1368 Michelle DrSEWER 8 WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
P.O. Box 21199
Eagan, MN 55121
OFFICE USE ONLY
PERMIT DATE ? 1 -1 ii>')
WATER PER 1T ? SEWER PERMIT #
MEfER # °? B.P. RECEIPT # C 152?'
READER # d B.P. RECEIPT DATE 4;`= 1/ H G
METER SIZE
. xx
ISSUE DATE " - PRV _ BOOSTER PUMP
SITE ADDRESS ? > ? _,- , . , .?? f //?° ,..-,L,_ .•?
LOT=6LOCK ? SEC/SUB
APPLICANI:
ADDRESS: 7 i O
CITY, STATE r`c=:.' ? ? /'•-c• • 4 ?%' ^' . ZIP
PHONE: '`?i 7 S'-% l G 7
PERMIT REQUESTED
/ •
SEWER _!" WATER _ TAPS
/
-COMNUIND V'RESIDENTIAL
? NEW - EXISTING
PLUMBER: ?-
ADDRESS: 1 AGREE TO COMPLY WITH CITY OF
CITY, STATE ZIP EAGAN ORDINANCES:
PHONE:
OWNER: -
ADDRESS:_
CITY, STATE
PHONE: -
?/1. ?. /L2_.??-?..-l.,..? ? ?C ? G'? ' /OrGV-? ?b/? If%% / h?N ?` -F i ,?? v"? ? ?j;.• ,
ZIP
SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTAGT
ENGINEERING DEPT.
SEWER & WATER PERMIT
CITY OF EAGAN
3830 Pilot Knab Rd.
P.O. Box 21199
Eagan, MN 55121
OFFICE USE ONLY
PERMIT DATE 7/ 71 i: i
WATER PERMIT # 10603 SEWER PERMIT #
METER # B.P. RECEIPT # - , '29
READER # B.P. RECEIPT DATE U141 F?
METEA 51ZE
x "
ISSUE DATE - PRV - BOOSTER PUMP
SITE ADDRESS
LOT BLOCK SEC/SUB -,i
APPLICANT?
ADQRESS:
CITY, ?TATE ZIP ?PHQNE:.
PLUA(BER:
ADDRESS:
CITY, STATE
ZIP
PHON E:
OWNER: • '
ADDRESS;
C17Y, STATE
PHONE: -
ZIP
PERMIT REQUESTED
_14SEWER - WATER -TAPS
_ COMM/IND ? RESIDENTIAL
?
_ NEW _ EXISTING
I AGREE TO COMPLY WITH CITY OF
EAGAN ORDINANCES:
?
4? ;`a
SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, GONTACT
ENGINEERING DEPT.
PERMIT # - -
MECHANICAL PERMIT
CITY OF EAGAN RECEIPT #
? 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE PHONE: 454-8100
Site
m Name --.,e
?o Address ?
c City
, Name _
c Address
O CitY -
OF WORK
d Air
Unit Heater
Air Cond.
Vent
Gas Piping Outlets #
Other
BLDG.TYPE
Sec/Sub Res.
?
MuR.
? Comm.
Other -
one ';? - _. .•
WORK DESCRIPTION
New '
Add-on
Repair
r
, FEES
v?
7,116 RES
HVAC 0-100 M BTU
.
ADDITIONAL 50 M BTU
Phone 7107 (RES. HVAG INCLUDES A/C ON NEW
CONSTRUCTION)
1 PER PERMIT
GAS OUTLETS
MINIMUM
-
(
)
M BTU
M BTU COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPUES
TOWNHOUSE 8? CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8
M BTU REMODELS
??. M BTU
CFM
?
? MINIMUM COMMERCIAL FEE
STATE SURCHARGE PER PERMIT
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000)
FEE ??
'
,?' v •? 0., r--
-
S/C: ? SIGNATURE OF'
PERMITTE-E
TOTAL•
FOR: CITY OF EAGAN
$24.00
6.00
1,50 EA.
- 12.00
- 20.00
- .50
NB?o?, - 5?? ?? ?????
CITY OF EAGAN
•3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt # ,
Site Address
OFFICE
USE ONLY
Lot Block SeGSub. vAi.1?Y
P21rce1 N0. Occupancy ? -• .' .?1 FF°o
?
?
Zoning ..
W Name IActuaq Const 8idg. Permit 752.00
Z
Address (Allowable)
66
00
ch
`
o .
arge
Sur
City Phone 9GE+-71C7 # oi stories
66'
Plan Review 376.00
Length
o Name Deptn 40L6 ciiy 1()C•GC
sAC
= ,
U AddfeSS S.F. Total - 7?
Q SAC, MCWCC
? City Phone S.F. Footpnnts -
5??. ??
Water Conn
On Site Sewage -
Ow W Name On Site Well - water Meter 90•00
Y
Address Mwcc system a
3
UO
a W
Clty Phone
City Water ? u.00
acct. oePosa
xx it 2L' • oc
S/W Per
PRV Required m
I hereby acknowlege that I have read this application and state that the Booster PumP - S,NV Surcharge
information is correct and agree to comply with all applicable State of Ctr
228
Minnesota Statutes and City of Eagan Ordinances. .
Treatment PI
Signature of Permilee APPROVALS Road Unit 34C•C"
A Building Permit is issued to: A1 L.::, "'. ":nS FiC'?_:TS Planner - park Ded.
on the express condition that all work shall be done in accordance with all Co+ncil --
applicable State of Minnesota Statutes and City of Eagan Ordinances. gld9. pff_ _ Copies
Building Official Variance - TOTAI 32 15 G .?.'"
' Permft No. Permit Floltler Date Tetephone #
WATER
PLUMBING C / ? -' • - - ' E??:!? . ? ?J,??
H.V.A.C. ??
ELECTRIC
Inspectlon Date Insp. Comments
Foofings I .
Foundation
F?arr,iny
Roofing 21- Q p
Rough Pibg.
Rargh Htg.
Isul.
F?epla?
Final Htg. ? , r % •? ^ ' S C3 ' - ? 3 / i
Final Plbg.
Const. Meter - P
EngrJPlan
Bldg. Final ? •: !'/ ''
Dedc Ftg. ?/, ,/? ??i r_• - /Vo ?-%'/ ??-r/ri?
DeckFinal
Well
Pr. Disp.
?
.-e . 71
,. ? r.c•: .
- , +? rp 1M . ,
(gtx#ifiratie of COrr?panry
(Citp of (Eagan
EPpNrtittPri# Df llttbtrig AtHpP111oii
This Certifecate issued pursuant to the requirements of Section 306 of the-Uniform Building
Code cenffying that at the time of issu4nce this structure was in co,vpl'cance with the various
ordirwnces ojliee Cfiy regulating building constructron or use. For the following:
U. cl..6.u. SE M/GAR etas, tt.91 tvo. 16290
Oc-wncr'?Yve R3/MI zm;,t muicc Rl T,.a COWL VN
owoa ot euuciing ALTM MAS kiQES Adkm 100 FTAd FiOAD, F9F1Q PfiALR1E
eWteing necrm 136$ MTrMS]? t]RTVI? Lw;ty if?_ B2i HTMEN VAT7FX
n.rc: .1TT[ Y 1 11! I ?q
Building Of6tia: .
