778 Mill Run Path1NSYLC;'1'1ON K.L(:ORl)
CITY OF EAGAN PERMlT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
?114 NArM
i.'le 1 1e4•! };aI?Ei !'. i`..I {.r.,lt19t, 049,40
PERMIT SUBTYPE: TYPE OF WORK:
, . :; . , !
nf. 1.( << 1 r, 4 1 0 N wr i• ????R ,... 1 1?1rre iI r,roA 6 r-
Permit Holder Dato Telephone #
PLUMBING
HVAC
Inspectfon Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUM8ING
PLBG
AIR TEST
ROUGH
HEATING ?
GAS SVC
TEST
•
INSUL
GYP BOARD
FIREPLACE I
Fti1iEPtACE
AIR TEST
FINAL PLBG - i
FINAL HTG ?
ORSAT
TEST
?
BLDG FINAL
DOME5TIC
METER
IRRIGATION
METER
FLUSH
MAINS
CONDUCTIVITY
TEST
HYUROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS: I ,? I
INSPECTION RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
q 111 O C K : APPLICANT:
q rH
( 4 1 ?' 1 k`,., , 'i?,??
iIaN',
Itll f I It I Wii
H. t?i 4 t:
Hil /,>f, 1q.4
? _ - __-° ,._ _ . _ . ?..?_ .. - •---• - -. - - ? _ . , . . . J
PERIIAIT SUBTYPE: TYPE OF WORK:
, , 1, ;- I i 1 (IN
II! 'A I: ! 1' 1 111tv i•d 1., 10, 4' .c 10'
Permit No. Permlt Holder Date Telephone #
S/W
PLUMBING
}iVAC
ELECTRIC
ELECTRIC
Mapectlon Date Msp. Commants
Foatings I
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isu1.
Fireplace ? ? p a S
Fi`al "cg. D ?? /t ? , ivoT?
orsat Test
Final Plbg. Plbg. Inspector - Ndily Plumber
Gonst. Meter
u.
EngrJPlan ? J-?-
Bidg. Final
Deck Ftg. AO /.•?
Dedc Flnal f? Tii"ht cs,- /-+sO e?7?
weu
Pr. Disp.
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt #
Site Address 778 MI LL RL'N P.
Lot ? Block SeclSub.
Parcel No.
?MENT Est. Value $115M
W Name pAW D FlIAl1
; Address 778 MII.L RFJlE F;',T}?
? City =Aw+p4 Phone 454-5055
Name _
Address
Clty _
Phone
I hereby acknowlege that I have read this application and state that the
information is correct and agree to oomply wilh all applicable State ol
Minnesota Statutes and City of Eagan Ordinances.
Signature of Permitee
A Building Permit is issued to: DA14G 1) P?F.,
on the express condition that ail work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Ofticial
1V2QA
19
OFF ICE USE ONLY
Occupancy FEES
Zoning -
(Actual) Const - Bldg. Permit ? 4• t`?`
(Albwable) - Surcharge 1• x
# of Stories -
Length _ Plan Review
DeP1h - SAC, Ciry
S.F. Total - SAC, MCWCC
S.F. Footprints -
On Site Sewage _ Water Conn
On Site Well - Water Meler
MWCC System _
City Water _ Acct. Deposit
PRV Required _ SrW Permit
Booster Pump - g/W Surcharge
Treatment PI
APPROVALS Road Unit
Planner - park Ded.
Council _ • ?
Bld9 ? _ Copies
3 7. 50
Variance - TOTAL
Permft No. Permit Holder Date Telephone #
WATER
SEWER ,
PLUM8ING
i.
H.V.A.C.
ELECTRIC
Inspection Date Insp. Comments
Footings I
Foundation
Framing
Roofing
Rough PIb9. ? _ '" G.--
Rough Htg. .:> ??',f J
IsuI.
Freplace
Fnal Htg.
Final Plbg.
Ccnst. Meter Plbg. Inspector - Notify Plumber
Engr.lPlan
Bidg. Final
Deck Ftg.
Deck Final
Well
Pr. Oisp.
PERMIT 1#
PLUMBING PERMIT
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122
PHaNE: 454-8100
RECEIPT ii '
OATE:
-? Name
?c Addre
c Ciry _
Name _
3 Address
0 C'tY -
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE 8 CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
{ADD $.50 S/C IF PERMIT PRICE GOES
FOR: CITY OF EAGAN
BLDG. TYPE WORK DESCRIPTION
Res. New
Mult. Add-on '
Comm. Repair
Other
RES. PLBG. QNLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
Water Cfoset - $3.00 S
Bath Tubs - $3.00
Lavatory - $3.00
Shower - $3.00
Kitchen Sink - $3.00
Urinal/Bidet - $3.00
Laundry Tray - $3.00
Floor Drains - $1.50
Water Heater - 51.50
Whirlpooi - $3.00
Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIn
Softener - $5.00
Well - 510.00
Private Disp. - $10.00
Rough Openings - $1.50
FEE:
STATE S/C:
f ?
GRAND TOTAL: ' '
.+ .,?,r: -r ,R? . ?.'rc.'?_3??rti,wls7?FIS'?77r .. . .. . ' , - . . . , .... . e i?
?...r7 YK '.'?
?
' ' . . PERMIT k
• PLUMBING PERMIT
?
. ,
RECEIPT #
CITY aF EAGAN
3830 PILOT KNOB RQAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE: PHONE: 454-8100
Site Address ?`'V? BLDG. TYPE WORK DESCRIPTION
Lot Block ?Sec/Sub Res. 'r New
Mult. Add-on
?
? Narne Comm. Repair
?e Address Other
c City Phone ' ONLY - COMPLETE THE FOLLOWING:
RES
PLBG
.
.
NO. FIXTURES TOTAL
: Water Closet -$3 00 S'
` Name
_Y Bath Tubs - $3.00
3 Address t
- $3
00 i
?
L
ava
a
_
ory
.
p City Phone 00 -f '
J Shower - $3
.
/ Ki!chen Sink - $3.00
FEES Urinal/Bidet - $3.00
-COMAA/IND-FEE - 146 OE CONTRAC7 FEE _- _- - ? - • Laundry Tray - $3.00 - ?U
APT. BLDGS - COMM RATE APPLIES ` !LZ__Fiooi Drains -$1.50
TOWNHOUSE & CONDO - RES. RATE APPUES .4_Water Heater -$t 50 ?-v
MINIMUM - RESIDENTIAL FEE - $12.00 Whirlpool - $3.00
MINIMUM - COMM/IND FEE - $20.00 Z Gas Piping Outlets - $1.50
STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIT)
(ADD $.50 S/C IF PERMIT PRICE GOES Softener -$5.00
BEYONO $1,000.00) Well - $10.00
Private Disp. - $10.00
,?` ? • ' _ 1' Rough Openings - $1.50
SIGNA RE OF PERMITTEE FEE: -%?
STATE SIC:
FOR: CITY OF EAGAN
?1 . GRAND TOTAL:
, PERMIT #
" MECHANICAL PERMIT
• • CITY OF EAGAN RECEIPT #
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE: PHONE: 454-8100 ?'.
Site AddrP?S '7 1) -C ' r .
BLDG. TYPE WORK DESCRIPTION
Lot Block Sec/Sub ?
'-
-i R?
New ?
Name Mult Add-on
Address Comm. Repair
c City Phone Other
Name E ? %r i t= ?Y V FEES
RES. HVAC 0-100 M BTU -$24.00
c Address ADDITIONAL 50 M BTU - 6.00
O CitY Phone - -?_ (RES. HVAC INCLUDES A!C ON NEW
CONSTRUCTION)
GAS OUTLETS
MINIMUM
1 PER PERMI
-
(
n - 150 EA.
TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE
Foreed Air "?" >•' ' -,-lvi BTU APT BLDGS. - COMM. RATE APPUES
iler
B
M
T TOWNHOUSE 8 CONDOS - RES. RATE APPUES
o B
U $ MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
Unit Heater M BTU REMODELS - 12.00
Air Cond. M BTU $ MINIMUM COMMERCIAL FEE - 20.00
Vent
CFM STATE SURCHARGE PER PERMIT - ,50
.
Gas Piping Outlets #
+ $ (ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000)
Other
FEE ' . ' • ,
S/C: SIGMATURE40F PERMITTEE
TOTAL:
FOR: CITY OF EAGAN
`?• . --y . CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHON E: 454-8100
BUILDING PERMIT Receipt #
To be used'for 1117 111WO" Est. Value Mts" Date ?
14501
9 al
Lot ? BIOCk Sec/Sub. MWCC System
Parcel No. 2 .,., c:.e we11
ac Name 1111111n ? w1tam City Water #
W PRV Required
z Addre
o ri?., Booster Pump
, o Name
?Q Address
? City Phone APPROVALS
Engr./Assess. _
F L,u Name _
Planner
V ? Address Council
? W City Phone -
BIdg.Off. _
I hereby acknowledge that I have read this application and state that the Variance _
information ia correct and agree to comply with all applicable State of
St
d Cit
f E
di
Mi
t
t
t
O
nances.
nneso
a
a
u
es an
y o
agan
r
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 5tatutes and City of Eagan Ordinances.
Building Official
USE ONLY
Occupency
Zoning ?
?
(Actual) Const
(Allowable) ?
# of Storles
Length ?
Depth
S.F. Total
Footprint
FEES ?
Permit
Surcharge ?
I
Plan Revi
SAC, City ?
I
SAC, MWC ?
Water Conn_ --??000
Water Meter
Road Unit
Treatment P1
TOTAL S-2-0-W4=3
- - Psrmit No. Permit Holder Date TNephons i
Plumbing
.
H.v.ac.
Electric
Softener
Inspsctlon Date Insp. COrtlment8
Footings I
Footin9s II
Foundation
Framing z_
Roofing
Rough Plbg. -
Rough Htg. Zy P?
