1725 Monterey LaneCITY OF EAGAN Remarks `
Addition RidQe View Acres Lot 15 Blk 3 Parcel 10 64000 150 03
owner-5ohKl Street 1725 Mon erey Lane State Eagan, MN 55122
? J
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. 1977 2623.67 262.37 10
STREET RESTOR.
GRADING
tf() SAN SEW TRUNK 1968 $100. 00 $3.33 30
3(,*SEWERLATERAL & StUb 19?2 $2703.40 $135.17 20
WATERMAIN
*WA7ER LATERAL & Stllb I972 ZO
WATEF AREA
STORM SEW TRK ?j 1983 561.00 37.40
15
STORM SEW LAT 64194 6419 10
CURB & GUTTER
StQEWALK
STREET LIGHT
WATER CONN. $Z.4O.00 6430 9-13-72
BUILDING PER. 2]44
sac $260.00 6430 - -
PARK
1082 Payne AWe.
St. Paul, MN 55101
6511772-2449
LAST
410 W. Lake St.
Minneapolis, MN 55408
6121824-2656
A Blue Dot° Service Co: EQUIPMENT INFORMATIdN
GAS WQRK QRDER
STANDARD
6HEATIIVG
& AIR CONDITIONING
FIRS
CITYZIP 5 S/? 7
HM PH WK PH
TECH DATE
TYPE
MAKE
MODEL
SERIAL 3c)o0 A ac;297 ?
INPUT
ORSAT TEST REC4RD
C02 ?. ? % METERED INPUT Cfh CHIMNEY TYPE (f ?-
02 .% LIMtT SETTING ?l` Q. 0 FLUE SIZE In.
CO 6 % PILOT oUTAGE i sec CONNECTOR SIZE ? in.
NET STACK TEMP ?' 0 TOTAL CHIMNEY INPUT btuh
lsr--3 ,e dgE vrej
TO::N OF EAGAN
3795 Pilot Knob i:oad
Eagan, Minnesota 55121
PERNIIT N0. 252
The Board of Supervisors hereby gcants to M1tOhell Heatjllg C0.
of 1664 Se].1'y Aveme. St. pau7. 55104
a HEATIIda Yermit for: (Owner) John SerrY (Auguat Co¢tetructiaat)
at 1725 MOnEePey Lana , pursuant to application daCed
9/1zZZa ,
Pee Paid: 0,00 Dated this 1 th day o£ Septembei' , 1932.
.080
BuiZding Inspector
EAGAN TOWNSHIP
BUILDING PERMIT
'..
Ownex r....'_'....'^"'.": -'._ ... ----------- ..."
? ... .. . ..... ....... Address (Presen!) •--""--._.a?...''":.P..C.t...ti-......-
Builder ...aeo.._C..°..".'.::.'.°.?l ........................................
Addreas ......4e?.
v
DESCRIPTION
N° 2744
Eagan Towaship
Town Hall
Daie .._(O.'........................................
7 7cries ? -To Be Used Fox Fron! Dapih Heigh! Esi. Cos! Permi! Fee Remarlu
? ?-s` Fl3,o? lo' .a-c?z ?x ^4-
LOCATION
Slreef, Road os oiher Description of LocaSion I Lo! Block Addifion os Tiaef
/ 7 02.l- 4'`.t? AS' 3 CLI-Lle'°
This permii does not authorise the use of 4!lreels, roade, alleys or sidewallcs nor does tt give the owner or htc a9en!
the sight to ereafe anp silualion mhich is a nuisanee os which psesenis a hasard !o ffie heal2h, saEeiy, eonvenience and
genaral welfere !o anpone in the eommuniip.
THIS PERMIT MUST BE EPT ON HE .PAEMISE WHILE THE WORA IS IN PROGR SS.
ThSs is !o oe:tifp. !hal....-• - - - 1 .... .. . . . . . ...-'-.......has permission to ereet a..."' ? ?:'.: ? '??"J upon
' - -' •-•'-. _ . . .. " _ . •"'
the above described prem se subjae! !o !h provisions of the Suilding Ordinanee for Eag"-'. ?Town 'p adopted April 11,
1955.
