3843 Mill Run Lane WOW &PI-VG VI ULMVIN, 111K
✓ V
- - - - - - - - - - - - - - - - - -
4 F I For Office Use
,
City of Ea Permit 9J 9 > ~ j
_ I I
R I Permit Fee:
✓~.u
3830 Pilot Knob Road
Eagan MN 55122 I Date Received:
I~~ ® u
Phone: (651) 675-5675 LU LU
I Staff: t
Fax: (651) 675-5694 1
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: UU 7 J 4 &juiZ'
Tenant: Suite M
RESIDENT/ OWNER Name: u V Lt Phone:
Address / City / Zip: a
Applicant is: Owner -Y- Contractor
TYPE OF WORK Description of work: ,o,5" SCa' ~ lX ~ ~C3
Construction Cost: _ /0 1 q0& Multi-Family Building: (Yes / No
CONTRACTOR Name: 1G License 77
Address:
~ w City:
State: Zip: Phone: -0 &V6
Conta'it Id Email:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months has the City of Eagan issued a permit for a similar plan based on
tY p a master plan?
I
Yes No If
yes,' date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and :supporting documents that you submit are considered to be public information. `Portions of
the information maybe classified as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
x Y-ls L&/ X k~(~ 6~ )
Applicant's Printed Name Applic nt's Signature
Page 1 of 2
CITY OF EAGAN 42 17929
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 -
BUILDING PERMIT Receipt #
TXiZ`?,, ? 1;?!'^
To be used for Est. Value Datc M-AY 29 , 1990
Site AddrOess '
Lot ? 81ock
Parcel No.
MILZ. RiJl1 l.i1
;
_ Sec/Sub. -
Name ._"'.. __, .?_...
Address
City Phone -1
d i?,A _ f?G41
5u 04 Address
? City Phone
r
WW Name
? ; Address
a W City Phone
I hereby acknowlege that I have read this application and state that the
intormation is correct and agree to comply_ with all applicable State ol
Minnesota Statutes and City of Eagan O`rdinances.
Signature of Permitee1"
Qi? $?
A Building Permit is issued to:
on the express condition that all work shall be done 'n accordance with all
applicable State of Minnesota Statutes and City ol Eagan Ordinances.,
_. ,
Occupancy
Zoning
(Actual) Const
k of Slories
Length
Depth
S.F. Total
S.F. Footprints
on sita saWage
On Si1e Well
MWCC System
City Water
PRV Required
Booster Pump
APPROVALS
Pianner
councii
Bldg. Olf.
Variance
OFFICE USE ONLY
FEES
2S.U0
_ Bldg. Permit
- Surcharge
Plan Review
- SAC, City
- SAC, MCWCC
wacer c«,n
- Water Meter
ACCt. Deposit
S!W Permit
- SNV Surcharge
Treatment PI
Road Unit
- Park Ded.
Copies
- TOTAL
. 3w
1•00
-Y6-.-SU
Permit No. Permit Holder Dats Tebphone k
WATER
SEWER
PLUMBIN(?i
H.V.A.C.
ELECTRIC
InspwNon Date Insp. Comments
Footings I
FourdaGon
Framing
Roofing
Ragh PIb9.
Rough Htg.
Isul.
Fireplace
Fnal Htg.
Final Plbg.
Canst. Meter Pibg. Inspeclor - Notily Plumber
Engr.lPlan
Bldg. Final
oork F?g. L D
Oeck Final E-f
Wetl
Pr. Disp.
?' ,'s •,:v
. .'?• ..'1.?. "
, PLUMBING PERMIT
' CITIf DF E/IGAN
;, 3830 PIIOT KNOB ROAD, EAGAN, MN 55122
CONTRACT PRICE PHONE: 454-8100
Name
Ciry
COMM/IND FEE - 146 OF CONTRACT FEE
APT. BLDGS - COMM RATE AP.PLIES
TOWNHOUSE & 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
FOR: CITY OF EAGAN
PERMIT #
RECEIPT q _
DATE:
BLDG.TYPE
Res. New
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
Water Closet - $3.00 ?
Bath Tubs - $3.00
Lavatory - $3.00
Shower - $3.00
Kitchen Sink - $3.00
Urinal/Bidet - $3.00
Laundry Tray - 53.00
Floor Drains - $1.50
Water Heater - $1.50 ".
Whirlpool - $3.00
Gas Piping Outlets - $1.50
? (MINIMUM - 1 PER PERMIT) - ,-,
Softener - $5.00 .
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
FEE:
STATE S/C:
GRAND TOTAL: ~
, .- . . , .. :; .- ?,;?. j, . ar .. . . . . . . . . ... . . o-. . -- ...,mT....,
• , q PERMIT # u
PLUMBINJPERMIT RECEIPT #
CITY OF 6AGAN
, 3830 PILOT KNOB ROAn, EAGAN, MN 55122 DATE: .? "?Jl %d
Site Address .?- 'Y„'
Lot - Block Sec/Sub
? Name C??t_,•?? ?? rr. •,.,
c? Address a?Z! t ?1.v.oe4„1 .4?z
41
c
3
O
Name _
Address
City _
Phone
COMMIIND FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMM RATE ApPLIES
TOWNHOUSE & CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PEFi PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES ?
FOR: CITY OF
., f,.. . . . _
?. TYPE
n.
PLBG. ONLY -
FI;
Watar (;InSr?t - !
Dry - $3.00
er - $3.00
?n Sink - $3.00
/ Bidet - $3.00
Iry Tray - $3.00
Drains - $1.50
Heater - $1.50
WORK DESCRIPTION
New
Add-on
Repair
THE
:s - $1.50
PER PERMIT)
TOTAL
7 ? .J
J
, •.?
/
1 S ?,
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
FEE:
STATE S/C: - ' ?
GRAND TOTAL:
?•t?.- .,h?{,. . . , . ..
?. s?? . .. . . . , . j . . .
?
PERMIT #
w ; i ... • MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE ? . ; PHONE: 454-8100
Site Address '? ' t c- BLDG. TYPE WORK DESCRIPTION
Lot Block i Z- Sec/Sub
1(
New
Res.
?
°
' Name ' ? z ; f Mult Add-on
-
?c
Address Comm. Re air
P
c City Phone `:? '-re_1? Other
Name FEES
?
c
A RES. HVAC 0-100 M BTU
- $
ADDITIONA
M BT
24.00
p ddress
City
Phone'r'Vl L 50
U -
UDES A/C ON NEW 6.00
CONSTRUCTION
GAS OUTLETS
MINIMUM
PER PERMIT
(
) -
- 1 1.50 EA.
TYPE OF WORK COMM/IND FEE - 14'o OF CONTRACT FEE
Forced Air M BTU APT BLDGS. - COMM. RATE APPLIES
Boiler
M BTU TOWNHOUSE & CONDOS - RES. RATE APPUES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8
Unit Heater M BTU REMODELS - 12.00
Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
Vent CFM R (ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping OuUets # $f j' BEYOND $1,000)
?
Other
FEE
S/C: - - SIGNATURE OF PERMITTEE
TOTAL:
FOR: CITY OF EAGAN
• + ?. ? ,
i '
, (texfi#irtttt uf (Orrupanry
• Citp of olagan
lurvarfinrnf Lif ludding jtwrtintt
Tlus Cenifcate issued pursuant to tke requiremenu of Section 306 of the Uniform Building
Code certifying that at the time of rssuance this structure was in compliance with the ?arious
onlinances of the City regulating buildrng constnrction or use. Far the following.Ibe Qagsi6calioa BWg. Ptrmit No.
