4025 Northview Ter. ? ?? .
CASH RECEIPT
CITY OF EAGAN
' 3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE ' `-- • - 19
t+ECEn/En ? i ? •
PROM ! i J•1 1?? ?? ?
AMOIYNT
?
8 DOLLARS
ioo
? CASH G? CHECK
FOR
a
FUND OBJECT AMOUNT
Thank You
8Y
t,?5n ? r White--PaYers CoPY
Yellorr-POStingCoPY
3 +i • ?.... ?. / Pink-File CoPY
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHON E: 454-8100
BUILDING PERMIT Receipt#
RTo be used for `Y ) i, l ?.''• ' Est. Value I•: Date JI'NE 78 SiteAddress 4425 2:c;"'}''.";Ij:i? 'C).R!?ACE
- Sec/SubEXIN? ??N 2 i` * i:'J I.A.6?
Lot 3 Block ?
Parcel No.
. Name }cE?X9ERG HOMES
z Address 8251 E 230T11 SIT
o .i?:':F.YILI.P, 4+?1-:'25?+
City ` Phone
.0 Narne S.ti: i•.
? Q AddYess
P City Phone
? W
W y? Name
H
??
Address
`W City Phone
I hereby acknowledge that I have read this application and state that the
informationls correct and agree to comply with all appiicable State of
Minnesota Statutes and City oi Eagan Ordinances.
Signature of Perrqittee
\ Building Permit is issued to:
onthe express condition that al I work shall be done in accordance with al I
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building
OFFICE USE ONLY
On Site Sewepe Qccupancy
MWCC System ?• Zoning
On Site Well (Actual) Const v-N
City Water - (Allowable) V"N
PRV Required # of Storiea
Booster Pump Length
Depth 341
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr./Assess._ Permit 640•00
Planner Surcharge UU•00
Council PlanReview 320•00
BIdg.Off. SAC, City I00•00
Variance SAC, MWCC 3 50• 00
WaterConn. 550•00
Water Meter k7•90
Road Unit 32 5.W
Treatment P1 204•00
Parks ,
TOTAL ?
1
CASH RECEIPT
? `,,._.. .
CITY OF EAGAN
' 3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
I
DATE ig
REctneo } .
FF40M
AMOUNT $ ?
4
& DOLLARS
,oo
0 CASH [? CHECK
wn 1--• ? ? 1 ? - ? ? ? •
BY
White-Peyers Copy
Yeliow-Postln9 CoPY
Pink--File Copy
Thank You
1N SYL:C;'1'lUN KL(.:UKD
L?tTY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, MinneSOta 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: '
1 k` ,: f N+i ( C?M Pr?; V 1,.e? %.4j
PERMIT SUBTYPE:
APPLICANT:
. - , , . ,;;}? I
t 6"=, i? ri s +i 4 q:? Ci
TYPE OF WORK:
Ic}II" ftirc
Is
1"' ?,-?•G?
fti?MlfiRK'3: ('F4114141:Y/FtUfi Ptl,iS'f Hr 7M1,'.,PFP>(hl] Fif"rORk 1'lIM('!"AI il+ICi
Permit Holder Date Telephone #
PLUMBING
IiVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLHG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUI
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METEFi
IRRIGATION
METER
FLUSH
MAINS
CONDUCTIVITY
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK f1NAL
INSPECTION RECORD
C Y OF EAGAN PERMIT TYPE:
830 Pilot Knob ROad Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS:
;,_?#irNVl'ELl;T#'R
1. !A [ Nta 1 Cl id F' AR?V TvW ;
PERMIT SUBTYPE:
APPLICANT:
?
TYPE OF WORK:
!t t 1 ts 114 r;
A tn.1•3
Fl !(AA /44k
INSPECTION .. . DA
RFM{1KMI;s C`FRMI"! HFVTFWFI) BY MlKF HAi:CK
Permit No. Pertnit Holder Data Telephone #
ELEGTRIC
PLUMBING
HVAC
Inspoction Date Insp. Comments
FOOTINGS
FOUND
FRAMING
RpOFING
ROUGH
PI,UMBING
PLBG
AIR TEST
RdUGH
HFATIIVG
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
6SMT R.I.
BSMT F{NAL
DECK FTG
DECK FINAL
` . • t MECHANICAL PERMIT
?
• RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE
CONTRACT PRICE PHONE: 454-8100
Site Address ? -? V1"t ';,' rV gLDG. TYPE WORK DESCRIPTION
Lot .? Block ? Sec/Sub ?'
y
' ? New
Res. l
L- C
X i ti'i L'r 'IdY
" Mult Add-on
? Name
;,
/
Comm. Repair
S Address ?s Other
c City Phone ?
c Name o m P FEES
RES. HVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M BTU
6
00
Address -
.
p City Phone (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PEkMI'n - 1
50 EA
TYPE OF WORK .
,
COMM/IND FEE - 1h6 OF CONTRACT FEE
Forced Air vV < M BTU APT. BLDGS. - COMM. RATE APPUES
TOWNHOUSE 8 CONDOS - RES. RATE APPLJES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
Unit Neater M BTU ? REMODELS - 12.00
Air Cond. - M BTU
- MINIMUM COMMERCIAL FEE - 20.00
?
? STATE SURCHARGE PER PERMIT - .50
Vent ? CFM PERMIT PRICE GOES
Gas Piping Outlets # BEYOND $1 ppp?
Other g
' Zd
1
FEE &t4'e_
r-. S/C: SIGNATURE OF PEAMITTEE
? ?.
? TOTAL:
i;;r ?
. FOR: CITY OF EAGAN
PERMIT # /VS a
PLUMBING PERMIT
CITY OF EAGAN RECEIPT # "
Y- ?