......-.°-.----°-•--°.°-.?'....`."^.:::?rc`...... .......?:.._^_.......-•-°..... Per .................. 6L??:?k ..•.---0!?c.-=,?:..... ?..---.........---•..........
Chairman of Tnwn Board Building Iaspeclor
16 .49
S3 aC/gvrC-cJ
TowN or sncAx
3795 Pilot Rnob P.oad
Eagan, MinnesoCa 55121
PERNIIT N0. $(*
The Board of Supervisors hereby grants to ThoMPeon p'J.VppbjW Cp.
of 12207 MirlnetoaIlca Blvd M1[mBtonttB 543
e PIt "?IN(3 Permit for: (Owner) Kerry
ae 772K Mcust,gi•gp , pursuanY to application dated
9/6/72
Fee Paid;_ $20.W Dated this llth day of sel?eMber , 19 72,
.50 s/c
Bu:.Ading Inspector
EAGt1N TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR WATER SERVICE CONNECTTON
Date: 9/11/72
Biliing Name: Kerry, John G.
Owner: same
Plumber: Thorripson Plumbing Co.
Number: 976 fV-3 JzlC1?eU/&cJ
Site Address: 1725 Monterey
Billing Address
Meter Size5/U Connection Chg. 1,!9?1372
5373861
Meter No.22222 82 Permit Fee 10:00 d 9 6 72
p s c
Meter Reading Meter Dep. t
Meter Sealed: Yes `Add'1 Chg. 60.00 pd --neter 9/6/72
NO + Total Chg.
Building is a:
Residence xx
T4ultiple Ko. Units
Commercial
Industrial
Other
Inspected hy
Date
Remarks:
$25.00 PT-INSPf.CT10N fEE fOR
{Ra9Pn0i'?±L`r fiiSTALLEJ Pv1ETERS.
By:
Chief InspecCOr
In consideration of the iasae and delivery to me of the above permit, I
hereby agree to do the proposed work in accordance with the rules and
regulations of Sagan Township, Dakota County, Mianesota.
By:
-r
Thompson Plumbing Co,
Please notify the above office when ready for inepection and connectiou.
EAGfN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR SEWER SERVICE CONNECTION
DATE: 9/11/72 NUMBER 1131+.
OWNER: Kerry Address 776 Monterey j9-3
-?
PL(7MBER TfiomPson Plumhing TypE OF PIPE Heavy Cast Iron
DESCRIPTION OF BUIID ING
Industriall Commerciail Residential I Multiple Dwelling I No. of units
xx
Location of Connections:
Connection Charge 260.00 pd 9/13/72
Permit Fee l0.00 pd 9/6/72
. 0 pd
Street Repairs
Total
Inspected by:
Date
Remarks•
By. Chief Inspector
In consideration of the iasue aad delivery to me of the above pexsnit, I
hereby agree to do the proposed work in accordance with the rules aad
regulationa of Eagan Tormship, Dakota County, Minneaota
By
Thompson Plumbing Co.
Pleaee notify when readq for.inepection and conneetion and before any portion
of the work is covered.
MASTER CARD
0
?I p r?
OVJNER
STRUCTURE AND
LnNO useo As 1jl X 4 y? DM/ l i Jr 2til ?a AI? ?i ?
•
•
Permit
No.
Issued Issued To
Contractor Owner
BUILDING
PLUMBING
CESSPOOL - SEPTIC TANK
? jQ` OkWr iffLC
VdELL
ELECTRICAL
HEATWG
GAS WSTALLING
SANITARY SEWER
orHER 974
OTHER I
Items Approved
(Initial)
Date
Remarks
Distance From Well
FGOTING r?',3 • SEPiIC _
FOUNDATION '? ? y/_
; •Z/ CESSPOOL
FRAMWG f-?
-
TILE fIELD FT.
