4020 Northview TerCITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-198, fagan, MN 55121
PH O N E: 454-8100
BUILDING PERMIT
To be used for SI" ?WGIUaR Est. Value $141,000
Receipt
Oate ,19 '1S
Site Address 4020 NOR'1"r'', Lr..w i I;R1iACE
Lot • Block 3 Sec/Sub. LEXINGTON pABKYIE
Parcel No.
¢ Name J4E M%LLER CONST$LCTION
z Address 18133 CGIfAR AVE S
° City"?AIGIINGTON Phone 432-2002
a
.o Name SAM
? ` Address
cc
City Phone
Name
City
I hereby acknov?.Ledge that I have read this application and state that the
information is coirect and agree to comply with all applicable State of
MinnesOta Statutes and City of Eagan Ordinances.
5igiature of Permittee
A Bui4ding Permit is issued to: i?'r' i_: Ll'.!'..:? vt. '•;.rCA?1Ci !?? ,
on the express condition that all work shall be done in accordance with al I
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building dfficial
OFFICE USE ONLY
pn Site Sewage Occupancy
MUVCC System •' Zoning
On Site Well (Actual) Const
?
City Water r (Allowable)
PRV Required # af Stories
Boaster Pump Length
Depth
S.F. Total
Footprint S.F.
APPROVALS
Engr./Assess.
Planner
Council
Bidg. Off.
Variance
FEES
Permit
Surcharge
Plan Review
s,ac, cicy
SAC, MWCC
Water Conn.
Water Meter
Road Unit
Treatment P1
Parks
TOTAL
R-3 M-1
FD bt-1
V-N
V-N
52'
44•
708.00
70.50
3 54-. -ud
??.C1C!
55('}. DQ
550.QC1
b7.0U
325.00
204.00
Z, 97V. W
BLDG. PERMIT NO. { -' ? ?? \)
?f
01-3210 Bldg. Permit
01-3422 Plan Check
? 01-3445 Surch./Adm. ?
01-3446 SAC/Adm.
01-2455 Surcharge
. ? 75-3860 Road Unit - _ ?
?
? 20-1275 SAC
? 20-3865 Water Conn. ? -- ?
20-3868 Water Trmt.
?
?
20-3716
Water Meter
20-2252 Acct. Dep.
?
J 20-3713 Water Permit
? 20-3743 Sewer Permit
? 79-3866 Sewer Conn. j '-- "- ?
28-3855 Park Ded.
TOTAL LL
CASH RECEIPT
CITY OF-EAGAN
3830 F'ILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE LL ? 19
nEcErvU)
FROM
AMOUNT
& DOLLARS
,ao
? CASH Q CHECK
White-Payers Copy
^' " 8432f*, P nk F?le Copy CoPY
Thank You
BY
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: ""l"'i
3830 Pilot Knob Road Permit Number: j9 1.6
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: t' 1 y 11 `j APPLICANT:
t nl l. & Mt. Mri1'o1 ?
11 :.1 e•Ir,I6114 1I1kkVlFwl, i?+•44 4 1-11
?
PERMIT SUBTYPE: TYPE OF WORK:
. w ,! , ? :f I t ?t ntTEV AtI ON
F
L _
7
I
Permlt No. Permit Holder Date Telephone It
ELECTRIC
PLUMBIN 9a97
HVAC
InspecHon Date Inep. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PIUMBING
u
PLBG
AIF TEST
ROUGH
HEATING
GAS SVC
7EST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSM'T RJ i
BSMTFINAL / i
/u fl -
---
DECK FTG ?
OECK FINAL
INSPECTION RECORD Control No. 2$
CtTY OF EAGAN PERMIT TYPE: Ej ? 3 f i?1146
3830 Pilot Knob Road Permit Number:
Eagan, Minhesota 55123 Date Issued: 06/03/92
(612) 681-4675
SITE ADDRESS: Lor s e sLuert 9 APPLlCANT:
4e20 NpCtTH1/lFN TER YIMPERWQRKS 6LDRS IMC
t.EXINBrqN P'ARKV2EW (612) 68+6-0911
PERJUyTr§UBTYPE: TYPE 4F WORK: MEW
DESr,RIPT3nN 221 X 16' 14' x 1,
Permit No. PermK Holder Date Telephone 0
S/UV
PLUMBUr1G
HVAC
ELECTRIC
ELECTRIC
Inapaetfon Da6e Insp. Commente
Fooiings I
Foundation
Framing
Roofing
Rough' Pobg.
Rough Htg.
Isul.
Flreplace
Fnal Fitg.
Orsat Test
Final Plbg. P?bg. lnspeclor - Noti{y P{umber
Const. Meter
EngrJPlan
Bldg. Final
Deck Ftg.
Deck Final
Well
Pr. Oisp.
CITY OF EAGAN , 1 4 n
, 13830 Pilot Knob Road, P.O. Box 21-199,-Eagan, MN 55121
PHON E: 454-8100
BUILDtldG PERMIT Receipt #
To beusdd for Est. Value Date " ,19 `
Site Address
Lot Block Sec/Sub.
Parcel "No. ,
°Co Name
.
? a Address
P City Phone
Phone
of
Signature of Permittee
OFFIC E USE ONLY
On Site 5ewage Occupancy
MWCC 5ystem k Zoning
On Site Well (Actuaq Const
Ciry Water ? (Allowable)
PRV Required # of Stories
Booster Pump Length "
Depth
S.F. Total
Footprint S.F.
APPROYALS FEES
Engr./Assess. Permit T_
Planner Surcharge
Council
Plan Review . . ?, .
T
---
Bldg. Off. SAC, City ?
...,i?
Variance
SAC, MWCC ..
Water Conn. '
Water Meter ?
?T I
fioad Unit
Treatment P1
Parks
.
TOTAL
Permit No. Permit Hoidar Date Telephone #
Piumbing
H.V.A.C. ??J;?`
Electric Cc / ?' r
Softener
Inspection oate insp. Comments
Footings I
Footings II
Foundation
Framing ' IhAI w
Roofing
Rough Plbg.
Rough Htg. ' v I?1(.bT /!??'? ???.?T G?.yzc:?
Isul. .? ? l.rs?t - ?
Fireplace rea,6 -3
Final Htg. 'JJ a
Final Plbg. rap
Bldg. Final -zf-S,b
Cert.Occ_
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp.
(Itrtifiratr of Orruvanry
Citp of eagatt
igrpartmmt o# luiidino 3nspprttmt
This Ceraficate issued pursuant to the requiremenls of Section 306 of the Uniform Building
Code certifying that at the time of issuance this structure was in compliance with the various
ordinances of the City regulating building construction or use. For lhe following.•
Use Cfa4sifxation .r+F uxlC+AR Bldg. Rrmit No. 15 t
OccuPeocY IYPa ?.'?.5Mj y?ningDkrici T ype COOSL
Owoer oF Building _ ?.?7 ?..? ?-•?4? i Y'??,.?T?+ Address ?i}?i ?? .?' ?
?A? B3 s 7r4 WITV PARR
HuiWiog Addras Lnnlity
Budding Ofliciel Date:
POST IN A CONSPICUOUS PLACE
,
. PERMIT #
.
'
, ,
.
MECHANICAL PERMIT RECEIPT # `
CITY OF EAGAN
?
. 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE
t
CONTRACT PRICE PHONE: 451-8100
Site Addter - BLDG. TYPE WORK DESCRIPTION
Lot Block - Sec/Sul i-` ?-
- New
Res.
' Mult Add-on
m Name < ? ?= c'y ^
?
Add -
"
? ` <-, :c! ;
.• ' Comm. Repair
c [ess
Cit .
Rh
lJr :" .? Other
y one
Name FEES
RES. HVAC 0-100 M BTU - $24.00
c Addr? ADDITIONAL 50 M BTU - 6.00
p City phone ?` ? ? ? ??-? (RES. HVAC INCLUDES A/C ON NEW
? CONSTRUCTION)
GAS OUTLETS (MINIMUM - t PER PERilA1T) - 1.50 EA.
Forced Air
Boiler
Unit Heater
Air Cond.
Vent
Gas Piping OuUets #
Other
?.' . . `.:
?`.:s :_.,..._ .= ±: . :?;t::, a.t,.? !?' •_
M BTU
M BTU
M BTU
CFM
r%r i. OL-vUa. - vvmiw. nn i r- MrrLica
TOWNHOUSE & CONDOS - RES. RATE APPUES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
REMODELS - 12.00
MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(AQD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000)
FEE:
S/C:
TOTAL:
?I SIGMATURE OF PERMITTEE
?
