3248 Hillside Ct
Use BLUE or BLACK Ink
• r----------'-------
I For Office Use 1 I
Permit City of Ea
Ed~
Permit Fee:
3830 Pilot-Knob-Road
Eagan MN 55122 ; Date Received:
Phone: (651) 675-5675
I I
Fax: (651) 675-5694 I Staff:
2012 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit
Name: Phone:
RESIDENT
OWNER Address / City / Zip: i
Applicant is: Owner Contractor
Description of work:
TYPE OF WORK I i
Construction Cost: fjlyL~C/l'L', Multi-Family Building: (Yes / No
r
' Company:
l,L ti I/1S\f
CONTRACTOR Address: City:
State: Zip:33~ Phone: l J
License 2Dt' Lead Certificate I
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
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 maybe classified as non-public if you provide specific reasons that would permit the City to r
conclude that they 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.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
x A'~_A ~Ikulk'
x
Ap is nt's Printed Name Applicant's Sign ure
Page 1 of 3
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 (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) _
01 of _ Plex _ Lower Level _ Pool _ Miscellaneous
Accessory Building
WORK TYPES
New _ Interior Improvement _ Siding _ Demolish Building*
Addition _ Move Building _ Reroof _ Demolish Interior
Alteration _ Fire Repair _ Windows Demolish Foundation
Replace _ Repair _ Egress Window _,,QNater Damage
Retaining Wall *Dernolition of entire building - give PCA handout to applicant
DESCRIPTION
Valuation Occupancy MCES System
Plan Review Code Edition SAC Units
(25%_ 100%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) 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: V v \ Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
? ? ? ?
..-?. ,.
(?.'t?t[CQte of C"'=O
" Of ???
?? ? snmfts 3""dift
This Certificatt issued pursuant to the mquir+enrents of t1u Uniforni Building Cade
certifyirig tluit at the tinu of rssuanct dus structane woas ii+ carr+plimice with tire various
oidinances of 1he City regulating building constnuctian or iese. For the following:
uw cimdic.fim: 'F DC B+a6. ran:l Nm 21546
VN
owner of s? ?(?IES?I ?S Il?C ??=17354 IETf?1I'ATyCf, I11X?EVIL x'
.og A? OOURT LIO, B1, HUlt QAK EIDIS 2NID
•_ ?? ?v? /, I??J il J
Bu
POST IN A C40NSPICUOUS PLACE
?
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
?
ON
PERMIT TYPE:
Permit Numbee
Oate Issued:
? SITE ADDRESS:
!. t; 1 i r . t I1i ?t i
ts11?, ??(iF ii I I I?? ,•MI?
' PERMIT SUBTYPE:
TYPE OF WORK:
N, ?.,
D. . ..
10 APPLICANT:
II i+?t, t i i '
?i rillkth:S: ; b W 1'I kF: tit:Ni`fzf"R f-'i f;III I'ftV
Rermit No. Permit Holder Date Telephone #
S!W
PLUMBING
HVAC
ELECTRIC 3(J 93 4p
ELECTRIC
Inspection Date Insp. Comments
Footings I
Foundalion 9, 4? yj
UPQ
Framing
Roofing
Rough Pibg. c 7y ,/7
rU
Rougfi Htg.
IsuL v 243
?
Fireplace
1
Final Htg. Q Q-cq3
'O l /?
Orsat Test JLg . ;$"?3
i L?
Rnal Pibg,
! 64 PJbg. Inspector - Notity Plumber
Const. Meter
Engr.lPlan
Bidg. Final ?
Deck Ftg.
Deck Final
weu
Pr. Disp.
_ ?•?3? g 3? 3 ??
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
r,. II I i l. :s 1l.st.. t. I
I PERMIT SUBTYPE:
PECTION
1CORD
PERMIT TYPE:
Permit Number:
Date Issued:
'011 1, 1
ff !.•>cr??
(7f+{Nf I.tLJatFcC,Ri
?.?TYPE OF INORK:
I
Permit No. Permk Holder Date Tei9phone #
SNY
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspection Date Insp. Comments
Faotings I
Foundation
Framing
Roofing
Rough Plbg.
Rough Hig.
Isul.
Fireplace
Final Htg.
Drsat Test
Final Plbg. Plbg. Inspector - Notify Plumber
Const. Meter
Engr./Plan
Bldg. Final
Deck Ftg.
!
Deck Final
Well
Pr. Disp.
/a?7s
'
0
3
"
2 ..
?f
1
flequest DatB ire No
(?,)
1
- Fough-in Inspecp n
Requjretl' NOTICE: You Must Call Eledncal Inspeclor
It A Rough-In Inspection
((J
(
y ?/es L N. Is Raqmretl
IXlicensed contractor ? owner hereby requesl inspection of above electncal work at:
Jab AGdress (Street, Bae or Rauta No )
3?2 1 /e f- Cny
679-1111
Seceon No Township Name or No. Range No. Counry
OcW n? PRINT)
???? Phone No
?sZ -3 z?z
Power Supph r
(?-`? ct.<,r AOtlress
f?rl2.? '; .h '7? ti
Elecincel Conhac[or (COmpany Name) ConVactor5 ?cense No
??-o ?
MaAing q re s(COmractor or Owner Making InstallaUOn)
2 y2,S
I
,a
AN?on tvre (r/Owner Malti Ins lation)
?? -e,?- -
umber
Phone2.3
5?,
MINNESOTA STATE BOARD O ELEGTpICRV THIS INSPECTION REQUEST WILL NOT
Grigge-Midway Bldg. - Hoam S173 BE ACCEPTED BY THE STATE 80ARD
1821 Universlty Ave., $t Paul, MN 55104 UNLESS PFOPER INSPECTION FEE IS
Phona(61Y)842-0800 ENCLOSED
REQUEST FOR ELECTRICAL INSPECTION
?? ? Se inst cbons for complelmg this torm on back ol yellow o?py.
M 017 3 2 S,?v i° Below Work Covered by This Requesf
Q E&00001-08
X
ew Add Rep. TypeoiBuilding AppliancesWired EquipmentWired
Home Range Temporary Sernce
?uplex Water Heater Electric Heating
Apt. Building Dryer Load Management
F omm./Industfial FurnaCe Other (Specdy)
arm Air Condinoner
Other (spenfy) Contmctork Remarks
Compute lnspecbon Fee Below.
# Other Fee # SemceEniranceSize Fee # Crtcuits/Feeders Fee
Swimming Pool 0 to 200 Amps .? ? 0 to 700 Amps
Transiormers Above 200 _ Amps Above 100 _ Amps
Signs Inspecmr5 Use only:
Q(f OT?1.? ?,
/
Irrigation Booms ?? /
Special Inspection
Alarm/COmmunication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Oiher Fee COMPLETED WITHIN 18-N1 THS -/t
I, the Electrical Inspector, hereby Rouqn-in . , ? aie y
?
certify that the above inspection has
been made.
?1? oa?e
F,nai <? ?4L
? s'?? r'?-
OFFICE USE ONLY
This request voitl 18 monihs imm
Address 3248 xII.LSIDE COURT Zip 5512 I
Lot ID Blk ? Sub BR oAK tma.s zrID
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECfION.
Date: ID?,S ??.r Yes No Inspector:
Final grade (6" from siding)
Permanent steps (garage)
Permanent steps (main entry)
Permanentdriveway
Permanent gas
Sod/Seeded grass
TraiUcurb damage
Porch
Basement finish
Deck
Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply ro
the outside lawn faucet before freeze potential exists.
Contact engineering division at 681-4645 before working in righhof-way or installing underground sprinkler system. ?
White - City Copy Yellow - Resident Copy Pink - Contractor Copy
V,CA0,00 aGSEa
2006 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan 9O c co
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsVuction Remiirements
3 registered sde surveys showing sq. ft of lot, sq. ft. of house; and all roofed areas
(20% mazinium lot coverage aliowed)
1 Soils Repor, rf proposed bwlding is to be placed on disNrbed soil
2 copies of pl3n showing beam & window srzes; poured tound design, etc.
1 set oi Enerty Calculations
3 copies otTree PresarvaGon Plan'rf lot platted after711193
Rim Joisl Delail Options selection sheet (buildings with 3 or less units)
OAmnagasw i n=chanical ven0afion torm
?/L?P
D ate =1 I ? / 0-?
' I ??)
Site Address 3?C? #'1 ? ? ? iL"C..
RemodeUReoai? Reaulrements ffx? 1's'e'6nl
2 copies of p?an showing foolings, beems, joisCS Cer't o(@u?yey ecd;"F`°??= Y "_N
lselofEne?gyCalcula5onsforhe9tedaddidons 8oilsReprnt;, M
1 site suNey for additions 8 decka Tree Pres Plai tecd `•. ?, ?=? Y;';? N.
Adddion-indicate'rfoms8esepticsysfem TreePresRec Yed?_., N
0n=site5eptic ystem.=?i??_ Y H
Construction Cost ?f2a • "I0
Unit/Ste # _
Description of Work
Multi-FamilyBldg _ Y ? N
Praperty Owner
Contract or
Add ress
State
Fireplace(s) _ 0 _ 1 _ 2
& /? ?)sl
Telephone # 46 1 ) LEC,5? ?
? ?L/ City _? 7`?
Zip Tetephone # (/p 57) 30- ? -> C+
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDI!JG
- Minnesota Rules 7670 Cateeorv 1 _ Mimmesota Rules 76 2
Energy Code Category . Residential Ventllation Category t Worksheet • New Energy Code orksheet
(d s??bmission type) Su6mitted Submitted
. Energy Envelope Calculations Submitted
In the last 12 monih5, has the City of Eagan issued a permit for a similar plan based on a masier plan2
_ Y _ N If yes, date and address of master plan:
I Licensed Plumber Telephone #(
' Mechanical Contractor Telephone #( ?
Sewer/'Jdater Contractor Telephone # j )
1 hereby apply for a Residential Building Permit and acknowledge that the information is coml ete and accurate;
that thc work will be in conformance with the ordinances and codes of the City of Eagan ani the State of MN
Statutes; I understand this is not a permit, but only an application for a pennit, 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 rac ires a review and
appr valofplans.
Applicant's Printed Name ApplicanYs Signature
, . PERMIT
--ITY .OF EAGAN
3830 Pilot Knob Road PERMITTYPE: euiLoiNG
Eagan, Minnesota 55123 Permit Number: 021546
(612) 681-4675 Date Issued: 0 7/ 2 6 J 9 3
SITE ADDRESS:
3248 HILLSIDE CT
LOT: 10 BLOCK: 1
BUR OAK HILLS 2ND
P.I.N.: 10-15501-100-01
DESCRIPTION:
Bualding.`Permit Type SF DWG
8uilding I:Jork Type
? NEW
?
UBC Occupancy-, R-3 M-1
Constructipn Type V-N
/ 2oning R-1
/ Building length ) 51
` Building Width 35
1 rA 7 ?
REMARKS:
S& W PLBR - SCHERER PLBG PRV
FEE SUMMARY
Base Pee
Plan Review
Surcharge
SAC
SAC %
SAC Units
Subtotal
VALUATION
$716.50
$465.73
$61.00
$750.00
100
1
$1,993.23
$122,000
MISCELLANEOUS $1.744.50
Total Fee $3,737.73
CONTRACTOR:
HIGHVIEW HOMES INC.
17354 ITHECA CT
LAKEVILLE MN
(612) 892-3282
- Hppl3cant - 5T. LSC
18923282 0005493
55044
OWNER:
HIGHVIEW HOMES INC
17354 ITHACA CT
LAKEVILLE MN
(612)892-3282
55044
I hereby acknqwledge that T have read this application and state that the
intormation is correct and agree to comply with all applicable State of Mn.
Statutes and City of Eagan Ordinancer.
I
fTtl
APPLICANT/PERMITEE SIGNATURE -rSSUED B: S GNATU E
REACTIVATE _ CITY OF EAGAN
PERMI'i' G?,??(?(??,s? 93 BUILDING PERMiT
681-4675
J U L 15 1993
APPLICATION' $9 b 1. 13
rn ?Caj q-23
SIN6LE 8 MULTI-FAMILY -- 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 ZZLE Valuation of work 7 v. n dC?)
Site Address: z 44 e fy ? ??5r ?e G? -
STREEt SUITE M
Tenant Name: (commercial only)
IAT ? BLOCK/ SUBD. ?vt D?? Nill? P.I.D. N
2w
Descri tion of work: %u (
The applicant is: ? Owner ? Contractor ? Other coeeorfee>
Name Phone
Property
er
O LAST FIRST
e
wn 6 o L o ?'?
Address
SiREET STE N
City State Zip
Company H!4L?ew H o1Kc_ Phone`97L-3z8Z
!'4 P 87v
Contractor Address l??S C.'t= License #S_4?3 Exp.,?(?[y
City Ga?euil(e, ?1 State d? ?`? Zip
Company Uvv v e_ Phone $ 2J ` ? `? ? Z
Architect/
Engineer Name A..",J Registration #
Address
City State Zip
Sewer & water licensed plumber t' ? 6r Processing time for
sewer & water permits is two days once area has been approv tl.
I hereby acknowledge that I have read this a lication and state that the information is
correct and agree to comply wit 1 app e te of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant: `?
OFFICE USE ONLY ,
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging "?,p`TB`Basement? Fi' rn sh
13?02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. O 17 Swim Pool
? 03 SF Addition O 08 8-Plex 0 13 Garage/Accessory ? 18 Comn./Ind.
? 04 SF Porch ? 09 12-Plex O 14 Fireptace O 14 Comm./Ind. Misc.
? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility
? 21 Miscellaneous
WORK TYPE
g 31 New 0 33 Alterations ? 35 Tenant Finish O 37 Demolish
13 32 Addition 0 34 Repair O 36 Move
GENERAL INF ORMATION
Const. (Actual) V- N Basement sq. ft. MWCC System ES
(Allowable) v- N lst F1. sq. ft. Lity Water y =_5
UBC Occupancy R_3 M 2nd F1. sq. ft. PRV Required
Zoning R-I Sq. Ft. total Booster Pump
# of 5tories Footprint Sq. ft. Fire Sprinkl er
Length On-site well Census Code /oi
Depth 3,5• On-site sewage SAC Code -0/
!
APPROVALS ?
Planning Building Assessments
Engineering Variance
REGIUIRED INSPECTIONS
0 Site
? Wallboard
? Footing
? Final
? Framing
? Draintile
? Insulation
O Fireplace
Permit Fee v.Usc;on: g 122? OoC?
Surchar9e
Plan Review GARAGE;
,214 X24
= 516
G
License
MWCC SAC ?mT,
30K 2?
= g/v
City SAC ? x g= Cg,
4later Conn.
k
Water Meter /l = 1Sy
Acct. Deposit
S/W Permi t _ _?--
S/W Surcharge g6q X/.s %? 4 y 6 0
Treatment Pl. } S T
Raad Unit
Park Ded. "'77 = (1
Trails Ded.
Copies
Other ,
Total:
SAC % /Oa
SAC Units 1
9 Z N.5yv ?sycl S
121, 22?
&
' [oNSUITINO EH4INEEOS
O
BC Plt1NNEqS ond IOND fU11VEY08S ??l$(S,
>z ?l
ENGINEEAING ?„
? , aK /96
COMPANY INC.
,
IOQO EAST 1461h STREET, 9URNSYILIE, MINNfS01A 56337 PH 432'3000 CERTIFICATE OF SURVEY
Legal Description:
?
SCALE : 1' = 30'
30.00
(i????l 30, 3i
?c If Wn? W
I7.440
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09411046E ,4ND
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DA?
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DEPT
It' lr?T V t?1 ? ;
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I hereby certify that this ie a true and correct representation of a tract o1
land as shown and described Yiereon. As prepared by me this ? day oi
=AZLY , 199-3.
Minn. Reg. No. ?Oj o85
2it1D
Y.
(g,QL.o) DCN07ES EXISTING ELEVATION
(1367,D) DENOTES PROPOSED ELEVATION
r INDICATES DIRECTION OF SURFACE DRAINAGE
86733 = FINISHED GARAGE FLOOR ELEVATION
859, 62 = BASEMENT FLOOR ELEVATION
,8 ?, 66 = TOP OF FOUNDATION ELEVATION
30 FT. F.7oN7- Br!/LO/ivG
T9AGK LINE
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8? ? ? •
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LOT BURVEY CSECKLIST FOR RESIDENTZAL
LDINO RMIT APPLICATIOH ?
Date of Survey:
BUI
PROPERTY LECiAL•
DOCUMENT STANDARDS
Registered Land Surveyor signature and company
Huilding Permit Applicant
Leqal description
Address
North arrow and bar scale
House type (rambler, walkout, split w/o, split
lookout, etc.)
Directional drainage arrows with slope/gradient $.
Proposed/existing sewer and water services
Street name
Driveway
ELEVATIONB
entry,
Existinq
? 9'*?0 • Sewer service
P? ? 0 • Lot corners
?? ? • Top of curb at the driveway
0? 0 • Elevations of any existing adjacent homes
Proeoaed
0 • Garage floor
Q ? ? • First floor
Q? 0 ? • Lowest exposed elevation (walkout/window)
v D • Property corners
0 • Front and rear of home at the foundation
ONDINl3 AREAS (it apDlicable
0 .B' 0 • Easement line
0 12' ? • NWL
? 0? O • HWL
? @' ? • Pond # designation
0 C}- ? • Emergency Overflow Elevation
w'll ? •
CYO 0 •
ty"0 ? -
cro ?
a- o o •
? ?? .
/
Reviewed
October 1992
Lot lines
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
structures requiring permanent footings)
Show all easemen£s of record and any City utilities within
those easements
Setbacks of proposed structure and setback of adjacent
exi
Ret
A 'f
4.1
_ gXnRaoR FalvEt.aps aY6Rld@ ' UI C!R?FUTATxax
OkNERs ` . • ' . , '.?:.
?.?.._ _ . , ' a;,?,: . ?1 vr'fi'?-•. ,
$Y76 Abb11ES$! LA 49 )--!
C0M7"BACTARq
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es
D.
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d,
e.
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h.
1,
3.
lega than Ztgro Of, yov have met Ehe 1nCan? oT $BC
tatal ezpoaed raof/oelilnr aras ¦ -113L? .
...,.
t
k. ib! lraor/ eilig Praming eree?(averege#10S) ......
A. Tot'dl Q@tr f {15Yaat.Bd T`06S/NQxlIh$, ¦rea........ ?rw OVEA
1p TotA2 exposed
Aetermint morkiog aquare lo4Cg69 of pashs
Nall area
2. Tocal roof/astlin; area .,. ?ea. rt, x,026
x ?U?
a
x ?{J?
ai lVt
n 'ut
Total exPaed valX ardA abQy4 floqr z? I
?..,.,.?.?.
Tdtwl 61811 WICIftfd 8PB8 ..r....
Tot aE door aPeB I 991..-????4-
70tA1 $lldlfl8 gZaAB GP40 .....•
..e....??...........??.•?. ?°"?
???
Totel tireplaee wwli 8C'Ca •?????rsalgrttes, „.... ..
TOf.A], uell tran?ipyg area (averago 10S)
• ? ? ? ... ? ? ? ? ? •
Yatal no6 waS1 area abOVe f144F ..............?.?..
TOt81 YAm J!145tr fiTP.O •??...s?????.?.??.??....rr???•
T°tiaI gXOQW foundatlao araa s_?(??? i
Total !'oVndaEl*n mindoN area ..........
....,,,.?,,.
Totei net CounOIClon drea abave grade..,.....,
,?..,.
?
Geteroine IUI valne ap each valt eegment:
? I
,
?
?
a
?
......................................,...,......... Total
If ltem e3 !s Ohe atme es ar
6046(e)2,
d aess aas tza a:
m
e
9
?.gZ
':'r 3I
BZItldtl2lD/,LNISNIEd BTdW W0N3 bEit t E6-0a-4e
Z 0' d ' a N I ` S 3 W O H M 3 I!t H J I H 9 S= Z'L 3 fl 1 ^z 6- 0 Z--1 fl 1'
53# ZOOd, ?dLS?Zi £6-OZ-LO roII95ED _______- _______
.y-.. ?. ..,v.an. ..?,.. .... ,. St..ri., ., '"'_""-... -""
, •• :.....:rt .... .?.
..
r": '
Cmterm;ne pUI value fer emob reof/ceiling ae6sent; '
?
?
9• ? ' ?, ?....,. ,? ,
k. ? 1??
.
1. ? 6Z x rpi
?d
•as?????????????1................. TaEaI ? ? .
If tobol OP 04 iS the aame ma 6p 1Ba6 Eh?ln dgo YAW ?,eV4 mQ?, ?,he Inreqt o! SBC
b006(C)1,
Alt@PII&t! H1,111d1hs
'fo mttxiae tne taEaX ewveiape sysEem atthod. Lhe values est,bllahe4 by the sum
af ICems 01 end 84 9ria11 not be greaCar Enan !he sum o! Ilems 01 and A2,
fi 2.
i
? -- VOGUE LESIGN ? 5124895297 P.02
- ? 1
MAH[]AL •?: 7th Ed. RIQHT-3: Y1.07
-•------- ----- - - - -.....-- ------------------------- ----- - -----_ _- --------------•----
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lk .I
, . PERMIT a?
CITY OF EAGAN PERMIT TYPE: ?/?
3830 Pilot Knob Road B U I L D I C?
Eagan, Minnesota 55123 Permit Number: 024241
(612) 681-4675 Date Issued: 0 7/2 g/g q
SITE ADDRESS:
3248 HILLSIDE CT
LOTe 10 BLOCK: 1
BUR OAK HILLS 2ND
R.I.N.: 10-15501-100-01
DESCRIPTION:
6-i1din4-,.Permit Type
uAlding "r.k Type
?.,
??.
`i
4
\
1 p
Ir,
_.?. ?
_.1
p£CK
NEW
C7 F3
J7 r, ?E? rt,? y/
?? ? ?-- `•? r ? ????
REMARKS:
FEE SUMMARY:
Base Fee $30.00
3urcharge $.50
Total Fee $30.50
CONTRACTOR: - Applicant - sT. Lxc. OWNER:
TIMBERWORKS BLORS INC 16860911 0006352 HUN7INGTON DEAN
829 TROTTERS RIOGE RD 3248 HILLSIDE CT
EA6AN MN 55123 EAGqN MN 55123
(612) 686-0911
T hereby acknawl.edge that S have read Chis
intormatian is eprrect and agree t.o camp2y
Statutes attd C3ty af Eagact Ordirrancear
L
APPLICANTlPERMITEE SI NATUR
applieatibct ar+d state that the
with all appliceble 5tate bf Mn.?
11
=Laun Li
ISSUED 6 SIG UR
i4241
CITY OF EAGAN
1994 BUILDING PERMIT APPLICATION
681-4675
?0&11 q -2`?
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered si e surveys, f energy
calcs. ifll 2 2 s1q?
COMMERCIAL 2 sets of architectural & struc r?l?lans: 1 set f
specifications, 1 copy of energ .'""""
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) 7ot change is requested once permit
is issued.
r--
Date ? v?- z? ??? Valuation of work 3 9?
Site Address: 32 f8 /??LCSiDa CT-
STREET SUITE #
Tenant Name: (commercial only)
LOT BLOCK SUBD. jJ,?
--lJ P.I.D. iF
Descri tion of work: Ex?ir-1o,<_ l??clc-
The applicant is: ? Owner Cr7<ontractor ? Other (Describe)
Name f?va?-..ucdro,-) Z)Fa-.J Phone
Property LAST FIRST
Owner pddress 321?ld ?-
STREET STE il
city _ ? ?.4rJ state IVAI zip S7;_12_3
Company J?.Phone d; 66 ?499i/
Contractor Address B24? `Tirv:72E?.es .?idue /??-o. License # 0635:a Exp. 3.T
City ?46/9.^/ State /ZV. Zip
Company Phone
Architect/
Engineer Name Registration #
Address '
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days onc 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 applicable State of Minnesota Statutes and City of
Eagan Ordinances.
?
Signature of Applicant: ??-?-- ?-•-
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Ladging
? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc.
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace
? 05 SF Misc. ? 10 Multi. Add'1. El 15 Deck
WORK TYPE
p 31 New ? 33 Alterations ? 35 Tenant Finish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual)
SAllowable)
UBC ccupancy
Zoning
# of Stories
Length
Depth.
APPROVALS
Planning
Engineering
REGIUIRED INSPECTIONS
? Site
O Wallbaard
Basement sq. ft.
lst F1. sq. ft.
2nd F1. sq. ft.
Sq. Ft. total
Footprint Sq. ft.
On-site well
On-site sewage
Building
Variance
? Footing
? Final
0 Framing
0 Draintile
?
-?
-?
? Insulation
? Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
veiLeesd,: g
? . .?...
..,. . ?.,. „ ... ?.
? 16 8asement Finish
? 17 Swim Pool
? 18 Comm./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facility
0 21 Miscellaneous
? 37 Demolish
MWCC System
City Water
PRV Required
Booster Pump
Fire Sprinkler
Census Code
SAC Code
Census Bldg
Census Unit
Assessments
SAC %
SpC Units
SIGMA
MVEYING SERVICES INC
3730 pYOI KroC Roatl
Eagan. Mlmewlo 55122
(612) 452 - 3077
ORAINAG[ AMO VTINTT [ASlMLMif A11(
SNOwN TNUS:
L-J
OLM6 3 IECT IH WIOTN,UNI(SS OTMF11W13C
WDICaTCD, ANO ADJOININ6 LOT LINFS ANO
10lL[T IM WIOTXAND ADJOIMINO yTll(FT
LIN[S, AS SNOWN OM iN[ PLAT.
House Certificate For:
WESTBROOK
DEVELOPMENT
30
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6 ? / ^
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1 "= 4a'
-LEGEND -
0 Llenotes Iren Afn.nuaent
m Lenotes Woal Hub Se.t
?
g5 ?O
x
?
,
/
?
HlL- - --??°----m-- ___ ?
L S ..? , ?: f4c, ??
>%c.<<.c Wnotes Existirc3 Spo1 Elevation
(„?S8•°) Aenotes Proposed Spo1 Elevaficn
? Denotes Drarnage Directian
-PFCffRrrr XscRrPriaN-
LOi 10 ,BLLCK 1
BUR OAK NILLS 2ND ADDITION
according to the recaded plat thereof,
Dakota County, Minnesota
P.R.V. RE 1 UtRLoD
PROPOSED 6ARA6E FLODR fLfVATION= 8G6 2.
PRDPOSED Top of Bfock ELEVATIONm 94?.5
PROPOSED BASEYENI FLOOR ELEVATION= $58•S
NOTE: Verily afl floor heights wilh Final Nouse P7ans.
_&pvFY{R5 CFRTIFIC,4TIQM-
! hereby certify thet fhrs survey, plan or report
was prepared by M or under my dirxt supervision
arrl ihat 1 am a duly Registered Larri Surveyor
under the laws ofi 1he State of Minnesota.
CJ Q Y;r 1?? ?;.,::.
Date:
Wayne D, Cordes, Minn. f7eg. No. 14675 ...?
W10
?. . . ?
;?f,• -:?a?i:
??
? CITY USE ONLY 39M
L , BL ? ?RECEIPT#:
SUBD. ?_U(K'oLI v fi lm 2Y1GI RECEIPT DATE:
j 7PERMIT 7!
?
; 2000 PLjJMING PERMIT (RESIDENTIAL)
i CITY pF EAC,AN
; 3830 PILOT KNOB RD
? EAGAN, hIN 55122
651-681-4675
Pfease complete for. )> single hamily dwellings
; ? townhomes and condos when permits are required for each unit
D backflow preventer for underground sprinkler system
FIXTURES
EACH #
TOTAL
i
Atterations to existing dwelling - minimum fee
Describe: ?
$ 30.00
Bath tub $ 3.00 x = $
Floordrairy 3.00 x = $
GaS i In oUtlet ' minimum - 1 3.00 X = $
Hot tublsp8 3.00 x = $
Kitchen sirik 3.00 x = $
Laund tre 3.00 x = $
Lavato 3.00 x = g
Se tlc Sys em rtewJreNrbiehed • requires MPC Ilc. 75.00 x, = $
Se tic S s em sbandonment 30.00 x = $
RPZ i ' new installationlrepaidre6uild 30.00 x = $
Rough op ning 1.50 x = $
Shower ; 3.00 x = $
Llnder rau d s rinkler rf dwelllog is under wnatruUion 3.00 x = $
Under rouhd s rinkler Itexistmg dwelnng 30.00 x = $
Water closet 3.00 x = $
Water hea er 3.00 x - $
Water soR@ner if dwelling under conspucGon 5.00 x = $
Water soft4ner If exlsUng dwelling 30.00 x = $
Water tumaround 30.00 x --- = g
State Surchar e .50 -> --> ---> $ .50
Total
Reminde?: Call ior inspections ai alterations, i.e. water neaters, water softeners, etc.
, • -••••• . -- hereby adcnpwledge fhat I hsve read this applicetion, stete thet the informstion is correct, and egree to comply with all applica6le City o-f Eagan ordinences.
N is the applicanCS responsibility to notify the property owner that the CRy of Eagan assumea eo liability for any tlamages caused by the City dudng its
nortnal operallonal and matntanance activities to the facilitles constructed under this permR withln City propertyinght-of•way/easement.
? ---
SITE ADDkSS: _
OVIMER NAME: : .
-
HUNTINGTON, DEAN
3248 HILLSIDE COURT
EAGAN, MN 55127
(651) 686-6583
TELEPHONE #:
(AREA CODE)
tNSTALLER NAME: N16ICCi2L0W1 LJMe},ILJ!? l_0 TELEPHONE #: 6lZ RZ7' ?O Z,2?
? . .
STREETAbDRESS: _?Z'A.Q,h' I 4Z- 6f/6 SO (AREA CODE)
cIn': 111lA1,t1 Pa L.l STATE: ZIP: a V
F
SI 4 F PERMITTEE
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. AISO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNTT.
NO. FIXT'URES EACH TOTAL
SHOWER 3.30
/ WATER CLOSET 3•00 J900
L BATH TUB 3.00 _ 3. ign
_ LAVATORY 3.00 3 •oo
KITCI-IEN SINK 3.00 3• oO
LAUNDRY TRAY 3.00 3, OG
HOT TUB/SPA 3.00
WATER HEATER 3.00 ?. DD
? FLOOR DRAIN 3.00 ?• o a
? GAS PIPING OLITLET • minimum • 1 3.00 ? 3• o0
3 ROUGH OPENINGS 1.50 f'•.Z)
? WATER SOFTENER 5.00 S?
PRIVATE DISP. • naLcry. lia 15.00
U.G. SPRINKLER • tiome under const. 3.00
ALTERATIONS • to eusting 15.00
WATER TURN AROUND 15.00
STATE SURCHARGE .50
TOTAL: ?
? 1
- ----- ?Ii 05i.Cf? 0otnrt-
SITE ADDRESS: 77 7
OWNER
INSTALLER:
C1TY:
STATE: /714 ZIP CODE:
PHONE #: (&'h ) 0{'7-(07?
0, -, s ?.,)
SIGNA PERMITTEE
1993 PLUMBING PERMIT (RESIDEIVTIAL)
CITY OF EAGAN
3830 PIIAT KNOB RD
EAGAN MN 55122
(612) 6814675
1993 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PIIAT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR ALL COMIvvIERCIALJINDUSTRIAL BUILDINGS. AL50 FOR MULTI-
FAMILY BUP DINGS WIiEN SEPARATE PERMTTS ARE NOT REQLJIRED FOR EACH
DWELLING U,:: T.
NEw' CONSTRUCTION
ADD ON
REPAIR
WORK AESCRIPTION:
CONIRACT PRICE:
FEE: 1% UF CONTRACf FEE.
STATE SURCHARGE $.50 FOR EACH $1,000 OF PERh?' FEE
MINIMUM FEE S 25.00 ? "
CONTRACT PRICE X 1%
STATESURCHARGE
TOTAL
SITE ADDRESS:
$
$
-jLENAN"i' N?uME: 3i'i:. #
OWNER NAME:
INSTALLER:
ADDRESS:
CITY:
PHONE #:
STATE:
ZIP CODE:
FOR:
CITY OF EAGAN APPLICANT
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMFS AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNTT.
? NEW CONSTRUCTION
ADD-ON A/C
ADD-ON FURNACE
DATE ?'-3 1- q2
FEES
HVAC: 0-100 M BTU
ADDITIONAL 50 M BTU
GAS OUTLETS (MINIMUM ] @ $3.00 EACH)
ADD-ONIREMODEL (ExISTING CoNSTRucrtoN)
STATE SURCI-IARGE
TOTAL
SITE ADDRESS
OWNER
INST
t]d'Z15
1 24.
6.00
%5'00
$ 15.00
.50
JT' ?/S`Lle 4?? rj-
ADDRESS: /'/O
CITY:?/vop. STA
TELEPHONE#: ?8?-9277
TELEPHONE #: S ?12 3 %Z8 Z
ZIP CODE:,555/20
1993 MECHANICAL PERMTf (RESmEIVT7AL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4675
xu.e:xr<,.rsw
??$.L?• .... .
1993 MECHANICAL YERMTT (COMNERCIAL)
CITY OF EAGAN
3830 P1IAT KNOB RD
FAGAN MN 55122
(612) 6814675
PLEASB COMPLETE FOR ALL COMTERCIAUINDUSTRIAL BUILDINGS, ALSO COMPLETE
FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE
PERMTI'S ARE NOT REQUIRED FOR EACH DWELLING UNIT.
DATE:
NEW BUILDING
INTERIOR IMPROVEMENT
WORK DESCRIPTION:
FEES
CONTRACT PRICE: $
1% OF GQNI'RACT FEE $
PROCESSED PIPING: $25.00
MINIMUM FEE: $25.00
STATE SURCHARGE $.SO FOR EACH $1,000 OF ?'E}.tMTf FEE.
TOTAL $
SITE ADDRESS:
OWNER NAME: TELEPHONE #:
TENANT NAME: ([MPROVEMENTS ONLY}
INSTALLER:
CITY:
TELEPHONE #:
STATE: ZIP CODE:
SIGNATUP.!= OF PERMITTEE ''?TY INSPECI'OR
-q /)- g iq
2006 RESIDENTIAL PLUMBING PeRnnir aPPLic,arioN
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
°
Date5/ 10 I0?0
Site Street Address ? 4ill'side, U. Unit#
I
Property Owner kU,n cLnci Va(en 4LCnf-? r1 Telephone #&57)1 ) tOUo" (0151i)
Convactor_ _af pi DQ.'vVpf kS Tetephone# Oilj3V-,)'j340
Address -1v1« -pCXiLf V!{ - City F-G ()zL,--, State rnu Zip ?{I?3
i
?I The Applicant is: _ Owner V Contractor _Other
I Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Indudes County fee
II $ 100 00
I
Peras-built $ 10.00
I Alterations to existing dwelling $ 50.00 I
_ Add plumbing fxtures This fee includes installation of a water softener andlor water -
heater at the same time. If you are installing onlv a water softener and/or water
heater, do not complete this section; move to the next section and check the
appliance(s) you are installing.
_Septrc System Abandonment 3 ?
_WaterTurnaround (add $130.00 if a 5/8" meter is required)
-Other:
----
_
Water Softener V-?Water Heater
$ 15.00
_ new V?replacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
, State Surcharge $ 50
I Total $ ? ?'S 6
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 perriit and work w,!! be in
accordance with the approved plan in the event a plan is requirep)b be reviewed and approveJ.
??i -<iDier, _&L 0 JL
Apphcant's Printed Name ApplicanPs Signature
?
PERMIT
City of Eagan Permit Type: Building
Eagan. Permit Number: EA092950
Date Issued: 03/02/2010
OR Permit Category: ePermit
41~ it~ of E3
E
Site Address: 3248 Hillside Ct
Lot: 10 Block: I Addition: Bur Oak Hills 2nd
PID:10-15501-100-01
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 Dean H Huntington
1920 County Road C West 3248 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
` Use BLUE or BLACK Ink
I For Office Use l
• Permit L L-
City f Eap /a-~, ~
l Permit Fee: _
3830 Pilot Knob Road u~.
I Date Received:
Eagan MN 55122 RECEIVED
Phone: (651) 675-5675 l l
Fax: (651) 675-5694 MAY 18 2012 staff: - -
2011 RESIDENTIAL BUILDING PERMIT APPLICATION C
Date: A Site Address:.. a q~ N o 1~ 5 ~ c~E C:+ Unit ~
Name: Phone: to ~J I " to, S to ° 6593
RESIDENT / r~ a ~ I S "I de. O
OWNER _ Address / City / Zip: ~
Applicant is: Owner -)L Contractor
TYPE OF WORK Description of worts: ) q n f tcvi ~C t1 r Q.
k~
Construction Cost: Multi-Family Building: (Yes / No
Company:. ,1Z , I f" P 1 ~ VIWA" on w _-de.m5 Contact Lm R b o l k . e
CONTRACTOR Address: 10335 (,t. City: L i i d) Vi fj d
State: MN Zip: -C;!5355 Phone: 3 a D - 59 3 - 8 a1
license GC- y 4 (vy Lead Certificate fUA-`- 1 D(oAa.9-
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
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 they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hour;
before you intend to dig to receive locates of underground utilities. www:klopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that 1 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.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
x L1-X,,',c ,r? 11e_ P nA r:~M1 Adtv'~► '~SSis~k lL x L{YLtc~k~ p n_ Ut~~ ~t ~adc rJ us
Applicant's Printed Name Applicant's Signature
Page 1 of 3
a
DO NOT WRITE BELOW THIS LINE
SUB TYPES
` Foundation Fireplace _ Porch (3-Season) _ Storm Damage
Single Family Garage _ Porch (4-Season) T Exterior Alteration (Single Family)
Multi i Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi)
01 of _ Plex _ Lower Level _ Pool Miscellaneous
_ Accessory Building
WORK TYPES (1 (3 rl~`i y
_ 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 PCA handout to applicant
1 ~U
DESCRIPTION
Valuation Occupancy MCES System
Plan Review Code Edition ' m/w -7 SAC Units
(25%+ 100%_~rA 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 I C.O. Required
Footings (Addition) 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 l 7/hl
S 7
MCES SAC
City SAC
Utility Connection Charge
~ l>
lj
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type: Plumbing
Eagan. Permit Number: EA104689
Date Issued: 06/06/2012
OR Permit Category: ePermit
41 it~ of E3
E
Site Address: 3248 Hillside Ct
Lot: 10 Block: I Addition: Bur Oak Hills 2nd
PID: 10-15501-01-100
Use:
Description:
Sub Type: e - Water Softener
Work Type: New
Description: Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments: Kris Oien
3670 Dodd Rd
Eagan, mn 55123
651-365-1340
Fee Summary: PL - Permit Fee (WS &or WH) $55.00 0801.4087
Surcharge-Fixed $5.00 9001.2195
Total: $60.00
Contractor: - Applicant - Owner:
Champion Plumbing Dean H Huntington
3670 Dodd Rd., =100 3248 Hillside Ct
Eagan NIN 55123 Eagan MN 55121
(651) 365-1340
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_B_L_UE or BLACK Ink
For Office Use I
Permit
I
City of Eapn
4011111-
'
3830 Pilot Knob R Permit Fee: (Ocf
oad I I
Eagan MN 55122 I ` ~lo~l I
Phone: (651) 675-5675 i Date Received:
Fax: (651) 675-5694 Staff;
2013 MECHANICAL PERMIT APPLICATION
❑ Please submit two (2) sets of plans with all commercial pplications.
Date: .I Site Address: -J Z -q ` J t nf> C f
r
Tenant: Suite
Name:
`~hr
Resident/Owner n Phone:Cd
Address /City/Zip:
Name: Rons Mechanical Inc License
Contractor Address: 20 z(7 (C)f byri/i owe city: Shakopee
State: MN Zip; 55379 Phone: 952-445-8585
Contact. Linda Email:
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 Type Air 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-on or alteration to an existing unit (includes $5.00 State Surcharge) I,~
$100.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) = $ ~J .0 (D TOTAL FEE
COMMERCIAL FEES:
$70.00 Underground tank installation/removal Contract Value $ x1%
$55.00 Minimum Permit Fee
*If the project valuation is over $1 million, please call for Surcharge $ 5.00 Surcharge*
TOTAL FEE
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.got)herstatoonecall.org
I hereby acknowledge that this information is complete and accurge; 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 t`he~ case of work which requires a review and approval of plans.
x l 1YldOl Yt~~(Y1,~1r x
Applicant's Printed Name Applicant's Signatur
FOR OFFICE USE
Required Inspections: Reviewed By: Date:
Underground Rough in Air Test Gas Service Test In-floor Heat Final HVAC Screening
61
r
For Office Use 3 n/I
% tb
•,, „ E AG N
,e Permit#:
.. Permit Fee: / 76-
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 EC C Date Received:
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 JUN 0 3 2019 Staff:
buildinginspectionsecitvofeagan.com
BY:
2019 RESIDENTIAL BgU��ILDING PE PPLICA • N
Date: '/(3i l Site Address: ` �p1"S t U tit W' 1 Eaq n '4 Unit#:,./
Name: 5 q(i-i 0 t6 (y (L • one:q -tom & J EVO
Resident/ — -
Owner Address/City/Zip: 3a �'O (I 1 S 1 d CV A ft GT V\
Applicant is: Owner Contractor ) 3 7 7 6.
2 7— C..$0
Type of Work Description of work: D C_C-� re- 'd
tAvci-)
Construction Cost: Multi-Family Building: (Yes /No )
Company: Se` Contact:
Contractor Address:� Q.V�\�‘SCR (L (t 9 q IAOO r CO(Y) City:
State: Zip: Phone: Email:
License#: Lead Certificate#: I>�_ U/2 g4 (
If the project is exempt from lead certification, please explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes,date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information may be
classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeacian.com/subscribe.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
x SC(6'(.0 IS ma x
Applicant's Printed Name Applicant's Signature
DO NOT WRITE BELOW THIS LINE -4 Lite' /Mk Id'E Cy , /-<;6/V
SUB TYPES
Foundation _ Fireplace _ Porch (3-Season) _ Exterior Alteration(Single Family)
—
Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration(Multi)
Multi Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous
01 of_Plex _ Lower Level _ Pool _ Accessory Building
WORK TYPES
_ 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 PCA handout to applicant
DESCRIPTION
Valuation Occupancy ,j r 1 MCES System
Plan Review Code Edition t t)J).)( SAC Units
(25% 100% ) Zoning 44— City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction Width
REQUIRED INSPECTION
Footings (New Building) Meter Size:
Footings (Deck) Final/C.O. Required
Footings (Addition) Final/No C.O. Required
Foundation Foundation Before Backfill HVAC_Service Test Gas Line Air Test_Hood
Roof:_Ice &Water _Final Pool:_Footings _Air/Gas Tests _Final
Framing 30 Minutes 1 Hour Drain Tile
Fireplace:_Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS
Insulation Windows
Sheathing Retaining Wall:_Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In_Final
Braced Walls Erosion Control
Shower Pan Other:
Reviewed By: , Building Inspector
c\it
RESIDENTIAL FEES 116 4-
Base Fee /, j,.�
Surcharge �t((/" " ;
Plan Review ` Y
MCES SAC
City SAC ( V'
Utility Connection Charge �` ( / 5/ - 7
S&W Permit&Surcharge
f
g /
Treatment Plant
Radio Meter Read
Copies I :L5— ', O 0
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA164666
Date Issued:10/05/2020
Permit Category:ePermit
Site Address: 3248 Hillside Ct
Lot:10 Block: 1 Addition: Bur Oak Hills 2nd
PID:10-15501-01-100
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 -
Sadio Y Ismail
3248 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:Plumbing
Permit Number:EA166149
Date Issued:12/16/2020
Permit Category:ePermit
Site Address: 3248 Hillside Ct
Lot:10 Block: 1 Addition: Bur Oak Hills 2nd
PID:10-15501-01-100
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater & Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Sadio Y Ismail
3248 Hillside Ct
Eagan MN 55121
(952) 688-1800
One Hour Heating & Air
11825 Point Douglas Rd S
Hastings MN 55033
(651) 437-4177
Applicant/Permitee: Signature Issued By: Signature