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4085 Northview TerCASH RECEIPT CITY OF EAGAN ; - 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE ? ?19? ? ? I I ? AMOUNT $ J & DOLLARS ?m O CASH ?CHECK -71 L. FUND O&IECT AMOUNT Thank You --- , . ev ?` - C 1 ?747 ,Wm-°w«.?, Yella?s&q Copy Pink-FileCmv .. . . CASH RECEIPT ' ? _ . CITY OF EAGAN , 3830 PILOT KNQB ROAD EAGAN, MINNESOTA 55122 ? , ? DATE ?" L 19 ? ? . ac?rveo 1 ? ' I ` i?A AMOUNT 3 OOILARS iao O CASH CHECK L--? ? t ,,., G„ ?_,_,?3 • j( ? ' .. ? _ ?? , : , ? , C 12747 `?,*,?? ???m COW Thank You BY ,,,,,f?F;.1?,?-.,Q..?,,,,.,,,?. . M:9-?..r•.... , , -rr..e ;.:?.-.?^:- " ? ? ` '?? ' CITY OF EAGAN ?.-?, . .-,,-=--,v.T . 18836 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, M N 55121 BI?tCDING PERMIT PHONE: 454-8100 R # i ece pt ?? sF ?/?R =iZ2'? ?R 2 91 To be used fg Est. Value Date 19 ' 4065 !10ltTHVIEW TERR Site Addre s LEXINGTOH i? OFFICE USE QNLY Lot Block 5ec/Sub. Parcel No. occuPancy ? ?? FEES cc 308EPH !i ptI1.L8R COlISTRUCTISl1 Name Zoning (Actual) Const ?Y=1i Bidg. Permit 717.00 , ; Address i CEA? AVE s (Albwable) ? h 61.00 o ?j?N 431 Surc arge - ? City A Phone ;? oi stories "6 ?? Plan fieview S? Length ? 1? ? 10 Name DePth - City SAC • :i og Address S.F. Total . - 650.00 O¢ SAC. MCWCC ? City Phone S.F. FootQrints - Water Conn 660'00 On S8e Sewage _ ? W Name an sice weu wacer Meter ?s'? iW ? AddreSS MWCC System ? 30'00 ? Aec". Deposit ? W City Phone city water it ? N P ??? PRV Required erm - I hereby acknowlege that 1 have read this applicationland state that the Booster Pump - SNV Surcharge . ? inlormation is correcl and agree to comply with aN applicable State ol ?76?? Minnesota Statutes and C,iry of Eagan Ordinar?ces., r. .. _..?----- . fs 7reatment PI 370 00 - . Signature of Permitee ` ' APPROVALS Road Unit . A Building Permit is issued to: OSUM M MILI.F.R CONST Planner - Park Ded. on the express condition that all work shall be done in accordance with all Council applicable State of Minnesota Statutes and City of Eagan Ordinances. gldy. pry. _ Copies dss ? 3 BuildingOfticial i' Variance - T07AL , • Permit No. Pennit Holder Oate Tebphone # W*R SEWER PLUMBING 1 a 391 43a - 8? H.VA.C. Q 3 O ELECTRtC 9 ? I / Inspection Data Insp. Cummenls r-oonngs i Fouridauon Framing ? Roofing Rou9h Pib9• '' / R.* HV. Y FKeplace yI3 0 - Final Htg. Fnal Plbg. - Const. Meter Plbg. Inspector - Notify Plumber Ergr.IPlan Bldg. Final Deck Ftg. Dedc Final Well Pr. isp. _ S ?.. ?- DATE RE: APR 3, 1991 4085 NORTHVILW TERR (.IOSEPH M MILI.ER CONSTBDCTION INC) x - You,L ?Sewer & Water Permit for the above property has been completed. It wiil be held at the Pua'lic Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO ,GALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. l - Your Sewer & Water Permit for the above property cannot be completed for the following reasons: Your Sewer & Water Permit for the above property has been completed, but the meter cannot be issued or occupancy allowed until further notice. COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be COnfirmed by Bill Adams or Dirk House (Plumbing Inspectors- 454-8100) befare issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. ....??..?4.,.......,... ?....,....,, • . . , ..» , . L, Y ? .. ? ? - (ger#i#ira#t of (O.rru?aury (Litp of Cagan Erpwhnni# uf vui1d'mg jnswtriinn Tlris Certificau issuerl pursuant m the requinments of Serxion 306 ojtlre Unijorm Bralding Code certifYin8lhct at the time oJissuance 1lusstrucdure ww iic compliance wilh the wrious orditaxas of the CSty regudaling bur7dirsg oaroueion or resG Fw rhe joUowing: [be aOUTMdas SE' IWG/GAR ewc. P.,.c tao. I8936 O-Vuv-T TrvC R3/M 12 y,oingDbuict PD/R 1 r,ve cam VLN o..wara.I&M JOE MaUR (8d5T. Add,. 18133 =aR AVF. S,, Anr.'XM'?t? rf.= 6/20/91 POST IN A CONSPICUOUS PLACE SEWER & IAfATER PERMIT OFFtCE USE ONLY CITY OF EAGAN ?"'° METER # PERMIT D/1TE - 1--- 3830 Pilot Knob Rd. • E a g a n, M N 5 5 1 2 2- 1 8 9 7 CHIP # PERMIT # l i.?;ts METER SIZE B.P. RECEIPT # C 12747 • ??+ 1 9 9 1 DATE ?n r ? h-? 2 ISSUE DATE B.P. RECEIPT DATE n? 02 91 ? ` _ PRV - BOOSTER PUMP SITE ADDRESS 4 0 8,? ,,:siew? F.;.. F PERMIT REQUESTED LOT "BLOCK -?_SECISUB Lgx.y _r+ ?Pari??__?___v .9„+ ? m ?c S EWER ? WATER - TAP; APPLICANT: =oseph M. :diller ConaC.' Inc ADDRE?i?:? ? n _?w __o C OMAA/IND ? RESIDENTIAI CITY, STATE gj PHON E 1 ZIP 55024 ? N EW EXISTING i ? ? - 2 a A Lawn Sprinkler Meters are to be Installe4 PLUMBER: Ahead of Domestic Meters on Water Line ADDRE?$: , Credit WILL NOT be given for Deduct Meters CITY, STATE AFIju ZIP PHONE4?? ca n e ???'D I AGRE E TO COMPLY WITH CIT?J OF 'E ZIP JGwICn (t 11H 1 C17 rCffml l , ?.. CITY OF EAGAN METER # ? 3830 Pilot Knob Rd. •- ?"' ? Eagan, MN 55122-1897 CHiP # , METER SIZE DATE `a r n 1- " 2? 1991 ISSUE DATE NHEN METER ISSUED INSPECTIONS. FOR STORM VI I 1VV VVL V1.V I ? a Q PERMIT DATE 04/03 i1?I 7? PERMIT # 11896 A)54( B.P. RECEIPT # £, 12747 --3-9 B.P. RECEIPT DATE C's {1,_ ,' ?7 _ PRV - BOOSTER PUMP SITE ADDRESS LOT ?"BLOCK 9_SECISU B- T o v; n s t n n p„- ?.; o t? APPLICANT: _0$c= {'h -'" .''E i Z 1 e r ?'on s c. In c A D D R E $?:133,-G.