FOR: CITY OF EA AN
r"
. , ? PERMIT # ` r=
. PLUMBING PERMIT RECEIPT # '
CITY OF EAGAN -
. 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE PHONE: 454-8100
Site Addfess' BLDG. TYPE WORK DESCRIPTION
Lot Block -Sec/Sub Res. New
- . ,. .. e •,, ;' • r; • ' Mult. Add-on
m Name Comm. Repair
m Address ' Other
c City Phone RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
Name =TWater Closet -$3.00 $
Bath Tubs - $3.00
3 Address . Lavatory - $3.00
p City Phone Shower - $3.00
Kitchen Sink - $3.00
FEES Urinal/Bidet - $3.00
COMM/IND FEE - 1°,6 OF CONTRACT FEE ? Laundry Tray -$3.00
APT. BLDGS - COMM RATE APPLIES Floor Drains -$1.50
TOWNHOUSE & CONDO - RES. RATE APPLIES Water Heater -$1 50
MINIMUM - RESIDENTIAL FEE -$12.00 Whirlpool - 53.00
MINIMUM - COMM/IND FEE -$20.00 Gas Piping Outlets -$1.50
STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIn
(ADD $.50 S/C IF PERMIT PRICE GOES Softener -$5.00
BEYOND $1,000.00) Well - $10.00
? _- Private Disp. - $10.00
Rough Openings - $1.50
SIGNATURE OF PERMITTEE FEE: "
STATE S/C: '
FOR: CITY OF EAGAN GRANO TOTAL•
CITY OF. EAGAN Permit
3830 P.91bt Knob Road g/p No
P.O. Box 21199
Eagan, MN 55121
. % 44 12 Date: 5 -?--`$`4".
zi
1
Owner:
Site Address: Norttiview Terrace LS B3 Lexin?t:? Park,. Plumber: plYmauth Plum? i•???
MWCC: 5 ;?.?. r,
,, _
CityChg:
Acct. Dep: 15. 0(,n`t
?
Permit Fee: . . t i)
Surcharge:
Misc.:
No. of Units:
I agree to comply with the City ot Eagan
Ordinances.
?
BY
SEWER SERVICE 13150Mf`T ?'" ? `"t
CITY OF EAGAN Permit No: Date: '-22 -8S
3830 Pil'oi Knob Road Meter No: b Size: -OF RO ?-
P.O. Box 21199 Reader No: Date: ?
Eagan, MN 55121
Owner. .
? Site Address: ____ ' R3 I.exingtoxj 'r`':
Conn. Chg: SSO.OQpd
Acct. Dep: 15. 01 0 ; :'.
Permit Fee:
Zaning
Nn. ot Units: ?-
Surcharge: -5012d I agree io compiy wlih the City of Eagan
Tr. Plant 2? Ordinances.
Meter.
Misc.: By7
WATER SERVICE PERMIT
? CITY OF EAGAN Permit No: Date: -2 '-X
3830 Pibt Knob Road B/P No: •`` `?' ?? ? Date: - 3-
P.O._ Box 21199
Eagan, MN 55121
`...._ __ .
5ite Address: ""0 '-'thview Ter. rECP LS B3 Lexinato?
i'' ptRQFICII r211$bi.Z1Q
MWCC: Zoning. F1
City Chg: No. of Units: ?
Acct. Dep: . I agree to comply with the City of Eagan
Permit Fee: Ordinances.
5urcharge:
M i sc.: By
SEWER SERVICE PERMIT
Cann. Chg: 350•00*d Zoning:
Acct Dep: 15•0612,4 No. of Units: -
Permit Fee: 10-Qft,-
Surcharge: • a0' "; 1 agree to comply with the City oi Eagan
Tr. Plant 204.,4gV4 Ordinances.
Meter. 47 *0004
Misc.: By
WATER SERVICE PERMIT
CITY OF EAGAN Permit No: "7? Date: ?'-?2-f `
3830 Pilot Knob Road Meter No: Size:
P.O. Box 21199 Reader No: Date:
Eagan, MN 55121
CITY OF EAGAN N! 1 51 19
3830 Pilot Knob Raad, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454•8100 ? /
BUILDIMGPERMIT Receipt# v/- Q?/, JO
Tobeusedfor SF DWG/GAR Est.Value $141,000 Date NNE 3 19 88
Site Address 4020 NORTHVIEW TERRACE
Lot 8 Block 3 Sec/Sub. LEXINGTON PARKVIE
Parcel No.
olName JOE MILLER CONSTRUCTION I
Address 18133 CEDAR AVE S
CityFARMINGTON phone 431-2001
a Name_
o
? Q Address
? City_
H¢
"W WW Name_
f
ig Address
UI
a W CItY-
I hereby acknowledge that I have reatl this application and state ihatthe
iNOrmation is correct and agree to compl w th all pplicable State of
Minnesota StaNtes an 'ty of Eagan di naes. y?
Signature of Permitte
A Building Permit is issuetl ro: J E MILLER CONSTRGCTION
ontheexpressconditionthatall orkshallbetloneinaccordancewithall
applicable State of Minnesota Statutes and City o! Eagan Ordinances.
Building OHicial_I I INA_f?.0 ? yk
OFFICE USE ONLY
OnSiteSewage _ Occupancy R-3 M-1
MWCCSystem X Zoning PD R-1
On Site well _ (Actuap Const V-N
Ciry Water X (qliowable) v-N
PRV Required _ # of Stories
Booster Pump _ Lengih 521
Depth 44'
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr./ASSess. Permit /08•00
Planner Surcherge 70.50
Council Plan Review 354.00
eldg. Off. SAC, Ciry 100.00
Variance SAC,MWCC 550.00
Water Conn. 550.00
WaterMeter 67.00
Road Unit 325 DO
Treatment P1 204.00
Parks
roraL 2,928.50
This rdquesl voitl&/-,?
18 imnths fmm
E 20256 I.R ?4:
?/,2 %IF`e'
censed?Electrical ConVactor
Owae.r
0,on I ww
?Reatly Nowy? Will Notify, Insper
No Wh¢n Ready
1 hereby reQuast inspection ot ebove
electrical work iretalled at:
S1reet AtlAress, Box or Rwte No. C it
V
/
?
ecimn o. TownshiD ame or No. flanee No. County
?
Occupant (Mi1NT) Phone No.
o
ower $upplier AtlAress
? ? ? sso a d
nomVany Na el
ElecVical Cn rac?}or IC Cnntrar,tor's License No.
y?
/
Mafling AddresS (Comracm, ot Owner MaWne lns[ailation)
?, ,5 s33
Auth ized SigraIDre IC.mractor Owner MakinB installationl Phone Number
M1yyNESOTA SNCTE BOARD OF ELECTqICITV
AI`B9s-Midwey Bltl9. - Raom N491
1821 Universitv Ave.. St Peul, MN 55104
Phone (6121 642-0800
THIS INSPECTION PEQUEST WILL NOT
BE ACGEPTED BV THE STATE BOAAO
UNlESS PNOPEN INSPECTION FEE IS
ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION es-/oa/Coo.i-or?s
1 Seu instructions lor completing this fmm on back al yellow coGV. ?T 7?7J
E,20256 "X" Be/ow Work Covered by 7his Request
ane ReO. - Type ofeuilaine nooliancae Wirea Enuiun,er,t wi.Pd
Home Range Temporary Service
Duplex Water Heater lightiny Fixiures
Apt. Building Dryer Electric HeTUn
Commercial Bldy. Fumace Silo Unluader
Industrial Bl(ig. Air Conditioner
- Bulk Milk Tank
-
Farm oer Unne, Isne<,ry)
t r Sucdfy ther Other
Cmm..ulo Incnnrtinn Fac Ralnw
p Fea 'ServiceEntreace5iie H fee Fexders/Svbfeaders N Fe.e Circuits
?. 0 to 200 Am s 0 to 30 Am s 0 tn 30 Am>s
Above 200 qmps 31 to 100 Amps 31 m 100 Am s
Swinxning Pool Above 100_Amps Above 100_Amps
Transiormers Irrigation Booms Partial,Other Pee
Signs Dpeaal inspecuon
Aem3rks
I, ctrical
?Pecbr, thereby
certiiv thet the above
insOec[ion has been
maaa.
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EACAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681•4675
New Constmction Reauirements
• 3 reyistered srte surveys showing sq. ft. of !ol, sq, ft. of house; antl all roofea areas
(20 % maeimum lot coverage allowed)
. 2 copies of plan showirg 6eam & vnndow sizes; paured fourM tlesign, etc.)
• 1 sel of Energy Calculalions
• 3 copies of Tree Preservation Plan if lo[ platted afler 71V97
. Rim Jois[ Detail ODbons seiection sheet (biCgs with 3 or less units)
DATE
I 13.-??
RemodellReoair Reauiraments
. 2 wpies of plan
• 1 set of Ener9y Calculabore tor healed aaditbns
• 1 site survey %or extenor additians 8 decks
• Indicate il homp served by septic system "ror additions
VALUATION
SITE ADDRESS QO`S ?/??? ?/;P ?i ????MULTI-FAMILY BLDG _Y _N
ef ZZW FIREPLACE(S) _ 0_ 1_ 2
TYPE OF WORK J?7 X
APPLICANT+?dY?r9l??C r?SD?I /00/6???? Sl?%7
STREET ADDRESS a+o;Y'`0j? 19 CINZ%dt? STAT15? 62 ZIP cS' e C?
