1386 Lakeside Ciri CASH RECEIPT 0
CITY OF EAGAN
3795 PILOT KNQB ROAD
EAGAN, MINNESOTA 55122
19
?
Recgen
F'rvkOM
r c ?f• ,a
AMOUNT
J
ae DOLLARS
t.no
? CASH ?-CHECK
ROR -• ? = r -? - ' -
/f
v
=f:.. • /,f. .Y ? >,l T _ .
rUND CODE " AMOUNT
i •
L?
t y / i
Thank You
C:>e Blf
. ?4
13511
White-Payers Copy
Yetiow-Posting Copy
Pink-File Copy
.
BUILDING PERMIT
Site Address "
Lot Block +
,
Parcel #
w Nome `
Z
Address
? Cit
o Name
?
o? Address
u
?- rz..,
Name _
Address
I hereby acknowledge that I have read this oppiication
the information is wrrect and agree to comply with
State of Minnesota Statutes and City of Eogan Ordi?
Signature of Permittee
-A Building Permit is issued to:
oll work sholl be done in accordcnce with all opplicAh
Building Officinl
CITY OF EAGAN
8795 Pilot Knob Read Eagas, MN 55122 N! 5 116
PHONE: 454-8100
Receipt #
Ww
Dote 19
Erect ? Occuponcy
?-_???? -'? • Alter Q Zoning
Repuir ? Fire Zone
? Enlorge ? Type of Const.
Move ? # Stories
Demolish ? Front ft.
Grode rl Depth ft.
Fees
Assessment _
Water & Sew.
-- Police
Fire
En9.
Planner
Counci I
state that gldg. Off. -
v licable
Surcharge
Pian check
SAC
Water Conn.
Water Meter
PP APC I Total
:s.
on the express condition that
ate of Minnesota Statutes ond City of Eagan Ordinnnces.
? f
!
Pennk # I pafo laued
DATE
Remarks: [? •?7- 71 ! ?41 9 ??ve v ?N ar° r 16•T ? ???
"! ?
CITY OF EAGAN
3795 Pilot Knob Road
Eogun, Minnesofa 55122
Phone: 454-8100
17JEEMr" PERMIT
Date: }29-79
Site Address:
13% Talearai rlp CLi-clg
Lot I Block 4 Sub/5ec. Cies Mt
NCme
°e Address ?? Tiolyake Me•
?
i
City ? Val'W Phone:
N e ?-Ryan
.
g Address 14745 S3. FONCSt "''t"°Z''t
c
0
V
??? ?C7?t:':'C'r721t 6K?C' Phone• ?
Th is Permit is issued on the express condition thot all
Mi nnesota Statutes ond City of Eagan Ordinances.
No. 1415
Receipt No.: I-ViL?
Sin91e I
Residential
Multi Res., Comm./Ind.
New/ Alter. /Repair
Cost of Instollation
Permit Fee
$urchorge
Toto I
shall be done in accordance with all cpplicoble Stote of
20.W
.5Q
;?Q . 5'J
Building Official
CITY OF EAGAN
3795 Pilot Knob Road
Ea9an, Minnesofa 55122
Phone: 464-8108
` r =t"'Dr- PERMIT
Date:
Site Address:
Lot ' Block 4 Sub/Sec.
Name 14I? LIMtOPLAj 824cirjy.
e Address 1-3$16 F93nLM AV--.
?
City t? PIR VaW Phone: ,
N e r2Pn2`-Ryan
.
., Address ?R745 SO• Rab?'''t Tr??:'
e
0
? CitY Phone; -
This Permit is issued on the express condition thot all
Minnesoto Stotutes and City of Eagon Ordinances.
xgxm
tXjURqLX5-j''ICN AIR FOUUIM
No. ] 41 Fi
Receipt No.:
Singie
Residential
Multi Res., Comm./Ind. -'tAP1?7L'= I
- New/Alter./Repair
Cost of Installation
Sg7`?' permit fee
Surchorge
- ToTo I
517)
shall be done in accordance with all applicoble State of
Building Official
20.00
.50
.•
I'iI?+BIl?
Date: 3-1.5^79
Site Address: 1388 Iak.esicLe Circle '
4 Civs Mar lst
Lot Block Sub/Sec. _-
"_bll,ef90[? R1d*'8.
Name
? 1.3R1f; HOLVbke AVp.
e Address
?
City AMl@ Va112y Phone: 4y4-fi
rld"m' i2NM
N r,
` . ......?
'?C 14547 SD. Rc7ES"t 'I'rall
M Address
eQ
V ?'?S-•s"CR17:?' e :?7F ?'
City Phone: -
This Permit is issued on the express Condition that oll
Minnesoto Statutes and City of Eogon 4rdinances.
I
CITY OP EAGAN
3795 Pflot Knob Road
Eagan, Minnesota 55122
Pho ne: 454-8100
PERMIT
No. 1.317
I353,!
Receipt No.:
$ingle I
Residentia l
Multi Res., Comm./Ind. j??leY I
New/Alter./Repaii
Cost of Instollotion
Permit Fee
$UfCf1Of9Q
20,00
.60
? 1 ?4
Total
rk shall be done in accordance with all applicable STate of
Building Official
, .' CITY OF EAGAN
3795 Pilot Knob Rood
Eogan, Mlnneaota 55122
Phone: 454-8100
PERMIT
Dote:
?.3R6 TaY.eside Ci.rc2e
Site Address:
. a -4-
Lot Block Sub/Sec.
::Zs.'?Y's .
IName -
m e aa_ -rrt ? ?t?SE AVK'.
? ---
??Pple vallp-y
City Phone: .
Name
?
7.4547 Sd.
? Address
e
0
LP
Sr-
?i? rln•,
??`
CitY Phone: .
.
This Permit is issued on the express condition that
Minnesota Stotutes and City of Eagon Ordinances.
4 ?4-E873
No. 13]_f;
1
1534
Receipt No.: -
Single I
Residentiol
Multi Res., Comm./Ind.
New/Alter./Repoir
Cost of Instollation
?
Permit Fee
5urcharge
. ' ' • I Totol - - r_n
work sholl be done in accordonce with all applicoble State of
Building Officiol
I7'T OF EAGAN
95 Pilot Kwob Road
iin, Minnesoto 55122
Phone: 454-8100
Water Softener _ PERMIr
Dote:
9/l0/79
Site Address:
388 Lakeside Circle
11
Lot ? Block -T! Sub/Sec. ?? P7
No. ? ? ? i; ;
.
Receipt No.:
Single I
Residentiol
Multf Res., Comm./Ind. I
Name ='ruce Oleon
New/Alter./Repoir
? AddfCSS
Cost of Installotion
Gy E8gsn, M Phone: Pertnit Fee .00
` Name T indsay Water `;Oftellf ;' Surcharge "
--
? Address - :.r`.-r•,:r.^,: .
e
City . Phone: Total .
This Permit is issued on the express condition thot oll work sholl be done in aaordnnce wlth all applicable Stote of
Minnesoia Stotutes ond City of Eagan Qrdinances.
Building Official
CITY OF EAGAN Remarks
Addition CHES MAR 1 s t ADDITION
Owner_?' Street _ 1386_
/ 13$8
side
Circle
DUPLEX
Improvement ? Date Amount Annual Years Payment Receipt D'ate
STREET SURF.
STREET RESTOR.
GRADING
SANSEW TRUNK a 19 3 Z 1.61 14.08 20
SEWERLATERAL
1977
S 1.9
302.80
ZS
* service stu s 1977
WATERMAIN
* WATER LATEFiAL jJ]']
* WATER AREA 1977
* STORM SEW TRK 1977
* STORM SEW LAT 1977
CURB & GUTTER
SIOEWALK
STREET LIGHT
oa nit 75.00 13511
- -
WATER CONN. 70.00
1 S
-H-
BUILDING PER.
s,ac 25 525.00 13511 3-8-79
CITY OF EA6AN WATER SERVICE PERMfT
3795 Pilot Kwob Rood PERMIT NO.:
Fagcn, MN 55122 DATE:
Zoning: No. of Units:
Owner: '
4ddress: '
Site Address: _ 398 'JJ:.°OiC?V _`^ C?o - ?
Plumber:
Meter No.: Connedion Charge: • ? `"
$ize: A
oo
t D
i
c
un
epos
t:
Reeder No.: Permit Fee: ?
I agree to oomply with fhe Cilry of Eagoe Surchorge:
Ordinanoes. Misc. Charges: ° ?'. ' .
Totol:
By ---- Dote Paid:
Dute of Insp.: Ins
:
p.
CITY OF EAGAN SEWER SERVICE PERMIT
3795 Pilot Knob Read PERMIT NO.:
Eogon, MN 55122 DATE:
Zoriing; _ No. of Units
Owner:
Address: . , , . .
Site Address:
Plumber -- --- si?.? "c t ,•- b ,. _, ± . . . . ..
agree to eomply with the City of Eogan Connection Chorge:
dinances. Accourrt De A27
posit:
Permit Fee:
Surcharge:
By Misc. Charges:
Date of Insp.; Total:
Insp.:_ D
t
P
i
a
a
e
d:
ci "r oF IEaoAN WATER SERVICE PERMIT
8793 edof Knob Road PERMIT NO.:
'.ojse, MN 55122 DATE:
Zoning: No. of Units:
Owner; _ t-si1 af'.??n ,•? ; 1 .?{3---
Address: -
Site Address: ?' ??• ?• I .: . . . r'? z'r i ,:. i ?i I a'Si?
Plumber. Meter No.; Connection Charge: Size: ` Acoount De
posit:
Reuder No.: Permit Fee: '•
1 egree to eomply with the City of Eogan Surchorge: .
Ordinances. Misc. Churges: - • t
Totol:
BY Dote Paid:
Dote of Insp.:
I nsp..
CITY O' EAGAN
3795 Pilot Knob Roed
Eoyon, MN 55122
Zoning:
Owner:
Address:
Site Address:
Plumber:
1 agree fo oanplq with t6e City of Eagan Connedion Chnrge: __- 1- •,.?
Ordiesnees. Account Deposit: -
Permit Fee:
5urcharge:
By Misc. Chorges:
Date of Insp.: Total:
Insp.: - Dote Paid:
SEWER SERVICE PERMIT
PERMIT NO.:
DATE:
No. af Units:
.
BUILDING PERMIT APPLICATION
N° 5116
Receipt # - / /
Te 6e uaed for DUP1eX Est. Value 80,000. Dote 3-8 _, I q 79
sire Address 1386 & 1388 Lakeside Circle E,ea $j ac„pa„cv R-3
Lot 3 Block 4 Set/Sub. CheS Mdr ISt AdClri. Alter ? Zonin9 R 2
10 17100 030 04 Re
air ? Fire Zone 3
parcel # p
°ree ? Type of Const. V
z Name 'I'ollefson Bldrs. Mo ? # SMfieS
i Address 13816 Holyoke Ave. pemol;sh p Front 76 ff.
? Apple Valley
454-6873 Grade ? Depth 30 ft.
Ci
phone
°
0 Name Saffe
o? ?re? Assessment _
Woter & Sew
Ci Phone
F
u°.
Name Police -
Fi
?uw re
TZ
o
Address
Eng.
<w ?? phpu Plonner _
Council _
1 hereby ocknowledge that 1 have read this opplication and state that gld9, pff. _
the information is correct and agree ro rnmply with all applicoble
Smte of Minnesota Srotutes and Ciry ot Eagon Ordinances. Approvalf Fees
AP? _
Signature of PermlMee -
A Building PArtnit is issued
all xrork shall be done in a
Bullding Oftitial ?
cIrr oF EacaN
3795 Pilot Kaob Raad Eagan, MN 55142
PXONE: 454-8100
Pertnit ioj•jv
Surcharge 40•00
Plao cheok 92.75
SAC 2@ 525.00=105C
Woter Conn. 500.00
Water Meter 120. 00
roral 1,988.25
I riara on the express condition that
State of Minnesota Statutes and City of Eogun Ordirwnceo.
This request void 18 months from
Date ?of t? Request ?Y}`1 Lth > l_ / JC 7 9 .
1, as i?+'? ;censed Electrical Contractor ? Owner, do hereby
cal wiring installed at: L3 ?q,„ c-A?'
Street Address or Route No.
Section Township
Which is occupied by
/37 76
R 66332
inspection of the above electri-
Av 14-t ?--?-?-h? .
u
Range County?
Is a roughin inspection required on this job? No ? Yes GY Ready Now ? Will Call Gl?
Power Supplier pddress
ElectricalContractor KEN"`"FZi°"K? E' TEc`''TRq.7tc
nC A'§?,ic
t c s epse No,
c1 ?
145P#C djl'.?
Mailing Address _ f^ Lt. R V 1fZ
or?N1{??t?{
?I?cFtP??ct or 3°wner'Fvta nq r s?stauatlon
Authorized Signature Phone No.
(Elettrlcal Contractor or Owner Making This Initallatlon)
(t ???? [?????n• ???? This inspection request will not be accepted hy the
?TJ ?d' Jl Stete Board unless proper inspectian fee is endosed.
„ Minnesota State Board of Electricity
1954 University Ave., St. Paul, Minn. 55104-Phone 645-7703
` REZlUEST FOR ELECTRICAL INSPECTION
CHECK BELOW WORK COVERED BY THIS REQUEST
/ 6 a?s
$ R734
Type ot Building New Add. Rep. Check Appliancea Wired Fm Check Fquipmeat Wired Faa
Home ? ? 0 Range ? Temporary Wiring ?
Duplex . ? ? [A Water Heater 0 Lighting Fixtures ?
Apt. Bldg. ? ? ? Dryei ? Electric Heating ?
Commetcial Bldg. ? ? ? Furnace ? Silo Unloader ?
Industrial Bldg. ? ? ? A'v Conditionei ? Bulk Milk Tank ?
Farm ? ? ? List List
Other
?
?
? p
Heie13? p
Heiers(
COMPUTE INSPECTION FEE BELOW
Sewice Enhance Size: # Fee Feedecs&Subtcedecs: # Fee Cvcuits: # Fee
0 ro 100 Am s. 1 1 0 30 Am exes 0 to 30 Am eres
l0l to 200 Amps. 10 pe 31 ro 100 Am eres
Above 200 Amps. Above 100 Amps.
Transfonners emo 1
1
0 Paztialorotherfee
Signs P
4
1
Specia nspec io Minimum fee 55.00
Remarks L19 TOTAL FEE
R,12"1 121(1 ?
I, the Electncal Inspector, hereby certify that the above inspection has been m de.g.Oo
(Rouph-in) f - Date
(Final)
This request
...yuese void 18 months &om e4.?- A,C -j° rf /D?s
073e.
te of this Request '' f I, as Licensed Electrical Contra c 0 Owner, do hereby request inspection of the above electri-
cal wiring installed at:
Street Address or Route No. l?G-138-2 4?aR.14&, City?
Section Township Range County
1Vhich is occupied by?
(Name o( ?O,c,.,c,uoant) ? Is a roughin insp tion required on this job? No ? Yes1aV Ready Now ? Will Call
?l
Power Supplier LC.,'Cet? Address
Electrical Contractor Contractor's License No. _
Mailing Address ?ENMPfCXmtLF-CMaC A36591
a 8 g Ins •
14540
Authorized Signature e^ @, T2??Y',NDjti(`,K 4?,2 .?No.
(Elect?a? an ractor or bwner Makin9 This Installation) ('7???? ???q? This impection request will not 6e eccepted by ihe
?? /} ??
[?,j ?o) ?v State Board uniess proper inspection fae ia endosed.
Minnesota State Board of Electricity
54 University Ave., St. Paul, Minn. 55104-Phone 645-7703
REQUEST FOR EL6CTR1(?AL INSPECTION
CHECK B'ELOV'r'.VOKIf COVERED BY THIS REOUEST
R 66332
Type o=ing New dd. Rep, Check Appliances W'ved For Check Equipment Wired For
Home ? ? Range 01-? Tempoiazy Wuing ?
Duplex ' ? ? ? Water Heater ? Lighting P"vctures
Apt. Bldg. ? ? ? Dryer ? Electiic Heating ?
Comme[cial Bldg. ? ? ? Fumace L7 Silo UNoader ?
Industrial Bldg. ? ? ? Air Conditionec ? Bulk Milk Tank ?
Farm List List
O[her
?
?
? p
Herers?
Oehets?
fl
COMPUTE INSPECTION FEE BELOW
Service Ent+ance Size: # Fee 1 1 Feeders&Subfeeders: # Fee C'¢cuita: # Fce
0 m 100 Am s. 0 A re 0 to 30 Am eres a-o
101 to 200 Amps. 0 r 31 to 100 Am eres j,.r
Above 200 Amps. 1 A6ove 100 Amps.
TransFormers ot ntr Partial or other fee . SJ
S? ns Special lnspect?on Minimum fee $5.00
Remarks C
. TOTAL FEE 04
j? Q
I, the Electrical Inspector, hereby fy th abpve inspection has been made.
(Roughan) • <?/ 0?1 Date J Jn
(Final) , r f n? Date
This request void 18 months from
.
. .. ?
?- ,
?
?
BUILDING PERP4IT APPLICATION
znclude 2 eets eE plana, 1 site plan w/elevations and 1 set of energy calculations.
?
ci
To be used for Valuation
` - site Address: /38it /-a'ys'
Lot - Slock Sec./Suh. Parcel Number r? ?7?00 03(? Oq
????
Owner
Acldress M e_ G?
i, a rr?1n??
Contsactor
Address
Arch./Eng.
Address
Erect
Alter
Repaiz
Enlarge
Nbve
Demolish
Grade
.OFFICE USE
Date of Approval & Initial
Assessment
WaLer/sewer
Police
Fise
Eng.
Planner
pouncil
Bldg. Off.
A.P.C. ---
Telephone A/5 -,/- (o p '7 3
???''`°
na? 20.317 9
Telephone
Telephone
. OFFICE USE
Occupancy
2aning
Fire Zone
lype of Const. ?- {
# of Stories
Front ?7(/
Depth
FEES
Pezmit
Surcharge ?
Plan Check
snc n 6-c
WdtiEZ (:OilT1. 415?l'i 0 6
S•]ater Meter 9-n.yt 6p / >
_to?a
?--?
TOTN, _„ ^
y?p? y
l%yE'W/
"11P17tCHn, N.7ll. S:J??1
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C.RCh ?,?i1 LTJCi
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?PZ'Q1? %MPSd.88lT3 F17 C1;.7Lf3o i?LOwN f t.. ? Cc' ?
s'IIIGIS .
C' E?'NUL^_ia'0,? irII IiL00R::
?;;??;•::.,?, ? MLAM "'L}L° UIZT; 07 ZRPT.Sr; !?[!ILxS lLAOL'F, aPNI?,^, ` , .
EIFUE.Ml CaY^ eP.d POZd C'wA? :.??? ??
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RE5IDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651•681•4675
Naw Conatruction Renulrements RemodeURenair Reauirements
• 3 registered sde surveys shaxirg sq. fl. of l06 sq. R. of house; and au roofed areas • 2 coDies of Plan
(20% maxMum lot coverage allowed) . 7 set of Eneigy Calculations for heated addifions
• 2 copies of plan slwwing beam & window s'v.es; poured faund tlesign, etc.) . 1sile survey for exterior additions & decks
• 7 sel of Energy CalcWations . Indicate'rf lame served by septic sysfem tor add@brx
• 3 copies of 7ree Preservatlon PWn if lo[ platted aXer 711193
• Rlm Jast Detail Options selectbn sheet (bldgs wdh 3 or less unRs)
DATE 51 1-5 Jo Z VALUATION
JOB SITE ADDRESS I3Kv I F1 IC-C 5 1 DE C- 1 (?, .
