4010 Northview TerINS PE C TI ON RE C ORD I Control No. li[A
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT TYPE: atiliplMp
Permit Number: *0 Y yni
Date Issued: 19/ O 9 I g 2
SITE ADDRESS:
4010
ttxrNoroN
1 [} 1' c 6
llpAl"HVxElJ TER
PARKVIEI,I
PERMIT SUBTYPE:
frlASf Mf1Yl i iNISH
APPLICANT: ?
Ic{;,?I -, NA CONST* J
(612) e66--f288
TYPE OF WORK:
ALTEkAT YON
?
?
Permn No. pwmrK ?+ower Debe Tebphare i
S/w
PLUMB{NG
HVAC
ELECTRI ? r.?_II t ? /0 ?? •? ??
ELECTRIC
In:pectlon Data Insp. Comments
Footirge I
Foundation I
Framing 2 I
Roofirtg ?
RouQh Pfbg.
Rou6?i Ht9•
laul.
Fke*ce
Rnal Hlg.
Orsat Test
Finel Plbq. ? lkl Plbg. InepgaWr- NvGtY PlumbAr
Cons4 Meter
EngrJPlan
Bldg. Flnal ! Z
Deck Flg.
Deck Finel
Well
Pr. Di9p.
. .?
:ONTRACT PRI
ite Address
ot I
? Name
?o Address ?
c
Name
PLUMBING PERMIT
CITY OF EAGAN
3830 PILOT KNOB ftOAD, EAGAI
_ PHONE:454-8100
, ?; BLDG. T
--5 Sec/Sub_ z . Res. -
Camm.
Phone
COMM/IND FEE - 1% OF CONTRACT FEE "
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APPUES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PEFiMIT PRICE GOES
FOR: CITY OF EAGAN
Other
PERMIT # ' -
RECEIPT #
55122 DATE:
WORK DESCHIPTION
New ?
Add-on
Repair
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO? FIXTURES TOTAL
,?VYater Closet - $3.00
? Bath Tubs - $3.00
?Lavatory - $3.00 -
E?_Kitchen Shower?- $3.00 Sink - $3.00
UrinallBidet - $3.00
4_Laundry Tray - $3.00
? Floor Drains - $1.50
-?Water Heater - $1.50
Whirlpool - $3.00
ZGas Piping Outlets - $1.50 ? j
(MINIMUM - 1 PER PERMIT)
Softener - $5.00
well - $10.00
Private Disp. - $10.00
?Rough Openings - $1.50
FEE ? e`"?)
„
STATE S/C: ? -"GRAND TOTAIL: , ?-? ` j
, PERMIT #
' ' . MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN
3830 PILOT KN08 ROAD, EAGAN, MN 55122 DATE:
;ONTRACT PRICE: PHUNE: 454-8100 9
5ite AddreSS -? I'`I t ? ?
Lot Block '_ Sec/Sub
BLDG.TYPE
Res. ?
Mult
Comm.
Other
WORK DESCRIPTION
New V
Add-on
Repair
? Name
? Addre
c City _
?
3
p Name
Address ` -
City
,
Phone -
TYPE OF WORK
Forced Air ' M BTU
Boiler M BTU
Unit Heater M BTU
Air Cond. M BTU
Vent CFM
Gas Piping Outlets #
Other
FEE:
S/C:
Rf :
;? .
TOTAL:
?-
r?!_`a.
FEES
RES. HVAC 0-100 M BTU -$24.00
ADOITIONAL 50 M BTU - 6.00
• ? (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PEkMIn
- 1.50 EA.
COMM/IND FEE - 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/C IF PERMIT PRICE GOES
BEYOND $1,000)
?
SIGNATUREOF PERMITTEE
FOR: CITY OF EAGAN
,? • .
?
(Itrti#iratt af (Orrupanry
Citp of (tagan
19P}tw''bltPltf Df 3WMtttg l1uWPtftDri
This Cenificate issued pursaant to the requirements of Section 306 of the Uniform Building
Code certifying t1w1 ar the tinre of issuance this siructure was in compliance with the various
ordinances of the City regulating building corutruction or use. For the following:
uk amkuuao ::; ;.Ir++?ew& hrmit No. ' 5524
p-WwY n'Pe zoning niav;a Type canse.
Owna oc Bwlding . iFX trLtd)_ Add" W."
eW7d?naarc? 4f)10??' ?? r?6, B3, IF..?. ?:??t'?r:?.7
. n,te: cYJMW 27. 1g'.
euaaung offww
POST IN A CONSPICUOUS PLACE
R? TI?rA?TED FUR DECK 5/19/89 CITY OF EAGAN
4???N C??830 Pilqt Knob Road, P30. Box 21-199, Eagan, MN 55121
PHON E: 454•8100
BUILDING PERMIT Receipt#
To be tised for Est. Value Date ,19
Lot Block
Parcel
ac Name
W
= Addre
3
0 City _
,0 Name
? ? Address
? City Phone
a
W W Name
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 Ciry of Eagan Ordinances.
Signature of Permittee
A Building Permit is issued to:
OFFICE USE ONLY
On SRe Sewaye Occupancy
MWCC System Zoning
On Site Well (Actual) Const
City Weter > (Allowable)
PRV Required # of Stories
Booster Pump Length
Depth
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr./Assess. Permit
Planner 3urcharge
Council Plan Review
Bldg. Off. SAC, City
Variance SAC, MWCC
Water Conn.
Water Meter
Roed Unit
Treatment P1
Parks
TOTAL
• Pe?mlt No. Permit Holder Oate Tetephona it
Plumbing , )L
.
H.V.A.C. 9//,
Electric . a?? y 'J ? • ? ,?L?
Saftener
Inspeetlon oaee Insp. Comments
Footings I a9 " w
Footings 11
Foundation
Framing ?
Roofing
Rough Plbg.
Rough Htg.
Isul. ;e
Fireplace
Final Htg.
Final Plbg. ? _ -
Bidg. Final
Cert. Occ.
I
1112
Temp. LP
Deck Ftg.
Deck Final .-31-I
Well
Pr. Disp.
L
CASH RECEIPT ¢ ;.
CITY OF EAGAN
3830 PILOT KNOB ROAD
1EAGAN, MINNESOTA 55122
DATE 19
FRW
?
AAAdUNT $ •? '
. ?
& DOLLARS
,m
0 CASH C1 CHECK
?
Fllll
,
. ?
, •
FUND OBJECT AMOUNT
??f ??n
' hl? fGG C l.'
?3 / '
-r
, ; .
Thank You ,
sv ` i ,,,%
White-Payers Copy
Yeibw-Postin9 CoDY
Pink--- Rle Copy
CITY OF EAGAN
3830 Ptlot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PH O N E: 454-8100
BUILDING PERMIT Receipt #
To be used for Est. Value Date '? ? ?' ? `• - ,19 ???-
Site Address 4()1', TB3tRACE OFFIC E USE ONLY
Lot BloCk 3 SeC/Sub. L?-???aJCfC??? rAkPIi i: On 5ite 5ewage Occupancy •-3 H-'i
MWCC System V Zoning L'J t?-1
Parcel No. V-h
On Site Well (Actual) Const
cc Name ,- "-;,'- "ILLFR COt?STRtlCTIQN City water X_ (Allowable) V-N
W
2
Address 1E333 CLD" AVE S PRV Required # of Stories
00
?
?N Phone 431-2001
City
Booster Pump
Length
??
'
Depth 54
o Name SFME S.F. Total
,
0 6 Address Faotprint S.F.
? City Phone APPROVALS FEES
? CC Engr./Assess. Permit 542.()0
WW Name
46
?
? = Planner Surcharge •
?a Address
' Council Plan Review ?? i•(H}
Q W City
PhOne gldg. Off. SAC, City 100.00
I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC 550.00
information is corfect and agree to comply with all appliCable State of Water Conn. 550.00
Minnesota Statutes and City of Eagan Ordinances. Water Meter 67•00
Signature of Permittee Road UNt 325.0
0
A Building Permit is issued to: JUL MIT.I.T.:.ri WN5TRUCTI 1;:1 Treatment P1 204•00
on the express condition that all work shall be done in accordance with all
appGcable State of Minnesota Statutes and City of Eagan Ordinances. Parks
2
?
Building'Official TOTAL ?
CASH RECFIPT -?
CITY OF EAGAN
3830 PILOT KNOB ROAD
, .4 EAGAN, MINNESOTA 55122
DATE 19
rEcerveo
FROAA
AMOUNT $
O CASH
f7r--CHECK
FM
I I -P
BY " ?
& DOLLARS
loo
wnne--PaYom C*ar
veiww-Posnny cocr
Pink-Flle Copy
Thank You
? - -------?.?T..
CITY Ff EAGAN Permit No: 11 Date: ??-^R
3830 Pilot Knob Road g/pNo. t`S1341 F. '; _Sa
P..O. Box 21199 Date:
Eagan, MN 55121
Owner.- M 2Lr,.
Site Address: Northview iTerracs+ T c-,
Plumber. r lvmOutt? Plumbin4
MWCC: 550. 0f1nr1 Zoning-
Ciry Chg: 110• 0r,F'' No. of Units:
Acct Dep: 15• O(?p4
Permit Fee: • QP<i I agree to comply with the Ciiy af Eagan
Surcharge: • S P d Ordinances.
By
SEWER SERVICE PERMIT
. r....,,,.,.,,,.. "T?
' Gr EAGAN Permit No: ``??9' Date: 9-2,Z
J
? Pilot Knob Road Meter No: Size:
Box 21199 Reader No:
in, MN 55121 Date:
ce
inn. Chg: _ r31. 041++A Zoning: 711
ct Dep: ?•''n No. of Units: 1
•1?
.
rmit Fee: _ 1'? ?
rcharge: I agree to comply wifh the City of Esgan
Plant '• ? Ordlnances.
-ter.
bt Knob Road B/P No:
x 21199
M N 55121
Date:
Date: -
U 450. Ord zaning•
;hg: _100 gOpa- No. of Units:
DeP: i S- onrd
T I agree to comply wNh the
t Fee: 0_ 0011,i
., . Ordinances.
By z ,
SEWER SERVICE PERMIT
CITY 05 EAGAN Permit No: Date:
3830 Pilot Knob Road Meter No: &D '0?O g1Ze.
P.O. Box 21199 Reader No: (?!7& 4 U" Date:
Eagan, MN 55121
Site Address: 011 il Nnrthvieu "?,"r?' ?t _ l,i::• -
Plumber. p1 Av,,,,rh P] tgmh in, ?-?
Conn. Chg: 55Q . pA.ad
Acct Dep: 15, '^'Q-.a
Permit Fee: t op,d
SurChBrge:
Tr. Plant
,.?
Meter.
Misc.:
Zoning:
No. of Units:
I agree tc comply with the City of Eagan
Ordinances.
By ?
WATER SERVICE PERMIT
CITY OF EAGAN (v2 15 5 2 4
3830 Pflot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE• 454•8100
BU,ILDING PERMIT Receipt# ae u
To be used for SF DWG/GAR Est. Value $92, 000 Date AUGUST 26 ,19_$8__
Site Address 4010 NORTHVIEW TERRACE
Lot ? 6 Block 3 Sec/Sub. LEXINGTON PARKVIEI
Parcel No.
W Name .TOE MILLER CONSTRUCTION
3 = Address 18133 CEDAR AVE S
° City FARMINGTON Phone 431-2001
¢ Name
.O
? a Addre
? CitY_
?a
"w Name
ww
i? Addre
1aw CitY-
I hereby acknowledge ihat I have read this application and state that the
information is correct and agree/tq compy with aF ap licable S[ate of
Minnesota Statutes and City of Fa4an Ortlihances ?
Signature of Permittee ._1,_ _
A euilding Permit is issued to: JOE M LER C014SS$USTIS?I
ontheexpresscontlitionthatallworkshal edoneinaccordancewi[hall
applicable State of M_in.n?e.sota StaNtes a.ntl City of Eagan Ordinances.
Builtling Official_n 11??J,;(?,.? 1 Wi11 ?.
OFFICE USE ONLY
On Site Sewage _ Occupancy
MWCCSystem _X_ Zoning
On Site Well _ (ACtuap Const
City Water _$_ (Allowable)
PRV Required _ # of Stories
Booster Pump _ Length
Depth
S.F.7otel
Footprint S.F.
APPROVALS
Engr./ASSess._
Planner _
Council _
BIdg.Off. _
Variance _
FEES
Permit
Surcharge
Plan Review
snc, ciry
SAC. MWCC
WaterCOnn.
Water Meter
Road Unit
Treatment P1
Parks
TOTAL
R-3 M-1
PD R-1
V-N
V-N
46'
54'
542.00
46.00
271.00
100.00
550.00
550.00
67.00
325. Qa
_29_4 -Q4
2,655.n0
This request void //$?/? Sa? /?. Q
1B rrqnlhs from (L? ? V
E 2 0 2 9 5,C ilo? ?4 3'0 09-
Rr.quest Date
, Fire No. Rouph-i Inspection
Aequiretl?
?Aeady Npw?Will No?ily, Inspec-
$ g Yes ONO 1or When qeadV
}?Licensed Eleclrical Comractor I hembv repuast insoection oi ebove
j Owner electrical work installed ac
Street AdAress. Bon or Ravte No.
i T
dl0lo Ne
-4
1 City
l
4,
1
t.-I. 40 -e 4
ecuon o. Townshio Name or No. Range No. Cpf?unty v I
I?lq LeT4
Occupant (PRINT?)y Phone No.
s;?/ ^o'7601
Power SuOVlier !? r
f? I'D?`Fnic Atldress /
ElecVical ConVacmr ICompany Neme)/
?
EI
T Contrar.tor'S License No.
z//6 Q
dG
x iC
! A G
Ma-ling AtlJress (COnlrecmr or Ow r Makin Insteilation) r
c?SOZ? 6aun ?e4? ?2 gunn sUc ? ?r ?i?? ?s3?T
Authorized Si ture (Con aclorlOw er Makiny Installalionl Ph g?oe-??
Q
CTRICITY THIS INSPECTION REQUEST WILL NOT
MINNESOTA STpTE BOA
o?R
Grip9s-Midwey Bldg. - oom N-191 BE ACCEPTED BY THE STqTE BOAflO
1821 U.iveraitv A,iie.. St. Paul. MN 55104 UNLESS PROPEN INSPECTION FEE IS
Phone 16121 642-0800 ENCLOSED.
REQUEST POR ELECTRICAL INSPECTION ea-ooooi-os
? /'?
1? v
? Seo inslrucllons lor completin9 this fwm on b»ck of yellow copy. 0
E'20295 "X" Below Work Covered by Thrs Request 636(Q
Adtl fleD? TVpa or euiiaina P.DOliance! Wued Equipmenl WireA
Home Ranye Temporary Service
Duplr,z Water Heater Lighting Fixtures
Apt BuilAing Oryer Electric Heaun
Commercial Bldg. Pumace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tenk
Farm Omer oeci v Olhri (Sner.ify)
Ther Specify [her Oihe,
ompute lnspection fee Below
0 Fee ServiceEntrancaSixa b Fee Fenders/Sabtentlars N Fee Circuits
Oto200qm s 0 to30qm s / 0 tn30Am s
Above 200 qinps 31 to 100 Amps g 37 to 700 Am s
Swimming Poal Above 100_Am s Above 10a_Am?s
Transformers Irrigation Booms ?.Td Partial,bther Fee
Signs Svecial InspectueHrc TOTAL,FEF?,,
?
Xertarks d .
I, the Elecltrr-cril
Inspector, here0y
certify thet tha above
insoaction nes eaen
maAe.
mla repuBSl
16 311 4
11
?
Requesl Oate F. o, ' ug"in Inspection
equiretl?
O Featly Now ?II Notity Inspec[or
r^7 ^Yes L Na hen Reatly?
I,k licensed comractor ? owner hereby request inspection of above electrical work at
Jab Addre
ss
(Srceet Box or Route Na.) Ciry
L
'
7Q/O .+f?iVG/4r TGPYCCG ? ri?
Seaon No
. Townsnip N ame or No
.
Ra?ge No.
Coumy
RA C
Occupant(PRIN
T
) Phone No.
?
j
/ "! ? /`? C j /p C?
Poner Supplier Adtlress
Eletlricai Comractor ICOmpany Namel Con?ractor5 License No.
FD Y?1 .?L..P.i ??A, C t
t G ~Ai C )
Mailing AtlOress (Comracror or Owner Makinq Inslallation)
AulM1Onzetl Signalvre COnira
clor;Owner Making Installation) ber
P?one Num
/ A
C] v
MINNESOT4 STATE BOARD OF EIECTRICITY THIS INSPECTIDN PEQUEST WILL NOT
GrlggsMiAway B10g. - Foom 5473 BE ACGEPTEO BV THE STATE BOARp
1821 University Ave., SL Paul, MN 55103 UNLESS PROPER INSPECTION FEE IS
Phone (612) 664-0800 ENGLOSEO.
J63114
REQUEST FOR ELECTRICAL INSPECTION
W See instmctions lor rnmpleling RiiS lorm on back ol yellow copy.
"X" Besow Wnk Covered by This Request
EB-00001-08
??Q ?'
?.?.
ew -Atld P.= TypeofBUilding ApplianceSWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specity)
Comm./Industrial Fumace
Farm Air Conditioner
Olherlspecilyi Con4aciors Remarks:
Compute Inspection Fee Below:
# . Other Fee # ServiceEnvanceSize Fee # CircuilsiFeeders Fee
Swimming Pool 0 to 200 AmpS 0 to 100 Amps
Transformers Above 200 _ Amps 100 _ Amps
SigOS Inspecmr's Use Only: TOTAL
Irrigation Booms ? ?
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 1. 0 THS. p
I, the Electrical Inspector, hereby Rou9n;n L4 ; oace
?
certify that the above inspection has
been made. F,nai ? oei
OFFICE USE ONLY / t?• .
This request void t8 mont?s Irom
T NO.
01-3210 Bldg. Permit
01-3422 Plan Check
01-3445 Surch./Adm.
01-3446 SAC/Adm.
01-2155 Surcharge
75-3860 Road Unit
20-2275 SAC
20-3865 Water Conn.
20-3868 Water Trmt.
20-3716 Water Meter
20-2252 Acct. Dep.
20-3713 Water Permit
203743 Sewer Permit
79-3866 Sewer Conn.
28-3855 Park Ded.
G
TOTAL ??s
SINGLE FAMILY DWELLIBGS
1989 BTILDING PERMIT APPLICATION
CITY OF EAGAN
? ?6 2.q
MULTIPLE DHELLINGS
? -r
COIIIQEERCIAL
2 SETS OF PLANS 2 3ST5 OF PLANS 2 SETS OF ARCHIiECTURAL
3 REGISTEAED STTE SURVEYS REGISTBRED SITfi SORYEYS - 6 STROCTORAL PLAN3
1 SET OF ENEAGY CALCS. (CHECg NITH BLDG DIO.) 1 SET OF SPECIFICATIONS
1 SEf OF ENERGY CALCS. i SET OF ENERGY CALCS.
MULTIPLE DWELLINGS RENT9L IINITS FOA SALfi ONITS # OF IINITS
NOTEs ADDRES3ES FDA CORNER LOTS - CONTRACTOAIHOMEOWNER MOST DFSIGNATE ftHICH ADDRESS
IS DFSIRED. NO CH9NGFS WII.L HE ALLOWED ONCE BUILDING PERMIT I3 ISSIIED..
SEIiER & WATER PERMTT FEES 9ND ACCOUNT DEPOSTT F6S3 i1ILL BE INCLiTDED WITB TflE HUILDIN6
PERMIT FEE. PAOCFSSING TIME FOR SEWER AND iIATBH PERMITS IS Ti10 DAYS ONCE A PERMIT HAS
BEEN COMPLETED INDICATING A LICEN3ED PLUhIDfiH.
PENALTY @PPLIFS bIHEN: PERMIT IS AIOT PAID FOR IN S9ME MONTH IT IS REQITESTED.
LOT CH&NGE IS REQOESTED OIdCE PERMIT IS ISSOED.
_„ ?I ,,:scu r0i : 1/2G? Valuauiuu: -?jTT2T ?u?c. _s-.F
Site Address
Lot (o Block 3
Parcel/Sub ?PX/nqtOn 1'wkv ?e?.1
Owner A ? S-/oc, S
Address 1/00 City/Zip Code &ya,?
I
Phone 6kgl- 7y??
Contractor ?G m Lu& ?rm.s7`•
Oecupaney
Zoning ,
Aetual Const
Allowable
0 of stories
Length
Depth
S.F. Total
Footprint S.F.
On site sewage
On site well _
MWCC System _
City water
FEES
Bldg. Permit
Surcharge
Plan Review
SAC, City
SAC, MWCC
Water Conn
Water Meter
Aeet. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Aoad Unit
Park Ded.
Copies
30BTOTAL
Penalty
TOTAL
Address PRV required
Booster Pump _
City/Zip Code Go..S a-, iSSJ.2 /
?- APPROV9LS
Phone Planner
Council
Areh./Engr. ? Bldg. Off.
Varianee
Address
City/ZiE
Phone 4
.N c-
88-133
TR!-LAND C0.
SURVEYING
SERVICES
?
0
•
O
O
1260 YANKEE DOODLE ROAD
EAGAN, MINNESOTA 55122
LEGAL DESCRIPTION: LOT-EL, BLOCK -3- ,lEXINGTON PARKVIEW
ACCORDING TO THE RECORDED PLAT
STORM THEREOF DAKOTA COUNTYf MINNESOTA
SEWE?
ri
\•i•
1 ? I
L. .. .
?
?? `?? ? '?'f
z
I
sI
I
I
I
I
I
\
SITE PLAN FOR.
JOSEPH MILLER CONST.
'-- - - -I
6 ?Z
I w I ? i 7
I s 16_L i ?
W
?
Rn '
901f04 ,y
5
902f07 I
/
?J
90?6'J /
N?
`O ? 'A?Z ?OY" ? I
6 QFa?S?
N
.jo'
68s
GARA6E
I FLOOR
I ELEV.
? 914.69 x
f1.0'
p, 5 m,
??? \4 tP$ -wQ?
? ? ?j ?:
?
L_\ll
??
P?'€? YE, ? ?Ao 0
BY?
7I
`9'e'
a,?o\ /? • 22 22„ 9??4 ,.
? ?. o Q?
F 1? h?I Gitv:.iRING DEPT 909.3 9 , E??.y6
sc???: t =30E_;
P1?-
• N 89043'03"9W A\9
9,03
?
LEGEND
o DENOTES IRON MONUMENT
? DENOTES WOOD HUB SET
DENOTES EXISTING SPOT
ELE VATION
(8e9.7) DENOTES PROPOSED SPOT
ELEVATION
e- DENOTES DRAINAGE DIRECTION
I hereby certify thaf this Ru?vey, plan or
rsport wcs prepored by me or under my
di?oet supervision and that I am o duly
Repistored Land Surveyor under the
Laws oi tAe State of Minnesoto.
INVERT ELEVATION AT SERVICE EXTENSION=
PROPOSED GARAGE FLOOR ELEVATION= ?r
PROPOSED FIRST FLOOR ELEVATION =
PROPOSED BASEMENT FLOOR = ,`• t'• ?'
ELEVATION
NOTE ' VERIFY ALL FLOOR HEIGNTS WITH
FINAL MOUSE PLANS
BradleY J. nson. Mn. Rep. No. 15235
Dote ? 60 ?09
4-725+
`RESIDENTIAL BUILDLNG
? U22-G1. -7S
Permit Application
? City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Reauirements RemodeliReoair ReauiremenLS Office Use Onlv
3 registered stte surveys showing sq. ft. oi lot, sq. fl. o( house; and all roofed areas 2 copies of plan Cert of SuNey Real
(20°h mvcimum lot coverage allowed) 1 set of Energy Calculatlons for heated addilions _ Tree Pres Plan Recd
2 copies ot plan showing beam & window sizes; poured found design, etc. 1 site survey tor addNOns & decks Tree Pres Not Reqd
1 sei of Energy Calculafions Add'm'on - irMkxte ilon-sife septic sysfem _ Onsite SepUc System
3 copies of Tree Preservation Plan if lot platted after 711193
Rim Joist Defail Options selection sheet (bldgs wflh 3 or less units
-n
l"N
Date ? / ? C
/ f
t
ti
C
?
'
SiteAddress ons
ruc
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escr
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on of Work u W
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Multi-Family Bldg _ Y'p N Fireplace(s) _ 0 _ 1 _ 2
Property Owner MAx (JLU, Telephone #t (,C??j ) GG `Y' 0,)(OCJ
Contractor
Address 1700 93rd I flngNF City
State BlA1119, AANvutesota 55449 zip Telephone#'("10??) -7a?0 ?
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet . New Energy Code Worksheet
(Jsubmissiontype) Submitted Submitted '
. Energy Envelope Calculations Submiked
Licensed Plumber
Mechanical Contractor
Telephone
Telephone
^n?"23
Sewer/Water Contractor
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 start without a
permit; that the work will be in accordance with the app?ved plan in the case of work which requires a review and
approval of plans. N f\
MP
Applicant's Printed Name ApplicanYs S gnature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OB 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Eut. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Pibg_Y or_ N? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. 0 42 Demolish (Foundation) ? 45 Fire Repair
C3 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement •Demolition (Entire Bldg) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Foorings (new bldg) _ Final/C.O.
_ Footings (deck) _ FinallNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & W ater _ Final _ Pool _ Ftgs _ Au/Gas Tests _ Final
_ Framing _ Siding Stucw Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insularion Retaining Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
1 .1 r ?Z3? RESIDENTIAL
BUILDING PERMIT APPLICATION
? CITY OF EACAN
3830 PILOT KNOB RD, EAGAN MN 55122
851 •68'I -4675
Naw Canstruction Raouiraments
• 3 registered sile surveys showing sq. k. of lot, sq. ft. of house; and all roofed areas
(20% mazirnum lol coverage allowed)
. 2 copies of plan showing beam ffi window sizes; poured found desgn, etc.)
. 7 set W Enefgy Calculations
• 3 copies of Tree Preservation Plan if lot platted atter 711193
• Rim Joist Detail Optiorm selection sheet (bidgs with 3 orless units)
DATE 1?7 - 2 0 ' dT-
RemodellReoairReauiremenls //? • 7?
• 2 copies of plan ?r
• 1 set of Energy Calculations Por heated additions ?
. 1 site survey for extenor additions 8 decks
. Indicate i( home served by septic system For additions
OD
VALUATION 4S1 00 ?
7d/O /j/'t^jrA 1ii°ec.(/ / efY' MULTI-FAMILY BLDG _Y +N
?
/Yh7 ? 57?''_7 4P2.nao?_ c;y1? FIREPLACE(5) _ 0 _ 1 _ 2
APPLICANT /7"12C„_.;I J-A L- '
STREETADDRESS L7iZ4-17 /1/sG6 `'
7t ? CITY "'4STATEofZIP?
TELEPHONE # 7dT G1S°? CELL PHONE #;?:_2'?9z-GCS?6 FAX # 7G' 7 "' gYi'S
PROPERTYOWNER !' h1USy TELEPHONE#
,7 ,
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ ;14INNESOTA RULES 7670 CATEGORY I \
(d submission type) . Residential Ventilation Category 1 Worksheet Submitted •
• Enerqy Envelope Calculations Submitted
Plumbing Contracfor: __
Plumbing system includcs:
Mechanical Contractor:
Vlechanical sysLem includes
Sewer/Water Contractor:
Air Condilioning
Heak Recovery System
Phone #
Phone #
JUN 2 5 2002
ee:
Fee: $70.00
-------------------------°---------------......_...------------------°---°--------------------------------------.......
I hereby acknowledge that I have read ihis application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinan? ,
Signature of Applicant
OFFICE USE ONLY
_ Water Softener
_ Water Hea[er
_ No. of Baths
_ Phonc #
Laim Sprinkler
No. of R.I. Baths
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4l02
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg
? 02 SF Dwelling ? 08 06-plex O 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 oF _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move BId9. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement 'Demolition (Entire Bidg only) - Give PCA handaut to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories
Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fira Sprinklered
Type of Const Width
REQUIRED IN SPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footings (deck) FinallNo C.O.
_ Footings (addition) Plumbing
_ Foundation HVAC
_ Drain Tile Other
Roof _ Ice& Water _ Fi nal Pool Ftgs Air/Gas Tests Final
_ Framing Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
W ater Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Building Inspector
Total
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRES5: APPLICANT:
Lo r: 6 e Lo c K o 3
4010 NORTHVIEW TER BROLSMA CONST, J
LEXINGTON PARKVIEW (612) 888-0283
PERMIT SUBTYPE:
BASEMENT FINISH
TYPE OF WORK:
?
Control No. 1169
BUTLDING
001581
10/09J92
ALTERATION
-A CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
BUILDING
001581
10/H9/92
SITE ADDRESS:
401.0 NQRTHVTEW TkR
L07: fi BIOCKc 3
LExIN6TON PARKVIEW
DESCRIPTION:
%8uilding Permit Type
' Building?`Work Type
UBG Ocoupane.y
?..?
r
Base Fee
Surcharge
Lic. Search
Total Fee
r ?J
Q'7)!
REMARKS:,*
FEE SUMMARY:
$35.00
$.sa
Fee 5.00
$40.50
BASEMENT FINTSH
ALTERATION
ft-3
CONTRACTOR: - Applicant - sT. LI OWNER:
BROLSMA CQNS'i, J 18889283 000571 STOOS MICHAEL
506 MISSION F2D 9010 NORTMVIEW TERR
BLOOMINGTON MN 55420 EAGAN MN
(617) 888-0283 (612)688-7470
I hereby acknowledge that I have read this applicatian and state that the
information is correct and agree to comply with all.applica6le State of Mne
StatuY.es and City qf Eagan drdinances.
aCr ??w-?`--'
AP IICANT/PERMITEESIGNATURE ISSUEDB IGNATURE
Control No. 1169
PERMIT #
REACTIVATE ?
Lit I
CITY OF EAGAN $0. ?, f f?
1992 BUILDING PERMIT APPLICATION
681-4675
rA"d i0-Q
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 when typing of permit is requested, but not picked up by last working day
of month in which re uest is made or lot chan e is re uested once ermit is issued.
Date _2' Valuation of work
Site Address: ?,e=?2i?,•,?c47
STREET SUITE f
Tenant Name: (commercial only)
IAT __?_ BLOCK -0 SUBD. P.I.D. fF
Descri tion of work: S?ry1.e-rv?"
The applicant is: p Owner ? Contractor ? OtFI@t" (Deseribe)
Name ' ? -_ ,? Phor.e
76
Property ,
LAS7 FIRS
OW118f Address
a /ll
?'
j
e
<.?
STREET STE f
City State , f1-i Zip
/
CompanY • / «?? ' ,.? ?-?• i- - ? Phone
COntrBCtOf Address 1--e" License # 5 71G) Exp.
r
City :? •?.< _? State Zip 5,t-c/7c?
Company Phone
Architect/
Engtneer Name Registration #
Address
City State Zip
5ewer 8 water licensed plumber . Processing time for
sewer 6 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 appti le State of Minnesota 5tatutes and City of
Eagan Ordinances.
Signature of Applicant: ,.
OFFICE USE ONLY
BUILDING PERMIT TYPE
O 01 Foundation
? 02 SF Dwg.
? 03 SF Addition
O 04 SF Porch
? 05 SF Misc.
WORK TYPE
?31 New
A? 32 Addit9on
? 06 Duplex
O 07 4-Plex
? 08 8-Plex
? 09 12-Plex
? 10 Multi. Add'1.
? 33 Alterations
? 34 Repair
? 11 Apt./Lodging
O 12 Multi. Misc.
? 13 Garage/Accessory
? 14 Fireplace
? 15 Deck
? 35 Tenant Finish
0 36 Move
tr ?6 Basement Finish
17 Swim Pool
? 18 Comm./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
? 37 Demolish
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
N of Stories
Length
Depth
APPROVALS
Basement sq. ft.
Ist F1. sq, ft.
Q -3 2nd Fl. sq. ft.
Sq. ft. total
Footprint Sq. ft.
On-site well
On-site sewage
Planning Building
Engineering Variance
REQUIRED INSPECTIONS
? 5ite _ ? Footing
? Mallboard IX6ina1
Permit Fee oo vait.cson:
Surcharge y-rp
Plan Review '
License ?. eo
MWCC SAC
City SAC
Water Conn.
Mater Meter .
Acct. Deposit
5/W Permit
S/W Surcharge
Treatment Rl.
Road Unit
Park Ded.
Trails Ded.
CoPies
Other
Total:
MWCC System
City Water
PRY Required
Booster Pump
Fire Sprinkler
Census Code
SAC Code.
bld?? i
Assessments
.PfFraming
O Draintile
S '
? Insulation
? Fireplace
sac ss
SAC Units
PLEASE COMPLETE FOR SINGLE FAMII.Y DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMTI'S ARE REQUIRED FOR EACH UNIT.
NEW CONSTRUCTION
? A-DD-ON AIC
ADD-ON FURNACE
FIREPLACE INSERT
DATE
--7
FEES
HVAC: 0-100 M BTU $ 24.00
. ADDITIONAL 50 M BTU 6.00
GAS OUTLETS (MINIMUM 1 @ $3.00 EACI-)
ADD-ON/REMODEL (ExiSTIlVG coNSTRUCi'ION) $ 20.00
STATESURCHARGE 50
TOTAL 'AA , S d
SIT'E ADDRESS: q& / o /Va p'4 V! eu.r' re2&Ac e
OWNER NAME: A'I i IC F_ Sto 61 TELEpHONE #: ??? 2 z. /_ d?2 ??
INST,
-/JeM ? ?g4 h60 ///
ADDRESS: Y/f /Il U I U
CTTY: Sl' D"A ' ( STATE: Ai? ZIP CODE: ZS/0 y?
TELEPHONE #: Z/-2 3.5.23
L-"-e- //7 - (? T,ee.o
SIGNATURE OF PERMTI'I'EE
.AW
1994 MECHANICAL PERMIT (RESIDEIVTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO CONTLETE
FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUMDINGS WHEN SEPARATE
PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNrr.
DATE:
NEW BUILDING
U*41TRIOR IMPROVEMENT
WORK DESCRIPTION:
FEES
CONTRACr PRICE:
1% OF q, FEE $
PROCESSED PIPING: $25.00
MINIMUM FEE: $25.00
STATE SURCHARGE $.50 FOR EACH $1,000 OF FEE.
TOTAL $
SITTE ADDRESS:
OWNER NAMIE: TELEPHONE #:.
TENANT NAME: (mfpRovEmENTs oNLY)
INSTALI-ER:
ADDRESS:
CITY:
STATE: ZIP CODE:
TELEPHONE #:
SIGNATURE OF PERMITrEE CrrY INSPECrOR
1994 MEECHANICAL PERMrr (COMMERCIAL)
CffY OF EAGAN
3830 PrLOT KNOB RD
EAGAN MN SS122
(612) 6814675
LeL CITY OF EAGAN
SUSD?/1 pLUMBING PERMIT
(612) 681-4675
REBIDSNTIAL
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS
WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
CITY USE ONLY
RECEIPT# D8?
DATE //
ALSO, FOR TOWNHOMES AND CONDOS
WORK DESCRIPTION
NEW CONST _
ADD ON _
REPAIR _
OWNER NAME:
SITE ADDRESS:_ ' IOI0 NNI, lvlei,) I L-mcu
ixsrnURx: Main Line Plumbing
14189 Shore Lane . .
ADDRESS: Pr(or Lake, MN 55372
CITY:
ZIP:
COMPLETE THE FOLIAWING:
NO. FIXTURES EA.
REPAIR/ADD ON 15.00
? SHOWER 3.00
? WATER CIASET , 3.00
BATH TUB 3.00
? IAVATORY 3.00
_ KITCHEN SINK 3.00
_ IAUNDRY TRAY 3.00
? HOT TUB/SPA 3.?V?
p _'_`RR H.w'.g?'E.? 3.110
FIAOR DRAIN 3.00
GAS PIPING OUT.
_ (MINIMUM - 1) 3.00
_ ROUGH OPENINGS 1.50
OTHER
WATER SOFTENER 5.00
PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
_ W. TURNAROUND 15.00
TOTAL
?'c?
3,co
?
STATE SURCHARGE .50
J?
-
TOTAL: S 16
P1.EASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-FAPiILY
BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT.
WORK DESCRIPTION:
vwivcn ivr,i•:n:
FTTF A.D?i..F..ri3:
TENANT NAME:
SUITE #: _
INSTALLER:
ADDRESS:
CITY:
PHONE Q
ZIP:
Cv ii':in:,l BkICE:
1% OF CONTRACT FEE. .
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 1% $
STATE SURCHARGE
TOTAL:
$
(SIGNATURE)
CITY OF EAGAN
PlioNE #: 496-33qs
APFLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTIQN
. ... . .
.
! NXC: PAYhEITP OF F4M AT TIME OF
'
? APPLICATiON OOES NOT CON- ?
? S12N1E APH26JAL OF PIIUIIT. ?
?
i INSPF7LTIIX1 OF SFkglt A!D/OI2 WATEli x
a*, It1iTN.iA7ZONS WIII. NDT BE aCFnnrsm ?
(!NPiL PQtMIT HAS BEQ] APPRUVVm. ?
f t??4i#43#4lRf*iAiFye/I??ltittY#fiffi#fft
OF eCLcjCiP9
(PLEASE PRINT
i) PxoPSaTr AoDxESS: 444/0 kor? Vre w Tcvb.rcc.
LZ]GAL DESCE2IPTIONS . / . 3
L`ot/Block/Subdivision or Tax Parcel ID
IF EXISTING STRL'CTLRE, DATE OF ORIGINAL BUILDING PMMIT ISSLANCE:
Nbnt Year
PRESENT ZONING/PROPOSID USE:
Q COMhIERC2AL/RETAIL/OFFICE SINGLE FAMILY
Q ZNDLSTRIAL ? R-2 DUPLEX (3tvv Ljnits)
Q INSTITUTIONAL/GOVERI,U= ? R-3 TOWNiOUSE (Three + L',nits )( Lnits )
Q R-4 APARTMENP/COPIDOMINILM ( Lnits)
2) NAME: I71+ llw (.°o N'.0'
ADDRESS: 4l3 3 Gc-PM ? .C'Jrc.
CITY, STATE, ZIP: fq{-m; ,vc ?v ? /
-_ y!?
?
PxoNE: d/3i xoel
For City Use
3) ' NAME: P?yAp('4.V-I, F'!r 1'r?- Pliunbers License:
ADDRESS: 9?
4D 2da'40" 1-1- R/ Active
. Expired
CITY, STATE, ZIP: . /Y/,pn lc . 62'uvG
PHONE: ?
?
/-
f M
ASTEF2 LICENSE # H`/
'? Not recordec
..
3
7,flp a,m(o5 St Ia n?fitia?
4) ?
NAME:
ADDRESS:
CITY, STATE, ZIP:
PHONE:
rJ) S 4 '?' ' v t.?1?
E2-CONNII7CTION 'IC) CITY SE4M ?-CONNECTION TO CITY WATII2 EJQT!-III2
6) W..r.ru0
**,r********+.****?*****************+.******«*?**********?****,r??***?*?+*********,r*,e?+*,r********?***r
* THE GOID COPY OF ZiIE PIItMIT WII,L BE SENr DIF2ECIZY TO PL?BLIC WMFCS 70 FACILITATE ME1ER PICK-DP. i.
PLEASE AWAW 1WD WORKIbIG. DAYS FDR PROCESSING. SOmEDNE FROM TM CITY WILL CONPA(.T Y(LI IF 7HEE2E ?
* ARE ANY PROBI,IIM1S. 'y
?:**,?,r?*****?*«?*x*?**+?**?*?*++**,+******,r***?****?***,r***#+**«*?+?*****?****,r*+****?*+??:?*#****,r?;
FOR CITY USE ONLY
PERMIT # ISSUED ,
Pd w/Bldg. Permit FEES:
$ $ /D-.? SEWER PERMIT (INCLUDE SORCHARGE)
$ WATER PERMIT (INCLUDE SDRCHARGE)
$ C? !•O'D $ WATER METER/COPPERHORN/OCTSIDE READER
$ S WATER TAP (INCLL'DE CORPORATION STOP)
$ $ SEWER TAP
$ $ ACCOUNT DEPOSIT - SEWER
$ $ ACCOLNT DEPOSIT - WATER
$ S S? pZ? $ WAC
g S s
aC
$ $ TRUNK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BEN°FIT/TRONK WATER
$ '7o $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
$ / y 7 r' GZ} $ d- en TOTAL
C-?o f ?7e 7Li/
RECEIPT RECEIPT
DOES LTILITY CONNEC TION REQUIRE EXCAVATION IN POBLIC RIGHT OF WAY?
F--j YES IF YES, THEN A" PERMIT FOR WORK WITHIN PUBLIC
Q
NO ROADWAY" MUST BE
DIVISION
IS ISSCED BY THE ENGINEERING
. L
T AS A CO[VDITION.
SUBJECT TO THE FOLL OWING CONDITIONS:
APPROVED BY:
TITLE:
DATE: y?-4-1/AI-2
1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN I
SINGLE FAMILY DWELLINGS 0514
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BQILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL [JNITS FOR S9LE UNITS d OF ONITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITA BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
CONMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
0 To Be Used For: fL Valuation:?J ? Date: ?C) U
?.?.y-.."
Site Address
Lot (0 Block ? ,
Parcel/Su `
Owner
Address
City/Zip Code
Phone
Contraetor pp/ r ? (92?4?r
Address dl'-3.3 ex,qA- C,C.lJ.
City/Zip Code ?
Phone q
Mch./Engr.
Address
City/Zip Code
?; OFk'1
92,oou-
On site sewage_
MWCC system ?
On site well
City water ?
PRV required _
Booster Pump _
APPROVALS
Occupancy R 3 M-1
Zoning PD R-I
Actual Const V-nl
Allowable V-14
# of stories
Length 146,
Depth Sy,
S.F. Total
Foatprint S.F.
FEES
Engr/Assess Permit 5 V2.00
Planner Surcharge y/,, on
Couneil Plan Review .7 I. o0
Bldg. Off. M g?L,4 SAC, City 1Uo,Oo
Variance SAC, MWCC S50,00
Water Conn 55-6,0 o
Water Meter 67?00
Road Unit 325102
Treatment Pl -Z a4 . ?o
Parks
Copies
TOTAL aZ
Phone If
VqLuA-tior.l
_c_??_
2q x27-=
gAsErnt.r,S
2G K
12 K
5Z8 X ??: '1392
I196
?Z
6 c?
I 332X 13? Ir2 31`
? ?r F? eb12
QSmT: 133'L
I X y : °I
?? x ? = l ti
?
I 35S X y9 = l6l0 39 S
S I l 03
;S
. ,
88-133
TRI-LAND C0. SITE PLAN FOR:
SURVEYING
SERVICES JOSEPH MILLER CONST.
1260 YANKEE DOODLE ROAD
EAGAN, MINNESOTA 55122
LEGAL DESCRIPTION; LOT--6-,BLOCK-1...,LEXIN6TON PARKVIEW
ACCORDING 70 THE RECORDED PLAT
SEWER THEREOF DAKOTA COUNTY,MINNESOTA
?-
Z
1 ?, "r-
L.?., i .
/
/
I
I
I
sl
I
6
I \
I
I 901*04
I
\ 90?69"
\ ? \l
i
y /
?o \
?F \
?Qp9??? E
B '??/? y A d
d ? nt
902 {'07
I
I
I ?
?
I
I
5
I
/ I
90?b5 /
i
23_?? I
? I
PFi?SE
N
_ ?QplE
?r?.
\
911 4?
,L22, 910,99
?-/ Z?p,,32o?.460
Fg ?s, ?T EIvGIivLiRI1VG D? 909.39 , ??-.56.
SCAL?: I =30' / i / \''o l"-
LE6END
o DENOTES IRON MONUMENT
* OENOTES WOOD HUB SET
DENOTES EXISTING SPOT
ELE VATION
(899.7) DENOTES PROPOSELI SPOT
ELEVATION
? DENOTES DRAINAGE DIRECTION
I hereby certify that this survey,plan or
report wus prepared by me or under my
direct supervision and that 1 am a duly
Repistered Land . Survtyor under fhe
Laws of the State of Minnesota.
Bradley J.
Date ? 61
a
:_l.? i -?
?68(g)
GARAGE
I FLOOR
I ELEV.
? 914.69 x
17.0?
HUB EIEV.
Mn. R e q. No. 15233
y/ +909.59 ? 60.
N $9°43'03" W ? ?? P
9.03 ? '
INVERT ELEVATION AT SERVICE EXTENSION=
PROPOSED GARAGE FLOOR ELEVATION
PROPOSED FIRST FLOOR ELEVATION cj
PROPOSEDBASEMENT FLOOR
ELEVATION I
NOTE ? VERIFY ALL FLOOR HEIGHTS WITH
FINAL HOUSE PLANS
(911.70)
9p29
L?.,
' • '
-;
One or Two Family
A].1 Other
Yil'1'Y ur, BUiLDIN(3 UEPnaTi-iEi+T
EXTF.RIOR ENVII,OPE AYERAQE IIU II C019PUTATIOI4
(To be suhtaitted tivlth building permit application)
Dwelling -- _?K _ Ovmer
?Site Addreea 1-07(, 21" .3 ,
Contractor P., d(jaS-r,
Lo16I19 GAgn-N 'F?71AV 1lAI
Dat- e NQ Phone
LINEAL FEET OF 11 7 ?
EXPOSED YrALL _ Cl?E ???oFZK ljf?Gft. above grade = Z7Z0• 00
TOTAL EXPOSED WALL AREA SQ. FT.
oPAqUE WALL CONSTRUCTION: IOU" Value x Area
netaii - FRA?n1E IIuII .043 x sQ,
reference - - o? • ? "Ull , 070 x 9Q,
Trom --ZIN1 ??pn?p x SQ.
attached ??U?? x SQ,
sheets IIUI
: X SQ.
uU° x SQ
.
FT. ) .LO. , O(U)(A)
FT. ,L - 9 •14 (U) (A)
FT._ 132.SO= 5,31 (U) (A)
FT. _ (U) (A)
FT. _ (U) (A)
FT. _ (U)(A)
WINDOWS: "Ut' Value x Area
Ptake & Type _lthSIJL, eS191T °Un x SQ, FT. ".SO= (09,s0 (U) (A)
it uUIT x SQ. FT. _ (U)(A)
n u ovpu x SQ. FT. _ ?U)(A)
npn
x
SQ.
FT. _
(U)(A)
DOOR5: "Ull Value x Area
t4aSce & Type _17LL62(., IIUII - ?Q-
„ 11 x SQ. FT. Q,OD = ?O$CO (U)(A)
n u P?TIn 'npn ,4,7 x SQ. FT. 2 0=?(U) (A)
ifult
u n uUit x SQ. FT. _ (U) (A)
x SQ. FT. _ (U)(A)
xoTai,s 232a-00 s@. r-T. 18B•S(a (u)(a)
AVERAQE "U"
TOTAL (U) (A) VALUES 1$9, S?O
DIVIDED BY TOTAL HALL AREA 232-0,r00 ? 8-
AVERAQE "U lesa for 1&2 family dwellinge
ROOF/CEILINd
TOTAL AREA: t Z2 0 Detail reference IOUll_ .OLJ x 8q. FT.?Z?PO = 2(v? ?U)(A)
f
rom
attached sheeta. IIUII x
IIUII SQ. FT. ? (U) (p?
Describe openinga x
otUv? SQ. FT. (p)(p)
in roof. x
??U?? SQ. FT. - (U)(A)
x SQ. FT, _ (U)(A)
ToTAL (U) (A) VALUES DIVIDED BY 2,(p, 4,(p TrALS UP0 N,ft 2(014(0CUYg?
? ??
ToTAi, ROOF/CEILIN(i AREA 126pp F_dZ j
AVERAQE IIU10 or ventilated roofe.
.r
?Ross ?XPys?D ?A?L
l?•5 X ( 34+39t4?o?-9?? = 2?Zo.oo?
Co? ? ta7X (34t3¢+Vvt+&) = lo],Zo ?-
?jir1 ?o1ST
. 83 ? C34f3?-t91a?-41n? = 13z.go ?
klrrl taot,-,5
llvx3lo =
ZpX3(a_
24 X3ln =
2¢x48 ?
ZoX¢S =
4.0
5.0
!v. o
(v-7
X q. _
;K la =
X 4=
X?-
x 4=
. ,?.?:. ... , . _
3°sn• w/5?. _.
Zg S?G5?? _
PATi o =
I (a. o0
3o.op
Z4, o0
98,00
2(P. go
)44.So ?c
28100
7,1,00
4Z.oo
`?l•?o ?
LI E?ED ?t.?. ERu?c?s
?°IeayS cv,gI.L Z3ZO.oo
G?SS Llodc , 101 zo
u
n Kim
wcw5 ?3z.so
l44,80
-415. So
-
,? Dcok'y `il,oo -.?--
?$4Q: zo ?
,,,
rME
z(oK ?lv = 11169
8 x B = ?4
-
' Determining 'IU" valuee at Roof, Wallo Rirot and Conc. Blocls
? . I
ROOF/CEILINa
1.) Interior Air P'ilm
2.) 5/811 ayn. Bd.
3.) Ineulation
4.1 .
5.) Exkerior Air Film
(STILL)
R YALUE
0.61
.56 :
.61
nuu = 1/R= IOZ? '1'OTAL (R)= 1?5-,7g
-----
.?-
Y7ALL
6.) Interior Air Film
7.) }n (iYP. Bd.
8.) Ineulstion
9. ) P?ira =-f=1rr
10.) Afasonite Siding
11.) Exterior Air Film
R VALUE
0,68
.45
19,00
Z. 67
.17
uUn a 1/R=. TOTAL (R)= Zj.O f
RIt4
12.) Intierior Air Film
13.) Insulation
14•) 2" Fir Rim Joiet
15.) .?vfLr? f?7'F
16.) Maeonite Siding
17.) Exterior Air Film
R VALUE
v.68
1q1o0
1.88
Z 6?
.17
opn _ 1/R. TOTAL (R)= Z¢titl
_L. rI
_- •
.?.-.
FOUNDATION
18.) Interior Air Film
19.)
?. ) K-ll STRrrreh?-
21.) 12" Concrete Block
22.)
23.) Extierior Air Film
R VALUE
0.68
//. 00
1.28
.17
°pll = 1/R= a, 07? TOTAL (R) _ ?,? ! ?
88-133
TRI-LAND C0. S;TE
SURVEYING
SERVICES J OSEPH
1260 YANKEE DOODLE ROAD
EAGAN, MINNESOTA 55122
PLAN FOR:
MILLER CONST.
LEGAL DESCRIPTION: LOT-fL;BLOCK3 , LEXINGTON PARKVIEW
ACCORDING TO THE RECOROED PLAT
STORM THEREOF DAKOTA COUNTYf MINNESOTA
SEWE?
i ??-r-
Lr,?/ ?
I
L `T
901*04 %;_
?
eo?ss'
I
i
. \ /
6.5. ?
r
,
By.
2 - -I
I @
3 O
°o, I o?0 ??
O l `
m 5 I I ?
I I \ ?5
o
? 902007
I
T I ?
l- \J 1 5
PRO
E+?-,,p0??
PF??
Goo
\ ?
? / ?•
\ \
9?45
..o •o_ /
,. ....,?? i s
? ? hI E=;RING DEPT.
SC?1tg: 1 =30
N
LEGEnu
o DENOTES IRON MONUMENT
s DENOTES WOOD HUB SET
DENOTES EXISTING SPOT
ELEVATION
(e99.7) DENOTES PROPOSED SPOT
ELEVATION
? DENOTES DRAINAGE DIRECTION
I henby certify fhat this survsy,plan or
rsport wos prapored by me or under my
direct :upervision oM that I am a duly
Reqistered Land Surveyor under ihe
Laws of tAe Stote of Minnetota.
'Q6g0
6ARAGE
? FLOOR
I ELEV.
? 914.69 x
17.0'
c91s?
\ g • Z Z2• 910yy8
D,, ? y6 50
60939 / i ; ?`?
y 1??---
.9? PIrG
83•43'03" W
9.03
II$VERT ElFVATION AT SERVICE EXTENSION= ?
Pt?OPOSED GARAGE FLOOR ELEVATION e?z-r
PFtOPOSED FIRST FLOOR ELEVATION = `?+ PIiOPOSEDBASEMENT FLOOR = `?`•?' ``
ELEVATION
NOTE ? VERIFY ALL FLOOR HEIGHTS WITH
?- FINAL HOUSE PLANS
Bradley J.*qnsoe, Mn. Req. No.15233
Date : &l09
Use BLUE or BLACK Ink
�-----------------�
� For Office Use �
� j Permit#: �� ���� j
Clt of Ea a� ; . , �� � s ;
� � Permit Fee.
3830 Pilot Knob Road j � i.�)�y I
Eagan MN 55122 � Date Received: l 1 �
Phone: (651)675-5675 I r� I
Fax: (651)675-5694 I Staff: I
I I
�_____����____'__J
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
� �3� 1�- �{�C t� �1�v��v��� T��-t<..e� -�� �_� �-1� �sc��3
Date: Site Address: � Unit#:
.a�..� ,
Name: C._ l �Q.�_ �� � S 2.Y`- . Phone:CQ ��� ( ! T� !� (
Resident/ (� � Ov-�l.U( �� �„�y�/C�.C.��
Owner ' Address/City/Zip:
.�.,
Applicant is: Owner Contractor
T e Of WOI'k ', Description of work: � ��--� � �- �Gd v
Yp /� �,.
Construction Cosfi � � (J 5�. �� Multi-Family Building: (Yes /No�,
�.�� �� �.,�.��
Company: rT �Ce. ���� p����Contact: ���` ���C- � ��O
COIlt1'1 ���t ����� Address: �� � ��� �V� City: �� �tt� �
c or
State:�Zip: SSa�� Phone: �-10 Z-��zEDmail:
� i License#: Lead Certificate#:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
�.,`���
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
� In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
�
� _Yes �No If yes,date and address of master plan:
� Licensed Plumber: Phone:
€ �� Mechanical Contractor: Phone:
� '
Sewer&Water Contractor: Phone:
»,>�...._�., �,�,.�.,���,,..�..�.�,,�.,. .�».x�,,,�.�..,,�.a,�.�,�.��.�,�.,.�4,�.,W..W �,,�.�_„�,�,�m,��,.�.,�,.,�.,�..,,�,.�.�m. �.�,,.���
NOTE:Plans and supporting documents that you submif are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons tha#would permit the City°to
��q � � conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www. o herstateonecall.or
I hereby acknowledge that this information is complete and accurate; tli�t the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work 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 plans.
Exteri work authorized by a bui►ding permit issued in accordance with the Minnesota State Building Code must be completed within 180
days f ermit issuance.
x / - X
App icanYs Printed Name ApplicanYs Signature
Page 1 af 3
•
Use BLUE or BLACK Ink
For Office Use
[�f Permit 'City of�� �11n "
Permit Fee: / 0 cam '
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone:(651)675-5675
buildinginspections(a cityofeagan.com Staff:
V J
2017 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: 4010 Northview Terrace, Eagan MN 55123 Unit#:
Mark and Eileen Olsen 651-373-8096
Name: Phone:
address/city/zip: 4010 Northview Terrace Eagan MN 55123
Applicant is: Owner Contractor
Footings for a future deck
0
Description of work:
w �
Construction Cost: 600.00 Multi-Family Building: (Yes /No X )
Oelke Concrete Justin Oelke
Company: Contact:
719 7th St. Farmington
Address: City:
x Y MN 55024 612-799-2889 justinoelke34@gmail.com
State: Zip: Phone: Email:
License#: N/A Lead Certificate#: N/A
If the project is exempt from lead certification, please explain why:
Outdoor project with no lead substances involved.
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes,date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
7W�8f
� � sm 9
e { • e 3 i t � �. �. " „ „ f a trFs s '
r4:.�!*'
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on
the City's website at www.citvofeagan.com/subscribe.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before
you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an,application for a permit, and .rk is not to start without a permit;that the work will be in
accordance with the approved plan in the case of work which re• ires a review and appro of plans.
... ,O1�
x Eileen Olsen
-!' x
Applicant's Printed Name - Applicant's Signature
Page 1 of 3
WRITE-7e/e BELOW THIS LINE / ✓�/
SUB TYPES
Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
_ Multi _ Deck _ Porch(Screen/Gazebo/Pergola) +}d Miscellaneous
01 of_Plex _ Lower Level _ Pool _ Accessory Building
WORK TYPES
/ New _ Interior Improvement _ Siding — Demolish Building*
Addition _ Move Building _ Reroof _ Demolish Interior
Alteration _ Fire Repair _ Windows _ Demolish Foundation
_ Replace _ Repair _ Egress Window _ Water Damage
Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION
Valuation LA 6c0..°-- Occupancy ,1a2 C-I MCES System
Plan Review Code Edition pin 24P,i, SAC Units
(25%_100% )0) Zoning 177%e City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction v f3 Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final/C.O. Required
Footings (Addition) Final/No C.O. Required
Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test
Roof:_Ice &Water Final Pool:_Footings _Air/Gas Tests _Final
Framing 30 Minutes 1 Hour Drain Tile
Fireplace: Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS
Insulation Windows
Sheathing Retaining Wall:_Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In_Final
Braced Walls Erosion Control
—
Shower Pan Other:
Reviewed By: 1-0 Pit 1Vl1 t4./, , Building Inspector
RESIDENTIAL FEES
'O� r ;^ /^,99.
")
Base Fee 1
Surcharge, pet it- /0.y/7,
Plan Review7 tz
MCES SAC `� e L 4r'1-%A5j Lc PC ��i
City SAC r ( 172441 .r1ti.a`^t S >
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3