3783 Linden Lane11111111111111r?..ta.waTwl?^«?-. -'Yi?.,P,n-.e+r.fi.
'lREACTIVA'1ED FOR DECK 04/20/93 CITY OF EAGAN
NYC? 49c?-0247 ?'? ^ r'"^ r 7
3830 Pilot Knob Road, P.O. Box 21-199. Eagan, MN 55121
PHONE:681-4675 ?
BkaILD/NG PERMIT Receipt # ?
, To be us`ed for SF pFIG/GAR Est. Value $1150000 Date HM 22 , 19 91
Site Address 37$3 LIND£N LN
Lot 14 elock 1 Sec/Sub? ?DLAND5 3AI
Parcel No.
N8R1e `'"^"''Ga n avu»a nvnw
Adilress 1260 raMEE noouLE Ru
Cfty EACAN t;l1 ZP
Q Name SWIE
ICO AddIGa7
? Cih+ ZP
? Phone
uce?ue a
I hereby acknowlege that I have read this applic tion and slate ihat Ihe
inbrmalion is correct and,.ergree t'd comply with, aII appljca6le Slate of
Minnesota Statutes and Q'rt ot E4 an r?nce 7 ? f
SignaWre of Permitee ? Y ?+-
A Building Permit is issued to: CHARI.RS H- HOMES
on the express condition that all work shall be done in accordance with all
applicable State o( Minnesota Statutes and City of Eagan Ordinances.
Building Oflicial "
OFFICE USE ONLY
occupancy P-3 K-I FEES
Zoning R=1 &d9. PermR 691.00
(nduap Const y=N SLMMW 57.50
(Allowable) Y?x Plan Raview 450.00
M of Stories
• ---•1 721 ucense
;?..., : .
On Site Sewage
On Site Well
MWCC System
City Water
PRV Required
8ooster Pump
APPROVALS
Planner
Council
Bldg. Off.
Variance
X
X
SAC, City 100•00
SAC, MCWCC 650•00
waterConn 660•00
walerMeter 95•00
Accl. Deposil 30•00
In Qn
SM/ Parmil •
- S/W Surcharge • 50
TrealmenlPl 276•00
RoadUnit 370•00
- Park Ded.
Copies
- TOTAL 39411.00
Permit No. Permit Holder Date Telephone N
S/W -l
PLUfNBING
HVAC /;? ?? ?r.J lO?OI
ELEcraic 333? i9 );"S
eLEcrAic J 35L ? & 12
Inspaclion Date Insp. Comments
Footings I "J/(O
Foundation
Freming ?,S z s C ? 4eAdr-A
Roofin9 k ? Z Z ?Z
Rough Plbg.
Rough Htg. Z
j?g
[5ul. 3-1192
?S
Fireplace
Final Htg.
Of58I TBS ?1 n ??-
Final Plbg. - Plbg. lnspeclor - Notify Plumber
ConSL Meter ?
EngrJPlan
Bidg. Final
Deck Ftg.
Dedc Final f4ry -
WeII
Pr. Disp.
1 2-7-
SEWER & WATER PERMIT
CITV OF EAGAN METER # _
3830 Pilot Knab Rd.
Eagan, Mtt,55122-1897 CHIP #
METER SIZE -
DATE NOV 22. 1991 ISSUE DATE _
PERMITDATE 11/29/91
PERMIT # 1240$
B.P. RECEIPT # C 016356
B.P. RECEIPT DATE 11 27 41
_ PRV - BOOSTER PUMP
SITE ADDRESS 3783 LINDEH LN
LOT 14 BLOCK 1 SEC/SUB THE WdODLANDS 3RD
APPLICANT:
ADDRESS: _
CITY, STATE
PHONE: -
PERMIT REQUESTED
X SEWER X WATER _ TAPS
COMM/IND
x NEW
X RESIDENTIAL
EXISTING
Lawn Sprinkler Meteq? are to be Installed
PLUMBER: NEU PLUNSLNG Ahe of omestic eters on Water Line.
ADDRESS: 991 BOSTON HILL RD t L NOT e g en for Deduct Meters.
CITY, STATE EAGAN MN ZIP 55123 - ;?
PHONE: 688-9104 "
I AGREE TO COMPL ITH CITY OF
OWNER: CHAxLES R HOUGE HOM6S EAGAN ORDINAN
ADDRESS: 1260 YANKEE DOODLE RD
CITY, STATE EAGAN MN ZIp
PHONE: 456-9021 SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
SEWER & WATER PERMIT
? CITY OF EAGAN
, 3830 Pilot Krrib Rd.
Eagan, MN 55122-1897
i
? DATE NOV 22. 1991
OFFiCE USE ONLY
METER# y'`522-5U0 PERMITDATE 11/29/91
CHIP #.- PERMIT # 12408
METER SIZE ~ ? u B.P. RECEIPT #C 0161 6
ISSUE DATE B.P. RECEIPT DATE 11 27 91
_ PRV _ BOOSTER PUMP
I SITE ADDRESS 3783 L-INDEN LN PERMIT REQUESTED
? LOT 14 BLOCK 1 SEC/SUB THE WOODLANDS 3RD
, X SEWER X WATER -TAPS
, APPLICANT: _ COMM/IND X RESIDENTIAL
ADDRESS:
CITY, STATE ZIP X NEW - EXISTING
? PHONE:
i Sprinkler are to be Installed
PLUMBER: NSU PLItMBING eters on Water Line.
ADDRESS: 991 BOSTON HILL RD en for Deduct Meters.
CITY, STATE ?G? MN Zlp 55123 *
PHONE: 688-9104
TH CITY OF
OWNER: CHARLES H HOUGE HOMES EAGAN O INAN
ADDRESS: 1260 YANKEE DOODLE RD
CITY, STATE EAGAN MN ZIP
PHTE: 456-9021 SIGNATURE WHEN METER ISSUED
•x.,:., , , „'7-2? -. ,
PLEASE ALLOYU TWO WORKING DAYS FOR PROCESSING. CAIL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
ZIP
CITY OF EAGAN ??? 1' 9907
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 681-4675 n ol??.?` „
BUILDING PERMIT Receipt # ?= ???
To be used for SF DWG/GAR Est. Value $115, 000 Date NOV 22 , 1991-
Site Address 3783 LINDEN LN
Lot 14 Block 1 Sec/SubTHE WOODLANDS 3R]
Parcel No.
Name CHARLES H HOUGE HOMES
Z Address 1260 YANKEE DOODLE RD
O Cfty EAGAN MN Zjp
Phone 456-9021
rc Name SAME
0
Address
Ciiy Zip
Phone
?
License #
I hereby acknowlege that I have re this applic i n and stale that the
information is correct and comply with
Minnesota Statutes and " of n 9rdipaf?ce5 I appli?a?l?State of
( 1
OFFICE USE ONLY
FEES
Occupancy R-3 M=1
Zoning R-1 Bklg. Pertnit
0
692.0
(nctuaq Const l-N Surcharge
.
57.50
(Allowable) ?N Plan Review 450. 00.
# of Stories -
Length 77' Licerse
Depth 41' SAC, City 100.00
S.F. Total - SAC. MCWCC 650,00
S.F. Footprints -
On Site Sewage _ Water Conn 66n - n0
On Site well - Water Meter 95.00
MWCC System x
A???. Deposil 30.00
City Waler ?
PRV Required - S!W Permit 30.00
Booster Pump - S/W Surcharge .50
Treatment PI 276.00
Signature of Permitee
A Buitding Permit is issued to: CHARLES H HO E HOMES
on the express condition thal all work shall be done in accordance with ali
applicable State of Minnesota Statutes and Cuity of Eagan Ordinances.
BuildingOlficial ?? Il4.lIA_1 11111
APPROVALS Road Unit 370.00
Planner - park Ded.
Council
Bldg. Off Copies
Variance - TOTAL 3,411.00
?/?/%;?' /-ou"Pr s
?
a 5335 24Z
_?
Request Date Fire No. Rough-in Inspeclion
Required?
? Ready Now Will Notify Inspector
>Ves No When Ready?
IXlicensed contractor O owner hereby request inspection ot above electrical work at:
Job ACtlress fSireel. Box or Poute/ No.) /
L
i n IJE. L v.. Ciry
L7/:v,-,on
Sechon No. Township Name or No, Range No. Count
A t1CaTA
OccuoantlPPINT), Phone No.
t 9 C" G e ?Jr(o- 9 a/Zlit
Aower SuppligI?r??
'
? Atltlress
?
C???
,
? ???/?Jk'C77'/1 iA??(Z1r1Gs+l?.' ?
EleCtrital Co?? r ?Company Namei ContraClor's License No.
1 PV?S p
Mailing Adoress ICOniraaor o?r wner Making Instaltation7
?
?
1 G? l.?c??iv?G;?-r?
;1.
C?M SS)zZ
Autnorizec
ature (Conirector,Own aking Ins;allation) Phone NumOer
?
a, to 3 -o 33z
MINNESO7A STATE BOARD OF ELECTRIp7Y THIS WSPECTION REOUEST WILL NOT
Grlggs-Midway Bldg. - Room 5-773 . BE ACCEPTED BY THE STATE BOARD
1821 Universlty Ave., St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 662-0800 ENGLOSED.
REQUEST FOR ELECTRICAL INSPECTION
?J ? See insiructions for complet7ng this (orm on back of yellow cOpy.
?"X" Be'low Work Covered by This Request
4M1? iq
EB-00001-08
New Add R`ep` ? Type of Building AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt Building Dryer Other (Specify)
CommJlndustrial Furnace
Farm Air Conditioner
Omer (suecity) Coniractor's Remarks:
Compute lnspection Fee Below:
# e Other Fee # ServiceEnhanceSize Fee # CircuitsiFeeders Fee
Swimming Pool 0 t0 200 Amps I$ S 0 to 100 Amps C
Transformers Above 200 Amps 100 Amps
i SignS Inspectors Use Only: TOTAL
Irrigation Booms T.
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORD SCONNECTED IF NOT
Other Fee , I COMPLETED WITHIN 18 MONT
I, the Electrical Inspector, hereby Rou9n-in „ Date
certify ihat the above inspection has
been made. F;,,ai ? oate?',7 p Z
OFFICE USE ONLY
This request void 18 months irom
/oL//Y/9/ 1U141160
?p 53338/ ;eJ.S
jRequest Date
' Fire No. Fough-in Inspection
Required?
-87Ready Now ? Will Notify Inspector
??- ?? - 1 ? 7 Yes C No When Ready?
I?'ficensed contractor ] owner hereby request inspection of above electrical work at:
Jab Address (StreeL Box or Route No
3 ?) '3 ?.;nor 1-n? Giry
i
S?ction No. rov,nship Name or No. Range No. County
i
I ..4 K01i
?Oc,cupant iPPW41c,
I j
cI G arn Phone No.
ilsc' -9,z-or
Powar S Iler /-
L ?4?'V'T.4 Address y--?
Elecirical Cqa?pctor (COmpany Name)
? Conlractor's License No.
Y ` ?
Mailing Atltlress IContractor or Owner Making InstallaLon)/
Authorizetl/$J?q nalure (COnVccton/C?Yfr{?er(M'?aking Installation)
/_ 1 . Il P?. /CiB \ l' Y M i Tl N
. Phone
Number
3 _ / ---sO?C
MINNESOTA STATE BOARD OF ELECTRICITY - TMS MSPECTION REOUEST WILL NOT
Griggs-Mitlway Bltlg. - fioom 5173 BE ACCEPTED BV THE STATE BOARD
1821 University Ave., SI. Paul, MN 55104 - UNLESS PROPER INSPECTION.FEE IS
Phone (612) 642•0800 ENCLOSED.
/?/n/ REQUEST' 3 ELECTRICAL INSPECTION
7 ? See Inatr i c3knpleting this fortn on back of yellow copy,
"X° Selow Work Covered by This Request
EB-00001-08
ew Add Rep. TypeofBUilding AppliancesWired EquipmentWfred
Home Range Temporary Service
Duplex Water Heater Electric Heating
ApL Building Dryer Oiher (Specify)
Comm./Industrial Furnace
Farm Air Conditioner
? Other (specltyf ContraClor's Ramarks-
Compute Inspection Fee Below:
#' Other Fee # Service Entrance Size Fee # Cfrcuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 Amps Above 100 Amps
Signs Inspector's Use Only: TOTAL O
trrigation Booms ?
Special Inspection
'AlarmiCommunication ? THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rou9n-in oate
certify that the above inspection has
been made. Finai
/lq oa?
?
OPFICE USE ONLY 16'^ This requesi void 18 months from -
?<Y?e- W
HOUSE HEATING TEST RECORD
ennoccc J 78'3 ?.l Glelrl 1.:A) . eor Fi nna
OCCUPANT ' OWNER
HEAT LOSS DATE HTG. INST.
SOLD BY INSTALLED BY
Elsehieal Work By Gas Line By
TYPE OF HEAT GA FA HW STEAM SPACE FITR. UNIT HTR. OTHER
GAS DESIGN CONVERSION '
VLJL_ MAKE MAKE OF BURNER ' ?? ?- I?T?? ?e
Modal ? Model ,
Ssrial Max. BTU Ratiny
INPUT MAKE OF FURNACE ozo-omf
Mod.l
CONTROLS ,f/j
THERMOSTAT l Ve
t Si:a ?f
Haat P
ug n
Valva - KIND OF LINER SIZE NONE
Limit 9-0 DrafT Hood Reqularor
Limit Ssning Filte?s Size Numbsr
Fan Setting
a le
Chimney Location
Inside ?
Outaids
Pilot Type Chimney Construdion
?
Pilot Make "
Pilw Model J -060 Smoke Bomb Wirinq
Pilot Timing Draft Tast Tay
F
L.W. Cut OfF Door Pressure LipF+tin9 t^st•
II
P
D
f
d
T `
? ?
Prossure eresnt CO2 e
ate
ss
etvvc
CF o
j?t
P
0
?' la
C
T
ti
Inpuf
H eresnt
2 ompany
es
ng
$tack Temp. Peresnf CO en. ? Nams oi Testsr '
?
CITY SUBURB _
.,
Form 235
DATE: NOV 29, 1991
RE: ` 3783 LINDEN LN (CHARLES H HOUGE HOMES
X Your Sewer & Water Permit for the above property has been completed. It will be heid at the
Public Works Garage (3501 Coachman Road) untii the meter is picked up. BE SURE TO
CALI 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 for 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.
Address: 3783 LINOIN LANE Lot 14 $lk I Sec/SubTBE WCpDLp,PIDg 3gD
These items were/were not complete at the time of the final i spection.
Date: 04 Ol 92 Yes No
Final grade (6" from siding)
Permanent steps - garage
Permanent steps - main entry
Permanent driveway
Permanent gas
Sod/seeded grass
Trail/curb damage
Porch
Basement finish
Deck
Please verify with the builder the removal of roof test caps from the plumbing
system and the shut-off of water supply to the outside lawn faucet before
freeze potential exists. ' &
n[cru[owv[x
White - City copy Yellow - Resident copy Pink - Contractor copy
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
b ? 651-681-4675
New Construction Reouirements RemodeURepair Reauirements
• 3 registered site surveys showing sq. fl. of lot, sq. it. of house; and au roofed areas • 2 copies of plan
(200/o maxfmum lot coverage allowed) • t sel of Energy Calculations for heated addftions
• 2 coples of plen showing beam 8 window saes; poured found design, etc.) • 1 sile survey for exterior additions 8 decks
• 1 set oi Energy Calculations • Indicate H hane served by septic system for additfons
• 3 copies of Tree Preservatbn Plan if lot platted afler 7/1193
• Rim Joisl Detail Optbns seledion sheet (bldgs witli 3 or less unils)
DATE ?_'s 2`t' - OZ VALUATION ? \ ?_S ' q 'D
SITE ADDRESS MULTI-FAMILY BLDG _Y XN
TYPE OF WORK FIREPLACE(S) X-0 _ 1_ 2
APPLICANT ?sz_S?o6,?t"?a ?-
STREET ADDRESS '44bCIN
TELEPHONE # to?l - jCELL PHONE #
?,)M,P STATE?ZIP SS;? \
F,e,x # toSk -4K?-072_f)
PROPERTY OWNERb TELEPHONE #?-
-----------------------------------------------------------------------------------------------
COMPLETE THIS SECTION FOR ••NEW, RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(4 submission type) • Residential Ventilation Category 1 Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Conhacfor:
Plumbing system includes:
Mechanical Conhactor. _
Mechanical system includes:
Sewer/Water Contractor.
_ Air Conditioning
_ Heat Recovery System
Phone #
Phone #
A 9IlE5L'l69
i?T
Er?rgvAqtle yVqrJk e
IYIHY u 4 LU?
Fee: $90.00
Fee: $70.00
----------------------------- --------------------- -------------------------------------- ----------------------------------
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 Ordinances.
Signalure ot Appli nt ?`
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required
Updated 4/02
_ Water Softener _
_ Water Heater _
No. of Baths
_ Phone #
Lawn Sprinkler
No. of R.I. Baths
s ? •?
CITY OF EAGAN
FOR CITY USE ONLY
3830 PILOT KNOB ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100 PERMIT #
RECEIPT # 'rJ' aJ
:....: ...., ........................................
. .. . .. . .. . .. ... . :.5»:.iv):n.e.n»..,
DATE:
'
!T',{''rl:a:?; PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
-------------- TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
---------- ------------------------------------------------°------
WORK DESCRIPTION FEES
?
NEW CONST ADD-ON MINIMUM $15.00
ADD ON HVAC 0-100 M BTU 24.00-?
_?
REPAIR ADDITIONAL 50 M BTU 6.00w
'-?
GAS OUTLETS - MINIMUM 3.00
OWNER NAME OF 1 PER PERMIT
:
??
SUBTOTAL: $
SITE ADD STATE SURCHARGE: .SD
BLOCK LOT: }? v
TOTAL: S d/d
INSTALLE
ADDKESS:
CITY: _fflN[]. ZIP:
PHONE #;
SIGNA
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS,
. . . . .... ... .. .. .. .. .. .
APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING UNIT.
CONTRACT PRICE:
OWNER NAME:
ST'rF ADDRESS:_
IAT: BLACK
INSTALLER:
ADDRESS:
CITY:
PHONE #:
ZIP:
FEES
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 18 $
STATE SURCHARGE $
TOTAL:
$
(SIGNATURE)
SUBD,
FOR:
CITY OF EAGAN
t?ili vr ce?veuv rva Vlli uac VwLa
•?- - _3830 PILOT RNOB ROAD
EAGAN, IN 55122 PERTIIT #
PHONE: (612) 454-8100 RECEIPT #
DATE:
...: ...............................: ::
RES?i?L?'IAL,;: PLEASE. COMPLETE IIPPER YORTION ONLY FOR SINGLE FAMILY DWELLINGS &
?;.......... ..:....... . . . TOWNHOMES/CONDOS VHEN PERMITS ARE REQIIIRED FOR EACH UNZT.
------------------------ ---------------------------------------------------------
iIORK DESCRIPTION COMPLETE THE FOLLOWING:
N0. FIXTURES EA. TOTAL
NEW CONST ADD-ON MINIMUM 15.00
ADD ON SHOWER 3.00 ?
REPAIR ? WATER CIASET 3.00
BATH TUS 3.00
IAVATORY 3.00 .J,2-.
OWNER NAME: KITCHEN SINK 3.00
IAUNDRY TRAY 3.00 ?
SITE ADDRESS: HOT TUB/SPA 3.00
3.00
WATER
IAT: '? BIACK L SUBD.i?(k'1 LC.UfNJ(.??itilJCd .3i ? FLO R DRAINR 3.00 ?
n?GAS PIPING OL1T.
INSTALLER: (MINIMUM - 1) 3.00
ROUGH OPENINGS 1.50
ADDRESS : ? f I G[?O_S /i/? G! !??' _ aTHER
WATER SOFTENER 5.00
CITY: ZIP: PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
PHONE
SUBTOTAL S ?S 5 ,5a
i ST. SURCHARGE .50
SIGNATURE OF PERMITTEE
TOTAL: S ?3Z 4O
?`AIAfERG.?ALJiNDUSTRiAL PLEASE COMPLETE THIS PORTION FOR ALL COP4SERCIAL/INDUSTRIAL BIIILDINGS AND
MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
--------------------------- -------------------------- ---------- ------------------
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:
IAT: BIACK SUBD.
INSTALLER:
ADDRESS:
CITY:
PHONE
FOR:
ZIP:
FEES
14 OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18 $
STATE SURCHARCE $
TaTAL:
$
(SIGNATURE)
CITY OF EAGAN
REACTIYATE ? ??C EVED
PET #
?R 19 1993
CITY OF EAGAN
1993 BUILDING PERMIT APPLICATION
681-4675
r'(1 li;ti 4 -1 ?
SINGLE 8 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 Yaluation of work
Address: 49-7 Al E
Site
STREET SUITE M
Tenant Name: (commercial only)
LOT BLOCK SUIWOd?'Z,RIN&? Y.I.D. *
Descri tion of work: CD 57"cV9 0r WOaAlEA ?fEc.C
The rppl i cant i s: ? Owner ItrContractor 0 Other (Describe)
Name A11X%4z 'Al_O",r Phone y5??- 1?g7
Property LAST FIRST
Owner Address 3793
STREET ' STE N
5?S113
City 1?p4?lQN State. /?l A) Z i p
I(Iql
Co'mpany +'??' 1/? Phone
ContraCtor Address /?d?9?•???° License # 6003Lg ? Exp.3
State Zip
'
6
C i t
, u
y
2
Company' Phone
Architect/ ,
Eflgilte2C Name Registration #
Address ?
, ,.
Ci.ty State Zip
Sewer & water,•licensed plumber . Processing time for
sewer & water permits i.s two.days once area has been approved.
I hereby acknowledge that I have'readthis application and state that the information is
correct and agree to comply with a plicable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant: ?
BUILDING PERMIT TYPE
O 01 Foundation
O 02 SF Dwg.
? 03 SF Addition
? 04 SF Porch
O 05 SF Misc.
woRK rrPE
%-31 New
0 32 Addition
OFFICE USE ONLY
? 06 Ouplex
? 07 4-Plex
? 08 S-Plex
0 09 12-Plex
? 10 Multi. Add'1.
O 33 Alterations
? 34 Repair
GENERAL INFORMATION
? 11 Apt./Lodging
? 12 Multi. Misc.
? 13 Garage/Accessory
0 14 Fireplace
15 Deck
? 35 Tenant Finish
? 36 Move
.?
•r
._ . ,: ?; ...
„ . ,
? H Base4nt"finish
O 17 Swim Pool
? 18 Comm./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facility
021 Miscellaneous
O 37 Demolish
Const. (Actual) Basement sq. ft. MWCC System doo'
(Allowable) lst F1. sq. ft. City Water
UBC Occupancy iz-3 2nd fl. sq. ft. PRV Required
Zoning Sq. Ft. total Booster Pump
# of Stories Footprint Sq. ft. Fire Sprinkler
Length r$, On-site well Census Code y3ML
Depth On-site sewage SAC Code
Cr_0S"'s
APPROVALS C,a•v,.s «w ti-r? ??
Planning Building Assessments
Engineering Variance
REGIUIRED INSPECTIONS
O Site Footing O Framing ? Insulation
? Wallboard Final ? Draintile ? Fireplace
Permit Fee S . ?? vai?cion:
Surchar9e •
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
SAC %
SAC Units
S
% 1991 EUILDING IT ?LICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
M[7LTIPLE DWELLINGS
COMMERCIAL
2 5ET5 OF PLANS Z SETS OF PIANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH SLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCUTATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS # OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
UF MONTH IN WHICH REQUEST IS MADE.
LAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL SE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For :StD GA ? Valuation: 115) DOC)'? Date :
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Site Address
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?t t4" slocki ` { ?'1
Parcel/Sub W000Lfi•.,zs3RpAv
owne r 46 v ? ? AAO'M f---$
Address 12 bU 2A
City/Zfp Code
Phone 4 ??G'9(72 t
Contractor C{aQRLFS f{,pOUErE tioMm
Address ?? -t, rnr-,- Af3ovm
City/Zip Code
OFFICE USE
Occupancy a-3 M-I
Zoning R- 1
Actual Const V- N
Allowable -N
# of stories
Length
Depth
S.F. Total
Footprint S.F.
On site sewage_
On site well
MWCC System V
City water
PRV
Booster Pump _
FEES
699
Sldg. Permit ,00
Surcharge S71 S'a
Plan Review ?$01 04)
SAC, City f arGi3'
sAC, riwcc 66O1-0-0
Water Conn. (o ,CJD
Water Meter
D
1510
Acct. Deposit O.G?O
S/w Permit D,at?
S/W Surcharge f Sb
Treatment Pl. 2U.A6
Road Unit 370100
Park Ded.
Trail Ded.
Copies
SUBTOTAL
Penalty
Lot Change
TOTAL
APPROVALS
Phone Planner
Council
Arch./Engr. G(21 t-- rnjr,S Bldg. Off. ?(•2 q/
Variance
Address
?-_
City/2ip Code
Phone #
Sewe,449er I#ce 4ed-'Contr.
(Signature 6f C-?ctor)
that all wprk shall be done in accordance with
all 'applicable State of Minnesota Statutes and City of Eagan Ordinances.
VALUAT'
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.
,
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30' X ao = 600
12'?c ' s= 180
?g? ?C JS= II 7ao
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4f%k 3?_ ??ig
a?
11 ? 1 q = ?? a'i?
s t<?j
g'IZ x! Z= ? o Z
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I y?j'Z X ic? = zo,???
Isr F?LooR
6sMT ? 149z
Zkl?.- ? 2
2 K?o? ya
IS"4y x 53.= 51? 83S-
1141 42o aie )IS,oov,?
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• EXTERIOR ENVELOPE aVERAGE "U" COMPUTATION •
OWNER U0- '.P 46 wl -e S ?
SITE AODRESS
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CONTRACTOR ' OATE PHONE ?N" Qgs
Determine working square foatage of each.
. .fl
i. Total exposed waTi area ...... . y Q:a sq. ft.,x _3L.= 4
oaG 2. Total raof/ceiling area ...... Isq. ft. x„ii
Total exposed wa1T area above floar = 1 1. 7 y
a. Total wall window area ........................... 1,51,95
.
b. Total daor area ................................. , 5.5(0
c. Total sliding glass door area ................... = o-
d. Total fireplace wall area ........................ .? .4-
e. Total wall framing area (average 10%)'......... .:. Jgu'i8' .
f. Total net wall area above floor ................. I 5 .a
g. Total rim joast area ............................ I3?Y3
.? Tota1 ezposed foundation area = I 33,4(„ .
h. Total foundation windaw area..................... -?--
i. Toal net foundation area above grade ............ ,.? , Oeternine "U" value of each waTl segment.
a• 1 S ) .Sc X ??U" ? 45 = ro ., 3
b. X twull
0
, p(
= 3,3.3
C. 'n 1t
11 M
11u
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i - r, ` •
Y. ? J X nup •? Vl' = i
"!
1
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e. X
? Stull _ la ? "?L -?L.Iv
f. 15h4. 13 X "U" , o ;ry
-
X
9, ? -? z '?' -)
„U„
,
' h. X loull _
X liUli
3 ..................................... Tota1
If item 1#3 is the same as, or less than item Q1, you have met tfie intent
af cBr 6006(c)2.
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4. Total expoeed'roof/ceiling calculations: . . •' `' : .
. . •< ,
. Total expose3 roof/cailing area ? I S?n? • . . „ •: !
. ?
'; • 'j: Total skylight azea.................. ................. •,
. )• 1RG.a0 .:.
• . ;:. ;
k. Total roof/ceilin8 framinR area (averay,e 107. ........ • ' l. Total net iasulated roof/ceiling area ..........:...... lfo175•80
?
.. _.. ,. Determine "U" value for each roof/ceilir?g segmeat ' . ?
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.
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k.. aS s. ?.? . . .. ;
x „U„
, .
. 1. 1?'n5,8a x foU.. ?c?a . 33?5? •
TOTAT. .? T3S,? ' . . ..
. • . : . • • • ..
. If total of A is the same as, or•2ess thara #2,.you have met the_intent •
of SBC 6006(c)l. . .
• Alteraate Building Eavelope besfgn '. '
'??'?... '. , • , .
To utilize the total envelope systea method, the values establistied by •
' the aim? o: items #3 and 04 shall not be g:eatez than..the suaa of items #I -. '.. .'
and #2. . . • ? . . . .
I, 'Z 7y + 2. U g? a; .. ? 3 ??.?`? ',• .
. 3. +4.
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. . . . ,
• C E R T I F I C A T I 0 *I . . .
' Z hereby cer::_°y that Z have calculated the "U" :actors and R values herein as?d t1-at the building hera described meets o= exceads the State of .'Minnesota r'.ne:yy Coasezvation
Act. • • • ; .•
' .-. . • . . ' ,
NOV-21-'91 THU 09:58 ID:JWES R H1LL IhJC TEL N0:612 890-6244 4550 P62
:
$URVEYOR'S CER1'IFICAI'E hOUGE HoMEs
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?* -- DENpTES PROP05ED SURFACE DR)
O DENOTES IRON MONUMENT SET
• DENOTES lRON MONUMENT FOUND
XOOO.d DENOTES EX15TING ELEVATION
(000,0) DENOTES PROPOSED ELEVATION
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DtMFN51UNS SkONfN ARE fUR FIOR
?L LOCATION pF STRUCTURE ONLY.
uat. Pants Rat BwldNC a FOua
WE HEREBY CERTIFY TO HOUGE FipMES THAT THIS IS A TRUE AND CORFtECT
REPRESENTATION pF A SURVEY OF THE BOUNDARIES OF:
Lot 14, Slock I, THE WOObLANDS THlRb ADDITION, according fo ihe reeorded
plot thereoi, uakota County, Mlnnesota
IT pOES NOT PURf'bRT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS
SURVEYEp gY ME OR UNDER MY DIRECT SUPERVISION THlS 20TH DAY OF NOV. , 1gg1.
NqTE; N6 SKCIFlC SOU INVEgTqqTION
? ?N CDMKA-TED ON 7M19
LOT
=KM7MLITY?oFUg? TO Suepwr
? ? ?HE qESPO 31B?T P'OYSEF
THE - SupVEY0/t.
SIGNE : J M R, HILL, INC.
BY: r
JOHN C. LARSON, LANp SURVEYOR
? MINNESdTA LICENSE NUMBER 19828
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James R. Hill, inc.
PLANNERS / ENGINEERS / SURVEYORS
2500 W. C7Y. RD. 42 • BURNSYILLE, MIY. 65337 * 6T2-880-6044
SCALE, 1 INCH - 30 FEET
PROPQSED GARAGE FLOOR - 8013,-b FEET
PROPOSED LOWEST FLOOR - SWo, I FEET
PROPqSEp TC1P OF BLOCK - 4394 •Z FEET
1-' 91 THU 09: 58 1 D: JAHES R H 1 LL i tJC TEL hJO: 512 890-6244 tt550 P02
RVEYOR'S CER1'IFICATE
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? -- NOTE: dULOiNG DIMENSIGNS 4HONtN AR$ ft7R HORfZONTAL
0 VERTICAL IOCATION QF STRUCTURE ONt.Y. 9EE
AAd11fECtVAI. P-Ahi3 FOR BUtLdNG a F'OUNOATIpN
DENpTES PROPOSED SURFACE DRAiNAG??N9a?s.
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X000.0
(000•0) UENOTES IRON MONUMENT SET
DENOTES IRON MONUMENT FOUND
DENOTES EXISTINC3 ELEVATION
DENOTES PROPOSED ELEVATION SCALE: 1 INCH - 30
PROPC?SED GARAGE FLOOR - gq3,?b
PRpPOSED LOWEST FLOOR s 991?.I
PROPOSEp TOP OF BLOCK- 9W•Z FEEf
FEET
FEET
FEET
WE HEREBY CERTIFY TO HOUGE HpMES T'HAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Lot 14, Block I, THE WOObLANDS THlFtb ADDITION, according to The recorded
plat ihereoi, Dakota County, Minnesofa.
IT pOES NOT PURPbRT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS
SURVEYED BY ME OR UNDER MY DIqECT SUpERVISION THIS 20TH pAY (7F NOV. , 19g1.
NpTE: HO SPECIFlC 50L.$ INVE9TpqTION SIGNE?
?" MH OOMPLETED ON TNIS
ltJ1TNLITYHE Fu ? To gUFpM
TME IMF1C NOUBE pii0PO3ED B j
IS NOT TFIE iiESPpNyIBI.ITY OF
7HE ' SUMIEYpq.
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R. HILL, INC. ?----?, .,
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JOHN C. LAR;iON, LAND SURVEYOR
MINNESOTA I.ICENSE NUMBER 19828
James R. Hill, inc.
PLANNERS / ENGINEERS ! SUFiVEYQRS
2500 W. C7Y. ftD. 42 • 6URNSVILLE, MIV. 55337 t 612-880-6044
Use BLUE or BLACK Ink
My f ~ortxst~e I
o Eap j Permit _ ~ i
I
Permit Fee: I
3830 Pilot Knob Road
~i t Received:
Eagan MN 58122 . i
Phone: (651) 675-5675 stafF I
Fax: (651) 67SMN4 L________
INFLOW & INFILTRATION PERMIT APPLICATION
Plumbing / Sewer & Water
Date: R ` 1 a - ) Z Site Addmss• 31 $ L a r Lg "e
Tenant: Suite
"7 / 9 7
RESIDENT I OWNER Name: c.. s g n r r e ~l Phone:.(, S) -'4s Q1
7
Address ! City i Zip: 3 "1 $ 3 L La sn Q-
Name: +L"S',a~~ } S e c.e_; Trr< Lioerrse cj s S r S ,a izy
Address: ~ 0, Lo-'4- ! ? City: .
CONTRACTOR
state: r"- u Zip: ;-C c 3 A L Phone: S t- t. 04) -
Contact; M,tf , c. 14 > ►+z Email: f1l+Y'e
PLUMBING (within the building envelope) SEWER & WATER (outside the building envelope)
TYPE OF WORK Sump Pump Repair Repair
Other. Other.
DESCRIPTION Description of work: 7^~^► -fj 41% 3 f f
FEES
$55.001 Each (includes woo state surcharge) TOTAL FEE dV- d
"Permit fees will NOT be reimbursed by the City of Eagan. ff you plan to submit III repair costs for
reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors
can be found by visiting www.citvofewan.cornfinflow, or City Hall at 3830 Pilot Knob Rd.
CALI. BEFORE YOU DIG. Cali Gopher State One Call at (851) 454-0002 for protection against underground uttRy damage. Call
48 hours before you Intend to dig to receive locates of underground utilities. www.oooherstateonecall.ora
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 1:)0j, R $ C i X 4Z7, A'
_L j +f.
Applicant's Printed Name Applicant's Signature
I
FOR OFFICE USE Reviewed By: Date:
Required Inspactlons: ,-Ureter Ground ___Rough4n Final