1588 Pacific Ave? CASH RECEIPT
` CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
i.. •
• DATE 19
RECfi1VED . . . . ,
FROM
AMOUNT $ I
a ooLLwws
?oo
? CASH ? CHECK
BY
White-Payera Copy
Yellow-Posting Copy
Pink-File Copy
Thank You
BLDG. YERMIT?NO.
?,S" '?.t? t : -.-. /,
01-321?0 B dg? Per?4t ? _
01-3422 Plan Check
01-3445 Surch./Adm.
01-3446 SAC/Adm.
01-2155 Surcharge
17-3860 Road Unit
20-2275 SAC
20-3865 Water Conn.
20-3868 Water Trmt.
20-3716 Water Meter
20-2252 Acct. Dep.
20-3713 Water Permit
20-3743 Sewer Permit
79-3866 Sewer Conn. ?
11-3855 Park Ded.
"J
?
?f
?
?
V
, ?, • ??
TOTAL
C_ 1
CITY OF EAGAN ? ? A2632
-" 3830 PNot Knob Road, P.O. Box 21-199, Eagan, MN 55121 rv 7 l PHONE. • 454-8100
BUILDING PERMIT Receipt # To be used tor SF DWG/GAR Est Value $68,000 Date SL•'PTf:M8ER 16
Site Address 1588 PAC I F IC AVE Erect CY1- Occupancy R3
Lot 8 Block 5 Sec/Sub. HAMpTflN HTS Remodel ? Zoning PD
Parcel No. Repair ? Type of Const VA_
Addition ? No. Stories
Name ?RONTIER MIDWEST HOMES Move ? Length 40
3908 SIBLEY MEM FIWY Demolish ? Depth a6
Address Int Impr? S Ft
Ciry EAGANphone 454-043T--
Install ?
Q
Q
J`z:
o Name SAME Approvala
z
0 ? Address Assessment
City Phone Water & Sew.
Police
? = Name Fi
re
,a Address Eng.
i W City Phone Planner
I hereby acknowledge that I have read this application and state t me Council
9/j 2/ 8 6
?
information is correct and agree to comply witt? all applica off.
te of
Minnesota Statutes and City of?sg?n Or i a ? ; c
?-• g' r. ate
Va
D
Signature ot Permittee
• ?
`
Permit 337.0(
Surcharge 34.0(
Plan Review--375-0t
SAC '
Water Conn. 500.0(
Water Meter ;' S(
RoadUnit 29T•0(
Tr. PI. 15 6-• 0 ?
Parks
Copie
TOtal . .OI
A Building Permit is issued to: r rcvn i t aec i?t?nn? a narrar..? on the express condition that
all work shall be done in accordance wkh all applicable.?"te of Minnesota Statuteo and City of Eagan Ordinances.
-- PwmR No. Parmit Moldw Date TNephone #
PlumWnp ? , =? ?-, 1 7
H.V.A:iC. G3 o ??.v._. 0
? .-
?
Solbne?
lospsctloa ' Dde Insp. Commenb
Footlnya1
FootlnyeII
FoundaNon
Frsminy
Rooliny
Rouyh Plby. ? ? 00.9 - IL -fj
Rouyh Hty.
Insul.
Fireptaco ? D
Flnsl Htq. ' r
FInN Piby. .3
&dq. FIna1
Cart. Oca.
Deek Ftq.
Deck Frmy.
WNI
Pr. Disp.
PERMIT #
' • MECHANICAL PERMIT RECEIPT # •S'CITY OF EAGAN
1 1 /
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE
CONTRACT PRICE! ??lUJ . uU PFIANE sM-8180
Site Address ` ' " '
Lot `Block
? Name _
? Address
c City _
? Name _
3 Address
p CitY -
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent
Gas Piping Outlets #
Other
WORK DESCRIPTION
Res. New ...
Mult Add-on _
Comm. Repair
Other
.... ...... :.., ...., FEES
1bley "It::,n0r1L1 r{wy. RES. HVAC 0-100 M BTU -$24.00
Phone 5 2-0433 ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
ADDITIONAL 6 M BTU - 6.00
£50, (10; i
M BTU 14 . o 0
' GAS OUTLETS ?
COMM/IND FEE - 196 OF QONTRACT FEE - 1.50 EA.
M BTU MINIMUM - RESIDENTIAL FEE - 10.00
M BTU MINIMUM - COMM/IND FEE - 20.00
M BTU STATE SURCHARGE PER PERMIT - .50
(ADD $50 S/C IF PERMIT PRICE GOES
CFM S(J
l BEYOND $1,000.00)
.
FEE
S/C:
TOTAL•
I SIGNATURE OF PERMITTEE
FOR: ClTY OF EAGAN
?Alp,ij T4?` _J,.I'?" . .... . •.}'{S l a???U7?a"6'ti. PERMIT #
' . • .' " PLUMBiNG PERMff RECEIP7 #
CITY OF EAGAN ?
3830 PILOT KNOB ROAD, EAGAN, MN 55721 DATE:
NTRACT PRtCE: PHONE: 454-8100 ?
Site
Lot.
Name
?o Addre?
?
c City _
L Name
3 Addre;
p CitY -
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
AiIINIMUM - FiESIDENTIAL FEE - $10.00
MINIMUM - COMM/IND FEE - 20.00
STA7E SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYONQ $1,000.00)
FOR: CITY OF EAGAN
BLDG.TYPE
Res. .'?
Mult
Comm.
WORK DESCRIPTION
New `
Add-an
Repair
NO, FIXTURES
Water Closet - $3.00
? Bath Tubs - $3.00
/ Lavatory - $3.00
Shower - $3.00
" Kitchen Sink - $3.00
Urinal/Bidet - $3.00
?Laundry Tray - $3.00
Floor Drains - $1.50
=Water Heater - $1.50
_rWhirlpool - $3.00
Gas Piping OuUets - $1.50
TOTAL
?? -
Disp. - $10.00
Openings - $1.50-
FEE
STATE S/C:
GRAND TOTAL•
(gtr#i#iratit uf (IDrrupttnry
titp of (tagart
Irpurtmrtti of ihdlding lWrrtinn
This Cerrifcate rssued pursuant ro tl?e requirements of Section 306 of the Uniform Building
Cade certifying that vt 1he time of issuance tkis structure was rr compliance with the various
ordinances of the City regulating building conrtsuction or use. For the foUowing.•
u,t 0.16fiio. SP DWG/W gag. FLnWt rro.
