4065 Northview Ter
} CASH RECEIPT
CITY OF EAGAN
3830 PIL4T KNOB ROAD
EAGAN, MINNESOTA 55122
. : ( .
DATE 19
RECENED
fROM
AMOUNT $
& DOLLAHS
ioo
? CASH {?f7 CHECK
?
I . _
/ -
a
FUND OBJECT AMOUNT
`-
_
C_ - J
Thank You
BY
v}- White-Payers Copy
gf{ 63 Yellou-Poatlng Copy
Pink-Flie Copy
CASH RECEIPT
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE I' - 19
-_ '
RECEIYED FRO.
r
AMOUNT $
8 DOLLARS
loo
? CASH ?d CHECK
/
FOR
' t
" ? ? ?`v?_ '_?? ,?o,;- < < ??
?
BY
_ r ,. . . ? wnaa--Qaye.s coaY
_ , , , _ . '. J • . Yelbw--POStln9 CoPY
Pink-Filg Copy
Thank You
CITY OF EAGAN ^ r,
, _.
3830 P11ot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt
To be used for "" nF' V'/ CAR Est. Value $122+00n Date AIIG;lST 2 ,19 a$
Site Address 4065 NOB?NVlEi; T1:RR,ACg
Lot i? Block 2 Sec/Sub.LFxINMN PARKVI]
Parcel No.
cc Name JaE M1LLER COi:ST.
W 18133 = Address' " "' '
o r.ir., ' • Phnnu `
°`o Name
.
? ` Addre:
, Citv-
City
I hereby acknowledgAthat I have read this application and state that the
information is correct and agree to comply with all applicable State of
Minnesota Statutes and Clty of Eagan Ordinances.
Signature of Permittee
., F. ?11Lf.rk c??r:sT.
A Btlilding Permit is issued to:
on thaexpress conditlon that all work shal I be done in accordance with al I
applicable 5tate of Minnesota Statufes and City of Eagan Ordinances.
OFFICE USE ONLY
??3 ?Z
On Site Sewage Occupancy
?17
MWCC SyBtem Zoning
V-?
On Site Well (Actusl) Const
City Water X (Albwa6le)
V-N
PRV Required # of Stories
Booster Pump Length
14
Depth
S.F. Total
Footprint S_F.
APPROVALS FEES
± 1*46•00
Engr./Assess. Permit
61'00
Planner Surcharge
323'0o
Council Pian Review
BIdg.Off. SAC,City 100'00
Variance SAC, M WCC 550.00
WaterConn. 530•00
WaterMeter 67•00
Road Unit 325M
Treatment P1 204•00
Parks
TOTAL $2826•00
?/89 CITY OF EAGAN
Knob Road, P.O. Box 21•199, Eagan, MN
PHON E: 454-8100
Roroinf !k
To bQ uwd for 17 DYG /C . Est. Value =22•000
Site Address ' ` ?"A?6 urr?c
Lot Block 5ec/Sub." ??TnN pARKv? "•'` On Site Sewege
Parcel No. MWCC System x
'
On Site Well
ix Name ' • City Water y
W SO[j'j•K
= Address PRV Required
0 City Phone .-2001 Booster Pump
Name
Name
I hereby acknowledge that I have read this application and state that the
information is cortect and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Signature of Permittee
_ , '?"•1';°',
A Building Permit is issued to:
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 _
S.F. Total
Footprint S.F
APPROVALS FEES
Engr./Assess. Permit
Planner Surcharge
Council Plan Review
Bldg. Off. SAC, City
Variance SAC, MWCC
Water Conn.
Water Meter
Road Unit
Treatment P1
Parks
TOTAL
• Permit No. Psrmlt Holder Date Telephone s
Plumbing ?L . ?? 1 ? ?'
H.V.A.C. D ?'/(LUCC•??f..l?I.crY. ? ?
Electric cz-)
Softener
Inspectlon Dats tnsp. Comments
Footings I ? AIB
Footings II
Foundation
Framing
Rooting
Rough Plbg. ^/ ?
Rough Htg.
Isul.
Fireplace
Final Htg.
Final Plbg.
Bidg. Final
Cert. Occ.
Temp. LP
Deck Ftg. ?
?-
Deck Final
Well
Pr. Disp.
, . .
. . ? . `4 . ' . . i . . :t. ' ? ?
? t?
? VtrttttrMfp itt COrrltpttri.C1J
titp of (tagan
IRMounpnt o# muilbing jwrrtiun
This Certificare issued pursuant to tke requiremenu of Section 306 of the Uniform Building
CQde certifying that a1 the time of irsuance thu structure was in compliance with 1he various
ordrnances of the City regulating building corutruction or use. For the following:
vx aani6ation e1dg. Itrmic No.
p-vp.ocy rya 143411 zooin pisvac PD/R 1 type const.
o,,.na of Mchng „k' MiLIER O(lNST. Aaa,,.ifi E33 Y .
Hw7dingAddrea *?' ^?„?tr,-T'?- I,.PA47 lnu&ry T 13f B2s M+?i ?ARKti?
Dsls: i-Y`_lYl?,? 12, 1988
POST IN A CONSPICUOUS PLACE
. ' PLUMBING PERMiT
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAI
Site Address - <=
Lot Block
? Name
m Addre
c Ciry _
. ??
PERMIT #
RECE{PT #
MN 55122 DATE:
BLDG.TYPE
Sec/Sub Res.
Name
3 Address p City Phone-FEES
COMM/ItVD FEE -1°/o OF CONTF1RCT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHDUSE & 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
FOR: CITY OF
Comm.
Othes
TOTAL;,,
Rough Openings - $1.50
FEE:
_?Water Closet - $3.00
?_Bath Tubs - $3.00
Lavatory - $3.00
Shower - $3.00 ?
Ki?chen Sink - $3.00
Urinal/Bidet - $3.00
I/_Laundry Tray - $3.00
Floor Drains - $1.50
Water Heater - $1.50 ?
Whirlpool - $3.00
; Gas Piping Outfets - $1.50
(MINIMUM - 1 PER PERMIT)
Saftener - $5.00
Well - $1o.Do
_rPrivate Disp. - $10.00 ?
STATE S/C: -
GRAND TOTAL: " °' S
CONTRACT
site Address
Block
PERMIT #
MECHANICAL pERMIT RECEIPf a
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: _
PHONE: 454-aIeo
? Name 1 , ; ? •ti
g Addres?
I
c City ? Phone
Name
..
c
Address
p City Phone-
TYPE OF WORK
Forced Air M BTU
Boiler M BTU
Unit Heater M BTU
Air Cond. M BTU
Vent ?
