4021 Northview TerCITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PH O N E: 454-8100
BUILDING PERMIT
To be used for $:7 DW/GAft Est. Value =114,000
?y *:)
Receipt ?
Date PEC 15 ,119vs
Site Address ?0? 1 ?+iGRTt?t'v'l ?h reAjtACE
Lot ' Block 2 Sec/Sub. LEXING?ON
Parcel No.
rc Name 3010 $L]CtQR
; Address 3216 SY.YVIEW DR
° City Btn_tNRYIL•L-r Phone t;93-595e
a
.o Name
U 4 Address
? City Phone
Name
I hereby acknowledge that I have read this application and state that the
informatior is correct and agree to comply with all appliCable State of
Minnesota Statutes and City of Eagan Ordinances.
Signature of Permittee
A Building PBrmit is issued to:__?•"`??
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
OFFICE USE ONLY
On Site Sewaee Occupancy
MWCC System Zoning Pp g-1
On Site Well (Actual) Const V--N
City Water (Allowable) V--PIT
PRV Required * of Stories
Booster Pump Length u e1
'
Depth
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr.lAssess. Permit
Planner Surcharge 7 ' 0()
Councfl PtanReview 31C.00
BIdg.Off. SAC,City 100•w
Variance _ SAC, MWCC 550•00
Water Conn. 550.00
Water Meter 67 • `- '
Road Unit 32 5.0u
Treatment P1 204•00
Parks
TOTAL
;' . . : • CASH ?AECEIPT
y .• CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNFkSOTA S5122
DATE
RECEIVEO .
19
AMOUNT $
? J
8 DOLLARS
100
? CASH - t7 CHECK
FM
) - ?4 OJ I t?i i f'F1
,
• WhNe--Payars CoPY
• . YelloMr-Poatl^9 CoPY
Pink-Flle Copy
Thank You
BY
CASH RECEIPT _
. CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
oare ? 1s _
IECENED ?
ifiOM
AMOUNT $
O CASH
0 CHECK
wn
I /
FUND 08.IECT AMOUNT
Thank You
BY
i
& DOLLARS
Iro
WhNo-Payers Capy
Yelbw Postin9 CoPY
P'ink-File Copy
, • - CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MM 55121
PHONE: 454•8100
BUILDING PERMIT Receipt #
To be used for Est. Value " t 14. 0l?u Date ''EC; 1 ??
Site Address rER$ACi:
Lot Block Sec/Sub. ?XIN?TQN
Parcel No.
W Name
= Addre
3
0 Clty _
¢ Name
.o
0 a Address
? City
Name
Signature of Permittee
A Buildinp Permit is iss
s f'.K,
',:V f F.fi xiFf
Phone Af?3- 5-3S, :
Phone
Phone
D read this application and state that the
? to comply with all applicable State of
=agan Ordinances.
.
t ? .. L-
roork shall be done in aCCOrdance with all
Building Official__
19,, ,
OFFIC E USE ONLY
On Site Sewage Occupancy
MWCC System Zoning
On Site Wetl (Actual) Const + -?-
City Water (Allowabie)
PRV Required # of Stories
BoosterPump Length
Qepth
S.F. Total
Footprint S.F.
APPROYALS FEES
Engr./Assess. Permit
PVanner Surcharge '
Council Plan Review
Bldg. Off. ? SAC, City `-
'
Variance SAC, MWCC
Water Conn.
Water Meter
Road Unit
Treatment P1
Parks
TOTAL
- Permit No. Permit Holder Date Telsphone #
Flumbing ! , r,,?• ? q`p
/ ??
V.14.C.
K
Q
!
?
Etectric
Softener
Inapection Dats Insp. Cominents
Footings I
Footings II
Foundation
rZ, -g
i'' -
T F?,.?,,,:;•-4-Y j .ST?
Framing z 2
.J.. g -
Roofing
Rough Pibg. 1•!3 l G.3"t'
Rough Htg. : ?.?c /l l J
Isul.
Firepiace ? ??r C
DF/?CffQj
Final Htg. 6Z
O
Final Plbg. 7 c`^ z < <c 4?,? ?r
Bldg. Final
Cert Occ. 3-2a D..L
Temp. LP
Deck Ftg.
Deck Final ? - ,
well
Pr. Disp.
. PLUMBING PERMIT
CITY OF EAGAN
3330 PILOT KNOB ROAD, EAGAN, MN 55122
Site Address
Lot -?
Sec/Sub
? Name
?o Address
c City _ ?. _, Phone
m
c
3
O
Name _
Address
Ciry _
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BIDGS - COMM RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMMlIND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
CITY OF EAGAN
PERMIT #
RECEIPT #
DATE:
BLDG. TYPE WORK DESCRIPTION
Res. L__ New f?-
Mult. Add-on
Comm. Repair
Other
RES. PLBG, ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
?Water Closet - $3.00 $ 1 2 '"
Bath Tubs - $3.00 L :?Lavatory - $3.00
Shower - $3.00 L.
1_Kitchen Sink - $3.00
Urinal/Bidet - $3.00
? Laundry Tray - $3.00 .' ?
? Floor Drains - $1.50
? Water Heater - $1.50 /z-1)
Whirlpool - $3.00 . ?
--4_Gas Piping Outlets - $1.50 / •
(MINIMUM - 1 PER PERMIn
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
FEE . ; ??, •? ?
STATE S/C: ?
GRAND TOTAL: '? -''? • ? ?
PERMIT #
MECHANICAL PERMIT RECEIPT # ?i t- ??-
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: PNONE: 454-8100 For Office Use Only:
Site Address v ' !t gLp(?,,, npE WORK DESCRIPTION
Lotk_Block ? Sec/Sub ? NeW
? Res.
Name Mult Add-on
m
Address Comm. Repair
Other
c City (,?k. Phone
? Name _
3 Address
o City
-
Phone
FEES
RES. HVAC 0-100 M BTU -$24.00
ADOITIONAL 50 M BTU - 6.00
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent
Gas Piping Outlets #
Other
f+A BTU
M BTU
M BTU
M BTU
CFM
(RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMM - 1.50 EA.
COMM/INO FEE - 145 OF CONTRACT FEE
1 APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE 8 CQNDOS - RES. RATE APPUES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8
- 12.00
FEE:
S/C: ' -
TOTAL•
rvrc t.i 1 ir vr tnurrrv
A-
(gtr#ifirat.e af Orrupanry
tttp of (eagan
Npval'b1tmY Df i1ti1bhtIJ JmpP1tiDIt
?7tis Certificate issued pursuant to !he requiterrrenls of Sectron 306 of the Uniform Building
Code certifying that at the time of tssuance this structure was tn compliance with the various
ordinarrces of the City regulating building construction or use. For rhe following:
Use Clm;rimtio„ SF DWG/GAR &dg.Pbff,,;,No. 15973
?upe-Y Type R-3 M-1 Zoning DL"d PD R-1 Tnx Cong V-N
OrwwrofB,iid;ng JOHN SEXTON Address 3216 SKYVIEW DR
Bwlding Address 4021 NORTHVIEW TERR ??ity L2, $2, 1F•7QIC1Qd PARKVIEW
MARCH 17, 1989
e„ „g officW
PQST IN A CONSPiCUOUS PLACE
'."' •` 44W'f'$'W-:c4; t 't yV; % ?r+i !'t t w? • iC'?3U rC;?i
CITY OF EAGAN
.
454-8100 DEPT. OF BUILDING INSPEGTIOIVS
Correction Notice
Located at
I have this day inspected this structure and
these premises and have found the following
violations 4f city codes governing same:
??4'' r=
When corrections have been made, please
call 454-8100 for inspec#ion.
Z / ? J
Date
Inspector City oi Eagan
DO NOT REMOVE THlS TAG
CITY OF EAGAN
454-$100
DEPT. OF BUILDING INSPECTIONS
Correction Notice
Located at
I have this day inspected fhis structure and
these premises and have found the following.
violations of city codes governing same:
P if'- _
When corrections have been made, please
call 454-8100 for inspection.
Date
Inspector City of Eagan
DO NOT REMOVE THIS TAG
R.r.i..Ni?Ay?T
. rA
?•• +
?
CITY OF EAGAN b?p '?88?J0
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
? PHONE:454-81d0
BUIIDINCK'PERM1T Receipt
To be used for ?ECK Est. Value }I+000 Date APR 4 , 19 gl
Site Ad ress ?xl ?1CR'[tiVIE?? 'CERR E
Lot ? Block Sec/Sub.LExiNa" F OFFiCE USE ONLY
P8rC21 N0. Occupancy - FEES
W
Name JOHN d? .1ULI8 PAIJl.SOl? Zoning
(qctual)Corut
_
Bldg.Permft
25.C10
? Address ?21 1?10R'LHVIEM TLitR - (aiowawe) -
S
h .'f0
urc
arge
City LWPAN PhOtle 458-0938 d oi Stories -W plan Review
Le??
¢
o JOAII SEXTON COM817tUCTION
Name
Deptn 146
snc
city
M DR ,
?q Address - S.F.Total _
5
968
SVi?
? snc, nncwcc
? -5
Phone 89
City
H S.F. Foolprints _
Water Conn
On Site Sewage _
? Name On Site Well - Water Meler
W
x z- AddreSS MWCC System -
iW
Clty PhOne
Ciry Water
- Acct. Deposit
Sl1N P
it
PRV Pequired _ erm
I hereby acknowlege that I have read Ihis application and state that the Booster Pump - S/yy Surcharge
intortnation is correct and agree to comply with all_,a9pfiC1i61e State of
Mi
f E
d Ci
S
O
C
nnesota
tatutes an
agan
rdinarY
ty o
es.
r ' 7reatment PI
Signature ot Permitee
Y APPROVALS
Road Unit
.
A Building Permit is issued ?: i? ? P?anner - park Oed.
on the express condition that all work shall be done in accordance with all Council - j.QQ
applicable State of Minnesota Statutes and City of Eagan Ordinances. gldy, pff, _ Copies
26
50
Building Official Variance - TOTAL
,
permit No. PermN Fbider Date Telephone #
WATER
SEWER `
PIUMBING
H.V.A.C.
ELECTRIC
Inspection Date Msp. Commsnts
Footings I
Foundation
Framing
Roofing
Rou9h Plbg.
HqxJh Htg.
W.
Fireplace
Final Htg.
Final Plbg.
Const. Meter Plbg. Inspector- Noti(y Plumber
EngrJPlan
Bldg. Final
Dedc Fig.
Deck Final
weli
Pr. Disp.
CITY pF EAGAN Permit No: ' pa1e. 12/3?}1 `?'?•
3830'S?ilot Knob Road Meter No: ??? .3/ Sizes 0L --
P.O. Box 21199 N ' 1 n Re.?o_ s??? ,?? 7 p' Date:
Eagan, MN 55121 ,
Site Address: 4021
N(3R VIEW TER. L2 62 LEXINGTCIN PARKVIEW
Plumber. wu-lj?vKg
•41 Nr
IRVNr
Conn. Chg: $.5.50 pQPA Zoning: 'g Z
Acct Dep: pQ ? No, of Units: ?I
? Permit Fee: rin
Surcharge; I agree to comply with the City oi Eagan
? Tr. Plant 4.00 d Ordinances.
, Meter. 67.00 pd ??-
?
? Misc.: By
WATER SERVICE PERMIT
. ? 1?I3olag
CITY OF EAGAN Permit No: Date:
904 Date: 12 ?1?/Sp
3830 Pilot Knob'Road B/P No:
P.O. Box 21799
Eagan, MN 35121
Owner: ^ . A ?, ' W
? . ,. . . . .. •-
Site Address:
. _. , ...,
Zoning' x
MWCC:
City Chg: No. of Units:
pd
,4cCi. 1 agree to comply with the City of Eagan
Permit Fee: ! Ordlnances.
Surcharge:
Misc : By
SEWER SERVlCE PERMIT
?CITY OF EAGAN Permit No: Date: 12130/F
?p 3930 Pilol Knob Road Meter No: S1ze:
P.O. Box•21199 Reader No: Date:
Eagan, MN 55121
Conn. Chg: h5 50-00 ty C-4 Zoning: r, 1
Acct Oep: 10000 pd No. of Units: ?
Permit Fee: 1r OO ?<i
Surcharge: -50 ?' - 1 agree to comply with the City oi Eagan
Tr. Plant `•0 4'CJ4 "i Ordioances.
?,•?,
Meter. n
MiBy
WATER SERVICE PERMIT
BLDG. PE
RMIT NO. J S f7 ? L a R:p
n
U"GrCvif,k,- a0oa-j fla -a-hv?e?cJT?irctcZ
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.
20-3776 Water Meter
20-2252 Acct. Dep.
20-3713 Water Permit
203743 Sewer Permit
79-3866 Sewer Conn.
28-3855 Park Ded.
3 J 0
D
TOTAL
This request void /?/?7r1 -7C9E4:? ?
Y8 rtronffis 4mm '-
7 7 8 2 0
Request Date
_? . Fir.NO.
L' Fouph-m Inspeciion
Reuu red?
?es ? No
T LjHeatlv Nuw Will Noiify, Insuec-
tur When Feady
? ?Lice.nseA ElecGical ConVactor I herehV request inspection ut above
Dwner elecvical work installed aL
Street Address. Box or Route 'No\. ' City -
ection o. Townshlp N:vrne or No. Nangc No. Cou111Y '
I ?
Q.
Occupam (PFINT) Phone No.
Power upplier ?
_
V AAdress
It
-U? .
Elec?onVactor ICompany Namel Conhactor*s Lici>nse No
?
Malling AddreSS IContracmr or (Avner akina Instatlationl
t M ?bob
o ,
Au[hor ed SiB^ature ntrectodOwner M ing Installationl Phone NumOer
-b ?71
MINNESOTA STATE BOA'O.DF ELECTFICITY ' THIS 1NSPECTION NEaUEST WILL NOT Griggs-Midwey Bldg. - floom N-191 . BE ACCEPTED BY THE STATE BOAFD
1827 Univarsitv Ave., St Paul, MN 55104 UNLE55 PqOPEN INSPECTIpN FEE IS
oh....e IFtlI 997.2111 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION Qee-ooooi?s
7"78 2 U Seo instructions tur comnlelM1ig Ihis torm on back of yellow cupy. 0 /0??
"X" Below Work Covered by 7hrs Request
N Adtl Rep. Type of Building APDliBnCeS Wired Equfpmen[ Wired
Home Range Temporary Service
Duplex Water Heater Lighting Fixmres
Apt. Building Dryer Eleclric Heatin
Commercial Bldy. Fumace Silo Unloader
InAustrial Bldg. Air Conditioner Bulk Milk Tank
F2fm Olher pncity Otho, (Specify)
? ?er ISPer,ifY Othcr Othqr
Cnmpute lnspectlon Fee Belnw ? tl Fea ServiceEntrance5ixe # Fea Feaders/5ubfenders N Fee Circuits
0 to 1 00 Am s 0 to 30 Am s () to 30 Am s
101 to 200 Amps
j 31 to 100 Amps 31 ta 100 Am s
Flbove 200 qin Above 100_AmPs Above 100_P.mps
Transrormer5 Remote Controi Circ. Partia ' th
Signs Special Inspection g T
Ren.,ks
o O AL PE
f
I'a
Rough-in ( n??'
c I, the ectr-
? ?
O Inspector, hareby
cBltifV thal 1hP xboVe
Fin21 ? Datr, /
?spnction has baen
'a1 L
;
C'ade..
ThI<!(tO11P. f V[11A .
18 months hom
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-799, Eagan,
MN 55721 ?r 1?9 15973
BUILDING PERMIT PHONE:454-8100 Receipt #- To I ,/
?'(?
To be used for SF DWG/GAR Est. Value $114, 000 Date DEC 15 ,19$?
Site Address - 4021 NORTHVIEW TERRACE OFFICE USE ONLY
Lot 'z Block z Sec/Su6. LEXINGTON On Site Sewaqe _ occuDancy R-3 M-1
PARKVIEW MWCC Systam X Zoning Pn R-j
ParCel NO.
On Site Weil _ (ActuapConst V_N
a Name JOHN SEXTON City Water X_ (Allowable) v_N
w
z
Address?l6 SKYVIEW DR PRV Required # of Stories
-
X
0
Ciry BURNSVILLE Phone 895-5968
Boostei Pump
_ Length
48 1
Depth 38,
o Name SAME S.F.7otal
,
oc?+ Address FootpiintS.F.
u<
,
i-
City Phone
APPROVALS
FEES
ww Name Engr./ASSess. Permit 620.00
? z
i-
Address Planner Surcharge 57.00
?=
W City Phone Council PlanReview 310.00
a BIdg.Olf. SAC,City 100•00
I here6y acknowledge thal I have reatl this applicalion and slate tha[ Ihe _
Variance SAC, M WCC 550.00
information is correcl and agree to comply wil II' ppli e of . Water Conn. 550.00
Minnesota Statutes and City of E an Ortlinanc s Water Meter 67.00
Signature of Permittee ? -. --- Road Unit 325
00
-
A Building Permit is issued :_ JOHN XT Treatment P1 -
-
204.00
ontheexpressconditiont at all work shall be done in accordance with all
applicable Sta[e of Minneso
ta Statute
s
nd City of Eagan Ordinances.
a Parks
Z
?83
Ofl
y
?
p
? y
BuildingOfficial?,Q(,t?f I,??J_?I_r
? t \ TOTAL ?
.
. CITY OF EAGAN NO 18850
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE:454-8100
0 2-
qT
BUILDING'PERMIT Receipt #
Z , /
7
To be Used for DECK Est. Value $1,000 Date APR 4 , 1 g4L
Site Address 4021 NORTHVIEW TERR
Lot 2 Block Z SeGSubLEXINGTON PARKVIE OFFICE USE ONLY
Parcel No occupancy - FEFs
.
Zoning -
w NAme JOHN & JULIE PAULSON (Actuaq Const - eldg. Permit 7 5_ 00
a Address 4021 NORTHVIEW TERR. (Aiiowabie) - e .50
Surcnar
City EAGAN Phone 456-0938 xorsrories - g
Plan Review
Len9th
o Name JOHN SEXTON CONSTRUCTION pepth L? SAQ City
,
?a Address 3216 SKYVIEW DR S.F.TOtel - MCWCC
SAC
5 City BURNSVILLE Phone 895-5968 S.F. Footprints _ ,
S Water Conn
ewage -
On Site
? Name On Site Well - Water Meter
W
z-
Address MWCCS stem
y -
?
