1003 Northview Park RdCASH RECEIPT
t?
?`CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
. D A T E 19
RGG[IVSO Z/// : .
,
AMOUNT $ I
& 13OLLARS
?oa
? CASH M,CHECK
FOR ? `?J ??? ?/ lf,
FUNO CODE AMpUNT
r?-
?t J .i
L '
Thank You
BY
White-PaYert Copy
Yellow-Posting Copy
Pink-File Copy
CITY 4F EAGAN ; 429 2
3830 Piiot Knob Raad, P.O. Box 21-199, Eagan, MP155121
PHONE:454-8100 - -
BUILDING PERMIT Receipt#
To be used for :?° ?%JG/GAkt Est. Vatue ?07 rd?)t Date OCTQgER 3 ,19 87
Site Address 1003 N01," T1{" t`J ' pARK RD
Lot "? Block 2 Sec/Sub. LEXXNCTON Stii'nl°,E
Parcel No. 6TH ADD
a Name .'AkViN vEURc;k: BLDftS 1NC
W
3
Address P.O. BO!( k> ?
? City t',.1.',UL'TQ:ti Phone
¢
0 Name r •,n a:_r•
? a Address
¢ City Phone
? W
W Name
Lu
_ g
Address
U
Q W
City ' Phone
I hereby acknowledge thatt have read this -napd st e that the
information is correct and agr to omply with?ll li? e State of
Minnesota Statutes and Cit? O/binan ? s.
Signaturo of Permittee
A Building Permit is issued ta_ 'y :ti=U:<? , !i!_d]i• ?i 1.lC
on the express condition that al I work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official__ ?• -,( - - -
OFFICE USE ONLY
On Site Sewage Occupancy R j
MWCC Syatem Zoning r' 1
On Site Well (Actual) Const SdTi
City Water X (Allowable) V n
PRV Requlred # of Stories
?
Booster Pump Length ?
Depth
S.F. Total
Footprint S.F.
APPROVALS FEES
? 386,00
Engr./Assess. Permit 33. 0
Planner Surcharge
194.00
Councii Plan Review
100000
BIdg.OH. SAC,City
Variance SAC,MWCC 525'(U
water Conn. 525.00
water Meter 67.00
Road Unit 305.00
Treatment Pt
Parks
TOTAL 4 ? ? 317. `?
? CASH RECEIPT ?
r ?
?CITY QF EAGAN
3830 PILOt KNbB ROAD
EAGAN, MINNESOTA 55122
oaTe
?11 I r- c L_
?s
? AMOUNT $ I
i
Be DOLLARS
ioo
? CASH CHECK
R ON
BY
White-Payers CopY
Yellow-Posting CopY
Pink-File Copy
Thank You
, BLDG. PERMI°f N0.
r r
L' ? ' I • ..-- ? x 4 ''-. - 1
; . , __ !'•,?r .?}'y?Jle',_v .:.- i., ,-'
01-3210 Bldg. Permi
? 01-3422 Plan Check
01-3445 Surch./Adm.
? 01-3446 SAC/Adm.
01-2155 Surcharge
17-3860 Raad Unit
20-2275 SAC
20-3865 Water Conn.
20-3865 Water Trmt.
20-3716 Water Meter
20-2252 Acct. Dep.
20-3713 Water Permi
20-3743 Sewer Permi
79-3866 Sewer Conn.
11-3855 Park Ded.
TOTAL
_ . .. , , ?.
SEDGWICK HEATING & AIR CO DIT ON 7/4`
HOUSE HEATING TEST RECORD ADDRESS O d oRTN V (tL I P,AC?K R? CITY A r-?
OCCUPANT ?-" OWNER
HEAT LOSS `- DATE HTG. INST. R ^-
SOLD BY `- INSTALLED BY__
Electrical Work By 4T-14 t=?S Gas Line By cA?
TYPE OF HEAT GA_ FA= HW_ STEAM SPACE HTR. UNIT HTR. OTHER
,,GAS DESIGN CONVERSIDN
MAKE j-?P- ?I fi h1T MAKE OF BURNER --- -- -
nnodei 94&4 w o 3r, 07-5- Model
Serial S -7 fsb -3 g 4 7 Max. BTU Rating -
INPUT 7S 1??' ? MAKE OF FURNACE
?
- ?
Model
CONTROLS
THERMOSTAT ?? L-"'ct Heat Plug --
Valve C, 416 p - ?e
Limit T E sM C D
Limit Setting ".2 G' ? ° 4:-'-
Fan Setting
Vent Sixe
KIND OF LINER SIZE NONE
Draft Hood b`> ! G N Regulator g- S
Filters 5ize Number 1
Chimney Location Inside X Outside
Pilot Type T+it n pt k C; Chimney Construction
Pilot Make 5,">q VzK
Pilot Model H S c/
Pilot Timin9 --_ 1 N S Tpq W-1'
L.W. Cut Off -??
Pressure 3• S? t4/z c-, Percent C02 eZ
Input CFH -7 ?p Percent O ? 6 ?ln
Stack Tem Z
p. Percent CO r,4E
Smoke Bomb
Draft
Wiring C71l-
Test Tag ? c-
Door Pressure Lighting Inst. 'OK.
Date Tested (I` IS' 8-7
Company Testing 4S
Name of Tester e- -
Form 235
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
111'. I! W PAf+k Htl ; i i•? . :, ?c
I. t ^I WI-9 tOfd S('UARt c? 1 N ( r, 1.2 ) bR:;- 3q0Ei
PERMIT SUBTYPE:
' . ; .Fi
TYPE OF WORK:
Itll ! I I11 Wr
?a. :? ? t.
?
INSPECTION .. . ..
IJ ! I . I l IUt{ I '
kf MAII-4S: •,tVl1KA(E` 1'E:iZMI fS AkE ltEUULltEU FUR ANY NA UMHINfi OR L1f-c. 1'N1cA1_ Clilfrl
{Y{?
?
„€_ ? j ?
t T?
ir:? Q
?Un,
?ll'?-?+'Ir?.?a.„ry'(V
i ?i U?4i??.
y#.?_ILfie?I
J
------------------------------
Permk No. Pxmit Holde? Date Telephone i
S/W
PLUMBING
HVAC
ELECT
ELECTRIC
Inspection Date Inap. Commenta
Footings I
Foundation
Framing 4
Rooting
Rough PIb9.
Rough Htg.
Isul.
Fireplace
Fnal Htg.
Orsat Test
Final Pibg. Plbg. Inspector- Notity Plumber
Gonst. Meter
EngrlPlan
Bldg. Final
Dedc Ftg_
Deck Final
Wen 7V AK7S O-r-
S
Pr. Disp.
F h8.
1T
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
• ? PH ON E: 454-8100
BUILDING PERMIT Receipt #
To be,used fqr Est. Value d`? ?•?"' Date CX7 i.t13E ,< 9
14292
19
ry y t? OFFIC E USE ONLY
Site Adcirelss
s
-
Lot Block ' Sec/Sub. On Site Sewage Occupancy
MWCC Syatem Zoning
Parcel No. On Site well (Actual) Conat
Cirywater x (Allowable)
a Name f
i
W
=
Address ° PRV Required * o
Stor
ea
r,j
0 City Phone Booster Pump Length 3 .}
446
Depth I
, p Name S.F. Total
0 ? Address Footprint S.F.
? Ciry Phone APPROVALS FEES
? a
W
Name Engr./Assess. Permit • ;dU •?''
W
W
?
z Planner
Surcharge
z Address
Council
Plan Review ? y r.
? W City Phone
Bldg. OH. SAC, City
I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC
c
information is correct and agree to comply with all applicable State of Water Conn.
