1535 McCarthy RdCITY OP EAGAN Remarks
Addition O31llrid Timberline Lot 11 aik 3 Parcel 10 55300 110 03
Owner ' Street 1535 McCarthy Rd. state Eagan, MN 44121
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
TREET RESTOR. 197 1 .,??. . $88.60 LO
GRADING
?G
SAN SEW TRUNK 6
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AFEA
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATEfl CONN.
BUILDING PER.
sac 9095 9-27-73
PARK
viUrsE nF EAGAN WATER SERVICE PERMIT
3795 Pilot Knob Road PERMIT NO.: 1318
Eogan, MN 55122 UATE: 1_0111_6/73
Zoning: No. of Units: 1
owner: --H4]tert_Os1and Construct3on
Address:
Site Addri
Plumber:
Meter No.: __"8fl2125 Connection Charge: L40 %-:°nn t.;n9
size: 5/8 _Rock nccounrT???ine Agreement
Reader No.: - 475502 , permit Fee: 10.00 _pd
I ogree to eomply with fhe Village of Eagan Surcharge: -?_ ?5?0 P4
Ordinonees. Misc. Charges:e'.cj- --- /U
Total:
By
Date of Insp.:
YILLAGE OF EAG4N
37?5 rs" !!nob Rood
Eagon, MN 55122
Zoning: R
Owner:
Date Paid:
Insp.: _
Address
Site Adc
Plumber:
I ayree to comply with fha Vilkge of Eagon Connection Charge375.00 pd 9/27/3
Ordinoness. Account Deposi[:
Permit Fee: -1.0.-00 -Lx1
Surchazge: --50--ra
gy. Misa Charges:
Date of Insp.: Total: _
Insp.: Date Paid
SEWER SERVICE PERMIT
PERMIT NQ.: 2084
DATE: 10/16/73
-1 No. of Units: 1
EAGAIV TOWNSHtP
._ " BUILDING PERMIT
Owner ------ ?'.`°.: ""'!:'4...__-°-"`?`?..---._..??...?...
Address (Presen!) • Z5.?7•---_- L°----°--°-
Builder
Address
DESCRIPTION
N? 3143
Eagan Tomnship
Tomn Hall
Date .... _! '" .°.L 7-- 7??....••-•-.:....
5tories To Be Used For Front Deplh Height Est. Cos! Permi! Fee Remarks
- ! . o'? 1-G ?• ?'?? ? ?i..c.c.C /?
LOCATION / 3A'•.r'4q
?
is permi! does noY suthori e use of sireels, roads, alleys or sidewalks nor does i! give the ownee or his agen!
!he ri to-ereaie-an?situa?i'ion whieh is a nuisance or whieh p:esenls a hazard !o !he health, safely, convenience and
general welfare !o anpone in the communiip.
TFIIS PERMIT MUST BE ?K"EP?TON?. TH P? REMISE WHILE THE WORK IS IN PAOG ESS.
This is !o certify, ihal--•-(y??.-------- el!`.''. ,c•?----....--•_--.has permisaion 3o erect a-- •_-•-• •---•••••••.... .. .?.. °.?Ll......_upoa
!he above described premise subject fo the provisions of !he Building Ordinance for Ea n Ton iip adopted April ll,
1955.
............ •-•••?•- ••??,?•••••-??.-. ---- ••-?-- Per ........................ ???."..:.{-... ?:a?sJ•..-- --••••••-•••-••-
Chaizifian of ?wn Board 06 Building Inapector?
Street, Road or oiher cripfion ot Location I Lo! ? Block Addition or Trae!
I S -3.? ?'Yw [?
//
3 m
?..? .?-,.?.?-? . Q..?.,???
i?- ?>
9ILLAGE OF EAGAN
3795 Pilot Knob Road
Eagan, Minnesota 55722
PERMIT NO.: 4}r,,, _
The Village of Eagan hereby grants to
.
of 1001 4_-: _,,..e -qo _la 55436
a EMTING Permit for: (Qwner) Robert Oslund (.bnstruCtion _
at 1535 McCarthy Road , pursuant to application dated 14/22/73 .
