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875 Park Knoll Dr. ? CASH RECEIPT V? . CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 . , • DATE - 19 rreceiveo FROM AMOUNT $ I $ DOLLARi ?oo ? CASH Q CHEGK / FOR • ' i ` h 9Y C. , ?l White-Payer6 Copy Yellow-Posting Copy Pink-Ffle Copy Thank You BLDG. PSRMIT N0. 01-3?10' Bldg.-Permit 01-3422 , D1ari 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. TOTAL r' di ?5 %? - - i ? > ? . ? W? .fiIVArf FOR DEQC - PLAN 12EVIFM 5/9/38 . . (14 WL11M-ftsr. - 722-8939 CITY OF EAGAN 3830 Pitot Knob Road P.O. Box 21-199 Esgan MN 55121 , , , PHON E: 454-8100 BUILDING PERMIT Recei t # _ p To be used for ' Est Value ?Date 19 . , Site Address OFFICE USE ONLY ?t?'•>>?'-? LOt BloCk SeC/Sub. On Site Sewage T Occupancy MWCC System _ Zoning •' Parcel N0. On Site Well ? Type of ConBt city water _ (Actuaq a Name (Allowable) W 3 Address # O} St0/Ie8 Length ° City Phone Depth . S.F. Total p Nem@ Footprint S.F. ?+ ? ` Address APPROVALS FEES ? s- City Phon@ qssessments _ Permit ?. ? a W Name Water/Sewer Police _ Surcharge _ Ptan Review ? i x - Address Fire E - SAC, City SAC MWCC c>Z 5 City PhOne ngr. _ , 4 W Planner _ WaterConn. Council _ Water Meter I hereby acknowledge that I have read this application and state th i t th f i i t Bldg. Off. APC _ Road Unit Treatment P1 a n e ormat on s conec and agree to comply with all applicable _ State of Minnesota Statutes and City of Eagan Ordinances. Variance _ Parks Signature of Permittee Copies TOTAL A Building Permit is issued to: on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinancea Building Official Permit No. Permit Holder Dats, TeIephone * Plumbing ._.. .y- H.v.ac. ,?5' %, ? %_ - ; ? •?(? - C?., ?. f ? Electric (19 )'??? Softener Inspsction Wte Insp. Comments Footings I Footings II Foundation Framing ? W Roofing Rough Plbg. Rough Htg. lsul. Fireplace Final Htg. Final Plbg. ,. ',?r? ( Bldg. Final p Cert. Occ. Temp. LP Deck Ft9• Deck Frmg. Well Pr. Disp. ?'7-1 , • , CONTRACT PRR Site Address _ Lot B ? m Name , ig Address - .S city --? ? Name ? 3 Address _ O CitY f . TYPE OF WORK Forced Air Boiler Unit Heater Air Cond. Vent Gas Piping Outlets # Other MECHANICAL PERMIT RECEIPT # _ CITY OF EAGAN 3830 PILOT KN08 ROAD, EAGAN, MN 55122 DATE: ? 1 ok 1 Sec/Sub .1 BLDG. TYPE WORK DESCRIPTION Res New Mult Add-on ? Comm. Repair E ? Phone Other FEES RES HVAC 0 100 M BTU . - -$24.00 ADDITIONAL 50 M BTU - 6.00 ? -? Phon (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS MINIMUM PER P RM T ( -1 ) - 1.50 EA. E I • r?M BTU L^' COMM/IND FEE - 146 OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES - - Nl BTU =-- - TOWNHOUSE & CONDO$ - RES. RATE RPPLlES M(NIMUM RESIDENTIAL FEE - ALL ADD-ON 8 M BTU M BTU $ CFM $ REMODELS - 12.00 MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES . BEYOND $1,000) FEE: , ,._ r ; ------ -- S/C: SIGNATURE OF I PERMITTEE i TOTAL: FOR: CITY OF EAGAN CONTRACT PRICE: Site Address ` Lot ? Block ;ub ? Name -?? ?o Address f c Ciry Phone 1 ' R - :? ? Name 'Q ? Addr p City- < - n Phone •1 0 FEES COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE & CONDO - RES. RATE APPLIES MINIMUM - RESIDENTIAL FEE - $12.00 MINIMUM - COMM/INQ FEE - $2U.