1356 Michelle Dr. .. : aia*:-.?it z•*+r-Ir,
F
? .? s. ,? ,
y ? •+? + ?
(gex#tf iratie jof COrrupanry
titp of eagan
appartmplt# pf alidbttT jwPtfiplt
This Certifcate issued pursuant to the requtrements of Sectian 306 of the Uniform Building
Code certijying that at the time of rssuance this structure was in eompliance wiih the various
orrtinances of the Ctty regulatrng building corlstruction or use. For rke following:
uw amr,cauon SF DWGrGAR Bmg. Perm;c rro. MOB
o-a.ncr Tym R3/M I Zoning DL4na R 1 Type CMBL VN
ow= or sWlai cOu.Hm 'ITY rJ(7NSIfaX,'?I(X3naarm 6470 15 I ST ST, APPIE VAtIEY
suMing naa? 1356 MIOELi,E DRIVE LOC"ty L 11, B2, HIMM VAIJZY
? Datc 10J 15/91
' ?ng
POST IN A CONSPICUOUS PUCE
SEWER & WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897 DATE
OFFICE USE ONLY
METEfi #?? ?d S 5O PERMIT DATE 08/G2 j'. i
CHIP #4 Ae PERMIT%# 12195
MEfER SIZE B.P. RECEIPT # C. 1.4753
ISSUE DATE ?'" 3oTT B.P_ FECEIPT DATE `'"?O1/ql
?PRV - BOOSTER PUMP
i ? _ . . ,_._. ._.. 1 ? .. .Jt iVe SITE ADDRESS
LOT j 1 BLOCK ` SEC/SUB `li`i"`'TI a 1, ."
APPUCANT:
ADDRESS:
•'J ? Vc! 1 : : . . J? :<:;-.
CITY, STATE ZIP
PHONE:
PLUMBER: -
ADDRESS:
ClTY, STATE 1?1T' 't?Iit .11?? ZIP
PHONE: 1`'
PERMff REQUESTED
- SEWER - WATER - TAPS
-COMMiIND - RESIDENTIAL
"NEW ? EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Ctedi,WiLL1NOT be4yen for Deduct Meters.
4?GREE TO COMPLY WITH CITY OF
OWNER: EAG N ORDINA $?
ADDRESS:
CITY, STATE ZIP
PHONE: SIGNATURE WHEN MET R ISSUED
PLEAgE JILLOW TWO WORKING DAYS FOR?PROCESSING. CALL 4545220 FOR INSPECTIONS. FOR STORM
`! ''
SEWER PERMITS, CONTACT ENGINEERING DEPT. , r,
SEWEFi & WATER PERMIT
CIT'Y'VF EdGAN
3830 Pilot Knob Rd.
Eagan, MN,55122-1897
r'
DATE . , - . ;
METER #
GHIP #
OFFICE USE ONLY
PERMIT DATE 08ll.2191.
PERMIT# l2i?5
METER SIZE B.P. RECEIPT # ? 14783
ISSUEDATE B.P. RECEIPT DATE _X_ PRV - BOOSTER PUMP
... __,:. . : :.•.::1 t c. .
SITE ADDRESS " -
LOT `?- BLOCK ° SEC/SUB ' `'
APPUCANT: ?i?l I?,?e +?iCy i.or?; ? _ =.? ? >rADDRESS:
CITY, STATE jL!1 .°? ZIP
PHONE: ,.... -l ...i_:
PLUMBER: ,'i??r. r 1 •:?,:,..,! ...
ADDRESS:
CITY, STATE ZIP
PHONE: ".'`F' *.i ' .
PERMIT REQUESTED
' SEVIlER ' WATER ? TAPS
- COMM/IND _ RESIDENTIAL
"NEW EXISTING
Lawn 5prinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Credit WILL NOT be given for Deduct Meters.
?,.1-AGREE TO COMPLY WITH CITY OF
EAGAN ORDINANCES
CITY, STATE
PHONE: -
-'p: s•n
ZIP
SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
BUILDING PERMIT
Site Address 1
Lot 11 Block
Parcel No.
.._..._ . . .,..... ..'-.. _. ._ . ... ,. . ... ,. ..?, . . ...,.--? ? . . . . . .
CITY OF EAGAN
3830 Pilot ICnob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 J
Receipt
GAA Est. Value =134,000 Date- -ll[G 1 , tg4L-
Sec/Sub.
W Name GOLI.tGS CItY 00?181RIJCTIOIi
I Address 6970 151S1' ST
° City APPI.a YriLI,EY Phone 491-1211
=o Name $AME
OAddress
v ` Q
? City Phone
Name
Address
City Phone
acknowlege that I have read this application and state that the
m^is corceet- a,nd aftree to_pomply with all applicable State ot
OFFICE USE ONLY
Occupancy R-3 ?, FEES
zoNng
(Actuai) Const Bidg. Permif 7s9,00
(PJlowable) ?.? 57•?
+f of stories
Lengih
Depth
S.F. Total
S.F. Footprints
On Site Sewage
on site wau
Mwcc sys,?
City water
PRV Required
Booster Pump
APPROVALS
A Building Permit,.is?sued to: ??g C;? ?= Planner
on the express condition that all work shall be done in accordance with all ??il
applicaWe State of Minnesota Statutes and City of Eagan Ordinances. gldj_ pH.
Building Official ! ?qf ; . f Variance
Surcharge
Plan Review 493•?
-?? SAC, City 100,?
- SAC, MCWCC 650•?
Water Conn 660e?
waler Meter 93,00
30
00
? accc. oeposa .
.X_ siw Pem,a 30.00
- SNV Surcharge • 30
Treatment PI 276.00
Ftoad unit 370.00
- Park Ded.
Copies
- TOTAL 3,530.50
- Permit No. Permit Holder Date Telephone #
WATER p J'
SEWEf#
PLUMBING ? G N?3?II y`-
67
H.yA.C.
ELECTRIC 8 8 I9 1/
?
Inspsction Dafe Msp. Comments
Footings I
Foundation .
Framing q ?
Rooting
Rough Pibg.
Rough Htg. •?? /P ?? ?j/?9 t Q.N
Isul. ?/-?(?ffl
Fireplace `f' . 3 g,1
Final Htg. O? D
Orstat Test
?
Final Plbg. In tar - Notily Plumber
Const. Meter ?
Engr./Plan
Bidg. Final
Dedc Ftg.
Dedc Final
weli
Pr. Disp.
?/ 9 9/ %A
-
p 1 846 s-
Request Da1e Fre No. Rough-in Mspectian
Fequir tl?
? Aeady Now Will Nolity InspeGor
?X ea _ N. When Reetly2
IZ,e nsed contractor I] owner here6y request inspection of a6ove electrical work at:
Job Atltlress ISlraet Bo?x o?r/Rome
S / v[zlle L+G?i F//C.• Ctry
i?- qKY?V
Section No. TownsM1ip Name or No. Range No. Coun /'
( tPRINT)
Occu
pan PM1One No.
?
?
+
4;?VIIC GC„?? .
Pawer Supplier
? 'i 'K«, Atltlress
Becnical ConVac[orlCOmOany Neme1 Contraotork Ocense No-
-
Maiiing qtltlress fCOnirecwr or Dwner Making Inst!aAllation) ¢
Hutnonzetl ur iCOn ner Making I Ilati I
_'e Phone Number
MINNESOTA STATE BOARD OF ELECTPICITV
Griggs-Midway Bltlg. - Room 5473
1821 Universiry Ave.. SL Paul. MN 55104 Phone(612) 640-0800
THIS INSPEGTION REQUEST WILL NOT
BE ACCEPTED BY THE STATE BOARD
UNLESS PFOPER INSPECTION FEE IS
ENCLOSEo
REQUEST FOR ELECTRICAL INSPECTION
?,q? I9I ? 59e inslryctions lor campleling Ihls form on back of yellow copy
6 9846 l "X" Below Work Covered by This Request
EB-00001-08
3?GyN°
ew Add. Rep. : , TypeoBuilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specity)
Comm./Indusirial Furnace
Farm Air Conditioner
OiM1er (suecly) Camrecror's RemaBS-
Compute lnspecrion Fee Below:
# Other Fee # . ServiceEnVanceSae Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps o ta 100 Amps
Transformers Above 200 _ Amps 100 _ Amps
SignS Inspectars Use Onty: TOTA?L,
?
Irrigation Booms ( O
?
Special Inspec[ion
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHiIN 18 TF1S.
1, the Electrical Inspecroc hereby
certity that ihe above inspection has
been made. R°°9n-'" Da[e ^?a
F,nai t oe?e _
OFFICE USE ONLY /
TNS reyuest voic 18 manNS irom
` `. dATE: AUG 2, 1991
rt?.... a .
1356 MICHEI,LE DR (COLLEGE CITY CONSTRUCTI016j
RE:
R
Your Sewer & Water Permit for the above property has been completed. It will be held at the
/Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
_ Your Sewer & Water Permit for ihe above properry cannot be completed for the following
reasons:
Your Sewer & Water Permit for the above properry has been completed, but the meter cannot
be issued or occupancy allowed until further notice. :
_ COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEPORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOtR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
' CITY OF EAGAN N0- 19508
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ^
` PHONE: 454-8100 ? f ? ? ? -G
BUILDING PERMIT Receipt #
Tobeusedfor SF DWG/GAR Est.Value $134,000 Date AUG 1 , 1931
Site Address 1356 MICHELLE OR
Lot 11 Block 2 SeGSub. HIDDEN VALLEY
Parcel No.
w Name COLLEGE CITY CONSTRUCTION
o Address 6970 1515T ST
, City APPI.E VALLEY phone 431-1211
tF Name SAME
gg Address
? City Phone
?w Name
x, ; Address
iw Ciry Phone
I hereby acknowlege thal I have read this application and state that Ihe
ree to ply with all applc
able Stale oi
information is 9,11..d
Minnesota tay E n OrdinncesSignature of PA Bulding Per to: COLLEGE CITY CONST
on the express contlition that all work shall be done in accordance with all
applicahle State of Minnesota Statutes antl City oi Eagan Ordinances.
Building Officlal
OFFICE USE ONLV
Occupancy R-3 -M--l FEES
Zoning R-1
(ACtual) Const V-N eldg. Permit 759_ 00
(Allowable) y? Surcharge 67•00
M ofStones
681
Plan Review
493.00
Lenglh
Depth 36' SAC,City 100.00
S.F.Total - SAC,MCWCC 6$0.00
S.F. Footprinis _
On Site Sewage _ walar Conn 660.00
On Site Well - Waler Me1er 95.00
Mwccsystem x 30
00
City Water ? AccL Deposit .
PRV Required ? S/W Permil 30.00
Baoster Pump - SNJ Surcharge .50
Treatmenl PI 276.00
APPROVALS RoadUnit 370.00
Planner - park Ded.
Council
BIdg.Ofl. _ Copies
Variance - TOTAL 3,530.50
Address: 1356 MHQ LE DRIVE Lot 11 BlkZ Sec/Sub HIDDEN pAT.T.F.Y
These items were/were not complete at the time of the final inspection.
]0 IS 91 Yes No
Final grade (6" from siding) /O ^/S
Permanent steps - garage ?r
Permanent steps - main entry .
Permanent driveway .
Permanent gas r,
Sod/seeded grass ?
Trail/curb damage .
Porch
Basement finish q
Deck j
Please verify with the builder the removal of roof test caps from the plumbing
system andthe shut-off of water supply to tha outside lawn faucet before
freeze potential exists. &
Krnxeorwn
White - City copy Ye11ow - Resident copy Pink - Contractor copy
g / 970
2007 RESIDENTIAL MECHANICAL rrRMiT Arrr.icaTiorr
City Of Eagxn
3830 Pilot Knoh Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: single fainily dwellinP & townhomes/condos when pennits are iequired for each unit
6D, iD-6
D.,te 00? p
Sitc Address ? l?t?{?l,.?XXY DR Unit #
Propcrly Owner Telephone # Wl
Cuntractor I
Street Address City
SWte Zip??7 ? Telephone# ( 119101)
Bond #!: Expires:
Thc Applican[ is _ Owncr /\ Contractor _ Other
Fire repair (replace bmrned ont appliances, duckrork, ete.) $ 90.00
This fee applies when extensive mechanical repairs are made to a building.
Add-on or alteration to existing dwclling unit $ 50.00
fumace _Additional _Replacement _ New
air exchanger
air conditioner
_ heat pump
otheN ?A)??
_ 7'? U
State Surcharge 5 .50
$ 5
0v
i hereby apply for 1 Rcsidential Mechznical Perrnit and acluiowledee lhat Ihe information is coinplcte and accurate; diat Lhe work will
be in conforinance with Ihe ordinances and codes of the City of Eagan and with the Mechanical Codes; that f widerstand this is not a
pzn»i[, but only an application for a permit, and work is not to stntt without a permit; lhzt the work will be in accordance with the
appyuved plan in lhc case qf work which requires a review snd approval of plaiA.
p?S?gnaYure
Applicant's PrSntedName 0 ApplicantLJ
/ RESIDENTIAL BUILDING
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
?0 &,'-
New Construction Reaui2ments RemodeVReoair Reauiremen4s Office Use OnN
3 registered site surveys showinq sq. R. oF lot sq. ft. oF house; and all roofed areas 2 copies of plan CeA of Survey Recd _ Y_ N
(20°h maximum bt mverage allowed) 1 set of Eneyy Cakulations for heated addNons Tree Pres PWn Recd _ Y_ N
2 copies of plan showing beam & window sizes; poured found desyn, etc. 1 site survey for addi6ons 8 decks Tree Pres Nol Reqd Y N
t set of Eneyy Calculations Ao'dttion - indicate rf on-site sepNc system Onsite SeOtic System _ Y_ N
3 copies of Tree Preserva6on Plan it lot platted aNer 711193
Rim Joisl Delail OpSOns selecUon sheet (bldgs with 3 or less uniLs
Date 08/19 / Q3_
Site Address 1356 Michelle 17rive Construction Cost M0.000.00
UniUSte #
Description of Work f;niah haeamani-• fam ily rnom anr3 tu h
Nlulti-Family Bldg _ Y_ N X Fireplace(s) _ 0_ 1 _ 2
Property Owner T7rew and Robin FUller Telephone #( 6513 681-0998
Contractor Ibu4 Carlson Inc
Address 7185 - 7 32nd Street West
State City AVle Valley, MN
Zip 55124 Telephone #( 952 ) 431-4488
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Energy Code Category , Residentlal Ventilation Category 1 Worksheet • New Energy Code Workshaet
(J submission type) Submitted Submitted
. Energy Envelope Calculations Submitted
Have you previously constructed a buiiding in Eagan with a similar plan? _ Y _ N If so, 25% lar,
fee applies. n ? ?
iiii
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
approval of plans.
Douglas V. Carlson
ApplicanYs Printed Name
Applicant' ignature
OFFICE USE ONLY
Sub Types
? 01 FoundaGon ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OB 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 E#. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Ait - 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 Stortn Damage
? 06 04-plex ? 12 12-plex pibg_Y or _ N ? 25 Miscellaneous
Work Types
? 31 New C4 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 WindowslDoors
? 34 Replacement 'Oemolition (Entlre Bldg) - Give PCA handout to applicant
Valuation Occupancy _ 2-3 MCIES System
Census Code Y3 q Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Canst v e1 Width
REQUIRED INSPECTIONS
_ Footings(new bldg) FinaUC.O.
_ Footings (deck) ?p FinaUNo C.O.
_ Footings (addition) _ Plumbing
_ Foundation HVAC
_ Drain Tile Other
Roof Ice & Water Final Pool Ftgs Air/Gas Tests Final
? Framing _ Siding Stucco Stone _
Fueplace _ R.I. Air Test _ Final Windows (new/replacement)
1P Insulation _ Retaining Wall
Approved By ? , Building Inspector
Base Fee
Surcharge
Plan Review ? o W C? I eVe 1
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Capies
Other
Total
RESIDENTIAL BUILDING
. - ?Db?T3 g Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX 9 651-675-5694
A I 13. ?S
New ConsWdion Reouirements RemodeVfteoair Reauirements Office Use OnN
3 registered site surveys showirg sq. ft. of lot sq, ft. of house; and all roofed areas 2 copies of plan Cert of Survey Recd _ Y_ N
(20°k manimum lot coverage allowed) 1 set of Eneyy Calculations tor heated addilions Tree Pres Plan Recd _ Y_ N
2 copirs of plan showing beam & window sizes; poured found design, etc. 1 site survey for addNOns 8 decks Tree Pres Not Reqd _ Y_ N
lsetofEneqyCakulations Addifion - indicateifonsAesepfksysfem On-sAeSepGcSystem _ Y _N
3 copies of Tree Preservalion Plan ii bt platted after 111/93
Rim Joist Detail OpGons selection sheet (61dgs wAh 3 or leu unAs
Date YJ / ?2?/ 0 3 //
Site Address L"J??o MJ [ ["e o
Ylz ConstructionCost NIU(lo-DD
Unit/Ste #
R
Description of Work J
Multi-Famity Bldg _ Y ? N Firepla ce(s) _ 0 _ 1 _ 2
Property Owner ?DK )A/ `E- C?) fiA (e Telephone # 161) (}'1 `C2'J
Contractar
Address Advanced 'Naterproofirq7
8 Foundation Repairs, Inc.
15789 Island View Road
Pri? ? MN ?.M
ity
._ !?
C
State - --- Zip Telephone # 052) ??Cl
4
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) Su6mitted 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
elephone #?
Al1G u 5 2003 ?
elephone # (
#(
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work wiil be in conforniance 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.
,14oN.1 L4g0uta,xc lic4m?-
Applicant's Printed Name Applic ' Signature
OFFICE USE ONLY
Sub Types
0 Ot Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn.(4-sea.)
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo)
O 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 72 12-plex PI6g_Y or _ N ? 25 Miscellaneous
Work Types
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. AR - SF
? 36 Multi Misc.
? 31 New ? 35 Int improvement ? 38 Demolish (Interior) 0 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
0 34 ReplaCement •Demolition (Entire Bldg) - 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 Bidgs Length Fire Sprinklered.
Type of Const Width
' REQUIRED INSPECTIONS
_ Footings(new bldg) _ FinaUC.O.
_ Footings (deck) _ FinaVNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final Pool Ftgs _ AidGas Tesu _ 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
. ? .? :
Building Inspector
. '
--
ADVANCED
WATBRPHOOFING
4 FOUNDATION REYAIRB, INC.
`J 13789 Llmd View Rod, Ptior Llca, (vIN 55373
? f1DbfTION/FL HEADEk
?
? ? (,F RFt?ut RE D
?
5.7 50. Ft.
JJE7' CtEAtZ OpENING
4+'MhXIMUM, OP- LAADE2
36 '' r''1 I N I M U. M--??. .1
44`? MAxir?uM
? Sikt NEIGHT
SLA6
EGRE55 Wiupotn/
1.L6C SECrION 310• 4
r04TING
PLUMBING (RESIDENTIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
Please complete for: Single Family Dwellings
Townhomes and Condos when pemuts are required for each unit
Date a / 25 / 03
SiteAddress 1356 Michelle Drive Unit#
PropertyOwner DTew Fu11eY' Telephone#( 651 681-0948
Con..ac.a:- R C Plumbing
Address 5910 Chester Avenue City Northf ield
State MN Zip 55057 Telephone #( 95)2 6 52-2933
The Appiicant is _ Owner x Conhactor _ Other
Septic System New _ Refurbished Submit 2 sets of plans and MPC license $ 100.00
Includes Counry fee. Additional consultant fees may apply.
A?terations To Existing Dwelling Unit, Including $ 50.00
g Adding fMures to lower leugl¢pr [oom additios,
4 Dasemen
? gxcl?ding w?ter ?oftener and water heater
Da Yt w L Lavs
/
_ Abandonment of septic system
_ Water turnaround (+ 5/8" meter if needed -$12 1.00)
Other:
_ RPZ _ new installation _ repair _ rebuild $ 30.00
_ Lawn irrigation system '- - 1 - i
,
_ Watersoftener _ Waterheater ?
1?nq ?
C n
$ 15.00
_ replacement _ additional
v
$ .50
State Surcharge
Total g 50.50
I hereby apply for a Residenflal Plumbing Pemut and aclmowledge that the information is complete and accurate; tha[ the woiK wLl
be in conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; 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 planK) _ n_ ? I
Richard J. N,ybo
Applicant's Printed Name ApplicanYs Signatu
PERMI7 #
qg7 33
RECEIPT DATE:
5008 RUIDENTiAL PLUbI$INfi PEiMIT
cmr og EAeM
3$30 PILOT KPOS {{D
E48RA. MIY 5518E
851-881-4875
Please complete for:
SITE ADDRESS:
OWNER NAME: :
family dwellings, townhomes and condos when permiis are required for
FULLER, DREW
1356 MICHELLE DRIVE
EAGAN, MN 55123
(651) 681-0948
D
.rQN 2 4 2001 L,
?
TELEPHONE #:
(AREA CODE)
INSTALLER NAME: ""••"""••• r..vnn?n?v var. TELEPHONE #:
. (AREA CODE)
STREETADDRESS:
cin: MINNEAPOLI3- MN 554pg STATE: 21P:
_ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00
includes $40.00 County fee
Note: Additional consultant fees may apply
• MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING:
_ Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00
_ Abandonment of septic system.
_ Water turnaround - existing dwelling unit (+ 5/8" meter if needed -$118)
Other:
_ RPZ: new installation/repair/rebuild $ 30.00
_ lawn irrigatfon system
ReplacemenVadditional: _ water softener water heater $ 15.00
State Surcharge $ .50
Total $ 6.50
I herebyacknowledge that I have read this application, state that the intormatlon is corred, and agree to complywith all applicable Ciryoi Eagan ordinances. tt
is the applicanYs responsi6ility to notify the property ownerthat the City of Eagan asaumes no lia6ility tor any damages caused by the City during its normal
operaNonal and maintenance ac6vHies to fhe facilities constructed under this pertnk wdhin Ci e 'ght-of-w easemen
SI? R F PERMITTEE 1102
.. , .
. ?
o•>K
759•p0+
67•00+
493•U0+
2,2f1•50+
3,530 • SU*
?. '759•0V
67°OOF
\ 493•00{-
2, 211•50+
3 ,530 ,50*
SaW n7f :19,????
1991 SUI lqwfolLICATION
CZTY OF EACAN
SINGLE FAMSLY DWELLINGS
MULTIPLE DWELLINGS
COMMI:RCIAL
2 SETS OF PLANS 2 SETS OF PIANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER M[JST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ZSSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMSER.
W&D L 3 0 ReCD
To Be Used For: SFD (5AF'-- Valuation: ? 3 y ?OC) r Date: July 30, 1991
Site Address 1356 Michelle Drive
Lot 11 Block 2
Parcel/Sub
Owner
Address
Hidden VAlley
City/Zip Code
Phone
Contractor College City Construction
Address 6970 151st Street
City/zip Code Apple Valley, MN 55124
Phone 431-1211
Arch./Engr. _
Address
City/Zip Code _
Phone #
FEES
Occupancy P-"3 M-1 Bldg. Permit
Zoning R -1 Surcharge
Actual Const Y-N Plan Review
Allowable V- N SAC, City
# of stories SAC, MWCC
Length ? Water Conn.
Depth Water Meter
S.F. Total Acct. Deposit
Footprint S. F. S/w Permit
S/W Surcharge
On site sewa ge_ Treatment P1.
On site well Road Unit
MWCC System V7 Park Ded.
City water ?7 Trail Ded.
PRV ? Copies
Booster Pump _
SUBTOTAL
APPROVALS Penalty
Planner Lot Change
Council TOTAL
Bldg. Off.
Variance
?
?m. rn
agrees that all work shall be done in accordance with
(Signature of Contractor)
OFFICE ?SE ONLY
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
21 El
G AR?G'E
l2xzj= a4o
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7t 2422 Enterpris¢ Or'rve
1.191 4
*????EE?' ??tiOwpvcroas.C1V1?(µWNEEAS MendOW H¢ight5, MN 55120
?* * 1612)68
? engl? eer}ng ., ????•???. ????'VE ANGMITECT9
CErtificabe of Survey for. COZLE6 '+ 4f/ry cC7a5T'• ?
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• 900.o Derrotes Farislin¢ flevation PPOveQSEO HoU , ELEWrIC)AI
• oo.o bendes PropogEd E/evafion Lowes laor flrvv ion s oto
,- --- Denotes Dr,dhixr¢ea Ufi/i?fy £asement Tap or'B/ockfJevolion
-?- ? Deno?es Or?rir?? ' F/or+?'Direcfion Gar-qe Slab E/evation gs'>-93
a Caendes Manuffienf Bevrings .shawn are assumva+ n Dena es qj se /-b6
LoT I /Bt oc? 2 ?rll?? E
, , NvA LL E Y
COUNT}?, AlrNAasOTA
I hereby csnify hat thia surupy, plen or repore wes p ared bv me p? u"*de. my d!rer,t soper ision A !h am rluly Raple etl Land gurvey
tmdsr !he laws of Ihe Stofe of MlnnesaU. Deted tMisday of A,?, 19.. .?
9cale :1 ir2h = 40 Ai qoo,,,, U ? p0 EpT B_ 51 CH .5. NEG. O. 14g51
fl,-3f1-C1 f19?111PM PI19
EY'`.RIOR P"LOPE AVERAGE "U" COV- ITAT14`!
. OYlNER ?c?? 4, . =r•.,..
SITE ADORE55 ? 35 a)rku2J
CON7RACTOR eotL-CGF1 GlTY ?fq:'-? DATE PHONE _?I- I2I I
.....
Determine working square footage of each.
1. Total exposed wall area ...... Z,!!:,Ok- sq. ft. x:11_ II ?Z? ?-
2. Total roof/ceiling area ..... l$'70 sq. ft. x,OZI-v = ?
Total exposed wall area above flour =
a. Total wall iaindow area ........................... '2 Z3
b. Total door area .................................
c. Total sliding glass door?area ................... p
d. Totat firepiace wall area ........................ o
e. Total wall framing area (average 101)...:........ 17 0 .
f. Total net wall area above floor ................. 12 po
'
g. Total rim joist area ............................ 1q z
ri
Total-ezposed foundation area = (6 Q- ' h. Total foundation window'area ...........:......... ?
1. 7oa] net foundation area above grade ........:... 10? n-
Determine "U" value of each wall segment.
,
a.
X
"u"
`l-7.lb
_
r
b. 55a
x
„u"
:iz'6
_ ?•04
c: ,x Nua o ? c
d. O X "U" o = ?
e. 1"1 O g "Uti , o5Z
f. (zo X"u P F' 54 - i?
x „uil
1111
h• n V Nu
i. J o?- x "u"
.o4-I = 113 7
, t1, c
3 .....................................Tata1
Tf item 13 is the same as, or less than item #1, you have meG the intent
of SaC 6006(c)2.
r
Total..exposed roof/ceiling area = 1 7 S.G'
J. Tota) skylight area..... ......• ....... . 0
k. 7ota1 roaf/ceiling framing area(averagelOX)... ? lp,
1. Total net.insulated roof/celling area..:........ I (,?t, Z-
Determine "U" value for each roof/ceiling segment.
X"u" p m O
k. (1$ x'mu°., .ad- = 7.I2,
x °utt .24-
4 ..................................Tota1 Z =?.
lf total of #4 9s the same as, or less than :2, you have met the intent of
SL'C GOOG(c)1. •
Alternate Building Envelope Design
76 utilize the total envelope system method, the values established by the'
sum of items #3 and #4 shall rtot be greater than the sum of items el and 12.
i. + 2. ?
3. t 4. ?
- + - I M •
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luc?u???? ,>..y Ki?n•f5,
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..........:........... .... ?
?`, ' '
---------------
CITY OF EAGAN
3830 PZIAT &bI08 ROAD
EAGAAi, Mli 55122
PHONE: (612) 454-8100
na"Mmm
FOR CITY DSE ONLY
PERMIT #
RECEIPT 0 /O
DATE: AY/Cg 4
PLEASE COMPLETE UPPER POBTION ONLY FOR SINGLE FA?IILY DWELLINGS b
TOWNHOMES/CONDOS AHEN PERMITS ARE RgQUIggD FOR EACB UNIT.
WORK DESCRIPTION
NEW CONST ?
ADD ON
REPAIR
OWNER NAME:
SITE ADDRESS: S
IAT:Z I BIACK 5W SUSD.
INSTnLi,ER: GENZ-RYAN PLUMBIN6 & HEATING C0.
ADDRESS: 14745 South Robert Trail
CITY: Rosemount, MN zip: 55068
P::ONE #: / (612
COMPLETE THE FOLIAWING:
N0. FIXTURES EA. TOTAL
ADD-ON MINIMUM 15.00
? SHOWER 3.00 -3 ?
,.,3 WATER CIASET 3.00 ?
? BATH TIJB 3.00 ld_fa
LAVATORY 3.00
? KITCHEN SINK 3.00
IAUND&Y TRAY 3.00 ?
HOT TQB/SPA 3.00
1 WATER HEATER 3.00 3
= FIAOR DRAIN 3.00 y?
GAS PIPING OUT.
1 (MINIMUM - 1) 3.00
? ROUGH OPENINGS 1.50 =,S
OTHER
_ WATER SOFTENER 5.00
_ PRIVATE DISP. 15.00
_ U.G. SPRINKLER 3.00
?
SUBTOTAL s ?/9
ST. SURCHARGE .50
I
TOTAL: $ S6) C/7
LO?????1TSrTR???? PLEASE COMPLETE TKIS PORTION FOR ALL C014fERCIAL/INDUSTRIAL BIIILDINGS AND
MULTI-FAMILY BIIILDINGS WHEN SEPARATE PERMITS ARE NOT REQIIIRED FOR EACH
DWELLING UNIT.
CONIRACT PRICE:
vWLvzFc IvAcfc:
SITE ADDRESS:
LOT: BIACK _ SUBD.
INSTALLER:
ADDRESS
CITY: _ ZIP:
PHONE #:
FOR:
CITY OF EAGAN
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 19 $
STATE SURCHARGE $
TOTAL:
(SIGNATURE)
$
CITY OF EAGAN
3830 PITAT KNOB ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
FOR CITY USE ONLY
PERMIT #
RECEIPT
DATE: S
??Ak3?`S'SAt,y PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
... ....... . .. .
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUZRED FOR EACH UNIT.
WORK DESCRIPTION
NEW CONST _V1
ADD ON _
REPAIR _
OWNER NAME : Q--%
SITE ADDRESS: ,3sCc 1''ri vc, k-? ?r
LOT:J[_ SIACK ? SUBD.? ?
INSTALLER:
ADDRESS: ?l L?\
CITY: ZIP:
PHONE #:???,. .. • ?? 1? ?'l ? c? ?
FEES
ADD-ON MINIMUM $
HVAC 0-100 M BTU 4.00
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS - MINIMUM 370
OF 1 PER PERMIT
SUBTOTAL : $ ?2?1 . "?
STATE SURCHARGE: .50
TOTAL: $ `???T- c->
? ?.. .. ???
SIGNATURE OF PERMITTEt
???RGIA.S.%?NbQSTK?AI.; PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDIISTRIAL BUILDINGS,
APARTMENT BUILDINGS, AND MULTI-FAMILY BUIL?INGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING UNIT.
------------
CONTRACT PRICE
OWNER NAME:
SITE ADDRESS:
LOT: BLOCK _ SUBD.
INSTALLER:
ADDRESS:_
CITY: ZIP:
PHONE #;
FOR:
FEES
18 OF CONTRACT FEE.
STATE SURCHHkGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
PROCESSED PIPING = $25.00
$25.00 MINIMUM FEE.
!:4N?R_4CT ?RICE x 18
STATE SURCHARGE
TOTAL:
$
$
(SIGNATURE)
CITY OF EAGAN
08-06-91 12:28PM FROM CObbEGE C1TY C4NST8. P02
' 68194@e r.ns
Plon+?r ansin?srin•
2422 E?terprl?e D?Iw
? * *?t M?ndob H?iphts. MN 60120
* ?O1V6?R ur?owRVCraw•cwnmw?•ac?r
*vng*orrne.. `""O"'"""'"'•`""°""••°"e«.s"? lbt2)681•1814
***
caffif ;em ut Bury.,, far: ?o? «? G?re CD?V ?T ?
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PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA140525
Date Issued:12/28/2016
Permit Category:ePermit
Site Address: 1356 Michelle Dr
Lot:11 Block: 2 Addition: Hidden Valley
PID:10-32900-02-110
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
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 -
Drew R Fuller
1356 Michelle Dr
Eagan MN 55123
(651) 600-5653
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA141718
Date Issued:03/27/2017
Permit Category:ePermit
Site Address: 1356 Michelle Dr
Lot:11 Block: 2 Addition: Hidden Valley
PID:10-32900-02-110
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 500.00
Fee Summary:BL - Base Fee $500 $40.00 0801.4085
Surcharge - Based on Valuation $500 $0.50 9001.2195
$40.50 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 -
Drew R Fuller
1356 Michelle Dr
Eagan MN 55123
(651) 600-5653
Liberte Construction Llc
815 W Lake St, Suite 1A
Minneapolis MN 55408
(651) 269-7612
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA141719
Date Issued:03/27/2017
Permit Category:ePermit
Site Address: 1356 Michelle Dr
Lot:11 Block: 2 Addition: Hidden Valley
PID:10-32900-02-110
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
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 -
Drew R Fuller
1356 Michelle Dr
Eagan MN 55123
Liberte Construction Llc
815 W Lake St, Suite 1A
Minneapolis MN 55408
(651) 269-7612
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA145551
Date Issued:09/14/2017
Permit Category:ePermit
Site Address: 1356 Michelle Dr
Lot:11 Block: 2 Addition: Hidden Valley
PID:10-32900-02-110
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Drew R Fuller
1356 Michelle Dr
Eagan MN 55123
(651) 600-5653
Apex Energy Solutions
9655 Newton Ave S
Bloomington MN 55431
(651) 688-2739
Applicant/Permitee: Signature Issued By: Signature