor IdVA~'Scre~rir~g tns~eFticr; ,
? CASH RECOIPT 10
. CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
onre ia
?
• i
WCEIVED `-{?. ?? .1??---?-t_r (?? '? .,,_. Ct (" ? ?' I
AMOUNT $
8 oo DOLLARS
O CASH L1 CHECK
?
wr;'-??'
? 1 . Gr
?
' • Whft--Pay- Copy
Yelbv-PosNng Copy
Pink-File Copy
Thank You
sv
?r. . .
BLDG,
01-3210
01-3422
Oi-3445
01-3446
01-2155
75-3860
t
20-2275
,20-3865
20-3868
20-3716
20-2252
20-3713
20-3743
79-3866
28-3855
? .. /
Bldg. Permit
Plan Check
Surch./Adm.
SAC/Adm.
Surcharge
Road Unit
SAC
Water Conn.
Water Trmt.
Water Meter
Acct. Dep.
Water Permit
Sewer Permit
Sewer Conn.
Park Ded.
V
TOTAL ?
lqo C?' PER 5& CITY OF EAGAN
8-3-: ? 3830 Pilot Knob Road, P.O. Box 21 •199, Eagan, MN 55121
PHON E: 454-8100
BUILDING PERMIT
To be used for Est. Value $85s000
Site Address 4336 RMTLTOI? flR
Lot 5 Block 3_ Sec/Sub. Lf;XPN?7L'4i; POID128
zwv
Parcel No.
Q Name JGE MILLlIh C0k,8TRUCTSaN
3 Address 2813? GEDAR A1IE S
AD City I'pr' ,+ Phone 431-2401
¢
a Name $ANZ
,
t4 Address
P City Phone
a
W Name _
W
Z Address
0
W CitY -
I hereby flcknowledge that I have read this application and state that the
informatidn is correct and agree to comply with all applicable State of
Minnesota Statutes and Ciry of Eagan Ordinances.
Signature of Permittee
a01 HiLU,: coxssttucTio"
A Building Permit is issued to:
on the express condition that all work shall be done in accordance with all
epplicable State of Minnesota Statutes and City of Eagan Ordinances.
8uilging Official_ ? '
Receipt
? r r3 ,p ,
r
Date SFPT 1.3 ,19 :'.i
OFFICE USE ONLY
On SNe Sewage Occupancy
MWCC System X Zoning
On Site Well (Actuaq Conat
City Water X (Allowable)
PRV Required # of Stories
Booster Pump Length
Depth
S.F. Total
Footprint S.F.
APPROVALS
Engr./Assess. _
Planner _
Council _
81dg.Otf. _
Variance -
FEES
Permit
Surcharge
Plan Review
SAC, City
SAC, MWCC
Water Conn.
Water Meter
Road Unit
Treaiment P1
AiNSCaPY
TOTAL
&-3 t?-i ,
PD A-! ?
V_N
?2
.461
514,00
42.50 ,
257.00
ioa, w
g 4r?. 00 550.00
67.00
325.? '
xaa. c,o
SO ?
, O.QO '
. Jia. . ? - .<,ac. ,a•nL - 'Lw,?;1i.. ?.+a?•. f"7l• wrt'-,'.? ?.•- . . 'FS,s°:ir..d'?': . ... .
CITY OF EAGAN i?
??,,3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 "
BUILDING PERMI36'" PHONE: 454-8100
Receipt #
To be used tor WMiM giRIsli Est. Value s1+soo Date AU6 22
18288
Site Address p?336 F1AMI16CON DR
Lot s BIoCk 3 SeciSub. LZMIIG?M IPOi? OFFICE USE ONLY
Parcel No Occupancy ? FEES
W UWE HEB"
Name Zoning -
(ACtual) COnst _
o Address 4336 HAMILTO'N DR (Allowable) -
City EAGAJN Phone 725-2038 # of Stories -
Name sA''lE Length _
Depth
o?
U
Addfess _
S.F.7otal
? Clly Phone S.F. Fooiprints -
F
yVj
W
Name On Site Sewage _
on site wen
`
?A,
Address -
Mwccsysten, -
i W City PhOne Ciry water _
PRV Required -
hereby acknowlege thac I have read this application and state that the eooster Pump _
lormation is correct and agree to comply with all applicable State of
linnesota Statutes and Citysf Eagan Ordinances. ,
ignature of Permitee APPROVALS
??
Building Permit is issued to: ? Planner
-
n the express condition that all work shall be done in accordance with all Council
pplicable State of Minnesota 5tatutes and City of Eagan Ordinances. gldy, pry. _
uilding Official -- - ?
Variance -
35"00
Bldg. Permit 1
1•00 3
Surcharge
Plan Review ?
SAC, Cily
SAC, MCWCC ?
Water Conn
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Trealment PI
Road Unit
Park Ded.
Copies
3b•?
TOTAL 1
,
Permit No. Permit Holder Date Telephone ?
WATER
SEWER
PLUMBING Q c/
H.V.A.C.
ELECTRIC UIR6
Inspection Date Insp. Comments
Footings 1
Foundation
Framing ?a G/
Roofirg
Rough Plbg. - ?
Rou0 Ht9•
Isul. ? ?.
Freplace
Flnal Hig.
Final Plbg.
Const Meter Plbg. inspector - Notify Poumber
Engr./Plan
Bldg. Final ? ?JC "p ?! /?i/S ?
Deck Ftg.
Oedc final
weli
Pr. Disp.
- CITY OF EAGAN '
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, M N 55121 ,
'? ??`
' PHONE: 454-8100 `??- ? ,?? ?
tBUILDING PERMIT Receipt# , `--
To be used for"1 J,- ,J ??'3f Uht( Est. Value $$g>000 Date SEPT 13 19
88
Site Address 4336 HA!!IL'fOit DY OFFICE USE ONLY ?
?
, Lot ? Block 3 Sec/5ub
L?-?;+?+ +?`TOAi F?1IM'T$ On Site Sewage Occupancy $n3 r'? 1
.
, MWCC 5ystem X Zoning F" 6-2
Parcel No. On Site Well (Actual) Const w-N ?
oc Name JOE itILLEk Ci. 1tFa•.,jI3JCTI0F1 Ciry Water x (Atlowable)
z 1 8133 LEI4A!' A'?"E 8
Address PRV Required # of Stories ?
o j
il:
?0 City ?A?'??? Phone y31"Z?1 ??terPump Length ?? ?
?
Depth ? ?
1
, a Name 5?E S.F. Total 1
?i Addres5 Footprint S.F.
P City Phone APPROVALS FEES ,
?W Engr./Assess._ Permit r'14.0Q ;
Name 42
?
? Z
.' Planner _ Surcharge •
i
_ - Address
t? u W
City Phone
Council
Plan Review ?
i?•?
Bidg. Off. SAC, City •
5
'? •? ?
I hereby acknowledge that I have read this application and state that the
t
l
'
f Variance SAC, MWCC 550
00
informa
ion is correct and agree to comply with al
appliCable State o
j
Minnesota Statutes and City of Eagan Ordinances. WBter Conn. •
67
?
a ?
Signature of Permittee Water Meter ?
325•00
? Road Unit
A Buildin Permit is issued to:_ __?
?`t'
9 ----- ---- ----
TreatmentPl ?
on the express condition that all work shall be done in accordance with all Pawscopr
applicable State of Minnesota Statutes and City of Eagan Ordinances. 2'iiW? ?
BuildingOfficial
:?4 - TOTAL
I
` Permit No. Psrmit Holdsr Data TeIephons it
Plumbing 9 c, ? ,?`?- 9 q
?
H.V.A.C. le, 12
Electnc ,CG
Sottener
Inspection Dats Inap. COmmeflt8
Footings I y?
Footings II
Foundation
Framing
Roofing
Rough Plbg. ? ; -Jr?- I?
Rough Hcg. fiw
Isul.
Fireplace ?U
Final Htg.
Final Plbg. ?-
Bldg. Final
Cert Occ. :
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp.
_? . PERMIT # ,/`"%
MECHANICAL PERMIT
_y
RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE: PHONE: 454-8100
Site AddreSS
h '' `' ? ? ' ' ? ? ? • BLDG. TYPE WORK DESC8IPTION
Lot
Block Sec/Sub Res. ? New ??
, Name Mult Add-on
?
c Address_ • ? ; { , ' 1
City t Phone ' Comm. Repair
Other
? L
Name '?
?'???' t?
? 1? •
FEES
RES. HVAC 0-100 M gT
U
$24.00
Addre?s _
ADDITIONAL 50 M BTU 6.00
O C?tY 4 1? Phone (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM
1 PER PE14
41T
1
50 EA
-
) -
,
.
.
TYPE OF WORK COMM/IND FEE - 196 OF CONTRACT FEE
Forced Air ? M BTU ? y? ?•?•?-- APT. BLDGS. - COMM. RATE APPLIES
Boiler
M BTU TOWNHOUSE 8 CONDOS - RES. RATE APPUES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8
Unit Heater M BTU REMODELS - 12.00
Air Cond. M BTU ? MINIMUM COMMERCIAL FEE - 20.00
Vent
CFM
$ STATE SUFiCHARGE PER PERMIT - .50
,
.
Z 7? (ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Outlets # BEYOND $1,000)
Other
, . ^ ,'
, •
FEE: ?
;
S/C: SIGNATURE OF PERMITTEE •
?
•
TOTAL:
FOR: CITY OF EAGAN
?
• 3830 PILOT
CE
Site Address
Lot ? Block
y Name
a Addre
c City
Name
3 Addre
O Ciry _
Phone
PlUMBiNG PERMIT
CITY OF EAGAN
PERMIT ti
RECEIPT #
MN 35122 DATE: _
BLDG. TYPE WORK DESCRIPTION
,Aes. New -
! 7-
? Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
- Water Closet - $100 S
Bath Tubs - $3.00
k?Lavatory - $3.00 .
Shower - $3.00
Kitchen Sink - $3.00
Urinal/Bidet - $3.00
Laundry Tray - $3.00
Floor Drains - $1.50
Water Heater - $1.50 I
Whfrlpool - $3.00
' Gas Piping Outlets - $1.50 I
(MINIMUM - 1 PER PERMIT)
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
GRAND TOTAL• FEES
FEE:
STATE S/C:
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE 8 CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.001
CITY OF
. ,
CONTRACT
PRICE
[ Lot
?
CITY OF
3830 PILOT KNOB ROa
- D41AIrIG d
? Address
S City Phone
Phone
PERMIT #
I, MN 55122 RECEIPT a
Res. New?? '
Mult. Add-on
Comm. Repair
ane?
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
Watsr Closet - $3.00 $
FEES
COMM./IND. FEE - t% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APLLIES
MINIMUM - RESIDENTIAL FEE $12.00
MINIMUM - COMM.IND./FEE $20.00
STATE SURCHARGE PER PERM{T .50
(ADO $.50 S/G PER EACH $1,000 OF PERMIT FEE)
uos - q)a.w
ry - $3.00
r - $3.00
i Sink - $3.00
Bidet - $3.00
y Tray - $3.00
)rains - $1.50
Heater - $ t .50
Dol - $3.00
ping Outlets - $1.50
IMUM -1 PER PERMIT)
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
U. G. SprinWer System - $12.00
PERMIT FEE: 7r `
? STATES S/C: , Sv
GRAND TOTAL: ? • `?
f , . .'?
(Itrtrftra#it of (IDrrupattry
Citp of Q 'eagan
Epparfinml of Buitdircg Jnsperfinn
This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building
Code certifying that at the time of issuance this structure woas in compliance with !he various
ordinances oJthe City regulating building corrstruction or use. For the following.•
Occupancy Type
Fbrmit No. ? = r'' '•
Typo Conat VN
)kilZ n,tT, S, FAI#4]WiI'K
euMng naaTm - 4336
" aaic li;F:;;E'FM 2. 1988
POST IN A CONSPICUOUS PLAGE
CITY OF EAGAN Permit No: Date: '%'s Q
3830 PilOt Knob ROad B/ P NO: 734 • Dat@: '- 13' rf
P.O. Box zi 199
Eagan, MN 55121 '
Owner. ' ' • .. er Cottst.
Site Address: '': ive LS B3 Lcxin?;toa ro i.*_ e IT
Plumber. Plymo+.•th Plumbin.*
5
MWCC 5Q . OOpcl
:
City Chg:
Acct Dep:
Permit Fee:
• :?. .
Surcharge: '
T ?
Zoning• No. of Units: :
,
I agree to comply with fhe City of Eagan :
OMinances.
ey
SEWER SERVICE PERMIT
Pliot Knob Road Meter No: Size:
8oz 21199 Reader No: Dale:
in, MN 55121
nn. Chg: ?` - z??? • =
ct Dep: '
mit Fee:
rcharge: '
Plant
rter.
Zoning: _
No. of Units:
I agree to comply with ihe City of Eagan
Ordinances.
By ?
WATER SERVICE PERMIT
?
CITY OF EAGAN Permit No: 4971 Date: 10-7-88
3830 Pilot Knob Road Meter No:,4/4 7?O Size: J c,
P.O. Box 21199 Reader No: t) Date:
Eagan, MN 55121 - ,
Owner. Joe Miller Conat.
SiteAddress:133<, Namilren I?rive T5 B3 Lexington Foi-Pt. 11,
nn. Chg: 55(1_ (lOnd
ct Dep:_ _ 1 5 _ (1o'd
rmit Fee: 0_ 0(on,-l
rcharge: _ Sond
Plant 7 r14 _ f;(h,r?
R
IGr 67.
?L?!I?? .
Zoning:
No. o( Units: ?-
1 agree to comply with ihe Ciry of Eagan ?
Ordinanc
? C?
ey
WATER SERVICE PERMIT
NO CO PER S& W CITY OF EAGAN .
8-3-$8 3830 Pllot Knob Road, P.O. Box 21-199, Eagan, MN 55121 0 15600
BUILDING PERMIT PH ON E: 454-8100
Receipt #?zl0
To be used for SF DWG/GAR Est. Value $85,000 Date SEPT 13 ,1988
SiteAddress 4336 HAMILTON DR
Lot 5 Block 3 Sec/Sub.T.FXIN ON O N .
2ND
Parcel No.
a Name JOE MILLER CONSTRUCTION
z Address 18133 CEDAR AVE S
o City FARMINGTON phone 431-2001
¢
o Name SAME
.
? Q Address
i- City Phone
w
i
?
_
w
Name _
Address
City _
I hereby acknowledge that I have read this applicalwn and state that the
in(ormatwn is correct an?agree Po comply??applw ble State of
Minnesota Statutes an4'?Y ot Eagan"Ordina s. d
Signature of PermrtteE . ??/+?Z _=
lii ?'-
A Building Permrt is issued to:__J MILLER CONSTRUCTION
on the ezpress contldion that all work shall be done m accordance wdh all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
BuJding ONicial???y,_.
OFFICE USE ONLY
On Site Sewage _ Occupancy
MWCCSystem X Zoning
On Site Well _ (Actuap Const
City Water _x.- _ (Allowable)
PRV Reqmred _ # of Stories
Booster Pump _ Length
Depth
S F. Total
Footprint S.F.
APPROVALS
Engc/Assess._
Planner _
Council _
BIdg.Off _
variance _
FEES
Permit
Surcharge
Plan Review
SAQ City
SAC, M WCC
Water Conn.
Water Meter
Road Unit
Treatment P7
xaeXLoPY
TOTAL
R-3 M-1
PD R-1
V-N
V-N
46'
46,
514.00
42.50
257.00
140.00
550.00
550.00
_ 67.00
.37 5 _ C1(1
204.00
_50
2,610.00
CITV OF EAGAN NO ?$2$S
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PERMITf• PHONE: 454-8100 Receipt # ` / ! -5- % z
7obeused7or BASEMENT FINISH Est.Value $1,500 Date A[IG 22 , 1990
Site Address 4336 HAISILTON DR
Lot 5 Block 3 Sec/Sub. LEXINGTON POINTE
Parcel No.
w I Name BRUCE HEEDON
o Address 4336 H rai .TON DR
City FAGAN Phone 725-2038
o Name _
?y Address
Phone
r
ww Name
?X: '-, ? Address
aW Ciry Phone
I hereby acknowlege that I have read this applicahon and stale that the
inlormation is correct and agree to comply wah all applicable State oi
Mmnesota Statutes and Ciry f Eagan Ordinances/.
Signature of Permitee
A Buildin9 Permit is issued to$RUCE HEBDON
on the express condition that all work shall be done in accordance with all
app6cable State ol Mmnesota Statutes and Ciry of Eagan Ordinances.
Builtling Otticial
Occupancy
Zoning
(AMUap Canst
(Allowable)
# ofStones
Leiyth
Depth
S.F. Tolal
S.F. Footprint5
On Site Sewage
On Site Weil
MWCC System
city water
PRV Requrted
BoOSter Pump
APPROVALS
Planner
Council
BIdg. Off
VananCe
OFFICE USE ONLY
FEES
Bldg Permit
Surcharge
Plan Review
SAQ Qty
SAC,MCWCC
Water Conn
Water Meler
Acct. Deposit
SM' Permil
5/YV Surcharga
Treatment PI
Road Unit
Park Ded.
Copies
TOTAL
35.00
1.00
36.00
? Q REQUEST FOR ELECTRICAL INSPECTION ?4'"?•,? eaooom-m
? See instmctions br camplating ihis lorm on back oi yellaw copy "k,,,RT e y 5? 3
p :
?j 3 3 5 6 7 "-"X" ?elow Work Covered by This Requesf `
e qep. ° Typeofeuildmg ApphancesWired EquipmentWued
Home Range Temporary Service
Duplex Water Heater Electric HeaUng
Apt Building Dryer Other (Speaty)
Comm.llndusirial Fumace
Farm Air Conddioner
Other (speciry) Conhamor5 R? ? 1. nl s/
Compute Inspection Fee Be/ow.
# Other Fee tf ServiceEntrenceSrze Pee # Circmis/Feeders Fee
Sw"imming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps 100 _ Amps
S19n5 Inspacrors Use Only: 7OTAIL SOW-
Irriga[ion Booms ?
Speaal Inspection
Alarm/COmmunication THIS INSTALLATION MAV BE ORDEHED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTH
I, the Electrical Inspector, hereby
cerhty that the above inspechon has
been made Rouqmin p
F,?ai oate _'?
v
oate ?
OFFICE USE ONLY
This request vaitl 18 monthstram
c' 9 s y.3
15d
°
@ 33567 ? • $C?o°
Request Da}W,
X/ /? P/"1 Fire No ROUgRin Inspection
R ired'+
? Reatly Now Will Noldy Inspeclor
R
d
'
es ? No en
ea
y
i?
I ED licensed contractor owner hereby request inspection of above electricel work at:
Job AtlLdress fStreet. Bax or Roule No,f? f
? l} f?Jr. CM1y '
?'La
Section No Township Name or No Renge No
Occupant(PRINT)
`
-
&
ta Phone No
yS?;, 3g6r
,
-
I
Powei SuopLer Aadrass
S?
Elemncal ConVacmr (Company Name) ConVaMOr's Lcense No
MaAmg Atltlress (Comrector or Owner Making Installation)
Authonze0 ignaWre (COnVactar aki In ileLOn) Phone Numper
d?[•4+'??,
MINNESOTq STATE BOAHD OF ELECTHICITY ~ THIS INSPECTION FEOUEST WILL NOT
GrIpgs-Mbwey Bltlg. - floom S113 BE ACGEPTED BV THE STATE 80ARD
1821 Univergity pve., SI. Paul, MN 55109 UNLESS GFOPER INSPECTION FEE IS
Vhone(612)6C]4OB00 ENCLOSED
8
/0//cREQUEST FOR ELECTRICAL INSPECTION
' See inslructions lor completine Ihis form an back ot Vellow coDY?
? 4 ?owO 9 "X" Be/ow Work Covered by 7his Request
. EB-00007-06
69/7
Ney4 Addj xeo. rvoe ot Bwimne APPIidnCB! winee Eo.w.tant wi.en
Home Range Temporary Service
Duplex Water Heater Li,yhnny Fixtuies
Apt. BuilAmq Dryer Electnc Heatin
Commercial Bidy. Fumace Silo Unlonder
Industnal Bldg. Air Condivoner Bulk Milk Tank
Farm oinrr oer,i v .iber fsucr,i(y)
t er ueu y Other Otnm
CamDute lnspecuon Fee Below
tl Fee ServmeEntranceSize d Fea Fxxders/Subleeders N Fnx Circurts
0 ro 200 qm s 0 to 30 Am s g-U 0 tn 30 Am u
Above 200 qmpy 31 to 100 Amps S TIto 700 qm s
Swinvning Pool Above 100_Amps Above 100_Am s
Transformers Irngation &ooms S PartiaL Other Fee
Signs Special 6upecbon /? !
S
TOTAL
Rem3rks T 7a? a .
?
?CJI
Hough-m / Date I, tha Electncel
InsPector. here6y
certify that the above
'. Pinal D^l!^2 syectian has been
(1 ?U in mede.
ThIereauest volElBmontlie rom
This request void /e?/gg
18 months from
E 41309,c6-,,9-3
?
8'g'po ?
0'4?9 e!D
nenuest ua/ie?(?? rire ?`+o. nouGn-in msuecuon
?Q/?? R 1[?Ves ' Q?yo ?HeadY NowAWill Nob1V Ins??pec-
tor When Read
? lOcensed Electncal ConVmctor I hereby repuest msDaciion of aEove
? Owner electricel work instelled at:
Street AdAress, Box or Route No. CrtY
1=wllll?-
ecuon o. Township Name or No. Hange No. CouMy `
! %
Occuuant (PPINT) Pho
n
e No.
':L /
/
Power Supolier Adtlress
Ua,Kobti F-I I 1,11 <
Electncal Con[ractor (COmpany Namel Convactor's L?cense No.
IJCOnVaclor or Owner Making Instailatmn)
(? I
MadmB Atldress J
-
/
61r /.?Ul+1SJ.Il`i ? J?JJ
ITO? b?C.s? ;5
Authonzed S? iur ICoMrac akinu I.stallaUOn1 Phone Number
THIS INSPECTIDN REQUEST WILL NOT
MI OTA STATE BOARD RICITY BE ACCEPTEO eY THE STqTE BOARO
Gliees-Mitlwey Bltlg. - N m - 91
UNLESS PHOPER INSPECTION FEE I5
1821 UniversitvAVe..S eul, MN 55104
an.,?o teigl Fag.nnno ENCLOSED.
?--- - - - - - - - - - - - - -
?
; Permit #:
I Pertnit Fee: ? •v v
I ?
? Date Received:
? Staff:
?----------------"
Date:
2008 RESIDENTIAL PLUMBING PE
0,14 SiteAddress:
IT APPLICATION
,f _
5uite #:
Tenant:
FhUoG C & v Phone: ?e5l'46('•
RESIDENTlOWNER Name:
m?
Address / City / Zip:
License #:
CONTRACTOR Name:
i
Address:
State: Zip:
City:
?
Phone: Contact Person:
TYPE OF WORK _ New \4? Replacement _ Repair _ Rebuild Modify Space _ Work in R.O.W.
Descri tion of work:
PERMIT TYPE RES/OENTIAL
7y- Water Heater _ Water Softener
Lawn Irrigation Add Plumbing Fixtures
_
? RPZ /_ PVB) C_ Main _ Lower Level)
Septic System _ Water Turnaround
New
Abandonment
RESlDENTIAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (inciudes $.50 State Surcharge)
$30.50 Lawn Irrigation (includes $.50 State Surcharge) }
?
$50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround' (includes $.50 State Surcharge)
"Water Turnaround (add $136.00 if a 518" meter is required)
$100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
$90.50 Fire Repair (repiace burned out appliances, duclwork, etc.) (includes $.50 State Surcharge) (
TOTAL FEES $ I
...a:...,....,,? ,.,a ..f
I hereby acknowletlge mat mis fntormaUOn is compiece ano accurace; mai me wuin wii; oe ill ..Uii?..????a??? ...,..... ..........•._-
Eagan; that I understand this is not a permit, but only an application for a permil, and work is not to start without a pertnit: that ihe work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans. ,??
X 0 QIM! ? ?1. ?I/1P n? X /?i?:?
ApplicanYs Printed Name ? ApplicanPs Si ture .¢?' .
FOR
< _ _. . • .?;;'.
32a-1'I "
;
RESIDENTIAL
BUILDINC PERMIT APPLICATION
CITY OF EACAN
3830 PILOT KNOB RD, EAGAN MN 55122
661-681-4675
Naw Conatruetion ReauiromeMa
• 3 regislered sde surveys shov/irg sq. ft. of lot sq. ft. of trouse; aM atl rooted areaa
(20% maximum bl coveroge allawed)
. 2 copies of plan showirg beam 8 vrindow s¢es; poured found design, atc.)
• i sN of Energy Caltulatbns
• 3 copies of Tree PreservaUon Poan if lot platted after 71153
. Rim Jaist DetaJ Options selection sheet (bldgs with 3 or less unds)
DATE ?- 1'
'G 'Ov
lLlZI -1??
RamodallReoair Raauiremenb
. 2 mpies af plan
• 1 set of Eneyy Calculafiore for heated addilions
. 1 sRe survey lor ezterior additions & decNs
. Indiqte if home served by septic rystem for aEditions
VALUATION
4 '/ ?T °=
MULTI-FAMILY BLDG _Y )-'?N
_ PIREPLACE(S) _ 0 _ 1 _ 2
APPLICANT _?0 u r lc/ lpi? 0UAI%lacTe-'5) TXW-
STREETADDRESS 19aLI? 612 C1T&NSl?/11e- STATE°J ZIP $5-337
TELEPHONE # 144`90-?CELL PHONE # FAX # -r15d-7o7 "9y-ly_
9'Sd-__267_a5f
l.-j- 'w' 2 6 ";? ` Fj711
PROPERTYOWNER /(LrIC-' 2GU9/¢S TELEPHONE#d5/-?13H"ayd-"t-
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RLZFS 7670 CATEGORY L MNNESOTA RUL.ES 7672
(J submission type)
Plumbing Confractor:
Plumbing system includes:
• ResidenUal Ventilation Category 1 Worksheel Submitted
• Energy Envelope Calculations Submitted D r' [?rj _
I ?l JUN 1 0 Z
Mechanlcal Confraetor:
Vlechanical system includes:
Sewer/Water Contractor.
_ Water Softener La
_ Water Heater _ No. o
_ No. of Baths
Air Condiaoning
Hcat Recovery System
Phone # U
wn SprinkleE
f R.I. B
Phone #
Phone #
Fee: $7Q00
-----------------------------------°----------------------------°----------------
I hereby acknowiedge ihat I have read this application, state ihat the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eaga Ordinanc s.
SignafureafAppllcant' ??`????_.C
----_____._..___?___....______._--__.-•--OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
OFFICE USE ONLY
0 01 Foundation ? 07 OS-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 E#. Alt - SF
? 04 02•plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 38 Multi
? OS 03-plex ? 11 10-plex 0 19 Lower Level ? 24 Stortn Damage
? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addifion ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'DemoliUan (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 Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Fooangs(new bldg) _ FinaUC.O.
_ Footings (deck) _ FinaUNo C.O.
_ Footings (addidon) _ Plumbing
Foundarion HVAC
Drain Tile Other
Roof _ Ice & W ater _ Final _ Pool _ Ftgs _ Air/Gas Tesu _ Final
_ Framing , _ Siding Stucco Srone
_ Fireplace _ RI. _ 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
xxzxxxx*****************************?xx-
CITY OF EAGAN
CASHIER: JS TERMINAL NO: 004
?ATE: 04/11j00 TIME: 09:31:11
ID:
NAME: KIRK OR TERESA DOUGLAS
3210 9001 4336 HAMILTON D 60.00
2155 9001 4336 HAMILTON D 0.50
Total Receipt Amount: 60.50
CR125760
USER ID: JAN
*************+**********************?**
CITY OF EAGAN
CASHIER: JS TERMINAL NO: 004
DATE: 04/11/00 TIME: 09:31:32
ID:
NAME:
3430 9001 4336 HAMILTON D 0.25
Total Receipt Amount: 0.25
CR125761
USER ID: SAN
2000 BUILDINC PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
? (D 651-881-4675
New ConshucMon Reauirements RemodeURenolr ReaulremeMa ?- ? U"C)
D J regiafered alte wrveya alrowing eq. fl. 01 lof, aq. fl. of houae 2 copies of ptan
and pl rooteA areas (20% mmmdmum lot covemao oilowedl 1 set d energy calwlallons for haated adcBHOna
D 2 copiea of plana (ahow beam 8 wlndow alzes; poured Intl. dealgn; efcJ 1site survey tor exteAOr atlditlons R decks
n 1 aef of enargy cmculatlons
D J copies of hee preservaHon plpn I( IW piaMetl alter 7/1/99 ?
DAiE: CONSTRUC710NCOST:
DESCRIPTION OF WORK: b",L QAS?-vuC?l(jdj
STREET ADDRESS: /-FAtp /L"7C/-9 l? ? fz-A?&?Aj
LOT: ? BLOCK: 3_ SUBD./P.I.D. #:
Name: ??6LA5 K? le tc Phonei:
PROPERTY Wst Flrsi
OWNER SfreAtAddres6: Y??3(o +4vllU6r1 bvr'
Clty r K-6 W State: iR?l d? Ztp; a5rz' 3
Company: Phone #:
(area code)
CONTRACTOR
Sheet Address: LiCense # Exp.
Cliy
State:
TJp:
ARCHITECT/
ENGtNEER Company: Name:
Telephone t: (
Sheet Address: RegishaHon #:
City
State:
Zip:
Sewer/water licensed plumber (Ii installira sewer/waterl: Plqne #:
I heretiy acknowledge that I have read ihis application, stafe fhat ihe Infort'nation b cortect, and agree to cemply wNh aR appgedble StaD
of Min nesotp Statutes and City of Eagan Ordinances.
Signalure of Appficant
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No '
Tree Preservation Plan Received _ Yes _ No _ Not Required
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
? 01 Foundation ? 07 05-plex
? 02 SF Dweffing ? 08 06-plex
O 03 01 of _ plex ? 09 07-plex
? 04 02-plex p 10 08-plex
? 05 03-piex ? 11 10-piex
? 06 04-plex O 12 12-plex
,W?JRK TYPE
? 31 New
? 32 Addition
? 33 Alteration
? 34 Repair
? 13 16-plex
17 Garage
18 Deck
? D 19 Lower Level
Plbg _Yw_N
? 20 Pool
? 21 Porch (3-sea.)
? 22 PorehlAddn. (4-sea.)
? 23 Poroh (screened)
O 24 Storm Damage
? 25 Miscellaneous
? 30 Accessory Bidg.
? 36 Move Bidg. ? 43 Reroof
? 37 Demolish (Bldg)' ? 44 Siding
? 38 Demolish (interior) ? 45 Fire Repair
? 42 Demolish (Foundation) ? 46 Windows/Doors
* Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
SAC Code O,l
No. of Units o
No, of Buildings
Const. (Actual)
(Altowable)
UBC Occupancy
Zoning
# of Stories
Length
W idth
Basement sq. ft.
Main level sq. ft.
sq.ft.
sq.ft.
MISCELLANEOUS INSPECTIONS
? Stucco/Stone
APPROVALS
Planning Building ? Engineering
sq. ft.
Sq. n.
Footprint sq. ft.
Census Code
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Variance
---.
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Mufti
?
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC
Ciry SAC
Water Conn.
Water Meter
Acct. Deposit
SIW Permit
S/W Suroharge
Treatment Pi.
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: $ (200`-
?
i
?U 775
SAC Units
% SAC
7988 BUILDING PERMLT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS
1A00
_ . r
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BIIILDING PEAMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL [TNITS FOR SALE UNITS # OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECg WITH HLDG. DEPT.0
1 SET OF ENERGY CALCULATIONS
CONIIMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
To Be Used For: At,iYt-Z Valuation ??J Date: /~ S, ??
j i h s
Site Address `f'(e .L1s...Yrw
Lot ? Block 3
Parcel/Sub
Owner
Address
City/Zip Code
Phone
Contractor
Address -
n'd
City/Zip Code J ?
Phone Y3 ' '? 0-ero ?
Arch./Engr.
Address
City/Zip Code
/Z ? orr.
BS? 000' -
On site sewage_
MWCC system ?
On site well _
City water _
PRV required +
Booster Pump _
APPROVALS
Engr/Assess
Planner
Council
Bldg. Off. 9 13
Variance
Oceupancy P.•3 M-I
Zoning pD 2- I
Actual Const V-N
Allowable V- N
# of stories
Length
Depth 6
S.E. Total
Footprint S.F.
FEES
Permit .51q.nO
Surcharge '42 0
Plan Review 7-59,O0
SAC, City 100•00
SAC, MWCC 550,00
Water Conn O,oo
Water Meter .Do
Road Unit 2 , 00
Treatment Pl ? Dt{,_ o?
Parks
Copies '$O
TOTAL
Phone #
ies Diizital
ity Control
The following image represents the best
available image from the original page.
Every effort was made to capture the content
from the original page.
j . .. VqL IAATIoiJ
K2-? 528
Zi2XV ? ?,o)
?smT s` ?s
,
? ouSE
a.....?..?•
?bK2L =
Z'r2 r? Y =
44 x zy.= /rc,y
qX d,=?6 --
1163k13= !51$4'
lrq(.
4y
r?
) Z?o x y?{ _ 4?-Z 3 C>
-
8y 6G? -
. ??
? • :=
4 . .. ?
u•:.,?
? • r
? .. w
One ar Two Family
N.1 Other
lilTY ur' BUILDiN6 llEPARTI•lE1J'P
Y;XTERIOR EIVVII,OPE AVERA4E IIUII C014PUTATION
(To be submttted tivith building permit application)
Dwelling Owner
contractor
P_ FAI?X JT:
LINEAL FEET OF
EXPOSED YNLL qE?5T ft.
oPAQUE WALL CONSTRUCTION: "Ulf Value x Area
Site Addrese _y?36 HAMILT0tJ
7'rZWE
Date Phone
sbove grade = 2 57-O-00 TL
TOTAL EXPOSED WALL AREA SQ. FT.
FR?n?G "Uf' 0043 x SQ,
Detail
reference 1a70 x SQ.
from upu124=0 x SQ.
attached liUll x SQ,
sheete
flUfi x SQ.
WINDOWS: "IIll Value x Area
FT. I .ZO. 77.'50(U) (A)
FT. ,Z = f3•14 (U)(A)
FT. 13Z. So= 5.3 1 SU) (A)
FT. _ (U) (1F)
FT. - (U) (A)
FT. - (U) (A)
Ptake & Type jdSUt., CSIi1T "Uii . q'`6 x SQ. FT._ 44.00 - (09,50 (U) (A)
n u flUn x SQ. FT. _ (U)(A)
u n npu x SQ. FT. - (U)(A)
n of upn x SQ. FT. - (U)(A)
DOURS: "Ull Value x Area
t•talce & Type _?176- ldSf7Lr °Ulf • 1 Q' x SQ.
If P?-fln ??pll x sq
'
n tt
upn x SQ.
u n _ nUu x sq.
ToTar,s 032o-00 sQ,
AYERADE IfUl l
TOTAL (U)(A) VALUES 1$9So _
. O8
DIVIDED BY TOTAL PiALL AREA Z32-0100
AVERA(3E ItU ,?15 lesa for 1&2 family dwellinge
ROOF/CEILIN(ii
TOTAL AREA: Z(p0
FT. 9,00 = (,P- 91?0 (U) (A)
FT. 2 a =17,74T(U)(A)
FT. _ (U)(A)
FT. _ (U) (A)
F'T. ISB•S(a (U)(A)
Detail reference liUst .OLf x SQ. FT._12100 = 2?4(aU)(A)
from x SQ. FT, . (U) (A)
attached sheets. IIUII x SQ. FT. - (U)(A)
Describe openings flUit x SQ. FT. - (U)(A)
in roof, itUlt x SQ, FT, - (U)(A)
TOTAL M(A) VALUES DIVIDED BY TrrlkLLj Z&O 2(0. CUr?)
C?
3
TOTAL ROOF/CEILINCI pREA f Z(OlJ •OZj
D
AVERAC3E 'IU'(`,025 or ventilated roofe.
. ;
n Wva.K. SdeeT 11
?Ko9s C-XPoS?D ?A?-L
I`?•5 X ( 34-F34+4?v?-4?o) = z?Zo?o?
Coq (",
-WX ?34+-3¢t9?t41v, = 107.Zo ?
. 83 X (,34f3?--t9lo?qlo? _ ?3z-8o ?
klrrl noWS
110 x3l0 = 4.o x 4= llo. o0
Z9 X3(a = 510 X(v = 3o.op
24x31v=- (P.o x 4 = Z4. oo
2¢)48 -- g•O )< 98,no
Zox?B z(P. go
? 144.go
3? STL• W??jC-• = ZFj,00
2? 51? 5E? = z?.ao -
PATIO = 4Z,ov
`Ir•oo +
??T E?a ED ?LL EQ%),4t,5.
?
?
L Z3Zo.oo z?X 9?o = 119 (p
G?SS L4onlc , l07 z o B x 8 = 64
u
?, K1N1
wpw's 13z,go
r 44, $o
- 47s so ? ? ?
Is44 zo;?
D'e•ti:rmining "Ull values at Roofg Wall, Rim, and Conc. Block
ROOF/CEILINa
1.) Interior Air P'ilm
2.) 5/8,, (IYP• Bd.
3.) Insuletion
4.1
5.) Exterior Air Film
(STILL)
opu = 1/R= I OZ.? '1'OTAL M= .S?7g
?
WALL
6.) Interior Air Film
7.) 111 (3YP. Hd.
8.) Inaulation
9. ) .Port? P1T6
10.) Ataeonite Siding
11.) Exterior Air Film
R VALUE
0.61
.56
4-f, oc>
.61
R VALUE
0.68
.45
1q,ao
l. 61
.t?
npi? = 1IR=, p1z' ToTAL (R?= r?).O f
RIM
12.) Interior Air Film
13.) Ineulation
14•) 211 Fir Rim Joiet
15.) .P?vIcT= rrTF
16.) Masonite Siding
170) Exterior Air Film
(R) VALUE
0.68
17000
1.88
z 6?
.17
IIUII = IIR= TOTAL (R)= Z4?L?I
_...[_ T 1
` -
?
FOU2tDATION
18.) Interior Air Film
zo: i K-11 57-P-rPMn
21.) 12" Concrete Hlock
22.)
23.) Exterior Air Film
R VALU
0.68
1/00
1.28
.17
upn = 1/R= a-07(, TOTAL (R)= /3./?
1
APFLICATION 1=0R PERMIT
*. t...........t.a.....?..........
i N01'E: PAYMENP OF FF.E AT TSME OF '
i APPLICATiON DOFS NpT CON- *
? SfIN1E APPAGVAL OF PF.RbIIT.
•
* INSPF7Ct'ION OF SESVfR A!ID/OR W1\TIIi
*
? INSTALIATIOfLS WILL NUf BE "-t'xTMnED *
y ITlPIL PF7iMIT HAS 8ffi9 APPROVID.
•kt:atr????ttti??+???efw+???»+eefff?*
SEWER AND/OR WATER CONNECTION
oF acY?an
(PLEASE PRINT
i) PROPERTY ADDRESS: 413.3 1ro 1119sW; /1o,J rD?
LF7GAL DFSCRIPTION;
or
IF EXISTING STRCCTIJRE, DATE OF ORIGINAL BL?ILDING PEtMIT ISSDANCE:
P1ont Year
PRESENT ZONING/PROPOSID OSE:
Q COD'IMERCIAI,/RETAIL/OFFICE
Q INDC'STRIAL
Q INSTIT['TIONAL/GOVERNNIENT
I,iJ R-1 SINGLE FAMILY
? R-2 DT-IPLEX (3WO L'nits)
? R-3 TOWNHOL?SE (Three + [lnits ) ( L'nits )
? R-4 APARTMENT/CODIDOMINIC'M ( Lnits)
2) NAME: 7m+.. rtt t l tw Ca ?..s &-
ADDRESS: (b(33 eed/q? Avr T.
CITY, STATE, ZIP: f iavN,; KO.o ? '!.nPJ
PHONE: e/31-.ZaaJ
3) NaME: P14,rxou.?h Pls ,G'vc.
ADnRESS : id Q o 2 r4t.-?i .r? G.. N.
CITY, STATE, ZIP: /YJgP(C„ ??vL
PHONE: 4?'13.tV9y MASTEE2 LICENSE # Nl?e66J
ij Active
Expired
Not recorde(f
Sta Initia
4)
NAN1E: 5olr?e_ yj Cs,l.J
ADDRESS:
CITY, STATE, ZIP:
PHONE:
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* THE GOLD COPY OF T[E PERNffT WILL BE SENl' DIRDL'TLY TO PCBLIC F1MKS TO FACILITATE ME.TER PIQC-C?P. ;
* PL".SE ALTAW 7VA FARKING DAYS FOR PROCESSING. SOMEONE FROM TflECITY WILL CONPIILT YOtJ IF 1YIERE .;,
* ARE ANY PROBLEbLS. y
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FOR CITY USE OIVLY
PERMIT # ISSL'ED
? ?7/
Pd w/Bldg. Permit r^EES:
$ $ //: - SZ)
$
$ C-?GG $
$ $
$ $
$ L)
$ S .S?C • LJ ZJ $
S ?SC ?rz? $
$ $
$ $
$ $
$ $
$ -2C
$ $
s
SEWER PERMIT (INCLODE SLRCHARGE)
WATER PERMIT (INCLODE SCRCHARGE)
WATER METER/COPPERHORN/OCTSIDE READER
WATER TAP (INCLCDE CORPORATION STOP)
SEWER TAP
ACCODNT DEPOSIT - SEWER
ACCO[.'NT DEPOSZT - WATER
WAC
SAC
TRUNK WATER ASSESSMENT
TRC'NK SEWER ASSESSMENT
LATERAL B°NEFIT/TRLNK SEWER
LATERAL BENEFIT/TRCNK WATER
WATER TREATMENT PLANT StiRCHARGE
OTHER:
TOTAL
J", .3 ct U ? 7 f
RECEIPT RECEIPT
DOES OTILITY CONNECTION REQUIRE EXCAVATION IN PIIBLIC RIGHT OF WAY?
? YES IF YES, THEN A"PERMIT FOR WORK WITHIN PCBLIC
? ROADWAY" MCST BE ISSCED EY THE ENGINEERZNG
NO DIVISION. LIST AS A CONDITION.
SL'BJECT TO THE FOLLOWING CONDITIONS:
?
APPROVED BY:
TITLE:
DATE: ?D /-2 /,Y ef
I
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1990 SUILDING PERMIT A]
CITY OF EAGAN
35•00+
?
1 • 0 0 +
'
SINGLE FAMILY DWELLINGS MULTIPLE DWELLIN 36•00*+ IAL
C
2 SETS OF PLANS 2 SETS OF PLANS iITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SuKVSY5""= --??'? &STRUC'1'OHtiL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
_# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
?i16 17 REM
To Be Used For: A'90-4+.?A Valuation: 15-Do Date: yl-41 ILJ
site efldress q33G
Lot ? Block
Parcel/Sub l?,L;inf4-7lUtA<
owner 14zl L>?
Address Psc •
City/Zip Code
Phone Gontractor S g-C?? G
Address N//-l-
City/Zip Code ILII'Q
Phone /v?/Y
Arch./Engr. ?,vlA ?
Address
City/Zip Code
OFFICE USE ONLY
FEES
Occupancy
Zoning
Actual Const
Allowable
# of stories
Length
Depth
S.F. Total
IFootprint S.F
On site sewage_
On site well
MWCC System _
City water _
PRV _
Booster Pump _
APPROVALS
Planner
Council
Bldg. Off. ?9/20
Variance
Bldg. Permit
Surcharge
Plan Review
SAC, City
SAC, MWCC
Water Conn
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Copies
SUBTOTAL
Penalty
TOTAL
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Phone #
" TRI-LAND C0.
- ? ?" SURVEYING SITE PLAN FOR?
SERVICES JOSEPH MILLER CONST.
1260 YANKEE DOODLE ROAD
EAGAN, MINNESOTA 55122
LEGAL DESCRIPTION: LOT-5-,BL0CK-Z-,L-FXWCTON Pt-JINT Pnd
THEREOF VATKOTYA RECOCOUNTY,MINNESOTA
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LEGEND
o DENOTES IRON MONUMENT
? DENOTES WOOD HUB SET
DENOTES EXISTING SPOT
ELE VATION
DENOTES PROPOSED SPOT
ELEVATION
? DENOTES DRAINAGE DIRECTION
I haeby certify that this survey,plon or
report was prepared by me or under my
direct supervision and that I am a duly
Repistered Land Surveyor under fhe
Laws of ths Stote of Minnesota.
1);,:r? i? rJ
SCALE: I"=30'
PROPOSED SPLIT ENTRY W/O '
INVERT ELEVATION AT SERVICE EXTENSION=
PROPOSED GARAGE FLOOR ELEVATION = 98$•84
PROPOSED FIRST FLOOR ELEVATION =- 989.30
PROPOSEDBASEMENT FLOOR = 9gS.3o
ELEVATION
NOTE ' VERIFY ALL FLOOR HEIGHTS WITH
FINAL HOUSE PLANS
Bradley 6'wsnson, Mn. Req. No.18235
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TRI-LAND CO.
SURVEYING SITE PLAN FOR:
SERVICES J OSEPH M ILLER CONST.
1260 YANKEE DOODLE ROAD
EAGAN, MINNESOTA 55122
LEGAL DESCRIPTION: LOT-5-,BLOCK--3-,I EXINCTON PDINTE ?nd
THEREOF bA7,9oT1?E RECOCOUNTY,MINNESOTA
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\ 982.96
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,SCALE: I"=30'
'fiGA,IV EN
LEGEND
o DENOTES IRON MONUMENT
o OENOTES WOOD HUB SET
DENOTES EXISTING SPOT
ELEVATION
DENOTES PROPOSED SPOT
ELEVATION
? DENOTES DRAINAGE DIRECTION
I haeby certify that this survey,plon or
rsport was preparsd by me or under my
diract supxvision and ihat i am a duty
Reqistered Land Surveyor under the
Laws of the Stata of Minnesoto.
Bradiey ?d.''wenson, Mn. Req. No.18235
Dure - 9/6 /gy
PROPOSED SPLIT ENTRY W/0
INVERT ELEVATION AT SERVICE EXTENSION=
PROPOSED GARAGE FLOOR ELEVATION = 988•80
PROPOSED FIRST FLOOR ELEVATION = 9a9.3o
PROPOSEDBASEMENT FLOOR = 98S.?o
ELE VATI ON
NOTE : VERIFY ALL FLOOR HEIGHTS WITH
FINAL HOUSE PLANS
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA114418
Date Issued:09/16/2013
Permit Category:ePermit
Site Address: 4336 Hamilton Dr
Lot:5 Block: 3 Addition: Lexington Pointe 2nd
PID:10-45071-03-050
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes .
Nathan Corbin
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 -
Kirk A Douglas
4336 Hamilton Dr
Eagan MN 55123
Corbin Exteriors Llc
1115 Southview Blvd
South St Paul MN 55075
(651) 760-3116
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA147343
Date Issued:12/29/2017
Permit Category:ePermit
Site Address: 4336 Hamilton Dr
Lot:5 Block: 3 Addition: Lexington Pointe 2nd
PID:10-45071-03-050
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
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 -
Kirk A Douglas
4336 Hamilton Dr
Eagan MN 55123
(612) 804-9503
Clearsoft Water Conditioning
122 E 3rd St
Chaska MN 55318
(952) 448-3545
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA165916
Date Issued:12/01/2020
Permit Category:ePermit
Site Address: 4336 Hamilton Dr
Lot:5 Block: 3 Addition: Lexington Pointe 2nd
PID:10-45071-03-050
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Stove
Comments:Please call for a Rough In and Air Test, prior to the Final Inspection.
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
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 -
Kirk A & Teresa M Douglas
4336 Hamilton Dr
Saint Paul MN 55123--260
(612) 360-3287
Mn Plumbing & Home Services Inc
12040 Riverwood Cir
Burnsville MN 55337
(952) 469-8341
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA166172
Date Issued:12/17/2020
Permit Category:ePermit
Site Address: 4336 Hamilton Dr
Lot:5 Block: 3 Addition: Lexington Pointe 2nd
PID:10-45071-03-050
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
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 -
Kirk A & Teresa M Douglas
4336 Hamilton Dr
Saint Paul MN 55123--260
Haferman Water Conditioning
12142 12th Ave.
Burnsville MN 55337
(952) 894-4040
Applicant/Permitee: Signature Issued By: Signature