1592 Pacific Ave. INSPECTIDN RECURD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road ?• ? Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITEADDRESS: APPLICANT:
i i ,,1 1 F It: Hu',
NHlMf' 1i?N Ht IuE9 !', ?. 1.' t ?1l,.' < c.•!,
PERMIT SUBTYPE: TYPE OF WORK:
i , 0: 1
WF MAitk`t : ( 9011M11 k I-! I - Wf.)R/. '."Iqit 7 E Il lJ I 1 FItj117 A F'f i+M t 1 i
F1 ';kb'AFsl11F F'FFtMI f T'; RE01t1kl`1i ftllt AN1Y 1'I1lplftIN[a (iK F'IFf"IF;!'fAI b10I4i'
Permit No. Permit Holder Date Telephone #
ELECTRIC
jtVVjjMV
PLUMBING
HVAC
Inspectlon Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUM8ING
PLBCa
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL %
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FiNAL
DECK FTG
DECK FINAL
lv?.? I
N??! N"i ?? i
tio
INSPECTION RECURD
CITY OF EAGAN PERMIT TYPE:
3834 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: 101 7 R t ur, r. ,h APPLICANT:
1?•'?.' NAC1 FI C AVE HnMSA
HAMF' 1S.)N HF Y GH 1 5 (612) 69y-•AFif19
/0 .51900 o?b os"
PERMff, §UiBlTYPT:?
'saa v
TYPE OF WORK:
f'()t)i t Ni1
t't NaI
?
fitAMlN+i
I Control No. 1110
01) it.nIKs
?
OUNN i S
nnr?t rioN
?
Pwmit No. PennH MotdK Dsts Tabphom t
Sl1N
PLUMBING
HVAC
ELECTR{C
ELECTRIC
Inepsction Date trap. Comments
Foot'^g8 I } 2.?9t
Foundation
,?.
FfetNnp V` ? l b G?
Rooiing
Rou9h Plb9• \
\
?
Rouph Hlg.
Isul.
fqreplBCe
Flnal Htg.
Orset Teat
Flnal Plbg. Plbg. Inepactor - NotifY Plumbet
C,onet. Mder
EngrJPlan
BWp. Fhial Z 9 - Q
Deck Fty.
Deck Final
weli
Pr. Disp.
. ' . . ..,.. . .?.. ?,;+, -. . -_, , CITY OF EAGAN 17720
• 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt # - 1 1
To be used for DECK Est. Value $1,000 Date APR _16 19 90
SiteAddress 13yA rwUiEiU wr&
Lot 7 Block s Sec/Sub. ?? 1ST OFFICE USE ONLY
PSfCel N0. Occupancy - FEES
Zoning
W Name pBNRIS HOZlSA (Actual) Const - Bldg. Permit 25.00
; Address 1592 PACIFIC AVE (Allowable) - .sp
° Cit W Phone 452-3323
Y ? ?r or stones su«n?"5?
401 Plan Review
Length
? Name s? Depth ?j SAC
City
Z ,
`
O Address S.F. Total -
L
) gp,C, MCWCC
? CitY Phone S.F. Foolprints -
Water Conn
On Site Sewage _
?
? W
Name
On 5ite Well
- W
ter Meter
a
?; Address MWCC System -
<W
City Phone
atywacer ?t peposft
_
S/W P
i
PRV Required erm
t
_
I hereby acknowlege that I have read this application and state that the Booster Pump - SnN Surcharge
iMormation is correct and agree to compiy with all applicable State of
Minnesota Statules and City o1 Eagan drdinances. Treatment PI
Signature of Permitee ?' - APPROVALS Road Unit
A 8uilding Permit is issued to: DENNIS ii0N3A Planner - Park Ded.
on the express condition that all work shall be done in accordance with all Council 1.00
applicable State oi Minnesota Statutes and City of Eagan Ordinances. gld9. pff, _ Copies
Building Oificial IP '
Variance
- TOTAL
26.30
Permit No. Permit Hoider Oate Telephone #
WAfER
SEWER
PLUMBING
H.V.A.C.
ELECTRIC
Inspeetion Date Insp. Comments
Footings I
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Fnal Htg.
Fnal Plbg.
Const. Meter Plbg. InspeCtor - Notily Plumber
Engr./Plan
Bldg. Final
Deck Ftg.
Dedc Final
Well RNS-41J7Z 1
Pr. Disp.
CITY OF EAGAN ,
454-8100 ,
DEPT. OF BUILDING INSPECTIONS
Correction Notice
Located at 1 S y 2 i?cl`zc-
I have this day inspected fhis structure and
these premises and have found the following
violations of city codes governing same:
L 7.? /-3 aG r5; e
T
When orrections have been made, please
call 454-8100 for inspection.
D a t e - 22 fKj??
Inspector City of Eagan
DO NOT REMOVE THIS TAG
BUILDING PERMIT
Receipt #
(y 0
12647
U ` r
To be used fur 5F uwG/GAR Est value $ 64+ 000 Date SEPTEMBER 22 19 tf o
SiteAddress 1592 PACIFIC AVENUE Erect C? Occupancy A3
Lot-L_ Block 5 Sec/SuB. liAl$PTON HTS Remodei ? Zoning pI)
Parcel No Repair ? Type of Const Un
. Addition ? No. Stories
6 Name FRONTIER MI DWEST HOAl ES Move ? Length
= Demalish ? Depth 47
; Address 3908 SIF3LEY MEM HWY I
I ? F
S
°
City EAGAN Phone
4 ?' ? _ , ? mpr.
nt.
-- - !nstall
? t.
q.
s
i°
o?
V¢
?
a
F W Name-
? z
Address
z
< W City -
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
Phone
Assessment
Water 8 Sew.
Police
Fire
Eng.
Pianner
Council _
I hereby acknowledge that I have read this application and state thatt gldg. Off._
information is correct and agree to comply with all appli'C?able State
Minnesota Statutes and Ci?y-ofiEagan Ordi n s. : ?' APC
? Var. Date_
Signature ot Permitt
A Building Permit is issued to: FRONTIER MIOWEST HOMES
all work shall be done in accordance with all applicable State of Minnesota 5tatutes and
Building Otiicial-
Name SAME
Address
Permit . 0 C
Surcharge • . OC
Plan Review?T' SC
SAC 575.OC
Water Conn. S O O.O C
Water Meter 63.5C
Road Unit 290.OC
Tr. PI. 156. OC
- I Copie
Total $2, ' QC
- on the express condition that
Eagan Ordinances.
%
WrmM No. PvmN Holder DNS Tdsphons M
PlumbMy 17,78 f
)iO
H. V.A.C. rf 0?? C ?' •? C 3
Elecbie Y 7- C h
So1bnK
Impeetbn DsN Irap. Commonb
Footlnps l `1 8 l? L?
FooNnqs 11
Foundatbn
Frsminy e
RooNny
Rouph Plbp. O•J.j ?
Rouph Hty.
Fir.place '%G G
Final Htq.
Flnal Plbp•
Bldp. FMaI
Cert.Occ.
Ditk Fty.
Dock Fmq.
WNI
Pr. Dlsp.
0 1 ?-995 0 OV
?
rit
?
R uest a
? Q- Fire N. u Insp Repuired ?
(VOU musl call inspector when rea0y) Inspeclion Other Than Fough-In
? PeaOy Naw fl?T@lll Notity InspeMOr
Ves ? No pale Reatl ??
I? licensed contractor ;?*ner hereby request inspection of above elearical work at:
Jab AAtlress (S[reat, Box or Rau1e No.)
S Z Pa?? : C ,?J? City
Seclion No. Township Name or No. Range No. ounry
6
Occupan??PRINT) Phone No.
?' ?isrA
Power Supplier AOtlress
Eletldcal Con[ractor (Company Name) Conhaclor's license No.
S
Mailing Atltlress ( ontracbr or Ovmer Maltin9 Installation)
S m?
ANlwnzetl Sgnalure (GOntracior/Own r Making In}s? IWfion) Phone Number
/(?"?. SL- 33Z5-
MINNESOTp STATE BOAflU OF ELECTNICIiY THIS INSPECTION REQUEST WILL NOT
Griggs-Mitlway Bltlg. - Raom S12B 11111 111 11111 111 1111 111 1111 1111 1111 11111 11111 111 BE ACCEPTED eY THE STATE BOARD
1
16Y1 Unlversity Ava., St Paul, MN 55f09 UNLESS PROPER INSPECTION FEE IS
Phone(612)642-OBOU ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION
? See iretmcYions for?mpleling Ihis fortn on Wck of yellaw copy. ?.?? ?
"X" Below Work Covered by This Request G;y,
Ne A d Rep. Type of Builtling Appliances Wired Equipment Wired
Home Range Temporary Service
Duplez Water Heater Electric Heating
Apt. Building Dryer Load Management
CommJlndustrial Fumace Other (Speci )
Farm Air Conditioner
Olher (specity) ConVactor's RemaM1S: j ?
1
Compute Inspection Fee Below: fJT' (r - 11-M? ?- ?
# Other Fee # Service Entrance Size Fee # CirouitsfFeeders Fee
Swimmin Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 Amps . 9bove 700 -Am s
Si nS inspect r' Use niy:? TOTAL L-V
Irrigation Booms
Speciallnspection
(147
uk
?
Alarm/Communication .?
,a?a
THIS INSTAtLAT10N MAY BE ORD DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, ihe Electrical Inspector, hereby
h
t
h
i
i
b
tl
h Rough- Dalq?r
ove
nspec
cert
ry t
a
t
e a
on
as
been made. F??ai
?• o
OFFlCE IISE ONLY
mi: raquast voia 18 momn: irom L??' j ?
RESIDENTIAL BUILDING
? L(pQ ( Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
w
New ConsWction Reouirements RemadeVReoeirRe?uiremenls . . Offce Use Onlv 3 registered stte surveys showing sq. fl of lot, sq. h. of house; and all roofed areas 2 copies of plan Cetl of Survey Recd
(20% maximum btcaverage allowed) 1 set of Energy CalculaGons.for heated additions Tree Pms Plan Recd
2 copies of plan showing heam & window sizes; poured found design, etc. 1 site survey for addiGons & d?eck?, Tree Pres Not Reqd
1 set of Energy Calala6ons Add'dion - indicafe if on-sde sepfre system,. _ On-site Septic System
3 wpies of Tree Preserva6on Plan B bt platted after 717/93
Rim Joist Delail Optims selecGon sheet (hldgs with 3 or less unAs ?.
Date / 2,/ .S Construction Cost -S U U, p c_;
/ v 3
Site Address ?J?
% ? `?Z / GC.C t ?/G /TuG UniUSte # `
Description of Work S;d r.!.a,
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2
Property Owner 1?G /l+N."S Me ni S Telephone # ( AQ? ) '2 -'? d " ? ? U I
Contractor SELA q00FIN0 & REMODELINO. INC.
Address ST. LOUIS PARK MN 55416 City
State ID 50001050 Zip Telephone #V/Z ) 3` Z- 3'y"
433i.zs
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Calegory 1 Worksheet • New Energy Code Worksheet
(J submission type) Su6miKed Submitted
. Energy Envelope Calcufations Submitted
Licensed Plumber
Telephone # (
Mechanical Controctor
Sewer/Water Contractor
Telephone # (
Telephone # (
_-_ I
I hereby apply for a Residential Building Permit and acknowledge that the information is comp-le e ar -aeeutate;
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 wiYhout a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval ofplans.
!/ 1 2 A?L
ApplicanPs Printed Name Applicant' ignature
?'l2 - Z f 0 777/
S_? (0 S 3 RESIDENTIAL BUILDING
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mu 55122
Telephone # 651-675-5675 FAX # 651-675-5694
(9 a.sg.
Nev Constructlon Reauirements RemodeVReoair Reauiremenfs Office lJse Oniv
3 registered site surveys showiig sq, ft of lot, sq. ft of house; and all mofed areas 2 copies of plan Cert of Survey Recd
(20% maximum lot coverage albwed) i set of Energy Calculatlons for heated addiGons Tree Pres Plan Racd
2 copies of plan showing beam 8 window sizes; poured found desgn, etc. i site survey for addifians 8 detks Tree Pres Not Reqd
1 sN of Energy Calculatlons Addifion - indicafe if onsde sepfic system _ On-site Septic System
3 copies of Tree PreservaUOn Plan if lot platted after 711193
Rim Joist Oetail Options selection sheel (bldgs with 3 or less units
3
Date q l_LQ_ l_(P
0 Coostruction Cost A/
, 3 a5
Site Address i5 -
g a -
P!n C i-F? C n
?7'?% e- ?
UniUSte #
w l^'1l? .55 ?
