4057 Northview TerCITY OF EAGAN
t "'?tivv
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 -
PHON E: 454-8100
BUILDING PERMIT : Receipt# i
To be used for ST/1'iAR Est. Value s106,000 Date MARd1 i<
Site Address 4057 iIORTHYIIEW TERRAt.`E
Lot.11_Block2_Sec/Sub.L,EXIIIG?OM PAMIRI
Parcel No.
ir Name JOIC !lILt.iit CONE1R74TIOAi
; Address 18133 CEAXAR AVE
0 City FARVIlIG'ibR Phone 631-2001
= o Namle RAlIg
? a Address
? City Phone
?M
OW
W W
Name
Address
U
q W
City j Phone
I hereby acknowledge that I have read this application and state that the
information is porrect and egree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Signature of Permittee
A Ruilding Permit is issued to: JOLr 14I1-1.FR CQ(?.$TR1iCTiW
on ihe express condition that all work shal I be done in accordance with all
appqcable State oi Minnesota Statutes and City of Eagan Ordinances.
Building
OFFICE USE ONLY
On Site Sewage Occupancy R+,3
MWCC System X Zaning P[1 S.-i
On Site Well (Actual) Const V-N
City Water (Allowable) ?-
PRV Required # of Stories
Booster Pump Length 44•
Depth 381
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr./Assess. Permit 6oo.QQ
Planner Surcharge 14.?
Council Plan Review im,j](1
Bldg. Off. SAC, City 1QO.QU
Variance SAC, MWCC
Water Conn.
WaterMeter 67_AD
Road Unit 325.00
' Treatment P1 204,00
Parks
TOTAL ?.750.00
0 CASH RECEIPT
?
CITY OF EAGAN
, . 3830 PILO'T KNOB ROAD
EAGAN, MINNESOTA 55122
DATE
nECEnEo ?
FROM • i
4 AMOUNT $
? 8 DOLLARS
100
? CASH I] CHECK
-_-
1
BY
wnne-Perers covr
f 1 f y vellow--POSting copy
Pink-File CoPY
Thank You
BLDG. PERMIT N0.
.._. ', _ t l
i.i( lJ'?W
-4 }
?
01-3210 $ldg, Permi t
,p1-3422 Plan Check ?_:} (JC CO
01-3445 Surch./Adm. ?
01-3446 SAC/Adm. '
01-2155 Surcharge - `1
?-7-3860 Road Unit
20-2275 SAC - Li
20-3865 Water Conn. ?3J? (--,
20-3868 Water Trmt. Ll t)(..'
20-3716 Water Meter
20-2252 Acct. Dep.
20-3713 Water Permit
20-3743 Sewer Permit
79-3866 5ewer Conn.
-1-t-3855 Park Ded.
TOTAL
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PH ON E: 454-8100
BUILDING PERMIT Receipt#
To be used for Est. Value '. ? ?+d #(H?t i Date -"4??? C'! ; 4 ? ,19
SiteAddress ? tdnT,;T';•. RAC1? Urric eustUnLT
?/ ? 1!?i,. r ???
Lot BIoCk Sec/Sub.?•? •I??'t Ak` E •' w On SR9 S9w8qe OCCUPenCY
MWCC System ? Zoning !
Parcel No.
On 5ite Well (Actual) Conat
x Name
City Water
(Allowable)
-
W
z • • , , :
Address ' ?- PRV Required # of Stories
? City Phone ?' ??-•it? 1 ??ter Pump Length
Depth
, o Name S.F. Total
? ` Address Footprint S.F.
?°C- City Phone pppROVALS FEES
? W
W
Name Engr./Assess. Permit
Planner Surcharge
= n Address Council Plan Review
cc Z
qw City PhOne
Bldg. Otf.
SAC, City
I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC
information is correct and agree to comply with all applicable State of Water Conn.
Minnesota Statutes and City of Eagan Ordinances. Water Meter
Signature of Permittee _ Road Unit ???•
A Building Permit is issued to:___ _ s- : ''`_` t?.l I•? Treatment P1 =L -'
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances. Parks
? '
?
Building OffiCial _
TOTAL
'
, Permit No. Psrmit Holder Dats Telephone ?k
Plumbing `??-?? ?? ? , ^? :-?2vct,i %Y
H.V.A.C.
E lectric
Softener
Inspection Qate Insp. Comment5
Footings I
Footings II
Foundation r
Framing -10
Roofing 1
Rough Plbg. . p- ,
Rough Htg.
Isul.
Fireplace
Final Htg. $=2 I/e S
Final Plbg.
Bldg. Final 2 ds
Cert Occ. Szy? Q?' r/1t6? i h r!
Temp. LP ,c-
Deck Ftg.
Deck Final
Well
Pr. Disp.
0 .1 • J
(Etrti#iratt uf Mrrupttnry
Citp of (Eagan
arprhnmt a# lidtdtng iwertian
This Cerrificate issued pursuant to the requiremenrs of Section 306 of rhe Uniform Building
Code certifying that at the dme af issuance this structure was in conepliance with 1he various
ordinances of [he City regulating building construction or use. Fos the foUowing.•
ux c?rw.? ?I7WG?GAR
Omuw-r Trr? R3 Zooc Didrict
o?r ci eomoa JOE 1"? UGNSTEU CTICb
A
BWding Add= 4057 NOFMiVIQ?i If.?RACE
Wding OIBEitI
8Wg. Pennit No. 14685
PL' R I rm com Vtt
_ Addrm 18133 CIDAR AVE. FARKWICTI
_,?lity L 11, B2, I.,EkTW" PAftKaM
_ Daw. MAY 24, 1988
POST IN A CONSPICUOUS PLACE
? •.
CONTRACT PRICE
Site Address _
ki Name
-ia Addre
c City
? Name
c Addre
p3 CitY -
Forced Air
Boiler
PERMIT #
MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN. MN 55122 DATE: -
PH ONE: 454-8100
` ' BLDG. TYPE WORK DESCRIPTION
Sec/Sub ,'-- Res. x New X?
? Mult Add-on
Comm. Repair
? Other
ione ?
FEES
RES. HVAC 0-100 M BTU
? M BTU
M BTU
M BTU
RA OTI 1
vvmmi n?v rcr_ - 17o vr vviv i nr
APT. BLDGS. - COMM. RATE APP
TOWNHOUSE & CONDOS - RES.
MINIMUM RESIDENTIAL FEE - AL
RE
MINIMLIM CdMMERCIAL FEE
I?
?
PERMITTEE ?
- $24.00
- 6.00
- 1.50 EA.
