3695 Knoll Ridge Dr_ --
CASH RECEIPT
• ?'`` CITY OF EAGAN
P. O. BOX 21-199
EAGAN, MINNESOTA 55721
DATE ? 19
nec??vm
FROM AMOUNT $
Q DOLLARS
1 oo
? CASH Q.CHECK
i
. ? T
J
FOR '
(' ) ,' : ? /.c ?_? : , n ; ' -?
FIIND CODfi AtAOUNT
Thank You
t.
sr .
- ?
Whita-Payers Copy
Vellow-Posting Copy
Pink-File Copy
?
CITY OF EAGAN '( 1O O7 ?
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 S
' PHONE:454-8100
-11UILDING PERMIT Receipt
Te M wd fer ` Est. Vclue '. ;' l, 0 J G Dote 19 19
Site Address Erect 0 Occupancy ,`•' ?
'??-?
Lot Block SeclSub Remodel
? Zoning
?
.
Parcel No Repair ? Type of Const.
. Addition ? No. Stories
,.' ' • ? . ..:i
Name ' Move ?
li
h ?
D Length
Z emo
a Depth
? Address Int Impr. ? $q, Ft.
City Fhone - Install ?
Apyrorols Fises
Name
=u Address
? Assessment Permit t ?
. ,
l
1- City Phone Water 3 Sew. Surcharoe
Police Wen Review G- 2`
bW Name Firo SAC'
?? A?r?$ Enq. Water Conn U. U U
? W City Phone Plonner Water Meter t 3. 0 C
Council Fioad Unit J. r1 C
I hereby ocknowladye that I have reod this opplication ond sroro that gldg. Off. Tc PL 1' 2. 60
I
ihe informotion is correct and ogree to comply with oll opplicable
Stote of Minnewta Stotutes ond City of Eaqan Ordinances. APC
Var. Date Parks
kf Sfpnature of Permiftee Copias
. 314.
'rfi?' ?Y;:
A Bullding Permir is issued to: - Total
on ths sxprest conditfon Ihai
f all work sholl be done in accordonce witfi all applicoble Srote of Minnesota Statutes urd City o4 Eopon Ordimnces.
?x. Buildinp Officiot .4
Psrmit No. Psrmit HoWer Daw Tslephons it
Plumbinp'
elf yc)
HMA.C. &a ;01V/h ?13-C7s
ENewi b 9
$oitwMr
ImMetion Date Insp. Othar
Footinys I ?-Oft-
Footings II
Foundatlon
Framing 71S'
Rootlnq
Rougb Pibg.
Rouyh Hty.
Inwl. ?'
Flroplace
Finsl Htg. ?.zl;?
FInaI Plbp. 5o r'
Flnel
Cert/Oec.
WMer acribe loeation:
Well
Sswor
Pr. Dlsp.
Cities Di?ital
itv Control
The following image represents the best
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from the original page.
Rsaipt ' MECHANICAL PERMIT Parmit No.
CITY OF EAGAN .
FN
fill in numbened specss S/C
Type or Print leyibly Tot '
1. Date 'l 2. Installation Cost `
3. Job Address ' Lot / Blk. ? Tract 63?- /4(91W I
4. Ownar
5. Contractor Phone
6. Address
7. City State Zip
8. Building Type: Residential El Commercial ? Institutional ?
9. Work Description: New Q Add ? Alter ? Repair ?
10. Describe Fuel Type
11.
No. Eauioment BTU - M. Ea.
Forced Air " No. Equipment CfM
Ai
H
dli
Mfg. r
an
ng:
Boilers
_
Mfg. _ Mech. Exhaust
Unit Heater
Mfg. Other
_ Air Cond.
Mfg.
Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : for
Rough F inal
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
I
Recaipt PLUMBING PERMIT Permit No.
CITY OF EAGAN Fse
i Fill in numbered spaces S/C
Type oi Print legibly Ta.
1. Date ! 2. Installation Cost
Blk
L
3
J
A T
t
.
ot
.
ddress
ob rac
4. Owner ! 11 1/
5. ContraMOr Phone ? 1 •" '
6. Address i
7. City; o' State Zip
8. Building Type: Residential C? Commercial ? Institutional ?
8. Work Description: New G, Add ? Alter ? Repair ?
I 10. Describe
I 11•
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
_ Bath tubs $eptic Tank
Lavatory
Saftner
Shower Well
Kitchen Sink
Urinal/Bidet Other
I_ Laundry Tray
I Floor Drains
_
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and 1 agree to
comply with all ordinances and codes governing this type of work.
Signed: .for
?
Rough 1 ' Finel
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
^ INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS:
I PERMIT SUBTYPE:
f
APPLICANT:
?i
TYPE OF WORK:
II 1',t PI!'I IUN
Ftli 1 1!f 1 N
INSPECTION DA • DA
PsrmR No. Parmtt Nolder Date Telephone M
S/W
PLUMBING
HVAC
EIECTRIC
ELECTRIC
Inspection Date Inap. Comments
Footings I
Foundalion
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Orsat Test
Final Plbg. Plbg. Inspector - Notily Plumber
Const. Meter
Engr./Pian
Bldg. Final
Deck Ftg.
Deck Final
Well
Pr. Disp.
? t is
Xvqky ?
v(
, CITY OF EAGAN SEWER SERVICE PERM
3630 Pilot Knob Rosd
P. O. Boz 21199 PERMIT NO.:
Eagan, MN 55121 DATE;
Zanirp: No. of Units:
- VwrIOr: ^f>i'-+S?tO? i-ir•nn c ?.'- ?
AdEK55:
Sita Address: 3695 Fr.cl' RidF*e 0r r ?':,i :o; -° i A.t,?n.-
- -
Plumbar. ?
I Mm fo pyh w11r fM City of 6pn GonMCtian CJhorpa:
?N?• Aooourrt Depait: r_., '7
Pemdt Fes: T0 . ilOnr'
r
Surrharpr.
Br Miac. Charpes:
Dote of Irup.: Total:
lroR: Date Paid:
CITY OF EAGAN WATER SERVICE PERMIT
3830 PilotlCnob Road
P. O. Box 21199 PERMIT NO.: • 8-
Eagan, MN 55121 DATE:
Zoninp:. No. of Units:
Owner `•eLzo ::ustnm klotve -S
Addross:
Sit! I,ddIlSf: i695 ?s.oia RiCjCfi DZ.
Plumber: i.l..
_
,.
Meter No.: Connectian Chorye: ' " .
Size: Aaount Deposit:
Reoder No.: Pennit Fee:
1 prw !o eanolp wuh Nr Ckr el Eqyan Surchorye:
OrJingeses. Misc. Chorges:
Total:
8y pota Paid:
Date of Insp.: Irup.;
WATER SERVICE PERM
PEwMiT No.: `81
'
oAre: r
. . .'.
Pertnit Fee: l:r.:.
Surcfiarpe:
Misc. Charyes: `.
?'... .
Totul: ^
<_ t1P.er
Dota Paid:
CITY OF EAGAN Remarks '416-N'6?/??T/?
/>ddition ROSE HILL ADD2TION Lot 1 elk 1 Parcel 10 64600 010 01
Owner Street 3695 Knoll Ridge Drive state Eagan, M 155122 Improve ent Date Amount Annual Years ?j Payment Fieceipt Date
STREETSURF. 1986 2874.29 574.86 5 2a /•`? /14 04 f?' 3`OS
STREET RESTOR.
GRADING
SAN SEW TRUNK 1985 576.80 3$.45 15 !O K?? ?-2' ? S
SEWER LATERAL A 1972
q1gsew-,ss, w lats, se 198 6089.26 1217.85 5 /a'.3- S'
WATERMAIN
WATEF LATERAL 1972
WATER AREA
, D
RO I b
IaZ ? ?O S
STORM SEW TRK ?6 1985 -2 . (4 ? h
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
u
n
BUILDING PER,
SAC 2 0
PARK
CITY OF EAGIPPP' N° 1 10 0 7
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
?O
BUILDING PERMIT Receivt #
To ba uted fer SF DWG/GAR Est. Value $127,000 pO1e SEPTEMBER 19 19 85
SiteAddress 3695 KNOLL RIDGE DR Erect ? Occupancy R-i
Lot 1 elock ' tec/Sub ROSE HILL ADD Remodel ? , 2oning R1
.
Parcel No Repair ? Type of Const. V
. Addition ? No. Stories
METRO CUSTOM HOMES INC Move ? ?.enytn 60
? Name
P O BOX 104 Demolish
9 ? Depth 36
Z0
u
8
9
F
Address ' ' Int Impr. ? Sq. Ft.
City BURNSVILLFphone 454-9383 Install O
Name SAME Aporovalf Faes
Phone
Address
City -
Name _
Address
City -
Phone
1 hereby acknowledge that I hove read fhis opplication and state that
the informotion is correct ond ogre to Comply with oll opplicable
State of Minnesoto Stat ' r f"Eagon /O?rdinances.
$ipnoture of Permittee
?
A Building Permit Is issued to: ETRO CUSTOM •
all work shall be done in accor&-fta,w?iWall opplicoble tate of Mir
Assessment _
Water & Sew.
Police
Fire
Eny.
Plonner
Council
Bldg. Off. 9 1$ /8 5
APC
Var. Date
INC
Permit
50
Surcharge 63.50
PlanReview 250.25
snc 525.00
Water Conn. 500.00
water Meter 63.00
RoadUnit 280•00
Tr.PI. 132.00
Perks
Copies
I Total $ 2. 314 . 2 5
on the express condition that
Stotutes and City of Ecpan Ordinances.
8uilding Officiol
REQUEST FOR ELECTRICAL INSPECTlON
?ee instructions for completing ihis torm on back of yellow capy.
p 0ban "X" Below Work Covered by This Request
EB-00001-D4
Ne% AAd HeD. Type o1 Building AoPlianeas Wired Equipment WireA
Home Range - ' -r- Temporary Service
Duplex Water Heater Lightin,y Fixtures
Apt. Building Dryer Electric Heatin
Commercial Bidg. Fumace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm Oiner aec, v OU,er (soecify)
t er VCCity t er Othor
(;OO7pUtE (ASpBCtIOq hBB BB10W p Fea ServiceEntranceSiza # Fee Feeders/Subfeeders: ll Fee ' Circuits
I p 0 to 200 qm s 0 to 30 Am s 0 to 30 Am s
Above 200 qmps' 31 to 100 Amps 31 to 100 A s
Swimming Pool Above 100_Amps Above 100_Am s
Transformers Grigation Booms , S Partial-'Other Fee
Signs Special Inspection
`' -
TOTA
r?
Remsrks Q•jQ I FEE
} .
/ r , _sAi
Rough-in Date a
1, the EI etric
l
Inspector, hereby
th
certif
t th
h
Final
te (
' y
a
e a
ove
inspection 11as been
t' ,
1
-4 made.
fhh request voitl 78 monlhs from
r r?°
This repuest void /
18 months irom
o ofSfie F??3 ?-l 6 r Pn J..r ?? I/ / /
_ lJJ l1 V
Request Date ?
?'7 Fire No. Rough-in Inspection
Required? DReady Nuw ? Will Nmify. InsUec-
f ? - ? ?Yes ?No tor When Ready
?Licensed Eleclrical CoMractor . I here6y request inspection of above
Owner elecirical work installed at:
Street Address, Box or Route No.
?? ? n v 1 R;*?
Lr,i U'e Ciry
gQ
ecUOnQ o. Township Name or N^o.o f -
tc.o U1KI Ranpu No. Count
t
W
C7,
Occupant (PRINT) Phone No.. .
Power uppliIe/r
?-
?l
?
c A es5
ec.
c?
t• ?
Il. e
Electric I ontra •t (Compa?J N)
Ee
(+L ra/s License No.
(O`.021
Mailing Address (Con ctor or Owner Maki lost 'lation)
l yi ?
Authori ed Signawre (Co ra tor/, wner Making Ing Ilation) P e Number
sa_s?ad
MINNESOTq STATE BOANO OF ELECTpICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midwey Bldg. - Hoom N-191 BE ACCEPTED BY THE STqTE BOAHD
1821 University Ave., St. Paul, MN 55104 UNlESS PflOPEN INSPECTION FEE IS
Phnne (612) 297.2111 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION Ee-uoooi va
;,,,
?
? See instructions tor compJetirg,thi"s form on back of yallow copy.
"X" Below Work Covered by 7his Request
Ad Rep. 7ype of Building Appliancea Wired Equipmen[ Wired
Home Range Temporary Service
Duplex Water Heater Lightin,y Fixtures
Apt. 8uilding Dryer Efectric Heatin
Commercial Bldg. Furnace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Mflk Tank
Farm Other Decify Other ISpeciFyl
t er Uecity Other Other
OMDUIB /nSOPCY/O/1 fBB
k Fee Service EntranceSize q Fee Feeders/Suhfeeders # Fee Circuits
0 to200Am s 0 to30Am s to30Am s
Above 200 qmps 31 to 100 Amps ? 31 to 100 Am
Swimming Pool Above 100-Amps Above 100_Am s
TransTOrmers Irrigation Booms rjd Partial,`Other.Fee
Signs Specfal Inspection $ L` 1' ?
TOTAL F
Remarks E E
?Y
Rough-in ? Date , the Electr a-/ J
Inspector, hereby
W ?rtiiv that the »bove
Finai inspectipn has been
made.
Thisfequestv0id18monthsfrom ?
Tl requesl void
18 months irom U ( ?
0 0 6a6 Ss L- 1 r----,) i Ral?
Request Dase - Fire No. ougfi-fn Ingpec
air
tion Req?7 ?
Reatly Noa-??ill Notity InsPec-
X
42 ?
? ?es No
[or When ReadY
-? ricensed Electrical Contractor 1 here6v requestinspaction oi above
? Owner - ? electrical work installed at:
Sireet Address, Box or Route No. City?
bLrction o. Township Nama or No. ange No. Cou y
Occu antIPRINTI ? Phone No?. J
Pow pp ier - Addr s
Electrical Contractor (Company Name) Co actor's License No.
( D ?
Mailf'ig qdJress ( on ctor or Owner Maki Instailation)
I'
Authoriz Signature (ConV r/, ner Making I Ilationl Pb Num6er
MINNESOTA STATE e0AR0 OF ELECTRICITY THIS INSPECTION REQl1EST WILL NOT
Griggs-Midway 91dg. - floom N-187 BE ACCEPTED 8Y THE STATE BOAND
7827 University Ave., St. Paul, MN 55704 UNLESS PROPER INSPECTION FEE IS
Phone (6121 297-2117 ENCLOSED.
??F c?- f
2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please eomplete for: single family dwellings & townhomes/condos when permits aze required for each unit
?3o1 ??
Date Pb CZC.? ?
Site Address ) ?J?? ? CJ Ll ? ?, - Unit #
Pro
ert
Owner DM Tf Tele
hone #
p
y p
Contractor
5treetAddress City
State Zip Telephone #
Bond #• Expires:
The Applicant is Owner -tontractor Other
Add-on or alteration to existing dwelling unit $ 30.00
_ furnace _Additional _Replacement
air exchanger
?air conditioner _ New 4--R-eplacement
other
State Surcharge $ •SQ
T
t
l
o
a
I hereby apply for a Residential Mechanical Permit and acknowledge that the
be in cqnformance with the ordinances and codes of the City of Eagan and?
rt, ut only an application for a pertnit, and work is not to start witlio
appyov d plan in the case,-ofj?vorl? whic?h requ?rps a review and approval of ?
ation is complete and accurate; that the work will
Mechanical Codes; that I understand this is not a
nit: that the w6rk will be in accordance with the
l? ?? ? ? ???
A'cant's Signature ? Il ; ?!F
JUL I 4 2005
?- .
2005 COMMERCIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephoue # 651-675-5675
Please complete for. commerciaUindustrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
Date
Site Street Address Unit #
Tenant Name (if applicable) Previous Tenant Name
Property Owner Telephone # ( )
Contractor
Street Address City
State Zip Telephone # ( )
Bond #: Expires:
The Applieant is _ Owner _ Contractor _ Other
Work Type
New Construction _ Underground Tank _ Install _Remove **see below
Interior Improvement _ Install Piping _ Processed _Gas
Nature of Work:
"When insfalling/removing underqround tank, call for inspection by Fire Marshal and P/um6ing Inspector
P01'I171i F¢05: $70.50 Underground tank ins[allation/remaval
$50.50 Minimum (includes State Surcharge)
OY
Contract Value $ x 1% _ $ PermitFee
• lf ep rmit fee is $1,000 or less, add $.50 => $ State Surcharge
If ep rmit fee is over $1,000, add $.50 for
every $1,000 pe rmit fee $ Total Fee
I hereby apply for a Commercial Mechanical 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 with the Mechanical Codes; that I understand this is
not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with
the approved plan in the case of work which requires a review and approval of plans.
Applicant's Printed Name
ApplicanYs Signature
Approved By: , Inspector Date:
? t
2004 RESIDENTIAL BiJ)7,DING PERIVIIT APPLICATION
(4 City Of Eagau
3830 Pilot Knob Road, Eagan MN 55122 V
--- ------ -- -- ----- - - -Telephone#..651-675-5675-----FAX # 651-675 5694-
New Construcfion Reouiremenfs RemodeVRepair Requirements ?
3 registered site surveys showing sq. ft, of lot, sq. ft of house; and all roofed areas 2 copies ot plan
(20% maximum btcoverage allowed) 1 set of Energy Calculations for heated additions ?
2 copiespf pian showing beam 8 window sizes; poured found design, etc. 1 site survey for additions & decks
1 set of Energy Calculations Addifion - indicate ff on-si(e septic system
3 copies oFTree Preservafion Plan if bt platted after 711193
Rim Joist Detail Options seleclion sheet (bldgs wifh 3 or less units
Date ` / ? ? / 0(-J
Site Address !)C'1
Construction Cost
Description of Work
Multi-Family Bldg
Property Owner
_ Y _ N
Renewal By Andersen
Contractor _ 1920 County Rd. "C° West
Address _ Roseville, MN 55113
State 651-264-4777
License # 20130983
Fireplace(s) _ 0 _ L) _ 2
UnitJSte #
Telephone#T-6?
>
...T'.?...: ?': ?
City
Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Enefgy Code Category '- ikaesota Rules 7670 Cate orv 1 _ Miunesota Rules 7672
(4 submission type) • Residential Ventilatlon Category 1 Worksheet . . New E6ergy Code Worksheet
Submitted , - Submitted
• Energy Envelope Calculations Submitfed
Have you previously consfructed a buiiding in Eagan with a similar plan? Y N If so, 25% plan review
fee applies. - -
Licensed Plumber
Mechanicai Contractor
Sewer/Water Contracfor
Telephone #( )
Telephone # (
Telephone # (
I hereby apply, for a Residential Building perrnit and acknowledge that the informati on is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
pexmit; that the work will be in accordance with the approved an in the case of work which requires a review and
approval of plans. 1?
Apphcant's Prtnted Narne Applicant's Signaiure
OFFICE USE ONLY
Su b Types
?. Ot Foundation -- - 0- 07 Pool ---- --
? 02 SF Dwelling ? 08 06-plex ? 16 Firep.lace ? 21 Porch (3-sea.)
? : 03 01 of plex ? 09 07-plex 0 17 Garage ? 22 PorchlAddn. (4-sea.)
? 04: 02-plex ? 10 08-pfex Q 18 Deck ? 23 Rorch (screen/gazebo)
0 05 03-plex 0 11 10-plex ? 19 Lower Level ? 24 Storm Darnage
? 06 04-plex Q 12 12-plex' Plbg Y or _ N ? 25 Miscellaneous
- 0- 30 Accessory Bldg - -
? 31 Ext. Alf - Multi
? 33 Ezf. Alt = SF
? 36 Multi Misc.
Work 7ypes
? 31. New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33.Alteration ? 37 Demolish Building"` ? 43 Reroof ? 46 Windows/Doors
0 34 Replacement •Demolition (Entire Bldg) - Give PCA handout to applicant .
Valuafion
Occupancy r
MCES System
Census Code Zoning City Water
, SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width -
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinallC.O.
Footings (deck) _ FinaUNo C.O.
_
Footings (additton) . Plumbing
.
,
Foundation .: ;
Drain Tile Other
Roof _ Ice & V?ater Final Pool : Ftgs _ Air/Gas Tests Final
-,
_
Framing - -' .
? _ _
Sidirig- _ Stucco Stone ,
Brick: ..
Fireplace
R.I. ''fLir Test Final Windows
_
_ Insulation _ Retain`irig Wall°'
Approved By:
Base Fee
Surcharge
Total Building Inspector
Plan Review
MC/ES SAC
City SAC
Ufility Eonnection Charge ,
S&W Fermit & Surcharge
Tteatment Plant
License Search
Copies
Ofher
••?•?ds•?-,? iuv a.?.ov rna ro? ars. ¢tt?? iCi':Pi":?'r'??.r t3k?'£d'tUuiviLilt ?e al
. funet 20U7
- City of Eagan ,
3836 PiIot $nob Raad Eagan, MN 55122 . 'I'o Whom It May Concern: .
Eider 7ones is authori2ed to p'atl building pemits for R.encwai $y Andezsen_ Ptexse sIIow
dE
atcJoncs to providc tbis soivicc for us in N?. 'ITtiR anthoti2atinn is valid far any
to ider the b (riry
cyvctd 6(6101; until a?`ontawal by AnciGCSdn mmg? ?stY xevokas it tn writing
-
I rcquest this authodzstian be accr,pted-expedi8ottsly, as ta aaE deta m thn ` '..
our bailding Pc?mits auy fuzthcr. Elcasc caIl mc IP thcc arc y ??ng o?
coIItaated at 7b3-S42-47Q6_ ?Y Q?fona. _ T can 1xs
? .
- ?:
-Your immqdiatc attcntion to Ws mAtter is atinrectamd. . .
Sinocialy,
:
Ymvnd X &*P,,m
tistaIlation Maztagcr
Renowal by Aizdcrscn Corporatiun
Cc.: Kma-FTde.r Tnnm-
-
?
?? ? ? ??
y .
?
.
??` °?,,?.,, Z?
;
.,
uuu
RECEIYB? T1Q18 j!!A. 7. t'Q]Py
?.
1'PY OF EAGAN
? 3 0 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
ec ??I
?4,9LA
BUILDING
023059
03/0Q/9R
SITE ADDRESS:
P.T.M.e 10-64600-010-01
3695 KNOLL RID6E pR
LOT: 1 BLOCK: 1
`Rose
DESCRIPTION:
(SIDrNG
Bpilding4.p£ermit Type
¢uildi?;rtg`G?tt?.rk Type
?
. . . :?;. "I.a
h 4M'h ? ??.. r
l r ?
& SOFFIT)
SF (MISC.)
AITERATION
?? ? P s° , ? e
REMARKS
FEE SUMMARY:
VAI.UATION
Base Fee
5urcharge
Total Fee
$108.66
$4.60
$112.50
$9,000
CONTRACTOR: - Applicant - sT. LIC. OWNER:
CHASKA SIDING & REMODELING 14486869 0008122 FLATEAU JERRY
1710 NIGHW00D 3695 KNOLL RTDGE DR
CHASKA MN 55318 EAGAN MN
(612) 448-6869
Tfirel^eh,y a'cknowledge ?tts?t Z teax+e read thi`s` aPP:lieotiditt :
information is earrect arrd agree ta cvrerply..wi ?h a I l;,ap?'?p
.
5totu'tes and GiCy af Eagan
Ordin,ances. _
?. _. _ . .
-?
? :t
(ltln R,otA, l
APPLICANT/PERMITEESIGNATU ISSUED EtY. S NATURrm
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
INSPECTION RECORD
PERMITTYPE: BusLozNG
Permit Number: 923059
Date Issued: 0 3/ 0 4/ 9 4
SITEADDRESS: LOT: 1 BLOCK:
3695 KNQIL RIDGE pR
RTDGE VIEW ACRES
PERMIT SUBTYPE:
sF (MZSC.)
i APPLICANT:
CMASKA 5IDING & REMODELING
(612) 448-6869
TYPE OF WORK:
aLrERATroN
DESCRIPTION (SIDIN6 & SOFFTT)
INSPECTION
FRAMING .. •
ROU6H IN PLBG ..
ROUGM IN H7G FINAL
- - --- --- ---- -
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CITY OF EAGAN
1994 BUILDING PERMIT APPLICATION
681-4675
!M09
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) ]ot change is requested ance permit
is issued.
Date -3/ / Valuation of work U?
Site Address:_31Lf,5
STREET SU1TE #
Tenant Name: (commercial only)
LOT
BLOCK • nr
SUBD
P, I. D. #
U'LLW
Descri tion of work: d/ (,i /'I/l/
The applicant is: ? Owner Contractor ? Other (Describe)
Name ? ? &?-t v Phone
^
Property LAST
FIRST
Owner 2
06
L
11::?
L {
Address
1
1
STREET STE #
City V 64111 State /l'L /L,/ Zip
Company G ? 7 ?-?:I.
Contractor Address adYo ,t?? . License # 2aoQ,_ Exp.?
City ?S v1 ? State?? ? Zip
Company Phone
Architect/
Engineer Name Registration #
Address '
City State Zip
Sewer & water licensed plumber . Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and a
ree to
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Eagan Ordinances.
Signature of Applicant:
OL-1
v
OFFiCE USE ONLY
?
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BUILDING PERMIT TYPE
0 01 Foundation ? 06 Duplex 0 11 Apt./Lodging ? 16 Basement Finish
0 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool
? 03 SF Addition ? OS 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind.
C] 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc.
E3 05 SF M9sc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility
? 21 Miscellaneous
WORK TYPE
? 31 New ? 33 Alterations ? 35 Tenant Finish 0 37 Demolish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATIDN
Const. (Actual) Basement sq. ft. MWCC System _
(Allowable) lst F1. sq. ft. City Water _
UBC Occupancy 2nd Fi. sq. ft. PRV Required
Zoning Sq. Ft. total Booster Pump =
# of Stories Footprint Sq. ft. Fire Sprinkler
-
Length On-site well Census Code
Depth On-site sewage SAC Code =
Census Bldg
APPROVALS Census Unit =
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS
? .Si te
O Wallboard
? Footing
O Final
? Framing
O Oraintile
? Insulation
? Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
vetuatim: 8
SAC %
SAC Units
I PLEASE NOTE: THE CITY WILL PROVIDE ONE COPY OF 5EF7ER ANID F]ATER PERMITS 11
CITY OF EAGAN
APPLICATION FOR PERMIT SEWEF2 ADID/OR WATER C0NNECTION
1) PROPII2TY ADDRFSS:
LEGAL DESCRIPPION:
or Tax Parcel..D.
IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMffT ISSL'ANC.E:
(Nbnth )(ear)
PRESENT ZONING/PROPQSID LSE: R-1 SINGLE FAMILY
R-2 DL'PLEX ('IG,n L'nits )
R-3 'IbWDII30C?SE (Three + L'nits) ( C'nits)
R-4 APARTMENI'/CONIDOMINICM ( C'nits)
COMb'JEE2CIAL/!R.ETAIL/OFFICE
IDIDC'STRIAL
INSTI'IL'TIONAL/GOVERNMENT
2) ... ,
NAME: LY I rzT72O t- u Sccrn L(,vn ES
ADDRESS: RZrNes'tG-4 "'P'? •
,
CITY. STATE, ZIP: J?}j,,cyJ ; (5,??•
PHONE:
NAME:
ADDRESS:
For City Use
k cense
e
I ed
ecord
?
• r ??
3)
CITY, STA'I'E, ZIP:
PHONE:
1_N?'Tl'ftw .6;itJcft5 ,71?tJ
r'57f5' G '??+??
--l(aS1rL•'L0144..7 . Aj -
?12`3 ",wj ;5v MASTER LICENSE # 30 `(
4)
ADDRFSS:
CITY, STATE, ZIP:
PHONE:
5) i? ' ?+• ? a??
KCOAINECPION TO CITY SEWII2 w CONNECTION TO CITY WATER
[) OTHII2 (Please Describe)
6) u • i --
[l PLEASE HOLD APPROVED PII2NIIT FOR PICK-LP BY ONE OF P.BOVE
? MAIL APPROVED PERMIT TO 1, 2,a 4, ABOVE
(Circle one)
17 7) ? ?
F O R C 2 T Y U S E O N L Y
PERMIT ISSUED
FEES: $ _ 1(U•51ii
S /U ?Ci
S ? j G+C.
S
$
$
$
+S
$ •Sr? ?u C.
S
$
S
S
$
?
u
,
SELR PiT''.R?1IT (I?IC.T:JLL .SUP.C.:a?RGL)
WATER PERP1IT (INCL'uDE SuRCHARGE)
WATER METER/COPPERHORN/OUTSZDE READER
WATER TAP (INCLUDE CORPORATION STOP)
SE;dER TAP
?I'
ACCOUNT D..F.POSIT - P7ATER
WAC
SAC
TRUNK WATER ASSr,SSi?E:1T
TRliyK SEWER ASSESSAIENT
LATERAL BENEFIT/TP,UNK Sz- WER
LATE?2AL BENEFIT/TRU::K WATER
WATER TREATMENT PLANT SURCHARGE
OTHER:
TOTAL
Al?,IOL'.;T PAID/RgCglpm tt? fl/c/
DOES•UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
L] YES IF YES, THEN A"PERMIT FOR WORK WITHZN
PUBLIC ROADWAY" MUST BE ISSUED BY THE
Q NO ENGINEERING DZVISION. LIST AS A CONDI-
TION.
SUEJECT TO THE FOLLOS4ING CONDITIONS:
APPROVED BY:
TI:LE: '
DAT°: _ ?C??h \ ..
o-*
SCiO°S0'!'
63^50+
250-25; +
l2S-CO+
SG3°CO+
63o C0+
280^00+
132oC0+
2s314*25 *
0 o 7 ,
1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN
NOTE: ALL C011TRACTORS NUSY BE LICENSED IiITH THE CITY OF EAGAN
COMyIERCIAL
SINGLE FAlIILY DWELLINGS
INCLUDE 2 SETS OF ARCHITECTURAL INCLUDE 2 SETS OF PLANS
& STRUCTURAL PLANS, 1 SET OF 3 CERTIFICATES OF SURVEY
SPECIFICATIONS AND 1-SET OF 1 SET OF ENERGY CALCULATIONS
ENERGY CALCULATIONS
To Be Used For: ?c,f j1?r1?1?? Valuation: ? Date: /
Site Address OFFICE USE ONL7 f
Lot ? Block ?
Parcel/Sub
owner ,j?' f°iJrtp L c tLS /D?? lll?L1 ?s ?r'L?
Address J1 lfJ ?/'"l
,
cityiziP Code,& /,zni i/iti-s 337
Phone
Contractor
Address
City/Zip Code
Phone
Arch./Engr. ? Q yl? ?--
Address
City/Zip Code
Phone #
Erect ? Occupancy ?
Remodel Zoning ?
Repair ? Type of Const ?S
Addition # of Stories
Move ? Length co
Demolish ? Depth ?
Int.Impr. Sq Ft _
Install
APPROVALS FEES
Assessments ? Permit ?i
Water/Sewer Surcharge !
Police ^ Plan Review 2`.
Fire SAC S
Engr ? Water Conn ?
Planner Water Meter E
d Unit
Council
,
???
Bldg Off Treatment P1
i
APC Parks
?
Variance Copies
TOTAL
sb i
J. ? g-
K- 62R (:? c) c.?
22 ? 22 ` 4 & q X 12 = 'S got>
'-IGo x 4?- J 4 2240
?.
12Co S?so
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''.boo? Lq f?.?+E tol
as t
ENGINEEi?ING `p?AHNEAS and?lAND SiUIIYEYORs
COMPANY, INC. `
??1000 EAST 146M STREET, BURNSYILL£, IdINHE50TA 45337 PH 432-3000
l.4aal .t?.sct?i ??e f°sz .
t•IORTH ?
54ALE = 1" = 56'
LOT /, BL??K /, RoSE yidt ADO/T?o?c1
DAKoTA CovNrY, M/IVNESoTA
6AST
EA 5 T h 5.0 .
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I a89°s¢'00''w 1974L. i; o ZZ.?, a
71. 94 (977. ?a•/ k °• (870:? r3.?1 ,? a a?a
6.0
L873, j
lJ 89° 54' Od' N/ `?T
,oo.? jj 4
Q r r870.9!
?Ir? t87/.5, ???----
_
336, 96?5.j
Kt 89° 54, oo" W ?-i
DRAlti/AGE AA/D
tJ71C.ITY EASEME'NT
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(S?i.s)
61
I. (?30` FRoNr $uILD/,V6
SETBACK L/d!E
' ?z_•? DENOTES EX15771il16 EL,-5VLJT/aA/
(s,o,o) aENorES PROPaSE,o 9 LrtiAT 4)n!
/ND/CATES p/REC- 7140A/ aF .SuRFAe-€ DRs1 %.V,46E
5-11.o =?iNlS,?/EO 6ARA66 FLooR ELEVAT/aAv
I her:by certify that thia ia e true and ccrrect repreaentation ot a tract ot
land as shown'end deacribed hereon.. As praparad by me on this _/r'rxt, day ot
Sd??Bcw , 19 5 .
i':?Z??saya- /o? Hinn, lte;. No. /==
Use BLUE or BLACK Ink
r
For Office Use y~
Permit
City of Eapn I Permit Fee:
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 ;Staff:
2012 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: / Site Address: Unit
Name: :Rb2~ 6- Phone:
RESIDENT /
OWNER Address / City / Zip:
Applicant is: Owner _zco-ntractor
TYPE OF WORK Description of work:( DLdG f 1~StI/~~ /
Construction Cost: 9~2 GAD ° d Multi-Family Building: (Yes / No ✓ )
Company: W _T eep- , _c/ /o o Ikc - Contact: Lfz)r•Ue) Z"g_
CONTRACTOR Address: , 37/x; ~.1J4 (j jz (c~' r City:
State: lJ Zip: Phone: 3
License '20 6Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE. Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.goaherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work,atuthorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days er i issuance XXX / 2 r X
Applicant's Pri ted a e Applicants Signature
Page 1 of 3
Use BLUE or BLACK Ink
r_________________
I For Office Use I
I 1 Z, ,
nCity t of Ea no T1 ~ Permit
1 I Permit Fee:
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received:
I
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff:
I
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
~y C~ f n /
Date: G ' Site Address:
Unit
Name: P 1 l }i f ~,~3 C% Jn Phone:
Resident/
Owner Address / City / Zip: i
Applicant is: Owner contractor
Description of work: 12_e> o lo, S t
Type of Work
Construction Cost: G ( Multi-Family Building: (Yes / No
Company: J t /~n v 7f`rtir C' [_Contact:
Address: City: Contractor
-7 f.
State: kn Zip: Phone: j2- / a~)
License VJ c s 2 Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan b~sed on a master plan? I
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are conside ied to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org',
I
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 Olans.
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.
X_ 19,~~ i'll i -16 1
x
DL16
Applicant's Printed Name App ant Signature
Page 1 of 3