4049 Northview TerCITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHON E: 454-8100 ;
BUILDING PERMIT Receipt #
To be usedfor S}: Est. Value Date !'E Cr : .tst:A 28 ,19 ';7
Site Address 4049 Nt%k'f;iJ, i;W 'I"M+:"ACL OFFICE USE ONLY
' 2 LEXiNGT[)N PARiE•Vl
Lot ` Block Sec/Sub On Site Sewaye Occupancy ? j
.
MWCC System
Zoning
ParCel No. V n
On Site Well (Actual) Const
x Name jo?• FILLER CONST Cirywater " (Allowable)
= AddreSS 18133 CEUAR AV$ PRV Required ? of Stories
? City Phone 4 1-z V(? 1 Booster Pump Length 48.5
Depth 41.5
°C
.o NBme S.F. Total
o Q Address + Footprint S.F_
City Phone APPROVALS FEES
u W
y?
Name Engr./Assess. Permit $ 524.50
----53-
50
W
? z
x ?
Address Planner Surcharge .
6Z
?
?=
W City Phone
Council
Plan Review 2
?2
a
81dg
OH.
SAC
City i?•??
I hereby acknowledge that I have read this application and state that the .
Uariance ,
SAC, MWCC 525.00
intormation is correcPand agree to comply with all applicable State of WaterConn. 525•00
Minnesota Statutes and City of Eagan Ordinances. 67
00
Water Meter •
SigQature of Permittee Road Unit 3Q5.Ul?
?:x
A Buifdin9 Permit is issued to: .FUE :4iLL
Treatment P1
on the express condition that all work shall be done in accordance with all
applica6le State of Minnesota Statutes and City of Eagan Ordinances. Parks
Building Official. __ _ ?. TOTAL ; ???,:
tR'°• . , . ..j 'y
• O.
BLDG. _PERMIT Ia
r?
01-3210 Bldg. Permit
01-3422 Plan Check
01-3445 Surch./Adm,
01-3446 SAC/Adm. '7- c? `J
01,-2155 Surcharge
17-3860 Road Unit L-?C)
20-J2275 SAC 75
20-3865 Water Conn.
20-3868
Water Trmt. ?p
uc
20-3716 4:ater Meter
20-2252 Acct. Dep.
20-3713 Water Permit
20-3743 Sewer Permit
79-3866 Sewer Conn. /?-?C> «
11-3855 Park Ded.
TOTAL
CASH RECEIPT
.
CITY OF EAGAN
3830 PILOT K NOB ROAD
' EAGAN, MINNESOTA 55122
c
DATE 19
wcce?ven
FRW.7
qMOUNT $ I
& DOLLARS
ioo
? CASH E)CHECK
POR ?
BY
White-Payer3 Copy
Yellow-POStinB CoPY
Pink-File Copy
Thank You
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
,, Pliil; I i?•i i ? ??
PERMIT SUBTYPE:
INSPECTION RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
APPUCANT:
11R
TYPE OF WORK:
Itii l l It ! Mr,
K.??n<,+.? ?
INSPECTION .. „
? ?
Permit No. Permit Holder Data Telephone M
S/W
PLUMBING,
HVAC
ELECTRIC
ELECTRIC
Inspection Date Insp. CommeMs
Footings I
Foundetion
Framing
Roofing
Rough Plbg_
Rough Htg.
Isut.
Fireplace
Flnal Htg.
Orsat Test
Final Plbg. Plbg. Inspector - NotHy Plumber
Const. Meter
Engr.lPlan
Bldg. Final
Deck Ftg. s T G - ?
Deck Final 00Y ?
Well
Pc Disp.
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE• 454 8100
PERMIT Receipt *
Est. Value Date AGEMUlt "t? ,19
5ite Aadress
Lot Block ' Sec/Sub.
Parcel No.
a Name
W
3 Address
° City Phone
.o Name
? ? Address
? City Phone
Q
W Name _
W
Z Address
0
W Ciri-
I hereby acknowledge that I have read this application and state that the
information is correct and agree to compiy with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Signature of Permittee
A Building Permit is issued to: •on the express condition that all work shall 6e done in accordance with all
applicahle State of Minnesota Statutes and City of Eagan Ordinances.
Buitding Official _
OFFI CE USE OMLY
On Site Sewage Occupancy
MWCC System Zoning
On Site Well (Actual) Const
City Water .•
(AllowaWe)
PRV Required # of Stories
8ooster Pump Length
Depth
S.F. Total
Footprint S.F.
APPROVALS
Engr./Assess.
Planner
Council
Bldg. Off.
Variance
FEES
Permit
5urcharge
Plan Review
SAC, City
SAC, MWCC
Water Conn.
Water Meter
Road Unit
Treetment P1
TOTAL
S '.;J
K?
Permit No. Permit Holder Dats Telephone ?k
Plumbing 6i: "" :,y
Electric
Softener
Inspoction Date Insp. Commenb
Footings I f ?
Footings II
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg. ?
Isul.
Fireplace ?
Final Htg. 7 401
Final Plbg. •j? u 5?
Bldg. Final
Cert. Oca 6/w
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp.
?
't . • ,.
(terti#irab nf (Orrupanry
Citp of (Cagari
inpparhmnt n# ltdlding jtuoprrumc
This Certijtcate rssued pursuant 1o the requiremenls of Section 306 of the Uniform Buifdi?rg
Code certifying that at the time of issuance this slructure xw in compliance with the various
ordinances of the City regulating building construction or use. For the foUowing.•
ux aksieqtion :T DWG/GAk ffias. w,.ic rb. 1452E
OxupMy Type R:3 Zamiej Diwin Type Crn.t Vn
OwncrMBuildins `LT-MJYT Ad6. 18 133 i..ti%-:_ F-AIMU1qi
euiwrng naarems i.awMy L9, B2, T.F.kTC1,.'w k':s?'VaY
awamn officw
POST IN A CONSPICUOUS PLACE
PERMIT # r? 12
. MECHANICAL PERMIT
CITY OF EAGAN RECEIPT #
3830 PILOT KNaB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE: PHONE: 454-8100
Site Address ' ` ` ' , ' i "
' BLDG. TYPE WORK DESCRIPTION
Lot- Bloc
-? . k
' Sec/Sub
?- .?
? Res v New ?-
- ? ? Muft Add-on
?, Name
?s
Address Comm. Repair
c
City
`
;Whone Other
, .
, ?
PName FEES
RES
HVAC 0
1
_ .
-
00 M BTU -$24.00
3 Address ? •L1•- ADDITIONAL 50 M BTU - 6
00
O City .
(RES. HVAC INCLUDES A/C ON NEW
? CONSTRUCTION)
GAS OUT
M
ETS
L
(
INIMUM - 1 PER PERMIT) - 1.50 EA.
TYPE OF WORK COMM/IND FEE -1% OF CONTRAGT FEE
Forced Air ' M BTU F` APT. BLDGS. = COMM. RATE APPLIES
Boiler
M BTU TOWNHOUSE & CDNOOS - RES_ RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
Unit Heater M BTU REMODELS - 12.00
Air Cond. M BTU MINIMUM COMMERCIRL FEE - 20.40
Vent q
CFM STATE SURCHARGE PER PERMIT - .50
Gas Piping Outlets # ,
`(._ , (ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000)
O
h
t
er
FEE:
-
S/C: SIGNATURE OF PERMI
TEE ?.
