1503 Lakeview Curve
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? CASH RECEIPT ?
CITY Q?r aGAN
3830 PILOT KNOB ROAD
EAGAN. MINNESOTA 55122
DATE 19
RECEIVED . ?
FaoM
AMOUNT $
& DOLLARS
,ao
? CASH jzJ CHECK
1fL
? _ -
BY
wnae--aayers copy
velww-POSnN copy
Plnk-Fik Copy
Thank You .
PERMIT NO.
01-3210 Bldg. Permit
01-3422 Plan Check
01-3445 Surch.lAdm. f
01-3446 SAC/Adm.
04-2155 Surcharge
75-3860 Road Unit
20-2275 SAC C7
20-3865 Water Conn. oa
20-3868 Water Trmt.
20-3716 Water Meter
20•2252 Acct. Dep.
20-3713 Water Permit
20-3743 Sewer Permit
79-3866 Sewer Conn.
28-3855 Park Ded.
-?- f ,
TOTAL "?? 4 1
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagsn, MN 55121 15790
PH O N E: 454-8100 ?
BUILDING PERMIT Receipt
Tobeusedfor Est.Value Date ??? ?OMA 26
Site Address 1503 }. ? EvEYT.`:-: GIIRVE
Lot 15 Block 3 Sec/Sub. `?*10NEY 1'C}Tn
Parcel No.
a Name ?OLLECB CITY COZitiTllJC'L'ION
z Address 5970 1 s18'!" S'." /i
j CityAPYl.E VALI.EI? phone 431-1211
Name _
Address
City _
rQ
W
Name
?
z
_
a Address
U
? W=
City . Phone
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.
Signature of Permittee
A Building Permit is issued to: C-t•LLEI;h CLTY_ "-Si
on the express condition that all work shall be done in accordanca with al I
appliL'able State of Minnesota Statutes and City of Eagan Ordinances.
Building OHicial_
?
OFFICE USE ONLY i
On Site Sewage Occupancy
MWCC 5yatem Zoning
On Site Well (Actuaq Const 4--H
City Water X_ (Ailowable) V
PRV Required # of 5tories
Booster Pump Length
Depth 30'
S.F. Total
Footprint S.F.
APPROVALS FEES 1
Engr./Assess. Permit 596•0t)
{
Planner Surcharge t3• 50
Councii Plan Review 298.00 ?
BIdg.OH. - SAGCity 100•(A)
Variance SAC, MWCC 550.00 I
WeterConn. 550•0-1 ?
Water Meter b 1•60 i
Aoad unit 32 S.vO ?
Treatment P1 ZQk•AD +
1?mMe;ontcff t.00 g
TOTAI 2, yj''," 50
,
i
? w...:,, CITY OF EAGAN ;
3830 Pilot Knob Road, P.O. Box 21-199, Eegan, MN 55121 ?;??? ?
PHON E: 454-8100 '
$l?ILD1NG PERMIT Receipt #
i
To be used for •'?ff ?????E? Est. Value # 1???? Date ??v'?aD?? :'s' ,1g'='•ti :
?
Site Address ??d3 l.l.tCE'?'1 c?i LULtYF'
Lot A` Block 3 Sec/Sub. ST'ON??Y ?'?1 i?T
Parcel No.
oc Name COLLEC:S CI'fY COI1817ltIC"fIO?i
z Address ??7+0 t31RT 5T 6/
? Cit?'???'? V???Y Phone ??31-1?211
o Name :?At=?
,
? ` Address
? City Phone
?Q
yVj W
Name
F
= Z
Address
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.
5ignature of Permittee _
A Building Permit is issued to: __??LLEGE CITY E_Oa1ST
on the express condition that all workshall be done in accordance with all
applicable State of Minnesota Stalutes and City of Eagan Ordinances.
Building Official ____._____-_____ __ _?
OFFICE
USE ONLY «
On Site Sewage Occupancy °'J ??
MWCCSystem •'? Zoning ?-1
On Site Well (Actual) Const y'"?` ?
City Water X (Allowable) v"n
PRV Required _? ?t of Stories
Booster Pump Length ?41 ?
Depth JU ?
S.F. Total
Footprint S.F.
APPROVAIS FEES
Engr./Assess. Permit ???•? ''
?3•? '
Planner Surcharge
Council Plan Review 2?? •? ?
Bldg. Off. SAC, City 1?•?
Variance _ SAG MWCC SS0.0? ;
Water Conn. S? • ? '
Water Meter ?' ? • ? :
Road Unit 3RS.Q0 '
Treatment P1 ,
2fl4?Q? ?
??};ti.,?ies i.?Q i
TOTAL `?' ;?' ?'??
Psrmit No. Permlt Holder Date Tslephone it
Plumbing
H.v.ac.
Electric av
Softener
Inspaction Date Inap. Comments
Footings I
Footings 11
Foundation
Framing s _
Roofing
Rough Plbg.
Rough Htg.
IsuL
Fireplace
Final Htg.
Final Plbg.
- -?-i
Bldg. Final
Cert Occ. ?
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp.
. . • PERMIT # •' c- "; ? / S-0
MECHANICAL PERMIT RECEIPT # ? '-_q ?
, CITY OF EAGAN /
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE Z
CONTRACT PR ICE: PHONE: 454-8100 For Office Use Only:
Site Address BLDG. TYPE WORK DESCRIPTION
' Lot Block Sec/Sub Res. New
? m
N Mutt Add-on
m a
e
Address
" . T.
, Comm. Repair
c ?
City Phone , •? Other
?
c
Name
' FEES
RES. HVAC 0-100 M BTU - $24.00
O
T
00
p Address ADDITI
NAL 50 M B
U - 6.
(RES. HVAC INCLUDES A/C QN'NEW -
City Phone CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMIn - 1
50 EA
T11PE OF WORK .
.
COMMIIND FEE - 1% OF CONTRACT FEE
Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE 8 CONDOS - RES. RATE APPUES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON S
I Unit Heater M BTU REMODELS - 12.00
? Air Cond M BTU MINIMUM COMMERCIAL FEE - 20.00
.
Vent
CFM STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Outlets # BEYOND $1,000)
Other
FEE: R
'
e
SIGNATURE OF PERMITTEE '
S/C:
TOTAL• ' FOR: CITY OF EAGAN
?r• +a: j?aiF ? y? s ? ' ,+i., a v ? "8.. ?re?
PLUMBING PERMIT ?
, For Office Use Orily
CITY OF EAGAN PERMIT #
CONTRACT 3830 PILOT KNOB ROAD, EAGAN, MN 55122 FtECE1PT
PRICE . PHONE 4548100 DATE: _
Site Add?s
Lot -?
? Name
? AddrQ
c City ?
? Add
? cfty
FEES
COMMJIND. FEE -1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APLLIES
MINIMUM - RESIDENTIAL FEE $12.00
MINIMUM - COMM.IND./FEE $20.00
STATE SURCHARGE PER PERMIT .50
(ADD $.50 S1C PER EACH $1,000 OF PERMIT_ EE)
OF
-:t:L- LOQG-) a /
BIDG. TYPE WORK DE3CRlPTlON
Res. New
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTU R ES TOTAL
Water Closet - $3.00 $
Bath Tubs - $3.00
Lavatory - $3.00
3 Shower - $3.00
Kitchen Sink - $3.00
UrinaVBidet - $3.00
l.aurtdry Tray - $3.00
Floor Drains - $1.50
Water Heater - $1.50
Whiripool - $3.00
Gas Piping OuUets - $1.50
(MINIMUM -1 PER PERMIT)
Softener - $5.00
Well - $10.00
Private Disp. -$10.00
Rough Openings - $1.50
PERMIT FEE:
STATES S/C:
GRAND TOTAL: 'S • 5o
-?.
F CONTRACT PR
Site Address -
Lot
Name _
a?
?s Address
c City -
Name _
3 Address
p City -
MIIVIMUM - Fit
MINIMUM - CO
STATE SURCHA
(ADD $.50 S/C IF
BEY014D $1,000.
SIGNATURE OF PE
FOR: CITY OF E
PI
3830 PILOT KI
F
(
ck SeciSub
Phone
,
Phone
Kitchen Sink - $3.00
FEES Urinal/Bidet - S3.00
- 14% OF CONTRACT FEE ? Laundry Tray -$3.00
;OMM RATE APPLIES Floor Drains - $1.50
CONDO - RES. RATE APPLIES ( Water Heater -$1.50
IDENTIAL FEE - $12.00 Whirlpool - 53.00
MM/IND FEE -$20.00 Gas Piping Outlets -$1.50
RGE PER PERMIT - .50 (MINlMUM - 1 PER PERMIT)
PERMIT PRICE GOES Softener - $5.00
Op) Well - $10.00
. _ Privafe Disp. - $10.00
'
? -- •.
,?t-- Rough Openings - $1.50
RMITTEE FEE:
' srare sic:
GAN GRAND TOTAL:
j
'`
A
. ?. ?
PERMIT # y "
PERMI'f
EAGAN RECEIPT #
D, EAGAN, MN 55122 OATE:
54-8100
BLDG. TYPE WORK DESCRIPTION
Res. ? New
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NQ. FIxTURES TOTAL
-' Water Closet - $3.00 R
Bath Tubs - $3.00
=lavatory - $3.00
"t ch?,.,o_ cz nn- -
?.
e 4 • 6'
(ger#i#ira#e o# Mrrupanrg
(Citp of eagan
lopvttrfmrnt af Tuni" J*prtina
?
This Certiftcate issued pursuant to tlte requirements of Secrion 306 of the Unifonn Burlding
Code certifying that a1 the time of issuance this structure was in compliance with the various
ordfnances of 1he City regulating building constructian or use. For the fallowing.•
u, SF UdG/GAR Bldg. Ft„n;, No. 15799
OccuqncYTYPe R3/M1 Zo,,;ng DWrid Rl rya c?r ?
??r of BuMng rJQfIF1GE CIIY OCLVST. Add,m 6970 151ST ST W, APPLE VAIZL'Y
L 15, B3, S1C?Y POINT
BuM ? ? 1503 IAi?VIF?1 ?JRVE ?ity
tc- p,1: SMOM 1, 1989
w,g oerci,l
.) POST IN A CONSPICUOUS PLACE
CITXADF EAGAN Permit Na 1122' Date: 1i-8-88
3$30?ibtK?b Road
* P
O
B
21199 B/P No: AR(}gG Date: 102g -$8
.
.
ox
Eagan, MN 55121
Owner. C?y rhaar -
SiteAddress: Y '^ 21k-eyfe.W Cu*'ve r'?3 Stonpv Pntnr
Plumber: - Y>; ?='?!ning
MWCC: YSn • 00pa Zoning• F1
'
City Chg: 100. 04pd No. of Units:
Acct. Dep:
I agree to cornpty with !he City of Eagan
Permit Fee: Ordinances.
Surcharge:
Misc.: By
SEWER SERVICE PERMIT
. .- -- . . . __ _ _ :;w - -• ?. ;:zef:..- . , -- -• -7-?;_ -- -.
CITY„OF EAGAN Permit No: Date:
3630 Pllot Krreb Road
'• P.O. 60121199
Eagan, MN 55121 Meter No:
Reader No: Size:
Date;
Owner.
Site Ad
Conn. Chg: -`?•?opd
Acct Dep: 15.uopa
Permit Fee: " ' g
Surcharge: ?
Tr. Rfant `{.'? .' p
Meter. 67. 00nd
Const.
(%irve I.IS 1,33 Stonep no;.nt
ri
Zoning:
No. oi Units: 1
l agree to comply with the City of Eagan
Ordinances.
WATER SERVICE PERMIT
?¦
CITY OF EAGAN Permit No: - Date: 11 s` 88
3830 Pilot Knob Road Meter No: 4136,,2`I 7 5 Size:
P.O. Box 21199 Reader No: 6 DO G y Date: 1??Z7 ?g
Eagan, MN 55121 "U'zz„
Owner.
SiteAddress: .303 La ev_few Ctirve 1.15 s3 )nev poi*:t:
Conn. Chg: ' '0 ' 00pd R1
Zoning:
Acct Dep: No
of Units: ?
'?
??'' .
Permit Fee: P
? •
Surcharge; I a ree t
T
P
}•`?'`?'P?' o com
9 p? w? me Clty Oi Eagan
r.
lant Ordinances.
Meter. F,7 . [ tln?1
Misc.: ; ?'(?ITTT'*'", B
y
WATER SERVICE PERMIT
CITY OF EAGAN
3830 Pilot Knob Road, P.O. 8ox 21-199, Eagan, MN 55121 N? 15799
i I PHONE:454-8100 p(?/_ b?
BUILDING PERMIT Receipt# d D??/7
To be used tor SF DWG/GAR Est. Value $107, 000 Date OCTOBER 28 ,19._8$
Sde Address _ _1503 LAKEVIEW CURVE
Lot 15 81ock 3 Sec/Sub. STONEY POINT
Parcel No.
m Name COLLEGE CITY CONSTRi7CTI0N
3 Address 6970 151ST ST W
o CityAPPLE VALLEY Phone 431-1211
OFFICE USE ONLY
On Ske Sewage - Occupancy R-3 M-]
MWCC System X Zoning R-1
on Site Well _ (Actuap Const v-N
City Water X (Allowable) V-N
PRV ReQUired _ZL # of Stories
Booster Pump _ Length 50,
Depth 301
S.F. Total
Footprint S.F.
o Name_
?a Address
? City_
ua
WW
x?
UZ
aW
Name
Address
CItY _
1 here6y acknowleAge ihet I have read this apphcahon and state ihat the
information is correct and agr e to comply wrth all app6cable State of
Minnesota StaNte 'Ea-rdfnanCes ,
Signature ot Permit
A Bwlding Permit is issued to:_C4LLEGE_CIT.7L_CONST-
on the express condiNOn that all work shall be tlone in accordance with all
applicable State of{y\1 innesota StaINtesy ay?ndp City of Eagan Ordmances
8wlding _-----
APPROVALS FEES
Engr./ASSess. Permit 596.00
Planner Surcharge 53.50
Council Plan Review 298.00
Bldg. Off SAC, City 100.00
Variance - SAC,MWCC $$0.00
waterConn. 550 00
Water Meter 67..00
RoadUnit 375_O0
Treatment P1 _2114.,_00
xacmcopies 11.40
TOTAL 2,744.50
REQUEST FOR ELECTRICAL INSPECTION ee-00001-06
q 1 See insVUCtions for compleLrq this form on bnck of yellow copy
E`Jl 3`L 6Q "R" Be/ow Work Covered by Ihis Request
AAd Hep. TVDe ot 9uflamg Applmncee WrteO Equipment Wired
Home Range Temporary Service
Duplex Wate, Heater Liyhunp Fixtmes
Apt. Bwiding Dryer Electnc Heaun
Commerual Bldg. Purnace Silo Unloadar
Indusinal Bldg. Air Conditioner Bulk Milk Tank
Farm Otnr, PP,Gty Dinc, i5n".0v1
t. Sueci v Otner Otne,
Comuute Inspectron fee Below
p Fee ServiceEntmneeSae tt Fee Fexdets/5abteeders b Feo Cucuits
1'S" ? 0 to 200 Am s 0 to 30 qm s 0 to 30 Flm s
Above 200 qmps 31 to 700 Amps y" 31 to 100 Am s
Swimmin Pool Above 100_Amps Above 100-Amps
Transformers Irrigation Booiris ,$O Partial. Other Fee
Signs SUeciallnspecLOn
S
SJ,
TOTAL F
Remqrks ?
/ ?^ UG
Xough-in Lo. ?I.
??? I, the ElecLica
Inspeclar, hereby
cerldy that the nbove
Final spection has been
?reee.
Tffle roQUeal voltl 18 monthe Irom
This renuest wiA
18 rtqnths from ?
E 13N 0L?,?s
8 94??'JG ?
?6 ', ?
Re.quest Daie Fire No 6 RouAh-'n Insper,uon
RequneA?
oReady NowOWill Notify InsOec-
? ?yQ4 ?N. lor When Ready
? licereed Elec[rical Coinractor I hereby request mspecbon ol abava
Owner elec4ical work msialled aY
Sveet Atldress, Box or Route No. CrtY
ecuon o. Township Name or No. ange No.
?''
C.."14/
!?n-?I/?0
OccuG.ntIPRINTI Phone No.
/.211
Power Suppher
? 0 /? t1/Cic AtldrAess -?- /?p,?
1 /O.v/ /?'"`?
Electrica Contra mr ICOmpany Name) /
l? ?CG?f 0`Z i t_ /Co?nvac?lo?r"s csensq No.
(/ ?fi'1 T
Mailing Address IContractor Owner MakinH l7allauonl
/'
?
.
a
Auffionze wre mctor wner M ine Installation) Phnne Num^?
MINNESOTA STpTE BOAND OF ELECTPIGITV/ THIS INSPEGTION NEQUEST WILI. NOT
Griggs-Midwey Bldg. - Noom N•191 / BE qCCEPTED BV THE STATE BOAflD
1821 Universitv Ave.. St. Paul, MN 551G? UNLESS PqOPEF INSPECTION FEE IS
on....e iaim wn?.nonn / ENCLOSED.
1988 SUILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS 1?5qqq
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 7 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WiiICH ADDRESS
IS DESIRED. NO CHANGE5 WILL BE ALLOWED ONCE BIIILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS 0 OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COMMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
- - ;QC? 2 ? 1988
To Be Used For-6?i/ Valuation:?-^ nate:
Site Address
Lot 13" Block3
Parcel/Subfro» ? 'j '?It)
Owner / 1 ? 10/
Address
City/Zip Code
Phone
Contraetor C?u
Address6t-77
City/Zip Codep-/. L. ? /?9. ?51? ?
Prione L? 11 ' / -? ) )
Arch./Engr.?q yn e AJ' C u rr ?.
Address
City/Zip Code
Ja7, a00 --_.r_
On site sewage_
MWCC system ?
On site well
City water ?
PRV required
Booster Pump
Occupancy 9-3 M-I
Zoning R-1
Actual Const v-N
Allowable v-N
# of stories
Length Q
Depth --TO-7-
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr/Assess Permit 9(0.0?
Planner Surcharge 53.SD
Council Plan Review Z9B,OC
Bldg. Off.l?1aZrv SAC, City /p0.o?
Varianee SAC, MWCC 0.00
Water Conn 55t?ao
Water Meter 9, r7,0o
Road Unit '32-5.00
Treatment P12o4, Oa
Parks
Copies ,C?C3
TOTAS, ? 7 ?/( i • ?
Phone #
VA LtA AT IcD N
?ARAU? '
Zb k . ?"- t
Z? = y4 0 ?ly.? 6/60 . •
13SMTS Is-I Fr?
1(7 k 12 = 192 •;
3D X z? _ ?ga
?
30k 2-7 82rSX 4g : y oy 2s`
/o (o iryq
596•OU+
S3•50+
- 298•U0+
?L) 1796•00+
1•00+ ?
V 2,744•5U* ?
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T) --
CU °?=?
P//e EAuArr ENGrNEERING DE: T
. 900.0 Denoles exis/fq flevafior? PaoposEO NOUSE EtEVAT1oNS
. 900.o Denoles propaMd Elevotion
------Denofes Orarn4?e j Utilit fas[menf Lowesf Floor Elevafion ? 86/. i3
--? denoles Ornina e Flow rrows Top ot 81oclt flevafion :_ 869.43
o Denoles monumenf Gara-145/ab E/evafion = 869•I
Bearin1s shownore assumed P.R.V. REQUon?o
W
LoT 15 , BLOck 3 , $*MNEY PolAl7"
DAKOTA COt/NTy, M/MNESdTA SVB!£C( 7U EASfMENTS OFRE'toRd
1 herebY certify that thlt aurvey, pleo or report wm pr ared by m or nd r my dlrect eupervblon end thet I em duly Aepisi6iea Lend Surveyor
I under the lew? ol the Stsro of Minneeou. beted thb Uday o1 A.D. 19 ,cCpl2 : 1 inch : 40? w- f4?v
. 06 R BERT B. SIKICH L.S. REO. NO. 14091
2422 Enterprtse Drive
Mendota Heights, MN 55120
Certiticate of Survey for: COL L C l] E CI TY CONS T ?
'OFItiER
S1TE ADURESS
COtiTMCTOR eOCLEGT G!?'Y .a??- DATE)1) ?y •6'b' PHONE
....
petermine working square footage of each.
1. Total exposed aiall area ...... ZL-o* sq, ft. x_,11_ = zZa d-
2. Tatal roof/ceiling area ...... 18`70 sq. ft. xOZIv °
Total exposed wall area aboVe flour =
a. 7otal wall tvindow area ........................... 2 Z3
b. Total door area .................................•
?. :? °3
_
c. Total sliding glass door area ................... O
d. Total fireplace wall area ........................
-' o
e. Total 1-7 O .
wall framing area (average lOX).,.:........
f. Total net wall area above floor .................. 126 o, ?u,<•
g. Total rim joist area ............................ 1q2.
p'
1
Total-ekposed foundatlon area = (O Q- .
.
h. Total foundation window'area ........ ...:..,....... o
1. Toal net foundatlon area above grade ....... .:... 10 4-
Detennine "U" value of each wall seyment.
C; ? •x NU»EY'?aioR EP."-LOPE IIYERAGE "U" L01'"1TAT10N .
a?
d. Z'z'3 X "Un
b. X eUn
0G(G1ti.. - - - - -
x "u"
g. I?i 2 X „ull
h. O ' x Null
i . x °u"
.-5 A f„ _ '77.Ib
I'Q4
O a G'
d. O X "U" o
e. ?'f0 X "U" OqZ a 15•b4--
c? 4-3
'o ? D
, o-t ? 8. LZ
.3•.............., ...................Total
lf item 03 is the same as,'or less than item kl. you have met the intent
of SOC 6006(c)2.
I
, . .?. ( ? ?..?
Total..exposed roof/ceiling area = 17 S.G'
j . Total skyllglit area ..... :....... ........ ... O
k. Totai roof/ceiling framing area (averagelOx)... 119,
1. Total net.lnsulated roof/cefling area..:........ 1-0--
petermihe "U" value for each roof/ceiling segment.
f• 0 X"U" O ° O
k. 118 x "u"._ 2-
1: X uu" . v zz. a 3? . 2d-
4 ....... ..........................Total
lf total of 14 1s the same as, or less than 12. you have met the intent of
SqC Goob(c)1. Alternate Building Envelope Design
7o utilize the total envelope system mzthod, the values establisfied by the'
sum of ltems #3 and 64 shali nat be greater tfian the sum of items :1 and 12.
1. + 2.
3.
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+ q, . m
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I
APFLICATION FOR PERMIT
t
SEWER AND/OR WATER CONNECTION
NOTE: PAYI4NP OF FEE AT TIME OF
? APPLICATION OOFS NCIP CtlN- ?
? SiT101E APHKTJAL OF PEFhIIT. :
•
y INSPEClION OF SEYM ]VND/OR NW.TER +
? I[YSTAid.ATIOKS WIIS. LIJ'f BE SCCM[ILID ?
? (!NPIL PF126IIT HPS H@i ApPRWID.
dtV oF ecigcan
(PLEASE PRINT
1) PROPERTY ADDRFSS: / ?- O 3 ,l. ; t4 y •2
LI7GAL DFSCRIPTION:
IF EXISTIDIG STRL'CTURE, DATE OF ORIGINAL BUILDING PERMIT ISSC!ANCE:
Nbn Year
PRESENT ZONING/PROPOSID USE:
+R-1 SINGLE FAMILY
Q CODM'IERCIAL/RETAIL/OFFICE I-7
Q INDLSTRIAL ? R-2 DUPLEX (3Wo C'nits)
Q INSTITUTIONAL/GOVERNMENT ? R-3 TOWNfiOCSE (Three + Units) ( Lnits)
Q R-4 APARTMENT/CODIDOMINILM ( ['nits)
2) ? NAME; Oo (I.A
ADDRESS: /Q 9 7o i cl °'1 St
CITY, STATE, ZIP: 11 C242 I-e- 011 112 v lM ny
PHONE: ?( /- /a 1 1
3) NAME: S-i- k r ? L r?-y
ADDRESS: / h hn 6 v ? d S
Pr i?T?-r r
,
CITY, STATE, ZIP:
PHONE: mc(. - 4 lqef
MASTEEt LICENSE # ryl
Plumbers License:
ij Active
Expired
Not recordec
St Initia
4) ? • w1
NAME:
P,DDRESS:
CITY, STATE, ZIP:
PHONE:
5)
EICONNECTION TO CITY SEWER ? CONNECTION TO CITY WATER O dITER
6)
*************+*****?**`**+* *********??*+****?+?*****?*?,r**********,.**+***+??**?********************?
* 7YIE GOLD COPY OF 7HE PERNIIT WILL BE SfNf DIl2DC.TLY TO PUBLIC WORKS TO FACILITATE METER PICK-OP. .'a
* PLEASE ALI,OW 7W0 WORKING DAYS FOR PROCESSING. SOMEONE FROM Tm CITY WILL CONfACT YOD IF 7fEE2E ?
?
* pRE ANY PROBUETIS. *
?rkt,e *k***:tte ****?+t+rtrx+te***,t*+tt*******,t?***e *** ?*** ********+*,t,t***,?**+,t**********t*tr*ie*t*s,t****,t****;
FOR CITY USE ONLY
PERMIT # ISSOED ,
Pd w/Bldg. Permit FEES:
$ $ SEWER PERMIT (INCLUDE SURCHARGE)
$ $ WATER PERMIT (INCLUDE SORCHARGE)
$ $ WATER METER/COPPERHORN/OC'TSIDE READER
$ $ WATER TAP (INCLUDE CORPORATION STOP)
$ $ SEWER TAP
$ $. 4S -D ZJ ACCOUNT DEPOSIT - SEWER
$ $ ACCOUNT DEPOSIT - WATER
S CJ"Zl $ wAc
$_ ? S z a v $ sAc
$ $ TRLNK WATER ASSESSMENT
$ $ TRCNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRUNK WATER
$ -2- b $ WATER TREATMENT PLANT SLRCHARGE
$ $ OTHER:
$ TOTAL
SC? ? ? ?.3 7
RECEIPT RECEIPT
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
? YES IF YES, THEN A"PERMIT FOR WORK SVITHIN PCBLIC
? ROADWAY" MUST BE ISSUED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWIIVG CONDITIONS:
APPROVED By:
TITLE:
DATE:
r
.
9003
2007RESIDENTIAL BUILDING rmwarrucAjjx)iv
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Cons Wdion Reauaemenis
3 registered site surveys showing sq. R of bt, sq. ft. of house; and all roofed areas
(20% maximum lot covera9e allowed)
1 Soils Report if proposed building's to be placed on disturbed soil
2 wpies of plan showing heam & window sizes; poured found design, etc.
1 setof Energy Calwlations
3 copies of Tree Preservation Plan if lot platted afler 711193
Rim Joist Detail OpEons selection sheet (6uildings with 3 orless units)
Minnegasco mechanipl ventilatirn form
RemodeVReoair Reouirements OKce Use Onlv
2 copies of plan showing footings, beams, joists Cert of Survey Rerd _ Y _ N
1 set oi Eneyy Calculations for heated addNOns . Soils RepoR -_ • _ Y _ N
isilesurveyforadditions&decks TreeP2sPlanRecd _Y _N,
Addition - indicate tl on-sde sepfic system Tree Pres Required Y _ N
On-site Seplic Sysfem _ Y_ N
Plans are considered nuhlic information unless vou state thev are trade secret and the reason.
Date ?_ / a2 S/ 07
Site Address `
1?(? 1?Ch a„ q, Construction Cost J 3
; Q- , 0 00 -
Unit/Ste #
Description otWork `(\O-W ( c'O C 0 Y\ YY\'? \I? ?v, S 2
Multi-Family Bldg _ Y? N Fireplace(s) _ 0? 1 _ 2
PropertyOwner Kn?(Zr c10 C_Cl1ntIPz Telephone#( 651) `IOS..3I(Q?.
Contractor SQ1 1
Address
State Cit3'
Zip Telephone # (
)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Energy Code Category . Residentlal Ventilation Category 1 Worksheet • New Energy Code Worksheet
(Jsubmissiontype) Submitted Submitted
. 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?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone #(
Telephone #(
I hereby apply for a Residential Building Permit and aclrnowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the 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 wark which requires a review and
approval of plans.
p ? r?, A El Co.iw?ev? 0??.,o2 ,??ll?.? do.P ?yrn?n
ApplicanYs Printed Name Applicant's Signature
Clty of EapIl
3830 Pilot Knob Road
EBgan MN 55122
Phone: (657) 675-5675
Fax:(651) 675-5694
i--------------
?
? I
I PermrtO: ???q(,! I
? Pertnit Fee.
? I
t Date Recerved: i
I
i Starr. ?
-----------------
2008 MECHANICAL PERMI7 APPLICATION
Date: I111010'8 Site Atldress: Ii L'JA?i-ew C'X?e
Tenant:
RESIDEMTlQWNER Name. Malite I,w?, CA 4yt z- Phone: 6S)-349-9827
Adtlress / City / Zip: /Sa J G AKpview (; (e,?? I 6'"A-j
CONtRACTOfi Name: A f'f'39T/•?+q AaA ? ??fl'???
? Lice se x:
'-
?
Adtlress: 6L'16 [,,¢/4t,q,r?J 'Ove IVn
Cky: )9"K State, 111-i z,p; S' yL?
Phone:763-53/a'"0667 ContactPerson: /'j'f'(zSy
TYPE OF WORK - New V__Replacement _ Additional _ Altaration bemobtion
Description of wark:
NOTE: SAtd roaf mounted and ground mounted mechanical equ/pment is requlred io
be screened 6yCity Code: P/ease contact the MeChanlca/lnspector or one of the
Planners for ireformafion on rmltted scrEenia methods.
PERMIT TYpE RESIDENTlqL COMMERCIAL
? Fwnace New Construction _ Intenor Improvemen[
Alr Condiboner _ Install poping _ Processetl
_ Air Exchanger - Z''as _ Ezteripr HVAC Unrt
' HVAC umts must he screened
_ Heat Pump lJnder / Above ground Tank InstffiI / Remove)
_ Other When installinghemoving tank(s), call lor inspection by Fre
Marsnai and Plumbin ins ctor
RESIDENTIAL FEES:
$50.50 Minimum Acid-on or alteration to an existing unit (includes $.50 State Surcnarge)
$90.50 Fire repair (replace bumed wn appiiances, ductwork, ecc.) (mcludes $.50 Stete Surcharge)
g SU.Sti TOTAL FEE
COMMERClAt FEES:
$70.50 Untlerground tank installatioNremoval OR Conuact Value S x 1/
$50.50 Minimum (includes Siat2 Surcharge)
Permit Fee
- It Perma Rilg is ies9 than 51,000, surcharge is $ 50.
- If P rmi Egg is > S1,000, eurcharga inerB2SBS 6y $.SO for edch =$ State Surcharge
5i.000 Permii Fee (i.e. s$1.OOi•$2.000 PeRnrt Fee requires a$1.00 surcharqe)
!l 7Q7AL FEE
i nereoy aanoMneoge mat mis intormanon is comPiete and accuraae; tnal tne work wili be in conformance with the orcdnances and eotles ot the Ciry o' Eagan; tnat
I untlerstan0lhis 4^ not a permit, bu[ oNy an appliCation for a permrt, and vroAc ia not to 5Wrt wRhouf a pertnit; that the work vrill be in aCCOrtlaxe wiih tne approvatl
ptan m the case ol work which requlres a rawew and ayprwal ot plans.
x 1?A 1114044 x!'?,r
ApplicanY PrfnLed Name Appifcant's ignature
FOR OFFICE USE Reviewed By: Daie:
Required Inspections: _Under Ground Rough In Air Test _Gas Service Test fn-floor Heat Final
I d ti906'0 N WV8£?II 800b Zl' no??
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PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA110897
Date Issued:06/03/2013
Permit Category:ePermit
Site Address: 1503 Lakeview Curve
Lot:15 Block: 3 Addition: Stoney Point
PID:10-72600-03-150
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Joy Post
1408 Northland Dr #310
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 9001.2195
$60.00 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 -
Marcelino D Chavez
1503 Lakeview Curve
Eagan MN 55122
Sedgwick Heating & Air Conditioning
1408 Northland Drive, Suite 310
Mendota Heights MN 55120
(952) 881-9000
Applicant/Permitee: Signature Issued By: Signature
46.
City of Eagan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use (� 7
Permit #: 1 1/3V /
Permit Fee: d J
Date Received:
( l i q/ L
Staff: l�Js
2013 MECHANICAL PERMIT APPLICATION
❑ Please submit two (2) sets of plans with all commercial applications.
Date: 6/13/13 Site Address: 1503 Lakeview Curve, Eagan, MN 55122
Tenant: Suite #:
Name: Marceline Chevez Phone: 651-329-9827
Address / City/Zip: Same
Name: K&S Heating, Air Conditioning & Plumbing License #: 0153
Address: 4205 Hwy 14 W City: Rochester
State: MN zip: 55901
Contact: Heidi Brown
Phone: 507-282-4328
Email: hbrown(cr�,ksheating.com
New XX Replacement Additional Alteration Demolition
Description of work:
TE: Roof mounted and round mounted mechanical equipment is requiir t
ode. Please contact~ the Mechanical Inspector for informs ion on permute
RESIDENTIAL
Fumace
XX Air Conditioner
Air Exchanger
Heat Pump
Other
be screened by
,reeving method
COMMERCIAL
New Construction Interior Improvement
Install Piping Processed
Gas Exterior HVAC Unit
Under / Above ground Tank ( Install / _ Remove)
RESIDENTIAL FEES:
$60.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge)
$100.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) _ $ 60.00 TOTAL FEE
COMMERCIAL FEES:
$75.00 Underground tank installation/removal (includes $5.00 State Surcharge)
$60.00 Minimum (includes State Surcharge)
*If the project valuation is over $1 million, please call for Surcharge
-J
OR Contract Value $ x 1%
= $ Permit Fee
= $ 5.00 Surcharge*
_ $ TOTAL FEE
CALL BEFORE YOU DIG. Cali 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.nopherstateonecall.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.
x Rick Keehn
Applicant's Printed Name
x
Applicant's Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA138719
Date Issued:09/16/2016
Permit Category:ePermit
Site Address: 1503 Lakeview Curve
Lot:15 Block: 3 Addition: Stoney Point
PID:10-72600-03-150
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Marcelino D Chavez
1503 Lakeview Curve
Eagan MN 55122
(651) 329-9827
Apex Energy Solutions
9655 Newton Ave S
Bloomington MN 55431
(651) 688-2739
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA150251
Date Issued:06/26/2018
Permit Category:ePermit
Site Address: 1503 Lakeview Curve
Lot:15 Block: 3 Addition: Stoney Point
PID:10-72600-03-150
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Marcelino D Chavez
1503 Lakeview Curve
Eagan MN 55122
Ralow's Roofing & Remodeling Inc
8609 Lyndale Ave S
Bloomington MN 55420
(952) 210-4988
Applicant/Permitee: Signature Issued By: Signature