1019 Northview Park RdCITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ?5 t9 72
PHONE: 454•81 QO
BUILDING PERMIT Receipt# '
To be used for ?. Jk'i?!Est. Value t 82 ,OOG Date "?OV 17
,19
Site Address 1019 pORTftYI6W PbR1C kD
LOt ;' BIOCk i SeC/Sub. I-EXUICi4N 5Q 6TF;
Parcel No.
a Name ?EASOYAL Btiil.iARS. L13C
; Address :??•' '??r'+'hYIF.tJ [?"
° City Phone
a Name SR'?'E
o
? u Adaress
? City Phone
¢ F
W Name _
= Address
?
W City _
I hereby aCknowledge Ihat I have read thls application and state that the
information is correct and agree to comply with alt applicable State of
Minnegota Statutes and City of Eagan Ordinances.
-Signatixe oF Permittee -_-
A Building Permit is issued to:._-SEASCA3AI, ??!1 L?h4t? ? t
on the express condition that all work shall be done in accordance with all
applicable 5tate of Minnesota Statutes and City of Eagan Ordinances.
Building O(ficial
OFFICE USE ONLY
On SRe Sewage Occupancy
MWCC System Zoning PU si-i
On Sfte Well (Actual) Const ?-?
City Water Y (Allowable) ????
PRV Required # of Stories
Booster Pump Lengih 58,
Depth 4P'
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr./Assess.. Permit 50? • DO
Planner Surcharge 41•1130
Council Plan Feview 1"'1 •00
Bidg. Off. SAG City 100.00
Variance _ SAC, MWCC g 50• 00
WaterConn. 5 50•01`1
Water Meter 67 • DO
Road Unit 1 S-"j
Treatment P1 204.00
5 1 . `
TOTAL +
i
01-3210 Bldg. Permit a U !? L
01-3422 Plan Check LL'
01-3445 Surch./Adm. 0 r
.
.
01-3446
SAC/Adm. ?
. ?.,- ..
01-2155 Surcharge ?
75-3860 Road Unit
,20-2275 SAC
20-3865 Water Conn. L
20-3868 Water Trmt. C)
20-3716 Water Meter ?
20-2252 Acct. Dep.
20-3713 Water Permit
20-3743 Sewer Permit
79-3866 Sewer Conn.
28-3855 Paric Ded.
TOTAL
t.
, .r
CASH RECEIPT
CITY.OPEAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE / / ? / ? 19
REGENED . ' .
FROM ?
AMOUNT $ y t
8 oo DOLLARS
? CASH Q ,CHECK
gY _ _
r? ? •?
?. . , _ wnrte--Payers Copy
vellow--POSting CopY
Rnk-File Copy
Thank You
,
• #
? CASH RECEIPT
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
??IVEo
AMOUNT $
la
DOLLARS
? CASH ? CHECK
BY
While-PaY- CoPY
YeNow?-Posting Copy
PMk--FNe Copy
Thank You
PL{JMBING PERMIT For Office Use Only
CITY OF EAGAN PERMIT # ?L5U/
CoNrRAC7 3830 PILOT KNOB ROAD, EAC,iAN, MN 55122 aECEIPT #?- -- ???
PRICE PHONE 4548100 DATE:
Site Addr s BL?• TMPV WORK DES?IPTIDN
: lock ?Sec1SUb qgs. New
Cp Mult. Add-on
Comm. RePair
UName
.. ! Other
I " ""'" Phone
` ' - Phone
FEES
COMMJIND. FEE -1% OF CONTRACT FEE
APT. SLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APLLIES
MINIMUM - RESIDENTIAL FEE $12.00
MINIMUM - COMM.INO./FEE $20.00
STATE SURCHARGE P PERMI .50
(ADD $.50 S/C P$1 OF PERMIT FEE)
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
Water Closet - $3.00 $
Bath Tubs - $3.00
Lavatory - $3.00
Shower - $3.00
Kitchen Sink - $3.00
UrinaUBidet - $3.00
Laundry Tray - $3.00
Floor Drains - $1.50
Water Heater - $1.50
Whirlpool - $3.00
Gas Piping OuUets - $1.50
(MINIMUM - 1 PER PERMIT)
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1,50
L PERMIT FEE:
STATES S1C:
? GRAND TOTAL: /d =? v
-g . 3a -s? ? ?? ?'
??? ? iz '?-?-?
??? ??
?
?-?- ?? ???? ????
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
r Fu PaixK Rr.I
I 1 •. I N?i l?h? ',?i!lAHt 1. I!1 { 4 l. ?+' N,y?r-; iSiN
Ft I i?1
1411 r 1 11 i No?
N.'.'Nrtli
y(l/_Ft/'I .
?
?
PERMIT SUBTYPE: TYPE OF WORK:
. i?! .+ ?: '?• f l ??ti ?'.tii tr }
rsrmn No_ Pe.mn Hawar Dste Telephone A
s/vv
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspsctbn Dete Insp. Commenb
Footings I i
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Freplace
Final Htg.
Orsat Test
Fnal Pibg. Pibg. Inspecta - NotHy Plumber
Const. Meter
Eng?./Plan
Bldg. Final g
Deck Ftg.
Deck Final
Well
Pr. Disp.
F-7
Site Aodress '
Lot 4 Block z Sec/Sub.
Parcel No.
¢ N8f11@ _
W
; Address
o (:itv
¢ Name_
.o
? i Address
? City _
City
I hereby acknowledge that I have read
information is correct and agree to ci
Minnesota Statutes and City of Eagan
Signature of Permittee ___- __ .....___
A Building Permit is issued to:__.__- S'J
on the express condition that all wor s
_ applicable State of Mir , jot4/3 e
Building Official__-117r,"A?;fG
?.
3830 Pilot Knob Rc
BUILDING PERMIT
To be Fi&ti for Est.
rY OF EAGAN
? "? t?
P.O. Box 21 •199, Eagan, MN 55121 ?. ,,.
ON E: 454-8100 • •
Receipt #
e $82•00-, Date ;isv 17 ,19 "e,
OFFIC E USE ONLY
OnSiteSewage Occupancy R-3 ':?-i
PD
Z
MWCC System Zoning x'"
Si
ll
O
W nst
A
t
l
C y'"tf
n
te
e (
c
ua
)
o
City Water x (Allowable) `""11A
PRV Required # of Stories
Booster Pump Length 5 o ?
- Depth
S.F. Total
Footprint S.F.
ppliCation and state that the
with all applicable State of
ances.
