836 Northview Park RdWP .
.
, (Ctr#tfiratit of (Orrupttnry
Citp of (f agan
]9rprart=t o# Iuitaing JWprtiott
Thrs Cerlifecate issued pursuant to the requirements ojSection 306 of the Unifarm Building
Code certifying that at 1he time of issuance this structure was in compliance with the variour
ordirrances of the CYry regulating building construction or use. For the followirtg:
ux cunrwawn SEMGW eWg. Ptrmit No. 17475
owuro-r rya R3`l _ zonine nand RI rra cOOc VN
owm of aaag FARNTTE2 i]1?t7Ff [FME+TC A&t,. 1285 iMPORAM GIIt IlR.
B?aa?? e?s 836 NMUHVIEW PARK %OAD Lomhty L4. B6, SfAFFW PiACE
' ? .
Dw: APRiL 3. 1990
eoaaM _
POST IN A CONSPICUOUS PLACE
?-.
"r.
SEWER de WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
? •?
DATE
METER #
CHIP # -
METER SIZE
PERMIT DATE 2 J 2. / '90
PERMIT # 11207
B.P. RECEIPT #
B.P. RECEIPT DATE 90
SITEADDRESS1 d'>,'4t??1V(t.;,; ''+
,
LOT ?LOCK SEC/SUB
APPLICANT:
ADDRESS:
CITY, STATE ZIP ?
PHONE: PLUMBER: '
ADDRESS: -
CITY, STATE ZIP
PHONE: `
OWNER: ti J! I i c? L^--
ADDRESS: ' - ' • . ?
CITY, STATE ZIP
PHONE:
PRV - BOOSTER PUMP
ISSUE DATE
PERMIT REQUESTED
? SEWER = WATER _ TAPS
COMM/IND
NEW
- RESIDENTIAL
EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead oi Domestic Meters on Water Line.
Credit WILL NOT be given for Deduct Meters.
1 AGREE TO COMPLY WITH CITY OF
EAGAN ORDINANCES
SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERAAITS, CONTACT ENGINEERING DEPT.
SEWER & WATER PERIAIT
CITY OF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
DATE '
?I'?.`?Y? I
SITE ADDRESS ?'#2"? ? ' / t ? ??f '-b: ' ??
. Cu.?;
LOT `_?___BLOCK SEC/SUB `- ??
Y ?? r I n c-.?
APPUCANT: ;.t- ,. ?: ?; ? n...?., t r e ???' .
ADDRESS: ??:-• :! i'' ? ?i !-' y ? 1 r
CITY, STATE " ? ??? r'-- ZIP ? ? '
PHONE: ; ,1 < ?
PERMIT REGIUESTED
? SEWER _ WATER _ TAPS
- COMM/IND ?? RESIDENTIAL
_ NEW _ EXISTING
Lawn Sprinkler Meters are to be Installed
PLUMBER: ?' ?'-?{'? ?-? Ahead oi Domestic Meters on Water Line.
ADDRESS: ????Y, I? .? ??..%CS-- r?c . _ Credit WILL NOT be given for Deduct Meters.
CITY, STATE ' - ?, ? ; ? ? ZIP ` - ? ``
PHONE: ? , .
I AGREE TO COMPLY WITH CITY OF
OWNEFi: ? ?' ' ' ? J ? ? EAGAN OR CES
ADDRESS: ? ? ?' ?? ?
CITY, STATE ' ZIP ` ? , r_ ?
PHONE: ' •?: " SIGNA RE EN R ISSUED
PRV - BOOSTER PUMP
OFFlCE USE ONLY
METER ? y 33?3 O?? pERMIT DATE ? f 1 ???
CHIP # ? ?'??+ S S ? ? PERMIT ? ; ?:)7
METEH SiZE °? ,. ,
B.P. RECEIPT ? ? 64 %
ISSUE DATE 3? Zg ? La g.P. RECEIPT DATE 1?-" ??? ?
PLEASE ALLOW TNO WORKiNG DAYS FOR PROCESSING. CALL 4545Y10 FOR INSPECTION . OR STORM
SEVYER PERMITS, CONTACT ENGINEERING OEPT. r??„? .( ??
? • -?., ?
CITY OF EAGAN 1475
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt # -? ?
h
_
To be used for ' SF DMC/GAR Est. Value ;66,000 Date JANf 30 19 _ 90
Block 6 Sec/Sub. STAFFORD PLACE
W Name ?IBR DHYELOPHENT
; Address 1285 CORM}RATE CENTER DR
0 City P-Ar-AN Phone 454-0433
Phone
W W Name
? ; Address
a W City Phone
I hereby acknowlege that I have read this appliCation and state that the
information is correct and agree to comply with all applicable State of
Minnesola Statutes and City of Eagan Ordinances.
?i?;•( _'t ? i;i
Signature of Permitee - a
A Buiiding Permit is issued to:
on the express condition that all work shall be done in accordance wit all
applicable State ol Minnesota Statutes and City of Eagan Ordinances.
Building Official
OFFIC E USE ONLY
Occupancy R-3 -M=-l FEFS
Zoning R-1
(Actual) Const V? Bldg. Permit 487.00
(Allowabie) - Surcharge 33.00
# of Slories ?
-
Pl
R
i
316•00
Length ,? an
ew
ev
Depth SAC, City 1000 ?
