4156 Kingston CtSEWER & WATER PERMIT
CITIPOF tAGAN
3830 Pilot Knob Rd.
Eagan, MN?55122-1897
?
DATE ;_ • ,
.
?r OFFICE USE ONLV
METER # PERMIT DATE 09/3 7; 91
CHIP# PERMIT# 112')3
METER SIZE B.P. RECEIPT # C 14206
ISSUE DATEt B.P. RECEIPT DATE 0612 7';1
_ PRV BOOSTER PUMP
SITE ADDRESS «1-5= _. ,r ;yStcn Crnmt
LOT y BLOCK -= SEC/SUB Hills of 2-onehridae "s
I? APPLICANT: `?E: E2?ttltuta ::U, Inc.
I ADDRESS: E. kiver
I CITY, STATE ?'t y I ?1=i - ZIP o-`'-12'
' PHONE: •`) l.t C):iliz.
PLUMBER: `:011ey PlWIu+11CIIj
ADDRESS: Cree+ 'aac
CITY, STATE -u rian, Mn•
PHONE: 4?'=%'2121
I OWNER: 111e E:ottlt;ra dn_ Tn_ _
ADDRESS: 5101 E.Fii-rex- Road
' CITY,STATE r'ticSler, °,r,- ZIP-554i?.
PHONE: 771-t/1G+1
PERMIT REQUESTED
x SEWER X WATER -TAPS
- COMM/IND
x NEW
RESIDENTIAL
_ EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Gredit WILL NOT k?e gi'veq for Deduct Meters.
?
---
.
1 AGREE TO COMPLY WITH CITY OF
EAGAN ORDINANCES
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 Knob Rd.
Eagan, MN 55122-1897
DATE -
OFFICE USE ONLY
ME7ER# qd, a7 PERMITDATE 09117191
CHIP # PERMIT # 12293
METER SIZE? -?? ? k B.P. RECEIPT # C 14206
ISSUE DATE=B.P. RECEIPTDATE 06 27 91
- PRV - BOOSTER PUMP
SITE ADDRESS 41.3,'3, _ ,: _ `r- i : -ir:-t
LOT BLOCK , SEC/SUB -!i i 's - ;:t nEh
APPLICANT: 1-th-' RmtLiunti Co.. Inc.
ADDRESS: `_)LOl i.
CITY,STATE F,:'dley, Zlp551-1121
PHONE:
PLUMBER: Vullev Plurrbing
ADDRESS: 510 Cre2k Laae
,
CITY, STATE Jorciar,; hin. ZIp5531
PHONE: `?92-212:'
PERMIT REQUESTED
x SEWER ?-WATER -TAPS
_ COMM/IND X RESIDENTIAL
x NEW - EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
£redit WILLNOT.me qiven for Deduct Meters.
I(J1GFiEE TO COMOLY WITH CITY OF
OWNER: Ror_rl,lnc'., ('n 7n( EAG ORDINANCES ?
ADDRESS: i.tZiver Rc%?)c
CITY, STATE
PHONE: V4 516NATURE WHEN METER ISSUED
/
PLEASE ALLOW TWO WORKING bAYS??O /R pROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERiNG DEPT.
` . _
P,
` Ter#tfixafe of (Orrupanxy
Citp of Cagan
EpvarhtTFtit of WliQiltg.JtivPCtLQtt
This Cenifuale issuedpursuan[ m llre requirementr ofSection 306 af the Uniform Building
Code cerlifying lhataJ the time of issuanae 1Jusstructure xns in compliance with !he various
ordurwrcer of rhe City regulating building conshuction or use For rhe joUowing.
ux a.ssrwrioa sg ? ?'rlaAR BIQg- ax¢tic No. 193?9
00cup'°cyType- 7aain6Dis4ia_ M)b?l TypcCma $i
owoa or Bu?oq n.?c w=rn.n rn Br ,wa- 52(11 F. gTS1F'R RTt, FRT17f F.Y
paw. Q196019
POST IN A CONSPICUOUS PLACE
. . . . , , r.. . ,- .. • , . .
c?- .- CITY OF EAGAN ? J??? '
3830 Pilot Knob Road P.O. Box 21-199 Eagan MN 55121
To be useddor al
?T
Site Address -`
Lot 4 Block
Parcel No.
I I
PHONE:454-8100
'-y
Receipt #
IcAR $t33,cioo .iotos 25 91 ?'
Est. Value_ Date , 19
W Name TRE MMLU*D 00 1MC
0 Address 5201 Q R1VLR RD
City FRLOLZY Phone 571-0306
Name sAME
Address
Name _
Address
Phone
Building Official ? OFFICE USE ONLY ' ?
I hereby acknowlege that I have read this application and state that the
information is correct and agree lo comply ?vrth all applicable State of
Minnesota Statutes and Ciry of Eagart Ordinande.??C „
i
Signature of Permitee
A Building Permit is issued to: THE ?M CO lNC
on the express condition that all work shall be done in accordance with all
applicable State of Minneota Slatutes and Ciry ot Eayan Ordinances.
O
R-39 M-1 F '4
E
ccupancy
Zoning
PVR?1 E S ;
a 7sS?00
?
(Actual) Const ?_ Bldg. Permil .
j
(Allowable) VIL- Surcharge
i
66.50
d ol Stories
Length
?
Plan Review
:
491,00
.j
I
Oeplh
S
F
T
l SAC, City
-
100•00
00
650
.
.
ota - SAC, MCWCC ,
?
S.F. Foolprints - 6?Q ? ,.!
•
On Sile Sewage _ Water Conn a
On Site Well Water Meter 95•00 '
MWCC System X-X_ ?
30•00
City Waler
XJL- Acct. Deposit .
?? ,
PRV Pequired _ S!W Permit ;
Boosler Pump
-
S/yy Surcharge ,
• so
276.00
TrealmentPl ?
APPROYALS Road Unil 37o.oo +
Planner - park Ded.
Council
BIdg.Off. _ Copies !
s? s, sz?.oo ,
Variance - TOTAL
Permit No. Parmit Holder Drte TNephone #
WATER
SEVJER
+?
'wa?eu G
^
7 / 9
eLEcrRic
?JZ
lospection Date Insp. Comments
Footings I L?
Foundation a ) 1?
Framing
Roofing
flough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg. r' wjw
Orstat Test
Final Plbg.
AtZ
Plbg. Inspeclor - Nolity Plumber
Const. Meter .
Engr./Plan
Bldg. Finai i
Deck Ftg.
Deck Final
Well
Pr. Disp.
DATE: SEP 17. 1991
RE: 4156 KINGSTON CT (TtiE &OTTLUND CO INC)
x Your Sewer & Water Permit for the above property has been completed. It witl be held at the
Publi orks Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
CqL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
E
- 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 Hail. 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.
Adc2ress: 4156 KIMSTODi COURT Lot 4 Blk 4 Sec/Sub gr[,L,S OF STONEBRIDGE 3RD
These items were/were not complete at the time of the final inspection.
9/26/91 Yes No (:'1
Final grade (6" from siding) ?
Permanent steps - garage
Permanent steps - main entry ?
Permanent driveway LI-11,
Permanent gas ?
Sod/seeded grass ?
Trail/curb damage ?
Porch
Basement finish ?
Deck
Please varify 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. C?
ucrn.EOMvm
White - City copy Yellow - Resident copy Pink - Contractor copy
CITY OF EAGAN N2 19322
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PEFrIAIT PHONE: 454-8100 Receipt # "y
Tobeusedtar SF DWG/GAR Est.Value $133,000 Date JUNE 25 19 91
Site Address 4156 KINGSTON COURT
Lot 4 Block 4 Sec/Sub. HILLS OF STONEB DGE OFFICE uSE oNLY
Parcel No. 3RD Occupancy R-3, M-1 FE ES
R
1
Zoning
-
PD
x
Name THE ROTTLUND CO INC (Actuaq Const Vn Permit
Bldg
$
755.00
w
;
Address 5201 E RIVER RD
(Allowable)
Vt?- .
50
66
° Cj? FRIDLEY Phone 571-0304 # ol Slories _ Surcharge .
Plan Review 491.00
Length 50
p Name S?? Depih 3
6 SAC
Cil 100.00
t
1 .
_ ,
y
00 Address S.F.Total - 650.00
? City Phone S.F. Footprincs - SAC,MCWCC
660.00
On Site Sewage water Conn
¢
W Name
On Site Well
95.00
t= - Water Meter
xu 30 AddreSS MwcCSystem XX- 30.00
a W Cify PhOn@ Ciry Waler ?. Accl. Deposil
30. 00
PRV Required - SM/ Permit
I hereby acknowlege that I have read this application and state that the Booster Pump - SMI Surcharge . 50
information is correqt,and agree to co ith all
api,able State of
? t
Minnesota Statules arld'Cit a rdinan e
Treatment PI 276.00
SignaWre of Permitee •r , APPROVALS
RoadUnit
370_n0
A Building Permit is issued to: THE ROTTLIJND v0 INC Planner - park Ded.
on the express condition th all work shall 6e?Ione in accordance with ail
applicable State of Minne t Statutes and ??7of Ea a Ordinances. Council
gld9, pff,
_
Copies
?
` ?00
Building Official
? Variance _ TOTAL
S
71'11 Vi ?
a 012384? Q4;I&
Request Date Fire No. Rough-in Inspection
Required? ?,?('
?7 Ready Now cvv yill Notily Inspector
?^?
? Z. Yes G No N1hen Reatly?
I4--ficensed contractor 71 owner hereby request inspection of above electrical work at:
Job Adtlress (Street. Box or Route No.) City
15?
Sechon No. Township Name or o. Range No. Coynty?
Y 1
?./
Occup t(PRINT? Phone No.
Power S ier
? Adtlress
Electrical mractor Compan ame, Contractor5 License No.
3
?4a -
M1laihng Atldress iCOnfracroor Owner Making Installation?
Authorized Siynature tContracton0 er Ma g stallanoni ? Phone Number
MINNESOTA STATE BOARD OF ELECiFiICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Mitlway Bltlg. - Room 5773 BE ACCEPTED BY THE STATE BOARD
1821 Universlty Ave.. St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0600 ENCLOSED. •
REQUEST FOR ELECTRICAL lNSPECTION
? See instrudions tor complering ihis iorm on b2ck ot yellow copy.
?n i. ?,,ip °X" Below Work Covered by This Request
3 M 's?i
EB-00001-08
? ?.tlv
New -." Rep. Typeof8uilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heafing
Apt. Bullding Dryer Other (Specify)
Comm./Industrial Furnace
Farm Air Conditioner
Other (epeclty) Contrector'e Remarks:
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 700 Amps
Transformers Above 200 Amps 10 Amps
Signs Inspecror's use onry: TO7AL
Irrigation Booms
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DIS ONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONL . ?
I, the Electrical Inspector, hereby Roo9n-m
C
certify that the above inspection has
been made. Finai
Z
OFFICE USE ONLV
This request void 18 months irom
MECHANICAL (RESIDENTIAL)
Permit Application
City Of Eagan
q 3830 Pilot Knob Road, Eagan Mn 55122 ? ?
Telephone # 651-675-5675 FAX # 651-675-5694 O
Plcasc complete f'or: Single Family Dwellings
Townhomes and Condos whcn permits are required for each unit
Datc 'S / / 63
5it
Add
c
&
e
ress
b S
jc,S Unit #
Property Owner --- 0 1-0 _J?j I Telephone #(6S
Contractor
Street Address City
State Zip Telephone # ( )
The Applicant is ?Owner _ Contractor _ Other
Add-on, modification or alteration to existing dwelling unit $ 30.00
furnace replacement
air exchanger
air conditioner
2?_ other ?Xac- ??.>?le-t??c )h.1?
Pr-rv ?_ h.?? o?-?.
State Surcharge $ 50
-.;
Total
ry •, ^ r ; `l l
?
I.'
I hereby apply for a Residential Mechanical Permit and acknowledge that the informa?!?o?n, is complete and accucat?• that the worl: will
be in conformance with the ordinances and codes of the City of Eagan and with the Mec?ar++ei es; at I understand this is noi ;i
pcrmit, but only an application for a permit, and work is not to start without
app.??ed plan in the case of work which requires a review and approval of p-
? C/ Knqztj N,
Applicant's Printed Name A
accordance wiih Ihc
MECHANICAL (COMMERCIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
Please complete for. commerciaUindusMal buildings
multi-family buildings when separate pcrmits aze not required for each dwelling unit
Date / /
Site Address Unit #
Tenant Name (if applicable) Previous Tenant Name
Property Owner Telephone # ( )
Contractor
Street Address City
State Zip Telephone # ( )
The Applicant is _ Owner _ Contractor Other
R'ork Type
New construction ' Underground Tank _ Install _ Remove
Interior Improvemeni Call for inspection during installationlremoval of tank
Processed Piping
Nature of Work:
Permit Fee $50.50 Minimum Fee (indudes State Surcharge)
Contract Value $ x 1% _$ Pernut Fee
• If pemut fee is $1,000 or less, add $.50 => $ State Surcharge
If pernut fee is over $1,000, add $.50 per
$1,000 Permit Fee
$ Total Fee
I hereby apply for a Commercial Mechanical Pernut and aclnowledge that the information is complete and accurate; that the work
will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is
not a pernrit, but only an application for a pernvt, and work is not to start without a perxnit; 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
Applicant's Signature
Approved By: , Inspector Date:
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Construction Reauirements
• 3 registered site surveys showing sq. ft. of lot, sq. R. of house; and all roofed areas
(20% maximum lot coverege allowed)
• 2 copies of plan showing beam & window sizes; poured found design, elc.)
