2014 Flint LaneN.UcL oc_-{- aa-o 1
so-A- 4-1--iq 4
ctt,aQ 44 A?u. 013
C ? Td z2
NewConstrueti Reauirements
. 3 registered slle surveys showug sq. R of bt, sq. R of twuse; anil rooled areas
(20% manimum bt cove2ge albved)
• 2 copies of plan showing beam 8 window sizes; poured tound design, etc.)
• 1 set of Energy Calalations
• 3 copies of Tree Preservatbn Plan N bt platted afler 71153
• Rim Joist Detail Options selection sheet (bkigs wNh 3 or leas unils)
DATE LI -6I
JOB SITE ADDRESS O0 ILI
IF MULTI-FAMILY BUILDING, HOW MANY UNITS7
PROPERTY
TYPE OF WORK 51 -- S - - FIREPLACE(S) _ 0_ 1_ 2
APPLICANT NQOW LITE PHONE#L7W 9 (- 3 I3
ADDRESS Crosstown North ???e? o so;te46e n NeAh ZIP CODE
snee ??s?
PAGER # BrookNn Pa?k• A4ft.&5#&NE # FAX #
NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY
Energy Code Category _ MINNFSOTA RULES 7670 CATEGORY 1
(check ane) - ResidenBal Vantilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
_ MINNFSOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumbtng Contractor: _
Plumbing System Includes:
Mechanical Confractor:
Mechanical System Includes:
Sewer/Water Confractor:
RESIDENTIAL
BUILDINC PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651•681-4875
_ Water Softener _
_ Water Heater _
No. of Baths
Air Conditioning
Heat Recovery System
All above infortnation must be submitted prior to processing of application.
$ c)45ro.-7s
RemodellReoairReauiraments
. 2 copies of PWn ? V • ( '? • C) ?
. 1 set of Eneigy Calalations for heated additions
. 1 aile survey tor erierbr additions 6 dacks
. Indicale H hane sened by septic system kr additions
00
VALUXION IC) a5cZ - ?
Phone
Lawn Sptinkler
No. of R.I. Baths
Fee: $90.00
Phone #
Fee: $70.00
I hereby acknowledge that I have read this application, state that the infom
with ali applicable State of Minnesota Statutes and City of Eaga inanc
Slgnalure W Applican___C
Certificates of Survey Received _ Tree Preservation Pian Received _
?;, ?
L
n is correct, and agr?e to comply
=-?-T _- J
- _?
Not Requfred _
Updated 1101
J"Y ,
.ro Z.A/ RESIDENTIAL A/GU- 0 13
BUILDING PERMIT APPLICATION ?# LlIq -3
CITY OF EAGAN
! 3830 PILOT KNOB RD - 55122 c??Gp 75
651-681-4675
Hew Constrvetion Reauirements
• 3 registered site wrveys showing sq. ft of b4 $Q. R of house; ancbg moled areas
(20% maximum lot caverage aWred)
• 2 copies of plan showing beam 8 window aM poweU iouW claign, etc.)
. 1 set of Energy Calalations
• 3 copies ot Tree Preservatlon Plen'rf lot platled a%er 711183
• Rim Joist Detail Options seleciion sheet (bldgs wiM 3 or less unils)
DATE A('& I q - 0
JOB SITE ADDRESS jq -E(11nd c7?L
IF MULTI-FAMIIY BUIIDING, H\O/W MANY UNITS?
PROPfRTY 01YNER S 7?l-t k) u:
TYPE OF WORK ".:?:F'."_"?"x?'K' ?
vv?1VDVV4?LTTt'-Fome Improveme
APPLICANT ..._ ,.l_?, ., . _
ADDRESS Suite 460-8400-89th A»RN.,#
PAGER # Brooklyn Park, N?dW15NE #
Tairn_i nll?'la - (_769 3)
ZIP CODE
fAX #
NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 7 Worksheet Submitted
- Energy Envelope Calculations Submitted
_ MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumbing Contractor: _
Plumbing System Includes:
Mechanical Conhactor. _
Mechanical 5ystem Includes:
Sewer/Water Conhactor:
_ Air Conditioning
_ Hea[ Recovery System
All above information must ba subrridted prior to processing of application.
Fee: $90.00
Phone 0
Fee: $70.00
Phone #
?, r ??'T P V>>M
v
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesotp Statutes and City of Eag 0,1;, nances. ?
Signature of ApplicaT
Certificates of Survey Received _ Tree Preservation Plan Receive Not Required
- - - ?'. Updated 1101
_ Water Softener
_ Water Heater
_ No. of Baths
Phone #:
Iawn Sprinkler
No. of R.I. Baths
RemodeVReoairReaulrements ? Yoe_cc
r?,
. 2capiesotplan . . 10 " ?() - V /
.}M of Energy Calalatbns far healed additlons
. 1 site suney for eztedor additioris S decks
. Indirate if home served by sePbc syslem lar additions
VALURION
"pl'IffP[AGE(S) _ 0 _ 1 _ 2
= PHONe#L7(a3 ) qa5-aaa7
?.
CITY OF EAGAN
Addition Ce'
Owner nQ-?
10 16702 120
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. ? CJ67 350-00 35.00 10 ?-
STREET RESTOR.
GRADING
SAN SEW TRUNK
# SEWER LATERAL 1972 1304.00 2.1 2
WATERMAIN
# WATER LATERAL 1972
WATER AREA
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
cirir oF EA"N
3795 Pilot Keob Road Eaga., MN $5122 N2 4851
PHONE: 454-8100
BUILDING PERAAJTI pump !iouse c. Receipt #
'?
To be uad fof)utside ?torage Esr.Value pa? Ju?e 7
Site Address n Erect ? Occuponcy 1
Lot 12 Block b Sec/Sub. CG 3 Alter ? Zoning
parce) # Repair ? Fire Zone 3
Enlarge ? Type of Const. v
W Name i<an C'.hr i s tCnson Move ? # Stories
Zg p??n 2014 F1 iAt Lfl pemolish ? Front 18 ft.
b r..,, r g8an . o?.,,.... 45 6 7 8 Grade ? DeDth 14 ft.
Norne 1? arne Approvub Fees
Addrom Assessment Permit -
Nome _
Addreu
I hereby ocknowledge that I huve read this opplication ond state that
the information is correct and ogree to comply with-aU-applicable
State of Minnesota Stotutes ond City of Eagon Qrdinances.
Signature of Permittee -'
A Building Permit is issued to:
ell work shall be done in occordance with all opplicable Stote of Mir
Buildlnp Officiol • - .
Woter & Sew.
Police
Fire
E+9•
Planner
Council
Bldg. Off. _
APC
Surchnrge .50
Plon check
SAC
Water Conn•
Water Meter
-550
Totol .
on the expreu condition that
und City of Eagan Ordinonces.
P?k # Deb hwed pAMtN
Plumbing
Mechonicol
INSPECTION$ pATE INSP. Rouph-In Firal
Footings Dote Irnp. Date 1?up.
Foundation Plumbirg
Frome/ins. Mechonicol
Final I
-
Remorks:
3830 Pilot Knob R dl P.O. Box 2G-A1 9, Eagan, MN 55121 N2 12 132
PHONE:454-8100
BUILDING PERMIT Receipt #
To be used for Rflt" MUSE Est Value $1,040 Date JU.YC. 18 19 86
Site Address 2014 FLINT L,N Erect Cx Occupancy
CEi7AR
Lot12 Block b Sec/Sub GROW 3RBemodel ? Zoning
.
Parcel No Repair ? Type of Const.
. Addition ? No. Stories
RON CHRISTIANSON
N Move O l.ength
W
? ame
OWN I 7 REALTOF{S
A Demolish ? Depth
° ddress
BURNSV $94-4270
City ?}p? Int.lmpr.
Install ?
? Sq.Ft
o Name NU?L?OK IRMODFTPRS APPrrnals
0 t
Address 621 E 38TH ST Assessment
'- City MP1-5 Phone 823-8355 Water & Sew.
? W Name -
? d Address
z
i W City
-
Police
I hereby acknowledge that 1 have read this application and state that the
intormation is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
A Building Permit is issued to:
all work shall be done in accordance with all
Building Otticial
Fire
Eng.
Planner
Council
BIdg.Off. 6/1$ $I
Surcharge 1 • vv
Plan Review
SAC
Water Conn.
Water Meter
Road Unit
Tr. PI.
Var. Date I Copies
Total $20.00
on the express condition that
City of Eagan Ordinances.
I I wnmn Na I womn Haa.. I Daa I T.l.Pnon. # I
om
obp.
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: (1130 2 4 3
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
! . 4 . 04 . . k'[?- t(.?M
SITE ADDRESS: WIT , t ;, rs j.?. ?• }? : ? APPLICANT:
c1 14 Fl.1NT LANF; NC;UY9114 '.DAP 6k0.'R ARt) 4 (, ! 2) e1 $tss
PERMIT PPOTXPE:
TYPE OF WORK: At,TgRATII)N
r F'. .'!-' I 't '€` f, aN RKROOF
INSPECTION
t'}:rlt1N= .. .
, DA
P[}11CM TN HT"
t'tN:`L
z ? _ ? ?