S.F. Total -
SAC, MCWCC 6? ? ?
S.F. Footprints -
625.00
On Site Sewage _ water Conn
On Sde Well
xx Wa1er Meter ?•?
MWCC System 30.?
City Water ? Acct. Deposit
PRV Required xx SAN Permil 30•?
Booster Pump - S/yy Surcharge 1.00
Treatmern PI 292•00
APPROVAIS Road Uni1 3 S S•00
Planner - Park Ded.
Council
BIdg.ON. _ CoPies
919.00
2
Variance - TOTAL .
Permtt No. Permlt Holder Date Telephone !F
WATER
.
SEWER - i
PLUMBING
H.V.A.C. I l?CG 7? ? c?t! ?
ELECTRIC
Inspeetion Date Insp. Comments
Footings 1
I
Foundation °Z? CI? ? Z? G• U^' '
Framing 7-Z
floofirtg
Rough Plbg. -^Io??l?
Rough Htg. ? ?
Isul.
4
Fireplace
Final Htg. ^3? I
Final Plbg. ;3Q ?Q
Const. Meler Plbg. Inspector - Notify Plumber
Ergr.lPlan
Bldg. Final ?
Deck Ftg.
Deck Final
Well
Pr. Disp.
?u V?T-??isx?• r . ..?'?i:r.;:,?f' "?f ? ?''`.` l: l'etr+3., ??t ????y p 7,???',..y; . . ...
y*PLUMBING PERMIT
For Office Use Oniy
` CITY OF EAGAN PERMIT #
CONTRACT 3830 PILOT KNOB RCAD, EAGAN, MN 55122 RECEIPT #
PRICE . PHONE 4548100 DATE:
Lat -
`m
c3
O
Res. ?
.,.,?.
Comm.
Other
New
Add-on
Repair
FEES
COMMJIND. FEE -1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APLLIES
MINIMUM - RESIDENTIAL FEE $12.00
MINIMUM - COMM.IND./FEE $20.00
STATE SURCHARGE PER PERMIT .50
(ADD $.50 S/C PER EACH $1,000 OF PERMIT FEE)
NO:?.,..??.........?. FIXTURfS.?_?.- • -°-"TOTAL
Water Closet - $3.00 $
_L Bath Tubs - $3.00
Lavatory - $3.00
? Shower - $3.00
Kitchen Sink - $3.00
UrinaVBidet - $3.00
_L Laundry Tray - $3.00 311
? Floor Drains - $1.50 ??
Water Heater - $1.50
Whirlpool - $3.00
Gas Piping OuUets - $1.50
(MINIMUM -1 PER PERMIT)
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50 T 5?
PERMIT FEE: ?3 ?Tn
STATES S/C: s
GRAND TOTAL: ?P&
h -
PERMIT #
MECHANICAL PERMIT
CITY OF EAGAN RECEIPT # -J
3830 PILOT KNOB ROAD, EAGAN, MN 55122
CONTRACT PRICE " 1 6(,L . Of' PHONE: 454-e100 DATE:
Site Address _'•..-
BLDG. TYPE WORK DESCRIPTION
Lot Block Sec/Sub'
Res. New
Name Mult Add-on
y Address ?h? h "' '? Comm. Repair
Other
c City Phone
Name
?? ?z3te C:e??T:rt- Pr-
1?8? Coi- FEES
RES. HVAC 0-100 M BTU -$24.00
DDIT
ON
c Address .
} A
I
AL 50 M BTU - 6.00
O City n Phone " 54-0' (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
'
GAS OUTLETS (MINIMUM -1 PER PERMI
? - 1.50 EA.
TYPE OF WORK COMM/IND FEE -1% OF CONTRACT FEE
Forced Air ' M BTU APt BLDGS. - COMM. RATE APPUES
Boiler M BTU TOWNHOUSE & CONDOS - RES. RATE APPLIES
Unit Heater M BTU MINIMUM RESIDENTIAL FEE - ALL ADaOR $
Air Cond
M BTU REMODELS - 12.00
. MINIMUM COMMERCIAL FEE - 20.00
Vent CFM
? 3TATE SURCHARGE PER PERMIT - ,50
Gas Piping Outets # • (AOD $,5D S!C PER EACH S1000.00 OF PERMIT FEE)
Other •
PERAAIT FEE:
SIGNATURE QF PERMITTEE
S1C:
'
TOTAL: FOR: CITY OF EAGAN
INSPECTION RECORD
? OF EAGAN PERMIT TYPE: ''" "f W's
3830 PilOt Knob Road Permit Number. s'-' fl V4
Eagan, Minnesota 55122-1897 Date Issued;
(612) 681-4675
SITE ADDRESS: APPLICANT:
.?i t W VAR?_ RO
PERMIT SUBTYPE:
TYPE OF WORK:
INSPECTION .• . ..
fiFMANk ;s Pl AN f?UVRWt°f1 E31' MIKE RftRGK
Permit No. Permit Holder Date Telephone S
ELECTRIC
PLUMBING
HVAC
Inspectlon Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TES7
FINAL PLBG
FINAI HTG
ORSAT
TEST
BLDG FINA4
BSMT R.I.
