782 Mill Run Path
fi
f Use BLUE or BLACK Ink
-r r
For Office Use
rA L
City of Ea ~11 j Permit fit]
I Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 Date Received: j
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff: I
RESIDENTIAL BUILDING PERMIT APPLICATION Clq
-Aj
Date: Site Address: 792, 1(41'L~./'zt-o )g'' l
Tenant: Suite
RESIDENT/ OWNER Name: R414 sJF_ Phone: -7/71d
Address/ City/Zip: 75a A- ILL_ J rcW Ph-r 4 45*A MJ S / ~3
Applicant is: Owner contractor
TYPE OF WORK Description of work:
6p
' Multi-Family Building: (Yes / No
Construction Cost: 61-70
CONTRACTOR Name:) 0S ~d NiS tcpi) A14- License 14 1
Address: 16-a-73 C_A~,,w.J ~A4_~ Ax S '
City: Rv s e- Ai me State; A A) Zip:
Phone: X01 L- 2,21 - 3 44 Contact Person: IQ J E A'1V
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
,Yes No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
t
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.
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 Vd M44-ELt~A
*t's Applicant's rinted Name P
age 1 of 3
DO NOT WRITE BELOW THIS LINE j '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)
01 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 PCA handout to applicant
DESCRIPTION
Valuation 3~0 Occupancy 77GZC-~. MCES System
Plan Review Code Edition lzw? SAC Units
(25%_ 100%!~ Zoning R-( City Water _
Census Code Stories Booster Pump _
# of Units Square Feet PRV '
# of Buildings Length - Fire Sprinklers _
Type of Construction _IVA- Width
REQUIRED INSPECTIONS
Footings (New Building) Sheetrock
Footings (Deck) Final / C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation HVAC
Drain Tile Other:
Roof: -Ice & Water -Final Pool: Footings -Air/Gas Tests -Final
Framing Siding: -Stucco Lath -Stone Lath -Brick
Fireplace: -Rough In -Air Test -Final Windows
Insulation Retaining Wall: _ Footings - Backfill - Final
Meter Size: Radon Control
Erosion Control
Reviewed By: , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
JFU 9,'-'~g 7q
V E Y V R'S CERTIFICATE REVISED 4SI 88 TO SHOW PROPOSED CORPORATION HOUSE
DY KEYLAND HOMES.
MILL RUN PA TH
4-7°21'15"
R = 80.00 r N N
" IMF (g8~._)
10.27 66.00 586042'43
8g0'Z~ a o
( 7767 > 'o
20.67
119.
y , CB I.5 1o O 1
~ GAR. 2733
M
PROPOSED ,o
- lj HOUS
1
X7.67
i6.z5, - .33 ;1 (88 3.9)
cn N W
W , ''°o W
W %n a , 1 T►
EVE N ~ m \
,
BY..
DATE:
;TI VI
BUILDING INSPE
~r
$7-7'
EAGAN o n~sr
I
. EV
I ED
BY. t•.I ,Rt CITIONS I~/ N
DENOTES PROPOSED SPACE DRAINAGE
0 DENOTES IRON MONUMENT SET SCALE: 1 INCH - 30 FEET
0 DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR - $9/ S FEET
X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR - 8$Y / FEET
(000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK- 8pz. Z FEET
WE HEREBY CERTIFY TO SIENNA CORPORATION THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Lot 5, Block 14, BRIDLE RIDGE I ST ADDITION, according to the recorded
plat thereof, Dakota County, `Minnesota.
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS
~ . ..r n•.~r-..r ...r.rr,. ne~i~r.Tr+ r~nv ~r T.+..h.... s. anon
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS:
???????
1f'; f AW
14 APPLICANT:
--------
?
----
PEFiMIT SUBTYPE: TYPE OF WORK: I', W
I 14 RA ! It jih41 1'
Permft No. PermR Holder Dete Telephone 11
ELECTRIC
PLUMBI G ?-3Vd
HVAC
Inapection Date Insp. Comments
FOOTINGS
FOUND
FRAMlNG ?
ROOFING
ROUGH
PLUMBING
PLBG
AIR T'EST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTO
DECK FlNAL
CITY OF EAGAN
3830 Pilot Knob Raad, P.O. Box 21-199, Eagan, MN 55121
PHON E: 454•8100
BUILDING PERMIT Receipt ?
To be used for ' Est Value 41 ???0"' Date ' ,19
: t /Jl4 74
- secisub. -;,t €; iFIcF i sT
s Name
3 Address
° City Phone
o Name
,
? ? Address
1City Phone
WW Name
? W
= a address
Q W City Phone
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 ot Eagan Ordinances.
Signature of Permittee _
A 8uilding Permit is issued to:
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Officfal
crrric
On 31te Sewage
MWCC System On Site Well
City Water '
PRV Required
Booster Pump
APPROVALS
Engr./Assess.
Planner
Council
Bldg. Off.
Variance
Occupancy
Zoning
(Actual) Const
(Allowable)
# oi Storiea
Length
Depth
S.F. Total
Footprint S.F.
FEES
Permit
Surcharge
Plan Review
SAC, City
SAC, MWCC
Water Conn.
Water Meter
Road Unit
Treatment P1
Parks
TOTAL
Permft No. Psrmit Holder Dste Telephone it
Plumbing '' ' 7 1 5_
H.V.A.C.
?Q IOI
?J
7?S ?'
EleCtriC
SoRener
Inspectlon Date Insp. Comments
Footings I ?
Footings 11
Foundation
Framing
Fioofing
Rough Plbg.
Rough Htg.
ISUI. f/.?`' r ?/ Q' ylQlrl?.?.
Fireplace 1-009
Final Htg.
Final Plbg, g
Bldg. Final
Cert. Occ.
Temp. LP
Deck Ftg.
Deck Ffnal
Well
Pr. Disp.
Cities Di ital ualitv C
The following image represents the best
available image from the original page.
Every effort was made to capture the content
from the original page.
? `?r , . •--?.,????IRknr_',!`.'_.;- .?;. PERMIT #
' PLUM8ING PERMIT RECEIPT # '
CIT11 OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: Lot.,._: Block
Name v ? ? •. • ?- + ? ,
.9 Address ' ' ?' N. ? ? ? I
c City } Phone
?
Name ?c Address '• + -
3 ...
p Ciry " Phone
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE 8 CONDO - RES. RATE APPLIES
MiNiMUM = RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BLDG. TYPE WORK DESCRIPTION
Res. x New ?
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
?Water Closet - $3.00 $
J-Bath Tubs - $3.00 '
J-Lavatory - $3.00 ?
. ? Shower - $3.00
? Ki?chen Sink - $3.00
Urinal/Bidet - $3.00
? Laundry Tray - $3.00
? Floor Drains - $1.50
L-Water Heater - 51.50
Whirlpool - $3.00
1-Gas Piping Outlets - $1.50 ?
(MINIMUM - 1 PEA PERMIT)
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
SIGNATURE OF PERMIT"
FOR: CITY OF EAGAN
FEE:
STATE S/C:
43
i•
GRAND TOTAL: 4? ??-
{
? • - ,-..
? {
' ' ' PERMIT #
MECHANICAL PERMIT
RECEIPT
"-
#
CITY OF EAGAN
7?
3830 PIL OT KN08 ROAD, EAGAN, MN 55122 DATE:
??
CONTRACT PRICE: ONE: 454-8100
Site Address BLDG. TYPE WORK DESCRIPTION
Lot?: Block ? Sec/S
b
?
S Res. New
?
J
/
Mult Add-on
m Name
? g ya,
Addr s ??
?* Comm. Repair
.S Ciiy Phone V 7- Other
FEES
Name
? M?•?-
?t ,
RES. HVAC 0-100 M BTU -$24.00
c Addre '?'u- ADDITIONAL 50 M BTU - 6.00
p City ? Phone (RES. HVAC INCLUDES A/C ON NEW
„ CONSTRUCTION)
50 EA
GAS OUTLETS (MINIMUM - 1 PER PEFiMIT) - 1
.
.
TYPE OF WORK
1?J t? ?
5 COMM/IND FEE - 19b OF CONTRACT FEE
- COMM
RATE APPLIES
APT
BLDGS
Forced Air M BTU T
? .
.
.
B
il TOWNHOUSE & CONDOS - RES. RATE APPLIES
er
o M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
Unit Heater M BTU REMODELS - 12.00
Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Outlets # BEYOND $1,000)
Other :;-
I, /,.
FEE:
S/C: SIGNATURE OF PERMITTEE
? d}
TOTAL•
i
FOR: CiTY OF EAGAN
_ . _ ._ . _... . . _,
?
r
(Irrtif trate of Mrrupttnry
Citp of eagan
llr}arir»mt n# IkOing lmptrtinn
77+rs Certifrcale issued pursuant ta the requiremenu of Section 306 of 1he Uniforrn Building
Code certifying that at the time of issuance thrs srructure was in compliance with 1he various
ordinances of the City regularirrg buildirrg construction or use. For the jollowrng.•
vx a.suficatioe IJ?+?ir'?r9;t swg. Plrmit IVo.
?
oocupancg .?,ype T?..; / =I ?_ mnp Wuiu - TY, C. V] i
Owmr of Building ?1LcY'?.?'.?_ Address _ , ': ' `•?: ?x , .? '??I :.U
..._..__ .?, ' ? 7r..?L r.. ... I.,, B 4, BFtZ-...E R.'Dm q
aw. AvQTST 25, 19$8
suae;ng offiria
POST IN A CONSPICUOUS PLACE
CASH RECEIPT
,
CITY OF'AGAN
- 3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
.