O-UPe-S' TYPe ? Za? Distria RD R T7P* Cami
g,„ld;,,g Addnm '.x43 MLI1. MJN Ila`E i.oW;n, I_ i u, B t 2, RRVU RFAE ! ST
o.te: ivo?'c 26, ? 9?63
BWia;q arca
POST IN A CONSPICUOUS PLACE
CASH RECEIPT
CITY OF 'EAGAN
3830 PILOT KNOB ROAD
' EAGAN, MINNESOTA 55122
,
DATE 19 PE ?D . 1 1 , j ? 1 • ?y ?' +?
AMOUNT $ ?j .?
8 DOLLARS
,oo
? CASH f]?CHECK
• ? ,, ,_ ?% ?'- ? i, 1g
L
wnite-vayeB coar
N4 8 15' Yeliow Pos" Cop,
Pink-+ue cocr
Thank You
eY
----,.?: ----,..--?., - - -
BLDG. PERMIT. N0.
01-3210
01-3422
01-3445
01-3446
01-2155
'' . -44-1860
20-2275
20=3865
20-3868
20-3716
20-2252
20-37I3
20-3743
79-3866
a? ?j 14-3855
Bldg. Permi
Plan Check
Surch./Adm.
SAC/Adm.
Surcharge
Road Unit
SAC
Water Conn.
Water Trmt.
Water Metei
Acct. Dep.
Water Permi
Sewer Pernii
Sewer Conn.
Park Ded.
TOTAL
ai3T-ATED FOR D$CK 5/12/89 CITY OF EAGAN ?-
AMEt? 553-9274 3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121 '
PHO N E: 454-8100
BUILDING PERMIT Aeceipt #
To be used for Est Value • Date ,19
Site Addres?' ? OFFIC E USE ONLY
Lot Block SeclSub On Stte Sewage Occupancy
. MWCC Syatem " Zoning
Parcel No. i
ll A
On S
te We (
ctual) Const
City Water (Allowable)
c Name
W
;
Address PRV Required ? of Stories
? City Phone " Booster Pump Length
Depth
p Name S.F. Total
,
? ? Address Footprint S.F.
? City Phone APPROVALS FEES
? ¢
W
Name Engr./Assesa. Permit
F
z Plenner Surcharge
_ a Rddress
Council Plan Review
`W City Phone Bldg. Off. SAC, City
I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC
information is correct and agree to Comply with all appticable State of Water Conn.
Minnesota Statutes and City of Eagan Ordinances. Water Meter
Signature of Permittee __ - Road UNt
A Building Permit is issued to: Treatment P1
on the express condition that all work shall be done in accordance with all
Perks
applicable State of Minnesota Statutes and City of Eagan Ordinances. TOTAL
Building OHicial
? Parmit No. Permlt Holder Date Telephone ik
Plumbing
H.v.ac. y4
?
Electric (??"? :?;? +? , ? f? f?Jc
5oftener
Inspection Date Insp. COmments
Footings I . _ ?
Footings II
Foundation
Framing -
Roofing
Rough Plbg.
Rough Htg. _-•?.? ?,
Isul.
Fireplace
Final Htg.
Final Pibg.
Bldg. Final
cert. occ.
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp.
----- ------- -------
-----------------
? ?? ?? ?-l ?.
??? ?
? ?3 -i?? ?' .
? ?? -? .
?GV c.?.?- ?? ?
7",?.r ou.?•t ??-???o
?? ???r ?j.? .?- y?--?^?- ?
I c? ?.?/? Y ?f-?
CITY OF EAl3AN Permit No: Date:
3830 Pfloti Knob Raad Meter No: 406 a0 .30?. Sixe: ?t .
P.O. Box 21199 Reader No: 7FS ? Date:
Eagan, MN 55121
Owner. - -
Site Address: „l: n Lu F.
,
Conn. Chg: (; , c10nc' ?Moi.a?gy ?;tIIItI?S ? ?
Acct. Dep: 1? • ??` Q&S c1C.
Permit Fee: -L0• t?0 ?
Surcharge: • 5 [W044 t"W with the Cfty of Eagan
Tr. Plant ',?' • ?'` - Ordinanc
Meter.
?
CITY-0F EAGAN
3830 Pilat Knob Road
P?Q..Box 21199
Eagan, MN 55121
Site Addr
Plumber:
WATER
Permit No:
•;tc^,
B/P No:
Date:
Date:
I.3ne Li' B
{?- ;T
'?`?".110rt9 !
MWCC: - Zoning.
Ci Ch :
? 9 15.40pd Nfl• of Units:
Acct. Dep:
,. . T. . I agree !o cornply with the City of Eagan
Permit Fee: '
Ordinances.
Surcharge:
SEWER SERVICE PERMIT
RESIDENTIAL
BUILDING PERMIT APPLICATION
?CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675
New ConaWCUon Reauirements
• 3 registamd sile surveys showing sq. ft, of lol, sq. ft. of Iause; and all roo(ed areas
(20°h maximum lol coverage allowed)
• 2 copies af plan showing beam 6 window s¢es; poured found design, etc.)
• 1 set of Energy Calculations
• 3 copies of Tree Preservation Plan i( lol platted after 111/93
• Rim Joist DeWl Options selection sheet (Wdgs wiN 3 or less unBs)
DATE 1
JOB SITE
IF MULTI-FAMILY BUILpING, HOW MANY UNITS?
PROPERTY <
TYPE OF W<
APPLICANT
ADDRESS "
PAGER # _
W
CELL PHONE #
FAX #
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY? f i? ???
Energy Code Category MINNESOTA RULES 7670 CAT"EGORY 1,,ip) vCT
i
(check one) - Residential Ventilation Category 1 Worksheet Submitted ?y ???
- Energy Envelope Calculations Submitted ?
_ MINNESOTA RULES 7672 ? --
- New Energy Code Worksheet Su6mitted
Plumbing Contractor: Phone #:
Plumbing System Includes: _ Water Softener _ Iawn Sprinkler
Water Heater No. of R.I. Barhs
Fee: $90.00
No. of B s
? Q? ?
Mechanical Conhactor: ? ?^?' `--' Phone # -74.21'?
Mechanical System Includes: _ Air Conditioning Fee: $70.00
_ Heat Recovery System
Sewer/Water Conhactor:
Phone #
All above information must be submitted prior to processing of applicaUon.
I hereby acknowledge that I have read this application, ate tha ki?nformafion i
with all applicable State of Minnesota Statutes and City f Eaga es.
SlgnafureofAp ca
Certificates of Survey Received _ Tree Preservation Plan Received _ Not
?-I U.C)C7
RamodeVReoair Reauiremenb
. 2 copies of plan
• 1 set oi Eneyy Calwlatlans far heated addilions
• 1 sftesurveyforexterbraddi6ons8decks
• Indicateithomeservedbysepticsystemfaraddi6ans
VALUATION
FIREPLACE(S) _ 0 = 1 _ 2
and agree to comply
Updated 1101
OFFICE USE ONLY
? 01 Foundatlon ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. AH - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02•plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (FOUndatlon) ? 45 Fire Repair
? 33 Alteration ? 37 Oemolish (Bldg)• ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement "Demolition (Entire Bldg only) - Give PCA handaut to appllcant
Valuation Occupancy _ MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
Footings (new bldg)
Footings (deck)
Footings (addition)
Foundation
Drain Tile
Roof Ice & Water Final
Framing
Fueplace _ R.I. _ Air Test _ Final
Insularion
Other
_ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Siding Stucw Stone
Windows (new/replacement)
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
ToWI
REQUIRED INSPECTIONS
F;navC.o.
FinaUNo C.O.
_ Plumbing
HVAC
Buiiding Inspector
CITY OF EAGAN Np 17929
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55721
PHONE:454-8100
C gio%49
BUILDING PERMIT Receipt #
To be used for DECK EsL Value $1 , 000 Date MAY 29 . 19_4.Q__
Site Address 3843 MILL RUN LN
7
T
ST
l
1 OFFICE USE ONLY
D
D R
z Sec/Sub. BR
Lot
0 Block
P8fC01 N0 Ocwpancy - FEES
. Z
i
on
ng
a Name KEITH SPENNEWYN (ACtual)Const - BIdg.Permit 25.00
o Address 3843 MILL RUN LN (Albwable) - e
Surchar • Sn
City EAGAN phone 893-1319 # of Siones _ g
h Plan Review
_
Lergi
o Name SAME Deplh - SAQCity
f
ci° Address S.f.Total _
AC
M
WCC
0 t
? City Phone S.F. Footprints - ,
S
C
Water Cann
On Site Sewage _
?w Name On Site well - Water Melar
z- Address
MWCCSystem -
0i Atcl. Deposit
a W City Phone Cay water -
i
d
S/W Permil
re
_
PRV Requ
I hereby acknowlege that I have read this applicalion and state that the Booster Pump - yyy Surcharge
intormation is correct and agre to wm I wrth all applicable State of
Minnesota Statu and City of ?a in es. Trealment PI
Signalure ot P APPflOVALS Road Unit
A Building Pe mit is issued to: ?ITH S'1 LTY Plannar - park Ded.
on the expres condition that all rk shall be don a r0ance with all C?"^?'l -- 1
00
applicable State Minnesota Statu s and City ot Ea n rtlinances. glQy, pfi, _ Copies .
8uiltling Official
VarianCe -
TOTAL
26.50
CITY OF EAGAN (?0 14632
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PERMIT PNONE:454-8700 Receipt # 515-3(0
Tobeusedfor SF DWG/GAR Est.Value $77,000 Date
Site Address ' 3843 MILL RUN LAN
Lot 10 elock 12 Sec/Sub. BRIDLE RIDGE 1ST
Parcel No.
: Name R. S .:1. HOMES
= Address 5516 180TH ST E.
o pity PRIOR LAKE phone 432-5009
o Name gy?
=
oQ Address
? City Phone
t-
W?
w
w
Name
l
i? Address
a W City Phone
I hereby acknowledge ihat I have read this application and state that the
information is correCt and agree to comply with all appliCable State oF
Minnesota Statutes dar,LCijqpf Eagan Ordinances. ?? `-1A
Signature of Permi[tee
A Building Permit is issuetl to:_R. S.M. HOMES 7--1___
on the express condition that all wOrk shall be done in accordance with all
applicable State of Minnesota StatLIW and City of Eagan Ordinances.
BuildingOfficiaL_??}_____ ?
1-1 /
?
19_$$_
OFFICE USE ONLY
On Site 5ewege _ Occupency R-3
MWCCSystem X Zoning PD, R-1
On Site Weil (Actual) Const Vn
Ciry Water X (Allowable) Vn
PRV Required _ # of Stories
Booster Pump _ Length 41 1010
. Depth 46' 4"
S.F. Total
Footprlnt S.F.
APPROVALS FEES
Engc/Assess. Permit 4$2-00
Planner Surchaige _3$SQ
Council _ Plan Review _2_41-Ilo-
81dg. Off. SAG, City -LQQ-_QQ_
Variance SAC,MWCC S50--00_.
WaterConn. -550 _00._
Water Meter _6.7 00-
• • Roed Unit 3 S QQ
. rreatment al 204.00
Parks .50
TOTAL 2,558.n0
7hIS re4ues
nHis Ir tom wiA 3/? r?/p?y
18 ? Q O 6
D 99215,Cic,
3 -Zq - &£r
censed Elec[rical Cnmrac[or
Owner
cuon
C,Feady Now?Will N?tity Insper
ry?? lor When Ready
I hereby request inspectian of above
electrical work installed at:
Street Address, Boz or Route No.
38'y3 ?'?
'?/ &
-
k City
'
?
r
r
N ane a Q r
1
ecUOn o. TownshiD Name or No. RanBe No. Cow^qy
VL?
Occu?t jefllNT} Phone No.
Po r $applier AdAress
ElecV'cal ConUactor (COmpany Namel Contrac 's License No.
MaJing AuJress ICOntractor or Owner Mnklnp InstailatioN
e-7s W 1,1
Aut
etl Siena[ e ICo a or?Owner Mnk' I nstalla[ion)
P N ber
?
MINNESOTA STATE BOAPD OF ELECTqICITY
Grigpa.Mitlwev Bltlg. - Noom N•197
1821 Universitv Ave.. SL P.W. MN 55104
Phone (612) 842-0800
THIS INSPECTION HEQUEST WILL NOT
BE ACCEPTED BV THE STATE BOAND
UNLESS PPOVER INSPECTION FEE IS
ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION ee-oooapi-os
?`+}? q? See instructions for comoietine lhis lorm on batk af Vellow copy.
- J J 2 1 5 "X" Below Work Cavered by This Request
i HeD. Type of BuilEing AOpliantna WireE Equipment WireA
Home Range Temporary Servlce
Duplex Wa[er Heater Lightiny Fixtures
Apt. Building Dryer Bectrie Heahn
Commercial Bidy. Furnace Silo Unloader
InAustrial BIAg. Air Conditioner Bulk Milk Tnnk
Farm Orer pe17 v einer l5ucn00
t Pf S{1C(:1 Y 1hC! 01hl`f
Comuute lnspectron Fee BeJow
p Fee Service EntrenceSiae H Fee Fentlers/Subfeeders b Fex Circuits
,QQ U to 200 Am s 0 to 30 Am s -M 0 tn 30 Am. s
Above 200 qiripy 37 to 100 Amps 31 to 100 A s
Swimming Pool Above 100_Am s Above 100_Amps
Trensiormers Irrigation Boonis i?O Pdrtial.'Other Fee
Signs Special Inspection SLI
TOTA EE
Nemnrks
Rouen,n ?a ,tne o-ic I -
• ? insoeclor, hereDY
ertity thnt the above
final ? ?'Ji!' /`' inspection has bean
..?A d mBtle.
Thia reyueat valG 18 montha irom •
This reques[ vaitl X'? ?/?/?
1E months lrom ? ?"
D 7 9 6 6 2? /o 2/a 12,?1_?c__ i?u-j?. lk
?nues? va?e - ? IFirg No.
C c`
G UCS RouPh-i InsUer,-on
HequrteA? - ?-V'' v
?FedtlY Nuw i ?nvill NntifV. InsOeo
Wh R d
Licenaetl Electrical Contractor ?rt
1 hereby 1e1 uast inspectian of ebove
Owner
elecfrical work insta lletl at
treet Address, Boz or Rout No.
?3 ??{r l/ u n ? n
?
c aG?
,
_a_-.n
to. Township Name or No. RanBa No. .
Co nty
Oc Pant (P 1 T)
?j?
Phone No.
'
I
Powqr? SuUP I i er
Address
-
A (
I
Elec?tri1cal Conhactor(COmpany oNxmel r. :
Conhactor's License No.
6L
Ma Iin
B Ad ress IContracmr or Owner MakinB Instailationi
/
,
7Lo? ? 7?i(f
'
Au[?or.
etl $iena[ure (COmractos/
ner MakinB Inscallntionl ?
Phone Numbe!r? ?
MINNESOTA STqTE BOAflD OF ELECTqICITY THIS INSPECTION NEQUEST WILL NOT
Griggs-Midwey Bltle. - Boom N•191 BE ACCEPTED BV THE STqTE BOARO
1821 Universitv Ave.. St. Vaul, MN 65100 UNLESS PFOPEN INSPECTION FEE IS
Phone (612) 692-0800 ENCLOSED.
