4100 Havenhill CirC) CAShI REC61pT
CITY; QF EAGAN 3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE
19 ?
AMOUNT
8 OOLLARS
'OD
? CASH *CHECK
8Y
C 4743 ?^n??„
Pir*-Fde copy
Thank You
SEWER & WATER PERMIT
CITY OF EAGAN `
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
METER #
CHIP #
METEA SfZE
ISSUE DATE
OFFICE USE ONLY
PERMIT DATE i l/22f 89
WATER PERMIT f 11113
, Cx74?
B.P. RECEIPT #
B.P. RECEIPT DATE
_ PRV - BOOSTER PUMP
SITE ADDRESS { ' _«..` •°,__t_ ?r?- ?tz, PERMIT REGIUESTED
LOT BLOCK SEClSUB -`( :- ? r
APPLICANT: ADDRESS:
CITY, STATE ZIP
PHONE:
PLUMBER:
ADDRESS:
CITY, STAI'P_ j ' - ZIP `
PHONE:
A'-SEWER _k?_WATER _ TAPS
- COMM/IND ? RESIDENTIAL
-,d- fVEW - EXISTIAlG
I AGREE TO COMPLY WITN CITY OF
EAGAN ORDINANCES:
OWNER:
ADDRESS: SIGNATURE WHEN METER ISSUED
CITY, STATE ZIP
PHON E:
PIEASE ALLOW TWO WORKING DAYS FOR PROCE5SING. FOR STORM SEWER PERMITS, CONTACT
ENGINEERING DEPT. APPLICANT AND PLUMBER WILL BE NOTIFIED WHEN PERMIT 1S PROCESSED.
SEWER & WATER PERMIT
CtTY OF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
FFICE USE ONLY
METER# I q I ? A(fl ? PERMITDATE 11/22/8
CHIP #WATER PERMIT # 11113
METER SIZE S omi B.P. RECEIPT #
ISSUE DATE o1 129 0 B.P. RECEIPT DATE
_ PRV - BOOSTER PUMP
SITE ADDRESS PERMIT REQUESTED
LOT ._'.: BLOCK-1 SEC/SUB,-?,???
? SEWER ? WATER - TAPS
APPLICANT: i: ?= ttr -;? i?r•_t? c.:? .
ADDRESS: ?? t ? • !'i r?F'. L ;?--? - COMM/IND Aff,_ RESIDENTIAL
CITY,-STATE ??.t u ?-?? , ??`•. `?= ZIP L ?]?-qc
PHONE: NEW - EXISTING
PLUiOBER:
ADDRESS: Uflr- C--KJP_ I AGREE TO COMPLY WITH CITY OF
CITY, STATE x?- ALL- ,L1'• F'J . Zip EAGAN ORDINANCES:
PHONE: -- ` ?Iz-
OWNER: _n",C_-- < r_ :?? •+L,c.? r. f? C_'c?.
ADDRESS:_
CITY, STATE
PHONE: -
ZIP
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SE1dIER PERMITS, CONTACT
ENGINEERtNG DEPT. APPLICANT AND PLIJMBER W14L BE NOTIFIED WHEN PERMIT IS PROCESSED.
'? . PERMIT #
. ` MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN ' .
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE
CONTRACT PRICE: rA , PHONE: 454-8100 For Office Use Only:
Site Address ' BLDG. TYPE WORK DESCRIPTION
Lot • 1 Block Sec/Sub New
Res
.
Mulc Add-on
?
°-' Name • - Comm. Repair
c Address - "
City
Phone
Other •;
' -r
Name FEES
RES. HVAC 0-100 M BTU -$24.00
? Address ADOITIONAL 50 M BTU - 6.00
O Ciry Phone (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
50 EA
,
MINIMUM - 1 PER PERMIT) - 1
GAS OUTLETS
TYPE OF WORK .
.
-
(
COMM/IND FEE - 1% OF CONTRACT FEE
Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES :
TOWNHOUSE 8 CONDOS - RES. FiATE APPLIES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON. &
Unit Heater M BTU REMODELS - 12.00
Air Cond. ?M BTU MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
Vent CFM PERMIT PRICE GOES
Gas Piping Outlets # BEYOND $1 00)
Other
FEE:
SIGNATURE OF PERMITTEE ;
S/C:
TOTAL• FOR: CITY OF EAGAN
?' ? ?. ? n" ?Hl?' .k?'' ??,?il,t , ;?r. •?t-1?: ,
, . •? PWMBING PERMIT Fnr flffira 11_¢e Anlv
' CITY OF EAGAN PERMIT#
CONTRACT 3830 PILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT
PRICE PHONE 454-8100 DATE: _
Site Address o V a./ e? 'It C. Qc?%e BLDG. TVE V
ess V?u CRc?r L?
ordA- phone
?IAddress ?a?? ? ?,,,,, ,?,?
? City r. 141 Phone 5??-u3?,t
FEES
COMM./IND. FEE -1% OF CONTRACT FEE
APT. BLDGS. - GOMM. RATE APPLIES
TOWNHOUSE 8 CONDO - RES. RATE APLLIES
MINIMUM - RESIDENTIAL FEE $12.00
MINIMUM - COMM.IND.lFEE $20.00
STATE SURCHARGE PER PERMIT .50
(ADD $,50,,S/C PER EACH $1,000 OF PERMIT FEE)
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
N FIXTURES
? JOTAL
?
Wafer Closet - $3.00
,? Bath Tubs - $3.00 $
-?-
-4
Lavatory - $3A0
Shower - $3.00
?- Kitchen Sink - $3.00
?-
UrinaUBidet - $3.00
i_ Laundry Tray - $3.00
Floor Drains - $1.50
-?
Water Heater - $1.50
-?