?
2-74'
Isul. ? ? E. ?• ??'
FirePlace 3
Finai Htg. ?
Final Plbg.
Bldg. Ffnal
Cert Oca L?
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp.
? '?. . .
• ' trate uf (Orrixpttnry
Citp of eagari
loppal'tltPitf Df slt?lbing JWPttlAtt
Tlris Certifcate issued pursuarri to the r,equirements of Section 306 of the Uniform Building
Code certifying ihal at the time of issuance this slructure was in compliance with the various
ordinances of the Crty regulattng building constructron or use. For tke following:
US C85816qtl0,, BWg. A.'fliLt NO. I =v 50 1
Oocupancy Type Zoning District Type Coast.
r1F1R1Ii 29. 198`?
POST IN A CONSPICUOUS PL}ICE
CASH RECEIPT
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19
R[Ct1VCD
FRpq
AMOUNT $ I
? DOLLARi
ioo
E)CASH 0 CHECK
i
FOR ? • ? ? '?_ ? ? i
' I
i ? ? ? ! '• I , ? ?
BY
• "? !„ White-Payere CoPY
Yellow-Postinp Copy
Pink-File Copy
Thank You
----------_-.?.-.,,--. -.._---?-- -----..-?
BLDG. PERMIT N0.
0I-3210 Bldg, Ferm;
01-3422 Plan Check
01-3445 Surch./Adm
01-3446 SAC/Adm.
01-2155 Surcharge
17-3860 Road Unit
20-2275 SAC
20-3865 Water Conn,
20-3868 Water Trmt,
20-3716 kater Meter
20-2252 Acct. Dep.
20-3713 Water Permi
20-3743 5ewer Permi
79-3866 Sewer Conn.
11-3855 Park Ded.
?
TOTAL
IaTY OF fAGAN Permft Na Date:
3D Pilot Knob Road Meter No: -3 9 Size: O. Fbax 21199 Reader No: Date: -'
gan, MN 55121
Site Address: %7" '
Plumber. ?' p
8e fore digg?ng +??t? .?. ?:, ,....__.?
eonn. cn9:
J
Acct. Dep: ?'•? No. o t?r? I
?
Permit Fee: R C? 1
-
Surcharge: •%?-P it y oi Eagan
I agree to comply wit
Tr. Plant ??r-" Ord nc
pr
Meter 1---
Misc
WA
CITY OF EACaAN
3830 Pilot Kriob Road
P.O. Box Zf199
Eaganx CAN 55121
Owner._
Site Addi
Plumber:
Permit No: ?
?.
B/P No:
.
lumb ia
Date:
Date:
MWCC: `?•`'..i??'~?= Zoning•
. City Chg: ?-J:` .OGp_i No. of Units:
Acct Dep: } S ' `??p?
1 agree to compfy with the City of Eagan
Permit Fee: Ordinancea.
Surcharge:
Misc.: Br
SEWER SERVICE PERMIT
- CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT
To be used for SASEMENT Est. Value $1, S00
SiteAddress 778 MILL RllN PATH
Lot 4 Block 14 Sec/Sub. BRIDLE RIDGE 1
Parcel No.
W Name DANG D PHAN
3 Address 778 MILL RUN PATH
° City EAGAN Phone 454-5055
o Name SAME
20¢ Address
? City Phone
w W Name
F ?
???-, Address
aw C i t v PhOne
1 hereby acknowlege Ihat I have read this application and state that the
iniwmation is correct and agree to comply with all appllcable State ot
Minnesota Stalutes and City ot Eagan Ordinances.
Occupancy
Zoning
(ACtual) Const
(Allowable)
# of Stories
Length
Depih
S.F. Total
S.F. Faatprims
On Site Sewage
On Si[e Well
MWCC System
City Water
PRV Required
Booster Pump
16200
j ILin
OFFICE USE ONLY
Signature of Permilee J,-?- I APPiiOVALS
A Building Permit is issuetl to: DANG D PHAN Planner -
on the express condition tha[ all work shall be done in accordance with all Council -
applicable State of Min,n,esota qStatutes anyd hCiry ot Eagan Ordinances. BIdg.ON. -
BuildingOfficial {? t lLT1AlJVariance -
Receipt #
FEES
eldg. Permit 36.00
Surcharge 1.00
Plan Review
SAC, Ciry
SAC,MCWCC
Water Gann
Water Meter
Acct. Deposit
$/W Perrnit
S,W Surcharge
Trealment PI
Road Unit
Park Ded.
Copies • $0
TOTAL 37.50
CITY OF EAGAN I N_ 14 5 01
3830 Pilot Knob Road, P.O. Box 21 •199, Eagan, MN 55121
BUILDING PERMIT PHONE:454-8100 Receiptu
?-?-
7obeusedfor SF DWG/GAR Est.Value $78,000 Date DECEMBER 18 1987
SiteAddress 77$ MILL RGN PATH
Lot 4 Block 14 Sec/Sub. BkIDLE RIDGE
Parcel No.
W Name BGRR OAK BUILDERS INC
= Address 11473 GOLDENROD ST NW
o city COON RAPIDS phone 452-2906
o Name SAME
?a AddreSs
i- City Phone
r?
w w Name
?
i g Address
a W City Phone
I hereby acknowledge that I have reatl ihis apD[ication and state that the I
information is correct and agree to comply with all applicable State ot
Minnesoia Statutes and!'ity of Eagan Ortlinances.
SignaWre of Permittea
A Builtling Permit is issued to: BURR OAK BUILDERS
on the express contlition that all work shall be done in accordance with all
applicable State of Minnesota StAWtes antl Ciry of E,agan Ordinances.
Building Ofticial
OFFICE USE ONLY
On Site Sewege _ Occupancy R3
MWCC3ystem X Zoning Rl
On Site Well _ (Actuap Const Vn
CityWater X (Allowable) Vn
PRV Required _ # of Stories
Booster Pump _ Length 46
oePtn 46.33
S.F. Total
Footprint S.F.
g
(DO?BL95 3E0?
APPROVALS FEES
Engr./ASSess.- _ Permit " ' -
Planner Surcharge 39.0C
Council Plan Review 213.2'
,BIdg.Off. _ SAC, City 100.0C
Variance SAC,MWCC 52$.0(
Water Conn. 525.0(
Water Meter 67.0C
Roatl Unit 305.0(
Treatment Pt 180.0(
Parks
TOTAI $ 2.807.2!
• CASH RECEIPT •
CITY OF EAGAN
3830 PILOT KNOB ROAD
' EAGAN,MINNqfi?OTA55122 ?
D TE / 79
aec p?ve ?
AMOUNT $ -??
E] CASH
4 DOLLARS
?
vOw
. ?
GVNO COOE pMOVNT
C? G
O( ??
Thank Yoa
cy? '
N2 _ 79410 - ' White-Payers Copy
Vellow-POSting Copy
Pink-File Copy
, :?• r/?9
e/.;?C t3
? 9 5 9 0 0 .?.o(
Request Dafe ire No. Hough-In Inspeclion
1 ReqWreG?
? yay ? Hp
? Reatly Now ? W?II NWry Irispecla
When ReatlYT
1 O licensed conVactor N owner hereby request inspecNon of above alectrical work at:
Job Atltlress (Sireet, Box or Foufe No.)
'7'7 g Yti 1 t, tr !eu ?ti/ P<! T H- CI?r. ^?? (
N
SecUOn No. Township Neme or No.
I Rarge No.
Counry
A4 koTA-
OccuPanl (PPlNn
Df1n16f %prie Na.
So SS
Power Suppl2r
D?KOrA- Er??rr? ? A?ress
Elecirkal Comrecror (Campany Name) ConVaclorg licemre Na.
Mailing AEtlress (COntrecNr or Owner Makirig Insfelletion)
AuthorizeA Sig at ra (Coniract ner Mekirg InstallaXOn) Ptwne NumOer
MINNESOTA 5fATE BOARD OF ELECTFIGITY
GrlggaMltlwey BIAg. - Room S113
1821 UnlvmaNy'AVa., SL Poul, MN 55106
Phom (672) 691-0800
THIS INSPECTION REQUEST WILL NOT
BE ACCEPTEO BY THE STATE BOARD
UNLESS PROPER INSPECTION FEE IS
ENCLOSED.
a 7 REQUEST FOR ELECTRICAL INSPECTION EB 00001-0]
? Sea inshuctions For completirg Ihis brm on beck oi yellow copg - '? e/X00
E? 9 5 9 0 0 -bX" Below. Work Covered by This Request
e Add Rep. TypeofBuilding AppliancesWiretl EquipmentWired
Home Range Temporary Service
Duplex Water Heater, -? Electric Heating
Apt. Builtling Dryer r Other (Spec'rfy)
Comm./lndustrial Furnace
Fartn ? qir Conditioner
olher (spedry) Comractorg Remarks:
Compute Inspection fee Befow:
# Olher Fee If ServiceEntranceSize Fee . # CirouiW/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above200_Amps Abovel0o_Amps
Signs inspectors Use Only: 7'p'(pL
Irrigation8ooms 30 L.J?
Special Inspection i
Alartn/Communication
Other Fee ?
I, the Electrical Inspector, hereby
that the abo
certit
i
ti
h flOug""" oaw ?
J 3
ve
nspec
y
on
as
been made. F,nal
? oe
OFFlCE USE ONLV
This raquest wie t8 rtromhs Irom 6 t ?/ ?-$,[J
1Wl re0uest void `IIC/
mon?hs Imm ?
D ?0662?,?1 , a.
Rxqu t Date ?
! c ?/
?? ire No. RouPh-in Inspe ion
Requiretl?
oReatly Now Will Notify Inspec-
a 6 ?Ves ?NO or When Ready
L?c¢nsed EleRncal Contnctor I hareby requast insDec[ion of abovo
? Owner
electricel work inslallatl at:
Streat Address. Box or Route No.
7/J????,?,?., G`
ectwn o. 7ownship Name or No. qange No. County
OccupantlPqlNTI Phone Nn.
13urr - 4a- d "
t
`
E
? S.> 3
Electrical C hacIor ICompany Nn 1 C nvxctor's License No.
? /G o
MailinB />d r ss (Coniractor or wner MakinA ??+stailationl
0 0 ? Gr/ ?/ i ss 3 7
c
Au orized SiB??ruro ICOnhactor/Owner Mnking Installationl
Pht e Number
INNESOT/?STATE 80ARD OF EIECTBICITY THIS INSPECTION PEQUEST WILL NOT
rigea-Midway Bltle• - Noom N•191 BE ACCEPTED BY THE STATE BOARD
e
1821 Universitv Ave.. St. Paul. MN 55104 UNlESS PflOPEH INSPECTION fEE IS
Phone(612)fi42-0BW ENCLOSED.
,'io° REQUEST FOR EIECTRICAL INSPECTION Es-oooo/i?-os
1 See instructions for completing this fwm en back ol Yellow copy. 8Q((i(( ?.
? •H O 6 6 2 "X" Be/ow Work Covered by 7his Request
AAd fleD. TvPe oi Building Apoliencea Wired Equipmanl Wiretl
Home Range Temporary Service
Duplex Wa7er Heater iyhtiny Fixtures
Apt. Building Dryer Electric Heahn
Commercia? Bldg. Fumace Silo Unloader
Industrial BIAg. Air Conditioner Butk Milk Tunk
Farm Onner peu v -i nerlSpe.:Ilvl
t er Sueci y tner Omer
omoute lnsoection Fee Below
p Fea ServiceEnlrancaSize tt Fea Feeders/5ubfeeders N Fae Circuits
?.O C 0 to 200 qm 5 0 to 30 Am ps O,O 0 tn 30 Am
Above 200 Amps 31 to 100 Amps 31 to lUQ A
Swimming Pool Above 700-Am s Above 100_Amps
Transtormers Irrigation Booms ,Sd Pdrtial.bther Fee
Signs Specfalinspection
s
SJ/
;L
TOTAL F
?
ema.ks ?
. r?y
/ `?Y
flouBh-in L1a?te g Elacbicnl
` / ??sueoio., na.aoy
? ertify thet the xbove
Final insoaccion hes been
made.
D_.
TMa requast voiC 1B montha Irom
dA K1- C-A F ?
P pptL
0/
1987 BQILDING PERMIT APPLICATIOH - CITY OF EAGAN
SINGLE FAMILY DWELLINGS
INCLIIDB 2 SETS OF PLANSp 3 CSR?IFICAiSS.OF SQROEY, 1 5ET OF ENERGY CALCU[.ATIOHS
HDTE: bDDBESSES FOR CORNES L02S - CONTRACTOR/HOMBOflNEB MOST DESIGNAi& AHICH ADDRESS
IS DFSIRED. NO CBANGES WZLL BH ALIAWED ONCE BQILDING PERMIR IS ISSDSD.
MOLTIPLE DWELLINGS - RFSIDENTIAL RENTAL QAITS FOE SALE OHISS
INCLUDE 2 SETS OF PLANS, CERTIFIC9TE OF SQRYSY - CH6CK iIITH BLDG. DfiPT.,
1 SET OF ENERGY CALCULATIONS
CONM6RCI9L
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
?N V 17}gg7
To Be Used For: jC;iMAL-V
pr Valuation:•?? Date:
a
Site Address 778 01, t C/6li,s., ? 7g D00'- OFFICE QSE ONLY
Lot ? Block 14 On Site Sewage Occupancy R- 3
? n?
A _
MWCC System ? Zoning R-I
Parcel/Sub fI
/r On Site Well Type of Const
City Water (Actual) V-p/
Owner Aa? Q/}K aaL (Allowable) V-N
" # of Stories
t
Address ) /44 7,? ?„?o?+r??5?. 1v W Length [fd.oo'
l . DePth Z1/A.33'
City/Zip Code S.F. Total
Footprint S.F.
Phone LfSa1 ? a-9 dG 9PPROVALS FESS
Contractor S.4rrrg Assessments Permit . 0
Water/Sewer Sureharge 400
Address Police Plan Review 213.25
Fire SAC, City lOp,OD
City/Zip Code Engr SAC, MFICC 525.00
Planner Water Conn 15p- 5100
Phone Council Water Meter &7,00
/? ?f - Bldg Off 'kzl?$ Road Unit 305.?
Areh./Engr. /C.t.tSBf,?? ioeS i 2r. APC Treatment Pl 0.00
Variance Parks
Address 1-11,vo Ut k; Copies
TOTAL ?
City/Zip Code
Phone # $3S- S97d
853..`°
S'URVEYOR'S CERTIFICATE
P p,1N 9ss9 N
M i LL ? RUN - '?-
-?
VB89.5 11
? c ati042'43°?wx eea.J?
63.83
s 5 ?
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m
, eso?e
eso;r% ..155p.
Y ? 1
. 0 W 1
.?W
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N x?
m
? m
W
o
1
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W
W
r'-r%
m
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19° G3,16-
R=1$5?5 `x
o ego,
0 1
4: ? \
4.33 m ?
GAR/ ° 'NO(eqz.o
3.5
/ 45Y
i pRHOUS
/
BURR OAK BUILDERS
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EAGAN
Adk FW F' Fh: fi
?Y COUI?ICIL_qC?lpp?
IaRT? IZ-Ir1-$7
f- DENOTES PROPOSED SURFACE DRAINAGE
O DENOTES IRON MONUMENT SET SCALE: 1 INCH - 30 FEEf
• DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR - 892,3 FEET
X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR -$$9•5 FEET
(000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK- $92.7 FEET
p DENOTES NAIL SET
WE HEREBY CERTIFY TO BURR OAK BUILDERS THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Lot 4, Block 14, BRIDLE RIDGE I ST ADDITION, according to the recorded
plat thereof, Dakota County, Minnesota.
IT DOES NOT PURPORT TO SHOW IMPRaVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS
SURVEYED BY ME OR UNDER MY DIRECT SUPERVJ,9I0?VHI$/ ILTU DAY 19 81.
SIGNED:/JAN}L`'S R,I4LL; INC.
BY:
C. PETERSON, LAND SURVEYOR
TA UCENSE NUMBER 12294
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James R. Hill, inc.
PLANNERS / ENGINEERS / SURVEYORS
9401 JAMES AVE. S. • BLOOMINGTON, MN. 55431 o 612-884-3029
\'O6T ?
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EpSEMENT PE 1 P'\Y5I
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crwn A ...oci.ao, inc.
"nchll?cryrtml d?alpMn o? ou1?1?n om?t
, EILTnRIOft ENYEI,OPE AVERAGPs "U" COMPUTATION
owr?t ?eaNt 5PL,4
. PLAN No. ow#-) LaOJ
SITE ADDRESS
CoNTRACTOR -aS pypNE
Determine xorldng equara footage of saoh
1. Total exposed xall area.... ..??_,eq.Yt. x,L e ?_?o. •? a„?
2. Total roof/aeiling area...:.. 105 sq.ft. x•E?k=
a__?e?[LLG?. J
3• Total floor/cant. area....... aq,ft, a_,_ _
Tota1 eaposed xa11 area above floor l'bo
R. TOt.81 W8111'7j.IYdOW AI'96..r.....r....... o., ... • I4O45
b. Total door area ..............................
C • TOf.81 8].id3Ylg gl&53 dOOI` $I'68 ...............• `TUtPG
d. Total fireplace xall area....................
-
e. Total wall 1raming area (avarage 10%).....
... ,
f. Total net wa11 area above floor .............. _--a
g. Total rim joist area.......................... t p
14
Total ezposed foundation area _ :?? ,']7
h. Total foundation windocr arex .................
1. Total nat foundation area above grade........
Determina "U" value of each wall segment
b. x I''U" ,
a•?? x nUn I
o. .o z "U"
d. -- x "U^ ?- -
e. X nUn
X Mt!^ ? m
B• x "d"
h. x "U" ?
1• ? Z X $tU^0'
i
4. •...r?...??.r.r?....0 .....*06..900. TOt.Ak n p0
If item t4 is the same asp or less than itam f1, you have met
the intant of SBC 6006(0)2.
j ,'.
9TOD
.?, :;•:.. : •
?; 7ttt . Air 068 THRU IDis. W1LL
Tnt. lir
68
_, .
S.A. 6 SmIDiQ 1/2" S.A. .49 Y/ SR. 6 SIDIJI(} 1/200 S.R. .45
stua (o,0015 " rns. Icf o0
25/32" HiLa. 2.06 25/32" Hsld. 2.06
siaing 9idsaa , l07
_
IDxt. Air •17 BSct. Air •17
Total "A" a Total "A" @ z 2J ? p3
S/R C MUN e 1/R °N0" _
. O
?
.-.??,..,....._
THRU RIM Iat. Air .68
. CONC BIACB Tnt. Air
.68
JOIST Tne. I?? C.B. ( • ) Z?
1.
Opt. 9tqro. r
Opt. Ina.
rO
1 1/2" Wood 1.f39 d ?. ? 17
ZS/3z" B11d. 2.06 Opt. S.R.
Siding
(O? Opt. Sid.
?t r Itj.l' •17 TOt.81 NRp C ? I?
Opt. Hriok 1/R.= "U"
Total "R" _ 241:47
1/R = "U" _ ?-i-L-?
THRU CLO.
KMPR
i 11`1?i hJ?
Int. nir .61
S.R. ( ") I S?e
cie. rsamb.
Ins. (' ");
still Air .61
Total "R" j•G(42
1/R - uUn - ??
THRU cL - -_-
G. Int. Air .61
INSUIATTION S.R. (. ") S40
,
Ins• 1O
Still Air .61
Total "&"
` 1/R = "D" o . DZp I
., Jy•
•? • Total exposed roof/oe111ng arsn
? J. Total alylight area .....................................
. k. Total roof/oeilinq framing area (awr. (.10016"0/0),,,,,
(.062yK4no/o)...?
1. Totnl net insulated roof/oeiling arsa .................. ?
Determine "U" value Sor eaoh roof/oeiling eegoent
J. x "U" a
k. , x uUn f(O
).. X ° V" , azo a
5• ........•••.?•••..•••.?.•????••••?••••.•.•••??••. TOL41
If total of #5 is the same aeo or less than #2, you have met the
intent of SBC 6006(c)1.
Total exposed floorfoant. area
m. Total floor/cant* frsmin area (average .10?)........•.
n. Total net insulted Tloorgoant. area....................
Determine "U° value for each floor/oant. segment
m. x "U" -
n. z u?n =
6 . ................................................. Total
If total of gb is the aame as, or less t}lan #3, you have met the
intent oT SBC 6006('0)3.
xLTNMAT& BUIIDING ENYELOPE DESIGN
To utilize the total envelope eystem methalg the values establiahed
by the sum of items $4v $$ arxl f6 shall Dgl be greater than the awo
of itaros #1, f2 and #3.
i. AL 2°J 2. 2117 3,
4. 5. 6. e 5?°.yZ? )
Prepared by r_ u±
Date -2- ? &??
APFLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
,
? N07B: PA7GffS7P OF FEE AT TiME OF
*
; nerc.icr.TTON ooFS rxrr mN- ;
? SfI1V1E APPRGUAI. OF PIItMIT. ,'.
?
? I[1SPF7C1'ION OF SESd'R ADD/OR WATER w
:.
; xKSrr,cuTT«as wns, Nar se SCEDnM ?
? L'NPIL PIItFIIT HAS Bffii APPRUVm. :
dtV f??+3?ir:rrws.tr:i???y?x*tt?+tw+:?rw?sr
OF eC7gan
(PLEASE PRID7P
1) PROPERTY ADDRFSS:
I,DGAL DESCRIPTIOV;
IF EXISTING STRL'C'IYJRE, DATE OF ORIGINAL BLILDING PERMIT ISSUALQCE:
Nbn Year
PRESENT 7ANING/PROPOSID USE:
Q COhIIvIRCIAL/RETAIL/OFFICE
Q IDIDOSTRIAL
a.INSTITOTIONAL/GOVERDA'fENP
?R-1 SINGLE FAMILY
?
? R-2 DOPLEX (Two Units)
? R-3 TOWNHOOSE ('Itiree +.Onits) ( Dnits)
Q R-4 APARTMENf/CONIDOMINIUM ( Units)
.
2) NAME:
ADDRESS: - 47 Lf [ ?'/ .-2-:
CITY, STATE, ZIP:
PHONE: '
o
3) NAME:
ADDRESS: /.2 -/ti 2
CITY, STATE, ZIP: .,5..
PHONE: ? `3t?- ?..C o t
MASTER LICENSE #?D? Z S! ?2 m 7j
?lwneers 1.icense:
I? Active
Expired
Not recorded
St Ia?f-nitiaT_
4)
NAME: 4Q,'a-kO5'???r?? -
PADRESS:
CITY, STATE, 2IP:
PHONE:
5) s a ?• ? • u .i ??
CONNECTION 'Ib CITY SEWER ,?CONL?C.'TION To CITY WATER Ej OTfiII2
?.
6? m IN/1?1 A? as-F7-
*****,***?*?*?*********?*?******?*?*******?******?****?********??***************************.**??**;
*
* THE GOLD COPY OF THE PERNffT WILL BE SENr DIRECiS,Y 1o PUffi,IC WORKS 10 FACILITATE MEiER PIQC-uP. *
*k PLAASE AILDW ZWO WORKING DAYS FOR PROCESSING. SOMEONE FROM Tm CITY WIIS, CONPACT YOL IF 741II2E *
* ARE ANY PROBLENIS. ?
?**,r* ******r**t*?*+********+?++*****,t**,r*??*?+*****,r**,t?+***+?**r**,r*:*+r*?+,e******??*****?*?*+**?r«:i
. FOR :CITY USE ONLY . ' ;
PERMIT # ISSUED `
9 ? /J .
Pd w/Bldg. Permit FEES:
$ SEWER PERMIT (INCLUDE SURCHARGE)
$ $ WATER PERMIT ( INCLDDE SC'RCHARGE)
$ $ WATER METER/COPPERHORN/OL'TSIDE READER
$ $ WATER TAP (I[VCLUDE CORPORATION STOP)
$ $ SEWER TAP
$ S ??, ??J ACCODNT DEPOSIT - SEWER
$ $ /S,Gg'D ACCOONT DEPOSIT - WATER
$ $ WAC
$ $ SAC
$ $ TRUNK WATER ASSESSMENT
$ $ TRIINK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRLNK SEWER
$ $ LATERAL BENEFTT/TRUNK WATER
$ $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
S $ TOTAL
P //?lU
RECEIPT RECEIPT
DOES UTILITY CONNEC TION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
F--j YES IF YES, THEN A"PERMIT FOR WORK WITHIN PLBLIC
Q
NO ROADWAY" MUST BE ISSUED BY THE ENGINEERING
DIVISION
LIST
.
AS A CONDITION.
SOBJECT TO THE FOLL OWING CONDITIONS: %
APPROVED BY:
TITLE:
DATE:
MEMO T0: TOM AEDGES, CITY ADMINISTRATOR
FROM: DOUG REID, CHIEF BOILDING OFFICIAL
DATE: DECEP'IDER 11, 1987
RE: BUILDING-PERMIT ISSUANCE/GONFORMANCE TO SUBDIVISION DEVELOPMENT
PLAN (LOT 49 BLOCR 14t BRIDLE RIDGE_ADDITION)
Installation of a foundation and footing on lot 4, block 14 of the Bridle
Ridge Addition prior to issuance of a building permit has prompted the
Building Inspections Department to establish a procedure that addresses this
problem now and in the future.
Currently, the Inspections Department has issued a stop work order at this
site and are awaiting a determination from our Engineering Department and City
Council as to whether or not the change in grade from the grading plan will be
aceeptable. If it is determined that the foundation and footings must be
removed or if it is allowed to remain as is, we will double fee the building
permit. This is allowed by the state building codes as a penalty for
beginning construction prior to issuance of a permit.
In an effort to avoid a repeated situation, this department will notify the
builder that any subsequent violations of this nature will be dealt with in a
similar fashion, with all work ceasing until a decision is made. This
procedure will apply to all builders in the Eagan area.
Respectfully submitted,
?o'-ua dt? Ix
Chief Bui ing Official
DR/js
__ Ob .
1989 BUILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLING3 1424010
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATFS OF SQRVEY, 1 SET OF ENERGY CALCULATIONS
NOTS: ADDRFSSES FOR CORNSA LOTS - CONTRACTOR/SOMEOSiNER M[IST DESIGN9TB WHICH ADDRfiSS
IS DESIRED. AO CHANGES WIL[. BE AI.LOWED ONCE H9ILDING PE9HIT I3 IS30ED.
MfTI.TIPLE DiIELLZNGS RENT9L DNITS FOH SALE ONITS # OF URIT3
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECS iIITH BLDG. DEPT., 1 SET OF ENERGY
CALCULATIONS
COtRMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENEAGY CALCULATIONS
To Be Used For:a..?R?AS., ,.CM .rft?1 I ?Valuation: /V0 Date: -9
Site Address 7'7R MILL12un! OFFICE OS& ONLY
Lot A- Block _Lg4-
Parcel/Sub 'R .i'df?, i ht
owner bskhlGr h. I??-fAlj
Address 7'78 MlLL r2U N PhTI+
City/Zip Code jL-t}?xftfJ M N 5Sl.2.?
Phone -4 5 9- S 0 55
Contraetor
Address
City/Zip Code
Phone
Arch./Engr. _
Address
Citq/Zip Code
Phone &
Occupancy ??
Zoning
Actual Const Bldg. Permit
Allowable Sureharge
# of stories Plan Review
Length SAC, City
Depth SACp MWCC
S.F. Total Water Conn
Footprint S.F. Water Meter
Aect. Deposit
On site sewage S/W Permit
On site well S/W Sureharge
MWCC System Treatment P1.
_
City water _ Road Unit
PRV required Park Ded.
_
Booster Pump _ Copies .SO
TOTAL
6PPAOVALS
Planner _
Couneil
Bldg. Off. /S
Variance
Couneil
NOTE: Sewer & Water Permit feea aad accouat deposit fees xill be included in the building
permit fee. Processing time for sexer and Water permits is txo days onae a licensed
plumber has applied for a permit at Citq Hall.
CITY OF EAGAN
-3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Numher:
Date Issued:
SITE ADDRESS:
P.I.N.: 10-14996-040-14
778 MIIL RUN PATH
LOT: 4 BLOCK: 14
BRIDLE RID6E
DESCRIPTION:
14'x 10' 4'x 10'
B;ua.ldin§:-Permit Type DECK
Building W'ark Type ADDITION
r'U8C Occupancy\, R-3
?
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?? ?I ?? U tJ ? a L, L L< lJ
REMARKS:
FEE SUMMARY:
Base Fee $25.00
Surcharge 3.50
Total Fee $25.50
CONTRACTOR:
-??
BUI oi? ??
021845
08/26/93
OWNER: - Applicant -
PHAN DANG
778 MILL RUN PA7H
EAGAN MN 55123
(612)853-2980
I hereby acknowledge that I have read this
informatlon is cprrect and agree to oom{zly
Statutes and City of Eagan Ordinances.
IL
?im,.r m 'Ilo PLDAA?
ICANT/PERMITEE SIGNATUflE
application and state that the
w:ith all applicable State of Mn.
J) 14 fl.ual m"tf
ISSUED W. S NATU E
REACTI4ATE CITY OF EAGAN
PERMIT f.? U°i ECENED 1993 BUILDING PERMIT APPLICATION
3 1993 681-4675
Z 1411`N ' I A? A"A
SINGLE d MULTI-FAMILY 2 sets of plans, 3 registered site surveys, l copy of energy
calcs. ,
COMMERCIAL 2 sets of architectural 6 structural plans, 1 set of
specifitations, 1 copy of energy cilcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of aonth-
lot change is requested once permit
3
d
)
or
in which request is made, 2) address ts cbange
is issued.
Date OSC 3 Valuation of work 1'r)
Site Address: `778 ?vla a e" i:?^
SiREEi . iU1TE 0
Tenant Name: (commercial only)
lAT ? BIACK SUBD. .? Y.I.D. M
Descri tion of work:
The applicant is: JM Owner ? Contractor O Other (Deceribe)
Name f?a? ?ca o b?.. ? Phone 4? 4- SD5 S
RST ? W) 6,53 '?258o
Property U5T fI
Owner Address -772 Nti II Po.fln
STREET fTE /
city 0:1_ State M1J Zip s?1?3
Company Phone
Contra ctor Address License # Exp.
City State ZiP
Company hJA Phone
Architect/
Name Registration ?
Engineer
Address
City State ZiP
Sewer 6 water licensed plumber . Processing time for
sewer 8 water permits is two days once area has been approved.
this
iSt
nofnMinnesotahStatutesnandmCitynofs
t
gR
d
i
ykd
e
a
e
plica
ap
th all
to comply w
correct and agree
Eagan Ordinances.
?3
Signature of Applicant: o
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation
?
O 03 5F Addition
O 04 SF Porch
? 05 SF Misc.
WORK TYPE
? 06 Duplex
? 01 4-Plex
? OB B-Plex
? 09 l2-Plex
? 10 Multi: Add"1.
- O 33 Alterations
? 32 Addition 0 34 Repair
GENERAL INFORMATION
tonst. (Actual)
(Allowable)
UBC Occupancy "Z -3
Ioning
/ of Stories
length /y jX/c Depth u•x??APPROVALS
Planning
Engineering
REQUIRED INSPECTIONS
? Site
O Wallboard
Basement sq. ft.
Ist F1. sq. ft.
2nd F1, sq. ft.
Sq. ft. total
Footprint Sq. ft.
On-site well
On-site sewage
Building
Variance
-q Footing
l2F Final
? 35 Tenant finish
O 36 Move
? Framing
? Draintile
? ??
v
? Insulation
? Fireplace
Permit fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Oiher
Total:
ZS , o o I v.luecim: $
0 11 Apt./Lodging
O 12 Multi. Misc.
O 13 Garage/Accessory
D 14 fireplace
pYS?(ieck
? 16 Basement Finish
O 17 Swim Pool
O 18 Comm./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facility
E3 21 Miscell.aneous
O 37 Demolish
MWCC System
Lity Ilater
PRY Required
Booster Pump
Fire Sprinkler
Census Code
SAC Code
Assessments
5AC %
SAC Units
SliRVEYOR'S ?CERTIFICATE euRR oaK euiLoERS__
- -- -`
_M I_L 1 __RUN
ee,a
--
?- °ees.s N
p319
-- N S 86°42' 3°W? se9.e Rr185.A5 w •,\ --
_ 12.008? k ,. 63.83 g 9903
' N
x 141A't?,
a
?
10
5
m
•?
:;,: ,4;
1
?
t eeo?ex ?g92?t
Zq 3
Baptl .. 1550 GNI
r A/
!
? ? m w
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?` O W 1
CD
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ses•ax?
N x
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W ?. ?
?
W
W ,
l 891.19
r
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1
C(89Z.o) 1 0+ ? .. -
?A3b/ W O
1 w O
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DRp'NAGEr PE?1 P?r.\y ?5I
?T-EpSEMgN ',Y
o ?o3Q?32
?
?
,s ty 7
39
f- DENOTES PROPOSED SURFACE DRAINAGE
O DENOTES IRON MONUMENT SET
• DENOTES IRON MONUMENT FOUND
X000.0 DENOTES EXISTING ELEVATION
(000.0) DENOTES PROPOSED ELEVATION
p DENOTES NAIL SET
?
???'
SCALE:IINCH - 30 FEET
PROPOSED GARAGE FLOOR - 892.3 FEET
PROPOSED LOWEST FLOOR - $89•5 FEET
PROPOSED TOP OF BLOCK- $92.7 FEET
WE HEREBY CERTIFY 70 BURR OAK BUILDERS THAT THIS IS A TRUE AND CORRECT
AEPRESENTATlON OF A SURVEY OF THE BOUNDARIES OF:
Lot 4. Block 14, BRIDLE RIDGE I ST ADDITION, according to ihe recorded
plat thereof, Dakota County, Minnesota.
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS
SURVEYED BY ME OR UNDER MY DIFiECT SUPERV HI ,(l.'iN DAY OF 1?W ??'??'i?K- . 19g'7•
SIGNED: JA S LL, INC.
BY:
Om
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HAROLD C. PETER!9'ON, LAND SURVEYOR
MINNESOTA LICENSE NUMBER 12294
James R. Hill, inc.
PLANNERS / ENGINEERS / SURVEYORS
9401 JAMES AVE. S. • BLOOMINQTON, MN. 56431 9 672-864-3029
FERMIT
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1 S97
(612) 681-4675
PERMITTYPE: suzLozNG
Permit Number: 033173
Date Issued: 0 9/ 9 4/ 9 8
SITE ADDRESS:
778 MII.L RUN PA7H
LOT: 40 f3LOCK: 14
BRIDLE RIDGE 157
P.I.N.s 10-14996-040-14
DESCRIPTION:
REROOR/STORM DAMAGE
ermit Type STORM DAMAGE
,b?Es rk T y p e REPAIR ?= "g2
:-.,b,,. 434 flLT. RESIDENTIAL
?.
Y
wt
?
?x
?.a` ks ';4 t2
m?
g?5%
REMARKS
FEE SUMMARY:
CONTRACTOR: - Applicant - sT. Lzc. OWNER:
AZTEC ROOFING 18950040 20139140 PHAN THURY
11583 RUPP RD 778 MILL RUN PR7H.
BURNSVILLE MN 55337 EAGAN MN 55123
(612) 895-0040 (651)454-5055
I' Z ktereErg
?nfarmal
ii
? `?rari?rkK
qq tha.? 1, h.a,
i APPLICANTlPERMITEE SIGNATURE
1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
. "' CITY OF EAGAN
3830 PII.OT KNOB RD - 55122
33 ? ? 3 681-4675 New Construttion Reauirements RemodeUReoair Reauireman45
? 3 registered sde surveys
? 2 copies of pians (inGude beam 8 window sizes; poured fid, design; etc.)
? 1 energy calculations
? 3 copies ot tree preservation plan if IM platted after 7l1193
required: _ Yes _ No
DATE:
DESCRIPTION-OF WORK: P-ml-tO
STREET ADDRESS: 007 7S` Mr 11 Pi
LOT: ?0 BLOCK: SUBD./P.I.D. #: C'U.e
Name: P{' IGI.rI 7Y L o2.ti Phone #: '75q
PROPERTY 1.ast First
owrrEx Street Address: 7 72 1720 ,em t'Gtli)
City State: Zip:
Company: A? jQ L L&I P 460 Phone #: OL, /)o Y C/
CoNTRACTOR Street Address: / 1?y ?a.6? Cl ? ?` License# 2L9
311yL9
,?d , !
City 8OM6 UIA State: /V ziP: 5'? 1 z 3
ARCHITECT/
ENGINEER Company: Phone #:
Name: Registration
Street Address:
Ciry State: Zip:
Sewer 8 water licensed plumber (new construction only): Penalty applies when address chang
and lot change is requested once permit is issued.
I hereby acknowledge that I have read this application and state that the intortnation is correct and agre comply with all applicab!
State of Minnesota Statutes and City of Eagan Ordinances. o
.? ,? A
Signature of Applicant:
OFFICE USE ONLY
Certficates of Survey Received _ Yes _ No
? 2 copies of plan
? 2 site surveys (exterior aadRions & decks)
? 1 energy celculationa for heated a0dftions
CONSTRUCTION COST; / LI? ? 7 Z
Tree Preservation Plan Received. - Yes - No - Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
O 01 Foundation ? 06 Dupiex
? 02 SF Dwelling ? 07 4-plex
? 03 SF Addition ? 08 8-plex
? 04 SF Porch ? 09 12-plex
? 05 SF Misc. ? 10 _ plex
WORK TYPE
D 31 New 0 33 Alterations
? 32 Addition ? 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
? 11 Apt./Lodging ?
? 12 Multi Repair/Rem. ?
? 13 Garage/Accessory ?
? 14 Firepiace ?
? 15 Deck
? 36 Move
? 37 Demolition
Basement sq. ft.
Main level sq. ft.
sq.ft.
sq.ft.
sq. ft.
sq.ft.
Footprint sq. ft.
APPROVALS
Planning
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
SJW Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Building
Total:
Engineering
Valuation: $
16 Basement Finish
17 5wim Pool
20 Public Facility
21 Misceilaneous
MC/WS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bldg
Census Unit
Variance
% SAC
SAC Units
2000 8TORM DAMAGE PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55722
651-681-4675 N
Reauiremenh
? 2 copfes o1 plan
DATE: D9? I8/ ? ,1 CONSTRUCf10N COST:
?Iwvr.p pumFa .?y?:.?y SIO??t.?? .1.nSu?0.?+Cn DESCRIPTION OF WORK: Sholrnr.k . La?if mulN-famiry bldg., how many units? _
IPIDICATE THE FOLLOWIfdG EQUIPwAEfdT TO BE REPLACED A{dD BY WHOM:
_ Plumbing _ Homeowner gS Confractor Name
_ Mechanlcal _ Homeowner gt Contractor Name
"Note: If somebody oTher than the homeowner is performing plumbing or mechanical work, they mustappiy forappropriate
permit. Only Iicensed plumbing conhactor or homeowner may complete plumbing work.
STREET ADDRESS:
LOT: 4 BLOCK: 14? SUBD./P.I.D. #:
Name: PHm r) i k U v Pnone #:
PROPERN Last Flrst
OWNER
Sfreet Address: 7 7 g M' 1 J ? u v,
City Ea Q A n Stafe: M f.f Zip:
Company: Phone #:
/ (area code)
COMRACTOR
Sheet Address: Llcense # Exp.
City State: Zip:
7 PJCIL./1.W W.iD
SEP 18 2000
I hereby acknowledge that I have read this application, state that the information is correct, and agr I to comply wNh all appti ble State
of Minnesota STatufes and City of Eagan Ordinances. Bl':
lp '?
I lnav?
Signature of Applicant: 1X?A.u4. />
a
2000 BUILDING PERMIT APPLICATtON (RESIDENTIAL)
CITY OP EAGAN
3830 PILOT KNOB RD • 55722 C)?
So 651-681-4675
New CanatrucMOn Reaulremenfs Bemodel/Reoafr R uiremants
? S reglateretl site surveys showing sq. R. W lot, aq. N. W howe 2 copies W pkm
and all rootetl areas (2D% maximum lof covemae aliowed) 1 set of energY calcWaNOns lor heatetl ptldiHOns
? 2 copies ot plans (show beam & winWw sizes; poured fid. tlesign; efc.) 1 site survey tor exted'or atltltlions & decks
? 1 aef W energy calculaflons
D 9 copies of hee preaervaNOn plan il lot platfed aHer 7/1/93
DATE: CONSTRUCTION COST:
DESCRIPTION OF WORK: 3 S , h s y..? f? = r ?? I} mulH-(amiry bldg., how ny unMs?
STREETADDRESS: "7
LOT: BLOCK: SUBDJP.I.D. li: Y 1 R /
v l-? , -'-,
PROPERTY
OWNER
Last
-7- l-. ?
CONTRACTOR
ARCHITECT/
ENGINEER
Ftrst
j
Phone S:
Sheet Address: 7 7 8 T^ '. /(L, ..? ? if 1T
Clty G- Sta : Zip:
Company: /Ph2?ne #: 7 ?
(area code)
Sheet Address: ?z- • I\ -Ts . License # ? i '2_ 2 Exp.
City c State: Zip: S 5 ° ° ?1
Company: ? Name:
Telephone #: ( )
Sheet Address: Registrati0n #:
City State: Zip:
Sewedwater licensed plumber (if instaliino sewer/water): ?- Phcne #:
I hereby acknowledge that I have read this appGcation, stafa Mat Me inlormation is cortecf, and agree to compty wilh all appGcable State
of Minnesota Staiutea and Cify of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No ?Q - 7
Tree Preservation Plan Received - Yes _ No _ Not Required ?
OFFICE USE ONlY
BUILDING PERMIT SUBTYPES
O 01 Foundation ? 07 05-piex ? 13 16-plex 21 Poroh (3-sea.)
? 02 SF Dwelling ? 08 06-plex O 17 Garage 22 Porch/Addn. (4-sea.)
? 03 01 of_ plex ? 09 07-plex O 18 Deck ? 23 Porch (screened)
? 04 02-plex ? 10 08-plex ? 19 Lower Level O 24 Storm Damage
? 05 03-plex ? 11 10-plex Plbg -Yor_N O 25 Miscellaneous
? 06 04-plex ? 12 12-plex ? 20 Pool ? 30 Accessory Bklg.
WORK TYPE
? 31 New ? 36 Move Bldg. ? 43 Reroo#
? 32 Addition ? 37 Demolish (Bldg)' [3 94 Siding
? 33 Aiteration ? 38 Demoiish (Interior) ? 45 Fire Repair
? 34 Repair ? 42 Demoiish (Foundation) ? 46 Windows/Doors
" Giye PCA handout to applicant for demolition permit
GENERAL INFORMATION
SAC Code
No. af Units
No. of Buildings ?
Const. (Actual)
(Allowable) ?
UBC Occupancy ?
Zoning
# of Stories
Length
W idth
Basement sq. ft.
Main Ievel sq. ft.
4nf? sq. ft.
sq. ft.
MISCELLANEOUS INSPECTIONS
? Stucco/Stone
APPROVALS
Planning Building
Permit Fee I 39. a?
Surcharge ?, , r)
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S!W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies ?-
Total: ILt'? 0 o
sq.ft.
sq. ft.
Footprint sq. ft.
Census Code
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Engineering Variance
Vaiuation: $ , Iz?
.
? i 31
O , 33
O ' 36
?
Ext. Alt - Multi
Ext. Alt - SF
Multi
5AC Units
°k SAC
_. ? 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) .-? ..
CI7Y OF EAGAN
3830 PILOT KNOB RD - 55122 1 y
14 U U ?7???675 ,
New Cons}ruc8on Reauiremenh RemodeUReoair ReaufremeMa
7,1 ?, o C,
D S registered slte wrveys ahowing aq. H. ot lof, aq. fF. of house
and pJl roofed creas (20% mmcimum lot coveraae allowetll
? 2 coples ot plana (ahow beam & wintlow sizes; pouretl fnd tleslgn; etcJ
? 1 aet of energy calculaNOna
? 9 coples W hee preservatlon plan 8 bf plaMetl aftr 711193
DATE: "'7 / / Z/
2 copies o/ plan
1 set o/ energy calailationa lor heafed atlWMOns
1 sfTe wrvey ta exted'or addlBOns 8 decks
COST:
DESCRIPTION OF WORK: 3 5? - s- ? q , r I} mulH-(amiiy bidg., how many units7
STREET ADDRESS:
LOT: c) ?I BLOCK: ?L SUBD./P.I.D. #: 1>?( ?(`s_ (LL a
C:y
Name: -'r?•? Q\, ??? Phone t:
PROPERTY LOSI First
OWNER
Sheet Address: --) 7 R r^ "- -4-?
CBy ? c?- (- ?-.--*) State: 1`- -%-? Zip:
Company: G ? lx Phone M: C- 1 '?-- 7 ? J - 'tt- g
(area code)
COMRACTOR
5heet Addreu: °Z `\ 1 9 a S.- ? 3-\ T Y, License #9 12 Z Exp. 'tz? ,
CBy c ? .. ? , ., ; -'? .? State: Y-^ a
ARCHITECT/
ENGINEER Company:
Name:
Telephone #: ( )
Sheet Address: RegishaNon #:
Cly
Stafe:
SeweNwater licensed plumber (if instaltina sewer/water): Phone #:
np: r ?- Q „ 9
Zip:
I hereby acknowtedge that I hwe read Mis opplication, siate Mat Me infortnation is cortect, and agree tocompy wNh aAappllcableState
of Minnesota Stalutes and Ciy of Eagan Ordinances.
Signature of Applicanh
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required
. ??
BUILDING PERMIT SUBTYPES
OFFICE USE ONLY
O 01 Foundation ? 07 OS-piex ? 13 16-plex O 21 Poroh (3-sea.)
O 02 SF Dwelling O 08 06-plex O 77 Garage O 22 Poroh/Addn. (4-sea.)
O 03 01 of _ plex ? 09 07-plex O 18 Deck O 23 Porch (screened)
O 04 02-plex ? 10 08-plex ? 19 Lower Level ? 24 Storm Damage
? 05 03-plex ? 11 10.plex Plbg _Yor_N O 25 Miscellaneous
? 06 04-plex ? 12 12-plex ? 20 Pool O 30 ACCessory Bldg.
WORK TYPE
C7 31 New ? 36 Move B1dg. ? 43 Reroof
p 32 Addition ? 37 Qemolish (Bldg)' ? 44 Siding
O 33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair
O 34 Repair 0 42 Demolish (Foundation) O 46 Windows/Doors
' Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
SAC Code
No. of Units
No. of Buildings
Const. (Actual)
(Allowable)
UBC Occupency
Zoning
# of Stories
Length
W idth
Basement sq. ft.
Main levei sq. ft.
sq.ft.
sq.ft.
MISCELLANEOUS INSPECTIONS
? Stucco/Stone
APPROVALS
rlanning Building Engineering
Permit Fee Valuation:
Surcharge
Plan Review
License
MC/ES SAC
City SAC Water Conrt.
Water Meter
Acct. Deposit
S/W Permit
SNV Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
• SAC1Jnits
% SAC
sq.ft.
sq.ft.
Footprint sq. ft.
Census Code
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Variance
O 31 Fxt. Alt . Multi
0 33 Ext. Alt - SF
? 36 MuRi
.V=
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
? 01 Foundation O 07 05-plex ? 13 16-plex 21 . Porch (3-sea.)
O 02 SF Dwelling ? 08 06-plex 0 17 Garage 1- 22 Poroh/Addn. (4-sea.)
? 03 01 of _ plex 0 09 07-plex 0 18 Deck ? 23 Porch (screened)
O 04 02-plex ? 10 OS-plex ? 19 Lower Level ? 24 Storm Damage
fl 05 03-plex ? 11 10-plex Pibg _Yor_N ? 25 Miscellaneous
? 06 04-plex ? 12 12-piex ? 20 Pool ? 30 Accessory Bldg.
WORK TYPE
? 31 New ? 36 Move 81dg. ? 43 Reroof
? 32 Addition ? 37 Demolish (Bldg)' O 44 Siding
33 Alteration ? 38 Demoiish (Interior) O 45 Fire Repair
? 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors
` Give PCA handout to appl icant for demolition permit
GENERAL INPORMAT,,?QN
SAC Code F? I
No. of Units
No. of Buildings ?
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
W idth
Basement sq. ft.
Main level sq. ft.
offa sq. ft.
sq.ft.
MISCELLANEOUS INSPECTIONS
? Stucco/Stone
?,.pPROVAtS
Planning Building -rjL2X PAI Engineering
sq.ft.
sq.ft.
Footprint sq. ft.
Census Code
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Variance
0 31 Ext Alt - Multi
O 33 Ezt. Att - 5F
O 36 MuRi
?
Permit Fee Valuation: $'
Surcharge
Plan Review
License
MC/ES SAC ?(972 L?" ? ?e d L9
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Total.
Copies
b?
- SAC Units
% SAC
.•, Aw- 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) ,
CITY OF EAGAN
3830 PILDT KNOB RD - 53122
651-681-4675
New Conatnrcllon ReaulremaMs RemodeVRenair ReaulremetNs
D J regisfered sife wrveys showing sq. N. of lot, aq. R. d house 2 coples o( plan
antl Q roofed areas (2p% maximum lot eoveraae allowedf 1 set of energy wlculafions for heated addiNOns
? 2 copiea of plans (ahow beom & winWw sizea; poured fid. deaign; efc.) 1 aiTe wrvey for exteda atldiHOnt & decks
? 1 set of energy calculaNOns
D S coples of Tree preservatlon pian if IW plafled alfer 7/1/93
DATE:
DESCRIPTION OF WORK:
STREET ADDRESS:
LOT: BLOCK: SUBD./P.I.D. i:
CONSTRUCTION COST:
If muNi-tamlry bidg., how many units4
Name: Phone #:
PROPERN Lclsi PIrat
OWNER
Sheet
Ciy
State:
Zip:
Company: Phone q:
(area code)
CONTRACTOR
Sheet
City .
State:
License #
ARCHITECT/
ENGINEER Company: Name:
Telephone A: ( )
Zip:
Sheef Address: RegishaHOn #:
Ciy state: Zip:
SeweNwater licensed plumber ('rf installim seweNwater): Phone #: (?
I hereby acknowledge fhaf 1 have read this applicafion, sfale that 1he inFormatfon is conect, and agree to compy wNh a0 applicwble Stale
of Minnesota Sfatutes and Cily of Eagan Ordinances.
Signature of Applicant
Certificates of Survey Received - Yes
OFFICE USE ONLY
No
Tree Preservation Plan Received - Yes - No - Not Required
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CERTIFICATE
PPpN ee99 ?,r
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BURR OAK BUILDERS
N
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XB,es 14?403432
_. 76.39
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F-'A
F3Y.C09NC_I,L AGTIGN
r)R': ?a 1?..? ??Y$?
? DENOTES PROPOSED SURFACE DRAINAGE
O DENOTES IRON MONUMENT SET SCALE: 1 INCH - 30 FEET
• DENOTES IRON MONUMENT FOUND ' PROPOSED GARAGE FLOOR - E92.3 FEET
X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR -$$G).S FEET
(000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK- gq2,,7 FEET
A DENOTES NAIL SET
WE HEREBY CERTIFY TO BURR OAK BUILDERS THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Lot 4, Block 14, BRIDLE RIDGE i ST ADDITION, according to the recorded .
piat ihereof, Dakota County, Minnesota.
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS
SURVEYED BY ME OR UNDER MY DIRECT SUPERVJ?1-1I?1 II,YU DAY OF 3W 6tnf3C-d.
SIGN
BY:
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INC.
HAROLD C. PETERSON, LAND SURVEYOR
MINNESOTA LICENSE NUMBER 12294
James R. Hill, inc.
PLANNERS / ENGINEERS / SURVEYORS
9401 JAMES AVE. S. • BLOOMINGTON, MN. 55431 0 612-884-3029
?t BL CITY USE ONLY RECeiP7 #:
L ? p
SUBD. RECEIPT DATE:
PERMIT#
2000 PLUMBING PERbI2T (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOS RD
EAGAN, I4t 55122
651-681-4675 ?
Please complete for: D single family dwellings
? townhomes and condos when pertnits are required for each unit
? backflow preventer for underground sprinkler system
F1XTtIRES
EACH #
TOTAL
Alterations to_existing dwelling? minimum fee
Describe: $ 30.00 I
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
Ga5 piping outlet * minimum -1 3.00 x = $
Hot tub/spa 3.00 x = $
Kitchen sink 3.00 x = $
Laund tray 3.00 x = $
Lavatory 3.00 x = $
Septic System newlreTUrbished • requires MPC Iic. 75.00 X = $
Septic S stem abandonment 30.00 x = $
RPZ new installationlrepairirebuild 30.00 X = $
Rou h opening 1.50 x = $
Shower 3.00 x = $
Underground sprinkler if dwelling is under construction 3.00 x = $
Under round sprinkler ifexisting dwelling 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x = $
Water softener if dwelling under construcdon 5.00 x = $
Water softener if exfsting dwelling 30.00 x = $
Water turnaround 30.00 x $
State Surcharge .50 -> -> ---> $ .50
TOtal ---a
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
------------------------------------------------ -•--------------------------•-----------------•----------------------•---------------------
I hereby adcnowledge that I have read this applicetion, state that the information is correct, and agree to comply with all applicable City of Eagan ordinances.
It is the applicant'S responsibility to natiTy the property owner that the City of Eegan assumes no liabiliry for any damages caused by the City during its
normal operatianal and maintenance activities to the facilities constructed under this permit within City propertylright-of-way/easement.
SITE ADDRESS: r ' ?? ` ?-, ?
OWNER NAME: :
-I Vl l.t ?,,. v Ck I,-
INSTALLER NAME:
STREET ADDRESS:
TELEPHONE #: (, I y ? ? ? ? r?
(AREA CODE)
TELEPHONE #:
(AREA CODE)
CITY: STATE: ZIP:
SIGNATURE OF PERMITTEE
V Y '
cul?
2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: single family dwellings & townhomes/condos when permits are required for each uni[
?$;o.sa
Date .5
Site Address Unit #
P
O
t T
l
h
ne w1(s-?
roper
wner
y e
ep
o
I Wohlers Southside Htg. & Air,-?
Contractor 6950 W. 14e St., #106 '
Apple Valley, MN 55124
Street Address ? (952) 431-7099 I C??
State Telephone # ( )
Bond #: 2?-3 QSW-?Q O Expires:
?
The Applicant is _ Owner
Contractor _ Other ,!
Rer,v
Add-on or alteration to existing dwelling unit ., i
J$ 30.00
fumace
_Additional _Replacement `? -
air exchanger
? airconditioner _New 4_Replacement
other
State Surcharge $ .50
""
??-?
Total a
-
1 here6y apply for a Residentia] Mechanical Permit and acknowledge that the information is complete and accurate; that the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a
permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the
approved plan in the case of work which requires a review and approval of plans.
Chojd U_X?h Ilffj_?S
ApplicanYs Printed Name
?Lu4_?---
Applicant's Signature
2005 COMMERCIAL MECHANICAL PERMIT APPLICATION
City OfEagan
3830 Pilot Knob Road, Eagan NIN 55122
Telephone # 651-675-5675
Please complete for: commerciaVindustrial buildings
multi-family buildings when sepazate permi[s are not required for each dwelling unit
Date
Site Street Address Unit #
Tenanf Name (if applicable) Previaus Tenant Name
Property Owner Telephone # ( )
Contractor
Street Address City
State Zip Telephone # ( )
Bond k: Expires:
The Applicant is _ Owner _ Contractor _ Other
W o rk Type
New Construction _ Underground Tank _ Install _Remove "see below
fnterior Improvement _ Install Piping _ Processed _Gas
Nature ofWork:
'"`When installing/removing underground fank, ca!l for inspection by Fire Marshal and Piumbing Inspecior
P¢f[Rlf r' ¢05: $70.50 Underground [ank ins[aliafion/removal
$50.50 Minimum (includes Stete Surcharge)
or
Contract Value $ x 1% _ $ Permit Fee
• If ep rmit fee is $1,000 or less, add $.50 => $ State Surcharge
If ep rmit fee is over $1,000, add $.50 for
every $1,000 ermit fee $ Total Fee
I hereby appty for a Commercial Mechanical Permit and acknowledge that the information is complete and accurate; that the work
will be' in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes, that I understand this is
not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with
the approved plan in the case of work which requires a review and approval of plans.
Applicant's Printed Name
ApplicanYs Signature
Approved By: , Inspector
2006 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New CaisWClion Reauiremen5
3 registered site surveys sharing sq. R of lot, sq. R of house; and all roofed aeas
(20%mazimum lot coverage allowed)
2 copies of plan showing beam 8 windax sizes; poured found design, efc.
1 set of Energy Cakula6ons
3 wpies M Trce Preseivation Plan if lot platted aRer 711133
Rim JdstDelail Op6ms selectim sheet (huil(fings wiN 3 w Ie$ un'tls)
Mitmegasco mechanical ventilation form
RemoddlRepair Reauiremen6 Oflke Use Onlv
,/2 copies of plan shaxing footings. 6eams, jdsis Cert W Survey Recd _ Y_ N
1 set of Energy Cakufatlons for heated additions Trce PreS Poan Recd _ Y_ N.
1 site survey fw addiVons & decks Trce Pres Reqwred _ Y_ N
Adddiar - 'mdicateAoo-sitesepUcsystem On-sOeSePticSystem _ Y _N
Date 7 113 ! 26DG Constmction Cost
SiteAddress 77 Y /??• ?I ?,an ??T'1 - Ir ?
lw lnl
Descrip6onofworx q? l?e'o UecV-
Multi-Family Bldg _ Y X N Fireplace(s) _ 0 2
/
Property Owner Tk-y Pf'!-A ?}
Telephone # (651 ) .S Yo " 700 ?
Contractor n ° +'1 FS /e e'10 Va ?i'M$ ? •n c .
Address 1301 4!!!? cr,? R# //7 _ C,Ty 1-A„-'nsu' ? P
State AA Ae Zip S-S-33 --? Telep6one # ( `JS2 ) -7 `16 - 3 o Y !6
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Kules 7670 Categorv 1 Minnesota Rules 7672
Energy Code Category . ResidenUal VeMilafion Calegory 1 Wodcshcet • New Energy Code Worksheet
(J submission rype) SubmiUed Submitted
• Energy Envelope Calailalions Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a masTer plan2
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone #(
Telephone # (
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance +vith the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, Uut only an appltcation for a permit, and work is not to staR without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
appmval of plans. /
ApplicanYs PrintedName App ?cantt:g"Signatu
_. ,
.
Sub Tvpes
? 01 Foundation
? 02 SF Dwetling
? 0.3 01 of _ plex
? 04 02-plex
? 05 03plex
? 06 04-plex
Work Tvpes
? 31 New
'K 32 Addition
? 33 Alteration
? 34 Replacement
DO NOT WRITE BELOW THIS LINE
? 13 16-plex
? 16 Fireplace
? 17 Garage
X 18 Deck
? 19 Lower Level
? 20 Pool
? 21 Parch (3sea.)
? 22 PorchlAddn. (4sea.)
? 23 Porch (screeNgazeba)
p 24 Storm Damage
? 25 Miscellaneous
; •
? 30 Accessory Bldg
? 31 Ext. Att - Multi
? 33 Ext. Alt - SF
0 36 Multi Misc.
? 35 Int Improvement p 38 Demolish Interior ? 44 Siding
? 36 Move Buildirig ? 42 Demolish Foundation ? 45 Fire Repair
? 37 Demolish Building" ? 43 Reroof ? 46 Windows/Doors
'Demolition (Entire Bldg) • Giva PCA handout to applicant
DeSCripflon: WaLer DamAgB._ Yes
Valuation ?? Occupancy MCES System
Plan Review 100°h or 25%
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
Footings(new bldg)
_X Footings (deck)
_ Footings (addition)
Foundation
Drain Tile
Roof Ice & Water Final
_ Fruning
_ Fireplace _ R.I. _ Air Test _ Final
Insalation
REQUIRED 1N5PECTION5
_ Sheetrock
FinaUC.O.
? FinaVNo C.O.
_ HVAC
Other
Pool Ftgs _ Air/Gas Tests Final
_ Siding _ Stucco Lath _ Storn Lath _Brick
Windows
_ Retaining Wall
Approved By: ? BuiWinglnspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utiliry Connection Charge
S8W Pennit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
? 07 0.5-plex
? 08 06-plex
? 09 07-plex
? 10 D&plex
? 11 10-plex
? 12 12-plex
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%VEYOR'S CERTIFICATE
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? DENOTES PROPOSED SURFACE DRAINAGE
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• DENOTES IRON MONUMENT FOUND
X000.0 DENOTES EXISTING ELEVATION
(000.0) DENOTES PROP05ED ELEVATION
A DENOTES NAIL SET
BURR OAK BUILDERS
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SCALE; 1 INCH - 30 FEET
PROPOSED GARAGE FLOOfi - 692,3 FEET
PROPOSED LOWEST FLOOR - F,89•5 FEET
PROPOSED TOP OF BLOCK- y,gZ,'j FEET
WE HEREBY CERTIFY TO BURR OAK BUILDERS THAT THIS IS A TRUE AND CORRECT
REPFiESENTATiON OF A SURVEY OF THE BOUNDARIES OF:
Lot 4, Block 14, 6RIDLE RIDGE l5T ADDI710N, according to ihe recorded
plai ihereof, Dakota County, Minnesota_
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS
SURVEYED BYME OR UNDER MYDIRECT SUPERV?Itf?d?HlV It,-rN DAYOF?1W?r??,??
SIGNED:/JAVS FjIF}(LL, INC.
BY;
HAROLD C. PETERSON, LAND SURVEYOR
MINNESOTA LICENSE NUMBEF 12294
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James R. Hill, inc.
PLANNERS / ENGINEERS / SURVEYORS
9401 JAMES AVE. S. • BLOOMINGTON, MN. 55431 9 612-884-3029
779g?
2006 RESIDENTIAL PLUMBING PeRMiT aPPLicarioN
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
30.,256
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Date S / Io / Ul
Site Street Address ??? ? pa'7? Iti. Unit #
Property Owner Telephone # 6s 1 )3:?,Q1:20C?4
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Contractar Telephone#(&jag;1
Address 2 ti S? S;( U3?)6 1-41L.P ?i l bL City State Mn) ZiP7:;?Q
? The Applicant is: _ Owner X Contractor _Other
Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license includes County fee
$ 100.00
Per as-built $ 10.00
Alterations to existing dwelling $ 50.00
_ Add plumbing fiutures. This fee includes instailation of a water softener and/or water
heater at the same time. /f you are installing only a water soffenei and/or wafer
heater, do not complete this section; move to the next section and check the
appliance(s) you are installing.
_Septic System Abandonment
_WaterTurnaround (add $130.00 if a 5/8" meter is required)
Other:
Water Softener _ Water Heater $ 15.00
_ new _ replacement
?Lawn Irrigation _RPZ PVB _new _repair _rebuild $ 30.00
State Surcharge $ 50
Total $ 30.
I hereby apply for a Residential Piumbing Permit and acknowledge that the information is complete and accurate; that the
work will be in confoRnance with the ordinances and codes of the City of Eagan and the plumbing codes; that I
understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in
accordance with the approved plan in the event a plan is ;Ir be reyiewed and 4ap)/ v
??i f? ?clfav? ? a,- .T
ApplicanYs Printed Name ppli nYs Signature p?pY 2 9 2007
?
3C?315I
2007 RESIDENTIAL PLUMBING PERnnir aPPUCaTioN
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existinq residential
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Site Street Address ?7 ?/? ?"?''r I I?!??? Tr 1 Unit#
hone # { )
Tele
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Praperty Owner
Champion
Contractor 651-365-1340 Telephone # ( )
Address ?anz? NtN ?+F1 a-13q9 City _ State Zip
-?,-,-
/
Licensed Plumbing Contractor
The Applicant is: _ Owner & Occupant \
Refurbished Submit 2 sets of plans and MPC license
Septic System
New Includes County fee
_
_ $ 100.00
Per as-built $ 10.00
d out fixtures, etc.)
ir (repiace burne
$ 90.00
lies when extensive lum6in re airs are made to a building.
ns to existing dwelling $ 50.00
Add plumbing fixtures to main level lower level. This fee includes
installation of a water softener and/or water heater at the same time. If you are
insta/li»g onlv a water sofrener and/or water heater, do not complete this section;
r
move to lhe rert section and place a checkmark next to the appllance(s) you are
installing.
ptic System Abandonment
ater Turnaround (add $136.OD if a 5!8" meter is required)
her:
:
Ot
H
ater
t
V W $ 15.00
er
e
a
Water Softener ?
? `
? replacement
_ new
Lawn Irrigation _RPZ _ PVB _new _repair _rebuild $ 30.00
State Surcharge $ 50
Totaf
I hereby apply for a Residential Plumbing Permit and acknowledge that the information
work will be in conformance with the ordinances and codes of the City of Eagan
understand this is not a permit, but only an application for a permit, work is not to start v
accordance with the approved plan in the event a plan is required to be reviewed and aF
ApplicanYs Printed Name ApplicanYs Signature
at the
that I
be in
?
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 778 Mill Run Path
Lot: 4 Block: 14 Addition: Bridle Ridge 1st
PID:10- 14996 - 040 -14
Use:
Description:
Sub Type: e- Fireplace
Work Type: Gas Insert
Description:
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Fireside Hearth & Home
20802 Kensington Blvd
Lakeville MN 55044
(952) 985 -6675
Permit closed without required inspection(s). Letter sent to applicant on 4/17/09. (pf)
Chimney /flue must be inspected prior to concealing. 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
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply
of Minnesota Statutes and City of Eagan Ordinances.
h all applicable State
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Construction Type:
Occupancy:
$88.50 0801.4085
$1.50 9001.2195
$90.00
Owner:
Thuy Minh Do Phan
778 Mill Run Path
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Issued By: Signature
Building
EA086733
10/08/2008
ePermit
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 778 Mill Run Path
Lot: 4 Block: 14 Addition:
PID:10- 14996 - 040 -14
Use:
Description:
Sub Type: e- Siding & Windows/Doors
Work Type: Siding & Windows /doors
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 6,000.00
Contractor:
Eagle Siding
1301 East Cliff Road
Suite 117
Burnsville MN 55337
(9523 746 -3046
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
Bridle Ridge 1st
BL - Base Fee $6K
Surcharge - Based on Valuation $6K
- Applicant -
Construction Type:
Occupancy:
$132.75
$3.00
$135.75
Owner:
Thuy Minh Do Phan
778 Mill Run Path
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Building
EA091977
11/12/2009
ePermit
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
0801
9001
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.
Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA164412
Date Issued:09/28/2020
Permit Category:ePermit
Site Address: 778 Mill Run Path
Lot:4 Block: 14 Addition: Bridle Ridge 1st
PID:10-14996-14-040
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
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 -
Thuy Minh Do Phan
1228 Alameda St
St Paul MN 55117
Estate Claim Services Llc
6701 Penn Ave S, Suite 201B
Richfield MN 55423
(651) 309-1114
Applicant/Permitee: Signature Issued By: Signature