1239 Flicker CirIN
ITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
, SITE ADDRESS:
PERMIT SUBTYPE:
I I , r t N ci I.,
SPECTIUN RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
APPLICANT:
TYPE OF WORK:
F f NAI
f lli,E Nf
F4I t1
RuilnlNti
fa 4N;'4R
Ab/!:4/A7
Permit Na. Permi4 Molder Date Telephone 1t
ELECTRIC
PLUMBING
HVAC
Inspection Date Msp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GA5 SVC
TEST
INSUL
GYP BDARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG •
?
u+ i
DECK FINAL
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
INS
SITE ADDRESS:' ' ra i y 1,1,1100 1 4 0 0 1
t 0 1 ; 1 4 t, E_ a r. * :
. ? I ii hf lz 1 Ik
tkANi. 1 >? bl?±f???
PERMIT SUBTYPE:
4N
PERMIT TYPE: f;il r? n j
Permit Number: q 1 t,
Date Issued: I Cr
APPLICANT:
t
I ,1 I,.!1 t 1, i rJi
(E. ! : ) •It f -NFiV.
TYPE OF WORK:
INSPECTION D. . D•
; ? ..141Mi: iNG
? t n ; i f Ifl, fI I4RI
?
I ir f- W A IP k`, : 5 & W F' I F3 k
?
.? ?
ss ,
L?
Pertnit No. Psrmk Hotder Date Telephone t
ELECTRIC 3 , /?/S 9J?
PLUMBING
HVAC i?/J 9S //1/- 709?
Inspsetlon Date nsp. Commenta
FOOTINGS
?
FOUND
+tit
FRAMING
Z?
ROOFlNG
(
ROUGH
PLUMBING
/-/G 9S
PLBG
AIR TEST
?.
ROUGH
HEATtNG IH S v C S? '? ?'?- 1 ? •"_
GAS SVC
TEST ' •
INSUL
GYPBOARD
FIREPLACE lJ?-
?r
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST I?I
?
( f,p
BLDf3 FINAL
? r
r
G?
?Q?.Q -+ r u ]?? -?'s
U h?1?5
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
?c?s ?
C3';ei.?tificate vf Cccupanc?
Wit4 of Cftgan
zepattmtnt a f $tciibatg 3x0ecNon
This Certificate issaed pursuant w the requeremerets of the Uniform Building Code
certifying [hat at 1he time oJissuanct this slructurr was in corripliance with the various
ordinances of tlu City regalating 6uilding construction or use. For rhe foldowing:
usc cbsurkrbm: W M ewg. eermn ro. 26415
OC-P-y 7Yrc B34U l Zomng District Pn.jR! rya const. VN
o.affar ewkiing QW, ?tF1?F.RT!x nadr- 650 1tiElI+AGER I1V, F.1I3+1-I'RAIRTR
eieldingAddness 1239 IT.T(XF.R f:TR.f7F, Loaliry i 14 AI O.T. sttikfift afficir '
POST IN A CONSPIqJOUS PLACE
CITY OF EAGAN Remarks
Addition ST. FRANCIS WOOD Lot 14 Blk 1 Parcel 10 65900 140 Ol
owner 1 - ? street-239 Flicker Circle state Eagan, NIN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. 198? 1']58,49 175.85 10
STREET RESTOR. IDCp ,17 1$]. 75.00 15.00 S
GRADING
?AN SEW TRUNK 1980 57 243.90
?EWERLATERAL
WATERMAIN
tIATER LATERAL
+WATER AREA
iqRn
w
i6TORM SEW TRK
iCTORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILOING PER.
SAC
PARK
?o?aor` 8.;r- 9
Re est Da e Fire No. RoLgh-InJnspectim Requiretl Inspedion Other Th ugM1-In
(VOU m t caIl??Speclor when matly) ? Peatly Now Will NoC ,_
Yes _Q'NO Oate Ready
I licensed cont aotar°°?'7owner,hereby request inspection of ove elecfical r'?
Job ddress M or Roule No.) Ciry
\ \
Sectio No. kow ship Nam arN/O.'? I U ?
,., y . nge o. nty
Occ nL(PRINT) } }L%. J 1?tl? .
! I ]' PhoneNO.
Power Sup 'er , - Atltlress ?
ecVical ConUac or (Gompany Na e) ConNaclors .
MtilCAtltlress Conhactor or Owner Makln allation)
` "
r
Authorized Sign re(COnI dOwner ' g nsWl Phone umber _, '
a
MINNESOTA STATE BOA46 OF ELECTqICIiY
I
I THIS INSPECTION REpUEST WILL NOT
Griggs-Mitlwey BICg. - Poom 5-128
I
I
I
I
?
II BE PCCEPI'ED BY THE STATE BOARO
1821 University Ave., SL Paul, MN 55104 U UNLESS PROPER INSPECTION FEE IS
Phone(612)6C2-0800 ., . ENCLOSEO.
11? ? REQUEST FOR ELECTRICAL WSPECYION I, ee-oaooi-os
" 10- See instmctions for compleling Nls Iorm on back oi yellow mpy.