Whiripool - $3.00
?- Gas Piping Outiets - $1.50 '
(MINIMUM -1 PER PERMIT)
Sohener - $5.00
weu - $10.00
Private Disp. - $10.00
?-
Rough Openings - $1.50
PERMIT FEE:
STATES S/C:
''
GRAMD TOTAL: ti 5- 5
.y . 4 ?
7
(Strfifirate of (Arrupanry
titp of (tagan
Op}iarbritPttY Af iltntltg jlBpPtfiDtt
This Certifccate issued pursuant 1o the requiremenls of Section 306 of rhe Unifon?t Building
Code cerlifyrng lhat at the lime of issuance t/tis structure was in compliance with the various
ordinances of the Crty regulating buildrng constrecclion or use. For the following:
U. c,.?.&.Iio4 _ SF AJG/GAR 81ft. Ptrff,;, ro. 17322
o-a„Y Tnx R3/111 Zoning Mu;a PD/Rl rra c? VN
oW. or e?aaing IIM RTTIIM 00. Ad&. 5201 E. RM RD. , FRIftEY
s.ai- are? 4100 AAVENiII.L G.le. 1.262 B7, MII1S OF SIaCRUIM
,
MdIAiZY ?A, 1990
, au? oer ".
?
POST IN A CONSPICUOUS PLACE
, ? --1--.. CITY OF EAGAN
' iQ 17322
w
3830 Pilot Knob Road, P.O. Box 21-1 99, Eagan, MN 55121
PHONE: 454-8100 ?
BlJILDING PERMIT Receipt # e--
To be used for SF I?WG/CAE Est. Value $131,000 Date NOV 20 ,191-9--
Site Address 4100 lU1VENklILL CIB
Lot -? Block 7 SeciSub. ?iI1.LS OT OFFICE U SE ONLY
Parcel No. STOtlEnRIDGE pccupancy R-3 M-1 FE FS
pD R-1
Zoning
¢ Name ? ROWZUNb CO (ACtual)Const y?N Bldg. Permit 7?•?
W
; Address 5201 E RYVE[t RD (Allowable) V?'1 6S
SO
p Surcharge •
City FRIflLEY Phone 571-0306 a of slories
36' Plan Review 374•04
Length
p Name SAME DePih 501 City
SAC 100.00
Z .
O
Q AddreSS S.F. Total - 575
00
U
m SAC, MCWCC •
City Phone S.F. Footprints -
Water Conn s?.?
On Site Sewage _
?
,u W
Name
On Site Well
-
Water Meter
90•00
?? AddfBSS MWCC System ? ?
?
JCX Acct. oeposit .
a W Cit Phone
y ciry water
NV P
i 20
00
PRV Required erm
t
S •
I hereby acknowlege that I have read ihis application and state that the Booster Pump - SrW Surcharge 1•?
information is correct and agr e to comply with all applicable State of
Minnesota Statutes and City of ?agan Ordinances •? ,
?
? Treatment PI 228 • 00
?}.) 1
!
'? 1 I ?? 'I ?
Signature of Permitee - J? .? APPROVALS
Road Unit 3(0?
•
A Building Permit is issued to: THE pfyTLmm CO Planner - park Ded.
on the express condition that all work shall be done in accordance with all council --
applicable State ot Minnesota Statutes and City of Eagan Ordinances. gld9, pff. _ Copies
BUIIQIng OffFCIal -
Variance
-
TOTAL
3,1 s i.50
Permit No. Permit Holder Date Telephone #
WATER
SEWER
PLUMBING
H.V.A.C.
ELECTRIC `JV
Inspectlon Date Insp. Comments
footings I l ' 1,)
FOUndation ?
Framing ?- _
Roofing
Rough Plbg.
Rough Htg.
Isul.
Freplace
Fnal Htg. z' q- Q
Fnal Plbg.
Const. NFeter Plbg. InSpector - Notify Plumber
Engr./Plan
Bldg. Final ?
Deck Ftg.
Deck Final
Well
Pr. Disp.
'- CITY OF EAGAN , ?. _A
? 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 1?`? `t
? PHONE: 454-8100 f
BUILDING PERMITJ • Receipt #
Site Address ?
Lot 12 6_ Block _I Sec/Sub. K; LLS Cls OFFICE USE ONLY
Parcel No. STONEE?IDGE Occupancy - FEES
Zoning _
g Name CTRVE A IkF'1'it HIMp(rR12 (Actuat) Const _ Bldg. Permit ? S-?'?
? Address ilM NAVZMii_I_ [`To (AlbWab18)
City ?rAU Phone bal-at ?7
# ol Stones - Surchar -?
_ 9e
Pl
R
i
Lenglh an
ev
ew
_
Name SAME Depih _ SAC, City
Address S.F. Total - SAC, MCWCC
Clh/ PhOfl@ S.F. Footprints -
? On Si1e Sewage Water Conn
t= Name
On Site Weil
- Water Meler
?- Address MWCC System _
5w City Phone citiwaier _ ?. ??'t
PRV Required _ S!W Permit
I hereby acknowlege that I have read this application and state that the Booster Pump -
infortnation is correct and agree lo comply with all applicable State of SNV Surcharge
Minnesota Statutes and Gity of Eagan rdinances.
O Treatment PI ?
Signature of Permitee L ,
! - _v? APPROVALS Road Unit ?
A Building Permit is issued to: STEVE OIC i&LZ'H liOpppp!3s wa^^er - PaAc Ded.
on the express condition that ail work shall be done in accordance with all Council
applicable State of Minnesota Statutes and City of Eagan Ordinances. gldg, pN, _ Copies
Building Otficial
?
Vanance ?
- TOTAL 25.50
?
Permn No. rermn ?+oide. Date Telephone 8
WATER
SEWER
PLUMBING
H.VA.C. ?
