3240 Hillside Ct
Use BLUE or BLACK Ink
r - - - - - - - - - - - - - - - - -
For Office Use
I ~ I
'"77 n Permit#:
City 00 v
of EaRd I Permit Fee:
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I
Fax: (651) 675-5694 I Staff: I
1 I
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
r/ 20 r~ 3a(10 ry ll5-V C:f
Date: is Site Address:
Tenant: Suite M
RESIDENT/OWNER Name: ('Y*NA-X S A u G C D o Phone: 1~0 5 I- S, - 6 o~ t
Address / City / Zip: 3D~y o ~-k ~ It 51 e E G r
Applicant is: x Owner Contractor
TYPE OF WORK Description of work: GG(-,j z
Construction Cost: 1 , 5-0 0 ° Multi-Family Building: (Yes / No )
CONTRACTOR Name: License M
Address: City:
State: Zip: Phone:
Contact: Email:
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:
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 the are trade secrets.
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.org
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 NIX Ay LG 0 a x
Applicant's Printed Name Applicant's Signat e
Page 1 of 2
??...?.
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
INSPECTION REC4RD
PERMIT TYPE:
Permit Number:
Date Issued:
I:ir I I n r. rv6
c!y : 141 t
04/1'6/94
SITE ADDRESS: I OT,
( r. i« i i I. I IrE C 7
I111 1 ', .'iVla
PERMIT SUBTYPE:
ir T N r; s
13 ti i 01 t
?
, APPLICANT:
(h1.1) t?r{N ?:?Nf9N
TYPE OF WORK:
f ,lNA I
M 1 i tlRl= I
Permit No. PermR Holder Oete Telephone #
SNU
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspection Date Insp. Comments
Fooiings I
Foundalion
Framing 7'G" 2 X /D
a
Roofing S/ /7 A
V
Rough Pibg.
Rough Htg,
isut.
Fireplace
Final Htg.
Orsat Test
Final Plbg. Plbg. Inspector - Notify Ptumber
Const. Meter
Engr./Plan
Bidg. Final ?,?? ??I?,G?"?"`(•? ,
Qeck Ftg. Z
Deck Final ?
Y%fL .
weu J
Pr. Disp.
/o/M "Poo
HOUSE HEATiNG TEST RECORD
ADDRESS APT. LOOR CITY ?SUBURB
OCCUPANT 01rNER ??,
HEAT LOSS DAT HTG. INST.
SOLD BY IMSTALLED BY
Eloetricol Wwk Bp ^ t'' Gos Line Br ?;'B.li• c
TYPE OF HEAT GA FA HIM STEAM SPACE HTR. UNIT HTR. OTHER
? GAS DE51Gl1 •' , CONVERSION
MAK EDMKE OF BURNER
Mod•I ' . `? ? ;i r , Mod.l
-? ?
Mo:. BTU RaNn'
INPUT ' y rf rMAKE OF FURNACE
Mod?l
-T GONTROLS ? ?Volvo _
Limit _
Limit Setti
Fon S*r1inj
Pilor Type
Pilot Make
Hwr Pluq -??-_
Pilot Timiny
L.W. Cuf Off
1
Pnssuro Percent COZ
Input CFH Pereent 02 '
Staek T•mp. P«pnt CO
Form 235
?.-- ---.?:.........
V.nf Sj:• -
KIND OF LINER
?-- ` SIZE NONE -----
.
Droh Hood ? R?qulawr
FiltKS Sis• ?? ?? -? x ? NuPbGr
afn?ney Loeafion (naid? Oufaide
Chimner Construdion
?
Smoko Boqb Wirinp
Droft Tao
Door Pressure ? Liqhfinq InsT.
Doh T.sted ?
Company T•atiny ' ,- ? .
Non» of Tesfor L
? CASH RECEIPT ?
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19
. }
?
RECE?
AMOUNT S ?f? .
- `l'-t ,.
8 DOLLARS
Im
O CASH ? CHECK
?;-"'t?-
Whk--.???
Y?? ?
Pink-FNe Copy
Thank You . ;
.?, . :
ey
SEWER & WATER PERMIT
CITY OP EAGAid
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
DATE AUG 14, 1991
OFFICE USE ONLY
ME7ER #iiy r4I0 7? ? PERMIT DATE 08/15; 91
CHIP # Qf f 3 3Z Q 8 PERMIT # 1 2L 13
METER SIZE r41SK B.P. RECEIPT # C 1493y
ISSUE DATE Z 3"71 B.P. RECEIPT DATE US 14 '31
X PRV - BOOSTER PUMP
? SITE ADDRESS I LLS [?E CT
LOT BLOCK ? SEC/SUB PUR CAK HILLS 2h'll
APPLICAMT:
ADDRESS:_
CITY, STATE
PHONE: -
PLUMBER: S'iAl: -PLUMBING
ADDRESS: 1018 NOUND SPRINGS TERA
CITY, STATE $LC0Ai??dG?T0N 't/N ZIP 55420
PHONE:
PERMIT REGfUESTED
X SEWER X. WATER - TAPS
- COMM/IND ? RESIDENTIAL
X NEW
EXISTING
Lawn Sprinkler Meters are to be Instalied
Ahead of Domestic Meters on Water Line.
