1489 Lake Park CirCITY OF EAGAN Remarks
Addition Thomas 1.ake Additi on Lot 1 eik 1 Parcel #10 75900 010 01
Owner Street 1489 L.ake Park Circle state Eagan. MN 55122
? Y ? /// ?? ??i
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. re 34/ 1982 2956• 53 591• 31 5 2/
STREET RESTOR.
GRADING 19,91 73195 346
.
SAN SEW TRUNK Tr.` yb
*SEWER LATERAL
WATERMAIN
:tWATER LATERAL 1991
WATER AREA
1977 7
-
STORM SEW TRK ? , (ol
i6TORM 5EW LAT 1981
CURB & GUTTER
51DEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
I
0 CASH RECEIPT ? .
GITY OF EAGAN •
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
oare
nece?o •
snw --
AMOUNT S . ! "? •
8 DOLLARS
,ao
O CASH Q'?CHECK
it
f ;`', •/
f{J? ' , /^ ?? t t
IOR
BY
C 15327 Wm.-p.,,m
?
Ye1b?Poatlnp Cop?r V?v?Y
Pirdc-Fib copy w
Thank You
SEWER & WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
r
,..
DATE
OFFlCE USE ONLY
METER # PERMIT DATE 09/16/91
CHIP # PERMIT # 12278
METER SIZE B.P. RECEIPT # C 15327
ISSUE DATE B.P. RECEIPT DATE 09111.1 9 1
X PRV - BOOSTER PUMP
SITE ADDRESS
LOT I BLOCK ' SEC/SUB •1iUi'fAS I''ION
APPLICANT: 141FE?1 YLL HOMiS, Ii1C;.
ADDRESS: 119.:1 S;'J;?t;c'sZLL
GITY, STATE L r "i" ,: i;V . ZIP
PHONE: 4_,',..., ?1? U
PLUMBER: GOKLEY PLUil3l !'i (;
ADDRESS: IU14 W• CU?NTY :iLb i
CITY, STATE . 4 ZIP
PHONE: 4 b`+- I''UU
OWNER: D''AN/KIN c"LACKE:
ADDRESS: 1.195 SPQ()Id bII,L
CITY,STATE EAUAI+i, ?.? . ZIP `;
PHONE: ' • -'?i??'
PERMIT REDUESTED
? SEWER WATER - TAPS
- COMM/IND 1? RESIDENTIAL
X_ NEW - EXISTING
Lawn 5prinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Credit WILL NOT be given for Deduct Meters.
. , ;-
_
I AGREE TO COMPLY WITH CITY OF
EAGAN ORDINANCES
SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIDNS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
SEWER & WATER PEF
CITY OF EAGAN
3830 Pitot Knob Rd.
Eagan, MN 55122-1897
DATE -
OFFICE USE ONLY
METER # AZA77 PERMIT DATE 09 / 1 6i 9 l.
CHIP # D a'?.eZd D g$? PERMIT # 12278
METER SIZE 51*2 eA u B.P. RECEIPT # C 15327
ISSUE DATE 1Z" - B.P. RECEIPT DATE 09L111 9i
{
? PRV -BQOSTER PUMP ?
SITE IApRESS PERMIT REQUESTED
LOT`' BLOC K 'SEC/SUB SEWER ? WATER - TAPS
APPLICANT:
?
ADDRESS:
1195 SP0011*BILL CI;:I:L ;
-
RESIDENTIAL
COMM/IND
CITY, STATE E?GAii, IMN. Zlp r? •? 1`' `' X_ NEW - EXISTING
PHONE: `' ^ 6U" 6
PLUMBER: L0KLL;Y,0FLUei 3IriG
ADDRESS: 1014 w• COUN'1Y Rll I
CITY, STATE ' ZIP '
PHONE:
OWNER: j,ANiKiN FZAC?Z`.t
ADDRESS: i)S ;iPCiUiic;:iLL Cl .?.:-
CITY, STAT,E, 'i ' '114' z
5 51 2, `,
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Credit WILL NOT be given for Deduct Meters.
l'• 1 ? .. __ -/?.? iIAqREE TO COMPLY WITH CITY OF
EAGAN ORDINANCES -
SIGNATURE WHEN METER ISSUED
,
PLEASE ALLOW TWOf WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORMI
SEWER PERMITS. CONTACT ENGINEERING DEPT.
'?. ? . "?`f1;'?e°?`.:?'"•9Li?:.. ;?_!+.:r?? ~?.?'???
. , . CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 681-4675
BUILDING PERMIT . , Receipt #
To be used for Sr DWC/CAR
Site Address 1478 LAKE 1
Lot P Biock i Se
Parcel No.
Name _
? AddfESS
O cfty -
Phone _
? Nan'le -
0
i,- Addf@SS
? C4 -
? Phone _
1 imnca
Zp
iil 99C.3u
.000 Date DFC 4 ,I g 91
-
OFFICE USE ONLY
FEES
Occupancy R- 3 J&--l 766
Z
nin R 1 Bldg. Peft .00
_ g
o
(Actual) Const Y"rl Surcharge 68.00
(Allowable) V-K Mm Raview 498,?Q
24
- # ol Stones
Len
th 9
? ?
g
Depih S4+ SAC, Cily 100000 ?
S.F.Total - SAC,MCWCC 650'00
S.F. Foolptints -
I hereby acknowlege that I have read this appiication and state that the
informatan is correct and agree to comply with all applicable Stale ol
Minnesot2 Statutes and Ciry of Eagan Ordinances.
Signature of Petmitee
A Building Permit is issued to: m W JmwSOH CANSY'
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Stalutes and City of Eagan Ordinances.
t
Building Official -
0 BOX 14389
'PL$ YALL.IEY MN
On Site Sewage
on ste wan
?
MWCC Syslem
Ciry Waler x
x
PRV Fiequired
Booster Pump _
APPROVALS
Planner _
Council --
BIdg.Oft.
Variance -
Water Conn 6 W• V0
WaterMeter 95•00
Acct. Deposil
S/w Permit 30• 00
S/W Surcharge • 50
Trealment PI 276•nn
Road Unit 370•00
Park Ded.
Copies
?
TOTAL 3,543.
Permk No. Pertnit Holder Date Telephone #
lvw /G
PLAJMBING
HVAC /O 9
ELECTRIC
ELEC1'RIC
Inspectton Date Insp. Comments
Footings I
l/
Q c ?
FoundaGon -2 91 lv.0
Framing -Z _gZ
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace ?
Fnal Htg. ? ?f•7Z
Orsat Test S
Final Plbg. - Plbg. InspeCtor- Nofity Plumber
Const. Meter
EngrJPlan
Bldg. Final
Deck Ftg.
Dedc Fin21
Well
Pr. Disp.
-qZ 3l? ?
. .a . • ? r ? ? .o ....
• , CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 BUILDING PERMIT To be used for _ SF LXiC/6AR Est. Va1ue =118tOi
.
Site Address 1489 lAl? PA?[C C I R
Lot ? Block 1- Sec/Sub. TUMAA yAKL
Parcel No.
W Name l.2FEtTyt1 ?g iH'
I Address 1145 SPeDqsiLL CtlR
0 City ?'-AN Phone 6M-78IS6
Name gANY
Receipt #
19y6 2
r- - " ?
OFFICE USE ONIY
Occupancy R-346..1 FEES
Zoning -AQi
(Adual) Const _V-N Bldg. Permit ??
(AJ10„`able) "-V-H surcharge ItoQp
# of Stories
length Plan Review G S7 _(]f1
Depth SAC, City t ? -?Q
z?
?¢
Address
S.F. Total -
? City Phone S.F. Footprirns
_ $AC, McwcC
-650''?
t
W
C
66
?
On Site Sewage _
a
er
onn
0,.?
V
W Name
On Site Well
W
t
t
M
9
F
W
x =
Address
?
MWCC System ?
5-
a
er
e
er
<W City Phone Ciry.water ? accl. oeEwsit .30
-
30
00
PRV Required _?. .
SNY Permit
I hereby acknowlege that I have read this application and state that Ihe Booster Pump - S/yy Surcharge - x1
infomiation is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
1 Treatment PI 976-t1[1
? `?
Si nature af Permitee
9 APPROVALS
Road Unit 97T??-M
A Building Permit is issued to: LiIZsnLZ HOM Tnc Planner - Park Ded.
on me express eondition thal all work shall be done in accordance with all CounGi -
applicable 51ate of Minnesota Statutes and City of Eagan Ordinances. Bldg. OH. - COp1eS
8uilding Official '. Va^ance - TOTAL 3. 430- ?
. PermR No. Psrmk Holder Date Tekphone #
WATER / ?Z/l/
SEWER,
PLUMBING D/ 7 a 'l`d'Y ?f lD?i
?+.v.ac. /a ? g ??(,
ELEC,RIc 533/?- . io r.?si ?
Inspection Date Insp. Commerits
FooGngs I 1-?hl 44
Fa,??tio, 3
Framing DS
Roofing
Rou gh Plbg. l
Rough Htg.
Isul.
Fireplace
Final Htg. e/a /
Orstat Test
Fnai Plbg. Plbg. Inspector - NoGfy Plumber
Const. Meter
Engr./Plan
Bldg. Final la
Oedc Ftg.
Dedc Final
Weil
Pr. ?isp.
RESIDENTIAL $ ?
BUILDING PERMIT APPLICATION
` ;..
CITY OF EAGAN
3830 PILOT KNOB RO - 55122
651•681-4675
aoa 83 s e-I
U,U?
NewConsVUCtionReauirements RemodellReoairReauirements "
+ 3 registered sAe surveys showmg sq R. of lot, sq. ft, of house; an?Il roofed areas • 2 copies o( plan
(20% maximum lot cove2ge albwed) . 1 setof Energy CalalaGOns for heated additions
. 2 copies of plan showing beam 8 window saes; poured found design, etc.) • 1 sde survey for extenor additions 8 decks
• 1 set of Energy CalculaUons . Indicate if home served by sep6c system for additions
+ 3 copies of Tree Preservation Plan d lot platted after 711193
. Rim Joist Detail Options selecUOn sheet (hldgs with 3 or less units)
1 b-1---i-6 I
DATE !49- ?!- Q t VALUQION
JOB SITE ADDRESS /qS q LAKE PAKK C'iR. .
IF MULTI-fAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNER K,e.2cn? Ma-is
TYPE OF WORK F'RU.uT aaua FIREPLACE(5) _ 0_ 1_ 2
APPLICANT W60ra5c.Q-pOE.S MAJ PHONE#(e5t•WA3-29,oe1
ADDRESS
PAGER #
CODE 55i?W_
CELLPHONE# qSo'l-aq2--;;LSLolo' FAX# (a5f-?{'J?3-??°?
NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY t
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
vIINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumbing Contractor: Phone
PlumUing System Includes: Water Softener _ Lawn 5prinkler
Water Heatcr No. of R.I. Baths
No. of Baths
Mechanical Contractor: Phone #
Mcchanical Systcm Includes: Air Conditioning
I-Icat Recovcry System
Sewer/Water Contractor: Phone #
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that the information
with all applicable State of Minnesota Statutes and City of EagaD_CLr<inances. ,
Signafure of
Fee: $90.00
Pcc: $70.00
oGl-i(I ,
E?ct. and aaree
Certificates of Survey Received Tree Preservation Plan Received _ Not Required _
Updated 1101
OFFICE USE ONLY
? 01 Foundation
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? OS 03-plex
? 06 04-plex
0 31 New
? 32 Addition
? 33 Alteration
? 34 Replacement
Valuation
Census Code
SAC Units
Nbr. of Units
Nbr. of Bldgs
Type of Const
-A
? 07 05-plex ? 13 16-plex
? 08 06-plex ? 16 Fireplace
? 09 07-plex ? 17 Garage
? 10 OS-plex ? 18 Deck
? 11 10-plex ? 19 Lower Level
? 12 12-plex Plbg_Y or _ N
Z$?"O
=F-?-f
C?1
?
r
?
Occupancy (L 3 ' Ul, MC/ES System
Zoning City W ater
Stories Booster Pump
Sq. Ft. PRV
Length Fire Sprinkiered
W idth
REQUIRED INSPECTIONS
Footings (new bldg)
Foorings(deck)
Footings (addition)
Foundation
Drain Tile
Roof Ice & Water Final
Framing
Fireplace _ R.I. _ Au 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
Totai
? 20 Pool
? 21 Porch (3-sea.)
? 22 PorchlAddn.(4-sea.)
K 23 Porch (?e?0t1,.,
`,.
? 24 Storm Damage
? 25 Miscellaneous
0 30 Accessory Bldg '
? 31 Ext. Alt - Muiti
? 33 EM. Alt - SF
? 36 Mufti
? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
*Demalition (Entire Bldg only) - Give PCA handout to applicant
FinaUC.O.
?( FinaUNo C.O.
_ Plumbing
HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Siding Stucco Stone
_ Windows (new/replacement)
Approved By?
---------------- --------- -Z? , Building Inspector
--------------------- - ------- - ----------- - -----
f Orr..Ll f iya X ;0 = II ;t-oo
-4_ , .. .
DATE:
SEP 16, 1991
RE: 1489 LAKE PARK CIB (LIFESTYLS HOMES INC)
xk You?ewer & Water Permit for the above property has been completed. It will be held ai the
Pvblic Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
j(t:ALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
Your Sewer & Water Permit for the above property cannot be completed for the following
reasons:
_ Your Sewer & Water Permit for the above property has been completed, but the meter cannot
be issued or occupancy allowed until further notice.
- COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
?Address: 1478 TAtcF'. pARK CIrL,rj,g Lot g BlkI Sec/Sub IRCMAS I,AKE
These items were/were not complete at the time of the final inspection.
Dat : 2/26/92 Yes No
Final grade (6" from siding)
Permanent steps - garage
Permanent steps - main entry
Permanent driveway
Permanent gas
Sod/seeded grass
Trail/curb damage
Porch
Basement fin3sh
Deck
Please verify vith the builder the removal of roof test caps £rom the plumbing
system and the shut-off of water supply to the outsida lavn faucet before
freeze potential exists.
w
pECYflFOpbEP
White - City copy Yellow - Resident copy Pink - Contractor copy
,Address: 1489 I,An PARK CIR.,r'LE Lot 1 Blk I Sec/Sub IHCMS jAI(E
These items were/wete not complete at the time of the final inspection.
12/31/91 Yes No
Final grade (6" Prom siding) ?
Permanent steps - garage
Permanent steps - main entry ?
Permanent driveway ?
Permanent gas ?
Sod/seeded grass ?
Trail/curb damage
Porch
Basement finish ?
Deck ?
Please verify with the builder the removal of roof test caps from tha plumbing
system and the shut-off of water supply to the outside lawn faucet before
freeze potential exists. ?
P[tM1tEOMRP
White - City copy Yellow - Resident copy Pink - Contractor copy
REQUEST FOR ELECTRICAL lNSPECTION ee ooom-i3
? Sae msVUCLdnS lor compl60nB Ihis form on back ol yellaw ropy '??'?"?..?' /Q-2.?
"X" Below Work Covered by This Request '--
ew Add Rep ' TypeofBwldmg AppliancesWired EqwpmentWired
-
Home
Range
Temporary Service
I Duplex Water Heater Electnc Heating
Apt. Buddinq Dryer Other (Specity)
I CommJlndustnal Fumace
Farm Av Conditioner
OlherlsVacdyi Conhartor's Ramarks
Compute Inspechon Fee Below.
e Other Fee b ServiceEniranceSize Fee # Circuits/Feeders Fee
Swimming Paol 0 to 200 Amps 0 to 100 Amps
Transformers Above 20D _ Amps Above 100 _ Amps
Signs insoe=iors use On??y 70TAL ?
IrrigationBOOms ,???
Speciai Inspechon
AlarmiCommumcanon THIS INSTALLAtION MAV BE ORDERE ISCONNECTED IF NOT
Other Fee . Sp COMPLETED WITHIN 18 MONTHS.
I, the Electncal Inspector. hereby R°O9""" f
cernfy thai the above inspecllon has
been made.
?
OFFICE USE ONW
This requasl voitl 18 momhs Imm v '
X-0
3
?2??
3
5
?
ReQues: oate Fre No Rough-in InspecUOn
Reqmred'+
? Reatly Now -B4Jill Notdy Insp_eOr
hen Pea?
/Q /(? ?1 ?/es L N
I Z-licensed contrector D owner hereby request inspection of abov ledrical wo ?
Job Atltlress (Street Box or Route Na I
& Ciry (-
0
`
?
Z \ (le . 411 1
"
Seclion Nc Township Name or N. Fange No Cou ??l
OccuOam IPqINTi Phone No
F vm?s
Power SuppA?
y-? Atltlress ?p
\.iF
w ,?
r
l Conlraclor9 Lice No
Elemncal Gon r iCOmOeny Nam
a
/
-
b 4?
,r1A5E C_?FC7Eic
,_
Maling .4tlOrass IConVector or wner Makmg Installebon)
a ?n 7 5sizz
IAmnonzetl Si wre ?COnvac?v:Ow xm InstallaUOn?
1 Pnone Number
(OSS l'}
MINNESOTA STATE 90ARD OF ELECTflICITV THIS INSPECTION REOUEST WILL NOT
Griggs-Mitlway 910g - Room 5-173 . BE ACCEPTEO BY THE STATE BOARD
1821 University Ave.. SL Paul. MN 55104 IJNLESS PROPER INSPECTION FEE IS
PM1One(61]) 641-0800 ENCLOSED
CITY OF EAGAN N2 19662
3630 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING'PERMIT PHONE: 454-8100
Receipt #
To be used for SF DWG/GAR Esc Vali
Site Address 1489 LAKE PARK CIR
Lot 1 Block 1 Sec/Sub. THOMAS LAKE
Parcel No.
w IName LIFESTYLE HOMES IPIC
? Address 1195 SPOONBILL CIR
City EAGAN Phone 454-7866
?F Name SAME
gQ Address
? City Phone
W W Name
W
Address
a? Ciry Phone
I hereby acknowlege that I have read this applicaUOn and state Ihat the
information is covect and agrea ro comply with all applicable State of
Mmnesota StaW[es antl (?kof Eagan Ordinancas._
Signature of Permitee
OFFICE USE ONLY
OccuDancy R-3--ML S FEES
Zoning R-1
(ACiual) Const --Y-N Bldg. Permit _
(aiwwable) -1LN
n
surcnarge 59_0
8 oi Stories
Lengih 62 ?
0
Plan Review 457.0
Depih 34'
0
SAC. Cily 100.0
SF.TOtal - SAC,MCWCC 650-0
n
S F. Footprints _
On SRe Sewage _ Water Conn r,bn _ nn
On Sfle Weil Water Meter 9 S_ OO
MWCC System X
Ciry Waler X
0
AccL Oeposit 30.0
PRV Reqwred _x S/W Parmit 30.00
eooster Pump - S/W Surcharga .5
0
Treatment PI 9 7 6- nn
APPROVALS Road Unil 37n _ nn
ABUildingPermrtisissuedto: LIFESTYLE HOMES INC Planner - p,rkDed.
on the express wndiiion that all work shall be done in accordance with all Council
applicable State oi Minnesota Statutes and City of Eagan Ordinances. Bldg Otl Copies
{? -
0
Building Offwial Varia'nce _ TOTAL 3,430.5
$118,000
RESIDENTIAL
BUILDINC PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122 ?
J ? 651-681-4675
?..
NBW COIIBtNGIIDII RBqYIfef11B11t8 RemodeVRaoalr Reauirements
• 3 registered sile surveys showing sq. ft. of lot, sq. ft of house; and all roofed areas • 2 copies of plan
(20% maximum lof coverage allowed) . 7 set of Energy CalculaGOre fir heated addNOns `Fs-, a(e - U 7--
• 2 copies of plan showirig beam & window s¢es; poured found desgn, etc.) • 1 site survey for exterior addNons 8 decks
• 1 set oi Energy Calculations . Indicate if home served by septic system for additions
• 3 coDies of Tree Preservation Poan if lot platted after 711/93
• Rim Joist Detail Options selection sheet (bldgs with 3 or less unils)
DATE S - I5 ' ? "?- VALUATION '5 (PoC7 ^
SITE ADDRESS Iy g9 LKLK GPAQK 0,le, MULTI-FAMILY BLDG _Y _N
TYPE OF WORK 1 1Ff_K FIREPLACE(S) _ 0_ 2
APPLICANT_?1??OOSCI?C?_ I? ?LJ STREETADDRESS ud??j CITY AvnL6U#?,TATE XIR'ZIP S 19-
TELEPHONE # (c5f e4aa; 211 n 2-CELL PHONE # q5a, aqa as fo 4o FAX # ?GSiy-2 3 (ga &c ?
r`??ay ? vi
PROPERTYOWNER ?_A c7-5S TELEPHONE#(c51 °!OS 112 1
Energy Code Category
(J submission type)
COMPLETE FOR KNEW" RESIDENTIAL BUILDINGS ONLY
_ MINNLSO'PA RULES 7670 CATEGORY I MINNES01'A Rl1I,h:S 7672
. Residential Ventllation Category 1 Worksheet Submitted
• Energy Envelope Calculalions Submitted
Plumbing Contractor: ___
Plumbiii, system includes:
Mechanical Contractor.
Mcchanical system includcs:
Sewer/Water Contractor.
Air Conditioning
_ Heat Recovcry Systccn
Fcc: $90.00
I hereby acknowledge that I have read this application, state that information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of gan Ordin + es.
Signature of Applic
OFFICE USE ONLY
_ Water Sottener _
_ Watcr Hcater _
No. of BaQis
Phone #
• New Energy Code Worksheet Submitted
Lawn Spruiklcr
No. of R.I. Batlis
Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _
Updated 4/02
OFFICE USE ONLY ,
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
O 02 SF Dwelling ? 08 06-plex ? 16 Fireplace 12 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-plex V=$6-Bi5ek eM 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg
Y or N ? 25 Miscellaneous
_
_
anct„b?s FyzL?b?
31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bidg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg only) • Give PCA handout to applicant
Valuation 31°v:- Occupancy 1Z-3 MC/ESSystem
Census Code L43 q Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. o o PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const ? ln W idth
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
? Footings (deck) lo FinaUNo C.O.
-)Q Footings (addition) _ plumbing
_ Foundation HVpC
_ Drain Tile Other
Roof _ Ice & Water _ Final _ Pool
Ftgs
Air/Gas Tests _ Final
,0- Framing _ _
_
Siding Stucco Stone
_ F'ueplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By
Building Inspector
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
iD, X/o = /vo 511::, 7 x 30.0v
VEYOR'S 4CERTIFIGATE
_r
i?
J
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5044 70 SUFiORT THE SPECIFtC HOUSE PpD/OS£0 IS a y191TKp1, LOCATION OF fT11UCTUqE 0?ILC !EE
N6T THE RB9FbNSIMLITY Or THIS 3UINlYQR Alb11yF,CTUAI MN! !CH WJILOMO p/DIIIMYIpI ,
aMENsioru.
+- OENOTES PROPO5ED SURfACE DRAINAf3E
U DENOIFS IRON MONUMENT SET SCALE: 1 INCH - 30 FEET
• DENOTES IRC7N MONUMENf FOUND PROPOSED GAqA(3E FLOOR -`j1d• 3 FEET
XOOOA DENOTES EXISTINC3 Fl FVAiIUN PROPOSED LOWEST FLOOR -9z/• 9 FEET
(000.0) DENOTES PROPpSEO ELEVAiIUN PROPOSED TOp OF BLOCK-93'o• 7 FEET
WE HEREBY CERTIFY TO LiFE 57YLE FKIMES TI IA7 THIS 15 A TRUE AND CORRECT
REPRESFNIATIUN OF A SURVEY OF THE BOUNDARIES OF:
I_ot i, 8bck I, THOMAS LAKE ADUITION, accordhg to the rcoofded plot Ihereol,
Dakota CouMy, Mirnemota.
17 QOCS hiOT F'URFORT 70 Sf1()VJ IMflRpVEMEiITS OR ENi.ROACfIrvSCNTS, E7CCEP1 AS SHOWN. AS
SIiRVEYFD @Y MF OR UNnFR MYDIRECi SUPENVISIUN THIS 29'rH DAY OF AUGUST , 1991.
. IL, INC. ?
SIGNEDMFS R HI
BY: e-
JONN C LARSON, LANf) SUFIVEI'C)R
MINNES0TA I I(.:FN5E MJMBER 19928
m ? o ?? ? q Hil I
James R
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250D W. CTY. RD. 42 • BURNSVILLE, MN. 55337 9 814-860-8044
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
851-681-4675
I
New ConaWCtion ReauiremenM
• 3 registered site surveys shounng sq. R of lot. sq. fl, oi house; and all roofed areas
(20%maximum lot coveraye allowed)
• 2 copies of plan showing beam & window s¢es; paured found desgn, elc.)
. 1 set of Ene(gy CalcWafions
. 3 copies of Tree Preserva6on Plan N lot platted afler 711193
. Rim Joist DelaB Optlons selection sheet (bldge vnth 3 or less unAs)
DATE Q)° l"L' Ul-
SITEADDRESSWVI IA?
TYPE OP WORK
_ Water SofCener
Water Heatcr
No. oF Baths
APPLICANT riIC1--> .W l__
STREETADDRE,S,SF Folo?-'t1 ?(CO??u1 ?r'y', C??"lvl CITY V.J?l1 ? WI??Q?STATE 1vu ?Z?IP?
TELEPHONE #`ti?ZJ_10 ^t" CELL PHONE # FAX #QS' '?0&iq1,tk?
PROPERTYOWNER V6(A'O1 Nll%? TELEPHONE#
-------------------°----°----°--°---------------------°----------------------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESO'1'r1 RliLES 7670 C:YCEGORY 1 MINNESOTA RULL:S 7672
(J submission lype) • Residenhal Venlila[ion Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Enargy Envelope Calculations Submitted
Plumbing Coniractor: __
Plumbing system includes:
Mechanical Conhactor:
Vlechlnical system includcs:
Sewer/Water Contractor:
_ Air Conditioning
Hcat Recovcry Systcm
Pee: $90.00
$70.00
Phone # 1 AUG 1
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- _- - - -
j?,7- - _-- -
I hereby acknowledge that I have read this application, state that the information is correct, _anctagr.ee-t___ ac4_ ply
with ail applicable State of Minnesota Statutes and City of Eagan Ordinances.
SignatureofApplicanT
OFFICE USE ONLY
MULTI-PAMILY BLDG _Y T-N
_ FIREPLACE(S) _ 0 _ 1 _ 2
VALUATION+
Phone #
_ Lawn Sprinkler
No. of R.I. Baths
Phone #
RemodeUReuair Reauirements
. 2 copies of plan
• 7 set of Energy Calculations for heated addi6ons
. 1 sde survey for exterior additions 8 decks
. IiMicate i( home served 6y uptic system for additions
Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _
Updaled 4102
F__ -
kA_1? ?_
S?`??SS
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651•681-4675
tiew conatrualon Regulreme?
• 3 regislered site surveys showing sq. ft of bt, sq. fl. W hause; and it rooted areas
(20% maidmum bt coverage allowecq
• 2 copies of plan showing beam & wmtlow sizes; pnured found desN3n, etc.)
. 1 sat ot Energy Calculations
• 3 copies of Tree Presarvatian Plan M lot platteU aNer 7/1/93
• R6n Joist Detail Optbns selectlon sheet (bldgs wNh 3 ar less units)
DATE yl'A'Vnl'
SITE ADDRESS I
TYPE OF WORV - S??T
MULTI-FAMILYBLDG _Y VN
FIREPLACE(S) _ 0 _ 1 _ 2
APPLICANT 0,4_6C l_?{y?-
STREETADDRESS 1aaq7-A1i'c'o1h*t'A ?t S- CIN •r s`/l?e STATE/77 A) ZIP?S33?
TELEPHONE #(qS a)`?6'1-64 sq CELL PHONE # FAX #? 95? S? 8- g'Ff?lb
PROPERTY OWNER KQfM 5 TELEPHONE # C b? l? 9?s`-ll a l
----°------------------------- ---------------- °-------------------------------------- -------
COMPLETE THIS SECTION FOR %NEWn RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672
(4 submission type) • Residential Venfilation Calegory 1 Worksheef Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculadons Submitted
Plumbing Contractor:
Pluxnbing system includes:
Mechanical Conhactor: _
Mechanical system includes:
SeweNWafer Conhactor:
Phone IY
Phone #
I hereby acknowledge that I have read this application, state ihat the information is
with all applfcable State of Minnesota Statutes and C(ty of Eagan Orlinances. .
Signature of Applicant
Fee: $90.00
Fee: $70.00
OFFICE USE ONLY
_ Water Softener
_ Water Heater
_ No. of Baths
3Co0 ??
BamotleNNacalr Beauiremente
• 2 wpies of plan
• 7 se[ ot Energy Cekuletbnsfot he8letl addi6ons
• tsttesuneytorexlerroraddhbns&decks
. InaiCete N home served by saptic system lar addifions
VALUATION
Phone #
_ Lawn Sprinkler
_ No. of R.I. Baths
_ Air Condirioning
_ Heat Recovery System
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4l02
a ? S RESIDENTIAL
?a-- BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
NewConstructionReuuirements ' -? -
• 3 registered srte surveys shaxmg sq. R of IoL sq. R. af house; and all rooted a2as
(20%maximum lot coverage allowed)
. 2 copies of plan showing bearn & window s¢es; poured found design, etc.)
• 1 set of Energy Calculauons
• 3 wpies of Tree Preservation Plan'rf lot platted aher 711193
. Rim Joist Detail Options sefedion sheet (bldgs wifh 3 or less units)
Water SofLener
Water Heater
No. of Balhs
DATE VALUATION$ ??1tJ ?