?, Accl. Deposit
iw Clty PhOnB Ty
Ci Water -
R
R
i
d SM' Permit
-
P
V
equ
re
I hereby acknowlege that I have read this application and st e that the Booscer Pump - S/W Surcharge
information is correct antl agree to comply 'th all le S1ate ot
Minnesota Stalutes and City of Ea n Ordin s. Trealmenl PI
SignaWre 01 Permitee `? APPR??A?S Road Unit
A Building Permil is issued o: JOHN EXTO CONST Planner - park Ded.
on the espress condition 1 at all work shall be done in accordance with all -Cou^c'l -- 1.00
Copies
applicable State ot MinnesotaStatut
es and
ity of Eagan Ordinances.
C Bldg. Oe. _
/
I
,
BuilaingONicial ?Mln p 11.DA/I j N?I Variance - TO7AL 26.50
2004 RESIDENTTAL BUILDING PERMIT APPLICATION l
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122 ???•?CJ
Telephone # 651-675-5675 FAX # 651-675-5694
New Construdion Reauiremenis
RemodeVReoair Reauirements ' `"'"
fNfice Use On"W
3 registered site surveys showing sq. ft of lof, sq. ft. of house; and all roofed amas
' 2 copies of plan Ctiti &Sur`we?Reed
? =Y »"_ M
(20%mauimumbtcoverageallowed) lsetofEnergyCalculationsforheatedadditions TreePtesPlapReW =;Y? 'N
2 copies of plan showing beam & window s¢es; poured found design, etc. i site survey for additions & decks tfrge R[es F3equire3 i, _,_Y j;N
lsetafEnergyCalculations Addition - indicafei/onsifesepticsystem Q?itq,Se,{?d?.?SysJeqj _=Y,-N
3 copies of Tree Preservalion Plan'rf lot platted aRer 171/93
Rim Joist Dehail Oplions selection sheet (bldgswdh 3 or less units
Date ?`I l a S / o y-
I Construction Cost l
7j aoo
Site Address n1?R f ti J ir,,? teAp, Unit/Ste #
Description of Work
Multi-Family Bldg _ Y K N Fireplace(s) _ 0 Y 1 _ 2
Property Owner -r-o l+v,) Telephone #( )
Contractor
Address ?'av /sT ?5?-
City i?.?s
State ;t , wfl_ Zip 5e 2 b,f Telephone #(?? t) a S S, 3 od 5
COMPLETE THIS AREA ONLY IF
Energy Code Category - Minnesota Rules 7670 Cateeorv 1 _
(d submission type) • Residential Ventilation Category 1 Worksheet
Submitted
• Energy Envelope Calculations Submitted
A NEW BUILDING
Minnesota Rules 7672
• New Energy Code Worksheel
Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _
fee applies.
Licensed Plumber Telephone #(
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
N If so, 25% plan review
Telephone #( nmv u mm
I hereby apply for a Residential Building Permit and acknowledge that the informa ion is complete and ac urate;
that the work will be in conformance with the ordinances and codes of the City o? f 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 approved plan in the case of work which requires a review and
approval ofplans.
ApplicanYs Printed Name
Applicant's Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
O 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4,-sea J ? 33 EM. Alt - SF
? 04 02-plex ? 10 08-piex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage'
? 06 04-plex ? 12 12-plex Plbg_Y or_ N? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 , WindowslDoors
? 34 Replacement 'Demolition (Entlre Bldg) - Give PCA handout to applicant
Valuation Occupancy MCES System
Census Code Zoning City Water '
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered '
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaUC.O.
_ Footings (deck) _ Final/No C.O.
_ Footings (addition) _ Plumbing
Foundation H VAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/GaS T ests Final
_ Framing _ Siding _ Stucco _ Stone _ Brick
Fireplace
R.I.
Air Test Final _ Windows
_
_
_
_ Insulation _
_ Retaining Wall
Approved By: , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
5qDV ? RESIDENTIAL BUILDING
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Cons Waion Reouirements RemadeVReoair Reauiremenls
3 regstered sile surveys showing sq. h. of lot sq. R of house; and all raofed areas 2 cnpies of plan
(20 % mscimum lol coverage allowed) i set of Energy Calalations for healed additions
2 copies of plan showing 6eam & window sizes; poured found design, etc 1 siie survey for additions 8 decks
1 set of Energy Calculations AddiUon - ind'rcafe d on-sife sepfk system
3 copies of Tree Preservafron Plan d bt platted aRer 711193
Rim Joist Detail Optlons selecGon sheet (bldgs with 3 or less unb
Office Use OnN
_ Cert of Survey Recd
Tree P2s PWn Recd
Tree Pres Nol Reqd
_ On-sile SeDGc System
5ls cf,.llsi._al
Date Construction Cost
Site Address 47,?2_1 er1,,r G-t_ UniUSte #
-2 R
Description of Work _3;?Ct° e ?`e? ???
y? //L?_ / j G, //? Oct C G n•
Multi-Family Bidg ? Y _ N ,
?
Fireplace(s) _ 0
_ 1 _ 2
Property Owner J ? N t/ G?.i S e !'? Telephone # (? ) "/
Cantractor l lwl/t/P?--
Address
. C7 0An City
. /
State Zip SS 3? 7 Telephone #( 93?L)
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
(4 submissiontype) Submitted Submitted
• Energy Envelope Calwlatlons Submitted
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone # ( )
Telephone # (
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the e of work which requires a review and
approval o,f plans. ?
ApplicanYs Printed Name A cant's Si'gnature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 03 Ot of_plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 04 02-plex ? 10 OS-plex ? 18 Deck )< 23 Porch(screen/gazebo)
? 05 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscelianeous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45
/11- 33 AlteraGOn ? 37 Demolish (Bldg)" ? 43 Reroof '? 46
0 34 ReplaCement 'Demolition (Entire Bldg) • G ive PCA handout to applicant
Valuation i? Occupancy MC/ESSystem
Census Code
Zoning =
City Water
SAC Units Stories Boaster Pump _
Nbr. of Units Sq. Ft. PRV _
Nbr. of Bldgs Length Fire Sprinklered _
Type of Const Width
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 E#. Alt - SF
? 36 Multi Misc.
Siding
Fire Repair
WindowslDoors
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footings (deck) FinaVNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water Final _ Pool _ Ftgs _ Air/Gas Tests _
_
?C Framing _ Siding Smcco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By Building Inspector
--------------------------------------------------------------------------------------
Base Fee p
Surcharge olroo r OnL'?o`
Plan Review ?
MC/ES SAC ??? ?( 3 c/ `
City SAC
Utility Connection Charge g/' ?l
S&W Permit & Surcharge /
Treatment Plant
License Search ?? 0??
Copies ?
Other
Total ?
o•*
25•00+
? 0•50+
3,?? ?i?? 1 • 0 0 +
26 • 50*
1991 BUI LDING SIAIQCATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
MULTIPLE DWELLINGS
COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCUTATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
_# OF RENTAL UNITS
_# OF FOR SALE UNITS
YENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CNANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER M[IST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALIAWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
?
To Be Used For: & r,I: Valuation:
Site Address ?j/(: ./V 0 tr'f 1?; t., a.??,
Lot e Block ?
Parcel/Sub I.p y i«? •?,?,? 0-?G / G; !r. e
Owner ?
Address
City/Zip Code
Phone C? /?_ Q f '{ ?
?
Contractor .? o
li?.,,
Address ? ? rt :, ,,?
City/Zip Code ? L: `/it /y.i?
SJ :? `I
Phone
Arch./Engr.
Address
City/Zip Code
Phone #
Occupancy
Zoning
#ctual Const
Allowable
# of stories
Length
Depth
S.F. Total
Footprint S.
Date : ? '-zV
OFFICE USE ONLY
OaX2
F.
On site sewage_
On site well _
MWCC System _
City water _
PRV _
Booster Pump _
APPROVALS
Planner _
Council
Bldg. Off. I2- ? 65
Variance _
FEES
Bldg. Permit .ZS.vJ
Surcharge ?co
Plan Review
SAC, City
SAC, MWCC
Water Conn.
Water Meter
Acct. Deposit
S/w Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trail Ded.
Copies • 00
SUBTOTAL
Penalty
Lot Change
TOTAL =
agrees that all work shall be done in accordance with
( ignatureof Contractor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
TRI-LAND C0.
SURVEYING
SERVICES
1260 YANKEE DOODLE ROAD
EAGAN, MINNESOTA 55122
92
2
5
I
LEGA L DESCR I PT ION : LOT 2., BLOCK Z,LEXINGTON PARKVIEW
ACCORDING TO THE RECORDED PLAT
THEREOF DAKOTA COUNTY,MINNESOTA
NORTHVfEW TERRACE t
SCALE:1"=30'
?
z N 9°36'30" W 85.00
9o rv.
O
? ?• 2 a?Z
26'? - -- ?,?- - - - 22 2 9 ? u,q)
I GARxELEV
I ? in 932.72
6AR a
26'
? I IS'
N PROPOSED
O HOUSE ?i ? W925. 2V
26'(1) ---- 4
--
i_ I .. •- ) 1
I
tkGwN
REVIEVrED
3Y
DATE
SITE PLAN FOR:
JOHN SEXTON CONST.
p?W.
?5z
gZaz g2
`?
t op go2I5
r.?.
7_.
2 _-?
i: A C
N 9°36'30" W
r
I
' S C?:•' C: Yr `+? r,d..F r'..._..
?i
.lrS
14 -Fle
.....
1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS , ? 9 fl 3
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 # OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH HLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
CONAfERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
To Be Used For:_?y?? f=? ? Valuation: Ooo Date:
Site Address ?O o'- f/?v? ew
Tarr4«
r.ot ? siock a
Parcel/Sub ? "%E! 311i.2q 4c-'e'r
-?/
Owner
Address
C3ty/Zip Code .61
.C-S ? 3 7
Phone
Contractor
Address
City/Zip Code Phone
Arch./Engr. _
Address
City/Zip Code
Phone #
/ I y, OC7l7Ur r lUr; uSi? oNLY
On site sewage_ Occupaney
MWCC system r? Zoning PD R-1
On site well Aetual Const V- N
City water ? Allowable
PRV required Ik of stories
_
Booster Pump _ Length ?
38
?
Depth ,
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr/Assess Permit
Planner Surcharge
Council Plan Review
Bldg. Off. 42-1?71,5 SAC, City
Variance SAC, MWCC
Water Conn
Water Meter
Road Unit
Treatment P1
Parks
Copies
TOTAL
u
I 0
u A17 '
ZZ )r22= y814 Kl4= Gr7'1?
OASEMENT'
a26>c .Q ?, = Gr)? ?
xr?=304
`180 x 13= 12'7y0
'
135 i'Y!!? 19? Xyq : y89oz, i
Z rJ?j ?t. no(Z i
028% ? 32 ? 9 I 2 x 49 = yq
r? 3iot? ,
?
?
?
?
?I
?
i
88-209
1"Fil-LAND C0.
SURVEYING
SERVICES
1260 YANKEE DOODLE ROAD
EAGAN, MINNESOTA 55122
SITE PLAN FOR:
JOHN SEXTON CONST.
LEGAL DESCRIPTION: LOT2L,BLoCK2, LEXINGTON PARKVIEW
ACCORDING TO THE RECORDED PLAT
THEREOF DAKOTA COUNTY,MINNESOTA
NORTHViEW TERRACE t
SCALE:I"=30'
9`Lr.?52
91P 10-
0" W 85.00 _
0
F
?-__-
I---'
26' @
5
I •_ 1.."'1 ?
1
?
M
22'
GAR
pg• .
M I
"'• L-_
?
N PROPOSED
HOUSE
932.
W!0 ?'LEV
I_„ x 925.42
{DC ?? Q
*15 ?01- 5
_?
1?
'II_
r? L ?
hy .? ?
2 Date _
i? J?-??ri; r'-??.
:= .
ERTG121EiRING" Ut:ra
N 9°36
LEGEND
o DENOTES IRON MONUMEMT
a DENOTES WOOD HUB SET
DENOTES EXISTING SPOT
ELEVATION
DENOTES PROPOSED SPOT
ELEVATION
? DENOTES DRAINAGE DIRECTION
I harsby certify that this survey,pion or
raport wus preparad by me or under my
direcf supervision and thaT I am a duly
Repistered Land Surveyor under ths
Laws of the State of Minnesota.
oare: i zl'?, JPROPOSED FULL BASEMENT WALKOUT
Brodley J`g!
,,!nson, Mn. Rep. No. 15235
INVERT ELEVATION AT SERVICE EXTENSION= `
PROPOSED GARAGE FLOOR ELEVATION= .925.2 '
PROPOSED FIRST FLOOR ELEVATION = 925.7
PROPOSED BASEMENT FLOOR = 917•7
ELEVATION
NOTE VERIFY ALL FLOOR HEIGHTS WITH
FINAL HOUSE PLANS
Pape 1
_ CITY OF BURNSVILLE /
J
EXTERIOR ENVELOPE A4ERA,r,g "U" COHPUTATION,*-*`?
Owner_ ?i ~R Addressa/0U v4 I M Phone Y?TXI a cS _
Legal Description of Property: Lo[ ? B76*'fC' er-,Dn%
Sice nddres
???'OGYtg`P9 t?g
AVERAC.E LINPAL FE Or
E\POSED WALL AREA ABOVE CRADE PERNIT N0.
Main level i p
??ipeal.ft. of framed vall above grade /?/oZx height of vall
?'--
Rim jois[ area
Lineal. f[. of rim x height of rim
Lower level ?
Lineal f[. of franed vall above grade --D Lx height of vall
Lineal ft. of masonry vall a6ove grade_FJ_x height above grade T g S
/
TOTAL Wall area above grade ineluding windovs and doors a a 6 y 9
WINDOM'S: Area x"Ll" value? L1-<41;n# Make b [ e' ?` ?
YP 1i`6f X S sq. ft. 33 x?????y 9z _? c? (ll)(A)
.. „ ? r sq. ft.?x ??Ul. / (U)(A)
ti sq. ft. x"Un t. Q( (U)(A)
't sq. ft. (?1 X??U.. 3. 1? (L)(A)
sq. tc. ?.3J X „U.. ",.9?«.>(a)
sq. fL
. l x??Ull a?, 9i (U)(A)
sq. ft X .lu 1. ?.2 (U) (A)
sq. ft. x'lUll = 3• ?a?i (11)(A)
ti 11 ft. [ . L ( x ????? = t ? /,3 E(U) (A)
. ft. L x ,.u., (U) (A)
. ft.? 11??x ??U ?? (U)(A)
. ft. , 6 L x ????? _ (U) (A)
. f[. x -?(C)(A)
?P . ft. 11 d, x??U:: ? (U)(A)
-Sq. £c. x ?,U„ . S? (u) (a)
ft. h x ??U,.?- p (U) (A)
ft.?x (U)(A)
sq, ft.?x "U" (U)(A)
DODRS: Area x"U? v?lue ? a I 6
Make 6 type rS ?/lL(sq. ft. Na x"U 8 (U A
-b r"?- X( sq. fc. )? )
rt? (U)(A)
sq. f[. x ?'U"? - (U)(A)
sq. fc.?x ?lul. .4 T=?(U)(A)
OPAQUE WALL COI:STRI;C'IION; Area x"li" value
FRAMED ::.1LL (cotal area less ?
opening, :raming members in
Deeail refer- wall, rim joist area 6 masonry)
ence from
a[cached sq. f[. ldcZir.??? x,.??ll 0? J_ ! 4 Crn (L')(A)
-u ?-?
shee[s Framin¢ members in wall sq. [[: ' 6j x"U"t 0 ? /1 (L')(A)
Rim iois[ area sq, f[. " 0 G,t ? 6 - r
Masonrv area he erAp sq. ft.- Q x"U'•?=? ? (U)(A)
TOTAL Wall Area IncluAinQ
Uindovs 6 Doors '2 ^ T07AL (U)(A) ?? I
1 '
TOTaL
a'; caJ vnLCes nvc. ^u° 6
DIVIDED HY TOTAL WALL AREA r? 10 ?1
r
AVERACE "U" lfinimum .11 or less For 1 6? family duellings `finimum .23 or less for all ocher buildings
YOTE: If average "ll" values as calcula[ed above do not meet [he Ener(tv Code rPquirements, [he
"Alernate Envelope Design" as indica[ed on Page 5 may be used.
? .
UALL SECTIONS
NOiE: Use lOX of opaque wall area
for framing members
FRAHINC NQIBERS IN HALLS
Top View
Ex[erior air tilm
?i
=;.. - Siding
,
? . Shea[hing ?
i \? ? i ro
I? n0 PS'SaFF[!60GdD?SIX ? .?4•
k"..r7ry wall
Interior air film
Page 2
R-Value
.ll
.45
68
TO'CAL R
U = 1/R U
FRAHED L7ALL
Exterior air film .17
Siding ? Z
Sheathing ?,Lf
i
3 a[t insulation e5-
Y" drv vall .45
Interior air film '68
7
II = 11R . U = ? ? "',
_ RIM_JOZST AREA
Ex[erior air film 17
Siding . 6 Z
Shea[hing
•
1Y" soft o A , 1.88 ,
In?,.i,.i
Interior air film .68
TCTAL 4 = . . ^ `.'.`II= 1/R U
__MASONRY WALL
Exterior aiz film •17
12" concre[e block 3.?
Insulation ? Interior air film
TOTAL R =
j ^ >
U = 1/R U = ^?^,i ?
Page 3
P,00° CF.ILING
---
_---_-..
?
1 ?
?
/
? . ?-
i ?
Outside aii film .61
Insulation
0 ?" Dryvall
--I!
.45
Ineerior air film ,61
TOTAL R = I
U = 1/R
U - .Uzj/?,
Outside air film .61
Insula[ion i f'
y" Dryvall .45
Incerior air film .61
_ TOTAL R^Ze:?2_6.7
U = 1/A
't1
Outside air film
U
.17
lJOOd
.33
In[erior air fiYm ,61
? . 1
T07AL R =
U=1/R \ 0=
TOiAL AREA: sq. ft.
Detail reEerence sq
Ezom above. sq
DesCri6e apenings "Ux sq
iu ronE "Ux sq
x sn
.?x sq
Sq
TOTAL (U) (A) VALUES
R"
DLVIDED BY TOTAL ROQF/
CEILiYC AREA ?
a? ?° 3? -?
nVERnC.E "U" A2for ven[il [ed roofs
.033 for all o[her construction
1 ? y
ft.?= I?T(U)(A)
ft. - (U) (A)
fc. - (U) (A)
fc. (U) (A)
E[. - (11) (A)
ft. - (U) (A)
f[. - (U) (A)
?
? 3.? J?•zsq. tt. (n)(A)
?
vo. .,U..
:1DTE: lf average "G" values as talcula[ed above do not mee[ the EnP..erry Code requirements, che
°Alterna[e Envelope Design" as indica[ed on Page 5 may be used.
Page 4
!
/
Ex rior air f m ,92
11" vly od particle board .66
Insulation
i
InCerior ir f ,qp
TOTAL R =
ti= 1/R \ U=
Insula[ion shall have a minimum R-Value of 7.5 and must
exten<I horizontally (as illustrated) or verticallv a
dis[ance equivalent to the design frost line; thac is:
2one 2= 3 feet 6 inches
lnsula[ion shall have a minimum R-Value of 7.5 aroundthe
perime[er of slab on qrade floors.
Page 5
THC TOTAL ENVEILOPF CALCL'LATION MF.TNOD
The regula[ions s[ate that alterna[ive overall "U" values for buildinR se[[ions are nermissable
if i[ is shovn that che [o[al building envelope hea[ loss/p,ain does no[ exceed that of a
similar builJing that nee[s tlie regula[ion "U" value maximums. In [his case, we v111 consider
only [he valls and rooE/ceiling cri[eria, assuming that the remainder of the buildinp ciee[s
reRUla[ion requiremen[s.
A. Total heat loss as desiRned (walls and roof/teiling) BTU/hr. deeree F. ..
kalls - UoAp = Averaqe "U" of
wall assembly x average vall area sq. ft. _
Raof/CeilinR = UoAa = Average "U"
of ceiling x averaoe ceiling area sq, ft. _
TOTAL
B. Total heat loss if designed to meet [he reRulation minimum (ualls and roof/ceiling)
Walls = Uo o s Minimum required
"U" value of vall x average vall area sa. ft. _
Roof/Ceiling = oAa = Minimum reouired
"U" value of
ceiling x average ceiling area sq. ft. _
TOTAL
2000 BUILDINC PERMIT APPLICATION (RESIDENTIAL)
CITY OF EACAN
L 3830 PILaT KNOB RD - 55122
651-881-4875
New ConshucNon Reaulremenh Remodel/Reoair Reauiremenri
(^1
* 3 reyisferetl Yte wrveya ahowlnp sq. H, of bf, eq. lt. of house 2 copies of plan
antl gp roofetl areaa (20X mmdmurn bt coveraae albwe? 1 set of energy cdculaMOns for heafed addlHau
? 2 coplee of plana (thow beam 8 wlndow sizes; poured tnd. deElgn; efc.) 1 alTe wrvey for exterbr adCNlona & decks
* t eer of energy cacwonona
n J caples of hee preservaHOn plan tt lof plalted aRer 7/1 /93
DAiE:
coNSrnucnoN cosr: a-7 00.0 ()
DESCRIPTION OF WORK:
STREET ADDRESS:
LOT: ?- BLOCK: SUBD./P.I.D. M:
Name: Phone #:
PROPERTY lau Flnt
OWNER
Sheet Address:
Cly
State:
Zip:
. Company: Phone t:
(area code)
CONiRACTOR
Sheet Address: Lfcense # ExP.
Ciy
State:
ARCHITECT/
ENGINEER Company: Name:
Telephone g: ( )
Sfreet Address: ReglshaNon #:
Cify
Sfate:
Sewedwater licensed plumber qt installina sewerhvater): Phone #:
Zip:
Zlp:
I hereby acknowledpe that I have read thls apPl??, state that the lnbffnation is conect. and agree to comply wHh an aPPpcable Slafe
of Minneaota Statutea ond CNy of Eagan Ordinances.
Signaiure of Applicanh
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No '
JUi?f 6
Tree Preservation Plan Received _ Yes _ No - Not Requfred
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
? 01 Foundation O 07 05-plex ? 13 16-plex ? 21 Porch (3-sea.) '
? 02 SF Dwelling ? 08 06-plex ? 17 Garage ? 22 Poroh/Addn. (4-sea.)
? 03 01 of
plex ? 09 07-plex ? 18 Deck ? 23 Porch (sCreened)
? 04 _
02-plex 0 10 08-plex ? 79 Lower Level O 24 Stortn Damage'
? 05 03-plex ? 11 10-plex Plbg _Y or _ N O 25 Miscellaneous
? 06 04-plex O 12 12-plex ? 20 Pool O 30 Accessory BWg.1
WORK TYPE
O 31 Fxt. Alt - Multi
O 33 Ext. Ait - SF
? 36 Mufti
? 31 New ? 36 Move Bldg. ? 43 Reroof ?
? 32 Addition ? 37 Demolish (Bldg)' ? 44 Siding i
? 33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair
? 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors
• Give PCA handout to applicant for demolition permit ,
GENERAL INFORMATION
SAC Code # of Stories sq• ft•
No. of Units Length sq. ft.
No. of Buildings Width Footprint sq. ft.
Const. (Actual) Basement sq. ft. Census Code
(Allowable) Main level sq. ft. MC/ES System
UBC Occupancy sq. ft. Ciry Water
Zoning sq. ft. Booster Pump
PRV
Fire Sprinklered
MISCELLANEOUS INSPECTIONS
?
Stucco/Stone
?
APPROVALS
Planning Building Engineering Variance
Permit Fee
Surcharge ? •
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
TotaL•
Vatuation: $
SAC Units
% SAC
APFLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
..
w N01'E: PAS7+E7P OF FEE AT TIME OF
APPLICAI'ION ppFS Npf COt}- ?
t S1'I1V1E APPR('iJAL OF PIIiNIIT.
• :
?
,*w I[1S1>F7LTION OF SEWFIi AND/OR FWTII2 +
?
? IILSTNdATIOPIS WII,L NOT gE SCED[R,FD t
?[INPIL PIItFIIT HhS BEES] ApPROVID. i
:ie:e+xr?t*i++?a++??**»y,aaa?:s?r?t+??i
OF CCtrgC8n
(PLEASE PRINT
1) PROPERTY ADDRFSS: 4021 North Vi°:^% Termce
T•Ff;AT• DFSCRIPTION; . Lot. 2 Bloc'a. ? Lexi-n-ton ..ta.rkview
IF EXISTING STRCLTURE, DATE OF ORIGINAL BUILDING PM2MiT ISSUANCE:
Mon Year
PRESEDTI' ZONING/PROPOSID OSE:
Q COPMAE2CIAL/RETAIL/OFFICE 1 W114 R-1 SINGI,E FAMILY
Q INDT-ISTRIAL F---]R-2 DDPLEX (3WO L'nits)
a INSTITL'TIONAL/GOVII2NMENT ? R-3 TOWNHOC?SE (Three + L'nits) ( Lnits)
Q R-4 APARTMENT/CONDOP7INIUM ( L'nits)
z) z" NAME' .Tnhn =aXt rt ('O*Jt
ADDREss: 32I5 3kyview Dr.
CITY, STATE. ZIP: .. RiirnSVil l P . btn. G57) 37
PHONE:
3) ? NAME: , 'Jeierke Trenchinz
ADDRESS: •• "•• G1 ..: _.., . ?/
CITY, STATE, ZIP: Lzd.gan, Mn. 55223
PHONE: 4r?4 3h7Fi MASTER LICENSE #00-z691;19
lj Active
Expired
Not recorded
St Initia
4)
NA`E: 5
ame or_ au7licant
ADDRESS:
CITY, STATE, ZIP:
PHONE:
5) s• m •?• •?'e' .? ?e STORM SELdER PERMIT - CONTACT ENGINEERING
Q CONNECPION To CITY SEWER E CONNECTION To CITY WATER I? TAPS
??.?.?
?
6)
*,r?**********,?*+******?*+****?*******,?+*??***********?*+****??*+**+****+*********?*?*?***********+t
* THE GOLD COPY OF 'PHE PERMIT WIIS, BE SENP DIRDCPLY TO PUSLIC WORKS TO FACILITATE ME.TEEt PICK-LTP. *
,*t PLEASE ALLOW 'IWO hORI(ZNG DAYS FOR PROCFSSING. SOMEONE EROM TfM CITY WILL CONrAGT YOU IF 7Y]ERE *
* ARE ANY PROBLEMS. *
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********+******?**?*******+*w**?*****,et****+********?***?+*+.?,r+r*+*?*****+?:***,t****?+**+**,r*,r***+*y
FOR CITY USE ONLY
PERMIT # ISSUED
Pd w/Bldg. Permit FEES:
$ $ SZ
SEWER PERMIT (INCLGDE SURCHARGE)
$ $ WATER PERMIT (INCLLDE SURCHARGE)
$ $ WATER METER/COPPERHOR[V/OL'TSIDE READER
$ $ WATER TAP (INCLLDE CORPORATION STOP)
$ $ SEWER TAP
$ $ ?-? ACCOLNT DEPOSIT - SEWER
$ $ ACCOUNT DEPOSIT - WATER
$ $ WAC
$ $ SAC
$ $ TRLNK WATER ASSESSMENT
$ $ TRONK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRONK SEWER
$ $ LATERAL BENEFIT/TRLNK WATER
$ C??$ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
$ $ TOTAL
o m/
RECEIPT RECEIPT
DOES UTILITY CONNECTION REQCiIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
Q YES IF YES, THEN A"PERMIT FOR WORK 6VITHIN PDBLIC
ROADWAY" MUST BE ISSLED BY THE ENGINEERING
Q
NO DIVISION. LIST AS A CONDITION.
SLBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY: L?__ _Yc.irPA
TITLE: "
DATE:
December 30, 1988
JOHN SEXTON CONST r
3216 SKYVIEW DR
BURNSVILLE, MN 55337 ?
REt 4021 NORTHVIEW 2ER., L2, B2, LEXINGTON PARKVIEW
WARNING: BEFORE DIGGING, C9LL LOCAL OTILITIES - TELEPHONEO ELECTRICp G93t
ETC. - RSQUIRfiD BY LAW
XX Your Sewer and Water Permit for the above property has been completed.
?- It will be held at the Public Works Garage (3501 Coaehman Road) until
the meter is pieked up. BE SURE TO CALL PIIBLIC WORRS (454-5220) FOR
YOIIR PERMANENT WATER TURN ON.
_ Your Sewer and Water Permit for the above property cannot be completed
for the following reason:
_ Your Sewer and Water Permit for the above property has been completed,
however, the meter cannot be issued or occupancy allowed until further
notice.
Sincerely,
?y-e?
v
Jan Severson
Secretary
JS
Use BLUE or BLACK Ink
r
For Office Use
• `?5 g
City of Ea ~ I Permit Ed I
I Permit Fee:
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received: 3 3
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff: I
I I
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 3 1°I~ Site Address: 4001 Q Ahyfew Ter'racf; gaa"
Tenant: d of t, mwt1 P pa,4~ -yt Suite M
RESIDENT / OWNER Name: JUk OiAyel P6LIJ311 Phone:
Address / City / Zip: 6 cotn
Applicant is: Owner Contractor
TYPE OF WORK Description of work: rI N r<146a t,ft e v4 wtl~(6Wj
Construction Cost: _ ✓ Multi-Family Building: (Yes / No
CONTRACTOR Name: Klrckn.v siCA , a.A wkkaoW Sk.c,.. License o4066 4ag
Address: 1430 Zr-A - IV6,'n City: Of "AM4
State: 4 A I Zip: 55040 Phone: 53 7 Ltg" ( - 73 77
Contact: D&+v► KlMkn4,- Email: eotto Wtr& ktl . eotw"
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:
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 the 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.gopherstateonecall.org
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 ear, V ,rC d6 x
Applicant's Printed Name Applicant's Signature
Page 1 of 2
I
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA118165
Date Issued:10/29/2013
Permit Category:ePermit
Site Address: 4021 Northview Ter
Lot:2 Block: 2 Addition: Lexington Parkview
PID:10-45035-02-020
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required by law in ALL single family homes .
Luanne Yang
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Jon M Paulsen
4021 Northview Ter
Eagan MN 55123
New Life Contracting Inc.
814 Grand Avenue
St. Paul MN 55105
(651) 224-3442
Applicant/Permitee: Signature Issued By: Signature