• lsetofEnergyCalculafions
• 3 copies of Tree Preservalion Plan if lol platted after 7l1193
. Rim Joisl Detail Options selection sheet (bldgs with 3 or less units)
DATE <K" I ? -U Z
SITE ADDRESS `/ / 5(o k;,
TYPE OF WORK R? °°'- S ;
'???
-a S_6
RemodellReoair Reauirements
• 2 copies of plan
. 1 set of Energy Calculations for heated additions
• 1 site survey for exterior additions 8 decks
. Indicate ii home served by septic system for additions
VALUATION ?)LJ . Z 062
MULTI-FAMILY BLDG _Y T N
FIREPLACE(S) Ys., 0 _ 1 _ 2
APPLICANT C9 +r ?" ?r r. f-tvu,;C'"r'S W'V
STREET ADDRESS 2y& L\,.o S a-e,r a'of CITY
TELEPHONE # GSI -230 -.s/o ?S CELL PHONE #
FAX #
ATBIIN ZIP SS1c?7
PROPERTYOWNER_ TELEPHONE#
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RLJI.ES 7672
(4 submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor: _ ___ Phone # _____
Plumbing system includes ? Water Softener Lawn Sprinklcr ?L 'F? _.
Water I Ieater No. of R.I. Bal
No. of Baths P?a 19
Mechani ?
cal Contractor. Phone # ?
Mechanical syslem includes: Air Conditioning • _1? e:'$70.00
Heal Recovery Systcm
Sewer/Water Contractor:
S? ''jaHI
Phone #
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 Or ances. ?
Signature of Applicant s?
OF'FICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
OFFICE USE ONLY
? 01 Foundation
? 02 SF Dwelling
? 03 01 af _ plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
? 07 05-plex ? 13 16-plex
? 08 06-piex ? 16 Fireplace
? 09 07-plex ? 17 Garage
? 10 OS-plex ? 18 Deck
? 11 10-plex ? 19 Lower Level
? 12 12-plex Plbg_Y or_ N
? 20 Pool
? 21 Porch (3-sea.)
? 22 Porch/Addn. (4-sea.)
? 23 Porch (screened)
? 24 Storm Damage
? 25 Miscellaneous
? 30 Accessory 81dg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi
? 31 Plew ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories ? Booster Pump .
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaUC.O.
_ Footings (deck) _ FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Fina] _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ 5iding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Building Inspector
. . _ . . ? .. . _. . . . . . _ ? . . , . " _ _ ' ' ' _ _ -... . ? / . r..._ ..?.' '__. .
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. rrginaering.,
LwND sr aV?rMS. cl vi ? O?.INR71S
LAND Pl/"CRS. Lw'09GA?C ARMxC"
,-
(612168t•1914
Certiticate of Survey f6r: ??9 ;?` '*"uA/C) W MPK1*41V
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• 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EACAN
3830 PILOT KNOB RD - 55122 ?
?`-) o o (?„ 651-681-4675
?
New Constructlon Reaulrements Remodel/Reoafr Reauirements
? 3 registered sNe surveys showing sq. B. of lot, sq. ft. of house
and all rooled areas (207o maximum lot coveraae allowed)
? 2 copies of pians (show beam S. window sizes; poured fnd. design; etc.)
: 1 set of energy calculations
? 3 copies of tree preservation plan if IW plafled atter 7/1/93
DATE:
/
DESCRIPTION OP WORK: re-- Cii
2 copies oi plan
t set of energy calculations for heated oddflions
1 sRe survey for exterior addN(ons 8 decks
CONSTRUCTION COST:
STREET ADDRESS: W ( `,
LOT: ? BLOCK: SUBD./P.I.D. #:
Name:_ KrOt' P`1 -,nc,, J? ?( v, Phone #: ?S-( q2 7 2
PROPERTY Lan ? ?irst S\ ,?
OWNER C-? l S CG }? C'T
Street Address:
City La ?!D State: Zip:
ComPanY: Fl c7? 111-5 Phone #: 76 7 5 S y?
(area code)
CONTRACTOR
Street Address: License #?Vy2 yl Exp.
city State: Zip:
ARCHITECT/
ENGINEER Company: Name:
Telephone #: area code ( )
Street Address: Registration #:
City State: Zip:
Sewer 8 water licensed plumber (required for new conshuction onlv):
Penalty applies when address change and lot change Is requested once permR Is issued.
I hereby acknowledge that I have read this appllcaflon, state fhat the Informatlon Is correct, and agree to?comply wfth all applicable
State of Minnesofa Statutes and City of Ecgan Ordinances.
Signature ot Applicant:
OFFICE USE ONLY '
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
? 31 New ? 35 Tenant impr O 39 Gas Line Only' ? 43 Siding/Soffits/Fascia
? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 WindowslDoors
? 33 Alteration ? 37 Demolish Bidg.' ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
" Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
APPROVALS
Planning
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building
Engineering
Census Code
SAC Code
No. of Units
No. of Bldgs
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Variance
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
SAC Units
Valuation: $
y
% SAC
, •
f ?
99
1 1 BUILD G P
ICATI N
CITY O
Nl9 ?
SINGLE FAMILY DWELLINGS MIILTIPLE DWELLINGS CO?4IERCIAL
?
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCUI.ATIONS 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.
IAT CNANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED, NO CHANGES WILL BE ALIAWED 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: -e41464LE F;4''1. Valuation: Date: 4f1•7(411
Site Address
Lot + Block 4
/33, o00 -?-
Occupancy
Zoning
Actual Const
Allowable
# of stories
Length
Depth
S.F. Total
Footprint S.F.
OFFICE USE ONLY
1Z-3 m -I
'P'D 1Z - I
V- N
Y- N
FEES
Bldg. Permit 7Jr?'J+oa
Surcharge ?
Plan Review 491, 00
snc, city 00100
snc, rtwcc 5 ,oo
Water Conn. (? O,DO
Water Meter f,OV
Acct. Deposit O.O*
S/w Permit o,oo
S/W Surcharge .7"V
Treatment P1. 196,6o
Road Unit p Do
Yark Ded.
Trail Ded.
Copies
Parcel/Sub Efi?c? OF S?/-,rc??IC?? 3
Owne rWj2T7 LuLlh L? / I,IG
Address 4SZol C. guEP_ Qv*o
City/Zip Code F?y??y, c? c{Z)
Phone CG?7 (-cAycj4,
Contractor 6'pNS?'•
Addres
City/Z
Phone
Arch./
Addres
City/Z
Phone #
50'
?
On site sewage_
On site well
MWCC System I/
City water ?
PRV
Booster Pump _
APPROVALS
Planner
Council
Bldg. Off.
Variance
SUBTOTAL
Penalty
Lot Change
TOTAL
i
-ts.7 ?./? agrees that all work shall be done in accordance with
(Signatu e of Contractor)
all appiicable State of Minnesota Statutes and City of Eagan Ordinances.
.
` ? '` ?
6AKa?,e
Zy X22 = C28K 05 = 9 ? %c?
r3 S ivi T"
x;Ll ? 1OH`7?
r------
2'8 X 2 E3 --- '78q
I o?1 ? X I a6 = I I 3?2?
c7 A + '3 S, o o,,I, -?
f* *4
* pEan
* er?gir
* * *-k
.?
• LA_,?7XA?R M
? A.
2422 Enterprix Drire
Mendota Height:, Mi4 55120
(6121681.1914
T+?JE Jeo7'1'i-UIV D CoNjPANjl
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.-
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f`
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?
.f! . :
V/
-tp'
Q5w 4
cs?
`?-l !r
x gse. Qo Dermh_s [xisfing flewatr'ons
D&nles pivposed E7ewa}rons
----? -- Dr+mfcs Dro,rr r fnsemrn/
?- Crainqe ?]rmws
BEYit'inls shorm are a,FtUrned
?
\tt
1 ?L
0.?
?
?
??3QtN
J?sFo Na56 EcFV,arrarus
!?svrst F?? r 4/tio,'.•?-t ?? ?. 4n
?iv ?.nBlo?k ?levafian .-- qr ? -s+?
Crnra?e S(&5 Eit?vtrcr? _ ?18.2-3
a Drna{GS ol I ef 966
?.or4 , B?QC4/g,UI1 L 5 OF STOIVEBRID6E AM ADD,
DA,rcc1TA CYXINTY, MlNNE$OTA
I henby perlffy that thia ;wvey, pfan or repo.t wsc w 1 yy a,t p u+fder my QIrp?Y SV Ae+d tha dutv Registtrsd ta?d Surveypr
undr the law? of ifie $tste of Minnrsota. Detad thls.?y of ? A.D. 19?.n?
Z411
le??? 40?? O_
? / ! 7
1AM6
Lwwo 9u aHErnrs. a vil- 0&U1VCSR3
Certificate af Survey for:
c
FXTFUIott t.:rivr•.t,rn'F nr•Fi;nr,t: "u" c:uMrirrr,•r10rr
o-a+;?
s_TE nDDFESS ? lye
CCiIT?2ACi0:i 1?DT%L (J/VO
Determin ?
1. iotal er.pcsed vall area
2. Total reof/ceiling area
7"NE /-/A/qf::7oN
GD . D;1TF. PI10NE
+orkini; sntinre footai?c of ench.
..'ZCo7S, 2 Sn. rc. X 0.11
= 2q4.2
.. /L9 (a
f- sq. rt. X 8•°'6 = 27. G
iotal exposed wall arca nbovc flonr = 2675 • Z-?
' a. To:al vall vindo:: area -7 ?7
/- ?
b. Total door area ............................. 2? ?1,
c. Total sliding 61nss door area.: . . ..•----j???
d. Total fireplece v ?,1 area . ? ??? ?? ?
. . . . •
e. Total vall ;raming area (averagelOA) ... ?? ?? Z . ?
f. Total net vall area above floor ..
• B• Total rim joist aren .............................. • 2Z.b
.
Total exposed foi:ndation araa
h. Tetal fovnde:ion vindov a:ee
i. To'al net fo;Lndation a-ea above gr.ade ............. . 7,
Z
• D°terrnine "U" va1Le o: eech vall sFC;ment.
. a. 217, 7 ? ?.u?? c?, ?2. _ ? 1 • 43 -
b. X„U„
C. 31.43? X „U„ p,?'L = 7b
a. X „u„
_ ..?
e. 7 ? 3. J?Co X.tiUll
.
f. ZZ,o? x„U,. 0,0¢3 =. f?.Z,?,?
Z X „u., q.
h. X „u„ _ •
i. X flult . o. Z
3 . .................................. .???.?.?
r
If ite:^. N3 is the same as, or iena ;.h:M ile:•ci Hl, you navc met the intent
or ssc 6006(c)2.
??
f,
Total exposed rooC/ceilinr, area = Ic/ ?
? ? . ..
Total gross roof/ceiling'arcri --
?. Totel skyliC;nt erea ..........................
k. Total roof/ceiling framing area ............... O,
1. Total net ?nsulated roof/ceil-ing area ........
,
Determine "U" value for ench ruuf/cci I inj; :,ci,pnent.
' X T, U n
.
x: / o (0, ¢ x„Ul, c?. a 2 7 = 2,? 7. •
-
z",,,t 67,L?2.. = zl,?? .
i -?
a . ...............................:. Tota? ? Z'3 ,9 ?-
. .. __ ? ..%" • ? tc--
If total oP N4 is the same as, or less than N2, you have met tYie intent of
sBC 6oo6(c)1.
To utilize the total envelope systec method, the values establi_hed by the
sua of iteos H3 and HL shall not be greater.thKn the sum of iten,s N1 and X2.
1. + 2, _
+ 4.
_J
U
_ . .] e
-? --r Y ? VU?j GA (,Gt?-ATID N? ?LONT ? .
TAMI?- WAU. G? i N?.I ?ATI?N
, -GOMPO N ?IkF?
>
I.u
?
?4
?
?
O??DE AIF- f9l,M
V JE?IDl h+c.. - - -
-.?{5ATHI HG
=-?%Z lNSU?A'('(ct1•
:: - I y?? !?? P C?r7
R-VAL.uE
o, 45 -
.
PTZ7%= 23.oI =
Rj?'1AL
-fFAM9 wAu. & 4.7TuP
_ p1.m• ylew.
C
Li
C
l?.
C
Ct,
LoM PaN LNTS
J? '1 h I ? I Wi.
hN?A'(H l N!, .
? xLo h1Un Kk)
I Nht D? P?? Fi LJ?1. -
F--VALU5
-
2.oCr _
- -j.jg-_----
--?
? I
? I r
u
r
?L
s
=G?1?IP?. ??U?= ?0,12 X o.0?9) -f-?o,Sb X o.043> = O. 04-
.
,
-
???--?01?_ . ------ -
?
?
0
0
0
0
0
0
0
c
- -
5q'} - _E2?; -, --
?'' _Ft? ?IM ??o?h ,
?bINU ?_..
wr
? --
??G _
2.0[, _
- ----o - . ;
_ .?I.... ? {
.? ---?
2? :7J
,.
_ L--' -A_L
.? .?-- , ? ; (t z.r,
i
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-? ? ? `
o, o2";
i?.f?
I ?
???AUJ?--_C?[.Gq l?{p f? -
?
2J
3J
O ???.-?p=---- -
-?? ?7---
-_29
-- ? ? o -----
_
------o--?-- --
_ ---o,-?--
R ?-?-?-?-3---
u ?5.8? 0, 027
---
3 ?
I
-= g- 4: ?- - -- _.
-- ? ? 4-5--- -
I
;
;
;
D,022
-
CITY OF EAGAN FOR CITY USE ONLY
3830 YILOT KNOB ROAD
EAGAN, MN 55122 PERMIT #
' PHONE: (612) 454-8100 RECEIPT # ?--
.......