- 12.00
- 20.00
' .50
?' • . PERMIT #
PLUMBING PERMIT RECEIPT #
CIT1f OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 pATE:
CONTRACT PRICE: PHONE: 454-8100
Site Address
Lot I/Block 91f Sec/S
,
? Name ( .
? Address '
c City " ?;?Oxe y' Phone - l ?
?
?
Name 71 Te
3 ?
Address ??
p _
City,
?Phone ?ZZ Gw_1 -
FEES
COMM/IND FEE -1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APPLIES
MIMIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
i
, ?.. ,
SIGNATURE OF PERIVjiTTEE
FOR: CITY OF EAGAN
BLDG. TYPE WORK DESCRIPT.ION
Res. New "
f-?Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. -) FiXTURES TOT,#L
?Nater Closet - $3.00
$ f
---- lpath Tubs - $3.00 5
-;Lavatory - $3.00
Sh6wer - $3.00 ?
'Kitchen Sink - $3.00
Urinal/Bidet - $3.00
Laundry Tray - $3.00
Floor Drains - $1.50
! Water Heater - $1.50
Whirlpool - $3.00
-/-Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIT)
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
? ough Openings - $1.50 '
FEE:
STATE S/C: -? •
GRAND TOTAL: -'
1NNY1:U'1'lUN ilLC;UltD
CITY OF EAGAN PERMIT TYPE: 1 '" N',
3830 Pilot Knob Road Permit Number.
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
? r? , cf ??•,?,, ? ? ; ?; "
SITE ADDRESS: APPLICANT:
.,, , :W,, if??icE,r .,Il aI lit
11 iW;11M , r:i;.VIF.W i?,i.. . r:?•?: 1f,Oti
PERMIT SUBTYPE: TYPE OF WORK:
, . , , :?, . ,0W i t I „r
R1MARKSi 1-1111N itfV3V4!!'Ly Fc'V rl;A 1 1; Nrk\/A['1Yk.
CAI.I 446 .?'H:l0 fzk +;A 1",(IrNI, F I F?: 7i+xrAt f't'fth4l 1'AN11 7N 640Ef.1 1 U0': .
Permit Holder date Telephone #
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
/
FOUND
FRAMING
ROOFING
ROUGH
PIUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
NIETER
FLUSH
MAINS
CONDUCTIVITY
TEST
HYDROSTRTIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL I
CITY OF 6AGpN Permit No: ' Date: - g•-
3R30 Pibt Knob Road B/P No: hi 9i.. Date:
P.O. Box 21199 '
Eagan, MN 55121 Owner.
SiteAddress; 7 ',c?rri.v?PC,_TerrarP i.ll i.pxinf,°_ - 7'ar' _
Plumber. "1 " r
_.-.?
.
MWCC: _ OOnd
Pnin?.;?;},}•?
;?-
City+ Chg: _ ' . 0Cn?pfOiEG'r?{rib C`T? • ?? ?iNJ ?
r.
Acct Dep: r r,n?, GFN?}iV E?.?C u`'
` "?E
Permit Fee: ? fft! rn 4AW# with the City af Eagsn
Surcharge:
------------
Misc.: By
SEWER SERVICE PERMIT
CITY OF EAGAN Permit No; Date: 383Q Pilot Knob Road Meter No: 0 Size:
-Ig
P.O. Box 21189 Reader No: D&t& r
Eagan, MN 55121
Owner. •Tae Mi11er Const.
Site Address: 4057 r'orthvie*c Terrace .? ? T? T,exiLr_'tol. °=r
Plumber "I „ot1th Plumi
Conn. Chg: 550.t)UDd IPl aKpjlftMping: '.
1
Acct. Dep:
'?? of.Units:
ifig-
• vQ ?:; I iiii
il
?
Permit Fee: ?
li
..: .
i
.
- LtL; I K:y 8JA4 6 compiy with the Ctty ot Eagan
S u r c h a r g e:
Tr.Plant '? ??
2,IP-19vcv?? ?cLh "?Ar4 f1
??
Meter.
WATER SERVICE PERMIT
CITY OF EACAN
5830'Pilat Knob Road
Eagan, MN 55121Permit No: Date. ;
P.O. Box 21199
B/P No: Date:
?
*fher tbast.
Site Address: cerruce Lii :5:-'
Plumber: " ?,cr?•???r:r .,1
i
MWCC: Zoning•
Clty Chg: NO.Of Unlt,s:
Acct Dep: , I agree to camplr with the City cf Eagan
Permit Fee: . Ordinances.
Surcharge
By
SERVICE PERMIT
CITY OF EAGAN Permit NO: r' 3830 Pllot Knob Road Meter No:
P.O. Box 21199 Reader No:
Eagan, MN 55121
Owner.
Site ~
Date:
Size:
Date:
L7.1 32 L+ea
Conn. Chg: ?OT>d
.
2oni??
?
Acct De
p? 7• 5 • (?ne
'? No. ot Units: I
Permit Fee: _ ? ' • 00pd
Surcharge; • 5()txy I a
ree to
l
t
h
T
204.
-i
0o g
y w
comp
t
!he City of Eagan
r. Plant- r••c
• Ordinances.
Meter. _ 67 O„npd
' IYIIyV.. QY
I v
WATER SERVICE PERMIT
This rcpuest void??
18 rtpnths /rom
D 307001-//
-??."? `•"•••`°? `°°°°b•O' I hareby requasi insvection ot ebova
? Owner elec4ical work instelled aC
5[reet AdAress, Box or Pouce No. Ciry
ctmn o. Towns ip Name or No. Range No. County
OccuUentIPPINTI hone No.
d E' % E'k r o o r ?a o 0
Power Supplier Address
? I
N O ?
lec[rical racmr Compa Neme) Contractm's license No
.
C
/
Ma IinA ?ess (Cont ctot or Owner Makine Instailation)
S-?P U -
d/
,
/ C.a+i
..
uth rizetl Siena[are (COnvactodOwner Makine I??sta ation) Phnnc Number
i
VI NESOTA ?,7E BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
riygs-MiAway BIdO. - Aoom N-191 BE ACCEPTED BV THE STATE BOAHD
1827 Univeraitv Ave., $t. Paul. MN 55700 UNLE55 PHOPEN INSPECTION FEE IS
Phone (612) 642-0800 . ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION ee-ooooi-uo/
See irmhactmns br complatin9 this Iwm on bnck or yellow copy. f-
/
810 n 0 "X" Below Work Covered by This Request
Nw.{AdAjNep.I TVpa ol Building I APOlioneea WireE I Equiumenl Wired ?
ce
I I I I Industrial 01Aa. Y I Air Conditioner I I Buik Milk Tank I
uon
p Fee ServiceEntreaee5iae tl Fee Fexders/Suhteatlers a Fee Clrcults
jILI 0 to 200 qm s 0 to 30 Am s 0 tn 30 Am
Above 200 qinpa, 37 to 100 Amps 31 to 100 Am §
Swimming Pool Above 700_Amps Above 700_AmPs
Transiormers Irngation Booms Partial.Other Fee
Signs Special Inspection $
Hemarks a s TO L F
.z
Rooeh-in n/ W^p) I. tne cal
Inspector, heroby
certi(V thnt the above
Final V^te ? insoection hes eeen
1 _ ? ..?lG resde.