Credit WILL NOT be given for Deduct Meters,
OWNER: MCDONALD CONSTRUCTIOY INC EAGAN O ANC?S' ?
1212 ELUEI3II.L BA7 1?D
ADDRESS:
CITY, STATE PUR!`:SV i I..Lk; Ml; Zip 55337
PHONE: -t' 1 SIGNATURE WH METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
ZIP
SE1Q(91FIA;JfATER PERMIT
CITY !0F%EA(ft .+
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
DATE AL?G 14, 1991
.?_.
METER # -
CHIP # -
METER SIZE
ISSUE DATE
USE ONLY
PERMIT DATE OA / 15 /n !
PERMIT # 1 212 13
B.P. RECEIPT # ? 149'1g
B.P. RECEIPT DATE ? "Zi4iyl.
X PRV - BOOSTER PUMP
SITE ADDRESS 3240 h ?•.?, Tll= CT
LOT `= BLOCK JSEC/SUB rU8 UAK IiILLS 2NtJ
APPLICANT:
ADDRESS:_
CITY, STATE
PHONE: -
PLUMBER: STAR PLUMSING
ADDRESS: 1018 MUUNU SPRTNCS "akR
CITY, STATE k-?-VtiM1N4°f0id !Ql Zlp .`i5G20
PHONE: 33``-4- 149
OWNER: MCDONALG GUNuv?RJCTIQN INC
ADDRESS: 1212 i1J.lfEBI1.L BaY P.D
GITY, STATE BURNSV;Li,E :M Zlp 55337
PHONE: `8,;-7061
ZIP
PERMIT REQUESTED
? SEWER ? WATER - TAPS
- COMM/IND X- RESIDENTIAL
X NEW
EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Credit WILL NOT be given for Deduct Meters.
I AGREE TO COMPLY WITH CITY OF
EAGAN ORDINANCES
SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TYVO WORKING DAYS FOR PROCESSING. GALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
(gerti#ira#it uf (?rrupanry
titp of (f agatt
atpxtmm u# iui[dittg inaprriintt
This Certificate issued pursuanl to Fhe requirements oJSection 306 of the Uniform Building
Code certifyrng that at the time of issuance this strrwture was in compliance willt the varrous
ardinances of the City regulating building construcllon or a.re. For the fo!lowing:
,.,? Clwuficx,;oo SF DWG'jW Bwg. Fe,,,,;, ,,o. 19551
oa?pawy Tya R3/h41 ?MORI R 1 Type COML VN
o? oce?? ICQVAID rJCNST. INC. Addma 1212 HIIIEBIIL BAY ROAD, HffIi1.E
BuwM naenm 3240 ENd.S'IDL' OOUFtT Lom;ry L8, S 1, B[JR QAK HIIJ?.S W
(z- Daic 10/01/91
WW,.g OffiW-
POST IN A CONSPICUOUS PLACE
CITY OF EAGAN
,.?
....
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 --
?
•
BUILDING PERMIT
Receipt # ?
.
?
ti 'A
To be used for S1P DNC/GAR Est. Value =136 ,Q00 Date AU P 14 ,? g9l
Site Address 3240 HILI.SIDE C? •
Lot a BIOCk 1 Sec/Sub. WA OAK HI11.8 2 OFFIC E USE ONLY
Parcel No. ` Occupancy R-3 !--1 FEeS
2oning ?l
? Name lCDOt'U?' 0 COIiSTAUCTI4N INC (rct„ai) co„5t V-N Bldg. Permit 766.00
o Address 1212 DLUEEII.L MY RD (Albwable) y?
CitY B?gVi= Phone "?7061
r or siories
_ Surcha e
? ?M
Plan Review 498.00
Length ?
t Name s? oepm ?hL• s,ac, cay 1?•?
?
.c Address
Clty PhOfl@ S.F.Total
S.F. Foolprints -
- gqC,MCwcc 650•00
0?
` On Site Sewage Water Con?
? W Name
On Site Well
Water Meter
95.00
AddfeSS MWCCSystem X 3
0
5w City PhOn@ Ciy Water x ?
A?. ? sit 0•0
X 30
?
. PRV Required SMf Pemiit •
I hereby acknowlege that I have read this application and state that the Booster Pump - SNY Surchar
e
information is correct and agree So comply with all applicable State of g
Minnesota Statutes and City o( Eagan Ordinances; Treatmenl PI 276•00
Signature Of Permitee APPHOVALS
Road Unit 370.00
A Building Permit i5 issued to:' NG"A7.D CQNST INC
on 1he ex
res
conditi
th
ll
k
h Planner
C
l - park Ded,
p
on
wor
s
at a
1
a11 be dorie in acCOrdance with all ound _
applicable State of Minnesota;Statutesand City of Eagan Ordjnances. EUdy, pff. _ Copies
Building Official ' Vazia^ce - TOTAL ]. 543. s0
' Permk No. Permk Holde? Dete Tekphone #
WATER I,S 9?
SEYYER
PLUMBING
H.V.A.C. 9.? 9r 144 • &04a
ELECTRIC
Inspection Date Ins . Comments
Footi?gs I e? f?
Foundation 20- f? DS
Framing g -/G^ ? ps
Roofing
Rough Plbg. 7 -? 9
Rough Htg.
? / i
Isul.
F?replaoe 9
Final Htg.
Orstat Test
Final Plbg. Pibg. lnspeclor - Noti(y Plumber
Const. Meter
EngrJPlan
Bidg. Final
Dedc Ftg.
Dedc Final
Well
Pr. Uisp.
,^. CITY OF EAGAN N2 19551
3830 Pilat Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 1t
? q
BUILDING PERMIT Receipt # S 0 ? ? ?`??, %3 I
'
Tobeusedfor SF DWG/GAR Est.Value $136,000 Date AUG 14 1991
Site Address 3240 HILLSIDE CT
Lot 8 Block 1 Sec/SubBUR OAK HILLS 2N
. OFFICE USE ONLY
Parcel No. occupancy R-3 1L-1 FE ES
R
1
Zoning =
w Name MCDONALD CONSTRUCTION INC (ACtual)Const ?N BIdq
Permrt 766.00
o Address 1212 BLUEBILL BAY RD (Allowa6le) V=N . 68
00
City BURNSVILLE phone 688-7061 x of stories - Surcharge _
56 ' Plan Review 498.00
Length
Name Sp'ME Depth 471 SAQ Cit 100.00
? y
? Address S.F. rotai
-
650
00
F sac,MCwcc .
CITy Phone S.F. FoDlprint5 _
t
w
C 660
00
On Site Sawage a
er
onn .
? W
W Name on site wen
t
M
W
95
00
w X er
eler
a .
?? Addf85S MwCCSyslem
a W City Phone Ciry Waler g_
X Acd. Deposit 30. 00
0
30
0
PRV Requvad SNJ Permit .
I hereby acknowlege that I have read Ihis application and state thal the Booster Pump - SNJ Surcharge .5
n
inlormaaon is correcl and agree to comply wilh all applicable State of
Minnesola Slatules and Ciry of Eagan O
rdinan
cefj Treatment PI 276.00
?
/
Signature ol Pefmitee -?
? APPROVALS ROatl Unit 370,0
?
A Building Pertnit is scueA rrc MC'60NALD CONST INC Planner - park Ded.
on the express condition that all work shall be done in accordance with all Council
applicable State ol Mmnesota StaWtes and Cdy of Eegan Ordinances.
, BIdg.Olf Copies
i fy1??l 1 O . 1 ?1 ?
_t?
Building ONicial ? Vanance - TOTAL }y 54 . Sn
?
. . . . . .. ..-
DATE: ? 15, 1991
?.r. . ?-. -
?? ?
RE.4?1240 HILLSIDE CT (MCDONALD CONSTRUCTION INC)
x Your Sewer & Water Permit for the a6ove 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 properry cannot be completed for the following
reasons:
_ Your Sewer & Water Permit for the above property has been completed, but the meter cannot
be issued 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, CAIL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
= REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
Address: 3240 HILI9IDE COITRT Lot g Blk I Sec/Sub gUP
, pA( F7n.i.g 2Np
These items were/were not complete at the time of the final inspection.
10/01/91 Yes No
Final grade (6" from siding)
Permanent steps - garage ?
Permanent steps - main entry
Permanent driveway ?
Permanent gas
Sod/seeded grass
Trail/curb damage
Porch ?
Basement finish ?
Deck
Please verify with the builder the removal of roof tast caps from the plumbing
system and the shut-off of water supply to the outside lawn faucet before
freeze potential exists.
?U
•!Ml[DMRR
White - City copy Yellow - Resident copy Pink - Contractvr copy
? ., fI/9 i ?'??
/
p 4819 ` ?
Requesl D• Fre No Roughm Inspecnon
Feqmr d?
? Ready Now B40i11 Noatly Inspector
= No When Reatly?
I Ylicensed contractor D owner hereby request inspechon ot above elecirical work at
Jo?e (Slr I x or Ro ?. Qty
SecUOn No Township ame or No Range N. Govnry
OcwpeM T?
III Phone
PowerSupplrer AIS
Y
/ Atltlress A/
Eieen?al onvacwr(Ganpaoy M , ConVacror's mense N
G D
MaiLn Atl ress iContra? or 0 ner akinq Installallon, ?.
Pu onre gn u IGOnlratl nOwner M king Installalion)
s Phone mb er
MINNES TA STAT BOAfl? OF ELECTRICITV THIS INSPEGTION REQUEST WILL NOT
Griggs-Mitlway BICg. - Poom S473 BE ACCEPTED BV TME SThTE BOARD
1821 Unlverslly Ave, St Gaul. MN 55104 UNLESS PROPER INSPECTION FEE IS
Vhone (612) 644-OB00 ENCLOSED
. .,wr FOR ELEC7RICAL INSPECTION
? See msVUmions !or coinpleLng thfs lorr:i on Oack ol yellow copy
p_ 4_4 819 "X" Below Work Covered by This Request
ryr?eg
.?Q EB00001-08
>?`.?3 JOaBgCP'
yro-: ' i
?.? `'
?lew?Atld?Rep? TypeotBmlding
IHome
r
? ? AppliancesWiretl
Range EqwpmeniWued
emporary Service
?
r
-?
' W
IUUplex
Y
_ _"
A L 8midm
l I p
_- ?
aterHeater
?
Dryer ElectricHeahng
Other (Specify)
____
TComm /Industnal_
?!Furnace
Av Conditioner
I T ? oi? her (specify) y
Comracmr's Ramerxs
Compute Inspection Fee Below'
?
# 1-Other Fee #?ServweEntranceSize Fe # Crtcwis/Feaders ? Fee
j iSwimming Pool
Tr
f 0 to 200 Amps
?A
2
A ? 0 to 100 Amps
A
ormers
ans
$ bove
00 _
mps
I
t
'
U
O
l A6 _
mps
iyft6 i
[
-------- ---_- nspec
or
s
Sa
n
y ITOTA
? Irngation Booms
eaal Ins
i S
ection ?
p
p
AiarmiCommurncation THIS INSTALLATION MAY 8E ORDERfQ
QjSCQNNECTED IF NOT
I- Other Fee COMPLETED WITHIN 18 MON
- „
-
1, the Electncal Inspector, hereby Ro,qnm oa
' certily that the above inspechon has Tnai o
been made - ,.
OFFICE USE ONLY
Ithis request vaiC 18 nonths Iwm
?
K 4122 . ? Jol
~
Rep est ate Pire No Rough-in NspecLOn
Raqmred'+
eatly Now C Will Nonty Inspector
`?1h
n Read
'+
V ?
Ves No
y
e
I icensed conhador C] owner hereby request inspection of above elecincal work at:
J0 3? ls am
40 a,j
1s i drz. (A
Sec[ion N. Township Name or No Range No Cou
?
Occ n PRINT) `, ? ? ?
' ?'; ? ovc?
?
? ? Ptione No
PowerSupplier Atltlress
Elect c?`,C vacror Iconipany _ ?
1 ? ? ? C np Vecto,r's`V?cense No
I4Q,
Ma?i q q00 5 ConVector o wner Makmg Ins[al n)
`
5
`?'? ?
? ?
A ?y ignaNre iCO IradonOwner Making Inst II P umbe????
MINNESOTA STATE AR O EL TqICITY THIS INSPECTION REQUEST WILL NOT
Gtlgga-Mitlway 81 - H m 19 BE ACCEPTEO 9V TME STATE BOAFO
1821 University Aw., 1 ul. MN 55100 UNLESS PROPER INSPECTION FEE I$
Phane(611)BCYA800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION °r`°ut eeooom-oe
. ??.
nn ? See insVUCtions lor complahng Nis torm on back of yellow Copy
Ip 412Y 2 ^X" &elaw Work Covered by This Request u? /
e AOd Rep. TypeoiBmldmg AppliancesWiretl EqmpmeniWuetl
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apl Builtling Dryer Other-(Specity)
Comm./Industrial Furnace
Farm Air Conditioner
Other (specity) Conhaclor5 Remarks
..?Y? i J?? '0/ V C.?•i l I
Compute Inspection Fee Below.
# Other Fee # ServiceEntranceSize Fee # CucmtslFeeders Fea
Swimmmg Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps A6ove 100 _ Amps
Signs Inspeckors use Onry TO
?
' IrngaOOn Booms 1 ?
`
j
Special Inspection ? ??6
1
Alarm/Communication 0T
THIS INSTALLATION MAY BE ORDE CONNECTED I
Other Fee COMPLETED WITHIN 18 MONTNS.
I, the Electrical Inspector, hereby Rough,m r oata
certify that the above inspechon has
been matle. F,nai oa??.
O `
OFFICE USE ONLY
This request voitl 18 moMhs trom
?j
5as? S RESIDENTIAL 33?
BUILDINC PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New CoastruNion Reouirermnfs
• 3 regislered site surveys showing sq. ft. of IoL sq. (L of house; and all roofed areas
(20% maximum bt coverage allowed)
• 2 wpies of plan shovnrg beam 8 vnndaw saes; poured fowM desiqn, etc.)
• 1 set af Ener9y Calculahons
• 3 oopies atTree Preservation Plan if lot plafled a8er 711193
• Rim Joist Detail Opliore selection sheel (61dgs wilh 3 ar less unAs)
DATE (?O'Z-T- 0 Z
RemodeUReoair Reauirements
. 2 wpies of plan
. 1 set of Energy Calculations for heated additions
• 1 sde survey for exlerior additions 8 decks
. Indicate d hame sened by sepfic sys[em for addNons
? ?-°
VALUATION ? ?`( IL0.
SITE oDDRESS 32q0 !? i?S1cxP l_.6vti ? MULTI-FAMILY BLDG Y N
TYPE OF WORK Wjn&mc2 4- 4,eplGCO CicPL.-o ?, III g-6S,C't- FIREPLACE(S) _ 0_ 1 2
SELA ROOFING & REMODELING, ING
APPLICANT 4100 EXCELSIOR BLVD.
ST. LOUIS PARK, MN 55416
STREETADDRESS in*nnninsn CITY STATE_ZIP
TELEPHONE #L912?623? gO 4, CELL PHONE # FAX #
PROPERTYOWNER.??? U d-o TELEPHONE#
---------------------------------------------------- --------------- --------------------------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RUL,ES 7670 CATEGORY l MIVNCSO"I':1 RUL1.5 7672
(4 submission type) • Residential Ventilation Category t W orksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contraetor: __
Plumbing system includcs:
Mechanical Contractor.
Mechanical system includes•:
Sewer/Water Contractor:
Air Conditioning
_ Hea[ RecovEry System
Phone #
Phone #
-----------°-°---------°-°-------------°-----------------° °-
I hereby acknowledge that I have read this application, state that the information
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of
Fee: $90.00
Fee: $70.00
f-i
_ n',??_ JUN_ 2 8't001 ??
?ct, and agree to com ly
OFFICE USE ONLY
_ Water Softener _
_ Water Hcater _
No. of Baths
_ Phonc #
Lawn Sprinkler
Vo. of R.I. Baths
Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _
Updated 4/02
OFFICE USE ONLY
? 01 FoundaGon ? 07 05-plex ? 13 16-plex ? 20 Pooi ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Ait • Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) 0 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy 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 W idth
REQUIRED INSPECTIONS
_ Foorings(new bldg) FinaVC.O.
_ Footings (deck) FinaUNo C.O.
_ Footings (addition) _ Plumbing
_ Foundarion HVAC
_ Drain Tile Other
Roof _ Ice & Warer _ Final _ Pool
Ftgs
Au/Gas Tesu Final
_ Fra1runB _ _
_
Siding Stucco Stone _
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MClES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Building Inspector
Total
? CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number:
Datelssued:
BUIL16ING
'
023411
04/26J94
SITE ADDRESS:
P.I.N.: 10-15501-086-01
DESCRIPTION:
3240 HILLSIDE CT
LOT: 8 BLOCK: 1
BUR OAK HILLS 2ND
BU'ildinq'_,Permit Type
building 40,rk Type
.
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DECK
NEW
.?, ? . ? .
REMARKS:
FEE SUMMARY:
Base Fee $30.00
3urcharqe $.50
Total Fee $30.50
CONTRACTOR:
OWNER: - Applicent -
DELBOVO MICHAEL
3240 MILLSIDE CT
=AGAN MN 55121
(612)688-2000
I hereby acknawledge tfiat'I have read this
informatiqn i,s correct an.d agree to aomply
Statutes anil City of Eaga,n Ordinances.
L
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APPLICA /PERMITEESIGNATURE
applicatian and sta'te that t.hs
with all app3icatale 5tate afi Mn.
I SUE BY. S URE
I
I
CITY OF EAGAN
1994 BUILDING PERMIT APPLICATION
681-4675
.",QJU'v`! +-i?a
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & 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 r? /olo Valuation of work
Site Address: 3d 7 O 6f
STREET SUITE #
Tenant Name: (commercial only)
LOT ? SIACK ? SUBD. ?Ur. DCtI??II S) P'I'D. #
Descri tion of work: f Q,G
The applicant is: X Owner ? Contractor ? Other (Describe)
Name DfL( (3D v0 ?? 4e? Phone 6J"r-42/L
PrOpc^riy L.SST ?•R 6? '.?ood r.. c.
Owner 3) yo
, C?
T
,,
qddress
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STE #
STREET
' ,
S-S1 2-1
E49Q1'
?'?(/v Zi
Cit
S t
t
p
y
t _
a
e
Company /1 e, t. r 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 ap icable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE
? Ol Foundation ? 06 Duplex ? 11 Apt./Lodging ?1`b'Ba#emerrinish
? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. 0 11 Swim Pool
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind.
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc.
? 05 SF Misc. ? 10 Multi. Add'1. 0-15 Deck O 20 Public Facility
? 21 Miscellaneous
WORK TYPE
,9 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
olannjnn
7
Engineering
REQUIRED INSPECTIONS
? Site
? Wallboard
Basement sq. ft.
lst F1. sq. ft.
2nd F1. sq. ft.
Sq. Ft. total
Footprint Sq. ft.
On-site well
On-site sewage
Buildina
Variance
P Footing
P,Final
? Framing
? Draintile
MWCC System
City Water
PRV Required
Booster Pump
Fire Sprinkler
Census Code
SAC Code
Census Bldg
Census Unit
AccPCSmentc
y3y
o/
?
? Insulation
? Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
5/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
vstuec;«r $
SAC %
5AC Units
ities Di ital ualit_y 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.
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LAfID SURYCVOA! - CIVII CNCINEERS
111FD PL 11tR1Eq1 • lw??pp? ^kC wbCHl tCl'! 4
74?: Enimp,l.e Dtiv@
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Mnoles Driaina e ?utrlr'ly Eastmenf
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1991 BUI LDIN APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
2 SETS OF PLANS
3 REGISTERED SITE SURVEYS
1 SET OF ENERGY CALCULP.TIONS
MULTIPLE DWELLINGS
COMMERCIAL
2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
(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.
IAT 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.
1J OOo
To Be Used For: ` e Valuation: ?1 Date: E3-12-9?
Site Address 3240 "iS%dLP Cl,•
Lot 1!5 Block
Parcel/Sub _ Rur n&V=}4, [k
Owner
Address
City/Zip Code
Phone
Contractor ? "Wd Cn;?9-6A6?j -Lar.
Address )'712 j-,?Ji,elzjj[ aq,,, ?
City/Zip Code B,rNSUr11e, 5533:7
Phone fD?- 70(oI
Arch./Engr.
Address
City/Zip Code
Phone #
OFFICE USE
Occupancy
2oning ?
