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600 Middle LaneINSPECTION RECORD GITY OF EAGAN PERIIAIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: SITE ADDRESS: L ' n z ' w f or7 i 1 t1131 F.' .# ANl MA?Nf)I4 lN1.k AkU PERMIT SUBTYPE: 4,r.l, f tilr+o 0 4 i ?t4a 01, j .t :• .' c114 ! • ' P 1 IF '- ? APPLICANT: .. ? . i, fn3t,H6 .J1 Es6 TYPE OF WORK: ? , ' ? . ,.,.. , . ...< <,, F. Lw AR?-, . Pi p N Vt= *.r 1t (Jt F) BY t Mr r? t' HARr. k Permit No. Permit Holder Date Telephone # ELECTRIC PLUMBING HVAC Inspaction Date Insp. Commenta FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG dRSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FfG 7,?d DECK FINAL _ (? INSPECTIUN RECURD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: 1IJ i : MANOit I.AKE :1 kLT1 PERMIT SUBTYPE: , -,: . • r? : .il 1 !slacKI Fii)1lli[N1 A3i3htf., oe/!?./9i APPLICANT: J-jr; f, (ta17) fsttt;-I)Fsb TYPE OF WORK: OESCRIP"fT(IN 11AV1U k I TtRA1 tnM irFf tFvr i INSPECTION DA . .• ?H I ' • . . J Psrmit No. Permit Holder Date Telephone M ELECTRIC PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPIACE FIREPLACE AIR TEST FINAL PLBG I FINAI H7G OFSAT TEST I BLDG FINAL BSMT R.I. ^A4a, I BSMT FINAL _°? r? OECK FTG DECK FINAL I ?? s`'? ,'' •? y ? • ?I? J? . ?. 1' '' (gtr#i#ira#t uf Orrupanry Citp of eagan tatrttt n# ?iuilaiag Jwrrtian M CertifuaQte issuad pursuant to the nequirementr ojSectioa 306 oJtlie unifornt Building Code certifytng 1ha1-at 1he tinre of issuance lhit structure ww in camplrance wilh tlre Parious wdirwirces of t1se City rrguJaling buildritg contructian or use For the jollowing. u.eckwficgd„ SF DWG/GAR Nft,h,m;,mm 20140 oaa,p,n, ryM R 3/M 1Zoniq Ds,;a R 1 .n,le e-- VN om,d sA&MIOP VAII.IE BCMES „i„d, 2500 W. 00[RdIY E?3, 42, BUFOUMZ.,E POST IN A CANSPICUOUS PLACE RFAGT'=v4X1) FbR BSW FINISH 03/25/93 CITY OF EAGAN DAViD JOHIt0N 488-2222 3830 Pilat Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 681-4675 BUILDING PERMIT To 6e used for SF a'WG/CAit Est. Value ;92 Site Address """ """t-t " Lot 1 Block 2 Sec/Sub. ??R LMM 3RA Parcel No. NalT18 •vr .a+wa ?sain?a w Address 2500 IJ COUNTY ROAD 42 ? Cfty MiilIf3V2Ll.E iKN Zip 55737 o,,,,,1e 894--6945 --? Zp ? v I License # I hereby acknowlege that 1 have read this application and state that the fnlormation is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature ol Permitee A Building Permit is issued to: TOP VAL[JH HO!!ES on the express condition that alI work shall be done in accordance with all applicable State ot Minnesota Statutes and City of Eagan Ordinances. Building Official L-201 4Q Receipt # ? OFFICE USE ONLY Occu,pancy R`3 m-1 R" 1 FEES 1 . 406.00 91d9 PemNt' Zoning (Actual) Const V-P V=X . Surcharge "•? (Aflowable) # of Stones ftn Review 392.00 ? f L?? 5.? l.englh Oepth ? ? SAC.City 10Q.00 S.F. Total - SAC, MCWCC 700.00 S.F. Footprints On Site Sewage - _ Water Conn 675.00 On Sile Well Water Meter 9S•? MWCC Syslem X ? ? City Water ? Acct. Deposil ? PRV Required X S/W Permit 30000 Booster Pump - gM/ Surcharge _i50 Treatment PI 300•00 APPROVALS qoadUnit 380•00 Planner - pyrk ped. CounCil -- BIdg.Otf. - Copies Varfance - TOTAL 3,357.50 Permit No. Permit Holder Date Telephone aY IS/1N PLUMBING a3 rp2 SrQ -?Q ??' rivAC ? 3 3-3 S f1'?'D-SD? REcrRic aFCrRic o r9 ? ?& °° Mspectlon Dete Insp. Comments Footings I Lv Foundation Framing Z.p-QZ S' - Roofing Rough Plbg. Rough Htg. -r01/-) Isul. F?reptwe Final Htg. ' =f- l i Orsat Test Fitial PIb9• -? ?- V PI6g. inspector - NoGty Plumber Const. Meter Engr./Plan eldg. Final Dedc Ftg. Dedc Final Well Pr. Disp. SEWER & WATER PERMIT CITY 4F EAGAN 3830 Pilot Knob Rd. Eagan, MN 551,22-1897 DATE FF.R 24 1992 ' OFFICE USE ONLY METER 415 PERMIT DATE 02/25/92 CHIP # D a g 1 .1 34 °2 PERMIT # 12571 METER SIZE S Se RI Su 5 B.P. RECEIPT #' ? ? ISSUE DATE '?? Z??! a B.P. RECEIPT DATE 021241 92 XL PRV _. BOOSTER PUMP SITE ADDRESS 600 MIDDLE LN LOT 1 BLOCK Z SEC/SUB MANOR LAKE 3RD APPLICANT: ADDRESS: _ CITY. STATE PHONE: ZIP PLUMBER: MCDERMOTT PLBG INC ADDRESS: 12350 RIVER AIDGE BLVD CITY, STATE BURNSVILLE MN Zlp 55337 PHONE: 890-9084 OWNER: TOP VALUE HOMES ADDRESS: 2500 W COUNTY ROAB 42 CITY, STATE BURNSVtI.i.g MN ZIP 55137 PHO ?NE: 9?+- G , PERMIT REG2UESTED X SEWER X WATER - TAPS _ COMM/IND ? RESIDENTIAL x NEW EXISTING Lawn Sprinkler Meters are to be Installed Ahead of Domestic Meters on Water Line. Credit WILL OT be.given or Deduct Meters. / I AGREE TO COMPLY WITH CITY OF AN ORDI ANC a---? SIGNATURE WHE ETER ISSUED PLEAS? ALLOW ?O`?OF?ICING DAYS FdR F?ROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. r I ?;; SEWER & WATER PERMiT CITI( OF.•EAGAN 3830 Pilot Knob Rd. Eagan, MN 5$f22-1897 , •DATE , PEB 24 1992 OFFICE USE aNLY METER # PERMIT DATE 02/25/92 CHIP # PERMIT # 12571 METER SIZE B.P. RECEIPT # ISSUE DATE B.P. RECEIPT DATE 02 24 92 x PRV - BOOSTER PUMP StTE ADDRESS 600 MIDDLF. LN LOT 1 BLOCK 2 SECISUB MANOR LAKE 3RD APPLICANT: ADDRESS:_ CITY. STATE ZIP PHONE: _ PLUMBER: !'4CDERMOTT PLBG INC ADDRESS: 12350 KtYER RIDGE BLVD CITY, STATE BURNSVIf.LE MN Zip 55337 PHONE: 890-9084 OWNER: TOP VA1.UE HOZ4ES ADDRESS: 2500 W CUUHTY ROAD 42 CITY, STATE $URNSVILLE llf3 Zlp 55337 PHONE: 894-6"i45 PERMIT REQUESTED X SEWER x WATER - TAPS - COMM/IND x RESIDENTIAL X NEW EXISTING Lawn Sprinkler Meters are to be Installed Ahead of Domestic Meters on Water Line. Credit WILLfIOT be given for Deduct Meters. I\ ./^' f Fl ' . _•L/ ' 1 ? I AGREE TO COMPLY WITH CITY OF EAGAN ORDINANCES SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. CITY OF EAGAN ?O ? O 1 4 O 3830 Pilot Knob Road, P.O. Box 21-199. Eagan, MN 55121 BUILDING PERMIT PHONE: 681-4675 Receipt # t 7 J'?? ?- `/ To be us-dfor SF DWG/GAR Est. Value $92 , 000 Site Address 600 MID?LE LN Lol 1 Block _2- Sec/Sub. MANOR I.AKF 'tRn Parcel No. Name TOP VALUE HOMES ? qddress 2500 W COUNTY ROAD 42 Cjty BURNSVILLE MN Zjp 55337 O PFwne 894-6345 CC Name SAME ? Address ? city Zlp ? Phone License H I hereby acknowlege that I have reatl Ihis application and state that ihe informalion is correct and agree to comply with all applicable State of Minnesota Statutes and Ciry ol agrQ?inances. Signature of Permitee A Buiiding Permit is issued to: TOP VALUE HOMES on the express cnndition that all work shall be done in accordance with all applicable State of M,i/n?nesota Statutes antl City ot E?gan Ordinances. Buildin9 Oflicial p?,(Nlq ? ?,e. ? ! P OFFICE USE ONLY occupancy A-3. M=1 FEES Zoning R-1 Bldg. Pertni[ 604.00 (nctuap Const V-N Surcharge 46.00 (Aliowable) V=N . pI a„ qevie,,, 392.00 A ol stories Lengtn 56' UoersB 5.00 Depth 48 ? SAQ Ciry 100. 00 S.F.TOWI - SAC,MCWCC 700.00 S.F. Footpnnts - OnSiteSewage _ WaterConn 675.00 on Site well water Meter 95.00 MWCC System X City Water X Awt Oeposil 30. 00 PRV Re9uired x SNJ Permit 30. nn Booster Pump - SNJ Surcharge .5 n Treatment PI 300.00 APPROVALS RoadUnil 390•00 Planner - park Ded. Council BIdg.011. _ Copies Variance - TOTAL _ 3.357.5? ov ReQU st Dal Q? 7 Fi o, ough-in Inspection R uiretl? O Reetly Now AW ill No[ity Inspector ? R 0 7 ?VBS ? No en ea y IEl licensetl contractor ?owner hereby request inspection oi above electrical work at: Joo Atlar ss Slreet. Box r R N? 6 r?i•outdJe ti4,? L- Ciry Settion No. Tawnshi0 Name or No. Renga No, COUnty Octupa FMT) r 1 kn Phone No. CJ SDh _lUlY A. ? Power Supplrer qtltlress Eiecpany Namaj Controcmr§ License No. g;4Jrl S f" Mailing Atltlress i onlrector or Owner Meking InstallaLOn) ov? Ru oriEetl & IC Vactor/Ow er Me ing In allation) Phone Number Q & - ?/U(C51 MINNESOTA STATE BOAq OF ELITY ' 9L THI$ INSPECTION REOUEST WILL NOT Grlgga-Mitlway Bldg. - Poom 5173 BE ACCEPTED 6V THE STATE BOARD 1811 Unlverslly Ave., St. Paul. MN 551 UNLESS PROPEfl INSPECTION FEE IS Phone(612)60t-0800 ? ? ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ? See insvunions lor completing Uis lorm on oack ol yellow copy 39861 .='Y," Befaw Work Covered by This Request ?:$,?;,??: ew Adtl Rep. TypeofBuilding AppliancesWired EquipmentWired Home Range Temporary Service Duplex Water Heater Eleciric Heating Apt.Building Dryer Othec.(Specity) Comm./Industrial Furnace Farm Air Conditioner Other (specify) ConttacrorS Rema 5?,}. ?nrs??ti Compufe /nspection Fee Below: # Other Fee # ServiceEntrance5ize Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps o to 100 Amps Trensiormers A6ove 200 _ Amps A Amps Signs InspecMarS Use Only: T O TOTAL ? Irrigation Booms 6 n ? c?lo Special Inspection V AlarmlCommunication THIS INSTALLATION MAY BE ORDE DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTH I, the Electrical Inspector, hereby RougRin oate G' L'y? certity that the above inspection has been made. F;nai oare d OFFICE USE ONq Tnis raquest voio 18 monlns irom , i?-- i./I.SOG, 9 J16 5 0 1 Request Date' -?? 7 No. fl0ugh-in Inspedron Repuired? ? FeaEy Now ?'Will Nolity Inspector Ves O No When Reatly? IWlicensed contractor O owner hereby request inspection of above elecVical work at: Job AEtlress (SlreeG Box or Route No.) r 600 City ?J 1 / Seclion No. Township Name or No. RangeNO. Counry - Occupant(PRINT) d If o??- o.AP"P Phone No. Power Su ier '4 AtltlresS ? ??liil ElecVical ComraQOr (GOmpany Name) - ( ('qnVacfor5 Ucense No. Meibng Atltlress Conlractor or Owner Making InsWllation) r % i Aulhorizea pna'ure,?? lOan MgyASyi'? t'-??- Phone Nu?? MINNESOTq OATE BOARD OF ELECT76 Y Griggs-Mitlway B10g. - Naom S173 1821 University Ave., SL Paul. MN 55109 vtwnc(6t2)642-0800 THIS INSPECTION FEQUEST WILL NOT BE ACCEPTED BY TME STATE BOARD UNLE55 PROPER INSPECTION FEE IS ENCLOSED. ??p/9? REQUEST FOR ELECTRICAL INSPECTION EB-0OOD1-0e ? s« .' svunirn% mr emmmcrnn rmm in„n nn naek ni van? rnnv. e4nVI??- .,/n RAl g _J1 6501 ? . ?__. ...?_z . "X" Below Work Covered by.7his Request ?a.s ' ew ?Add Rep. TypeoiBUiltling AppliencesWiretl EquipmeniWiretl Home Range Temporary Service Duplex Waler Heater Eledric Heatinq Apt Building . Dryer Other (Specify) Comm./Intlustnal Furnace Farm Air Contlitioner 01her (specily) Contracbr§ RemaMS: Compute lnspection Fee Below: # . Other Fee # SarviceEntranceSize Fee # CircuiGSlFeaders Fee Swimming Pool 0 to 200 Amps O 0 to 100 Amps ? Transformers Above 200 _ AmpS !+bove 100 _ Amps Signs insceeor? Use Oniy: TOTAL Irrigation Booms J Special Inspection ? Alarm/Communication THIS INSTALLATION MAY BE DISCONNECTED IF NOT Other Fee COMPIETED WITHIN 18 MO HS. I, the Electrical Inspector, hereby i RO1?n-m oa ?, ? y cert fy that ihe above inspection has been made. Finai oa?e OFFICE USE'JNLY This request witl 18 rtwnths hom ? -- CITY OF EAGAN 3830 Pilot Knob Aoad Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: PERMIT PERMIT TYPE: Permit Number: Date Issued: 600 MTDDLE LflNE LOT: 1 BI.OCK: 2 MANOR LAKE 3RD P.I.N.: 10-47277-010-02 DESCRIPTION: DECK NEW 434 ALT. RESIDENTIAL ' F 4 o t7 ? ? REMARKS: PLAN REVIEWEq BY: FEE SUMMARY: Base Fee 5urchar9e Total Fee MIKE BARCK $50.@0 .50 $50.50 Bl1ILDSNG 031944 05/12/9$ CONTRACTOR: I I F.F -g z rc ` :.k? ? I he????? acknewle?l,?? ?k?at ;? ph; nd ??/•Ld-?--- APPLICANT/PEFMI IGNATURE OWNER: - Applicant - JOHNSQN DAVTD 600 MIDOLE LANE EHGAN MN (612)686-7186 ?? ? ...,:, ., , ,. .. rr':I:..i? ?? :-:I.;r. , '-;.i•i-:._ . . . .. h ....., .. ; .. . ... ,.,. .,;i .i ' o.,. ...,^ ?, i.......... . . , . .Y -?'. 1998 BUILDING PERI4IIT APPLICATION (RESIDENTIAL)?S? S? (?l ? crrY oF Fnc.ax `f 3830 PII.OT KIQ08 RD - 65122 481-4675 150- New Construction Reauirements RamodeUReoair Reauirements ? 3 regiatered site surveys • 2 copies of plans (inGutle beam 8 window saea; poured fid. design; etc.) ? 7 energy calwlatlons ? 3 mpies of tree preservffiion plan ff lot platted after 7/7l93 required: _ Yes _ No DATE: ? 2 copies of plan ? 2 ade surveys (exterior addi6ons d dedcs) ? 1 energy calaletians for heated addkions CONSTRUCTION COST; DESCRIPTION OF WORK: N?ivJ !?-k CFmSi Quc-sc f o n) STREET ADDRESS: ? ? LOT: f_ BLOCK: SUBD./P.I.D. 13 Name: SOt-? Phone #: I0 S (o PROPERTY Last First OWNER ? /? Nn f " ? Sa eet Address: ?0 p-! City State: Yn r Zip: S 5! 2? Company: ? ^ -- ? .1aS ?5 Phone #: CONTRACTOR Street Address: License # City State: Zip: ARCHITECT/ ENGINEER Company: P6one #: Name: Registration #: Street Address: Ciry State: Zip: Sewer 8 water licensed plumber (new construction only): . Penalty applies when address chang and lot change is requested once permit is issued. I hereby acknowledge that I have read this applica6on and state thet the information is wRect and ag to mpty with all applicabl Sfate af Minnesota Statutes and City of Eagan Ordinances. ` (` ? Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received _ Yes _ No MAY - Tree Preservation Plan Received - Yes - No - Not Required OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex 0 02 SF Dwelling ? 07 4-plex ? 03 5F Addition ? 08 8-plex ? 04 SF Porch ? 09 12-piex ? 05 SF Misc. [3 10 _ plex WORK TYPE )3-"31 New ? 33 Alterations 0 32 Addition O 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning ? 11 Apt./Lodging ? ? 12 Mufti RepaidRem. ? ? 13 Garage/Accessory ? ? 14 Fireplace ? ?Z15 Deck ? 36 Move ? 37 Demolition `'?-. .. 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous Basement sq. ft. MClWS System _ Main level sq. ft. City Water _ sq. ft. Fire Sprinkiered _ sq. ft. PRV _ sq. ft. Booster Pump _ sq. ft. Census Code. _ Footprint sq. ft. SAC Code Census Bldg Census Unit Building Nl? Engineering Variance H c/ o? ?Z Permit Fee Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies To,ta %SAC ?VAC Unirs"b' Valuation: $ .. -- -? w.... _ ...,.._..._ ......? ; P i o I/er En9 i naer i r,s LANE ? ?. * * * * PIONEEI ? engineer ***-k •? LAND SuRVEYORS. CIVIL 6NGINEEtiS LwNOVUAlYpEFE . lANOSCqPfi ARV'HRFC ttt193 2422 Enterprls4 Drive Mendota Heights, NIN 55120 ,11.(612) 681•1914 Certificate ot Survey for. Top Va I u e H om es. I r1 C. MIDDLE _ q. -ga E - - -----?----------??. _---------- z O -Ay` ? 'M LJ Q LI7 ? Coi LO ? 5 N 89'24'47" E ti a 10 .40 ,:r.. 0 ?------ -- ---- ?F . RIV W I S O hY E ? ? I 22.00 ? r`?-,-?•.:• z1.33 2200 I 0 10.07 I I o GAftACf o b, ? I Q 24,J0 O W I I ? VROPOSEO HWSE U7 T FOUR LEVEt W FOUNDAfION ? I22.00 ?? ?_ 22.00 I m I ? I / ?Zxz¢ 1 I i I sl I L ----------------J N 1Q0.00 5 89'24'47" W ...._ ? . _. '? ?:? ?. ?: .. . ° P.02 7 • . G? ? .. .., , sao.c Denotes soo.-o Denotes Existing Elevatlon Proposed Elevation PROPOSED MOUSE ELEVATION -- Denotes Droinage & Utility Easement Lowest Floor Elevation: i _', o ---Denotes Drainage Flow Direction Top of Block Elevation: •?.--;,; -o-- Denotes Monument Garage Slab Elevotion: "n -t3- Denotes Offset Hub Beofings shqwn are ossumed _OT 1 BLOCK 2 MANOR LAKE 3RD ADDITION , ?? DAKOTA CDUNTY, MINNESOTA 1 hereby certify that this iurvey, plan or repoft wea pra?rarotl 6y mO aF untlar my naei cna Iaw? of the Sfa4 of Minnesotg Oateq thla? = ' tlirect tuperviPon and thaf I am duly Reyiazered L:?nd Swvayor , tloy of ? .. r---'-,-.- ;T :f. A. D. 19 rt_ . ? c a I e: 1Inh= 3 Ofeet _ .j'. .'..?* /-?'? . :'e'•. ?v ROBENY B. $IKICM L.S. NEG. NO. 14691 ? EITYOF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT PERMIT TYPE: Permit Number: Date Issued: BUILDING 030605 08/12/97 S1TE ADDRESS: 600 MIDDL.E LANE LOT: 1 BLOCK: 2 MANpR LAKE 3Rp P.I.N.: 10-47277-010-02 DESCRIPTION: 4TH LEVEL rmit Type BASEMENT FINISH r„h rype ALTERA7ION 434 ALT. RESIDENTIAL f?' a. ? . ? ? ? .. . REMARKS: FEE SUMMARY: Base Fee Surcharge Subtotal $50.00 $.56 $50.50 CONTRACTOR: ? I L.. 4 )'n .1 .. .. a 3dp • ?,I, ff8i"'4!'?.)7s`dGlki'lQWf8dg,@? t#Y?i':?h'. anfwt?,an is crsr?r?ct a?' r??; amd C3.ty ?a-t iJr' APPLICANT/PERpt &-SIGNATURE copxEs (2) s.se Tntal Fee $51.00 OWNER: - Applicant - JOHNSON DAVID 600 MIOOLE LANE EflGAN MN (612)686-7186 0??5?? "- ISSYEV BY: SIGNATURE '1..????F?ikY?:?I-n?;c:h 9a<?:iF.,ti' ?.Ci4' fll'' +ii',4t.;P;•J q?, ?'"i'',,, ,f.IC' ,,, , :.;?_ . . ,, ,. 0-., .<F Y?:F? ??'...., . ...... ir: a ?.._i"7R!P: `-;Ct-;g F,fit] T4IIIrJi_li-. 'i )rYt.•.:! 600 , M:L'f.lYy 1 ? lg,ff. 0,. `.'F1 0.9?) 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) 3???1 S CITY OF EAGAN 3830 PILOT KNOB RD - 65122 681-4675 Company: ? 3 registered aite surveys ? 2 copies of plan ? 2 copfes oi plens (indude beam & wintlow skes; poured fid. design; etc.) ? 2 site surveys (exterior eddiuons 8 tleacs) • 1 eneigy calculations ? 1 enorgy calwlations for heated adddions - ? 3 copies of tree proservation plan H lol platted after 7/1/93 required: _Yes _ No ? ? DATE: (fl rI CONSTRUCTION COST: DESCRIPTION OF WORK: rI V{/ J "C ,!?TREETADDRESS: I?OD "i'id/IIf. ?-AYIe- EaQ6i-) Mn{ 56o3--a1,45 LOT ? BLOCK Z SUBD.IP.I.D.Wnnr Uh , A0ei,&Ln PROPERTY Name: JOhr?Son YVet& '' C?L.V6 Phone #: ?14 -Ieg1ri? 186, owNeR Street Address:-LPM ? r L?.l P_ L.art L City: GCc_Qt'ln State: M? Zip: CoNrw4cr?& Company: Phone #: ??ve ? Street Address: License #: City: State: Zip: ARCHITECT! ENGINEER NIq.. Name: Phone #: Registration #: ?`?/, a Street Address: City: Sewer 8 water licensed plumber (new consVUCtion only): and lot change are requested once permit is issued. Zip: Penalty applies when address change I hereby acknowledge that I have read this appliption 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 Certificates of Survey Received _ Yes _ No State: AUG 0 7 1997 Tree Preserva6on Plan Received _, Yes _ No _ Not Required OFFICE USE ONLY BUILDING PERMIT TYPE 0 01 Foundation ? 06 Duplex o 11 Apt./Lodging n 02 5F Dwelling ? 07 4-plex o 12 Multi RepaidRem. ? 0 03 SF Addition o 08 8-plex o 13 Garage/Accessory ? ? 04 SF Porch o 09 12-plex ? 14 Firepiace ? ? 05 SF Misc. ? 10 _-plex ? 15 Deck WORK TYPE 0 31 New 33 Alterations ? 36 Move 0 32 Addition o 34 Repair o 37 Demolition GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth F21;j1:101WM1 Planning Permk Fee Surcharge.. Plan Review License MCNUS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Traiis Ded. Other Copies Total: 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous _ Basement sq. ft. MC/WS System _ Main level sq. k. City Water _ sq. ft. F'rre Sprinklered _ sq. ft. PRV _ sq. ft. Booster Pump _ sq. ft. ? Census Code. _ Footprint sq. ft. SAC Code Census Bldg _f Census Unit Building rYrA Engineering Variance Valuation: $ % SAC SAC Units 1 2 L BL ' Manor Lake, 3rd Addition suan. 1- RESIDSNPIAL CITY OF EAGAN PLUMBING PERMIT (612) 681-4675 PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. WHEN PERMITS ARE REQUIRED FOR EACH UNIT. --------------- ---°--° ------------------------------ WORK DESCRIPTION / N0. NEW CONST ADD ON ? REPAIR Z OWNER NAME: Top Value Homes SITE ADDRESS: 600 Middle Lane / ? ? / ? INSTALLER: McDermott Plumbinp Inc. ADDRESS:12350 River Ridqe Blvd cITy; Burnsville Mn Zip: 55337 PHONE #; 890-9084 ? ? CITY USE ONLY RECEIPT # C L-i 7 j - DATE 3 oZ 3 ?--' ALSO, FOR TOWNHOMES AND CONDOS COMPLETE THE FOLIAWING: FIXTURES EA. REPAIR/ADD ON 15.00 SHOWER 3.00 WATER CIASET 3.00 SATH T[TB 3.00 IAVATORY 3.00 KITCHEN SINK 3.00 IAUNDRY TRAY 3.00 HOT TUB/SPA 3.00 WATER HEATER 3.00 FLOOR DRAIN 3.00 GAS PIPING OUT. (MINIM[TM - 1) 3.00 ROUGH OPENINGS 1.50 OTHER WATER SOFfENER 5.00 PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 W. TORNAROUND 15.00 STATE SIIRCHARG OF PERMITTEE TOTAL: TOTAL 3 4 3 3 3 3 -- .;? 3'+. ° rT E .50 s 35' 8? COMMERCIAL PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. AL50 FOR MULTI-FAMILY BiIILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. WORK DESCRIPTION: OWN$R 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 SURGHARGE TOTAL: (SIGNATURE) CTI'Y OF EAGAN Lt- B, 2 MECHANICAL PERMIT RECEIPT # C 0 ? 7 SUBD. Manor Lake, 3rd Addition (612) 681-4675 DATE 3 RESIDENTIAL PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMII.Y DR'ELLINGS. ALSO, COMPLEI'E FOR TOR'NHOMES/CONDOS WHEN SEPARATE PERMTl'S ARE REQUIRED FOR EACH DWELLING UNIT. OWNER: FEES SITE ADDRESS: 600 M i d d 1 e L a n e ADD ON/REMODEL (EXISTING CONSTRUCfION ONM $ 15100 HVAC: 0.100 M BTU 24.00 INSTALLER: M c D e r m o t t P 1 u m b i n g I n c. ADDTI'IONAL 50 M BTU 6.00 ADDRESS: 1 2 3 5 0 R i v e r R i d e B 1 v d. GAS OUTLEfS - MINIMUM 1@ $3 Fr1. 3 •n CITY: B u r n s v i 11 e ZIP: 55337 SURCHARGE $ .50 SIGNAT[J ___?/li//' ? TOTAL: $ Zq. Sa COMMERCIAL PLEASE COMPLETE TFIIS PORTION FOR ALL COMMERCLWINDUSTRIAI. BIIILDINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUII.DINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNTT. j WORK DESCRIPTION: 1% OF CONTRACT FEE. STATE SURCAARGE IS $.50 FOR EACH $1,000 OF PERMIT FE& PROCESSED PIPING - $25.00 CONTRACf PRICE: a $ MINIMUM FEE - $25.00 OWNER: TOTAL: I S SI1'E ADDRESS: 1'ENAIVT: SUI1'E #: INSTALLER" ADDRESS: C1TY: PHONE #: SIGNATURE: ZIP: CITY SIGNATURE: cmr oF EaGAN ' 1992 BUILDING PERMIT APPLICATION diLu v 681-4675 :44'W1- / 3INGLE & MULTI-FAMILY 2 sets of plans, 3 registered site sur0eys, 1 copy of energy catcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, l copy of energy calcs. Penalty applies when typing of permit is requested, but not picked up by last working day af month in which re uest is made or lot chan e is re uested once ermit is issued. Date ? Valuation of work ? 1?1L1? 2m Site Location: STREET STE M Tenant Name: LOT ? BLOCK ? SECT/SUBD.? P.I.D. i Descri tion af work: The applicant is: ? Owner Contractor ? Other (Deseribe) /ET Name Phone Property u5T F1RST Owner Address STREET STE M City State Zip ? Company Phone Contractor Address Licen "# . City ?j`?li?%?S?f/?? State Ald'' Company Phone ' Architect/ Engineer Name Registratian # Address City ???di"'?l^'???? State Zip . Sewer & water licensed plumber Processing time for sewer & water permits is two days once area ha been appro ed. 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 0 01 Residential 0 02 R. Garages 0 03 Two-family ? 04 Townhouses 0 05 Multi. Dwellings WORK TYPE ? 90 New 0 91 Addition 0 92 Alterations TYPE OF STRUCTURE ,ie-101-01120 1 Family Res. ? 0 102-03/22 1 Family attached 0 103-02/21 2 Family (duplex) 0 104-10/23 3& 4 Family 0 105-10/23 5 or rtare Family 0 213-30 Hotel/MOtel 0 06 Comnercial 0 07 Industrial ? 08 Public Works 0 09 Utility 0 10 School 0 93 Remodel 0 44 Repair 0 95 Tenant Finish ??I ? R A ? ? ? ':tl' L ?0,,' 0 11 Other 5tructure 0 12 Demolish 0 13 Fireplace 0 99 Undefined 0 96 Move 0 99 Undefined 0 214-30 Other Shelter/Board 0 318-30 Amusement/Rec. 0 319-30 Place of Vorship 0 320-40 lndustrial 0 321-30 Non-Res. Pk. Gar. 0 322-30 Service Station 0 323-30 Hosp./Institution GENERAL INFORMATION Occupancy _Q M- I Zoning R -I Const. (Actual) V-t.J? (Allowable) v-r1 # of Stories APPROVALS 0 324-30 Office/Bank 0 325-30 Utilities 0 326-30 Schools/Ed. 0 327-30 RetaSl/Rest./Yhse. 0 328-30 Other Nanres./Sheds 0 329 Non 61dg. Structure 0 434 Alt./Add. Residential Length Depth ? Sq. Ft. On-site sewage On-site well Planning Building Engineering (Yariance REGIUIRED INSPECTIONS ? Site ? Footing ? Wallboard O Final ? Framing ? Draintile ? Insulation O Fireplace -- / sAc cetcuiet;«ts: %r? C,7?J CIacu.4-?dy.l' 9Z??oo Description ? sAt % X 51lr 6`?LI ( ci7 , c.? .? h fflGUGC: 7o0,0? 5AC Un;tg E75 oo 7• S (D -f P. 300, ` a, -3?/,:).'° I slw T)epcs.t 30 P¢r.m it 30 ?n bs z ?s y, \ F?zoN7 vAkD s?18.aL1?l / ? 437 Alt./Add. Non res. 0 438 Alt./Add. Res. Garage 0 645-50 Demo 1-Fam. 0 646-50 Demo 2-fam. 0 647-50 Demo 3& 4 Fam. 0 648-50 Demo 5 or more ? 649-50 Uemo Other MWCC System ? City Water PRV Required 7 Booster Pump Sprinklers Assessments License • ? Pi er En9ineerins ,y* * *if, ' y P10 N E E A LANDSVqVFVOR3. CNILCN6INCCN3 *engiineeringv• LwrvecLMNNEwS•LANOSCAP6ARCMIT6C - == - - 6819? P.02 . II 2422 EnLerprise Drtve Mendota Heights,NIN 55120 ,(612) 681•1914 Certificate of Survey for. TO(J VQ1Uf: Homes, ICIC. MIDDLE LANE v , ?$D -----?--?-----------???.. _____------- N 89'24`47" E v N 109.00 f 9? Z d j O r?'J W 0 Ln :? ? ? t ? e w?-- ----- -- --` -- ?a . ° ? I 8 oRivEwar ? \ ...? ?+2 I 22.00 p ? r"?..•^..:, 2M1.33 2Z00 I 0 10.87 ? . 1 ` o c,u¢Ace ° y ? I N ,o.oo I? ° ?. I 2a.4G I'r N o O CN pROPOSEP HWSE I ? ? W u F ? W OUtioqTiON 22 .pp n6.00 L? 22.00 100.00 S 89'24'47" W 5I , - L --------------- ? - eao.a Denotes Existing Elevation . @.o Denates Proposed Elevation Denotes Droinage & Utility Easement Denotes Drainage Fiow Directian --o- Denates Monument 7 • r _ _ _ .? ? ? --v n, /, ?? v?• ra,q t D'tit@ EAGxN ENGiNEERzNG ??EP'l' PROPOSED MOUSE ELEVATfQN Lowest Floor Elevation: _1_?J ?, o Top of BVock Efevation: Garage Slab Elevation:_'n 3.,; --9- Denotes Offset Hub. Bearings shown are assumed LOT 1, BLOCK 2 MANOR_LAKE 3RD ADDITION DAKOTA COUNTY, MINNESOTA . 1 hereby cenify that this survay, plan ar rvpore wee pr arsd by ms oh undar my direet supe,vision and Ihat I am duly Regietered Lnnd surveyor _ unde` Ne Iswaof th.5tete of Minn06ate, Oated thladay of A.D, tfl -2:L. !' . .? . /.r'1 . ? )_,:. .s: 6 Srale? 11nch=30fee! / FOBEK7 B. SIKICM L.S. REG. NO. 14891 . . I/Atua-noN ?- L?,'?u2 r}le4tvoK l.Aks 3R'aA'A'tVetl, Gqna6E . 32 k 2?? _ r7oy - 2 X rI = (22) -- rX14 - _ G68 K ?sc /o,ozo ?7f-S' - - - 90 xti6 -- I?r F??. - - - _ _ - ?18 orr _9_2,acw_ q 1 , EXiERIOR EIiVELOPE AYERAGE 'U' COMPUTATION OillIER: ,?1 Y ?A/VCLe ?AKE -???D ADA'/(.? . SITE 6DDRFSS: G-?"'1 I // CONTBAC20R: -(Z)Q?Au.tC DATE•1'4-'?A` PHOHE: Determ3ne wrking square footage of each: 1. Total exposed xall area ... 16 sq. ft, x.11 2. Total roof/ceiling area ,.. W-0\ sq. ft, x,026 Total eaposed vall area above floor =\\01- ? a, Totai wall windou area ............................ \ 4-1 - b. Total door area ................................... 3?1?b c, Total sliding glass area .......................... d. Total fi^eplace wall area ...........•............ . e. Total wall framing area (average 10%)........... f. Total net wa11 area above floor ................... • 1 . g. Total rim joist area .............................. \ Total exposed foundation area = `? A `b h. Total foundation xindow area ....................... i. Total net foundation area above grade .............. \ • Determine IU' value of each rrall segment: a. A-1 x' U' •4I = (Q? \ b. ? x 'u' ?4 c x ' U' Z?l __? e. \ln? .'1 x ' U' • 05'1 = ----5? f. x ' u' . 041e") _ g. x' U' h. ---- x ' U' i. ? .5 x I u ' Yoto(o o 3 . ................................................... Total = 1i\ ` •o If item 93 is the same as or less than item 57, you have met the intent of SBC 6o06(c)2. Total ezposed roof/ceiling area = ? S. Total skylight area ............................... k. Total roof/ceiling framing area (average 10Z) ... , 1. Total net insulated roof/ceiling area .............. . OVER Determine IU' value tor each roof/ceiling sepnent: J• _. X 'u' k. X fu, , 02 1. \0 4. 4 . ...................................................... Total = lS/ \ If total of 94 is the same as or less than 02, you have met Lhe intent of SSC 6006(c)t, Alternate 8uilding Envelope Design To utilize the total envelope system method, the values established by the sum of Items 03 and 04 shall not be greater than the sum of Items 81 and 42. 1. + 2. = 3, + u. - SJALL, RIP1 lti:D CO2tCRETE BLO(:1: ? ROOF U-:ILINC, Q 1117EqD? F:tR FILi'1 ? Q INSUL"nj?DN ?? 04 O EX?ER??i Al? Fl?rl '`?"= tliz =. .ozs ToTAL 0?) QQ lC?l?Pto(= AIiZ fILM W Y2" GY?" rD.' : O ? ?? `' INSU?AT4o? S?Z:r \ u ex;=-lo? Rt?'? FiU'1 i u,l' ToY: ,L (tz) - ? ? ll- C70 "'a; 1t'TiEl'1or. AT, F1u1 ? '0 e i3 ` 5 '/i 11`SU???71044 . ?? .\'? (?? } 2 Fl(L ?1t/j ?1sT 15 u- 2?,5z .g'd,'rT: ?`. dX • . ?. f r,f;5orT7E stoIrC, : ? O . ZLxTEAz?DP, jNX fiLrl u U'' = R ToTR? ' ' CcQ VAL, ,3 10-iEV-1Z Attc FILI1 0 • C ,? . . Q EX?c(?lL`i RIR FtLM Floors ot..r ou[door air (ovcrhangs) ciust tiave a nininum P.-fac[or of R-33. , . 1-i1I Ur hAVAY -= u= ? IN?ccQo Floors ove; unheated spaces rnust have ¢ininu.-a R-factor of R-20 (tuc.l•-under garages). TII,\'ZTN.1 "U" VALUE A,\D R-rnCTOR AT ROOF, ' - CIiY OF EAGAN 1993 BUILDING PERMIT 681-4675 APPLICATION MAR 2 4 RECO SIN6LE & MULTI-fAMILY 2 sets of plans, 3 reglstered site surveys, I copy of energy calcs. COMMERCIAL 2 sets of architectural & structural 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 We / 2-4- / iqq_ Valuation of work TS&w-f lr( Site Address: (pe)o ?\??? STREET . SUITE N Tenant Name: (comnercial only) IAT ?_ BIACK SUBD. ? P.I.D. M t- ? r Descri tion of work: r?- The applicant is: Owner ? Contractor ? Other <oes«sne> Name ?AI Phone Property LAST F1RST ZZZZ_ Owner Address Goo STREET STE Y >SIz 3 Lity A" r? State Zip Company Phone Co ntractor Address License # Exp. City State Zip Company Phone Archttect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved: I hereby acknowledge that I have read this apPlication and state that the information is correct and agree to comply with all applicable St e.,,of Minnesota Statutes and City of Eagan Ordinances. ' ? Signature of Applicant: ? ?-?- ??---- OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? Ob Duplex ? 11 Apt./Lodging ? 02 SF Dwg. ? 07 4-Plex O 12 Multi. Misc. ? 03 SF Addition ? OS 8-Plex ? 13 Garage/Accessory O 04 Sf Porch . ? 09 12-Plex ? 14 Fireplace ? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck WORK TYPE •% 31 New ? 33 Alterations ? 35 Tenant Finish ? 32 Addition ? 34 Repair O 36 Move GENERAL INFORMATION ,,o?'f,BasepOt Finish ? 17 Swim Pool ? 18 Comm./Ind. ? 19 Comm./Ind. Misc. ? 20 Public Facility ? 21 Miscellaneous ? 37 Demolish Const. (Actual) Basement sq. ft. MWCC System (Allowable) lst F1. sq. ft. City Water UBC Occupancy ? 2nd F1. sq. ft. PRV Required Zoning Sq. Ft. total Booster Pump # of Stories footprint Sq. ft. Fire Sprinkler Length On-site well Census Code c c Depth On-site sewage SAC Code ? APPROVALS Planning Building Assessments Engineering Yariance. REQUIRED INSP ECTIONS ? Site ? Footi ng ?Framing ? Insulation O Wallboard 2=final / ? Draintile ? Fireplace Permit Fee N.?-. veimc;on: g 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 Total: . SAC % SAC Units L ? BL oZ CITY USE ONLY RECEIPT #: 71(59,5 SUBL??-erc- RECEIPT DATE: _31:;2`1 J7 1997 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for. ? single family dwellings ? town omes an con os when pertnits are required for each unit New construction Add-on furnace ? Add-on air conditioning im Add-on air exchanger, i.e. Vanee system, etc. Date: 3 - a-'-a - q7 FEES ? Minimum Fee: Add-on/Remodei (existing residence oniy) 20.00 ? HVAC: 0-100 M BTU 24.00 Additional 50 M BTU 6.00 ? Gas Outlets (minimum of 1 required @$3.00 each) ? State Surcharge .50 TOTAL 020, S? SITE ADDRESS: ?12CLCL_! ?/ ? dd Q- OWNER NAME: 06c, U 2- ?I0`Lns on PHONE#: ?- 7/ & INSTALLERNAME: S Spli M5<cL2 ? f#lc Zlc PHONE#: Y31-7095' STREETADDRES&: ? y79°2 cirv: j tc. STATE: Y? ?I ZIP: ?"?s ?a ? SIGNATURE OF PERMITTEE ?? CITY USE ONLY L _ BL _ SUBD. RECEIPT#: RECEIPT DATE: 1997 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 687-4675 Please complete for: DATE: WORK TYPE: ? all commerciaUndustrial buildings. . multi--family buildings when separate pertnits are pqi required for each dwelling unit. CONTRACT PRICE: NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIP'f ION OF WORK: FEES: . $25.00 minimum fee gr 1% of contract price, whichever is greater. ? Processed piping - $25.00 ? State surcharge of $.50 per $1,000 of nermit fee due on all permits. CONTRACT PRICE x 1% PROCESSED PIPING STATE SURCHARGE TOTAL SITE ADDRESS: OWNER NAME: TELEPHONE #: TENANT NAME: (iMaROVEnneNrs oNLr) INSTALLER: ADDRESS: ciTV: PHONE #: SIGNATURE: SIGNATURE OF PERMITTEE STATE: ZIP: CITY INSPECTOR RESIDENTIAL BUILDING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 ? Telephone # 651-675-5675 FAX # 651-675-5694 New Construdion Reauirements 3 registered site surveys showiig sq. tl. of lat, sq. ft, of house; and all roofed areas (20°h mazimum lot coverege allowed) 2 copies of plan showing beam & window sizes; poured found design, etc. i se[ of Energy Calculations 3 copies of T2e Pmservation Plan il lot platted after 717193 Rim Joist Del2il Options selection sheet (bldgs with 3 or less unils RemodeUFteoair Reauirements Office Use Onlv 2copiesofplan CeAofSurveyRecd _Y _N i set of Energy Calculalions for heated add'Aions Tree Pres Plan Racd _ Y_ N 1 site survey far additions & decks Tree Pres Reqd _ Y_ N Addifian - indicafe N on-site septic system On-site Septic System _ Y_ N "-30 S ct Date 16/ Site Address l0x 0 Construction Cost 00 L/J l-Pi Unit/Ste # Description of Work Multi-Family Bldg _ Y N Fireplace(s) X 0 _ 1 _ 2 Property Owner Llu( Gf VU/'!i"? -soi'J Telephane #((p!S/ )?Od'c/??'7«Cp Contractor 'DY. / • hv? Address y??g State N ? ,2' ?, ?i l?23}-? ?r "T W. Zip ?s3'78 City Tetephone # ('?5,) LFy7-75e7 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy COde Category . Residential Ventilation Category 1 Worksheet • New Energy Code Workshaet (4 submissiontype) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Epgan with a similar plan2 _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Telephone #( Mechanical Controctor Sewer/ W aTer Con tractor Telephone # ( Telephone # ( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the wark will be in accordance with the approved plan in the case of wo ?gy;r?g?a? i and approval of plans. ? . ? L5 lJ ?J NOV 18 2003 ?? Applicant's Printe-d Name p cant's Signaturk/ 1- OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 6ct. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. AIt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck 0 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 Windows/Doors ? 34 ReplaCement "Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bidgs Length Fire Sprinklered Type of Const Width REQUIRED I NSPECTIONS _ Foorings (new bldg) FinaUC.O. _ Foorings (deck) Final/No C.O. _ Footings(addition) Piumbing _ Foundation HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool Ftgs Air/Gas Tests Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final Windows (new/replacement) _ Insulation _ Retaining Wall Approved By Base Fee Surcharge Plan Review MClES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total Building Inspector House heating test record Owner ,� �-s� "'� Controls Address/� Thermostat City,ori' Valve Heat los/ Date htg. inst /– J' /4? Limit Conversion y%"er' Heat plug Vent Size Sold by CenterPoint Energy Limit setting /4 r- Installed by CenterPoint Energy Fan setting I/Wed Electrical work by CenterPoint Energy Pilot type Heat type ];t -FA Q Space heater Pilot make �J/� Gas line by CenterPointre�Po;� Energy y,/ Kind of liner/ size 1 Draft hood Regulator Filters: Size/4%er Number Chimney locations:fiside 0 Outside Chimney construction Wiring 6.— Test tag –4— Pilot 4 – Pilot model Lighting Inst Date tested Unit heater Other Pilot timing Company testing CenterPoint Ener Gas design Make�i.✓.1 t Model SI.b ' ' Serial no. II/42d/9ekaP' Input 4,00 Pressure: Hi fire / Lo fire �• 5 Tester's name Percent CO2 J • Input CFH AV / Percent 02 /// Stack temp ' 7 Percent CO.2-rp, CNP 235 (11-2008) PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA108528 Date Issued:12/14/2012 Permit Category:ePermit Site Address: 600 Middle Lane Lot:1 Block: 2 Addition: Manor Lake 3rd PID:10-47277-02-010 Use: Description: Sub Type:e - Furnace Work Type:Replace Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to Mark Anderson , State Electrical Inspector, 952-445-2840 Joann Zinken 9320 Evergreen Blvd NW Suite B Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - David A Johnson 600 Middle Lane Eagan MN 55123 Centerpoint Energy 1240 W River Pkwy Minneapolis MN 55454 (612) 321-5597 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink r For Office Use I Permit#: non City of Ea Permit Fee: 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: Phone: (651) 675-5675 1 1 Fax: (651) 675-5694 I Staff: 1 1 1 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: 6~~ /11JC~Ve Lr. Unit Name: T a6k" Sco-\ Phone: 651-605- Resident/ + w Owner Address / City / Zip: lwj°`*- °`S 5. '~c Applicant is: Owner _2L Contractor Type of Work Description of work: ?,-+p wlv~ 0,^r o..T Construction Cost: I ~ &xk;) Multi-Family Building: (Yes / No X) Company: S. Qn1Z%J-eQ&"c Ce"e7~ Contact: ~,ri-_ P,06•c>e-- aK E I K •t,t r- Contractor Address: I LV4(f Nw Su k. t/ City: 9 State: zip: S~33y Phone: O&D3 License %C I30 01 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: 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.gopherstateonecall.org 1 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 B . i e ompleted within 180 days ,off permit issuance. x 1&r y- ea. x Applicant's Printed Name icant's Signature Page 1 of 3 Use BLUE or BLACK Ink r For Office Use �/ ::::::ee: City Eakall (�'i 6 3830 Pilot Knob Road Fee: / Eagan MN 55122 Date Received: Phone: (651)675-5675 buildinginspections(a)cityofeagan.com Staff: 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: I Name: Yt/ --7T- 6 1-4- `SCC? - Phone: 6(`- 64 S'-S/ 3 Resident/ Owner Address/City/Zip: GOO /' i 0 0 L CG L.A-e,./o 9 i Applicant is: Owner Contractor , -e_. {2-o -� SiJ �!�� .'$ ,-t- -sic.... Description of work:Type Of 4. Construction Cost /4', 60 d • Multi Family Building: (Yes /No ) I - Li—C- 1 Company: +T- 1� L ' \d tZ S Contact: 3 (2-1)---1 : , t i ContractorAddress: `T 1 a. L) -y A_ S' City: State:►'h Zip: �v"? Phone: �ty_S 2 Email: Ii l 1 License#: Q C- 3 `3 7 7_ Lead Certificate# "----- ra; ,,. �.. ro� .w, F If the project is exempt from lead certification, please explain why: I 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: 1 Licensed Plumber: Phone: Mechanical Contractor: Phone: t Sewer&Water Contractor: Phone: 4 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. __ _ , ,, _,_ ,___� ,.__ .. ...._ ,_ro , ._ ,,s___ a_,w., , ,,,,_ra_ ,, _ . , .�.,. _W__ .. 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. 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 damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq . I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordanc with the approved plan in the case of work which requires a review and approval of plans. x - x d t�jK �" _ (2 Appli • inted Name ' 000,9 Applicant's Si nature / . Page 1 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA158034 Date Issued:09/23/2019 Permit Category:ePermit Site Address: 600 Middle Lane Lot:1 Block: 2 Addition: Manor Lake 3rd PID:10-47277-02-010 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard 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 - David A Johnson 600 Middle Lane Eagan MN 55123 Asap Underground Llc 2355 Fairview Ave, Suite 371 Roseville MN 55113 (612) 222-5502 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA165318 Date Issued:10/27/2020 Permit Category:ePermit Site Address: 600 Middle Lane Lot:1 Block: 2 Addition: Manor Lake 3rd PID:10-47277-02-010 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. 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 - David A & Yvette R Johnson 600 Middle Ln Saint Paul MN 55123--214 Haferman Water Conditioning 12142 12th Ave. Burnsville MN 55337 (952) 894-4040 Applicant/Permitee: Signature Issued By: Signature