Fee Paid: $20.00 dated this 14fh day of Nov. , 19 73 .
.50 s/c
Building Inspector
Mechanical Permits:
Bid Totale
l( -3
VILLAGE 01` EF1GAlV
3795 Pilot Knob ttoad
Eagan, Minnesota 55122
PERIvlIT N0.
The Village of Eagan hereby grants to
of a#ehfiLeid Pe1
a Permit fors (Oi,mer)
at 1535 McCarthy Road , pursuant to application dated 10/15/73 ,
Fee Paid: $20.00 dated this 16th da,y of oct. , 19 73,
.50 s/c
Building Inspector
Niechanical Permitsc
Bid Total:
REQUEST FOR ELECTRICAL INSPECTION r. ee-oooot-os
, See instructions br com0leling this form on back o1 yellow copy.
D 1R9? 4 ?X",¢eibw Work Covered by This Request
Nov, AAa Reo. ' Type of Building Appliancea Wired Equipment Wired
Home Range Temporary Service
Duplex Water He2ter Liyhtiny Fixtures
Apt. Building Dryer Electrie He2hn
Commercfal 81dy. Fumace Silo Unloader
Industrial Bidy. Air Conditioner Bulk Milk Tdnk
Farrn other Soeci v Mner (Snecify)
t ar Specify Other 01her
c.omuute Insaec[ion I-ee Kelow
p Fee SBrviCBEntrance5ize fl Fee Feeder5/5u6feeders t! Fe;e Circuits
12 . Q U to 200 Am s 0 to 30 Am s 0 to 30 Am s
Above 200 qmps 31 to 100 Amps 31 to 100 qm s
Swimming Pool Above 100_Arnps Above 100_Amps
Transformers Irrigation Booms .50 Partial•'Ot er Fee
SignS Special Inspection $
pemarks 7nh 18944 2.r) TALyFE?
Rough-in Dtne
I, th0 Electr' I
ereby
certifY ?het the a6ove
Final Dat inspection has been
made.
This requast vold 18 montlw irom
This request void
16 mpnths from
n 1 0 Q Q I ? t ??.-?.- ?,. ?. , _ .,Q ?./: ...,. ?/ c ? ??„ . ? ?? /.? °?'
t/' w ? n i v rvv - -- - '
-
Reques2 Date Fire No. equh???lnsueCtion
R rqpea
Now Q Will No7ify. inspec-
dy
l?J
6/1/88 ?Yes [RNo tor Whr.n Heady
[a Licensed Electrical Contractor 1 herebV request inspection of above
i'l r? elwctrieal work installed et:
Stree[ Address, Boz or Route No. CitY
1535 McCarth Road Eagan
ection o. Township Name or No. Range No. County
I Dakota
OcCUDant IPRINTI Phune No.
Mar Walsh 452-1458
Power Supplier Address
Electrical Contractor (Company Name) Contractor's Licrnse No.,
Hilite Electric, Inc. 040445
Mailing Address (Contractor or Owner Making InstailalioN
Sha e Road Ea an
Aut iz Signature on tA? r Mlkino Ins[allatfun) _ Phone Number
MINNESOTA STqTE BOAHD OF ELECTRIColY BE ACCEPTED BY THE STATE BOAND
Griggs-Midway 81dg. - Noom N-791 UNIESS PHOPEH INSPECTION FEE IS
1621 Universitv Ave.. St. Paul, MN 55104 ENCIOSED.
Phone (612) 642-0800
This requast void
18 rtqntbs from
C 7115 4
RequcTSt-Da}e Fire No. Required?Inspeciioo [:]Ready Nuw CkWill Notify. Inspec-
5/14/87 ?Yes f]NO [or When ReadY
(ILicensed Elec[rical Comractor I hereby request inspection of above
? Owner , eleetrical work installed at:
Street Address, Box or Houte No.
3_535 McCarth Rd. City
Ea an
ection o. Township Name or No. Range No. County Dakota
Occupant (PRINT) Phone Nn.