BSMT FINAL
OECK FfG
DECK FINAL
? . ,.
- CASH RECEIPT
ciTY oF EAGAN .
3830 PILOT KNOB ROAD ,
EAGAN, MINNESOTA 55122
DATE 1- 30 3D
micaww ?
?
,,MoUNr 80? op
V2Ci Iq, Oa a ooWas
# Lt85?'
§ASH YC?ECK,5
C 6027 ??
Thank You
?Iz ffw
,
RE:
DATE:
$/2/90
PEHNSYLVAA7IA AVENUE, L23, B1, STAFFORD PLACE
1a?o CNKTttVFCW rAStc ROAD, G4. 86, STAFFOED PLACE
$x )*r Sewer 8 Water Permit for the above property has been completed. It will be held at the
W,ublic Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
?ALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATkR TURN ON.
a
- Your Sewer & Water Permit for the above property cannot be completed for the following
reasons:
?
- Your Sewer & Water Permit for the above property has been completed, but the meter cannot kie issued or occup `ncy allowed until further notice. '
- COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must he
coniirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-5100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED 8Y LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
CITY OF EAGAN N0 17475
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 Receipt # l.?
PERMIT ?( ? ft ?
BUILDING ?
lJ
io6eusedtor' SF DWG/GAR Est.value $66,000 pyle .IAN 30 , ?g90
Site AQdress - 836 NORTHVIEW PARK RD
Lot 4 Block 6 Sec/Sub. STAFFORD PLACE
Parcel No.
w Name FRONTIER ?EVELOPMENT
? Address 1285 CORPORATE CENTER DR
City EAGAN Phone 454-0433
o Name SAME I
g¢ Address
'- City Phone
.
w W Name
?3, Address
a W City Phone
I hereby acknowlege that 1 have read this applicalion and state ihat the
inlormation is correcl and agree to comply wilh all applicable State of
Minnesota Statules and City o/f agQ/n Ordip1ance .
Signature of Permi[ee - ?.L?1
A Building Pertnit is issued to:
on the express contlition that all work shall be done m accor ance with all
applicable State of Minnesota Statutes? afnd C?it?y oItIEagan Ordinances.
Buildirg Otficial ?1lA
.? I 1 i 1?CI
OFFICE USE ONLY
Occupancy R-3 1i-1 FEFS
Zoning R-1
(ACtual) Const V-N Bldg. Permit
(Allowable) V=N
00
33
Surcharge -
# of Sfodes
Length 39, PlanReview 316-00
Oapih 46.'_ SAQCiry 100.00
S.F. Tolal - SAC, MCWCC 600.00
S.F. Footprints -
On Site Sewage _ Water Conn 625.00
On Si19 Well - Water Meter 90.00
MWCC System xx 30
00
City Water XX Accl. Deposit .
PRVRequiretl XX S/WPermit 30-00
eooster Pump - S/W Sumharge 1.00
Treatment PI 252.00
APPHOVALS Roatl Unit 3 5 5_(1(1
Planner - park Ded.
Council
BIdg.Ofl. _ Copies
VarianCa - TOTAL 2 ,919.00
/?
/?(p?p-6O J'REQUEST FOR ELECTRICAL INSPECTION `es-ooooi-os
'S/ 95 ? Sne ins[ruclions for compleling [his lorm on back oi yellow copy. ?'
"X" Below Wak Covered by This Request 4?,e..' gn ?
Ne Add ep. Type of Building Appliances Wired Equipment ired
Home Range Temporary Service
Duplex Water Heater Elechic Heating
Apt. Building Dryer Load Management
Comm./Industrial umace Oiher (SpecNy)
Farm Air Conditioner
Other (specify) Gonlmclors Pemarks'.
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 2D0_Amps Above 100 _Amps
SI JOS Inspecta/s Use Only: TOTAL
Irrigation Booms ? 6
Special Ins ection
Alarm/Communication RE?D
THIS INSTALLATION MAY BE ORDE ISCONNECTED IF NQT
Other Fee COMPLETED WITHIN 76 MONTHS.
I, the Electrical Inspector, hereby Rough-in , Date
certity that the above inspection has
been made. Finai ? oat6 ^
OFFICE USE ONLV
This request voitl 18 monihs fmm
? y5/90/
0-1 6-605
u''
Req 4st Dat Fre N. ough- n Ir - ion Fequiretl
(VOU musl nspec[or w ady} Inspec' n Other Than Rough-In
¢atly Now ? itl Nofity tnspeiattIl
? Yes No Date Read
I icensed contractor ? owner hereby request inspection of a6ove electrical work at
b AQ?C?jess (Street. Box or Roule N. ) Ct
t
?JC V/ 1
Section No. Tamship Name or No. Range No. Cou ry
V
are Ph?"? -? ?
PowerSUpplier Atltlress
ElectricalCOMractor(COmpanyName) A/? Inc
& ?o?„aclyry?N?
,
Burnsville Heating ? ?
Mailirg Address a ?
