4069 Northview TerCITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHON E: 454-81 OQ .
BUILDING PERMIT Receipt#
To be used for `; ?'''"'IGA'? Est. Value ?' 1 14.`)00 Date I'`'CZ"? 14 ,1987
Site Address 41369 N??THV 1"??; TEaRACF,
Lot 1'- Block Z Sec/Sub. LEXINGTUbI PARlCV1I
Parcel No. _
m Name JIDL l7ILl.EK C:ON3T
z Address 18133 CEDAR AYE
o City ?'Ak-N.iiGTUN Phone 431--2t,:)1
?
.o Name aANF
? Q Address R
? City Phone
F .
" lx
W Name
WW
F
_ ? Address
Q W City J Phone
I hereby acknowledge that I have read this application and state that the
information is Correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
?
Signature of Permittee
A Building PT.rmit is issued to: JOE f' «EK CONSI
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
OFFICE USE ONLY
R3
On Ske Sewage Occupancy --
-
-
MWCC System x Zoning R
I
??
On Site Well (Actuaq Const -
X n
City Water (Allowable)
PRV Required Y # of Stories
50
Booster Pump Length
3b
oepth
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr./Assess. Permit Y 554- s. 50
57.00
Planner Surcharge
274• 7 g
Council Plan Review
100' oo
Bldg. Off. SAC, City
323•00
Variance SAC,MWCC
525.00
Water Conn.
Water Meter 67.00
Road Unit 30•00
?- 00
Treatment P1
Parks
577.25
?-1
TOTAL :
BLDG: PERMIT N0.
- ??
0C321??? g. Per i
01-3422 Plan Check
01-3445 Surch./Adm.
01-3446 SAC/Adm.
01-2155 Surcharge
17-3860 Road Unit
20-2275 SAC
20-3865 Water Conn.
r
20-3868 Water Trmt.
24-3716 kater Meter
20-2252 Acct. Dep.
20-3713 Water Permi
20-3743 Sewer Permi
79-3866 Sewer Conn.
11-3855 Park Ded.
TOTAL
CASH RECEIP?
' CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNi:SOTA 55122
.
DATE ` 19
i . ?
RiCEIVlD
FROM
AMOUNT $ ? ,- I -
6 DOLLARS
?oo
? CASH [?,CHECK
l?"(??fZ/1?C??.c/ `..lf%'?'? • 4 14/
ND ,
?U
.?
. ?
?. ?-?-
?
Thank You ?
ev
. -i White-Payert Copy
Yetlow-Posting Copy
Pink-File Copy
' • . --? _•, CITY OF EAGAN I
3830 Pllot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHON E: 454-8100
BUILDING•PERMIT Receipt ?
To be used for Est. Value ''` Dete _
Site Address
Lot Biock " Sec/Sub. '%A E'A R
Parcel No.
ac Name
W
3
addregs
a City Phone
°Co Name
,
? Q Address
? City Phone
?
yVj W
Name
? W
? Address
U
a W City Phone
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 Staiutes and City ol Eagan Ordinances.
Signature of Permittee -_-_-
?'r •"ii.l?: ;•; s:,:;? .!
A Building Permit is issued to:
on the express condition that all work shall be done in accordance with al I
appficable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official _
On Slte 5ewage
MWCC System
On Site WeU
City Water
PRV Required
Booster Pump
APPROYALS
Engr./Assess. _
Planner _
Council _
BId9.Off. _
Variance _
(y ?
14! , u
OccuPancY
Zoning
(Actual) Conat
(ANowable)
* of Stories
Length
Depth
S.F. Total
Footprint S.F.
FEES
Permit
Surcharge
Plan Review
SAC, City
SAC, MWCC
Water Conn.
Water Meter
Road Unit
Treatment P1
Parks
TOTAL
9
?-
??-
?-
-, ?4 5.50
il•L?
17 -2. 7 s
??11?. (){I
?s? (?lJ
1)Cs
67 . I]4
.
10.00
-T37U. 00
, ,7.Is
Permlt No. Permit Holdar Date Tslephone ?
Plumbing
H.V.A.C.
Electric rz
Softener
Inspection Date Insp. Comments
Footings I
Footings II
Foundation
Framing
Roofing
Rough Plbg. _I B ? y
Rough Htg. tg JJ.
Isul.
Fireplace
Final Htg. ?
Final Plbg. -17-rj
Bldg. Final
Cert.Occ.
Temp. LP
Deck Ftg_
Deck Final
Well
Pr. Disp.
CONTRACT PRICE:
Site Address _
Name _
Address
City _
Name =
3 Address
p C1tY -
Forced Air
Boiler _. -
Unit Heater
Air Cond.
Vent
Gas Piping Outlets #
Other
MECHANtCAL PERMIT
?
/
RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: `-?
PHONE: 454-8100
'
-?_ Sec/Sub BLDG. TYPE WORK DESCRIPTION
?
Res.
New ?
r,
, M uit Add-on
, -' Comm. Repair
' Phone +. Othen
, FEES
RES
HVAC
.
0-100 M BTU -$24.00
s ?
Phone '-' l
? - RES H?AC INCL DES A/C ON NEW
CONSTRUCTION)
AS
G
OUTLETS (MINIMUM - 1 PER PERMin - 1.50 EA.
M BTU COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPUES
M>8TU
It TOWNHOUSE & CONDOS - RES. RATE APPLIES
-
- RAININIUM RESIDENTIAL FEE - ALL ADD-ON &
M BTU REMODELS - 12.00
M BTU MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
CFM (ADD $.50 S/C IF PERMIT PRtCE GOES
BEYOND $1,000)
R
FEE:
?
S/C: SIGNATURE OF PERMITTEE
TOTAL: ? -
FOR: CITY OF EAGAN
., .?. ,s ..._e.... , .t..,...,..:.? f, . . . . . ..... _ . . T . ?- ? . _ . _ .i.i
• 'A c
PERMIT #
PLUMBING PERMIT RECEIPT q o G3?- ?C-?
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE PHONE: 454-e100
Site Address ?C?
Lot 2 " Block
m Name
?o Addre
y
c Ciy ::
Name
; Addre
p Ciry ?
?
COMM/IND FEE - 1% OF CONTRACT FEE
APT, BLDGS - COMM RATE APPLIES
TOWNHOUSE 8 CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.00
STATE SUFiCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
FOR: CITY OF EAGAN
BLDG. TYPE WORK DESCF3IPTIQN
Res. v New ?
:'vlult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOILOWING:
NO FIXTURES TOTI?I?
=Water Closet - $3.00 L !
-Q,43ath Tubs - $3.00
-? avatory - $3.40
/ Shower - $3.00 -'b
::?7_Kitchen Sink - $3.00 J
UrinaliBidet - $3.00
-7Laundry Tray - $3.00 ?
_-,,Floor Drains - $1.50 • J `'
_LWater 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 ,
=Rough Openings - $1.50 ? ? -
FEE: ?+ STATE S/C: 5 GRAND TOTAL: ` " -?
-??- -z,.
• ' (Ctr#rf trate uf Mrr?paury
Citp of (Eagan
aPpartmPriY rif lltdbt2v JItBwPtltptt
This Cerlifrcate issued pursuarrt ro the requirements of Section 306 of the Uniform BuiTding
Code certifying that at the time of issuance this structure was in compliance with the varinus
ordinances of the City regulating building construction or use. For the following.•
uu cimsificibm eiag. Fertn;t rb. 14490
oo-wttr Trae R3 Zoning auW TYa Vn
o,? oe a?ia,g JCE P'?LIFR CiJP??"Fl"s.N 1ZiP'?i nanma i33 `'aT?HING7ZYr'
BU1W1I1g Ad&t88 4069 1 ?'W ?f?.' ? `?•?h,l.? LOCJlitr ? • ''? ? B2, ? ?? • -lp '; ?, .. , : 1' .:GI"I
qM: 1'=1[fRY IC, tA7(7
suaaing arcial
POST IN A CONSPICUOUS PLACE
' - -
CITY OFfAGAN Permit No: Date:
3830 p115t Knob Road B/P No:
P.A. 13ox 21199
Eagan, MN 55121
Owner. I'iorthviFw Terrace L1'F By Le:?in;;tcir. r?:l
Site Address:
F I
nm • .
MWCC: '
ciry cny: $efore di7 ir?g i
:If,I FPH
Acct. Dep: 5 with the CRy o1 Ea9an
Permit Fee:
Surcharge; -
Misc.: By
SEWER SERVICE PERMIT
52.5.0,1,,(,
Conn. Chg: 15 0 se of t:.
Acct. Dep: ? ?C
Permit Fe? 1`? •'?%?QHOh '
.?; ,• .i ?,?}d?ply with the City of Eagan
?4? j ?
Surcharge: n
Tr. Plant
1
Meter.
MISC.: By
?
WATER SERVICE PERMIT
Date: ?
CITY OF EAGAN Permit No: ? Size: ?? °
3830 PiFbt Knob Road Meter No• p?t?
P.O:Sox 21199 Reader No:
Eagan, MN 55121
....
CITY OF EAGAN
3830 Pilot Knob Road
P.O. BQx 21199
Eagan, MN 55121
Permit Na
Meter No:
Reader No:
Date:
Size: ?
date:
Conn. Ch
9? 525.0( 3pd Zoning: ?z
Acct. Dep: 15. 0 0pd No. of Units: 1
Permit Fee: 10• 0 OTW;
Surcharge: '5 0p` I agree to comply with the Cily of Eagan
Tr. Plant 1 'G' '3 0pd Ordinances.
Meter. 67 - ?',?. Q??
PR1;
nn?s?.: RF!?L'Z ^zT1
Br
WATER SERVICE PERMIT
CITY OF EAGAN Permit No: Date:
3830 Pilot Knob Road 8/P No: '?- Date: r'
P.O. Box 21199
Owner y- ?ae Piil?.er Conet.
40E4 PIorthview ierrz:cc- T.li 7:^_
Site Address:
Plumber: PIym-'utlh Z4mbin E
.525 . O6jiu ?-
•
MWGC: Zaning
City Chg: 100.00U= No. of Units: ?
