3690 Knoll Ridge DrI
m ooLLwws
?oo
? CASH ? CHECK
/
FOR
C.l.l??[?L•T i `??%,?? /7TT` l? . ?
PUND CODE AMOUNT
?
?
!-7,
?
?? ? % ? ? !s
1
/-
?
Thank You ?
7
:J I
. ? ? 6 6 White-PaYers CoPY
Vellow-Posting Copy
Pink-File Copy
j CASH RECEIPT
r CITY OF EAGAN '.-.
. 3795 PILOT KNOB ROAD
7
-. , .: .:.?-.` •
ti -..y...+,. ,. .
.. . . . .
..r?k . .
. ..
•..
CITY OF EAGAN 19519
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
' PHONE: 454-8100
BUILDNV'G PERMIT
I
' Receipt #
"
,
Tobeusedfor BASEMENT Est.Value =l+s00 Date FEH 14 1 99
Site Address 3690 IQdOLL RIDGE DR
Lot 14 Block 1 Sec/Sub. ROSE HILL__ OFFICEUS EONLY
P8fC81 r10. Occupancy _ FEFS
Zoning
w Name BERNBARQ i}EI'TERMJ?IJH (ACtual)Const _ BIdg.Permil 3s.?
o Address 3690 RIi01.L HILGE DR (Allowable) - 1
00
City EAGAN Phone 688-2028 r oi storie5 - Surcharge •
Plan Review
Lengih _
F Name sA? Depih - SAC
City
= ,
0 Address S.F. Total -
0¢ SAC, MCWCC
? Clly PhOf16 S.F. Footprinis -
Water Conn
On Site Sewage -
?
F
Name
On Sile Well -
W
t
M
t
W
_=
Addf@SS
MWCC System er
a
e
er
Deposit
Aect
c W City PhOnB Ciry Water _ .
PRV Required _ SiW Permil
I hereby acknowlege thal I have read this application and stale that the Booster Pump - S/yy Surcharge
information is correct and agree to comply wilh;911 applicable State of
Minnesota Statutes and Cijy of Eagan Ordinanced. • T.ealment PI
f ---;-----
Signature of Permitee! n
APPROVALS
Road Unil
A Building Permit is issued to: BERN"D DBI'[SRMANN Planner - park Ded.
on the ezpress condition that all work shall be done in accordance with all Co+ncil 1.oo
applicable State of Minnesota Statutes and Cityof Eagan Ordinances. gldg, pff _ Copies
BuiWing Official
, Vanance - TOTAL 37.00
Permit No. Permit Flolder Date Telephone p
WATER
SEWER
PLUMBING
H.V.A.C.
ELECTRIC
Inspection Date Insp. Comments
Footirgs I
Foundation
Framin9 ' S Ap j
Raofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Hig.
Final Pibg.
Const. Meter Plbg. Inspector - Notify Plumber
Engr./Plan
Bldg. Final
Detk Ftg. S? d?O IL'
Deck Final
Well
Pr. Disp.
tR
CITY OF EAGAN ?ld 18071
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ?
PHONE:454-8100
Receipt # ? Est. Value =19000 Date Jun 2g , 79 90
3690 ?LL RIDf? DA
Site Ad r4ess
?H gi?
?" OFFICE USE ONLY
Lot
Block Sec/Sub.
P8fC81 N0. Occupancy - FEES
x D8RNtlARD DEItiMMAlIN
Name ? zoning
(Actuaq Consl -
- Bldg. Permit 25,00
o Addf2SS L RIDGL Qa (Allowable) -
S
h so
?
City LAW Phone QW-2028 S ot stories urc
arge
-
Plan Review
Lenglh _
o Name ? Depih - SAC. City
,
?Q Address
S.F. Total
-
SAC, MCWCC
? Clty Phone S.F. Foolprints -
Water Conn
On Site Sewage _
?
w
Name
On Site Well
- Water Meter
?
= AddreSS MWCC SYstem -
Q= Acct. Deposit
<W City Phone City Water _
SMI P
rmil
PRV Required e
-
I hereby ackrawlege that I have read this application,arW state that the Booster Pump - SIyy Surcharge
information is correct and agree to comply wilh all epplicable State of
Minnesota Statutes and Cib Eagan Ordinan es j- Treatment PI
SignaWre of Permitea? ' Fr` APPROVALS Road Unit
BERMUn DZI?FJIMN planner
A Building Pertnit is issued to: - park Ded.
on the express condition that all work shall be done in accordance with all Council .30
applicable State ol Minnesota Stalutes and City of Eagan Ordinances. gldg, pry_ _ Copies
26
00
!
Building Otficial ? Variance - TOTAL .
iPermit No. Permk Holder Date Telephona #
WATER
SEWER
PLUMBING
H.V.A.C.
ELECTRIC
Inapection Date Insp. Comments
Footirgs 1
Fourdafion '
Framirg
Raofirg
RoughPlbg. .
Rough Htg.
Bul.
Freplace
Final Htg.
Final Plbg.
Const. Meter Plbg. Inspedor - Notify Plumber
Ergr./Plan '
Bidg. Fnal
Deck Ftg. Z
oeck Fnal
Well
Pr. Disp.
r i'E;Ef,.,1i AT? +,?OR DD0((K 3/1?/07
i CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 1200,33
80rj?huy-j niL+ermc„nn PHONE:454-8100
BUILDING PERMIT -l5 y- 5$/ -J Receipt #
SF
120
19 86
SiteAddress 3690 KN OLL RIDGE DR Erect 6 Occupancy `3
Lot 14 Block 1 se asut. ROSE HILL Remodel ? Zoning =t1
Parcel No Repair ? Type of Const Vla
. Addition ? No. Stories
a TiES HAIJSOi1 SLDRS INC Move ? Length
= Name
9 0? PA2 K AVB S Demolish ? Depth 46
o Address Int Impr. ? Sq. Ft
City ' ie.!JS phone 388-3453 Instan ?
a Approvals F"s
=o Name '•,.
0 Q Address
? r.inv Ghnnu
F W Name
? z
Address
iz
W Ciry Phone
I hereby acknowledge that I have read this application and state that the
intormation is correct and agree to comply with all pplicable State of
Minnesota Statutes and C? of Eagan Or,dIinance .
SignatureofPermittee?' //l
?' .
A Building Permit is issued to: WES HA,'VSOhI F `S INC
all work shall be done in accordance with all applicable State of MinnesoU
Permit ? ftO-? • vv
Surcharge 60.00
Plan Review 241.50
SAC 575.00
Water Conn. 500.00
Water Meter 63 • 50
Road Unit 290.00
Tr. PI. 156.00
Parks
Copies.__$_Z__3_S? 0 0
Total '
on the express condition that
and City of Eagan Ordinances.
Assessment
Water & Sew.
Police
Fire
Eng.
Planner
Council
Bldg. Off. 6/9/36
APC
Var. Date
I . I PermN No. I PWmH Holda I DNe I TeNphom k I
Plbp.
Hly.
Hlp.
Plby.
FMaI
Dbp.
.
Site
? . . PERMIT #
MECHANICAL PERMR RECEIPT #i 6 c/7 a 7
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: ?
VTRACT PRICE: PHONE: 454-8100
Block I
? Name r? ? •? c6c
? Address f i 1?.4 - 1 3!
c City f4r1'?o?/T f/ Phone
Name w? ? p??' u der ;
c Address ?<
p City ?„-,?, ?rrr, L? Phone Vi
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent
Gas Piping Outlets #
Other
M BTU
M BTU 6
M BTU $
M BTU $
? CFM $
FEE
S/C:
TOTAL•,2.
BLDG.TYPE
Re.s. ?'
MuIL
Comm.
Other
WORK DESCRIPTION
New ?-? Add-on
Repair
FEES
RES. HVAC 0-100 M BTU - $24.00
ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
ADDITIONAL 6 M BTU - 6.00
GAS OUTLETS - 1.50 EA.
COMM/IND FEE - 195 OF CONTRACT FEE
MINIMUM - RESIDENTIAL FEE - 10.00
MINIMUM - COMM/IND FEE - 20,00
STATE SURCHARGE PER PERMIT - SO
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
SIGNATURE OF PERMITTEE
FOR: CITY OF EAGAN
i , • PERMIT # ?.???d ?-.?
PLUMBING PERMR RECEIPT # C5
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE:
CONTRACT PRICE: PHONE 454-8100
Site Addrtss `f'
Lot f?_ Block
m Name F'lYm-?V_ATI. NI _i. L
? Addr 2 ?B ?.
c City
?-`?'`"?'?`Tu Phone
? Name
; Address
p City Phone
FEES
COMM/IND FEE - 1%OF CONTRACT FEE
MINIMUM - RESIDENTIAL FEE - $10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
SIGNATURE Of
FOR: CITY OF EAGAN
BLDG. TYPE WORK DESCRIPTION
Res. New
Mult Add-on
Comm. Repair
Other
?Q FIXTURES TOTAL
"? Water Closet - $3.00 `
S
?Bath Tubs - $3.00 -?
Lavatory - $3.00
-
T
Shower - $3.00
-
?
Kitchen Sink - $3.00
Urinal/Bidet - $3.00
Tra
TLa
ndr
- $3
00
-
u
y
.
y
T
Floor Drains - $1.50
ZWater Heater - $1.50 ?
Whirlpool - $3.00
-?
Gas Piping Oudets - $1.50
Soitener - $5.00
Well - $10.00
s -s Rough Openings - $1.50
FEE
STATE S/C " GRAND TOTAL• `? ? >' J
? CITY OF EAGAN
r 3830 Pilat Knob Road
! P. O. Box 21199
' Eagan, MN 55121
j Zonirg:
! OWnlr: ' - ;3:1=1 B
i
Addroas:
Site Addrcsa:
Plumber. .''-'' "" ?•
Marer No.; 3 7Q /S d z
Siu: .??" Roclf ?
Reader No.: 0.5-/l 9 3 7 0?
1 yne !o aeuPly wiA Nr Ciff *1
odiNONO...
e
Y
Dote of Insp.:
fS` z7-S?
WATER SERVICE PERMIT
PERMIT NO.:
OATE:
No. of Units: ?
L6.
Drive L14 B1 Rose
t_,C, .vvg<
r'z Sn..,
Dots Paid:
CITY OF EAGAN SEWER SBtVlCE PERMIT
3830 Pilot Knob Road
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55121 DATE: _
Zoninp: - No. of Units:
Owner.
Address:
Site Address:
Plumber:
I .,m e..«.,y wilM tw cq, oF e.,..
OIaINeCN.
Bv
Date of Insp.:
cann.cion aarge:
Account Deposlf:
Pemdt Fes:
Surcharyr.
Misc. Charyss:
Totol:
Doft Pold:
CITY OF EAGAN WATER SERVICE PERMIT
3830 Pilot Knob Road
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55121 DATE:
Zoninp: No. of Units:
Owner. _
Addross:
Sita Addrcu:
Plumber: --
Meter No.: Conrxction Charge:
Size: AccourM Deposlt:
Reader No.: Permit Fee:
1 prM le aanoly whw tw CNp ef E4we Surcharge:
OrIiMwom Misc. Chorpas: .
Total:
By Dors Paid:
Date o4 Insp.: Insp.:
CITY OF EAGAN Remarks
Addition ROSE HILT. AnniTIAN Lot 14 elk 1 Parcel 1(1 6460n ldfl 01
oWner street 3690 Knoll Rid¢e Drive State Eagari, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREETSUFF, 1986 2874.29-- 574.86 5
STREET RESTOR.
GRADING
SAN SEW TRUNK ?
SEWER LATERAL 1972
sew, ss, w lats ser 1986 6089.26 1217.85 5
WATEFMAIN
WATER LATERAL 9" 1972
WATER AREA 1
STORMSEW TRK 1985 1067.00
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
HUILDING PER.
SAC
PARK
CITY OF EAGAN N2 17519
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
' PHONE: 454-8100
BUILDIlVG PERMIT Receipt #
To be used for BASEMENT Est. Value $1, 500 Date FEB 14 ? g 90
Site Address 3690 KNOLL RIDGE DR
I nt 1?F Rlnek 1 Scr/Cnh ROSE HILL OFFICE USE ONLY
Parcel No.
w Name BERNHARD DEITERMANN
3 Address 3690 KNOLL RIDGE DR
° City EAGAN Phone 688-2028
,o Name SAME
OQ Address
u¢
?
City Phone
Ww Name
? ; Address
a W City PhOne
I hereby acknowlege ihat I have read this application and state that the
information is correct and agree to comply wilh I applicable State of
Minnesota Statutes and C?V ol Eagan Ordinar c. ?
Signature of Permiteel??1???` ""` G ->
A euilding Permit is issued to: BERNHARD DE T. MANN
on Ihe express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and Ciry of Eagan Ordinances.
BuildingOflicial ?,.ntAn ?OA?
Occupancy - FEES
Zoning _
(Adual) Const - Bldq, Permil 35.00
(Allowable) - Surcharge 1.00
# of Stories _
Lengih _ Plan Review
Deplh - SAC. Ciry
S.F. Total - SAC, MCWCC
S.F. Pootprints -
On Site Sewage _ Water Conn
On Site Well _ Water Meler
MWCC System _
Acct. Deposit
City Water _
PRV Required _ SIW Permil
Booster Pump - S/W Surcharge
Treatment PI
APPROVALS Road Unit
Planner - Park Ded.
Council
1
00
BIdg.Oft. _ Copies .
Variance - TOTAL 37.00
CITY OF EAGAN
t
N2 ?
12093
3830 Pilo
Knob Road, P.O. Box 21-199, Eagan, M N 55121
PHONE: 454-8100
BU
L
r3O
??
I
DING P ERMIT Receipt# J
To,be usedfor SF DWG/GAR Est. Value $120,000 Date JUNE 9 1986
Site Address 3690 KNOLL RIDGE DR Erect ? Occupancy R3
Lot 14 elock 1 Sec/Sub. ROSE HILL Remodel ? Zoning R1
Parcel No Repair ? Type of Const Vn
. Addition ? No. Stories
¢ ?"?ES HANSON BLDRS INC Move ? Length
Name P Demolish ? Depth 4 6
3 Address
? F
° MPLS 888-3453 lnt lmpr.
City Phone Install ? t
Sq.
¢
10
Name SAME Approvals Fees
0 a Address
~ City Phone
? W Name
? ? Address
z
a
W City Phone
I hereby acknowledge that 1 have read this appiication and state thatthe
information is correct and agree to comply with all pplicable State of
Minnesota Statutes and C' of Eagan Or 'nan
Signature of Permitte % ° " ?{"`f'""? ?
A Building Permit is issued to: Viis HANSON BLDRS INC
all work shall be done in accordance with all applicable StaW of Minnesol
Assessment
Water & Sew.
Police
Fire
Eng.
Planner
Council
Bldg. Off. 6/ 9/8 6
APC
Var. Date
Permit Y ? V J. V V
Surcharge 60.00
Plan Review 241.50
SAC 575.00
Water Conn. 500.00
Water Meter 63 . 50
Road Unit 290.00
Tr. ai. 156.00
Copies
T„*q, , 3 9. 0 0
_ on the express condition that
of Eagan Ordinances.
Building
CITY OF EAGAN Np 18071
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
nC i _ ??
BUILDING'PERMIT Receipt #
7obevsedfor DECK Est.Value $1,000 Date JUNE 29 , 19_4Q-
Site Address 3690 KNOLL RIDGE DR
Lot 14 Block 1 Sec/Sub. ROSE HILL OFFiCE uSE ONLY
P2fCB1 N0. Occupancy - FEES
Zoning -
W Name BERNHARD DEITERMANN (Actual) Const - Bldg. Permit 25.00
3 Address 3690 KNOLL RIDGE DR (Allowable) - h
S .50
° City EAGAN Phone 688-2028 # ot stories - urc
arge
Plan Review
Leryth _
F Name 5? Deptb - SAC
Ciry
Z
0
Q Address S.F. Total - ,
,
?
C11y Phone
S.F. Fooiptints - SAC, MCWCC
YVater Conn
On Site Sewage _
?
W
Name
On Site Welt -
Water Meter
W
?? Addr@5S MWCC System -
Acct. Deposit
<W City PhOnB City Water -
S/W Fermit
PRV Required ._
I hereby acknowlege Ihat I have read this application and state that the Boostei Pump - S/W Surcharge
information is correct and agree to comply with al pplicable State of
Minnesota Statutes and Cit Eagan Ordinance. • Treatment PI
Signature ot Permite? ? APPROVAIS Road Unit
A Building Permit is issued to: BERNHARD DEITERMANN Pianner - Park Ded.
on the ezpress condition that all work shall be done in accordance with all Council -- 50
applicable State of Minnesota Statutes and City oi Eagan Ordinances. Bldg. Oft _ Copies .
BuildingOfficial m1-n-?.OA.(?, ? II?,? Variance. - TOTAL 26-00
SEDGWICK HEATING & AIR CONDITIONING CO. HEATING JoBNO.5853
8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 •(952) 881-9000 TEST RECORD
ADDRESS rO Il(`tv? z'vxa I/`
OCCUPANT?J F?/11??C?C.iC??IKGC?CA'G?L?LS
SOLD BY__ 1 / ? tiv?r0A(&I
MAKE
SERIAL NO. LS9? IS
THERMOSTAT- ?
VALVE
CITY
OWNER
INSTALLED BY err y' d?r?-C' ?S.?Q?OG'
MODEL ?? I ?• ? I ????v
INPUT ?(J DOU r? ?"1 ` ? \ j?
UEC
VENT SIZE
TYPE OF LINER L) C
LIMIT LINER SIZE ?
LIMIT SETTING FILTERS: SIZE NUMBER
FAN SETTING WIRWG
PILOT TYPE n
-
?
? I TEST TAG
'
?
4 I
IGNITION MODEL LIGHTING INST.
PILOTTIMING
PRESSURE - '- - ? PERCENTCO
? DATE TESTED ?
2
(o o COMPANY TESTING
INPUT CFH `PERCENT OZ
?
STACK TEMP.
PERCENT CO
i NAME OF TESTER
FORM 235 (REV. 11/89) FORM DISTRIBUTION: HRE CAPV - JOB FILE YELLOW COPY - CITV
REQUEST FOR ELECTRICAL INSPECTION Ea-ooooi-oa
y'??
See instructions tor compieting this form on back of yellow copy. 0(16,27
/_ n RR?Q? ""X" Below Work C'bvered by This Requesf ?O LNSA #dd Re_ Type ot Building ' Apptiances Wired. Equipment Wired
IJI-- Home Range Temporary Service
It 'I I I Duplex I I Water Heater 1 I Liphtinu Fixtures I
ic
I I I I Indusirial Blda. I I Air Conditioner I I Bulk Milk Tank I
pCCt
k Fee ServiceEnlranCeSize ti Fee Feedars/Subfeeders :k Fee Circuits
.QL7 010200 qm s 0 to 30 Am s ?•!3 0 to 30 Am s
Above 200 qmpsi 31 to 100 Amps 31 to 100 Am
Swimmfng Pool Above 100_Amps Above 100_Amps
Transformerg Irrigation Boorc?s ? Partial,'Oiher Fee
L_1__ ISigns - ?? Speciaf Inspection ?q . ?TOTAL
Remarks
?
RouBh-in
e
1, the ctri
?
M7"
Ins
pector, re6y
th
tif
t th
6
Fin
l cer
y
a
e a
ove
-
a
e
Y nspeccion has been
?' made.
fhls request vold 18 months from
This request void ? ` I L? Ll?? J-?
18 months irom ?lfJ / // ?•? ? `?
o08S499 LIL-) 1'--? I ?q17 -
Request Date '
?r Fife No. Rough-in Inspection
Required?
?Ready Now ?Nill NoUfy, InsUec-
7 r?O -g
?
?
yQles No
?or When Ready
,aLicensed Electrical Contractor I hereby request inspection of above •
? Owner - eleclrical work installad at:
Street Address, Box or R ute No. City
D / 6
ecuon o. Township 2me or No. Ranye No. County
Oc upant (PRWT) Phone No.
a
ower Supplier Address
/
?
Electncal Con[ractor (Company ame) Contrar.mr's License No.
?tJC
Mailing Address (Contractor or Owner Making Instailation
'iruthpilliz ed ature ulr tor er Making Installation) Phone Number
MINNESOTp STATE e D OF ELECTRICITY THIS INSPECTION REQUEST WILC NOT
Griggs-Midwey Bldg. Room N-191 . BE ACCEPTED BV THE STq7E BOARD
7821 UniversilY Ave., St. Paul, MN 55104 UNLESS PflOPEH INSPECTION FEE IS
Phone (6121 297-2111 ENCLOSED.
70/4*
C? -3 2 2 7 6
REQUEST FOR ELECTRICAL INSPECTION
ll? See instmCn%tor completing this lorm on back of yellow copy.
