1758 Nokia Way•
INVOICE
3830 Pibt Knob Road
Eagan, Minnesota 55122-7897
e??an (657) 681-4600
EqualOpportuniry/AHirmative Action Employer 8221
TO:
r ?
dH0:7AS c7pg[iBfl COi7u^nRUCS'%Of! Date 5°18-99
21223 t9p-rm67ttG Ad6:7i16
ca,tWns
LA[ZEVY&E.Eq G£7 35044 sox wasIv, Pape,.
Including
10%POS[Cql5umer
L J wmm
1310?9001 PLAT/LOCATION: AMOUNT
DESCRIPTION
lsNCB?.LL?D BP 093791p nay3nII A319 Of pLan aan8em
3422a9001 435001
EA?CS`d IlUE FIMN AECE%Pr'i OP TF9%5 BNvOYCB.,.., iiiM"iL Y@9
TOTAL
Invoice Prepared By: DOQG [iG%D CiMIICtff
name department
WHITE - Customer YELLOW - Remittance PINK - Department GOLD - Finance
TOTAL DUE UPON RECEIPT - 97an/L,nro
Abikh-
City of Eapn
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fau:(651)675-5694
------------------
i Fa.om?,us? - i
j PertnR#: D ?` I
? PermR Fee:
? Date Received: j
I I
I Staff: I
i
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date:
7enant:
Suite #:
RESIDENT / OWNER Name: c Phone: ,ti5/- v 9'E^ 0 'l ,7 )
Address / City / Zip: S Yb i e9- - W
Applicant is: _ Owner V_ Contrac[or
TYPE OF WORK Description of work: k) gw4cw v?
Construction Cost: !noo ? Multi-Family Building: (Yes No rl?
Ad
CONTRACTOR /? License #: a-00 )
l a- S(
Name: _r;?4-41S 0
a
Address: / !Q / 2? ?2
City: State: ALEAZ. Zip: SS3 3 7
Phone: 9Sa- d" a-bContactPerson:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateporv 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category 7 Worksheet • New Energy Code Worksheet
Category Submitted Submiqed
(4 Submisslon type) • Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan7
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contrector: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submi; are consldered to be public information. Portions of
the infnrmation may be classified as non public;ifyou provide specific'reasons ihat would permit the Ciry to
' conciude that the are trade secretsi
I hereby acknowledge that this infortnatlon is complete and accurate; [hat the work will be in confortnance 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 approv d-pl an, in the case of work which requires a review and approval of plans.
x X Al.C.!4
Applican's PrintedName App icanYs Signature
? ?2 T7_?..?/ Sa,J Page t of 3
Site Address:
L c
, C??_? a ? ? RESIDENTIAL
/o BUILDING PERMIT APPLICATION
? CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
Naw ConsWetion Reauirements
• 3 regislared site surveys showing sq. R. of lot, sq, fl, of house; and all raoted areas
(20% manimum lot coverage allawed)
• 2 copies of plan showing beam & window sizes; pourad found design, ek.)
• 1 sel ol Energy Calculations
• 3 copies of Tree Preservation Plan if lot plaHed after 1/1193
• RimJoislDetallOptionsseleclionsheet(Wdgswilh3orlessuniLt)
DATE 5 J (3I br?-
SITE ADDRES
TYPE OF WO
iULTI-FAMILY BLDG _Y _ N
FIREPLACE(S) _ 0 _ 1 _ 2
APPLICANT
STREET ADDRESS Ia4-W) It CITY ? d<- STATEfowd ZIP??M2?
TELEPHONE 0 CELL PHONE #
FAX #
PROPERTYOWNER R ?err- TELEPHONE#12? ) '?-J) y'?- 97'?Z
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RiJLES 7670 CAT'EGORY 1
(d submission type) • Residentlal Ventila6on Category 1 Worksheet Submitted
• Energy Envelope Calculations Su6mitted
Plumbing Contractor: _____
Plumbing system includes:
Mechanical Contractor:
Mechanical systecn includes:
Sewer/Water Contractor:
Phone #
Phone #
Lk Submitted ree: $90.00
Fee: $70.00
-------------------------------------------°------------------------------•--------------°----°-------------°-----°--
I hereby acknowledge that I have read this application, state that ihe information is co e, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant c
OFFICE USE ONLY
Water Softencr
Water Heater
_ No. of Baths
Phone # '-'
Iawn Sprinkler
No. of R.I. Baths
Air Condirioning
_ Heat Recovery System
RemodeVReoair Reauiremanb
• 2 copies af plan
• 7 set of Energy CalcWations for healed additions
• 1 site survey for exterior additions S decks
• Indicale if home served by septic system for additions
? w
G c?at? . ?
VALUATION ?
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
OFFICE USE ONLY
? 01 Foundation ? 07 OS-plex ? 13 16-plex 0 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling O OS 06-plex ? 16 Fireplace ? 21 Porch (3-seaJ , ? 31 Ext. Alt- Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ect. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Stortn Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) 0 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof O 46 Windows/Doors
? 34 Replacement `Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MCIES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinallC.O.
_ Footings (deck) FinaVNo C.O.
_ Footings(addition) _ Plumbing
Foundarion HVAC "
Drain Tile Other '
Roof _ Ice & Water _ Fina1 _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S8W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Building Inspector
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122 ?
L ? ? 651-681-4675 New Constructlon NeauiremenG
• 3 registered sife surveys slmwing sq. tt. of bt, sq. R of house; and j( rooled areas
(20% ma:irnum bt coverage elbwetl)
• 2 coples of plen showing beam 8 window sizes; poured tound deslgn, etc.)
• lsatofEnergyCakulatbns • 3 copies ol Tree Preserratbn Plan B lot plattetl afler 7/1193
• Run JoW Deffiil Optbns selectlon sheet (bklgs wiN 3 ar less units)
DATE ? T? (Q I?i?-,
SITE ADD
NPE OF
APPLICANT
AULTI-FAMILY BLDG _ Y
FIREPLACE(S) _ 0 7-1
?-N
_ 2
STREETADDRESS I?S"S YI,0UUa- WC,u4 CITy?G GNn STATEM 14 ZIP 5s1aa
TELEPHONE#CELLPHONE# FAX# 9<1 4 PROPERNOWNER
jt?? TELEPHONE#
-------- °--------------------------------------------°---------------------------------------
COMPLETE THIS SECTION FOR -NEW- RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(4 submission type) • Residential Ventilation Category 1 Worksheet Submitted 7APR 7ee.:0 • Energy Envelope Galculations Submitted Plumbing Confracfor: Phone # Plumbing system includes: Water Softener Lawn Sprinkle_ Water Hea
ter _ No. of R.I. Baths
_ No. of Baths
Mechanical Confractor.
Mechanical system includes:
Sewer/Water Conhactor.