APPROVALS FEES
Engr./Assess. Permit ?ti11' ?
Planner Surcharge .41 ' 00
Council Plan Review T' 1' OU
Bldg. Off. _ SAC, City 100 ' ?'?
Variance SAC, MWCC 550'00
Water Conn. S-C• n0
Water Meter t' 7. 00
Road Unit - -- M.0
Treatment P1 2G4.00
)twg. CoptCs 1.00
q_
TOTAL £ 5
00
Permit No. Psrmit Holdsr Date Telephone
Plumbing T,
. L?? ?t-1 ? II ? ? ' ?' : t• Cc-L ?
H.VAc. 10 ? ` " ? ? ,3c?/?'y
??.?.4R.
Electric
Softener
Inspection Dats Insp. Comments
Footings I
? l
Footings II
Foundation
Framing r%
?
Roofing
Rough Plbg.
Rough Htg. 7
Isul. Ze" Z
Fireplace
Final Htg. 1. _ /1pp
Final Plbg. s4.
Bldg. Final
Cert. Occ.
Temp. LP
Deck Ftg.
Deck Flnal
Well
Pr. Disp.
f. • e, 'M
Ttrtifira#e uf (Orrupttnry
titp of (tagan
EPpa1'bIlPttf 0f f1tdbtitg ItiSpPtttott
This Cerlifecate issued pursuant 1o the requirerrientr of Sectiorr 306 of the Uniform Building
Code certifying that at tlie time of issuance this structure was irr eompliance with the various
ordinances of rhe City regulating building co»structron or uce. For rhe foUowing:
use caassircatkm MEW mag. tt.ma No. 15877
o,w.ncr TYne R3/M 1 zomng awric, PD/R 1 TyPe comt. VN
Owoer o( Rwlding MASMI, Address YIMs '"-16N
BuildinRAddrets 1019 '?lia.r)L.?,I?a. 3MME 61H
POST IN A CONSPICUOUS PLACE
PLUMBING PERMIT
GTY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122
PRICE:
Site
y Name
?c Addre:
c City ?
Name 2 r a ''Q*N d/
3 Address f n 71 No-l
p City i
FEES
COMM/IND FEE - 196 OF CONTRACT FEE
APT. BIDGS - 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
FOR: CITY OF EAGAN
PERMIT q
RECEIPT #
DATE: BLDG. TYPE WORK DESCRIPTION
Res. New
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NQ. FIXTURES TOTAL
-LWater Closet - $3.00 $ ;.r ,
?Bath Tubs - $3.00 ??.
Lavatory - $3.00 3 • '
Shower - $3.00 ? • -
x -
?Kitchen Sink - $3.00
UrinaliBidet - 53.00
.1-Laundry Tray - $3.00 1 -
--L_Floar Drains - $1.50 ? . `?-
--J-Water Heater - $1.50 ? "1•-
Whirlpool - $3.00
_._j_Gas Piping Outlets - $1.50 1 ` o
(MINIMUM - 1 PER PERMIT)
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
?Rough Openings - $1.50
FEE: _r?c rI c'?G
1 STATE S1C: ' Sp
GRAND TOTAL:
'
? .. .. !
3830 PILOT
CONTRACT PRICE:
Site Add?ss :??
Lot ?' Block ? Sec/Sub _
Ciry
PERMIT #
:AL PERMIT
F EAGAN RECEIPT # ' -
IAD, EAGAN, MN 55122 DATE:
454-8100
BLDG.TYpE
Res. ?
Mult
Comm.
Other
WOR DI( ESCRIPTION
New ?
Add=on
Repair
' ' FEES
JC Lt?•
Name 1Gt ?,?.•(
) RES
HVAC 0-100 M BTU -$24
00
f ? . .
c ?' r T
Addr ??n uJLL ) ' ADDITIONAL 50 M BTU - 6.04
?u
a 4 - (RES. HVAC INCLUDES A/C ON NEW
p City
?
h Phone
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMIn 50 EA
- 1
TYPE OF WORK
COMM/IND FEE - 1% OF CONTRACT FEE .
.
Forced Air 7S M BTU ? APT. BLDGS. - COMM. RATE APPIJES
TOWNHOUSE 8 CONDOS - RES. RATE APPLIES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
Unit Heater M BTU $ REMODELS - 12.00
Air Cond M BTU $ MINIMUM COMMERCIAL FEE - 20.00
. STATE SURCHARGE PER PERMIT - .50
Vent CFM $ (ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Outlets # 62 BEYQND $1,000)
0
Other .
.
FEE: i L
-C?
f' _:?
?
S/C: 6,
J '
SIGNATURE OF PERMITTEE ? i
? ? ?..?
TOTAL:
FOR: CITY OF EAGAN
CITY OF EACAN Permit No:_ Date:
3830"Pilot Knob Road Meter N:?? (o 617 3 a Size: 5 ay- ??
P.O. Box 21199 er No: Date: -???-
Eagan, MN 55121?
Site Address: 019NpRTHVIEW PARK RD., L4, I12 , LEXl NG
SOUARE
Conn. Chg: nO pd Zoning: '- t
Acct Dep: 1f`r. p.d No. of Unitx ?
Permit Fee: 11 gc3
Surcharge: ??'j _ I agree to comply with the City ot Esgan
Tr. Plant Ordina
Meter. ? ?
17, 9
Misc.: B
WATER SERVICE IT
??
CIT OF EAGAN Permit No:
383? Pilot'ltnob Road B/ P No:
P.O. Box 21+F99
Eagan, MN 55121
Owner.
. „l• .
-'•, K;C lt!)
Site Address:
?
Date:
Date:
LE a ln[,-7vn
SOUARE 619
? : ?;i o c>i•
Zoning* -
MWCC:
City Chg: No. of Units:
Acct. Dep: ? c I agree to comply with the Cfty of Eagan
Permit Fee: ? Ordinances.
, tiil
Surcharge:
AAier • By
PERMIT
CITY OF EAGAN Permii No:._
3830 Pilot•-"Cnob Road Meter No: -
P.Q Box 21,1,99 Reader No: _
Eagan, MN 55121
Owner. A1.D:iS
Site Address: =JORTKV19W
Plumber._
Conn. Chg:
Acct Dep:_
Permit Fee:
Surcharge:
Tr. Plant-
Meter. _
Size_
Date:
i!, I
Zoning: -1
No. of Units: ?
I agree to comply with the Clty ot Eagan
Ordlnances.
RESfDENT{AL
BUILDING;'PERMIT APPLICATION
CITY OF EAGAN
?? I? E830 PILOT KNOB RD - 55122 170,00
i 651-68'1•4675
NewConstrucfion Reauireme?s RamodeVReoahReculrements fn I
• 3 registered site surveys showiig sq. ft W lot sq, ft ot house; anckfl roofed areas • 2 mpies of plan
(20% maximum bt cwerage albwed) . 1 set of Eneigy Calalatiais for heated add'
• 2 copies of plan shaving beam 8 windmr sizes; paured found desigq ek.) . 1 sile survey Trn eulerior add'NOns & decics ?
• t set of Eneyy CakwWtinns . . IrMicate H home served by septlc syslem for additions
. 3 copies of Tree Presenatbn Plan rf bt ppCe6 efler 711193
• Rim Joist Detal Options selectlon sheet (bidgs wiTh 3 or less unils) i
DATE ?-!d- O/ '
JOB SITE
IF MULTI-FAMILY BUIL?D/IN?G,?HQW MANY UNIT?S/??
PROPERTY OWNER .?_ / E ??? fF?
TYPE OF
APPLICA
REPLACE(S) ?0 _ 1 _ 2
PHONE#
ADDRESS 1019 oZ2Vd1Eu? .4eey< Xo,¢,d ZIPCODE ?.A_f
PAGER # CELL PHONE # fila FAX #
I
NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY
Energy Code Category _ MINNFSOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Su6mitted
- Energy Envelope Calculations Submitted
MINNESOTA RULES 7672
- New Energy Cade Worksheet Submitted
Plumbing Conhactor. I Phone #:
Plumbing System Includes: _ Water Softener _ Iawn Sprinkler Fee: $90.00
_ Water Heater _ No. of R.I. Baths
_ No. of Baths
Mechanical Contractor: i Phone #
Mechanical System Inctudes: _ Air Conditioning Fee: $70.00
_ Heat Recovery System
-_-_-----??-
Sewer/WaFer Conhactor. Phone
All above infortnation must be submilted prior to processing of application.
I hereby acknowledge that I have read this application, state that the information isldorree?? omply
with all applicable State of Minnasota Statutes ind City of Eagan Ordinances. //a )
Slgnature of Appllcant
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 1101
OFFICE USE ONLY
O 01 Foundation ? 07 OS-plex O 13 16-plex ? 20 Pool
? 02 SF pwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 03 01 of_plex ? 09 07-plex O 17 Garage ? 22 Porch/Addn. (4-sea.)
? 04 02-plex ? 10 08-plex X18 Deck O 23 Porch (screened) ,
? 05 03-plex 13 11 10-plex ? 19 Lower Level 0 24 Stortn Damage
? 06 04-plex ? 12 12-plex Plbg_Y or_ N O 25 Miscellaneous
O 31 New
?4,, 32 Adtlition
? 33 AI[eration
? 34 Replacement
Valuation
Census Code
SAC Units
Nbr. of Units _
Nbr. of Bidgs
Type of Const
?
? 30 Accessory,Bldg
? 37 Ext. Alt- Multi
Q 33 Ext. Alt - SF
0 38 Multi
? 35 Int Improvement O 38 Demolish (Interior) ? 44 Siding
? 36 Mave Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 37 Demolish (Bldg)" ? 43 Reroof C7.. 46 . Windows/Doors
`Demolitlon (Entire Bldg only) • Give PCA handout to applicant
MC/ES System
City Water'
Booster Pump
PRV
Fire Sprinklered
Other
? Pool _ Ftgs _ Air/Gas Tesu _ Final
_ Siding Stucco Stone
_ Windows (new/replacement)
Approved By EZ , Building Inspector
Occupancy
Zoning
Stories
Sq. Ft.
Length ,
Width
REQUIRED INSPECTIONS
Footings (new bldg)
Footings (deck) Y FinaUNo C.O.
Footings (addition) Plumbing
Foundation HVAC
Drain Tile
Roof _ Ice & Water _ Final
Framing
Fireplace _ R.I. _ Air Test _ Final
Insularion
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S8W Permit 8 Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies Other
Total
Final/C.O.
?
?$ -2 o .ut?
?
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N? 15872
PHONE :1454•8100
BUILDING PERMIT i Receipt# g9a«-
Tobeusedfor SF DWG/GAR Est.Value $$2,000 Date NOV 17 ,7g 88
SiteAqdress ' 1019 NORTHVIEW PARK RD
Lot 4 Block Z Sec/Sub. LEXINGTON SQ 6TH
Parcel No.
e Name SEASONAL SUILDERS. INC
w
z Address 1060 NORTHVIEW DR
3
0 City EAGAN Phone 720-0652
o Name_
0a Address
¢ City_
Ww Name_
W
i? Address
aw CitY_
I here6y acknowledge that I have read this application and state Ihat the
intormation is correct and agree to comply with all appli blelState of
Mionesota Statutes and City of Eagan rdinances.
Signature of Permittee __-
A Building Permit is issued to: SEASONAL_-RILILQERS_,_IHC
on the ezpress condition that all work shall be done in accordance with all
applicable State ofM???innesota Statutes and City of Eagan Ortlinances.
BuildingOllicial_.IIMIfL?????__
?
OFFICE USE ONLY
on site sewege _ occupancy R-3 M-1
MWCC System X Zoning PD R-1
on sire well _ (actuaq const V-N
City Water X (Allowable) V-N
PRV Required _ # of Stories
Booster Pump _ Lengih 58'
oeotn 48'
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr./ASSess. Permil 502.0u
Planner Surcharge 41.00
Council PlanReview 251.00
Bldg. Off. SAC, City 100.00
Variance SAC,MWCC $50.00
Water Conn. 550.-Q0
Water Meter 7 . QO
Roatl Unit -32$_,.Qp
Treatment P1 204-00
3;NXg Copi es 1.00
TOTAL 2>591.00
?? j?J?' REQUEST FOR ELECTRICAL INSPECTION eaoaom-07
? See inslrudlona for campleting this tortn on back oi yellow ?py. ^ Gi C:v?p v
R 603,80 X' Below Work Covered by 7hia Request ??
ew A Rep. TypeofBUilding AppliancesWired ? EquipmenlWired
Home Range ? Temporary Service
?uplex Water Heater I Elec[ric Heating
Apt. Building D r ' Other (Specify)
Comm./Industrial umace
Farm ' Air Conditioner
Olher (specity) Coniractor5 Remarks:
Compute Inspection Fee Below:
# Other Fee # ServiceEntranceSize Fee # Cirouits/FeeCers Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transfortners Above 200 _ Amps Above 100 _ Amps
SIgfIS Inspeclor5 Use Onty: TpT X; i?_Q
Irrigation Booms
Special Inspection
Alarm/Communication n
'
i
Other Fee D
L
O?
I, the Electrical Inspector, hereby Rouqn-in Da7 ?
Certify that lhe above inspeclion has
been made. F;,,,i
OFFICE USE ONLY ! '?-? This requast witl 18 months imm
/a 7 S8
M 6 0 3 80 /? ?
( -?- S'i12o7
0155 °C>
Requeat pete
/
? Fire Na. Rou
Re ' 'n Inspedion
7 I
? No
I?ea?NOw
? Will Notity Inspedor
When FeaOy?
I Q.Nnsed contractor ? owner hereby request inspection ot ahove electrical work at :
JobA ress Stre et, or No.) .v ? Ciry
Section No. Township Name or No. Ranqe o. CourHy /1
V' ?
Occu nt(P? ? SO? ? ? Phone No.
PowerSUpplier Pddre
Eied r CaM2dor5 icense No.
Mailing Pddre s Et@o L?g1?c?l?aA7e8nR R R4?
I\ia.vtill "L?t9,dtlE
?
2 '
4 ?
AWh ' d ignalure oM or a I I n) I Phone Number
MINNESOTA STATEPOAqO OF ELECRi1CRY THIS INSPECTION REQUEST WILL NOT
Griggs-Mitlwey Bltlg. - floom S713 BE ACCEPTED eV THE STATE BOARD
1821 {fnivenlly Ave., St. Paul, MN 55100 UNLE55 PROPER INSPECTION FEE IS
Phana(812)802-0800 ENCLASED.
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILI T KNOB RD, EAGAN MN 55122
651-681•4875
New Construction Reuuirementa
• 3 registered site surveys showing sq. R. of ;ot. sq. N. of house; and all mofe
(20% maximum bt coverage ailowed)
. ? coFies ot plan showing beam 8 win0ow sizes; paured found desgn, etc.)
• t set of Eneryy Calculationg
• 3 copies oF Tree Preservatqn Plan if lot platted after 711193
• Rim Joist DeWil Options selectian sheet (61dgs wiM 3 ar less units)
DATE 7-?-
S?T? ESS lD19 /t4 ?/•L.?u,
TYPE OF WORK l?-? oAYd-
APPLICANT
RemodeURapair Raouirements
STREETADDRESS ?S?D Oa?Z Lcv, ? CITY (-NO tR-/kJ STATE?tiZIP SSQIy
TELEPHONE #6S/ 7911-702S CELL PHONE #02 Q!?? O.S..S S FAX # 6Si 7?? vvo y
?q4's
PROPERTYOWNER
TELEPHONE#Q 7d7 ?6'lgI
---------------------------------------- ----------------------------------------------------
COMPLETE THIS SEC710N F. R"NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category
_ MINNHSO'C:\ RULE
(d submission rype) . Residential Ventilation
• Energy Envelope Ca1a
Plumbing Contrqctor:
Plumbing system includes:
Mechanical Contractor:
Mcch.mic:il systcm includes:
Sewer/Water Contractor:
xt1l.
Phone #
Phone #
r«: s7o.oo
-----°---•-°-^-------°-------------°°--------- ----°---------------------------------------------......-°---------
I hereby acknowledge that I have read this appli ation, sTate that the information is correct, and agree to comply
with all applicoble State of Minnesota Sfatufes nd City of Eagan Ordi/rX/] nces ?
Sign, fure of Applicanf
areas • 2 w0es of plan
. 1 sel of Energy Calculations for heated additions
• 7 sNe survEy lorextedor a0ditions d decks
• IrMiwte d home served by septic system (or additions
VALUATION
SoDa
' to/1 i MULTI-FAMILY BLDG _ Y _ N
? FIREPLACE(S) _ 0 _ 1 _ 2
?
7670 GCCEGORY l
ategory 1 Worksheet Submitted
itlons Submitted
Systcm
USE ONLY
Certificates of Survey Received - Tree
_ Water
Water
tio. of
_ Phone #
Lawn Spnnkler
No. of R.I. Baths
Plan Received _ Not Required _
Updated 4102
i i ??-15
Fce: $90.00
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) I 0 31 Ext. Alt - Multi
O 03 01 of _ plex ? 09 07-plez p 17 Garage ? 22 Porch/Addn. (4-sea.? ' ,? 33 Ext. Alt - SF
? 04 02-plez ? 10 08-plex ? 18 Deck ? 23 Paroh (screeaed) ? 36 Mufti
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ,
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int improvement ? 38 Demolish (Interior) 0 44 Siding
? 32 Addition
? 36
Move Bldg.
?
42 1
Demolish (Foundation) 1
045
Fire Repair
? 33 Alteration
? 37
Demolish (Bldg)'
?
43 i
Reroof Q
46
Windows/Doors
? 34 Replacement •Demolition (Entire Bldg only) - Give PCA handout to ap plicant
Valuation Occupancy MC/ES S I stem
Census Code Zoning City Wate? ??
SAC Units Stories Booster P ump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprink lered
Type of Const _ Width I '
REQUIRED INSPECTIONS
_ Footings (new htdg) _ FinaLC.O.
_ Footings (deck) _ Finalitio C.O.
_ Footings (addition) Plumbine
Foundation HV AC
Dnin Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ AiuGas I'ests _ Final
_ Framing _ Siding Stucco Stone I
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (ne«'"replacement)
_ Insulation _ Retaining Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
water Supply 8 Storage
S&W Permit 8 Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
88-I 8y
. . _ ' LAND C0. ?
;URVEYING
SERVICES
CERTIFICATE OF SURVEY
FOR
260 YANKEE bOODLE ROAD SEASONAL BUILDERS FNC.
EAGAN, MINNESOTA 55126
?LEGAL DESCRIPTION; LOT-?L 9 gLOCK_,2_,LEXINGTONSQUARE6THADD.
ACCORDING TO TNE RECORDED PLAT
, ?.. TNEPEOF ?K`?TA COUNTY,MINNESOTA
e9e.15 S89043'03"E 75
00
.
896.04
? ? " ..
? DRAIIUTY • PRO?'OSEp ? I EASEMENT i N
D EGK
s
5 I
I I
896.7
-.._ x LOT 896.0 I
4
?
I I"_?
.
,
_.. .' . 6'(0 i896.8. • 996.7?_ ???? ? r .-j.
-
...•.•
i 42
•
I
" ?? PROPOSED I ?.e
Ii N HOU
SE N
? SPLIT ENTRY I
I
? 16, NO 1WOzy
I
I 8.33 ? I
? 6ARA(iE i
g'% 29.67 i I
HUB=69618= 896.6 1' W it,0
' 998.9
I
.
I() 5
5 ?
I
i
PEDESTAL E ?
ro
O
--- ---
?
ELECTRIC o
z
TRANSFORMER - ?q?____ W.V. ?
'-" - -' --
.
LIoHr ro?E ?'%89°43'03"E 75.00. 696.5
cwte
89 .93 B 60 888
N
"",NOR i HViEW PARK ROAQ
LEGEN?
C DENOTES SET WOOD HUB PROP05ED GARAGE FLAOR ELEVATION 898
0
890,0 DENOTES EXISTING SPOT PROPOSED FIRST FLOOR ELEVATION .
898
5
ELEVATION PROPOSED BASEMENT FLOOR ELEVATION .
894.5
r?po t?wni pi?ipcrid this ? oryund?r, my I
dlroet supervislon ar?d that 1 om a dulY ,
Reqistered Land 5urveyor undn iM
Laws of tAs Stote oi Minnesotc.
Bradley J.Wensong Mn. Rap. No.13235
Dafe' /i/dRR
INSPECTION RECORD
CITYOFEAGAN PERMITTYPE: suzLoiNG
3830 Pilot Knob Road Permit Number: 022088
Eagan, Minnesota 55123 Date Issued: 09 / 28 / 93
(612) 681-4675
SITE ADDRESS: Lo r: a B L 0 C K• z APPLICANT:
1019 NORTHVIEW PARK RD HEINEN KEITH
LEXINGTON SQUARE 6TH (612) 896-2390
PERMRa S?BccPssaar TYPE OF WORK: NEw
DESCRIPTION (SHEp)
INSPECTION .. . ..
FOOTING ? FRAMING
FINAL
?
L ?
------------ -- J
------------------
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
/-..-. (SHEp)
Bu'ilding'.Permit Type
9uilding 44ork Type
!UBC Occupancy?,
,/`Building Lehgth?,
/ Building Width r`
?
GARAGE/ACCESSORY
NEW
M-1
16
19
SITE ADDRESS:
P.T.N.: 19-45080-040-02
PERMIT PERMIT TYPE:
Permit Number:
Date Issued:
1019 NORTHVIEW PARK RD
LOT: 4 BLOCK: 2
LExINGTON SQUARE 6TH
DESCRIPTION:
j
REMARKS:
FEE SUMMARY:
Base Fee
3urcharge
Total Fee
VALUATION
$63.00
$2.00
$65.00
$4,800
C??2 l3 A?'s'"
BUILDIN?
ezzesa
09/28J93
CONTRACTOR:
OWNER: - Applicant -
HEINEN KEITH
1019 NORTHVIEW PARK RD
EAGAN MN 55123
(612)896-2390
I hereby acknowledge that I have read this
information is correct and agree to comply
5tatutes and City of Eagan Ordihances.,
? I
APPLICANT/PERMITEE SIGNATURE
application and state that the
with all appl3cable State of Mn.
ISS ED : S GNATUR
J
AEAC7;YATE _
PERMI7 #- '
noqi
CItY OF EAGAN
19931 BUILDING PERMIT
681-4675
APPl.ICATlON 4,5• 00
SINGLE 5 MULTI-FAMILY ns, 3 registered site surveys, 1 copy of energy
2 sets of pl
i
calcs. •
COMMERCIAL 2 sets of architectural Q structural plans, l set of
specificatio's, 1 copy of energy caics.
Penalty applies: 1) when permit is typ d, but not picked up by last working day of month.
in ahich request is made, 2) address i ? changed or 3) lot change 15 requested once permit
is issued. `
Date Yaluation of work
Site Address:
STREET fUITE N
Tenant Name: (commercial only)
IAT ? BIACK ? SUBD. ?-? P.I.D. M
Descri tion of work: % Of
The appl icant i s: ? Owner ? Contra I
ktor ?'Other (o.soriee) .
Name G'i•e???i? ? ei .Til Phone ll/- ?7%6 `2-3 70
Property us FiRSr Ce1/ - 75?-63,9,9
Owner Address
STREET . ,- STE y
¢ 9?fl?
C State InIOL11 Zip
r
City
Company Phone
C0t1tf8Ct0r Address SeA? License # Exp.
City 5tate Z1P
Company ' Phone
Architect/
Engineer Name - Registratlon f
Address
City
? State 2ip
Sewer & water licensed plumber . Processing time for
sewer $ water permits is two days ont area has been approved.
I hereby acknowledge that I have read' this aPPlication and state that the information is
correct and agree to comply with all pplicable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant: _
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation
0 02 SF Dwg.
? 03 SF Addition
? 04 SF Porch
? 05 SF Misc.
0 06 Duplex
? 07 4-Plex
? 08 B-Plex
? 09 12-Plex
? lQ Multi. Add'1
?
0 11 Apt./Lodging !
? 12 Multi. Misc.
?w 13 6arage/Accessory
? 14 Fireplace
? 15 Oeck
WORK TYPE
O 31 New
/$[ 32 Addition
? 33 Alterations
0 34 Repair
? 35 Tenant Finish
? 36 Move
GENERAL INFORMATION
r
a' ' .?, =a
II? 16 Basement Finish
ii0 17 Swim Pool
?O 18 Comm./Ind.
I? 19 Comm./Ind. Misc.
" ? 20 Public Facility
• ? 21 Miscellaneous
i^
' ? 37 Demolish
Const. (Actual) Basement sq. ft. MWCCISystem
(Allowable) lst F1. sq. ft. City Mater
UBC Occupancy YU -I 2nd F1. sq. ft. PRY?,Required
Zoning Sq. Ft. tatal Boosjter Pum p
I of Stories
length Footprint Sq. ft.
? On-site well Fire, Sprinkl
Census Code er ?
De,pth On-site sewage SAC Code _T_
APPROVALS v
ments
e?s
A
Planning , Building s
ss
Eogineering Variance
REQUIRED INSPECTIONS ?
? Site
Ea Footing '?.'framing
O ,
Insulation
? Wallboard ? Final ? Draintile ' ?
Ild Fireplace
Permit Fee 63, Ot? v.i?t;?,: $ yoao?
Surcharge ?pn I ,
Plan Review f?Xl? = 31Y-f ?c ?IS-S)=
license
MWCL 5AC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W.Surcharge
Treatment P1.
Road Unit
Park Ded. i
Trails Ded.
Copies I
Other
Total: I
? SAC % 1 I
SAC Units
TRI-LA(VD C0. CERTIFICATE OF SURVEY
SURVEYING FoR
SERVICES
1260 YANKEE DOODLE ROAD?+
`?EASONAL BUILDERS INC.
EAGAN, MINNESOTA 55126
LEGAL DESCRIPTION: LOT 4 9 gLOCK.Z_,LEXINGTONSQUARE6THADD.
? ACCORDING TO T E RECORDED PLAT
TyE°EOF QA"?0'?` COUNTY,MINNESOTA
N
PRDPO." Eo
S Vi E I]
!G'z 19'.
,
I
?896.8
r-'--
?
GARAGE
s'O
HUB=896.78
896.15
r- - --- -- - - -- - - ---,
I DRAINAGE d UTILITY I
L?I EASEMENT I
R) I
51895.7 I
IN LOT 896.OI5
4 ?
TEL£PHONE CO
PEDESTAL--- _
?
sl
EIECTRIC Nv
TRANSFORMER ?
896.5
LIGHT POLEf0 890
_N0R1 HVI
LEGEND
a DENOTES $E7 Wppp HUB
890,0 DENOTES EXISTING SPOT
ELEVATION
I Fw*by csriify tAot this surwy, plon orl,
report was prapcred by ms or undar my
di?ect supervis{on qnd that 1 om a duly
Reqistered Land Surveyor unMr fIN
Laws of ihe State of Minneaota.
896.04
? ..
Scale: r"=3d
e9 e7l- 42 I - ? . .
'ROPOSED
HOUSE N
PLIT ENTRY
N 0 NVQ._. 8.33
i I
i
i I
i
. ,
-"- --'896.9 1' w II, (1)
? 5 I(y
- ---? a
------° .V. ° Z
E 75.00 896.5
eas.
?
PARK ROAp
^
PROPOSED GARAGE FLQpR ELEVATION 898.0
PROPOSED FIRST FLOOR ELEVATION 898.5
PROPOSED BASEMENT FLOOR ELEVATION 894.5
Bradley J.6$'y/enson, Mn. Rep..No.13235
Dote:_ /iI1IRR
?
? o•a
502•00+
41•OU+
251•00+
1)796'00+
2, 590•00*
'f- L?- -
1988 E7ILDING PERMIT APPLICATION - CITY OF EAGAN .
SINGLE FAMILY DWELLING3 ? ? sti z
INCL[JDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF :,,ERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNEA MI:T DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BIIILDING C•^RMIT I3 ISSUED.
MULTIPLE DWELLINGS RENTAL UNITS 1I FOR SALE UNIT3 # OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECQ WITH L.DG. DEPT.p
1 SET OF ENERGY CALCULATIONS
COPAfEHCIAL
TNCLUDE 2 SETS OF ARCHITECTURAL &i STRUCTURAL PLANS, __. '
i SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATI01i5
- - ? kE1,'U NOV 2 M
':o Be Used For: Valuation: Z O(7C7? Date:
:
Site Address
Lot /-/ Block 2
?ll/9?/mr?lr.;
C r.upancy R-3 M-I
Fareel/Sub'zCA.hn „?y'uRfp 6 ;'t14dMn'
. ;
Owner f41 r -?
?
Address
i
City/Zip Code
Phone
Contractor
Address G' m 4 "(/C ('llz,
City/Zip Code l«ya 7, h?/ S,}/1 ? II
- ?•-
Phone -Z ?
..rch./Engr. J011-1 4cR.'64y '
Address y?ly 4,
i
?,ity/Z1p Code
: hone II ?{2 y- 912
i?
I
On site sewage
MWCC system ?
On site well
City water ?
PRV required _
Hooster Pump _
APPROVALS
''.uning 'i? R-I
I.etual Const V-N
6).lowable V-N
a° of stories
L'o:tgth 58'
C.:pth y8
F. Total
I.:)tprint S.F.
FEES
Engr/Assess
Planner
Council
aia8. oFr.L77_Z?=1/3
Variance
7ermit b2 a0
Sureharge / b J
:lan Review ZSJ, 00
SAC, City
0
J00,0
snc, rtwcc SSD,oO
Water Conn SSO,aO
Water Meter tol D
Road Unit 2 ,oO
Treatment Pl O .00
Parks
Copies 1•(1U
:.1TAL
? Al2?k(rE VAL.?A-c?1 Ohl
?29 Xa.q
I3srn--
?2`l?yZ = I o08
ZX? IZ
T
/?52t X /3 - I'367G
.? ?X 4 >_ I txi2
??tro ?no
I I g?I X 4Q ? 5$oi ?
?1u3 c.
?
88-189
TRI- LAN D C 0. CERTIFI CATE OF SURVEY
SURVEYING FoR
Doo ES AD
1260 SERVIC
SEASONAL BUILDERS INC.
YANKEE EAGAN, MINNESOTA 55126
LEGAL DESCRIPTION: LOT 4 ,BLOCK-?-,LEXINGTONSQUARE6THAD0.
ACCORDING TO THE RECORDED PLAT
THEREOF DAKOTA COUNTY,MINNESOTA
N
e96.15 S89°43'03"E
? r DRAINAGE fi UTILITY I
? I EASEMENT I
- I ?
5I899.7 LOT . 896.0I5
Ix x I
I 4 I
6?Q J. 896.9 89 ?
61_
---- -
89604
2
?
li 42 I ItM
i ?
PROPOSED I
j HOUSE p
SPLIT ENT
N Q W/(
6Cs? -?
HUB=896.78 ?
? 5I
)NE CO I
ess.s
LIGHT POLE-?
GARAGE
29.67 --- --
396.6
ro
an'-?------FN I
0
W.V.
? -.
? I
i _.
?
--1 0
o °
z
75.00 896.5
Scale:l"=30'
?..
? ! t
-- - J t f!._,,, z._r.
DEPT
NORTHVIEW _PARK ROAD _ j
LEGENO
^
? OENOTES SET WOOD HUB PROPOSED GARAGE FLOOR ELEVATION 898.0
890.0 DENOTES EXISTING SPOT PROPOSED FIRST FLOOR ELEVATION 898.5
ELEVATION PROPOSED BASEMENT FLOOR ELEVATION 894.5
1 Mnby certify That thfs survey, pian or?
report Maa prspared by me pr under mjr
direet supervision and ihat I am a duly Brodley J. •nson, Mn. Rtp..No. 15235
Repistered Land Survoyor under tM I,
Laws of tM Stcts o4 Minnesofu, i Dat? ? /i/i ? fiR _
? . ` John Br?aciley
a?rchitecturoJ consutto?nts tnc.
, ?00? fV iT. ?. [. Ot1L0? YK 3/iN M. (N!1-?t?-1T1!
P10nW.
Dote
.
Controctor?
Sife Address: 10 4r ? ?+??E s'? - s'y9 1
/a fq js/,h Q ??
i)TOTAI EXPOSED WALL AREA sQ.ft wU"J.__
2)TOTAI EXPOSED ROOF/EEILINti AREA ???? s4 ft• xY.?" °?'- Z?' S`
IMALL AREA CALCULAT{ONS:
TOTAL WINOOW AREA sQ.H.x"U`¢Z =
_ GLAZED
z ?
.
TOTAL DOOR AREA aq.ft.:„U,, _
TOTAL GLASS DOOR AREA ?n sq•ltx"U"' 4 7__ I G- - °
GLAZED
TOTAL FIREPLACE WALL AREA
TOTAL WALL FRAMlNG AREA
NET {NSULATED WALL AREA
TOTAL RIM JOIST AREA
TOTAL FOUNDATION AREA(EXPOSED)
TOTAL FOUNOATION WINDOW AREA
? sq./Lx?U""?
sq.it.x'V, ' Us?= 136.2,
143 sa.e.x'u"
sq.if.x"U., 1
r- ¦q.itxH U?t -- _
r 3) TOTAL
If ifem 3 is fhe some os, or less ihon item 1t rou hove mef the 7n1en1 of
2 MCAR 1.16008 A ond O.
ROOF/CEILiNO CALCUlATIONS?
TOTAL SKYLIGHT AREA
' TOTAL ROOF/s.EILlNG FRAM1NCs AREA
NE7 INSULATED ROOF CEILING AREA
? •q.n;'u"?' -
?L7it Z?
1, J u 1
tq.fRsuU -
_ 4) TOTAL
< If irem 4 Js the some as,or less fAon ltsm 2, ya, hors met fhe Infent of
2 MCAR 1.16008 A ond O.
(f? ALTERNATE BUILDING ENVEICPE DESIAN
7o utilize fhe tofal envelope system meMod, the wm of tfems 1 ond 2 daff
Ds Qreater tAon the wm o1 items 3 and 4. .
I) +2) °
3) +4) s
' 1 hxeby ewtTFy Mot 11w boldfnpl Mrs deecriDsd +nWs a rxcrids tM Sfole of MtnNSO?o
Enorqy ConisrvoNon Act. ,
p ?•
. ? ' ?...
;
. l
, .
.
:%z is, .,f+.
RAMING SECTiON
?1-?1o? air fllm 0.68
1
s / solt w d
? jww._z• Y?1VDP'?tfi $ ?G?
45"A-IG. .SI
; eateria air Iilm 0.17
TOTILL. R •?F-
U = 1/R ?
SECTION (INSULATED)
t intwlor air film
p Nz s
3 S?'b r.n f9 0
4
s
g exjerior air film 0.17
. jQIAG;;
U . :r .,//E:
t.
)IST 9ECTION
? 'nteri i ir f(Im 0.68
2 b Pa.44 i.lS '?r.? .? 1`1?•
3 I.tfl
, P. z.crc
s 'S?p??It-. .La
y OateriW air tilm 0.17
. TOTAL p 47-414e'l
U n 1/R t4a,
f10N SECTiQN
inlorfor air lilm
I 4.e
II"c. +y-K' ( •Z$
eaterla air film
.'. 0.17
. T07A1 Rtei
? V , 1/R • 1!
o : _? . . ?..
,-.i f .._'. ?•._
' . '
1 ?
?
-• ? -? -
CEILiPK =ECTION (IMSULATED) I I ?11N10r oir /ilm 0.61
_ (t ?''1." 'S a4+. F4-K • . S(o
(3 jyr,o..?J.i 1r4S 44-.o
(4 ?taia oir film (:N11) O.W
• . TaTAL 11 45'-g
, U • 1/p .ou
CEILNI6 FRAMING SECTION .
{ L?9fsrla otr f11m 0.6t
P Rcow..1 1?s 'S3.o
(4 nn?Ia ol? /i(m 0.6i
?y °9&r4ncMl of ol1 reed
I .SOTAL R '?"j • ?'S
,u _ ! /R • oL(r>
CE1LIkG SECTION (INSULATEDl 0.61
( 1 (nt?rla air /ilm
_ IY
(3 '
(4 s:ttriar a(r film (sKl11 0.61
TOTAL R
U : 1/R
?
VENTEO
CEIURG FRAMlNG SECTION ' 0.61
( I,lnlH(a atr film
. (2
(3 0.6t
(4 ini?rfa o(? /Jim
(b in'cnts of wtt rao0 -
.TOTAL R
EXPOSED QEAM CEILINS SECTION
V (nterb- efr Hhn O.?
(2 .
(3
Io o,foriae s1r N1M O.i7
TO?AL 1!
_,y • ,rn
APFLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
. I =,.
OF eC1gC8P1
1) PROPII2TSC ADDRFSS:
LFX',AL DFSCRIPTION; . 16 t
Lot Bloc
IF EXISTING STRL'C'I[IRE, DATE OF OR]
PRESENT 7ANING/PROPOSID OSE:
Q CONAE2CIAL/RETAIL/OFFICE
Q INDL?STf2IAL
a INSTITLTIONAL/GOVERNMENT
2) ? NAME:
ADDRESS:
CITY, STATE, ZIP:
PHONE:
? N07'E: PAST4Nf OF FEE AT TI[+b OF
? APPLIG1TiON,00F5 NOT CON-
3 5fIN1E APPANAY. OF PEIiPIIT_ .'„
?
? INSPFXTION OF SFk&R APD/Ot FA1II2 •
K INSTAIdATI0K5 WII.L N01' BS SQMXLFD ?
? [RTCIL PFI7DIIT HAS BEFSI ApPI20VID. ?
4ff4ffA9ktffflfflRhYf3i?l144ffilkl4#iiMf
'xltvI'1 ?p
-V,r'i;w
or •rax rarcei lu R),
BUILDING PM2MIT ISST-IANCE: v
Nbnt Year
,= R-1 SINGLE FANIILY
? R-2 DOPLEX (3tao Ljnits)
Q R-3 TOWNHOL'SE (Three + Units )( Units )
Q R-4 APARTMENT/COAIDOMINIUM ( . Lnits)
LT
S- J I,JC'? 'e-
e-Y'
3) NAME:
ADDRESS:
CITY, STATE, ZIP:
PHONE:
77 I MASTEE2 LICENSE # -
i.
4)
NAME:
ADDRESS:
CITY, STATE, ZIP:
PHONE:
Sy-
YlUIfIDeTS 11CERSE:
ACtlV2
I Expired
Not recordec
St Initi
5)
?CONNECTION TO CITY SEWER [MCONNBX,TIO[V TO CITY WATEF2 O QTHII2
t
6)
* *?Y*Yc***** *ik* ** ** *** * * *** *** ***:Fal?** ***** ik *•.
*
* THE GOLD COPY' OF THE PERNIIT WILL SE SEDlI'
* PLEASE ALIAW 1W WORKING DAYS E'OR PROCFSI
* AF2E ANY PROSIk21S.
?***?****+**+*****?**+*??*+??*************
1 gmm f/ / o_- y//
* ***** *'kk* * tk#"k******1t *** *** *** ktlt *k ** * *'ksk*'k'k****** * ** *'k Y
s
RECPLY 'PD PUSLIC WbRRS TO FACILITATE METIIt PICK-DP. i
G. SOP'IDONE FROM TM CITY WIIS. CONfAGT YOp IF 141ERE :
?
?
***???*****,.+++,r***+.**+******?+**??* ?*.:?+**?**,r*,e,r*+*;
FOR CITY USE ONLY
PERMIT # ISSUED °
? I -
Pd w/Bldg. Permit FEES: I
$ $_ ` 0 ? SEWER PERMIT (INCLODEISURCHARGE)
$ $
WATER PERMIT (INCLUDE
SC'RCHARGE)
$ i
$ WATER METER/COPPERHORN/OC'TSIDE READER
$ $ WATER TAP (INCLUDE CORPORATION STOP)
$ $ SEWER TAP I
$
$ ACCOUNT DEPOSIT - SEWER
$ $
I r
?
_
' ACCOUNT DEPOSIT - WATER
$ ,
$ WAC
/ ?
$ $ SAC
$ $ TRUNK WATER ASSESSMENT
$ $ TRLNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRUNKjSEWER
$ $ LATERAL BENEFIT/TRGNK
WATER
$ I
$ WATER TREATMENT PLANT SLRCHARGE
$ $ i
OTHER:
$
TOTAL
RECEIPT RECEIPT
DOES UTILITY CONNEC TION REQUIRE EXCAVATION IN PDBLIC RIGHT OF WAY?
Q YES IF YES, THEN A"PERMIT FOR WORK WITHIN PLBLIC
?
Na ROADWAY" MUST BE ISSUED BY THE ENGINEERING
DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
TITLE: '
DATE :
i
November 21, 198$
JO[IINSON EXCAVATING
10805 RICH VALLEY BLVD
INVER GROVE HTS., MN 55075
REt 1019 NORTHVIEW PARK RD., L 4, H2, LE7CINGTON SQUARE 6TH
WARNING: HEFORE DIGGING, CALL LOCAL OTILITIES - TELEPHONE, ELECTRICt G9So
ETC. - REQUIRED BY LAW
]C Your Sewer and Water Permit for the above property has been completed.
It will be held at the Public Works Garage (3501 Coachman Road) until
the meter is picked up. BE SURE TO CALL PUBLIC WOEKS (454-5220) FOR
YOIIR PERMANENT WATER TURN ON.
_ Your Sewer and Water Permit for the above property cannot be completed
for the following reasons:
` Your Sewer and Water Permit for the above property has been completed,
however, the meter cannot be issued or occuoancy allowed until further
notice.
COMMERCIAL PROJECTS ONLY
Your Sewer and Water Permit for the above property has been completed.
` It will be held at the Public Works Garage (3501 Coachman Road) until
the meter is picked up.
Please come to City Hall to pay for whatever size meter you will need
for this project. The size must be confirmed by either our Public Works
Dept. (454-5220) or Bill Adams (Plumbing Inspeetor - 454-8100) before
issuance.
Sincerely,
6?; -./
Ja Severson
Secretary
JS
November 21, 1988
REGENCY PLUMBING ii
1701 E 86TH ST
BLOOMINGTON, MN 55425
RE: 1019 NORTHVIEW PARK RD., L 4pIB2, LEXINGTON SQU9RE 6TH
WAHNING: BEFORE DZGGING, CALL LOCAL iTfILITIES - TELEPAONE, ELECTRICp GAS9
ETC. - REQUIRED BY LAW I
X Your Sewer and Water Permit?for the above property has been completed.
It will be held at the Public Works Garage (3501 Coachman Road) until
the meter is pieked up. BE SURE TO CALL PUBLIC WORKS (454-5220) FOR
YOIIR PERMANENT WATER TURN ON:
i
_ Your Sewer and Water Permitlfor the above property cannot be completed
for the following reasons:
Your Sewer and Water Permitlfor the above property has been completed,
however, the meter cannot be' issued or oecupancy allowed until further
notice. ?
?
COPAfE,RCIAL PROJECTS ONLY
Your Sewer and Water Permitlfor the above property has been completed.
It will be held at the Publi!c Works Garage (3501 Coachman Road) until
the meter is picked up.
?
Please come to City Hall to pay for whatever size meter you will need
for this project. The size must be confirmed by either our Public Works
Dept. (454-5220) or Bill Adams (Plumbing Inspector - 454-8100) before
issuance. I
Sincerely,
!
Jan Severson
Secretary
JS
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA178711
Date Issued:08/30/2022
Permit Category:ePermit
Site Address: 1019 Northview Park Rd
Lot:4 Block: 2 Addition: Lexington Square 6th
PID:10-45080-02-040
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the
water damage.
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
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 -
Keith W Heinen
1019 Northview Park Rd
Eagan MN 55123
(651) 470-5197
Elite Restoration Pro Llc
1120 E 80th St, Suite 201
Bloomington MN 55420
(952) 322-7773
Applicant/Permitee: Signature Issued By: Signature