Power upplier Address
Electrical Contractor ICompany Name)
Hi l i f o Fl aCtYl C
ICIr' 777 Contractor's License No.
?
ail?nB ddrnireCtor or Owner Making Instailation) R E an
Authorized Signature (COntractor/Owner Making Installatinn) Plione Number
MINNESOTA STATE BOAHD OF ELECTHICITV . THIS INSPECTION qEQUEST WILL NOT
6rigge-Midwey BIdB. - poom N-191 BE ACCEPTED BV 7HE S7A7E BOAND
1821 University Ave.. St. Peul, MN 55104 UNLESS PROPEN INSPECTION FEE IS
oF--e taiii mdi.npnn ENCLOSED.
7 REQUEST FOR ELECTRICAL INSPECTION E-y9-00001-05
' See iashuetions for comOlating this form on back o1 yellow copy.
"X" Below Work Covered by. Ihis Request
Nsv4 Addj Nep. -' Tyoe ot BuilAing Applianeaa Wited Equipmen[ Wired
? Home Range Temporary Service
Duplex Water Heater Lightin, Fixtures
Apt. Building Dryer Electric HeaLn
Commercial Bldg. Fumace Silo Unloader
industrial Bldg. Air Conditioner Bulk Milk Tenk
Farm otne, aeci v ther (svectiyl
p Fee SefViee EntranCeSize p Fee FeederS/Subteeders k fee Circuits
1 12.0 0 to200Am s 0 to30Am s 0 to30Am s
Above 200 Amps 31 to 100 Arnps 31 ta 100 A s
Swimmin Pool Above 100_Am s Above 100_Am 5
Trensformers Irrigation Booms Partial•"Other Fee
L_I I Signs I Speciai Inspection 1S '
ToTA
Rerrarks
17389 .50
.do
RouBh-in
. Da[e
I, the ical
InsDector, hereby
certify [hat the a6ove
Final Dy,•?1e
?/j $ inspection has been
• ? mede.
ThIS repueat voltl 18 montha from
Cities Di ig tal
itv Control
The following image represents the best
available image from the original page.
Every effort was made to capture the content
from the original page.
, F. C. JACKSON
LAND SURVEYOR
? `r REGIYTERED UNDFR LAW6 OP STATE OF MINN6AOTA
LIC[Ni[D MY ORDINANC6 OF CITY OF NINN[APOLI•
.\
9616 EA6T 55rH STREET PA. d-4681
\.
ibarbcpor'g Certificate
i-0 r'7 1?`=- - - - -- -- -- - --_ ------- -
? 2G
?
Y
a. . !
4?4
S
`a
?
I HfiREBY CERTIFY TNAT 7NE ABOVE IS A TRtlt ANp OpRRlCr PLAT OF A SURVlY OF
Lot 11,Rlack _'•,Oslund Timberline Addit:ion,
Dak:sra Caunty,Minnes )ta.
. /
AS Sl1RVEVED BY ME TMIS-- 2-13 - t --..OAY OF--. Sept . . -A.D.-_ 1-_37 3
SIGNED- ' - /KSON. F. C. J INNE60TA R,
0r.i:.': :
L %- ;_: a
;O?- 3/
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:
rIoN, No. 3600
RESIDENTIAL BUILDING
Permit Application ?
City Of Eagan tl ?
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWcUon Reauirements RemodeUReoair Reauirements Offlce Use Onlv
3 regislered site surveys showing sq. R oi lot, sq. (t. o( house; and all rooted areas 2 copies of plan Cert of Survey Recd Y_ N
(20% maximum lot coverage allowed) 7 set of Energy Calculations for heated additions Tree Pres Plan Recd _Y _ N
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Reqd _ Y_ N
1 set of Energy Calculations Addition - indkafe if on-site septic system On-site Septic System _ Y_ N
3 copies of Tree Preservation Plan if lot platted after 711193
Rim Joist Detail Op6ons selection shcet (bldgs with 3 or less units
Date I I /E l V ?
Site Address 15,35 Mc Cq R fh U Construction Cost -! ? ?o
RC1 unit/ste #
Description of Wark 1 w-y & /c)-??
Multi-Family Bidg _ Y ?N Fireplace(s) _ 0 _ 1 _ 2
Property Owner _f( ?h p he! VY_p n -?,l u RQS/(e Telephone # (0,51 ) (DFS I ' 13'11
Contractor ?7• P R Lt W 1 .1lYl
Address ??D?so
State MN alenci-La
Zip t?GJZLJ_ City A R?
Telephone # (T52 ) ?L 7 V
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cate¢orv 1 Minnesota Rules 7672
EnePgy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(4 submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Teleph r
D
Teleph I #_(OV
N
I
I hereby apply for a Residential Building Permit and acknowledge that the i rrnation_is s?npl?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
approval of plans.
JvtlI-E ZtnOS
Applicant's Printed Name Applican Si ture
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •Demolition (Entire Bldg) - Give PCA handout to applicant
Valuation Uccupancy iviC/ES Sysfem
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) FinallC.O.
_ Footings (deck) FinaUNo C.O.
_ Footings (addition) Plumbing
Foundarion HVAC
Drain Tile Other
Roof _ lce & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
t
Building Inspector
2006 RESIDENTIAL BUIOf D g NG PERMIT APPLICATION
City 3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Reouirements
3 reg6tered site surveys showing sq. ft of lot, sq. ft M house; and all rnofed areas
(209'o maximum lot coverage allowed)
2 wpies of plan showing beam & window sizes; poured found design, etc.
1 set oi Energy Calculations
3 wpies of Tree Preservation Plan'rf lot platted a(ter 711193
Rim Joist Detall Options selecGon sheet (buildings wilh 3 or Iess un'ds)
Minnegasw mechanical ventilation form
RemodeUReoair Reouirements
2 copies of plan sfiowing footings, beams, joisis
1 set oi Enemy Calculations for heated additions
1 site survey for additions & decks
Addition -'mdicate ifon-site septic system
'%-70 .0
?--
Office l7se?On'1"v
Ceri ofSurvey3tecd " ` Y N
ireePres.PTanAecd - Y ?f
TreePres,FfW???
On_s?te5epti_c,5ystem_.R_-
Date 7 / 10 / 6 U Construction Cost oJ U , CJJ
SiteAddress 3 Unit/5te #
Description of Work 40 p- cf'J C',,_?_ r"? o L"'j-
Multi-Family Bldg _ Y _,?,N Fireplace(s) e?0 _ 1 _ Z
Property Owner Ck-c- j1 Y" u 1 _ Telephone #( )
Contractor 14
A d d r e s s Cih'
5tate /? ?? Zip 5-b -7 -1 Telephone # ?5 L 9 7
COMPLETE YHIS AREA ONLY IF CONSTRl9CT1NG A tdE1R1 BUILDING
Minnesota Rules 7670 Categorv 1 Minnesota Rules 7672
Energy Code Category , Residen5al Ventilation Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submifled
• 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
5ewer/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 applicarion 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.
1A
Applicant's Printed Name ?Applicant's Signature
DO NOT VVRITE SELOW TFIIS LINE
Sub Tvpes
? 01 Foundation '? 07 05-plex ? 13 16-piex ? 20 Pool ? 30 Accessory Bidg
? 02 SF Dwelling ? OB 06-plex ? 16 Fireplaca ? 21 Porch (3-sea.) O 31 Ext Att - Muiti
? 03 01 of _ piex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4sea.) D 33 Ext. Alt - SF
O 04 02-plex ? 10 08-plex ? 18 Deck O 23 Porch (screeNgazebo) ? 38 Muid Misc.
? 05 03-piex ? 11 10-plex ? 19 Lower Level 0 24 Storm Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
Work Tvaes
? 31 New ? 35 Int Improvement ? 38 Demofrsh Interior ? 44 Siding
? 32 Addition ? 36 Mova Building ? 42 Demolish Foundation O 45 Fire Repair
? 33 Alteration ? 37 Demolish Buildingt ? 43 Reroof ? 46 Windows/Doors
? 34 ReplaCement 'DemoliBon (Entire Bldg) - Give PCA handout to appiicant
DeSCriptlon: Water Damage _Yes
Valuation Occupancy MCES System
Plan Review _ 100% or _ 25%
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width -
REQUIRED INSPECTIONS
Footings (new bldg) Sheetrock
_ Footings (deek) FinaUC.O.
_ Footings (addition) FinaUNo C.O.
_ Foundation HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final Pool Ftgs Air/Gas Tests Final
_ Framing Siding
Stucco Lath Stone Lath Brick
_ Fireplace _ U. _ Air Test _ Final _
Windows
_ Insulation _ Retaining Wall
Approved By:
Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License 5earch
Copies
Other
Total
2004 RESIDENTIAL BTJILDING PERNIIT AYPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan NIN 55122
Telephone # 651-675-5675 FAX # 651-675-5694 ?`?AQ?.C} ? 3-b cl
?
New Construction Reauirements RemodeVReoair Requirements ME
3 registered site sunreys showing sq. ft of lot, sq. ft of house; and ail roofed areas 2 cop'?es of plan ,(20K maximum lot coverage allowed) 7 set of Energy Calculations for heated additlons
2 copies of p?n showing beam & window sizes; poured tound design, etc. 1 site survey for add'rfions 8 decks
1 set of Energy Ca?ulations Addfion - ind'icate if on-sfte septic sysfem 3 copies oi Tree Presenation Plan if lot plalted after 711193
Rim Joist Detail Options seiedion sheet (bldgs with 3 or less uniLs
Date -7-/ z (o onstruction Cost
Site Address UniUSte #
Description of Work e-![-
Multi-Family Bldg _ Y? Ftreplace(s) _ 0_ i _0
Property Owner S Telephone #(?o?l ) l P-l?
G1 - 6
Contractor
Address City
State Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Tvlinnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(4 submission type) Submitted Su6miHed
• Energy Envelope Calcuiations SubmiUed
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% pian review
fee appfies.
Licensed Plumber
Telephone # (
Mechanical Contractor
Sewer/Water Contractor
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
pernut; that the work will be in accordance with the approved lan ' of work which requires a review and
approval of plans.
Applicant's Printed Name Appli ant's Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or_ N? 25 Miscellaneous
Work Types
x 31 New ? 35 Int Improvement O 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Buiiding ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors
0 34 Repiacement 'Demolition (Entire Btdg) - Give PCA handout to applicant
Valuation 2 Occupancy MCES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) Final/C.O.
? Footings (deck) ? FinaVNo C.O.
Footings (addition) _ Plumbing
_ Foundation HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final _ Pool Ftgs _ Air/Gas Tests Final
_ Framing _ Siding _ 3tucco _ Stone _ Brick
_ Fireplace _ R.I. _ Air Test _ Final _ Windows
_ Insulation _ Retaining Wall
Approved By: Building inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
/) G
? ?? ?
Cities Diaital Qualitv Control
The following image represents the best
available image from the original page.
Every effort was made to capture the content
from the original page.
Kef-T?d fw6*- RASKf? 106 1
NE ??I ?r4y /?o,
RESIDENTIAL BUILDING
Pcrmit Application
City Of Eagan
3830 Yilot Knob Road, Eagan Mn 55122
Telcphone # 651-675-5675 FAX # 651-675-5674
? ?pa,2-b
? ?b
New Construc6on Repuirements RemodellRepair Reauirements Office Use ONv
3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies oi plan Cert ot Survey Rerd
(20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Recd
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Not Reqd
1 set of Energy CalculaGons Addition - indicate if on-site sepfic system _ On-site Septic System
3 copies of Tree Preservation Plan i( lot platted after 711193
Rim Joist Detail Options selection sheet (bltlgs with 3 or less units
Date _A / ! 9 / 03
Sitc Address ? ?_???,(???'?_? Construction Cost 177, 9500
?? • Unit/Ste #
Description of WorkC°l?ld)lC1C.IUU3 rP pia(?'?QI'Y1PXL't Wl 116 5t2l7Lfh4.1rP_ cf'laLYl Q QS
Multi-Family I31dg _ Y /IV Fireplace(s) _ 0 _ 1 _ 2
PropertyOwner',?Pl .Q.i'1 lll 61<9, Telephone#((p51 )CPSI •r?4q
Contractor i/'1C •
Address
State City 61Qp i/7a
Zip _Aff4lZo Telephone # 6,5z ) 8'$7' f (a / 3
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Energy Code Category - Minnesota Rules 7670 Caterory 1
• Residential Ventilation Category 1 Worksheet
(4 submission type) Submitted
. Energy:E?velepe-Ea ons-Sutim?ted
?-
J
LicensedPlumber onnn
Mechanical Contractor `i???
Sewer/Water Contractor BY -
Minncsota Rules 7672
• New Energy Code Worksheet
Submitted
Telephone # (
Telephone # (
Telephone # (
I hereby apply for a Residential Building Permit and acknowledge that the inforinatiou is cotnplete and ,ircurllc;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the Statc n I\1l N
Stattttes; I understand this is not a permit, but only an application for a permit, and work is not tio start %vilhoui ?1
permit; that the work will be in accordance with the approved plan in the case of wark which requires a re\lir.%v ancl
approval of plans.
'14LYW, G. 8haz A ,m,l? ?'
Applicant's rinted Name Applicant's ignature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex O 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex 0 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
? 34 ReplaCement 'Demolition (Entire Bidg) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bidg) FinaUC.O.
_ Footings (deck) Final/No C.O.
_ Footings (addition) _ Plumbing
_ Foundarion HVAC
_ Drain Tile Other
Roof _ Ice & W ater _ Fina] _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ _
Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall l
Approved By_ , Suilding Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
RESIDENTIAL
BUILDING PERMIT APPLICATION
? ? S -,? CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Conatruction Reaulrements
• 3 regislered sRe surveys showing sq. ft. of lot, sq. ft of house; and gII roofed areas
(20°k maxlmum lot coverage albwed)
• 2 copies of pian showing beam 8 wirMow sizes; poured found design, etc.)
• i set oi Energy Cakulations
• 3 copies of Tree Preservation Plan'rf bt platted atter 711/93
. Rim Jois1 Dehall Optbns selection sheet (bldgs wiVi 3 or less units)
DATE ?- 30 - 2C)n I
SITE ADC
TYPE OF
APPLICANT Kt I /H &?l 5&
STREET ADDRESS l'S3S A"
24S -A
TELEPHONE # ? 1°1779 CELL PHONE #
RemodeVRepeir Reauirements ? ? ? ?
. 2 copiea of plan
• 1selotEnergyCalculatbnsforheatedadditions
• t site survey for exterioradditions & decks
• Indicate il home served by septic system for additions
VALUATION
,•o? S(0(1,IF,
/
?fDosf-
LI)
AULTI-FAMILY BLDG _Y /N
FIREPLACE(S) _ 0 _ i ?Z?
MAI LP_?U/ I
FAX #
PROPERTY OWNER j&jTi?K/tS& TELEPHONE #??I
COMPLETE THIS SECTION FOR uNEWr• RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNE3OTA RULES 7672
(4 submission rype) • Residential VenUlation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor:
Plumbing system includes:
Mechanical Conhactor. _
Mechanical system includes:
Sewer/Water Conhactor.
_ Air Conditioning
_ Heat Recovery System
Phone #
Phone #
Fee: $90.00
? APR 3 0 2002 ?
--------------------------------- ------------ ------------ -------- ---------------------°-----,--- -
I hereby acknowledge that I have read this application, state that the inform ti orrect and a ree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinance
Signaiure of Applicant
OFFICE USE ONLY
_ Water Softener
_ Water Heater
No. of Baths
_ Phone #
Lawn Sprinkler
No. of R.I. Baths
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
OFFICE USE ONLY
? 01 Foundation
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? OS 03-plex
O 06 04plex
? 07 05-plex ? 13 16-plex
? 08 06-piex ? 16 Fireplace
? 09 07-piex ? 17 Garage
? 10 08-plex ? 18 Deck
0 11 10-plex ? 19 Lower Level
? 12 12-plex Plbg_Y or_ N
0 20 Pool
? 21 Porch (3-sea.)
? 22 Porch/Addn. (4sea.)
? 23 Porch (screened)
? 24 Storm Damage
? 25 Miscellaneous
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi
? 31 New ? 35 Int Improvement ? 38 Demolish (interior) ? 44 Siding
? 32 Addition E3 36 Move Bldg. ? 42 Demolish (Foundation) O 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
O 34 Replacement 'Demolition (Entire Bldg only) - Gtve PCA handout to applican!
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footings (deck) FinaUNo C.O.
_ Footings (addition) _ Plumbing
_ Foundation HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Fina1 _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Fina] _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water 5uppy & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Building Inspector
MASTER CARD
LOCATION
OWNER zo O?? ayn? G ' IrT .7
STRUCTURE AND ?j.X? ` D' 24 X 24 ? d?_ `
LAND USED AS 7G7
Issued To
Permif No. Issued Contractor Owner
BUILDING /? 43 9 2 . .
PLUMBING 40
CESSPOOL - SEPTIC TANK
WELL
ELECTRICAL
HEATING #.5
GAS INSTALLING
SANITARY SEWER 2rj84
(?--- -
OTHER ? 3 ? g
OTHER I
Items Approved
(Initial)
Date
Remarks
Distance From Well
rOOTING SEPTIC
FOUNDATION CESSPOOL
FRAMING TILE FIELD FT.
FINAL
ELECTRICAL
HEATING pEPTH
OF WELL
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIELD
PLUMBING
WEIL ?
?
SANITARY SEWER
ViolaTions Noted
on Back
COMMENTS:
A.
COMPLIANCE INSPECTION R,EPORTS
TO BE USED ONLY IN EVENT OF OBSERVED VIOLATIONS
PERMIT NO.
CONDITIONS OF CONSTRUCTION AT THIS INSPECTION
? NO EVIDENCE OF NON-COMPLIANCE
OBSERVED.
DATE OF INSPECTION
1:1 ACCEPTABLE SUBSTITUTIONS OR
DEVIATIONS.
? NON-COMPLIANCE. BUILDER WILL COMPLY
WITHOUT DELAY.
ITEMIZFD AND DESCRIBED AS FOLLOWS:
? NON-COMPLIANCE. BUILDER DOES NOT
INTEND TO COMPLY.
? COMPLETION OF CERTAIN IMPROVEMENTS
WILL BE DELAYED BY CONDITIONS BEYOND
CONTROL.
A
? REINSPECTION REQUIRED
REINSPECTION REVEALED
DATE OF REINSPECTION
CERTI FICATION -1 certify that I have carefully inspected the above in which I have no interest present or prospective, and that I have reported herein
all significant conditions observed to be at variance with ordinances of ihe Town of Eagan, approved plans and specifications, and any specific require-
ments for off-site improvements relating to the property inspected.
? ALL IMPROVEMENTS ACCEPTABLY COMPLETED
BUILDING INSPECTOR
COAAMENTS:
DATE
23
4111!!111 City of Eagan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
r
Use BLUE or BLACK Ink
For Office Use `
Permit #: / 6
Permit Fee:
Date Received:
Staff:
2012 RESIDENTIAL BUILDING PERMIT APPLICATION
/75
Date: Site Address:
Unit #:
Name:
AfiCot
Address / City / Zip:
96 b,),
Phone:
Applicant is: Owner Contractor
Description of work: Z:e0Or
Construction Cost: Multi -Family Building: (Yes / No )
Company: i�'J-',Z 2 f3fi2- -f (27'L. Contact: 7 -6‹_—e.. -1L -
Address:
Address: (2-( City:
State:./"' Zip: e 6/o--2--- Phone:
6 ( - 7-6)rlv�-
License #: - .5'` q 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:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
Phone:
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
'%
C��-�'- �
Applicant's Printed Name
ant's Signature
Page 1 of 3
t
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use /��"'
Permit #: ;t 0 6
Permit Fee: i 7 2Q
Date Received:
Staff:
2012 RESIDENTIAL BUILDING PERMIT APPLICATION iq,-
Date: ///2 -CA. Site Address:
ash R
Unit #:
Address/City/Zip: If'3�j M(C ef'. t'iRd J l NIA) JS/z /
Applicant is: Owner -/Contractor
I1 t ]ter
Description of work: I`/(.,. (\ l CY !Qrl
Construction Cost: db ?/ /J.-,
Multi -Family Building: (Yes
Company: (v` 'z2(*cth'ati z_1( Contact: (srAeird Yv rig
Address:/ g? i rt, J e /c City:gjGtPi
State: it I v Zip: .56/Phone: Cts .�f' -44/6- f97c3 10 Pill
License #: BC b347/ W Lead Certificate #: ' 1 3V 3 g- (p " ce,670
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING ANEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes I/No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
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.gouherstateonecall.org
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 tate Building Code must be completed within 180
days of permit issuance.
C.- tom-(- cl E
x � l t 1
Applicant's Printed Name
App ca 's Signature
Page 1 of 3
1 <-3C McCe/41-1- 12cf
DO NOT WRITE BELOW THIS LINE
10S 3 -
SUB TYPES
_ Foundation _ Fireplace
Single Family _ Garage
( Multi _ Deck
_ 01 of Plex _ Lower Level
_ Accessory Building
WORK TYPES
New
Addition
Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25%_ 100% )
Census Code
# of Units
# of Buildings
Type of Construction
Porch (3 -Season)
Porch (4 -Season)
_ Porch (Screen/Gazebo/Pergola)
Pool
_ Interior Improvement
Move Building
Fire Repair
Repair
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
Roof: Ice & Water _Final
Framing
Fireplace: _Rough In _Air Test Final
Insulation
Sheathing
Sheetrock
Reviewed By:
Siding
Reroof
Windows
Egress Window
Storm Damage
Exterior Alteration (Single Family)
_ Exterior Alteration (Multi)
Miscellaneous
_ Demolish Building*
Demolish Interior
Demolish Foundation
Water Damage
*Demolition of entire building - give PCA handout to applicant
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Meter Size:
Final / C.O. Required
Final / No C.O. Required
HVAC _ Gas Service Test
Other:
Gas Line Air Test
Pool: _Footings _Air/Gas Tests _Final
Siding: _Stucco Lath _Stone Lath _Brick
Windows
Retaining Wall: _ Footings _ Backfill _ Final
Radon Control
Erosion Control
,Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
/o/0
Page 2 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA108731
Date Issued:01/07/2013
Permit Category:ePermit
Site Address: 1535 Mccarthy Rd
Lot:11 Block: 3 Addition: Oslund Timberline
PID:10-55300-03-110
Use:
Description:
Sub Type:e - Gas Line
Work Type:New
Description:Stove
Comments:Questions regarding electrical permit requirements should be directed to Mark Anderson , State Electrical Inspector, (952)
445-2840
Angela Peterson
1535 McCarthy Road
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 -
Chad A Peterson
1535 McCarthy Rd
Eagan MN 55121
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA173825
Date Issued:12/06/2021
Permit Category:ePermit
Site Address: 1535 Mccarthy Rd
Lot:11 Block: 3 Addition: Oslund Timberline
PID:10-55300-03-110
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 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 -
Opendoor Propertyc Llc
410 Scottsdale Rd N Ste 1600
Tempe AZ 85281
(612) 227-8748
H2c Inc Dba Heating Cooling And Plumbing
820 N Concord St
South St Paul MN 55075
(612) 791-0850
Applicant/Permitee: Signature Issued By: Signature