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) SIGNATURE OF PERMITTEE PERMIT # K) ?'- 7 ? PLUMBING PERMIT ,2 ? ?Gt CITY OF EAGAN RECEIPT # '``',/c? 7 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: PHONE: 454-8100 BIDG. TYPE WORK DESCRIPTION ec/ Res. ? New Mult. Add-on Comm. Repair Other RES. PLBG. ONIY - COMPLETE THE FOILOWING: N FIXTURES TO L Water Closet - $3.00 Bath Tubs - $3.00 Lavatory - $3.00 ;a -- - Shower - $3.00 KitcNen Sink - $3.00 Urinal/Bidet - $3.00 ' -tLaundry Tray - $3.00 --?Floor Drains - $1.50 Water Heater - $1.50 Whirlpool - $3.00 =Gas Piping Outlets - $1.50 ? S u (MINIMUM - 1 PER PERMIn Softener - $5.00 Well - 5t0.00 Private Disp. - $10.00 Rough Openings - $1.50 FEE: STATE S/C: ? . FOR: CITY OF EAGAN GRAND TOTAL: -? ?•'''' *00?. W • , ?,, ? ,.. . . (Jltr#ifiratip of (Orrupanry Citp of (Eagan a,eparbnntf ,of lwlding jwrninn Tlus Certificate issued pursuant to the requirements of Section 306 of the Unijorm Building Code certrjying that at the time of issuance this structerre was in compliance with the various ordinances of the City regulating building constructron or use. For the foUowing: ux a=satiou etclg. tlrmie lvo. Oocupaacy Type Zooing Disuip ? TYPe Cmt. , n.K--F_`a T . ,' ?.: _ . . . . ?dmen o? or euii? ewla;ng naaren n.te: n r-r? L r ; ewlaina officLal POST IN A CONSPICUOUS PLACE .-7..? _.,.. ,:.•,,,..?., .,?e.,.,,,,?,.,.,. , C1TY OF EA"AN Permit No: 8709 3830 P!Ir,t Knob Road Meter No: P.O. Box 21199 Reader No: Eagan, MN 55121 Site Conn. Chg: Acct. Dep:_ Permit Fee: Miller Coaat. Date: Size: Date: Zoning: n' No. of Units: 1 . Surcharge: _ -Nunn I agree to compty with the City oi Eagan Tr. Plant 18 , aQPd Ordinances. Meter. ..:..- • ? - WATER SERVICE PERMIT . CITY OF EA£aN _ • - .. ?, ; -`-- .,,?,?,?A'i 3830 Rfiot Knob Road SEWER SERVICE I?.,9W4IT ? P.O. BOx 21199 PERMIT NO.: - ?- r= -37 Eagan, MN 55121,i DATE: Zoning: ?ee??,l??? C^ Q r N0. at Units: ---- d ' Owner. . - - -- - - - . _ 2 A T?rive LII nl Pr?r; '.tto ; SiteAddress; th P lumb3 n_ ; 71 Plumber. - $g . i I agree !o comply wRh !he q1y of Eagan UUPZF- Connection Charge: 15 . Onpd ? Ordinances. Account Deposit: ld • 00P + t Permst Fee: . 50?1 ? B Surcharge: y Misc. Charges: i Date of Insp.: I I Total: nSp" Date Paid: CITY OF EAGAN Permit No: 8709 Date: ?--?- ? 3830 Pili7 itnob Road Meter No: = 202 giZe. g a ( P,O."Sox 21199 Reader No:Ga -3 9(0 9-P 6 Date: 8Y7 Eagan, MN 55721 Owner. Toe "tiller c;or..st. SiteAddress: 575 Park Knoll Drive LIl B1 Park Kno1I Addr_. Plumber t'1WUOUth Plumhi-no Conn. Chg: 52 f1c1Ldytkgliolkl?v ' , ni l?_ AccC. Dep: C-???F 7 Parmit Fee: 1 Surcharge; .P?? ta-r?Wply With the City oi Esgan Tr. Ptant roinances. Meter. ' • ? Misc.: By WATER SERVICt PERMIT cinr oF EaGaN 3830 PiIAt knob Road .SEWER SERVICE PERMIT P.0:.580X 21199 PERMIT NO.: Eag8r1, MN 55121 DATE: " i.. r __R7 Zoning: PI1 No. of Units: ? Owner. Joe 2iiller Const. Address: 875 Park ::re11 S+te Address: T'ri_ve 1,11 R._ rn?"k T?i10 llv : n. Plumber. pl outh P' li? L'.' 3._I.? r7 7WA IM! IOt,.?cpc7 I agree !o compy wlth fhil*Pp? Gonnection Charge: 55 25 . OOpu c oroinances. TELFP o :::i,ac?ouFlt}I?ss?c: 15.00nr3 REQUIRED ? By Date af Insp.: Total: Insp.: Date CITY OF EAGAN Ns 13 3 4 8 3830 Pilot Knob Road, P.O. Box 21 •199, Eagan, MN 55121 PHONE: 454-8100 Q7/ S f? 6 BUILDING PERMIT Receipt# / r / Tobeusedfor SF DWG/GAR Est.Value $79,000 Date MARCH 16 1987 Site Address 875 PARK KNOLL DR Lot 11 Block 1 Sec/Sub. PARK KNOLL Parcel No. a Name JOSEPH MILLER CONST = Address 18133 CEDAR AVE 50 ? CityFARMINGTONphone $92-1010 .o Name SAME ? a Address ? City Phone a W w Name z g Address a W City Phone OFFICE USE ONLY On Site Sewage Occupancy R3 MWCCSystam ? Zoning R I OnSiteWeil TypeotConst City water X. (AChap V (Alloweble) I7 # ot stories Length 4 Fi Uepth 46 S.F. Total Footprint S.F. APPROVALS FEES Assessmants _ Permit 430.0( Water/Sewer _ Surcnarge 39 _ 5( Pohce _ Plan Review 91 S Q( Fre _ SAQ City l fl !1 Q( Engr. _ SAC, MWCC r4:2 5y 0( Plennar _ WaterCOnn. =925 0( Council _ WaterMeter 67r 0( I here6y acknowledge that I have read this application and state I Bldg. Off. thattheinformationiscorrectandagreetocQmp lywithallapplicable APC State of Minnesota Statu nd City of u 4n Ordi ances. variance Signeture of Permittee A Building Permit is issued to: OSEPFI MILLER CONST all work shall be done in accord ce with all ?N*lcle State of Migesota _ Road Und 305 oc _ Treatment P7 _1.8,0 Q c _ Parks Capies TOTAL ? 5( on the express condition that Statutes and City of Eagan Ordinancea Building ?a ,,,o9h7f,213 fleqye?Date ire No. Flough-,n Inspecvon Beq ?retl? OAeady Now% Will N0tity InsPec- O .J O ?es ? No tor When Peady ? Licensed Electncal Contractor , I haraby re puest inapaction af above Owner elactrical work installetl af: Sireet Atldress, Box Route No. ?.s ark r?no IIl Citv acuon o. TownshiD Name or No. Hange o. Counly ?)a kv? Occupnnt(PRINT) .Joe M ? ller Phone No. Pow $u0ulier ?l C?a?ofa- e? Address EleGri I Contractor ICamDany emel l 1 d E? ?d l H- Contrncmr's Liconse No. l 1 ee-- an - Madinp AdJress (Coniraclor or O ar Makin InstailatioN :2.soo W o d 4/a- 3urh5v i l (c, Authn=nVe or Owner Makmg InstallaLOn) Phone Number MINNESOTA STATE 80AflD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Grigpe•Mitlway Bldg. - Room N•791 BE ACCEPTED 8V THE STATE BOARD 1821 Univeraity Ave.. Sf. Veul, MN 55104 UNLESS PNOPEX INSPECTIpN FEE IS Phona (812) 642-0800 ENCLOSED. ee-ooooi-os REQUEST FOR ELECTFICAL INSPECTION JV% / 1 Sea iaalrucLOns for tomobting thia brm on back of Vellow copy. ? ? ? -? ? "'R" Below Work Covered by This Request , N A RepT Tyoe ol BuiICina Aoobancea Wirotl Equiumem Wirea I ce lectric k Fee SarviceEntrenco5iae k Fee Feedars/Subfeetlers # Fee Cfrw.ts .JD 0 to 200 Am s to 3qm s 0 to 30 Am s Above 2_Amps 1 to 100 Amps t ; sa 3to 100 q wming Pool 00Am s A bove 1 100_Am rasormers Booms igati on r tial-"Ot r Pee Signs Special Inspection emarks $SD• 5o TOTAL EE,D . the Ele?cal I Ifisoector, ne1eey cartrly that the above Final ?j f ??'?? nspection hes been / / ? _ . meae. G? RESIDENTIAL BUILDING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagau Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construc6an Renuirements RemodeVReoair Reauirements Otfice Use Onlv 3 registered site surveys showirg sq. tt of b4 sq. ft. of house; and all roofed areas 2 copies of plan _ Ced of Survey Recd (20°k maximum lotcoverage allowed) 1 setof Eneyy Cakulatlons forheated addNOns Tree Pres Plan Recd 2 copies of plan showing 6eam 8 window sizes; poured found desgn, etc 1 sde survey Por addilwns & decks Tree Pres Not Reqd isetofEnergyCalculaUons Addihan-mdicate8on-sftesepticsystem _On-siteSeptlcSyslem 3 copies of Tree Preservatlon Plan if bt platted after 7/1193 Rim Joist Detail Optlons seleclion sheet (bldgs wAh 3 or less unils ? Date S (_?