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