DATE
?cFrvEO
FaoM
AM NT
6 loo DOLLARS
? CASH
L7. CHECK
Y?elbw--POStl CoPY
Pink-File Capy
Thank You
BY
9 40
01-3210 Bldg. Permit
01-3422 Plan Check
01-3445 Surch./Adm.
01-3446 SAC/Adm.
01-2155 Surcharge
75-3860 Road Unit
20-2275 SAC
20-3865 Water Conn.
?0-3868 Water Trmt.
20-3716 Water Meter
20-2252 Acct. Dep.
20-3713 Water Permit
20-3743 Sewer Permit
79-3866 Sewer Conn.
28-3855 Park Ded.
/ K
11
G
TOTAL
CITY• OF EAGAN Permit No: Date:
3430 Pilot Knob Road Meter No: 4-lO :3 .3 9 13 giZe;
P.O. Box 21199 Reader N o: 41P 41.2 Date: 8
Eaqan, MN 55121
Owner. 1,17 ,_z :?tin _ _ . ._. _ . .c; e :
Site Address: '
Plumber. '?et Lcan S& W/D CNec'tzauicai
Conn. Chg: 550.60Pd
Acct. Dep: 15. 00pG1
Permit Fee: (`Ond
Surcharge: -
Tr. Plant
Meter.
Zoning:
i
No. oi Units: -
1 agree 1o comply wiih the City of Eagan .?
Ordinan T . 7-4*
OE4
WATER SERVICE PERMIT
CITY OF EAGAN Permit No: ? )q `7 Date: ' • ' f' ? 3930 Pilot Knob Road B/ P No: Date:
P.O. Box 21199
Eagan, MN 55121
nw,,o.. -•Lzar.: Homt6 I?n 1?2 i
Site Address:
Plumber: i'-"=rican S & W/i C. Mechanical
nnwcc `Se. a
City Chg: 100.00pd
AcctDep: 1';' v0Pd
Permit Fee: 1 - - 0CDe
Surcharge:
Zoning- '"-
No. of Units: k
I agree to comply with the City of Eagan
Ordinances.
SEWER SERVICE PERMIT
CITY OF EAGAN NQ 1516 4
3830 Pilot Knoh Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PERMIT PH ONE: 454-8100
Receipt# ?J7 a
Tobeusedfor SF DWG/GAR EstValue $116,000 Date .TUNE 9 jg88
SiteAddress 782 MILL RUN CrT-1?
Lat 5 Block 14 Sec/Sub, BRIDLE RIDGE 15T
Parcel
? Name KEYLAND HOMES
? Address 14450 BURNSVILLE PKWY
o City BURNSVILLE phone 894-2636
e Name SAMF
o Q Address
P City Phone
r,
"w, Nan
W
h
?z aad
U
Q W Clty
I hereby acknowledge that I e read this appliCation and state that Ihe
information is correct and to comply with all applicable State of
Minnesota Statutes and of E a?n Ordina ce
Signature of Peimit e ?--
A Building Permit is issued to: ? HOMES
ontheexpressconditionthatallwo?kshall doneinaccordanCewithall
applica6le State of_Minnesota Statu[es and City of Eagan Ortlinances.
Building Official
' OFFICE USE ONLY
I On Site Sewage _ Occupency R-3 M-1
MWCC System X Zoning PD R-1
On Site Welt _ (ACtuap Const V-N
Ciry Wa[er X (Allowable) V-N
PRV Required - # of Stories
Booster Pump - Length 56'
Depth 36'
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr./ASSess. Permii 626.00
Planner Surcharge 58.00
Councii Plan Review 313.00
Bldg.Off. SAQCity 100.0?
Variance SAC,MWCC $50.00
waler Conn. 550.00
waterMeter 67.00
RoadUnit -_25_nn
Treatment P7 204.00
Parks
TOTAL 7e793.bt
Thig reQUest void
18 mon?hs Irom / ?
D 818 8 4,C 5p,
S?J 4O ?'
iie?.qu"L?edIoqeadY Nuw [1}MAII Notifv Insoec'I
Ly?es No lor When FeatlY
icensed ElecVical Contractor 1 herebV repuest inapecfion ot ebova
? Owner electrical work inatelled et:
Sveei Atldress, Box or Home No. Ciry
a « ca?A,J
ecLOn o. Townshi0 N2me or No.
Hange No.
Counry
I R ,?Wr.a
OccuuantlPRINTI Phone No.
,/-
L? ?.tJ? ?veyl3-S
Power SupD??er AAdress
o rA aEcT, s oc . '.? ?a?7 N,J
Elecnical Contractor ICOmpany Namel Cont?aclor's Licrense No.
/?r°C?E l?g ttEY ?ZECT.«e .T?7e. O/ o- S
Mailing Address IContr cmr or Owner Makia Instaila[ion)
? ?
2630 LcI ,/?s ? S7- LE (/F?LC.t M.J ? S/Z
Authorize SiBnature (COnVactor Owner aking Installationl Phnne NumOer
3/- 73 U
MINNESOTA STATE btlnND Of ELECTflICIiV THIS INSPECTION REQUEST WILL NOT
Grigas-Mitlway Bldg. - Poom N-191 BE qCCEPTED BY THE STATE e0AH0
1821 Universitv Ave.. St. Vaul, MN 56104 UNIESS PROPEN INSPECTION fEE IS
Phone(612)642-0800 ENCLOSED.
1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN _
SINI;LE FAMILY DWEI.LINGS 151 4 4
INCLUDE 2 SETS OF PLANSP 3 CERTIFICATES OF SURVEYt 1 SET OF ENERGY CALCQLATIONS
NOTEs ADDRESSES FOR CORNER LOTS - CONTRACTOR/HDMEOWNEA MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE HUILDING PEAMIT IS ISSUED.
MULTIPLE DWELLINGS RENT9L IINSTS FOR SALE UNITS # OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITA BLDG. DEPT.,
1 SET OF ENERGY CALCULA'fIONS
COhAtERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
7 SET OF SPECIFICATIONS AND 1 SET' OF ENERGY CALCULATIONS
' i5"?- c
To Be Used For•
luat j cL7
ion: T ? Date:
Site Addres a-1
S/ //l.tx/ ?
OFFICE USE ONLY
' 000?
l1(0
Lot ? Block Z ,
On site sewage Oecupancy M'?
_
MWCC system Zoning ?
Parcel/Su On site well Actual Const
City water ? Allowable V-N
Owner PAV required U of stories
_
Booster Pump ? Length
'
Address Depth 2G,
S.F. Total
City/Zip Code Footprint S.F .
Phone ID I APPHOVALS FEES
Contractor ?.e Engr/Assess Permit 26 =?
Planner Surcharge ss• -
Address Council Plan Review
Hldg. Off. SAC, City 3J3,
I&O,00
City/Zip Code Variance SAC, MWCC 5-5 a,oo
Water Conn 3S0, 00
Phone Water Meter ?, O O
Road Unit ?
Arch./Engr. Treatment Pl O ?00
Parks
Address , Copies
TOT9I. ??
City/Zip Code _
Phone # ?/ `/ '-.?7 S
VAL UATlo N
G,q
?X22 = +?yn X ly= 6160 ,
.?sm r
,---
z?xzg= r7Z?x 13= 9y6y
!? sr F?oo?
Z? x 2?
?ZXao= zyo
2Knr
lo?yx ?+q: 501-7(o
zN p Fz...-b
Z6?2?= ?2S
I?IK2o ??,
J Dog )<yq ; y9-2.92
----
1l5 19 Z
S U R V E Y O R' S C E R T I F I C A T E REwsEO asas ee To swo°w P°oP SED OHOUSE
BY KEYLAND HOMES.
M1LL RUN
PA T HIV
d=7021'15" ,n .
R= 80. 00 C? N a
10•27 66.00 S86042'43"W, (689,2) _
$qp.2? ?.c
O o
o
19.60 20.67
•1 ` O 1 '
y? 1 ?8 I-5 18
s1
GAR. 2733
. ?? . 1
?^^1 lD ? PHO?EEp N
9 Li&251-
_
N 1
N
t7?
0
cn
?
.
--- ?($?G. 5
? W
V w ;?
z?m
bm 1
G
SLOT 5?;??
?
? - ,7o)
0
76.61 Nre v
, , ; "?- " -t . -
::
is- DENOTES PROPOSED SURFACE DRAINAGE
O DENOTES IRON MONUMENT SET SCALE: 1 INCH - 30 FEET
• DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR - $9/• S FEET
X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR - 8$y. / FEET
(000.0) DENOTES PROPOSED EIEVATION PROPOSED TOP OF BLOCK, - $yZ. t FEET
WE HEREBY CERTIFY TO SI ENNA CORPORATION THAT THIS fS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Lot 5, 6fock 14, BRIDLE RIDGc ! ST A001710N, according to the recarded
plot thereof, Dakota County,'Minnesota.
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS
SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS Zr ST DAY OF JnNu,aR y, 1888.
APPROVCD FOR SIENNA SIGNED: JAMER? 1,INC. ?
CORPORATiON
fiY : BY: ? . ? ^
HAR LD C. PETERSON, LAN6 SUFiVEYOR
DATEII, MINNESOTA LICENSE NUMBER 12294
v
m
? .? T
O V M
0 0
0 W 70 ;? 0
(?n
m ? m o
> r ?
? ?? W ? z ? m ? W
z
? O m cn ?
-
. .
James R. Hi , rnc.
PLANNERS / ENGINEERS / SURVEYORS
9401 JAMES AVE. S. 9 Bl00MINGTON, MN. 55431 • 612-884•3028
?. . ?
REQUEST FOR ELECTRICAL INSPECTION ? Ee-ooooi-os
? See instructions for completfng this torm on back of yellow coov. effGlS
? 8 1 (R.8 4. "X'- Below Work Covered by 7his Requesl
MaMFddI Reo.l TVPe ot BuilEinB I APOliancea Wired I Equipmant Wired I
I' I I I Duplex 1 I Water Heater I I Linh[inu Fiztures I
I I I I Industrial BIAg. I I Air CondiTioner I I Bulk Milk Tenk I
ee
N Fee SarvicaEntrBneaSae q Fee Fende,s/5u1oleeders p Fee Circuits
,00 U to 200 Am s 0 to 30 qm s 30, a0 0 tn 30 Am s
Above 200 qmos 31 to 700 Ainps Z ,p 31 to 100 qm s
Swimming Pool Above 100_Am s Above 100_.Qm s
Transiormers Irrigation Booms ? Partial.Other Fee
Special Inspection
vc?. r
Inspec oq here,y
cer ity thqt the above
Pinal Ua1e n ' apaction has baen
? ?' i1 metla.
EXTERIOR EN4CL?Pf IIVfRAGf "11" COMPI17A'f
tON
.
_ . ?. isfnWM1 y'`F#1lu;f:i
?
? OWNE R: KE?1( Lpe.Ip o
nnrr:
N MES
4.ZZ.-
?' ?t? •, ? '
8(
SITE ?
?___
AODRESS: LOT
PIIONE: _?
CONT RAC70R: ER
1p1a' ri;
i i
, Determine workin9 s9uare foota9e of each
1. Total exposed wall area..... Z3$O sq. ft. x
11 n"
2. Total .
roof/ceiliny area..... 4ko$ sq, ft. x .026 = Z,S,Z.
'
i
;
..,..?.;
Total exposed wall area abnve floor=
--- • ?; t>s.:
a. Total wall window area .......... U
1441
i
b. Total .................................
door area .................................................. .
.y
c.
d. Total
Total sliding glass door area ...................... :. ........ .'.
fireplace wall area
? -'?a
....................................
....
-
e. Total wall framing area (average lOp) ............................ Z-S13? i.
f.
9. Total
net rim Joist area ..............................................
walt area above fioor
?
h• ....................................
wall area a6ove floor......
i. ...... .................
wall area above floor ......
:
.....•
J. .....
............. .
frame wall area aY foundation ...
............... ..............
Tatal exposed foundation area= il Z.C)
k, Totai foundetion window area ..................... ::?O.S
1. Tatal net foundation area abave grade.....:......
Determine "u" value of each wall segment
(e.g. window, door, eacli separate wall section)
8. 1 417•ta X ?lull .3S = 5-Z.?
6• X Ilu11
c. ?}D X oluto ??-
a. - x . l,u„ • .
f._ 43 X $lUll
f. 14C) X $lu„ b'J = S.Cc
9. X toult
n, x liull b
1. X ltuff ,
f, x „u" II
k. X "U"
x liu„ 14A-.
3. ...? .............................Totat =
i
??.
4!
if item 13 1s'the4ei
as, or less than itei
wl, you have met;the
intent of SBC,600@ .(1
? ?
.,.. ?
CnvQlope Average "U" ComputaL•ion PAge 2 oP 4
' Tohal exposed roof/ceiling area
a
.•`L.i :?'!?..
m. Tbtal skyli.ght area ............................
n. 1bta1 roof/ceiling framinq area (averagn 10%)...
o. Total net insulatod roof/cciling iarea.........
..
Determine "U" valua for each roof/cQiling segment
M. ? g ^p° m
n. -1? X °Uo ,OZA_ e Z .3
O. x .,Uu •OL ?"?,ql,
4 ........... ................ Total
If total of AA is the srame as; or less 1:han R2, you have met the intent of
SHr_ 6005 (c) 1.
?
;
Alternate Building F.nve7_ope Desiqn .
Tb utilize the total envelope'systgn method, the valuea established by the a:un of
l.tems 03 and p4 shall not be greater than tha sum of items 111 and #2.
1. 2(rl.g + 2. 011 7,6-7
?
3. _ ZZ`Ti?7 + 4. 1??1Z = Z? •, .
k
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r ?'L'1ti
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PLAN #
,.
,
¦ UN E,4 L FT, ,EXposE p WAL L
P?LOGK ; 140 .
. ?
,
W.O. ,
PULL 140
?ul..l.2 ? 140 .
?1 R.,Et?LAGE ; ? .
tZI M : 14v.;; ? .
V?"f', S1C.i:>05ED WA Ll.. Aiz.EA
t3LocK: ; 14o x , S = ? 1 z.ca
K.N EE ; , X S = . _
Vtf.O,; ?. , k g =
r-U(. l. 1;140 X g? I I Zo
Fu LL Z; i4o
? iza
t ,
?
.. ` 1 s 1./ :?.f.
t
?
R-IM : 14d K I = ??o
To-t?L. = z3g?
¦sQ,Ft. ExaaSE--D GEI LIijq q G6
0 w DwiS u
2 - L43Co IZ.
G -z.g.4o yo
8 -.z444
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i - 24z?} 9
3 -Zy(oo 3a
149,tv
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....... . ,Z..o(.
•",. .'?.? D.IIJln..... .. .. .. . .. . _ ..?Z,
6. I:r.tcriur_alr film •• q.17
(J s .O°I
1. lucrrl?,r air !Ilm q.r,u
.
z. yi'•5yP-.IoLZ. . . ........... ----
.
?. _4"_.....Lnsul ........ .......___..__...._L°l
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s. 4i?di?-- ......_._._.........co'z.
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11aI'I:: lndlcate lyrac, •fnluu? tIcath and
' pl.icrn.:nt nf in•uil.itlnn. W?1115UL...
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? yr •%? Constructlon' R-Valu
: . .
1. •Intcrior n!r Etlm , 0.61 ? , J • .
.5?7-?-t`f?.-
3• ,
?II
Vu I(!t ?I??f?illill?? A. Extcri.or air filn (sTOtal 0.
?` : ? \? -?-?• . . . 'Z. 4s 80
i??? .. . . . . •, ,. . •? O_ oZ .
. . .? ' ' . ' fMMa
2nted $caC flov ' • l. Intnrlor nic film ' 0.61 .
. uP • . 2•
. , , 3. ?? 4 !l.(SUL 38.35'?
• ?--
• ' • 4. Iixterieiir filr.l (sti .
, . ' „ • • . _.? .? Totat 2 t
. . , , I'SC..05, , . . ' , .. . , r . . ' •. .U -•. OZ.4.
- ? ' • • ' ? ' ~ ' ? CoA.STR.?f.T/ eA?,_• • . • •
? 1. Inslda .,ir film 0.61
. 2. '
. • , 3. . .
, 4. ?
S. Out!:ide air film 0.17
Tota1
r ? ,c.C?'!?'+ E' ' ' ? ' , , • '
'• l. Tnsidc aix Eilm 0:61
1: - ?
? eat tlov up • • , ? 3•vented 3•
•
. . . . 4.
. ' ' • ' " , '? ' ' S. Outsida air Filin 0. 17
• , TIC. 16. . . ' :.. . . : Total, ,
...... ' __ : ?... . • • •,
.
1. Inside air film • • 0.61
? ? • ? •,?l?S1?J.1:1=; =0'4,?j , 3.
?? •?L??.?.'-^:. ?,.. :: .: :. 4'
?;'2?:'?'??i'. ??' '??? ?• 5. outside aic fllin 0.17
? ? ' ? . • . .. Tota1' ...
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1YoCa3 Uso ndditional SheeCS if moro spaco?
?,' •,. '?• peeded for details and ealculaCions.
..? .. ??: .
• NeaC • • . . ,
.
• ? • ; • • ilou up ? • ? • ' ? , ' : ; ,
• .t • • ?'.. • ,
• ' ' $Z?. !7 ?' . .. ?• . % ?:?:
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A
Weatherottips A.S-N.V.?.Guide Comtrvctan 1
winaoW. ? nw« -
. ?ree
r?u
out, wau
iot. w.n
cegag
Ya-No
I Yes-I?o 19-
`.+4l. F'awl ' Room Length D Width /?}. : Haght
' Windowa and Doors-Crackage and Arca
Ne. Wldth
otDms He16hl
ot?ane No. e[
Ilthb Lie4al t,
oteea<K Arc?
ft.[l.
5.610 leo a s a
Lbca
Coef. &u
Inbltration C9 ? nU .w0" .
waes 0
fap. wall .?O i 7;?*„l O
Net exp. wall
Int. wall Sa .
Total Btu. )Ogg
Required aq. ft. E.D.R. or p. ws. RI.A. I,eader ares
I 0?FI.1 K/, t 13kFS112oom L.engt6 I 4 Width IA Heiaht
Windows and Doon--Cnekege and Arca
Ne. latn
et pane NN?nt
of p?ne No. e
ll?sts L1ea01 tt
et eraak Ari?
p. fL
?. y y a ,
a 3 ?
Coef. Btu
1n614etioo 3 4. i. $.; F,.'
Ciau M-. 5o tais
Exp. wall f /yy
Net exp. wsll 71 a.1
IVZ-ikl fti
m 1
fr 'log
c"fin'S-
.FJuca--
Iota] Bm. p
Required sq. E6 E.D.R. or gq. iati W,A.1,asder arca
1 •1 Gtrunw Romn K.ensdh il Wideh 1 O Heig6t ?j
Windowa en Doon-Cnekese end Ar.. -•
Re. WIdM
ef Oan* Helg
ht
e[ Mn0
Ne. o!
tlglb
LInea1 ft.
ot eraet
Area
I yw a
` Coef. Btu
Infiltration
Glao / , IRD
! s
Exp. well it Ot13 x
Net exp. wall
-1Rtrw.N ,
4Waor-
?otal 13[u.
Required aq. It. E.D.R. or
/, 4-?
1iNS1JLATION
>+' [?bor*dn9tan
_Hm nppuea Fl.I 4 ,v.*_ _ Itoom I t,eoeth is wAh ,f He;aht
wmaom uw uoorr--a.necs ge sna nrea
,
Na wmm
e[ paM eiisl •
O[ yaw H0. Of
Ilt?b Ml 1.
o[ enct AfM
p. R .. ..
59 t,c GS 3?11
CoeE. &u
lnfilention 4L4 S 4 /// V
Gla+• 7, O / 84 0
Fsp. wall /S X 3.1
Net esp. ws11 ?1Y,? 13S i
-I.6w+u R.
. S
04
?9
)
?+?- -
£?oor
Total Btw.
Rcqubed p. h. E.D.R. or sq. inti WA Leader ares
psr Ft.l &Rovea __ Room l t.aigth 144 W'dth i?-l. Heighe ?
' WwaOWf t0O YOOr*-K.MC[G e! !IIO Afti . .
Na WIAts
et yaeg sI?St
ot a Dt
14hL L1eH1 fl.
of craok Ana
p. tL '
pw?e -O 04, tD '
. tu
1n51ttatioa .Z? 9
Glaa' r'! O L '
Fsp. wall 1 •Ir ? 1 ?
Net e:p. wdl
7".w.u Rtsl i _ aa.6 4 i 6 0
C.i1+¦e- ?_ - ?
Fleer
7oWBtn. r...>_ . !eI(
Required p. h. E.D.R. er sq. inw W.A. l.eader arm .
i;;"FI. /npOkR' ` Room I I.eoo6 Z D w?ch i y Height L
" V/indoMn and Doon-Craekese sed Area
' Na
af paae
st p?e? eI
' Il??b -Uw.l n.
ot erack wr..
p. tR .
CoeE &i
Infiltrstion ? ` ?
GI°" B /
EcPN'ell .?otli*JO X?
N« eip. ,..u ; 34, a
?"?=-AIft o ??? ? o ' Sa b '31
Ceiling ' o l .Z`ID S bOU
-F{aoR. '
:t f. 7ota1 &u. S-.r ei
W. ins. W.p. Leader area Required p. k. E.D.R. ot aq. ias. W.A. der arca
? ? 56 7 ? - ?7Q ' 7C??'/`G ??
Weatherslrips
Guide
do'ws I Doon Refenoa Out.'
-No Ya-No 19_
'1•MA.+Nw1lRoom [,ength 7, W
Windowa and Doon-Creek.e. ..d A...
Constmctioo Na
Int. Wall Cediea Ra
NO. WIJth
of Dtne He16h-L
af pans No.a(
Illhu Lln.all0.
0(Cnet Arta
?p. [L
Coef. Beu
Infiltrstion
Glaea
Exp. wall -4 x i8
Nee eap. wall
1at.avell , V ` '?1L
Ceiling _V k / 9L7,
;
?c
I orm acu. 70Q
Required aq. ft. E.D.R. or aq. ine. Q7,A. I.,eader area
?'o'll •I$ob+8 a1h KoomlLength??A-(v Width ) a Height ?
Wmdowa and Daera--Crerti.e. ....1 A...
Ne. WIdU
of Dane HeIgM
ef Dans !!o. et
IIthU Llnod tL
e[ et"k Ar"
p. tl.
a.y 4y R 4,
CoeE. Bm
Infilention aJ•? !L4
Glau U1113 O
Exp. wsll p.(o,; 0 K el6AV
Net exp. wall ,'?4?,5 69
-?+? R?r o•?+ia M
Ceiling
F?
Iotal tltu.
Required sq. ft. E.D.R. or aq. ina. W
7.ii•I gYdQOOM RO0111 ILing1h /
Windowe and Doom--.Craekae. .
ana
Ne. WIAth
et pon* Nelsht
of p?ne No. ot
Ilsht? Lln?al fl,
et cract Are?
p. !t.
ay 6 y ay
Coef. Btu
In6ltratioe 34,? 3q $a
Gl"' A 30 /aoo
Exp. wall 1 . JAt
Net eap. wsll Mie
-Ineewell 14 7 le, /0 1
Ceiling p
?1?1eer
101ai tstu. y0 y$
Required aq. ft. E.D.R. er aq. ias. W.A. Leadcr arca
INSULATION
f Floor Kind Hm
FI.I qa4xeNwA Room I I.eesth !4-6 Width
wmaows ana uoon-A,raccs ge aea wtta
Na WIAIh
ef Dane Nalglt
of 9as* N. et
Ilghb Lleod tL
o[ eraot Aru
p. (b
4 3? o
I
Coef. Btu
Infiltrstion p ;tq •/g0
?an J&4 O ??U
Exp..atl axst
N?esp.w.u " a?a? ?y9s
4.6-..ell R w, 4-f. t? aY.s f. .Z
Ceilins Sr (
fleer
lotal Ntu. 3y ??
Requircd p. ft. E.D.R. or p. ins. W.A. Leader srea
Fl.lUtawl tpNARoom I LenBth pO Width / y Heieht ?
N1YOOlYs lIW 1/OOfi-4,7aC[8 8E 8R0 A?Ea
Na W14tp
ot pse* HeIf t
o[ paM a of
IfgpU Lfepl f1.
of eneY An?
p. fL
l Coel.1 w
In6ltratioe
Glsu
F:p. w.U ao+mo r uI
Net exp. wall aob 14S4
-1W.-,v.IL-
-collin8
Floor 2oYI1 ' ?4D 3 7 O
lotaltltu. - i
Required rq, h. E.D.R. or aq. im. WA. Lender erea
F7. Cin+e.hani- Raom I L.ength ?? Width, f. Height ?
Windom snd Doom-Cnclcaae aod Area
Na waih
et pae. s.i?ee
ot p?e? te. e
IIfAt? trnHl n.
of etacl[ Aru
p. tl.
? ? ? a S iaa .
c«r. s??
I?i??.tiao 6r .?
Glus
S'O
430
EmaW.ll ayf b*a ? K 768
Net exp. wall 7S Sa8'
.1n6+vall -
Floor Y 7a a1 g4
imai eseu. E
Required s% h. E.D.R er sq. ias. W.A. ftader atea
APFLICATION 1=0R PERMIT
SEWER ANQ/OR WATER CONNECTION
OF eC1gaP9
.......
.
? N(YPE: PA7¢mmf OF FEE AT TIME OF
*
; nrPLIcaTTaa ooES " coN- ;
; srim= nePRUOa. oF pEPI-ux. ;
.
; sNsrsrioN oe sEMx a,rn/oa ? .?
:.
? ICiSTALiATIONu WiLL Ndf 2E SCFDOLm
.*? [!Nl'IL PERFIIT fSl4S BM APPROVID. ?
:iat+tf+srfaa?eetxffwfiYaa+??ff.wieJiir?*
( LEASE PRI
1) PROPERTY ADDRFSS: .. . Q ( { ,
T•FY:AT• DESQ2IPTION: . . . . . . . . . . . . . . . . . . . . . .
Lot B oc S ivision or Tax Parcel ID
IF EXISTING STRL'CTL?RE, DATE OF ORIGZNAL BUILDING PERh1iT ISSUANCE:
Nkont Year
PRESENT ZONING/PROPOSID OSE:
Q CONMEE2CIAL/RETAIL/OFFICE I R-1 SINGLE FAMILY
Q INDL?STRIAL ? R-2 DDPLEX (3WO Ljnits)
Q INSTITUTIONAL/GOVERDIIMENT ? R-3 TOWNHOUSE (Three + L'nits) ( Units)
Q R-4 APARTMENT/CONIDOMINIUM ( L'nits )
2) ? NAME:
ADDRESS:
CITY, STATE, ZIP: ?`-? `J? J ?
PHONE:
For City Use
3) ' ? ?: ?• NAME: Pl res T,i-cense:
ADDRESS: Active
` Expired
CITY, STATE, ZIP: Not recordec
PHONE: 4QL(?' )?j-? MASTII2 LICENSE #?????`??. ..Y I
.? .
Sta In?itia?
e • a?•
4)
NAME:
ADDRESS:
CITY, STATE, ZIP:
PHONE:
5) s 1 , o a.?, i • o ?? ??!?
JR'CURNECTION '1C) CITY S
`-1 EWER CONNECTION 'PO CITY WATEEt ? OTfiIIt
6}
?i
****?*****rr*x****?***+*,?*******:?**,?*****????**?***+r****?******?*******,?*,?*****?.*x?*«*r,*,r?***?*,:***>
* THE GOLD COPY OF THE PERNIIT WIIS, BE SENI' DIl2ECTLY TU PUBLIC FARKS 'N FACILITATE N1E'PER PIQC-DP. ;
,*t PI.EASE AIdAW 7WD WORKING DAYS FOR PROCFSSING. SOMEDM FROM TM CITSt WILL CONfALT YOD IF RHERE ;
* ARE ANY PROBI,EEP115. y
?*******«**+* **?*+*,r**x?*****?r**x*+*??* *r? *?* ***?* *+***********?+.**«****,r,r*x* ***,r*,e***** *,r****,r**,r?;
FOR CITY USE ONLY
PERMIT # ISSOED ,
C
Pd w/Bldg, Permit FEES:
$ SEWER PERMIT (INCLUDE SDRCHARGE)
$ $ '
WATER PERMIT (INCLDDE SL
RCHARGE)
$ $ WATER METER/COPPERHORN/OL'TSIDE READER
$ $ WATER TAP (INCLLDE CORPORATION STOP)
$ S SEWER TAP
$ $ f5 ' O L? ACCOUNT DEPOSIT - SEWER
$ S /,?jCID ACCOUNT DEPOSIT - WATER
$ ?S C • CT a $ WAC .
$ (GS?G'rQO $ SAC
$ $ TRUNK WATER ASSESSMENT
$ $ TRONK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRDNK SEWER
$ $ LATERAL BENEFIT/TRLNK WATER
$ $
WATER TREATMENT PLANT SLRCHARGE
$ $ OTHER•
$ I,?
TOTAL •
?s
RECEIPT RECEIPT
DOES [ITILITY CONNECTION REQDIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
Q YES IF YES, THEN A"PERMIT FOR WORK 6VITHIN PL?BLIC
Q ROADWAY" MUST SE ISSLED BY THE ENGINEERING ,
NO DIVISION. LIST AS A CO[VDITION.
SLBJECT TO THE FOLLOWING CONDITIONS: I
APPROVED BY:
TITLE:
DATE :
L S .?
city of eagan '3M cl (A' 6 d? l/a---,f
ngineering division Customer Request Form
Date: `F" 1 2 z- 19 -7- Time: q ? 7-0 ? Taken By:
Received Via: Phone ? Letter Other
Name: 1`?e bb , e_ iZ. o s s Phone (Day): (o 43 8-a 3 3
Address: -702- ? ? ? k P--ur'\ i) 0.A?'\ Phone (Eve):
City: Eac??, State: 1-lj?J Zip: S S I Z 3
R8: (? ; I I ?c.? n Pa--? 5??'e ?+ S (G n
Items Discussed: G" i i I ac'. d Z 4e ce.v 5
C{G o o,-. -f-k ? s sl-?--te--t c-hj P-)a t
f--Ivl 8 sfYttf . Vcvson Cdrec(. 91I Co-tl wc-s ?3 f4c-ecj a
?ain
0. tn d-f-heS? Co u l ij n o+ (, ,qd 6-6-ce+. ?ua lna d +v be ?Hc? c
dU,Un b rl 2i k boy. MV-s. (L,osS co ouI cO I?IGe s1 n mo,)ec?
X s o -I-?a?- r?`.- t s e.a5 szcri _
r
mp`m
Priority: A. Immediate B. Within a Week C. Other (Specify) " I)JpT
Commerrts/Action Taken: Gjv c r4v (Lvn?_ F4-v.v+
cc: Gvh-k-e. E.?L.o./1" By:
Date:
LTSk4 CUSTSERV.FRM cb
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
P.I.N.: 10-14996-050-14
PERMIT TYPE:
Permit Number:
Date Issued:
782 MILL RUN PATH
LtlT: 5 BLOCK: 14
BRIDLE RIDGE
DESCRIPTION: 3/4 gATH ONLY
Bu,i?l?dgn,9 PermiC Type BASEMENT FINISH
6uiiding°Work Type NEW
„iCeYt?s us Cqd434 ALT. RE5IDENTIAL
?.,
n:' yI
..''i. s
..? _ -
PERMIT
£
f[ t 4f9?ri?£5? t"}???? l??rr,?Y{lC.y-3t? S? ..
?
BUILDING
032049
05f20/98
REM4"§: REVIEWED BY MIKE BARCK.
FEE SUMMARY:
Base Fee $50.00 COPY
Surcharge $.50 7ota1 Fee
Subtotal $50.50
$50.75
/
- MPPI.Qdr,U - Z? I . ? ILI
599MST9€iu n?/NFR:
TRACTING. GARY 17512955 0009122 Ti0"F? KARY
29,190 SUNSET TR 782 MILL RUN PATH
CANNON FALLS MN 55009 EAGAN MN
(612) 751-2955 (612)686-7170
.
? .
I hereby acknowledge that :T .havtw'reaci'this
infiormation is correct and,agree to comply
StatuCes and Cizyto# Eagan,GOrdihs,ance?=,. '
P ICANT/P TEE SIGNATURE applicaon and stete t'Ha'C the
?-- - ...
with all appl3cable 5tate of Mn.
?
ISSUED BY: IGNATU
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1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EEIGAN
v U / 3830 PII.OT KNOB RD - 55122 r
? 681-4675
New Conshuetion Reauirements RemodeVReoair Reauirements
? 9 registared ade surveys
• 2 copies of plans (inGUde beam 8 window sizes; pouretl fid. design; etc.)
? 1 energy calalations
? 3 copies of tree preservation plan if lot platted efter 711193
requirod: _ Yes No
DATE: 5' Z J?- I q O
? 2 capies ef plan
? 2 sRe surveys (exterior adAkions & decks)
? 7 energy calculations for heated additions
yKe,S(a*
10)
?
CONSTRUCTION CaST;
DESCRIPTION OF WORK: 1'?'. ?.\ ', s 1-? ??/ ? -'C1? .) ? ? c?r ) v?.?
STREETADDRESS: _ 7K
OT: BLOCK: SUBD./P.I.D.
Name: ?r- ?l?' Phone #:
PRQPER7Y Last First
OWNER `
S4eetAddress: "-7 1? Z '?11
t
City -`r e--- ?.. State: r- ? Zip:
Company: Phone #:
CONTRACTOR
Street Address: (3?_ 9 1 4 v S _T -6-
City C 1?S State: 'a'? ?
ARCHITECT/
ENGINEER Company: Phone #:
Registration #:
Street
City
Sewer & water licensed plumber (new construcdon only):
and lot change is requested once permit is issued.
Zip:
Zip:
Penalty applies when address chang
I hereby acknowledge that I have read this application and state that the infortnation is correct and agree to compiy with all applicabl
5tate of Minnesota Statutes and City of Eagan Ordinances. \ n
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received - Yes
_ No
State:
O5 1 IOIq
Tree Preservation Plan Received - Yes - No - Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex
? 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
O 31 New
? 32 Addition
F,?%S4
10 33 Aiterations
? 34 Repair
GENERAL INFORMATION
? 11 Apt./Lodging b? 16 Basement Finish
? 12 Multi Repair/Rem. ? 17 Swim Pool
? 13 Garage/Accessory ? 20 Public Facility
? 14 Fireplace ? 21 Miscellaneous
? 15 Deck
L?- ??s'rrr2ao..?
? 36 Move
? 37 Demolition
Const. (Actual) Basement sq. ft.
(Allowable) Main level sq, ft.
UBC Occupancy sq. ft.
Zoning sq. ft.
# of Stories sq. ft.
Length sq.ft.
Depth Footprint sq. ft.
APPROVALS
Planning
Building mo Engineering
MC/WS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bldg
Census Unit
Variance
?
v?
r
0
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
SNV Permit
S!W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
o/?°?`C£ t? fe
SAC Units
Valuation: $
r?
/L S BL /?-/
SUBDI?.tJ?1??
CITY USE ONLY RECEIPT#: 7
9/? n a--?
RECEIPT DATE: 511 9
1998 PLiJABIN6 PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT IINOB RD
EAGAN, L+N 55122
(612) 681-4675
Please complete for. ? single family dwellings
? townhomes and condos when permits are required for each unit
D backflow preventer for underground sprinkler system
FIXT RES
Shower
Water Closet
Bath 7ub
Lavatory
Kitchen Sink
Laundry Tray
HotTublSpa
Water Heater
Floor Drain
Gas Plping OUtIBt ' minimum -1
Rough Openings
Water Softener "for dwellings under construction
Water Softener ' for existing dwelling
U.G. Sprinkler ' for dwelling under wnst.
U.G. Sprinkler ' for existing dwelling
Alterations " to existing residence ?
Water Tum Around
Private Disposal System ' MPC iic.
(new end refurbished systems)
Private Disposal Systems ` Ahandonment
EACH
3.00
3.00
3.00
3.00
3.00
3.00
3.00
3.00
3.00
3.00
1.50
5.00
20.00
3.00
20.00
20.00
20.00
75.00
x
x
x
x
x
x
x
x
x
x
x
x
x
# TOTAL
20.00 =
STATE SURCHARGE
TOTAL
?
.50
aO.SD
- - ------ ...---•--••------------------ ------ ------------
her -
I eby acknowledge that 1 have read this application, state that the inforrnstionis cortect, end agree to compy with all applicable City of Eagan ordinances.
If is Me applicanPs responsibility to notiTy the property owner that the City of Eagan asaumes no liability for any damages caused by the City during its
nortnal operetlonal and maintenanca activities to the facilkies constructed under this pertnit wRhin City propertylright-of-way/easement.
SITE ADDRESS:
OWNER NAME:
INSTALLER NAME:
TELEPHONE #: 5?.23-?'30
STREET ADDRESS: /6-12.3o
CITY' STATE: ZIP:
SIGNATURE OF PERMITTEE
1?3-d6ff
JS/FORMS BLDG/PLBG PERMIT (RESIDENTIAL) 1998
Scl RESIDENTIAL BUTLDLnIG
Permit Application
City Of Eagan
3830 PiIot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
I 3 -1- 7 S-
New Constmction ReauiremenLS RemodeVFieoair Reauirements Oifice Use Onlv
3 registered sile surveys showing sq. ft of bt sq. fl of house; and all mofed areas 2 copies of plan - Ged of Survey Recd
(20% maximum bt coverage allowed) 1 set of Energy Calculafians for heated additians _ Tree Pms Plan Recd
2 copies ot plan showing heam & window sizes; poured found desgn, etc. 1 site survey for additions & decks - _ Tree Pres Nat Reqd
1 set of Energy Cakulatlons Adddion - indicate if wi-sife sepfic sysfem _ On-site Septic System
3 copies ot Tree Preservatlon Plan N bt plat[ed after 711193
Rim Jaist Detail Oplbns selection sheet (61dgs wiN 3 or less units
Date _5 / Construction Cost,,,., z 33'?
Site Address UniUSte #
DeseriptionofWork 6,A ?([rt SE'SI lLYEI/ l.tfi Ne4n LIf S
Muitt-Family Bldg _ Y? iv Fireplace(s) _ 0 _ 1 _ 2
Property Owner Telephone #(6S0 63',?, 7/ 7 D
IL V
-j
A/
Contractor G-,,L)yjy???
j
Address City
S[ate V'\ Zip Telephone # Vj7) AL? ?j ^36l51)
COMPLETE THIS AREA CNLY IF CONSTRUCTING A NEW BUILDING
Energy Code Category
(J submission type)
Licensed Plumber
- Minnesota Rules 7670 Cateeorv 1
• Residential Ven6lation Categwy 7 Worksheet
Submitted
• Energy Envelope Calculations Subm/itted
Mechanical Contractor
Sewer/Water Contractor
0
Minnesota Rules 7672
• New Energy Code Worksheet
Submitted
Telephone #(
;elephone #(
4elephone #(
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
57'e_ 1/r. ?rlSo Yt
ApplicanYs Printed Name
ApplicanYs Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool
? 02 SF Dwelling ? 08 067plex , ? 16 Fireplace ? 21 Porch (3-sea.)
? 03 01 of _ plex ? 09 07-plex- ? 17 Garege ? 22 Poroh/Addn. (4-sea J.
? 04. 02-plex .. , O 10. 08-plex' ? 18 Deck ? 23 Porch (screen/gazebo)
? OS 03-plex p 11 10-plex ? 19 Lower Level ? 24 Stomi Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
Work Types
? 30 Accessory Bldg
? 31 Ext: Alt - Multi
?"- 33 EM: Alt - SF
0?. . 36 MWti Misc.
O 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move 81dg. Q 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 WindowslDOOrs
? 34 ReplaCement 'Demolition (Entfre Bldg) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaVC.O.
_ Footings (deck) _ FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundarion HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Teats _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test Final Windows (new/replacement)
_ Insulation _
_
_ Retaining Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
'S-9 ( '9a? MECHANICAL (RESIDENTIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
Please comple[e for. Singte Family Dwellings
Townhomes and Condos when permits aze required for each unit
f ?p . n
Date 4 / 4 1 0?
Site Address 170 2 U
i
n
t #
Property Owner Telephone # ( IOS ? ) IOepI1J -
Contractor
Street Address City
State Zip ? Telephone#
The Applicant is _ Owner ? Contractor _ Other
Add-on, modification or altera Hon to existing dwelling unit $ 30.00
furnace replacement
?
i
h
a
r exc
anger
air conditioner rI I ; ?
other
I
I
?y ?
State 5urcharge - '- $ .50
Total $ 3cQ. 5[}
I hereby apply for a Residential Mechanical Permit and acknowledge that the inFormation is wmplete and accurate; that the work will
be in conformance with the ordinances and codes of tLe City of Eagan and with the Me cal Codes; that I rstand tlris is not a
permit, 6ut only an application for a permit, and work is not to start without a pe 'that the work will b m ac ance with the
approved pl_an in the case of work whicfi requires a review and approval of plans. f?71
ApplicanPs Pr' ted Name icant's Si e
MECHANICAL (COMMERCIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
Please complete for: commerciaVindustrial6uildings
multi-£amily buldings when sepaza[e permits aze not required for each dwelling unit
Date
Site Address Uni[ #
Tenant Name (if appticable) Previous Tenant Name
Property Owner Te?ephone # ( )
Contractor
Street Address City
State Zip Telephone # ( )
The Applicant is _ Owner _ Conffacmr _ Other
Work Type
Newconstruction UndergroundTank _Install _Remove
Interior Improvement Call for inspection during installationJremoval of tank
Processed Piping
Nature of Work:
P¢I'mif, F¢¢ $50.50 Mtnimum Fee (includes Sta[e Surcharge)
ConoractValue $ x 1% PermitFee
• If pemut fee is $1,000 or less, add $.50 ? $ State Surcharge
If permit fee is over $1,000, add $.50 per
$1,000 Permit Fee
$ Total Fee
I hereby apply for a Commercial Mechanical Permit and aclmowledge that the informarion is complete and accurate; that the work
will be in conformance with the oidinances and codes of the City of Eagan and with the Mechanical Codes; that I mmdeistand tlus is
not a pemrit, but only an applica6on for a permit, and work is not to start without a permit; that the work will be in accordance wi[h
the approved plan in the case of work wMch requires a review and approval of plans.
Applicant's Pnnted Name Applicant's Signahue
Approved By: Inspector Date:
2004 RESIDENTIAL BUILDING PERMIIT APPLICATION
City Of Eagan
(o 3830 Pilot I{uob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construdion Reauiremenfs RemodeVReoair Reauirements k?f'w?#'-`?1ise
3 registered site surveys showing sq. R of l04 sq. iL of house; and all roofed areas 2 copies of plan ????r. ?`,?.
(20% maximum bt coverage allowed) t set of Eneigy Calculaiions for heated addiGons
2 copies of plan shaxing beam & window sizes; poured found design, etc. 7 site survey for additions & decks
i set of Energy Calculations Additlon - indkate ifonsrte sepfic system „M
3 copies of Tree Pieservation Plan'rf lot plat[etl after 711193
Rim Jo'st Detail Options selectiai shcet (bldgs with 3 or less uniis
Date I C' Constructian Cost
Site Address Z$?.2 1'" li l(? i Yl ?a?? UniUSte #
Description of Work 7- IrLi! l/1 d lI( 5 EU4 [v ! I/l)6 U f S'
Multi-Family Bldg _ YX N Fireplace(s) _ D _ 1 _ 2
Property Owner 131^GLGe 6O t"d- Telephone #( 6,i I) 7/7jO
Contractor 4AMQ61--?
X r
? lAbuye,1,4
Address ?j
/
[ City t Ct+J SP Jill[ e
State Zip g57tf 3 Telephone #(i??I)legi- 36 cF0
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category t Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
. Energy Envelope Calalatlons Submitted
Have you previously constructed a building in Eagan with a similar plan?
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Y_ N If so, 25% plan review
Telephone # (
Telephone 10
Telephone
I hereby apply for a Residential Building Permit and aclaiowledge that the info - accurate;
that the wo"rk will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I_understand .this is not a permit, but. only an application for a permit, and-work is not-to. start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
5-1-e,UP
Applicant's Printed Name Applicant's Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ?' 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) O. 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ?' 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Pibg_v or _ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 WindowslDOOrs
? 34 ReplaCement 'Demolition (Entire Bldg) - Give PCA handout to applicant
Valuation Occupancy MCES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Foorings (new bldg) _ FinaUC.O.
_ Foorings (deck) _ FinallNo C.O.
_ Footings (addirion) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water Final _ Pool _ Ftgs _ Air/Gas T ests Final
_
_ Framing _ Siding _ Stucco _ Stone _ Brick,
_ Fireplace _ R.I. _ Air Test _ Final _ Windows
_ Insulation _ Retaining Wall
Approved By:
Base Fee
Surcharge
Plan Review
MC/E5 SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant .
License Search
Copies
Other ,
Total
Building Inspector
?? `'r -?)-o 7:)
2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: single family dwell? gs & townhomeslcondos when pemrits aze required £or each unit
S 30 -s6
q / R
Date
/
Sit
Add
I
k
Ta U
i
#
ress
e
- ?
!?l n
t
Property Owner rL,Q, U r'Jn }'-r Telephone #(? I )!? - 1? [ D
Contractor
Street Address r City /J?
State ?? Zip Telephone #
Bond ik: Expires:
/
The Applicant is _ Owner Contractor _ Other
Add-on or alteratiou to eaisting dwelling unit
v $ 30.00
furnace _Additional ?/ Replacement
air exchanger
/
i
diti
N R
l
a
rcon
oner _
ew _ acement
ep
other
State Surcharge $ .50
Total $30. O
MAY U ti ?004
uu
I hereby apply for a Residenrial Mechanical Permit and acknowledge that thV-4rFom-
be in conformance with the ordinances and codes of the City of Eagan and with the
permit, bat only an application for a pernnt, and work is aot to start without a per
approved lan in the case of work wluch xequires a review and approval of plans. ?
Applicant's Pn ed Name icar
?
;ompieYZ-,d$ accurate• at the ork will
ical Codes; that I ers n ? is is not a
the woik will b?ac ce with the
2004 COMMERCIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: commerciaUindustrial buildings
multi-family buildings when scparate permits are not required for each dwelling unit
Date
Site Street Address Unit #
Tenant Name (if applicable) Previous Tenant Name
Property Owner Telephune # ( )
Contractor
Street Address City
State Zip Telep6one # ( )
Bond #• Expires:
T6e Applicant is _ Owner _ Contractor _ Other
Work Type
New Construction _ Underground Tank _ Install _ Remove **see 6elow
Interior Improvement _ Install Piping _ Processed _Gas
Nature of Work:
'*When insta!ling/removing underground tank, call for inspection by Fire Marshal and Pfumbing Inspector
Permit Fees: $70.50 Underground tank installacion/removal . . .
$50.50 Minimum (includes State Surcharge)
or
ConhactValue $ x 1°!0 = $ PermitFee
• If ner[nit fee is $1,000 or less, add $.50 => $ State Swcharge
If uermit fee is over $1,000, add $.50 for
every $1,000 permit fee $ Total Fee
I hereby apply for a Cotmnercial Mechanical Pemut and aclmowledge [hat 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, hut 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 woLk which requires a review and appcoval of plans.
Applicant's Printed Name
Signahtre
Approved By: , Inspector
??7 l 2006 RIESIDENTIAL BUILDING PERMIT APPLICATION ?
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construcfion ReouiremenGs
3 registered site surveys showing sq. fl. N lot, sq. fl. M house; and all roofed areas
(20%masimum bt cwerage allowed)
2 copies of plan shmving beam 8 wintlow sizes; pouretl fand daslgn, etc.
7 set of Energy Calwiauons
3 copies M Tree Preserva6on Plan H lot plaQed after 711193
Rim Joist DeWil Opbons selection sheet (buildings wilh 3 or less units)
Minnegasw mechanical ventilation fonn
RemodeVReoair Reuuiremenis
2 copies of plan showing fooungs, beams, joists
t set of Energy Calmlations fa heated addi6ons
1 site survey for addilions 8 decks
AtldNOn - irMicafe if on-site septic system
I
OHIceSlseOnlv
('xrtofSurveyRecd _Y _N
ftdgPraP7anReod V _M
? Pf? I??r4d, ? ?
QmsdeSapGe`3ystem V _N
Date 12? / l 4^ / 0 V l T
SiteAddress 752- '1?kj I?v,v,
fG[T? ConstruMion Cost 19 ?00, "-
Unit/Ste#
, Etr cw, pl r.l S S I 2'3
Description of Work I Q 19
`\ ?
S?0'A?? ???-t?•t S4?S?-..L? ??-` i'?.0? 5?--
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 2
Property Owner ?v?h P4P 'C- Telephone #?S( ) E? O ?` ??? ? ?
w
Contractor T tlv '? ?? 1 0 1?JCr' S s}t?•?tS
Address I I Sl ^ ?0-1?%
State t`'1 KI 1 ?
l'??,
City
Zip 1?'S Li 1 K Telephone # 4vj ) to% - V1- ?
4?ti z? 3-?f v i
-T- `L C f 0(1-I 0`7
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv t _ Minnesota Rules 7672
Energy Code Category , Residential Venfilation Category 1 Worksheet • New Energy Cotle Worksheet
(J submission type) Su6mitted Su6mitted
. Energy Envelope Calculations Su6mitled
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber Gi 7 rIq ? Telephone #(
Mechanical Contractor f1Ff 1 3 290c Telephone #(
Sewer/Water Contractor Telephone # (
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
C--) VV1, c Q- l ,-(AV-?"C L 4- te
ApplicanYs Printed Name ApplicanYs Signature
• DO NOT WRITE BELOW THIS LIO
Sub Tvoes
? 01 Foundation
?
07
05-plex
? 13 16-plex ? z0 Pool
02 SF Dwelling ? 08 06-plex ? 16 Fireplace [3 21 Porch (3-sea.)
?
plex
? 03 Ot of ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.)
_
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo)
? 05 03-plex ? 11 10-plex ? 19 Lower Levei ? 24 Storm Damage
? 06 04-plex ? 12 1-plex
? ?
/J/?NF?LS ? 25 Miscellaneous
D
? nDJF
oL */L r
Work Tvaes ? 35 Int Improvement ? 38 Demolish Interior ? 44
? 31 New ? 36 Move Building ? 42 Demolish Foundation ? 45
? 32 Addition
X 33 Alteretion ? 37 Demolish Building' ?
? 46
43 Reroof
? 34 Replacement 'DemolWon (Entire Bldg) - Gi ve PCA handout to applleant
D@SCI'IptiOfl: Water Damage _ Yes
Valuation l 000
r
- Occupancy MCES System
r
ie % t?O?k
- -
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)
Footings (deck)
Footings (addition)
Foundation
Drain Tile
Roof _ Ice & Wa[er _ Final
Framing
_ Fireplace _ R.I. _ Air Test _ Final
Insulation
Approved By:
REQUIliED INSPECTIONS
? 30 Accessory Bldg
? 31 EM. Alt - Multi
O 33 Ext. Alt - SF
? 36 Multi Misc.
Siding
Fire Repair
Windows/Doors
_ Shee[rock
Final/C.O.
X FinaUNo C.O.
HVAC
Other
Pool Ftgs Air/Gas Tests Final
Siding _ Stucco Lath _ Stone Lath _Btick
Windows
Retaining Wall
Building Inspector
Base Fee
Surcharge
Plan Review WO eLVC'j
MC/ES SAC
City SAC
Utility Connedion Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other Total
1 v/f c9 C9 -\.7
? zoos RESIDENTIAL PLUMBING PERnnir aPPUCaTioN '
? CITY OF EAGAN •
3830 PILOT KNOB ROAD, EAGAN MN 55122 ???„ ?
651-675-5675
Please complete for modifications to existing residential dwellings.
Date ! p(e
Site Street Address __ 782 mi 1/ A.» paVh Unit #
I
Property Owner BruAP Telephone # (661 ) 6Ab- 1I,10
i
Contractor i.Ir, Wa_ Telephone# ((,57) 4a3-35C30
Address O City lcabempu_n'? Stafe /Vh/ Zip 55068
The Applicant is: _ Owner ?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 fixtures. This fee includes installation of a water softener and/or water
heater at the same time. !f you are installing oniv a water softener and/or water
heater, do not complete this section; move to the next section and check the
appliance(s) you are installing.
_Septic System Abandonment
_Water Turnaround (add $130.00 if a 518" 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 .: $ 50-5'o
i nereby appiy tor a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the
work will be in conformance with the ordinances and codes of the City of Eagan and the 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 required to be review d and approved.
Elavne M. l.ulcoWicz.
ApplicanYs Printed Name Applic Ps Signatu
14
2006 RESIDENTIAL BUILDING rExMiT arrLrcaTioN
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone 4 651-675-5675 FAX 9 651-675-5694
New Construction Reauirements
3 regisfe2d sile surveys showing sq. ft. of lot, sq. fl. of house; and all roofed areas
(20% mazimum lot coverage allowed)
2 copies of plan showing beam & window sizes; poured found design, etc.
1 set of Energy Calculations
3 copies of Tree Preservation Plan'rf iot platted after 711193
Rim Joist Defail Options selection sheet (buildingswiih 3 or less units)
Minnegasco mechanical ventilation form
-$I, ;)_07.69
Ca,U2,1 3/3. dW
RemodeilReoair Reoui2ments Office Use Onlv
2 copies of plan showing footings, beams, joists ? Certof Survey Recd _Y _ N
1 setof Enegy Calculations for heated additions Tree Pres Plan Recd _Y _ N,
lsitesurveyforadddions&decks v TreePresRequi2d _Y _N
Addition - indicate i(orr-stte septic sysfem . On-site Septic System _ Y_ N
Date?/
Site Address ConstructionCost 1c2 L1Od
Z 3 UniUSte #
Description of Work /c.e?0?4 ?-??^??f .??s ? l`?u?t'??aB? ? ??? ?k?- ?'?-'
Multi-Family Bldg _ Y? N Fireplace(s) _ 0?1 _ 2
Property Owner O u cJe ko, v C'-'' 77 Telephone #?/
Contractor D'?SCp DE,S'16-h}
Address 2--73 G1-?
State M rO Zip City ?nS?Mok.?T
Telephone #((a5/ )-/Z3-?T45' /
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category t Worksheet • New Energy Code Warksheet
(Jsubmissiontype) Submitted Submitled .
• Energy Envelope Calculations Submitted
in the last 12 months, has fhe City of Eagan issued a permit for o similar plan based on a master plan?
_ Y _ N If yes, date and address of master pian:
Licensed Piumber
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;
p
that the work wi11 be in conformance with the ordinances and codes of the City of Eagan and the S?ta
Statutes; I understand this is not a permit, but only an application for a permit, and w??U??e?t a
permit; that the work will be in accordance with the approved pian in the case of work ?i d
approval ofplans.
C.j r: ri ,,,.
Applicant's Printed Name ApplicanYs S' ature
DO NOT WRITE BELOW THIS LINE
Sub Tvpes
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex )d 17 Garage J4 22 PorchlAddn. (4-sea.) ? 33 EM. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 MuRi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
Work Tvues
? 31 New ? 35 Int Improvement ? 38 Demolish lnterior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 WindowslDoors
? 34 ROplacement 'Demolition (Entire Bldg) - Give PCA handout to applicant
D@SGflpflOtl: WaterDamage_Yes
Vatuation S7? ?g•? Occupancy it? MCES System
Plan Review 106°fo or 2 5°l0
Census Code q3q Zoning City Water
SAC Units Stories ? Booster Pump
# of Units Sq. Ft. zc) -7 PRV
# of Bidgs Length Fire Sprinklered
Type of Const /5 Width `
. REQUI RED INSPECTIONS
_ Footings(new bldg) _ Sheetrock
Footings(deck) _ FinaUC.O.
Footings (addition) FinaVNo C.O.
?
Foundation HVAC
Drain Tile Other
Roof -,A Ice & Water Final Pool Ftgs Air/Gas Tests Final
`' Framing _ Siding _ Stucco Lath _ Stone Lath _Brick
Fireplace R.I. AirTest Final Windows
? Insulation Retaining Wall
Approved By: ilding Inspector
--------------------------°--- --------?-------------------------------------------------------------------------------------
Base Fee c r+ U
Surcharge
Plan Review e'DJ'e,2e'i7_> polZe N (rj1q X pj 'x
MC/ESSAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
?43
REScheck Compliance Cerdficate
2000 Minnesota Energy Cade
RESckeckSvHware Vmion 3.5 Release l
Data filename: C:\Progrem FileslChu:klAESchackrGoff rek
I7TL6: Mud roan
COUNTY: LMkoca
STATE: Minnesota
ZONE: 2
CONSTItUCT10N TYPB: Siagic Pemily
llATE: U3ID3/06
ITATE OF Pi.A23S: 42I27/06
PROlECT INFURMAT[ON:
CwtCresidence
COMPANY iNFORMATiON:
Dosco Design Duild Ink.
COMPLIANCE: Passcs
Maximum UA = 314
Your I3ame iiA = 291
73% HGter Than Codc (UA)
Pamit Numba*
Cbccked sylDau
Gross Glaamg
Area or Cavity Cont. or poaa'
Perimcta R-Value R-Value L7-Fact0r UA
Cciling ]: F7at Ceiling or Scissa Truxr 1020 38.0
Wa11 1: Wood Frmnc, l6" o.c. 2500 19.0
Window 1: Above-frade:Wood Frame:DouWe Pane with Low-E 161
ppor 1: Glasa 40
Docx2: Solid 38
Crawl I: Masanry Blodc wich Empty Cells 168 0.0
Wall height: 4.0'
Depth belmv gcade: 3.0'
Inwlatiou deptit: 0.0'
FurnscC 1: ForCed Ha[ Air, 78 AFIIE
propuetA 2nd Maxlmom V-Factor Averages
Above-Grsde Windows and Glass Doors
1ncludesFoundation Windrnvs> 5.6 ft2
ptopos°d
Average U-Pedor
0310
0.0 31
0.9 133
0.310 50
03 f 0 12
0.280 11
10.0 54
Maacmluut+
Allowed L3-Factor
0370
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3ent By: DOSCO DESIGN BUILD;
6514236120; Mar-3-06 11:46AM; Page 3/3
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? DENOTES PROPOSED SURFACE DRAINAGE t. '_?.?.??! x::,.:L•
O DENOTES IRON MONUMENT SET SCALE: 1 INCH - 30 FEET
O DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR -$9/. S FEET
X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWES7 FLOOR -$$y. / FEET
(000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK- S'yz, Z FEET
W[ HEREBY CERTIFY TO SIENNA CORPORATION THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Lot 5, Block 14, BRIOLE RIOGc I ST ADOI710N, according to the recorded
plat thereof, Dakota County, `Minnesola.
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS
SURVEYED aY ME OR UNDER MY DIRECT SUPERVISION THIS Zr ST DAY OF JlaNu raay , 1988.
nrrnavEn rnn siEriNn SIGNED; LJAMES.RI, INC. ?
canrnnnTlnN v
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HAR LD C. PETERSON, LAN6 SURVEYOR
f1AT[fl, MINNESOTA LICENSE NUMBER 12294
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PLANNERS / ENGINEERS / 5URVEYORS
9401 JAM[S AVE. S. • BLOOMINGTON, MN. 55431 • 612-664-3028
.17l 9?i
2007 RESIDENTlAL PLUMBING PEtznniT apPUCaTioN
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please camplete for modifications to existing residential dwellings.
Date 4' ! a _ 1 U l
Site Street Address n} )n Unit #
Property Owner 8 t- V. c e C-3 o -? ? Telephone #( ?r i) ? 4s G,
ContractorNess;ct,? b;ng, Serv ic.es Xr7 c Telephone# (lo-f,) (o Ni ' gZ s.4
Address I" , 0. City SWte+')l,? Zip - l a
The Appiicant is: _ Owner Af`Zontracfor _Other
Septic System _ New _ Refur6ished Submit 2 sefs of plans and MPC iicense Includes County fee
$ 100.00
Per as-built $ 10.00
Fire Repair (replace burned out fixtures, etc.) $ 90.00 -
Atterations to existing dwelling $ 50.00
_ Add plumbing fixtures. This fee includes installation of a water softener and/or water
heater at the same time. !f you are insfalling onlv a water softener and/or water
heater, do not complete this section; move to the next section and check the
appliance(s) you are installing.
[EoM
_Septic System Abandonment
_ Water Turnaround (add $136.00 if a 518" meter is required) AP H 03 2007 `f
Other.
_ Water Softener ? Water Heater 15.00
_ new ? replacement
Lawn lrrigation _RPZ _PVB _new _repair _rebuild $ 30.00
?
State Suroharge $ .50
Totai $ / $• S G
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the
work will be in conformance with the ordinances and codes of ihe City of Eagan and the plumbing codes; that I
understand this is not a permit, but only an applicafion for a permit, work is not to start wifhout a permit and work will be in
accordance with the approved plan in the event a plan is required be revi wed a d prov d.
%v
ApplicanYs Printed Name ?ApplicanPs Signature
i For.Office?„lis9 -- - I
? Permit #:
i
I PermitFee: c . 1 Jcjj?, ? Date Received: Q_ ?
j Staff:
I
2009 RESIDENTIAL BUILDING PERMtT APPLICATtON
Date: 'i- t "(-) I Site Address: -7 ? a kI ll Ew polTVI --
Tenant:
Suite #:
RESIDENT ! OWNER Name: &A( C 6oir Phone: I 95 I - (Dk?P
Address / City / Zip: qQ ? m I ? I V?Z,L ?) pa+j'`--
Contractor
Applicant is: _ Owner \
TYPE OF WORK Description of work:
-r
Construction Cost: I( Ol"? Multi-Famity Building: (Yes Nox__i
CONTRACTOR Name: ?/AVY?i?t'Y?' V_)'Q }r S License#: dOSS.s (pSto
Address: L-1 cjlD )eYy-a ? (' ho ye_
City: po?t'-(J 1 f I f State: JA t\7 zip: 5S1 /3
Phone: Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateqorv 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 pertnit 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 andsupporting, docurrients thai you.submit are considered to be publtc information.'; Porfions of ;
the mformahon may be classrfied as non-public if you pro`vide specific reasons that would permit the Crty to; .;.
con'c7ude tfiat'?the ' are 2rade secrefs - ^?
I here6y 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 1 understand this is not a permit, but only an application tor a permR, and work is not to start without a permit; that the wbrk will be in
accordance wdh the approved plan in the case of work which requires a review and approval of plans. . .
??'x-, V"`„/-'UV ?/7 ' '"?
x
A icanYs Printed Name ApplicanYs Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type: Building
3830 Pilot Knob Rd Permit Number: EA075711
Eagan, MN 55122 . Date Issued: 10/30/2006
(651) 675-5675~~~ EPermit Category: ePermit
www.ci.eagan.mn.us lflflUl tflflLLL
Site Address: 782 Mill Run Path
Lot: 5 Block: 14 Addition: Bridle Ridge 1st
PID 10-14996-050-14
Use
Description:
Sub Type: e-Fireplace Construction Type:
Work Type: Masonry Fireplace (new)
Description:
Census Code: 434- Occupancy:
Zoning:
Square Feet: 0
Comments: Chimney/flue must be inspected prior to concealing. Smoke detectors are requ ired 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.betty freier 240 n.
broadway po box 1 29 e ellsworth, wi 54010 715-273-3658 freiers@freiers.com
Fee Summary: Surcharge - Based on Valuation $2K $1.00 9001.2195
BL - Base Fee $2K $69.00 0801.4085
Valuation: 2,000.00
Total: $70.00
Contractor: -Applicant - Owner:
Freiers Fireplace Source Bruce E Goff
1600 Maxwell Dr. 782 Mill Run Path
Hudson WI 54016 Eagan MN 55123
(715) 273-3658
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
3830 Pilot Knob Rd Permit Number: EA077075
Eagan, MN 55122 . Date Issued: 03/27/2007
(651) 675-5675~~~ EPermit Category: ePermit
www.ci.eagan.mn.us lflflUl tflflLLL
Site Address: 782 Mill Run Path
Lot: 5 Block: 14 Addition: Bridle Ridge 1st
PID 10-14996-050-14
Use
Description:
Sub Type: e - Air Conditioner
Work Type: Replacement
Description: Air Conditioner
Comments: Questions regarding electrical permit requirements should be directed to Mar k Anderson, State Electrical Inspector,
952-445-2840. Cindy Lilienthal 21210 Eaton Ave Farmington, mn 55024 651-344-4253 clilienthal@controlleda ir.net
Fee Summary: Surcharge-Fixed $0.50 9001.2195
ME - Permit Fee (Replacements) $50.00 0801.4088
Total: $50.50
Contractor: -Applicant - Owner:
Controlled Air Bruce E Goff
21210 Eaton Ave 782 Mill Run Path
Farmington MN 55024 Eagan MN 55123
(651) 460-6022 X253
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
Use BLUE or BLACK Ink
r - - - - - - - - - - - - - - - - -
I For Office Use 1 I
Permit
City of Ea ~ad I v~ a I
I Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 I Date Received: ! / I
Phone: (651) 675-5675 I 1
Fax: (651) 675-5694 1 Staff: I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit
Name: et 6, _1 Q w4Gl e Phone:
Resident/ G
Owner Address / City / Zip:
Applicant is: Owner Contractor
Type of Work Description of work:
41
Construction Cost: 22 Multi-Family Building: (Yes / Ne<^ )
Company: Contact: A-,/r/( '94,_,P
Contractor Address: 9l f~< City:
State: 6' Zip: Phone: ZS
License ,/2C l0~/7lS- Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes _No If yes, date and address of master plan:
~I
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.ciopherstateonecall.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.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Bull must be completed within 180
days of permit issuance.
x _ fl p aZ4.f_> x
Applicant's Printed Name Applicant's Signa re
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA168094
Date Issued:04/08/2021
Permit Category:ePermit
Site Address: 782 Mill Run Path
Lot:5 Block: 14 Addition: Bridle Ridge 1st
PID:10-14996-14-050
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. We encourage you to retain an electronic copy of
photos until the project passes a final inspection.
*Roof permits issued between December and March will be inspected in the spring or when weather warms up.
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 -
Andrew P & Carolyn J Krebs
782 Mill Run Path
Eagan MN 55123
(952) 423-6074
Walker Roofing Company
2270 Capp Rd
St Paul MN 55114
(651) 251-0910
Applicant/Permitee: Signature Issued By: Signature