Tniereoueal
CITY OF EAGAN N2 14 6 8 5
3830 Pilot Knob Road, P.O. Box 21-199; Eagan, MN 55121
BUILDING PERMIT PHONE:454•8100 Receipt #-' 19 '?- -
_?
Tobeusedtor SF/GAR Est.Value $108,000 Date MARCN 14 119.$9-
SiteAddress 4057 NORTHVIEW TERRACE
Lot 11, giock 2 Sec/Sub.LEXINGTON PARKVIEi
Parcel No.
. Name JOE MILLER CONSTRUCTION I
? Address 18133 CEDAR AVE
° City FARMINGTON phone 431-2001
p Name_
? a Address
I City_
U?
ww Name
Fw
ig Addre
aw City_
I hereby acknowledge that I have read this aOPlication and state ihat the
information is correct and agree to comply wi h all applicable State of
Minnesota Statutes and I¢i^ o/f E2gan Or i ?e,s.,?y•)?SignaWre of Permittee ." w _ ?L!"Liw
A euilding Permit is issue0 ro:??lO?MILLER_C4H3TEUDTION
on Ihe ezpress condition that alVwork shall be done in accordance with all
applicable Sfate of Minnesota Sffitutes and City of Eagan Ortlinances.
Building Official-atMA."J?
OFFICE USE ONLY
On Site Sewage _- Occupancy _.R-3-
MWCC System X_ Zoning PD R-1
On Slte Well _ (Actuap Const V-N
Ciry Water -X__. (Allowable) V-N
PRV Required - # of Stories _
Booster Pump _ Length 49'.
Depth
'
319
S.F. Total
Footprint S.F. _
APPROVAIS FEES
Engr./Assess. - Permit fLQQ?QQ
Planner Surcharge _-5-4.._QQ
Council Plan Feview _390,DO
BId9. O%. SAQ City _1RQ-44
Variance SAC,MWCC 550_00
WaterConn. _r25.0-DQ
WaterMeter _-6-1-00
Roatl Unit _325--aQ
Treatment P7 .-ZO4AQ
Parks
TOTAL 2.750.00
vvia.e?rv-.?. iuu i?.?v rna to? D!1 '4480 !SU'1YLjYAL ?k'BIYU$lS+'1!f!Y .
- f
re ?,?, .. ??. . . ..
f?b t aoo? - Citr of Bagat, ,
3836 PiIot gnob Road EsBen. MN 55122 . To Whom k May costcern:
EIder 7ones is authorized tA ptU buiIding permlts forRenewal bY qndeasrm. Please atlow
dElate dcr Jones to pmvido this ?rvicc far ua in Fagan. ITus emthat#zetian is vatid for any
. boyond 6/6101; until at?enawa( bY tlndcrsen mauapr+rr eaPcesslY re vokes it in wiiNng
to the Ctry-
I roqucst ihis antfioemahon be er,cepteg-expe&iousl .. .
our baildinS Poamib cmY furtficz. Elcasc caII mc If thct? aro andeley in the Proc?saitlg of
? contactt at 763-502-4706_ . Yqum?ona.. I can be
Yaur imm9diate attcntion io tliis mattar is a?re? .° ..•
Sinoaiely,
and R Rau
ostalIation Manager
Ranowal by Anderscn CorPoratzvB
Ksirn-FTrie.r Tnnec -
„ ?ff n z ? ? m
11
WIUU
Received Time Jun. 7. I:0IP4d
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122 /
651-881 •4875 -7 5
New Constructbn Neauirements
• 3 regMere0 sde surveys showing sq. ft of lot, sq. fl. of Muse; aM all roofed areas
(20% max6num bl caverege albwed)
. 2 copies of plen showing beam & wintlaw sizes; poured found design, e[c.)
• t set of Energy CaXwletions
• 3 coples of Tree Preservetbn Phan il bt plattetl eNer 7/1193
. Fiim,bisl Deteil Optlons selecl'an sheet (bldgs wXh 3 or less unRS)
DATE J -C (; _tJ D_
SITE ADDRESS
NPE OF WOR
pemotleVlleoelr Reauiremente
. 2 coples of pYan
. 1 86t of Energy C21CU18ibns for heafetl ad4tti0ns
. 1 sile survey far ez[erior addilbns & decks
. Indkxte ii home served by septic system for adtlilions
VALUATION J vvU /
??
?? MULTI-FAMILY BLDG _ Y _ N
OV-2< FIREPLACE(S) _ 0 _ 1 _ 2
APPLICANT ,1 %/,!/.Y/ -
STREET AD RJ? SS CIN STATG'?G N Z1pS?l? ?
TELEPHO# CELL PHONE FAX #
[/- cs,(/
PROPERTYOWNER TELEPHONE#
-------° ---°--------------°------------------°-------------------°----------------------°
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MIN'NESOTA RULES 7670 CATEGORY 1 MINNFSOTA RULES 7672
(J submission type) • Residential Veniilatlon Category I Worksheet Submitted • New Energy Code Woifcsheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Conhactor: _ Phone # __ ____- ?
Plumbing system includes: _ Water Softener _ Lawn Sprnnkler Fee: $90.00
_ Water Heater _ No. of R.I. Baths
_ No. of Baths
Mechanical Conhactor: Phone #
Mechanical system includes: _ Air Conditioning Fee: $70.00
Heat Recovery System
n
T ???'J ?
? I
Sewer/Water Conhactor:
Phone # I
MAY 1 6 L"UUZ ' ?
-L --?
----
--------------------------------------------------------------------------------------------
I hereby acknowledge that I have read this application, state ThaT the inf m tion is c - -----------
-
t gree to com ly
with all applicable State of Mi nnesota Statutes and City of Eagan Ordi c s, ___._-.---
Signatureof Applicant ?
...---°_......_.._._.__........_._.».---°-°--°-
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updaled 4/02
OFFICE USE ONLY
O 01 Foundation ? 07 OSplex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex 0 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Mufti
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) 0 33 Ext. Aft - SF
? 04 02-plex ? 10 08-plex O 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04plex O 12 12-plex Pibg_Yor_ N 0 25 Misceilaneous
? 31 New O 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair
? 33 Atteretion ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement •Demolition (EMire Bldg only) - Give PCA handout to appllcant
ValuaHon Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const W idth
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaVC.O.
_ Footings (deck) FinaUNo C.O.
_ Footings (addidon) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Smcco Stone
_ F'veplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By
Base Fee
Suroharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
TOtal
Buikling Inspector
, 1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN •
SINGLE FAMILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTEs ADDRESSES FOR CORNER LOTS - CONTRACTOR/fi0ME0WNER MUST DESIGNATE WIiICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BOILDING PERMIT IS ZSSUED.
MULTIPLE DWELLZNGS AENTAL UNITS FOR SALE UNITS # OF ONITS
INCLUDE 2 SETS OF PLANS, CEATIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COMMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL
1 SET OF SPECIFICATIONS AND 1
To Be Used For:
a"l
Site Address
& STRUCTURAL PLANS,
SET OF ENERGY CALCULATIONS
Valuation: `Date:
', i'/ nt+iirnn rtea nr.R v
Lot ? Bloek ?
Parcel/Sub
Owner
Address
City/Zip Code
Phone
Contractor ? ? CX.t.t ?i?-a??? •
Address
City/Zip Code
Phone 1?'S ? - ?•? ?
Arch./Engr.
Address
City/Zip Code
vc ? ?
IO$ Doo ^
On site/sewage_
MWCC system r/
On site well
City water r/
PRV required _
Booster Pump _
APPROVALS
Occupaney
2oning ? R ,I
Aetual Const V-N
Allowable V-N
# of stories
Length y9 ,
Depth
S.F. Total
Footprint S.F.
FEES
Engr/Assess
Planner
Council
Bldg. Off. jEtV4
Variance
Permit Op, 00
Surcharge 54,00
Plan Review ,30n, o0
SAC, City 100.00
SAC, MWCC 5 SD,oo
Water Conn S50.00
Water Meter f017, o0
Road Unit 3 ZS.oo
Treatment P1 2 04,00
Parks
Copies
TOTAL
Phone U
i? . .
(To
"TERIOR EIiVII,OPII AVERpc3E IOUII COIiPllTATZON
be eubmittod xith bulldittg permit Qpplication)
• One or Tmo Family Dwelling
All Otlier '
Contractor
LItlEAL FEET OF
EXPOSED 1'NI,[,
Jr -
0 xner
61te Addrese 1 o-r I I B1k Z
Date
Phone
_ -??-r/- w0/1-? ??/lT tt. above grade ? Z?Z t
TOTlIL EJ(PUSED WALL AAEA Sq, FT.
oPAQUE WALL C017STRUCTIONs "U" Value x Area
Detall: x g?,
refereACe uls x 3(2•
Irom ? "p'l , x SQ.
attached "U" x SQ.
sheota "us' X ge,
nUu
7C SQ,
YlIIrDOIYg: 'IU" Value x Area
Nalce tk Type
?? ?l?Jl-r?Y.(•"r i:Ui? ?? 1 x SQ.
o
n u - u?n X SQ.
u _ ?u x s
n u nUu X SQ.
DoORS: "U" Valuo x Area
FT. ? {:p)(p)
(U) (A)
FT, o U) (A)
FT. _ U1(R)
FT. ' (U) (A)
F'T. _ (U)(A)
FT.-(U)(A)
FT. - (U)(A)
- (U)(A)
FT.. _ (U)(A)
NzEce & TYpe ?i L. (- nprl . I x sq. FT., 53 Z(u)(A)
u -
?r nUu ?
n n x. SQ. ?.._.4Z = . (U)(p)
f:. . n0?r ' • X 9Q. FT.
A)
X S'a. FT. _
{U)(A)
? 1iDTALS _ Z?fJZ SQ. F'T. Ifl, Z (U) (A)
TOTAL (U)(A) VpLUES ' Q AVERAQE "U°
` /l,lZ a ' pQ?
t n
DIVIDED BY TOTAL 1711I,L AREA 7i3?OZ
AvEHAGE "U" •115 or lese for 1&2 famlly dwellinge
ROOF/CEILIN4:
TOTIti, AREAs IZIJ/7
Detail rofareace
from loUt#
OZ
' I x
ii
3Q. F`P. /'<?G, =?z
?(U)(A)
nttached sheete. Uu
upu ? x SR' FT' c
? (U)(A)
Describe onohinga n?ri x gQ' ?• ' (U)(A)
in roof. ??U?? x 8Q. FT. = (U) (A)
x SQ. FT. _ (U)(A)
TaTILL (U)(A) VALUES DIVIDED BY
Z57
Z -TcrAU7 26) Z Z
?e.?r --.?-?V ??
TOTAI, ROOF/CEILIi74 pRE? ,
? OLI '
AVERA4S ''Ufl .025 for vantilated roafe. J'
` _ o . ??L l????? . -----
hc-
ROOF/C$J1,ZN4
1.) Interlor Air r'i1m
2.) 5/811 ayp, Bd.
3.) Ineulation
4.1
5.) Exterior Air Film
(STILL)
R V U
0.61
.56
.61
u0u e 1/R? ?OZ iOTAL (R)a 4S.7S
.. DetermSn,ing "U" valuee at Roofl Nalls Rim# and Cono. Blook
WALL
6.) Interior Air Film
7.) }u 4YP. Hd,
8. ) Inaulation
9.) T?a IL'j"-3-'iTE
10,) Maeonlte Siding
11.) Exterior Air Film
R VALU
0.68
r9.oo
2. 6?
.17
npu n IIRa TOTAL (R)= Z3.0'
?-
RIH
12.) Intarior Air Film
l. j..)._. I neula tio n
14.) 2" Fir Rim Joiet
15.)
16.) Maeonite Siding
17.) Exterior Alr Film
R VALUE
0.6$
Jq.o,O.
1.88
Z:6?
.17
upn e 1/Re 10 TOTAL (R)e Z¢?j
FOUNDATIOH
18.) Interior Air Film
19.)
zo. ) K-Il yTxrP??A
21.) 12" aonorete Block
22.)
23.) F?cterior Air Film
R VALU
0. 6$
1.28
.17
IIUII Q IIRn ?07(o TOTAL (R) ° /?./?
