1233 Flicker CirCITY OF EAGAN Remarks
Addition ST. FRANCIS WOOD Lot 13 Blk 1 Parcel 10 65900 130 Ol
Owner_ r Street 1233 F1 i cker ('i rcl e State Eagan, Mfd 55123
improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR. ]rip iligT
- ,
,
1200-5600
GRADING -
*SAN SEW TRUNK 412
*SEWER LRTERRL 19,90
WATERMAIN
*WATER LATERAL
*WATER AREA 1QRn
*
#STORM SEW TRK
*STORM SEW LAT 1980 15
CURB & GUTTER
SIdEWALK
STREET LIGHT
WATER CONN.
BUILDING PER. #5265
s,ac 525.00 14751 6-13-79
PAR K
. , cinr oF EA"N
?. ? 3795 Pilot Knob Road Eogas, MN 55122
PHONE: 45"100
BUILDING PERMIT Receipt #
Te be used far -`?-" Est. Volue `• Dete _
Site Address -- ? ?'
Lot Block Sec/Sub. `-• F'7.?x?i?' ` ?cx's
Parcel
aWe Name
g Addre
Z
,
p Name _
H
?? Address
r;..,
Oc'ik
Name
Address
I hereby acknowledge that I have read this application and state that
the information is correct ond ugree to comply with all applicable
Stata of Minnesota StaYutes ond City of Eagon Ordinances.
Signcture of Permittee
A Building Permit is issued to:
oll work shall be done in acrnrdance with oll
Building Officiol
N°_ 5265
Erect a Occuponcy
Alter ? Zoning
Repair ? Fire Zone
Enlarge ? Type of Const.
Move ? # Stories
Demolish ? Front ft.
Grode ? Depth ft.
Avvrovala Fees
Assessment -
Water & Sew.
Police
Firc
Eng.
Planner
Council
Bldg. Off. _
APC
Permit
Surcharge
Plan check
SAC
Water Conn.
Woter Meter
Totul
on the express condition thot
Stote of Minnesota Statutes ond City of Eagon Ordinances.
40
PumM # Oob lawd Fmu1ffM
Plumbing 14?1 ?L - 7c} E N L- H N
Mechanical l 1
-?-? 3 S - 't c---
INSPECTIONS DATE INSP.
Rouph-In
Finol
Footings ?( • ?- f?? ??? Date Insp. Dute Irap.
Foundation Plumbing ?
Frame/ins. j?--? Mechonirnl Tx?
Final
617 C-,-O
? CITY OF EAGAN
3795 Pilo! Knob Road
Eogan, Minnesoto 55122
Phorre: 454-8100
?j fl!*" rr PERMIT
Dote: --- - - --
Site Addreu:
Lot ?
1233 PI3.cJcer Circl.e
1
St. vranci9 `,k.icR'q
Block Sub/Sec.
. ?:_xaQ'i Iic'itre Bldr3.
Name •. a6025 Oa}! ShKIrP rI'jvC'
°c Address
3
?la 4
0 jj'Y11a
City Phone:
^?*iz-F'v?r
p.
Nome T, ' r 7 1:
? Address
V - . ?Y.,? ri.. - -. . . .. . . ? , City Phone: _
This Permit is issued on the express condition thot oll work shall be
Minnesoto Statutes and City of Eogon Ordinonces.
No.
1424
? r;17i
Receipt No.:
Single I X
Residential
Multi Res., Comm./Ind. i
New/Alter./Repair. Cost of Instollation
Permit Fee
rn
Surcharge
?
? TOYOI
done in accordance with all oppliwble 5tate of
/
/- ? Building Officiol
? _.
r'
,
?
CITY OF EAGAN
3795 Pilot Knob Road
Eogan, Minnesoto 55122
Phone: 454-8100
`EAT'' PERMIT
Dote:
122:3 -'licker CircZe
Site Address:
11 1 FrBrICiB i?0od8
Lot Block Sub/Sec.
Wr:ar..
Name
• i )OZJ C`.a}C Shar+a' r'ri.L' e
; Address _
° \*i3,e 435-5::`_" i
City _ Phone:
n (7?W1!.'ZCN AIR RIT)=
No
1531
1567?
Receipt No.:
Single
Residential ?
Mufti Res., Comm./Ind. I
New/Alter./Repair. Cost of Installation
Permit Fee
20.00
Seasorkil U[ntrcil -1-?-)c. .5^v
Nome Surcharge
?
0
?`? 21' j,ynt-bl_E? AV?>. ??T, ', tt'1
y? Address
e
-1 ri c,?P
City Phone: - Total
This Permit is issued on the express condition thot all work sholl be done in accordonce with all opplir.able $tate of
Minnesota Stotutes ond City of Epgan Ordinonces.
Building Official
CITY OF EAGAN WATER SERVICE PERMIT
3795 Pilot Knob Road PERMIT NQ.: 2j r7
Eagan, MN 55122
c, ?'
DATE:
Zoning:
s
No. of Units:
Qwner:
Address:
?
Site Address: l?-_'='?-`= - ', . , •-?- _- oi:
I
Plumber: '
Meter No.: ?-
Connection Char9e:
Size: - Account Deposit:
Reader No.: Permit Fee: ? `
1 agree to oomply wifh fhe City of Eogan 5, .
Surchorge:
Ordinonees. Misc. Charges:
Totol:
By --`__ Date Poid:
Date of Insp.: Insp.:
CITY OF EAGAN SEVIIER SERVICE PERMIT
3795 Pilot Knob Rood PERMIT NO.: -
rogon, MN 55122 DATE: ?
Zontng: No. of Units: "
Owner: -
Address: --
Site Address: {dOOd
Plumber: "••.' -,-?` .
1 agree M tomply wilh the City of Eogan
Ordinanees.
By
Date of Insp.:
Insp.:-__ -
Connection Chorge:
Account Deposit:
Permit Fee: ?'J` • ?? • r??
Surcharge: - ? Misc. Chorges:
Totol:
Date Poid:
? EAGAN
a: -:.?'- •- _..?a Ea9on. MN 55722 N°_ 5 2 6 5
PHONE• 454-8100
BUILDING PERMIT APPLICATION . Receipt # /?%? -
Value 77, 000.
Ta be wad for SF Dwlg & Garage Est pote 6-13 19L
. ,
SiM Address U33 Flicker Circle Erect Pq Occupancy R3
Lot 13 Block 1 sec/sub. St. Francis Woods Alter 0 Zoning Rl
10 65900 130 Ol Repair ? Fire zone 3
parcel #
Enlarge ? Type of Const. V
z Name HOCf3T1 HOIf12 BU11C?2TS µove p # Stories
3 Address 16025 Oak Shore DTiV2 Demolish ? Front 68 ft.
? Cit B' vi-lle Phone 435-5854 Grade ? Depth 30 ft.
w......,...?. eee:
a Name_
?? Addrea
?
Name _
Address
I hereby acknowledge that I have read this
the infarmation is mrrect and agree to c
State of Minnewto Statutgsfand/City of j
Signature of Pertnittee C
A Building Pertnit is issued
oll work shall be done in c
Phone
ond state that
oll applicable
Assessment _
Water & Sew.
Police -
Fire '
Eng.
Planner -
Countil -
Bldg. Off. -
APC
Permit io?.vu
Surcharge 38•50
Plan check 90.50
SAC 525.00
Woter Conn. 270•00
Water MeMr 60.00
Torol 1,165.00
y on the express condition that
Minnesoto Statutes and City af Eogan Ordinances.
8uilding OffiNal
' CITY OF EAGAN Include 2 sets of plans,
1 site plan w/elevations &
BUILDING PERMIT APPLICATION 1 set of energy calculations,
To be used for Valuatfon Date
Site Address ?"(A?
!?
? OFFICE USE ONLY
?
Lo[ i3 Block Sec./Sub. Si , h/tAx c-iS cc/prk(Erect Occupancy en
~ ?3o n/
h Alter 2oning
Parcel li ?n
/? Repair Fire Zone 3
L
/E'zs
C?
?
/ Enlarge Type of Const.
Owner: t+?
?
o
iA-
? Move # Stories
Address: 1 ?62?5- QA/! SAlonS' J7riUrr. Demolish _ Front ?P ft.
Grade Depth .3Z7 ft.
--- f??-r2.?5c?icL.f
- --
Phone U: Provals
A Fees
P
Contractor : ,Uc???"%) d0??%'
Assessment
Permit 49? ?
Water/Sewer Surcharge -e?g
Address: Police Plan Check
Fire SAC
Phone ll: 5,4?"i £ Eng. Water Conn.
?
Planner . Water Meter C?O -
Arch/Eng.: Council Road Unit?
Sldg. Off. ? -
Address: ppC
Phone !l : TOTAL
?
?
i
;?
This request void 18 months from
Date of this Request Y' T" -1 R V6 0 5 3
I, as *i,icensed Electrical Contractor O Owner, do hereby request inspection of the above electri-
cal winnginstalled at:
Street Address or Route No. /s,?33 City_??
Section Township Range County
l.G. ?
Which is occupied by IGL.ti? An L-e7w'a T
(Name of Occupant)
Is a roughin inspection require / n this jo6? No ?, Yes ? Ready Now ? Will Callx
PowerSupplier 11 ? C" G-Uf Address
•? Q3S?3?{
Electrical Contractor Dar4
Contractor's License No. _
Mailing Address ,LU L?0 ,..c.?
` lectrlcal C n actor or Ownef Mfking This Installatlan)?G
Authorized Signatuce Phone No. d`o 31-Zr
(EI Ir`a,contractar or owner aking Thls Installstlon)
NA?j'? ?Q /? ?? ???? This inapection request will not 6e accepted by the
?J (r??, State Board unless proper inspectian fee is endosed.
Minnesota State Board of Electricity
7,054 University Ave., St. Paul, Minn. 551l14-Phope 645-7703
REQUEST FOR ELECTRICAL INSPECTION
CHFCK BELOW WOAK COVERED BY THIS REOUEST
/S.4/ l-?
R 96053
Type ot Building New Add. Rep. Check Appliances Wired For Check Fquipment Wired For
Home ? ? Range Tempotary W'ving ?
Duplez ? ? ? Watet Heater ? Lighting I'ixtuies ?
Apt Bldg. ? ? ? Dryer Elec[ric Heating ?
Commercial Bldg. ? ? ? Fumace Silo Unloadei ?
Industrial Bldg. ? ? ? A"v ConBiyionet:,
;
?
Buik Milk Tank
?
Fazm ? ? ? Li
st ? ;
7 List
Other ? ? ? p
?
N Fa? Heie13?
COMPUTE INSPECTION F,F.?EPAW``:;?'`
Service Envsnce Size: # " F0den@Subfeedecs: # Fce Cucuits: # Fce
0 to 100 Am s. 0 to 30 Am eres 0 to 30 Am eres ( ?
101 to 200 Amps. ,[i 31 to 100 Amperes 31 to 100 Am res ?ba
Above 200 Amps. Above 100 Amps Above 100 Amps.
Transformeis RemoteConUolCirc. PaztialorotherCee SL)
Signs Speciallns ection Minimum fee 55.00 Qd
Remazks
TOTAL FEE ?o? 5'a
Z -
I, the Electrical Inspector, hereby certify
(Final)
This request void 18 months from
has been ma e.
19ate g - !0' 7,9
?te
fe
s.
cta?y
PO/ 7'?°?v°eIeae °s a'rcza? Burras IZe, 77Zi?
.AOh oRdr ?90-4?10?4-
I???
. r --7 ? ?• i
\
?
un p i h
Sc,ALL I 5,J
.
o??? 7. •
?
(.b ? 'i -? ?,J[•r :.%.
.? ? " NUiC ?LI C3tne:rd{;? `-++a?w?v
I?H? •'`. ??nLi?.
I irc'r, y r[:rL.if?? ? luil Uii i a! rn ,?.iv'; cL I rrrrl (j Firriil ii.ti 13f n
irr) 1:md (ir ?ul Jn:;cY'i` r"u' . •4;; pr ?fr J i'?- mR ;I..i . '_?itli il: v nC
17•ri•t,-d,t•r, I`?7U ,
--. ----- ------•------ °
; , . . . ?
?
?p, k . '.
6'4 e y .,
WNERI .
SITE ADDRESS
CON7MCTOR
r'lktQB EIWELOPEAYERAGF. 'COHPUTATION
6/Y7 k" . ?J <t ? lcrf i
DATE :57/-2/?-79 PfIONE
Determine working square footage of each.
1. Total exposed wali area ...... 2,5d, 6- sq. ft. x_17
2. Total wof/ceiling area .....
. sq. ft. x.05 =Zo
Total exposed wall area above floor = o?2?V
a. Total wall Window area ...........................
b. Total door area ... . ...................... . 7?
t. Total sliding glass doorarea ................... '
d. Total flreplace wall area......................
.. 3
e. Total wa11 framing area (average lOX)...........
..
?
f. Total net wall area above floor ................. 12y?,?3
g. Total rim joist area .......................... ?33,3?
Total ekposed foundation area - p,3 33
h. Total foundation window area ..................... 9. 93
1. Toal net foundation area above grade ............
Determine "U" value of each wall segment.
a. 17?.90 x "u" 1SS = 95./0
b. 37,?7 z ^un , 'U _ a yGs
e: 4?0 I i,u„ , sb - X•.R0
d. ? % "u° s/z, - ?YO
e. x "u" ? P7 - /S 6&
f._ /7?S, 33 x °u~ 'OG . io? 7z
y. a 33.33 x Mu° .y'I - /a9.G7 .
h. /./3 X NU" 155- a .5./"((?0
1. 83, y0 xliu,l , y7 = 39, .20
3 ................................... .TotaT
If itm 03 is the same as, or less than item 01, you have met the intent
of SBC 6006(c)2..
. _- . •r. - ??:i
?. a )r
?x
?.
.
SIcC
cri;
'DU2iDa?ION
NA3.1.
ric. 43
.i-i.
• . r `. . ? r
%h • ", R?
. • _ tt it
S
FIG. 04 /(l k ? . r . •?//
X
• /cr?i( ? ?rr : i?r =
NOTE: Indicate tyoe, "_^." value, deoth and
placenent of insulation.
ric. 01 1'orviela ot*
FPAME wAi.T,
?
Conetrucrion R.-Value
1, r)--or ai.z fiLm_ 0,69
i
3, ?'° inr.hes suf-. ':)001i ?
4. ??_ -'-'.;' '' , ?. A
6
5 • -+"it r
? /
6. Exterior air film > 0.17
Total
U? .12
1. Intetior air film 0.68
a. ?"7' .f?S
3. -?'.).. il/_. -' eol
4. ?z ,???
5 . rvC ?i.i U.` • G7
6. Exterior air film 0.17
Tota1 /S,C?3
'/c , 0 1/7
1.
1.
3.
4.
5.
6.
1. Intcrior air film 0.68
a.
3. /3 °
' 4.
5.
' G. Exterior uir film 0.17
Tocal
ll " • `?7
SLAB ON GRADE
" W1LL SfiCT:oNS
`tffM- Me 15% ot apaquo wall.area tor
_ i frume conatsuction
ROOF/CEILING
?-`T
VF1dT ???
?\ \J,
Venced Hcac flow
L up
FIG. q5
FIG. #6
Ftr., 07
Construction R-Value
1. Tnt-:?ri.or nir film
-- 0.61
-?-_-------_
z.
3. = . . , .: ?7.,?9
4. F.xt:^r ior air film (:?.cill) 0. ?
Total : f? ??
??;= . t;3
1. inrezrt>r air film ,1 0.61
2.
3.
4. Ertrrior .aj? m '
- ? TuE3?-
?
1.
2.
3.
4.
5.
Nole: Use ndditional sliecta if more space is !
neoded for details aiid calculaLions. ;
• . i
1 Heat tlow up , •vented
: ._ rV4\?Ylii\lLU .
. Hnet if
, flov up
• . . ..
Total exposed roof/ceiiing are,a
J. Total skylight area ............................. -
k. Total roof/ceiling framing area (aaerage
-_-??
1. 7ota1 net insulated roof!ceiling area........... 110 24,
?
Determine "U" value for each roof/ceiling segment.
i •
X lluit
k. ; i :- i/ _ X "U" i DS = __ ` . ?z
..
1. %.2 9 C, z„ui. , p3
4 ..................................Tota1
If total of #4 is the same as, or less than #2, you have met the intent of
SBC 6006(c)l.
Alternate Building Envelope Design
To utilize the total envelope system method, the values established by the
sum of items #3 and M4 shall not be greater than the sum of items ;+l aid V.
? . c136 . 33 + 2. a ?- ?0 ? y'? .?3
3. ?/V o.?-O? + a.
''?: f /•" ?
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
` CITY OF EAGAN
3830 PILOT KNOB RD - 55122
3 ? U 651-681-4675 ? ?O
J
New Construction Reaulrements Remodel/Reoatr Reoulrements
? 3 reglatered aRe surveys showing sq. fl. of loT, sq. ft. ol house
and QH rooted areas (20% maximum l01 coveraae ollowed)
? 2 copfes ot plans (show Ceam t window sizes;poured fnd. design; efc.)
? 1 sef of energy calculationa
? 3 copfes W hee presenafion plan 0 bt plafFed afler 7/1/93
DATE: 7- 36 -aR
DESCRIPTION OF WORK: IJP c lC
STREET ADDRESS: I 2 33 i `c ie?fs? l'
LOT: I _5 BLOCK: 1 SUBD./P.I.D. #:
PROPERTY
OWNER
2 copiei of plan
7 aet W energy calculatlons tor heafed addHions
1 aNe suney for exterior addNlons S decW
i? G / G o =
CONSTRUCTION COST:
Name: ej~er4l-. I" < phone#•
Lasf Finf
Street Address: l
City Cc'u a" State: /*? Zip: 2Z
?
Company: C?'!'e??1aG Phone #: C?'l Y???CrS?/ 7
(area eode)
CONTRACTOR t ? /
Street Address: I(kf? .??'? .... rr?., /'7' , l/ Zc?' , License # 2 y 73 Exp.
City State:.? Zip: ?D o I
ARCHITECT/
ENGINEER Company: Name:
Telephone #: area code ( )
Stree't
C(ty
State:
Sewer 8 water Iicensed plumber (reauired for new consfruction onlv):
Penafly applies when address change and lot change Is requested once permH ts issued.
Zip:
I hereby acknowiedge thq} I have read This application, state fhat the IMormation Is correct, and agree to comply wflh all oppltcabf
State of MinnesoTa Stafutes and CMy of Eagnn Ordlnances. ^
Signature of ApplicanY.
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No
RegisfraHon #:
I?? ?nn. u v V?.'?Y
_ NotRequired
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea.
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
)511?'31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Sidi ng/Soffits/Fascia
? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish 61dg.' ? 41 Wood 5tove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
` Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. Census Code G'a
(Allowable) Main level sq. ft. SAC Code 4?57/
UBC Occupancy sq. ft. No. of Units
Zoning sq. ft. No. of Bidgs Q4
# of Stories sq. ft. MC/ES System
Length sq. ft. City Water
Width Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
APPROVALS
Planning Building ? Engineering Variance
Permit Fee ?B?S Valuation: $ /Z?d
Surcharge
Plan Review i cirv ai= rnr,rN I
License ? I
MC/ESSAC : ??.:A?:?riT:.F<; i?3 rE::r;Mi??r?i_. r??3,: 678
CitySAC nArE- 08/03i99 rrnF_: .1.4 :°;a?r.u;
Water Conn.
Water Meter
'
ACCt. D@pOSlt ION
i' r?AMID; F:NFFJlaC: t;i7N>TRl.!('T ,
S/W Permit
:3a?,r? `.i?qCt:l. :l.23;3 Fi_IC4;Fr c:r.
r?..?`? I
S/W Surcharge 32:1.0 900:i. :1.233 i-i...:r..r,f;Fr; C;7: 60,nn i
Treatment PL 2 1.55' 900i. 1233 FI._TC.;F.E.f? CT C).. i0 I
`
Park Ded.
Trails Ded.
Other
Copies .?
Total: ' 7 I
SACUnItS ' 7nCa:l. G:r?c:i=i?rk Arcn-n.,nt? wfJ„'7fi I
% SAC rGt9. i4i.i J.;1 I
?..isi::R zz;: .,nu
---- - - - ?
?
C cxny
YD/ 7"'r-az-eZer's ?'rczt? rBurns IIe 7'lZi?
P1t osto 890-4704-
'
?
t" i a
i ?
N J i? - r,
SI.AL?L i :..J
.r
c
. _ .; ^ ..
1.
4.
?
rpi0
u
?..
U '
.?
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-881-4875
New Conavuctlon ReoulremeMe
• 3 regleered site surveys showing sq. ti. af bt, sq. tt. of house; antl II roofed ereas
(20% maxlmum bt coverage allowed)
. 2 coples af plsn shaxing 6eam 8 wintlow sizes; poureA fountl Gesign, etc.)
. 7 set of Energy Calculatlons
• 3 capies of Tree Preservetion Plen X lot plattetl afler 7!1/93
• Rim Joist Detail Optbns Selecllon sheel (bldgs wilh 3 or tess units)
DATE '-( - 2 3?Z
pemodeUNeoeh Reauirementa
. 2 coplesof plan .A 7 g ' ?
. 7setMEnergyCakulatbnsforheetetlatltlYlons ??
. t sfle &urvey for e#anor atlditbns & decks
. Intlicete'rf home servad 6y septic system tor addWns
VALUATION d U 0
SITEADDRESS I?? F?'?t???z GlYc.ci?-? MULTI-FAMILYBLD6 Y N
NPE OF WORK `T10 r-e,-/U9 FIREPLACE(S) _ 0_ 1_ 2
APPLICANT G'/VkL/"??/7 A?
STREETADDRESS 02 °f Sllel??'Ldl C-t CIN 4?;WyIJZL& STATE 2?ZIP fT33-7
TELEPHONE #CELL PHONE # FAX #
PROPERTY OWNER
? D Jy?wi t?
TELEPHONE# ?/Z7
COMPLETE THIS SECTION FOR "NEWN RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULFS 7670 CATEGORY 1
(4 submission type) . Residential Ventilation Category 1 Worksheet Su6mittetl
• Energy Envelope Calculations Submitted
Plumbing Conhactor: `
Plumbing system includes:
Mechanical Contracfor.
Mechazucal system includes:
Sewer/Water Conhactor:
_ Water Softener
_ Water Heater _
No. of Baths
Air Conditioning
Heat Recovery System
_ Phone #
Iawn Sprinkle
No. of R.I. Baths
Phone #
Phone #
Fee: $70.00
-------------°------------------°------ °-°---- • -----° ° --------- °-------------°----------° - °--°------°---------
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordin
Signalure of Applicant. zz
-----°...... ..._._......... _............... °......... ----?--..?............s.______....°------.?.......r._.___a.?.
OFFICE USE ONLY
Certiflcates of Survey Received _ Tree Preservation Pian Received _ Not Required _
Updated 4/02
Use BLUE or BLACK Ink
~ For Office Use I
City of 11a j Permit I
I
Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 j Date Received: j
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 1 Staff:
~----------------J
2012 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: r f/ P Site Address: Unit
Name: / LJZ'~H`~G✓' ~t', 7f,Lr'F/✓if':'' Phone:
RESIDENT ! _
OWNER Address / City / Zip:
Applicant is: Owner Contractor
TYPE OF WORK ; Description of work:
Construction Cost: Multi-Family Building: (Yes / No(~T
Contact:
Company:
Address: City:
CONTRACTOR
State: Zip:' Phone:
l~
/ ✓ '~rT
'License Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.ciopherstateonecall.ora
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 ~e completed within 180
days of ermit issuance
a r.
x '14 Applicant's Printed Name Applicant's Signature
Page 1 of 3
Dale Schoeppner
From: Bjorklund, Gary(DLt) <Gary.Bjorklund@state.mn.us>
Sent: Thursday, October 22, 2015 7:31 AM
To: permits@arrowlift.com; Dale Schoeppner; DLI.EIevator.ETrakit
Subject: Final Approval for Permit Work at 1233 Flicker Cir, EAGAN
ARROW LIFT ACCESSIBILITY:
The ELV REMOVAL permit work has been completed and approved for the following project:
Permit Number: ELV1510-00178 �
Project Name: Pe Julie Goodwin
Site Location: 233 Flicker Cir, EAGAN
The Department of Labor and Industry has recently closed\Finaled the permit for the removal of the elevator
at the site referenced above.
Removal of the elevator is in compliance with the Department rules for elevators.
NOTE: Compliance with Minnesota Rules and the ANSI/ASME A17.1, Safety Code for Elevators and Escalators
does not necessarily assure compliance with the Americans With Disabilities Act of 1990.
CONSTRUCTION CODES & LICENSING DIVISION
Elevator Section
1
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA179827
Date Issued:10/21/2022
Permit Category:ePermit
Site Address: 1233 Flicker Cir
Lot:13 Block: 1 Addition: St Francis Wood
PID:10-65900-01-130
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:
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
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 -
Michael & Deanna Kolehmainen
1233 Flicker Cir
Eagan MN 55123
Roof Time, Inc.
18928 Katrine Ct
Lakeville MN 55044
(952) 447-7663
Applicant/Permitee: Signature Issued By: Signature