4058 Northview TerCITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 11-?_' ?
PH O N E: 454-8100 1
BUILDING PERMIT Receipt ?
To be used for 'r ??????%r ? Est. Value ? 10t ?OtX? Date i`i0V 7
R?A
Site Address 4058 NORT M EW 1'ER?ACE
Lot 14 Block 3 Sec/Sub. LEXIiiGT0i1 PAAMI
Parcel No.
¢ Name S'['ROHMM CQNSTAUCTION
; Address '0-16 kORTiVIBY ?RR$ACE
° City Phone 6$6-6886
. o Name S,AtiE
? ? Addr t'Iss
? City
u
w W
W
Name
Address
U
Q W
City
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.,_ --
Slgnalure of Permittee ? _ --_
A Building Permit is issued to:__ _ STit M CQNSTRLH"TION
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official _._ _ _-
OFFIC E USE ONIY
?On Site Sewage Occupancy F'-3 Ul-1
MWCCSystem Zoning Yg :.•-I
On Site Well (Actual) Const V-n
Ciry Water x (Atlowable) v-n
PRV Required * of Storlea
Booster Pump Length 50'
Depth 5c,'
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr./Assess. _ Permit 580•00
Planner Surcharge 51.00
00
290
Council _ Plan Review •
BIdg.OM. SAC,City 100•00
Variance SAC,MWCC 530.00
Water Conn. 550.00
Water Mefer 67•00
Road Unit 325,100
Treatment P1 2o4-QQ
Parks
TOTAL ' • I 17 • (?
. ' . . v , CASH RECEIPT
CITY 4F EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122 ?
DATE
RECENEO '-
FfiOM'
/
AMOUNT $ ?
8 OOLLARS
,ao
Q CASH ki GHECK
F.
', .
?
FUND OB.IECT AMOUNT
i
"7r?
Thank You
BY
White-PaYsm CopY
Velbw-PosUng Copy
Rnk-File Copy
?
CASH RECEIPT ?
CITY OF EAGAN
3830 PILOT Kn;?6 ROAD
EAGAN, MINNESOTA 55122
onrE
RECEIVFD
1s
AMOUNT $ _
DOLLARS
?oo
0 CASH O CHECK
wn ? .? i
-- - ?
FUND I 08JECT I I I AMOUNT
Thank You
BY
WhNe--peyeB CoPY
YellvM--POSUnp CcFY
Pinlc-FNe Cppy
FEACrIvAlID FR DECc 04/16/90
CITY OF EAGAN
Eagan
MN 55121
P
Box 21-199
JP7MY14"M 293^ilot Knob Road
O
,
,
,
.
.
PHON E: 454•8100
BUILDING PERMIT Receipt #
To be used for Est. Value $Z02 9a!v Date 7
SiteAddress ` 1'?OR'T? TEriRACE OFFICE USE ONLY
Lot Block Sec/Sub. Y ???I* ??GTOh PAR?? An Site Sewage Occupancy
R
. MWCC System Zoning -
Parcel No. On Site Well (Actuaq Const VMi'
ac
? r& •GM,1Fh CC1tMIUCTYQq
Name
City Water X
(Allowable)
w-11
W ?. n-, ., f, ?: Tyl „ ;
TPRRACLs PRV Required
- of Stories
= Address . : . '
3 Booster Pump Length 5(?
? CitY ' Phone 1>????fr DePth 50,
0 Name S.F. Total
.
? < Address Footprint S.F.
? City Phone APPROVAIS FEES
? ?.
? ac Engr./Assess. - Permit '{' `? • `?''
"W Name 5?
?;;
? Z Planner 5urci?arge .
Address ? yrp
?.;;
Council Plan Review .
4 W City Phon2 gltfg, pff, SAC, City 100•00
I hereby acknowledge that i have read this application and state that the
( Variance SAC, MWCC 5 50•cic
00
=5e
information is correcl and agree to comply with all appiicable State o WaterConn. •
Minnesota Statutes and City of Eagan Ordinances, Water Meter (17.00
SignalureofPermittee RoadUnit 32,?.00
tirRCiP!;4i." IU_'_?
A Building Permit is issued to:______` - 2'
Treatment P1
2Q4, W,
on the express condition that all work shall be done in accordance with all
Parks
applioable State of Minnesota Statutes and City of Eagan Ordinances. 2
717'1A
Building Official_______ TOTAL •
Permit No. Pe?mit Holder Date Tslephone ?t
, Plumbing
H.v.ac. /n Cc S D I,y ?- ?,5? j
? ,?,???.r? 11?? ? ?- ?t• ?Y. l?? c, il /&' ??"l
Electric tit?C,
Softener
Inspection Date Inap. COmltient8
Footings I
/?. ?-
Footings II `
Foundation
Fra
ming P
Roofing
Rough Plbg. ?-Z?
r-xzr?( -,?74
Rough Htg. L _ZS_
Isul.
Fireplace
Final Htg.
Final Plbg.
Bldg. Final
Cert Occ. ? g ? s ?oc? mDr
Temp. LP
Deck Ftg. ?
Deck Final
Well
Pr. Disp.
?, ?.• ,
I (gtrti#ira#t of (Orrupanry
Citp of (fagan
]9r;mrtmettf af ludbitg JWPriinu
This Certificate issued pursuant to the requ+nments of Section 306 of the Unifonrt Building
Code certifying tlrat at the time of issuance this structure was tn compliance with the various
omrinances of the City regulating buildtng constructton or use. For the jollowing.•
ux aaue«,'' nW?G/GAR ewe. rtFflgt rb. 15841
pauparcy Type R3/M1 Zoang pisuia PD/Rl Typo Conat VN
Owxr of BuildingS"CM OUSTRUMON Addrps 4036 MFMNMV M", EAGAN
euM,g nearcm 4058 NTJHVIEW TFMAM 1=aty L 14, B3, TEXDUICN PARKVffiJ
POST IN A CONSPICUOUS PLACE
?
Cities DiEri
ity 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.
CONTRACT P
Site Address _
Lot T
m Name _
?o Address
c City -
Name _
c Address
o City
PLUMBING PERMIT
CITY OF EAGAN
3830 PILOT KN08 ROAD, EAGAN, MN 55122
Phone
FEES
COMM/IND FEE - 1ai6 OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
OF PERMITTEE
FOR: CITY OF EAGAN
BLDG.TYPE
Res. ?
Mult.
PERMIT # -
RECEIPT # L -
DATE: -' 1
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE F OLLOWING:
FIXTURES TOTAL
?Water Closet - $3.00 S
Bath Tubs - $3.00
Lavatory - $3.00
Shower - $3.00
! Ki?chen Sink - $3.00
Urinal/Bidet - $3.00
Laundry Tray - $3.00
Floor Drains - $1.50
? Water Heater - $1 50
% Whirlpool - $100
-
?Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIT)
Softener - $5.00
Well - $70.00
_ Private Disp. - $10.00
' Rough Openings - $1.50 '? -
,
FEE:
STATE S/C: • ?- `
GRAND TOTAL ~? ? ? ?
