1581 Pacific AveCITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT FI 7,li?'?-? =='r Receipt #
To be used for ?A';"EIRT Est. Value $i, Sou Date '?NE
Site Address -')1r31 1L' ? w
Lot •`' Block ' _ Sec'Sub
Parcel No.
W Name MICtiAF:L A, k/1THR1tN :i=IB
o Address SAW1
Ciry Phone 334-8562 (V)
Address _
Clty
Name _
Address
Phone
I hereby acknowlege that I have read this application and state that the
information is correct and agree to comply with all appiicable State of
Minnesota Statutes and City of Eagan Ordinances.
5ignature of Permitee
A Building Permit is issued to: ''' ??• %?X 1 ?
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
Phone
,s sq
OFFICE USE ONLY
Occupancy - FEES
Zoning -
? ? '' ?
(Aclual) Const - Bidg. Permit
(Allowable) - SurCharge 1 ooo
# of Stories -
Lengih _ Plan Review
Depth - SAC, City
S.F. Total - SAC, MCWCC
S.F. Footprints -
On Site Sewage _ Water Conn
On Site Well - Water Meter
MWCC System _
City Water _ Acct. Deposit
PRV Required _ SiW Pertnit
BOOIstef Pump - S,1N Surcharge
Treatment PI
APPROVALS Road Unit
Planner - Park Ded.
Cauncil
BIdg.Off. _ Copies
Y 17. W
Variance - TOTAL
Permit No. Permit Holder Date Telephone #
lNATEFi
SEWER
PlUM81NG
H.V.A.C.
ELECTRIC
Inspectfon Date Inap. Comments
Footings I (e ?' LX
b / r.C /a 3..
Foundation
Framfng C s ?
Roofing
Rough Plbg. w ? . /- ?
Rough Hig.
Isul.
Fireplace Y 30 ? ? ?s-L.? Q ? ??
Fnal Htg.
Final Pibg.
Const. Meter Plbg. Inspector- Notify Plumber
Engr.IPlan
Bldg. Final
Deck Ftg.
Deck Finai
weu
Pr. Disp.
PERMIT # ?2 G
PLUMBING PERMIT RECEIPT #
CITY OF EAGAN
3930 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
Site Address .
Lot ?
? Name _
? Address
c Ciry _
Phone
? Name
? Address - '
O City ?Phone y•. « i?
COMM/IND FEE - 1°r6 OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
FOR: CITY OF
BLDG. TYPE WORK DESCRIPTION
Res. New
Mult. Add-on ?
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
Water Closet - $300 $
Bath Tubs - $3.00
Lavatory - $3.00
Shower - $3.00
Ki?chen Sink - $3.00
Urinal/Bidet - $3.00
Laundry Tray - $3.00
Floor Drains - $1.50
Water Heater - $1.50
Whirlpool - $3.00
Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMI'T)
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
FEE
STATE S/C:
GRAND TOTAL: /-J ?C?
, •' ? ?F
? ? (l ?
(gtr#i#ira#ir of (Orrupttnry
titp of (Eagatt
lgrpartmrni of lutlding JmWrrtinn
This Certifrcale rssued pursuant to the requireneenu oJSection 306 of the Uniform Building
Code cerlifying that at the time of issuance thrs structure was in compliance wilh ihe various
ordinances oJthe City regulating building construction or use. For the following:
Ux Clunfication ?•' ?"Xi ?Cie'? Bldg. [4rmit No. 12974
OMU? 1
WaY TS'P? ? Zonuq DStrKt 7ype C.oost. V
-t rn*tvn n'bsGG.?=' . .. ' Xki Sil', '" - . ` :fakl
ewlaing naarm iaw;ty 09, B 1, liAFiFI
n.u: ''i<I: f 9?'37
Bulding Oftidal
POST IN A CONSPICUOVS PLACE
, . , ., z P. r; ..x. ?, ? ,? . . ? ti ,- , . ... . , . , . .. „ .. , . _ '?+,•?*; r• . ? . , ,
: PERMIT # ' ; s•
' MECHANICAI. PERMIT RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: ? J?' ?
TRACT PRICE: '???v • ?' PHONE: 454-8100
Site
? Name _
? Address
c City _
_ Name _
c Address
O CrtY -
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent
Gas Piping OuHets #
Other
80,Ui1U M BTU
M BTU
M BTU
M BTU
CFM
FEE
S/C:
TOTAL: $26.
BLDG. TYPE WORK DESCRIPTION
Res. New
Mult Add-on
Comm. Repair
Other
FEES
RES. HVAC 0-100 M BTU
ADDITIONAL 50 M BTU
ADD-ON AIR COND. 0-24 BTU
ADDITIONAL 6 M BTU
GAS OUTLETS
COMM/IND FEE - 1% OF CONTRACT FEE
MINIMUM - RESIDENTIAL FEE
MlNIMUM - COMM/IND FEE
STATE SURCHARGE PER PERMIT
(ADD $,50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
SIGNATURE OF PERMITTEE
FOR: CITY OF EAGAN
$24.00
6.00
12.00
6.00
1.50 EA.
10.00
20.00
.50
REA8TIVATE FOR DECK-PLAN REV?'EqEb 6 25/87
MIKE .,?: KAIZ.,'iv HARRIS 454-1223(H) C TY OF EAGAN h ? n
? g??(W) WE) 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
• PHONE: 454-8100
BUILDING PERMIT Receipt #
?2974
Tobeusedior SF nWC/GAe2 EstValue $64,06U Date DI:Ci:413 :'tZ Zb 1gb6
Site Address 581 PAC I F I k"- AV F Erect [N Occupancy R3
Lot 30 Block L SecISub. HAMPTOIti HTy Remadel ? Zoning R 1
Parcel No. Repair ? Type of Const. y
Addition ? No.Staries
W Name rRVNTIER COMPA[JIES Move ? Length 40
BLDG E
= 390 rs S I BLEY ;?iEM HWY Demolish ? DBpth e?'
,
o Address
4 54 - 04 3 3
;}1'? ph
C'rt Int. Impr. ?
I
il 0 Sq. Ft
onE
y nsta
o Name 4A?1?: Appro vals Fees
o? Address Assessment P@fmlt 4 325.00
~ Ciry Phone Water 8 Sew. Surcharge 32.00
?cc Police Plan Review .162.50
F= Name Fire SAC 575.60
? a Address
< W
Eng.
Water Conn. 500.00
city Phone
Ptanner
Water Meter 63.50
Council Road Unit 290.00
I hereby acknowledge that I have read this application and statethatthe 12 f 1 l/t3
gld
Off Tr
PI 156.00
information is correct and agree to comply with all applicable 5tate of g.
. .
.
Minnesota Statutes and City oi Eagan Ordinances_ APC Parks
Var, Date Copies
Signature of Permittee 1 U 4. 0 0
Total `'??
A Buildin Permit is issued to: r?KOB1TIF?f Cor?PAr?IEs
9
on
the express condition that
all work shall be done in accordance with all appl+cable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
? Permri No. MrmN Moldsr Date TNsphone #
Plumwng
N.V.A.o.
Elschic
? ?
sone,a.
Inapection Date Insp. Comments
Footinya 1
Footings II
Foundalbn
Framiny o 41,). B_
Rooflng
Rouph Plby.
RouyhNty. /.3"ST •? .? /?- 7 ++>.ki ? -.?-c.?a
lnsul. :?-?S 7 I? - fir
Fireplace
Final Htg. T t??? !f 4.
Final Plbg.
•
Bldy. Finsl S s l ?,
A•
cen. occ.
Deck F1q. s? ? SG+ a'? ?-r S
deck Frmg. E?
WNI
P?. Dlsp.
.• .
' . : • PLUMBING PERMIT
, CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121
Site Address
m Name
? Addre
c City _
Name { roN/ it-/c.
3 Address
p City Phone
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
MINIMUM - RESIDENTIAL FEE - $10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
FOR: CITY OF EAGAN
......R?. e.., N ;,?•?;.?;,y
PERMIT #
RECEIPT #
DATE:
BIDG. TYPE WORK"QESCRIPTION
Res. New
Mult Add-on
Camm. Repair
Other
NO. FlXTURES TOTAL
? Water Closet - $3.00
_-7- $
?
Beth Tubs - $3.00
7- --
'
-
?
Lavatory - $3.00 . n
Shower - $3.00
=
Kitchen Sink - $3.00
Urinal/Bidet - $3.00
?Laundry Tray - $3.00
Floor Drains - $1.50 ? . ? B
=Water Heater - $1.50
Whirlpool - $3.00
ZGas Piping Outlets - $1.50
Soitener - $5.00
Well - $10.00
Private Disp. - $10.00
?Rough Openings - $1.50 '?'• -?
FEE:
STATE S/C: -
GRAND TOTAL• L
? CASH RECEIPT
,
CITY 6F EAGAN
3830 PILOT KNOB ROAD
€AGAN, MINNESOTA 55122
DATE 19
RECEIVR'D --
PROM
AMOUNT ? $ I
(k DOLLARS
[:] CASH ? CHECK
c
?--r-
?>.
A 7N n
FUND I CODE I AMOUNT
Thank You
BY
White-Payers Copy
Yeilow-Posting Copy
Pink-File Copy
BLDG. PERMIT tiQ.
-:r?.. ???. ?'%?- :7
.--r=-l,
01=3210 -
_
Bldg. Permi*_ ? ?''? •?!r'_.?
01-3422 Plan Check ;•-:,_; , • i
01-3445 Surch./Adm,
01-3446 SAC/Adm.
01-2155 Surcharge
17-3860 Road Unit •?(??
20-2275 SAC
20-3865 Water Conn.
20-3868 Water Trmt.
20-3716 Water Meter
20-2252 Acct. Dep.
20-3713 Water Permi
20-3743 Sewer Permi
79-3866 Sewer Conn.
11-3855 Park Ded.
TOTAL
I .
1.4 1 T Ur enUAn
3830 Pilot Knob Road SEWER SERVICE PERMIT
P.O. Box 21199 PERMfT NO.:
Eagan, MN 55121 DATE: i'? -. S 7_°, G
Zoning: '? No. of Units: ?
Owner. Front ier Mi.druest
I agree to comply wilh the City of Eagan
Ordinances,
i
?
I By
Date ot Insp.:
! Insp.:
lot Knob Road
K 21199 "
MN 55121
Addess:
No.:
ieader No.:
agree to comply wNh the City o1 Eagan
of Insp.:
Connection Charge: 4 75 - 4?33a
Account Deposit: I 5 - ?) 0_ ,"!
Permit Fee: ' 0 _ 00n'l
Surcharge:
Misa Charges ?
Total:
Date Paid: ?
?
WATER SERVICE PERMIT PERMIT NO.: ? 77
No. of Units:
Connection Charge:
Account Deposit; -
Permit Fee:
Surcharge:
Misc. Charges: -
Total:
Date Paid:
CITY OF EAGAN WATER SERVICE PERMIT
-'°30. W!,??)t Knob ROSd ' 8277
P.O. BOx 21199 PERMIT NO.: 12 +7 86
Eagan, MN 5?;121 DATE:
Zoning: No. of Units:
ront er .` west
Owner:
Address:
Site Addess: ac c venue amp on e g t s
Plumbec gX um g??DMIMr
7 ?a 55 2-4 TV e?.rb?eonne¦?.?
Meter No.: . uup
ction.Ghars?e: Suci
?
-3
I agree to
_ .. . ,, ., Y _.
10. p
. D
Ordinan s. te?:w . ???.?.,?,.. m? rt{
Total: ??' p i
By Date Paid: '
Date of Insp.: Insp.:
?
RESIDENTIAL
BUILDINC PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD - 55722
851-681-4675 4 3
NewConsWCtion Reaulremente
. 3 regatered sRe surveys showing sq. fl. ot bt, sq. ft M house; anll mWed areas
(20% maximum bt coverage albwed)
. Z coples of plan shawing beam 8 window slzes; poured found design, etc.)
. 1 set of Eneryy Calalatbiu
. 3 copies of Tree PreservaEOn PWn if lot plaaed afler 117/93
. Rim Jolst Detail Options sektion sheet (bldgs wiM 3 or less uni6)
DATE / /D 4 I
JOB SITE ADDRESS /,) 6 I F-ae
IF MULTI-FAMILY BUILDING, HOW MANY UNI7S?
PROPERTY OWNER 6? PI)
TYPE OF WORK P'?e-
APPLICANT ` ? S?vGtfn+T E
ADDRESS la(1L"Q f:JJo.lc?uvmd? ?
PAGER # CELL PHONE #
RemodeUReoairReauirements
. 2 mpies of pWn
. 1 set of Energy Cakulatlons for heated addNOns
• 1 sde survey for erierior addPoons 8 decks
. Indimb d Iwme served by septic system for edditiwis
VALU/[ION? \ b, DfO
FIREPLACE(S) _ 0 _ t _ 2
PHONE# ?SZJ;? S-
.C/'i2 s0: ZIP CODE S S 3?'?
- 3?3 -& fYllv Fax # q 5.1
NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY
Energy Code Category
(check one)
Plumbing Conhacfor. _
Plumbing System Includes:
Mechanical Contractor:
Mechazucal System Includes:
Sewer/Water Contracfor.
Phone #
Phone #
Fee: $90.00
Fee: $70.00
All above information must be submilted prior to processing of application.
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all opplicable State of Minnesota Statutes and City of Eagan Oroina ??
/
Signature ot AppllcaM (
Certfficates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 1/01
_ MINNESOTA RULES 7670 CATEGORY 1
- Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
_ MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Phone #:
_ Water Softener _ Lawn Sprinkler
_ Water Heater _ No. of R.I. Baths
_ No. of Baths
_ Air Conditioning
_ Heat Recovery System
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OP EAGAN
3830 PILOT KNOB RD - 55122
657-681-4675
New Constructlon Reauirements
• 3 registered site surveys showing sq, fL of IoL sq. iL of house; anc911 roofed areas
(20% maximum bt coverage albwed)
• 2 copies of plan sMwing beam & window sizes; poured found design, etc.)
• 7 set W Energy Calculations
• 3 copies of Tree Preservafion Plan rf lot platted aifer 771193
. Rim Joist Defail OpUons selectlon sheet (bklgs wflh 3 or less unils)
DATE 01 -v? &4Oz
JOB SITE ADDRESS I JrBI lL .?
IP MULTI-FAMILY BUILDING, HOW M NY UNITS?
PROPERTY OWNER_ _?1d11A?.?'101? p0-? !.
A .?
TYPE OF WORK /
APPLICANT ?
ADDRESS S"JrSV SIYtIL?2 d LI PAGER # CELL PHONE #
FIREPLACE(S) _ 0 _ 1 _ 2
PHONE# 950? '
r ZIP CODE S?? 3
_ FAX # qSc7 - 955' 9Syy
NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY
Energy Code Category MINNESO'I'A RULES 7670 CATEGORY 1 n?
(check one) - Residential Ventilation Category 1 Worksheet Su6 E di ,
- Energy Envelope Calculations Submitted 1.1 U1
_ MINNESOTA RULES 7672 1 J? 1- ci o- ba,
- New Energy Code Worksheet Su6mitted U,'?
Plumbing Conhactor: _
Plum6ing SysCem Includes:
Mechanical Contractor.
Mechanical System Includes:
Sewer/Water Contractor:
Water Softener
Water Heater
No. of Baths
Air Conditioning
Heat Recovery System
Phone #
Fee: $90.00
Fee: $70.00
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan OrdiMA'i
Sfgnat
ure of Applfcant
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 1/Ot
RemodeUReoairReuuiremeMs
• 2 copies of plan
• 1 set of Energy Calculatlons for heated addiUons
. 1 site survey for eztedor additions 8 decks
• Indicale'rfhomeservedhysepticsystemforadditions
VALUAI'ION Xa219 . ? ?
Phone
Lawn Sprinkler
No. of R.I. Baths
Phone #
This request void
" ?nths !rom l
.,^l0 $4/?0
Nequest Date Fire No. pouph-in Insuection
Aerq,?m?red? ?Heatly Now ?.Wi?NnlitY. Inspec-
l-? ? ?y.es ?No torWhenPeaCy
Licensed Elactrical ConVaclor 1 hereby request inspection ot ebove
? Ownar elec[ricel work inatalle0 at:
Stre t gtld?SS, oz or R ute Na. ?
5 City
? ?LJ
ectwn o. ownship Name or rp. ange No. Coumy
/
Oct?n(PRINT) ?k P
'
Y
Power Suv I?er esS
Electric?aJl om ontractor's qLicense No.
-}? f`
Mailing Atldres ?? r ner MakmB lnstailetioM
js? L
AuMorized Sienawre (ContractodOwner Making Installation)
I I Phona NumOer
MINNESOTA STATE BOARD OF EIECTRiLITY TMIS INSPECTION pEnUEST WILL NOT
Grigpe-Midwav Bldp. - Room N-191 BE ACCEPTED BV THE STAiE 60AHD
7821 University Ave.. St. Peul. MN 65104 UNLESS PflOVEA INSPECTION FEE IS
Phonef6121842-0800 ENCLOSED.
HEQUEST FOR ELECTRICAL INSPECTION JI% e.ys-oooo?i/-os
? Sea instructions (m complelin9 this fmm on betk oi vellow copy. "z-
. "X" Be/ow Work Covered by 7his Request
R'1sw{AddI paC.1 TVne o( Builtling I Aooiionces Wired I Eouiument WireA I
p Fee ServiceEntrenceSixe !l Fee fextlers/Subfeeders N Fee Circuits
0 to 200 Am s 0 to 30 qm s ? 0 to 30 Am
Above 200 qm ?s 31 to 100 Ainps ,$= 31 to 100 Am s
Swimming Pool Above 100_Am s C;fD Above 100_Am s
` Transrormers Irngation Booms PartiaL'Other Fee
1° Signs Special Inspection S 7"n
emsrks TOTAL
l?
(
? °•° e.L I. the E
Inspactoq hereby
Final
/? 7? D te
P??OSA certily i
hat tha abova
i^sVection has been
l?°S naae.
1hbrepueslv0lG
/.;2REQUEST FOR ELECTRICAL INSPECTION r- Ee-ooom-m
? See instruxibns for rompleting this form on back of yelbw copy. C
/ v
[1 _9 5 911 X' Below Work Covered by This Request
ew A tl Rep. ?' TypeofBUilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplez Water Heater Electric Heating
Apt Builtling Dryer Other (Specify)
F omm./Industrial Furnace
arm ' Air Conditioner
Other (speciy) ConVecto § Remarks: ?
Compufe fnspection Fee Below:
# O[her Fee # ServiceEniranceSize Fee # Cirouits/Faedars Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
SignS lnspector9 Use Only: S-
Tp7g6
IrrigationBooms 26
. O
0?
Special Inspedion /
Alarm/Communicatlon
Other Fee
I, the Electrical Inspector, hereby
tif
th
M R°ugh-in oe
cer
y
at
e above inspection has
been made.
OFFICE USE ONLY TTis request voitl 18 monMS tmm
Wj.2.-:2 g'y .
c '2?f?o
?
? &./
2 9 5 911
3o
;
d
Request Date 'I FIre No. R- gh-in Inspeclbn
Pequired7
? ReeGy Now gWiO Nollty Inspeclor
? Ves ? No H'hen Reatly?
I p licensed contractor Kowner hereby request inspection of above electrical work at:
Job Atltlress (Street, Box or flwte No.)
? ?
I s
P Ciy
E -,
AN
wG
? c-
? t ;
SeGian No. Township Name or No. Ranga No. Cou
rb?x
OccupaM (PRINT)
Mtkc- and l??tif-1? Na, 0- ?5 Plpne No.
ys's?-ia-'?3
Power Suppier
bo- K o?u, E le_c--I-r i c? Aetlress
Eleancal Contractor (Company Name) Comracta§ l?cense No.
Mailing Atldtess (Conlraclor or Owner Malung InsWlation)
IzEE=' M t' k l s k! Pac, v e. E A'u f1.v.?'s/Z 2
AuMOnzed Sgnefure ConVeclo Ownec 'ng Instal pn
svy Number z
P7
y
z 3
C - 1-.
MINNESOTA STATE BOAPD OF ELECiAICRY THIS INSPECTION REQUEST WILL NOT
Orlggs-Mitlwey Bltlg. - Noom S173 BE ACCEPTED BYTHE STATE BOARD
1821 Unlvxsity Ave., St. Poul; MN 65104 UNLESS PPOPER INSPECTION FEE IS
Phana (612) 6l2-0B00 ENCLOSED.
CITY OF EAGAN N? 16692
3830 Pilgt Knob,Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PERMIT FIREPLACE/ PHONE:4548100 Receipt # CD, [_Cc4 I
To be used for BASEMENT Est. Value $1,500 Date JUNE 23 , 19 89
Site Address 1581 PACIFIC AVENUE . . .. -- --------
Lot 30 Block 1 Sec/SubHAMPTON HEIGHTS
. OFFICE USE ONLY
PefC01 N0. Occupancy - FEES
Zoning
w Name MICHAEL & KATHRYN HARRIS (ACtuaqConst BIdg.Permit $36.00
3 Address SAME (Allowa6le) _
- 1.00
p Suroharge
City Phone 330-8562 (W) so+storie: _
Plan Review
Lergih _
o Name SAME 454-1223 (H) pepih SAGCit
?
Q
0
AddrQSS
S.F.TOtal -
y
-
, SAC,MCWCC
`- Cliy Phone S.F. Footprints -
'Nater Conn
On Site Sewage _
1-?
Fw
Name
On Site Well
yy
M
s?
Address
MWCCSyslem -
gter
eter
¢w C71y PhOfIB Ciq Water _ Acct Oeposit
PRV Required - SNJ Permit
I hereby aCknowlege that I have reatl this application and state Iha[ the Booster Pump - S!W Surcharge
information is wrrect and agree to comply with all app icable State of
Minnesota Statutes and Ci Ea an Ortlinances. Treatment PI
Signature of Permite APPROVALS poad Unil
A euilding Permit is issued to: M& K. IiARRI S Planner - park Ded.
on the express condition that all work shail 6e done in accortlance with all Council
applicable Stale oi Minne 6 a Statutes antl Ctty Eagap.Ortlinances. gldg, pry, _ Copies
Building OHicial
Variance
- TO7AL
*37.00
J
CITY OF EAGAN A'0
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121'v - 12974
• ° PHONE:454-8100
BUILDING PERMIT Receiptq '
Tobeusedfor SF DWG/GAR Estvalue $64,000 paSe DECEMBE 16 1 986
SiteAddress 1581 PACIFIC AVE Erect IL Occupancy R3
Lot 30 eiock 1 secisub. HAMPTON HTS Remodel ? zonin9 ul
Parcel No. Repair ? Type of Const V
Addition ? No. Stories
c FRONTIER COMPANIES Move ? Length 40
i IN... Demolish ? Depth 4
?
3 Address 3908 SIBLEY MEM HWY, BLDG E ?nt?m r? Sq.Ft??-
° city EAGAN phone 454-0433 InstallP ?
F Name SAMR
i
u a Address
a
?
Ciry Phone
?
? ww
Name
-z
z Address
a City Phone
Assessment _
Water & Sew.
Police
Fire
Eng.
Planner
Council
Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe gldg.Off.l2?lZ?8i
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of E?a/gaJn Ordinance APC
Signature of Permittee? -Var.
?FRONTIER COMPANIES
Permit +' J4J• Vv
Surcharge 32•00
Plan Review 162 . 50
SAC 575.00
Water Conn. 500.00
Water Meter 63.50
Road Unit 290.00
7r. pi. 156.00
Parks
Date Copies
Total $2.104.00
A Building Permit is issued to: on the express condition that
all work shall be done in accordance with all a{AVicable Stft€aT'yinnresota Statutes and City of Eagan Ordinances.
Building Official N?J??C/.??[J
?
, RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EACAN
3830 PILOT KNOB RD - 55122
J 651-681•4675
,?+ .. ' .. -
.. d? . . . . ??
New Conahuetion Reauiremenh RemodellReoair Reauiremenb ?
• 3 registered site surveys showing sq, ft of lot, sq. R of Muse; aM a11 mofed areas • 2 copies M plan ?- j
(20% maxhnum lot wverage allowed). . 1 set of Eneigy Calculations for heated additions
• 2 copies of pian showing beam 8 window sizes; pomed found design, efc.) . 7 site survey for exterior additians 8 decks
. 1 set of Efrergy CalcWatbns . IMicate'rf hane served 6y septic sysDem for add'N'oro
• 3 copies of Tree Preservation Plan H lot platted after 711193
• RimJoistDetailOpUonsseletli0nsheet(bldgswilh3orlessunil5)
DATE VAL?}ATION ? cJ 1 ?D?
JOB 51TE ADDRES. (,?A) m ?s?aa
IF MULTI•FAMILY BUILDJNG, HOW MANYINITS? SF
PROPERTY <
TYPE OF WC
APPLICANT
ADDRESS
PAGER #
CODE
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category MINNESOTA R[JLES 7670 CATEGORY 1 p ? p T`?
(check one) - Residential Ventilation Category 1 Worksheet Sub II
- Energy Envelope Calculations Submitted fAY 1 6 Z?02 I U
_ MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumbing Contractor. _
Plumbing System Includes:
Mechanital Contraetor.
Mechanical System Includes:
Sewer/Water Conhactor:
_ Ait Condiaoning
_ Heat Recovery System
Phone #
Phone #
Fee: $90.00
Fce: $70.00
All above information must be suhmitted prior to processing of application.
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with alE applicable State of Minnesota Statutes and City of Eagan Ordinances
Signafure of Applicant ?
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Req ' ed _
Updated 2002
e??q, -- ?-- -? ?
. _ 0__
_ Water Softener
_ Water Heater
_ No. of Baths
Phone
I.awn Spritilcler
No. of R.I. Baths
• I . . Z
HARRIS ?
r?
[IT APPLICATIOA -i
AOTS: ALL CANTRACtOBS MOST BS LICSNSSD iiITH THE CITY OF EAGAN
COPMRCIAL
INCLUDE 2 SETS OF ARCHITECTURAL
& STRUCTURAL PLANS, 1 SET OF
SPECIFICATIONS AND t SET OF
ENERGY CALCULATIONSJ
$2,000 LANDSCAPE BOND
To Be Used For: Single Family Valuation:
SINGLE FAlQLY DiiSLLINGS
STAFFORD
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
1 SET OF ENERGY CALCULATIONS
b4 rE.na
Sfr? Date: 9-24-86
Site Address 16?5t 1Cc? ?? OFFICE IISE ONLY
r
Lot 30 Bloek 1
Pareel/Sub HEIMPTON HEIGHTS
Owner Harris, Michael & Kathryn
Address 1891 Grand Ave.
City/Zip Code St. Paul , MN. 55105
Phone 698-5668
Contractor N1ES
Address 90II Sibiey +?12moriaj ?ighway - B•
3--F?,; MN--5512
City/Zip Code
Phone
? 454-0433
Arch./Engr. _
Address
City/Zip Code
Phone #
Erect ,/ Oceupaney - 1Z•3
Remodel _ Zoning (Z,i
Repair _ Type of Const 'SZ
Addition # of Stories
Move _ Length ?
Demolish _ Depth
Znt.Impr. Sq Ft
Install
6PPROYALS FE&S
Assessments Permit 3 25.
Water/Sewer Sureharge 3 Z,
Police Plan Review
Fire SAC
Engr Water Conn Soo•
Planner Water Meter (03. s'
Council Road Unit 29 o.
Bldg Off 1,'?,y ? Treatment Pl 1 5G.
APC Parks
Varianee Copies
TOTAL
NOTS: ADDEESSES FOR CORAER LOT3 - COATRACTOR/HOMEOfiNER HOST DESIGNATE i1HICH
ADDRESS IS DfiSIRED. PO CH9NGES WILL BE 9LLOiiED ONCE BQILDING PSRMIT
IS ISSOED.
\•
. ,
:Y7:TIOR Ei1YELOPr .V!!'i2,".;5:'. "<<..
--
scr? ?oort?ss:
CONTAACTOR:
COMru';l"; IUY
STP&RFDCO NO 1616010
fSqTt' :'?? LS ??
1'!lQNc ;
Oetsrmirte warking square faccsqe cf each
1. Total expaseC waTl area..... I 9(Qg, sq. Ft. x T: . Z f?
2. Tata1 roor/c_ittng araa..... 10I(p x.026 = Z'jw
Tatal exposzd wati a:-ca abovc flr,er=_
a. Tatal wall windox area ........................................... d".
b. Total door area........................................... ., `
c. To:at sliding glass door ar:a ........................ ....... `
..._.
....... = ?
d. Tatal rireplace wail area ........................... -
.............
°. Total waTl Praminq ar:a (average Io-,),,,,,,,,,,,,,,,,,,,,,,, ;
f. Totai rim jaist area ............................................. ' Z
g. ne: walT area ahove fioor.......`.f:. .C,...,1.-,.t..:? ............... _ I??I.o?7
h. waTl area ahove itoar ......................
i. walT area a6ove ,'toor .....................................
J. 'rzme wali aret a-: _'ot¢tca'GOa ..................................
Tatai expased fouzdatiort area=
k. Tottl foundation windasv area ....................... '
1. Totai net faandatian area abave grade ..............
Oecermine "u" value of each wcil 5^ymCn[
? (e.q. windav,, daor, each separaCC waiT set:tion)
Z. S x „Li„
• d. I -? .
. e•_ g?_ X "U,. , 4S =` .
. C. ?- Z X ,.u.. , a? _ ?r; , `1
• d . ? C5 X "U"
, ---`_ •
• e. I?(0,L' S x°u~
• r' - I ?O X "U" . O ?J ¦ v `i
?
•g. ? 7E) I r 0=2 X "U'
• h. .Y U.
a
• t . X "U"
. i X .11„ ? . -
? X U.
' -
• 1. C? s x°u- I S = 11? •75
.. ................................. TOCdl
If itea 03 is th
as, or less than
61, yov have met
inCent oF SBC._60
.q.i n
?'11
_?r+
iu ?. •
L'agn = a: 4
Totai cueFscscd ?af/cc__'_nq araa
rs. 'SUe:al sk/IighC area ............................
n. Taeal roaF/cc::inr, f=ami.nq arca (avaraqc 10%) ... i pl .(,C
a. Total nec irisulaced raoF/e:.:I.iaq area............ . oetersine "V" valuc for e.3eh roof/eciiing sayaenC
m. ? X U. =
7-. '4..4 •
V 7 a ( 1 M f '
4 . . . . . . . . . . . . . . . . . . . . . . . . . . . '1'O tdl / ?
atal af u4 is the saiae as, or iess r.han 92, . you have meC the inCCat af
Sdr_ 6006 !c) 1.
A.iternste 9uildinR E:tvc2oce oesia?
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,
SIOMA
SURVEYINO'
SEAVICE8
3908 Sibley Memorial Highway :
? Eagan, Minnesota 55122
Phone: (612) 452•3077 '
? COAAPANiES
+%tODEI_! S??4FFa?CO
3o ti o
Q ? `f
"?r ' ?' 26 ?:•?
. ? o ?U%
scAL E:l'l=aa'
? ? ? cv ? Lor 30` `i
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?-?4VENUE
L'a..k- 3 ,
,
rli
?
?
WAYNE D.
CORDES
- 14675 -
_LEGEND_
O Aerrotes fron Mornxrent
m Denotes Wad Hub Set
x873•0 lknotes Existirg Spot Elevatim
wc'r? CLnotes Proposed Spot Elevation
_,-Denotes Orainage Directrorr
-PAMER1Y DESCRIPI'lOW
LOT:!54 , &LCK I._
-tsnmf7loN . 0161W'?
according to the recorded plat thereof,
M i mesota
Ho{?c??E?[ (`pALE!"ficate Foz: -
i(Ow1*??
LANO OEVpIW'EA3 _ REALiORS
PROPOSED GARAGE FLDOR ELEVATION= 22740
PfdOPOSEO Top of 81ock ELEVATION= 5i43
PROPOSED BASEMENT PZOOR fLfVAT/0N= g1 ?•3 wro
.&T.E Verify alf ffaor herghts with Final Nase Pfans.
qWKM CEIiTIFICAf1GMl-
I hereby certify thet this survey, plan or rBport
was prep+red by me or urder my direct supervision
ard that'I am a duly Regrstered Lard Surheyor
wde fM lews of the State of ,M rMsota.
Da te: I i
Wayne.D: brdes. Minn. Reg. No. 14675 ?
d, f
1989 LUII.DI9G PE8!!IT APPLIC6TIOA - CITY OF EAGAN
3IlQGLE F6MILY DiiELLI9G3
INCLDDE 2 SETS OF PLANSv 3 CERTIFICATFS OE SURVEYl 1 SEf OF ENERGY C9LCOLdTIONS
BOTE: ADDBFSSES FOH CORNER LOTS - CO1PfHACiOR/HOMEOiiNEH M0.4T DESIGNATE iiHICH ADDBBSS
I3 DFSIRED. HO CHANGBS WII.L BE ALLOiiED ONCE SIIII.DING PEAMIT I3 I35DED.
MtTLTIPLE DWE[.LINGS HSNTAL IIHITS FOH 3ALE UHITS i OF IIBTTS
INCLODE 2 SETS OF PLANS, CERTIFICATE OF 3II90EY - CHEC$ fiITH HLDG. DEP2., 1 SET OF ENERGY
CALCUL9TIONS
COMMERCI9L
INCLUDE 2 SETS OF ARCHITECTURAL & STROCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
?r'?e?//'a?c??l}Qn-•i ??
To Be IIsed For: A Yaluation:
Site Address ,!s$/ 2GCi 2iC AJel, r
Lot 3 0 Bloek I
Pareel/Sub 4t,(iarn1fit 4 oui{,1-,b
OWI1@r KC.II?LI Ltvlj 'C0.1kf4n q0.i'r I5
Address _ I 5`dl Pc,- e? F" c. A, ve-
City/Zip Code SS/2. Z
Phone(N) (0j) 33o 2-
Contractor
Address
City/Zip Code
Phone
Areh./Engr. _
Address
City/Zip Code
Phone S
/Ovo -
JUN 1 5 1989
-
Date: G /5 lg?p
Occupancy
Zoning
Aetual Const
Allowable
0 of atories
Length
Depth
S.F. Total
Footprint S.F.
On site sevage
On site well _
MWCC System _
City srater _
PRV required _
Hooster Pump _
APPHOVALS
Planner _
Couneil
Bldg. Off.
Varianee
_1_4
Bldg. Permit
Sureharge
Plan Review
SAC, City
SAC, MWCC
Water Conn
Water Meter
Aect. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Copies
TOTAL
.74•6i%
IW
Mtr
3?•do
NOTE: Sewer & Nater Permit fees and account deposit fees xill be included in the building
permit fee. Processing time for sexer and water permits is txo days onee a lioensed
plumber has applied for a permit at City Hall.
C1TY OF EAGAN
APPUCATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
*A71°3: PA3@lEU OF FEE.AT TTM OF ;
APPxscaTTON noEs Nar oona-riUM
APPxwAL CF PEMCT. .
nysPncrioN aF sEWM ANU/CFt vV-M
TISCVTTATTQNS yIIT•.p7prp;BE.SCWD-- .:
rTr UxM PERMT xAS IMM ... ,, :
APPRMM.
t P ease Print
PROPERTY ADDRESS' ? ???y iagan;Mn. 55121
- I r'IcGL/.r'. v
? LEGAL DESCRIPTION: Lot 30 lock 1 Hampton.Heights ---- -:'"
t
f' . Lot B ock S ivision or Tax Parce ID
..,
_ . _ ._.... .
:
IF E7QSITNG STl2L'C1LME, DATE OF ORIGINAL -B[JII,DIIM PERNIIT ISS[7ANCE: • -
,. . ,
'.s??
' Mn h/Y
. ??....
ear
PRFSMU ZONING/PROPOSID LTSE:
.. . ._ . ?
? ? CE _,.? R=1 SINGI.E FAMILY
?
, . .. _.. _
a?s? p R-z DLVLEX CTwo Lihits>
...
R
nJSTTTLMoNAu.n0v?vr . .n R-3 70WNHOUsE crnree±.vnits>
k
'R-4 APAR7MENP/00bIDONIINIUM .. ( TJluts)t
?''
Nl1ME: FRONTIER MIDWEST ;HOMES CORPORATION ; F
ADDRFSS= 3908 Sibley Memorial Higliway Bldg. E
.
4iYt .
:
QTY. STATE, 2IP: ' Eagan, MN. 55122' "_ ..
,
:?. -?t-
. .
. .
PHCNE: , 454-0433
'
? _ _. . ... .. ., - - 4 .
. S ?
i4
F . 3) ' ? c ?• • , ,. , . ty.iLse . . '
: IW1MEs STAR PLUbffiING Plimibers License .
? ADDRFSSe 1018 Mound Springs Terrace Acive-
i CITY. STATE, ZIP: Bloomington, MN.. 55420 Expired
Mt recorded :?•
PHONE: 884-4149 MA.ST'ER LI(?'ig# 3329 ???.._al
. 4) . •• • ia.
-NAME= Harris, Michael & Rathryn
_ ADDRFSS: 1891 Grand Avenue '
CITY, STATE, ZIP: St. Paul, MN. 55105
PFiONE: 698-5568 •
'S? 1 i? Y^ ?I• •71• • ? • OD ... .
f Q CON[gX,TICN 7D CITY SEWM -? COANE7CPION 10 CITY WATER C2'FE2 '.- •
? ._ .. .
I _ 6) " •' • r ? PLEASE FIOI.D APPROVID PERMLT FCR PICK-IIP BY ONE OF ABOVE --._ .-- '.._ ----.
?. E3 PLEASE MAIL APPROVID PERMIT 70 1. 2. 3. 4. AHOVE ..
. (Circle one)
?' "? '.7) r. r• • ?
?-:::. . -- - - - . .. .. ?; : • ?.
?
FOR :CITY USE ONLY
PERMIT # ISSUED
Pd w/Bldg. Permit FEES:
$ $ SEWER PERMIT (INCLUDE SURCHARGE)
$ 4,
'
$
WATER PERMIT ( INCL[IDE SLRCHARGE )
$ $ WATER METER/COPPERHORN/OIJTSIDE READER
$ $ WATER TAP (INCLLDE CORPORATION STOP)
$ $ SEWER TAP
$ I.S`-O D S ACCOUNT DEPOSIT - SEWER
$ ACCOLNT DEPOSIT - WATER
$ 0 $ _ WAC
$ S 7 S-_., E? D .. .. $ SAC .
$ $ .---. •- TRC?NK WATER ASSESSMENT
.: :
' TRONK SEWE
R.ASSESSMENT
.
. , _...._ .,: . . _. . i
LATERAL BENEFIT/TRCNK"SEWER
LATERAL BENEFIT/TRUNK WATER.,
.: .
' -- .. ..
WATER._.TREATMENT PLANT SLRCHARGE
S : . ,
.:,
.,.?
$ . ,
='= OTHER c .: ,:i: . . . ..... ; •'? :;:
. _... ; __.._
'
?,/
.. , .
_ .., .
:
. . ...:. . ... .r .,
TOTAL
RECEIPT • RECEIPT
„ DOES UTILITY CONNECTION REQUIRE.EXCAVATION IN PDBLIC RIGHT OF WAY?
YES IF YES, THEN A"PERMIT FOR WORK WITHIN PLBLIC
,-?- ? ROADWAY".MUST BE.ISSLED BY THE ENGINEERING
NO , DIVISION. LIST.-AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS: :.,
APPROVED BY: ??.-72_CJ ??rJt ?
TI!tLE :
DATE: ?? A 7 6 V
OF
3830 PILOT KNOB ROAD. P.O. BOX 27199
EAGAN. MINNESOTA 55121
PHONE: (612) 454-8100
Special Assessment Search
Date: Septanber 17, 1986
, HASTINGS MN 55033 BFA BLOMBUIST
Requested by:. Re;,HampEon Heiqfits
` ?------ -- -J
DAKOTA.COUNTY ABSTRACT C0.
1250 nk'Y 5S, P 0.13OX 436
Moyor
THOMnS EGAN
JAME$ A $MI7H
VIC ELLISON
7HEODORE WACHTER
CouncllMembars
TMorws HeoGes
Ciry AtlMnbimbr
EUGENE VAN OVERBEKE
CiN Cierk
On the attached form is the City's response to your search request
on the identified property. The information includes the original
amount of the assessments and the payoff amounts of the assessments
on the parcel. in addition, pending assessments are included for
improvement projects that have been ordered to be installed by the
City Council as they may affect this parcel.
The City's policy is to levy assessments based upon the current
zoning or existing use of the parcel (whichever is higher) as
reflected in the above assessments. If, and when, the parcel is
rezoned or developed to a higher use, a condition of development
approval will require that this parcel assume any additional
assessment obligations.that have not been previously paid for
existing public improvements. The City Engineering Division can
provide further clarification of this policy if you desire.
WAIVSR/DISCLAIMBR-
Neither the City of Eagan nor its employees guarantees the accuracy
or completeness of the information provided which was requested by
the person or persons indicated. Nor does the City or its employees
assume any liability for the correctness thereof. In consideration
of receiving and using information on the attached form and for all
other consideration of any nature whatsoever, any claim a9ainst the
City or its employees rising therefrom is hereby expressly denied.
Pending assessments cannot be paid until levied. Levied assessments
can be paid to the CITY OF EAGAN.
Very truly yours,
??i-taci??/ • ?Z:
SPECIAL ASSESSMENTS
AttachmenTHE LONE OAK TREE...THE SYM80L OF STRENGTH AND GROWTH IN OUR COMMUNIIY
7-riaNSACTTUN ID: (t769
F'l20F'ErTY I. D.
10-31900r300r01 ?
s.:;. # ASSESSMENT Dcscra.
'cc====c=r"nc==cc==r='="='__'===_cs===sccs_r==>c==
Y!i Y'RS RA7-f TUTAL FiNIV. F'RIN. PAYOFF CUhiMENT
I00124 SAPJ SH 71iK 69 35 3. G0'J. ..-i9. 'Y ??..:9 19.14
10I008 STREET 371 85 iC? ii.007_ 36.73 3.67 =?-;.Oh
1UiYi?9 57'1iEE7 t?6 15 i??,SC>% Y4.S'9 .99 14.39
YOIIYO SAIV SEW L(aT ?-'?ti 1?i SU.SU"/. 5o^.S'1 3.92 58.3.t
YUTYI:? STOriM SE4f 7"RK 86 15 IG.';U"/. 445.C>7 29.67 ?#45.U1
IUII.t3 STQtiM SEH LAT 86 15 10.50% tU.?JJ Y.:i7 L??].55 ?.3}
Iu?'?#SY WA7"ERMA_TN r?0 p .OU% b<?7.9?# 627.9;f 627.94 F'END
51Jh11`1ARY t?F F,C.TIVF 635..'6 4?'.C?I 591.52 CQMM
:k+rarrt?r THIS YEAr'S TQ7 P:?1' I?'.84
SUMMARY OF F'ENI7IIVG 627.94 u27.9,?
SPfCIC,L ASSESSME'IVTS
SF'EC1''r',L ASSES5MENTS SEAPC.N SUMMAPY
TaDAYS DAT£: 09/17l86 ---SF'FCYAL FLAGS----
J 1-2-3°4-5-6-•7-E;-9-10
T
Pre_ s cN7E,R (Comment=) , FY or F2 (Header Form) or F7 (f2estart R768)