DATE :
.... .< >.;:..; ::: .:.;.;.,..:...<:.:: ?:....<..? .
_ .:.............................._, -
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
.:: <..:....._..........?:...:1,.
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
------------------------ ---------------------------------------------------------
WORK DESCRIPTION COMPLETE THE FOLLOWING:
NO. FIXTURES EA. TOTAL
NEW CONST ? ADD-ON MINIMUM 15.00
ADD ON t SHOWER 3.00 3
REPAIR -1 WATER CLOSET 3.00 g_
a BATH TUB 3.00
LAVATORY 3.00 13
OWNER NAME: ? KITCHEN SINK 3.00 3
1y ? LAUNDRY TRAY 3.00 3
SITE ADDRESS: L"r ( SCa HOT TUB/SPA 3.00 .
/ r,/ ? WATER HEATER 3.00 -X_
LOT:Itl BLOCK _,4/ SUSD. FLOOR DRAIN 3.00 ?
` J ? GAS PIPING OUT.
INSTALLER: VAL\c., P l?: G. i._. C. ? (MIi1IFtiiL - I) 3.00 2?
'J ROUGH OPENINGS 1.50 q, sf
ADDRESS: Cp lo LR OTHER
WATER SOFTENER 5.00
CITY: 50 a?l a_ ZIP: PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
PHONE #:
SUBTOTAL $ 14
ST. SURCHARGE .50
SIGNATURE OF 'PERMITT
TOTAL: $ SU -
?OMMER?'fAT.?'i?IDiTSTRIA,L? PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND
MULTI-FAMILY BUILDINGS WElEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT,
CONTRACT PRICE: FEES
OWNER NAME: _
SITE ADDRESS:
LOT: BLOCK SIIBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
YHONE
FOR:
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
CITY OF EAGAN FOR CITY USE ONLY
3830 PILOT KNQB ROAD
EAGAN, MN 55122 PERMIT #
PHONE: (612) 454-8100 RECEIPT # /Oo2 6 m2,
DATE : I
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLZNGS &
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
------------------------
WORK DESCRIPTION ---- --------------------- ---------------------
FEES ----------
NEW CONSTX ADD-ON MINIMUM $15.00
ADD ON HVAC 0-100 M BTU 24.00
REPAIR ADDITIONAL 50 M BTU 6.00
GAS OUTLETS - MINIMUM 3.00
OF 1 PER PERMIT
OWNER NAME:
SITE ADDRE:
LOT :,//
INSTALLER:
anDRESS : 9303 Piymouth Aue. iVo7
--Ei@??--11$}1Q M{1f,554
CITY: ZIP:
PHONE
SUBTOTAL: $ f'oo
STATE SURCHARGE: .50
?
TOTAL: $
SIGNATURE OF PERMITTEE
?OMM?RCIALfYNb?I;S?`1??l??: PLEASE COMPLETE THIS PORTION FOR ALL COMrIERCIAL/INDUSTRIAL BUILDTNGS,
.. .....::_,._,.. ..:.
APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING UNIT.
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:
LOT: BLOCK SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE #:
FOR:
FEES
1$ OF CONTRACT FEE.
STATE SURCHAKGE _ $.50 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
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
' CITY OF EAGAN
? //? 0 1??? 3830 PILOT KNOB RD - 55122
???j 651-681-4875
New Consfiucflon Reaulremenh
? J reglstered site wnreys ahowing sq. B. of bf, sq. R. of house
and gH rooled areos (20% maxlmum lot coveraae allowed)
> 2 copies of plana (show beam d wlndow slzes; poured fnd. design; etc.)
> 1 set of energy calculaflona
n 3 coples ol hee preseivation plan H lot platted a(ter 7/1/93
DATE: 9- 44? -"-2 OUD
DESCRIPTION OF WORK:
STREET ADDRESS: Ei ale-
LOT: L BLOCK: SUBD./P.I.D. #:
Remodel/Reoolr Reaulremenh
? 0 4, o Sr
2 copies of plun
1 set W energy calculaNons tor heated adcltions
1 site wrvey for extedor addlHons & decks
CONSTRUCTION COST:
; 3
Name: lzC? l[ dE/l?/?? ?of?l? Phone 7?-
PROPERTY ^ laat First
OWNER _ ? • / _ /_
Sheef
?
City ??24C?6r Sfate: i ?'/07/ Zip:
51?? 6 y.?s
. Company: -A,t7??"? Phone #: eg?lzz
(area code)
CONTRACTOR
Sheef Address: /O 7lee? License #Jl 5!?l Exp.3'?/ a1
aty T/? srate: ?/Lf zip:
ARCHITECT/
ENGINEER Company: Name:
Telephone C ( )
Shset Address: Regishallon C
CNy
State:
Zip:
Sewedwater licensed plumber qf installing sewer/waterl: Phone #: L?
I hereby acknowledge ihat I have read this application, state lfiat the fnfortnafion is oortect, and agree ta comply wHh aA agpUcable State
o} Minnesota Stafutes and Ciy of Eagan Ordinancea
Signature of
OFFICE USE ONLY
li a F
fvncl
Certifcates of Survey Received ?Yes _ No '
UG 16 ?D00
Tree Preservation Plan Received Yes _ No y Not Required A
OFFICE USE ONLY
,
BUILDING PERMIT SUBTYPES
p 01 Foundation ? 07 05-plex ? 13 16-plex O 21 Porch (3-sea.)
? 02 SF Dwelling ? 08 06-plex ? 17 Garage p( 22 Porch/Addn. (4-sea.)
'? plex
03 01 of ? 09 07-plex ? +6 C;;Zk ? 23 Porch (screened) .
? _
04 02-plex ? 10 08-plex ? 19 Lower Level ? 24 StoRn Damage
? 05 03-piex ? 11 10-plex P[bg Y or_ N ? 25 Miscellaneous
? 06 04-plex ? 12 12-plex ? 20 Pool ? 30 Accessory Bldg.
WORK TYPE
? 31 New ? 36 Move Bldg. , ? 43 Reroof
p 32 Addition 0 37 Demolish (Bldg)' ? 44 Siding
? 33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair
? 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors
* Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
SAC Code ?2 # of Stories
No. of Units Length
No. of Buildings Width
Const. (Actual) ?1;. Basement sq. ft.
(Allowable) Main level sq. ft.
UBC Occupancy ? sq. ft.
Zoning / sq. ft.
MISCELLANEOUS INSPECTIONS
? Stucco/Stone
APPROVALS
Planning Building Ld
\
.
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 MuRi
sq. ft.
sq. ft.
Footprint sq. ft.
Census Code
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Engineering Variance
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC
ciry sac
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
Vatuation: $ 44? ALe'_
-??'-
%i?? a D . ? ?
.
SAC Units
% SAC
?*
LAND 9llRVEYQfB - CIYII UYJNfiRS
* ? **
Certi(icate af Survey for:
2422 Enterprix D.ivr
Mendats Heights, MM 55120
(6121681• 1914
T?lE J0oMUAJD cor+lPAnr)l
ti
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)? ?
°.?? ? ?
?
.
, V
a
c
f g ??
?
,- • cc
. ?} #Al
'?.
\ N
.
;t"?o ?
f ?
,
Y142?
$
hA F ?
,/.LO ??20 ^;°\ ?• v/ ? 0.?.
,.tr
0.?
ri
M sea. an Dermfts Exisfing fleva}r4r?S
? o?v.ac Drtnea`es Araposed rjewafi'ans
- "` Dtr+otcs Oro?n e t'(/lriilY faCSer?rtnf
4 ?f? D??no?etFlaw ,7lrrows
&W7rls showm art aou.ned
-e!f
&JO1RTH
s?
2 ?
?
( I
?
i
l ?h
?
P1NPoSFD fiMus6 LEV,ATtOlVS
,LorHrst r/Dcr 4/lYOt,•in :0 .4b
7' q;''Bl6ck E/evcfion q r 8. S+o
e 5'?!5 EleYVtrcrr _ 4t 8.2-3
v Denolts 0ei1Ju6
LtJT 4 ,13LQCAI 4 7 UI1 L 5 4f- STOIVEBRIDGE JRD ADD,
DAk'UTA CLCINTY I M ! NNESpTA
1 henbY tx*tl(y t1+at this suovev. pfen ur repprt rn^c y,? -eV by mr or vrMx my Oirp? yw ?ipn rnd ths duN Regiittred Lend Sunrey4r
u+?ckr tlw Iwm ol ihe 4tste o! Minedota. botad eMi . f , .?L.?V of ? A.D. 19 .^ '
f ? •' y
ScQ/c: Lnch- 40< `1 903 o f, 15-
••?: .
MINNESOTA ENERGY
I-2 Famr[y Residenlia! Building
RESIDENTIAL "COOKBOOK" WORKSHEET
l?C Phone 6/ ' Dale Statement of Compliance:
Thc proposed building design represenkd in these
/ documents le consislent wilh Ihe building plens,
6F specifications, and other calculations submined
with the pemtit epplication. The proposed
C f? building has been designed ro meet the
? requiremenfs of the Minn ta u C
MINIMUM RF'.ni1iRF.MF.NTC fnr u!"nn46??4+? ll..a:,....
Entry Doors I-3/4:" solid wood w/ storm - ? -----
Ceiling with energy truss R-38**
Rim joist [Z_1g
door br equivalent (Min. 7%:" top plate to sheathing)
Foundation Windows* Insulated Glass w/1!2" gap in Ceiling with low heel truss R-44'• Floor over R-24
wood or vinyt frame
' unconditioned space
Include squaze footage in calculation of Window/Door Area Ceiling-no attic R-38 w/ R-5 sheathing
to determine above grade Window U-Value.
**Insulat' P
f r
?on e ormance at Wmter Design Condihons
Window and boor Ares +' 100 x _?,r'? 6 + WMDO,W U-VALUE : 73 ?j
As % of Exposed Wall Ares Above Grade Window and Crosi Woll Ana
Window/Door Area Source: NFItC i? or ASHRAE 1993 Handbook '
FoUndationWindow/Door Atea
1 --- ---- - ----- -- -- - •
Check Wall
WALL TYPE ? 1?aMil?lVl71 VV1i`1LVVV U-VALUEI
Type
Used MAXIMUM. WINDOW.AND DOOR A ItEA ° OF EXPOS ED WALL AREA
,
TYPE A l2% 14"0 16% 18%' ; 2U% : . 22% 24% 2 a 2$% 30% 32% 34%
20 framing, R-13 insulation, sheathing R-7 or greater. 0.55 0.47 0.41 0.36 0.33 030 0.27 0
25 0
23 0
22 0
20
T Y P E B
20 framing, R-15 insalation, sheathing R-5 or greater.
0.52
0.45
039
0
35
0
31
0
28
0
26 .
0
24 .
0
2 . . 0.19
TYPE C
2x6 framing, R-19 insulation, sheathing less than R-5.
0.48
0.41
036 .
0
32 .
0
29 .
0
26 .
0
24 .
0
22 .
2 0.21 0.20 0.18
TYPE D
2x6 framing, R-19 insulation, sheathing R-5 or greater.
0.56
0.48
0
42 .
0
37 .
0
34 .
0
31 .
0
28 .
0
26 0.21 0.19 0.18 0.17
TYPE E
2x6 framing, R-21 insulation, sheathing less than R-5.
0.51
0.43 .
038 .
0
34 .
030 .
0
28 .
0
25 .
0
23 0.24 0.22 0.21 0.20
TYPE F
20 framing, R-21 insulation, sheathing R-5 or greater.
0
58
0
50
0
44 .
0
39
0
35 .
0 . . 0.22 0.20 0.19 0.18
. . . . . .32 0.29 0.27 0.25 0.23 0.22 0.21
,,.:...., ._ _
..... .....,.?......?rvw m un. ra?ucn In Luc 1:11G1gy 1.00C, 1"8fl !O /V.V4 /1, $Obp. 2.
This is a summary only. Other rcquirementc may apply. See the Minnesota Energy Code.
Queslions? Call Department o[ Public Service Information Center at 612/296-5175 or-1-800/637-3710. 2/5l96
?P ? ??
L LT
SUBD.
BL -il
CITY USE ONLY
V
RECEIPT #:
RECEIPTDATE: ?G (D
PERMIT# l v
2000 PLUNMING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, lyN 55122
651-661-4675
Please complete for: ? single family dwellings
? townhomes and condos when pertnits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES
EACN #
i fe5 r•-u
Alterations to existjng dweliir? - minimum fee
Describe: /,G-l $ 30.00
Bath tub $ 3.00 x = $
Floor drain 100 x = $
Gas piping outlet * minimum -1 3.00 x = $
Hot tub/spa 3.00 x = $
Kitchen sink 3.00 x = $
Laundry tray 3.00 x = $
Lavatory 3.00 x = $
Septic System new/refurbished " requlres MPC Iic. 75.00 X = $
Septic S StBm abandonment 30.00 x = $
RPZ new instaliationlrepaidrebuild 30.00 x = $
Rough opening 1.50 x = $
Shower 3.00 x = $
Underground sprinkler if dwelling is under construction 3.00 x = $
Underground sprinkler if existing dwelling 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x = $
Water softener If dwelling under construction 5.00 x = $
Water softener if existing dwelling 30.00 X = $
Water turnaround 30.00 x $
State Surcharge .50 -> --> ---> $ ' .50
Total -> --> -> ---> $ 576 . ,5 u
Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc.
