1363 Michelle Dr. , CITY OF EAGAN
383b Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT
To be used for SF D
123.000
Site Address 1363 MICHELLE DR
Lot 2 Block 3 SeGSub. HIDDEN VALLEY
Parcel No.
w Name METRO CUSTOM HOMES, INC
o Address ?X 1049
City BURNSVILLE phone 454-9383
Name 5AME
Address
City Phone
Name _
Address
CIIy -
Phone
I hereby acknowlege Ih ave reatl this application and state that ihe
iniormalion is corceci ntl ew 1 with all applicable State oi
Minnesota SWtuies an Ciry oi E Ordi nces.
SignaNre of Permitee ?^-
A Building Permit is issued t' MF.TRO CUSTOM HOMRS
on the express contlition that all work shall be done in accortlance with all
applicable State of Minnesota Statutes and Ciry of Eagan Ortlinances.
Building Official
Receipt #
N° 16546
-?L"J ?-
OFFICE USE ONLV
1
Occupancy R-3 M=1 FEES
Zoning R=1
(ACtual) Const V-N Bldg. Parmit 720_ no
(Allowable) V-N
Surcharge 61.50
# ofStories -
S
Plan Review
360.00
Length L
Depth 53 ' SAC, City 100.00
S.F.Totai - SAQMCWCC 575.00
S.F. Footprims -
On Sile Sewage _ Water Conn 5R(1 _ Op
On Sile Well Water Meter 90. 00
MwCC System xx
30
00
City Water XX ??. Oaposit .
PRVRequired XX_ S/WPermit 20•00
Boosler Pump - S/W Surcharge 1- n0
Treatmenl PI 978. 00
APPNOVALS RoatlUnit 340-?0
Planner - park Ded.
Council
BItlg.Off. _ Copies
Variance - TOTAL 105. g
SEWER & WATER PERMIT
CRY OF EAGAN
3830 Pilot Knob Rd.
P.O. Box 21199
Eagan, MN 55121
OFFICE USE ONLY
PERMIT aATE ? ? ? /S4
WATER PER1M?IT # I CuUq SEWER PERMIT
METER # T-? ? B.P. RECEIPT #E "
r FiEftCEf? B.P. RECEIPT DATE 31 89
METER SIZE fqlcr-k
ISSUE DATE ' xR PRV _ BOOSTER PUMP
SITE ADDRESS r Lpkkv ?
LOT F BLOCK ? SEC/SUB 416ar-N V Au.FV
APPLICANT: MF -i" &SrJN"k
ADDRESS: po PaX 1049
CtTY, $TATE f=-?SJ??.t.E QN ZIP 5 337
PHONE: A <4 - 93 83
PLUMBER: "A"r+kF''v N"IFLS PL4,MB1M6
PERMR REOUESTED
_?L SEWER ? WATER _ TAPS
COMM/IND
_2( RESIDENTL4L
x NEW
- EXISTING
ADDRESS: ? S/ b S CkRcxJSF_ ? L v''?'?' 1 AGREE T0. CU NGCfaf OF
PLY
CITY,STATE 1?GSFAfpc?NJT d-fti, ZIP EAL??I 6RDINA??C
?1-'
PHONE: 4-7-3 - 373C> -, ,? ?•' f-_-
a
' ,
OWNER: FJI?2h (!uSzL,? kpQ ?
rz!5 -,-AiCt .
?
ADDRESS: PO (b4g SIGNATURE W
EN METER I
ED
?N SSU
H
CITY, STATE ( : Zip
41
PHQNE: QSf+ - ?ak
T
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT
ENGINEERING QEPT. ,-
J
?.;
`
,
SEWER 8 WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
P.O. Box 21199
Eagan, MN 55121
OFFICE USE ONLY
PERMIT DATE ` ` il`k
WATER PERMIT # - '?`• SEWER PERMIT #_
METER # B.P. RECEIPT # '2232
READER # B.P. RECEIPT DATE r' 31 / F 9
METER SIZE
ISSUE DATE JS' PRV _ BOOSTER PUMP
SITEADDRESS -'- '- ?'' C+4FL_f.- C"t? i4 F
LOT BLOCK " SEC/SUB YAPPLICANT: ! ? + Q? luST ?l?t I-?vl.t'T ?. .
ADDRESS:
CITY, ?TATE, ?•j2?`?v?-?1:" tAN ZIP 3?
PHONE: .4 <4 - cf:?