\
POST IN A CONSPICUOUS PLACE
L.
? CITV OF EAGAN N? 16290
3830 Pilot Knob Raad, P.O. Box 21-199, Eagan, MN 55121
BUILDING PEFiMIT PHONE: 454-8100 , Receipt # <
Tobeusedfor SF DWG/GAR Est.Value $132,000 Date APR 13 , 19$2_
Site Address 1368 MICHELLE DR
OFFICE USE ONLY
Lot _8-. Block -1` Sec/Sub. HIDDEN VAT.LBY
PafCel No. Occupancy R- 3 -ji-1 FEES
R-1
Zoning
a Name ALLAN THOMAS HOMES (ACtual)COnsi -N BIdg.Permit 752.00
3 Address 7900 EDEN RD (Allowable) V-N h
S 66.00
0 City EDEN PRAIRIE Phone 944-7107 #ofStaries urc
arge
376
00
'66' PlanFieview .
Length
p Name SAME Depih SAC
City 100.00
,
o0 Address s.F.roiai - . 575
00
u< SAC, MCWCC .
? City Phone S.F. FoOtprints -
Water Conn 580.00
On Site Sewage -
W w Name On Site Well - Water Meter 90.00
Address rmvCCSystem -XX
30
00
aW City Phone cirywarer xx pccy peposit .
xx SNJ Permit 20.00
PRV Required
I hereby acknowlege that I have reatl ihis application and state that the Booster Pump - SM/ Surcharge 1.00
information is correct and agree to comply with all applicable Stale of
228
00
Minnesota StaNtes and City?of Eagan Ordinan
/f Treatment PI .
?
If1L 4? //
SignaWre of Permitee _LSSc??-4? ?%?-,e'
APPROVALS
Road Unil
340.00
A 8uilding Permit is issued to: ALL.AN THOtLAS HOMBS Planner - park Detl.
on the ezpress tondition that all work shall be done in accordance with all Council -
applicable State of
M
innesota Statutes and Ciry
o
f Eagan Ordinances. Bldg. On. _ Copies
.
/?
?
J
,158.0?1
3
BuildingOflicial?i.N1?.PI???.Ll Variance - TOTAL
1
2 7
?
5
1
Request Date '
D? i
?
? ire No. Rough-in I?specibn
R ired?
? Reetly Naw I Notiry Inspedor
?WM
R
?
c s ONO n
eady
I licensed contractor O owner hereby request inspection of above electrical work at:
Job AGOress (Sfreel, Boz or Route NoJ Ciry
CaC Ali
Section No. Township Name w No. Ranga M. Co
Occupant(PRINn
W '??r`?hs
M?'s. Phone No.
- U
Power Supplier
? ko ?ret c qCtlress
`f3o1o
FJectrical CanMactar (CamOeny Neme)
1..1J5T LLEc?f P Ic4L ?nl c. Coritraclor§ Lbense No.
Mailing AtlOress (COnUacior or pvner Making IneteVaeon)
386 I R.ED Ce-,P?w Rr,,r-r 2.4P E',rcEr s ra2 5,5- 33 /
Aulharizetl SignaWre ( w rier MaY'rg Inelalla0on) FM,We Number
'
`j L
Za -
WNNESOTA STATE BOAPO OF ELECTpICffV THIS INSPECTION REQUEST WILL NOT
GriggsNfdwey BIAg. - Room 3-t]3 BE ACCEPTED BY THE STATE BOARO
1821 UnNeBlly Ava., S! Peul, MN 5510! UNLESS PROPER INSPECTION FEE IS
Phona (672) 642-0800 ENCLOSED.
5/Qy (/d cr REQUEST FOR ELECTRICAL INSPECTION
d ? See iR`structions l01 wmpkting this form on back ol yeltow copy.
L? 11275 X° Below Work Covered by This Request
E600001-0]
wqa?Zs /
e Ad Rep. - Typeof8uilding AppliancesWired EquipmeniWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./Industrial Furnace
Farm Air Conditioner
OHrer (spedty) Coniracton9 Remarks:
?s-2
6
Compute Inspection Fee Be/ow:
# Other Fee # ServiceEntrenceSize Fee CircuitslFeetlers ee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
Signs inspecrorsUSeomy: TOT L
-?
Irrigation Booms - ?
?
Special Inspection , !
p
I
IarMCOmmunication C
?
Other Fee C
I, the Electrical Inspector, hereby Rough-in ,a,?• aie ? q w
l?Ot
certity that the above inspection has
been made. Finel
It
OFFICE USE ONLY i
Thia requesc wiC 18 momhs irom
ijaal9i /o ii?a
m 4 2636 ?
Requesl Date
'? Fi?e No. RougRin Inspecibn
q i??
? Ready Now .?Al Notity Inepeclor
Re
l
,
?
I 1 Ves G No .
y
as
V6 licensed contractor O owner hereby request inspection ot above electriral work at:
Job Atltlress (Street, Box 0/ Foute NO.?
13 ° M? cu?. T'V iOE Ciry
$ection No. Township Name or No. Range No.
O?•
Occu n1?PPINT) Phon?NO._ I
r,? ?
45 ; , g 5
Power $upprier L_
/1/`0l r7 l.C Atltl,reMss ??/ /
W aN
EiecVical Cwnector (Company Name)
L12n 7c:Le
Ch21 CA?. T? c'. CumrectoB L'eense Na.
Owner Ma
Mailing Atltlress (COnhactor or king Inslall ion)
°1810 5?6t'? oK?RC, ?.6!§t,1A ??C'?? 55l a?
Aumor e0 $gnawre ( nVaclorlOwner Making Installation)
('i Phone Number
S3-`T `f 7a?
MINNESOTA STATE BObD OF ELEGTRICITY ' THIS INSPECTION REOUEST WILL NOT
Grlyge-MlOway BMg. - Room 5113 BE ACCEPiED BY THE STATE BOARD
1821 Unlveraity Aw., 51. Paul, MN 55104 UNLE55 PROPER INSPECTION FEE IS
Glwne(61P)66I-0B00 ENCLOSEO.
? ja$??? REDUEST FOR ELECTRICAL INSPECTION
? See instructions tor completing ihis form on back ol yellow copy
M 42636 'X" Below Work Covered by This Request
y?;.k+-??` EB-00001-08
1011Q/0
ew Atl ep Typeof6uilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heafing
Apt. 8uilding Dryer Other (Specify)
Comm./Industrial ' Furnace
Farm Air Conditioner
Other (spetiry) ConVaclor§ Remarks:
Compute lnspection Fee 8elow: bf r, ce 6kV4 ??eG AAalO
# Other Fee # . ServiceEnirenceSize Fee # CircuRS/Feetlers Fee
Swimminq Pool O to 200 Amps 0 to 100 Amps
Transformers Above 200 - Amps Above 700 _ Amps
SignS lospeclor5 Use Only: -- TOT? S'b
Irrigation Booms L?O oCi
Special Inspection ?
Alarm/Communica'on THIS INSTALLATION MAY BE ORDERED DISCONNECTEO IF NOT
OIher Fee COMPLETED WRHIN 18 M THS.
I, fhe Electrical Inspecror, herehy Rouyn-tn / oete,
fr
certiTythattheaboveinspectionhas
been made. oare
OFFICE IISE ONLY
This request voltl 18 moMhs Irom
oxo
2005 RESIDEN'I'IAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for. single family dwellings & townhomes/condos when peanits are required for each unit
/ I .
°, s
Date 41 6>5
Site Address 1,34 O
Unit #
Properly Owoer Telephone N ( )
Contractor a/ 7olr-
Street Address 15713 /c} l2 1^ e__ City h rA S v i f C C-
State ?(v Zip 53 6G Telephone # 5l
Bond Eapires:
The Applicant is _ Owner X Contractor _ Other
Add-on or alteration to existing dwelling uoit $ 30.00
furnace ? Additional _Replacement
air exchanger
air conditioner/ New
? Oth2f C.°X tCnc-T qGS 7 Replacement
rl L Ar/
State Surcharge $ .50
Tota? $ 3o?s?
I hereby apply for a Residential Mechanical 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 with the Mechanical Codes; that I understand this is not a
permit, but only an application foc a permit, and work is not to start without a permi , that the work will be in accordance with the
a d plan in ase of/work which requires a review and approval of plans.
/
?
?,1 a74 ?-avr- ? a,,? C. tiS0 h ?
Applicant's Printed Name Ap icant's i e I IO ApR 0 ?
1 2005 tl
2005 COMMERCIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please comptete for: commercial/indus[rial buildings
multi-family buildings when sepazate permits are not required tor each dwelling unit
Date
Site Street Address Unit #
Tenant Name (if applicable) Previous Tenant Name
Property Owner Telephone # ( )
Contractor
Street Address City
State Zip Telephone k ( )
Bond #: Expires:
The Applicant is _ Owner _ ConVactor _ Other
Work Type
New Construction _ Underground Tank _ Install _Remove "see below
Interior Improvement _ Install Piping _ Processed _Gas
Nature of Work:
*"When installing/removing underground tank, cap for inspecfion by Fire Marshal and Plumbing /nspecfor
Permit Fees: $70.50 Underground tank installaUOn/removal
550.50 Minunum (indudes State Surcharge)
or
Contract Value $ x 1% _ $ Permit Fee
• If ep rmit fee is $1,000 or less, add $.50 => $ State Surcharge
If ep rmit fee is over $1,000, add $.50 for
every $1,000 permit fee $ Total Fee
I hereby apply for a Commercial Mechanical Permit and acknowledge that the information is complete and accurate; that the work
will be in wnformance with the ordinances and codes of the Ciry of Eagan and with the Mechanical 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.
ApplicanPs Printed Name
Applicant's Signature
Approved By: , Inspector
2005 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
?????--? 651-675-5675
Please complete for modifications to existing residential dwellings.
Date
? / ? I o 5
`
_
?i?J
`
s
?3?
Unit #
Site Street Address
0
Property Owner Telephone # ( )
Contractor Telephone #(i?T?)
Address CJ G pC- City %t Olt- State Zip
The Applicant is: _ Owner KContractor _Other
Alterations to existing dwelling $ 50.00
? Add plumbing fixtures (excludes water softener and/or water heater--complete next
section if installing these appliances).
_Septic System Abandonment
_ Water Tumaround (add $125.00 if a 5/8" meter is required)
Other:
Water Softener Water Heater $ 15.00
, new _ replacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ .5
APR Q 12005
Total $ ?
I hereby apply for a Residential Plumbing Permit and acknow e ge t at the nfoA ation is complete
and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the event a plan is required to be reviewed and approved.
Applicant's Printed N me ApplicanYs Stre
6,0 0y?
2005 EeM*mw44AL MEC NICAL PERMIT APPLICATION
City OfEagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for commercial/industrial buildings
multi-family buildings when separate permits are no[ required for each dwelling unit
Date 3 / -?3 / ?--5
Site St reet Address Unit#
Tenant Name (if applicable) Previous Tenant Name
Property Owner Telephone # ( )
Contractor 767""p- P? ?-
Street Address 1,5 7`-3 City
State aEJ y/?s ?? l?? Zip ? Telephooe #( 912
Bond #: Expires:
The Applicant is _ Owner ^ Contractor _ Other
Work Type
New Construction Underground Tank _ Install _Remove *"see below
_ Interior Improvem/e/nt ? Install Piping _Processed 4Gas
,,..
Nature of Work: aL? ? u v++ . - vc-
'*When installing/removing underground tank, ca!l for inspection by Fire Marshal and Plumbing /nspector
Pe1'miC Fees: $70.50 Underground lank installation/removal
550.50 Minlmum (includes State Sulcharge)
or
Contract Value $ dOC9 • x 1% _$ Permit Fee
• If ep rmit fee is $1,000 or less, add $.50 ? $ State Surcharge
If pe rmi[ fee is over $1,000, add $.50 for
every $1,000 ae rmit fee $ ?C) •? Total Fee
I hereby apply for a Commercial Mechanical Permit and acknowledge that the information is complete and accurate; that the work
will be in conformance with the ordinances and codes oFthe City of Eagan and with the Mechanical Codes; that I understand this is
not a permit, but only a application for a permit, and work is not to start without a permit;,thatthe:.work wil , e-1'i? in ac.?ordance with
the ap ed pla ' t cas f work which requires a review and approval of plans. ?? }?, I U ?= I'I? ?I
AR 0 3 2005
plicanPs d Name Appiicant's Signa ie J
Approved By: , Inspector
2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for. single family dwellings & townhomes/condos when permits are required for each unit
Date
Site Address Unit #
Property Owner Telephone # ( ) ?
Contrsctor
Street Address City
I
State Zip Telephooe tt ( )
Bond #: Expires:
The Applicant is _ Owner _ Conhactor _ Other
Add-on or aiteration to existing dwelling unit s 30.00
furnace _Additional _Replacement
air exchanger
airconditioner _New _ Replacement
other
State Surcharge $ 50
Total $
i hereby appty for a Residential Mechanical 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 with the Mechanical 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 Nazne Applicant's Signature
_ 2004 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
5 3a2-1 - (e (.,
Co-Q,L,j) I 1-9 G `(
New ConsVUCtlon Reauirements RemodeUReoair Reauirements Office Use Onlv
3 registe2d site surveys showing sq. ft of bt, sq. ft of house; and all roofed areas 2 wpies of plan Cetl of Survey Recd : _Y _ N
(20% m"mum lot coverage allowed) 1 set of Energy Calculations (or heated add'Aions Tree Pres Plan Recd Y N
2 copies of plan showing beam 8 window sizes; poured found desgn, etc. 1 site survey for additions 8 decks Tree Pres Raquired . _ Y_ N
lsetofEnergyCalcuWtions Add'rtion - indicffiei(on-sflesepficsysfem On-site Septic System _Y _N
3 copies of 7ree Preservalion Plan if bt platted after 7/7193
Rim Joist Detail Oplions selechon sheet (bldgs w(rth 3 or less unifs
Date Construction Cos
Site Address UniUSte #
Descripfion of Work P?()ot`L'10nl1
Multi-FamilyBidg _ YIN Fireplace(s) _ 0 _ 1 _ 2
Property Owner
-T Telephone # 22L-1' 3CO
Contractor
Address L-?-) CA , r'kA. 64 2 City
State. W-\v'l Zip`D5'?0CD Telephone #(9y'Z) Z Z'-1 ,3CQ5(0
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . ResidenUal Ventilation Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _
fee appiies.
Licensed Plumber Telephone #(
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone #(
N If so, 25% plan review
?L? b E uuL?
? UCT 2 9 2004
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
approva of plans.
Applicant's FVinted Name Applicant's Signature
OFFICE USE ONLY
Sub Types -
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg
Y- 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt- Multi
O 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorcNAddn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Pibg_Y or _ N ? 25, Miscellaneous
WorkTypes ( _?.{f'I'L ?? -?'?.17?1N "!`y(l?JDlv ?'?,}D.
?S
? 37 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundafion ? 45 Fire Repair
-51l. 33 Alteration ? 37 Demolish Building` ? 43 Reroof ? 46 Windows/Doors
? 34 ReplaCement 'Demolition (Entire Bldg) - Give PCA handout to applieant
Valuation ? Occupancy MCES System
Census Code L 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) _ FinaUC.O.
Foorings (deck) ? 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 _ Brick
Fueplace _ R.I. _ Air Test _ Final _ Windows
?L Insulation
T _ Retaining Wall
Approved By: , Building Inspector ?
---------- -------- ----- ------------
Base Fee ----------------------- -- ----------- ------------------ --------- ---------- ------- -------- --------- ---
Surcharge S •`?C
Plan Review 1 -01 1 ftwo?
MCIES SAC oo
CitySAC ? 7(
) 2
_
`
?
Utility Connection Charge
? /
S&W Permit & Surcharge
T
t
tPl
t ??0t;rrD?
rea
men
an
License Search ?(
I`
'
yL{ A
? t
Copies
Other ?
Total '? ?'?1. C, L, f/?F h
" ?.?-?'
??J Ct
?? f???l?
NOV-03-2004 07:11 RM LRC PAINTING 2338479939 V•b*
IWSC/fE.ICA COmpftnCe CBldflC6tC
zooo ?H;mesob Enew c«&
gE+gc,htck$oRwace Vmsioa 3.3 Rdeaee 1
Data 8leiuioe; UNRIcd.[dc
1'I71.E: Lauody aAdidon
COUN7'SC: Dekote
STAT6: Mintiaols
TANE: 2
CaNS'fItUCClON TYPE: Siogle Fam11y
DATB: 1 W3l04
DATH Oit PLANS: NwadW 1,7A04
PRAIECT DW0lt1"770N:
Boyd Hmia
OOMPAIdY IId+ORMA1'M:
R06mis R"dal Rmw&tin8
COMPLIANCE: Peoea
C? WADft
Maidmwn UA = 35
Yaor Home UA - 27
42.9'i6 Bmtnr'i'6an Cade N/?>
cantB Glazin8
Areaor C,avlty Cant. arpovr
? 'R Vdat Ly" U-D= ILA
Cdliag l: Flet Ca71ng o* Scisw Tnom 117 0.0 )8.0 3
Vyap l: WaodFramc. 16"0.C. 248 0.0 19.0 19
Daor i: 8plid 16 0.140 2
flaor 1: O[hv 117 0.025 3
propacd and Msdamae U-Faetor AvenM Madomm
? U-Fmw Albrrd U-Famr
plom Ow Uncoidifioned gpwc O.OZS 0.033
COMPLLWCE S'CATMNT: The qopocad bulAhnB daign deectieA hene ucommobw aith the EuiWioB Plan5 qmoficadm
aM ot1W calCUiMOne aubnoived with tLe peimft eppliwrttoa• 7'he "aeA Mdlding Aao bew ddignad to meat me 2000 Minmum
Energ CaAe taqdrenwnts in 1tE3d+eckVomeo 3.5 Retmee 1(ftuely MECdracA =d W aomph whh drc meoiftmY
retp?iraneM8liated ' o RE me?'.clim CLaddiet. ?
,,..`
HuilO Aa1e ? .
edDaignv
,- dP
93/. 9
32•g
Fxx?
0/6-
? ???? I-Z,
?
14
?
P
h
0
M
Z
LEbRL DFSCRiP-TIun
Lo-r 8, &OCK Z,
HIDDEN VALLG Y,
08xorA, CouNrY
/
?= /WOOD STAKE PLACED o= IRON MON. SET •= IRON MON. I?PLACE
B.M. -L/EMPo,2q,eY? To/? OF CAfT/N6 4T n!K% ?°a.PN.F.P Lor' 8, ?
6(o?lf Z932. BS BEAFINGS ON PROPOSEO INFORMATION
ASSUMED DATUM 7st FLOOR ELEV. 94419'GARAGE FLOOR ELEV.
83Z- L BASEMENT ELEV. R-i'l-3 TOP BLOCK ELEV.
-i = DRAINAGE 000.0 = EXIST. ELEV. (000.0)= PAOPOSED ELEV. E" P' EXIST. & PROP. ELEV.
000.0 -
I hereby certity that inis plan, survey or report was JOe3 q
SCHOBORG preparedbymeorundcrmydirectsupervi,ionandthallam 3386
N D SU RVEYI NG aduly Fiegislered Land Survcyor under 1he laws ol tlie State
of Minnesota. Book - Page
- INC. 77
?p Scale
Ai. i. eo. roe Date: S7l Regislration No. 74700 ?",x 3p,
972.3211 ociano.MN 55320
MN.
?
T?f'/CON
..
N 090 55' V'c 67,00
. 1989 BIIII.DING PSS2SIT 9PPLICATION - CITY OF EAGAN
SINGLE F9HILY DWELLINGS I?_14 0
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTSs ADDHffiSFS FOR CORNSR LOTS - COATRACTOR/HOMEOWNER M[TST D£SIGNATE WHICH ADDRFSS
IS DffiIRED. NO CHANGES iiILL BE ALLOWED OHCE BOII.DING PERMIT IS I330ED.
MDLTIPLS DNELI.INGS ESNTAL ONITS FOE SALE i1NITS t OF iJNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SORYEY - CHECB WITH HLDG. DEPT., 1 SET OF ENERGY
CALCULATIONS
COhIIlERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 7 SET OF ENERGY CALCULATIONS
- rA?R i l.19gg
To Be Used For:
Site Address
Valuation: Date:
? -
Lot ? Bloek 7?
Parcel/Sub ?Jjf,QCai,._. V(LtLW
Owner
Address
City/Zip Code
I3'Z OOJ' OFFICE Q3E ONLY
Occupancy
Zoning R-l
Actual Const V-N
Allowable V -!`?-
# of stories
Length
Depth 40
S.F. Total
Footprint S.F.
Phone L/5y- ( 3S ? On site seirage_
/? On site well
Contractor 2?ES?yQ+? MWCC System ?
?7// City water ?
Address 7`leC7 Fcpa.c?p?K• PRV required ?
Booster Pump _
City/Zip Code CGQL1,l V(`U i 6^i 4P ti' •
APPROV9IS
Phone C?L-/ Y Planner
n Couneil
Arefl./Engr. p?lGvvi((.c9 Bldg. Off.
Address
City/Zip Code
Phone # L{S a-(.) 7 0? y
Varianee
Couneil
FEE.S
Bldg. Permit 752, OJ
Surcharge '00
Plan Review rZ7,00
SAC, City 100,00
SAC, MWCC 5'7S,00
Water Conn $ 0.00
Water Meter C? o,?
Aeet. Deposit 30,?
S/W Permit ZD,oa
S/W Surcharge 1 '00
Treatment Pl. 22s,fla
Road Unit -qLJD'0
Park Ded.
Copies
TOTAL 3 14?.6 n
NOTB: Sewer & iTater Permit fees and aecotmt deposit fees will be included in the building
permit Fee. Processing time for sexer aad Water permits is tvo days onee a licenaed
plumber has applied for a permit at Citq Hall.
vALUA-rioN
•
(SARAGiE- ? •a 1A s •
28 x3o= 8?10
? r7 c
? 63 X iS= I1,445-
7:1?rfr-Tz-?-
?zxiN = aos
32 x ly = yyg
iz x z2; z6Y
? ;K 7 x Vz = 2 q
/ 2(-$ x ?y= I'??5Z
I ST FLVC-)P,
'P5sm i - r 2c, `?
?z?Z '?c So? ?4?00
z N? F?no2
2?l Xa? = 6Z14
y xZ2= <6 V
?bX/btc?/2? 5?
. y .
EdP
9j1,9
?
W
m
?-
h
0
?
z
F-sp
32•B
M?
4_ -0,U
LEVAL DE5c2iP-Ti0n
LoT 8, &UCK r ,
NIDDEN
r?)AxvTA, CouNrV M,v,
?je i??
r
?= /WOOD STAKE PLACED o= IRON MON. SET •= IRON MON. INPLACE
B.M. -L/EMPOBNfY) 7'0!? OF CAfT7N6 4 T /!W ????.F.P Lo? B. B[ocA, 2"'p32. BSJ
BEARINGS ON PROPOSED INFORMATION
ASSUMED DATUM 15t FLOOR ELEV. N411L'GARAGE FLOOR ELEV.
? BASEMENT ELEV. ?TOP BLOCK ELEV.
--Y = DRAINAGE 000.0 = EXIST. ELEV. (000.0)= PROPOSED ELEV. aQQ p= EXIST. & PROP. ELEV.. 1e4!7//fE0 R/'R. 13 9
I hereby certily that Inis plan, survey or report was JOB 0 ' 7W/CON
SCHOBORG prepared by me or under my direct supcrvision and that I am 3386
a duly Registcred Land Survcyor undcr thc laws ol lhe State
ND SURVEYING of ?dinnesota. 8ook-Page
INC. 747?/Z- 77
Scale
at 1. ea. aoe Date: tyP/e.4r4 19 aegistration No. 14700 e72a221 Oetino. MN 553I8
?
EeP
4sr?A
EaP
B4/.6
EaP
Bs?OrL
N 09' SS' 10"r W•oo
MINNESOTA STATE ENERGY CODE CALCULATIONS
, BASED ON CHAPTER 5 OF TIIE
•' MODEL ENERGY COUE - 1983 EDITION'__.
Adoptlon Effective I /54 '
61Z1/4
owner ????kyJ 1?p Phone Uate1-d-0
+Site Address
Contractor Phone 9yq- 71o Z
Iil
Butlding Classification: Type Al (Single Family b Dupiex)_Type A2(Residentfal)
NOTE: Com lete (3 storles or less p pages 3 and y first. j
. (other) (Over 3 stories)
GENERAL INFORMATION
N ,A
1. Building Perimeterl?E???,/
t
2. Wall height (ground to eave) ft. ,
. 2
3. I. x 2. (above) gross wall area Zl7i(,O ft.
4. Building dimenslons (L) - X(W) - = I304" ft.Z roof 6 floor area
5. Square foot area of rim Joist - Floor joist size (2 x r(? )
?Q X Perimeter = Rlm7ofst area = (Q, Q ft2
12 no .
6. Doors - A'rea ?Z.,O,Q
thickness • in. U Factor
Type of Construct on Perimeter ft.
Manufacturer .
7. Total door's perimeter ft. "
8. Wlndows: Manufacturer State approved
U factor
TYPE SIZE AREA (Ft.2) NUMBER OF TOTAL FEET 2
N1A' ? EACH UNITS .
- ??_ uvO?.k ?T?? • .
9. Total ft.2 Glass
?13, S'
10. Fireplace area; Width X helght = X = Ft.Z
II. Exposed foundatlon: Height X Perimeter ;V? X ? 7tQ = II?17i Ft.Z
COMPlETION OF THIS FORM IS REQUIRED FOR ALL A€W CO?JSfRUCTYON, MTJOR REMODEL NG AND BUILDINGS BEINI
MOVED WHERE ENERGY, OTHER THAN THE MINIMAL CODE ALLOWANCE, IS USED.
, -
I?.. `Fsaming area - 10% of gross wall area. _.. .
13. Grass wall area_ '341z1 7,I? '
. ft.2
? •?
Window area A 5q 3/ j• ft
2 ' U windows = ?3?O U x A a
.
. Rim joist area A J?Cyi0,53 ft.2 U rim ,jolst a641 U x A - J"?, ?•
`
Door area A' ?Z ft.2 U door area e i H7 U x A =
F?i??faa?el area A L* ft.z U ?"? U x A a
Exposed foundation A ft.z U foundation U x A n
Framing area A?1 ft.?, : ., U framing area =C?q6 U x A - 3ZA-
Net wall area A 7,Z l?(P ft. U wall = i 0? 3 U x A, - 0+
(138) , 70TAL . . . . . . . . U x A
?
14. Gross wall area z 0.11.(A-1 single family &
duple
x = allowable U x A/Code ?I.•r
(13. above) .
z 0.23 (A-2 other residentia
l) , ?
'
x .23 (Other bulldings) •. ,,,
, x .28 (Ovei• 3 stvries) . ' •
15.
ISA.
156
(5C.
15D.
16.
A -34 L2 I Zi(0 x U Code,..11-I--- `
,?,.753?BTUN Must be 1 arger than
? -°F. 136 above
(, or the, same as) ?
?
?
C'e111ng framing area (Af) equals 10% of ceiling area
Gross ceiling area - (L) x (W) ft.2
Joist are0 (Af) = lo% ceiling area ft.Z
Net ceiling area (Ac) (15A - 158) _• IIn4 ft.2 .
UceilingxAcs 1oZZ xH-74? 'Zi5.g3 •..;
U framing x A f= 10, Z ?' x (? = Z??
v
?. T07AL'U x A ........................................ ,
Ceiling area (15 x 0.026.(A-1 single family & duplex - code allowable U x A
--
• x 0.033 (4-2 other residential):
x 0.06 (other) • "
i pZ(p BaUfl Must be larger than •15D (above)
A(15A) IJ? xLicode)= 33'? F (or the same as)
NOTE: Use U and A values obtalned from pages 1,•3 and 4.*.
CERTIFICATION; I hereby certlfy'that I'have calculated the "U" factors and "R" values
here n and that the bullding here descrlbed meets or exceeds the State of Minnesota
Energy Conservatlon Act. • .i ?
' , . . .. , .; t i
te . S gnature
t •?. , ' ? .
. • 2. , .,. , , •
? •
Ito7 q ? nA-
8,$3X? 3ca+3tv+ zo?-zl?,t C?? = ? I d3,22-
__..
? ?Z,ZCo
48? -1?4-
CITY USE ONLY
L 0 BL ? RECEIPT #:
SUBD. DATE: // °??
7996 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
FIXTURES EASeIj NQ. TOTAL
Shower 3.00 x
Water Closet 3.00 x
Bauh Tub 3.00 x -
Lavatory 3.00 x =
Kitchen Sink 3.00 x =
Laundry Tray 3.00 x
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x
Floor Drain 3.00 x =
Gas Piping Outlet " minimum -1 3.00 X =
Rou h O enin s 1.50 x =
`?t`er Softener 5.00 x
v2 pasa Dakota Cty. ticense 50.00
=
(new and refurbished systems)
U.G. Spf'tnkler * home under eonst. 3.00 = -
Alter'dtions ' to existing 20.00 =
Water Turn Around 20.00
STATE SURCHARGE .50
zo - 5 ?
TOTAL -
. ,
SITE
OWNER NAME
INSTALLI
STREET
cmr:
PHONE #: (
BOYD, BRIAN
1368 MICHELLE DRIVE
EAGAN, MN 55123
(612) 454-8254
r
. . . ....... ..... . . .r ::?yt.
STATE: ZIP:
(14240)
1990 BUILDING PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
MULTIPLE DWELLINGS
COMMERCIAL
2 SETS OF PLANS 2 SETS DF PLANS 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 SPECIFICATIDNS
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, SIIT 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 GORNER LOTS - CONTRACTOR/HDMEOWNER MUST DESIGNATE WHZCH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
A`+iI6' 2 8 RECO
To Be Used For:-Imi 4-,%rk Valuation:
Site Address
Lot P Block ?
Parcel/Sub
Owner
Address 13(?i? N'??cr+r?? ?R??c'
City/Zip Code iA^, 7jld3
Phone y? `{ ? ! 35f3
Contractor $e ? P
Address
City/Zip Code
Phone
Arch./Engr. Se
Address
City/Zip Code
Phone k
Date: $afr?U
Occupancy
Zoning
Actual Const
Allowable
# of stories
Length
Depth
S.F. Total
Footprint S.F.
On site sewage_
On site well _
MWCC System _
City water _
PRV
Booster Pump _
APPROVALS
Planner
Council
Bldg. Off. ?Lp
Variance
ONLY
FEES
Bldg. Permit
Surcharge
Plan Review
SAC, City
SAC, MWCC
Water Conn
Water Meter
Acct. Deposit
S/W Permit
S/W Suxcharge
Treatment P1.
Road Unit
Park Ded.
Copies
SUSTOTAL
Penalty
TOTAL tj
1L pERM1T # RECEIPT DATE:
1r???.?J
? g£SIDENTIAL PLUM$1Rfi PEMiT AMLICATION
3830 PnM xxo6 gn
F-FAsM, auv 551E2
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for irrigation system
SITEADDRESS: 4?p ?? 1? C?(1 f, ,k'' ?c
OWNER NAME: : CY???^? I 1?V Cl TELEPHONE #: _? 51 `tSy' ga ?/
(AREA CODE)
INSTALLER NAME:
STREET ADDRESS:
CITY:
Place a check mark next to the permit work type
TELEPHONE #: 95a `t3t -9 CQ?sp_
(AREA CODE)
STATE:
ZIP:
New residential dwelling unit under construction and not owner(occupied $ 90.00
? Add-on, modification or alteration to existin dwelling unit, including: $ 50.00
• abandonment of septic system
• new installation/repair/rebuild of RPZ
• lawn irrigation system
. waterturnaround
Nature of work: RQp\noA ??.?a_?e? ?'?-e.?
Septic System, new/refurbished - $ 225.00
. includes County & Consulting Inspector fees
• requires MPC license
State Surcharge $ .50
Total $ cW •
Reminder: Be sure to schedule inspections of alterations, i.e. water heaters, water softeners, etc.
I hereby acknowledge that I have read this applicatlon, state that the information is correct, and agree to complywith all applicabie Cityof Eagan ordinances. It
is [he applicanYS 2sponsibility to notify fhe property owner that the Ciry of Eagan assumes no liability for any damages caused by the CiTy during its normai
operational and mainlenance activiUes W the facilities construded under this permit within City q?o ertylright-of-way/easement.
OF PEF?{NITTEE
crrY oF EAsm
?
651-6$1-4675
Updated 1101
I ti???
$ -7o.cc?'
2005 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construdian Reauiremenls
3 regislered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed amss
(20% maximum lot coverage allowed)
2 copies of plan shovnng beam & wirMow sizes; poured found design, etc.
1 set of Eneyy Calculations
3 copies of Tree Preservation Plan if lot pladed after 711193
Rim Joist Detail Options selection sheet (buildirgs wMh 3 or less unils)
RemodeUReoair Reauirements
2 copies of plan
1 set af Energy Calculafions for heated additians
7 sRe survey for additione-&'dr4s
Addftion • iiro'ieetA-gonQe'sept system
nC ?
oR
Telephone #(
(
Date -3
/$!?_ 1 1
V` '600 Construction Cost ? ? aJ
Site Address `3? Unit/Ste #
Description of Work VJti-?v..?S
Multi-Family Bldg _ YN Fireplace(s) _ 0 _ 1 _ 2
Property Owoer '\ q ,0 ?Ii
? . Telep6one # ( 6S I
Contractor \_o' v?
Address a7!
"_?J .
City
State - S? jt;g yZ Zip Telephooe#(4--SI)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cate orv 1 Minnesota Rules 7672
Energy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(4 submissionlype) 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 #(
Office Use.OnN
CedofSurveyRecd _Y _N
Tree Pres Plan Recd _ Y_ N,
Tree Pres Rpuired. _ Y_ N
On-site'SepticSystem _Y _N
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.
Applicant's Printed Name App icanYs Signature
"-? C) . CSc
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex 13 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
O 03 01 of _ plex O 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) O 33 Ext. Alt - SF
? 04 02-plex O 10 OS-plex O 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_v or_ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundalion ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building` ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement "Demolitlon (Entlre Bldg) - Give PCA handout to applfcant
Valuation 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) _ FinallNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice& Water _ Final _ Pool _ Ftgs _ AidGas T ests Final
_ Framing _ Siding _ Stucco _ 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
Use BLUE or BLACK Ink
f
For Otfise use
: Permitt. '
4L)o
My of Eap ; Permit Fee: d
3830 Pilot Knob Road
Eagan MN 55122 j Data Received: ~
Phone: (651) 675-5675 I i
Fax: (651) 675-5694 I
L - --_s - ` -___i
.,2010MECHANICAL PERMIT APPUCATION
Date: ".A l l Site Address: ~Z4 n Mk CJI~
Tenant Suits
RESIDENT I OWNER Name: Phone: --453'"
11-1
Address / City / Zip:
CONTRACTOR Name: License#: THE SNELLING Address: COMPANY, INC. City.
State_ STziU L, MN 55104 Phone:
651-646-7381
Contact Email:
TYPE OF WORK New Replacement -'tAdditional Alteration Demolition
Description of work:
NOTE, Root mounted and ground mounted mechanicai eq ipment is required to be screened by City
Code. Please contact the Mechanical Inspector for Information on permitted screening methods.
RESIDENTIAL COMMERCIAL
PERMIT TYPE ~umace _ New Construction _ Interior Improvement
Air Conditioner Install Piping _ Processed
Air Exchanger - Gas Exterior HVAC Unit
Heat Puri Under / Above ground Tank Install/ _ Remove)
When instaliinghemoving tank(s), call for inspection by Fire
Other Marshal and Plumbing Inspector
RESIDENTIAL FEES:
$55,00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surc hafgay -
$95.00 Fire repair (replace burned out appliances, ductwork, etc) (includes $5.00 State Surcharge) $ TOTAL FEE
COANWERCIAL FEES:
$75.00 Underground tank installationtremovai OR Contract Value $ x 1%
$55.00 Minimum (includes State Surcharge)
= $ Permit Fee
- If the Permit Fee is less than $10,010, surcharge is $ 5.00
- If the Permit Fie is - $10,010, su mharge increases by $.50 for each $1,000 Permit Fee Surcharge
(.e, a $10,010411,010 Permit Fee requires a $ 5.50 surcharge)
TOTAL FEE
CALL. BEFORE YOU DIG. Call Gopher State One Call at (651) 4544002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. wwvv.acpherstateuneca(i,csrn
I hereby acknowledge that this information is complete and accurate; that the work will be ' 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 wodc t to start a permit; that the work will be in accordarx
v th approved plan in the case of work which requires a review and approval of plans. - -
X 1 2. x
out
Applicant's rated Name Apps Ys Signatu
FOR OFFICE USE Reviewed By. Date:
Required Inspections: Under Ground Rough In -Air Test Gas Service Test -in-floor Heat Final
Exterior HVAC Screening Inspection
_ Use BLUE or BLACK Ink
For Office Use 1
Permit#:
City of EqU I Permit Fee: ~ C, t
3830 Pilot Knob Road RCC"' E!V'E ~ I 1
Eagan MN 55122 i Date Received:
Phone: (651) 675-5675 JUN 0 4 2012 Staff:
Fax: (651) 675-5694 L--------------
2012 MECHANICAL PERMIT APPLICATION
Date: Site Address: 3
Tenant: Suite
y ^ 4.5-
Name:. lft 112 ~ 7 I C 'P one: ~ SY- l/.S' gf
RESIDENT /OWNER .
Address / City / Zip: .F') 0 r7 1-7 /1-1 5:T1 ;L- 3
Name: THE BAB i t~i~ €~rt~~ - License
i l'i r~~r. E G r- : r
Address: 1400 O OR IA _ City:
CONTRACTOR a
T. PALL MN b 14
State: Zip: 8Phone:
Contact: - Email:
i
l New Replacement Additional Alteration Demolition
3 1
TYPE OF WORK Description of work: fr-1 `Q c
NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City
Code. Please contact the Mechanical Inspector for information on permitted screening methods.
RESIDENTIAL COMMERCIAL
Furnace New Construction Interior Improvement
e
i PERMIT TYPE Air Conditioner _ Install Piping Processed
r Air Exchanger Gas Exterior HIVAC Unit
Heat Pump Under f Above ground Tank Install Remove) i
Other
RESIDENTIAL FEES:
i $60.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge)
$100.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) TOTAL FEE
COMMERCIAL FEES:
$75.00 Underground tank installation/removal (includes $5.00 State Surcharge) OR Contract Value $ X1%
$60.00 Minimum. (includes State Surcharge) Permit Fee
- If the Permit Fee is less than $10,010, surcharge is $ 5.00 Surcharge
,
i - If the Permit Fee is > $10,010, surcharge increases by $50 for each $1,000 Permit Fee
_
i.e. a $10,010-$11,010 Permit Fee requires a 5.50 surcharge) TOTAL FEE
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.or
I hereby acknowledge that this information is complete and accurate; that the work will a in confo ce with the ordln ' es ndcodes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and wo is not itho a permit, t e'work will be in ac rdance
with thGapproved plan in the case of work which requires a review and approval of plans. ff
X (I ~1l1I~`lC . _ x
ApplicanYs'Printed Name Applicants Signature
FOR OFFICE USE
Required Inspections: Reviewed By: Date:
Underground Rough in Air Test Gas Service Test In-floor Heat Final , HVAC Screening
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA139579
Date Issued:10/28/2016
Permit Category:ePermit
Site Address: 1368 Michelle Dr
Lot:8 Block: 2 Addition: Hidden Valley
PID:10-32900-02-080
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 -
Brian E Boyd
1368 Michelle Dr
Eagan MN 55123
Lakewoods Remodeling
9001 E Bloomington Freeway #144
Bloomington MN 55420
(952) 888-5550
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA140013
Date Issued:11/18/2016
Permit Category:ePermit
Site Address: 1368 Michelle Dr
Lot:8 Block: 2 Addition: Hidden Valley
PID:10-32900-02-080
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
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: 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 -
Brian E Boyd
1368 Michelle Dr
Eagan MN 55123
(651) 454-8254
Scherer Brothers Lumber Company
9401 73rd Ave. N
Suite 400
Brooklyn Park MN 55428
(952) 277-1600
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA147237
Date Issued:12/19/2017
Permit Category:ePermit
Site Address: 1368 Michelle Dr
Lot:8 Block: 2 Addition: Hidden Valley
PID:10-32900-02-080
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.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Brian E Boyd
1368 Michelle Dr
Eagan MN 55123
(651) 454-8254
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
�1, a r For Office Use
Cityof Eaaairw ::::e:
I 3/
3830 PilotKnob Road <i
Eagan MN 55122 Date Received: l
Phone: (651)675-5675f/ '
Fax: (651)675-5694 Staff: f f� ida.7 454
2015 RESIDENTIAL BUILDING PERMIT APPLICATION , 4
•
Date: /!-', /8) Site Address: /3 b8 /i i Cri&...Le.0k/o2.— Unit#:
# � 0 Name:
' A-.0 L e/4- eye... B oyy® Phone: "/- Sli-5 Z
ident/
e veer Address/City/Zip: /3b13 ni 4e444-4.1-0 &P/J
Applicant is: Owner Contractor
Description of work: ,kC/J&G'L/ /yg /9 D 2.G',� / w ,4' ELc) /i4 54 if.C2 .£
.,Type 01'w°ric poe-a
., V Construction Cost: Multi-Family Building:(Yes /No )
� Company: Z:117:6(7ok-,5 ores ANG Contact: * FU,y/C.
-. z Address: /9J// 5avrf/J� 62/U City: ?AR)la a, k `-�i�'�Z_
Contactor p
State: Au_) -SS-3 Zip: 7Z Phone:9 U-g7/Email:J2 af,042 u L '77ON-s�-x)4. ,&/Z
License#: X33.79 a Rr Lead Certificate#: N.4-%-/Z-.5-1/Y-Z
If the project is exempt from lead certification, please explain why: . n
k,\ ,
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes,date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
.,.
YFire Stfppressib'h Contractor'`..;.s'. :`,* ' N.:,'''' '• '' , , Phone:
NOTE:Plans rnd sill:O i , ; ;:''7; 9.ent th ;b.,submit are considered to be public'ir formatio a Pins of
the infoi a tion they be c s eci�s ., ,. s'r` you p$ ',,°:,"
p cifrc reasons that woof,' i ,the Ci z
„, i w ''1-. ide'that y fie - w. .. rel . , ,,
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.000herstateonecall.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 Cod must be completed within 180
days of permit issuance.
.--- ell'il
x -.-1/114 Fot)4. x
Applicant's Printed Name Applica Vs Signa re
Page 1 of 3
/36, °n t c iittitt /),o
DO NOT WRITE BELOW THIS LINE / 9 /3/
SUB TYPES
_ Foundation Fireplace _ Porch (3-Season) * Exterior Alteration(Single Family)
Single Family _ Garage Porch (4-Season) _ Exterior Alteration(Multi)
Multi _ Deck Porch(Screen/Gazebo/Pergola) Miscellaneous
01 of_Plex Lower Level Pool _ Accessory Building
WORK TYPES
New Interior Improvement Siding Demolish Building*
vy 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 Q,*,
Valuation / (90, ' — Occupancy xPtC- "/ MCES System —'
Plan ReviewCode Edition 2.46" SAC Units
(25% 100%� Zoning It-1 City Water
Census Code 4/3 K Stories ! Booster Pump
#of Units / Square Feet /9h PRV
#of Buildings 9 Length /y Fire Suppression Required --
Type of Construction 16$ Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final/C.O. Required
Footings (Addition) S Final/No C.O. Required
Foundation HVAC_Gas Service Test Gas Line Air Test
"t Roof: ,X-Ice &Water tFinal Pool: Footings Air/Gas Tests _Final
44- Framing Drain Tile
Fireplace: _Rough In Air Test Final Siding: _Stucco Lath _Stone Lath _Brick
Insulation Windows
Sheathing Retaining Wall: _Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression: Rough In Final
Braced Walls Erosion Control
Other:
Reviewed By: _ •:4 , Building Inspector
RESIDENTIAL FEES /9G 5411./%^'tA P'Rzk t�',9lf f� 9'a,
Base Fee / 9/ _
Surcharge pa sow° A;44 /d 3 36
Plan Review /Ay
MCES SAC /0 /30---
City SAC
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
Copies (,Q eta/
TOTAL
Page 2 of 3
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1 EAGAN
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BY:
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DATE:
BUILDING INSPECTIONS DIVISION
(ie / 6.--#4,“4-/Le-A—
N $9' SS' 10"E 0,00 U
O= WOOD STAKE PLACED 0 : IRON MON. SET 40 = IRON MON, It PLACE
G.M.-(7.0^41'0,eRer) 7.7,A oP CAs77Nd 4r N.w eveN,r.P tor-- e, Brown z(?3Z 85-1
BEARINGS ON PROPOSED INFORMATION r"�• "� ''
ASSUMED DATUM 1st FLOOR ELEV. 94J '1 'GARAGE FLOOR ELEV. . . •i --
83?- / BASEMENT ELEV. 844.3 TOP BLOCK ELEV.
---f = DRAINAGE 000.0= EXIST. ELEV. (000.0)•)= PROPOSED ELEV. gots. EXIST. & PROP. ELEV. lety/f..0 6v74,, /3,/y87
I hereby certify that tris plan, survey or report was JOe3 4ie • 7-A7/COM
r
SCHOBORG prepared by me or under my direct supervision and that lam 33 9
N D S U RVEYI N O a duly Registered Land Surveyor under the laws of the State g
of P.tinnesota. Book - Pa e
INC. .. 0€4e-/--,eic->zAetren-ij/
/g' ?7 _.
Scale
RI.I.so. 208 Dale: fitie• • ! /909 Registration No. 14700 11`-30' ,
137).]]]1 Delano.MN 553213