Occupncy'1ype R3 Inniog Ilistrict Type r- V•,
OwoeroFBw'Idiut 9M?T"R rr' •`` t pddrm r.k? SILk Fxo;
Buldm Addnbs i,,,A..i'•,.. 1 OUbry I.8, B5, ftb1':Y
Date: • ? n7?"T_, i/, i t
9uadieg Olfioal
POST IN A CONSPICUOUS PLACE
lNSYEU'1'lUN KLI.;UK11
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS:
?IAMF' I IiM HF 1 t.ili f';
PERMIT SUBTYPE:
APPLICANT:
,., ..
TYPE OF WORK:
all .' ,. 1; ; , .
H?? 11 Ur NR
011.1 "rr t
aff17 I"
i r F#Al7ta
PP)F
?
P?-3kj?.nn
L -
?- - -
? l7tMAfi?:.51, - FtF!'1A+:F 'S 1111N{i F* F'TttFnlRrF. ?I:! nF:f.i'. {?AitTN(i & ? flOpR B[lARl7S .
Permit Holder Date Telephone N
PLUMBING
HVAC
Inspectlon Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING ? -?
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE ??/C?j- ? - -- - - -
FIREPLACE
AIR TEST
FINAL PLBG '
FINAL HTG
ORSAT
TEST
BLDG FINAL
-
-
-
DOMESTIC
METER - --
-
IRRIGATION
METER
FLUSH
MAINS
CONDUCTIVITY
TEST
HVDROSTATIC
TEST
BSMT R.I.
-
-
BSMT FINAL
DECK FTG
DECK FINAL I
,. r ,....?. _ ... ,
? PERMIT #
PLUMBING PERMIT RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EACAN, MN 55122 DATE: -
rvame bjko6;c 'Lu"n o
? Address 102 k
c Ciry Hopkins
Name i? i II.
3 Address
p City Phone
COMM/IND FEE - 1°ib 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
FOR: CITY OF EAGAN
BLDG. TYPE WORK DPCRIPTION
Res. New
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
Water Closet - $3.00 t
Bath Tubs - $3.00
Lavatory - S3.00
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 PERMIT)
? Softener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
FEE:
STATE S/C:
GRAND TOTAL: `
CITY OF EAGAN
3830 Pilot Knob Road •••-•• - • •••.••••••` • `•••••••
P.O. Box 21499 PERMIT NO.:
Eagan, MN 55121 DATE: Zoning: ^? No. of Units: ?
Owner.
Address:
SiteAddeSS: - 115,88 Pacific 1Lven3i,e L° It5 Jiam}stau 8aLgla.t
Plumb. ° Cr8*' P11-11lttb3ilg
Meter No.: Connection Charge: SAg OA$;a
Size:
Reader No.:
? I ayree to compiy wRh !he City of Eagan
Ordinancea.
? BY
Date of Insp.:
)F EAGAN
! Knob Road
.tr. Box 21199 gan, MN 85121
Zoning:
Owner.
Address:
Site Addess: 1 5RR i
Plumber. ¢raT t
Meter No.: 3 7?.
Size: -SfS'l Roc.lT
. ?-
Account Deposit: 15 . AA--?-
Permit Fee: 10,00T,d-
Surcharge: $w?_
Misc. Charges: ? S 6. Q?d T-g
Total:
63.
Date Paid:
WATER SERVICE PERMIT
PERMIT NO.: R066
DATE i n_7n_gr
No. of Units: I
i agree to compry wtlh the Gty JbUW"-Su ar . `
Ordina ????,h rges: -? 6 -AA?? ?
Total:
By ? 63.
Date Paid:
Date of Insp,: ??8p :
2 ` ?- ?
CITY OF EAGAN SEINER SERIIlCE PERMIT
3$30 Pilot Knob Road
P. U. Box 21199 PERMIT NO.: '
Esgan. MN 55121 p^TE: - - - -
zo^!^0: No. of Unlts: '
Owrwr.
Address:
Slte Addre:s• ',ve:iu_ ' 35 '.,iaffiDtvn Heis!lits -
Plumber. =ng
I elM M e00l! NMU 1V Cky d imps
OrdiMnea.
By
Dots of Innp.:
Conneetion Owrye: _ - ; • - lifi
Acaoumt Deposit:
Pennit FN:
Surefiorw:
Misc. Cho+gov
Total:
Oob Pald:
, CITY OF EAGAN
3830 Pilot Knoh Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT
Receipt k
N???2632
7o be used for SF DWG/GAR EsL Value $ 68 ,000 pete SEPTEMBER 16 ,1986
SiteAddress 1588 PACIFIC AVE Erect 121 Occupancy R3
lot $ 81ock 5 Sec/Sub. HAMPTON HTS Remodel ? Zoning pn
Parcel No Repair ? Type of Const Vg
. Addition ? No. Stories
w Name FRONTIER MIDWEST HOMES Move ? Length 40
?
Address 3908 SIBLEY MEM HWY Demolish ?
? Depth ?6
o
EAGAN
454-0433
Ci Int Impc Sq. Ft .
ry phone Install ?
a
0
?U
UQ
?
Name SAME
Address
Ciry Phone
a
? W Name
? Q Address
i W City Phone
IherebyacknowledgethatlhavereadthisapplicationandW thatthe
information is correct and agree to comply with all app i e Stat
Minnesota Statutes and Ci agan r',??eer
Signature o( Permi
A euildin9 Permit is issued to: FRONTIER MIDWEST HOI
all work shall be done in accordance with all applic Minnesa
Building Official ?? o ?--f???
Assessmant
Water & Sew.
Police
Fire
Eng.
Planner
Council
Aidy. on.9/12/86
APC
Permit $ 337.0(
Surcharge 34.0(
Plan Review 168.5(
SAC 575.0(
water Conn. 500.0(
waterMeter 63.5(
Road Unit 290.0(
Tr. PI. 156.0(
Parks
Copies
Tota? $2 ,124.01
-on the express condition that
of Eagan Ordinances.
' REQUEST FOR ELECTRICAL INSPECTION kIM ee-oaooi/-os
? Sea inelrucliens tor com0laling Ihis form on beck of yellow cooy. 7
? QnnrQ "K" 8elow Work Covered by 7his Request .
Wew{AXei NeDd Type af 6uiltl,n9 I ApPliancea Wired . I Equipment Wir,ad I
F.X
ce
p Fee Service EntranceSize M Fea FentlersISubfeaders N Fee Circuits
A,n 0 to 200 Am s 0 to 30 qm s CJ 0 to 30 Am s
Above 200 qmps 31 to 10D Amps 31 to 100 A s
Swimming Pool Above 100-Amps Above 100_Am s
Transtormers Irngation Boorts Partial- Oiher Fee
Special Inspectiif ,vi//1 I TOTAL
7??
,.. w.?-• -?-- ? - 1. <ne Eia.<.ixb,'
/ Ilnspec<or, herebV
? certify <hat the nbove
Final l-?r _ inSOection hes been
7 maee.
reQUastrol0
rn;s.enuas wia/'/y`1Cv??7 'JG/8C?
18 months from
C 8 0 0 5 8?.
Feq 'st D? Fire No. 7 Houah-in
Requir pection
?ReedyNuw N
DNM o4fv.lnspec-
[or When R
d
p 85 ?Np ea
Y
Licensea Elec[rical Contract0r I hereby requast ins0ectim oi ebove
? Owner electricel work installed et '
Sveet Address, 8ox or Route No.
? C i
ecuon o. Townshi Name or N Nange No. Count
Occu nt 1 Tj Phone NO. O A ?
.! `
Powe Addre
Elec{.5}?I?Cr?t(??g(`?{',y ?a?y_Namel_ _.? Conhact 's License No.
Mailine A t iIIg fi4i3EtioN Lllltl
Authanze ign ure I k ionl 7hone NumOer
MINNESOTA STATE BOARD OF ELECTHICITY THIS INSVECTION NEQUEST WILL NOT
Grig9s-Midwar glde. - Room N•791 BE ACCEPTED BY THE STATE BOARD
1831 Universitv Ava.. St. Peul, MN 55706 UNLESS PROPER INSPECTION FEE IS
oennoirs191w6'l-MOO ENCLpSEO.
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122 ?
651-681-4675 ,?- ? 5 • a?
New ConsWetion Reauirementa
• 3 registered site surveys shovling sq. R. of lot, sq. fl. of house; and all raofed areas
(20%maximum lot coverage allowed)
• 2 copies of qan shoxinq heam & window sizes; poured found design, etc.)
• 1 set of Eneyy CalcWations
• 3 copies of Tree Preservalion %an if lol platted after 117193
• Rim Joist Detail Opdore salectbn sheet (bldgs wiUh 3 or less unds)
DATE
RemodellReoair ReauiremeMs
• 2 copies of plan
• 1 set of Energy Calwlations lor heated additbns
• 1 site survey for exlerwr additbns & decks
• IMicate i( home served by uptlc system for additbns
VALUATION \ `'4W? , C:j0
SITE ADDRESS MULTI-FAMILY BLDG Y &('N
TYPE OF WORK fIREPLACE(S) V0 _ 1_ 2
APPLICANT Catactmnhe Restoration SPrvir.as Inr.
STREET ADDRESS 94R9 RICB Gt SIIItP 70 CIn' F3nseville STATE nnN ZIP55113
TELEPHONE # 651_734,9433 CELL PHONE #
FAX # 651=11 83-A219
PROPERTY OWNER S`?v??\ \'???? ??? TELEPHONE#?`3 IUCf-(
-------------------------------------------------------------------------------------°--------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULLS 7670 CA"CF.GORY 1 MINNESOTA RULFS 7672
(4 submission type) . Residential Veniilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor: _
PlumUing system uicludes:
Mechanical Contractor.
Mechanica] svstem includes:
Sewer/Water Contractor:
_ Water SoFtener
_ Water Heater
_ No. oF Baths
Air Conditioning
_ Heat Recovery System
Phone #
Phone #
Pee: $70.00
------°---------------°-------° °-°-------°-°-----------° °--------°--------------------------------°----°------
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 Ordinances. ____
Signature of
OFFICE USE ONLY
_ Phone #
Lawn Sprinkler
No. of R.I. Baths
Tee: $90.00
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
CITY OF EAGAiV
APPUCATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
*RYPF': PAYMFTTr' OF FEE AT 19M QF
aprLxcaTTaH ms Nor oONsrITUTE
aprROVat, oF PM;trsr.
INSeF7crloN oF SEM r,Nro/CR ?.'=
TT1S'T'Ai.iATTQN$ yML (Q,7p BE $QHED-
UIkD UNFII. PERMIT AAS BF:EN
APPROVID.
P ease Print
1) PROPERTY ADDRESS: 1588 Pacific Aven-ue, Eagan, NIN. 55122 •-
LEGAL DESCRIPTION: Lot 8 Block 5 Ham ton Hei hts Lot B ock Sub ivision or Tax Parcel ID 1
IF EXrSTING STRL'C.'IL?RE, DATE OF ORIGINAL BUILDING PERMIT ISSCANCE:
PRF SM ZONING/PROPOSID OSE: (Morith/Year)
? Ca41ERCIAi+/REI'AIL/0FFICE ? R-1, SIIVGI,E FAMILY
Q IPID051RIAL Q R-2 DC?PLEX (iWo Lh?its)
? INSTITUTI??/GOUgRNMEN'r ?f R-3 70WNEi0L?SE (Three + Units) ( Lnits)
. ? R-4 APAEtTMENT/CODIDUMIDIICTI Units )
2) ?
NAME: FRONTIER MIDWEST HOMES CORPORATION
? ADDRES5- 3908 Sibley Memorial Higtiway Bldg. E
CIT3C. STP.TE, ZIP: Eagan, MN. 55122
PHONE: 454-0433
3) • u i: ?• For City C?se ..
N1?ME: STAR PLUMBING
Pltunbers License:
ADDRESS: 1018 Mound Springs Terrace Active
_
i CITY. STATE, ZIP: Bloomington, MN. 55420 Not rec?!
PHONE: 884-4149 MASTER LICENSg# 3329
Sta Initial
.
•• • • ia•
4) . ..
-NAME: TRUEBLOOD WILLIAM & DOROTHY ,
_ ADDRESS: 445 LaBore Rd. It205 '
CIT1'. STATE, ZIP: St. Paul, MN. 55117 _
' PHONE= 484-9264 '
.: _. .: _ ...
-5) ? '? v r: ?• : a ? ?s
QY CONNECTION TD' CITY SEMCZ ? CONNELTION 10 CITY FATER OTf?R
6) ? •' ? r ? PLEASE HOLD APPROVID PIIiMIT FCR PICK-UP BY ONE OF ABOVE ---- ----
? PI.EASE MAII. APPRWID PIItMIIT TO 1. 2. 3. 4. ABCn1E ..
• (Circle one) . 7)
FOR -CITY USE ONLY
PERMIT # ISSLED
v
Pd w/Bldg. Permit FEES:
$ /O.S d $ SEWER PERMZT (INCLLDE SURCHARGE)
$ $ WATER PERMIT (INCLUDE SURCHARGE)
$ $ WATER METER/COPPERHORN/OL'TSIDE READER
$ $ WATER TAP (INCLC'DE CORPORATION STOP)
$ $ SEWER TAP
$ / S.GIb $ ACCOUNT DEPOSIT - SEWER
$ $ ACCOLNT DEPOSIT - WATER
$ ?D • ?% $ wac
$ 575. o(f) $ sac
$ $ TRLNK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRUNK WATER
$ / j ? • 6-0 $ WATER..TREATMENT PLANT SURCHARGE
$ $ OTHER:
$ ? ?7 5S 0 $ TOTAL
RECEI T • RECEIPT '
DOES LTILITY CONNEC TION REQLIRE EXCAVATION IN POBLIC RIGHT OF WAY?
Q YES IF YES, THEN A" PERMIT FOR WORK WITAIN PLBLIC
ROADWAY" MLST BE ISS[JED BY THE ENGINEERING
Q
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APP.ROVED BY:
I >>
' TITLE: • •
DATE: ?017iD //6
? - / X6 3 z LW A5r?
TRUEBLOOD 19$6 BOILDING PERMIY APPLICATION - CITY OF EAGAN
IQOYE: ALL CAHTRACTOES MOST BE LIC6NSED iiITH THB CITY OF EAGAN
SIAGLfi FAPIILY DWELLIAGS
INCLUDE 2 SETS OF PLANSp 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
MULTIPLS DWE[.LINGS - ASSIDENTIAL RENTAL i1NITS FOR SALS DNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATS OF SDRYER - CHECB fJITH HLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
C04ME8CI9L
INCLODE 2 SETS OF ARCAITECTURAL & STRUCTURAL PLANS,
7 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
(fia!.c?
To Be Used For: Sjnele Family Valuation: 4az" Date: 9-5-86
4Site Address 1588 Pacific Ave.
Lot 8 Bloek 5
Parcel/Sub HAMPTON HEIGHTS
Owner Trueblood. William & Doroth
Address 445 LaBore Rd.
City/Zip Code St. Paul, MN.
Phone 484-9264
Contractor FRONTIER MIDWEST HOMES
Address 3908 Sibley Mem. Hwy. Bldg. E
Clty/Zip Code Eagan, MN. 55122
Phone 454-0433
Arch./Engr. _
Address
City/Zip Code
Phone #
Erect X Oecupancy ?
Remodel Zoning
Repair _ Type of Const IrA/
Addition U of Stories
Move Length ?
Demolish _ Depth 416
Int.Impr. _ Sq Ft
Install
APPROVAI.3 FEES
Assessments Permit 337
Water/Sewer Surcharge
Police Plan Review C
Fire SAC s7,r
Engr Water Conn - ? )
Planner Water Meter c;;;j -
Council Road Unit ?-9Z)
Bldg Off Treatment P1 ?
APC Parks
Variance Copies
YOTAL n /7/
NOTE: ADDRESSES FOR CORNfiR LOTS - CONTRACTOR/HOHEOWNER MOST DESIGNATE WHICH ADDRfiSS
IS DESIHED. NO CHANGFS WILL HE ALLOiIED OPCE BIIILDING PEZHIIT IS ISSOSD.
1
l} ("1r i lf' •'?1 ? _ I 1
si - _ r,;e:,c- ss.
ccyT,;nC=oa:
? . U I 4
Lgv,.) Cv0% 7.`T-e7F.
Determine working ;quare fnotar,e of each
1. T o t al er,posed wail area..... ?;ae+f}r ? sG.
2. ?o[ai roof;ceilirg a;-ca .... R? _?._;q. ??. ::
-otal ex;:ose? wall
a.
b 7ota1
T
l wall window area ...... ..................
...........
fZO.'
`
.
ota
door area ...........
..
.... . .
.
?
-
.
otal
liding giass door tre .
...
......
a........
..........
.. .... c '?
. ?j+. Co
d.
Tetai
fireplace wall area.
.. ..
........
....... ...............
" 1
' ?'
-
,'
_ Total .wali framing area (ave .............
r<,g- tp,,l...
.. ...
. ... ..... . ?
f.
Total
. .
rim ,7oist area ........ .
.....
.. .....
. .........
.
.
g
net
wall area above 'ioor
....
.......... ....
'E !; I
................
'
••
wall area zbove `'oor ,
.,,,....,_.
...
................ ................ .
i•
wall area above fiecr .
...
......
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SUIaVEYINO ?
SEFIVICE9 ?
3908 Sib1ey Memorial Highway Fl
Eagan. Minnesota 55122 3
Phone: ?612) 452-3077
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CERTIFICATE FOR;
Hw?+e eun ne as
b, UNbDEVElO/TR5
? RFAItpN$
,A
! COMPANIES
MODEL: L,104CA45TER
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$XVA
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81`"ox ? X873.5'
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015,5
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_ .` CORUES
- ia6'F5 -
-LEGEND'
0 0.notes lren Warw.m.^nfi
A Oimotes Woa1 Hub Set
ns-?'"Iknotes Exisfirg Spot Elevation
(„ Glenotes ProposeE Spof Efevation
_,?Aenotes Orainege Direction
-PAOPERIY LESCRIPfICYV-
LOT $ , BLLY'K 5
HAMPTON IiEIGHTS
accordiry to the reccrded plat thereof,
Yimesota
PROPOSED GARAGE FLOOR ELEVATION= SI(,Z
PROPOSED Top of 8lock ELEVATION- 876•5
PROPOSED BASEMENI fL00R ELEVAiIONs $13•5 WIe
p.opoied l.ew? es,rA-. r-6w Ekj. = 8108.5
AbT£: Verify a!1 floor heights •ifh Firta! House Plsro.
-MMEYptS CERTIFIGATIfX+I-
1 hereby certify fMf ttiis survey, pfan or nport
wss prepered by me ar vder my direcf supervisian
ard that 1 am a duly Regisfered LaM Surveyor
er the lews ol the Stete of Minnesota.
oate: 9I9196?
Nayre 0. Cordes, Yim. Reg. No. 14575
oF
3830 PILOT KNOB ROAD, P.O. BOX 21199
EAGAN. MINNESOiA 55121
PHONE: (012) 454-8100
Special Assessment Search
Date: AuqUSt 13, 1986
Requested by:
De1KOTA COUNTY
1250 HWY 55,
HASTINGS MN
BFP. BLOM9UIST
Mayor
iHOM45 EG4N
JPMES A. SAAl7F1
VIC ELIISON
1HEODORE WACHTER
Couricii Memban '-
Mor,ias HeoGEs
Ciy Mminisnotw
EUGENE VPIV OVERBEKE
ciry CWe
Re: r-Fipton Heigfifs- ;
->>10-31900-080-05
ABSTRACT CO --? ?---_,
P O BO1: 456
55033
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, pendinq assessments are included for
improvement projects that have heen ordered to be installed by the
City Council if there are any on this parcel.
The City's policy is to levy assessments based upon the current or
existing use of the parcel, as reflected in the above assessments.
If, and when, the parcel is rezoned or developed to a higher use,
that parcel shall assume an additional assessment obligation as a
condition of development approval. The City Engineering Division-
can provide further clarification of this policy if you desire.
WAIVER:
Neither the City of Eagan nor its employees guarantees the accuracy
of the information 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 for the supplying
of the indicated information on the attached form and for all
other consideration of any nature whatsoever, any claim against
the City or its employees rising therefrom is hereby expressly
waived. Levied assessments can be paid to the CITY OF EAGAN.
Very truly yours,
SPECIAL ASSESSMENT
Attachment
THE LONE OAK TREE. .. THE SYMBOL OF STRENGTH AND GROWfH IN OUR COMMUNIN
TRANSAC7ION ]'ll: R763
F'rOF'EPi"Y I . D.
I0-31900-080-05 ?
S.F,.# ASSE5SMENT nFSCr.
YR YRS RATE TOTAL ANN.PRIN. PAYOFF COMMENT
1???]i24 SAN SW TRk: 69 25 S.Up'/, 59.b'i 2.39 19.14
IOI??US S1"RE£7" 37I 85 Y(? 11.00% 36.7:? 3.67
99 '3.C?6
14
89
i??T 109 S7"REET 86 15 1 V. 5?)% 14.99 .
92
3 .
?+I
SS
IUIYT?? SAN SEN LAT 36 SS I?.?.SU% 58.81 , .
1??IT7:? S7'0rM SEW TPk: Sb SS 10.50% ?f?F5.C?7 :.?9.b7 4;f5.07
iCG1ii3 S1'ORM SEW LAT 26 15 10.,`,0'/, i?.I.JJ 1.37 t'`?).55 .7.?
ri.?ilb8 W/?fi 36 IS 9.U??% ::'77.:.'7 18.45 277.27
Tc7F45Y WC,TERMAIN ?Ju 0 .OC?% b?'7.94 627.44 627.94 PEND
SUMMARY OF AC7IVE 913.13 60.49 968.79 CDMM
'THIS YEAR'S TQT F'??r7 t?`'•`?4
t?at<k ,?,UMMFRY 0F PENDING 627.94 627.94
SFECIAL ASSESSMENTS
SPECIAL ASSESSMEh175 SEAIiCH aUMMArY
TODAYS DATE: t>3/12/Sb ---SPEGIAL FLAGS----
1-2-3-4-5-6-7-3-9-IC?
? T
Press ENTERN (C.ommentsl, Fi or F2 (Header Form) ar F7 Ulestart R7681
, - _ , PERMIT
CITY OF EAGAN euzLozNG
3830 Pilot Knob Road PERMIT TYPE: 032581
Eagan, Minnesota 55122-1897 Permit Number: 0 7/ 17 / 9 s
(612) 681-4675 Date Issued:
SITE ADDRESS:
P.T.N.: 10-31900-080-05
1588 PACIFIC AVE
LOT: 8 BLOCK: 5
HAMP70N HEIGHTS
DESCRIPTION:
REP. SDG,FP,DECK
&ti{ili7in°q Permit Type STORM DAMAGE
;Build3ng4"Work Type REPAIR
r-'Cer7svYS Ctl.de434 ALT. RESIDENTIAL
??.
?
,i
?
?tr (`
13 Y ? ?`",t E /" ( F+.
? x.. '
--REMARKS:
REPLACE SIDIN6 & FIREPLACE, FIX DECK, RAILING & 2 F100R BOARDS.
FEE SUMMARY:
CONTRACTOR: OWNER: - A p p 13 c a n t-
DRATZ RICHARD
1588 PACIFIC AVE
EAGAN MN 55122
(651)688-8716
S hereby acknowledge t'hat I have read this application and state that the
information is correot end agree Co comply with all appiicable S`tate of Mn.
° Statu'Ces and'C3Cy of Eagan Ordiriarrees. L ?
APPLICANT/PERMITEE SIGNATURE IS UED BY: SIGN URE
1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PIIAT KNOB RD - 55122
681-4675 ci g
Naw Construction Reauirements RemodeVReoeir Reauirements
? 8 registered site surveys
? 2 copies of plans (inGude beam 8 window saes; poured fid. design; Mc.)
? 1 energy wlalations
? 3 wpies of tree preservefion plan if IM platted aRer 711/93
required: _ Yes _ No
DATE: lo° 1Ql'q?
DESCRIPTION OF W
STREET ADDRESS:
? 2 copies ef plan
? 2 site surveys (exterior addftiona 8 tlecks)
? 1 energy caialations for heated eddftions .??l
?
CONSTRUCTION COST;4
BLOCK: SUBDJP.I.D. #: A?rx.?l oi'1 flC' ;A\AS .
V
PROPERTY
OWNER
COVTJ2AC?OR
ARCHITECT/
ENGINEER
Name: ? 1`6A Z Jn,A_ Phone #: (? I 2 - ? RR ?`71(+
Last First
StreetAddress: / S9,'% r2Cnc2?? ;c- Rsle
City State: '(V\ Jl) zip: ,,2? I ZZ' I 23 L?
Company:'Dius?? Phone#: lnlZ?'?S-?537
%Aj-- .
Street Address: License # ?.
City ?1fd1',?j?{E State: Y'"\.\AJ Zip:
Company:
Name:
Street
City
Sewer & water licensed plumber (new construction only):
and lot change is requested once permit is issued.
State:
Penally applies when address chang
I hereby acknowledge that I have read this appliq6on and state that the i aGan is cortect and agree W comply with all appliqbl
State of Minnesota Statutes and City of Eagan Ordinances.
n
Signature of P,ppli t:
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservaticn Plan Received _ Yes _ No _ Not Required
Phone #:
Registration #: _
Zip:
?, ISS3
2005 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
?
Date / ! JI !` 05
? J? ??f r uGl c / IY Q,?e,
Site Street Address ?
Unit #
Propetty Owner c Yl Telephone # ((051 ?41H
Contractor V}"? P1 aViO(k- 5
Address "(1f ? City i?Ll
qcu) Telephone # ((?il ) ?
Statej)O_N p?J-' ?-1 d
Zipe5l'Q*3_
The Applicant is: _ Owner ?Contractor _Other
Alterations to existing dweliing
_ Add plumbing fixtures (excludes water softener and/or water heater--complete next
section if installing these appliances).
_Septic System Abandonment
_Water Turnaround (add $125.00 if a 5i8" meter is required)
Other: $ 50.00
Water 5oftener V"'Water Heater
_ new ? replacement $ 15.00
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ 50
Total $
I hereby appiy for a Residential Plumbing Permit and acknowledge that the information is complete
and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved pl_an in
the event a plan is required to be reviewed and approved. j L? LL u LI -L?
45En 0? I'?1 FEB n'7?nn5 C'
ApplicanYs Printed Name Applicant's Signature ILiu
L i5- o
?Al
2007 RESIDENTIAL BLTILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Conswction Reauiremenis
3 registered site surveys shovdng sq. ft. M lot, sq, ft. ol house; and all roofed areas
(20%mazimum lot coverage allowed)
1 Soils Report if proposed building is l0 6e placed on disturbed soil
2 copies of plan showing beam & window sizes; pouretl found design, etc.
1 set ot Energy Calculatlons
3 copies of Tree PreservaGOn Plan if lot plattetl after 71193
Rim Joist DeWil Options selection sheet (buildings wiU 3 or less unils)
Minnegasco mechanical ventilation form
RemadaVReoair ReauiremenLs
2 copies of plan shovnng footings, heams, joists
1 setof Energy Calala6ons Por heated additlons
1 sile survey for additlons 8 Oecks
Addrtion - indicate il on-sife seph'c system
CJ"
_ _ ...?_........,
O(fice?USeOnk
scyReporo, 3 ! u?"Y N
TfeOPresP,lan.Recd 3 _l'=N.
TmzPresR uired _Y' «'N,
pn-?Ite,6ep?S?ystem ,._Y _N
Pians are considered public information unless vou state thev are trade secret and the reason.
Date -??I,_ / e) -/- Construction Cost ?-3 00O -
Si[eAddress ,4Ci FlG ?C, Unit/Ste #
? ? CICIfa-C, iqVL
Description of Wark /<C'. - K-C"r
Multi-Family Bidg _ Y? Fireplace(s) _ 0 _ 1 _ 2
Property Owner S?7 P?Q w TGt, ('e. Telephone #(6"51)4$4-1TOq
Contractor OS6,9 DESi ErA1 EuLp? S?1C,
Address ((? ? 7 3 G91PPEA)0.4LE ,4 ?E. (,i. City 10_OSEROU ,cJT'
State Zip _-?,5?'6 R Telephone # (65/ ) _/.f?.?13_119c')l
COMPLETE TNIS AREA ONLY IF
Energy Code Category - Minnesota Rules 7670 Cateeorv 1
(J submission type) • Resitlential Ventilation Calegory 1 Worksheet
Submitted
. Energy Envelope Calculations Su6mitted
A NEW BUILDING
Minnesota Rules 7672
• New Energy Code Worksheet
Submitted
In ihe last 12 monihs, has }he City of Eagan issued a permit for a similar plan based on a masier plan8
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water ConTractor
Telephone #(
Telephone #(
Telephone # (
I herebv anplv for a Residential Buildine Permit and acknowledee that the
e;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
Applicant's Printed Name ApplicanYs Si&ure
4b) City of Eapn
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax:(657)675-5694
O+e) 1,:44o
-----------,
? FurOf6ce.Use I
? Pertnit #:
I r/?