_ Air Conditioning
_ Heat Recovery System
----------------------------------°------------------------°-°----°
I hereby acknowledge that I have read fhis application, state that
with all appliCable State of Minnesota Statutes and City of Eagan ?
Signature of Applicant
OFFICE USE ONLY
Fee: $70.00
is corre,Ft, and agree to comply
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
RemodeVReoalr HeaufremeMe !'1 l1 ?- V?A,g,_Q4_s a
• 2 CoPies of plan `'x'??'??
• 15etofEnergyCalculalbnsiorheatedaCddbns S- I
. 7 sNe survey br ex[erlor adCAbns & decks
• Indicate if home sarvetl by seplic system lor add'Abns
VALUATION
Phone #
Phone #
Updated 4102
OFFICE USE ONLY
? 01 Foundation
? 02 SF Dwelling
? 03 01 of _ plex
0 04 02-plex
O 05 03-plex
? 06 04-plex
? 07 DSplex ? 13 16-plex
? OB 06plex ? 16 Fireplace
? 09 07-plex ? 17 Garage
?
? 10
11 OB-plex
10-plex ? 18
19/19 Deck
Loweevel
O 12 12-plex Plbg_Y or _ N
O 20 Pool
? 21 Porch (3sea.)
? 22 PorchlAddn.(4-sea.)
? 23 Porch (screened)
? 24 Storm Damage
? 25 Miscellaneous
? 30 Accessory Bldg
? 31 Ext. Alt - Mufli
? 33 Ext. Alt - SF
? 36 Multi
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
O 32 Addition ? 36 Move Bldg. 0 42 Demolish (FOUndation) ? 45 Fire Repair
4 33 Alteretion ? 37 Demolish (Bldg)' 0 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (EnNre Bldg only) - Give PCA handout to appllcaM
Valuation oa v 0 Occupancy R- 3 MC/ES System
Census Code 4 3 Zoning City Water
SAC Units b Stories Booster Pump
Nbr. of Units ? Sq. Ft. PRV
Nbr. of Bidgs / Length Fire Sprinklered
Type of Const s/N Width
REQUIRED INSPECTIONS
Footings(new bldg) FinaUC.O.
_
_ Footings(deck) ? FinaVNo C.O.
_ Footings (addition) Plumbing
_ Foundation ? HVAC
Drain Tile Other
Roof Ice & Water Final Air/Gas Tesu
Pool Ftgs _ Final
Framing _
Fireplace ? RI. j/ Air Test ? Final _
Siding Stucco Stone
Windows (new/replacement)
? Insulation _ Retsining Wall
Approved By hP ? Z? ?GB Ilu ding Inspector
Base Fee
Suroharge
Plan Review
MC/ES SAC
City SAC
Water Suppy & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
,a5
Total
PERMIT# q 9
RECEIPT DATE: 1- d °
2002 fiUIDEP77AL PLUMBIAfi PEiiMIT APPLIC!lTION
cmlog F-Asm
S$SO PQ.OT KROB $D
EAsAx, buv 55122
ss1-0i-4s7s
Please complete for: single family dwellings, townhomes and condos when permits are required for each unit,
backtlow preventer for irrigation system
SITEADDRESS: j 7 5-,q h
OWNER NAME: :_ R c` C Li ?bkr)/ / TELEPHONE #:
(AREA CODE)
INSTALLER NAME: Pe? ( a1-E ??uCTELEPHONE #:
STREET ADDRESS: rQ 6 D?a 6 Xa3 (AREACODE)
CITY: ??-r Mt ( Ir` 0L?, STATE: & X ZIP: .?- T D9r
_ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license)
inciudes $40.00 County fee $ 100.00
Note: Additional consultant fees may apply
• MODIFICATIONIALTERATION TO EXISTING DWELLING UNIT, INCLUDING:
// Adding fixtures to lower levels or room additions, exclutling water softeners and water heaters. $ 50.00
_ Abandonment of septic system.
_ Water tumaround - existing dwelling unit (+ 518" meter if needed -$118)
Other:
_ RPZ: new installation/repair/rebuild $ 30.00
_ lawn irrigation system MAY 0 1 2002
By
Replacement/additional: _ watersoftener _ waterheater $ 15.00
State Surcharge $ 50
TOt81 $ -5-0 . YC}
I herebyacknowledge ihat I hava read this application, stste thatthe infarmation is corred, and agree W complywith all applicable City of Eagan ordinances, It
is ttie applicanYs responsibility to noGry the pmperty owner that the Ciry of Eagan assumes no liability for anyda ag4s caused by the City during its normal
.?_
operational and maintenance activities to the Faalities wnstructed under this permit within ity property/right- f-?ra /easement.
SIGNATURI F PER EE 1102
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675
New ConsW clion Reauiremenls RemodaUReoair Reauirements
• 3 registered site surveys showing sq. ft. of lot sq. N. of house; and all roofed areas • 2 copies of plan
(20% maximum lot coverage allowed) . 1 set of Energy Calculalions for healed additians
• 2 copies of plan showing beam 8 window sizes; poured found design, elc.) . 1 site survey for exterior additions & decks
• 1 sat of Energy Calculations . Indicate if home served by septic sysfem for additions
• 3 copies of Tree Preservatbn Plan if lot platted after 711193
• Rim Joist Delail OpGons selection sheet (bldgs with 3 or less uniLS)
n ,. '1
DATE _
JOB SITE
!F MUL?!-FAMILY BUILDING. HOW
PROPERTY OWN
TYPE OF WO
APPLICANT
ADDRESS
PAGER # CELL
PHONE#
ZIPCODE,C?? -73?'9
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPI
Ener9y Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Suh
- Energy Envelope Calculations Submitted
_ MINNESOTA RULES 7672
New Energy Code Worksheet Submitted
Plumbing Contractor:
Plumbing System Includcs:
_ Water Softener
V6'ater Heater
No. of 13aths
VALUATION A&,dt-) -
Phone #:
I.awn Sprinkler
No. ot R.I. i3aths
Mechanical Contractor. FJN QS /4 Q oC)rk1 P c
Mechanical System Includes: _ Air Conditioning
__ Heat Recovery System
Sewer/Water Contractor:
ree: $90.00
Phone # C15:2-(1 7Z? 112;_9
Fee: $70.00
Phone #
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/d?inances.
Stgnature of Applfcant (/Vl?feti??? ?
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 2002
OFFICE USE ONLY
.
? Ot Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool i? 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.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 70-plex O 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) O 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) O 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 WindowsiDoors
? 34 Replacement 'Demolition (Entire Bldg only) - 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) _ FinaUC.O.
_ Footings (deck) _ FinaVNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other i
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas'Tests _ Final
_ Framing _ Siding Stucco Stone
Fireplace _ R.I. Ai r Test _ Final _ Windows (new/replacement) ?