? CFM
Gas Piping Outlets # -
-
Other
FEE
S/C:
TOTAL•
BLDG. TYP? WORK DESCRIP7
Res. v New v
Mult Add-on
Comm. Repair
Other
FEES
RES. HVAC 0-100 M BTU
ADDITIONAL 50 M BTU
(RES. HVAC INCLUDES A/C ON NEI
CON6TRUCTION)
COMM/IND FEE - 1% OF CO
APT. BLDGS. - COMM. RATE
TOWNHOUSE & CONDOS -
MINIMUM RESIDENTIAL FEE
MINIMUM COMMERCIAL FEE
STATE SURCHARGE PER PE
(ADD $.50 S/C IF PERMIT PR
BEYOND $1.000)
FOR: CITY OF E,
- $24.00
- 6.00
71T) - 1.50 EA
:E
APPLIES
)-ON 8
ELS - 12.00
- 20.00
- .50
INSPECTION RECORD
` CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
,, t1 IIIVtL41 4t_h
I i. Ifllri+fl I f+i•1'.V?fl.?
PERMIT SUBTYPE:
PERMIT TYPE:
Permit Number:
Date Issued:
APPLICANT:
TYPE OF WORK:
t , i
1 +1N'. I
nr w
(iItAIF(i Pl?ki IIJIJEC1+j
P
INS
ECTIQN D• • D•
f iJ'.iJl f? I I iatd ,+; i+ ?•,? ;
I INrtil
i
rtt MA{tlr ?- A'- t NAftATI f'I Rh 1 1 1 `. 1t1:W111 ?ti 0 Fftf+ ANY i! 1- 1 1 lt l 1 ?! Lft)kIIII
Permit No. Permk Holder Dste Telephone t
SlW
PLUMBING
HVAC
ELECTRI qff
ELECTRIC
Inapection Date Msp. CommsMa
Footings I
Foundation
Framing i
l?`• ,,.>
??
Roofing
Rough Pibg.
Rou9h Htg.
Isul.
Fireplace
Flnal Htg.
Orsat Tes!
Final Plbg. Pibg. Inspector - Notify Plumber
Const. Meter
EngrJPlan
Bldg. Final
Deck Ftg.
Deck Final
Weli
Pr. Disp.
CiTY OF,EAGAN Permit No: 101, 1
3830 Pilgt Knob Road B/ P No: 8618-4
P.OiBox21199 , ??,;C ?^?,• ??
Eagan, MN 55121
Site Address:
e Miller
MWCC: 550.00gd
1,?O.OOnd
City Chg:
Acct. Dep: 15.OOpd
Permit Fee: • Pd
Su rcharge: ..S o.pEl
CITY OF EAGAN
3830 Pltbt Knob Road
P.O. 8ox 21199
Eagan, MN 55121
L13
k-
Zoning.
No. of Units ?
I agree to comply with the City of Eagan
Ordinances. ; j
?- _
By
SEWER SERVICE PERMIT
? _
Permit No: Date:
Meter No: y?0 O D/9 Size: - oe/f
Reader No: 0?,? 9?GD ? bate: - f"
Owner. T.,o 0,4131or
Site Address: i,•' - ? ,rthvi pw i erz , Z •:? IT,
Plumber ?1 t,mhing ? ;.ew
Conn. Chg
Acct Dep:.
Permit Fee
Surcharge;
Tr. Plant-
Meter. - ` • "'"r.
..:.... . , . . , , .
Zoning: Rl
No. of Units: 1
I agree to comply with the City ol Eagan
Ordinances.
By
WATER SERVICE PERMIT
Date: S-5-8a
Date: 3- -88
?-,?•
- ---- ---
urc arge:
Misc.: gy
SEWER SERVICE PERMIT
ClTY OF ElIGAN Permit No: 11R34
3830 Pilat Knob Road Meter No:
P.O. Hox 21199 Reader No:
Eagan, MN 55121
Dale:
Size:
Date:
Site Address: ?` F vte? ;?rr ?r? I l 3 ?` ^ I eainutan Park-
Plumber.
Conn. Chg: - ?50. Zoning:
AcctDep:- 15-+1t}ic No.olUnits:
Permit Fee: In - C!X:;
Surcharge: agree to comply with the CItY ot Eagan
Tr. Plant Ordlnances.
Meter. '
AAi- • •, • • 00..
9,9REQUEST FOR ELECTRICAL INSPECTION e(ay-/o`oo,o/i-aLs.
See instructions for completing this form on back of yellOw copV. J O(?
E 412 9.1 "X'" 8elow Work Covered by 7his Request 6.273
Ana nev. Tvoe or euiming aoor,..a. wnae Equiument Wired
Home Range Temporary Service
Duplex Water Heater liyhtiny Fixture5
Apt. 6uilding Dryer Electric HeaUn
Commercial Bldy. Fumzce Silo Unloader
Industrial BIAg. AEr Conditioner Bulk Milk Tank
Farm Other peciiy iherlSUecJyl
i a,r Succifv thor Othur ompute /nspection Fee Below
p Fee SarviceEntrence51xe k Fee Fanders/Sahteatlers N Fee Circuits
0 to 200 qm s 0 to 30 qm s () to 30 Am s
Above 20D qmps. 31 to 100 Amps / 31 to 100 qm s
Swimming Pool A6ove 100_Amps Above 100_Ampa
Transtormers Irrigation Booms O Pdrtial-"Other Fee
Signs Speciallnspection
T
flemarks
f ?rrJd
r
Rou9h.in ?. t rical
Insoeccoq nereCy
Final ertity thnt the abova
inspection has baen
maea.
ThIS reauest vaitl 18 months irom
I
:D(C. PERMIT
01-3422 Plan Check
01-3445 Surch./Adm.
01-3446 SAC/Adm.
01-2155 Surcharge
75-3860 Road Unit
20-2275 SAC
20-3865 Water Conn.
20-3868 Water Trmt.
20-3716 Water Meter
20-2252 Acct. Dep.
20-3713 Water Permit
20-3743 Sewer Permit
79-3866 Sewer Conn.
28-3855 Park Ded.
?
?