Minnesota Statutes and City of Eagan Ordinances. Water Meter
Signature of Permittee Road Unit ??` ? •
A Buitding Permit is issued ta_ Treatment P1 1?' L+ •-'.
on the express condition that all work shall be done in accordance with all Pa
k
applicable State of Minnesota Statutes and City of Eagan Ordinances. r
s
..
' '
Building Official _ TOTAL
. Permit No. Permit Holder Date Telephone lk
Plumbing
- . ?
HAac
.
r?
Electric
i?:?
Softener
Inspection Dete Insp. Comments
Footings I !Bj ? r
Footings II
Foundation
Framing i 6 lS 7
Roofing
Rough Plbg. -/0_
Rough Htg.
Isul.
Fireplace
Final Htg. f-7
Final Pibg. ?
Bldg. Final
Cert. Oca
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp.
?,. ,.."':'V" .. . . .
CONTRACT PRICE
Site Address
Lot ? Block
Name jZ411
m
?v Address
c City
? Name ytjjjjb-
3 Address
p City
PERMIT # PLUMBING PERMIT RECEIPT # % :'? ,J, `/
CITY OF EAGAN
3830 PILOT KNOB ROAD, EACAH, MN 55122 DATE: 'PHONE: 454-8100
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.Q0
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
FOR: CITY OF EAGAN
BLDG. TYPE WORK DESCRIPTION
Res. New
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
--- /-Water Closet - $3.00 S ti" f `
-;LBath Tubs - $3.00 ?Z ? c
-/-Lavatory - 53.00 , -c-
Shower - $3.00
_/--Ki?chen Sink - $3.00 c
Urinal/Bidet - $3.00
,Z._Laundry Tray - $3.00
y
tFloor Drains - $1.50
Water Heater - $1.50
? ?• ? ?
Whirlpool - $3.00
_./--Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIT)
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
_? Rough Openings - $1.50
FEE r'?, f r
STATE S/C: -?
GRAND TOTAL: L
PERMIT #
Ib' MECHANICAL PERMIT RECEIPT # ?
CITY AF fRG1CN
3830 PILOT KNOB ROilD, EAGXN, MN 55122 DATE: i
CONTRACT
Site Address
Name _
?c Address
c City _
? Name _
3 Address
p CitY -
TYPE OF WORK
ForCed Air ?
r? M BTU
Boiler M BTU
Unit Heater M BTU
Air Cond. _.tul BTU
Vent. CFM
Gas Piping Outlets #
Other
FEE:
S/C:
TOTAL:
OG. TYPE
Res. ?
Mult
Camm.
Other
WORK DESCRIPTION
New ?
Add-on
Repair
FEES
RES. HVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M BTU - 6.00
(RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMIn - 1.50 EA.
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8
FiEMODELS 12.00
MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000) SIGNATURE OF PERMITTEE
' FOR: CITY OF EAGAN
'a 1?
(lerttfiratt of Mrruvanry
Citp of clagan
Drparhnmt of fuilbWg InsWrr#inn
Tlirs Certr'ficate rssued pursrrant to the teguirements of Section 306 of the Uniform Buildrng
Code certifying that at the time of issuance this structure was in compliance widi the various
ordinarrees af tJte Crty regulating building construction or use. For rhe foflowrag.•
c,aww&,im Sf" DWC /PGAR Nat Permia rw.
Ox+vNxy'Iyvi R3 7nmng Dabia p ? ?YP? cooM `? ?
Owoer o( Buildiog, •:E??'?'? ?s i ; ; „ Addmss ? _ t'1 _ PIY`,, ?. ...,,_;'1;'":i H?1; ? ;
BIl1ldlllg AddfESt '[pCJ]jI}' l._
Dtlt: rE`.`L1wf<?R 1* 1087
Bw7dm8 O16w1 , .
POST IN A CONSPICUOUS PIACE
•-r-, . . ._.. . . .
a'I' .. .:?., . v?-• -+77777
- PERMIY #
PWMBING PERMIT
RECEiPT # i.' _,.
CITY OF EAGAN ,1 . ?.--
3830 PILOT KNOB ROAD, EACAN, MN 55122 DATE:
Site Addres
1..4 'h
a?
m
?
c
-' PHONE: 454-8100
' ' • BLDG. TYPE WORK DESCRIPTION
? Sec/Sub Res. New
Muit. Add-on
Comm. Repair
Name
c: AddresS ? ? 711 p Ciiy Phone ; y y:.-.Z-
FE£S
COMM/IND FEE - 1% OF GONTRACT 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
SIGNATURE OF PERMITTEE
FOR: CITY OF EAGAIV
Other
RES. PLBG. ONLY - COMP4ETE THE FOLLOWING:
MO. FIXTURES TOTAI
Water Closet - $3.00 S
Bath Tubs - $3.00
Lavatory - $3.00
Shower - $3.00
Ki!chen Sink - $3.00
UrinaUBidet - $3A0
Laundry Tray - $3.00
Floor Drains - $1.50
Water Heater - $1.50
Whiripool - $3.00
Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIn
? Softener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
FEE:
STATE S/C:
GRAMD TOTAL• '
,??. .. .
3830 Pilot Knok
To be used for Est.
Site A?ress 1003 WORTRVIEV pA
Lot Block- SeclSub. 'ZX
Parcel No.
W Name BO8 'AV'?R$
3 Address
frAf-Ala
Y OF EAGAN A2 16814
P.O. Box 21-199, Eagan, MN 55121
ONE:454-8100
. Receipt # $1+000 natQ !ltlS 26 iq 91
OFFICE U5E ONLY
City Phone
Name ?T-4"Lo
Address
City Phone 890-0758
Name
I a W I City Phone
f hereby acknowlege that I have read this application and state that the
infwmation is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Signature of Permitee
HEA?-N-('sIA ."
A Building Permit is issued to:
on ihe express condition that all work shalf be done in accordance witfi all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official ? 1 -
Occupancy - FEES
Zoning - 25.00
(Actual) Const - Bldg. Permit
(Allowable) .50
- Surcharge
;Y oi Stories -
Length _ Plan Review
Depth - SAC, City
S.F. Total - SAC
MCWCC
S.F. Footpnnts - ,
On Site Sewage _ Water Conn
On Site Well - Water Meter
MWCC System -
City Water
- Acci. Deposit
PRV Required _ S/W Permit
Boosier Pump - SIW Surcharge
Treatment PI
APPHOVALS Road Unit
Planner - Park Ded.
Council --
BIdg.Off. _ Copies
25.50
Variance - TOTAL
Permjt No_ Permit Holder Date Telephone #
WhTER
SEWER
PLUMBING
H.u.a.c.
ELECTRIC
Inspoctfon Date Insp. Comments
Footings I
foundaUon '
Framing
Roofing
Rough Plbg.
Flough Htg.
Isul.
Freplace
Final Htg.
Fnal Plbg.
Const. Meier Plbg. Inspector - NoUfy Plumber
Engr.IPlan
Bldg. Final
Dedc Ftg.
Dedc Final
?
Well
Pr. Disp.
ITY OF EAGAN
30 Pifot Knob Road
,(). Box 21199
gan, MN 55121
S+te Address:_I
10-i6--87
I.8 E2 I.E
Conn.Chg: 525e-Wpening: Acct. Dep: TnT? glr cai
Permit Fee? l?; ... NE - E( FPT??
Surcharge: a ree to comply with the :ofEang]an
Tr. Plant Meter. Misc,: gy WATER SERVICE PERM ?
CITY OF EAGAN Permit No:
6-7 'j 6 Date: r
?
? 3830 Pilot Knob Raad g/ p No: 7 °?'! 6 Date;
P.O. Box 211Q9-
Eagan, MN 55121
Owner. -'•??. `?coxE;e P,idrs.
' Site Address: 1043 Northvie`a Par:- j c! ?..° '-•4?' X ?c, t'--
? Plumber: Valieq Ziun?lri,:
5`5,6?pd
•
MWCC: Zoning
' City Chg: 10C. '?a
: No. of Units:
Acct. Dep: ' 5. tJ0 pd
i? ??P ,
p?
I agree to comply with the City of Eagan
Permit Fee:
-
_
-
%i
Ordlnancea.
Surcharge:
Misc.: By
SEWER SERVICE PERMIT
CfTY OF EAGAN
3830 Pilot Knob R+*ad
P.O. Box 21199 -
Esgan, MN 55121
;? 7
Permit IVo: 1?
Meter No:
Reader No:
??--
Date:
5ize:
Date:
Conn. Chg: ^2T• 0 d Zoning: t 1
Acct Dep: ? 5•? A No. of Units: ?
Permit Fee: ?-4 • ?»nd Surcharge: • 50pd I agree to comply wlth the City ot Eagan
Tr. Plant I80•00rd Ordinances.
Meter r
? -,
WATER SERVICE PERMIT
Permit No: - Date:
Mster No: Size:
Reader No:o 2 17 7 7?'?S Date;
.?
?
RESIDENTIAL
? BUILDING PERMIT APPLICATION
CITY OF EACAN
3830 PILOT KNOB RD - 55122
651-681-4675
New Construction Requirements
• 3 registered site surveys showing sq. fl. of lot, sq. R. of house; an?ll roofed areas
(20°h maximum lot crove2ge albwed)
• 2 copies o( plan showing beam & window sizes; poured found design, etc.)
• 7 set of Energy Calculations
• 3 copies of Tree Preserva6on Plan if kt platted after 7/1/93
. Rim Joisl Detail Options selecGon sheet (bldgs with 3 or less units)
DATE
JOB SITE ADDRESS C 00
IF MULTI-FAMILY BUILDING, HOW MAN?Y UNITS?
PROPERTY OWNER l7? 6 k6a ('(/"?I 1 YJe o'
TYPE
APPLICANT
RemodellReuairReau ement " `!?
. 2 mpies of plan r 0-16'l)
• 1 set of Energy Calculafbns for heated additions
• 1 site survey tor exterior addiGons & decks
. Indicale if home served hy sepUc system for additions
vaLuaiow
Y? /?
v v? , o? c c ?L ,'?.? ? v?D ??S, ?'j (
I
FIREPLACE(S) _ 0 _ 1 _ 2
PHONE# Iq f 5f
ADDRESS '90?07af-aw0 26) ?tin^oU 41? ZIPCODE
PAGER # CELL PHONE # 612-7 ? L0- `6 lll FAX #
NEW RESIDENTIAL BUILDING ONLY- fILL OUT COMPLETELY
Energy Code Category
(check one)
Plumbing Contractor: _
Plumbing System Includes:
Mechanical Contractor:
Mechwiicad Svs[em Iucludes:
Sewer/Water Contractor:
MINNESOTA RULES 7670 CA1'EGORY 1
- Residential Ventilation Category 1 Worksheet Submitted
• Energy Envelope Calculations Submitted
MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Phone
Water Softener Iawn Sprinlcler
Waler Heatcr No. of R.I. 13aths
No. of Baths
Air Condiuoning
HeaL Recovery System
Tcc: $90.00
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable Stote of Minnesota Statutes and City of Eagan O inances.
Signature of Applicant G G CIICC 4??
CeRificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 7/01
OFFICE USE ONLY
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - MWti
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 E#. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? OS 03-plex ? 11 10-plex ? 19 lower Level ? 24 Storm Oamage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replaceme nt 'Demolition (Entire 81dg only) - Give PCA handout to applicant
Valuation
2, (-xuo GG
`
Occupancy n
!C'? MC/ESSystem
census Code 'l "f .3 q zoning ? D city water
SAC Units ? Stories Booster Pump
Nbr. of Units Sq. Ft. I I2 SF. ,RODirier?/? PRV
Nbr. of Bldgs Length ? Fire Sprinklered
Type of Const V-1V Width ?Y t
x
?
?
FinaUC.O.
'X Final/:Vo C.O.
_ Plumbing
HVAC
_ Other
_ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Siding Smcco Stone
_ Windows (new/replacement)
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
ciry sac
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
REQUIRED INSPECTIONS
Footings (new bldg)
Footings (deck)
Footings (addition)
Foundation
Drain Tile
Roof V Ice & Water ? Final
Framing
Fireplace _ R.I. _ Au Test _ Final
Insulation
?-a, t-15
Gc)
tu : WwS 37125?6
?j?/?- U ? ?""n 0'j q (?Z6
!
9 lt?-o.(?
Building Inspector
3 Pa2C! )
f J 2-5 -? x1 ?o.ao = y?F?? .
CITY OF EAGAN N_ 14 2 9 2
3830 Pilot Knob Road, P.O. 8ox 21 •199, Eagan, MN 557 21
BUILDING PERMIT PHONE:454-8700 Receipt # '? ? ?('-110
To be used fqr SF DWG/GAR Est. Value $67,000 Oate OCTOBER 9 19 87
Site Address 1003 NORTHVIEW PARK RD
Lot 8 Block 2 Sec/Sub. LEXINGTON SQUARE
Parcel No. 6TH ADD
m Name MARVIN GEORGE BLDRS INC
? Address P.O. BOX 428
a City PRINCETON phone 332-3034
OFFICE USE ONLY
on Site Sewage - Occupancy R3
MWCC System X Zoning Rl
On Site Well (ACNaq Const Vn
Ciry Water X (Allowable) Vn
PRV Required - # ot Stories
43
Booster Pump Length
46.33
Depih
S.F. Total
Footprint S.F.
' Name SAME
oa Address
: City Phone
U¢
WW
u?
¢Z
aw
Name _
Address
C itY _
I hereby aCknOwledge that I have read this application and tate that the
iMormation is correct and agree)0 comply with II s?8 State of
MinnesotaStaNtesandCiry y?FJZag O/rd?Sance
Signature ofPermittee _QLK1-__ ---
?
A Building Permit is issuedto:___M9BVII1_ RLI1RS-IN-C
on the ezpress condition that all work shall be done in accordance with all
applica6le State of Minne?s(pt?/ S?t,atut?es? and ity of Eagan Ordinances.
BuildingOfficial__ 1°Cia-?"_?'"?h
V ?
APPROVALS
Engr./ASSess.
Planner
Council
Bldg. ON
Variance
FEES
Permit
Surcharge
Plan Review
SAC, City
SAC, M WCC
Water Conn.
Water Metei
Road Unit
Treatment Pi
Parks
TOTAL
$ 388.00
33.50
194.00
100.00
525.00
525.00
67.00
_a4 5 ,90
-.1.80.00
$22317=50
CITY OF EAGAN N0 18814
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
C
15 ?
/a ?
BUILDING PERMIT Receipt # '
,
To be used for FIREPLACE Est. Value $1,000 Date HAR 26 , ig 91
Site Atldress 1003 NOATHVIEW PARK RD
OFFICE USE ONLY
Lot 8 Block Z Sec/Sub. LEXINGTON SQ 6TH
P81C01 NO Ottupancy - FEES
. i
Z
Name BOB ALBERS on
ng -
(ACtual)Const -
BIdg.Permit
ZS.00
w
3 AddreSS 1003 NORTHVIEW PARK RD (Allowable) - Surcharge . SO
° Cit EAGAN Phone 456-9809
y xof stories -
th
L Plan Raview
_
eng
o Name HEAT-N-GLO OeDth - SAC, City
ga Address 3850 W HWY 13 S.F. To1al - MCWCC
SAC
,
IE City BURNSVILLE PhOne 890-0758 S.F.Footprints -
Si
S Water Conn
ewage _
On
te
w W Name On Site Well - Water Meter
z? Address MWCCSystem - i
pcct Depos
t
aW City Phone Cirywater -
i
d
PRV R SNJ Permit
_
re
equ
I hereby acknowlege that I have read Ihis applicalion and state that Ihe Booster Pump - SNJ Suroharge
information is correct and agree to comply with all applicable,Stale ot
Minnesota Stawtes antl ' o? Eagan Qrdinances. Treatmenl PI
?
Signature of Permitee a4fl ? APPROVALS
Road Unit
A Building Permit is issued to: HEAT-N-GLO Pla""ar - aark oea.
on the ezpress condition that all work shall be done in accordance with all Cou^cil --
Copias
City oi Eagan Ortlinances.
n
applica6le State oi Minnesota Statutes
a
d gidy, pff, _
?
y
,
? ?
flnrin RO?f? ? IILLI
Builtling Ofticial
???
Variance -
TOTAL
25.50
REQUEST FOR ELECTRICAL INSPECTlON EB?-0p000,1/-06
/ Sae inshuctions for complelinB this lorm on beck ol vellow copy. p p p?`J??
E 44242 "x" eeloWWorkCaveredby7hisRequest
Now ana nao. Tvaa oi auuein9 aour?ooan wi..e eauiumeoi wi,ed
Home Range Temporary Service
Duple.x Water Heater Liyhtinp Fixtures
Apt. Buildinq Oryer Electric Heatin
Commercial Bldg. Furnace Silo Unloader
Industrial Bldg. Air Condi[ioner Bulk Milk Tank
F3rm Ner neu y Dthm ISncuiyl
t er Suurify thcr Othur
Compute lnspection Fee Below
p Fee ServiceEntranee5ixe !t Fee Fae.ders/Subleeders k Fee Circuits
0 to200qm s 0 to30qm s 0 m30Am s
Above 200 qmps, 31 to 100 Amps 37 to 100 Am s
4 Swimming Poo? Above 100-Am s A6ove 100_AmPy
; 7ra2siormers Irrigation Booms Pdrtial.'Other Fee
Signs Specfal InsUection S
Ip TOTAL
, ?
luC. rni ? /'r? - ? s
Poueh-in PDj4t I, Me Elecbical
pectoq hareby
cartify thet the above
Final ?) / 'nspection hes been
//u? rrmde.
Riis ropuest voitl 10 moniha fram
? This requesl void
18 nwmhs fmm
E 44242 r Q??,?•P,.,??;,,?,? ?„?rr ?o? ???
Rxquest Date ._ -- Fire No. Rough-in lns dctinn
Reyuired? ,
Heady Now []WiII Nntily Inspec-
ll- ?- r noYes ?Nn 10r When HeadY
r
?Licensed Elecvical ConVector I heraby requestinaDaction otebova
? Owner electrical work installed at:
Stree[ AtlAress, eox or flmte No. City
Q a / C/r.Fl` I[.CTF"
ecuon o. Township Name or Na. Range o. Counly
f14WY7?"
OccuDant (PpINT) Phone No.
/.cJ i?o?? 33z- - 30 3
Power Sup0lier Address
EbcVical Convactor (Comuanv Name) Conirarior's License No.
/y/1¢5 TFL EL6 G7'2E' iG C7 f D -
Mailinp AtlJress (COnVactor or Owner Makinq Instailation)
P XJ
Authorized Sign ture ICon eactor/Owner Mxking Installa 'on) Phone Number
"e; ~3 sSs-
MINNESOTA STATE BOAflD OF EL TPICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Blde. - M1oom N-19 BE ACCEPTED BV THE STATE BOAND
1821 Universitv Ave.. St. Peul, MN 65104 UNLESS PflOPEP INSPECTION FEE IS
Phone f6121 642-080D ENCLOSED.
Thns repuest void ¢ n p'/
18 rtqnths iwm 1? C/?/?tf'?
Request Date T
' Fire No.' R ph-in InsbeNtion
Rc?qurtetl? (/ Y / v
[3Ready Now gWill No1ifY Inspec-
lo -!G -?
7 ? ?Yes ?NO [ur When Ready
? Licensed Elechical ConVactor • 1 hereby repuest inspection of ebove
? o.^P, eIectrical work installed et
Streat AAAress, Box ar Floute No. City
0 3 .¢r.YdIAlrilk.)` .?' o
ectmn o. Townshi0 Name or No. ange No. Counly
Occopanf (PqINTI Phone No.
/N iN GEd ?Q?iia s 332 - 3
Power $upV??er AAdress
EC7? /L .?J 7D?
Elactri"l Contractor (COmpany Nume) Conhar,tor's License No.
"?S?'Lri? ?L6G P.Z'/? d D -
Mailing Address 1 ontracm? or Owner MakinB ?nstallation)
?
Authoriz
5ignature ICoMrac?or?Owner Makiny Inst atinnl phope ryumpg?
-99a 3555?
MINNES TA STATE BDAXD OP E CTqICITY THIS INSPECTION NEQUEST WILL NOT
Griv9s-Midway Bldg. - Poom N-191 BE ACCEPTED BY TNE STATE BDAND
1821 Universitv Ave.. SI. Peul, MN 56104 UNLESS PROPEH INSPECTION iEE IS
Phone (612) 642-0800 ENCLOSED.
?0//5?8?7 REQUEST FOR ELECTRICAL INSPECTlON ee-ooooi-os
See instructiens for campleting this form on beck of Vellow copy.
0 5595Z '-x" eeloW Work Covered by 7his Requesl
AAtl ReD. lyp0 oi Buf10in9 Acolianeea WireC EquiVmBnl Wi,¢d
Home Range Temporary Service
Duplex Water Heater Lightiny Fiztures
Apt. BuilAinq Dryer Electric He2Ln
Commerdal 81dy. Fumace Silo Unloader
Industrial Bldg. Air Condi[ioner Bulk Milk Tank
Farm Olher oeu y Uiher Itiner,it?l
t nr Suecity thcr O+hur ction Fee Below
Fexders/SUbfexde,s
?T? /A2E?I
"!al
flough-in D??e ) ( 1. e vical
InsPeclor, he,ohy
cerlity theI ihe above
Final ( D.I.
z inspectfon hes been
/
.. maee.
ThIarepuestvalGiemonihatram ?
REQUEST FOR ELECTRICAL INSPECTION
??? See insvucLOns lor completing ihis form on back oi yellow copy
N 0 2 5.19 'X" Below Work Covered by This Request
E8?-00001 OB
oC?.to7s?-
? ?.
e Add Rep. Typeof8uilding AppliancesWired EquipmenlWired
Home Range Temporery Service
Duplez Water Heater Eleciric Heating
Apt Builtling Dryer load MenBgBment
Comm.llndustriai Fumace Olher (Specity)
Farm Air Conditioner
Omer IspecJyl Comractor5 Remarks:
? .SM? ?/1lt
Compute Inspecfion Fee Below:
< Other Fee # ServiceEnfrance5ize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transtormers A6ove 200 _ Amps Above 700 _ Amps
Signs , inspector's Use Oniy: TO ?
' Irrigation Booms `
W Q
Special Inbpection
Alarm/COmmunication THIS INSTALLATION MAY RDE CpNNECTED IF NOT
Other Fee COMPLETED WITHIN 18 HS.
1. the Electrical Inspeclor, hereby
if Rough.in , e
cert
y thai ihe above inspection has
been made. F;,,ai
o o
OFflCE IISE ONLY This requesl voi0 18 months Irom
N3025 5??.8 a
r s,S
ReQae510
?. '? C
7 Fre Na. Roug ?I InpsecYian Requi
(YOU all inSpector ready)
Yes ? No InsOwion Other Than fjough-in
? qeatly Now Will Notity InspOtlor
OaleRaeUy
IJLJ licensed contractor ?ywner hereby request inspection ot above electrical work at:
Jo0 Atltlress (Street. Box or ule No
0?3 /l?oNl-,tfu;ew
rpK Ci[y
Section No. Townsnip Name or No. Fange Na. Caunry
f(P NT) 1
E ?1 N Phone No.
PowerSupplier Adtlress
Elecn al ConVactor ICompany Nampe) ???
p ? ? W4 vf ConUactor9 License No.
Meiii Aatlress IConuaNOr or pwner Meking Instellation)
OJ?,-
Avinorrsee 5iqnature (COn:raclor.UVner Mehing Instellalion)
'eF .?-1 rPn ?h Pn , /,f zb'(n" Phone Number .
- ?
MINNESOTA STATE BOARO OF ELECTRIdTY THIS INSPECTION REOUEST WILL NOT
Grlggs-Mitlwey Bltlg. - Room S-173 8E ACCEPTED BV THE STATE BOhRD
1821 Universiry Ave_ SLPeuI. MN 55104 dL???"? UNLESS PROPEfi INSPECTtON FEE I$
FMne (612) 862-0800 ENCLOSEO.
I
?
RESIDENTIAL
????? BUILDING PERMIT APPLICATION
CITY OF EACAN La 1r
3830 PILOT KNOB RD - 55122
651-881•4675 4:L-
NewConsWClion ReauiremeMS RemodeVReoair Reouirements
• 3 registered site surveys showing sq. R. of lot, sq, ft. of Iwuse; and all roofed areas • 2 copies of plan
(20Ya maximum lot croverage allowed) • 1 set of Energy Calculations for heated additions
• 2 coples of plan showing beam & window sizes; pou2d found design, etc.) . 1 site survey for e#edor additions & decks
• 1 set of Energy CalcWalions • Iridicate if home served by septic system for additions
. 3 copies of Tree Preservation Plan'rf lot plaHed afler 7/1193
• Rim Joist DeTail Optbns selection sheet (bldgs wfth 3 or less uniis)
DATE VALUATION
JOB SITE ADDRESS (003 Nof`I'k Vi> >pi&r IS'IZt
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNER Rp h'$ Gat:, 1 j6{"S
TYPE OF WORK Tr ,' O4T - Ye_-rao ? FIREPLACE(S) _ 0_ 1_ 2
) 722-046<
APPLICANT I?.o..u?.an n??? PHONE#?(a
ADDRESS c?iSo?? ??? Av? So µ12I< ZIPCODE
PAGER #
CELL PHONE #
Phone #
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category
(check one)
Plumbing Contractor: _
Plumbing System Includcs:
Mechanical Contractor: _
Mcchanical Syslem Includes:
Sewer/Water Contractor:
Air Condilionuig
Heat Recovcry Systcm
All above information must be submitted prior to processing of application.
FAX # 6 ti) 7.? -0
I'cc: $90.00
Au? 3 0 ?ooz ?'
Phone
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinanc
Signature of Appllcant
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 2002
MINNESOTA RUI.F:S 7670 CA'I'1:GORY 1
- Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
MINNESOTA RULES 7672
- New Energy Code Worksheet Submilted
Phone #:
_ Water Sotlener I,awn 3prinkler
Water Heater No. of R.I. Batlis
No. of Baths
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10.plex ? 19 Lower Level ? 24 Storm Damage I
? 06 04-plex ? 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MClES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV °
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ Final/C.O.
_ Footings (deck) _ Final/No C.O.
'
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ tce & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall i
Approved By i , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S8W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Tota I
?.-
?COfff/IOfIIeS 6876IHghwoy 65 N.E. 1'.Q Oo.3f309 Mlnncopolm, hIN 55932 (6121 57660!!
SUBORBAN ENGINEERING. INC. 12203 ?W A?c S. Bum?ulH?, MN 55337 1612) N9U u.'+IP
cwr? M..x?pd ? Enyl.enm..xol lryhr?nln0 ??-^^? ?urwriM ???^d PMnMn? ? 8an T..nnp
Csrtifiosts of ?u=oe,. :or /1/?ars?in G?orde !/!1/??Bl'S
Beeringe Shorn Are Aaevmed
0 3Mnotea Iron Monuxnt . a Denotes FoundaHon Corner Offeet S[ske. PROY036D ID.St'A'¢ONS
¦ Denetes E:lotine Eleretien ' -
Q Denotes Proponad 63eretlon . . . 7op eE 91dtk (.. 3
l-w Denoces Dlreetien e[ Surfeee Drelnege t.e?eee Fioor A
Denotes Dcsinega and Ucillcy ¢eeament Cers4e Flaoc .o
N89°4303W
X
scale: 1 Inch - 90 leel
.
H?8 ERF?•
8 9 S/. 95.
g41y.V&
S`9 y.-6
^ 1
b?e
E?
1???90
3 yy 93.C
^/
/ V orl? vieyv ?rk .. ?ad
Lot 8 ; Block ,2
LEXINGTON SQUARE.6th ADDITION
5ubject to easements of record Dakola County, Mi»nesota
eertlEr the[ thie eurvey, plan ar revor[ ran prepered by me or ander mr direct
-n snd thet I sm e.dull liceneed Lend Surveyor under the lere of tAe Stste of
,e ? de7 of ? A.b.. 1987. 1=
reavrrad ` .., s?s??e.? CnOineerin{. Ine. ?L.,fX CJ?a..?b... MSnb.:tilcEn9e
v - ORDER FORM .
F'rs` 2405 Annapolis Lane • Suite 240 • Minneapolis, Minnesota 55447 /
? (763) 553-1918 • Fax (763) 551-7980
Chvi
ca
Ext¢rior s?'n? "We're not out ta be the BIGGE57... lus t e BEST"
. SPECIAL7ZING IN: Siding • SaH/ts, Fat<la and Trim • Windows artd Doors • Porches and Additions • Roofing and Femodeling
PaOFOSAI SUBMiiTE^ip
4
3 tZ S
1 HOUC PHONF OROER DAiL ?
L-
,
,
$iREEi
1003 .No.-+k 0.?.j 0,ir- ti ve,ot i?) BUS F?ONE JOH pAiE
Cl1v STaiE qNOZiPCODE JOA:OCaIiON
DesuvTo, ai'NOr.
??/?? {//???/ ? J •
l?
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,?, X, ST'- I
TRANSMISSION llERIFIGATION REPORT
TIME : 09/25/2001 09:22
DATE,TIME 09125 09:21
FAX NO./NAME 4204806
DURATION 08:00:56
PAGE(S) 01
RESULT OK
MODE STANDARD
ECM
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: Lti r: $ B L 0 C K: Z APPLICANT:
1003 NOR7HVIEW PARK RD ALBERS ROBERT
LEXINGTON SQUARE 6TH (612) 683-3408
PERMIT SUBTYPE:
BASEMENT FINISN
TYPE OF WORK:
BUIIDING
023132
03/24/94
ALTERATION
INSPECTION
FRAMING .. .
INSULATION r.
ROU6H IN PLBG FINAL
REMARKS: SEPARATE pERMITS ARE REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK
?- - - - - _ - -- - - -)
CI7`Y OF EAGAN PERMIT
3830 Pilot Knob Road PERMIT TYPE:
Eagan, Minnesota 55123 Permit Number:
(612) 681-4675 Date Issued:
ar-
?
,F? r?. r
??
BUILDI
023132
03/24/94
SITE ADDRESS:
1003 NpRTHVIEW PARK RD
LOT: B BLOCK: 2
LEXING70N SQUARE 6TH
P.I.N.: 10-45080-080-02
DESCRIPTION:
Bcfi din-g-l-Permit Type BASEMENT FINISH
Building W3Nrk Type ALTERATION
REMARKS:
SEPARATE PERMITS ARE REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK
FEE SUMMARY:
Base Fee $35.00
Surcharge $.50
Total Fee $35.50
CONTRACTOR:
OWNER: -- Applicant -
LBERS ROBERT
003 NORTHVIEW PARK RD
AGAN MN 55123
612)683-3408
I hereby acknowledge that I have read this application and stete that the
infiormation is correct and agree to comply with all applicable State ofi Mn.
Statutes and City of Eagan Qrdinances.
? _ _ --- - --- ---
. ??Q oa ILf?Cf
?A P,???. (/ LICANT ? ?/PERMITEE SIGN?? A14 ISSUEa PY: 61GNAT RE I
-
M131
CITY OF EAGAN
1994 BUILDING PERMIT APPLICATION
681-4675
SINGLE & 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: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed ar 3) lot change is requested once permit
is issued.
Date 3 Valuatlon of work ? yy 000
Site Address: 1001 kerthv; ew Park Qea? Eaauc, .ib1A/ SS123
-
STREET
? SUITE #
Tenant Name: (commercial only)
LOT ? BIACK ? SUBD. L eXiV, 9+Or' Stuqr{ P I D. #
oi..
Descri tion of work: + "
The applicant is: 1< Owner ? Contractor ? Other (Describe)
Name Afbv?r Kpha?+
Jr. Phone NS6 -9pU?
?
Property 1
LAST FIRST
3qo p cw?
Owner
Address !Do 3 Nar+6 vi ew Park 12d.
STREET STE #
City F aaan State NIN Zip SSj,j 3
Company Phone
Co ntractor Address License # Exp.
City State Zip
Company Phone
Architect/
Engineer Name Registration #
Address '
City State Zip
Sewer & water licensed plumber 466tm=ry+ as Soh ft`s Processing time for
sewer & water permits is two days once area has 6een 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.
Signature of Applicant: X.-Q?en,l- 4 tL.f&di ?
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging
? 02 SF Dwg. ? 07 4-Plex ? 12 Mult1. Misc.
? 03 5F Addition ? OS 8-Plex ? 13 Garage/Accessory
0 04 SF Porch O 09 12-Plex ? 14 fireplace
? 05 3F Misc. 13 10 Multi. Add'1. ? 15 Deck
WORK TYPE
? 31 New 13 33 Alterations ? 35 Tenant Finish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Engineering
RECdU1RED INSPECTIONS
,? 0 *. -+/s i %
.0'r6 Basement Finish
? 17 Swim Pool
? 18 Comm./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facillty
? 21 Miscellaneous
? 37 Demolish
Basement sq. ft. MWCC System
lst F1. sq. ft. City Water
2nd F1. sq. ft. PRY Required
Sq. Ft, total Booster Pump
Footprint Sq. ft. Fire Sprinkler
On-site well Census Code 35
On-site sewage SAC Code a/
Census Bldg
Census Unit o
Building Assessments
Variance
? Site ? Foating ,R Framing a Insulation
? Wallboard 0 Final 0 Draintile ? Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
vatuaeta,:
SAC %
SAC Units
?%VV14
1991 BIIILDING PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLZNGS MULTIPLE 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 APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY IAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER 6 WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For:Valuation: Date: 3'4?1
3 U(./? OFFICE IISE ONLY
Site Address I 1?o ?Z??L
Lot $ Block FEES
Occupancy Bldg. Permit
Zoning Surcharge Th ?
/
Parcel/Sub ?Au'nQ?N JlatlAkeA, #, Actual Const Plan Review
° Allowable SAC, City
Owner # of stories SAC, MWCC
3
/,?? Length Water Conn.
'OD
^
(/(
Address I/ Depth Water Meter
!?'/ ?
) S.F. Total Acct. Deposit
?
City/Zip Code (Q[??/[N' Footprint S.F. 5/w Permit
S/W Surcharge
Phone On site sewage_ Treatment P1.
On site well Road Unit
Contractor MWCC System _ Park Ded.
City water _ Trail Ded.
Address . PRV Copies
Booster Pump
City/Zip Code S S? _
SUBTOTAL
APPROVALS Penalty
Phone -
Planner Lot Change
Council TOTAL 7 ?S • hll
Arch./Engr. Bldg. Off.
Variance
Address
City/Zip Code
Phone #
& 4?& k 14 agrees that all work shall be done in accordance with
(Signature Contractor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
388'OU+
SS•5U+
lii•D'U+
EiS.LJ ur
52?•OUF
67•uu+
? 305•UU?
? F 18U?UU+
i'7•?U:
?125
qz*
1987 BOILDING PERMIY APPLIC9TION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS
IBCLDDE 2 SEfS OF PLANS, 3 CERTIFICASES OF SURVEY, 1 SET OF ENERGY C6LCOLATIOBS
NOTE: ADDRESSES FOR CORNfi@ LOtS - COHTR9CTOR/HOMEOANER HQST DESIGAATE AHICH ADDRESS
IS DFSIRED. NO CHANGES WILL BE A1.LOiIED ONCE BQILDING PERHIT IS ISSOED.
MULTIPLE DfiELLINGS - RFSIDENTIAL RENTAL OAITS FOR SALE OBI2S
INCLUDE 2 SETS OF PLANS, CERTIFICATE DF SIIRVEY - CBECg HITS HLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COPII4tRCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
To Be Used For: Single Family Valuation:'??-5?
Site Address 1003 Narthview Park Rd. U7 o a? OFF:
Lot a Block 2 On Site Sewage`
MWCC System ?
Parcel/Sub Lexington Square 6th Add, pn Site Well
City Water j/
Owner Marvin George Builders, Inc.
Address P.C. Bax 428
City/Zip Code Princeton, MN 55371
Phone 389-3201j332-3034 IAPPROV9IS
Contractor Same As Owner
address Same
City/Zip Code Same
Phone Sanie
Arch./Engr. Same As Owner
Address Same
City/Zip Code Same
Phone $ Same
Assessments
Water/Sewer
Police
Fire
Engr
Planner?
Council
Hldg Off
APC
Variance
Date:IWB OCj 5 1987
Occupancy _ pl- J
Zaning
Type of Const
(Actual)
(Allowable)
S of Stories
Length uo-'
Depth
S.F. Total
Footprint S.F.
FEFS
Permit ? g8,fl6
Surcharge 11?340
Plan Review (.9 4,nr)
SAC, City Lpp,pp
SAC, MWCC 52S-DO
Water Conn 5 5. oC?
Water Meter dC?
?
Road Unit
Treatment P1 p p n
Parks
Copies
TOTAL 0'-l / ?z
... . ? . ? , ? ?? ? .
z 2 xz2 - y fS1i
?6?1 k ?2= 5568
2yx3? =q12-
1NX?z ? 168
L4 = C3S?
.__-------
?0t4 2 X ly. (?ISSS
1-[ uuSE
-------
5 n %
/ Ay,r
?----_,
)O68 X4?=
(o69-7 Z
u?D2L4
2y?3?s.
HhR0?) a d
MINNESOTA STATE BUILDING CODE DIVISION
EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION
OWNER Mn Rv.i t_I C.?> oo f (" c- U' t) l 1 dp f_. S
SITE ADDRESS 1()03 ry bRTfiVlEW PAi` P, n A
CONTRACTORMA RVa-N 6 nO('(,F j I <J..Dr-, `- AMQ(',?5 1[Id?HONE
?Fd
Determine workinR square footaRe of each:
1. Total exposed wall area..... ) -] '?jG sq. ft. x ,11
2. Total roof/ceiling area..... /092 sq. ft. x -Dol° __E1 65
Total exposed wall area above floor = /(0lp d
a. Total wall window area . . . . . . . . . . . . . . . lqq
b. To[al door area. . .
c.
Total
sliding glass door area. . . . . . . . ?
. . . . y
d. Total fireplace wall area . . . . . . . . . . . . .
e. Total wall framing area (average 10%). ... ... ? p-
Total exposed foundation area = 99
h. To[al foundation window area . . . . . . . . . . . . -
i. Total net foundation area above grade. .......?
De[ermine "U" value of each wall se¢ment:
a. g ,un 3q _ 5?, (OW .
b. y a x??U.. , a 3 = 9- ? to
c. ya X ?lUll
a. - x ?lUll --
e. ?? K????? I• I I
f. ? ) (D p ?{ y l0, `1 ?
f. Total net wall area above floor. . . . . . . . . . : ?
g. Total rim joist area . . . . . . . . . . . . . . .
.? g; ?9 X U . oy)
. h. -? X ?lUll
x 11Ur1
3. TOTAI.. . . . . . . . . . . . . ? i '-Yj. a-7
If item U3 is the,same as, or less than item lll, you have met the intent af SBC 6006(c)2.
To[al exposed roof/ceiling area = /O 712
j. Total skylight area . . . . . . . . . . . . . . . . 'q
k. Total roof/ceiling framing area (Average 10%) ...:?
1. Total net insula[ed roof/ceiling area .......
Determine "U" value for each roof/ceiling segment:
j. U y 11v
}'ll ?? J fl I• ??
? n
k. 99 X "U-- ?.5?
1. 'Ici 5 x„U„ 'q .
4. TOTAL. . . . . . . . . . . . . . = as -7 $
If total of item ll4 is the same as, or less than item 1i2, you have met the intent of
SBC 6006(c)1.
A1[ernate Building Envelope Design
To utilize [he total envelope system method, the values established by the sum of items ,
fi3 and 114 shall not be greater than the sum of items $1 and U2.
.5s = a.oW
a
+ z. T k
3. +4. 7?.?75 ? /?.dS
-?---
?
w
saMEENCOIIIJTanIBS 6875 Iliglimny 65 N.E. P.O. Dox 32308 Mlnncapolls, F1N 55432 l6121 5116066
SUBURBAN ENGINEERING. /N[. 12203 Nicollel Avs. So. Burnaullle, MN 55337 re121890 (,510
CN4 MvMnpd 6 Enwvmmenld Engl.aing 0 Laid mw«yhq 0 Lad PbnnYy 0 Soq hOnng
Certilicaie ot eur.vey for /Y1?'Y/n G I lQ?rs
Bearinga Shoxn Are Assumed o Denotes Iron Monument , . .
. o Denotes Faundetion Corner Offset Stake. PROYOSED EL6VA1'IONS ?
x Denotea Exiating Eleretion .
Q Denotee Proposed Eleretlon . . 7op of Bldt? 8 9 L. 3 ?•- Denotes Direction oE Surface Drelnege Lovest Floor R 8F• 8
"'--"' Denotee Urainege end Vtilit7 Eeaement - Gerege Floor 8 9 6,0 •
N89°43 03 0V1/
75. 00
??y y
s
Q Dra???a,ge and U?;l;?y ?
? fas em trt f
T"I Scele: 1 Inch ? 30 leet
? ` .
g9`l.y ,
?
w o5? y? 'm
M ntp? A
? M
1'
- 50 - I? ,/
?
a ¢
Zo.6? F??d 9 0
? N ?a'y?
N?g ERfV.?? /¢D 2R.33 ?- ` a? -
• 89y95 ? 96,0 -- - ?
Q o
?: h v .a n p
5 a? ?
?9 ?9S?t, ° ?' _ 8qN'a933
o _
173.00
--, --
$4??3 N8943o3 Y1? 93•6
yv .
Lot 8, Block,2
LEXINGTON SQUARE 6th ADDITION
Subject to easements of record
Dakota Count y, Minnesota
I hereb7 certify thet this eurrer, plen or report wes prepared br me or under my direct
supervision and that I em e:du1J licensed Land SuneJor under.the leve of the State of
Ninnesote i ?S
Signed [he deJ of Q6? A.D.. 1987. -_-
" . --Cnmpanles
Not publiahed: All riehfe.reaerred.
CapTrl{ht I98) SE Compenlee. Subutben Engineerlnt. Inc.
, HSnn.;Gicense
CITY OF EAGAiV
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
...:
*TOTS: PA1TIF:KS OF FFE AT TIIyE pF *
APPIJCAMoN noES Wr oorsriTM *
APPROVAL OF PIIiMffT. ?r
xNWncriCu oF sEWa Arm/cet Fmzm
IlasrAr.ramrpNS Wn1, NOr gg SCHED--
ULID iJNFII. PIItMLT AAS BM
APPROVID.
x,.x x-x--xw,.f,.,.,.,.x??,.? xx. x:xxx,.
, P ease Print
? 1) PROPERTY ADDRESS: '
LEGAL DESCRIPTION: -^
g MSTING STRCY.`IL?RE, DATE OF ORIGINAI, BUILDING PERMIT ISSOANCE: :
PRFSEW ZONING/pROPOSID LSE: ffin ear -
q COA'YWCIAL/REPAiL/CFFICE ? R-1 SINGLE FAMILY .
0 IbIDOSTRIAL Q R-2 DUPLEX (1uo Cfiits)
? INSTIZUTIONAL/GOVERIZEM ? R-3 TOWNHOUSE (Three + Units ) ( Units)
p R-4 APARRHMi'p/CONIDOMINIUM ( Units)
2) ?..+?
NAME:
ADDRESS: ..
CITY. STATE, ZIP:
PHONE:
3) ''?• tuirE:??i?L???1
" For City Use ..
T?>n Plisnbers License:
1wDRESS: Active
CITY, STATE, ZIP: FScPired
Not recorded
PHONE:_C//r?° MASTER LICIIVSE# 67 ' -
St In1t1a1
4) •• ? i?•
ruArE:
- ADDRESS:?
CITY, STATE, ZIP: i;12il
PHoNE: 33 a - ' ? --
•5) '? r: • ?• : a • a? • ??
? CbNDIFX.TION Tp CITY SEWf:[t ? CpNNDCTION TO CITY WATER 0 pnM '. .
6) ?? • ?? PLEASE HOLD APPROVEU PEEtNIIT FC)R PICK-UP BY ONE OF ABOVE
-- - IVI PLEASE MAIL APPRaVID PEE2MIT TO 1. 2, ? 4. ABOVE
?.? (Circle one)
-FOR CITY USE ONLY
PERMIT # ISSUED
1? 5 7
Pd w/Bldg. Permit FEES:
$-_ $ iC? - S6
$
$
$
$
$
$
$
???,5 lrD
$
$
$
$
$
f ,?b•??
$
$ ? ? ?/ 7 'C7 L7
... 7.S
RECEIPT
S /t?S J
S
$
$
$
S
$
$
$
$
$
$
$ s/. 7 -d
- 7 t3? ?
RECEIPT
SEWER PERMIT (INCLODE SDRCHARGE)
WATER PERMIT (INCLUDE SL'RCHARGE)
WATER METER/COPPERHORN/OOTSIDE READER
WATER TAP (INCLUDE CORPORATION STOP)
SEWER TAP
ACCOUNT DEPOSIT - SEWER
ACCOL'NT DEPOSIT - WATER
WAC
,
SAC
TRLNK WATER ASSESSMENT',
TRUNK SEWER ASSESSMENT ?
LATERAL BENEFIT/TRDNK SEWER
LATERAL BENEFIT/TRD[VK WATER
WATER TREATMENT PLA[VT SURCHARGE
OTHER:
TOTAL
DOES LTILITY CONNECTION REQUIRE EXCAVATION IN PL'BLIC RIGHT OF WAY?
F__j YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC
Q ROADWAY" MUST BE ISSL?ED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE: _ /G7/?S?' ??7
S/y 3? ? • ??? d.¢,ei? '?DEL ??.i. ? . /c?c?? ' ,????p
HEATLOSSCALCUlATIONS NEATINGR a1R ennun1Y1nnjirur?ny?? ?iN?NEAPOUS. MINfJ.
Wealhsrclrips Conslructlon No. InauleUo n
M?indows Doors t. Wall 1n1. Wall Cslllnp Rool Fioor Kfnd Applied
Yes-No Yee-No g
FL 0 Hoom Width Helpht FI. Roan Lenplh Wldth Neipht
Ylind ws and Doas-Crackape end Area Wlndows end Doors-Crackage and Area
o n H.'oM1l
ol ?n? No, ol
li hl? 4n?a1 1l.
/ r Ann
•. 11. . ' Na• W'-
ol'?in 1
o1??iM 1,1 ?hU ol ?r I IL
' ' D 9 20
Coe1 Btu Coel Blu
Inlillrolion , 6 InHI1.eUon
Glasa 0 Glees
Exp. wall Exp. wall
Nef eHp. wall Net erp, wall
Inl. wall . Int. wall
Calllnp Celling . , . . .
Floor • Floa ' .
Tolel Biu. Tolal 81u. .
ReQulred sQ, ft. E.O.H. or sq. Ine. W.A. l,eeder eree Pequirad sq. It. E.D.R. or eq. Ins. W.A. Leader erea
? F1, ?? E Poom Length ? Width / Heipht FI, Roan Langlh Witlth Halyht
Windows a nd Ooors -Cracka ge and Ar ea r Io Windows end poars-Cr9ckage and Area
' No. W?tlr1.
el !n! 1/1eiaAt
D ina No. 0/
h hU. l.nesl 11.
ol , 4ran
a. IL
NO• W??I?h
ol en? H?uphl
nf nnY Na. ol
h M14 l-ne+?l li.
0l a1 k A'ee
Q. 1t.
cJ / _?? /L
coer e w - cooi o iu
Infiltretlon y! . ? ,;Z Inllllretion
Gless Gless
Ezp. wall EKp. wall
Net exp. wall 75 Nel amp. wall
-
Int, wall Int. wall
CBIIinB ' S Cefl{np . .
F loa F loa ?
Totel Btu. - Tolal Blu.
Hequiied aq. 14 E.D.R. or sp. ins. W.A. Leader areo Required eq. 11. E.D.R. or cq. ins. W.A. Leader erae
? FI. / Poan lenpth Wldth Helpht FI. Noom Lenglh Width HeiAlri
Windows and Ooors- Cracka ge end Hr ea A'Ir.doc:s and Doors-Crockape end Ar ea
Na. W N?n
ol ? on Muqni
. OI ena No. ol
11 hl/ l?nenl 11.
OI rs Aron
O. 11. .
. Na• pulih
UI nn 1 rpplq
u? nnd Mn. nl
h hls l??anl 11.
of aa Y 4en
s. II.
•a i r . ,
?
' Coel Btu Coe, 0w
Inlih?alim l(,, / .3 Inliltrntlon I
Glese (iiase
E.p, wall Exp, wnli • .
NBt exp. wall
w -5 Nel emp. wall
lnl. wall Inl. wnll
Ceiling f ? (A Geilinp "
Flow - 0 -
Flntx
iutel Btu. QC, lotal Dw,
.PaVUireJ ca. Il. E.D.R. or s0. Iois. W.A. L?uJm eieu .it. ft. E.D.f:. ni sU. ins. W.A. Luoduc mou
, , ?..
HEAT LOSS CALCULATIONS 1 •
HEATINGBAIR CO?ONING CO.
MINNEAPOLIS, MINI4.
. Weelbsrslrlvs A.S.FI.V.E. . ConetruUlon No. Insulelion .
w?nd?wg p?rg Guide
Palaren Out. WaII In4 Well Csllinp Noof Floor Nind How Applied
Yas-No
Yea-Na cs
__
19
,
• .
lenplh WIdtA Nelphl FI.C?p ? Poom Lenp?h Wldth Heipht
Windows and Doors -Creckage end Ar ea Wladows end Doors-Crackaga and Area
Ne.
ol •n HSiphl
ol ?n0 No. ol
H hu 4n@d It.
1? Ar?n
'. 11. .
.
No• WIdlI
el 5 H??OhI
DI e?o Nn. ol
II Fu lInSnl 11.
ef r Aren
gV. 1/.
X.
/L-
Coel B W Coof 0 iu
Inliltra?im (?.5! e?17 ^DO Inilllrelion ?t
Gless SU 0 Glsea 50
E¦p. wall . E.p. wall
Net exp. wall ? 5 Nel eHp. wall
Int, wall Int. wall
-
Calllnp Calllnp . . , ?
Flod • ' / 5 c? Floor ' S
Tolal 9to. ? iotel Btu.
Hequlred sq. IL E.O.N. or sQ. ina. W.A. Leeder uee Nequired 6q. It. E.D.R. or aq. Ina. WA. Leader eree
/ FI. ?V/tM Floan lenpth ? Width / Heipht ff' FI.?. ? Noom Lenglh 1 Witlth Heidht
Windows and Doors-Crackaga nd Area Wi ndows end Doors- Crackage and Ar ea
' N0. W?tl??
ol eae siphl
ol ane N0. 01
1? hb linee116
ol cr cl M?n
o. 11.
. ' .
No• W?ArA
ol ene N,??phl
nl Dnn? No. o/
h hb -L'nOal II.
o/ r c4 Aiae
sV. 11.
.
Coel B IU. Cool B lu
In111tretion f InlHlration ' o2a L{ /D
Gless 3 Giess
Exp, well Exp, wall
Nel ez0. wall = Net exp. wall ? 3C
Int. wall Inl. wall
. .
CelUng
fiow -
S Cei11nQ
Floa 6 ?
Tote16W. Totel8lu. ll ,?
Requlred sq. Il. E.D.R. or sq. ins. W.A. laeder area Requlred sq. Il. E.D.A, or cq. ins. W.A. Leoder aree
FI, Room Lengih a W1d:h Heiph[ • / F1• ?.47if Ruan LenBlh p widtn y floiglit E
Yiindows and Doors-Crackage n Area Wi ndows and Doors-Crecka pe and Area
No. ilip
o o n H.-pM
. ol n., No. ul
11 hU lInsal II.
ol re 1 4rsn
s. IL . ' No. WvP??
ul nn 11n?p?q
ul a?x Nn. nl
b hU l?nenl II.
ol ne k 4-en
•, ft.
.
• coef e w coer e w
Inlilualion tf InfilGnUOn I iz
+Giase
E.p. wall i/ 0 550 ciese
EMp, well o
Nel eap. wall Nel exp. wall
?
'-Inl. wall Inl, wnll
Ceiling Ceilinp ' 70 28?
Flow
1u1a181u.
'
?
iolel B?w c?
20
ReouireJ ca. 1l. E.D.R. or sa. ins. W.A. LuuJat wuu ' riu,011 ad .q. I1. E.U.f:. ul sy. in.. Vl.A. WaJur oioa
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA112829
Date Issued:08/23/2013
Permit Category:ePermit
Site Address: 1003 Northview Park Rd
Lot:8 Block: 2 Addition: Lexington Square 6th
PID:10-45080-02-080
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Beth Janohosky
207 150th Street W.
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 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 -
Robert A Albers Jr
1003 Northview Park Rd
Eagan MN 55123
(651) 456-9802
Apple Lake Heating & Air Conditioning
207 150th Street West
Apple Valley MN 55124
(952) 431-4328
Applicant/Permitee: Signature Issued By: Signature