3622 Lakeview TrtpN4 I#tRfilt - 687-9494 CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199,
PHONE: 454-8100
BUILDING PERMIT
To be used for' VSr WdGIGAR Est. Value $82.01
Site Ad$ress 3622 i.11lCE1/IEW TR
Lot Block Sec/Sub.
Parcel No.
W Name R S M HOliBb
o Address 16817 DULU'tH A
City PgIQR LAKE Phone 440-6901
Name _
Addfess
CIty _
Name _
Address
City _
I hereby acknowlege that I have
inlotmation is correct and aGre9
A
_ Phone
ead this applicatfon? and state that the
tq com avith all:`applicable State of
3an Ordi i?nces. '
RSt1RMS
ork shall be done in accordance wilh all
utes and City of Eagan Ordinances.
:agan, MN 55121
Receipt #
4 ,„ 91
OFFICE USE ONLY
R-3 M-
Occupancy i FEE S
Zoning
ss9 ??
(Actual) Const ? N Bldg. Permit
(Albwable) 41• ?
- Surcharge
?Y oi Stories
-? 0 ?
b ?
LwVM
-, Ptan Review
100•00
Depth SAC.City
S.F.Total - 650.00
SAC,MCWCC
S.F. Footprints - 6?.00
On Site Sewage _ Water Conn
???
On Site well
mwcc
t -? Water Meter 00
?
s
? -? Acct. Deposit -
C ry Wa er -?- ?
QO
PRV Required _ SM! Permit
Boaster Pump - SiW Surchar e ?
APPROVALS
?,?r -
Council -
' Bldg.Ott. -
Variance -
. .?. .
. I L`
? ,. .
$757
c'?..
9 276.00
Trealment PI
374.00
Road Unit
Park Ded. --
?
•
Copies
3,170.00
TOTAL ?
Permit Nv. Permit Holder Dat* Tebphone iY
WATER 33 9/
SEWER
PLuMauuc _ 91 b'9 -7(000
?v°°
H.VAC.
ELECTRIC
Inspsctfon Dats Inap. Commsnts
Footingsl s C !4
Foundation A?!
Framing
RoofiM
R.* Pibs.
Aousn hl1s.
IsuL
Fireplace
Fnal Htg•
pz/
Fnal Plbg. ?// A ?
Const. Meter Plbg. Inspector - Notify Plumber
Engr./Plan
Bleg. Final
Deck Ftg. 2
Dec« FmW
weli
Pr. asp.
3 --16 -Q/ 4l 3v ?,:? ?,
?_ s 4 q
L
? - " - (grxtif iratie uf (Oxru?aury
Citp of (eagan
igrpwdttetd of Btitditcg 3nmeniun
This CertifiaQle wued pursuaru l01he requirements of Swlion 306 ojthe Uniform Building
Code certifYinBlhat at !he knse of issuance this struc[ure K+as in conrplianoe with !he various
orrlinmrces of llre City regulcuing building construction or use, For the foUowing.
ux akuffioiuoa ` QGAR e4 Pa No. 187 57-
OacWac7 Type _RiL+:?- R 1 7ype Co_ Vhi
p..m pfg?7ding R94 FYtNRS AM= 1Fi8t7 iitt7Tii1 AM1flR- P12TfY2 TbYI'i
POST IN A CONSPICUOUS PU1CE
A0dte'ss: 3622 LAMVIEW IRAII, Lot 6 Blk I Sec/Sub SlONEY POINT 2NID
These items were/were not complete at the time of the final inspection.
5/10/91 Yes No TnRPCQLQL;
F?inal grade (6" from siding) ?
Permanent steps - garage
Permanent steps - main entry
Permanent driveway
Permanent gas
Sod/seeded grasa ?
Trail/curb damage
Porch
Basement finish
Deck
Please verify vith the builder the removal of roof test caps frota tha plumbing
system and the shut-off of water supply to the outside lawn faucet befora
freeze potential exists. ?
White - City copy Yellow - Resident copy Pink - Contractor copy
SEWER & WATER PERMIT
CITY OF EAGAN .
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
DATE
OFFICE USE ONLY
METER # ? PERMIT DATE 03105191
CHIP #C???i?? PEFiM1T # 11841
METER SIZE e B.P. RECEIPT # C 12370
ISSUE DATE B.P. RECEIPT DATE 03 04 91
X PRV _ BOOSTER PUMP
SITE ADdRESS 3622 LAKEVIEW TR ;
LOT 6 BLOCK 1 SEC/SUB STONEY POINT 2ND
APPUCANT: R .S . C1q 00 vh
ADDRESS: 16 t-I ? ?'-
CITY, STATE ? `?-- ?J ZIP
PNONE: +40 - CAO t
PLUMBER: % C?le i N?
ADDRESS: (a6??1 Zi?JRf,?AJ Av`4--
CITY, STAT ? ?J ZIP
PHONE: -7
OWNER: -S G- vv, 'e- 4'? A r •
ADDRESS:
?
CITY, STATE ZIP
PHONE:
•.
PLEASE ALLOW 1W0 WORKIMG DAYS FUR PROCESSING. CALL
SEWER PERMITS, CONTACT ENGINEERING DEPT.
PERMIT REG1UESTED
__?(SEWER __AWATER - TAPS
- COMM/IND ? RESiDENTIAL
? NEW - EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead/qf Domestic Mep rs on Water Line.
CreditWILL NQT/be qiv,44?n for Deduct Meters.
Y WITH CITY OF
?
SIGNATUR WHE NOETFR ISSUED
454-5220 FOR INSPECTIONS. FOR STORM
SE1rlP-R & WATER
CITY OF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1
DATE
OFFICE USE ONLY
METER # PERMIT DATE 03/05f 91
CHIP # PERMIT # 11841
METER SIZE B.P. RECEIPT # C 12370
ISSUE DATE B.P. RECEIPT DATE 3 04 91
-1- PRV - BOOSTER PUMP
SITE ADDRESS 3622 I.AKEVIEW ?A
LOT 6 BLOCK Z SEC/SUB ST??Y POINT 2KD
APPUCANT: Q ? • ? ? v^^ ? S
ADDRESS: -?'?-- A..43s
CITY, STATE ?! ?c? ?-? `? NJ ZIP ?_7...
PHONE: k4A Q , [) 1
PLUMBER: ?-`? ? ? `? ??
ADDRESS: laS??q Z663111CA-IL)
CITY, STATE ZIP ,??.?
PHONE: -S2q ,--t
OWNER: 41 Cl1M'e
ADDRESS:
CITY, STATE ZIP
PHONE:
PERMIT REQUESTED
? SEWER -AWATER - TAPS
- COMM/IND -X- RESIDENTIAL
4- NEW - EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Met6rs on Water Line.
Credit WILL NOT be Qiv.en for Deduct Meters.
: TO CbMPLY WITH CITY OF
ORDINANCES
SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
:r : . -14
RE:
DATE:
MAE S, 1991
3622 LAKEVIEW TR (R S M ROMES)
\,
X Your Sewer & Water Permit for the above property has been completed. It will be held at the
Pubfic Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
C41LL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
..
'?Your Sewer & Water Permit for the above property cannot be completed for the following
reasons:
Your Sewer & Water Permit for the above property has been completed, but the meter cannot
be issued or occupancy allowed until further notice.
COMMERCIAL PROJECTS ONLY: Please pay fior meter at City Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
?
CASH RECEIPT
CITY OF EAGid1N ;
3830 PILOT KNOB ROAD '
EAGAN, MINNESOTA 55122
(!? r
DATE 19
} . ? .
OECE?1
AMOl1NT $
& DOLLARS
1m
? CASH I'SCHECK
i
t .-?.,..
_ i
C 1230 7 (? ?'"??
Thank You ,
BY (. , , '
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PECTION
PERMIT TYPE: 'j'I I t R' I N',
Permit Number: 0• ' i r ''''
Date Issued: i' "1 ' I 1 %') 'I
' SITE ADDRESS: 101.
PERMIT SUBTYPE:
,
-? _
,. ?
lit APPLICANT:
? ? : ? •, ? ????n? s+
TYPE OF WORK:
,t1 1! f;f11 1t)Iw ?
X _ 'f- - J? zi.-,__q UAA/ { c t
INSPECTION .A . ..
? Idf MA1?6.'is '::EF'AR11If 1't R Mi 1:-. ARF It[. 4?I1 1 1t€"1I t 11V AtJI' ti'I ltMkt I Nty (:1f2 t( fi {FiIi AI Ou1}tt
IF-
L
----------- ---
?
?
I,
Permit No. Permit Holder Oete Telephone #
SNV
PLUMBING
HVAC
ELECTRI
ELEOTRIC .
Inspection Date Insp. Comments
Footings I
Faundation
Framing
Hoofing
Rough Plbg.
?,(/
l r
Rough Htg. ^Z?-.g
Isul.
Fireplace
Final Htg.
cfl
Orsat Test
Final Pibg. 4V Plbg. Inspector - Notify Plumber
Const. Meter
Engr.lPlan
6fdg. Finel
"7
t
Oeck Ftg.
Deck Final
Well
Pr. Disp.
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
?/y??/O
?-(- ? ? 3830 PILOT KNOB RD - 55122
651-681-4675
New Conslmction Reauirements
• 3 regis[ered srte surveys showmg sq. k. of lot, sq k. of house, an?ll roofed areas
(20% macimumlotcoverageabwed)
• 2 copies of plan showmg beam & window sizes; poured found desyn, etc.)
• 1 set of Energy Calculations
• 3 copies of Tree Preservahon Plan d lot piatted after 717193
• Rim Joist Delail Oplions selection sheet (bldgs with 3 or less units)
DATE O" l .{- 11-?h / 'a 1
JOB 51TE ADDRESS
IF MULTI-fAMILY BUILDI
PROPERTY OWNER__?
TYPE Of WORK a hC ( i
APPLICANT ;
ADDRE55 YZ 1?5
PAGER #
UNITS?
'LACE(S) _ 0 1-- 1 _ 2
PHONE# 95:2-2 ? ZlP CODE ?7
NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY
Energy Code Category _ VIINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submtd. n ? ? r=
- p
- Energy Envelope Calculations Submitted ?? I ? r' rI Lf ?5 I
MINNESOTA RULES 7672 It' O GT j I Z wI I I
- New Energy Code Worksheet Submitted i
Plumbing Contractor:
Plumhing Systcm Iucludes:
$'70.0()
RemodellReoair Rea uirements
• 2 copies o( pWn
* 1 setof Energy Calculations for heated additions
• 1 site survey forextedor addiGOns & decks
. Indicate if home served by sephc system foraddiGOnS
VALUA[ION
Water Softener
Water Heatcr
No. of Baths
Phone #:
Iawn Sprinkler
No. oF R.I. Baths
MechanicalContractor. PicP.Sj ('p_ l _344P?c
Mechanical System Includes: _ Air Conditioninn
Heal Recovery Systeni
Sewer/Water Contractor:
Pee: $90.00
Phone # ?-5? -5-
Pee: $70.00
Phone #
All above information must be submitted prior to processing of application.
I hereby acknowledge that 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 Ord' ces. ?
c
Signature of Applicant
CeRificates of Survey Received _ Tree Preservation Plan Received _ #NoReared _
Updated 1/01
t
W a
3 5/
O , a ?O
Request oate
(
' Fire No Raugh.ln Inpsecbon Reqmretl
(YOU musl il inspedor when rea0y) Ins ecoon other Tna_y? ?ough-In
? ?
[?
ll Nmif
In
eqor
iY
? ?
?
J es ? No y
i
Reatly Now
-
sO
Date Ready
I EJ licensed contractor .41wner hereby request inspection of above electrical work aT
Jo0 AtlOress (S[reaC Box r qaute No ?
? ke
i ?
- Ciry
.
v
a,r,i ?
.
SecLon N. rownsnip Name or No Ranga No Counry
0 PRINT]
I '
H-- Phona No
r
ona
)
Power SuOPlier Atltlress
Becmcal ConUaclor( ompany Name, GonVaclor's License No
o r'titp o wn
Matlmg Atltlress ( ontrec r or Owner MaWng Inslallalionl
ov
Au?honzed Sture (COntractol'Owner Makin Inslallatkon) Phone Number
MINNE OTA STATE BOAFD OF EIECTRIp THIS INSPECTION REOllEST WILL NOT
GrIggs-Mlpway BIEg. - Honm S-173 8E ACCEPTEO BV THE STATE BOARD
1821 Universrty Ave., Sl Vaul. MN 55104 UNLESS PROPER MSPECTION FEE IS
Plwne(fi12) 602-0800 ENCLOSED
REOUEST FOR ELECTRICAL INSPECTION ee-ooom-os
?n C/ C See mstmclions lor completmg IM1is lorm on back ol yellow copy
?
?G253J "X" Be/ow Work Covered by This Request
ew Atltl Rep TypeofBwlding ApphancesWired EqmpmentWired
Home Range Temporary Service
Duplez Waler Heater Electric Heating
Apt. Building Dryer LvaO Management
Comm./Industrial Furnace Other (Specily)
Farm Av Conditioner
other(syeary) ConVactor's Rema? ?
?SM-?. /1rS
Compute Inspection Fee Be7ow:
d Other Fee # ServiceEntrance Sze Fee # Cucurts/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Ahove 200 _ Amps Above 100 _ Amps
Signs . inspector's use Ony '• TOTA
Irn9ation Booms /?O
Special Inspection
Alarm/Communication THIS INSTALLATION MAV 8E ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electncal Inspector, hereby Rougn-in
l
cerhfy that the above inspecnon has
been made. F,?ai ? are
,?
OFFIGE USE'JNLY
This reQuest voitl 18 momhs Irom
a?/?'/ ?oo?i a
6
57899,4
Fequest Date Fve No RauBh^^ InspecUOn
Requ tl7
? Aeady Now ?"GJill NoLfy Inspector
y , Yes ? No When FeaCy7
LLiiie-ensed contractor ? owner hereby request inspection of above electrical work at:
Job Atlaress (Sireet. BOx or R o I , Qy
??` ? ?
Sacuon No Township ame or No Range No County
Occupant( P 1 Phone No
Power 5 Adtlress ,
2
Eiecm I CoMractor (COmoany Npma) Gon tor5 Lmense No
Mailmg AOOre Convactor or Owner Making InstallaUOn)
Authorrzetl gnaWra ICOntractoriOwnet Making Insn)
1 /
E.??iv Phone Number
S Gj? ?
/
MINNESOTp STAT OARD OF ELECTHICITY THIS INSPEGTION REpUESt WILL NOT
Grlpgs-Mldway BMg. - Room 5417 BE ACCEPTED BV THE STATE BOARD
1821 UniversHy Ave., SL Paul. MN 55109 UNLESS PROPER INSPECTION fEE IS
Phone (612) W3-011100 ENCLOSED.
??:EQUESToFOFi oEPECTRI?CA?LtiNSPECTION
a 57899 "X" Below Work Covered by This Request
v?T•??"?^? E810001-08
?,?,- >+ ?LYJ(v/
e AdU Fep. ' TypeofBUilding App6ancesWired EqmpmentWired
Home Range Temporary Service
Duplez Water Heater Electric Heating
Apt Budding Dryer Other(Specity)
Comm/lndustrial ' FUmace
Farm Air Conditioner
Other (speay) Convactorg Remarks'
Compute Inspection Fee Bell
# Other Fee # ServiceEntranceSrze Fee k Circmts/Feeders Fee
Swimming Pool 0 l0 200 Amps 0 to 100 s ?
Transiormers Above 200 _ Amps e 700 Amps
Signs Inspector'sUSeonly.
/'G TOTAL
Gn
Jv
Irriqatwn Booms ??
?V ?
Special Inspecuon
Alarm/Communication THIS INSTALLATION MAV BE ORDER DISCONNECTED IF NOT
Other Fee ` COMPLETED WITHIN 18 MGNTtiS.
I, ihe Electrical Inspector, hereby Rouyn-in /' oaie 7? f q?
J `7
certify that the above inspection has
been made.
oT
OFFICE USE 3NLV
This request rob 18 months Irom
C?5?864
t, ? -
a= ?i?oo
Request Date
- ?
a?- 9 fire No Rough-m Inspeclion
RaGUiretl9 G
?Ves No
? Reatly Now ?I Nottly Inspector
When Reatly'+
I icensed contractor ? owner hereby request inspection of above electrical work at:
Jo0 Adtlress (S1reeL Box or Rovte No ) Qty I
Seciron No. TownsM1ip eme or No Range No. Co
7??
Occupanl(PRIN ? "w
? .S Phone No
Power S ier Atltlres '
Electncal fraclor ?Company Name? N n Con ctor5 icense No. C
Mailing Atltlress (COnttactor or Owner Makmg InstallaLOn)
v?? ?
numonzeo Sigp wre (Co?Vaclor/Owner Making Installationil , Pnone Number
,-
MINNESOTA STATE APD OF ELECTNICITY THIS INSPECTION REOUEST WILL NOT
Gtlgga-Mltlway eltlg. - Poom 5-173 BE ACCEPTEO BY TME STATE BOARO
1821 UnlverMry Ave., St Peul, MN 55104 UNLESS PFOPER INSPECTION FEE IS
Phone (613) W241800 ENCLOSEO
.? /?9 REQUEST FOR ELECTRICAI INSPECTION
9ee-ooom-oe
'/ yr.
/ / ? See insvucuons lor wmpleling this lorm on Dack oi yellow copy p?r5 100,34.5
?
a 57864 •-XBelaw Work Covered by This Request
ew Ad>,i AeO ' TypeoBmlding AppliancesWired EqwpmentWired
Home Range 7emporary Service
Duplex Water Heater Electric Heating
Apt. Building Oryer Other(Specify)
Comm/Industrial ' Furnace
Farm Air Conditioner
Otner(spenry) ConVactors Remarks
Compute lnspechon Fee Below. /
S O[her Fee # ServiceEntranceSize Fee s/Feetlers
o Fee
Swimming Pool 0 to 200 Amps ? l
Am
Transformers Above 200 _ Amps b
SIgf15
Inspeaors Use Onty F
Irrigation 8ooms ??-
Speaal Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, ihe Electrical Inspector, hereby Rough,in oate
certify ihat ihe above mspection has
6een made. F,,,ai oaie
/
OFFICE USE ONW
Tnis reque5t void 18 montns from
CITY OF EAGAN ?p
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUIIDING PERMIT Receipt #
,
To be used tor SF DWG/GAR Est. vaiue $82, 000 Date MAR 4
Site Address 3622 LAKEVIEW TR
Lot 6 Block 1 Sec/Sub. STONEY POINT
2NIJ
Parcel No.
w Name R 5 M HOMF.S
? Address 16817 DIILUTH AVE
0 City PRIOR L.AKE Phone 440-6901
2k10 Name S?
g¢ Address
? Cily Phone
ww Name
Address
aw CiTy PhOne
I hereby acknowlege that I have red this applicatio and state ihat Ihe
inlormallon is correcl and agre t comp ith al applicable State of
Minnesola StaWtes and City of a n Or ces.
Siqnature of Permitee
A Bmiding Permit is issued o:
on the ezpress condillon t at all work shall be tlone m accordance wrth all
apphcable Stale of Minnesota StaNtes and Crty of Eagan Ordinances.
Building Official
19 91
OFFICE USE ONLV
Occupancy R-3ML-1 FEES
Zoning R-1
(ACtuaqConsl -Y---1`1 Bldg Permit 559.00
(Allowable) -Y--N Surcharge 41.00
R ol Stories
421
Plan Raview
?f1??_??
Lengih
Depth 46 ? SAQ City 100.0
?
S.F Total - SAC, MCWCC
0
650.0
S.F. Foolpnnts -
Water Conn
660.00
On Ste Sewage _
On Site Well - Water Meter 90.00
MwCC System --X- 30
00
City Water x
ACCL Deposit .
PRV Reqmred x SIVJ Permrt 30.00
Boosler Pump - SiW Surcharge • 50
Treatmen! PI 276.00
APPROvALS Road Unit 370.0?
Planner - park Ded.
Councd --
.
50
Bldg Ofi _ Copies
Variance - TOTAL
0
3,170.0
18757
PERMIT#. /03_3,?
CITY USE ONLY
RECEIPT DATP: 75 `Of rI'O 1
RUl?ALMECiHAMCiALPERMff APPUCiATIOR
Gffl'OF fd16AR
3$90 PILOT KAOB ftD
EABAR 6!R 5518E
851-6$1-4675
Please complete for: ? single family dwellings
townhomes and condos when permits are required for each unit
Date: ? 'R3-0 ]
SITE ADDRESS: _3(a o2oZ L-L2-?L2tJJt"-t'C> ?2G?-C? ,
OWNER NAME: TELEPHONE #: ? CP?7-5'?ISIZ/
(AREA CODE)
INSTALLER NAME qY"ILTELEPHONE #: QSC?-- ?s
v (AREA CODE)
STREET ADDRESS: I OLUg t R-kOCQ0. LcS?C.?(lL? f? `? •
GTY: STATE: M'6\J ZIP:
Plaea a ehnrk mark neYt to the oermit werk tvoe
New residential dwelling unit under constructionand not ownedoccupied $ 70.00
? Add-on, modification or alteration to existin dwelling unit $ 50.00
• furnace relacement
• air exc an e -? r,
i ioner
• other AUG 2
Nature of work:
d"
s "
State Surchar e $ 50
Total $ -'O
Reniinder: Call for inspections.
SIGNA OF PERMITTEE
llpdared 1101
INSPECTION RECORD
CITYOFEAGAN PERMITTYPE: BuILoING
3830 Pilot Knob Road Permit Number: 0 2 3 2 6 5
Eagan, Minnesota 55123 Date Issued: 0 A/ 11 / 9 4
(612) 681-4675
SITEADDRESS: Lor: s BLOCK: 1 APPLICANT:
3622 LAKEVIEW TR WIRTH RONALD
STONEY POINT 2ND (612) 687-9464
PERMIT SUBTYPE: TYPE OF WORK:
BASEMENT FINISH ALTERA7ION
INSPECTION
FRAMING .. .
INSULATION ..
ftQUGH IN PLBG FINAL
REMARKS: SEPARATE PERMITS ARE REQUIRED FOR ANY PLUMBZNG OR ELECTRICAL WORK
F
J
L
R ,? . PERMIT
? CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
(- 6 2z.i zo
PERMITTYPE: aurLoiNG
Permit Number: 0 2 3 2 6 5
Date Issued: 0 4/ 11 / 9 4
SITE ADDRESS:
3622 LAKEVIEW TR
LOT: 6 BLOCK: 1
STONEY POINT 2N0
P.I.N.: 10-72601-060-01
DESCRIPTION:
Building)_Permit Type
Building Wo.rk Type
. ` ?
i
i
/
i -\
BASEMENT FINTSH
ALTERATION
• r.r, ?-71
? ? ?-
\`-_'/1i?
REMARKS:
SEPARATE PERMITS ARE REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK
FEE SUMMARY:
Base Fee $35.00
Surcharge $.50
Total Fee $35.50
CONTRACTOR:
OWNER: - Applicant -
iIRTH RONALD
622 LAKEVIEW TR
AGAN MN 55122
612)687-9484
I
I hereby acknowledge that I have read this application and state that the
infinrmation is correct nd agree to comply with all applicable State ot Mn.
StatuteA and City of Ea?an Ordinances.
Am 6?a
?UE SI NATUR
?
231"
CITY OF EAGAN
1994 BUILDING PERMIT APPLICATION
681-4675
5,0
SINGLE & MULTI-FAMILY 2 sets of 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 ? Valuation of work o 6 r
Site Address: 3EZ'Z 6 \JiEv-1 T?Z-t-
STREET SUITE If
Tenant Name: (commercial only)
LOT BLOCK J_ SUBD.Y?`?
rU L P.I.D. #
Descri tion of work: (LE Fx-+JY- ` Jk bASFNt CE r-4
The applicant is: Owner ? Contractor ? Other (Describe)
Name W=-2-"tH l2?- rJN e- P Phone 987- 'I4Sq
PrOperty Las1 FIRST Z q' _ y 17 7
Owner Address 36 Zz L1tKF v-1
STREET STE #
City ?A, 6 An-1 5tate Y`arJ Zip 5 Sl?-2
Company Phone
Co ntractor Address License # Exp.
City State Zip
Company Phone
Architect/
Engineer Name Registration #
Address '
City State Zip
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 sta that the information is
correct and agree to comply wit 11 applicable State of Minn ota Statutes and City of
Eagan Ordinances.
?
C)
?
Signature of Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./ladging
? 02 SF Dwg. ? 07 4-Plex ? 12 Mu1ti. Misc.
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace
11 05 SF Misc. O 10 Multi. Add'1. ? 15 Deck
WORK TYPE
O 31 New 9 33 Alterations ? 35 Tenant Finish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actualj
(Allowable)
UBC bccupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Engineering
REQUIRED INSPECTIONS
? .Site
? Wallboard
Basement sq. ft.
Ist F1, sq. ft.
2nd F1. sq. ft.
Sq. ft. total
Footprint Sq. ft.
On-site well
On-site sewage
Building
Variance
? Footing
N Final
JD framing
? Draintile
c? V
?L
?
-?
18 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:
vsLmc;a,: $
•'-q .,
A
1316 Basement Finish
? 11 Swim Pool
? 18 Comm./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
? 37 Demolish
MWCC System
City Water
PRU Required
Booster Pump
fire 5prinkler
Census Code
SAC Code
Census Bldg
Census Unit
Assessments
SAC %
SAC Units
PI.EASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES .AND,
CONDOS WHEN PERMITS ARE' REQUIItED FOR EACH UNIT.
--------------------------------
NO. FIXTURES EACH TQTAL
/ SHOWER 3.00 3-OD'
Z WATER CL05ET 3.00 3- da
BATH TUB 3.00
Z LAVATORY 3.00 .:7-00
KTTCFEN SINK 3.00
LAiJNDRY TRAY 3:00
HOT TUB/SPA 3.00
WATER HEATER 3.00
FLOOR DRAIN 3.00
GAS PIPING OUTLET • minimum - i 3.00
ROUGH OPENINGS 1.50
WATER SOFI'ENER 5.00
PRIVATE DISP. • nai.ccy. uc. 20.00
U.G. SPRINKLER -nome unaer oonst. 3.00
ALTERATIONS ? ? ?tine 20.00
WATER TURN AROUND 20.00
STATE SURCHARGE .50
TOTAL: ot O - ? a
STI'E
OWNER NAME: L?Gh.SZt?d_. ?,[h?1
ADDRESS: / 9 S 9'
cor
CIT'Y: (..e ugJ'I STATE: 117 4/ ZIP CODE: PHONE #: (k/a ) 41,5;? -
S GNATURE O PERMITTEE
.»+ ra.a,i•anu?v rr.icivua kacc3aLraq auia.l
C1TY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122 .
(612) 681-4675
i '
1991 BUILDZNG P'APP CATION
CITY OF EAGAN
i
SINGLE FAMILY DWELLINGS
2 SETS OF PLANS
3 REGISTERED SITE SURVEYS
1 SET OF ENERGY CALCUTATIONS
MULTZPLE DWELLINGS
COMMERCIAL
2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
(CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
_# OF RENTAL UNITS
_# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ZSSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For: 5?11 VG.w?. Valuation: ? Date: '4LaZh L
Site Address
Lot b Block
Parcel/Sub 6koUtY ?'? - `a? NEyOL.
Owner
Address
City/Zip Code
Phone
Contractor
Address i6%t`7 1)"?
City/Zip Code MQ) `,3.b
Phone 4yp ^ 6°(O l
Arch./Engr.
Address
City/Zip Code
Yhone #
Contrac
62/000 ? OFFICE IISE ONLY
Occupancy R-3 M-I
Zoning K-I
Actual Const V- q--
Allowable V-N
# of stories
Length 42
Depth ?
S.F. Total
Footprint S.F.
On site sewage_
On site well
MWCC System ?
City water t?
PRV f/
Booster Pump _
APPROVALS
Planner
Council
Bldg. Off
Variance
-2-Z9 9/ b5
FEES
Bldg. Permit -CZ9,o O
Surcharge q I 1 00
Plan Review 36 CD
SAC, City / C)O,Q-Q
SAC, MWCC 5'0,00
Water Conn. (-D, 00
Water Meter , OD
Acct. Deposit O, 00
S/w Permit -qaOp
S/W Surcharge I,LD
Treatment P1. DO
Road Unit 3?0,O?
Park Ded.
Trail Ded.
Copies .50
SUBTOTAL
Penalty
I.ot Change
TOTAL
agrees that all work shall be done in accordance with
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Y ?
GPcRa, G C
ZZ x 22. -?- 484 x ?5= '12(,,0
hot,(Se,
aU x 40 = Rbo
2 X /2 = p u)
1i?.2.?-ayo
?------
?f4o x F.?SS= ;lylop ?
$) 3/00 0? ??,OOa
f
t
Siveyor?s eermlAcate
u SURVEY FOFI:
DESCFiIBED AS:
d
?
i
?
+
.
aj
?.
(h? a
81 ?,?? 0 9 9??'$' 0?
?.6
•. ?? ?. ?i.
871•?? Z,?`.
•?J?,
R S M }Iomes Inc.
Lot 6, Block i, STONEY POiNT 2ND ADDI'CION, Gity of Eagan, bakota County,
Tlinnesota and reserving easements of record.
. ??.
, .?
o ?
/
? \wq
M
G7
t ? • 4 ?
s?`' ?"• ?"° r.$yi i ?
e
/
/
/
pre,..48a + lK'"%
t'.qe,"nc4
?
Lr ' .
,
?i
?`.
?
.
i
/
/
/7
:?.LS: j ;$?Y
LOT Sa. FOOTAGE - 23, 691 f
? $M3
PROPOSEO ELEVATIONS
7op ol foundalions a 873.9
Gerage Floor a Sl3.S
Basement Fbor "Zeb• s 94634
Approx. Sewer Service Elev. a ew+ea vw:93
Pioposed Elevalions s Q
Exisling Elevallons s
bralnage Uirecllons a.,.,,..•
benotes ofisel Sleke = tO
Ba`emens Fleer 9G = 86i.°)
11 fEDL UND
Planning Engineering Surveying
9tU1 EoH BMominplon F?eew?[. Bioominploa, Nlmeeol$ 65120
TeleO? W171 BBdOtBY
p ? o G a R u- (1 IIU ? U U LP 0
BENCHMARK MN @ Int. of'
Lotevieul "fl?. 4 IAkerir?s G.ror
I hJ ? $(?,sq
MIN SETBACK REQUIREMENtS
Front - 3o House Slde - 10
Rear - Qarage Side • s
1 NEREBY CERTIFY T1111T TIII318 A TRUE ANUCORRECT REPRESENiAiION
OF THE BOUNDAAIES OF THE ABOVE bESCRIBEO PqOPERTY AS SUA-
YEYEOBY ME OR UNbEq MY DIRECT SUPERYISION AND bOES NOT PUNPORi
TO 31IOW IMPqOVEMENiB OR ENCROACNMENi9, EXCEPi AS BHOWN.
Dau 2 t 2-61.1L '?)'&' 6• `
J F INDCaREN, LAND URVEYOR
MINNESOTALICEN3E NUMBER 14379
SCALEt 1 Ineh = 80 Feet
JOB WO.:
41R-042
BOOK: IPAGE:
CADO FILE: I DW(3. CHK
RSM
?
G\TIiItIUlt F.NVL•'SAl'li AVI:ItAGE "U" C0;11'U7'ATI0tI
awWrn R5 ?M. hk?w?..?? __ -
SI'C6 ADDftlSS LC."T ?c Bt-cx,kl? S 7L'/,p"rkrr
, CQNTRACTO(t 2 S M AQ AAE S / iOC -
DATB ?l a l I 9 ? PIIONG
Determine working square footagc oC each.
1. Total expo5ed •.+aLl area ...... /?r9$.D Uy- ft. x •1? ??
2. Total roof.cciling arca ....... ?JD??O sq. ft. x •025
?
? Total exposed wall area above Eloor = 1?0 9B•a"
• a. Total wall windov area ................................•... ?b1 $•y
b. Total door area ........................................... ?/O•Fj
c. Tota1 sliding glass door area............................. ,31. 2
el. Total tireplace wall area................................. O
e. To[al wall Eraming area (average 10e) ..................... /(o $.$
f. Total net wall area above floor ........................... 2g•Fs-
g. Total rim joist area ...................................... 112 .o
Total exposcd foundation arca = g9,C,
h. Total foundation aindov area .............................. O
i. Total net foundation azea above grade ..................... 89.0
Cetermine "U" value of each wall segment.
a. le1 ._ X ..u.. ,.5$' ° 70. (o
b. Yo•8 X "U.. .076 ° 3.1
C. 3t.a x ..u° ,sS. 17•z
a. d x ..U.. ? O = d
X ..V..
x ..U..
q._1??.0..---'? ..U.. . 017 5.3 - ?--
h. o >.
--- "I 1° 0
.. .
. 8g D .. .. . 0 83 ' y
, _... ..__.._. ? _
3 ............................... _...Tt,c,l
IC item ql is tlic samc a5, or Les:: than itum 01, you havu met che 'tntent
oc suc G006(c) 2. &(u,,,, i? 3 17Q. (,) <$ru ? -A
144"4 0} S Q G 6 OO Ie C?? Z
Total exposed roof/ccilinri arca = ??0 4• O?_
j.
k T4tal
Total skylight arca .....................
roof/ceiliny Eraminy acea (avcraye ..................
LO',.) ............. O
I10 •'L_
.
1. Total net insulated roof/ccilin") arca ... .................. q 9 a.?t _
Detcrminc "U" valur. Eor cach rooE/ceiliny scynenr..
j. 0 X .. U., 0 = 0
x. Ilb.y X.-U° , o zS = .218
i. q?g3_L x ..U,. . oa/ 020.8
4 ............................ . ......Total = 01 3• (0
If total of N4 is the same as, or less than 92, you have met tlic intent oE
SBC 6006 (c)1. ?,(,ew, * '? C2 S. j.) G ?? *'Z 2 7' 1.) V....t l4A4 ?O
Alternate Building Envelope Design
To utilize the total envelope system methai, clic values estabLish•!d by tlie
sum of items 03 and R4 shall not be qreater than the sum o: items kl and 92.
1 IR?, $ + 2. 2?•?• _ _Z14•?.,
3. f74?? + a. Z3•L = ??1?J '
aAr•-I
u44
?
PERMIT #
CITY OF EAGAN
1992 BUILDING PERMtT
681-4675
APPLtCATION
fl??
?
')L??W 2 9
11?
/(o
REco
SINGLE & MULTI-fAMILY 2 sets of plans, 3 registered si surveys, opy of energy
calCS.
COMMERCIAL 2 sets of architectural.& structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies when typinq 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 ance ermit is issued.
Date /n /7,2 / 9 Z Yaluation of work
Site Address: -;!,(?22 LIaL?-E?IE la? 'v?L•
STREET STE #
7enant Name: (commercial only)
BLOCK
I
SUBD. l"JTC)??-Y Ol h,V'
P.I.D. Y
znlfl /i?00?g-?Q?
Descri tion of work:
The applicant is: ?Owner 13 Contractor O Other com«;be>
Name ,&11 E-T ?Of.I Phane a-I
Property LA5r FIRST
Owner qddress Z(022 Ua.V_-El1E1n1 Ve-L.
STREET STE At
. City _F_?L h? State ?N Zip 12.Z
Company Phone
C017tr8CtOf Address License # Exp.
City Ttate Zip
Company Phone
Architect/
Engineer Name Registration ;Y
Address
City State Zip
Sewer & water licensed plumber . Processing time for
sewer & water permits is twa days once area has been approved.
I hereby acknowledge that I have read this app?lication d state that the inforvnation is
correct and agree to comply wit a11?p1icab1e?5tate o Minnesota Statutes and City of
Eagan Ordinances.
A
Signature of Applicant: t/?
OFFICE USE ONLY
BUILDlNG PERMIT TYPE
? O1 Foundation ? 05 Apt. Bldg ? 09 Basement Finish
? 02 SF Dwg. 0 06 6arage/Accessory ? 10 5wim Pool
? 03 Two family ? 07 Fireplace ? 11 Res. Add.
? 04 Multi-fam. T.H. 0'08 Deck ? 12 Res. Porch
WORK TYPE
0 31 New O 33 Alterations O 35 Move
E3 32 Addition O 34 Tenant Finish ? 36 Demolish
GENERAL INFORMATION
Const. {Actual)
(A1Yowable)
UBC Occupancy
Zoning
S of Stories
Length
Depth
APPROVALS
Planning
Engineering
REQUIRED INSPECTIONS
? 5ite
C] Wallboard
??--.
? 13 Comm/Ind New
O 14 Comm/Ind Add
O 15 Comm/Ind Rem
? 16 Public Fac.
? 17 Agricultural
Basement sq. ft. MWCC System
lst F1, sq. ft. City Water
2nd F1. sq. ft. DRV Required
Sq. Ft. tatal Booster Pump
Footprint Sq. ft. fire Sprinkler
On-site well Census Code 3s?
On-site sewage SAC Code
Building Assessments
Yariance
0 Footing
[2 Final
? Framing
[3 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.
Capies
Other
Total:
v.tu.r;on:
SAC %
SAC Units
. ,?>.y»?, . , .... . . .
.
Slirve??or"S G'ext?ficate
VEY FOFI: 12 5 M Ilo!nes lnc. ,
'CnIDEV E1S: 1,0t 6, Block 1, S'i'ONHY I'OiN'I' 2N11 ADllT'fiON, Gi:y ot i:agan, Uakota CoL
Plinnesota and reserving easements of record.
.
e- j
,?•?6.
??' ? prsnn?e h U $
? v
?
'b/ \ ti0
?
•?• ??/ / p ?• i
A
%
?
,? a'._•'
NOSEU ELC-VAfIONS
) ol rounJallons .. q719
rnge Ploor
mmenl Fbor 'zt*• e Ses?
mox. Sewet Service Elev.
,........i ri...,.,n,.... r---•,
/
/
i
VF.:.
.1"'r
^A_
F;t,C3tlfd ?J:?
LOT SQ. FOOTAGE = 23, 691 f
P R.\/. R F. r,1:tiU I R C 1i
?
_/ ey i - - .( . . ... . ,.
? ...
13ENCIIMAf1K, Mp ?1n Int
Lqvkuiew tR. ? l4kevie.s P'm f 911.75
Inr a gtep,S4
MIN. SE7BACK HEQUIREM
CITY OF EAGAN
3830 PIIAT KNOB ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
}f?GI?N?CAI. ; YER?I'?
FOR CITY USE ONLY 39 3o
PERMIT #
RECEIPT # D
41
DATE:
gtSIDENTTAT.% PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE ]
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
------------------------ -------------------------------------•
WORK DESCRIPTION FEES
NEW CONST
ADD ON J?-
REPAIR
OwrrER NnriE: 6,1 R. 73R-?q 'cvo K TH
?7K? clrc"? % fe,
SITE ADDRESS: 3tZZ 4
LOT:? BLACK ? SUBD.
INSTALLER:
nnDxESS: Burnsville Heating & A/C, Inc.
cITY: Savage, MN 55t3?:1122
PHONE #
ADD-ON MINIMUM
HVAC 0-100 M BTU
ADDITIONAL 50 M BTU
GAS OUTLETS - MINIMUM
OF 1 PER PERMIT
SUBTOTAL:
STATE SURCHARGE:
TOTAL:
DWELLINGS &
4E:D
24.00
6.00
3.00
c,
$/b.?r
.50
$ t`$? S?
SIGNATURE OF PERMITTEEOr
I,a.?sY4'G <- 19'/G
v12/sj- ?ow
OQMRERCiAL/TNDUSTKIAI.,. PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL SUILDINGS,
APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING UNIT.
-------------
CDNTRACT PRICE:
6WNER NAME:
FEES
SITE ADDRESS:
LOT: BIACK SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE #:
FOR:
18 OF CONTRACT FEE.
STATE SURCHARGE _ $.50 FOR
EACH $1,000 OF PERMIT FEE.
PROCESSED PIPING - $25.00
$25.00 MINIMUM FEE.
CONTRACT PRICE x 1% $
STATE SURCHARGE
TOTAL:
( S IGNATIJRE )
CITY OF EAGAN
CITY OF EAGAN
3830 PILOT RNOB ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
..
FOR CITY USE ONLY j?_7? ?
PERMIT # /'oZB?P
RECEIPT # D OS
DATE:
.
PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS 6
TOWNHOMES/CONDOS WHEN PERMITS ARE REQIIIRED FOR EACH IINIT.
-------------------
WORK DESCRIPTION
NEW CONST ;7--
ADD ON
REPAIR
OWNER NAME: ? ? `
?"4 LR`?i''`E?S r-1-?????
SITE ADDRESS: L<t LOT: 6 BLOCK ( n?T
I SUBD. :?Tt?tt$??^? PO I INSTALLER:
12481 Rhode Island Ave? So.
ADDRESS:
I
CITY: 894•0005 ZIP:
PHONE #
FEES
ADD-ON MINIMUM $15.00
HVAC 0-100 M BTU 24.00 x
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS - MINIMOM 3.00 "
OF 1 PER PERMIT
SUBTOTAL: $_:L?
cm9TE STJ??CP.AP.GE: .50
TOTAL: $ 9'7-R
SIG[ ATURE, F PtRM 3'T ?
P(?kiI4ERCIAI.%obASTRTAL.: PLEASE COMPLETE THIS PORTION FOR A'LL COMMEERCIAL/INDUSTRIAL SUILDINGS,
APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WLiEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACA DWELLING UNIT.
-------------
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:
LOT: BLOCK _ SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE
FOR:
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE _ $.SD FOR
EACH $1,000 OF PERMIT FEE.
PROCESSED PIPING = $25.00
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18 $
STATE SURCHARGE
TOTAL:
(SIGNATURE)
CITY OF EAGAN
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
p0}3w. `S??"V
FOR CITY USE ONLY
PERMIT # 1"ofX
RECEIPT #
DATE:
,...,
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WIiEN PERMZTS ARE REQIIZRED FOR EACR UNIT.
WORK DESCRIPTION
NEW CONST ?
ADD ON _
REPAIR _
OWNER NAME: _ 'RsfM /???/?'?G S
SITE ADDRESS: 24,g?gl /?9k'?t?JC'.? ,??
?
LOT: BLOCK / SUBD.
INSTALLER:
ADDRESS: 1.)YL f .21,,?AJr? /91'4 S;7
CITY: LL n?,? ZIP: Sa 37.P
PHONE #: S75Y J6ev
SIGNATURE OP PERMITTEE
COMPLETE THE FOLLOWING:
N0. FIXTURES EA. TOTAL
ADD-ON MINIMUM 15.00
I SHOWER 3.00 3.'o
/ WATER CLASET 3.00
j SATH TUB 3.00 3 .v
_
? LAVATORY 3.00 j.?
? KITCHEN SINK 3.00 3
? LAUNDRY TRAY 3.00 3
HOT T[JB/SPA 3.00
? WATER HEATER 3.00 3 -V
? FLDOR DRAIN 3.00 3••,0
GAS PIPING OUT.
(MINIMUM - 1) 3.00 3.,Q
? ROIIGH OPENINGS 1.50 Y•
_ OTHER
WATER SOFTENER 5.00
_ PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
SUBTOTAL $
?/ 5v
ST. SURCHARGE .50
TOTAL:
3,Z u
POt4I4ERG?f?IiS?i$T$IAIs: PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND
MULTI-FAMILY BUILDINGS WNEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT. .
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:
LOT: BLOCR _ SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE
FOR: _
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18
STATE SURCHARGE
TOTAL:
(SIGNATURE)
CITY OF EAGAN
SEVERSON, WILCOX & SHELDON, P.A.
I,ARRYS. SEVERSON'
JAMES F. SHEL?ON
J. PATRICK WILCOX•
TERENCE P. DIIRKIN
MICHAEL G. DOUGHERTY
MICHAEL E.MOLENDA"
'ALSOI.ICENSED IN IOWA
°AL50 LICENSED IN WISCONSIN
...y,gp LICENSED IN NEHRASIU
September 11, 1989
Mr. Gene VanOverbeke
Eagan City Clerk
3830 Pilot Anob Road
P.O. Box 21199
Eagan, NR1 55121
APROFESSIONALA3SOCIATION
ATPDIWEYS AT LAW
7300 WEST 197TH STREET
P.O. BOX 24329
APPLE VALLEY, MINNE50'fA 55124
1'ELEFAX NUMBER 432-3780
(612) 432-9136
PAUL J. STIER
KENNETH R.'HALL
•••SCOTI' O. JOHNSI'ON
JOBEPHP.EARLEY
MARY L. GOLIKE
IAREN M. 30LFEST
OFCOUNSEL
JOHN E VUKELICH
RE: Stoney Point 2nd Addition
Pressure Reducing Valve Agreement
Our File No.: 206-6035 (OOE)
Dear Gene:
In connection with the above matter, I enclose original recorded
Pressure Reducing Valve Agreement - Document Number 901734 for
the official City records.
If you should have a question, please feel free to contact me.
Thank you for your consideration and cooperation in this matter.
Ver uly yours,
SEVERSO , WILCOX &
!
?.,{..2
Roxann Duffy
Legal Assistant
RSD/djk
SH&LDON, P.A.
Enclosure
the elevation of 875 feet. All costs shall be the responsibility of
the Buyer and shall be installed to prevent damage due to high water
pressure.
3. Validitv, if any portion, section, subsection, sentence,
clause, paragraph or phrase of this agreement is fot any reason held
to be invalid, such decision shall not affect the validity of the
remaining portion of this Contract.
4. Binding Agreement. The parties mutually recognize and agree
that all terms and conditions of this recordable agreement shall run
with the land herein desccibed and shall be binding upon the heirs,
successors, administrators and assigns of the owners and developers
referenced in this Contract.
IN WITNESS WHEREOF, we have hereunto set our hands.
CITY OF EAGAN OWNER AND DEVELOPER
(Date: 1+ +? t ) MERITOR DEVELOPMENT CORP.
By: gy:
( rro.,..?
Its Ma r Its: Or N/v?
Attest: tr ?
Zts C rk .
STATE OF MINNESOTA)
) ss.
COUNTY OF DA)
On this Liw day of rs4.iAM1?, 1988, before me a Notary Public
within and for said County, personally appeared VICTOR L. ELLISON and
E. J. VanOVERBEKE to me personally known, who being each by me duly
sworn, each did say that they are respectively the Mayor and CleA of
the City of Eagan, the municipality named in the foregoing
instrument, and that the seal affixed in behalf of said municipality
by authority of its City Council and said Mayor and Clerk
acknowle3ged said instrument to be the free act and deed of said
municipality.
I
- - - - - - - - - - - - - - - - - -
IUAILWUCNEAPFENIIIG
NOTAAY PUBLIC - MINNESOTA /
DAKO7ACOUNTY otar 'Public
1Ay Commission Exp Feb E, 1993 • ? ?
H v,
-2-
STATE OF MINNESOTA)
) ss.
COUNTY OF a. ka o-yA- )
on this = day of T6vem64- , 1988, before me a Notary Public
w thin?a,,n d for said County, personally appeared
c?j ?i'hnmM -a?7-- to me perso a?sy
known, who being eaekby me duly sworn, eaedid say that -are-
{P?L,`.e.t'S. ell the -Prn'?, an}- of
the Corporation name in the fo going instrument, _.3 bitat _ ___
^fa' a '' a instr-ameikt - .L- -_ r- - - - - - -----??.-
r
and that said instrument was signed -led in behalf of said
corporation by authority of its Board of Directors and said
n --ana--- acknowledged
sai instriun t to be the free act and deed of the corporation.
. ?
Notar Public
THIS INSTRUMENT WAS DRAFTED BY:
McMENOMY & SEVERSON, P.A.
7300 West 147th Street
P.O. Box 24329
Apple Valley, MN 55124
(612) 432-3136
MGD
-3-
- ?...?.? ?
%i, .FFY [iI+SO"a ??OTARY PU3! SDTA
??'!SHEf;?IEr!N C?J'?It
My Comm?ss?oc Eaaireti Ciz? 26 159?
. mVvwwva
v
For Office Use I
Permit
City of Ea p I
Permit Fee: 130_
3830 Pilot Knob Road I
Eagan MN 55122 Date Receiv ` 0 -
Phone: (651) 675-5675 I
Fax: (651) 675-5694 1 Staff:
2009 RESIDENTIAL BUILDING PERMIT APPLICATION Yid '/>T
Date: is q Site Address: -y-
-2 oc"
Tenant: Suite
RESIDENT /OWNER Name: Phone: 6kl-' 20' . ' y U.S
Address/ City/Zip:
Applicant is: Owner Contractor
TYPE OF WORK Description of work:
Construction Cost: Multi-Family Building: (Yes /No CONTRACTOR Name: License
Address
City: State: Zip:
Phone: Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
_ Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672
Energy Code • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category Submitted Submitted
submission type) • Energy Envelope Calculations Submitted
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.
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.
Applicant's Printed Name App icant's Signature
Page 1 of 3
DO NOT WRITE BELOW THIS LINE
9~
SUB TYPES
Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage
Single Family _ Garage _ Porch (4-Season) Exterior Alteration (Single Family)
Multi 4 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 _ Water Damage
Retaining Wall *Demolition of entire building -give PCA handout to applicant
DESCRIPTION
Valuation 3av Occupancy IL - MCES System
Plan Review Code Edition Aaa SAC Units
(25%-100%---) Zoning A-1 City Water
Census Code 3Y Stories - Booster Pump
# of Units Square Feet j. 6 f PRV
# of Buildings Length la Fire Sprinklers
Type of Construction Width
(L
REQUIRED INSPECTIONS
Footings (New Building) Sheetrock
Footings (Deck) Final / C.O. Required
Footings (Addition) E Final / No C.O. Required
Foundation HVAC
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
Meter Size: Erosion Control
Reviewed By: , Building Inspector
RESIDENTIAL EES
Base Fee f 30
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
.
<R C16'o
&wwqorc Cciti teate
VEY FOR: R S M Homes Inc.
1CRIBED AS: .at 6, Block 1, STONEY POINT 2NIt Al)DITTON, City of. Eagan, Dakota Got
Minnesota and reserving easements of record.
10
_ Dii
9 '
8~L6 ej'
/ /
/ P 4
14 A up
• F
f. 13.4
o/ms's 1V
14 Ell, ty t'dul}llt!!~i Ja}.%1''I'
LZ
LOT SO. FOOTAGE = 23,691.+
P R.V. RECfpJIREIJ
JPOSED ELEVATIONS BENcLIMNiK. nlra LZ ink
Le iAuitw TIL 4 I4 It Vitw
of Foundations „ 113.11 R,T • S~,~a
Iege Floor - 813.5 low 11 4f96.S4
iemenl door iz-%. - USS
Wax. Sewer Service Elev.. e.aw« v«ara ' N, SEIDACK UI
Use BLUE or BLACK Ink
For Office Use I
Ron
City of EaEd I Permit#. a5 I
I Permit Fee:
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received:/
1 11 Phone: (651) 675-5675 I I
Fax: (651) 675-5694 1 Staff:
I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: 3 (PZ Z- L-,q tt uicuJ- n2_ Unit
Name: oQ_ ~z Qot Phone: lr J Z '3Lf&o
Resident/ 3~2Z
Owner Address / city zip: L-~,+ceui, e~1 M A/
Applicant is: Owner ✓ Contractor
m.....~e ...W
Type of Work Description ofwork: ~r- O cUfl ~Y~~~ j lr
Construction Cost: Multi-Family Building: (Yes / No
w Company: 1-eMe-r $1•,~`~'h J C,Vftyb2dCiJs n Contact: DI'MnAJ
Contractor Address: SeZe~a u , i ~tf • 7~pZ City: iT1.~,Oc : irtJej
State: V) T_ Zip: 5 LfC Co Phone:
-1 IS-
5-YIf' 2,(, 00
License 9C- Lo 3_19 Z(c, Lead Certificate
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 hours
before you intend to dig to receive locates of underground utilities. www.aopherstateonecall.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 Buildi Code must be completed within 180
days of permit issuance.
x Ji MC) V1 ~ ~''C ~l~ x
Applicant's Printed Name Applicant's ignature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA146657
Date Issued:11/06/2017
Permit Category:ePermit
Site Address: 3622 Lakeview Tr
Lot:6 Block: 1 Addition: Stoney Point 2nd
PID:10-72601-01-060
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
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 -
Joseph Kautt
3622 Lakeview Tr
Eagan MN 55122
Residential Heating & Air
1815 E 41st St
Suite A
Minneapolis MN 55407-3425
(612) 724-1899
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA168453
Date Issued:04/21/2021
Permit Category:ePermit
Site Address: 3622 Lakeview Tr
Lot:6 Block: 1 Addition: Stoney Point 2nd
PID:10-72601-01-060
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Joseph & Catherine Kautt
3622 Lakeview Trl
Eagan MN 55122
(507) 317-9552
Budget Exteriors
8017 Nicollet Avenue South
Bloomington MN 55420
(952) 887-1613
Applicant/Permitee: Signature Issued By: Signature