ELECTRIC
InspscNon Date tnsp. Commenis
Footings I
Foundation
Framing
Rooling
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Orstat Test
Final Plbg. Plbg. Inspector - Notily Plumber
Const. Meter
Engr./Plan
Bldg. Final
Dedc Flg.
Dedc Final 30
Well
Pr. Disp.
11/22/89
DATE:
4100 HAVENli1LL CIRCLB, L26, B7, HZLLS OF STONEBRIDGS
RE:
xx ---? Your Sewer & Water Permit for the above property has been completed. It will be held at the
Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
Your Sewer & Water Permit for the above property cannot be completed for the following
reasons:
• }
?i '.
YoOf Sewer & Water Permit for the above property has been completed, but ihe meter cannot
trVzsued or occupancy allowed until further notice.
COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTII.ITiES - TELEPHONE, ELECTRIC, GAS, ETC.
- REGIUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
DATE: 11/22/89
AL RE. 4100 HAVEhHil. 6, B7, H1LLS OF STdNEBRIDGE
xx Your Sewer & Water Permit for the above propertyFias been completed. It will be held at the
Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
CALL PUBLIC WORKS (454-5220) FOR YOUR PERIYIANENT WATER TURN ON.
Your Sewer & Water Permit for the above property cannot be completed for the following
s*' reasons:
Yoer Sewer & Water Perrnit for the above property has been completed, but the meter cannot
"SUed or occupancy allowed until further notlce.
COMMERCIAL PROJECTS ONLY: Please pay for meter at Ciry Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
BUILDING PERMIT
To be used for DSCK
CITY OF EAGAN ND 19550
3630 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-6100 0 t i 1 q 4R)
Receipt # EsL Value Date AIIr 14 , 7991
_
t
Site Address 4100 HAVENHILL CIR
Lot 26 Block 7 Sec/Sub. HILLS OF
Parcel No. STONEBRIDGE
I,a? I Name STEVE & BETH HOEPPNER I
? Address 4100 HAVENHILL CIR
City EAGAN Phone 681-9137
Name 'iulm
Address
City Phone
Name _
Address
Phone
I hereby acknowlege lhat I have read ihis application and state [hat the
inlormation is correct antl agree to coinply with all applicable State of
Minnesota Statutes an ity o agan O dinanc .
Siqnawre of Permi[ee
A evilding Permit is issued to: STEVE OR ETH HOEPPNER
on the express wndition that all work shall be done in accordance with all
applicable State of Minnesota StaNtes and City ot Eagan Ordinances.
Builtling Official
OFFICE USE ONLY
Occupancy - FEES
Zoning _
(Acfuat) Cons[ _ Bidg. Permil 25.00
(Nlowable) - Suroharge .50
e of siones _
Lengih _ Plan Review
Devtn - snc, aiy
S.F. Total - SAC, MCWCC
S.F. FootDrints -
On Site Sewage _ Water Conn
On Site well - water Melar
MWCC System -
Acct. Deposit
Ciry Water _
PRV Required _ SPN Permil
Boosler Pump - SNJ Surcharga
Treatment PI
APPROVALS Road Unit
Planner - park Detl.
Council
BIdg.Off. _ Copies
Variance - TOTAL 25.50
? 71756
Request Date ' Fire No. gli-in nspection
. equiredT ,,,?t
O ReaGy Now pvrili Notify Inspectm
- a ?.]'Oea ? No When ReatlyR
I p licensed contractor ? owner hereby request inspection of above electncal work at:
Job Address (Street, Box or RoNe No.) City
4 Na hi ( ? Gn
Seqion No. Township Name or No. Ranqe No. Counry
L...U
Occupani
(PRINT) Piqne No.
?
1.7171
PowerSUpplier AOdress
Elecincal Coniraclw (COmpeny Name) ConGactor5 License Na.
3qneig-4
Mailing Atltlress (COntteclor or Owner Meking Ins
isllatIOn)
`
'_ ? r'1VC.., IVIi Mrl..a.J. I+'M 52A4.
ANhotlxed Sgnalure (COniractor/Ownar Making Instella6on) Ptroire Number
^^
- -?,1?
MINNESOTA STATE BOARU OF ELEC7i11CITY THIS INSPECTION FEQUEST WILL NOT
Griggo-MiGray Bltlg. - Room 5113 BE ACCEPTEO BV THE STNTE BOARO
1821 UnNarsiry Ava, SL Pauy MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (812) 642-0800 ENCLOSED.
41
REQUEST FOR ELECTRICAL INSPECTION
? Sea insWNbns forcompleting this form on back ol yelbw copy.
P 71756 X" Below Work Covered by This Request
E8-00001-0]
ew Atld Rep. TypeofBuiltling AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt Building Dryer Lo? Other (Specify)
Comm./Industrial Furnace
Farm Air Conditioner
Other(speciy) Convactor5 Remarks:
Compute lnspectian Fee 8elow:
# Other Fee # ServiceEntranceSize Fee !f Circui4S/Feetlers Fee
Swimming Pool 0[0 200 Amps 0 to 700 Amps
Trensformers A6ove 200 _ Amps Above 700 _ Amps
Signs Inapectors Use Onry: - TOTAL
Irrigation8oom5 7 ?
Special Inspedion
Alarm/Communication
Other Fee
I, the Electrical Inspector, hereby Rough-in _• ?e
_ 36•fr9
certify that the above inspection has
been made. Final a?
,. ?2:;"
OFFlCE IISE ONLY
This requesi witl 18 monihs trom .
' CITY OF EAGAN NO 17322
3830 Pilot Kr;ob Road, P.O. Box 21-199, Eagan, MN 55121
p 4-7/i-3
BUILDING PERMIT PHONE: 454-8100 Receipt # ?f-
6e used for SF DWG/GAR Esc Value $131,000
Site Address 4100 HAVENHILL CIR
LoT 26 Block _7 SeGSub. HILLS OF
Parcel No. STONEBRIDGE
W IName THE ROTTLUND CO
o Address 5201 E RIVER RD
City FRIDLEY Phone 571-0304
o Name S?
g¢ Address
? City Phone
?w Name
'R? Address
aW City Phone
I hereby acknowlege that I have read ihis application and state that Ihe
information is correct and agr e to comply with all applica6la Siate of
Minnesota Statutes antl City of agan Ord' ance
SignaWre of Permilee C
A Building Permit is issued to: 2!klR R9T'FLIJNP CO
on the express condition iha[ all work shall be done in accordance with all
applicable State of Minnesota Statutes and C{it?y ol?Eagan Ordinances.
Building Oflicial jolv?pJ- +
J! I?Lf
OFFICE USE ONLY
acupancy R-3 M-1 FEFs
2oning PD R=1
(AcluapConst V=N BIdg.Permil 748.00
(Allowable) V=N Surcharge 65.50
; of Stories
Lenglh 36' PlanReview 374.00
Deplh 50' SAC,City 100•00
S.F.Total - SAC,MCWCC 575.00
S.F. PoOtpnnis -
On Site Sewage _ Water Conn 580.00
On Site well - water Meter 90.00
MWCC System .M
Accl. Deposit
30.00
Ciy Water XX
PRV Required _ SNJ Permit 90_ nn
Boosler Pump - SiW Sumharge i_ nn
Trealment PI
0
228.0
APPROVALS RoadUnit 340_00
Planner - Park Ded.
Council
BIdg.Off. _ Coples
O
Variance - TO7AL 3,151.5
?? lU v 2005 RESIDENTIAL BUILDING PERNIIT APPLICATION
City OfEagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construc6on Requirements RemodeVReoair Reauirements . Office Use Onlv
3 registered stte surveys showing sq, tt. of lot, sq. ft. of house; and all roofed areas 2 copies of plan Cert of Survey Recd _ Y_ N
(20%maximum lot coverage allowed) 1 set of Energy Calculations for hea[ed additions Tree Pres Plan Recd _Y _N_
2 copies of plan sMvring beam & window s¢es; poured found design, etc. i sRe survey for addNOns 6 decks Tree Pres Required _ Y_ N
1 set ol Energy Calculations Addifion - indicate if on-sde sepNc system Onsite SepUc Syslem _Y _ N
3 cropies of Tree Preservation Plan It lat platted after 711/93
Rim Joist DeNatl Options selecGon sheet (buildings wilh 3 or less units)
Date 5 C) o/ G s Construction Cost ?c Ci 0g
Site Address 910[ kQSyP"'?.W.'ll C i(C(--(_ UnidSte #
Descriptioo ot Work
Multi-Family Bldg _ Y _ N
1'?GwS C.J)??-e?crs??
Fireplace(s) _ 0 _ 1 _ 2
Property Owner COT?' ?( u..p in SQY1 Telep6aoe #((y$ i )LiQS - 40,95
Contractor Renewal By Andersen
- 1920 County Rd. "C" West
ndaress _ Roseville, MN 55113
State 651-264-4777
License # 20130983
City.
Telephone # (
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy COde Category , Residential Ventilation Category 1 Worksheel • New Energy Code Worksheet
(Jsubmissiontype) , Submitted Submitted
. Energy Envelope Calculations Submiried
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee appiies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone # (
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the infotmation is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval f plans.
p
?
6-co. c
App icant's Printe Name Appl'cant's 5ignature I
By--
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 37 Ext. Alt - Multi
? 03 0 t of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level O 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 Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 WindowslDoors
? 34 ReplaCement .'Demolitlon (Endre Bldg) - Give PCA handout W applicant
Valuation Occupancy MCES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ Final/C.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
_ Framing _ Siding _ Stucco _ Stone _ Brick
_ Fireplace _ R.I. _ Air Test _ Final _ Windows
_ Insulation _ Retaining Wall
Approved By:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Building Inspector
••?.?s.s..•.i iuv t<.ov rna, toa 011 448D H?1'll511AL ?Y81YU13l4YtSlY .
re al - ??. . . .
fmat 2001 3836 PiIcrt Knob Rond EaM MN 5.5122
To qVhom 7t May Concxrn:
r
Eldor Jones to gwhodzed to ptzII bnildiug pennits for RenewAl by Andezsen Pleasc allow
Prm'idc ttus Seivice for ns in 8agan, 'tAia entho[izatirm ts valid for any
date bcyond 616101: unti[ aIGngvral by Andmun mmm= expraWY n°vokas ft in wiidng
W the ary.
I reqnest this? rizaSan be $eccpted'ap?i?ousl , as W no[ defaY . the pro?essi
?tg of
our buildin y fuzthcr. Flcasc cari mc if thcac as+o nn m
contact?d ai 763-502-4706. Y 9a?ona., I can Ixi
. _ ,:
Your immgdiate attcatton to this mntter is ??atm. ' .
Sinociely>
4?4m
R, Ita?
stallarion Manager
Ranowa] bY AIItlcrsen CorpotatioII
C'r.: KArn_Fir{er7?nea ?
?K=-i??.?`•?4 .C?C ?os.?z 4;,?
G - 7-?,?j .
n ?
. MY.n,.,,,ZOn, --
;, ? j
;
wtuu
Received Time Jan. ]. 1:01PM
?? 1??
2005 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
n
Date 23 ! US
Site Street Address 41 C)n +A?VCV)hl CIVI Unit#
Prope?tyOwner ?CCA' S(veV1SUrl Telephone# ( (?`S?)4US GOSLj
H.P. PIPEWORKS
Contractor 3670 DODD ROAD Telephone #( ?