SITE ADDRESS ??59 ?KQ Y"CLY kCurde ? MULTI-FAMILY BLDG _ Y V'N
TYPE OF WORKTQCt(' FIREPLACE(S) _ 0_ 1_ 2
??'J?-?`??_ ?? - -
APPLICANT
STREET ADDRESS !a a y7 Al tra//G? ?Jt $> CITYEdrrysn'11t STATE"ZIP Srs 3 37
TELEPHONE # CgSa.J7" -691'9 CELL PHONE # (9SsJa4a- 12 1 FAX
PROPERTYOWNER kareK. A055 TELEPHONE#CCSI)?TpS•//al
COMPLETE THIS SECTION FOR «NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESO'1'A RliLES 7670 CAT'EGORY 1
(J submission type) • Residenfial Ventilation Category 7 Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbtng Contractor:
Plumbing systcm includes:
Mechanical Contractor:
Vlcch:uiical system includes:
Sewer/Water Contractor:
Air Conditioning
Hcat Recovery System
Phone #
Phone #
Pee: $70.00
----------------°-----------°...----------------°-----------°---------------------------------------------------------
I hereby acknowledge that I have read ihis application, state that the information is correct, nd agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicanf
._------°---°------_________------------°-------°_-_--_..._.____
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
'7
RemodellReoair Reaulremenh
. 2 copies of plan
• 7 set of Energy Calculations for heated adddians
• isitesurveyforexlerioradditions&decks
• Indicate if home served by septic system for additions
_ Phone #
Lawn Sprinkler
No. of R.I. Baths
Fec: $90.00
1,5-'91 MON 15:00 1D:JFlWS R H1LL [NC TEL F0:612 890--6244 q169 P02
' ,RVEYOR'S 4CERTIFIGATE LIFE ST?? ?ICMES
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NOTl% NO TiCFK SOIL9 INVESTGATION 11AS BEFN COMI.E7BD
ON 1HI? LOT BY 7HE 4URYFYOR. TtE SUTAlIIM OF NOT¢: 9ULOIN6 OIMENSIpN9 SHGWN ARE FVR ?q11QCNTAL
gpt.4 TO $UPPONT TNE SPECIFIG HOUSE PiqPOSED IS 9 ya11TICAL LOCATWN OF ST1WCTlNt[ OfiL1! SEE
NOT TME RH9PVN3IMUTY OI TH! SUINEYQR i1; ? PIAN! fOp WILbRq C? r011lOI?Tlpl .
+-- OENOTES PROPpSED SURFACE DRAINlIGE
O DENUTES IRON MONUMENT SET SCALE: i INCH - 30 FEET
• DENOTES IRON MONUMENT FOUND PROPOSED QARAGE FLOOR - 970- 3 FEET
X000.0 DENOTES EXISTINC3 ELEVATIUN PROPOSED LOWEST FLdaR -9z/. 9 FEEf
(000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK-93'o• 7 FEET
WE HEREBY CfRTIFY 70 LIFE S7YLE HOMES TIIA7 THIS IS A TRUE AND CORRECT
REPRE3EN1AilUN OF A SURVEY OF THE BOUNDARIES OF:
Lot I, Block I, THOMAS LAKE ADDITION, accordhg to the reoofded Dbt Ihereol,
Dakotp County, Mimesoto.
IT nlr0 ur?r 1ner?nT 7:. ....... ....?........-...-..? .. -. . ?..., ?. . "'-_ _.. _ _" ' ' '. .. .
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1991 BUILDING P ZT APPLICATION
CITY OF EAGAN
SINGi.E FAMILY DWELLINGS
MULTIPLE DWELLINGS
COPMERCIAL
2 SETS OF PLANS 2 SE2S OF PL9NS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SiTRVEYS - & STRUCT[IRAL PLANS
1 5ET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCIILATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF YERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH KEQUEST IS MADE.
IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSi1ED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDItESS I5
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A 7
PERMIT MUST SHOW A LICENSED PLUMBER .
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Site Address 1489 LAKE PARK CIR.CLE OFFICE USE
Lot 1 Block 1
Occupancy R-3 M- I
Zoning R-1
Parcel/Sub THOMAS LAKE ADDITION Actual Const V- N
Allowahle V-N
Owner DEAN /KIM FLACKEY # of stories
Length 61%s?
Address 1195 SPOONBILL CIRCLE Depth 34'
S.F. Total
City/Zip Code EAGAN, MN. 55123 Footprint S.F .
Phone 454-6667 On site sewage_
On site well
Contractor LIFESTYLE HOMES, INC. MWCC System L/
City water
Address 1195 SPOONBILL CIRCLE
PRV ?
Booster Pump _
City/Zip Code EAGAN, MN. 55123
APPROVALS
Phone 454-7866 Planner
Council
Arch./Engr. LIFESTYLE HOMES Sldg. Off. 9-/d-q?Ds
Variance
Address 1195 SPOONBILL CIRCLE
City/Zip Code EAGAN, MN. 55123
Phone # 454-7866
AM 3 01991
FEES
Bldg. Permit '/0 , DO
Surcharge S ,Do
Plan Review z167.O0
SAC, City /00.00
snc, riwcc 69so.00
Water Conn. (o p,p0
Water Meter 95.00
Acct. Deposi t 30,00
S/w Permit 3o.oa
S/W Surcharge .Sd
Treatment P1 . Z 6.o a
Road Unit 370.00
Park Ded.
Trail Ded.
Copies
SUSTOTAL
Penalty
Lot Change
TOTAL ' 4??11
L ESTYLE HO S, INC.
??M ??- agrees that all work shall be done in accordance with
( ignature o Contractor) PRES.
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
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SEP-W-191 MON 15:00 ID:JAMES R HILL INC TEL hOD:612 890-6244
ti169 P02
SURVEYOR'S 4CERTIFICATE LIFE ST,LE IJor,,,Es
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NOT[' NO 9'CFiC 9011-5 INVRTGATION fiAS 8EFy1 CPMaLE'tED
ow rn+s LIDr er nm suaverron. Tr,e suisnen.mr ov
SOiIS Tb SUPPDRT TNE SPECIFIC HOIISE PIiDP09ED IS
NOT THE RH9pONDIMLITY 0I TNC SUIIKYQM1
11L?.: U Id ovo 1J uIEQ
HOT¢: 9ULilIN6 OIM049ION9 SHOVIN ARE FVR iqpQOHTAI.
5 vOmAL LMrroa aR srnuetunE oKr. WE
ARW11FC1'UAL N,MIy FDR pyILDIN9 4/01Nt1?71p1 .
DI1011I191". +o DENOTES PROPpSED SURFACE DRAINAGE
O DENOTES IRON MONUMENT SET SGALE: 1 INCH -- 30 FEET
Y DENOTES IRt)N MONUMENT FOUND PROPOSED GARAGE FLOOR -91G. 3 FEET
X000.0 DENpTES EXISTING EIEVAIIUN PROPOSED LOWEST FLOOR -9z/.9 FEET
(000.0) DENOTE.S PRpPOSEd ELEVATION PROPOSED TOP OF BLOCK-93'o• 7 FEET
WP HEREBY GERTIFY TO LIFE S'CYLE HOMES TI4A7 THIS IS A TRUE AND C4qRECT
REPRESENTAiION OF A SURVEY OF THE BOUNDARIES OF:
L01 1, Blqck I, THOMAS LAKC ADDITION, accordhg ta the reoq'ded plot Ihereof,
DakoTa County, M{mesoto,
1 T 4OE5 NOT FUnPORT YCD Sticlw IMrRO'dElAEWI'S GR eh:CRGACFihi6P1T5, EitCCI' i A$ $HC7WN. AS
Sl)ftWEYED BY M6 OR UNDER MY p1RECT SIJPEAVI5ION THIS 29TH pAY OF AUGUST , 1991.
SIGNEDMES R FIILL, INC. ?
BY: ?
?JOHN C. LARSON, LAND Sl1RVEYOR
MINNE.SdTA uCFNSE NUMBER 18928
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91 INrERiOk,.RIR,F0.M..__
92 INTEf21QR FINI?FI. ._.._ ._ ._.---_-- -•-_--_ __ ._____.__..._....._.__.;.__._._O ?5Ill111.11]11?11111111111:1_lll,ll.ll.
93 Cor9TlhlUaUS UAPDR BaRRIER _._._.__.__.__.;.__. p p0 11111117111,11111111111 111111_l1.
94 ?.?0?1DN1ENiP.ER . . .. . _ .. 4?7'.11111111111€11111111111?11111111
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48 Tl'iTAI ASSEMEl4R-4ALUE 8.34;111111111ll 1111]llllM lllll111
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.
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105 .._.__......... _.................. .... _._. _..... __._ .....................
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1 14 _._
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ExPOtiED WALL RIM ?UItiT AREA i 29600 SQ FT 11111]11)]l 11111)I]
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116 ,
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117 INTERIOR AIRFILMl
........................:..........._0:&o:.... ;..I??. ..Il)...?.
118 __
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119 .
_ __.._.__._._.....
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.
L'-OPITINLILU5?IAPURLkRRIER- -- 4.OQ111I1111111'11111111?11:11111111.
120 .........................._........_.........----...._........-----__.____....._...__........_........._.._......_:....................... .......... __........._...._....................____....
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121 ... ...............
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.
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TOTAL ASSfM2L1f
R_4ALUE
---•-•--...-....--------------- _
123 .
.
U VxL11E
Rl
xS.?Ei1PLr
i
........... _........_._l],U?.l).?.II:
1 24 __
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l_
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.]]1]]llll.l]]]JIl]].Illl...................................
125 ° 1 E4 00 SQ FT ?]11I111711 11]111I),
E?sPOSED FDUNDxTiON vlALL AREA
126 ....._ ...........................
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111111111111111111111111111111111]]11111]]1111
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127 ,
............._.....
YI?IDOYS SEMCO D HUMGS ,,sASH AREkR V,tLUE_y U VALUE.. .._UxA
128 ........ ......
DC3?11-2 ' ?5.U0 ; ?.14: 0 47; ?5.6_
..... .......
....................:......................_....'_.......?.........._............_._._'......_ ...
,129 .. ......... ......... ......... .........................- ?-.........._.._........_......._.._............
2..?,6i 0.39: 16.4'
CUAti;72 : 42
..
C10 ....... _.. _
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_ ....,...._...._..............
...
.
:....
i 130 ,
...
..
.
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.
............... _........ _........................ .............._........................_.............
DC2823-3 46.M ! 2.1 ?ts 0.47: 21.44
131 . . . _. _ ........ . _
GC3624J36 120.00 ? 2.14i _0.47: 55.92
----------- ---
... .._...... ..__..............
....
_
i 1 S2 ..............
_ . .
-
. . . 2.1 4€ 0.4-7; 20_5
iPCI e??3/3b ? 44:
s z 3
............. ..
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.... ....................... ........ ............. ...................... ................................._ ___........_.................... .. ..... . .
nC24 ? 6 ?.?.?....._ . ?.4?; 4 07S
....... ......
.. ....a..._.......... .........
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......................................
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.
...:
1134 '
^
.
.
.
.
.
.
0.47:'
1CPD5 . 4-2.01_1 2.14i
.
....
........
:
t35 .
...__._..._...........__.. _
.
....
.................................................. ............................................ ..... _...... _................... ....._.___._..._._. .._.._....._
1'vl3 9.00 ? 2.00's 050 45
,.. ..Pat]e :+ .,
a;
r ' Y
? ?
uEArLoG;s cALcs.
J1 B C D E
136 GCP3642
.......... ................... ...... - _---------------
..._._____ ' 28.00 ?
__.
. 2.14. 0.47: 13.05
137
PC3624
................. .................... _....................... _...... ........ ... ...... .. ......... ----...
.._.___..-_ ....._..._.____
' 80.00 ; ............_._....
.
214: - ...... .........
.
0.47; . ........ .....
37.28
138
GC3224 .... _...... ..._..._;__
' 14.00 1 s ..._._.__...-..?.- _------------
214's 0.471 --- _.............
6524
139 ...... ---._._...._._._..._._ -- -_........... ...............
HRCCA-2P! .
.. ... _ . .............
....._._._..__.__.__..._.._..?__ _._ ...... .__........___.__.__?..._.__._.......--'--
_ 1?4.110
14.00
? ._------?
2.1
4 •--
0.47:
6,524
140 .?.. _.
CC A ] U 3
....................... _..... --.-....... ......
_._..._..___...._?.__ __.___.. ___. __. _.,.. _._.._.__._.. ,
.
----__?
8.00 2.14:
0.47:
8.388
141 _._
PC2024
.... ............... _..._..._........._._......_....__......_......---._..._..._
.
_. _..___....__.__._.__.._ .__.____W..
i 9.00 : r_..___...,.
2.00i .-_......__
0.50;
, .__._........
4.5
142 .._
_
............ ..... ............ ........ __.--............................................... ._. ._....__...._._.__._......_....__. ._......._..W.._
: ..p.0o :
.._......._
..
.
.
.
.
. ..___.._.......,
2.14€ .-............
0.47 ._----.......
: D
1 d3
......W.?.. .. ???.?.W...
............ ..............
_...
..._ ....
...
.....
..__....
......
TOTA
L SLIF
T.s
394.75
I ..................... .
l111111111; ____...._......
TOTAL ,..._._..........
I 81_l
;
t e4 .???.?.?......?.m???m......?.
lll]]]]11]]1]]]I111
]]]]]1]]1
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.
_
...?.....
?.
. W??
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l
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145 .
_
DOORS TA1fLOR
...
. .. _._...... ------- _.
.. ,
?f10 USED
... ...
....... ......... ..
.
..
.
--
AREA
--------- ...._.. .
RVALUE .
_
UxA
...... .....
146 .
._
3-0 x6-3 EPlTP.kf,ICE.
. . . ... . . .. ......... - ._._ __....._.... _
.._
......
...
....
1.00 ?
..._..._...._..._...._..............:. __..........._.._
... 37.00i
_.._.................. 14.00
_____..._...... ; 2.643
.__.............
SER'dI'E
_....._.__ ................................._...
. :
1.00 I 8.00 14.00 ,
: 1.286
N _.
_.....___..__._......_---
2_t3_x6-8,SERwICE___.__.___.. ............._.
. . ... ------._ -•._......_ ;
-
_0_p0 -;
_
_
.
_
.i-.. ---•
-0_O17: ---?---'
14.O1? ____.._......
_-- .-?]
49 _
....
.
_._
..
.
[TOTAL A12 55.001 TOTkL U: 3.929
1`?i?34 ti ' ..
CITY OF EAGAN
3830 PILOT RNOB ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
... .. .. ..l1A. .... .. .... . .
??
Y?Mm
FOR CITY USE ONLY
PERMIT #
RECEIPT # 119 S S
DATE : 1401171911
RESIpENTIAZ:` PLEASE COMPLETE IIPPER PORTZON ONLY FOR SINGLE FAMILY DWELLINGS &
.:... .... .. :..:......:...
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
-----°----------°----- --------------------------------------------------------
WORK DESCRIPTION FEES
NEW CONST ADD-ON MINIMUM $15.00
ADD ON HVAC 0-100 M BTU 24.00
REPAIR ADDITIONAL 50 M BTU 6.00
GAS OUTLETS - MINIMUM 3.00
OF 1 PER PERMIT
OWNER NAME:
SITE ADDRESS:
LOT:BLOCK I SUBD. &d?nn 12??
CEDAR VALLEY HEATING
INSTALLER: /ND AIR CpNnITIntsjlwG
8415 CENTER DRIV[
ADDRESS: MINIJEAp0IIC. 55432
CITY
SUBTOTAL:
STATE SURCNARGE: .50
ZIP:
PHONE #:
TGTAL: $?sv
NA 4RREFFRMIT
CbMMERCIALfxNbU_STR$A1:`t PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/ZNDUSTRIAL BUILDINGS,
:. . .. .
APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARF
NOT REQUIRED FOR EACH DWELLING UNIT.
--------------------------------------°__________°------___-_____--°----------
CONTRACT PRICE
OWNER NAME:
SITE ADDRESS:
LOT: BLOCK _ SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE
FOR:
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE _ $.50 FOR
EACH $1,000 OF PERMIT FEE.
PROCESSED PIPING = $25.00
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18 $
STATE SURCHARGE
TOTAL:
(SIGNATURE)
CITY OF EAGAN
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
tx:t"W
FOR CITY IISE ONLY
PERMIT #
RECEIPT
DATE:
?"BN1m PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
------------------------ __________--______--___--______---___--_____---___-------
WORK DESCRIPTION
NEW CONST ?
ADD ON _
REPAIR _
OWNER NAME:
SITE ADDRESS: lq8? Oe;'&
LOT:/_ BLOCK ? SUBD.
INSTALLER:
ADDRES5:10/q L/\
CITY: ZIP: ss1014
PHONE #: qpz -
COMPLETE THE FOLLOWING:
N0. FIXTURES EA. TOTAL
ADD-ON MINIMUM 15.00
- oZ SHOWER 3.00 6.D_0
? WATER CIASET 3.00 Ob
a BATH TUB 3.00 ?o•DD
3 LAVATORY 3.00 9,90
? KITCHEN SINK 3.00 3.fim
L LAUNDRY TRAY 3.00 3•Do
HOT TUB/SPA 3.00
? WATER NEATER 3.00 3000
? FIAOR DRAIN 3.00 3
GAS PIPING OUT. -3,00
? (MINIMiJM - 1) 3.00
ROUGH OPENINGS 1.50 N.SD
_ OTHER
WATER SOFTENER 5.00
PRIVATE DISP. 15.00
? U.G. SPRINKLER 3.00
SUBTOTAL S q9• S?
ST. SURCHARGE .50
TOTAL: $ 60 "?C
CpMMHRGTALjiNDU,$T&iAT._:; PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/ZNDUSTRIAL BUILDINGS AND
MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
CONTRACT PRICE: FEES
OWNER NAME:
SITE ADDRESS:
LOT: BLOCK _ SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE #:
FOR:
CITY OF EAGAN
18 OF CONTRACT FEE.
STATE SURCHARGE _ $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18 $
STATE SURCHARGE
TOTAL:
(SIGNATURE)
/ /1 'b /, ?/0"V_?
HOUSE HEATING TEST RECORD
APT.-FLOOR CITY?' "SUBURB
_?.!FC S?uI[ S OWNER
DATE HTG. ST. ?, /S 9?
?????6 ?'? INSTALLED BY C G ? h9'
.ork BY / Gas Lins 8y 4ILZ
HEAT GA _ FA ?MW _STEAM _SPACE HTR. _UNIT HTR. -OTH R
GAS qE ?G?N?? ,/ ? CONVERSION
KE MAKE OF BURNER _
odsl ' ? Model
$eriol Max. 8TU Rating
INPUT MAKE OF FURNACE
Model
?ONTROLS
?
?
THERMO T T
Ieat Plu Vent Size
Valre ? KIND OP LINE() SIZE NONE
Limit '
DrahHood???? ,
?_f?Regularor
Limit Setting 0 Filtars Size?6 X5xl Number.
?
Fan Satting Chimney Location In ?de ?? Outside
Pilot Type r Chimne
Consiruetia 'L?
y
n _
Pilot Make
Pilot Model
1
- $moke 8emb Wiring ?
/-Tlh?
Pilof Timing f?Fd5 Draft!o Tssf Tog ?
L.W. Cut Off Door Presaure - Lightiny Inst. ?m /?? 1
3•S?/?IC- p
Pross
ro
r
C MM
D
T
? ///??}
l
u
b
arcanT
5
?
02
? ote
esesd
Z ' '
Input CFH Isl.Q ift Pertent O
y
z Company Testin Hi7
/2 6y? ?
Jrock Tem ?
p. ?9d Percent CO Name of Tssts. ?
Form 235
oF ecagan
3830 PILOT KNOB ROAD, P O BOX 21199 BEq eLOMOUIST
EAGAN, MINNESOTA 55121 'nayor
PHONE: (612) 454-8700 hiOMAS EGAN
- JAMES A. SMI7N
VIC ELUSON
Jdnuaiy 7, 1986 THEODOREwACHTER
Couricil Membees
- nionnns HEOCes
Ciry PdminxVOlOr
EUGENE VAN OVERBEKE
J. BYRON WATSCHKE ciHCierk
FORTUNE REALITY
4940 VIKING DRIVE '
MINNEAPOLIS MN 55435
Re: Thomas Lake Addition - Street Lights
Dear Mr. Wa[schke:
In discussions I have had recently with Ed Kirscht, you expressed the intention
of contacting Dakota Electric about installation of three street lights.
I have enclosed a reduced copy of the plat and indicate where two street
lights are to be placed. The third street light will be considered resolved
upon payment of the street light at the intersection of Cliff Road and Lakepark
Drive. Due to [he fact [hat these Lights were to be installed by April
3, 1980, and have yet to be placed, the City of Eagan will not issue building
permits on the following lots until Dakota Electric has been paid: Lots 1, 2, 3,
8, 10 and 11, of Block 1, Thomas Lake Addition.
Please have Dakota Electric contact me once they receive payment so the
hold on building permits can be removed.
Sincerely,
Craig E. Knudsen
Engineering Technician
cc: Ed Kirscht, Engineering Technician
Ed Brunkhorst, Dakota Elec[ric
Dale Pe[erson, Chief Building Official
Enclosure
CEK/jj
THE LONE OAK iREE. .. THE SYMBOI OF STRENGTH AND GROWTH IN OUR COMMUNIN
CQ Oq, j ? PLUMBING (RESIDENTIAL)
Permit Application
City OfEagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
Please complete for: Single Family Dwellings
Townhomes and Condos when permits are required for each unit
'o Js, n
Date
Site Address ??e & k /1,wi-'P• Unit #
Proper[y Owner y 17 ?OSS Telephone # ( ?? ) ?IOJ - ??°Z I
Contractor ?y'Qll'l &D
Address City JVtili 04
State /ii?+'7?"1• Zip 0ff Telephone# (9e-; Y-0-097
The Applicant is _ Owner Contractor _ Other
Septic System New _ Refurbished Submit 2 sefs of plans and MPC license $ 100.00
Includes County fee. Additional consultant fees may apply.
Altcrations To Existing Dwelling Unit, Including
_ Adding fiMures to lower levels or room additions, excluding water softener and water heater $ 50.00
_ Abandonment of septic system
_ Water tumaround (+ 5!8" meter if needed -$121 00)
Other:
_ RPZ _ new installation _ repair _ rebuild r-5
_ Lawn irrigation system $ 30.00
s ? J!
_ Water softener _ Water heater
$ 15.00
_ replacement _ additional ' --
$ 50
State Surcharge
Total $
. ? .. . ___? ..__a_..M..at6e..r....l...ril1
I hereby apply for a Residential Plumbing Permit antl acicnowieage cnac me mrormanun i5 wulplctc a„u ac..??a«, UJ..L .,,. ....... .•...
he in wnformance with the ordinances and codes of the City of Eagan and with the Plumbing 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 witli the
approved plan in the case of work which requires a review and approval of plans. .
Applcant's Printed Name ? Appli t's Signature
2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION
? City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for. single famity dwellings & townhomes/condos when permits are required for each uni[
Date
Site Address!
Unit #
Property Owner Telephone # ( )
'
Contracror )0
h
Street Address
State Zip
Bond #:LZ 05-5 zll l5: Expires: .
City
e pone #( _
-[ J?09. l?l / `-
The Applicant is _ Owner Contractor _ Other
Add-on or alteration to existing dwelling unit $ 30.00
furnace _Additional _Replacement
air exchanger
air conditioner New n. Re,placement
other o'Q.? JW/l@ D'J?? l ?
??'(
Sta[e Surcharge $ .50
Total $ .s-c!
I hereby apply for a Residential 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 p it; that the work wilAAI? ccordance with the
approved plan in [he case of wo ch requires a review and approval of plans.
( ?n n ? m ('?0/1 S ?
Ap plicant's Printed/Name
PERMIT
City of Eagan Permit Type: Building
Permit Number: EA106568
Date Issued: 08/28/2012
Permit Category: ePermit
Site Address: 1489 Lake Park Cir
Lot: 1 Block: 1 Addition: Thomas Lake
PID: 10-75900-O1-010
Use:
Description:
Sub Type: e-Windows/Doors Construction Type:
Work Type: Windows/Doors-New/Replacement Description: House
Census Code: 434 - Occupancy:
Zoning:
Square Feet: 0
Comments: Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection.
Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes.
Fee Summary: BL -Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195
Valuation: 4,000.00 Total: $105.25
Contractor: -Applicant - Owner:
Home Depot At Home Services David Johnson 656 Mendelsohn Ave. N 1489 Lake Park Cir
Golden Valley NIN 55427 Eagan MN 55122--251
(763) 542-8826
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.
ApplicanvFermltee: Nignature issued tiy: NIgnature
Use BLUE or BLACK Ink
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For Office Use -
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l~ I
j Permit L
City of Eap
Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 j Date Received: j
Phone: (651) 675-5675
Fax: (651) 675-5694 I. Staff`
I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: XAddress: VD l LQoc'e-ParK &c. Unit
Name: Erii t~c:C~l/I ~ 1~~~ Phone: (01 ~i~lfilo
Resident!
Owner Address/ City/Zip: I ~ 1.t
Applicant is: Owner X. Contractor
Type of Work Description of work: V-e k3zviace- Q_c
.
Qpn &0
Construction Cost: t Multi-Family Building: (Yes / No
Company.. A. ContactIRLh V V &~S
Contractor Address:L(-M L~ Iac- -Dr - 'v city:
State: 1" It V Zip: I'{2 1 Phone: J
License J 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 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 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 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 isssuua~nce. 1,^C/
Applicant's Printed Name Applicant's Signature
Page 1 of 3
Use BLUE or BLACK Ink
---------,
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� Permit#:
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3830 Pi�t Knob R� � Permit Fee: �D `�� I
Eagan MN 55122 ' oC� � o Zo'� �
Phone:(651)675-5675 I Date Received: J������
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Fax:(651)675-5694 "' � Staff: �
. . .�._. ...�w._., _ ._ �
_________________J
2014 MECHANICAL PERMIT APPLICATION
❑ Please submit two(2)sets of plans with all commercial applications.
Date: 10/7/14 SiteAddress: 1489 Lake Park Circle, Eagan, MN 55122 I
I
Tenant: Suite#: '�
�� �� - - � Erin Johnson� 651-405-3179
� Name: � Phone:� �
�" �1 �$ �
- ����i` Address/City/Zip: same
�� �� Name: K&S Heating, Air Conditioning & Plbg LLC�icense#: MB5216
� � ��� �
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_��;��� _� � address: 4205 Hwy 14�W � c�ty: Rochester � �
�� ��w� � ��'�' ` = state: MN zip: 55901 Phone: 507-282-432$ �
� ��m �
��� - �� conta�t: Heidi Brown� Ema;i: hbrown@ksheating.com � � �� �
;° =
_ hi� � $ New XX Replacement Additional � Alteration Demofition
,� � �
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� �t��I�=_� Description of work: �
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- '� RESIDENTIAL COMMERCIAL �
�� ��� � _ XX Fumace New Construction Interior Improvement
ti ��°���' � � — — —
� �� �`� �X Air Conditioner _Install Piping _Processed � � � �
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� �a • _ _Air Exchanger � _Gas _Exterior HVAC Unit �
',,�� _Heat Pump Under/Above ground Tank �Install/_Remove) �� � �
_ ,�,�� � = Other
RES/DENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit(includes$5.00 State Surcharge)
$100.00 Residential New(includes$5.00 State Surcharge) _$ 60.00 TOTAL FEE
COMMERCIAL FEES Contract Value$ x.01
$55.00 Permit Fee Minimum
$70.00 Underground tank installation/removal =$ Permit Fee
*If contract value is LESS than$10,010, Surcharge=$5.00 =$ Surcharge�
**If contract value is GREATER than$10,010, Surcharge=Contract Value x$0.0005
""`If the project valuation is over$1 million, please call for Surcharge =$ TOTAL FEE
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan;that I understand this is not a permit,but only an application for a permit,and work is not to start without a permit;that the work will be in accordance
with the approved plan in the case of work which requires a review and approval of plans.
X Rick Keehn /����,-�,;�- X
Applicant's Printed Name ApplicanYs Signature
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3830 Pilot Knob Road , ;� OCT 1 0 2pt�t �
Eagan MN 55122 � ;�, I Date Received: �d` JD�I �
Phone: (651) 675-5675 � � /� � �
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Fax: (651)675-5694 .-_._ _ !----------------J
2014 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: 10/7/14 SiteAddress: 1489 Lake Park Circle, Eagan, MN 55122
Tenant: Suite#:
�' � � Name: Erin Johnson Phone: 651-405-3179
�IL��1�i� �
= ' ; �.z-. = Address/City!Zip:
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�� �� � rvame: K&S Heating, Air Conditioning & Plumbing ucense#: PM059513
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� �-��� ��_ ° address: 4205 Hwy 14 W � �;�y: Rochester � � �
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NOV 01 2019Permit Fee: 4=747'' w 5 d7
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 Date Received:
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694
buildinginspections@citvofeagan.com Staff:
J
2019 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: IO (0 ' I`1 Site Address: I`'$9 Lae. P' Cir &C4C ,c5 1
"Y � � Z-L Unit#:
Name:IOUICA C1- n ShYlSor) Phone: (o 12 . 3(a(D.�9
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i Resident/
Owner Address/City/Zip: 14$ 1 La1 Park1r an 55(22
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Applicant is: x Owner __Contractor
g7Z, ! D 2<U,-14,
Type of Work ^ Description of work: IZe MOVOJ o, para e door,a W 1(1• D
J J d WS , door7 insula m
I _I----•
Construction Cost: N -� 5000 Multi-Family Building: (Yes
Company: I husband 0.v`(d Contact:
i T
I Contractor Address: City: •
State: Zip: Phone: Email:
License#:
Lead Certificate#:
If the project is exempt from lead certification, please explain why:
\`�n J`
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
I 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:
1
Sewer&Water Contractor:
Phone:
FFire Suppression Contractor:
NOTE.Plans and s Phone:
supporting documents that you submit are considered to be public Information. Pardons of the 1 o may be
classified as non- ublic 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.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.gopherstateonecall.orq
I hereby acknowledge that this information is complete and ecru-ate: 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
E—rl( 3-ohvis o i
Applicant's Printed Name x % i,
Applicant's S "
PP ignature
DO NOT WRITE BELO THIS LINE I LI c't L19 le A-e-4' ej6 , /5e9.cq
SUB TYPES (3-Season) _ Exterior Alteration(Single Family)
Porch Foundation Fireplace —
'_ Single Family Garage — Porch Porch(4-Season) _ Exterior Alteration(Multi)
Miscellaneous
�
01 of Plex
WORK TYPES
New
Multi Deck — (Screen/Gazebo/Pergola) _ Accessory Building
— Lower Level — Pool
Siding _ Demolish Building*
Interior Improvement — Demolish Interior
Move Building _ Reroof —
Addition -- Windows Demolish Foundation
Alteration _ Fire Repair — —
Replace _ Repair _ Egress Window — Water Damage
Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION ��
9 p y ,',2G -I MCES System
Valuation Occupancy
Plan Review �
Code Edition a!D/;1 SAC Units _
� �
(25%_100% '✓ ) Zoning %Z-/ City Water —
Census Code . 1 .'y 314 Booster Pump Stories PRV _
#of Units / Square Feet l
#of Buildings ! / Length , Fire Suppression Required ,...--
Type of Construction ./"g Width —
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
Footings(Deck) Final I C.O. Required
Footings (Addition) >t Final I No C.O. Required
Foundation Foundation Before Backfill HVAC—Service Test Gas Line Air Test Hood
Roof:_IcefieWater _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 _,..t_ Windows
Sheathing Retaining Wall: —Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In_Final
Braced Walls Erosion Control
Shower Pan700.______-------- —
Other:
Reviewed By: - 0 , Building Inspector
RESIDENTIAL FEES
Base Fee
73
Surcharge y 7 9i
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
Radio Meter Read
Copies
TOTAL
Page 2 of 3
I