3888 Gibraltar TrCity of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 3888 Gibraltar Tr
Lot: 3 Block: 6 Addition: Lexington Square
PID:10- 45075- 030 -06
Use:
Description:
Sub Type:
Work Type:
Description:
Meter Size Meter Type Manufacturer
Comments: Permit closed without required inspection(s). Letter sent to applicant on 9/29/09. (pf)
Fee Summary:
Contractor:
Tony's Appliance
2090 County Road 42 West
Burnsville MN 55337
(952) 435 -2442
e - Water Heater
New
Water Heater
Mike Skaja
PL - Permit Fee (WS & /or WH)
Surcharge -Fixed
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Serial Number Remote Number
Owner:
Joann D Donley
3888 Gibraltar Tr
Eagan MN 55123
$50.00 0801.4087
$0.50 9001.2195
$50.50
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
Plumbing
EA088797
04/21/2009
ePermit
Line Size
CITY OF EAGAN Remarks ?Addition LEXINGTON SQUARE Lot 3 gik 6 parcel 10 45075 030 06
street 3888 G;t,ra1tar Trail nr State Eagan, MN 55123
W66- ?
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK ? 1985 2 54 - 51 16-97 19 254.53 C009792 10-12-84
SEWERLATERAL bpri tr 1986 173.65 11.58 19 173.65 C010137 1-28-85
WATERMAIN 1986 68.33 4.56 15 68.33 C010137 1-28-85
WATER LATERAL
WATER AREA
zn
f
1986
286.43
19.10
286.43
C010137
1-28-85
.
STORMSEW TRK 1986 501.29 33.42 15 501.29 c010137 1-28-85
S70RMSEWLAT 1986 513.81 34.25 15 513.81 C010137 1-28-85
CURB & GUTTER
SIDEWALK
3TREET LIGHT
Road Unit 280.00
WATER CONN. 500.00 It 1'
6UILDING PER. 101.98
SAC 525-00
PARK
0 CASH RECEIPT ?
CITY OF EAGAN
P. O. BOX 21-199
EAGAN, MINNESOTA 55121
<-- `?
DATE • 19
.C
RLClIYlD . I . FIIOM '
AMOUNT $ I.
& ooLLwRs
,oe
C] CASH ? CHE-CK
FUND _ COOfi AtAOUNT
<!
..,? . ,Y.
?i -
VJc.i ?
Thank You
.. ? BY
vunitB_Pave.: cocv
Yellow-Posting Copy
Pink-File Copy
\ C1TY OF EAGAN
, 3830 Pilot Knab Road, P.O. Box 21-199, Eagsn, MN 55121
PHONE:454-8100
6UILDING PERMIT
- T. L- w?A fe& ''I' ?-LWe7/'L.,-Fe? Vnl.u a5 3, QW? nnf. ll1l
Site Addreu Erect LF Occupsncy
Remodsl ? Zonin9
Lot Bbck Sec/Sub.
Rpair
?
Type of Const
Parcal No. Enlarge ? No. Stories
Move ? Lsngth
Y; Name ? h
D
Domolish ept
? Addresa , Grade ? Sq. Ft.
City Phone Install O
tt Name
Addren
?- Ciri
Name
Address
? I hereby atknowlec
fM infwr?wtion Is
Stah of Minnesob
5ipnoture of Pom
A 141ding Pem+it i
dl ="Il e d?
9u i-
wed to:
la ocaordona with oll oppliooble
stote thot
oppl icoble
Assessment
Water a 5ew.
Poliu
Fin
Enp.
Plarmer
Council
Bldg. Oft.
APC
Var. Dete
Permit l)
?.
Surchorpa ? i
Plan Review
SAC
Water Conn.
Woter Meter
Road Unit
r,P
p4
•r ?
on ths express tonditlon 1ha+
Statutes and City of Eaqon OrdinoMMs.
? Reteipt #
Pwmit No. Pwmh Holder Dow Tsla honq ?
Plumbinp
H.VA.C.
Electric a?a3? f ?- 3
a635 13+L
lo. o o r
s?n.?..
Inspsction Date Insp. Othe?
Faotinqs ? 41?
Foundation
Freming u
Rooflny
Rouph Pfb4. ? ?- ?j
Rouqh HVA ?j
Inwbtion
Final Plbg
Final HVAC ?
Finsl
Cwt/Ooe. ?
DNeribe Loemtion:
YMell
Sswvor
Pr. D'np.
Receipt
-? "-) i •11
MECHANICAL PERMIT
CITY OF EAGAN
Fil! in numbered spaces
Type or Print /egiblY
Parmit No.
Fee ;10.00
S/C
Tot
fT
1. Date ??
2. Installation Cost
3. Job Address zr4a?
.;'.t --r Lot Bik.
Tract
4. Owner SCiI
5. Contractor Frju.i,jarM,s?Y Phone
6. Addross 4030 B6iaii i,' ;:
7. City 1''?` -•? State ? Zip
8. Building Type: ResidentiaF,43 Commercial O Institutional 0
9. Work Description: New :O Add ? Alter ? Repair O
10. Describe f<rced air fL:_, - fuelType ?;'j ..Ta$
11.
No. Equioment BTU - M. Ea.
Forced Air No• Eauipment CFM
Air Handling:
AAfg.
BO1l°rs M
E
Mf9. ech.
xhaust
Unit Heater
Mf9• Other
Air Cond.
Mfg.
Gas, Pipiny Outlets
12. I hereby certify that the above information is true and correct, and I agree to
oomply with all ordinances and codes governing thia type of work.
Signed : for
Fiouyh Final
Inspections: Date Inap. Date Insp.
This is your permit whan numbered and approved.
Approved CITY OF EAGAN 464-8100
a.aave n.uNNNO PlERmt pwmn No:
cInr of MAGur
F.. .??;:lJO
? ? • sin a, +wmOn+d Vraie &/c ? ?-
Ty" or Irint Aqlb/y TOL . ' ?
d
1. Dste+ :: ? 2. IruWlaticn Cost
?
I Job Adtran L,oR llk. ?. Trset
4, pwmr •<.?ii<_ _ _
5. Contraetor . i?". /Aone
6. Addeom
7. City State 2ip
8. BuildinSTypr RmidentiN C) ComnNreid O institutionsl O
!. Work Dnctiption: NNw t Add D AltAr ? Repsir O
10. DKaihe
11.
` FixtS!
wow aOset ? Fixtwm
Cpupool/Dninfield
Both tub SeP1k Tank
Lantmv Sohner
?- ? SA°wer Wdl
! Kitdwn Sink
lirinN/Bidet OtMc
Laundry TrsY
?
Floa Draina r
T j
!
? •
?
Drinking Ftn.
Slop 5nk
Gu Piping Outifls
12. 1 henby mrtify that the sbove infanytion is trus snd corroct, snd I qe* to
compiy with aII adinanws snd codn gowrning this type of work.
5'igncl c ; ? - fa
Ila? i "
Inspettiom Date Insp. Date ln:p.
This is your permit when numbend and app?pvb,
APprowd CIT1/ Of EAGAN 46"100
CITY OF EAGAN SEWER SERVICE PERMR
3830 Pilot Knob Road 7445
P. O. Box 21199 PERMIT NO.: r?
Eagan, MN r5121 DATE: ' ?'?gs
Zoninp: i No. of Units: 1
Owr+er.
Address: -
Slta Address:
Plumber
:_; 5I13 • p
1 pn. w eanpl?? wil6 eM Ciep of Eq?ew Cor?rnction C]?o??e: 425. G D p?!
Ordineaa?. Acoowit Uepoait: ? . . ?? I??
Pemtlt Fae:
ey
Dote of Insp.:
SUfCh01'QQ: -.
Misc. Choroes:
Totol:
Dote Paid:
_ .?
--?•-- ----.__- - . .. ? _- ?-- _
CITY OF EAGAN
3830 Piroc rcnoa Roaa
P. O. Box 21199
Esgar, MN 55121
T_oniryg:
Owner, -'- -
Addross:
Site /lddress:
Plumber: -
Nkter No.:
Sixe:
Reodsr No.:
1arm !n eowolp wNli 11e Ciy of '!mp¦
OVAM11qL
By
Date of Insp.:
CITY OF EAGAN
3$30 Pilot KnQb Rosd
P. 0. Box 21199
Eagan, MN 55121
Zoninq: R1
Owror. SchSt':eic
/lddress:
Sita Address: "'•," `° ":.? ,
tven ?
Plumber: ' P
Nkter No.. •? ..y - X
Sixe: P k ?
Reader No • ? Al
IapM to eoMplp nNr H» City Of Eown
OrilMSari.
?
of Insp.:
iFl-
w
PERMIT NO.: DATE: ?
No. of Units:
Connection Chor":
Accoimt Deposlt:
m
Permit Fee:
?
Surchnroe:
Misc. Charpes: _
Total: "
pote Paid:
Intp.:
an
WATER SERVICE PERMIT
PER1411T h10.: -
DATE: - No. of Units: i
-TVAt uuuuw
;
0
.
SO(?.O0pd
j?
l?u
permit Foe:
Surcha?ge:
Misc. Choroes.
F 3, 00nd
Totol:
Dotr Puid:
Imp.:
CITY OF EAGAN N2 1019 8
3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55127
BUILDING PERMIT PHONE: 4548100 Receipt # s? /ilS3 ?
?
Te M mud fe. SF.DWG/GAR Est. Va1ue $53,000 pOfe MFiY 9 , 19 85
SiteAdtlren 3888 GIBRALTER TR Erat Ck occupeney R3
Lot 3 el«k 6 Sft/Sub. LEXINGTON SQ Remodel ? Zoning R1
Pgrcel No. Repair ? Type of Conrt. NI
Enlarga ? No. Stories
SCHIMEK HOMES Move ? Lengtn 36
W Ne?^e Oamolish ? Depth 44
z A?rmS 13004 GLENNHURST AVE Grade ? Sq. Ft.
? City SAVAGE phone 894-2907 inscaii ?
.__-...? e'--
695
C
Name SAME
Address
City PAone
Name _
Address
City
Phone
I hereby ackrowladge riwt 1 haw road this applicotion and stare that
the inlormotion ii wrrecf and o9re ply with?all applitable
nces.
Stota of Minrotata Stetute ond C of agan Ordio
Sipmtum of Penniftee r A Buildinp Cermlt Is issued to: SCHTMEK HOMES
all work slwll be done in ccmrdance wRh al4,ooolim6laf?dte,of Mfr
Assessment -
Water 3 Sew.
Polita -
Firo
Eng•
Planner _
Couneil _
Pertnit c?<. vv
SurcFwrga 26. SO
Plan Review 146.00
5qC 525.00
Water Conn. 5 0 () -0 0
Woter Meter 63- ? 0
Rood Unit 29O . f10
BIdg.Off. b/ 8/ 8 5 T.P 132.00
nrc Copy _ 50
var. Date Total +51,965.00
on the ezprcsf corditlon 11wl
mrwM Statutea and Ciy of Eopan Ordinances.
Bulldinp OffiNal
jA Q b ? ?
RESIDENTIAL BUILDING
76 ?
Permit Application
City Of Eagan
3830 Pilot Kaob Road, Eagan NIn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Conslmction Reauirements RemodeVReoair Reauirements Office Uu Onlv
3 registe2d site surveys showing sq. R. of IoL sq. ft. of hause; and all roofed areas 2 apies of plan Cert of Survey Recd
(20% macimum lot coverage allowed) 1 set oi Eneyy Cakulalions for heated addiEons Tree Pres Plan Recd
2 copies of plan shovring 6eam & window sizes; poured found desgn, etc. 1 site survey for addNOns 8 decks Tiee Pres Not Reqd
1 set of Eneyy CalcuWtions Addi6'on - mdicafe il on-sde septic system _ Oo-site SepUC System
3 copies of Tree Preservation PWn if lol platted after 7l1193
Rim Joat Detail Optlons selection sheet (bldgs with 3 or less units
Date ?? /
SiteAddress 0-3 Construction Cost /X-'
3U7??U - Gt 6?L•i-l.'rAv1. 7?2fElC- UniUSre #
Description oC Work ? oC X(C("
Multi-Family Bldg _ Y x N Fireplace(s) 2(0_ 1 _ 2
Property Owner ? ( Y4-) E -if J Sa?.J Telephone #
Contractor
Address
State City
Zip Telephone k ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesotz Rules 7672
Energy COde Category , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
• Energy Envelope Calculations-Submiry?
Licensed Plumber 11111? _???? 111 Telephone #( )
Mechanical Contractor
Sewer/water Contractor
Telephone #(
Telephone # (
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permitand work is not to start without a
requires a review and
permit; that the work will be in accordance with the approved plan in the hich
approval ofplans. ? /;r
r A? /?efeaP?
Applicant's Printed Name ApplicanYs Signature
OFFICE USE ONLY .
?Sub Types •
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-plex * 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Yar _N ? 25 MiSCellaneouS
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
?f- 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 Windows/Doors
? 34 ReplaCement 'Oemolition (Entire Bidg) - Gi ve PCA handout to applieant
Vatuation Occupancy MClES System
Census Code
?
?--r
- Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
Foocings (new bldg)
?C Footings (deck)
_ Footings (addition)
Foundarion
Drain Tile
Roof Ice & Water Final
_ Framing
_ Fireplace _ R.I. _ Air Test Fina]
Insulation
REQUIRED INSPECTIONS
FinaVC.O.
? FinaVNo C.O.
_ Plumbing
HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Siding Stucco Stone
_ Windows (new/replacement)
_ Retaining Wall
Approved By ? Z- , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
1 -70
?
MECHANICAL (RESIDENTIAL)
S?'? y 7 Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
Please complete for: Single Family Dwellings
Townhomes and Condos when pemtits are rcquired for each unit
1
?
b
Date
/
/
Site Address 3888 &brQ-ktG-r ?r ?Unit #
PropertyOwner Telephone # ( )
Contractor Wohlers Southside Htg. & Air, Inc.
6950 W. 146' St., #106
Street Address Apple Valley, MN 55124 City
(952) 431-7099
State Telephone # ( )
The Applicant is _ Owner \k Contractor _ Other
Add-on, modification or alteration to existing dwelling unit $ 30.00
furnace replacement
air exchanger
Y. air conditioner
other _
State Surcharge $ .so
t?
-?
T
l
ota
I hereby apply for a Residential Mechanical Permit and aclmowledge 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 with the Mechanical Codes; that I understand tlus is not a
permit, but only an applicarion 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.
Dac? P 1 ?? . i??hler5 ?2. D?
Applicant's Printed Name Applicant's ignature
.? ..1985 BUILDING PERM(IT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS HUST BE LICENSED tifITH TRE CITY OF EAGAN
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
1 SET OF ENERGY CALCULATIONS
To Be Used For: ?J.rDI.•!(q, P,?. valuation: 53,?•-Date:
Site Address: OFFICE USE ONLY
LEXtr-tG'?1
Lot; ? Block (c Sect/Sub Erect x Occupancy ?-3
Parcel $ Remodel Zoning P-1
""-
Repair _ Type of Const S"[
Enlarge # of Stories
Owner Move _ Length 3(0
Demolish Depth 4-4-
Address Grade _ Sq Ft
City/Zip Code
Contractor ?LHiMEK
Address
? E5
City/Zip Code
Phone 9
Arch./Engr
Address -
Phone #
APPROVALS
Assessments Permit Z19 Z S`
Water/Sewer ? Surcharge 24o
Police Plan Review =,
Fire SAC 52-51 '°
Engr Water Conn 5 oo
Planner Water Meter (0 3, =
Council Road Unit 280,°°
Bldg Off,s' Parks
APC Treatment P1 732 !
Variance 1 Gopy ?'
TO'LAI. ? ?' s. ?
EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION
OWNER SCf/1 i Ml ':?K' 0ti^"P R?v?C' ' %?r ??'e?I C
SITE ADDRESS 3cQFF 0)ihra l I-c, r Lo 'F 3 B (k L
TE -A5-Lo-k6- PHONE ?'i4- ,2cJD7
Determine working aquare footage each.
1. Total exposed wall area...... 154$.39 --sq. ft. x.?8 = aZ'??Y•?9
2. Total roof/ceiling area...... 9 (a_sq. ft. x•0'i
.ti
Total exposed wall area above floor = 13991.
a. Total wall window area .......................... ?
b. Total door area..................................
c. Total sliding.glassdoor area ...................
d. Total fireplace wall area........................
e. Total wall framing area (averagel0$)............ ? 6
f. Total net wall area s6ove £loor .................
g. Total rim Joist area ............................
Total exposed foundation area
h. Total foundation window area .....................
i. Total net foundation area above grade............ 811.19.
Determine "U" value of each wall segment.
a. tN4 x fluff .55 = '74.2
b. . 38 xituti .?3q = 5.427
c. -?? x nUn
d - x nUu
.
iao. Sa x ifull
e.
f. 10814. to8 x 'lUll
g. &A g ujJn
• O?T?O = I? •~J?A
, Oy3 = 4(o. lA
. o141
h. ...?? g n U n
i. $'7. 12 Xituti •4la = ?10? 85
3, 15)1,3? 3a Total = 18'?• ?
If item #3 is the same as, or lesa than item #1, you have met the intent
of SBC 6006(c)2.
N
Total exposed roof/ceiling area =
Total gross roof/ceiling area =
j. Total skylight area ..........................
k. Total roof/ceiling framing area ............... O
1. Total net insulated roof/ceiling area......... ?t4?e
Determine "U" value for each roof/ceiling segment.
4.
j. - g vUn
k. g uUn
z. 93(49 x IIUII
IOLID Total
• 035
. 03
= 023-.0g
_ 41.'1 Ci.
If total of #4 is the same as, or less than #2, you have met the intent
of SBC C006(c)1.
To utilized the total envelope system method, the values establiehed by the
sum of items #3 and #/a shall not be greater than the sum of items #1
and #2.
1.
MATERIALS
3.
Exterior Air
Siding Material
Sheathing
Insulation
Sheetrock
Interior Air
Studs
Rim
Conc. Blks.
+ 2.
+ 4.
?
Therm. Resistance °R"
.1"1
a.ob
.'4s
• ?8'
(,o• rJ
1. 8b?
?.a?'
a ? 2/84
CITY OF EAGAN .
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
' (PLEASE PRINT)
1) PROPEk7Iy p,pDRESS:
i.rrnr• DESCRZPTICN: .3 C: L2X?i7i?{i?
(LOt/Slock/Subdivision oY TaY Parcel I.D. Ntmiber)
IF E`i2S._.':, O^ ?o`-'.•,.J = -? --_--
i
----
PRESENT --r,IIt%r,/PT2t)PpSED CTSE: R-1 SINQ,E FAMILY
? R-2 DUPLE{ ('IWp UNITS)
O R-i TCWN-IIX7SE (THIZEE + UNITS) ( UNITS)
? R-4 APA.RM?PI',/COrIr-YY.N.NI7,M ( L7IVZTS).
p COMEF2CIAL/REPAI7a/OFFICE
p IIMUSTf2IAL
? INSTTTUTIONAL/GOVERNME•7P
(PLEASE PRINT) '
2) pppLICANT
?
NAI'QE:.?C/7//Ylt?i f?/77CJ ..
ADDRESS:
CITY, STATE, ZIP: _S'Fn/ql,l= N/i,/
PHOLN :
3) PLUMBER NAME' . PLEASE PPINT) FOR CITY US LY
ADDItESS; V??t M??P?iJ ~?
, VE EAGAN MlNN.55122 PLUMBE CENSE;
Attive
452•1565
CITl', STATE, ZIP: ?] ExQire
MASILR Record
' PHONE: pLUMBER LICENSE q 001445M2
n ia
4) OCCtJPANi'/dtdclIIi lPLtast reinrl -. l
ruuME:
HDDI2H.°iS: _S"N/?7F N r F/ Z
CITY, STATE, ZIP;
PHOPIE: 5) INDICATE WHICH PGRMIT IS BEING RDQUESTID;
Q CbNNFxTION TO CITY SE,F7ER
?x CONNDCPION 'M CITY WATER
? CJPfiER (PLEASE DESCRIIIE)
b) 11VU1C.:,1'1L UNt:
7) SIGIANRE:
DATE: /
? PITASE HOID APPRC7VID PERMIT FbR PICFC-UP HY ONE OF ABWE
? PLFI?SE MAIL APPROVID PERMIT RO 1, 2, 0,,1 4=AEOVE ,
-- ,? (Circle one)
:..?a...
FOR C I T Y U5 E ONLY
. '?
::•, '
PERMIT ISSUED ' .. . '::%::?.. :,' .. .... . _._._
. , . ;:?.?,.. . .. . -
, . _.,.. ., ,_... .. ... _ . _ . _ ; ,. . .
; ..: ...
FEES: $ l?2Sd' SEWER n?RM2T (IVCLL'DE SUP.CiiAR,E). :..:.:?.'. '
., _. _ •
$ . .: ... . __ ., ,, .
WATER PERb1IT (INCLUDE SURC[IARGE )
, . _...._,.._.;_.
: --'WATER' METER'/COPPERHORN/OUTSIDE READER .,.
. $ . . . _ . .. , . .. . . ,.,...... -, _.
"WA2'ER TAP (ZNCLUDE COP.PORATION STOP),
.. ..
$ SEWER TAP • .
...., .. , ,. . .. . ..._. _ ..
$ ?/S•Ud .` ; ? ACCO,UNT DEPOSIT - SEWER
ACCOUNT, DEPOSST - WATF,R •
.?.... ,
y , ?'t?.; ? ?• ?'WAC?: , .
$ So1S^u'U A'C.:
•,?.<.i :;.:.... '.:
.
TRUNK,WATER ASSESSMENT '
TRUNK SEWER ASSESSMENT .
$ 'LATERAL'SENEFIT/TRUNK SEWER . •'
$ ` LATERAL BENEFIT/TRUNK WATER,_
$ ? p - OTHER
...-.... . . r : .. ,, r„ ,. .
TOTAL .. . - . -. -:
(,.,.V'y'i_... .
$ ? G _;:'F'',AMOUNT' PAID'/RECEIET.'#.
. : ,., ,. ... . ., , s' -... ° - ,'-?-=-
DOES UTILITY CONNECTION REQUIRE,EXCA57ATION IN PUBLIC RIGHT OF WAY?
'„• •. ., , _.,_ . .., _ .
.... .,_. ,...,:,... ..,....
. , _ _ ? . .:.7•;;•;:r•n,ac, . . . - . - _ . _.. .
. , .•
Y IF, YES, THEN 'A`.'"PERMIT FOR WORK WITHIN
PUBLIC-ROADWAY" MUST BE"ISSUED"BY THE
NO ENGINEERING.DIVISIOh. ._,LIST,RS A CONDI-;"
-' -
%
' TTON.
SUBJECT TO TfIE FOLLOWING CONDITIONS: -
.._. . .; .. .. _.. .. . .. .. , . .
APPROVED BY:
TITLE:
DATE:
M, 05:0" oojm w? awRw nc.r ma mum wur ww pe " nw ? Mrt+,w?!!a?l }?!!! w?+ n+q! ?'!! ?+ !!'? wa? re s? ??
3830 Pilot Knob Road
Eagan MN 55722
Phone: (651) 675-5675
Fax: (651) 675-5694
07• / C", C'a &,;,
?-------?pa-?? ---,
i ?or;a us? ?
? Permit#: j
i PermitFee: I
? Date Received:
j Staff: I
i i
------------------
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: ? D Site Address: 110 4.Al,S3`iAAQ-- 1fL.
Tenant: ??YVI L sTeL..)/Ft/[T- Suite#:
RESIDENT/OWNER Name: TOt?1LJ boh3 I P?/ Phone: (2I 2.2` ?-Z -ZS?T?
AddresslCity/Zip: Y-0• 'JdX
Applicant is: --AOwner _ Contrador
-4- fe ro? f'
r ha v
O
C hd ktie
TYPE OF WORK L?
cle i
Description of work:
t70r
Construction Cost ?. om Multi-Family Building: (Yes _ / No ?
CONTRACTOR Name. ?p4 License #:
Address:
City: State: Zip:
Phone: Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
_ Minnesota Rules 7670 Categorv 1 Minnesota Rules 7672
Energy Code . Residential VenGlation Category 1 Worksheet • New Energy Code Worksheet
Category Submitted Submitted
(4 su6mission type) • Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a pertnit for a similar plan based on a master pian?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contrector: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting docuinents that you sobmit'are considered to be public information.
. Portions of
,
the informatron may be classifi'ed as non-pu6lic +f you provide specrfic reasons that would permtt the.City to .
concludetha£the k aretradesecreisi'? ---
I hereby acknowledge that this information is complete and accurate; that the work will be in confortnance
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to sl
accordance with the approved plan in the case of work which requires a review and appr al of plans.
x :I h1i tJ x
ApplicanYs Printed Name Appli nYs Signat?
the ordinances and codes of the City of
ithout a pertnit, that the work will 6e in
Page 1 of 3
?
DO NOT WRITE BELOW THIS LINE
SUB TYPES
? FoundaGon ? OS-plex ? 76-plex ? Accessory Building ? Pool
? Single Family ? 06-plex ? Fireplace ? Porch (3-season) ? Ext Alt. - Multi
? 07 of _ Plex ? 07-plex ? Garege ? Porch (4-season) ? Ext Alt - SF
? 02-Plex ? 08-plex ? Deck eP Porch (screeNgazebolpergola) ? Multi Misc.
? 03-Plex ? 10-plex ? Lower Level ? Storm Damage
? 04-Plex ? 12-plex ? Miscellaneous
P New ? Interior Improvement ? Siding ? Demolish Building'
? Addition ? Move Building 19 Reroof ? Demolish Interior
? Alteration ? Fire Repair ? Windows ? Demolish Foundation
? Replacement ? Egress Window ? Water Damage
` Demoldion (entire buildi ng) - give PCA handout to applicant
DESCRIPTION:
Valuation
? Occupancy ? MCES System
Plan Review Code Edition A/) Qoo7 SAC Units
(25%_ 100% ? Zoning City Water
Census Code Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Const Width ?
REQUIRED INSPECTIONS
Footings (new bldg)
Footings (deck)
? Footings (addition)
Foundation
Drain Tile
? Roof: AIce 8 Water 10 Final
? Framing
Fireplace:_R.I. AirTest _Final
Insulation
- ? .
Reviewed By:
RESIDENTIAL FEES:
Base Fee
Surcharge
Plan Review
MGES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
Total
Sheetrock Meter Size:
Final/C.O.
Final/No C.O.
HVAC
Other:
Pool: _Footings _Air/Gas Tests Final
Siding: _Stucco Lath _Stone Lath _Brick
Windows
Retaining Wall
Building Inspector
RRovl-r S7naP dP e r1 P-Ofr-clfi
6'X io•4,'f X zs.oo ^
2oof FIo+ Fetf- 3vco. _
Page 2 of 3
A
/
ARVEYOR'S CERTIFICATE SCHII4EK CONSTRUCTIpN, ?
NA?1_ •
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DENOTES PROPOSED SURFACE DRAINAGE
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DENOTES
IRON MONUMENT SET
SCALE: 1 INCH ° FEET
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DENOTES
IRON MONUMENT FOUND
f'ROP05ED GARAGE FLOOR =
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X000.0 DENOTES EXISTING ELEVATION • PROPOSED LOWEST FLOOR = e9o-4e FEET
693$ • FEET
(000.0) DENOTES PROP05ED ELEVAT]ON PROPOSED TOP OF f3LOCK = .
I IiEREOY CERTIFY TO SCHIMEK CONSTRUCTION TH AT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY DF THE 80UNDARIES Of: ?
Lot 3, Block 6, LEXINGTON SQUARE, accordi ng to the recorded plat thereof,
• Dako ta County, Minnesota
AND OF TIiE LOCATION OF A PROPOSED 8UiL0TNG. IT 'DOES NOT PURPORT TO S1404f iPiPROVEMENTS
OR ENCROlICHMEhITS, IF ANY, TIiEREON. AS SURVEYED BY,ME, OR UNDER MY DIRECT SUPERVISION,
T{IIS 4TH DAY OF APRII. , 1985.
SIGNED: JAMES R. Ill, ]NC.
BY:
fIAROLD C. PETERSON, LAtIU SURVEYOR .
MINI4E50TA LICENSE i10. 12294
PROJECT NO. eooK / PncE JAMES R. H1LL, INC:
85531 105./41 planners / Engineers / Surveyors
FILE NO. 8200 Humboidt Avendo South ,
FOLOER ' B?oomington,Ma 65431 012-e84-3029
:
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SURVEYOR'S CERTIFICATE '
SCHIMEK CONSTRUCTIQN, ?° -
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?- OENOTES PROPOSED SURFACE DRAINAGE
FEET
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• DENOTES
DENOTES IRON MONUMENT SET SCALE: 1 INCH =
IRON MONUMENT FOUND f'ROPOSED GARAGE FLOOR = 30
gla)3,4 FEET
X000.0 DENOTES EXISTING ELEVATION • PROPOSED LOWEST FLOOR =
= a96.6 FEET
89'S`b •FEET
(000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK ,
I IiERE[iY CERTIFY TO SCHIMEK CONSTRUCTION THAT THIS IS A TRUE AND CORRECT ,
REPRESEN TATION O f A SURVEY OF TNE BOUNDARIES OF; ?
Lot 3, Block 6, LEXINGTON SQUARE, according to the recorded plat thereof,
• Dako ta County, Minnesota
AND OF THE LOCATION OF A PROPOSED BUILDING. IT DOES NOT PURPORT TO SHOY1 IhiPROVEMENTS
OR ENCROACHMEPJTS, 1F ANY, THEREON. AS SURVEYED BY,ME, OR UNDER MY DIRECT SUPERVISION,
Tf115 4TH DAY OF APRIL , 1985.
SIGNED: JAMES R. ILL, INC.
BY:
1{AROLO C. PETERSON, LAND SURVEYOR .
MINIJE50TA LICENSE ND. 12294
PROJECT NO. BOOK / PAGE JAMES R. HILL, INC:
85531 105./41 planners / Engineers / Surveyors
FILE NO. 8200 Humboldt Avenu's South
FOLDER ' B1oominglon,Mn. 65431 a12-884-3029
.. ? .
.
SCHIt4EK CONSTRUCTIQN, '
SURVEYOR'S CERTIFICATE '
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QqNei? _ N2°09'33"w 92.47 --sqo.t.
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.
caAUUasE a untm' `
I S EASEMENT PER PLO !0
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-' 30.00 -- ?c .
83?7\l'
? J g t ry ? a PROP ED I\ I O ,'
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Nl°00'00"E 92.33 -'
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G/BRALTAR TRAIL,:?.oZ
DENOTES PROPOSED SURFACE DRAINAfE = .' FEET
p OENOTES.IRON MONUMENT SET SCALE: 1 INCH 30 • DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLODR 8?? 4 ? FEET
X000.0 DENOTES.E%ISTING ELEVATION • PROPOSED LOWEST FLOOR = 89 0.6 FEET
(000.0) DENOTES PROP05ED ELEVIITION PROPOSEU TOP OF BIOCK = 893$ • FEET,
I HEREDY CERTIFY TO SCHIMEK CONSTRUCTION THAT THIS IS A TRUE AND CORRECT
REPRESENTATION DF A SURVEY OF THE BOUNDARIES OF: •
Lot 3, Block 6, LEXINGTDN SQUARE, according to the.recorded plat thereof,
Dakota County, Minnesota ,
AND OF TIiE LOClITION OF A PROPOSED BUiLDiNG. IT DOES NOT PURPORT TO SIiOY! IPIPROVEMENTS
OR ENCROACHMENTS, IF ANY, TNEREON. AS SURVEYED BY,ME, OR UNDER MY DIRECT SUPERVISION,
TH1S 4TH DAY OF APRIL , 1985.
SIGNED: JAMES R. NILL, 1NC..
BY:
HAROLD C. PETERSON. LAND SURVEYOR
MINWESOTA L1CEN5E N0. 12294
PROJECT NO.
85531
FILE NO.
FOLDER
eoox i PncE JqMES R. HILL9 INC:
105./41 planners / Engineers / Surveyors
6200 Numbotdt Arsnue SiDuth ,
Bbomington, Mn. 65431 012-884-3029
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ea
V
y7 ucensed Electncal Conhactor I hereby rauuest mspection at above ,
? Owner elechical work imiallad at:
Streei AdAress, Box or Rmte No. c.iY
-7;?
ecbon o_ Townshi0 Name or No. Range No. Coun1
Occupant (RiINT) Phone No.
e
Pbwer Supolier /lddress
}C O ? ? G?? ?? ?a
ac
tor ICompany Name)
Electrieal Contr Conha r s Lic.:nse Na.
/
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V' l.? +
Lbilin0 Address (COntracmr or Owner Mak ing Instailauonl
?
Autlhorized S' tu nv clor wnor M g Ins?allaLOnl . ne um er
YINNESOTp STATE e(?D OF ELECTflICI THIS INSPECTION XEQUEST NILL N07
Griggs-Nidway Bldg. - Room N-191 BE ACCEPTED eY THE STAIE BOARD
Peul. MN 55104 UNLESS PqOPER INSI'ECTION iEE IS
1827 UniversityAVe., St. ENCLOSEO.
Plnre (61121 297.2111
IEQUEST FOR ELECTRICAL iNSPECTION
U. instrmt,nns far completing this fmm on beek of yellow copy. 1?
6 2 g 0 3 Ej "'X"" Below WorMCovered by This Request ? ?
! Hea- TVOe ot 8uiltling AOPliencea Nired EQUiPment Wired
Home Range Temporary Service
Ouplrx Water Heater Ligh[iny Fixtures
Apt. Buildmg Dryer Electric HeaLn
Commer-ial Hldg Furnace Silo Unloader
IrxL}stnal BIAg. Air Condivoner Butk Milk Tank
Farm tner soeu v Otner lspec,tyl
t r Suec?ty Other 01hor
Faa Ralnw
• Fee ServiceEntrence5ize M Fee Feeders/SUbfeeders p Fee Circuits
/O Om200qm s 0 to30Am s Oto30Am s
A6ove 200 qmps 31 to 7 00 qmps 31 to 100 Amps
Swimming Pool Above 100_Amps Above 100_A -
Transformers Irrigation Boorns Partial.'Other F
L I I Sigis ' I Special Inspection $ 4ror OTAL F+EE y -?
' ? ' - ? m3peclor, Tereby
cerlfly ihet ti?a above
Final D ?? ?i?paction has been
? ?reda.
¢pumlroW 18mOMMtrom
REQUEST FOR aECTRICAL INSPECTION EB'°°°°/'??+/
5 `+ ' See i-xrwtims for co?lexing Mis /vm m haek o( yellar covY-
??9 (??? 035 -x? ??low Work rove4ed by This Request
Add Rev. Typ¢of8uiltling ApplianessOirW Equioment111ired
Home Range Temporary Service
Duplex Water Neater LighNng Fixmres
Apt. Buildmg Oryer
A Electric Heaun
Commercial Bldy. Fumace Silo Unloader
Indus[rial Bldg. Air Conditi
oner &iIk Milk Tank
Farm ^e• cec' Otl.er t5xr.iry1
M Fee ServiceEntrgmeSiie p Fee Feeders/SuMeedaw M Fee Grcui[s
0 to 200 Am 0 to 30 A 0 ta 30 Arricts
Above 200 Amps 31 to 100 Amps 31 to 100 Arrq:is
Swimming Pool Above 700-Amps Ahove 100_A
Transiormers Irtigation Boons Partial? Other Pce
I I I Signs iSpecial hispection S p7 Sff? J-
Q
Nemarks TAL FFE
/Q
RouBh-in Dare 1. the Electriwl
I?pectur. heraby
ce -h tlm? tM above
Final
J w pectim hns bean
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TNarepuMatvaMlBmonllefrom ?
This reVUest voiA 5?
18
, 2n?U1S
L3 ? ? Le 5-e?
s(L3 ig5
10•ov
Hepuest pale ?
J
? a(?' ?? Fire No. Rnuah-in Ins iion
Requir ?
? es ?NO
?ReaAy Now .II No?ity Inspec-
br Wl?en NeadY
Gk&-nsed Elechmal Contractor I hpreby request iqnpectian o1 ahovs
? Owner elecVical wark imblled at
Sveet Address, Bax or Rou[e No. - Giq
ecbon o. Township Nama or No. Hange o. Gounty
I
Occupant (PRIN
f
1 / Phom No.
ek
96/
/ •
Power Supplier
? /eln,. i
Lr Atltlress
/`
Electncal Cmtractar ICOmparry Namel C ctor s Liceree No.
°F- D
MaflingAdJresslCOntraCWror wner kinBti.tailabonl
r ` Q
Authorized nat lCO tracm Owner, ? Iretallati 1 Pho?ce NuMer
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i?lllH? O /
O
THIS INSPECTIOM BEQUFST wILL NOT
MINNESOTA STAT ARD OF ELECi111CITY gE pCCEPrED BY 7HE bTA7E BOAPD
Griggs-Mlidwey .- Room N-191 UNlE55 PROPER INSPEGTIOM FEE IS
7821 University Ave.. St Paul, YN 55100
Pho?re 1021 297-2111 ENCLOSED.
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 3888 Gibraltar Tr
Lot: 3 Block: 6 Addition: Lexington Square
PID:10- 45075- 030 -06
Use:
Description:
Sub Type: e - Furnace
Work Type: Replacement
Description: Furnace
Comments: Quesetions regarding electrical permit requirements should be directed to Ma rk Anderson, State Electrical Inspector,
952- 445- 2840Nancy Kadrlik 5708 Upp er 147th St W #102 Apple Valley, MN 55124 952- 431 -5811 lofgrenhtg @frontie met
Fee Summary:
Contractor:
Lofgren Heating & Air
5708 Upper 147th St W
Suite 102
Apple Valley MN 55124
(952) 431-5811
Surcharge -Fixed
ME - Permit Fee (Replacements)
Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply
of Minnesota Statutes and City of Eagan Ordinances.
h all applicable State
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
$0.50
$30.00
$30.50
Owner:
Joann D Donley
3888 Gibraltar Tr
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
9001
0801
Issued By: Signature
Mechanical
EA075760
11/02/2006
ePermit
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