553y8•1122
avage N
Avthorizetl urejCOnhacro -on)
? Phone Number
ESOTA STATE B AF OF CT ITY THIS INSPECTION REOUEST WILL NOT
Gtlgga-Mltlway Bltlg. Raom 5428 111 111 11 1111 11 11111 11111 1111 I 111 1111 BE AGCEPTED BV THE STATE 80AFD
11
1821 University Ave. SL Paul, MN 55100 UNLE55 PPOPER INSPECTION FEE IS
Phane(612) 642-08D0 ENCLDSED.
94'zV??--
. 12 9-9 L /W 121
Repuest oate
/?6 Fire Rougn-in Inspection
1 Re ?
? Ready Now ?AI IJOiiTy Inspector
? es u No When ReaQy?
I Jlicensed contraclor ? owner hereby request inspection of above electrical work at:
Job Address (Street, Box or Rou?e No
9 c? 7&z% I , ` ^?
G? Cit)
Section No. Township Name or No. Range No. Coun
?
Occupa (PRI )
? Phone No.
PowerSu ier Adtlress - -
?1
Eleclrica ntracmr ICompany Name) Camr r4license No.
Meilinq dtlrass ( ntroc[or or Owner Making Instaliation
?-7-
r3
Authori Siqnamre (ConVacroU r Making Inrallawn) Phone Num br
NANNESOTA STATE BDAHO OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griqgs.Mltlway 810g. - Room S-173 6E ACCEPTEO BY THE STATE BOARD
18E1 pnlversfly Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone(612) 6q2-0800 ENGLOSED.
/r5
1)
G 129.92
REQUEST FOR ELECTRICAL INSPECTION
'V See insimctions for completing IDis brm on back of yellow copy
"X" Below Work Covered by This Request
ea.ooom.a
e Atld Rep. 7ypeofBuilding AppliancesWired EquipmemWiretl
Home Range Temporary Service
Duplex Water Heater Elec[ric Heating
Apl Building Dryer Other (Specify)
Comm.llndustrial Fumace
Farm Ai? Conditioner
Omer (speciry) Conlractor's Ramerks:
Compute Inspection Fee Below:
# Other Fee # ServiceEniranceSize Fee # CircuitslFeeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Abov Amps
Si 5 Inspector5 Use Only. TOTAL ?v
Irri ation Booms e ?
Special Inspec[ion
Alarm/Communication THIS INSTALIATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby ROUgh-in r oaie
certify that ihe above inspection has
been made. Finai
OFPICE USE ONLV • `, , „+?,,
Thls repaest voitl 18 monihs irom
2004 RESIDENTIAI, BUII.DING PERMIT APPLICATION
City Of Eagan
.. ' 3830 Pilot Knob Road, Eagan MN 55122
(67 (to? c7 ? Telephone # 651-675-5675 FAX # 651-675-5694
?
New ConsWclion Reouiremenfs
3 registered sde surveys showifg sq. R of bt, sq. ft. of house; and II roofed areas
(20°h rroximum bt coverage allowed)
2 copies of plan showing beam & window sizes; poured found desgn, etc.
1 set of Energy Calculatbns
3 copies of Tree Preservation Plan H lot pletted afler 711193
Rim Jaist Detail Optbns selection sheet (bldgs wilh 3 or less unita
RemodellReoalr Reauiremenfs
2 copies of plan
1 set of Energy Calalations for heated additions
7 site survey for additlons & dedcs
Addition • indkate i(on-sfte septk system
q ? j0
?.? uv\JA-4-? 9 1
arce usB ooiv
Cerl of Survey Recd _ Y. _•N
TreaPresPlanRecd _Y_N?;
Tree Pres Required _Y _ N
On-site Septic Syslem _Y'_ N.
Date II cz? I by
construction Cost
Site Address /? n
(? o2?'F! J I?w Y? 14? f U UniUSte #
e aj 5'?"23
Description of Work BVILV
Multi-Family Bldg _ Y-I?C N Fireplace(s) K 0 _ 1 _ 2
Property Owner 0, 55 G) P--'91.) PM l9-r-J Telephone #((oSi > yog - o y E3 S
tk) ark?
s P
" S
J
Contractor 1T? '
"
?f•ou/n1C(L
Address (53(0 / Vs+cTT4 Q I 6?j ? K City 1?46 A,./
State 7.ip >--?S I 2-3 Telephone #((?S I) 40 ?'c7 L( g!S-
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEIAf BUILDING
- Minnesota Rules 7670 Categorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Su6mitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan8
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone #(
Telephone #(
N If so, 25% plan review
I hereby apply for a Residential Building Permit and aclrnowledge that the informati ate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the 5tate 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
pernut; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
ApplicanYs Printed Name ApplicanYs i
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea:)
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screenlgazebo)
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
Work Types
?? 31 New
32 Addition
? 33 Alteration
? 34 Replacement
+
?¢r 30 Accessory Bidg
? 31 Ext. Alt- Multi
? 33 ExL Alt - SF
? 36 Multi Misc.
? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors
`Demolition (Entire Bidg) - Give PCA handout to applicanf
Valuation )--// 0 Occupancy
Census Code N 3? 2oning
SAC Units Stories
# of Units Sq. Ft.
# of Bldgs Length
Type of Const Width
? Footings (new bidg)
_ Footings (deck)
_ Footings(addirion)
Foundation
Drain Tile
Roof Ice & Water Final
_ Framing
_ Fueplace _ R.I. _ Air Test _ Final
Insularion
MCES System
City W ater
Booster Pump
PRV
Fire Sprinklered
REQUIRED INSPECTIONS
FinaUC.O.
?( FinaUNo C.O.
?' Plwnbing
HVAC
Other
Pool _ Ftgs _ Air/Gas Tests Final
Siding _ Stucco _ Stone _ Brick
Windows
Retaining Wall
Approved By: 1'2, , Building Inspector
Base Fee
Surcharge
Plan Review
MGES SAC
City SAC
Utility Connection Charge
5&W Pertnit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
KLA""59Ori y
6 JlL2 Jai?
/ ), yac2 : ;-voyfq 3(,36a
-?
SURVE
rEL Pioian 1?;,•_?i, iu:- rn11;
?:ti1 rl- ? 1?? l l
s vr?? G'crt<<cat`e
f??vef
. 1 , ?
I'.D.C.
: l,ot A, Block G, 57'AFI'ORll PLACC. City of Eagan, llakota
County Atinnesota and reserving easements of record.
tpT?L
4?8 \ A??? ?P
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on?
Op. '° ? \ /6
77?
LOT SQUAAE OQ
r'J
Oh
;
? :.
, .
TAGE.,Q::Fzj;12;'' 844 t?,,
P.R.V. .. ¦ ic1.7. . ?
¦ B?B.D `
. .. . ,.. a a.. w ?? . _ .
'? S a
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910-00
o° •FBS00 6Z, ?
Pq?
?ceyb esg `?? ?8 .
T. N. N-id. @ Ce.- ej' l01? Id 4
19I 61eLk G. [/eV. s 96I•84'
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-881-4875
Naw Conswctlon Heauhemema
• 3 registered sde surveys showing sq, fl. of bt, sq. ft. of house; and all roofed areas
DATE <4I3 k9l l71/,/ /(),
(20°/> meuunum lot coverage albwetl)
. 2 copies af plan ahowing beam & window sizes; poured fountl tlesign, eta)
• 1setWEnergyCakuletions
• 3 copies of Tree Preservatlon Plan tl bt platted aflar 7/1/99
• Rkn Joist DelaJ Options selection sheet (bltlgs wiN 3 or less untts)
RemodeVReoair Neaulrementa
• 2 copies of plan
. 1 set of Energy Cakulatbns for heated atltlilpns
• 1sHesunayforexlerbradditions&decks
• Indicate if hane serve0 by septic system for eddtlbns
VALUATION
SITE ADDRESS _93'0_?a(`?t'YI.M .}Rri
MULTI-FAMILY BLDG _ Y
NPE OF WORK/ZP/LUZS V:' FIREPLACE(S) JK 0_ 1
APPLICANT
OBRIFN kU0FIN6
STREET ADDRESS M I N N f A P fl I I c Mu CIN STATE ZIP
TELEPHONE #?2Ia-7?fS"•Q_2?, CELL PHONE # 5 5 4 0 6 FAX #
PROPERN
TELEPHONE# CQICZq S_T
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNFSOTA RULES 7670 CATEGORY 1 MINNESOTA RULFS 7672
(J submission type) • Residentiel VenNlation Catepory t Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Conhactor: __
Plumbing system includes:
MeChanlcal Coniracfor:
Mechanical system includes:
Sewer/Wafer Contractor.
Air Conditioning
Heat Recovery System
-)'Y
_ 2
Fee: $90.00
Fee: $70.00
A
I hereby acknowledge that I have read ihis application, state ihat
with all appllcable Stpte of Minnesota Statutes and City of Eagqrf
OFFICE USE ONLY
Water Softener
_ Water Heater
_ No. of Baths
_ Phone #
Lawn Sprinkler
No. of R.I. Baths
Phone #
and
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4J02
OFFICE USE ONLY
? Ot Foundation ? 07 OSplex O 13 16plex O 20 Pool
? 02 SF Dwelling ? OB 06-plex ? 16 Fireplace ? 21 Porch (&sea.)
? 03 Otof_plex ? 09 07-plex ? 17 Garage ? 22 PorohlAddn.(4-sea.)
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened)
? 05 03plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New
? 32 Addition
? 33 Alteration
? 34 Replacement
Valuatlon
Census Code
SAC Units
Nbr. of Units
Nbr. of Bldgs
Type of Const
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 6ct. Alt - SF
? 36 Multi
O 35 Int Improvement ? 38 Demolish (Interior) ? 44
? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45
? 37 Demolish (Bldg)' ? 43 Reroof ? 46
•Demolition (EMire Bldg only) - Give PCA handout to applicaM
Occupancy
Zoning
Stories
Sq. Ft.
Length
W idth
Sid(ng
Fire Repair
Windows/Doors
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaUC.O.
_ Footings(deck) _ FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _[ce & Water _ Final _ Pool _ IFtgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireptace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaunng Wall .
Approved By , Building Inspector
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
r.:a:rv nF i::nr,r??
CAS;..iIER: s rrRKi.P1Fi!_. f:0-u i?,.)
Dt fl:: QW5198 "I'INiE.: 0s50c59
iLt:
NA"ikT.r, F;rL:..Y i% '...I.;CI::N°!`E.