88-02Z
TRI-LAND C0.
SURVEYING
SERVICES
1260 YANKEE DOODLE ROAD
EAGAN, MINNESOTA 55122
SITE PLAN FOR=
MILLER CONSTRUCTION
LEGAL DESCRIPTION: LOT H BLOCK? , LEXINGTON PARKVIEW
THEREOF u?1KOT4 RECORDED PLAT
COUNTY, MINNESOTA
?-
./Q-??
?QF,?P14.•o
?
63.19
L=36°12'27"
0 i
:% ,
bb
N
m_?, ZZ 9 SCALE : I11= 401
0 ?
N .g6 ?:2
N ? ?10"A?
I OT \ \
? y -?--
?
\pi, ?
p3 p2 ?jo/?•,
? •. - 0\4'
W >DRAINAGE A UTILI7Y
EASEMENT \ \ I OM
? O
? 5 vo
- \ ??? 55.00 ?J O
92748 220.58 N 90 41 17 W 952`1 cn
LEGENQ r?« j3oscr?e.?.r No ?/o
ihf'JERT Ei..tVkTi4N AT ScRViCe EXTEPiSiON=
a DENOTES IRON MONUMENT PROPOSED GARAGE FLOOR ELEVATION v2 /
* DENOTES WOOD HUB SET PROPOSED FIRST FLOOR ELEVATION _lylx9n
94d`o DENOTES EXISTING SPOT PROPOSEDBASEMENT FLOOR
ELEVATION ELEVATION
DENOTES PROPOSED SPOT
ELEVATION
? DENOTES DRAINAGE DIRECTION NOTE ' VERIFY ALL FLOOR HEIGHTS WITH
FINAL HOUSE PLANS
I haeby certify tAaf this turvey,pian or
rsparf wos preparad by me or under my
diroct supervision ond That i am a duly
Reqistared Land Surveyor under fhe
Lows of the State of Minnesota.
Bradley . /snson, Mn. Rey. No. 13235
Date ? c3{B1Rf?
CI'iY OF E1 ,AN
rASH.T.EF?: S T'EFMINAL N0; 803
OATEs 03/04/98 'f'f.MF:: 14:58:42
ID.
tdAMEc TAMFlF'AC;K LjUTLDERS
3210 9001 4057 NORTHVIk.W 81+2J
2155 3001 4057 NORTHVIEW r.OCJ
7ota1 Re.r.e9.p+. Amourit„ $3.25
r_RO91,973
USEfy :[Ii. NANCY
FERMIT
CITY OF EAGAN
3830 Pjlot Knob Road PERMIT TYPE: B U I L D I N G
Zagan, Minnesota 55122-1897 Permit Number: 6 3 3 0 6 9
(612) 681-4675 Date Issued: 0 9/ 0 4/ 9 8
SITE ADDRESS:
4057 NORTHVIEW TER
LOT: 11 BLOCK: 2
LEXINGTON PARKVTEW
P.I.N.: 10-45035-110-02
DESCRIPTION:
B;u"ilding;.... Permit Type GARAGE/ACCESSORY
Builtling Wb,rk Type ADDITION
,.``CensuS Gade438 ALT. GARRGE
`
- < -.
l d
T
.y t ..w . . ......
REMARKS:
PLAN REVIEWED BY CRAIG NOVACZYK.
CRLL 445-2840 REGARDING ELECTRICflL PERMITS AN(] INSPEC7IONS.
FEE SUMMARY:
VALUATItlN $4,000
Base Fee $87.25
Surcharge $2.00
Tntal Fee $89.25
CONTRACTOR:
TAMARACK BUZLDERS
10535 170TH
LAKEVILLE
(612) 898-1608
- Applicant - ST. LIC
18981608. 7334
ST W
MN 55044
OWNER: •
BRSNKMAN HOWARD
4057 NORTHVIEW TER
EA6AN MN 55121
(651)456-0255
I. _ . . ., - . . . . ' . . . . . ..
T hereby acknowledge that Z hav:e read: this appl9cation and state that the
inforrrietio:n is correct' and agree to compiy-with;all applicable State of Mn.
Sta utes and City of Eaqan qrdinances.
V
PLICANTlPERM IGNATURE
UED BY: SIGNATU E
-j
1998 BUILDING PEItMIT APPLICATION (RESIDENTIAL)
° CITY OF EAGAN
. _? 3830 PB.OT RNOB RD • 55122
?W
(?
33 0 ?0 I ? 681-4675 8
,,?- 3
l -
New Construdion Reeuirements RemodeVReoair ReauiremeMS /? '-"?Q?p?J "'-'-'"
• 3 rogistered site surveys • ? 2 copies of pWn
? 2 copies af plans (InGude beam 8 window sizes; pouretl fiC. design; etc.) ? 2 site aurvays (exterior atld'Rions & decks)
? 7 energy calalations ? 1 energy ralculations for heated addkions
? 3 copies oi tree preservation plan 'rf lot plaHed aRer 711193 required: _Yes,_ No ?
DATE: ZS -
W
LOT: SUBD./P.I.D. #: l-fx-i v\-?z?tM "U; -e
Name: llTi 11?mCLV\ HOWcjY'A Phone#: LAJ??-tOoZ57S
PROPERTY ?,asc F'usc
OWNER
Sheet Address: 7??V
Ciry -C-?/ State: Zip:
?
Company: Phone #: ^I60 v r- $''?? --?o5'E
CONTRnCTOR ? CCg..i 3I31 a _
Street Address: License #
Ciry State: Zip:
ARCHITECT/
ENGINEER Company:
Street
City
5ewer 8 water licensed plumber (new construction ony):
and lot change is requested once permit is issued.
Phone #:
Registration #: _
State: Zip:
I hereby acknowledge that I have read this application and state that the
State of MinnesoW Statutes and Ciry ot Eagan Ordinances. /
Signature of
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not
Penalry applies when address chang
is correct and agree to comply with all applicabl
""?I_ 1r CONSTRUCTION COST; 7Q00
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex
? 02 SF Dweliing ? 07 4-plex
? 03 SF Addition ? 08 8-plex
? 04 SF Porch ? 09 12-plex
? 05 SF Misc. ? 10 _ plex
WORK TYPE
? 31 New 13 33 Alterations
0 32 Addition ? 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
? 11 Apt./Lodging ?
O 12 Multi Repair/Rem. ?
p 13 Garage/Accessory ?
? 14 Fireplace ?
? 15 Deck
? 36 Move
? 37 Demolition
? S
16 Basement Finish
17 Swim Pooi
20 Public Facility
21 Miscellaneous
Basenent sq. ft. MC/WS System
Main level sq. ft. City Water
_ sq. ft. Fire Sprinklered
sq. ft. PRV
sq. ft. Booster Pump
sq. ft. Census Code.
Footprint sq. ft. SAC Code
Census Bldg
Census Unit
Building Engineering Variance
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Pertnit
S/W Surcharge
Treatment Pi.
Park Ded.
Trails Ded.
Other
Copies 3 oA
Total:
Valuation: $
?
?
v c? =-
L4 )qyI4, ,DU
°h SAC
SAC Units
v (:? - v c_ '-.
. TRI-LAND C0.
- SURVEYING
SERVICES
SITE PLAN FOR:
MILLER CONSTRUCTION
1260 YANKEE DOODLE ROAD
EAGAN, MINNESOTA 55122
LEGAL DESCRIPTION: LOT L,BLoCK? , LEXINGTON PARKVIEW
THEREOF ?AKO?? RECOCOUNTY,MINNESOTA
63.19 ? o
oi? L° 36112 27
?
: i 112
`D
?`5 ??T Z19ai, G?G ?O Jy ?n 9 0 gA \?9?^ I V
?._ s: ZZ 3 9? ?? SCALE : I"= 40 '
A A ? ?r
IOT
, -
t ?i ? ?. \ \p/? \
' `, ? \ 8e .oo\?c s?9 3
03 OZ
W /DRAINAGE 8 UTILITY r1r)
??,
M
EASEMENT \ \ I OO
?
5 0
-55.00 ? J ? O
92' e 220.58 N 890 41 17 W 95211 cn
LEGEND rvLL 13'45CM6h/T "o u/o
INVFRT Fi FVATiON AT SFRVICE FXTENSION=__-
Cities Digital
? Control
The following image represents the best
available image from the original page.
Every effort was made to capture the content
from the original page.
. -s 'lo
20 Q4 RESTDEIV-TLAL B?U1T113I1\TG PEI21tM APPT SCA.TION??
Gify El£Eagau
3830PrIotKn6b,Road,Eaganl'1IN55122
-?_..?- -- ----_-=- - ====T?elepkoner65?67?3fi'TS"---?`A?'-651-6`z5SF4a_.--=----.._ ---
r Conshv?iion Re+uiremenLs
3 regisfered sife sanreya showinq-sq, ft of fof, sq. ft o; house; and all roofed areas
(2?% m?imum bfcoverage allrnv4
2 copies of plan'sfiowing 6eam & windowsizes; poured found destn, a,tc,
lsetofEnergyCalcuFaSons 3 copies of Tree PresenaBon plan if Iof pfatfed "afrer 711/33 - Rim Joisf Dehaif Options selecfion sheet (6fdgs witly 3 or less unit5
Date /U /Cq
Sife Address
Remddeli'KeoairReoulrernenfs '
2 wpies of ptan -
t set of Epe`gy Ca[culaffons for heated additions
1 site survey foi addifions & decks Addftion_ Indicam iforr.sifesep6csysfem
consiraefian casE `1 , l.0 I,J l--
- ?IInit/Sfe #
Description of Work
MuIi3 Family BIdg - y ?- N Fireplace(s) 0 1 y ?-
. 6P/N
Property Owner TeIephoae
Confractor
Address
11 n ki
Sfate
Zip
GOMPLETE THIS pREq
Enetx,7Y Code Cafegory '- MIInesota Rn1es 7570 Cate`., ~ 1
(4 submission iype) T. Resldentla( VenlifaBon CaEegory._1 Worksheet
. Subinitfed ?
• Ener9Envelo
5' pe Cafcufations $ubmtHed
_ Telephone # ((?? ) 'Z (9?A - U Z -1 1
A NEW BUI
Mumesota Rules.7672
. • New Erjeigjr Code Woricshieet
Submitted
lave you previously constructed a buifding in ?agan with a similar pian? _ Y
. _.
>e applies N[f so, 25% plan review
aensed Plumber
echanical Corifiracfbr
wer/Wafer Contractor
Telephone #(
7elephone # (
Telephone #(
El
4
ereby apply, for a Re'sidentiat Building pemvf and ac]mowledge that the information ii u, lete a?acsaua?;
t the work will be in confomlance with the ordinances aud codes of the Ci of Ea an an flie Sfafe o£ MN
hztes; I understand flus is not a pamiit, but only aa appucafiion for a peunit, aud worl- is not to starf wit,fiout a
ntt> fl?hat the work witl be jn a,ccordance with tlyy approved p1 in the case of wotk which requires a review and
rovaI of ans.
Cn
71ic t`s Priuted Name . plicant's Signatuze
t
. ??-,+y?a ?-?T p?i y?T .
Ol`AAI.? VJJ`t Ol?,?'lLtl
. . '
Sub Types
" ? . `
-- - ---
---. ._. ._
-
-
- - ._...
•_ .,..:
_ ',.•-'--- t' ? -
_.
--?_-.--_._.. --
Q- 01"Foundatiorr-Q- 07 -05=p[eX:=L-7;-13--?I(i-plex==- t7?=20-Pool--- El-30-Accessory Bldg --:
0 02 SF Dwelling ? 08 06-ptex ? 16 FPrepface ? 21 . Porch (3-sea.) _ 0. . M. ExE. AIt- Multi
Q;;s 03:= 01 ?oY
- -?"p[ez
'? 09 07-plex II? 17 Garage
- Q22 Porcfi/Addn. (4-sea.)' ?" 33 _ EztRIt= SF
-
f
-_-
02=p1ex.p
-'f0 •.-. .
08-ptex .
. -:
: O T8 ,Deck .
Q 23 Porcfi(screenlgaze[io) •. .
-:
? 36 MulfiMisc:
?'" OS' 03=pfex: 10-pfex CI 19 Lower Levef ? 24 Sform Damage
Q 06 04-plex Q 12 12-plex' Pibg_Y or_ N ? 25 Misceltaneous '
worK Types
0 31. New . ? 35 Int fmprovemen.t ? 38 Demoflsh Interior ? 44 Siding
C] 32,Addition ? 36 ' Move Building ? 42 Demolish Founc(afion Q 45 . Fire Repair
? 33.Alferatton 17 37 DemolishBuilding* ? 43 Reroof Q 46 WindowslDOOrs
0 34 Replacemenf ' 'Demoti6on (Entire Btdg) =Gidei PCA handout tn appticanf - , .
Valua4ion Occupancy MCES System
Censu's Code " Zbning City Water
SAC Unifs Sfories ?
Booster Pump
# of Uiiits Sq. Ff. PRV
# bf Bldgs Length Fire Sprinklered
Type of Const Widfh
REQUIItED Il\TSPECTIONS
_ Foofings (new bldg) FinaVC.O.
_ Foofings (deck) FinaUNo C.O.
FnoounJ??, ?3dti?qon);
}.,?y
3?3'i'-$fYuvk3`
n g
.41?1? Y(
_ Drain Tilb Other
Roof :ICe;BtWater:'-x'_.. Final ,,P,ool.?;?.:`t'.` Ftgs.?Air/GasTesfs Final
_ Frammg .` a Stding:>_-Stueco ; $tone - BnCI;-,
_ Fueplace _ R.I.''_`ilir"Fest Final Windows
_ Insularion _ Refairiiug W'all" '
'flpp'roqed By: _
Buifding In'spector
Base Fee
Surcharge
Plan Fteview
MClES SAC
Cify SAC
UfilifyEonnecfion Charge .,
S&W PermiE & Surcfiarge s:;;.;
T?eafinent Piant
License Sea'rch
Dopies
Dfher
Potal
?' 88 -0 2Z
?-
TRI-LAND C0.
SURVEYING SITE PLAN FOR:
, SERVICES MILLER CONSTRUCTION
1260 YANKEE DOODLE ROAD
EAGAN, MINNESOTA 55122
LEGAL DESCRIPTION: LOT LI-,BLOCK? , LEXINGTON PARKVIEW
TACCORDIN HEREOF CbAKO?A RECORDED PLAT
COUNTY,MlNNESOTA
k
63.19 ,?
L=36°12'27
h0 3?S /???Qgvap2
? @ I O 9
? ?
? I ?
.
N 1 ``
N '
rn l
V
On
\ I IC
S
30 9''?*' i ? R?o
. ?
.
7N
SCALE : I "= 40 '
6,, ?y 9
) \
iOT
^ - \
\p/ \
S o\4.
$60 03 02 ?o/?•, \ ? I
? \ ? 1 M
? /DRAINAGE a UTILITY
/ EASEMENT O?
? 5 O
*----A--, 14'
--? 55.00 O
-927 e 220.58 N 90 41 17 W 9?'l cn
APFLICATION 1=0R PERMIT
SEWER ANQ/OR WATER CONNECTIQN
*NriE: PAYF¢27P OF FFF:E AT TIME OF
t APPLICIATIOf1 DOFS NDT CON- .*?
STT1STfE APPROVAL OF PIItFIIT. ?*.
t INSPFX'PION OF SF.YEi APID/OR WATIIt ?.
; irisrrsa.Paxotz wnL rar se scmur.m ;
i[RTPIL PII2PIIT HAS HFEIi APPROVID. ?'.
tfe«?fittf++?????ettff+???eiafy+??tt?
OF Caga11 _
(PLEASE PRINT
1) PROPERTYADDRESS: L/d ,?7 ?Oh?UI`eM? l21??rFG6..
T•FY;AT• DESQ22PTION; - . . ?? '?. . . . . . ._._
Lot Block S&division or Tax Parcel ZD
IF EXISTING STRCCT()RE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE:
Mon Year
PRESENT ZONING/PROPOSID OSE:
Q CONP'IERCIAL/RETAIL/OFFICE
Q INDCSTRIAL
Q INSTITVTIONAL/GOVEE2AA7ENT
2) ? NAME: lo t I4lt /,
ADDRESS:
CITY, STATE, ZIP:
I_ R-1 SINGLE FAMILY
? R-2 DOPLEX ('IWn Units)
? R-3 TCXWN30LSE (Three + Units) ( Units)
Q R-4 APARTMENT/COPIDOMINIUM ( Units)
?F
PHONE:- 431" ,.;L.OOI
3) • u : 2+; NAME:
ADDRESS: 9.390 2
CITY, STATE, ZIP:
wk.
PHONE: MASTER LICENSE # Md.o6S
I? Active
; Expired
? Not recordec
St Ia n?fitial
OCCUPANT/OWNERI!
N1aME: ?4lac ?S ?.Z?
ADDRESS:
CITY, STATE, ZIP:
PHONE:
5) ??u ? aa• ?i i?'e13Sao t??
CONNECTION TO CITY SEWER r CONNECPION TO CITY WATER O 0'rHECt
v
6) 1 7) 519
:k* * 'r*k kF*k **,t * *tk+irir ** irttiiriF* * * *k* *kk * rt?rir irirF* **kik*kF* *,t?ek***R *aF:F* irk *+re* kk le * * ** **k irkik * *lrk * *akk+*ir :F k*Y
?
* TEE GOID CAPY OF 743E PERMIT WII.L BE SENP DIRFCIZY TO PL?BLIC WDRKS TD FACIISTATE METIIt PICK-DP. .'a
.*k PLEASE ALLAW 'IWO FARKING DAYS FOR PROCFSSING. SObIDONE FROM Tm CITY WILL CONfALT YIX) IF 74IQ2E ?
* pRE ANY PROHLE14S. - :
% ? -_
PERMIT # ISSOED
Pd w/Bldg. Permit
c
FOR CITY USE ONLY
FEES:
$_ ?D -SZJ SEWER PERMIT (INCLUDE SURCHARGE)
$
$ ` $
$ WATER PERMIT (INCLODE SL'RCHARGE)
WATER METER/COPPERHORN/OC'TSIDE READER
$ $ WATER TAP (INCLODE CORPORATION STOP)
$ $ SEWER TAP
$ $_ ???`?? ACCOLNT DEPOSIT - SEWER
$ $ ACCOL'NT DEPOSIT -- WATER
$ S S DD O
$ 00 $
$ wAc
sn.c
$ $ TRUNK WATER ASSESSMENT
$ $ TRONK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRONK WATER
$- C) ? $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
$- ? /L OD $ lJ ?? O O TOTAL
RECEIPT Z 7
RECEIPT #.- .
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
? YES
?
NO IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC
ROADWAY" MOST BE ISSLED By THE ENGINEERING
DIVISION. LIST AS A CO[VDITION.
SDBJECT TO THE FOLLOWING CONDITIONS:
APPROVED SY:
TITLE:
DATE:
Use BLUE or BLACK Ink
1
For Office Use
D I Permit
7!!
C' ~ I
It of Ea a~
1
b 1
3830 Pilot Knob Road i Permit Fee: /
Eagan MN 55122 1 Date Receiv
Phone: (651) 675-5675 1
Fax: (651) 675-5694 1 staff: 1
1 I
2009 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 1,Q--~!-69cl Site Address: 140-.5r7 !1/oar w V-ir' u,/ ?""G~ ®J r4,/'
Tenant: Suite #I:
RESIDENT I OWNER Name::UJ V t 5 g er i~,,l t~yl S p,. t4 Phone:
Address / City / Zip: q0 J r A/o `"'A 11 L e V _re'eml C_G4'r!~ j AI V
Applicant is: Owner Contractor 4 f 13
TYPE OF WORK Description of work: !X 1 RWM !UaNwI'j tuff Iti04eo k ei*daet
i
Construction Cost: Multi-Family Building: (Yes 1 No )
CONTRACTOR Name: (CC L11;1-! to Lt 1 t If d pMej o i t License *
Address: J V "I (W/ j/
City: Amip- -State: j Zip:
Phone: 7'79-, 7 a Contact Person: C cw& y C7 Tl~ i°l/l
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
x r-we X
Applicant's Prin d Name Applicant rgnature
Page 1 of 3
r
Z16 6
DO NOT WRITE BELOW THIS LINE 5 S~
SUB TYPES
_ Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage
_ Single Family _ Garage Porch (4-Season) _ Exterior Alteration (Single Family)
Multi T 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 Occupancy jtf LL- MCES System
Plan Review Code Edition v v SAC Units
(25%_ 100% Zoning City Water
Census Code Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Construction Width ! 7f
REQUIRED INSPECTIONS
Footings (New Building) Sheetrock
Footings (Deck) Final J C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation HVAC
Drain Tile T 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
4C Insulation Retaining Wall: _ Footings _ Backfill _ Final
Meter Size: Radon Control
Erosion Control
l
Reviewed By: f , Building Inspector
RESIDENTIAL FEES
?
Base Fee J K-W
Surcharge t, ~ / S b 1,
Plan Review MCESSAC
'37 Wf3o~,6~
City SAC
Utility Connection Charge vJ Jv~-
S&W Permit & Surcharge
Treatment Plant
Copies ~ J ~l
TOTAL
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T RI - LAND CO.
SURVEYING SITE PLAN FOR:
SERVICES MILLER CONSTRUCTION
1260 YANKEE DOODLE ROAD
EAGAN, MINNESOTA 55122 76
LEGAL DESCRIPTION: LOT 11 BLOCK-?-, LEXINGTON PARKVIEW
ACCORDIN
RDED PLAT
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DRAINAGE a UTILITY
EASEMENT
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i2' 13 220.58 N 890 4117 W 55e
LEGEND G_END r(,LL &Aser-,C**Vr 140 WO
INVERT F! F.VATION AT SFRVICE EXTENSION=-
For Office Use i
3 I I
I Permits
Dq of Eagan
Permit Fee:
3830 Pilot Knob Road I
Eagan MN 55122 I Date Received: I
Phone: (651) 675-5675 I
Fax: (651) 675-5694 j I
2009 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: I I D ~1 Site Add.: 4 0 s ~l l ~ t t` ~
Tenant: suite 4:
RESIDENT t OWNER Name: I 1/ z l l n ~v Ptmne:
Address / City 1 zip:
CONTRACTOR Name: - P License #
Address: X-1
City: ~1- ~ 6 r ~A /'C State: zip: S S 3'1 °2-
Phone: '1 C4 - 36 ( ntact person: )I,e .C C ~ ti 4s e
TYPE OF WORK New _ Replacement _ Repair Rebuild _ Modify Space -Work in R.O.W.
DescrIption of work:
PERMIT TYPE
Water Heater Water Softener
Lavin Irrigation Add Plumbing Fixtures
RPZ / _ PVB) A I' Main _ Lower Level)
Septic System Water Turnaround
_ New
Abandonment
REWDENML FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation (includes $.50 State Surcharge)
$50.50 Add Plumbing Fixtures, Septic System Abandonment. Water Turnaround' (Includes $50 State Surcharge)
'Water Turnaround (add $165.00 if a 5V meter is required)
$100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
$90.50 Fire Repair (replace burned out appliances, duc Work etc.) (includes $.50 State Surcharge)
TOTAL FEES $
I hereby admaraledge that taus inionration is complete and ate; that the work wM be In conkwmance with the ordinances and codes of the City of
Eagan; that t understand this is not a permit, but only an application for a pemut, and work is not to start withord a pe mib that the work will be in
accordance with the approved plan in the case of work vA*A requires a reviaa and approval of plans.
x _ ' I,C ~G/-.-e/-ed~ x
Applicant's Printed Name App@Q~~ M
FOR OFFICE USE Reviewed By: Date:
Required Inspections: `Under Ground -Rough-In Air Test Gas Test -Final
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA108210
Date Issued:11/26/2012
Permit Category:ePermit
Site Address: 4057 Northview Ter
Lot:11 Block: 2 Addition: Lexington Parkview
PID:10-45035-02-110
Use:
Description:
Sub Type:e-Windows/Doors
Work Type:Windows/Doors
Description:House
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
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 -
Travis R Hermanson
4057 Northview Ter
Eagan MN 55123
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA119468
Date Issued:12/02/2013
Permit Category:ePermit
Site Address: 4057 Northview Ter
Lot:11 Block: 2 Addition: Lexington Parkview
PID:10-45035-02-110
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 .
Kelly Meyer
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 -
Travis R Hermanson
4057 Northview Ter
Eagan MN 55123
Hause Construction, Jg
P O Box 206
Bayport MN 55003
(651) 439-0189
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA119469
Date Issued:12/02/2013
Permit Category:ePermit
Site Address: 4057 Northview Ter
Lot:11 Block: 2 Addition: Lexington Parkview
PID:10-45035-02-110
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 .
Kelly Meyer
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 -
Travis R Hermanson
4057 Northview Ter
Eagan MN 55123
Hause Construction, Jg
P O Box 206
Bayport MN 55003
(651) 439-0189
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA123264
Date Issued:06/03/2014
Permit Category:ePermit
Site Address: 4057 Northview Ter
Lot:11 Block: 2 Addition: Lexington Parkview
PID:10-45035-02-110
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
Valuation: 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 -
Travis R Hermanson
4057 Northview Ter
Eagan MN 55123
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(130) 651-2644 X777
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA149454
Date Issued:05/22/2018
Permit Category:ePermit
Site Address: 4057 Northview Ter
Lot:11 Block: 2 Addition: Lexington Parkview
PID:10-45035-02-110
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
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 -
Travis R Hermanson
4057 Northview Ter
Eagan MN 55123
(612) 220-5028
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature