1601 Pacific AveaLDG. PERMIT N0. U
01-3210 Bl ?g. Permit
01-3422 Plan Check
01-3445 5urch./Adm.
01-3446 SAC/Adm.
01-2155 Surcharge
17-3860 Road L3nit
20-2275 SAC
20-3$65 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.
11-3$55 Park Ded.
?
TOTAL ,-.? ? <-< I ?-
? CASH RECEIPT ?
CITY 4F EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
, DATE L 19
?
aeeervgo .. . ' u?
FROM ^
AMOUN7 $
DOLLAR$
1 oo
E]CASH D CHECK
ThankYou
BY
. 55963 -
- White-Payars Copy
Yellow-Posting Copy
Pink-File Coav
. .. „ ? _ ?- ,. ...,r. . _ . ?
• • CITY OF EAGAN '? _ 0 12 5l0
3830 Pilot Knob Rosd, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-5100
BUILDING PERMIT Receipt #
SF DWG/GAR $64 ,ODU A[7"UST 25
86
To be used tw Est. Value Date 19
5ite Address
1601 PAC I F I C
AVE
Erect
?
Occupancy K 3
Lot 21 Block 4 SeC/Sub. HAMpTON HZ'S Remodel ? 2oning pp
Parcel No Repair ? Type of Const Vn
. Addition ? No. Stories
pKaNTI ER MlD iiiEST HOM ES Move ? Length 4 0
W
= Name 3908 S IBLEY MEM HWY , BLDG E Demoiish ? Depth 47
o Address
45
?
4-0433 Int Impr. ? Sq. Ft
city Phone mstall ?
Z o Name SAME
0 0
-c Address
~ City Phone
F W Name-
? ? Address
< Wz
City -
Assessment
Water 8 Sew.
Police
Fire
Planner
Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe B?d9
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances. APC.
Permit _
Surcharge
Plan Revie
Water Conn. Juv•
.
Water Meter 63.
Road Unit 290.
Tr. PI. 156.
Var. Date I Copie
Signature of Permittee "iRONTIER'' MI?DUi`_.SZ' HOt-TI:S Total - ' S2104.00
A Building Permit is issued to: on the exPress condition that
all work shall be done in accordance with all
Building
?ta Statutes and City of Eagan Ordinances.
Pormft No. ParmH Hdder Dda Tolaphone k
PlunMbin?
N.V.A.C. 7 O 17 Q
eiectric o /0J:23 I8 . V1700
sonw..
Inspecfion Date Insp. CommsMs
Poowq. I ?Y Ylo ??
Footlnys II
Foundstbn
Framiny
Roo"
Rouyh Plbp.
Rouph Hty. s ?
Insul.
Firepisee
FInN Htp.
Final Plby
&dy. Final
Cerl. Oee.
Dock Ftp.
Dsek Fmy.
WNI
Pr. Disp.
?
• , . .
Site Add^ess °
Lot r2 / Biock
m Name _
? Address
c City _
? Name ? .'
c Address
0 City r,
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
RAT
PLUMBiNG PERMIf
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121
PERMIT # RECEIPT #
DATE '
BLDG.TYPE
Sec/Sutr
u
' Res.
Mult
Comm.
WORK DESCRIPTION
New h
Add-on
Repair
NO. FIXTURES 7pTAL
Water Closet - $3.00
T_Bath Tubs - $3.00
t
$3
00
T-L
r S . `
=? • ? ' `?
ava
.
o
y -
Shower - $3.00
= -
-
'-
Kitchen Sink - $3.00
Urinal/Bidet - $3.00
7-Laundry Tray - $3.00
-
?
Floor Drains - $1.50
I
7-
`
Water Heater - $1.50 ? -
Whirlpool - $3.00
T_Gas Piping OuUets - $1.50
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
?Rough Openings - $1.50
FEE
STATE S/C:
GRMID TOTAL• ' ?
1'. . .? . . . . . . . . a ' . ... - . . .. :
PERMIT #
MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EA(iAN, MN 55121 DATE: EO/W86
CONTRACT PRICE $1115. 00 PHONE 454-8100
Site Address
Lot Block
m Name WLiVGGL ru.t.
m Address jbUO Keune
c Ciry `;;ly'an
? Name _
c Address
p City _
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent
Gas Piping Ouddts #
Other
M BTU
M BTU
M BTU
M BTU
CFM
FEE
S/C:
TOTAL•
$26.00 II
BLDG. TYPE WORK DESCRIPT'ION
Res. New
MuR Add-on
Comm. Repair
Other
FEES
RES. HVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
ADDITIONAL 6 M BTU - 6.00
GAS OUTLETS - 1.50 EA.
COMM/IND FEE - 196 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)
SIGNATURE OF PERMITTEE
FOR: CITY OF EAGAN
CITY OF EAGAN ± 9 $
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PH O N E: 454-8100
BUILDING PERMIT Receipt #
To be used for ` 1 t Est. Value Date ? ,19
SiteAddress s?`"? ?'?? 1'• '? ?'? ? OFFICE USE ONLY
Lot ? Block SeC/Sub. On Sfte Sewaye Occupancy
MWCC System Zoning
Parcel No. On Site Well (Actual) Const
ac Name `•?f•v I:! &':`1 . i 1^ !+l',I.LI BEK City Water (Allowable)
z Address 1601 PAC 1 F:? ' E PRV Required * of Stories
0 City E"A'N Phone "57'231t; 45l-•aj11 BoosterPump Length
m
z°
pU
v?
?
Name _
Address
City _
FQ
?W
yU Name_
W
F
Address
U
`W City_
Depth
S.F. Total
Footprint S.F.
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.
Signature of Permittee
A Building Permit is issued to: Z. '' i C. 101, iA • L I,Ll BF K
on the express condition that all work shall be done in accordance with all
applicable 5tate of Minnesota Statutes and City of Eagan Ordinances.
Building Official_ _
APPROVALS FEES
Engr./Assess. Permit
Planner 5urcharge
Council Plan Review
Bldg. Oft. SAC, City
Variance SAC, MWCC
Water Conn.
Water Meter
Road Unit
Treatment P1
P
k
ar
s
TOTAL
Permft No. Permit Hotder Date TNophone t
Plumbing
H.V.AC.
Electric
Softener
Inspection Date Inap. Comments
Footings I
Footings II
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Final Plbg.
Bldg. Final
Cert. Occ.
Temp. LP
Deck Ftg. -7
Deck Final zrj
Well
Pr. Disp.
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number.
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: , „ l: 1 b L ,,,.; K ,
I - ?' I i'„l I , , ? AvE
11i11M1' I ?1N i!1 1 1,11 i'.
PERMIT SUBTYPE:
, 1. ?
4
KE:t IHtk rIAVru
(612) 4!b1 -1 32f,
TYPE OF WORK:
.
_ ,.
y ..
PermK No. Permit Nolder Date Telephone #
S/VN
PLUMBING
FfVAC
ELECTRIC
ELECTRIC
inspection Qata lnap. Comments
Footings I
9
'/-?Y
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Orsat Test
Finai Plbg. Plbg. Inspecta - Noti(y Plumber
Const. Meter
EngrJPlan
Bldg. Final
Deck Ftg.
Deck Final
Well
Pr. Dlsp.
CITY OF EAGAN
3830 Pilot Knob Road
P. O. Box 21199
Eagan, MN 55121
Zoninp: _
No. of Units;
OwnsC "rc-n! 1 ar
/lddress: ^. ,
Site Mdrcss: 2 •-
js
Plumber: .;; .
?.nn.. to aoswly wih 16w cdhr oi a/e¦ con.wctron charge:
OrrlMwur. /lccouit Deposit:
WmnR Fes:
Surdwr+pr.
By
Date of Insp.:
CITY OF EAGAN
3830 Pllot Knob Robd
P.O. Bax 21199
Eagan, MN 55121
Zoning:
Mist. Charflm
Tatol:
Doh Pald:
WATER SERVICE PERMIT
PERMIT NO.: 8072
DATE: 1 0-2t?-<<(
No. of Units: I-
Ownec !"roAtier Midveat
Address:
SiteAddess: 1501 Pacific Avenue L21 E4 TlamFton ueighta
Plumber: Star Plu*.nbiil;
Meter No.: Connection Charge: 5{??7 •?.?c??_
S1ze: ?t?
C'
Account Deposit: 15
_
R
Reader No.: Permit Fee:
I agree io comply wRh the CNy of Eagan Surcharge:
Ordinances. Misc. Charges: I56 .00nd TP
TotaL 5n a e*e,.
BY Date Paid:
Date oi Insp.: Inso,:
j CITY OF EAGAN ,
iNATER SERVICE PERMIT
3830 Pilot Knob Rc`8d
I P.G. Box 21199 PERMIT NO.: 907?