3r?:I.f; 9001 836 i•d(;jl.?rHV:f.E:44 1=. 5(:1,.001
2155 ^Oi:i. 836 tii1RY'41.17.F:14 : Ci,.:'iQ
3420 Ji)(.li 836 Ni:',r_,`('I-!".!:I:E:W 1-' 0,1?0
T„1;,-,7 Rtaca:i.plt r;ncn.;n';e 51.00
CF?LIIi):i.`:? 74.
I 1.= _^i i:' i 9 M?':N(:Y
'
? C1TY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT
PERMITTYPE: Bui?oiN?
Permit Number: 032019
Date Issued: 0 5/ 15 / 9 8
SITE ADDRESS:
836 NpRTHVIEW PARK RD
LOT: q BLOCK: 6
STAFFORD PLACE
P.I.N.: 10-72500-090-06
DESCRIPTION:
Buildiny--Permit Type
Building'War..k Type
Ceneus Gode
REMARKS:
PLAN REVIEWED BY MIKE BARCK
DECK
NEW
434 ALT. RESIDENTIAL
p 1'1 I
FEE SUMMARY:
Base Fee
Surcharge
Subtotal
$50.00 COPIES
$.50 Total Fee
$50.50
CONTRACTOR:
r
$.50
$51.00
OWNER: - Applicant -
LUCENTE KELLY
836 NORTHVIEW PARK RD
EAGAN MN 55123
(612)405-8843
I hereby;acknowledge th:at I ttiave read this appliCation and state that the ?
infor.mation is correct and agree to comply,with all applicab2e State of.Mn.
L StaL?i;gs and ?citi, of e09an tir,sl3.nanoe6"
?oua ?jdk 1 m?
?ISSUED Y: SI NATUF
019 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) -fffl, 00
? CITY OF EAGAN
1 3830 PII.OT KNOB RD - 66122 (? ?. f
681-4676 01 ?J
New Conatrvetion Reauirements
? 3 registerod site surveys
• 2 copies of plans (inGude beam S window saes; poured fid. design; etc.)
? 7 energy calculetions
• 3 coples of tree preservation plan H IM pWtted aRer 711193
required: Ves No
DATE: 5 Ez F9 (,P5
RemodeVReoair ReauiremeMs
? 2 copies of plan
? 2 site survays (exterior addRions & dedcs)
? 1 energy calculations tor heated addkions
CONSTRUCTION COST; I-'?r?Ol? OL-2
DESCRIPTION OF WORK:
STREET ADDRESS: EZn 12 6?aL±L-)ll Q 4 -)a n
LOT: `i BLOCK: lSl SUBD./P.I.D. #: ??,j?? P?
Name: 4X-X-?am Phone #: '"'l ? ? • ?Jl'? ?
PROPERTY Last ;rsc
OWNER ?35(fJ -?? ?
Street Address: ? A ?
CitY State: Zip:
?
CONTRACTOR Company:
Street Address:
City
ARCHI7'ECT/
ENGINEER
State:
Street
City
Sewer & water licensed plumber (new construction only):
and lot change is requested once pertnit is issued.
State:
Penalty applies when address chang
I hereby acknowledge that i have read this application and sfate that the intorma6 n is cortect a agree to compty with all applicabl
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant VIA
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required
License #
Zip:
Phone #:
Registration #: _
Zip: ,
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex
? 02 SF Dweliing ? 07 4-piex
? 03 SF Addition ? 08 8-plex
? 04 SF Porch ? 09 12-plex
? 05 SF Misc. ? 10 _-plex
WORK TYPE
0 s1 New O 33 Alterations
0 32 Addition ? 34 Repair
? 11 Apt./Lodging O
? 12 Multi RepaiNRem. ?
? 13 Garage/Accessory ?
? 14 Fireplace ?
,12' 15 Deck '
0 36 Move
? 37 Demolition
wF ?.
4, ?.
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MC/WS System
(Allowable) Main level sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code. 14 3q
Depth Footprint sq. ft. SAC Code o I
Census Bldg I
Census Unit c>
APPROVALS
Planning Building ms Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
5/W Permit
S/VN Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies . ..SO (2)
s
Illii TEL f•lii.12 _D._.-U 4:`.:_!
J3n l?,'=tii ji1::7 ('•lii.i!,Ji F...
Iti1
?
slrr?vc? or?s G'ert«caCc
1 ,?
SURVEY'?FO?C F,D.C.
DESCRIB?AS: l,ot A, Block G, STAFFOKU PLACE. City of Eagan, llakota
County Dlinnesota and reserving easements of record.
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LOT SQUARE 0 0 TAGE.,1"844f"'
P.B?.?a R4?,'';"?L,????ED
?e ri J909ML, '
T. M. Hyd. @ Ce, sI' Lei! I! t
? 19, 6fetk G. E!!V e Bbf.84'
.. e.. .. ? .. .. .. ?., - 'i /a?'1' . . . . ----• -_-_'-...___•?_........
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SIHGLE FAMILY DWELLIAGS
1989 BtTILDIAG PEAHIT APPLICA?ION
CITT OF EIGAN
'?4 el
l?LTIPLE DiIELLINGS
2 SETS OF PLANS 2 3ETS OF PLlN3
3REGISTEAED SITE SURVEY3 REl3ISTfiRED 3ITS 3QHVETB -
1 SET OF ENERGY CALCS. (CHECg ftITH BLDG DIV. )
1 SET OF 6NERG1 C?LC3.
MULTIPLE DTiELLING3 HENTAL DNTI3 FOR SALE DBITS
COMMERCIAL
2 SETS OF IACHI2ECTUAAL
8 STBDCTQRIL YLINS
1 SSl' OF SPECIPIClTIONS
1 SET OF EPE6GT CALCS.
/ OF IIYITS
yOTEs IDDRES3ES POH CORAER LO?S - COIPfAlCTOA/HOMEOflNER !lDST DE4IGAATE YSICB ADDRFSS
IS DESIRED. 80 CHANGFS iiILL BE ILLOflED ONCE BOILDING PEAHIT IS 23SOED..
3EfiER 8 iiATER PEI4MIT F'EES l1iD lCCOQNT DEP03IT T6ffi iTII.L 8fi INCLODED iTTPB TBE HOILDZN4
PEAHTT FEE. PAOCESSING TIlfE FOR 3EWER AND YATER PEAMI?3 IS Ti10 DAYS ONCE A PEAMIT 8AS
HEEN C0lPLETED INDICATING A LICENSED PLDlMER.
PENALTY APPLIFS HAENs
SFD IGAI?
To Be Used For: naw rnnctrrnt,nn Valuation::E??
3ite Address S5? Nw4flVILuLKd'
Lot + Bloek &
Pareel/Su b , J?k-k4 P(0.GQ.-
Ormer Il/? iT(????V) ?4 nl a'?
Address ' ?
3ri?z::? Eaq?a,t?
City/Zip Code M!? ?5121
P6one (o g8' 25'6(,
Contractor Wisv?+)i"
Address lZ-$S L??yr?-?e ?-?? ta?
City/Zip Code ??a T rnN 53 ?Z-1
Phone
Arch. /Engr. 01L?-- LkGl. vli fi?
Address j410'3GanhnV1ew Dv/
City/Zip Code t.t. Vd"? ??1N
PERMIT IS NOT PAID FOA IN SAME MONTH IT IS REQUESTED.
LOT CEiANGE IS REQOESTED ONCE PERMZT IS ISSUED.
JA N 1 9 RECD
G 6' 00Q - OFFICE O.S!
Occupancy R--6 M-i
Zoning ?
Actual Const V-N
Allowable V -N
1 of stories
Length 3 '
Depth ?
S.F. Total
Footprint S.F.
On aite eewage
On aite well
!lWCC Syatem v
City water ?
PRV required ?
Booater Pump _
xn ' /,z.Z
fEES
Bldg. Permit `irS'/,GO
Surcharge 33.00
Plan Reviev 31(o.
?
SAC, Citq 00,00
SAC, MWCC Do
Nater Conn ,00
Rater Meter 90,Gb
6cet. Deposit jn,
3/A Permit 3D,?D
S/1i Sureharge I,oo
Treatment fl. 252,Uo
Noad Uait -z, ti,0o
Park Ded.
Copies
SOBTOTAL
Penalty
lOiAL 17I
15 ? w
Dates 1-18-90
SSl Z?-
Phone I Q"?> 'Z -';? 4C1 L
HtbLUhD E 161PJEEPIIdG TEL Ilii.Fl J,iri 18 111 -, Ilo.ii(ii F,/"' ?ti1 ??IZI?e ll
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v?r?r?vel *s ccrt? ?cat?c
1ar ?
,
SURVEYI t: p. n. c.
DESCRIBFAS: I,ot 4, Block 6, 57'AFCOIill PLACG. City of Eagan, llakota
County A1innesota and resexving easements of record.
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LOT SQUAREO TAG?c??1? ?W??G D?p?r
PROP09ED ELEVAilON3
rov er oeunaaiion ¦ 8s9Vi
Ooroqe Fleor • 84B.p
Bafemont Floor ? g64.0
Approe. 99etr BNrico Ehv. •
ProOOUA ElWOflen@ I Q
Etitllno ENvaitent I
Drolnea• blreelloni ?.....,..
Ofnofn O1He! 8fake ? O
iiEoLuNo
PlanMrp Enplnse+hp 8ur?eylrrp
MIIM?bwFybnlNn4* ??? Mn?NNWN
I?wpa? ?I I!? IM pM
poRoMo G°3?CAWMED
lENCHMARNt
N T.IJ. 14,14. M Ce. .r lei! 16 ?
14? bloLk G. crev. _ ec1.84-
L? MIM.lETSIICIt REOIR6MENT5
p
O l Frenl - 30 Newe $!h -1o
peif -15 Oare1? ?Id? - 5
SCALE: ! inah . 30 fOOf
1 Mnly uAlfr IMt IMI wrw/. 01en a nporl MaO PrnsrN q mr JD! N0.7
n ynAor mr Oktet ouplrvltlen anA IAOt 1 ein e Anly Ro/Iitod 9OR' 016
LsnA lxrrr? unAn IA? Nrf 1f M? HaN ?i Mlneatl?.
