979 Northview Park RdCITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21 •199, Eagan, MN 551 21
PHONE:454-8100
B
ILDIN
PERM
?`
IT
U
G Receipt # -
To be used for 1A1L1GA' Est. Value Date At'•??ST 22 ,1938
Site Address
OFFICE USE ONLY
-; •? ti-
Lot 14 Block Sec/Sub. • ,':•- . ' !- s [. ', :.,.t ;;T. ? On Slte Sewage Occupancy K"J m-1
MWCC System , Zoning Pp
Parcel No. y-H
On Site Weu (Actuaq Const
a
Name -;'-T.ZC s')? INC
` CityWater (Allowable) V-N
Z Address 11 QBOX 104,.;, PRV Required # of Stories
? City? ???N UILLE Phone 454-9383 Booster Pump Length 45 '
Depth 471
p Name ?A;aE S.F. Total
,
? a AddreSS Footprint S.F.
? City Phone APPROVALS FEES
? W
?y
Name Engr./Assess. Permit 474.()i;
?)
?
W
? Z
_
Address Planner SurCharge ?
237
00
. Council Ptan Review .
Q W City ' Phone 100
00
Bldg. Off. SAC, City .
I hereby acknowledge that I have read this ap??Cation and state that the Wariance SAC, MWCC _?50• QO
550
information is correct and agree to compty,,.*tth all applicable State of Water Conn. •00
Minnesota 5tatutes and City of EaBan Ordtnances..
?
Water Meter (j? ?? „
?
Signature of Permittee - ---- Road Unit 325.00
t1 Building Permit is issued to: :i0:tES, jIv Treatment P1 204.00
on the express condition that all work shall be done in accordance with all Parks
applicable State o1 Minnesota Stalutes and City ot Eagan Ordinances. ???? ??
Building Official_ TOTAL
01-3210
Bldg. Permit ..?7 ' .?
01-3422
Plan Check ? ...
!?' r
01-3445 Surch./Adm. ?
a
-.
01-3446 SAC/Adm.
01-2155 Surcharge
75-3860 Road Unit
20-2275 SAC
20-3865 Water Conn.
20-3868 Water Trmt. -
20-3716 Water Meter , x
20-2252 Acct. Dep. '
4
20-3713 Water Permit ?
20-3743 Sewer Permit
?
79-3866 Sewer Conn. tL1 C)a
28-3855 Park Ded.
?
a
TOTAL ? ? ?
0 CASH RECEIPT 9
-CITY 4QFsEAGAN
3830 PILOT KNOB RQAD
EAGAN, MINNESOTA 55122
'l
DATE 18 '
rccerven
cnor
AMOUNT
? CASH
fyc CHECK
,.k ? _.. , ? ;.? • C- ? -i?,, ? .
.
v-?9
?
11 n .?? ' .L („ ?7`?1
white-Payers Copy
YeIIOw-Poslin9 CoPY
Pink-Fde Copy
8 DOLLARS
ioo
Thank You
BY
INSPECTIaN REC4RD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number.
Eagan, Minnesata 55123 A/ rDate Issued:
(612) 681-4675
I Controi No. 0 8 3 5D
o1! I 1. {} 111 t3
'??-.•' ?;.
SITE ADDRESS: I+n r : 14 e Lnc t?. . APPLICANT:
'0'•4 MDIt'TH11IEiJ PARK FtU `1TAPFONO 301
!, f x T Nti T[1N '.QIIAftE 6 fH (612) 722 -$#9a
tN
TYPE OF WORK: atTFRaT raM
pESCRIPtFQM 1Nt'LUUfS FIHFPi Af,'1
Ogg -
?VeF
Psrmk No. PermR Holder Date TNepha» t
SJ1N
PLUMBING .
HVAC
ELEr-ro, r •. /. +? -1I'?'i <. , ', i !i 1 .-
ELE
InFill
To_ 'f?Qtlx.
Foot Date ? Time 11 « p PM
WHILE YOU WERE OUT
F«,r m '??h¢Gw in on, _
Fra, of
Phona [ 1
Pool Area Code Number Extensian
TELEPHONED PLEASE CALL
Roul
CALLED.TO SEE YOU WILL CALL AGAIN
Ro4 WANTS TO SEE YOD URGENT
RETURNED YOUR CALL
Isul.
Message
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Fina Pi 11.C1'S ? ? A M, L! 10AOiYh +,n„!
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om
Fina
Con
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Oper or
Erfgi
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A
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gkI9
Fff30VCXJpPIA?PER
Dedc Ftg.
Deck Final A14 !Gf?C'17?
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. .. "_ - . - . ...Q??v'S,?'?..i -r..T. i.. a.?:-.??4'Zi'T"?!Ty?-?nT-•p?ns?t?s ;?ynyi??R?„++?-?qws??r ^
,;?t}:• ? • 4 . CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
?. . P HON E: 454-8100
BUILDING PERMIT
To*usedfor , D= Est. Value ;1.0()()
Site Address 979 NORH1YIEii PA?K RD
Lot 14 ' Block 2 Sec/Sub.1.8XINGT011 SQ 6'[N
Parcel No. _
o Address 979 NOR[H1?ISY PAQK 8D
City EA'•AH Phone 658.-7SS8
Name _
Address
Clty -
Name _
Address
Phone
I hereby acknowlege that I have read this application and state Ihat the
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan, Ordinan¢es.
Signature of Permitee
A euilding Permit is issued to: JOE 5r?MRI)
on the express contlition that all work shall be done in accordance with all
applicable Stale ot Minnesota Statutes and City ot Eagan Ordinances.
Building Ofiicial ' %
17?b5
Receipt #
Date APR 26 , 19 90
OFFICE USE ONLY
Occupancy - FEES
Zoning _
(Actuap Const _ Bidg. Permit 25'00
(Allowable) - • 30
Surcharge
# of Stones -
Length _ Plan Feview
Depih - SAC, Cily
S.F. Total - SAC, MCWCC
S.F. Footprints -
On Site Sewage _ Water Conn
On Sile Well - Waler Meter
MWCC System -
Ciry Water ?. DePosit
_
PRV Required _ S/W Permit
8ooster Pump - g/yU Surcharge
Treatment PI
APPROYALS Road Unit
Planner
iI
C
n - Park Ded.
OU
C
BIdg.Of1. _ Copies
?s? ?
Variance - TOTAL
Perrrw No. Permit Holder Date Telephone #
WATER
SEWER
PLUMBING
H.V.A.C.
ELECTRIC
Inspection Date Insp. Comments
Footings I
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Freplace
Final Htg.
Final Plbg.
Consl. Meter Plbg. Inspector - Notify Plumber
Engr.JPlan
Bldg. Final
Deck Ftg.
Deck Final ? { ?.•.c
Weu YC ?.. /f /'4...
Pr. Disp.