"X" Se/ow Work Coverea' by This Request
Ne Add Rep. Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Load Management
Comm./Industrial Fumace Other (Specif )
Farm Air Conditioner
Dther(speci(y) Conlractors Remarks: .
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimmin Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 Am s Above 100 mps
SIgnS Inspecwr's Use Only: ? TOTAL
Irrigation Booms 7
// / -cw/ ,
5 ecial Inspection ?- ' - LA -_ U
Alarm/Communication 7HI5 INS7ALLA710N MAY BE ORDERED DISCONNECTED If NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, Ihe Elechical Inspector, hereby
certif
th
t Ih
6
i
li
h Rouqn-m- ( oa?
y
a
ove
e a
nspec
on
as
been made. F?nai • oaig?%
OFFICE USE ONLY
This requesl voitl 18 manths trom -
Address _ 1239 FLICKER CIR;,'LE Zip 55122
Lot 14 Blk i Sub sr. FRarr'is Woon
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECITON.
Date: 61 Yes No Inspector: ? 9-,
Final grade (6" ftom siding)
Peratanent steps (garage) A
Pertnanent steps (main entry)
Petmanent driveway
Pemianent gas /C
Sod/Seeded grass
TraiUcurb damage
Porch
Basement finish x
Deck
Please verify with the builder the removal of roof test caps from the plum6ing system and the shutoff of watet supply to
the outside lawn faucet before freeze potential exists.
Contact engineering division at 681-4645 before working in righhof-way or installing underground sprinkler system.
White - Ciry Copy Yellow - Resident Copy Pink - Contractor Copy e
CITY OF EAGAN PERMIT
3830 Pilot Knob Road PERMIT TYPE: s u ILnIN G
Eagan, Minnesota 55122-1897 Permit Number: 026415
(612) 681-4675 Date Issued: 09/19/95
SITE ADDRESS:
1239 FLTCKER CTH
LOT: 14 6LOCK: 1
ST FRANCIS WOOD
P.I.N.: 10-65990-140-01
DESCRIPTION:
B,§.r13.dlnq ?,?,ermit Type SF DWC,
?uzlding Wtr.k
Type NEW
BC Occupah_cy ?
' V2-3 U-1
,g, C6nstructY6n 7yp*
" V-N
Zo rk a n g
' P D R-1
`Buiiain6 Eengcn 74
$ui1di?tg Wfdth,- ' - ? 32
Bv I?.tIITPd
's;t9.€`ies. 1
.
R e"et, 2 g 14 5
i( F
a
?? iw Iff °-
REMARKS:
5 & W PLBR -
FEE SUMMARY:
VALUATION
Base Fee
P1an Revi.a.w
Surcharge
SflC
5AC ?
5AC Units
Subtotel
$947.25
$331.54
$56.08
$t350.0F7
100
$2,184.%3
$aaz,@00
MTSGELLANEl7US __$1p892.60
Tota.1 Fee $4,077.29
CONTRACTOR:
OWNER: - ,qppricant -
FREOERzcK eENE
6501 TANAGER LN
EUEN PftAIC2I[ MN 55346
(61.2)937--0685
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1 897 Date Issued:
(612) 681-4675
SITEADDRESS:P.I.N.` 1e-65900-140-01 qppLICANT:
LQT: 14 BLOCK: 1
1239 i`LICKER CZR FREDERTCK CE:NE
5T FRANCIS wonn (612) 937-0585
PERMIT SUBTYPE: TYPE OF WORK:
81= DWG NEW
BUILDING
026415
09/19/95
INSPECTION
FOO7ZNGS r, e
FOUNDATTON D.
FRAMZNG ROOFTNG
INSULATION FIREPLFICE
RUUGH IN PLBG ROUGH TN HTG
FINAL PLBG FINflL
REMARKS: 5 & W PLBF2 -
? .,, ... ..? . . ..?.?... . _... _.. . . ,.. . . . . _... .. . . ?
? . ., .? . . .. ? ... . ? .. ?
.. ` , ? .. .. . ?':
CITY OF EAGAN -f
IL4K 3830 P1L0T KNOB RD - 55122 ? ? !y
1995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
? 3 registered aite surveys ? 2 copies of plen
? 2 copies M Wsns (h+dude beam 8 window s¢es'r poured fid. design: ett.) ? 2 slYe surveys (eximbr add'Rions 8 dedcs)
? 1 energy calculetions ? 1 energy calwlaGons for heated addiGons
? S Wies of tree praaervation plen K lof platted after 7!1193
required: _ Yes _ No
DATE: CONSTRUCTION COST: ? ?r o00
DESCRIPTION OF WORI
STREET ADDRESS:
LOT _Zj BLOCK ? SUBD./P.I.D. #:
?T• ?/l,aau G.?a,sp
PROPERTY Name: 6t' f nfR/c/< 6?'?'Sz Phone #:
OWNER iust
Street Address-
city: f?`of.? state: dl"741? zip:
CoNTw?CTOR Company:(re,r.:r-FQ?'ncRi???- Phone#:
Street Address: ol/ ? License #: L« ?'
City: State:
Zipp
ARCHITECT/ Company: K.?oX LeMAcGl- Phone k
ENGINEER
Name:
Registration #'
Street Address,
City:
State:
Zip:
Sewer & water lioensed plumber--7": )? ? ???R/9 G`J L' e:?7 . Penalty appiies when address change and lot
change are requested once permit is issued.
I here6y adcnowledge that I have read this application and state that the infortnation is correct and agree Eo comply with all
applicable State of Minnesota StaWtes and City of Eagan Ordinances. +.,
5ignature of Appiicant: I
OFFICE USE ONLY RECEdM EDD
Certificates of Survey Received _ Yes _ No SEP 0 6 1995
Tree Preservation Plan Received Yes No - -
OFFICE USE ONLY r < '-- •a .
. .,
BUILD
ING PERMIT
TYPE .• ..-
0 01 Foundation o 06 Duplex ? 11 Apt./Lodging o 16 Basement Finish
,:?e 02 SF Dwelling ? 07 4-plex o 12 Multi Repair/Rem. 0 17 Swim Pool
0 03 SF Addition o OS 8-plex o 13 Garage/Accessory 0 20 Public Facility
0 04 SF Porch o 09 12-plex o 14 Fireplace ? 21 Misceilaneous
0 05 SF Misc. 0 10 _-plex ? 15 Deck
WORK TYPE
J;?-31 New o 33 Alteretions o 36 Move
0 32 Addition ,0 34 Repair o 37 Demolition
GENERAL INFORMATION
Const (Actual) ;O? -N Basement sq. ft.
(Allowable) N Main level sq. ft.
UBC Occupancy , 12-3 u-i $q, ft,
Zoning sq. {t.
# of Stories sq. ft.
Length sq. ft.
Depth 32- Footprint sq. ft.
APPROVALS
Planning • Building
??aD MC/WS System
Yd? City Water ?
Fire Spirnklered
PRV
Booster Pump
Census Code. 7°?
Z, iys" SAC Code e/
Census Bldg r
Census Unit
Engineering
Variance
Permit Fee Valuation: $ ?2 c? o o?
Surcharge
Plar+ Review
License /1QArN
MCNVS SAC Z? h Sp n/?yao ,csYs
City SAC
WaterConn. ?-
7si ?
Water Meter
Acct. DeposR
SNV Pertnit
S/W Surcharge
Treatment PI.
Road Unit
Zg x r" =
/I ir--
Park Ded.
Trails Ded.
Other
Copies
Total:
% sAC
5AC Units I
?
Jj? L p/?.icR.t?> 14rio ? sn
?
1,6s x 3o ,
?? o to
?i24
y y.zy = S7?
.1?xY 'l
s77X IGs
D fc
;
??o
•
W• ?.,:. LOT SURVEY CHECKLIST FOR RESIDENTIPJ_ •
W W BUILDING PERMIT APPUCATION •-----
m PROPERTY LEGAL: ?/ JY
a a W DATE OF SURVEY:
LATEST RE1/ISION:
< 2 i .
DO M NT STANDARDS
? ? • Registerad Land Surveyor signature and company
???
0?"O ? • 9uilding PertnitAppUcant
0 • legal dascriptlon
V---0 0 • Address
Q--'C3 13 • North arrow and srale
u]-'O
9?-'13 O . Nouse rypa (ram6ler, walkout, spUt w/o. splk entry, lookout, etc.)
2"?13 E3 • Dlractional dralnaye anows wvifh slopalgradlent %
Q • Proposed/exisyng sawer and water services & invert elevatlon ?r
CYO
B--O o
O •
' . Street name t- C.aT t?
. DriVeWay .
ELEVATIONS
Enstlna
e-'13 o • Sewer service
0-'C3 a • Property comers
?9 0 • Top of curb at the driveway
Q? ? ? • Elevadons af any existlnp adJacent homes
Pra s
?? ? • Garegefloor
?0 0 • FrstflOOf
9- o O • Lowest axposed elevatlon (walkouMNindow)
Q? o o • Properry comers
0% 13 • Front and rear of home at the toundatlon
PONDING AR a nf a.,on,htile?
a Q-? o • Easement Ifne
? e' O a NWL
0 0' O ?HWL.
0 ? 0 • Pond # desipnatlon
13 Cr' 0 • Emergency Overflow Elevatlon
DIMENSIONS
Q-' O O
0'O o
GYO ?
A-1o 0
cl-? O ? _
O C3 O?
• Lot Iines/Beartngs S dimenslons ?
• Right-of-way and street width (to back of curb)
• Proposed home dimansions Including any proposed decks, overhanps preatar than 7,
porchas, etc. (I.e. ali structures requfnny pertnanent footlnps)
• Show all easements of record and any Cily utlli6es wifhin those easemenb
• Satbacks.of proposad structure and sideyard semack of adJacent exdstlng structures
• Retaining wall requ'vements.ltanv
Reviewed:
l
JWy 1996
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,?4-CI-1?1)
. Form for use with Minnesota Rules part 7670.0475, Suop. l
1& 2 Family Residential "Cookk" Method
qw?
STIE ADDRE55 city
L ?C ? (f
' 6UILDER
IYUOIInUR1 C[IltllB:
Rim Joist: R•19 insulation Foundaton Nrindov&: losulaced glass. 112" a'v space, wood or vinyl frame
Enay doors: I% inch aolid wood with atorm or bener
S1'EP 1 Window & DoorArea
Total wndow & Door Aces in Sq. Peet
WINDOWS (including foundation windows):
Dimensions Qnry. Area
oce, xs 3 7
z G x 4/0 S .3Co
Z x 3 1 ?
? x & 2-
3 xC-:5:1 Zl? /3
zo X c) z >?
2 C7 x
x
x
x
DOORS:
G, x pj0 Z- G
7 : 0
x
'fotal Area of
Wmdow & Doors
Z 00A
Total Wall Area in Sq. FL
Wall Total Perimeter Heifthi
Total Area
Area
ST'Ep 2 Calcuiate area as a peneat of K•all
Boz A(window & door azea) divided by Boz S(total
wall area) times 100 equals the window and door area
as a pereent of wa0 area (Box C).
soXA 7-<2? x ioo= ? j?. OLc
BozS /ZH</"
STEP 3 Desiga Features
A55EMBLY OPTIOV
FRAng wAU..:
STANDARD FRAh'IDNG ?
cnvrrr INsuunOx
SHEATEENG: 1FSS THAN R-S
R-S OR DtORE
WQIDOWS (exeept foundation aindows):
U-FAC70R (J• , 3
From the teble, dete:mine the maximum pereent window
& door area for tbe design opvons selected and enter the
value in boz D 6elow:
1 ?8?n
Box C must be less t6an or equal to Box D
/zy
0*
? 22't
RESIDENTIAL
BUILDINC PERMIT APPLICATION
Lf CITY OF EAGAN
3830 PILOT KNOB R0, EAGAN MN 55122
651-681-4675
New Construction Reuuiraments
• 3 registered site surveys showirg sq. ft. of IoC sq. ft. of house; and all roofed areas
(20% mauimum lat coverage allowed)
• 2 copies of plan showing beam & window sizes; Ouured found design, etc.)
. 1 sel of Energy Calculations
• 3 copies of Tree Preservation Plan if IM platted aRer 711/93
. Rim Jo'st Detail Opfions selecdon sheel (bldgs wiM 3 or less uniLs)
DATE ('( a1 I D'?_
SITEADDRESS P-<<C-VZr CirC-(,ef MULTI-FAMILYBIDG _Y _N
TYPE OP WORK_ I eQ? R-e-rUD ?? R-2S (ol.? FIREPLACE(S) _ 0_ 1_ 2
?@del' V9l16y EXf6110M IIIC.
APPLICANT .4920 ZIIIB 8he6t
STREET ADDRESS Coan Rap 8, CITY STATE_ZIP
TELEPHONE #(7(D3) W5 jaal CEII PHONE # PAX #
PROPERTYOWNER YU <::-i, I OTII.(AQ Qk' TELEPHONE#(„2?'JI7((17'J- c_>11
-------------------------------------------------------- ---------- -............ -..............
COMPLETE THIS SECTION FOR "NEW° RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNr:SOT9 RULES 7670 CATEGORY 1 MINNESOTA RliLES 7672
(J submission type) • Residential Ventilation Category 7 Worksheet Submitted • New Energy Code Worksheet Submitted
. Energy Envelope Calculations Submitted
Plumbing Contractor:
Plumbing system includes:
Mechanical Contractor:
Nlechanical svs[cm includcs:
Sewer/Water Conkactor:
_ Air Conditioning
Heat Recovcry System
-----------------°--------------°---------------°-------------------
i hereby acknowledge that I have read this application, state that
with all applicable State of Minnesota Statutes and City of Eagan
Stgnature of Applicant
533(
2oo,-7r
Fee: $90.00
O? C? ? ? 11I
A JUN 2 4 ZuuZ ; I!
OFFICE USE ONLY
Water Softencr _
Water Heatcr _
_ No. of Baths
RemodaVReoalr Reauirements
. 2 copies of plan
. 1 set of Eneqy Calculations for heated additlons
• t sile survey for ezlenor addNOns & decks
. InOicate if home served by septic system for additions
_ Phone # .
[awn Sprinkler
No. of R.I. Baths
Phone #
VALUATION 101%549• O-7-
agree to
Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _
Updated 4102
2005 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone 4 651-675-5675 FAX 9 651-675-5694
A
New ConsWdion Reauiremenls RemodellReoair ReauiremenLS OHce Use Oniv
3 registered site surveys showing sq. ft. of lol, sq. iL of house; and all roofed a2as 2 copies of plan Cert of Survey Recd _ Y_ N
(20%mac'vnumlotcoverageallaved) isetofEnergyCalculaCansforhealedaddiGons TreePresPlanRecd _Y _N,
2 cropies of plan shawing beam 8 wirMOw s¢es; poured fourid design, etc. 1 site suney for additiore & decks Tree Pres Required Y _N
isetotEnergyCalculations Addifion -indicateHon-sitesepticsystem 0o-s@eSepfic5ystem _Y_N
3 capies of Tree Preservation Plan if lot platted afier 7M193
Rim Joisl DeUil Options selection sheet (bu0dings wiN 3 or less unils)
Date 12__ / OC+ Coostructian Cost 0 J . qo ? -
Site Address 4
I d? l "T_I1i C.1.1? ,(- lf C. ?C UniUSte #
?
S
Q? i ix
(
D
Descriptioo of Work C?
L [
1?) c
'&
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0_ 1 _ 2
Owner 1
Pro
ert \\??? S+061-1w Telephone#(
6 1)
p
y v (,
RENEWAL BY ANDERSEN
Contractor 1920 COiJNTi' RD. "C" W.
Address ROSEVILLE, MN 55113 Cih'
State 651-264-4777 _ Telephone # ( )
LICENSE #20130983
f
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(Jsubmissiontype) Submitted Submitted
• Energy Envelope Calculations Submiqed
In the last 12 months, has the City of Eagan issued a permit far 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 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 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
a oval of plans.
?
Applicant's Printed Name Ap icanYs 5ignature
vv...e.mv.?. auv a.e.ov ctta tOJ art ?acsa ?n?t1, •tsr etrLtui.Yts?t re .al '?
funn ?, 2oor
3836 PiIof Knob Road Ea5an, MN SS122
. To Whom It May Cancern; .
EIder Jones is aathorized tA ptU buiRUng pernlits far Rencwal by Andezsan_
Fslder )ones to providt this PIcase atlow
??r?i? for ua in Ea?an. '?tiR ?pi.jy?? is vaTid fot
date bcyaud 6/6141: uuciI a aay
?enowal bY.'?ndersen mani?p?r ?s1y ?volaes it in
the C!ry-
W wiit3ng
I mquest this auttiarizafiaa be eccepted-expedidously, as
om baildin 6o not dctay in thn prv?si?ig of
$ Potmita tmY $7zdtcr. Plcasc caIl mc If thcta eno
r contacted at 7b3-502-4706_ ?Y ??Fona.. I can ho
Your immqdiat,e a#cntion to ihts matter is flnetl?. ' a . .
Sinceialy>
ond-R Ttau
dstatIarion Manager
Renowal by Andascn CorMrataott
C'r.: TCma-Rldes Tnnea -
?K?r??i4'-+Cci, Lc ?S! pa.?2 a„Q
O?ii-me Jan. l. 1101Pld
:1 i
.?
Quu
-?' CITY 1OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
P.I.N.: 10-65900-140-01
PERMIT
1239 FLTCKEft CIR
LDTe 14 BIOCKe 1
S7 FRAIJCIS WDOU
BUILOING
0 302 4 8
06/13/97
PERMIT TYPE
Permit Num6er:
Date Issued:
DESCRIPTION:
F. .. .. ... . ??
? -.
?
".• ?£.C' C
? .
9 f ?
% P
6u?tY'{}?R,gPermiL Type OECK
Uuild3ng^W„orI; Type NEW
Cens:i15 0bd6-,Na- 434 ALT. RESIDEfdTIFlL
REMARKS:
FEE SUMMARY:
Base Fee $50.00
S u r c h a r S e ___ _....._ _.?_......._ ?_?_?. ?.
Total Fee
CONTRACTOR:
n?/N? - ??.r,....?,...
T'1rEVERTCK EUGENE
1239 FLICKER CIR
EFlGflIV MN
(612)405-1459
I herehy acknowledge tllat I have read this application and state that the
infbrmation i.s carrECt 4nd qgreek to ,comp1/ wttl-i 411 .4pp1i?qa4le 9tjote t#fi Mn„
SLatuCes and CitY ofEagai7 Ordittances.
APPLICAN RMITEE IGNATURE ?- ISSUE V:SIGNATU?
3oaq P
1997 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
681ri675
New Construction Reauirements
Name?a :rrI,' Ft£''v ?YZ (c4L Phone #: ?5-- /LL,9
..?.n
Street Address: -1,;9- 3:Z c?c F'h
City:G-o4 G41--- State:, - zip:
RemodeUReneir Reauirements
? 3 registered site surveys ? 2 copies W plan
? 2 topies of plans (inUutle beam & window sius; poured fid. desipn; etc.) ? 2 s'de surveys (exterior adtlitbna & deeks)
? 1 energy calalations • 7 energy eakula6ona for heated addRions
? 3 copiea oi tree preservation plen if lot platted after 711/93
required: _Yes No '
DATE: la "13'? c/ 7 CONSTRUCTION COST:
DESCRIPTION OF WORK ?Al" I''r 20 a"q7-d-/ -p 4C- .U
STREET ADDRESS: Vle--. c- ?. ,
BLOCK SUBD./P.I.D. #:
LOT L14 --L/-
P ? OWNER
ONTRACTOR
Company:
Street Address:
City: State:
Phone #:
License #:
#5-0 . 'st
Zip:
ARCHITECTI Company:
ENGINEER
Phone #:
Name: Registration #:
Street Address:
City: State: Zip:
Sewer & water licer.aed plumber (new construction only): . Penalty applies when address change
and lot change arc iequested once pertnit is issued.
I hereby acknowledge that I have read this application and state that fhe iMortnation is correct afr d-" to comply with all applicable
State of Minnesota Statutes and City of Eegan Ordinances.
Signature of Applicant:
OPFICE USE ONLY L17?%?1 "v•-
Certificates of Survey Received Yes No J UI? 1 3 1997
Tree Preservation Plan Received Yes No Not Required ?
OFFICE USE ONLY
BUILDING PERMIT TYPE
0 01 Foundation o 06 Duplex
0 02 SF Dwelling o 07 4-plex
? 03 SF Addition ? 08 8-plex
0 04 SF Porch ? 09 12-plex
? 05 SF Misc. 0 10 _-plex
WORK TYPE
? 31 New o 33 Alterations
? 32 Addition o 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowabie)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
0 36 Move
0 37 Demolition
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
Basement sq. ft.
Main level sq. ft.
sq.ft.
sq. ft.
sq.ft.
sq. ft.
Footprint sq. ft.
Planning Building ),Wl
MC/WS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bidg
Census Unit
Engineering Variance
?
?
_t
Permit Fee
Surcharge
Plan Review
License
MClWS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Road UnR
Park Ded.
Trails Ded.
Other
Copies
Total:
0 11 Apt./Lodging o
0 12 Multi Repair/Rem. o
n 13 Garage/Accessory ?
n 14 Fireplace ?
A15 Deck
Valuation: $
% SAC
SAC Units
CITY USE ONLY 85y
L BL ? RECEIPT #:
SUBD. 9-/GG4,.?'.oo (JoaG'L. DATE:
1995 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN '
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please compiete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
New construction Add-on fumace
Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc.
Date: l l - /Q - 75
? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00
? HVAC: 0-100 M BTU 24.00
Additional 50 M BTU 6.00
n
? Gas Outlets (minimum of 1 required @$3.00 each) 30
? State Surcharge .50
TOTAL -2-Z -.6-0
SITE ADDRESS: f a 3 9 F?icy-er C.? rc %e
L3u? lz< ?- . t7 b?-?
OWNER NAME: G-e-vt 2 PHONE #: 93?_
iNSTALLER NAME: tJd hlQr C ? oc,,?h5. aLa N? eto-i c_
STREET ADDRESS: ?? ?0 6c?
CITY: &?-Q a-C? STATE: M l? ZIP:
PHONE #: 7v 5;9
MURAMRE oF-PLKMrI rr
ciTV use oNLr '/
L ? BL ? RECEIPT #: '`? 99/q
SUBD. • .?-to (A?G?OC DATE: l??S S
1995 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 687-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
FIXTURES
Shower
Water Closet
Bath Tub
Lavatory
Kitchen 5ink
Laundry Tray
Hot Tub/Spa
Water Heater
Floor Drain
Gas Piping Outlet ' minimum -1
Rough Openings
Water Softener
Private Disposal * oakoea cty. ticense
U.G. Sprinkler ' home under const.
Alterations * to existing
Water Turn Around
? EACH
3.00
3.00
3.00
3.00
3.00
3.00
3.00
3.00
3.00
3.00
1.50
5.00
20.00
3.00
20.00
20.00
x
x
x
x
x
x
x
x
x
x
x
x
NO.
?
?-
?-
?
?
TOTAL
3.?
3.?
(o. aT7
3. av
3 •?
3.?
3•0?
Cv. o?
W. so
50
STATE SURCHARGE ?.50
TOTAL
SITE ADDRESS:
OWNER NAME:
INSTALLI
STREET
CITY: N ST ?cxc,l 1 STATE: ??I ? ZIP: a:SLO01
PHONE #: ( ?/,?-) 7 7 SIGNATU
CLAIM VOUCFIER - REFUND REQUEST
CITY OF EAGAN
M1KE CFIECK PAY:IBLE TO: NORDHUS ELE::TRIC
ADDRESS: 1400 CIRCLE DRIVE .