_1 d2 ConstructionCost Site Address UniUSte k DescriptionoCWork A 1 70?aG Multi-Family Bldg _ Y,)r N Fireplace(s) _ 0 _ 1 _ 2 Property Owner & &e Telep6one # (?SI ) ySd J/SD l Contractor e 7 Address City State Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF Energy Code Category - Minnesota Rufes 7670 Cateaorv 1 • Residential Ventilation Category 'I Worksheet (J submission type) Submitted • Energy Envelope Calalalions S9bmittQ e \ Licensed Plumber Mechanical Contractor Sewer/Water Contractor 1, 9 A NEW BUILDING Minnesota Rules 7672 • New Energy Code Worksheet Submitted Telephone #( Telephone #( 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 wiUt the approved plan in the case of work which requires a review and approval of plans. ApiiG /0?;iG& Applicant's Printed Name Applicant's Signature OFFICE USE ONLY Su6 Types Pl? ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool O 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 Otof_plex ? 09 07-plex ? 17 Garage ? 22 PorcNAddn.(4-sea.) ? 33 Ext.Alt - SF ? 04 02-plex ? 10 OS-plex 14 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Pibg_Y w _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32.Addition ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bidg)' ? 43 Reroof ? 46 Windows/Doors )4 34 Replacement •Demolition (Entire Bldg) - G ive PCA handout to applicant Valuation Z/ Qccupancy n- ? MC/ESSystem Census Code 1-3 q Zoning Ciky Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Vvi Width Footings (new bldg) ? Footings (deck) _ Footings (addirion) Foundation Drain Tile Roof Ice & Water Final _ Framing _ Fireplace _ R.I. _ Air Test _ Final Insulation REQUIRED INSPECTIONS FinallC.O. ? FutallNo C.O. _ Plumbing HVAC Other _ Pool _ Ftgs _ Air/Gas Tests _ Finat _ Siding Stucco Stone _ Windows (new/replacement) _ Retaining Wall Approved By Base Fee Surcharge Plan Review - MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total Building Inspector TJ£c IL `7? Do 0 ;.. I_C)T IIC) \ O?? .? A t ti5 PROPERTY DESCRIPTION 9ov.s? , 9rr.S s^ ?a i \ / c 2 \9iL W?0 L T ?? W O ? ? yW jy ?DTri .n s ICAGAttl ??? ? N ,5-)V ? ?? ? OATE ;b1,16LOsNG l?S13E6T S DEPT, ? SCAL.E: I" = 30' LOT ?! , BLOCK I , -PARK KNOLL ADOiT10N aeordinq to fAe reeorQed plqt thsreof DAKOTA Caunry, Minnesaa L GEN o DENOTE5 IRON MOMUAENT ° DENOTES ?9oZ•/) bENOTES WOOp H1713 SET EXISTING SP OT ELEVATION 906,S DENOTES PROPOSEO SPOT ? ,?- DENOTES DRAINA? DIRECTION z-.,.,?.er- 8`tG.S . PROP05ED GARACtE FLOOR ELEVATIONa 09 (e•O PROPOSED FIRST FLOOR ELEVATION ? 9nb. K PR?OPOSED BASEMENT FLQOR = 9?z. s ELEYA710N NOTE: VERIFY ALL FLOOR HEIGHTS WITH FINAL HOUSE PLANS RESIDENTIAL BUILDING PERMIT APPLICATION ? vl CITY OF EACAN I 2 ? 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Canstruction Reauiremnts • 3 regrstered site surveys showing sq. R. of lot, sq. ft. of house: and a0 roofed areaz (20% max'unum lot coverage allowed) . 2 copies oF plan showing 6eam 8 window s¢es; poured found design, etc ) • 1 set of EneTgy Calculations • 3 copies of T2e Preservalion Plan d la platted after 717/93 . Rim Joist Delad Options selectbn sheet (bldgs wflh 3 or less units) DATE (? '/7-b,2 _ Water Sof[ener Water Heater ? No. of Baths SITE ADDRESS S 78 A 4 IC MULTI-FAMILY BLDG _ Y _ h TYPE OF WORK -'fooF FIREPLACE(S) _ 0_ 1_ 2 APPLICANT STREET ADDRESS TELEPHONE#56'a-S4y-?"a3? CELLPHONE# FAX# 962-999- 15'95? PROPERTYOWNER %?i4VYD .4_.t''ir Ge TELEPHONE# &5?/- %5_0-3/S16 --'----.' _"_"'--"----__""__---------_"'_'-""_"_'_"""'_'--°"------°-------------- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESO'PA RiJLES 7670 CATEGORY 1 MINNESOTA RUI1:S 7692 (4 su6mission t?pe) • Residential Ventilation Category t Worksheet Submitted • New Energy Code Worksheet Submitted . Energy Envelope Calculations Submitted Plumbing Contractor: ___ Plumbing systcm includes: Mechanical Contractor. Mcchanical systcm includes: Sewer/Water Conhactor. _ Air Conditioning _ Heat Rccovery System Phone # Phone # Fcc: $90.00 Fee: :670.00 ----------°-°-------------------------°---°---------°-------------------------------------°------------------------- I hereby acknowledge that I have read this application, state ihat the information is correcT, an gree to comply with all applicable STate of Minnesota Statutes and City of Eagan Ordinanc???? Signature of Applfcant ? -- iquired _ orr[ci, usi: oN[.Y ,1UN 1 8 2002 Certifcates of Survey Received Tree Preservation Plan Received N _ Upd ,ed 4/02 BY --- __ RemodeURecair Reauiremanp . 2 copies of plan . 1 set of Energy Calculations far heated additions • lsitesurveyforexlenoradditions&decks • Indicale'rftromeservedbysepticsystemforadditions VALUATION ? S? 7• yg Phone # _ L.awn Sprinklcr No. of R.I. Baths cIrr 6at&vP,ea,a,? STATE/4A/ ZIP(I?'3'/G, OFFICE USE ONLY ? Ot Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace O 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous O 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ?. 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement •Demalitian (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length ' Fire Sprinklered Type of Const Width ? REQUIRED INSPECTIONS _ Footings (new bldg) Final/C.O. _ Footings (deck) FinalMo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice& Water _ Final _ Pool _ Ftgs _ AidGas Tests Final _ Framing Siding Stucco Stone _ _ Fireplace _ R.I. _ Air Test _ _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MGES SAC City SAC Water Supply 8 Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total GOLD COPY PERMIT RELEASE FORM PERMIT 4l C] ? ? ADDRESS p -? 5 PICKED UP BY L 11 ? I «l.?%l??'? ? CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION *TOTF': PAYMF'NS OF FEE AT TIME Og APPLICATION DOFS NOT CONSTS7S]TE APPROVAL OF PE[2NUTT. -x,.x,.=x,.;wxxxx,.x,.,..... _ .. _ ... ? _ . _ .. _ ... Please Print) 1) PROPERTY ADDRESS: _?-j',?? ,0L '- LEGAL DESCRIPTION: ?L ? . .' (Lo 7Block Subcivision or Tax Parcel ID T_- . IF E7QSTING STRCCZL'RE, DATE OF ORIGINAL B(7ILDIN33 PERMiT ISSC'ANCE: ". " Mon Year PRFSE[1P ZANING/PROPOSID USE: ? CMIERCIAL/RE,TAIL/OFFICE Q ZAIDC*STRIAL n INSTIZL"fIONAL/GOVERIZffN'p ? R-3 1OWN30LSE (Three + Units) ( L?nits) Q R-4 APARTM'P/COPIDOMINZ[.fi1 ( Units) Ej-_R?'-1 SINGLE FAMILY n R-2 DL'PLEX (Ztao Units) 2) ? - NAP9E: 11ec /YIr(Icb CeA.6'Y ADDRESS: CITY. STATE, ZIP: ?qrM : f.c /.? ? PHONE: 89a-- l010 3) ? ?: ?• NAME. For City Use Plumbers License: ADDRESS: l41 2 e A3R fJ Active CITY, STATE, ZIP: ??v ?,,,o aLl: /+'IRf FScpired ? Not recorded PHONE: i?S i?,367.5 MASTER LIC?ISE# r??,zo66? ?al 4) u*u:.?3T?i7?..?1 NAME: ADDRFSS: CITY, STATE, ZIP: PHONE: -5? ? vi ? a: • ?• :7 • a? - ?• [D/CONDIFX.TION TO CITY SEWER [D"6ONNECrION TO CZTY WATER ? pTHER ' 6) ? • • r MPLEASE HOLD APPROVID PERMLT FOR PICK-UP BY ONE OF ABOVE PLF.ASE MAIL APPROVID PERMIT TO 1, 2, 3, 4, ABOVE (Circle one) ' INspncrioN oF sENM arm/at WA!M TNSf`AT7.ATTONS WIId+ N(YT HE S(]ED-• UIM UNIIL PII2NIIT HAS BEQN APPR(3VID. 7) r r. • - -? .E?s.e.n? Y*Lr? ? 5 ' ,S - 9 .? - PERMIT # ISSL'ED Pd w/Bldg. Permit c S s ? 7•c--z) $ $ $ $ s 5z sa-? FOR CITY USE ONLY FEES: w $ SEWER PERMIT (INCLLDE SURCHARGE) $ WATER PERMIT (INCLODE SL'RCHARGE) $ WATER METER/COPPERHORN/OL'TSIDE READER $ WATER TAP (INCLCDE CORPORATION STOP) $ SEWER TAP $ ?S 'U'v ACCOUNT DEPOSIT - SEWER $ lJle 6`00 ACCOONT DEPOSIT - WATER $ wAc $ $ sAc $ $ TRLNK WATER ASSESSMEIVT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRLNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER °$ /d b$ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ 13 ? 7' Cr7J $??? «7? TOTAL RECEIPT RECEIPT DOES UTILITY CONNECTION REQLIRE EXCAVATION IN PUBLIC RIGHT OF WAY? Q YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SLBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: DATE: ,?` ?p zx7 - 1988 BUILDING PERMIT 9PPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVE,Y, 1 SET OF ENERGY CALCULATIONS NOTEt ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CfiANGES WILL BE ALLOWED ONCE BIIILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL ONITS FOR SALE UNITS 0 OF UNITS INC[.UDE 2 SETS OF PLANS, CERTIFIC9TE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COM4IERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS ? J To He Used For: c.t7 Valuation: -?-- Date: pJ -o Site Address 7 76 PmuC 1&al1 D-rv2 OFFICE USE ONLY Lot L Block L_ Parcel/Sub Owner PQ,ytnr U; c t'fv? Address ?/'rJ Ptirk ryip?? QriV,2, City/Zip Code Ew? Phone Contractor lom Address /1v`c ?D City/Zip Code d1i!f5 ,jJryJ Phone 722 "21 3°I Arch./Engr. Address City/Zip Code Phone 0 lDOO - On site sewage_ MLb1CC system _ On site well _ City water _ PAV required _ Booster Pump _ APPROVALS Engr/Assess Planner Couneil Bldg. Off. Variance Oecupaney Zoning Actual Const Allowable U of stories Length Depth S.F. Total Footprint S.F. FEES Permit Surcharge Plan Review SAC, City SAC, MWCC Water Conn Water Meter Road Unit Treatment P1 Parks Copies TOTAL Z4-oo ,5-4-10 I - I o? . . 1?.? 