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNER tO
TYPE OF WORK P-)CSA_.2 I Sl FIREPLACE(S) _ 0_ 1_ 2
APPLICANT G"-71T I4NV?ES Wi rJ DJ'u-) °L Cz? i 0) r? PHONE# ?s-Z- S`7 I" 3Lf 0a
ADDRESS I`I'(OC_Q Lvf? l72• ZIPCODE SSI 2.i{
PAGER # CELL PHONE # FAX # 9 !?_z - 8-1 1 "tl ??
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RiJI.ES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submi
- Energy Envelope Calculations Submitted MAR 2 7 2002
_ MINNFSOTA RULES 7672 ^ S?
Plumbing Contractor: _
Plumbing System Includes:
Mechanical Contractor.
Mechanical 5ystcm Includes:
Sewer/Water CoMractor.
_ Air Conditioning
_ Heat Recovery System
Phone #
Phone #
Fee: $90.00
Fee: $70.00
All above infortnation must be submitted prior to processing of application.
I hereby acknowledge that I have read this appiication, state that the information is correct, and agree to comply
with all applicable Stote of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 2002
- New Energy Code Worksheet Submitted
Phone #:
_ Water Softener _ Lawn Sprinkler
_ Water Heater No. of R.I. Baths
No. of Balhs
(-oc-i1ot-1
2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for. single family dwellings & townhomes/condos when permits aze required for each unit
Date Q,?
Site Address &g(o L414E S//J ? C?? • Unit #
clq CDR /V
Property Owner 1)?1711eyl,?;N/1/ ?,Q ?,/? Telep6one # ( 45 1 ) h`66 - 933v
Contractor 50,0 E?? %-
Street Address 2&1c2 0E1D,41Q CiTy I)??5
State 12)1V Zip 255W7 Telephune #( Gy (o? ) 7c7/- c?d SCJ
Bond #: Expires:
The Applicant is _ Owner ? Contractor _ Other
Add-on or alteratian to existing dwelling unit $ 30.04
furnace _Additional _Replacement
air exchanger
? airconditioner _New e"Replacement
other
State Surcharge $ .50
Total $
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 M t+anical Codes; tha[ i understand this is not a
permit, but only an application for a permit, and work is not to start without a pe it; tha e wor,lr? will be i?cordance with the
approved plan in the case of wor'x which requires a review and approval of plans. ? ??
(o 6cAe-,O 5T/11?64_-
Applicant's Printed Name
Signature 1111 ! r F,y?= tl IJ I
?I JUL 1 3 2005
Tollefson Buildere Inc.
F. C. JACKSON
? LAND BURVEYOR
( 1 R[OISTERED UND6H LAW6 OP iTAT6 M MINNH60TA
L
a LICWS[D BY OMOINAHCC OP CITY OP MINNHAPOI_li
I 8818 EAST 557w STREET554I7 ? 727-3484 ?v ?
barbepoc'g Ccrtfficait \? ° r•?
?
_S= y
? o z
OoO.a;
' - -= L,,+-tf.r.?_..Y,rE•.r?
i
?
.?
Lnt 3,Block 4,Chea lfar,Firac Addi[ion,
Deknta County,Mianeeota.
AS SURVEYED BY ME THI6 9eh. OAY OF A?8' -.o. 1978
Revised Feb. 7th.1979
?a.
\r. /
? a
R /
?
Or.10915-1
183-39
,#4'0 ` r„ -
?I
?a
? i ?• -
C ?
o ?? 1
t.ej c
/..
F. G.
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I ?
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R6 ,; - <
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r n -ti'
._ii. el? ,
?
ti
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i '
I. M1Nji[eoTWV[GISTMTwN. No. 3600
?
I HHReBY C[RTIFY THAT TH[ A60VH 1! A TRU6 ANG CORRtCT PLAT OF A SllNV[Y OF
2004 RESIDENTIAL BUILDING PERNII'P APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
v 7? 00
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New Constructim Reauirements RemodeVReoair Reaui2meMs
3 registered site surveys showire sq. 8 of bt, sq. fL af house; and all roofed areas 2 ropies of plan '
(20% macimum bt coverage allowed) t set of Energy Calculatlore fw heated addfUons _i
2 copies of plan stawiig beam & window sims; poured found design, etc. 1 site survey tor add'ifions & decks ---
lsetotEnergyCaiculetims Addition-mdicetei/ons+lesepticsystem " -
3 copies of T2e Preservation Plan If lot platted afler I11193
Rim Jasl Detail Options seledion sheet (bldgs wiCi 3 or kss unifs
nace 0 8 ob
coostruchon cost y 60,0 -
Site Address f 3 F!L L ah-p-s 3 d e G 1 r UniUSte #
Description ot Work ?A s*a Qa) / Z- , x 3 s? De CX
Multi-Family Bldg _ Y -kl"?N FSreplace(s) _ 0 ? _ 2
Property Owner a r v a -R
' Telephone #(6S /)4?14Ob 933 a
ContracWr
S a ivn e
a s a b o
uR-?/?owtP Q u? h er/' ul/o?
Address CitY
State Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Tvlinnesota Rules 7670 Cate? Minnasota Rules 7672
Energy Code Category . Residentlai Ventilation Category 1 Worksheet • New Energy Code Waksheet
(Jsubmissiontype) SubmiNed Submitted
• Energy Envelope Calalations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y
fee applies.
Licensed Plumber
Mechanicai Contractor
Sewer/Water Contractor
Telephone #(
Telephone #(
Telephone #(
l'J T
AUG 1 3 2004
I hereby apply for a Residential Building Permit and aclrnowledge that the information4E-e.bmgie[e -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 pemut, 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 ofplans.
illaryati&I 2. Aldeh
App i ancl t's Printed Name
Applic Y ature
N If so, 25% plan review
OFFICE USE ONLY
Sub Types ` t t
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg
? 02 SF Dwelling ? 08 06-plex 0 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Att - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garege ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex 10 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 77 10-plex ? 19 LowerLevel ? 24 Stortn Damage
? DB 04-plex ? 72 12-plex Pibg_Y or _ N ? 25 Miscellaneous
Work Types
0 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 AddiGon ? 38 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Buildi ng• O 43 Reroof ? 46 WindowslDoors
? 34 Replacement 'Demolidon (EnBre Bldg) - Give PCA handout to applfcant
)
Valuation Z Occupancy R- 3 MCESSystem
t'
Census Code ?1 Zoning ?- 2 City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Z? Fire Sprinklered
Type of Const Width S?
REQUIRED INSPECTIONS
Footings (new bldg) FinaUC.O.
?Q Footings(deck) >( FinaUNo C.O.
_ Footings (addition) _ Plumbing
Fwndation HVAC
Drain Tile Other
Roof _ Ice& Water _ Final _ Pool Ftgs _ Air/Gas Tesu Final
_ Framing _ Siding _ Stucco _ Stone _ Brick
_ Fireplace _ R.I. _ Air Tes t _ Final _ Windows
_ insulation _ Retaining Wall
Approved By:
---------------------- , Building Inspector
Base Fee ---_---------- -------------------------------------
Surcharge ? eCk r ??. fi ??
Plan Review
MC/ES SAC
City SAC
Utiiity Connection Charge
5&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
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F. C. JACK50N
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R[GIBT[ALO UNp[R UwG y yTAT[ 0I MIMN[ppTA
LICCN6[O BT ORDINANC! OI GTT OI NINM[APOLI/
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3816 EA57 35rH STREET55417 I ' ?
7T7-3484 1rC
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I N[R[6v C[RTIFY TNAT TN[ A80V6 Ii A TRV[ AND ODRrt[CT P1AT W A SURV[l' W
Lot 3,BlDck 4,Chea Har,First AdJition,
Dekata Ciunty,Minneaou.
th. AuR
As SUFV[YCO 1Y M[ TMIG
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Aevised Feb. 7tn.1979
/
1978
Sieaen "? ( ? ? •' / ?9F?.; ? t:._?'
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F. C. Jj(CKSON. MIHiveaorr'N=cIerwwrwri. No. 3E00
?
' OceVV
Council yinutes
C April 21, 1981
All voted yes.
Smith moved, Parranto seconded the motion to accept the request of the
develeper for the preparstion of the feasibility report for street and utility
improvements in t'r.e First Addition subject to subaission of an application by
the develope^. All vote yes. R 81-22
CARL TOLLEFSON YAI4ER OF PLAS
Carl Tollefson appeared on behalf oP his application for r+aiver of plat
in order to subdivide six duplex lots for single ovners?:ip located in various
lots and blocks in Ches Mar and Cedar Grove ACditions. The Planniag Conmis-
sion recomaended approval on March 24, 1981, subject to certain conditions.
M^. Tollefson indicated that Dave Gabbert and he a^e going to form ajoint
hecaeowner's association for existing double bun3alows in the Ches Mar area.
E3az moved, Parranto seconded the moticn to approve t.*.e application subject Lo
the formation of a homeowner's association with the by-laws and articles to be
reviewed by the City staff and further subject to the following conditions:
1. All prope^ty shall retain the existing drainage and utility ease-
ments.
2. Each of the newly created lots must meet all applicable ordinance
requirexeats.
Wx
3. That the homeowner's association by-laus shall be subject tb staf:
reviex and approval.
All voted y=s.
HRIARffiLL SOHNHOOSS SEMPOHAEt7 ADPERTSSZNG SIGN
R 81-23
The application of Carl Tollefson for Leaporary advertising sign to
adverLise Briarhill Townhouses located on Silver 8e11 Road xas next con-
sidered. The s;3n xould be at the sout2:west quadrant of the new Trunk Hig.*.:ray
i13 and Silv?r Be11 Road. Smith moved, Parranto seconded the motion, all
voted in favor, to approve the application subject to compliar.ce with Lhe
applicable ordinanc?.
SiILLIAM lME YAIVER aF PLAS
TF.e application of Williao Meade for waiver of plat to subdivide a five
acre parcei was nex: consiCe^ed. Hecause of lack of appearance by the appli-
cant, Par^aato oove3, Wachter seconCed the motion to continue the application
ur.til the next regular meeting. All voted yes.
SdLLZ BEAUCHF2fI9 AEZ08IPG
The application of Sally Beaucheain for rezonir.g from R-1 Lo Agricul-
C' tu^al of a parcel in the Wilderness Retreat area on Cliff Aoad rras next
consiCered. Ms. Eeauchemia was present ar.d indicated she preferred to rezone
to Agricultural rather than to acquire a special use perait as recommended by
6 -
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3795 F:.-ot Kncb Poad '
Faqan, ?,innesota 55122
AAKdM COU[Jl'Y TRIMJ[E
420 THIRD STREET
FpR7I4GIdN NPI 55024 Re: City of Ea4an - Le4a1 Notice
Gentleien:
I am herewith enclosing 1 oopY/ooPies of I`7otioe of Public He2rin4
in the follaaing matters:
Carl R'Ibllefson for waiver of platt?ra for 8du^lPX 1= '
which piease publish f0r 1 week(s) in l+out =rh 12 , 19 8L-
and . , lg e?iition of the Tribtme• Please fo=ward
to the City of Eagan your Affidavit of Publication• Thank You•
Very ttulY YarS
E,panpverbeke, City Clerk
City of Fagan
Telephone: 454-8100 ..
-,-- ..? Nla-cing re9u1ations to split eight duplex lots far
sinqle ownership -
of praperty locaced in Dakota County, Kinnesoca deseribed as
. follovs:
Iot 1, Block 1, Ches Mar Sth Adclition
7nt 2, Blorlc 3, Ches 14ar lst Pddition
Iots 1& 2, Block 2, C'hes 17ar Sth Addition
Iat 1, Block 1, Cedar Grove 11
Lots 1& 3, Block 4, C.hes Mar lst Addition •
Iot 2, Blodc 1, Cedar Grove 11
of the NA of tYe NNba of Section 14, lbwnship 27,
Range 23 •
DaCed: 3,.,6_81 Advisory Planning Cormlsslon
City of Eagan
BY : . v RM ?
Clty C1 k
crrY oF EAcAx
SUBJECr: 4C7.VER OF PIAT
APPLICANT: C4RL 'iO=SON
IACATION: I17P 1. BI= 1,CF'S NAR 5TH,I.OT 2,BLOCR 3. Q-IFS
MR 15T. IC/I5'1&2,BIOCR 2.C[--IES MAR STH,LOT 1,BIUCK
1,CIDAR GEmVE 11,IO15 1&3,SLOCK 4,CHFS MR 1ST;Ifn
2,BIUQC 1,CIDAIt GIUJVE 11 OF THE NNBa OF TfiE NFB; OF
SECI`ION 27 ANID SECI`ION 20
EXiSTnIG ZONING: R-2 (RESIDENTIAL DLTPLEX)
DATE OF PUBLIC HEARSNG: MRCi 24, 1981
DATE pF REPORT: mkpCH 18, 1981
REPORTID SSt: FQJRPIS G. [TI.RZCH, PIANNING ASSIS'IPNP
APPLICATION S[JBhffTTID
An application has been sutmitted for a waiver of plat to allaa for the sub-
division of 8 duplex lots for separate ownership of each duplex unit with
lot.
COnENfS
1. The lots in question currently all Wntain one duplex upon a single lot.
The pmposal is to split each lot to allaa for separate ownership of
eadz duplex unit with lot.
2. Each of the newly-created lots would meet all ordinance requ;rements
applicable to the R-2 zonirx3 designation.
3. The proposed lot splits would not negatively irrpact the character of
the neighborhoods and wvuld encourage aAner occupancy of the dwelling
wuts. '
4. In the past, other similar waivers of plat have bePSi granted in the
Ches Mar and Cedar Grove neiqhborhoods.
5. Separate utility lines are currently provided tA each unit.
If apprvved, the waiver should be subject to the following oonditions:
1. All property shall retain the existing drainage and utility easements•
2. Each of the newly-createcl lots must meet all applicable ordinanoe re-
quirennents.
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ae+e cAsr sa,N srReer 55417
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Lot 2,Hlock 3,Chea "tar Firet Addition,
Dakota Caunty,Ninneeota.
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27rd. Jan.
A! fURV[V[O RY M[ TMtt-- DAV OI-_ A.D. 1978
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F. G. ?AGKSON. MIwr,[fo[w/ /?[a?rrnwTwM. No. 3600
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, 11[OIGTCR[O UND[R {.AWO O/ lTA7[ 01 MINN[10T11
•? ? Yd I? UC[Mf[D w OROINANC[ OF CITY 0/ yINMfA?Ollf
3616 EAST 93rN STREET 55417 727-3484
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Lot 1,Alock 2,Ches :7ar F1fxh Additlon,
Daioca Caunty,Minnesota.
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F. C. J CKSON. M?HH • Rsois7riwiwN. No. 3600
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LwHO suRVeroR
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. . LIQNKD fY ORDINANQ O/ ClTY O' MINMLA/Ol/t
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3616 EA57 637N STREET55417 727•3484
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Lot 2,Black 2,Ches hlar Fifth Additiaa,
Daknta Caunty,lLnnee3ta.
ws suwvcrca Br ut 7MIf,2ddi-DAY OI-A!'S• •.o. 1973
Revieed Jan. lUtn. 1979
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TM[ AOOV! If A RU[ ANO ODRR[CT RAT W A 811NV[Y OF
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Lot l,Black 1,Cedar Grave No. 11.
Dakota Ciunty,Ninneaota.
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Ai sUnVLY[O BM M[ TNif Oth. OAY pI ?C• ?.D.-
Sevieed Jan. 18Ch. 1978
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F. C. JACKSON
UHD 9URVEYOR
R[GIST[w6D UNO[R 4Wf 01 f1Mi p/ MINN[fOM ?
4C[MS[D eY OROINANC[ OR CITT 00' YIMN[A?Oli/ ??({
3818 EAST 45TH STREET 55417 ]2)-34 lS
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No. 3600
F. C. JACKSON. MiHM[foTA
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F. C. JACKSON
LAND SURVEYOR
3616
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1 N[R[BY C[RTIFY TNAT TX( AlOV! 10 A iRU[ ANO OORqCCT PL11T O? A SURV[Y W
Lot 3,Block 4,Chea Har,First Additian,
Dakat• Caunty,MinneaoCa.
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Revised Feb. 7[tt.1979
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Lac 2,Block 1,Cedar Grova Na. 11,
Dakota Couaty,Mianeso[a.
A{ iVRV[YCO MY M[ TNIt-6Ch___WV 0/llpv. ..o. 1976
20-27-23
F. C. JACKSON. MiMN[K
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CITY USE ONLY
LOT DJI BL RECEIPT #:
SUBD. RECEIPT DATE:
?
1996 M£CHAIV1CAL PEitMIT (ft£SIDENTIAL)
CTCY OP £Afil4N
S$SO PILOT I{NOB RD
£AflAN b!N 55122
(61E) 6$1-4675
Date:
Complete this section onlv if you aze installing HVAC in single family, townhomes or condos under
construction and not owner /occupied'
. HVAC: 0-100 M B T U $ 24.00
ADDITIONAL 50 M BTU 6.00
. Gas outlets (minimum of one required @$3.00 ea.)
• State Surcharge: .50
• TOTAL:
Complete this section onlv if you aze remodeling, adding to, or repairing existing single family dwellings,
townhomes, or condos. Note: Mechanical permit is not reauired for alteration/add-on to ductwork in
existing residential units; but is required for the following:
Install fiunace _ Install air conditioning
X Instail air exchanger, i.e. Vanee system, etc. _ Other
Minimum fee applies to all remodel or add-ons of existing residences $ 20.00
State Surcharge
Total: $ 20.50
SITE ADDRESS: r3g6G La k?si de? C i rrlY
OWNERNAME: MG(Yy Prp1 n Prld'e,j"l _ PHONE H: LFOL?? Q ?3O _
INSTALLERNAME: WoYIlt'IlC G)(L+{`)e1cI2 Cf±l 4- A IG PHONEik: 4-9I- -7 09!7
STREET ADDRESS: 14-i39, Pen v, Oc K 61M -
CITY: ?YJ p UaUDq sTa.TE: f?iv zIP: 551a¢
?_'njl?c:e.l R - IV4-4?
SIGNATURE OF PERMITTEE
]S/FORMS BLD/MECH PERMIT (RES) • 1998
c,s? ?
a
2004 RESIDENTIAL BUILDING PERMIT APPLICAT'ION
City Of Eagan
3830 Pilot I{uob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
+T
New Cons4uction Reauirements RertwdeVReoair Reauirements
3 regislered s'rte surveys showing sq. ft. of lot, sq. tt. of house; and all roofed areas 2 copies of plan
(20%maximumlotcoveragealbwed) 1eetofEnergyCalculatronshrheatedadditlons '(re?_l?'2s'PJapRecd.; Y
2 copies of plan showmg heam & windovr sizes; poufed found desgn, etc. 1 site survey for addl6ons & decka i( -E? P?es{ey1;
lsetofEnergyCalculatiofce AddMion-indicateilon-sifesep6csystem Ort?„eS,eQ4c?stem_,??;=??,=w.
3 copies of Tree P2servation Plan'rf lot platted after 711193
Rim Joist Detail Optlons selection sheet (Gdgs wifh 3 or less units
!
/ ?
/ •
Date ?
. Construction Cost ?
_
_
Site Address i 38 l? ( a C2f ??12 ?` r RC 1? UniUSte #
Description of Work
Multi-Family Bldg ? Y N ?
Fireplace(s) _ 0_ 1 _ 2
Telepkone # (?i 5 () '40IO " 5 'd?
Property Owner
Contractor G,( WCY pav
Address jq(pU Li City--A
t
S
MN Zip Telephone #ost)
ta
e
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy CAde Cffiegory . Residential Ventilafion Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
. Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies. ^
Licensed Plumber
Mechanicol Contractor
Sewer/Water Contractor
I hereby apply for a Res
that the work will 6e in
Telephone # (
?
Telephone #(
Telephone #(
ng Permit and acknowledge that the information is complete and accurate;
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
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval ofplans. ,
,,? l4 L) e7 EV1?S ?
Applicant's Printed Name ApplicanYs i ture
-_ _ _ _ _ _ _ __ _ _ _ _ _ _
? ?
? Permit#: ?Z? (p (o ?
I ?
? Permit Fee:
? Date Recefved: a-
I ?
? Sfaff:
?--- - -
008 RESIDENTIAL
Date: ? I ?" ? Site Address:
TenanF.
PLUMBING PERMIT.APP
Maryann Alden
l Z OL T..1-: A,. l'C
21 2008
1JOV L[I.hGJILLG VllV1G
RESIDENT 1 OWNER Name: Eagan, MN 55123 Phone:
-
6514069330 -
Address / City
CONTRACTDR Name: NcrK License #: V U/ 1 J Li(
Address; Z 1 O5 Eifix
City: M/(/!?. State: mrnl Zip: 55 D
Phone:( W I2)D(1I' 0'3 Contact Person: Ve ss
TYPE OF WORK _ New _ Replacement _ Repair _ Rebuild _ Mod'ify Space _ Work in R.O.W.
Description of work:
PERMIT TYPE RES/DENTIAL
X W
t
t
H
?
ft
a
er
ea
er
Water So
ener
- Lawn Irrigation Add Plumbing Fixtures
RPZ !_ PVB) Main _ Lower Level)
Septic System _ Water Turnaround
New
Abandonment
RES/DENTIAL FEES:
$50.50 Minimum Water Heater, Vvaier Softener, ,or Vvaier Hea[er and Sotfener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation (includes $.50 State Surcharge)
$50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround' (includes $.50 State Surcharge)
`Water Tumaround (add $136.00 if a 5/8" meter Is reyuired)
$100.50 Septic Systerrl New ($10.00 per as built) (Include:: County fee and $.50 State Surcharge)
$90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) CJO
?-
SO
,
TOTAL FEES $
I hereby acknowledge that fhls intormation is complete and accurate; that the woAC wlll be in c
Eagan; that I understand this is not a permit, but only an applica*_`nn for a permit, and
accordance with the approved plan in the case of work which requlres a revlew and appro I of
X L" moYblor??. x
Appllgant's Prfnted me Applica
anca wRh the ordinances and codes of the Clry of
to start wlthout a permft; that the work will be in
a,Y4:A Ea For Office Use j
City 0 o n Permit -4-
all
Permit Fee:
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received: MAY 2
Phone: (651) 675-5675
Fax: (651) 675-5694 1 Sta : v I
2009 RESIDENTIAL BUILDING PERMIT APPLICATION " 1, .
Date: 4^j Site Address:
l~tC'
Tenant: Suite
RESIDENT/OWNER Name: Phone: 651"41e,6" q3 0
Address / City /Zip:
`c
Applicant is: Owner Contractor
TYPE OF WORK Description of work: -C,-,
Construction Cost: lqL, N l✓Y
/ No )
cer Multi-Family Building: (Yes _k
CONTRACTOR Name: rd License 2-6 16 /7
Address: 1 1Z-61 (A.' f i ti i, fL~~e 'Y.
s
City: State:y Zip:
Phone: iZ ~~~C " 75 j~3 Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
_ Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet New Energy Code Worksheet
Category Submitted Submitted
submission type) • Energy Envelope Calculations Submitted
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.
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 V'is' x
Applicant's Printed Name Appli t ignatur
rJ Page 1 of 3
DO NOT WRITE BELOW THIS LINE,
SUB TYPES
_ Foundation _ Fireplace - Porch (3-Season) - Storm Damage
x Single Family - Garage - Porch (4-Season) - Exterior Alteration (Single Family)
Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi)
_ 01 of Plex _ Lower Level _ Pool _ Miscellaneous
Accessory Building
WORK TYPES
New _ Interior Improvement _ Siding Demolish Building*
Addition _ Move Building _ Reroof _ Demolish Interior
Alteration( Fire Repair _ Windows - Demolish Foundation
- Replace _ Repair _ Egress Window - Water Damage
Retaining Wall *Demolition of entire building - give PCA handout to applicant
DESCRIPTION
Valuation Occupancy MCES System
~ `LA
Plan Review- Code EditionSAC Units
(25% 100%Zoning City Water
Census Code Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Sheetrock
Footings (Deck) Final / C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation \ HVAC
Drain Tile Other:
Roof: -Ice & Water -Final Pool: Footings -Air/Gas Tests -Final
Framing ,t PrLk r(L,6Y-1PNt1 ,p
. f Siding: -Stucco Lath -Stone Lath -Brick
' Fireplace: Rough In Air Test Final Windows
Insulation Retaining Wall
Meter Size: Erosion Control
Reviewed By: t,• , Building Inspector
RESIDENTIAL FEES
Base Feef
Surcharge
Plan Review
(
MCES SAC
j
City SAC - Utz
Utility Connection Charge"
S&W Permit & Surcharge
Treatment Plant
Copies 5
TOTAL
Page 2 of 3
07/09/2009 11:57 9524926006 GLOWING HEARTH:/HIGH PAGE 02104
j Permit m
Cit of Eqdfl I C u
I Permit Fee.
3830 Pilot Knob Road 1 I
Eagan MN 55122 Date Received: j
phone: (651) 675-5675 i staff: t
Fax: (651) 675-5694 1 - 1
2009 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: ~Jqlpq Site Address 13 ~(17 6:51&0 i~ rC-&-
Tenant: Suite `
RESIDENT 1 OWNER Name: tr1 , i~ Phone:
Address I City I Zip:
Applicant is: Owner k Contractor
TYPE OF WORK Description of work: ks-61- ,I t`"_1a,s
Construction Cost: ! r Multi-Family Building: (Yes I No ff !
CONTRACTOR Name: t i l License
Address: d ViOrcItcSo r-
City: r girl State:_ Zip`
Phone:~&2, t4ra -~j J~ (V Contact Person: 1_q1 Ct k' t ` )011u, ~
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
_ Minnesota_Rules 7670 Category 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet New Energy Code Worksheet
Category Submitted Submitted
submiWon type) • Energy Envelope Calculations Submitted
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 & Wyya??tey~,yyr Contractor: Phone:
, I.... ' . . nr, ..i,... ~ , iii i, i, i•.. .r. ..i . • ti' I.
I~it)~'I~~ I~YJII~i~} 1~+1,~~11~'JT~'~''1'~`~''I`r°~~`sl~'~'~i?~'',~'~~ i'is~Y1g11~~~1~J►>~`~+b~'~`„!Itl'~~t+~~,~'~'J~'.'`~!~~,olSl~; ip'1°~iY,h
4+ ~i 'I I i r { Ill' 1 f r r n r.. , ri) I' i,' .li ,r
IM t 1;
r~iiSYtdr''r'~ri'itil~~iirili11,i1iipit k'iJI':vi~i'tI1t'Vtf+si',Ii++iy+' ; li
t i j{rir~ ~r .;Ii MI 1 i ni4 IIw ! yI~ t r ,i I rl r, + I I, i i sir l,e li~l~l.l~. I'4 ~ti in'li 14r, lir' i' r, „„r II
1 i f I.ra ll; iii nIt• iip il~ 1 }r+r '.n1I +..'li,,,~T14.{WIl ~rJ.~G~ bl~ .4 lr C;i iJQV.f7,!DC.iJ~JV~rrl~. 1`iA.'1 °~Sd ,•i'i Y~'u, ~ ,'I I:. II, "'i isi .{i i,
lx •I .li {.i ,~~i S
d, •
i hereby acknowledge that this Information is complete and accurate; that the work will be in wnformarnce 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 [ r r y-l --le 1~. X
Applicant's Printed Name Ap c is Signature
Page 1 of 3
-----1
I For Office Use 1
/ City of Ea i Permit I
I Permit Fee: 1
3830 Pilot Knob Road I 1
Eagan MN 55122 Date Received: I
Phone: (651) 675-5675
Fax: (651) 675-5694 I Staff:
L -----------------I
2009 RESIDENTIAL PLUMBING PERMIT APPLICATION
r ~
Date: Site Address: Z'6 L G+ 12 t _ j
e CI C (
Tenant: Suite
RESIDENT / OWNER Name: Phone:
t L ~x ✓"t ✓1
Address/ City/Zip: 6,
CONTRACTOR Name: Goe i:1C~-Z4- ` 00 to o \J\(:.. - License C 6 Z n &C tf to l
Address: P i 6 s 60 12. S-7
City: Cx of L& 1+l.. y- State: t Zip: ~S3 ~ Z
Phone: L f~' 77U" C 2~ 7 L Contact Person:
TYPE OF WORK - New Replacement _ Repair Rebuild -Modify Space -Work in R.O.W.
Description of work:
PERMIT TYPE RESIDENTIAL F i (
Water Heater Water Softener
Lawn Irrigation Add Plumbing Fixtures
C__ RPZ / - PVB) C_ Main _ Lower Level)
Septic System Water Turnaround
_ New
Abandonment
RESIDENTIAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation (includes $.50 State Surcharge)
$50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge)
*Water Turnaround (add $165.00 if a 5/8" meter is required)
$100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
$90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
TOTAL FEES $
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 oTa Irl &1-c x
Applicant's Printed Name App cant's Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: `Under Ground -Rough-In -Air Test -Gas Test -Final
- - - - - - - - - - I
For Office Use
I I
Permit City of EaKdI Permit Fee: .
3830 Pilot Knob Road I 1
1
Eagan MN 55122 ~ Date Received: _ I
Phone: (651) 675-5675 112 e~l
Fax: (651) 675-5694 I Staff:
L -----------------I
2009 MECHANICAL PERMIT APPLICATION
Date: 2/) 21o Site Address: 1,?n, 4/,-,e s t - g
Tenant: Suite
RESIDENT / OWNER Name: Phone:
Address / City / Zip:/-?" O
CONTRACTOR Name: License
Address:
City: /-awm,5.f~i State: 11/7 Zip:
Phone: #/2 - rIl f 7~~d Contact Person: 22r,,~ 41e,1, Ae, 4d._
TYPE OF WORK New Replacement Additional Alteration Demolition
Description of work: /-.r h,~a K NOTE: Both roof mounted and ground mounted mechanical equipment is required to
be screened by City Code. Please contact the Mechanical Inspector or one of the
Planners for information on permitted screening methods,
PERMIT TYPE RESIDENTIAL COMMERCIAL
Furnace New Construction Interior Improvement
_ Air Conditioner Install Piping Processed
_ Air Exchanger Gas Exterior HVAC Unit
_ Heat Pump _ Under / Above ground Tank (Install / _ Remove)
When installing/removing tank(s), call for inspection by Fire
Other Marshal and Plumbing Inspector
RESIDENTIAL FEES:
$50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge)
$90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
$ TOTAL FEE
COMMERCIAL FEES:
$70.50 Underground tank installation/removal OR Contract Value $ x1%
$50.50 Minimum (includes State Surcharge)
Permit Fee
- If Permit Fee is less than $1,000, surcharge is $.50.
- If Permit Fee is > $1,000, surcharge increases by $.50 for each State Surcharge
$1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge).
$ TOTALFEE
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 Za 4 1)JzM&4 ef. x
Applicant's Printed Name A icant's Signature
FOR OFFICE USE
Reviewed By: Date:
Required Inspections: -Under Ground _ Rough In -Air Test -Gas Service Test In-floor Heat -Final
Exterior HVAC Screening Inspection
iolac:uuo 3?Lldmr? ?ac.
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C'. 10915 - ,-.
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F. C. JACKSON
uwo suRVeYoR
R[019TtN8D UNDQR LAWf pi iTAT6 0/ MINN[BOTA . ? •
4C[NB[O tY OWGINANC6 p/ CIn' 01 YIXN[APOUy
9818 EABT 53TN STRHETSS4L7
727-3484 % ral
liurbtpor'g QCcrttticatt ? -
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7 1
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D? 0 8- J.
I H[RlHV C[RTI/Y 7NAT TMt ABOV[ 10 A Tpll[ AMD CORRtCT RAT O? A SURV[Y CR
Lot 3,Block 4,Chea Iier,Firet Addi[ion,
Dakata Cauncy,Minneaota.
At SURV[YCD !'/ M[ THIB-9ch
Revised Feb. 7tn.1979
?? __ . ... ._ ., . ? •
? Aug' o._
L
. . .. .? - _ .. . ??... -:,-a ?-t. .
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA172968
Date Issued:10/25/2021
Permit Category:ePermit
Site Address: 1386 Lakeside Cir
Lot:031 Block: 04 Addition: Ches Mar 1st
PID:10-17100-04-031
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the
water damage.
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 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 -
Maryann R Alden
1386 Lakeside Cir
Saint Paul MN 55123--189
Roof Time, Inc.
18928 Katrine Ct
Lakeville MN 55044
(952) 447-7663
Applicant/Permitee: Signature Issued By: Signature