3965 Northview Ter. . INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
( E:; .I NI m I I +N {'AF'F,1/ 1 I Ll 4e,t, 1
PERMIT SUBTYPE:
TYPE OF WORK:
vt?tt i??N6
N:' 10.10
0 r; f 0 _2 /9 :t
? z • , .
;!64t
k1:Cs?t:
k 1 ME1?t F. tt . .?ftW (.l+N i'RAt" 10 R -.lflF 6A I I 1. t. i't Ft??Nt`? • ,?..,^s. {i:??-:%,''????;' ?--ih?'?
Permit No. PermR Hoider Date Telephone N
Sl1N
PLUMBING
HVAC -
ELECTRIC ?Ja ? a
ELECTRIC
Inspect{on DaM Insp. CommeMs
Footings I G/, 119,3 I,je
Foundatlon
Framing •l??
r ?
Rooflng
Rough Plbg.
Rough Ht9•
lSUl.
Flreplace
Fnal Htg.
orsar Test G( li
Final Plbg.
/ Plbg. Inspecior - Notily Piumber
Const. Meter
EngrJPlan
aldg. Final
Deck Ftg.
Deck Final
Well
Pr. Disp.
I& :..
' ?. -. ..
..
Ctertiticate Ot cccupanc4
(Fit4 iq Cfagan
Toarrm? of 13uithwa 3«80ection
This Certificate issued pursuant to the requirements of tite Uniform Building Code
certifying that at the time of issuance this structure was in compliance with the various
ordireances of the City regulating building construction ar use. For the follawing:
SF DWG/GAR 21020
_ use cimtscafiow ewg. e?w rra.
Occupancy lype 7.naiaa
-. - ??t ' ? -• EACAM 55122
tIUI?'ji?
owner of Buiwing ?ss EW
?+? s +
Building Address Lacality
Date:
ea;lding of5cial
POST IN A CONSPfCUOUS PLACE ?
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS:
? +? i :
1:11i4'if l-I
?
?
?
ase;i". • NhH N 1 APPLICANT:
f; ?t I fi ! h I
ft'I? NFA1 N-Ei{.0 1'1FikP lAri
(61.t ) r19 N-1! 7f,Et
F;1?Il11 iNH
fdF.'i?h; tf
C?tiil:•?f?+fi
.. ?
PERMIT SUBTYPE: TYPE OF WORK:
i?; ,? r i r• t???i? Et,?•,
Permit No. Permft Holder Dete Telephone R
ELECTRIC
PLUMBING
HVAC
Inspection Oata Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE - _l 6 l?
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLOG FINAL
BSMT R.I.
BSMT FINAL
OECK FTG
DECK FINAL
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
fl I I I: I H viFw
PERMIT SUBTYPE:
,.
INSPECTION RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
APPLICANT:
'444 ht-,/i
TYPE OF WORK:
r,i 11
I 1 t, f
? J
Permit No. Psrmft Holder Uate Telephone #
S/W
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inapectbn Date Insp. Commsnts
Footings I
Foundation
Framing
RooHng
Rough Plbg.
Rough Htg.
Isul.
Flreplace
Flnal Htg.
Orsat Test
Final Plbg. Plbg. Inspector - Notily Plumber
Const. Meter
Engr./Plan
Bldg. Final
DeCk Ft9. ???2?1/
q .,/
OS ?/?l /?t1? •
Deck Final
weli -
Pr. Disp.
RESIDENTIAL
BUILDING PERMIT APPLICATION ?
CIT, oF ??G? ?0.00
3830 PILOT KNOB RD - 55122
651-681-4675
New Construction Reauiremenrts RemodeVReoairReauiremente
• 3 registered site surveys showing sq, ft of IoL sq. iL af house; an?ll roofed areas • 2 copies of plan
.(20% maximum lot coverage al6wed) . 1 set of Energy Calculations (or heated additions
. 2 copies of plan showing beam & window sizes; poured found design, etc.) • 1 sfte survey for exlerior additions 8 decks
• 1 set of Energy Calculations . Indicale H home served by septic system for add'Nons
. 3 copies of Tree Preservatlon Plan H lot platled after 111/93
• Rim Joist Detail Options seledion sheet (bldgs wiN 3 ar less unib)
DATE .41d u, VALUI[ION AF` 0OO -
JOB SITE ADDRESS 7p r,^ dC p.
IF MULTI-fAMILY BUI
PROPERTY OWNER
TYPE OF WORK-tia-
APPLICANT ?Q
ADDRESS
PAGER #
CELL PHONE #
PLACE(S) _ 0 !/1 _ 2
PHONE#
WZIP CODE?
FAX #
NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY
Energy Code Category
(check one) MINNESOTA RULES 7670 CATEGORY 1 --- -" i=1?
d?
- Residential Ventilation Category 1 Worksheet Subm t e
?
- Energy Envelope Calculations Submitted ?i? U J I
I
?
?JDU a`l ac?l
i
i
?l
u)
_ L
?
L
MINNESOTARULES7672
9"V
j
- New Energy Code Worksheet Submitted
?„ _---- --?
Plumbing Conhactor. Phone #:
Plumbing System Includes: _ Water Softencr _ Iawn Spiinkler Fee: $90.00
Water Heater _ No. of R.I. Baths
No, of Baths
Mechanical Contractor: KrP _ s 4 Phone # N)-/J / -/l 2!?g
Mechanical Syslem Includes: Auu C,? omng Fee: $70.00
_ Heat Recovery System
Sewer/Water Contractor: Phone #
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordin nces.
i
Signature of Applicant /'6qLy Z4)
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 1101
OFFICE USE ONLY
? 01 Foundadon
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
? 07 05-plex ? 13 16-plex
? 08 06-plex ? 16 Fireplace
? 09 07-plex ? 17 Garage
? 10 08-plex ? 18 Deck
? 11 10-plex ? 19 LowerLevel
? 12 12-plex Plbg_Y or_ N
? 20 Pool ?
? 27 Poreh (3-sea.) " ?
? 22 Porch/Addn. (4-sea.) ?
? 23 Poroh (screened) i ?
? 24 Storm Damage
? 25 Miscellaneous
30 Accessory Bidg
31 Ext. Alt - Multi
33 Ext. Alt - SF
36 Multi
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition O 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement "Demolition (Entire Bidg only) - Give PCA handout to applicant
Valuation
Census Code
SAC Units
Nbr, of Units
Nbr. of Bldgs
Type of Const
Occupancy
Zoning
Stories
Sq. Ft.
Length
W idth
REQUIRED INSPECTIONS
Footings (new bldg)
Footings (deck) FinaUNo C.O.
Footings (addition) Plumbing
Foundation
Drain Tile
Roof Ice & Water Final
Framing
Fireplace _ R.I. _ Air Test _ Final
Insulation
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Other
_ Pool _ Ftgs _ A'u/Gas Tests _ Final
_ Siding SNCCO Stone
_ Windows (new/replacement)
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply 8 Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
FinaUC.O.
HVAC
Building Inspector
Total
Address 3965 NORTHVIEW TERRACE Zip 5512_
IAt 6 t $lk 1 $ub LEXINGTON PARKVIEW
THESE ITEMS VIERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: VE(j q S/ Yes No Inspector: ?4
Final grade (6" from siding) ?
Permanent steps (gazage) ;/
Permanent steps (main entry)
Permanent driveway V?
Pecmanent gas
Sod/Seeded grass
TraiUcurb damage
Porch
Basement finish I/
Deck v
Please verify with the builder the removal of roof test caps from the plumbing system and the shuboff of water supply to
the outside lawn faucet before frceze potential exists.
Contact engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system. ?
White - City Copy Yellow - Resident Copy Pink - Contractor Copy
REQUEST FOR ELECTRICAL INSPECTION ea.oooo+oe
? '? See i Vuc[lans br completing thls form on beck of yelloW coOY i C_/7 O? p O
y X O 7
? 566054 Below Wil Covsvd by This Request 6AZ3/4+( f
ew Add Rep. TypeofBUilding AppliancesWiretl EquipmentWiretl
Home Fange - Temporary 5ervice -
Duplex - Water Heater ElectriC Heating
Apt 8uilding Dryer Load Management
Comm./Industrial Fumace Other (Specily)
Farm Air Conditioner
Other?epecliy7 Contrector§ Pemarks:
Campute Inspection Fee Below:
# Other Fee # ServiceEntranceSize Fee # Ciautts/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 700 Amps
Transtormers Above 200 _ Amps Above 100 _ Amps
Signs i?+specfork Use Onry? TOTAL
Irrigation Booms
Speciallnspection r
C
Ai
arm/Communication
TNIS INSTALLATION MAY BE OR CONNECTED IF NOT
Other Fee. _'
COMPLETEDWITHIN 18 MONTH.
I, the Electrical Inspector, hereby
certity that the above inspedion has
been made. Rou9n-in
Finai oa?e
<
OFFICE U6E ONLY ( ? ?
This repuesl voitl 18 moniM1S Irom V .
co a 63 90
?ao
Reyuest Deta Fire No. Roughdn Inpsectio? Required Inspection Other Tnan Rougn-In
' . . (YOU mustcall inapector when reaEy) atly Now ? Will Notily Inspeclor
?
O v? ?o eaey
e
I.kifcensed contractor ? owner hereby request inspection ot above electrical work aC
Jop Atldress (SheeL Box or Foule No.) i City
396,f'
Section No. Townsni0 Name or No. Range No. Counry
OccupantlPqlNT Phone No.
PowerSv lier Atltlress
d?
Elxmcal Comra<ror (Co ^ING
FRA`????-. Coniractor's Li ense No.
k
'
pri.E G3?
$2
Mailing Atltlrens?sIGO{mradp?ner MqkInstallauon)
12WJ 1-L??il?f1
?tC/IXLG? 1'???/??,r
I'Y-???r
Avtho,izeo SgnaNre Vacto?/Owner Makin I allation Phone Number
454-&3C4
MINNESOTA STATE BOApD OF ELECiRICITY THIS INSPECTION REOUEST WILL NOT
Gtlggs-MiEwey BICg. - floom 3-173 BE AGGEPTED BV TME STATE BOARD
1821 Univaralty Ave., SI. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone(614) 602-0800 ENCLOSED.
d 65078
REQUEST FOR ELECTRICAL INSPECTION
ow See insimctions ipr completing 1M1is torm on back ol yellow copy.
"X" 8elow Work Covered by This Request b`
ew Add Rep. Typeof8uilding AppliancesWired EquipmeniWired
Home Range Temporary Service
Duplex Water Heater ElecVic Heating
Apt. Buitding Dryer Othea(Speoify)
Comm./Industrial Fumace
Farm Air Conditioner
Otner (sVecity) Comracmr5 Pemarks' Compufe Inspeciion Fee 8elow:
# Other ' Fee # ServiceEniranceSize Fee # Circuits/Feeders Fea
Swimming Pool O to 200 Amps Oto 100 Amps q)14D
Trensformers Above 200 _ Amps Above-100 _ Amps
Signs Inspecmr's use only: TOTAL
Irrigation Booms
Special Inspection .
Alarm/Communication THIS INSTALLATIDN MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rou9n-m . oaie
certify that the above inspection has
been made. F,?ai c--• ' oaie -
OFFICE IISE DNLV
This request voitl 18 monlhs iram . y?/?
1 z-?,5 q_7 -8
5' S53
S?
7 at- `c4-- 16?
R est pate Fire N. gh-in Inspection
R ui
retl?
? Reaay Naw ?ill Noti(y Inspector
J u n e 2 5, 1993 @
? No When Reatl T
I,$Kiicensed Contractor O owner hereby request inspection of above electrical work at:
Job AOtlress ISVeeL Box or Route Na., City '
3965 Northview Terrace Eagan
Seciion No. Township Name or No. Range No. Counly
Dakota
OccupantlPRINTI Phone No.
Joe Miller Homes 454-4663
aower suoalar Address 4300 220th St. S.W.
Dakota Eelctric Farmi
Elecvical ConRector (Company Name) Cont2ctor5 Lioense No.
Midland le r'
Maning qatlress (Convactor or Owner Making Inslallattoni
22691 Red Fox Dr. Lakeville MN. 5 4
onttactor,UVner Making Innallation)
Orixetl Signa?ore (C
Aut
M1 Phone Number
1
/
?
. 1'ls•???/('1
4
MINNESOTA STATE BOARD OF ELECTRICITY
Grlgge-Mitlwey 61tlg. - RoBm S-113
1821 Univenfly Ave., St. Veul. MN 55106
Vhone (612) 602-080D
? THIS INSPECTION REOUEST WILL NOT
BE ACCEPTED BV THE STATE 60ARD
UNLES$ PROPEF INSPECTION FEE IS
ENCLOSED.
`7,'?O a?
?: -
2006 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construcfion Reauiremenis
3 registered site surveys showing sq. N. of lot, sq, ft, of house; and all roofed areas
(20% maimum lot coverage allowed)
2 copies of plan showing beam & window sizes', poured found design, etc.
7 set of Energy Calalations
3 copies of Tree Preservalion Plan i( lot platled afler 7/7i93
Rim Joist Delail Options selection sheet (buildings with 3 or less units)
Minnegasco mechanical ventilation form
/ ZZ 7 6-
RemodellReoair ReouiremeMs ?tfice Use 6nlv
? 2 copies of plan showing footings, beams, joisis Ge,i1 pPSwveyRBCd Y. N
-0 1 set of Energy Calculafions for healed additions Tree PreS Plan Recd
1 site suNey for addilions & decks treC PresReqwred _Y
Addifion - indicate if on-sife sepfic system f3n-site ?eptic 9yzfem • '_.:;.Y ? N&?,? 4?A 3 is ??
Date J / p / O(o ConstructiouCost
Site Address ?9 Q Oi?I I-?? l & R) Z Z.A C. l; UniUSte #
Description of Work I& UJ 7 FZO oi t7 P°FJ 'I'0 2C{4
Multi-Family Bldg _ Y VIN Fireplace(s) ? 0 _ 1 _ 2
Property Owner P (5-1 c? 1 1 lr l. 17 C12S Ey Telephone #( )
Contractor L A QD ( M QC, ES ? c M O 17 C` l, f ti G7
Address I 7 7_ S S ( 7 OTL4 City ?4ASYiQ G?
State Zip ? SC) 3 ?? Telephane # ((?Y? SI(Q 4- ¢ _
C 0 7Ac - L G - (o - - ? G 5 le
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 CateQOrv 1 Minnesota Rules 7672
Ene?gy CodO Category . Residential Ventilation Category 7 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Conhactor
Telephone #(
Telephone #(
Telephone #(
I hereby apply' f,'or a Residential Building Permit and acknowledge that the information is complete and accurate;
that the worklwill 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, anw?6 ?tim? ithout a
permit; that the work will be in accordance with the approved plan in the case of w ew and
approvai oi pians. V
MAR 0 8 2006
?Alv
Applicant's Printed Name Applicant's Signature
DO NOT WRITE BELOW THIS LINE
Sub Tvpes
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool
? 02 SF Dwelling ? 08 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 0 10 08-plex ? 18 Deck A( 23 Porch(screen/gazebo)
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
Work Tvpes
? 31 New
X 32 Addition
? 33 Alteration
? 34 Replacement
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi Misc.
? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 37 Demalish Building` ? 43 Reroof X 46 Windows/Doors
'Demolition (Entire Bidg) -Give PCA handoutto applicant
DBSCfIptlOfl: Water Damage_ Yes
Valuation ?
Ooy?
Plan Review /!/ 100°/a or _
Census Code 1-13y
SAC Units
# of Units ?-
# of Bldgs
Type of Const ?
Occupancy ? MCES System "-
25%
Zoning r o City Water `
Stories -" Booster Pump `
Sq. Ft. PRV
T
Length /G Fire Sprinklered ?
Width - t?_,3
Footings (new bldg)
Footings(deck)
? Footings (addition)
Foundalion
Drain Tile
Roof ? Ice & Water ? Final
?- Frammg
_ Fireplace _ R.I. _ AirTest _ Final
Insulation
Approved By:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
af 3a ? ?%2/rv7? /??'1 G it ? ,? ? (??'? (? ?u
REQUIRED INSPECTIONS
_ Sheetrock
FinaUC.O.
FinaUNo C.O.
HVAC
Other
_ Pool Ftgs Air/Gas Tests Final
Siding _ Stucco Lath _ Stone Latli _Brick
? Windows
_ Rataining Wall
Building Inspector
?
?j• , CERIIFICATE-OF SURVEY M32-832-93
, .
?
. . , r` ??4 . .. . ,
A ?
I`??? Ig?S 8943'03" E ? l?? U
1.ZrJ.OO ]v.00 . ? q I TZ . .
LJ
5? -? gT 'b gr? -1J?
L--
?I
o ? .d < Y? ? nv
3 co?`
v' NO = ? ? ? ua0 ]0.1] 'ON ?
ao O ,: o ... 00 W\
? ?a °o? I ?ce ? o E? ?.°o,Cj
i?
?r-o?u? n F.f?o am ' `?c?wr°mfi m? •?
3 ?03? I Z I ? 81
RI RI 'I
81 ?J AI ?'^/"I
Q' ?1 SII ? 4
V h? Q
1 ;I 0 -?I?- I --I??.J 10
?o?l ? 125.00
7? /S 89'43'03' E
I `/ ''906.81 ??
I GaR. ? ` _ I .
?39?9
-?
' • ?
scaie: t" = 30' 3956 Northview Terrace
DESCRIPTION
I hereby certify that this survey, plon, ar Lot 6, Block'1,
report was prepared by me or under my direct LEXINGTON PARKVIEW supervision and thot I am a duly Registered Dakota Count Minnesofa Land Surveyor under the Laws ot Ihe State Y• " .
of Minnesota. Plat bearings shown
c4a o Denotes iran monument
Date 2%asaa I q9 Reg. No. 8140 .?Existing 1 Proposed .
I " iL6Y Z --_BRANDT ENGINEERING & SURVEYING
1600 West 143rd Street, Suite 206 '•
, Burnsville, MN 55337
(612) 435-1966
M32-832-93;-•
INSPECTION RECORD
CITYOF EAGAN PERMITTYPE: auiLozNG
3830 Pilot Knob Road Permit Number: 0 2 4 5 6 9
Eagan, Minnesota 55123 Date Issued: 09 j20 /94
(612) 681-4675
SITEADDRESS: Lor: e BLOCK: 1 APPLICANT:
3965 NORTHVTEW TER DORSEY PETER
LEXINGTON PARKVIEW (612) 944-5577
PERMIT SUBTYPE: TYPE OF WORK:
DECK NEW
f-
-1
L _J
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
P.I.N.: 10-45035-060-01
PERMIT
PERMIT TYPE
Permit Number:
Date Issued:
3965 NORTHVIEW TER
LQT: 6 BLOCK: 1
LEXING70N PARKVIEW
?
B L DI ?/? ?
?y// N'G?
0 4569
@9/20/94
DESCRIPTION:
.-?
Building-.P,ermit Type DECK
Buildzng Work Type NEW
\
i
r.-
rr C `\ r :? ?
?1???
REMARKS:
FEE SUMMARY:
Base Fee $30.00
Surcharge $.50
Total Fee $30.50
CONTRACTOR:
OWNER: - Applicant -
DORSEY PETER
3965 NORTHVTEW TERR
EAGAN MN 55123
(612)944-5577
I hereby acknowledge that I have read this
information is correct and agree ta comply
Statutes and City of Eagan Ordinances.
L 144a?ll
APPLICANTlPE TEE SIGNATURE
application and state that the
with all applicable SCate of Mn.
-i
?jOan Rwf
ISSUED B : SI OIATURE
?j ??, CITY OF EAGAN
1994 Bt11LDING PERMIT APPLlCATlON
itf(09 681-4675 fjo•ff 0
SINGLE & MULTI-FAMILY 2 sets af plans, 3 registered ite3esurXegspdtsco of energy
calcs.
COMMERCIAL 2 sets of architectural & stru -;&FF ,' of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date $ `lem?o-et`/ /9941 Vaiuation of work
Site Address: 39'&5_/lZorrthviEw 7rerra.c4P_ ,,.1 YVIA3 S-sla3
STREEi SUIiE q
Tenant Name: (commercial only) &19
LOT & BIACK 1- SIIBD.Lgx,nqovt larkUl2l,c1
d p•I•D. #
Descri tfon of work: pG G To TI;:: 'BLVL.T !N $AC'(< G'?r AlDUSE'
The applicant is: X Owner ? Contractor ? Other (Deseribe)
Name Porsey -Pe--1'er on ?b83 -l9y/
Proper;y zasT FlRST (W?zjo 741y-s57-7
Owner qddress 31?? /?i?,^-Mv,ew T?r,^ace ?
STREET STE #
City __?ctrJ 5tate MAI Zip
Company Phone
Contractor Address License # Exp.
City 5tate Zip
Company Phane
Architect/
Engineer Name Registratlon #
Address '
City State Zip
Sewer & water licensed plumber /1
114 . Processing time for
,
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply "th all piicabie State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant: ? / p
OFFICE USE ONLY
BUILDING PERMIT TYPE .. M
?
Oi
Foundation
?
06
Uuplex
?
11
Apt./Lodging i
1 '
7-16 ?, ?
Ba"sement`f4nY?'
? 02 SF Dwg. ? 07 4-Plex 0 12 Multi. Misc. O 17 Sw9m Paol
? 03 SF Additian ? 08 8-Plex ? 13 Garage/Accessory 0 18 Comm./Ind.
? 04 Sf Porch ? 09 12-Plex ? 14 Fireplace 1 3 19 Comm./Ind. Misc.
? 05 SF Misc. ? 10 Multi. Add'1. .? 15 Deck E l 20 Public Facility
b 21 Miscellaneous
WORK TYPE
JgI 31 New ? 33 Alterations ? 35 Tenant Finish (3 37 Demolish
? 32 Additlon ? 34 Repair ? 36 Move I
GENERAL INFORMATION tH141V 4 O'CGK
Const. (Actual) 8asement sq. ft. ? `?? ??MWCC Sy,s em'
(A1lowabie) lst F1. sq. ft. City Witer
UBC bccupancy 2nd F1, sq. ft. PRV Reduired
Zoning 5q. Ft. total Boosterll, Pump
N of Stories Footprint Sq. ft. Fire 5prinkler
Length On-site well Censusl;Cade
Depth On-site sewage SAC Code ?
Census.Bldg i
APPROVALS Census 1nit
Pi ann?ng VBuilding
ariance
Engineering
Fi5QUIRED INSPECTIONS
? .Site g Footing
? Wallboard IM Final
Permit Fee v,i,mc;a,:
Surcharge
Plan Review
License
MWCC SAC
City 5AC
Water Conn.
Water Meter
Acct. Depasit
S/W Permit
S/W Surcharge
Treatment P1.
Rnad Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
SAC %
SAC Units
Asses
?
raming i
I
i
i
? ?
nsulation
? Draintile I ?
? Fireplace
s
4L , .
?j• CERTIFICATE.-OF SURVEY M32-832-93
. A r-- . .
r?
a ?
-- I??/\! I I°I°?s ezsoo " E /?. ??°? •o? U
? J ?
5r- - I?0 ' e T,-.? k-?-? io
I.Q)
3 c o
No I =• ? . ° y ?? x:!?? N uro ?' ??/ao.is ??? pN ? ? .
?? .?10 I ? O C ? O"'C,?.:::- 0•••.;nj ?p
O '
om o rnolV
`?r ^ v)
p? ? I. (o a`m ? •.?'?`?c°?w?°-m? 'nP ? I •? ,
r 6??p ? „p IQ ?o Am g -?-d
5?- gi N
Jio ?n 0
_L-J ? N v nl
t25.oo h ? z
/S 89'43'03- E
I ?9/ '906.81 `?
f396y
- 7
. ? . ,
i ? sooie: 1" = 30' 3956 Northview Terrace -
! DESCRIPTIDN
. I hereby certify that this survey, plan, or Lot 6, Blockt.
report was prepared by me or under my direct LEXINGTON PARKVIEW
supervision and that I am a duly Registered ? Land Surveyor under tha Laws o( the State Dakota Count
Y, Mlnnesota
.
of Minnesota. . plat beorings shown
g/ D o Denotes iron monument
?ata 1r
99 q9? Reg. No. 8140 .(Existing 1 Propased I " 2sV z -
BRANDT ENGINEERING & SURVEYING
1600 West 143rd Street, Suite 206 =•
. Burnsville, MN 55337
(612) 435-1966
M32-832-93;
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55723 Date Issued:
(612) 681-4675
SITEADDRESS: LoT: s BLOCK: 1 APPLICANT:
3965 NORTHVIEW TER JOE MILLER HOMES
LEXIN6TON PARKVIEW (612) 454-4663
PERMIT SUBTYPE:
sF owG
TYPE OF WORK:
NEW
BUILDING
021020
06J@2/93
INSPECTION
FOOTING ., .
FRAMING ..
ZNSULATION FINAL
FIREPLACE
REMARKS: S&W CONTRACTOR - JOE MILLER HOMES
7-
?
?
CITY OF EAGAN
?. 3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT 7 K
PERMITTYPE: euxLaxNe
Permit Number; 021020
Date Issued: 0 6( 0 2/ 9 3
SITE ADDRESS:
3965 NORTNVIEW TER
LOT: 6 BLOCK: 1
LEXTNGTON PARKVIEW
P.I.N.: 10-45036-060-01
DESCRIPTION:
B,ur"x1d3ng_ Permit Type
6uilding WW,rk Type
UBC UcGUpAft05v\"
ConsGru,ptzorr T\y e
Xoning ?
Building t6rtt?th ?
Buildin4 i.tidth ?
f-
s
?-?? f'? ? ? ?r _•
SF OWG
NEW
R-3 M-1
VN
R-1
46
50
c 0 'Y ?'^' P( CL c?`?(g (a. n
REMARKS:
S&W CONTRqCTOR - JOE MIILER NOhIES
FEE SUMMARY:
Base Fee
Plan Review
Surcharge
SAC
SAC %
SAC Units
Subtotal
VALUA7ION
$667.50
$A33.8$
$54.00
$750.08
100
i
$1,906.98
;ies,eee
MISC FEES $1,744.50
Total Fee $3,649.88
CONTRACTOR: -
JQE MILLER HOPoES
3459 WASHINGTON
EFIGRN MN
(612) 454-4669
Appitcant - sT. Lzc. OWNER:
14544663 0002431 MILLER HOMES JOE
DR 3450 WASHTNGTON DR 209
55122 EAGRM MN 55122
(612)454-4663
? I hereby ackhAwkedgs tlrat I have read t#x3s appltpat%e,n arttf state tFxa.'E thor I
informaticn ,is carrect sntl', agroe to eampl}r aith all, ap¢licable =Stetor pf Mh_
SCatute's arrd GRty af Eagart Ordir+,ance,s. ;
APPCICANTIPERMITEESIGNATURE ISSUED B):SI NATU ? ??
REACTIilATE/ ?:??I?LV?ED CITY OF EAGAN
PERMIy .° ?Y 1$ 190 1993 BUILDING PERMIT APPLIC TION
- ------- 681-4675 (4/-7 QC ?
?? -----
V
SIN6LE MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but nat pitked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date Valuation of work Y f;;?00 ?
Site Address• ?? ?U LL?-???-?-7 ?? •
STREET SUITE 9
T nant Name: (commercial only)
TAT ? SIACK ? SUBD.,Q
OI /.t.,?IcP.? P.I.D. iF
Descri tion of work:
The applicant is: 0 Owner Contractor ? Other (Deceri6e)
Name Phone
Property «5T FIRSi
Owner
Address
STREET STE M
City State Zip
Company a469 1
HIAtraT0N DRIVF Phone
AAI1S
.
-
3 ??
suiTE 204
Contractor License # Exp
Address
_?..A.? Mis! .
#0002431
State Zip
City
Company Phone
Architect/
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber - . Processing time for
sewer & water permits is two days onc area h been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree ta comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
Lgnature of Applicant: - u
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging
,S'02 SF Dwg. O 07 4-Plex ? 12 Multi. Misc.
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory
? 04 SF Porch ? 09 12-Plex O 14 Fireplace
? 05 SF Misc. ? 10 Multi. Add'7. ? 15 Deck
WORK TYPE
)?(31 New ? 33 Alterations ? 35 Tenant Finish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
16 Basement Finish
17 Swim Pool
18 Comm./Ind.
19 Comn./Ind. Misc.
20 Public Facility
21 Miscellaneous
37 Demolish
Const. (Actual) V-N Basement sq. ft. MWCC Sy ,stem CS
(Allowable) y- N lst F1. sq. ft. City Wa ter vc?
UBC Occupancy R-3 M-I 2nd F1. sq. ft. PRY Req uired
Zoning pD 2_1 5q. Ft. total Booster Pump
# of Stories Foatprint Sq. ft. Fire Sp rnnkler
Length 4-?
- On-site well Census{ Code /ai
Depth 7
gp On-site sewage SAC Cod oL
??? "
APPROVALS -?
Planning Building Assessm ents
Engineering Uariance ,
REQUIRED INSPECTIONS
? 5ite
? Wallboard
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment Pl.
Road Unit
Park Ded.
Trails Ded.
Lopies
Other
Total:
5AC % /Do
SAC Units ?
? Footing
? Final
0 Framing
? Draintile
vatuat;m: $ I b?3400 D
GAtZAo-Ej 20 x22=q Llo?t
???: ?4x?ZsSZs
4xB= 3z
-_.----
Sboxls"= a
a4x2g=?,'72 X?S?I-2o? = z2KNY
,
UiPYEYt IEVQS•,
'21'/iX24= 108
zZx zy = 5z8
qxs= 32
ZXB=?
?28y, 5q'
693
?b -7 (Z y
? Insulation
? Fireplace
MILLER CQMST. TEL Na.612-891-4061 May 24,93 14:26 No.022 P.02
.,
CERTIF'ICAIE -0F SURV'EY . M 3 2- 8 3 2- g3
,
/) . r-
?- ?-- 1
? ?-- ,
89•43'03• E fi"'/
? 5?
- -- 25.00 ..
? ? in
? _
2100 + 4F ?
N$ W
0
N ? O ?m? ??
1
F fA
,
5 10
? y/V;S 89 4.'S'03' E
A
1a?
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. ?
,- ?-
?Il? lI ?
r 7 AG.AN
`REVIEWED
DXe'--
BAGAN
Scale: 1" = 30'
DEPT
3955
UESCRIpT10N
I hereby certify that this eurvey, plnn, or
report was prepared by me or under my dtrect Lot 6. Block 1, ,
supervision cnd that I am a duly kegfatered LExING70N PARKVIEW
l.ond Surveyor under the Ldws of the State ' pakoto County, Minneaota
of Mlnnesoto. Plat be:arings ahown
g o Denotea Iron monument
pate
? R g. No. 8140 .( Existinc 1 Proposed
BRAADT ENGiINEERINr3 & StJaVEYING
1600 West 143rd Street, Su ite 206
Burnsville, MN 55337
(612) 435-1966 M32-832--93
R-97% 612 891 4061 05-24-93 03:28PM P002 1t26
bY Z? ? b, !1n ,
Uh?,,,S_;, S?.
Northview Yerrace -
.. G '
w
¢ o.
, J Ij
m N
LU < W
U ¢
< a m
w a ?
H N
` Z 2
11 ? ? •
a? o ? •
C1' ? ? •
?? 0 •
C?' ? ? •
L'I?? ? •
B' ? ? •
?? ? •
LOT SIIRVEY CHECRLIST FOR RESIDENTIAL
PROPERTY LEC,AL•
DOCUMENT STANDARDS
'11 flflT T I\f A1 T?1ft
Date of survey:
Registered Land Surveyor siqnature and company
Building Permit Applicant
Legal description
Address
North arrow and bar scale
House type0 (rambler, walkout, split w/o, split
lookout, etc.)
Directional drainage arrows with slope/gradient $.
Proposed/existing sewer and water services
Street name
Driveway
Existina .
0 C3? ? • Sewer service
v ? ? • Lot corners
F ? • Top of curb at the driveway
? • Elevations of any existing adjacent homes
Procosed
CJ? ? ? • Garage floor
d ? ? • First floor
? ? ? • Lowest exposed elevation (walkout/window)
t? ? ? • Property corners
?? ? • Front and rear of home at the foundation
entry,
PONDING AREAS (if aoolicable)
? 13? ? • Easement line
? d ? • NWL
11 ? ? • HWL
? ? • Pond # designation
0?f 0 • Emergency Overflow Elevation
DIMENSIONS
0 ? 11 • Lot lines
? ? • Right-of-way and street width (to back of curb)
0? ? • Proposed home dimensions including any proposed decks,
overhangs greater than 21, porches, etc. (i.e. all
? structures requiring permanent footings)
E] 0 ? • Show all easements of record and any City utilities within
those easements
?? ? • Setbacks of proposed structure and setback of adjacent
existing home%
? ? ? • Retainin irements, if any
?
Reviewed•
Na e / ate
October 1992
?
EXTERtOR ENVCLOPE_AVf RAfE "U" COMPiITICfION
OWNER:' ; -- ----,-._...-___--
SITE ADDRESS• NO/ZTNor--(aj T?`7e/? ?
nmr : I 1-2o--°II
PIiONE :
CON.TRACTOR: PLAN #C( OA9A
• Determine working square foota9e of each
1. Total exposed wall area..... Z7-0 % sq..:Ft. x.11 = Z`??+ g8
2. Total roof/ceil9nq area..... 1Z1Z sy. ft. x .026 =7120n3
Total exposed wall area above.floor=\9g(D
a. Total wall window area .......................................:...
b. Total door area ................................................... '1')
c. Total sliding giass door area .......:............................ L?
d. Total fireplace wall area ........................................ _
e. Total wall framing area (avei'age 10%) .................... :....... 11 q
f. Total rim joist area .............................................
g. net wall area above floor ..................................... %51
h. wall area above floor ...........................:.:.......
i. . wall area a6ove floor .....................................
j. frame wall area at foundation ...................................
Total exposed foundation area=_]A_
k. Total foundation window area ....................... ,
?1 1
1. Total net foundation area a6ove grade ..............
Determine 'lull value of each wall seyment
(e.g. tvi.ndow, door, each separate wall section)
a. 12E?,-7`1 X
, b x
c . ?o x
d, X
e. x
f. l?rr? x
g. x
h. X
„U„- A°i = (03 1%?11
„?„ ,?S = ?(v?qa
AA
„U„ _
„U„ ,o = 4cP.
,Q A
„U„ _
x °u^
?. x °uIl
3 . .................................Total
-
_
If item N3 is the s
as, or less than it
ql, you have met th
intent of SBC 6006
4. TOTAL ?XPpSEG RQOF!CEILIHG f,ALCLILATI0H5:
iotal expnsed
' roof/ceillnq area........ ?z??- sq ft
.?) 7otal skylloht area....... sq ft x"U" °
k) To[al roof/celllnq framin9
, ?? ?
area (Averaae 16 h),..... I?- Z Sq ft x Uii
1) Total net lnsulated f ., _t-x "U"
QZ a Z,?y?
roof/cellinq area....... ? ? sq ?
? TOTAL J) thru ZS' ?
If total of ='h ls the same as, or less [han N2, you have met the Intent of
2;1CAR 1.16008 1, ar.d O. .
ALTERtIATE BUILDIfIG EPIVELOPE DESIfN
To u[illze the total envelope system methocl, the values established by thG sum
of Items ?'3 and N4 shall no[ be 9reater than the sum of ftems NI and N2.
l. + 7. _
.3. - r ii. °
* L.INLAL L L.E'i LXPOSEU WA(,(.
BLOCK:
KNEE: ?(31
WALlCOUT:-IS
FULL 1:I4?
FULL 2:
FIRGPLACE:
RIM: J?8
? SQl1ARE CECT ERPOSED WALL AREA
f3LOCK: lg((? x .5 =1`?
KNEE: 01 "(a
WALKOUT:^IS X $
E'ULL 1:0'? x $
FULL 2: X $ -
FIREPLACE: x -
RIM:
^---- L ==??`a
TO'f A L , zZ08
SQUARG ['ECT GXPOSGD CEILING
wINOOws:
_-7144 g eA•rio oooas:4o?
z??v w r 1Nt ll I "?
I11 Z-7
I-19° taq li` _-7 1-1 6ASGMENT UNITS:
I ZS,'T?
SKYLIGl1'f5 :
? S`'°U_ 54C1'Il'Y?;:, •
R- vnu1r.
(Vainc c1Si'.<r,,i(A iOi, COIIS'CRl1C1'fOP! - PRAI1fPlc; - '
Nn 1. i_
F' f f... -11.1.
iG. 'I=1
'•?LL. I?f4LSP,
i NUAT.[tx?
IJALL
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?'r---: .._ ..__._.......... ._.. _........ ?
_ ........ .. . r?'? ?...
? y r • -_
' ? • ' r?c?lllf_
--
,
'
1
t. rn•rrazrOR nia 1-1111 n.68
2. 77z'??FITili - .-?-
3. s i7z??-??irr wmon
?i. ?;7'f??ll['A'IlT1Fl'(; ?.-7S?
S. Sil)PFI?; '--?----? .G1
s. CYiT:iiTnii 7tifi'li.7i --o:I9-
-
_ ll= .D9
llf:l'
i.
nn'Ly:ioiz nni rn.ri
o.en
2. ?i2?(;`l1'lll) .h5
3.
?i. 25I31 :;Illf'I'lilli(? ---- 2.06
Ci. ^TJ)III(? .62
1J= AII
I . 11`?ITN?QR A1R 1*1111 0 .68
2.
3.
??. 13- 31 u.nri I IT r??----?:TM-
5. Sinilii; - ---- g?-
s.
--- --,?•?iT7Cl-._-_74.-?i?'
U= .04
RI OC1<
1.
2.
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a.
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r.
1trrrR7rn7 ATR F7111 0.6f1
7-211-Yi113T.`1( --.-- ???
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rRo•rr..Crivr: nnicitii:a
17IT'ii7i51i-T?'i?-Fi3? - 0:77-
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(I('fyT FI)OW 1. TNT'ERI:OR ATR CILM •
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1 40.L5
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VEN'lC.D
i.
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IIEF.DCD FOR UG'I'qILS ANO CALCUTATIOPIS.
fIG. H7
?
, .
1989 BIIII.DIBG PfiEMIT APPLIC6TION - CISY OF EAGAN
?L S ? 1989
SILQGLE FAMILY Di1ELLINGS I (of Al (o
INCLDDI?>ETS OF PLANSG)ERTIFICATES OF SORVEYt Di ET OF ENERGY CALCUL9TIONS
AOTE: ADDRE4SFS F08 CORASR LOTS - COIPf@ACTOR/HOMEOiiNSR MOST 2ESIGN9Tfi WHICH 9DDHSSS
IS DFSIaED. $0 CHANGFS iiILL BE ALLOWSD ObTCE BIIII.DISTG PERMIT I3 ISBDED.
MULTIPLB DWELLINGS HENTAL U9ITS FOS SALS IIHITS # OF IIBIT3
INCLODE 2 SETS OF PLANS, CERTIFICATS OF 3URVfiY - CHfiCB iiiTH BLDG. DEPR., 1 SET OF ENERGY
CALCULATIONS
COMt4ERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRtlCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY C9LCULATIONS
t.MAL 31 lmi
To Be Used For:? L Valuation: %A&rQP91 Date: ? Zg V,
Site 9ddress
Lot 1.2- Bloek ?
Phone n)
Contractor ???:,u,wc_LaZv!"
Address 41
City/Zip Code,
qI
Phone
Areh. /Engr. ?? / -(,,x
Address
City/Zip Code G? 4••
Phone # o2- - .SC7
°I/j Oo° '
Occupaney ?j
I''J m-1
Zoning pn> I
Actual Const
AZlowable ?
S of stories
Length !Jy'
Depth
S.F. Total
Footprint S.F.
On site sewage_
On site well
MWCC System ?
City water ?
PRV required _
Booster Pump _
APPBOQAL.S
Planner _
Couneil
Bldg. Off.
garianee
FBE$
Bldg. Permit GOO°=
Surcharge 445, ?
Plan Review 3QQz_?_)_0
SAC, City I p 0, vo
59C, MWCC
0
,51$, 0
Water Conn ' 0,D?
Water Meter 40.2?0
Acet. Deposit U,Cio
8/W Permit p,au
:i!W Surcharge /, 0o
Treatment Pl. 228, 00
Road Unit 3 0 00
Park Ded.
Copies
TOT9L
I?
U/
?
NOTE: Sewer & iJater Permit fees and aecount deposit fees will be ineluded in the buildiag
permit fee. Processing time for ser+er and srater permits is txo days onee a liaensed
plumber has applied for a permit at City Iiall.
QP'/1'fM/ry"/t? //[//77. ??/'L
City/Zip Code /IT
?'1x22,? 4 gy h?S _ R2 ?,o ?
a. 6 X'-! 119 (' :.
a._--
I2kJ1t I?l= I?}g2_o
Z?x1? Z'6
dyx ?r 65yoo
e r
- ri
?os?o
TRI-LAND C0.
SURVEYING
SERVICES
1260 YANKEE DOODLE ROAD
EAGAN, MINNESOTA 55122
/-
?
?
15
Lu
h
I I
e?
h
LEGA L DESCR I PT ION : LOT J.Z_, BLOCK I , FXI? NCT?N PARKViFW
ACCORDING TO THE RECORDED PLAT
THEREOF_?KOT? COUNTY,MINNESOTA
-?.--?--?
SCALE; I"_40'
?b4
I??" /
,
w
O
-
?a,
L
I?
?
O*OO'02"
LEGEND
o DENOTES IRON MONUMENT
o DENOTES WOOD HUB SET
DENOTES EXISTING SPOT
ELEVATION
DENOTES PROPOSED SPOT
ELEVATION
? DENOTES DRAINAGE DIRECTION
l Aareby certify that this survey,plan or
report was prepored by me or under my
direct supervision ond ihat I om a duly
Reqistered Land Surveyor under the
Laws of the State of Minnesota.
Bradley J. 4LOf(wn,- Mn. Req. No. 13235
Date< Z??/y5? 9
SITE PLAN FOR:
6UTLER H4USING
1?
?.
F.
?°3' \ / , ?p•
i90%.OB R6 • ?`? N ? ??? V?!
I 112/ ?
w
lb0
i ? -r
L1v?
?
?,o7. re
A P??t??????
BY?? ---
Date
?AGA1tV
O ?
qr ?
C1
a0
NPROPOSED SPLIT ENTRY
INVERT'ELEVdTION AT SERVICE EkTENSION=
PROPOSED GARAGE FLOOR ELEVATION= 9??'-??
PROPOSED FIRST FLOOR ELEVATION = 90?
PROPOSED BASEMENT FLOOR = ? -
ELEVATION
NOTE'• VERIFY ALL FLOOR HEIGHTS WITH
FINAL HOUSE PLANS
.. Pacje ]. f71' f,
I 1WNIi...R '-' 13lJTL..I::R I 1DUsI N6i [:CJ1ZPC1F2A f I0N
C:;I-rf::: ADDRE-s;S., 39.8.5. NOFiT.1-.I9.11-W 'f..F.F3RAC M.... EAB.AN_,_ M.W.N.._
CONIRAC;"1"'OR: 131.11`t..F:R H0lJ;7:NI'r; (:1:7FtP[llt(-1TTON UATE:: 7/::7/89
I:)E'1"G::RMI:N[:- WI:11RKING SQlJAF2E= F-OC]TAt:,Ei: Clf= EACH.
1. TOTFdL. E=XPIl ;F_Cl WALL ARf=A'
.... 'I'(7"f'AL f2[)ClF'i(:Ei::[L.:I:Nf.; ArzEn.
1852 sQ. r= r
i376 S)ra. r...r.
A. 1°Ol"AI_. WAl...l... `W:CNDOW AR1=A;,
E3 . 1 Gl AL. l:)OOfZ flf2F._Fl '
['.; . l CIl F1L. Sl_ S D 1 NG GI.._n5;°; I:lOf)R Aiacn °
f). 7CIIAL.. 1=7:1REi:PLFlf.:E:= WfaI...L F11ZEi_(a::
I::::. T'01"A L WFtI._I_. 1=`I;zAM:I:N(:. AFRI:::A ( nV[y. 10%)
F'. I'OTAL.. IR1:M I1t'I:f.S;'f AP2E:A:
G . ro r A t... Nr= r wr?i_i._. nizr::n Ar3oVrFi...t:iOrR:
' 7'Cl`I"RL E_XPOSG.i:L"l WAI..I_ AFZEi=A::
FI. 10 TF11.... F=CltJN[)()1:CON WINI:)C')W FlR6:A:
J: . 1[11 AL.. NI::i: T F( .)IINDf-1T I C1N (1fRFi:(-1 F1F30VEi: GRFIf:)fi::
;.1. 717TAL. OVE=FtH61Nla F1RE_Fl'-
Dli_1 P=RMINf:i_ "lJ" VFal...1.11=_ C:ll- F_AC]4i WALL... 53l'c.GMF=NI"
a. 209.00 X "ll "
....
0.367
k?. 37 .80 X "U" 0 .066
q0.00 X "ll" 0 .367
d. ]?C).OU X "lJ" 0.07A °
t_:.. 185.20 X "U" 0.090 _
f. 182.90 X "4.J°
"
0.041.
?d. 1,177.20 X 1.1 0.04:3
h. 0.00 X "U" 0.367
i. , 72..25 X "1_I"
-'
0.140
J r 94.50 X p r0!'4 .
3 . . . . . . . . . . . . . . . . . . . . . . .
X _11. =
X .0<'E1 _
209.00
37.80
40.00
:?0.00
185.20
182.80
Y1,177.20
t ,852.00
0.00
.J:, •..,::i
`r'4 .5p
76..70
?.49
].4.f>E3
1.49
l. 6.. 7:3
7.4?
50.87
U.00
1. 0 .. 13
2.28
<'U3.,'7<"`
3_5 .78
1 7. 8 ?'. . E3'?
_ -
LF= 7: TI-_M #13 I3 !'t l[.-:: ;AMI= AS , C)f2 l.,E_ ?>5 f -If?N .['1' 6:.:M # 1, YI]U I{(-1VFi: MI-:.
l F-If_: T N'C E::N'T OFr Sir[3C: 6006 (02.
Pa9e 2 Of=' b
TOTAI._ I::XPI]`_7ED ROOF/CE:[I....INIa ARE'(-1 =
k. "frrLal o-;kY:t:i.!7ht are:a:
l. foi:al raof'/cei.l:ing fram:ing arE:a (avg 10%):
m, Total nt.t: insul.rated roof/r.e:a.].ing area:
DE"Cf.;:RM:fNE "LI" Vni....i_iE r-OR f:i:flC:ld ROOF'/C-.-::II._.T.NG ;F.:"GMF:::N'T':
k, E3,00 X "l1" 0.367 --
1. 137.60 X U. 0.025 =
M. 1,23C7.40 X "U" 0.021
4....................... "f01'AI._ „U"; -
1.,376.00
8.00
137.60
1,230.40
2.94
3..43
?..
<?,6.„:?
?
_ -f=,?i62--
---
7:1 1ClTAL OF #4 'f.S I'I-IE:: 3AMfii AS, i]F2 L.E:SS 'fl-I(1N #:_, YOU I-IAVI_ Mf.=:1 tl-II_
I N"fE:N'T OF 313C 6006( c)1 .
AL..I"F.RNAI"E HIJ 1:1._IJ I NG E=NVGI._t7NE. DF 5I6N :
fl:l UTTI__IlE: T'IiFi: `fOTF1L. E:NVE::L_QPl_ SY;1`E=M Mk'.:TFIOD, -fflE= VF-ll_.UI':::s L::STFIf-31_.ISIIC:fI
E3Y THIc: >UM 01= I'TI-M`.3 #3 AND 04 SHAI_I_ NOl" F3E (iREAI'ER 'fHAN l HE SUM OF
f 1`E=MS Jt J F1NC1 dk:' .
11.
- :A3.I<'
------------ '+L'.
- 35.7E3 -'
--------- 239_50
'3. 182.82 0-F4. 32.62 _ 4215.43
[ HI_I2EI3Y CEf21"II-Y '1"HAT T HAVE CALCULA'I"[_U "fHF "U" FACTDR> AND "12"
VAL.IJE.ri FIF:RFIN FlNC.1 THA"f "ff-If.:: E3U:[LDING F-IF:RE: DESCRIE3F:b MF:F..-TS pR FXCf_EEC1S
THE S'I'ATE: OF MfNNESOTA ENFf21;Y CONSE::RVATI(JN At:T.
F3111'L.E:R HOUSING CO13PDFjqTION ?
?r......_......_?r. _. .. ?.._..?..........-°- .........................
TURE = =N S f= . E3UT L.F..:R , PRE:S.
DF1TL; 7127189
------------------
cl.agt., :3 nr- 6
wzNDaw ANt'J nOr.iR srtiEnIA_.r
(a1.1AN1I7Y T'YPl::: 3IZIiF AC;l'(lR WINDOW
OPE:N I N(.
0 E3l1iE:MENT ?J X 14 2.60 0.00
1. PATIO I)R F, X 6 40.00 40.00
4 20 X 26 b .80 27.20
7 Cf-1Si::'iME'.=N"f 20 X 48 E3,50 17.00
0 C:FiSGi:ME::N`f' 20 X 60 10.80 0,.00
fl f.;Fl'.iaEME=.NT 24 X 36 13.00 :1:2.00
0 C.f-1`iS1-:MEi:NT 24. X 42 9..00 0,.00
8 ['.:A SM1:=Nf 24 X 48 1.0.::30 E32.40
4 C:AC:>f.MI:::NI" 24 X 60 1:::'..F,O 50.40
0 I:lf:3LJic: V-IUNt.-,'.; 3f:,X24/<36 1.8,30 0.00
0 I':IE?I...k: IKJNGS 24X24/36 12 .f30 0.00
Cl I)1i31_..G_: F-IIJNG`.3 3::' X 24 111.50 0.00
0 0.00 0.00
O 0.00 0.00
O ':;:ff)E_ l_l`S . 1 X 1.' 3 6.60 0.00
.
23 ....... ..... .... ..... _
TO`fF4L.. GL..FISS
nRt_:n:
24 9.00
Dr.u7fz sa-if: oui_e:
_......... __......_...
[I1AN'I':I'.TY _ ..... ......... _...... ._..-----.
1VYPC:: ... _. _...... _.. _..._......_.._..._...
S'.Cl.f=:. ....... __ . ..... . ... . . .
4=At;"i'IJ{2 .
D[_l(=1R
OF?E:N:C NG
1 PFi:F1C:FIfRE=:E X 6 20.00
1 PEACH"I"R1:-:E: "• _}3 " X 6 17.80
0.00
0.00
O.OU
o,oo
f Cl 1 AL_ 1:)C'ICllt ArzE.:n:
Wf?l...l... W:[ND[:)W Al2l'-:_A:
`ff:ll"(-al.... f>A'I':[0 D(:)C)F2 AF2Ei=A"
1.C11 A1.... F3A`.aIiEMG.NT W[]W (3RE.A :
l.c`]1 A1... OU[){2 AF2Ef1 .
209.00
40.00
0.00
20.00
1.'7 . f30
0.00
0.00
0 . Cl0
a.ocr
:.3 i .. 8o
U--VAL_I.JE 0.:367
U--VF1l...UF: 0.367
U--VALUE; 0 _367
249.00
:37.t30 1.1 VALUE 0 .c)F.b
. Q9e 4 ('lf- 6
THRI.I L•:.XT'1=R.T.CIF2 1=RAME WAI..L_.
INTEF2:[1)F2 A[F2 -- - -.. .._ ._ .... .._ .._ ..- --. ._. ._. .- .- .-- .- .- 0.68
SHE[i_l FtI1CK - - - . - -- -- -- - -- - -- ..... __ .._ ._ _.. _ 0_45
TIiE:F2MC]--13RFAI< p
STUD 6.9:3
;HI=ATH I NG - - - - - -- - ._ .._ .__ ._ .._ -- -- - -- -- -- - 2.06
S :f D I Nt:i _. ._. ._. ._. .- - - - - - - ._. ._.. _ ..- -- -- -- -- -- 0.78
EXT1_:RT l:ll; AI R _. .... ._. .- -- ._ ._ .... ._.. ._ _.. ._.. -- -- -- -- - 0.17
- ._
TOTF91._ "FZ" Vfll_UEi- _ ..._ .. .._ ..._ .._ ... ... .._ _.. .. .... ._ ........ 11.07
Iirz =_ ° i_i ° VAi.._Ur - -- - -- -- -- - _. - -- -- .._. _. .__ .._. .... 0.090
THRU :[NSUI....ATION WI'fH SID(N(.? & S.R.
TNTER:fOR A:[R -- -- -. _. ._. .._. _. ._ .... .._. ._. ._. ..- -- - - 0.68
SFiE:l:T F20CK -- -.. __ ..... ._ . .... ..... ..... ..... ..... .... .... ..... .... .._ ._.. ..... O.?t`.i
fl-IERMO--E3RI:_AK _ .._ ..... .... ..... ..... .... _.. ..... .._ .... ... .... ..... _.. Cl
-- -- .._ ...
INSIJI._(-1T]:ON - -- - -- --
_? ..._ ..- -- -._ ..... ..- -- 19
SFIE:A TFI I NG ._. ._.. ._. -- -- -.. . - -- -- -- - -- -- -- -- -- ^ . O6
S I D I Nli - -- - - - - -- -- - -- -- - - -- -- -- -- -- -- 0.7B
fXTER I OF2 A I fZ -- --. ._. .... .__ - -- ._. .... ..... - -- -- ..... - -- 0.17
rarni_ °R" Vf-1LUI" -- - -- -- -- -- -- ..... ._ _ -- -- -... ... _.. 23.14
1/R = "II" Vh1L.UE -- -. .._ ._.. ._. .... .... ._. ._. ._.. - -- -- -- - 0.043
'I"NRIJ CC-:[I...:[Nla MEM[3E-fR
T NTER:[ OR Fl I R -- -.. ._. ._. _. _. ._. _. ._. _. _. _.. _- - -- - 0.68
SkIE_E..+. Rl:ICfC .. ._. .._ .... ... .... ..... ..... ._. ._ ..._ __ ..- -- -- -- 0.5E3
C:I=ILINCi MEMB['f2 _.. ..... .._ . .... .... .... .... .... .._. ..... .... ..... .... ._.. ._.. 4.35
INSI1I...AT:[ON -- -- -- ° . .... ..... .... .._ ..... ..._ _.. .._ .._ _. .... _ _.. 33.92
S T :[ I... L. ft I R -_ _ _ .- -- -- -- -- -.. _.. -- -- - -- - -- 0.61
l_(JTAI_ „12" VALUI_ -- 40.14
1/R ::.: "U" VAL..Uf= ..... .... .... ..... ..... .... ..... .... _.. .... .... __ -- -- -- 0.025
1"HRU CEcILTNCi INSUL_A'I`[iJN
7: N7F.:.RI OR A I R -- -° -. ._ ._.. ._.. __ ._. ._. _.. - -- -- - - -- 0.68
SF-IFl_1 ROCK - - - - -- -- -- - -- - - -- -- -- - -- -- 0.5£3
_.. _... _. _. ._.
I NSIII..Al ti (7N . -.. _. ._. ..... ._.
._.. - - - -- -- 45
STI Ll_ A I IR ... ._. ._ ..... -- -.. .... ._ .... .._ .... _.. ..... _.. _ ..- - - 0.61
-------------
'fOTAL "12" VAI_1.11- _. ..- -- -- -- -- .- -- -- -- -- - -- - -- 46,87
1 /R =_ " U " V Fl 1.... U E -- -- _. ._. - ._. _. ._ ._. - -- -- -- -- -- 0.021
P,:agr: 'a (:11=' h
THC2lJ C:[)NC:RF.?: TE:: k31._O[':K
IN'i'F'.P2'i f 1F2 Fl'.f. R _. ._ . ..... ..... .... __ .__ ..... _.. ..... ._.. -- -- -_ -_ 0.68
C:[;lNl; . 1:31...K . - ..._ _ .. ..... .... .._. .._ .._. .._ _... ..... .._ .... ..... - - .-- 1.28
f. NSUI..FII` l: f:lN _. ._.. ._. .... _.. ._ ..... ... ..... _.. .-- -. -- -- .... .._. _... 5
ciFlf;li::l" f2f<. ( OP ( ) .... .... ..... ..... .... ..... .._ ..... ..._ ._.. _.. .._ - .... .... 0
r:x r is::iz r oK n IR ..... .._ .... .._ - _._ ..._ _... .._ .... _.. .... .... _ .._ __ _ 0.17
-------------
rorni... „R„ UALur:.: .... ..._ ._.. .._ ..._ ._.. .._ .... ..... .... ... __ ._ ..... _.. 7,1:3
7./R :::: "U" VALI.IE::: -- 0..140
fl-i1211 KTM JO:f.S'I"
[NTl R:[17R A:[R _.. .... _.. ._.. ._.. .... _... ._.. ._.. ..._ ..- -- -- -- 0.6£3
I N`.31JL._A ( :I:ON 19
F2 I M Jo z Sr .... .... _. _.. ._. ._.. .... ._. .... ..... __ ._.. ...- - ?._ .._ __ .... i .89
f";HEA1 f..IING
2,06
5 [ L) i NG..... 0.78
E:_X'fE_F2I C]R A I1:'..._ .._ .... ..- -- -- .... .... .... .._ .._ .._ ..... ..... ._ .._ ._ 0.17
.... .... ...? ..._ ..
1"C}'I'fll... "R" VAI...UErr .._. .._. .. ...
_ ._ . ...
'}4.SF3
I/R - "l.l" Vf-1L.::: - ... .... ... ... ... ... .. ..- ... _... - _. ._ __
. 0.041
1'Hf't4.J C:AN1. @ Mf::Mf3F=.P2 ( E=.NCI._0°:,F:-D )
TN'fEi:R7:OR f-91:R- _.. ._ .. ..... ..... ..... __ _._ ._ ..... ..._ _... _... __ ._. .._ ..... 0.68
F INI`all FI_tlIJF2INt:e _ .._ ..._ .._. ..._ ..... .._ .... ..... _.. __ ..... _._ ._ 1.23
LlNDFi:RI...F1YMEi:N'T _.. ._. .__ ._.. .._ ..- -- ..._ ..... .-- -- -... _.. .... .._ __ 0.9.i3
Pt..YWt:7[7t) -- -- -- - .._. .._. .._ ._. _.. ..... .... .._ _ .._ ..... ._ ._. .._ _.. p
:7D :C ST 11.88
Sf-IF=:6= T R(7C;K.._ .._ .._ ._. ..... ..._ ..... ..._ ..... ._ ..... ..... .... ..... .._ .__ .._ .... 0.58
c; _f 7: L.. L. F-1 ]: R -- 0,61
-I-111.A1_ "R" VAl_IJE;: -... .._ ._ ._.. ..._ .__ ._ . ..... ..... .... ..... ... .... .._ ..._ 15.91
1fF2 :_:: ^U" VAI....Ul:i: -. ._.. _ ..._ .... ... ..... ..... .... -- -- - -- - -- O.Ub.i
1.4{42t1 CF1Nl' . 0 IN3Ul_A7"ION ( 4=:NCL...C]i,E=.D )
f N`C'Ei:R 7: OR Fe I R._.. ._.. ..... ..... _ -- -- -- -- ..- .... - _.. _.. _. ._. _.. 0,68
f 1 N iSF I F-L..(JIJR I NC.a ._.. ._. ... . ..... ..... ..... ..._ .._. __. ._. _.. ..._ ._.. .... ._ 1.23
I1NDF:RI..AYMf:i:Nl`_.. __ __ .... ... ..... ..._ ..._ ._.. .__ ..._ .._ ..... _._ _.. ..... __ 0.92
PI--YW(]llL)
7:N`.>11L.AT:Cl]PJ_.. ._ . ..... .... .... ._. ._. _.. ._.. ..._ _... ..... _. ..... -- -- ._ ....,
19
SI-Ilc:[J:T 12fJCli..... ..?. .... -- -- -? __ .... ..... ..._ _... .... ._. .._. .._ ._ 0.58
c,TT L..I._ A ]: R 0.61.
Tc]TAL_ "R" UAL..U[_' ..._ _.. .... _. ... __ __ ... .- -._ _.. _... _._ . _._ .r_, .?,3.fl'3-
1./R :- "U" VAL..UE= .... _._ .... .... _... _... _... _... - ... ..... ..... ._. .._ _- - 0.043
? f?ti?gt: 6 [71'' 6
Thll'2U CF1N1` . P. MEi:ML3ER ( EXPCISFCl )
INfI::R:[OF2 A:f.I'2_._ C).E,B
F f N:[ `.Sf-I I..1 ...(:)Clf2 S NG 1.23
UNDF3R7.._AYM[::N7'.... 0.9:3
PLYWCI0I'7 ..... ._.. ._.. ._.. ._ ... ..... t)
70I , f ... ..... .... .... .... .... .._ -- -- -._ .... _... _._ _._ ..... J. 1 . E38
SHE:=F1Tt-I:I:NG -. .._ _.. ..... ._. .._ ..... .... .... ..... ._. ..... _.. _.. _.. ._. _.. _. 0
;Ol::rFrI..1.._- O.A'%
EX`fF._fZ[I:lf2 A]:R..... 0.77
I't:l'1'AI._ "IR" VAI._Uli=: 1.'_i .36
7/R :::: "U" V(-iL..IJGi: 0.065
TFiRU CAN l P :[NS;I.Jt_A '(ION ( r:xrr:FZZOR )
i N rf_:fR:c oR n t R..... 0.68
F"[NI53N F'LOORTNI:, 1.23
UNDE::RI_.AYMI:=:N1 _. __. .._ _. ._. ._.. ._.. _.. _.. ._.. _. ..... .._ _. _. _._ __ O.t?:3
.
PL..YW01]D -._ ._.. __ _._ ... . ._ .... ..... ..... ..... ..... .... ..... .... .... ..... ._ C)
[Nt>Ul_.(t`f:[ON-- ._.. ._.. 238
aSl-iI=.(aTH7:N1:3 .... ... ._ .._ .._ .... .... ._ .... ..... ..... ..... .... ._. .._ .... ..._ ._., p
„t(IFf=':I:'T .... 0.47
Ii-X1"1:-.f2:f.C71Z (-l:f.R- 0.17
_..--- - --------
1_O1 F01.... Ir VAl._UL=_ 41 ,48
iirz ::- "U " VAL..I.IF- 0.024
f= I L.f.= Nf1Mli_ ? I:_NI_:RGY .1:3HC
L4,)IJ6
CITY OF EAGAN
3830 PIIk7T itcZOB ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
FOR CITY USE ONLY
PERMIT #
RECEIPT # V , 9?
DAT$:
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION
NEW CONST _
ADD ON
REPAIR
OWNER NAME: Q.L/. ?? Ut/
SITE ADDRESS? JCisS nd'7au,.i.i.?
LOT: I,-,?2 BLOCK / SUBD.?.
INSTALLER: ? ?
?'-- ?x:
ADDRESS: HEnTIIaGbrJ??C':JIiIOiYINGCO.
CITY: NINNEAFOL!S;19N2?f :
PHONE #
PEES
ADD-ON MINIMUM $15.00
HVAC 0-100 M BTU 24.00
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS - MINIMUM 3.00
OF 1 PER PERMIT
SUBTOTAL: $
STATE SURCHARGE: .SO
TDTAL: $ ?S. o
SIGNATURE OF PERMITTEE
?LEASE COMPLETE THIS PORTTtiN r0R ALL COMAlEkCTnL/INDDSTRIAL BUILDINGS,
APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING UNIT.
-------------
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:
LOT: BLCC,K
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE #:
FOR:
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE _ $.50 FOR
EACH $1,000 OF PERMIT FEE,
PROCESSED PIPING = $25.00
$25.00 i3INI;4Ut4 FEE.
CONTRACT PRICE x 18 $
STATE SURCHARGE
TOTAL:
$
(SIGNATURE)
CITY OF EAGAN
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612)6814675
INSPECTION RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
B urL oLN e
920)255
01126193
SITE ADDRESS:
LOI: 0012
3985 NORTHV:CFW 7"EF2
l F}:IPdf3'TOP! ('F1Rh:V1EW
PERMIT SUBTYPE:
F7REPLAi:E
Rr.mAr?Ks: Rrct_:iPr 1r
6 L o c K. 00 0?PPLICANT:
HFR-!'-N-GLO FIREPLFICES
(612) 890-0753
TYPE OF WORK:
NEW
DEscr?IP'r:i oN rris
? ?
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
? -?
EUTI..D'1"fdG
4i?0 2 SG
0 1 J2?.? iS:i
51TE AQDRESS:
3 9 81 5 r,!0R1-siV1rb.1 rt= R
!.0-(:+ 41()7.2 S?L(1i.K : Gnn?r:jJ.
l.rY']:I'.lit'CJN PA?th:VTE4=a
I' a.I' e IV. e 10-45035-1245-01
DESCRIPTION:
rR5
f3ui;ldi+,c,, r' : rrni5: !".Ype t 1P E'1= L;4Cr.
? $t,tzlding?-`dW orl< Y"yp? NE?W
c. .
? '.
kti-
..? ..? ,. . f ?
.,,-? - .. _. ... `.. .... .:.1
REMARKS:
r? ccr:r.P r &
FEE SUMMARY:
'r; t3 ?:? F t= e ,. •, cs , 43 4n
S
?VO C H.l. 1:: e'. ?a 2 !n a=1? i:i
CONTRACTOR: -
WE 'r'' "I''- Ii - G I- f,7 F 7 F2 E f I'1 f.1 I:: S
38 F,+<7 6J Hl"ly l.;
8 IJ F2 N 5V ]: L L?. N N
fo7.;,) ,",c,r,_.0 ? S 'r',
A p wT ic?? ni: - s7e 1-1 COWNER:
1?f.?t?!3;'5u' E?i9?Z<?6GJ THOi+IA ? 8 '-i 1,401;.I..iiVIt=6J VFf?R
55357 WAGANI MU 55:L2??
( 61."' ) 6s;E3y51.
i ttereby aci.now1reclge that '[ fiavp reaci this upplictitxbn and stata that the
inE'nrmation is rtorrert ar.d agPee Cn cornp1y wit;Pz a11 agplicatrLe Stat.e of Mn.
Statutes an.d f.i,t;;r wfi Eag.an Ordirran; es:,
? -
APPLICANT/PERMITEE SIGNATURE
-?Ad ?,
ISSUED V: S GNAT RE?
REACTIVATE _
PERMIT 9 ` '
Iwo 104
CITY OF EAGAN
1993 BUILDING PERMIT APPLICATION
681-4675
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date Valuation of work 1156. 0„
Site Address: S no,Trt''?e.c, rraf?
STREET SU1TE Y
Tenant Name: (commercial only)
7AT ?_ BIACK ?_ SIIBD. P.I.D. 0
Descri tion of work: k -(r n; 7
The applicant is: ? Owner 1151?Contractor ? Other (Describe)
Name 4 ?? M?s a_-" Phone(o 5
Property LAST FIRST
Owner Address 3?i $5 ? 0 r-r ?j L/; ew te riq ce
STREET STE M
City f ck J?cc ..? 5tate 0'0 . Z i p 5:5- a
Company 1-Fc?. ,? . Gl a F', r,. 9( R C, S Phone S9 ?.. n 7Sd'
Contractor Address laSd w• N!L^4 ('j License #,-?G (a D Exp.
City 6-U ?tz State mn, ZjP
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 application and state that the information is
correct and agree to comply with all applicable 5tate of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant: -
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation O 06 Duplex ? 11 Apt./Lodgj:n ? 16,Basement finish
?
? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. 'C`?`17 Swim Pool
? 03 SF Addition ? 08 B-Plex O 13 Garage/Accessory ?[1 18 Comm./Ind.
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace I0 19 Comm./Ind. Misc.
? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility
O 21 Miscellaneous
WORK TYPE
? 31 New ? 33 Alterations ? 35 Tenant fin9sh ? 37 Demolish
? 32 Addition ? 34 Repair ? 36 Move '
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MWCC S ystem _
(Allowable) lst F1. sq. ft. City W ater _
UBC Occupancy 2nd F1. sq. ft. PRV Re quired _
Zoning Sq. Ft. total Booste r Pump _
# of Stories Footprint Sq. ft. Fire 5 prinkler _
Length On-site well Census Code _
Depth On-site sewage SAC Co de _
APPROVALS
Planning Build9ng Assess ments
Engineering Yariance
REQUIRED INSPECTION S
? Site ? Footing ? framing ? Insulation
? Wallboard ? Final ? Draintile ? Fireplace
Permit Fee Yaluetim:
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:
SAC %
SAC Units
f
rJ ?--
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EACAN
3830 PILOT KNOB RD, EAGAN MN 55122
651•881-4875
New Conetructlon ReaulremeMs
• 3 registared site surreys showing sq. tt. of bt, sq. ft ol house; antl ell roofetl areas
(20. ma)imum bt oDvarage allowed)
Q 2 copies of plen showUig beam & window sizas; poured tound desgn, etc.)
• 1Set of EnefgyC2lCUletions
• 3 copiB3 Oi TreB Presenrattipn Plan If pt platted atter 7/1193
. Him Joist Detall Optbns selection sheet (hldgs wilh 3 or less unAS)
DATE 7 .? -7 / 2
SITE ADDRESS -5 '"I ka5 1-4 a.`-r?v,
NPE OF WORK 4n,Tov\ (A?I
1-/ -sr,fslW
APPLICANT W? •? I? r?/ w? ?
Y
HemodeUReoalr Reaulrememe ?-"""
• 2 copies of plen
• 1 sef ol Energy CakulaNons for heated additbns
• 1 site survey for ezlerior additions & dacks
• Intliple it home served by septic system fot adtlilbns
VALUATION
MULTI-FAMILY BLDG _Y )!(,N
?LFIREPLACE(S) ZC 0 _ 1 _ 2
STREETADDRESS 20S 8q Sa g,,,,,,,,., _ ll CITY STATE Ud.nZIP
TELEPHONE #`frz --o - CELL PHONE ri S? G FAX # G 5?- -a SS - SSb`
PROPERNOWNER ("OA-- TELEPHONE#1o51-1o03-t°?ti1
------°---° ---------------------------------------------°-------------------°---°---------
COMPLETE THIS SECTtON FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RliLES 7670 CATEGORY 1 M n f
(q suhmission type) • Residential Ventilation Category 7 Worksheet Submitted • N?J a or ? hW
• Energy Envelope Calculations Submitted JUL 1 8 2002
Plumbing Contractor: Phone # _
Plumbing system includes: _ Water Softener _ Lawn Sprinkler ee:
_ Water Heater _ No. of R.I. Baths
_ No. of Baths
Mechanlcal Contractor.
Mechanical system includes:
Sewer/Water Conhactor:
Phone #
Phone #
Fee: $70.00
I hereby acknowledge that I have read this application, state mat the inf
with all applicable State of Minnesota Statutes and City of Eagan Ordin nce
Signature of Applicant
Air Conditioning
_ Heat Recovery System
and agree to comply
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
OFFICE USE ONLY
? Ot Foundation
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? 05 03-plex
? 06 04plex
? 07 OSplex ? 13 16-plex
? 08 OEplex ? 16 Fireplace
? 09 07-plex ? 17 Garage
? 10 08-plex ? 18 Deck
? 11 10-plex ? 19 Lower Level
? 12 12-plex Plbg_Y or _ N
? 31 New
PC 32 Addition
O 33 Alteration
O 34 Replacement
Valuation
Census Code
SAC Units
Nbr. of Units
Nbr. of Bldgs
Type of Const
1 `"_
?
? 20 Pool
? 21 Porch (3sea.)
X 22 PorchlAddn. (4-si
? 23 Porch (screened)
? 24 Storm Damage
? 25 Miscellaneous
? 35 Int Improvement ? 38 Demolish (Interior)
? 36 Move Bidg. ? 42 Demolish (FOUndation)
? 37 Demolish (Bldg)' ? 43 Reroof
'Demolition (Entire Bidg only) - Give PCA handout to al
Occupancy MC/ES ;
Zoning City Wa
Stories ` Booster
Sq. Ft. PRV
Length A;? Fire Spr
W idth
_ Footings (new bldg)
_ Footings (deck)
_ Footings (addition)
_ Foundation
Drain Tile
RooF Ice & Water Final
? Framing- -
Fireplace _ R.I. _ Air Test _ Final
? Insulauon
Base Fee
Surcharge
Plan Review
MClES SAC
City SAC
Water Suppy & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Approved By
,as
:D INSPECTIONS
FinaUC.O.
j? FinaUNo C.O.
Plumbing
? HVAC
Other
_ Pool _ Ftgs _ Air/Ga
_ Siding Stucco Stone
_ Windows (new/replacement)
_ Retaining Wall
? 30 Accessory Bldg
? 31 Ext. Ak - Multi
? 33 Ext. AR - SF
? 36 Multi
44 Siding
45 Fire Repair
46 WindowslDoors
Buikling Inspector
0 ?'
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERM!T
' PERMIT TYPE:
Permit Number:
Date Issued:
BurLozNr
024569
09/20/54
SITE ADDRESS:
3965 NOR1'HV;[EW TER
LUT: 6 BLOCK: 1
LEX7:NGTON PRI2KVIEW
F.I.N.: lb-45035-060--07.
DESCRIPTION:
Buil.dirig:. Permi't 'I'.Ype pECK
8uilding W"orl? fypcI NEW
.. , ?,.?,,,4 S? -.r?
1 i
s
; . .... -,? 1
i'
F c city oF
REMARKS:
FEE SUMMARY:
Base Fee
Surcharga
Total Fee
$30.00 ' . . ?. ?
50
$30.50 ?
C:UN I FiA(; 1 VFi:
OWNER: - Applicant -
UURSEY PE'iER
3965 NORTNVSEW 7ERR
EHGNN MN 55:123
(612)999-5577
I hereby acknowledge. Chat?''I' have -read,tHirs. app.lication and state that the „
information is correct"and''agree'to comply with all a'ppli,cable'State?oF'Mn.
St,atutes and City of Eaga.n U.rdinances.
,, .: .. _ ',.. , .
- ,?
APPLICANTlPE TEE SIGNATURE ISSUED B: SI NAUR -'
? 03 SF;4
? 04 Sf.,F
? 09 SF. N
$! 31 °I
?32,
GENERAL?-INF
,. ;
Const ?Actualy
?A1 owa6le)„
UBC ccupancy V,:
Zoning '. y
# of 5tories` .. ??
APPROVAk:S=
?..,
"???
Flanning
Engineering?? <
-' tr n , t"?"?'g`•
REOl1
? 5fte
? WalTboard+~.
c
Copi
Othe
?U???;?p?,FlE$?SE ONLY
rA?sr??,?tF.av4?
I "PCFi,t??,??=?y??g"s x ? ??o ?? ?„?p l Apt;/Lod` ? Q7 4 Ple '?? C? 12
Mult1 Misc p 17 SWim Poo,
;?
0 08'8=?1e 23 Garage%Accessory ? 19 Coiren./Ind.?
?
?19 12-?? x.,. ? 14 Fireplace ? 19 Coam./Ind: Mi
"""`?"?''YO Mu`?f'i, `'%Add'l. ?:. ? 15 Deck ' ? 20 Public Facilit
? 21 Mi scel l aneous . " .
. ,,i,_? .:...... i?....?.?,:,..
I
L:oo?
33'Rlte tions "13 '35 Tenant."FinishDemolish?"
0, 34..Repair ? 36 Move
rAATION c
y l? 4 f?„`" .2 tt 2? Pd2C?j/,
Basement_sq. ft,. MWCC ys?em . °
13t Fl ;sq ft City Water
. . . ... . .. . ... .
.i .
h 2ntl f1 "'sq ft PRY Required ;
t, P Sq IFt ;.:total .: ,. . Booster ,Pump,
Fire .5pr,inkler.,
:On i ite,well - ? Census Code On si te sewage"?'? ' ?SAC Code Censusk,Bldg i
Census On1t .. ` '' . `.. . . . . .. _ ._ , ' ' ' ,
Bnildin c ,. 4 ry, l Assessinents'
Yartance
B '
,.
CTIONS?
Footing? ' 0 framing ? Insulatian
w=t
°0 Ftnat 0 Oraintile ? Fi'replace `
?
.
,
. _.. «.?.., ,,.. >,...; h . ? ,.a.- , ...... _., . _ ..._.«_. ._:._. __.-. ,,,.? . y` .:. _.»,,;.. .. ,. s... _ _....,.. , . _.. .. . . . __ _ ^:. . -. . ?
, ..._. . ..,,.;..:. __._.. _ _. .. .
?,r.? . . a • ' ...,,.?.,.. , . .. .... .. .
y . .
on`ny? Lry -
epaslt,?
?
?x
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`.,..: ,.:,..__. ... .,. ._,:., _ :.;._ ;.... ,.
a n:, °
4 ?•mv?> a
-
. -:.>.i:; ?7
i ..
? s?k ?? .
. . .
"• r ' . $ ;
, , . ? . .... . . . ..?'nY ?' ' . ,
Pemut Number
MECcheck Compliance Report
2000 Minnesota Energy Code
MECcheck Software Version 3.3 Release lc
Data filename: C:\Program Files\Check\MECchecklDorsey Whole House.cck
TITZ.E: Dorsey Whole House Calc.
COUNTY: Dakota
STATE: Minnesota
ZONE: 2
CONSTRUCTION TYPE: Single Family
DATE: 08107/02
DATE OF PLANS: 8(6/02
PROJECT [NFORMATION:
Peta & 7i11 Dorsey
3965 Northview Terrace
Easan MN 55122
COMPANY INFORMATION:
Millennium Construction
20589 Jasmine Path
Lakeville, MN 55044
COMPLIANCE: Passes b/o4c r*asw
Maximum UA = 327
Your Home = 270
17.40/o Better'1'han Code
Ceiling 1: Raised ar Energy Truss 1506
Wall 2: Wood Frame, 16" o.a 2206
Window 1: Above Grade, Vinyl Frame, Double Pana 269
Door 1: Solid 60
Basement Wall I: Mazonry Block with Empty Cells, 8.0' hU6.0' bgl8.0' insul
640
Floor 1: All-Wood Joist/Truss, Over Outside Air 126
Propoaed and Maximum U-Factor Averages
Checked By/Date
Glazing
Cavity Cont. or poor
R-Value R-Value U-Factor UA
38.0 0.0 38
19.0 OA 111
0.320 86
0.030 2
Gross
Area or
Perimeter
19.0
30.0
Proposed
Average U-FacWr
0.0 29
0.0 4
Ma7cimum
Allowed U-Factor
Above-Grdde Windows and Glass Doors 0.320 0370
Includes Foundarion Windows > 5.6 KL
COMPLfANCE STAT'EMENT: The praposed building design described here is consistent with the buildiug plans,
specifications, and other calcularions submitted with the permit applicarion. The proposed building hes been designed
to meet the 2000 Minneso nergy e requinements in MECcheck Version 33 Release lc and to comply with the
mandatory requirements 1' e in e Ccheck Inspecdon Checklist.
Builder/Designer Date ? ???
r
f 'TRI-LAND C0.
SURVEYING
SERVICES
1260 YANKEE DOODLE ROAD
EAGAN, MINNESOTA 55122
SITE PLAN FOR-
BUTLER HOUSING
LEGAL DESCRIPTION: LOTI?,,BLOCKJ-, LFXWCTON PARKVIFW
ACCORDING TO THE RECORDED PLAT
THEREOF naKOTA.. COUNTY,MINNESOTA
SCALE; I"=40'
1^
%a
/ xYPV_uo ,' \
? / h.'•.. i i?,
4??k'° L_.
v?
/ 1121 ?
I r
? f5
I I 4!
h
, "P ? 9ce. ?9
\ $S? ?
? , .o.
Z
?
i !..? ? -r
L 1
iJ
I I e? . . . . . .. ? .._. ?.. ;
ft) DRAINAGE
r
?
?
LEGEND
o DENOTES IRON MONUMENT
o DENOTES WOOD HUB SET
DENOTES EXISTING SPOT
ELE VATION
DENOTES PROPOSED SPOT
ELEVATION
? DENOTES DRAINAGE DIRECTION
1 hereby certify tAat this survey, plon or
rsport was prspared by me or under my
dirsct supervision and ihat I am a duly
Repistered Land Surveyor undsr ihs
Laws oi the State of Minnesota.
W
? UT!LITY
M EASEMENT
?
?
e
O1 ?
°D 47.80
? N 0°0?'02"
/ Vj
( W 8-j^87
M
P N
M ?
NPROPOSED SPLIT ENTRY
INVERT ELEVdTaON AT SERVICE EXTENSION=
PROPOSED GARAGE FLOOR ELEVATION= 90?
PROPOSED FIRST FLOOR ELEVATION = 909 -
PROPOSED BASEMENT FLOOR = 9°5 --
ELEVATION
NOTE ? VERIFY ALL FLOOR HEIGHTS WITH
FINAL HOUSE PLANS
?? /-/.C?d ?L!•,.r.? ?._ L 'i:.i.-..
Brodley J. 406on-, Mn. Rep. No. 15235
oate : --L4y
I I
c:rrv OF F ni,aN
CA:iFI:Cl:=1i; S TI_:FiMINAL NO6' 541
DAlk.a 0£3/27/96 TTMF.C.r 14:5008
TD a
NFlMIi c F1Lt.TL'.D FZI;LSID[ :f.t.!r'
3210 9001 3965 NI71;11-IVIEiW 'r.?5.00
2i.55 900;. 39c'a5 NpF'744V:C'L':N1 0.50
3210 `JO[J:I. 4£80 CAMY3FiTDGE. 25,00
20.`..i 3001 4680 CAMHfz.7:T?liE 0„50
7nta:l. ftec•eipF, AmourN:; Ei:I..DO
CP f:)[,33 0
l,1SIF:R IDN NANCY
J
: -- . - PERMIT ote ° 6SE 3 1.5
CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55122-1897 Permit Number: 0 2 8 6 7 8
(612) 681-4675 Date Issued: 0$/ 2 7/ 9 6
SITE ADDRESS:
3965 NORTHVIEW TER
LOT: 6 BLOCK: 1
LEXINGTON PARKVIEW
P.I.N.: 10-45035--060-01
DESCRIPTION:
GAs
B'U?1`dx?*g,Parmit Type FIREPLRCE
M ?iXdznq `Work Type NEW
.C-{740'?4!,?434 flLT. RESIDENTIAL
?
' ?w
c.
REMARKS:
FEE SUMMARY:
8ase Fee $25.00
SurcMarge $.50
Total Fee $25.50
CONTRACTOR: - Applicane - 5r. Lzc.OWNER:
HEA7-N-GLO FIREPLACE5 18900758 0002960 DORSEY PETE
3850 W NWY 13 3965 NORTHVIEW TER
BURNSVILLE MN 55337 EAGAN MN
(612) 890-0758 (612)683-1981
?
'I her
;itsf aC
SCBtu
?
APPLICANT/PEFMITEE SIGNATURE
F ?p T ?
? ew. e. ? ?l • . ..n _. . ,. ` i P ... ?.....?.t
?
. ISSUED BY: I NATURE
Sb
CITY OF EAGAN
7 ?S
3830 PILOT KNOB RD - 55122
1996 FIREPLACE PERMIT APPLICATION
687-4675
DATE: ?/Z 3 <-
DESCRIPTION OF WORK: ZQ INSTALL MW FIREPLACE: _ WOOD BURNING ? GAS
_ INSTALL GAS LOG ONLY IN EXISTING FIREPLACE
OTHER:
AREA TO BE INSTALLED IN: Le?udy2- Lalts-? 9*"sc"oswy Alzg?
STREET ADDRESS: -3 1N 0 Y/'T" 1/ (?
LOT ? BLOCK ? SUBD./P.I.D. #:
APPLICANT: (circle one only) OWNER
I hereby acknowledge that I have read this application and state that the information is correct and agree to
comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
PROPERTY
OWNER
FIREPLACE
INSTALLER
_ INSTALL GAS LINE ONLY IN EXISTING FIREPLACE
Name-,z)&V-S6`1 9Phone #4$ 3,1987
4DT FIRST
Signature:
Street Address-376 6
City: L-SAGM-,? State: ? Zip: 5"9-1 2,_3
? // ? ? 81Q0 -o7-S8
Company:?F??bf.`7nc?ir?"? ? Ca,?n?nC-Phone #: 6 33 /
Signatu
. ?
Address:3BS -w-I'f
GAS LINE
INSTALLER
License #- lb 6 8
City?v?'L.n1 State: /kA,1 Zip• '3'?
Company:
Name:
Signature:
Street Adc
Ciry:
Phone #•
State: Zip:
OFFICE USE ONLY
BUILDING PERMIT TYPE
0 14 Fireplace
WORK TYPE
0 31 New
0 32 Addition
? 33 Alteretions
0 34 Repair
GENERAL INFORMATION
Census Code.
SAC Code
REMARKS: Chimney/flue must be inspected before concealing.
FEES
Permit Fee
Surcharge
Other
Copies
Total:
CITY USE ONLY
L ? BL RECEIPT #: 0
SUBD. RECEIPT DATE:
PERMIT #
1999 PLUMBllvH PEiMIT (ftESIDENTIAIa
Cl7'Y OF EAfiAN
S$SO P[LOT KNOB iiD
fAflA1v, ?tttx 55122
(651) 6$1-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES
TOTAL
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
Gas i in Dutlet ' minimum - 7 3.00 X = $
Hot tub/s a 3.00 x = $
Kitchen sink 3.00 x = $
Laundr tra 3.00 x = $
Lavator 3.00 x = $
Minimum fee alterations to existin dwellin 30.00 x = $
Private Dis osal S stem newlrefurbished ' re uires MPC iic. 75.00 x = $
Private Dis osal S stem abandonment 30.00 x = $
RPZ ' new installation/re air 30.00 x = $
Rou h o enin - 1.50 x - $
Shower 3.00 z = $
Under round s rinkier if dwellin is under construction 3.00 x = $
Under round s rinkfer if existin dwellin 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x = $
Water softener if dwelling under construdion 5.00 X = $
Water softener if existin dwellin 30.00 x = $
Water turnaround 30.00 x ---- _ $
State Surchar e .50 --> ----> ----> $ 50
TOtal --' --' ----' ----> $
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
-
-
-
-
-?------a--?--?------------------- - ----------------- -- - -- -- - --- -- - -- - ----- -- - --- ---- --
-s.
- City-of E-agan-ordina- nce-
I hereby cknowledge-that I have-read-this- appli-
-cati-on,-state-fhat-fhe-information is-
-conect, and-agree-
- to comp-ty with-all applicable-
It.is the applicant's responsibility to notiy the property owner that the City of Eagan assumes no liability for any damages caused by the City during its
normal operetional and r -?-'-? -der this permit within City property/right-of-wayfeasement.
DORSEY,PETER
SITE ADDRESS: _ 3965 NORTHVIEW TERRACE
EAGAN, MN 55123
OWNER NAME:.: _ (651) 683-1981
JNSTALLER.NAME:
STREETADDRESS: (612) $27-40$3
- 2905 GARFIEID AVE. SO.
CiTY: nsIunIceIII 10 Re?I gZr,dna
EACH #
TELEPHONE #:
_ (AREA CODE)
TELEPHONE #:
- (AREA CODE)-
STATE:
ZIP:
SI E OF PERMITTEE
' U
• PLUMBING PERMIT (RESIDENTTAL)
CITY OF EAGAN
3830 PILOT KNOB RD
FAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
COND05 WEEN PERMTTS ARE .REQUIRED FOR EACH UNTT.
11
SITE
OWN
NO. FIXTURES
L_ SHOWER
WATER CLOSET
? BATH TUB
LAVATORY
? KiTCHEN SINK
f LAUNDRY TRAY
- HOT TUB/SPA
T WATER HEATER
? FLOOR DRAIN
I
? GAS PIPING OUTLET •
ROUGH OPENINGS
WATER SOFTENER
PRIVATE DISP. • n?.ay. lic-
U.G. SPRINKL.ER • home under concL
ALTERATIONS • w cdscioe
WATER TURN AROUND
EACH TOTAL
3.00
3.00
3.00
3.00
3.00
3.00
3.00
3.00
3.00
3.00
1.50
5.00
15.00
3.00
15.00
15.00
?-
3.
INSTALL.ER: GENZ-RYAN PLUMBING & HEATING C0.
ADDRESS: 14745 South Robert Trail
CITY: Rosemount STATE: Mm ZIP CODE: 55068
PHONE #: (612 ) 423-1144
n
U
STATE SURCHARGE .50
,i, _ ..
J r.
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS Wf-IEN PERMITS ARE REQUIItED FOR EACH UNIT.
? NEW CONSTRUCTION
ADD-ON A/C
ADD-ON FURNaCE
DATE (0 - 3`
FEES
HVAC: 0-100 M BTU $ 24.00
ADDITIONAL 50 M BT'U 6.00
GA5 OUTLETS (MINIMUM 1 @ $3.00 EACH)
ADD-OIv'/REMODEL (EXISTTNG CONSTRUCI'ION) $ 15.00
STATE SURCHARGE .50
TOTAL c h?? J
SITE ADDRESS:?(4 ?n? I7J??'YN Tif-r(' G C' p- -
OWNER
WST
CTI'Y: 'r C."' 'C `(Y? L
TELEPHONE #: ?
TELEPHONE #:
S
STATE: P2 ll? ZIP CODE: ?S S U
1770 irm%.antN iLnl, rr,xivui kxa,Lmrrviuw)
C1TY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4675
1993 MECHANICAL PIItMIT (C0MIIVIERCIAI,)
CITY OF EAGAN
3830 PII.OT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR ALL COIvMERCIAI/INDUSTRIAL BC
FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY Bi
PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNTT.
ALSO COMPLETE
WHEN SEPARATE
TJATE:
NEW BUILDING
INTERIOR IMPROVEMENT
WORK DESCRIPTION:
C_=CNTRAC'!' ?RICE:
FEES
1% OF CflN7'RACT FEE $
PROCESSED PIPING: $25.00
MINIMUM FEE: $25.00
STATE SURCHARGE $.SD FOR EACH $1,000 OF MRMTT FEE.
TOTAL $
SITE ADDRESS:
OWNER NAME: TELEPHONE #:
TENANT NAME: (IMPRpVEMENTS ONLl)
INSTALLER:
CITY
STATE: ZIP CODE:
TELEPHONE #:
SIGNATURE OF PEF:MITTEE
?
cPf ?'
? 33?
T E ,?,
? ' ?,?
:
2006 RESIDENTIAL MECHANICAL rExMIT APPLicarioN
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
I'Ica.c complete for: sinale Fnmily dwellinos & townhomes/condos when penniCS are required for each uniL
t
D
l0 ? D b
e
a
S,te ,,ddress ?6 5 t?l ? r? vr o,w ???x eel
Un,t #
Prnperty Owner ? 'Pelcphone #
? ?
l/W
Contractor rr
1
Sh-cetAddressq)?
?.
City
State Zi Tele
hone#t
p p
13und tl: Cxpires:
I
The Applicant is _ Owner /Contractor _ Other
Add-on a, alteration to existing d
welling unit $ 30.00
`
? furnace ? Additional _Replacement _ New
air exchanger F Q W ?
air conditioner H
-
heat pump MAY
1 6?:,` ;-
other
StateSurcharge $ .50
lbtal $ ?
I hereby apply for a Residential Mechanical Permit and acknowledge that the ioformation is complete aod accurate; Chat the work will
he in couformaoce with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I uoderstand this is not a
permit, but otily an application for a permiY, and work is not to start without a permit; that the will be in accordance with the
nppr2ved plan in the case of work which requires a review and approy? of?lans. 11
npplicant's Printed Nanie ' Applicant'
0()q b 1
2007 RESIDENTIAL PLUMBING PERMiT aPPLicaTioN
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
i ?
l? ?
Please complete for modifications to existing residential dwellings. Do noP combine inside and outside
plumbinq on the same application; seaarate aqqlications and permits are required.
Date V 0 I [,?
Site Street Address Unk #
Property Owner v?`1 Y?? t. Telephone #(?') V! o?• I? I
Applisnce ConneCtions Inc
Contractor 1212 n?nota r+. Telephone# ( )
Address Cityr State 2ip
952-445?803 `/
The Applicant is: _ Owner & Occupa? v Licensed Plumbing Contrector
Septic System _ New _ Refurbished Submit 2 sets of pians and MPC license Includes County fee
E 100.00
Per as-built $ 10.00
Fire Repair (replace bumed out Tnctures, etc.) $ 90.00
This fee a lies when extensive lumbin re airs are made to a buildin .
Alterations to existing dwelling $ 50.00
_ Add piumbing fictures to main level lower level. This fee includes
installation of a water softener and/or water heater at the same time. If you are
installing on/v a water softener and/or water heater, do not complete this section;
move to the next section and place a checkmark next to the appliance(s) you are
installing.
_Septic System Abandonment
_ Water Tumaround (add $136.00 'rf 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
Total g L J y??
I hereby apply for a Residential Plumbing Permit and adcnowledge that ihe infortnation 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 un ' rmit, but
only an application for a pertnit, work is not to start without a pertnit and work will be in accorda ?vp? ??pFb?dle event
a plan is required to be reviewed and approved. 15 !J lJ
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA137932
Date Issued:07/29/2016
Permit Category:ePermit
Site Address: 3965 Northview Ter
Lot:6 Block: 1 Addition: Lexington Parkview
PID:10-45035-01-060
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
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 -
Justin Nielsen
3965 Northview Ter
Eagan MN 55123
(651) 788-2349
Pronto Heating & Air Conditioning
7415 Cahill Rd
Edina MN 55439
(952) 835-7777
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA167957
Date Issued:04/05/2021
Permit Category:ePermit
Site Address: 3965 Northview Ter
Lot:6 Block: 1 Addition: Lexington Parkview
PID:10-45035-01-060
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. We encourage you to retain an electronic copy of
photos until the project passes a final inspection.
*Roof permits issued between December and March will be inspected in the spring or when weather warms up.
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Justin & Whitney Nielsen
3965 Northview Ter
Eagan MN 55123
(651) 788-2349
New Life Contracting Inc.
814 Grand Avenue
St. Paul MN 55105
(651) 336-9966
Applicant/Permitee: Signature Issued By: Signature