4048 Northview Ter?
• (gertifiratit uf (Orrupaury
.? titp of eagan
Oppximrnt rrf ludding JWprtian
This Cemfcate issued pursuant to the requirements of Secrion 306 of the Uitiform Building
Code certifying ilral at the time of issuance this structure was in compliance with the variaus
ordinances of the City regulating building construction or use. For the following.•
u? c??n :? &IGf?R Bag. Pem,;t rb. 14544
00-Pa--rTYx R3 zoniog niMia Type Canu.
owoer of eniwing •?F• mnim Ad&= i? ":33 i2101fi 1L S' , t'Ae?!•:It4;, : `
Bui{dug Addre96 I.oCality
Date:
Bwlding OffitiW
POST IN A CONSPICUOUS PLACE
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS: fill
i'': t11 f Ii ,' I 1 1.1
ItIIi, I1,M 1fil, hV1111
INSPECTIQN RECORD
PERMIT TYPE:
Permit Number:
Date Issued: of, f 8 I!" n
?`;
(11041 , APPLICANT:
fl(, ;?!r'.. .il?Ilftj
I .? ) qf>?. . '0 1,0 4
? MO?F:4-
? - t " - - • ? ¢?-?:, .. ., ?w-lo? ? - ?
L ?
PERMIT SUBTYPE: TYPE OF WORK:
i;i ', rr; [t
Permft No. Permk Holdw Date Talephons 0
S/W
PLUMBING
HVAC
ELECTRIC
ELECTRIC
inspection Date Insp. Commenta
FooGngsl
Foundatan
Framing
Roofing
Rough Plbg.
Rough Htg. I
Isul.
Fireplace
Final Hig.
Orsat Test
Final Plbg. Pibg. Inspector - Notify Plumber
Const. Meter
Engr./Plan
Bldg. Final
Deck Ftg.
Deck Final
Well
Pr. Disp.
r ?.. S ?. Y •?!-i :"++?'?
? ry
Site Address
? Nan
ca Add
c City
_ Name _
c Address
O City ?
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent
Gas Piping Outlets #
Other
MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: '
' BLDG. TYPE
Sec/Sub
? Res. ? -?
Mult
Comm.
Other
M BTU
M BTU
M BTU
,.. M BTU
CFM
?
WORK DESCRIPTION
New r
Add-on
Repair
FEES
RES. HVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M BTU - 6.00
(RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA.
COMM/IND FEE - 19'o OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RE5. RATE APPUES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
REMODELS - 12.00
MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $7,000)
FEE '
-(' -l
S/C: SIGNATWRE OF PERMITTEE TOTAI: "
FOR: CITY OF EAGAN
. .. . ...- . .. . . . . . _ . . . . . . }; . ._.
PERMIT #
PLUMBING PERMIT
CIT1f OF EAGAN RECEIPT #
3830 PILOT KNOB ROAO, EAGAN, MN 55122 DATE:
CONTRACT PRICE PHONE: 454-8100
Site Address ''? Y,n' BLaG. TYPE WORK DESCR?PTION
Lot Block SecIS? Res. Z-_ " New ?
Mult. Add-on
? Name < <?.,, ???<. 's- Comm. Repair
? Address Other
c City
Phone ,?/,RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
Name ,1 i ??-?l:?-ii-?ti _ -i ...Tu _..,bs.,.
.. , ? .? Bath -
FEES
COMM/IND FEE - 196 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
SIGNATURE OF
! Kitchen Sink - $3.00 ?
Urinal/Bidet - $3.00
? Laundry Tray - $3.00
S
-,C?Floor Drains - $1.50 ? - '
Water Heater - $1.50
Whirlpool - $3.00
=
Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIT)
Softener - $5.00
weli - $10.00
Private Disp. - $10.00
?
Rough Openings - $1.50
FEE:
STATE S/C:
GRAND TOTAL:
FOR: CITY OF EAGAN
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PH O N E: 454-8100
BUILDING PERMIT Receipt?
To be used for Est. Value Date ?A `?L?Y ? ,19??
Site Address 4048 R0g1!' V;`-w TERRACE
Lot 13 Brock 3 Sec/Sub. LGxINr7%
Parcel No. - ' AkxVI L 4'
m Name ' JOE KZLLER COINST
3 Address, 1$133 ;>:' ?nN AVE
o r.;+„ F6RMilK;3'u?. Phnnc 431-200
¢
.o Name 5AME
0 6 Address
P City Phone
?Q
WW Name _
Address
U
Q W City-
OFFICE USE ONLY
On Site Sewage Occupancy
MWCC System -? Zoning
On Site Well Type of Const j/n
City Water x (Actuap
(Allowable)
# of Stories
Length
Depth ? 14
S.F. Total
Footprint 3.F.
.
APPROVALS ?
FEES
Assessments Permit " SUa.Ud
Water/Sewer SurCharge _ 52. ?
Poliae _ Plan Review
Fire _ S,4C, City t)
Engr, _ SAC, MWCC . _!lO
Planner _ Water Conn, r `? ( • _ : ?U -
Council _ Water Meter L? i•??
I hereby acknowledge that I have read this application and state Bldg, Off. _ Road Unit
that the information is correct and agree to comply with all applicable I APC _ Treatment P1
State of Minnesota Statutes and City of Eagan Ordinances. Variance _ Parks
Copies
Sipature of Permittee ' TOTAL
A Building Permit is issued to: on the express cOnditfon that
all work shall be done in accordance with all applicable State of Minnesota Statutes and City pf Eagan Ordinances.
Building Official
? CASH RECEIPT
RQCEIVED
CITY OF EAGAN
3830 PILOT FWOB RQAD
. EAGAN,.MINNESOTA 55122
DATE
19
AMOUNT $ I
Q DOLLARS
oa
7
E] CASH ? CHECK
?
1(.7, ?ZI
BY
YVhite-Payers Copy
Yellow-Posting Copy
Pink-File Copy
ThankYou
BLDG: PERMIT N0.
01-3210 Bldg. Permit
01-3422 Check
01-3445 Surch./Adm.
01J3446 SAC/Adm.
01-2155 Surcharge .u u
'X?!3860 Road Unit
20-2275 SAC
20-3865 Water Conn. '?-
20-3868 Water Trmt.
20-3716 kater Meter - ? ?
20-2252 Acct. Dep.
20-3713 Water Permit
20-3743 Sewer Permit
79-3866 Sewer Conn.
jf-3855 Park Ded.
TOTAL ,` - ` ' 1 =' 0
I'll - ,
CITY OF EAGAN Permit No: Date:
3830 Pllot Knob Road B/P No: Dete:
P.O. B6x 21199
Eagan, MN 55121
Owner. i '.): . ; '
SiteAddress: 4:1G?' .,?'•:vt?ss T?,• - : - - .
Plumber. "lyc~°lurst:iz:c
MWCC: '
Ciry Chg:
Acct Dep:
Permit Fee: ? ` • ' ?
Surcharge:
No. of Units:
I agree to comply with the City oi Eagan
Ordinances.
By
SEWER SERVICE PERMIT ?
CITY OF EAGAN Permit No:
f3830 PIIW Knob Road Meter No:
P.O. Box 21199 Reader No:
Eagan, MM 55121
Site
Date: `
Size:
Date:
Conn. Chg; _ 55"00,r' Zoning: ` i
Acct Dep: 1? oord No. of Units: _ i
Permit Fee: 10. OOnc'
Surcharge: _ - ?i'•ne
1 sgree to comply wlth the City of Eagan
Tr. Plant ' % + Ordinances.
Meter. :- ?
~
Misc.:
^ . . BY
WATER SERVICE PERMIT
CIT1r OF E.AaAN Permit No: Date: 2-1 `
3630 Pllot Knob Road B/P No: ??;€? .-' Date: '-{`
P.O. Bolt 21199 • Eapt% MN 55121 '
Owner. _ . . , ,
SiteAddress: 4;''46 2vor[hview '?i?;i,;< .
M }p
' Plumber._ " .=,'?aout.h eta-`--?',??
MWCC: - .OOpd ? n :t?ltieS
CitY Ch ' . .
9:
Acct Oep: ? Q
Permit Fee: l,?? ?,L 1 ???rAd ta omply wlth the City of Eayan
`? • ? O?dinsnc:es.
Surcharge:
: Misc.: gy
SEWER SERVICE PERMIT
Owner. Joe rlflle
Site Address: f ' ? ?rt
Plumber nn. Chg: ?j`
t ' ..r£T?^iV,S Et'
ct Dep: 1-r.6._ N. of U i•
?
rmit Fee: ? B
rcharge: 1 agree to comply wlth the Cfty oi Eagan
: Plellt 60n1-' Ordlnancea.
ter.
,,. .
isc.: B
WATER SERVICE PERMIT
nlaD RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN FF:? I ?;_? ?,? I?f 1'
3830 PILOT KNOB RD - 55122
651-681-4675 1 -I -O 1 ? i
NewConstructlonReauiremenls RemodeUReoairReauiremaMs I ?
? I
• 3 regislered site surveys showing sq, fl. of lot sq. R of house; and all roofed areas • 2 capies of plan ? I
(200% maximumlotcoverageallowed) . lsetofEnergyCalculationsioF?iieatedadditbns ?
• 2 copies of plan showing beam & window sizes; poured found design, efc.) • 1 site survey forextedoraddNOne'$?decks '-
. 7 set af Energy Calculalions + Indicale if hwne sened by seplic system for addilions
• 3 copies of Tree Preservation Plan M lot platted after 717l93
• Rim Joist Detail Options selection sheel (61dgs vrith 3 or less uniGa)
DATE ?211 (?
JOB SITE ADDRESS
IF MULTI-FAMILY BUILDING,
PROPERTY OWNER sA
TYPE OF WORK
APPLICANT
ADDRESS 772Z-4 I
PAGER #
MANY UNITS?
FIREPLACE(S) _ 0 _?D 2
_ PHONE#
ZIPCODE .?
CELL PHONE # d/?)-1?q` FAX #
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventifation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
MINNESOTA RULES 7672
New Energy Code Worksheet Submitted
Plumbing Coniractor: Phone #:
Plumbing System Includes: Water Softener _ Lawn Sprinkler Fee: $90.00
Water Heater No. of R.I. Baths
No. oP Baths
Mechanical Contractor. Phone #?'-7I/D/'-/i(/` ?
Mechanical System Includes: Air onditioning Fee: $70.00
Heat Recovery Syslem
Sewer/Water Controctor:
Phone #
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that th rrf rm tion is correct, and agree to comply
wifh all applicable State of Minnesota Statutes and City of Eagan rdin n es.
l/
Signature of Appltcant
VALUATION
?ra/ 712 ?
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 1l01
OFFICE USE ONLY
? Ot Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ' ? 31 Ext. Alt - MuIU
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04plex ? 12 12-plex PI6g_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demalish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bidg)• ? 43 Reroof 0 46 Windows/Doors
? 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to appl icant
Valuation
Census Code
SAC Units
Nbr. of Units
Nbr. of Bldgs
Type of Const
Occupancy
Zoning
Stories
Sq. Ft.
Length
W idth
REQUIRED INSPECTIONS
Footings (new bldg)
Footings (deck) FinaUNo C.O.
Footings(addi6on)
Foundation
Drain Tile
Roof Ice & Water Final
Framing
Fireplace _ R.I. _ Air Test _ Final
Insulation
MClES System
City Water Booster Pum?p
PRV
Fire Sprinklered
Other
_ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Siding Stucco Stone
_ Windows (new/replacement)
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permil & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
FinaUC.O.
_ Plumbing
HVAC
Building Inspector
,,. ? .
To
NG PERMIT
Idfor ?+, lGAii
Receipt ?
Est.Value 104,00c, Date ? I A 54 4
,19
Site Address . • °
Lot Block - Sec/Sub.
? . . .4
Parcel No.
Q Name • ?- ? ?
W .
3 Address ? •? ,° ,' ,
0 City Phone
¢ Name_
.o
? ` Address
? City _
1- ¢
OW
W W
Name
?
?n
Address
? W City Phone
OFFICE USE ONLY
On Site Sewage ` dccupancy
MWCC System _ Zoning
On Site Well Type of Const
-
City Water ?
(ActuaD
(Allowable)
* ot Stories
length
Depth
S.F. Total
Footprint S.F.
APPROVALS FEES
Assessments _ Permit
Water/5ewer _ 5urcharge
Police Plan Review
Fire S,4C, City
Engr. _ SAC, MWCC
Pianner _ Water Conn.
Council _ Water Meter ?
I hereby acknowledge that I have read this epplication and state Bldg. Of(. _ Road Umt
that the information is correct and agree to compty with all applicable I APC - Treatment P1
State ot Minnesota Statutes and City of Eagan Ordlnancea Variance _ Parks
Copies
Signature of Permittee TOTAI A Building Permit is issued to: " on the express condition that
all work shall be done in accordance with all applicable State of Mfnnesota Statutes and City of Eagan Ordinancea
Building Official
CITY OF EAGAN
3830 Pllot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PH O N E: 454-8100
' Permit No. Permlt MolEer Date Telephone #
Plumbing 77_ ?/,7/v
H.V.A.C.
Electric , ?/?J???%?? ? i ?c,C?,i194. ?lti:.1? `?b'.7 • ?',? ?:v
Softener `
Inspection Date Insp. Comments
Pootingsl
Footings II
Foundation
Framing
Roafing
RoughPl6g. ,o ?
Rough Htg.
ISIIl.
Fireplace ?Q
Final Htg.
Final Plbg.
Bldg. Final
Cert.Occ. ?Q
7emp. LP
Deck Ftg.
Deck Frmg.
Well
Pr. Disp.
CITY OF EAGAN N° 14 5 4 4
3630 Pilot Knob Road, P.O. Box 21 •199, Eagan, MN 55121
PHONE•454 1
BUILDING PERMIT evu Receipt# ?30y CnO
Tobeusedfor SF DWG/GAR Est.Value $104,000 Date JANliARY 8 1988
SiteAdCress 4048 NORTHVIEW TERRACE
LOt 13 Block 3 Sec/Sub. LEXINGTON
Parcei No.
PARKVIEW
a Name .TOE MILLER CONST
= Adtlress 18133 CEDAR AVE
0
City FARMINGTON phone 431-2001
u¢ I Name S? I
o? Address
r Cityphone
City
OFFICE USE ONLY
On Site Sewage _ Occupancy R3
MWCCSystem X Zoning Rl
On Site Well Type of Const 141
Ciry Water _X (ActuaQ
?
_
?
(Allowable)
* oT Stories
-
Length ?
Depth 36
SF. Totel
Footprint S.F.
APPROVALS FEES
Assessments _ Permit ? 588.00
WateNSewer _ Surcharge 52, 0
Police _ PlanReview 294_00
Fire _ SAQ City 1 (1(1 (lp
Engc _ SAC, MWCC S 5!) ?lp
Plenner _ WaterConn. 55080
Council _ WatetMeter ??7 np
I hereby acknowledge that I have reatl this application and state Bitlg. Off. _ Road Unit 39c n0
I
thatiheinformetioniscorreclantlagreetocom0lywithallapDlicable APC _ .TreatmentPl ??0
State ot Minnesota Statut :,and City of Ep n O , nances. Variance _ Parks
Cooies
SlgnetUfB Of PCf1111NeC '-- TOTAL ?-0
A Building Permit is issued to: OE MILLER CONST on the express condition that
ali work shall be done in accordan with all apAcable State of fjpfyneeota Sfatutes and City of Eagan Ordtnancea
Building Official
es
REQUEST FOH ELECTRICAL WSPECTION -ooooi-os
.?} , See instrvctians for comDletinp tM1is lorm on beck of Vellow coRV. 9 Cf ?
D 0672 "X" Be/ow Wark Covered by This Request
Add Reo. Tvoe ol uiltl.n Apoliancea W?red EnuiUmenl Wire?
Fixtw
Silo Unbader
Bulk Milk Tan
Farm
N Fee ServiceEMranca5ize I$ Fee Fxpders/Sableaders b Few Circuits
al 0 to 200 qm s 0 to 30 qm>s Y-IJ 3. 0 tn 30 !>m s
Above 200_qmps 31 io 100 Amps 31 to 100 Am s
Swinvning Pool Above 100-Am s Above 700_Am s
Transiormers Irrigation Boomis , 5Z Partial.'Oth ee
SVecial Inspection AS
1. tha E14trw4te.-I
I
Insoecbq neroby
certify that the above
Final D"le insueetion hes been
m
ede.
?
Thia re0uB5t vo1E
This re0uest vnid .,2/0/9-y
18 monNs from
D 8U672z/.
u? / 9 1
Readv Now iII Notity, Inspec-
1 When Ready
KLice.s4d Elecvical Contnctor 1 hereby re0uest inspection o/ ebove
? 6wner elactrical work installed et
Street AdAress. Boz ar Foute No.
?
? u'?v
?
Seetion o. TownshiD me or No. R?9
. C
IY
OccuGnnt IPHINTI Phane No.
- / sy- `0 3%- ?o
PaSupp ier Address !
s License No.
Elecvical C rar. r 1 pany emel CnnVer,tnr'
/
Mailinp AdJres ICOnvactor or Owner Making Instailationl
- ?/ - ,?-„? ss 3 3 7
A thorized SiBnature (onnactor wnar MakinB lastallatinn) Phone Number
vmINNESOT TATE BOAND OF ELECTflIGTVTMIS INSPECTION NEQUEST WILL NOT
ga-MiEwey BItl9. - Aoom N-197 gE ACCEPTED BY THE STATE BOARD
Grig
U
t821 Universitv Ave.. St. ]eul. MN 55104 NLESS PflOPEX INSPECTION FEE IS
on,...e ra»i aaI_nann ENCLOSED.
2004 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date o a' I a? Ic_
Site Street Address ?Q q . I ,( ?? , \
Cn ry) ? ? ?W ? -e
? ?? C? Unit #
PropertyOwner s Telephone# (p5 h
Contractor 1*1"
!" ,'Q
e l.
- t-) (JI- K-S Telephone# ((PSh 13,V-
7
-?
?
Address 3(07Q jl0 G? ? City Cd? /I State-P221_ Zip
The Applicant is: _ Owner _ r"Contractor _Other
Alterations to existing dwelling $ 50.00
_Add fxtures to rooms, excluding water softener and water heater
_Septic System Abandonment
_Water Tumaround (add $121.00
Other. if a 5/8" meter is required)
?
Water Softener '-"Water Heater $ 15.00
-kz? replacement _ additional
Lawn Irrigation System RPZ_ new _ repair _ rebuild $ 30.00
State Surcharge $ 50
Total $L "-U
I hereby apply for a Residential Plumbing 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 plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the e ent a plan is required to be reviewed and approved.
ApplicanYs Printed Name ApplicanYs Signature
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KsOB?D75 AN MN 55722
lo
Naw ConsVUCtion ReauhemeMe BemotleVNeoeh Heauiremente
• 3 reglstered stte suNeys sMwNg sq. tt. of bt, aq. tt. ol house; and pJI roofed areas • 2 copies of plan
(20% maximum bt coverage albwed) • 1 set of Energy Caiculetions for heeted additbns
. 2 copies ot Dlan showing beem 8 wintlow sirss; poured fountl design, etc.) • 1 s0e wrveytor eMerbr add'dions & decks
• isetofEnergyCalCUletbns • Indicetetthomeservedbysepticsystemforatlditions
• 3 copies of Tree Preservation Plan X bt plefled atter 711/93
• Ren,bist Delafl Optbns selection sheet (bldgs wiM 3 or less untts)
DATE VALUATION ??J???• 3 ?
?b y? 2"? ?r r-?' ??G?f?C?,
SIiE ADDRESS MULTI-FAMILY BLDG _ Y _ N
NPE OF WORK?-`g" 2- FIREPLACE(S) 2
APPLICANT
STREET
Q?
TELEPHONE #/El'F?f-J?CELL PHONE #
FAX #
PROPERN OWNER S/? ftL/3C TELEPHONE 065??
COMPLETE THIS SECTION FOR aNEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Ca[egory _ MINNESOTA RULES 7670 CATEGORY 1, _ MINNESOTA RULES 7672
(J submission type) • Residential Ventilation Catepory 1 Worksheet SuDmitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculalions Submitted
Plumbing Contracfor: Phone #
Plumbing system includes: _ Water Softener _ Lawn Sprinkler
Water Heater No. of R.I. Baths
No. of Baths
Mechanlcal Conhactor: _
Mechanical system includes:
Sewer/Wafer Conhactor:
_ Air Conditioning
_ Heat Recovery System
Phone #
Phone #
Fee: $70.00
I hereby acknowledge that I have read this application, state that fhe information is c'rfLct, and agree to c ly
with all applicable State of Minnesota Statutes and City of Eagan Ordinances. gy
Slgnafure of Applicanf
OFFICE USE ONLY
/UAI-
Fee: $90.00
Certificates of Survey Received - Tree Preservation Pian Received _ Not Required _
Updated 4102
OFFICE USE ONLY ^
1
? 01 Foundation ? 07 05-plex ? 13 16rplex ? 20 Pool ? 30 Axessory Bldg
? 02 SF Dwelling O 08 06-plex ? 16 Fireplace O 21 Porch (3sea.) O 31 Ext. Alt- Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage 0 22 Poroh/Addn. (4sea.) ? 33 6ct. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 MuRi
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addilion ? 36 Move Bldg. ? 42 Demolish (FOUndation) ?, 45 Fire Repair
O 33 Afleration ? 37 Demolish (Bldg)" O 43 Reroof O 46 Wlndows/Doors
? 34 Replacement 'Demolition (EMire Bldg only) - Give PCA handout to appllcaM
Valuation Occupancy MC/ES System
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 W idth
REQUIRED INSPECTIONS "
_ Footings(new bldg) FinaUC.O.
_ Footings(deck) FinaUNo C.O.
_ Footings (addition) _ Plumbing
_ Foundation HVAC
_ Drain Tile pther
Roof _ Ice & Water _ Final _ Pool
Ftgs
Air/Gas Tests Finel
_ Framing _ _
_
Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Suroharge
Treatment Plant
Plum6ing Permit
Mechanical Permit
License Search
Copies
Other
Buliding Inspector
Total
INSPECTION RECORD
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
LOTe 13 BLOCK:
4048 NORTHVIEW TER
LEXTNGTON PARKVIEW
PERMIT SUBTYPE:
DECK
?
L
PERMIT TYPE:
Permit Num6er:
Datelssued:
APPLICANT:
3
HLAS
(612) 456-9604
TYPE OF WORK:
BUILDING
023739
06/01/99
STEPHEN
NEW
7
J
? CITY OF' EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT cu_??v
PERMITTYPE: Buz?oarve
Permit Number: 0 2 3 7 3 9
Date Issued: 0 6/@ 1/ 4 4
SITE ADDRESS:
P.I.N.: 10-45035-130-03
4048 NORTHVIEW TER
LOT: 13 BLOCK: 3
LEXINGTON pARKVIEW
DESCRIPTION:
B,=?ild'xng' permit Type DECK
¢uilding aiti...k Type NEW
_?.
? i
, ?..
\< ?--? ? ..w., _ ..-
t"1
i • '? ? /-7
`=J 4-3 13 C.,.? L.11
REMARKS:
FEE SUMMARY:
Base Fee $30.00
5urcharge $.50
7ota1 Fee $30.50
CONTRACTOR: OWNER: - Applicant -
HLAS STEPHEN
4048 NORTWVIEW TERR
EAGAN MN 55123
(612)456-9604
I... . .. ... . ..__ .. ..... . ... . . . ... .... . . . . . . .... . . ..
I hereby acknowledy:a that• I have rasd this applicatian an-d stata Chat the
informatien is carrect and agree to c4mply with all applieable State Df M.n.
Statutes and Gity of Eagan Ordinances.
?
APPLICANT/PERMITEE SIGNATURE ISSUED B: SI NATUR
I
,
?
CITY
1994 BUILDING
(n&'l g, - I-q
OF EAGAN
PERMIT APPLICATION
681-4675
7L_64? .-k?oOp
x rqV+'Ir:_-D ' Ovacy
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys,
calcs. RECEIV
COMMERCIAL 2 sets of architectural & structural plans, se$Aof2 5 19'a4
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed ar 3) lot change is requested once permit
is issued.
Date q.4 Valuation of work
Site Address: 4? 1.1f92'?JLe-Ll? '?? 9?-ti(
STREEt SUITE #
Tenant Name: (commercial only)
LOT SLOCK SUBD. P.I.D. #
Descri tion of work: e_
The applicant is: rkiwner ? Contractor ? Other coescrrbe>
Name A1-AS, SnE't+" Phone 'rL?"q L7
Property LAST FIRST
Owner Address r.ID?Lrl?uJ --C'ef!P_r1ai?=
STREET STE #
,
City State GWj4 Zip ?L-J_g
Company Phone
Contractor Address License # Exp.
City State Zip
Company Phone
Architect/
Engineer Name Registration #
Address '
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant: ??'t"?,"?"? ?J&'?(?U`'?"Lk? 3644002-74u3)
OFFICE U5E ONLY
BUILDlNG PERMIT TYPE
? 01 Foundation
11 02 SF Dwg.
? 03 SF Addition
? 04 SF Porch
? 05 SF Misc.
WORK TYPE
p 31 New
? 32 Addition
IJ 06 Duplex
? 07 4-Plex
? 08 8-Plex
? 09 12-Plex
? 10 Multi. Add'1.
? 33 Alterations
? 34 Repair
? 11 Apt./Lodging
? 12 Multi. Misc.
? 13 Garage/Accessory
? 14 Fireplace
? 15 Deck
? 35 Tenant Finish
? 36 Move
t f
i . :
? 16 Basement Finish
? 17 Swim Pool
? 18 Comm./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
I
? 37 Oemolish
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Engineering
REGIUIRED INSPECTIONS
? .Site
? Wallboard
Basement sq. ft. MWCC SyStem
lst F1. sq. ft. City Water
2nd F1. sq. ft. PRV Reguired
Sq. Ft. total BoosterlPumP
Footprint Sq. ft. Fire Sprinkler
On-site well Census',Code
On-site sewage SAC Code
Census{;Bldg
Census,Unit
Building _ Assessments
Variance
? Footing
Final
? Framing
? Draintile
o/
?
? ? Insulation
i ? Fireplace
Permit Fee v.?mc;a,: g '
Surcharge '
Plan Review
Licanse -
MWCC SAC '
City SAC I
Water Conn.
Water Meter
Acct. Deposit '
S/W Permit
S/W Surcharge ?
Treatment P1.
Road Unit I
Park Ded.
Trails Ded.
Copies
Other
Total:
SAC % '
SAC Units
?
?
?
?fl- - --- - ---
- - - -?r,,, ?,, - - - -
1
?
Lf
?
0
'w
in
V
Z
?
J
N
4
U
C
S
?
?
?
?P
?
clrv Or- EncaN
r.,asHtFR: ,s rEFZMzNai_ Na: 007
vArE: 07i15i99 rrnL: 10:39:03
ID..
NAMCe STEF•HEN M. HLAS
3210 3001 4048 NIIRTHVIEW 50.170
205 9(701 4048 NORTf9VIEHf 0.50
3210 9001 404£3 NURTFIVI:E::W 1.C).00
Tata:L Recei p+, Amoun+; t 60.50
CRi.1343'3
USHft ID: :IAtd
3t ^?Of 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) kW '?
U? ?J CITY OF EACAN
3830 PILOT KNOB RD - 55122
651-681-4675
New Conshuctfon Reauiremenis Remodel/Reoalr Reaulremen}s
D 9 reglstered :Ne suneys showing sq. N. o} lot, sq. fl. oF house and g,u rooTed areas (20% maximum lot covemae allowed) ? 2 copfea o1 pians (show beam & window sfzes; poured Fnd. design; efC.)
? 1 set of energy calculafbns ? 3 eopies of hee preservaTion plan N lot platFed after 7/1 /93 '.
DATE: -T - N -49
2 copies ot plan
1 set of energy calculaflons for heated addHions
7 sHe survey for extedor atldHlons e, decks
CONSTRUCTION COST:
060?Ob
DESCRIPTION OF WORK: Fiv.r?l, R1-1Sp1?pylt
STR??DDRESS: 4f?UR +hvk>
LOT BLOCK: SUBD./P.I.D. #:
Name: }-Elas 5Arvr °?- fkr,v-. Phone#: (o51-441)lo-%oC14
PROPERTY Lan Fint '
OWNER
StreetAddress: ?p?Sc t??+S??n?.t Terr?c_
City F-C-Qr_r. state: mtil ztp:
Company: Phone #:
(area eode)
CONTRACTOR
Street Address: License # Exp.
Ciy State: Zip:
ARCHITECT/
ENGINEER Company: Name:
Telephone #: area code ( )
Sheet Address: Registration #:
City State: Zip:
Sewer 8 water licensed plumber (reaulred for new conshuction onlvl:
Penalty applies when address change and lot change is requesFed once permfl is tssued.
I hereby acknowledge thaf i hove read this application, state that the [ntormotion is correct, and agree to comply with ail applicabl
Sfate of Minnesota Sfatutes and City of Eagan Ordinances.
, Signature of Applicant: Qn Mi
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool
WORK TYPE
? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43
? 32 Addition ? 36 Move Bidg. ? 40 Gas Insert ? 44
? 33 Alteration ? 37 Demolish Bldg.* ? 41 Wood Stove ? 45
? 34 Repair ? 38 Demolish (Interior) 0 42 Reroof
" Give PCA handout to appiicant for demolition permit
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
APPROVALS
Planning
Permit Fee
Surcharge .
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
SNV Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
Basement sq, ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building ?(/ Engineering
Valuation:
I
' 0 21 Porch (3-sea.)
O 22 Porch/Addn. (4-sea.
I'? 23 Porch (screened)
O 24 Storm Damage
? 25 Miscellaneous
Siiiin9/Soffits/Fascia
Windows/Doors
Fire Repair
?
Census Code,
SAC Code
No. of Units
No. of Bldgs 1
MC/E5 System `.
City Water
Booster Pumpl'i; '
PRV
Fire Sprinklered';
_ Variance
.
SAC Units
% SAC
1iA
?
0•?
it3:i•Ud?
`>2°UU?
:??;q•uu;
?;?U • ?i?i+
J:iU' lIU'*
•UU1-
'U?t•U??
;?-7;J•UU':
A WTIO- 1988 BUIL N G PE IIY OF EAGAN -
SINGLE FAMILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OE SURVEY, 1 SET OF ENERGY CALCULATIONS
P10TE: ADDRESSES FOR CORNER LOTS - CONTR9CTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS # OF IINITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECR WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
CONIMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
- - -141
To Be Used For: MaAeryyue, Valuation: Date: ? r J? p 0
_ =7?r???
//._.lnL!) ..F-n --------
Site Address
Lot I ?) Block 3
Parcel/Subt-"G,r,?.. 4-4'?
Owner
Address
City/Zip Code
JL ' UC 1'11:L UAL UNLZ
loy,ooa-
On site sewage
_ Occupancy ??
MWCC system ? Zoning Q-?
On site well Aetual Const V- N
City water ? Allowable V-N
PRV required IF of stories
Booster Pump Length -?r
_
Depth
S.F. Total
Footprint S.F.
Phone
• +r-
Contractor
9ddress
City/Zip Code
Phone q 3-1- -
Arch./Engr. `
Address
City/Zip Code
Phone It
APPROVALS FEES
Engr/Assess Permit 588.00
Plaitner Sureharge 52.00
Council Plan Review Q 94.O1>
Bldg. Off. ??i SAC, City 100, DD
Variance SAC, MWCC 550. DD
Water Conn 550.00
Water Meter [., O
Road Unit 325.00
Treatment P1 D ,OO
Parks
Copies
TOTAL ; 7 S
?
TRI-LAND C0.
SURVEYING
SERVICES
1260 YANKEE DOODLE ROAD
EAGAN, MINNESOTA 55122
SITE PLAN FOR:
JOE MILLER
LEGAL DESCRIPTION; LOT 13 ,BLoCK 3, LEXINGTON PARKVIEW
ACCORDiNG TO T?H? RECORDED PLAT
THEREOF DAKOTA COUNTY,MINNESOTA
LO i 14
S00018'43"W N
150.00 ? so
' - ----
io - ? ? io
WW o? ? ? 3 w
~ I LOT ._
13 F m d?COrNn I I j? U
0 2a!:E
0)
a
8 I
o Cf'
?
0 to _
r ??, w
z 14 I< cNV D 31 v ? Z 00
?-
10
-? 4 ?
22
- - -
r
(V -- ? --- 10
150.00 m ? Nj- 30 W
SOO° 18'43"W = ; v >
m ?' 2
(if
O
Z
LOi 12
SCALE - I" = 40'
LEGEND
o DENOTES IRON MONUMENT
? DENOTES W000 HUB SET
DENOTES EXISTING SPOT
ELEVATION
DENOTES PROPOSED SPOT
ELEVATION
? nFknrES CRAIN„GE DIRECTIGN
I hereby certify that ihis turvey, plon or
report was prepored by mc or under my
direct supervision ond ihut I am a duly
Reqistered Land Surveyor under the
Lows of the State of Minnesota.
INYL::Y..3L_V9-ArrOlv r:f ScRViCc EK7tN5i0iJ=
PROPOSED GARAGE FLOOR ELEVATtON= cTyBS-
PROPOSED FIRST FLOOR ELEVATION = c{`t4r0
PROPOSED BASEMENT FLOOR = Ryo
ELEVATION
NOTE'. VEn^iPY ALL FLCOR HEtGH7S V/ITM
FINAL HOUSE PLANS
Gra'A 1/
Bradley Swenson, Mn. Req. No. 15235
Dote ? _ t L]L21i?0
One or Two FAmily
All Other
ul'1'i u?' BU1Lll114J llt;YAH'1'1•11,'11T
EX'PA;RIOR ENVII,OPE AVERA(iE 'SUII CO!•iPUTATION
(To be submitted;tivith building permit application)
Dwelling Owner i
Contractor
HfN,F ?T?E Ss {30el ,
LINEAL FEET OF
EXPOSED VlALL WOlt:4 ft.
Site pddrese Lor 13 BtL0yt 3
LE3CIMGTON PARKVIEW
Dato Phone
abovo grade - z .es??,.
TOTAL EXPOSED WIiLL ARF.A SQ. FT.
OPAQUE V111LL COf7STRUCTI011: t'U" Value x Area
Detail /?l(-- iiUtex SQ.
reference n.n?oQ'., "U" -L77(O x SQ.
crom ?lv?1 I?Utl 0 x SQ.
attached "U° x SQ.
sheets liull X SQ.
liUll x SQ.
7"I17WW5: I'U" Vnlue x 11rea
FT.IEJ?D.15• S/.S?U)(A)
FT. IcC;?7,(o3(U)(A)
FT. ZZ_o_79= 8 -F,3 (U) (A)
FT. - (U) (A)
FT. - (U) (A)
FT. - (U) (A)
hialce & Type 1nY'r;f' ,(_Y?,I?7I1
11 "Uf' x SQ. FT.111-40=&749,7(U)(A)
n ? nUn _
„ x SQ. FT. _ (U) (A)
n u nUn x SQ. FT. _ (U) (A)
"U" x SQ. FT. - (U) (A)
IIOORS: "U" Value x Area
bi: 'ce & Type
n n
ti ti
n if
TOTAL (U)(A) VIaI,UES
I (TZ. 47 =
Ul Vllllill t3Y TOTAL 1'lpLL AREA 2,149 S-?>
AVERA(3L "U??r less for 1&2 family
ROOF/CEILING ?}?
TOTAL AREA: :S .00'?{?
.o7g
dNellings
FT. 9,00 = 69•569(U)(A)
FT. {Zjcy?2= 14•7?,(U)(A)
FT. _ (U) (A)
FT. - (U) (A)
r'T. )qZ- ] (U)(A)
Detail reference IIUII ?OZ! x SQ. FT. IIS40 = 74.27 (U)(A)
Trom
attached sheeta. ifUll x
liUll SQ. FT. ? (p) (p)
'Describe onenings X
uUn._.;. ..,..:*. ..... g: SQ.
.SQ. FT,
FT. _ (U)(A)
_ (U)(A)
in roof. llUl' x SQ. FT. - (p)(A)
TOTAL M(A) VALUES DIVIDED BY 2? ?7 TTbcV7 I/Slv 7.Z.7 CV?>
upu '14 x SQ.
U„ .4z7 x SQ.
nUa x SQ.
_ ?iUu x s@.
TOTAI,S Z449, S? SQ.
AVERAl3E I'Ut'
TOTAL ROOF/CEIL Q qREA
AVERpGE '?.025 f r ventilAted roofe.
,
9. s0x (5n?-so+ZS+ZS? ?
8• 83X ?,3z+3Z.?-Z?Otz(o? _
Co k?v- ,
. WX C so+so+z.s-?zs? _
rao.so?
rIoJ -?sT
•g3XCIoo4- 5o4-(o4?sZ)
Z7xIq. =
l la X3co =?{, o X Z= S. oo i
Oox3b = 5•o X 1 = s,oo
z9 xz4 = 4, o X I= 4. ?o. . ?
Zo X4B = lo. ? x?= lvv. ?o i
Z4x4B = 8, n X 7= 5(0, ct::> - i
??s 3° sr?w?s,c. = Zg_ao
Z? sr?. sE,z = z? , o0
lv° AtRiv?? = 4Z?oo
;RI•?? . ^-- ,<i
4aT ?y?aSvb WqLC. e4v4C,C?
?,?s w??? Z44?-83 ZIoX?Z = 8? Z
G?;s C'oive., loo.so I S x I S= ?,z4
ir ?r+vl Zzo.>g
189?v.1s? __ .
? 4?5. o0
?oZ4 83
• Determining "Ulf values at Roof, Wallt Rimg and Conc. Blook
.' . I
R00
1.1
2.)
3.)
4•1
5.)
F CEILINa
Interior Air F'ilm
5/811 ayn. sa.
Inauletion
Exterior Air Film
_ (BTILL)
R Y1lLUE
0.61
.56
4'f, 00
.61
I/R= IOZJ '1nTAL (R)= 1?5-7g
?-
WALL
6.) Interior A1r Film
7,) 1" 4YP. Bd.
8.) Insulatlon
'9.) PurLT-P1Tt?
10.) Ptasonite Siding
11.) Exterior Air Film
R VALUE
0.68
.45
19,00
? 61
.17
nUn , 1/R=. O`I i TOTAL (R)=Z.0 f
RIM
12.) Interior Air Film
13.) Ineulstion
14.) 21' Fir Rim Joiat
15.) .P?,1t:r- ??TE
16.j Maeonite Siding
170? Exterior Air Film
R VALUE
0.68
117,00
1.88
z 67
.17
ifU!I = 1/R= TOTAL (R). Z?
._L 7
FOUIIDATIOti
18.) Interior Air Film
14.)
20.)
K-N sT?erPr??
21.) 12" Concrete Block
22.)
23.) Exterior Air Film
R VALU
o. 68
// 00
1.28
.17
liu,l _ I/R= ,07(a xozni, (x)=/3.1?
APFLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
?
iNUPE: PA12ENf OF FEE AT TIME O£
? APPLICAI'i0f] ppFS NpT CQN-
? SPI1S71'E APPROVAL OF PYRFIIT. :
?
; zcW=aa OF sUIM aan?CR WaM t
:.
? I[STALiAT20C15 WIIL N(r HE SrFn[RCn ?
['Nl'IL PPRPffT HAS BEEi APpAOVID. ?
CitV t+txveexerti?afaftet??????:tffe?:;ftr?*
oF eagan
(PLEASE PRINT
1) PROPERTY ADDRFSS: . . . . )Z)pk X?1 ?rc c.J ?Pyb?G?
Lecrw nFSCaiprzoN:. ?3. 3..
Lot/Block/Subdivision or Tax Parcel ID
IF EXISTING STRLICMIRE, DATE OF ORIGINAL BLILDING PII2MIT ISSUANCE:_
Mon Year
PRESENT ZONING/PROPOSID OSE:
Q COMMEE2CIAL/RE,'TAIL/OFFICE
Q INDL?STRZAL
a INSTIT[JTIONAL/GO\IERDIIMENT
,?R-1 SINGLE FAMILY
? R-2 DUPLEX ('Itvu Ljnits )
? R-3 TOWNHOUSE (Three.+.Units) ( Units)
Q R-4 APARTMENT/CODIDOMINIUM ( L'nits)
2) NAN1E: 10.71/cd- Cmxls?:
ADDREss: 1 ? /33 CCIA??
CITY, STATE, ZIP:
PxorE: Y3 /- ,:?oo/
3) NAME: _ DT oeve4 PIs
:j
ADDxESS: 9a 9o z.?? .? •--, 1-,4 ,v,
CITY. STATE. ZIP: /?R2?1c .?rvcx- f'l7.()
PHONE: ?L(73... ?c,l7c? MASTIIt LICENSE # `f1?ZDlv?
,linnoers 1,icense:
1-j Active
Expired
_j Not recorded
St Ia niti 3-
4)
NAME: 3w n, ?. 6¢s cz )
ADDRESS:
CITY, STATE, ZZP:
PHONE:
5) ? ' ' w 'a?• ?r ?e
q-CONNECTION TO CITY SE,WER (E"CONNECPION TO CITY WATER Ej ClPfM
6) ? ?.rJ?.GO/,??. ? • ? ?-/a- s8
**?*****?**,..***,.******???*****.****??**?****?**,?******,*,.**??*********************.*********?****%
THE GOID COPY OF THE PERMIT WIIS, BE SEDTP DIRECPLY TO PUBLIC WURKS TD FACILITATE MEiER PICK-DP. ;i
,*k PLEASE AISAW 1W0 WORKING DAYS F'OR PROCFSSING. SOMEONE FROM Tfm CITY WILL CONi'ACP YOU IF TMZE *
* ARE ANY PROBIkMS.
???+***?*******+e**+,r*****?**+?****x***,+****+*:??*******+?+?,e*,r,r*******,e,r***+*«**?+?*a********«*,r***y
FOR CITY USE 4NLY
PERMIT # ISSUED
Pd w/Sldg. Permit FEES:
$ SEWER PERMIT (INCLUDE SURCHARGE)
$ WATER PERMIT (INCLUDE SDRCHARGE)
$ WATER METER/COPPERHORN/OUTSIDE READER
$ $ WATER TAP (INCLODE CORPORATION STOP)
$ $ SEWER TAP
$ ACCOUNT DEPOSIT - SEWER
$ $ CYIJ ACCOUNT DEPOSIT - WATER
$ S-S D G'a $ WAC
$ ? <S O • d-O $ SAC ?
$ $ TRLNK WATER ASSESSMEIVT
$ $ TRLNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRONK SEWER
$ $ LATERAL BENEFIT/TRONK WATEI2
$ ?D ?•cr? $ WATER TREATMENT PLANTISURCHARGE
$ $ OTHER:
$ I ? //, o? S 4ICrD TOTAL
RECEIPT RECEIPT
DOES DTILITY CONNECTION REQOIRE EXCAVATION IN PUBLIC RIGHT OF`WAY?
? YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC
Q ROADWAY" MDST BE ISSUED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION. i,
5UBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE :
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA147970
Date Issued:02/26/2018
Permit Category:ePermit
Site Address: 4048 Northview Ter
Lot:13 Block: 3 Addition: Lexington Parkview
PID:10-45035-03-130
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: 8,000.00
Fee Summary:BL - Base Fee $8K $162.25 0801.4085
Surcharge - Based on Valuation $8K $4.00 9001.2195
$166.25 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 -
Stephen M Hlas
4048 Northview Ter
Eagan MN 55123
(651) 261-1408
Eagle Siding
1301 East Cliff Road
Suite 117
Burnsville MN 55337
(952) 746-3046
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA158181
Date Issued:09/30/2019
Permit Category:ePermit
Site Address: 4048 Northview Ter
Lot:13 Block: 3 Addition: Lexington Parkview
PID:10-45035-03-130
Use:
Description:
Sub Type:Fireplace
Work Type:Gas Insert
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
concealing.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
$90.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Stephen M Hlas
4048 Northview Ter
Eagan MN 55123
Fireside Hearth & Home
2700 Fairview Ave N
Roseville MN 55113
(651) 633-2561
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA162416
Date Issued:07/14/2020
Permit Category:ePermit
Site Address: 4048 Northview Ter
Lot:13 Block: 3 Addition: Lexington Parkview
PID:10-45035-03-130
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Stephen M Hlas
4048 Northview Ter
Eagan MN 55123
(651) 261-1408
Milbert Company (culligan)
1801 50th St E
Inver Grove Heights MN 55077
(651) 451-2241
Applicant/Permitee: Signature Issued By: Signature