? 88' REQUEST FOR ELECTRICAL INSPECTION ? Es-ooooi-?os"
? See instructions for completiM this torm on baek ot yellow coCY.
796 6 2 "'X" Below Work Covered by lhis Request
AdA pep. TVpe ot BuilEine Apolianem Wired Equiymam Wired
Home Range Temporary $ervice
Duplex Water Heater Lightin,y Fixtures
Apt. BuilAing Dryer Electnc Heaun
Commercial Bldg. Furnace Silo Unlonder
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm o:nr, aei,77 emo, isu.,,fv)
+ . ucci v iner Oincr
omaute Insnection Fee Be/ow
M Fee ServicaEnhenceSize b Fea Faedars/Subieeders N Fae Circulfs
0 to 200 qm s 0 to 30 Am s 0 tn 30 Am os
Above 200 qmps 31 to 100 Amps 31 to 100 qm ?
Swimming Pool Above 100-Amps Above 100_Amls
Transiormers Irrigation &oorcis Partia6'Other Fee
Signs SUecialinspection
TOTAL F ?
Hemarks 1?
?-
PouBh-in Date I. ?he Elecl I ?I
speclor, herohy
Fina] pA1e ceI ?fl y that the nbove
? --Zinspection has been
? ' meda.
Thie repueat voitl 18 monihs Imm
, .
1988 BUILDING PERMIT APPLICATIOIQ - CITY OF EAGAN
/1-16 3 6?--
SINGLE FAMILY DWELLINGS
ZNCLUDE 2 SE'LS OF PLANS, 3 CERTIFICATES OE SURVEY, 1 SET OF ENERGY CALCULA'TIONS
NOSEs ADDRESSES FOR CORNER LOTS - CONTRACTOR/$OIr1EOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE HUILDING PERMIT IS ISSiIED.
MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS 4f OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH RLDG. DEPT.,
1 SGT OF ENERGY CALCULATIONS
CONAIERCIAL
INL'L[ID6 2 SL'TS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CFILCULATI0N5
To Be Used For: STz ?? Valuation: 4iE7? _
Lv?- Site Address mm P WTN\?4u ?
Lot IC) bloc;c -2-
Parcel/Sub
Owner
Address m..i
city/zip Coae 5S?
Date:
Urrlt;n uac vavii
OOO._
On site sewage Occupancy
MWCC system On site well
City water
PRV required
IIooster P?unp
Z
Phcne ?Swq , APPROVALS
Contractor
.-
Address
?.
Cityl2lp Coda
Phone
Arch./Engr. C??e?
Address ?
City/Zip Code '1
FEES
Engr/Assess Permit ?$ 2.00
Planner Surel?arge _3So
Council Plan Review z y/, o:c
Bldg. Off. ?/Zq SNC, City !
Variance SAC, MWCC 0,00
Water Conn SSJ,DU
Water Meter
Road Unit 32,?,oO
Treatment P1 Aq2u,Do
Parks
Copies
TOTAL _ ,.SQ
5S ? d 0
? Zoning ?} R-I
Actual Const V-N
A1lowable V-Y?I
4i of stories
Length ,
14.1 - D"
Depth
S.F. Total
Footprint S.F.
Phoae ll ? ?
CARA6E
i'?x2o y oo
. . ?. ??L x?4
39o x lL?= SLr(oo
?.sE,ntNT
?vn3O c? 3?
(2 ?1(0 1 yZ
z x ?+ _ ?5S)
s x iz= . ?o
I I sd> x 13= 15340
N ou
(3gvnT --a' 1?`??
2x7 ? I4
2?tk`I
xzy=
?Z X 49= G,D?1G?o
C-rss
c)QqwN-
spar?
S l( I 2, ? jp0
23 u Ib = 3?e
z'x 14
'? 6yG4
r R5M HOMES, INC.
EXTERIOH GIIVELG°E AVIRAGE "U ` COj JUA7"PHY LAKE IBWp,
. PR10R LqKE, MN. 55372
o?•,??E,? ? S rc? ?4 c? rr? c
,
SITE ADpRESS_ _ -C"„ ?.I
CONTRACTOR /?? irJ ?,?,?• ??,?, ? .
Aetermine rrorking square t'ootap q1' eaCh.
„
1. Total exposed wall area . . . , ?Y???•o,? rq. #'t , X lA v -2/
• I/ .
2. Totsl roof/celling area .... Pt,, x`?DF = GG
Total exposed wa11 area abaYe rlqor = ?.tiao
a. Total wall winzoti•i area .......,,.,,?..., 9.?•?!
b. Towal door area ........ ....?....r,..,,.
c , Total sliding glass area . . . . . . . . . . . . . . .?:G:-?,,,...? > ;
d. Total rireplace wall area .............. ?
e. Tot?%l wall fraMing area (averaga lOS),.,
f. Total net v+all Area above flaor ,,,,,,,, vo.
U. Total ritr joist area ................... 91s ,
Tota1 exposed fcundation srea F 9,. v
h. ?btal foundation rrindow area .... ..,'... O
1. Total aet foun(latian area above grqde , 79-04
Deterrnlne "U" value of each wull $egmept.
a.?:?. i X 11V ,s, = y?.1
b, y X ?Ur, w
c. X nU:: .?? F
D. o X uU:, o w o
e. i9-•'?u R o.Uu ? Q 13 Z ,.
x „u,:
:
Q. X #
U?? . G?7. S. ._S'. ,? . ..
tl. D X Ul b K ? . . ..
1.? X ?:Uti,
.O_
3 ..... ...................................?,Total •
If Ster) N3 is the same as, or lese than lterq pl, ypµ havip me? ttia
1nCent of SBC 6046(c)2.
C1 c! Ch i
Total exposed roof/cellin4 area F,? ?
J. Total ukylisht area ...
R. Total rooi'/ceiling framinG ?areal(average . M.,
l. `i'otal npt insUlated roof/ceiling area ...,,,. 9P!O•G Aeterrnine "U; value for each roof/ceiling sogm#nt. '
?•G X"U,i v ? a
?.
k.-&2-'I-X .:U .3.1
----?.,
1. f9 3. L )(
4 .............
` ...........
...•..... .??.....Total
IS' total of f,+4 is the sa:ne as, or less than F24 you have.meC Che
intent of SHC 6006(c)1.
Alternate Buiidiiia Envelope Des1Fn
To ut111ze the total envelope systera nethod, the values'estat)llsheci
by the sum of items N3 and N4 shall not be greater than Che sun,oT.
items b'1 rtnd n2.
. 1? + 2.
---^.----•.-
3• + 4. _
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-?
f? `?-' • ? _ ?./S
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sumellorfs Certificate
SURVEY FOR: R.S.M. Fiomes Inc.
DESCRI8E0 AS: I-ot 10, Block 12, BRIDLE P.IPGE, City of Eagan, Dal:ota
County, b9innesota and reserving easer:ents of record.
,•: •r.
... ,: ?
o-
. .
?OD
?
N
$aS.Q
847.0
I- ? _ -
10
-
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2-v4v
898.4
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89_S.U?
\
\?R?pGf
` R?qO
PROPOSED ELEVAT10N5
Top of Founaofion . W7
Goroqe Floor .8",3
Bosament Floor :ft,s
Approx. Sewer Sarvlee Elav. . e-
Proposed ElevoHons ?
t ?
Erretinq Elsvattone .
Dralnaqe Direcfions I.,,..W
Denotes 0!/sef Stake . O
/iEDLUND
PJannin9 ErVneedng Sunreying
M? EM NeamFpbnMF?+pNIl?ElUP?M • Mlnwa?'b?A
4; ?.?8;90
R; -19? yB. 2J?