/40 Ini
TOTAL
,
CITY OF EAGAN, N_ 15 4 0 5
3830 Pilot Knob Road, P.O. Box 21 •199, Eagan, MN 55121
BUILDING PERMIT PMONE. 454-8100
Receiptx [
Tobeusedfor SF DWG/GAR Est.Value $122,000 Date AUGUST 2 ,19 __$8
Site qddress" 4065 NORTHVIEW TERRACE
Lot 13 Bbck Z Sec/Sub.LEXINGTON PARKVM
Parcel No
a Name 10E MILLER CONST.
z Address 18133 CEDAR AVE. SOUTH
° City FMGTN. Phone 431-2001
a Name
0
z?
o a Addre,
u
: City
?a
"W Name
ww
f
x zo Addie,
u
aW CitY_
I hereby acknowledge that I have read this application and sta[e that ihe
intormation is correct and agree to compty with all applicable State of
Minnesota Statutes and givof Eyg rdi nces.
Signature of Permittee _ __ _ _
A Building Permit is issuetl to:_ E MILLER CONST.
ontheexpressconditionthat workshallbedoneinaccordancewithall
applicable State of Minnes Stalutes an ity ol Eagan -Ortlinances.
Building Ofiicial.__ ____ _ ______ _
?`?--°/-- ?
,..J
OFFICE USE ONLY
On Site Sewage _ Occupency
MWCCSystem X Zoning
On Site Well _ (ACtual) Const
Ciry Water 7 (Allowable)
PRV Required _ # of Stories
Booster.Pump _ Length
Depth
S.F. Total
Footprint S.F.
I
APPROVALS
Engr./Aesess.-
Planner
Council I _
Bltlg. Oft.
Variance _
FEES
Permit
Surcharge
Plan Review
SAC,Ciry
SAQ MWCC
Water Conn.
Water Meter
Road Unit
Treatment P1
Parks
TOTAL
R-3/M-1
P-D/R-1
V-N
V-N
52
34
646.00
61.00
__3Z3.00
--1Q4?49
-S5Q.Il9
_S.SO-QD
325:A0
-2II4.-QO
$28 .D9
ii i? ??
N5998
REQUEST FOR ELECTRICAL INSPECTION
? See instmctions lor completing tnis fortn on back d yeilow cropy.
"X" Be/ow Worg Covered by This Request
.'i ?33 93 08
e Atld Rep. Typeof8uilding AppiiancesWired EquipmeniWiretl
Home Range Temporary Service
Duplez Water Heater Electric Heating
Apt. Building Oryer Load Management
CommJlndustrial Furnace Other (SpeCiiy)
Farm Air Conditioner
Olher(specilyi ConVador's?emea??
Compule lnspec(ion Fee Below:
# Other Fee # ServiceEntrence5iie Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 700 Amps
Translormers Above 200 _ Amps Above 100 _ Amps
Signs Inspactor5 Use Only: TOTAL
Irrigation Booms
y? •??
7•s?
Q
Specialinspection 1
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fae COMPLETED WITHIN 18 MONTHS..
f
I, the Electrical Inspector, hereby
certify that the above inspection has
been made. Rouyn-m
Final
oa?ef // y?
r
OFFICE USE ONLY
iThis reqoest void 18 monfis imm
/%ls? 5
' 33 U7
? 1 9 8 of • ?` p °°
Repuast Oate , ire N0. Rou
(VO dn InpsacVen RepWretl
when
ust ca(i 6?
rgaoY' InsOection Other Than FougM1-ln
Ready ? Will Notily Inspector
O
No
? le Re
I ? licensed contractor D owner hereby request inspection ot above electriral work at:
Job Atltlries/s ISheeL Bax or Route No ) -?-
TBGS .?v? Q? C Clly
Seclion No. Townshl0 Name or No. Fange No. Couniy
T
OccuPant (PRINT?
l
.?> Phone S
e.
a
CJ S M Q YPJ I
Power Su A Iier Atltlress
Elecvical/Comr/acJ?r(COrt?pany Nam/a)
S
?
?
/ Conhacbr3 License No.
O
r
7'• ?-•'olX !?
?/
G
CG ?C / II
C'/D I
Mailing Adare's/s aICOnvaclor or Owner MaWng Ins?allation7/?
l'?1 ? J? /
R???95 /h ?
S '-'
AmM1orizeo Si at (COnvact erlnstallauon) Pnon y?? _??
/
???
MINNESOTA STATE BOARD OF ELECTRIQTV THIS INSPECTION REOUEST WILL NOT
Grigys-Mitlwey Bitlg. - Room 5-113 BE nCCEPTEO BV THE STATE BOARD
1821 University Ave., Sc Paul. MN 55100 UNIESS PqOPER INSPECTION FEE IS
Vhone (812) 692-0800 ENCLOSED.
This repuest void Q/5?/8'?'
E 412 91 L 13. r3a °o
Renuest pppgte -?
/ Fire o. uuh-in InsVectinn
Reoqvrtetl? .?/
y Will Notity, Insoec-
?Aeaay Nuw
?
? /??
/ y??'us ?No -
I _ ?or When Ready
N licensed Eleclrical Contrecmr • I hereby request insoection ot above
? Owner electrical work instelied al:
Str/eJet Address, Box or Route?I?
1?
0(
5 o. ??
Y1
/1 B
J / f?
`
' CiIy
Z-4?
O r
7
? /
1
L
I
C? 4/j
ertwn n. Townshi0 Name or No. flange No. County
Q
OccvVanx (PRINT) '
Z ,.// Phane No.
,/3/-a00
Power $up0lier
'&r-v E
le c.?r.« Address
Fc,r-m i n -?o n
Eleclrical Co Jraqtor ?Company? 1 ?
?
?? Contrar.fur' License No.
y!?/ o
/QaK
ar is? C.
Mailinq Address (COnVacmr or Ow r MakinH InstailatioN
5oo C
a
?
4 4Q t
I ?
?
5`?33
,oun
. .o 01 8
c? rnstl i
c?
Author'>ed ignaWr c r?Owner Making Ins[alla onl Phone Nun r
9o-gc
THIS INSPECTION NEOUEST WILL NOT
MINNESOTA STAT qD OF ELECTPICITV
GrigBa•Midway g. - floom N•191 BE ACCEPTED PBY THE STATE BOAHD
UNLESS PROPE INSPECTION FEE IS
1821 Universilv Ave.. SL Peul, MN 55104
o.....,. ra, 11 cno_nonn ENCLOSED.
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: B U I L D I N G
3830 Pilot Knob Road Permit Number: 024761
Eagan, Minnesota 55123 Date Issued: 10 / 2 7/ 9 4
(612) 681-4675
SITE ADDRESS: Lo r: 13 B L 0 C K: 2 APPLICANT:
4065 NORTHVIEW TER VALLEY INVESTMENTS CONST
LEXINGTON PARKVIEW (612) 454-5191
PERMIT SUBTYPE:
SF ADDITION
TYPE OF WORK:
NEW
DESCRIPTSON (HEA7ED PORCH/DECK)
INSPECTION
FOOTZNGS .. .
FRAMING ..
NSULATION FIREPLACE
FINAL
REMARKS: A SEPARATE PERMIT IS REQUIRED FOR ANY ELECTRTCAL WORK
?
L
-1
J
CITY OF•EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
4965 NORTHVIEW TER
LOT: 13 BLOCK: 2
LEXING70N PARKVIEW
P.I.N.: 10-45035-130-02
/%
BUILDIN
024761
10/27/94
DESCRIPTION:
(HEATEp
86ilding'.Permit Type
Building Wo`?rk Type
/Construction Type
,
( /?6
PORCH/DECK)
SF ADDITION
NEW
V-N
r
REMARKS:
A SEPARATE PERMIT IS REQUIRED FOR ANY ELECTRICAL WORK
FEE SUMMARY:
VALUATION
Base Fee
Plan Review
Surcharge
Total Fee
$180.00
$117.00
$8.50
$305.50
$17,000
CONTRACTOR: - Appl3cant - s7. LIC. OWNER:
VALLEY INVESTMENT5 CONST 14545191 0094241 LENZ RON
2401 LEXINGTON AVE S 4065 NORTHVIEW TERR
MEND07A HTS MN 55120 EAGAN MN
(612) 454-5191
?
I hereby acknowledge that I have read this application and state that the
information is correct and agrae to comply with all applicable State ofi Mn.
Statutes and City of Eagan Ordinances.
A ?.
X,j APP CA?TlPERMITEESIGNATURE
111 R?ajrv
ISSUED B SIG TUR
J
• ' "' CITY OF EAGAN
1994 BUILDING PERMIT APPUCATION
681-4675
?SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site su veys, 1 copy o en rgy
calcs. ly3y
COMMERCIAL 2 sets of architectural & structural 13nS,_1_;@t of
__
specifications, 1 copy of energy calc.
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 Valuation of work ?d. 6OD ?
Site Address: 70loSr "0(271tiJGF_eJ
Y STREET SUS7E M
Tenant Name: (commercial only) AlJ L?11t1z,
IAT BLOCK ? SUBD.
Descri tion of work: ?dyccsf `"/? ?dcK
The applicant is: ? Owner ontractor ? Other (Describe)
Name ri Phone
Property LAST FIRST
Owner Address ?fQG S? /Uo,e,-*a
STREET STE #
City State Zip
Company ~ J _A)7-S N3f Phone 6f7-C/^-SW1
Contractor Address c"?'M 1 LK,r?idn? ?S License #41;"f( Exp.
City &ELJ0!2M Wk1GffT_T State 1A)A1 Zip ?
Company Phone
Architect/
Engineer Name Registration #
Address "
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and a9ree to com with all applicable 5tate of Minnesota Statutes and City of
Eagan Ordinances.
^ .
?
Signature of Applican :
OFFICE USE ONLY
BUILDING PERMIT TYPE `
„F--
? 01 Foundation ? Ob Duplex ? Ii Apt./Lodging 0 16 Basement Finish
? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool
48(03 5F Addition O 08 6-Plex ? 13 Garage/Accessory ? 18 Comm./Ind.
0 04 SF Porch O 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc.
? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility
? 21 Miscellaneous
WORK TYPE
M 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish
0 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual ?
; Basement sq. ft. MWCC System
(Allowable lst F1. sq. ft. City Water
UBC Occupancy 2nd fl, sq. ft. PRV Required
Zoning Sq. Ft. total Booster Pump
# of 5tories Footprint Sq. ft. Fire Sprinkler
Length On-site well Census Code 3 -
Depth On-site sewage SAC Code oi
APPROVALS eensus Unit ?
Planning Building
Engineering Variance
REGIUIRED INSPECTIONS
?.5ite
? Wallboard
0'-Footing
& Final
Assessments
O-F?aming Q Insulation
13 Draintile O Fireplace
Permit Fee
Surcharge
Plan Review
license
MWCC 5AC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
vaimc;p,: 8 17600
/,?, y /g ? z?,' e, X sy - iss-rz
/4 , 7SZ-
SAC 96
SAC Units
_, ..' .
E?kr,s? P;nl-o
f?, o rJ 1? ^?'j ------
_??oGS._ ---
' ?-
_
rJ C,?
i- ?
aa: ia? ?a
1`,c ?Y!0•? ?%is?inl6 ?j?.. ?r=U?'- ?('vi 5'TS_ -
Gaw? II ? ___
O
/Ft•/n) F-rt I ?
O
S?o +
"
±
a?
i -
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? ? 3 S?a?SO?J i j
/ ? II
II ?
I
40,6S OO R-TN V IEKJ
la --- -
;
?
? ?.
J axio-r i6"a.C.
7
/g
IW T ?SG-3 I 2-os6 -3 ??
?
: I
2GS6-2 d6?.t
?
(?I
? ?CrS?..?G
#
c ?
r?R: ro I
l r'7oop- ? ' da56-3
. r
CERAm;L Fcoo2._
,
?
n
i
-?
•Ltl!1 GS-C`rt-,qTnTPStiEF3c XCOQESBLcuLBTlohS
DASL'D ON CIIAPTER 5 Or TIIG
tMLLEN&I3G co F,_- ] aej FDxTZOt{
Adoption Effectlve
?Y?'v ? ? L sx.,rc rov
Owner vlc w
Phone
Site I,ddres
Contractor
Duilding Classification: Type A1 (Single I'amily G puplex)
?? ?,? ?
'I'ype A2 (Residential, 3 stories or less) (Over J stories) (Other)
114'LF?CSSmpI anSL1_?1???• N
ce_.,Ilrl?AI?ItIL•?Rt»TLtt GfG?F? ?, !??
? ...?J
.?'.. .
1. 13uilding Perimeter •ft.
ti
2. {aall height (ground to eave)
3. ].. X 2. (aUova) qross wall area ?'-j,`f-/?' sq.ft.._ -
r .G,` .. . .. ..
4. Buildinq dimensions (L) _X (W) sq.fi:.roof & floor area .
5. Sq. Eoot area of rim joist - F oor joist size (2 X? D
X z sz- (Perimeter) 12 JI 6. Doors - Ar.ea LL ' '
'1'hiclcness ? in U. factor
Type of ConstrLiction Perimeter ft.
tf-tinufactiirer
7. Total door's perimeter ft.
0. 11indocao: Ffar.ufacturer [???lUj, Gj?`1 1 State npproved_ ?