PLUMBER: ,{ P r ?r t.f..? t-sIAJ(a
' ,1? ?I.-w I??, i F LS
ADDRESS: ;
CITY, STATE ' SF4fvtJ,U7 d'A.? ZIP
PHONE: ? 7 -3 -
OWNER: , . ? r L _ _,l,l ,-i ? -
ADDRESS: ?' - '4'1
CITY, STATE ZIP
PHONE:
PERMIT REOUESTED
-X.- SEWER ?- WATER _ TAPS
COMM/IND k RESIDENTIAL
x NEW _ EXISTING
I AGREE TO COMPLY VWW CI'FY OF
EAGAN ORDINANGES:
? ??
SIGNATURE WHEN METER ISSUED
PLEASE ALLUW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, COMTACT
ENGINEERING DEPT.
. , .. , . .?.. , _ . . . V„ ?. .. .
?.. ,.?j ' ` C'ITY OF EAGAN ?.?.DrJ!???
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHON E: 454-8100
BUILDING PERMIT Receipt #
To be used for /GAk Est. Value ?123, CC:'J
Site Address iCIi ELLE i;f?
Lot Block 3 Sec/Sub. }'IgDEN v?LLEY
Parcel No.
r1iSTPK 'C:;£5, ING
m Name °`•'TC
W
Z Address bc?v
? City :Si;i?N:;VIL1}: Phone ??4-5383
$ Name SAME
_?
OU Q Address
? City Phone
E USE ONLY
Occupancy R"3 *-A FEES
Zoning R-1
(Actual) Const y? Bldg. Permd 72(l. Q[.
(Albwable) V? ?
Surcharge 51 •
# of Stories
Length
5 L 2D
Plan Review
Depth 53' SAC, City 1?? •?
S.F. Total - SAC, MCWCC S75.OO
S.F. Footprints -
On Site Sewage _ Water Conn
On Site Well Wafer Meter 11C •00
MWCC System xx -
'" • 00
Ciry Water
xx
Acct. Oeposit
PRV Required xx S•'W Permit 2 C) • 00
Baoster Pump - S,,W Surcharge 1•L*
Treatment PI ? i P • ?
APPROVALS Road Unit 34(.+•?
Planner - Park Ded
Council
BIdg.OM. _ Copies
Variance - TDTAL 3.1 C s•50
Phone
I hereby acknowlege that I have read this application and state that the
information is correct and agree to comply with all app8cable State of
Minnesota Statutes and City of Eagan Ordinances.
Signahue of Permitee "-
A Building Permit is issued to: ?1 ' f':j L??'' i1'.' l:Vt
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City ot Eagan Ordinances.
Building OHicial
.-
Permit No.
Permk Holder
Dete
Telephone #
WATER ,/"&('9 7 /C?L<< ,.. ? ' - ?' /??
L i Llt.?.l ?J
SEWER
PLUMBING ? ? ?r •- `? `?,.? ? ??? rJ /
H.V.A.C.
EIECTRIC I 6o?
inspecllon Date Insp. Comments
Footings I
Foundation
Framing ? ? e D-c 7 -w n?
Roofirg
Rough Plbg.
Rough Htg. ?/3
lsul. ?o ? DS
Fireplace
Final Htg. •?,?!_?-•-
Final Plbg.
Const. Meter Plbg. Inspector - Notify Plumber
Engr./Plan
B{dg. Final s' Q6 n?? t%h e/
Deck Ftg.
Deck Final
Well
Pr. Disp.
?'?.-+?__,_??"` ? ? ,?.,?? ?..?,,?+????,?-?-??????ic?+??
- - •, • PLUMBINQ PERMIT For 0
CITY OF EAGAN PERMIT
1
CONTAACT 3830 PILOT KNOB ROAD, EAt'.AN, MN 55122 RECEIPT#
PRICE PHONE 4548100 DATE: _
, .e City
Phone
CRY uu r i??vrr ? ?.. Phone
FEES
COMMJIND. FEE - 196 OF CONTRACT FEE _
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE 8 CONDO - RES. RATE APLLIES
MINIMUM - RESIDENTIAL FEE $12.00
MINIMUM - COMM.IND./FEE $20.00
STATE SURCHARGE PER PERMIT .50
(ADD $.50 S/C PER EACH $1,000 OF PERMIT FEE)
'' + ?$GC?C. ? f ?ILI /l.C.> iLl?C.6i l? , / .?,
Y OF
Res.