TOTAL•
FOR: CITY OF EAGAN
Site Address y(l Y
Lot _Z_ Block
Name
?n Addre
?
c Ciry 1-
PLUMBING PERMIT
3830 PILOT KNOB ROAD, EAGAN, MN 55122
Phone
COMM/IND FEE - 1% OF CONTRACT FEE
APT. 6LDGS - COMM RATE APPLIES
TOWNHOUSE 8 CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCNARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GflES
)F EAGAN
t, , . . .
PERMIT #
?- rJ
RECElPT
'??? !l 'uQ O
DA7E:
BLDG.TYPE ?
Res.
Mult.
Comm.
Other
RES. PLBG. ONLY -
sei - .1)o
- $3.00
WORK DESCRiPTION
New ?-
Add-on
Repair
THE
n Sink - $3.00
'Bidet - $3.00
ry Tray - $3.00
)rains - $1.50
Heater - $1.50
ool - $3.00
ping Outlets - $1.50
IIMUM - 1 PEFl PERMIT)
er - $5.00
TOT L
i`
;
Private Disp. - $10.00
_
-_?_Rough Openings - $1.50
FEE: ? -?
STATE S/C:
GRAND TOTAL•
PermR No:
B/P Na
Joe Miller Conet.
Misc.:
CITY OF EAIuAN
3830 Pllot ifnob Road
P.O. 840 21199
Eagan, MN 55121
Permit No:
Meter No: 3 97 0 D
Reader No: d
Conn. Chg: 542 0 Acct, DeP: -
5 n?l ,r?;r 5 C
PermitFee: 1 U)6 !IFP'' ^-cll
Surcharge:
Tr. Plant UUIKr.L
Meter.
By 'v"'
WATER SERVICE PERMIT
Date:
Date:
!
Oate;
Size:
Date:
wllh the City of Eagan
Owner: e ' ( iler Cou st
SlteAddreS3:- 4049 Nar hviv--,, T-1-racc i i"' -aT..,.
Plumber. ' P - i • ?,.,,
CITY OF EAGAN Permit No:
:. 3830 P(Iot Knob Road B/P No: Date:
P.O. @dx 21199 - Date:
Ea9an, MN 55121
Owner.
Site Address:
T?rt
MWCC: ???e• ?,,,a
City Chg: :?1?1, r?t7 d Zoning• ,
4cct Dep: I5.o{?.,e
No. of Units:
'ermit Fee: '-'' . '?''-. : ? agree to comply with the City ol
>urcharge;
,:- - Ordlnances,
BY
SEWER SERVICE PERMfT
f OF EAGAN Permit Na Date:
I Pilot Knob Road Meter No: Size:
Box 21199 Reader No:
m, MN 55121 Dat?
mn.Chg: 00j)d Zoning:
ct. Dep: IS . d No. of Units: 1
rmit Fee: _ 1t?. 0(lAd
rcharge: 1 agree to comply with the City of Eagan
Plant I 20 _ ??Qd Ordinances. ?
Aer.
sc.: gY ?
WATER SERVICE PERMIT
This re.qaes[ vold ?-//?/??
18 mpnths tram l?
D £30k73 ?-9 a,?
Re,quest Ua1 Fire No. uPh-in Insoection ,?/?? -?'
HeQUrted? ?Peady Ni- y?y?ill Nolity InsPec-
5./1?js (? ?'es ?No '- ihr When Neady I
T
Licensetl ElecVical ConVactor I heraby request ins0action oi ebova
Owner elecbical work instelletl at:
Sveet Address, Boz or Hoete No. - City '
G o - 4,1 f
ecuon o. Township Name or No. Range No. County
OccuOanl (PFINT) Phone Nc.
"/ EF rve- o,? ? /-
Power SuDOlier Address
E - ? d
Electricai C nVar.tor lCompany Namel Cm?Uactor's License No.
-
ew, C?`J?O
Making Inslailationl
Mailine.4ddress (CO mctor o Dwner
-- ?it? ? "/ - •?
IContwcmr Owner Makiny nstallation)
An thorized Signawre Ph ne Number
l
iR'?Y ?L+[J.iC/lte??? __ / .? (O ?
?NNESOTA STATE BOAflO Of ELECTNICITY THIS INSPECTION NEUUEST WILL NOT
Grig9s-Midway Bltle. - Noom N-191 BE ACCEPTEO 6Y THE STATE BOAHD
'1821 Universitv Ava.. SI. Peul. MN 55104 UNLESS PflOPEN INSPECTION FEE IS
Phnnnf6121662-OBOO ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION ee=oopooi-as
'?, See instructions lor comOletine this }orm on beck of Vellow copv.
?.. 7 3 '"X" Below Work Covered by lhis Request ,
AAtl R.P. Type ol Building AOCliencea WireA Equipmi WireA
Home Range Temporary Service
Duplex Water Heater ZX Liyhtiny Fixtures
7
Apt. BuilAing Dryer Electric Heatin
Commercial Bldg. Fumace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tenk
Farm 71 h, ,ino, isnoe,eyl
t er Succi/y ? er Olhor
Comoute Insoectron Fee Below
N Fee ServiceEnlrance5iae n Fee Fenders/5ubleeders IX Fen Circuiis
GO U to 200 Am s 0 to 30 Am s 33-ioo 0 tn 30 Am s
Above 200 qmpa 31 to 100 Ainps 31 to 100 A s
Swimming Pool Atwve 100-Am s Abave 100_Am s
Transtormers Irrigation Booms Partial•'Other Fee
$igns Specialinspection 5 ? -
TOT FEE
Nema.ks
11-7 ir i r I .-r-7 I
RouBh-in D
"Le
Q h Eiecnic
Insoec , e?eby
?? certily thet the »bove
I Final
? D^te
° f_ / j inspeclion has been
nuda.
thia repuest valtl 18 monttu irom
CITY OF EAGAN N°_ 'I 4 5 2 6
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHON E: 454-8100
BUIL
I c- C)
D
NG PERMIT
Receipt #
Tobeusedtor SF DWG/GAR Est.Value $107,000 Date DECEMBER 28 Ig 87
Site Address 4049 NORTHVIEW TERRACE OFFICE USE ONLY
LEXINGTON PARKVIE
Lot 9 Block 2 Sec/Sub On Ske Sewage Occupancy R3
. MWCCSystem X Zoning Rl
Parcel No. Vn
On Site Wall (Actuap Const
x Name JOE MILLER CONST ciryweter X (Allowable) Vn
? Address 18133 CEDAR AVE PRV Required _ # of Stories
° City FARMINGTON phone 431-2001 Booster Pump _ Lenyth 48. 5
Depth 41.5
, o Name SAME S.F.TOtai
? Q AddresS Footprint S.F.
w? City Phone APpROVALS FEES
1-'
?
W W
ame Engr./ASSess. Permit $ 524. 50
53
50
?i
x.
Address Planner Surcharge .
,
a W City Phone Council Plan Review 262.25
Bldg. Off.
SAC
City 1
00.00
I hereby acknowledge that I have read this application and state that the Variance ,
SAC, MWCC 525.00
information is correct and agree to comply wjth all applicable State of WaterConn. 52$.00
Minnesota Statutes and City?of Eagan Or ahces.} Water Meter 67.00
Signature of Permittee RoadUnit 305_00
A euilding Peimit is issued to: OE MILLER CON$T 7reatment P7 180.00
ontheexpressconditionthatallw rkshallbedoneinaccortlancewithall
applicable State of Minnes Statutes and C?; of Eagan Ordinances. parks
TOTAL
euilding OHicial C
_ ?
RESIDENTIAL BUII,DING S? v v z? ? ?? k= ?
: • Permit Application --?? vv, Ped"
City Of Eagan ?
3830 Pilot-Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWction Reauiremenis RemodellReoalrReauirements Oifxe Use Onlv
3 registered site surveys showing sq. ft. of lot, sq. ft of house; and all roofed areas 2 copies of plan Cert of Survey Recd
(20% niaximum lot coverage allowed) 1 sel of Eneyy Calculations for heated additions Tree Pres Plan Recd
2 copies of plan shpwing beam & window sizes; poured fountl design, etc. 1 site survey for addifions & decks Tree Pres Not Reqd
7 set of Energy Calculations Addition - indkate if onsde sepGb system _ On-site Sepllc System
3 copies of Trce Preservafion Plan if lot plaked afier 717/93
Rim Joisl Delail Options selection shcet (bidgs with 3 or less units
3_U
Datea?
/ / / '2?"• Construction Cost /2 1500
,_
Site Address -?le 2.4e7 UniUSte #
Description of Work ? ,.?,? _,? ??.?
?,? / •
Multi-Family Bldg _ Y_ N _
Fireplace(s) _ 0 _ 1 _ 2
Proper[y Owner Telephone # (?'s7 )
Contractor _/x"
Address 'Ibj City L&
State 11'1? Zip ?533'7 Telephone # (`33vP) d'S'r< /4?:O
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Resitlenfial Ventilation Category 1 Worksheet • New Energy Code Worksheet
(d submission type) ' Submitted Submitted
• Energy Envelope Calculations Submitted
Licensed Plumber
Mechanicai Contractor
Sewer/Water Contractor
Telephone #(
Telephone #(
I hereby apply for a Residential Building Permit and aclrnowledge that thel?nformation is compleY& and accurate;
that the work will be in conformance with the ordinances and codes of the-bty'of Eagan dan'?the State of MN
Statutes; I understand tliis 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 wYrich requires a review and
approval ofplans.
K li"?">.., ??c.<Y' &Cir' ?J /J F72?
ApplicanY- s Printed I t?aine Applicant's Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex x 20 Pool
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 03 01 of_plex ? 09 07-plex ? 17 Garage ? 22 Poroh/Addn. (4-sea.)
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo)
p 05 03-plex 0 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-piex ? 12 12-plex Pibg_Y or_ N? 25 Miscellaneous
Work Types
? 31 New ?
? 32 Addition ?
? 33 Alteration ?
? 34 Replacement
Valuation
Census Code )A
SAC Units
Nbr. of Units
Nbr. of Bldgs
Type of Const VNI
_ Footings(new bidg)
_ Footings (deck)
_ Footings (addirion)
Foundation
Drain Tile
Roof _ Ice & Water _ Final
_ Framing
_ Fireplace _ R.I. _ Air Test _ Final
Insulation
W idth
REQUIREDINSPECTIONS
_ FinaUC.O.
_ FinaUNo C.O.
_ Plumbing
HVAC
Othex
? Pool -?{ Ftgs _X Air/Gas Tests
_ Siding SNcco Stone
_ Windows (new/replacement)
_ 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
. , y
? 30 Accessory Bldg
? 31 EM. AIt- Multi
? 33 Ext. Alt - SF
? 36 Multi Misc.
35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
37 Oemolish (Bldg)` ? 43 Reroof ? 46 Windows/Doors
"Demolition (Entire Bldg) • Give PCA handout to applicant
Occupancy MC/ES System
Zoning City Water
Stories Booster Pump
Sq. Ft. PRV
Length Fire Sprinklered
? 3. ?-
??
aaa, --I L?;-
I ?? 6-t-`v
Jon/Nlike 37. A 10 foot variance for parking from the required 20-foot seCback from a public right-
of way was approved; a 19-foot variance for pavement from the required 20-foot
setback from a public right-of-way was approved; and an 18-foot variance from the
required 20-foot setback for pavement from a side yard adjacent to property guided
Quasi-Public was approved, all for Manley Land Development.
TC 38. The vacation of public easement within Lot 9, Block 2, Lexington Pazkview Addition
was approved.
TC 39. The vacation of public drainage and utilify easements within Greyhawk Addition was
approved.
OLD BUSINESS
Jon/N1ike 40. The Findings of Fact, Conclusions & Resolution of Denial for a planned development
amendment for Sun's West to allow motor fuel sales on Lot 3, Block 1, Eagandale
Center Industrial Park No. 9 was approved.
Jon/Mike 41. A planned development amendment for Eagan Hotel Group, LLC (Days Inn) was
continued to the October 7; 2003 City Council meeting.
Jon 42. An affirmation of the Vision, Goals and NexY Steps for the Cedar Grove
Redevelopment District as outlined in the sYaff report was approved; the revised
architectural design for the Nicols Ridge Row Homes as presented by US Home was
continued; and the formarion of a subcommittee of the City Council to meet with City
staff and consultants to clarify the City's policies regarding property acquisition and
private improvements of properties within Cedar Grove Redevelopment District was
approved with City Councilmembers Carlson and Tilley.
BOARD OF ADJUSTMENTS & APPEALS - CENTRAL IRRIGATION
Jon/Mike 43. The Board of Adjustments & Appeals upheld the City Council's denial of a rezoning
of the property located at 2785 Pilot Knob Rd in the northeast quarter of Section 4.
ADMINISTRATIVE AGENDA
Ken 44. A resolution of support of Patrick McCarthy's applicarion for the DNR Metro
Greenways grant was approved.
ALL 45. A special City Council workshop was scheduled for Tuesday, October 28, 2003.
TC 46. Direction was given to revisit a past proposal for a trail along the west side of Federal
Drive and Blackhawk Hills Road at a future workshop session.
ECONOMIC DEVELOPMENT AUTHORITY
Jon 47. A resolution approving the minutes of the SepYember 9, 2003 regular EDA meeting
were approved.
r
POOL PERMIT - APPLICATION SUBMITTAL REQUIREMENTS
?
m
2 GENERAL INFORMATION
-g
o
cQ
a
r
tZf ? ? ?
o
? f ?t?S G??
Applicant - name, address, phone & fax numbers, signature
U ? ? Property owner name Cil?7
3 0 ? Legal description and address of property 0-"
M
2 ?
? ?
? North arrow, scale (I" = 30' or 40') and date ??
L
i
d
ocat
on an
name of all streets adjacent to property
0 ? 'W Site Plan drawn to scale showing location of house, pool and other existing or proposed V"'
struchlres (stiow at26<1 -Pctiee-)
3 ? O Directional drainage arrows (existing and proposed)
Existina
Cff ? ? House corners
? ? ? Property comers
? ? IW On property lines at point of ineasured dimension to pool (see below) (o-n Sr'aQP tof- (i,7es? V/
)$ ? 4?- If applicable, ground elevation at each end of retaining walts and at wall's greatest height ?ve
Prodosed
19 ? 'OL Finished pool deck corners
? 0 2L Top of retainnng walls (if any) and at each different elevation (if it changes)
0 ? ? Pool bottom (or max. depth)
Jl C7 0' 7?Q?14?LCh? WQ1,1 (TOIOI0roLT&-+q Oh LarA ChJiS) (Ys,&CS"f' b2
?
•-Frp? PBO/
DIMENSIONS
Existina
Ef ? ? All property/lot lines
Pronosed
? ? ? Pool
? ? -41- Pool plus integrated deck/patio
)4 ?J*- Shortest distance from outside edge of pool deck to lot lines and house
Reviewed: 2 L
Name
g... (7_ e3
Date
crrecwJR Zoozivwi Perntic cnoeMim
.i-LAND C4. SITE PLAN FOR:
SURVEYING
SERVICES JOE MI LLER
1260 YANKEE DOODLE ROAD
EAGAN, MINNESOTA 55122
LEGAL DESCRIPTION: Lor 9,eLocK? , LEXINTON PARKVIEW
ACCORDING 70 THE RECORDED PLA7
THEREOF DAKOTA COUNTY,MINNESO7A
NORTHVIEW
Tc:
9rlc
47xL7 g•ey i
?4
F;
kTE
gUILDING 0mowpi
t7t?'r
SCAL` : I
?I O;m?ws?o?s
\?X36
4 8 Y, 7
.a?( .?T
a?
- o
TERRACE
y N89°41'17"Vb
85.00
w
? m
, T p
S- --- - -
o 'rn
, GRG 95
2.5 N 2b'?,.p g`o`' _ PrtoPosfn -
0
kourE ?u?,?, BAS.p
L t4
Q
<f`
ro'
6x?? 1
?
C ?S
?
8 a
94() 8 ?i
,
. '
A.
° m Fl.?'
0- l
Z
i ,^? •,- ,:
Ex?snuc} Ei?uM"iDa g'?9s
P09( Qrs?{y.r?c? GfGU?.',?n?x ?44?4 e6 ?
_ . hw
3:1 IhRazimum Slopes
or Retaining Wafl Y!/ill
Bs Rsquired (931377?
? y?g2
LEGEND
a DENOTES IRON MONUMENT
o DENOTES WOOD HUB SET
94o"n DENOTES EXIS7ING SPOT
ELEVATION
(yuo^o)OENOTES PROPOSED SPOT
ELEVA710N
? D" ENIOTES DRAINAGE DIREC710h
LOT 9
4 ?
T
Qe'?'? .
w
ro
o m
Q)v?A Oaf
??
1.,y,•,• ! r,
?..
?? w?--•c? ?.?
....., 85.00 `.`? . (??8.7)
r, sa ° 4 1' 17 „ W ?2s L SEP I gpIGr,o
INVERT ELEVATION AT SERVICE EXTENSION=
PROPOSED GARAGE FL.OOR EL_EVATION=jrQxQ
PROPOSED FIRST FLOOR ELEVATION = ffkr -
PhOPOSEDBASEMENT FLOOR = y`i _
ELEVATION
NOTE'. VF_RIFY ALL FLO'JR HEIGHTS WITH
^ FINAL HOUSE PLANS
I harety cariify that this •urvey,plan or
report wos praparad hy me orundnr my
direct suparvision and that I am o duly
ReQisiare( Land Surveyor under the
Laws ofthe Siw:e of Minnesota.
eradiey ?YiS4ronson, Mn. Req: No, 15235
Date: (/f_2Ii13"7
Y.G.
43xZ
943` 3
)vI of,
4CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT ?
PERMIT TYPE:
Permit Number:
Datelssued:
BUSLDI?
020953
05(19/93
SITE ADDRESS:
4049 NOR7HVIEW TER
LOT: 9 BLOCK: 2
LEXING70N PARKVZEW
P.I.N.: 10-45035-090-02
DESCRIPTION:
8031 tti»?^ Permit Type
lu,ilding 4Tc?k Type
Htx3:ldkng 4e6*1n
8ui.ldinq WidG+a'--?'1,--^
?
Z
f.sv`i °
DECK
NEW
25
18
?NP) j
REMARKS
FEE SUMMARY
Bese Fee $25.00
Surcharge .56
Total Fee $25.50
CONTRACTOR: OWNER: - APPlicant -
FRRMER MICHAEL
4049 NOR7HVIEW TERR
EAGAN MN 55123
(612)456-2999
I herehy aCkn6w1edge that I havo reaxl t?is epplicaCion and sZata thak 'tho
infarmatian is coerect antl' aoree tb ramp.ly wiCh a13 appl5cabla $:tote af'Idnn.
Statutes an,d City af Eagan Grd3nanaes« ?
L
•i? " ` l /?`///r? - ?.l .
APPLICANT/PERMITEE SIGNATURE ISSUED BJSI A
REACTIVATE ?ED CITY OF EAGAN
PERwLL #1993 BUILQING PERMIT APPLICATION $??? ?
_ 1993 681-4675
------ PP0,4 ? '?
-).
SINGLE & MULTI-fAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, l 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 or 3) lot change is requested once permit
is issued.
Date /-1?_ / / L / '?3 Val uation of work
Site Address: YO5'9 ti?J?? ?•?w 7-vr?-r. L-4y? w,?i?, --
- STREET SU1TE M
Tenant Name: (commercial only)
IAT q BIACK 9- 1 SIIBD. f? !
d- P.I.D. M
Descri tion of work: C-Jol- neoL
The applicant is: ? Owner ? Contractor ? Other (Deecribe)
Name F?P91ei- /`>..4uc/ . ?a.-?.. Phone6-'?Y- f176
Property LAST FIRST zY'/y
Owner Address o v% v%C? r-Ce-
STREET S1E Y
City CuyG? State /`1Zip Z3
Company Phone
COntractor Address License # Exp.
City State Zip
Company Phone
Architect/
Engineer Name Registration #
Address
City State Zip
Sewer 8 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.
IL. Signature of Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE
O 01 Foundation
? 02 SF Dwg.
? 03 SF Addition
? 04 SF Porch
? 05 SF Misc.
WORK TYPE
p 31 New
? 32 Addition
0 06 Duplex
? 07 4-Plex
? 08 S-Plex
? 09 12-Plex
? 10 Multi. Add'1.
O 33 Alterations
O 34 Repair
O 11 Apt./Lodging
? 12 Multi. Misc.
? 13 Garage/Accessory
0 14 Fireplace
10 15 Deck
? 35 Tenant Finish
? 36 Move
? ; h
i
rt
t
?
?
r
s
n
.,
:
1,?,6
0 ? 17 Swim Pool
? 18 Comm./Ind.
O 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
? 37 Demolish
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MWCC System
(Allowable) lst F1. sq. ft. City Mater
UBC Occupancy 2nd F1. sq. ft. PRV Required
Zoning Sq. Ft. total Booster PumP
# of Stories Footprint Sq. ft. Fire Sprinkler
Length ? On-site well Census Code 43y
Depth On-site sewage SAC Code
b ??
!
Q>nsµs
APPROVALS
Planning Building Assessments
Engineering Variance
REQUIRED IN SPECTIONS
? Site W Footing ? Framing O Insulation
? Wallboard L;& Final ? Draintile ? fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W 5urcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
?,5. V? I Vatustim: $
#
SAC %
SAC Units
, . .
TRI'LAND CO. SITE PLAN FOR:
SURVEYING SEFZVICES JOE MI LLER
1260 YANKEE DOODLE ROAD
EAGAN, MINNESOTA 55122
LEGAL DESCRIPTION: LOT 9,BLOCK? , LEXINTON PARKVIEW
ACCORDING TO THE RECOP,DED PLAT
THEREOF DAKOTA COUNTY,MINNESOTA
NORTHVIEW
rc:
vv7rz7 9 ; x'
4e?y.4 ?
( 9??'S)
N 9YHUB S I
?.
12.5
?R
SCALE : I If= 30" I
W
L
?
?O
- O
a) Q
o 0)
O-
Z
538,?
LEGEND
a DENOTES IRON MONUMENT
a DENOTES WOOD HUB SET
94o"a DENOTES EXISTING SPOT
ELEVATION
(94o"o)DENOTES PROPOSED SPOT
ELEVATION
? CEP:CTES DRAIPlAGE DIRECTION
I hereby certify that This survey,plan or
report was preparad by me or undar my
direct supervision and ihat I am a duly
Reqistered Land Surveyor under ihe
Laws ofthe State of Minnesota.
TERRACE
?9° 41' 17 " W
85.00
- -W -
? M
?
n
o m
GRG y
N 26.?,.
Y.G.
943x2
94 3' 3
(9v3 "Q
ro' 1
rb
'`° PkaPos6O
i?
- 43
-?9 K 9uc? ?
DRAINAGE B UTILITY
EASEMENT?
Z
NWL 940.0
LOT 9
L1.1
rf)
O d"
O -GO
O-
O)o
-O
I_":T
. ?
.?....85.00 --
N 89 ° 41' 17" W 4Z8" L
INVERT ELFVATION AT SERVICE EXTENSION=
PROPOSED GARAGE FLOOR ELEVATION = jjj&Q--
PROPOSED FIRST FLOOR ELEVATION = ,?5"
PROPOSED BASEMENT FLOOR = y /
E LE VAT I ON
NOTE = VERIFY ALL FLOOR HFIGHTS WITH
FINAL HOUSE PLANS
Bradley A!($4vonson, Mn. Req. No. 15235
/
Oute 1- 1 2/, Ia'?
APFLICATION FOR PERMIT
SEWER AND/OR WATER GONNECTION
.
i[xri'E: PAIQIEIVP OF FF£ AT TIME OF
.'`
; nrrLxcrazoN ooEs nnr coN- :
? Sl'IN1E APP[1(iS7AL OF PERPIIT. ?
t
; ica.seECTIaa oF sEWER nrn/oa MxEa r
;
; xrsrnLUxxocs wILL ca7r eE scmcn.m ;
? LIML PERMT RItS BEFIV APPROV[D. ?
catV yfiYf4i444iiti/riiH**41e?/!#it#fk/ft#f/4i
OF cagC9P1
(PLEASE PRINT
- ?
1) PROPERTY ADDRFSS: .L/4ga-ta[
7FY:AT. DESQtIPTION: . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Lot Block S division or Tax Parcel ID ,
IF EXISTING STRLY°PCTRE, DATE OF ORIGINAL HLILDING PERMIT ISSUANCE:
Nbnt Year
PRESENT 7ANING/PROPOSID USE:
Q ,CONPMCIAL/RETAIL/OFFICE 1Ej'R-1 SINGLE FAMILY
Q INDCSTRIAL 1=1 R-2 DUPLEX (3tvo tjnits)
a INSTITOTIONAL/GOVERNMENT ? R-3 TOWDII-IOLSE (Three + Uraits) ( Units)
? R-4 APARTMENT/CONIDOMINiUM ( . C'nits )
Z) ? NAME: ot '07' //CF Cq/K?
P,DDRESS:
CITY, STATE, ZIP:
PxoD1E: t/3F-Zaa/
For City Use
3) ff3U1M.'-3(-t0 NAME: f?l
y Pl rI.icense:
ADDRESS: ?
9.25'd Zi4?, sv
sfi// ?
µ Active
.
j I?
Expired
CITY, STATE, ZIP: . ?'!q„ /V . ?i4
. Not recorded
PxorE MAszEa LrcIIVSE #
S
-
: M.
Ag st za nf?iar
4)
tvAME: ??•K? ?s rz?
ADDRESS:
CITY, STATE, ZIP:
PHONE:
51 s ? • a •?+, • u .c ?e
Q' CONmECTION TO CITY SEWEE2 F:71'CONNECTION TO CITY WATER O C7fHER
6)
,.--Z
**+?*****+***?*************+**a*?*?*****************?*?*****?**?************x*****?**?*?*,?*****?***?
* THE GOID COPY OF 7HE PERNIIT WILL BE SIINr DIREC.'TLY TO PUBI.IC WORK.S 1U FACILITATE MEM PICK-UP.
*x PLF,ASE ALSDW 7FA WORKIb1.; DAYS EC)R PROCESSING. SONIDONE FROM TM CITY WILL CONfAGT YOi) IF 7HERE
* ARE ANY PROBLENIS. ?
??**?:?:+***?***?******??*****+.*?**,r,t***???*«***??*?**r,r**?**,t****+********?***,t********,t*?*?*?+*,t*i
!?FOR -CITY USE ONLY I?
PERMIT # TSSUED
Pd w/Bldg. Permit
R
$
$
$
$
$
$ ,j Z_ S '6?0
$ G? Z s?tn?
$
$
$
$
$
S /?>? ? -?
RECEIPT
FEES:
$ ID . ?;'ZJ
S ?n•?o
$
$
$
$
s
S
$
$
$
$
$
S
id Z/i o
RECEIPT
?
I ,
?
I
SEWER PERMIT (INCLUDE',SURCHARGE)
WATER PERMIT (INCLUDE $URCHARGE)
WATER METER/COPPERAORN/OOTSIDE READER
WATER TAP (INCLLDE CORPORATION STOP)
i
SEWER TAP
il
ACCOLNT DEPOSIT - SEWER
ACCOONT DEPOSIT - WATER
WAC
SAC
TRONK WATER ASSESSMENT
TRONK SEWER ASSESSMENT,
LATERAL BENEFIT/TRUNK'SEWER
LATERAL BENEFIT/TRLNK WATER
WATER TREATMENT PLA[VT SURCHARGE
OTHER: TOTAL I
I,
DOES UTILITY CONNECTION REQLIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
? YES IF YES, THEN A"PERMIT FOR WORK S9ITHIN PCB,LIC
Q ROADWAY" MLST BE ISSOED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION. il
SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY:
TITLE:
DATE : ?? ? ? ?
IqS26
w
1987 BQILDING PERMIT APPLICATIOH - CITY OF EAGAN
SINGLE FAMILY DWELLINGS
IPCLIIDE 2 SETS OF PLANS, 3
OF SOROEY, 1 S8T OF ENERGY
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER HIIST DESIGAATB AHICH ADDRESS
IS DESIRED. NO CHANGSS WILL BE ALLOWSD ONCE BDILDING PERMIT IS ISSIISD.
MOLTIPLE DWELLINGS - RESIDENTIAL RENTAL UPITS FOR SALE ANITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SQRYSY - CHECK FTITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COMMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ? o?? 2 1,?7
ENERGY CALCULATIONS, $2?000 LANDSCAPE BOND #
To Be Used For: Ao-?aluation: ?
Site Address? ' -0OFFI?
'
Lot 6?1 Block 1-* n On Site Sewage
Parcel/Sub
Owner Address
City/Zip Code
Phone
Contractor , ,Q?,
't a
Address
City/Zip Code
Phone ??--F
Arch./Engr.
Address
City/Zip Code
Phone #
MWCC System /
On Site Well
City Water
APPROVALS
Assessments
Water/Sewer
Police
Fire
Engr
Planner
Council
Bldg Off t/7??
APC
Variance
Date: 1,1-11f/97
Occupancy R- 3
Zoning
Type of Const
(Actual)
(Allowable) -
ll of Stories
Length ?
Depth
S.F. Total
Footprint S.F.
FfiSS
Permit 52'I.SD
Surcharge .? D
Plan Review 262. s
SAC, City 100000
SAC, MWCC SQ i00
Water Conn
O
S2510
Water Meter ,Op
Road Unit p lt50
Treatment P1 tfp
Parks
Copies
TOTAL r .S T?
F
YAL LtAT•1C4?
GAR AG-e
ZyX22= $28k12= 633(o
t?smr, ? ?sr ??p?,?
-?
!SX 16° 28B
ae ?ca?? r7 Si:?
vh.-?
louu x58-? 6bSSZ
P?:m FcOOQ
3 o x Ai, yz =
909 xyv= 39i96
__.-----°-,
?y x
.,
roUSgy ?
TRI-LAND C0.
SURVEYING
SERVICES
1260 YANKEE DOODLE ROAD
EAGAN, MINNESOTA 55122
SITE PLAN FOR:
JOE MI LLER
LEGAL DESCRIPTION: LOT 9,BLOCK? , LEXINTON PARKVIEW
ACCORDING TO THE RECORDED PLAT
THEREOF DAKOTA COUNTY,MINNESOTA
N
SCALE :
NORTHVIEW TERRACE
94-7"3 N 89041'17"W 943xo
(947'5) BrJ.00 (9Y3'i)
I ? P
4
GRG
i2,s N
I ??= 30"
W
M
?O
-o
°-° (Zi
o 0)
O-
Z
? I W
? M
O?
O?
UTILITY ? o
-O
?-\ I I Z
HWL 940.0
LOT 9
1 '
(938*7) 85.00 (908"7)
938"9 N 89 ° 41' 17?? ?( 928"3
LEGEND iN1lERT ELEVAT10iV AT SERVICE EXTEiVS10N=
o DENOTES IRON MONUMENT PROPOSED GARAGE FLOOR ELEVATION= 9{rq8'5
o DENOTES WOOD HUB SET PROPOSFn FIFrST cLnn!? ELEVAT;QN -,, Rr ^
y4c''O DENOTES EXISTING SPOT PROPOSEDBASEMENT FLOOR = 9qox5
ELEVATION ELEVATION
(quogo)DENQTES PROPJSEQ SPOT
ELEVATION
? DENOTES DRAINAGE DIRECTION NOTE: VERIFY ALL FLOOR IiEIGHTS WITH
FINAL HOUSE PLANS
I hereby csrtify fhat this survey, plan or
report was prepared by me or under my
diract supervision and ihat I om a duly
Reqistered Land Surv*yor under fAe
Laws of the Stata of Minnesota.
Bradley J. Swenson, Mn. Rsq. No. 15235
Date --
10'
I
Z6'6„
15
I
' P2aPo5e? ;
4?Nov$? GutC SAS.I
r
?
?.
?Y
DRAINAGE &
EASEMENT-
i
.Ary°
One or Two Family Dr+elling ?
All otlier
Contructor
LINEAL FEET OF
EXFOSED F1ALL
OPAQUE WALL
Da tail:
reference
trom
attached
shevts
EXTERIOR ENYELOPD AVERA(iE "U " CA4IPUTATION
(To be eubmitted aith building permit appllcation)
?
0 wner
Sf te Addre es
. _
Date Phone
S?y wo2k. s " ?
fte above grade n Z5<Q7i
'POT11L EJ(POSED WALL AREA BQ. FT.
COt1STRUCTIONs "U" Value x Area
np u x SC1.
, ?L•. nun 7t SQ.
? flUff . x Sq.
npa x BQ,
np° x SQ.
npn
x 8Q.
YIII4D01YSs itUit Vulue x Are.a
FT. ? (W(A)
(lf) (A)
T, a U) (A)
F'T. = U
)?R)
FT. (U) (A)
FT. -? (U) (A)
Malce & TYPe nUn
n
u SQ. FT.;?3,TW(u)(A)
x Sq..FT. (U)(A)
n _
x S?FT:
pn
X SQ. E"f. (11) (A)
. = (U)(A)
DOORB: "U" Value x Area
FlzSce & Tyoe G L: L npn
?? . VIUll
„
x..,sg.
,fullr:. . x s
- _ ?? .... npt' '
, „-
_ x Sg.
ToTai.s Z 31a2 sQ.
ToTAI, ( U) ( A) VALUES AYERAa& "Ulf
DIVIDED BY TOTAL 17ALL AREA Z%OZ
AVEf2A4E "Ull .115 or leea for i&2 family daellinge
ROOF/CEILINa=
TOT1lI, AREA s
FT.. S3 '?(U)(A)
?_:... (.U)(°n)
FT. - (U) (A)
FT. _ (U)(A)
F'T. ["FI. I Z (U) (A)
Detail roterence
f flUff , OZ/ X gQ, FT,IZ40_
ZS?Z (U)(A)
rom
nttached aheete. IIp
?? •
IIf1II' x
SQ• FT•
.
M(A)
Describe ononinga
i x
ilpn
X gQ. FT.
$Q. FT. ? (U)(A)
(U)(A)
n
roof. uUo x SQ, rT. = (U)(A)
TOTIIL (U)(A) VALUE9 DIVIDED HY Zs.? -IoiAL47 /Z60- N,ft_ZSrZ CurA?
TOTAL ROOF/CSILII14 AREA ?
ZGb',:,; :' ...
0 7i? r•
'
AVERA4E "Ull ,025 for ventilated roote. -- ?
? .
Y ?
u ? ? ?_ . . ..i. . ??.? A n ? II ?? ?
1
3 .
? . Z
S
{
1
?
f
I?
11 -
12
.
.1t . . . . _ ... ... 7?/? .. ., . . . . . .. .
17
?
u
2e
.,,...._. ._..._. . . ___..
n .
:: -
z3 7 ? 1
u
:?
31 /1, i' . ,.
32 /i
33
]1
77 - I'AA
31
41
. V _, ..,..
Determining "Ull values st Rooft Nallo Rimp and Coaa. $loak
,OF/CEiLINa
) Interior Air e'ilm
) 5/8" ayp. Bd.
) Ineulellon
1
) Exterior Air Film
(STILL)
R V U
o.6t
.56
-N-0O
.6t
jO a lIR= pOZ iOTAL (R)a4s 73
- '
ZL
) Interior Air Film
) }II Qyp. Hd.
) Ineulation
) .?IL'(??iTE
) Mueonite Siding
) Exterior Air Film
R VALU
0.68
.45
19•00
2o0?
.6
.17
n Y/Rn TOTAI: (R)= Z3.0,
; R VAI,U
) Inte.rior Air Film 0.68
) . ...,,. ..
Ineulation ._ .??,00 ..._ :--
) e
.-2" Fir Rim Joiat 1.88
) F?uK_'f' ?' 7Z? 7101f
) Maeonite Siding .67
) Exterior Air Film .17
? n IIRv 'POTAL (R)e Z[[}1ty
- r_
1NDATIO
) Intarior Air Film
) R-1l ?1K1PP?.A
) 12" tlonarete Block
)
) Exterior Air Film
R VALU
0.68
100
1.28
.17
? e i/Ra .07?0 TOTAL (A)
? _
Use BLUE or BLACK Ink
I
I For Office Use I
I I
I Permit I
City of EaEdii / I
I Permit Fee: (9 c) I
3830 Pilot Knob Road i TV-2-
Eagan MN 55122 I Date Received:
I
Phone: (651) 675-5675 I Staff:
Fax: (651) 675-5694 L - - _I
2012 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date:' Site Address: `170`7 l ~/t~l l/1 ~v (e ✓%Y C 1
Tenant: Suite
RESIDENT / OWNER Name: _ c` Ot OL NA lit n ~,r So~1 Phone:
t ,
Address /City Zip: / ~-7
Name: 1"^n`ynY1 batr1G f CAL L License 0b / 13!? "
CONTRACTOR Address: "4V C, city: d7zl'STvrnGl S
State: Zip: Phone: l ` f1o~ 7 dr
Contact: Email:.
TYPE OF WORK New _ Replacement _ Repair - Rebuild 9modifySpace _ Work in R.O.W.
Description of work:
RESIDENTIAL
Water Heater
Water Softener
PERMIT TYPE Lawn Irrigation RPZ / _ PVB)
7,Add Plumbing Fixtures Main / Lower Level)
1
Septic System
New Water Turnaround
Abandonment
RESIDENTIAL FEES:
$60.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$60.00 Lawn Irrigation (includes $5.00 State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
*Water Turnaround (add $166.00 if a 5/8" meter is required)
$105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
TOTAL FEES $
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.goi)herstateonecall.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 pi
an
Applicant's Panted Name Applicant's Signat
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground Rough-In Air Test Gas Test Final
Use BLUE or BLACK Ink
I
~ For Office Use /03/3tP
••t A n Permit j
My of Eapn I Permit Fee: I
3830 Pilot Knob Road
Eagan MN 55122 RECEIVE. r' I Date Received:
Phone: (651) 675-5675
Fax: (651) 675-5694 FEB 13 2012 Staff: I 5
2012 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: G + Z Site Address: 0 W 9 10C ~~+iv1 ) ~ t Unit
Name: ~ tCr ~ Li PC l A-n-%-Dr -QSU 13 Phone: (l,5 Z16 7S
RESIDENT /
OWNER Address/City/Zip: (_4 o `{y ~jaoZTtA7,Yif-u larLr2►1~- -
j Applicant is: Owner Contractor
I Description of work: C-it ~'C et-' l
TYPE OF WORK ;
Construction Cost's Multi-Family Building: (Yes / No )
Company: Ct)C_C EL Contact: 1 2 c,y fii,' c tC ,
CONTRACTOR Address: qG to thlflvUfC.~ C t.Ut~ City: LA1iL24)(L_(_ °
State: O N60 Zips: 95-OCA`"( Phone: c1 SZ _ H V1_ (09 00
License ~ C. --+-r-t-t•-1g31 ] 13 Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
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.aooherstateonecall.ora
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.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
x ~n~~uSSt' x
Applicant's P inted Name Appli 's iort ture
Page 1 of 3
Lo 6'1h - L rr
Lht
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Found _ Fireplace _ Porch (3-Season) _ Storm Damage
le Fa _ Garage - Porch (4-Season) _ Exterior Alteration (Single Family)
_ u ti _ Deck _ Porch (Screen/Gazebo/Pergola) Exterior Alteration (Multi)
01 of _ Plex Lower Level Pool _ Miscellaneous
Accessory Building
WORK TYPES
_ New _ Interior Improvement _ Siding _ Demolish Building*
_ Addition _ Move Building _ Reroof _ Demolish Interior
Alteration _ Fire Repair _ Windows _ Demolish Foundation
Replace _ Repair _ Egress Window _ Water Damage
Retaining Wall *Demolition of entire building - give PCA handout to applicant
DESCRIPTION
Valuation 10049 Occupancy MCES System
Plan Review Code Edition a~ SAC Units
(25%_ 100% t!f Zoning )D j) City Water
Census Code /7(3~ Stories Booster Pump
# of Units / Square Feet PRV
# of Buildings / Length - Fire Sprinklers
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final / C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation HVAC _ Gas Service Test Gas Line Air Test
Drain Tile Other:
Roof: -Ice & Water 'Final Pool: -Footings -Air/Gas Tests -Final
Framing Siding: -Stucco Lath -Stone Lath -Brick
Fireplace: -Rough In -Air Test -Final Windows
Insulation Retaining Wall: _ Footings _ Backfill _ Final
Sheathing Radon Control
Sheetrock Erosion Control
Reviewed By: , Building Inspector
RESIDENTIAL FEES gR W f~~(~ °'g 700
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies ~Q
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA109622
Date Issued:03/25/2013
Permit Category:ePermit
Site Address: 4049 Northview Ter
Lot:9 Block: 2 Addition: Lexington Parkview
PID:10-45035-02-090
Use:
Description:
Sub Type:Siding & Windows/Doors
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments: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.
Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. 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 -
Craig F Anderson
4049 Northview Ter
Eagan MN 55123
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA117944
Date Issued:10/24/2013
Permit Category:ePermit
Site Address: 4049 Northview Ter
Lot:9 Block: 2 Addition: Lexington Parkview
PID:10-45035-02-090
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 .
Jeff Pelant
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 -
Craig F Anderson
4049 Northview Ter
Eagan MN 55123
(651) 905-0385
Legacy Restoration Llc
14000 25th Ave N
Suite 110
Plymouth MN 55447
(763) 354-7660
Applicant/Permitee: Signature Issued By: Signature
OCT -21-2016 15:24 FROM: TREBILFOUNDATION SYS 3205938720
4,11/"City atEta
3890 Pilot Knob Road
Eagan MN 55122
Phone: (651) 676-5575
Fax: (651) 6755694
TO:16516755694 P.2/'5
Use SLUE or BLACK Ink
For omen Use
Z I
Permit*. —5671 5—) j
I
Permit Fee: 3 (P
:4,
Date Received;/Z'...
Stat.
2016 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 1 Av site Address:
Resident/
Owner Address l City/21p:
Nemo:
•
Contractor
Unit #:
Phone: 65. 7- /Gtr: vs
Applicant is: _ Owner XContractor
Description of work: j Ifd YdrikniVed
Construction Cost: 3 42 OD ✓ Multi -Family Building: (Yes _/ No ,L)
Company: Jesse Trebil Cone Christine
Address: 60335 us hwy 12 airy,. Litchfield
State: Mn Zip: 5.5355 Phone: 3205938729 Email. Info@safebasements.com
License 11: BC446489 lead Certificate #: NAT11062291N
If the project is exempt from load certification, please explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
in tho Jost 12 months, has the City of Eagan issued a permit fora similar plan based on a master plan?
Yah No If yes, date and address of mastor plan.
r Licensed Plumber: Phone;
Mechanical Contractor. Phone:
Sewer& Water Contractor: Phone:
r
Fire Suppression Contractor.
Phone:
NOTE; .Plans and supporting documents that you submit are COnsldered to be public 'aromatic**. Pardons of
the information maybe classified as non-public. if you proWde specific reasons that would permit the City to
conclude that the are trade secrets.
CALL BEFORE YQIU DIG. Calls Gopher State Ono Call al (651) 454.0002 for pmtac ilon against underground utll y damage. Call 48 hours
before you inland to dig to receive locales of undeiground u/Blies. www:aonherstatoonece8.org
I hereby acknowledge that this information Is complete and ect:wale; that the work will be in conformance With the ordinances and Caries of the Gly of
Eagan that I understand this is not a permit, but only an application for a penmt, and work is not to start withoul a permit; that (ho work wit be in
accordance with the approved plan In the case of work which requires a review and approval of pians.
Exterior work authorized by a building permit Issued In accordance with the 'Minnesota Stats Building Code must be completed within 180
days of permit issuance.
x Christine Smith
Applicant's Printed Name
>r .6• . L
Applicant's Signature
Page 1 of 3
OCT -21-2016 15:25 FROM:TREBILFOUNDATION SYS 3205938720 T0:16516755694 P.4'5
i DO NOT WRITE BELOW THIS UNE
te-31
$UB TYPES
Foundation
4 Single Family
Multi
01 of _ Plox
WORK TYPE%
New
Audition
Alteration
_ Replace
_ Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25%100%,. )
Census Code
# of Units
# of Buildings
Type of Construction
_ Fireplace
_ Garage
Deck
Lower Level
_ Porch (3 -Season) — Exterior Alteration (Single Family).
Porch (44eaeon) Exterior Alteration (Multi)
Porch (Screen/Gazebo/Pergola) ^ Miscellaneous
Pool
_ Interior Improvement
_ Move Building
Fire Repair
Repair
;1_5122 Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Roof: _Ice & Water Final
Framing
Fireplace:
Insulation
Sheathing
Sheetrock
Fire Walls
Braced Walls
Shower Pan
Reviewed By:
Width
Rough In Air Test Final
_ Siding
Reroof
Windows
Egress Window
Accessory Building
_ Demolish Building"
_ Demolish Interior
_ Demolish Foundation
_ Water Damage
'Demolition *lentils building -give PCA handout to applicant
MCES- System
SAC Units
City Water
Booster Pump
PRV
Fire Suppression Required
Meter Size:
Final / C.O. Required
--- Final / No C.O. Required
HVAC Gas Service Test Gas Line Air Test
Pool: _Footings Air/Gas Tests Final
Drain Tile
Siding: Stucco Lath _Stone Lath Brick
Windows
Retaining Wall: i Footings Backfill Final
Radon Control
Fire Suppression: _Rough In Final
Erosion Control
Other:
, Building Inspector
RE,VDENTIAL FEES
Base Fee
Surcharge
Pian Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Coplee
TOTAL
(�P
Page 2 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA144829
Date Issued:08/11/2017
Permit Category:ePermit
Site Address: 4049 Northview Ter
Lot:9 Block: 2 Addition: Lexington Parkview
PID:10-45035-02-090
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
Valuation: 3,000.00
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 -
Craig F Anderson
4049 Northview Ter
Eagan MN 55123
Fireside Hearth & Home
2700 Fairview Ave N
Roseville MN 55113
(952) 985-6675
Applicant/Permitee: Signature Issued By: Signature
l\
) 16f/i
For Office Use
��% � •,:,:‘ Permit#: /q--7[-11;
&
) 1� Permit Fee:
/ye-- /s-'--
RECIEVED
Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD: (651)454-8535 I FAX:(651)675-5694JAN 18 2018 L Staff:
buildinginspections(acitvofeagan.com J
2018 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: jft / I Site Address: Unit#:
Name: ei2 I& A i Liiv'PA P A4c'/tt Phone:
Resident/
Owner Address/City/Zip: elf/'eC/ ,1r�/��rtllV/ 7-8,444-LC
Applicant is: Owner R Contractor (1) D
Type of Work Description of work: ,/r�,45;Te ,Gc-' e. ,.
Construction Cost: 1.1,20C) Multi-Family Building: (Yes /No )
Company:( 7eryir . uCLContact:J S _teS
Contractor
Address: 7q/6 LA-IC/ailLLS pik=L�t2 /Z/c) City: 7 i"k-r i--g
State:/pjj Zip: 43 'W Phone: Jam_-*/ mail. jey'?re,!?1���` ,r, /C—i`ice�'e �ir rfeLt
License#: /I���yLeaCertificate��-jCfS'`l� ,��
If the project is exempt from lead certification, please explain why:
fir14-rfi 7 --I 7i-3
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes,date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information may pe
classified as non public if you provide specific reasons that would permit the City'to conclude:that they are trade,secrets. ,<
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeaean.com/subscribe.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities. www.aooherstateonecall.oro
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.-------p,:-6-4/“..,
"'with the approved plan in the case of work which requires a review and appy.,-I of pla . -
x R J `-.. l/l� f�f7^ x —I I ......,,-
Applicant's PrintedfNa'me ` Applica, s Sig - re /
„ . N. Z--Mz-/ ifity6iht/26- ) TW- / -/7 5 9
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation _ Fireplace — Porch(3-Season) _ Exterior Alteration(Single Family)
3 Single Family Garage Porch(4-Season) _ Exterior Alteration(Multi)
Multi _ Deck _ Porch(Screen/Gazebo/Pergola) Miscellaneous
01 of_Plex _ Lower Level _ Pool _ Accessory Building
WORK TYPES
New p Interior Improvement Siding _ Demolish Building*
Addition _ Move Building _ Reroof _ Demolish Interior
Alteration _ Fire Repair _ Windows _ Demolish Foundation
Replace _ Repair _ Egress Window Water Damage
Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION
Valuation 0 Z 70°• — Occupancy 5-17.< -1 MCES System
Plan Review Code Edition rapt Zo rS” SAC Units
(25%_100% 2) Zoning D City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction j ' Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final/C.O. Required
Footings (Addition) P Final/No C.O. Required
Foundation Foundation Before Backfill 14 HVAC_Gas Service Test Gas Line Air Test
Roof:_Ice&Water _Final Pool:_Footings _Air/Gas Tests Final
Framing 30 Minutes 1 Hour Drain Tile
Fireplace:_Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS
� Insulation Windows
Sheathing Retaining Wall:_Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression: Rough In_Final
Braced Walls Erosion Control
Shower Pan Other:
Reviewed By: 7bdY/ /72/ f/y,4- , Building Inspector
RESIDENTIAL FEES ! 2
Base Fee /35 $9. ,fir. ® ? o.o�
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA147820
Date Issued:02/08/2018
Permit Category:ePermit
Site Address: 4049 Northview Ter
Lot:9 Block: 2 Addition: Lexington Parkview
PID:10-45035-02-090
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Fixtures
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (miscellaneous)$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 -
Craig F Anderson
4049 Northview Ter
Eagan MN 55123
Sieben Plumbing
18605 Fischer Ave
Hastings MN 55033
(651) 343-6298
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA166153
Date Issued:12/16/2020
Permit Category:ePermit
Site Address: 4049 Northview Ter
Lot:9 Block: 2 Addition: Lexington Parkview
PID:10-45035-02-090
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
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 -
Craig F & Linda K Anderson
4049 Northview Terr
Saint Paul MN 55123--155
Minneapolis St. Paul Plumbing Heating Air
640 Grand Ave
St. Paul MN 55105
(651) 228-9200
Applicant/Permitee: Signature Issued By: Signature