1987 BIIILDING PERNIIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS INCLDDE 2 SETS OF PLANS, 3 CERTIFICATES OF SORVEY, 1 SET OF ENERGY CALCDLATIOHS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOHNER MQST DESIGHATE AHICH ADDRESS IS DFSIRED. NO CHANGES WILL HE ALLOWED ONCE BDILDING PERMIT IS ISSOPsD. MULTIPLE DWEI,LINGS - RFSIDENTIAL RENT9L OAITS FOR SALB ITNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SUR9SY - CHECg iTITH BLDG. DfiPT., 1 SET OF ENERGY CALCULATIONS CONIl7ERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECZFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND -? ? 000 To Be Used For: -V),Q,1,U 1-tv Mx,, Valuation: -46)-v? Date: 'Li'? 7 Site Address $25 " KJ(lp?I tv" OFFICE QSE ONLY I Lot ?k Block ` Parcel/Sub 'QQAk KAI,Q-`x Q.,"/Y? . Owner Address City/Zip Code Phone A `f)'), Contractorckde yT Address City/Zip Code J(,t/t1/6-S-0,314 Phone Arch./Engr. _ Address City/Zip Code Phone # On Site Sewage Occupancy ? MWCC System ? Zoning Q•S On Site Well Type of Const City tidater ?7 (Actual) ? (Allowable) dk of Stories Length Depth S.F. Total Footprint S.F. 6PPROVAI.S FSFS Assessments Permit 43D. Water/Sewer Surcharge 3q.s° Police Plan Review ZrS, Fire SAC, City I G'D• Engr SAC, MWCC rj ZS• Planner Water Conn 525• Council Water Meter (p'I. Bldg Off Road Unit ?j05 APC ' Treatment P1 (80- Variance Le?x :o. P.u.o Parks Copies TOTAL ? ? ? 4(o ? Zq- X 22 U I I I L? (VI?? I/691 Y, ?vsZo . a I ? CITY OF BUILDINa DEPARTMENT y y . , •? ' EJCTERIaR ENVEf.OP& AVERAGE flUff COHIPUTATIOK (To be aubmStted with building permit application) One or Two Family Dwelling Ormer All Other Sita Addrese Contractor Date Phoae , ?.F?X ? LINEAL FEET OF FAI E}CPOSED WALL 5aE "coo?,K. ito above grade = Z?ZO? 00 RVTAL EXPOSED WALL AREA SQ. FT. OPA@UE WALL CORSTRUCTIONs IfU^ Value x Area Detail >E uUn .043 x SQ. FT. .ZO•" 77, O(U)(A) reference IIIUII- ' ?7 (P = sQ. FT. )0ZLQ= fi• 14 (U) (A) from °u° •? x SQ. FT. I92.5o= . U)(A) attached ilUts x SQ. FT. =(U)(?) sheeta 'lU° x SQ. FT. - (U)(A) nU° x SQ. FT. - (1!) (A) WINDOWS: "U" Value x Area rtake & Type _WSUL- eSH1T rrpn x SQ. FT. h4.$Q= 64,5*0 (U) (A) n n - ,f uUll x SQ. FT. _ (U)(A) n u nUu s SQ. FT. _ (U)(A) x S@. FT. _ (U)(A) DOORS: "U" Yalue x Area I9ake & Type _?276. I/SUI t flU° • 14- ?? x SQ. FT. 9400 = &1SLO (U)(A „ ) ?i n --??TJn fopn x$Q. FT. 2ioo z lY(U)(A) °U?? n n uutr x 3Q. FT. _ (U)(A) a-SQ. FT. _ (U)(A) ToTALS 03Z0•00 &Q. FT. )pj$•$(D (U)(A) AVERAGE "Us' TOTAL (U)(A) YALllES ISS.S(o - DIVIDED BY TOTAL WALL AREA 232Qi00 AVERAGE "U leBS for 1&2 family dwellinge R00 F/CEILINCi s TOTAL AREA: Z(p0 Detail reference IlUff rOL/ x Sq. FT.1u00 = 2(0p lGtU)(p) from `-nUn x SQ. FT. ? (U)(p) attached sheets. ItU+f x SQ. FT, _ (p)(p) Describe openinga nun e ????A? ' in roof. ?npn x Sq. FT. - (U)(A) TOTAL (U)(A) VALUES DIVIDED BY TC1rkL47 2(0. CU4?) TOTAL ROOF/GEILINa AREA IZ/p0 •OZ-J AVERAGE "U?? ,025 or ventilated rooSs. - , ? ?o?,. `?Fl?T rl e0Ro`is ?KPbS wA?-?. /g• 5 X? 34+34 t 9?v?-91o? ? 2?Zo.oo? Co4 e- , • cv7X ( 34 f-3¢+ 41v #44, = )07. Zo ? p!r1 Z?IST • 83 n C34 t 34- t 41v+4?n? = J 32 . go ? k1WAoWS Ilnx3lv = 4.0 ZoX.uo = 5, o 24 X 3!n = (o. o 2¢x4-S = g. o Zox4S = ?v-7 sn. w/5c. Zii `7T(-' SEP? (o ? P,hTio x4- X !v = X 4? X?= x 4= I (o. o0 3o.op Z4, o0 98,00 Zlv. go 14 4. 50 ?c = ZS?oo = 4z,ov ?r•?o al: Ne?T E vrEn ?u, F.ctusws &Ras'S +.vA1,L Z?,ZO.oo GeyS ConJc , Io7.zo u 1t 91?1 wnw's 13Z,go ?44,so '415. So „ beve'y 91,00 zo ? 194 zl?X 9? = 119 lv B x 8 = (P4 ---- ! z?a.? ? .•• ;'4t Detormining "U's valuee at RooTs Wa11$ Rimt and Cottc. Block ROOF/CEILINQ 1.) Interior dir P'ilm 2.) 5/8,f Qyp. Bd. 3.) IneulsEion 4.1 5.) Exterior Air Film . ( sTU.L ) 8 VALU$ o.6i .56 . 0,00 .61 upn a I/R= I OZI '1'OTAL (R)Q [?..S' 7p - ' r? WALL 6.) Interior Air Film 7.) }n (iYP. Sd. 8.) Inaulstion • ' 9. ) .?u,? ?JTE 10.) Maeonite Siding 11.) Exterior Air Film R YALU 0.68 .45 19,vv l. 67 .t7 upn a 1/R='- ' pXt-?P. TOTAL (R)= RIM 12.) Interior Air Film 13.) Inaulation 14.) 2" Fir Rim Joiat t 5. ) .P?vlr.T- ??TE 16.) Maeonite Siding 17.) Exterior Air Film R VALUE 0.68 Mv0 1.88 z 67 .17 tlUI., = lIR= TOTAL (R)a Z4 4?f I FO UI7DATION 18.) Interior Air Film 19.) ?. ) 9-// sr?PPFn 210 12" Conorete Hlock 22.) 23.) Exterior Air Film npu v IIR= 07(D R VALUE 0.68 //, Op 1.28 .17 TOTAL (A)=/3 l? tS 7- 64 ?I-LAND C0. SURVEYING SERVICES 4655 NICOLS ROAD EAGAN, MINNESOTA 55122 SITE PLAN JOE MI,LLER ? ,o \ 1. Z vv (j O ?O ) LOT I I Y , r \ ? 9o9.S) ,92.5 ?O l`??? ???? ro3 \ y9a2./) . 2b t: r? \ . li? \ F a `D ?o C '88J PROPERTY DESCRIPTION LOT H , BLOCK! , -PARK KNOLL ADDITION occordinp to the recorded plot theraof DAKOTA Ca?n1y,Minnesota LEGEND o DENOTES IRON MONUhENT ? DENOTES 901•/) DENOTES WOOD HUB SET EXISTING SPOT ELEVATION 90;,S DENOTES PROPOSED SPOT ELEVATION ? DENOTES DRAINAGE DIRECTION I hxsby certffy that tAis swvey,plan ar report ?vas preporod by me or undor my direct suparvision cnd That I am a duly Repi:fered Land Surveyor undsr the Laws of tAe State of Minnesota. ? Brodlsy J. ,$rf$nson, Mn. Rep. No. 15235 Date : 3/8 (R2 FOR : CONST. s N SCALE; 1" = 30' 8!(0.5 PROPOSED GARAGE FLOOR ELEVATION= 90lo b PROPOSED FIRST FLOOR ELEVATION = 906.5 PROPOSED BASEMENT FLOOR = 9oL, s E LE VATI Oti NOTE'• VERIFY ALL FLOOR HEtGHTS WITH FINAL HOUSE PLANS 87-64 T'RI-LAND C0. SURVEYING SERVICES 4655 NICOLS ROAD EAGAN, MINNESOTA 55122 SITE PLAN FOR : JOE MILLER CONST, ? 9o9.s) . 92.5 \ _-?'D f 1'0 LOT I I ) z`' s ? ? \ ? ? . , . , \"tl, ioQ / a ls.BJ LEGEND n DENOTES IRON MONUhENT ? DENOTES? (901•/) DENOTES WOOD HlB SET EXlSTING SPOT ELEVATION 906,s DENOTES PROPOSED SPOT ELEVA710N ? DENOTES DRAINAGE DIRECTION I Mr*br ctrfify fhat thls siavey,plan or report kos prspored by me or under my direct supervision cnd that I am a duly Rsqistsred Lond Survtyor under the Laws of ths Stote of Minnesota. r? Bradley J. ,9vy6n:on, Mn. Rsp. No. 15233 oate * _Vs(R7 PROPERTY DESCRIPTION LOT H , BLOCK I , PARK KNOLL ADDITION xcordtnQ to tha recorded plat iheraoi DAKOTA Caunly, Minnesma 89g3 \ , W>> /? _ . nFf / s N SCALE: I" = 30' SYG.S PROPOSED GARAGE FLOOR ELEVATION= 90(0.0 PROPOSED FIRST FLOOR ELEVATION = 409 Z K PROPOSED BASEMENT FLOOR ELE VATI ON NOTE'• VERIFY ALL FLOOR HEt6HTS WITH FINAL HOUSE PLANS PERMIT City of Eagan Permit Type:Building Permit Number:EA151766 Date Issued:09/11/2018 Permit Category:ePermit Site Address: 875 Park Knoll Dr Lot:11 Block: 1 Addition: Park Knoll PID:10-56725-01-110 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations 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 - David M Frick 875 Park Knoll Dr Eagan MN 55123 (651) 452-3150 The Roof Guys 7630 145th Street, Suite 110 Apple Valley MN 55124 (952) 997-4777 Applicant/Permitee: Signature Issued By: Signature