Permlt No. Permit Hotder Date Telephone #
ELECTRIC
PLUMBING
HVAC
Inapecdon Dats Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
!f Z 7 q-
/Z?$
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FlNAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
CITY OF EAGAN PERMITTYPE:
3830 Pilot Knob Road Permit Number: A
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
r r ? e? r-., :.e a
SITE ADDRESS: j APPLICANT:
, I . I 1 NT I ANF . -IlIil; , 1:1; !;. ;
, i II/iV 14{?tlb'E # 3 E bl..' ! 54h - i1444
I RF11001 filir
F
L
I IIHM F)/1NAr1' -
PERMIT SUBTYPE: TYPE OF WORK:
• . frS PATR
a;i ?.? ?• t I i I 1 114 fiF RilhF
Permit Holder Date Telephone #
PLUMBING
HVAC
Inspection Date Inap. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
? G
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGN
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IFRIGATION
METER
FIUSH
MAINS
CONDUCTIVITY
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
cInr oF eaGaN
• 3795 Pilet Knob Roed Eagan, MN 55122 N2 4851
PHONE: 4548100
BUILDING PER /Y
'(?TAQH Receipt # 10512 _
W1 W
b $250. _
7o be woa fePutside Storage En. vaiue oare June 19, 1978
SiM Address
in n
Erect [3C 1
Occupancy
Lot 12 Block 6 Sec/Sub. CG 3 Alrer ? Zoniny Rl
Parcel # Repair ? Fire Zone 3
E
l e of Const
V
T
n
arge ? .
yp
w Name Rnn Chrictencon Move ? #Stories
Z Address 2014 Flirit Ln pemlish ? Front 18 ft.
o _ Eagan 4541/5678 Grode ? Devth 14 fT.
C phone
c Same Aovrovala Fees
?o Name
or, Addross
? rlw rti.,.,e
Nome _
Addrew
I hereby ockrwwledge that I hove read this appli?tion and stote that
the information is corre d agre rtc,m pl pplicoble
Stote af Minnesota Stat s and Ci y o1 Eog rdinances.
Signature of Permittee '
tenson
A Building Permit is issue to•
nll xrork shall be done in u #rrce with al a -?i?ble Sta_t iJ
Bulldirg Official ?e
Assessment
WoMr & Sew.
Police
Fire
Eng.
Plonner
Council
Bldg. Off.
APG
Permit 5.00 _
Surcharge .50
Plan check
SAC
Woter Conn.
Water Meter
Tota
_ on the express conditlon that
and Ctty of Eogon Ordinances.
' CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N2 12132
PHONE: 454-8100
BUILDING PERMIT Receipt# 15
To be uaed for . REROOF HOUSE Est. Value $ 1, 04 0 Date JUNE 18 ; 198 6
SiteAddress - 2014 FLINT LN Erect 'C? Occupancy.
Lof 12 Block 6 Sec/Sub. CEDAR GROVE 3RIDiemodel ? Zoning -- ?
Parcel No Repair ? Type of ConstT_
. Addition ? No. Stories
a' RON CHRISTIANSON Move ? Length ,
W Name OMNI 7 REALTORS Demolish ? Depth
o Address
BURNSV7?Tdkg 894-4270
Ci Int Impr. ?
? Sq. Ft
ry Install
o N NU-LOOK REMODELERS ApProvals Fees
ame
0 ¢. Address 621 E 38TH ST
P CiN MPLS Phone 823-8355
?a
W w
Name
=
_a Address
o
a W, CiN Phone
Assessment
Water & Sew.
Police
Fire
Permit 19600
Surcharge 1.00
Plan Review
Eng. Water Conn.
Planner Water Meter
Council RoadUnit
Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe Bld9.off. 6/18/86 Tr.PI.
information is correct and agree to comply with all applicable State of
Minnesota Statutes and Ciry ot Eagan Ordinances. APC Pafks
r, (11`t Var. Date Copies
. Signature of Permittee! v -T)n?11
AB iIdi P t i i dt? NU-LOOK REMODELERS
ung ermis ssue o.
all work shall be done in accordance with all applicable
Building Official C
Total $20.00
on the express condition that
CiTy of Eagan Ordinances. , '
? . Eagan Township
? Dakola Coun2p, MinnesoSa
Application fot Building Petmit
Tppe of building or work con2emplaied. Circle eorrec3 deseriplions.
?--
(?Resideniiali Commercial IndusYrial Olher..................................... .........:..._-._
?Lfu? Enlarge Alter Aepair Insiall Move Wreck
PEAMIT NO. _ti..?5 ?.1....
Date
Dimeasions................................................ Cosl:-;C.`[??--`?--°---- `
Details ox remerks -------------------------- L). .k=.J.'!. ° ------ /..._- ? - ,L-'-?`--?--- -.?......._.._._--
..... . P..- .-..... - ?-
.........- -- ? ?
Localion
Number Sisee! Befween whal eross slreeSs Size Est. Valuation
Lo2 Sloclc Addif?on Rearxangement or Trac!
la (?o U 6. -3
ownes 1421 D4?i G/? ....... V.L:..°-?/?f' °'-' ° -.................
.......?:- --°-'------'-'------!!."- •--,-'----?--'-........................ . Address
?%?:.1' C?a7-?i?G / __'?'f-iY?%'
Conirae2or ....?.....--.""!'-'- "-'--°--..l.....--'---_"..... Address t ._-- ----"'__.."---'-..1 :.... ......... ?l _?..----`----'
? oc)
/? / r - ? The undersigned hereby makes apnlicaiion fo: a permii !o
??- / do work as hereia specified, agreeing 2o do all work in striei
??-- "
Tofal fee collecled. secozdance wifh !he building oxdiaance adopted Apzil 11, 1955
by !he Eagaa Township Board of Supervisors.
Permi4 fees are nof
sefundable.
7 5i4ned
' CITY of EAGAN
BUILDING PERMIT
.. ...... .... . . ..................................................
... .......... . ....... ? . . .
Owne:
.............. ...... ....................................
......
Addreu (P=asenl) •?? /.`?..". ?'?c.-"`? ? .
Huildex ........ ??-c ... _"....?.-.-?(Ao.??( C?.o ?
...... ?...............: :................ ..."_............,p1-........
Address
DESCAIPTION
! {?
N4 3571
3795 Piloi Knob Aoad
Eagaa Minnesota 55122
454•6100
Dele .... ?..?.?....~}. .. ? ??
Slaries To Be Uaed Fos Fronf Daplh Heighf Eal. Cos! Parmli Fea Remuks
I
: ``'JL? LOCATION /7, r-w .
5lreat, Road or oiher Descripflon of Loeafion I Lot Block - Additioa or TrBCt
I I ? 4' "CC?L..el.aiL /-J?Le-ctt ?5
Thia permit doea nol aulhorise the use of sizeele, roada, alleys ox sidewalks nor does it give the owner o: hia ageat
the righ! !o ereate anp situation whieh is a nuisanee or which p:esents a hasard !o !6e healfh, eafelp, eonveaienee and
geaeral welfare !o anpone in the eommunify.
TtiI3 PERMIT MUST BE KE?PT ON THE PREMISE WHILE THE WOAK IS 2N PAOGRESS. . ? ?
TLis ia !o eerlify, thai.--_.......................has pesmission !o arect the above described premise subjecS fo the pxovisions of all applicable Ordinanees for the Ciip of Eagan1 t:
...... _ npea
? _ o?.
.? ? . ?
_
_ .?
.?? ... .............""_....'___'.... Per .........."....__.....
Mayor ..'_"'......_......'...."" Buildiag "..._'.:.°.?::.- Iaapectoz ?..
_ o,
EAGAN TOWNSHIP
BUILDING PERMIT
--? `
v
Slieef, rioatl or oThe! ll StSi.yliO?4t
3h?-/-
--I _
wC
Sra , _
-- ---- ---
LOCATION
N° 1391
Eagan TownshipTown Hall
?
Da}a _.......:..?._._...._.___._.._.:._...
ox Tracf
This permii does nof aufhorize the use of sireels, roads, alleys or sidewakks nor does it give the owner or his ageni
the righi fo create enp siiuation which is a nuisanee or which pzesenis a hazard !o the healih, safety, _convenience and
general welfara !o anyone in the communify. .
THIS PERMIT MUST BEKEPT ONp? THE PAEMISE WHILE TH£ WORK IS IN PAOGIjESS. .
This is So cerfify. .......?..?. ,.------- e!!:....._haspermission fo er¢cf a..'-- -._Aa-e:_.'.`.?_._?..._..?.`.`:'e...,:J..... upon
the above desoribed premise subject io the provisiovs, of, the Buildiag Ordinance for Eagan ship adoild Aoril 11,
1955. 9 ,?J ? . / . /? . ............ ..... _.... '(/
......._../ .?-?f?! ??F-L-f? .
?!-[(y..?...?..." "'....."._._... . P.er :.
............ ......... .. _.........
Chairman of Tnw<a
x?Board . r -Building Inspecior
'
' In. 1 '['F? Fk-ACI SC,?L
?
?
Cr"
?fE w ?uvnp VIaL
d- bu? 1A
i i
Le--> V9? 61
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.
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.
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bxAwN er r fi- .! Ms ,? ?.?;
? :s ? ; a r :.t v t ? E ? ? ?. + GXR'p? ' e T6 M RAWIN NO ? , ?
r . /?? . ?y
!n • ? t?? L+fS? ? ?*b''{`x-Q lf _t;;a3 r T?AGEO '3 ? t? G? w ?„?*- ?
i?.
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r
k{ '91'TEL£C1YN ? ? r{?M?? Y w a 4..;. r.n> '? ? ? - r i 5? i: `a- a+»r.y?.? ? qt? <. Y,?A? v tt _ n,?"
E.PO.?'ilE 1.?}iF.-01?=$Yi7C}1 4 r" t• 4 v r^'.. ? k?3'a 7`i ° .:r `^"? i ?
+ Y s"?r' s? £ c' ' t i- F r?a a 3 S
_.??j?+ ' .? • . r : M _
MASTER CARD
ION
OWNER
STRUCTURE AND
LAND USED AS
Permit
No. I
Issued Issued To
Coniractor Owner
BUILDMG
PLUMBING
SL?-
CESSPOOL - SEPTIC TANK
WELL
ELECTRICAL
HEATING
GAS INSTAILING I
?
