3251 Hillside Ct
a .. ?
(gtr#i#ira#it of Orrupanry
titp of eagan
nf vwdittg jnaprninu
M CertifiUate lssmcd pursuant so lhe requirementr ojSeclion 306 of !he Unifonrc Bullding
Cade cerrtlldnS tkar at tke wne of Lssuance tJils strracturr wns lrr compliana witli 11ie rrrrious
ordihmeas of the Crty n.'8'uda?ing 6uilding cmsduction or use, For the foUowing.?
uw cwnwca6m SF DWG/CAR OW Pxmk w 314
R VN
o?e? WF.,STEY ?JO?]ST. ?? ?? 6Q66 FIA? Dcomp-
R, I?iS
? , B I, BiJR QAK HII.I.S 2P1ID
BuMM Addrm
/
o.c 6/ 7/I/42
- ? ?
lb"n offid:t
POST IN A CANSPICVOUS PUCE
INSPECTION RECORD
° CIT'tf OF EAGAN PERMIT TYPE: ?? ???? ? wN
3830 Pilot Knob Road Permit Number: *4*3 14
Eagan, Minnesota 55123 Date Issued: 04 12.1 f4"'
(612) 681-4675
SITE ADDRESS: t o 'r = 4
3;+1:1 FiIILSiDE CT
14110r t:qK NIIIS zao
PERMITl?UBTYPE:
APPLICANT:
IdE 'ryLE Y COMST
(bIZ) 461-0697
TYPE OF WORK:
aEa
INSPECTION
f 001 1 ri '. . .
F t:AMINA
l Ns,1JI A'i 1t1N 1 INAL
f IRFPI AfC ?
? w r? Na?r? ? : ???tv
u r. On rRnc: raR -
m
Vermit No. PermR Holder DaUe 7mNphaw #
S/W -.
PLUMBINO
HVAC
ELECTAtC ,. ?j? O°
ELECTRIC °'O
Inspecdon DaUe insp. CommNMs
Footings I y 2
Foundation
Framing ?O( f /?.Z !{??,J
Roofing
Rou4h Plbg.
Roto t*9-
k".
Firepiece 6 -d? 9L
Final Htg.
Oisat Test
Flnal Plbg. Plbg. Inspec;tor- Notiiy Plumber
Conet. Meter
En9rJPlan
81dg. Final
DeCk Ftg-
DeCk Final
weli
Pr. asp-
d'.s?
I
. I
Address: CfNTRT Lat 4 Blk I Sec/Sub S2ND
These items were/were not complete at the time of the final inspection.
Date: 7/1/92 Yes No L(? Tnspprtor,
Fina1 grade (6" from siding)
Permanent steps - garage ?
Permanent steps - main entry LI-I
Permanent driveway
Permanent gas ?
Sod/seeded grass
Trail/curb damage
Porch ?
Basement finish
Deck
Please verify with tha builder the removal of roof tast caps from the plumbing
system and the shut-off o£ water supply to the outside lavn faucet before
fceeze potential exists. r?
w
RMIF?ARP
White - City copy Yellow - Rasident copy Pink - Contractor copy
i05yi7
p 13 5 5
Request Oa?e
y L Fre No Roughin Inspecbon
Reqwrea+ xReatly Now i] Will Notiy Inspector
- ves C N. Wnen Reatly?
IN hcensed contractor D owner hereby request inspeclion of above electrical work at.
JoD Atltlress (SbeeL Box or Roote No I
32s1 '11st?-e e+ Qty
Ea h
Range No
Secuon N. Townshp Name or No
? Couf?1Y,-?, 1 _.
VQ*r\
-
-
Occuoam iPRINTI
, W n1e? Phone No
452-os8-7
_
Pawer Suppher luldress
--NS P -------
Elecmcai ConteatlorCompany Name, Conlrector's Ucensa N.
-vu F 0 c- ct,, lnc_ cf? p 119z
MeilinqAtltlressfGOnVactor or Makinglnstallation?
a?ct 2
1?ooru Aa?. S
_
Awnon Sivnawe IComrar.to Makmy InslallaLOn) P Nvmber
?l MP-,alk - - eq0 - 3SS'S
MMNESO{p STATE 60ARD OF ELECTRkITY ` THIS INSPECTION FEOUEST WILL NOT
Griggs-Ml?way Bidg. - Room 5413 BE ACCEPTED BV TME STATE BOARD
1821 University Ave., 51 Paul. MN 55104 UNLE55 PROPER INSPEGTION FEE IS
Phone (612) 642-O800 ENCLOSED
E13-00W1-08
REQUEST FOR EIINW"RFMSPECTION
_Se:+nstmenons lor compieung mis form on bacx of yellow copy ; ?_`- /0
?6°?/ ?
?
? Below Work Covered by This Request
ew AdtlLep Typeof wlding ApphancesWired EqmpmentWned
? I Home Range Temporary Service
-? fDuplez Water Heater Eleciric Heating
Apt. Bwidmg Dryer Other (Speafy)
? Comm.llndustrial Fumace
Farm Air Conditioner
Ip?ner (ryecdy? ConVactors Remarks
-L__-_
Compute Inspechon Fee Below
# Other ? Fee # Sernce EntranceSae Fee # Circmts/Feeders Fee
-, Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transtormers ? Above 200 _ Amps ove 0 Amps
? Sg?s 1nspeaor's use Ony TpTpL 50
? Irrigation Booms
Sp ce ial Inspechon ?
Alarm/COmmunication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
? Other Fee ? COMPLETED WITHIN 78 MONTHS.
I, ihe Electrical Inspector, hereby Rou9h-m Dare
cerlify that the above inspechon has
been made F??ai Dare
OFFICE USE ONLV
Tbis request mitl 18 months imm
i 6rii o i c s
in oT 5. .
,.,, s-, , I d , I I .,
p'.13 4 5 6,(,?(/???? ,2`loe;,
?
Request Dale /? " /~ Flre N?nsoecn
L] ReadY Naw ?Will Noldy InsPacbr
- When Reatly'
I q licensed contractor ? owner hereby requesf inspection of above electncal work at.
1?
Cny
Job Atltlress fStreet, Box or qouN'1 ?` ?? ?? I E^ ?
3 251 1?.
Spction N. Townsbip Name or No IRanqe No Co
O<cupantlPPINT) Phone No
W Q?\lzVCo ns-?ru c-41o n --- `? s 2- o S8?
--
Power SuppLer AdtlW.ee-?
_ NS- - - - - - - - - - - _ L- -.
'
s Lioense No
Elecrc¢al Gom:petor tCOmpany Namal ConVactor
0. 44e-r C4OIIQ2
Marhng A loress COnhaclor or ner Makmg InstallaVA12qb-1 oorlcZ ?Q S 50-jj
--- - ---
----- --
Aumonxetl S ture ?Goobacto?Awn ;Instanationi Pho umber
----?,?,:?. ?$? -------- -5q 0 -35
MINNESOTA ST?E BOAPD OF ELECTPICITYf
GrlgBS-MiEway Idg. - Room 5473
1821 Umversity Ave. St Gaui. MN 55100
Phone(612)602-0800
TMIS INSPECTION PEOtlEST WILL NOT
BE ACCEPTED BV THE STATE BOARO
UNLESS PROPER INSPECTION FEE IS
ENCLOSED
REQUEST FOR ELECTRICAL INSPECTION ea-oooo,-oe
3O I 5? ? See insimcGans for compleung ihis lorm on back af YePaw copy 71?
41 1JQ, C; F; "Below Work Covered by This Request ?•,?:••+
Adtl Rep TpeotButltlmg ApphancesWued EqmpmentWiretl
Home Range Temporary Service
Duplex, Water Healer EleCtric Heaiing
Apt Bwlding Dryer Other (Specify)
Comm./Intlusinal Fumace
Farm Air Conditioner
OtherlsuaCdYl Conhaclor's Remarks
lCompute Inspechon Fee Below
?0 Olher Fee # I SBrvrce Entrance5ae Fee # QrcmiSlFeetlers Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps b6Ge 1D _ Amps
SIg05 inspectors Use Only TOTAL?Q
Irngation Booms
?Y
Speaal Inspechon
Alarm/Communication THIS INSTALLATION MAY 8E ORDERE DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 1 NTH . ?
I, the Electncal Inspector, hereby Ro°9n-'"
certity ihat the above inspection has
been made F,,,ai Date ?? d
OFFICE USE ONLV o
Tnis repuest void 18 momms Irom
rs-I 099 RESIQENT_IAL
BUILDINC PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Construction ReauiremeMs
• 3 registeretl site surveys showing sq. ft. ot lot, sq fl of house; and all roofed areas
(20% manimum lot coverege allowed)
. 2 copies of plan showing beam & window sizes, poured found desi9n, etc.)
• 1 setof Enefgy Calculations
. 3 copies of Tree Preservation Plan if lot platted aker 7!1193
• Rim Joisl Detail Options selechon sheet (bldgs with 3 or less unNs)
DATE V`'tvov - 07L
YELLA WINDOWS & DOORS
15300-25TH AVE. N. STE. #100
PLYMOU"f'H, MN 55447
763-745-1400
LICENSCE iF20165884
SITE ADDRESS _3a5` COV (-k= MULTI-FAMILY BLDG _ Y _ N
TYPE OF
APPLICANT
STREET ADDRESS
TELEPHONE #
PROPERTY
RemodaUReoair Reauirements
• 2 copies of plan
• 1 set of Energy Calcula6ons for heated additiora
• 1 site survey tor exterior addifions d decks
• Indlcate if home served by sepfic system foradditions
?j
VALUATION
FIREPLACE(S)
Jk/Yl, f`? .
U
_ 0 _ 1 _ 2
Y STATE ZIP
FAX #
_- J
TELEPHONE# tiO S ? • '7? • ?'f'13
COMPLETE FOR KNEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RUI1:S 7670 CATEGORY 1 MINNESO'17A RULES 7672
(J submission type) . Residential Ventilation Category t Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Ernelope Calculations Submitted
Plumbing Contwctor: Ph ?#-?
Pluinbing system includes: Water SoGener _ Lawn 3) tih'?eler -'_ '-Fc? $90.00
Water Heater No. of ?. ]Baths2 2
-- No. of 13alhs ?J
u
Mechanical Contractor.
Mechuucal syslem includes:
Sewer/Water Contractor:
Phone #
$70.00
I hereby acknowledge that I have read this application, state that the in o ation is corr , and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordi nces.
4Q??
Signature of Applicant
OFFICE USE ONLY
Air Conditioning
Heat Recovery Systein
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
OFFICE USE ONLY
? 01 Foundation
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? OS 03-plex
? 06 04-plex
? 07 05-plex ? 13 16-plex
? 08 06-plex ? 16 Fireplace
? 09 07-plex ? 17 Garage
? 10 08-plex ? 18 Deck
? 11 10-plex ? 19 Lawer Level
? 12 12-plex Plbg_Y or _ N
? 20 Pool
? 21 Porch (3-sea.)
? 22 PorchlAddn.(4-sea.)
? 23 Porch (screened)
? 24 Storm Damage
? 25 Miscellaneous
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Ait - SF
? 36 Multl
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ?,37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/DOOrs
? 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning' Citq Water
SAC Units ' Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS •
_ Footings (new bldg) FinaUC.O.
_ Footings (deck) FinaUNo C.O.
_ Foo6ngs (addition) _ Plumbmg
_ Foundarion HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final Pool
Ftgs Air/Gas Tests Final
_ Framing _ _
Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ _
Final _ Windows (new/replacemen[)
_ Insularion _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search ?
Copies
Other
ToWI
Building Inspectar
Pella Windowa 8c Doors - Twin Citiea> Inc. -
D
lune 8,2001
City of Eagan
3836 Pilot Knob Road
Eagan, Mrr 55122
Dear 7an:
Wd9E l 8•unp aail pan18388
15300 251'H AVE. N. STE. #100
PLYMOVfFI, MN 55447
763l745-1400
WATS 1-800-462-5359
FAX 763f745-1401
Elder Jones Corporation is authorized to pull building permits fox Pella Windows &
Doors -"Itvin Cihes> 1nc. Please allow their representative to provide that service for us
in Eagaa This authorizarion shall be valid unril such time as the division manager
expressly revokes it, in writing to the City.
I request that this authorization be accepted expcxlitiously, so as to not delay the
processing of'our building permits any further. Please call me if there are any qnestions,
I can be conYacted at 763-745-1432.
Your iiiunediate attention to this matter is appreciated.
I _ ' cetely, ?
.-, . W.
Bryan '. May ?
Replacement Sales Manager yr=.+m.?.aaoe
cc: Kaza - Eldcr Jones
Denna Krafty - Replacement Sales Process Coordinator
Windows, I)oora,
& Slrylights
7nnFh C9TiTh 1,1TYi?YJ hIFT C61 7T0 VWS /T[PT TYJ T'1/0A/00
,????? RESIDENTIAL
tj '3 7BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Conskuctfon ReautremeMe qemotleVHeoeh BeaulremeMa
• 3 regislered sMe surveys sFawing sq. ft of lot, sq. fl. at house; antl AU rooted areas • 2 copies of plen
(20%mazimumbtcoveragealbwed) • lsetofEnergyCakulationstorheatedaddttbns
2 capies of plan showing 6eem 8 wintlow sizes; poured fountl design, etc.) • 7 ske suNey for exAerior a0dilbns & decks
. 1 set of Energy Cakuletbns • IndiCete 0 home served by septic System for addttions
• 3 copieS ot Tree Preservatbn Plan H lot plettetl after 711/93
• Rim Joist Detall Optbns Selectbn sheet (bWgs whh 3 or less unAS)
DATE VALUATION SITE ADDRESS 3a 51 ' e C? ? MULTI-FAMILY BLDG _ Y ?N
TYPE OF WORK FIREPLACE(S) ]L6 - 1_ 2
APPLICANT ,4 ?v L ? ?-
STREETADDRESS /aa y7-- nf<'c-o !la1`iie S- CITY&..as+?I(?STATEMIS) 21P S 5 3 7
TELEPHONE 11(RS-V 10 7 -6959 CELL PHONE # FAX #L.lSA9?M - g K`f4,
PROPERTY OWNER /kej??/ 1?l2 ? rL TELEPHONE # (6s?)q g`1' ?y y3
---------------- ° ----°------------------------°-° °-----°----°--°----------------
COMPLETE THIS SECTION FOR -NEWn RESIDENTIAL BUILDINGS ONLY
? :?;
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MI ?f]L"F?SI
V?/6 ee
(d submission type) • Residential Ventilation Category 1 Worksheet Submitted • Triul ?fe
• Energy Envelope Calculations Submitted 1 8 Z??2
Plumbing Contractor:
Plumbing system includes:
Mechanical Conhactor.
Mechanical system includes:
Sewer/Water Conhactor.
_ Water Softener _
_ Water Heater _
No. of Baths
Air Conditioning
Heat Recovery System
Phone #
Lawn Sprinkler
No. of R.I. Baths
Phone #
Phone #
Fee: $70.00
---------------°-----------------------------
I hereby acknowledge ihat I have read this application, state that the information Is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan O^rdinances. ((
Signalure ofApplicant
_._._-°---'•--------'--°--°_..--°---...___.....--°--------?.r
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updaled 4102
OFFICE USE ONLY
? 01 Foundation
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? 05 03plex
? 06 04-plex
? 31 New
? 32 Addition
? 33 Alteration
? 34 Replacement
Valuation
Census Code
SAC Units
Nbr. of Units
Nbr. of Bldgs
Type of Const
? 20 Pool
? 21 Porch (&sea.)
? 22 Porch/Addn. (4sea.)
13 23 Porch (screened)
? 24 Storm Damage
? 25 Miscellaneous
.
? 30 Accessory Bldg
? 31 Ext. Aft - Multi
O 33 EM. AR - SF
? 36 Multi
? 35 Int Improvement ? 38 Demolish (Interior) 0 44 Siding
? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair
? 37 DBmolish (Bldg)" ? 43 Reroof ? 46 Windows/DOOrs
'Demolkion (EMire Bldg only) - Give PCA handout to applicant
Occupancy MC/ES System
Zoning City Water
Stories Booster Pump
Sq. Ft. PRV
Length Fire Sprinklered
W idth
_ Footings (new bldg)
_ Footings (deck)
_ Footings (addition)
Foundation
Drain Tile
Roof Ice & Water Final
_ Framing
_ Fireplace _ R.I. _ Air Test _ Final
Insulation
D INSPECTIONS
_ FinaVC.O.
FinaUNo C.O.
_ Plumbing
HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tesu _ Final
_ Siding Stucco Stone
_ Windows (new/replacement)
_ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Suroharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
O 07 OSplex ? 13 16-plex
? 08 06-plex ? 16 Fireplace
? 09 07-plex 0 17 Garage
? 10 08-plex ? 18 Deck
O 11 10-plex ? 19 Lower Level
? 12 12-plex Plbg_Y or _ N
Building Inspector
PERMIT '
Control No. 0291
CaTY-OF EAGAN -
3830 Pilot Knob Road PtRMIT TYPE: euiLoiNG
Eagan, Minnesota 55123 Permit Number: 000314
(612) 681-4675 Date Issued: 0 4/ 2 3/ 9 2
SITE ADDRESS:
3251 HILLSIOE CT
LOTs 4 BLOCICa 1
BUR OAK HILIS 2ND
DESCRIPTION:
;-.
Building.,Permit Type SF DWO
Building Work 7ype NEW
: UBC Occupancy- R-3 PI-1
' Construction Type V-N
Zoning - R-1
Building Length 64
Building Width ; 48 .
Bu:ildihig stories +. 2
REMARKS: RECEirz # c 018421
PRV
S 6 W CONTRACTOR -
FEE SUMMARY:
VALUATION
Base Fee
Plan RevieW
5urcharge
SAC
SAC 8
SAC Units
Subtotal
;665.00
$445.25
;56.50
$700.00
100
1
;1,886.76
a11$.eee
MISCELLANEOUS $1,610.50
COPY $.50
Total Fee $3,497.75
CONTRACTOR: - Applicant - ST. LIc. OWNER:
WESLEY CONST 14520587 0001386 WESLEY CONST
6966 KENMARE DR 6966 KENMARE OR
MINNEAPOLIS MN 55438 MINNEAPOLIS MN 55438
(612) 462-0587 (612)452-0667
I hereby acknoWledge that i have read this application and state that the
information ts correct and egree to comply with all applicable State af Mn.
Statutes and City of Eagan Ordinances.
?
APPLICANT/PERMITEE SIGNATURE ISSUEn B S?IGN I ?"T?
- - - ?
PER?'CI? CITY OF EAGAN
? 1992 BUILDING PERMIT APPLICATION
681-4675
?# Ra'n
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural 8 structurat ptans, 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
of month in which re uest is made or lot chan e is re uested once ermit is issued.
Date 6, / ?'.2- Valuation of work
Site Address: °,1AB PrLd=Q b'? 3.`1I -?4ll?i?e l?
STREET ? STE t
Tenant Name: Ja "L 0
LOT ? BLOCK ? SUBD. P.I.D. !
Descri tion of work: -eu? o Hy-e
The applicant is: ? Owner Contractor ? Other (oesortbe)
Name y &'oys"T.?u?-Tiv ../ Phone ?S?os87
Property ??ST F[RST
Owner Address 6 46G ?S'eou nf 4P-e
STREEi ' STE /
City ?DJS State &Zsi/ Zip SSy.3c0
Company Phone
COt1tf8Ct01' Address License # Exp.
City _?------_,.. ..-' --- -------- .- .: State Zio
Company Phone
Architect/
Engineer Name Registration N
Address
City State 2ip
Sewer & water licensed plumber . Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
. s urrwt uat unLr
BUILDING PERMIT TYPE
? 01 Foundation ? OS Apt. Bldg E3 09 Basement Finish
0 02 Sf Dwg. ? 06 Garage/Accessory ? 10 Swim Pool
? 03 Two family ? 07 Fireplace ? 11 Res. Add./Porch
? 04 Multi-fam. T.H. ? 08 Deck ? 12 Comm./Ind.
WORK TYPE
lb 31 New
? 32 Addition
? 33 Alterations
0 34 Repair
? 35 Tenant Finish
? 36 Move
GENERAL INFORMATION
? 37 Demolish
? 99 Undefined
?. ?
? 13 Publ ic Fac.
E3 14 Agricultural
O 15 Miscellaneous
Const. (Actual
(A1Towable; ?/ Basement sq. ft.
l Z
? MWCC System k'
OIRC (),ccur?„cy
!:3 st F1. sq. ft.
?.,d F?. sq. f±.
s6p City Water ?
DF4 oaq,?;..od
ning
-
Sq. Ft. total ,
,
Booster Pump
i of Stories z footprint Sq. ft . fire Sprinkler
Length On-site well Census Code
Depth On-site sewage SAC Code
APPROVALS
Planning Building Assessments
Engineering Yariance
REQUIRED INSPECTION S
Site ,0 Footing ,0'Framing ? Insulation
Wallboard Ip Final ? Draintile ? fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
water Conn.
Mater Meter
Acct. Deposit
S/N Permit
S/W Surcharye
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
SAC 96
SAC Units
?SO
1?490
95
30
30
,so
3 00
3Ao
v ?tuac-ten: s
rsr
z y
/D,r l /0
'3bl ZH? _
? zO.t-S3 _
6 /)/62
Z?G80
6?1a r
z o = -2 00
2 Z ,?- zo = Y?o
?v
-2
ya
?--.
??????
.P
* * ?# 2497. fntmp?f-n Orive
MnndMn Ilelqhta. MN v7i7o
wro suA,?.? • ow. a+wa5 (eiz) eei._in1+•ron 9n1-9986
?nrm rwnaas. idJfis?:u?'and?rccrs -
? eng?neer ng --- 625 Fcghwny to tlnrlheaBt
* Ololna, AIh! 55434
'k -W * 1(e12) 76s-laeo-rox 7e3-Ieez
Certificole nf Survey for WQSIev I lQfT18S InC.
Ilause Address; jJflIsJWg, Court?Eriqnn. MN J
1
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r
R HIL.LSID[ C:QUR7- i
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--------____ ?
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_ _ g`,4'•`' 90.00
L ' ?41•r.4'' '--?- .___?• ? n?. ?
LLJ
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$ CARhGE ry ? ? ?? L? ?
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. voo.o Dannfnn Exlvtlnq Elwvnt(on ??'ROf`OSED HOUSE ELEVAfIUt{
+tjDwD Denoten Propoeed Fleval(en 1_owest Floar Elevation:061.55
-DnnnFew Drolnoqe & Utllity Eaeement 7op of Block Elevation!869.66
--DenofnR Drnfnage rlow DIrectlon
-o-- Unnotes Monument Garage Siab EIevation: 869_33
--r+-Denotes Oftsel IIv6 Bearinps shown are asswnea
LOT 4_, BLOCK1 BUR OnK HILLS
OANOTA COIINiV, fMNNFSDTA M
? MAr ??rtt?v I4I IMir rurvryr Vbn er r? I m?,R,?!??^nrI py w?! Of IMM,f TY m/KI WOM?M1Inn O?A M.t 1 M?l AUH nNA1tMIQ U/? By?w?q
vN..MwlnnetOwfi?rceolMinnr?nn.?letlMb `?"f`.lqya/ A.D.10-53!?
P.eq 9/11./TC ?dd E(r.r
, ? =;? S?`.U'c. 1kSh-Z`ry l.[QaY oeeni . ? eo.rvounl
i ?d
F.p7
*PIDNEER
* ?ng?neer
*4K x.*
2472 Fnlerp,ka DIIVe
Mendete Helybte, MN 55120
512} 681-1914•Fpx 681-9489
675 Nighnoy 70 Norfheaet
Bloln*, MN 55434
?672) 783-1680•Fox 78]-15E13
Certificate of Survey for: WeSIeV FIpfT185 InC.
House Address: Hfllside Court. Eagan. MN ?
!
1
R }??LLSIDE ! 1
COURT I 1
- -----__,- i ?
-_..___---___-J ?
.0d"N 04'3653" E 6? I f
90.00 t:. ? I
? ;
r #~ // i
S1 OWKI+AY / I '? I ? I
?A.ei gb'19 ! Q ?
_?9.04 I I
to eo ,°+ a°.°° ?L j "-1-
8 o.w?aE $ z ? ??? D? I I
?
OD
?" V) I
, ?8 N 24.00 1 ? N L%'$, ? J I
vNin ? $ 8 I 1„ p s;m 1 J 1
? ? iz P"rwur°? s?" B?. ° 8 0 11 Z;Aa ?8 + a? E ? ae. ?Q'
? I 1
cni?
?° ? b9
K86 4 ? C
I 8° 1 $ x
... I .r ` Y
I?Pd?N E
L r---_-_-----??- s?.. ? 11 V
110.20
„ $ 03'46'32" E
x sw.o Denotne
.<? Denotes
- oenotea
-DenoteR
-o- Denotea
--a- Ornotes
Existlnq Elevatfan
Propeaed Elevatlon
Dralnage dc Utllity Easement
Drainage Flow Dlrectl0n
Monument
r
f
!
J
1 }? 1
PROPOSED HOUSE eLEVATION
Lowesl Floor Elevation:861.55
Top of Block Elewtion:869.66
Garaqe SIaD Elevatlon:889.33
Offset Hub gearings sliown are assumetl
LOT 4, BLOCK 1 BUR OAK HILLS
DAKOTA COUNN, MINNE30TA
e..t11' tbt /hb rvrvry. Pbn m.eyon ra
w?s,,?!?d py m? er wMgr my dlnet ?VOh•iwn md Mn 1 pn daM p.d?t"d lMd &rt..ryr
uMwHwbrnollAafi?taolMlnnepro.plf091N?lbyaf e:k A.0.19?.
?
Scale; lmch-40hot OEQ0.T I 60.N0.1??91
Pi
EfttElii6R ENVtLOpt A4EhAGE "U" COhfpUTAT10N
ONNER .
SttE AbdRESS
tbHfRACfiOR
bA7t
DEtErIBlHe wdrking square fddlage df pach.
L Tet11 Exptl4Ad ws11 Area ,,,.. , .7sq. ft, x.y1
26 'tetel roe#/tM11ng afea ,,,.., /y/.,.. . sq. ft. x .02e
?eta1-lx0aspd wa11 area abovp #1nnr
es fetal wa11 windew area „ a,,,,,,,,,,,,,,,?,.a.,,,: /r?/• G
b, tete deew erea 32-3 Z
cs tete S1lding glass daer arpa ?.__
ds tete . fireplace watt area,,.,,.. ...........:....: -
e, tete? we11 #reming area (aueraye
ft-tet9 not wa11 area abnue ftoor
g, Tetet r1m jeist area 12 -7
Tete1 ezpespd fnundaNbn arM
A, tetll faundetien wlndnw
ts ?es1 net #eundation eree A6eve grade ,,,,........ ??
bEtON'Aine "U" valup of pach 1411 5egment.
A,...__../G?// R uUll ? 319 r 79/ /B
b.?.._..??y. ??... . X i,u„ ,4u - y Gs?
1111 ? . .10 . y (0D
?1........?..._`?..V . Iz 11U
X
?_............... "U° s
'lull ?. /d.., ? ..z . 50.
z
? : ?:???,::? . ; . . g ?.?,..?../•? ? _ X IIUII
:_,.. .
.Y....,:..
"u"
:_?: . ..
. ?i'????r?r?1?????,i?,??„i??????i„„i.fio?et • iril_?J
t@n?l1 fs the 10e ess er less than it@M N11 you SM met'the lnten!
?: af?SeC b006?e?2?
WALL SBCT:ONS
Use 15% of opaquc wall.aree for
framc construntion
Construction R-Value
1. ior i film 0.68
2. ?L 041 ,
3, i ches sofr. woori ?
+. f
5. 111z Y/ Z" Lif?liG?r/G . G ?
6. Exterior air film = 0.17
Total /p,/'7
?e : . /9
1. Intcrior air
2
3. . ?Zy
4. I! h
ZI? x?Z L
5. __7
6. Exterior air
0.68
Z
0.17
2z, Z9
q- ,05
1. Interior air Eilm 0.68
2. /- U 7
3. /I " SD.?:
4. /. 3 Z
?.47
6. Exterior air_film 0.17
Total 23. 7.Z
. .oy
FIG. 83
r ? .
•
1. Intcrior air film 0.68
2.
• 3. 12 GM//{/ ?? Z•?1
• 4. ? " ?iA r ,l1n9 S , 2?i
5.
• G. Exterior air film 0.11
TotBi , 39
N GRADE
?= ??? " ,? ' • ^ ? ? ? ' •?? f ? ' • , ,
????? ` V 1• e•' • I ??? T?
= • ? = r? 1
/[1 : ' ? . . . • /((
? ll
FIG. A4 ° ?- /
r /
? X ? (!
?
?? ?? r ?, ?? r _: ur ?
NOTE: Indicate type, "_^." value, denth and
placenent of insulation.
Yage Three
.' ROOF/CEILING
VENt
Vented Hcat flow
up -
FIG. IIS
Constructian R-Value
1. In crior air film 0.61
2. 4Y/OI0?7 ' S8
? 3. /O flll/C4I? q
4. Fxtcrior air film (-tillj O.G1
mocal 39, 19
.. • . ?= ,0.2?
1. Interior air film / 0.61
2. \. /
3. ?
4. Er.tvrior air film- st-i _
- Tutal
-. "
FIG. 06'
_ ___ _ L_• ' .
1. In.,i.dc F'ti.r film 0.61
2.
3. '
4. ---
' S. Outside .ir film 0.17
Total
NoL•c:' Use additional shcets if more space ir,
needed for details and calculations.
. .
?
[Feat flow vp . . vented
_ ..-......?.., l r .
. Neat
u
, flov up '
Ftr. 47
f ; .- rl/VrrtJ%roG
Total exposed roof/ceiling area
J. Total sky)ight area ............. . -
k. Total roof/cei)ing framing area (average 10X)... ??
1. Total net insulated roof/eeiling area...........
Determine "U" value for each roof/ceiling segment.
J. - x i,u„
k. X tiu„
4276' 2 X"U" r C).2.5 = 31, 9/
4 ..................................Tota1 = S, p
lf total of #4 is the same as, or less than A2. you have met the intent of
58C 6006(c)1. •
Alternate Building Envelope Design
To utilize the total envelope system mathod, the values established by the
sum of items $3 and #4 shall not be greater than the sum of items P,1 aid #2.
1. 3ZF'j,/,3 + 2. 3G-?7 = 36 5'
3.-- + 4. 3s, l, 4 = 305.13
?
s?w L?ac- 00
CITY DF EAGAN FOR CITY IISE ONLY
. • 3830 PIIAT &NOS &OAD
EAGAN; 11N 55122 PERMIT #
PHONE: (612) 454-8100 RECEIPT
lIECBAtiICA7i"PERMI? DATE:
s?.z:
PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE F
TOWNHOMES/CONDOS TdEiEN PERMITS ARE REQUIRED FOR EACH iJNIT.
----------------------•
WORK DESCRIP?ION
/
NEW CONST r?
ADD ON _
REPAIR
OWNER NAME: Ul?„? L ?? (?441 S 7
SITE ADDRESS: 3-> S/ JLL 5 ('b E [vmJrz T-
IAT: ? BWCK __ SUBD
ADDRESS:? %O
CITY
PHONE #: W66 ' / tfO
FEES
ADD-ON MINIMUM
HVAC 0-100 M BT'U
ADDITIONAL 50 M BTU
GAS OUTL£TS - MINIMUM
OF 1 PER PERMIT
SUBTOTAL:
5TATE SURCHARGE:
OF
$15.00
24.00
6.00
3.00
$ Z/ ?
.50
$ a '/. ?;z
06?II4£RCIALZiNDUSTRIAL:' PLEASE CO2fPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRZAL BUILDINGS,
? .:...... .. .. . .. :. .. .. .. . .. . . .
APARTMENT BUILDINGS, AND TNLTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING IINIT.
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:
IAT: BIACK _ SUBD.
INSTALLER:
ADDRESS:
CITY:
PHONE
FOR:
CITY OF EAGAN
DWELLINGS 5
ZIP: 5's Y' ?;?_ D
ZIP:
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
EnCn $1,000 G: ?ERi4IT FEE.
PROCESSED PIPING - $25.00
$25.00 MINIM[7M FEE.
CONTRACT PRICE x 1% $
STATE SURCHARGE
TOTAL:
$
(SIGNATURE)
L L OL / CITY OF EAGAN
PLUMBING PERMIT
SUBD. (612) 681-4675
R88IDENTIAL
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS
WHEN YERMITS ARE REQUIRED FOR EACH UNIT.
CITY USE ONLY
Lot??in.3
RECEIPT
DATE
ALSO, FOR TOWNHOMES AND CONDOS
WORK DESCRIPTION
NEW CONST ?
ADD ON _
REPAIR _
OWNER NAME :
-T l/ ?/ /
SITE ADDRESS: 3251 l?l??T/Uid'
INSTALLER: e /T qJ
ADDRESS: 3Y7O /l?'/Ol? Y< «Y? ??"
CITY: G?ZIP: ?5 /1 J
PHONE #: 66 o ' 4?-25 'I/
s??
COMPLETE THE FOLIAWING:
N0. FIXTURES EA. TOTAL
REPAIR/ADD ON 15.00
1 SHOWER 3.00
WATER CIASET 3.00 G.m a
? BATH TUB 3.00
LAVATORY 3.00
? KITCHEN SINK 3.00 3?0 J
? LAUNDRY TRAY 3.00 02
HOT TUB/SPA 3.00
? WATER HEATER 3.00
3m?
1 FLOOR DRAIN 3.00 . O
GAS PIPING OUT.
/ (MINIM[IM - 1) 3.00
? ROUGH OPENINGS 1.50
_ OTHER _
_ WATER SOFTENER 5.00
_ PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
W. TURNAROUND 15.00
?((JS D
STATE SURCHARGE .50
ql
pV
TOTAL: S ,
COMMERCIAL
PLEASE COMPLETE TNIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDING5. ALSO FOR MULTI-FAMILY
BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT.
WORK DESCRIPTION:
OWNER NAME:
SITE ADDRESS:
TENANT NAME:
SUITE #:
INSTALLER:_
ADDRESS:_
CITY:
PHONE #:
FOR:
CITY OF EAGAN
ZIP:
CONTRACT YRICE:
1% OF CONTRACT FEE.
STATE SURCHARGE - $.SO FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 1% $
STATE SURCHARGE
TOTAL:
(SIGNATURE)
2005 RESIDENTIAL BUILDING PERMIT APPLICAT:
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWctbn ReauiremeMs
3 regisiered site surveys showing sq. R. of lot, sq. ft of house; and all roofed areas
(20% mazimum lot coverage allaved)
2 copies of plan showing beam 8 window sizes; poured found design, etc.
1 set of Energy Calalations
3 copies of Tree PreservaGon Plan H lot plafled a8er 711193
Rim Joist Defail Options selectlon sheet (buildings wNh 3 or less unils)
RemodeUfteoair Renui2ments
2 copies oi plan
1 set of Eneqy Calalations for heated ai
1 site survey for add'Aions 8 decks
Addi6on - indicete ifon-srTe sep6c sysfert
mo
7? -
?l OCT 2 4 ,I,Uti
Oifice Use Onlv
Cerl of Survey Recd _ N
7ree Pres Plan ReW- _ N.
Tree Pres Required _ Y_ N
Onai[eSepticSystem _Y _N
Date j I_ / Q ()c57 ConstrucHon Cost 0((OC6-? '13
Site Address ? c?- ? 1 ? 11?51U'e. ?? • UniUSte #
Description of Work V?-1'
Multi-Family Btdg _ Y_ N Fireplace(s) _ 0_ 1 _ 2
Property Owner ' I Telephone 451)jogs-" / 0 Us-
PELLA WINDOWS & DOORS
Contractor _ 15300 - 25TH AVE N. #100
Address PLYMOUTH, MN 55447 CitY
State 763-745-1400
LICENSE # 20165884 Telephone # ( )
?.
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheel • New Energy Code Worksheet
(J submission type) Submitted Submilled
• Energy Envelope Calculations Submitted
In the last 12 months, has ihe City of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
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 ttus is not a permit, but only an application for a permit, and work is not to start without a
pe i that the work will be in accordance with the approved 1 in the case of work which requires a review and
appal of plans. f
ApplicanYs Printed N'ame A?plicanYs Signature
GFFICF USE ONLY
Sub Types
? Ot Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Aft - Multi
? 03 Ot of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF
? 04 02-plex ? 10 08-plez ? 78 Deck ? 23 Porch(screenlgazebo) O 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Stortn Damage
? 06 04-plex ? 12 12-plex plbg_Y or _ N? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors
O 34 Replacement •DemolMion (Entire Bldg) - G ive PCA handout to appltcant
Valuation Occupancy MCES System
Plan Review 100% or 25%
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bidgs Length Fire Sprinklered
Type of Const Width
_ Footings (new bldg)
_ Footings (deck)
_ Footings (addition)
Foundation
Drain Tile
Roof Ice & Water Final
_ Framing
_ Fireplace _ R.I. _ Air Test _ Final
Insulation
Approved By:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
5&W Permit & Surcharge
Treatment Piant
License Search
Copies
Other
Total
REQUIRED INSPECTIONS
FinaVC.O.
FinaVNo C.O.
_ Plumbing
HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tests Final
_ Siding _ Stucco _ Stone _ Brick
_ Windows
_ Retaining Wall
Building inspector
Pella Windows 8[ Z7oars - Twin Cities, Inc.
?
?
wdss:l 's 'Unr aW!1 paniaaay
15306 25TIi AVE. N. STE. #100
PLYMOUTIi, MN 55447
763t745-1400
WATS 1-SOQ462-5359
FAX7631745-1401
3une 8, 2001
Cify of Eagan
3836 Pi3ot Knob Road
Eagan, MN 55122
Dear Jan:
Llder Jones Gorporation is authorized to pull building perznits for Pella Windaws &
Doors -'Ituin Ciries, Ina Please allow their representative to provide fihat service for us
in Eagan. T6is auihnrization shall be valid tmfil such time as the division manager
expressly revokes it, in wrifmg to the City.
I request ffiat this authorization be accepted expeditiously, so as to not deiay the
processusg of our building pemlits any further. Please call me if there are any questions,
I can be contacted at 763-745-1432.
Your uiimediate attention to this matter is agpreciated.
' cerely,
'?-? J?IETTEW.
Bryan . May ?ryP?e
Replacement Sale.4 Manager ?
I?ammhemFamuacLa.st.aoos
cc: Kaza - E1dcr Jones ??? ?-??? ?
Denna Kiafly - RepIacemenY Sales Pmcess Coordiuator
Windows, Doors,
& Skyleghts
C?TTT'1 ATTUi TIA.r F(FT Cbt 7TO pFT.'f lT:OT Tli.> Tninnrnn
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City of Eaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
RECEIVED
FEB 2 6 2016
Use BLUE or BLACK Ink
For Office Use
zz�
Permit Fee: 10C-Y)tj
Permit #:
Date Received:
Staff:
2015 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: a J5— _ Site Address:
Tenant:
1
Suite #:
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
560.00 Lawn Irrigation (includes $5.00 minimum State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
*WaterTumaround (add $200.00 if a 5/8" meter is required)
$115.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) �� , O O
TOTAL FEES $
Address / City / Zip; ,
Name: Hilbert Company Inc dba Culligan Water
Address: '1.;801 50th St East City: Inver Grove Hgts.,
•
Mil
55077 651451-224T •
State: Zip: Phone:
Contact: William R Milbert Email:
_ New _ Replacement Repair Rebuild _ Modify Space Work in R.O.W.
Description of work:
RESIDENTIAL
Water Heater
Lawn Irrigation ( RPZ / PVB)
Septic System
New
Abandonment
XWater Softener
Add Plumbing Fixtures (__ Main / _ Lower Level)
Water Turnaround
CALL BEFORE YOU DIG. Cali Gopher State One Cali 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.00pherstateonecall.ory
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 w the approved pla in. the case c)f )work which 9equires a review and appro al of plans.
Applicant's Printed Name
x
Ap. 'cant's S gnature
o
E For Office Use EI
RECEIVTT Pernik#:E AGA N
MAY 21 2019 Permit Fee: 3 a1'
Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff:
buildinginspectionsacitvofeagan.com
2019 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit#:
Name: ¶f 2 141 pry 5 7'4 Phone:
Resident! / / / •�/ t / /
Owner Address/City/Zip: 32-c / f j s ( ,.(� co Z✓'T e �t 4 4x) J3/2,r
Applicant is: Owner V Contractor
Type of wort(
Description of work: C31.,..)kr 9A/0....-\
Construction Cost: Multi-Family Building: (Yes /No )
Company: A Ante r i<+ H a,r< n,'J iy‘„,), Contact: °e_/l
Address: Lie .- -�,.z t{ -Cit : a pe7e
Contractor /ham '
State:4W Zip: <i,f/n� Pho : /2 1FG."s •
License#: Lead Certificate#:
If the project is exempt from lead certification, please explain why:
cL-r
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. Portionsof 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.citvofeaaan.com/subscribe.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities. www.000herstateonecall.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.
xj C v`L.nf�.
App icant's Printed Name Applic is Signature
DO NOT WRITE BELOW THIS LINE 51 _-+i 1 Ss�d S
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 n
Valuation C2' 0 Occupancy VU.,,,J• MCES System
Plan Review Code Edition i,,Itv% 0/5 SAC Units
(25%_ 100%A) Zoning --P- --- City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction —11-6-- Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final/C.O. Required
Footings (Addition) Final/No C.O. Required
Foundation Foundation Before Backfill s 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: 'SNI , Building Inspector
RESIDENTIAL FEES Base Fee 4%-/ (6/e)(7t-
Surcharge 4
Plan Review " Y
1,A.,1,4,-' I
MCES SAC
City SAC
Utility Connection ChargeC .
f( 2d------- 1S&W Permit&SurchargeLii ' f 96�
Treatment Plant
a t `
Radio Meter Read
Copies
TOTAL
Page 2 of 3
r For Office Use
• Permit#: �- 7
E AGA N
Permit Fee: /erici
Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff:
buildinginspectionsecitvofeagan.com
2019 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: Site Address: Ja s f gt\l`Sh32.e (;t9j
Tenant: Suite#:
Resident/Owner
Name: Phone:
Address/City/Zip: J
Name: °q ,., 6V vel(Q°r+ License#:
Address: �6 4 1 a a)e-w City: A-((9-C A— °t_
Contractor ', / `� y
State: MAVv Zip: C(000 7 Phone: /2 �?5 �l 6 Y
Contact:f✓'rri✓t, Email: r°( Z000 _ - e • Ccs
Type of'Work 'New _Replacement _Repair Rebuild _Modify Space _Work in R.O.W.
1
Description of work: '1 `�dJ ��9O ( r Ci l K G( '6
Water Heater
Lawn Irrigation( RPZ/_PVB)
Water Softener
DS/3°40°nAdd Plumbing Fixtures( Main/_Lower Level)
Septic System
Description:
New
Connection to City Water from Well
Abandonment
RESIDENTIAL FEES
$60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge)
$60.00 Lawn Irrigation (includes State Surcharge)
$60.00 New fixtures, adding or removing piping (includes State Surcharge)
$60.00 Septic System Abandonment
$100.00 New Residential (fee collected with Building Permit)
$115.00 New Septic System (includes County fee and State Surcharge)
$60.00 Connecting to City Water from Well*+$290 for Meter and $190 for Radio Read = $540
*Sewer&Water Permit also required for connection charges
TOTAL FEES $
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
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up •r an : ail u•date on the City's
website at www.citvofeagan.com/subscribe.
I hereby acknowledge that this information is complete and accurate; that the work will be in confo ••- ce with//or.' anc- =nd codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and wo . '-ot to start h. a • ; that the work will be in
accordance with the approved plan in the case of work which requires a review and approns.
xx
Applicant's Printed Name pplicant's Signature
Page 1 of 2
1
For Office Use%
%% Permit#: cc
., „, E AG N
0 .0 6
Permit Fee: C!
Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff:
buildindinspectionsecityofeagan.com
2019 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: 2 1' 711.4/ q, / / Site Address: 3?3-/ l'4145)1 c 6", t
Tenant: Suite#:
Name. dde',s ?"i Phone: 6/) dam/ so?7
Resident/Owner er y J
, rr
Address/City/Zip: 3d 51 C 71
Name: License#:
Contractor Address: City:
State: Zip: Phone:
Contact: Email:
Type of Work
New k Replacement Repair Rebuild Modify Space Work in R.O.W.
Description of work: 4 it.,a 4c/ TG lied L 0..„ 4/
Water Heater
Lawn Irrigation( RPZ/ PVB)
Water Softener
Add Plumbing Fixtures ( Main/ Lower Level)
Description Septic System
Description:
New
Connection to City Water from Well
Abandonment
RESIDENTIAL FEES
$60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge)
$60.00 Lawn Irrigation (includes State Surcharge)
$60.00 New fixtures, adding or removing piping (includes State Surcharge)
$60.00 Septic System Abandonment
$100.00 New Residential (fee collected with Building Permit)
$115.00 New Septic System (includes County fee and State Surcharge)
$60.00 Connecting to City Water from Well*+ $290 for Meter and $190 for Radio Read = $540
*Sewer&Water Permit also required for connection charges
TOTAL FEES $
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.00pherstateonecall.orq
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.citvofeacan.com/subscribe.
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 7;16 6 /.7at,�s A L -..
x
Applicant's Prt ted Name A mantis Signature
Page 1 of 2
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA164297
Date Issued:09/24/2020
Permit Category:ePermit
Site Address: 3251 Hillside Ct
Lot:4 Block: 1 Addition: Bur Oak Hills 2nd
PID:10-15501-01-040
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 -
Troy P Bjornstad
3251 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:EA165834
Date Issued:11/23/2020
Permit Category:ePermit
Site Address: 3251 Hillside Ct
Lot:4 Block: 1 Addition: Bur Oak Hills 2nd
PID:10-15501-01-040
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
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. When a weather barrier is installed or
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 -
Troy P Bjornstad
3251 Hillside Ct
Eagan MN 55121
Roofs R Us
941 W 80th St
Bloomington MN 55420
(612) 282-8092
Applicant/Permitee: Signature Issued By: Signature