1423 Oster DrCASH RECEIPT ?
CITY QF EAGAN»
3795 PILOT KNOB ROAD ?
EAGAN, MINNESOTA 55122
DATE 19
R6C[IY6D
PROM ,
AMOUNT ? I
- 0a0 -01 & noLuRs
,oo
? CASM ? CHECK
rOR
?...?'''?[
f .w..
/ 1l "1 -n
FUND CODE AMOUNT
n
?
Tha Au
BY
/ White-Payers Copy
V Yellow-Posting Copy
Pink-File Copy
. _ ...?.
\ CITY OF EAGAN 17274
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHON E: 454-8100
BUILDING PERMIT Receipt #
ti lIREPLICE
To be used fq?,.. Est. Value =1 ,000 Date NOV 3 , 19 $9
Site Address 1423 OSTBA Dit
Lot Z Block i Sec/Sub. OsTn OF FICE USE ONLY
Parcel No. occuPancy - FeFs
-
Name $jCHARD LrrZ Zoning
(Actual) Const -
Bldg. Permit
26'?
? Address 1423 OSTER Dii (Allowahle)
-
?
•
0 Surcharge
City ?? Phone ?+?-2967 ,r or scories
-
Plan Review
Lenglh
K W DAl1!! CONSTRUCTION
o Name oep,n _ snc
ciiy
=
?? 17 1t0006S C'f
Address
S.F.Total - ,
b
??
? SAC,MCWCC
? City
?
Phone S7"'
Z 1 S F. Footprinls _
Water Conn
On Sile Sewage _
?
? W Name On Sde Well
W
M
t
? _
_-
Address -
Mwccsysrem ^ aler
e
er
a W City Phone ciry water _ ??t. ?epasit
/W P
f
PFV Required - erm
t
S
I hereby acknowlege that I have read this application and state that the Booster Pump - S+W Surcharge
intormatlon is correct and agree to comply with all applicable S1ate ol
Minnesota Statutes and City of Eagan C1ri;1i- ances.
.?. Treatment PI
5ignature of Permitee APVROVALS Road Unit
A Building Permit is issued to: K W DAH!! CXRIiST 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. Bldg. Otf. _ Copies
24??
Building Official .?
Variance -
TOTAL
Permit No. Permit Holder Oate Tekphone k
WATER
SEWER
PLUMBING
H.V.A.C.
ELECTRIC
Inspection Date Insp. Comments
Footings I
Foundation
Framing
Roofing
Rough PI6g.
Rough Htg.
Isul.
Fireplace
Final Htg.
Fnal Plbg.
ConsL Meter Plbg. Inspedor - Notify Plumber
Engr./Plan
Bldg. Final
Deck Ftg.
Ueck Final
Well
Pr. Disp.
, CITY OF EAGAN
3795 PIIoF Knob Raod Eogon, MM 85122
'
PHONE: 454-8100
BUILDING PERMIT Receipt .#
T. L. u?td fn? ?' f 1.'; i: %(' ", FM VnlnM ?.i ;, I?nte (C I? Q 1I C. I. 51fe Address L,
Lot? Block 1 Sec/5ub.
Porcei # 10-•554)0-J50--O1
W Name
Z
g llddre
oc
O
O?
u?
?
Name
/lddress
1 hereby acknowledge that I huve read this opplication and stote that
the intormation is carrect and agree to campiy wiih oll opplicabla
Stote of Minnesoto Stotutes and City oF Eogon Ordino
Siynoturc of Permittee . , ` , . .
A Building Permit is issued to:
oll work sholl be done in occardonce wlsh all npplicable
Bullding Offic{al
Erect Occuponcy
Alter
? -_ t
Zoning .
Repoir
? a
Fire Zone
Enlarpe ? Type of Const. '
Move ? # Stories
Demolish ? _ Length
Grode p Depth Sq. Ft.
Approvals Fees
Assessment
Water 8 Sew.
Police
Fire
Er+y.
Pionner
Council
Bldg. Off.
APC
Permit
Surcharge
Plon check
SAC
Water Conn.
Wuter Meter
Rood Unit
Totol
on the express tondition thcir
innesota Statutes and Ciry af Eogon Ordlnances.
Permit No. Permit Holder Mise. Permit Na, older
Plum6ing 3Q 0 p
l , i
H.V.A.C. 6
Well
Wsier
Disp.
Sewer
Ekctric (?7 f? ?? UJ 6 r 'f
Inspection Date Insp. Other
Footinpa /?
Foundation
Framing
Rough Plbg. ? 4
Rough HVAC
Insulation ?
Final Plbg.
Final HVAC
Final
Water Descrihe Lacation:
UVell . , .
Sevuar
Pr. Disp.
Receipt MECHANICAL PERMIT Permit No.
CITY OF EAGAN
Fee
Filf in numbered spaces S/C
Type or Print legibly
ro:.
4. Date 2. lnstallation Cost
3. Job Address Lat ' Blk. 7ract
4. Owner
17
5. Contractor Phone
6. Address
7. City State Zip
8. Building Type: Residential ? Commercial ? Institutional ?
9. Work Description: New ? Add ? Alter ? Repair ?
10. Describe
11.
Type
No, Eauinment 9TU - M. Ea.
Forced Air No. Equipment CFM
Ai
H
dli
Mfg. r
an
ng:
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mfg.
Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
5igned : for
Rough F inal
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved,
Approved CITY OF EAGAN 454-8100
Receipt PLUMBING PERMIT
CITY OF EAGAN
?
Fill in numbered spaces
Type or Print legibly
1. Date °2, Installation Cost
3. Job Address Lot ° Blk.
'2
4. Owner ? 1- C+ C_ CL Vl c?
Permit No, 3
Fee
' S/C ? S v
Tot.
Tract d S' C (-
5. Contractor '0? Phone
.
6. Address L, C. ?
J?
7. City (? ?' '• ? State AA Zip
8. Building Type: Residential Commercial ? Institutional ?
9. Work Description: New ? Add O Alter ? Repair ?
10. Describe
11.
No.
X. Fixtures
Water Closet No. Fixtures
Cess
ool/Dr
i
field
Bath tubs p
a
n
Septic Tank
.? Lavatory Softner
? Shower Wgll
? Kitchen Sink
Urinal/Bidet Other
? Laundry Tray
Floor Drains
Drinking Ftn.
? Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinrces and codes governing this type of work.
Signed : : %!. ?'_l for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved ?, ? _ ?? CITY OF EAGAN 454-8100
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SiTE ADDRESS: APPLICANT:
(#yl <'' 1 442- 461 4
PERMIT SUBTYPE:
TYPE OF WORK:
1): ,', I I' ; t ??t-t
?
I
trt1 11 1 11 tni,
N.'H!:+I r •
?
!aF'PATH
;rri I Nii /Rnnr rNci
Pe?mR No. PermR Holdsr Date TMsptwne i
S/{N
PIUMBING
HVAC
ELECTRIC
ELECTRIC
lnspsction 08b Msp. Commenb
Footings I
Founcietion
Framing
Roofi"g
R-0 Pft•
%UO 1-ft-
Isul.
Fireplem
Flnat Fitg.
Orsat Test
Flnal Plbg. Plbg. Inspec4or - Notffy Piurnber
Const. Meter
EngrJPlan
Bldg. Final
Dedc Ftg.
Deck Final
weli
Pr. Disp.
11NSYL1:11UN KLt:UKl)
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS:
. ,, . It R otr.
APPLICANT:
, ? 110 . ?1 i 4,6 i,fi,s
161, ) : .0, s 'i 4 7
PERMIT SUBTYPE:
TYPE OF WORK:
(11".rIrrt, I ri?w
till 1 ? 4i ! ?11j
qR / 1 I 1 clf?
+ 141
? ?r (It A i xON
i1?IN11 t'nrlt
13t MARt.'.1• Pl RN ltFtltE4Ji t) BY MfKf RA111'1
Permit Holtler Date Telephone N
PLUMBING
HVAC 7g3'?Sj(
Inapectlon Date Insp. Comments
FOOTINGS
FOUND
FRAMING
RpOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG ?
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
CONOUCTIVITY
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
CITY OF EAGAN Remarks
Addii+on OSTER ADDITION Lot 2 e1k 1 Parcel 10-`-$*00-020-01.4
Owner Street 1423 OSTER DRIVE state EAGAN MN 55121
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. 1984 4446.25 889.25 5 3557,00 A01350 1-30-84
STREET RESTdR.
•
GRADING
**SEwer Lateral $3'2- 1984 5581.04 1116,21 5 4464.84 A013S00 1-30-84
SAN SEW TRUNK D 1968 Paid und arcel 10- 0400 040-75
* SEWER LATERAL 1972 fr rr pf
**Water Lateral 1984 5
WATERMAIN
* WATER LATERAL 1972
WATER AREA 1984 277. 39 55. 48 5 221.92 A013500 1-30-84
**Stubs 1984 5
STORM SEW TRK $3 1984 487.58 97.52 5 390.07 A01354Q 1-30-84
**STORM SEW LAT 1984 5
CURB & GUTTER
SIDEWALK
STREET LIGHT
ROAD UNIT 250.00 39536 10-25-83
WATER CONN. 450.00
t?
?t
BUILDING PER, 8006
SAC n t1
PARK
CIYY Or EAGAN SEWER SERVICE PERNIIT
3$30 Pilot Knob Road -
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55121_ DATE:
a No. of Units: ?
Zoning:
Owner: z Tx"derirt eL;e?
Addresr
Site Addrcss: _14L? 5 ter r?riY?'- ? ` ? ' `• ? ; `? ?" -
a?, .,,?.• • L_, :. I 1' 1? u
?
I A9m t0 OORIpy HIkb 1`0 City OF EOsOw
Ordlaenam
By
Data of Insp.:
ClTY OF EAGAN
3830 Pilot Knob Road
P. O. Box 21199
Eagan, MN 55127
Zoninfl:
Owner, i re?eric?l :ialrac
Addross:
5ite Address: 142'3 JStBZ Jriv
Plumber: rie%zcl ob
Meter No.:
c.-•
yVlrcqyalon VIVrge: •4 [ J. r" ? ? 7 Q
Accour?t Deposit:
Permit Fee:
Surcharqe: -
Misc. Charpes:
Totol:
Date Paid:
WATER SERVICE PERMIT
PERMIT NO.:
DATE: ' i - `13
No. of Units: 1
Connection Charge: _
Account Deposit:
Permit Fee:
Surchorge:
- .,
Miac. Chorpes:
Tota1:
Dote Paid:
Reader No.:
1 a4ree to oomPlp wilh IM Gty ef Ee"a
OrJineeaa.
Hy
Date of Insp.:
00
BuiLcING
N? 8606
Reteipt #
Sjte Nddress • 1423 Oster Drive Erect ? Occuporxy R-3
Lot 2 Block _I 5ec/5ub. Osrer addi ti on 111rer ? Zon;nq R-1
porcel # 10-55400-050-01 Repair ? F1re Zone NA
E
l v
T
f
n
or9e 0 ype o
Const.
W NOMe Frederick L. Helmer Move O # Srories
z Addross 1362 Pleasant Ave. pemoli,h p Length 65-4
Ci St. Paul 55102 phone 224-4822 Grade p Depth 53-4 Sq, Ft.
?
?o OWner
Name ApProvals Fees
? Address Assessment Permit 409.00
? Ci Ph Woter & Sew. Surcharge 46.00
one 204
50
Police .
Plan check
?W Nome F 525.00
S
iro AC
Address Enp 450. 00
Water Conn
. .
L Ci Phone Planner Woter Meter 60. QO
CountVl Rood Unit 250.00
I hereby acknowledge that I have reod this applicotion ond stote thot Bidg. Off.
the lnformotion {s correct ond ogree to comply with oll applicoble
f Minne
dit
E
dir
St
t
ro St
it
t ^PC T?a? $1944.5?
?
o
e o
w
.u
V.an
y o j
uW,-
es.
-
Slynoturo of Permittee 4&:I ? ? ?'G 411444e
reaeric?'- .
A Building Pertnft Is issued to:
oll work sholl be done in occordance with oll appliwble State iqne?f/?
Building Offfciol ??/"
CITY OF EAGAN
3793 Wlof Knob Road Eeten, MN 55122
PHONEt 454-8100
on the express condifion thni
y of Ecgon Ordinances.
BUILDING PERMIT
N° 860b
Receipf # , 2/r 1-3{'
Te M wed fer SF DWG/GAR Est. Value $92,000 pafe OCtober 25 _, 1983
Site Addrew • 1423 Oster Drive Erecr Tj Occupancy R-3
Lot Z BlxkI_ Sec/Sub. nster addition Alrer ? Zoning R-1
parml ? 10-55400-050-01 Repoir ? Fire Zone NA
Enlorpe ? Type of Const. V
ae Name Frederick L. Helmer Move ? # Stories
Z
? Address 1362 Pleasant Ave. pemolish ? Length 65-4
Ci St . Paul 55102 phone 224-4822 Grade p Depth 53-4 gq, Ft.-
o Nem Owner ApOrorals Fees
?
Address Assessment Permit ??a
? Water 8 Sew. SurcMrge 46.00
F
Citv Phone
Polica 204.50
Plon check
Gw Name Fire SAC $25.00
rw
?? Address
Enq•
Water Conn. 450.00
iW Ci Phone Pianner WaterMeter 60:0?
Council Road Unir 250.00
I hereby acknowledge thot i hnve reod this opplication and state thaf Bldg. Off.
the in(ormation is corrett and agree to comply with all opplicable
APC $1944.50
Totol
f Eog es.
Stat and ity o
Minne
State of
wta .
/
{+, l ,.?%/?Ud1C?f-
$i
n
t
f
Pertn
iH
ea
g
a
ure
o
re eric ct-L -tie mer -
A Building Permif Is issued to: _ i
on the expresa condiHon thm
all work sholl be done in accordonce with oll applicable Sfate i ne ' Ity of Eagnn Ordirwncea.
Bufldinp Offlciol `
CITY Of EAGAN
3795 Pilot Knob Rood Fagan, MN 55112
CHONEt 434-8100
CITY OF EAGAN NO 17274
3630 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE:454-8100 /J 1
BUIIDING PERMIT Receipt # C?
TobeusedFIREPLACE Est.Value $1,000 Date NOV 3
Site Adyiress 1423 OSTER 'DR
Lot Z Block 1 Sec/Sub. OSTER OFFICE USE ONLY
PdfC@I NO. Occupancy _ FEFS
Zoning _
w Name RICNARD LUTZ (AClual)Const Permil 26.00
BIdg
3 Address 1423 OSTER DR (Allowa6le) -
.
-
O
City EAGAN Phone 454-2367
xorsiones SUrtharge - Sn
-
Plan Review
Lenqih _
o Name K W DAHM CONSTRUCTION DeOth snc
crt
?Q
Address 2217 ROGORS CT
S.F.Totat ,
y
-
? City MENDOTA HTS phone 457-0113 S.F. Foolprints _ SAQ MCWCC
'
F On Si1e Sewage Nater Conn
_
e= Name On Site Well
- Water Meter
AddfeSS MWCCSyslem _
¢ W Clty Phone City Water _ Aut. Deposit
PRV Required _ SM! Permil
I hereby acknowlege ihat 1 have read Ihis application and state that the Booster Pump - SlW Surcharge
intormalion is correct and aqree to comply with all applicable Stale of
Minnesota Statutes and C{q oi Eagan QOrnances. Treatmenl PI
Signature of Permitee _?? ?4 APPROVALS Road Unit
A Building Permit is issued to: K W DA M ON Planner - park Ded.
on the express condition that all work shall be done in accordance with all Council
applicable State ol Minnesola Statutes and C
it
y
ol
/Eagan Ordinances. Bldg. Ofl. Copies
y
y
?
,
Builtling OHicial ? 1,q 01 ! ! 11 oU
v Variance - TOTAL 26.50
.
To Be Used For J
Site Pddress
CZTy pF EAGAN Include 2 sets of plans,
1 site plan w/elevations &
BUILDING PERMIT APPLICATION 1 set c£ energy calculations.
/adYUation??ia'i Date
Lot 2 Block Sec./Sub.
Parcel #: 10-55400-OS0-01
owmer: FMDFA'lGk" L ffALMER
Acklress:
Gity/Zip code:
Phone #=
Contractc
Pddress:
City/Zip Code:
Phone #:
Arch./IIlq.: _
Ptldress:
City/Zip Cocle:
Phone #:
' OPFICE USE ONLY
rect y
E Occupancy
Alter Zoning
Repair Fire Zone
Enlarge , ?
Type of Const.
Nbve # Stories
Dsnolish Fmnt ft.
Grade Depth S3 - y ft.
APPROVALS FEES
Assessments Permit ?/D q -
Water/Seaer Surcharge
Police Plan Check ? O*/
Fire SAC S25" ?
Eng. Water Conn. SU --
-
Planner Water Meter (a
D
Council Road Unit
Bldg. Off.
APC
,l,OTAL l
oo
? ? ? yo6
q y? c
:4r1l REQUEST FOR ELECTRICAL INSPECTION
` ' See imiructions tot completing this torm on beck oi Yellow cooY.
An74-76 "X" Below Work Covered by 7his Requesl
EB-OOWpl-O4
04 Addl ReD. TyOe of 8uilding APPliances Wired Equipmenl Wired
Home Ranye Terttporary Service
Duple,z Water Heater Lightiny Fixtures
Apt. Building Dryer ElectNc Heatin
Commercial Bldg. Furnace Silo Unloader
Industrial Bldy. Air Conditioner Bulk Milk Tank
Farm orn'« oeaN otn.r ist,ornivl
ther Suecifv thei otn,.r
ompute lnspection Fee Below
p Fee Service EntrencaSize k Fee Feeders/SuEteeders N Fee Grcuits
0 to 200 qm s 0 to 30 Am s 0 to 30 Am s
Above 200 qmps 37 to 100 Amps 31 to 100 Am s
Swinuning Pool Above 100-Am s Above 100_Amps
Transiormers Irrigation Booms p Partial.'Other Fee
Signs Specialinspection
S
TO A
pemarks ba.s F
?
Rough-in ? th
oec tor, hereb
A 4tify thnt tAe bve
Final , pecHao has been
( -// de.
TNarepuestvoitll8monthslrom ?
This reQUest vai0 (o? 0 p
18 months tmm
Arn-747,R) L cR OS+". A-dd . 40 6 f16
flequest Date Fire No. Rouph-in Inspection ?
IsDec.-
Fleyuired
? ? AenAy Now?Will Notify n
l?(p Ye,s ? Nn mr When Peatly
E] Licensed Electrical Contnetor I hera6v request insoection ot above
0 Owner eleclrical work instelled at
SVeet AAdress, Boa or PoWe No. CitV
1y,23 DsTE"R
ecuon o. iownship Name or No. Range o. County
l?4Koif?
Occupant(PFINT) Phone Nu.
fRFAFkieL k a. a?-?
Power $upu
lier Address '
/
Elecvical ConVactor ICompany Namol Gonvactor's License No.
-* d w (s
Mailinq Address (COntrar.tor or Owner Making Instailation)
/3G c2 P.«'flSA/V T ss-1oz
Auffi
ed Si LurO I on[rac[o? Own e MinB Installation) Phone Number
C
THIS INSPECTION REUUEST WIIL NOT
MINNESOTA STATE BOANO OF ELECTRICITV
Griggs-Midwey Bld9- - Aoom N•191 . BE ACCEPTEO BV THE STqTE BOqRD ?
`i^ University Ave., SL Peul, MN 55706 ENUNLESS CLOSEDOPEN INSPECTION FEE IS ?
•+1 297-2111
?. . .
OFAOBE CONfUlTINO lNOI.HttAf
PLAHHIAi and LAND
ENGINEEAING N431-3000
IUJ{VtYOCOMPANY, INC: ,1000 WT 144A STRCCT, OUfIH3VILlC, 111HHC30TA 5SJ3T ,
Cc rzxz
QhcttZr-lc4e1?'.3' Loi z st- oc?r / osTElZ ADP-
??ol. v DAKaT4 GoHNTY,, M/NNE'sCTi}
?
o/
0 - DENoT.E'S /RoN MoNNA4KNT sET
? o ?` y O AEN dT?s PRpibS?A ?I.,?Y?T/O?( ...
DENcTES D/REGTJON- 'OF ,r
? ?\ sNRF/1CE DRA/NAloE , `?
NoRTN I ? ?g F/K/SHEp G,4RAG£ F?-doR .?`?l?
30' 906,/ ToP B,coG,r ,e,t£Y, . :«.
I ? ce '
-* t
B."cARiNbs,
0
t \? yyr
?
s*o wN 3 L nT 3
. i
ARE L 0T Z
AssY,NF? p ? .
?
• ? ?, ? , ? ??'??? \ ? a.
d j
30? fRONT
? ?HI<D/NG 4,ET&6 K:
, Y . ? ,8 ?
Q. L/hAE
40.0
?. ?
s .
0
%D
?.. „ ? ..
ao„ . ? ry
PRA/NAGE
l/T/L/TY ;,EASEMENT •:?` w' , ? ?r?
' N 87 sz.'SO°yy h _- -
I hereby certify that this is a true and?-IorreLt?representation of a tract of land as sho4rn and
described hereon. As prepared by me on /this S day of &,hP&A,,., , 19 $3 . ?
/ ?mr++s /_]?...C•? ?;. Minnesota Registration No.
;
--- '? ? EXTERIOR ENVELOPE f?VERAGE "U" COMPUT,0.TION
? OWNER
?SITE ADDRESS ;-
,,._.
? CONTRACTDR DATE PHONE
..-
4
?. • Determine working square footage of each.
F
; 1. Total exposed wall area ...... 23,351103 sq. ft. x .18 " 20.
5 ?•? ?
2. Total roof/ceiling area ..... , ly 38 sq. ft. x 04
Total exposed wall area above fioor =_20 ?
a. Total wall window area...................:........ 2 3??3
b. Total door area .................................
c. Total stiding gTass.door area ............ ..... -
?
d: Total fireplace wa]1 area........................
` e. Total wall framing area (averagetOA)............ !L9 8,4 a:
f. Total net wall area above floor ................. I Il9.?„9 g. Total rim joist area ............................ 193
'iatat exposed foundation area
h. Total foundation window area...... ...............
t. Taal net foundation area abpve grade ............ 1141.1 P,
Dete;mine "U" vatue of each wa1] segment. a. 23q ? 15 X1, u„ 5 5)__ = 131, 5Z
_ 6. 9 la X „u ll , 139
?
c. X llUii _
- --
a. ? g x'-ull . 3l0 - V R,Z
e. I?ea•'?8 X „u„ , OIvJ
f. I?Ilo•39 xltu„ , v3t,o = 54.5
9. i T3 x Uu,l '03
?
h. X nUn -- - r
;. 1 l??1 x "u^
3 . ... .............. . 8.... . .Total = S 3, lo`I
Ii it°m r3 is the same as, or 7ess than item -1, you have met the intent
oi SBC 5006(c)2.
w- Total exposed roof/ceiling area =`.? a3 8
Total gross roof/ceiling area = I y3 8 -.
? . . .. __ .. . . . . ? . ° . . ?-y . . ' . . .. . .- . . .
J. Totat skylight area' .:..................... --
-. k. Total roof/ceiling framing area ............ I?, 8
1. 7otai net insulated roof/ceiling area..'..... IZ 9 4. Z
Determine "U" value for each roof/ceiling segment.
_.. . ,: ? ... - X llust ?-
k. 14 3, S xltuil , 035 = 5, 03
i. I 29?f .? x„u„ toz = 3 8, Z 15 4......--•......._..?.`.'13 $.........Total
? f
- ?y
If total of #4 is the same as, or less than r2, you have met the intent of
SBC 6006(01. -
To utilized the total envelope system method, the values.estabtished by the
sum of items 473 and #4 shall not be greater than the sLm of itens E1 and n2.
1. + 2.
3. + 4.
MATERIALS
Exterior Air
Sidir.g Material
Sheath'sng
Insulation --
Sheatrock
Interiox Air
Studs
P.im
Conc. Blks.
Therm. Eesistance "P,"
,7T7
Li5
Eo '
?,59
l.ZS
CITY USE ONLY
LOT ? BL ?
SUBD.
RECEIPT #: -( (o (c S I
RECETPT DATE: p ' D-S ' ` ?,
1996 M£CHA1VICAL PEitMIT ($£SIDENTIAL)
crrY oF ensAw
3$30 PILOT KNOB ltD
£R&kP MA 55122
Date: ? I 1? ( q U (61E) 6$1-4675
Complete this section oniy if you are installing HVAC in single family, townhomes or condos under
construction and not owner /occupied '
o HVAC: 0-100 M B T U $ 24.00
ADDITIONAL 50 M BTU 6.00
• Gas oudets (minimum of one required @$3.00 ea.)
• State Surchazge: .50
. TOTAL:
wtiiY ? leic ii:s 5ci:?ou Gr if J?- a'•_?, • .. .•:.•s .• : le f°..mi1•, .i. .,_ljy.,ac
Jii diE 3'efTluuOilu a3Ci7Zi? ?O, C: rc}'iF.7.'".ia? C:v3?,.. 3.:g ? a-,
townhomes, or condos. Note: Mechanical permit is not reauired for alteration/add-on to ductwork in
existing residential units; but is required for the following:
Install fumace
_ Install sir exchanger, i.e. Vanee system, etc.
-%, Install air conditioning
Other
Minimum fee applies to all remodel or add-ons of existing residences $ 20.00
State Surchazge . .50
Total: $ 20.50
SITEADDRESS: ctkA i.?C-
OWNER NAME: (zl e 1 I 0 )OT--i " PHONE #: 1..7 ""i ?Z-?J lo ?
INSTALLER NAME: 693LVISDY V AodL PHONE !l: ? ;.? - +54<
STREET ADDRESS:
CIT'Y: 0 LAI +V'I'/ STAT ;?l N ZIP: ?
i F P RMITTEE
/
1S/FORMS BLD/A?CH PERMIT (RL-5) - 1998 SIGNA
L BL
SUBD.
CITY USE ONLY
RECEIPT #:
RECEIPT DATE:
APPROVED BY:
199$ IYIEC*MICAL P£RMIT (CObIM£$CIi4L)
CITY OF Ek&AN
S$SO PILOT KNOB iiD
E4fiAN, MN 551 EE
(61E)6$1-4675
Please complete for: all commerciaVindustrial buildings
muRi-tamily buildings when separate permits are not required for each dwelling unit
DATE:
CONTRACT PRICE:
WORK TYPE: NEW CUNSTRUCTION INTERIGR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: 1% of contract price OR $25.00 minimum fee, whichever is greater.
Processed piping - $25.00
CONTRACT PRICE x 1%
r?o?ESSEv;-,r-rNG
PERMIT FEE
STATESURCHARGE
TOTAL
SITE ADDI2ESS:
OWNER NAME:
TENANT NAME (IMPROVEMENTS ONLl):
INSTALLER:
PHONE #:
ADDRESS: PHONE #:
CITY:
($.50 per $1,000 of pe 't fee due on all pemiits.)
STATE:
ZIP:
SIGNATURE OF PERMITTEE
SINGLfi FAMILY DWELLINGS
1989 BLIILDIHG PERMIT 9PPLICATION
CITY OF EAGAN
? ?2 #i
MDLTIPLE DWELLINGS
2 SETS OF PLANS 2 3ETS OF PLANS
3REGISTERED STTE SURVEYS BEGI3TfiAED SIT6 SQR9EYS -
1 SET OF ENEAGY C9LCS. (CHECg iIITH BLDG DIV.)
1 3Ef OF ENERGY C9LCS.
MfTI.TIPLE DWELLINGS RENT6L IINITS FOR S6LE IINTTS
COtR7ERCIAL
2 SETS OF ARCHITECTURAI:
8 STHDCTIIRIL PL1NS
1 SET OF SPECIFIC6TIONS
1 SET OF ENERGY CALCS.
# OF ONTT3
HOTEs ADDRESSES F06 CORNER LOTS - COPTRACTOH/SOMEOWNER MQST DESIGNATE iiHICH ADDRFSS
IS DFSIRED. NO CHANGES WILL BE ALLOWED ONCE HIIILDING PERMIT IS ISSIIED.-
SEiiEA 6 NATER PEtMTT FEES 9ND SCCOUNf DEP0.SIT F6ES i1ILL BE INCLODED iIITH THE BOILDING
PERMIT FEE. PROCESSING TIME FOR SEWER AND WATER PERMIIS IS TWO DAYS ONCE A PERMIT HAS
BEEN COMPLETED INDIC9TING 9 LICEN3ED PLTJMIDER.
PENALTY APPLIFS WHEN: PEAMIT IS NOT P9ID FOR IN SAME i,MONTH IT IS REQIIESTED.
LOT CHANGE I3 EEpQESTED ONCE PERMIT IS ISSIIED.
To Be Osed For: Valuation:??.ooa Date: l
--v ?
Site Address 7--1,z s '-3 tt' S7-9 /` [Jr OFFICE 0.SE ONLY
Lot 2 Block C_
Pareel/Sub ? j ,?l-&
Owner /?.', /& ? tl L w ! Z
Address IL/ Z 3 d tc 57--e r
City/Zip Code / 4 4?. sti-
Pr,one ?IS q 6 7
Contractor t,2 /Ja /? ? C-o?,5 /
? 7?
6ddress 2- a / 7_ R. y ad'S C/
C3ty/Zip Code -;wr1,., d^ a/T/
Phone L/ J`-7 0/ / 3
Areh./Engr.
9ddress
City/Zip Code
Occupancy FEES
Zoning
?
Aetual Const Bldg. Permit ?(n
Allowable Sureharge
# of stories Plan Review
Length SAC, City
Depth SAC, MWCC
S.F. Total Water Conn
Footprint S.F. Water Meter
Acet. Deposit
On site sewage S/W Permit
On site well S/W Surcharge
MWCC System _ Treatment P1.
City water _ Road Unit
PRV required Park Ded.
Booster Pump _ Copies
Z p SUBTOT9L
APPROVALS Penalty
Planner TOTAL
Council
Bldg. Off.
Varianee
Phone #
L BL
SUBD.
APPROVED BY:
INSPECTOR
RECEIPT #:
RECEIPT DATE:
MECHANICAL PERMIT #:
1999 biECHRNICl4L PERMIT (C016IMERCIRL)
CITY OE' EkfiA1V
S$SO PILOT KNOB iiD
E,4GAN, MN 5518E
(651)6$1-4695
Please complete for: all commerciaVindustrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE: CONTRACT PRICE:
WORK TYPE:
DESCRIPTION OF WORK:
:dEW CONSTRUCTION INTERIORIMPROVEMENT
FEES: 1% of contract price O/i $30.00 mioimum fee, whichever is greater.
Processed piping - $30.00
CQiti ii....?, i i"aD
J(.E XI%
PROCESSED PIPING
PERMIT FEE
STATESURCHARGE
TOTAL
-------------------------°--.._.
SITE ADDRESS:
OWNER NAME:
TENANT NAME (IIvIPROVEMENTS ONLl):
INSTALLER:
ADDRESS:
CITY:
CITY USE ONLY
PHONE #!: -
(.anEa cou)
STATE: ZIP:
($.50 per $1,000 of cermit fee due on all pemiits.)
PHONE #:
(AREA CODE)
SIGNANRE OF PERMITT'EE
CITY USE ONLY
LOT ? BL ? RECEIPT U
SUBD. 4? RECEIPT DATE:
MECHANICAL PERMIT N c3 SC/
1999 M£CfiANICAL PEftMIT (ftESII?F1VTIAL)
CITY 0F EA6AN
S$SO PILOT KNOB $D
ER6AN MN 55122
?fi?Z3 ??7°I (651) 681-4675
Date:
Complete this section onlv if you aze installing HVAC in a single family dwelling, townhome or condo under
construction and not owner /occunied.
• HVAC: 0-] 00 M B T U
ADDI'I'IONAL 50 M BTU
• Gas outlets (minimum of one required @$3.00 ea.)
$ 30.00
6.00
State Surchazge .50
Total $ _
Complete this section onlv if you are remodeling, adding to, or repairing an existing single family dwelling,
townhome, or condo. Please indicate if it is a new item, alteration, or repair.
_ New Alteration Repair _ Other
Reminder: Call 681-4675 for inspections.
Furnace
Air exchanger
_ Air conditioning
? Other UR.v.? ?cc?t •'r' `? ??""'?
$ 30.00
State Surcbazge 50
Minimum Total Due 30.5
SITE ADDRESS: 1+z::?) br . t
OWNER NAME: Lat -?' LRE f 9 0 PHONE #: lOS 1
(AREA CODE)
INSTALLER NAME: Fi? 1 CKS?? P? C= PHONE #: lfl I Z--
STREETADDRESS: 14,qI (AREA CODE)
CIT'Y: &L-I?trje
STATE: M P: SS4??7
SIGNATL#E OF PERMITTEE
C.T.TY 01= .F..AGAN
(.'.AWEfi: S TrRMINAL N0: 770
DATEr 08/17/98 TIME: 15:52;44
IIl:
NAME: E{LOM CUSTDM HOMCS INC
3210 3001 14E3 O5TEF UR 287.25
3422 9041. 1423 CISTER UR 186.71
215 i 9001 1423 OSTER DFi 10.00
To+,a7. Receip+, Amouri1;: 483.36
Ck09E.2fi 6
USER :[D: NANCY
IPIT OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
FERMIT
PERAAIT TYPE:
Permit Numher:
Date Issued:
BUSLOING
032421
08/17/98
SITE ADDRESS:
1423 OSTER fJR
LOT: 2 BLOCK: 1
OSTER
P.I.N.: 10-55400-020-01
DESCRIPTION:
?_,? SOUND CONTROL
B?tI d3n?=?nPermit Type 5F (MISC.)
"-jt.t9si'td`U,6wk Type ALTERATIqN
,C2n?us tl?''' 434 ALT. RESIDEN7IAL
041 ?
?.
%
,e+ - ?`?M , 4•?*
. . s _ , j-?
g ?
£???' hc????g,? 3Mr
11 ..- u' F A ?' ft ki a9 ?
a+ca ??ar a ;? ? ? ,i ?. i axn q1.M?
?na a ?
,
.£n?
REM"M:REvzEwEO BY MIKE BARCK
FEE SUMMARY:
Base Fee
Plan Revisw
5urcharge
TotaJ. Fee
VALUA7TON
$287.25
$186.71
$1@.00
$483.96
$20,000
CONTRACTOR: - Applicant -- S1`. LzC. pWNER:
BLaM CUSTOM HOMES INC 14353411 0001110 LUTZ RICHARD
16726 IREDALE PATM 1423 OST€R DR
LAKEVIL.LE MN 55044 EAGAN MN 55121
(612) 435-3411 (612)454-2367
i,
in
"st
? _...?
=1
?
Mct. ,.
.. ?
998
New Construction Reouirements
BUILDING FERMIT APPLICATION (RE$IDENTIAL)
CITY OF EAGAM ?
3830 PII.OT KNOS RD - 55122
681-4675
? 3 registered si[e surveys
? 2 copies oi plans (inGude beam & window saes; poured fid. design; etc.)
? 1 energy calalations
? 3 copies of tree preaervation plan 'rf lot platted after 7/7193
required: _ Yes _ No
DATE: ? -3o- / ?
DESCRIPTION OF WORK:
STREET ADDRESS:
RemodeUReoair Reuuirements
? 2 capks of plan
? 2 site surveys (ex[erior additions 8 deGcs)
? 1 energy celalafions for heated additions
CONSTRUCTiON COST;
LOT: li BLOCK: ? SUBD./P.I.D. #:
T
Name: ?&I?dl Phone#:
PROPERTY Lmt First
OWNER e„
Street Address: lf?' ,'a? ?5 //?
ciri _ 251qr?t/ srate:
z;p:
Company: WW Phone#:
CONTRACTOR ,,.,/ '
Street Address: P ?v Fi9Y? ?i//? License !!
City State: ? Zip:
ARCHITECT/
ENGINEER Company:
Phone #:
Name: Registration #:
Street
City State:
5ewer & water licensed piumber (new construction ony):
and lot change is requested once permit is issued.
Zip:
Penalty applies when address chang
:knowledge that I have read this application and state that the iniortnation is cortect and agree to Comply with all applicabt
ity of Eagan Ordinances.
Signature of Applicank
y1tl
1 E USE ONLY
_ Yes _ No
Tree Preservation Plan Received - Yes _ No Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
itimf
? 01 Foundation ? 06 Duplex ? 11 Apt.lLodging ? 16 Basement Finish
? 02 SF Dweffing ? 07 4-pfex ? 12 Muiti Repair/Rem. ? 17 Swim Pool
? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ?_ ,?„?.Public Facility
? 04 SF Porch ? 09 12-piex ? 14 Fireplace ?'1 Miscellaneous
A 05 SF Misc. ? 10 _-plex ? 15 Deck
WORK TYPE
? 31 New
? 32 Addition
33 Alterations
? 34 Repair
GENERAL INFORMATION
Building
Const. (Actual) Basement sq. ft.
(Allowable) Main level sq. ft.
UBC Occupancy sq. ft.
Zoning sq, ft.
# of Stories $q. ft,
Length sq. ft.
Depth Footprint sq. ft.
APPROVALS
Planning
Engineering
MC/W5 System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bidg
Census Unit
Variance
u !>r
o/
n
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W 5urcharge
Treatment PI.
Park Ded.
Traiis Ded.
Other
Copies
Total:
? 36 Move
? 37 Demolition
Valuation: $ 2-0 cxao, -
% SAC
SAC Units
? CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT ?
PERMIT TYPE:
Permit Number:
Date Issued:
?
(33/? , ,..
SITE ADDRESS: ?.cl
DESCRIPTION:
s: rL) 1, t0 6 11 1 z0 0 [ iH i;
i i?. '?? ? r.•_? r ,' 7r v.,;
`t
REMARKS:
FEE SUMMARY:
CONTRACTOR: OWNER:
, ., . , . . . . ? ?.. . .. .. . _ ! ? ' '! `• i. 4 1 i ? . !! S9 L U ? [) i i: !;. .;
L t"'.1;,y r,t .,.'y7o.1J .;n=
1 .:fY
c.u.fJr1 .3 tt h';l. j,
d n tiz`.tt. f.h].n'
fl i.)
i:(bl?? t1;5;'Sd 1 (::..cs7y'?' Li.tl sia t;} Y5'tit.L, f.iirtt i,h£d:
S t?1.{,-i,:I?'1 -f.
.., .. .l ''..6:I L T q C{ (?
?
?
?
? ?
?r
?
P LICAN ER ITEE IGNATURE ED
:
NA
E
1F?'?
IS
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(672) 681-4675
SITE ADDRESS:
,
PERMIT SUBTYPE:
?
?
INSPECTION RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
APPLICANT:
TYPE OF WORK:
? ?
REACTIVA7E
PERMIT N
cirr oF EAcaN ?i??,Dd
1993 BUILDING PERMIT APPLICATION
681-4675
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
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 X&. / _-'29 / /w Valuation of work .?40 47??Oa '
Site Address: Z?a9 ?//.2&?
STREET SUITE /
Tenant Name: (commercial only)
LOT ? BIACK ? SUBD. (W Fp - I.D. If
Descri tion of work: fFcz ?P-e IGcL U;n ,i
The applicant is: ? Owner is(Contractor ? Other co"«ibe)
Name Phoneoz?&
Property LTST FIRST
Owner A
23
Address
, STREEi ' STE M
City JnWw State--?A• Z i p
Company Phone
Contractor / i
Address /Oa?<S License #<7271'1'0 Exp.?
City State twie. Zip SS3a?
mpany Phone
ArchitecU
Engineer Name s ration #
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 agree to comply with all applicabl State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation
? 02 SF Dwg.
E3 03 5F Addition
O 04 SF Porch
? 05 SF Misc.
? 06 Duplex
? 07 4-Plex •
? 08 8-Plex
? 09 12-Plex
? 10 Multi. Add'1.
WORK TYPE
0 31 New
O 32 Addition
? 33 Alterations
O 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Engineering
REGIUIRED INSPECTIONS
? Site
? Wallboard
r.
s. ?
O 11 Apt./Lodging 16 B:aseme„U.6-FFinish
O 12 Multi. Misc. ?O 17 Swim Pool
? 13 Garage/Accessory ? 18 Comm./Ind.
? 14 Fireplace ? 19 Comm./Ind. Misc.
? 15 Deck O 20 Public Facility
? 21 Miscellaneous
? 35 Tenant Finish 0 37 Demolish
? 36 Move
Basement sq. ft.
lst F1. sq. ft:
2nd F1. sq. ft.
Sq. Ft. total
Footprint Sq. ft.
On-site well
On-site sewage
Building
Variance
? Footing
? Final
MWCC System
City Water
PRV Required
Booster Pump
Fire Sprinkler
Census Code
SAC Code
Assessments
? Framing ? Insulation
? Draintile ? Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
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:
valuecion: S
SAC %
SAC Units
? 2004 RESIDENTIAL BUII,DING PERNIIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan NIN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
?7o. aS
NewConsWCtion Reaui2ments RemodeNReoairReauirements
3 reglstered site wrveys showing sq. R o( lot sq. R oi house; and a_Ij roo(ed areas 2 copies of pWn
(20% maximum lot covenge albwed) 1 set of Energy Calculafrors fw heafed additions
2 copies of plan showing beam & Window sizes; poured found design, etc. 1 site survey tor additions 8 decks
7 setMEnergyCaloulations Additian-indicateifon-sAesep6csysfem me
3 copies of Tree Preservafbn Plan it lot platted after 7103
Rim Joist Defail Options selection sheet (bldgs with 3 or less uni6s
Date _g?
i?BDQy
Construction Cost,9 M00
Site Address UniUSte #
?
Descripdon of Work
Multi-Family Bldg _ Y? N Ftireplace(s) _ 0_ 1 _ 2
Property Owner E ,C. (/ T,?7- Teiephone #((pFJ ) ys"Sj6?
Coutractor
Address City
State Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- fvlinnesota Rules 7670 Category 1 Minnesota Rules 7672
Energy Code Category , Residential Ventilation Category 1 Worksheet ` • New Energy Code Worksheet
(Jsubmissiontype) Submitted Submitted
• Energy Envelope Calculadons SubmiUed
Have you previously constructed a building in Eagan with a similar plan? _ Y
fee applies.
Cicensed Plumber
Mechanical Contractor
Sewer/Water Contractor
N If so, 25% plan review
Telephone #(
Telephone #(
Telephone # (
I hereby apply for a Residential Building Permit and acknowledge that the information comple d accura ;
that the work will be in conformance with the ordinances and codes of the City of Ea
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
approval of plans.
2/?? ? I C-7 /- C/ TZ
Applicant's Printed Name
?kpplicant's Signature ?-
OFFICE USE ONLY
Sub Types
rl.
,
? 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. AR - Multi
? 03 07 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-plex X 18 Deck O 23 Porch (screen/gazebo) ? 36 Multi Misc.
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? OB- 04plex ? 12 12-plex Plbg_Y or_ N 0 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteretion ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors
? 34 ReplaCement •Demolitian (Entire Bidg) - Give PCA handout to applicant
Valuation ?ep Occupancy MCES System
Census Code y 3 y Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bidgs Length Fire Sprinklered
Type of Const vtlj Width
Footings (new hldg)
7x Footings (deck)
_ Footings (addition)
Foundation
Drain Tile
? Roof Ice & Water Final
_ Framing
_ Fireplace _ R.I. _ Air Test _ Final
Insulation
REQUIRED INSPECTIONS
Final/C.O.
? FinaVNo C.O.
_ Plumbing
HVAC
Other
_ Pool Ftgs _ Air/Gas Tests Final
_ Siding _ Stucco _ Stone _ Brick
_ Windows
_ Retaining Wall
Approved By: 7 (i , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
5&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
??zG/C-
?
7 v ?
??
t
?
AOBE
ENGINEEAING C?NaHiiini ndoIAHD =iUAV1Y0l4S I COMPANY, INC: .1000 W7 Iti{w STl1CCT, Ol7ftlf3VILL[, 11INHC30TA 5333T tH 43I-3000
lip?i?-I_...?'.S.r?L ?ort • [.oT Z 0s7-ER .4Dp,
DAKOT/J CoyNTYJ M/NNESdTi!
N
?
.? %?p3p
Bfi?hRWb s,
sNoWN 3
ARE ko
qssa,sEo p
. ?.
4
O
Y
0.?
?
?
899.0
° ' ?.?NoTE's /RoV Mo,,yuMusNT sET 'v
? '. _ .' 06Na7?s EX/ 5T//Y6 ?1.?Y.4T1D?/ ?o ?` y O DENOTks PPOftSED E?JW,477dN
DENaT,E?s piucrioN- of •? ? sl.JJ@F/;1?? DRAINAGE
I \? 9asa f/A!/S?p 6,046X FLao,Q XAEIl,
? ? ? 9O61 GK F-iE'Y. .. ;.
' ? \w9 9 ^\? . _ .
0
I t v,9 , 6
3
? L vT 2 ?
?
I ?
i ? y 3h
? K
I ?
I `J
40. o
?
.. ??
DRA/NAGE AND
UT/L/TY ;EASEMENT
?
?
?
?
\
\
R1ra ? \ \ ? ` 30. FRDArr ?
? ?H/?-D/NG S.ETl3.4GK
L/XE
.
.
??- -
2 p - ? y ?q 'h' ' •.
a' ? w
i o . -
i 01
o ? / w y iti
?.
s;a
/ ? ?'? ??\ - • ?
.?6 . 4
' N 87 s2.'SO"LY h - --
s.o7-?
hereby certify that this is a true an&;:orce?t?representation of a tract of land as shown and
!scribed hereon. As prepared by me on this s day of'of--a , 19 73 .
'
_._?,i.u? Minnesota Registration No. /Coo$'S
Use BLUE or BLACK Ink
r
For Office ~Use
~J
Permit / j
City of EaVd
~ Permit Fee: I
3830 Pilot Knob Road
Eagan MN 55122 Date Received: j
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 1 Staff:
2011 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: l ,2 3 S &r Unit
Name: Di c- A Lu! f-7- Phone:
RESIDENT / J y/ ~s ~ 5-~- j
OWNER Address /City / Zip:/ E-or ar1 M
Applicant is: Owner A Contractor
Description of work: Re
TYPE OF WORK
s-+
Construction Cost: O Multi-Family Building: (Yes No~4 )
Company: P4 I 0k1 Contact:~6)14tGlO C (Ahlb-
CONTRACTOR Address: City: ed.-n°,
State: rl AV Zip: 44is 40 5 Phone: Lsa C), 1 0 Zf ! b
License #:X013 o t Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateoner-all.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance. x U G x
Applica s Printed Name Applicant's ignature
Page 1 of 3