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
WORK DESCRIPTION
Namw •- ?
ci Address z J ?
c Ciry Phone
Name _
Address
Phone
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE 8 CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
Res. New _
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
Water Closet - $3.00 $
Bath Tubs - $3.00
Lavatory - $3.00
Shower - $3.00
Kitchen Sink - $3.00
Urinal/Bidet - 53.00
Laundry Tray - $3.00
Floor Drains - $1.50
Water Heater - $1.50
Whirlpool - $3.00
Gas Piping Outlets - $1.50
, _„#MINIMUM - 1 PER PERMIT)
?LSoftener - $5.00
Well - $10.00 Private Disp. - $10.00
Rough Openings - $1.50
OF
OF
FEE:
STATE S/C:
GRAND TOTAL: ? ??
PERMIT # _
, PIUMBING PERMR RECEIPT #
CITY OF EAGAN
• 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE:
4TRACT PRICE: PHONE: 454-8100
m Name _
w Address
c City 11
BLDG.TYPE
Res. ?
Mult
Comm.
WORK DESCRIPTION
New ?
Add-on
Repair
? vn
Name ? FIXTURES
Water Closet - $3
00 TOTAL
t
.
c Address ? v 5 Bath Tubs -$3.00 r
p City /_-? XP 1• / -j?
Phone fZ ' ' ? S ?Lavatory - $3.00 '
_ ?Shower - $3.00
?-Kitchen Sink - $3.00
FEES
Urinal/Bidet - $3.00
COMM/IND FEE - 146 OF CONTRACT FEE ::Laundry Tray -$3.00 '?-
MINIMt.1M - RESIDENTIAL FEE - $1?.00 Floor Drains - $1.50 ' --
MINIMUM - COMMlIND FEE - 20.00 =Water Heater -$1.50 '
STATE SURCHARGE PER PERMIT - .50 Whirlpool -$3.00
(ADD $.50 S/C IF PERMIT PFiICE GOES ZGas Piping Outlets -$1.50
BEYOND $1,000.00) Softener - $5.00
Well - $10
00
.
? Private Disp. - $10.00
Rough Openings - $1.50
SIGNAT
URE OF PERMITTEE FEE ? • -
sTaTE sic: -
FOR CITY OF EAGAN GRAND TOTAL• `? ?
,
; -
? ? Y •
' (itrtifiratp of (Orrupaury
titp of (Eagan
lorprtmrat of %ilating iwprtina
77tis Certt'frcate rssued pursuant 1o the requirenients of Section 306 of the Uniform Building
Code certifying tlrat at the time of issuance this structure was in compliance with the Hasious
ordinances of the City regulating buildiRg corrstruction or use. For the foUowing.•
un cassifinaoo i]NMs:'. mne. Nrmit ?vo. 15273
ooc„o.-v Tya R3r''_' Z..ig awi. Tra ca^st vn
o,meT ot euddiq ROOM r?:ki:S ,esg `? ?S 3 t. _ ?> i. T AMII ILE
,-
e? nm? 4 ?25 ?'?Il-NIE+' ._:?:'v`,??:. LAX21ity
o.Le: ! 9&F3
POST IN A CONSPICUOUS PLACE
.
CITY OF EAGAN 273
? 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHON E: 454•8100
OIJH.OING PERMIT Receipt #
To be used for Est. Value ? ?? • • • Date
Site Address OFFIC
tot Block Sec/Sub. On Site Sewage
MWCC Sysiem
Parcel No. On Site Weu
¢ Name City Water
W PRV Required
= Address
o r.ir., BoosterPump
.°Co Name
? Q Address
? City Phone
?WWName
_ g Address
u
ZW Gity Phone
a
l hereby acknaw4edge thaS 4 fiave sead tnis application and state that the
information is correct and agree to comply with all appiicable State of
Minnesota Statutes and City of Eagan Ordinances.
Signature of Permittee
A Buiiding Permit is isSUed to:
on the express condition that al I work shall be done in accordance with all
applicable State of Minnesota Statutes and City ot Eagan Osdinances.
Building dfficial
APPROVALS
Engr./Assess.
Planner
Council
Bidg. Off.
Vafiance
Occupancy '
Zoning
(Actual) Const
(Allowable)
# of Stories
Length
Depth '
S.F. 7otal
Footprint S.F.
FEES
Pe rmit '
Surcharge
Plan Review
SAC, Ciry ?
SAC, MWCC
Water Conn. '
Water Meter
Road Unit
Treatment P1
Parks
TUTAL
Permlt No. Permit Holder Date Talephone #
Plumbing
H.V.A.C. fU / Sh ' ? 214 5 1k
Electric
Softener
inapection Date Inap. Comments
Footings 1
Footings II
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul. g, z??
Fireplace '
Final
Final *
Bidg.
Final k
?.
C@ft. OCC. ? :? %'CCw JGsYt O/%Cr ?
Temp. LP
Deck Ftg.
Deck Final
Well
Pc Disp.
CiTY OF EAGAN Permit No: Data , 1'
3830 Pilot Knob Road Meter ?vo: h/o3 13 8?8 Size:
P.O. Box 21199 Reader No: ?P 29 7 Data: 7-7 Eagan, MN 55121
Owner. &Yberg HomQs
Site Address: 1.y.n75 i4orthviesa ^^;; •--` ? L > ;j ? J eY?,? _ ? .,i P3L'(
Plumber._ !.•+l•avi 7 I P
Conn. Chg: 55). QOpr:
Acct Dep=_ 15-00pd
Parmit Fee: i?. OOpti
Surcharge: . 5ind
Tr. Plant .010!• 1
Meter.
CITY DF EAGAN
3830 Pilot Knob Road
P.O. Box 21199
Eagan, MN 5512)
. ;,o:t,;
OwRer.-?-5
Site Address:
MWCC:
Zoning: Rl
No. ot Units: 1
I agree to comply with !he CNy of
WATER SERVICE PERMIT
Permit No: j= Date:
` i 5'; Date:
B/P No:
Homes
Zoning* '
No. of Units:
Ciry Chg:
Acct. Dep:
Permit Fee:
Surcharge: F?
M i sc.:
I agree to compty with the City of Eagan
Ordinances.
SEWER SERVICE PERMIT
CITY OF EAGAN Permit No: "72 7 Date:
3630 Pilol Knob Road Meter No: Sixe:
P.O. Box 21199 Reader No: Date:
Eagan, MN 55121
Owner._, Foxbeiy Homes
Site Address: 407.5 WO=thviet TerraGe Lr E2 Lexi?
Conn, Chg: S 50. OOpd
Acct Dep: 15 . QOnc;
Permit Fee: 10• OGpcI
Surcharge: • 50pd
Tr. Plant 204• 00pd
Meter. 67 _ Tr -4
2oning: _
No, of Units:
I agree to comply with ihe City ot
Ordinances.
WATER SERVICE PERMIT
BLDG. PERMIT NO. I
I?-Of - 3 Y'?, I D C4c, ? hS-%
01-3210 Bidg. Permit 04c)
013422 Plan Check 3?7
01-3445 Surch.lAdm. ?
,01-3446 SAC/Adm. ?
01-2155 Surcharge
75-3860 Road Unit
20-2275 SAC
20-3865 Water Conn. C_7?,
203868 Water Trmt.
20-3716 Water Meter
? 20-2252 Acct. Dep.
?
4 20-3713 Water Permit
20-3743 Sewer Permit
79-3866 Sewer Conn. DO
28-3855 Park Ded.
TOTAL
ac
CITY OF EAGAN N_.. 15 2 7 3
3830 Pllot Knob Road, P.O. Box 27-799, Eagan, MN 55121
BUILDING PERMIT PHON E: 454-8100 Receipt I J r
# ?S 9
T-o be used for SF DWG/GAR Est. Value $120,000 Date JUNE 28 ,1988-
SiteAddress 4025 NORTNVIEW TERRACE
i..r 3 RInrL 2 ce..ie„i,LEXINGTON PARKViEW
Parcel No
: Name ROXBERG HOMES
w
Address 8251 E 230TN ST
? Ciry LAKEVILLE phone 461-2254
=alName SAME I
V V Address
i- City Phone
a
W Name_
w
z Address
3
w CitY_
I heraby acknowled9e that I have read this application end state that ihe
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Ea a Ordin ces.
Signature of Permittee
A Building Permit is issued to: ROXBERG H $
on the enpress condition ihat all work shall be done in accorAance with all
applicable State of Minnesota Statutes and Ciry ot Eagan Ordinances.
Building Official-?Z4 R'IiA I A \ e-
OFFICE USE ONLY
On Site Sewage _ Ocwpancy R-3 /M-:
MWCC System X Zoning R-1
on site well _ (ACtua1) const V-N
Ciry Water X (Alloweble) V-N
PRV Required _ # of Stories
Booster Pump _ Length 601
Deuth 34'
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr./Assess. Permit 640.00
Planner Surcharge 60.?0
Council Plan Feview _320.00
Bldg. ON. SAC, City 100. 00
Variance SAC, MWCC _550
water Conn. 550. 00
Water nneter 67.00
RoadUnit 325_..00
Treatment P1 204.00
Parks
70TAL 2r816.00
b' REQUEST FOR ELECTRICAL INSPECTION ee-ooooi>-os
1 See instructions lor, compietin9 Ihis torm on back of yellow copy.
72?15 1 "X" Below Work Covered by 7his Request
AAtl NeO. TVpa of BuilCing ADOliances Wired Equiumanl WireA
Home Range Temporary Service
Duplex Water Heater Lightiny Fixtures
Apt. BuilAinq Dryer Electric Heann
Commercial Bldy. Fumace Silo Unbeder
Industrial BIAy. Air Corxlitioner Bulk Milk Tank
Farm oink. oec, y otne,isna,lvl
?nnr 5ucr.ify otner Otn.i
omuute lnspection Fee Below
p Fee ServiceEntranceSize n Fae Feeders/5ubfeeJers K Frte Circuits
Uto200Am s 0co30Am s 0m30Am s
1
Above 200 qmpj
31 to 100 AinpS
31 to 100 A s
Swimming Pool Above 100_Am s A6ove 100_Am»
Transtormers Irrigation Booms Partial.'Ot
Signs Suecial Inspection $ TOTALS
Remv?ks ( ?
II,nsthe E actric I
vect eey
? ?Brllfy lhA41hB TbOVO
Final Date 4,,
w I inspeCtion has EeBn
Thiz renuast void /,/s/g?
18 mqnths Imm
I hereby repuesl inspection of aCOVe
Ownpr electrical work installed at:
Street Atldress, eox or floute No.
?zs 27-?-1 UidJ City
I ection o. Township Name or No. FanBe o. Cou xt?y
xJl? ?
Occu 'nt (PRINT)
o lhG Phone No.
Power Supolier
? o Atltlress .
Elec rical Conhactor ICOmpanv Namcl
!?S !?? n 96zl? . ConVar.lor's License No.
U ? ?S- 3
MailinB /adJress (Conhactor or Ow er Makine lnstalla[ion)
? s cJ. i.3 ~`S ??0C--e n.
Aut ized St re (C V ctor?Ow Makiny Inslallationj Ph e Number
?? ?6'-6 3 ? V
MINNESOTA STATE BOAND OF ELECTRICITY THIS INSPECTION NEQUEST WILL NOT
Gri09a•Midwey BIAU. - floom N•191 BE ACCEPTED BY THE STqTE BOAMD
l1NLESS PNOPEN INSPECTION fEE IS
1821 Universitv Ave.. St. Paul. MN 55104
on....e Ia»' an? rwnn ENCLOSED.
???f?? REQUEST FOR ELECTRICAL INSPECTION ee-ooooi-o[s?/
r??? See instroetians Ior complating this torm on beck of yellow copy. F5,f ?r}
E'G?? J 1 2 "X" Below Wwk Covered by 7his Requesf
hlev? Ad Rep. Type oi Builtline APaliancee Wired EqoiUment Wired
Home Range Temporary Service
Duplex Water Heater Llghtiny Fixturos
Apt. BuilAing Dryer Electric Heaun
Commercial Bldy. Fumace Silu Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tenk
Farm other Soea v -ther lSnncitvl
1 er Sw?cify Other OtM1Ur
Compute lnspection Fee Below
k Fae ServiceEntrenceSize M Fee fexders/5ubfeeders k Fee Circuits
U to 200 qm s 0 to 30 Am s (.[:Yi 0 tn 30 Ani s
Above 200_qmps 31 to 100 Amps 31 to 100 Am s
Swimming Pool Above 100-/>mps Above 100_.4ml»
Transtormers Irrigation Booms PartiaL?Other Fee
Signs Sueclal Inspection
$
TOT
PerrNrks I - '
.(XJ
.
HauBh-in ?3fP?/ , tha la ' I
' ? J? ?nsoacior, herehy
ertify thet the abova
Final 7 ?nspection has been
??? mede.
/ /?1
Thia reauest vold 18 monllm irom
This request void ??^i P?' a??+-' ?
18 rvqnths fmm 1 ?
E 26912 1-3,8-v M ,Z-?
Repues4Date. Fire o. ouph-in InsVection
equired? ?.,(''
?Reatly Nuw ?rvrll Nntity 1nspec-
R
?Z?r Wh
d
Yes ?No en
ea
y
?Licensed Electncal Conhacmr I I hereby request inspec[ion ol above
Owner electtical wark installad at:
Sheet Address, 9oz or Ro te No.
7 vl-c« ' , Ciry
?C
ecimn o. Townshi0 Name or No. Rmnge No. Comf??ty\ I
Occup' IPflINT)I_ / I Phone Np.
Po uppli¢r
r? ? Adtlre55
?
I ? rmcm ? i C?
ElecVi I Contractor ICOmDany N' 1
-
i
Jn
?'
4 C??ntractor's License No.
C??4 ICl ?S-3
-yl
_
?
e?
L
r
MaJinq AdJr ss (ConVactor or OZI, Making Instaila?ion)
seqo-?n r)in
Auth etl Signawre CunhucloJ wner kiny Installation)
EV Phnne N.
er
?.?b
3 (?
,
?
MINNESOTA STATE BOAPO OF ELECTRICITY THIS INSPECTION REQUEST WIIL NOT
Griggs.Midway 91dg. - Noom N-791 BE ACCEPTEO BV THE STATE BOAND
1821 Universicv Ave.. St. Paul. MN 55106 UNLESS PflOPER INSPECTION FEE IS
Phone16121fi62-oBOO ENCLOSED.
C:f.TY IlF 1=iAGAt,!
rqrt.l:l'Ic.Ra JS 1'ERP1IP?AL. NC?: 6913
LA}`E.a 0:`G106: ??fl 'i _!:tR:;a !Sc .`;a4p
,
M:
NF3•ti".° R:f(:I-I:?CiD FO.T'LhiA
;:;f':Lri 9001 4023 NORT'i-nJ7:l=N 50.00
87.55 9001 4025 hlOn.`?'IiWF:!y i:l..`..;f)
7O;r}:1. ;ti?rnip+, AI7i[itdn";;' 30.50
CRO Mp.':)t:,
U';fi;F ID° JRN!
? CI7Y OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT ?
PERMIT TYPE:
Permit Number:
Date Issued:
BUILDING
031919
05/06i98
SITE ADDRESS:
4025 NORTHVIEW TER
LtlT: 3 BLOCK: 2
LEXINGTON PARKVIEW
P.I.N.: 10-45035-030-02
DESCRIPTION:
Buildin4--Permit Type
lBua.l ding W`qFr Type
+s"CBYt?`Lls C?DfJe,`??'ti ?
? b.
, '°?,
? ?
DECK
NEW
434 ALT. RE3IDENTIAL
[ .--? } r-'}? }
? ? " ?"j
_ ?-
REMARKS:
PERMIT REVIEWED BY MIKE BARCK
FEE SUMMARY:
Base Fee $50.00
Surcharge $.50
Total Fee $50.50
CONTRACTOR: OWNER: - ppplicant -
KUZMA RICHARD
4025 NORTHVIEW TER
EAGAN MN
(612)726-0884
+..-,. . .. .. _;. .k' ' `Lt $ ... ..
. _.. .. ..e a ? . .. }? t , „ .
' . . - Ao.i.. *v .-. " .t.
I hereby acknowledge that T have read th3s application and state that Lhe
3nfi0rm '#n is cor;rect and-`.sgt^ee ?rg co?P,l,y,rak?.: apNlicable State of Mn,,:
? Statues andCityo Eagan'Ord1naFlCes. . .. __ _. . ?
A PLICANT/PE MITE GNATURE ISSUED BY: S AT E T
<< , 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) S?D? S ?
? i( ? ? ? CITY OF EAGAN
3830 PILOT KNOB RD - Sb 122
681-4675
New Construdion Reauirertrents RemodeVReoair Requirements
? 3 registered site surveys
? 2 copies of plans (include beam 8 window saes; poured ind. design; etc.)
? 1 energy calculations
? 3 wpies of tree preservation plan if lot platted after 711/93
required: _ Yes No
a? ?
DATE: '?I -?-- ?- r
? b
• 2 eopies of plan
? 2 sita surveys (eMerior addRians 8 dedcs)
? 1 energy calwlations for heated addftions
?
CONSTRUCTION COST;
DESCRIPTION OF WORK:
STREET ADDRESS: 0 S
LOT: BLOCK: 2, I )-e C'll
YvU V tt
SUBD./P.I.D. #:
k ?--
Name: l /?- Phone #:
PROPERTY Last FMt
OWNER
Street Address:YQ2-
C I'UJPrLC ?-L?