_
_ Insulation _ _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Building Inspector
/ CITY USE ONLY ,
L _ BL / RECEIPT#:
SU60. V j..QG'i ??C? ??? •S RECEIPT DATE:
PERMIT# ? Q7?:31
2000 PLUMffiING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGPN, tMI 55122
651-681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES
EACH #
TOTAL
Aiterations to existing dwelling - minimum fee
Describe: $ 30.00
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
Gas pi in outlet ` minimum - t 3.00 x = $
Hot tub/spa 3.00 x = $
Kitchen sink 3.00 x = $
Laundry tray 3.00 x = $
Lavatory 3.00 x = $
Septic S stem new/refurblshed • requfres MPC lic. 75.00 x = $
Septic System abandonment 30.00 x = $
RPZ new instailatioNrepair/rebuild 30.00 X = $
Rough o ening 1.50 x = $
Shower 3.00 x = $
Underground sprinkler rf dwelling is under construction 3.00 x = $
Underground sprinkler if existing dwelling 30.00 x = $ ?D. O O
Water closet 3.00 x = $
Water heater 3.00 x = $
Water softener if dwelling under constructlon 5.00 x = $
Water softener ii existing dweliing 30.00 x = $
Water turnaround 30.00 x $
State Suroharge 50 -> -> --> $ .50
TOt81 --> --> --? ----> . SU
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
------------------------•-•-• •------------icati----on, state --------that -•--the •--infortnation ---------•-- a------------------•-•-----------l applicable C------------iry of Eagan o...---------rdinances---------
I hereby acknowledge that I have read this appl corzect, and agree to comply wkh al.
It is the applipnPs responsibility to notify the property ownar that the Ciry of Eagan assumes no liability for any damages caused by the City during its
normal operational and malntenance activ@ies to the facllities constructed under this permit within City property/right•of-way/easement.
SITE ADDFJESS: W
OWNER NAME: : ? 1t/JELEPHONE #: ? 9S3 ' Ol° .? ?/
Q (AREA CODE)
INSTALLER NAME: ?_TELEPHONE #: f?- Q67S-
(AREA CODE)
STREETADDR€SS: 77 / -S? "?-/f'?s-L ?1.?•
CITY: v") zkd? STATE: C;'? ZIP:
SIGNATURE OF PERMITTEE
? =• 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
, _ ;• . GTY OF EAGAN
3830 PILOT KNOB RD - 55122 ? C_4 q F? i _() -7
? 651-681-4675
New ConshueNon ReauiremeMs Remodel/Reoa4 ReautremeMs
?
D S reglsfered sRe surveys showing sq. fl. of bt, sq. H. ol house
and gO rooled areas (30% maxtmum lot coveraae albwed)
D 2 coples of plans (show beam d wlndow sizer, poured fnd. design; etc.)
D 7 set W energy calculallons D 9 copies ol hee presenaHOn plan C IW plaHed aHer 7/1/93
DATE: S' 5- I9
4 copks of plan
1 set of energy talculafbns lor heoted addlHons
1 sMe survey for extertor addMions R decW
CONSTRUCTION COST: ?o o
DESCRIPTION OF WORK:
? I?it9-
STREET ADDRESS: I-7.58 No k;? LlI av
LOT: Ll BLOCK: I SUBD./P.I.D.B:
t
Name:??ell a+A &Fr? /Ta ferkvS Phone
PROPERTY Last Flrst
OWNER
Sheet Address: ?
CONTRACTOR
City State: Zip:
Company:T-homs-r lT /nRNnr Const lnr• Phone#: /7- 1/6 9-A/ 28
(area code)
SheetAddress: 21'2Z5 ilambtg A?e, Llcense# 11131 Exp.-'/- 20 DO
ch,, sta?e: m? Zip: Ssv yy
ARCHITECT/
ENGINEER Company: PIGb^ t6 Name: T m Kod`ti
Telephone #: area code ( L 5 f )q 52 ^ 672 i(
Street Address: Registration #:
City Siate: Zfp:
Sewer & water Ilcensed plumber (reaulred for new conshueHon onlvl: sfA" ???M d!
PenaHy applles when address change and lot change is requested once permN ia issued.
I hereby acknowledge thaf I have read lhis appltcaHon, state that tMe IMorrtwllon Is corteet, and agree fo comply wHh all appllcabl
Sfate ol Minnesota Stafutes and CHy of Eagan Ordinancea.
Certificates of Survey Received
Tree Preservation Plan Received
Slgnature o1 ApplicaM:
OFFICE USE ONLY ?CEIVED
? Yes _ No 5 1999
_ Yes _ No _ Not Required MAY
BY: v -
• ',
BUILDING PERMIT TYPE
Building Engineering Variance
Valuation: $? D?a
BaS?M??
•', - ..
? 01 Foundation 0 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
Z02 SF Dwelling ? 07 5-plex O 12 12-piex ? 17 Garage 0 22 Porch/Addn. (4sea.
? 03 1 of _ plex O 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
0 04 2-piex ? 09 7-piex 13 14 Apartments ? 19 Lower Level ? 24 Storm Damage
0 05 3-plex ? 10 &plex ? 15 Lodging ? 20 Pooi ? 25 Miscellaneous
WORK TYPE
? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Sidi ng/Soffits/Fascia
0 32 Addition ? 36 Move Bidg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bldg.` ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
` Give PCA handout to applicant for demo lftion permit
GENERAL INFORMATION
Const. (Actual) )JN Basement sq. ft. i ?J9167 Census Code !0/
(Allowable) Main levet sq. ft. 1 %116, 17 SAC Code o/
UBC Occupancy u2 tJP sq. ft. 1?'1-6769 No. of Units e4
Zoning ?y 6-/9-2 sq. ft. 5/?,5b No. of Bldgs ot
# of Stories ? sq. ft. MC/ES System
Length 529 sq. ft. City Water
Width 11/0 Footprint sq. ft. 6 67 Booster Pump
PRV
Fire Sprinklered
APPROVALS
Planning
Permit Fee
5urcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
SJW Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
7otal:
SAC Units
% SAC
X 16 = $OC?
i2, X H = N?
ry x 1 r g =2,21,67
(b X i? = r ?to
i a,a.6? X? s ? 1? ?qs
Main
Qas?`mz ? = iAt9.67
fe Y ei = 16,06
r6 x 7 iD _
H6 ,i7 x ?d Ac13
3y X 3a =
1 9. Y N =
12, X .f6?
?-
7H j( 16
OFFICE USE ONLY
N8
? ?.67
IayS,- 67?'y=671vz8
_ a/ 4k a7 i b a0, 5"
5? ?,sa x?6 =?-r
?b/,a96
.
. .
REQUEST FOR INVOICE
Bllllny date: 5- I 7- 9 9
Requested by: Linda Dralle D@O. Buildine Insnections
Sendlnvolceto: Thomas J. Maurer Construction
91925 Hambnr$ Avenue '
r.Lakeville, MN 55044 ?:.
,.
CW1tdCt P0fSpfl'S DC1119: Thomas Phpne; 612/469- 1420
,.
l
DescdpMon of 900ds/8ervices to be billed (Inelude address ' yk or parcel number. B approprlate):
. . .:"r`-- `>a'; w.. , .e'%`-.•
Cancelled building permit I135791, paying half' S 43s_Rl .. -
of plan review ACCf. COdA: 3422 4001 '
ACCt. code•
For Flnance Dept use:
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) C z(7 ! ??
? CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681•4675
New Consfrucllon ReaulremeMs
? 3 regLSfered sRe surveys showing sq. tt. ot lof, aq. M. of house
and gij roofed areas (20% mazimum lof coveraae allowed)
> 4 coples of plans (show heam E window eizes; poured tnd. design; etc.)
D 1 set of anergy calculctlons
? 3 copies of hee preservaNon plan H lof plaHed aMer 7/7/93
DATE: / a` 2 8" 9 g
DESCRIPTION OF WORK:
STREET ADDRESS: / ).5t4 /V n h! 2,0p
LOT: y BLOCK: ! SUBD./P.I.D.
Remodel/Reoafr ReaulremeMs
2 copies of plan
1 sef M energy calculaHons la healed addRions
1 sIM survey For exlerior addHlons 6 decW
.?
CONSTRUCTIONCOST:
e
Name: m ,4 s Phone #: `/a 91- 6s16
PROPERTY last Finf
OWNER A
Street Address:.2 J 2 ? .5? .? ti,"?b ? ? Av -P?
City ?2lCp?i.`i?Q StaFe: ?I?? Zip:SYoyL/
Company:-r?4,a*AS a-, Phone#: G/z
(area code)
CONTRACTOR
Sfreet Address: a a? /-/?a License #-2/13 / Exp, 3 od
City /PlP State: Zip:
ARCHITECT/ ?''am ?'?R.te
<-r o Name:
ENGINEER Company: ra ..n
Telephone #: area code ( 6 S/
SfreeT
RegistraHon #:
City ?T . /J State: Zip:
Sewer 8 water Iicensed plumber (reauired for new conshucMon onNl:
Iies when address chan e and lot chan e is r uested once ermR Is issued. lI Y' C
P•enaltY aPP 9 9 ? P ?
I hereby acknowledge thaf I hcve read thls appllcaNon, sfate that The tnformaflon is cortect, and agree to comply wNh all applicobl
State of Minnesota Stotules and Cify of Eagan Ordinances.
Signature of Applicant."7??-? ?i
Certificates of Survey Received 'm
Tree Preservation Plan Received -
OFFICE USE ONLY
Yes _ No
Yes _ No ? Not Required
orI 'L8 , -
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17
03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20
WORK TYPE
Fireplace ; ? 21
Garage
? ? 22
Deck ? 23
Lower Levei I' ? 24
Pool I
i ? 25
, _- ,
Porch (3-sea.)
Porch/Addn. (4sea.
Porch (screened)
Storm Damage
Miscellaneous
x 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 u Siding/Soffits/Fascia
? 32 Addition ? 36 Move Bidg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Aiteration ? 37 Demolish Bldg.* ? 41 Wood Stove ? 45 ' Fire Repair
? 34 Repair ? 38 Demolish (Interior) O 42 Reroof
' Give PCA handout to applicant for demolition permit i
GENERAL INFORMATION
Const. (Actual) ?Ly Basement sq. ft. 17 1? S Census Code
(Allowable) - LV Main level sq. ft. .? 71? -L 5AC Code ! /7
UBC 9ccupancy -i- / sq. ft. zN, f? 7? No. of Unfts I? 1
Zonin II sq. ft. j? :• No. of Bldgs
# of Stories 7 sq. ft. MC/ES System
Length 7 7 sq. ft. City Water i
Width ? Footprint sq. ft. Booster Pum I p ?
/ PRV
Fire Sprinkle'red
APPROVALS iPlanning Building JSA Engineering Variance
?Permit Fee Valuation: S &.???/ ?
Surcharge X
Plan Review
License %zG•5 X :7 l = C?Sj -:3 4
City/ SACAC ?221'(? x S 1? = C?? G? ??
Water Conn. ? J7
Water Meter
Acct. Deposit
S!W Permit P,
S/W Surcharge i
Treatment PI'
Park Ded. Trails Ded. i
Other i
Copies •?
Total:
SAC Units '
% SAC '
.
ROBE
ENGINEERING
COMPANY, INC•
CONSULTING ENGINEERS,
PLANNERS and LAND SURVE1fOR3
I 1000 EAST 146th STREET, BURNSVILLE, MN 55337 (612) 432-3000
A temporary tum around for street easement purpose over and across that part of Lot 4,
Block 1, RIDGECLIFF WOODS, Dakota County, Minnesota lying within the
circumference of a circle having a radius of 46.00 feet. The center of said circie is at a
point on the centedine of Nokia Way distant 58.00 feet westerly of the east line of said
RIDGECLIFF WOODS.
..
' - LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUIIDING PERMIT APPLICATION
? PROPERTY LEGAL: ZoT .?i/vG'A- / ?ZC6E('LZFF H/aoll S
? DATE OF SURVEY: ?- ZG1
? LATEST REVISION: I ?- 4 -q9
W
?
o DOCUMENTSTANDARDS
O
? a
? .
Registered Land Surveyor signature and company
?
? ? . BuildingPermitApplicant
? Legal description
?
? : Address
?
? . North arrow and scale
?
o . House type (rambler, waikout, spld wlo, spli[ enVy, lookout, etc.)
^? • Directional drainage arrows with slope/gredient °h
?? • Proposed/exdsting sewer and water services & invert elevalion
m-c ? • Street name
?? ? • priveway
m?p ? • Lot Square Footage
m? o ? • Lot Coverege
ELEVATIONS
? Exisfin
rY ? o • Sewer service (or Proposed)
?o ? • Property corners
q? ? • Top of curb at the driveway
0? • Elevations of any eatisting adjacent homes
o Adequate footing depth of structures due ta adjacent utility Venches
/ Prooosed
d o ? • Garage floor
ull-? ? • Firstfloor
? ? • Lowest exposed elevation (walkouVwindow)
0 0 • Property corners
?o ? • Front and rear of home at the foundaCOn
POND W G AREA ('d aodiqde)
l?
/o
wr • Easement line
? p o • NWL
? m/o . HWL
" 2/?
-/ • Pond # designatlon
o W?
? • Emergancy Ovefiow Elevadon
?o
?
? ?
? J L7
oa??
? ?
DIMENSIONS
• Lot IineslBearings 8 dimensions
• Right-of-way and street width (to back of curb)
• Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc.
(i.e. ali sWctures requiring permanent fooOngs)
- Show all easements of record and any City utilities wi[hin those easemen6
• Setbacks of proposed strudure and sideyard setback of adjacent eg shuctures
• Retaining wall requirements, iF any
Reviewed:
?-
/ Date
Maroh 19BB
CRAIGIBLDGPRMf.FM
ENERGY CODE WORKSHEET FOR 1& 2 FAMILY DWELLINGS
SITH ADDRESS , '7?. CITY t,
COMPLETED 8Y: 10 ?J?f;'J?1??--5?- pHpgg q yb9 DATE 10-
21
gIIILDING CLASSIPICATION: ? ca tegory 1(etandard) or''?catagory 2(muet iaclud
e veatilation)
lSZNIHUM CRIT6RIA
Foundation Insulation-R10 Walla G Wiodowa Roof Attic Ineulation:
Slab on Grade Insulation-R10 (See table on reverae side
Eor allowable percentages) R94-With Atti
N
c
o Heel
Floor over unheated spaces-R29 R39-With Attic Raised kieel
Founda[ion Windowe 1/2" R38 & RS-Solid Rafters
ineula[ed Glass.
-Wood or Vinyl Frame .
STBp 1 WiadoN & Door Aree STBP 2 Calculate area ae a percent of wall
A. Total Window & Door Area in Sq. Eeet
1
WZNDOWS (Including Foundatioii Windows):
WINDOW MAN[7FACTURE NAMB: C. From Step 1 divide box A(4Jindow ? DooZ?
WINDOW HAfII7FACTCJRE TYPH: vs/,
? Area) by box B(total wall ai-ea) Cimec 100
- -+
- equa
lc [he window and door area as a
?-
WINDOW MANIIFACTURH U FACTOR: ? ? percene of wall area (box C).
.
R. O. QuantiCy cq.El.Area P,OX A ? X 300 =
C
Dimensions
^
A?x B ?
?.
x.1
STEP 3.
Dzai
n F
t
?'?
.xd- .
g
ea
urea
. . . .:
? .F.SSCI96LY .
- ,. X.-?.-?= PRAHIt7G TYPE: . . . .? .
X?`^-'' STAf7DAY,D FRAMING ? studs 16'-
X7 o.c.
AOVANCvD FRNfING rtuds 2q"
X o. c.
?
CF.V7TY INSULATION R
x ^! ^ ;?!i%% '
f
,
5
?
SHBATHZIiG TYPB:
X?-? LESS THAIJ < R-5
X R-5 > OR MORE
? X ?`?-??•/ ? U•FACTOR p
D ??5' ;j
'' - From the table, (reverce side) determine the
maximum percent window 6 door a
E
th
, b
rJ X/„ ?
f
/ Q rea
or
e ,
deeign options selected and enter the 4 value
in Box D below bas
d
v e
on [he window mfg. U-
factor:
X V n n D
' !p
1
utal Area oE A
uq.ft.
f1
Windows E Doors ? - -
B. Total Wall Area in Sq. Ft. The : value Erom C}ic cablz in Box D shall ba
equal [o or greaCCr than the } jn Box C
Wall Total Height Area
Perimeter
-7 LO. .? / .
.. 13, u? / -7/
??
. . . . ,
0
ONE- & TWO-PAA+QLY REStDFNTIqL OUfi,DITdG PRFSCRIP'/'IVE (CppK-BOOK)
APPROACH
MAXIMUM WtNDOW AND DOOR AREA AS A PERCEfYT OF OVERAL[, WALL
AREA
r4m rvtinn Rules Aart 7670 0471jj +t hn„ L L aU n p
rrnmtn lnau{ation Sheathin 0.49 0.36 0.31
STANDARD R-13 Z R- 7 89'0 21
3°,
STANDARD
' R-1 3 R- 5 4% .
19
7%
ST
ANDARD R-15 > R- 5 1% .
20
1%
STANDARD R-18-19 < R- 5 %
W .
18
8%
STANDARD R-18 _19 R- 5 14.0% 9'0
18.6% .
21
8%
ADVANCHD R•IB-19 < R- 5 19'0 .
20
1
ADVANCED R- 18 -19 > R- 5 .
9'0 .
22
5%
STANDARD R-21 < R. 5 12.8'/. 17.0% .
STANDARD R-21 > R- 5 14.5% 19.396 22.5
qo
ADVANCED R-21 < R- 5 13.6°?6 t6:1% 21
2%
I ADVANCED R-21 R- 5 }S.OYe 19.9% .
23.ZYo
As?lilonal talcula t?g?
STANDARD
'
'
' R-17 < R- 5 11.9°k 15.7Yo 18
4%
5
I
f
ANI7ARD R-17 Z R- 5 13.8% 18.4'e .
21
5%
ADVANCED R-I7 < R• 5 12.6% 16.8% .
19.69'0
ADVANCED R•17 > R- 5 14.396 to_B^i_ »'Jw.
25.3%
23.4°10
26.1%
23.1%
26.
21
Notee;
Window area equais rough opening minue Inatallatlon clearances.
Window U-factor mnst be determined by either the National Fenestration Rating
Council standard 100•91, or ASHRAE 1993 Handbook of Fundamentals, Chapter 27,
Table 5.
' ENERGY CODE WORKSHEET FOR 1& 2 FAMILY DWELLINGS
SITS ADORESS CITY t
YVI Ai?
COMPLETED BY: 101-? Vklii'•'?PFIONS n y6q`?L?b6 DATE 10?
6IIILDING CLASSIFICATZON: ? categoay 1(etandar d) or Iff category 2(muat iaclud
e veatilation)
HINZHUM CRITERZA
Foundation Insulation-R10 Walle & Hindowa Roo£ Attic Inaulation:
Sla6 on Grade Insulation-R10 (See table on r
for allowable p everse side
ercentages)
R44-With At[i
N
c
o Fleel
Floor over unheated spaces-R24 R3e-Wi[h Attic Raised lieel
Foundation Windowe 1/2" R38 & RS-Solid RaEte'rs
inaulated?Class. .
-Wood or Vinyl Frame _
STSP 1 Window & poor Area STBP 2 Calculata area ae a percent o£ wall
A. Total Window & Door Area in
. Sq. Feet
WINDOWS (Including Foundation Windows): -
HINDOW MANUFACTURE NAMS: C. From Step 1 divide box A-(47indow ? Door
WINDOW MANUPACT'aRE TYPB: Area) by box B(total wall area) Cimec 100
equals the window and door area as a
' WINDOW MANIIFACTURH Q FACTOR:
i V pzrcent of wall area (box C).
.
R. O. Quantity sq.ft.Area gOX X 100 =
Dimensions Pox b ? F ,
:
: x=
:a
`
STEP 3' , Deeign Peatureo .
? : :?
-
n' X^.. .
. .
! '
. . . . . . .
. . ? ASEM1IBLY
PRAMZNG TYPE: . . .
Xj-?%' STA17DAkD FRAMING ? ctuds 16"
?
? J X` o.c.
? ADVANCEO FRNiING etude 24 o
c
J! X?l
?
?
fl
? ,
,
?
-
/,? 7- CAV7TY INSULATION R
? x
SHHATHII7G TYpB:
? -e X.7 "D LESS TllA14 < R-5
? X -4-'%? R-S > OR MORE
? l.X??J?? ?
U-PACTOR p
DOORS` ?? ) ?/ From the table, (reverce side) determine the
maximum percent window 6 door area Eor [he
^?y
o X
n
y ,
design options selected and enter the t value
in Box D below based on [h
i
d
< e w
n
ow mfg. U-
factor:
?o o
x / ?J
W
D
'
'
I
oCal Area oE A_
uq.ft.
Windows & Daors 7 -
8. Total Wall Area in Sq. Ft. The C value Erom tlie cabla in Box D shall be
equal to or greaecr ttlan the F in Sox C
Wall Total Height Area
Perimeter
7 (??
0
ONE- & 'ItiNO-PANIILY RES[DFN'tlqL pUn.DRdG PRESCRIp7'ryE (CppK-BOOK)
APrROnctt
MAXIMUM WINDOW AND DOOR AREA AS A PERCENT OF OVERALL WALL
AREA
C.t4m Mlnn Rulee part 7670 0475 U Aprt 2. item F
Cavit sxterior Window U-Factor
Fremin lnsulation Sheathin 0.49 0.36 0.31 0,27
STANDARD R-13 Z R- 7 13.4g'o 17.8% 21.3°v 24
3%
STANDARD R•13 R- 5 12.40 16.4°/. 19.7°/a .
22
5q
STANDARD
R-15
> IZ - 5
12.9%
I7.1170
20,1% .
,
j3
q%
S7ANDARD R-I8-19 < R- 5 12.19'e 16.096 18.8% ,
22
0%
STANDARD R-18-19 R- 5 14.0% 18.69', 21.8% .
25
3°
ADVANCED
R-18-19
< R- 5
12.9%
17.1%
20.19'o .
,
4%
29
ADVANCED R-18-19 >_ R- 5 14.5°!0 19.29'0 22.5% .
26
1%
STANDARD R-21 < R- 5 11.8% 17.0% ]9.9% .
23
1%
STANDARD . R-21 > R- 5. 14.5% I9.39b 22:5% .
26
1%
ADVANCED R 21 < R- 5 13.6°i6 18:1% 21.2% .
I4
6%
ADVANCED R=21 R -5 15.OYe 19.9?0 23.2Yo .
26.9%
AddiNonel ta"?ated val4ee
VuAKU R•17 < R- 5 11.9% 15.79'0 18.4% 21
VDA2D R-17 Z R- 5 13.8Yo 18.4'/0 21.5% 25
ANCGD R-]7 < R• 5 ]2.6% 16.8% 19.6% 22
ANCED R-17 > R- 5
Notea:
Wirtdow area eyuals rough opening minus lnatallation clearances.
Window U-factor muat be determined by either the Nationat Fenestration Rating
Council standard 100-91, or ASHRAE 1993 Handbook of Fundamenlals, Chapter 27,
Table 5.
PoDMC Fax Note 7871
?Xi
RosE
NGINEEAING
?--
COMPANY, INC.
10U0 EAST 14Elh SIREET, BURNSNLLE, MINNESOTA 55337 PN 432-T00O?
CERTIFICATE OF SURVEY
Legal Description:
SCALE : i" = 30'
f.WVC41,1 mqRK -
SAn/, 9N AT e- ?
/voK/A iwo (,EMDRE
T, = 94-9. /5
--
? - --
-, S 89'4531" E
ADD,PE$S : /758 NoK/A k/?9Y
L OT 4P,54 /7892.5 9V. t,T
NSE A,Pr"fl 239A 5'd FT,
w/GL?cK
Cou?R96E _ /3. 4 Y.
r
?
?
?
LL??
?
?o
?
a° .
ol
?a
(Q51, ??,?'
SQ:o g
DECK
i 1,0q, GARAGE ?
aRaP- 3C a
10.00q 19
??
_.?
N
- (, 1>_ .7)-g- 0-Co2?_ O
o
/ i ?' //''-1 i.-•'
r?57.
ORAINAGE AND
UTILITY EASEMENT
I
I
? I
F
I
? I
I
¢a)?
;J
FT I
a.ao n
io p
(.4s2.
i1;o? ?954,o i • -
r
? 10
?
PROJECT NO.
BOOK
PAGE
yUr,y._ ? ?l?
3 ??'" ,
?
6
?
r
0
N
M
?
?m
?
?
1,
14
?
U?
.,
TflNNf'bXA/t f' ?/K?/ 9Xer/Nv
s7Pff7 E4sC^'B'7
dwlg) (sra nrrqrnm oESCrrIrnon?7
C9-ff -f)
N e
0o •45'31 ° w
X,?° EtKE oa 9ml?rr
p ' f4.a 1 67 . OF PRaHYiB? 7E'A?/'?ARy
- "? ?952.05CYS?c5?% r?nc Hrn CUL DF SAC
r ?1$2,?'?? ? MH ? ST/lEET E?sr UA?E
N?WAY ?R??ECU?FE kiooos
I here6y certify that this is a true ond correct representation of a tract as shown and described
hereon. As prepared by me this 2271? day of MARCN , 19.22.
,eEV. 4-9-99 : DE1E7E 3CAR 6AZ?HE-Ma?H?SE /J n
REl! ?t-/S-gI : RA/Sf !'RePoS£I7 6RA115 EcEV, ,yr,vE A!Q',?.'°!o Of? P. olnr.,..--(i-- Minn. Reg. No. 19086
CoR?E1L. ADD 6O7-ANV ?"H74r,95 ANi7 !sT Co?R•46E ARS? tL`1T C'i7Y Pe?i6iv
,F'EV, 10-17- 99 : ADO 3 cAR C9RAd?E -?a?6 ,yrr? pW,5E H?SE A,cio Co?f.'?16E A-115
.
pi: //-499 LnC4,7 7rMP. NYO. Aao P)vnYefE+? 7"P, 4Kl+/ ARA+si ,M-r) EMCd",r, PRap69R. 3G, 7F or W?NnO?aS
1QE?//-13-99: ModEO HSE. 4.0' wEST
?
EXISTl06
}1ov5F-
co?rsuLnHO aaNmts.
PUINNERS and LAND SURVEYORS
RECEIVED
_D_AK07A COUNTY. MINNESOTA. 'v V " "7 ,44y
C9Cl6% DENOTES EXISTING ELEVATION
6qI 54,o DENOTES PROPOSED ElEVA110N
INDICATES DIRECTION OF SURFACE dRAINAGE
FINISHED GAI2AGE FLOOR ELEVATION
-7• b= BASEMENT FLOOR ELEVATION
q576, 67 = TOP OF FOUNDATION ELEVATION
6ARA6E
0
F LOT 4
?
gI
I
I 1
?
W
d'
0
z
U
?
N4
If
/ CITY USE ONLY 3 S?
q
L BL I n RECEIPT M.
SUBD. RECEIPT DATE:
PERMIT ii ??
1999 PLUM$INfi PERM1T (gLS1DEN7LW
arYoFEALsM
ssso eaor xivos en
FfifiAP.llN 5512E
(651) 681-4675
Please complete for. ? singie famity dwellings
? townhomes and condos when perthifs are required for each unit
? bacldlaw preventer for underpround sprinkler system
FIXTURES
EACH B TOTAL
sem tue $ 3.00 X E - sp
Floor drain 3.00 x - $ . 00
GaS i in oUtlet ' minimum -1 3.00 x - $ . DD
Hot tub/s a 3.00 x - $
Kitchen sink 3.00 x - $ .Op
Laund tra 3.00 x - $ . O
Lavato 3.00 x = $ { 2• OD
Minimum fee alterations to exisQin dweilin 30.00 x - $
Private Dis osal S stem new/refurbished ' re uires MPC iic. 75.00 x - $
Private Dis osal S stem abandonment 30.00 x - $
RPZ new installation/re air 30.00 x = $
Rou h o enin 1.50 x = $ . p
Shower 3.00. x - $ , 00
Under round s rinkler if dwellin is under construction 3.00 x = $
Under round s rinkler if existin dwellin 30.00 x - $
Water closet 3.00 x 2 i - $,". ' OO
Water heater 3.00 x '? - $
Water softener if dwellin under conswction 5.00 x - $
Water softener if existin dwellin 30.00 x - $
Water tumaround 30.00 x = $
State Surchar e .50 -> -> -> $ .50
Total _> _> ?? ....a $ 5 b.D0
Reminder. Call for fnspections of alterations, i.e. water heaters, water softeners, etc.
I hereby aciirrowledge Ihst I Aave read ihis applicatiai, smte that the inforrt?atinn Is confld, snC apree to comply with all eppliceble Clly of Eagan?ordinances.
It is the ap0?icanrs responslWlily fn notlty Me property awner that tlhe City of Eagan essumes no Ifability for any damages pused by the City during ifs
normal operdtional and maintenance actiNties to tlre faalities construded umler this pemtlt within Cily property/rightof-way/easement.
SfTEADDRESS: I756 4014-1A W/Ry
OWNER NAME: : 114M16a J. mNR.E9.. 641? TELEPHONE #: I Z"Y L'L "IO S(pS
( EA CODE) ,
INSTALLERNAME: YVY(IZCL . PLwJN11?'/?T"? TELEPHONE#: vrI "4SZ' ISVS
STREETADDRESS: 19Sq S/'*A1NM? kb. (AREA coDe)
cirr: EA**J STATE: IVYIv ? ziP: 55' tZL
!'pdv? Gv?.?,(,(
SIGNATURE OF PERMITTEE
CITY USE ONLY
LOT BL RECEIPT #: I ?- O 1-{ -1 (
SUBD. Q C U6`0 (`Q? RECEIPT DATE:
MECHANICAL PERMIT # t 9 y"
1999 M£CHANICAL P£fiMIT (R£SIDEIVTIAL)
CI1'Y OF $AkfiAN
3$30 PILOT KNO$ itD
£AfiRN MN 5512E
Date• (651) 691-4675
Complete this section onlv if you are installing HVAC in a single family dwelling, townhome or condo under
construction and not owner /occuoied.
• HVAC: 0-]00MBTU
ADDITIONAL 50 M BTU
• Gas outlets (minimum of one required @$3.00 ea.)
$ 30.00
6.00
3°`-'
State Surchazge .50
Total $ 3?t> ?=
Complete this section onlv if you are remodeling, adding to, or repairing an existing single family dwelling,
townhome, or condo. Please indicate if it is a new item, alteration, or repair.
_ New Alteration Repair _ Other
Reminder: Call 681-4675 for inspections.
Furnace _ Air conditioning
_ Air exchanger _ Other
$ 30.00
State Surcharge .50
Minimum Total Due $ 30.50
SITE ADDRESS: I^I S? ?,?,I,(_A Q` ?
OWNERNAME: _fk"ync "D,L1oY?. 1??111V?Vr,ffr??lr? PHONE#: (0I2 - u09- 4S1e
INSTALLER NAME: C- ?I Z - ? PHONE?(i?lE) -(/Z3-/!4/L-/
(AREA CODE)
STREET ADDRESS: 1Ca 7 ? I? ??qZj?'
CITY: (?,ry-)bCk,V11 STATE:. U ) I\J ZIP:_S?aa&
SIG ANRE OF ERMI7"fEE
L BL
SUBD.
APPROVED BY:
CITY USE ONLY
INSPECTOR
RECEIPT #:
RECEIPT DATE:
MECHANICAL PERMIT #:
?
1999 M£CiiA1VICAL fEiMIT (COMMEltC1RL)
CITY Qf EAfiAN
S$SO PILOT KNOB itD
E4fiAN, r`uv 55122
(651)6$1-4675
Please complete for: all commercial/industrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
BA:'i: Cviv i iwCT PRiCr,:
WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: ]%ofcontract price OR $30.00 miniroum fee, whichever is greater.
Processed piping - $30.00
CONTRACT PR1CE x I%
PROCESSED PIPING
PERMIT FEE
STATESURCHARGE
TOTAL
SITE ADDRESS:
OWNER NAME:
TENANT NAME (IMPROVEMENTS ONLY):
INSTALLER:
ADDRESS:
CIT1':
PHONE #: -
(AREA CODE)
STATE:
ZIP:
($.50 per $1,000 of nermit fee due on all permits.)
PHONE 4:
(AREA CODE)
SIGNATURE OF PERMITTEE
r
city oF eagan
PATRICIA E. AWADA
Mayor
July 16, 1999
THOMAS MAURER CONSTRUCTION
21225 HAMBURG AVENUE
LAKEVILLE MN 55044
RE: INVOICE 8221
OUTSTANDING PLAN REVIEW FEE
1758 NOHIA WAY
LOT 4, BLOCK 1, RIDGECLIFFE WOODS
TO WHOM IT MAY CONCERN:
PAUIBAKKEN
BEA BLOMQUIST
PEGGY A, CARLSON
SANDRA A. MASIN
Council Members
THOMAS HEDGES
City Atlminisirotor
E. J. VAN OVERBEKE
Ciry Clerk
On May 18, 1999 you were sent an invoice in the amount of $435.81 to cover one-half of
the plan review fee for building permit #35791 on the above-referenced property. This
fee was assessed to cover administrative costs to review the plan. Our office called you
on June 17, 1999 to inquire about this outstanding invoice and to date, we have not
received your payment.
Failure to pay this invoice will compel us to defer issuance of future building permits you
apply for within the City. Your anticipated cooperation is appreciated. If you have any
questions, please feel &ee to contact me at 651-681-4695. Thank you.
Sincerely,
004 xz
Doug Reid
Chief Building Official
DR/js
CD/Duug/Maurer Constmctiun
MUNICIPAL CENTER THE LONE OAK iREE MAINiENANCE FACILIT/
3830 aiL0i KN08 a0/+D THE SVMBOL Of STRENGTH AND GROWrH IN OUR COMMUNIN 3501 COACriMAN POUVi
EA6AN. MINNESOiA 55122-1897 EAGAN. MINNESOiA 55122
PHONE'. (651) 68 1d600 ' PHONE: (651) 68I=G30D
FA%'. (651) 681-4612 EqUal OpporfUflity Employ6r FA%: (65)) 681-4360
LDD: (651) 454-8535 TDD: (651) 454-8535
INVOICE
• 3830 Pilol Knob Road Ea an, Minnesola 5512 2-1 897
y'?- city oF eagan g(651) 681-4600
EqualOpportunity/Aflirmative Action Employer a22+
TO: 1
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THOMAS MiWREA CON6TR11CtIOM
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Date• 5-16-99.
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21225 HAMBUYO AYRNS
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1310-9001 PLATfLOCATION: AMOUNT
DESCRIPTION
AtiCELLED !P I3S7910 paying bali ot plan rOviw
3422•9011111 435.61
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TOTAL '
Involce Prepared By: DOUG REID cla=u
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TOTAL DUE UPON RECEIPT -
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7RUMENT
- WA8 PEOORDED W TWS OFFlC2 ON ANa AT .
30' PH '95
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VoLUME
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Ppa E
- , JAMES N. D RE R OF TI7LE3 ,
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FEE • BURCHA?E?.W .
AS9UpANCE FUND
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COPYDELIVERED
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Stete of Minneeota, Countq otDakoEa
aerti5ed te be e trne aad correet eopy rt
the original on ?e and at in mY thb at???_aI??„f
.1AM&,5CouRty BkC01'd¢f
By ?
Deputy
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TEWoxaxs Tvxiv nxourm, srREET EnsMKENar
IN CCSNNECTiON WITH PRIVATE PROJF.CT NO. 95-0
Tbis easement, made this _eA- day of 1995, behveen LGA
INVFSTMEMf GROUP, INC., a Minnesota corporatia hercina8cr referred to as
"Landowiner" and the CPTY OP EAGAN, a Mamesota municiPal corPorarion, orgmized
under the laws of the Sffite ofMinnesota, hmeinafter refetred to as "City".
WITNESSETH:
That ihe Landowner, in consideration of the sun of One Dollar and other good and
valuable consideration, the receipt and snfficieney of which is hereby acfcaowledged, does
hereby grant and convey unto the City, i1s snccessors and assigns, the ioii,#wmg temPorary
easement
A Temporazy tum, azrnmd slreereasement over that part ofcLots 3 and(4; BIocF
1, Ridge"cliffe Woods, Daicota . Coimty, Minnesola, lying within the
circimiference of a circle having a radius of 46.00 feet The center of said circle
is a point on the center line of Nolda Way distant 71.00 feet westerly of the east
line of said Ridgecliffe Woads.
Said temparary casement to expae upoa the easbmiy exbension ofNokia Way.
See also Exhibit "A" attached hereto and incorQorated herem.
The grant of the foregoing temporary easement foz temporary turn around street
puiposes includes the right of the City, its conhactors, agents and seivants to construct .
reconsttuct, iaspect, repair and znaiatain a roadway and appuatenan.ces over, vnder, across and
through the premises, to erect and mamtsin signs in comjunciion with the public's use of said
xoadway and aQpiateaances and any signs erected m conjµnction. with the use.of the roadway..
and appurtenances. - -
And the Landowner, for itself and its successors and assigns, does covensnr with the
City, its snccessors and assigns, ihat it is well seized in fce of the lands and pcemises aforesaid
and has good right to grant and convey the easemenft herein w the City.
Trensfer E tared Thts -? 1Ar _
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DaIwlaCairuyTreasurerAUditor K
IN TESTIlbfONY VVHEREOF, the I.andowner has caused iius easement to be
executed as of the day and year Erst above written.
LANDOWNER:
LGA IlVVESTMEN'T GROUP, INC., a
Mmnesata corQoration
? ,../'. .. _ ... 3j? Leanard G. Anderson
Its: President
STATE OF KriTNNESQrA )
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COUNTY OF DAKOTA )
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On t}ris __?,L_ day of --1995, before me a Notazy Puhlic
within and for said CoimtY, `P=o Y Peared L.eonard G. Aude:son to me personally
Imowq who beiz?g by me dnly swom, did say that he is dre President of LGA Invesunent
Gxoup, Inc., the carporaiion named in the foregoing insttimien?-and that said insinment was
siped on behalf of said corporation by authority of its Board of Directors and said Presidern
aclmowledged said iastruar,ent to be the free act and deed bf the coiporation.
APPROVED AS TO FOitM:
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Public w s epardnenc
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APPROVED AS TO CONTIIVT:
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TH]S IIV'STRUMENT WAS DRAFTED BY:
SEVERSON, WII.COX & SHELDON, PA
600 Midway National Baak Baild'mg
7300 West 147th Sireet
Apple Valley, MN 55124
(612) 432-3135 .
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circle t1u eenterlixaof radlm Nolctao YSy ?dLaLaM ji.00 TGlLLYl6S6f1y1 D? CLIIe east lins of said
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***************************************
CITY OF EAGAN
CASHIER: JS TERMINAL NO: 785
DATE: 08/17/00 TIME: 09:47:29
ID:
NAME: BLAYLOCK PLUMBING CO
3212 9001 1758 NOKIA WAY 30.OC
2155 9001 1758 NOKIA WAY O.SC
Total Receipt Amount: 30.50
CR136036
USER ID: JAN
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA175797
Date Issued:04/15/2022
Permit Category:ePermit
Site Address: 1758 Nokia Way
Lot:4 Block: 1 Addition: Ridgecliffe Woods
PID:10-63990-01-040
Use:
Description:
Sub Type:Furnace & Air Conditioner
Work Type:Replace
Description:
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Zeanta J Bryant
1758 Nokia Way
Eagan MN 55122
(612) 670-8780
Krinkie Heating & A/c
87 E County Rd. B
St. Paul MN 55117
(651) 488-5555
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA176648
Date Issued:05/25/2022
Permit Category:ePermit
Site Address: 1758 Nokia Way
Lot:4 Block: 1 Addition: Ridgecliffe Woods
PID:10-63990-01-040
Use:
Description:
Sub Type:Water Softener
Work Type:Replace
Description:
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Zeanta J Bryant
1758 Nokia Way
Eagan MN 55122
(612) 670-8780
Krinkie Heating & A/c
87 E County Rd. B
St. Paul MN 55117
(651) 488-5555
Applicant/Permitee: Signature Issued By: Signature