856 Northview Park RdINSPECTIDN RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
, P aP?. i,:I,
•.IRI t littlr ?, r fi1 I tittA f111ti
PERMIT SUBTYPE:
TYPE OF WORK:
111 ''1,1F I (' ( F I1N
F{?:?t 11 1141i
i 4
0 ?/:s1p) N
i i1 r" ni 1 0 r+
IiN t II1, uf1h1 1
?
?
k i M ni, r, . 0% •.i i•A i- A i r V; Vw i r i•. 1;t iort i tii Ii, i 01, nr?v VI 111411 1 wit ()i.: i i ii iIt I I' n l U111-4
Permft No. Permit Holder Date Telephone #
ELECTRIC
i2.yQa2
PLUMBIN(3
HVAC
Inapecdon nots inap. Comments
FOOTINGS
FOUND
FRAMING j
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING - ??
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FlNAL
C.) CASN RECEIPT
?
CITY OF EAGAN
3830 PILOT KNOB ROAO
EAGAN, MINNESOTA 55122
t .
v
OATE IS-- 1-7 19
RFCENEO
F040A -'Lf- ?_.?..1? 1`. .?• t .{, •
AMOUNT $
Thank You ?
er d--? C 7 L 6 Q vvn??e--aa ?
V Yelbw--Pos '
Pink-FNe Copy
8 DOLLARS
,oo
O CASH ? CHECK
SEWER & V1IATER PERMIT
CITI OF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 551 22-1 897
DATr -
METER #
OFFICE USE ONLY
CHIP # -
METER SIZE
ISSUE DATE
PERMITDATE 05/18190
PERMIT # 11397
B.P. RECEIPT # % 7 362
B.P. RECEIPT DATE,>,'t' 1SO
- PRV - BOOSTER PUMP
SITE ADDRESS
LOT _BLOCK SEC/SUB
APPLICANT:
ADDRESS: '
CITY, STATE ZIP
PHONE:
CITY, STATE ZIP PHONE:
OWNER:
ADDRESS:
CITY, STATE ZIP
PHONE: 1
PERMIT REQUESTED
T- SEWER X 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.
r . < . , , . .
I AGREE TO COMPLY WITH CITY OF
EAGAN ORDINANCES
SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR IMSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
SEWER & WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
DATE
OFFICE USE ONLY
METER # ? PERMIT DATE 05/ 18/g0
CHIP #dllA? 0? g?L PERMIT # 11397
METER SIZE B.P. RECEIPT # C 7,1363
ISSUE DRTE??f B.P. RECEIPT DATL0g 17 9U
_ PRV _ BOOSTER PUMP
SITE ADDRESS -
LOT BLOCK _
APPLICANT:
ADDRESS:_
PERMIT RE(]UESTED
' X SEWER x WATER _ TAPS
_ COMM/IND _X_ RESIDENTIAL
CITY, STATE ZIP ' I NEW
PHONE:
EXISTING
Lawn Sprinkler Meters are to be Installed
PLUMBER: Ahead of Domestic Meters on Water Line.
ADDRESS: Credit WILL NOT be given for Deduct Meters.
CITY, STATE ZIP _?.
PHONE: , I AGREE TO COMPLY WITH CITY OF
OWNER: _ EAGAN OR IN7L.?? ADD
RESS: CITY, STATE • ZIP
PHONE: SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FdR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STaRM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
?
In_i%, .v..,. Oa28 Fa omce Use anly:
?yuv ?rr
,?? -,,,, ?, '??• ?.
?/?S O
MECkANICAL PERMIT
PERMff #
CITY OF EAGAN RECEIPT #
3830 PILOT KNOB ROAG, EAGAN, MN 55122 ? ? p??
/ .
DATE
CONTRACT PRICE PNONE: 454-a100 :
Sit@ Add[BSS 1' E - /1 `- • v - ? _ : ? '. r . ? r,1
BLD(i. TYPE WORK DESCRIPTION
Lot &ock ?- Sec/Sub
Res. New
„ . ?
Z Mult Add-on .?-
?
? .
Name
Address
Comm. Repalr
c
City -•'`'" Phone I' - Other
FEES
Name RES. HVAC 0-100 M BTU - $24.00
c Address < 7/l?.?c.- ,'? sN 6f -e-i qpDITIONAL 50 M BTU - 8.00
p City Phone (RES. HVAC INCWDES NC ON NEW
coNSiwucnoN)
GAS OUTLETS (MININUNI -1 PER PERMIT) - 1.50 EA
TYPE OF WORK COIIAM/IND FEE - i% OF CONTRACT FEE
Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES
Boiler M BTU TOWNHOUSE 8 CONDOS - RES. RATE APPLIES
Unit Heater M BTU YINIMUM RESIDENTIAL FEE - ALL ADD-ON dt
Air Cond. M BTU REMODELS - 12.00
MINIMUM COMMERCIAL FEE - 20.00
Vent CFM STATE SURCHARGE PER PERMIT - .50
Gas Pipfng Outlels # (ADD $50 S!C PER EACH $1000.00 OF PEHMIT FEE)
Other
?
PERNUT FEE:
S/C: MMEI / SEO
TOTAL: l''" FOR: CITY OF EAGAN
?.-.,P,F, y?... ..".?.., . --t .--.......,.. a,. : v..•v^4?s?r?a-• r3;;??":'A`.Rf-.ti _..?4".,?`.?"?'V..'M?^aw?'^:-'R°C? . .. . . . - :1'C' __.?,?rr..-n-,
?t?? ?• CITY OF EAGAN ;Ad? 17881
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE:454-8100
UILDIN PERMIT Receipt #
To be used tbr Est. value i71 9000 Date MAY ib 1 19 90
Site Ad%ess
Lot Block Sec/Sub.
Phone
Name
W W Name
0 ; Address
a W City Phane
I herehy aCknowlege that I have read this application nd state that the
information is correct and agree to compl wi ?plicable State of
Minnesota Statutes and Cirygol.Eap? Ord nces! f
/? ' r .. • l
Signalure of Permitee
FAONTItlk OSVEtAP!l1tN?
A Building Permit is issued to:
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statules and City o1 Eagan Ordinances.
Buiiding Ofticial
f
OFFICE USE ONLY
Occupancy R 3 U-i FEES
Zoning ?