BURNSVILLE MN 55337
LOCATION: 1239 FLI::KER CIRCLE
RECEIPT #/ DATE 50120 11 / 21 / 95
REASON FOR REFUND PAID FEES TWICE
VALUATION
TYPE OF REFUND ELECTRIC,at, PERMIT 3211-9001 $ 64.00
PLUMBING PERMTT 3212-9001 $
MECHADrIC.Ai. PERMIT 3212-9001 $
BUILDING PERMIT FEE 321 O-9001 $
PLAN REVIEW FEE 3422-9001 $
SAC (MC,ws) 227-5-9220 S
swC (CI'rY-) 3866-9379 $
sAGADtrurr 3436-9001 $
WATER CONNECTION 3865-9220 $
SEwER PERMIT 3743-9220 $
WATERPERMIT 3713-9220 $
ACCOUNT DEPOSIT 2252-9220 $
WATER:vtETER 3716-9220 $
RoAD UNIT 3860-9375 $
WATER TREArMENT 3868-9220 $
SURCHARGE 2155-9001 $
UTILITY wCCT oVERPAYMENT 2250-9220 $
CURB BOX DEPOSIT REFUND 2253-9220 $
CONSTRUCTION METER DEP REFUND 2254-9220 $
WATER USAGE CHARGE 3711-9220 $
OTHER: $
I declaze under the penalties of law that this account, claim or demand is just and tttat no part of it has been paid.
ture Dace cL.arn?.voU
??
?
ROBiE COMSULTINO tNOINEtpS -QC.(4E F/zE DERIGk
PLNHNEqS ond LpND iUpYfVOpf
•
? ENGINEERiNG PFtOJ
ECTNO.
viffik .7
COMAANY
INC : eooK _ 2?y3
?
, .
pA4E ?
I000 EAST 1461h 9TREET, Bl1pN5VILlE, IAINNESO7A 55737 PH 432-3D00
CERTIFICATE QF SURVEY
Legal Descriptlon:'.zaT IP aLoeK / sr. FRiaucis wo 0
DAkOTA CDz?nlTy M/.?AIESoYA
(M?35 ) pENOTES EXISTING ELEVATION
( 904; S ) pENOTES PROPOSED ELEVATION
--Ww? 1NDICATES D?RECTION OF SURFACE DRAINAGE
a. 3 - FINISHEU t3ARAGE FLOOR ELEVATION
89`7, Z = BASEMENT FLOOR ELEVATION
0./6 = 70P OF FOUNDATiON ELEVATION
SCALE : i' = 30' a Dou6SS :! 2 39 FL/GKEQ CIAW-4gWl E D
EA('aAI\ gy _
R£ v/yE W E D Da
JENGINEERING DEPT.
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(9 (. • 50'
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?" ?•; _ ?\ (j4aK
$M - 7-PJ4 ? tswA-164fa Cr
4 wiD(.rpa r.J+H - ,
cJ.e?j 573.57-
I hereby certify that thia is a trua and correct representation of a tract of
land as shown and described hereon. As prepared by me this SW day of
C?Iw86-p , 19 9S . •
e,
,PEVrSeD 9-i5-95 ; AAvLso ADDr1£Lfl ,¢osrl c6Tcm-vf
Bcvv. w?o? WATaf1A1qlN Mi!]fl. Reg. No. 1608$
s?+I ?NfoKm?,77v?,
Q+?SEp P.evpGS?i ,?/orl5r ?v 5
n COUlTINO ENOINElAf GiENE FREDER/Gk
Il? B? PNSIRNNlIIS ond LpND ;URVIYONS pqp,?CT No.
NGINEEAING , I
BOoK _ Z33
COMPANY, tNt• PAGE 50.
T.. 1000 EAST 1461A STREET, BURNSVILLE, YINNESDTA 35337 PH 432-3000
CERTIFICATE OF SURVEY
Legal Description:'-zoT_/q, BGOCK / ST. FR.vAIciS wodo
OAKorA CaunJry f MiAvNESorA ,
DENOTES EXISTING ELEVATION
(904%s' ) DENOTES PROPOSED EIEVATION
r INDICATES DIRECTION OF SURFACE DRA{NAGE
o. 3 = FINISHED (3ARAGE FLOOR ELEVATION
897. IZ = BASEMENT FLOOR ELEVATION
0.1(0 = TOP OF FOUNDATION ELEVATIbN
scnLe : r= aa ,aoDRSS : I 2 39 FG?GKE2
ENGAN
REWE\N EL?
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I hereby certify that thia is a trua and correct representation of a tract of
land as ahown and described hereon. As prepared by ma this ST? day of
.Q50mir?? , 19 9r .
,PEwSeD 9-15-95 ? 44Mw AnaQC?l? .ap?? ?TEtfvY , . y<vv. w'crx, WATe.fZ/lAiN Minns Req. No. /GO85
stav, /N)rv,t0m770v,
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Use BLUE or BLACK Ink
r
I For Office Use
I q I
I Permit i L) &01 / I
f
I ~ Q C) C I
City of Ea an
I Permit Fee:
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received: C1
Phone: (651) 675-5675 IL
Fax: (651) 675-5694 I Staff:
L - - - - - - - - - - - - - - - - -
INFLOW & IN RATION PERMIT APPLICATION
Plumbing / Sewer & Water
Date: Site Address: `
Tenant: Suite
Name: Phone:
RESIDENT I OWNER
Address /City /Zip:
Name: License
CONTRACTOR Address: City:
State: Zip: Phone:
Contact: Email:
PLUMBING (Within the building envelope) SEWER & WATER (Outside the building envelope)
TYPE OF WORK Sump Pump Repair Repair
Other: Other:
S 5
DESCRIPTION Description of work: e__A -,5U4 L)1)~e ~r°"K
L) "I
FEES
$60.00 / Each (includes $5.00 State Surcharge) TOTAL FEE $
*Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit 1/1 repair costs for
reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors
can be found by visiting www.cityofeaaan.com/inflow, or City Hall at 3830 Pilot Knob Rd.
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.aopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conforman a 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 ork is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which quires a revi w and approval of plans.
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: -Under Ground -Rough-In -Final
t .-���>
Use BLUE or BLACK Ink
�------------- ,
, K:,�,� ��C t�� � For Office Use ----�
�� ����� •It f � � � �a � ��� �
Cl4y O1 �a��II JUN 1 $ 2014 � Permit#: �
�o. o� �
� Permit Fee: �
3830 Pilot Knob Road � , I
Eagan MN 55122 �Y� � Date Received: 1 �
; ' phone: (651)675-5675 � Staff: /J �
Fax: (651).675-5694 • � �i�— I
� __��_��_�����____J
2014 RESIDENTIAL PLUMBING P RMIT APPLICATION
� �
Date: _�D� I�� SiteAddress: `
Tenant: � � � Suite#:
-�--„-
����R���� ����� �Name: �•Q��� T[\}� � �Q�!�[�` �,�lpC,
� a� ���� � �
��`` '���'� ����* Q`���; Phone:
Res� en�/Owner —,—
;���,��.�� � "`��t� '' � � t " ��,t ��
� �������,�� �r� : Ad�ress�C:ty;�ia: �v
� � ,"��r"�
X`� { � �#.� : Milbert Company Inc dba Culiign Wat r
��°�� `` ��` � WC643176
�`��� t�} � � �': Name: ucense#:
�`��`������ �� �' AadreSS: 180150t. Street East �;�,: Inver Grove Hgts.
°���Contractor�
;§t t�,..� � ,� � k � 55077
` `����'���' � ���. ' state: MN_ zip: Phone: 651-451-2241
�
;�,�r�� � "�r�� }'
� 't"�y,
�`� 5d/$�(�xd f fi ]�'1� � . .
' ' Milbert
������;'� �� , t�s Contact: W I I I I a PTl`R_' EmaiL•
y� .T �Y
_.9�ix{^�r`�y.�a �'�4'Gav. .�' � � � � . . . .
�1����4���$,r��'C ��� .. .
M �T e:of Wot —►�ew _Replacement _Repair _Rebuild _Modify Space Work in R.O.W.
��";pp� Yp —
F 1�;e�PF�> {k�'' 'k,' 1�y� 'L ' ' . .
;�, k; ��;� �fi� Description ofwork: �
; ���,���'�� ��""� RESIDENTIAL �
, r �z �' �
�. � �
� '� � ` �� � Water Neater
��`t���i "i r� �,
�_"'��'��� � t�. �� � �Water Softener
�'��,�Permit�"T�r°� Lawn Irrigation(_RPZ/_PVB)
` ����,��.� ����� �p�'n "� Septic System Add Plumbing Fixtures�Main/_Lower Level)
'�'��� ������ ���� ' Water Tumaround
� s�������,� ��� �: � ��New
�*� ,� r t �.,
� �� Abandonment
u��`��:�'� � ,.� ,.�
#�,
RESIDENTIAL FEES: "
$60.OD Water Heater;:Water Softener, or Water Heater and Softener(includes$5.00 State Surcharge) �
$60.00 Cawn'Irrigation(includes$5.0�minimum State Surcharge)
$60.00 Add Plumbjng Fixtures, Septic System Abandonment,Water Turnaround*(includes$5.00 State Surcharge)
� ;"Water Turnaround(add$200.00 if a 5/8"meter is required)
$115.00:Septic Svstem New($10.00 per as built)(includes County fee and$5.00 State Surcharge) �J
TOTAL FEES S '�
CALL BEFORE YOU DIG. Call Gopher State One Cail at(651)454-0002 for protection against underground utility damage.
CaIL48 hours'before you intend to dig to receive'locates of underground utilities. www.aopherstateonecall.orp
I hereby acknbwledge fhat this informa:ion is complete and accurate;that the work will be in conformance with the ordinances and codes of the CIty oi
Eagan; fhaY I understand fhis is not a permit but ony an application for a permit, and work is not to start without a permit; that the work wlll be In
accordance with.the approved plan in the case of work which requires a review and approval of plans.
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Applicant's'Printed Nam ApplicanYs Signature
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA142433
Date Issued:05/02/2017
Permit Category:ePermit
Site Address: 1239 Flicker Cir
Lot:14 Block: 1 Addition: St Francis Wood
PID:10-65900-01-140
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Includes Skylight
Census Code:434 -
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 -
Russell D Studler
1239 Flicker Cir
Eagan MN 55123
(651) 405-1752
Hammered Solutions Llc
16064 Excelsior Dr
Rosemount MN 55068
(612) 298-6620
Applicant/Permitee: Signature Issued By: Signature