840 Northview Park Rd INSPECTItJN RECORD C°ntr°' "°. 1301
CITY OF EAGAN . / PERMIT TYPE: fill ! 1_ 111 NN
3830 Pilot Knob Road , Permit Number: *e 1. 151 i 1
Eagan, Minnesota 55123 Date Issued: t i/ 1?/92
(612) 681-4675
SITE ADDRESS: I n r: 5 ? w oc- k: e APPLICANT:
+340 NQR1'I,IVIkW PARK Rt1 c r1tCH DARREC
SIAi#'OIrD Pl11CE (fil?) 687-•9761
PERMIT SUBTYPE: TYPE OF WORK:
Ha'.r MI wd I U INI%H At TERATZON
? -
?
Pern?R No. ParmR Holder Dote Tilephom /
S/W
PLUMSING
I-NAC
ELECTRIC °¢
ELECTRIC
Inspactlon Dete Inep. Commortts
Footings I
l"!
FoundaUon ? v
Framing
Roo"
Rough Piby. u „
Rough Htg. S ?
Isul.
FrePlete
Fmel Htq.
Orsat Test
Fnal Plbg. Plbe. Inepecta- Notlly Ptumbe?
Const. Meter
EnprJPlan
Bidp. Final
DeCic Ftg.
DeGt Final
Well
Pr. Disp.
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued: (ti';
(612) 681-4675
SITE ADDRESS: ` ' '' t :' ` . ? ?."" V' 1 APPLICANT•
i ?? i ?, r;? '
? . t,ll; lIt'r itJ t•l114
.1 (t? 4 ?il i? k'1 ??? 1 ( ?. l .' 1 ? . • '
PERMIT SUBTYPE: TYPE OF WORK:
? ,. . .,.
-----------------------------------
Permk No. PormR HoldW Date Telephone M
ELECTRIC
PLUMBING
HVAC
Inspectlon Date Insp. Commenb
FOOTINGS
FOUND
FFiAMING
HOOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEAT1NCi
GAS SVC
TEST
INSUL
GYP BOARD
FlREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BIDG FINAL
BSMT R.I.
BSMT FINAL
DEGK FfG IQ?I? (?
DECK FINAL
SEWER & 1NATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
?V \
DATE ? 2-1! a(? ; yn
Sf.
?- .
OFFICE USE ONLY
4!15/90
METER # PERMIT DATE
11452
CHIP # PERMIT #
METER SIZE B.P. RECEIPT # 0 331
ISSUE DATE B.P. RECEIPT DATE
- PRV - BOOSTER PUMP
SITE ADDRESS 84') i"ORKMIE`,! 00 pARK itOAD
tOT ` BLOCK 6_SEC/SUB STAFF(1RD Pl Ar-F
' APPLICANT: `RMITiEi? DCVEl.OPMENT CORP.
ADDRESS: `%QRPORATF- CtNTEf2 DRIYE 4170
CITY, STATE F'Mh , i?iv • ZIP F c 12 2
PHONE:
.+. 3
PLUMBER: `'jAR ` LUMBNG
ADDRESS: 016 BBUhD SPRING TERRACE
CITY,STATE '1(}0MINGTQN. M14. ZIP 5?-420
PHONE: '1r'4-4149
PERMIT REQUESTED
X SEWER - WATER - TAPS
- COMM/IND ? RESIDENTIAL
X NEW - EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Credit WILL NOT be given for Deduct Meters.
I AGREE TO COMPLY WITH CITY OF
OWNER: COjCN, D1lRREYLS JULI' EAGAN ORDINANCES -
ADDRESS: ?410 UR2 Y HTS, D:t
.1 - • ;' ?
CITY, STATE EA , MiN. ZIP 55122
PHONE: 687-9761 SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
. . ?' . r . . .. . M1?^.
` CASH RECEIPT
k
?
CITY OF EAGA14 ,
3830 PILOT KNOB ROAD '
EAGAN, MINNESOTA 55122
C 8 i ?''b ?
Pink-?ile copy
& DOLLARS
,m
Thank You r
BY ?
SEWER & WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
DATE ('5,1??190
OFFICE USE ONLY
METER#!V37-SCo7,U PERMITDATE
CHIP #QI ?d PERMIT # i1452
METER SIZE 5 0-A B.P. RECEIPT # Q8331
ISSUE DATE B.P. RECEIPT DATE 6/14 /1i!D
_ PRV - BOOSTER PUMP
SITE ADDRESS 340 NQ:MICW KM PARK ROnr
LOT = BLOCK n SEC/SUB STAFFORO PL4CF
APPLICANT: r RQPl7I ER DEVELOPMEPIT C4RP.
ADDRESS: 1485 CORPORATE CENTER DRIVE #170
CITY; STATE GpINii,MN . ZIP 551' 2
PHONE;
454-0433
STAR PLUMBIIVG
ADDRESS: 1018 88lJhD SPRING TERRACE
CITY, STATE a1_00111vcTON, M. Zip 554?R
PHONE: ?134-4149
OWNER: GOTCH, DARREYl.& JULIE
ADDRESS: '410 SURR£Y HTS. 02IYE
CITY, STATE ZIP 55122 _?-
PHONE:
PLEASE ALLOW TWO WORKING D%1YS FOR PROCESSING. CALL,
. SEWER PERMITS, CONTACT ENGINEERING DEPT.
- /
PERMIT REQUESTED
X SEWER ' WATER _ TAPS
- COMM/IND X RESlDENTIAL
?L NEW
EXISTING
Lawn 5prinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Credit WILL NOT be given for Deduct Meters.
1 . M4.41 %... QC?'
I AGREE TO COMPLY WITH CI"
K_ _1? ?
;
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199,
PHONE:454-8100
ri1G/GAR ?_. ,._.._ s58g000
??-.--7 •-.7;.??eY;^s?.?crr-r
iagan, MN 55121 47959
? { K ?
Receipt #
90
JL11f6
Date . 19
Site AcVr?s' ti
Lot Block Sec/Sub.
Parcet No. Occ"Pancy
FRMILIM Zoning
W Name (Actual) Const
? . ,
Address (Allowable)
City LW3140 Phone 654-0433 # 01 scaies
Length
o Name oecin
,
?Q Address S.F,Total
'-` City Phone S.F. FootpriMs
S
? On Site
ewage
W W Name on site wen
w
?? Addf@SS MWCCSystem
<W City Phone cirywater
i
R
equ
red
PRV
I hereby acknowlege that I have read this application and state that the Booster Pump
information is correct and agree to compiy w' all applicable State of
Minnesota Statutes and City of F,??ap gFdinan
Signature ol Permitee J/41- '`?= APPROVALS
A Building Permil is issued to: ??ER la?wpmm Planner
on the express condition that all worlc shall be done in accordance with all Co+^cil
applicable State ot Minnesota tatutes and City of Eagan,Ordinances.
Building OffiCial f"'-?' gldj, ph,
Variance
{.; . .,..s- _. _
OFFICE USE ONLY
? ?
R-7r
vw-
FEES
vw- Bldg. Permit
45-
23-
?
xx
Surcharge
Plan Review
sac, city
SAC,MCWCC
Water Conn
Water Meter
Acct. Deposit
SNV Permit
S/W Surcharge
Treatment PI
Road Unit
Park Ded.
TOTAL
TI-1093T SO
PermR No. Permit Hotder Date Tebphone #
WATER O
SEWEfi
PLUMBING
H.VAC.
ELECTRIC
Inspsction Date Insp. Comments
Foainys 1 1 4r /
I
FoundaUOn
Framin9 a -
Roofing
Rough Pibg. 44' YL2
Rough Ht9. f6
is,i.
Freplace
Final Htg.
Final Plbg.
Const. Meter ? Plbg. Inspector - Notify Plumber
Engr./Plan
Bklg. Final 3
Oeck Ftg.
Dedc Flnal
Well
Pr. Disp.
? ,?,?; .,.i?x:•y, .. , ..?+,..Q.o:
' (ger#i#ir?te nf (Orrupauxy
titp of eagan
llrpwrhnrtd n# adwm jwrrtinrc
T'his Cerrificate issued pursuant m the reqrrirements of Section 306 of the Uniform Building
Code certifying that at the time of issuance this structure wias in corripliance with the various
ordixances oj the City regulating burlding canstruction or use. For 1he following.•
e (7a?fiaoae? ??/C? BWy Rrmi[ No. I7959
Ih
oaup.ay Tya R3M I zoning aobia R3 Tym cons. Vn
?__ .,, .... FR(NTIFR IEti?EL. OORP. ... 1285 ;7W. CIIt. DR.. F.A(.M
/ -. AUQJST 29, 1490
POST IN A CONSPICUOUS PLACE
? {
??. , .._ . : - ..-.mtr-.?-?--..yro?!r•,:. .. . . ^T-..-.r.,_ ;r;,,.,R,?,..?. ..
?. , PLUMBING PERMIT For Off' Use Oniy
. ' " CITY OF EAGAN PERMIT # ??l'`, , 11?1
CONTRACT 3830 pILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT # ?1Cr6)
PRICE PNONE 45481 0 DATE: 90
Site L? Add?ss . BI Sec/Sub ResD.G TMP? N wRK DE?RIPTION
Muh. Add-on
e? • e e Comm. Repair
ame Other
? Addres
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
c City Phone Aj-
FIXTU RES TOT ?
? Wa1er Closet - $3.00 $ ` Name Bath Tubs - $3.00 '
? Addre s e''? ? L8v?o?,? - s3.00
? City A Phone Shower - $3.00
?- Kitchen Sink - $3.00
UrinaUBidet - $3.00
FEES ' Laundry Tray - $3.00 -4?
COMM,IIND. FEE - 196 OF CONTRACT FEE - Floor Drains -$1.50 's .SCJ
APT. BLDGS. - COMM. RATE APPLIES Water Heater -$1.50 ?
TOWNHOUSE & CONDO - RES. RATE APLLIES Whirlpod -$3.00
MINIMUM - RESIDENTIAL FEE $12.00 Gas Piping Outiets -$1.50
MINIMUM - COMM.IND./FEE $20.00 (MINIMUAA -1 PER PEAM1'n
STATE SURCHARGE PER PERMIT .50 Softener -$5.00
(ADD $.50 S/C PER EACH $1,000 OF PERMIT FEE) Well -$10.00
Private Disp. -$10.00 --?-e-,.?
Rough Openings - $1.50
NATURE OF PERMITTEE U. G. Sprinkler System -$12.00
PERMIT FEE: ? •+ ?
STATES S/C:
FOR: CITY OF EAGAN / O
:
GRANO TOTAL:
• mMnwrVIUwL reMMI I For C(ty_Use Onl
• ' CITY OF EAGAN PERMIT# ?
3830 PILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT#
DATE PHONE 454-81 00 DATE: ? 1v
Site AddrQss "JO r ?`'e_ -. _, vd , BLDG. TYPE WORK DESCRIPTION
Lot ?'2 Blo Sec/Sub Re5' New Const --?
- Muft. Add-on
Name i, Comm. Repair
Other
? Address
e Gity c? ? -? ?? ``3 ,?'. . . -. .' • Phone `?j >> EE FEES
RES. HVAC 0-100 M BTU -$24.00
Name % -f ;? ADDITIONAL 50 M BTU - 6.00
c Address / ZS C- r,i:• c (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTIOM)
? City Phone TOWNHOUSE & C.ONDOS - RES. RATE APPLIES
IAIMIMUM RESIDENTIAL FEE - ALL ADD-0N &
TYPE OF WORK REMODELS (INCLUDES GAS PIPING) - 12.00
M GAS OUTLETS (IJIINIMUM - 1 PER PERMfT-
BTU $
Forced Air ? _
NEW CONST.) 1,50
EA.
Boiler M BTU $ COMM/IND FEE -1% OF CONTRACT FEE
Unit Heater ' M BTU - $ APT. BLDGS. - COMM. RATE APPLIES
Air Cond. M BTU $ MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
Vent CFM $ (ADD $.50 S/C PER EACH $1000.00 OF PERMIT FEE)
Gas Piping Outlets # / $ .--
Other
°
CommJind. Contract Price x 1
k $
S ATU PERMITTE
PERMIT FEE: ?s
? -
S/C: ?--- FOR: CITY OF EAGAN
TOTAL:
?:. , sc, . ... . ?j,.-o-_ . ...!. . .. . . . :v , . .... . . .. - _.,.. __. : D.' i .._ ._ .. _ _ .,- .J,--_ .., . .. _.. , .
.. .
DATE:
6/iS/90
840 Q70x'LtiVlBii PABK HOAD, L?, B6, STAFFOItD PLACB
a R+,
xx or VKUNILLR)
_ You?Sewer & Water Permit for the above property has been completed. It will be held at the
Public Works Garage (3501 Coachman Road) until the meter is picked up. 8E SURE TO
,,CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURNON.
Your Sewer & Water Permit for the a6ove property cannot be completed for the following
reasons:
_ Your Sewer & Water Permit for the ahove property has been completed, but the meter cannot
be issued or occupancy allowed until further notice.
COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
? CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N2 17959 BUILDING PERMIT PHONE: 454-8100 Receipt # Zj 7 ?y3 31
To be used for SF DWG/GAR Est. value $88.000 pate JIJNE 4 t9 90
Site Address $40 NORTHVIEW PARK ROAD
Lot 5 Block 6 Sec/Sub. STAFFORD PLACE OFFiCE USE ONLV
Parcel No Occupancy R-3, M-1 FEES
. i R-1
Zan
ng
FRONTIER DEVEIAPMENT CORP
Name
(ACiual) ConSt
Vn ?
Bldg. Permit
w
z ?ORP RATE CTR DR., 170
AddfeSS (pllowable) Vn
Surcharge
o
City EAGAN Phone 454-0437
e oi Stones
- _
?1fL Plan Review _
Length -
o Name SAME Depih 23-- SAQ Ciiy
-
,
0
0 Address S.F. Total - MCWCC
SA
,
4
a
•
City Phone
S.F. Faolprinls
- _
Q
S Wa[er Conn _
ewaga
On Sila _
ow Name On Site well - Waler Meter _
t
r3 Address MWCCSystem Xx
u
0 Aat. Deposit _
w
< City Phone Caywater X7L-
d S/WPermil
PRVRequire _ _
I hereby acknowleqe thal I have read Ihis application an state that ihe gouster Pump - SiW Surcharge _
information is cortect and aqree to comply w' h all p able State of
Minnesota Statutes and Ciry of Ea, an rdinan e
. Treatment PI _
SignaWre of Permitee A APPROVALS Road Unit _
A Building Permil is issued to: Planner - park Oed. _
on tha express contlilion that all work shall be done in accordance wi[h all Council -.
applicable State of Minnesola tules and City o Eagan Ordinances. gld9, pH. Copies _
Building Olfitial ?-«
e.Y Variance = TOTAL ?
3V.
252.
?13 jQ'2-
a,45144
REQUEST FOR ELECTRICAL INSPECTION
? See instmctions for completing inis form on back oi yellow copy.
X" Be/oa Work Covered by This Request
?.?.?
ew A Rep. TypeolBuilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other.(Specity)
Comm./Intlustrial Furnace
Farm Air Conditioner
Other(specity) Conbacbr5 marks: 7
Compute Inspection Fee Below: ?
N Olher Fee A ServiceEntranceSize Fee # Circuits/Feetlers Fee
Swimming Pool 0 to 200 Amps o to 100 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
SignS inspectorS Use Only: -? TOTAL
?
trriqation Booms 26 .00 ?
??
Special Inspection ?
Alarm/Communication THIS INSTALLATION MAY BE ORD CONNECTED IF NOT
Other Fee COMVLETED WITHIN 7 ?kTH . r
I, the Electrical Inspector, hereby Rough-in c,/, oane,!/
7
certiry that the above inspedion has
been made. Final " oate ? ?
OFFICE USE ONLY
This request voN 18 months hom
K 4 5 4 4 noaiGs??
0-
1
,??? 9 -
/1 6
.
Re uest pa?/
-- Fire No. jRough-in Inspection
Ra retl?
O Ready Now WIII Notity Inapedw
?
. Ves O No When flea0y?
?
I p licensed contractor Xowner hereby request inspection of above electrical work at:
Ja0 ressoneeL Bw or oute N ?
--
?d
' Ciry
,
-
or u
w k
Section No. Township Name or No. Range No. County
Oc am (PqINTI ^ ?
?
c,rr? I± ?t, PhMa Na.
Power Sup0lier Atltlress
ElBCirical Contraclor (COmOenY Name) ConVacbr§ License No.
rnF owhf-r?
Mailinq Atltlress ICOntreMOr or pxner Making Installetqnl
ov?
AulM1Orized naWre IGOniredorOwner Making Installetion)
i P?one Num?ar
J ?],^
^
, W? ?/ -? /l./?
MINN OTI. STATE BOAPD OF EIECiRICITY v THIS INSPECTION REQUEST WILL NOT
pMidwey BIEg. - Noom 5-1]] BE ACCEPTED BYTHE STATE BOARO
1811 Unlversity Ave., St PaW, MN 55106 UNLE55 PPOPER INSPECTION FEE IS
Plwne (612) 642-0600 ENCLOSED.
? REQUEST FOR ELECTRICAL INSPECTION ea-ooom o7
? 61p7.? ? See instructlons for completing Ihls lorm on beck oi yellow capy. 98Q? 9
60386 X" Below Work Covered by This Request N?WV?
ew AQq Rep. -„ 7ypeoiBUilding AppliancesWired EquipmeniWired
Home Range Temporary Service
? ouplex Water Heater Elearic Heating
Apt. Builtling Dryer Other (Specity)
Comm./Industrial Fumace
Farm Air Conditioner
OIDer (specliy) ConVactor5 FemaBS:
Compute Inspection Fee Below:
# Other Fee # Service Enirance Size Fee # CircuitslFeeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps a
Transtormers Above 200 _ Amps Above 100 _ Amps
Signs Inspector5 Use Onty: O TOTAL
Ircigation Booms 76" Q
Special Inspection
Alarm/Communication THIS INSTAILATION MAY BE ORDER DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MO THS,
I, the Electrical Inspector, hereby Ro?yn-m oaie7 I p]
?(J
certify that the a6ove inspection has
6een made.
OFFICE USE ONLV
This reQUest witl 18 mi irom
C? 60386 6
FeQUest Date '
7? ?
^
G Fire No Fough-in Insoection
uiretl?
? Ready Now ]0 Will Nofify Inspector
R
9
Wh
O Yes G No en
eatly
N/ licensed contractor ? owner hereby request inspection of above electrical work at:
Jab Atltlress (Sireel, Box or Rou[e _.) City
Section No. rship Name or No. Range No. Counry /'?
LY /
Oc<upant(,RINT) PM1One No.
?
Power pplie Adtlress
leclncal Conttac[or (COmpany Name) ConVacto's canse No.
?/
M ress IGO raMOr or Owner Making Installation?
7E
7S
Authorize Signature (COnlrectorlOwn MaMing Installation) ? Phone NumEer /
?Oi ?/..
lC/
MINNESOTA STATE BOAPp OF ELECTRICITY THIS INSPEGTION REOLIEST WILL NOT
Grlg9s-MlGway Bldg. - Room 5473 BE ACCEPTED 8V THE STATE 80NRD
1821 Univerelly Ave.. St. Paul, MN 55100 UNLESS PPOPER INSPECTION FEE IS
Plrone (612) 642-0800 ENCLOSED.
Pequesi Date Flr Rough-in Inspection Required? atly Now ? WIII Notify Inspector
N1h
R
tl
?
'-.Ves 3.Kb en
ea
y
I- ensed contractor ] owner hereby request inspection of above electrical work at:
Job AnOre i5treet. ox or Route NoJ Ciry ????
Section No. Township Name or No. Range No. Counry
6 1-
Oc ?(PRINT?// PM1One No. - ? 6
'
?o 1
ower Suppller Atltlress '
Eiecmcsl nlracto iC . pany N.
l Conlractors Licens ^No.
? ? ??
MaN tltlCt or 0., r Makin Ins?alglion' ?
/
uIhor g al?re onvaciIpIvOw?ne/r1 gkinig In 1 vwn) ? f/ Phorne Num er /'
_ AI ?.WVf sG ? ??! O - / ? ?
MINN?OTA STATE BOAPD OF ELECTRICITY/ V V v THIS INSPECTION REOUEST WILL NOT
Griq Mitlwey Bltlg. - Room 5-1A3 ( BE ACCEPTED BV THE STATE BOARO
1831 University Ave_ St. Paul. MN 55106 UNLE55 PROPER INSPECTION FEE IS
PhaneJ612) 6G2?800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION
? Seig InslruclioR$ for compleling this form on hack ol yellow copy
?q F).9 n "X" Below Work Covered by This Request
EB00001-OB I
- ew Add Rep.l Typeoi6uilding AppliancesWired EquipmentWired
Home Range Temporary Seivice
Duplea Wa[er Heater Eleciric Heating
Apt. Building Dryer Other (Specify)
Comm.!Indushial Fur e
Farm ir Conditioner
0[Mar(syacdyl Ganvaotor§ Remerks
Compute Inspection Fee Belaw:
# Other Fee k ServiceEntranceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 ta 100 Amps
Transformers Above 200 _ Amps Above IDO -Amps
Si9ns Inspecrors use Only:
? TOTAL
Irrigation Booms /
/ '^? -?
Special Inspection ? ?
'Alarm/Communication THIS INSTALLATION MAV BE ORD DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, here6y pooqn-m oa?e
certify Ihat ihe above inspection has
been made. F;,,ai
OFFICE IISE ONLY -"
Th5 reques voic 18 monfis trom
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: ? OT: 5 BLOc i` : s APPLICANT:
840 NURI'I-IV1EW PAf2K RD COTCH
STAFFORCI PLACE (612) 687-9761
PERMIT SUBTYPE:
BASEMENT FINlSH
TYPE OF WORK:
r-
Control No. 1301
euzLn:i:n!c
N01,51 1
11./7.3/92
DFlRRFL
ALTERATTON
PERMIT Control No. 1301
CITY OF EAGAN
?
3830 Pilot Knob Road PERMIT TYPE: Bu z Lo z iv r
Eagan, Minnesota 55123 Permit Numbec 0 0 151.1
(612) 681-4675 Date Issued: 1 1/ 13 /92
SITE ADDRESS:
840 NOftTHVIr6J PAftK RD
L.Ol'? 5 SL.DCK: b
STAt"FO2C1 PI_ACE
DESCRIPTION:
?Builr3i<C!U Permit 1Ype
8U?:.lt(a.P(4:1Wnrk 'T°Voe
u6c aocupariGy
?
._ . . . f_, .
r;.
BASEMENT FINISH
ALl'EhflTL01V
R-3
' r
t ???? -•`? Y f `? I ? ?(?t' 'v?„r ?..«„?1
REMARKS: (? o,?2+ (D47
FEE SUMMARY:
6ase Pee $35.00
S iA r c h a r q c ?..?.._..._.._._.___..? e_?..5 ?
7ota1 Fee $35.50
CONTRACTOR:
?
OWNER: - ApplicanL -
C,'Ci'i'CM OARREL
840 NCJRTMVTEW PARK RD
E:AG/iN MN 55123
(612)6£57-9761
7 hereby acknowledge that I haue rcad this
informat5art is cttrrect and ayres to camply
Statutvs and Ci,t,y df Ea-gaYt Ordinances.
C' ef'?
APPLICANT/PERMITEE SIGNATt1RE
applieatiewn and etate tFtBt the
saith a1,1 eppizca6Le Stale nf Mn.
ISSU D BY: ATURE
PERMIT li .
REACTIVA7E
1.511
CITY OF EAGAN
sr? ?
1992 BUILDING PERMIT APPUCATION 01W Q_z
681-4675
SEP 1 8 RECO
SINGIE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, i copy of energy
calcs.
COMMERCIAL 2 sets of architectural 6 structural plans, 1 set af
specifications, 1 copy of energy calcs.
Penalty applies when typing of permit is requested, but nat picked up by last working day
af month in which re uest is made or lot chan e is re uested once ermit is issued.
Date Valuation of work
Site Address: 9/-/G /"e ,i/,viq, ki ?V,,e 22? (
STREEi - SUITE k
Tenant Name: (commercial only)
T? BIACR ? SUBD. P.I.D. *
Descri tion of work: 41 011 f
The applicant is: 13 Owner ? Contractor ? OtI18Y' (Describe)
Name A- G, A, z/ Phone 6 9? 7- 976
I
Property LA5, FIR51
Owner qddress
NC.ko ???K
STREET STE 0
City _ Ca ?Gr? State ly'tLl
, Zip 6-5 iZ3
Company Phone
COntf9Ct0r Address License # Exp.
City State Zip
Company Phone
Architect/
Engineer Name Registration N
Address
City State Zip
Sewer 5 water licensed plumber . Processing time for
sewer 8 water permits is two days once area as been approved.
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.
5i
t
f A
l
?
gna
ure o
pp
iz,??t
icant:
OFFICE USE ONLY
BUILDING PERMIT TYRE
? 01 Foundation p 06 Duplex ? 11 Apt./Lodging
? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc.
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory
? 04 SF Porch ? 09. 12-Plex ? 14 Fireplace
O 05 SF Misc. ? 10 Multi. Add'1. O 15 Oeck
WORK TYPE
Vf 31 New O 33 Alterations ? 35 Tenant Finish
? 32 Addition O 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) Basement sq. ft.
(Allowable) Ist F1. sq. ft.
UBC Occupancy ? 2nd F1. sq. ft.
Zoning Sq. Ft. total
3 of Stories Footprint Sq. ft.
Lenqth On-site well
Depth On-site sewage
APPROVALS
Planning Building
Engineering Yariance
REGIUIRED INSPECTIONS
O Site ? Footing
? Mallboard WFinal
Permit Fee oo veiwtip,_
Surcharge
Plan Review
License
MWCC SAC
City SAC
Nater Conn.
Nater Meter .
Acct. Deposit
S/W Permit
S/N Surcharge
Treatment Pl.
Road Unit
Park Ded.
Trails Ded.
Cop ies
Other
Total:
SAC %
SAC Units
,,Rt"Framing
? Draintile
S ?------
..
.?16`0sement Finish
O 17 Swim Pool
O 18 Comm./Ind.
? 19 Comm./Ind. Misc.
0 20 Public Facility
? 21 Miscellaneous
? 37 Uemolish
MWCC System
City Ylater
PRV Required
Baoster Pump
Fire Sprinkler
Census Code y ?
SAC Code
Assessments
0 Insulation
? Fireplace
INSPECTIUN
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
6 APPLICANT:
eusLoInG
025775
06/08J95
SITEADDRESS: P•x.N.: 10-725ee-050-06
LOT: 5 BLOCK:
840 NORTHVIEW PARK Rp
S7AFFORO PLACE
PERMIT SUBTYPE:
DECK
RECUKll
PERMIT TYPE:
Permit Number:
Date Issued:
MOE'S CONST
(612) 533-7734
TYPE OF WORK:
NEW
_.. ?
V
a _
,
?. <. • t
CITY Of EAGAN
3830 Piiot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number:
Date issued:
c??3z?z
BU?aLDING
025775
06/08/95
SITE ADDRESS:
P.I.N.: 10-72500-050-06
840 NORTHVIEW PARK RD
LOT: 5 BLOCK: 6
STAFFORD PLACE
DESCRIPTION:
k $Y^h
J£.
?, w.? ? . r ' € L =
'?- ai"• F xA?s?a.
E?63ld1n`,§,,,,,Permit Type DECK
AuiI[linx47't?rk Type NEW
? q ?{ ?9 1 E4 Ld 3? 4,a,#, y n? yP !t§
$t s " "'' 2.i ^=2ry" 'ss. ?tt,.x Q3 ?'3 s t. ?? -?? . s
a. iY?.: #d v
,m?
REMARKS:
FEE SUMMARY:
Base Fee
5urcharqe
Lic. Search
Total Fee
$30.00
$.50
Fee $5.00
$35.50
fla a RI) d, r rn,r?
APPLICANT/PERMITEE SIGNATURE IS ED ET. SI TURE7-C
C{TY OF EAGAN
li 3830 PILUT KNOB RO - 55922
I", 995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-1675 ,- -
New Constructlon Reauirements ?j?mpde'uReoair Keouiremenis \1
? 3 registered sfte surveys ?? 2 apies of plan ?
? 2 capiea of plens (inGUde beam & window sizes; poured tnd. design; etc.) 2 ske surveys (exterior additions & dedcs)
? 1 energy celculations ? 1? e\=calculetions for heated additions
? 3 copies of Uee preaervation plan if lot platted after 711193
required: _ Yes _ No '--- - - -
DATE: -), ? gr CONSTRUCTION COST: 3y? ?
DESCRIPTION OF WORK: I ? GIG..-
STREET ADDRESS:
LOT BLOCK ? SUBD./P.I.D. #:
1
- /
% 687- 976 /
PROPERTY Name:_ -
?$ Ptione #:
OW'kER ""°'
;Z2` 'e
Street Address-
City: ? 9a?r
, State: Zip: SS/Z3
A S 33 77 3?j'
CONTR
CTOR Company:
Phone #:
Street Address: 'Pq Ibd License #F? 6
City: (7-7,
_21?
State:
Zip; SS ? L
ARCHITECTI Company: Phone #
ENGINEER
Name: Registration #Street Address*
City: State: Zip:
Sewer 8 water licensed plumber:
change are requested once permit is issued.
Penalty applies when address change and lot
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.
Signature of Applicant:
OFFICE USE ONLY RECEYvED RECGflMED
CeRificates of Survey Received _ Yes No " ? f 1995
-----
---------_
Tree Preservation Pian Received _ Yes _ No _ _ -_ _ _ _ _ _ _ _ _ _ _ _
OFFIS:E USE ONLY
BUILDING PERMIT TYPE
0 01 Foundation ? 06 Duplex ? 11 Apt.lLodging ?
? 02 SF Dwelling ? 07 4plex ? 12 Multi RepaidRem. ?
? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory o
? 04 SF Porch o 09 12-plex ? ? ce ?
? 05 SF Misc. ? 10 _-plex Deck
WORK TYPE
New ? 33 Aiterations ? 36 Move
0 3 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const (Actual)
(Allowable)
UBC C7ccupancy
Zoning
# of Stories
Length
Depth
Basement sq. ft.
_ Main level sq, ft.
sq. it.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
APPROVAL.S
Planning Building
. ;?
,
'II
16 ', Basement Finish
17 ISwim Pool
20 +'I Public Facility
21 I Miscellaneous
,i
MC/WS System
City Water
Fire Sprinklereii
?PRV !I
Booster Pump',
Census Code.'
SAC Code
Census Bldg
Census Unit '
Engineering Variance
?
D/
d
?
?
Permit Fee Valuation: $ L ZO?'
Surcharge ?I
Ptan Review ?i
License ?I
MCNVS SAC
City SAC ?i
Water Conn. ?I
Water Meter ?I
Acct. Deposit
S/W Permit
SNV Surcharge
Treatment PI. ?
Road Unit ?
Park Ded.
Trails Ded. ?
Other ?i
Copies ,
Total:
% SAC
SAC Units
. A ?
?,?u?e?or•? G?ert f?cute _
?-
SURyEY FOR; Frontiur Companies
OESCRIBEO AS: Lot 5, Alock 6, STqFFORD PLACE, City of Eagan, Dakota
County, Minnesota and reserving easements of racord.
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LOT SQ. FOOTAGE
° 12, 673#
lWO NKGvb.+ (41s RI
e?.?. 9,aaa
?IM..aIIlI1CN RLOIq[M[NT!
/IMf ? 30 NMI? ?? ? IQ
e.i? -ls annlooft- r
,f?? ?MI. ?M hlltlMf IM? IIM'?5 ot.ll 4 IINtt YN MN?I'4 h M
a.M twnn wwo ?M ran .M M?r 1aw I wM1 MNotNqf
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.. . / 7 q 5,009
1990 BUILDING PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
MULTZPLE DWELLINGS
COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLAnS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLZES WHEN: TIPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAl'
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. n0 CHANGES WILL BE ALLOWED ONCE SUILDING PEILMIT IS ISSUED
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COh1PLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
SFD crx rL
To Be Used For N , Valuation:JAAI?.
Site Address $l}Q k)br(? U?pu?Q? I OFFI
Lot 5 61ook kP
Parcel/Sub ?(Aqpy& PW
O?aner?Ch"?QC1(Q,L ? ?YLtkt?p
Address3410?,,rre.1 t?I+S.?v?ve..
City/Zip Code ?Clqa^?
Phone kp%r]-
Contractor
Address?rj ???T }r ??AA°??( ? 110
City/Zip CodeEQ.l'\.. ?) .
Phone 45i-1-a 4 3'S
Ar ch ./Engr . 1 yl??,Q_, ?QQ p?S
Addressla$r'?" \,O`(QOV?0.?'2 ??lV?CV lJ`! ?I'10
City/Zip Code?O.G?Q,r\i ??. ??'a?
Phone ? ?-Ql.I 3?j t?
.tUN 0 1 Reco
Date: 5fa,9li()
ONLY
?6t UUO
FEES
?
Occupancy
R 3 M
Zoning Q-I
Actual Const Bldg. Permit .586,00
Allowable y-? Surcharge 4'i,00
# of stories Plan Review
0
13%110
Length y6 SAC, City 100-40
Depth iL3 SAC, MWCC pD,aa
S.F. Total Water Conn 626.00
Footprint S.F. Water Meter
0
90,0
Acct. Deposit 30,00
On site sewage_ S/W Permit 3o,oD
On site we11 S/W Surcharge ,$'a
MWCC System ? Treatment Pl. ZSZ,vJ
City water ? Road Unit 3,55-, Oo
PRV Park Ded.
Booster Pump _ Copies
SUBTOTAL
APPROVALS Penalty
Planner TOTAL
Council
Bldg. Off. 1
Variance I?
,?
uoeL [oulx&Torj"
,. .
SMMCIlores eertffic,tCc
SURVEY FOR: Frontier Companies
DESCRIBED AS: Lot 5, Alock 6, STAFFORD PLACE, City of Eagan, Dakota
County, Minnesota and reserving easements of record.
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PAOP09E0 ELEVATION9
tov ot Founaetlen . 977,q
Oaropefleer 0972.0
Basemenf Fleer • q,,4,a
ADD?011. 9ose? 9Mrlee ENr. ? Bw?kler
Prepapd [foratlens
Exnlln9 Epralloef ?
Melhaao Dlnetbns ?..?..r
Ooneloe Ofllof 9faM• . p
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DEPT
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IV/4 nertiwi•m; Akrk Re
e1ev. 972-73
MIN. S[iBACIt q[OIA[M[Nis
Frenl - 3e HaMo tlN - i0
Rear -13" Oe?ap ifds - 7
f Mreer arnh Msy MN owwr. Okn ar r"erl "eo Npxed h nN 1100
No.f
sr nnln nq eaur o"wNslan ang Msl tsm q duh Mfbingl
leuA Currqa wNw IMf Nws ol tM llaH H MlnauoN. 90/???
MoNI r,?an
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A ?• ? U00#11.11 DW CMK:
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? nnrr: 02/27/89
ownE fl; --.---- -
5[T: AOORE S?: PF:O^Ic: 454-0413 'FRONTIFR
? n
r?
CO?+TR?;CrOR ?
. FRONTIER MIOWE5T un?nFt rnRp !?=`t = COViMGTON -
p?r????ine wor.l'ine s.aare rcotane o?` eacn
1. Totai ezposee wail zrea..... Z? Z(o sa. ft. z.11 = Z 3 3?55a
2. Total roof/c=_ilina zr°a..... -11Co Sy', ft. x.025 = /?', o Z
Tctal expcsed wali area ahcve,floor=_IgS$ ' .
a.
Total
wzil window area .........................
.............
. . . . . ..
-
'
b. Total dcor ar°z ................................ .................. SFS .
-
c. iotal sliding giass door ar=a .................. ................... ? z,14
d. Total fireplace wzil area...................... .................
" '-
e. Total wall f1raminy zrea (av._raoe 10p) .......... .... ................ •
f. iotzl rim joist area ........................... ..............:...
. z/ C,... .
:...lc
"1t;_Z.
g. net wzll area a6ove floor ...............:... ..................
:: e
.
;
h. wall area a6ove `ioor ...................
'
.
:
...................
-
.,.
i_
...
.
wall area aoove iloor ...............
............?......
., --.
?
" rrzme
vUPAc `?3(-,^ .................
wzll area _ at. r" . .
...................
Total exposed four,datio^ area= SL . ''.
k. Totzl -loundzzion window area ................... ....
1. Total net roundation arez zhcve grade .......... .... y
Det2rmine "u" value or" each wall segment -
(e.g. window, door, eacn seoarate wail section)
z. . 1 µZ ? ituti , YS'
b. 3g . X V ? 3/ = I I?7 1?
X U.,
c. ,147
d. K U??
X „V
e
.
x .??V
11
T
...
. 7
g. IcD-7z•Z ;, "??? ,oS = 83?(0l -
h. - X flull
--? _
ul. ? , • .
I; i ?em 43 is t^=
j'Y3 as, or less thac
' J =t you hzve m2= '.
-
z intent of SBC cG=:
3 . ..... ............................r??.??,
Total e.:?occ?' rooc/c?ilinq a_ca = -1 ICo
sk•.?:.s::t a:ea ............................
i_amir.^, arca (:;vcragc 102) • .. ? I.(a
o. ^atal r.cc _ns l?cc? coof/cciling ?.=ca... ....... • Ce 4N4
7ecermi^e "U" va_ue _`or eac!1 roo?/ccil:^y sec^en:
M. x ,. U.. ---
?.- '71 , C> ,; u„ z , 23 . .
o. !oL(L4, c./ ? ??U„ .-?z3 = ( y.BZ .
..
- ........................... . 7.Z=)5-
±s t'.^.e sa:.a es, or 'ess t:nar. =2, you have met t:e i^=ent o= -_?
S:C 50:5 ;c? 1. '
Al:araate Huildiaq Enve?.one ?esig^ t:^.e to=a1 e:ve_ope 'systam method, the vzlues estz-blzshed by. the o_° "
_te-s' =:3 z.d = sh=__1 . ot he yreate= than the sum of, items u1 ar.d 52. . ? . Z 33 .45 Co + 2.
! 8 , (o z. = ZS2.. ,
s.
, ?.?OF/CciLi:IC
;: z'-4
Eea[ L1av
L'?
Y1'G. CS ' .
• .r.r'.vti:n'ti:.•s.-r/.?`.y^.c?nti:.:aac.?
g.tzt flov up • ,
TSC_ $6.:.. _
..... 3 .
r?'r?t"•:?'??
Consttuction cipst,JL.) 4-Val.tic
jRtCI'+QC ffi!m
ai
r
`
Z . .? /1 ?
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L ? • S?
4. ExGc:iar '?rL (st:11) p,GT .
T° tL
,
. . . .? _ oZ3
FM1?"1 m' ' . _
1. Interior zir fii? 0.61
s• IJSUL, .
4. Extcrior aiz filn st-, l_) l.ol
. . Total - 32.oS
coa.4-Irlz?C T, o?, ..
i 1. Insie-e air °ilcn 0.61
2.
3. ' . .
? . 4.
?. 5. Outside ai, Film 0.17
Tota1
--? '
? .?vente3 •
• fiC'i,'?-r.?,'? ` .
_ , • flov up • '
FR?4?'f C57
1. Insid'c air film 0.61
3_ _ , .
4.
5. Qutside air fil:n ... 0.17
Inside air film Total
0_61
2_
3_
4_ "
Cutside air Pilm 0.17
Tota1
. ...
Notc: IIsc ad_''_'ional sheetz iE mo:c --pacn i:
_ar dete.ils and ea'_culatic-ss_
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2. _ ? G'!? ° D .4S
3. , 2' SCr wCOD 6.8
4. Z' C)L
a
6. _==0' P_3 Fi!1'", 0.I7
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1. ?+:*.-CR .4=R FILM 0_68
2; ' G`!?3D .45
's.
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5. S»?fG - 6
6. Lcn':Oft AIR FIii`? ,..
1 'J = 3 3 .9 s5
U- . . b d¢
1. ZP?"-?OR AT_R FrLM 0.58
2. . E' PiSUL. -°.OO
3. X1 [ZL'.. JOt.. - S.
L 3 ¢i" Pll-' ?2 .[ -- -ZU
5. SIOLhG .6?
6. ! OR A IR F-LM
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RLCCK . , .
1. LVL'F?.IOA F.?R FT:1 -X
z.
3. _ S'!"_'RO ' 0 0.,.:..
4. PROTECTIVE PPRR1?
5 , -
6. A_. F1
R= 7.13 ..
?
.::U= . .
lL! .
SLAB ON GRADE
?.
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ff? - . ' ' lJl jr?
l'X ?
O?__?^?11! L'.' ---NJU'L?=riV.-
77z,,:)
= L._.rVE?. F'c..-?'"'?.' E<FFOSF,D WALL
BLCCK: Z? r ZCo = ? U`i
i4'Ia: z- C::v
W.O.: .
=LT-L ?: zv?z_ rz?sflYi-Ltl?f-Ly= Idg :
FUr..i, z: z c? - zEr t/ey Z t 74
r i?..L?LA? : -
SQUP_R°. E)"rOS'D WALL ARF<?
3?K: C o y x .
x s = I,3o
W.O.: x 8
rvr.t, i: r o Ss x a= $ 4 y -
F'ULL z: io? X 8= &c.oy
F-UREeiacE: x
R-'T"- ZtC.. . . X
? Z( LC4 r`
_
?
* SQf13? F'?!' E<POS?D CEILING 7 I Co
?.?vtµvo?YS ?? L'OORS
? ZLi 3 Co G L = I 2-r.Z`/ o?.?£s.:
z
I I I Z 4`i ?? t? = 1 t? _4 PATIO DOORS -
z 3Z..`f
?? 7j;? Co L = r O * EP.SafaIT WTS '
? ,ad; (,
?
CITY OF EAGAN
3830 PILOT KNOS ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
FOR CITY USE ONLY
PERMIT #
RECEIPT # ? D
DATE: Z?z
?T3`ZAI;; PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EP.CH UNIT.
------------------- -----------°---------------------------°
WORK DESCRIPTION FEES
NEW CONST _
ADD ON _
REPAIR _
OWNER NAME: bAR-VL N
SITE ADDRESS: 0`+'0 NOk.TfhlfF.ce) 1WeK PbA&
LOT: J BIACK C/ SUBD.
INSTALLER: ]?lldlfL?i2S ?dd(ATif$lOE
ADDRESS: Z3D ?7,?EE7`
CITY: /1•V ZIP: 6-SIZT
PHONE #: ?????IDC(?l
ADD-ON MINIMUM
HVAC 0-100 M BTU
ADDITIONAL 50 M BTU
GAS OUTLETS - MINIMUM
OF 1 PER PERMIT
SUBTOTAL:
STATE SiJRGHAnGa:
TOTAL:
DWELLINGS &
15.
24.00
6.00
3.00
$ 1..? 0 O
.50
$!Q?o
SIGN UR OF PERMITTEE
?4MME13CIAT??NDf75T?tTAL:; PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS,
_.. . . ,..._..... .
APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING UNIT.
---- ° --------------------------------------------°----------------_°--__--___-
CONTRACT PRICE
OWNER NAME:
SITE ADDRESS:
LOT: BLOCK SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE
FOR:
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE Q 5.50 FOR
EACH $1,000 OF PERMIT FEE.
PROCESSED PIPING - $25.00
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18
STATE SURCHARGE
TOTAL:
(SIGNATURE)
$
CITY OF EAGAN
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 840 Northview Park Rd
Lot: 5 Block: 6 Addition: Stafford Place
PID:10- 72500- 050 -06
Use:
Description:
Sub Type:
Work Type:
Description:
Census Code:
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Pella Windows & Doors Turnkey Sales
15300 25th Ave N #100
Plymouth MN 55447
(763) 745 -1400
e- Windows/Doors
Windows/Doors-New/Replacement
House
434-
Applicant/Permitee: Signature
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Construction Type:
Occupancy:
Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes.
$88.50
$1.50
Total: $90.00
- Applicant -
Owner:
Ross W Meyer
840 Northview Park Rd
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
0801
9001
Building
EA090949
08/31/2009
ePermit
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA137107
Date Issued:06/16/2016
Permit Category:ePermit
Site Address: 840 Northview Park Rd
Lot:5 Block: 6 Addition: Stafford Place
PID:10-72500-06-050
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 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 -
Ross W Meyer
840 Northview Park Rd
Eagan MN 55122
(651) 994-4587
Turnkey Restoration
12767 73rd Ave N
Maple Grove MN 55369
(612) 405-8876
Applicant/Permitee: Signature Issued By: Signature
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For Office Use 11 Y��
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t -23� Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 •
(651)675-5675 I TDD:(651)454-8535 I FAX:(651)675- APR 2 T� 2020 Staff:
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buildinginspections(a)citvofeagan.com \\0)..
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2020 RESIDENTIAL BU IT APPLICATION
Date: Site Address: Unit#:
Name: ` QS1 Phone: lam/ '—991 y52 7
Resident/ Q �j ,/
Owner Address/City/Zip: 0 7 o /d0-"- Q
Applicant is: / Owner 1[ Contractor �"? 1 �j'I'/ i aii /7
Type of Work Description of work: �(Q % r I 'e-c8 / 7`-�
ee-
Construction Cost: ' 4 00 Multi-Family Building:(Yes /No x' )
Company: -kv.- # P.2c_k Contact:
Contractor Address: e ( ( Cr t City: ICf/
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State: 5 Zip: cO d (VC)one: (VC) :01Z 7O Email:
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License#: Lead Certificate#: 14A5tJ /Ot'
If the project is exempt from lead certification, please explain why:
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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: v / Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression 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.
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.citvofeanan.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.qopherstateonecall.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.
The W ‘s x -*�—�
Applicant's Printed Name App' ignature
(1
DO NOT WRITE BELOW THIS LINE vb Ooe 01iY u1 () Y-- L o 1 1b1
SUB TYPES
— 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
x Alteration _ Fire Repair _ Windows _ Demolish Foundation
Replace _ Repair Egress Window Water Damage
Retaining Wall *Demolition of entire building-give PCA handout to applicant
t44 zoo.v
sta-
DESCRIPTION ff
Valuation -S S-U V Occupancy MCES System
Plan Review Code Edition SAC Units
(25%_100%_) Zoning City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction 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_Service Test Gas Line Air Test Hood
Roof:_Ice&Water _Final Pool:_Footings Air/Gas Tests _Final
X Framing 30 Minutes 1 Hour Drain Tile
Fireplace:_Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS
InsulationWindows
Sheathing ck S Retaining Wall:_Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In_Final
Braced Walls Erosion Control
Shower Pan Other:
Reviewed By: Z"--'°1-----7,4:: Building Inspector
RESIDENTIAL FEES t ,A.,,, Atei c 1- ce%er,
Base Fee Z I G S'P yt$p.00-.fig1 OC)O
Surcharge IC-
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
Radio Meter Read
Copies
TOTAL
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