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1074 Northview Park Rd'?-• ' ;'?sx GASH REGEIPT ? CITY OF EAGAN • 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 r DATE--f?r'? p 19 ?'-? ftECE1VED FROM - AMOUNT $ & DOLLARS ioo ? CASH r)?L CHECK Foa , 1' Y` ? f ? ?• {?• ?t'•t? .? ;; ? L {... ?. .? FUND OB.IECT ? ,AMOUNT %? ? •,? ? . ' % , `7 .- / Thank You sv ellow-POStin9 ?pY Pink--Ffle Copy , ,.. _......:.?w.?...:.. . . . CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHON E: 454-8100 BUILDING PERMIT Receipt # Ta be used for -'H nwn/'?'v? Est. Value i124,`'Cln Date -?() N ;=; 24, Site Address ir)74 144n?IV1 F;td PARf, RD Lot ' Block 1 Sec/Sub. "`''xl t4GTflN PARKYIF Parcel No. ? Name TR1-LATVt? PROPERTIES ? Address 1260 YAtT+CrF :'NMDLE Rn ° City EAGA'I Phone 452-7850, ¢ Name GRFAT PLA1NS _0 1.- 1667 h NE?.1,1IC3 AVE ? 4 Address ? City ?- •PAUL Phone 641-6 59 5 Name Address City Phone I hereby acknowledge that I have information is co?tbct and agree Minnesota Statutes and City of E Signature of Permittee e A Building Permit is issued to:_ on the express condition that all N applicable ?tate of Minnesota St. Building Official - M+sr i 19 ea OFFICE USE ONLY On Sfte Sewaqe Occupancy R3/N1 MWCC System y Zoning PD R 1 On Site Well (ACtual) Const Vn Ciry Water x (Allowable) Wr PRV Raquired *of Storiea BoosterPump Length ?P Depth !+f' S.F. Total Footprint S.F. APPROVALS FEES 6s2.00 Engr./Assess. Permit Planner Surcharge 62•00 Council Pian Review 326.00 BIdg.Off. SAC,City 100•00 Variance SAC, M WCC 550•00 waterConn. 550.00 water Meter 67.00 Road Unit -325L00 % Treatment P1 204•00 Parks $1 83$'00 TOTAL , state that the able State of - ? CASH RECEIPT ? CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 ' DATE ?f' ? ?l ? 19 'Jr V n?ROM ' AMOUNT ? & DOLLARS ,ao Y ? CASH ?I CHECK 741 ?? ?? L?/ l L?-t?11Y vi ctLl - FUND I OBJECT I I I AMOUNT Thank You L BY -- ?-;, L-d..-?. ' Yelbw-Posbng Copy . . . Pink-File Copy ;._ . . ... CITY OF EAGAN , 3830 Pilot Knob Road, P.O. Box 21-199, Esgan, MN 55121 PH ON E: 454•8100 BUILDING PERMIT Receipt # To be useo#or Est Value l124,000 Site Address l : ' ` • ' , . ` '? ?K ? • . Block ? Sec/Sub. } ? x1N?;T0i1 Lot ¢ Name W z Address 0 City Phone a 0 Name ^ o u Address =r i, U? Citv ' A. '. Phone City Phone I have Signature of Permittee A Building Permit is iss Building Official i21 6 ? On Site Sewage Occupancy MWCC Syatem } Zoning On SFte Well {Actuaq Const ,? . Ciry Weter (Allowable) PRV Required * of Stories Booster Pump Lenqth Depth ? S.F. Total Footprint S.F. APPROVALS FEES Engr./Assess. Permit Planner Surcharge Councii Plan Review Bldg. Off. ' SAC, City ' . Y) Variance SAC, MWCC • ? 10 Water Conn. Water Meter Road Unit Treatment P1 Parks TOTAL the e of . „ Permit No. Parmlt Holder Date TNephone it Plumbing H.V.AC. Electric °v Softener Inapectlon Date Insp. Comments Footings I ? ??' Footings II Foundation ? ? Framing ? e e Q 4S j Roofing Rough Plbg , Rough Htg. Oel Isul. - Fireplace Final Htg. ? Final Plbg. Bldg. Final Cert Occ. Temp. LP Deck Ftg. Qeck Final Well Pr. Disp. , ? (Ctr#ifiraft of (IDrrupttnry titp of eagan aFpur#n[Prit uf lltdbtttg jwrrt[Dtt This Certificate i.ssued pursuant to rhe requirements of Sectian 306 of the Uniform Buifding Code certifying that a[ the tinre of rssuance this stnecture was rn compliance with the various ordinances of the City regulatiag building construction or use. For the following.• ux auwimtionSF I7WG/GAR ffiae. Fl!? No. f 52?'}? oa„p,,-Y Tyyz R3/1 1; ZoningDisbw PillR 1 rya Corat Gn o? cr s? :RT-7ArD Addm„ 1260 X.A?'4.?? IMM RC, 'r:Af'?AN BuMing nmrcm 10, u hCF4iVIEd FA.PE' ?lity L5, B1, ImZw:al PAF?L'' Bwlding Ot6cial _ POST IN A CONSPICUOUS PLACE PERMIT # ' PLUMBING PERMIT g? p ? G RECEIPT # ? CiTY OF EAGAN ? 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ? -? CONTRACT PRICE: PHONE: 454-8100 Site Addresp %/ -?'-' Lot?2 ' Block c/Sub BLDG. TYPE WORK DESCRIPTION Res. New . y Mult. Add-on ? Name Comm. Repair ?o Address Other c City Phone RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES OTAL ? Name Water Closet - $3.00 ? Bath Tubs - $3.00 i Address La at r $3 00 ` 3 p City Phone v y - . o + Shower - $3.00 % Kitchen Sink - $3.00 > FEES Urinal/Bidet - $3.00 COMM/IND FEE - 196 OF CONTFiACT FEE TLaundry Tray -$3.Q0 ' APT. BLDGS - COMM RATE APPLIES Floor Drains -$1.50 • = TOWNHOUSE & CONDO - RES. RATE APPUES MINIMUM RESIDENTIAL FEE 00 12 ? Water Heater -$1 50 Whirl ool - $3 00 . - - $ p . -7-G Pi i U t $1 50 i" O MINIMUM - COMM/IND FEE - $20.00 as p ng . u e s - STATE SURCHARGE PER PERMIT - .50 - (MINIMUM - 1 PER PERMIn L (ADD $.50 S/C IF PERMIT PRICE GOES Softener -$5.00 BEYOND $1,000.00) Well - S10.00 Private Disp. - $10.00 Rough Openings - $1.50 SIGNATURE OF PERMITTEE - ' FEE: STATE S/C: FOR: CITY OF EAGAN GRAND TOTAL• y? 5 Z' ; ? ; • PERMIT # ? . ' MECHANICAL PERMIT RECEIPT # ' CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: _ NTRACT PRICE: PHONE: 454-8100 Lot -? Block ' ? ? Name a? Address 2 CiTy ? . ? P Name c Addr ? Ci? P TYPE OF WORK Forced Air Boiler Unit Heater Air Cond. Vent. Gas Piping Outlets # Other ?. - , . . ''-iCA BTU M BTU M BTU M BTU -7- CFM BLDG. TYPE WORK DESCRIPT , Res. New M u It Add-on Comm. Repair Other FEES RES. HVAC 0-100 M BTU -$24.00 ADDITIONAL 50 M BTU - 6.00 DES A/C ON NEW C STRUGTION) GAS DUTLETS (MINIMUM - 1 PER PEHIIAI'n - 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 & REMODELS - 12.00 MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/G IF PERMIT PRICE GOES BEYOND $1,000) FEE S/C: ''- SIGNATURE OF PEFiMITTEE y. , . TOTAL: FOR: CITY OF EAGAN CITY 6F EAGAN Permit Na Date: ' 3830 Pilot Knob Road Meter No: a 3 Size: OC N.O. Box 21199 Reader No: 3 Date: ? Eagan, MN 55121 Owner. Site Address: ' Conn. Chg: Acct Dep:_ Permit Fee: Surcharge: Tr. Plant_ Meter. _ 550. CITY OF EAGAN 3830 Piloi Knob Road P.O. Box 21199 Eagan, MN 55121 : Ad "l. Lexiz-,;t.,?•; aric- Zoning: No. of Units: Permit No: 1C96-0 B/P No: ??505' Date: 7- -7- `X Date: . 6-24-8;' Park F,' ;.e ,..:: Site Address: Plumber. 4 ~?. MWCC: Zoning1=.City Chg: 1'?1). C??}n?' No. of Units: -, ; Acct. Dep: I agree to comply with the City of Eagan•.r Permit Fee: Ordinances. Si?mhamP- By SEWER SERVICE PERMIT , ,roMl+ Conn. Ch 9? - c% ?o •?D4 I' 1 Zoning: Acct Dep: '-5•001>d No. of Units: Permit Fee: Surcharge: ~{ I agree to comply with the City of Esgan Tr. Plant ? Ordinances. Meter. Misc.: g y I agree io comply with ihe City ol Eagan A CITY OF EAGAN Permit No: Date: -• 3830 Pilot•Knob Road Meter No: Size: P.O. Box 21199 Reader No: Date: Eagao, MN 55121 (.? ?gg REQUEST FOH ELECTRICAL INSPECTION es-ooooi-os ' See inslmclions lor comoleiirg this torm on back ot Yellow copy. DD_ 88545 "X" 8elow Woik Covered by Ihis Request Adtl Reo. Type ol Builtline Aooliancee WiroA Equiumenl Wired Home Range Temporary Service Duplex Water Heater Li,yhtiny Fixtures Apt. BuilAing Dryer Electric Heann Commercial Bldy. Fumace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm ther peci v thi;r l5unr.ilyl i .r Succify Othcr Oth,;r kI Fwe S?eEnhanceSize 1 N 1 Fee I Fexdets/Subfeeders 1 a 1 Fnx I Cucu:ts _ -A I I I ove 200 qmnv F_ 131 to 100 Ainos 1 I I 31 to 700 Amus I rt i flouph-in Dnte 1. the E I Inspeclor, hereby certify Nat the aEOVe Final Dalr ` insoection hes Deen made. fhlerepueslvolelBmontlmtrom ? This.eq.estvoid(y/?C'J. ?nd 18 month5 fram ?O Q • • I? 1qq 5 4 5 Request Uaie Fi e No. Pouph- InInsuection Reyuiretl? ?Reatly Nuw?Will Notity Insoec- ?Yas No ?ar Wheo Reedy Licensed Electrical Contrector I hereby reqaest insoaction oi ebove Owner electricel work inoalled eh n SVeet Addres , Baz or oule N "/? CiW V ectmn o. Towns ip Name or No. Hnnge No. CyynY? l . \ OccuoantlPRINTI ? Phone No. b?(/- Power uoVlier Atltlress Elecvi 1?onhactor (Company Ndmel Co trnr.to's License No. 3 ? a ?a- raclOr or Owner Making Installationl MailinB?res AuNor d iBnature I Va or?Ownar Making Installationl Phon Number Q /O .tTfe.v1. MINNES TA STATE BOA D OF ELECTR ITY THIS INSPECTION HEQUEST WILL NOT eE GriOas•MiOwev gldB. - Room N-191 ACCEPTED BY THE STATE BOARD 1821 Univarsitv Ave.. 51. Geul. MN 56 00 UNLESS PNOFER INSPECTION FEE IS ENCLOSED. Phone 16121 642-0800 rhis request voitl /.?}/ Q G?p 18 Rqn(?15 ff0/fl ?L l? S? ? 88546 ? ReQUe54 Uate - ( ??? Fire No. Pouph-in Inspection R t iretl? ? ?Ready Nnw ?Will NnIify Inspec- Q es ? No ?or When Reatly censed Electrical Contrecmr I herabv reqvest inspection ot above Owner elecbical work inslellad eL SVeet Atldress. Boa nr Roate No. ` ? ? O 'elI l o?? Ciry? ecu ? o. ownshiD Name or Ranye. No. c O ant I INT) Phone No. 1-6S8o Power Sup ' r ddress Elecvical onhactor lCOmOany Nemel ? C?n acAor's I.icense No. `?a ra -3 . Mailine dress ?Contwcto or Owner Making Installation) Authori 'gna[ure o aclor/Owner Makiny Ins[allalinnl Phone Nvmber MINNES0IA STATE BOAND OF ELECICITV TMIS INSPECTION REQUEST WILL NOT GriaBS-Mitlwey Bldg. - Room N•191 BE ACCEPTED BY THE STATE BOAND 1821 Univareitv Ava.. SL Peul, MN 5104 UNLE55 PNOPEfl INSPECTION FEE IS Phone(612)fi42-O800 ENCIOSED. REQUEST FOR ELECTRICAL INSPECTION es-ooooi.os See instru"ipns br completinB lhis torm on back pf yellow copy. ?$?? / ?. H H 5q '4 6 "x" Below Work Covered by This Request # Fee SarviceEntranceSize fl Fea Fexders?5ubteeders k Fe¢ C"Culty 0 to 200 qm s 0 to 30 qm s 0 tn 30 Am Above 200 qmps 31 to 100 qmps 31 to 100 Am s Swimming Pool Above 100_Amps Above 100_Amos Transformers Irngation Boom's Partial'O th? Signs Special Inspection Pemarks ? ' S Oir7 0 TOT EE?I?oU /? v ??spectoq neraby ?rti}y [hwi the Abpye Final ^1e 9nr nspection hes been mede. mis reQUes1 void I BLDG. PERMIT NO. ' A- cJ r-? I (--, e,4? I ? 013210 Bldg. Permit J 01-3422 Plan Check ? 01-3445 Surch./Adm. 01-3446 SAC/Adm. 01-2155 Surcharge ? S. 4, 75-3860 Road Unit 20-2275 SAC G 20-3865 Water Conn. ? 20-3868 Water Trmt. 20-3776 Water Meter ? 20-2252 Acct. Dep. q 20-3713 Water Permit ? 20-3743 Sewer Permit 79-3866 Sewer Conn. 28-3855 Park Ded. I?cvl?.V I ccti' K--1 T-02R4 c.c ?z v ?ca C.6 ,544 ,3L ., 70 ae 2-a ?F c?o Cc?1 GD TOTAL I-D CITY OF EAGAN N2 15 2 6 4 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 5 5121 PHON E: 454•8100 BUILDING PERMIT Receipt# ? =--> C'SS 7o be used (or SF DWG/GAR Est. Value $124,000 Date JUNE 24, ,7g 88 Site Address 1074 NORTHVIEW PARK RD OFFICE USE ONLY 5' 1 LEXINGTON PARKVIE OnSiteSewage - Occupancy R3 Ml Lot Block Sec/Sub. MWCC System X Zoning PD Rl Parcel No. On Site Well (Adual) Const Vn a Name TRI-LAND PROPERTIES Cirywate. X (Allowable) Vn Z Address 1260 YANKEE DOODLE RD PRVRequired _ #otSrories ? Ciry EAGAN Phone 452-7850 eooster Pump _ Length 38 Dep[h 48 o Name GREAT PLAINS S.F.Totai , ? Q Address 166/ N SNELLING AVE Footprint S.F. ? City ST. PAUL Phone 641-6595 ppppOVALS FEES 00 $ 652 . ?W w Name Engr./Assess. Permi} 62 W r z Planner _ Surcharge .00 i AddresS 26 a Gouncil PlanReview 3 .00 aw Ciry Phone BIdg.OH. _ SAC,Ciry __100_00 I hereby aCknowledge iha< I have reatl this applic ion state [hat the Variance SAC, M WCC _5?Q,Q0 information is correct and agree to mply wit all licable State of Water Conn. 550.00 Minnesota Statutes and City of Ea Ordinan s. Water Meter _-? DO SignaWre of Permittee Road Unit -395-00 A Building Permit is issued to: GR T PLAI Treatmen[ P1 -.2,04?--00 ontheexpressconditionihatallworkshallbedoneaccortlancewithall Parks applicable State ot Minnesota St utes and City aga ^Ortlinances. TO7AL 00 836 $? Building Oificial _ ? "i REQUEST FOR ELECTRICAL INSPECTION . eevoom-07 d ? See Inslrudions lor coqyleting ihis brm on back ol yellow copy. L 93y90 P 43481 "X" Below Work Covered by This Request e dd Rep. TypeofBuilding AppliancesWired EquipmeniWired Home fiange Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Z ./Industrial Furnace rm Air Conditioner Other (sVE+'aN) ConhactorB Remarks: fa alPr s U,enx r' e. rT? Compute Inspection Fee Below: cellvT "I C, /} esii, # Other Fee # Service EniranceSize Fee X Circuits/Feetlere Fee Swimming Pool 0 to 200 Amps i 0 to 100 Amps Transformers Above 200 _ Amps Above 100 _ Amps Sigf15 InspeGOrS U. Only: CU 7pTAL Irrigation Booms I ? Special Inspection ? Alarm/Communication O[her Fee I, the Electrical Inspector, hereby i h h Rough-in . ? Oate ry t cert at t e above inspection has been made. Finei oa ? OFFICE USE ONLY This request wia 18 manihs Imm /ia 89 ?3v?ro " ? 43481 o i• " ?s°° Requeat Date Fi No. ? Roug Inspection peq 7 ? Reatly N. III Notiry Inspeda h P d ? ? Yes N. en aa y I icensed contractor ? owner hereby request inspection of above elec[rical work at: .bb Adtlress (Street, Box or Rou?e N.) ? 4? 7 ? Sectlon No. Township Neme or No. flange No. Cou ....T. Oxupant (PflINT) Phore No. Power TSup?er? 1!/ I`'Q/d J Atltlrass ElecVipl ntractor (Camparry Name? ? . C Comractor5 Liceree No. Ya ?S ec Y- i? o • U Mailing Pdtlress (COntraclor w Pxner Making Instellation) 3495, Ce?l?r ?e .?, AV s" ?4 ? lwihorizetl Si n ure (Conirap rQwn aking I Ilation) ?. mber ?hm MINNESDTA STATE BOAHD OF ELEGTRICIN THIS INSPECTION REQUEST WILL NOT Gdggs-Midway BMg - fioom 5173 BE ACCEPTED BY iHE STATE BOARD 1821 UniversLLy pve., SL Paul, MN 55106 UNLESS PFlOPER INSPECTION FEE IS Phone (612) 602-0800 ENCLOSED. Clty 0? ?aia11 3830 Pilot Knob Road Eagan MN 55722 Phone:(65Y)675-5675 Fax: (651) 6755684 '-- -----------, ? ' [?q ? i Parmit #: ? ?1 r!^J? I ? PermitFee: ???_..???_U,'?v?,{? j ? Date Received! ? I ? ? Staff: -----------------' 2008 MECHANICAL PERMIT APPLICATION Date: Site Address: Tenant: vIdl,%hrr Suite#: ResioeNr/ owHeR Name: F1C1?1Gfril I"?fff(h(?,r pPnone:611-(EL R177 t AddresslCityiZip: i Vff' CONTRACTOR Name: Licenae#: Address?2-010 014 00ir, 0_0 Plve ? c oitY: ??7F??State:/ ?? Zip: ? ?'j'? 11 Phonei? .?9- ??1"? ?) 193 ?5 ContactPerson: ?L?U4 RESIDEIVTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes $50 State Surcharge) $90.50 Fire repair (replace burned out appliances, tluctwork, atc.) (includes $.50 State Surcharge) TOTALFEE COMMERCIAL FEES: $70.50 Underground tank installation/removal OR Contract value $ x 1°k $50.50 Minimum (includes State Surcharge) - If P rmi Fee Is less than $1,000, surcharge is $.50. $ Permit Fee - If Permit FQg is >$1,000, surcharge increases hy $.50 for sach ._$ State Suroharge $1,000 Permit Fee (i.e. a$1,007$2,000 Permit Fee requires a$1.00 surcharge). $ TOTAI FEE I hereby acknowletlge that ihis information Is complete and accurate; Ihat tha wvrk vAll be in coNormance with [he ordinances and Codes of ihe Ciry of Eagen; Ihat I untlerstantl this is not a permi4 but only an application for a parmit, and work is not to start without a permit; ihat the xork vrill be in axordance wiGt the approved plan In the case of work which requires a review and approval of plans. . X x Applicant's Printed Name ApplicanYs Signature ?-v, S <?: RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EACAN MN 55122 651-681-4675 NewConsWCtionRanuiremenls - • 3 registered sde surveys snowing sq. fl. of IcC sq, k.. of house; and all mofe(I areas (20%muimumlotcoverageailowed) • 2 copies of plan sMwifg beam 8 window saes; poured found tlesgn; etc.) • 1 set oI Energy Calculations • 3 coDies of Tree Preservation Plan if lot platted aNer 71713 . Rim Joist Cetaii Oplions selection sheet (hldgs with 3 or less units) DATE (1) V0 RemodedReoairRecuirements • 2 copies ol plan . • 1 set of Energy Calculations for heated additions • 1 si[e survey for extedor additions 8 decks • Indicate if home served by seDtic system for additions ?6V r ,li" VALUATION SITEADDRESS MULTI-FAMILYBLDG iYPE OF WORK T(? c` ir O\ 1??C'Cri)? FIREPLACE(S) _ APPLICANT STREET ADDRE55 LA?C1(a'd11, ftiN - ? TELEPHONE # 6J1)M` 1Db15 CELL PHONE # ? PROPERTYOWNER DwG?jr, Gt,lGf?' 4 J) _TELEPHONE# GW-9IT' Energy Code Category ('+' submission type) COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY MlNNl•'SO'1'.\ RCLF:S 7670 C:vCI:GORY 1 MINNESO'G1 RliL1S 7672 Plumbing Contractor: _ _ Phumbiiig systecst includes: . Residential Ventilafion Category 1 Worksheet Submitted • New Energy Code Worksheet Submittetl • Energy Envelope Calculations Su6mitted Pl10[lt; _- Water 3oftener _ l.awn Sprinl:lcr Fee: $90.00 ? Water Heater _No. of R.I. Baths _ No. oF Badts - ?? Phone Mechanical Contractor: Mcch.uiic.il sv5tcni includcs: Sewer/Water Contractor: Phone r?? SEP 3 0 ? ?2 I hereby acknowledge ihat I have read ihis application, state thaf ihe informotion is correct, and agree to comply with all appllcable State of Minnesota StaTutes and City of Eagan OrSignat ure of Applicant - Uf? --------- -------- --------- ------- ------- ------------ ----------------------- _..._..-----°------^ OFFICE [3SE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 3I02 -- Air Condiuoning Hctu Rccovcry Sqslcm ? _ Y {N 0_i_2 fV?nnP TATEMtl ZIP 5 LIO PAX #????? 'LLI- ?1?00 OFFICE USE ONLY ? Ot Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 Sf Dwelling O 08 06-plex ? 16 Fireplace 0 21 Porch (3-sea.) 0 31 Ext. Alt - Multi ? 03 01 of_ ptex d 09 07-piex ? 17 Garage Q 22 Porch/Addn. (4-sea.) Q 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Oeck ? 23 Porch (screenetl)' ? 36 Multl ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex O 12 12-plex PI6g_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Ffre Repair ? 33 Alteration ? 37 Demolish (Bldg)• ? 43_ Reroof ? 46 Windows/DOOr3 ? 34 Replacement *Demolition (Entlre Bidg only) • Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. af Units Sq. Ft. PRV Nor. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED IN SPECTIONS _ Footings (new bldg) FinaVC.O. Fooiings (deck) FinaUNo C.O. _ Footings (addition) _ plumbing _ Foundation HVpC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Ait/Gas Tests _ Final - FraminS Siding Stucco Stoae _ Fireplace _ R.I. _ Air Test _ _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By , 8uilding Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage SSW Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total #?Obq9 2000 BUILDING PERMIT APPLICATION IRE5IDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RC - 55122 851-881-4875 C,? f1a9Q01 New ConshucHO? R Iremenh 5_I{-U° > 3 reglstered efte wrveys ahowiny eq. H. of lot, eq. fl. of house and gH rooted areaa ('t0% mmcmum bt covemae allowaN D 2 copias of plans (show bepm 8 wlndow aizes; poured fnd. deslgn; eic.) a 1 a9f of en9rgy CClculaflOnE ? S copfas of hae preservatlon plmi If lof platted aftar 7/1 /93 `?-30- ?60 DATE: c nA DESCRIPTION OF WORK: !rM?Lvw'u rv Gu STREET ADDRESS: /G 9`?/ X o`t LOT: 5 BLOCK: I SUBD./P.I.D. #: PROPERIY OWNER Name: j &a,Cl Phone #: lo57I 6g'` 5117,7 wst , flM /?? ? ?J ?? RemadeVReoalr ReaulremeMa 4 40.t0 Callyd 513100 ttvvl 2 copfes of plan 1 sef at energy calculaflons for haaled oddHfons 1 sife wrvey for extador additlons 8 decks ?, a a b 's 5) z3 cifY State: _ Company: 14A/C Sheet Address: 10-7y /'2lN Phone #: ?a ? f ?S? SZ q/ (area code) CONtt2ACTOR SheefAddress: Z-Olb SlJYnrYl7r L"i , License # 20/c17r26Exp, 2801 aty M6" 1-1?6-V"S ARCHITECT/ ENGINEER s?ata: A) ziP: IfS" g Company: Telephone #: ( ' Sheef Address: Regishaflon #: Ctty Sfote: Sewerhvater licensed plumber (jf fnstallina sewerlwater): Phone Zlp: t herebY acknowledge liwt 1 have read this applkation, slate that Ihe infortnalion is rtecf, and agree to comply wilh all appliccbie StatE of Minnesafa Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY certiflcates of survey Received _ Yes _ No MAY - I Tree Preservation Plan Received _ Yes _ No _ Not Required ? Name: OFFlCE U3E ONLY BUILDING PERMIT SUBTYPES ? 01 Foundation ? 07 05-plex O 13 16-plex ? 21 Porch (3-sea.) ? 02 SF Dwellfng ? OS 06-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 03 01 of _ plex ? 09 07-plex d 18 Deck ? 23 Porch (screened) ? 04 02-plex ? 10 08-plex ?1? 9 Lower Level ? 24 Storm Damage ? 05 03-plex ? 11 10-plex aibg ?r or_ N ? 25 Miscellaneous ? 06 04-plex 0 12 12-plex O 20 Pool ? 30 ' Accessory Bidg. WORK TYPE ? 31 New ? 36 Nlove Bldg. ? 43 Reroof ? 32 Addition ? 37 Demolish (Bldg)' ? 44 Siding b<'33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair ? 34 Repair Q 42 Demolish (Foundation) ? 46 WindovvslDoors ' Give PCA handout to applicant for demolition permit GENERAL INFORMATION SAC Code a 1 # of Stories sq. •ft. No. of Units U Length sq. ft. No. of Buildings ?- Width Footprint sq. ft. Const. (Actual) Basement sq. ft. Census Code (Allowable) Main Ievel sq. ft. MC/ES System UBC Occupancy sq. ft. City Water Zoning sq. ft. Booster Pump PRV Fire Sprinklered MISCELLANEOUS INSPECTIONS ? Stucco/Stone APPROVALS V i Planning B uilding Engineering ance ar ? 31 Ext. Alt - Mutti ? 33 Ext. Aft - SF ? 36 MuRi ySy Permit Fee J4 CG , s p Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Depasit S/W Permit S/W Surcharge Treatment PI. Park Ded. Traiis Ded. Other Copies Totai: J?6o.sa Valuation: $_? UU SAC Units % SAC / / L _E?- BL ciTr use oNLv RECEIPT#: ( ? - SUBD.' V",._e 6 h ?A ' (t u, `-e ?j RECEIPT DATE: -( 4-0V PERMIT# 2000 PLUMSING PERMIT (RE52DENTIAL) CSTY OF EAGAH 3830 PILOT KNOH RD EAGAN, t7[d 55122 651-681-4675 Please complete for: ? single family dwellings ? townFtomes and condos when permits are required for each unit ? badcflow preventer for underground sprinkler system FlXTURES ' EACH N TOTAL Alterations to e? ing dwelling - minimum fee ? Describe: 0.A? ?tie V,$ $ 30.00 Bath tub $ 3.00 x = $ Floor drain 3.00 x = $ Gas piping outlet * minimum -1 3.00 x = $ Hot tublspa 3.00 x = $ Kitchen sink 3.00 x $ 3. tl d Laundry tra 3.00 x = $ Lavato 3.00 x = $ 3. o p Septic System new/refurbished ? requires nnrc iic. 75.00 x = $ Septic System abandonment 30.00 x = $ RPZ new installation/repaidrebuild 30.00 x = $ Rough opening 1.50 x = $ Shower 3.00 x $ ? - D Undef found Sprlnkler if dwelling is under construction 3.00 X = $ Underground sprinkler rfexisting dwelling 30.00 x = $ Water closet 3.00 x = $ 3• o U Water heater 3.00 x = $ Water softener If tlwelling under construction 5.00 x = $ Water softener If existing dwelling 30.00 x = $ Watertumaround 30.00 x $ State Surcharge .50 -> -? -> $ .50 Total -> -> -> -> $ - Reminder: Call for inspections of alterations, i,e. water heatsrs, water softeners, etc. 30.SU --------------------------- •------------------------ • -• - •----- -------------------------- --------------------------------------------------- 1 hereby adcnowfedge that I have read this application, shate Mat the iMortnaNon is coireQ, and agree to compty with all applica6le Cily of Eagan ordinances. It is the applicanPs responsibility to notify the property avner that the City of Eagan assumes no Iiabllfry for any damages caused by the City during its nortnal operational and maintenance activkies to the facilities construdad under this pertnit w@hin City property/right-oT-way/eeseme SITEADDRESS: / O 7Y ti VCe? /0Q''/?' l?o a- OWNER NAME: : loF e r G ? c ?, , k/ 1 G-lC TELEPHONE #: ? ?? - li?r 77 INSTALLER NAME: STREET ADDRESS: I (AREA CODE) ' /Q l TELEPHOtJE #: & SI - 4E1-`?- ?-d `l 7 I (AREA CODE) 7 a? 4 c-e- CITY: STATE: ZIP: CJ--O SIGNATURE OF RMI7TEE - ?- ? ?' - - C::?2°u?,? ? +;?.u?J+ 'p? JY.?i•l)U?'r °1ed 1, 7.) `• lf U I' _ , '; '.i ?_i . ? , 1988 BUILDING PERMIT APPLICATION - GITY OF EAGAN SINGLE FAMILY DWELLINGS /St4t/ INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTEs ADDAESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MfJST DESIGNATE WHICH ADDRESS IS DESIAED. NO CHANGES WILL BE ALLDWED ONCE BOILDING PERMIT TS ISSUED. MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS lk OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECR WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS CO[+A'ERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, I - 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS JU N To Be Used For: ; ',( Valuation • r ?" ?-r,r-,roa- - / ? Site Address /0/?Norfhviavl (?arKRlh^d Lot -5 Block 1, Pareel/Sub ? e,?Tn n na rKv i e, uj Owner T??1-?and C,Qr„?onic,s Address /a?? l?h/leR. bvad.l,2, l?oOt? City/Zip Code ,EQ pe,n M nV . _SS/.? Phone Contraetor G re, o T I'?.Z 0 i h S Address C1ty/Zip Code Phone (o)4 -Co<1( l.S9 .S-" Arch./Engr. G r?.o T p.), 4!'h S Address City/Zip Code OFFICE USE ONLY !2y 00a- t Z-3 - On si e sewage _ Occupancy ) MWCC system ? 2oning P6, /2-I On site well Actual Const V-N City water e/ Allowable Y• N PRV required # of stories Booster Pump ? Length ? - Depth 8 S.F. Total Footprint S.F. APPROVALS FEES Engr/Assess Permit 63 Z.DO Planner Sureharge d 612.0 Council Plan Review 326,6 o Bldg. Off. /?t?y3 SAC, City l00, oo Var3ance SAC, MWCC 550,00 Water Conn 5,?j O, G?O Water Meter -/., ?7. 00 Road Unit 25, J Treatment Pl ZO ,oo Parks Copies TOTAL n 12.3 L Phone # (,/a - ( y/' (oS 95 VAUU A-moN G.4nA- ' ZoX?_o=yG? 3814 36X 30 = /IyD rox?a.- I?o s x 2 .- ?r e) j310 x?35 lr7a3o ?''r = I 310 13z4 ?c4j7= 6N`17y ZND FLOqg, ;I's y2 , .< 23 ° 58 ? ?o,4 -7 - Ivo Io = ?o 7yllxyq:3?b0 3 /z 347 ?(3 . 88-I 10 TRI-LAND C0. SURVEYING SERVICES 1260 YANKEE DOODLE ROAD EAGAN, MINNESOTA 55122 SITE PLAN FOR: GREAT PLAINS BUILDERS LEGAL DESCRIPTION; Lor-5-,BLOCKI, LEXINGTON PARKVIEW ACCORDINi THEREOF KpA RECORDED PLAT , COUNTY,MINNESOTA t SCALE: I"=3C ? _ l! I 4 4 ? o I a ? LJ.I ) 97 I I -1 897.4 I lo? 69? ? O -0 ? - - 20 p i I d1 (L. N NGARAGE ' I M ? 13 5 ? bn 2? I ? ? I I I R PROPOSED HOUSE ? W I _ I 40' oi O 898x6 898x5 0 z l ?.5 L-- - N 89° --b iorj I O Ip ? I 30 ? Date EAGAIV ENGIi3°ELA NCa DE$?'.,, i EGEho o DENOTES IRON MONUMENT o DENOTES WOOD HUB SET DENOTES EXISTING SPOT ELEVATION OENOTES PROPOSED SPOT ELEVATION e- DENOTES DRAINAGE DIRECTION I hereby certify that this swvey,plan or report was prepared by me or under my direct supervision and thpt I om a duly Repistered Land 5urveyor under ihe Laws oi the State of Minnesota. iiv'VERT rci..cVATiON AT SERViCE EXTEhSiON= PROPOSED GARAGE FLOOR ELEVATION= -'`'?•`' PRaPOSED FIRST FLOOR ELEVATION= PROPOSED BASEMENT FLOOR = E LE VAT I ON NOTE: VERIFY ALL FLOOR MEIGHTS WITH FINAL HOUSE PLANS +.._. ?? ;,r°?.. , ;; .? '. . : . .... Brad ey J. Sweil?an t+ln. R*p. No. 16236 , Date ? ? . .•., ffl'O JUN "0Ja?8 SITE ADT COHTRACTOR: Grt?rtT F'?R?s ?:oPr=_?! DATE: PHONE: ? Determine vorking square footage of each: t. Total exposed wall area „ 0349 sq. ft. x.77 = 2 J 8 2, Total roof/ceiling area . ?O 8 t?(o D sq. ft, x.026 = T? -/- Fwo2 6v? G fHZAGE? ? Total exposed uall area above floor = Z I C;/.3 a. Total wall window area ........................... Z J?'¢ b. Total, door area .................................. 8 c, Total sliding glass area .......................... Z d. Total fireplace wall area ......................... e. Total wall framing area (average 10%) ............• 2 f. Total net wall area above floor ................... g. Total rim joist area .............................. Total exposed foundation area = 16 6 h. Total foundation window area ....................... /D i., Total net foundation area above grade .............. /? 4(0 Determine 'U' value of each wall segment: a. b, c. d. e. f. 8• h. i. x 'U' x 'U' x 'U' x ' U' x 'U' x ' U' x 'U' x 'U' x 'U' 3 . .................................................... Total - -0r?- 4 ' /If item !13 is the same as or less than item 111, you have met the intent of SBC 6006(c)2. Total exposed roof/ceiling area = -E' P?LOOC2 CH/E'!Z GArzRGe j. Total skylight area ............................... . k. Total roof/ceiling framingarea(average10%).... 1. Total net insulated roof/ceiling area .............. + FLVO2 oQiF-_R G70/ceFGE OVER CITY OF EAGAN EXTERIOR ENVELOPE AVERAGE 'U' COHPUTATION Determine *U' value for each roof/ceiling segnent: J- x 'U' _ k. I-,vl7 x I o' .,, e o 3 = `. i. x 'ot 4 . ......... ..................... .............. .......... Total = 0-6 If total of 1i4 is the same as or less than f12, you have met the intent of SBC 6006(c)1. Alternate Building Envelope Design To utilize the total envelope system method, the values established by the sum of Items 113 and #U shall not be greater than the sum of Items I11 and Il2. 1. + 2. - 3. + 4. 2 ! .. ROOF 1 C`ILINC, . (R} VA? O It??E?ID? f:liZ ( l`` 1 eC9 ? ? l?SUtAjlo? 0 L? ? ? EXjE.?"o- AtR FILM . Co/ ' ($TILL) T&TAL- v =. . oaa ? WRLL , VALI AIiZ vILt1 G?f P. " Z-D.' : . . .?-5 OO ?? ?, Ir?SU?A7tot? Siz?r. ?9 ?s0 L ;? u ??tDlr'Ca EX ;_; lot= A? Ft??t . !?? ' •? ? = iz li ? is ? ToTaL. (iz) =al• 59 6) _ . ?? (Pz? Vr1w 111TUlor. AIr? F1uJ ? . .GS 511-L" WSULATIoi-4 . 19 ? o z FIt- btsT i:0y ? 0MV& .:(9z Ex?'cjZtDfL A1R FlLM ° /'?... u Ull Top.r? . . -:?. . (iQ VALUc jE17lZ AirL Ftt.[-s Q . . .. ? C ,? . O I" ??YP-?C???'i R•dr v,zo(y,G D_ E7:jEP.lo2 AIR F1CM u u ?; U = t ? [Z = • j , To1P? (C<? = g? -- ,` ?? la Ploors ove; unhea[ed spaces cnus[ have cr,ininum R-factor of R-20 (tuck-under garages). -, Floors ocer outdoor air (overhangs) riust tiave a nininum P.-£actor of F-33. . . CITY OF EAGAN • tIINIhIL?I "U" YALUE AN? R-FACTOR AT RODF, jdALL, RIPI tV\D COVCRETE BLOCf: , CUIOELItIE TO (R) fAq'pA5 fROn lSIIRGC nAUUnL . , .. OF TYPI p,LLy USCD PCOGOCTS . , , , .. (A) IR) Inccrior Air Film (Valls) O.68 Gypsum or plaster board 3/8" 0.72 CxCerlor Air Fllm (Ilalis) 0.17 Gypsum or yias[er board 1/2• 0,45 In[erlor Air Piim (Ven[ed Ceilinq) 0.6{ Gypsum or plastcr board 5/0" 0.56 Ezleri, Air FI-Im (Yvnted Ccili n9) 0.61 Plyvood 3/8" 0.47 - Intcrlor Air Filn (I1cn ycn mA) 0.61 Plyvood I/2" p,52 , Exterior Air Fllm (uon Vented) 0,17 Plywood 3/4" 0.93 ' $hea[ninq, rc9. denil[y 1/2" 1,32 Rluminum Sidina 0.61 Shtaching, rcp, density 25/32" 2.06 - Alominum miph Backer 1.82 Nail-Aase shea[hin9 I/2" 1,14 ' Aluminum with Bnckcr L Foiled 2.96 .. .. I/2 x 8 L:.p Sidinq (ll000) . 0.81 euilrup Roofs 0.33 7/16 x 17 Ilardboa,E S7dinq 0.67 Asbestos-cemrnt shinpl,s 0.21 ' ASLCStoS SfAinns 1/4 LapPcd 0.21 Asphilt roli roofing 0.15 Scuc<o (01o:,n and vinfsh Coap) Aspahlt Shingles 0.44 3;4" troad Subfloor or Sheathing 0.94 Insulztian: 2-2 3/4" Fiberqlass 7.00 ' 1/2" Plywood ?hoa(hin9 0.62 Insulacian: 3 1/2° Fiber9lass Ih.00 ' 1/2" Particlc tluard 0.66 Insulatian: 6" Fiherglass 19.00 VOOOS: . BlOUllif. 1lOOLS . . . ' Fir, pine c similar soft tfoods 1 1/2" 1,89 Approx. 3' • 9-00 - . 2 1/2" 3.12 APProx. 4 1/2" 13-00 .. 3 1/2" 4.35 Approx. 6 1/4" .??. .. 19.00 5 1/2" 6.87 ADprox. 7 1/4" 24.00 Approx. 14" 30.00 - ' Approa. 18" '40.00 . AII other insula[ion ma[erials musc be .-'. - ..' Fllled verified (R Gactor) ' (R) Vermiculi[ e B" Conucce elock (5 L G Aeg.) I.II 1.93 ." .. '. 12" Cancrete elock (5 L G keq.) 1.28 3.15 - . ' .. 8" Light Vcight - 2.18 5.03 . . . 12^ Li7ht 1:e19h[ 2.48 $.82 .. ' - ' . ' nr.afnnenxonr.xec. eenn.nne-eex ' " . . . .. NOTE: (U) z Area Square Fect , -? u nii uineow: (w/Stoms I" to 4" Spacc) . .SG Rempvol Oouhlc Llazjng (RDG) .55 ihermo or uclJed 3/16" air ipace .69 1/4" air :pacc .65 ' I/2" air sPace .58 (Other Hlndows specifi<aily cesced. wn use 6etter re[in9s) 1 3/4 Solld corc door .46 u/scorm, wood .31 . " N/storm, metal .26 _ Pease SecelOOor Insl/li/LL 7.451t .1; . SIIdIDq Glass Daor, uood .6$ . Me[al .71$ . , .' SINGLE & DOUBLE FAMILY HOMES 1984 ENERGY CODE REQUIREMENTS On or about March 1, 1984, the following energy code requirements should be calculated and included with a building permit application. 1. Roof - ceiling assemblies - R-38 U= 0.025 Average 2. Exterior walls & rim joists - R-20 U= 0.11 Average 3. Floors over unheated spaces - R-20 U= 0.05 Average 4. Exterior overhangs wi11 be considered as exterior wall. 5. Foundations (a11 exterior walls) - Minimum of R-5 insulation. 6. All insulated areas must be separated from the heated space by a well-lapped or sealed vapor barrier with a minimum perm rating of 0.1. A 4 mil. polyethlene sheet or equivalent meets this requirement. A Kraft face R-19 type insulation will be accepted in the rim joist areas. Air chute baffles are to be placed in every rafter space. CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION *lOrR:: PAYMFWt'' OF kEE AT TIML OF Aeri.icUzCN noEs riom aONsTTrJ7E nrrxovar, oF rEtear. T*MPECTIox oF SETrII:R AND/at'Kk'FR INSTAIS,ATIONS WII.L NOT BE SCFED- tu.ID UrrrIL PEtruT Ms smv ArrRovEO. _ _ •_ P ease Print 1) PROPERTY ADDRESS: LEGAL DESCRIPTION: IF EXISTIM STRC'G'i[7RE, DATE pF ORIGINAL BUII,DIw, PERMIT ISSUANCE: . . PRFSFN1.' ZOVING/PROPOSID LSE: Mon eax' ? CaRERCIAL/RETAIL/OFFICE ? Z-1 SItJGLE FF.MiLY . ? INDUSTRIAL Q R-2 DUPLE}C (1wo Units) ? INSTIZUTIONAL/GOVF.RPP?NT ? R-3 70WNEiIX]SE (Three + Units) ( Uitits) . [? R-4 ` APARZMENT/COPIDOMINiLR•1 Urtits ) 2) - NAME: GREAT PIAINS SUPPLY COMPANY . . • ADDRESS: 1667 North Sne113ng-Abenue CITSC, STATE. ZIP: St. Paul, NIN 55265 PHONE: 641-6888_ ' ? ` 3) • ?: ?• IVAME: GENZ-RYAN PLUt?ING s HEAmiNG CUNPAraSt Fbr City Use .. Plumbexs License: ADDRFSS: 14745 South Robert Trail ActiVe ? CITY, STATE, ZIP: Itosemount, tII1 55068 ??? NDt recoYded PHONE: 423-1144 MAS'TEk2I,I(ENSg# 1849M rta tiai 4) ?• •' • ia• __ NAN1E: . , . _ ADDRESS: • CITY. STATE. ZIP: PHONE: 'S) '? M• • ?• a o • ? . a?, ? CONNEC'PION TO CITY SEWIIt ? CONNWTION TO CITY WATER Q OTFIER '. •' 6) " ' •` ? PLE7ISE HOLD APPROVID PIIiNIIT FY)R PICK-IIP BY ONE OF ABOVE ------ ? PLEASE MAIL APPROVID PERMIT 'll7 1, 2, 3. 4. AHOVE . ?,-n • (Circle one) 7) 5FS I ??R -CITY USE ONLY PERMIT # ISSUED %?/- 7 ? Pd w/BTdg. Permit $ $ $ $ $ $ S ^ S?U a?2 G) Y ? J O V ? $ $ $ . $ $ $ g:s? s s RECEIPT FEES: S /o - 5-Z $ /C? ' 5-2) S SEWER PERMIT (INCLUDE SURCHARGE) WATER PERMIT (INCLUDE SURCHARGE) WATER METER/COPPERHORN/OUTSIDE READER $ WATER TAP (INCLL'DE CORPORATION STOP) $ SEWER TAP $ ACCOUNT DEPOSIT - SEWER $ ACCOUNT DEPOSIT - WATER $ WAC S SAC $ a ??? .? TR?.?NK WATER ASSESSMENT • ?.. .-. -.rr.' ... . . _ .. . . . . S TRUNK SEWER A53ESSMENT ? $ LATERAL BENEFIT/TRLNK SEWER ` $ LATERAL BENEFIT/TRONK WATER :' ;;-- - i ? S WATER TREATMEN.T_PLANT SURCHARGE --. _ . _.^c c. .. . .?? _ . .. $ =.OTHER: - ? - , 0 O TOTAL g? RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? SUBJECT TO THE FOLLOWING CpNDITIONS: Q YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSLED BY THE ENGINEERING ? NO DIVISION. LIST AS A CONDITION. APPROVED BY: &_e? TITLE: DATE : Ij? Z/ f/e r . , 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX 4 651-675-5694 NewConsWCtionReouiremenls RemodeUReoalrReauirements 3 registered sife surveys showing sq. ft. o( lot, sq. ft. of house; and all roofed areas 2 copies of plan (20°/a maximum lot coverage allowed) 1 set of Eneigy Calculations for heated additions 2 copies of plan showing beam & window s¢es; poured found design, effi. 1 si[e survey for additions & decks 1 set of Energ y Calculalions Addi6on -!ndicete Nonsite septic system 3 copies of Tree P2servation Plan if lot platted after 711193 Rim Joist Defail Options selecfion sheet (buildings with 3 or less units) 'D Ig(0. a5 ?-- Office Use Onlv CeRofSurveyRecd _Y _N Tree Pres Plan Recd _ Y_ N. Tree Pres Requi2d _ Y_ N On-sile Septic System _ Y_ N c rcSLLQ__C;i \\ 1`?- . ?C_va?? Date (O plz? Site Address {p-14 N oY*kkJip ?) ? Conshuctioo Cost (oD , O o0 . cXp 0 Unit/Ste # Description of Work Witip N-E VA'Cl? N -P)9_un0APj' Multi-Family Bldg _ Y x N Fireplace(s) X, 0 _ 1 _ 2 Property Owner `;?)CtQnaY'ca Telephone#( ) Contractor T-Lkcc Ge S ?c - Address 1Z"Z-,SS IZDi State m N . -LA S,-? • C_Dn . Zip City Telep6one #((oSp 4-:?r;3to4y 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) Su6miqed Su6miqed • Energy Envelope Calculations Submitted In the last 12 monihs, has the City of Eagan issued a permiT for a similar plan based on a master plan8 _ Y ? N If yes, date and address of masier plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone # ( ) Telephone #( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to stall iYhout a permit; that the work will be in accordance with the approved plan in the case of work ?tu'chr,eui?eS?ajF?J?{e,?nd approval of plans. Telephone #( " 200? .?W? C?T'd a s 'T?_, ApplicanYs Printed Name OFFICE USE ONLY Sub Types Ciry Water Booster Pump PRV Fire Sprinklered ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool O 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 03 Ot of_plex ? 09 07-plex ? 17 Garage ;k 22 PorchlAddn. (4-sea.) ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage 0 06 04-plex ? 12 12-plex Plbg_Y or_ N? 25 Miscellanaous Work Types ? 31 New ? 35 g 32 Addition ? 36 ? 33 Alteration ? 37 ? 34 Replacement valuation ? alv Ptan Review -Z100% or _ 25°/a Census Code L/3?( SAC Units "- # of Units # of Bldgs ? Type of Const 1113 Int Improvement ? 38 Demolish Interior Move Building ? 42 Demolish Foundation Demolish Building' ? 43 Reroof 'Demolition (Entire Bldg) - Give PCA handout to applicant Occupancy /7-3 MCES Systerc Zoning &0 Stories ? Sq. Ft. / O Length ? Width 'Zo _ Footings (new bldg) Footings (deck) ? Footings (addition) Foundation Drain Tile Roof ? Ice & Water Y Final ? Framing Fireplace R.I. Air Test Fi ? Insulation Approved By: _ Base Fee ? Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total I,ar ??,??? md? ..UQ7' /4' SI,?r:ltoem ,yu.a,rti/Y ? 30 AccessoryBldg ? 31 Exl. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi Misc. ? 44 Siding ? 45 Fire Repair ? 46 WindowslDoors ?i ? ? REQUIRED INSPECTIONS _ FinaUC.O. ? Final/Na C.O. Plumbing ? HVAC Other _ Pool _ Ftgs _ Air/Gas Tests Final _ Siding _ Stucco _ Stone _ Brick _ Windows _ Retaining Wall Building Inspector 160,0 m?vlvl- SR/?uLC? ? F6 ?o ?? ` ? 6514376179 , 11/193/2005 13:43 6514376179' USC HASTINGS y?w r cliy,0 roJ "a I+s L`Z5-S6, y REScheck Compliaace Certificate 2003 IECC REScheck Sokavarc Vession 3.6 Release 2 bata fflaramc: C:tPmgia.n Piles\ChccklRE5cttxk\Plachccrdr PROJLCT T[TLE: Kitchen Addition and Remodcl CiTY: Dakota STATE: Mipnesota FTDD: 749.1 GONSTRVCTION TYPE: Single Fmpily WINDOW / WALL RATlO: 0.33 DATF..; 11l03/05 bATE OF PLANS: 1043-05 ? PROIECT DESCRII'TION: P1e[chc R.esidmx 1074 Northview Pazic Rd Pagmn MN, 55123 DES IGNERlCONTRACT OR: LaRdlTlaegtb Remodding Inc. ] 2255 120th St. S Hazlings MIV, 55033 651-437-8644 P1tO.TECT NOTES: Kitchca Addirion: S' x 20'4" COMF.LI.A.NC£: a,ses Pviaximum UA - Your Iiome UA = 57 5.0% Better Than Codc ([TA) Ceiling I: Raised ar Faergy Tnus Wall 1: Wood Framc, 16" o.c Window 1: Wood Ftnmc:Doubic Pmicwith L.ow-E baor I - Cilass Cxawl 1: Masonry Rlock with F,Rtpty Ce11s Wall hpght: 6.0' Depth bef ow grade: 5.5' insulation depth: 6.0' remtt Nmbct cneckea aym. me C'rmes Glabng Aica or Caviry ConL or poor PZ== R_yAj= &3idi1C U-Fad4I MA 160 38.0 0.5 4 288 19.0 0.5 12 59 0.280 17 35 0.240 10 216 11.0 010 14 PAGE 01/02 11/03/2005 13:43 6514376179 UBC HASTINGS PAGE 02/02 COMPLL4NCE STATEMEId1': ihe ptoposed buildieg "gn desaibed hae is coasistant with the buildivg plans, spccifications, mid other calculstions xiilxnitted with the pemit epplicmion. The propuaed building has been designact to med the 2003 IECC requirancnts in RFSclierk Vecsion 3.6 Rdcesc 2(brmei9y MF.Ccheck) and to wmply with the mandatory rcquircmcnts lixted in the?RUcW-Jtspcction Check]ist. Builder/bcsi Data ? 88-I 10 r Rl - LAN D C 0. SURVEYING SERVICES SITE PLAN FOR: GREAT PLAINS 1260 YANKEE DOODLE ROAD BUI LDERS EAGAN, MINNESOTA 55122 LEGAL DESCRIPTION: LOT?` ,BLocKI, LFXINGTON PARKVIFyy ACCORDIN THEREOF Kpyi RECORDED PLA7 COUNTY, MINNESOTA - NORrNVlr-,., g T. C. 896x7 _ e97x4 ('? seaLE: r"=30' N I a I N 1 ? ? ?' W ? ? ? ? ? ? N 89°43 ? I 30 I d W l'- ? ;_ Cl Y F) By?--- Date ?yC E.?,GF,N Ei?iGI?1?;?? NG T?£PT,,? L_ gJ.i6 a =10°02'S2" R =51g.81 896„5 ?? ?s'? xB96,4 ?1 g 30 a ? 0zO7.4 897. I I - ? --0 lo? I Q - 20? p tf) 96ARAGE 13 I 5 ? 2? ' I I M PROP0.SED v ? HOUSE 40' N 25' 3d 0 898.0 -? I? I 10 0 - O ropot x.eJ , _ •/f I ?!y p Add:?-ioC1 ? XGq. Q 98).6 898x5 ? z1 ?5 I I L_-- ?,.?..., _J`GrAc? zoos RESIDENTIAL PLUMBING PERnmT aPPUCaTioN CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date / `\ Site Street Address NGc'@-?V?u,? ('') O \ \°?c-\L '1C. c?c?\ Unit# Property Owner Telephone # ( ) Contractor i Telephone # ((n5l ) `! -I"l ?`?UOQ Address lp LQ?? ity State Zip 5 5 ? Zg The Applicant is: _ Owner ? Contractor _ Other New _ Refurbished Submit 2 sets of plans and MPC license Septic System Includes County fee _ $ 100.00 Per as-built $ 10.00 tions to existing dwelling Alt $ 50.00 ? Add plumbing fixtures. This fee includes installation of a water softener andlor water heater at the same time. If you are installing onlv a wafer sofrener and/or water heater, do not complete this section; move to the next section and check the appliance(s) you are installing. _Septic System Abandonment _Water Turnaround (add $130.00 if a 5!8" meter is required) Other: Water Softener Water Heater $ 15.00 _ new _ replacement Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge $ 50 Tocal g 50,50 I hereby apply for a Residential Plumbing 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 plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to,heyreviewq0 and Wproved. o/,? ApplicanYs Printed Name Applicantxs Signature 005 RESIDENTIAL MECAANICAL PERMIT APPLICATION ?? ? ?Ok\ City Of Eagaa 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: single family dwellings & townhomes/condos when permits are required for each unit Date/21/ ?J 1?o)'' Unit # Site Address P O t / ? Tele hone # ?11?7 I L wner i roper y l 1 i P Contractor G. j iNC. Street Address ???uth A-v $ N(1 CiTy State Golden Valley, MN . 55427 Telephone# Bond #: Expires: The Applican[ is ? Owner Contractor _ Other Add-on or alteration ta existiog dwelling unit $ 30 oo _ furnace ?Additional _Replacement air exchanger New Replacement air conditioner --- 1 y other ??? V V V 1 1'? ?? vc ti ? . rvl State Surcharge $ 50 $ Total I hereby apply for a Residential Mechanical 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 with the Mechanical Codes; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plpns. /7 ApplicanYs Printed Name 'Applicant's Signature 2005 COMMERCIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for. commercial/industrial buildings , multi-family buildings when separate permits are nat required for each dwelling unit Date Site StTeet Address Unit # Tenanf Name (if applicable) Previous Tenant Name Propecty Owner Telep6one # ( ) Contractor 5treet Address Gity State Zip Teleptiorte # ( ) Bond #: Expires: The Applicant is _ Owner _ Contractor _ Other Work Type New Construction _ Underground Tank _ Install _ Remove '"`see below _ fnterior Improvement _ Install Piping _ Processed _Gas Nature of Work: *`When insta!ling/removing underground tank, cafl for inspection by Fire Marshal and Plumbrng lnspector Pe1-mit FeeS: $70.50 Uoderground tank installation/removal - - $50.50 Mfximum (includes State Surcharge) - or Contract Value $ x I% _ $ Permit Fee • If ep rmit fee is $1,000 or less, add $.50 ? $ State Surcharge If ep rmit fee is over $1,000, add $.50 for every $1,000 ep rmitfee $ Total Fee I hereby apply for a Commercial Mechanical Permit and acknowledge that the information is complete and accurate; that the work will be' in conformance with the ordinances and codes of the Ciry of Eagan and with the Mechanical Codes; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a raview and approval of plans. Applicant's Printed Name Applicant's Signature Approved By: Inspector PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA112520 Date Issued:08/15/2013 Permit Category:ePermit Site Address: 1074 Northview Park Rd Lot:5 Block: 1 Addition: Lexington Parkview PID:10-45035-01-050 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Eric Bruckmueller 3992 Pennsylvania Avenue Eagan, MN 55123 Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087 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 - Richard E Pletcher 1074 Northview Park Rd Eagan MN 55121 Bruckmueller Plumbing Inc 3992 Pennsylvania Ave Eagan MN 55123 (651) 686-6696 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA119325 Date Issued:11/22/2013 Permit Category:ePermit Site Address: 1074 Northview Park Rd Lot:5 Block: 1 Addition: Lexington Parkview PID:10-45035-01-050 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required by law in ALL single family homes . Kelly Meyer Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 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 - Richard E Pletcher 1074 Northview Park Rd Eagan MN 55121 Hause Construction, Jg P O Box 206 Bayport MN 55003 (651) 439-0189 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA125457 Date Issued:07/24/2014 Permit Category:ePermit Site Address: 1074 Northview Park Rd Lot:5 Block: 1 Addition: Lexington Parkview PID:10-45035-01-050 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required by law in ALL single family homes . Kelly Meyer Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 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 - Richard E Pletcher 1074 Northview Park Rd Eagan MN 55121 Hause Construction, Jg P O Box 206 Bayport MN 55003 (651) 439-0189 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA165546 Date Issued:11/05/2020 Permit Category:ePermit Site Address: 1074 Northview Park Rd Lot:5 Block: 1 Addition: Lexington Parkview PID:10-45035-01-050 Use: Description: Sub Type:Fireplace Work Type:Gas Insert Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 3,000.00 Fee Summary:BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 $90.00 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 - Richard E & Jean M Pletcher 1074 Northview Park Rd Saint Paul MN 55123--156 Fireside Hearth & Home 2700 Fairview Ave N Roseville MN 55113 (651) 633-2561 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA170819 Date Issued:07/19/2021 Permit Category:ePermit Site Address: 1074 Northview Park Rd Lot:5 Block: 1 Addition: Lexington Parkview PID:10-45035-01-050 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) 210-0754. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Richard E & Jean M Pletcher 1074 Northview Park Rd Saint Paul MN 55123--156 (952) 484-4088 Sedgwick Heating & Air Conditioning 1240 Trapp Road, Suite A Eagan MN 55121 (952) 881-9000 Applicant/Permitee: Signature Issued By: Signature