'
. PERMIT#
MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EACaAN, MN 55122 DATE: -
CONTRACT PRJCE: PHONE: 454-8100 For Office Use Only:
Site Address i ' ' BLDG. TYPE WORK DESCRIPTION
Lot-?
- _ Bloqk Sec/Sub
Res
New
.
?
Name Mult Add-on
- Comm. Repair
a Addres s
omer
c Ciry Phone
? Name
c Address
p Ciry Phon
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent
Gas Piping OuUets #
Other
M BTU
M BTU
M BTU
- M BTU
CFM
FEES
HVAC 0-100 M BTU -$24
00
RES
.
.
ADDITIONAL 50 M BTU - 6.00
(RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA.
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPUES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8
REMODELS - 12.00
FEE
S/C:
TOTAL:
-;Nol 4q ,
MINIMUM COMMERCfAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000)
r
,
SIGNATURE OF PERMITTEE
FOR: CITY OF EAGAN
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued: N 1!-'
(612) 681-4675
SITE ADDRESS: , t, l; 0014 fi! _ icF ,_, . , , APPLICANT:
N?.+I< S II'v !} W T? It i„??t?,t .;i?; il+?r•?? ?. 1 i i t•!
1 ? iNtlTtlPl PAKI:VIf:W (ti1? T 4?N?-yNh!
PERMIT SUBTYPE:
, , ,,, .? i,;H
TYPE OF WORK:
tji ",i I; ! 1' I 1 iiN
Nfi 41
t fRY'1-`l f1r 1 fhtt'! !.llaF, ll
rMaRnSt. frf"? rV) I
F
-
L
Psrmlt No. Permk Holder Dab Tebphone #
S/4V
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspectlon Date insp. CommerKs
Footings I 1-Z(P ?3 ? ? ? ??
Foundation
Framing
Roofing
Rough Plbg.
Rough Ht9•
Isul.
F?? -z? ?3 DS r
Final Htg.
Orsat Test
Final Pibg. Plbg. Inspector - Notify Plumber
Const. Meter
EngrJPlan
Bidg. Flnal
DeCk Ftg.
Dedc Flnal
Well
Pr. Disp.
INSPECTION RECURD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
' ? n : ]y- q±? 140 k? ?.
SITE ADDRESS: 11.01. 14 H 1, uf ? x
14t?Ivrrw rta
EEXI?4GiON U'arrKVrrw
PERMIT SUBTYPE:
?<<: ( 1 11 r N 44
?
APPLICANT:
TYPE OF WORK:
nF1;r.Rrp r 10r+
nl ii HA rinN
F? t k oo f
INSPECTION D• . ..
,... ? ,
'?1111??1 I t? li I?? I t fl;,t
I
-+r ?? .
Pertnk No. Pwmit Holder Data Telophone N
ELECTRIC
PLUMBING
HVAC
InspacUOn Dats lnap. Comments
FOOTINGS
FOUND
FRAMING
ROOFING `7//94,,'
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FfG
DECK FINAL
CITY OF £AG/!N Permit No: Date: 11 / 1;' !
3830 Pllbt Knob Road Meter No: Size:
P.O. Box 21199 Reader No: Date: -
Eagan, MN 55121
3COTT STROt1EN
Site Address: 11058 NORTtiVIEW TERRACE. L] 4, B3 , L' -' 1CZfC-
Plumber i 0$ERT C WrLL1E PBG1NG YlEW
Conn. Chg: ? 550.00 pd
Acct Dep: 15.00 od
Permit Fee: 10.00 pd
Surcharge: .50 nd
Tr. Plant ? n4 _ n[1 nri
Meter. 67.00 nd
Zoning:
No. of Units: t
I agrae to camply with the Clty ol Eagan
Ordl
/
/-?11 I
WATER SERVICE PERMIT
. . . _ . . - . . . . :.;?,?,Lg . . .
CITY OF EAGAN Permit Na. 10108 Date:
? 3830 Pilot Knob Road Meter Na. Size:
P.O. Box 21199 Reader Na. Date:
Eagan, MN 55121
S4Oa y J l nOL'i[1GN
lI/18/88 i
. R0i3ERT v ViLLl$ PBGING YlEii+'
Conn. Chg: $ 550•00 pd
Acct. Dep: 15.00 vd
Permit Fee; 10.04 na
Surcharge: .50 Rd
Tr. Plant 204 _Qf? pd_
Meter. 67.00 nd
Zoning: ' 1
No. of Units: 1
I agree to comply with the City of Eagan '
Ordinances. ?
WATER SERVICE PERMIT
CITY QF EAGAN Permit No: Dafe:
, 3830 Pilot Knob Road g/p Na. Date:
P.O. Box 21199
Eagan, MN 55121
Site Address: TER., i,I4, ti3,: LRX. sARKVIF4I
Plumber: :°:'LLIB PLBG
MWCC:
City Chg:
Acct. Dep: '
Permit Fee:
Surcharge:
No. of Units:
I agree to comply with the City ot Eagan
Ordina nces.
8Y
SEWER SERVICE PERMIT
Renevcil By Andersen RESIDENTIAL
350-73rd Ave. NE BUILDING PERMIT APPLICATION
Fridley, MN 55432 CITY OF EACAN
763-502-4777 ? 3830 PILOT KNOB RD - 55122
#MN20130983 651-681-4875 1
New Conatruetlon Reauirements RemodeUReoairReautremenls
. 3 reg'stered sile surveys showing sq. R of b4 sq. fl. af house: ancBll roofed areas • 2 mpies of plan
(20% maximum bt crnerage ai6wed) • 1 set of Eneryy Calalatbns for heated additions
. 2 capies of plan shawhg beam 8 wuMow sizes; poured found desgn, etc.) • t sita wney far ezterior addNOns 8 decks
• 1 set of Energy Calwhatlons • Indicate if home served by septb system for additbns
• 3 copies of Tree Pieservetlon Plan if bt platied aRer 711193
. Rim Joiat Defal Options xlection s6cel (bldgs wiN 3 ar less uni5)
DATE aa-14Uq ' C:l l VALUEfION
JOB SITE ADDRESS H DSg
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY (
TYPE OF W<
APPLICANT
ADDRESS _
PAGER # _
Phone f
CELL PHONE #
PHONE#253- ?yS, L00q 1
ZIPCODE S5726
PAX #
NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY
Energy Code Category _ MINNFSOTA RULFS 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumbing Conhactor. Phone #:
Plumbing System Includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00
_ Water Heater _ No. of R.I. Baths
_ No. of Baths
Mechonical Conhactor. _
Mechanical System Includes:
Sewer/Water Contractor:
_ Air Conditioning
_ Heat Recovery System
Fee:
Phone #
$70.00
All a6ove InfarmaUan must be submilted prfor to processing of application.
I hereby acknowledge that I have read this application, state that the inf rmation is cZZZ7
with all applicable State of Minnesota Statutes and City of Eagan Ordi n?
Slgnalure ot Appllcant
Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _
uPaated 1101
OFFICE USE ONLY
? Ot Foundation
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? OS 03-plex
? 06 04-plex
O 31 New
? 32 Additlon
? 33 Alteration
? 34 Replacement
Valuatlon
Census Cade
SAC Units
Nbr. of Units
Nbr. of Bldgs
Type of Const
? 07 OSplex ? 13 iGplex
? 08 06-plex ? 16 Fireplace
? 09 07-plex ? 17 Garage
? 10 08-plex O 18 Deck
? 11 10-plex ? 19 LowerLevel
? 12 12-plex Plbg_Y or _ N
? 20 Pool
? 21 Porch (3-sea.)
? 22 Porch/Addn. (4-sea.)
? 23 Porch (screened)
? 24 SWrm Damage
? 25 Misceilaneous
? 30 Accessory Bldg
? 31 Ext. Alt - Multl
? 33 Ext. Alt - SF
? 36 Multi
? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Slding
? 36 Move Bldg. ? 42 Demolish (FoundaHon) 0 45 Fire Repair
O 37 Demollsh (Bldg)• ? 43 Reroof ? 46 Windows/Doors
'Damolidon (EnUre Bldg only) , Give PCA handout to appllcant
Occupancy MC/ES System
Zoning a
. , ' City Water,
Stories • • Booster Pump
Sq. Ft. PRV '
Length Fire Sprinklered
W idth
REQUIRED INSPECTIONS
Footings (new bidg)
Foolings(deck) FinaUNo C.O.
Footings (addition)
Foundation
Drain TIle
Roof _ Ice & Water Final Other
FraminS _ Pool _ Ftgs Air/Gas Tests Final
Fireplace _ R.I. _ Air Test _ Final Siding Stone
Stucco
Insulation _ Windows (new/replacement)
ApProved By
Building Inspector
Base Fee
Surcharge
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
FinaUC.O.
'
_ Plumbing
HVAC
BLDG. PER
MIT NO. ?
f
? x ? L
? ! - /^ I
IL 1 ? F
^
ILJ/',l`L. n L1---Y Re..C
01-3210 Bldg. Permit
1
v 01-3422 Plan Check Z-c? C%
? 01-3445 Surch./Adm. I ?L
'W 01-3446 SAC/Adm.
01-2155 Surcharge ? ot
? 75-3860 Road Unit S ()(D
.v
?
20-2275
SAC
7 ?'? ?
?C)
?
-r
20-3865
Water Conn.
`
0
20-3868
WaterTrmt. J ?J'-I
?- O
Ci
i
?
20-3716
Water Meter
?• ?
00
DO 20-2252 Acct. Dep.
?J 20-3713 Water Permit
? 20-3743 Sewer Permit
79-3866 SewerConn. L>C) 00
28-3855 Park Ded.
TOTAL
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N? 15841
PHON E: 454•8100
BUILDING PERMIT Receipt# $d'C, 7 )-
Tobeusedfor SF DWG/GAR Est.Value $102,000 Date NOV 7 ,1988
SiteAddress 4058 NORTHVIEW TERRACE
Lot 14 Block 3 Sec/Sub. LEXINGTON PARKVIE
Parcel No.
alName STROMMEN CONSTRUCTION
W
z Address 4036 NORTHVIEW TERRACE
0
City EAGAN Phone 688-6886
p Name SAME
?a Address
? City Phone
r
ww w Name
iz. Addre.
a W CitY-
I hereby acknowledge that l have read this application and slate [hat the
information is correct and ag e to compty with I plicable State of
Minnesota Statutes and City Ea a rdi nce
Signelure of Permi[lea ?
A Building Permit is issuetl to:- MMEIL.CONSTRU6-TI9N
on the ezpress condition that al I work shal I be tlone in accordance with all
apDlicable State of Minnesota Statutes antl City ot Eagan Ordinances.,
8uildingOlficial-4 "-_??l TA?__
OFFICE USE ONLY
On Site Sawage - Occupancy R-3 M-1
MWCC System x Zoning PD R-1
On Site Well _ (ACtual)Const V-n
City Water X (Alfowable) v-n
PRV Required _ # of Stories
Booster Pump _ Length 5.01
Depih 50'
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr./A53ess. Permit 580•00
Planner Surcharge $1.00
Council Plan Review 290.00
Bldg. Ofl. SAQ City 100.00
Variance SAC, MWCC $50.00
Water Conn. 550.00
Water Meter 67_011
RoadUnit _375_(1(1
Treatment P1 7.04...00.
Parks
TOTAL 2,717.00
This reQuest vofd /??I
j/e?
18 months Irom
E 1 ana? 1.)LI ??,,
/ /'c7' ?l
'j ucenseo uecumai i.onuacior I hereby reQaest inspaction of above
? Owner electrical work instelled at
Sheet AtlAress, Boa ar Raute No.
/e?i ? ? City
Gc
.?
ecuon o. Township Name o ange o. CounL
OccuU.,,t IPP?INT 1""
/./. iAIU?// ?? rPhone No/.+
?GtO ?l
// (c+
Power Supv ier ,
/? . AdAress
Electn
ca/l ConVactor ICompany N mel Contrar,tor's License No.
?
Schl7D IE / L u
MailinB !+tlJress I oniracto, or Owner Makiny Ins[all tionl )
Auih rieed Signamre iConh ctor Owner Makin Iiisul ationl
Z? _ Phone NumOer
3 7 -
7 3 /
I NESOTA STATE 9UARD OF ELECTflICITY 7MI5 INSPECTION pEOUEST WIIL NOT
riggs-Midway Bldg. - Faom N-191 BE ACCEPTED BY THE STqTE BOAFD
UNLESS P0.0PEfl INSPECTION FEE IS
1821 Univeraitv Ave.. St. Peul, MN 55104
Phone1612I692-O800 ENCLOSEO.
1???/? REQUEST FOR EIECTRICAL INSPECTION ?. ea-ooooi-os
, Sae inslmctions lor completing this lorm on back oi vallow copy.
E 140 4 2 "X" Below Work Covered by 7hrs Request
Fdn Hep. Tvoe of euilame Aovliancan wirea Enuiument wired
Home Range Temporary Serviee
Duplex Water Heater Liyhtinp Fixtures
Apt. Building Dryer Electrie Heatin
Commercial Bldy. X Furnace Silo Unloader
Industrial BIAg. %- Air Conditioner Bulk Milk Tnnk
FBfm Otber pecily _th?e fSUCnFy)
t T?f $UCCIIy OIhCI nth,
omoute lnsoection Fee Be(ow
# Fee Sarvice EntmnceSize H Fea Fentlers/Subfenders K Fea Circuits
0 ro 200 Amps 0 to 30 Am s ? tn 30 Am s
Above 200 Amps 31 to 700 qmps 31 to 100 A s
Swimming Pool Above 100_Amps Ahove 100_P,mPs
Transiormers Irrigation Boorris Partia6Other
Signs Special Inspection L A TOTAL E
Rem
?rks
?
?•
Fough-in , D11e
ff ^ , the Electncel
Insoectoq herebv
certily that tha nbove
Final -.. -. _ .?. ?ate
?
nspection nes eeen
mede.
ThlarapuestvalOlBmonthstmm -,,V ii?
Request Date
?j ? Fira o. -in Inspeclion
ire0?
? Reatly NOw?Will Notily Inspector
Wh
n Featl
?
J\ I s ? ryp y
e
I.licensed contractor ? owner hereby request inspection of above electrical work at:
.bb Aaaress (Sireet. Boz w FaNe No.) Ciry
S N, " VI R ? -('AV)
Section No. Township Name or No. Range No. Caunly
OccupanllPRINTI
n sT Phpne No.
W?n - o S
Power SuDOlier Atldress
El?eq\rical ConVacror iCompeny Name,
I ?
t _L L
. CoMraclor5 Licensa N?o(.'
`1 ??J'?l
Mailinq Atltlress ICOntractor or Owner Making Installation)
T?.
C
, _
LY P)
q?thor tl ign ure ?C c?ovOw r Making Installation)
? ? nn Phone Number
? ? ?.. ?
MINNESOTA STATE BOAFD OF ELECTNICITY THI$ INSPECTION HEOUEST WILL NOT
GriggsMidway BIEg. - flaom 5173 BE ACGEPTEDBY THE STATE 80AR0
1BY1 Universlty l1ve.. SL Vaul. MN 55104 UNLE55 PROPER INSPECTION FEE IS
Phone(812) 6/2-0800 ENCLOSEO.
a 45121
REQUEST FOR ELECTRICAL INSPECTION
? See insVUCtions iw completing Ihis brm on back ol yellow copy
"X" Below Work Covered by This Request
0-?-
ew Add' Re : TypeolBuiltling AppliancesWiretl EquipmenlWired
Home Range Temporary Service
Duplex Water Heater Electric Heatinq
Apt. Building Dryer Other_(Specity)
Comm./lntlustrial Furnace
Farm Air Conditioner
Olher oueciyl ConVanw's flemarks:
Com ute Ins p?
p pection Fee Be/ow:
# Other Fee # ServiceEnlrenceSize
Fee # Circuits/feetlers Fee
Swimming Pool q
0 l0 200 AmpS 0 to 100 Amps
Tran5lormers Above 200 _ Amps Ahove 100 _ Amps
Si905 Inspector5 Use Onty: \) TQTAL
Irrigation Booms ? O ?
Special Inspection
AlarmlCommunication THIS INSTALLATION MAY BE ORDERED D SCONNECTED IF N
Other Fee COMPLETED WITHIN 18 KQN7HS. !'
I, the Electrical Inspector, hereby Rough-in
certity that the ahove inspection has
been made. - F;nai
• + ?
?
OfFICE USE'JNLY
This request voiE 18 monihs hom
?.. REQUEST FOR ELECTRICAL INSPECTION eeaaom-o? /
, ? ? See instmdions tor compleling this form on back of yellow copy.
6U_5 D5 "X" Below Work Cavered by This Request
a Add Rep. TypeofBuilding AppliancesWired EquipmenlWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./Industrial Furnace
Farm ' Air Conditioner
Olher(specity) Contractor%Remarks: ??
f?
Compute Inspecfian Fee Below: ??
# Other Fee # ServiceEniranceSize Fee # Cimuits/Feeders Fee
Swimming Pool 0 to 200 Amps o to 10o Amps
Transformers Above 200 _ Amps Above 100 _ Amps
SignS lnspectorS Use Onty: TOTAL
Irrigation Booms
Special Inspection 1
Alartn/Communication l O ?
O[her Fee
I, the Elec[rical Inspector, hereby
i( Rouqn;" oata
cert
y that the above inspection has
6een made. Fnal
.?..: ..:9 oar?
w
OFFICE USE ONLY
This request voltl 18 monN6 trom ??
ir /.5 8'e- 1-1?'
[? 605?5
Request Dtte - Fre . h?in Inapectwn
Re Iretl?
Ready Nax ? Will Notiy Inspector
? Yes No When Ready?
Iicensed conhador ? owner hereby request inspection of above electrical work at:
Jab AGtlrees (SVeel, Box or Route No.) Ciry
/
/?411
?
Saction No. Township Neme or Na. Range No. Coumy
Ocwpant (PFINn Phone No.
Pomer SWPlier Addrass
Elactncel Comrecbr (Compeny Name
Od tr ConVador§ License No.
??v3''T
Maling Atltlress (COntraqor or Owner Making Installetbn)
r/
,
ZA/k ,/
Author¢ed Signelure (COMmctor/Ow r Makiry InslellaHOn) Plwne Numbar
5 3?
3 /
/7
.
- 9
-
(ONNESOTA STAiE BOAHD'OF ELECTpICiTY THIS INSPECTION qEQUEST WILL NOT
Griggs#lidwey Bltlg. - Noom S-113 BE ACCEPTED BY THE STATE 80AR0
1827 Unlvenity Ava., St. Poul, MN 65106 UNLE55 PROPER INSPECTION FEE IS
PhoM (612) 691-0900 ENCLOSEO.
Uaiviicv;ji inu az:4u rn.i iaa aii 9480 1Sr,1VCRAL tfY`9lYUCt(ALC/
June 7, 2001
City of Eagan
3836 Pilat gnob Roxd
Eagan, NIN 55122
To Whom It May Concern:
E1der 7ones is authorized to pull huilding permits for Renewal by Andersen_ Please allow
F1der Iones to provide this service for us in Eagan. 'Ihis auchorizaticm is valid for any
date beyond 6/6101; untzl a Renewal by Andersen manager expressly revo&es it in writing
to the City.
I reqtiest this anthorization be accepted expedidously, as to not delay in the processing of
our building pcmuts any furthcr. Plcasc call mc if thcnc azc any questions. I can Ua
contacted at 763-502-4706.
Yovr immpdiate attention to this mattcr is appreciated.
Sincexely,
ond R. Rau
nstallation Manager
Renewal by A.ncleJSen Corporatian
C'c_ Kara-F.1rie,r.Tonec
?
=N
'3 ?G,q?qAL Pubgc pt?
rci Jan.sf,
2U?5
Received Time Jun. 7• 1:07PM
to UU'L/ UUL
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: B U I L D I N G
3830 Pilot Knob Road PermitNumber: 026095
Eagan, Minnesota 55122-1897 Date Issued: 6 7(13 / 9 5
(612) 681-4675
SITEADDRESS:p'I•N.: 10-45035-140-03 APPLICANT:
LOT: 14 BLOCK: 3
4058 NQRTHVIEW TER REMODELING BY NELSON
LEXINGTON PARKVZEW (612) 646-5739
PERMIT SUBTYPE:
sF ( MSSC.)
TYPE OF WORK:
ALTERflTION
DESCRIPTION REROOF
INSPECTION
FRAMING D. .
ROUGH IN PLBG D•
ROUGH IN HTG FTNAL
? . _ ,. d-7
.
,,12f
a?
\<` CITY Of EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT TYPE:
Permit Number:
Date Issued:
02o0+5 kl /-/ ?
BUILDING
026035
e7/ia/9s
SITE ADDRESS:
P.I.N.: 10-45035-140-03
PERMIT
4058 NORTHVTEW TER
LOT: 14 BLOCK: 3
LEXINGTON PARKVIEW
DESCRIPTION:
r„, ,. R E R 0 0 F
BpildSng?p?ermit Type
irtg Ud4?rk TYPe
?
+.? _ ? w r ers } ?db a,#llx
aa ae?,?, ?+.f_s
k fr?
a} ? ? ?mx ??
ni ?fl5me ??ft?sY
k
REMARKS:
SF (MISC.)
ALTERATION
3m s 7c
S! e P {
lPb?9 F
ffi 3fr''Ydµ-?? s°rvE.?m?? ?Ku`C? (°v?? C ?0
rTMJY ?„?`M? ?E Vx T a?o 19 ? tl4
?ff9'
FEE SUMMARY:
VALUATION
Base Fee
Surcharge
l.i.c. Search Fee
Total Fee
$99.75
$2.50
L5 .00
$107.25
$5,000
CONTRACTOR: - Applicant - 57. Lxc. OWNER:
REMOC}ELXNG BY NELSUN 16465739 00009225 LEBOWSKI JEFF
400 N CRETQN 4058 NQRTHVIEW TER
ST PAUL MN 55104 EAGAN MN
(612) 646-5739
I here6y =ackn0wiedge; .that. I hav$ re?adi; this 40pl1c&t1`on artd' state° t
Natt ;ther,
i.nformWu on is` cbrrect arnd `*gree. tc+ c_ampiy with a1°i 'applica?ls ?t"a??
$?.tat ut es =rar€€!°0 fty t1,E a9 an`r4rdI ri atnces':
APPLICANT/PERMITEE SIGNATURE
a CITY OF EAGAN
3830 PILOT KNOB RD - 55122
1995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
Naw Conshudion Reaui
m
t 681-4675
en
re
s
? 3 repisterod eke surveys RemodeVReoair ReaW'ements
? 2 copies of plan
? 2 copiea of plens (indude beam & window sizea; poured fid. design; etc.) ? 2 site surveys (exterior additions & dedcs)
? t enngy calwlaHons ? 7 energy ceiculations Por heated edditions
? 8 oopies M hee preaervation plan H lot platted after 7!1193 r"7i?7?11
raquired: Yea _ No
DATE: CONSTRUCTION COST:
DESCRIPTION aF WORK: ?O p6f1 E
STREET ADDRESS:
d ?u
?
LOT --
BLOCK SUBD./P.I.D.
PROPERTY Name: _ ft bg Lz5 i Phone
'
OWNER w*
Fas*
Street Address- ??114 c- , ? y -
City: , -.l state: M Kl zip: 5
CONTRACTOR NLO
Company:
Phone #:
Street Address: License
City: '?JE a?t?t State: 111 L-.) Zip
ARCHITECTI Company: Phone #-
ENGINEER
? Name: Registration #*
Street Address-
Ciry: State: Zip:
Sewer & water licensed plumber:
change are requested once permit is issued.
Penalty applies when address change and lot
I hereby acknowledge that I have read this application and state that 7iabon ' correct and agree to oomply wRh all
applicabk State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Appiicant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Ptan Received Yes No
OFFICE USE ONLY
BUILDING PERMIT TYPE
0 01 Foundation o 06 Duplex o 11 Apt./Lodging ? 16 Basement Finish
0 02 SF Dwelling o 07 4-piex o 12 Mutti RepaidRem. ? 17 Swim Pooi
0 03 SF Addition o 08 8-plex ? 13 Garage/Accessory o 20 Public Facility
0 04 SF Porch o 09 12-plex ? 14 Fireplace o 21 Miscellaneous
0 05 SF Misc. 0 10 = piex o 15 Deck
WORK TYPE
0 31 New o 33 Alterations ? 36 Move
0 32 Addition o 34 Repair ? 37 Demolition
GENERAL INFOItMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
I_I;j;j :t•1'!_l1?1
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Planning Building
Permit Fee / i- -7?
Surcharge ,-Q• SU
Pian Review
License ? MCNVS SAC
City SAC '
Water Conn.
Water Meter
Acct. Deposit
SIW Permit
SNV 5urcharge
Treatment PI.
Road Unit
Parlc Ded.
Treila Ded.
Other
Copies
T,tak j o? aS
Engineering
Valuation: $
MC/WS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bldg
Census Unit
Variance
% SAC
SAC Units
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMTTS ARE REQUIRED FOR EACH UNTT.
NO. FIX1'URES E--CH
SHOWER
WATER CLOSET 3•00
3•00
?
BATH TUB 3.00
LAVATORY 3•00
KITCHEN SINK 3•00
LAUNDRY TRAY 3.00
HOT TUB/SPA 3•00
WATER HEATER 3•00
FLOOR DRAIN 3•00
GAS PIPING OUTLET • minimum • t 3.00
ROUGH OPENINGS 1.50
WATER SOFTENER 5•00
PRIVATE DISP. • nek.ay. iic. 15.60
U.G. SPRINKLER • eome unaer mmi. 3•00
ALTERATIONS • w casuoa 15.00
WATER TURN AROUND 15.00
SITE
OWNER NAME:
INSTALLER: F-/qef/ Y'/cic/C
ADDRESS: (I,27 q'
CITY: STATE: AJI ZIP CODE: aS.3319
PHONE #: ( ) ?? ? ? SwS s"
SIGNATURE OF PERMITTEE
1993 PLUMBING PERNIIT (RESIDENT7AL)
CITY OF EAGAN
3830 PILOT KNOB RD
FAGAN MN 55122
(612) 681-4675
STATE SURCHARGE .50
1993 PLUMBING PEU411' (COMAZIItCIAL)
CTI'Y OF EAGAN
3830 PII.OT IflVOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR ALL COMRERCIALJINDUSTRIAL BUILDINGS. ALSO FOR MULTI-
FAMILY BUP DINGS WHEN SEPARATE PERMTTS ARE NOT REQUIRED FOR EACH
DWELLING UN:T.
_ NER' CONS7'RUCIION
ADD ON
REPAIR
WORK DESCRIPTION:
CONTRACT PRICE:
FEE: 1°k OF CONTRACf FE&
STATE SURCHARGE: $.50 FOR FACH $1,000 OF ?F.Iih1? FEE.
hIINIMUM FEE $ 25.00 "`?.'?"."...
CONTRACT PRICE X 1%
STATESURCHARGE
TOTAL
SITE ADDRESS:
$
$
TENANT NAAZE: STE #
OWNER NAME:
INSTALLER:
ADDRESS:
CI1'Y:
PHONE #:
STATE:
ZIP CODE:
FOR:
CITY OF EAGAN APPLICANT
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
INSPECTION RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
auzL llrN G
22Vi?56
?A11 ? 7 ;'!33
SITE ADDRESS:
LOI- : m0IA
Sb?iGc; Nf7nlfdVIEW '7"CR
i t'.XiPI(;TOfd P{) RKV_TEW
PERMIT SUBTYPE:
HAsF,mii.N"f F:CNISH
APPLICANT:
BLOGK: 00P.3
TNOP4PSt]IV HOMF;S
(65.2) 420-94957
YL-"VIN
TYPE OF WORK:
OFSCRTPTSUPI
N[=lJ
I'IftEPLACE ]:NCLUOED
INSPECTION
FRFh)"IVC3 D. .
FINAI. .•
FIREPI.NCE
REMFIRI<S: f2ECEIPT iF
F-
PERMIT
CITY OFEAGAN
3830 PiaYKnob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT TYPE:
Permit Number:
Date Issued:
aurLnrNG
m20 7!i6
01/27 JsJs
SITE ADDRESS:
4058 NOHTHVIt:Ud rF:??
LO'i; 0 0 1 z4 BLOCK: 0 0 0 3
LEXJ:NGTI?;U. I'dlRk:V7:Eld
p.T.iV.> lt?-45V73'.5-J.4?p-(?3
DESCRIPTION:
FrR=FLAce zNrLuoEo
Buildt?,?? ?ern,j t rvpE E;Asr_rieNr r-rn!iSH
k3ui.tdxngWcrrk 1yPe NEw
U8C Uccupancy F?-3
?
r
'?? ? . ???.' J i ?.: :?i '_. \_? ; ? : ? C'. J. i ? _..1, 1 . 1
REMARKS:
m_ c f- a 1'! 11 ? aa ? a q
FEE SUMMARY:
Bas? Fe
C. :38t'Cfl
tal F ee
$35.0P,
$ ..5Gr
Fef
$4?U.5fA
CONTRACTOR: - nplnI: - nT. I.1COWNER:
l"HOM?=SON HCIMES, KEV7:PJ 14209057 0004209 LE60WSKI Jf=Ft`
i U BQX 1156 4058 NOR1"hiVSFb! TEftR
MrdPLE C,(lOVE nIIV 55369 EFIP, NN m id
(612) 920-9057 :612)14 54-32111.
[ hereby acknowledqe L-Fiat L have i°ead this application and state that the
i,nfor-inal.i.nn ie coi-rQet and agF^eE ta comply with a1] applicable State ofi Mn.
Statutes and Ci:ty oP Eaqart Ordinances. _
?
?
APPLICANT/ ER EESIGNATURE
?
REACTIVATE _
PERMIT # ?.o?',
CITY OF EAGAN
1993 BUILDING PERMIT APPLICATION
681-4675
$4610
(A ilAII t-2G
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, 1 copy of energy calcs.
JAN 2 , RgQo
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 13 ac.? /?z cD /0( ?5 Valuation of work CDO
Site Address: ?O S ?1od'i, t) c Y?? ??t
STREET SU1TE Y -
Tenant Name: (commercial only)
IAT BLOCK ? SUSD.
7" L1?1?Jr P.I.D. o
Descri tion of work:
The applicant is: ? Owner Contractor ? Other (Describe)
Name k?L,-,r,)slt`? 1\ r_ Phone
Property LAST FIRST
Owner qddress ndF
STREET STE !f
C9ty F- c,CA.v_? State Zip .F
Company C?l eJiw Phone
Contractor Address l-. O? Qo5, License #?c?o4.2c?i Exp.Z.=Z.L
a?
City Ma4-c_ 6ca0'c- State AA- Zip f<3/,9-
Company Phone
Architect/
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber . Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have re this a lic tion and state that the information is
correct and agree to comply with a 1 applic eate of Minnesota Statutes and City of
Eagan Ordinances. ? /
Signature of Applicant: l
,
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation
? 02 5F Dwg.
? 03 SF Addition
? 04 SF Porch
? 05 SF Misc.
? 06 Duplex
? 07 4-P}ex
? 08 8-Plex
? 09 12-Plex
? 10 Multi. Add'1.
WORK TYPE
? 11 Apt./Lodging?" Ban Finish
? 12 Multi. Misc. ? 17 Swim Pool
? 13 Garage/Accessory ? 18 Comm./Ind.
jF 14 fireplace ? 19 Comm.JInd. Misc.
'
? 15 Deck ? 20 Public Facility
? 21 Miscellaneous
a 31 New ? 33 Alterations ? 35 Tenant Finish O 37 Demolish
? 32 Addition 034 Repair O 36 Move
;
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MWCC System
(Allowable) lst F1. sq. ft. City Water
UBC Occupancy 2nd F1. sq. ft. PRV Required
Zonin Sq. Ft. total Booster Pump
# of hories Footprint Sq. ft. Fire Sprinkler
Length On-site well Census Code
Depth On-site sewage SAC Code
..---
APPROVALS ?? 61?? ?
Ce+r3+t5 uN ? t o
?--
Planning Building Assessments
Engineering Yariance
REQUIRED INSPECTIONS WMT fINISH ? PiREpC,q«.
? Site 0 Footing )9 Framing ? Insulation
? Wallboard qFinal ? Draintile )Z Fireplace
Permi t Fee .S ?j. 0 0 veiunc;a,:
Surcharge . S
Plan Review
License ;6.Of)
MWCC SAG
City 5AC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
$ ?._?..
SAC %
SAC Units
U•?
580-00+
51•00+
29U•U0+
1 '796•DU+
2°717'0 0 *
ry??
? 5ao•oo+
5l•OD+
?-? 290•00*
b 1796•OU+
?--- 2171'!•00*
5 ?
• v ? R
1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS 19141
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL UNITS FOR SALE [1NITS # OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COhMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
Q ?p r?r ?
To Be Used For: V jkq e ?c&Jy Valuation: Date: m NOV7 w
Site Address 5'C)J 'd ?Ve
Lot I q Block ?
Parcel/Sub
Owner
Address
City/Zip Code VqyaA oN S)la3
Phone ??J d?'_"" b?() b
Contractor ? lMWte 5?•
Address ?M(o 0?`?Vtlcu/ ie"-ac'
City/Zip Code Fct yAV. I-I () 02 3
Phone ? b ?f lO
Arch./Engr.
Address
City/Zip Code -dp 1e IJa I ey
T
Phone 1F
Urrl
On site sewage_
MWCC system v-
On site well
City water -?
PRV required _
Booeter Pump _
APPROVALS
Engr/Assess
Planner
Couneil
Bldg. Of f. I I 7
Variance
Occupancy
Zoning
Actual Const
Allowable
II of stories
Length
Depth
S.F. Total
Footprint S.F.
FEES
R-3 M-i
PD 'R- i
V-R--
V-N
50,
SO'
Permit . 5}30100
Surcharge 51?00
Plan Review 24(),Oo
SAC, City 100
SAC, MWCC Fqo s O0
Water Conn S:Sta,DO
Water Meter bt/, o0
Road Unit
Treatment P1 u,° D
Parks
Copies
TOTAL ?. I 1 11. 0
Q
v A
Z Z x ZZ ? y8y x ILI= ??`??L? ?..g ???, ?
?.'?' a • .
------d--,
36?
X
zk?:
y x ?i =
1S X y ?
/008
y76
cGo)
/X7 = 7
.?---
? 5?3 x ?z?
7UV24
?----
?b, 2vZ
88-191
TRI-LAND C0.
SURVEYING
SERVICES
1260 YANKEE DOODLE ROAD
EAGAN, MINNESOTA 55122
LEGAL
SITE PLAN FOR:
SCOTT STROHMMEN -
DESCRIPTION; LOTA,BLOCK-A-, LEXINGTON PARKVIEW
ACCORDING TO TH RECORDED PLAT -
THEREOFDAIS COUNTY,MINeESOTA
(9)-'7.o>
Seale: I" = 30'
5
i ?
8le
?
?
,_ ? ri ? }5
r-
In
?937,0?
x
Is(
F{o?g E
-i
(x?42?'6)
1 30
lo
3
32
h
Gl?? S•S r?' i -?.----?
N
I
' 4
e14 4. D)
o
0
89°41'I7" W 50.48 Deo'
3 %,
a
C)??,j•
?
M ? ". . __, .. ? i7
: / „ 3 `'.:-.-
? ?
LEGENO
o DENOTES IRON MONUMENT
o DENOTES WOOD HUB SET
DENOTES EXISTING SPOT
ELE VATION
(43?.o)DENOTES PROPOSED SPOT
ELEVATION
? DENOTES DRAINAGE DIRECTION
I hareby certify that TAis survey,plan or
rsport was preparsd by me or under my
direct supervision and that 1 am a duly
Reqistered Land Surveyor under ths
Laws of the State of Minnesota.
Bradlei( Swenson, Mn. Rsp. No. 15235
Date - I i/7/ 88
?.1711
?GAN ? ???Lr?:?sz??:??o ; ?Wrx•
P2cr?o5LD F?LC, i?SE?'?d•.?T
INVERT Ei..EVpTION AT SERVICE EXTENSION=
PROPOSED GARAGE FLOOR ELEVATION= yq'4•L>
PROPOSED FIRST FLOOR ELEVATION.= `"f`/.5
PROPOSED BASEMENT FLOOR = 93 1• ?
ELEVATION
NOTE ? VERIFY ALL FLOOR HEIGHTS WITH
FINAL HOUSE PLANS
r
EXTERIDR ENVELOPE tiVERAGE "U" COMPIITATION , . ,
OWNER 'tk rI- 'Z"t S? G.
? . r
' SITE ADDRESS
` CONTRACTOR DATE . PHONE
Determine workinq square footage of each.
1. Total exposed wa11 area ..... -4Z94, 6sq. ft. x
2. Total roof/cei l i ng area .. .. 1`J Z Z sq. ft. 'x .?2 ?° ?39 •?
Total exposed wall area above floor = I?'12.:?
a. Total wall window area ..................:....... ZS •
b. Total door area .................................
? c. Total sliding giassdoor area ....................
'.d: Total fireplace wall area.... ` ....... ... .......
e. Total wall framing area (averagel0%)...:........ I 51oiZ ..
f. Total net wa11 area above floor .............. L,
g. Total rim joist area ............................ .
Total exposed foundation area = 1'7 y.e)
•
h. Total foundation window area..................... -f
i. Toa1 net foundation area abvve grade ............ ?
Determine "U" value of each wall segment.
a. Z50.8 X"ull ? 3Z- _ ? O ZS
b. 3g x"uit X39 = S.z6
C. b 4 X„?„
d. ` X liull ? z ---
e. 151.?'1Z X lfu,l 01 ia = 15.oL4
t. 14 1 b. N 8_ xllu" ? 0 y 3
9. l 8a X„u„ , ti 1 = 7.38
n. x Oull
; . ?'1 `? ? 8 x lluii'
3 ........:...............?.?i .Total = I ?
If item 03 is the same as, or less tHan item #, you have 't e intent
of SBC 6006(c)2. ,
. . i .
Total exposed •roof/cei 1 in9 area "Z-
% ? . . _. .. .
Total gross roof/ce9iing area = l S Z.2 .
• . ,.:?., .. .
,. _ .
t?. . . . ... j. Total skylight area ........................
k. Total roof/ceiling framing area . L .
7, Total net insulated roof/ceiling area....... I 4. .
• . Deterinine "U" value far each roof/ceilinq segment.
' . .... ,' j . . .
1111
I1 y. 11lJ
.. . . . J •
' k. I'?Z,Z• x „Ull
.. ? ?'3te9 , a x „u,,
a ..................?.??:?- ......ratai
. ? .
? If total of #4•is the same as, ar less than #2, you' ave met the intent of ,
SBC G006{01. . • _. .
-To utilized the total envelope system method, the values.established by the
sum of items #3 and #4 shalT not ba greater than the sum of itens 01 and #2.
?". ?. ..
3._
MATERIALS
E:teriar Air
Siding ldaterial
Sheathing
InsulatSoa
. SheetrOCk
' Interior Air
Studs
Riln
Conc. B1ks.
+ 2. -
+ .4.
• Therm. Easistance "AO'
. !?
,45
'bb
r 77-f.
. ;s ..
153 !? 2006 RESIDENTIAL MECHANICAL rExMiT arrr.icnTiorr
, City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for. single family dwellings & townhomes/condos when permits are required for each unil
Date Q / ac ^ / cc?
SiteAddress Lv?)GJ,?, ?r?UleL?? Unit#
PropertyOwner Telephonek((0??' ) 24 2 -'95 70
Contractor Wohlers Southside Htg. & Air, Inc.
6950 W. 14e St., #106
Street Address Apple Valley, MN 55124 City
(952) 431-7099
State Telephone # ( )
Bond#: Kl-:f-0Sy'`7q&7 Expires:
The Applicant is _ Owner )< Contractor _ Other
Add-on or alteration to existing dwelling unit $ 30.00
? furnace _Additionai _$Replacement _ New
air exchanger
? air conditioner
heat pump
? other -1-1-(?jtnLQ1 l a-rl, 1C--,
State Surcharge $ .50
Total
I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I undersfand this is not a
permit, buronly 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.
Applicant's Printed Name Applicant's Signature.
APFLtC?AT10N FOR PERMIT
SEWER AND/OR WATER CONNECTION
.
f, NDTE: PA)VEN7P OF FEE AT TiFII: OF
? APPLICATiON DpFS NOT CON- {
? STINiE APPAGJAL OF PERMIT.
•
? INSPFZTION OF SEWER 1NID/OR WATfR
:
? ItYSTALIATIO[1S WIII, Npfl' gE SCEOLID *
? lTR'IL PERMIT HAS HEQN APPRWID. ?*.
#fYif}?!k#t41e4kf;#!!4flf*tf/*#fft4i/f'Y!
OF et1cjCin
(PI,EASE PRINT
1) PROPERTY ADDRFSS:
T FY;AT DESCRIPTION;
IF EXISTZNG STRL'CTURE, DATE OF ORIGINAL BLILDING PERMIT ISSUANCE:
Mnt Year
PRESENT ZONING/PROPOSID IISE:
Q CODM9ERCIAL/RETAIL/OFFICE IX R-1 SINGLE FAMILY
Q INDCSTRIAL ? R-2 DUPLEX (3w Units)
Q.INSTITUTIONAL/GOVERDMENT ? R-3 TaWNHOUSE (Three +.Upits) ( Lnits)
Q R-4 APARTMED7P/CODIDOMINIUM ( L'nits)
z> ? MAME: 1Po6 e rT c ??? //?'Y o°????, J< ?
ADDREss: ?r-ul- CITY, STATE, ZIP:
PHONE: ?I k e-7 G
For City Ose
3) ' ?:?• NAME: Pl erLicense:
ADDRESS: Active
Expired
CITY, STATE, ZIP: Not recordec
PHONE: MASTER LICENSE # St Ia n?al
4) NAME: SG
ADDRESS: _ G?Ll3,? ?s lY e " T`' //,??•w? ? -C/Y,r...- `T
CITY, STATE, ZIP:
PxoNE: 9 C. 5) 'au STORM SEWER PERMIT - CONTACT ENGINEERING
? CONNECTION TO CITY SEWEEt ? CONNECTZON TO CITY WATER O TAPS
6)
**?********?*******?****************??*«??+****??***?***:r**??*****++*****?***************?****+***?,
*
THE GOIA COPY OF 'lHE PERNIIT WILL BE SENP DIRFrIZ,Y TO PIIBLIC WORKS 70 FACILITATE ME.TII2 PICK-UP. ?
* PLEASE AIS.OW 79A WORKING DAYS FOR PROCESSING. SODIDONE EROM TM CZTY WILL CONPACT YOU IE' 744IERE ;
* ARE ANY PROBLENIS. ;
?*+,?*?**********?******?**?******x?************?*+**:***xe***+*?:r,r****??***++**?******??:*??**?**??;
FOR CITY USE ONLY
PERMIT # ISS[,'ED
Pd w/Bldg. Permit FEES:
$ $ /U 5-0 SEWER PERMIT (INCLDDE SURCHARGE)
$ $ / O rb WATER PERMIT (INCLUDE SURCHARGE)
$ d $ WATER METER/COPPERHORN/OOTSIDE READER
$ $ WATER TAP (INCLL'DE CORPORATION STOP)
$ $ SEWER TAP
$ $ ? S ACCOLNT DEPOSIT - SEWER
$ $ ACCOC'NT DEPOSIT - WATER
$ =5 S (; $ WAC
$ 6 5 0.°? $ sac
$ $ TRUNK WATER ASSESSMENT
$ $ TRLNK SEWER ASSESSME[VT
$ $ LATERAL BENEFIT/TR[)NK SEWER
$ $ LATERAL BENSFIT/TRUNK WATER
$ '? G 7•f7J $ WATER TREATMENT PLANT SDRCHARGE
$ $ OTHER:
$ TOTAL
a-
RECEIPT RECEIPT
DOES OTILITY CONNECTION REQLIRE EXCAVATION IN PC'BLIC RIGHT OF WAY?
Q YES IF YES, THEN A"PERMIT FOR WORK i9ITHIN PUBLIC
Q ROADWAY" MDST BE ISSOE? BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY: ? ? ",j -- L? L4-7
TITLE:
DATE: /I /j'OF v
1990 BUILDING PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
MULTIPLE DWELLINGS
Date:
?
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERG] CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
C:OTE: ADDRESSES FOR CORP,'ER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COh1PLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For: Valuation:
Site Address -105? ,°.60'Ab'I4hv
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Pa rc e 1/Sub LLw N GT n NA1ZK V! E(.J
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f+.ddress -7?V 7 fi'.
City/2ip Code
PhoneNzil??-3?z-11 W' a?92 ' S ?lO,3
Contractor
Address -?-2?
City/Zip Code
Phone
P.rch./Engr. `}e17"
Address
City/Zip Code
USE ONLY
Occupancy
Zoning
Actual Const
Allowable
# of stories
Length /T
Depth /(o
S.F. Total
Footprint S.F.
1 'e ?G1"l ti h-7L
COMMERCIAL
FEES
Bldg. Permit
Surcharge
Plan Review
SAC, City
SAC, MWCC
Water Conn
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Copies
SUBTOTAL
Penalty
TOTAL
uk
J. oJ
On site sewage_
On site well
MWCC System _
City water _
PRV
Booster Pump _
APPROVALS
Planner
Council
Bldg. Off.
Variance
Phone -- _5??-
.??; .
?.s
TRI-LAND C0.
SURVEYING
SERVICES
1260 YANKEE pOODLE ROAD
EAGAN, MINNESOTA 55122
88-191
SITE PLAN FOR:
SCOTT STROHMMEN -
LEGAL DESCRIPTION? LOTA,BLoCK-3-, LEXINGTON PARKVIEW
ACCORDING 70 TH RECORDED PLAT
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA111833
Date Issued:07/15/2013
Permit Category:ePermit
Site Address: 4058 Northview Ter
Lot:14 Block: 3 Addition: Lexington Parkview
PID:10-45035-03-140
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, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
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 -
Jeffrey F Lebowski
4058 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:Plumbing
Permit Number:EA120094
Date Issued:01/16/2014
Permit Category:ePermit
Site Address: 4058 Northview Ter
Lot:14 Block: 3 Addition: Lexington Parkview
PID:10-45035-03-140
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.
jeffrey f. lebowski
4058 northview terrace
eagan, MN 55123
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 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 -
Jeffrey F Lebowski
4058 Northview Ter
Eagan MN 55123
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA124656
Date Issued:07/08/2014
Permit Category:ePermit
Site Address: 4058 Northview Ter
Lot:14 Block: 3 Addition: Lexington Parkview
PID:10-45035-03-140
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
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 -
Jeffrey F Lebowski
4058 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:EA160904
Date Issued:04/22/2020
Permit Category:ePermit
Site Address: 4058 Northview Ter
Lot:14 Block: 3 Addition: Lexington Parkview
PID:10-45035-03-140
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation. When a weather barrier is installed or
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Jeffrey F Lebowski
4058 Northview Ter
Eagan MN 55123
Signature Home Services
7373 West 147th St
Apple Valley MN 55124
(651) 731-1147
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA167543
Date Issued:03/19/2021
Permit Category:ePermit
Site Address: 4058 Northview Ter
Lot:14 Block: 3 Addition: Lexington Parkview
PID:10-45035-03-140
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation. When a weather barrier is installed or
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Jeffrey Frank Lebowski
4058 Northview Terr
Saint Paul MN 55123--155
(612) 747-8570
Signature Home Services
7373 West 147th St
Apple Valley MN 55124
(651) 731-1147
Applicant/Permitee: Signature Issued By: Signature