Mult.
Comm.
Other
Add-on
Repair
RE3. PLBG. ONLY - COAAPLETE THE FOLLOWING:
NO FIXTURES
Zy Waber Closet - $3.00
- TOTAL
$ 00
>
Bath Tubs - $3.00
? 0 _
?
? Lavatory - $3.00
Shower - $3.00
?- Kitchen Sink - $3.00 .3. Q?
= v-)
UrinaV6'idet - $3.00
-t
-` 00
Laundry Tray - $3.00
Floor Drains - $1.50
?
?- ?
Water Heater - $1.50
-? Whirlpooi - $3.00
?- Gas Piping Outlets - $1.50
(MINIMUM -1 PER PERMIn
Softener - $5.00
Weil - $10.00
Privabe Disp. - $10.00
?
Rough Openings - $1.50
PERNqT FEE:
STATES S/C:
GRAND TOTAL: -
-
-
SJ-?
..,?? , . __ . .. _
, , , . • • PERMIT #
Jf ''q
MECHANICAL PERMIT RECEIPT # ` `CITY OF EAGAN
3830 PILaT KNOB ROAD, EAGAN, MN 55122 DATE '
CONTRACT PRICE PHONE: 454-8100 For Office Use Only:
Site Address > ' '1+ , ' ' BLDG. TYPE , WORK OE3WPTION
Lot Block --- Sec/Sub Res. New
, --
? Name Mult Add-on
°-' Comm. Repair
Address
? Other
?
c Ciry Phone ``
Name FEES
RES. HVAC 0-100 M BTU -$24.00
c Address. ADDITIONAL 50 M BTU - 6.00
O City Phone (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMIn - 1.50 EA.
TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE
Forced Air M BTU APT BLDGS. - COMM. RATE APPUES
TOWNHOUSE 8 CONDOS - RES. RATE APPUES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
Unit Heater M BTU REMODELS - 12.00
Air Cond. M BTU $ MINIMUM COMMERCIAL FEE - 20.00
Vent CFM STATE SUFiCHARGE PER PERMIT - .50
OC PERMIT PRICE GOES
• `?' BEYOND g1?0o)
Gas Piping OuUets #
Qther
FEE
SIGNATURE OF PERMITTEE
S/C:
TOTAL• FOR: CITY OF EAGAN
? .!. ••+?
; ..S .? ??.
?? !.? s ? ?.?t.: ?.. ' ?'
1
Qltrti#tratp of (Orrupaury
tirp of Cagan
liP}181'tritPZtt Df iwbiriQ 3wpt'ttDt[
This Certificale issued pursuant to the requiremexts of Section 30+6 of the Uniform Building
Code certifying that at the time of issuance thir structure was in coinpliance wrth the various
ordiitances oJthe City reguladng building construction or use. For the jollowing:
?Cimfica,;on SF DWG/GAR B,dg. Rrm;t No. 15546
?upancy Tra R3 /M 1 z? ?? B 1 ,?,? ? VN
?o«?B?i?METRO CUSTOM HOMES AW? BOX 1049, BL1RNSVILLE
?i? A? 1363 MICHELLE DRIVE ?ity L2, B3, HIDDEN VALLEY
??: AUGUST 28, 1989
adai,g ara.f
POST IN A CONSPICUOUS PLACE
N,--
15 20??,?? ewl;
Req sl Oate
/?. Fire No. Roug?-in Inspection
Requi
? O No
? Reatly N. ? ?r
p4i51fNOTdy Inspactor
1'Men ReatlY4
ID-rcensed contraclor ? owner hereby request inspecNon of above electrical work at :
Job AOCr SYre , Box ui
? Ciiy
? n
V ?
Section No. TowreMp Neme or No. Rarge No. Cauny
upant (PqINn Plu°e N°. _93
Power p r Address
EIeMw ntracror (Compeny Nema) ConVaclorS icense No.
a
14540 P ????ltUE
Authp'r/gg}']?aTuingjj o
a•?r r i?r, . , II PMw NUmbar
MINNESOTA STATE BOAFD OF ELECTRICRY THIS INSPECTION REQUEST WILL NOT
GrlggsNWwey 91dg. - Poom 5173 BE ACCEPTED BV THE 5T.47E 60AHD
1021 Uniwrolty Ave., 5L Paul, MN 55104 UNLES$ PROPER INSPECTION FEE IS
Phone (612) W24800 ENClASED.