TELEPHONqEV,CELLPHO & /lO- V@b3 FAX# 3 b'/ - aZOv?"
PROPERTYOWNER ?_rK !V 7i,•? TELEPHONE#
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category
_ M(M-N150'l':1 RliLFS 7670 CA11?GORY f MINNLSOT:1 RULES 7674
(d submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
. Energy Envefope Calculations Submitted
Plumbing Contraetor: _---------- Plione #
Plumbing system includes: Watcr Soltener _ Lzavn Sprinl:lcr Fee: $90.00
Water Heatcr No. oF R.I. Baths
No. of Badis
Mechanical Contractor: Phone #
Mcclr.uiic:il systcm indudcs: Air Condiuoning Pce: $70.00
-- Hcat Rccovcry SysLCm P19) ? u T LS ?
Sewer/Water Contractor: Phono # AUG
?U
I hereby acknowledge that I have read ihis application, stote that the informati cn' e comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinan
Signature of Applicant
OFFICE USE ONLY
Certificates of Survey Received Tree Preservation Pian Received _ Not Required _
- Updated 4l02
OFFICE USE ONLY
0 01 Foundation 13 07 05-plex ? 13 18-plex ? 20 Pool ? 30 Accessory Bidg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace O 21 Porch (3-sea.) ? 31 Ext. Alt- Muiti
? 03 Ot of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)I ? 33 Ext. Alt- SF
? 04 02-plex 0 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 MuIU
? 05 03-piex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damege
? 06 04-plsx ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous j
13 31 New
? 35
Int improvement I
? 38 Demolish (Intenor) O 44
Siding
? 32 Addition ? 36 Move Bidg. ? 42 Demolish (FOUndation) 0 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)" ? 43 Reroof O 46 Windows/Doors
? 34 Replacement "Demalitlon (Entira Bldg only) - Give PCA handout to applicant
Valuation Occupancy MClES Sylsfem
Census Code Zoning City Wate?,
SAC Units Stories Booster P?ump
Nbr. of Units
Sq. Ft.
PRV i ?
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footings (deck) FinaWi o C.O.
_ Footings (addition) _ Plumbing
_ Foundation HVAC
I
Drain Tile Other
?
Roof Ice & Water Final Pool Ftgs Air/Gas Tests _ Final
_ Framing _ Siding Smcco Srone I
_ Fireplace _ R.I. _ Au Test _ Final _ Windows (new/replacement) ?
_ Insulation _ Retaining Wall ?
Approved By
---- --------- Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S8W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
^ • ' " RESIDENTIAL 4!
BUILDINC PERMIT APPLICATION
S 3 f S? CITY OF EAGAN ?
3830 PILOT KNOB RD - 55122
651-681-4675
New ConaWdfon Reauiremenls RemodellRaoair Reouirements ?T
• 3 registered stle surveys showing sq. ft. of IoC sq. fl. of house; and all ruofed areas • 2 copies of plan
(20% maximum lot coverage allowed) • 1 set of Energy CalalaUons for heated additions
• 2 copies of plan showing beam & window saes; poured found design, etc.) • 1 site survey (or extenor additions 8 decks
• 1 set of Energy Calculations . Indicate if home served by septic system for additions
• 3 cop'res of Tree Preservation Plan if lot platted aRer 111193
• Rim Joist Detail Options selection sheet (bldgs with 3 or less uniGS)
DATE _ TUGY 22 20,0 z.. VALUATION 3D e'" Jo"
?
JOB SITE ADDRESS
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTYOWNER 7'0iS!/1 i41%0 toiflt? .740.6i44/
TYPE OF WORK 4 S$'ASorJ POA!11!4t/ FIREPLACE(S) _ 0_ 1_ 2
APPUCANT ?'11Yt7l.L4&-/004ltS 60i4.DPAS _Z/JG PHONE# bJ'/-bab -0911
ADDRESS D29 T4oT.?exS .z/Obrs E'„444i? i'!V ZIPCODE SS/23
?
PAGER # CELL PHONE #AS/".3D7-D13fO FAX # j
NE1V RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy code Category _ MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
_ MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumbing Contractor: _
Plumbing Systcm Includcs:
Mechanical Contractor:
Mechanical SysLem Includes:
Sewer/Water Conhactor:
Phone #
Phone #
Fce: $90.00
ree: $70.00
All above informatlon must be submitted prior to processing of application. ?? I' 2 5 2002
I hereby acknowledge that I have read this application, state that the information is rrect, an agree to
with all applicable State of Minnesota Statutes and City of Eagan Or ' a es. y------
Signature of Applicant
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Water Softener _
Watcr Heater _
No. oF Baths
Phone #:
Lawn Sprinkler
No. of R.I. Baths
_ Air Conditionuig
_ Heal Recovery System
Updated 2002
OFFICE USE ONLY ' --?
? 01 Foundation ? 07
05-plex
? 13 76-plex I
? 20 Pool ?
30 Accessory Bidg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Muiti
? 03 01 of _ plex ? 09 07-plex ? 17 Garage /< 22 PorchlAddn. (4-sea.) I? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
O 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ?
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) O 44 Siding
? 32 Addition „ ? 36 Move Bldg. ? 42 Demolish (FOUndation) O 45 Fire Repair
? 33 Alteration ' ? 37 Demolish (Bldg)* ? 43 Reroof ? 46' " Windows/Doors
? 34 Replacement •Demoiltlon (Entire. Bldg only):- Give PCA.handout to applicant
Valuation Occupancy ?=v7? MC/ES System
Census Code ? Zoning 'tity Water
SAC Units Stories Booster Pum'p
Nbr. of Units' . Sq. Ft.. '• a C ,. • . PRV. .
Nbr. of,Bldgs' Length. , ! Fire.Sprin?ered,
Type of Const _Old W idth
REQUIRED INSPECTIONS
_ Footings (new bldg) FinallC.O.
Footings (deck) FinaUNo C.O.
? Footings (addition) _ Plumbing
Foundation HVAC
Drain TIIe Other
Roof
Ice & Water Final Ftgs _ Air/Gas Tests
Pool _ Final
_
? Framing _ _
_ _
Siding Stucco Stone
Fireplace R.I. Air Test Final Windows (new/replacement)
? Insulation
? _ Retaining Wall I
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Approved By T-Z , Building Inspector
--------------------
y/ 5?OA,)
I
i
4 ND C0.
` VEYING
ERVICES
?O YANKEE DOODLE RUAD
GAN. MINNESOTA 55122
..:•.3:?? ?O\ /?'?
27.13(tj
LEGAL DESCRIPTION:
SCal@: I"=3d
i ,
/
a
`p3?a
D\ 2°?2 0
o
PHUB
19.2dQ 915J
913.16
i ?
1A `? ?? ?Jr
?y? ?F1VE?AV
.??- , •I 9`6;
lk '
/
917.56 x,
sv-o
,
GWpS'6
LOT 8,B1LOCK 3, LEXINGTON PARKVIEW
ACCORDING TO THE RECORDED PLAT
THEREOF DAKOTA COUNTY,MINNESOTA
r k"
,
SITE PLAN FOR:
JOE MILLER
CONSTRUCTION
?`1 ej?pyfo
?
?-
'?, ?`? ,?91p36 ? ?
?
19641
15'?
LEGEND
o DENOTES IRON MONUMENT
o DENOTES WOOD HUB SET
DENOTES EELEVATIONPOT
DENOTES PE?E pOT
VAT ON
? DENOTES DRAINAGE DIRECTION
I heraby cartify that tAic survey,plon or
report was prepared by me or under my
direct supervi:ion and ihal 1 am o duly
Rsqictered Lond Surveyor undar ihe
Lawt of fhe Stafe of Minnesota.
:..l.t i •
id
3
807.16
INVERT ELEVATION AT SERVICE EXTENSIqN-
PROPOSED GARAGE FLOOR ELEVATION ¦ 9/R.ti
PROPOSED FIRST FLOOR ELEVATION = ? ^
PROPOSED BASEMENT FLOOR • ?O '
ELEYATION
NOTE ? VERIFY ALL FLOOR HEIGHTS WITH
FINAL HOUSE PLANS
? AT ?l?Y`- _
Bradley . Sarenson, Mn. Rep. No. 15235
??? fl?
DaW
;
. .
? ENERUY CODE WORICSHEET POR 1& 2 P'A1tSILY DWELLINGS '.
SITB A?OR655? CITY ? F-4(s?a?. .
COMPLETED HY: 1 I?Wo LL2
6r1
10N6 ?ATE `fZZZ
1?
? _
_
0Z-
:
__"' '_'_" _'.. _ ... . ... .. _ . _._ . ._.._..__._.... ._ . . .. . ... .
? .._
. . . .
,_'--?-?._
80ZLDING CLASS'IFICATIOPIi ? . -
Foundation Ineulation-R1o 1•Jalln G WindoNO Roo£ Athia lneulatian:? -
? ? ' (See L•ablc on ravoree eide
. 'Sla6 on Grade Inoulatlon-[tlG Eor nllowe6la pcrcentagea) - B44-With Attic No lieel
F1oor over unheated epaceu-R24 R36-With Attic?Raieed Heel?. ?
., Foundation Ylindowe 1/2" ?- ., . R38 4 RS-Solid RaEtere
. ineVlatad Glaoa.
-Vlood or Vinyl F'rame
? 9T6P 1 Wiadow A Door?Araq ' - STSP 3 Calculate area?eo a percent aE.wall
A., . Total Window 4 Door Trea in 1q. FeeC
? WINDOWS (Zncluding Poundation Wludotan)t ? ? . ? ?..
KIt(DaW Df1V`NFACTURL+ NA2[6:? C. Fcom? S[ep 1 dlvide box A?(41indow S- boor -
? . L ' 1
WII?IDOPf'.!Al
?A>EM?
?'T _Area) by box U(tatalwall eiea)-"ESmea 10C
NFACTO7tC TYPEl
i equale Cha window and door area ae a?
?
W2EI
??O pezcanC oE.?wall area (Uox
DO}9 IdA21DFACTUR¢ ? FACT0At r .
.
R. o. ? Quanclcy ?aq.le.Area
? Box A
,
._? x iaa e ?
Dimensions .
? .
1 ?
Oox [1?,
TL
?
?7
7 4-
0
41
1• '
' STBP 3 ? Oeoign Faaturea ? ? .
?} j• .. . . "..
,
. ..
. . . .
P.SSCtd?LY ' ? ? . .
.
. X . . . .
PRAIIINC TYPE: ? . . .
. ? ?X ? - - STAAIDARD FRW-0IN4 .ntude 16-2 ?o?:c. ?
I P?r??//? ? 4• Z. AOVATICGD.FR7IMSNG- ntude 24" o.'c. ?. '
-
7. Z . ? F.
CAVITY IM3ULATION 77
- '
,
X,
' ' 911HATIfIIItl TXPEt
X LE59 T11Ahl < R-S
X It-5 > OR MORG
, X? U-FACTOR .U .. .
- DOORS: From Che ta61e, '
(reverse eide) daGermine the -
maximum peccent windoa 4 door area for.the'-
. o . - J¢oign optionn ealecL-e3 and enter the?}
value
x?
? .
Sn Dox D 6e1aw 6noed an the window mEg. U--
?
-
Eactor:
.
?
I I' v ._...
?.,. ?.
1'otalArea
oF
A=
.oa.f
t ?
?
4lindown q Doare 6 ,
? .
.?
B. Tatal 41¢11? Atea Ln Sq. Ct.? - The t value [rom Chc La61e in? Oox D eliall be
, - ..cyual Co or graoCCr [han Che ! in Dox C ?
Wall Total ? 11c1g1iL• TCnn
? PerlmuCec
C
'I'o[al Arna nf Wnll?
11? ??
?
&'? tivU-IAnttLY Ill;S?lriN ??qL ?UILUING 171L51:?Ut'I IVL (CUUK-UtUO?•?
??'?'kwnu!
nltL•n
n14u uvun nRM ns n iT-ltc1:N1• Clp VvE?tnLL WALL
l'tQln h11un n?.i._
lueu-- ???t 5l?c_? alltlun ?Yln??nW j1-?clor
' _ -_. VU.?9 U.3G 0.31?
?s?nlvDniiu` -ji
sFnNun`is i3i
nIJDnI?U
_SI/11IU%11tU? ?li-Ir 12.91L ;t -
2U.1'/o 23. 7e
81 ?11Ji)nIUJ ` - - I6.U7e ?q'.875 `? "? '
it-in-i9 - Zi.uz:
ni?vni?lciu?
I1-1' -1 19.37:
_"nuGni?ci:u- - s -? ?c? -9s - ? ii:'v;s` -13.I3b ?2'0.17e - .
Il•i9-19 It
51AIVUAIU T-It-21?- `?'••`9_... ?4'.21a ?I.97e . 26 1"/v _stntii?nliij -`It-2?? ¢_It--g.,.._ ?I.e34 i ?75 _lv,'D9'
? - ° l%
L1V NCj;U
n (-21? C 11?5' I?•5?? ??9 37b 1I,53?n 26.1 ?s
?UVi1?JC?1J` 11-21r 19U]G `i9 q?e -2l_29e? 14.6n1's
Il • 9 °; 2J.27a
1G.9 /a
tltlsilllu?inl-ul?ulal?tLnv J,u?a - . - .
51 " . .
- ;_
_ nNUnitu -`Ii:1i` "F-49
s
?ni3i?niiia- _ ?11 ?9.6/e 1I.97e
- . ??.J76 I4.U7:: 12.2Y. 25.'7Y.
Nulee: ' .
IYlndow lieit equale juugh npching tnlITve Iiulallaitnn clcaleiicce. . }• .:
}Vli?dotiv U-Intlor muel be delctinlned by eillut Ihe Naqotlal l'eheeliallon Il"aling •
Co??ncll nlendnid IU0-91, or A51111A13 1993 ?I4i1dbnok aI I'.undstnddals. Chopler 21,
'I xble 5.
ro,l•n?F?xHvi? terl
?.
ce
rt
?.
1
+
RESIDENTIAL
?51 U'S ? BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
851-681-4675
Naw CanstructWn BeauhemeMe
• 3 regMered sita suneys showing sq. N. of lot sq. ft, ollrouse; arM all roofed areas
(20% meximum bt coverage albweA)
• 2 copies of plan showing beem & window sizes; poured found design, etc.)
• 1 set of Energy Cekuptbns
• 3 wples of Tree Preservation Plen A lot platled atter 7/1/93
• Rim Joisl Detail Oplbns sefection sheet (bldgs wRh 3 or less untls)
DATE 5'_?I-0?
pematleVNaREir Heauirements
• 2 copies of plan
• 1 sel of Energy Calculations for heate0 addilbns
• 1sftesurveyforeNerioradditbns&decks
• IrMicate N home senetl by septk system for atlAAbns
VALUATION
SITE ADDRESS MULTI-FAMILY BLDG _ Y 1%?
TYPE OF
APPLICANT
FIREPLACE(S) _ 0 _ 1 _ 2
STREET ADDRESS 'I 2^a / :e 41?t/ IV
TELEPHONE #71:15-?*l-O3dy CELL PHONE #
PROPERN OWNER JQhh 7AMck TELEPHONE # 95,), - y3') - 7 y/ i
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RUi.ES 7670 CATEGORY 1 MIIVNESOTA RLiLES 7672
(4 submission type) . Residential Ventilatlon Category 1 Worksheet Submitted . New Eneigy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contracfor: Phone #
Plumbing system includes: _ Water Sofrener _ Lawn Sprinkler Fee: $90.00
_ Water Heater _ No. of R.I. Baths
_ No. of Baths
Mechanical Conhactor: Phone #
Mechanical system includes: Air Conditioning Fee: $70.00
_ Heat Recovery System
Sewer/Water Confractor: Phone #
I hereby acknowledge mat I have read ihis application, state that the informatfon is correct, and agree to compl
with all applicable State of Minnesota StaTutes and City of Eagan Ordinances.
Signafure of Applicant ? ?
OFFICE USE ONLY
CIN u/2 STATEM? ZIP --;:?'Yy
FAX #
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
OFFICE USE ONLY
? 01 Foundation O 07 05-plex ? 13 16-plex ? 20 Pool ? O 30 Accessory Bldg
? 02 SF Dwelling ? 08 06plex ? 16 Fireplace O 21 Porch (3sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex O 17 Garage ? 22 Porch/Addn. (4sea.)' ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? ? 36 Multi
? OS 03-plex ? 11 14plex ? 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 Additlon ? 36 Move Bldg. ? 42 Demolish (Foundation) 0 45 Fire 'Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Raroof 0 46 Windows/Doors
? 34 Replacement *Demolition (Erytire Bldg only) - Give PCA handout to applican!
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 W idth ' i
REQUIRED INSPECTIONS ,
_ Foo[ings (new bldg) _ FinaUC.O.
_ Footings(deck) _ FinaVNo C.O.
_ Footings (addition) _ Plumbing i
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
Fireplace _ R.I. _ A'v Test _ Final _ Windows (new/replacement)
_
Insuladon _ Retaining Wall
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Approved By , Building Inspector
------------------------------------------------
I
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
INSPECTION RECORD C°n ° "°. 0728
PERMITTYPE: euiLoiNG,
Permit Number: 800719
Date I ssued: 0 6/ 0 3/ 9 2
SITEADDRESS: Lor: a
4020 NORTHVIEW TER
LE%INGTON PARKVIEW
BLocK: s APPLICANT:
TIpIBERWORKS BLDRS INC
(612) 686-0911
F '
L _
PERMIT SUBTYPE: TYPE OF WORK:
DECK NEW
DESCRIPTIpN 22' X 16' 14' X 1o
PERMIT
CITY OF Ei4GAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT TYPE:
Permit Number:
Date Issued:
I Control No, 0728
BUILDING
000719
06/03/92
SITE ADDRESS:
4020 NORTHVIEW TER
LOT: 8 BIOCK: 3
LEXINGTON PARKVIEW
DESCRIPTION:
- 22' X 16' 14' X 14'
, 8uilding Permit Type DECK
Build3ng-?Work Type NEW
UBC Occuparicy R-3
`i
/
,
t
; ]?1
\L-1 - i
REMARKS,?-o
?+aD??
n O / 7
?'
J
FEE SUMMARY:
8ase Fee $25.00 COPIES $1.00
Surcharge $.50 Total Fee ;31.50
Lic. Search Fee $5.00
Subtotal $30.50
CONTRACTOR: - APPlicant - S7. LICOWNER:
TIMBERWORKS BLDRS INC 16660911 0006352 ZURICK JOHM
829 TROTTERS RIDGE RD 4020 NORTHVIEW TER
EAOAN MN 55123 EAGAN MN 55123
(612) 686-0911 (612)452-5383
I hereby acknowledge Chat T have read this app2ication and state that the
information 3s correct and agree to comply with all applicable State of Mn.
Statutes artd City of fagan Ordinances.
I- J
&o414 ???APPLICANT/PEFMITEE SIGNATURE ISSUED Y: SIG RE
PERMIT CITY OF EAGAN
119 1992 BUILDING PERMIT APPLICATION
881-4675 -y,yfl `? RECt
SINGLE & MUL7I-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 6 9Z Valuation of work
Site Address:_ Y020A?o,eri/?iEwv T,eA.4ea
STREET STE /
Tenant Name: ToNn) ANo 6Ri4. zvizie_,t
LoT ? eLaK
SUBD. /'EX/N?7YJ.?.I ? /j.eANi EuJ
4
P.I.D. /
Descri tion of work: E6.4--
The applicant is: O Owner Ca ontractor ? Other (Oeseribe)
Name z???c-Ac O-otiw AA190 614ic.. Phone '/SZ -5-3 8 3
Property LAST FIRST
Owner
yozo 1N16,e7WU1CW ? E,,Z.a.+cJE
address
srRE¢r sre x
City E,464^1 State MAI Zip SS123
Company 7.MBE.er ?jvic-,ogas _:7_Ac..Phone 666 -09//
Contractor Address 829' /'i&o77SeS .e?06E Ao• License # lo3SZ-fExp. 3-31-49.?
City F.9614?j State IWA) Zip SS"/23
Company TMa-e?a?o,exs B.?oRS ?'.+?. . Phone 54110& .
Architect/
Engineer Name Registration #
Address
City State Zip
Sewer 8 water licensed plumber Processing time for
sewer & water permits is two days once a'rea 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 State of Minnesota Statutes and City of
Eagan Ordinances:
Signature of Appli.cant: - - Ow?
; . . trrriLoe uac vnLr
BUILDING PERMIT TYPE
? 01 Foundation ? 05 Apt. Bldg ? 09 Basement Finish O 1Public`?ac.
? 02 SF Dwg. ? 06 Garage/Accessory D 10 Swim Poo1 O 14??'grjc4jtural
..
0 03 Two family ? 07 Fireplace ? 11 Res. Add./Porch ? 15 Miscellaneous
? 04 Multi-fam. T.H. 08 Deck ? 12 Comn./Ind.
WORK TYPE
? 31 New ? 34 Repair O 37 Demolish
? 32 Addition ? 35 Tenant Finish ? 99 Undefined
0 33 Alterations ? 36 Move -
GENERAL INFORMATION
Const. (Actual) Basement sq. ft, MWCC System
(A1Towable) lst F1. sq. ft. City Water
UBC Occupancy R ?3 2nd F1. sq. ft. PRY Required
Zoning ? Sq. Ft. total Booster Pump
# of Stories Footprint Sq. ft. Fire Sprinkler
Length z2x/G On-site well Census Code ?3c.!
Depth W ? On-site.sewage SAC Code
APPROVALS
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS
? Site Footing ? Framing ? Insulation
? Wallboard 17? Final ? Draintile ? Fireplace
Permit Fee. 95, u0 v.iu.eid,:
5urcharge sn
Plan Review
License ?
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
5/W Permit
S/W Surcharge.
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies t,o?
Other
Total:
:
SAC %
SAC Units
00'VOlt
TRI-LAND C0.
SURVEYING
SERVICES
1260 YANKEE DOODLE ROAD
EAGAN, MINNESOTA 55122
LEGAL DESCRIPTION;
Scale: I"=30'
/
?
??
.-lob
a
? ,ZD \2
Lp0
Hi
14.2' p s?
913.16
27.14
/r /. ,.,
i 26
g?3.16 * pp56p
1 P?HpU56
?.
W.V\ ` l9
? 10
'' GPRDS''E.
? ? NE`pAV q4
917.56
SITE PLAN FOR:,
JOE MILLER
CONSTRUCTION
LOT g, BLOCK LEXINGTON PARKVIEW
ACCORDING TO TH RECORDED PLAT
THEREOF COUNTY, MINNESOTA
6 i909•66
?
? 22
f ? i'A
10
LOT 8
pROPasec ? ?
?, ? oFCk
/
907.16
?. x9?2.66 ?910.36?' /
.r%F.Q?
R
1 , 916 * / / ?' ? 3oa
? ?- Ne? 23 E
15??
LEGEND
a DENOTES IRON MONUMENT
o DENOTES WOOD HUB SET
DENOTES EXISTING SPOT
ELE VATION
OENOTES PROPOSED SPOT
ELEVATION
te?- DENOTES D?AINAGE DIRECTION
I hersby certify that ihis aurvey,plan or
report was prspared by me or under my
direct supervision and thaf I am a, duly
Reqiste?ed Land Survoyor undsr the
Laws of the Stafe of Minnesota.
INVERT ELEVATION AT SERVICE EXTENSIpN=
PROPOSED GARAGE FLOOR ELEVATION ¦ 9/•4.5
PROPOSED FiRST FLOOR ELEVATION = 9i7 n
PROPOSEDBASEMENT FLOOR = ia -
ELEVATION
NOTE' VERIFY ALL FLOOR HEIGHTS WITH
FINAL HOUSE PLANS
Bradleonson, Mn. Roq. No. 15233
Dafe ? 4fo'!G / ay
? f CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT
PERMITTYPE: BuILpING
PermitNumber: 027976
Date Issued: 8 6/ 2 0/ 9 6
SITE ADDRESS:
4020 NORTHVIEW TER
LOT: 8 BLOCK: 3
LEXINGTON PflRKVIEW
P.I.N.: 10-45035-080-03
DESCRIPTION:
_.?
#b a.lding Permit Type BASEMENT FINISH
,.'E3u`I3;ding "'W,p_rk Type ALTERATION
Census Code A ?1- 434 ALT. RESIDENTIAL
REMARKS
%
FEE SUMMARY:
Base Fee $50.00
5urcharge $.50
Lic. Search Fee $5..00
Total Fee $55.50 ,
CONTRACTOR: - a,pplicant - ST. LIC .OWNER:
BUD6ET INSTALL & REMODEL 18944131 0005145 ZORICH JOHN
5340 EGAN DR 4020 NORTHVIEW TER
BURNSVILLE MN 55337 EflGAN MN
(612) 894-4131
I here6y ac knowl,jsdge that I,have , reas!'this application and statethdt t,he
information is c'orrect and agree Co comply wsth all applicabls State of Mn:
Statutes an d Czty of Eagan Qrdin ances.
.
APPLICAN ERMITEE SIGNATURE ISSUED B. GNAT RE
\-
qqlG
J U ?l ; 4 1996
? 3 registered aite surveys
? 2 copies o( plann (inGude beam d wind ._9keS::RflUreQQG
? 1 energy calcuiations
? 3 wpies of tree preservation plan 'rf lot platted aNer 7/1193
required: Yes _ No
DATE: (,Ql - H ((J
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
1996 BUILDING PERMIT APPLICATION (RESIDENTIAL)
Remodelffieoair Reavirements
. .
r ?
? 2 copies of plan
? 2 site surveys (exterior additions & decks)
? 1 energy calculations for heated additions
CONSTRUCTION COST: f rD I
DESCRIPTION OF WORK: -ri n i
STREET ADDRESS: 409`C) LOT ? BLOCK S SUBD./P.I.D. #:
PROPERTY Name: Phone #:
OWNER
•
40a0 ""•' _
I!Err
Street Address °
City: 150Q 0.c, State: ? Zip:
CONTRACTOR Company: .? I 2- 0 nr ?'..? ?t D? Phone #: ?? ?13!
Street Address: Pd &?( License #: •-
?5
City: ?? YlSV1 ?? State: r( 1n-) Zip:
ARCHITECT! Company: Phone #:
ENGINEER
Name: Registration #:
Street Address•
City: State: Zip:
Sewer & water licensed plumber:
change are requested once permit is issued.
Penalty applies when address change and lot
I hereby acknowledge that 1 have read this application and state that the information is correct and agree to comply with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY Q
i ?
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes No _______________
OFFICE USE ONLY
BUILDING PERMIT TYPE
0 01 Foundation ? 06 Duplex ? 11 Apt./Lodging
0 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem.
? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory
? 04 SF Porch ? 09 12-plex o 14 Fireplace
0 05 SF Misc. ? 10 = plex o 15 Deck
WORK TYPE
0 37 New ,E?-33 Alterations ? 36 Move
0 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building
Engineering
Variance
?y
OI
D
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
SIW Surcharge
Treatment PI.
Road Unit
Park Ded. !
Trails Ded.
Other
Copies
Total:
Valuation: $
. 4 . s.
f
16 Basement Finish
? 17 Swim Pool
? 20 Fubtic Facility
0 21 Miscellaneous
MC/WS System
City Water i
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bldg
Census Unit
% SAC
SAC Units
APFLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
y N01B: PA1MffTdf OF FEE AT TIME OF ?
; neeracaxxoN noES NoT coN- ;
; srizcirz nrpxchmt oF rearuT. ;
.
; iNSeFx-rxaa oF sEWER ran/ox FmTm ;.
; xesrnLcUiais wua, rur ee scmMM ;
; ncnza rr.DZur tms sEEN nrrxovED. ;
f??t?wvx+xrf??itff????**irt?t:+ar.??f.fs+
ItV OF CC1gC1n
PLEASE PRINT
1) PROPERTY ADDRFSS:
LEGAa. DFSCRIpriorr . . . . . . 6. 3
Lot)Bi-oc S vlsion or Tax Parcel IDj
IF EXISTING STRCCT[JRE, DATE OF ORIGINAL BUIIDING PII2MZT ISSOANCE:
PRESENT ZONING/PROPOSID USE:
Q . CODM'ERCIAL/RE.TAIL/OFFICE
Q INDLSZ'RRIAL
a, INSTI'IL'TIONAL/GOVERNNIENT
Nbn Year
I =,R-1 SINGLE FAMILY
? R-2 DUPLEX ('1wo Cnits)
Q R-3 TOWNEi00SE (Three +_ Lhnits) ( Units)
Q R-4 APARTMENT/CONIDOMINILM ( . Onits)
z) taanE: 7a. .o,!!' C o's/.
ADDRESS:
CITY, STATE, ZIP:
i
PHONE: 5!3/_ ?ep /
3) ' :?• NAME:
ADDRESS: 91 9v
'rJ
CITY. STATE, ZIP: _,l*J,?dIG e-hd
PHONE: 993-.24175? MASTII2 LICENSE # yt ?.o d S'
Active
Expired
Not recorded
Sta Initi
4) e ? •. e ?.
NP,ME: .Sisi.ce ?J ?Z?
ADDRESS:
CITY, STATE, 2IP:
PHONE:
5) s a' a?• • o t??
[DtONNECTION TO CITY SE.WER ED'CONNECTION TO CITY WATER O 0'PfiEE2 _
6) ?'T ???e4.?n? ? 16,19
***??+,r*****+****************?****,r*?*?+****************+*****r?**,r***********?x*********************
*THE GOLD COPY OF 7fE PERNffT WILL BE SErTr DIRDLTLY 10 PUBLIC WORKS 70 FACIISTATE METER PICK-UP. ?
,*t PLEASE ALI,OW 7W0 WORKING DAYS FOR PROCFSSING. SOb'IDONE FROM TfE CZTY WILL CONPACf YOU IF TfIERE *
* ARE ANY PROBLFMS. *
?***?*x******+*?*****?**+r*,r*??+**,r*********+***++*****?+*+?*+?r*?,r*****?**t*???+++??*+****++?*****:?
F'OR CITY USE ONLY
PERMIT # ISSUED
r--- ?? o ?/
Pd w/Bldg. Permit
C
$
$ ?r:7rdt?
$
S
$
$
$ SS-0 o?
g ? ?c • c??
$
$
$
$
i
$ ?J C? `?c} Z-,
$
i
? . .
FEES:
$ en SEWER PERMIT (INCLODE SURCHARGE)
WATER PERMIT (INCLUDEISURCHARGE)
$ WATER METER/COPPERHORN/OLTSIDE READER
$ WATER TAP (INCLL'DE CORPORATION STOP)
$ SEWER TAP
$ ACCOLNT DEPOSIT - SEWER
ACCOL'NT DEPOSIT - WATER
$ WAC ?
$ SAC
$ TRONK WATER ASSESSMENT
$ TRUNK SEWER ASSESSMENTI
$ LATERAL BENEFIT/TRUNK SEWER
$ LATERAL BENEFIT/TRONK WATER
$ WATER TREATMENT PLANT 3LRCHARGE
$ OTHER: i
$ TOTAL
RECEIPT RECEIPT
DOES UTILITY CONNECTION REQDIRE EXCAVATION ZN PUBLIC RIGHT OFIWAY?
? YES IF YES, THEN A"PERMIT FOR WORK WITHIN PDBLIC
Q
ROADWAY" MUST BE ISSUED BY THE ENGI[VEERING
NO DIVISION. LIST AS A CONDITION.
SOBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE:
CITY USE ONLY
L ?_ BL ? RECEIPT#: S935'?
SUBD. DATE:
1996 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: . single family dweilings
? townhomes and condos when permits are required for each unit
FIXTURES EACH TOTAL
Shower 3.00 x
Water Closet 3.00 x 1 = 3cb
Bath Tub 3.00 x =
Lavatory 3.00 x ?- _ ob
Kitchen 5ink 3.00 x =
Laundry Tray 3.00 x =
Hot Tub/Spa 100 x =
Water Heater 3.00 x =
Floor Drain 3.00 x =
Gas Piping Outlet * minimum -1 3.00 x =
Rough Openings 1.50 x =
Water Softener 5.00 x =
Private DispoSal * DakoW Cty. license 50,00 =
(new and refurbished systems)
G. Sprinkle[ * home under const. 3.00 -
Alter n o existing 20.00
a er Turn Around 20.00
STATE SURCHARGE .50
TOTAL
SITE ADDRESS: qba'o br41 U1&v
OWNER NAME:
INSTALLER NAME•, ?? t?-1 IL)IU?rn bilt ?
STREET ADDRESS:
CITY:AeMcQu?t? STATE: ?n ZIP: 5!Pav
PHQNE#:(Co() ;
L BL
SUBD. _
1996 PLUMBING PERMfT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD ?
EAGAN, MN 55122
(612) 6814675
`
Please complete for: . all commerciaVindustrial buildings.
w multi-family buildings when separate permits are IIQt requiredfor each dwelling
unit
DATE:
1NURK IYPE: NEW CONST"i2U(: TIOfV
DESCRIPTION OF WORK:
CONTRACT PR{CE:
A6u Oiv REPAIR
- - IS WATER METER REQUIRED? _ YES _ NO. IF SO, PLEASE PROVIDE T1iE FOLLOWING:
WATER FLOW: GPM. ARE FLUSHOMETERS TO BE INSTALLED? ' YES NO.
- -
FAILURE TO PROVIDE THIS INFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE.
WILL YOU BE WSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? YES NO.
IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINKLER PERMIT.
FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per
$1,000 of peait fee due on all permits.
CONTRACT PRICE x 1%
STATE SURCHARGE
TOTAL ?
¢,.
SITE ADDRESS:
TENANT NAME: STE. #
OWNER NAME:
INSTALLER:
ADDRESS:
CITY: STATE: Zlp:
PHONE
SIGNATURE:
OFFICE USE ONLY
OFFICE USE ONLY
RECEIPT #: °
DATE: 11 APPLICANT METER SIZE: DATE: {NSPECTOR:
,r , ,. , J
? . . 'jtJ , 1,u;-
UJ+
I?UUU?
u-U u?
U•UU+
('('UUi.
?:?'i•ULi+
%U!E-l1Uj-
'?
V u
'%il •'?U'E
JJ +
I Cj O ' uU 't-
:! J U
+
U 'I • U U T
?G.i•UU;
U'.•UU+
%?:1%'i•'?U>::
1
r . .
1988 BIIILDING PERMIT APPLICATION - CITY OF EAGAN
1???
SINGLE FAMILY DWELLINGS q
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 HE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS 4 OF UNITS
INCLUDE 2 SETS OF PLANS, CER'fIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.,
1 SET OE ENERGY CALCULATIONS '
CONIMERCIAL
IVCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 7 SET OF ENERGY CALCULATIONS
To Be Used For: Valuation:Date:
? A
Site Address `t0p(O 7
Lot ? Block ?
Parcel/Sub ,
Owner
Address
City/Zip Code
Phone
Contractor
Address , '? K`2) I
City/Zip Code
Phone L I -
Areh./Engr.
Address
? . OFFICE USE ONLY '
Do?-
>
3
On site sewage _ Oceupaney L
M - I
-
MWCC system ? 2oning PD . R-1
On site well Aetual Const V-N
City water ? Allowable ?/-?. -
PRV required !k of stories
Booster Pump _ Length $2
Depth 4 4
S.F. Total
Footprint S.F. _
APPROVALS FEES
Engr/Assess Permit 9Q? ?
Planner Sureharge `70,sO
Couneil Plan Review , °
Bldg. Off. ?(0?3 SAC, City 1 00. _°
Varianee SAC, MWCC $? a_°°
Water Conn O.QD
Water Meter &'?.
Road Unit 325-°-
Treatment Pl 204.
Parks
Copies
TOTAL
City/Zip Code
Phone If
VA??4A'41or?
.----
e?;ARaUE
13x? = lo ?I
Z2x22- `18?1
SS?s X iy = ?z?Z.
BASEMENT
14?1SZ='?2g
rY X`? ? ? Z
3o yr d'? ? 360
I I 6 D? 13 = 15`VE 0
1ST FLocx?.
%Snn*- itto
Z I ya_. -- y,2
ZK`T .. i??
11i?C yq= Sqsey
Z. Np rLu01?
13SmT = 11 ba
I%z? ?6= zW
Z
1 ??? xtiq = 5'l 13?+
?-------
1 ?lo 03?
?-
.,
88-084.
TRI-LAND C0.
SURVEYING
SERVICES
1260 YANKEE DOODLE ROAD
EAGAN, MiNNESOTA 55122
LEGAL DESCRIPTION:
.
Scale: I"=30'
3i at4%
D? Zo?ti ,
HUB EL
19.2dQ 915 /
913.16 /
/ 14)'10 -
1,,? ?
? . g1316 ` .
V .. 1
V011
IRN?WAY
1 ?
917.66
zv.ift
SITE PLAN FOR:
JOE M I LLER
CONSTRUCTION
LoT $, BLOCK LEXINGTON PARKVIEW
ACCORDING TO THE RECORDED PLAT
THEREOF DAKOTA COUNTY,MINNESOTA
• ._. ..
.. ?.? ? f •
000
\? Q`6 e'
/ 1 ?9pg66
1x912•96
z6
W HpUSE
p1600sEO
a. N.
GDS?0 GE
4a,
?
150
LEGEND
o DENOTES IRON MONUMENT
* DENOTES WOOD HUB SET
DENOTES EXISTING SPOT
ELE VATION
DENOTES PROPOSED SPOT
ELEVATION
? DENOTES *DRAINAGE DIRECTION
?
907.16
6 ?910.90 f ? i
\96'
N
?..?..' i• ::?
APPROI CD
By
D ? G/.?/?
EAG?,N ENGIrbt;?RIIVG DIEP?.
I hereby certify that this survsy,plan or
rsport was prepored by me or under my
direct suparvision and that I am a duly
Reqiafered Land Surveyor undsr ihe
Lows oi the State of Minneaota.
INVERT ELEVATION AT SERVICE EXTENSION=
PROPOSED GARAGE FLOOR ELEVATION
PROPOSED FIRST FLOOR ELEVATION 5!7, po
PROPOSEDBASEMENT FLOOR = /a-
ELE VATI ON
NOTE: VERIFY ALL FLOOR HEIGHTS WITH
FINAL HOUSE PLANS
8radley . snson, Mn. Req. No.15235
Date ' ,? o'? / tFlfpl
, . : ?:XT?L2IUR E19VE;LOPE A E1iAaEulUllll?U llFPARIY•IL11T
?' COl•iPUTATION
(To be eubtaitted tvith building permit a -y-'
pplictttio.rt)
Oixe or 'Tivo Eamily Dwelling ?
All other Owner
. Sike Addrees ?..OT g131o4 3
Contractor
?Date Pftone
LII7EAI, FEGT OF ?
EXPOSEll YlA1,I, -= =? ?c? )\. )_?? 5?? JI f?.
="~=.
OPAqUE WALL
uatsil
reCerence
from
etteclted
slieate
Y!1 N DO tiYS t
Flnlce &
n
n
11
DoORSs
Co17STRUCTIUNi IIUII Vtaue x Area
F? rnE flu
_ °s1e IIUII
R !ni_'np?? • n7?p X 3R.
_
-?----n?n • 04o x Sq.
IiU.n X 8@.
npu X 5@.
x 8@,
nUn
Type
n
q
if
liull
VR-LUe x nroa
4lalce & Type
„ J Jc: II„II
? „
n If npn K sR•
SQ.
x sq.
TOTALS QS
TOT1lL (U)(A) VALUE9 AYERAa& "pli
Z18.7q
DIVIDED BY TOT ?
ni, Wnt,L niIEn Z9v3.?3 '.1.5
AVE12AaL•' "UC o ,??5 r 7,eae for
1&2 tamily dNellinge
RoOF/CEILINat
FT. ZZ$1.? .
(p, p (U) (A)
F
T.
7.1!1 (U)(R)
FT.
10-
5'$ U) ( A )
FT.
FT. - -
?U)?R)
FT.` _ (U)(A):
( 0 ) (A)
FT. S D_' ' F2? (U)(A)
FT. - -- (0)(n)
FT. = (U)(A)
- __ (U) (A)
FT. 5l0.00 = ,g (u)(n)
FT. U)(A1
FT. -
FT. - (U)(A)
?-"
(U)(A)
F'T.---ZJI 7I__(U) (A)
TOTAL AREAt
Detail raference ..
irom ?-?--.flu" OZ ??Z(p Sq. -
nttaclied slleete. `?'--flu If • x SQ.
?,"?--= Z(U)(A)
Deocribe openinga ??- nUn --.-??)??)
x 3Q. FT.
in root. ?-'oi?n x 9Q. PT _- (u) (A)
TOTAI, U x SQ. BT. _ IU)(A)
? )(A) VALUEB DIVIllLD By 7'n-(?U? Z?(p ?----(U????
"TO'1'AI, It00F/CEiLIIIU /?(tEA Z?CV?j
AVERA4Ps It II Z(p
•a25 or ventilflted ?
roo f e.
ValUe X Aras
1?lsrlt • e_SM?T upn ?
u?n x SQ.
11(?11 X `?@•
npn X S@.
x sq.
above grade = ?
TOTAL EXPOSED iV/1LL AREA SQ. FT.
11 ?b? 51?c-.?T ?l
?r??, ?xPv,? ?lA?L
IS•?? X ?szt-sz-?-z(o +Zfo? _
S-oo x 8.83 -
- ?1 X (sz+5 z+z(? 4-z&) _
-ElAll ?o -
1.?Pl X(sZ=
•g3)( S =
\Qpows
z7x?4 - z.co
1(ox3& _ 1,0
zox3co = 5,0
Lox48 = ln•7
04 x 48 = 5.0
Zo )c(oo =- g. ¢
3`' S7?• Wl2 S•C..
??-
lo - PPCrr o Ll2 ,
X 3=
xz-
x z-
X 3 =
X 9 =
)< g =
ZS59• 48
44• rs
z9o3. (p3 -j?
Io4.s?4
4-?S
Z64. 697
?
7.So
S.oo
10.00
00,10
72,no
C?7, zo
185'. 1 o 4-
= 3S.oo
= z/,oo
de7
C??oss ?,Ga?c_
Less L'o?le,
RlN\
11 1?DW'S
,r ?o?rs
?,c. Ec,?vfk.S .
2qo3.??
fo4•sz
z?.&7 _ (?5Z•z9.
?85.10
?S.oo Z ?4 ?
??r
9(PX3'-C> = 780
I4 X Zz- = 3og
1x14 = )4
I.sx 1(o - 2q
11 z(0.oo-
D`etermining "Ull valuos at Roof, Wallt Rim, nnd Conc. Block
ROOF/CEILINCi
1.) Interior Air F'ilm
z.) 5/8,, ayP. sa.
3.) Insulation
4.1
5.) Exterior Air Film
(STILL)
R VALUE
0.61
.56
.61
"U° = 1/R= .OZI TOTAL (R)=4,5?. 78
YlALL
6.) Interior Air Film
7.) }" GYP. Sd.
8.) Insulation
9.)
10.) Masonite Siding
11.j Exterior Air Film
R VALUE
0.68
- 45
I9-Lt0
z. 04-
.67
.17
°pll - 1/Ro TOTAL (R)= 73.0)
, ----
RIM
12.) Interior Air Film
13.) Insulation
14.) 2" Fir Rim Joiat
15. ) urC,T- ?r7E
16.) Masonite Siding
17:) Exterior Air Film
R VALUE
0.68
)q.oo
1.88
.67
.17
ifpll - 1/R= . 010 TOTAL (R)= 7-4. i T
.?
FOUNDATION ' (R) VALUE
18.) Interior Air Film 0.68
19.)
20.) ?JN6ZZ,4? lj?,X,r,?l i r.oo
21.) 12" Concrete Block 1.28
22.)
23.) Exterior Air F11m .17
npn _ 1/R= •07(p TOTAL (R)=
?
?
RESIDENTIAL }
BUILDING PERMIT APPUCATION CITY OF EAGAN ? 3830 PILOT KNOB RD, EAGAN MN 55122 -13
651-681-4675
Naw Conriruction Reauirementa
• 3 regislered site surveys showing sq. R. of lot. sq. ft. of house: and all roo(ed areaz
(20°h maximum lot coverage alloweE)
• 2 wpies of plan showing beam & wintlow sizes; poured found Cesgn, etc.)
• t sel of Energy Calculations
• 3 copies of Tree Preservatron Plan il lot plarted aker 711193
• Rim Joist Detail Options seleclion sheet (61dgs with 3 or less units)
DATE 1,93
RemodeURewirReauiremanb Bv_9-_---. -
• 2 copies ot plan - - -
• 1 set ol Energy CalcWafions for heated adaitions
• 7 site survey for euterior addifions & decks
. Indicate it home served by septic rystem for aEeifions
I a+
VALUATION
SITE ADDRESS ?eo a.r MULTI-FAMILY BLDG _ Y ?N
TYPE OF WORK_ FIREPLACE(S) ZO _ 1_ 2
APPLICANi_ ? /H3?t.uJn/lLc S
STREET ADDRESS ?Z?I %tio r?E?S
TELEPHONE # &5-1-bf6 - ONCELL PHOI
PROPERTYOWNER w',141L /jy/"
g.>G023 T,c-L .
AvG.c- GTY ?4-??4?? STATE/IN ZIP yl2-?
VE# bS?- FAX#
zo 2/G f-/ TELEPHONE #
53?3
COMPLETE FOR KNEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ `(INNES0'1'.1 RCI_ES 7G70 C:CCEGORI' 1 b(I\ VESOT.1 RCLES 7672
(d submission type) . Residential Ven6lation Cateqory 1 Worksheet Submitted . New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Piumbing Contractor: ____
Plumbing systcm includes:
Mechanical Contractor:
NIcchvnird systcm incluc(cs:
Sewer/Water Contraetor:
Phone #
Phone #
Fee: S90.00
Fcc: SIOAO
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 Ordinan,ges. '?? /„
S(gnature oF Appllcanf
OFFICE USE ONLY
? Water Sohener
_ Water Hea[er
_ No. of Ba[hs
_ Phone #
Lawn Sprinkler
No. of R.I. Baths
Air Conditioning
Hcat Recovcr}, 5ystcm
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
OFFICE USE ONLY
? Ot FoundaGon
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? 05 03-plex
O 06 04-plex
? 07 OSplex ? 73 18-plex
? OS 06-plex ? 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
O 20 Pool ? 30
? 21 Poroh (3-sea.) ? ? 31
O 22 Porch/Addn.(4-sea:) ? 33
? 23 Porch (screened) ? O 36
? 24 Stortn Damage
?1?25 Miscellaneous
Accessory Bldg
Ext. Alt • Multi
Ext. Alt - SF
Mutti
'l? 2°i"pI D L-OILL
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) 0 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Oemolish (Foundation) Cl 45 Fire Repair
33 Alteration O 37 Demolish (Bldg)• ? 43 Reroof O 46 Windows/Doors
z
? 34 Replacement 'DemolfUon (EnUre Bldg only) • Give PCA handout ta applicant
Valuation
? Occupancy MC/ES System
T
Census Code ? Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV ,
Nbr. of Bidgs Length Fire Sprinklered
Type of Const W idth
REQUIRED IN SPECTIONS '
_ Footings(new bldg) FinaVC.O. i;
_ Footings (deck) FinaUNo C.O.
_ Footings (addition) _ Plumbing ?
_ Foundation X HVAC i
Drain Tile e Other
Roof
Ice & Warer _ Final _ Pool _ Ftgs _ Air/Gas Sests _ Final
_
? Framing _ Siding Smcco _ Stone
Air Test
Fireplace _ R.I. _ Final _ Windows (new/replacement)
_
Insulation
7 _ Retaining Wall r
Approved By Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
ciry sa,c
Water Supply 8 Storage
S&W Permit 8 Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA124183
Date Issued:06/24/2014
Permit Category:ePermit
Site Address: 4020 Northview Ter
Lot:8 Block: 3 Addition: Lexington Parkview
PID:10-45035-03-080
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
Valuation: 500.00
Fee Summary:BL - Base Fee $500 $40.00 0801.4085
Surcharge - Based on Valuation $500 $0.50 9001.2195
$40.50 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 -
John S Zorich
4020 Northview Ter
Eagan MN 55123
(651) 452-5383
Home Depot At Home Services
656 Mendelssohn Ave N
Golden Valley MN 55427
(763) 542-8826
Applicant/Permitee: Signature Issued By: Signature
EAGAN
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651) 675-5675 I TDD: (651) 454-8535 I FAX: (651) 675-5694 JUN 1 6 2020
buildinginspections(acitvofea an.com
2020 RESIDENTIAL BUIL
Date: 6 -D I -aoao Site Address: s-10.26 .AOAV;et,J
ECEIVE
For Office U/si
Permit#: / (!/ o�
Permit Fee: 6 /
Date Received:/�+ v
Staff:
L
APPLICATION
-.
1f' I aCe Unit #:
Resident/
Owner
Name: GGti I jhnl Z,0 r I Girl Phone: 6 1 a "'17Q - 667%
'�/�^/�^a llrr-- ,,i'11 -�^
Address / City / Zip: "1Oc Z) AVo r711V IL!t� erraj-/
/,.l
Applicant is: Owner Contractor 6 (/ lilt 1 ik i &W
Pj)
Type of Work
Description of work. �K 1/1, I IGtl';o i — Lowe' rl s rpii4t Ae-A"&
00
Construction Cost: IS, 567.. Multi -Family Building: (Yes / No %� )
Contractor
Company: tTo ne. -Pro I4mnerio cContact: ie. L1IS .ear)
Address: 1t)5o) 3 164.54 St, � . City: Ke v; 1,1 e
stateAiv Zip: 55DyLI Phone:(pail: gc(I c( ' Lb if'
nn 1
License #:1716840 7 Lead Certificate #: )(17r - 1' 1 Scl 1 IdA -
If the project is exempt from lead certification, please explain why:
bu:If Q-Ptcr 1a75
In the last 12 months,
Yes No
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
has the City of Eagan issued a permit for a similar plan based on a master plan?
If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer & Water Contractor:
Fire Suppression Contractor.
Phone:
Phone:
Phone:
Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be
classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeaean.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 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. -
x'OrCI4ic LYSbl6-EN
Applicants Printed Name
cants Signafu e
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation
Single Family
Multi
01 of _ Plex
WORK TYPES
New
Addition
Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25%_ 100% )
Census Code
# of Units
# of Buildings
Type of Construction
Fireplace
_ Garage
Deck
Lower Level
Lib -Do 0o6-11uic-wTc-te_
Interior Improvement
Move Building
Fire Repair
Repair
c9,000
/3y
Porch (3-Season)
Porch (4-Season)
Porch (Screen/Gazebo/Pergola) _
Pool
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation Foundation Before Backfill
Roof: _Ice & Water _Final
Framing 30 Minutes 1 Hour
Fireplace: _Rough In Air Test _Final
Insulation
Sheathing
Sheetrock
Fire Walls
Braced Walls
Shower Pan
_ Siding
Reroof
Windows
_ Egress Window
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Accessory Building
Demolish Building*
_ Demolish Interior
_ Demolish Foundation
_ Water Damage
*Demolition of entire building — give PCA handout to applicant
0(1,34)
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Suppression Required
Meter Size:
Final / C.O. Required
Final / No C.O. Required
HVAC _ Service Test Gas Line Air Test _ Hood
Pool: _Footings Air/Gas Tests _Final
Drain Tile
Siding: _Stucco Lath _Stone Lath _Brick _ EFIS
Windows
Retaining Wall: _ Footings _ Backfill _ Final
Radon Control
Fire Suppression: _Rough In _Final
Erosion Control
Other:
Reviewed By: .S. ,&/-P /so— , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Radio Meter Read
Copies
TOTAL
V
v 12e -Nev.31 :.r.5 5-E:�-Cases d
USe
Page 2 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA168994
Date Issued:05/11/2021
Permit Category:ePermit
Site Address: 4020 Northview Ter
Lot:8 Block: 3 Addition: Lexington Parkview
PID:10-45035-03-080
Use:
Description:
Sub Type:Reroof & Siding
Work Type:Replace
Description:
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.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
Valuation: 10,000.00
Fee Summary:BL - Base Fee $10K $191.75 0801.4085
Surcharge - Based on Valuation $10K $5.00 9001.2195
$196.75 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 -
John S & Gail D Zorich
4020 Northview Terr
Saint Paul MN 55123--155
Ashco Exteriors Inc
11164 Zealand Ave N
Champlin MN 55316
(763) 225-8333
Applicant/Permitee: Signature Issued By: Signature