Description of Work lF.'e 'ioD-P G+ .n- d le,`"-S', t?L
Multi-Family Bldg _ Y Y N Fireplace(s) _ 0 _ 1 _ 2
Property Owner
- vi n 2 a. Telephone #(/o/ ) 7So? S'?o?S
c T : -? r e- -a. a...1 wi c+? S.S Z
Contractor liV So 4-c_
Address /I/?p City (+?i'Ce
State ?. ; n n e_So 4c?,_ Zip Telephone # Qd3 ) 7 SO - ?j' S6jr
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code CategOry , Residential Vendladon Category 1 Worksheet • New Energy Code Worksheet
(+l submission type) Submitted Submitted
• Energy Envelope Calculatlons Submitted
Licensed Plumber (c), ?i ?? t1'1 I? ? II II Telephone #(
Mechanical Contractor 11 'i I II Telephone #(
?Lll ? '-
Sewer/Water Contractor Telephone #(
I hereby apply for a Residential Building 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 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.
A-k
Applicant's Printed Name pplicanYs Signature
. RESIDENTIAL
BUILDING PERMIT APPLICATION
`9 l CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55922
651-681-4675
New Construction Reawremants
• 7 registerea site suneys showmg sq. ft. ;f'.pL sq, fl. uf house; and all roofed areas
(20%maximum lot coveraqe allowed)
• 2 ropies of plan showirg beam S windew ;izes: poured found design. ztc.)
• t ;et of Energy Calculations
. 5 copies of Tree Preservation Plan if lot;iatted after 71193
• Rim Joist Detail Options seiection sheet ;CICgs with 3 or less units)
DATE 7-ib--Oz
Phone #
SITE ADDRESS 1 Z lPa c ??? c- MULTI-FAMILY BLDG YX N
TYPE OF
FIREPLACE(S) _ 0 _ 1 _ 2
APPLICANT L?_dlvxie. )4-t i4rm 3':1
STREET ADDRESS ZPt, c i'(Q c A -) e-- CITY?r STATE/-/k/ZIP SS122_
iELEPHONE # 452 ? 33z ? CELL PHONE # 6(2-- SSa -99`Z6 FAX #
PROPERTYOWNER ?GNh?s ? ff?N s?. TELEPHONE# 5"" ?
-----------------------------------------------------------------------------------------------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MIYVES01':A I2IiLES 7670 C:A"l'I:GORY 1 N(INAi.SO"G\ RI'LL'.S ?G72
(J submission type) . Residential Ventilation Category t Worksheet Submitted . New Energy Ccde Worksheet Submined
• Energy Envelope Calculations Submittetl
Plumbing Contractor: __
Plumbing system includes:
Mechanical Contractor:
Mcckianic>il scstcm iiicludes:
Sewer/Water Contractor:
-- Air Candiuoning
HeaC Rccoccry Sestrm
P'ce: $90.00
Pcc: S70.00
Phone fk
-----------------------------•------------------------------------------------------------
I hereby acknowledge that I have read this application, state that the information is
with all applicable State of Minnesota Shatutes and City of Eagan Ordinances.
Signature of Applicant
CZ-P in `vo ??- ?/1 1
_ Water SoRcncr
Water Heater
No. oF Baths
RamadellReoairReouirements C-01- i
. 2 copies of plan /
• 1 set of Energy Calculations !or healed additions
• 1 site survey Ior zxterior ac2itions 8 decks ?
vC
. Indicaie 7 home szrved oy sepUc system for additions
PllOllf 4
Lawn Sprinller
No. of R.I. Baths
OFFICE i1SE ONLY
VAWATION ??-F ? ?1n0
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
. OFFICE USE ONLY ` • "?
? 01 Foundation
? 02 SF Dwelling
O 03 01 of _ plex
? 04 02-plex
? 05 03-plex
? 06 04-plez
? 07 OS-plex ? 13 16-plex
? 08 06-plex ? 16 Fireplace
? 09 07-plex ? 17 Garage
? 70 08-plex ? 78 Oeck
? 11 10-plex ? 19 Lower Level
? 12 12-plez Plbg_Y or _ N
? 31 New ? 35
?` 32 Addition ? 36
? 33 Alteration ? 37
? 34 Replacement
Valuation -?z?-?-
r
Census Code
SAC Units
Nbr. of Units
Nbr. of Bldgs
Type of Const
*11% 20 Paal
? 21 Porch (3-sea.)
? 22 PorchlAddn. (4-si
? 23 Porch (screened)
? 24 Storm Damage
? 25 Miscellaneous
? 30 Accessory tBldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi
Int Improvement ? 38 Demolish (Interior) ? 44 Siding
I i
Move Bldg. ? 42 Demolish (Foundation) ?, 45 Fire Repair
Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors '
'Demolition (Entire Bldg only) - Give PCA handout to applicant Occupancy -KJt---fn,4 MC/ES
Zoning City Wa
Stories Booster
Sq. Ft. PRV
Length Fire Spr
W idth
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footings(deck) FinaWo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Othzr
Roof Icz & Warer Final ? Pool ? Ftgs --/AidGa
_ Framing _ Siding Stucco Stone
Fireplace
R.I. Air Test Fina] Windows (new/replacemenq
_
_
_ Insulation ? Retaining WaII
Approved By?
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Suroharge
Treatment Plant
Plum6ing Permit
Mechanical Permit
License Search
Copies
Other
Total
0.? -0 L,
'x-
Building Inspector
?
, ?019
?
? !..'
POOL PERMIT - APPLICATION SUBMITTAL REQUIREMENTS
?
?
GENERAL INFORMATION
V
S4 ¢ q
a `z ¢
[l ?? Applicant - name, address, phone & fax numbers, signature
ud/ ? ? Properiy owner name
?? Legai description and address ofproperty
? ? North arrow, scale (1" = 30' or 40') and date
0?? Location and name of ail streets adjacent to property
Q?? Site Plan drawn to scale showing location ofhouse, pool and other existing or pmposed
-/ structures
Ud ?? Dirertional drainage anows (existing and proposed)
EIEVATiONS
Exfstina
UL/ ? ? House corners
Gd ? ? Property corners
? ? On properiy lines at point of ineasured dimension to pool (see below)
Y ?? If appiicable, ground elevation at each end of retaining walls and at wall's greatest height
Provosed
U ?? Finished poot deck comers
El' ?? Top of retaining walls (if any) and at each different elevation (if it changes)
fidl ?? Pool bottom (or max. depth)
Existina
d ? ? All property/lot lines
Prooosed
OI-/? ? Pool _
L?J /? O Pool plus integrated deck/patio
O' ?? Shortest distance from outside edge of pool deck to lot lines and house
Reviewed:
Date
G:/1'ECH/SR20027Pool PerntitChecklin
'' 810 MA
suqvevINo
8ERVICE9
3908 Sibley Memorial Hfghway
Eagan. Minnesota 55122
Phone: (612) 452-3077
f
?
Modelr STAFFORD
\
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wl•
.' ?\3q'?,'1,9?? ? ??? \
SCALE, 1"> qp'
?
.1 g.ab
N89°3729"W
, ? //
i=I !_/-1 ??. i\ !-? i 1 t'?? f\
NO SE CERTIFICATE FOR:
? NOMEPVlIOFFP1
? IANp(IFVELqPfnS
? HfAlIU11S
....¦
ONTIES COMPANIES
'.:+ i_ L= N
r ?
?-
??
-,
,
i:ccs
??
C1? ! ?
rM
>>
P
- ,-p
?
?.-
?6g 1 A
-
`
? .".. ,, e,,.
? .
-LEGEND
0 Denotes Iran Warnunent
° Oanotes Wocd Nub Sef
,e.s.o Denotes Existirg Spot Elevation
(xs?i,own) Nnofes Proposed Spot Elevatian
`---- Denotes Drainage Dirtctim
-PRDPERIY DE9GRIPiIQV-
LOT_L BLOCK 5_
IIAMf'TON NtlGlli^
ar,r,MIJIRg 1n Ily fK.IX4MI PIlII fhRreof,
"_.?.:'- :nr•y r -r?rc-^•
PROPOSEO GARAGE FLOOR ELEVAT ION= B7B.0 ?
PFOPOSED Top of 81ock EL£VATION- 8 78.3
PROPOSED BASE+YENi FLOON ELEVATION- 875.3
w/o
NOTE: Verily all floor heights Mifh Finel House Plans.
IFI
1 Fvreby certify thet this survey, plan or report
res prepered by nr or uMer nry direct supervrsian
erd thaf ! em e duly Regrsftred Lerd Surveyar
i/Iy)or IM fowl e1 IM Sfale e/ Yimrfnla.
.1? J,/wrv
MAI
¦.y. c ?.ar+aw, r«w.
. " 2004 RESIDENTIAL BiTILDING PERMIT APPLICATION
' City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction ReauiremenGs RemotlelRteoair Reauirements
3 registered site surveys showiig sq. ft. of lot, sq. R of house; and all roofed areas 2 mpies of plan Q"
(20%mapmum lotcoverage allowed) 1 set of Energy Calwlations for heated addiUOns ree P`":. ?'°?^
2 copies of plan showing beam & window s¢es; poured found desgn, etc. i site survey for addNOns & decks ?? i ?,??' ?"? • N?
1 sel of Energy Calculations Addifion - indicate if on-site sepfic sysfem
3 copOs oF 7ree Preservation Plan if bt platted after 711193
Rim Joist Detail Options selection sheet (bldgs with 3 or less units
Date S/
5 /
A:? y Construction Cost ? d o
-
Site Address /?
_
?? !r /G UnidSte #
Description of Work jCw ?/'ow
Multi-Family Bldg _ Yg N Fireplace(s) _ 0 _ 1 _ 2
Properry Owner pGr'?N I T ?s rLS ?1 Telephone # (C/ 'r-
Contractor `''ELA ROOFIll1` Kz FtEM
ODFLIR*
g?n
r
Address 4100 EXCELSIOR BLVD, ,
city
State ID #OOOlOKO Zip Telephoree # 007 ) j"Z
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Energy COde Category , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(J submissian rype) Submitted Submitted
. Energy Envelope Calculations Sudmitted. '
Have you previously constructed a building in Eagan with a similar plan? _ Y
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
N If so, 25% plan review
m
I hereby apply for a Residential Building Permit and acknowledge that the info tion is complete 'dfi accurate;
that the work will be in conformance with the ordinances and codes of the Ci Yof Eagan and the St te of MN
Statutes; I understand this is not a pertnit, but only an application for a permit, is no o s without a
pemut; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of lans.
t z /V- eVot?
ApplicanYs Printed Name ApplicanY ignature
Telephone #(
Telephone #(
1 -6&?
2oas RESIDENTIAL PLUMBING PeRMiraPPUCarioN
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-6755675
Please complete for modifications to existing residentiai dwellings.
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The Appllcant Is: T Owner ConVactor _Other
Septie Syrstem _ New _ Refurbished SubmR 2 sets of plans arxl MPC license Indudes County fee
$ 100.00
Per as-buiR $ 10.00
Alterations to existing dwelling $ 50,00
_ Add plumbing fixtures. This fee indudes installation of a water softener and/or water
heater at Vie same time. If you are installing on a water softenei an!/or water
heater, do not complete this section; move to the next section and check the
appliance(s) you are installing.
_Septic System Abandonment
_Water Tumaround (add $130.00 if a 518" meter is required)
Other:
Water Softener _ Water Heater $ 15.00
_ new _ replacement
Lawn Ircigatlon _RPZ .? PVB -$-new _repair _rebuild $ 30.00
State Surcharge $ .50
T
tal $ 30 ,W
o
I herreby appty for a Residential Plumbing Pertnit and acknowledge that the infortnation is complete and acxurate; that the
woric will be in confomiance with the oNinances and codes of the City of Eagan and the plumbing codes; that I
understand this is not a pertnit, but only an application for a permit, wortc is not to start without a pertnd and work will be in
accotdance with lpfie approv? plan in ttie event a plan i i to be and_approve .
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AppiicanYs Printed Name ApplicanYs Signature
1
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 1592 Pacific Ave
Lot: 7 Block: 5 Addition: Hampton Heights
PID:10- 31900 - 070 -05
Use:
Description:
Sub Type: e- Windows/Doors
Work Type: Windows/Doors - New/Replacement
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Pella Windows & Doors Turnkey Sales
15300 25th Ave N #100
Plymouth MN 55447
(763) 745 -1400
Applicant/Permitee: Signature
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
- Applicant -
Construction Type:
Occupancy:
Carbon monoxide detectors are required by law in ALL single family homes.
$88.50
$1.50
Total: $90.00
Owner:
Dennis M Honsa
1592 Pacific Ave
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
0801
9001
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
Building
EA091561
10/12/2009
ePermit
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA118674
Date Issued:11/06/2013
Permit Category:ePermit
Site Address: 1592 Pacific Ave
Lot:7 Block: 5 Addition: Hampton Heights
PID:10-31900-05-070
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
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 -
Dennis M Honsa
1592 Pacific Ave
Eagan MN 55122
(651) 452-3325
New Exteriors By Sma Inc
10701 93rd Avenue North, Suite E
Maple Grove MN 55369
(763) 315-8900
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA150882
Date Issued:07/27/2018
Permit Category:ePermit
Site Address: 1592 Pacific Ave
Lot:7 Block: 5 Addition: Hampton Heights
PID:10-31900-05-070
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 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 -
Dennis M Honsa
1592 Pacific Ave
Eagan MN 55122
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature