3243 Hillside Ct WOW owc vl UL %0r% 111K
For ,Office Use
Cit of Ea0flon i Permit ( j~ I
Permit Fee: / 0 v
3830 Pilot Knob Road t I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 RECEIVED I I
Fax: (651) 675-5694 1 Staff: 1
p Z 10
2010 RESIDENTIAL BU10
0ILDING PERMIT APPLICATION
Date: I I d Site Address: ( ?;q q3 Z Z1115 ~ L
Tenant: Suite
RESIDENT / OWNER Name: 4a~ %y Z21tiZ PG~J/UG Phone: ?5 - at / 7- L,,ele,5 >
Address /City /Zip: o~ 3 GIN, {S/
Applicant is: Owner _X_ Contractor
TYPE OF WORK Description of work: _GO~ S0
Construction Cost: 422) ,1 c2 A~ -C,?:) Multi-Family Building: (Yes / No
CONTRACTOR Name: _b4~2~ License
Address: C ,0CWn 6t. City: XState: M Zip: 6,710 / Phone: Ls-/ -
Contact: Ud~\ 0-e17' Y) 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?
i
_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 d}') x 7~1 , l~~
Applica is Printed Name Applicant's Signature
Page 1 of 2
i
-0 A. -?... .*%Si
Wn*ffcate of Cccuoancv
Wit4 of Cfagan
2t}.rtwcat of taiiiiis 3x60aNn
This Certifrcate issued pursuant to the reqairemears o.f'the Uniform Buildeng Code
certifying tlhat at t!u time of issuance this structure was in compliazce with the various
or+dinances ojtht City regu/uting building construction or use. For the follawing:
use ca.ssiscafim SF DE siag. Pmm& rm 1560
O-UP-C7' 1YPe R3/141 7vning District Ri Ty? C? VN 0470 owoer or ?OOII?X'.,E CIIY ?IQrT A? ST ST, APPLE
B 7-17, 3243 ?II? OJ[]RT ?ry ;11, ;.•? I1/27/42
f. / nate:
% Buikrm* ofncm.?
POST IN A CONSPICl10US PIACE
.. INSPECTIUN RECORD I Control No. 1153
tITY OF EAGAN PERMIT TYPE: ?F? f 1• t? r Mi?
3830 Pilot Knob Road Permit Number: ?* ???•
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SlTE ADDRESS: Iq F x 6 OLnCK- t APPLICANT: '
3:'+13 MItL52oE Ct COLlEGE CIfY COMSTRUCT3ON
Hl/it ORK HILLS 2Mq (612) 431-i2ij
PERMIT SUBTYPE•
TYPE OF WORK:
NEW
.A • .A
fN8111 Al t(IN ?YNAL
ftRF-Pi ar?
t
.
i
?
??.. crt-11RRk:, : 1'*V •s 1'r W Ctt#1`RAC 1(!4t -- S'fAR PI.,I106
_ --"" ?
PermR No. PsrmR Holdsr Data Talephone It
S/1N
PLUMBING
HVAC
ELECTRiC `?` DJ' ?? ???f? ?? •- ? o?
ELECTRIC
inepeetlon Date Insp. CommertU
F?inge,
Foundation ,
Framing Q
Roofing I
Rough Pibg.
N
Rough Fttg. '
Isul. n
.Y ?
Fireplace
Firml Htg. ?zs
Orsart Test
Final Plbg. ? Ptbg. Inspecior - Notity Plumber
Conat. Meter
EngrJPlan
Bldg. Final d7 4,),
Deck Ftg.
Deck Final
Well
Pr. Disp.
CITY OF EAGAN
3830 Pilot Knflb Road
Eagan, Minnesota 55122-1897
(612) 681-4675 . ,
? SITE ADDRESS:
t il;! 1',IbF f'f
? ls utir 411 I I', ,'NU
? PERINIT; SUBTYPE:
tI u t ao
PERMIT TYPE:
Permit Number: , : ? ? ,, ,, •, ?.
Date Issued:
APPLICANT:
. '',., i t ? .lliM?S
.! W.A '.47!!"t
?
TYPE OF WORK:
t?i101 1 t?G'. ?,1 rtll
i'i 14A1rP I 111 Hi f;l ! I i 11 I?t??
?. -
?
Pertnlt No. Permit Nolder Date Telephone #
ELECTRIC
PIUMBING
HVAC
Inspectlon Dete Inap. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGN
PLUMBING
PLBG
AIF TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
•
FINAI PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG IA
DECK FINAt_
?
!
?
-
-- _
_ --
/??'(P/REQUEST FOR ELECTRICAL INSPECTION 'd,•?*? E&00001-08
See instmc[ians lor cortdeLng ihislarm on back of yeliow capy
?
? 30 590 "x" 8elow Work Covered by This Request N•i
14 e Add Rep. TypeoBuilding AppliancesWired EpwpmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Butlding Dryer Other-(Specify)
Comm./Industnal Fumace
Farm Av Conditioner
Oiher(specity) Convaaor's Remanks.
Compu(e Inspechon Fee Below:
# Other Fee # ServiceEnlranCeS¢e Fae # Circuits/Feetlars Fae
Swimmmg Pool 0 to 200 Amps - I II
0 ta 700 Amps
Transtormers Above 200 _ Amps z Amps
Above 100 _ =
Sgns Inavecwr5 Use Only f
TOTAL y
Irrigadon BoOms
Speaal Inspection
Alarm/Gommunication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS. ?
I, the Electrical Inspector, hereby R0O9h'0 oa+e 1G,_? ,y
/
cerllfy that the above mspechon has
been made. F,n81 ? aie
?
OFFICE USE ONLY ?
This request witl 18 months irom
qddxeas,: 3243 HII.LSIDE COt1RT I.ot ( Slk I Sec/Sub gUR pAK Hnyg 2ND
These items were/were not completa at the tlme of the final inspection.
Date: Il 27 92 Yes No .C-el_
Final grade (6" from siding)
Permanent stepa - garaga
Permanent ateps • main entry
Petmanent driveway ?
Permanent gas ?
Sod/seaded grass
Trail/curb damage ?
Porch t?
Basement finish ?
Deck ?
Please verify vith the builder the removal of roof Yest caps from the plumbing
system and the shut-off of vater supply to the outaida lavn faucet befora
freeze potential axista. &
•tmeewlu
White - City copy Yellow - Reaidant copy Pink - Contractor copy
22
Reques[ Oale Fra No flough-in Inspection
ReG•nredl
eady rbw
? Will NoVly Inspec[w
? Ves ? No When ReaOyl
I censed contractor D owner hereby request inspection of above electrical work at :
JoE Adtlress ISheeL Box or RoWe No ? Qly ?
SecLOn WJ Township Name or No, Ranga No 0
Occupani(PRINT) PM1One No
'5<5 V- C-7 OFi?i
P er SuoP,er Atltlress
Eiecmcal Con ractorlCompany Name) ContracrorS Dcense N.
Mdihng A0d2551COMfdClor of Qvn?p+r Mdking InstalldtiOni /
Aulhorrzetl Sign u/re ICOnIraclO•?Ow/per Making 1 allano ?
?f ?? " Phone Number
. /?? ?j
/ ?/•L
v
MINNESOTA STATE BOARO OF ELECTRICITY
Griggs-MiAway BIOg - Room S173
1821 Univereily Ave, SL Paul, MN 55104 C
Cr
hone(612) 6<2-0800 THIS INSPECTION flEOUEST WILL NOT
BE ACCEPTEO BV THE STATE BOARO
UNLESS PROPER INSPECTION FEE IS
ENCLOSED
'
? REQUEST FOR ELECTRICAL INSPECTION ee ooom oe
r n q P n^? See insnuctmns for compleong Ihis lorm on pack 0 yelbw copy. ????'I
°
33
kJ U I G G "X" Helow Work Govered by lhis Hequest
ew Add Re0 TypeoiBuiltling ApphancesWired EqmpmentWired
Home Range Temporary Service
Duplex Water Heater Electric Hea6ng
Apt. 8mlding Dryer Other (Specity)
Comm./Induslriai Furna
Farm Aftf-C
Other (speaty) ConVaclor's Femarks
Compute Inspechon Fee Below:
# - Other Fee # ServiceEmrenceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
TransformerS Above 200 _ Amps Above 700 _ Amps
SignS Inspecmrs use Oniy_ TOTAL SD
Irrigallon Booms V ?S
Special Inspection
Aiarm/Communication TNIS INSTALLATION MAY BE ORDE D CONNECTED IF NOT
Other Fee COMPLETED WITHIN 16 MONTHS.
I, the Electncal Inspector, hereby RougO-in oe?e
certify that the above inspedion has
been made. F,nai
OFFICE USE JNLY
This request voi0 18 monIDS irom
? 0 90
,?1
" (?
01
Repuesr Oate
/?(
`' Fire No ftougn-m Inspection
qequ?tl4 ?
? Featly N. -+JW?II Nobly Inspeclor
R
tl
Wh
'
/!l .?7Yes C No en
ea
y
Izrricensed contractor ? owner hereby request inspection of above electrical work at:
Job Atltlress (Street Box or Route No )
? Qty
?
3 ?
i_
SMion N. Township Nama or No Range No Cou161
Occu antIPRINT)
?a Phone No.
Pawer u plier tla
Eleclncal Lo tor (Company Nam¢ ? GoMr 5 License No.
Q
MaiLng AtltlRSS IG Iractor or Orvner Makin InstaOahon?
& ,
/ 3
Autnoriz Signature tCOnva ri0wner Making Inst )
nonc?
?1 ?
-?
ne Numher
Pno
g ?? --? 3l
MINNESOTA STATE BOAFD OF ELECTflICITY THIS INSPECTION fiE0UE5i WILL NOT
Gtlgqa-Mldway Bltlg - Room 5193 BE ACCEPTED BV THE STATE BOARD
1821 UnivenMy /ve. 5l Paul. MN $S1D4 UNLESS PROPEF INSPECTION FEE IS
Plwne(612) 662-0800 ENCLOSED
cs%q<
2005 RESIDENTTAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone 4 651-675-5675 FAX # 651-675-5694
New Consduction Reauirements RemoBellReoair Reauirements ORce Use Onlv
3 2gistered site surveys showing sq. k. of lot, sq. R af house; and all roofed areas 2 copies a( plan Cert of Survey Racd _ Y_ N
(20°k maeimum lot coverage allowed) t set of Energy Calculations Por heated additions Tree P2s Plan Recd _ Y_N,
2 capies of plan showing beam 8 wiridax sizes; poured found design, etc. i stte survey for addNons & decks Tree Pres Requi2d _ Y N
isetofEnergyCalculations Addifion•indicateilon•sitesepRcsystem On-siteSepticSyslem _Y_N
3 copies of Trea Preservatbn Plan N lut platted after 711193
Rim Joist Detail Optans selection sleet (buildings wiUi 3 or less units)
Date rJ /`? /
Site Address 2,5 u 3 QS
Lf-C C' T Construction Cost
UniUSte #
?
Description oF Wark 40 L?A" I-eV el ftY7l jAl _
Multi-Family Bldg L[ Y_ N Fireplace(s) S- 0_ 1 _ 2
PropertyOwner ?a m r s Qt?> on h-r J( Telephone #((?5/) ys y- ?? ?
Contractor 92 64-`
Address
State CitY
Zip Telephone tt ( )
COMPIETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(Jsubmissiontype) Submitted Submilted
• Energy Envelope Calculations Su6mitted
Have you previously constructed a building in Eagan with a similar plan2 _ Y _ N If so, 25% plan review
fee appiies.
Licensed Piumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone #(
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of wark which requires a review and
approval of plans. Q IH T ?m{S G??av\ vt-e+ t ; 5
Applicant's Printed Name licant's ignature L??f
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool
? 02 SF Dwelling ? 08 06-plex O 16 Fireplace ? 21 Porch (3-sea.)
? 03 01 of_plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.)
O 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo)
? 05 03-plex ? 71 10-plex -0'18 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex PIbg_Vor _ N ? 25 Miscellaneous
work rypes
? 31 New
O? 32 Addition
? 33 Alteration
? 34 Replacement
Valuation ?) D vD
Census Code f7L?
SAC Units D
# of Units ?
# of Bldgs r
Type of Const ?
_ Footings (new bldg)
_ Footings (deck)
_ Footings (addition)
_ Foundation
Drain Tile
Roof Ice & Water Final
Framing
Fireplace _ R.I. _ Air Test _ Finai
? Insulation
Occupancy tz -
Zoning
Stories
Sq. Ft.
Length
Width
MCES System
City Water
Booster Pump
PRV
Fire Sprinklered
REQUIRED INSPECTIONS
Final/C.O.
? Final/No C.O.
? Plumbing
HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tests Final
_ Siding _ Stucco _ Stone _ Brick
_ Windows
_ Retaining Wall
Approved By: -?;) Q s-1 `0_57guilding Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
? 30 Accessory Bidg
? 31 Ext. AR - Multi
? 33 Ext. Alt - SF
? 36 Multi Misc.
? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 37 Demolish Building` ? 43 Reroof ? 46 Windows/Doors
'Demolitlon (Entire Bldg) - Give PCA handout to appliwnt
b?g?6
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.
Date J 1 9 I 65
Site Street Address 3a y3 I4Iff9dP Cr ? Unit #
,
Property Owner -, 9 YNCS O? O n nY Telephone #( GSl ) 4sy-So 83
Contractor Telephone # ( )
Address City State Zip
The Applicant is: ?Owner _ Contractor _Other
Alteretions to existing dwelling $ 50.00
Add plumbing fxtures. This fee includes putting in a water softener and/or water
_
heater at the same time. If you are instalfinq onlv a wafer soffener and/or water
heater, do not complete this section. Move to the next section and check the
appliance(s) you are installing.
_Septic System Abandonment
_Water Turnaround (add $125.00 if a 5/8" meter is required)
Other: L?L )?4? /"0o?
_
Water Softener Water Heater $ 15.00
_ new _ replacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ .50
Total $ 50,50
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. ?
I'II I
ApplicanYs Printed Name plicanYs Signature I;1 MAY 0 6 2005
!? I?i ?
CITY USE ONLY
PERMIT #: RECEIPT DATE:. I - ?- ? - G
„ fiESIDENTIAL MECH"CA1. PFIMIT APPLICATION
crrYoe EAsa?iv
saso Paor xiuos an
_ EAaax Mx 55122
• 651-681-4675
Please complete for: ?
Date:
SITEADDRESS: LC'?
OWNER NAME: ) I dVl Q!L?NfJ&V TELEPHONE #: UCD'i_5CS,?t)
(AREA CODE)
INSTALLER NAME: TELEPHONE #: LoE-1) (_ 4Z.;5 - I I L-I ?t
(AREA CODE)
STREETADDRESS: ICC)Vd,a?"{_ TO_l? _
CITY: STATE: Ul W ZIP: S? LCJ
Plare a check marlc nerc tn the nermit wnrlc tvne
New residential dwelling unit under constructionand not owner/occupied $ 70.00
? Add-on, modification or alteration to existinq dwelling unit $ 50.00
• furnace replacement
• air exchanger
• air conditioner
• other
Nature of work: I/ 00 ?n (' 0?1???/1('.( CD ."? J-;n <'rA-l C,
State Surchar e $ .50
t
l 60
$ ?
TO
a
Reminder: Cal! for inspections.
single family dwellings
townhomes and condos when permits are required for each unit
o ?--- VP
Updated 1l01
? PERMIT Control No. 1153
ClTlf O'F EAGA N
3830 Pilot Knob Road PERMITTYPE: euzLorNG
Eagan
Minnesota 55123
Number:
Permit
6@156a
,
(612) 681-4675 Date Issued: 10 /06/92
SITE ADDRESS:
3243 wiI-I-szoe cr
LOT: 6 BLOCK: 1
BUR OAK HTLL5 2NIJ
DESCRIPTION:
<8ui1d'Ing PermiC Type 5F DWO
8uildin9 ` Work Type WEW
,- UBC Occupiriby R-3 M-1
" ConetrucCion'T,ype V-N
zoning H-1
8uilding length ? 53
8eai.ltiing Width 50
REMARKS:
F'F?V :3 & W CON7ftAC:TOR - STNR PLBG
FEE SUMMARY:
VALUATSON $99,009
Base Fee $636.00 MISCE LLANEOUS $1,610.50
PJ.an Review $412.75 Total Fee $3,407.75
Surcharga $49.50
SAC $700.00
SflC % 100
SAC UniLs 1
?...?._
Subtotal $1,797.25
CONTRACTOR: - Applicant - s'r. LT pWNER:
L"OLLEGF CITY CONSTRUCTrON 14811211 080120 COLLEGE CI7Y CONS7
6978 151ST ST 6970 15157 ST
APPLE VAI.LEY MN 55124 APPLE VALLEY MN 58124
(612) 431-1211 (612)931-127.1
?
I herelay acknawledge that I haue read rir35 app3icatian And state tFrat the
inforrpatian is c rect and agree to comp,ty waCh all dpplicab9.e SCate af Mn.
Stati.yles an C% aF Eagart Qrdinances.
/'? ? i ?lnun ???,??rn?
APPLIC T/PE TEE SIGNATUflE ISSUED 8}f' S NATU E
PERMIT N
1AL0
CITY OF EAGAN
1992 SU{LD1NG PERMIT APPLICATION
681-4675
?? ?0"1. ?t!i
cC ; ! 10 -3
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
1 GdlCS.
COMMERCIAL 2 sets of architectural.8 structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies when typing of permit is requested, but not picked up by last working day
af month in which re uest is made or lot chan e is re uested once ermit is issued.
Date /:30 / 9 ?- Valuation of work
Site Address: 39`f3 m«SicQ.c,_.. Q?:
STREET STE /
Tenant Name: (commercial only)
L0T ? BLOCK ? SUBD. ??2???5 ?`lt , c1Wa P.I.O. M
Descri tion of work:
The applicant is: ? Owner D'COntractor ? Other coesor;ne>
Name Phone
Property LAST FIRST
Owner
pddress
STREE( STE M
City State Zip
Company Co«? Ci?x Phone
Contractor Address 6970 15C5?' Sk. License #\-d44 Exp.3-3t-q?
City A?(\Q .)cJCcv State MZ Zip 5ls a?
Company Phone
Architect/
Engineer Name Registration t
Address
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has beeh approved.
I hereby acknowledge that I
e read his pplication and state that the information is
correct and agree to comply h al pl' ble State of Minnesota Statutes and City of
t
Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE
O 01 Foundation
O 05 Apt. B1dg
O 09 Basement Fin _
ish ? 1?"Co %InNew
g 02 SF Dwg. O 06 Garage/Accessory ? 10 Swim Pool ? 14 Comm/Ind Add
? 03 Two family ? 01 fireplace ? 11 Res. Add. ? 15 CommJInd Rem
? 04 Multi-fam. T.H. ? 08 Deck O 12 Res. Porch ? 16 Public Fac.
. ? 17 Agricultural
WORK TYPE
031 New ? 33 Alterations ? 35 Move
? 32 Addition ? 34 Tenant finish ? 36 Demolish
GENERAL INFORMATION
Const. (Actual) V- N Basement sq. ft . MWCC System Yz5
(A1lowable) v- N lst fl. sq. ft. City Water TE5
UBC Occupancy - 2nd F1. sq. ft. PRY Required r3
Zoning Sq. Ft. total Booster Pump
# of Stories Footprint Sq. f t. fire Sprinkler
length ? On-site well Census Code Yd/
Oepth 5o On-site sewage SAC Code ot
APPROVALS
Ptanning Building Assessments
Engineering Yariance
REQUIRED INSPECTIONS
? Site ? Footing ? framing ? Insulation
? Wallboard , ? Final ? Draintile ? Fireplace
Permit fee v.tuacrd,: s7( 000-
Surc Pl anhReveew G ARA : 3 Z x 2Y= 768
License 12 x Z
MWCC SAC
City SAC ' '144 X(6 I y0y
2-KZ3 -5qg ,
Water Conn. 23)( 28 = 6y4
Mater Meter .7 x y? g
Acct. Deposit .2 k ? ¢?----
S/W Permit ?--
S/W Surcharge
ockik - I226 X/S -` ? S? ? R a
15r Fo
Treatment P1.
- -
Road Unit
Park Ded.
Trails Ded.
??
Copies
Total
?3= (p81g
)Z?6u 5
:
,
5pC 76 10o Z
SAC Units 1
10-O1-92 ?12.59PM FROM COLIEGE CITY CONSTR. P02
?ll1?Cl Ar'B ??&?`c
?
9URYl11 FOR: Colleua City
D!$CRIBBD A8: I,ot 61 Nlock 1, RURR OAKS tiLI.LS 2ND ADDITiON, City of F,agari,
pakota County, Minnosotu and resorving eusamontis of racord. •
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11li1lSIOERTUY iN?T1Nlt 0ATM1E WDEOR116tlt qEPNRlLNTATION
v? E OoUNOnniES OR TN6 ABOYE oESCA18E0 PROP6RiY As Nlp? 92q.4?S
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LLEGE CITY CONSTR. 612 431 1266 10-0 -Wj2:3 PM P002 #03
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?\ 'p•?4, ? ?`l? ?LBN?? ?,?
. ?
a I IV
\'
cx•riaiiuu AVI:ItAGI: "11" l:U}il'U'1'TT[OI1
i,wi4rn
Sl'rl: AUo"-':;, 39 q 3
coHTiincroic_ C,f
onTe_ TL30--?'i ?? riioue ?31-1`a.ll
Uctccminc voakiny ><IuaCC CouCOqc uC cach.
l. •rocal exl>o!.ca ...u ari:a . ..... __ I 40 Z o tc. x__?
2. Tolal roo[.ccilincj arca ...... ILSq•o [t. x .025
'PoL.il cxposeJ will arca alxova Cluur - _L07.0
a. Total Wall vindoa arca ....................................
b. Total door aroa ........................................... _?(O• B_
c. Tocal slidiny ylass door arca ............................. 31. Z _
d. Tota1 Cirepl,icc w:ill a[ca ................................. O
----?
c. 9'uCal will Lrsmin?j irca (dvcrayc lOV.) .....................
f. Total nct will arca abovc Eloor ..........................•
y. ToCaI rim joist arca .............. ............ ............ _1 Z 5• O
ToCal exposed Eoundacion arca = / D 0.3
h. Total foundation vindow arca ......................•••..... O
----
i. Total net foundation arca aL'ovc gradc ..................... _100•3
GcCCrminc "U" valur_ ot cac6 w.all segmcnt.
1 ._I34t. - Y _ x ,.u.l
n. Yo • g.__ x ..U..
c. 31. z x ••u•.
d. O X "U"
?. IQo • a x.u..
r..JS._qj_q___ x »u..
.?. _ I Zs-o - . ..i?..
r,. d . ..,?.,
1po 3 . .....
. 5'5, = 75• b_--
. o7L .- 3j.-
• 5S = 17•3 _
b O
--
--' o y z __ - _ ?n 3 • ( _- .-
.oyJ ." ...-5.?g- --
O = b _.
. 083 8?3
1 ......................................Totsl ? !Q S _`L_
IC item qJ is thc samc as, or les:: than itum ql, you liavt: met chc i,nCCnl
ot suc Goor,(c)z. ?d,,?, x 3 ?qS. `f ) t 9l+?,,. + I ?zo 4• ? ) "?v?.i 't'a`
„r,4,4 d? S 3 c, v o v C. Cc ) z
ToGal exposed rouf/ccilinq arca = !ZT y_Q
j. T4ta1 skyli9ht arca ....................................... O
Y.. Total rooL/ccilinq framiny area (avcro(je 10'4) ............. IlS?? -
1. Total net in;:ulated roof/cuiling arc:a ..................... `If 0.f.
Detcrminc "U" valur_ for cach rooE/cciliiui sccJnenr..
j. b x"U" d = d
k. izs. y x..u,. oz5 = 3•1
.. 1 llZ8 fe X" u.. . oa/ Z3•7
4 ............................ . ......ToCal = ?2(a' O
If total of 94 is the same as, or Less than #2, you have met tlic intent oE
soc 6006 tc> i. .9t" . y ?2 ?. g? c. 9?.- n'Z C3 ?• ?/? ',.,"(
42.A.cr,q,,,; C. (v o 0 6 Cc -)/ .
Alternatc Building Envelope Design
To uCilize t}ie total enveLope system meth«7, tlic valucs es[ablish-:d by tllc
sum of items N1 and 04 shall not be gceater than the sum oF iCCms 91 and 92,
• + z. 31,y = ayo.(o
. i. 2 0 4. z. -. .
, 3. 145.y + a. Z4 •8 = zzz. ?z . . .
?'' I? 1 z CY o• 3+ t 5t ?az z. i?
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT
PERMITTYPE: euxLozNG
Permit Number: 0 2 8 2 5 5
Date Issued: 0 7/ 16 { 9 6
SITE ADDRESS:
P.I.N.: 10-15501-060-01
3243 HILLSIDE CT
LO7: 6 BLOCK: 1
BUR OAK HILLS 2ND
DESCRIPTION:
FTGS -
/-R,
&ttif"?d'i,n.g Permit Type
/#3uildin4`wark Type
,-?`Census Cod'2-,
t
t
FUTURE PORCH
DECK
NEW
434 ALT. RE3IDENTIAL
- roF.e( '4u?s"?
.? s .: ..? e ..._? -1 . ?... 1
REMAR?p :FTGs TO BE BELLED TO 24" ON CENTER FOR FUTURE PORCH
FEE SUMMARY:
Base Fee $45.00
Surcharge $.50'
Total Fee $45.50
CONTRACTOR:
?0'?IIN1a - n r" - _....- - '
ELL JAME5
3243 HILLSIDE CT
EAGAN MN
(612)454-5083
? I her'eby acknowledg6 thetI 14ave read ihisap'plivation and state tliat th6 ?
infiormation is correct and,agree to comply with a12 appZicab3.e State ot Mn.
StatuCeS and City of Eagan drdinances.
?
( I APPLICANT/PERMITEE SIGNATURE ISSUED V: SIGNATURE
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
1996 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675 ? 3 registered site surveys
? 2 copiea ol plane (indWe be,m & window aizes; poured fid. desfgn; etc.)
? 1 energy talwtationa
? 3 copiea ot Iree presarvaHOn pfan H bt platted aRer 7/1193
uired: Yes No
Name: QZQY\ V? e0 SCl WV1-PS Phone #: '154-5Q&3
? rwer
DATE: ql 1c)j ` ? CONSTRUCTION COST'113 0 (2) ' 00
DESCRIPTIOM OF WORK: -ZiL ?? c{ dAC'IC ('1 F F bCt CV I`0 lA
STREETADDRESS: 3a`y3 C-A-?AAJ MN 5512
LOT i BLOCK SUBD./P.I.D. #: Rs?s.s? OLkl WLLs a qa AbOIT? U
PROPERTY
OWNER
CONTRACTOR
ARCHITECT/
ENGINEER
Street
? 2 topfes o( plan
? 2 site surveys (exterior additions & dedcs)
? 1 energy ealculatlons iw heeted edditfons
C
City: &6!?q Vs 5tate: f? Zip. 55 ? a i
Company: ' Phone #: 45y 5??3
Street Address:
Ci{y: ' State:
Company:
Name:
License #:
Q/ S ?
Zip.
Phone #*
Registration #•
Street Address-
City:
5tate:
Zip:
Sewer 8 water licensed piumber. . Penalty applies when address change and lot
change are requested once pertnit is issued.
1 hereby acknowledge that I have read this applicaiion and state that the infortnation is wrrect and agree to com ly with all
applicable State of Minnesota Statutes and City of Eagan Ordinances. n p?
Signature of Applicant:
OfF{CE USE ONLY
Certificates of Survey Received
_ Yes
n99t, l 6 dill
Tree Preservation Plan Received _ Yes _ N
(c]?G?J? ?_I?- -- ----------
OFFICE USE ONLY
SUILDING PERMIT TYPE
n 01 Foundation ? 06 Duplex o 11
0 02 SF Dwelling o 07 4-plex ? 12
0 03 SF Addition o 08 8-plex ? 13
o Od SF Porch o 09 12-plex o 14
0 05 SF Misc. 0 10 = plex ZEf- 15
WORK TYPE
?1 New o 33 Alterations o 38
a 32 Addition ? 34 Repair o 37
GENPRAL INFORMATIOtd
Const (Actuaq
(Allowable)
U8C Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
Gity SAC
Water Conn.
Water Meter
Acct. Deposit
SIW Permit
SNV Suroharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
Apt./Lodging o
Multi Repair/Rem. ?
Garage/Accessory n
Fireplace o
Ueck
. . . ?-. .
16 Basement Finish
17 5wim Pool
20 Public Facility
21 Miscelianeous
HGG A9'R/4f
/Jie c r ?-
Move
Demofition /-&zeN
`
_ Basement sq. R. MC/WS System
_ Main level sq. ft. City Water
_ sq. ft. Fire Sprinklered
_ sq. ft. PRV
_ sq. ft. Booster Pump
_ sq. ft. Census Code. y,3 y
Footprint sq. ft. SAC Code D/
Census Bidg /
Census Unit o
?
Engineering
Building Variance
ValuaGon: $
,
% SAC
SAC Units
? • - :t:F7PM.FF9M C0IEEGE CITY CDNSTfl. -
^A^ Cl N. L( e-'-.? q ' S o
11 ? * W01"'B i art? ti?lte
.?
3D?q,2> 0 11 I S ic1-e c fi
DEPT
9URVlY FqR; Gollouo Clty
DlBCRIO@D AS: 1,0 t 6, 81ock 1, AUR[t OAxS 11it,i,9 2ND ADDI'fION, City of t3sgan,
bakpta County, rtinnosotu ancl resorving easaments of rocord. 1481111
af
e?l•?
n
r---------.---_
? I , re??•
I I ?
4
to l
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.?
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: ,.
.h 4 b
? ? ,•' 1
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.
?i ?`1? .?o . • .?.?,? •
ld/?, f r,, : q, V ?\
..1`_ ? '~•?/ ??
? ? ?J a
P.R.V. REQUIRED ,
aoracE -
$9
EAQA21j
0
PFKMSIQPLMM
Tupol Poundatlont B
• 0tiA
OappFkor
BatmeN MOar • 871.G.
'
¦ 866.A
kip1071. AOwN 6i1V100 EwV. . ¦
Piaptod
u
?
xlb+q Ehv
bns
6
aanoo. a?.alons :.,
?CIIO??? O??ON ?v10 r ?
lirEaLcrND
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ieiea u.am•?????:'i' ??"w?w.a. nno
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yC)
RIMMARK. 7N1L@ 'S, 0.(
71
f
EIwa 870.13
t8; t83.*
BCIU.11 1 Inch • 30 Faet
?N s?[e??KR? e Nrs
Fmd .3o How.aw.•,o
Rpu • iS Oerape 81dO •a
IIERROYqEqTUY TIUi1NU ISA1qUi aNOCORIIMtlt qlif pR6tNUT10N
Oi iN! 0071}1pApIEO QP TN6 ABOV@ OE?` qIgEO VHOPEAIY Ar BUq?
VkYi0BV1lpORU11pERMYDIp6CT6lJPaqW14MNlINDpO$lNC1PIN1qPOpT
To eHOtN wvaovr?l@Nre on ENOpbACNUeme, uxcpar Aa exowN.
+? Y? J1NCfiN6N, LAN UAVHYdN
RdN DtA LICEN5@ NipA96R 119fA
1,LEGG'?ITY COWS'I'N 612 191 I'Gfl; 10 0
J09 NO.1
92It-41$
'11'M11 YUO' li(ll
CITY USE ONLY
L ? BL RECEIPT* 80 03 0
SUBD. - -).j1v4?( RECEIPT DATE: gIa ??"rl 7
1997 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? single family dwellings
. townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES ELCH NO. TOTAL
Shower 3.00 x =
Water Closet 3.00 x =
Bath Tub 3.00 x =
Lavatory 3.00 x =
Kitchen Sink 3.00 x =
Laundry Tray 3.00 x =
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x =
Floor Drain 3.00 x =
Gas Piping Outlet ' minimum -1 3.00 x =
Rough Openings 1.50 x =
Watef SOftenef ' for dwellings under construdion 5.00 X =
Water Softener ` for existing dwelling 20.00 x =
U.G. Spfinklef ' for dwelling under const. 3.
00 =
U.G. Sprinkler ' for existing dwellin9 ?
Alterations 'toezistingresidence 20.00 =
Water Tum Around 20.00 =
Private Disposal System " oak Cty iic. 75.00 =
(new and refurbished systems)
Private Disposal Systems "nbandonment 20.00 =
STATE SURCHARGE .50
TOTAL ?Q
I hereby adcnowiedge that I have read this application, state that the information is correct, and agree to comply with all applicable City
of Eagan ordinances. It is the applicant's responsibiiity to notify the property owner that the City of Eagan assumes no liability for any
damages caused by the City during Rs normal operational and maintenance activities to the facilities constructed under this permit within
City property/right-of-way/easement.
? ?aZI3 ?,(/ C ?Twtif
SITE ADDRESS:
OWNERNAME: n?°^ d?
INSTALLER NAME:
STREET ADDRESS/J: ???-/? G'
CITY: / ?OlA?.Q?/ v?
,,CZ5 13 c o
R PZ
?2s y
14
TELEPHONE#: ???.3'-???
? 7 ,.. •
STATE: ?. ZIP:
SIGNATU OF PERMITTEE
V? J,61
MEHANICAL PERMIT RECEIPT # O 7 g7?
3UBD. ?4,4 J? / ,,^ o n (612) 681-4675 DATE
RESIDEIVTIAL
PLEASE COMPLEfE UPPER PORTION ONLY FOR SINGLE FAMII Y DWELIdNGS. AL40, COMPLEf'E FOR
TOWNHOMES/CONDOS R'HEN SEPARATE PERMITS ARE REQUIRID FOR EACH DWELLING iTNIT.
OWNER: LS CD C' e l.r ? p. ( ADD-ON A/C ADD-ON FURNACE ?
SiTE ADDRESS:
; IIS ? 2._ ADD ON/REMODEL WIISTING
CONS'fRUGTION ONLl7 $ 13.00
INSTALLER: HVAC: 0-100 M BTU 24.00 ?
PAONE #: urnsvi e ea.ing , nc.
ADDTfIONAL 50 M BTU
6.00
ppDRESS: 5avage, MN 55378•1122 Gns oUTLEI's - MIIdIlHUht 1@ $3 En. j a 60
CI7Y: ZIP: SURCAARGE: $ .50
SIGNATURE j Q 6 ? TOTAL:
U (/ ---?
NO PERMIT REQUIRED FOR DUCTWORK ONLY!
COMMERCIAL
PLFASE COMPLETE THIS PORTION FOR ALL COMMERCL+UINDUSTRIAL BUILDINGS. AISO COMPLEI'E FOR
APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUII.DINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR
EACH DWELLING UNTf.
WORR DFSCRIPTION: , CONTRACI' PRICE:
196 OF CONTRACT FEE. FEFS
STATE SURCAARGE IS $.50 FOR EACH
$1,000 OF PERMTT FEE.
$
PROCESSID PIPING - $25.00
MINIMUM FEE - $25.00
$
ORNER: TOTAL: $
SI1'E ADDRFSS:
7'ENANT:
SUI1'E #: _
INS7'ALLER:
ADDRESS: -
CT1Y: ZIP:
PHONE #: CITY SIGNATURE.
SIGNATURE:
szto
1993 MECHAHICAL PERMIT (RESIDEIVTIAL)
CITY OF EAGAN
3830 PIIAT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNTT.
- ----------------------- - ------ - --- - -
W CONSTRUCTION
?D-ON A/C
ADD-ON FURNACE
DATE (?
'kE S
HVAC: 0-100 M BTU
ADDITIONAL 50 M BTU
GAS OUTLETS (MINIMUM 1 @ $3.00 EACH)
ADD-ON/REMODEL (ExlsTtNG CoNSTRUCi7ox)
STATE SURCHARGE
TOTAL L-
?vr,-?o ??Y1'??P?* ?Cr
SITE
aZA3 7Vi//,S;Je C?f.
$ 24.00
6.00
$
'f /93
aWNER NAME: -,41' rr, D",De r, r, e. f I TELEPHONE #: 4.?
INSTALLER:
Vu111JVlllV I IGU?111?j Vt /-?/ V? .
ADDRESS: 12481 Rhode Isi and F,ve. So.
,
CITY: 894-0005 STATE: ZIP CODE:
TELEPHONE #
NA E OF PERMITTEE
1993 MECHANICAL PERMIT (CONIMERCIAL)
CI1Y OF EAGAN
3830 PIIAT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR ALL COMAMRCIAL/INDUSTRIAL BUILDINGS. ALSO COMPLETE
FOR APARTMENT BUILDINGS OR OTHER MULTT-FAMILY BUILDINGS WHEN SEPARATE
PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNTf.
TJ,A 1 E:
NEW BUILDING
INT'ERIOR IMPROVEMENT
WORK DESCRIPTION:
r:Otti'11ZAC 71 I'RiCE: $
FEES
1% OF CONTRACT FEE $
PROCESSED PIPING: $25.00
MINIMUM FEE: $25.00
STATE SURCHARGE $.50 FOR EACH $1,000 OF ?'?'1'F FEE.
,...,..
TOTAL $
STTE ADDRESS: •
OWNER NAME: TELEPHONE #:
TENANT NAME: (IMPROVEMENTS oxLY)
INSTALLER:
ADDRESS:
CI7'1': STATE: ZIP CODE:
TELEPHONE #:
SIGNATURE OF PERMITTEE CITY INSPECTOR
PLUMBING (RESIDENTIAL)
Permit Application
City OfEagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
Pleasc complete for. Single Family Dwellings
Townhomes and Condos when permiu aze required for each unit
9G 3G -S?
Date 06 / 26 / 03
SiteAddress 3243 Hillside Ct. Unit#
Property Owner Kim 0'Donnell Telephone#( )
Dakota Plumbing and Heating, Inc.
Coniractor
Address 3650 Kennebec Drive #102 City Eagan
State MN Zip 55122 Telephonett ?51) 454-6645
The Applicant is _ Owner X Contractor _ Other
Septic System New _ Refurbished Submit 2 sets of plans and MPC license $ 100 00
Includes County fee. Additional consulWnt fees may apply.
Alterations To Existing Dwelling Unit, Including $ 50.00
_ Adding fiMures to lower levels or room additions, excluding water softener and water heater
_ Abandonment of septic system
_ Water turnaround (+ 5/8" meter if reeeded -$121.00)
Other:
_ RPZ _ new installation _ repair x rebuild $ 30.00
_ Lawn irrigation system
_ Water softener _ Water heater $ 15.00
_ replacement _ additional
r_.
II I lti ?? I ? ?
$ 50
State Surcharge
Total , $ 30.50
iu
1 hereby apply for a Residential Plumbing Permit and acknowledge tnat tne mrormazion is compieie anu accuraic, ula< <?Le wri ? wI
be in conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that l 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 wilh thc
approved plan in the case of work which requires a review and approval of plans.
Paul Rascher ?? "`?`-"??-
Applicant's Printed Name Applicant's ignature ?-
o?jb?ql
2006 RESIDENTIAL BUILDING PExauT arrLicnTioN
City Of Eagan
3830 Pilot Knob Road, Eagan NIN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsW[lion Reauirements
3 registered sde surveys showing sq ft of lot, sq ft of house; and all roofed areas
(20% maximum lot coverage allaxed)
1 Soils Report if proposed building is to 6e placed on disWrbed soil
2 wpies of plan showing beam &vnndow sizes, pouretl fountl tlesign, etc.
1 set oi Enemy Calculations
3 copies of Tiee Preservation Plan if lot pWtted afler 711193
Rim Joisl Detail Oplions seladion sheel (buildiiys wilh 3 or less umts)
Minnegasw mechanical venlilation form
gmodeVReoair Reauirements
joists
2 copies of plan showing footings, beams,
1 set of Energy Calcula6ons for heated additions
1 site survey for addNons 8 decks
Add'mon • indicafe M on-sfie sephc system
"/os ?
?
Otfiu lse On _ „ . ,.
CeitafSuivey @RJ,i"°"N
SoilsRepoA. ';."<;
Tree.P2sPla„ tecd:"::.:=r:-
ReePresRec-reda,..`.Y _N
On-sReSeptic ystem,'q*',=+y,.,- N
Date (e Construction Cast
Site Address 3 a y3 ?//?f? `( C ?? UniUSte # _
tion of Work
Descri
p
64ulti-Family Bldg _ Y? N Fireplace(s) _ 0 2
Propert} Owner 1/i m D, U1717e-/?
' 9/
Telephone #( t(?) ?'S &
,?i?
Contraclor (L%`?C?P CCCt6',l ??11.S4?6c?7? d?-J
Address /7v /?/,
State /9) Al Zip ;7 503?
/
City S'? //( 'Q.
Telephone # (/p57)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDI AG
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 76 ?
- -
Energy Code Category . Residen6al Ventilation Category 7 Worksheet • New Energy Coda orksheet
(J submission rype) Submitted Submittad
• Energy Envelope CalculaGons Submitted
In the last 12 months, has The CiTy of Eagon issued a permit for a similar plan based on a master plan?
Y _ N If yes, date and address of master plan:
LicensEd Plumber Telephone #? J
Mechanical Contractor Telephone #( J
Sewer/WaterContractor Telephone#( )
I hereby apply for a Residential Building Pernut and acknowledge that the information is comi
that thc work will be in conformance with the ordinances and codes of the City of Eagan anc
Statutes; I understand this is not a permit, but only an application for a permit, and work is no
permit; that the work will be in accordance with the approved plan in the case of work which rec
approval of plansA ?
? i'?l/7 e /'/Gt/`/!4'J
ete and accurate;
the State of MN
to start without a
ires a review and
Ap ip c:mt's Printed Name Applicant's Signature
q??Moftatan
383o Pilot Knob Road
Eagan MN 55122
Phone: (651) 875-6675
Fax: (651) 675-6M
2008 RESIDENTIAL PLUMBING
wr OWme Use
; Pennit Few
? ??:?
I py?
APPLICA110N
Tenaet
RESIDENf/QWNER Name: /LO E iPhorre: ??`Z?7-??5?
? S
nddress I Ciry I ZP:
(OHiRACTOR I Nanie:
1 49..TJ - ? -,--
Phorre? S/- 7(,I, F- 2 7/S Cordect Pom°".
'(YPE OF WORK _ Now - Pmoaconardn/ ,
PERUrr TvPE
wamr Heater
AM RPZ1 trrga6on
_ PVB)
_ Septie SYster^
N2YY
AbaI1d0I11118fd
_Rebuip ,V__MocffYSpace _WorkinRO.W.
wator sofiene.
Arm Rwnbirg F)AUres
-?Main._ lower Lem)
Waier Tumaround
RESIDEIYTIAL FEES:
E50.50 lebwnum Water Heater, Water Softener, or Water Feater and Sa-mm Cmdudes $-50 Stdo Surdiaw)
X30_50 Lawn Irrigation C?? ? StaD Surchaw)
$50.50 Add Plumbing F'alures, SePtic SYstem Abandonment. Water Turnaround' (ff=kdes $.50 State Surdmree)
"Vllataz Tumaround (acid 8136.00 "rf a 518' rteter is requirM
$100.50 Septic SYstern Now ($10.00 per as butt) Wudes County fee and $SO StaOe 5urcharge)
$K).50 Fire Repair (replace bumed a,t apaiances. ducdwrk, ebc.) (cdudes S-50 Sloe sirtiiarge) ? cJ
TOTAL FEES; .5
i re,eyy adu,owWp uret ms urcam=M scompicia mm
ragan; »? I wdestad ft s noi a permn. aa ondr an api6cation tr a nerinit, andwanc is nt eo stut.mhaa a pamt u0 nie work w17 be in
acco rwih tlre appmyed qen in me cam d walc .? ?pmes a ie?riaw md appor?
X?? ? S X?
pPMicanYs Wkded Neme Appliceiu's Si?
FOFf OFFlCE USE
Required Inspedions:
Rev7ewed 8y:
Under Gramd RaIgh-in . Air Test
Dete:
Gas Test Final
PERMIT
City of Eagan Permit Type: Building
Eagan. Permit Number: EA093262
Date Issued: 03/30/2010
OR Permit Category: ePermit
41~ it~ of E3
E
Site Address: 3243 Hillside Ct
Lot: 6 Block: I Addition: Bur Oak Hills 2nd
PID:10-15501-060-01
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 Rvan J Seabright
1920 County Road C West 3243 Hillside Ct
Roseville NIN 55113 Eagan NIN 55121--235
(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
Use BLUE or BLACK Ink
For Office Use I
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I Permit Fee: 0 . U3
3830 Pilot Knob Road I
Eagan MN 55122 1 Date Received: Wih3
Phone: (651) 675-5675 j I
Staff:
Fax: (651) 675-5694 i _
2013 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date:6' 0"' Site Address: if /
Tenant: Suite
Resident/Owner Name: /Gd z° 5e--y' 5r 1 r I h / Phone: lS~ 7 4
Address !City /Zip: Y
o /
Name: License / ~~~SOc S
[ Contractor Address. S~'Z Cr /7e~P ~Cc% City: rll-hl
State: Zip: Phone- / 1~~ ~41 Z 7~
Contact: ~ ` dzaw Email
Type of Work - New _ Replacement _ Repair Rebuild _ Modify Space _ Work in R.O.W.
Description of work: ~r✓° G l
RESIDENTIAL
Water Heater
Water
Lawn Irrigation (4 RPZ PVB) Softener
Permit Type
Add Plumbing Fixtures Main Lower Level)
Septic System
New Water Turnaround
Abandonment
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$60.00 Lawn Irrigation (includes $5.00 minimum State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
*Water Turnaround (add $200.00 if a 5/8" meter is required)
$105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) /
TOTAL FEES $ l®
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.4opherstateonecall.ong
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 x
Applicants Printed Name Applicants Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground Rough-In Air Test Gas Test Final
Use BLUE or BLACK Ink
For Office Use44k1111°'
Cityof Ea ai RF CE+N/E° Permit#:Q�1 Permit Fee: ( 0" ' v /
3830 Pilot Knob Road SAN p 3 2
Eagan MN 55122 j✓ 2
Phone:(651)675-5675 Date Received: /
Fax:(651)675-5694 Staff:
2016 MECHANICAL PERMIT APPLICATION
❑ Please submit two(2)sets of plans with all commercial applications.
Date: k 9114 Site Address: LtI \ \c( CDaY k
Tenant: Suite#:
Resident/Owner Name: ��( n SAO jrY Phone:
Address/City/Zip: - U 3 04- t 6-0 C)Qtt) 55 t o k
Name: '°V1) - CAC\ "\--A CO 1'{\O) P Ce.) :I License#: y-1I"Jut/ 2}cc
Address: LI oko
Contractor' U 1 GI IM.e, e, bi City: Sb ll ��q'
State: M N Zip: S CJ� Phone: LoS 1`-101-1-- 001 U
Contact: Email: S \r GV\.' O Y4Sc%UQc1 chin
New ✓ Replacement Additional Alteration Demolition
Type of Work Description of work:
NOTE:Roof mounted and ground mounted mechanical equipment is required to be screened by City
Code. Please contact the Mechanical Inspector for information on permitted screening methods.
RESIDENTIAL COMMERCIAL
Furnace New Construction Interior Improvement
Permit TypeAir Conditioner Install Piping Processed
Air Exchanger Gas Exterior HVAC Unit
Heat Pump Under/Above ground Tank ( Install/_Remove)
Other
RESIDENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit,includes State Surcharge
$100.00 Residential New, includes State Surcharge =$ TOTAL FEE
COMMERCIAL FEES Contract Value$ x.01
$60.00 Permit Fee Minimum
$75.00 Underground tank installation/removal,includes State Surcharge =$ Permit Fee
_$ Surcharge
Surcharge=Contract Value x$0.0005
If the project valuation is over$1 million,please call for Surcharge =$ TOTAL FEE
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 t D .a U�—Z x S rd,1Poh R YQ a
Appli is Printed Name Applicant's Signature
FOR OFFICE USE
Required Inspections: . Reviewed 13y: Date:
Underground Rough In Air Test Gas Service Test ` In-floor Heat Final HVAC Screening.
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA164875
Date Issued:10/09/2020
Permit Category:ePermit
Site Address: 3243 Hillside Ct
Lot:6 Block: 1 Addition: Bur Oak Hills 2nd
PID:10-15501-01-060
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Ryan J Seabright
3243 Hillside Ct
Eagan MN 55121
Roofs R Us
941 W 80th St
Bloomington MN 55420
(612) 282-8092
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA165634
Date Issued:11/12/2020
Permit Category:ePermit
Site Address: 3243 Hillside Ct
Lot:6 Block: 1 Addition: Bur Oak Hills 2nd
PID:10-15501-01-060
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 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 -
Ryan J Seabright
3243 Hillside Ct
Eagan MN 55121
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature