748 Mill Run Cir; , . .
(gertifiraft uf Mrrupttnry
Citp ot Cagan
fieprrinrnt ,af %Qwg jttwprtwn
This Cerlijtcate issued pursuant to tHe requirements ojSeetiorr 306 of the Urriform Building
Code certifying that at the time of tssuance this structure was in compliance with the various
ordinances of the City regulating building construction or use. For the folTowing.•
ux clasoseation
eias. rermit rb. 15661
0-upa-Y Tw _, _. . ZAmn Douict .., ... 7ype cooet.
Owoct of B?ulding ?'•??ND H14ES Address 14450 B fVM'E PKWY' B rVME
&o7diag Addtcat 74 KELL FdN CIRCL•E lowlity L9, B, ?, &= FJDGE I ST
z Dem: DECEMNR 15, 1988
BUD&M oRKw
POST IN A CONSPICUOUS PLACE
.
.
y . . ?
? CITY OF EAG
.?
- •> AN
3830 Pi)ot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PH O N E: 454-8100
?
' BUILDING PERMIT Receipt # #
Ta be used for 5i' Est. Value $73,?W)6 Date 28 ,19 ho
Site Address 748 MILL IitlN CiNCLP. OFFICE USE ONLY
Anrvl++E FIDGB 18T
Lot Block ic Sec/Sub OnSiteSewage Occupancy R'? ^'s'"Y
. MWCC System ?- Zoning rD R-1
Parcel No. OnSite Well (ACtual)Const V-14
R9
V"v
i
ANi) H(M City Water x (Allowabfe) Y-h
rc ..
..
•
Name
4 PRVRequired #ofStories
= 5""G:;NSVIL1.E PYi1Y
Address 14 42,
3 ? Booster Pum len
th
0 .. • 1 LLE Phone 694.•-2fi36
CitY F" f` p g ??
Depth
0 Name S.F. Total
.
v < Address Footprint S.F.
? City Phone APPROVALS FEES
? W
Name Engr./Assess.. Permit
?
3?.
_ ? Address Planner Surcharge "
'
oV
U=
W CitY PhOr1e Councii Plan Review la?
?
a Bldg. Off. _ SAC. City •
550'00
I hereby acknowledge that I have read this applicafion and state that the Variance
-- SAC, MWCC 5sd
?
? information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances. Water Conn. .
67' ?1
.,
Signature ofPermittee
Water Meter
RoadUnit
323.00
A Building Permit is issued to:_ ? FY ?? ?%1193 Treatment P t ?04•m
on the express condition that all work shall be done in accordance with all
Parks
' applicable State o( Minnesota Statutes and City of Eagan Ordinances. 2 r ,-,3 I .50
. Building Official-_y_ TOTAL
«
r . .. . . . _ . . _.
Permft No. Permtt Holder Date Telephona #
Plumbing ?jG?,(?? ? (_? • j. C ? ? '
H.V.AC. ' C
Electric
Softener
Inspection Date Insp. Comments
Footings I
Footings II
Foundation
Framing 7
Roofing
Rough Plbg. 03/
Rough Htg. p f //-y
l5ul.
Fireplace ?v•?#/,Af:
Final Htg.
Final Plbg.
Bldg. Final
Cert. Occ.
Temp. LP
Deck Ftg.
Deck Final
weu
Pr. Disp.
PERMIT #
PLUMBING PERMIT -- ;
CITY OF EAGAN RECEIPT #
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE PHONE: 454-8100
Site
? Name 12G /7/'P C V5Hil- , c
a?
e? Address /`re-
c City Phone
? Name .PeC??. .1 ?a.
c Address ?
p City Phone
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE 8 CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
S
FOR: CIN OF EAGAN
BLDG. TYPE WORK DESCRIPTION
Res. -? New -k
Muit. Add-on
Comm. Repair
Oth
er
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
?. FIXTURES TOTAL
Water Closet - $3.00 $r:
? Bath Tubs - $3.00 - ? •-
2c--Lavatory - $3.00
? Shower - $3.00 <- ?
?Ki?chen Sink - $3.00
Urinal/Bidet - $3.00
I Laundry Tray - $3.00
LFloor Drains - $1.50 ?• 7 "
_LWater Heater - $1.50 /• .57 ?
Whirlpool - $3.00
? Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIT)
Softener - $5.00
well - $10.00
Private Disp. - $10.00
_3-Rough Openings - $1.50
FEE '
STATE S/C: r'
GFiAND TOTAL:
. • PERMIT # y
• . . MECHANICAL PERMIT
CITY OF EAGAN RECEIPT #
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ?0 -8 3
INTRACTPRICE: ' 1So PHONE:454-8100 r'
i Address 7149 uN C; R c.l c,
BLDG. TYPE WORK DESCRIPTION
? Block Sub Res. ? New
Mult Add-on
Name
Addr ' q4a?
s f-ki I &-a N . Comm. Repair
City r; s?-n 4- Phone Other
+G FEES
A
Name • 00
RES
HVAC 0-100 M BTU -$24
Addr
s r .
.
ADDITIONAL 50 M BTU - 6.00
?
City ' 0?'? Phone ?' ` - ? ? (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
50 EA
1 PER PEkiMln - 1
GAS OUTLETS (MINIMUM
.
.
-
:'E OF WORK COMM/IND FEE - 1°r6 OF CONTFIACT FEE
ced Air M BTU ` w APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
ler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8
t Heater M BTU REMODELS - 12.00
Cond M BTU MIMIMUM COMMERCIAL FEE - 20.00
. STATE SURCHARGE PER PERMIT - .50
it CFM (ADD $.50 S/C IF PERMIT PRICE GOES
; Piping Outlets # ? BEYOND $1,000)
er
FEE
S/C: SIGNATURE OF PERMITTEE
TOTAL•
FOR: CITY OF EAGAN ?
?5
?
?
c
m
c
3
O
INSPECTIUN RECURD C°ntr°'"° _ _
CIT'If OF EAGAN PERMIT TYPE: o?ltolNo
3830 Pilot Knob Road Perma Number: 001667
Eagan, Minnesota 55123 Date tssued: 10119192
(612) 681-4675
SITE ADDRESS: tol ,9 ftcQlclc.; 10 APPLICANT:
74H MILL RUli CIR M1FA7-1f-OL4 FIREPLAGE$
p!t'tO1.E RIf}AE !st (61.2) 84*-028T
PERTIT UBTYPE:
R _NI.AI.i.
TYPE QF WORK:
?
-L-
Psrmlt No. PermH Holder Date Talephan* ?
SI11N
PLUMBlNG
HVAC
ELECTRIC
ELECTRIC
4nspeetton Date insp. Comments
Footlngsl
Fountlation
Framing
RaWing
Rough Pllg.
fivugh Htg.
Isul.
Firepiaoe
Fnal Htg.
prsat Test I
/
Final Plbg. InspeGtor - Notity Plumher
Const. Mster
Engr.lPlan
B{dg. Final
6
Deck Ftg.
7locX '
DeCk Final - -
weu 3 J8 - 1'
Ar. Disp.
CITY OF EAGAN Permit No: ,
I ? Date: 11-2-88
3830 Pilot ICnob Roal B/P No: ?zP-07 Date: 9"30-88
P.O. 9ox 21199 ,
Eagare, MN 55121.
Owner. ?`•3;re::
Site Address:
Piumber: S &
hqWCC: ' y n. 00pd
n;
Zoning.
?
City Chg: No. of Units:
Acct. Dep: I agree 1o comply with the Clty oi Eagan
Permit Fee: _
. . ,; ., Ordinances.
Surcharge:
SEWER SERVICE PERMIT
Iw T1? ?OF EAGAN Permit No: 10 - 0s3 Date: 30 Rilot Knob Rosd Meter No: y/y 7 5ize: 1
O. Box 21199 Reader No: /C Date: gan, MN 55121
ner.
Site Address: 77ill T?un C ircle L;
.
PlumbPC ,_,?erican S& i; /'_i C"echanica.'•_
Conn. Chg: 550OOnd Zoning: ?-?
Acci. Dep: - 1 5_(1OnO No. of Unft L
Permit Fee: nonr3
Surcharge: - -304nd I agree to comply wlfh the City of E an
Tr. Plant "L1!: Qrdinances.
Meter.
Misc.: gy
WATER SERVICE PERMIT
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N9 15661
BUILDING PERMIT PHONE:454-8100 Receipt ? 0-7
n
Tobeusedfor SF DWG/GAR Est.Value $73,000 Date SEPTEMBER 28 ,ig 88
Site Address 748 MILL RUN CIRCLE
Lot 9 elock 10 Sec/Sub. BRIDLE RIDGE 1ST
Parcel No.
a Name KEYLAND HOMES
= Address 14450 BURNSVILLE PKWY
a City BURNSVILLE phone 894-2636
a Name SAME
0
oa Address
,
Z City Phone
?
wW Nan
W
F
i ? Add
a w Gity
I hereby acknowledge that I have read ihis application antl state that the
information is correct and gree to comply with all plicable State of
Minnesota Statutes end ly d Eaga Ordin nce .
E'
Signature of Permittee
A Builtling Permit is issued to: -KF' ,AH1LHOMffS
on the express cond ition that all work shall be tlone in accordance with all
appliCable Stafe ol MinneSOta Statutes and City o( Eagan OrtlinanCes.
Building Official
OFFICE USE ONLY
on Site Sewage _ Occupancy R-3 M-1
MWCGSystem AL- 2oning PD R-1
On Site Well _ (ACtual) Const V-N
City Water x (Allowable) V-N
PRV Required _ # of Stories
Booster Pump _ Length 42 '
Depth 481
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr./ASSess. Permit 466.00
Planner Surcharge 36.50
Council Plan Review 233.00
Bldg. Of/. SAC, City 100.00
Variance SAC, MWCC 550.00
Water Conn. 550.00
Waternnerer 67.00
Road Unit _325-QO
Treatmen[ P1 _104100
Parks
TOTAL 2.531.50
0//
5 2 4 E7 8 /. 9 6)0 iatLcue. , $?9 °o
rteauasc oMe Fire No. Rough-In Inspecti
I Required? ? Reatly Now ? Will Notiy Inspeclor
• ^ ? Yes ? No WM1en ReedY7
I p licensed contractor ? owner hereby request inspection of above electriral work at:
Job Pqtlrass (Slreet, Box or Route No.) Ciry
/" '
" ee?t
Secliwi No. Township Name or M. ange No. Counry
Occupant(PRINn Phone No.
?
P r Supplier Adtlress
Electriql Camractor (Company Name)
? n
? / `? • Cont2cror5 License .
SV
Mailin ALdress (Comrectw w Owner Making Installatbn)
,? `v a`?37
thanxetl ' (C nt ?ad w7 ?g Installeti Pho NumLer
?
zf - .
/7 Id-
MINNESOTA STATE BOAOF ELECTflICITY THIS INSPECTION REQUEST WILL NOT
Grigga-Midwey Bldg. - oom 5-1]3 BE ACCEPTED BY THE STATE BOARD
1021 UnlVersiry Ave., St. Paul, MN 55100 UNLESS PFOPER INSPECTION FEE IS
Vhone(812) 8420800 ENCLOSED.
?p $' REQUEST FOR ELECTRICAL INSPECTION ? E84)0001-0]
? ? See instrucibns for complNing fiis brm on back of yelbw copg
E" 5 2 4 0 6 X" Below Work Cavered by This Request
ew Add Rep. Typeof euilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Waier Heater Elechic Heating
Apt. Building Dryer Other (Specify)
Comm./Industrial Furnace
Farm ' Air Conditioner
ONer (specify) Conlraclor$ pemerks:
Compute Inspection Fee Below:
# Other Fee # ServiceEnfranceSize Fee # Circuits/Feetlere Fee
Swimming Pool / 0 to 200 Amps lt ? o to 1D0 Amps 27 :?
Transfortners Above 200 _ Amps Above 100 _ Amps
Signs Inspecmrk Use Onry: TOTAL ?
Irrigation Booms
Special Inspection ?
Alarm/Communication
Other Fee 172 ?
I, the Elecirical Inspector, hereby
certify thatthe above inspection has
been made. Rouen;n ,
Fnei oate ?a !?S
??
, - G
OFFICE USE ONLY
This request voitl 18 moMhs Irom
i Z$ 25
RESIDENTIAL
BUILDINC PERMIT APPLICATION
CITY OF EACAN
? 3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New ConstrucUon Reauirements
• 3 regislered site surveys showing sq. ft. of lot, sq. k. of house; and all roofed areas
(20% maximum lot coverage allowed)
• 2 copies of plan showing 6eam & window saes; poured found design, atc.)
. 7 set W Energy Calculations
. 3 copies of Tree Presenation Plan if bt plalted after 711193
. Rim Joisl Detail Options selection sheet (bldgs with 3 or less uniLs)
DATE 5/1510Z
RemodallReoair Reouirements
• 2 copies af plan
• 1 set of Energy Calculations for heated addiGons
. i sRe survey for ezteiior additions & decks
• Indicate if home served by septic system for addNons
VALUATION S"l 2-O - 00
SITE ADDRESS - y26 C'.1 rCje. MULTI-FAMILY BLDG _Y _N
TYPE OF WORK FIREPLACE(S) _ 0_ 1_ 2
APPLICANT Tc3, Y? r?( , 12McIP irlq
STREETADDRESS Aa q Riv CITYLi4IE. C9),nSTATErYirl ZIP55 i C-l
TELEPHONE # -A94 lAloln CELL PHONE #
FAX #
PROPERTYOWNER V-nrP n ?,y?oPl TELEPHONE# q05 109Y5
-----------------------°-------------------------------°-----------------------°------------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category MINNESOTA RiJLES 7670 CATEGORY 1 MINNr:SO' (d su6mission type) • Residential Ventilation Category 1 Worksheet Submitted • New Ener de orksheIYmitt
o Sd?
EnergyEmelopeCalculadonsSubmitted fn? MAY 1 (?UII C I
Plumbing Contractor. Phone # !"y v
Plumbing system includes: Water Softener Lawn Sprinkler Fee: $90.00 VVater Heater No. of R.I. Baths
No. of Baths
Mechanical Contracfor: Phone #
Mcchanical system includes: Air Conditioning Fce: $70.00
_ Heat Recovery System
Sewer/Water Contractor: Phone #
---------------°-----------------------------°--------------------°-----°-------------------°------------------------
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with ali applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Appik?W?????
------......_-_______--------------°----°-----------------°°°-----------°------------------°
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4l02
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg I
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 6ct. Alt - Multi i
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Poroh/Addn. (4-sea.) ? 33 Ext. Alt - SF I
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04plex ? 12 12-plex Pibg_Y or _ N ? 25 Miscellanaous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair
? 33 Alteretion ? 37 Demolish (Bidg)" ? 43 Reroof ? 46 W indows/Doors i
? 34 Replacement *Demolition (Entire Bidg only) - Give PCA handout to applicant
Valuation Occupancy _ MG/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units
Sq. Ft.
PRV i
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width • ?
REQUIRED INSPECTIONS I
_ Footings (new bldg) FinaUC.O.
_ Footings (deck) FinaUNo C.O.
_ Footings(addirion) Plumbing
_ Foundation HVAC I
_ Drain TIIe Other ?i
Roof Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing Siding Stucw Stone
_ Fueplace _ RI. _ Au Test _ Final Windows (new/replacement)
_ Insulaflon
I _
_ Retaining Wall
---------------------------------
------
----------
-- Approved By
-
---
- , Building Inspector '
?
--------------------------
Base Fee -------------------------- -
--------------------------------------------- !
Surcharge I
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage !
S&W Permit & Surcharge
Treatment Plant I
Plumbing Permit '
Mechanical Permit ?
License Search i
Copies '
Other
Total
? CITY OF EAGAN
$$30Pi6t Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT
BUT4USNCi
001657
10/19f92
SITE ADDRESS:
748 mzLL RuN cxfz
LQTa 9 f3LQ(,Ke 10
E?ftICILE R1I)GE 1ST
DESCRIPTION:
'$ui.Idir?g Permit'. Type FIHEPLACE
J ,B uilding"+Jork 7ype NEW
.i
?
b
? L i...
i ?
r1
N
REMARKS: ? ?-) ?3so
FEE SUMMARY:
BasU Fee
SurcPiarge
Total Fee
$25.00
$25.50
PERMIT TYPE:
Permit Number:
Date Issued:
CONTRACTOR: - flpplic:ant - sr. LI,QWNER:
NEAT-N-GLO FIRLPLACE5 19900287 000296 MCCANN
3850 W HWY 13 748
BURNSVILL£ MN 55337 EAGflN
(612) 890-0287
Control No. 1204
MRTT
MILL ftUN CIR
MN
I hereby acknwwledge that T travo read this applicatian and state that i:he
informat,i,on is cor-Yect arrd agree to eomply with a};1 spplica6J,e Stete Qf Mn.
Stat+jtes and Ckty ot Eagan prdznancese
L
110a! I m
APPLICANT/PEFMITEE SIGNATURE -lSl1E? D??IGNATURE \?
PERMIT #
REACTIVATE _
?r ` 14.3'1
CITY OF EAGAN
1992 BUILDING PERMIT
681-4675
APPLICATION
$z.5jo
SINGLE 8 MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, i 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 Valuatian of work ffle
5ite Address:_7??
. 57REET SUITE k
Tenant Name: (commercial only)
IAT BLOCR ? SUBD?
d A qJ llry +'-f-?
A
f
P.I.D. #
I
?
?
Descri tion of work: G 6??6? zo'Lt./_?
The applicant is: ? Owner ? Contractor ? Other (Describe)
Name t??Aaa ' Phone
Property LAST F,RS, .
Owner qddress ??g lYlc?C: 01140
^ STREET STE p
City State Zip
Company ? /V - lRd ?LGI Phone
Contractor Address '59SD l,f? ??d license # 29?1? Exp.
City State Yl1 I?/ Zip -Z-33
Company Phone
ArchitecU
Engtneer Name Registration k
Address
City State Zip
Sewer 8 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 appiicable State of Minnesota Statutes and City of
Eagan Ordinances.
5ignature of Appl icant:
T
OFFICE U5E ONLY
BUtLDING PERMIT TYPE
? 01 Foundation p 06 Duplex El 11 Apt./Lodging
? 02 SF Dwg. p 07 4-Plex ? 12 Multi. Misc.
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory
? 04 SF Porch 11 09 12-Plex ? 14 Fireplace
? 05 5F Misc. p 10 Multi. Add'1. O 15 Deck
WORK TYPE
? 31 New ? 33 Alterations ? 35 Tenant Finish
? 32 Addition . O 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual)
SAllowable)
UBC ccupancy
2oning
0 of Stories
Length
Depth
APPROVALS
Planning
Engineering
REQUIRED INSPECTIONS
? Site
? Wallboard
y? k6.09ement Finish
0 17 Swim Pool
0 18 Comm./Ind.
? 19 Comm./Ind. Misc:
? 20 Public Facility,
? 21 Miscellaneous
? 37 Uemolish
MWCC System
City Water
PRV Required
Booster Pump
Fire Sprinkler
Census Code
SAC Code
Assessments
? Framing ? Insulation
? Draintile ? 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.
Cop ies
Other
Total:
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
? Footing.
? Final
vetuat;on:
SAC %
SAC Units
,
198$ HLTILDING PEHMIT APPLICATION - CSTY OF EAGAN_
SINGLE FAMILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTORlHOMEOWNER MUST DESIGHATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS ?k OF UNITS
INCLUDE 2 SETS. OF PLANS,: CERT3FICATE OF SURVEY - CHECK WITH BLDG. DEPT.;-
1 SET OF ENERGY CALCULATIONS
C0M4ERCIAL
IUCLUDE 2 SETS OF ARCHZTECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY 'CALCULATIONS ?SEP 7 )a
To Be Used ror&'?--5/".???-t°`-?`?8aluation: Date:
Site Address 7 T u OFFICE USE ONLY
73 OOp-
Lot a Block _1-6 On sit? sewage_ Occupaney -3 M-?
/? /J0 MWCC.system _+G Zoning PD R-1
Parcel/SuY?J'L,?c.,??( m/fuX?. a? S P On site well Actual Const V-?I
Owner
Address/ Y- ? d
City/Zip Code
Phone
e -?
Contractor ??\
Address
City/Zip Code
Phone - '
Arch.lEngr. _
Address
City/Zip Code
Phone # ? 7S
City water ? Allowable V-N
PRV required Ik of stories
?E3ooster Pump _ Length. ?
r? Depth AJ p,
S.F. Total
.? Footprint S.F.
APPROVALS FEES
Engr/Assess Permit Z166.00
Planner Sureharge 3 6.sa
Council Plan Review 233,o47
Bldg. Off. ?'7 SAC, City /00.0 0
Variance SAC, MWCC 55 D,c7D
Water Conn , SSO,Ou
Water Meter 7, Oo
Road Unit 32$,0 0
- Treatment Pl 20y,o0
Parks
Copies
TOTAL c53 • 4
Vq Lu ATroN °
BS MT, _ . -
Z4pxy0= f04o
IZ
1a52K/3= f3G??
? , • w,
' q .
GAN '
ZoX2Z ? 44n
CL)
y 3 y X? y= Gt?7?
?-?ousr
Z.
7
?%2xS = s
..?.r
JOG-) X Lr? = S=
(3410-2 )
SURVEYOR'S CERTIFICATE sf£NNA CORPORATION
--"- - -
?
" s es0r2's2,#
905.8
EXIST.
?
HOUSE
O '
l ? I
? I
i Z •
?- _
? J
0)
O „
01) ?
r \ ?
i ?
?IF
? i
.
i ?
o =
?
&
?
403 s,
, 40 s A
?
?90Y,o) p ???? 9
es2 ?9r r.
LI
?? ? J ?? • St??i
. ??
?+•' x
i
i
?"/L:,{x?.: ------------- .
?--- OENOTES PROPOSED SURFACE DRAINAGE
p DENQTES IRON MONUMENT $ET SCfsi.f1 INCM - 30
? DENOTES:IRON. MQNUMENT FOUND RROP.,t?SEQ GARAGE FIflOR ? p?+?!+%'3
XOQ0.0 DENOTES EXISTING ELE1L N F't?Q.k?4 ' SED LO1NE&T3-FI,UC?R °'9•o%=S
{000.0) DENOTES PROPOSED EL"AION RA{? TQP Of°'BCOCK - 90 y 7
:?.... ,?1 ri? n c?, ..a?
WE HEREBY CERTIFY TO SIEM'NA CORPORATION" TFiAT THIS 1S
REPRESENTATION OF A SURVEY QF THE BOUNDARIES OF: .
Lot 9. Block 10.' BR(DLE RlDGE 1 ST AODITION, ac?cr,dun??
plat thereof, Dakota County. Minnesota.'
IT DQES NOT PURRORT TO SHOW IMPROVEMENTS OR ENCRflAGHME+)
SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION TH1S 2i'St DAY
RQVE[1 FDR SIENNA SIGNED: JAM!'-, ¢?.i ¢? " IR1C.
nnnaTtnN • ?
?
i
?
?3?
.?
o,
.i ,o
? 9
o
?\ ?._
S
\
yO?S s?'o
%
? ?904 40 ?
BY,
'QATEflI "
, BY:
x
o?
W -0
N .?
.x ?
o N.
o ...
m
o
m
o
° O ?D
-?. m
.r02 ^
1 D
?
=
00
m ?
'1a
? M O .
.?
. y .
?
m
? 9 N,z . f <
-
m ? u
I
, 198a.
• ??
HAROLD C. RETERSON; LAND'S
MINPIESOTA IiCENSE'NUMBE&-'
FEET
FEET
FEET
FEET
IE
Jamt:5?;, R. I-{i=11; 'inc.
PLANNERS° I ENGINEERS / SURVEYORS
9401 JAMES AVE.S. ? BLOOMINGTON, MN. 55431 • 612-884-3029
Ex .atoa CwRLor.r: nvr.iinGe °u" coMi'IITA"f IpN '
: ': ~ ? ?• Q?.9? .?3a S
OWNER:
S1TE AODRESS: L?-r C?( R, ?n t3R,?;c p,p? kr PIIONL:
CONTRACTORC V??1??Q ? DJ?
. ?-'l?°?-??0?1--
`J
Determine working ,quare footaile of each
?
l. Total exposed wall area.....__(_o? 'q sq. Ft, x.11_= ? 71p
--Y- --= -
2. Total roof/ceiliny area...., - 0sy' fl. x_02G ^
-? - -Z-1
Total exposed wall area ai,lovc floor=_A ?1te _
a. Total wall window area ...........................................
1>. Total door area ..................................................
c. Total slidin9 glass,cloor area .................................... p
d. Total fireplace wall area........................................
e. Total wall framing area (average 10%) ............................
F. Total rim joist area .. ............ .....................,.......
g. net viall area above floor ..................................... /?? K
h. wall area above floor ..............I .. ..................
I. • wall area above floor.. .?,x ...............................
j. frame wall area at fourul<atiou.." ...................................
Total exposed foundation arca=
k, Total foundetion wlndotio area ....................... .?
1. Total net foundation area above grade ..............
Deterniine "u" value of each wall seyment
(e.g. window, (loor, each separa[e wall section)
a.X „u„--_`?
1
b• X „?„?
?
? C. 4p X
- ' q- --= --?`L?-- .
d. X „u„
e._ x u??
- -°?---°-?---1-
f.X "U„
? Q ?-- -?--
s• x „u„ . 05 = ror,
?-
n. x „ul, _
t. x „u„ _
J. X „u„ ? .
z °u° _
• 1 __j(D _ X ,?U"_ , Q$ 5. 3---
? . ................................. roc?,i 1_9JL&Z?t
If item AJ is the Son:
as, or.less than item
fl, you have met,the
intent of SOC.6006 (c
I .•:. ..
L•'nvelopo 71VeL'lItJE1 "U" ComVulalion „ parye Z of 4
_. ,?; . . • • . ..
i , ^A
9bl•al exposed roof/ceilinry area = 1(Jy?
.
m. 7btu1 si;yll,ght nreA ...................,,... ?
n. 7'otal roof/ceillnq-framin9 area (iveragc lOL)...
. o. 'POl•al nat .insulal•ed rooL'/ceiling nreo...........
• • Determine "U" vnlue Eor each roof/ceiling se9ment M. X uU" ????--- p -
n , x ,,,,..
X .,u„ OL c ? .
. ' ---? .
4 . .......... . ......... zbtAi
If: totalof 14 is•L•he same as, or less t:hnn 112, you have meC thP intent of
5br_.60C?6 !c) l. . . , , Tlternate 6uilding BnveJ.ope Design : 'tb uLilize the totA1 envelope'sy,l-em method, l-Fie values esl•aUlished by L•he sam af
i.t•ems 113 and 44 ;;hal.l not be greaL•er than tlie?sum of items ill nnd 112,
1' - 7-'1' 2. _ Z7 -07S 3• + 4. Z?,Z '° - ? ? ?to. . • .
i
? . i
. ' I
? '
. . ? ?• ; ?
,.
.. . . . .
.
? . , ., '. ?
,
. .. 4
?
! 4. 1
\ r
1 '
I
?.7A1.1, SCC'1'i0149
• :r 15t uf i•i-oqun utll nrcn [or
i?fr.10: ccnu;lrucllun
=::f?l?-----c??
SIC
AI.f, .
?
, ?f =?III{.._._<?
etc;. Nl TaPv11i4 oe
• - FIIAt1CIJALf.
;
J 1
. . ? . •
. ? ., _
FIC. 12 IScA L aA
hc. al
,
1TLCI1 .
1.
i
•,: ,? ?? ", v
i? o.• Jh ?i
? • ?i• • 'o'
r? 'n ' ? n
I ? •-?-0
? I•__---;?-(?
.?..?;..???--•-?j , •
'.? ?. . •_" `-.
• ? ?,?"` A
:>I.Ah <!N t:INIiI,
r' , ?rl ?l (
?? v?..• r
r
I'
?. ul
,c
. ' ?'.!..i.: ... ._. . • . i
, ? •--`
`n?7Flri
?•I' '/ '
? ? ,'? '
• ' ? i
, ; ? `
.
..
- ? ri!`
? ?" .
r
?
?
r
'
F f , v
i • '
• ?`?,
?
I
r . .
. ? ? d ? .
/I11 =?
iri 7
. ?
? , •
• /1? t:?`
?
• '
? /?/
Fl(L UA !!I 0.,' .
a' ' ?llt?)
:
.
?
?
• iu ??:`? ...
.
?=_?:?
Il1
'
?u•rl:: 7ndliznLe tyj?e. ? r
! v11u,l? ?,,
•
4J4iphli nnd
plac?n?nc of I n:sul.iClqn. . . .
ll?qc ".y.n
?
Cnn?_lrucl I??u .
.. r=b? . ??
' 1 / Ah?1
. li-Valu.)
. . . .. . ,-
.
_ ti
Y.P._. BA
? '
?
?•
4• : ..,,;,??
?
?? i?
...
:.??lAl?? .
.... .. ., ... ? ? .
...._.__.__.._.: ?
`+• ...._..
._`"j.?
D
1?l
Ga .4
. ?d
._.._.
6. .
.
.
.... ...
F:r.lcriur alc ..... ..loZ
? U.l%
- '1'??iaI1 Z#Z7
1. TnLrrli.t' air !ilm 0.611 '
4 s2s,
e ._..
_.
. ..
5. ? tD.in?b... _ .... •
..
`
?i
?
G.
f:xt:cricnair _.
.
.
.
q
U=•os
r,n
u
_
4.
'' ? ' •-5 (arN (a_... _.. . . _. _.__..?....._.___?4aZ
.
6. F.xU,•rlor nie f.ilm
---.._ t1?1.7
. .?,?t,i
.
. V`.o9
- k
L.
l. h ni?ar alr (ll?:i ... 11 .C.n
'l . _. .---..._
._.. i.. - ----•_' •• -. ............_._ .._
i• _. IZ".._raNG?...E?.?;, .._.:..._...../?Z?
4.
. .. Z" _5 ?yvo ..... . ........_......... . .I Q..?.Q
5 . . ... _..__._ .
G. aii_.Iwil1H'?
[.
r
. O
j ' III ,
,
I?
? L i ru E.4 L FT, ,EXposE p
?l-OGK.Z.(v+9o-+z.(o?4o? 137.. .
'=ULL
= v Ll. ! ? ...:- ,
rz + t--t : II? r 3 Z?
Sc? . F-r, SK.?oS?D W;y L.L. A2..EA
3Lac.'k ?, Z x s ? _
kNEE
w.o.
?FuLL
Fu ?,L
F. ?iH ?
? 3 ? - ce(r
.. I 3 X 5= G(oo
x
; 137L X g ^ /a ?
r3LSCl =13Z
'I-'o-tA L = I 111
.
SQ.Ff , EKPose:-D
W MS
,r.
: ?.
,
GEI LIIJC{, LZ )c4o
1? 0 I) ooRS Is
.
zf3U Pw- u4 I c* i' ?. 39
Z4qq n , s
lolaa ?ATto DRS , II
Zs44 (eo I ID
-?5I
. ?•,.,.,,• •K•T,•i?i,,,S,,,,,,..
PLA W ?
WALL
,
i
33zy_: : ;
? .
;
?
i
%.
'
! .'
/CEILING .
.? "' ?•
;,?:?" ?;i'IIII?C??'??! ??i?ii?i`.II?; ??? ??? ? L-u2 ? .
:nted Heat flov ?
, • ? , • ' uF •
TIC. 05 ' ? • ?
.? • ?.? ??? ? .'. •
, . . . .. .
,
Censtruction R-VAluo
1. I-n
Cc
rr-ior nir fiim , ,p,G]. • ,
2. ?
?
?
=l7? l-, `(? (3CJ rQ
3- _
-_
4. _
Extcri,or ai til1a_.
r .
(s_Cill?
?- - xotad r? 4s$o
.
. , ,
. . . . . ,; .• V=.OZ .
•^ ._ . . • . • .r
1. Intorlor air C.ilm ' 0.61
2"
(?`3'??? --? ?
3
.
d. I;xCcrier ,.ir
Total ?O
?
. ?•,?
, .?
coA- s,tT. 'vcri • ??
1_ Snsldc air flltn 0.61
. 3_ • .
4.
' S. aILsidc air, filin 0.17 -'
• • Total
, • • . I
?
''
?c-.Cn•-r ? ' ? •
. : ?
1. Insidc air Eilm 0:61 '
?
z. . . ?
3_
- ? ?
. .
4.
' S. Otitcidc air filin 0.17 '
•1
• Tota1.
?
l. '
'Xnsidi: air Ellm `-•?_
.:.
0.61 I
z. • .
r
-
4 .
?
. Outsl.dc oir filtn 0.1'!
• V
i
ToWl
. ,
.
? .
... . . .
. • ?
• '• • • . ''
Ho tc: Usa additional sheeCs Lf morc .paeo i:
• needcd far details and ealcu?ations.
? • ' . ;.
'. I
. ?.
' '
- ?
.
?
. •s
? • f.
?
i
? }:ccC [lou vy • ? . j•ven[ed. .
-..... ?• -'? -- -' ' -
?
• •^ ? '..? , .•,at ?j?.??:'_:.. 7?? ' :'.'?'?
f? •e C1 •..Yi? J • /
. ? ??. ?• y?.??,+-?• . ? ? . .'.. ..,.
?I•'..• .r??r• •• ?+!?J
Y?.< •t?' ;? ?_?U:
?-U
? • _ xo;r-v?crm • .
M. . .
• ?fteC '
' ' : y • tlav up ? • '
+ .• ' • •
' rx .. p7 ' . ? .. ?'
?._.?s?vT..Y.w.??.r . . ? • • ?
APFLICATION 1=0R PERMIT
SEWER AND/OR WATER CONNECTION
oF ecagcan
1) PROPERTY ADDRESS: ...
? N(7f'E: PA7MS7P OF FEE AT TiME DF
; arrc.icazzoN ooes WT eoN- :
R SI2NIE APPAGVAL OF PERFffT.
e
? INSPflClION OF SEW3t ADD/OR FWIIFR ?.
? irsruuriors waa. Nar ae scmULm ;
R['NPIL PERAtIT H11S HECN AppRCNID.
•s.??xR?+xffiaaa?t+xfxf?f??f?fri»?ewfi
T•FY:AT• DFSCRIPTION: . . . . . . . . . . . .
Lot B ock S vision or Tax Parce ID
IF EXISTING STRC'CTL?RE, DATE OF ORIGINAL BUILDING PERMIT ISSLANCE:
Mont Year
PRESENT ZONING/PROPOSID OSE:
Q CON-MCIAL/RETAIL/OFFICE
Q INDL'STRIAL
Q INSTITUTIONAL/GOVERDIl+'ENT
2) ? NAME:
ADDRESS:
PHONE:
I?R-1 SINGLE FAMILY
? R-2 DOPLEX (3G.v C'nits)
Q R-3 TOWNHOT-ISE (Three +,Dnits)
Q R-4 APARTMELVT/CONIDOMINZDM
3) '? NAME - f)-C : NA??l,,o
MASTII2 LICENSE #
( Units)
( L'nits)
I? Active
Ecpired
Not recorded
St Initial
CITY, STATE, 22P:
CITY, STATEPHONE:
4) NAME:
ADDRESS:
CITY, STATE, ZIP:
PHONE:
s _ ` ^ ?•TG?ieSa'n if?. i ?e
.5)
CONNECTION TO CITY SE.WER CON[?CTION TO CITY WATER a 0''f?R
6) -.?,??-?-
***********+??*??*****?***+??*?+*******************??******??**?*.****?******* *****?************W?
?
* TfE GOLD COPY' OF THE PEE2hIIT WILL BE SENP DIRDCPLY 7?D P[]$ISC WORKS TO FACILITATE ME•TER PIQC-IIP. ?
PLEASE ALSAW ZFA WDRKING DAYS FOR PROCFSSING. SOMEO[? FROM Tf? CITY WILL CONPACT YOLIF 744?RRE *
ARE ANY PROSLENIS. ?
', ?*******?+******???**?*??****?***?r,r,r*****+*?***??**********++,r+?,r,r*,e*****?**+?**«**,r***+**,r,t*****?*;
ADDRES5:
, ZIP:
FOR CITY USE 4NLY
PERMIT # ISSLiED
Pd w/Bldg. Permit
$
$
$
$
$
$
S ? `7 L? 'lIZ?
$
$
$
$
s
$
$_ /q 7?? C?'Z)
Y7eO 7
RECEIPT
FEES:
$ LO S? SEWER PERMIT (INCLU'DE SURCHARGE) i
$ WATER PERMIT ( INCLODE SCjRCHARGE )
$ WATER METER/COPPERHORN/OL'TSIDE READER
$ WATER TAP (INCLL'DE CORPpRATION STOP)
$ SEWER TAP
S G'ZJ ACCOUNT DEPOSIT - SEWER I
$ 0-z? ACCOUNT DEPOSIT - WATER
$ WAC
$ sAC ,
$ TRONK WATER ASSESSMENT $ TRL'NK SEWER ASSESSMENT
$ LATERAL BENEFIT/TRC'NK SEWER
$ LATERAL BENEFIT/TRL'NK WATER
$ WATER TREATMENT PLANT SURCHARGE I
$__ OTHER:
$ TOTAL
RECEIPT
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
Q YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC
? ROADWAY" MUST BE ISSDED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CO[VDITIONS:
APPROVED BY':
TITLE:
DATE :
?
? - tVert[3nttips ..:
Wmdows Doora
Yea--ffo- I Yes-
and
? Ll8 M,l j ?? j C-;
' Constructan No. [NSULATION obmnbvton
Out VPall Int. W`sll Ceilmg : Roof Floor II Kind How Acniied
nnd A,,a
II . .
NO. WICih
o(oone Hei6ht
o(oane No. o[
Ilfhb Llneal f0.
o[cr.ek Aro?
p.[l.
a, S 3
Coef. Btu
Infiltntion y0,$ ay a
GI°'s 30 9 Sa /S'1S
Fxp. wall a0 + ? oZ48
Net e:p. wap ) 7 /5,20
"1„c,wafF?
3 /
Ceiling pk I
a ,'t 0
2, j O
--FIV ?r E ff _
I aai ocv.
Required aq. ft. E.D.R. or sq. ins. W.A. Leader area
..a e...
Na WIUth
o[ Oans Heliht
o[ pans He. ot
11{Ms Llne?l [t,
of enek Ara?
p. t!.
,
i ?? 3 / i/,S
i 07f vq a3 d
Coaf. Btu
I
nfileratioo
T
S,a
a
k
$ $
Cd°
E6
;zVj
,
O /
F?
cp. well O f 16 a S
Net exp. wall a59 7 / l q
4M-.w&µ- ,m d o*?` 3 6 I G
Ceiling px / (e O 00
r?
l Ot81 IStU.
Required eq, ft. E.D.R. or tq. ine. W.A. Lesder arca
( S'f1.? G-: VrNR Roam ? Leneth /' Width /
Windows an Daen-Crarlt,a. ....! e...
0
T?o4 wiaie
of Dano steism
ot pana Ha. et
Ilis4 LIn.a1-1 t.
0[ craek Area
M. fl.
. -
. .
? o o y a
CoeF. Btu
Infiltration aN !U6(,
Clsts y Sa (o D
Exp. wall ' 1a9
Net exp. wsll 95L 6(o
?r."aN "__ i 6 6 9 4?
Cejling k/ 56 a,5 0
??aa?'
ioni am.
wiat, i a
wNaOW1 dIN? m00[f--4-faC[e g! &pd q?C4 .
.
Nw wldth
of pane H?IgEt
of paa Hw of
Ilxbu LleOal !t.
et erwt Ane
p, te. . .
U; ? go ? v
Btu
Infiltntion 35 ?/a
?"" y? 1 ?oo
Fsp. wsU + og
Net e:p. wall /66 /!b a
-Int wsll .y,i
?(o-,?1D
?, (?
?
Ceilin
g
Ftoor
IeUI tltW q(p:91
Required sq, ft. E.D.R. m p. ies. WA. I.eader area
/SYFl.I /<;ki-a.? RoomlLeeeth 14-1.. Width in Hei-ah
Windowt aed Doon--Cruka ge and Arca
Na wmm
e[ paae ReIght
e[ pane No. ot
Ilshb LIMd l.
of ttwk Attet
p. tt
(. L' I/, g
'
tu
In6ltrstion v, Ut/
8 a r
Glsa
Exp. wall tLl- L+?o ? 19L.8
Net e:p. wall / 70 / 7 q
Jabwall. R,M /N(ea )O f/,(. ?
Ceiling 10
4lOOF-
Ta.l &u. g4o.
Required p. h. E.D.R. or tq. ins. W.A. Leader srea
I 1 S F7. Fo t? Raom I Length D' Width HciBht 8'
Windows and Daorr-Cnelcdne aed Area
Na IAth
otpaee Nsst
elp?e? a. M
p
gp{s LleO&l ft.
elencl[ Ara
p.(R
.
oea - b- / ib'.7 1,718,
oa v ? /9.3 0
Ceef. Btu
In6ltratioo a 4 /a
Glass 7. o D
F.sp. well ! k = cJ
Net e:p. wall ?
/83
4
ww.11 Q?rn 8 6 y8
Ceiling / O $ O ' D O
Floor
u7 I ot.l otm. a 3 _
ed sq. ft. E.D.R. of sq. ins. W,p. ( eader ana Requircd q, h. E.D.R or sq. im. W.A. Leader am
61
19_
Westhentriq A.J.FI.V.E. ..
Cuide
Wiridoiva ( Doon ReEerence Out. Wall Int.
1'es-No Yes-No 19_
Fl•I &SarZ oom l.ength ot Width .7(e
Windown and Doon-Crsckave end Area
Comtruetion No. ` , . ' 11 INSULATION
Raom
No. WIUtM1
oI Di?e Helsht
ot p?ne Ne. ot
Il'ht• Llneal f4
o[ ereck Aroa
sQ, ft. '
a 36 a No o,q
I ? yq a
l c3 4 3 oi5" 30.4 Coef. Btu
Infiltration 1 Jq, a 753
Glasa 87 6 So y 390
F.xp.wail i $
Net exp. wall 1000 D 00
-fnt:_wal4
-Eeftg
Floor L/o'l z a b I04r7 7 7/oyc/
1 oGl tltu.
Required sq. Ft. E.D.R. or eq. ine. W.A. Leader arca
Fl•1 Room L.ength Width
Windows and Doors--Crackeae and Area
No. WIGts
of mne Helght
of vane Ne. e[
pghb Llneikl tl.
of erae4 Ara?
Ceef. Btu
In614atioe
Glaa
Exp. wall
Net exp. walt
Int. wall
Ceiling
Floor
1 otal 15tu.
Required aq. ft. E.D.R. or p. in.. WA Leader arca
Fl.I Room I L.ength Wideh
Windowe and Doon-Craeka" .n.1 e... I
Ha. wiete
of Dan* Haltnt
e[ Dans ere.ee
uffeeo L/paallt.
o[ cn<k Area
p. ft.
Coef. Btu
lnfiltretion
Glass
Exp. wall
Net exp. wall
lot. wsll
Ceiling
Floor
wiai oa.
Required sq. ft. E.D.R. or sq, im. W,p. Lesder arca
?
Flow
Wideh
?
wmaows ana uoors--a,rscca ge saa nr
Ne. Wlalh
ot p?a? AeIfot
Of 0?o No. of
lifbts Llaed t!.
O! ae?Ck
m
Coef. Btu
In6ltrstion
Cdw
Ew wsll
Net exp. wsU
1oG well
Ceiling
Floor
Total Btu.
Required iq: k. E.D.R. or tq. wt. 1VA. l.eader erea
Fl.I Room I Lenath Width Heiaht
Windan aad Doors-Craelca ge and Arca
Na WIOth
et paee Halg t
o[ psns e. of
lysb lAnNI [t.
ot aaeY Arm,
p. [6
Coef. u
1o61tration
Clais
E:p. wall
Net eip. well
Int. wall
Ceiling
Floor
ToW Btu.
Required q. k. ED.R. msq. ia. WA. Leader prcs
F1. Itoom ( Length CVideh Height
Windom aed Deers-Cnc4wve end Ares
Ns. Idtt, I
et pano "aIffSt
M yaer Nw of
IIgbU Wnul tL
et cnek Aeu
p. M. -
Coef. Btu
Infiltntion
Gleu
Fsp. wall
Net e:p. wall --
Int. wall
Ceiling
Floor
7 otal tlta. • - -
Required q. k E.D.R. or aq. iei. WA. Leader arca
653 48
2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete foc single family dwellings & townhomes/condos when permits aze required for each unit
3 0 sa
Date
.
Site Address
Unit #
Property Owner ? t O Telephone #(6Sl ;
STANDAAD HEATIN6 6 aIR CONDP?tONIN6 00.
Contractor 410 WE$r??? STF y
IE
MINNEqppLIg, MN 85408-2ggg
S[reetAddress 812-R4„-?
City
State Zip Telephone # ( )
Bond Expires:
The Applicant is _ Owner x Contractor _
i ? Other
Add-on or alteration to eaisting dwelling unit $ 30.00
furnace _Additional _Replacement
air exchanger
? air conditioner _New \Replacement
other
State Surcharge
ZaQ? $ .50
Total $ J? • ?
I hereby apply for a Residential Mechanical Pemut and acknowledge that the information is complete and accurate; that the work will
be in confoimance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; ' derstand this is not a
permit, but only an application for t, and work is ot to start without a permih, that the wor e accordance with the
apprq?d plan in the case ofpvor i i llquires a review nd approval of plan??
ApplicanYs Printed Name ' Ap'plicant's Signa
2004 COMMERCIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for. commercis]/industrial 6uildings
multi-family buildings when separate permits are not required for each dwelling unit
Date
Site Street Address Unit tl
Tenant Name (if applicable) Previoos Tenant Name
Property Owner Telephone # ( )
Contractor
Street Address City
State Zip Telephone # ( )
Bond #: Expires:
The Applicant is _ Owner _ Contractor _ Other
Work Type
New Construction _ Underground Tank _ Install _Remove *`see below
Interior Improvement _ Install Piping _ Processed _Gas
Nature of Work:
`*When instafling/removing underground tank, ca!l for inspection by Fire Marshal and Plum6ing Inspector
Permit Fees: $70.50 Undergmund tank installation/removal
$50.50 Mraimum (includes State Surcharge)
or
Contract Value $ x 1°/a = $ 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 eo rmitfee $• Total Fee
I hereby apply for a Commercial Mechanical Permit and acknowledge that the information is complete and accurate; [hat the work
will be in conformance 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.
Printed Name
ApplicanPs Signawre
Approved By: , [nspector
Use BLUE or BLACK ink
�-----------------�
� For Offlce Use �
' I Permit#: � � ( � j
Cit� of�a�a� � ��� �
3830 Pilot Knob Road � Permit Fee:� �
Eagan MN 55122 � �
Phone:(651)675di675 � Date Received: �
Fax:(651)675d684 � Staff: �
4���.��.��r.�r�.�.����J
2014 MECHANICAL PERMIT APPLICATION
❑ Pfease submit two(2)sets of plans with all commercial applications.
Date:_3�� �– ��_Site Address: ��"G� �,I Z�� ���Lt�. �f t''c,��
Tenant: Suite#:
� �
�;� �� $ �
� - � Name: �GO �� 5�►�, Phone:
�������� � � � /� � � �
'"�, Address/City/Zip: ��� (l�j � ��t �'1 1..L2
� �� x Name: � � �1i". icense#: iM�3�l"'� �4�{'Z. �
�
�
` { � Address: `�.�`�C� �ru� w� Ile. � City: QQ �
#x � ��!�i��' w /�
� ;� � ; State:�Zip:_��_ Phone: (�_�E��, Z7 3� �
x
�
� � Cont-act:l.G � � � t`22, EmaiL• � � � V`� 5C rl �1 a v�.�C C.�Y1^ �,
; i
New ,�Replacement Additional Alteration Qemolition
�'������� Descnptionofwork: /�►��-
�{ f y .,'�:, .ti;-�` �� � ;�3 � .
4 E *` �4f � ���� ' .=5.. 4 ?:`k � '� Y m�"�'r' .�
r � r {
'� � ` RESIDENTIAL COMMERCIAL
, � £ ��' f
, � �,
,� �- � �Fumace New Construction Interior Impravement
� �` ` Air Conditioner Inst811 Piping �Processed
������� — —
Air F�cchanger Gas Exterior HVAC Unit
, � _..
� � Heat Pump Under/Above ground Tank (_lnstall/_Remove)
Y �
�� ,�; Other
RESIDENTlAL FEES
$60.00 Minimum Add or alteration to an existing unit(includes$5.00 State 5urcharge)
$100.00 Residential New(includes$5.00 State Surcharge) _$ TOTAL FEE
COMMERCIAL FEES Contract Value$ x.01
$55.00 Permit Fee Minimum
$70.00 Underground tank installationtremoval =$ Permit Fee
*If contract value is LESS than$10,010,Surcharge=$5.00 =$ Surcharge*
kR�f contract value is GREATER than$10,010,Surcharge=Contract Value x$0.0005 �
"*"'If the project valuation is Over$1 million, please call for Sarcharge _$ TOTAL FEE
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ortiinances and codes of the City of
Eagan;that I wnderstand fhis is not a perrnit,but only an application for a permit,and work is not to start without a perm'� �t-th ric will b ' ce
with the approved plan in the case of work which r+equires a review and approval af plans.
X �G �,fc. 1 � 1 1�+.L
Applicant's Printed Name pplicanYs Si ure
�,C''..�������' "' k e � $r �5 r �,? ; �u : � .�� a � �c �' . �x � ,�„ .
"� �,� s'��t � `� r e,� �.� ��r.s �S�'.s �' ia�' ,� � � �" �"�' ��. � �' '�lc��"'°a^Y €
� �� _ . f,;,x . P �q } g � `� t �n, ���� � v.�.
"����'7I��'��� r r �x ,� , � ''�,�". �a �.?t�'��„ � '���1 .'M'x�' �� � a .��. �"
� ,. + ; ` . � � , �. . �",�'
� `.��F�����^;{����� �����*���'� '�,�w...,n,.y�;.�`� �` ���k�����,,r��!�a �.x'"'�„�'!t�,�„� �ki��F,���`, � .
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA163479
Date Issued:09/02/2020
Permit Category:ePermit
Site Address: 748 Mill Run Cir
Lot:9 Block: 10 Addition: Bridle Ridge 1st
PID:10-14996-10-090
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Includes Skylight
Census Code:434 - Residential Additions, Alterations
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: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Michael L Ashley
748 Mill Run Cir
Eagan MN 55123
(651) 274-7931
Weatherguard Construction Co. Inc.
10860 60th St N
Stillwater MN 55082
(651) 439-4320
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA171833
Date Issued:09/02/2021
Permit Category:ePermit
Site Address: 748 Mill Run Cir
Lot:9 Block: 10 Addition: Bridle Ridge 1st
PID:10-14996-10-090
Use:
Description:
Sub Type:Siding & Windows/Doors
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
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.
Valuation: 10,000.00
Fee Summary:BL - Base Fee $10K $191.75 0801.4085
Surcharge - Based on Valuation $10K $5.00 9001.2195
$196.75 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 -
Michael Lee & Gina Marie Ashley
748 Mill Run Cir
Eagan MN 55123
(651) 274-7931
Krech Exteriors Inc
5866 Blackshire Path
Inver Grove Heights MN 55076
(651) 688-6368
Applicant/Permitee: Signature Issued By: Signature