EAGAN, 551Z3
BeG
Address n City
State
Zip
The Appiicant is: _ Owner _ Contractor _Other
Alteretions to existing dwelling $ 50.00
_ Add plumbing fixtures (excludes water softener and/or water heate r--complete next
section if installing these appliances).
_Septic System Abandonment
_Water Turnaround (add $125.00 if a 5/8" meter is required)
Other:
Water Softener ? Water Heater $ 15.00
1
_ new
replacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ 50
y ?•5U
Total $
I hereby apply for a Residential Plumbing 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 plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the event a plan is required to be reviewed and approved.
V1y)1, i4e-u
ApplicanYs rinted Name
?
i
Applicant's ignature` :".'';Y 2 6 2005 ? i
?- _-- - -- -
RESIDENTIAL
BUILDIIVG PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Construction Reauirements
. 3 registered site surveys showing sq. 8. af lot, sq. ft. of house; and all roofed areas
(20% mayumum lot coverage allowed)
. 2 copies ot plan showing beam 6 window sizes; poured found desgn, etc.)
. 7 set of Energy Calculations
• 3 copies of Tree Preservation %an if lot platted after 711/93
. Rim Joist Detail Options selection sheel (bldgs vAth 3 or less units)
DATE
SITE ADDRESS `?T `CX?)
TYPE OF WORK
r11'?eheuuy I??onua? a ggflog, lluuT.
APPUCANT
49 Sonih Owasso Blvd.
STREET ADDRESS ? Linie canaaa, MN 55117
TELEPHONE#? Ctf???4'?s U( _(y(C' (4
FIREPLACE(S) _ 0 _ 1 _ 2
RemodeilRenalr RenuiremeMs
• 2 copies of plan
. 1 set of Energy Calculations for heated additions
. 1 site survey for exterior additions & decks
• Indiwte if home served by sep6c system for additions
C5d
VALUATION419
MU4TI-FAMILYBLDG _Y _N
CITY STATE_21P Q-
PAX # \ Sc??
PROPERTYOWNER TE4EPHONE# S ?O?E)- 9 SV
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RUI.ES 7670 CATEGORY 1 MINNESOTA RUI1;S 7672
(J submission type) • Residential Ventllatfon Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor: _____
Plumbing syslem includes:
Mechanical Contractor:
Mechanical system includes:
Sewer/Water Contractor:
Air Conditioning
Hea[ Recovery 5ystem
I hereby acknowledge that I have read this application, state that the
with all applicable State of Minnesota Statutes and City of Eagan Orc
Signature of
OFFICE USE
1, aS
Fee: $90.00
? 3 0 7?'(J2 ?i
Fee: $71
#
r .
i
r1u
Phone #
is correct
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required ^
Water Softener
Water Heater
No. of Baths
_ Phone #
Lawn Sprinkler
No. of R.I. Baths
agree to comply
Updated 4102
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06•plex ? 16 Fireplace ? 27 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 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 WindowslDoors
t] 34 Replacement "Uemolition (EnHre Bldg only) - Give PCA handaut 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 Bldgs Length Fire Sprinklered
Type of Const W idth
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaUC.O.
_ Footings (deck) _ FinaUNo C.O.
_ Footings (addirion) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Building Inspector
1989 BG'ILAING FfiEMIT APPLICAfiION = CITY OF EAGAN
SINGLE FAMILY DWELLING5
11311
-,
MRY 0 $ 1989
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET DF ENERGY CALCULATIONS
NOTE: ADDRFSSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MfJST DESIGN9TE TdHICH ADDRESS
IS DFSIRED. NO CHANGES WILL HE ALLOWED ONCE BOILDING PERMIT I3 I330ED.
H[TLTIPLE DWELLINGS EENTAL pNITS FOR SALE UNITS # OF ONITS
INCLUDE 2 SETS OF PLANS, CERTIFIC9TE OF SUR4EY - CHECg WITH BLDG. DEPT., 1 SET OF ENERGY
CALCULATIONS
CONJMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS -lov 13 m
To Be Used For:
+?? ?`' Valuation: ? Date: l
?
?i r•
Site Address 41C? 1-?AvFn?? i?:
Lot ZCo Bloek '1
Parcel/Sub n?F
Owner -a-k&-z
Address SZOI 'F
City/Zip Code Fy,pe Y !?1 j
Phone 6gag?'*
Contraotor '5V#'/C7
Address
City/Zip Code (I
Phone ft
Arch./Engr.
Address
/I
rl
City/Zip Code (I
Phone # /I
131 ? OOD? OFFICE QSl
Oecupaney (Z3 M- 1
Zoning PD fZ-1
Actual Const V-N
Allowable V-N
# of stories
Length 3 GDepth So'
S.F. Total
Footprint S.F.
On site-sewage_
On site well
MWCC System ?
City water
PRV required _
Booster Pump _
APPROVALS
Planner _
Couneil
Bldg. Off. 11/1"7
Varianee
FEES
Bldg. Permit r?q{j,0?
Sureharge 65,5n
Plan Review y,oa
SAC, City 00100
SAC, MWCC "Ms'
Water Conn 5s7,00
Water Meter oioo
Aaet. Deposit 30,00
S/W Permit ?0,00
S/W Surcharge. I1oo
Treatment Pl. adB, 00
Road Unit 3yp,Da
Park Ded.
Copies
TQTAL
S;t /? ? "
NOTE: Sewer & Water Permit fees and accouat deposit fees will be ineluded ia the building
permit fee. Procesaing time For serrer aad vater permits is two days onee a licensed
plumber has applied for a permit ab City Hall.
VALIA AT•l O N• ,
zz xzz? Li e4x 15=r12Gv ` '? "'
C35?T
2?xae?- u k ly = lo??(a
?Iowh? -
8ym-}"' .- ?fs?(
z-z,c??l 3oa 2 ?-2X7? f`f
_?-
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13d,23?