__d.,-#,v. Se CITY,STATE g?r, }ig?t3a, ?., ZIP PLUMBER: ADDREP?: v CITY, STATE ZIP ?? 2 j) PHONE'+32 684,8 ' OWNER: ADDRESS: CITY, STATE ZIP PERMIT RfQUESTED ? SEWER ?WATER - TAPS - COMM/IND V RESIDENTIAL ? NEW - EXISTING Lawn Sprinkler Meters are to be Installed Ahead of Domestic Meters on Water Line. Credit WILL NOT be given for Deduct Meters. 1 AGREE;70 COMPLY WITH PHONE: 'SIGNATURE WHEN METER ISSUED CALL 454-5220 FOR INSPECTIONS. FOR STORM ? ,?" ? CITY OF EAGAN ? l ?D 18836 3830 Pilot Knob Road, P.O. Box 21-1 99, Eaga n, MN 55121 l PHONE: 454-8100 BUILDING PERMIT Receipt # To be used lor ? SF DWG/GAR Est. Vawe $122,000 Oate APR 2 , ?g91 Site Addfess 4085 NORTHVIEW TERR OFFICE USE ONLV Lot 18 Block z Sec/Sub. LERINGTON Parcel No occupancy R-3 IH-1 FE ES . PD R-1 Zoning w Name JOSEPH M MILLER CONSTRUCTION (qctual) Const ?!-N Bldg. Permit 717.00 ; Address 18133 CEDAR AVE S (Allowa6le) -Y--N Su¢harge 61.00 0 City FARMINGTON Phone 431-200]._ xotsrories - 466 00 60' Plan Review . Lenglh o Name SP`ME Depth _'4-$-, SA0.City 100.00 } Ot Addres5 S.F.TOtal - MCWCC 650 0 n ua SAC, • ? City Phone S.P. Footprints - Water Conn 6h0 _ 00 On Site Sewage _ r $w Name On5i1eWe11 WaterMetar 95-00 i? Addf855 MWCGSystem X 0 30 n o' X Acct.Deposit - a W City PhOne City Water i d S/W Permit 30_ nn re PRV Requ _ 1 heraby acknowlege ihat I have read this applica[ior+, and stale ihat Ihe gooster Pump - SrW Surcharge 0 .5 inlormation is correct and agree to comply with all applicable State ol Minnesota Statutes andktity of Eagan Ordi nces. Treatment PI ? 276.0 Siqnature ot Permitee APPROVALS Road Unit 370.00 A Building Permit is issuxl to: JO$EPH M MILLER CONST Planner - park Ded on the express condition ihat all work shall be done in accordance with all Council applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. _ CoOies Building Official LiNinf n R??'jhJ{ a.-,? r?,?°• Variance , I - 70TAL 3.455.50 9i ii / - 16 211 I °°? p lRequest Dale Fire o. flough-in Inspection ? "vas o Ieatly Now ? Will No?ify Inspector wnan Reaoy? Iirl?licensed contractor F1 owner hereby request inspection of above electrical work at: Jo0 Atldress (Sireet. Box or Fo'ul/e No.) ` 7085 /YO/' L/12,o graC2 Ci?y I Q Section No ITOwnsM1ip Name or No. I Ranoe No. County / I ?Gl?G r OccuPam fP1i1NTi -------- -- LL2'ta O L s p-?-? Plione No. I Pawe:Supol.er IAamss e Elactncai Comractor (COmpany Nama) -(Q?f.,?.,,1? Goni Gcense No. Meiling qatlreu i omractor or Owner Maklny InstallaLon) Autnoo wre IContracmr.Dwn?e? a7 mg Insmllati 1 ? z?,?-,_ 91 a lceU; ? Phone Number MINNESOTA STATE BOAPp OF ELECTR TV / Griggs-MlEway BICq. - Room 5-173 ? 1821 llnivenity Ave.. SL Pau4 MN $StOd Phone (612) 642-0800 THIS INSPECTION REQUEST WILL NOT BE ACCEPTEO BY THE STATE BOARO UNLESS PROPER INSPECTION FEE IS ENCLOSED. 7?? ? REQUEST FOR ELECTRICAL INSPECTION / lio See insvuaions for completiny IFis form on back of yellow copy. ? 1 npl1 "X" Below Work Covered by rhis Request j ,''rr, es-ooooioe ? °?? ? ew Add Fep. TypeofBUiltling AppliancesWired EquipmentWired Home Range Temporary Service I Duplex Water Heater Electric Heating ApL Building Dryer Other (Specify) IComm./lndustrial Furnace Farm Air Conditioner O?her (spealYl--- Compute Inspection Fee Below: Connactor's Remarks: I < I ? Other Swimming Pool Translormers Fee ? # ServiceEntrenceSize Fee 0 to 200 Amps Above 200 _ Amps # Circuits/Feeders 0 ta 100 Amps Above 100 _ Amps Fee (S' Si905 Inspectar's Use Oniy: , TOTAL Irrigation Booms ? ,.5 Special Inspection t ? AlarmlCommunication THIS INSTALLATION MAV BE OR DISCONNECTED IF NOT j ?Omer Fee COMPLETED WITHIN 18 MONTHS. ' 1. ihe Electrical Inspector, hereby Rouyn-io oate certity ihat lhe above inspection has been made. F;,,ai f oaie 7 y/ OFFICE USE ONLY Tnis request vmd 16 manths Irom ' ? !Y iao 83,2- a 3 91 SO ' , RepuestDate Fve Noe tFin Inepoctlon ' ° F"a°Y "°'" a wn Nwy m?a« A p r i 1 16 , 19 91 `? so? tMian Rmdy7 10 licensed conVactor p owner hereby request inspection of above electrical work at: --. b0 Atltlress iSVeat Box or Route No.) Ciry 4085 Northview Terrace Eagan $Wion No. Taxnstiip Neme or No. Flanga No. Counb I Dakota Ocqqanl(PFINT) Plwne No. Jae Miller Homes 431-2001 Po"'. s°p,r. Ad0re-4300 220th ST. S.W. akota Electric Farmingt on,MN 55024 Elxincal ConVaclor (Compeny Neme) . ConVactw§ Lice No. isa idland Electric 041610 MaiGrg AtlCress (CqnVectw OrOwner Makinp Insiella0on) . ' S. W. A le Valle MN 55124 Iwtlaruetl $i9na1 re IConVattorlQVner inq Ins Ilalwnl . ?a?e NumEer .. . 432-6688 NINN[SOT STATE BOAR FI? LECTiilCli-•Y-I 'THIS INSPECTION REOUEST WILL.NOT GrlpprMMwey BIU& - S173 .' BE ACCEPTED BY THE.STATE BOARD. 1l7/ UnlvxNry Ave., St. ul. MN 551 W 'UNLESS PROPER INSPECTION FEE IS Plqro (612) 842-0E00 . ENCLOSED. REME-ST FOR ELECTRICAL INSPECTION EB-00001-08 ?/?? ?? ' ? See insVUCtions lor completing fii5 form on Oack ol yellow cnpy. K?5y.} 19JV. 3O "X" Below Work Covered by This Request 7601 Ne% Adtl ReD. TypeoFBuilding ApplianCesWiretl EquipmentWired Home Range Temporery Service Duplex Water Heater Electnc Heating Apt. Building Dryer Other (Specily) Comm./lndustrial X Fumace Farm Air Conditioner O[her (specily) ConlraMOrS Remarks: Compute lnspection Fee Below: ? N Other Fee # Service EntranceSize Fee N I Circuits/Feedere Fee Swimming Pool / 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps Above 100 Amps SignS Inspector5 Use Ony: TOTAL Irrigation Booms 74.sa Special Inspection . Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 HS. I, the Electrical Inspector, here by Rou9n-in omg,_ certity that the above inspection has been made. OFFICE USE ONLY . This reQUest wi0 18 morols Irom - A,C.iress: 4085 NDRIHVIEW 'ffi2RACE Lot 18 Slk 2 Sec/Sub LEXIIIGPON PARKVIE47 These items were/were not complete at the time of the final inspection. Datez' 6 20 91 Yes No Final grade (6" from siding) Permanent steps - garaga Permanent steps - main entry Permanent driveway Permanent gas ? Sod/seeded grass t/ Trail/curb damage ? ry.?y?e_? Porch ? ? Sasement finish ? Deck (S Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lavn faucet before freeze potential exists. & rsca[o.x White - City copy Yellow - Resident copy Pink.- Contractor copy , y 4 ? TT.rT?t'TTTTTTM?1!MT+I+T??I,.TRTMMMM TTTTTn`TTTNTMM CIYY C)F E.A[;AN CASFITGR, -75 7EfiAfINAL_ NU: 933 DA'iE: i0/07J39 'f I:ME: 1$:15:43 SD; P:+AMEu CI-IAU MlL.I..EFt CQNSTFtUC7SUh ';@:lp 90(:)i. 4085 NOFiTMVSE:W 60.00 2i.55. 900i. 4Uf35 TlDhTHVT.EPi (lo i0 To r,al?ec?i?+. . An?o?3n# s 6C7.50 CR j. i'r"'3 ]. E1 . . UsF.R zn. aaN . 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) ? CITY OF EAGAN •--?-? 3830 PILOT KNOB RD - 55122 ?C) S 651-681-4675 j New Conshuctlon Reaulrements RemodeUReoalr ReavIremeMs D 3 registeted sMe aurveys showing sq. fl. of lot, sq. fl. ot house and oll roofed areas (20% maximum lot coveraae allowed) D 2 coples of plans (show beam 3 window sfzes; poured fnd, design; efc.) D 1 set of energy cafculotbns D 3 coples of presenatlon plan H IM'plaMed alfd 7/7/93 ) DATE: ? C? 7 DESCRIPTION OF WORK: STREET ADDRESS: ?/7 SPS a LOT: BLOCK: SUBD./P.I.D. #: ? PROPERTY OWNER Name: P?Pl u Phone #: Lcsf Fint . .,_ i ?- Street !//Yl?/ ?C/'??• c CNY State: Zip: Company: C ?4 c? aY !'°'( i !/,r Cva I ?71- Phone #: ? Z- (area code) CONTRACTOR -? Sheet Address: P? C41 Licsnse#26v yy2V7 Exp, 3_ m City le- Ar.4 State: /w /v Zip: S S_z Zr ARCHITECT/ ENGINEER Company. Name: Telephone #: area code ( ) Stree7 Address: Registration #: Cffy State: Sewer 3 water Iicensed plumber [reaulred for new conshucHon onlvl: penalty opplles when address change and lof change Is requested once permB is issued. Zip: IAereby acknowledge that I have read lhis appltcatbn, state that the informafion is cortect, a9ree to comply with ail applicabl State of Minnesota Statutes and City ot Eagan Ordinances. 12 Signature of ApplicanY. OFFICE USE OPlLY 2 coPies m plan i set of energy cakNWlom for heated addH{ons 1 sNe survey lor exterlor addRions 8 decks CONSTRUCTION COST: ? r ?tS ?k Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No _ Not Required OFFICE USE ONLY BUII.DING PERMIT TYPE ? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace II ? 21 Porch (3-sea:) 0 02 5F Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4E 0 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 I Porch (screene ? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ?i ? 24 Storm Damage ? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Poo( i? 25 Miscellaneous WORK TYPE , ? 31 New ? 35 Tenant Impr ? 39 Gas Line On ly ? 43 Siding/Soffits/Fascia , ? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Wndows/Doors ' ? 33 Alteration ? 37 Demolish Bldg.* ? 41 Wood Stove ? 45 Fire Repair ? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof , " Give PCA handout to applicant for demol ition permit GENERAL INFORMATION l Const. (Actual) Basement s4. ft. Census Codej ? (Allowable) Main level sq. ft. 5AC Code , C1L I UBC Occupancy sq. ft. „ No. of Units Zoning sq. ft. No. of Bldgs i # of Stories sq. ft. MC/ES System ? Length sq. ft. City Water Width Footprint sq. ft. Booster Pump ? PRV Fire Sprinklered , APPROVALS Planning Building ? Engi neering Variance ? Permit Fee Valuation: $ I Surcharge Plan Review I; License MC/ES 5AC City 5AC Water Conn. I Water Meter I Acct. Deposit S/W Permit i' S/W Surcharge Treatment PI: li Park Ded. Trails Ded. Other Copies TotaL• SAC Units ? % SAC I r1r.v aF Wnr,rN CRSHTEF': .?5 1'E:FiMINAI_ Mor Qp4 IlA7E. d.J./i'?/r .)9 T:Mc: ..h. i'=,.18 iDx t:AME: 'it]P LShE ClJtdSf'RL)CTSf)N 32iQ 9001 4085 i`dL1R 7HV'tLi4 215t 9 1) Ui 40$5 NORTH4'CEI,; ? ?a+,a:t Aece±.F,t Amo?1r,+.: 1.2Ei.r?? CR9.j 9744 '"+?? ?kXc :og,;;;•y,w::Yn'ok?,4?C.",c ;; ?s?:t??cx:ka:?%?k;kz<rf Mr%%' ????XXc;k w 1999 BUILDING PERMIT APPLICATION (RESIDENTIp1L) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 NewCorisWCtlanReauiremems RemodellReoairReauirements ? 3 registared ske aurveys showinp sq. ft. ot bt, sq. R of house and pJJ roofed areas (20X muimum lot caveraae ailowed) ? 2 wples oT plans (show 6sam 8 xAndow sizea; poured (nd desfpn; ete.) ? 1 cet M enerqy celculatioris D 8 copies of trea preservation plan H lot platted after 7M193 DATE: I( f 1 i-{ DESCRIPTION OF WORK: ?bJ I?IfiT' /? YCR 2 wpies of plan 1 set ot enerpy wiwlations for Mafed additbns 7 sile suney for exterior addkions & dacks CONSTRUCTION COST: STREET ADDRESS: LOT: I ? BLOCK: ]?'- SUBDJP.I.D. #: L-C PROPERTY OWNER CONTRACTOR ARCHREC7! ENGINEER Name: 0 / So /,j /!'/Gt 14- Wu tnt I Street Address: % V lS > t G'u' / b1 NiT N/ CitY LA,96?"` State: StreetAddress: cny IJ /GUM Telephone #: ( J Name: Street Address: Registration #: City Se,wer & water licensed plumber (new construetlon onM: ?v -,-e Phone #: Zip: Phone #: (area eode) •ICF_ Lleense # 2,0IOgaq7Exp. ? State: AV ZiP: 559av 9tate: Zip: Panalty appifes when sddress ehange and lot change la requeefed once pormft is issued. plicable Smte of MinnesoTa Statules ad Ot p I hereby aclmowledge tlW I have ioad this applkatlon, sfate Nat the informadon is cortxt, and to co I titil of Eagan Ordinances. ? Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received Tree Preservation Plan Received _ Yes _ No _ Yes _ No _ Not Required ? OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 4plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea. ? 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 8-plex ? 15 lodging ? 20 Pool 13 25 Miscellaneous WORK TYPE ? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/SoffitslFascia ? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors d 33 Alteration ? 37 Demolish Bldg." ? 41 Wood Stove ? 45 Fire Repair ? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof ` Give PCA handout to applicant for demolition permit GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy 2oning # of Stories Length Width Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Census Code SAC Code ^ No. of Units No. of Bldgs MC/ES System City Water Booster Pump PRV Fire Sprinklered APPROVALS Planning Permit Fee Surcharge Plan Review License MC/ES SAC City 5AC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total Building Engineering Variance ? sS . ?-5 Valuation: $ SAC Units % SAi CITY OF EAGAN 3830 PIIAT KNOB ROAD EAGAN, MN 55122 PRONE: (612) 454-8100 FOR CITY USE ONLY PERMIT # -? RECEIPT # O D DATE: NpTggM PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQIIIRED FOR EACH UNIT. ---------------------------------------- WORK DESCRIPTION NEW CONST _ ADD ON REPAIR OWNER NAME: I!/-P mtx SITE ADDRESS: yLIh 4ivLBr.v LOT:d BLOCK ? SUBD. CITY COMPLETE THE FOLLOWING: ND. FIXTURES EA. TOTAL ADD-ON MINIMUM 15.00 % SHOWER 3.00 3 ? WATER CIASET 3.00 ? / BATH TUB 3.00 3 3 LAVATORY 3.00 ?- KITCHEN SINK 3.00 3 LAUNDRY TRAY 3.00 -3 ? HOT TUB/SPA 3.00 WATER HEATER 3.00 3 FLOOR DRAIN 3.00 3 GAS PIPING OUT. (MINIMUM - 1) 3.00 ? ROUGH OPENINGS 1.50 f! 19 _ OTHER WATER SOFTENER 5.00 PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 7ll rJ? SUBTOTAL $ ST. SURCHARGE .50 TOTAL: $ ?E?2fMERCiALfINDUSTRIALy PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND MULTI-FAMILY BUILDINGS WNEN SEPARATE PERMZTS ARE NOT REQUIRED FOR EACH DWELLING UNIT. ------------ CONTRACT PRICE OWNER NAME: SITE ADDRESS: IAT: BLOCK _ SUBD. INSTALLER: ADDRESS: CITY: ZIP: PHONE #: FOR: CITY OF EAGAN FEES 1& OF CONTRACT FEE. cTeTE SURCH.9_RGE - $.SQ FOR EACH $1,000 OF PERMIT FEE. $25.00 MINIMUM FEE. CONTRACT PRICE x 18 STATE SURCHARGE TOTAL: ( S IGNAIITRE ) $ INSTALLER: TOM HESSIAN PLUMBING, INC. ADDRESS: 721 REDWOODDFIVE APPLE VALLEY, MN 55124 CITY OF EAGAN • " 3830 PIIAT KNOB ROAD EAGAN MN 55122 PHONE: (612) 454 8100 m0z ?? FOR CITY USE ONLY PERMIT # j[[ RECEIPT # 00 DATE: 3 /,-;2 9/ PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTTON NEW CONST ? ADD ON _ REPAIR _ OWNER NAME :11 SITE ADDRESS:?085 &j&6Ajj9\ MC,e LOT;IR BLOCK 'D- SUSD. INSTALLER: 0_..FSY\A- C C??\`?_? \ E` \ c- ADDRESS:_Y.0, ,la 1 t)oCl CITY:Vcx ? fV1l`(\ 01 ?-C7Y1 ZIP: PHONE #: FEES ADD'; ON MINIMUM HVAC 0-100 M BTU ADDITIONAL 50 M BTU GA3 OUTLETS - MINIMUM OF 1 PER PERMIT SUBTOTAL: STATE SURCHARGE: $15.00 4. 06 = 6.00 $;!)7-00 .50 TOTAL: $ ? 1 S6 TURE OF PERMITTEE ?A3?4EI?GIAI.f?T?tlSTItTA?.; PLEASE COMPLETE THZS PORTION FOR ALL COMMERCIAL/INDIISTRIAL BUILDINGS, APARTMENT BUILDINGS, AND MULTI-FAMILY BUiLDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. --------°.-• CONTRACT PRTCE; OWNER NAME: SITE ADDRESS: LOT: BLACK _ SUBD. INSTALLER: ADDRESS: CITY: ZIP: PHONE #: FOR: FEES 18 OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR EACH $1,000 OF PERMIT FEE. PROCESSF,D PIPING = $25.00 $25.00 MINIMUM FEE. CONTRACT PRICE x 1% STATE SURCHARGE TOTAL: $ (SIGNATURE) CITY OF EAGAN Lio fr?.c.J_ !Y} a2/? (?? ??9/ ?P CITY OF EAGAN 3830 PIIAT RNOB ROAD EAGAN, MN 55122 PHONE: (612) 454 8100 909#9049mm FOR CITY USE ONLY ') z9 r PERMIT # RECEIPT # /O O DATE: S 9/ I?S?D??7?'?Ax;! PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY ??.. ... TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. ------------------------t ---------------------°_°----------------' ttnuu nFCruTVTrnu 1 FEES NEW CONST ADD ON ? REPAIR OWNER NAME :/'yI11?/?lc? G'L S oK-' SiTE ADDRESS: Y ° 9S o7Z7 " H LOT: /g BLOCK ` ? °Z SUBD?/JxX'. INSTALLER: 12481 Rhode Island Ave. So. ADDRESS: Savage, 894?9Q5 CITY: ---_ PHONE # ADDI-ON MINIMUM HVAC 0-100 M BTU ADDITIONAL 50 M BTU GAS OUTLETS - MINIMUM OF 1 PER PERMIT DWELLINGS & AO' 24.00 6.00 3.00 SUBTOTAL: $ STA'IE SJFcCiiABGn: .50 1 ? TOTAL: $ ??f SIGNATURE OF PERMITTEE 7 // ? Ie9 J' X40 r r mHMaCTAX.jT2TT1"T?W PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS, APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. __-______________________________________________________________________________ CONTRACT PRICE: OWNER NAME: SITE ADDRESS: LOT: BLOCK _ SUBD. INSTALLER: ADDRESS: CITY: ZIP: PHONE #: FOR: FEES 18 OF CONTRACT FEE. STATE SURCHARGE _ $.50 FOR EACH $1,000 OF PERMIT FEE. PROCESSEDIPIPING = $25.00 $25.00 MINIMUM FEE. CONTRACT PRICE x 18 STATE SURCHARGE $ TOTAL: (SIGNATURE) CITY OF EAGAN ' R ,. s '117 0U'F 61•00+ 466•00+ 2Y211•50+ 3,455•50? ?q;.v 717•00+ 61•00} 466•U0+ 2, 211 •5o+ 3,a55•5o* S 1991 BUIIIIU 4APLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS 2 SETS OF PLANS 3 REGISTERED SITE SURVEYS 1 SET OF ENERGY CALCULATIONS MULTIPLE DWELLINGS A COMMERCIAL 2 SETS OF PIANS 2 SETS OF ARCHITECTURAL REGISTERED SITE SURVEYS - & STRUCTURAL PLANS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS # OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLIES WF1EN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALIAWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. MAR 2 5 RECD To Be Used For: new home Valuation: Date: March 22,1991 Site Address 4085 Northview Terr Lot 18 Slock z Parcel/Sub Lexington Parkview Owner Address City/Zip Code Phone Contractor Joaeph M. Miller Conat I Address 18133 Cedar Av So City/Zip CodeFarmington, Mn 55024 Phone 431-2001 Arch./Engr. Address City/Zip Code OFFICE USE ONLY FEES Occupancy R-?u M-( Bldg. Permit j7 p Zoning Pa R-I Surcharge kJ _ OC7 Actual Const V- N Plan Review 466,0o Allowable v_ N SAC, City Ov , JO tx of stories SAC, MWCC (.tJ,ou Length ? Water Conn. O,ptJ Depth 38 Water Meter V,00 S.F. Total Acct. Deposi t 30,00 Footprint S.F. S/w Permit 30.00 S/W Surcharg e S"o On site sewage _ Treatment P1 . 2 6 Do On site well Road Unit 3?0. Do ik1WCC System ? Park Ded. City water -1? Trail Ded. PRV _ Copies , Booster Pump _ SUBTOTAL APPROVALS Penalty Planner Lot Change Council TOTAL Bldg. Off. bS 31z?7/ Variance Phone # d(t? agrees that all work shall be done in accordance with i gnature of Contr c or) a1Z applicable State of Minnesota Statutes and City of Eagan Ordinances. Vi : aN x 2z =5z $g 15 =. ?,M0 _ ., . -1 ?-? l y = I qo ?ST ? ,,,,, ??8x 14= ?35s'z ??T?.?b,g x 53.= ? , .. ! Z'ZX 2'1%? 'r?.?dS I T-- ? ?1?Z1, 53G ??/Q 122,00? r MINNESOTA STATE ENERGY CODE CAICULATIONS DASED ON CFIAPTER 5 OF THE MDDEI ENERGY COdE - 1983 EDITION Adoptlon Effective 1/1/ ' Owner 'Sf te Address i o i 1? ??cc.K Z (_.,?Clryc_ .C7o Contractor ?jE? ?'111?1 ??P ???1S`r. ?121/4 hone Da,te 6uilding Classification: Type A1 (Single Family E Duplex)? (Other). Phone NOTE: Complete pages 3 and 4 first. 6 Type A2(Residential) ? (3 storles orless (Over 3 storles) GENERAL INFORMATION l. Butlding Perimeter??? ?-?{?('ft. ? 2. Wall helght (ground to eave) V` ft. q Z' . 3• 1. x 2. (above) gross wall area L?J9?,g If[. ' 4. Building dimensions (L) -- X(W) ft.Z roof 6 floor area' 5• Square foot area of rim Joist - Floor Jolst size (2 x?d,7 ) 71 q = I? + I.f,Zt JQ X Perlmeter = Rim o st area 3 12 ?J'?q?s •:il??".1„ 6. Doors - A'rea <-7 1'hickness in. U fector o? ?• ? ' Type oF Construction Perimeter ft. Manufacturer 7. 7otal door's perimeter ft. • ' 8. Wfndows: Manufacturer State approved . U factor , TYPE SIZE AREA (Ft.2) NUMBER OF ' EACH UNITS TOTAL FEET Z 9. Total ft.Z Glass Z(oSi? .• - ( 10. Fireplace area: Width X hefght = X •_ 11. Exposed foundation: Fleight X. Perlmeter .. ((J? X r,? I D(p p Q? COMPLETION OF THIS FORM IS REQUIRED FOR ALL AE?NSTR CT'?JOR REMODELING AND B MOVED WHERE ENERGY, OTHER THAN THE MINIMAL CODE ALLOWANCE, IS USED. . ,Ft.2 Ft.Z NGS' BEIK 1,2. Framin9 area = 10% of gross wall area. 1+ Lla Z 13. Gross wall area Z?I ft.2 Window area A 71 69ft.Z U windows,= ? J' CP U x A = 7,S Rim joist area A ft.z U rim joist = o 04 .' U x A Door area A ? , D ft. - U door area U k A = (0. ( ?Tiv l re-area ? A O f t Z U ?:L2RI-hl •= U _1 / , x A 2J???C.? = ?rep a- . _ Exposed founda tion A to,, ? ft.2' U foundation p CO,,U x A ° Framing area A ?•?}???( 2 U framing area U 'X A = a ll t N A ft U wall U x wa are e . ? (138) TOTAL . . . . . . . . . . U x A i 14. Gross wall area z 0.11 (A-1 single family 3 duplex = allowable U x A/Code (13. above) . • , x 0.23 (A-2 other residential) x .23 (Other buildings) , x .23 (Over 3 stories) 1 BTUH Must 6e larger than A Z x U Code, S-U-F. 136 above ' 15. Ceiling framing area (Af) equals lOX of cei.ling area (.'or the. 5ame as) ISA. Gross ceiling area = (L) "-'? x (w) --- = 1 2 ft. 156 Joist are0 (Af) = lOp ceiling area = I? ft,2' , p iSC. Net ceiling area (AC) (15A - 15B) _ ft. 2 U ceiling x A C_ x , U framing x A f= U2?? x 15D. TOTAL'U x A ....................................... 16. Ceiling area (15A) x 0.026 (A-1 single family & duplex - code allowable U x A ? x 0.033 (9-2 other residential)- , x 0.06 (other) ? ,oZ(,p BaUH Must be larger than•15D (above) A(15A) ?•3r?c> ' x U ode f (or the same as) NOTE: Use U and A values obtained from pages 1,• and 4.' CERTIFICATION: I hereby certffy that ('have calculated the "U" factors and "R" values herein and that the building here descrlbed meets or exceeds the State of Minnesota Energy Conservation Act. ' . ? te 5 gnature , ? ?. ? ?U-3GL . y, '' , . _.--------- ---.- _ _ .. ?''-? _- -- --- - 9.5?xC 2A+z?,s) S,v3xC?f2?+ ?3?-33?_= looc?_,?oz . ? ? . . f` '?4x ? - 9, 75 X 2 I ? ? -- _. _ _ -------- --?---_ _ -- _.. . . _: - ' 1B:I P, v?D,i\) ? - r ,s___:--------_ _ --_ _. . ,. ,,, ??Il ?x? - ??o X 1 l?o xcvo = ll, oX z= z z,? ? : ??? Z?X?od = I 3,7 5 X 3=?( ??f NALL SECTION 57UD 5 ECT IQ[1 2ND l1ALL SECTION. R1P1 JOIST U VHI,Ut CIkLCULNIlU11S ALUE U VALUE Ineide air film .68 Iaterior wall •`I`/ (Nall) U - R :' lnsulatlon 19'C7 ' Sheathing 'f OCP Slding .(p7 OutaCde air E1.Lm .17 R TOTAL Instde.air fllm ? .68 Inter[ot wall • ,?y 4" stud R= 4.38 (Framing) U- R • 0`"1 S Inslde air Eilm R= .68 - I I Sheathing !x,p(p Slding ,(,p7 Outslde•atr Ellm ' .17 R TOTAL Lnterfor xall Insulatlon Sheathing Exterior wall covering Exterior alc Ellm El •.17 R TOTAL cuali zU e R . . ?\ lnteclor air fllm R= .68 I Lnsulatlon -? 1'] inch 80fE Wobd R°1.88 (Rim U aIf.a ?`-`. . . . J01 S t ) • ^? I ? Sheathing Z..D(A _ Exterior iral ? l covertng ,(p'j - ' Exterior af.r fllm R= ,17 • . R TOTAL . 4CP ' . ? . Interlor ait Ellm R= .68 z t ct f) o nsu a on . Foundatlon ??Zg (Fdn.) U Exterior air ftlm R' .17 r' ? ?7(O ' F TOTAL ( z? + I Z:> -? --Exposed BLock•? . CEILING WITH VEN , . R YALUE . FRAMI tIG 0.61 o - n i { . ? 0.61 Z.IEv TED RT7IC SPACE ABOVE UE CEILING Air F11m . 0.61 ' Insulation aotst Ceiling Air'Film 0.61 Total R ?T ? • 7g t u_? .oZZ • .oz3 FLAT ROOF OR CATIiEORAL CEILING ' R a ue R YALUE FRADIING ' CEILING 0.61 0.17 Inside air film. 0.61 Ceiling Joist (stu Insulation Ai-r space Roof decking ` Insulation. 8utlt-up roof Outside air film 0.17 ' Total R 1 U 'R a _ Jindow inflltration .5 cfm/lineal foot of crack- tesidential door infiltration 0.5 cfm/square foot or door and minimum code requirement -lon-residential door infiltration 11.0 cfm%linea) foot of crack lb 12" concrete block no insulation =.A7 R 2.1 !b 12" concrete block insulated cores =.26 R 3.8 1y 12" lightwetght block =.32 R 3.1 )b 12" ligh Gveight block insulated'cores =.12 R 8.3 J single glass = 1.13; with storm window .54., 1 double glass = .55 ' J triple glass = .41 all exterior walls and ceilings must have a vapor barrier (0.10 perm max.). ;apor barrier must be on the inside (heated side) of riall. . rapor barriers of the polyethelene tliin film have no.R.value. 4. ? ' I, i ' ? CITY USE ONLY L gL RECEIPT #: SUBD. \' RECEIPTDATE: I L! 1 ? PERMIT # 1999 PLUM$INfl PEfiMIT (RES1DEN17AI.) crrYoF ensAN 3630 PaoT xaos sn EAsM, MN ssi EP (651)6$7-4675 Please complete for: ? single family dwellings ? townhomes and condos when pertnits are required for each unk ? backflow preventer for underground sprinkler system FlXTURES EACH # TOTAL Bath tub $ 3.00 x $ Fioor drain 3.00 x = $ Gas i in OUtlOt ' minimum - 1 3.00 X = $ Hot tub/s a 3.00 x = $ Kitchen sink 3.00 x = $ Laund tra 3.00 x = $ Lavato 3.00 x = $ Minimum fee alterations to existin dwellin 30.00 x $ Private Dis osal S stem new/refurbished * re uires MPC iic. 75.00 x = $ Private Dis osal S stem abandonment 30.00 x = $ RPZ new installation/re air 30.00 x = $ Rou h o enin 7.50 x = $ Shower 3.00 x = $ Under round s rinkler if dwellin is under construction 3.00 x = $ Under round s rinkier if existin dwellin 30.00 x = $ Water closet 3.00 x = $ Water heater 3.00 x = $ Water softener if dwellin under construction 5.00 x = $ Water softener if existin dwellin 30.00 x = $ Water turnaround 30.00 x ---- _ $ State Surchar e .50 --> ---> ---> $ .50 Tatal °> _> ---' ----' s 50..?l Fewirida;: Cal: icr iiS3NzG.E5n5 of 3::37IIt7L'i13, !.°. JYRtBT hRat3YS, wate* softeners, @tC. ------------------------• •-•---------------------------------------------•--• •-----°---•-----------------------------------------...----- I hereby acknowledge that I have read this application, state tliat the infortnation is oorrec4 and agree to compry with ali applicable City of Ea9an ordinances. it is the appllcanYs responsibility to notiTy the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operetional and maintenance activi0es lo the faalitles conshucted under Ihis permit within City property/nghROf-way/easement. SITE ADDRESS: OWNERNAME:: 7?NAUk.IsI&A.o-t? TELEPHONE#:6-6-1 4p-- .35/`f (AREA CODE) INSTALLER NAME: e • TELEPHONE #: _ 5-A3 - ?3= I (AREA CODE) STREET ADDRESS:• U CITY: 2?vv? STATE: Y)(?;) ZIP: 5?0.4.5 SIGNA URE OF P RMITTEE ? RESIDEN'CIAL BUILDING Permit Applicatioo (VO, O'b City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construceon Reauirements RemodeUReoair Reauire.meMS ORice Use Onlr 3 registered sile surveys showing sq. ft of lot sq. ft. of house; and ail roafed areas 2 copies of plan Cert of Survey Recd (20 0/6 maximum lot coverage allowed) 1 set of Energy Calalatiam for hea[ed addi6ons Tree Pres Plan Recd 2 copies of plan showing team 8 window sizes; poured found design, etc. 7 site survey for additions 8 decks Tree Pres Not Reqd 7 set of Eneryy CalculaUons Addition - indicate ilai-site sepp'c system _ On-sile Septic System 3 copies of Tree Preserva6on Plan i( lot platted after 111193 Rim Joist Detail Options selectlon sheet (bldgs with 3 or less units Date ? / ao /65 Construction Cost 'i 000•0V SiteAddress ,, ?G r1 UniUSte # Description of Work ' ? cP-' II ? Multi-Family Bldg _ Y? N Fyreplace(s) _ 0 Y ll _ 2 I Property Owner ?jwQ, 1?&m, Telephone # (Cf (p? - J ? III Contractor ei I? Address aJ ysO t,?- H1 1V 1 CiTy S? State ?W/?J Zip 5533 Telephone # COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Mianesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residential VenGiation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Suhmitted .. Energy Envelope CalculaGons Submitted Licensed Plumber Mechanical Contractor Telephone #( Telephone #( Sewer/Water Contractor hereby apply for a Residential Building Permit and information is ete and accurate; the State of NN that the work will be in conformance with the ordinances and colkks of`tFie--C'ity'o Statutes; I understand this is not a permit, but only an application for a permit, and permit; that the work will be in accordance with the approved plan in the e o ?et ap roval of plans. WI?? (l.?Vl Applicant's Printed Name work is not to start without a k which requires a review and OFF[CE USE ONLY Sub Types ? 01 Foundation ? 07 OSplex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damaga ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bidg. ? 42 Demolish (FOUnda6on) ? 45 Fire Repair ? 33 Altera6on ? 37 Demolish (81dg)' ? 43 Reroof 0 46 Windows/Doors 0 34 Replacament •Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr, of Units Sq. Ft. PRV Nbr. ot Bidgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) FinaUC.Q _ Footings (deck) FinallNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final Windows (new/replacement) _ 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 Capies Other Total Building Inspector City of Eakan 3830 Pilot Knob Road Eagan MN 55122 Phone:(651) 675-5675 Fax:(657) 675-5694 -----------------? I Fri Qffic?U&e ? ? Permit #: ?/ p4/ I I /?'? ^7? ? I Permit Fee: C?f/ U?'" v I Date Received? ? I I 5taff: ? I L- _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _? 2008 AAEC@-YAIVOCAL PERMIT APPLICATION Date: v? l/o D? Site Address: tf-V 7eL? Tenant: Sulte #: RE5IDENT/OWNER Name: Z22GC4?/C Phone: Address / City / Zip: 1P, - CONTRACTOR Name: & FUC, llll(' License nadress: 3451 W. Bumsville Parkway Ciry: BumsvRllle MN 55337 state: zip: ?i y 00G ? C Phone: ?S 7 ?GGfG r p ontact Person: z e-, TYPEOFWORK _New ?Replacement _Additional _Alteration _Demolition Description of work: NOTEi Both roof mounte'd and grountl mouiitetl mer?hanfcal eguipment is required fo, ` be screened by Cify Code. . Please confact the Mechanicai frispector or: one of Ehe P/anners forinforreiation,on 'imnfeal sc`reenin methods: PERMIT TYPE RESIDENTIAL COMMERClAL ? Fumace _ New Construdion _ Interior Improvement Air CondiOOner _ Install Piping _ Processed Air Exchanger - _ Gas Exterior HVAC Unit ' HVAC units must be screened _ Heat Pump Under 1 Above ground Tank I Inshall / Remove) _ Other When installing/removing tank(s), call for inspection by Fire Marshal and Plumbin Ins ecWr RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) $90.50 Fi1'@ I'2pair (replace burnetl out appliances, ductwork, etc.) (includes $.50 State Surcharge) $ SD? TOTAL FEE COMMERCIAL FEES: $70.50 Underground tank installation/removal OR Contract Value $, x 1% $50.50 Minimum (includes State Surcharge) _ $ Permit Fee - If Permit Fee is less than $1,000, surcharge is $.50. - If Pecmit Fee is >$1,000, surcharge increases by $.50 for each =$. State SurCharge $1,000 Permit Fee (i.e. a$1,001-$2,OD0 Permit Fee requires a$1.00 surcharge). $ TOTALFEE .. -w, - ...,--Uy= ..a. U„U_ 1.„1,,,,=.,.n ,s wmpiele ana accuram; ma[ me worK ww oe m coniormance w¢h the ortlinances antl cotles of the City of Eagan; that I understand this is not a permit, 6ut only an applicatlon for a permit, antl work is not to start without perm at the work will ccordance with the approved plan in the case ot work whic0 requires a review and approval of plans. x sla Ciaa., ?Yiro l X Td"LB'n'L-" E Applicant's Printed Name ApplicanYs Signature FOR OFFICE USE Reviewed Byc Dats: I Required Inspectlons: Under Ground Rough In Air Test Gas Service Test In-floor Neat Finaf ; METRO 1875 PLAZA DR. SURVEYORS ? surrE 200 ?NC. EAGAN, MN. 55122 Certificate of Survey for: (612)4s2-7850 M I L LER CONSTRUCTION LEGAL DESCRIPTION? LOTJQ,BLOCK._2_,.L-ExINGTON PARKVIEW ACCORDfNG TO THE RECORDED PLAT I TNEREOF ,.QAK COUNTY,MINNESOTA nI nonz'nz" c oann ?t > Fy a 0 ? tc) ? P-: ? ?.?..? > I O Z Ru ? O N LoOQ 10, 0 toN n n n J io?--.-- - js I ? I ? i ? I ? ? I j I ? I i I / o - 9s,4+- 6 9 +` __?ja7A' (9ofog) 907 0 Q l.o , r. _ I <0 •--igo.s5 ? ?vJ?j? F dza 11 ? V +? ,r. 908 r? ? f, *J? '° ?-------"? 9-?'- 0 . 101.50 of-/NO.R-TH V I E W ?rr ?t3Li.1121 {+'.w."L"'t4, -':. ?5. 'ry,'_.k ,i.... .' bZ ?.? SCALE= 3 ti (D to 0 m ao z W, ? 5.i O RF? ? CD s.z'D 441R q, I+vE - qo17 - 0 S 0° 0?' 43 9011 9c'7 a .TERRAG E f 11 = 30, - DA rrE W1 ?aw? LEGEND o DENOTES IRON MONUMENT 4 DENOTES WO00 HUB SET (? -JDS? OENOTES EXISTING SPOT ??p(?5)DENOTES ELEVATION PROPOSED SPOT ELEVATION ? DENOTES DRAINAGE 'DIRECT ION I Mr? certlfy t)wt fAis survey,plan or report ros prepored by ms or und?r my dirocf •uperrision and that 1 om a duly ReQistored Land Survoyor undM tM Lawa of tM Sfaf• of Minnesofa Brodley Srenwn. Mn. Req. No. ISi235 Dott ' ?11f pRO PoSeD ?IJLL B"FS £r-? Y4 . INVERT ELEVATION AT SERVICE EXTENSION- PROPOSED GARAGE FLOOR ELEVATION • ? •? PROPOSED FIpST FLOOR ELEVATION • 11• PROPOSED BASEMENT FLOOR • ELEYATIJN NO7E? VERIFY ALL FLOOR NEIGMTS WITH FIMAL HOUSE PLANS City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4085 Northview Ter Lot: 018 Block: 002 Addition: Lexington Parkview PID:10- 45035- 180 -02 Use: Description: Sub Type: Work Type: Description: Census Code: Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 2,000.00 Contractor: Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264 -4777 e- Windows/Doors Windows/Doors-New/Replacement House 434- PERMIT City of Eaan BL - Base Fee $2K Surcharge - Based on Valuation $2K Applicant/Permitee: Signature - Applicant - Construction Type: Occupancy: Permit Type: Permit Number: Date Issued: Permit Category: If altering the opening size, a framing inspection is required. Smoke detec tors are required in all sleeping rooms prior to final inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required Bat tery operated types are acceptable if the wall/ceiling finish (i.e. sheetroc k) has to be removed to install a smoke detector. Tim Schenk Elder -Jon es Building Permit Service 1120 East 80th Street, Ste. #211 Bloomington, MN 55420 952- 345 -6040 Total: $70.00 Owner: Mark A Olson 4085 Northview Ter Eagan MN 55123 $69.00 0801.4085 $1.00 9001.2195 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 with all applicable State Issued By: Signature Building EA074843 08/22/2006 ePermit PERMIT City of Eagan Permit Type:Building Permit Number:EA116777 Date Issued:10/10/2013 Permit Category:ePermit Site Address: 4085 Northview Ter Lot:18 Block: 2 Addition: Lexington Parkview PID:10-45035-02-180 Use: Description: Sub Type:Reroof & Siding 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. 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. Fee Summary:BL - Base Fee $8K $162.25 0801.4085 Surcharge - Based on Valuation $8K $4.00 9001.2195 $166.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Mark A Olson 4085 Northview Ter Eagan MN 55123 (651) 592-7671 Capital Siding & Windows 9673 Wynstone Dr Woodbury MN 55125 (651) 578-9205 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA119891 Date Issued:12/31/2013 Permit Category:ePermit Site Address: 4085 Northview Ter Lot:18 Block: 2 Addition: Lexington Parkview PID:10-45035-02-180 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 . 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 - Mark A Olson 4085 Northview Ter Eagan MN 55123 Capital Siding & Windows 9673 Wynstone Dr Woodbury MN 55125 (651) 578-9205 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA126637 Date Issued:09/04/2014 Permit Category:ePermit Site Address: 4085 Northview Ter Lot:18 Block: 2 Addition: Lexington Parkview PID:10-45035-02-180 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Mark A Olson 4085 Northview Ter Eagan MN 55123 (651) 452-3514 Sandau Construction 9925 Lyndale Avenue South Bloomington MN 55420 (952) 403-9100 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA157156 Date Issued:08/07/2019 Permit Category:ePermit Site Address: 4085 Northview Ter Lot:18 Block: 2 Addition: Lexington Parkview PID:10-45035-02-180 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 - Mark A Olson 4085 Northview Ter Eagan MN 55123 (651) 292-7671 Beissel Window & Siding Co 1635 Oakdale Ave W St Paul MN 55118 (651) 451-6835 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA171072 Date Issued:07/29/2021 Permit Category:ePermit Site Address: 4085 Northview Ter Lot:18 Block: 2 Addition: Lexington Parkview PID:10-45035-02-180 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Mark A & Teresa M Olson 4085 Northview Terr Saint Paul MN 55123--155 (651) 592-7671 Sedgwick Heating & Air Conditioning 1240 Trapp Road, Suite A Eagan MN 55121 (952) 881-9000 Applicant/Permitee: Signature Issued By: Signature