1039 Northview Park Rd
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CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PH O N E: 454-8100 _
BUILDING PERMIT Receipt# .a
To be used for Sg/GAR Est. Value M69 r000 Date HARCRW
Site Address 1039 lIORTHYIfiW i'AAK $D
Lot i l elock I SeC/Sub. LEXIKG?0N 69 b'TK
Parcel
rc Name
; Addre
o r ir..
? Name SA!!?
.o
? < Addrbss
¢ City Phone
rs
?W
? W
Name.
Address •
W City ? Phone
Q
1 hereby acknowledge that I have rQad this application and state that the
intormation is correct and agree to comply with all applicable 5tate of
Minnesota Statutes and City of Eagan Ordinances.
Signature of Permittee
s1 Building Permit is issued to: COLLEGE C1TY C:UNST
onKhe express condition that all work shall be done in accordance with all
applicalble State of Minnesota Statutes and City of Eagan Ordinances.
Building Officiat
OFFICE USE ONLY
On Site Sewege Occupancy R"3
MWCC System X Zoning YD g"=
On Site Well (ACtual) Const V-14
City Water X_ (Allowabie) v"h
PRV Required # of 5tories
Booster Pump Length 54'
Depth .50'_
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr./Assess. Permit 530*00
Planner Surcharge "•50
Council Plan Review 265.00
Bidg. Off. SAC, City iDO•00
Variance SAC, MWCC 550•00
WaterConn. 550•0
Water Meter 67.00
Road Unit 32S-00
Treatment P1 2.04•00
Parks
2
6- 3V.-W
TOTAL ,
BLDG. PERMIT N0.
? - ?
VL-vaC?
01-3230 Bldg. Permit
01-3422 Plan Check c'. ?-?`- Ov
01-3445 Surch./Adm. C?
' 01-3446
SAC/Adm. ?U
01-2155 Surcharge LO'
5 CC
-3860
1 Road Unit
20-2275 sAC
20-3865 Water Conn.
20-3868 Water Trmt.
20-3716 Water Meter
20-2252 Acct. Dep.
20-3713 Water Permit
20-3743 Sewer Permit
79-3866 Sewer Conn.
?-3855 Park Ded.
TOTAL - ,..; I
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
10 { 44
I F r. t
INSPECTION RECORD
' PERMIT TYPE:
Permit Number:
' Date Issued:
I oil : ??
NOkrfivI t-w PAirk
:s±llAkf i.. ( fl
PERMIT SUBTYPE:
W, ;
TYPE OF WORK:
r4 f ti
lili l I Oi wt,
N.' d . -
01 /.^!. /'-t4
? a j?, w1d. J
APPLICANT:
RIN i ? Ira:i,ll- ii1 ItN
t h 1 .' ) !.bi 40!,p
Permft No. Permft Holder Date Telephone M
SNV
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspection Date Insp. Commerrts
Faotings I
Foundation
Framing
Roofing
Rough Pibg.
Rough Htg.
Isul.
Freplace
Final Htg.
Orsat Test
Final Plbg. Plbg. Inspector - Notify Plumber
Const. Meter
Engr./Plan
Bldg. Final
Deck Ftg.
Deck Finai
Well
Pr. Disp.
I CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-189, Eagan, MN 55121
PH ON E: 454-8100
BUILDING PERMIT Receipt #
To be used fqr Est. Value ?%t? ???? Date ,19
SiteAddress,_' ? " ''i - ?; FARK kG OFFICI
lOt Block • Sec/Sub. t•• 'I NJ-'T^'" 6Th On 5ite Sewage
MWCC System
Parct-f IVo. - On She Well
s Name Y Ctty Water X
W PRV Required
z Address
o ., j j.,,1211 Booster Pump
City Phone
¢ Name
o
o Q Address
? City Phone
a
W
z
3
z
W
Name_
Address
City _
I hereby acknowledge thet 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 Permittee _
s,''l.i.Ft., C I1"t` ; ..,:. i.
A 8uilding Permit is issued to:_ -
on the axpress condition that all work shail be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
APPROVALS
Engr.lAssess. _
Pfanner _
Council _
Bldg. Qff. _
Variance _
Zoning
(Actual) Const
(Allowable)
* of Storles
Depth
S.F. Total
Footprint S.F.
FEES
Permit
Surcharge
Plan Review
sac, citY
SAC, MWCC
Water Conn.
Water Meter
Road Unit
Treatment P1
Parks
TOTAL
R-3
PD R-l
?'-
?i -id
54'
S()§
S3fi.U0
44,50
265.00
100.00
5U3.0o
550.00
67. t3G
325.00
204.co
2,635.50
Parmit No. Psrmit Holder Date Telephons 7t
Plumbing 7 7
4 .
H.V.AC.
Electric
Sottener
Inspectlon Date Insp. Comments
Footings I
Footings II
Foundation
Framing
Roofing
Rough Pibg.
Rough Htg. J J . ?
ISUL da ?
Fireplace
Final Htg. ?
Final Plbg. ?