FINAL
ELECTRICAL
H6AlING I ?? ..ry
F DEPTH
OF WELL
- ------
GAS INSTALLATION I
SEPTIC TANK
CESSPOOL
DRAINFIELD
PLUM8ING
WELL
SANITARY SEWER ? (fv
Violations Noted
on Back
COMMENTS:
0
6I
COMPLIANCE INSPECTION REPORTS
TO BE USED ONLY IN EVENT OF OBSERVED VIOLATIONS
u
PERMIT NO.
CONDITIONS OF CONSTRUCTION AT THIS INSPECTION
? NO EVIDENCE OF NON-COMPLIANCE
OBSERVED.
? ACCEPTA6LE SUBSTITl1TIONS OR
DEVIATIONS.
DATE OF INSPECTION
NON-COMPLIANCE. BUILDER WILL COMPLY
WITHOUT DELAY.
ITEMIZED AND DESCRIBED AS FOLLOWS:
NON-COMPLIANCE. BUILDER DOES NOT
INTENO 70 COMPLY.
COMPLETION OF CERTAIN IMPROVEMENTS
WILL BE DELAYED BY CONDI710NS BEYOND
CONTROL.
? REINSPECTION REQUIRED
REINSPECTION
DATE OF REINSPECTION
•
CERTI FICATION -1 certify that I have carefully inspected the a6ove in which I have no interest present or prospective, and that I have reported herein
all significant condixions oLServed to he at variance with ordinances of the Town of Eagan, approved plans and specifications, and any specific require-
ments for off-site improvements relating to the property inspected.
? ALL IMPRDVEMENTS ACCEPTABLY COMPLETED
BUILOiNG iNSPECTOR
OATE
CITX USE ONLY
LOT ? 5 BL
SUBD. ?
PERMIT #: 14
RECEIPT #:
RECEIPT DATE: 11'171o
8000 MECfiANICFtL PEiMIT (RUIDENTIAL)
crrr of $nsAx
S$SO PILOT KNOB RD
fr4HAN bIP 55122
r-,` 651$$1^4B75
Date: "'t
Comp;cte this scctior, anlv if you sre :r.st.^.11ing HVAC in a sinble-fa.nfly dwelling, townhome or condo under
construction and not owner/occupied.
• HVAC: 0-100 M B T U
ADDITIONAL 50 M BTU
• Gas outlets (minimum of one required @$3.00 ea.)
4 Replacement
State Surcharge .50
Tota1 $
Complete this section oirlv if you are remodeltnP, atlding ta, or renlacinp an existing single-family dwelling,
townhome, or condo. Please indicate if it is a new item, alteration, or replacement.
_ New
-k- Fumace
_ Air exchanger
Reminder: Call jor final inspection.
SITE ADDRESS: f r )''S
OWNERNAME:_ .
INSTALLER NAME:
STREET ADDRESS:
CITY:
_ Other
? Air canditioning
Other
Fee
Siate Saicharge
Total
$ 30.00
6.00
$ 30.00
$ 30.50
PHONE #: 60_- L??_ ?G (c?C?
- (AREA CODE)
PHONE #:
(AREA CODE)
L _ BL -
SUBD.
APPROVED BY:
CITY USE ONLY
INSPECTOR
PERMIT#:
RECEIPT#:
RECEIPT DATE:
2000 MECHANICkL PERhI1T (COMMERCIAI.)
CITY OF Ek6uekN
3$30 P1LOT KNOB RD
EAfiAN, MN 55122
651-6$1-4675
Please complete for: all commercial/industrial buildings
multi-family buildings when separate pecmits are not required for each dwelling unit
DATE:
WORK TYPE: _ New conshvction Tnstall U.G. Tank
- Interior Improvement _ Remove U.G. Tank
_ Processed Piping
When insta!ling/removing underground tank, cafl 651-681-4675 for inspection by fre marshal and
p[umbixg inspector.
Description of work:
Fees: I% of contract pnce OR $30.00 minimum fee, whichever is greater.
Undergcound tank removaUinstallation = minimum fea
Contract price: $ x 1% _ $
State surcharge
TOTAL
SITE ADDRESS:
$
(Base Fee)
calculate at $.50 for each $1,000 Base Fee
OWNER NAME: PHONE #:
AREA CODE)
TENAN'f NAME (IMPROVEMENTS ONL1'): (
WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME:
INSTALLER:
ADDRESS:
CIT'Y:
a: .
PHONE #:
.:^ ' . . (AREA COOE) 1
STATE: ZIP:
SIGNATURE OF PERMITTEE
RESrJENTIAL
BUILDING PERMIT APPLICATION CITY OF EAGAN
3830 PILOT KNOB RD - 55122 V
651-681-4675
New ConsW clion Reaulrements
• 3 regislered site surveys showing sq. ft of lot, sq. iL of house; and all roofed areas
(20% mazimum lot coverage allowed)
• 2 copies of plan showing beam & windax sizes; poured found design, elc.)
• 1 set of Energy Cakulatlons
• 3 oopies of Tree Preservation Plan if lot platted after 711/93
• Rim Joist Detail Options selection sheet (bldgs with 3 or less uniGs)
DATE ?? ' ? • Ov?
RemodellReoair ReauiremeMs
• 2 copies of plan
• 7 set of Eneyy Calculatbns (or heated addilions
. 7 site survey for exterior additions d decks
. Indicate if home served by septic system far add'Aians
VALUATION o???9a3 •y$
JOB SITE ADDRESS IlaGJ CY10Y'oGu'.,1
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTYOWNER_5oNntV Y?t.ttv?
TYPE OF WORKILqIotb a?c,s.nA? $ 1?acl`o'?" FIREPLACE(S) _ 0_ 1_ 2
APPLICANT?-eAo. t,J?t?DU?S PHONE# l-!a3•?SIy?C7
ADDRESS IS3Cn-aS?` Av.s Iv•• tno&}1n. TYWC-) I?qS44":V ZIPCODE
PAGER #
CELL PHONE #
FAX #
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
ener9Y Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category t Workshaet Submitted
- Energy Envelope Calculations Submitted
_ MINNFSOTA RULE.S 7672
New Energy Code Worksheet Submitted
Plumbing Contractor: _
Plumbing System Includes:
Mechanical Contractor. _
Mechanical System Includes:
Sewer/Water Contractor.
_ Watcr Softener _
_ Watcr Heater _
1lTO. of Baths
Air Conditioning
Heat Recovery Sys[em
Phone #
Fee: $90.00
ree: $70.00
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Or inances.
Slgnalure of AppllcanQ.?.A j
Phone #:
Iawn Sprinkler
No. of R.I. Balhs
Phone #
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 2002
OFFICE USE ONLY
? 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 Eut. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 MuIU
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ''• ; f 0 37 Demolish (Bldg)" ? 43 Reroof '? 46 Windows/Doors
? 34 Replacement *Demolitlon (Entire Bldg only) - Give PCA:handout to applicant
Valuation Occupancy MC/ES System
Census Code . Zcnirg . City Water
SAC Units . Sto'ries BoosterPump- '
Nbr. of Units. • ? Sq. Ft. PRV •
Nbr. of Bldgs ?erigth , . Fire Sptinklered
Type of Const W idth
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaUC.O.
_ Footings (deck) Final/No C.O.
_ Footings (addirion) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fueplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S8W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies Other
Total
Building Inspector
- . , Wd9E: l •8 •uor aail paniaaaa
PelIa Windaws & Doors • Twin Cities, Ina 15300 25TH AVE. N. STE. #100
PLYMOi7T'fi, MN 55447
763/745-1400
?
June 8, 2001
City of Eagan
3836 Pilot Knob Road
Eagan, MN 55122
Dear Jan:
Elder Jones Corporation is authorized to pull building permits for Peila Windows &
Doors - Twin Ciries, Inc. Please allow their representative to provide that service for us
in Eagan. This suthorization shall be valid until such rime as the division manager
expressly revokes it, in writing to the City.
I request that this authorizatlon be accepted expeditiously, so as to not delay the
processing of our building permits any further. Please call me if diere aze any questions,
I can be cclntacted at 763-745-1432.
Your iaunediate attention to this matter is appreciated.
' cerely,
--..? E(TEW.S
Bryan. May ?
Replacement Sales Manager ?yee?s,m?yo.?.aas
4-,L-
cc: Kaza - Eldcr Jones
Denna I{rafty - Replacement Sales Process Coordinator
Windows, Doors,
& Slrylig?ts
WATS 1-800-462-5359
FAX 763l745-1401
7nn5 C4TTTrl AITIIT?LL.T b/bT CS/ ']TO VNa IT:PT TYJ Tll/Qn/0!1
. ?""f
590??
RESIDENTIAL Bi)II.DING
Permit Application
City Of Eagau
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
0` 70 -oa
NewConsWd'anReauirements RemodeVfteoairReauiremen5 Ofrice UseOnN 3 registe2d sila surveys showirg sq. fl of lot, sq. fL of house; and all roofed areas 2 apies of Olan _ Cert ot Survey Recd
(20°h mazimum bt coverage allowed) 1 set of Energy Calculatians for heated additions Tree Pres Plen ReW
2 apies of plan showing beam 8 window sizes; poured found design, etc. 1 site survey for addNOns 8 decks Tree Pms Not Reqd
1 set of Energy Calalations Addrtron - irMkate if on-sde sep6c sysfem _ On-site Septlc System
3 copies of Tree PreservaUon PWn if lot platted aNer 711193
Rim Jaist Dehil Options selec6on sheet (bldgs with 3 or less units
Date
SiteAddress z:? Construction Cost
m Le{/' 4 Qlia, UnidSte # -
Description oCWork tTpLS r ( r.? (y,S !r!/pr'? "/q ?ef?'? ? rLf a
?
Mul[i-Family Bldg _ Y? N bx?sfiNf LI/
Fireplace(s) _ 0L 1 _ 2
Property Owner Telephone # )'tTS`? 11 02tq?
_J
Contractor 6,1r
Address
State - 3 City 9
urvr Sv? ? P
Zip 5?339 Telephone #(Q,)"?L)
COMPLETE THIS AREA ONLY IF
Energy Code Category - Minnesota Rules 7670 Categorv I
• Residendal Ventiladon Category 1 Worksheet
(4 submission rype) Submitted
• Energy Envelope Calculations Submitted
Licensed Plumber
Mechanical Coniractor iY'GS/d0 i?, Y?/l
Sewer/Water Contractor
A NEW BUILDING
? i egc les 7672
Q w'En i Code Worksheet
?mitted ?
? Mll?i ;? 9
{ Telephone #( J _
?? - -
Telephone #(? 0'
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 ofplans.
U????l°
ApplicanYs Printed Name ApplicanYs Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool
? 02 SF Dwelling ?, : 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 03 01 of _ plex O. 09 07-plex 0 17 Garage ? 22 Porch/Addn. (4-sea.)
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo)
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Pi6g_Y or _ N 0 25 Miscellaneous
Work Types
? 30 Accessory Bidg
? 31 EM. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi Misc.
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bidg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/DOOrs
? 34 Replacement 'Demolition (Entire Bltlg) - G ivs RI-A hendout 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
_ Footings (new bldg)
_ Footings (deck)
_ Footings(addition)
Foundation
Drain Tile
Roof Ice & Water Final
_ Framing
_ Fireplace _ R.I. _ Air Test _ Final
Insulation
REQUIRED INSPECTIONS
_ FinaUC.O.
_ FinaUNo C.O.
_ Plumbing
HVAC
Other
_ Pool _ Ftgs _ AidGas TeSts _ Final
_ Siding Stucco Stone
_ Windows (new/replacement)
_ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Building Inspector
?°(S7$
2005 RESIDENTIAL BUILDING PERMlT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
N¢w Conshudion Reouirements RemodeVRenalr Reaui2ments OfRce Use Onlv
3 registeied slte surveys showing sq. fL at lot, sq. ft of house; and all roofed areas 2 copies of plan Ced of Survey ReCd Y N
(20°k maximum lot coverage allowed) 1 set o( Energy Calculations for heated additions Tree Pres Plan Recd _
_ Y _
N
2 copies ot plan shox4ng beam 8 window s¢es; poured found design, etc.
1 sHe survey for ad0ldons d decks
Tree Pres Required
Y _
,
N
1 set oi Eneyy Calculations Addttion -indicafe i/on•sile sepGcsystem Omsfle Sep6c System Y _
N
3 copies of Tree Preservatlon Plan if IW platted after 111/93 _ _
Rim Joist DeGU Options selectlon sheet (buildings wilh 3 or less uniLs)
Date o6_ / AZ// FJ Construction Cost ? '
SiteAddress _ / Z vZt2 l'YlC3rl'tPr U Lh Unit/Ste #
Description of Work ?611 fJ 7' 40G.c SP. e{ FY'z Ci ?
Multi-Family Bidg _ YXN Fireplace(s) i0 _ 1 _ 2
PropertyOwner ?J ?y/,, korru Telephone#(lo4(54%- ;2 /l d
Contracror '
Address F-rl - ?j City
State Zip .?? Telephone #
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Energy Code Category - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
• Residential Ven6lalion Category t Worksheet • New Enargy Code Worksheel
(Jsubmissiontype) Submiqed
Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagen Nrith a similar plcn? _ Y _ N If so, 25 o plar review
fee applies.
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 accwate;
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.
i?.
1'e'Rov
Applicant's P' ted Name Applicant's S' ture
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 AccessoryBidg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gezebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
O 06 04-pIBX ? 12 12-plCx Pibg_Y or_ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ?' 44 Siding
? 32 Addition ? 38 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 , Demolish Building• ? 43 Reroof ? 48 Windows/Doors
? 34 ReplaCemenY "C¢mcl7w'on (Er,Ure Bldg) • GNc PCR handout to appllcant
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
_ Footings (new bldg) _ FinaUC.O.
_ Footings (deck) _ Final/No C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Finat _ Pool _ Ftgs _ Air/Gas Tesu Final
_ Framing _ Siding _ Stucco _ Stone Brick
_ Fireplace _ R.I. _ Air Test _ Final _ Windows _
_ Insulation _ Retaining Wall
Approved By_:
Base Fee
Surcharge
Plan Review
MC/ES SAC
Ciry SAC
Utility Connection Charge
S&W Pertnit & Surcharge
Treatment Plant
License Search
5uilding Inspector
Copies
other
Total
Use BLUE or BLACK Ink
~ For tc~:tlse ~
j Permit *3
j
City of EaV),an I Permit Fee: 3830 Pilot Knob RoaI 1
Eagan MN 55122 j Date Received: j
Phone: (651) 675-567 I I
1 6 I staff.. I
2011 ESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: -Unit
Name: U .j Phone: y
RESIDENT / J /
OWNER Address/ City /Zip: Applicant is: Owner ` Contractor
TYPE OF WORK Description of work: Q 1eA. e.~c 4~:01
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00
Construction Cost: / Mini-Family Building: (Yes /No
Company: t . (•vy r r o 4z Contact: .s ti 't
CONTRACTOR Address: city: 5
State: N4( w Zip: 7 ~ 7 Phone: So4 ,45_1 `t7c) -6 S- 6 C'; -l w 5-5-t'gg
License 2d 5-O ,Lf Lead Certificate AIA- f 7 l q
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:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer S Water Contractor: Phone:
NOTE. Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets.
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.oM
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
o
x
Applicants Pri Name Applica Signature
Page 1 of 3
Use BLUE or BLACK Ink
r
1
I 40~ Win For Office Use I
Permit 1 I ~0 S Q
City of Ea ; Permit Fee: l(t
3830 Pilot Knob Road
Eagan MN 55122 ; Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff:
I
2013 xRESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit
Name: o PhonJ6 l- q0- `A 0 z
Resident/
Owner Address/ City/ Zip:
Applicant is: Owner Contractor
Description of work:
Type of Work
Construction Cost: Multi-Family Building: (Yes / No )
051
Company: , j c~~~ tom( Contact: -C
Contractor Address: ~1 ~a innyvg' $ city: ~L
State: Zip: ZS Phone:
License Lead Certificate k! \%~Q
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:
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. wwwslopherstateonecall.om
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 ft Code must be completed within 180
days of perms 'ssuance.
C::~ ~
X X ' '
A p p I t P r I n d ame Applica Sn ure
Page 1 of 3
• Use BLUE or BLACK Ink
r For Office Use
Permit#:Cit of Eakall lettoto
Permit Fee: -(1,
3830 Pilot Knob Road /6-3-1?
Eagan MN 55122 Date Received: -..
Phone: (651)675-5675 '_ ,I .;,) I�` 1
buildinginspectionsOcityofeacian.com Staff: -0/
')J17 1
2017 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 'i �y
"' ?7"/ 7 Site Address: / /-2•- ,4c), 74'4 " ' Unit#:
„, --- 7 -_
Name: /-j/U fft44 y Phone:
' Resident/ / 7
Owner Address/City/Zip: / 7r� i 177/2-41,1'
/:__-
I Applicant is: Owner 94 Contractor
Type of Work
Description of work: R 9,1174/ GP l� '-� ,.-5 /147-2"--
, Construction Cost: 4L' "'- Multi Family Building: (Yes /No J-)
' Company. p, ���" -5 � �� Contact: 1/
i ,c,/
Contractor i
Address: q/1 '4 (4'4L 7 City: i., s 6d
J�+ r4�� 6-
7 '4.''
I State:///it)Zip:A.- -,-. 77 Phone:�/a." Email:
4?‘ 5-
v
I License#: 81 24' fIr Lead Certificate#:
i If the project is exempt from I• •d certificatio , please explain why:
ni ,. 11 0 1 gill rd. -,mss ct
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILD NG
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:
j
I Mechanical Contractor: Phone:
k
Sewer&Water Contractor: Phone:
I
i
i Fire Suppression Contractor: Phone:
NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the
1 information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they
are trade secrets.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on
the City's website at www.cityofeagan.com/subscribe.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
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.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
VA:if,
Applicant's Printe Name Applicant's Signature
Page 1 of 3
DO NOT WRITE BELOW THIS LINE !its 7 7
SUB TYPES 1707 f V4in1'fe(e
Foundation Fireplace Porch (3-Season) Exterior Alteration (Single Family)
Single Family Garage Porch (4-Season) Exterior Alteration (Multi)
Multi Deck Porch (Screen/Gazebo/Pergola) Miscellaneous
01 of_Plex Lower Level Pool 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 V 'fix` Occupancy MCES System
,otPlan Review Code Edition 01�f d�Iom in) SAC Units
(25%_ 100% _t
_) Zoning /fCity Water
-._
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction 'r0 Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
_ Footings (Deck) Final/ C.O. Required
Footings(Addition) X Final/ No C.O. Required
Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test
Roof: _Ice &Water _Final Pool: _Footings Air/Gas Tests _Final
Framing 30 Minutes 1 Hour Drain Tile
Fireplace: _Rough In Air Test _Final Siding: Stucco Lath Stone Lath _Brick EFIS
Insulation Windows
Sheathing Retaining Wall:_Footings_ Backfill_ Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In Final
Braced Walls Erosion Control
Shower Pan Other:
Reviewed By: /0.-- , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review ir\filtil/)
�p
MCES SAC •tizeilVA
City SAC
Utility Connection Charge
/ i 0, Ci 0
S&W Permit& Surcharge
Treatment Plant ',.
Copies
TOTAL
Page 2 of 3