ROOKt IAo[,
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ans i, ?6. qo .?. t?ee•n?e? oWb? ?w.:
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E-i r3?Cn c I'ic:GPE H7??;,G= "U" COMFUiA71013
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SI i e ADDRESS
tON i RaCTOR DAT'c S 8- PHONE
Ce*_er,nine working sSuare 4aotage ofi each.
7. Total exposed wa11 ar2a .... .( SS7 2.5 sq. ft. x .11 a 2.c?4.2.
2. Total roar/ceiling ar_a .... S$O 54• ft.• x •?:' _?
a
Total ezrased wall area zbove floor =1
a. Tol-1 wail windew area ........................... t?
b. Total docr ar2a ................................. 3 4.(9 z
c. Total slicina gizss dcor are= .................... . y:1
d: Total fireplzce wa71 arsa ........... ...:....... L{g
e_ Total wall rraming area (ave s9eIQA}.,._........ g
f. Tatal ne _. rrz i 7 area above r i ocr ....
g. Total rim jcist zrea ............................ ?Zg.S
Total exposed ficundaticn area = %LI.ZS
h. Total foundation windrnd area ....................
1. Toal ne= foundsticn arsa above arade ............
Det_r-n;ne °U° Vd111B 0l- eacn wa17 sz7m-ent.
a. 113 v oUn
b. '?•Co'Z X HU.1
15.9
X nr
a. L48 X ,.u,i zs
e. 85•71 g AU,??a
1?I
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X. 1?3L+LJ.? X Lv
4. ? zs.5 z"u° • 04_ " F- ?- z
h. X "U" _
;. Io?l.zs x uu" , ty?l = q.2S
3 ........................... :.......... 7ota1
If ite.m €3 is the sam.= as, or less thzn itsm J1, you have met the intent
of S3C 6006(c)2.
To 31 exFosed reor/ceil;na are=_ _ $SO
Total arass roofJcailing area =
j. Tota1 skylignt area ........................
k. Total roof/ceiling framing area ............•----------
l. Total net insuiated roof/cai7ing area...... : -7q Z
Oet_rmine "L" value ror e_ch rof/c=iling se^eat_
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k. g`, x"`r° • ? ? 9 -._L.SV:?
?. -712, x °u^ 019
4 ..................................Tota1
If totaT cz 44 is t`° same zs, or less tizn s2, you have met the intant of
SBC 6006(c)71.
To u?iiiz_d t.he tntal envelop° sys:=?n ?.ethod, the values establisne3 hy the
sum af 9t=_..?*s a3 and 2-4 shalt not be gre_ter than tfie sum of items i1 and 742.
+ aa7,17 -
MATMI3.T.S Therm. ?.esistu.ce "R"
Sidi:.g }ta?er:sl ,G,Z
Skeathing.,
Insule. i aa
'
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`?S
Sheetrock ,sfg
? a56
•
Interiar 3ia , LR •
SLu3s
?:m t .89
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L BL CITY USE ONLY RECEIPT#: 7 /?,Ff/gv/
I? LO
SUBD. ?Mr,?f' IbJY?x? DATE: Z 5
1995 MECHANICAL PERMIT (RESlDENT1AL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 687-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
New construction Add-on fumace
_7Z Add-on air conditioning Fireplace conversion (to existing fireplace)
Date: (o 'cg_?;- 9 ?
FEES
? Minimum Fee: Add-on/Remodel (existing residence onl 20.00
? HVAC: 0-100 M BTU 24.00
Additional 50 M BTU 6.00
? Gas Outlets (minimum of 1 required @$3.00 each)
? State Surcharge .50
TOTAL c?d• `5?
? ---?
SITE ADDRESS:L____ _Ld
OWNER
PHONE #:
INSTALLER NAME:
nsvi e eating & A/C, Inc.
STREET ADDRESS: 12481 Rhode Island Ave. So.
? 1194•g??5
CITY: STfCTE: ZIP:
PHONE #: ( )
?
'STv
I'C:7 q'ZZ-9S e4
CITY USE ONLY i
L _ BL _RECEIPT
SUBD. , DATE:
7995 MECHANICAL PERMIT (COMN
CITY OF EAGAN
3830 PILOT KNOB RD
Please complete for: ?
DATE:
WORK TYPE:
ti
EAGAN, MN 55122 1!
(672) 681-4675 1
all commercial/industrial buildings.
multi-family buildings when separate permits are pot required
for each dwelling unit. '
CONTRACT PRICE:
NEW CONSTRUCTION IINTERIOR IMPROVEMENT
?
DESCRIPTION OF WORK:
FEES: .$25.00 minimum fee Q 1% of contract price, whichever is greater.
? Processed piping - $25.00
? State surcharge af $.50 per $1,000 of rmi tee due on all pertnits.
CONTRACT PRICE x 1%
PROCESSED PIPING I
STATE SURCHARGE I
TOTAL I
SITE ADDRESS:
OWNER NAME:
TENANT NAME: (innPROVenneNrs oNLY)
M.
INSTALLER:
,
ADDRESS:
CITY:
PHONE #:
SIGNATURE:
SIGNATURE OF PERMITTEE
STATE: ZIP:
-
-
I
CITY INSPECTOR
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