3797 Linden CtINSPECTION RECORD
CITY OF EAGAN RFACTIVAT£D FCIR BSMP FINISH 03/02/93 PERMIT TYPE:
, 3830 Pilot Knob Road LIFESTYLF' HCHES INC 454-7856 Permit Number:
Eagan, Minnesota 55123 Date Issued:
II (612) 681-4675
Control No. 1146
}M I I P I pft
004 ) 1,64
10 jws/n:
SITE ADDRESS: t r , r ; 44 e t?, APPLICANT:
1 iNnrN C'f 1 1. I t', 1 Y 1 t NOME ; ING
1l:I Ifni?lil AhiIi', ,I+p 1 1: !4'•R- 1 H614
PERMIT §,YBTYPE: TYPE OF WORK: NEW
INSPECTION . . .A
} ricii iNii F kANiNCi
fN'sU1 AttiiM t iNAI
Frs?fP?F?rI
4;{ MAkt',
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PermR No. Permft Molder Defe Telephone It
S/W
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspktbn Dab
Inap. i
CommeMs
Footlngs 1
Foundetion
Framing 11-12. 2 LS ??s17 nlj'LAI?-
RooNng
Rough Plbg.
fiough Hig.
l8ul. '?aal?a-?y tA.?!
Rrewac°
Fnel Hig.
Orsat Test
Flnal Plbg. Plbg. Inspe.tor - Nolity Plumber
Const. Meter
EngrlPlen
Bldg. Fnel Cq?` e S
Deck Ftg. : x
DeIc Final
Well ?
f?
Pr. Disp.
V
REQUEST FOR ELECTRICAL INSPECTION
o r? n? See instmctions lor complefr!R,?is form on back of yellow copy.
b? ??
`? `? "X° Below Work Covered by This Request
?
Ee-00001-08
ew Add Rep. '-'Typeof8uilding AppliancesWired EquipmentWired
Home Temporary Service
Duplex ter Electric Heating
ApL Building t Other-(Specify)
? Comm./Industrial
Farm AirConditioner
Other (specity) Contraclor's Remarks:
NSFM.'F7T
Compute Inspection Fee Belaw:
# Other Fee # ServiceEntrance Size Fee # Circuits/Feeders Fee
SWimming Pool 0 to 200 Amps 0 to 100 Amps
Trensformers Above 200 _ Amps ve 10 Amps
SignS Inspedor5 Use Oniy: Ov TOTAL
'
9rrigation Booms ?ir O
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE OR RED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTH
I, the Electrical Inspector, hereby
i
h Rough-in oate ^?Z?3
cert
fy t
at the above inspection has
been made. F;nai Date
OFFICE USE ONLY
This request void 18 moMhs irom
? 05849 -? ? c'2??'
?
?
41
Ad
?
- '
_
?
'
t'
Request Date ? Fire No. Rough-in Inspection
Required?
? Ready Now ?Will Notity Inspector
+?
_J ?J 53 :.KY.es r, No When Ready?
I_.' licensed contractor ? owner hereby request inspection of above electrical work at:
Job Andress (Street. Box or Roule No.) Gity
L Ir- 1='A(mA.y
Section No. Township Name or No. Range No. Counry _
rA
OccuoantlPqlNTI
Phone No.
L
F -T m `ISy
Power,$uppiier Atldress
Elecincal Comr pany Name1
? ContractorS License No.
Z i? c. C 7a O E iF ??
Mailing Address ICOniracror or wner Making Instelletion? ?
?
i o/7 --4n ,S'S1.2Z
AuNOnzed Si ure (Contractor,Owner Ma' InStallation) Phone Number
MINNESOTA STATE BOARD OF ELECTRICITV THIS INSPECTION REOUEST WILL NOT
Griggg-Mitlway Bld9. - Room 5473 BE ACCEPTED BYTHE STATE BOARD
1827 University Ave., St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS
7hone (612) 642-0800 ' ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION
95807 ? See insiructions for'COmple6ng this form on back of yellow copy. `X" Below Work Covered by This Request
eTM°'?a
Fy. r.'fQ EBp-0000I-08
ew Add Rep. Type of Building AppliancesWired EquipmentWired
'
? Home Range Temporary Service
Duplex Water Heater Electric Heating
ApL Building Dryer Other-(Specify)
CommJlndustrial Fumace
Farm Air Conditioner
r st eh (pecify) Comractork Remarks. ,
Compute Inspecfion Fee Below:
# Other Fee # ServiceEnlranceSize Fee # Circuits/Feeders Fee
wimming Pool 0 to 200 Amps 0 to 100 Amps $
Trans(ormers Above 200 _ Amps Aboye 1p0 _ Amps
SigOS Inspector's Use Only: TOTAL
' Irrigation Booms (f 6 ? ?
Special Inspection g
Alarm/Communication THIS INSTALLATION MAY BE O ERED PMONNECTED IF NOT
Omer Fee •,jp COMPIETED WITHIN ONT (
I, the Elec4rical Inspector, hereby
tif
th
t th
b Rough-in
. Date
?
y
cer
a
e a
ove inspection has
been made. Final
/
OFFICE USE ONLY .-This request wid 18 moNhs from
?
5807 5?//
?
?
Request Date Fire No. Rough-in Inspaction
Required?
? Ready Now $a+Nill Notify Inspector
92 Yes ? No 'Nhen Ready?
I ' licensed contractor O owner hereby request inspection of above electrical work aC
Job Adtlress (Street. Box or Route No.)/
997 G n C • City
JFA&s?^
Section No. Township Name or No. Range No. County
-I
AKoTA
Occupant fPRINTj
1 Phone No.
:s
-frES7yLE oylf,F_
Power Suppli AdtltCSS
?
r4z07"14 ?LEtTLtL L
!-i4Q?+n?.'1GT0/?
Electrical C tor (Company Name
? 5E ?c.?cTe? Gomractor's License No.
cR 01 LeB
Mahng Atltlress iContractor or wner Mabng InsiallaLOnj
vrn`ro ,?n ssiz
Authorizetl Signat e iCOniractor%Owner Making Installalion) Phone Number
MINNESOTA STATE BOAHD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room 5-173 8E ACCEPTED BY THE STATE BOARD
1821 Universily Ave.. St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
Addk,ess 3797 I.TNDF.N ^T
IAt 34 Blk 1 Sub THE WOODLANDS 3RD
Zip 5512
THESE TTEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: 1/ 29 / 93 Yes No Inspector:
Final grade (6" from siding)
Permanent steps (garage)
Permanent steps (main entry)
Permanent driveway ?
Permanent gas
Sod/Seeded grass p?
TraiUcurb damage
Porch ?
Basement finish ? :
Deck ?
? &C l
Please verify with the builder the removai of roof test caps from the plumbing system and the shut-off of water supply to
the outside lawn faucet before freeze potential exists.
Contact engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system. ?
White - City Copy Yellow - Resident Copy Pink - Contractor Copy
qaRS RESIDENTIAL
'A
?' 4? BUILDING PERMIT APPLICATION
6CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Construction Reauirements
• 3 registered site surveys showing sq. fl, of lot, sq. fl. ot house; and JLI rooted areas
(200/o maximum bt coverege aibwed)
• 2 copies of plan showing beam & wlndow sizes; poured found design, efc.)
• 1 set ot Energy Calculatfons
• 3 copfes of Tree Preservetbn Plan A loi pletted after 711193
• Rim ,bist Detail Options selectlon sheet (6idgs w(th 3 or Iess units)
DATE
SITE
TYPE
AULTI-FAMILY BLDG Y AN
FIREPLACE(S) ?0 _ 1 _ 2
APPLICANT A 8L , i.Px.
STREET ADDRESS I aQ4.7-41L'C-o I jd'Aw e S• CIN 6u,Y"dv?jLC STATE /ntJZIP ?;:5'-?3f
TELEPHONE # Q5,1I -tO 7 -69 ?LL PHONE # FAX #( ?s? 90 FS''alF<- `f.6
PROPERTYOWNER s?? 2?r J-0 TELEPHONE#i L6 S-t16gg-
COMPLETE THIS SECTION FOR ••NEWn RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RiILES 7670 CATEGORY 1 n
(4 submission type) . Residential Ventilation Category 7 Worksheet Submitted •
• Energy Envelape Calculations Submitted
JUL 16 2002
Plumbing Conhactor:
Plumbing system includes:
Mechanical Conhactor:
Mechanical system includes:
Sewer/Water Contractor:
_ Air Conditioning
_ Heat Recovery System
Phone #
Phone #
Fee: $70.00
I hereby acknowledge that I have read this application, state that the inforrnation is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordlnances,
Signalure of Applicant,l?
OFFICE USE ONLY
_ Water Softener
_ Water Heater
_ No. of Baths
_ Phone #
Lawn Sprinkler
No. of R.I. Baths
RemodeYReoalr Reauirements I ? ? ? ?
• 2 copies ot plan
• lsetotEnergyCalculationsforheatedadditions
• 1 site survey for exterior additlons & decks
• Indicate if home served by septic systam for additions
VALUATION
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/D2
? CITY OF EAGAN PERMIT
3830 Pilot Knob Road PERMIT TYPE:
Eagan, Minnesota 55123 Permit Number:
(612) 681-4675 Date Issued:
control rvo. 1146
BIJILCJING
001564
10J05/92
SITE ADDRESS:
DESCRIPTION:
3797 LINGEN CT
LOT: 34 BLOCKc 1
THC WOOCILRNC]S 3RD
Buil,di:n,.9 Permit T.YPe
Building--Work Type
UBC nccupanoy
Canstruction 'T,ype
Zaning '._..,
,
6uilding Leng'Ch
Buil.ding Wadth
?
... . \ i.o.??
SF DWG
NEW
R-3 M-1
V-N
R-1
69
30
L? [.,; i.J U
REMARKS: c' 0':4 1IqS
S& W CfJNTRACTOR - TNOMPSON PLBG
FEE SUMMARY:
Base Fes
Plan Review
Surcharge
5AC
SAC ?
5AC Units
Subtotal
VALUATION
$804.00
$522.60
$73.59
$700.00
irae
$2,100.10
$147,000
MISCELLANEOU5 _ 1 610.50
Total Fee $3,710.60
CONTRACTOR: - Applicant -- sT. Lz pWNER:
LIFESTYLE HOMES INC 14547866 000125 LIFESTYLE HOMES INC
1489 LAKE PflRK CIR 1489 LAKE PARK CIR
EAGAN MN 55122 EAGRN MN 55122
(612) 454-7866 (612)454-7866
I hereby acknowledge that T have re.ad thi.s app7.icatian and stats that the
informatinn is cnrrect and agree to comply with ail appiicable State nf' Mn.
Statutes and City pf Eagan (irdinances.
L
o)fl I\ w I
I ED B : I NATO E'?
I
PERMIT #
r - '
?
CITY OF EAGAN
1992 BUILDING PERMIT APPLICATION
681-4675
213 RECo
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 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 9 / 23 / 92 Valuation of work
Site Address: 3797 LINDEN COURT
STREET STE t
Tenant. Name: (commercial only)
Lor 34 sLocK 1 suso. WOODLANDS 3RD P.I.D. #1075878-340-01
Descri tion of work: SINGLE FAMILY DETACHED
The applicant is: ? Owner 13 Contractor ? Other (oes«ibe)
Name LIFESTYLE HOMES. INC. Phone 4s/.-7R6h
Property uST F1RST
Owner Address 1489 LAKE PARK CIRCLE
STREET STE N
City EAGAN State MN ZiP 55122
Company LIFESTYLE HOMES. INC. Phone 454-7866
Contractor Address 1489 ALKE PARK CIRCLE LiCense # 1288 Exp. 1/93
Clty EAGAN St8t2 MN_ Zlp 5519?
Company SAME AS ABOVE 0 Phone
Architect/
Engineer Name Registration ?Y
Address
City State ZiP
Sewer & water licensed plumber THOMPSON PLUMBING . 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. LIFESTYLE HOMES, INC.
Signature of Appl icant: TFRESIDEN
OFFICE USE ONLY
BUILDING PERMIT TYPE A
O 01 Foundation
0 05 Apt. Bldg ? 09 Basement Fin ?
ish ? 13-Co47I4 N
0 02 5F Dwg. ? 06 Garage/Accessory ? 10 Swim Pool ? 14 CommJlnd Add
E3 03 Two family 0 07 Fireplace O 11 Res. Add. O 15 CommJInd Rem
E3 04 Multi-fam. T.H. ? 08 Oeck ? 12 Res. Porch ? 16 Public.Fac.
_ O 17 Agricultural
WORK TYPE
tf 31 New O 33 Alterations O 35 Move
? 32 Addition ? 34 Tenant Finish E3 36 Demolish
GENERAL INFORMATION
Const. (Actual) V- N Basement sq. ft. MWCC System YF-s
(Allowable) V- N lst F1. sq. ft. City Water yes
UBC Occupancy R-3 M-I 2nd F1. sq. ft. PRV Required
Zoning Q-1 Sq. Ft. total Booster Pump
# of Stories Footprint Sq. ft. ' Fire Sprinkler
Lenqth 4w On-site well Census Code
Depth 30 On-site sewage SAC Code 0/
APPROVALS
Planning Building Assessments
Engineering Yariance
REQUIRED INSPECTIONS
O Site ? Footing O Framing E3 Insulation
13 Wallboard ? Final 13 Draintile ? Fireplace
Permit Fee vatwc;a,: : 14"1 ?000
Surcharge
P1an Review
Gc,Ra?a?'
License ??Xez???`? 32x3S= II?.o
MWCC SAC
City SAC .
I 9ELX;t3 =Aq ?Z
Water Conn. ?. x b= :-
Water Meter *I25 x/6 a? 1(0 o 0
Acct. Deposit 13-SMT; '
..
S/W Permi t
Surchar e
? 35 N3o:l u 50
.
Treatment Pl
it
R
d U
n
oa
e ?
?a X 19=
Ded.
Trails 1
"15r
Copi es IsT Fi.cr?a .
Other
Total :
,?sMT = 1?92
SAC
SAC
U% nits
? ?
?x?2 ^ 11?o .'
)KJ,r3- 5g"30
?:-:ePA24-42 THI_ r: p_S BEFJNETT P_@ 1
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E7CTENlOR EitYEIOPS AYEltAGE "ll". C0MPUTATION
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0Ilnhea ted 51 ahs : -
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CElLtNCx FRAr?lNq SECTION:
Irscerdtrr air fOlm n,Ft
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...?_._.
?+ ?Wr?t? ?t a? m st 'iT-.n.
? ..Y.._ ?nCheS?So t woed 35-
rarpr. a
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+ 4P1 ; 5}i;Yi:!xi ON51,;"s.A"k'E„i -
1' Bntcrfor efr fifm i
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Page 4
L / CITY OF EAGAN CITY USE ONLY
/? PLUMBING PERMIT ?
SUBD. i1 l?(?¢ (612) 681-4675 RECEIPT
DATE
RESIDENTZAL
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS
WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
------------------------ ---------------------------------------------------------
WORK DESCRIPTION T COMPLETE THE FOLIAWING•
NEW CONST )4
ADD ON
REPAIR
OWNER NAME:('??-i????_
SITE ADDRESS:??]`?G ?I Q/d?1rO,1M
INSTALLER: Y1 lA u
ADDRESS:
CITY: yxx_ ZIP:
PHONE #: 1 :?)?L-) - I rI ( ~I
?hi,n?
SIGNATURE OF PERMITTEE
STATE SURCHARGE
TOTAL
COMMERCIAL
? ?do
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-FAMILY
BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT.
WORK DESCRIPTION:
Ck'1@F.i: NA.'4E :
SITE ADDRESS:
TENANT NAME:
SUITE #:
INSTALLER:
ADDRESS:
CITY:
PHONE
FOR:
CITY OF EAGAN
N0. FIXTIJRES EA. TOTAL
REPAIR/ADD ON 15.00
SHOWER 3.00
WATER CIASET 3.00 ,
BATH TUB 3.00 QUO
LAVATORY 3.00 r aR . °o
? KITCHEN SINK 3.00 -Z.Do
_ LAUNDRY TR.AY 3.00
HOT TUB/SPA 3.00
T WATER HEATER 3.00
? FIAOR DRAIN 3.00 ? oo
? GAS PIPING OUT.
?
(MINIMUM - 1) 3.00 J 'ao
ROUGH OPENINGS 1.50
? OTHER b?lptpe.Nrtr 3.0?1 ?.pp
WATER SOFTENER 5.00
_ PRIVATE DISP. 15.00
U.G. SPRINKLEit 3.00
_ W. TURNAROUND 15.00
CONTRACT PRICE:
1% OF CONTRACT FEE. .
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 1% $
STATE SURCHARGE $
TOTAL:
$
(SIGNATURE)
CITY OF EAGAN
L-2L B D? MECHANICAL PERMIT RECEIPT #/D F ?5
SUBD. /.cov?7i?'Aiwo? :L- (612) 6814675 DATE // Cv 902.
RESIDENTIAL
PLEASE COMPI.ETE UPPER PORTION ONLY FOR SINGLE FAMILY DWEI.LINGS. ALSO, COMPLETE FOR
TOWNHOMESlCONDOS WHEN SEPARATE PERMTfS ARE REQUIRED FOR EACH DWELLING iTNIT.
OWNER: FEFS
STl'E ADDRES S: y? 1
? ? OKIREMODEL
ADD
?ST1NG $ 15.00
?
?
r ?--? ? O
CONSTR
U
> HVAC: 0.100 M BTU
INSTALLER: ADDITIONAL 50 M BTU
ADDRESS: '77L GAS OUTLETS - NIINIMUM 1@$3 EA. ?
CITY: ? , ; . ZIP: ,?S Z Z SURCAARGE: $ .SO
SIGNATURE: TOTAL: $
COMMERCIAL
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAUINDUSTRLIL BUILDINGS. ALSO COMPLE!'E FOR
APARTMENT BUILDINGS OR OTIIER MULTI-FAMII.Y BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR
EACH DWELLING UNI1`.
? WORK DESCRIPTION:
OR'NER:
STfE ADDRESS:
TENAIVT:
SUITE #:
INSTAI.LER:
ADDRESS:
CTTY:
PHONE #:
SIGNATURE:
CONTRACT PRICE:
196 OF CONTRACT FEE.
STATE SURCHARGE IS $30 FOR EACH
$1,000 OF PERMTT FEE.
P.?vCEBnED F;P:;:G - $2540
$
$
MINIMUM FEE - $25.00
TOTAL•
<
$
CITY SIGNATURE:
ZIP:
REACTIVAI-E -,A,
PERMIT #00 15 6 q
CITY OF EAGAN
1993 BUILDING PERAAIT APPLICATION
681-4675
MAR fl 1 RECD_
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 Jt Valuation of work
Site Address: ?'A 6ePn eve"
STREET SUITE N
Tenant Name: (commercial only)
LOT 7 BIACK ::? SUBD. P . I . D . N
Descri tion of work: 4-
The applicant is: ? Owner Contractor O Other (Describe)
Name Phone
Property LAST F1R5T
Owner
pddress
STREET STE X
City State Zip
Company L ?'r- N _e4N /e Phone ?{S Y?? '? 6
C011t1'eCtOt' Address License # Exp.
City ? ??Lk-.-, State /1-1? Z i p 2z
Company Phone
Architect/
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber /+104- . 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:
OFFICE USE ONLY
BUILDING PERMIT TYPE I .
O 01 Foundation ? 06 Duplex ? 11 Apt./Lodging
0 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc.
? 03 SF Addition ? 08 8-Plex ? 13 Garage /Acce s sory
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace
O 05 SF Misc. ? 10 Multi. Add'1. O 15 Deck
WORK TYPE
V? 31 New ? 33 Alterations ? 35 Tenant Finish
O 32 Addition O 34 Repair ? 36 Move
GENERAL INFORMATION
0 16 Basement Finish
? 17 Swim Pool
? 18 Comm./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
? 37 DemoTish
Const. (Actual) ' Basement sq. ft. MWCC System
(Allowable) lst F1. sq. ft. City Water
UBC Occupancy ? 2nd F1. sq. ft. PRY Required
Zoning Sq. Ft. total 6ooster Pump
# of Stories Footprint Sq. ft. Fire Sprinkler
Length On-site well Census Code
Depth On-site sewage SAC Code
APPRt7VALS
Co??U 45
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTION S
0 Site ? Footing ? Framing ? Insulation
? Wallboard fp Final ? Draintile ? Fireplace
Permi t Fee 35 .oo v.Luac;on: 8
Surcharge • sn
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: ?
SAC %
SAC Units
?
OCT-92-192 FRI 13:27 1D:JRMES R HILL INC
w
TEL N0:612 890-6244 #668 P62
$URVEYOR'S CERTIFICATE
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BENCH NtPA?RpK
? ELEV ? 839.584
/ •,-
? Zl aasnEG Ll ? ?
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156.09 =
=~320o Q33 _ 9001
10 899.
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BENCM MUpR?f / ?E E?B98 61 ?
89917
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LIFE srrLE HOMES
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MOTE: BUILDIM3 dMEN970NS SFIOWlJ ARE
• POp MORMNTAL 6 VEYiTICAL Li)C- '
ATIOH OF STRUCT1tRE OE11.Y. SE8
ARCHITgRUAI, W.ANS YO2 BUILDING
,
0 FVJX0ATION QNEMSIONS. '
do-- DENOTES PROPOSED SURFACE bHAINAGE
O DENOTES IflON_MONUMENT SET SCALE: t INCH = 30 FEET
• DENOTES IRON MpNUMENT FOUND PROPOSED GARAGE F1pQR - 902.Z FEET
X000.0 DENOTES DUSTING ELLVATION pROP03ED LOWEST FLpOR -''d°1509 FEET
(O00.0) OENOTES PROPOSED ELEVATiaN PRaPO5ED TOP OF BLpCK= g64•0 FEET
WE HEREBY CEfRTIFY Tp LIFE S7YLE HOMES THAT 7HIS IS A TRUE ANa CORREC7
REPRESENTATIQN OF A SURVEY pF THE BOUNDARIES OF:
4.ot 34,BIock I, THE WOOpLANAS TWIRD ADDfTION, acconding to me rearded qat •tliereof,
Da1Dta Cau nty , MMnesota .
IT DOES NpT PURPQRT TO SHOW IMPROVEMENTS OR ENCRQACHMENTS. FJCCEPT A5 SFIOWN. AS
SURVEYEp 8Y ME OR UNDER MY pIRECT SUPERVISION THIS 24TH bAY OF SEPT. , 1992.
NpTE: HO sPeciflc 901.s IMaESYIcnTiON 51GN ;JOHN J M RHILL, INC.
HA5 BEEN C?AiM.ETP1) ON TF04
WY BY TME 8URV6Y?R. 7HE
sW7aBtl.itY oF SqLS 70 supPOqr THE SPECIFlC HOUSff PDPOSFD
i$ Mar Tr9 ?°?BLmr °F C. LARSpN, LAND SURVEMR
THE $UR49YOR' MINNESOTA LlGENSE NUMBER 19$28
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James R. Hill, inc.
PL.AIVNERS 1 ENGINEFRS / SURVEYQRS
2606 W. CTY. RD. 42 o gIIRNSVILLE, MN. 55337 0 612-890-6044
R-95% JAMES R HiLL INC 10-02-92 01:29PM P002 #23
f, For Office Use
C ity of Ea Permit I
I I
I Permit Fee: I
3830 Pilot Knob Road I I
Eagan MN 55122 j Date Received: I
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 Staff:
2009 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: U 0 9 Site Address: '3 7 L ,11 ~4
Tenant: Lc-, i~r C l2tlf? ►t9gg 4t Suite
RESIDENT/OWNER Name: PcXcl_L 14 Dae Z./e Phone: ( j y 57,4 - ff 0 a
Address / City / Zip: 3 y 7 L-,,Ac" 6
Applicant is: Owner _X_ Contractor
TYPE OF WORK Description of work: V~ e_ I,& If
Construction Cost:/ (a ~ - 6) Multi-Family Building: (Yes No )
CONTRACTOR Name: -3C
License
Address: ryCJ'rter 4 tin.
City: Z )c( State: r1✓ Zip:
Phone: U > eo Contact Person: 7e n CrerK c~
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 the 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.
x V,JtI(a`f ,(,N { ~PC►1J i~ x ~Applicant's Printed Name Appli nt's Signature
Page 1 of 3
cZ, o D
I For Office Use
Permit
City of EJUN ] 0 2009
Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 j Date Received: ;
Phone: (651) 675-5675 I' I
Fax: (651) 675-5694 ; Staff
J
2009 MECHANICAL PERMIT APPLICATION
Date: LO' Site Address: L-Z&LZ2I/ CT
Tenant: Suite
RESIDENT / OWNER Name: ~AU~ f~OPErn/EL[. Phone:&5 / 452- 092-
Address / City / Zip: _ S gm /
CONTRACTOR Name:0 [ a) "Imol 5 a6 1 LK _ License " 5 g z,4oZ
Address: O d V 6e41'IILL/U~ J 772 T
City: _/7~v% State: Zip:
Phone: &S/ -/-37 Contact Person: t/ 6^45`47-
TYPE OF WORK New X Replacement Additional Alteration Demolition
Description of work: i Ce aC& vd,~!
NOTE: Both roof mounted and ground mounted mechanical equipment is required to
be screened by City Code. Please contact the Mechanical Inspector or one of the
Planners for information on permitted screening methods.
PERMIT TYPE RESIDENTIAL COMMERCIAL
Furnace New Construction Interior Improvement
)CC Air Conditioner Install Piping Processed
_ Air Exchanger Gas Exterior HVAC Unit
T Heat Pump _ Under / Above ground Tank Install / _ Remove)
When installing/removing tank(s), call for inspection by Fire
Other Marshal and Plumbing Inspector
RESIDENTIAL FEES:
$50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge)
$90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
$ 2Q, 60 TOTAL FEE
COMMERCIAL FEES:
$70.50 Underground tank installation/removal OR Contract Value $ x1%
$50.50 Minimum (includes State Surcharge)
Permit Fee
- If Permit Fee is less than $1,000, surcharge is $.50.
If Permit Fee is > $1,000, surcharge increases by $.50 for each = $ State Surcharge
$1,000 Permit Fee (i.e. a $1,00142,000 Permit Fee requires a $1.00 surcharge).
$ TOTAL FEE
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 x
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE
Reviewed By: Date:
Required Inspections: .Under Ground - Rough In -Air Test _Gas Service Test -In-floor Heat -Final
Exterior HVAC Screening Inspection
Use BLUE or BLACK ink
j ForOfiiceuse ^-------�������`C�
�t
�• � ��►��: �����CjS .�.�:,�'l�
`� O������ t Permit Fee: ���1, �� I
3830 Pilot Knob Road i �
Eagan MN 55122 � Date Received:���J�� �
Phone:(651)675-5675 � j
Fax:(651)675-5694 � Staff: i
L-----------------
2015 RESIDENTIAL BUILDING PERMIT APPLICATION
� 9
Date: � • ��{ ° �� Site Address: 3��� c-,I n���N �'� Unit#:
s �
f k �l '
' : � � �� Name:� �t,+�LL.0 �FEc��� Phone:�o I�a ��`���.,�30�3
��
t � �� ��,:� Address/City/Zip: ��� O r; ,r�t (�
�
, �a
Applicant is: , Ovmer Contractor
_
� � ; � �: , c-\ ``
„����,��� ; Descriptionofwork: ���L�1�c ��1E��E�A'G �A�,. �..scc�- '� }{E.A`C��
` �� ` Canstruction Cost: Multi-Family Building:(Yes /No_�
�
j�� /'� -(� �
b �
�v
� : Company: l;���"�"E:�.'� �C`a .���v`�,�C."Si t�11.--Contad: �'tfi:�r'�cv1 c�i���i�."C"
/'�� /�}
� ' Address: �ils �;. �,iv'�,����C.� L..��-. City: �Cl..s�'_c�av�l..l.E:
� a r
� � q '
� ' State:�\aJ Zip:� Phone:�t"v����a y���EmaiL i�c�M�'.��"a��G���i:.���_�:vv�
� `'
`` � ' � ; License#: ������ Lead Certiflcate#: 1� ' .
�
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
�a v•�r" i,v� ��=�L;T \w ��'l�
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING ;
In the last 12 months,has the City of Eagan issued a permit for a simila�plan based on a tnaster plan? I'
Yes �No If yes,date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor. Phone:
Sewer 8 Water Contractor: Phone:
� ����������1 t������ ' „�. , �„ k �� i'�. �'i�a �i� Y �C.�
� � �r ���� ��� ,� ����� ,a�, � a � �. �k �` �, z, �� � � �� �
� � � � «.� � �r � ,�� � �,-c �
i .�. �'� ri,� �; �'.;as�-.°,„�f-�,z�"��'`�z�"�,:4,..�-M� � ���f. ��# ,`
.�.�;��- ,y�'
CALL BEFORE YOU DIG. Call Gopher State One Call at(6.51)454-0002 for protection against underground utility damage. Call 48 hours
before you irrtend to dig to receive locates of underground utilities. www.aoaherstateonecatf.ora
I hereby acknowledge that this iMormation is complete and accurate;that the wa�k will 6e in confortnance with the ordinances and codes of the Gity of
Eagan;#hat I understand this is not a permit, but only a�application for a permit, and wodc is not to start without a permit; that the work will be in
accordance with the approved plan in the case of wrorlc which requires a review and approval of pians.
Exterior work authorized by a buiWing permit issued in accordance with the Minnesota te Building C f comple within 180
days of permit issuance.
(� ��
X �'1C3w"�ColL �'�Ev.32t�''-'.c x
Applicant's Printed Name Appli s Slg�atur9e n
Page 1 of 3
{ I
' • � ��� �_. ��•`�.���� ��• � ) ���.
DO NOT WRITE BELOW THIS LINE ���!/�.�
SUB TYPES
, Foundation _ Fireplace � Porch(3-Season) _ E�cterior Alteration(Single Family)
� Single Famfly _ Garage _ Porch(4-Season) _ Exterior Alteration(Muki)
` Multi _ Deck _ Porch(ScreeNGazebo/Pergofa) _ Miscellaneous
_ 01 of_Plex T Lower Level _ Pool _ Accessory Buiiding
1�VORK TYPES
_ New _ Interior Improvement _ Siding _ Demolish Building*
� Addition � Move Building _ Reroof _ Demolish Interiar
�p Alteratlon _ Fire Repair _ Windows _ Demolish Foundation
_ Replace _ Repair _ Egress Window _ Water Oamage
_ Re�ioing Wall 'Demolition of entire buildi�g—give PCA handout to applicant
QESCRIPTION
Valuation �Z���• "'" Occupancy �(Z�^ f MCES System
Plan Review Code Edition yYl,r Zo SAC Units
(25%_100°�� Zoning �L.�_ City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction _�_ Width
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
Footings(Deck) Final/C.O. Required
Footings(Addition) Final/No C.O. Required
Foundation HVAC Gas Service Test Gas Line Air Test
Roof:_Ice&Water _Finai Pool:_Footings AidGas Tests _Final
� Framing Drain Tile
Fireplace:_Rough In ^Air Test _Finai Siding:____Stucco Lath Stone�ath _Brick
Insulation � Windows �-flR�Pr(r� ��aE�
Sheathing Retaining Wall:�Footings�Backfill_Finai
Sheetrock Radon Control
Fire Walis Erosion Control
Braced Walls Other:
Reviewed By: �''� ►'✓1 ✓Y1 :k 1--�,� , Building Inspector �
RESIDENTIAL FEES
Base Fee ��-D�iz �-n� D�r� �I
Surcharge I
Plan Revisw
MCES SAC
City SAC
Utility Connection Charge
SSW Permit�Surcharge
Treatment Piant
Copies
TOTAL
Page 2 of 3