`X" Below Work Covered by This Request
? 9E7
Y?
ew tod Rep. TypeoFBuilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specity)
CommJlndustrial Fumace
Farm Air Conditioner
Other (specdy) Goniractor's Remarks:
Compute Inspection Fee Below: p?
# Other Fee # ServfceEntrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps CX)
Transformers Above 200 _ Amps 0_ Amps
Signs Inspectors Use Only. TOTAL
Irrigation Booms
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MO S.
I, the Electrical Inspector, hereby
if
h Rou9n-,o Date004
cert
y that t
e above inspection has
been made. R„ai + oace
C/
OFFICE USE ONLV
This request vaid 18 monihs from
2r
a/r?/s
,r?c / •,
? 32276 ? i?
Request Date Fire ough-in Inspection
Requi ed?
? Ready Now IJill Notify Inspector
x
yp ?
es No When Ready?
Ilicensed contractor ? owner hereby request inspection of above electrical work at:
Job Address (Street, Boa or Route No-) City
Section No. Township Name or No. Range No. Counry Go"
?
!l
f?
Occupant (PqINT) Phone No.
? e - 6 849 - 0=16
Power Supplier Address
Elecincal Contractor (Company Name) Conirac[orlzi License No.
? Ac ? c
Mailing Aatlress (Conlractor or Owner Making Installation) /
'
?
-
t..°/
-7DO O d '?
' r
G
Authon e Satur Coniractor er M ing tal tion) Phone Number
?y?? ?_0Zi
MINNESOTA STA7E BOAHD OOLECTRICITY THIS WSPECTION REOUEST WILL NOT
Grigga-Mldway Bldg. - Room 5-173 BE ACCEPTED BV THE STATE BOARD
1821 Unlverslty Ave., Sf. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone(812)642-0800 ENCLOSEO.
2006 RESIDENTIAL PLUMBING PERmiT aPPLicarioN 1
CITY OF EAGAN
? 3830 PILOT KN08 ROAD, EAGAN MN 55722
651-675-5675
Please complete for modifications to existing residential dwellings.
DEC 152006
Date?/)j /(X0
Site Street Address G/G - Unit #
Property Owner C, 'ZI n S Telephone # ((pSj) -035
Contractor Telephone # (?j )
-
Address "Pity ? State °im- Zip S5IoZ3
The Applicant is: _ Owner 16?Contractor _Other
Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee
$ 100.00
Per as-built $ 10.00
Alterations to existing dwelling $ 50.00
_ Add plumbing fixtures. This fee includes installation of a water softener and/or water
heater at the same time. If you are installing onlv a water softener and/or water
heater, do not complete this section; move to the next section and check the
appliance(s) you are installing.
_Septic System Abandonment
_Water Turnaround (add $130.00 if a 518" meter is required)
Other:
Water Softener Water Heater $ 15.00
new placement
_
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ .50
T
l $1 ?'?U
ota
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the
work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I
understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in
accordance with the approved plan in the event a plan is required to?be reviewed and approved.
ApplidanYs Printed Name ApplicanYg Signature
5W(cc
. ?
0
1990 BUILDING PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
MULTIPLE DWELLINGS
COMMERCIAL
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 CALCULATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE t]NITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE 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.
I / QoO c'?
To Be Used For: .?k(4? Valuation: ? Date: 61d
Site Address OFFICE USE ONLY
Lot 141 Block ? ?;rr3 /Yl?? ? FEES
Occupancy
Parcel/Sub Zoning
Actual Const
Bldg. Permit ?
/,? ?
' ? ?
' Allowable Surcharge ?SQ
Owner .IJPe
n f ?
??usy?,
c? ?i e?f # of stories Plan Review
7?7
elo
?
"
?
?
1
11 Length SAC, City
Address -
/ 740
1r
?
iC
sl Depth SAC, MWCC
? S.F. Total Water Conn
City/Zip Code ???i? Footprint S.F. Water Meter
Acct. Deposit
Phone On site sewage S/W Permit
/ _
On site well S/W Surcharge
Contractor MWCC System _ Treatment P1.
City water Road Unit
Address PRV Park Ded.
Booster Pump _ Copies
City/Zip Code SUBTOTAL _S 0
APPROVALS Penalty
Phone Planner TOTAL ?
Council
Arch./Engr. Bldg. Off.
Variance
Address
City/Zip Code
Phone #
2 s
1
u_ ?
M .
0 ? !:
!
45J. ° 1'
60= +
241°5+
-7: - +
:5 :0°+
63.5+
7900 +
1 56= +
?33rg?;c
1986 BIIILDING PERNiIT APPLICATI4N - CITY OF EAG9N
A10TE: ALL CONTRACTORS MOST BS LICSNSSD IJITH THS CITY OF EAGAN
SINGLE FAMIILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
MOLTIPLE DWELLINGS - RFSIDSNTIAL EENTAL DNITS FaH SALE QNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SQIiYEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COrMCZAt:
INCLUDE 2 SETS OF ARCHITECTURAL & STROCTURAL PLANS,
i SEi v^£ 0aECIFICnTT_0NS eNn 1 SET OF
ENERGY CALCOLATIONS,
$2,000 LANDSCAPE BOND
f
To Be Used For: Valuation: ? Date:
Site Address OFFICE IISS ONLY
Lot _OL!?Z Block Ereet ? Oceupancy )PS
" Remodel Zoning ?
Parcel/Sub Repair _ Type of Const ?
Addition # of Stories
Owner Move _ Length
Demolish Depth
Address Int.Impr. _ Sq Ft
Install
1 - . City/Zip Code -
Phone 6p ¢' 7 d APPROYALS FEES
Contraetor bU? (deYS i-1e Assessments Permit ?
Address Water/Sewer
Police Surcharge
Plan Review
2111,
S-D
Y? hj II Fire SAC
City/Zip Code Engr Water Conn
Ph
29g-???"J? Planner Water Meter
R
d U
it
9d
one
- Couneil oa
n
Bldg Off q Treatment P1 1'56p
Arch./Engr. ' APC Parks
Varianee Copies
Address YOT9L ?
City/Zip Code
Phone #
NOTE: ADDHESSSS FOR CCRHETi LOfiS - CONTRACTOR/HOMEOiINEH HIIST DSSIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES iIILL BE ALLOWED QNGE B[TILDING PERMIT IS ISSQED.
22 4 2? = 4/6 y x ???- A5- P.?3
4V x ? a, 51?4?V
f/ y? ,?T' t a?N ?7zGI `7
2&,o Ciao a< <?'Y 40, 9L7aeo
4x /7° 66 O? 294?Z
?` vR
4 11qpc°vy, co
Page 1 of 4
EXTERIOR ENVELOPE AVFRAGF °U" COMPUTATION
---- - ??
?
OWNER: nnTr 1V'2 ' b(*-P
SITE ADDRESS: PHONE:
CONTRACTOR: h? <'
Determine working square footage of each
1. Total exposed wall area..... sq. ft. x.il =`?
2. Total roof/ceiling area..... ,V)t&?C) sy, ft, x.026 =
Total exposed wall area above floor=q,tL7D
a. Total wall window area ...........................................
b. Tota1 door area ..................................................
c. Total sliding glass door area ....................................
d. Total fireplace wall area ........................................
e. Total wall framing area (average 10%) .............................
f. Total rim joist area ..................................... ........
g. net wall area above floor .........................•..::?••••..•
h. wall area above floor .....................................
i, wall area a6ove floor .....................................
J. frame wall area at foundation ...................................
Total exposed foundation area=
k. Total foundation window area........................
1. Total net foundation area above grade ..............
Determine "u" value?of each wall segment
(e,g. window, door, eaah separate wall section)
a. X „ul,
? , .
b. X ull
c.
d. ? X iiuli
e. x "U„
? ?.
X tiutl ?'?i=r = t r a f
g. X liuti
tr. X I $lull -
1. X liuli _
? X ilu,i
k, X "U" _
X liuli J?o
3 . .................................Total
If item #3 is the sam
as, or less than item
#1, you have met: the '
intent of SBC 600,& (C
„
?pcterior Envelope Average "U" Computation
Page 2 of 4 . ? ? . . .
Total exposed roof/ceiling area = )C?
m. Rbtal skylight area ............................ U9 .
n. Total roof/ceiling framing area (averaye
o. Total net insulated roof/ceiling area...........
,
, Determine "U" value for each roof/ceiling segment '
M. L 4 X„ull
n. x liUli
o. ??, " g loUll
J
4 ........................... Zbtal = ? t
If total of #4 is the same as, or less than #2, you have anet the intent of
SHC 6006 (c) 1.
Alternate Building Envelope Design
To utilize the total en,yelope'system method, the values established by the s-.un of
items #3 and #4 shall not be greater than the sum of items ? and #2
C
I ? ?
???
+ 2- ? .c .s? u
3. + 4.
ih..
l y
? PLAW *I:r
WE?
? L wE.4 L FT, E+c. posEDWAL L
$LOG (<. + AO -?-r-. u
4-
T:U L L
FuLl.2 ? -
1ZlM:'
? SaZ, ;:'T, SKPosEb WA LL AZEA
1' LOGfL 'f Uloo 1C
x 5
W .0 • f ?? X IB
T: uLL I : x S = ?rq,4??-
, -=-
f:u l.L 2 ' k
_ .?
-
8
,
,,
- ---
?
_
?- - ?.
:
-t-A L,.
- ?
EXP05F,-D
i
¦? w DW1s ?
\ v%
rc e-?? _ t `1
?
?
•
GEI I.IUC{
u
( 1 ? V ?
\
?
? PAT10. DRS 4" ? 6
' ?? ? ? -? UC) 'A?
? ?
135t?-t-? U u i+s
, PoorjceiL=yc . ? . • . ? ? . ?
. .
• . . .
. . . .
• r .% Construction , R-Value
Intcrior air ftlm
?--?3? ?? •
BA
s. jd15uL. _ • qy,0'p
4. Extcrior air filn (still) 0.61
II
vi.rr Toca1 2. 4s8?
:.? .? ' . . . . -
? . ' , • f R?+? ? , . .
znced Heat flow ? 1- Interi?r nir film ' 0.61
, up
.
, • ' • 4. F.xtcrior air filn (still)
'Potat 2- : G+O. 1:500
I'IG. ?5 ? • •
. . . . . ' ' •? • . . . • ? ' ? .V ' :?Z?t. .
- ? • ' . ; ? . CoA.'?+rR?CT? sy`? ' • '
.,. .,1.•.-... . ?
':'ti=_•`:.L__ --- - - --- ?
?*'?••:•_'..-•?",:- . ", `?°`"`?=`? ; l. In?ide air film 0.61
? - - ?...........r ' 2. ? ' .
3. ' .
• ? , . ? 4- i .
t/ '? S. Outside air. F117t{ O. 17
? ?? ?` ????? ?e? ?(??_'l? Total .
' ' ? ?'.C?yr?r ?' . . ' ' , . • • '
1 2 3 ¢ '• 1. Ynsidc air Eilm 061
' 2. . . .
. . , , • 3_ . . -, .
xeat tloa up . , ? j•vented • .
, . . 4.
. , . . • • ..'. . . $. dutsiac air fiim 0.17 .
- ? .TIC. 16?,' . •.. ' ? '.. . Total
-.. .. .. _ --^• - =- - . . .' . ? .:. . • . .'. .'
l. Insidc afr fi]in 0.61
2.
. ' ? ? •?nt ?1. ?'-`'??1?, =r5 3. . . • .
? • r.. v. Lc3t?:%= 4.
?• • ?'"?''; • 0.17
Outsidc aix fil:n
?:'.• • ?' • Total
? ? • • • ' •,. .
? ? • . . .. . .
1 Z ? . . .. .
. . ,
. ? .,: . . , . .
. _ ? .'. . • . ? ?
, R(M_VMI.= ?.?• ?, : Votes Uso addition.zl sheets if morc epace i:
?,' •,. . ' • aeecled for details and calcu3ations.
, w •• •. ? . • ,
• ?IeaC • • .
' flov ap • • • ? •
. • ? •. • , .
= . .
? , ., . : .. .
' PIG. 07 . • ' _' t • •.
? ?.
, . . . , . ?
. . . • :
• • ? ..... ? ...-•----. .. ..._.... .. .
,
Wnr.t, :.r.cr.c>Ns
U::r 151 pf opaquc ++al l nrcn !oi•
jrA1.l4 CUwn truciiun (i,ir_lrnt,'ir-ii
?- . .. _ . _._ .
:?_' . ---?!J 1. Illlt'1.'-?•?? -'?? r 1 ! ? n•. ... .. - ---?. . ll_?.?:'I
0 2 • -YL'_'-?`??--?.?• _ _____._ ?-,?;
,(„8_-1
X ? ' _?._-? ; . 'J? i D.? ?? !a , .. ,.?eZ,
?I? G. f:vlvri?,r n1t filiu • U,I'T
\Lf. ' _.._ ._.. ---- . _ . .. . .. .. __.._. _ ___ -• ---.._._
,,,> t„i t2 = ! o, 85
-----=- !?.
us. . 0°1
FIG. A1 T011VIfS4 OF
• FItN1E l+IA4T, 1. intrrlni• air -----0:.611
_• -- ... . _._ _ _. . _.
1'
• , 3. _4?! ...?v?Sul._...... __..- L°l..o.
' . ' 4.
. - -••---- -{? 5. _?]c?i?_ - - -. .. _ . _._..__.. . . ...lvZ
6. EsLorior tii: 0.77
1'IC. 92 ? -{? - ---_...-•r?,'t.;l l? ?^22A$
o4
, .?..._ Q • . .
o 3 .
, -,cL ?? '_ .i?I • -_.._.___--t:? 4. .25?3-?.s??I?flo __ _ - --• -----_._ __z.oy
'?'% l?1
.y?1 ? ,•: i .?._(j ti. }:xCC?r1??r nir fi1m---- ----.--0.17
j ? ??%? ? :~ ?? l ------'- ?ro ?: , ? t y? ? z? • -9 Z
c-, •?--??- ° 1. . ? _ U - . oq
;??? •? ', n'''' I ? ? ? ?,??ck
n.i,n
? • , _._.- -
1'LCN
?.?r o. •. . . _ .... _ _ ..5..0 _
1 ''? ' ?I • , •o: ?.__.__._._._.....? • a . :..?.,ro?4ec.li,+s _ laaw.v`, -
? . Ij . .,,_i;? _. GY... ..... . ... _...__
<r , ? r•. ?- -- - ? -- ----... _ . _. -- -- --------------?--?
???, f .?•j?`" ?. I::tli?t'it?r .??r :??ii U.17
-..? •e . . . ._.?---? -- -'.- '- .... TUl,ll p ' --- jy
st_ni{_ou_ I;icnui:
? I Iti ?
? r
? . ' 'r h(
?j
.? .
'• r
?. '3 y . ? b
? • to ? --??
• ' O . a • ?
t?.
? ' '• , ?' ;
_t ??? _ • A ? ?
? I((--- . . • ? '
?? ? ?? • ?
--
_ ;• ti ..
iri ?l . • • _ ?? t
/ll
f lG. 04 :. ? • , , ? ? / '? r;' ???
!rt iL • '} r //! ?
.
- ?/
. ? .... ._.._.. -. +.
?yc co
dCl)tll nnci
in•;iil.ition.
`+'' '??}?
Fr. M,.
/ •
0•*
35•00+
1•0U+
1•00+
37°00*+
a ?
1990 BUILDING PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL
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 CALCULATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HA5 SEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
ftB 1 ^ Rw
To Be Used For:/?-`/4 Valuation?? Date: 41/Qd
Site Address ,;(vfG4yo??
/
Lot Block"?
Ar,el? Zo s ? fh' tt
Parcel/Sub ?-?
Owner
Address
City/Zip Code cl-Q<+Qe-,, /h/V 5-j/ -) ,L
-?
Phone
Contractor ?
Address
City/Zip Code
Phone
Arch./Engr.
Address
City/Zip Code
Phone #
/ S-0a
Occupancy
Zoning
Actual Const
Allowable
# of stories
Length
Depth
S.F. Total
Footprint S.F
OFFICE USE ONLY
On site sewage_
On site well
MWCC System _
City water _
PRV _
Booster Pump _
APPROVALS
Planner
Council ?
siag. off. ?q.
Variance
FEES
Bldg. Permit J7'00
Surcharge /10
ra
Plan Review
SAC, City
SAC, MWCC
Water Conn
Water Meter
Acct. Deposit
S/W Permit
5/W Surcharge
Treatment P1.
Road Unit
Park Ded. Copies ? o0
SUBTOTAL
Penalty
TOTAL ? . ?) `;
******?***#*********************#***
Nan: PAYMERr OF Eim AT TIME QF '
? APPr.tcATioN DoFS Ncyr aonsrsTuiE
„*. APPROVAL OF PSRNIIT. .
nvsPECTIoiv oF sEWM Arro/rnt WATER,
a T T.ATTONS WILI, NOT HE SCHED-
ULID UNI'IL PEFiMIT AAS SFEN
APPROVID.
--------------------
. Please Print)
1) PROPERTY ADDRESS:
LEGAL DESCRIPTZON: •-
Lot Block Subdivision or Tax Parcel ID )
IF EQSTING STRt'CMM. DATE OF ORIGINAL &JILDING PERMIT ISSL'ANCE: -
?
PRESII? ZONING/pROPOSID LSE: (I"bn Year
? CCaMY+EtCIAL/RETAIL/OFFICE ? R-1 SINGLE FAMILY .
[] INIDCSTRIAL ? R-2 DL'PLEX (Two L?nits)
(-I ZNSTITL'TIONAL/GOVg2NMENT ? R-3 ZOWNHOOSE (Three + Units) ( Units)
. p R-4 APARTT4IIVT/COAIDOMINI[:TNl ( Units )
2) ? ---
NANE: G?o sLO»LL ?.J ?/.iN S?? I
ADDRESS:
CITY. STATE. 2IP:_ M,bPzLr rG:*E- 1?`Y7+v 553c?3f
PxOt?: 5'S9 - ?'7 %? '
CITY 4F EAGAN
APPLICATION FOR PERMIT
..
SEWER AND/OR WATER CONNECTION
3) ' u ?: ?•
IVAME:
ADDRF.SS:
CIT7, STATE, ZIP: YLz9rrm0L7N? w'j
PHONE: 559 3 4, '7 S MASTER LICETISE# _ o?O (,!S
•?? • • i?•
4)
NAME: ?
_ ADDRESS: •
CITY. S"PATE. ZIP: PHONE: •
•5) ? ?• ? a; • ?+• : a • a• - ??
? CONNEC.fiION T+p CITY SEWII2 ? CpNNEC,T20N TO CITY WATER
Staff UTI"tial
Q OTIm
6) ? MY' • i- C] PLEASE HOLD AppRpVID PERMIT FOR PICK-UP BY ONE OF ABVE
[7? PLEASE MAIL APPROVID PERMIT TO 1, 2,a 4. ABQVE
__ ,,, ? • (Circle one)
7)
7- /q-
Plvmbers License:
Aative
E?cpired
Not reCOrdeci
i
FOR CITY USE ONLY
PERMIT # ISSUED
7 ?
Pd w/Bldg. Permit
r
$
FEES:
$ 5--b
$
s
?.
SEWER PERMIT (INCLUDE SCRCHARGE)
WATER PERMIT (INCLUDE SC'RCHARGE) ..
WATER METER/COPPERHOR[V/OL'TSIDE READER
$ $ WATER TAP (INCLL'DE CORPORATION STOP)
$ $ SEWER TAP
$ $ ACCOUNT DEPOSIT - SEWER
$ $ /?Sr• U`? ACCOC'IVT DEPOSIT - WATER
--?
$ C/ v D• $ WAC
$ S 7.S • GP d $ SAC
$ $ TRL'NK WATER ASSESSMENT
$ $ TRL'NK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRC'NK SEWER
$ $ LATERAL BENyFIT/TRUNK WATER
$ lJ-o $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
$ TOTAL
6?
RECEIPT RECEIPT
DOES LTILITY CONNECTION REQLIRE EXCAVATION IN PUBLZC RIGHT OF WAY?
F--j YES IF YES, THEN A"PERMIT FOR WORK WITHIN P[)BLIC
Q
ROADWAY" MUST BE ISSLED BY THE E[VGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE:
Abhh?
'To' City 0f EaElffnon
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
? _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ?
I ?ir'?ce;??1'se I
? Permit #: D J? ? I
I Permit Fee:
I I
? Date Received: ?