6 REQUEST FOR ELECTRICAL INSPECTION eaooao,-07
, ?/?/' ?? lo. See ins[rucfions for compleling Ihis form on back of yellOw copy. ?^
[P 15120 X" Below?Work Covered by This Request
aw Rep. TypeofBUllding AppliancesWiretl EquipmemWiretl
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building D er Other (Specify)
Comm./Industrial Furnace
Farm Air Conditioner
Otlter (specily) CoMracYOr's Remeiks:
Compute Inspection Fee Be/ow:
# Other Fee # ServiceEn[ranCeSize Fee # Circuits/Feetlers Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Amps
$iyn5 Inspeclor5 U. Only:
Irrigatlon Booms J'
Special Inspection
Alarm/Communication
Other Fee ?
I, the Electrical Inspector, hereby Rough-in ate
certify ihat the above inspeciion has
been made. F;,tal oata
OFFlCE USE ONLY This tequasf Witl 18 months tmm
~ ' 1989 BIIILDIdG PS&IIT 9PPLICATION - CITY OF EAGAN
SINGLE FAMriY DWELLINGS 1(0,64 ?
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRFSSES FOR CORNER LOTS - COIQTRACTOR/HOMEOWNER MQST DFSIGN9TE WHICH ADDRESS
IS DFSIRED. NO CHANGES iiILL BE ALLOWED ONCE BDILDING PEAMIT IS ISSQED.
M[JLTZPLE DWELLINGS AENTAL IINITS FOE SALE tJNSTS # OF ONIT3
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SORVEY - CHECS WITH BLDG. DEPT.p 1 SET OF ENERGY
CALCIILATIONS
COi41ERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
) Z-? 0 b0 LUAY `Z F 1989
To He Used For: Valuation: Date:
Site Address
Lot & Bloek ?
Parcel/Sub
Owner *RO uis7/1,t4
??.
Address f ?' 4X lo"
City/Zip Code ,90ANS?1L46 SS337
Phone 4<4-`1383
Contractor NIT1-90 &STpM Iplili'y5 Tw(.'.
Address PC) 180x LOO
City/Zip Code &4NsJru,E -<<33-7
Phone
Oecupaney ?-3 11-7
Zoning ?
Actual Const //?/
Allowable ?
A of stories
Length
Depth S3
S.F. Total
Footprint S.F.
On site sewage
On site well
MWCC System ?
City water
PRV required ?
Booster Pump `
APPAOVALS
Q'54--93$3 Planner J
Council
Areh./Engr. Bldg. Off.
Varianee Y
Address
City/Zip Code
Phone #
F'61s'3
Bldg. Permit 9 2 O
Surcharge !o /, So
Plan Aeview ?
SAC, City ?49r'
SAC, MWCC '"s
Water Conn S'80
Water Meter fo
Aect. Deposit ?,?_
5/W Permit Zo
S/W Surcharge i
Treatment P1.
Road Unit 3?1d
Park Ded.
Copies
TOTAL 3 I.hQ
NOTE: Sewer & Water Permit fees and aecouat deposit fees xill be ineluded in the building
permit fee. Processing time for sexer and aater permits is tvo days onee a licenaed
plumber has applied for a permit at City Hall.
?16y
l Y?- iy s . z a?
1sf
%s- y = ? z6
9a 9
?hQ
?d ? z, S x 5-0
GQ?
?
3?
?
yJyoo
G ZS"
? A ' ? •
I
1ZZ?) 3y3
•. ; .? '
noa? E(YCI????(?ItV?
Corn?FlN?r, irvc.
< IUUU EA91' I46111 STFlEETo
Cc7NSUl,]INP 4NOlryfffl5
PtRNryERS and LAND iURYEYORS Boo1< <24
L PAb8 72
FJUFlNSVILLF:, MINNES0IA 6635i PH 432-80U0
Celliticate o'f 5Lu,vey
Leyul Descripliou : LOT 2, BL.oCK 3, N/ODEN l%9LLE);
Of1 KOTi4 COUNN MINNE.607A
DENOT[S EXISTING ELEVATIOIV
UENUTES PnOPOSEU ELEVASION
-. INUICA7ES UIRECI'IOtJ Or SURFACE URAINAGE
853. 03 = FI14I5FIEU GAHAUC I'LOOR ELEVATION
646, /z = BASEMENT FLOOR ELEVATION
854. lb = TOP OF BLOCK ELEVATION
EAGAN
R E V I E W E D
sv ? S
$CALE
%
ORAIN.QGE AND
UT/LITY EA.5EME/1/7-
30' FRoNT BU/GD/N6
S6TBACK L/NE ?