? Permit Fee: ?J( l. J O j
I ?
? Date Received: ?
i ?
? StaH: ?
I?c?r?ovcD
11 U MAR 2 4 2009
2009 MECHAN
? Date:,.31.0s10'1 _SiteAddress:
?-
Tenant:
PERMIT APPLICATION
Suite
RESIDENT! OWNER Name: 1--'1 lP ?P N Phone:
Address / City / Zip: 3-i N1?
CONTRACTOR Name: bJ4v\U License #:
Address: y ??°? SI ??2.U ?Y lrP Nk
Ciry: nn?^_.A /\ StaI?te: Zip:
Phone: R?Cj '126g ContactPerson: 7J0- V1
TYPE OF WORK - New e Replacement _ Additional _ Alteration _ Demolition
Description of work: l /
NOTE 8oth roof mounted and ground mounted mechanlcal equlpment is requfred to "
; be s"netl; by C?& Coda` Please contact the Mechanfcat lnspector or o?e of thg ,
Planners'for,Fiitormefion oh` errtFi?tetl seieenln 'rreethvtls. _?? ' °
RESIDENTlAL COMMERCIAL
PERMITTYPE ? Fumace _ New Construction _ Interior Improvement
Air Conditioner _ Install Piping _ Processed
Air Exchanger _ Gas _ Exterior HVAC Unit
Heat Pump _ Under / Above ground Tank (_ Install /_ Remove)
••
_ When installing/removirg tank(s), call for inspection 6y Fire
Other Marshal and Plumbing Inspector
RESlDENTIAL FEES:
$50.50 Minlmum Add-on or alteration to an existing unit (includes $.50 State Surcharge)
$90.50 Fire rep2if (replace bumed out appliances, duciwork, etc.) (includes $.50 State Surcharge)
SL7?? TOTAL FEE
$
COMMERCIAL FEES:
$70.50 Underground tank installation/removal OR Contract Value $ x 1°k
$50.50 Minimum (includes State Surcharge)
- $ Permit Fee
- If Permit Fee is less than $1,000, surcharge is $.50.
- tl Permit g is > $1,000, surcharge increases by $.50 for each =$ State SufCharge
$1,000 Permil Fee (i.e. a$1,001-$2,000 Permit Fee requires a$1.00 surcharge).
$ TOTAL FEE
i nereoy adcnovneage ma[ mis miormanon is comqece ana accurate; mat me worre vnn oe m cornurInwice wmi um a". wU. I I..o .,?Ly .?
I understand this is not a permit, but oNy an application for a pertnit, and work is nat to s[art wRhoN a permit; ihat the work will be in accordarice with ihe approved
plan in the casa ol work which raquires a review and approval ol plans.
x L n m?ki?. r- x
ApplicanYs Printed Name ApplicanYs Signature
FQR OFFICE USE'
". ,Reviewed By; , Date:.
. ,,.. . .
Requlred InspecNons: ' Under Ground Rough Ire Air Test Gas Service Test _In•fbor Heat _Final
_ Exteaor HVAG Screenir? Inspection
rM~
For Office Use~~
~1 ~ C ~ ~F PClty Ol
J :
3830 Pi
lot Knob Road MAR 2 4 2009
Eagan MN 55122 I Date Received: I
Phone: (651) 675-5675
Fax: (651) 675-5694 Staff:
2009 MECHANIC L PERMIT APPLICATION
Date: C it Site Address:
Tenant: Suite
RESIDENT / OWNER Name: hP Phone:
Address / City / Zip: } 0,40
CONTRACTOR Name: tA~nu ( License
Address: '""1I14-S
City: Et'A 10 State: Zip:
Phone: Contact Person: Y1
TYPE OF WORK New Replacement Additional Alteration Demolition
Description of work:
NOTE: Both roof mounted and ground mounted mechanical equipment is required to
be screened by City Code. Please contact the Mechanical Inspector or one of the
Planners for information on permitted screening methods.
PERMIT TYPE RESIDENTIAL COMMERCIAL
Furnace New Construction Interior Improvement
Air Conditioner Install Piping Processed
Air Exchanger Gas Exterior HVAC Unit
Heat Pump Under /Above ground Tank (_Install/_ Remove)
When installing/removing tank(s), call for inspection by Fire
Other Marshal and Plumbing Inspector
RESIDENTIAL FEES:
$50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge)
$90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
$ TOTAL FEE
COMMERCIAL FEES:
$70.50 Underground tank installation/removal OR Contract Value $ x1%
$50.50 Minimum (includes State Surcharge)
$ Permit Fee
- If Permit Fee is less than $1,000, surcharge is $.50.
If Permit Fee is > $1,000, surcharge increases by $.50 for each = $ State Surcharge
$1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge).
$ TOTAL FEE
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.
X I`~tl~~" X
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE
Reviewed By: Date:
Required Inspections: -Under Ground _ Rough In _Air Test -Gas Service Test -In-floor Heat -Final
Exterior HVAC Screening Inspection
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA124215
Date Issued:06/25/2014
Permit Category:ePermit
Site Address: 1588 Pacific Ave
Lot:8 Block: 5 Addition: Hampton Heights
PID:10-31900-05-080
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 -
Steven L Thielen
1588 Pacific Ave
Eagan MN 55122
Sela Roofing Remodeling
4100 Excelsior Blvd
St. Louis Park MN 55416
(612) 823-8046
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA139126
Date Issued:10/11/2016
Permit Category:ePermit
Site Address: 1588 Pacific Ave
Lot:8 Block: 5 Addition: Hampton Heights
PID:10-31900-05-080
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Elaine Strey
1588 Pacific Ave
Eagan MN 55122
Polar Builders Inc
1103 West Burnsville Parkway
Suite 110
Burnsville MN 55337
(763) 370-0074
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA141058
Date Issued:02/13/2017
Permit Category:ePermit
Site Address: 1588 Pacific Ave
Lot:8 Block: 5 Addition: Hampton Heights
PID:10-31900-05-080
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 within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Elaine Strey
1588 Pacific Ave
Eagan MN 55122
Polar Builders Inc
1103 West Burnsville Parkway
Suite 110
Burnsville MN 55337
(763) 370-0074
Applicant/Permitee: Signature Issued By: Signature
•
Jrn
-�v'
For Office Use
k Permit#: • 6::174)
E AGA N
Permit Fee: ,���� - �J
LU
ECDate Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 ���
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-569
Staff: Mai
buildinginspections@cityofeagan.com JUL 9 2019
2019 RESIDENTIAL BUIL= - ' > > APPLICATION
Date: Site Address: I S'n Pau tik- rye-. k o9 ah MO 55122, Unit#:
Name: M a i n e, Stre,y Phone: q I o -5H-3 Ot
Resident/ -
PaCiFL Ave Ea ti/IN 55122
Owner Address/City/Zip: �aIn f
Applicant is: 'Owner Contractor Ora i I QbnJ r t S 512&5 Mc4 ll _con)
rebuild ex's V YoI Ihfie oan ce fret- damDescription of work:of Work e
Construction Cost: Multi-Family Building: (Yes /No f )
Company: 5e' I r Con act:
P I�,
Contractor
Address: I ,(�} IO( 5 City:
State: Zip: Phone: Email:
License#: Lead Certificate#:
If the project is exempt from lead certification, please explain why:
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:
•
Fire Suppression Contractor: Phone:
NOTE:Plans and"supporthrwdocuments that you submit are considered to be public information. Portions of the information maybe
classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets.
You may subscribe to receive an electronic notificatton.from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeacan.com/subscribe.
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.
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.gopherstateonecall.orq
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.
x El a l n� S trE, x
Applicant's Printed Name) Applicant's Signature
�) / 9q�
DO NOT WRITE BELOW THIS LINE /
SUB TYPES
Foundation _ Fireplace _ Porch(3-Season) _ Exter'o Alteration(Single Family)
Single Family _ Garage _ Porch(4-Season) _ Exteno Alteration(Multi)
_ Multi ?0 Deck _ Porch(Screen/Gazebo/Pergola) Miscell neous
01 of_Plex Lower Level Pool Access ry Building
WORK TYPES
New _ Interior Improvement _ Siding _ Demolish Building*
X Addition _ Move Building _ Reroof _ Demolish Interior
_ Alteration _ Fire Repair _ Windows _ Demolish Foundation
?O Replace _ Repair _ Egress Window — Water Damage
Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION
Valuation ii 5.--?,,,,,,-- Occupancy _Ij (..-- 1 MCES System
Plan Review Code Edition 1h/► 2-10)c SAC Units
(25% 100°/q)C)) Zoning ?D City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppressi n Required
Type of Construction 1./3 Width
REQUIRED INSPECTIONS I
Footings(New Building) Meter Size:
Footings(Deck) Final/C.O. Required
Footings(Addition) Final/No C.O. Required
Foundation Foundation Before Backfill HVAC Service Test Ges ine Air Test Hood
Roof: Ice &Water Final Pool: Footings Air/Gas le is Final
Framing 30 Minutes 1 Hour Drain Tile
Fireplace: Rough In Air Test Final Siding: Stucco Lath Stone Lath Brick EFTS
Insulation Windows
Sheathing Retaining Wall: Footings Backfill Final
Sheetrock Radon Control
Fire Walls Fire Suppression: Rough In Final
Braced Walls Erosion Control
Shower Pan Other:
Other:
Reviewed By: J /' A (ll 70 , Building Inspector
,--
RESIDENTIAL
RESIDENTIAL FEES n e u.3- L&In ;19 57 ees 3 , S4• )6i—
Base Fee
Surcharge RCP MG.i 1,15 D e a4=4r4.AP5 ej- 6-.4.
Plan Review 12 oil D h Dee.
eG(e___ 354
5 s ` 7--
MCES SAC
City SAC
g„it' /.5%.0z, 5, ."§-1
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
Radio Meter Read
Copies
TOTAL
Page 2 of 3
Eagan. Minnesota 55122
Phone; X612} 452-3077 ' •
MODEL: LaNCl4srER
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LEGEO- PROPOSED GARAGE FLOOR ELEVATION.• 87`•Z
0 Denotes Iron Montoent PROPOSED Top of Block ELEVATIONs. 870.5._
Q Denotes Wad Hub Set PROPOSED BASEMENT 'FLOOR ELEVATION.", 813.5 w f i
xB74-6 Denotes EXisti S t Elevation Propose Lower 6cv . TAN*. EAe -- �(fl8.5
n3 pot PTE: Verify all floor heights with Final Hage Plans.
64Ns°0..... ) Denotes Proposed Spot Elevation
Denotes Ora i nage Direct ion 1FyEyClIS CERT IF 1cAr,G _
I hereby certify that this survey, plan or report
-PKVERTY DESCRIPTION- was prepared by re or under my direct supervision
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA159500
Date Issued:12/23/2019
Permit Category:ePermit
Site Address: 1588 Pacific Ave
Lot:8 Block: 5 Addition: Hampton Heights
PID:10-31900-05-080
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Elaine Strey
1588 Pacific Ave
Eagan MN 55122
Homeworks Services Co Dba Homeworks Plumbing Htg
1230 Eagan Industrial Rd, Suite 117
Eagan MN 55121
(612) 400-9020
Applicant/Permitee: Signature Issued By: Signature