? Staff: I
I I
------------------
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: ? OD ?S Site Address: Kn o (` Q ? As?e. 1)(,
Tenant: Suite #:
'51- C-147 -b-SO
RESIDENT / OWNER Name: Phone: &
Address ! City / Zip: 36 LC) Lw?`
Applicant is: _ Owner ? Contractor
TYPE OF WORK Description ofwork: RQKo-ac
Construction Costc-.4 T Multi-Family Building: (Yes No IK)
CONTRACTOR Name: c - License #: ? L Li
Address: E C1•? 1?-01C ?(17
City: ?(G State: Zip:6S2>Z
Phone: /nGz' Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category Submitted Submitted
(4 submisSion type) • Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a pertnit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber. Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTEr Plans and supporting documenfs fhat you submit are?conside"red to.tie pvblic;infarmation.'' Portions ofik_
the information may 6e classffled asnon pu6lic if you provide specific reasons that woutd perm?f the Criy to ,
. . ? __ ` - •
codctuiiethat ttie ?are ?rade secrefs??.''
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.
S5IZz
x V a.s? ?_ce_. x ? R? =_
ApplicanYs Printed Name Ap ca Ys Signature
Page 1 of 3
,RVEYOR'S CERTIFICATE kYLLO DEVELOPMENT
cr,
c\
i--
I?
` J
?i
N 1?I a 40
?
-11 n I n??/
L.l_I-i?.il\1/-1VV1\ I?IILI_ 1
?f?n
..? ?r?
L__?.?i1?Vi l? i-1 f?
L.? U
- NORTH 90.00 - BUd,??
0 0
KDRAfNqCiF 9 UTlLLTY ?y 1
FASEMENT PER PLAT? 5
LDT 14
(92
o
i
?
?
C9
sy4
ll ?(523
?, ? ?
IN V
?? ?+l ?
r
_ _
. ?•.h-t ?o$. ?a?0?3 ??
? s
? , 4.0 859lo ? . ?
N
N
N
3
?
O
?J
O
I r` ' PROPOSED
ro '? HOUSE M
M N ?p O r
?
//a Q
C R.
- ? I h Q I
Z ?.s7
\i S7i.z8; 5I 22.33/ (8'11.23(468,0 5 ?a
; y?l
N
?'"
-- - -50.?? w PLANs Mus'T-
40,89) -=J?ICJ°4'0' _ TH
?
?REMAfN 0N,j0BS{TE-
2 DGE
RI
K N ?
__---? ?I-
REVISED 5-22-86
(SfiEET Z OF 2 SIIEETS)
PROJECT NO.
(86687)
84622
F!l_E NO. .
FOLDER
WARNING
defore digging cafl local util'ttie9
tELEPHONE - ELECTR(C • G4 C•
nQUIRED BY LAW
EAGAN
RF d1E WED
BOOK / PAGE JAMES R. HILL, INC.
Planners / Engineers / Surveyors
8200 Numboldt Avenu• 6oulh
Bbotnington, Mn. 65431 012-884-3029
h _
[SURIIAYGRFS? CERTIFICATE' ??- DENOTES PROPOSED SURFACE DRAINAGE
O
• DENOTES IRON MONUMENT SET SCALE: 1 INCH = 40 FEET
X000.0 DENOTES
DENOTES IRON MONUMENT FOUPlD
EXISTING ELEVATION PROPOSED GARA6E FLOOR = g-11,5 fEET
(000.0)
DENOTES
PROPOSED ELEVATION PROP05ED LOWEST
PROPOSED TOP OF FLOOR =
BLOCK = `g(,y, S FEET
$7?.g FEET
I HEREBY CERTIFY TO KYLLO DEVELOPMENT THAT THIS IS A TRUE AND CORRECT REPRESENTATION
OF A SURVEY OF THE BOUNDARIES OF:
Lot 14 , Block 1, ROSE HILL ADDITION, according to the recorded plat
thereof, Dakota County, Minnesota
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, IF ANY, THEREON. AS
SURVEYED BY ME, OR UNDER MY DIRECT SUPERVISION, THIS 23RD DAY OF OC TOBER 1984.
REVISED 5-22_68 TO SHOYV PRCPOSED HOUSE BY
WES HANSON BUIIDERS, INC.
Rev, ro -S-C6 (o
SHEET 1 OF 2 SHEETS
'r JECT NO.
22 ( 86687)
NO.
FOL D ER
.. .
. .?
BOOK / PAGE
/ S8/73-7 y
SIGNED: JAM R NILL, INC.
JAMES R. HILL, INC.
Planners / Engineers / Surveyors
8200 Humboldt Avenu• 6outh
_ 8bor?nington, Mn, 55431 812-884-3029
?. . _
/
,
V I
B Y:
H ROLD C. PETERSON, LAND SURVEYOR
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REVISED 5-22-86
(SHEET 2 OF 2 SHEETS)
PROJECT NO, BOOK / PAGE
(86687)
84622
FILE NO.
FOLDER
JAMES R. HILL, INC.
Planners / Engineers / Surveyors
8200 HumboMt Avenu• South
Bbomington, Mn, 55431 612-884-3020
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I SURVIEYOR'S'CERTIFICATE
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??- DENOTES PROPOSED SURFACE DRAINAGE
O DENOTES IRON MONUMENT 5ET
• DEN SCALE: 1 INCH = 40 FEET
OTES IRON MONUMENT FOUPlD
X000.0 DENOTES EXISTING ELEVATION PROPOSED GARAGE FLOOR = g-11.6 FEET
PROPOSED LOWEST FLOOR =FEEt
(000.0) DENOTES PROPOSED ELEUATION PROPOSED TOP OF BLOCK = g-11,9 FEET
I HEREBY CERTIFY TO KYLLO DEVELOPMENT THAT
OF A SURVEY OF THE B THIS IS A TRUE AND CORRECT REPRESENTATION
OUNDARIES OF:
Lot 14 , Block 1, ROSE HILL.ADDITION , according to the recorded plat
thereof, Dakota County, Minnesota
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, IF ANY
THEREON
AS
SURUEYED BY ME, OR UNDER MY DIRECT SUPER ,
.
VISION, THIS 23RD DAY OF ocroBER 1984.
SIGNED: JAM R HILL, INC.
REVISED 5-22_68 TOSHOW PROPOSED HOUSE BY
WES HANSON BUILDERS, INC. ?
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H ROLD C. PETERSON, LANO SURVEYOR
? MINNESOTA LICENSE N0. 12294
SHEET 1 OF 2 SHEETS
JECT NO . BOOK pAGE
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r JAMES R. HILL, INC.
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FOLDER 8200 Humboldt Avonu• south j
. ' . Bbomington, Mn. 65431 612-884-3029
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REVISED 5-22-86
(SHEET 2 OF 2 SHEETS)
PROJECT NO. BOOK / PAGE
(86687)
84622 158/?1 - -7LI
FILE NO.
FOLDER
JAMES R. HILL, INC.
Pianners / Engineers / Surveyors
8200 Humboldt Av*nue South
Bbomington„ Mn, 55431 512-884-3020
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City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 3690 Knoll Ridge Dr
Lot: 14 Block: 1 Addition: Rose Hill
PID:10- 64600 - 140 -01
Use:
Description:
Sub Type: e - Furnace & Air Conditioner
Work Type: Replacement
Description: Fumace & Air Conditioner
Fee Summary:
Contractor:
Sedgwick Heating & Air
8910 Wentworth Ave S
Minneapolis MN 55420
(952) 881 -7739
Surcharge -Fixed
ME - Permit Fee (Replacements)
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
$0.50
$30.00
$30.50
Owner:
Jeffrey E Moeller
3690 Knoll Ridge Dr
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
9001
0801
Issued By: Signature
Mechanical
EA076139
12/11/2006
ePermit
Comments: Questions regarding electrical permit requirements should be directed to Mar k Anderson, State Electrical Inspector,
952- 445 -2840. Crystal Gemuenden 8910 Wentworth Ave S Bloomington, MN 55420 952- 881 -9000 Crystal.Gemuenden
@ServiceExperts.com
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply
of Minnesota Statutes and City of Eagan Ordinances.
h all applicable State
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA108043
Date Issued:11/13/2012
Permit Category:ePermit
Site Address: 3690 Knoll Ridge Dr
Lot:14 Block: 1 Addition: Rose Hill
PID:10-64600-01-140
Use:
Description:
Sub Type:e-Windows/Doors
Work Type:Windows/Doors
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Kara Benson
9533 - 367th Street
North Branch, MN 55056
651-674-1766
Valuation: 500.00
Fee Summary:BL - Base Fee $500 $40.00 0801.4085
Surcharge - Based on Valuation $500 $0.50 9001.2195
$40.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Jeffrey E Moeller
3690 Knoll Ridge Dr
Eagan MN 55122
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA116864
Date Issued:10/11/2013
Permit Category:ePermit
Site Address: 3690 Knoll Ridge Dr
Lot:14 Block: 1 Addition: Rose Hill
PID:10-64600-01-140
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required by law in ALL single family homes .
Scott Landa
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 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 -
Jeffrey E Moeller
3690 Knoll Ridge Dr
Eagan MN 55122
Tradition Roofing & Exteriors
1032 Cleveland Ave S
St. Paul MN 55116
(651) 325-1548
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA125842
Date Issued:08/05/2014
Permit Category:ePermit
Site Address: 3690 Knoll Ridge Dr
Lot:14 Block: 1 Addition: Rose Hill
PID:10-64600-01-140
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Jeffrey E Moeller
3690 Knoll Ridge Dr
Eagan MN 55122
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(130) 651-2644 X777
Applicant/Permitee: Signature Issued By: Signature
G!tyofEa�afl
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
%1.0
r
Use BLUE or BLACK Ink
For Office Use
Permit#: I Tif ?zt
Permit Fee: �1 /
Date Received: ` ' ( (P ' / 40
Staff:
2016 RESIDENTIAL BUILDING PERMIT(�APPLICATION
Vd-146
QDate: 1-'f,1"'t, Site Address: 3 1 t Kt\ f IIr;A �- iJ�Vl: 2_ Unit #: n
/i
coAdi
Name: L rC\11 cl__A Phone: L la — 6L -OZ S
Address/ City / Zip: 3 tock) r r, f : cf 5� r iN1 c2
Applicant is: Owner Contractor
Description of work: gcZ • . \ �c
Hype �f ilk
Construction Cost: IlaOff; — Multi -Family Building: (Yes / No NNA )
Company:.Uv', khf'„S ` Contact: o J-. C ok4 vs.)
Address
C+ f1fGi)#S �+• �¢_ ��J City:
State: t\ PZip: SS `1 D Phone: iota -,Lo ,Si$i Email: \kis..j ( t 1
License #: C �` C 0 ' 0 Lead Certificate #: IVT" 02 O(o 6 ` oZ
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:
Plans andsupporting documents th It you s it ars €►s a er tc ire r# ro in rma on
► orrnaf% maiy be clammed as non-public.if you providepecrfic r anon hat wou
CALL BEFORE )I'OU DIG. CaII 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.gopherstateonecall.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 without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
Applicant's Printed Name
Applicant's Signature
Page 1 of 3
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation
Single Family
Multi
01 of Plex
WORK TYPES
p New
Addition
Alteration
_ Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25% 100% )d)
Census Code
# of Units
# of Buildings
Type of Construction
51
_ Fireplace
Garage
,>D Deck
Lower Level
Interior Improvement
Move Building
Fire Repair
_ Repair
371®
V'3
gv
Porch (3 -Season)
Porch (4 -Season) —
Porch (Screen/Gazebo/Pergola)
Pool
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
_ Egress Window
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Accessory Building
Demolish Building*
Demolish Interior
Demolish Foundation
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
t0 Final / No C.O. Required
HVAC Gas Service Test Gas Line Air Test
Pool: _Footings Air/Gas Tests _Final
Drain Tile
Siding: _Stucco Lath _Stone Lath _Brick
Windows
Retaining Wall: _ Footings — Backfill — Final
Radon Control
Fire Suppression: _Rough In _Final
Erosion Control
Other:
Reviewed By: 0 dvt ; Id -14 , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
)2\ X2/16
7-5-8 59.e
)(� 3i •
Page 2 of 3
SURVEYOR'S CERTIFICATE kYLLO DEVELOPMENT
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REVISED 5-22-86
(SHEET 2 OF 2 SHEETS)
PROJECT NO.
( 86687)
84622
FILE NO.
FOLDER
BOOK / PAGE
158/-11-7-1
JAMES R. HILL, INC.
Planners / Engineers / Surveyors
8200 Humboldt Avflnu, South
Bloomington, Mn. 65431 612-884.3020
c'
r For Office Use
:::e.
,,„
Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff:
buildinginspectionsCa�citvofeagan.com
2019 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: - 1 7 Site Address: C. 10 I(na 11 �;c� r Or
Tenant: J c, e 11 e( Suite#:
Resident/Owner Name: Phone:
Address/City/Zip:
Name: No 16od LIG(- tLLicense#: C.. 73 1,3 17
Contractor Address: 0810 Au ✓.nn l�✓'led
A1,1C City: kiSt`1ca�-orf
State: A/1 W Zip: 550 b Phone: CS( - 75k, 673/3
Contact: (3raily l271 Email: t'fr_tr, rd t t' ` )51L rt., c -1
Type of Work —New X Replacement —Repair _Rebuild —Modify Space _Work in R.O.W.
Description of work:
Water Heater
Lawn Irrigation ( RPZ/—PVB)
Water Softener
Description Add Plumbing Fixtures ( Main/ Lower Level)
Septic System
Description:
New
Connection to City Water from Well
Abandonment
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 $ 6;a CO
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.00pherstateonecall.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.cityofeagan.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 Grad V 4116144 x
Applicant's Printed Name App is Signa
Page 1 of 2
FOR OFFICE USE
Reviewed By: Date:
Required Inspections: Under Ground Rough-In 'Air Test Gas Test Final
Meter Related Items: Meter Size Radio Read Manometer Staff:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 TDD: (651)454-8535 FAX: (651)675-5694 buildinginspections ancitvofeagan.com
Page 2 of 2