. ------------------------------------------------------ ------------------------------------------------------------------
I here by adcnowiedge that 1 have read this application, state thet the infomietion is correct, and agree to compry with all applicable Ciry of Eagan ordinances.
It is the applicanYs responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during ks
normal operational and maintenance activities to the facilities constructed under this permit within City property/right-of-way/easement.
SITE ADDRESS: Vr
OWNER NAME: :
.
E t.? 1 k
INSTALLER NAME: C, 6
7/
TELEPHONE #:
(AREA CODE)
TELEPHONE #: UW v" fl- 6 O1
STREET ADDRESS: ,?Dl?)( Si(,cI'ti 4 /vlrr (AREA CODE)
CITY: cz!?w-CY STATE:
?
ZIP:
? _.. .. _ - ------- _
SIGNATURE OF
: cE,'•
. - • RESID.ENTIAL
BUILDING PERMIT APPLICATION $70,0Q
? n? I\ CITY OF EAGAN rG ( I?? ? r r??
3830 PILOT KNOB RD - 55122
651-681-4675
New Construction Reauirements RemodeVReoair Reauirements ?
• 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all rooted areas . 2 copies ot plan
(20% maximum lot coverage allowed) . 1 set of Energy Calculations for heated additions
• 2 capies ot plan showing beam & window sizes; poured found design, etc.) . 1 site survey for exterior addi0ons & decks
• 1 set of Energy CalculaUons . Indirate if home served hy septic syslem for additions
• 3 copies of Tree Preservation Plan 'rf lol platted after 711193
• Rim JoGst Detail Options selection sheel (bldgs with 3 or less unfts)
DATE 4 z-I&
JOB SITE ADDRESS , L4 I {?. 1(?,?,
IF MULTI-PAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNER ?--? a?E,uf+ MiGUP_
TYPE OF
APPLICANT
ADDRESS _
PAGER #
G"? .
VALUATION?t'I?? ??'C)o
?
Z1 /
FAX #
NFW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category MINNESOTA RULES 7670 CATEGOR
(check one) - Residential Ventilation Category 1 Worksheet mitted ? I
- Energy Envelope Calculations Submitted n
_ MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumbing Coritractor. _
Plumbing System Includes:
Mechanical Contractor:
Mechanical System Includes:
Sewer/Water Contractor:
Phone #
Phone #
Fee: $90.00
Fee: $70.00
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that the
with all applicable State of Minnesota Statutes and City of Eagan Ojfi
Signature of Applicant
CELL PHONE #
Water Softener
Water Heater
No. of Baths
_ Phone #:
Lawn Sprinkler
No. of R.I. Baths
Air Conditioning
Heat Recovery System
FIREPLACE(S), _ 0 _ 1 _ 2
_ PHONE??5.1W8(2" q Z-7 ?
• ZIP CODE
and agree to comply
?
Certificates of Survey Received _ Tree Preservation Plan Received - Not Required/ Updated 1101
OFFICE USE ONLY
? 01 Foundation
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
? 07 05-plex ? 13 16-plex
? 08 06-plex ? 16 Fireplace
? 09 07-plex ? 17 Garage
? 10 08-plex ? 18 Deck
? 11 10-plex ? 19 Lower Level
? 12 12-plex Pibg_Y or _ N
1?0 20 Pool
? 21 Porch (3-sea.)
? 22 Porch/Addn. (4-sea.)
? 23 Porch (screened)
? 24 Storm Damage
? 25 Miscellaneous
.__..a. ,
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi
W 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteretion ? 37 Demolish (Bldg)"` ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement , *Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation d . Occupancy MC/ES System
Census Code 0? Zoning P?.D City Water
SAC Units o Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs ??. Length Fire Sprinklered
Type of Const 3 it/ Width
REQUIRED INSPECTIONS
Footings (new bldg)
Footings (deck)
Footings (addirion) Plumbing
Foundation
Drain Tile
Roof Ice &-Watex Final
Framing
Fireplace _ R.I. _ Air Test _ Final
Insulation
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
FinaUC.O.
_ FinaUNo C.O.
HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Siding Stucco Stone
_ Windows (new/replacement)
Approved By /,/Z , Building Inspector
----------------- ---------------------------- -------------------------- ---
?,1?11U
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA150461
Date Issued:07/10/2018
Permit Category:ePermit
Site Address: 4156 Kingston Ct
Lot:4 Block: 4 Addition: Hills Of Stonebridge 3rd
PID:10-32992-04-040
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Fixtures
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087
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 -
John C Kroening
4156 Kingston Ct
Eagan MN 55123
(612) 325-7310
Bruckmueller Plumbing Inc
3992 Pennsylvania Ave
Eagan MN 55123
(651) 686-6696
Applicant/Permitee: Signature Issued By: Signature
la
• r I
For Office Use i-L., i'),,„i
{ A r
„ % ......_
. „ :::::
`„,,,,,:, EAGAN
ee: /?�• Cc,
(
Date Received: `/® '&
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 REC1E yIL~
(651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 Staff:
buildinginspectionsa(�citvofeagan.com JUL 1 0 2018 L J
2018 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit#:
e r
NamV\ i Phone:
.°�Residentf (r
Owner — Address/City/Zip: 14 .. a�, r ( (�' �5-)�Ij
D
Applicant is: Owner Contractor
tr
Type of Work. ' Description of work: C Lf RQf l A4-t-• ✓''1 6/fi 11) I/47(141—e—
' Construction Cost:4 5C i Multi-Family Building:(Yes /Noo )
�
,, � ; Company: Contact:
l'4„;'- 1-, :- ' '- iq..-- i
Contractor
Address: City:
t , State: Zip: Phone: Email:
;4,1,, ', License#: Lead Certificate#:
f r
If the project is exempt from lead certification, please explain why: 6
,1 I ` /'
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,0te and address of master plan: ( '']
Licensed Plumber: Phone: lJ
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
NOTE:Plan`s nd supporting cloCuments„that youhsn it are considered to be p�blic infa . `rnsoinforr ati '
classified as non public if you provide specific reasons that would permit theCity `o conciu e°that , _ :41:r,,r,, = rets 74 r
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeagan.com/subscribe.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities. www.gooherstateonecall.orq
I hereby acknowledge that this information is complete and accurate;that the work will be in conforman. -wi • 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 no s . ' a p- , it; that the work will be in
accordance with thh approve plan in the-case of work which requires a review and approval of• ,'s. /
x V G.�s �� / //rte/Vi/C.o L., ..:�
Applicant's Printed Name Apr cant's Signature
DO NOT WRITE BELOW THIS LINE G�! j 6 Kr`i-is-69/7 C /`-5.o6c, -o
SUB TYPES
Foundation _ Fireplace Porch(3-Season) _ Exterior Alteration(Single Family)
?o Single Family Garage _ Porch(4-Season) _ Exterior Alteration (Multi)
Multi _ Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous
01 of_Plex Lower Level Pool Accessory Building
WORK TYPES
_ New — Interior Improvement _ Siding — Demolish Building*
Addition _ Move Building — Reroof _ Demolish Interior
Alteration _ Fire Repair _ Windows _ Demolish Foundation
Replace — Repair _ Egress Window _ Water Damage
Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION
Valuation `' 2, Dom.` Occupancy MCES System
Plan Review Code Edition SAC Units
(25% 100% ) Zoning 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 I C.O. Required
Footings (Addition) p•- Final I No C.O. Required
Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test Hood
Roof: _Ice &Water Final Pool:_Footings Air/Gas Tests _Final
Framing 30 Minutes 1 Hour Drain Tile
Fireplace: _Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath Brick_EFIS
Insulation Windows
Sheathing Retaining Wall: Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression: Rough In Final
Braced Walls Erosion Control
?° Shower Pan Other:
Reviewed By: 'TOG/17 /77:/C /y,41.- , Building Inspector
RESIDENTIAL FEES
Base Fee
Ai/7;7,7 dm l
Surcharge vl , D6 --
Plan Review �
MCES SAC
City SAC
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
EAGA
ECEIVECI
3830 PILOT KNOB ROAD 1 EAGAN, MN 55122-1810 ' ;zp 0 4 2019
(651) 675-56751 TDD: (651) 454-85351 FAX: (651) 675-5684
buildinainspections ancitvofeaaan.com
For Office Use
Permit #:
Permit Fee:
3,2139
Date Received:
Staff:
BY: /a (►
2019 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: J Site Address: 4 5 6 ��' �✓
Resident/
Owner
Type of Work
Contractor
Name: 'Cr; t`. A r.:,:1,e-v
rApplAddress / City / Zip; L, 1, jH '}� , ,;)"} ..ry, Gt.-
Applicant
icant is: Owner Contractor
4 1 r
Description of work: vC (%- Rr.z_ - - ,N.r., , ' r\ -i S -
it
Construction Cost: i ,l ulti-Family Building: (Yes / No )
Company: \ 0,(-1 71,...FID i l Contact. ': K rNh t''r^..
......... .
Address: gjo ..)- Co' t7r,L ri ./ City:
State: Zip: Phone: Email:
Unit #:
Phone: Ark qv(
g -g7/
License #: Lead Certificate #:
•
If the project is exempt from lead certification, please explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
Fire Suppression Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be --
classified as
eclassified-as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeaaan.com/subscribe.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 464-0002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities. www.00pherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start thout a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval o •plans
W'S 3 tri‘ x Jt
Applicant's Printed Name Applicant's Signature
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation
Fireplace
Single Family _ Garage
Multi Deck
/
01 of _ Plex Lower Level
WORK TYPES
New
Addition
`(s. Alteration
Replace
Retaining Wall
4-{1(.0 u- -0(cor6
Porch (3 -Season) _
_ Porch (4 -Season) _
_ Porch (Screen/Gazebo/Pergola)
Pool
Interior Improvement
— Move Building
Fire Repair
Repair
DESCRIPTION
Valuation
Plan Review
(25%_____100q)
Census Code
# of Units
# of Buildings
Type of Construction
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation Foundation Before Backfill
Roof: _Ice & Water _Final
Framing 30 Minutes 1 Hour
Fireplace: ^Rough In _Air Test _Final
Insulation
Sheathing
Sheetrock
Fire Walls
Braced Walls
Shower Pan
Siding
Reroof
Windows
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Accessory Building
_ Demolish Building*
_ Demolish Interior
Demolish Foundation
— Egress Window — Water Damage
*Demolition of entire building — give PCA handout to applicant
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Suppression Required
Meter Size:
Final / C.O. Required
Final / No C.O. Required
HVAC — Service Test Gas Line Air Test _ Hood
Pool: _Footings _Air/Gas Tests _Final
Drain Tile
Siding: _Stucco Lath _Stone Lath _Brick _ EFIS
Windows
Retaining Wall: _ Footings _ Backfill _ Final
Radon Control
Fire Suppression: _Rough In _Final
Erosion Control
Other:
eviewed By: , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Radio Meter Read
Copies
TOTAL
t4- fa4
13rJ/nnvovn 01)07
qqiy.2-o=
Page 2 of 3
I—
For Office Use / > LI- r 1Ak
�j
Permit#: /- --g—
Permit
/ /o.� � f
Permit Fee: lU 0 - Od
EAGAItOEI
EDate Received: I
3830 PILOT KNOB ROAD i EAGAN, MN 55122-1810 1
(651)675-56751 TDD: (651)454-8535 I FAX: (651)675 40�� 2019 Staff:
buildinginspections(c citvofeaban.com J
BY
2019 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: 23 OCt 19 Site Address: 4156 Kingston Ct
Tenant: Erik Anderson Suite#:
Erik Anderson 612-434-5701
Resident/Owner Name: Phone:
Address/City/Zip: 4156 Kingston Ct
Name: N/A License#:
Contractor Address: City:
State: Zip: Phone:
Contact: Email:
Type of Work —New _Replacement —Repair _Rebuild I Modify Space _Work in R.O.W.
Description of work:
Tankless Water Heater Lawn Irrigation( RPZ/_PVB)
Standard Water Heater
Description ✓ Add Plumbing Fixtures( Main/ 1 Lower Level)
p Water Softener
Description: Add shower Drain/Pipe
Septic System
New Abandonment Connection to City Water from Well
--,
RESIDENTIAL FEES
$60.00 Water Heater, Water Softener, or Water Heater and Softener (includes State Surcharge)
$60.00 Lawn Irrigation (includes State Surcharge)
$60.00 New fixtures, adding or removing piping (includes State Surcharge)
$60.00 Septic System Abandonment
$100.00 New Residential (fee collected with Building Permit)
$115.00 New Septic System (includes County fee and State Surcharge)
$60.00 Connecting to City Water from Well* + $290 for Meter and $190 for Radio Read = $540
*Sewer&Water Permit also required for connection charges
TOTAL FEES$
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities. www.qopherstateonecall.orq
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeaqan.com/subscribe.
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
x Erik Anderson . ( I L (),Q_,._
Applicant's Printed Name Applicant's Signature
Page 1 of 2
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA162729
Date Issued:07/27/2020
Permit Category:ePermit
Site Address: 4156 Kingston Ct
Lot:4 Block: 4 Addition: Hills Of Stonebridge 3rd
PID:10-32992-04-040
Use:
Description:
Sub Type:Reroof & Siding
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and house wrap and leave on site.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Valuation: 10,000.00
Fee Summary:BL - Base Fee $10K $191.75 0801.4085
Surcharge - Based on Valuation $10K $5.00 9001.2195
$196.75 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 -
Erik Anderson
4156 Kingston Ct
Eagan MN 55123
(612) 434-5701
Northern Exteriors Minnesota Inc
6677 Timber Ridge Lane South
Cottage Grove MN 55016
(651) 230-5103
Applicant/Permitee: Signature Issued By: Signature