? J \ b'
81. °o q.? Zy •? B ;
v"ss`
1.8 w M/CNELLE
DATE S 2'S ? %
CFq'? 8)
e- W`J
x?841 ? ?i' - 5.3
c? 1Jat '?z
? EAG?N ENGII?IEEFt?1V`f' I7??x
'??53s) ?s2•2` o.?' w ?2.` ? .
952: i' ? d? l4oe bb /4??
ro
? 7 e2 ep e \BSg. ?. ?
v?? / P z ? ? !l y?POs? s ^? v
? 5E
8 ? B2o,s? M?Bcyti ,Soa
? 3 W`eSg s? 2' c2?,T a?R so //??b o J? /
(e¢8 ? o ? ? / \ ?.?
\L-:nd PoWo V o REQUQRED
1 here6y cerlify Ilint ihis is a "c{ repiesenlnlfon oI a ItOCI Of IAl1tI 8S 6IIOWII
and deaciibed heroon, Aa plepnied by me on 1t?is Z? deY uf ,19 89 ,
lZE??SEp 6-24 99 LowE.e "E•
FLOOR E[E?, 0.5 F7 ?
4 - /`-o'?"r Minn, fley. Plo. /64BS
PLUYLBING (RESIDENTIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
Please complete for: Single Family Dwellings
Townhomes and Condos when pemuts are required for each unit
1rs -5-0
Date 5 03_
-
? ?
Site Address QUIGLEY, STEVE
? Unit #
1363 MICHELLE DRNE
. EAGAN, MN 55123 ,
Property Owner ? (651) 452-0702 Telephone # ( )
? J
Contractor NVI?BLOM riVM??NG W,
(612) 827?033
Address City
•
State
ip Telephone # ( )
The Applicant is _ Owner $'?- Contractor _ Other
Septic System New _ Refurbished Submit 2 sets of plans and MPC license $ 100.00
Includes County fee. Additional consultant tees may apply.
Alterations To Existing Dwelling Unit, Including
_ Adding fxtures to lower levels or room additions, excluding water softener and water heater $ 50.00
_ Abandonment of septic system
_ Water tumaround (+ 5/8" meter if needed -$121.00)
Other:
_ RPZ _ new instailation _ repair _ rebuild y, 30.011
_ Lawn irrigaNon sys[em
_ Water softener X Water heater
$ 15.00
x replacement additlonai -:
l
Fi
I
?ij )UI'u 3) $ 50
State Surchargc J .
Total LY- - - - - - ? $ (Jr. E0
I hereby apply for a Residential Plumbing Permit and acknowledge that the informarion is complete and accurate; that the work will
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
pernut, but only an application for a pemut, and work is not to start without ¢ pemut; that the work will be in accordance with the
approved plan in the case of work which r0quires a review and approval of plans.
Je-? i lorblwv\ , -L??
Applicant's Printed Name Appli anYs Signature
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 permits are required for each unit
Date
Site Address 13 tP3 M"A I 13? [J{r' Unit #
Property Owner . ' Telephone #
?" ""'"."'
ContraMor 4.}?.Y?W? vlpdq 0
?
?
'
??
-
l 1 YLdb
?l
?-? tQ ?? City
Address tp ?? ?
State ?? 1?1 Zip Telephone #(? lol) 8p t-? ac? b
The Applicant is _ Owner 4- Contractor _ Other
Septic System New _ RefurbiShed Submit 2 sets of plans and MPC license $ 100.00
Includas County fee. Additional consultant fees may apply.
Alterations To Existing Dwelling Unit, [ncluding $ 50.D0
_ Adding fiMures to lower levels or room additions, excluding water softener and water heater
_ Abandonment of septic system
_ Water turnaround (+ 5/8" meter if needed -$121.00)
Other:
_ RPZ _ new installation _ repair _ rebuild $ 30.00
? Lawn irrigation system
Water softeoer Water heater
- -
$ 15.00
r
replacement addi[ional
i
1
State Surcharge p? - "
l $ 5?
Tota
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete ana accurate; that tne worK wm
be in conformance with the ordinances and wdes 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 Plans.