?? **
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* engin
4r4, **
I . LANbPI,qNNERS•LANflSf.A{'EAPCHITEC15
/-fAV CA10416L e°4 0
? n/y 3G.33
Oxfvc
W,
( r R = i
? N i2f •
i t8•ii
CPrt,ficate o? Su,veY ror: TNE IQOTTL UND CpMPANy
f NORT41
S
F,,f- ?:,L•3z'ts" °
15.00 ? 1021I .,
,
ie`I a o
? d?t?•3 ?9 j----'- -------?- -,
i ,o 04
?
? -C O
.
?
, 01
S?
C1$o ?
8
VILENGI NEEFS
\
?
¢=4 -91
3
1 /
?x
2,122 Fntcrprise Diive
Mandota Ileights, MN 55120
(siz) 681-1914
??
I ?N
1
1
O I
-----------'
`30.0? ?-3t,•3s_- 681.74
140.00 --
Wes+
r 900.0 DP.RptfS fX1W1'no flevafion
E900•o Utnoles propoOd Elevat%on
- --- - - Uenofes Oraina?e j Ul-ilrl Easemenf
-?-- Uenotes Utr?ma e Flow rrows
/dga. 3
\
?i??
D
PRUPUSED NUUSE ELEVATIONS
--------------
Cnwesf Fleor• flevafion = 879,e
Top or'8/acls Elevafion = aa?.s _
o penoles monumenf C?ivra4e Slo6 Elevafiot) _e3S(.•z _
BeQrin1s shown at•Q assumed
LOT 26 , BLOCK 7?141LLS oF STO NEB0dGE
DAKoTA COUNtY, MrNNESOTA SVBJECT 7U EllSEMENTS OF afCVRD
I hnrMiY rcrtlly Ihat thix SurveY, plan or rePmt was pr.Pered bY Inc or under mv diier,r xupeivision and Ihat I aln cfulv floqislsred Land SnrveYnr
under thrt Inws o( the Sfa1n ol Minnesota. Oared this day af.??LA.D. iga /l
i ? ?
/
Scale = rincil : ?+? ---?? ?
Pi1lIL. Pel rtnnen i n. su<irn i_S. I!?. w??. tn ?t?- --
I
? .. •?
., ? .
_l-?:-r.ri'?.Esr?<p •_
EXTERIOR' h,ivl:LOPE AVERAGE "t3" CUi•IYUTATION
OWNER T/ta , °''? -? X1'4r?•iiL' ?J? r3/i'Yl! SITE ADDRESS 1-0-T G(o S7&WEZ9#CSE ?
•- --------?------- •
CONTRACTOR d.A M' DATE PHONE 57I- .C)??C1 y
Determine working square footage of each.
1. Total exposed wall area ..... 7- ?38& sq• ft. x •ll/ =
2. Total roof/ceiling area .... .//8D sq. ft. x s0267 _ ?.(o
Total exposed wall area a6ove floor =21f 9 (a
a. Total wall window area ............................. ?
b. Total door area ....................................
c. Total sliding glass door area ...................... .......
Total fireplace wall area ......................... ?
e. Total wall framing area (average 10Y) .............. Z%?
f. Total net wall area above floor ...................... d
g. Total rim joist area ............................... 3 12- ?
Total exposed foundation area = `] ffi
h. Total foundation window area ................ ....••?• -7
i. Total net foundation area above grade ...............?
Determine "U" value of each wall segment.
a. 253 X "U" &-,t/ _'1X,6Z
b. 3"6 x "vit. ,07 = ;2.e?
C. 40 X „U„ a 6 = 27- 60
d. X "Ulf
e. 215- g liUll ? 087 _ /gr7l
f. 193o x Iloit ?o?Z = 1? .06
g. 3/ 2 X „U„
h. 7 X 'lUll ? SJ = 3«9.S
X nU° •/ / = 1-Vi
3 ......................................Tota1 2 0.79
If item 11 3 is the same as, or less than item 111, you have met the intent
of SBC 6006(c)2.
Total exposed roof/ceiling area = // 80 _
Total gross roof/ceiling area =
Cd
j. Total skylight area ........................ ?
k. Total roof/ceiling framing area ............ _L
1. Total net insulated roof/ceiling area ..... )-?
Determine "U" value for each roof/ceiling segment.
j ? x nUn
k. / / X .,U„ /.q 2
1. / ia 9 x?,U,, ,025 = 27,73
4 ..................................... Total =
If total of 114 is the same as, or less than 112, you have met the intent of
SBC 6006(c)1.
To utilize the total envelope system method, the values established by the
sum of items #3 and 1i4 shall not be greater than the sum of items 4I1 and #2.
1. 320.35
+ 2. -30. 68 - 3S/,a3
3. 290. ?7 9 + 4. 29.65-
. xoor•/cciziNs
?
• ?
/ented
up ConsLrucL•iatt 12-Va1110
?.
Eiea[ flow
1.Interior air film
2.
3.
4. Exterior air film (still 0.
-? Total 3?. BO
• ? ' V = .C)2.57
FIG. #IS i ' , \ . ' .
I ?? •
I ? ? . . .
1. Interior air film 0.61
2. S/r; . vYT? ?? D o S'S
3. 1,v5rit ovFit
. 4., Ehterior aii film sti1I) Q. b'r
? . Total
• . ? .
? i . .
1 Y.eac flocr up • i, •vented
.?. .
. . . • :?;'...
. .FTG. 1k6'..i... • ? '' .. :' .
---•- -?-, . ._ . . _
' i ,' '., .?' • :.•' ? .
• xa,r-'v?^rm ? . .
-, i' .. • '.
? • HenC ? '
?floW up . ' .
F..T,r,. ?!!7 i ? . , • .. .
•? i
?
1. Tnside ai.r film 0.61
?..
3 . ' ..
4.
5. Outside air film 0.17
Tota1
: ' . Notc: Use additioiial slieets •if more space is
needed for deCails and calcu2al-ians.
, ?
_ .... .? __...... . _
, -A -
" ' WiSi,L :ih;C'1'lv,
IuTG; Use 10% of opaque wall area for
frame construction
i'uyu J UL n
Construction
1. Interior air' film , . R-Value
0.68
2• C?YP 139- U) ?4S
3. 2xSTridS ' 10088 .. .
9. 25'/32 Sh'TC,
Z..OC-7
S. $?p/tiC+ UVC/G FECT ? a ? ?
6: Exterior air film 0.17
Total
v? eog-7
1. Interior air film 0.68
2. ?L'?G'r.'f? I3aZ D o S!S
3. FUG L u/!u- e-?.fi5?c
4• 2 S?3L 5h'TCr 2 06 '
s. s?di.c.c- ovE.e FEL-r- 712
C?
6. FSCterior air film 0.17
Total 2 3, C. Z
1, Interior air film 0,68
z.
3. '2 X_ tzr rn /`?8
4. ! 2 57/3 Z S 1-I T'f? Z oO?o
5. S/d/.vL? ? l/?/z /=' E2T . / 6 2(o
6. Exterior air film 0.17
'
1.
Znterior air film Total 2 5.0 S
0.68
2.
3. 2A FtIR R I N v
9. 12+?GO.wc, 13 COCfe /.LFS
5.
6.
Exterior air film
0.17
• . 1 Tot'a/l
(/= /3e//
e0'7f0
. 1 A •
f-
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Fxc.
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1" rl%\? ?>7.0p1?
C? U- 50F
25 '70-1=
1991 BIIIAI!WT RICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
2 SETS OF PLANS
3 REGISTERED SITE SURVEYS
1 SET OF ENERGY CALCUTATIONS
MULTIPLE DWELLINGS
COMMERCIAL
2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
REGISTERED SITE SURVEYS - & STRUCTURAL PIANS
(CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCUTATIONS 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 IAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSIIED.
NV1G: ABLRLSSES FOR CORNE.4 IATS - CQNTRACT_QR/HOMEQWNER KUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALIAWED 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.
To Be Used For: I?P-el Valuation: &Ooo Date: S,J g/
Site Adciress 41po L}u..;Uj
Lot 2(, Block 7_
Parcel/Sub
Ow[3eY
Address
City/Zip Code ?L-l rt.„
Phone 1?9Z - 513 -j
Coutractcr
Address
City/Zip Code
Phone
Arch./Engr. _
Address
City/Zip Code
Phone #
Sewer/Water Licensed Contr.
Occupancy
Zoning
Actual Const
Allowable
# of stories
Length
Depth
S.F. Total
Footprint S.F.
On site sewage_
On site well _
Mk'CC Systam _
City water _
PRV _
Booster Pump _
ONLY
FEES
Bldg. Permit
Surcharge
Plan Review
SAC, City
SAC, MWCC
Water Conn.
Water Meter
Acct. Deposit
5/w Permit y
S/W Surcharge,,
Treatment P1.'-.
Road Unit
Park Ded.
Trail Ded.
Copies
2S
??.
SIIBTOTAL
Penalty
Lot Change
' TOTAL 2+?. ? O
APPROVALS
Planner
Council
Bldg. Off.
Variance
agrees that all vosk shall be done in accordance with
(Signature of Contractor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
U7/11J/?41J 1V:51 F.aX 350 4PJvu:.'.
T'f&A•
* * * .19
pion
engi*
I ...? ? *
?
.••-'•yi.nNn vILnNncns • lAnneCAPE nnCwn ECIS
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2•122 F.m+"vrisr Diiv?
mtendo?a n???i,«, 1?n! 551:n
(612) 681 1914== - -
? Certiticate af 3ur?e? for: ?f ROT7"L UJ11D COlrlPQ! ? Y
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"?- ? --- -?- -??
-.r - --- -----v, ?$a,?
36.3s-- eBr.7
l40,00 -
w,es+
0900.o Dena/es ezislin flPVa`flon
• 900,0 (.)enoles propd Eler?i?.fr'bn
Lienoles Oralrta e f Uf') EasPmenf
Uenoles O+r?ina?e Flaw rows
0 c '
Pf?? S manunr F+)Vv
8ecrr,?s shawnnrQ ?r
?ed
PRUnUSEU_E-IUUSE Etf?:'iT1UN5
Lpwesl F/rvv l:Yevdl/v!)
70p c-,i 'B1nClSf7fValr'n;t : 8aG.:. -
Cv'•a+, Slnb_Elevalioi1 :
L O-1" 26 ? B CK 7 i/41 CC S OF STU NEBR1bGE
..
L)? nrn CouNTY, MrN orn SileJfcT 7a EnSFMr-N75 orr7rcoan
i horrlrv •n.tilY Ih.v Ifqt gulvrV. Pi.iii if vqp5 p npo'n.1 bY '11n rn nnAnr inY rliur.l e•i?r??d.l.,n ?nd ?I?ql ? ?ui Anly R11;1 -n.l Cnnd $?uv?ynr
u...lrr 11'n Im" nf thn Sbrr n( fAinur"n!?. tIn'i pf _4W. A(1
IIL. LI
Scvle :1,nc': 400<<
--- --- ---.