(Aclual) Const
A
1
1 Bldg. Permit
33.50
(
d
e)
ON'ab - Surcharge
* ot stones _?? 331,00
??
m Plan Review
100.00
Depth
S.F. Total - SAG Ciry ?? oo
SAC, MCwCC
S.F. Footprints - 625.00 :
On Site 5ewage _ Water Conn W
-
o
On Sile Well
? Wa1er Meter .
O
----
W
-
0
MWCC System
City water
-S
_
Acct. Deposit 0
.
30.00
PRV Required _ S/W Permit
Booster Pump - S/W Surcharge .
?
232.00
APPROVALS Treatment PI
? ss ? OO
Road Unit
Planner - Park Ded.
Council
BIdg.Otf. _ Copies
2,958.00
Variance - TOTAL
? PermR No. Permit Nolder Oate Te{sphone #
WATER ? S IB !J
SEWER
PLUMBING
H.VA.C. ? v
ELECTRIC
ktspection Date Insp. Commerts
Foobri,S I S =?? f? ??s
Foundation yv 1 ¢a?
Framing
Roofing
Rough Plbg.
Aa,yn Htq.
Isui.
Fireplace
Fffial Hi,.
Final Plbg.
Const. Meter Plbg. Inspector - Notify Plumber
Engr.lPlan
Bldg. Final
Deck Ftg.
Declc Final
WeU
Pr. Disp.
d , . a
fCtrtif trate uf (Orrupanry
Citp of eagan
iotprtauPnt n# lwlDing imwrrtinn
Thrs Certificate issued pursuant to the requrrements of Section 306 of the Urriform Buf/ding
Code certifying that at the tiir:e of issuance this streecture was in compliance with the mrious
ordinances of the City regulating building canstruction or use. For the following.•
t.. ca?r.. SF M/GAR a4 hTaw Mo. 17881
Occ„p,-y T,,pe R3/M i Zmq Disim R 1 Type Con& VN
Owner of BuiWius ?M WMOMr QQ• qddraa - - 1285 OM. CM. DR.. EMAN
&nlding Addrea 856 NOFMIVIEEW PARK RW l,ocaliq, 19¦ B6s SDYFM PLACE
Dsoe: .+y 25. 1990
Bwlditg Offidai
POST IN A CONSPICUOUS PLACE
`•?.. Y:. "... .. .-.?.-.?r-?... .?w. V,?"M1, ..,. ?...
_ . . . . ?. . . .:;?.: . . . _. . ., . .
. .
PLUMBING PERMIT
For Offic
CITY OF EAGAN PERMIT#
,
CO NTRACT 3830 PILOT KNQB ROAD, EAGAN, MN 55122 RECEIPT #t
P
RICE
PHONE 4s4
8100 ?
DATE
- :
BLDG. TYPE WORK
Site
Lat A?ress Blocl?r Sec/Sub Res. ? New_
Mult. Add-on
} Comm. Repair
` Name Z
m r .? _ .. n l .. - .' - Other
FIXTURES -
? Add
? cRy
FEES
COMM./IND. 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 S1C PER EACH $1,000 OF PERMIT FEE)
/ Bath Tubs - $3.00
Z Lavatory - s3.00
Shower - $3.00
? Kitchen Sink - $3.00
UrinaVBidet - $3.00
? Laundry Tray - $3.00
Floor Drains - $1.50
Water Heater - $1.50
Whirtpod - $3.00
T- Gas Piping Outlets - $1.50
(MINIMUM -1 PER PERMIn
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
? Rough Openings - $1.50
U. G. Sprinkler System - $12.00
PERMIT FEE:
STATES SIC:
?? . TOTAL
$ .ao -
. DO
:i?
00
. D
?
--171 ?-
,2q.60
5C
GRAND TOTAL:
For Offke Use Only:
MECHANICAL PERMIT PERMIT #
CITY OF EAGAN RECEIPT #
3930 PILOT KNOB ROAD, EAGAN, MN 53122 •
CONTRACT PRICE: PHONE 454-8100 DATE:
Site Address BLDIi. TYPE WORK DESCRIPTION
Lot Block Sec/Sub Res New
r
'
• ??
' riLA
Mult Add-on
? Name .,
.
: .
°-' 19 5 5
Address ' aca.,; Comm. Repair
'
-` ." 7 ??
c Ciry Phone
PEES
NBme :? . i't: CCrp,?i,q,;, T ' ? RES. HVAC 0-100 M BTU -$24.00
?
Address rflOat[l P.7
. (.
ADDITIONAL 50 M 8TU - 6.00
p City ?r Phone -' _0 ? (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM -1 PER PERMIT) - 1.50 EA.
TYPE OF WORK COIYIwIND FEE -196 OF CONTRACT FEE
ForCed Air M BTU APT. BLDGS. - COMM. RATE APPUES
Boiler M BTU -It TOWNHOUSE 8 CONDOS - RES. RATE APPLIES
Unit Heater M BTU MINIMUM RE5IDENTIAL FEE - ALL ADD-ON &
Air Cond
M 8TU RFJAODELS - 12.00
. MINIMUM COMMERCIAL FEE - 20.00
Vent CFM STATE SUfiCHARGE PER PERMIT - .50
Gas Piping Oudets # ' (ADD $.50 SJC PER EACH $1000.00 OF PERMIT FEE)
Other .
PERiAIT FEE:
.
?
..?
SIGNATURE OF PERMITTEE
S/C:
TOTAL: ' ?'? FOR: CITY OF EAGAN
RESIDENTIAL
, .. BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
?•r 651-681-4675
New Construdion ReoulremeMs
• 3 regisMred site surveys showirg sq. R. oflot, sq. fi. of house; and all roofed areas
(20% mazimum lot coverage allowed)
. 2 capies of plan showirg heam &windovrsizes; poured found design, etc.)
• 1 set of Energy CalaLations
. 3 copies of Tree PreservaGon Plan it lat platted afler 711193
• Rim Jaist Detail Optlons selection sheet (bidgs wBh 3 or less uniLS)
0Q,a.?
RemodeVReoafr ReauiremaMs
• 2 copies of plan
• 1 set of Energy CalcWalions fahealed additians
• 1 site survey for extenor addiUOns & decks
• Indicate il home served Dy septlc syslem tor additiois
DATE ?' 6''l. I 0 I Vr,A?LUATION 57!2 Cd ?
JOB SITE ADDRESS 'IV? ?a'+'`? ?/11°,uJ Paa'?_
IF MUITI-fAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNER Lzbb t-& fVii 1L2y_
TYPE Of
APPLICANT
ADDRESS W
PAGER #
FIREPLACE(S) _ 0 _ 1 _ 2
7a64 PHONE# (ftO---683-913
ZIPCODE
CELL PHONE # 564-M-4-- FAX # 651` b 33 3
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
_ MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumbing Contractor: _
Plumbing System Includes:
Mechanical Contractor: _
Mechanical System Includes:
Sewer/Wafer Contractor:
_ Water Softener _
_ Water Heater _
No. of Baths
Air Conditioning
Heat Recovery System
All above information must be submittad prior to processing of application.
Fee: $70.00
Phone # ? F, ??C IJ `1J ?
I hereby acknowledge that I have read this application, state that the information is co o comply
with all applicable State of Minnesota Statutes and City of Eagan OrdinanceS
Signature ot Applicant
Phone #:
Lawn Sprinkler Fee: $90.00
No. of R.I. Baths
Phone #
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
lJpdated 1101
OFFICE USE ONLY
? 01 Foundation
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02•plex
? 05 03-plex
? 06 04-plex
? 07 05-plex ? 13 16-plex
? 08 06-plex ? 16 Fireplace
O 09 07-plex ? 17 Garage
? 10 08-plex 018 Deck
? 11 10-plex ? 19 Lower Level
? 12 12-plex Plbg_Y or_ N
? 20 Pool
? 21 Porch (3-sea.)
? 22 Porch/Addn. (4-sea.),
? 23 Porch (screened)
? 24 Storm Damage
0 25 Miscellaneous
? 30 Accessory Bldg +
? 31 Ext. Alt - MWti
? 33 Ext. Alt - SF
? 36 Multi
A, 31 New ? 35 Int ImprovemeM ? 38 Demolish (Interior) O 44 Siding
? 32 AddiGon ? 36 Move Bldg. O 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof 0 46 WindowslDoors
? 34 Replacement •Demolition (Entlre Bldg only) - Give PCA handout ta applicant
Valuation 2amy gf' Occupancy 7_3 MC/ES System
Census Code ?L 3 y Zoning ? City Water
SAC Units OK Stories Booster Pump
Nbr. of Units _L Sq. Ft. PRV
Nbr. of Bidgs ? Length Fire Sprinklered
Type of Const s Width
REQUIRED INSPECTIONS
Footings (new bldg)
?j FinallC.O.
Foo[ings (deck) FinaUNo C.O.
_ Footings(addition) Plumbing
Foundarion
Drain Tile
Roof Ice & Water Final Other
_ Framing _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Fireplace _ R.I. _ Air Test _ Final _ Siding Stucco Stone
Insulation _ Windows (newheplacement)
Approved By? , Building Inspeetor
Base Fee
Surcharge
Plan Review
MC/ES SAC
Ciry SAC
Water Supply & Storage
5&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
HVAC
DATE:
RE: 856 NORTIiVISii RA
4fAY 18, 1990
x Your°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. BE SURE TO
{ CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON,
B
Vour Sewer & Water Permit for the above property cannot be completed for the following
E reasons:
1
f Your Sewer & Water Permit for the above 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.
- REDUIRED 8Y LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
v*y?.?
;
Secretary, Building Inspections Dept. ?
4, * ? DATE:
RE: 856 NORTHVIEW RD
MAY 18, 1990
X Your'Sewer & Water Permit for the above property has been completed. It wiil be held at the
Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
d
-.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
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 Np 1788 1
3830 Pilot Knob Road, P.O. Box 27-199, Eagan, MN 55121
PHONE: 454-8700 n
BUILDING PERMIT Receipt # ' ?
Tobeusedlor SF DWG/GAR Est.Value $71,000 Date MAY 16 ,1990
Site Address '$56 NORTHVIEW PARK RD
Lot 9 Block 6 Sec/Sub. STAFFORD PLACE OFFICE uSE ONLV
ParcelNo. Occupancy R-3 P-1 FEES
R
1
Zoning =
p Name FRONTIER DEI?ELOPMENT CORP (ncwapConst v-N BIdg.Permit 509.00
o Address 1285 CORPORATE CENTER DR, #170 (nliowable) V=N rchar
S
e 35.50
Cit EAGAN Phone 454-0433
Y ?voisiories - g
u
331
00
581 Plan Review .
Length
o Name SAME Depth ?L SAQ City 100. 00
,
a
? Address S.F.TOial
-
600
00
• City Phone S.F. Foo[prinls - SAC,MCWCC .
625
00
water Conn .
On Site Sewage _
w Name On Site Well - Water Metar 90. 00
t
? Address Mwcc system xx 30
00
Acct. Deposit .
i W City PhOnB City Water Xx S/W Permit 30.00
PRV Required -
I hereby acknowlege that I have read this application and state that Ihe Boostar Pump - SrW Surcharge - 50
information is corred antl agree to comply with pplicable Slate of
Minnesota Statutes and City ot a9 n Ord' nce Trealment PI 252.00
Signalure of Permitee APPROVALS Road Unit 355.00
A Building Permit is issued lo: FRONTIER DEVELOPMENT Planner - park Ded.
on ihe ezpress contlition that all work shall be done in accordance with all Council _.
applicahle State of Minnesota Statute
s
and City oi Eagan Ortlinances. Bldg. Off. _ Copies
,
j
BuildingOfficial Variance - 70TAL 2,958. 0a
J? 7 REQUEST FOR ELECTRICAL WSPECTION
?? %? f ' See'ns[ruaons for compleling Ihis lorm on back ot yellow copy.
"X" Below Work Covered by This Request
Ne Ad`d Re - Type of Building - Appliances Wired. . Equipment Wired.
Home Range Temporary Service -
Du lex Water Heater Electric Heating
Apt. Building Dryer : Load Management '
Gomm./Intlustrial Furnace Other (Specify)
Farm Air Conditioner
Other (specity) Go s Rem r7
Compute lnspection
w/
# Other Fee # ervice Entrance Size Fee # Circuits/Feeders Fee
Swimming Pooi . 0 to 200 Amps / 0 to 100 Amps
Transtormers Above 200 Amps Above --Amps
SI(Jf1S Inspec[ar s Use Onry'. ' QTAL
Irrigation Booms
?