?.? 4 c2
City 4 e 7724.`I State: V77 v?l Zip:
Company: Phone #:
CONTRACTOR
Street Address: License #
City State: Zip:
ARCHITECT/
ENGINEER Company: Phone #:
Name: Registration #:
Street Address:
Ciry State: Zip:
Sewer 8 water licensed plumber (new construction only):
and lot change is requested once permit is issued.
I hereby acknowledge that I have read this application and state that the
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required
Penalty applies when address chang
and agree,16 comply with all applicabi
2aM
,
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex
? 02 SF Dwelling ? 07 4-plex
? 03 SF Addition ? 08 8-plex
? 04 SF Porch ? 09 12-piex
? 05 SF Misc. ? 10 _-plex
WORK TYPE
)!? 31 New ? 33 Alterations
? 32 Addition ? 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of 5tories
Length
Depth
APPROVALS
Planning
? 11 Apt./Lodging O
? 12 Multi RepaidRem. ?
? 13 Garage/Accessory ?
? 14 Fireplace ?
;;r,15 Deck
? 36 Move
? 37 Demolition
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building
Variance
y3y
U/
?
v
Permit Fee
Surcharge
Plan Review
License
MC/WS 5AC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Pertnit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:''.-°? ;'(': ;
ILA,9 Engineering
Valuation: $
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscelianeous
MC/WS System
City Water
Fire Sprinkiered
PRV
Booster Pump
Census Code.
SAC Code
Census Bldg
Census Unit
% SAC ti
SAC Units T
88-109
TRI-LAND C0.
SURVEYING
SERVICES
1260 YANKEE DOODLE ROAD
EAGAN, MINNESOTA 55122
SITE PLAN FOR:
ROXBERG HOMES
LEGAL DESCRIPTION: LOT-3-,BLOCK-Z-, LEXINGTON PARKVIEW
ACCORDING 70 THE RECORDED PLAT
THEREOF DAKOTA COUNTY,MINNESOTA
924.79
NORTHVIEW TERRACE
931x49 ?-
'924,69 0
SCAI.E:?I"=30' 92459x N 9036'30" W 85.0099339
W.V.
0
?
o F 1 0
M
923.69 929,49 930.69
15.0.Qs - - -?'- - - - - - - 1?0
? a 24.3S
i a 21.67 GARAGE
14
PROPOSED '
m HOUSE I O 14
? 14' T I O
921J9 O - -?c- - a 2. - ?t
CD 926.49 H 926.19 ?
-
5 922„29 923r29
I I5?
„-
:-'?' i N N L ! .? -r
0
e . O
?? O .
C_ OD co
3
en
?... :: ..
? ? • _
L_ . ?/z
,
N 85.00
LEGEND IryVEkT ELEVL1l'ION A7 SERVICE EX7`ENSION=
o DENOTES IRON MONUMENT PROPOSED GARAGE F100R ELEVATION= ?
* DENOTES WOOD HUB SET PROPOSED FIRST FLOOR ELEVATION =
DENOTES EXISTING SPOT PROPOSEDBASEMENT FLOOR =''>Z':"
ELE VATION ELE VAT I ON
DENOTES PROPOSED SPOT
ELEVATION
DENOTES DRAINAGE DIRECTION NOTE, VERIFY ALL FLOOR HEIGHTS WITH
FINAL HOUSE PLANS
I hareby certify thut fhia survsy,plan or
report was prepored by me or under my
direct aupervision and ihat 1 am a duly
Reqistered Land Surveyor under ths
Laws oi the Stote of Minnesota.
r l ?'+Ct ?.? ? _i ,?.-{--•'-•r'?,.R. ;.. __ -
Bradley J. Sw , Mn. Req. No. 13235
Dote
$;XSX%??? ?F?4:Y?:?:ys'??XX??kX??iS'F%?:?S?YI?;X 1Fl?;i?7k?YXt.'b'X??h`•#?X?X;d"8;:,",
C:CTY Cf- EP?,APd
C'.Af31-CI:IiT c i ?'I":G:MIidAL. M0 u i'!32
DATE° 0/0/96 '1-Shi;:_: i5e37:55
ID;;
N1ME: Fi:[CI-IFl(iTl t`U7_MA
:320 9001 +OY.J NOR'i!-IVIEIq 50.00
ei.s:; 9001 402:; NarTi-iUtrt-a 0.50
.
'1-eka:t E;!,re9.pt r?inoi.an';: 50.50
CRO'?f?W
USC:R :l:li: NFlNCY
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT
PERMITTYPE: aur.LozNs
Permit Number: 033717
Date Issued: 19 J 19 / 9 8
SITE ADDRESS:
p.I.N.: 10-45035-030-02
4025 ' NORTHVIEW TER
40T: 3 BLOCK: 2
I.EXIN6TON PARKbiiF't
Vi?-w?
DESCRIPTION:
BjYi l s i in`g?,„P e i- m it T y p e
Buildxrtg Wia.rk Type
`'L' ensus Code ?'
r
f
?(` . . . ?..._,.
?
FIftEPLACE
NEW
434 ALT. RESIDENTIAI
?
_ ? .m.. . .. , __ ? ..?
REMARKS:
CHIMNEY/FLUE MUST BE INSPECTED BEFORE CONCEALING.
FEE SUMMARY:
Base Fee $50.00
Surcharge
l'otal Fee $50.50
CONTRACTOR:
OWNER: -- flpplicant -
KUZMA RICHARD
4025 NOR7HVIEW TER
EAGAN MN 55123
(651)454-4425
I hereby acknowledge that I have read thi5 application and staYs that the
iTifarmaCion is correct and agr:ee to comply with ail applica(aJ.o State afi Mn.
? 9tatutes'and City of tigan 4?rdinanc's.
?I?A ?A ?I ?N 1
APPLICANT/PERMITEE SIGNATURE (JSSUED BY: SIGNA Rll E-?-
? ? -E,6
3830 PllAT KNOB RD 55122 - 9O
J 1998 FIItEPLACE PERNIIT APPLICATION
681-4675
DATE:16oT9 PERMIT FEE: $50.50
DESCRIPTION OF WORK: ? Construct oew fireplace _ Alterations to existing
Install ess insert onlv
Other
),S?
JOBADDRESS:
LOT: ? BLOCK: Z SUBDIVISION/P.I.D.#: L'rX- 77
APPLICANT (circle one only): OWNE CONTRACTOR
I hereby acknowledge that I have read this application and state that the information is correct
and agree to comply with all applicable State of Minnesota Statutes and City of Eagan
Ordinances.
PROPERTY
OWNER
FIREPLACE
INSTALLER
GAS LINE
INSTALLER
comPany: w w.p ? Phone #:
Sigriature:
Street Address: License #
Ciry
State:
_ Install pas line onlv
Zip:
Company: ( / W Vj-e 2 Phone t1:
Street Address:
City ??a'-&J State: Y'rw? Zip: ?
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 14 Fireplace
WORK TYPE
? 31 New ? 33 Alurations
? 32 Addition ? 34 Repair
GENERAL INFORMATION
Census Code. 434
SAC Code Ol
REMARKS
Chimney/flue must be inspected before concealing.
I .
1988 HUILDING PERMIT 9PPLICATION - CITY OF EAG9N
SINGLE FAMILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SUAVEY, t SET OF ENERGY CALCUI.ATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE 9LLOWED ONCE BOILDING PEAMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL QNITS FOR SALE ONITS # OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECB WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
CONIIMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
`eD' J UN ? 3188$} .
Po Be Used For: !YL ? Valuation: Date: 9/?oZ/a d
,? ,. . . ._
Site Address
Lot ? Block Qa4.Weti
Parcel/Sub
Owner x 0ylP.v9 hlo/YJ'e6
Address
City/Zip Code G.LJ/?eU///w ,N SS09y
Phone -4i/ -?,r;"4
Contractor :!5Q 42 4
Address
City/Zip Code
Phone
Meh./Engr. eZ?/Q14/p,C)
Address
City/Zip Code C aQ .1
Phone If -4-.51„Z 1
2
UP'P"1(;C; USh: ONLY
On site sewage _ Occupancy R-3 M-1
MWCC system li- Zoning ? -1
On site well _ Actual Const V-N
City water J? Allowable V-N
PRV required _ ll of stories
Booster Pump Length
_
Depth 3N'
S.F. Total
Footprint S.F.
APYROVALS FEES
Engr/Assess Permit b('j
Planner Surcharge
o
(0010
Council
Bldg. Off. Plan Review
?6zg SAC, City
Op
320.
10(),
dD
Varianee SAC, MWCC 00
Water Conn SDOo
Water Meter r7,00
Road IInit 325 b0
Treatment P1 20 ,o 0
Parks
Copies
TOTAL
. .. . 1/ACuaMa4
?.-
??r xzb _ ? ? ?,
? o" N6. ' ? eFqs?
?? - X oZb = 57 2
'? ?i ?e ? I fc l7
s- -
`I 6y x 13 = I 2'l?i 2
?----
9 q 8 X yg =?t kYo Z
.--
rssrnT= ? ?`? X y9= `i q ?2i ?
._--.--
?i 936L
, ,• ., .
h . ,
.} u1TY OF $UILDIN(I UEPARTt7ENT
. . F.XmERIOR ENVE7,OPB AYENAa6 "Nlf 0014PUTAT2oN
(To be su6mttited with building perroit appliastion)
One.or Trro Earoily Dwelling
OHpeT
All Other :8ite Addreee ?. ? •
Cantraotor ROX?? ! Date
Plto ne
LIiIEAL FEET OF -N •
EXPO5ED YIALL f t? 6lbove gPade a?j ?
TOTIlL 6XpO3ED WALL AREA SQ. FT.
OPAqUE WALL COtIgTRUCTIONt "U+f Value x Area
beteil SJ?"[)?s ??u" ? x 3@• -FT. z 310_2?. 101j U)(A)
referenoe ? pn ?
x s . FT.
from npn ? R ? ? ?A)
M(A)
x 34, FT.
atEacl?ed SU)(A)
slieets npa X $R• FT. _ (U)(R)
X 8Q. FT• a (U) ?A?
x 14q. FT. _ (U)(A)
WIHDOWSt "U" Value x Area
Malce & Type
n ii ' U- ?JCO x SQ. FT. 0)(A)
n IIpu X 9Q. FT.
It x 8q. FT. ..
- (U) (A)
x Sq. FT. _ (U)tAl
DODRBS "U" Yalue x erea
14aha & Type
p
n 11 L nn x SR. FT. M 0
o (U) (Q)
u u n x SR• FT.?° ??)(A)
n n n?n x sq. FT. '•___-_.(U)(A) - x BQ. FT. ' - (U) (A)
TOTA1.8 3/??12 g@. F'T._ Z(U) (A)
TOTAL (U) (A) VALUE9 AYERAUS ??U??
DIVIDED BY TOTAL ti{pI,L AREp
AVERAaE IIU" ?
•115 or lesa for i&2 family dwellinge
ROOF/CEILINat pp '
ToTAL AREAt / / ?. Detail re[arenae from npn L-x Sq. FT.?? 19 (U)(A)
attached eheete. apn Q (U)(A)
Describe openitige •iiuli x 9Q. FT, _ (U)(A?
in roof. Ifufv x 9Q. FT. _ (U)(A)
' x SQ. Prp. (U)(A)
TOTAL (U)(A) VALUE$ DIVIbGD $Y ? ro7'I?(.?j,? ',
- 54ff (V(A) TOTAL ROOF/CE U AItEA G?/ ?Q
AVERA4& OlU ??p25 r ventilated roofa. ?
.
u°gyr-
50 o
g-a x C3z+ I?+? - 0
?, ?3X ??of? -1- Ztpf2,co)=
? i Q?7X I44-
gax i44-= /m z5z
wiKX?Our=>
-#gg-a?g
15 1 3,7(0
Iz
3I15rzP7
z- 24x?-a = zZ? s X9- = 9n, o
z- 2oX?'v = I vX ?=If3, o
3- zq X? = 3 3, -7s x 2--
Z - z?Fxc?a _
7.oX ?a _
z - ?X an ?
z7 15 x ) = z7,s
llXz= 22.la
?ZzX I = 22?o
=-i I,zjF
I 4-X 2 =?
3z?', 2r
w/z sr?
Z-? ?• .?, ?IZ? ?... Z? , ???
Piz' ?(Z -L4-r..
?c,Q I
?98 0
GESS CvN? ? 9fo,9$
" ?VK
1 !9, 5z
`' u.??s 3zst?
TRI-LAND C0.
SURVEYING
SERVICES
1260 YANKEE DOODLE ROAD
EAGAN, MINNESOTA 55122
88-109
SITE PLAN FOR:
ROXBERG HOMES
LEGAL DESCRIPTION: LOTJ3-,1311-OCK2 , LEXINGTON PARKVIEW
ACCORDING TO TH RECORDED PLAT
THEREOF COUNTY,MINNESOTA
s2a.79
NORTHVIEW TERRACE
931K49 ?
' 924.69 0
n
931
SCALE:?I"=30' x *39
924•59 N 9°*3Q" W 850Q 931.39
w.v
0
M M
o I ? I o
923.69 928.49 930.69
15.0'O ---X------- IO'Q
? "a_ 24.33?
i p 2I.67 GARAGE N
14
PROPOSED °D HOUSE 14
0 ? 0
? 14' a I PCD
zt.19 a 2' ?r
9
? i 926.49 926.f9 .
5I 922r29 923r21
1S
3 I I
! -^ ? ?I I I IN L?i-r
V I
f? v ' ? L}
? ?
N N A
3
o E1iGAN ENGi?,•E?,?ING, ,?
LEGEND INVER7 ELEVATION A"1 SERVICE EXTENSIUN=
o DENOTES IRON MONUMENT PROPOSED GARAGE FLOOR ELEVATION=
? DENOTES WOOD HUB SET PROPOSED FIRST FLOOR ELEVATION= '
DENOTES EXISTING SPOT PROPOSEDBASEMEMT FLOOR = S• _
ELE VATION E LE VATI ON
DENOTES PROPOSED SPOT
ELEVATION
? DENOTES DRAINAGE DIRECTION NOTE ' VERIFY ALL FLOOR HEIGHTS' WITH
FINAL HOUSE PLANS
I hxsby certity tAat tAis survsy, plan or
report was prepared by me or under my
direct suparvisian and fhat i om a duly
Reqistered Land Surveyor under ihe
Laws oi the Stote of Minnesota.
Bradley J. Sxe61`oA, Mn. Rep. No. 18235
Date '
' --VIALL SECTIOH--
.' Determiaing "1T'l valuee at Roof$ Walli Rimg and Conc. Block
I R00
' 1.)
! 2.)
3.)
.
a.,
5.)
F CEILINQ
Interior Air A'ilm
5/811 ayp. Bd.
Insulation
Exterior Air Film
(3TILL)
ispll s I/R= ? 'POTAL (R)a 4,.18
?
WALL
6.) Interidr Air Film
7.) i" ayp. Ba.
80 Insuletion
90 8u%t,'tR%TC
10,) Masonite Siding
11.) Exterior Air Film
R VALU
0.61
.56
qA•ov
.6t
R VALU
0.68
.45
Z?
.17 .
ulTu a 1/Ra .CJY43 TOTAL (R)=Z3-01
?-
RIM
12.) Interior Air Film
13.) Inaulation
140 211 Fir Rim.Joiet
15.) VukLrQvsG
160 Maeonite 3lding
17:) Exterior Air Film
R VALUP
0.68
19•00
1.88
Z.67
.17
°p° = 1/R= cAp TOTAL (R)= 4',f) .11tj
FOUt7DATI0N 18.) Interior Air Film
19.)
20.) R%G+D IPJsu(,
21.) 12" Copcrete Block
22.) .
23.) Exterior Air Film
npn a IIR= .?
A VALU
0.68
5•?
1. 28
.17
TOTAL (R) = 7-13
CITY OF EAGAN
APPLICATION FOR PERMIT
*XOTE: PAYMTP OF FEE AT TIME pg
ArriscAMorr DOEs rxrr wrsrizcnE
APPROVAL OF PERNIIT.
nNsPECTIorr oF sEWER r,rro/oR MM
TnSmnr.ramrpNS WnL Mr gg SQim-
trzM vrrru, PmrffT HAs BEM
APPROVID.
SEWER AND/OR WATER CONNECTION
?'******k?lf4***ir******##*t?k***f ##!t**Y
(Please Print
1) PROPERTY ADDRESS:
LEGAL DESCRIPTION:
IF E7ff5T2NG STRi:CZL'RE, DATE OF ORIGINAL BL?ILDING PERMIT ISSL'ANCE: '
i
PRESENf ZONING/PROPOSID LTSE: (?n Year J
[] COMP'ERCIAL/REi`AII,/OFFICE
0 IIv'DC'STRIAL
C] INSTIZL,'TIONAL/GOVII2TME-NT
? R-1 SINGLE FAPffLY
? R-2 DLPLEX (1wo Units)
? R-3 ZOWMOUSE (Three + Units) ( Onits)
? R-4 APARTlE]T/CODIDOMZNILfi1 ( Units )
Z? ? ?:'I'??e7?I?/?P, ?d
CITY,'STATEr ZIP:- If 1?e 0
PHONE: :a'L ?
• 3) • u?:?'• NAME._?g,?? For City Use .
Plumbers License:
ADDRESS: ? Active
CZTY. STATE, ZIP: Expired
! Not recorded
PHONE: MASTER LICII+ISE#
St?f Initial
4) ?•• • • ??-
NAME:
_ ADDRESS:
CITY, STATE, ZIP:
PHONE:
?
-5) ? v ? ? r. • ?• : ? • o? - a?
CONNECfION T0 CITY SEWEE2 ? CpNmDcpION TO CITY WATER ?(YI'HER_.
6) u r• ?- • i- ? PLFIISE HOLD APPROVID PERMIT FY)R PICK-OP BY ONE OF ABOVE --- --
PLFA.SE MAIL APPROVID PERMIT 70 1,??. 3, 4, ABOVE
l/ . „ _ Ir„-..t.. ___? • . . .
FOR CITY USE ONLY
PERMIT # ISSUED i ,
97a 7. ?
Pd w/Bldg. Permit FEES:
$ $ ID '5--0 SEWER PERMIT (INCLUDE SURCHARGE)
$ $ S7'?) WATER PERMIT ( INCLODE SC'RCHARGE ) ..
$ $ WATER METER/COPPERHORN/OL'TSIDE READER
$ $ WATER TAP (INCLL'DE CORPORATION STOP)
$ $ SEWER TAP ,
$ $ ACCOC'NT DEPOSIT - SEWER
$ $ ACCOC'NT DEPOSIT - WATER
$ 'C?) d $ WAC . .
S ? J c' ' CJ"fl $ SAC
$ $ TRL'NK WATER ASSESSMENT
$ $ TRC'NK SEWER ASSESSMENT
$ $ ' LATERAL BENEFIT/TRLNK SEWER
$ $ LATERAL BENEFIT/TRUNK WATER
$ S WATER TREATMENT PLANT SLRCHARGE
$ $ OTHER:
S 71`cl-0 $ f? I' D-Z? TOTAL i
RECEIPT RECEIPT
DOES LTILITY CONNEC TION REQLIRE EXCAVATION IN PCBLIC RIGHT OF WAY?
Q YES IF YES, THEN A"PERMIT FOR WORK WITHI[V P,UBLIC
Q
NO ROADWAY" MUST BE ISSL'ED BY THE ENGINEERING
DIVISION
LIST AS
CONDITION
. .
A
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
?
i
TITLE:
DATE :
?
___Use_B_L_UE or BLACK Ink
For Office Use
I ii I
I 1 . i7G~ s
I Permit
i of Eap I
DECEIVED
3830 Pilot Knob Road Permit Fee: ~4
Eagan MN 55122 APR 2 5 2014 I
I
Phone: (651) 675-5675 Date Received:
~ I
Fax: (651)675-5694
Staff:
2014 MECHANICAL PERMIT APPLICATION
❑ Please submit two (2) sets of plans with all commercial applications.
Date: 4/17/14 Site Address: 4025 North View Terrace, Eagan, MN 55123
Tenant: Suite
3
Resident/ Owner Name.. Richard Kuzma Phone: 651-403-3127
Address/ City /Zip: same
Name: K&S Heating, Air Conditioning & Plbg LLQicense MB5216
Contractor Address: 4205 Hwy 14 W city: Rochester
State: MN Zip: 55901 Phone: 507-282-4328
Contact: Heidi Brown Email: hbrown@ksheating.com
New XX Replacement Additional Alteration Demolition
Type of Work Description of work:
NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City
3 Code. Please contact the Mechanical Inspector for information on permitted screening methods.
N
RESIDENTIAL COMMERCIAL
I XX Furnace _ New Construction _ Interior Improvement
Permit Type XX Air Conditioner _ Install Piping _ Processed
j _ Air Exchanger Gas _ Exterior HVAC Unit
_ Heat Pump _ Under/Above ground Tank Install Remove)
other
RESIDENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit (includes $5.00 State Surcharge)
$100.00 Residential New (includes $5.00 State Surcharge) _ $ 60.00 TOTAL FEE
COMMERCIAL FEES Contract Value $ X.01
$55.00 Permit Fee Minimum
$70.00 Underground tank installation/removal Permit Fee
*If contract value is LESS than $10,010, Surcharge = $5.00 Surcharge*
**If contract value is GREATER than $10,010, Surcharge = Contract Value x $0.0005
***If the project valuation is over $1 million, please call for Surcharge TOTAL FEE
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 Rick Keehn x 4L~
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE
Required Inspections: Reviewed By: Date:
Underground Rough In Air Test Gas Service Test In-floor Heat Final HVAC Screening
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA158356
Date Issued:10/10/2019
Permit Category:ePermit
Site Address: 4025 Northview Ter
Lot:3 Block: 2 Addition: Lexington Parkview
PID:10-45035-02-030
Use:
Description:
Sub Type:Siding & Windows/Doors
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of house wrap and leave on site for final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
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 -
Richard A Kuzma
4025 Northview Ter
Eagan MN 55123
(651) 485-1899
Discount Windows & Wares Inc
2823 Hamline Ave N
Roseville MN 55113
(651) 633-3308
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA169364
Date Issued:05/24/2021
Permit Category:ePermit
Site Address: 4025 Northview Ter
Lot:3 Block: 2 Addition: Lexington Parkview
PID:10-45035-02-030
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site. We encourage you to retain an electronic copy of
photos until the project passes a final inspection.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Richard A & Barbara Kuzma
4025 Northview Terr
Saint Paul MN 55123--155
Minnesota Restoration Contractors Inc
12252 Nicollet Ave
Burnsville MN 55337
(612) 280-4807
Applicant/Permitee: Signature Issued By: Signature