? Eagan, MN 55121 DATE: 10-20-86
? Zoning; ri No. oi Units: 1
Owner:
Address: -
Site Addess:
Plumber. -
Meter N4.: y
1-1 -gL34-
Sfl0 1?f1,,,?_
? S i1f1..?1
Reader'No.: ? 9771 6CIU1 c .,ba•..? ?6 tSG,
- ??WK'e:- 10, nflpd
I agree to comply with the Cff gan S h LAIAl 5Qr
Ordinances. RE?UtRF?`?. ?ges: 156. OOpd TV
Total:
BY ! Date Paid; r
Date of Insp.: ? Insp,;
/ 2 - ?- ??
Th;s dq as oid ???3/?? C?7 7 3 3
18 rrqnlhs.lrom
C?5U Z M- a\, a3 ?? , ??a??-, a k: ??, t?l ?-,? -3 y7.0 0
Rep_ est Date ?.
? Fire No. Rough-in Oection
Requir
es ?No
Ready Nuw aAVfT1?NOiify Insoec-
?
mr Whe
n Reody
LyLicensetl Elecvical Contractor I heraby requesf insoection ot ebova
?Owner elecbicel work installed at: -
She t AQdress,?oz or Nw ?
?? v Ciry? ^? 1
-- ?
,
e tion o. To nshi0 ame or No. Ranee No. Coun1
Occu - t IPP
I cr1?S P N
5P -U
Pow¢r u001iar Atldress
Electncal ConVactor 1 omoanv Name) ontract r's License No.
S..IEUntsaG i. king InstallatioN
4.", ?'K LANE ?
Aur?o?pp s?n }t?rR CGn racFOr O ,ry Ilation? Phone Number
MINNESOTp STATE BOARD OF ELECTNICITV THIS INSFECTION PEQVEST WILL NOT
GnO9a-Mldway BIdO• - peom N-791 BE ACCEPTEU BY TME STATE eOAND
1.¢21. Univeraitv Ava.. St. Poul, MN 66104 UNLESS PqOPEP INSPECTION iEE IS
,
Phone (612) 642-0800 ENCLOSEO,
REQUEST FOR ELECTRICAL INSPECTION jVW, EB-00001-05
See inshwtiona tor completing this form on baek Of vellow copy. ?77 j-?
?cz n7CA "X" 8elow Work Covered by 7his Request
Equiumenl Wired
lO V0l02dP.,
dk Milk Tan
k Fee SarviceEntmnceSize B Fee Fexders/5ubfaetlera il Fee Cfrcuib
0 to 200 qm s 0 to 30 Am s •B tn 30 Am
Above 200 Amps. 31 to 100 Amps ? / ftl to 100 Amps
Swimmin Poot Above 100_Amps Above 100_Am
Transiormer5 Irripation Booms Partial-'Other Fee
Signs Special Inspection SD
TOTAL F ?
emarks
Rouph-in r Oate
I, iha E ecfrica
U_?U ?nsoecto abv
tnai cna anoYa
Finel 4 ?.'??e A 7 ?aDeetion has been
mhrequeatvoitl
CITY OF EAGAN N2 15 2 9 8
3830 Pflot Knob Road, P.O. Box 21 •199, Eagan, MN 5 5721
BUILDING PERMIT PHONE:454-8 100
p,a ?
d
5W
Receipt # ?
Tobeusedfor DECK Est.Value $1,000 Date JULY 5 ?y88
Site Address 1601 PACIFIC AVE OFFICE USE ONLY
Lot 21 Block 4 Sec/Sub. HAMPTON HEIGHTS On SiteSewege _ Occupancy
MWCC System _ Zoning
Parcel No.
On Site Well _ (AC}uap Const
e Name DAVID & VICTORIA HELLISER Ciry Water _ (Alloweble)
w
z
Address 1601 PACIFIC AVE
PRV Repuired
# of Stories
o City EAGAN phone 457-2330 451-8611 Booster Pump _ len9th
Dapth
, p Name SAME s.F.7otal
00 Address FootprintS.F.
? City Phone qPpROVALS FEES
w W Name Engr./Assess. Permit 2?F.00
t z
i .
Address Planner
- Surcharge • 50
aw City Phone Council PlanReview ___
BIdg
Off SAQ City
. _
.
I hereby acknowledge Mat I h this appli tion and state that the Variance SAC, M WCC
iMormation is correct an ree to ith OPI' able State of Water Conn.
Minnesota Statutes and of Eagan ds
Water Mefer
Signature ot Permittee Roatl Unit
A Building Permit is issu d to:_ AVID &-VIC $ZA-$ ER Treatment Pt
ontheexpresscontlitionthatallworkshall6edoneinacwrdancewithall -----
applicable State of Minneso
ta
Statutes antl City of Eagan Ordinances. Parks
X
f
Building Official_?Ii1
Al? I ?? TOTAL 24.50
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Boz 21-199, Eagan, MN 551 , Np 12 510
PHONE:454-8100 (oj
BUILDING PERMIT rteceipt p
7obeuaedfor SF DWG/GAR Est.value $64,000 oate AUGUST 25 19 86
SiteAddress 1601 PACIFIC AVE Erect 7L Occupancy R3
Lot 21 Block 4 Sac/Sub. HAMPTON HTS Remodel ? Zoning PD
Parcel No. Repair ? Type of Const. V{}
Addition ? No. Stories
Name FRONTIER MIDWEST HOMES Move ? Length 40
w 4']
o Address 3908 SIBLEY MEM HWY, BLDG E Demolis?nt.lmpr.h ? Depth
? Sq.Ft
city EAGAN phone 454-0433 Instell ?
a SAME Aoorovels Fees
i F Name
? ¢ Address
? CiN Phone
U Q
W W
r
u?
Q W
a
Assessment
Water & Sew.
Police
FIfB
Address Eng.
Ciry Phone
Planner
Council
Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe B?dg.Off
information is correct and agree to comply with all applicable 5tate of
Minnesota Statutes and Ci of Ea an Ordinanc s. APC-
Signature of Permittee ?ln-? Vai
A euilding Permit is issued to: '?-RONTIER MIDWEST HOME$
all work shall be done in accordance with all applicable§Aate of Minneso"Ia3Ra
Permit $ 325.00
Surcharge 32.00
Plan Review 162. 50
SAC 575.00
Water Conn. 500 . 00
Water Meter 63 . 50
Road Unit 290.00
rr. PI. 156.00
Date I Copies
7otal $2.104.00
on the express condition that
tes and City of Eagan Ordinances.
Building
I PERMIT
8008 RUIDERTIAL blECfiAR1CAI. PERbi1T APPLIClkTION
crrY or gweax
3$30 PILOT KNOB RD
EE18AN bIN 55122
651-681-4675
Please complete for: ? single family dwellings
townhomes and condos when permits are required for each unit
/
Date: 7/ 16/02
SITE ADDRESS: 1601 Pacific Ave
OWNER NAME: /i ori a MPCi n0ar TELEPHONE #: 651 -457-4p,q6
INSTALLER NAME: Spriqgs Plumbinq & Heating Co. , IntELEPHONE #: 651-224-5616
STREET ADDRESS:
CITY:
?s 3l --?) I
CITY USE ONLY
RECEIPT DATE:
St. Paul
STATE: MN ZIP: 55107
Place a check mark next to the permit work type
Add-on, modification or alteration to existinq dwelling unit $ 30.00
• furnace replacement
• air exchanger
• air conditioner
• other
Nature of work: Gas piping to pool heater
n
tate urchar e 0
Total
124 Eva Street
$30.50
I ATURE OF PE EE
uo?
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-881-4875
Naw ConsVUCtbn Renulraments
. 3 registeretl sRe sunreys showing aq. lt. of bt, sq. tt. of house; arM aII roofetl areas
(20% maximum bt coverage allowed)
. 2 coples of plan showing beam & window sizes; poured found design, atc.)
• 1setWEnergyCakulatbns
• 3 coples of Tree Preservatbn PI2n J bt platted after 7/1/93
• Rim ,bisl Detail Options seleclbn sheet (bWgs wHh 9 or less units)
DATE ?Z G2-
TT_
a 73, cRf-
Nemodellli@palr Reguirementa
. 2 capies ol pl2n
. 1 set of Energy Cakulatlons for heated addhions
• 7 si[e suNey far merbr addlllons & decks
• Indirzte'rf home served hy septic system tor adtlitbns
VALUATION `lo, Gt?& ?
SITEADDRESS ??UI P?CIF{L ITVQ/1.?? MULTI-FAMILYBLDG _Y _N
TYPE OF WORK S? ? rMM 1?I'r? '?oOL FIREPLACE(S) _ 0_ 1_ 2
aPPUCnNr 11?rtz?r n? ?n c.? fw(-d
Z12W STATE ?/?21P `S
STREET ADDRESS ???V U-)00j"IX6, J?R CITY&
TELEPHONE 46 -73I -3NU CELL PHONE #W-Z76- 30S FAX # h-5-1 - 73/-K-3 7-Z
PROPERTYOWNER DaW,I`I TELEPHONE#
------------------- --------------------------------------- -------------°--
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RUI,FS 7670 CA1'EGORY 1
0 submission type) • Residential Ventilation Category 1 Worksheet Submittad
• Energy Envelope Calculations Submitted
Plumbing Conhactor: __
Plumbing system includes:
Mechanical Conhactor.
Mechanical system includes:
Sewer/Water Conhactor:
Phone ri
I hereby acknowledge ThaT I have read this application, state that the rmatlon is correcr nd agree to comply
with all applicable State of Minnesota Statutes and City of Eagan di nces.
r ?
Sigrwture of AppliCa t
Phone #
_ Water Softener Lawn Spruikler Fee: $90.00
Water Heater No. of R.I. Baths
No. of Baths
Phone #
Air Coriditioning Fee: $70.00
? Heat Recovery System
---°_........._........._._._........._._-----°-----Y..r..._.. .?..r
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
uPdacea 4102
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex
? 02 SF Dwelling ? 08 06-plex
? 03 01 of _ plex ? 09 07-plex
? 04 02-plex ? 10 08-plex
? OS 03-plex ? 11 10-plex
? 06 04-plex ? 12 12-plex
? 31 New ? 35
? 32 Addition ? 36
? 33 Alteration O 37
O 34 Replacement
Valuation 1 [S,Pd0
Census Code
SAC Units
Nbr. of Units
Nbr. of Bidgs
Type of Const ?r 1V
? 13 16-plex
? 16 Fireplace
? 17 Garage
? 18 Deck
? 19 LowerLevel
Pibg_Y or _ N
? 20 Pool
? 21 Porch (&sea.)
0 22 Poroh/Addn. (4si
O 23 Porch (screened)
? 24 Storm Damage
? 25 Miscellaneous
? 30 Accessory Bldg
? 31 Ext. Aft - Multi
? 33 Ext. Alt - SF
? 36 Multi
Int Improvement ? 38 Demolish (Interior) IO 44 Siding
Move Bldg. ? 42 Demolish (FOUndation) IO 45 Fire Repeir
Demolish (Bldg)* ? 43 Reroof O 48 Windows/Doors
'Demolition (EMire Bldg only) - Give PCA handout to applicant
Occupancy MC/ES'
Zoning City Wa
Stories Boaster
Sq. Ft. PRV
Length Fire Spr
W idth
REQUIRED INSPECTIONS
_ Footings(new bldg) _ FinaVC.O.
_ Footings(deck) FinallNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof Ice & Water Final ? Pool ? Ftgs 4 AidGa
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
Insulation _ Retaining Wall
Approved By
------------------------------------------------------------------?
-----------------------------------°
Base Fee
Surcharge
Plan Review pon?
MC/ES SAC
City SAC
Water Supply & Storege
S&W Permit & Suroharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Building Inspector
Total
POOL PERMIT - APPLICATION SUBMITTAL REQUIREMENTS
?
?
.? GENERAL INFORMATION
o z a
5 U
/?? Applicant - name, address, phone & fax numbers, signature
-/ ? ? Property owner name
Ud/ O? Legal description and address of properry
C?'/ ?? North arrow, scale (i" = 30' or 40') and date
C?' ?? Location and name of all streets adjacent to properiy
?? ? Siie Plan drawn to scale showing location of house, pool and other existing or proposed
structures
af/ ? ? Directional drainage arrows (existing and proposed)
EIEVATIONS
Existina
?
/ ? ? House comers
_
0 ?
C
1 ? Propem corners
, ?
3 ? On property lines at point of ineastsed dimension to pool (see below)
C? 0 ? If applicable, ground elevation at each end of retaining walls and at wa(I's greatest height
Prooosed
Cd' ? ? Finished pool deck corners
? CY ? Top of retaining walls (if any) and at each different elevation (if it changes)
? ? ? Pool bottom (or max, depth)
DIMENSIONS
Exis in
/
0
? ? All pmperty/lot lines
Prooosed
? ? Pool
? Pool plus integrated deck/patio
Fa U Shortest distance from outside edge of pool deck to lot lines and house
Reviewed:
Name
s=2-o
Date
G:lCECH/JR 2002/Pool Percnit Chccklist
`
?' (
? vtd 1" ll( r- Fa*? ,. A' C?-
Aa
" t cs ( OD ?n 1 . o , ?
? st2i
p ?5 ?- , y - •s?= ?3; °:'-? va
d
^?
sx
t
l4
? g ,
kC', .
(?`(
,x, .
Z ?
v
{
.
.
.....__
..,.._,._ ...
..........
.
?
N .. ?\
?
I
{F7h
'S{'?l 4- it{
?
+qH Ar
L
4-
4- 1'' °
ci
.
?D
. . ... . .. . ... .... _ _ . .._.__._ ._. __ __
,
--
- ?
--
--
- 6b
-
,
__
_ _-
---
- -- - -
?
I _ t n ._.. . ,._. _ _-- ? /
t I 2:?..
`>
81C3MA
c)
BU CERTIFICATE FOR;
FiVEYI NO
9ERVICE6
3908 Sibley Memorial Highway
\ Eagan, Minneaola 55122
Phone: (612) 452-3077
- -- ?,
? • _, , .? w? ? W' .?.f?
- - ??? -
SCAI.E
?.?
S i 0-
! ?
fgNc E? '41
?,
Lt: ; t'L
3:9
or F§e4Wnirsg Walt WO
@e Required
Q
,o
?
,
9..?
/ e/70
? X
L-'i'r ; LJ
L:J
R? h.`? ?r. aV r o?
pA?4I?94.a??` . ? •xS10.0
v
_UE
Sb9 0 ` ry
1
do L"?A-r+? ?CS ? ? 1 s
4boc-'-D?C?L 24 2 C'?nc!'??E
Fc'1 Kor?53E2Cr
_LEGEND _
0 Oenotes fron Maxnrni
m Otrwfes Noai HLb Set
Ks6g.0 Aenotes Existirg Spot Elevation
(x +?? 1 Disnotes ProposeA Spot Elevat ian
,.--- Denotes Qrainege Direction
-PNOPERIY OESCRIPfIW-
L01-21 . &(XK _4
HAMPTON [iEIGHTS
accardirg to fhe recorded plaf theroof,
Ca.nty, IVimesota
? OW
?N
`
? 0 .I.
? cv ?c
z .?A
N
a
?
WAYNE D.
CORUEu
- 14675 -
NoMe eun na As
? UN[I OEVElO1f R9
R pE4tTURi'
?
p
$' GOMPANtES
MODEL: STAFFOQ,D
Y
,?-
,
1-t s,
?> >
I LI T-f
LO"r 2I,??,2Z
?y: ? ? ;.::, ;.
?
• d,
. •V , ' -
_ o
? •C Iv?
PROPOSED 6ARA6E FLOOR ELEVATfON= S'70s
PkOPOSED Top ol 8fock ELfVATfON- 870•e
PRdPOSEO BASEMENT fL00R ELEVATlONn 86T.sL
JrOTE: Verify all floor heights.wifh Firol House Plsna. :
zfmEYi0R5 t?RTIFfCATlCNI-
1 hereby certify thet this survey, plan or roporf
was prepered by me or wxfer nry Eimt supervisim
ard thet 1 em a duly Regisfsred Lsrd Swveyor
wd r the laws of the State of Mimesofa.
?? ? ?-.. Dete: $I18 r86
Nayne . Cordes, Minn. Reg. No. 14575 ?
ycl c/ 7 /
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675
New Conatructlon Reauirements
• 3 registered site surveys showing sq. ft. of lot, sq. ft of house; end all rooted areas
(20% mazimum lot cwerage allowed)
• 2 copies of plan showirg 6eam & windav s¢es; poured found design, elc.)
• 7 sel ol Energy Calculations
. 3 copies of Tree Preserva6on Plan if lot platted after 711193
• RimJolstDetalOptionsselecAonsheet(bldgswilh3orlessunits)
IZ '6 I6 Z
DATE _3
JOB SITE
rR-C, i -?"c
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNE
'??? `+--t ?T_
RemodellReoair Reauirements
• 2 copies of plan
• 1 set of Energy Calculations for heated additions
• 1 site survey for eztenor additions & decks
. Indicate'rf home served by seplic system (or additions
VALUATION4 a3, o"0
TYPE OF WORK?p t??j `. S«Yi6c ? FIREPLACE(S),X 0_ 1_ 2
APPUCANT?? PHONE#65 /-°/f3
ADDRESS afKGI 2? GiF -ST ,/'?0512 t!k & tn., w ZIP CODE
PAGER # CELL PHONE # & Fr 3 FAX # 6S I-
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
_ MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumbing Contractor: _
Plumbing Syslcm Includes
Mechanical Contractor:
Mcchanical System Licludcs:
Sewer/Water Contractor:
Water SoFtener
_ Water Hcater
No. of Baths
Air Conditioning
Hcat Recovery System
Phone
Fee: $90.00
Fee: $70.00
All above information must be submitted prior to processing of application. MAR 2 8 2002 U
I hereby acknowledge that I have read this application, state that ihe information is uorrect, aee to c ply
with afl applicable State of Minnesota Statutes and City of Eag n Ordinances. BY
Slgnature of Applfcant ?
Certificates of Survey Received _ Tree Preservation Plan eived _ Not equired _
Updated 2002
Phone #:
Lawn Sprinkler
No. of R.I. Balhs
Phone #
• ??
, KELI:VER
1986 BQII.DZNG PERFIIT 9PPLICATI08 - CITY OF E9GAN
AOYE: ALL COP?RACTppS NQST BS LICBNSED 1iITH THE CITY OF EAGA9
COHIlERCI9L SINGLS FAMLY DWELLINGS
INCLUDE 2 SETS OF ARCHITECTURAL INCLUDE 2 SETS OF PLANS
& STRUCTORAL PLANS, 1 SET OF 3 CERTIFICATES OF SURVEY
SPECIFICATIONS AND 1 SET OF 1 SET OF ENERGY CALCULATIONS
ENERGY CALCOLATIONSJ -
$2,000 LANDSCAPE HOND
? ?"'
000`
To Be Used For: Single Family _ Valuation: ? Date: 9-20-86
Site Address 1601 Pacific Avenue OFFICE DSE ONLY
Lot 21 Bloek 4
Parcel/Sub Hf1MPTON HEIGHTS
Owner _Kelliher, David & Victoria
Address1013 Hall Avenue
City/Zip Code West St. Paul, MN. 55118
Phone 455-0678
Contraetor FRONTIER MIDWEST HOMES
Address 3908 Sibley Mem. Hwy. Bldg. E
City/Zip Code Eagan, MN. 55122
Phone 454-0433
Areh. /Engr.
Addcess
Erect ? Oecupaney ?
Remodel + Zoning f'[
Repair _ Type of Const -_VN
Addition # of Stories
Move _ Length ?
Demolish ` Depth A-7
Int.Impr. Sq Ft
Install
APPROVALS FEF.S
Assessments Permit ?°zs
Water/Sewer Surcharge
Police Plan Review .{'' Sp
Fire SAC ?-
Engr Water Conn
Planner
Water Meter 42.5D
?
Council Road Unit ZqD
Bldg Off ? Treatment P1 /-r,l
APC Parks
Variance Copies /
TOTAL o TTJ L
City/Zip Code
Phone #
HOTE: ADDRESS&S FOR CORRER IATS - CONTRACTOB/HOMEOiiAER lIpST DESIGNATE i1HICH
ADDRESS IS DESIRED. PO CH9NGES WILL BB ALLOiiEp ONCE BQILDZNG PERMIT
IS ISSOED.
-?,
EYINO
I?VICEB
3908 Si61ey Memorial Highway
` Eagan, Minnesota 55122
Phone:(612)452•3077
81 O MA
8UF1V
8E
SCAI.E ; I 11=4d
u, J I
9
•o
t ??:`S7a?.•
? N... ..:'?h
5l? - ?
`? - - `
UTi u rY
hS M'T.
LO"r 21
? 8?0.c
HoMe eunocr+s
k LAN[iOEVEl01{R4
? AEAIIORS
?
J5
, I+ _
e%
•o
I N
???pfld\ ' ?/ ? ? L
\HOUS? / a? ? ,
?\'?\°J N
. `! Q..
.??4?f? • ?'
° , e-1o.o
CERTIFICATE FOR;
MODEL: STAFFOR.D
? c," •1'L /-OL-
PA.? C?
QJ.??/ Y .? A
? A N 'r
V64
$d? 9,u ? _ ryv?
;
r ?s'
? ,..-. -t? J
?
WAYNE D.
CORUES
- 7A675 -
_LEGEND_
O Lknotes fran Max,msnt
A Uenotes Mood Nc6 Set
xg68o (knotes Existirg Spot Elevafion
(„Asnotes Proposed Spof Elevation
,,,.---Denotes Drarnage Direction
-PROPERIY OESCRIPfIpV-
LOT21 .8L(XK 4_
HAMPTON HEIGHTS
actordirg to the recarded plat thereof,
Dakota Counfy, Mimesota
PROPOSfD GARAGE FLOOR ELEYATION= 8?0.5
PAIDPOSED fop of 81ock ELEVATfON? a70•8
PROPOSED BASEMENT FLOOR ELEVAl10N- 867g?`.
NnTE: Verify all.flocr /righ}s with.Firol Nase Plsro. h
,
t
91alEVm CERfIFICIITI(N- ?i
1 hereby tertify tibt this survey, Plsn or roport
wes prepsred by me or wder my direct supervision
erd thet 1 am a dufy Registered Lard Surveyor
wd r.the faws of ihe Sfste of Minnesota.
Da?e: $?ialeb ?
Nayne . Conies, Yirm. Reg. No. 14575
ftl
N
. `
cX7_RICR EiiVELOF[ .1U('i2AGC "U"
.
.. _. . ; . ?,.
SITc AOORESS: -??
CO N TRACTOA :__??C?J'?'( ?Tt
• • V 1 Y
COPfPtITATIUY
S7'?FF?I?f3 No w?D.
n,1rr:??-LS -? ?
ri[anE :
Oetermine workinq square faotage cf each
1. Total exposeC wall area..... ( 9(QQ. S sq
ft
x
?;
.
.
,
_
2. Total raof/ceiling area..... IQ ft, x.G26 =
Total e:cposed svall a:•ca aGovc flr.or=_
a. Total wail window area ................................ '-?
b.
c. Total
Total ........
door area ................ ?"
...? ............................?.
sliding giass door arca ? ?' -
? ?
"
d.
Total .....................
...............
rirepiace wall area ..........
- -7
e.
Total ..........
....................
wa11 framing area (average 10,"<) .............. ^
.?
r
---
.
Total ..
...........
rim joist area ................
' - S? ??
5
g.
ne_ . .................
? a A ,? ,? . . . . . . . . . .
wall area above fioor...l?-
T
'?: ? ? o
h. .
.
.................
.
wall area a6ove f1oor ....... .................
?•
. .........
....
wall area a6ave `ioor .......................
J• .
_ .............
7rzme wali area at _'ouldation ..................
Total exposed ToundaLion area= ?"fJ
k. Total foundatian windo;a arez............
l.
Total ...........
net roundation area ahove gr,Ade ..............
Determine "u" value of eacli wa11 s_glc1ent
' (e.g, windovr, door, each separate wail section)
--? - ?-
• a. I ZS X 11 '.
-
. e, q ? X „U„ 45 =_
r
?
C. ? Z X ?.U„
. d. X "U" , 5C,0
• e. X
• f• I -_; O x
- e. 136 Ira-?2 x
u??? . U? = I S• 7 1
?-
,.?„ 0 3 ? ?
s ?
,
h. X ?1410,
i.
j • x %11 a
r X l.u,.
??. ?c x ?•75
.. ................................. Totai
a
C JIUNI ? .
If itam S3 is the
as , or l ess than •i
@1, yau have met_.t
inCent af SBC..600
.a..-??
v•?,?-?:
_S: :x.
yr`r?.:`?cicr Er.vclcpc d\vcraqc "U" Coml)u[a::ion
Pnqo Z a, q
ToCal expaacd roo[/ccilinq nrca - 101(O
M. Tb tal skyliyht area ............................. --
n. Total rooP/ccilin, Eraainq arca (avcragc 10%)... I pI ,(a ,
a. ':otal net insulated rooE/ccilinq area........... :??4,GF • Deter.nine "U" valuc tor each raoF/cciling seqment
M. X °jJ•• a
n. I O(.(p a "U., O Z _= Z, 4 g .
6. Il x i.U.. I C a ( 1 7?-
? ........................... Total 9 7
Iz total of ;,a is the same as, or less t_han I12,.you have met the intent aP
Shr 6006 (c) I.
Alternatc Buildinq ::nvelooe Desiqa
2b utilize the total envelooe'systecn method, the values estzalished by tite s•.uz of
items n3 and #4 shall not be qracter than t'ie sum of items ul and #2.
3. 1(:05, ?b`t + 4. Zv, 73 _ ??
• •,?n?.r. •:,:: ^?::.?,? ??'Q Tt:
, U:'r lii'•O?l ?9'?3nU?• u.tt? rtCC1 t?7C
_• f::?M1Y: 1i041:.1 C?CI V.l I'..'.
i _?..,.._ ---{i? AIeA?-M. _ _--.- ' <?•?w?
'
--? ,, 3??Z??„??,•. .,,? ... ; 4,38
?? ?? a . • ?'? ?`'i errwaa?p . . _ 7 or?
fY?? _?.rp ??. .?.Cn?-?.... ?,Lwr?.._ .. ..._. ... ?
.i E
3:.. 1. G. t:r„?•rfi.r ll lo
tt.f.' ' _ ?? _.?_'•--- ....... . 3.Z.?.
/
J? Q
t,i a . C$
:I?. ?1 ?OPVI2?i Oe
• ?1L1I': (iALI. . Inl'rr1,w..ctiP..?lim
ir4.P...
. . _...J . ? ' a• ?,.e?...r?w.'.. ..--------_...?,_sJv
,?' _..._{? l44vR1._ Stl'vtwrg _ .?(a
Fr.t.o:'i-.ir ai: 1111.l 4.17
.---? ?
? ? ? ?? •a ?
??.•??? ? ? ]nlcr_??C niC filr.. O.fi;t
?: i?..? {,1 ? ?i _M._ . . . •••. • _Y_?..l?_?E
_ 4._,_. I I--- ? ?} i • _?.1-!4.?-c4s?... ?`" - --._. -----tg.oa
a.
?L Exccrtc: ei iilm ?1_f1'7
i" t?? .. ?,??? -? [? ------ ??l . ? ?W???.??? _?? iUF.lt ?.'.? `g• 3 ?
}' •• at?
J
O
Q 7r
.l? •.' ? LL r ? i?b'tioC a(! ft1•^ [l.fi(1
' ?• ¢-_?? ?0 \
??••. . R o • ^ ??.? ?, z • ...+?t''._.?i.,ss.1C 8"•--. .85. ?
?:...? :CPI .'• --_.,• --- ] . ?? _.
. : c . it . : ' S. _ L 5?.t?',O .- • -. ._ ?.2.-C?..._._r
. ?
'' • d• • 'o' •---_'•-Q . 4•
? . u . ?(+<?OG S . . ---?...--_•-.._- -_-
I ??" C:tl?:Yi?•t' .??r :i!n U.1?7
: y ?R f+ , i •%~` (+ • .,r.?_-.._
! ? . ' _ '. . . •---..__.__r._. _ .
1
I _J1 t_!i
t"k-m . 115
5td\Ii OH IM1(1l:
{ ?' • • Y
. '
? ,
!?? 4" • ? ?r!
c. i3
i V
? _ I , • ? ? l_ ??
i ?
?? ' ° ' • i t_
/ii?`:l . ^ : •~?, -. . • '` ` '? ` ?
, ' ?I( .? _ ? ?? '?j ' •.(..
'i r 1 V ' -. •
' '? ? • 1 A . ? . /', I ? .
Fll:. 34
• ?? ??
• n?I?-t _-:; =::--:,-`•js ?rr
IYri'L': Lr.ctl?:c[.?: ly??_. ..,t° ?•aLuu. :1r,t:21t nnct
• j:i.t?:rn?•:- ;) i??•:,i:.tltn:t.
.. • r.ccr/?=??_:cc
:. : - ..
?"`??.?i1? II r???.I?I.lI,ll??;lll?, .
V=6 U,?
--------- C, .
?.te3 ? EeaC Plov •
; ? I up •
FIG. Q5 ,? .
?
flov Up-
,
• FSG. i6.:....
3 h
• , . • ?r.?.?3!
,-_?•;e`•c_ .;.:..
?
.`.
? j•van[ed ?
? o ? u
?
t ? /i
. • ?' , .
1 ? • SC.S-Y?'?', i? • . '. ?? .
, ? $caL Lt
; . flov ;;p •
. .? • . .
' • . e'
. ,
. 7=r_ 47
ConstructScn . ?-valuc
Z. intc:icr sir P.l:a . 0.61
Z. ? r-,?f 3D , .sR
j. EXLCr7.0: 31C. ::7 (stili) Q.vl
Tac2LL 2 q.s8o
% • ?= .oZ
r: ' • ? . .
I_ Incerior air Eiim ? 0.61
&= . F3p
3. 1?l5uL. 38. 3S
4. ::xtr.L'io_ L'i lr.t_ (St:lil ? ,01
':ataL 2 -- it p 's
oZ?
Ca.t,srR.'vcri
}._ Sr.sizc_ai: ¢ilm 0.61
4_
5. Gutsidc _ Eil:n 0.1'J
• . Total
I_ Insidc air Pilm 0:51
2. .
3_
4.
5.
OuCSidc air F°_1.m
0.17
So tal
I_ *nside air Eilm . • 0.61
2. .
a
_
$.
Cut=idc air Pilm
To caL
0•17
• lratc: Use ad8i'tional s4ees iP awrc .raec
aecs3e<i far detaiL^ and ealcs:2a:.=o=zs
- • ? .
i ''!Ai.L
?. ?? c,;,:o:1yt 'of ?l!o??ur v.?11 nren for
• _ • .i:1M1Y: G6tf::l ?UCL (uO
?:. : ?.: . .
I .
? •' .
SIC •,1f?j.;•:c
j .;
, °•i ?t
; I.
FIG. Ir42 [, .
?.•il"I :ii
n ! .
1era1
• uLCld
i
: cry\;ILE IiA(.I.'
?. ?
_::r::: •
i. 1:?' . :'?.J:?.?., I ? ? ir. ' "_" • _ U_w? .. . . '
:
?. ???,i??•; ..,?: ,...,;
.
IR T?C,E
• ?'k 1?_._ ..._ ... ._..._._. ..
r.r-._..
._.. ..?0?
,;,,?....
.°
..
.
• ...•.
. ..
?. inCrair
?
2. --'?,-•--- ..- - - - --• .
7. _
4. .
c R.
5. ?---_.._.... _..------•
..._...-?. ?- - _ :..
.
- •?:_.,..;-..
6. Extc.'ii?r. air [ilI a 0 17 ;m.:
Tulal
??? 6?
•;F_.:.?;
.. _ ?
_=?..,.? ,?..?.
1. Jnr.crior air film f,_t.. ?, ,.. ,..
._?r_.?------•--• - •- '_? ::i;xj? i
5. .-__?.?__ . . . _ .. , .. _ .. _r.:
6. F.xCCC1ceY nic f i:m . d. L'J'?';-::??•.:?
, i 0 t 7l . ' . 'i.s.s
?
cne????c,r r tt?•
1
?
en `?"-
?:?
n
.
•- - - ?•- •------. _
_
.. Y.?'
?
.
?,';w
•
z . .
.
.
?
__
?
? • _.._?.?...??.... ? ._ .... .?...» .Z?..i
ol ?; .:?.+.::
_ ?
A. . _. .--"' -'---- _...' ^--'-- -•°'_-' "":^ ;.?r ',
' ` . 7b1:i1' • .
SIrUt pM t:1tAt7F:
' IJ ?Cu
?
'•?• `-`IlY ,, 11? 1 ??
• ;_ .` ?_;;ic' ?: ? . -- ? T
?1.4lq{Q:-?i4.??ti???? 14
.. ??•. ?lll;+?
P1C. 04
?urCl::
??f • • . ' ` , ?',? • • ???i'.a`
: r
--'( '
.'
ti ??. _' ?,?.? •.
• .
. / :
/({ , • .
? . /
. , .;
, < } s ? • ?? ?r? ?:
s ? ?
< ?
?
lr+ ?'• r,r - ' . ` ;';a;?
Lr,ill ca[c Cy??.i. ••. +•. 3auCli' .nnd
y11?1:? f?1:?{?. V? :f1:i1 1?.i?t(?::.•.• . _
. .
:. •.
n
LruE.AL FT, EXposcp WALC_
BLOC_ G S 1
E. ,
?U L L I'? t 30 ?-? = l; e
? r
rL I M = ??' i '?o ?
ScZ, ?P'-r, T=?X-PosEa WA L.L. AZEA
aL G 5 x ,s = 7>7..s
?NE-P 3o x S = ?? a
42?
c3C.) x I = t?o
? W Dw5
2 4I 3G ?L ? Co =
EX.PaSSL-D GE,i L[IJq
L?I
3`
s5
?
'2.a G o : ? ? Z S
t4f 44= 4 = Z9 -
1Z5?
Ta I-A L_
PLAkc #
(vlto
17 00 ?S
, ? q .
; -
PERMIT f CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PCRMIT TYPE:
Permit Number:
Date Issued:
BUIIDIN&
0.20964
05/18/93
SITE ADDRESS:
P.T.N.: 10-31900-210-04
isei PHCIFIC ave
L4T: 21 BLOCK: 9
HAMPTON HEIGHTS
DESCRIPTION:
8!u"ild'in`§. Permit Type
Build.ing Wq`rk Type
'Building Len?th
8uild'ing Witlth? "
SF PORCH
NEW
L?
24
12
(g
REMARKS:
FEE SUMMARY:
VALUATION $8,090
Base Fee $99.00
5urcharge $4.00
Total Fee $103.00
CONTRACTOR:
OWNER: - RPPllcant -
KELIHER DAVID
1601 PACIFIC AVE
EAGAN MN 55122
(612)451-1325
I I hereby apknowled9e that I have reas# tktis applieation ond sCBte Chdt,t4?o - l
information is carrect and agree to comply with all applicab3e SCate of Mrs.,
Statutes and' City of Eagan Ortli;rtances.
? -- _ ?
nu??(,! 71?
APPLICAN7/PERMITEE SiG T?1A-URE I S ED B: I N T HE
REACTIYATE CrNED CITY OF EAGAN
PERMI'f #? ? AY 1 3 199? 1993 BUILDING PERMIT
---.:-- - 681-4675 -
!?L p
APPUCATION
IN=
SINGLE & MULTI-FAMILY
2sets of plans, 3 registered site surveys, 1 copy of energy
'
ca
,cs.
COMMERCIAL 2:;ets of architectural 8 structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month.
in which reqaest is made, 2) address is changed or 3} lot change is requested once permit
is issued.
Date Yaluation of wark
Site Address: k6O1 -k?k"c, v?`n-
STREET SU1TE /
Tenant Name: (commercial only)
IAT BLOCK ? SUBD.?? ^ P.I.D. N
Descri tion of work:
The applicant is: Z Owner ? Contractor ? Other (Deseribe)
Name k 14E,'_ Phone qS3 -3o°t-,
Property LAsr FIRST b..,6d= 4SI
Owner Address _fy? `
STRE STE N
City State ?vuv- Zip
Company Phone
Contra ctor Address License # Exp.
City State ZiD
Company Sirk?u.? f? Ay4_,,7qe? Phone
Architect/
Engineer Name Registration #
Address
City State ZiD
Sewer & water licensed plumber . Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that have read this a plicatian and state that the information is
a Statutes and City of
correct and agree to compl wi all applic le State of
Eagan Ordinances.
7
Signature of Applicant:
? ?? ? ?
OFFICE USE ONLY
V
BUILDING PERMIT TYPE
? 01 Foundation ? 06 6uplex O 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dwg. ? 07 4-Plex 0 12 Multi. Misc. ? 17 Swim Pool
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory O 18 Comm./Ind.
?04 SF Porch ? 09 12-Plex ? 14 fireplace ? 19 Comm./Ind. Misc.
05 SF Misc. 13 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility
? 21 Miscellaneous
WORK TYPE
?31 New ? 33 Alterations ? 35 Tenant Finis h ? 37 Demolish
32 Addition ? 34 Repair 0 36 Move
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MWCC 5ystem
(A1lowable) lst F1, sq. ft. City Mater
UBC Occupancy 2nd F1. sq. ft. PRY Required
Zoning Sq. Ft. total Booster Pump
B of Stories Footprint Sq. ft. Fire Sprinkler
Length ? On-site well Census Code ?
Depth 12+ On-site sewa ge SAC Code
APPROVALS •? ? y_
Planning Building Assessments
Engineering Variance
RF_GIUIRED INSPECTIONS
? Site jia Footing R Framing (Insulation
? Wallboard QI-Final ? Draintile O Fireplace
Permit Fee
Surcharge D Yalutim: $
?
Plan Review ?---
License
MWCC SAC ?
tZX lyX C)?
Lity SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
SAL %
SAL Units
. . `' L t ?
BIOMA Ho4Zse CERTIFICATE FOR;
BUqVEY1N0 "?? "?'Eauintns omm LANb 6EVE101{q9
? BEqVICEB ? ^E??roas
3908 Sibley Memorlal Highway FRO? N?? COMPANIES
Eagan, Minnesota 55122 * -?
Phone: (6124-952•3D77 - ??i`?i
, : :?- ?7APF?sRD
SLAL]E: .Ia-4d: ? • . ..? ?T 1 ? .__`'
? . .?-.+., :.
<
::.. . ., ..-:r : ..... ?.r.T ..
J5
:. - . " f
? ..
..... ?l
l :: h .. '(:i t S ?y*
?
° ' YI 2 M'T
r. 1.
? ?. .
a i y r
.41? ? .
_ . ? ?\`'^"'_ ' . f •
+r,."
t
. fl _ . ^ . . . . .
L:
D_
. ?4t ?JS
? ?, 44 a s - «?1oA
.:
j?o?o•
?_ a vf?3 .
? ?$??,? • ?',qy,
WAYNE D +at??
145?
PROPDSED BARA&E FLOOR. ELEYATION= 8?o.s
, $nolrs Jrwi allancnent
- D , vfloaasFn .r?, Vt ei?« F?Yar1u?v=r
; ° a'„&nn}es ?cni?b Set ? :'PRi?AQSfD- BAS$+iEAT7 £LDIOR.ftEYAJJOAi ?
? .868n_y?ofei
bf+? ? 1 Otrrwtes Pr?d:Syvt f/evefion ? ?._3°i+eighlswitM'FiHS1 flerae F{t?s, '
..?^?;A4whs^'tAra?n?gs D??cficn ,as:e- _. :
,f, LCLl.
'-'PR?E1fIY"CESat1Pf1G1V' " '? ???YrnYify -tM1 this_st?rvey. ph??'or v'eporl
, ? ? ;?_? ; : sW tx,st I ss, d,hft?sts,ed csni Su?eyor
HAMPTON IiEIG?'S - :!?M ?ens arf1+e Stah ol 11i+nesofa.
accor??rg to tFr reccrdtd plat ther+eof, n/
Dakota ?eC (.ov Date: _ 8I18
Ca,nty, Yimesota N'syne . Ccrdes. Yim. Reg. No. 14575
• ?
CITY OF EAGAN
CASHIER: JS TF_fiMINAI_ ND: 016
DAfEc Dili2./00 TIME: 10ci.7:28
IU :
i1AME. r HQME FNHANCFFiS TNC
32i.0 gD01 1G01 PACIFIC AU 377•25
3422 -9009. i.E,Qi. FACSFIC AV 245.21
2155 9001. 1601 F'ACIFTC AV 1.2.00
Total Receip'k Amnunta 634.46
CR:IE2248
USE'.k :Lli: ;IAN
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
: CITY OF EACAN ?L
3830 PILOT KNOB RD - 55122 ? ????? 3
7j q ?- 9 0 651-681-4875 ? ??_9?-kX-?NJ I ----j --adUo
New ConsWetlon Reauire ments RemodeUReoair Reoufremenfs
D 3 registered alle surveya showing sq. R M bf, sq. R of houea 2 rnples of plan
and all mofed amas (20% mazimum lot eovaraae alloxred) 1 aet of anergy calculatlorre for hested addiUons
D 2 copiea ot plans (show beam 8 window sizes; poured Ind, desipn; elc.) 1 sNa survey for exterforadditlons & decks
D 7 set et energy plculaUone
D 9copiesoftreeprcservatlonplan'rf1olplettedaker711193
DATE:
DESCRIPTION OP WORK:
5TREEfADDRESS: J60I
LOT: _D,\_ BLOCK: t} SUBDJP.I.D. p: ??)t;k V?
PROPERTY
OWNER
CONTRACTOR
ARCHITECTI
ENGINEER
G C1
Nema: `?.1 K°z..ll i 1?.?z,`? 110.U L? PhOne #: 6S
Last Fimt
Street Address:
City R'A GU..'V?_ State: W\IZJ Zip:
Company: Phona #: 6Ief Aa!X-??166 _
(area eode)
Street Address: ?60 ? l?nc?a1 ?e AU, s o Lieense # 1`? Exp.
Cily /& w V\/ 14In State: alj Zip: 145 Company:
Telephone #: (
Name:
Street Addrass: Registration #:
City
, U`oC7
CONSTRUCTION COST: /0
State:
Lp:
" 6 water licensed plumber (newconaWCtion onN): Telephane #:
Penalty applfes when address change and lot change is roquested once pertnit is fssued.
I hereby acknowkdge that 1 have iead thh applicatlon, stffte that ihe infarmrtbn is correcf, and agree W comply wiTh all appllcable 5tafe of Minnesota Sfatutes and Ck
of Eagan Ordinances. ;?-
?P.V\
Signature ofApplicant•
CeRificates of Survey Received _
Tree Preservation Plan Received _
OFFICE USE ONLY
Yes ? No
Yes ? No ? Not Required
'?w
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 08 4-plex ? 11 10-plex ? 16 Fireplace E3 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage X 22 Parch/Addn. (4-sea.
? 03 1 of _ plex ? 08 6-plex ? 13 16-piex ? 18 Deck E3 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level O 24 Storm Damage
? 05 3-plex ? 10 $-plex ? 15 Lodging ? 20 Pool CI 25 Miscellaneous
WORK TYPE
l
? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 ?S
liding/Soffits/Fascia
? 32 Add+tion ? 36 Move Bldg. ? 40 Gas Insert ? 44 Wndows/Doors
? 33 Alteration ? 37 Demolish Bldg." ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
" Give PCA hando ut to applicant for demol ition permit '
GENERAL INFORMAT ION
Const. (Actual) ? Basement sq. ft. Census Code 'e q &I
(Allowable) Main level sq. ft. SAC Code
UBC Occupancy llll_ sq. ft. 4-/ 4/ D No. of Units
Zoning sq, ft. No. of Bldgs
# of Stories sq. ft. MC/ES Syste I i
Length sq. ft. City Water ?
Width Footprint sq. ft. Booster Pum
PRV II+
APPROVALS Fire Sprinklered
'i
Planning Building !? Engineering Variance
II"
Permit Fee '-f - ?-S Valuation: $ 2 670? ? ?Surcharge I"a -U C.7
Plan Review
License
/ AC
CitySAC
Water Conn.
Water Meter
Acct. Deposit
SNV Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other „
Copies
Total: Cv ?J `f- q (O
SAC Units
"/0 5AC
.d MA
suAVeYiNo
SEFIVICEH
? 3908 Sibley Memorlal Hlqhway
Eaqan, Minnesota 55122
Phone: (612) 452•3077
8
SCAI.E : =40? 31
f
PRO
PaSED
?
'
N
? ?
= ?L
N 10
. ?
@?p
o Ie
CERTIFICATE FOR;
noMe eun nE ro
? ?ANUpEVElMfR4
? AEAITUR$
? COMPANIES
MODEL: STAPFOR.b
h
IAfaE 8 _
A tJ
?hS M T•?
r1-oT 21 ?
'z' 1 .i
? _.
'I N
? ?Mp?S?
?%\\\\?2
vi ?
. n `9I
.
? o t
_ w
R?. ?2`! z l. • p/ .
94 ' O?' O
4l, .?o.
?? pqC+F-+? ,,a, 3.?: .., ,?`
VL
N? ? ?o• ? ??o;,,m+m? mm,?
$L9A ?• ryN ?a•XN?• S•??
sa WAYNE D.
? CORUE:;
=
14675 -
LfGEND_- PROPOSED 6ARAGE FLOOR EL£VAiION= e-to.5
-- °
C
1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS 1?5 lq%
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOA CORNER LOTS - COI3TR9CTORIHOMEOWNER MOST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BOILDING PERMIT IS ISSUED.
MfJLTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS
# OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.,
7 SET OF ENERGY CALCULATIONS
COMMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTUFtAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
- lp JuL t ?
To Be Used For: Valuation: 10(no ^ Date:
Site Address
Lot ?,? Bloek `-t
Pareel/Sub hmakn A(`,T5
Owner ?{ky1L? ? ?ll`.th[17 AK16,Y
Address At-
City/Zip Code Ea[,? ? ZZ
S?f,?J
o u::?tK V,etor%%%aL.x>i
Phone N- _3??11? 45?-233C? 4?l-Y?il
Contraetor boj
Address
City/Zip Code
Phone
Arch./Engr. _
Address
City/2ip Code
Phone #
On site sewage_
MWCC system _
On site well _
City water _
PRV required _
Booster Pump _
APPROVALS
Engr/Assess
Planner
Council
Bldg. Off.
Variance
Occupancy
Zoning
Aetual Const
Allowable
!k of stories
Length
Depth
S.F. Total
Footprint S.F.
FEES
Permit
Sureharge
Plan Review
SAC, City
SAC, MWCC
Water Conn
Water Meter
Road Unit
Treatment P1
Parks
Copies
TOTAL
?711 "o
oe?r
,?
SIOMA
SURVEYIND
8ERVICEB
3908 Sibley Memorlal Highway
Eagan, Minneaola 55122
Phone: (612) 452•3077
SCAI.E : 1?=401
CERTIFICATE FORI
NOME PVlI nE NS
R LANUCfEVEtfNTR9
n AEAItUAS
MODEL: S7AFF0R.O
& I.0-r • 4 /
69
5/? -•?? ?4 ??.
? ? - •-
1 ?-
PRo Po.sED uj ?
N
?., cV r+L
7 1
1 ?'•?
1(1 ?o
. ,
Q" °,19
8 T eT?.
6's, : gj
° ?
?, -
?uA?NAC? e'
?hS?M 7 / ?o
y?oT 21 ?
\ ?.. .'/ ti
?
L-';'r ?t '3
1 / a
N ? .
w9 ? N ?
d'
I
R•rz" 7?•0, ? ? ' o
q4_..4, 3.?- . •xe?
AVFN? ?Q'
E N `N??sp <
?•'••,°s
WAYNE D.`
CORUES
? f k 14675 -
..4 a .
-LEGEND- PROPOSED GARAGE fL00R ELEYATION° 670.5
__ a
CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
tttxaxx:x?xxxxxrx:x::s:swssxzraw*1CY1'?': PAYMRkLC OF FEE AT TIlM OF
APPLICAMCN DOES NOr CONSTITUTE
APPROVAL OF PERaCT.
1rSeBCTIorr oF sEWER ArID/cat WTM
nuSrar,ramrONS wIIS, NCJr BE StH&D-
ULID t7Ni'IL PERMIT AAS BM
APPRC7M.
P ease Print
1) PROPERTY ADDRESS: 1601 Pacific Avenue, Eagan, MN. 55121 °
LEGAL DESCRIPTION: Lot 21 Block 4 Ham ton Hei hts
. Lot B ock Subdivision or Tax Parce ID )
IF E}aSTING STRCGZVRE, DATE OF ORIGINAL BUII,DIIVG PF324TT ISSCAb]CE: '
..
(hbn Year)
PRFSENP ZONING/PROPOSID LTSE:
q CO*ERCIAI+/RETAIL/OEFICB ? R-1 SINGLE FANIILY .
Q IPIDC'STRZAL ? R-2 DL'PLEX (itia Units)
? ZNSTI2UTIONAL/GOVERIS1MENT ? R-3 TOWNFIOC'SE (Three + Units) ( L?nits)
R-4 APARTMENT/CONIDOmINI[.T1 ( Units) .
2)
NF11A9E: FRONTIER MIDWEST HOMES CORPORATION
- ? AMRES5: 3908 Sibley Memorial.Higiiway Bldg. E
CITY. STP.TE, ZIP: Eagan, MN. 55122
PHONE: 454-0433
• 3) • u?: ?• For City use .
NAM: STAR PLUMBING Plinnbers License:
ADDRFSS: 1018 Mound Springs Terrace Actlve
?
?
? CSTY. STATE, ZIP: Bloomingtos, MN. 55420 =ecprcled ?
PHONE: 884-4149 MASZgt LICENSE# 3329 StE17al
¢) •?• • ? i?r- _ . a
-NTAME: Kelliher, David & Victoria ?
?
_ ADDRESS: 1013 Hall Avenue !
CITY, SZP.TE, ZIP: West St. Paul, MN. 55118
PHONE: 455-0678 •
•5) ? n r• • r• •?• :a - ? - a??
? CONNECTION 10 CITSC SEWER ? COb]NF7CSION ZO CITY WATEfi 0 OTIIE.R ' .
6) ?? • • i ? PLF.ASE HOLD APPROVID PERMT EC]R PICK-t?P BY ONE OF ABOVE ----- -- --
Q PI.E.ASE MAIL APPROVID PEItMZT TO 1. 2. 3. d, AB(JVE
(Circle one)
7) r r • . ?,?.
FOR -CITY USE ONLY
PERMIT # ISSUED
i
?l?l 7,e2- - i
Pd w/$ldg. Permit FEES:
$ /o? 'J 0 $ SEWER PERMIT (INCLUDE SURCHARGE)
$ e) 0 $ WATER PERMIT (INCLIIDE $LiRCHARGE)
$ ?L?5, -<0 . $ WATER METER/COPPERHORN/OL'TSIDE READER
$ $ WATER TAP (INCLL'DE CORPORATION STOP)
$ $ SEWER TAP
$ $ ACCOUNT DEPOSIT - SEWER
$ ?'?= T.T> $ ACCOL'NT DEPOSIT - WATER
$ WAC
$ 7 7S. C?-v $ SAC
$ $ TRLNK WATER ASSESSMENT
$ $ TRCNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRLNK SEWER
$ $ LATERAL BENEFIT/TRLNK WATER
S $ _ WATER TREATMENT PLANT SLRCHARGE
$ $ OTHER:
$ ' I?'"fJ ??? S TOTAL .
RECEIPT RECEIPT
DOES OTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
? YES IF YES, TAEN A "PERMIT FOR WORK WITHIN PL$LIC
F7 NO ROADWAY" MUST BE ISSLTED By THE ENGINEERING
DIVISION. LIST AS A CONDITION.
SLBJECT TO THE FOLLOWING CONDITIONS:
AF'PROVED BY: ?J
TITLE: , .
DASE:
OF
3830 PILOT KNOB ROAD, P.O. BOX 21199
EA6AN. MINNESOTA 55121
PHONE: (612) 454-8100
Date: August 13, 1986
Requested bys_
n
BEA BLOM9UIST
MQyor
7HOMh5 EGAN
. JAMES A. SMITH
VIC ELLISON
, 7HEODORE WACMTER
Special Assessment Search `°"""'"1eiiban
n+oatns Heoces
CiNAdminshola
El16ENE VAN OVERBEHE
City Clerk
DAKOTA COUNTY ASSTRACT CO
1250 HWY 55, P O 30X 456
AHSTINGS MN 55033
Re r-HaniptAn Heights
? 10-31900-210-04
?- ---
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 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 ASSESSMENTS
Attachment
THE LONE OAK TREE. .. THE SYMBOL OF STRENGTH AND GR01h/fH IN OUR COMMUNIiV
TRANSAC7.IQN ID: R76S SPECIAL ASSE5SMENTS
SF'ECIAL ASSESSMENTS SEArCH SUMMAPcY
FROPERTY I.D. 70DAYS DATE: 08/12/86 ---SPECIAL FLAGS----
1-2-3-4-5-6-7-8-9-10
7
==--=---------===-=cscm-----_ - ----- - --! crxc========:cc_ccc==========cxm
S.A.# ASSE58M£NT DE5CR. YR YRS RATE W TOTAL ANN.F'RIN. PAYOFF Ct7MMENT
IGUY:.?4 SAN SW TRk: 69 :.'S 8. 00% 59.21 2.39
101008 STREE'T' 371 S'S SU 11.00"/. 36.73 3.67
14II09 STREET 86 15 16.50'/, 14.34 .99
101110 9AIV SEW LA7" S6 15 Y U. SU'/. 58.81 3.92
101112 STORM Sftd 7'RY 26 15 10.50% 445.07 29.67
101113 STORM SEtJ !AT 86 YS 10.50% 20.55 1.37
1Oh'451 lJATERMAIN 00 ta , v0"/. 627.94 627.94
SUIMMARY OF AC.T'IVE 635. 86 42.01
+*i++4 TH7S YEAR'S TOT F`c@t 11.24
SUMMA/iY OF PEND1'NG 627.94
19.14
33.06 r4. Re l. b9
53. 8.Y
445.07 20.55
1. c
6.?7.94
591.52 cuMia
627.94
Nress ENTER (Comments), FI ?r F'< (Header Forrn) nr F7 (restart R763)
ÿ
þ
ÿÿ þýüýüü
ûþþÿÿüüúúù
ÿú
ýüûúù
ø÷÷öø÷ýõ÷
ø÷úù
ôó
÷
ø÷÷öø÷ýõ÷
ò÷ýñò÷úù
òüõü÷÷ý÷ôü
û÷ð
ôü
û÷ýñ
ùïù
ÿ
îîðôíìÿ
ýú þòôîî
ëîêé
÷
ïçøýöæ÷øåäîèêèêé
øû
ýü÷ ÷
äîèèî
ìüþè
÷ööõ
úôó
õßü
û
ö
âà ÷
îîð
âëõâ
ýüòôîîÿ
òôîî
çëîåêé
÷ûùó
â÷
õ÷
÷÷
÷
ùó
ûý
õòýüáùõÿ
í÷è
æ÷
ý
üùý
ü÷
Use BLUE or BLACK Ink
r - - - - - - - - - - - - - - - - -
I For Office Use
4TO' I
I
City of Eap ; Permit
I
3830 Pilot Knob Road Permit Fee: 105,015
I I
I
Eagan MN 55122 Date Received: ~f 13
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff: _
I l
2013 RESIDENTIAL /B/UILDING PERMIT APPLICATION
Date: i 3 Site Address: ~G~9' N~~ Unit
Resident/ Name:, -&W,-x Phone/(,0/
Owner Address / City / Zip: I o4"/f~f j~ 5-
Applicant is: Owner Contractor
Type of Work Description of work: ~Fkco.
71f -5-6o, 00
Construction Cost: L
Multi-Family Building: (Yes / No tl )
Company: CU Li LAC' Contact: C~,AeEg ~
Contractor Address: 5 L-f Af city: 3 7-1e_LL' ~-I-x
State: A/110J -Zip: y 0l~ Phone:
License pub Y SOO Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE; Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exteriorwork authorized by a building permit issued in accordance with the Minnesota State Building C must be co ted within 180
days of permit issuance.
x/~~,,~. x
Applicant's Printed Name App Iic s Sig pmf`u_&-"
Page 1 of 3
EAG 4A1 I'%I JUL OBT020
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(851) 675-5675 J TDD: (651) 454-8535 J FAX (651) 675-5694
huildinainsaections(bcityofeaaan.c am
For Office Use
Permit: /aa�b�
Permit Fee: 13 S .• o a
Date Received:
Staff:
t_
RESIDENTIAL BUILDING PERMIT APPLICATION
Date: "7-3- Do Site Address: Unit#:
Resident!
-
Name: t p.V Id l4d i ktr' —7
Phone: ���^- 167-7-1ff ti
i i O
Addressi tip
t
Q 7!'1
—
----O-
1
Applicant is Owner X, Contractor
Type of Work
r
Descnpllon of work: �� ii 1 J FAi1% i I LE
- Ci ,�.
Construction Cost 31 I ---- l
Mud -Family Building: (Yes / No
)
Contractor
Com if't [ '
Address: b6.33S /JS JUO /401 City: Z.?.
. ..41)
s , 3j Pho1 .1115f !7 /Em �i>��SQ / ,,F J7
tid�Zrp'-�
Ca/1n
license :gL Y / V1f 9 Lead Certificate 1/T/66?>.9 4A
9 If the project is exempt from lead certification, please explain why
i q \)
1 In the last 1
Yes No
ONLY IF CONSTRUCTING
a permit fora similar
r plan:
A NEW BUI
COMPLETE THIS AREA
the City of Eagan issued
If yes, date
plan has master plan?
Licensed Plumber:
Mechanical Contractor.
Sewer 8 Water Co
i
Fire presslon Contractor.
Phone:
Phone:
Phone:
Phone:
NOTE Plans and somorting dOODraefilathat you submit are considered to be public- infam aion. Portions of the Information rnayT
E classifiedas rt t-paixifg-lf inar provide -specific masons that would penult the City ta conclude/hal they are trade secret&
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeaaan.comisubscribe.
Exterior work authorized by a building permit issued in accordance with the Mlnnesola State Building Code must be completed within 180
days of permit Issuance.
CALL BEFORE YOU Di . Cali Gopher State one Can at (051) 454-0002 for protection against underground utility damage. Cali 48 hours before you
intend to dig to receive locates of underground utilities. wraw.aonherstateonecait.orct
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.
Applicant's Printed Name Applicants Signature
SUB TYPES
Foundation
Single Family
(` Multi
• DO NOT W ITE BELOW THIS LINE
i�
01 of Plex
Accessory Building
WORK TYPES
New
Addition
Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25%_ 100%11/4 )
Census Code
# of Units
# of Buildings
Type of Construction
/bo f Act c ,
Fireplace
Garage
Deck
Lower Level
Interior Improvement
_ Move Building
Fire Repair
Repair
V112
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation n
XDrain Tile
Roof: _Ice & Water _Final
Framing
Fireplace: _Rough In Air Test
Insulation
Meter Size:
Reviewed By:
Porch (3-Season)
Porch (4-Season)
Porch (Screen/Gazebo/Pergola)
Pool
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Siding
Reroof
Windows
_ Egress Window
/iovor
Storm Damage
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
_ Demolish Building*
_ Demolish Interior
_ Demolish Foundation
Water Damage
*Demolition of entire building — give PCA handout to applicant
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Sheetrock
Final / C.O. Required
Final / No C.O. Required
HVAC
Other:
Pool: _Footings Air/Gas Tests _Final
Siding: _Stucco Lath _Stone Lath _Brick
Final Windows
Retaining Wall: _ Footings _ Backfill _ Final
Radon Control
Erosion Control
1'C/Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
SSW Permit & Surcharge
Treatment Plant
Copies
TOTAL
pitimN)rfbc
)100D
Page 2 of 2
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA161811
Date Issued:06/12/2020
Permit Category:ePermit
Site Address: 1601 Pacific Ave
Lot:21 Block: 4 Addition: Hampton Heights
PID:10-31900-04-210
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
David P Kelliher
1601 Pacific Ave
Eagan MN 55122
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature