3247 Hillside Ct\
? . '? ?_t?j{ ? , .....•i
(ger#tfiratt of (Orr?panry
Citp of (tagan `
appmtauettt af wuildiag 3wrdian
nIs Catljrcate iued pursuan! w tlre re+guinemerrts ojSectiorc 306 ojrhe bnifonrc Bu1Jling
Code cerNfYin8lhat at tlie lime of tssudree this struclure x+as in com,pliarrae with 11Ae viarious ,
ordirrances of tJie GSty regulaAing building construction or use. For rhe foUowing.•
trw abwowm SF DWG m4 hrm;, N,, 1811
o-,o.,7 T"C R3I14I Zoming n- ?t l ,yw C„w VP1
oworr ar eaift ? E?aRS IN(C Ad&a 3200 AW MAIld ST, MM RAPID6
3247 HTiI ST1]R !Yi1RT Lac,rdyT.S. RI, MiR f1AK NT77 C2A']
/
? ?? Q1.1
suidiM o6cid ,
POST IN A CONSPICUOUS PLACE
.r'. .-! .
?
INSPECTI4N RECORD I Cantrol No. 1313
•- r,
CITY OF EAGAN F.EACTIVATED FUR BW FINISH 12106I93 PERMlT TYPE: ot' ?lotoo'i
3830 Pilot Knob Road MWM IENERS 725"52$5 Permit Number: •o i M f i
Eagan, Minnesota 55123 Date Issued: •? 1????`? ?
(612) 681-4675
SITEADDRESS: LoT; 5 Bi.OCv- 1 APPLICANT:
, .i:'47 HY[,l.SIbE. C'f S/1AMROCK Bt.QRS TNC
, tiI.iR r1AK HIl4S 204[a (612) 436•-4274
PERMIT SUBTYPE:
, f t41r;
TYPE OF WORK:
NE'W
INSPECTION
k INt, D. •
f KAMTN6 ..
,
I.N`:UT A1 i(lh FINAI.
' F t R['Pl AC.F
OVMiANk':,, itl=t.f IRT *
?
s
rj
?e.mn No. PsermR r+okler - wee Taepnone r
811N
PLUMBING
HVAC
ELECTRIC
ELECTRiC 00
Inspectlon Qate Insp. Comments
Foetings I
Foundation
Freming z Z.3
Roofing
Aough Plbp. I?? s 41)
RoughHtg.
lsu. T3`
Firepiae iyl?ol9? ?.
Final Htg_
oMW Test 3/ ?fF.c a
Finel Plbg. ES Ptbg. inspector - fUotify Plumber
Cortst. Meter ?S? T ?•Y??. -
Engt.?lan
alag. Final 31,0
Deck Ftg.
Deck Fnal
wen
Pc Disp.
71f ?-
„
SEDGWICK HEATING & AIR CONDITIONING CO. TEST HEATING JOB NO. L/ ZC302
8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 •(612) 881-9000
ADDRESS .32.4 / n rLLSt Dt LY CITY L iq C-Ji !V
OCCUPANT J?-I
OWNER AM IZC2(`L4 C?V ? L p/=2 ?
_
SOLD BY L.o lC, A INSTALLED 8Y S FDG (i.J I C
!/,
_
MAKE LEAJNC7)C MODEL ? I-7 CI3 -
SERIAL NO. Se"{ 2.H I F3s'no INPUT 7 J UC)
5
i
THERMOSTAT 1)(:.7 W 1CL,( VENT SIZE
VALVE Ri S TYPE DF LINER N1 14
LIMIT 4i ? C M. C C.) LINER SIZE
LIMIT SETTING 180 FILTERS: SIZE I ?? k 25 NUMBER
FAN SETfING ? M t WIRING
PILDT TYPE It L eC T Rrj NI L TEST TAG
IGNITION MODEL ZC: /VN[, lr- UGHTING INST ?r
.
PILOT TIMING 11) 5 r n n) -r J' 2? G 3
q
PRE
/ DATE TESTED
SSURE
PERCENT COZ
'75 COMPANY TESTING C.LJ I C(i(
INPUT CFH _
PEflCENT OZ
Zq o n PERCE
STACK TEMP ? J
W ?A T
.
NT CO NAME OF TESTER n r LL _ LL Sn/< <-
FORM 235 (REY. 111891 FORM DIST RIBUTION: WHITE COPY - J08 FILE YELLOW COPY • CtTY
AadIiSS
3247 HILLSIDE rOIIRT
Zip 5512 ?
I.ot 5" Blk i Sub _ BUR oAK HII1s 26ID
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: 03/10/c)3 Yes No InspeMOr.
Fina1 grade (6" from siding)
Permanent steps (garage) ?
Permanent steps (main entry) ?
Pennanent driveway ?
Permanent gas ?
Sod/Seeded grass
TraiUcurb damage
Porch
Basement finish
Deck
Please verify wi[h the builder the removal of roof test caps from the plumbing system and the shut•off of water supply to
the ou[side lawn faucet before freeze potential exists.
Con[act engineering division at 681-4645 before working in rightof•way or installing underground sprinkler system.
White - City Copy Yellow - Resident Copy Pink - Contracmr Copy QV
? /?? REQUEST FOR ELECTRICAL INSPECTION ?`' EB-00001-
?
n ? See insimctwns tor complaung this lorm on back of yallow copy
5 a
. 84 - "X" Below Work Covered by This Request V?.?qol
rew Ntltl Rep TypeotBudding AppliancesWired EqwpmenlWlred
Home Range Temporery Service
Duplez Water Heater Electric HeaUn9
Apt. Building Dryer Other-(Specify)
+ CommJlndustrial FumaCe
Parm Air Condilioner
Other (spacify) Con[ractor's Rem?
S
?' Yl`
Co '
?
Syy,
mpute Inspec6on Fee 8elow:
# Other Fee # ServiceEmrance5ize Fee 8 Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Ab ve 100 _ Amps
SigOS Inspetror§ Use Only. TOT
Irrigatron BoomS ?
Special Inspection
Alarm/COmmunication TMIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITMIN 18 MONTNS.
I, the Electncal Inspector, here6y Rou9n-in f?? oae?/?
'''? 32
certi that the above ins ecuon has
ry P
been made ..
Final ? ? ? oete ?
OFFICEUSE'JNLY r a'v?w
This request wio 18 monNS Irom
d
Raq est Oat// ? Fr e No
Q?
? Rou -in Inapecimn
R rtetl'+ p?
? Reedy Now L/?JIII Notlly Inspedor
r NJh
R
7
d
Yes G Na en
ee
y
I D licensed contractor DL wner hereby request inspection of above electrical work at;
Ja? Atltlress trget Box ar
. // aute y
< Ciry
.
? e \?J •
J
Sactmn No Township Name or No Range No Counly
Oc<upant(PRINT? I
/ Phone No.
%? Q(?
?i7
PoNer Suppher Atltlress
Elec[r¢al Com ct ?Company Name) CqMractor5 License Na
? 1?e_ow
MaiLng Atltlress iCOmr clor or Owner MaWng Installation?
Aut tl Sgnat re IContracmnOwn MaWng In liaaionl Phone Number
?{z _ 6iF3 - F73 /
MINNESOTA STATE BOARD Qp ELECTflICITY THIS INSPECTION REOUEST WILL NOT
Griggc-Midwey Bitlg - Poom S-173 BE AGCEPTED BY THE STATE BOARD
1821 University Ave.. 51. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone(812)802-0800 ENCLOSED
d
ia 9s s
!W31.5-45'64
ReQU t Dafe .
(a -??
I
Flre No.
Rough-in Inspection
Raqwred'+ ?
? ves
I
LIFICdyNow w OWill Notiry Inspedor
whan ReatlyP
I? censed contrector ? owner hereby request inspechon of a6ove electrical work at:
Joo nParen sVeet, sox or aa te nod Cn
SecUOn No Township Name or Na Ranga No
Oc pa IPRINT) Phone No.
Pawer Sopplier AtlOress
Eietlncal Comrac[or ICOmpany Namel
Harrison Electric, Inc., ConVaclor9 License No
CA00808
Meeing Antlress (GOnVacror or Owner Makrng Installatron)
2525 Navada Ave. No. #301 Golden Valley, MN 55427
A fionia S r ac'oriOw Ma inq Inslallalim Phone Number
544-3300
MINNESOTA STATE BOARp OF EL CTE PICITY THIS INSPECTION qEOUEST WIIL NOT
Griqge-Mltlway Bldg - Room S-173 ? eE nCCEPTEO eV THE STATE BOARD
1821 Ilnirernity Ave, St Peul. MN 55106 ? UNLESS PROPER INSPEGTION FEE I$
Phone (612) 662-0800 ENCLOSED
REQUEST FOR ELECTRICAL INSPECTION
/ r ? See msvuciions lor complenng this lorm on back ol yellow copy
? 71636 'K' Beiow-Work Covered by This Request
.y;?"?; EB-00001-OB
??,,? /?99s
ii;
ew d Rep TypeofBmlding AppliencesWnetl EqmpmenlWiretl
Home Range Temporary Service
Duplex Water Heater Electnc Heating
Apt. Bwldmg Oryer Other-(Specity)
CommJindustnal Fumace
Farm Air Conditioner
Other (syeci, Conhacror5 Ramparks
?(9Q1L]?
Compute lnspection Fee Below. ?? v
# Other Fee # ServiceEntranceSrze Fee # Cvcutls/Feeders Fee
Swimming Pool 0 to 200 Amps 11 0tolOOAmps
Transformers Above 200 _ Amps Above 100 . Amps
SIgpS Inspector5 Use Only/ x I lpilAL
Irngallon Booms / /' ?? ?5•g?
Speaal Inspection
Alarm/Commumcahon THIS INSTALLATION MAY BE ORD DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 76 MONTHS.
I, the Elecirical Inspector, hereby AO°9n-'" oace
cerirfythattheaboveinspecllonhas
been made Finai
. oate
, ?
OFFICE USE DNLV
This request roia 18 months imm
d 0 2 7? 3/l8(?3
? a? 0-
x
f+eQUest Date Fre No Raugh-in Inspeciion
le4eatly Naw t] Wdl NoM1ty InspeC?ff
TO
Wh
R
tl
/
en
ae
y
I Vicensed contractor 0 owner hereby request inspection ot above el rical work atp
JaD Abdrew (Slrcel Box or Route No ) Ciry ?
4 C'? n ?
Section No Townslup Name or No Range No. Counry
Occupant (PPMT) Ppone No
roc.lC..
PowerSuDpber Atltlress
G ?L
?):J)CoLu
Elecincal GonlraMOr ICompany Name) , GonirectorY License No
ri J
Mabng Atltlress IConVacbr or Owner Making InstallaUOn,
0 - maS mO 50443
AuNOrrzee Signalure,COmractor,Ownar Makmg installationl Phone Number
' ?b-8bU0
MINNESOTA STATE BOARD OF ELECTRICITV THiS INSPEGTION REOUEST WIIL NOT
Griggs-Mitlway BIEg. - Room 5,173 6E ACGEPTEO 9V THE STATE BOARD
1821 University Rve.. St Peul. MN 55106 UNLESS PROPER INSPECTION FEE IS
hi? Plwne (612) 642-0800 ENCLOSEO
REQUEST FOR ELECTRICAL WSPECTION
00 Sae ms[rycUOns lor completing ihis form on back oi yellow copy
n nn?n7
V G J I "X-' Below worK covereo oy I rus ncyuo-,
-
'
ew
tl Rep
. Typeof8mltling
ApphancesWiretl
EquipmeniWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt Bwldmg Dryer Other-(Specify)
Comm.llndustnal Furnace
Farm Air Condilloner
O[ner(specdy) Comrador's Remarks
Compute Inspechon Fee Below:
q Other Fee 8 ServiceEniranceSae Fee # CrtcunslFeeders Fee
Swimming Pool 0[0 200 Amps 1$- O l0 100 Amps
Transtormers Above 200 _ P.mps Aoove 100 - Amps
SIgnS Inspecror5 Use Only .--"" TDTAL -r-?
Irrigahon Booms .
rAi,7kii-1z/ ? 7Lf ?
Special Inspection r
V
, V
Aiarm/Communicauon THIS INSTALLATION MAY BE ORDE ISCONNECTED IF NOT
Other Fee COMPLETED WITHIN ONT r
I, the Electncal Inspector, hereby oare
aouyn-io ? ,2,n
certiiy that the above inspection has oa -3
been made.
OFFICE USE ONLY
TNS requesl vob 1B months Irom
,? qo .?
?
"'7 -7 5?lP /
2006 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWCtion Reauirements
3 registered s te surveys showing sq k of lot, sq. ft. of house; and all roofed areas
(20%a maximum lot tove2ge albwed)
t Soils Repor; if proposed building is fo be placed on disWrbed soil
2 cop'tes of plan showing beam & window sizes; pDUred found design, etc.
1 set of Enemy CaiculaEons
3 wpies WTiee PreservaGOn PWn'rf lot platted after711193
Rim Joist Detnil Options selection sheet (bmidings with 3 or less units)
Minnegasco mechanical ventilation form
RemodeVReoair Reauirements
2 wpies of plan showing footings, beams, joists
1 setoi Ene?gy CalculaGOns for healed addiFwns
t site survey for additions 8 decks
Add'dion - indicafe 'rf on-site sep6c sysfem
'?, G 5?,- 3
90, D6
Offai 1se0n
Ceitoi5u?vey ecdy?:"=:_Y
Solls'ReW?S -Y 7_N
TreeFies•PWi teoa ? N
7reaPresliec.rec7'.E. `.LA.'i.N
0n=siteSeptlc ysiem"_n-._,(J
Date _L
Site Address
Description of Work
Multi-Fa mily Bldg _ Y V N
Property Owner
Contract or
Fireplace(s) _ 0 ` 1 _ 2
Telephone # ?-
Construction Cost Q "1 • t'
Unit/Ste i3
061 S?Lc t 7? ?r7
Address ?)(F'???'?Y7Bi"ieal _/7?• /V, City :S???C?/GLf$
State 119? JU/ Zip Telephone #(/p 57)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDI IJG
Minnesota Rules 76 ?
- Minnesota Rules 7670 Cateeor? -
Energ / Code Category . Residential Veatilation Category t Worksheet • New Energy Code orksheet
(dsabmissiontype) Submitted Submitted
• Energy Envelope CalculaGOns Submitted
In the la3t 12 months, has the City of Eagan issued a permit far a similar plan bosed on a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber Telephone #( )
Mechanical Contractor Telephone #( ?
Sewer/ Noter Contractor Telephone # ( )
I _ -
I hereby apply for a Residential Building Pemut and acknowledge that the information is coml ete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan ant the State of MN
Statute,s; I understand this is not a permit, but only an application for a permit, and work is no to start without a
permit; that the work will be in accordance with the approved plan in the case of work which rec ires a review and
approval of plans.
,n,i CL L . ? ????c`??? ti -
Applicant's Printed Name Applicant's ignature
RESIDENTIAL MECH.ANICAL
Permit AppGcation
City Of Eagan
3830 PIIot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675
Please complete for: Single Faznily Dwellings & Townhomes and Condos when permits aze required for each unit
4J2D S6
DateaL /'?O/
Site Address ? N Unit #
Pro
ert
Owner ? e Tele
hone # (?? ) VJgl - / 9/3
p
y p
Contractor U/ a
St
Add
s/ yS 2?6 5T Ci
(
(? ?
reet
ress - ry
J
W•
State ) / / ? Zi 55DOTelephone # /
p
Bond #: Eapires:
The Applicant is _ Owner ? Contractor _ Other
Add-on, modification or alteration to existing dwelling unit $ 30.00
lk?furnace replacement
air exchanger
air conditioner _ New _ Replacemen t
other
StateSurcharge ?II? ? l? ?`• ?? ?? ?'?? $ .50
A?
SD
Total _
$
Rv __-.------?
I hereby apply for a ResidenHal Mechanical Permit and acknowledge that the
be in conformance with the ordinances and codes of tbe City of Eagan and %i
t only an applicarion for a pemut, and work is not to start witho
appr v plan in the c o work wluc requa review and approval of ?
Applicant's Printed Name ? p
ation is complete and accurate; that the work will
Mechanical Codes; that I understand this is not a
nit: thet the 1tCOrk will be in accordance with the
COMMERCIAL MECHANICAL
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675
Please complete for: wmmerciaVindusMal buildings
multi-Family buildings when separate permits are not required for each dwelling unit
Date
Site Street Address Unit #
Tenant Name (if applicable) Previous Tenant Name
Property Owner Telephone # ( )
Contractor
Street Address City
State Zip Telephone # ( )
Bond lt: Expires:
The Applicant is Owner Contractor Other
Work Type
_ New construction _Install _ Remove Underground Tank
Interior Improvement Schedule inspedion during installation or removal of fank
Processed Piping
Nature of Work:
Permit Fee $SOSO Minimum Fee (includes State Surcharge)
Contract Value $ x 1% _$ PermitFee
• If permit fee is $1,000 or less, add $.50 ? $ State Surchazge
If peimit fee is over $1,000, add $.50 per
$1,000 Permit Fee
$ Total Fee
1 hereby apply Yor a Commercial Mechanical Pemut and acknowledge that the mformation is complete and accurate; that the work
will be in conformance with the ordinances and codes of the Ciry of Eagan and wrth the Mechanical Codes; that I understand tlils is
not a permit, but only an application for a permit, and work is not to start without a pemut; that the work will be in accordance with
the approved p]an in the case of work which requires a review and approval of plans.
ApplicanPs Printed Name
ApplicanPs Signature
Approved By: , Inspector Date:
*?*******?***********?*??**********??**
CITY OF EAGAN
CASHIER: JS TERMINAL NO: 667
DATE: 09/18/00 TIME: 14:54:19
ID: I
NAME: SKIP A LENGSAVATH
3210 9001 3247 HLLSIDE CT 60.00
2155 9001 3247 HLLSIDE CT 0.50
Total Receipt Amount: 60.50
CR137424
USER ID: JAN
2000 BUILDINC PERMIT APPLICATION (RESIDENTIAL)
' • ? cITr oF EAcani
3830 PILOT KNOB RD - 55122
651-681-4875
0
New Conahuctlon ReaWremenh Rertwdel/Reoair Reauiremenls
> 3 registered slte wrveys showMq aq. fl. of bf. sQ. tt. ot house
antl QII roofed areas (20% maximum bt covemae ollowem
? 2 caples of plana fahow bearn & wintlow tlzes: poured Md. deslgn; eMJ
D 1 tet of 9nerqy culcuictions
D 3 Coples of hee preservalion plan if lot plaMetl aRer 7/1/93
DATE:
1- /3-aU
q bo.5p
Culled q-iS-dC
2 copiea ol plan
150 ol energy ccIttdaHOns fa hected add
1 stte wrveY for extedor addlHona A decks
CONSTRUCTION COSf:
DESCRIPTIONOfWORK: X/"VlSU T146
STREETADDRESS: 3aN,7 fdlll5/d2 CatR7" ?+°?6/-t? MlnJ
LOT: J BLOCK: I _ SUBD./P.I.D. M:
PROPERTY
owNee
CONR2ACTOR
ARCHITECT/
ENGINEER
2
Name: Lf r'j 6sAVA-"-N sktP Pnoneu: GS/-??1-95
tasl First
SheetAddress: 3a`/h /1/154 Q Ca.t,Y{-`}'
cly E?9 a 0 State:
na N Z,p; 5?5-1 at
Company: Phone M:
(area code)
Sheet Address: ? llcense M Exp.
City
Telephone #: (
Street Address: RegishaNOn Y:
city
State: Zip:
Name:
Stote:
Sewer/water licensed plumber (Ii inatallina seMrerlwaterl: Phone #:
2ip:
I hereby pckrawledge Mwt I have read ihis applfeaMon, atate Mhal lhe infortnalion Is correcf. and agree to compry wNh ap appllcable State
of Minnesofa Statutes and Cify of Eogon Ordirwnces ?
Signature of ApplicanY. 14
Certificates of Survey Received _
Tree Preservation Plan Received _
OFFICE USE ONLY
Yes _ZNO '
Yes - No c ? Not Required
? ?''+;r-•-,: -,
.,.?..:. ? /.'":...?
SEP 13 2000
B`r--?
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
I'm
O 01 Founda6on O 07 OS-plex ? 13 16-plex O 21 Poroh (3-sea.) O 31 Ext. Alt - Muki
O 02 SF Dwelling ? 08 06-plex ? 17 Garage ? 22 Poreh/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 03 01 of _ plex ? 09 07-piex ? 18 Deck O 23 Porch (screened) O 36 Mutti
? 04 02-plex ? 10 08-plex Ig 19 Lower Level ? 24 Storm Damage
? 05 03-plex ? 11 70-plex Pibe Yor_N ? 25 Miscelianeous
? 06 04-plax O 12 12-plex O 20 Pooi 0 30 Accessory Bklg.
WaRK TYPE
? 31 New ? 36 Move Bldg. ? 43 Reroof
32 Addition ? 37 Demolish (Bldg)' ? 44 Siding
? 33 Aiteration O 38 Oemolish (Interior) O 45 Fire Repair
? 34 Repair ? 42 Demaiish (Foundation) ? 46 Windows/Doors
' Give PCA handout to appl icant for demolition permit
GENERAL INFORMATION
SAC Code # of Stories sq. ft.
No. of Units Length sq. ft.
No. of Buildings / Width Footprint sq. ft.
Const. (Actual) ? Basement sq. ft. Census Code ?
(Allowable) Main level sq. ft. MC/ES System
UBC Occupancy k 72 sq. ft. City Water
Zoning 1?L sq. ft. Booster Pump
PRV
Fire Sprinklered
MISCELLANEOUS IN3PECTIONS
? Stucco/5tone
APPROVALS
Planning Building Engineering Variance
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
.a5
Valuation: $
SAC Units
% SAC
PERMIT C°"` ° "°. 1313
CIT'Y-OF EAGAN
? 3830 Pilot KnobRoad PERMIT TYPE: C? uI 1. t? [ ?v ?-1
Eagan, Minnesota 551 23 Permit Number: 00 1 e11 1
(612) 681-4675 Date Issued: 11 / 18/9 2
SITE ADDRESS:
3247 HrlL stn? G7
LC)'l: 5 BLOCKe 1
t3UR OAK H711 5 2NU
DESCRIPTION:
,'bu1Sdir.]q P2rmit 'fyoe SF DWfi
Suild3n-4-a16JurIT T"YF,e NEIJ
U8C OeouPart`'q,Y R-3 M--.1
CQnstructiOn'TypP b'-'N
" Z¢ning ' k-1
Buildi,ng L P, nq th ' 61
9wilding Width 48
.? -•
., „
;
t
l.,ir-
?`-;!
'
REMARKS:
RECC7r1' # pF?V 5& W CONTRACT(JR - 1IRRTY Bh'05 (425-3351)
FEE SUMMARY:
vALuAriorv $1e8,0e0
Base Fee $66 7.60 M75L"ELLAnICOUS 1; 518. 5o
?
Plan Reviaw $3?470.ft8
$433.86 l"ota1 Fee
Surcharge $54.00
SAL $%0P.t30
SAC A 1E0
SAC Units 1
Line Saar'ch Pee ----- 00
SubT..ot;al $1,^n6@.38
CONTRACTOR: - wpplic ant - sl . L cpWNER:
SHAMI2O(:K BLt1R5 SNC 14 ;5A274 000142!i SNAhIROCK BLDRS INC
3200 NW MA7.N S1" 300 3200 N6J MAIN S7 300
COON RA!'1D5 hIN 55448 COON RAPIDS h1N 5544E
(612) 435-4279 (652)435-4274
G hereby acknowl.edge that S ha•ve read tliis 6p;pkicaticrn and sCate T„hat the
inFarmaticrn %G earrect and agrea ta acrmply WitF+ all applicable Stato of Mn.
5tatutes and G3Cy of Eagarr Ordinances,
? &u,,v ?
APPLIqAV PERMITEE SIGNATURE ISSUED B: S NATU
.. . ..
'ERM1T S , .,.
CITY OF EAGAN ?-?, ???• ?`?
tEACTIYAT'E ' 1992 BUILDING PERMIT-AroLICATION
' 681-4675 , .
?oG1?REQ
`%rs-r-_ . r.-!'?i?'??? II-Er/
SINGLE 8 MULTI-FAMILY 2 sets of plans. 3 registerad site surveys. 1 copy of energy
calcs. ,
COMMERCIAL 2 sets of architectural d structural p1ans, 1 set of
specifications. 1 copy of enargy calcs.
Penalty applies when typing of permit is requested, but not picked up by last working day
of month in Nhich re uest is made 1ot chan e is re uested once ermit 1s issued.
Date 11 / 15 / 92 YaluaN on of Mork 100,000 (suiiaimg vaiue)
Site Address: ?Z1I'1 N i ll 5;DE GlU2'T
EhtsAt-1 55124
.,
/TREEi NITt 0
Tenant Name:_ (comnercial_9nly) _
IAT 5 ELOCK 1 gpdp, Bur Oa!t Hills 2nd =,I,a 0
Descrl tion of Nork:
The applicant is: E3 Owner El Lontractor ? Other (o..«ib.)
Property Phone
Name wr F
IR:,
Owner
Address '
st?tcT • ?n ?
City State Zip
COIRpany Shamrock Builders, Inc. PhOn@ 935-9279
Cornractor Address 3200 N. W. Main St., Suite 300 Ljcense N00001925 ExP?/31/94
[ity Coon Rapids Stet@ m Z1p 55448
Company Phone
Architect/ _
Enpineer Na"e Registration i
Address
City State ZSp
Sewer 8 rater 1lcensed plumber Mart Bros. 925-3351 . Processing time for
sewer d water permits i s once
s two day area as een approve .
1 hereby acknowledge that I have read this app1lcation and state that the lnformation is
correct and agree to canply xith all appltcable State of Minnesota Statutes and C1ty of
Eagan Ordinmces.
Signature of Appllctnt:
OFFlGE USE ONLY
BUtLDING PERMIT TYPE
0 01 Foundation O 06 Duptax O ll Apt./Lodging
?PK02 SF Dwg. ? 07 4-Plex O 12 Nulti. M1sC.
? 03 SF Additlon O OS 8-Plax ? 13 Garaga/Acceasory
O 04 SF Porch 0 09 12-Plex O 11 Fireplace,
? 05 SF Misc. O 10 Multi. Add'1. E3 15 Detk WORK TYPE
?31 New O 33 Alterations O 35 Tenant finish
? 32 Addition O 34 Repair 0 36 Move
..;:?? :.?.•'t-!;1.' !._1?'?'> :?::'',
GENERAL INFORMAtION ' Lonst. (Actual
SA1Towable
UBC ccupancy
Zon1ng
t of Storles
Length
Depth
v-K" .. . ..
?-N
L'
APPROVALS
Planning
Engineering
Basement sq. ft.
lst Fl. sq. ft.
2nd F1. sq. ft.
Sq. ft. totat
Footprint Sq.•ft.
On-site well
On-site sewage
Building (?•?q2
Variance
REQUIRED INSPECTIONS
? Site ° -° O footing
O Mailboard ' O Final
0 Framing
O Draintlla
? Insulation
D Fireplace
Permlt FeY
5urcharge
flan Revt=ro?_ ..
Llcense
MWCC SAC
L1ty SAC
Mater Conn.
Mater Meter
Acct. Deposlt
S/N Permit
S/Y Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded,
Copies
Other `
Total: , -"-"-
SAC % Do
$AC Units I_
wiwtia,i 4_ pQ'j- --
QA E;
Rsm T;
, ?y?kG s Iloy
r o x z9?/z= Z?.s
?Ka? ?I2
JST FLcpYjs 141y K?5= al?21o
'?srn i=1 `F! y .
I ar X53 = IS?f
:
J d'
'..
0 16 Bfse?nt Finish
O`'t9 Swfm Poo1
O 18 Comm./Ind.
O 19 Comm./Ind. Misc.
? 20 Pub11c Facllity
O 21 Miscellaneous
O 37 Demolish
MWCC System `/Em
City Mater yZ?7
PRY Required
Booster Pump
Fire Sprinkler
Census Code T
SAC_Code o i
Assesaments
CERTIFICATE OF SURVEI(
Proposed Elevations: For
Top of [31ock = 970.7
Garaga Floor = B70.3
E3asement level =B6Z.S G2QO?a?)
? Denotes proposed elevation.
-*- Denotes diracLion of drainage.
?----Denotes wood hub at 77 foot offset.
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SHAMROCK BUILDERS, INC.
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.? House
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poLoMo
Lot 5, Block 1, BUR OAK HILLS 2ND ADDITION, Dakota County, Minnesota."
? n ¢8. Z ? 95. ?2 e%ev
SCALE: i Inch= 30 FeeT o Denotes Iron Bearings shown are assumed. Job No. 92896ys Bk._Pg,_
We hereby cerfify that fhia is o true and correct represen}ntion of a survey o} the E.G. RUD & SONS INC.
boundaries oi the above dsecribed tand nnd of the location of all buildinqe, if any, , }hereon, and all visible sncroacAmanis, if any, from or on said land. LANDSURVEYORS
?, E.G. RUD & SONS, ?I/NC. 91801exingtonAvenueN.
pmed this A?day of I9 92, Circle Pines,, Minnesota 55014
bY
Minn. Rea. No Telephone:,786-5556
_ .
o,i
' 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
? bO• 5O
CITY OF EAGAN
4' 1? ?a 3830 P1651-681-46 5- 55722 CQj,4 612310 o
?? I
New Canshuclion Reauiremenfs 4 j 7j
> 3 re9iarored site wneys ahowlnp sq. H. 01 b1, sq. H. of house (p -?b-OV
and py roofetl areas (20X maxlmum lof coveraae allowe?
> 2 coples ol plama (ahow beam 8 wintlow alxea; poured tnd. desiyn; etcJ
D i Eet of energy calculaHons
n 9 coples W hee preaervatlon plan It IW pkttatl alfer 7/1/93
DATE: 6- 04;?'°' no
DESCRIPTION OF WORK:
?
Remodel/Reoalr Reaulremenh HM
2 copies ol plan
1 set ol energy cdculafiona for hea19A addlHOns
1 site wrvey (or exteAOr addiMana & tlecks
CONSTRUCTION COST:
STREET ADDRESS: 3oZ LI-7 ?-JLT
LOT: 5 BLOCK: i SUBDJP.I.D. M: TJUr OQ k ff1II9 24
Ce/l; 6 ?a - ??o ? Sa7d
Name: Lj?-N(:tra-AVNV4 SkiP ri,oneft: 451- 10 8I-9973
PROPERTY tast cint
OWNER Skaai AdArw¢r -3c?4 -7 1-1 l `l $1 ?R.
CONiRACTOR
ARCHIiECT/
ENGINEER
CNy Siate:
zip:
Company: Phone #:
(area code)
Sheet Address: License t Exp.
Cify
State:
Company: Name:
Telephone M: ( )
Sheei Addresa: Reglshation ?:
City
Sfate:
Sewedwater licensed plumbar (if instaliina sewer/waterf: Phone #:
Zip:
Zip:
I hereby acknowiedge Ihal I have read thb applicatbn, sfate Ihaf ihe infortnation is correct, and agree t compry wHh a0 appAcable State
of Minnesofa Statutes and City o[ Eagan Ordinances.
Signalure of Applicant A
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No '
Tree Preservation Plan Recefved _ Yes _ No _ Not Required
OFFICE U5E ONLY
BUILDING PERMIT SUB7YPES
? 01 Foundation ? 07 05-plex
? 02 SF Dwelling ? 08 OB-plex
? 03 01 of _ plex ? 08 07-pleac
? 04 02-plex ? 10 08-plex
? 05 03-piex ? 11 10.plex
? 06 04-plex ? 12 12-ptex
WORK TYPE
0 31 New
? 32 Addition
? 33 Alteration
? 34 Repair
? 13 16-plex ? 21 Porch (3-sea.) ? 31 Ect. Alt - MuHi
? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Aft - SF
`W 18 Deck ? 23 Porch (screened) ? 36 Mutti
? 19 Lower Level 0 24 Storm Damage
Plbg _Y or_ N ? 25 Miscellaneous
? 20 Pool O 30 Accessory Bldg.
O 36 Move Bldg. ? 43 Reroof
? 37 Demolish (Bidg)• ? 44 Siding
? 38 Demolish (Interior) ? 45 Fire Repair
? 42 Demolish (Foundation) ? 46 Windows/Doors
• Give PCA handout to applicant for demolition pertnit
GENERAL INFORMATION
SAC Code 1(
No. of Units ?
No. of Buildings ?
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq.ft.
MISCELLANEOUS INSPECTIONS
? Stucco/Stone
APPROVAL8
Planning Building 'L Engineering
sq.ft.
sq.ft.
Footprint sq. ft.
Census Code
MC/ES System
City Water
eooster Pump
PRV
Fire Sprinklered
Variance
?
Permit Fee
Surcharge
Pian Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation:
SAC Units
% SAC
^f
1
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° For : SHAMROCK BUILDERS> INC.
ronosed Elevutions:
• Top of f3lock = gV,7
? Garaga Floor = B7D.3
Ftasement 7eve1 =8s26 G2oo?e)
y
y e?o.o Denotes proposed elevation.
-? Denotes direction of drainage.
?----Denotes wood hub at 11 fioot offiset.
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s6693
? ? ` ? /4612 ??Fy EpsE'
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° 524.3
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P.RX. ??0JUIRED
Lot 5, Block 1, BUR OAK HILLS 2ND ADDITION, Dakota County, Minnesota.
927 FqB.2- 9s.72 ?.
3CALE: 1 Inch= 30 Feet o Denotes Iron Bearings shown are assumed. Job No. 92896y5 Bk._Pg._
We hsreby cerfify that ihis is a}rue and correct represenfotion of a survay o} the E.G. RUD & SONS INC.
bounGaries of the abova deacribad lond ond of ihe location of all buildinas, if ony, , tharaon, and olt visible ancroachmants, if any, from or on said land. LANDSURVEYDRS
E.G. RUD & SONS, INC. 9180LexingtonAvenueN.
Dated inis _?day of ? 1992. O Circle Pines, Minnesota 55014
6y Telephane:78fr5556
Minn. R
S, /
?uR OAK HiUS?N ? e 14750 Galaxie Ave. Swte 104
D HDd N ? Apple Valley, Minnesota 55124
(612) 432-2044
, ,.
EXTF,RIOP. F.PA'EI,OPF, AVF'RAGE "Ci" COMPU^'A?'ION
n,'? Dr.arr r,Z ?- zz z
Determine workirg
,s square footace of each
i. Total exnosed wzll area...... Zyc,3 sq.ft. Y, .11 - Z7O, 3
2. Tota1 roof/ceiling 2sea....... j',kjL- sq. ft. X. .026
3a ,3 ?
Tot21 exposed vrall area above iloor = ZZ-71
a. Total wall urindoor asea . . . . . . . . . . . . . . . . . ? qlf
b. Total door area ......................... 3(0
c. Total slidi.ng glass door area........... ?74,
d. Total fireolace wall area .............. -
e. ?'otal w211 framirg area (averap.e 105)... '7,Z-7
f, motal net svall area above floor.........
g. Total rim Jeist area ................. .... 109
. Total exoosed foundation area = 93
h. Total foundation window area.......,.... -
i. To tal net,foundation area above Srade...- q-?
Detezmine "U" value of e2ch wall seTment
a. x "Ulf .52 =
7g•S
b. ?S- 7{ nUn .139 = `'_
C. y lrUn . F2 - .--?--
a. x. itU" .68 = -?
e. 22I g flUll , 096 = 21,
f. -789 X "U" .043 _ _72 - 9
9• ?ov X llUit otil - u q
h. X nUn .52 =
i• x litrll .092 = l.. ?
3. TI?'!'P.L . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Z
7f item #3 is the aar.;e as, or less t"!-,an itemyAll, you htj.ve
met the intent of SBC 6006 (c) 2.
-1-
' , • ? . - ?
Total exposed :oof/ceiling area = A 7L,?
Total gross rooftceiling area
, ,.
j. Total slylight 2sea .................. - k, Total roof/ceiling fr2ming area....... I/?j '4
1. Total net insulated roof/ceiling area. l`SZg •q
Determine "U" value for each roof/ceiling sea3nent
'i. - X nUn =
Y.. j} Y, "U" .024
1. 151,3dj x "U" .022 4. 'i'OT.?L ... . ...................... ?j2
If total o!' #L is the same as, or 112, you }'ave
met the intent oi SBC C005 (c) l..
?o utilize tpe total envelope system r,ethod, the values
established by the sun of S.tans #3 and N4 sha11 not be
greater than the stan of items #1 and #2.
1. t 2. _
3. + 4. _
T•9aterials Therral resistance "R"
Exterior air.........
Siding materiaJ.......
Sheathirg ............
Insulation...........
Sheetrock............
Interior air.........
5tuds ................
Rirr ..................
Concrete blocks......
-2-
?
LOT BIIRVEY CBECRI.IST FOR RESIDENTIAL
BIIILDING PBRMIT LPPLICATION
PROPERTY xr.ar.=
DOCIIMENT BTAHnAR $
Date of Survep: 1//V4 °/'Z"
fa' 0 0
? D 13 •
• Reqistered Land Surveyor siqnature and company
' Building Permit Applicant
0
0 0 • Legal description
0 G' ? • Address
C?? 0
? • North arrow and bar scale
C1
0 0 • House type (rambler, walkout, split w/o, split entry,
C? 0 0
• lookout, etc.)
? Directional drainage arrows with slope/qradient R.
D L9
0 • Proposed/existing sewer and water services
EK 0 0
H," 0 0 •
• street name
Driveway
ET+EVATIONB
Exiatina
13 1 Q" ? • Sewer service
U 0 ? • Lot corners
? 0 0
d? ? • Top of curb at the driveway
• Elevations of any existing adjacent homes
Prooosea
1? D ? • Garage floor
u 0 ?
? • First floor
D 0
? • Lowest exposed elevation (walkout/window)
13 ? • Property corners
Hr ? D • Front and rear of home at the foundation
PONDING AREAS (i avolicable)
13 ? ?
• Easement line
O ? 0
? 0 •
• NWL
HwL
Q • Pond # designation
0 0 • Emergency Overflow Elevation
DIMENBIONB '
?
?
? • Lot lines
?
?tT U
? • Right-of-way and street width (to back of curb)
? ? • Proposed home dimensions including any proposed decks,
overhangs greater than 21, porches, etc. (i.e. all
[3? 0 structures requiring permanent footings)
? • Show all easements of record and any City utilities within
/ those easements
? 0
8 • Setbacks of proposed structure and setback of adjacent
-/
0 C? D existing homes
-
• Retaini'rg-ioa
'; ruirements, if any
October 1992
Date
? ?C?C? CITY OF EAGAN
REACT I YATE if?-
p.;3 # 1 93 BUILDING PERMIT APPLICATION
NOV 2 9 1993 -_ 681-4675
SINGLE 8 MULTI-FAMILY 2 sets of plans, 3 registered site surveys, I copy af energy
calcs.
COMMERCIAL 2 sets of architecturat 6 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.
Oate '5;? y / ?/ S 3 Yaluation of rork
Site Address: -3Z'-?`7 f?lZZS1?? CauSZ?
5iR"eET SU!'% t
Tenant Name: (commercial only)
IAT ? BLOCK ? SUBD. oflK NILLS
N
P.I.D.
z... i cbtTtou
Descri tion of work: _f?ASE/lAePT s=?WSl-1 - ncl4des e lQC e--
The applicant is: -MOwner ? Contractor ? Other (Deccribe)
one ?8?-
Name ?U?J[--Ks r:? T H ? 7
Property -e
LA51 F1RSi 7 zS - s-?gs" -
Owner Address 3Z-4-7 14 iLLsi i? r eou? i
STREET SSE It
City CA t A N State Z;P 55tz l
Company Phone
Contractor Address License # Exp.
r4 ? j ?.. C4ata 7 1 0
Company Phone
Architect/
Englneer Name Registratlon Y
Address
City State ZjP
Sewer & water licensed plumber . Processing time for
sewer 8 water permits is two days once area has been approved. _
I hereby acknowledge that 1 have read this application and state that the information is
correct and agree to comply wit 1 applicable ate of Minnesota Statutes and City of
Eagan Ordinances.
5lgnature of Applicant: ?-
OFFICE USE ONLY
BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging
? 02 SF Dwg. D 07 4-Plex 0 12 Nulti. Misc.
? 03 SF Addition ? 08 B-Plex ? 13 Garage/Accessory
? 04 5F Porch ? 09 12-Plex O 14 Fireplace
O OS Sf Misc. ? 10 Multi. Add'1. 0 15 Deck
WORK TYPE
16 Basement Finish
? 17 Swim Pool
? 18 Comn./Ind.
? 19 Comm./Ind. Misc.
? 20 Public facility
0 21 Miscellaneous
?31 New O 33 Alterations ? 35 Tenant Finish [7 37 Demolish
32 Addltion ? 34 Repair ? 36 Mave '
fAFNERAL INFORMATION
Const. (Actual) Basement sq. ft. MWCC System
Altowable) lst F1. sq. ft. City Mdter
S
UBC ccupancy 77,___? 2nd F1. sq. ft. PRY Required
Ioning Sq. Ft. total Booster Pump
f of Stories Footprint Sq, ft. Fire Sprinkler
Length On-site well Census Code 4 3 q
Depth On-site sewage SAC Code _?
APPROVALS n
Planning Building Assessments
Eo9ineering Variance
REGIUIRED INSPECTIONS .A?_50 V, I ? 5ite ?'"?E.l::; )5 Framing ? Insulation
? Wallboard ?.Final ? Draintile 42jireplace
/
Permit Fee
Surcharge
9;a^ °ev;e-4
License
MWCC 5AC
Lity SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
5/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
CoPies
Other
Total:
v.luotim:
5AC %
SAC Units
y
CI.TAY OF EAGAN
3830 PILOT KN(fB ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
FOR CITY USE ONLY I
PERMIT # RECEIPT # D
DATE:
RESpE%TIItT:; PLEASE COMPLETE UPPER PORTIDN ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUZRED FOR EACH UNIT.
------------------------- 4 ---------------------------------------------------------
WORK DESCRIPTION
NEW CONST ?
ADD ON
REPAIR
OWNER NAME:
SITE ADDRESS: ,_7 ?l.l?Idti/i. C? e
iAT: S BLOCK ? SUBD. ?, ?YCUf. /?LY?a ? '
INSTALLER: ??9t ?'?
e
ADDRESS: F{'.:,P1:G & l.::i C3,0ITIOViidG C0.
-=a943-k":• "T4 P"E sn
MIPJNERPOLI3, hM1N 55420
CITY: 881-90002.Ip :
PHDNE #
FEES
ADD-ON MINIMITM $15.00
HVAC 0-100 M BTU 24.00-
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS - MINIMUM 3.00 --
OF 1 PER PERMIT
SUBTOTAL: $_ ,x i dD
STATE SURCHARGE: .50
TOTAL; $
SIGNATURE OF PERMITT
C?1t??It?I11L?INI?TTS1'RTi4T.; PLEASE COMPLETE THIS PORTION FOR ALL CQMMERCIAZ/INDUSTRIAL BUII.DINGS,
APAILTMENT BUILDINGS, AND MULTI-FAMZLY BIIILDINGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING UNIT.
------------
CONTRACT PRICE
OWNER NAME:
SITE ADDRESS:
LOT: BLOCK _ SIIBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE
FOR:
CITY OF EAGAN
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE a $.SO FOR
EACH $1,000 OF PERMIT FEE.
PROCESSED PIPING = $25.00
$25.00 MINIMUM FEE.
CONTRr1CT PRICE x 1$
STATE SURCHARGE
TOTAL: $
(SIGNATURE)
??,.::??' . ?:,.. "? __ . ... . .: ..._.' ._ . ..
CITY CUF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MN 55122
PHONE: 012) 454-8100
FOR CITY USE ONLY
PERMIT #
RECEIPT #?sJ??
DATE:
{tES?D?I?2Il?; PLEASE COMPLETE IIPPER PORTION ONLY FOR SZNGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION
NEW CONST
ADD ON
REPAIR ffS?,j-?ll
DWNER NAME:
SITE ADDRESS: & 1 Z/7 '4I1fI_S'1dG
LOT: -5 BLOCK I SUBD. AUA? ?"
INSTALLER
ADDRESS: HEkiIYG & i,:A CC::DITIGMilG C0.
85lOR'irn+?^ili r?:rr?..=.c ,??cl -
MINNEkPOL15, b".N 55420
CITY: 881-9000ZIP: _
PHONE #
FEES
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
dD
SUBTOTAL: `<
$?
STATE SURCHARGE: .50
TOTAL: $ /S
SIGNATURE OF PERMITTE ?
L?MAIr?iS1;:iAA,%1?V11US'1'tftAi;YLEASE COMPLETE THIS PORTION FOR ALL CO1?IISERCIAL/INDUSTRIAL BUILDINGS,
,:...... . .. .
APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING UNIT.
CONTRACT PRICE
OWNER NAME:
SITE ADDRESS:
LOT: BLCCv _ SL'ED.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE #:
FOR: -
CITY OF EAGAN
FEES
18 DF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
PROCESSED PIPYNG = $25.00
$i5.00 i3iNii•ivri EEE.
CONTRACT PRICE x 18 $
STATE SURCHARGE
TOTAL:
(SIGNATURE)
_?,
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMTTS ARE REQUIRED FOR EACH UNIT.
NO. FIXTURES
SfiOWER
WATER CLOSET
BATH TUB
LAVATORY
KTTCHEN SINK
LAUNDRY TRAY
HOT TUB/SPA
WATER HEATER
FLOOR DRAIN
GAS PIPING OLTTLET • hu.um - i
ROUGH OPENINGS
WATER 50FI'ENER
PRIVATE DISP. • Daway. >>c.
U.G. SPRINKLER -nome unaer oonsi.
ALTERATIONS ' to aristing
WATER TURN AROUND
STATE SURCHARGE
TOTAL:
F.ACH
3.00
3.00
3.00
3.00
3.00
3.00
3.00
3.00
3.00
3.00
1.50
5.00
15.00
3.00
15.00
15.00
.50
;. sv
SITE ADDRE3S: 32Y7 141-es1A E C°`e2 i
OWNER NAME: _,iU,v6-77( ?DTi?fGC?i? ?•U??-S
INSTALLER:
ADDRESS: 5.?c
CTI'Y: ???•?N
STATE: -4-f /-) ZIP CODE: /z t
PHONE #: -/?93 /
---
SIG ATURE OF P RMITTEE
1993 PLUMBING PERMIT (RESIDEN47AL)
CITY OF FAGAN 3830 PII.OT KNOB RD
EAGAN MN 55122
(612) 681-4675
1993 PLUMBING PERMIT (COMMIItCIAL)
CITY OF EAGAN
3830 PIIAT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR ALL CONIlviERCIAUINDUSTRIAL BUII.DINGS. ALSO FOR MULTI-
FAMILY BUP DINGS VVHEN SEPARATE PERMTTS ARE NOT REQUIRED FOR EACH
DWELLING U::: T.
_ IVE'W CONSTRUCTION
ADD ON
REPAIR
WORK DESCRIPTION:
CONTRACT PRICE:
FEE: 1% OF CONTRACT FEE.
STATE SURCAARGE $.50 FOR EACH $1,000 OF ?'?14IYFEE
MINIMUM FEE: $ 25.00 ?
CONTRACT PRICE X 1%
STATESURCHARGE
TOTAL
SITE ADDRESS:
$
$
$
TENANT NAME: STE. #
OWNER NAME:
WSTALLER:
ADDRESS:
CITY:
PHONE #:
STATE:
ZIP CODE:
FOR:
CITY OF EAGAN APPLICANT
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA165066
Date Issued:10/15/2020
Permit Category:ePermit
Site Address: 3247 Hillside Ct
Lot:5 Block: 1 Addition: Bur Oak Hills 2nd
PID:10-15501-01-050
Use:
Description:
Sub Type:Reroof & Siding
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and house wrap and leave on site.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Valuation: 10,000.00
Fee Summary:BL - Base Fee $10K $191.75 0801.4085
Surcharge - Based on Valuation $10K $5.00 9001.2195
$196.75 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 -
Mark E & Sara L Adams
3247 Hillside Ct
Eagan MN 55121
Roofs R Us
941 W 80th St
Bloomington MN 55420
(612) 282-8092
Applicant/Permitee: Signature Issued By: Signature