1500 Lakeview Curve• ' ? CASH REGL"'P i ' ?
.CITY OF EAGAN
. 3830 PILOT KNOB ROAD
EAGAfd, MIfVhESOTA 55122
DATE ? ? r J 19 ?
r ? ? t i i • I
WCEIVED ? 1.-+,?1?ti.,?
AMOUNT $•" ? ? ' -
1 .?, J (
t
& DOLLARS
lm
, p CASH ? CHECK
1
"+?Uk??.`?? I ' ? d ?L( / ? _.?•?1'1'? f?' ? J 1, . .J_u"'.?L ?.r`,A.,?
eY (.(k 0-1/
Mmne--Payers coar
velkNP-Pogune Coay
Pink--Flb capy
Thank You
PERMIT NO.
01-3210 Bldg. Permit
01-3422 Plan Check
01-3445 Surch./Adm.
01-3446 SAC/Adm.
01-2155 Surcharge
75-3860 Road Unit
20-2275 SAC
20-3865 Water Conn.
20-3868 Water Trmt.
20-3716
20-2252
20-3713
20-3743
79-3866
28-3855
Water Meter
Acct. Dep.
Water Permit
Sewer Permit
Sewer Conn.
Park Ded.
TOTAL
l
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHON E: 454-8100
BUILDING PERMIT
To be used for `" LV
?'?"?
Receipt * a I - ,
Est. Value "i9000 Date $RPT 22 ,19 t4
;
SiteAddress 1500 LAYEyIL''l CUM
Lot 2 Block 4 Sec/Sub. STOW POiNT
Parcel No.
z Name COLL21122 CITY COMiTtUC'PICtQ
? Address 5470 isiar sY
a City"U'?'LE VQLLEYPhone 431-1231
a O Name ?
? ? Address
a City Phone
Address
City
I hereby acknoWledge that I have read this applicahon and staie that the
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Sigr,ature of Permittee
A 8uilding Permit is issued to:_ rOLLIG! CITY CM57
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota 5tatutes and City of Eagan Ordinances.
BuildiR9 Official
OFFICE USE ONLY
On Site Sewage Oocupancy
MwCC System R Zoning
On Site Well (Actuaq Const y-?
City Water X (Allowable)
i
PRV Required # of Stories ,
Booster Pump Length
Depth i
S_F. Total i
Footprint S.F. ?
APPROVALS FEES
Engr./Assess. Permit 53d*00
45.50
Planner . Surcharge
Council Plan Review 1ff5.00
Bldg. Off. _ SAG City 100.00
Variance _ SAC, MWCC 550• (.0
water Conn. 350+00
Water Meter 67.00
Road Unit 325,OQ
Treatment P1 2" "oo
Parks
LWA. 50
,
TOTAL '
.?...
Permit No. PermM Holder WW Telephone N
WATER
SEWER
PLUMBING
H.V.A.C.
ELECTRIC
Inspection Date Insp. Commsnts
Footings 1
Foundation
Framing
Roofing
Rough Pibg.
Rough Htg.
Isul.
Frepyace
Final Htg.
Orstat Test
Final Plhg. Plbg. Inspector - Notity Plumber
Const. Meter
EngrJPlan
Bldg. Final
Dedc Ftg.
Dedc Final
.
'
Well ?
Pr. Disp.
. _ , CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PH ONE: 454-8100
BUILDING PERMIT Receipt #
To be used for '`1?? Est. Value Date '°YT `a
??6 117 1
19
Site Address ??0 LAM"V' "" 1 CLrRVI
Lot ? Block ? Sec/Sub. ??Y POINT
Parcel No.
Name
°Co
. Name _
? Q Address
??- City_
CI'tY
Phone "10 `"•" `
WjE
yVj W Name
F W i
U ? Address
a ZW
?
City Phone
I hereby acknowledge that I have read this application and state that the
information is Correcl and agree to comply with all applicable State ol
Minnesota Statutes and City of Eagan Ordinances.
Signature of Permittee
A Building Permit is issued ta
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
OFFICE U5E ONLY '
On Site Sewage Occupancy
MWCC System Zoning
On Site Well (ACtual) Const
Ciry Water X (Allowable) V-N
PRV Required # of Stories
Booster Pump Langth
Depth '
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr./Assess. Permit
Planner Surcharge ?
?
Council Plan Review I 0U' jo
Bldg. Off. SAC, City -550100
Variance _ SAC, MWCC SSO.GG
water Conn. 67. m
water Meter
Road Unit 125,QO
Treatment P1 204'"
Parks
TOTAL 648.50
. Permit No. Permit Holder Dato Tslsphon* #
Plumbing
H.V.A.C.
EI@CtfIG •...1 O O' ,, L L[yi ?.. ? C/?/d (L "cy ^-i
Softener
Inspsetian Dsto, Insp. COmments
Footings I !
E:
Footings II ?
Foundation
Framing L
,? :?? '? -
J J ?
Roofing
Rough Plbg. le, s
Rough Htg.
ISUI. .r .
Fireplace
Final Htg.
Final Plbg. _?.
Bldg. Final
Cert. Occ.
Temp. LP
DeCk Ftg.
DecFc Final
Well
Pr. Disp.
?jJ
? Site Address
, Lot Block - `?
y Name
Address
c City
? L Name
c Address '
[ p City Phone
j TYPE OF WORK
? Forced Air
i Boiler
? Unit Heater
? Air Cond.
Vent
?
; Gas Piping Outlets #
M BTU
M BTU
M BTU
M BTU
CFM
FEES
M BTU - $24.Q0
'TU - 6.00
1E5 AFC ON NEW . ,?
JIUM -1 PER PERMI7) - 1.50 EA,
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE 8. CONDOS - RES. RATE APPLJES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
REMODELS - 12.00
MINIMUM COMMERCIAI. FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOPID $1,000)
FEE: J - __.I __4 •a .
?
S/C: SIGNATURE OF PERMITTEE
PERMIT # -
MECHANICAL PERMIT RECEIPT # -
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ?
PHONE: 454-8100 For Office Use
BLDG. TYPE WORK I
;ec/Sub Res. New _
Mult Add-on
.? . t.. ? .
Comm. Repair _
. Other
ine -
?
PERMIT N
PLUMBING PERMIT RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
ICE: PHONE: 454-8100
Site Address
Lot Block Sec/Sub
y Name
? Address
c City Phone
? Name
c Address
p City Phone
FEES
COMM /IND FEE - 196 OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE 8 CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BIDG. TYPE WORK DESCRtPTION
Res. New
M ult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
MO. FIXTURES TOTAL
Water Closet - $3.00 $
Bath Tubs - $3.00
Lavatory - $3.00
Shower - $3.00
Ki±chen Sink - $3.00
UrinaliBidet - $3.00
Laundry Tray - $3.00
Floor drains - $1.50
Water Heater - $1.50
Whirlpool - $3.00
? Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMtT)
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
SIGNATURE OF
FOR: CITY OF EAGAN
FEE:
STATE S/C: GRAND TOTAL• ' `' '-
PERMIT lk
Site
PLUMBING PERMIT RECEIPT 1t
CITY OF EAGAN
3830 PIIOT KNOB ROAD, EAGAN, MN 55122 DATE: ?
Sec/Sub
m Name V( r J i. L cA r.? ?+ 1
v . Address Lll+ K (
c City t--140 ?'?l Phone
? Name
c Address
p City Phone
FEES
COMM/IND FEE -1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
? TOWNHOUSE 8 CONDO - RES. RATE APPLIES
MINiMUM - RESIDENTIAL FEE -$12.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
SIGW/ITURE OF PERMITTEE
FOR: CITY OF EAGAN
(o
BLDG. TYPE WORK DESCiiIPT10N
Res. New
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING
NO. FIXTURES TOTAL
Water Closet - $3.00 $
Bath Tubs - $3.00
lavatory - S3.00
Shower - $3.00
Kitchen Sink - $3.00
Urinal/Bidet - $3.00
Laundry Tray - $3.00
Floor Drains - $1.50
Water Heater - $1.50
Whiripool - $3.00
Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIT)
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
Fiough Openings - $1.50
FEE:
?
STATE S/C:
7? GRAND TOTAL: ? `
(Itrfifirat.e ,n# (Orrupanry
titp of eagan
iorputmrici n# ludDing jwtriton
This Certificate issued pursuant to the requirements of Seclion 306 of the Uniform Building
Code certi)ing that at she time of rssuance this structuse was in compliance with the worious
ordinances of the City regulafing building corrstruction or use. For the following.•
u. cwfi.tk. swg. r-rmc No. '
oc-p-,r Type zo??ng Dwh;d Tya c-
Owner of Bw7ft Addrm
Huilding Addras . . ? ._ . . L,",ity
I)Rie:
Bwldin8 O@'kid
POST IN A CONSPICUOUS PLACE
CITIf tiF EAGAN Permit No: Date:
3830 P11o! Kndb Rosd B/ P No: _ Date: 2'
P.O. Box 21199
Eagan, MN 55121
Owner z',i.1le2e City Coast.
SiteAddress: f 5fln Takev`c-- {'e,--?rE? '"• ^tcrfet• ?o _*?`
Plumber. Stai T_'i:r.:i; L-_?
nnwCC: 550. OOpd
City Chg: 3 Ot` . 0L1p4
Acct. Dep: - '
Surcharge: No. of Units:
Permit Fee: ? ? , ?
18gres b Cpmpiy with the City Of Eagan
Ordlnancp.
By
SEWER SEAVICE PEAMIT
Conn. Chg: ? ?''' • 001 ?
Acct. Dep:
?Permit Fee:
Surcharge:
Tr. Plant
Meter.
,
?
Zoning:
No. of Units:
I agree to comply with the CNy of Eagan
Ordinances.
Misc.: By
WATER SERVICE PERMIT
CITY OF EAGAN Permit No: 9944 Dale: 9-23-E"
3830 Dilnt Knob Road Meter No: 40 7`f ? a70 Size: 46Lf RoaK
P.O. Box 21199 Reader No: 0-6,-R, 3 2 2-?9 Date:
Eagan, MN 55121
SiteAddress_1500 I.dkeview Ci-:rve Ll B4 Stanev Poinr
Plumber Star Plumbinv
Conn. Chg: _ 550.0,0pd
Acct Dep: 15.0Opd
Permit Fee: i0 COpd
Surcharge, . SOud
Tr. Plant_- 204 , c70pd
Meter. ?+ Q?d
Zoning: "-?
No. of Units: ?
I agree to comply with the Cify of Eagan
Ordinances.
er
WATER SERVICE PERMIT
CiTY OF EAGAN Permit No: '4'' Date: ?
3830 Pllot Knob Road Meter No: Size:
• P.O. Box 21199 Reader No: Date:
Eagan, MN 55121
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55127 N? 15637
BUILDING+PERMIT PHONE:454•8100 Receipt # 9 l
.75811??
To be used for SF DWG/GAR Est. Value $91, 000 Date SEPT 22 19 88
Site Address 1500 LAKEVIEW CURVE
Lot 1 Block 4 Sec/Sub. STONEY POINT
Paroel No.
w Name COLLEGE CITY CONSTRUCTION
z Address 6970 151ST ST
o CityAPPLE VALLEYphone 431-1211
p Name
0 a Addre
? City_
?s
?w Name_
ww
?
iz. Address
a W Ciry-
1 hereby acknowletlge Ihat I have read thrs applicaUOn and state that Ihe
iNOrmation is correct antl agree wmply with all applicable State oi
Minnesota Statutes and Zit ol E?an Or ' nces
SignaWre of Permittee
A Building Permit is is ed to: C?,F-S'iE_C7.TY_CQ$ST_
on the ezpress condition that all work shall be tlone m accortlance wrth all
applicahle State ot Minnesota Statutes and CRy of Eagan Ortlinances.
Bwlding Ofhcial
OFFICE USE ONLY
On Site Sewage _ Occupency R-3 M-1
MWCCSystem X Zaning R-1
On Site Well _ (Actual) Const V-N
CiTy Water X (Allowable) V-N
PRV Required _ # of Stories
Booster Pump _ Lengih 621
Depth 50'
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr./Assess. Permit 53$.00
Planner Surcharge 45.50
Counctl Plan Review 269.00
BIdg.ON. SAC,Qry 100.00
Variance SAC,MWCC 550.00
WaterConn. 55D1_09
Water Meter _(L7100
RoadUnd 375_0
(1
ireatment Pt 204.00
Parks
TOTAL 2,648.50
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING'PERMIT
To be used for DECK Est. Value
Site Address 1500 LAKEVIEW CURVE
Lat 1 Block 4 SeclSub. STONEY POINT
Parcel No.
w Name STEVEN J LARSON
3z: Address 1500 LAKEVIEW CURVE
° City EAGAN Phone 688-2078
o Name 5?
6? Address
City Phone
6.w Name
?3 Address
aw Ciry Phone
I hereby acknowlege that I have read Ihis application and state thal the
information is correct and agree to comply with all applicable State of
Minnesota Statutes and Ciry ?of ?E?a/gLa?n Ordinanc/es.
Signature of Permi[ee ..?
A Building Permit is issued to: STEVEN J LARSON
on Ihe express contlition thal all work shall be tlona m accordance wrth all
app6cahle State of Minnesota StaWtes and Ciry of Eagan Ortlmances.
Building Official
Receipl #
N4 -19455
?513 Z
Occupancy
Zoning
(Actual) Const
(Allowable)
M ol siories
lenqth
DeD'h
S.F. Total
S.F. Faolprinis
On Site Sewage
On Sile Well
MWCC System
Ciry water
PRV Required
Booster Pump
APPROVALS
Planner
Counctl
BIag.Ofl.
Vanance
OFFICE USE ONLY
_ FEES
3M7
9x16
Bldg. Permtl
Surcharge
Plan Review
SAQ Cny
SAC,MCWCC
Water Conn
Water Me[er
Acct. Deposit
SNJ Permit
S/W Surcharge
Treatment PI
Road Unit
Park Dad.
Copias
TOTAL
1
.50
9F_nn
REQUEST FOR ELECTRICAL INSPECTION . ee-ooooi-os
1 See instmc4ons br como?i•ting this tmm on back ol Yellow copy.
E 39425 "X" Be%w Work Covered by 7his Request
FAA fle0. TyOe ot 9uiltlm9 APplmnces Wrtetl Equiumenl Wved
Home Range Temlwrary Service
Duplex Water Heater lighuny Fiztures
Apt. Bwiding Dryei Electne Heatui
Commercial Bldg. Fumace Silu Unloader
Industrial Bldg. Air Conditioner Buik Milk Tank
Farm otnrr per,i v .?ner IsVC, :lvl
r nr yecify ther Oiher
Comnute lnsnection Fee Be/aw
N fae ServiceEnVanceSixe tt Fee Fexdars/Subteetlers k Fee Cvcwts
0 ip 200 qm ps 0 to 30 Am s 0 to 30 Am s
Above 200 qmps, 31 to 100 Amps ?j p0 31 to 100 A 5
Swimming Pool Above 100_Amps Above 100_AmU+
Transformers Irrigation Booms nj? Partfal,"Other fee
Signs SpeaallnspecUOn $
TOTAL
Hemxrks ?
?
flouah-in
P
• Date
? ?a'
1, ma eiec+...ai
??so to., ne.abw
dy that tM1e ebove
,c
Rnal ?^?' ? 7 5
pecbon has been
natee.
1Tia repuest voiE 1B monltt+hom , -%L,,
??anths from u ?Q? ?/v?
E 38425 ?r P/-l
??? ?
t;7-16a.7v
Renuest Uate
'/
P Fve No. RouH -in InsVerbon
Repi ved,
OFeatly Nu WiII Noufy Insoec-
?
-
?f" ? p
- ?Yes ?NO tor When Feady
yLicensed Electrmal Contractor I hereby requast insoecLOn o1 ebova
wner electrig cal work installed at.
Street Address, B/oe o/r Poute No.
Is Q L»l?t ir
i Ut Cny
F-ga,4 .n-,0
ecunn o. Townshi0 Nnme or No. Ranee No. Cowuy
AQ T?
OccuD //'pp/ I Phone No.
Power juppligir
Zo?.?
Address
jti ?
Ele?cp ical Cnn[racto ICOm any N?mel J
Hennc.v ?"j?cT w? 7vxr.tor's lmmse No.
?/DE'?1
Mailmg AAJiess 1 ntraclor or Owner Makmg In iTilaLUn)
3a? ? ?- s
Amh?ii d i0nalu ?Co t- or ,r Makin9 ?nstalla?fonl Phnng_N??bor??
MINNESOTA TqTE BOAHD OF ELECTNICITY TMIS INSPECTION XEQUEST WILL NOT
Grig9s-MidwaY Bltlg. - Room N-181 BE AGCEPTED BY THE STATE BOARD
1827 Universrtv Ava.. St. Peul. MN 55104 UNLE55 PPOREP INSPECTION FEE IS
ui,,...e twioi ea,.nann ENCLOSED.
sy
? ?
2007 RESIDENTIAL MECHANICAL rExmnT aPrLicATioN
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for. single family dwellings & townhomes/condos when permi[s are required for each unit
Date 1-2- / Z -7 / 0'7
SiteAddress 15-60 612vc Unit#
PropertyOwner S 'TEV& Lth+t Strv" Telephone#(6,y / )
1, s ?SS' 7078
Contractor V? ?C la-? r w ts ? I`' i A-- L w t-
Stree[Address Pi City
State VA YJ Zip Telephone #(
Bond#: S5-1 Espires: 3 2ov?
The Applicant is _ Owner ? Contractor _ Other
Fire repair (replace burned out appliances, ductwork, etc.) $ 90.00
This tee applies when extensive mechanical repairs are made to a building.
Add-on or alteration to existing dwelling unit $ 50.00
X furnace _Additional tiC Replacement _ New
air exchanger
? air conditioner
heat pump
other
State Surcharge $ .50
$ sD` 5'b
Total
I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and acwrate; tLat 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 pemut, and work is not to stait without a perxnit; that the wo c will be in accordance with the
approved plan m the case of work which requues a review and approval of pla .
?E h1(zi?`P R-0,4,( SEYC- ?
ApplicanYs Printed Name ApplicanYs Signatdre
7988 BUILDING PERMIT APPLICATION - CITY OF EAGAN ?
,
SINGLE FAMILY DWELLINGS
INCLUDEOETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 S T OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CDNTRACTOR/HOMEOWNER MUST DESIGNATE WfiICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS REAITAL QNITS FOR SALE UNITS # OF UNIT3
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH HLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COMMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIDNS ,SEP 16 1988
To Be Used For:s J r-i +r ,) Valuation: )O U d, d6 Date:
Site Address/,5-0
Lot ? Bloek
Parcel/Sub
Owne?7c?c d c?iJ?i? L?lY',fd»
Address &rVdr ,aq
City/Zip Code
Phone
ContraetorC.._ p / /e [~u r1J-L
Address 62 ]
City/Zip Code
Phone /? ?- ?aZ ) )
Arch. /Engr. -J? n'r c 91 C e h?.
Address
City/Zip Code
OFFICE USE ONLY
On site sewage_
MWCC system L/
On site well
City water ?
PRV required _
Booster Pump _
APPROV9LS
Oecupaney -3 fP/
Zoning rC-/
Actual Const
Allowable
# of stories
Length 6 2
Depth 5-0 3 3
S.F. Total
Footprint S.F.
FEES
Engr/Assess Permit S3 8
Planner Surcharge y5,5?
Council Plan Review
4
-
-
Bldg. Off.
jn2p SAC, City
2
] />a
Variance SAC, MGICC S? ?
Water Conn S S?
Water Meter ,j
Road Unit 325
Treatment Pl z.;;r
Parks
Copies
TOTAL
S O
Phone Ik
?O ?fJFll ' t
V? rb
z
?k Z
//SC
/ y
__----
133G k `ls ?
? s v( , y
J
?cr
21x?9= Ys?
') aSY ??? ? ? 9 z ?
?-
41
T
* Pion
* engir
****
Certificate of Survey for
(612) 681-1914
CoLLEGE CIT1f CoNZ)TRUGTIoN
Cv RVF
?
.M
o?
OMO ?
? ?1^
2422 Enterprise Drive
Mendota Heights, MN 55120
o ?°oo'
R `q p°D°.LGJ
48.
? ^ T
?- _
41 A(' ,
/ ? 33 r
e e a° Qo
11
0
i v
•? o rl
? N
J ?
' o G^
?
N? 3?, oo ? wJ 3°
zy g? "I'v
11 •-- `--? < DO
• 9ao.a Denotes exrsifn? flevafian
• 900.o Denofes propaHd Elevotian
----'- Denoles Drarna?e (ufrh f?Y Easement
denofes Drqma eFlnw Arrows
N>3 z9g
60 ? Av
ENGINEERINC DM.
Top ot Block flevcxfior1 : 873.1
o Denofes monumen/ G'ara?e S/ob Elevafior) = 872.8
gecrrinP shvwnnrQ assurned
LOT 1? BLOCk 4 i$TONEV pOIN7"
DQKOtA CouNTy, MINNE$OTA $ualEC'T 7U EASfMENTS oFRECOqD
I herebV certlfy thet this aurvey, plan or report was pr pared 6y me or under my direct supegrv?ision end that I em dulY ?egisiered Land Suraeyor
1 under the lewe of the Stete oI Mlnnesota. Deted this. Aay of ? A.O. 19d2
/ d
Scale: 1 inch, 40?e? ,[/
SSDSS.O?j 0BERT B. SIKIC1i 1.5. REG.•N?e 1
9?
? .?
a
S°e o
?'18 $
Q
NORTN
,
0? W Q?
? M
M
ON
?e
? _v
?n
PROPOSED NoUSE f[fVA7-lONS
Cowesf Floor E/evation = $69.6
` .. .
E%TERIOR ENYELOPE AVERAGE "U"?COI4PUTArION
OFlNER S7 e'iG
S1TE ADDRESS
CONTW?CTOR DATE ' I d'8? PHONE y?I' ? 11
Determine working squere footage of each.
1. Total exposed wall
Z019
area ......
sq. ft. x.1?
° zZZ-
2. Tntal roof/ceiling arca ...... 1'» _ sq. ft. x,OZ(-) ° " a•'??
•Tatal er.posed wall area above floor ="Zol
. _?
a. Total wall ?vindow area ............ ..............
b. Total door area ................................. s
t. Total sllding glass door area ................... 4o ?
d. Total fireplace wall area.....••••••••••;•••::::; ____T
e. Total wall framing erea (average lOX)....... ?,',Ja Z
t. Total net wall area above floor .................
g. Total,rlm 3oist Area ........•••••••••••••••••••• -
Total ekposed foundation area = ?10
0
nufoundatioo areaaabove,grade..... ...::... „_,_ 90
. Toal l et
1
Determioe "U" value of each wall segment.
5-7 X
e
7 "U" ,3Ab °
.
,
b -4r X
. "U"
?
AO •X
c:
wu»
A-b
-
d _ x
•_ „U» ? . -
e. X •u• .092
- p ??---
1• ( ?J IZ ^ NVN •O?? e ?
ft I?1 x IiuB . 0JA °
.
h 4 X "u„ `
-
° -
i. q.) x „u„ ,. otil a
3 .............:..........?............Tota1 ° ?-1?,?
If item 03 1s tlie same ast or less tiian item #1, you have met the intent
of SBC 6006(c)2.
_ .. ...._...,
Totat..exposed roof/ceiltng area n I 33.3
J. Total skyliqht area ............................. _ --
k. Total roof/ceiling framing area (average lOX)... jt
1. Total net insulated roof/cetling area,.,,...,,,, U- G q
Determihe "U" value for each roof/ceiling segment.
. ?, -- x Pul.
IC. x "un
i._ x Nua OZZ . Z(c?7.F15
4 ..................................Tota1
lf total of 14 is the same as$ or less than €2p you have met the intent of
SDC,6006(c )1.
Alternate Bullding Envelope Deslgn
To utllize the total envelope system method. the values established by the
swa of items 13 and 04 shall not be greater than the sum of items 11 and 02.
i• } 2. • R '
3. + q. a .
2-
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atM a y mM11. A,
pffgf siq,vrd
APFLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTIQN
........... ...........
,
NOTE: PAYP4Nl OF FEE AT TiFIl? OF
?'.
? APPLICATSON WES Ndf CON- :
? STINIE APPRG7AL OF PIItPIIT. y
•
? I[15PFCPiON OF S'UM ANID/OR WATIIt +
:
t IKSPALi.A1'IOKS WII.L NOl' BE SCmUULID ?
f[!NPIL PERPIIT EIAS BE@1 APPROVID.
dtV ff?ftYe<41fi?fff?flt??ffY411rRi?fW'F'ktf}'?
OF eC1gC8n
(PLEASE PRIISP
1) PROPERTY ADDRESS:
LF]GAL DFSQ2IPTION;
IF EXISTING STRL'CT[JRE, DATE (
PRESENT ZONING/PROPOSID USE:
Q CONA7ERCIAL/RETAIL/OFFICE
Q INDUSTRIAL
Q INSTI7[JTIONAL/GOVERNNENT
)F ORIGINAL BUILDING PII2MIT ISSUANCE:
mbnt Year
I ei'R-1 SINGLE FAMILY
E] R-2 DUPLEX (3t,a L'nits)
? R-3 TOWNHOTISE (Three + Units) ( Units)
Q R-4 APARTMENT/COAIDOMINIUM ( L'nits)
2) ? NAME: C 'el,Cq ,?
ADDRESS: fr Q 7 C??
CITY, STATE, ZIP: ?2I? ? c- U ( lC k
PHONE: 11 Ll 3I 19 11
s) NaME: 6' ,".
ADDRESS: (} ?
CITY, STATE, ZIP:
PHONE. ??yy I
CYI'?.
MASTII2 LICENSE
Ij Active
Expired
Not recordec
St Initia
4) K*71kk'3:1jA?TNYMN?
NF1ME:
ADDRESS:
CITY, STATE, ZIP:
PHONE:
5) ? , y.?. • o?? . i a?
EJICONNECTION TO CITY SEWEE2 [2-60NNECTION TO CITY WATII2 a 0'iHER
6)
? ]'? "? r
********?***********?????"*******???*e+***?****+*****?,?************+*****+*+*******+*******?***+*?
*
* THE GOID COPY OF THE PII2NffT WII.L BE SIINP DIRECI7,Y TO PUBI,IC WORKS TO FACILITATE MEIER PICK-L?P. r
* PLEASE ALS.lJW 4GA WORKING DAYS FOR PROCESSING. °a'MNE FROAS 'RIS CITY WILL COIdI'ALT Y00 IF TIiERE ;
Y
*} ARE ? ?OBLEMS. ?
***!ti<k*****#***************************tk**********tR*****Yt****************'k*****lklt******************?
F'OR CITY USE ONLY I
PERMIT # ISSDED
Pd w/Bldg. Permit FEES:
$ $ SEWER PERMIT ( INCLODE SDRCHARGE)
$ $ WATER PERMIT (INCLUDE SORCHARGE)
$ $ WATER METER/COPPERHORN/OLTSIDE READER
$ $ WATER TAP (INCLCDE CORPORATION STOP)
$ $ SEWER TAP
$ $ ACCOUNT DEPOSIT - SEWER
$ $ 6rZl ACCOONT DEPOSIT - WATER
$- -SS? Cr'?l $ WAC
S2 • C/?l
$ C
? . $ SAC
$ $ TRUNK WATER ASSESSMENT
$ $ TRCNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRDNK SEWER
$ $ LATERAL BENEFIT/TRUNK WATER
$ $ WATER TREA
- TMENT PLANT SORCHARGE
$ $ OTHER:
$ I`f'/'?•?L) $ 4 /•C?n
TOTAL
P 7G 13
RECEIPT RECEIPT
DOES OTILITY CONNECTION REQUIRE EXCAVATION IN PIIBLIC RIGHT OF WAY?
Q YES IF YES, THEN A" PERMIT FOR WORK iVITHIN PUBLIC
Q
NO ROADWAY" MPST BE
DIVISI ISSUED BY THE ENGINEERING
ON. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE : n
/Z? /??
1991 BUILISINC' I'MLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
MTLTIPLE DWELLINGS COMMERCIAL
2 SETS OF PIANS 2 SETS OF PIANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCUTATIONS 1 SET OF ENERGY CALCS
_# OF RENTAL UNITS
_# OF FOR SALE UNITS
PENALTY APPLIES iJHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY IAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER HUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALIAWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For
Site Address
,/?
CI-e Pk Valuation: ftww-? Date: 7 a.)I9l
I5-ob Leee Ui ew Curv.;.
Lot I Block 1/_
Parcel/Sub ?"(DN ? ? " 1 ?`r
Owner 34-46Veh v La?.iorj
Address Is-?>D taKPV%?w e«"oc
City/Zip Code Cu4 ar, $-S-/02 a
Phone &,Pv ' av 7A
Contractor
Address
City/Zip Code
Phone
Arch./Engr. _
Address
City/Zip Code
Phone #
Sewer/Water Licensed Contr.
OFFICE IISE ONLY
FEES
Occupancy Bldg. Permit
Zoning Surcharge ?Q
Actual Const Plan Review
Allowable SAC, City
# of stories SAC, MWCC
Length 3 9 XI7 Water Conn.
Depth 9 Xlh Water Meter
S.F. Total Acct. Deposit
Footprint S.F. S/w Permit
S/W Surcharge
On site sewage_ Treatment P1.
On site well Road Unit
MWCC System _ Park Ded.
City water Trail Ded.
_
PRV _ Copies .5 0
Booster Pump _
SUBTOTAL
APPROVALS Penalty
Planner Lot Change
_
Council TOTAL (..Ov
Bldg. Off.
Variance
agrees that all votk shall be done in accordance with
(Signat e o Contractor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
iK
? enginee
? * **
N)
6C2q`'??'?v
Certificate of Survey for: C0LLE"'G CITY CO,V/7TRvC1'O'v
( v RVF
J?
?
V
.M
eM ?
0000'
0
a°qo 0°
?s °`?
AO ; ? i
?
4o e-0 Se?
? m ,,yoPo y?' o
0
?
e? ; o C
- ,;
'e 'v, ? z'33i Y ZG.o9? t?>>
N?30.pOs?
zy4j,?V
l %
?--
. 900.0 Denples exisli.n? flPVaflon
6 yoo.o Denoles propcMd Elevofion
------Uenoles Orai6 ne j utrlrl?' Easemenf
benofes Orqrna e Flow /?rrows
o Denoles monumenl
8earinis shown ore assumed
9610 ?
2422 Enterprise Drive
Mendota Heights, MN 55120
(612) 681-1914
A .A
a
?
NoRttl
?
O?
-- ?---
?
v
?? ?????) "yr E D
EAGAN ENGINEERING DEP':`.
PR0P04ED NOUSE ELEVATIONS
lowesf Floor f/evalion 1 $69.8
Top oi Block flevaf;on = 8711
CjarOf a 5/ob Elevafion = 872.8
LOT I, BLOCk 4 ) $TONEy POIN7"
DAKoTA CouNTY, MINNESOTA SUBI£CT 7U EASEMENTS OFRfCORU
t hereby cPrtlly thnt this survey, plan er repor( was prepareA by mIe or u,nder my direct zupeqrv?itlon end that 1 a m Aulp Registered LanA Surveyor
I under the levv? 01 the $tefe oi Minnesota. Deted this bIf day of A,D, 19dfL .
Scale : 1 inch. 40
ppOSS,O?j O8E[1T B, SIKICFTLS. REG. NO. IdP 1
10
?/-(? 7b q
2007 RESIDENTIAL BiTILDING rExMiT arrLrcnTioN
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Conshuctian Reau"vements
3 registered site surveys shavnng sq. fl, of lot, sq. R. af hovse; and all mofed areas
(20°k maximum lot coverage atlowed)
1 Soils Report it proposed building is to be placed on disWrbed sal
2 copies of plan shovring beam 8 windav sizes; poured found design, etc
1 sel of Ener9y Calculatlons
3 copies of Tree Presmafion Plan if lot pWtted after 717193
Pom Joist DeWil Opfions sdection sheet (huilQngs wiN 3 or less uni5)
MinnegasrA mechanicalventilafion form
RemodeVReoair Reavirements
2 copies of pian shoxting fooGngs, 6eams, jois5
1 setof Energy Calculations fw heated addlions
1 stte survey fa additions 8 decks
Addfion-irMica[e if on-sife sepfic system
?'D f?
CC_
Office Use OnH
Cert afSurveyRecd _Y _N
SailsReport Y _N
TreePres.PWnRecd _Y _N,
TreePresRequired _Y _N
On•sdeSepticSystem _Y _N
'd d bl' information unless ou state the are trade secret and the reason.
Plans are consi ere u ic
/ 0(,
Date # / Uv 7 Constr uction Cost
_
Site Address /SDv 4a lee U.' CL.J C` ?f ? e UnitlSte #
H, AJ ss-/a a
Description of Work kc 14 "
Multi-Famity Bldg _ YXN Fireplace(s) _ 0 K 1 _ 2
PropertyOwner S'?'eve.? -,I- ?a..!SO vi Telephone#((o57 ?02v'2 g
Contractor
Address City
State ' Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Energy Code Category . Residential VentilaUon Category 7 Worksheel • New Energy Code Worksheet
(4 submission type) Submitted Submitled
. Ener9y Envelope Calculations Submitted
In The last 12 months, has ihe City of Eagan issued a permii for a similar plan based on a master plan8
_ Y _ N If yes, date and address of masier plan:
Licensed Plumber
Mechanical Contractor
Sewer/water Contractor
Telephone #(
Telephone # (
Telephone # (
herebv anolv for a Residential Building Permit and acknowledge that the information is complete and accurat
e;
that the work will be in conformance with the ordinances and codes of the Ciry oT hagan ano me ocace Ul lviN
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.
S?e J?.? ? L? ai 1'Sov!
Applicant's Printed Name Appltcant's ignature
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Use BLUE or BLACK Ink
r
For Office Use1,11`. � ;x
. /(7et/C_
City of Eapll Permit
Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone: (651)675-5675
Fax:(651)675-5694 Staff:
2017 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit#:
Name: J 7-2 V 2 4,/--S'Uvl Phone: S/- 0s) -01.67 ei
tl@r Address/City/Zip: / S-0 O �.a7. w c�✓ UG
Applicant is: Owner Contractor
` Description of work: S ' e A0 Ze5�
Type ® .ork
444.
Construction Cost: 6'4 Multi-Family Building:(Yes /No k )
Company: Contact:
w.7
Contractolf -:
Address: City:
} State: Zip: Phone: Email:
x
License#: Lead Certificate#:
If the project is exempt from lead certification, please explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes,date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
Plans an p" 'g currents t ou subare cell. `• a ® s C informatio jti'
the info anon may clan hed as .ublic ou pro £..® is°reasons that °.emit`the to
, , ., s. r..' .:
� ecre#s
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 accurate;that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
✓e ,-.. car SOA x
Applicant's Printed Name Applic:- s Signature
Page 1 of 3