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?1-14 or ?rwr,d9e
2004 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone 9 651-675-5675 FAX # 651-675-5694
New ConsWCtian Reauiremenfs RemodebReoair Renuiremenls Office Use Onlv
3 registered sife surveys showing sq. fL of lot, sq. R. M house; and all roofed areas 2 copies of plan Cert of Survey Recd _ Y _ N
(20% maximum lotcoverage allowed) t setof Energy Calculations for heated additions Tree Pres Plan Recrl _Y _ N,
2 copies of plan showing beam 8 window sizes; poured found design, etc. 1 site survey for addi6ons 8 decks Tree Pres Requlred Y _ N
1 5et of Energy Calculafions Adddion - irMicafe ilonstte septic system Onsde Septic System _ Y _ N
3 mpies ot7ree P25ervation Plan if lot platted after 711193
Rim Joist Defail Oplions selection sheet (bldgs with 3 or less unAs
/
Date
Construction Cost
SiteAddress \ + ' ?
,CL?
UniUSte #
Description of W ork
Mulfl-Family Bldg _ Y'4,_N Fireplace(s) _ 0 2
Property Owner ,_,c-v-ry Telephone # (&Sl
Contractor
Address #,,/"f City r7 !(Jl Ci
State th^-? ziP 63 ) Tetephone #(5QL)?i
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota RuIes 7672
Energy Code Category
• Residential Ventilation Category 1 Worksheet . New Energy Code Worksheet
(Jsubmissiontype) Submitted Su6mitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan6 _ Y N If so, 25% plan review
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone
Telephone
Telephone
'L?
6AY `L 5 2004 11111
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
5tatutes; 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 of4ork which requires a review and
approval of p s.
,
W ` w? C)i 44-?
Applicant's nnted Name Applic 's Signature
OFFICE USE ONLY
Sub Types
? 01 FoundaUon ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 AccessoryBldg
? 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 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Mlsc.
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04plex ? 12 12-plex Plbg_Yor_ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building" ? 43 Reroof ? 46 Wiridows/Doors
? 34 Replacement •Demoiition (Entlre Bldg) • Give PCA handout to applicant
Valuation Occupancy MCES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footings (deck) FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundarion HVAC
Drain Tile pdier
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Au/Gas Tests Final
_ Framing _ Siding _ Stucco
Stone _ Brick
_ Fireplace _ R.I. _ Air Test _ Final _ _
Windows
_ Insularion _ Retaining Wall
Approved By:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Pertnit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Building Inspector
P For Office Use
j Permit
City of Eantoffi I
I Permit Fee: ~ r
3830 Pilot Knob Road
Eagan MN 55122 i Date Received: j
Phone: (651) 675-5675
Fax: (651) 675-5694 1 Staff:
- - - - - - - - - - - - - - - - J
/~BUILDING PERMIT APPLICATION
=8 RESIDENTIAL
Date: I 14- Site Address: l tVo 1_j-~cA. v e h ke1 1 k ` (rc f c_
Tenant: "'k"' Suite
RESIDENT / OWNER Name: e-n .5o n Phone ~n&~D o yan
Address / City / Zip: y[UOr/ / / / / I r'~ ~G
Applicant is: Owner W -Contractor
14& le 2- V _S-6
TYPE OF WORK Description of work:
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Construction Cost: Multi-Family Building: (Yes / No
CONTRACTOR Name: t~►.trLlo..r✓► O t License#: QotQ r, noWo
Address:
City: l- T~ f ` Q rWU-.,j e c State: NffZip: 5t~2w 7
Phone: &g V!~W Contact Person: lit --,,=32 OL r-e~
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Category 1 - Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet New Energy Code Worksheet
Category Submitted Submitted
(d submission type) • Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public Information. Portions of
the information may be classified as non-public N you provide specific reasons that would permit the City to
conclude that theey are trade secrets.
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 12 Cc it % x
Applicant's Printed Name Applicant's Signature
Page i of 3
r For Office Use
Permit#:
E AG N
Permit Fee:
Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff:
buildinginspectionsacitvofeacian.com
2019 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: \ t Site Address: l D 6 1'Iy4' Unit#:
Name: C--LOT‘ vvG' SS °v Phone:VS\ . 44K . 073O1D
Resident
owner Address/City/Zip: 4A 0 0 -t ` V t%1 0111.r CA.1�-�'L-�
Applicant is: Owner 4g Contractor
Description of work: w".Q D K_ 1 e- kAIL= T
Type of Work
Construction Cost: v�0v • ( Multi-Family Building: (Yes /No V.)
Company: w -B(v_c_C\ tEt W' t'- -contact: tcP1�61
Contractor
Address: \S1,35 C5/ 1-1--M3- CA- City: 4 r t e
State: t-V4ip:SSt24 Phone:1 .3'LO mail: C'1A-0\se &v.,lAA Ve-k011rC.LipteSci1A`AC•
Oriv
License#: ;(0,U ' Lead Certificate#:
If the project is exempt from lead certification, please explain why:
to W' nc)10
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:
NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information maybe
classified as non-public if you provide specific reasons thatwould permit the City to conclude that they are trade secrets.
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.citvofeaaan.com/subscribe.
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.
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 dig to receive locates of underground utilities. www.gopherstateonecall.orq
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 ith the approved plan in the case of work which requires a review and approval If plans.
kA.PAtlik. 411-b
Applicant's Prin ed Name Applicant's Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA167360
Date Issued:03/10/2021
Permit Category:ePermit
Site Address: 4100 Havenhill Cir
Lot:26 Block: 7 Addition: Hills Of Stonebridge
PID:10-32990-07-260
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site. We encourage you to retain an electronic copy of
photos until the project passes a final inspection.
*Roof permits issued between December and March will be inspected in the spring or when weather warms up.
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Scott O & Carol J Swenson
4100 Havenhill Cir
Saint Paul MN 55123--166
Sela Roofing Remodeling
4100 Excelsior Blvd
St. Louis Park MN 55416
(612) 823-8046
Applicant/Permitee: Signature Issued By: Signature