Applicant's Printed Name Applicant's Signature
' ?? ?1? RESIDENTIAL
BUILDINC PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
NewConsWCtlon Reauirements
• 3 registered sile surveys shaxing sq. k. of lot, sq. ft. of fwuse; and all roofed areas
(20% masimum lot coveraye allowed)
• 2 copies of plan showin9 6eam 8 window sizes; poured tound design, etc.)
• 1 set of Energy Calculations
. 3 copies of Tree Preservation Plan "rf lot platted after 711l93
• Rim Joist Detail Oplions selection sheet (bldgs with 3 or less uniGS)
DATE 5. T-S• cs2?
SITE ADC
TYPE OF
APPLICANT ?amOV$1 mooG?g & MOM =.
iULTI-PAMILY BLDG _ Y _ N
FIREPLACE(S) _ 0 _ 1 _ 2
STREET ADDRESS ' 49 Sonth Owasso BIQd.
,L?l[iC C8p8Ua, MN 55117 -CITY S/TATE _ ZIP
TELEPHONE # 15Z'? -,&gL4_? FAX #!
PROPERTYOWNER ??? ?? CS=?C'J?-?.Cl• TELEPHONE# S "b?Oi
---------------------------------------------- ------ --'.'---------------------------------------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RUI SS 7670 CATF.GORY I MINNESOTA RULFS 7672
(J submission type) . Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Su6mitted
• Energy Envelope Calculations Submitted
Plumbing Contractor:
Plumbing system includes:
Mechanical Contractor:
Mechanical system includes:
Sewer/Water Contractor.
Air Condirioning
_ Heat Recovery System
Phone #
Phone #
Fee: $90.00
--------------- ° -- °---------------° ------ °--------- ---------° - --° -- ---------- °----------------- °
I hereby acknowledge that I have read this application, state that the informa# n is correct, and
with all applicable State of Minnesota Statutes and City of Eagan Ordin s.
Signature of Applicant
------------- --°--------------------- -°---------------- - - -°----.._..•---°--°--°-- ---------------------°-----°,
? OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Water Softencr
WaCer HeaCar
No. of Baths
_ Phone #
Lawn Sprinklcr
No. of R.I. Baths
RemodeVReoair Reoulrements
. 2 copies of plan
• 1 set of Energy Calculations (or h " itions
• isitesurveyforextenorad onsdfi 8deck
• Indicate'rfhomeservedbysepticsystemforaddi6ons
VALUATION ? ? d -1 ? •O?
Updated M02
OFFICE USE ONLY
.A 1
? Ot Foundation
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
? 07 05-plex ? 13 16-plex
? OS 06-plex ? 16 Fireplace
? 09 07-plex ? 17 Garage
? 10 08-plex ? 18 Deck
? 11 10-plex ? 19 Lower Level
? 12 12-plex Plbg_Y or _ N
? 31 New ? 35
? 32 Additio'n' .36
? 33 Altera6on ' - . ? • 37
? 34 Replacement
Valuation
Census Code
SAC Units
Nbr. of Units
Nbr. of Bldgs
"Type of Const
? 20 Pool
? 21 Porch (3-sea.)
? 22 Porch/Addn. (4-sea.)
? 23 Porch (screened)
? 24 Storm Damage
? 25 Miscellaneous
? 30 Accessory Bldg
? 31 EM. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi
Int Improvement ? 38 Demolish (Interior) ? 44 Siding
Move Bldg. ? 42 Demolish (Foundation) ? 45r. , Fire Repair
' ) '46 ? Windows/DOOrs
Demolish (Bldg)' ? 43 Reroof ?
*Demolition (Entire Bldg only) - Give PCA hand4ut to applicant
. . • . . .r
Occupancy - MC/ES..)System
•T/ ? '? j ? ? ?oning City Water _
Stories Booster Pump
Sq. Ft. PRV
Length Fire Sprinklered
W idth
' • '? ' '. _ REQUIRED IN.SI'sFCTIONa:
Footings (new hldg) _ FinaUC.O. ?
_ Footings(deck) _ FinaUNo C.O.
_ Footings(addition) _ Plumbing
Foundarion HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _
_ Framing _ Siding S[ucco 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
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit-
Mechanical Permit
LicenseSearbh ??•
Copies
Other
Total
Building Inspector
Use BLUE or BLACK Ink
For office Use '7 /
I Permit l l
I I
City of Emu ~
~f fl14 Permit Fee: e C' ~V
3830 Pilot Knob Road Z i
Eagan MN 55122 I Date Received:
~ I
Phone: (651) 675-5675 Staff:
Fax: (651) 675-5694
2010 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: Z ` Z (ID Site Address: [_*J' Mic~ell e Dr., C-aq o-+-%
Tenant: 'C hU6 U t t? Suite
RESIDENT / OWNER Name: U Phone: CoJ 45Z 0702-
Address/ °Ciity/Zip: ~~~03 iC~~~~+°~ b~• ~ Gt~n J~~(2~
CONTRACTOR Name: ~T ~Y rc'i T ra -P tU V,, ( 0 Gt License #i`: b Ce 0 ( -PM
Address: W City: LCe. Lceu P l ~ e,
State: -W) t Zip: 5Jf' 04L4 Phone: q52 4-6161 (017clct
Contact: D00 0r Email:
TYPE OF WORK -New X Replacement _Repair -Rebuild - Modify Space _ Work in R.O.W.
Description of work:
PERMIT TYPE RESIDENTIAL
Water Heater Water Softener
Lawn Irrigation Add Plumbing Fixtures
RPZ / _ PVB) Main _ Lower Level)
Septic System Water Turnaround
_ New
Abandonment
RESIDENTIAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation (includes $.50 State Surcharge)
$50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround" (includes $.50 State Surcharge)
"Water Turnaround (add $166.00 if a 5/8" meter is required)
$100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
$90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
TOTAL FEES $1 50-50
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.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 appro I of plans
Applicant's Printed Name A g nt's Signatur
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground Rough-in Air Test Gas Test Final
Use BLUE or BLACK Ink
r.-------
4110~ For Office Use
Permit I
City of Ea a~
E I Permit Fee.
3830 Pilot Knob Road
Eagan MN 55122 Date Received: J~
Phone: (651) 675-5675 ► I
Fax: (651) 675-5694 i Staff:
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: x'lar64 31,2010 Site Address: lI 3& ~ G~ e
Tenant: 5 Je l E ~v,fe1F Suite
RESIDENT/ OWNER Name: 75 et/e 9i l y Phone: f~ 16 -0 r7O°;'
Address / City/ Zip: j3~3 /"C r c-+~[e /fe Dr, Qg4n, M A SL3
Applicant is: Owner Contractor
/Qd
TYPE OF WORK Description of wor
k: r1 Ye i` 8y f- 5
Construction Cost: 13, 000 , b O Multi-Family Building: (Yes / No )
CONTRACTOR Name: 145hfac U+ ~GI ~Gt 5j 41 DL License c7~2% /S_
Address: 00(S1,06 City: 4: + %/r l ~e
State: ` V Zip:C~O q"Y Phone:
~ ~CS~a~c~t vi el9 ,
Contact: I [ /T, Email: Ih°qe ck5ie4~,
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.aopherstateonecall.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.
x / i r/er x L
Applicant's Print 6d Name Applicant's Signa re
Page 1 of 2
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA141856
Date Issued:04/04/2017
Permit Category:ePermit
Site Address: 1363 Michelle Dr
Lot:2 Block: 3 Addition: Hidden Valley
PID:10-32900-03-020
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 -
Steven E Quigley
1363 Michelle Dr
Eagan MN 55122
Craftsmans Choice Inc
5680 Quam Ave NE, Suite A
St. Michael MN 55376
(763) 276-7465
Applicant/Permitee: Signature Issued By: Signature
\ CSI
For Office Use
; ::::ee:
: /5���j I eV ‘
E AGA
E(�
C E I E0 Date Received: Q� - G
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-56 OCT 31 2019 Staff: tr\
b u i l d i n o i n s pe ct i o n s ta'�.c i tyofea g a n.co m
BY:
2019 RESIDENTIAL BUILDINGAPPLICATION
Date: Oct 31st, 19Site Address: 1363 Michelle Drive unit#:
Name: Steve & Terry Quigley Phone: 651-428-1692
Resident/ 1363 Michelle Drive
Owner Address/City/Zip:
Applicant is: Owner ✓ Contractor " ((C)C L1 VnfI6
Description of work: Remodel Master Bath
Type of Work
Construction Cost: 35,000 Multi-Family Building: (Yes /No )
Company: Country Creek Builders Inc Contact: Dan Drenckhahn
Contractor
Address: 23885 Beard Ave N City: Lakeville
State: MN Zip: 55044 Phone: 952-484-9812 Email: Dan@countrycreekbuilders.com
License#: BC636393 Lead Certificate#: NAT-F109138-2
If the project is exempt from lead certification, please explain why:
Built in 1989
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes,date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information may be
classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeagan.com/subscribe.
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.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility da -.z. C. 8 ho "ark
intend to dig to receive locates of underground utilities. www.qopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate;that the work will be in conform- ce wit e ordin. ces a • cod- of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is n• to sta. without - permit at t,../work will be in
accordance with the approved plan in the case of work which requires a review and appro o pl. s.
XDan Drenckhahn
Applicant's Printed Name App' ant' Signat Ie
• / -gfYi
chi 11 E / 0,0,i_.<5-
, DO NOT WRITE BELOW THIS LINE
•
SUB TYPES
Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
)1:AIngle Family — Garage — Porch(4-Season) _
Deck Exterior Alteration(Multi)
ulti Porch(Screen/Gazebo/Pergola) Miscellaneous
01 of_Plex _ Lower Level _ Pool _ Accessory Building
WORK TYPES
New _ Interior Improvement _ Siding _ Demolish Building*
_ Addition _ Move Building _ Reroof _ Demolish Interior
)('Alteration _ Fire Repair _ Windows _ Demolish Foundation
Replace _ Repair Egress Window Water Damage
Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION
Valuation 9,...1 L4 10 0OccupancyP1/44.11- ""
MCES System
Plan Review Code Edition A a F SAC Units
(25% 100%V) Zoning City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction v�!f�-� Width
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
Footings (Deck) Final/C.O. Required
Footings(Addition) NL. Final/No C.O. Required
Foundation Foundation Before Backfill HVAC_Service Test Gas Line Air Test_Hood
Roof: _Ice&Water _Final i Pool:_Footings _Air/Gas Tests _Final
\i, Framing 1,30 Minutes 1 Hour Drain Tile
Fireplace:_Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS
xInsulation Windows
Sheathing Retaining Wall:_Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In_Final
Braced Walls Erosion Control
tShower Pan Other:
eviewed By:
111 , Building Inspector
RESIDENTIAL FEES
Base Fee
rikeiv
Surcharge
01 It
Plan Review
MCES SAC6°If
City SAC 4)0�
Utility Connection Charge f 0
S&W Permit&Surcharge >1'
Treatment Plant
Radio Meter Read ( 2 'OY � "T ��} O
(/
TOTAL
Page 2 of 3
r For Office Use
+ + + + r + Permit#:
E AGA N
�C Permit Fee: 60 00
JE C E I FE Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 ,
(651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5 OCT 31 2019 Staff: "–ran
buildinginsoections(acityofeagan.com .,
BY:
2019 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: Oct 31, 19 site Address: 1363 Michelle Drive
Tenant: Steve & Terry Quigley Suite#:
Resident/Owner
Name: Steve & Terry Quigley Phone: 651-428-1692
Address/city/Zip: 1363 Michelle Drive
Name: BoeVaag Plumbing License#: PM 062966
Address: PO Box 1257 city:
Contractor
Prior Lake
Zip: 55337 Phone: 612-270-6872
State: MN
Contact: Joe Boe Email: BoeVaag @ BoeVaagplumbing.com
Type of Work —New /0/ Replacement Repair —Rebuild —Modify Space _Work in R.O.W.
Description of work: New fixtures for master bath remodel
Tankless Water Heater
Lawn Irrigation( RPZ/ PVB)
Standard Water Heater
Add Plumbing Fixtures(—Main/ Lower Level)
Description Water Softener
Description:
Septic System
New Abandonment Connection to City Water from Well
RESIDENTIAL FEES
$60.00 Water Heater,Water Softener, or Water Heater and Softener(includes State Surcharge)
$60.00 Lawn Irrigation (includes State Surcharge)
$60.00 New fixtures, adding or removing piping (includes State Surcharge)
$60.00 Septic System Abandonment
$100.00 New Residential (fee collected with Building Permit)
$115.00 New Septic System (includes County fee and State Surcharge)
$60.00 Connecting to City Water from Well* +$290 for Meter and $190 for Radio Read =$540
*Sewer&Water Permit also required for connection charges
TOTAL FEES$
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.qopherstateonecall.orq
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.cityofeagan.com/subscribe.
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.
xJoe Boe x _—JC
r /JOS
Applicant's Printed Name Applicant's Signature
Page 1 of 2