Acct. Dep: I5 . 40p'_
;0
'
I agree to comply with the City o1 Eagqn
`
Permit Fee: Ordinances.
Sureharge: %
Misc.: Bl?
SEWER SERVICE PERMIT ?
CITY OF EAGAN N°_ 14 4 9 0
3830 Pilot Knob Road, P.O. Box 21-199, Ea9an, MN 55121
/?
BUILDINGPERMIT PHONE:454-8100 Receipt # / 0 ?j2 pi7'
Tobeusedfor - SF DWG/GAR Est.Value $114,000 Date DECEMBER 14 1987
Site Address 4069 NORTAVIEW TERRACE
Lot 14 Block Z Sec/Sub. LEXINGTON PARKVII
Parcel No.
a Name JOE MILLER CONST
= Address 18133 CEDAR AVE
o City FARMINGTON phone 431-2001
o Name_
oQ Address
1? CitY_
r¢
ww Name_
?
i ? Address
aW Ciry_
I hereby acknowleCge 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 Cof Eagan O' anc s.
?
Signatuie of Permittee
A Building Permit is issued to:_, OE MILLER CONST
on the express condition that al I work shall be done in accordance with ali
applicable State of Minnesotpa(aNtes and City ogEagan Ordinances.
OFFICE USE ONLY
R3
On Site Sawage _ OccupanCy -RT-
MWCCSystem X Zoning -Vn-
On Site Well (ACtual) Const
Ciry Water X (Allowable) Vn
PRV Required X # of Storias
56
Booster Pump _ Length
36
Depth
S.F. Total
Footprint S.F. 4
APPROVALS FEES
Engr./Assess. Permit ? 545.50
Planner Surcharge $7.00
Council Plan Review 272.75
Bidg. Off. SAC, City 100.00
Variance SAC,MWCC $25.00
Water Conn. 525.00
Water Meter 67.00
Road unit 305.00
180.00
Treatment P1
Parks
TOTAL $?,577.25
Building
18is rxq?est voia//n/p
/_ t?. Gf ' Y?• o
rrqMhs from ? n op
D 8-0654 ,L W >Z?-./i"?
Renue Dai
!
? Fire No. Rou91?-in Inspectim
Revu?red? ?
?Reatly Now Will Notify Inspec-
?es ?No ?r When Peady
Licen:
? Owner
tlectncUl CoOtractar
I hereby request insoection ot ebove
electrical work installad at:
Slreet A
tld
re
ss, Bo
x
or poute No. C
oy
/
p
.
y
J
Q?O !? ?/ ?Gtr? .C? ?
+
C? LLY?
ecLOn o. 7ownship Name or No. panqe No.
az
:;Z?
Occupnnl (PftINT) Ph
o
ne N
n.
I < O.v 7`i iL,
c 7?" N I
l
y - c?-D CJ /
ower SapDlie? Address
?
J ? 6y/ Ssa a-
Elechiczl C t ctor ompany ame1 Convactor's License No.
? -
119
?lG o
Mailing A ress IContrector or Owner Makine Installationl
?,5-D a - 4l ? `
s
S
3 3
Au orizetl Signawre IConiracmJOwner Making Installationl P one Number
?OIINNE50T{CSTATE BOARO OF ELECTNICITY TMIS INSPECTION HEQUEST WIIL NOT
Grigga-Midway Bldg. - qoom N-191 gE ACCEPTED BV THE STATE BOANO
1821 Universitv Ava., S1. Peul, MN 56100 UNLESS PROPER INSPECTION FEE IS
Phone(612) 642-0800 ENCLOSED.
,11103
? REQUEST FOR ELECTRICAL INSPECTION ea-ooo i-oV6,
? Sae instructions for comoleting this torm on beck oi yellow coCV?
8'06 S4 "x" Below Work Covered by 7his Requesf
Ney, AAd Rep. TyOe ot Builtlin0 Applioncea Wired EQUiumenl Wired
Home Range Temporary $ervice
Duplex Water Heater Lightiny Fixtures
Apt. Building Dryer Electric Heatin
Corrunercial Bidg. Furnace Silo Unloeder
Industrial BIAa. Air Conditioner Bulk Mflk Tank
p Fea Service EnbanceSiza f! iee Fexders/Subiexders N Fae Circuits
0 to 200 qm s 0 to 30 Am s O 0 ro 30 Am
Above 200 qinps 31 to 100 Amps / 31 to 700 Am s
Swinvning Pool Above 100_-A.mps Above 100_Amps
Transiormers Irrigation Booms PartiaL'Other Fee
Sfgns SpeCial InSpection ?
$ 3 S roT ??
Aertw,ks .__.... ..•e
t
RouDh-in "• n;11e? [yp) I. tha cal
C'? ? ' •k. r • / Inspectoq he?e?y
carllty thn? the above
Final p , j ? {nspection has been
? mede.
min n0ueat voltl 18 monthe from
Clty Of EagaIl
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 6755694
------------------
i ror o??e use i
; ?3 9 '7 ;
P?
' • ?? 'o -? i
? Permit Fee: ?
? Date Received: ?/ r? I
I Staff: / C.??ld I
i
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
u?e: SkeAddress: /D(? / /??D?? i/? ?,a,r) 'f?{r{'G?C?Q..,
renam:
SuHe #:
RESIDENT / OWNER Name: ?S?e VD4 S Phorre: &S/'
Address / City / Zip: AJO l?? ?&J Ta ?/'CV('.e. L Q G 212 ?/it/. ?S%?
?
Applicantis: _$Owner X Contractor
TYPEOFWORK Descriptionofwork: 9-PJid_f wzrQi'" 64 r"Sd?-r'? 4- 645elQ,
po
Cons6uction Cost: ? 7//d00 Multi-Family Building: (Yes No ,?Lj
CONTRACTOR Name: L? laCK I/Jb I-? ?Y(J?S ,?IC • Licerue u:
Address: ?y LK?(dZfl f?7t2 I)'7-
Ciry: j?,'??V State: GOr Zip:
Phone: 11 Y_ CoMact Person: _J 6 L A_C(,k-i?l?c S'
COMPLETE TH15 AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Energy Code . ResideMial Veiriilation Caiegory 1 Worksheet • New Energy Code Worksheei
C.etCgOry Submitted Su6mitted
(4 submi55ion type) • Energy Envebpe Calculffiions Submitted
In the last 12 moMhs, has the City of Eagan issued a permit for a similar plan basetl on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractar: Phorre:
Sewer & Water Contractor: Phone:
NOTE: Plans arM suppordng documents that you submit are constdered to be publlc InformaTiort_ Portions o/
the tn/ormsdon mey be classlfled as rrorrpubftc !f you provlde specific reasons thal wouM permmit the Clty to
condude that the are trade secrets.
I hereby acknowledge that this information is canple[e anM axurate; that the work will be in conforrnance witli the ortlinanCes and codes of the Crfy of
Eagan; tha[ I understand this is not a pertnit, but oNy an apptication for a permft, and work is rwt to start without a permit ihat the work wiil be in
accofdance with the approved plan in the case ot worlc which requires a review antl approval of plaris.
x ??./2.jb x ? .
ApplicaRYs Printed Nsme s sigrm
Page 1 of 3
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) ? 3S7S
CITY OF EAGAN
3830 PILOT
1-68146 5- 55122
5
New Constructlon Reaulrements Remodel/Reoair Reauirements
> 3 reglstered sMe surveys showing sq. R. of lof, sq. R. of house 2 copies of plan
and all rooted oreas (20% maximum lot coveraoe allowed) 1 set of energy calculaitons tor heated addHions
: 2 coples of plans (show beam 8 window sizes; poured ind. design; etc.) 1 s%e suney for exterfor addNions d decks
? i sef of energy calculations
> 3 coples ol hee preeenation plan B lot platfed aHer 7/7/93
DATE: CONSTRUCTION COST:
DESCRIPTION OF WORK: ?4!tv? AA/'1Gi?Q:? ' ?I rUJ?
STREETADDRESS: YU}G? ZVd(W.v;Ci./ lef fO?(-,L
LO7: "4_ BLOCK: ?- SUBD./P.I.D. #: PoL, v U ? 'T (j
Name: L?07 S C?? i55 C Phone #:CU'S I, 696'
PROPERTY Lan First
OWNER J'
StreetAddress: `"ib(, N?-}L'?ew 7er??ce
City ?-4g4.., State: W!AU Zip; SSl)-?
,/J vt -1(?'-l -
Company: ff?^^E????, ?a-rc'cfa s Phone #: ? ? a. -?
(area code)
CONTRACTOR
Street Address: ( a? 3 3 Y),-Co he. f40e- ucense Exp. 3 3 2COD
Cffy 6vr n5u 'I( c State: ?? Zip:
ARCHITECT/
ENGINEER
Telephone #: area code ( )
Name:
Street Address: Registration #:
City
State:
Zip:
Sewer 8 water licensed plumber (reauired for new conshuction onlv):
Penalty applies when oddress change and lot change Is requested once permR Is Issued.
I hereby acknowledge ihat I have read fhis appltcation, state fhat the information Is correct, and agree to comply wBh all applicabie
Sia1e of Minnesota Stafutes and Cffy ot Eagan Ordinancez. ?
Signature of Applicant: ?
OFFICE USE ONLY i ` .
Certificates of Survey Received _ Yes _ No ? jUL b.. .
Tree Preservation Plan Received _ Yes - No _ Not Required
?_ - ------ -- I
OFFICE U5E ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 S-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
? 32 Addition ? 36 Move Bldg. ?. 40 Gas Insert ? 44 Windows/Doors
O 33 Alteration ? 37 Demolish Bldg.` O 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
' Give PCA handou t to applicant for demolition permit
GE NERAL INFOR MATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
APPROVALS
Planning
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building
Engineering
Census Code
SAC Code
No. of Units
No. of Bldgs
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Variance
Permit Fee
Surcharge
Plan Review
License
MGES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
SAC Units
Valuation: $
% SAC
0•:?
545'7U+
?'1 • U u
2'I Z • '/ ?) r
fi 1 'i • U U -F
152?'UU+
fi%•U?+
.5 U'.i•0J+
?..__ 1A0•UU+
2, ;1'1 .! • '! 7 ?
1987 BQILDING PERPIffT APPLICATION - CITY OF SAGAN
4
SINGLE FAMILY DWELLINGS
ZNCLIIDE 2 SETS OF PLANS, 3 CERTIFICATBS OF SORVEY, 1 SET OF ENERGY CALCQLATIOHS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOIiEOWNEH HIIST DESIGBi9RE WHICH ADDRESS
IS DESIRED. NO CHANGBS WILL BE ALLOWED ONCE BQILDING PERMIT IS ISSOED.
MULTIPLS DWELLINGS - RBSIDENTIAL RENTAL [J,NITS FOR SALfi 0MITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SQRYBY - CHEC[{ WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
CODMRCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTUHAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
117
To Be Used For: ?. Valuation A :_??I &?' Date: Q t
5
Site Address
Lot N Bloek
Pareel/Sub ,
Owner
Address
City/Zip Code
Phone
rc, OFFICE OSE ONLY
lly, 000-
On Site Sewage_ Oecupancy R'3
MWCC System ? Zoning R -I
On Site Well Type of Const
City Water (Actual)
(Allowable) V-N
# of Stories
Length
Depth 3 6'
S.F. Total
Footprint S.F.
APPROVALS FfiSS
Contractor `
Address ? ? ? ? (_??i?, ?(J? •
City/Zip Code
Phone L/•
Arch./Engr.
Address
City/Zip Code
Phone li
nssessments Permit 5y ,SO
Water/Sewer Surcharge 51,00
Police Plan Review 272.95
Fire SAC, City /00-00
Engr SAC, MWCC 526,00
Planner Water Conn 525,00
Council Water Meter 6 DD
Bldg Off r2 q Road Unit 05,00
APC Treatment P1
Variance Parks
Copies
TOTAL .0 t7'7.
5?
VAI-uA'T1 oN
C?MRR6E
ZZx'?Z = ?8yx12=58of3
13sm-r £ Isr FLootZ,
Zg xs4 ? 952
!X`?' q
14o
?---
l101 x?8= 63858
Zua F?"°°-'2
3y ?C z{S = 95Z
X?n
992 x?y_ y36yg
-_------
I133iq-
?
?. b,
Y A
i
,
,I W
TRl-LAND C4. SITE PLAN FOR:
SURVEYING
SERVICES
MILLER CONSTRUCl"ION
1260 YANKEE DOODLE ROAD
EAGAN, MINNESOTA 55122
LEGAL DESCRIPTION: LOT 14 ,BLOCK 2, LEXiNGTON PARK1/IEW
ACCORDING TO THE RECORDED PLAT
SCALE : 1"= 30' THEREOF DAKOTA COUNTY MINNESOTA
Q-? -?Q (906"2) $ 0°03'43 w l92940l ?
0 0
I & UTILITY ---
EASEMENT
? ;.
5
LO T 14
i
922"2 44! 923%5
17? m
PROPOSED
? HOUSE
GRG.
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ti
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0)
OD
(t)
NORTHVIEW
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ELEVqTION 925.98
J
ti
.? _
TERRACE r
LEGEND _
o DENOTES IRON MONUMENT
o DENOTES WOOD HUB SET
900`0 DENOTES EXISTING SPOT
ELEVATION
(90040)DENOTES PROPOSED SPOT
ELEVATION
? DENOTES DRAINAGE DIRECTION
I hersCy csrtify thaf this survay,plan or
report was preparad by me or undar my
direct supervision and that I am a Culy
Reqisterod Land Surveyor under the
Laws of the State of Minnesota.
;NVErcT ELcvATiGN A7 SERVICt tX i ENSION=
PROPOSED GAFtAGE FLOOR ELEVATION= 9Z?'.S
PROPOSED FIRST FLOOR ELEVATION = 9Z8.0
PROPOSED BASEMENT FLOOR = 919• <'
ELEVATION
NOTE'• VERIFY ALL FLOOR HEIGHTS WITH
FINAL HOUSE PLANS
Bradley J. 0,r?6nson, Mn. Req. No. 15235
Date ?
? r
0
1
? . CX'PEB1Uli EIIVFIOPE AVERAQE I'Uft C04tPUTATI02i
(To 6e mubml.tted witU building permit applicatio.n)
oue or Two Family Dwellin6 Owner
All Otlier 83te Addresa 2..0T /'7 23LOCk Z
Coutractor ?-EkIN&TbW ?qgK??EW
Date Phone
Lit1EAL FEE'f OF
EXPOSED YlA1.1, f t* above grado ZT" ?1 C? Z.
• TOTAL EXPOSED {YALL ARE11 sq. FT.
oPAQUE WItI,L CottS'fRUC'PIUN I flUff Val.ue x Aroa
Uetail "Uit X sq.
roterenco "U" tp X sq.
from flu" x sq.
nttacliad "0" x gR.
shoottf upIV x 8q.
flpu
x
8g.
VIINDp1VSI "U" Vqlue x Aroa
Plnlce & Type
n [L?jl1L G.dt?`
n-r fluff ? l.p
_
- x S
npu ?
it 11 x 3Q.
n „ upI,
-
---- x
- 8 .
llvlf x 3q.
WOIt5t "U'l Yalue x Area
Ilalce & Type
n it u?u?x SQ.
It S
„ ::p:: x sq.
if x S .
_ ilpa`-----x 8Q.
TOTALS Z C-J, SQ.
TOTAJ, (U)(A) y?UES AVERA(lE itUll
Z 3? ? ? lD > >-----
DIVIDEU BY TOTAL crni,t, e??n2¢r?i?Z i(? Qj
AVE1tAQE IfUll ,;j`j ?r leoe for 1&2 tamily d e
AOOF/CEILINa:
! ,, •
TOTAL AAEAs 1 Z?y •
Detaifromjerence d Z I
x
3q. FT.II2'(0
???A?
attaclted slicete. fl?ll------x 3Q. FT. M (U)(A)
Deocribe ojieuiuga ?i?n-----X s4. FT. - ??)?A)
in roof. uun---_-x 9Q. FT. - (u)(A)
-----
ToTAi, (U) (A) VALUES DIYIllCD - x
BY 2? &4(,, sQ. Fr.
i7'lMj -Ul? (u)(n)
54.Ft Z3? V
? ??
'TO'1'AL ROOF/CEILIAO AIiEA ? '
AVEt2A4E "U? 5 r ventilated roote.
FT. Ig?IIQ? Si?S(U)(p)
FT. 2 `U)(A)
) ( )
FT. _ U)(4)
FT. _ (U)(n)
FT. _ (U) (A)
FT. 171.(U)(A)
FT. _ (U) (A)
FT. = (v)(n)
r-r. _ (u)(n)
FT.
I? (U) (A)
FT. = (U)(A)
FT. - (U) (A)
FT. _ (U) (A)
f'T._ 2? II I Co (U) (A)
g, ? X C
I 3
44+
??+ ?? z 8+ z8) -
izq
?N? ?
iLo714g = 9`I,JIn ?
?IM
1-53x [45= I Zz ?84-.?
x
z-z4x(?o = 2115x ?-
ZOX (cD - II ,C Z -
4 - ze)x &cp _ ,f4- x r -
2-ItOXq-->(a _ /o,s X 1
24X 3(0 = 5,75 x I
Z-24x 48 = Zz.S x ¢
Z4X 4g = ll ?? x ?
ZoX -4s = q x 2
(? = iqaeTl o -t-?p. =
?
2?3 X34- = 9 r2- Z
lox I4-= I+o
Z X I a= 20
I x 14= 14-
I 1 Z(? ?
I ?f-II,gZ
Z4o3,92 ?
?(_*
r7.5 , ao
ZZ. o a
44, o0
/o, ,-
' 75'
= I/, zJF
- L9. ao
Z139,54
2810 4q a
Zl,a '
4 Z.b
171,0
?* P ?zv??s
Cijgo:?-G WP.t? ?x? 24o',?z
C.?? ?1 L. `!? ? !lo
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??
1j ?5 Ti b ? '?7C.
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/831?2
Detera?ining "Ull values at Roofg Wallo - Rim, and Conc. Block
ROOF/CEILINa R VpLUE
1.) Interior Air r'i1m 0.61
z.) 5/8,, ayp. sa. .56
3.) Ineulation 44 ao
4.J
5•) Exterior Air Film .61
ISTILL)
uUa a 1/R= iOTAL (R)= K-70
WALL R VALUE
6.) Interior Air Film 0,68
7.1 P aYP. Hd. .k5
8.) Inaulation jq.oo
9.) $JILT-P-rTE Z•o`t
10,) MASOnite Siding .67
11.) Exterior Air Film ,17
IIUII ? 1/R= . p43 TOTAL
_- (R)= 23.ol
RIM- (R) VALUE
12.j Interior Air Film 0.68
13.) Inaulation 19•00
14•) 2" Fir Rim Jolat 1.88
15.) gvit,-r- j?)7t-= 2, 04
16.) Masonite Siding .67
17:) Exterior Air Film .17
npn a 1/Ra ?040 TOTAL M=
_?--
?
FOUNDATION R VALU
18.) Interior Air Film o.68
19.)
zo. ) P-r/ S 1xiPA_=D ll.00
21.) 12" Conarete Block 1.28
22.)
23.) Exterior Air Film 017
apu e 1/R= .07(0 TOTAL (R)a )3.rli
?
APFLi?CATiON FOR PERMIT NMT= pnYMU OF FfM AT TiME OF *
; APPLlCMOl1 DOES PICCYP CIXd- :
? STIYiIl'E AYP%NAL OF PERPIIT. `w
SEWER AND/OR
WATER CONNECTION e
: ??ON OF mqm Am/cR waER +
•
R I[15TALiATIIX15 wbL NM BE SCMULM t
. •
:rEE i[?NPIL PIIt[OT HHS Hffii APPROVID. :
. .
.
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PLEASE PRINT
1) PROPERTY ADDRESS: Q06-r'/ Ud t 1t4o ,`e k1 ?BYH iACc
T'FY;AT• DESCEtIPTION;. . . . . . ?y. ?. . . . . . . . . . . . . . . . . . . . . . . .
LotJBlock Su ?vsion or Tax Parcel ID
IF EXISTING STR=RE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE:
Mont Year
PRESENT ZONING/PROPOSID LSE:
Q COAMAE2CIAL/RETAIL/OFFICE
Q INDUSTRIAL
a INSTITUTIONAL/GOVERNMENT
1];?-1 SINGLE FANIILY
1=1 R-2 DIIPLEX (Tcw C?nits)
Q R-3 TOWDIIiOL?SE (Three .+ Onits) ( Lfiits)
Q R-4 APARTNIENP/COAIDOMINIUM ( . Units)
2) NAM?.' : :TG. /i'/I 11Cl- (-Od.S 4. . . .
ADDRESS: 4133 C.e-Dy..- .4u<
CITY, STATE, 2IP: jCkt..sas? 4 J
PHONE: ¢3f- ?c?o 1
For City Lse
3) tvAMEe H nya.. 46 Wc -r*.*- Pl rum es I,iTcense:
ADDRESS: ?
4.29a 7Nc?4u,o: L.rt p Active
ired
?
CITY, STATE, ZIP:
PHorE: v Zvlp.rlc F?ir? /7i) S53(o9
9? 3zy 7,F nAsTER LzcENss # a, :206 S t recorded
No
.
St Initial
4)
NAh1E: 9,Vprc- A. ?-.27
ADDRESS:
CITY, STATE, ZIP:
PHONE:
5)
(aC.`ONNECTION TO CITY SEWER F,-q-ef7NNECTION To CITY WATF•R ? OTfm
6)
?? GtJ.P?x.e.Le.O%???-el.r??. ? '? L%.. .? ? ?37
,
***rr*?*?********r?***********?.*.?**??:??*********??*********?*****?*******?*,r**,?***?***?**???******??
*
* THE GOID COPY OF 1HE PEE2pIIT WILL i3E SEBTI' DIRYCIZ,Y TO PUBI,IC NpRKS TO FACZLITATE MELE2 PICK-UP. *
* PLEASE ALTAW RWO WORKING DAYS FY)R PROCESSING. SONIDONE FROM '14IE CITY WIIS, OONrALT YOD IF THERE *
* ARE ANY PROSLENIS. ?
?e,t**,?* **r**,r* **** ******?:r****ar*****,tt**xt****,t***,t*t*w***?*s*,t*,t,t***?**********??? «*?*?*x,e***?**?*y
FOR CITY USE ONLY
PERMIT # TSSOED
?'3 L 7 `
Pd w/Bldg. Permit FEES:
$ SEWER PERMIT (INCLDDE SURCHARGE)
$ WATER PERMIT (INCLLDE SORCHARGE)
$ WATER METER/COPPERHORN/OLTSIDE READER
$ $ WATER TAP (INCLDDE CORPORATION STOP)
$ $ SEWER TAP "
$ U--Z) ACCOUNT DEPOSIT - SEWER
$ $ ?5 • ?? ACCOUNT DEPOSIT - WATER
$ a--e) s wAc
$ $ SAC
$ $ TRLNK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRONK WATER
$ $ WATER TREATMENT PLANT; SDRCHARGE
$ $ OTHER:
$ / 3 $ Z) TOTAL
RECEIPT RECEIPT
DOES UTILITY CONNEC TION REQUIRE EXCAVATIOIV IN PUBLIC RIGHT OF WAY?
Q YES IF YES, THEN A" PERMIT FOR WORK WITHIN P;UBLIC
F7 NO ROADWAY" MUST BE
DIVISION. LIST ISSDED BY THE ENGINEERING
AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
TI2'LEi
DA`PLS
q zb ? o
2006 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
#-:?-a "
New ConsWCfion Reouiremmts RemodeVRepair Reouirements am
3 regislered site surveys showing sq. ft. of lot sq. R. of house; and all roofed areas 2 copies of plan showing foo6nqs, bearns, joisis (20%mazimum lot wverage allowed) 1 set of Energy Calculations for heated additlons
2 copies of plan showing 6eam 8 window sizes; poured found design, etc. 1 sile survey for addNOns & decks
1 se[ of Energy Calculations AddAion -irMicate if oo-sife sepGc system
3 copies of Tree Preservation Plan if lot platted after 711193
RimJoistDMailOptionsselectionsheet (6uildingswith3orlessunits)
Minnegasco mechanical ventilation Form
II_ 6d
Date 1 l? /?/ ?
Constru ion Cost G. ? -
m?? (
Site Address ??? ?.? ? UniUSte #
Descriptiou of Work? lO-C-12- t2-
Mulri-FamilyBldg _ Y J.i N. Fireplace(s) ` 0 _ 1 _ 2
Property Owner Telephone # ( )
RENEWAL BY ANDERSEN
Contractor 1920 COiJNTY RD
"C" WEST
.
Address ROSEVILLE, MN 5511'? .. C'jtY
State 651-264-4777 _ Telephone # ( )
LICENSE #20130983
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rufes 7670 Cateeorv 1 Minnesota Rules 7672
Energy COde Category , Residerdial Ventilation Category 1 Worksheet • New Energy Code Worksheet
(d submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
In the last 12 monThs, has the City of Eagan issued a permit for a similar plan based on a master plan?
_ Y - N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone #(
Telephone #(
I hereby apply far a Residential Building Permit and aclmowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; 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
a oval of pl
??,rG??n s ??
?j
Applicant s Pnnted Name Applicant s Signature
, , . , ._.
Sub Tvpes
DO I+TOT WRITE BELOW THI5 LINE
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt- Multi
? 03 01 of_plex ? 09 07-piex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Eut.Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
Work Tvqes
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolftlon (Entire Bltlg) - Gi ve PCA handout ta applicant
DeSCflptiOn: WaterDamage_Yes
Valuation Occupancy MCES System
Plan Review 100% or
? 25%
Census Code Zoning City Water
SAC Units Stories Booster Pump
# af Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Wdth
REQUII2ED INSPECTIONS
_ Footings (new bldg) Sheetrock
_ Footings(deck) FinaUC.O. .
_ Footings(addition) _ FinaUNo C.O.
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool Ftgs Av/Gas Tests Final
_ Framing _ Siding _ Stucco Lath _ Stone Lath _Brick
_ Fireplace _ R.I. _ Air Test _ Final Windows
_ Insulation _
_ Retaining Wall -
Approved By:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Building Inspector
••••••... a..•.c iuv ia..?v rtie. (oJ Ofl '84tf0..1Ct41Y1511hL ;??'&lIUtSLf:7Cn
re
ay?.
?of Easm.
3836 PiIut guob'Itoac?
Pagan. MN SS122
To Whom It May emCern:
Elder 7ones is anthoAzed to ptg
b
?? ' EIdcr Joncs to Provide this S ParMIts forRenevvi! by Andeisen. Pieasa uIIow
data bcyond 6l6/01: antil a?? b y?dGrsan ?$ e?otlzatian is vaiid for any
to the City- MIMM eVressly revolms tt in writing
I requeat this autlioriza@on be ? ' - our bpZding P?nmita anY fiudLct.g?? MO?y as to not dalay in the prv??g ?
con4cted at 763-502-4706_ -- can mc If thcte ace any questIona:_ I can be
Your 3mm?ft atteatiori fiA ffifs I
m$tter Is fldDtmnrnR
Siaoefely.
? ond-R Rau
'stallation Managcr
Renowal bY Andasen Corporafiun
C'.c.: Kma F.Tdear7nnec
Off D. ?
__ - ---.__-
?0"?'?.n?zom
Received Time Jao. 1. 1'07PU'
°. 2 3
+Gl W
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA110460
Date Issued:05/13/2013
Permit Category:ePermit
Site Address: 4069 Northview Ter
Lot:14 Block: 2 Addition: Lexington Parkview
PID:10-45035-02-140
Use:
Description:
Sub Type:Residential
Work Type:Underground Sprinkler System
Description:PVB
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.
Deb Larson
8815 209th St
Lakeville, MN 55044
Fee Summary:PL - RPZ/PVB/Lawn Irrigation $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 -
Paul R Lyons
4069 Northview Ter
Eagan MN 55123
(651) 402-4992
Drain Pro Plumbing
8815 - 209th Street W
Lakeville MN 55044
(952) 469-6999
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA118691
Date Issued:11/06/2013
Permit Category:ePermit
Site Address: 4069 Northview Ter
Lot:14 Block: 2 Addition: Lexington Parkview
PID:10-45035-02-140
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 .
Luanne Yang
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 -
Paul R Lyons
4069 Northview Ter
Eagan MN 55123
New Life Contracting Inc.
814 Grand Avenue
St. Paul MN 55105
(651) 224-3442
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA125990
Date Issued:08/11/2014
Permit Category:ePermit
Site Address: 4069 Northview Ter
Lot:14 Block: 2 Addition: Lexington Parkview
PID:10-45035-02-140
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Craig Angell
12253 Nicollet Ave. S.
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
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 -
Paul R Lyons
4069 Northview Ter
Eagan MN 55123
Angell Aire
12253 Nicollet Ave S
Burnsville MN 55337
(952) 746-5200
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA162116
Date Issued:06/26/2020
Permit Category:ePermit
Site Address: 4069 Northview Ter
Lot:14 Block: 2 Addition: Lexington Parkview
PID:10-45035-02-140
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Gregory P Gatti
4069 Northview Ter
Eagan MN 55123
Haferman Water Conditioning
12142 12th Ave.
Burnsville MN 55337
(952) 894-4040
Applicant/Permitee: Signature Issued By: Signature