Special Ins ection
Alarm/Communication THIS INSTALLATION MAV BE O CONNECTED IF NOT
O[her Fee COMPLETED WITMIN 18 MON
I, the Electrical Inspector, hereby Rwyn-m oaie
certify that the a6ove inspection has
baen made.
Final r
Date ?
.??
OFFICE USE ONLY
Tnis request voitl 18 monlhs Vom
0? ??467 0 ? 1=9- /
R es D te Fire No. Rou -In I sp on Required Inspection 01her Th ughdn
? - ? r/ou c spacror when ready) 0 Reatly N. WIII Natiiy Inspector
Vas ? N. Date ReaO
I licensed contractor ?owner hereby request inspection of above electrical work at:
Job Atldress (Siree6 Box r Route No.) Ciry ?
Sec[ion No. Towrehip Neme or No. Range No. C ry// , i / l
Occu e (PRINT) Pnone No.
owar Supplier Atldress
Ele I CoNra or (COm Naa//nne) Comractor'S License No.
? ?T
Mailing Atldress (COntrec?or or Owner Making Inslallation) ?
/ f
Authorizatl SignaNre (C nirector/Oyiner Maki ihallanon) Phone Number
?
MINNESOTA STATE BOA F Er.?C?TqICITV5 ? I THIS INSPECTION FEQUEST WILL NOT s-Midw 1?8219Unlve se? ItlO.. SY. Pau ?MN SStp? II II I I I I II I I II (I I II I II BE ACCEPTED BY THE STATE BOARD
? UNLESS PROPER INSPECTION FEE IS
Phone(612) 642-0800 ?n? ENGLOSED.
io a s u
? 028874 q %l,
Requast Date Fir Rough-in Inspedion
Fequiretl? +(?1 Ready Now ? Will Nolify Insp¢cmr
? ? Vas a When Reedy?
I P7Qicensed contractor ? owner hereby request inspection of above elecirical work at:
Job AaOres(el, Box or ute? Ciry
S
Sac[ian No. 10,vnsM1ip Name or Na. Range No. Counry
Occo m(PRINT) Phone No.
I
K ,
Power Supplier r Atltlress
Elenn Contractor (COmpany Neme, Contrecmr5 License No.
. ?
Mailing AOtlress (Gomractor or Owner Making Inst211ation)
Nutboriie i naWre ?COnVactor/ wner Makmg Inslallation) Phone Number
MINNESOTA STATE BOAp? OF E?TRI?ITY THIS INSPECTION REOUEST WILL N0T
Grigga-MlCway Bldg. - Hopm $-173 ?? BE ACCEPTED BY THE STATE BOARD
1821 Univerely Ave., SL Peul, MN 55101 UNLESS PROPER MSPECTION FEE IS
Phone(81Y) 642-0800 - ENCLOSED.
A REQUEST FOR ELECTRICAL INSPECTION ee-oooo -ae
M/0 ?V ? See InSVUClions for complW.ing ihis torm on back of yellow copy. 989470
IN 0.2887 "X" Below Work Covered by This Request ewAdd Rep Type of Building AppliancesWired EquipmenlWired
Home Range Temporary Service
Duplez Water Heater Electric Heating
Apt Building Dryer Other (Specify)
Comm./Industrial ' Furnace
Farm Air Conditioner
Olher(specify) Contrectors Remarks:
Compute Inspectian Fee Below: w ( o
# Other Fee # ServiceEntranceSize Fee # Circuds/Feetlers Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps ?
Transformers Above 200 _ Amps Above 100 _ Amps
SignS Inspeclor's Use Only: /S Oa TOTAL S
Irrigation Booms ?
Special Inspection
Alarm/Communicalion THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, ihe Electrical Inspector, hereby Rou9n-in oaie
certity that the above inspection has
been made. F1fei Date/ ?(
60 ' ?? i
DFFICE USE ONW
This repuest witl 18 months irom
9 o
C?4 4 5 ?5 ? ,
Request oale Fire No Pougn-in Inspection
Pe uiretl? ```///
? Reatly Now y9,Will Notify Inspedor
? Wlen R
ed
?
_ Yes ? No y
e
licensed contractor ? owner hereby request inspection of above electrical work aC
/
Joh AOOress (Streel Box or Rou[e Na.l ? Ciry )
? 7
Secnon No. Township Name or No. Range No. Counry ?.L
C.ZV
Occu ant(P INT) Phone No.
Powe! Oli¢r Atltl255 '
/T
7
vcz, l ? e
ElpClric onlraclo? (COmpany N e7 ? Conlract0 License No.
maih,g ( ont?aotor or Owner Making Insteilallon
/ 1 f/J
ll% V%' ?v'?
Aulhonzea ne?tor/OWp@r Making Inslallation) Phone N mber
MINNESOTA S?lTATE BOAPD OF ELECTRICITV THIS INSPECTION REOUEST WILL NOT
Gtlggs-MICwq Bltlg. - Room 54]] BE ACCEPTED 8V THE STATE BOARD
1811 Univereity Ave., 51. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone(612) 602-0800 ENCLOSED.
1v17/So
044595
REQUEST FOR ELECTRICAL INSPECTION
? SatL lnshuclions for completlng this form on baok ot yellow copy.
"X" Below Work Covered by This Request
ee-00001-07
?
ew Atld Rep. Type of Building ApplianceSWired EquipmentWired
Home Range 7emporary Service
Duplex Water Heater Eieciric Heating
Apt 8uilding Dryer Other (Specify)
CommJlndus[rial Fumace
Farm Air Conditioner
Othae (apedly) Con4acto"S RSmalk6.
Compufe Inspection Fee Below:
# Other Fee # Sarvice Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0
to 200 Amps to 100 Amps . ?
Transformers Above 200 _ Amps Above 100 _ Amps
SignS Inspecmr§ Use Only:
p TOTAL D
Irrigatian Bonms ?O 7b-
Special Inspection
Alarm/Communication THI5 INSTALLATION M Y BE ORDERED DISCONNECTED IF NOT
Other Fee a_ COMPLETED WITV!??ONRP.
I, the Electrical Inspecror, hereby
h RO°9n-in ? Da?e
certify that t
e above inspection has
been matle. Fmei oete
OFFICE USE ONLY s Llclleli?
This request voitl 18 monlhs Ira.