Actual Const x/j?/
Allowable 0//d
# of stories
Length S L
Depth
S.F. Total
Footprint S.F.
On site sewage_
On site well
MWCC System ?
City water ?
PRV l/
Booster Pump _
APPROVALS
Planner _
Council
Bldg. Off.
Variance
FEES
Bldg. Permit 26 ?
Surcharge
Plan Review ? s a
SAC, City /Q
SAC, MWCC .1 s 6
Water Conn. G6 0
Water Meter 9s_
Acct. Deposit 30
S/w Permit 30
S/W Surcharge ,s/J
Treatment Yl. 27/
Road Unit 3 O
Park Ded.
Trail Ded.
Copies
SUSTOTAL
Penalty
Lot Change
TOTAL - J ,
agrees that all work shall be done in accordance with
(Signature of Contractor)
1?9
0
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
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2422 Enierprlae Orlve ?
Mendota Hcights, MfJ 56120
(612) 681•1914
Certificate of Survsy for: _MG DONALp
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i al
??GiALwN EgIalVEERIY?TG DEPT
F?i¢QP4Sf0 NOUSf El.fVAtlc]NS
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towesf f-loor E/evvlion =,_, 30,0
Top ot' B/ock ClevaFl'or1 = _ ?) `?1, 13
C,'ara z S/ob E(evafror) = 6'70,6
o (.7ertojes manumer7f --- --
geari1s shownara crssumpd L.V. ?-??""URED
LOT 8_, 13LOCk 11 SUR ()AlK i-lILLv 21VD
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under th. i;ww? ot tne 5[a:r ?;1 Cqinn_sota. Uated thi; 6*? deY of A .Q.D. 59
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,•. MINNESOTA STATE ENFRGY CODE CALCULATIONS
BASED ON CHAPTER 5 OF THE
MODEL ENERGY CODE - 1983 EDITION
Adoption Effective
Owner Phone Date
Site Address
contractor DOfJ ?t.L? G'DIJST. Phone
Building Classification: Type A1 (Single Family & Duplex) k
Type A2 (Residential, 3 stories or less) (OVer 3 stories) (Other)
NOTE• Comolete nages 3 and 4 first.
GENERAL INFORMATION
!?? NI', ?,1
1. Buildinq Perimeter ?T"? WL??? 7?7T ft.
2. Wall height (ground to eave) 0 ft.
3. 1. X 2. (above) gross wall area sq.ft.
4. Building dimensiona (L) '-- X(W) I 2' 1 sq.ft.roof & floor area
5. Sq. foot area of rim joist - Floor jo4s?t- size (2 X ? d O
.J.?7 X {?? ( Perimeter ) = Z • Z? sq. ft.
{ ?
6. Doors - Area 1 5, p 12
Thickness in U. factor .? . 7
Type of Construction Perimeter ft.
Manufacturer
7. Total door's perimeter
S. Windows: Manufacturer JN)WL' State approved
U factor ' TYPE SIZE AREA (Sq.Ft.) NUMBER OF TOTAL
n" o EACH UNITS SQ FEET
9. Total sq.ft. Glass ?w,7,J
10. Fireplace area: Width X Height = X = sq.ft.
il. Exposed foundation: Height X Perimeter rcP1 X lc?o _ 011u sq.ft.
COMPLETION OF THIS FORM IS REQUIRED FOR ALL NEW CONSTRUCTION, MAJOR
REMODELING AND BUILDINGS BEING MOVED 4iHERE ENERGY, OTHER THAN THE MINIMAL
CODE ALLOWANCE, IS USED.
-1-
12. F-raming area = 10% of gross wall area.
13. Gross wall area 37 r I? Z? sq. ft.
Window area A`(U9, ?i`y sq. ft. U windows = i (a UxA = I?
Rim joist area A? Z?TJ"sq.ft. U rim joist= •O I UxA = J5,44
Door area A
ft
41 14-
U d
= U
A = (Y
_
_aq.
. oor area
, x
2
?- Al ?
Ae?
other doors area A-
!
sq.ft. U other doors=-,!
- UxA II
=
Ex osed fndn A o?iZ
p s.ft.
CI
U foundation=
UxA
= 9?15
Framing area 2?Sq
, ft. U framing area=+(9/?C UxA = Z,11
Net wall area A?AtX0,01 sq.ft. U wa11= - C4?'2 UxA =
(13B) TOTAL . . . . . . . . . UxA = ?
14. Gross wall area x 0.11 (A-1 single family & duplex) = allowable UxA/Code
(13. above)
x 0.23 (A-2 other residential)
x .23 (Other buildings)
x .28 (Over 3 stories)
2-l??'1 Z(P BTUH must be larqer than or same
A? U Code- I\°F. as 13B above
15. Ceilinq framing area (Af) equals 10% of ceiling area
15A. Gross ceiling area =(L) ?'" x(W) ? =( Z ` sq.ft.
15B. Joist area (Af) = 10% ceiling area sq.ft.
15C. Net ceiling area (Ac) (15A - 15B) sq.ft.
U ceiling x Ac _ lOZI x 1111 = Z??`??
U framing x Af = , dZ-27 x ?z. t
15D. TOTAL U x A ............................ (4? 1
16. Ceiling area (15A) x 0.026 (A-1 single family & duplex)
= allowable UxA/Code
x 0.033 (A-2 other residential)
x 0.06 (other)
I BTUH must be larger than or same
A(15A) lZAl x U Code •bZ? _?ZIZI °F. as 15D above
NOTE: Use U and A values obtained from paqes 1, 3 and 4.
CERTIFICATION: I hereby certify that I have calculated the "U" factors and
"R" values herein and that the building here described meets or exceeds the
State of Minnesota Energy Conservation Act.
Date Signature
-2-
;
,
:? -
lf=Cl I -31?f Z
I?,?3xC38+3??31??1k?)= Izy?.gco
2 co
lil 32 zal?r C?u-,= 13,5X?
flli AxA8 = )1iz5 x 4= 45,o
lut j I(pyw =?.25 X?-= 3?, a
oX (a =(Q?P,o
w/1(7 c.,=
Z Q 5?+-, SEg. Lkz., =
?'??CtD u- t = 4Zl o ?
??3.0
IJALL
sECtiort
SiUD
s ec r loiI
stcriou.
aut
J0151'
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aa¦we •lt [llm :6B
Lntetlot NO?L ? .?5
lnsuletlon ?q, o •
Shesthing L
Slding , (01
Outatde a1t [Llm A?
' R 70tAL Z3 , 07j-
. M1J
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inaldn.alt [llm 1 ,68
'
lnterlor watl .45
4" ?tud . R? Ne?? (0,s iFraioing) u- R .
Sheed?ing ? Z.O(O ?-p
Slding .?0 ? ' "1?
. ?
Outalde,alt Iilm ' ,l) .
R 70tAL ? p , -rj ?j
lntetlot vaL( '
ln?ulatloh s1l ) 0 • R .
Extntlor vall eovet n '
Exterlvr alr, [llm" R ?,,?1 _ R TOtAL lnterlor elt [Llm R' .68 ,
,Lneulatlon 11,6'
Feundatlon I 1 051 '
Enterlor •It [llm R' .17
a rornL I 3.13
?Exeoied Bluek .
_ lntetlor aIt [llm I!- .69
_ lneulatlon , 00 .
Ineh eo[ts?_wvoJ 11=1.88 ?a?m '
- Jvlst) '
_ 51?estli(ng Z.b(o
_ Extetlvr well coveting ,(v 1
_ Cxtetlot alt [llm ? ,17
'
R• 7otAL
\
\.???'••\?rada
1
U • ? °
?
t
?
4
?
(fdn. ) U • ft •
. o7?p
J.
(IJaL11 U . a t
:EILING WITH VENTED ATTIC SPACE ABOVE
R VALUE
FRAMING
R VALUE
CEILING
0.61 AirFilm 0.61
? ?,1? Insulation 45' 0
4.38 Joist
0.56 Ceilinq 0.56
0.61 AirFilm 0.61
4 7-. (t4 Tota1R `f(o'7rJ
.oZzj p=1/g . 0 Z1
window infiltration 0.5 efm/liheal foot of crack
Residential door infiltration 0.5 cfm/square foot or door and minimum code
requirement
Non-residential door infiltration 11.0 efm/lineal foot of crack
Ub 12" concrete block no insulation =.47 R 2.1
Ub 12" concrete block insulated cores =.26 R 3.8
Ob 12" lightweight block . .32 R 3.1
Ub 12" liqhtweight block insulated cores =.12 R 8.3
U single glass = 1.13; with storm window .54
U double glass = .55
U triple qlass = .91
All exterior walls and ceilings must have a vapor barrier (0.10 parm max.).
Vapor barrier must be on the inside (heated side) of wall.
Vapor barriers of the polyethelene thin film have no R value.
?#
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
!!?G wm"RMqi
ADD-ON MINIMUM $15.00
HVAC 0-100 M BTU 24.00
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS - MINIMUM 3.00
OF 1 PER PERMIT
"3NTIAT.PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
------------------------ ----------------------------------------------------
WDRK DESCRIPTION FEES
NEW CONST ?
ADD ON _
REPAIR _
OWNER NAME:
?
SITE ADDRESS:
LOT: ? BL/OyCK \ SUB?. S
INSTALLER: `\'E' _?_ e ? \ r
ADDRESS ?,O ?O c I c^J K) C?-
CITY: ZIP:
PHONE ?o "?-) ?-
SUBTOTAL : $ a-7,O 6
STATE SURCHARGE: .50
CoodTOTAL: $ cy?
? a ?5--------rt? ?-
S GN 'URE OF PERMITTEE ?
FOR CITY IISE ONLY
PERMIT #
RECEIPT #-ZO G? U!Z
DATE:
&
jIVDII9TKIA7.' PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL INDUSTR AL BUILD ,
COMERCi?.
APARTMENT BUILDINGS, AND MULTI-FAMILY BUIL?INGS WF1EN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING UNIT.
-------------
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:
LOT: BIACK _ SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP: _
PHONE
FOR:
CITY OF EAGAN
FEES
1% OF CONTRACT FEE.
STATE SURCHARGE _ $.50 FOR
EACH $1,000 OF PERMIT FEE.
PRJCESSEB °IPING = $25.00
$25.00 MINIMIIM FEE.
CONTRACT PRICE x 18
STATE SURCHARGE
TOTAL:
$
$
( S IGNATUFtE )
PERMIT
City of Eagan Permit Type: Building
Eagan. Permit Number: EA093024
Date Issued: 03/10/2010
OR Permit Category: ePermit
41 it~ of E3
E
Site Address: 3240 Hillside Ct
Lot: 8 Block: I Addition: Bur Oak Hills 2nd
PID:10-15501-080-01
Use:
Description:
Sub Type: e-Windows iDoors Construction Type:
Work Type: Windows Doors-New ; Replacement
Description: House
Census Code: 434- Occupancy :
Zonin,:
Square Feet: 0
Comments: Improvements to the home require smoke detectors in all bedrooms. If altering window openin,s, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes.
Fee Summary: BL - Base Fee S3K $88.50 0801.4085
Valuation: 3.000.00 Surcharge - Based on Valuation S3K $1.50 9001.2195
Total: $90.00
Contractor: - Applicant - Owner:
Renewal Andersen Nlaiimillia N Saucedo
1920 County Road C West 3240 Hillside Ct
Roseville NIN 55113 Eagan NIN 55121
(61)264-4777
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 Cite of Eagan Ordinances.
ApplicantiPermitee: Signature Issued Bv: Signature
05/18/2011 WED 10:41 FAX 715 684 3859 LINDUS CONSTRUCTION 12001/006
1L
Use BLUE or BLACK Ink
I
'7' I ~ I
f City of Ea6an ; Permit # G 1.7 ;
1 I ~~~p I
Permit Pee:
3830 Pilot Knob Road
J Eagan MN 55122 j Date Received: j
Phone: (651) 675-5675 ! I
Fax: 651 675-5694 I Staff: I
I I
-
2011 RESIDENTIAL BUILDING PERMIT APPLICATION Cl
Date: Site Address:
I ll~~rO,f -Unit 1^
Name: Ii lv C Phone:
RESIDENT
OWNER Address City / Zip: Gd.n M ~ ~a~ 121
Applicant is: Owner X Contractor 4,0
WORK Description of work: ' a JV LJ-t'- o c 1t' Nail I Q6n I I)0ts i 4X'9 y7 4 cx.t ,U-
TYPE OF V'tirl 1 YQ.9ln II'tstzt.l( V"'~ c'~ 67~4.tlrct~a.~ ~t's~-, t';E..ec.~v. r'
Const ction Co_ Multi-Family Building: Yes / No k } t <q(
Company: t (.11'1 1 M&I-M C11.01 1 PV, Contact 7rl. iia., adSQL0
CONTRACTOR Address: Sr161 US City: _ ,t C l L;1
state: _zip: Phone: f 16-(PN - !A(PL -f s#: 2.cgq d Lead Certificate
If the project is exempt`from lead certification, please explain why: (see Page 3 for additional information)
k
-13Aj±- 4194 It
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:
t'' r ~e fair Q f
r
he inf
~ f ns r
tae.~a i~p ,,k~ ~r '
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. yvww.gopherstateonecall.oro
I hereby acknowiedge 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
acco\rdrance with the approved plan in the case of work which requires a review ro of plans 7
Applicant's Printed Name Applicant's Signature
Page 1 of 3
05/18/2011 WED 10:42 FAX 715 684 3859 LINDUS CONSTRUCTION 12002/006
C, C-r
DO NOT WRITE BELOW THIS LINE
SUB TYPES
_ Foundation _ Fireplace Porch (3-Season) Storm Damage
Single Family Garage Porch (4-Season) Exterior Alteration (Single Family)
Multi Deck Porch (ScreenlGazebo/Per ola Exterior Alteration fMulti
01 of Plex Lower Level Pool Miscellaneous
_ Accessory Building
WORK TYPES 1 lk,
_ New _ Interior Improvement Siding Demolish Building"
- Addition Move Building Reroof Demolish Interior
Alteration Fire Repair Windows Demolish Foundation
Replace _ Repair ^ Egress Window Water Damage
Retaining Wall "Demolition of entire building - give PGA handout to applicant
DESCRIPTION
Valuation ~_7 Occupancy MCES System
Plan Review Code Edition SAC Units
(25%_ 100%o-)() 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) Meter Size:
Footings (Deck) Final / C.O. Required
Footings (Addition) _7X 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 Review G
MCES SAC .21
City SAC
d/
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA129930
Date Issued:03/25/2015
Permit Category:ePermit
Site Address: 3240 Hillside Ct
Lot:8 Block: 1 Addition: Bur Oak Hills 2nd
PID:10-15501-01-080
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Maximillia N Saucedo
3240 Hillside Ct
Eagan MN 55121
(651) 905-0215
Lindus Construction
879 Hwy 63
Baldwin WI 54002
(715) 684-4647
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA163832
Date Issued:09/14/2020
Permit Category:ePermit
Site Address: 3240 Hillside Ct
Lot:8 Block: 1 Addition: Bur Oak Hills 2nd
PID:10-15501-01-080
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Maximillia N Saucedo
3240 Hillside Ct
Eagan MN 55121
Roofs R Us
941 W 80th St
Bloomington MN 55420
(612) 282-8092
Applicant/Permitee: Signature Issued By: Signature