U facLor v
TYPE 7 SIZP•. ARPA (Sq.Ft. ) NUtfIIER• OP TO'pAL
Encn UUIT5 SQ FEET
???---t1 -
9. Total sq. ft. Glass >....t, „J " -.
lo. I'1.repl.ace area: Wl.Clth X Ilei9ht = X = sq.=ft. -
11. Cxposed foundation: Iteight X Perimeter, rX 79l'/ _/38 sq: fL. '
-
COtlPLETIOtI OF 'f11IS r•oart IS RrQqinEn FOR ALL ttCv7 .CUI7STRUCTIOti;. -1dAJ6R
REIIODI:I,It1G AtlD IIUILDI11G5 IIGTtIG MOVf3D WIIERE PNCRGY, OTIIER TIIAt7 TIIE AfIt1INAL
COf)E ALI-,OI4ANCE, IS asrn. ,
Date
-1-
. .. 8?-Ir3
1.2. Framing area = l0t of grosn wall area.
13. Gross wall area 34`12, 4v sq.ft. .
Windoi•i area A sq, ft. U windows UxA =
Rim joist area A 00 sq.ft. U rim joist= •D ? UxA =
Door area A ? sq.ft. U door area= .?_ UxA
Other loors area A eq.Pt. U othort doors=_, iTxA
ExPosed fndn A :;q.ft. 0 foundption= 'UxA
I'raming aren A? 1. Zsq.ft. U fxnming area=•0,`J UxF.
'!1J ?-
tlet wall aroa A`fiq, ft. U wqll= ?j
! ?iUxA = I?L
(13B) TOTAL . . . . . . . . . UxA
14. Gross wall area x 0.11 (A-1 pingle fomily & duplex) = allowable UxA/COde
(13. above)
x 0.23 (A-2 otltor roaidential)
x .23 (otlior buildinge)
?j x .20 (OVOr 3 atoriea)
?,] ?j Z B"UII muat bn larger than or same
A 4/?4"x U CoclaL = J?T 6F. as 13[l above 15. Ceiling frawing nroa (At) aryualn 108 of ceiling area
15A. Gross ceilinq area = (L) --?"'- x (W) ?sq.ft.
15n. Joist area (Af) = 10% ceiling area aq.ft. .
15C. t7et ceilinq area (A.) (15A - 15I3) sq.€t. - '
II ceiling x A? x inl/Z_
U framing x A f = ??? x I??
15D. TOTAI, U x A............................. -3?---
16. Ceiling oren (15A) x 0.026 (A-1 einqle family & duplex) `
= nllowable UxA/Code
x 0.033 (A-2 other residentYal)
x 0.06 (other)
? 7?? ?c DTU[i must be lArger than or same
A(15A)IJ x U Code !?? °F. as 15D above
1ioTG: Use U aml A vulues obtainod from pages 1, 3 nnd A.
CrR'P-MrnTl41d: I heroby certify th4t.I have celculated the "U" foctors nnd
"R" vulue> heraln and that tho building here'described meets or exceeda the
SL-ate oE ttinnesota Cnorgy Conctorvntion Act.
Date
-2, .
Signaturo , . -
't j u
1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS / '5 q
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTEs ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDAESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BQILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS AENT9L ONITS FOR SALE UNITS 4 OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECg WITH BLDG. DEPT.,
1 SET OF ENEAGY CALCULATIONS
CDM4fERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
To Be Qsed For: Valuation ? cei Date: _ri C7-1-6
. , . ?. .,
Site Address
Lot 13 Block a
Parcel/Sub
Owner
Address
City/Zip Code
122 00?' V
On site sewage Occupancy R-3 M-I
MWCC system _
V Zoning P-0 R-1
On site well Actual Const
City water
? Allowable ?
PRV required li of stories
Booster Pump _
_ Length 52'
Depth 3 4'
S.F. Total
Footprint S.F .
Phone
Contractor -d?) 2?& (?
Address wt? •
City/Zip Code
Phone `?'? /'
Arch./Engr.
Address
City/2ip Code
APPROVALS FEES
Engr/Assess Permit ?y(0.0U
Planner Surcharge f/. n ?
Couneil ?,?.?
'?
1 Plan Review 3 23,oa
Bldg. Off.
Jlt? 7
7-4 SAC, City 100, do
Variance SAC, MWCC SSO, Oo
Water Conn 550. Oo
Water Meter W? 00
Road Unit 5, 00
Treatment Pl 20 , 00
Parks
Copies
TOTAL Zg26.)0
Phone fl
4-% yVA LUA'TIO9
GARAC,E
Z2x2z?- qSN Xlu = 6?96
IB?SE vhc r.? -
3 ou 13 =__3?
/pi?+?13? 131gz
1 sT FLOO2
?SS ?v? T = t o I y
? Xlo ; /o
?---
ID3y X 'q9 = 5a666
Ln ?LoOR,
-? Se^
'`F3?:
J-
loyy X yy = S? 15G
`
??
f21-7
88-I28
TRI-LAND C0.
SURVEYING
SERVICES
1260 YANKEE DOODLE ROAD
EAGAN, MINNESOTA 55126
SITE PLAN FOR:
MlLLER CONSTRUCTION
LEGAL DESCRIPTION: LOT15,BLOCK-?., LEXINGTON PARKVIEW
ACCORDING TO THE RECORDED PLAT
THEREOF DAKOTA COUNTY,MINNESOTA
"J!.,.
EAGAN
REVIEVIED
BY
DATE
S 0°03'43"
? ---- 5-----??
DRAINAGE B UTILITY EASEMENTS I
? I
i LOT 13 ?
i
/:
? I I
GAid
Zr-
SCALE : I"= 30'
.?.Q s
2P-
5TPROPOSED
_XISTING HOUSE r---"'
HOUSE 29.7' ( GARAGE
GF49?7.B I ? 22.S
i1111
--'---1 OD --?----I ??
N I M
, L--?- -
_ W.v. 10'
DEPT !
rJ
72? ?
I
J I 1 0)
-:P/3?9
1 .1 1?,
?(?1- 1
?
(,0
0
?o
0
?
IEXISTWG HOUSE
JB.RI,Rd - -
i-
n• b
.5tT4.2
°03•43" 1 X 93.37
TBC 9PT.4
W 7 J•2 ? `Y, TBC "-T9
b ?=5*01'11..
L=9,02
_ _ _ --100.00
NORTHVIEW TERRACE
LEGErsc
o DENOTES IRON MONUMENT
o DENOTES WOOD HUB SET
DENOTES EXISTING SPOT
ELEVATION
DENOTES PROPOSED SPOT
ELEVATION
? DENOTES DRAINAGE DIRECTION
1 heraby cerfity tAat tAis survey,plan or
rsport was prepored by me or under my
diract supervision and fhat I am a duly
Reqistersd Land Surveyor under ihe
Laws of the Stote of Minnesota.
INVER7 ELEVATION A7 SERVICE EX"fENSIUN=
PROPOSED GARAGE FLOOR ELEVATION= 93s!'-?
PROPOSED FIRS7 FLOOR ELEVA710N = 93HS
PROPOSEDBASEMENT FLOOR = GzG•p
ELEVATION
NOTE: VERIFY ALL FLOOR HEIGHTS WITH
FINAL HOUSE PLANS
Bradley . wapson, Mn. Rep. No.15235
Dofe ' '2125'/9
,::
One or Two Family
All Other
CITY OF BUILDINd DEPARTMENT
EXTERIOR ENVII,OPE AVERA(iE IOU BI COMPUTATION (To be submitted with building permit applica'tion)
Dwelling Owner
Contractor ?oSE?F? d[.(.-_-R- dOh;r7.
S3te Addresa L 13 B?veAZ
L•'?14?vc.? o-r`6W Itn..)
Date -240" Phone
?:5?l:•r??
LINEAL FEET OF
EiQ'OSED FIALL ?1je!{ZK- ??P_T ft. above grade - 2+9 &3.4g ol
TOTAL E}L°OSED WALL ARcA SQ. FT.
O?dqUE '.7ALL C0NSTRUCTI01i: "U" Value x Area
8A»7E l'Ult . D¢S x S2.
Detail I
RIw -flUll , p¢o x SQ,
reFerence 'OUIO , 07Cp x SQ.
from "Ull x SQ.
attached IIUII x SQ.
sheets itUff, x sq.
',YINDOWS: "U?l Value x Area
Aia:te & Type INWL• 4Hf1T 'iUit .SZ. x sq.
u n npu x SQ.
11 it IIuII x sQ.
tt ti @lUll x sq.
DOORS: "Ull Value x Area
:a':e & Type _-j7L • l ?aUL • npn G.?¢ x SQ,
u n PA.'Tl n 11011 .47 x sq.
if n upn x SQ.
n u nUn x sq.
TOTALS 2%3.4f5 sq.
AVERA(iE "0"
ToTAL (U)(A) VAI,UES 2570.91
DIVIDED BY TOTAL SIpLL AREA 2-9103•4gj ' o07
1
AVERA(3E "Ull ,115 or leas for 1&2 family dwellinga
ROOF/CEILIN(3 :
TOTAL AREA: O I
FT. Z197. 7o - 94.15 (U) (A)
FT. Z58•9(v= 10.35 (U) (A)
FT. ZoB.SZ= ?5.84 SU) (A)
FT. _ (U)(Q)
FT. _ (U)(A)
FT. _ (U) (A)
FT.Z/S-3o = Il1•9S_(u)(n)
FT. - (U) (A)
FT. - ?U)(A)
Fr. _ (U)(a) j,
FT. 9•00 = 64$0 (U)(A)
FT. Z•oo = J9•T(U)(A)
FT. - (U) (A)
FT. _ (u)(A)
r*T. 755 .q1 (U) cA>
Detail reference IIUII •02? x 3Q. FT.,1(JS/ = zz.°7M(A)
from IIUII x SQ. FT. . (U) (A)
attached sheeta. liUll x SQ. FT. _ (U)(A)
Deacribe onenings loUll x SQ. FT. = (U)(A)
in roof. "U" x sq. P+T. _ (U)(A)
TOTAL (U)(A) VALUES DIVIDED BY ' 2?z.07 _ ?mAL,!7 aSl 22.07 (Vy??
?r?
TU'.AL ROOF/CEII.ITdC} P,RBA /dvr1 . 0Z 1
_._---
AVF:RAGE "U" .025 for ventilated roofe. -'
,
--vratL SECTION--
Determiaing "U" valuea at Rooiy Wallp Rims and Conc. Block
ROOF/CEILIN(i
1.) Interiar Air e'ilm
2.) 5/8 w, ayP. sa.
3.) insulation
4.)
5.) Exterior Air Film
(STILL)
(R) VALUE
0.61 '
.56
4-00
.61
nIIu - 1/R- .OZI "OTAL (R)=¢S.7S
?-
WALL
6.) Interior Air Film
7.) }u CiYP. Bd.
$.) Insulation
9.) z613L DmL-T- RiTE
10.) Masonite Siding
11.) Exterior Air Film
(R) VALUE
0.68
.45
19.00
Z. 67
.17
TaTAL cx)=23.01
?
RIM
12.) Interior Air Film
13.) Insulation
14.) 211 Fir Rim Joist
15. ) as/3z?' BvIL-T-R-i16
16.) Masonite Siding
170 Exterior Air Film
(R) VALUE
0.68
1(?. o0
1.88
Z,O4
.67
.17
upn o 1/R= •OIO TOTAL (R)=Z¢,?
?
FOUNDATION
18.) Interior Air Film
20. ] l?-auLA"RDw
21.) 12" Coacrete Block
22.)
23.) Exterior Air Fllm
"Uu = 1/R= .0740
?-
.
R VALU
0. 68
il. Db
t.28
.17
TOTAL (R) = 13.I!?
.. '`. " ... . ,
G
E_XLO.e26p wALL-
f8•33 X (sz+5zt-z?+z?? _
1z.0 X 4.0 =
l4,o x 4.0: ... _
9LTeis
•135 X(1v4+1o4+5Lt5L)
2, Ss9.4g
S(o.oo
2,74.3.18 -- Z58.9& --?-
Co
•(07 X ?SLtSL+Z?t??, = 1o4.5Z
rz,ax4 = ?s•?
14,o x 4 = .S(o•oo
?t?Aows
I(o)( 3(o = 4-0 x Z- 8.00
ZoX3lo= 5.0 x4 = 70.00
Zo x48 = (0•7 X 3- 20.10
Z4 x48 = 8• o X!z = 9l0• 0 0
Zo x&o = 8•4 X 8= &7•7-o
z4xt4 = 4.0 x 1- 4.00
??
, \0/ Y . ?
1989 BIIILDING PEB24IT 9PPLICATION - CITY OF EAGAN .?o-
a?
?? ?
SIRGLE FAMILY DWELLING3 /T ?
I S ?
INCLODE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTEs ADDRFSSES F09 CORNEA LOTS - CONTR6CTOR/HOMEOWNBR MQST DESIGNATE WHICH ADDRFBS
IS DFSIRED. NO CHANGES WII.L BE ALLOWED ONCE HIIILDSNG PERMIT I3 I330ED.
MIILTIPLE DWELLINGS RENTAL UNITS FOA SALE DNITS # OF iJHIT3
INCLUDE 2 SETS OF PLANS, CEATIFIC6TE OF SURYEY - CHECg WITH SLDG. DEPT.t 1 SET OF ENERGY
CALCULATIONS
COMAIERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
- u ?°; tj t, 1989
To Be Used For: Ate-K'
Valuation: 4090-
Site Address 1106S N''-AV"«" Trn OFFICE 03S ONLY
Lot 15 Bloek Z
Parcel/Sub ?E'X/q/6.7bA/ /?q/2KU/F?
Owner t?4vAtO lJAIl.
Address 'y0d, s Ni.-A6y/tw
City/Zip Code , /7,W ss?L1 _
Phone (rj'f -9yZ3
w
Contractor
Address
City/Zip Code
Phone
Areh./Engr. _
Address 4669 1WOr04vIew f r/rllt
Occupancy
Zoning
Actual Const
Allowable
# of stories
Length 19Ya r
Depth ao'
S.F. Total
Footprint S.F.
On site sewage_
On site well _
MWCC System _
City water _
PRV required _
Booster Pump _
9PPROV9I.S
Planner
Couneil /.?
Bldg. Off.
Varianee
Couneil
City/Zip Code ?!?!? , MN sr/j;
phone u 692- 7H13 (N) .03- Slt+o& (w)
Date: S-1f"f9
FSFS
? ?
Hidg. Permit -
Sureharge
Plan Review
SAC, City
SAC, MWCC
Water Conn ?
Water Meter
Aect. Deposit
S/W Permit
5/W Sureharge
Treatment &Y.
Road Unit
Park Ded.
Copies
TOT9L
?
NOTE: Sewer & Water Permit fees and accouat deposit fees rrill be included in the building
permit fee. Processing time For sexer and vater permits is txo days once a lieensed
plumber has applied for a permit at City Hall.
tf ti- I L-1t3
SITE PLAN FOR:
1260 YANKEE DOODLE ROAD
EAGAN, LNIMNESOTA 55126
MILLER CONSTRUCTION
LEGAL DESCRIPTION; LOTD-,eLOCK_Z, LEXINGTON PARKVIEW
ACCORDING TO 7H RECORDED PLAT
THEREOF COUNTYs MINNESOTA
Aw,. ' " I 98_9$_
-----g--------?
•' ? DRAINAGE B UTILITY EASEMENTS I
?
? i LOT 13 ?
?r I ?
°° i ,? ?
i
61
Ig.
I I
? I
? 1
Z-1- ? I
SCALE : I"= 30'
2r -
I ? wRoPOSen
House
1t.?- ??? =
... ? 4 1 . ?
E%19TING h10USE I . 29.7?
sF.rre?a .
- - - - .-t xr b ? - -?? - - -,
N ?
?---?%--
_ w.v. 1o•
? I
i oawAGE'?i I
_1JIN
-??
1
6MQ1' ii!
i
?gwsrwc?ause
?imo - -
ww
Si"
S 0003'43" W ?3.26 . 7"'Lu"
rwawZw Y rw suW.v
L=9.02
_ ..E--100.00
NORTHVIEW TERRACE
LEr
o DENOTES IRON MONU6AENT
o DENOTES WOOD HUB SET
DENOTES EXISTING SPOT
ELEVATION
OENOTES PROPOSED SPOT
ELEVATION
? DENOTES DRAINAGE DIRECTfON
1 hreby coAlfy tlwt thia eurwy. plon or
report wa prepored by ma or under my
dlrecT supervlslan and that I am o duly
Ropistored Lond Surveror undw fM
Laws oP tM Stmo of Minnesota
INVERT ELE4ATI0N AT SERVICE EXTENSION¦ ?
PROPOSED GARAGE FLOOR ELEVATION ¦ '?A I
PROPOSED FiRST FLOOR ELEVATION • ?
QROP9SED @ASF..AAEN1' FLOQR • ..,?!?.?._
EL.EVATI ON
NOTE * . VERIFY ALL FLOOR HEIGHTS WITH
FINAL HOUSE PLANS
Bradley 4.(/5reqson. Mn. Roa No.1023b
Dats '_
Ip
cn
?
?t
APFLICATION FOR PERMIT
SEWER AND/OR WATER GONNECTIQN
I -,,f/R-1 SINGI.E FAMILY
oF eaqcsn
-citv (PLEASE PRINT
i) PROPERTY ADDRFSS: ?rfj.(?S? i[/Bh?i v?-? ?? q{rv-?<--
I FY;AT DESCRIPTION; . /j
or
IF EXISTING STRDCTLTRE, DATE OF ORIGINAL BUILDING PERMLT ISSDANCE:
PRESENT 20NING/PROPOSID DSE:
Q COMMERCIAL/RETAIL/OFFICE
Q INDL?STRIAL
Q INSTITUTIONAL/GOVEf2NMET7T
;. , .
i N01'E: PAYFMSi' OF FEE AT TSME OF ; F *
; arrrscaizoN ooEs NCYr coH- ;
? STSISTfE AFPH6VAL OF PERMIT. :
• e
; icasrE=au oF sEWM arv/oa HmTEc :.
; xrisrs,ctaTxoNs wn.L r[Yr ae scmvr.m ;
i[!NfiL PIIiFffT HAS Bffid APPRUVID. ?*.
wfettt:rx+w??aa?e++fwv.?rk+??t?afM???fw?
Mont Year
E] R-2 DLPLEX ('Pao Cnits)
? R-3 TOWNfiOUSE (Three + C'nits) ( Units)
Q R-4 APARTMENT/CONIDOMINIUM ( []nits )
z) rArE: N7./kr Cm0--z l'-
ADDRESS:
CITY, STATE, ZIP:
PHOnE: Y3/- aao (
3) ? : ?• NAME:
ADDRESS:
CITY, STATE, ZIP:
PHONE: 4/q_ 3_. _Lf7:j MASTEEt LICENSE #,W
,go( ?S-
Active
? Expired
Not recorded
Sta In£?itiaI
4 ) Qi70,n?G57?'a ? .i? ?•
NAME: 4s C2.?
ADDRESS:
CITY, STATE, ZIP:
PHONE:
5)
O'CONNECTION TO CITY SEWII2 NNECTION TO CITY WATER a OTfIER
6) .oz?--- ? 4!?-5-
-Cyy
*****************?***?,**?*************?***********??***«*****??**?*?****?****?********?**??*?*****?
*
* THE GOLD COPY OF 'IIIE pgRNIIT WILL BE SE[dt DIRECTLY T0 PUBLIC WDRKS TO FACILITATE METER PICK-IIP. *
? PLE.ASE ALTAW 'IWO FARKING DAYS FOR PROCESSING. SOMEONE E120M TM CITY WILL CONTACT YOL IF THII2E *
* ARE ANY PROBLEMS. *
FOR CITY USE ONLY
PERMIT # ISSUED
Pd w/Bldg. Permit FEES:
$ $
$ $
$ 7 , 4 e? $
$ $
$ $
$ $ 0-6
$ $- / 5 `
$ ?SD CJ?? $
$ $
$ $ .
$ $
$ $
$ $
$ $
cJ d S?? U-«
$ /q 7/1
RECEIPT RECEIPT
SEWER PERMIT (INCLUDE SORCHARGE)
WATER PERMIT (INCLGDE SORCHARGE)
WATER METER/COPPERHORN/OUTSIDE READER
WATER TAP (INCLODE CORPORATION STOP)
SEWER TAP
ACCOL[VT DEPOSIT - SEWER
ACCOUNT DEPOSIT - WATER
WAC
SAC
TRUNK WATER ASSESSMENT
TRLNK SEWER ASSESSMENT
LATERAL BENEFIT/TRLNK SEWER
LATERAL BENEFIT/TRCNK WATER
WATER TREATMENT PLANT SDRCHARGE
OTHER:
TOTAL
DOES LTILITY CONNECTION REQLIRE EXCAVATION IN POBLIC RIGHT OF WAY?
? YES IF YES, THEN A"PERMIT FOR WORK WITHIN POBLIC
Q ROADWAY" MLST BE ISSUED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY: ZI"C.l ,
TITLE:
DATE : ? ,? ?
j ?;. ?5V
? Date
S?te Street Rddress ?? CQ /z//?/ lJnik #
x
,
i Tafiephms?a#
?o-. ?
%§?carae #
5
?' ° ?'e€e
?no °
t
` ? ??
d ?
°?, '??".°'•???'? ?
C
t
a
?
!
.
r
or
.
uaa
c
p
'
Address City Sfiat?
-
i
'ihe Applacara:'ss: Ovuner CcoratracYor JCe4her?
'
-
_
_ -
--
-- --
_
Septic System Netiv _ F2efurbisi-.ed Submit 2 sets of pians and PAPC license .
InGudes County fae
$ 100.00
Per as-bUilt $ 10.00 ?
I ABterations ta existing dwelling 1 50.00
Add plumhing Pixtures. This fee incfudes installation of a waier safienet and/or wa±er
heaYer at the same time. i6 yoer are snstaBlirag onlv a eaater saftener and/csr water
; heafer; do nok complete this section; move to #he next sectior and check the
appliance(s) you are instailing. !
N
_Septic Sysiem Abandonment
hNater Tumaround (add $130.00 if a 5/c3'° rreter is reauireo) ?
-Other: I ?
?
- -
-- -
-
- -
i+Vater Softener °fV
? ater ?9eater
$ 15.00
?
V?
_ new replacemerl
-- -?
--
?
- ?
-
- - --- - _
- -
;
?
_ Lawn irr'sgatsnza _ff!'Z _P41B _new -repa;r _reisu€fd
? - -,
i
$ 30.00
State Surcharge
- - -
_ ? 5Q
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? i iy rtu"i[3itiy rUf7nti 3RC7 8CKT70W10tl6A Thai ih8 If'fOfRlatiOn i5 CA171plete afl(f aCCUr8f8; that the
work wili be in conformance with the ordinsnces and codes of the City of Eagan and the plUmbing codes; that I
understand this is not a permit, but only an apDficatecn for a permit: wcrk is not Ycs starL without a permit and wOrk wilf be in
accord ce wis?h the appr d plan in the evenT a p;an is required Eo b re ?ie•,ved and a proved.
Ap lic nYs Printed Name
Ap ic t`s Sianature
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4065 Northview Ter
Lot: 13 Block: 2
PID:10- 45035- 130 -02
Use:
Description:
Sub Type: e - Furnace
Work Type: New
Description: Furnace
Comments: Permit closed without required inspection(s). Letter sent to applicant on 6/12/09. (pf)
Fee Summary:
Contractor:
Standard Heating & Air Conditioning
130 Plymouth Ave. N
Minneapolis MN 55411
(612) 824 -2656
Addition: Lexington Parkview
Quesetions regarding electrical permit requirements should be directed to Mark Anderson, State Elec
952- 445 -2840
ME - Permit Fee (Replacements)
Surcharge -Fixed
Total:
PERMIT
City of Eaan
- Applicant -
$50.50
Owner:
Catherine E Haukedahl
4065 Northview Ter
Eagan MN 55123- -155
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$50.00 0801.4088
$0.50 9001.2195
Mechanical
EA087799
12/17/2008
ePermit
cal Inspector,
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Applicant/Permitee: Signature
Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA117624
Date Issued:10/21/2013
Permit Category:ePermit
Site Address: 4065 Northview Ter
Lot:13 Block: 2 Addition: Lexington Parkview
PID:10-45035-02-130
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 .
Dan Lahr
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 -
Catherine E Haukedahl
4065 Northview Ter
Eagan MN 55123--155
Snap Construction
8200 Humboldt Ave S
Bloomington MN 55431
(612) 360-1033
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA160903
Date Issued:04/22/2020
Permit Category:ePermit
Site Address: 4065 Northview Ter
Lot:13 Block: 2 Addition: Lexington Parkview
PID:10-45035-02-130
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 -
Adam & Beth Burnett
4065 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:Plumbing
Permit Number:EA169693
Date Issued:06/04/2021
Permit Category:ePermit
Site Address: 4065 Northview Ter
Lot:13 Block: 2 Addition: Lexington Parkview
PID:10-45035-02-130
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 -
Adam M & Beth Burnett
4065 Northview Ter
Eagan MN 55123
Spring Plumbing Llc
11473 Kenyon Ct
Blaine MN 55449
(763) 614-7963
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA176338
Date Issued:05/12/2022
Permit Category:ePermit
Site Address: 4065 Northview Ter
Lot:13 Block: 2 Addition: Lexington Parkview
PID:10-45035-02-130
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
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 within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Adam M & Beth Burnett
4065 Northview Ter
Eagan MN 55123
(612) 791-7509
Signature Home Services
7373 West 147th St
Apple Valley MN 55124
(651) 731-1147
Applicant/Permitee: Signature Issued By: Signature