3831 Mill Run LaneCASH RECEIPT
CITY OF-E14GAN ?
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE ? -' 19 _ ° SL
,ECEFWD
FRdA
AMOUNT
? ,.
?
& pOLLARS
O CASH HECK
)(0j ` :J z?
T
e,r ? r ?,
? ellovrP?irg?Y
'?ly?o:
'" ' ' 8 3 6 "` Pink-File Copy
Thank You
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: " '' 1 143830 Pilot Knob Road Permit Number: j "
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
ti I t! r IIry IANF I1111M
Nt? 1 I"+1 F K! I?i?l( h).1 ?+:; r'+4AF,
? . :. `?'?.•' ' ° ? ? _ _ ......-
.
M
-----------------
PERMIT SUBTYPE: TYPE OF WORK:
Nt 4i
iit '.1I. t t 1 11111 1 6A` )
Permft No. Permk Holder date Telephona 11
S/W
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspectlon Data Insp. CommeMs
Foodngs I
Foundation
Framing
Roofing
Rough Plbg.
Rough Fkg.
Isul.
Fireplace G & /!?N
Fnal Htg.
Orsat Tesi ?T _?S
Rnal Plbg_ r
Const. Meter ? V _ /J
.Y
Engr./Plan
Hldg. Finel
Deck Ftg.
Deck Final
Well -
Pr. Disp.
? INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
30 Pilot Knob Road Permit Number:
agan, Minnesota 55122-1897 Date Issued:
(651) 681-4675
SITE ADDRESS:
RuN I arot
IcH t It! 1 H t f'?IiP 1.'tiT
PERMIT SUBTYPE:
APPLICANT:
TYPE OF WORK:
1 .1 i t. i , ,! 1 :d
r
rtIt I 1 t+i 14if
0 ;4 .:q 1
os t I t +a P-1 (l
INSPECTION .• . ..
Pf Mni:h ,: R! rkN VVVr.IEW r) HY iJ+aYNr #4 rti f r•
f U, f 1Z n i N P F IjMI I1,1 00 a kf n I"(Ik ANY IIi ilMls rW-t W
. .
ORk
, .. . , . .
? ?
43 Permit Holder Date Telephone #
SEWER/
WATER
PLUMB(NG
HVAC Q9 . .
Inspection te Insp. Comments
FOOTINGS
?4J
FOUND
FRAMING
J r.
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
RaUGH
HEATING ? ?/ 9?
GAS SVC
TEST
irvsuL alla??? ?'
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
6LDG FINAL
O H
DOMESTIC
METER
?
IRRIGATION
METER C
FLUSH
MAINS
coNOUCTivirv
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
dECK FfG
pECiC FIiVAL
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS:
ri i ? i ??r? ? '1r??
i?! !
PERMIT SUBTYPE:
APPUCANT:
. , TYPE OF WORK:
?a•?,t,?
?
r ? ...??..,.__ . . . . _ ?_ -. - . _. . ,.:._ , ... . _ ... . . . .. . -- ? - .
?
_ ?:=.
Pertnit No. Pe?mit Holder Date Telephons /
ELECTRIC ?D -
PLUMBING
HVAC
Inspectton Date Intp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIH TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
65MT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
, , -_• , CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PH O N E: 454-8100
BUJLflING PERMIT Receipt #
To be us?ed for °/C;Ak Est. Value ?''hs00- Date ` ,19
Site Ad&tss ' S1 ,,11. i;
Lot elock 12. Sec/Sub. B"IDLt Ft 1 CiGE 1 ST
Parcel Nw '
c Name
W
; Address F
0 City .` Phone
¢
o Name
.
? a Address
? City Phone
Name
all applicable State of
?v??????GAVIQ JIQIYIGJ QIIU VIIY VI Cdaall VIUIIIQIIVGJ.
Signature of Permittee '
A Building Permit is issued to:
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
O FFICE USE ONLY
On Site 5ewage Occupancy
MWCC System ? Zoning p' q"' 1
On Site Well (Actuai) Const
City Water A (Altowable)
PRV Required # of 5tories
Booster Pump Length
Depth
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr./Assess. Permit
Planner Surcharge '
Council Plan Review
Bldg. Off. SAC, City
Variance SAC, MWCC
Water Conn.
Water Meter
' Road Unit '
"
Treatment P1
Parks
TOTAL
Permit No. Permlt Holder Date Telephone #
Plumbing 77 C/
. l
H.V.A.C.
Electric
Softener
Inspection Date Insp. Comments
Footings I %
Footings II
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul. ?
Fireplace
Final Htg. a
Final Pibg. ?
Bldg. Final
Cert.Occ.
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp.
PRICE:
MECHANICAL PERMIT
CITY OF EAGAN RECEI
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
4?z DNANF- dtd_AiM
Site Address ? w -, ' , 'x_- */
Lot _ ?Z Block 12- Sec/Sub
? Name _
cc Address
c City
Phone
Name c • r» r
c Address
p Ciry Phone 'yy" L
TYPE OF WORK
Forced Air ? M BTU Boiler M BTU
Unit Heater M BTU
Air Cond. M BTU
Vent CFM
Gas Piping Outlets # ! i
Other
FEE:
S/C:
TOTAL•
Comm. ReRair
Other
FEES
RES. HVAC 0-100 M BTU
ADDITIONAL 50 M BTU
(RES. HVAC INCLUDES A/C OM NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMin
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
REMODELS
MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000)
.--
? ? SIGNATURE OF PERMITTEE
? y.
FOR: CITY OF EAGAN
BLDG.TYPE
Res. ?
Mult
WORK DESCRIPTION
New X
Add-on
$24.00
6.00
1.50 EA.
12.00
. ; . PERMIT #
PLUMBING PERMIT RECEIPT #
CITY OF EAGAN
3830 PIIOT KNOB ROAD, EAGAN, MN 55122 DATE:
CANTRAf_T PRI[_F• pMA1JF• ARA_N1A11
Site Address -= ' `•' ' -'• '? ?
Lot Block f ? Sec/Sub
8 Name _
jj Address
c City _
Name _
3 Address
p CitY -
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
(ADO $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
SIGNATURE OF PERMIT"
FOR CITY OF EAGAN
BLDG. TYPE WORK DESCRIPTION
Res. -? New
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
? Water Closet - $300 S
% Bath Tubs - $3.00
?Lavatory - $3.00 '
? Shower - 53.00
? Ki?chen Sink - $3.00
Urinal/Bidet - $3.00
Z Laundry Tray - $3.00
/ Floor Drains - $1.50 / •
? Water Heater - $1.50
Whirlpool - $3.00
1-Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMiT)
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
`4 ?
FEE: 12
STATE S/C: • ? ? '
GRAND TOTAL•
?
22 -7' ? r'
?
a ?.•.
??r#ifir?tr uf (?rr?t?ttnr?
.
titp of eagan
lumartrnrttt u# liufld'mg 3wertian
This Certiftcate issued pursuant to rhe requiremenu of Section 306 of the Uniform Building
Code certifying that at the ume of issuance this structure was in compliance with the various
ordinances of the City regulating building construction or use. For the following.•
ux am;smim _7 " DWG/CA!, Bidg. Pero,;t No. 14976
occupa-Y 7YP? - R3/M1 Zoning District Type Const V-Ll
Owner of &u7ding ? ?'i : ? Address : ?'+ IC? f f', 41 '?i .?W?.
I7(?p? 7?
BWldIDB/?dt[S4 D•?? _'lUi? 11^?'._ 1.OCYfi
h'
_ net.: ? Sf3?R 23, 1988
Bwlding plfxial , ..
POST IN A CONSPICUOUS PLACE
CITY OF EAGAN Permit No:
3830 Pilot Knob Road Meter No:
11" P .O. Box 21199 Reader No:
Eagan, MN 55121
.. 1 _,^,t:iF'S . Tli_C.
Date: ? SizeL o
Date: `?-,21' k 0'
?
Address:
;"?_ I°.:' 1
Lane L7 ° r?.?:..-e -c -
!?
. un
mber.
Lake ::':de
Plumbin
in. Ghg: 550.00 pcl Zoning:
:t Dep: 15. 00pd No. of Units
mil Fee:
I agree to comply with the City ot Eagan
charge:
Plant Orciinances.
:ter. r
?
WATER
ay
SERVICE PER IT
Date: 6-It; -£"
CI7Y OF::EAGAN Permit No: &??23 Date:
3830 PNot Knob Road B/P No:
P.O. $ox 21199
- Eagan, hAA 55121 -
• ,??i?E, IIlC.
Owner. _
i.?..
Site Address:
Plumber
,
F
Zoning
.
MWCC: _
R No, of Units:
City Chg:
Acct. Dep: S .1.
I agree b comply wiih the City af Eagan
_,
Permit Fee: ? Ordlnances.
Surcharge:
Misc.: By
SEWER SERVICE PERMIT
CITY OF EAGAN No 14 9 7 6
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE• 454-8100
BUILDING PERMIT Receipt # k--3 (o I 2?
To be used for SF DWG/GAR Est. Value $88,000 Date Me1Y 10 ,19 88
Site Address 3831 MILL RUN LN
Lot 7 Block 12 Sec/Sub. BRIDLE RIDGE 15T
Parcel No
c Name RSM HOMES
= Address 5516 180TH ST E
? City PRIOR LAKE phone 440-6900 452-3499
o Name_
?Q Address
? City_
Name _
Address
City _
I here6y acknowledge that I have read this application and state ihat the
inbrmation is correct and agree to comply with all applicable?ie oi
Minnesota Stalutes and Cyty of E,agan Ordinances. .`
OFFICE USE ONLY
On Site Sewage _ Occupancy R-3 M-1
MWCCSystem X Zoning PD R-1
On Site Well _ (Actuap Const V-N
City Weter X (Allowable) V-N
PRV Required _ # of Stories
Boaster Pump _ Length . 46 '
Depth 50'
S.F. Total
Footprint S.F.
APPROVALS
Engc/ASSess._
Planner _
Council _
BIdg.ON. _
Variance _
FEES
Permit
Surcharge
Plan Review
SAG, City
SAC, MWCC
Water Conn.
Water Meter
Roatl Uni[
Treatment P1
Parks
TOTAL
526.00
44.00
263.00
100.00
55n_nn,
5 5(1 _ O(1
--fa-7_. QO
325.00
204.00
Signature of Permittee I \ ? V
A 8uilding Permit is issuetl to: RSM HOMES .
on t he express condition that all work shall be done in accortlance wit h all
applicable State o,f/ ?M?innesota Statutes and Ciry of Eagan Ordinances.
Building Otficial 1J.f111 f, A.0?1? ,}I C.
1
2,629.00
BLDG. PERMIT NO. Agaa /(4 9 7?
L 761a 64A Rde? :?o,>3 i m // 12
01-3210
01-3422
01-3445
01-3446
01-2155
75-3860
Bldg. Permit
Plan Check
Surch./Adm.
?
20-2275
20-3865
20-3868
20-3716
20-2252
20-3713
20-3743
79-3866
28-3855
SAC/Adm.
Surcharge
Road Unit
SAC
Water Conn.
Water Trmt.
Water Meter
/CR-
OO
Acct. Dep.
Water Permit
Sewer Permit
Sewer Conn.
Park Ded.
TOTAL
4°??.?-
?9 9
s6
0,e?a ? ?-
o
Request Dete
??[ i
''- Fire No. RoHgh-In Insp i n ReqWred
(VOU must cell inspac?oren ready) In eclion Ot?er Than RoUg?-In
a Reatly N. ?Will Nofity Inapector
] - S ? Ves ?J N. ?ale Rea7
I? licensed contractor ? ownar hereby request inspaction of above electrical work at:
Jab Atltlress (Siree6 Box or Foum No.) Ciry
t i L-L Pj,x l_. tJ F va aa
Section No. Township Name or No. Range No. Cou
nty
^
Occupant (PRINT) Phone No.
LO AJ C
Power Suppller Atltlress
ElecVical Conlractm (COmpany Name) ConVactors Lkense No.
?" C?A o S'
Mailing AOtlress (COnirac[or or Owner Making Inatallation)
?% pL' v e ?-,
Authorizetl Signamre (COniractodOwner Making Inatallalion) Phone Number
$1 -00 6 -7
MINNESOTA BTATE BOARD OF ELECTRICRY THIS INSPECTION REQUEST WILL NOT
Grlgga-Mitlway Bltlg. • Poom S-126 r BE ACCEPTED BY THE STATE BOARD
1821 UnlvetaHy Ava.. St. Paul, MN 55100 UNlESS PROPER INSPECTION FEE IS
Phone(612) 602-0800 ENCLOSED.
REOUEST FOR ELECTRICAL INSPECTION ?d'"`Aes-00001 -os
O 0 9 O O? See insiructlons lor completing [his form on back o1 yellow copy. i??y?i?3
5/f7 Q$ "X" Below Work Covered by This Request „?•
Ne% Add rrep.- " Type of Building Appliances Wired Equipment Wired
Home Range Temporery Service
Duplex Water Heater Electric Heating
Apt. Building Dryar Load Management
Comm./Industrial Fumace Other (Specify)
Farm Air Conditioner
Olher (specily) ConVectors Remerks: _t&?
Compute Mspection Fee Be/ow.• ????
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fae
Swimming Pool 0 to 200 Amps 0 to 100 Am s
Transformers Above 200_Amps ove 100 -Am s
Si n5 Inspector's Usa aniy: TOTAL
Irrigation Booms 1?0
50
Special Inspection 1
Alartn/Communication THIS INSTALLA710N MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MO S.
I, ihe Elecirical Inspector, hereby
tif
th
t
h
b
i
i
h Rough-in
A?d oat
e? ??? Q
J ?
cer
y
a
e a
ove
t
nspect
on
as
been made. Finai oa
OFFICE USE ONLV
This request void 18 months trom
This request void l7/? C7
1 S months fwm ? ryiX O ?J UJ /
E 49777 IL ;??ffo&
Heuuest Da?e
?
??
? Fire No.
ReqwRouph-1 ? Ins r.tion
retl
C]ftoatly Now ll Nntify Insoec-
lo
Wh
-
I ?Yes ?NO r
nn ReaAy
? Licensed ElecVical Con(rec[or I hereby mquasf insoection of ebove
? Owner elecVncai work instelletl aY
Streei Atldress. Box or Nome No. _
3 S-3i maP Ciry
ecuon o. Township Name or No. flan9e o. Cow
LL
/
1\ Q
Occu n
tIPqINTI
? l-?
'
' Phone Ne.
S
?
3
I S
Pi er Sup lier Address •
n -)?
Hec cal Cnnlractor ICOmpany Namel ConVer.me's license No.
d`f r Ss -3
Ma linq As IContracmr or Owner Makine Instatlationl
-
-
7L
-
7S?
;.
Author' " d Signature IConh to{?Ownqr MakinO 1n5tallalinn) one Number
Z-20-(?' 3?-/
?
MINNESOTA STATE BOAPD OF ELECTqIC1TY THIS INSPECTION REQUEST WILL NOT
BE ACCEPTED BY THE STATE eOAND
Griees-Midwey BIAg. - flaom N•791
1821 Universitv Ave.. St. Paul. MN 55104 UNLE55 PXOPEH INSPECTION PEE IS
o.__., I. .- - .w.... ENCLOSED.
REQUEST FON ELECTRICAL INSPECTION l ee-ooooi-os
1 See insVUCtians lor com0leting Ihis form on back of yellow copy.
"X' Be/ow Work Covered by 7his Request
E '49777
Mini, AdJ fleD. ' Type of Buileing Apot iances WiraE EquiumeN Wired
Home Range - Temporary Service
Duplex Water Heater Lightiny Fixtures
Apt Building Dryer Electric Heatin
Commercial Bldy. Fumace Silo Unbader
InAustrial Bldg. Air Conditioner Bulk Milk Tank
Farm otneF oecr v tner ISneniyl
t xr Uec? Y Iher 011,,?,
Comnute lnspection Fee Below . .
p Fea Service EnVanceSiza H Fee Fexdars/Subleede,s N Fee Circu'ns
0 to200qm s 0 ro30Am s 0 tn30Am s
Above 200 qmps 31 tu 100 Amps 31 to 700 Am s
Swimming Pool Above 100-Amps A6ove 100_Amps
Transformers Irrigation &oms ....b Pdrtial.`Other Fee
Signs Special Inspection
?--r
$
TD L FE
Rertw?ks E
r
Rough-in
? P. Electrical
Ins
p by
y
tily that the abova
Final D?0 s0ac,ion hes been
1 ? ?ae.
thie repuest voitl 18 monHU fmm
This reauast void &t?ou,'`_ ?YL4[-? / ?T ??.,y?/"
18 months fmm ('S `
E 113 31 E?? ? ?c 4?, f<- C.c {? t/?
flapues? Oale
?_? C' Pire No. Rouph-in Insyer.tion
Re u?reA?
Ready Nuw [] Will Nn!Ify, Inspec-
tllr Wh
F
tl
6 Yes ?No en
ea
y
?Ucensed ElecVical ConVactor I herebV request ins0ection oi above
r
hi
k i
ll
d
O
l
l
t
.
wor
ns
a
a
a
wner e
ec
ce
Slreet Address, Box or Rouce No.
' CitY
C
s 3 l n.
3? c
ection o. Townsnip Name or No. RaytBe Nn. Counlyl-,
0ccuudr711P INT{I'M Phone Na.
Pow uppl'er ? Atldress
J
?'
?"
?
c.? mc
v?
?
Ele?c/Vf?aCl Co/n?hactor IGOmu/on?y N mel
/ / J/?°? !//E??i?? Cnntr/'a?ctor' icense [N?o.
?J ?-3
Mniling Ad ress ICOntmctor or Owner aking Instailationl '
1 ?3- S an
Auth o' ed SgnatureACOn acto /Owner MaY? g Installationl
?,-,_? Phone Numb
MINNESpTA STATE BOAND OF ELECTNICITY TMIS INSPECTION HEQUEST WILL NOT
Grie9s-Midwey BIdB• - floom N•191 gE ACCEPTED eY THE STATE BOARD
UNLESS PROPER INSPECTION FEE IS
1821 Universi[v Ava.. St Pxul, MN 55104
Phone161216420800 ENCLOSED.
E 4 r1-3" 3 1
REQUEST FOR ELECTRICAL INSPECTION Ee-ooooi-os
, See inshuccfons lor comOlaling tM1is twm on back of yellow copy.
"X" Below Work Covered by 7hrs Requesf
HAd Nep. Type ol Bu1lAing Applioncea Wired Enuipment WireA
Home Range Temporary Service
Duplex Water Heater Lightiny Fixtures
Apt. Building Dryer Bectric HeaUn
Commercial Bldg. Fumace Silu Unloader
InAustrial Bldg. Air Conditioner 8ulk Milk Tank
Parm Other Speci v otherlspeclivl
ther Sueclty Otber Other
Compu[e Inspectian Fee Below
p Fee ServiceEntrancaSiza p Fee eders b Fee Circuits
0 to 200 Am 5 0 to 30 Am m
Above 200 qmpyi ns
" 37 to 700 A s
Swinning Pool L?mps
=00 Above 100-AmPy
Transiormers ms PdrtialOther Fee
Signs ction S.
? TOTA
Aemarks ?
• V?
Roueh-in cate 1,the E
Inspector, herabv
certily that tha aboae
Final ?? ins0action hes been 'i
, ?ae.
thia requesl voi0 18 montle from
• CASH RECEIPT
° CITY OF EAGAN
3830
ROAD
55122
AMOUNT
? CASH
•
19 "
1 $ • ! c%
? CHECK
DOLLARS
? f?.1- .-... e. y.l
wn
J
FUND OBJECT AMOUNT
3 C CJ
l G? -?J
O ? . i'
?
Thank You
BV
N° 84518 ??Payers Copy
Yelbw-Pwenp Copy
., Pink-File Copy
APFLICATION FaR PERMIT
SEWER AND/OR WATER CONNECTION
' .. . i
---- . .. ,
. ,
*NOTE: PAYMFNf OF FEE AT TIME OF
? APPLICATlOP7 WFS D10T CG`N- ?
s'. SP21f17E APPROVAL OF PII7MIT. :
? r
i INSPF]CPION OF SESdIE AND/OR FWTIIt
y I[1STALiATIO[1S WIIb NOT HE S(TLUI.ID i
? L?NfIL PE[7PffT HAS BEQi APPROVID. a'.
dtV •ttra??+tf:?ftffa+t???a?tf??,e?i?rM+xX?
oF eac3csn
(PLEASE PRINT
1) PROPERTY ADDRFSS: e27 i„/f e?f?
T•FY;AT• DESCEtIPTION: . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Lot B ock S vision or Tax Parcel ID
IF EXISTING STRLCTURE, DATE t
PRESENT ZONING/PROPOSID USE:
a .CODM'IERCIAL/RETAIL/OFFICE
Q IDIDC'STRIAL
Q.INSTITpTIONAL/GOVERNMENT
)F ORIGINAL &JILDING PERMiT ISSL'ANCE:
Mont Year
j R-1 SINGLE FAMLLY
r
? R-2 DUPLEX (Tko L?nits)
? R-3 TOWPIIi00SE (Three.+ Units) ( Units)
Q R-4 APARTMENT/CODIDOPIINILM ( .. Units)
2) ? NAME:
ADDRESS: %.z LZ,12 L?L7
CITY, STAT'E, ZIP:
PHONE:
3) RAME: 5.q-?sL
ADDRESS:
CITY, STATE, ZIP:
PHONE:
4)
MASTIIt LICENSE #?/??, 3 ?7 /72a
ADDRFSS:
CITY, STATE, ZIP: A- 7 dt-
PHONE:
r
ij Active
Expired
Not recorded
St Ia nf?
5) s EI . ? •?+• .?o ? ??
C4_M?ION TO CITY S TION TO CITY WATEE2 a OTfM
6)
*?*,r*********?******?**?***,?+***************?*?*****,r**??****?***?***?+*??*?r?**?**?*******+?***+?*k
* *
* THE GOLD COPY OF THE pERMffT WILL BE SENP DIRFCTLY 70 PUBLIC WORKS 7U FACILITATE METER PIQC-OP. *
* PLEASE ALJAW 7NA WORKING DAYS FOR PROCFSSING. SOMIDONE FROM TfECITY WILL CONfACT YOC? IF TAERE *
* ARE ANY PROBIJHI?IS. *
'?******:?*********+**+e****+****+****?+**?*******?*****,r******+*+***+****?*?****?r*?***?++,r?*?+*?*???
FOR,CITY USE ONLY
PERMIT # ISSUED
I Pd w/Bldg. Permit
$
FEES:
$ /o • SEWER PERMIT (INCLUDE SUR
- CHARGE)
$
$ ? ?•C^ U $
$ WATER
WATER PERMIT (INCLUDE SORCHARGE)
METER/COPPERHORN/OOTSIDE READER
$ $ WATER TAP (INCLUDE CORPORATION STOP)
$ $ SEWER TAP
$ $
/5 ACCOUNT DEPOSIT - SEWER
_
$ $
C1 ACCOONT DEPOSIT - WATER
_
$ • Cr Z7 $ WAC
$ ? S'n c? n S
sAc
$ $ TRLNK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRC!NK WA
ER
T
$ $ WATER TREATMENT PLANT SUR
CHARGE
$ $ OTHER:
$ /I, (1(7 TOTAL
9:3 G /3
RECEIPT RECEIPT
DOES UTILITY CO[VNECTION REQOIRE EXCA VATION IN PUBLIC RIGHT OF WAY?
71 YES IF YES, THEN A" PERMIT FOR WORK WITHIN PUBLIC
Q
NO ROADWAY" MUST BE
DIVIS ISSUED By THE ENGINEERING
ION. LIST AS A CONDITION.
SU BJECT TO THE FOL LOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE:
HEAI•'LUSS GALGULA7IUIVJ )G. J? ? ??........._... _ . _.,.._..??..... ..
WEATHEOMK A.LKV& TYIE Oi CONStIlUCTION INSULATION
Windowt Doae I ? ?( OW. Wdl Id. W4 Gld RaaF Roer IQed Gilin I Wdl
?
Ya - No Yet - No H-
? p' I???'T.? teanl LonON / Wid1? 6 Hdqbl Cl p' [^82 /B/MV ROO? I U-0 t? 1KdH ? Hdgh}8
WINC' OWS and OOORS -CRACK A6E and AIIEA WIND OWS and DOO0.5-CRACK A6e 4m d
t
No Witltb
ol ans HQyhl
d ! s. •
1? hh ew f. Mr
A. ldM
a, dO6f
d Ne. d 4nwl M.
of uacY
. 3? j
. 36
co.r. liw. co.f. .,u.
3 ?fo 6v i?ex..xea 6 ?o S?a
bi, w.u 9 Z 6 w.u go
Glw 38 5-0 / c`J C?' si.a
N•f 6p. W.11
Id. Wall O NN 6 Watl
IM. Wdl Z? 2 S"-O-
G?Jn a Fleor g ? 27
rord slu. Z/ D
y?/O GiR a Rear 6 Z'S
Totd HY. 260
Re.;»ind iq. f6 E D. R x tq. fa. W. A. Lqdv mnn R? uind h. E D. R. or sq. in:. W. A. lwder en•
G(U RoMe LapH 2-6 WIdN / HdqM 8 fi. iE Z IleeM ? lonqfh ZWidM I6 Heighl
WIND OWS +nd DOORS - CMCK A6E and AREA WINO OWi •nd DOORS - CRACIU6E and AREA
N w,aN
o1 w H.iaw
el ow 'i7a.f
V ass, ...
d «
?. h.
Nn. ia+?
W wn• aak Ha
d n? i II M? Le..
ef u•ct A?..
.. M.
w
3 M Zo -17 7-17/
- ce.r. M.. ca.f. ew.
lnfii,,.ro. . 311 4`0 iafu,..se. Zy o 60
G"
N? 6 W? Z. O
20
190
. 77
O?0
? O 6 w.a
61w
Nof 6 Wall zz-`
?G
ZO?
.570
f
/?AC
/C7
id. Wall IM. Wall
Gilin er Hoer ?/Cl Z.s
TMJ B„? z. !?''
8 3.5- Gil{n w Reer
ToMI Bfw
0.eaufr•d ca. fr. E D. 0. a . tna W. A. l.eadv m&
? fL / Ir ,..l aaa? l??qfY .?? Wldtb / Z Heiqb
WINDOWS and DOORY-CMCKA6E ud AtFA
? W:dIF M?IyM Ne. nM f. Nu
Nw d e? M II Ik d v?ck ?. M.
7 Z ?jD i7+? 3 Z O
I Z " 6 /O 6 Require aq k. E D. R. or t. Ins. W. A. L.ado uo•
Reom lanqth i VJfdfh 8 H?igh} 8
WiNDOWS .nd DOORS-CMCKAoE and AREA '
? HNYM N LnN • M,a
No. d?e? af ?u 11 hh ef w<k sV. H.
/ -36 O z-O 20
Cwi. !M. Cw(. Btu.
IafiNr•No? ? E Lf B ?? ?CJ InfilMofieo ?O ? OO
b w.n
er,. 2 G
z
s-?
3i o o 6 w.u
si.. B f?
V
-n
'70if
N.r 6 w.u ' a L S' D/ o w.+ e w.n 16 U '
I.e. Wall IM. Wall
Gili. or Floar ZS Z z."" 630 GNn x Flow
rotr 1111,,. 173' retr tw. Z3/3 c
l•;nd /.(1. E D. II. M . fp. W. A. LsoCN aAa R ulnd ?q. H. E. D. R. er . ina W. A. L.•d.r 4r.4 _
30S
f
198$ BUILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS 14 q,7 4
INCLUDE 2 SE'TS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SE'P OF ENEftGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMZT IS ISSUED.
MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNZTS _ O1 OF UNITS
INCLUDE 2 SETS OE PLANS, CERTIFICATE OF SURVfiY - CHECK WITH BLDG. DEPT.,
1 SnT OF ENERGY CALCULATIONS
COMMERCIAL
INCLUDE 2 SET3 OF ARCHITECTURAL & STRUCTORAL PLANS, ID MAY 1} MB
1 SET OF SP6CIFZCATIONS AND 1 SET OF ENERGY CALCULATIONS
- - A?- , 3 1s
To Be Used Por:
Site Address
Lot ns r?loek -',l Z
Pareel/Sub
?
iation: ?
ev I
Owner ? V F Y9 \_..'y
Address 1)S+?
City/Zip Code
t SS?7Z
Phone -110_ (g(`I 6c)
O
Contractor???9q9
Address
City/Zip Code
Phone
Areh./Engr. _
Address
City/Zip Code
Phone al
t,
l1
i
Date: ??.
or r lc;L uzn UN,.?
? SIKO0O
On site sewage_ Occupancy
MWCC system _je:.f"
. Zoning
On site well Actual Const V-!J
City water v Allowable _ d-N
PRV required J
- lk of stories
tri
L
?p
Booster Pu?. eng
_ Depth 4"
S.F. Total
Footprint S.F .
j APPROVALS FEES
Engr/Assess Permit
Planner Surcharge j4,?
Council Plan Review 2l05. 0a
Bldg. Off. 6, SNC, City
Variance SAC, M[4CC SO OJ
Water Conn $O 00
Water Mc:ter G ,OD
Road Unit a7_ i p D
Treatment Pl ?6I1QD
Parks
Copies
TOTAL ?,
I
IU AIu I ani
GARA4E'
zy lCZ'Z % SZfS X?? ? 7,; `jZ
UbiTr
N6X
tb?7 =70
IZ66 xr3= 161 ySS
Nvu ?
rs
7xz= !y
?
129s' X `Kf = G3ySs
M Y d
,
• ?
?,
sumelloros eertificate
SURVEY FOR: R.S.M. Homes Inc.
DESCRIBED AS: Lot 7, BlOCk 12, BRLPLE RIDGL'' 1ST APDITION, City cr
Dakota County, 6'iinnesota and reserving easements of record.
I ii??
_ . ;.,
PROPOSED ELEVATIONS
rov or FounaoNon . 90J,1
fiarays floor . 904.3
Bogemsnt Floor . q01.5
ApproR. Sewtr Servlce Elav. . t-la
PropofsA ElevaNons ?
Eaislinp Elevollons ?
Drafnaq* Olraeflons
Deirofe! Offeet SIOka . O
IAJ fEDLUND
P/anning Englneer/ng Swveying
pl !M M'wJr? irw??1. O?veminP?. MMw?al? WIO
_ -' ` 's 41
og, ?
sa,.
S 6''?s• 5
Dat?
?AGA1V
N
SCALE: i lach a 30 Feet
BENCHMARKt
8?• 4
?
ED
DEPT
? MIN. SE713ACK REOIREMENtS
Front - 30 House Side - lo
Roor (iaraqa SIM - 5
M. A+.II?n.J kbu.e-
! hvely e.rmy rnat mu .urv.y, obn x reporl was yn0ered !f m JOB NO.;
er undv my Alral supndston enA Inat I am o duly RephbnA 86R+9o
LanA 9wroyv uMV Me hwe et Me 9taN ef Mlnnnefe.
BOOK:
R`o .
Oale: 5. 9 . B6
?Lc
tnA
0. L 9nn, LIeM??
?
0i
m
z;
o?
OD;
?
N?
A:
RUN
I.ANE APPR0,
BY? ?°--,?
MILL o;
L:X1'l:l<IOIt fiNVL''[API: /1'JI':ItAGJ'. "•U" i:OI4i'U7'ATIOII
/
? -
CON'P1+ACTOH ?OnlS7/.U?,'.
on?re__? - -9 - 8 R i•uori? 5?3?-.J YYU
Ovtcnntnc Workiny ::??uare footagu oE cach. '..
1. 'POCaI exposed wall arca.......U ?q. ft. x .ll =?yfy?G
2. Total rouf.ceiling area .......j?5'/,D sq. f[. x .025 =.?j3J
RSM HOMES
, INC.
- 18308 MURPHY LAKE BLVD.
PRIOR LAKE, MN. 663M
S1'Cl. AUUItLJJ ? ? ? (' I.' ? ? ??
Total exposed wall area above floor =,A:,L(op, p
a. Total w4ll windoa area .................................... //pi.G
L. Total net Eoundacion area atwvc yrr,du ..................... ??.3
b. Total door arca .......................... ................. y.9.y
c. Tocal sliding ylass door'arca ............ ................. ..3G•G
d. Tocal Cireplace vall area ................ ................. ?
e. Toca1 wall Eraminq area (averaye 10e) .... ................. .>-,2G.o
f. Total net Nall area above floor .......... ................. 4.3(0, %
g. Total rim joLSt area ............... •---?" 1,j3. 3
Total exposed foundation area
h.' ToGal foundotion window aec:a............. ................. ?
Dotermine "U" vaLue oE cach wa11 segment.
a. //f G X V _-5ni = G`=?'-j--
b. X„V , O`%/
c. _'-?• G. g „U..
d. O g I.W. U
e..?.?G•e? x ..u.. ,/?3 = .,,`/.3 --
r. x °u°
?-
h. O •: "ii^ O - O
`//1? ,06$3 2 %
) .....................................Tucal ? _i'ck
fC it?nn N1 i: ?I?c :::imc ?c, or 1i!s:; CIIJ? iCum ql, you h:wi: mut: t:ho inCunl
(,c suC 6o0c(c)2. / s /as?J?,?? y,?`??-?.-/
3[.i'.vL?t"'.
L;? Sr3C 1.?0u G??? 1 .
;COtal expo,cd rouf/cciling area
j. Tota1 skyli(iht arca.................. ................... .. _ 1:5)--
k. 9b[a1 roof/ceiliny fraiainy :ir•.:a (avcrayu 10't) ........... ..
1. Totul neC in:;ulneod roof/r.ciliuvj arca .............:..... .. 111JB /.:
petermine "U" valuc [or cach roof/ceilinq suymenr.,
i U Y. ,. U., 6 =
x. /?? •s? X „u„
? 1. //.Jf-, G x..U.. . 411133J = .'s. W
4 .................................. ...'Putal ? _ .' 9•9
If tctal of A4 is the same as, or less than N2, you have mec ehc incent of
SBC 6006 l01. ,y c Bz (3/.
3 ?+K???-?•?
IP Srsc G od Cv (c' )/
Alturnate [SUilding Envelopct Design
'Co uCili2e thc eotal envclopc syatem methocl, the valucs usta6lish•:d by the
sum oE iteins q3 and N4 sha11 noc bc 9reater thnn the sum o: items 11 and 02.
.
1. ?JYh L + 2. 31
3 . <J?/• L? r 4.
/L---
.?C['iw?
?X
PERMIT
.
CITvf O,F EAGAN
A-I
cti3 Ol 4
3830PilotKnobRoad PERMITTYPE: BUZLDINs
Eagan, Minnesota 55123 Permit Num6er: 024739
(612) 681-4675 Date Issued: 10J 19 J 9 q
SITE ADDRESS:
3831 MILL RUN LANE
LOT: 7 BLOCK: 12
BRIDLE RTpGE
P.I.N.: 10-14996-670-12
DESCRIPTION:
(GAS)
ilding'-,-?ermit Type
ildi.ng W6rk rype
FIREpLACE
NEW
?j
/
REMARKS
FEE SUMMARY:
8ase Fee $25.00
3urcharge $.50
Total Fee $25.50
CONTRACTOR: OWNER: - Applicant -
MALONE JOMN
3831 MILL RUN LN
EAGAN MN 55123
(612)683-9446
I hereby acknawledgs that I have read this ap;plioati.on antl state that the
i:nformartion is Carrect and agree to camply w3th all appl;iea6ls atate af h4n..
Statutes anO City of Eagan Ardina.nces.
A
APPLICANT/PERMITEE SIGNATURE r ISSUEO 6 SIG TURE
q5 CITY OF EAGAN
ot49 1994 BUILDING PERMIT APPLICATION -9?
681-4675
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
CdlCS.
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/'J12 " -',(- /-Z?-- / 1Z 991,! Valuation of work
T,-
-
?
5ite Address:'31 44?!? e' Z9 d2GL
STREET SUtTE q
Tenant Name: (commercial only)
LOT (L_ BLOCK _LL_ LSUBD.?_ . ?J P.I.D. #
Descri tion of work: S 5 f S- ve G2
The applicant is: 0-6-ner ? Contractor ? Other (Uesoribe)
Name ?a?0/2e `To?,e Phone?8?
Property LAST FIRST
Owner 3 S
Address
;? / _
STREET STE #
City State ZiP
Company Phone
Co ntractor Address License # Exp.
City State Zip
Company Phone
Architect/
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 State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
BUILDING PERMIT NPE
? OI foundation ? 06 Duplex ? 11 Apt./Lodging
? 02 SF Dwg. 0 07 4-Plex ? 12 Multi. Misc.
O 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace
O 05 SF Misc. O 10 Multi. Add'1. O 15 Ueck
WORK TYPE
? 31 New ? 33 Alterations ? 35 Tenant Finish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Engineering
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
REGIUIRED INSPECTIONS
? Site
? Wallboard
? Footing
? Final
? 16 Basement Finish
? 17 Swim Pool
0 18 Comm./Ind.
O 19 Comm./Ind. Misc.
O 20 Public Facility
? 21 Miscellaneous
?
?
O 37 Demolish
MWCC System
City Waterl:
PRV Required
Booster Pump
Fire Sprinkler
Census Code
SAC Code ,
Census Bldg
Census Unit
Assessments"
?
framing
El
Insulation
I
? Draintile 0 Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
5/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
vatuas;m: $
SAC %
SAC Units
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
' 3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
BUILDING
025375
04/12J95
SITE ADDRESS:
LOT: 7 BLOCK:
3631 MILL RUN LANE
BRTDLE RIDGE 1ST
PERMIT SUBTYPE:
swxM POOL
?
?
APPLICANT:
12
VALLEY POOLS INC
(612) 894-1480
TYPE OF WORK:
NEW
?
?
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT TYPE:
Permit Number: B U I L DI N G
025375
Date Issued: 0 4/ 12 / 9 6
SITE ADDRESS:
P.I.N.: 10-14996-070-12
PERMIT C&3Q31j
3831 MILL RUN LANE
LOT: 7 BLOCK: 12
BRIDLE RIDGE 15T
DESCRIPTION:
B?ailckir?g''?=?ermiC Type
Ouilding,W&r.l? TYPe
4aY"
. . _ te . • . . .H.
ti
n
? & a'. . { :?.^•h."r
2 1
r^v'
4 ev €c t+e e
REMARKS:
SWIM PpOL
NEW
9
?
sU>
"?,y
FEE SUMAAARY:
VALUATION
Base Fee
Surcharge
Tqtal Fee
$144.00
$6.50
$150.50
$13,000
CONTRACTOR: - qpplicant - OWNER:
VALLEY POOLS SNC 18941480 MALONE JOHN
651 CLIFF RD 3831 MILL RUN LN
BURNSVILLE MN 55337 EAGAN MN 55123
(612) 894-1480 (612)683-9446
I- hereby ackrr.owl-edgia? th&t:I ?h'a've, rteacl tlh48,'ap?p13,aatic}n a qd% 0,tate-tha't°v4y$,
xn#bt-matian is correct ar7d agroe tt> cPkrt!ply`w3t'h al„l a.PPli'cahj-0'5tat4 04 ' tStt.
? StaCutes and Gity, 4f Eagari ilydirianees., ,_
APPLICANT/P I7EErSIGNATIIR ISSUED B. N E
'-
???R" ? 7 1995
J ?r
?
?
?
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
3 regislered alte surveys
2 copies of plana (Indude beam & window saes; pourad fid. design; etc.)
1 energy calculations
3 copies of tree preaervation plan H IM platted after 7/1/93
required: _ Yes No
DATE: q- b - qS
DESCRIPTION OF WORP
STREET ADDRESS:
?010 f0
CC1CrL V-I/
? 2 eopiea of plan
? 2 sHe surveys (exterlor etlditfons 6 decks)
? t energy cakulalions Por heatetl additions
CONSTRUCTION COST: ??-? • ? ?d
LOT 7 BLOCK I;2- SUBD./P.I.D. #: AN)(& !.l/lP 11
L o A) [ JAN
PROPERTY Name: phone #:
owNeR AS.
Street Address• 3?11 FIas.
/llliL L Yu,v L AvF
City: EARh-A) State: .1411AI Zip• ?SSI? 3
CONTRACTOR Company: 114-L-LeU P66LS' .ZNC - Phone #:
Street Address: 6,57 GLTI AGf License #-
City: B&rlZjUS'L'iLL.t State: /yl.u Zip• 7
ARCHITECTI Company: Phone #•
ENGINEER
Name: Registration #-
Street Address-
City: State: Zip:
Sewer 8 water licensed plumber: Penalty applies when address change and lot
change are requested once permit is issued.
1 hereby acknowledge that I have read this application and state that the infortn ' n is wrrect a to comply with all
appliqble State of Minnesota Statutes and Ciry of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY LAPR ? I? V V I? I?
Certificates of Survey Received _ Yes _ No p 6 1g94
Tree Preservation Plan Received Yes No -------.___
OFFICE USE ONLY
,
BUILDING PERMIT TYPE
0 01 Foundation ? 06 Duplex ? 11 Apt./Lodging o 16 Basement Finish
? 02 SF Dwelling ? 07 4-plex ? 12 Multi RepaidRem. ? 17 Swim Pool
? 03 SF Addition o 08 8-plex o 13 Garage/Accessory ? 20 Public Faciliry
? 04 SF Porch o 09 12-plex ? 14 Fireplace o 21 Miscellaneous
0 05 SF Misc. 0 10 _-plex ? 15 Deck
WORK TYPE
Cz?, 31 New o 33 Alterations ? 36 Move
0 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MC/WS System ?
(Allowabie) Main Ieve i sq. ft. City Water f
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code. 3zs
Depth Footprint sq. ft. SAC Code
Census Bldg /
Census Unit O
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $ l 3 , oDo
Surcharge ?
Plan Review
License
N6 PGFr.v
?C Utt-
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. DeposR
SMI Pertnit
SNV Surcharge ?
Treatment Pi.
Road Unit
Park Ded. •
Trails Ded.
Other G
Copies
Total:
°h SAC
SAC Units
rirv aF EacaN
CAiHIGhe S TERMINAL NOe 775
?Fl7Ea L7i/19/93 T.T.MEt 15:04a03
ITt w
NAME: SAWNCIfi',,E DF_::,IGNERS t PLARS
3210 ?OQi 3831. MILL. RUN L. 223.25
3422 9001. 3831 MSI.L RUN l 145vi.i
2i.55 9041 3831 MILL RUN l. 6.50
I
7ot,a7 keceip+, Am[>l1n+,e 374.86
Cft 9.O:L 99D
USEfi ID: NANCV
PERMIT
CITY OF EAGAN
' 3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(651)6811675
SITE ADDRESS:
P.I.N.: 1O-1A996-070-12
3831
LOT:
BRIS]I_E
PERMIT TYPE:
Permit Number:
Date Issued:
iMTLI_ RUN t_ANE
7 3LOCKa :l2
R7IlGF. ] tiT
BULLQ1 IVG
03430 1
oi/1919v
DESCRIPTION:
7NCLlIDES
Qaild,in4.PermiY, -1VOe
[tuilda.nq W&.rk l"ype
Ktensus Codo
???
?
?. ,
I
/
?t
FTREPLACE
SF AGOITION
NEW
434 ALl". 9RESIDENTIE1L
?
,?: t\
?
r i
; ? i . . . . . - --
.. ._.:i-?..
REMARKS:
PIAN RFVTEbJFO ('1' WAYPlI' N:CLIcR-
SEPERATE PERP1IT 12EqU1RE0 FOR ANY PLUMEiTNG Wf)RK.
f.fil l 445-'?R40 f1FRAP,OTIUf," FI FCT7P"(f:al PFRiMI'7 ,qND 1"NSPFf,TT=,,
FEE SUMMARY:
VFILUA(SON j13,000
Base Fee :t223.25
Plan Review $145.11
Sui-cl7e.rqP 56.50
Tota1 Fee $374,85
CONTRACTOR: - A u p1 ica r. t: - s r. i_ 7 r. , OWNER:
SfaWHORSE CONST ING 15330352 0002382 MALDNF JOHN
4't4o 42NU AVE PI 383:1 M1iILL 12UN LANE
f20B8IN50ALE hIN 55433 EAGAN hIN 55123
(6,1.2) 533-0352 (651)683--9445
1 herebv acknowledqe that 1 tiave read this
iniormatton is correct and vqrea ro cnmpiv
Statutes and Ci ty of Eciqan Ordinaricee.
?
APPLICANTlP MITEESIGNATURE
apotication and st'.ate :.hat Lhe
with al.i apPli.cattc SYdt= of hin.
-1
SUED BV: SIGNAT RE `?
• • 1999 BUILDING PERMIT APPLICATION (REBIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
(651) 681-4675
New Construction Reauirements RemodeVReoair Requirements '-`7
? 3 registered site surveys
? 2 copies of plans (include beam 8 window sizes; poured fnd. design; etc.)
? 1 energy calculations
? 3 copies of tree preservation plan if lot platted after 7/1/93
required: _ Yes _ No
DATE: i_ S- 9
? 2 copies of plan
? 1 site surveys (exterior additions & decks)
? 1 energy calculations for heated additions
CONSTRUCTION COST; IiL,C%L%G
DESCRIPTION OF WORK: r- w?. I+Ak.
STREETADDRESS:
LOT: `-I BLOCK: I? SUBD./P.I.D. #:
.:une: NU t?N-r'- \,\.-\ A???,L
PROPERTY ------LUL----- ---t'«st
oWveiz ?
Strcet :lddress: ? ? M? I , ,C`-I
City
Comn'1ny:__ Plione }.`: _ L C, ? ? ??---
? ?`----- ? { ------ -
CONT2?C"1'OR
StreetAddress:_t 17?IG ??? Licenscli ? L•'xp.
----- ----------------------
?? 1
City --------- Stalc: _ ?_1 ?----- Z`N' -- ? ?? `/??3?----
ARCHITECT/
ENG[NBER Comyury:------------ ------- ---------------- ---- Yhone #: ------- ----- ---------
\amr:------ ------ ------- ---- lte;,?istntion k:
?51. (SS- -`?y4r
Pliot?e k: k'
L? ~?-
State: /L I K-' --- L'n` --- '-<-? ?-3----
Strcet
City
State:
"Lip:
? r
Sewer & water licensed plumber (new construction only): 1?' •'? . Penalty applies when address
change and lot change is requested once permit is issued. ?
I hereby acknowledge that I have read this application, state that the information is
State of Minnesota Statutes and City of Eagan Ordinances. ^
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
agree to comply with all applicabie
?
_5,rr-G
..
Tree Preservation Plan Received _ Yes _ No _ Not
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dwelling ? 07 4-plex ? 12 Multi RepairlRem. ? 17 Swim Pool
03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. ? 10 _-plex ? 15 Deck
WORK TYPE
? 31 New ? 33 Alterations ? 36 Move
-11, 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) UN Basement sq. ft. Census Code 1-13Ll
(Allowable) ? Main level sq. ft. SAC Code ?
UBC Occupancy sq. ft. Census Units
Zoning sq. ft. Census Bldg ?
# of Stories Td 9?sq. ft. ? MC/WS System
Length sq. ft. City Water
Width Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
APPROVALS
Planning Building Engineering Variance
Permit Fee 22.3,29 Valuation: $13, 000
Surcharge
Plan Review 61 .sv '/
/HS /I ?3X?g ??7 r•, ?
x d y
License
MCNUS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total: 1-711?6
% SAC
SAC Units
Y '
? -. E2.g?r1 HY11S V
I CARMs ?
.79
ol.
.MANAGEMEN7:
I 4000 Dodcl qoad
µ?VUN? Eagan,MN'S512Z
(012)423•7071
.
The Board of Directors have received your request for an
architectural design change. • _
The Board of Directors wishes'to ini'orm you,that they hava
approved your request based on the following: •
1. The activity must be completed as presented. Any changes
must be presented for approval. •
2. You and all future owners will be responsible for the
maintenance or cost of main-Cenance of the approved change.
• 3• Tn the event you or future owners.do'not maintain the
'change appropriately, the Association holds the right to
maintain, 2'ix, remove or r,eplace i:he approved change at the
' owners expense.
4. The material used to complete the projeCt must be of top
?quality and lilce kind i;o ::urr•ounding areas or au dici;ated
, by the Associai:ion.
5• Approval is only for the design based on the plans that
have been submitted. Approval by the Board does not releive ?
the owner from obtaining any required building perinits.
6. The Association does not: guarantee or warrant tho
struCture or eonstruction as presented, nor does the
Association guarrantee that the plans meet sound buildin4
standards. -
.?. The work is to be completed within sixty davs
of approval.
Tf 'you havo Any furthor quoations or commants, ple'use Saol
Pree to write to the Hoard of Directors at the address above
o? you can contact me at 423-1011 for further infOrmation. _
alle re ly,
. ?
David Griffith, Manager
L'.& N, Management Services
rolor (s) of,visible matecial (s): T TD
:. y?, . . •^ _ .
•; Title• 1l?1' ? ` ?c'
lf 9/22I95
r
6125332668
,6125332668 SRWHORSE DESIGNERS F-963 T-685 P-002 JRN 05 199 14:58'
EXTERiox ENVELOPE AVERAGE "U" cOMPUTA'FION
by
SAWHORSE CONSTILCIC'rz6N
4740-42nd Ave No
Robbinsdale, Mn 554 22
533-0352
owner: Sohn and Audrey Malone Prione:
Addres s: 3831 Mill Run Lane Ba te: 12/28/98
DETERMINE WORKING SQUARE FOOTAG E OF BACH:
1 TOTAL EXPOSED WALL AREA..., 441.00 Sq ft X ^U" 0_11 = 48.51
2 TOTAI. ROOF/CEILII3G AREA.... 234.00 sg ft X "U" 0.026 = 6.08
3 TOTA£, EXPOSED WALL AREA CAI,CULATZONS:
Total exposed wall
area above block line 441.00 sq ft
a} fiotal wall window area:
LoW "E" glazed_.. 30.00 sq ft x "U" 0.450 = 13.50
? glazed... 20.00 sq ft. X "U" 0.310 = 6.20
b) Total doos area.....- 20.00 sq ft x "U" 0.150 = 3-00
c} Total sliding glass door area:
glazed... 0.06 sq f.t x "U" 0,310 = 0.00
glazed... sq ft x "iI" = 0.00
d) Tata1 fireplace wall, 0.00 sq ft x "U" 0.000 = 0.00
e} Total wall framing
area (average 10%). 37.10 sq ft x "U" 0,076 = 2.82
f) Total net wall area above
Eloor (ins 333.90 sq ft x "U" 0.037 = 12_35
g) Total rim joist area. 40_00 sq £t x "U" 0.022 = 0.88
Total foundation
area (exposed)..... 0.0o sq ft
h) Total foundation
window area........ sq ft x °iJ" = 0.00
i) Total net foundation
area above grade... 0_00 sq ft x "U" 0.105 = 0.00
#3 TOTAL a) thru i) = 38.75
6125332668
`. 5125332668 SRWHORSE DESIGNERS F-963 T-685 P-603 JRN 05 '99 14:59
If item #3 is the same as, or less than item #1, you have met trie
intent of 2 MGAX 1.16008 A and O.
4 TOTAL EXPOSEA ROOF/CEILING CALCULATIONS:
Total exposed
raof/ceiling area... 234.00 sq ft
j) Total skylight area.. 0.00 sq ft x "U" 0.310 = 0.00
k) Total roof/ceiling Praminq
area (average 10$). 23.40 sq ft x ^U" 0.026 = 0.61
1) Total net insulated
roof/ceiling area.. 210.60 sq ft x "U" 0.022 = 4.63
#4 TOTAL j) thru 1) = 5.24
If total of #4 is the same as, or less than #2, you have met the
intent of 2 MCAx 1.16003 A and O
ALTERNATE BUTLDING ENVELOPE AESIGN
Tfl utilize the total envelope system methad, the values establish
by the sum of items #3 and #9 sha11 not be qreater than the sum o
items #1 and #z.
A1lowed #l. 48_51 + #2. 6,68 = 54.59
#3. 38.75 + #4. 5.24 = 44.00
10.60
C E R T I F T C A T T O N
I hereby certify that I have caiculated the "U" factars and "R
values herein and thst the building here described meets or exceeds
the State of Minnesata Energy Conservation Act.
( ignature)
? CITY USE ONLY
I LOT / BL ?02 RECEIPT #:
SI:BD. E" lSrCN-orSGi ?? RECEIPT DATE: 'S 7
1999 M£CHMICAL PERMIT (RESIDENTIAL)
CITY OF SAkfiRN
SSSO Pll.OT KNOB fiD
ElIfiAN MN 55122
(631) 681-46T5
Date:
Complete this section onlv if you are installing HVAC in single family, townhomes or condos under
construction and not owner /occupied
• HVAC: 0-100 M B T U $ 30.00
ADDITIONAL 50 M BTU 6.00
• Gas outlets (minimum of one required @$3.00 ea.)
• State Surcharge: .50
• TOTAL:
Complete this section onlv if you are remodeling, adding to, or repairing existing single family dwellin;s,
townhomes, or condos. Please indicate if it is a new item, replacement item, or repair.
New _ Replacement
Repair b? Other
_ Fumace
_ Air exchanger, i.e. Vanee system, etc.
Remruder: Ca!! 6814675 for inspections.
Air conditioning
Other j?wr-tw??•K ?a f4r1?•'?'?"'
$ 30.00
State Surcharge: .50
Total: $30.50
SITE ADDRESS: -3,T3I ?Mi' ? l leu vi I a vl
OR':v'ER NAME: /D YJ e? PHONE #:
I\STALLER tiA!vSE: p /,.W Grvrrc_P L PHONE #: 612 -
STREETADDRESS: ISHL/U Si I vPvOc6 Sk- ?G Gt/
CITY: STATE: ZIP: 55 3v LL SIGNATURE OF PE ITTEE
JS.FOR.\15 BLDNECH PEfL+AfT (RES) - 1999
L BL
SUBD.
APPROVED BY:
CITY USE ONLY
INSPECTOR
RECEIPT #:
RECEIPT DATE:
1999 MECHRIVICAL PERbi1T (COMMERCIAL)
CITY OF fAfiAN
3$30 PILOT KNOB RD
EAfirlN, MN 55122
(651)681-4675
Please complete for: all commercial/industrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE: CONTRACT PRICE:
WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: 1% of contract price OR $30.00 minimum fee, whichever is greater.
Processed piping - $30.00
CONTRACT PRICE x 1%
PROCESSED PIPING
PERMIT FEE
STATESURCHARGE
TOTAL
SITE ADDRESS:
($.50 per $ I,000 of pem?it fee due on all pemuu.)
OWIv'ER NAME:
TENANT NIAME (IMPROVEMENTS ONLY):
INSTALLER:
PHONE #:
ADDRESS: PHONE #:
CITY: STATE: ZIP:
SIGNATUR.E OF PER?YIITTEE
RESIDEIVTIAL /S 7 Ls
? D BUILDING PERMIT APPLICATION
cirr oF eacani
3830 PILOT KNOB RD, EAGAN MN 55122
851-681-4875
New Construction Reauhememe
• 3 registered sNe surveya showing sq. tl. ot lot, sq. tl. of house; and gll roofed areas
(20% maximum bt coverage eibweA)
• 2 coples of plan showing beam & wiidow saes; poure0 foun0 design, etc.)
• 1 set of Energy Calalatbns
• 3 coples ol Tree Preservatbn Plan II bt plebed atter 7/10
• Rim Joist Detail0 tbns selection sheet (bMgs wih 3 or less units)
DATE O 6
m
• 2 copies of plen
• lsetofEnergyCakulati" lorheateOatlONbns
• 1sAesurreytorexterbratldRbns&decls
. Indicete rf Iwme Served by septic system for atlditions
VALUATION 73 IoZ ?
SITEADDRESS;5 a3I CL ?ur.1 Lazle__ MULTI-FAMILYBLDG _ Y 6'?7 N
NPE OF WORK A /Lov F PIREPLACE(S) _ 0 _ 1_ 2
APPLICANT
r
f
STREETADDRESS/oS?iS 6PE0 Vn,L;- 6 Wil ? CINEoENP2r+i2i- STATEII pLZIP.S<Z 3M
TELEPHONE #&J-97U -563.f CELL PHONE # FAX #
PROPERTYOWNER4u4? 6L/ C-oNE TELEPHONE#6S-/?/o83- /,Vy?
---------------------------------- -------------------------------------------------- -----------
COMPLETE iHIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MIIVNFSOTA RULFS 7670 CA'I'EGORY I MINNESOTA RUIFS 7672
(J submission type) . Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculatlons Submitted
Plumbing Conhacior: ___
Plumbing system includes:
Mechanical Conhactor:
Mechanical system includes:
Sewer/Water Conhactor:
Phone #
_ Water Softener _ Iawn Spi•inkler
_ Water Heater _ No. of R.I. Baths
_ No. of Baths
Phone #
Air Condilioning
Heat Recovery Sys[em
Phone #
I hereby acknowledge that I have read this application, state that The information is
with all appllcable State of Minnesota StaTUtes and CiTy of Eagan Ordinances. ?
Signafure o(
OFFICE USE ONLY
Fee: $90.00
Fee: $70.00
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
OFFICE USE ONLY
O 01 Foundation ? 07 05-plex ? 13 16-plex 0 20 Pool ? 30 Accessory Bldg
O 02 SF Dwelling ? OS 06plex ? 16 Fireplace ? 21 Porch (3sea.) ? 31 Ext. Alt - Mufti
O 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorohlAddn. (4sea.) ? 33 Ext. Alt - SF
? 04 02-plex 0 10 08-plex ? 18 Deck O 23 Porch (screened) ? 36 Multi
? 05 03plex ? 11 10-plex ? 19 Lower Level ? 24 Stortn Damage
? 06 04plex ? 12 12-plex Plbg_Yor_ N O 25 Miscellaneous
? 31 New ? 35 Int Improvement O 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. 0 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)` ? 43 Reroof ? 46 Windows/DOOrs
? 34 Replacement `Demolition (EMire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MCiES 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 W idth
REQUIRED INSPECTIONS
_ Footings(new bldg) _ FinaVC.O.
_ Footings (deck) _ FinaUNo C.O.
_ Footings (addirion) _ Plumbing
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
MC/ES SAC
City SAC
Water Supply & Storage
S8W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Building inspector
Copies
Other
Total
1tE5IDENT'IALBUXLAIIYG ?
Permit Application
, City Of Eagan - ;
3830 Pilot Knob Road, Eagan Mn 55122
Telep4one # 651-675-5675 FAX # 651-675-5694
70 C)o
[Jgw Cona{,roctlon Rsauiremenm RemodeVRepaIr Reaulrwmnis DAice Uaa OnN
3 rsQistsied 9ite 9Urveye showlnp aq• ft of Wt, eq. fl. M hWee; @IM @fl roofed Ere9a 2 cpplea of plen _ CeR ol3urvsy Recd
(2096 maxlmum IM oOVBrdge dlIpwBd) 1 cet of Emeipy Cakulatlans Iar haeted eddifions _TroB Pie6 Plan Racd
2;opleE o! Dlan ahawlnp beem 6 windawekee; poured tound design, ek, 1 ede aunrey kt adtlltlone d decka Tree Prea Not Raqd
taelalBneqyCalwlaqoru Adgon•indiCafB7/on.s%eaBpfkaystem _ _On-ake3epIIcSyhem
3 wpies of 7ree Proservetlan Plan II bt ptetlad after 711/93 ,
Rlm Jaist Dslail OpGona BsteCom 6h90t (bbBa rAth 3 ar leas unib
Aate /T?/? ??Q( ?p
Constructiou Coa O
`
Stte Addtess UnitlSte #
Description of Work ? .
t 0 G? S r '?
Multl-FamllyBldg _ X XN Fireplace(S) ^ 0 _ 1 2
- - i
Property Owaer ?p _ -' Telephoqe #( ?Q S J) (Qi?%
Contractor _AMEfdI0AM
lIDIM6&YWO WSNIRMQ-!N$- --
-
Address 140I3Nolrt11fr4DL S09.80
6 City
State ' ?
Qp
?Zip Tel¢phone # 4bi) ? ?n ' qyy
::? •
COMPLETE THI$ AREA ONLY IF CQNSTRUCTING A NEW BUILDING
Energy Code Category - Mt'mesoffi Ry}les 7670 Cateaorv 1
• Resldentlal Ven8lation Catepory 1 Workthaet
(J suhmfaalon type) Submi@ed ' -
• Energy Envetape;Cala
ulBllone Submltled
?
Il
'
Licensed Plumber it a
Jnl14 i,
MechpniCal Contraclor
Sewerlwater Contractor ?5y = ----''-?
Mianesota R es 7672
? NewEnerpyCOdeWOrlcaheat
Submttlpd
Telephone M(
7eiaphone #( )
i
Telephona #(
I hereby apply for a Residenrial $uzld'zng Permit and aclatowledge that the informarivn is complete and aeeurate;
that the work wiA be itt conformance .vith the ordinances and codes of the City of Eagea and the State of MN
Statutes; I wnderstand clfia is nvt a permit, hut only an application for a permit, and work is not to start without a
permit; that the work will be in accordeace with the appro ed pian in the case of wvrk w' requnres a review and
approval of plans. ,
A,pplicant's Printed Name App e t's Signature
I H9Ud • ?Xdd
?
WoU wv G6:80 En,t MOa-6a-Hu
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA119432
Date Issued:11/27/2013
Permit Category:ePermit
Site Address: 3831 Mill Run Lane
Lot:7 Block: 12 Addition: Bridle Ridge 1st
PID:10-14996-12-070
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Kris Oien
3670 Dodd Rd
Eagan, MN 55123
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
David R Lind
3831 Mill Run Lane
Eagan MN 55123
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
• 6125332668
6125332668
SAWHORSE DESIGNERS
dllund Engine ?ring Services
,nd Svrweyor$
Civil Engineoers Land Planners
F-963 T-685 P-004
/- Surveyors certificate
JAN 85 '99 14:59`
9201 Lost Bloomington Freeway
8ioomington, Mhnesold 55420
Phone: 888-0299
BOOK PAGE
ena• sal
JOB NO '-'$R-:'%o
SURYEY FOR: R.S.M. Homes Inc.
DESCRIBED AS: Lot 7, Block 12, BRIDLE RIDGE 1ST ADDITION, City of Eagan,
Dakota County, Minnesota and reserving easements of record.
90 1.1
•
. ‘7W 4s•7
O3'
4.2.416.1.11
'COP' L.1LJ1 1-1YD. Q 3LJTER, OF
wc.sco"r-r P.O o q►J0 ELREXJE
Roc,raL>!V. a 911.91
•
.c
if / /%1l<< k'clt
_
i4m
c.,,,C'p
tiyPvi/
TOP OF FOUNDATION -9-04.7
GARAGE FLOOR 9o4. 3
BASEMENT FLOOR =1901.5
SEWER SERVICE ELEV.
PROPOSED ELEVATIONS :("
EXISTING ELEVATIONS
DRAINAGE DIRECTIONS :—,---
DENOTES LOT CORNERS : o
DENOTES OFFSET STAKE: 0
C RTlF1cATE OF suRy i
103.E
ti
,94A.3
sst
I hereby certify that this survey ,pion or report wo;
supervision and that lam a duly Registered Land Surveyor under the laws of the
Stets of Minnesota.
Qot
prepar.d • by me or under my direct
o Date: to / J a-)
cam. 3-11'"'
Jetfrry D. 0 -tidal -en . License No. 14376
Et .4
�C.
• Hedlund Engineering Services &
Land Surveyors
�l
Civil Engineers Land Planners
I- Surveyor s Certificate
9201 East Bloomington Freeway
Bloomington, Minnesota 55420
Phone: 888-0289
BOOK PAGE
p -D.1.1' S Q• sal
JOB NO. taR-:�+o
SURVEY FOR: R.S.M. Homes Inc..
DESCRIBED AS: Lot 7, Block 12, BRIDLE RIDGE 1ST ADDITION, City of Eagan,
Dakota County, Minnesota and reserving easements of record.
TOP QUIT WO. a ILiTER. OF
WESooTr RoAo Al E.LRE►.JE
ROAD ELIV. 911.91
jW/ /70,Z 0'��
3f3/tH/L i'A)�.4/
•
TOP OF FOUNDATION = 904.7
GARAGE FLOOR = qO4. 3
BASEMENT FLOOR = 901. 5
SEWER SERVICE ELEV. = NIA
PROPOSED ELEVATIONS :(
EXISTING ELEVATIONS
DRAINAGE DIRECTIONS : .
DENOTES LOT CORNERS : o
DENOTES OFFSET STAKE: o
cERTIFIGATE OF SURVEY.
I hereby certify that this survey, plan or report was prepared•by me or under my direct
supervision and that I am a duly Registered Land Surveyor under the Taws of the
State of Minnesota. �arot.�
ci Date:
o/t. / a�
3 1 3 1 66
Jeffrey D L'inddaren . License No. 14376
City of Bean
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Date: 7 °-
q)
APR 2 52016
r
Use BLUE or BLACK Ink
For Office Use
Permit #: / 6' C72 Lily'
/
Permit Fee:
Date Received:
Staff:
2016 RESIDENTIALQBUILDING PERMIT APPLICATION
Site Address: 3231 a, I I g U n I- 41'1L Unit #:
0
C wner
Name: Ptiv L Ln 4, Phone: 65/-336-67z3
_ n
Address / City / Zip: 39 31 M 1 it l` 00 1^`'`14--
u`i(•Applicant
Applicantis: Owner _Y_ Contractor e•-
® SIN ®r
T 3
Description of work: peoi
Construction Cost: /14 CVO '� '- Multi -Family Building: (Yes / Nod"
)
Con Tact
Company: ; i r -i -a - C,1,14V..., TA( , Contact: Bred)1- -ie, 116r
Address: 206-31 L) I I a/1L 1- 14tt City: ��' ,✓:l/c-
i
State: M9V Zip: SSotjpl Phone: 617,. t137- 01-116 Email: 1,r:1-kt Vutco.(),el�moii,Gam
License #: B 63 99 23Lead Certificate #:
C
If the project is exempt from lead certification, please explain why:
In the last 12 months,
Yes No
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
has the City of Eagan issued a permit for a similar plan based on a master plan?
If yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Fire Suppression Contractor:
Phone:
Phone:
Phone:
Phone:
' lan ppoa• # ,efts'thet you submit are considered to wbe ®_ �nf•
e a t tin
�.. r. stfed as noncl-s ,ttyhoeu" >t vtiaedsen.ific reaso
s.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance. _
x a�� ?e Her
Applicant's Printed Name
x
Applicant's Signature
Page 1 of 3
�n
LDONOT WRITE BELOW THIS LINE
/-3607_
SUB TYPES
Foundation
Single Family
Multi
01 of _ Plex
WORK TYPES
9( New
Addition
Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25%_ 100% ✓ )
Census Code
# of Units
# of Buildings
Type of Construction
Fireplace
Garage
4 Deck
Lower Level
Porch (3 -Season)
Porch (4 -Season)
Porch (Screen/Gazebo/Pergola)
Pool
Interior Improvement
Move Building
Fire Repair
Repair
iyav
1i3'i
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Roof: Ice & Water Final
Framing 30 Minutes 1 Hour
Fireplace: Rough In Air Test
Insulation
Sheathing
Sheetrock
Fire Walls
Braced Walls
Shower Pan
Reviewed By:
Siding
Reroof
Windows
Egress Window
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Accessory Building
Demolish Building*
Demolish Interior
Demolish Foundation
Water Damage
*Demolition of entire building - give PCA handout to applicant
Occupancy 1t4 -/
Code Edition
Zoning
Stories
Square Feet
Length
Width
Final
1'i
MCES System
SAC Units
City Water
Booster Pump
.2.3W PRV
t3
Fire Suppression Required
Meter Size:
Final / C.O. Required
Final / No C.O. Required
HVAC Gas Service Test
Gas Line Air Test
Pool: Footings _Air/Gas Tests Final
Drain Tile
Siding: Stucco Lath _Stone Lath _Brick
Windows
Retaining Wall: Footings Backfill Final
Radon Control
Fire Suppression: Rough In _Final
Erosion Control
Other:
, Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
/03
67
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3 5/o
Page 2 of 3
MI( -�
Srnvcqor's Ccrti/icatc/-36-C73
SURVEY FOR: R.S.M. Homes Inc.
DESCRIBED AS: Lot 7, Block 12, BRIDLE RIDGE 1ST ADDITION, City cf Eagan,
Dakota County, Minnesota and reserving easements of record.
Property lines to beverified -- S,22 . A44 if -4/7- SORM.t y
by contractor/owner. S"A
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MILL RUN
EAGAN_LANE
RE\ ! _-.-WED
TIONS DIVISION
PROPOSED ELEVATIONS
Top of Foundation • 40+4,"1
Garage Floor . 4104.3
Basement Floor
Approx. Sewer Service Etsv.. m;14
Proposed Elevations r
Existing Elevations
Drainage Directions
Denotes Offset Stoke
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SCALE: 11nch a 30 Feet
13y
Dat
PPR ED
EAGAN ENGIN °E
MIG DEPT
BENCHMARK'
i MIN. SETBACK REGIREMENTS,
Front .. 30 House Side — lO
Rear - l b Geroge Side — 5
Vut
HEDLUND
Planning Engineering Sw1wying
as si wi.rnaroa PrNp 5i i4r , MMu.Iah $4
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1 hereby certify that this survey, pion et report wee prepared by me
or ander my direct supervision and that 1 am a duly Registered
Load Surveyor ander the Miss of the Moto of Mtnnesete,
bete: 5 t • Se
/ S a Lhngrea. Llsenee tat4376
408 iso.:
PAGE:
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For Office Use
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EAGAN
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Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff:
Di likillqinaectionsgcliyote:ylan corn L
2020 SEWER AND WATER REPAIR / DISCONNECT PERMIT
Date: Li- 15- ,--)c) (9c Fee: $65.00
City Sewer City Water )1 Repair Disconnect
i
Description Of Work: d lei (a i i +C" '+ IVC. p ipc. 1,1 t. 0 cc< ( t- L .,0 -.I.. o if c.) 0 k k p ()13 e
Street Address for Proposed Work '6S3 1 1h1 I I Rk.k.\-N, L. l'A
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Name: iltP-A. V (::::_. Lk A. 0 Phone: 62 5 1-6 oc)s -(•,:) ,Y(.---2.- i
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Owner Information Address/City/Zip: ,,,, M I fl Ii RIA.\\ I- r1
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1 Applicant is: Owner X Contractor
_ .. .
Licensed Pipelayer Master Plumber ,ki Property Owner
Name: 0+0 - Rr...)0 f-t-"Y 3 cs ,c. 3,4-
Phone: 742 • s) i / ,.. e—77(." = 1"
Address/City/Zip: 1445 30 - . ) \ et,--- tv . \-1, ill. N'---) c.3
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Pipelayer Training Certification Card#: or Master Plumber License#: Pr) C.). C T) &6..., :-.) '/
I acknowledge that the information is complete and accurate and 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.
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1---
Applicant(Print Name) Applicants Signature
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,c i ty9 fy A f lxi i i C011th,t1h5.L i'i141,.
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. ,,As,,,,,,,,(1,,,il ,:i,,i,ii, ;) ,,, , II, (,, :