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE:454-8100
BUILDING PERMIT Receipt #
To be used for Est. Vafue Date ' ,19
Sec/Sub.
p Name
Address
H
? City Phone
Name
Address
Ciry Phone
Signature of Pern
A Building Permit
that 1 have read this application and state that the
and agree to comply with all appliCable State of
applicable State of Minnesota Statutea and City of Eegan Ordinances.
Building Official
On Site Sewege Oocupancy
MWCC System Zoning
On Sita Well (Actual) Conat
City Water (Allowebte)
PRV Required ? of Stories
Booster Pump Length '
Depth
S.F. Totai
Footprint S.F.
APPROVALS FEES
Engr./Assess. Permit
Planner Surcharge
Council Plan Review
81dg. Off. SAC, City
Varlance SAC, MWCC
Water Conn.
Water Meter
Road Unit
Treatment P1
Parks
TOTAL
, Permit No. Permft Holder Date TNephone *
Plurnbing
H.V.A.C. C
9 / 5 elf
E lectric
Softener
Inspection Date Insp. COItIrt1011tS
Footings I ?
Footings II
Foundation
Framing
Roofing o /,,?A .
Rough Plbg. -d Z??r Z /?G/?V ?•L - ,vG /L• `r
Rough Htg.
Isul.
Fireplace
y- .?-
FiI18) Htg. ?
Final Ptbg.
Bldg. Final fz ;. ' • ?
?
Cert. Occ. .-
?S
Temp. LP
Oeck Ftg.
Deck Final
Well
Pr. Disp.
v , • '
r ???tif ir?t? uf C?rru?rttnr?
Citp of Cagan
aqmrtmmf u# W:uilbing Jnsppr#inn
7'hr's Certifrcate issued pursuant to the requirements of Sectton 306 of the Unifonm Buildrng
Code certifying that at the time of issuance thrs s7ructure was in complrance with tke various
ordinances of tire City regulaang building corrstructron or use. For the foflowing:
a ?:,.
Ux Cla?ification /?+=' •? Bldg, Rrmit Na.
Oocupanry Type t?•3f M. Zooing Distria Type Comt.
Owcer ofBuildiog tA.: A??
8w7ding Address ?ity ?, 14, ?i' '_:F2M? S7[lAi?r' 62
Date: :'r?'zY'?-P 26_, -
POST IN A CONSPICUOUS PLACE
CONTRACT PRICE:
Site Address
lot Block
_. ,
Name ?
?o Address
c Ciry Phone
Name
c Address
p City Phone . '
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
. /
?
?'%
k
'
?'
?
,: . , ?
?.
.,
.,
L??•
?
'
- ;
SIGNATURE 94: PERMITTEE '
FOR: CITY OF EAGAN
PERMIT #
PLUMBING PERMIT RECEIPT #
CITY OF EAGAN
3830 PILOT KN08 ROAD, EAGAN, MN 55122 DATE:
PHONE:454•8100 ?
' •r . BLDG. TYPE WORK DESCRIPTION
SeciSub Res. New
,,.:.
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
f Water Closet - $3.00 8
.*i Bath Tubs - $3.04
1 1_Lavatory - $3.00 `
_?_Shower - $3.00
I-Ki?chen Sink - $3.00
Urinal/Bidet - $3.00
Laundry Tray - $3.00
1 Floor Drains - $1.50
_?_Water Heater - $1.50
_t Whirlpool - $300
_L-Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMI'n
Softener - $5.00
Well - $10.00
Private Disp. - S10_00
.,.2r Rough Openings - $1.50
FEE:
STATE S/C: r
GRAND TOTAL• ?? ??f -r
PERMIT # "
MECNANICAL PERMIT
CITY OF EAGAN RECEIPT #
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: -7-"
PRICE: PHONE: 454-8100
Site
?
a?
m
N
c
Name
c Addre.
o City -
Phone
TYPE OF WORK
Forced Air ? ?-
? M BTU
Boiler M BTU
Unit Heater M BTU
Air Cond. M BTU
Vent CFM
Gas Piping Outlets #
Other
FEE
S/C:
TOTAL•
BLDG.TYPE
Res. .'?
Muft
Comm.
Other
Repair
FEES
RES. HVAC 0-100 M 8TU
ADDITIONAL 50 M BTU
(RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PEkMIT)
COMM/IND FEE - 1°!o OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8
REMODELS
- $24.00
- 6.00
1.50 EA.
12.00
MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
? T (ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000)
SiGNATURE OF PERMITTEE '
FOR: CITY OF EAGAN
CITY OF EAGAN 454-8100 . `'
DEPT. OF BUILDING INSPECTIONS '
orrection Notice
Located at 5';y L?12
)(j
When corrections have been made, please
call 454-8100 for inspection.
Date
Inspector City of Eagan
DO NOT REMOVE THIS TAG
I have this day inspected this structure and
these premises and have found the following
violations of city codes governing same:
"t7F EAGAN
Pflot Knob Road Permii No:
Meter Na: yd ?Zl Date:
Size: ?
Box 21199 Reader No: DJ?? -31?? Date:
n. MN 55121
Address:
nn. Chg: Zoning:
ct. Dep: •???p`j No. of Units:
rmit Fee: OQ= ?
rcharge: .50?d I agree to comply wilh the City of
Plant 00i2d Ordinances.
:ter.
>c.: - gy (;-"4 Z?z
CITY OF EAGAN Permit No: Date: _8-1 l
3830 Pilot Knob Road B/P No: Date: 8-2
P.O. Box 21199
Eagan, MN 55121
?
Owner:? a----
Site Address: -a.7 a zlo r h..t ow prk F, . . E-; s r
Plumber: rp,aher rxclQl_-herg _
MWCC: ^- ^•n?," Zoning. -
Giry Chg: tci6 _??O??lc No. of Units:
Acct. Dep: 1 1?1 • 0'? I agree to comply with the City of Eagan
Permit Fee: 1 C)• 10
Ordinances.
5urcharge:
Misc.: BY
SEWER SERVICE PERMIT
CITY OF EAGAN Permit No:_'???r= - Date:
3830 Pilot Knob Road
P.O. Box 21799
Eagan, MN 55121 Meter No: Size:
Reader No: Date:
?
Plumber ULEMCMK t_xLjcji-.r•Crg
a
Conn. Chg: g?fl'?`" Zoning:
Acct. Dep: ' No. of Units:
Permit Fee: 10 • ? 0•3e
Surcharge: 1 agree to comply wilh the City ot
Tr. Plant Ordinances.
Meter. 67.010;y;
CITY OF EAGAN N2 17765
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PERMIT PHONE: 454-8100 Receipt # ?" /?
- ? -7t)
Tobeusedfor, DECK Est.Value $1,000 py1e APR 26 19 90
Site Address 979 NORHTVIEW PARK RD
Lat 14 Block Z Sec/Sub.LEXINGTON SO^4TH
Parcel No.
w IName JOE STAFFORD
o Address 979 NORTHVIEW PARK RD
City EAGAN Phone 688-7558
o Name SAME
0,¢ Address
? • City Phone
Name _
Address
C1ty -
Phone
I hereby acknowieqe that I have read this application and stale that the
iniormation is correct antl agree ro comply wiih a11 applicable Stale of
Minnesota Statutes and City of Eagap OrdinprVes,
Signature of Permitee ?
A Buiiding Permit is issued to: JOE STAFFORD
on Ihe express contlition ihat all work shail be done in accordance with all
appliwble State of Mi.nnesota StaWtes ayntl Ciry of Eagan Ordinances.
BuildingOflicial
?
Occupancy
Zoninq
(Adual) COn51
(Allowable)
# olStories
lenglh
Depth
S.F. Tolal
S.F. Footprinls
On Site Sewage
On Sile Well
MWCC Syslem
City Water
PRV Requiretl
Baosler Pump
APPROVALS
Planner
Cauncil
eldg. ON.
variance
OFFICE USE ONLV
FEES
81tlg. Permil
Surcharge
Plan Review
SAC, Cily
SAC.MCWCC
Wacer Conn
Waler Meter
ACtt. Deposit
S/VJ Permit
S/W Surcharge
Treatment PI
Road Unit
Park Ded.
Copies
TOTAL
25.00
.50
25.50
CITY OF EAGAN NS 15 5 0 8
3830 Pilot Knob Road, P.O. Box 27-199, Eagan, MN 55121
?/_Ql d
BUILDING PERMIT PHONE:454-8100 Receipt# l(JO! D
Tobeusedfor SF DWG/GAR Est.Value $75,000 Date AUGUST 22 ,7988
Site Address ' 979 NORTHVIEW PARK RD
Lot 14 Block 2 Sec/Sub. LEXINGTON SQ 6TH
Parcel No.
Q Name METRO CUSTOM HOMES, INC
? Address P 0 BOX 1049
° City BURNSVILLE phone 454-9383
o Nan
?a Add
? Ciry
W ? Name
City
I hereby ecknowledge that I have ad this ap ?ntl state thal the
information is correct and agre t c m applicable Sta[e of
Minnesota Statutes and City of Ea nces.
Signature of Permitte _
A euilding Permit is issued to: ME RO CUSTOM-H4tL$Sy_INC
on ihe express condition that all work shall be tlone in accordance with all
applicable Sfate of Minnesota Statutes and Ciry of Eagan Ortlinances.
euilding Official.?J_]1?IL?,j,S,(???
OFFICE USE ONLY
On Sfte Sewage _ Occupancy R-3 M-1
MWCC System X Zoning PD
On Site Well (ACtuap Const V-N
City Water X (Allowable) V-N
PRV Required _ # of Stories
BoosterPump _ Length 45'
Depth
S.F. To[el
Footprint S.F.
APPROVALS FEES
EngrJAssess. Permit 474.00
Planner Surcharge 37.$0
Council Plan Review 237.00
BIdgAR SAQ City 100.00
Variance SAC,MWCC 550.00
Water Conn. 550.00
waternaeter 67.QQ
RoadUnit 395_00
Treatment Pt ._2Q4._OQ
Parks
roTnL 2,544.50
9A&Il?'?'
E 45268-
"X" 8elow Work Covered by 7hrs Request
eao. Tvue ot e.nm.e nooii..ca. wi,ed d
Home Ronge emporar Service
Duplex Water Heater iy tiny Pixtures -
Apt. Building ryer Electrii: Heatin
Commercial Bldg. umzce Silo Unloader
InAustrial Bldg. Air Conditioner BWk Milk Tenk
Farm om«, oeci v 111er (Snou;W)
t nr Suecify? Ot er Othcr
Comnute /nspecuon Fee Below
M Fee SarviceEnhence5ize n Fee Fexders/SubteeAers f+ Fep Circuits
0 to 200 qm ps 0 to 30 qm s 0 m 30 Am s
Above 200 qmps 31 [0 700 Amps 3112 100 Am ?
Swimming Pool Above 100-Amps Above 100_Amps
Transiormers Irngation Boorris Partial. Other Fee
Signs SUeclal Inspection SA
TOT 6Efi
Aemaaks ?
v
flouBh-in Date ?, ?he E iwl
Inspector, herebV
cerlily the[ the nbove
Final 1e insoection hes been
. . 'j
lc, 54 4 made.
TOIe reQuasl wIE 18 monlhe Irom
REQUEST FOH ELECTRICAL INSPECTION Ee/-o_ooo?ij-o(s?
' See instructions for comOleline this lorm an beek ot yellow copy.
4 ?CL' 9C'? /
This requesl void
18 rrqn[hs from
Hen? t Dj1e Fire No. o h-in InsVe on
v ofreA7 E]Ready Nuw ?Will Notity_ Inspec-
3 0 ?ves ?Na ior When NeaAy
icensed Eleclriwl ConVactot I hereby request inspection o1 abova
? Owner electricel work installed et:
St t AddrQSS az or Po te No. ? /
%/
ecuon o.
^ ? /owJnshio Name r No.
V PanBe N f
?! Counry
OccuuAnt IPflINTI Phone No.
677
Power upplier AAdress
0 rar,la 's License No.
4
1
Mailin1 O.Mf J@ C wn
`Y
F g ailationl
Au a u e onvact r wner Making Installatiunj Phone Number MINNESOTA STATE e0AN0 OF ELECTNICITV THIS INSPECTION NEQUEST Wlll NOT
Griggs•Midwey Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOAND
1827 Univarsitv Ave.. St. Paul. MN 55104 UNlESS PROPER INSPECTION FEE IS
p6..nn IF191 f.69-1]ROl] ENCLOSED.
c? /??/8'? REQUEST FOR ELECTRICAL INSPECTION
?o?
? See insWdions br completing Nis brtn on Eack oi yeliow wpy.
R - 6 02 7 6 JC" Below Work Cavered by This Request
EB-00001-01
0 S'JSS S
ew Add Rep. TypeolBuilding AppliancesWiretl EquipmentWiretl'
' Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer - Other (Specity) '
Comm./Industrial umace
Farm ' Air Conditioner
Other (speciFj) CoMradar§ Remarks:
Campute InspecUon Fee Belaw:
# ONer Fee # Service EntranceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above200_Amps Abovelo0_Amps
SIgnS Inspeclork Use Onry: TAL O
Irngation Booms
Special Inspeaion
AIamVCommunication ( ?a A
Other Fee «
I, the Electrical Inspedor, hereby
certity thatthe above inspection has
been made. Rou9n-in
1
Fina owa ?
oa
OFFICE USE ONLY
This request voitl 18 months hom
g/aI/8? ?? 00
•
R u
I Date
2, Fre N. R. - Inepectiofi
p u' ? ? Reatly Now [jyYiM Notify Inapectar
uww- ? N. When Reatly?
I LR'rensed contrac[or LKw-ner hereby request inspection of above electrical work at:
J?i ?+?tlr Slre Box or Hou o.)
T Cfry
Section No. Town9hip Name or W. Rarge No. Counry
OccvpaRlNn? ////? ? ? ?
V Plpne No. - ?
Power Supplie . dress
Eleclnral Cormactor (COmpany Neme) Caniraqar§ License No.
o 'ng nsWllation) ?
14540 PENIVOCK LANE
Au[ho' ' t (Qppt?[br?$.v?rNak1in at
?r1??1? ?.?.1 PhOm Number
MINNESOTA STATE BOA1iD OF ELECTRICRY THIS INSPECTION REQUEST WILL NOT
OHggs-Midway Bltlg. - Room S173 BE ACCEPTED BV THE $TATE BOARO
1821 Unlversity Ave., 3l. Peul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone(81S)692-0800 ENCLOSED.
_'71I(7(q ?i REQUEST FOR ELECTRICAL INSPECTION 4 e`'?4 ee-ooom-os
? See ns?mclions for completing this lorm on back of yallow copy, ^
fl
°5 2 ?] 15 ?qa ?l ? "X" Below Work Covered by This Request z
e Adtl Rep. Type of Building AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
ApL Building Dryer Other (Specify)
Comm./Industrial Furnace
Farm Air Conditioner
Otner(specity) contraclar' /
??.
Compute Inspecfion Fee Below:
# . Olher Pee # ServiceEntranceSize Fee /F Circuits/Peeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Trensformers Above 200 _ Amps A Amps
Signs Inspecmr's use Only:
?{' 70TAL S?
Irrigation Booms ?
V ?a ?
Special Inspection
niarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTEO IF NOT
Omer Fee COMPLETED WITFIIN 18 MO
1, ihe Electrical Inspector, hereby Rouqh-in o .?
certify that Ihe above inspection has
been made. F;,,ai oaie
OFFICE USE ONLY ?
This requesi mitl 18 months irom
.
f?61 ?
° ?e ?3 0? ? ?
4? ?
? ?
? 4 2
-?? '
G
Request Date???nnn
J? C?
? ? Fire o. Rough-in I clion
R iretl? ' J
? ReeOy Now GYVJiII No4ty Inspeclor
lWh
R
tl
?
Ves ? No en
ea
y
I Ll licensed contractor Awner hereby request inspection of above electrical work at:
Job Address (Street. 60 or Route No )
?'
11
)
' Cily
.
I or
Ui 2
1
Seclion No. Township Name or No. qange No. County
OccoO?WJP9INT? /1y 1- ?/? 1
?
r PhoneNa.
? ?' J 1 Q j o r?
Power SuoPlier Atlaress
Eie<Irical Comrec r (COmpany Name) ConVactor5 License No.
O M FC) t.v /7 E Y
Mailing AOtl s IConVactor or pwner Making InsWllation7
V ? C_.
Authorize Wre ICOnVdC10r/Ownpr M in Inst atan) PM1One NumOBr
Gee-
7ss6
MINNE50TA $TATE 60AW OF ELECTRIdTV THIS INSPECTION REOUEST WILL NOT
Griggs-MlOway BIOg. - Room 5193 BE ACCEPTED BY THE STATE BOARD
1821 Univeretly Ava.. 51. Vaul. MN SStOJ UNLESS PROPER INSPECTION FEE IS
Vhone(6/2)64P-0B00 ENGLOSED.
6 9?1_?-
?
2005 RESIDENTIAL BMDING PII2NIIT APPLICATION
Cit• Of Eagan
3830 Pilot Knob Kcad, Eagan MN 55122
Telephone # 651-675-5675` FAX # 651-675-5694
New Canstruction Reauiremems
3 reg'stered sde surveys showing sq. ft. of lot, sq. tt. of hause; and all roofed areas
(20% maxrtnum lot coverage allowed)
2 copies of plan showing beam & window sizes; poured found design, etc.
7 set of Eneqy Calculatans
3 copies of Tree PreservaGon Plan if IM platted after 711/93
Rim Joiffi Detail Optbns selection sheet (buadings wilh 3 or less units)
Remo.'eUReoair Reaviremenls
2 copies`of plan
1 set oi Energy CalalaUons for heated additions
1 site survey for additlans 6 dedcs
Additiort - indicate flonsite sepNc system
On zs
Oifice Use Onlv
CeRafSurveyReW _Y _N
TreePmsPlanReal ? _Y_N,
TBe P2s Requiied Y_ N
On-siteSeptlcSystem _Y _N
Date O 1 1"it / o S Construction Cost -S 000
Site Address 779 z ? uniuste #
Description of Work • U ?e Ioa rH,ry' ?c. ei?+s 1e C,2[ s re a(? Sk lr {}7
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0_ 1 _ 2
Property Owner r
}? }? ? N J a,+ V ??" du f / Telephone # ( )
Contractor BELA ROOFING & REMODELING, INC'
Btvb.
gj' T,niTTRPARK,MNNK41R CitS
State ID #0001054 Zip Telephone #(6lt ) If Z 3' ?'?'?
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Aules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category , Residential Ventilation Category 1 Worksheel • New Energy Code Worksheet
(Jsubmissiontype) SubmiNed Submitted
. Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans. „)
Z "? - i? .ti 7(l?s i
Applicant's Printed Name ApplicanYs Si e ' •
I -- - ?
Telephone # (
OFFICE USE ONLY
- P .
Sub Types ?
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 08-plex ? 16 Fireplaf a ? 21 Porch (3-seaJ ? 31 Ext. Alt - Multi
? 03 01of_plex ? 09 07-plex ? 17 Gac„ge ? 22 Porch/Addn.(4-seaJ ? 33 EM.AIt-SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 36 Muiti Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-pleX Plbg_Yor_ N ? 25 MiSCellaneOUS
Work Types
? 31 New ? 35 Int Impiovemer.! ? 38 Demolish lnterior ?- 44 Sidir.g
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building• ? 43 Reroof ? 46 WindowslDOOrs
? 34 Replacement 'Demolition (Entlre Bldg) - Give PCA handout to applicant
Valuation Occupancy MCES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
_ Footings (new bldg)
_ Footings (deck)
_ Footings (addition)
Foundation
Drain Tile
Roof Ice & Water Final
_ Framing
_ Fireplace _ R.I. _ Air Test _ Final
Insulation
REQUIRED INSPECTIONS
FinallC.O.
Final/No C.O.
_ Plumbing
HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tests Final
_ Siding _ Stucco _ Stone _ Brick
_ Windows
_ Retain;ng WaII
Approved By: , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
INSPECTION RECORD C°nt ° N°. 0835
CITY OF EAGAN PERMITTYPE: euiLDiNc
3830 Pilot Knob Road Permit Number: 001078
Eagan, Minnesota 55123 Date Issued: 07 / 17 / 92
(612) 681-4675
SITEADDRESS: Lor: 14 eLocK: 2 APPLICANT:
979 NORTHVIEW PARK RD STAFFORD JOE
LEICINGTON SQUARE 6TH (612) 722-9090
PERMIT SUBTYPE:
BASEMENT FINI5H
TYPE OF WORK:
ALTERATION
DESCRIPTION INCLUDES FIREPLACE
INSPECTION
FRAMING ., .
INSULATION ..
FINAI FIREPLACE
F
L
-
-? CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
DESCRIPTIDN:
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
979 NORTHVIEW PARK RD
LOT: 14 BLOCK: 2
LEXINGTpN SQUARE 6TH
INCLUDES
SutSdYyng Permit Type
` Building?,WOrk Type
r '
v
FIREPLACE
BASEMENT FINI3H
ALTERATION
BUIL
010DI8NG
? 0
07/17/92
4 ?
REMARKS.(?Dt..?r,n ??l
.?? (
FEE SUMMARY:
Base Fee $95.00
Surcharge $.50
Total Fee $35.50
CONTRACTOR: OWNER: - APPlicant -
5TAFFORD JOE
979 NORTHVTEW PARK RD
EAGAN MN 55123
(612)722-9890
I hereby acknowlsdge that I have read this application and state tMet the
infarrnatian is cowrect and agree to c.omp2y w3th a3i app2ica61e State of Mn.
Statutes and City o'F Eagan Qrt#inances,
L -
APPLICANT/PER ITEE NATURE ISSUEDY.?N?ULREV
Control No. 0835
J
PERMIT # _.:
REACTIYATE _
111
CITY OF EAGAN
1992 BUILDING PERMIT APPLICATION
681-4675
OUL 1 g RECD
Co-r??I 11° i (,
SINGLE 8 MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies when typing of permit is requested, but not picked up by last working day
of month in which re uest is made r lot chan e is re uested once ermit is issued.
Date
92 Valuation of wnrk
Site Address: 979 ,Pvi4" Pa?J _Gayo.0
/'IN
F
STREET SU)?E M
nantName: (cortanercial only)
T
f BLOCR SUBD.? P.I.D. #
De
scri tion of work: 'J_?sr„'4. Zn,'s 9. fc .
The applicant is: 0 Owner ? Contractor p Other (Deeeribe)
Name S)?9 f-?orc/ ]-'oe- Phone 68B - 7558
Property LA5, FIRS, "i- e 7ZZ - 570yd
Owner address %79 /lo&?v;?+? Pyl't eoa)'
SiREET STE A
City ?7on_ State Cf Al Zip !?_5Ia3
Company Phone
COf1tf8CtOf Address License # Exp.
City State Zip
Company Phone
Archttect/
Engineer Name Registratian #
Address
City State Zip
Sewer 3 water licensed plumber . ProceSsing time for
sewer & water permits is two days once area has een approved:
I hereby acknowledge that I have read this application and state that the information is
correct and agree to tomply with all applica le S ate of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant: `?
BUILDING PERMIT TYPE
? 01 Foundatian
O 02 SF Dwg.
O 03 5F Addition
O 04 SF Porch
? 05 SF Misc.
WORK TYPE
J31 31 New
? 32 Addition
OFFICE USE ONLY
'?.
? ii aPt./Loa9jny
O 12 Multi. Misc.
? 13 Garage/Accessory
O 14 fireplace .
? 15 Deck
? 06 Dupiex
? 07 4-Plex
? OS 8-Plex
? 09 12-Plex
? 10 Mult9. Add'1.
O 33 Alterations
O 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
?` of Stories
Length
Depth
APPROVALS
Planning
Engineering
0 35 Tenant Finish
? 36 Move ^
? -
,
16 Besement Finish
17 Swim Pool
18 Comm./Ind.
19 Camm./Ind. Misc.
20 Public Facility
21 Miscellaneous
u
13 ?37 Demolish
II
MWCC System
City Water
PRV Required
Booster'Pump
Fire Sprinkler
Census,;Code
SAC Code.
Basement sq. ft.
lst F1. sq. ft.
2nd F1. sq. ft.
Sq. Ft. total
Footprint Sq. ft.
On-site well
On-site sewage
Building
Yariance
RECIUIRED INSPECTIONS
11 Site ? Footing
? Mallboard 10 Final
Permi t Fee v,i,,,t;,,,,
Surcharge
Plan Review
License
MWCC SAC
City SAC
Mater Conn.
Water Meter .
Acct. Deposit
S/W Permit
S/Y! Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
CoPies
Other
Total:
8
Assessments
il
3y
01 Framing 0 Insulation
? Draintile ? ? Fireplace
SAC %
SAC Units
Lq el CITY OF EAGAN
PLUMBING PERMIT
SUSD. (612) 681-4675
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS
WFIEN FERMITS ARE REQUIRED FOR EACH UNIT.
CITY USE ONLY
RECEIPT
DATE 74 i ?
ALSO, FOR TOWNHOMES AND CONDOS
WORK DESCRIPTION
NEW CONST
ADD ON S
REPAIR
OWNER NAME:
SITE ADDRESS: 272 NoI4?/Phl ) K i?
INSTALLER: "'IT
ADDRESS•
CITT: ZIP:
PHONE ¢: //
COMPLETE THE FOLLOWING:
N0. FIXTURES EA. TOTA4
REPAIR/ADD ON 15.00 /L
_ SHOWER 3.00
_ WATER CIASET 3.00
BATH TUB 3.00
_ LAVATORY 3.00
KITCHEN SINK 3.00
LAUNDRY TRAY 3.00
_ HOT TUB/SPA 3.00
WATER HEATER 3.00
FLOOR DRAIN 3.00
GAS PIPING OUT.
_ (MZNIMUM - 1) 3.00
ROUGH OPENINGS 1.50
OTHER
WATER SOFfENER 5.00
PRIVATE DISP. 15.00
U.G. SPRINKI.ER 3.00
_ W. TURNAROUND 15.00
S,TATE SURCHARGE .50
sp
TOTAL: S /S
COMMERCIAL
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-FAMILY
BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT.
WORK DESCRIPTION:
OWNER NAME:
SITE ADDRESS:
TENANT NAME:
SiTITE #: _
INSTALLER:_
ADDRESS:
CITY:
PHONE #:
FOR:
CITY OF EAGAN
ZIP:
CONTRACT PRICE:
1% OF CONTRACT FEE. .
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 1% $
STATE SURCHARGE
TOTAL:
$
(SIGNATURE)
? %?. ? f C? • ? ? ?:
l
? ??? ?:IU'?
l:?r•u,;
i , i .? ; ? ?? ?
.? , ,; , ?, , :_i '_
1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN
3INGLE FAMILY DWELLINGS 165 " 9 y
?
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL HE ALLOWED DNCE BIIILDING PERASIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS # OF UNZTS
INCLUDE 2 SETS OF PLANS, CERTIFICAT
1 SET OF ENERGY CALCULATIONS
COhA'lEftCIAL
INCLUDE 2 SETS OF ARCHITECTURAL
1 SET OF SPECIFICATIONS AND 1
OF SURVEY - CHECK WITH BLDG. DEPT.,
& STRUCTUAAL PLANS,
SET OF ENE?iGY CALCULATIONS
/
To Be Used For: Si h/ TR rn ? t Valuation:r?A? --- Date:
Site Address LK?
?/p/YOhfhv, ilit ? Y1 1 OFFICE USE ONLY
Lot ly Block A .1,
Parcel/Sub L ?/AyfU+-.
Owner / xlLtro l?Gf/J'?h?U'i?_ 2S ??•
Address f Q. 6(rjC lD?y
City/Zip Code ?(lPhSwi//2
Phone '7 S`?93 8? 3
Contractor ?'p?.,- p? pGt/h P?_
Address
City/Zip Code
Phone
Mch./Engr. _
Address
City/Zip Code
Phone Ik
On site sewage Occupancy P'3 M/
-
MWCC system % Zoning PP,
On site well Aetual Const V&
City water ? Allowable 141
PRV required # of stories
Booster Pump _ Length YS-
Depth Y)
S.F. Total
Footprint S.F.
APPRDVALS FEES
Engr/Assess Permit
Planner Sureharge 37 S o
Council Plan Review 232
Bldg. Off. ?2-2-SAC, City /00
Varianee SAC, MWCC S? O
Water Conn SSo
Water Meter 6 -?
Road Unit 32S
Treatment Pl 105r
Parks
Copies
TOTAL ?
5?
?ar, zt,k-?2
?
. ?
?-
7
??? os ?- ?,s = SY/ys
7L
/0/`/ ? I3 = I ?/?z
. '?
, . ..
/ ?/43 OG
ME>Ro Cvs? s.ri Nc.?l. s
Aost CDHSllLT1HO EN6iHEf95,
ENGiNEERING PLAHNEflS nnd LAHD SURVEYOflS
Cr, r c
COMPANY, 1NC.
? IC00 EAST 146C1 S7REZ7, SURHSVILLE, 1J1HHE=0iA 55Z37 PH 44 ZZ 2°a0QC7
Ce.r'Z zj-z crr_zze o Sv?Ye Y
L?s` c7 X2cscri,P2:cTC • LOT 14, Bcoc,e Z, GEX/N6?GrV ,5'QU/'rk:F
Df)K07'fj CDV?I/Ty, MiN/?ESo7q
(a9a.'-)
`` .
r? o ti
?
S 89° 9-3?o3"E
75.po
? N?
,
,
?93§.t) (a"SSoi
!c9?.7)
(893.7)
pk'A1N46c AND
UT/[/TY EASEME'NT
67fI' AOli/T/Ort?
s cqc? : i" = ac
? k4 J
(4)
a
- PRoPO5E0
.
J o
? N Hc?sc ul
l
? I
o
\?
1 ?
15.
(696.?)
1? GA R. r
? 1 T
5 i
o?
0
?
?5. aa
N. 89° 43 : 03 "141
c ?
?
5
(895. 7)
OENOTE?F EXiSTini6 ELE1/AT/CN
0:6.5 ) OENOTES PRDPOSc5? ELEUfJT/GN
/A/D/C47E"S D/RECT/G.V OF
OF SURFACE ORf!/A.IA?
896.33= F/N/SNEG 6sJRAEc' ?GOOiP
EL.E l/fI T/DN
30' F,eGlVT 4FV1U-l11V6
SET?C'.C L/NE
n 0 ?Rl
Ea
By Dat
e
'AGAN ENGINEFRING DEPT..
NoR7NV/ELr/ PAR,< ,ecqp
>
(asg.u yr.oz (FVS.aJ
? ?t
I hersby cartify that this ia s lrue and cflrrect repraaantitian af gtgA-
land as shovn'and deacribed her=on.• Ae preparad by me on this ? ?aY ??
sk.l??s r , 19 ffs . .
. .
;
- APFLI?ATION 1=0R PERMIT i??? p?+r OF Ff? AT TIME OF
; nrrLxcrMON ooFS Wr cOv- ;
srrnrra nppR,vn[, oF rEPnur. ;
. ,
SEW ER ANQ/OR W ATER CONNECTION : I??cll OF mm Am/m wATE+ .
; IxsratiulzONs wna. errr sE sc.mtnm :
. • ? UNPIL PIINIIT HAS effid APPRCNID. :
dtV . ?xir?ax?rxrww?xfafte?e?i??:?f?f?t?s?+txy
oF engcin
PLEASE PRINT /
1) PROPERTY ADDRFSS: .. 17 9. y'V 0.2 7^j/U
T,FY:A7• oESCurrroN: . . .!_1 q ? -eC. .,9 . . .
=",? 6 .7^b>^7 .J p _ (c ?'N
IF EXISTING STRLCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE:.
Mon Year
PRESENT ZONING/PROPOSID LSE:
Q COPMERCIAL/RETAIL/OFFICE
Q INDTISTRIAL
Q.INSTITVTIONAL/GOVERNMENT
Z R-1 SINGLE FAMILY
r
El R-2 DOPLEX ('3tNv Cjnits)
q R-3 TOWNHOUSE (Three + Lnits) ( Units)
Q R-4 APARTMENT/CONDOMINIUM ( Unitsj
2) ? NAME: DQFSg4Q f xc
ADoREss: lOS? Qa?v„v o,-, C? •
CITYr STATE, ZIP: a ? ,n l.4F- U/4 LL£- y. m.?
T
PHONE: 'f3.1?y f
3) NAME:
ADDRESS:
CITY, STATE, ZIP:
PHONE: MASTII2 LICENSE #?
I? Active
i ?pired
Not recorded
St Ia nff'- iti=-
4)
NAME: 46r2 0?t p 2 S
Aonxsss : p aao x aie5
CITY, STATE, ZIP: fL; roi/.r- L i-? ?A? °
PxoNE: V.sy - 93 .6-5
s)
En-CONNECTION TO CITY SEWIIt ? CONNECTION TO CITY WATEF2 [DOTfiEE2
6)
.P
*??*?*****???+*?*****.??**,r*.*?*?****?*******+***+*?***?**,r***?******+*****,r********??****:c**+**?**?
*
* 741E GOLD COPY OF THE pERNIIT WILL BE SIIRr DIREX.'TLY TO PCBLIC WORKS 'IO FACILZTATE MEi'EEt PICK-UP.
? PLEASE AWAW TWA WORKING DAYS FOR PROCESSING. SONIDONE FROM TfM CITY WZIS, WPR'ACi' YOU IF 24ME *
* ARE ANY PROBLII"LS. ?
?r**?* *+?+******x**?** *rr*,.*??***?r*****x*??****«??*****,r******?*?***,t*****r,r**** ***?*****,t,t*****+*a ?:i
FOR CITY USE ONLY
PERMIT # TSSUED
Pd w/Bldg. Permit FEES: ?I
$ $ 16 SEWER PERMIT (INCLUDEIIISURCHARGE)
$
$
WATER 1
PERMIT (INCLUDEIISDRCHARGE)
$ $ WATER METER/COPPERHORN/0[]TSIDE READER
,
$ $ WATER TAP (INCLDDE CORPORATION STOP)
$ $ SEWER TAP iI
$ ACCOUNT DEPOSIT - SEWER
$ $ e-v ACCOUNT DEPOSIT - WATER
$ '-u-b $ WAC ?I
$ ?v $ SAC
$ $ TRLNK WATER ASSESSMENT
$ $ TRLNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRUNKIIiSEWER
$ $ LATERAL BENEFIT/TRLNKj,WATER
$ $ WATER TREATMENT PLANTI,SURCHARGE
$ $ OTHER: ?I
$ `ef $ OZ) TOTAL
II
RECEIPT RECEIPT I
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
a YES IF YES, THEN A"PERMIT FOR WORK WITHIN PC?BLIC
Q ROADWAY" MUST SE ISSUED By THE ENGINEERING
NO DIVISION. LIST AS A CONDITION, II
SUBJECT TO THE FOLLOWING CONDITIONS: „
APPROVED BY: lil!
TITLE: I
I
DATE:
?
o•*
2 5• 0 0+
0•50E
25•50*'}
. . llfaf(fff
1990 BUILDING PERMIT APPLZCATION
CITY OF EAGAN
SINGLE FAHILY DWELLINGS
MULTIPLS DWELLINGS
2 SETS OF PLANS 2 SETS OF YIANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SU[tVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITN BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNIT5
# OF FOR SALE UNITS
PENALTY APPLIES W1iEN: TYPING OF PERMIT IS REQUESTED, BUT NDT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQllESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WNICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS EEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
JIAR 2 6 RECtl
To Be Used For: Valuation: ? Pate:
Site Address 97? !Uo/t4';Fw P?fk RJ
Lot /V Block 2
Parcel/Sub LC.'HN&i01J5Qv./}42E &5RTY1J
Owner Se- ,7tgfr"cy
Address 979
City/Zip Code F?rjql ryiv Ss/Z3
Phone
Contractor od.,e
Address
City/Zip Code
Phone
Arch./Engr. 5q,..? 95 4d„P
Address
Ci i ty/Zip Code
Phone #
OFFICE
Occupancy
Zoning
Actual Const
Allowable
ii of stories
Length
Depth
S.F. Total
Footprint S.F.
COMMERCIAL
ONLY
FEES
Bldg. Permit
Surcharge
Plan Review
SAC, City
SAC, MWCC
Water Conn
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road llnit
Park Ded.
Copies
SUBTOTAL
Penalty
dl5r 00
, yro
TOTAL
On site sewage_
On site well _
MWCC System _
City water _
PRV
Booster Pump _
APPROVALS
Planner _
Council
Bldg. Off.
Varianca
. -..:
MErRo C'usronr /-,lcn1, s
E1QGE ? ??o?.o?
71I1tiG ' CoNSllLT1H6 (4G1HE£S5,
PtANNEAS nnd LAHD
ENGINCESUAYEYO!!5 gK
?.fC
COMPANY? INC.
IC00 EAZT 146L1 $iREE7, flURKSYILL°_, {IINNE_`07x 5Z337 PH 412-1,OQQ "
lJF
?
??JCr?oc??crL • LaT 14, BLOCK 2, 4E1IN670,V SQUqkE 1 6TH. ?90D/77aN,
. oAKaTA Cou?vTy? MiN?vESa7q .:
h?
4
5 990 4-3 , 03" E
75ao
r- N ----- 4?
--
,
?I .
? L.O
h
( 565:
89Si)
?? o M I 41.p?' .
? O ?
1 22.o p PRoPOSEp Q
J ! ? N HovSa vj
\ ry
I ?_c q uy _
? (89s.31 ?.5 4.0
1 O
I (896.5) ?
p ?nR. n
fI ? r
I 7 (E9i al I 220 B.
51 L
0
m°
(89a. 5) - - - ? , -
CE9C.?' ? SEaV.EA ?? d
7s.oa -
? N B9° ¢3I 43K/
(?as 7)
(B93.7) ? ?' , ? ..
?pRA/NAEE flNO
uTiurY eX,9c1WEN7-
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I
^ 14r
?
4)
\ e ? ?
v
(895.7)
? ?--1
SCALr: /" = 3D'
C?-'==-) DeNOTES EXIST//vE ? ELE1/<177CA,1
C99C.?-) 'DENOTE?PKVFGSc? .--cLc'°tJ?i iv^?
i
?- IND/CsJTES , , p/RECT/ON OF .
oF SURFACE D?pylNr96E
896_3-3= F/N/SHED 64iP.9,5E FLOO.C'
EGEI/ilT/Di1/. ,
30' ,c:'I2?'•uT 8V/[D/N6
SETBA?.? G1NE
I. NOR7NV/ELV ?/1P.K eoAO
-7- -
I hereby cartify that thia ia a t:ue and carrect raprtaentitiafl 0f ?trAct Of
lAnd as shcwn'and described hereon.. Aa prapared by mc on this ???Y O`
??sr , 19 ft
. . ..
..?H3nn. lte?b k?.<?
. ..
2005 RESIDENTIAL BUILDING PERMIT APPLICATION
? City Of Eagan ? ? b ??
3830 Pilot Knab Road, Eagan MN 55122
Telephone # 651-675-5675 FAX 9 651-675-5694
New Consiruction Reauirements RemodellReoair Reauiremenis dffice-Use 6e14
3 registered site surveys showing sq. fl. oi IM, sq, ff of house; and all moted areas 2 copies of plan ????u`+eY Re? Y-N
(20% mazimum lot coverage ellowo 1 set of Energy Calculafions for heated addtlions 7ree PtCSP[an;ReCtl _ Y_N
2 copies of plan showing beam 8 vrindow sizes; poured found desigq elc. 1 site survey for additions & decks TrCe Presf2aqUired Y `N
lsetofEnergyCalculations Addition - indirateifon-siteseptbsystem On-silPSep?ia:Syslem _y._, N'.
3 copies of Tree Preservation Pian if lot platted after 711193
Rim Joist Detail Opfions selection sheet (buildings with 3 or less units)
Date IT /
Site Address
Description of Work
( S-K
x
t
Multi-Family Bidg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2 ?'?r ? ????f?
d
Property Owner Telephone # / (0 O V
Contractor
Address
State
The Home Depot A.H.S. Inc.
3200 Cobb Galleria Pkwy.
Atlanta, GA 30339
763-542-8826
License # 20268257
_ City.
_
'elephone # (
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cate¢orv 1 Miiuiesota Ru1es 7672
Energy Code Category , Residential Ventilation Category i Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master planB
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone #(
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a perntit, and work is not to start without a
permit; that the work will be in accordance with the approved p an in the case of work which requires a review and
ap val of plans.
?
Applicant's Printed Name p icant s Signature
,--,--4;onstruction Cost CA , "l V /
) to's ?_ za . _ UniUSte #
QF'FICE=USE ONLY
Sub Types
? 01 Foundation
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? OS 03-plex
? 06 04-plex
Work Types
? 31 New
? 32 Addition
? 33 Alteretion
? 34 Replacement
Valuation
Plan Review
Census Code
SAC Units
# of Units
# of Bidgs
Type of Const
_ Footings (new bldg)
_ Footings (deck)
_ Footings (addition)
Foundation
Drain Tile
Roof Ice & Water Final
_ Framing
_ Fireplace _ R.I. _ Air Test _ Final
Insulation
Approved By:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
? 07 OS-plex ? '13 16-plex ? 20 Pool
? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 09 07-plex ? 17 Garage ? 22 PorchfAddn. (4-sea.)
? 10 08-plex ? 18 Deck ? 23 Porch(screen/gazebo)
? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi Misc.
? 35 Int Improvement ? 38 Demolish Interior O 44 Siding
? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors
`Demolition (Entire Bldg) - Give PCA handout to applicant
Occupancy MCES System
100% or 25%
Zoning City Water
Stories Booster Pump
Sq, Ft. PRV
Length Fire Sprinklered
Width
REQUIItED INSPECTIONS
_ FinaUC.O.
_ FinaUNo C.O.
_ Plumbing
HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tests Final
_ Siding _ Stucco _ Stone _ Brick
_ Windows
_ Retaining Wall
Building Inspector
Installed
Siding and Windows
LIMITED POWER OF ATTORNEY
c:uuN i r ur wBB
STATE OF GEORGIA
KNOW ALL PEOPLE BY THESE PRESENTS:
THAT I, David N. Katz, a resident of Montgomery County, Pennsylvania
("Principal"), and a licensed contractor of RMA Home Services, Inc., DBA Home
Depot Installed Sa1es loca*.ed at 660 Mendelssohn AvenLie North, Goluer, Va!!ey, MN
55427, having a license number of BC- 20268257, do hereby appoint, name and
constitute Elder-7ones Building Permit Service, Inc. ("Agent") as my true and lawful
attorney-in-fact and do authorize and grant said attorney-in-fact for me and in my
name, place and stead the power to execute, acknowledge, sigi and deliver (in such
form as may be required by the municipality) a permit application, or any other
instrument(s) which may be necessary and appropriate, in order to obtain the proper
permit(s) from the City of Eagan, Minnesota for the installation, maintenance and
repair of windows and siding (the "LVork").
The powers conveyed to the Agent by this Limited Pawer`of Aftc:riey are
limited solely to the express powers delineated herein and apply solely to the Work.
This Limi*ed Power of Attomeyshall ehpire and automatically be revoked on the 21st
day of May, 2004, which date is one year from the execution hereof. Further, the
powers conveyed by this Limited Power of Attorney may be revoked by Principal at
any time by express revocation and shall also be revoked by the Principal's death,
disability, incapacity or incompetence.
N, WI"INF_SS WHEREOF this Limited Power ofp,rtorney is e.xecutcd this
21 st day of May, 2003
'
David R. Katz
SWORN TO AND 5UB5CRIBED BEFORE ME by David N. Katz on this
21 st day of May, 200?
Notary Paic in for the State o eorgia
h1y Commission Expires: January 21, 2006
396816.v3 Proudly sold, furnished and installed by RMA Home Services, Inc., a Home Depot authorized contractor.
3200 Cobb Galleria Parkway, Suite 200 • Atianta, GA 30339 • Phone (770) 779-1300 • Fax (770) 984-0709 • Toll free (800) 79-DEPOT
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 979 Northview Park Rd
Lot: 14 Block: 2 Addition: Lexington Square 6th
PID:10- 45080- 140 -02
Use:
Description:
Sub Type: e - Furnace & Air Conditioner
Work Type: New
Description: Fumace & Air Conditioner
Comments: Permit closed without required inspection(s). Letter sent to applicant on 1/6/2010. (pf)
Fee Summary:
Contractor:
Home Energy Center
2415 Annapolis Lane #170
Plymouth MN 55441
(651) 766 -6763
PERMIT
City of Eaan
Quesetions regarding electrical permit requirements should be directed to Mark Anderson, State Elec
445 -2840
ME - Permit Fee (Replacements)
Surcharge -Fixed
Total:
Applicant/Permitee: Signature
- Applicant -
Owner:
Bhuvanes. Valluri
979 Northview Park Rd
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$50.00 0801.4088
$0.50 9001.2195
$50.50
Issued By: Signature
Mechanical
EA090392
07/29/2009
ePermit
cal Inspector, (952)
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
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA162192
Date Issued:07/01/2020
Permit Category:ePermit
Site Address: 979 Northview Park Rd
Lot:14 Block: 2 Addition: Lexington Square 6th
PID:10-45080-02-140
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Includes Skylight
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Bhuvanes. Valluri
979 Northview Park Rd
Eagan MN 55123
(651) 337-9680
New Life Contracting Inc.
814 Grand Avenue
St. Paul MN 55105
(651) 336-9966
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA162192
Date Issued:07/01/2020
Permit Category:ePermit
Site Address: 979 Northview Park Rd
Lot:14 Block: 2 Addition: Lexington Square 6th
PID:10-45080-02-140
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Includes Skylight
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Bhuvanes. Valluri
979 Northview Park Rd
Eagan MN 55123
(651) 337-9680
New Life Contracting Inc.
814 Grand Avenue
St. Paul MN 55105
(651) 336-9966
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA165049
Date Issued:10/15/2020
Permit Category:ePermit
Site Address: 979 Northview Park Rd
Lot:14 Block: 2 Addition: Lexington Square 6th
PID:10-45080-02-140
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Bhuvaneswararao Valluri
979 Northview Park Rd
Eagan MN 55123--154
(651) 343-3910
Home Depot Usa Dba The Home Depot
2455 Paces Ferry Rd
Atlanta GA 30339
(763) 852-1044
Applicant/Permitee: Signature Issued By: Signature