1387 Michelle Dr
Use BLUE or BLACK Ink
r
I For Office Use I
Permit
I J
City of Ea
I Permit Fee:
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I ~ I
Fax: (651) 675-5694 I Staff: _
I
2012 RESIDENTIAL BUILDING PERMIT APPLICATION
! rG►'l.l/~c
Date: 2 ' r l ~ite Address: 130-7
Unit
Name: 6C.44/~ Phone: 769 - ✓ ! l~ ` o
RESIDENT / r
OWNER Address / City / Zip: d r/dn Se, r//c.e~ ~j~ x~
Applicant is: Owner Contractor
TYPE OF WORK Description of work: )~p e
Construction Cost: J3 V~ Multi-Family Building: (Yes / No )
Company: v~+eg4 t (gy0✓1577~-c-I(c/X-V/1 Contact: eo t
Address: l 7(~ ~ ~C~~ SCi. 1 511 tI~ City: Rl<
CONTRACTOR
State: Zip: yu Phone: (o t/'Z c 2-6 C
C
License 66 2_~'ir Z S Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A .NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
I
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 they 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.gogherstateonecall org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State wilding Code must be completed within 180
days of permit issuance.
x _ C) x
Applicant's Printed Name App i nt's Signature
Page 1 of 3
•-? IN5PECTION REC4RD IControl No. 0985
CITY OF EAGAN WACTIVATm FOR DF" 06/11f93 PERMIT TYPE: Flu i t ul Nii
3830 Pilot Knob Road IST LANI14AK SLDRS 694--3135 permit Number: Na i= ?4
Eagan, Minnesota 55123 Date Issued: •g /??/9?
(612) 681-4675
SITE ADDRESS: I OT, 3 IlR Qcv,; 1 APPLICAMT:
y 't?+I MEtllkl l( ?R Wt'SLFY ?:OMu1 .
"rilt,Fa vAi «v
PERMIT SUBTYPE:
•0 jltal,
TYPE OF WORK:
NE1a
INSPECTION
I.+i 1 idr, .. .
i h'AMYI?IH .
CM`.:tJl AT (CtN t tNpL
IrTk! i`tACt
Itf MAttK ; -. RE1:[ tPY #
?
?
S&W hLNA M
F'RV
Permlt No. Permit Holder Date Tskphor» t
S/W
PLUMBING 9 S ?aj'f
HvAC W if (, ? o
ELECTRIC ?. G
EIECTRIC
Inspwdon Dde Insp. Canmaiift
F°°fi"gs i
Foundatlon
Framing
Roofing
Rough Plbg. A&AA
y/
AI
Rough Ht8- • ?
Is,l.
Flrepiace Q M
Flnel Fkg.
Orsat Test « ry
Fnal PIb9. PIb9. Inspector - NotNY Plumber
Const. Meter
EngrlPlan
Bldg. Finai
°eck Fig.
Deck Final
1AfeU
Pr. Disp.
161-? '1--
? . ?
Wertificate nf cccupanc?
(Fiti) of Cfagan
et"ftment ? ????? ?oft-tim
This Cerlificate issued pursuant to the requirements of the Uniform Building Code
certifying that at the time of issuance this structure was in compliance with the vnrious
orrlinarees of rhe City regulating buiiding construction or use. For the foUowing:
IefSF DWG 1224
use Ctmifiration: Bldg. Aemrit No.
Oc-p-Y Ty'Pe Zoning Disvict CanaL
Owar of BuiklinE ??T• Address 6? ??M MaS
1?W?Ad?ess L°caLry s f
B '2/ t0/QZ
_ w??8 Offc?al Date•
??8
POST IN A CONSPICUOUS PLACE
?? . .
1.,?
4
'AddYeds: 1387 ?U{E.T.R DiuVE Lot 3 Blk I Sac/Sub HIDDIN VALLEY ZIP: 55123
These items were/were not complete at the time of tha f1na1 inapection.
Yes No
Final grade (6" from siding) ? ?*1nS
Paxmanent steps - garage
Permanent ateps • main antry ?
Permanent diiveway ?
Permanent gas ?
Sod/seeded grass ?
Trail/curb damage
Parch ?
Basement finiah f
Deck
Please verify vith tha buildnr the removal of roof test caps from tha plumbing
system and tha shut-off of water supply to the outaide lavn faucet before
freeze potential exiats. m
7V
•CMIOM?
Wh1te - City copy Yellow - Reaident copy Pink - Contractor copy
IK 2941 4.
? C??
Repuest Dale
??
4-_? q
L Fire No. Rough-in Inspection
R puiretl?
?
? ReatlY ?w ili No?ity InSpecror
When Ready?
- ?
Ves
No
I0(licensed contractor ? owner hereby request inspection of above electrical work at:
Job AtlOress IStreeL B" ar Rwte NO Ciry
S
38-? m1,
SeMion Na TawnsM1ip Name or No. Range No. Counry
?
Occu an, IPRINTI
9 n?L 10 Phone cNo. cp^
??72-0JV /
Power plier
?? Atltlress ^
' L ?
Eleclrical Confractor (Company Name)
G
? ConV rS LipBnbe No.
?
5l
9 2
z,,
i l
4
A
t
Mailing Aadr s iCOnvactor or Owner Makin Installation?
Sowa
l2?E(
gd
S
kt
?
o1
?,•a
Authorizetl/"Wre iConVaclorlOwner Making Installauon)
CLl_?XA_1 ?1 YC Phona Nu
? rO ?j ? t?J..7S
MINNESOTA BOARD OF ELECTpICITY? v
Gripgc-Mitlw IEg. - Raom S-173
1821 Universky Ave.. 51. Vaul. MN 55106
Plwne (812) 662?
THIS INSPECTION FEOUEST WILI NOT
BE NCCEPTED BV THE STATE BOARD
UNLESS PFOPERINSPECTION FEEIS
ENCLOSED.
?fl REQUEST FOR ELECTRICAL INSPECTION
2^ a14 ? See insh ctions for rompleting ihis lorm on Dack oi yellow copy.
J?S ??,/?11 Below Work Covered by This Request
?ss?
Novi Adtl Rep. Typeel8uiltling AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
ApL Building Dryer Other-(Specity)
Comm./lntlustrial Furnace
Farm Air Conditioner
Other (sVecity) Contracror5 Remarks:
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0(0 200 Amps 8 ? 0 to 100 Amps
Trans(ormers Above 200 _ Amps A6ove 100 _ Amps
Slgns Inspecmr5 Use Onry: TOTAL
IrrigationBOOms G'
Special Inspection
Aiarm/Communication THIS INSTALLATION MAY BE ORD SCONNECTEU IF NOT
Other Fee COMPLETED WRHIN 18 THS.
I, the Electrical Inspecror, hereby 'Al
Rou9n-in oa? /7?p7
G
certify that the above inspection has
been made. Final f oa 6 ?
OFFlCE USE ONIV '
TM1is request void 18 months from
? CITY OrF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
PERMIT ?
PERMIT TYPE:
Permit Number:
Date Issued:
13$7 MICHELLE DR
LOT: 3 BLOCK: 1
HIDDEN VALLEY
Control No. 0985
BUILDING
001229
0$/26/92
DESCRIPTION:
,. ,, .
r'Build'zfiQ Permit Type SF DWG
t Building`Work Type NEW
UBC Qccupanby R-3 M-1
'F Canstructzon Type VN
Zoning . R_1
8uilding Lenyth , 58
i BuildingWidth 49
,r
r'
S5 ? ?
f(
?/
5??'3? tit,+ ?(,^?i`?-7E,;st_, ...??e.j?`?1 t.;n{U ?J
,
. _. ? -:.
REMARKS:
RECEIP7 #Caa0-?? 7 7 S&W PLBR PRV
FEE SUMMARY:
Base Fee
Plan Review
Surcharge
SAC
SAC %
SAC Units
3ubtotal
VALUATSON
$685.00
$495.25
$56.50
$700.00
100
1
$1,886.75
$113,000
MISC FEES $1,610.50
Total Fee $3,497.25
CONTRACTOR: -
WE3LEY CONST
6966 KENMARE DR
MINNEAPOLIS MN
(612) 452-0587
Applioant - ST. LI OWNER:
14520587 000138 WESLEY CONT
6966 KENMAN DR
55438 MINNEAPOLIS MN 55438
(612)452-0587
I hereby acknawledge tfiat S have read tFtis appliCation and state Lhat the
informat.9:oh is correet and a•gree to camply w?tti a.1,1 applicaple State af Mp.
StatuCes and City of Eagan ordinences.
?
APPI.ICAN /PERMITEE SIGNATURE
n 6 41A 1
??l ED nr, B : S NATU
rERrtIT # CITY OF EAGAN '?"'3 ?`?7 ;7, a j
REAC7EVATE 1992 BUfLpING PERMIT APPLICATION
681-0675
91 7
SINGLE & MIJLTI-fAMILY 2 sets of plans, 3 registered site surveys, 1 copy af energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
, specifications, 1 copy of energy calcs.
Penalty applies when typing of permit.is requested, but not picked up by last working day
of month in which re uest is made or lot chan e is re uested once ermit is issued.
Date -4 Valuation of work
5ite Address: kk- •
STREET . SUITE /
Tenant Name: (commercial only)
IAT -3 BIACR ? SUBD. . P.I.D. k
Descri tion of work:
The applicant is: El Owner ? Contractor ? Other (Deseribe)
Name Phone
Property LAST iIR57
Owner
Address
STREET S7E f
City State Zip
Company Phone
Contractor Address License # .? 6 Exp
City State 9--4-7 Zip
Company ?.?.? Phone
Architect/
Engineer Name Registratian #
Address
City State Z1p
Sewer & water licensed plumber . Processing time for
sewer 3 water permits is two days once area as een approved.
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.
Signature of Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation
A 02 SF Dwg.
? 03 SF Addltion
? 04 SF Porch
? 05 SF Misc.
WORK TYPE
IK 31 New
? 32 Addition
? 06 Duplex
? 01 4-Plex
? 08 8-Plex
O 09 12-Plex
? 10 Multi. Add'1.
? 33 Alterations
? 34 Repair
? 11 Apt./Lodging
? 12 Multi. Misc.
? 13 Garage/Accessary
O 14 Fireplace
0 15 Deck
? 35 Tenant Finish
? 36 Move
GENERAL INFORMATION
Const. (Actual)
Allowablej
UBC ?ccupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Y-?( Basement sq. ft.
V_N lst Fl. sq. ft.
•j? 3 1Y1-1 2nd Fl. sq. ft,
-? Sq. Ft. total
Footprint 5q. ft.
? On-site well
_H9 On-site sewage
Planning Building ?S $-??Jz
fngineering Variance
REQUIRED INSPECTIONS
? Site
O Mallboard
? Footing
? Final
0 Framing
? Draintile
? Insulation
? Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
?otal:
SAC % 100
SAC Units ?
V•Lm_+m: s 113? noo ~?iqRAGE: ayx22= S28x1(,= jSZI4?
?
T3SM'1", N y x?'1 c 1 I 08
1-4 _ r.o
9x w< <24
2 Kro%s= ZI
'3x I 2'/,. = Il
l495X i5= Z2 clz5
?? ?Luol'l i . ?
fSSMT_ ?4q5
?X2x2= 2g
IS`49 K53= $'?o?'?
If2??7t?
? 16 Basement Finish
? 17 5wim Pool
? 18 Comm./Ind.
O 19 Comm./Ind. Misc.
O 20 Public Facility
0 21 Miscellaneous
? 37 Demolish
MWCC 5ystem ?
City Nater YES
PR4 Required YC-5
Booster Pump
Fire Sprinkler
Census Code Ibl
SAC Code 0 L
Assessments
?* ** „
* proNEca LAN
o ,UAKY?s .
* eng neer ng uNO PL,,?NERs. LM
****
2422 Entsrprlas DrIvS
Mendota Holqhts, MN 56120
812) 681--1814•Fox 981-9488
825 Hfghwcy 10 Northeael
Blaine, MN 55434
812) 783-1890*Fax 783-1883
Certfficate of Survey'#or: Weslev Homes. It1C.
Hotlse
., .
,
Address: 1357 MjC elle Drlve. Eoqa.1,, MN
. ?
? IN
S . ?
. ?
? .?
\ \ bOSS• \
?
07
?
g ?. O 2
S
? g \\\
, \ \
?
< ? ?? ?l \ \ V ?
X
<\ \
o ?a?`'? ~ ?QS °??r 9 \ ? \ \ \
???,60
? ? 0? \\y? `ry +?? $ Y 1 ? " $ \
\ \ ? / / r? / / ?M g N \/
?a0,?, (3
tikc?
? ?P?
""
o?``
. ?'' ? 'y??'i? C? ? i ??,?'` • ?1
. ? ?
. ,
i ? F?p9.G.FMN ENC7INEERZNG D
? p
?
. 000.0 Denotea Exieting Elevation F40WOSQ HOU5E ELEVATION
¦c?? Deno{es Preposed Elevation LoOcst Floor Eievation; 854.05
? Denotea Oralnage & Utlllty Easement To of Block Elevatlon; 862.18
- Denotes Drainage Flow direction P
--o-- Denotes Monument Gvrage Slob Elevatlon:861.83
-el- Denotes Offeat Ffub Bearinqs shown are assumed
LOT 3, BLOCK 1 HIDDEN VALLEY
1 htnby N.tlty tMt lhit ?b'vip%Cgu?QYt I_M f?j??$?Y{? Y m or! u? de dinct fup tOlOn aM thet Iam duly RBOlsured Land Survsyor
`";('+?v??. ao
vndv fho qan ef ths StON o( M?nntwH. Oated Ihli `T 1 N d?y of A A.D. 19
hiche
NO.
? 92354.00
?
EXTEnIOR EFlVELOPE AVERAGE "U" COFIPUTATIOPI
041NER -
5[TE ADURE55 Lc`r 3, (3t«K t,
O
CONfRACTOR `j/ OATE PIIONE
Determine working square footage of each.
1. Total exposed wa11 area ...... o?O?FV sq. ft. x-1L
2. Total roof/ceiling area ...... /a?Z sq. ft. x_o2fL = (-??'.?q]
Total exposed wall area above floor = /v!V_
a. Total wall window area ........................... 11___ ?/?2S
_
b. Total door, area ... . • • ......... • -
:........... ....
37• ?7
c.
Total
'sliding glass door area ................... _
__
3?2
d.
Total
fireplace wall area..................... .. ,
-
e. Total wail framin area avera e 10%
9 ( 9 )............. -'?
f. Total net wall area above floor ................. ???
g. Total rim joist area .. ....................... 13
Total ezposed foundation area = -1676
h: Total foundation window arca............ 1.........
-
i. Toal net foundation area abcve grade ..:.........
Uetermine "U" value cf each Wal] segment.
%
/
a. X"U„
b. -?7, 77 z llu„ 1.23
C. ?O X i,uli
d. - X louti - _ _
p. X „ull , 04
, 9 = ?6,sw
f. x liuli . oy
9• /30 x .,u„ ,
? -- - -r - -?'? .
h: - K „Ulk -- _ -
• i ` /Ov x $.ull
3 ................................... .Total ?6tthe If item p3 is the same as, or less than item 61, you ve intent
of SBC 6006(c)2.
. ?"
. .?
Total exposed roof/ceiling area = /.,e-X2-
3. Totai skylight area ............ ....... ... ... ` -
k. Total roof/ceiling framing area (average lOx)... /..??/..?
1. Total net insulated raof/ceiling area........... 1,:2 G".h`--
Oetertnine "U" value for each roof/ceiling segment.
„u„
k. 135!,Z x "u" OZC, - 3 y9'
!a??_, zf X „Ulf . CJr7-- = 3) -20
4 ..................................Tota1
?
If total of NCds the same as, or less than 02, you have met the intent of
58C 6006(c)1.
Alternate 6uilding Envelape Oesign
To utflize the totat envelope system method, the values Astablishod by the
sum of items 13 and 04 shall not 6e greater than the sum of items bl a:,d @2.
1. ..z.zs. 34? + 2. 3UF9 = .;? ?, ?s
3. /79-?6 + 4. ss
.?
WOOC•/CEILING
.? - Y -
U ?
NF1rP
Total
4/" , O?2S
Venced Heat flov
. up .
FIG. AS
Page Thcee
1. Interior ai Film 0.61
2:
3.
4. Ey,tr_t ur a 1 sL- S.GI-
. . ?, Total T
4.
' 5. OutsidCr o
i'l
0.61
Total
ConstYUCtton _ R-Valuo
1. Intcrior air film 0.61
2. P G??'' 1 bf
3. -??CCf%COI?_ ?FO
4. Fxtcrlor air film (still D.GI
1. Liside ir Eilm
2.
3.
ir, f
No4'Qt' Use ndditionnl sheuts if rt+orn space ir
? neee?ed for details aiid calculations.
.
I }!eat Ilou vp . vented
.,FIC. 16'
.
: nv??-r?:nicu if -
. He?t U
, flov up '
FT.A. 07 '
pX
, N • ` '
" - Wl16L SECTIONB '
,} UFe 15ik of apaque wall.aree for
freme consttuction
WALL
Conskruction R-Value
1, 1???- air film Oj6Q
].
3. inches sofr. i,rnori
?. , ,?,?•,%,?? 7 a:
?-
__?•
6. Exterior air fllm > 0.17
Total ,•, ? . r_ , , ?
Pir_ 41
.
FIG. R2
1--e
1. Intcrior aiz film 0.68
2. ? 7 " G'Y?t' i',' .: • ,
4. :St,' 6'?:? F:"r ?.='•:
6. Exterior air film 0.01
Total
?. ?>cl
1. Interior air film 0.68
" ? 'il' 'ttJ" y. Gv
'' 2.
d"G/7 /dd
•:; q. 2 e si - ,<., r :.C?
s?cc srxtt.? ;? `?-'-"? s. ? r ? s?n.•rvi •r
Pc:i?.ie:?l ? ,.? .• ---Q 6. Extierior a r£ilm 0.17
Total
?Xi 1v? -• ?•
?`?`?r • ki,? •? V b• . . • • . ??- i f .
`• " I ?,. • A• µ . '?ti. .
1. Intcriir air film 0.69
Z.
f00::ilaSICH ? ? n'+ , ?' • 3. /?" %asira ;` i. ,..: ? /•: -
RAL2. ?t?. C•?. T a. • 4.
?lq C 5.
r'K; h Pf:?-?j`,,`.` , • G: Exterior air film 0.17
? Total ?
. r_?. . .... . ;?,? „•;
SLAB ON GR11DE
??
?r?? .'i -A ?
E,.` ?rr ' , ' ' . • _ ?
?
/fl
' "".• ` j`? . r?c. na ? k •?. ` . , !«?,?
FIG. #3
• ? .• ? d /c???? rr = ?
/et _
NOM Indica.e tyoe, "n" value, depth and
, • ?. ' ? plhcenent of insulation.
?. '
. a : • -/ - • b ' s
FRANE WALL
REACTIVA7E _
PEit.MIT N „
(Oolnq)
c:i i x vr cAUHn
1993 BUILDING PERMIT APPLICATION
681-4675 '_, -, :
,
.?
1194 rOr II tlnk?"
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural 8 structurat plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month.
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date Valuation of work 00
5ite Address: ?3 c) i?;
STREET SUITE M
Tenant Name: (commercial only)
IAT ?? BLOCK ? SOBD.
I P.I.D. N
Descri tion of work:
[
The applicant is: O Owner Contractor ? Other (Describe)
Name ? EAwaRrPS 'Do } a- ?c.r?-??? Phone (agg - qk
Property LAsT FIRST
Owner 'Yl
Z
1
qddress i
,>r=
e?/
t 0
STREET STE M
City 9QQOvK. State'rY1'40110,z5a-m- Zip
Company Phone (Q94- 3 i3S
COntI'BCtOf Address o!( A(ye. S.? License #)` Exp.
City _S`T' State YYI:n)nZ?S?F} Zip & /
Company Phone
Architect/
Engineer Name _TT L) Reaistration N
Address
City State Zip
Sewer & water licensed plumber . Prucessing time for
sewer & water permits is two days once area has been approved.
I hereby acknowtedge that I have read this application and state that the information is
correct and agree to com y ith all applicable State of Minnesota Statutes and City of
Eagan Ordinances. ?
Signature of Applicant: ?
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation
? 02 SF Dwg.
? 03 Sf Addition
[3 04 Sf Porch
? 05 SF Misc.
WORK TYPE
?31 New
32 Addition
? 06 Duplex
? 07 4-Plex
? 08 8-Plex
? 09 12-Plex
? 10 Multi. Add'1
? 33 Alterations
? 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
d Df Stories S
Length
Depth 4W
APPROVALS
Planning
Engineering
REQUIRED INSPECTIONS
? Site
? Wallboard
Basement sq. ft.
lst F1. sq. ft.
2nd F1. sq. ft.
Sq. Ft. total
Footprint Sq. ft.
On-site well
On-site sewage
Building
Variance
V footing
`V.Fi nal
Ar
? 11 Apt./Lodging 4
O 12 Multi. Misc.
? 13 Garage/Accessor
? 14 Fireplace
X 15 Deck
? 35 Tenant Finish
? 36 Move
,
6 B2e F?i?nish
? 17 Sw1m Poo??
y ? 18 Comn./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facility
0 21 Miscellaneous
? 37 Demolish
MWCC System
City Water
PRY Required
Booster PumP
Fire Sprinkler
Census Code ?
SAC Code
/
d
Assessments
p Framing ? Insulation
O Oraintile ? Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
5/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Oed.
Copies
Other
Total:
`.
ai+OV v.tu.tim: $
050
SAC %
SAC Units
- ?12x ?niFrF,rt4t C+ ?".
7118? II1C4
'• µdu?? l?ddr?gftc 1?07..?-?? ? i
.., .? , ?
?as?7 ??••. °3` ? . ` .?? .?
.,
Ot ?/
.4
T
????v \ h \ '
f ?v
C. `
\ ?! 'A
?
4t??
y
., ,
\.
. ?? !? \ ?` ? ? , '?! /1 b'. .
?? ?? ?? \. tl ???*y?. ?Q, ?,. f ,L?•?' i ?', ?'•. .,
c r,?
J
;- • _ _ ? . . . _
:..?_ _. .
41,
h f
_ ?. . / r .
V J
l ? ? '? b? ? ?, ?• ,? ??. ? ?
CITY OF EAGAN
3830 PIIAT KNOB ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
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--------------
WORK DESCRIPTION
PLEASE COMPLETE UPPER PORTZON ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
NEW CONST
ADD ON ?
REPAIR
OWNER NAME:
SITE ADDRESS: '1'597 /1 , L' 'H"E?1E
LOT: 13 BLOCK e-L SUSD. 4=
?y
INSTALLER:
ADDRESS: ??d ? ???? ???
CITY: ?o .5? PAit/ 1 ZIP: ?? ?? ?
J ?J
.? U/ C°
SIGNATURE OF
? ?jyL.,'(to FEES
TOTAL:
18 OF CONTRACT FEE.
STATE SURCHARGE _ $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18 $
STATE SURCHARGE $
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND
MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
-------------
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:
LOT: BIACK _ SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP: .
PHONE
FOR:
TOTAL:
FOR CITY USE ONLY
PERMIT #
RECEIPT #
DATE:
•------------------------------
COMPLETE THE FOLLOWING:
N0. FIXTURES EA. TOTAL
ADD-ON MINIMUM 15.00
_ SHOWER 3.00
_ WATER CLOSET 3.00
BATH TUB 3.00
LAVATORY 3.00
_ KITCHEN SINK 3.00
LAUNDRY TRAY 3.00
_ HOT TIIB/SPA 3.00
WATER HEATER 3.00
_ FLOOR DRAIN 3.00
GAS PIPING OUT.
_ (MINIMiJM - 1) 3.00
_ ROUGH OPENINGS 1.50
OTHER
? WATER SOFTENER 5.00 ?
PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
SUBTOTAL
ST. SURCHARGE
$??
.50
$
( S I GNAT[TRE )
CITY OF EAGAN
L ? eL CITY OF EAGAN
' - f? ? PLUMBING PERMIT
SUBD. ! Y n, p? (612) 681-4675
RESIDENTIAL
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS
WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION
NEW CONST ?
ADD ON _
REPAIR
CITY USE ONLY
RECEIPT L- C)Q
DATE ?i
ALSO, FOR TOWNHOMES AND CONDOS
COMPLETE T1iE FOLLOWING:
owNE[t NaME : 'aw ?ZA 114-?5
SITE ADDRESS: 1 ! ili GLl QLG ''? /??
INSTALLER:
ADDRESS:
CITY: Le-ZIP:
PHONE 7 L/I
N0. FIXTURES EA. TOTAL
REPAIR/ADD ON 15.00
? SHOWER 3.00 3
WATER CIASET . 3.00 cl
? BATH T[TB 3.00 ?
'.3 IAVATORY 3.00
L KITCHEN SINK 3.00 3
? LAUNDRY TRAY 3.00 3
HOT TtTB/SPA 3.00
T WATER HEATER 3.00 3
? FLOOR DRAIN 3.00 ?
GAS YIPING OUT.
? (MINIMiTM - 1) 3.00 ?
_ ROUGH OPENINGS 1.50
_ OTHER
_ WATER SOFTENER 5.00
PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
_ W. TURNAROUND 15.00
Z?? STATE SUACHARGE .50
SIGNATURE OF PERMI E TOTAL: &• ? o /
?
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-FAMILY
BUILDZNGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT.
WORK DESCRIPTION:
OWNER NAME:
SITE ADDRESS:. _
TENANT NAME: _
SUITE #:
INSTALLER:
ADDRESS:
CITY:
PHONE #:
FOR: _
CITY OF EAGAN
CONTRACT PRICE:
1% OF CONTRACT FEE. .
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 1%
STATE SURCHARGE
TOTAL:
?
(SIGNATURE)
$
$
CITY OF EAGAN FOR CITY USE ONLY
3830 PILOT &NOB &OAD
EAGAN MN 55122 PERMIT #
PHONE (612) 454 5100 RECEIPT #
WBbNICAL ?'ERMI'? DATE: 8ItESI"37TIAi.:'
WORX DES
NEW CONST 2/
ADD ON _
REPAZR `
OWNER NAME:
SITE ADDRESS:
IAT: ot BI
INSTALLER: ,[
ADDRESS: (
CITY: a
PHONE
PLEASE COMPLETE IIPPER YORTION ONLY FOR SINGLE 1
TOWNHOMES/CONDOS WHEN PERM2T5 ARE REQUIRED FOR EACH UNIT.
FEES
ADD-ON MINIMUM
HVAC 0-100 M BTU
ADDITIONAL 50 M BTU
GAS OUTLETS - MINIMIJM
OF 1 PER PERMIT
DWELLINGS . &
$15.00
24.00
6.00
3.00
SU&TO?AL: 5_2z?°0
STATE SURCHARGE: .50
? SUBD.? TOT . $?
9 ?- SIGNAT[7AE OF PERM TTEE
? ZIP:
?Q#Il4ERCiAT.fiNDIISTRTAL; PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDIN6S,
APARTMENT BUILDINGS, AND MSTLTI-FAMILY BUILDINGS iTHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING UNIT.
----------------------------- ---------------- _______------ -__________---- _--- ____
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:
IAT: BIACK _ SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE
FOR:
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE - $.SD FOR
EE11'H $1,000 OF iEicMIT rEE.
PROCESSED PIPING - $25.00
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18 $
STATE SURCHARGE $
TOTAL:
(SIGNATURE)
CITY OF EAGAN
#11I'
C!tyofEa�ail
Date:
Tenant:
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
`Ljt
�\
Use BLUE or BLACK Ink
For Office Use
Permit #: ! i�J S 3 J
Permit Fee: (.QC .o
Date Received: I 14 13
Staff:
2013 RESIDENTIAL PLUMBING
1B_ING PERMIT APPLICATION
) I ((� Site Address: 3S-4- I`)l U he- 1 e Dv'j3 1 Z
errh Um Suite #:
Resident/Owner
Name: l^c as cti 7tv . Phone: (ns (- 32.9 - R is
Address / City / Zip:
Name: _iM� -� \ C1 16 -� icLicense #: f5 1-nS - PH
a.�,�
Address: \ "1 k b 5 --e-Uzi-9-0<" .)1 E City: WI bV
State: NN Zip: Phone: 41.4 1 `SCJ ---1 I
Contact: .-111 Email:
New )X Replacement _ Repair
Rebuild _ Modify Space _ Work in R.O.W.
Description of work: 'CI,CC
RESIDENTIAL
Water Heater
Lawn Irrigation L . RPZ / _ PVB)
Septic System
New
Abandonment
Water Softener
Add Plumbing Fixtures l_ Main / _ Lower Level)
Water Turnaround
RESIDENTIAL FEES:
$60.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$60.00 Lawn Irrigation (includes $5.00 State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
"Water Tumaround (add $200.00 if a 5/8" meter is required)
$105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
TOTAL FEES $ LOU —
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.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.
x
(-1veg
Applicant's Ptinted Name
Applicant's Signa
re
FOR OFFICE USE Reviewed
Required Inspections: _Under Ground _Rough -In Air Tes
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA117820
Date Issued:10/23/2013
Permit Category:ePermit
Site Address: 1387 Michelle Dr
Lot:3 Block: 1 Addition: Hidden Valley
PID:10-32900-01-030
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required by law in ALL single family homes .
Dan Lahr
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 -
Quentin Van Egdom
1387 Michelle Dr
Eagan MN 55123
Snap Construction
8200 Humboldt Ave S
Bloomington MN 55431
(612) 360-1033
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA121046
Date Issued:03/11/2014
Permit Category:ePermit
Site Address: 1387 Michelle Dr
Lot:3 Block: 1 Addition: Hidden Valley
PID:10-32900-01-030
Use:
Description:
Sub Type:Siding & Windows/Doors
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of house wrap and leave on site for 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: 8,000.00
Fee Summary:BL - Base Fee $8K $162.25 0801.4085
Surcharge - Based on Valuation $8K $4.00 9001.2195
$166.25 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 -
Quentin Van Egdom
1387 Michelle Dr
Eagan MN 55123
Snap Construction
8200 Humboldt Ave S
Bloomington MN 55431
(612) 360-1033
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA146043
Date Issued:10/05/2017
Permit Category:ePermit
Site Address: 1387 Michelle Dr
Lot:3 Block: 1 Addition: Hidden Valley
PID:10-32900-01-030
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 -
Christine L Corle
1387 Michelle Dr
Eagan MN 55123
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:Mechanical
Permit Number:EA169961
Date Issued:06/16/2021
Permit Category:ePermit
Site Address: 1387 Michelle Dr
Lot:3 Block: 1 Addition: Hidden Valley
PID:10-32900-01-030
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Christine Lynn Corle
1387 Michelle Dr
Eagan MN 55123
(763) 439-0087
One Hour Heating & Air
11825 Point Douglas Rd S
Hastings MN 55033
(651) 437-4177
Applicant/Permitee: Signature Issued By: Signature