SANITARY SEWER
OTHER I
OTHER
Items Approved
(initial)
Date
Remarks
Distan[e From Well
FOOTING I SEPTIC
FOUNDATION CESSPOOL
FRAMING i TILE FIELD FT.
FINAL
ELECTflICAL
HEATING DEPTH
OF WELL
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFlELD
PLUMBING
WELL
SANITARY SEWER
Violations Noied
on Back
COMMENTS:
? /cA 13?
1986 BQII.DIBG PERMIT APPLICATION - CITY OF EAG9N
NOTS: ALL CONTR9C70RS M[TST BS LICENSED iiITH THB CITY OF BAG9P
SINGLS FAlILY DHEI.LINGS
INCLUDE 2 SETS OF PLANS, 3 CEATIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
MOLTIPLB DWELLING3 - RIISIDENTIAL RfiNTAL IIdITS FOH SALE QNIT3
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SQRYEY - CHECB itITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
CO1RlERCIAt.
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
F£,Cvb'W
J
To Be Used For: otl.5? p.?/ Valuatio
:?? 6?' Q
Date: ? ?fo
L1 l?A•P. OF'
Site Address ?J/i/ ?/s??7" ??l.tl?? ICE USS ONLY
t 1??Bl
L
?
o
ock Erect
Remodel Oceupancy
Zoning
Pareel/Sub Repair ? Type of Const
/ Addition # of Stories
Owner
iRAI y yC?7,P/STlAA
??(! Move Length
'
c/Q _
Demolish Depth
Address l?i,t/v Int.Impr. Sq Ft
/&"g Zll?" 41-nt5?; _
Install
City/Zip Code ?G?,t/56>,+// , 353>37 _
Phone F9V- ''I'd 257 APPROVAIS FEES
Contraetor Assessments Permit ?
"1 Water/Sewer Sureharge
Address g? 38'7 S-T Police Plan Review
Fire SAC
City/Zip Code Engr Water Conn
Planner Water Meter
???
Phone Council Road Unit
Bldg Off ? Treatment P1
Arch./Engr. APC " Parks
Varianee Copies
Address TOTAL zp.O?
City/Zip Code
Phone lk
AOTE: ADDRESSBS FOR CORNER LOTS - CONTRACYOR/HOMEOfiNER MIIST DESIGNATE HHICH ADDRESS
IS DESIRED. NO CHANGFS NILL HE ALLOiiED ONCE BDILDING PERMIT IS ISSUED.
? CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
P.I.N.: 10-16702-120-06
PERMIT
PERMIT TYPE: 030243NG
Permit Number: 06 / 13 / 97
Date Issued:
2014 FLINT LANE
LOT: 12 BLOCK: 6
CEDAR GROVE 3RD
DESCRIPTION: RExooF
Bua:ldtnq, Permit Type
?Uilding'"Wprk Type
Census Cod4i-°?°-,,
^`"4
l<
/
?. _. .. .?°4y
g
R
\....
SF (MISC.)
ALTERATION
434 ALT. RE5IDENTIAL
fA
? g ? ? ? ?? X t ?? ?{t ? ( ?/1 ? ?•-3 { ?r ? ?}
REMARKS:
FEE SUMMARY:
Base Fee
Surcharge
TotaT Fee
VALUATION
$45.75
$.70
$46.45
$1,400
CONTRACTOR: Q1lffm? sox
2014 ELINT LANE
EAGAN MN 55122
(612)688-2359
I hereby acknowledge that i have read this applicatian and state that the
information is correct anil agree tcr camply with all applicabke State of Mn.
StatuGes and-?City etf. EagansAsdi,nqpces. . .. r, _.,
L
i
? ?
APPLICANT/PE ITE SIGNATURE ISSUED BY: NATUR
1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN
3830 PILOT KNOB RD - 65122
681-4675 3 registered site surveys
2 copiea af pWns (Indude beam & window saea; poured fid. design; eta)
1 energy wlwladons
9 coPies W hee preaervadon plan H lot platted after 7/1/93
required: _ Yea _ No
DATE:
DESCRIPTION OF WORK:
STREET ADDRESS:
LOT 11 BLOCK
PROPERTY
OWNER
? 2 wpies af plan
? 2 nite wrveys (extedor adtllGona & daeks)
• 1 eneigy ealalanons ror heated additions
CONSTRUCTION COST:
2o 14 -FLt ti i L?l ra&/"Xj MN rT /ZZ-
? SUBD./P.I.D. #:
-1 ??0)- - rA _
Name: Yv Cay e!N Phone #: 61F " C
Street Address: -T=: LJN
City: State: M? Zip:
CONTRACTOR Company:
Street Address:
Phone #:
License #:
City:
State:
ARCHITECTI Company:
ENGINEER
Name:
Zip:
Phone #:
Registration #:
Street Address:
City:
Sewer 8 water licensed piumber (new construcGon only):
and lot change are requested once permit is issued.
State:
Zip:
PenaUy applies when address change
I hereby acknowledge that I have read this appliption and state that the information is correct and agree to comply with all applicable
Shate of Minnesota Statutes and Ciry of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY '
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received - Yes _ No _ Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
. %
0 01 Foundation o 06 Duplex o 11 Apt./Lodging ? 16 Basement Finish
0 02 SF Dwelling o 07 4-plex o 12 Multi RepaidRem. 0 17 Swim Pool
0 03 SF Addition o 08 8-plex o 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch o 09 12-piex ? 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. ? 10 _-plex o 15 Deck
WORK TYPE .96; ?e .S
0 31 New )a' 33 Alteretions ? 36 Move
0 32 Addition o 34 Repair o 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MClWS System
(Aliowable) Main level sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code. T
Depth Footprint sq. ft. 5AC Code o
Census Bldg i
Census Unit
APPROVALS
Planning Building Engineering Variance
Pertnit Fee
Surcharge
Plan Review
ucense
MCNVS SAC
Cfty SAC
Water Conn.
Water Meter
Acd. Deposit
5NV Permit
5!W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: $ I1-/go
% SAC
SAC Units
PERMIT
?
CITY OF EAGAN
3830 Pilot Knob Road
PERMIT TYPE: gurLozNG
Eagan, Minnesota 55122-1897 Permit Number: @ 3 2 7 6 0
,. (612) 681-4675 Date issued: 0 8/ 0 3/ 9 8
SITE ADDRESS:
2014 FLINT LANE
IOTs 12 BLOCKa 6
CEOAR GROVE #3
P.I.N.: 10-16702-120-06
DESCRIPTION:
REROOF
z .i
BtlikzlYfg..: Permi'C Type
,,Suilding t;tork 7ype
,?Census Code
i " •',?_..
STORM OAMAGE
REPAIR
434 ALT. RESIDENTIAL
.: ,`w . .,..
4AA -
REMARKS:
RERQOF DUE TO STORM DAMA6E.
FEE SUMMARY:
CONTRACTOR:
OWNER: -
NGUYEN
2014 FL
EAGAN
(651)688-2359
Applicant -
SON
ZNT LANE
MN 55122
I hereby acknowledge that I have read this
infiormation is correct and agree Co comply
Statutes and City afi Eagan Ordinances.
L _ . _ : 1_, ;1 _
APPLICANT/PEfiMITEE SIGNATURE
a-ppl3cation and state,that the
with a'l1 applicable 5tate af Mn.
htw
ISSLIED 6V: SIG ATURE
1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PII.OT KNOB RD - 55122
681-4675
New Construction Reauirements RemodeVRaoair Reauirements
? 3 registered site surveys ? 2 copies of plan
? 2 copies of pWns (inGuAe beam 8 window sizes; poured fid. dasign; etc.) ? 2 site surveys (exterior addRions & decks)
? t energy wlaiations ? t energy caleulatlons for heatetl addRions
• 3 wpies of tree preservaGon plan'rf lot platted after 7/1/93
raquired: _ Yes _ No
DATE: ? - - ? ? CONSTRUCTION COST;
DES PTION OF WORK: V5?Y t/? MJG.."W?a???
?
STREET ADDRESS:
LOT: I?- BLOCK: ? SUBD./P.I.D. #: C fl,,n C? YO V
NG L?-4E N Sa
PROPERTY
OWNER
CONTRACTOR
ARCHITECT/
ENGINEER
Name: ? ? Tt-ti C,00 Phone #: (gu Z3 ?j
Lesc First
Street Address: -2-0
cicy -EAC?i? smu: z,p: C? l 2 L"
Company: Phone #:
Street Address:
City State:
License #
Phone #:
Nazne: Registration #:
Street Address:
City
State:
Zip:
Zip:
Sewer 8 water licensed plumber (new construction only): . Penalty applies when address chang
and lot change is requested once permjt is issued.
I hereby acknowledge that I have read this appliption and state that the information is correct and agree to comply with all applicabl
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certficates of Survey Received _ Yes _ No
Tree Preservation Plan Received Yes No
FERMIT
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
2014 FLSNT
L07o 12 BLOCK:
CEDAR GROVE #3
PERMITTYPE: BuxLnxNG
Permit Numher: 032760
Date Issued: 08/ 0 3/ 9 8
LANE
6
P.I.N.: 10-16702-128-06
DESCRIPTION:
REROOF
ermzt Type
i?rk Type
STQRM DAMAGE
REPATR
439 AI_T-. RESIpENTIAL
?.
?
??r y={
y? ?llv
Lk<.. y p + I¢ ^`° ?
3jp? 4? ??i?h;
= 1 a? 11SI?., i.^? ?,w.NS
ar se?m-
REMARKS:
REROOF DUL-" TO STORM DAMAGE.
FEE SUMMARY:
CONTRACTOR: - Applicant - sT. LIC. OWNER:
JOHNNY ON THE SPQT CONST 15453944 2a138533 NGUYEN SON
15112 GALAXIE AVE 2014 FLTNl° LANE
APPLE VAI.LEY MN 55124 EflGAN MN 55122
(812) 545-3944 (651)688-2359
PERMIT
CITY OF EAGAN
3830 Pilot Knob Road
,Eagar; Minnesota 55122-1897
(612) 681-4675
PERMITTYPE: suzLorNG
Permit Number. 033191
Date Issued: 0 9 J@ 8/ 9 8
SITE ADDRESS:
2045 CARNELIAN LANE
10T: 20 BLOCK: 6
CEDAR GROVE #3
P.Z.N.: 10-16702-200-06
DESCRIPTION:
, T.O. & REROOP
&u'31d'ingl Permit Type
Building 4tork Type
,'Census Code? '?
--
ti "
v
j:
SF (MISC.)
REPATR
434 ALT. RESIDENTIAL
s? E
REMARKS:
FEE SUMMARY:
VALUAI'TON $3,000
Base Fee $74.75
Surcharge _60
Total Fea $76.25
CONTRACTOR: - Applicant - sT. Lzc. OWNER:
QPALI7Y HOME WORKS _ 14315998 000923$ WINTER GY
8410 141S7 C7 W 2045 CARNELIAN LANE
APPLE VALLEY MN 55124 ' EAGAN MN 55122
(,612) 431-5998 (651)454-5545
I hereby acknowledge that I have read this application and state that the
information is corrept and agree to comply with all applicable 5tate of Mn.
° Statutes and City af Eagan Oi^dinanees. r? -
L ?
APPLICANT/PERMITEE SIGNATURE I ED BV: SIGNATURE
1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PII.OT KN46O;RD - 65122 g ?
` -° -9
New Construttion Reauirements
? 3 registered sde surveys
? 2 copies of plans (inGude beam S window s¢es; poured fnd. design; etc.)
? t energy plculations
? 3 copies of tree preservation plan it lot platted after 711/93
requirad: _ Yes _ No
DATE:
DESCRIPTION OF WORK:
STREET ADDRESS:
LOT: aU BLOCK:
W t
PROPERTY
OWNER
Saeet
Phone #: ?(5 7-S S y Sr
/(`4n--? Lay---e-
Ciry ? &:: Ili- CL/ State: Y ? I (V Zip: S?? I
, Phane
CONTRACTOR Q
Street Address:_ License # / °Z 3 ?
City A4LQ I P OC( QU State: Zip: a 7
ARCHITECT/
ENGINEER Company: Phone
Name: Registration #:
Street
City
Sewer 8 water licensed plumber (new construction ony):
and lot change is requested once permit is issued.
State:
Zip:
Penalty applies when address chang
i
ply with all applicabl
correct and a oeeto,,, m
I hereby acknawledge that I have read this applicatlon and state that the
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received Yes No
---2 Q LC
0
RemodeVReoair Reauirements
? 2 copies of plan
? 2 sRe surveys (e#erior add'Rions 8 decks)
? 1 energy caiculatlons for heated addRions
?
CONSTRUCTION COST; ?o
-4- ?-L IC C7 c??
a- r, aeLl ? ?,,- cr--
L SUBDJP.I.D.#: G,(-OV-e-4?_-:?')
- Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation 13 06 Duplex
?02 SF Dwelling O 07 4-plex
? O 03 SF Addition ? 08 8-plex
0 04 SF Porch ? 09 12-plex
? 05 SF Misc. ? 10 _-plex
WORK TYPE
? 31 New E3 33 ARerations
? 32 Addition ?34 Repair
GENER,4L INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Permit Fee
Surcharge
Pian Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Pertnit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
? 11 Apt./Lodging ?
O 12 Mufti Repair/Rem. 0
? 13 Garage/Accessory ?
O 14 Fireplace ?
O 15 Deck
O 36 Move
? 37 Demolition
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
Basement sq. ft. MC/WS System
_ Main level sq. ft. City Water
_ sq. ft. Fire Sprinklered.
_ sq. ft. PRV
_ sq. ft. Booster Pump
_ sq. ft. Census Code.
_ Footprint sq. ft. SAC Code
Census Bldg
Census Unit
Building Engineering Variance
I.
Valuation: $
°k SAC
SAC Units
qA . .
PFaTE C ( ?? ??j.
BUILDING PERMIT APPLICATIOAT
include 2 sets of plans, 1 site plan w/elevations and 1 set of energy calculations.
0 )
1b be used for ry ?C?/Se d-?f?iD? Valuation ?
S?ZQN ?
Site Address;
?
? ,43
Lot Block See. Sub.
?c'.,'
Owner
Address C>l t- T I- c?-2
rontractor
Address
Arch./Eng. ?-
Address
Parcel Number
Telephone ?A?
Telephone
Telephone
DFFSCE USE
Erect ?+NL -k ':X v_
Alter
Repaiz
Enlarge
Nbve
nemolish
Grade
O£FICE USE
Date of Approval & Initial
Assessment
Water/Sewer
Police
Fire
Eng.
Planner 1
Council /
Rldq. Off.
A.P.C.
Occupancy J
Zoning
Fire Zone
Type of Const. ?
8 of Stories
Fxont ?
Depth
FEES
?
Permit
Surcharqe f2
rs.an Check
SAC
Tk?ater Conn.
t•7ater hfeter ?. `
TDTAI,
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNTf.
NO. FIXTURES EACH TOT?
SHOWER 3.00
WATER CLOSET 3.00
BATH T'UB 3.00
LAVATORY 3.00
KITCHEN SINK 3.00
LAUNDRY TRAY 3.00
HOT TUB/SPA 3.00
= WATER HEATER 3.00
FLOOR DRAIN 3.00
GAS PIPING OUTLET • minimum - t 3.00
ROUGH OPENINGS 1.50
WATER SOFTENER 5.00
PRIVATE DISP. • DakCry. lic. 15.00
U.G. SPRINKLER • eome unaer consi. 3.00
ALTERATIONS • to eosting 15.00
WATER TURN AROUND 15.00
STATE SURCHARGE .50
TAL:
TO
- - - - -
-
;
- ,
SITE ADDRESS: nowen son xuFln ;
- 2014 FLINT LHNE
OWNER NAME:
- EacFln , 55122
- H 688-2359 W
INSTALLER: ? -&QUmMeR PLUuaM.6__ __ ?
2905 GARFIELD AVENUE SOUTH
ADDRESS: eAani ie unauc nrA SSM
CITY: ?? - 8V7ffk'TE: ZIP CODE:
PHONE #: (
?
&
SIG?T TRE OF PERMITTEE
1993 PLUMBING PERMIT (RESIDEIVTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
PERMIT# / S3 f ,eJ
RECEIPT DATE:
RUIDENTIAL PLUM$IN6E PMMiT APPI:ICATION
CI1'YOF EaFfiAN
3630 Pll.OT KNOS ftD
EAHi4N, MN 55I ES
651-6$1-4675
,. ?
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for irrigation system
NGUYEN,SON
SITE ADDRESS: 2014 FuNr LnNE
- EAGAN, MN 55122
OWNERNAME:: (651) 6e8-2359 _ TELEPHONE#:
(AREACODE)
INSTALLERNAME: p('b?ClVYZ??,(?/w?plfl TELEPHONEIZ 2'27- 1633
STREETADDRESS: Z /OS Z/ay'{elCy , Sp. (AREACODE)
CITY: IVf101S STATE: Mo ZIP: 5-SL/4?
Place a check mark next to the aermit work tvoe
Remrnder:
ese sure to scnedule inspections of alterations, i.e. water heaters, water softeners, etc.
I herebyacknowledge that I have read lhis applicatlon, state thatthe information is correct, and agree to complywith ail applicable Cityof Eagan ordinances. It
is the applicanYs responsihility to nolify the pmperly owner that the Cltyot Eagan assumes no liability for any damages caused by the City during its normal
operational and maintenance activities to the facilities constructed under this permit within City property/right-of-wayleasement.
IG RE OF PERMITTEE
_ New residential dwelling unit under construction and not owner/occupied $ 90.00
Add-on, modification or alteration to existinq dwelling unit, induding: $ 50.00
• abandonment of septic system
? new installation/repaidrebuild of RPZ
• lawn irrigation system
• waterturnaround
Nature of work: C8..?2?cLCSZ (,, 1ckte? ?0-0-te?
_ Septic System, new/refurbished - $ 225.00
• includes County & Consulting Inspectar fees
• requires MPC license
State Surcharge $ 50
Tota! g 5o. S-0
Updated 1/O7
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA118215
Date Issued:10/29/2013
Permit Category:ePermit
Site Address: 2014 Flint Lane
Lot:12 Block: 6 Addition: Cedar Grove 3rd
PID:10-16702-06-120
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
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 by law in ALL single family homes .
Robert Antonsen
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 -
Son Xuan Nguyen
2014 Flint Lane
Eagan MN 55122
Antonsen Construction Inc
411 marie Ave Ste B
South St Paul MN 55075
(651) 340-1791
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA123274
Date Issued:06/03/2014
Permit Category:ePermit
Site Address: 2014 Flint Lane
Lot:12 Block: 6 Addition: Cedar Grove 3rd
PID:10-16702-06-120
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
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 -
Son Xuan Nguyen
2014 Flint Lane
Eagan MN 55122
Antonsen Construction Inc
411 Marie Ave Ste B
South St Paul MN 55075
(651) 340-1791
Applicant/Permitee: Signature Issued By: Signature