? Y, V
8- 93t5 ZZ
`
4qg_3
ow
SCALE: ! Inch • 30 Feat
BENCHMARK,
( MIN. SET9lSCK REQIREMENTS
Fronf - 30 Howe Slds -/0
Reor -/$ Ooraqe 81M-,5'
I Mnby eortlfY Ihaf 1146 nnwr. Olen x repert was pre0ered br mo JOB NO.•
a und@r my Alnet supervlslon enE Ihot f am e Au1y R*qlshv,d 8gR_ Sq
Land SwrOrx uM?r Me k?n ef tM 8fab e/ Mlnnneta. BOOK:
oa?•: ? ,1z , ea 1Q ?PA6E:
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" 1989 B[1Ii-DriiG PEEGlTT APPLICAiION
CITY OF EAGAN
SINGLE FAMILY DiIELLINGS
14 432-
2 3ETS OF PLiNS 2 3ST3 OF PLANS
3REGISTERED SITE SIIRVEYS EEGISTfiRED 3ITE 30AVES3 -
1 SET OF ENEAGY CiLC3. (CHEC6 1IITH HLD(i DI9. )
1 SLtl' OF F.RSAGY CALC3.
MULTIPLB DHELLINGS AENTAL 9NITS FOR SALE 08TTS
-?
?
COMMERCIAL/?? ?-_--
2 SETS OF ARCHIiECTURAL
6 ST80Cf9RAL PLANS
1 3ET OF SPECIFICATIONS
1 3E"f OF ENERGT CALC3.
# OF DlTTTS
BOTEt IDDRES3ES FOA COANER LOTS - COATRACTOa/HOMEOiiNEA lW3T MBIGBATE flHICH 1DDAESS
IS DFSIRED. NO CH9NGES iiII.L BE ALLOiiED ONCE Bt1ILDIAG PEAlIIT IS ISSUED..
SEWER 6 IiATER PERMIT FSES iHD 1CC00NT DEP03TT F6E.4 WILL 8E INCL9DED iTTPH THE HIIILDINfi
PERHIT FEE. PAOCE3SIlIG TIME FOR SEWEA 111D WATEA PEdF1IT3 IS TBO DAYS ONCE l PfiAMIT HAS
HEEB COMPLETED INDIC9TIAG A LICENSED PLDlMEA.
PENALTY APPLIES WHEN: PERMIT IS NOT PAID FOR IN 3AME MONTH IT IS REQUESTED.
LOT CH@NGE IS REQOESTED ONCE PERMIT IS ISSUED. dAI p 9 1989
To Be Used For:
Site Address
Valuation:
Cpw£?--
Lot /_d Bloek / z ?
Pareel/Sub "Z"?+le / ?
Ormer Le;y? JQC?nJx.?Ei,,? yav
9ddress
City/Zip Code C_?yC+--? SSI? 3
-/t
Phone ?t,S1_7 - d /? o-)
Coatractor 9,?l1L'e
Address 2?-v / iC,C 2w
City/Zip Code ??(/rL?A
Phone
lreh./Engr.
Address
City/Zip Code
Date: ??aa v
/ oov'
Oceupaney FEFS
Zoning
Actual Const Hldg. Permit
Allowable 3urcharge
3 of atories Plan Review
Length :2y' SAC, City
Depth 12? SAC, MWCC
S.F. Total Water Conn
Footprint S.F. Water Meter
Acet. Deposi
On aite sexage S/A Permit
On aite vell S/W Surcharg
MWCC System _ Treatment Y1
City water _ Road Unit
PRV required _ Park Ded.
Hooster Punp _ Copies
SOSTOTAL
IPPHOVALS Penalty
Plaaner T0iA1.
Council
Bldg. Off. y75J1 0
Yarianee
Phone A
? Smirellortis Ccaificatc_
SURVEY FOR: R.S.ti. (lomes Inc.
DESGRIBEO AS: I,ot 10, Block 1.1 ., BRI,llLE P.IDGE, City of Eagan, Dal:ota
County, Mimtesota and reserving easements of record.
; ;:•;•
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N
895.9
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647.0
io
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PROPOSEO ELEVATIONS
Top of Foundaflon - S".y
Garope Floor -$QQ.3
Boesmsnf Floor
ApproR. Sewar Serviee Elev.
y
Proposed Elsvatlons I ?
Eu+Nn9 Elerotlene ._
Orotnoqe Dlrsctione I?.
Denotas Ol/set Staks . O
90
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q; ye•,
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g93.3
;411
SCALE: i Ineh • 30 Feet
BENC?K,
IMIN.SETBACK REOIREMENTS
Front - 30 Houa Side -10
Reor - 15 (ioraps SIM - 5'
»EOLuNo
Planning Errgineering Sw?reylrtg
Mt [M fta? I?M. . 118439
INp1?aw/Ia m
I bvely eerllly tMl thU wrwy. Olen a fgpwf was Onpered !? me JOB N0.1
er under my dlnct suMrvlstan and Ihat / am e Auly ReOl+tere4 ggR- ?9
lend SwreYOr anAer Me bws ef IM 8tatO N Mlnn42ete,
BOOIf:
g6 ? PAGE:
p ?. r ?n, Lle".e aNSte
8 la,
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citv . Yl?ndew Stam Sd
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APFLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTIQN
oF eagan
1) PROPERTY ADDRFSS: . . . . . . . . ???? ?i
IEGAL DESQ2IPTION:
KNOTE: PAYMFNf OF FFE AT TIME OF ,
?
; aeriscaTToca oors nrlr coN- ;
i SfI70PS APPAGVAL OF PERMIT. ?
? INSPDClION OF SFSdM AN)/M 4m1FR :.
$ ILL'7Nd,ATI@1S WII,L NOT BE S'Exatn ?
? [!NLIL PFRPIIT F1AS BEQd APPRCNID.
ex?+wkw?i+++txri?+?tt??i?r,?o?etyww?x+*
IF EXISTING STRC'CT[)RE, DATE OF ORIGINAL BUILDING PERMLT ISSUANCE:
Nbnt Year
PRESENT 7ANING/PROPOSID USE:
Q CODmEE2CIAL/RETAIL/OFFICE
Q INDL?STRIAL
Q, INSTI74JTIONAL/GOVII2DIIMENT
2) ? NAME:
ADDRFSS:
CITY, STATE, ziP: ?--? J19-9E / ?r[lti?''
PHONE: ?`Pq - ??, c)
6-
s> • : ?rArE: -Vli?,?
ADDRESS: ! ?-LJ/ ci _ oA'j L
4)
CITY, STATE, ZIP: ?y¢-?1?l??, , y?/ //1/i) y? .
PHONE: 0.0 MASTII2 LICENSE # D O a 3?5 ? ?Y? D
?-
NAME:
ADDRFSS:
CITY, STATE, ZIP:
PHONE: L/?"q
5)
? CONNECTION 1C) CITY SEWER I?I
7liJ
6> ? /V/'.
? Active
E7cpired
Not recorded
Sta Initia
?Z"/ - 9'?/
***************???***,*****?*******??**?*?**?*****,.*??*****?*********************?**??***********??
*
THE GOLD COPY OF TfE PERNIIT WILL BE SENi' DIRECPLY 'PO PUffi,IC WORKS 1n FACILITATE METER PICK-IIP. *
PLFIISE ALSAW '1SV0 WURKING DAYS FOR PROCFSSING. SOMONE FROM TM CZTY WILL COf7rMT YOU IF 14IERE *
* ARE ANY PROBLIIMS. x
I, ?r**+*?***??,t*t,t:t**:t,t,t*k***+*t*******,tt*trw*?t?**?F********,t*?*at************,t***x**?***:r*??*+*****+**??
I? R-1 SINGLE FAMILY
? R-2 DUPLEX ('two C'nits)
Q R-3 TOWNlIOT-ISE (Three +, Dnits) ( Lnits)
Q R-4 APARTMENT/COAIDOMINILM ( L'nits)
2-
TO CzTY WATER oOTHER
FOR CITY USE ONLY
PERMIT # ISSUED
Pd w/Bldg. Permit FEES:
$
$ $ /O' S D
$ ?P7?00 $
$ $
$ $
$ $
$
??0 • 0'?
S
cv S D•[9`fl
$
g
$ $
$ $
$ $
$ $
$ ?-0 N• GrD $
$ $
$ 71"-OO $ s% D?D
SEWER PERMIT (INCLODE SURCHARGE)
WATER PERMIT (INCLDDE SURCHARGE)
WATER METER/COPPERHORN/OUTSIDE READER
WATER TAP (INCLUDE CORPORATION STOP)
SEWER TAP
ACCOUNT DEPOSIT - SEWER
ACCOONT DEPOSIT - WATER
WAC
SAC
TRONK WATER ASSESSMENT
TRPNK SEWER ASSESSMENT
LATERAL BENEFIT/TRLNK SEWER
LATERAL BENEFIT/TRUNK WATER
WATER TREATMENT PLANT SDRCHARGE
OTHER:
TOTAL
.5 -3 7
RECEIPT RECEIPT
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
? YES IF YES, THEN A"PERMIT FOR WORK WITHIN PLBLIC
Q ROADWAY" MUST BE ISSCED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED By: zo"-?
TITLE:
???
DATE: Z//(,
1990 BUILDING PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DAELLINGS
MULTIPLE DWELLINGS
COMMERCIAL
2 SETS DF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SE1' OF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For: DL'C1C Valuation:
Site Address 39T3 API rivn )un°?
Mn. ssit3 I
Lot 10 Block 11
Parcel/Sub ?!P)/j,Q,
Owner Yp?u ?'rlnpwy?
Address
City/Zip Code
Phone im 3-131 q r"' C? -Oq27(t1)
c •
Contractor
Address
City/Zip Code
Phone
Arch./Engr. _
Address
City/Zip Code
Phone #
Occupancy
Zoning
Actual Const
Allowable
# of stories
Length
Depth
S.F. Total
Footprint S.F.
On site sewage_
On site well _
MWCC System _
City water _
PRV _
Booster Pump _
AYPROVALS
Planner _
Council
Bldg. Off.
Variance
A9AY 2 s REco
Date:
USE ONLY
FEES
B1dg. Permit 7S,
Surcharge ,s s
Plan Review
SAC, City
SAC, MWCC
Water Gonn
Water Meter
Acet. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Copies /.Dd
SUBTOTAL
Penalty
TOTAL 1,,1$n
a.
SURVEY FOR:
DESCRIBED AS
897.0
Surreiloros G'ert?f?cate
R.S.11. Elomes Inc.
I,ot 10, Block 12, BRIDLE RIDGE, City of Eagan, Dal:ota
County, Dlinnesota and reserving easements of recoY•d.
t.. t:; '; •
'Vg/°/z
_ I YA
onW i
7 ? lo
I
?
?, a (
. .
? QD I
y I
?
/p I ?
• ?? 1? 1?
?
W N???.? ? GAR• o ,? !
? ,?Pi
c?? al - I /
?
?
? 4c
F
` R?qO
PROPOSED ELEVATIONS
Top of founaalion . QqQ,y
Garops Floor .8tJ,3
Boeament Floor :ft,s
ApproK. Sower Serrlce Eler.
Propoted Elfvafl0ns
ERistiop EleveHom ?
Droinap• Olracfionf ? ....??
Denolaf Offsef Staka . O
a: ?
asa,y
luj
Z
?,n 0
0 o Q
11 ?
417,8
i
^ J2
RS" 2S/v
?
q93.3
N
SCALE: 11neA ¦ 30 Feef
BENC?RK,
Iih11N. SETBACK REOIREMENTS
Front - 30 HWse SIdis - /D
Reur - I$ ao.". sia - 5'
I Mn6r eerllly Mol IMe wrvey, plan x nporl woo poperN 4p m JOB NO.:
/?IEDLUND er une.r my etr•et .?.viden ?,a mm t am o Ouly n.ai.i.r.a 88R- Sq
LanO tarqa unar me rors ot me BION d Mlnnswla.
BOOK:
P/enning Englneering Surveying
W I!M FewM?ylon im?q. ? yy?? p?p (\?\
IMMewA1?1?M Z i ?J
Date: 1}. 1 86 PAOE:
V ?? Y ? ?n, Uo?nw IaNl76
-;-0o
PLUMBING (RESIDENT AL)
Permit ApplicaHon
City Of Eagan
? 3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
Please complete for: Single Family Dwellings
Townhomes and Condos when permits are required for each unit
a i?. 4;-b
Date_?/?/
SiteAddress xa-'r, Laum- Unit #
Property Owner Jy0 GcJCtr4 Telephone #(?{42 ) 2 07 - 7??/S
Contractor A"Qi&byD ??L?/17?1?JC1
Address ay?s?q 8/T _ L/vGcJ City
State Zip Sb ? Telephone£l
The Applicant is _ Owner _ Contractor _ Other
Septic System New _ Refurbished Submit 2 sets of plans and MPC license $ 100.00
Includes County fee. Additional consultant fees may apply.
Alterations To Existing Dwelling Unit, Including
_ Adding fixtures to lower levels or room additions, excluding water soRener and water heater $ 50.00
_ Abandonment of septic system
_ Water turnaround (+ 5/8" meter if needed -$121.00) .
Other:
_ RPZ _ new installation _ repair _ rebuild
O $ 30.00
_ Lawn irrigation system
?
_ Water softener _ Water heater
?replacement _additional $ 15.00
State Surcharge V
$ 50
Tatel $ 16?1 SU
f hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work Nviii
be in conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that I understand this is noi a
pcrmit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance wiih ihc
approved plan in the case of work which requires a review and approval of plans.
??
App ant's Printed Name Applic 's Si?ature
`S" er S`f C?
? _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
I FOf QffiCC%LI50 ?
? Permit #:
I Permit Fae:
?
? Date Received:
I
I
I Staff:
L________________.
2008 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: AI 111I08` Site Address: 3N3 m??? ?-\7(1L?Y? Tenant:
Suite #:
RESIDENT/OWNER Name: Phone:
AddresslCity/Zip:
CONTRACTOR Name:
Address: ?5[5
1 A
_
City: State: ? Zip:
Phone: Contact Person: ???a ??tiA.L',
?_,-,.
TYPE OF WORK _ New _ Replacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W.
Description of work:
PERMITTYPE RESlDENT1AL
4- Water Heater _ Water Softener
' Lawn Irrigation _ Add Plumbing Fixtures .
? RPZ 1_ PVB) (_ Main _ Lower Level)
• Septic System _ Water Turnaround
New
Abandonment
RESIDENTlAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
, $30.50 Lawn Irrigation (includes $.50 State Surcharge)
I$50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround" (includes $.50 State Surcharge)
? `Water Tumaround (add $136.00 if a 5/8" meter is required)
$100.50 Septic System New ($10.00 per as built) (includes Counry fee and $.50 State Surcharge)
$90.50 Fire Repair (replace 6urned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
TOTAL FEES $ ?.
? 0 Sfl
I hereby acknowledge that this information is complete and accu2te; that the work will be in confortnance wkh the ordinances and codes of the Ci[y of
Eagan; that I understand this is not a permit, bul only an appliration for a permit, and work is not to start vtithout a pertnik that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
_??.? :
ApplicanYs Printed Name Applicanure
FOR OFFICE USE Reviewed By; Date: '
Required Inspections: _UnderGround _Rough-In AiFTest _GasTest _Final.
41 Clty of Eatan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fau:(651)675-5694
Date:
Tenant:
!Ul ????v F, I?l
JUN 1 2009 U
i--------------- -i
i i
i Pemrt n: i
j Permk Fee:
I ?
? Date Received: ?GL 1
i ?
I
i starr i
L----------------?
2009 RESIDENTIAL BUILDING PERMIT APPLICATION CV&G V`3
Site Address:
Suite 0:
RESIDENT/OWNER Name: IV1 T&U' i kil e. Phone:IiFJI "J?i ?-V(tZ
Address 1 Ciiy / 2ip: `/JAI
L? Lv) • // ii"' S S! a?
,
Applicant is: -k?Ovmer _ Contrador
TYPE OF WORK Descnption ofwork U `` i
Construction Cost MWti-Famify BuildinW. (Yes_! No_)
CONTRACTOR Name: License #.
Address:
City State: Zip:
Phone: Cantact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A IdEW BUILDING
Minnesota Rules 7670 Cateaorv t Minnesota Rules 7672
Energy Gode . Residential Venblation Category 1 WorksheM • New Energy Code Worksheet
Category suMnitted Suuminea
(+? submissiOn typE) • Energy Ernebpe Calculatiors SLibmil[ed
In the last 12 months, has the C(ty of Eagan issued a permit for a similar plan based on a master plan4 .
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phane:
Mechanical Contractor: Phone:
Sewer 8 Water Coohactor: Phone:
a ?-???y?iB?W
'
, aiC??,SYC[k??lH?. fll$ C? ?-IIQ 1#t
'i?`??
G . ? 1 .,"?f" ' '
i"L
I hereby aekrmMeage that this Irdormation is complete arM accurate; tlmt the work will be m confortnance wilh the orCinances anA codes of the City of
Eagan; that I understand this is not a pemit, bW oMy an appliqlbn For a permit, anM woilc is not to staR withaut a permft; that the work will be in
accordance with the approved plan in the case of wvrk which requires a review and approval of plans. _
1 1"?(i..r k x
X?j„ui vq ?
Appl canYS Prlnted Na e pppl nPs Signate ,/ 1 ?i? ? ?
'Y?`i a?tJ! Page 1 of 3
?8k,13 KIlI ?" 1,aw"?
DO NOT WR17E BELOW THIS LINE
SUB TYPES
_ FounMadon
_ Single Family
_ Muiti
_ 04 of_ Pfex
Accessory Building
WORK TYPES
_ New
Additlon
? Alteralion
Replace
Retaining Wall
Valuation
Plan Review
(25%_ 100%_)
Census Code
# of Units
# of Buildings
Type of Construction
_ Fireplace _ Porch (3-Scsson) _ Storm Oamage
Garege _ Porch (4-Season) _ Exterior Alteratlon (Single Famlly)
J( Deck _ Porch (ScreeNGazebaJPe?gola) _ Exterlw Alteratlon (Muld)
_ Lowrer Level _ Pool _ Miscellarteous
_ Interior Improvement _ Siding _ Demollsh Bullding'
_ Move Building _ Rerooi _ Demolish InMrior
_ Fire Repair _ UVindows _ Demolish Foundation
_ Repair _ Egress lAhndow _ Water Damage
'Uemolition W entire 6uilding -give PCA handout to applieant
?0
--eilA
34
Occupancy /Zr G ".1
Code EdRion e44V7
Zoning
Stories -
Square Feet ^
Length
Nldth -'
_ Footings (New Building)
Footings (Deck)
footings (Addition)
Foundation
Drain Tile
Roof: Ice & Water Final
Framing
Fireplace: _Rough In _Air Test _Final
lnsutation
Meter Size:
Reviewed 8y: _
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
?
_ Sheetrock
Final 1 C.O. Required
? Final 1 No C.O. Required
HVAC
Other.
Pool: _Footings Air/Gas Tests _Finai
Siding: _Stucco Latli _Stone Latli _Brick
Windows
Retaining Wall
Erosian Control
BuiWinglnspector
Base Fee /30%i
Surcharge
Plan Review ?
MCES SAC
City SAC
Utility Connection ChaFge
5&W Pertnit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
?-, 3S?f 3 ?t? ? i ?? ?
suweilo?rs Certificate
SURVEY FOR; R.S.N. Ilomes Inc.
DESCRIBED AS: I.ot 10, Block 12, BRIDLE RI11GE, City of Eagan, Ual:ota
County, Dtinnesota and reserving easer.ients of record.
a9a, v
2-5 w
o z
o a
o iJ
v
n
a
897'e
2
J
/
PROPOSEO ELEVATIONS
Top o( Foundatlon . 89Q,7
Garops Floar .8",3
Basemsnl Floor :eq( . ,5
Approx. Sswar Servics Eler. .11-
Propofed Elsvatlons y
I ?
Etistinq Elevaflons I
Orolnaq• Olrecllonf 6 ?..._r
Denolaa Olfsef Staks . O
N
SCALE: 1 Inch • 30 Feet
BENCHMARK,
;
WIN• SETBACK REOIflEMENTS
Ftont - 30 Mouse Sldo - 10
Rwr - 15 Ooraqe 81de - :5?
i n•r.er eertllr Met Ihb ourvay, plon er npon ros pnpana er m. JOB NO.;
/?IEDLUND or under my Alnet suporNNon ona tDOI 1 am a duly R9919????d ggR- S4
Lond sw..rw unaer me la... ef IM 81aN of Minnesola.
BOOIf:
P7enning 6igineering Surveying
q01lM?bemFrylenfiw?n.Nean .MIm?w1?N?I0 •
Dole: PAOE:
p ,Ir r 1 r?n, Ue?n?? IwN378
ForOffice ,f.lse ~
p i 1 Permit
city of Eajan !UN ~ zoos
I Permit Fee: I
3830 Pilot Knob Road 1
1
Eagan MN 55122 Date Received: ~~qq
Phone: (651) 675-5675
Fax: (651) 675-5694 1 Staff-
I
2009 RESIDENTIAL BUILDING PERMIT APPLICATION b al
Date: Site Address: I
Tenant: LiZI 4 t- T 1 Y(l t Suite
RESIDENT / OWNER Name:r n 6L t k-, ~ -e, Phone: t J_I J~ ~ ~ ~
Address / City 1 Zip: LEI ) . ~In
Applicant is: Owner Contractor
TYPE OF WORK Description of work: W"Olecirla `"7>lf
Construction Cost: Multi-Family Building: (Yes I No
CONTRACTOR Name: License
Address:
City: State: Zip:
Phone: Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
_ Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672
Energy Code • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet
Category Submitted Submitted
(4 submission type) • Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE. Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets.
1 hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
X r 1 x
Applicant's Printed Na a Appl Ys Signa
t Page 1 of 3
DO NOT WRITE BELOW THIS LINE CJ Jr~i`
SUB TYPES
Foundation Fireplace _ Porch (3-Season) ^ Storm Damage
_ Single Family _ Garage Porch (4-Season) _ Exterior Alteration (Single Family)
Multi Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi)
81 of_ Plex _ Lower Level _ Pool _ Miscellaneous
Accessory Building
WORK TYPES
New _ Interior Improvement _ Siding _ Demolish Building*
Addition _ Move Building _ Reroof _ Demolish Interior
Alteration _ Fire Repair _ Windows _ Demolish Foundation
Replace _ Repair _ Egress Window _ Water Damage
Retaining Wall *Demolition of entire building - give PGA handout to applicant
DESCRIPTION
.o
Valuation mod' Occupancy PG -1 MCES System
Plan Review Code Edition A477 SAC Units
(25% 100%) Zoning RE - I City Water
Census Code y Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fine Sprinklers
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Sheetrock
Footings (Deck) Final / C.O. Required
Footings (Addition) Final I No C.O. Required
Foundation HVAC
Drain Tile Other.
Roof: -Ice & Water -Final Pool: TFootings Air/Gas Tests -Final
Framing Siding: -Stucco Lath -Stone Lath -Brick
Fireplace: Rough In Air Test -Final Windows
Insulation Retaining Wall
Meter Size: Erosion Control
Reviewed By.
, Building Inspector
z9i%~
19 1
RESIDENTIAL ES
Base Fee 30
Surcharge
Plan Review _LIlz
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
R=te ✓C~' `7 ~ l- l 1 ~ ~~V 1 L-G~--C^C~.~
S r~ yr s G'ertt <c~~~
SURVEY FOR: R.S.H. Homes Inc.
DESCRIBED AS: Lot 10, Block 12, BRIDLE RIDGE, City of Eagan, Dakota
County, Minnesota and reserving easements of record.
897.0
5~---- N8/° Jz 6,,
10 1 7 W
•
10
_ 898.9
v 2ri7 r~? S oo C' W
3 I y, •No ~nl o z
; Pfted 1 Ho 0 Q
n, I N .+rw M Nv/ft,. GAR, N N 4 9. V I J
I ~ io ea oc
w CRAWL
/o / PID
• o 2
awl 110
CV
/o
Rpq~ R, iy~,ye , ~ 2S
893.3
PROPOSED ELEVATIONS BENCHMARK,
Top of Foundation ■ 99,7
Garage Floor ■ 8QQ,3
Basement Floor
Approx. Sewer Service Elev.:89~°S I~+IN. SETBACK REQIREMENTS
C
Proposed Elevations r c
Existing Elevations ~ Front - 30 House Side - !O a
Drainage Directions , Rear /5 Garage Side- S'
Denotes Offset Stake D SCALE: I Inch a 30 Feet
c
I hereby certify that this survey, plan or report was prepared by me JOB NO.: t
r
HEDLUND or under my direct supervision and that I am o duly Registered 8vRRp- 57
Land Surveyor under the laws of the Slate of Minnesota.
BOOK:
Planning Engineering Surveying
f201 ENI SWQM#nfl n rlwwgr. mOO11+M01p1. Mk 9 &55420
rawna»M~nsesozes 1 t it 86 U
Dote: PAGE:
D Je y 1 en, License 9.11378
PERMIT
City of Eagan Permit Type: Building
3830 Pilot Knob Rd Permit Number: EA087210
Eagan, MN 55122 . Date Issued: 10/30/2008
(651) 675-5675~~~ EPermit Category: ePermit
www.ci.eagan.mn.us lflflUl tflflLLL
Site Address: 3843 Mill Run Lane
Lot: 10 Block: 12 Addition: Bridle Ridge 1st
PID 10-14996-100-12
Use
Description:
Sub Type: e-Windows/Doors Construction Type:
Work Type: Windows/Doors-New/Replacement
Description: House
Census Code: 434- Occupancy:
Zoning:
Square Feet: 0
Comments: A framing inspection is required when installing a Bay or Bow window or if the opening is altered. Smoke detectors are
required in all sleeping rooms prior to final
inspection. When wall studs or ceiling joists are exposed, hard-wired detectors are required. Battery operated types are
acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector.
Fee Summary: BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
Valuation: 3,000.00
Total: $90.00
Contractor: -Applicant - Owner:
Home Depot At Home Services Kevin Kile
656 Mendelssohn Ave. N 3843 Mill Run Lane
Golden Valley MN 55427 Eagan MN 55123
(763) 542-8826
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.
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type: Mechanical
Eaaan. Permit Number: EA096296
Date Issued: 10/05/2010
OR Permit Category: ePermit
40~ it~ of E3
E
Site Address: 3843 Mill Run Lane
Lot: 10 Block: 12 Addition: Bridle Ridge 1st
PID: 10- 14996-100-12
Use:
Description:
Sub Type: e - Furnace & Air Conditioner
Work Type: New
Description: Furnace & Air Conditioner
Comments: Quesetions regarding electrical permit requirements should be directed to Mark Anderson. State Electrical Inspector. (952)
445-2840
Fee Summary: ME - Permit Fee (Replacements) $50.00 0801.4088
Surcharge-Fixed $5.00 9001.2195
Total: $55.00
Contractor: - Applicant - Owner:
Ed's Heating and Air Kevin bile
1099 Pelto Path 3843 lolill Run Lane
Woodbury NIN 55129 Eagan NIN 55123
(651) 775-7490
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 Cite of Eaaan Ordinances.
ApplicantiPermitee: Signature Issued Bv: Signature
Use BLUE or BLACK Ink
r----------------�
I For Office Use �
I �
' � Permit#: �-���� �
Clty of �a��� ; . G� ;
Permit Fee: �
3830 Pilot Knob Road � I
Eagan MN 55122 � Date Received: �
Phone: (651) 675-5675 � �
Fax: (651) 675-5694 I Staff: I
�-----------------I
2014 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: '�S / � Site Address: ��`Z co �-� � 1 C �� y\ /r.c—��
Tenant: Suite#:
Resident/Owner Name: cti.�J� �c�-�� Phone: �7 �I""`��3—S 7�f�{ !
� 3 �
` Address/City/Zip: � L � � �� Z
Name: License#:
COIItCaCtOC Address: City:
State: Zip: Phone:
Contact: Email:
Type of Work �.New _Replacement _Repair _Rebuild _Modify Space _Work in R.O.W.
.� .
Description of work: � c.-, �� �
RESIDENTIAL
Water Heater
Water Softener
Lawn Irrigation�RPZ/_PVB)
Permit Type �Add Plumbing Fi�ures(�Main/_Lower Level)
Septic System
New Water Turnaround
Abandonment
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener(includes$5.00 State Surcharge)
$60.00 Lawn Irrigation (includes$5.00 minimum State Surcharge)
$60.00 Add Plumbing Fixtures, Septic Svstem Abandonment, Water Turnaround"(includes$5.00 State Surcharge)
*Water Turnaround (add$200.00 if a 5/8"meter is required)
$115.00 Septic SVStem New($10.00 per as built) (includes County fee and$5.00 State Surcharge)
TOTAL FEES $
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.org
I hereby acknowledge that this information is compiete 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 appr al of plans.
X Q�.�l ��.�� X
ApplicanYs Printed Name ApplicanYs Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground Rough-In Air Test Gas Test Final
Mete,r Related Items: Meter Size Radio Read Manorneter Staff:
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA144871
Date Issued:08/14/2017
Permit Category:ePermit
Site Address: 3843 Mill Run Lane
Lot:10 Block: 12 Addition: Bridle Ridge 1st
PID:10-14996-12-100
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Katheryn E Sundry
3843 Mill Run Lane
Eagan MN 55123
(651) 353-2333
Home Depot Usa Dba The Home Depot
2455 Paces Ferry Rd
Atlanta GA 30339
(952) 345-6057
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA166036
Date Issued:12/08/2020
Permit Category:ePermit
Site Address: 3843 Mill Run Lane
Lot:10 Block: 12 Addition: Bridle Ridge 1st
PID:10-14996-12-100
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 -
Katheryn E Sundry
3843 Mill Run Ln
Eagan MN 55123
Les Jones Roofing Inc
941 W 80th St
Bloomington MN 55420
(952) 881-2241
Applicant/Permitee: Signature Issued By: Signature