Bldg. Final
Cert. Occ.
Temp. LP
Deck Ftg.
Deck Final
NDisp.
. fEtr#if tratt uf (Orrupanry,
' titp of (Eagan
loppa1'bltpitY iif %atm 3riS.pPtttAtl
This Certifcate issued pursuara to the requfrements of Section 306 of the Unifornr Building
Code certijying thal at the dme of issuance this structure was in compliance with the various
ordinances ojtire City regulaling building construction or use. For the jollowing.•
tt,e a.WfiMdW S" A,X;YCA!' i??S !
&dS. Ftrm;t No.
'3 Pi) R! ??Tra ,T7= GTIY t7N
BILid1116 AW'E6S . ? . . •. . . . a :• Loal11y
DflIG: .. . . ' ? i l.'.?..
Buildine Offiad
POST IN A CONSPICUOUS PLACE
.?
K
- i.
Lot ;k , Sec/Sub
Name
Address
City Phone L???`• --
Name
'??
Phone ?- ?
FEES -
1aY6 OF CONTRACT FEE
AM RATE APPLIES
TOWNHOUSE 8 GONDO - 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)
_. ?
SIGNATURE OF PERNll
FOR: CITY Of EAGAN
PERMIT # y? PLUMBING PERMIT RECEIPT ti O a 3? 9
CITY dF EAGAN f/?O/8 ?
3830 PILOT KNOB ROAD, EACAN, MN 55122 OATE:
PHONE: 454-8100
? ' ' ' ? ?.- BIDG. TYPE - WORK DESCRIPTION
Res. New
Mult. Add-on
Comm. Repair
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
--4Water Closet - $3.00 s ?
__4_Bath Tubs - $3.00
- Lavatory - $3.00 ?
-LShower - $3.00
_--Kitchen Sink - $100 -
Urinal/Bidet - $3.00 -
Laundry Tray - $3.00 _-J-Floor Drains - $1.50
_jWater Heater - $1 50
Whirlpool - $3.00
? Gas Piping Outlets - $1.50 i '
(MINIMUM - 1 PER OERMIn
Weil - $10.00
Private Disp. - $10.00
---,.,,-_Rough Openings - $1.50 r
FEE: - -
STATE S/C:
GRAND TOTAL• -
' MECHANICAL PERMIT
' • ' CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122
BLDG.TYPE
i
Res.
Mult
Comm.
Oth
? Name
? Addre
c Ciry _
p I ?.nyr-' rnvne=A
TYPE OF WORK ,
A119
Forced Air - M BTU
Boiler M BTU
Unit Heater M BTU
Air Cond. M BTU
Vent CFM
Gas Piping Outlets #
Other
FEE
PERMIT #
RECEIPT # --
DATE: .?-
WORK DESCRIPTION
New
Add-on
Repair
er
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 PEkMIn - 1.50 EA.
COMM/IND FEE - 1g'o OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
REMODELS - 12.00
MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000)
S/C: ?I SIGNATURE OF PERMITTEE ?
?::• ?
a ;. TOTAL:
FOR: CITY OF EAGAN
? ??;.,?, . •.
?:?.?...-?.?...,...,. _ _. . . . . .. . __ ..
CITY OF F.AGAN Permit No: Date:
3830 Pilot Knob Road Meter No:3? ? Size: S?` ? no c
P.O. Box 21189 Reader No: ?D?g?3 Date:
Eagan, MN 55121
VnIIGI. -
Si#eAddress: -`'or.t:??ie?:* ?.ekinctc . i
Plumber. ?ar nT
Conn. Chg:
Acct Dep: ? 71 -'J <<
Permit Fee: 104thm digainr7g
Surcharge: •?'??'?N??E" '1 agree t ly wlth the City of Eagan
Tr. Piant ?yn
Y
Meter.
Misc :
VIIATER SERVICE PERMIT
CITY QF EAGAN Permit No: Date:
3830•Pilot Knob Road g/p No: Date:
P.O. Box 21199 =
Eagan, MN 55121
Owner.
SiteAddress: ?'.. ,{'W lerV fick:.'. ' r,S:ton S?
MWCC: ;•000
' ^ 1
Zoning•
Ciry Chg: No. of Units:
Acct. Dep: i`- -?`-'T' -1 I agree to complr with the City ef Eagan
Permit Fee:
.,
. Ordinances.
Surcharge: ,
Misc
: By
.
SEWER SE RVICE PERMIT
' OF EAGAN Permit No:_
i pilot Knob Road Meter No: _
Bax 21199 Reader Na:
in, MN 55121
:.iege Cit;
.^.onst.
DSt@: '
Size:
Date:
Conn.Chg: '?'?y• '???'? Zoning:
Acct Dep:
No. af Units: ?-
Permit Fee: ,
Surcharge: •}'?P?? 1 agree to comply wllh the City of Eagan
Tr. Plant
Ordlnances.
Meter.
Micn • BY
WATER SERVICE PERMIT
;
r
?
, . ..
. CASH RECEIPT
CITY OF EAGAN ' ??
3830 91LOT KNOB ROAD
EAGAN, MINNESOTA 55122
? DATE 19?.
. ?o
?
,
AAtOUNT UU
?. . ?.??.1 L ? .
DOLLARS. ..
? CASH CHECK
_ I. . J . . ,.
k( ) i. ?
S I? _.`'1 !L), {, \I I
G?u?iL- . , . t_?x 2r.?'I ?. .
wrete--aarm coar . . ` I
341•' Yeupo-fim CO,,,
PiM-nle Copy .
Thank You .
ev
CITY OF EAGAN N° 14 7 51
3830 Pilot Knob Road, P.O. Box 21-799; Eagan, MN 55121
PHONE: 454-8100 ? ? 3C? ?
BUILDING PERMIT Receipt# !
70 6e used for SF/GAR Est. value $$9,000 pate MARCN 30 ,19 88
Site Address 1039 NORTHVIEW PARK RD
Lot 11 _elack 1 Sec/Su6. LEXINGTON 50 6TH
Parcel No.
a Name COLLEGE CITY CONSTRUCTION
z Address 6970 151ST ST
0
City APpLE VALLEVhone 431-1211
¢ I NameSAME
0
? a Address
? City Phone
rc
w Name_
? Address
?
w Chereby acknowledge Ihat I have read this application and state [hat the
information is correct and agree to compty with all applic I State of
Minnesota StatUtes and City of Eagan Ordinances
Signature of Permittee h--TqAM
A 6uilding Permit is issued to: COLLEGE CITY CONST
on the express contlition that al I work shal I be tlone in accordance with al I
applicable State of Minnesota Statutes and City of Eagan Ordinanws.
BuildingOfficial 1'19A_? ?
OFPICE USE ONLY
On Site Sewage Occupancy R-3
MWCCSystem X Zoning PD R-1
On Site Well _ (ACtual) Const V-N
City Water X (Allowable) V-N
PRVRequired _ #otS[ories
Boaster Pump - Length . 54'
Depth 50'
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr./ASSess. Permit 530.00
Planner Surcharge 44.50
Council PlanReview 26$•00
Bldg. Off. SAQ City 100.00
Variance SAC,MWCC 550.00
Water Conn. 550.00
Water Meter 67.00
Road Unit 3.95 _,.00
Treatment P1 204.00
Parks
TOTAL 2,635.50
REQUEST FOR ELECTRICAL INSPECTION pe?s?-os?oooi-os
' See insbuctions lor compbting this form on back of vellow co0v. O o( /?j
8 3 9 4 4 "x" BeloW Work Covered by This Request
INbw{AAtllilOO.1 Tvoe ol Buildina I AOPl,oncna WireA ? Equipment Wiretl ?
I 7 I I Duolex I I Water Heater I I Liyhtiny Fixtures I
ce
Farm
n.cne
Ik Milk Tank
Fae ServiceEnhenceSize b Fee faetlers/Suhfextlers b Fee Circuits
.GO U to 200 Am s 0 to 30 qm s Q.1V 0 to 30 Am s
Above 200 qm ps] 37 to 100 Amps 31 to 100 Am ,
Swimming Pool Above 100_Amps Ahove 100_Am s
Transiormers Irrigation Booms ?J Partial.'Other Fee
L I ISigns ( I j5pecial Inspection.$S/U?J TOTA F
NerrNrks , __..-....,0`_
I, the Elecl+:e.01
Insoector, heroby
certify thet the nbove
ins0ection hes been
moaa.
TMe reQueat voiE
Thls raqoest voitl
18 months from ?T?dd
Lo 839Q41ii
nequest Uate
'" '
7 7 Pire No! 1 7h iIns6er, n
ired.> ?
DReadv
Now ? Will Notily InsPec-
q
T, r Wh
d
y Yas ? o en
pa
Y
Licensed El ecViwl ConVactor 1 hereby.eQUesx inspection ol ebova
? Ownar elachical work installad et
Street Atltlress, Box or Route No.
03
lti
'
F 26
P Ciry
-
E
C"
iA
,
l `
? A>
eciwn o.
TownshiD Name or No.
RTnBe No.
Coun
I , ?j /`V/-?
Ty?
Occopnnt (PRINC?
Phone Nn.
Pow r Supplier
? Addres ,
aG7
i1 Q ??/'M7 A.
Elect?nj al ConVaclor ICompany Namel
H r n r7 ?.+- C??n ar,tor's License No.
Mailinq Address ,I?Cp nvactor or Owner Making Installationl ?.
?y ?C5 Jc4"Q S e?Pt?R
Aut??ur IC tract r?Ow er Makinp Insiallation) Phoner'Number
?( ,?
MINNESOTq STATE eOANO OF ELECTPICITY TMIS INSPECTION NEQUEST WILL NOT
Gri69s-Mitlway Bldp• - Noom N-191 BE ACCEPTED BY THE STATE BOAXO
UNLESS PNOPEN INSVECTION FEE IS
1821 Universitv Ava.. SL Paul. MN 56104
Phone (612) 642-0800 ENCLOSED.
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
LqT: 11 BLOCK: 1
1939 NORTHVIEW PARK RD RICHMOND JOHN
LEXINGTON SQUARE 6TH (612) 557-4054
PERMIT SUBTYPE:
DECK
TYPE OF WORK:
NEW
?
L
BUILDING
024230
07/25/94
-1
J
?C CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
PERMYT
PERMIT TYPE
Permit Number:
Date Issued:
1039 NORTHVIEW PARK RD
LO7: 11 BLOCKr 1
LEXIN6TON SQUARE 6TW
P.I.N.: 10-45080-110-01
cRZ4W
BUILDIN6
024230
07/25/94
DESCRIPTION:
uilding'-.Permit Type DECK
uilding Wti,r_k 7ype NEW
?
Ll?.?
REMARKS:
FEE SUMMARY:
Base Fee $30.00
Surcharge _ $.50
Total Fee $30.50
CONTRACTOR: OWNER: - Applicant -
RTCHMONO JOHN
1039 NORTHVZEW PARK RD
ER6AN MN 55123
(612)557-4054
I hereby ackn.owledge t,hat hsuo
informatian is cari^e 91t 01110?
Statutes and iL ?* i
/'
?
th3.s'app.licatiarr and state that the
7Omply w?th all appli,c.able State of' Mn.
AA _
- ??
1 ? -
-TSU D
B :51 ATURE
?
CITY OF EAGAN
? ? ?? 1994 BUILDING PERMITAPPLICATION 4(?,?{?
681-4675
? - -?-
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered sit surveys, copy o energy
CalC$. I lll L y iQ?q 4
COMMERCIAL 2 sets of architectural & structu al-;Jans,.J_set of
specifications, 1 copy of energy ca cs. -
lty appli
r
en
a
es: 1) when permit is typed, but not picked up by last working day of month
w
hch request is made, 2) address is changed or 3) lot change is requested once permit
i
I
s
sued.
Date Valuation of work
Site Address:/C3_9
STREET SUITE #
Tenant Name: (commercial only)
LOT ?. BLOCK
I SUBD. J d ,r
r
1 P.I.D. #
?.h ,? Cp.
,, ,
?"!
Descri tion of work: %e
The applicant is: VdOwner ? Contractor ? Other (Describe)
Name ? i nj_=11 Phone i/.5` oy
Property
Owner LasT FIRST
Gy?r?( -5s7-y
pddress fL<1.
STREET STE #
City ?uy?iv State Zip ,52
Company Phone
Contractor Address License # Exp.
City State Zip
Company Phone
Architect/
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this applic ion and state that the information is
correct and agree to comply with all applicabl tate of Minnesota tutes and City of
Eagan Ordinances.
Signature of Applicant:
BUILDING PERMIT TYPE
O 01 Foundation
? 02 SF Dwg.
? 03 SF Addition
O 04 SF Porch
? 05 SF Misc.
WORK TYPE
PD 31 New
? 32 Addition
OFFICE USE ONLY
0 06 Duplex
? 07 4-Plex
? 08 8-Plex
? 09 12-Plex
? 10 Multi. Add'1.
? 33 Alterations
? 34 Repair
? 11 Apt./Lodging
? 12 Multi. Misc.
? 13 Garage/Accessory
? 14 Fireplace
V 15 Deck
? 35 Tenant Finish
? 36 Move
GENERAL lNFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Engineering
REGIUIRED INSPECTIONS
?.s;te
? Wallboard
Basement sq. ft.
lst Fl. sq. ft.
2nd F1. sq. ft.
Sq. Ft. total
Footprint Sq. ft.
On-site well
On-site sewage
Building
Variance
? Footing
Ir$ Final
? Framing
? Draintile
0',1 fz
-(L
? Insulation
? 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:
veims;m: g
•?, '? .:,. ?. ?,
?
'? 16 Basement Finish
'G'0 17 Swim Pool
I1,0 18 Comm./Ind.
? 19 Comm./Ind. Misc.
{,? 20 Public Facility
? 21 Miscellaneous
? 37 Demolish
MWCC $ystem
City lJater
PRV Required
Booster Pump
Fire Sprinkler
Census Code
SAC Code
Census Bldg
Census Unit
Assessments
SAC %
SAC Units
798$ BIIILDING PERMIT APPLICATION - CITY OF EAGAN
-*?- 14 ? 51
SINGLE F9MILY DWELLINGS
INCLUDE 2 SE'PS OF PLANS, 3 CERTIFICATES OF SORVEY,OET OF ENERGY CALCULA'PIONS
NOTE: ADDRESSES FOH CORNER LOTS - CONTRACTOR/HOMEOWNnR MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS ll OF UNIT5
INCL[]DE 2 SETS OE PLANS, CERTIFICATE OF SURVEY - CHECK WITA BLDG. DEPT.,
1 SET OF ENEHGY CALCULATIONS
CONRdERCIAL
INCLUDE 2 SE`1S OF ARCAITECTORAL & STRUCTURAL PLANS,
1 SET OF SYECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
?? ?Q
To Be Used L'or:SjV\qIQ,.?e.w?fI_N1T?aluation:
Site Address ? Q?? I?D??'IVI?
n q, 000
Date:
Lot I I Block 1
Parcel/Sub L2.X I n?f01i
Owner jo h n ? J66C1. ? i C h rx n nc.?--.
Address
City/Zip Code
Phone
Contractor
Address ?,9 ( o--- V S-+ 'a?t
City/Z1p Code 4ple. VdLt.+ 55?a?1
Prione ? /Lm
Arch./Engr. ?GJ'tiu C!S ?Drt`f?'Q(?TOr
Address
City/Zip Code
?MfD
ONL
On site sewage_ Occupancy R'3
NTv7CC system ? Zoning rv R- I
On site we11 Actual Const V-N
City water _Lz Allowable V-N
PRV required _ 7k of stories
Booster Pump Length 5q
Depth 50
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr/Assess Permit 530,00
Planner Surcharge G/?/.50
Council Plan Review 24.5 , DO
Bldg. Off. 62nA8 SAC, City o' v
Varianee SAC, MWCC 5-50, O ?
Water Conn 5 ,o O
Water Meter
t?
6210
Road Unit 251 00
Treatment Pl O b OO
Parks
Co ies
TDTAL
Phone Ik
VAWATION
G ARAGe-
Z2 x"t,y - 5Z8 XIy - 1 39'L
&nmr
7-6 X 4b = 119G X,3 = 1554f3
H Du,St
$Srnr = 1i q y
I Kt?? - I?I
'Z K 2 3 = 46
zx7= ly
i y V
-'6X3= L?f
.--
I 33g?cyq = GSS'6 Z.
88 SoZ
$ •
5'?UUU+
; i0 +
2 u '.i • U U -i-
lUJ•UU+
J • u ,.1 *
U UjT
b'(•UU+
?v•)•Ij U'r
ZJ:;UUF
_ l?•,?6
•7U-.;
??LL I.o..-??o»?ns .... Ihe dSnaNm
Ioed?v?U*?oM.-1hb °Ilutioo.?U ? acntlRed bY . ,
krown u the ?Ime af ?pp . .
J :
SERVICES
i,?oc) YANKEE OOOOLE ROAD
EAGAN, MINNESOTA 55122
q ?Mr . r )? ? / / I
Si{naw
COLLEGE CITY
CONSTRUCTION
LEGAL DESCRIPTION: LOT L ,BLOCKJ-, LFXINGTON SQUARE 6TH ADD.
ACCORDING TO THE RECORDED PLAT
I THEREOF DAKOTA COUNTY,MINNESOTA
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SCALE 'I" - 30'
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I LOT II
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LEGEND
o OENO?FS IRON MONUMENT
o DENOTES WOOD HUB SET
e9i'i DENOTES EXISTING SPOT
ELEVATION
OENOTES PROPOSED SPOT
ELEVATION
? DENOTES DRAINAGE DIRECTION
I henb/ certify that thi: survey,plan or
rsport waa praporsd by me or undor my
diract tuparvi:ion and that I am a duly
Reyisfersd Land Surveyor under fhe
Laws oi ihe Stats of Minnesota.
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asoyirec
INVERT ELEVATION AT SERVICE E:tTENSICN=
PROPOSED GARAGE FLOOR ELEVATION¦ 9 a
PROPOSED FIRST FLOOR ELEVATIQN
PROPOSEDBASEMENT FLOOR a D
ELEVATION
NOTE * VERIFY ALL FLOOR HEIGHTS WITH
FINAL HOUSE PLANS
Brad
Dott ?
Mn. Rep. No.15235
°.
oV,NEa Jokl?
EXTERIOR ENYELDPE AYERAGE "U" COt4PUTA'fION
SITE AODRESS I n?? Nor-Fhvi-eUj pay? ?`? --- -
LONTRACTOR l ouEGE ?ir?? DATE _j-, ? _ PNONE
Determine working square footage of each.
1. Total expased wall area ...... Z049 sq. ft. x_1[,_
a
li ?'?"? sq. ft. x.oZ(n a•?b
2. 7nta1 ng arc
roof/cei ......
_
Total er,posed wall area a6ove flour =`Lol
a. Total wall window area ..............:............ - - - -7-
b. 7ota1 door area ................................. 1
t. Total sliding glass door area ...................
d. Total fireplace wall area ........................ _--
? e. Total wall framing erea
f. Total net walt area above floor ...............:. 12w4 z_
g. Total, r1m foist area ........................... 13%
• Total- ekposed foundation area = °10 .
,. .
h. Tatal foundation wlndow'area ...:.......:.........
1. Toal net foundation area above grade ........:... . 90 _
Determine "U" value of each wall segment.
X "U" `?..?----
- bA-4- X
, "U" ,12a ' • b ,
c: 40 '% "U"
.
d. - X
?
"U".. ?
-' .
155 X
e. "u" .092 ° A- -
f. 13`?2 x "U" _..?oA3
9 l 31 x „un . o_d: l = ?
b. ? X MUn ? a _
1. x uun .0 ° ?
..............Total 1
.............:........ :
3
If item 13 is the same ast or less tlian item 0. you have met the lntent
of SBC 6006(c)2. .
, . . . . ... 1 ?
• ?`'? ? . • • • .• , : • . . .
? .
Total..expased roof/ceiling area ? 1 333 ,
Total skylight area ...... ...................
....
k. Totai roof/ceiling framing area (average lOx),,, .7 ??
• 1. Total net insulated roof/ceiling area...... ........
• • .
• petermine "U" value for each roof/ceiling segment. ,
IIII
• .. ?• ?? x MV
' . k. X *«u„ .(9 ., ,
. . , 4-
. ?., , .
X "U" 0 2Z . 2b,'r?
4 .......:..........................Tota1 . 7J? •
' !f total of 14 is the same as, or less than 12, you have metwthe lntent of
, 50C.6006(c)). .
Alternate Bu1lding Envelope Deslgn
To utllize the total envelope system method, the Values established by the'
sum af ltems 13 and 14 shall not be greater than the sum of ltems fl and 02.
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CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
1) PROPERTY ADDRESS ; / /? 3? /I /n U,r?1 U/
?u
LEGAL DESCRIPTION: LII 13
n
.
*XYPF': PAYMFTTP OF FFM AT 7'IME OF *
r,pPLIcAMoN noFS Nar CONszzTUIE ?
APPROVAL OF PII2MffT. *
?
INSPDLTION OF SESNM ADID/OR 4ATII2 *
ItssmAr.ramrONS WII,L NOT BE SCFED- *
vLn v[aru. PERMIT HAs sEEv *
arPxovm. ?
., iLuLirsiocx/subaivision or Tax Parcel ID
IF FXISTING STRCY.`IT7RE, DATE OF ORIGINAL BUILDIN^v PERM.iT ISS[?ANCE: .
PRFSENf 7ANING/PROPOSID USE: Mon Year --
[] COMMMCIAL/RE'PAIL/OFFICE
Q irror-'sTRTAL
? icisTiTLMorrAt./covERrnffrrr
2) ?
NF1ME:
ADDRESS:
CITY. STATE. ZIP:
PHONE:
?R-1 SINGLE FAMILY "
? R-2 DOPLEX (7t.o Units)
? R-3 7.UWN[IOUSE (Three + Units) ( Units)
R-4 APARTMEW/CODIDOMINILTI ( Units)
3) ' ?: ?'• ?ME: For City Use . .
P1tunUers License:
ADDRFSS: D ActiVe
CITY. STATE. ZIP: ExPired
Not recorded
PHONE:_W 1?1/ 4 l11 1? rAsTEx LIcavsE#0 3 3a r'
St In1t1a1
4)
• • • i?-
NAME:
ADDRFSS:
CITY, STATE, ZIP:
PHONE:
'S) " ? ?• • ?• : n a? - ??
Ey"'CONNS.TION ZO CITY SEWE[t ? CONBIDC.TION TO CITY WATER Q pT!-gSt .
6) '? • ?? ? PI.EASE HOLD APPRpVID pgi(yIT FOR PICK-UP BY ONE OF ABOVE
Q PLFASE APPROVID PERMIT 'IO 1, 2. 3. 4. ABOVE
? ?_ ? ?j L ' (Circle one)
. FOR -CITY USE ONLY
PERMIT # ISSUED 9?G 3
Pd w/Bldg. Permit FEES:
$
$ SEWER PERMIT (INCLUDE'SURC
HARGE)
$ $ WATER PERMIT ( INCLUDE' SURCHARGE)
$ $ WATER METER/COPPERHORN/O
S
UT
IDE READER
$ $ WATER TAP (INCLUDE COR
PORATION STOP)
$ $ SEWER TAP
$ $ ACCOUNT DEPOSIT - SEWER
$ $ IJ',? ACCOONT DEPOSIT - WATER
$ S SC7'C1? $ I
WAC
$
(O ?O , 0 0 $ SAC
_
$ $ TRLNK WATER ASSESSMENT
$ $ TRL'NK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRUNK SE
WER
$ $ LATERAL BENEFIT/TRUNK
WATER
$- o2o $ WATER
TREATMENT PLANT SURCHARGE
$ $ OTHER:
$ ? `'? 7 ? OD $ S ?E ?O TOTAL
RECEIPT R ECEIPT
DOES OTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
? YES IF YES, THEN A" PERMIT FOR WORK WITHIN PUBLIC
Q
NO ROADWAY" MLST BE ISSUED BY THE ENGINEERING
DIV ISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWI[VG CONDITIONS:
APPROVED BY; ???
TITLE:
DATE:
RESIDENTIAL B[TILDING
Permit Application
City Of Eagan
G'_ 3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Reauirements RemadeVFteoair Reouiremenls Office Use Onlv
3 registered site surveys shovring sq. R of lot sq. ft. of house; and all roofed areas 2 copies of plan Cert o( Survey Recd
(200h maximum lot coverage allowed) 1 set of Energy CalculaGons lor heated additions Tree Pres Plan Recd
2 copies of plan showing beam & window sizes; poured found desgn, etc. 1 site survey for additians 8 decks Tree Pres Not Reqd
7 se[ of Energy Calculations Addition - indlcaM ilWsrte septre system _ On-site Septis System
3 mpies of Tree Preservatlon Plan'rf lot platted after 711193
Rim Joist Detail Options selectlon sheet (61dgs with 3 or less units
Date / //Z /
Site Address /d 3 !j 03
jaP04?( t tW 1!S1 Constructian C4 (O o? ?
11 f?_C) UniUSte #
Description o[ Work ?c
Multi-FamilyBldg _ Y?N Fireplace(s) 4 0 _ 1 _ 2
Property Owner -?vL ?/ Telephone #(bS()(9
Contractor Y'?C k- ` PicW`J(tU.?
Address q;??
State yh, ti City
Zip ?T4??/ Telephane #(.!'j<) S?fSf- /??
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cate¢orv 1 Minnesota Rules 7672
Energy Code Category , Residential Ventilation Category t Worksheet • New Energy Code Worksheet
(J submission type) Submitted Su6mitted
. • Energy Ernelope Cal -Su6- M (?
I ?n? ? iJ ?.S ?
Licensed Plumber !I nl 11 n t ry 7nn? Tdlephone #(
Mechanical Contractor Iu" Telephone #(
Sewer/Water Contractor ' Telephone # (
I hereby apply for a Residential Building Perxnit 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 MIN
Statutes; I understand this is not a permit, but only an application for
permit; that the work wi116e in accordance with the approved
ap ofplans.
T?e'
pplicant's Printe ame pli,
jk, and work is not to s
of work which requires
art without a
a review and
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazeba)
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous
Work Types
? 30 Accessory Bidg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi Misc.
? 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 WindowslDoors
? 34 Repiacement *Demolition (Entira Bldg) - Give PCA handout to applicant
Valuation Occupancy MC/ES 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) _ FinaUC.O.
_ Footings (deck) _ FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundarion AVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/GasTests _ Final .
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
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
2004 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
(o t+?? b 3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
?--?--? ?
NewConstrudionReauirements RemodeVFieoairReauiremenLs AfficellseO?N ,
3 registered site surveys showing sq. ft of lof, sq. ft of house; and all roofed areas 2 copies of plan ?affD. tftY .rd
(20% maximum lot coverage allwred) 1 set of Eneyy Calalalions for heated additions Tree Pres Plan Reod ? Y v N
2 copies of plan showing 6eam & window sizes; pou2d found desgn, etc. 1 stte survey for additions & decks
' iTree P` Requuad
B
?S0t
}
?? ' Y :N
'1'
?
isetofEnergyCalculations roateilon-sfteseptlcsysfem
Addition-ind em
?
4
l?J
2 .,,_
3 copies of Trce Preservation Plan ff lol platted after 7/153
Rim Joist Defail Opfions selecfion sheet (61dgs wM 3 or less uniLa
Date -,5-, / (6 / Cons[
r
uMion Cost
Site Address zO 16v7"k, ' g ?
J
UniUSte #
Description of Work
Multi-Family Bldg _ YA N Fireplace(s) _ 0_ 1 _ 2
Property Owner -J 64 d? Telephone #(4??I)
Contractor 1?14AZ19!5:&
Address !2J3-.5;- City ?
State Zip Telephone # ?3
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(Jsubmissiontype) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously consiructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
U i i;74
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 pernutand--work=is.not-to start without a
pernut; tttat the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
Applicant's Printed Name Applicant's Signature
Telephone #(
Telephone #(
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 AccessoryBldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc.
0 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_v or_ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
O 33 Alteration ? 37 Demolish Building• ? 43 Reroof ? 46 Windows/Doors
? 34 ReplaCement `Damolition (Entire 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
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footings (deck) FinaUNo C.O.
_ Footings (addition) _ Plumbing
_ Foundation HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests Final
_ Framing Siding
Stucco
Stone
Brick
_ Fireplace _ R.I. Air Test _ _
Final _
_
_
Windows
_ Insulation _
_ Retaining Wall
Approved By:
Base Fee
Surcharge
Plan Review
MC(ES SAC
City SAC
Utility Connection Charge
5&W Permit & Surcharge
Treatrnent Plant
License Search
Copies
Other
Total
Building Inspector
1
For Office Use
, q 4, I ) .)-d,i-o__
, , , , . e ' Permit#:
Permit Fee: " i .
_ Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff:
buildinginspections(c�cityofeagan.com L -J
2018 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: I t) ` 5 Site Address: 10 61 ND(4Vv I e.f%�-' f L. (I 5551°2.'3 Unit#:
I Name: J /LPL BPhone:
Resident/ u
Owner Address/City/Zip: lb 3 l\/Ur ..u;e.t.a pt,,rk__ e'C-. • tif-GtiyvM tkj 557PZ.3
Applicant is: Owner Contractor
R
Description of work: i' 0.t 1-Siczt rT-` `t Coi rettA 3
a Type of Work f
Construction Cost: /� Multi-Family Building: (Yes /No )
NA-6) Ohl-LLQ..- �o 1 L c
Company: � Contact:
1 I
Contractor }} Address: i"-ii 1 vu # (,stick. City: EktiiettV I
d State: m / Zip: tifi Phone: / 3Ly'07369 Email: T/CL(C)ItS4tCC. /iz :0)/ (--
t
G
L..
License#: � ("�j � Lead Certificate#: i
If the project is exempt from lead certification, please explain why:
k-
i
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone: ,
Fire Suppression Contractor: Phone:
NOTE:Plans and supporting documents that you submit are considered to»be public information. Portions of the information may be
classified as non- ublic if ro�rovide s e�cific reasons that would permit the Citi to conclude that#her are trade secrets
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeagan.com/subscribe.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and code of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and wor is not to start without a permit; that th• work will be in
accordance with the approved plan in the case of work which requires a review and approv. o plan '
x f(j Oh/rk / i /c4-M -k x ‘C "C' Ale
,
Applicant's Printed Name ,pplicant's Signature
For Office Use
►► i • Permit#: ! E&`--7S1
1 ‘. E AG N
Permit Fee: / g-C (_4
^ Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 ECEIVE
(651)675-5675 I TDD:(651)454-8535 I FAX:(651)675 -s 4 Staff:
buildinginsaections(a�citvofeaaan.com JAN 2 9 2019 t' I
J
2019 RESIDENTIAL = . 1 k IT APPLICATION
Date: 1—;)-`l` q Site Address: 1034 o(lv)v <' Unit#:
Name: ,1oInn R;ci,vior4dPhone: 66( '1770
Resident/
Owner. , Address/City/Zip:
9 Applicant is: Owner Contractor PO > '
T Of Work Description of work: Chit X17 I/l A- (SEC K--d ;740`O A ''r 4 C!0 CD
Construction Cost: Multi-Family Building:(Yes /No )
Company: 1\60\),-.0 Cor,54 Mc---ti"o^, Contact:
Contractor Address:1 7 1 ' �va�Tn�.-l- c;Acle 5 ��4/ 7 ry: £m.o n
State:NN Zip: �6la-a Phone: h I-39q -11(63 Email: Mer\ oconSktv'cf c 1ioc„ iic1a-i (OM
License#: 6 5 6 7 6 3 Lead Certificate#:
If the project is exempt from lead certification, please explain why:
i n \04(.. S 81114: �/ ff
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes,date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information may be
classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeagan.com/subscribe.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities. www.gooherstateonecall.orq
I hereby acknowledge that this information is complete and accurate;that the work will be in confo •-n•-with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work i o o start without a •ermit; .t e work will be in
accordance with 1`then approved plan in
the case of work which requires a review and approval o •I. .
x A(1cirec,� ;CLMO(1C1 x
Applicant's Printed Name Applicant's Signa ure
DO NOT WRITE BELOW THIS LINE /0,.. q i -ii'lU J e i /. / 6.
SUB TYPES
_ Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
''' Single Family _ Garage —
Porch(4-Season) _ Exterior Alteration(Multi)
Multi _ Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous
01 of_Plex Lower Level Pool Accessory Building
WORK TYPES
New _ Interior Improvement _ Siding _ Demolish Building*
Addition _ Move Building _ Reroof _ Demolish Interior
yAlteration _ Fire Repair _ Windows _ Demolish Foundation
Replace _ Repair _ Egress Window _ Water Damage
Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION ,b
Valuation /-CO Occupancy J,RG / MCES System
Plan Review Code Edition XsiJJ SAC Units —(25%_100% ✓) Zoning JCA City Water I
Census Code 434' Stories '" Booster Pump
#of Units / Square Feet PRV
#of Buildings 1 Length Fire Suppression Required
Type of Construction 2e Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final/C.O. Required
Footings (Addition) itti Final/No C.O. Required
Foundation Foundation Before Backfill HVAC_Service Test Gas Line Air Test_Hood
Roof: _Ice&Nater _Final Pool: Footings _Air/Gas Tests _Final
Framing 1. 30 Utes 1 Hour Drain Tile
Fireplace: ough In Air Test _Final AL Siding: _Stucco Lath Stone Lath _Brick_EFIS
Insulation Windows
Sheathing Retaining Wall:_Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression: _Rough In_Final
Braced Walls Erosion Control
Shower Pan Other:
Reviewed By: te , Building Inspector
RESIDENTIAL FE
Base Fee 73 -
Surcharge
Plan Review y 7 9�
MCES SAC
City SAC
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
Copies
TOTAL
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