PERMIT #
RECEIPT DATE: ?? 1? O'
RESIDENTIAL PLUM$INC PERM1T APPLICATION
crrYoF EAsm
3$30 PILOT KNOB RD
EKGajk1v, eari 551 s.2
651-6$1-4675
Please complete for:
SITE ADDRESS:
OWNER NAME:
? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for irrigation system
INSTALLER NAME: d2 _('G STREETADDRESS: 2NqS (Jjj?.?
CITY: [14[y
Place a check mark next to the aermit work tvne
TELEPHONE#: 6YS'7S£S7
(AREA CODE)
TELEPFiONE#: 763 " 253
. (AREA CODE)
STATE: IYGI-41. ZIP: SSc//
New residential dwelling unit under construction and not owner/occupied $ 90.00
Add-on, modification or alteration to existinq dwelling unit, including: $ 50.00
. abandonment of septic system
. new installation/repair/rebuild of RPZ
. lawn irrigation system
. waterturnaround
Nature of work: a't'e?
U
Septic System, new/refurbished - $ 225.00
. includes County 8 Consulting Inspectar fees
. requires MPC license
State Surcharge $ 50
Total $ Mo
Reminder. Be sure ta schedule inspections of alterations, i.e. water heaters, water softeners, etc.
I hereby acknowledge that I have read this applicalion, state that the information is correct, and agree to comply with all applica6le City of Eagan ordinances.
It is the apptiranYS responsibility to notify the propeAy owner fhat the City of Eagan assumes no Ilabiilty for any damages caused by the CiTy during iLs
/
normal operational and maintenance activities to the facilities constructed under this permd within C prty/righ f-way/easement.
(
SIGNAT UJ E OF PERMITTEE
Updated 7/01
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
6UILDING
025314
03/31/95
SITE ADDRESS:
LOT: 9 BLOCK:
856 NOR7HVIEW PARK RO
STAFFORD PLACE
PERMIT SUBTYPE:
BASEMENT FINISH
APPLICANT:
6
HOMECARE INC
(612) 864-4167
TYPE OF WORK:
ALTERATION
DESCRIPTION (BATHROOM)
INSPECTION
FRAMING .. .
INSULATION DA
ROUGH IN PLBG FINAL
REMARKS: A SEPARA7E PERMIT IS REQUIRED FOR ANY PIUMBING OR ELECTRICAL WORK
?
?
?
?
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT
PERMiT TYPE:
Permit Number:
Date Issued:
GK.3h31
BUILDING
025314
03/31/95
SITE ADDRESS:
P.S.N.: 10-72500-090-06
856 NORTHVIEW PARK RD
LOT: 9 BLOCK: 6
STAfFORD PLACE
DESCRIPTION:
(BATNRpOM)
rmit Type
r?k, Type
P ?4
Pyn t
Y
Crv'?? + ??„R•?J
i _ n&
BASEMENT FINISH
AL7ERATION
YS. 1,'v a r u ?+? zt?a".?.?
n-
REMARKS:
A SEPARATE PERMIT IS REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK
FEE SUMMARY:
Base Fee
Surcharge
Lic. Search Fee
Total Fee
$95.00
$.50
$5.00
$40.50
CONTRACTOR: - qpplicant - ST. l.zC. OWNER:
HOMECfiRE INC 16844187 0002116 MILLER OEBBIE
9301 BRYANT S 215 856 NOR7HVIEW PARK RD RD
BLOOMINGTON MN 55420 EAGAN MN
(612) 884-4187
Z Mereby, ackriawiedye th,at, I have re&d th.€s.aPPTicatjon a,f?€# 61:4fe t?rat. `t!h4z
infnrTnat?onE is corrpct a.rrclagrae,tcs sofilo ty ?Ch, al3,ap??a??4„?? o,f in ,
Statutes and ?3t,? of Eegan' Orsiinances.
? .. ._ . _ . . , . _ _ ,?
' ?
AP ICANT/PERMITEE SIGNATU =E0 B'ISIGPgAJURE
3830 PILIOT KNOB RDN 55122
4 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
? 3 registereA ai[e surveys ? 2 copfes oi plan
? 2 copies of plans (InGude beam S window aizes: pouretl fid. design; etc.) ? 2 sRe surveys (eMerlw addRions & dacks)
? 1 energy celculetiona ? t enerpy calalations for heated addftions
? 3 cropies of hee pieservaGon plan 'rf lot platted eRer 7f1193
required: _ Yea _ No
? . i ab
DATE: 3-29- 9 f CONSTRUCTION COST: ? 000
DESCRIPTION OF WORK:
STREET ADDRESS: ' 19S7; t?E^ k k=?
LOT ? BLOCK {. SUBD./P.I.D. #:
PROPERTY Name: Phone #:
OWNER ""• `M"
Street Address,
City: State: Zip:
'Lo'eo r -? ? • Phone #: W:-.o$,Z
coNrw?cTOR Company: 170on, r
Street Address: ?n/?„? License #: ? //r/-
. ?
City: State: A? . Zip: SS?? o
ARCHITECTI Company: Phone M
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
1 hereby adcnowfedge that I have read this application and state that die information is wrrect and agree to comply with all
applicable State of Minnesota Statutes and City of Eagan Ordinances, ?
Signature of Appliqnt: ,. ?
OFFICE USE ONLY
Certificates of Survey Received
Yes _ No
MAR 3 0 1995
Tree Preservation Pian Received Yes No
OFFICE U5E ONLY
BUILDING PERMIT TYPE
0 01 Foundation o 06 Duplex ? 11 Apt./Lodging (,R-(
? 02 SF Dweiling o 07 4-plex ? 12 Mufti RepaidRem. ?
0 03 SF Addition o 08 8-plex ? 13 Garage/Accessory ?
0 04 SF Porch ? 09 12-plex ? 14 Fireplace ?
0 05 SF Misc. 0 10 _ plex ? 15 Deck
WORK TYPE 73145?'/y??NT'
0 31 New ??3 Alterations o 36 Move
0 32 Addition o 34 Repair o 37 Demolition
GENERAL INFORMATION
Const. (Actuat)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Basement sq. ft.
Main level sq. R.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
9ATN
16 'IBasement4Hff11l!r---
17 'Swim Pool
20 Public Facility
21 IMiscellaneous
I611FG ;P/
-?
;
?
MC/WS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code. li
SAC Code
Census Bldg
Census Unit
Building Engineering Variance
Permit Fee
Surcharge
Plan Review
License
MCNVS 5AC
Cfty SAC
4'Jater C:;nr.
Water Meter
Acct. DeposR
SNV Permit
SNV 5urcharge
Treatment Pi.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: $
SaD ?
?
/
O
% 5AC
SAC Units
cirr use oNLv
L ? BL 40 RECEIPT#:
SUBD. ? ? DATE:
7995 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55722
(672) 687-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
FIXTURES EACH NO. TOTAL
Shower 3.00 x =
Water Closet 3.00 x =
Bath Tub 3.00 x =
Lavatory 3.00 x =
Kitchen Sink 3.00 x =
Laundry Tray ? 3.00 x =
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x =
Floor Drain 3.00 x =
Gas Piping Outlet ' minimum - 1 3.00 x =
Rough Openings 1.50 x =
Water Softener 5.00 x =
Private Disposal * Dakota Cry. license 20.00 =
U.G. Sprinkler' home underconst. 3.00 =
Alterations * ro existin9 20.00 = L-z-'2 -ez;CD
Water Turn Around 20.00
STATE SURCHARGE .50
TOTAL
-jn. LZ;
SITE
OWNER NAME:
INSTALLER
STREET
CIIY:
ZIP:
PHONE #: ( l???L) Sf(n(? ?C?1S2
OFFICE USE ONLY
L _ BL _ RECEIPT
SUBD.
DATE:
1995 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681 -d675 "
Please complete for. ? all wmmerciaUndustrial buildings.
P multi-family buildings when separate permits are pQt required fbr each dwelling
unit.
DATE: CONTRACT PRICE:
WORK TYPE: _ NEW CONSTRUCTION _ ADD ON REPAIR,
DESCRIPTION OF WORK:
IS WATER METER REQUIRED7 _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING:
WATER FLOW: GPM. ARE FLUSHOMETERS TO BE INSTALLED? : YES NO.
FAILURE TO PROVIDE THIS INFORMATION WILL RESULT IN A DELAY OF METEa ISSUANCE.
WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? . YES NO.
IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINKLER PERMIT.
FEE: $25.00 minimum fee or 1°k of contract price, whichever is greatec State surcharge of $.50 per
$7,000 of pqmojY fee due on all permits. .
CONTRACT PRICE x 1%
STATE SURCHARGE
TOTAL
SITE ADDRESS:
TENANT NAME:
01NNER NAME:
STE. #
INSTALLER:
ADDRESS:
CITY: STATE: ZIP:
PHONE #: SIGNATURE:
APPLICANT '
OFFICE USE ONLY
METER SIZE: ' DATE: INSPECTOR:
o. *
5o9-oo+
35•S0+
- 331•UO1-
2jU82•50+
2, 958•00*+
509•00F
35•50+
331•00}
21082•50+
2j955•OU*+
1
?
t 7 $$1
1990 BDILDING PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGTSTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIDNS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGI CALCS
# OF RENTAL UNITS
3c OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DA]
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
P;OTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSL'ED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS 6NCE A PERMIT HAS BEEN GOPIPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
dlAY i D RECO
To Be Used For:ARLI3 ? ?Valuation: Date: 6-/0'90
Sica Address(plp hbrbkt/ICJ Qct ci- .71 ?OFFICE USE ONLY
! ?
Lot q B1ock l? ?Q,,FEES
Pa,-cel/Sub -S[4JA?1vlX PlQ .
0wneLb.pD1C. EM1'vLnj
Address 33bS W. 14y ik ?- _
City/Zip Code'???, tw . ssQip?
Phone 1433-14Y7
Cor.tractor
Addressiags GNpAmpe- /t??v D?•?70
City/Zip Code,t??h? /?'??• ?+'/a'?
Phone Lj ?-by33
Arch,/Engr.4.ik?.
-Aq
Address 111JQ5 V ;k-tYVIwfUe -W?S
City/Zip CodeJr-4fiyl J01(Ql/?'?[?
Phone # '7'qd? 6 75?
Occupancy R-3 µ'I
Zoning R-1
Actual Const V-N
Bldg. Permit C
J.O '?0a
Allowable 14-N Surcharge 35-SU
# of stories Plan Review $ $?iDO
Length SAC, City 100,00
Depth Zg, SAC, MWCC C0,00
S.F. Total Water Conn 67,15,QA
Footprint S.F. Water Meter ,pp
Acct. Deposit 0,00
Dn site sewage_ S/W Permit 30,00
On site well S/W Surcharge ,SO
MWCC System r/ Treatment P1. Z52,00
City water -1z' Road Unit 3343,00
PRV Park Ded.
Booster Pump _ Copies
SUBTOTAL
APPROVALS Penalty
Planner TOTAL
Council /
Bldg
Off.
. ?
Variance 5 ?
O
GAG-W ? . ? _ . .
yZ
??,2 X r5= '7z?v
t3sm-r
?
3 z ?c 2`? ?. ?f 6
q(,8 X 14= 13552-
1 ST F?La o+'a_
ri t,ova?
f
T?Yibk6L
S?rrive?ar? G'ert?f?cate
SURVEY fOR: Frontier Development Corp.
DESCFi18E0 AS: Lot 9, Bloc[c 6, STAFFORD PLACE, City of Eagan, Dakota Count
Minnesota and reserving easements of record.
01VOR?VE I W PARK RD.
? a ?3 g
?
N69' 9_+680. nn Tr„t
96
s ? ----- _ s ?
sr+.b :aao ?a
? ap. w
891. ?? d Pr p a?d
e ?i: c ?nir?` $
p d ear. sc, y ?
. (Br/atof) I
0.00 1! ?I.00 l0.+DD ?
„i
o F?
b t-1
? • ? I ? J
i? N
? ? -?-------? I
° L - - - - - - - - --?e
io io
abgt, N89055'56'E 79.38 Ak? pg ges'
L0T SQ. F OTAGE'_,=
PROP0990 El[VATIO
Toy el fovadeNen • $gs,l
Oaaas FI oor .114,7
Boum?nf flea? ?gg1,9
Approe. Qowu 9vvloo Elw.. golde.Va?i4y
PreOaaA E??retlan? I Q
EmtlnO [flrellonf ?
DrMness OIHSI1en• ?....,.F
Donoles Olhel 910M• ? p
iirEa,cuNo
P/ennlny Erpln?erkrp 8un+rylnp
?
M1?MM'???M/IIIMNM ?M?M?INl1
` ?'?,? ?
.
,
R;
?
SCAtS: ! tMA ? 30 iOCl
c
`I?:?d' Hyd: `4!
?l. Rmnsyluwia
Elw $93.02
MLL
?rent UOU
- 30 JUSM
Hwa 111IN -
tO
Robr - !5 Oerep 11ds' 2
I MrHy #wll// 1Mf Ift owrq, pNe w rHNl wN MOM?N Mno li0[ 00.!
.. ww.r ror rk.a .wavl.ron «N M•t 1.a . Nh mNkl.,•d 4oQ -r.1g
LMd oMYolM YMN Me I/1M N IM tlsl* N MIMosNe,
?ooMS re?a
op?Ml 4. d3• 90 tl?ltl ?Illl ? aw. exa
NI ,?hM?? Mi1? FmNC2
.?......?.
?
?
.A
O
R
*
a
. C1 c` w`? ?? ? /
CLTY OF E1GdN 14
EYTERIOR ENVELOPE A'lcRAGE `l1' CCMPUT.ITION
041NER:
SITE ADDRESS: L 1 ? 5 T? FRD R-D 9
.-t._.
COHTftAC'IOR: 1?/-ti^/?'I IEYL VVI0?CC-?,i?DATE: PHOHE_ 4'5
1-?C•Cl?'}? ? ?
petermine :rorking square footage o£ each:
1. Total exoosed wzil zrea ,.. ,S sq. ft. x.il = z?? .13
2. Total roof/cziliag area ... C??l sq. ft. x.026 = Zdi ,?c?$
Tota1 exposed Na11 area a6ove floor
' d
a. Tots_ ow zrea ...........................
cra11 win
b. iotz_ dr,or zrea .......................... . .... ?rt
c. Totai s'_idin3 glzss zrea .........................
d. ?'otal fireplace wa11 area ........................
e. Tota_ cra11 fram±ag arez (average tOA : ............
f. Total net xa11 zrea aoove floor ...................
g. ;ota= rin joist area ............................. 1?3
Total exposed foundatio? area
h. TOt2l foundz:ion wi.^.dow area ......................
i. Tota'_ net fcur.dation a-=a abov= g.*ade .............
Dete.-mine 'U' value of each xall segtaent:
? `T x ' u'
a.
k7 . ._-- x' U' ?45 0 11 , 1
x 'U' N1-
d. x 'U' °
e. u' ,11 = 1 ?.?Sb
g. x 'U'
X ' U' '
x ' U' ,72
To
3 . ........... .............. ...... .............. ......
Z` iten !!3 is tne same as or less than item 41, you hav= met the iatent of SBC
6oofi(c)2.
Total exposed rooF/c eiling area
j. Tcta1 s!cylight area ...............................
k. Tota1 roof/ceiling framing area (average 10%) .....
1. Tctal net insu'ated roo.`/ceiling area .............. 7,?.9
OvEfi
??!T`?'>ai/?'l?.f?.?•^'?? = :T..r:'. 1.U/r?J
........ TOta ..
f%total of,44 is the same as or less than 02, you have met tri e`
4:6o06(c) t.
Alternate Building Envelope Design
?Yi? ? .. •iF?
?( )
?- \\(1
f of SBC
To utilize the total envelope system method, the values establisned by the sum
of Items 63 and fl4 shall not be greater•than the sum of Items fl1 and 02.
1 . + 2.
3, + 4. _
I z
... nR+e" ?![smewm11e?9?12RIdI1?F?Ir??R?lIR/?n?,RRi4l?leel
.
I
,,, _ i ?? - JI, .U2 •:ol . iJ i.?1'
..;= ,
-.
;. ._
-?
_T
M,
S;_t !<<tLc01,
'i -
-':
i
1
i ? ? e ? D ; !?/\•CI ? ? '? ..
I L I ?" •%
I ,?•;, ,
? --°? -
?
? - if;3 ?_..;1'
L:.1:.'..-?i;rrLOPi._ F-?A2"?'.ir; - -
' :17LYIrR qro r=?0.68
?. 1/2' GY"?ED .??
SOF"?' 4vCOD 6.87
J
4. --?e -----?
s. _OL..G
6. ?'°'3=nR a,_? c=p ~-
Tu..=.,. R- l; S
?'_ .199
1. T_N'ESCR AIR FIi.'" 0.68
2 '_ / 2 G'!? BD .45
3. b n.,U.. _.O
?• cT I.-?'_?1?9?'???I
5. ?. D G .6
6. - 1 R Ai3.riliu
U= ??
1. I?v77>I0R :4IR FIL" 0.68
2. o OSUL. 19.D0
?. _x_ ?G! ! !. ..
5. SID _TNIG .62
6. _.,<,TER_pa prR r=j" 0.
l`?"= ? P+.4--2-
L= _
? 04?
BLvrIX
? lNr-?=aP a7F F-, c_sa
2. 1127"ATOCT _.
3. Z l? INS) 10.00
u. PRO:?.. IVE RA_ ?
5.
6. - ? A1 e_li. !
- - ,-10rar,
_ U_
' L SLAB ON GR'•DE t?(- p c „ ?? ? ,1
v . ,, • , ? K ? ?_ =
? ???? ?/?-
•''? ? '
1 "
G e
, A ?
?
•.
01
T
--
? ?
L
7--- ?'R,? ?iP'.
-
D-?: .
? c C- rtiS'Lr??r-;Otl_
_
7 ?/ i
--
-- ---J
-
uooc/cz:.L_:(c
/
??/ ?• / r ?\ .
?LO ??? .. .
? . ?,.
?zc?3 ? ? .? ?ea= flov
rsc_ Qs? '
..
Const:??ction ?i?SL?L.? S-4'p1uC
l. Inccclnr ilr C11m O.GL -
?. I?VSUL --»U•Db
4. Extcrior air ci?n (s''_11) O.G_
- To w1
(L= 4l.SO
Ftt.l+rr o: .
1. Interior air fi1? 0.61
2 _ S Q ?J ?j
3. ?( ?? ? ? a ? USUL • -l ? l Z?
4. Extcrior zir
. . Total
[ o.? 5s?e ? c r? m?_ l ],_ Insifle air filtn
0.61
2. .
, 3_ . .
` q' 0.17
? 5. putside a?r. f±1:n
Total
g`y? flov vp - r
' FSG_ G6...--
_•ven[ed
?' -
v
. • •• ? ? ,. ,e_a_ -.-.• .
r?.'.: :'.':.. ..
• ,?,,,C?(.,r??J..?=.' -?
:-???1'.:? •.:'.
J LT ?
. . . , .. ?.
i ' • ' ,
• _ HGI-Y?? .
' , Heat ?
1. Znsize air film 0.51
2 '
.
3 ' .
.
4
.
5.
pu?side aiz P:lm
0.17
Totai
Znsidc ai: °iIm 0.61
2
. '
3_ • -
4
" 17
0
5 putside air Ei1:n .
. • Tora1 .
.
No
Use additional
tc:
sheets ?
i.` rnoro '?acc -
pecclec.l for cletail-' Snd
'
^;? ?? : -•
. l j.
SJ.C.
c UT_. 'J
^--?1?.
vr )liL'?i.:. ?m ?ti VJ r K^' .i' ry'\? .n`.
W. c
?uL': i?j
:= ?;
=rC-1: ?
? ?viuoo?YS l l `??
? ??? 1117 G?
X .5=?.?- 5
s = -Al-?D
Xa=
x a =1???
xa=
.C =
X ? =133
GC,1
DcoRS 3$
pATIO DOORS ?Q
* EAS-?"[D1?' LI,4=Z'S
SIN(:LE s DOUBLE FAMILY HOMES
1984 E`Ic3GY CGDE REQUIRF.MENTS
On or about Ma-cn 1, 1984, the £ollewinq energy code recuirements
should be calculated ar.d included with a buildir.g permit application.
1. P.co' - ceilir,q asse*.etblies - R-39 U= 0.025 Average
2. Erterior wa11s 5 rim joists - R-20 U= 0.11 Average
3. Flcors over unheated s=aces - R-20 U= 0.05 Averaqe
a. Ert=rior overhangs wi11 be considered as esterior wa11.
5. Fouadations (a11 e:te=ior wa11s) - Mir.imum of R-5 iasulation.
6. A11 insulatec areas must be separated f-om the heatec s=ace
by a we1_-lapaed or sealed vaoor bar_ier with a.mir.imun oerm
ra_ing o° 0.1_ A 4 mil. polyethlene sheet or ea-uivaleat meets
this recuire-ment. -
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SURVEY FOR: Frontier Development Corp.
DESCRIBED AS: Lot 9, Block 6, STAFFORD PLACE, City of Eagan, Dakota Coun
Dlinnesota and reserving easements of record.
QTIOR7'NVE I W PARK RD.
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Aug 01 2012 7:55PM BRUCKMUELLER PLUMBING INC 6516882160 page 1 '
Use BLUE or BLACK Ink
I For Office Use
` L
My ofa an Permit: _ e CC
Permit Fee:
3830 Pilot Knob Road i I
Date Received: _ I
Eagan MN 55122 I
Phone: (651) 675-5675 ► Staff: _
Fax: (651) 675-5694 L-----------------I
INFLOW & INFILTRATION PERMIT APPLICATION
t/' Plumbing 1 Smer & water
Date: Site Address: g S(.V W)OrM V 1." (JQ rl ~
Tenant: , Suite
X41 ~I s I Name r Phone: (551- S1S-2
~;SJ~~~IT' f D1NM~R
;.y Address I City I Zip:
r , r Name: Ile t Lamb, !19, .,~C. License ~ t'~ / S~ ~~'lr)
y Address: ~R 19e0j)5il1PUr71;t fiyellij e, city: ad r'1
,rte € 5 State: m Zip: Phone: t? l' + 15 40 CP a q <P
Contact; Email:
J tlltYj:~.
jai f t
PLUMBING (within the building envelope) SEWER 8 WATER (Outside the building envelope)
ti ✓Sump Pump Repair Repair
ftvc
uf~ Other: Other:
' 9 Er , mo: ~
~ _ 1.tmf2 PUMA ~
~-r' 'Description of work:
aQESfC:RGhir
7 i3a.
IN
nlf•K7'_' a S~ -
FEES
$60.001 Each (includes $5.00 State Surcharge) TOTAL FEE $
'Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit Ill repair costs for
reimbursement, two quotes from qualified contractors must accompany this. application. A list of contractors
can be found by visiting www,citYOfe aan.com/inflow, or City Hall at 3830 Pilot Knob Rd.
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.aooherstateonscall.orn
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.
Applicant's Printed Name Ap icanrs signature
a 4 .,t x r { . - LL c a @; Z h~ NO 77,77,
ra `f~~ .t. ~ L{tai,~ a ~'~F ~ ~~b i~.~ r~i. K. ~ ~i 8ra~•
;,p'~{I. ftl ~g,er e~s,i* ~+c..
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA166135
Date Issued:12/15/2020
Permit Category:ePermit
Site Address: 856 Northview Park Rd
Lot:9 Block: 6 Addition: Stafford Place
PID:10-72500-06-090
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
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 -
Debbie M Miller
856 Northview Park Rd
Eagan MN 55123
(651) 271-4598
Apple Lake Heating & Air Conditioning
207 150th Street West
Apple Valley MN 55124
(952) 431-4328
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA171218
Date Issued:08/05/2021
Permit Category:ePermit
Site Address: 856 Northview Park Rd
Lot:9 Block: 6 Addition: Stafford Place
PID:10-72500-06-090
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the
water damage.
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Debbie M Miller
856 Northview Park Rd
Eagan MN 55123
(651) 271-4598
Bormann Brothers
17593 Foxboro Ct
Farmington MN 55024
(952) 891-8586
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA176772
Date Issued:06/01/2022
Permit Category:ePermit
Site Address: 856 Northview Park Rd
Lot:9 Block: 6 Addition: Stafford Place
PID:10-72500-06-090
Use:
Description:
Sub Type:Air Conditioner
Work Type:Replace
Description:
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
210-0754.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Debbie M Miller
856 Northview Park Rd
Eagan MN 55123
(651) 271-4598
Apple Lake Heating & Air Conditioning
207 150th Street West
Apple Valley MN 55124
(952) 431-4328
Applicant/Permitee: Signature Issued By: Signature