879 Park Knoll Dr0 CASH RECEIPT 0'
CITY OF EAGAN
E 2
DATE 19
?-
: i
weceweo ? ry
FROM
; I?MOUNT $ I
BY
White-Payers Copy
Yellow-Posting CoPY
Pink-File Copy
3830 PILOT KNOB ROAD
AGAN, MINNESOTA 5512
Thank You
. PERMIT NO
l Permi
3210 ? Bld
01- g.
01-3422 P3an Check
O1i-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 Permi
20-3743 Sewer Permi
79-3866 Sewer Conn.
11-3855 Park Ded.
TOTAL
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PH O N E: 454-8100
BUILDIMG PERMIT
To be used for Est Value ` 106' 01".0
Site Address ' 1 - Lot Block , Sec/Sub. r`''W, :1il1;
Parcel No.
s Name MILLER COhST
3 *-;1nr: "'E
Address
° City Phone 1- 1 O l t;
a
o Name
.
z?
13591
l4AY 8 .19 ' ?
- - - --- - - ,? ;
On Sfte Sewage
J? Occupancy
-?
MWCC System Zoning
On Site Well T_ Type of Const
Ciry Water _ (ACtual)
0? Address APPROVALS
? City PhOne Assessments
Name _
Address
State of Minnesota Sta s
Signature of Permittee _
A Building Permit is issued to:
all work shall be done in accoi
Water/Sewer
li
P
o
ce
Fire
Engr.
_ Phone Planner
Council
that I have read this application and state Bldg. Off.
xrect and agree to comply with all applicable A?
tute and Citv of Eaaan Ordinances Variance
(nuoWabie)
# of Stories
Lertgth
Depth
S.F. Total
Footprint S.F.
FEES
• • ` "
_ Permit
_ Surcharge
_ Plan Review
_ SAC, City
_ SAC, MWCC -
_ Water Conn.
_ Water Meter
_ Road Unif
_ Treatment P1
Parks
_
Copies
TQTAL
on the express condition that
s and City of Eagan Ordinancea
Psrmit No. Permit Holder Dste Tslephone it
Plumbing •
H.V.A.C.
Electric ;,"7S'rjCj 'r <Sii;N 7
Softener
Inepection Dats Insp. Commenta
Footings I
Footings II
Foundation
Framing '
Roofing
Rough Plbg.
Rough Htg.
Isul. fJ
Fireplace
Final Htg. ?
Final Plbg. -? ? Aff-
Bldg. Final
Cert.Occ.
Temp. LP
Deck Ftg.
Deck Frmg.
Wetl
Pr. Disp.
MECHANICAL PERMIT RECEIPT # 7171?ql 7/
CITY OF EAGAN ?
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
PHONE: 454-8100
m Name
? Addre
c Ciry -
? Name
c Addre
p City _
BLDG. TYPE WORK DESCRIPTION
Block ? Sec/Sub
Res. New ?
M ult Add-on
J t v Comm. Repair
? Phone C Q' Other
FEES
RES
HVAC 0-100 M BTU -$24
00 ?
. r
.
-' A ADDITIONAL 50 M BTU - 6.00
?- Phone (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS
MINIMUM
1 PE
PERMI 50 EA
1
?
Y,
~
?
}~ -
n
(
Q
COMM/IND FEE - 1% OF CONTR?ICT FEE
APT
BLDGS
- COMM
FiATE APPLIES -
.
.
-
?
-
M BTU
' .
.
.
TOWNHOUSE & CONDOS - RES. RATE APPLIES
M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8
M BTU REMOOELS - 12.00
M BTU MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
CFM ?? (ADD $.50 S/C IF PERMITpRICE GOES
BEYOND $1,000)
f6
Boiler
Unit Heater
Air Cond.
Vent
Gas Piping Outlets #
Other
? FEE:
S/C:
? TOTAL: r
''.?
? • ' '
CONTRACT PR
Site Address
Lot
.
F ? Name ?
Address ?
? C CIty
? Name -
3830 PILOT
FEE - 1% OF CONTRACT FEE
- COMM RATF APPI IFS
PLUMBING
NHQUSE & CONDO - RES. RATE APPUES
AUM - RESIDENTIAL FEE - $12.pp
AUM - COMM/fND FEE - $2t?.00
E SURCHARGE PER PERMI7 - .50
$.50 S/C IF PERMIT PRICE GOES
PERMIT #
ERMIT
GAN RECEIPT #
EAGAN, MN 55122 DATE: 7A 7
BLDG. TYPE
Res.
Mult.
Camm.
WORK DESCRIPtION
New ?--?'
Add-on
Repair i
THE
__Pitchen Sink - $3.00
Urinal/Bidet - $3.00
__LLaundry Tray - $3.00
-/-Floor Drains - $1.50
--4-_Water Heater - $1.50 ,? S =
Whirlpool - $3.00
--/-Gas Piping Ouilets - $1.50
(MINIMUM - 1 PER PERMI'n
5oftener - $5.00
Well - $10.00
Private Oisp. - $10.00 ?
--j_Rough Openings - $1.50 - ^ ? i '!
SIG-M T F P M FEE: ?-
STATE S/C: LFOR: CITY OF EAGAN GRAND TOTAL:
" INSPECTIUN RECaRD ?
CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number.
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
` SITE ADDRESS: APPLICANT:
I t 0 1 at., r?t ltir ,
? 1'A10 k14111 1 tll. .101 I i.; ? Itltlhd 'I'A Izfi: k PI0 E I
PERAAIT SUBTYPE:
1,11 I'1 f I ; ii r.!1
(1i171 310 W46t)
TYPE OF 1NORK:
rtil iI'kArtOM
INSPECTION TYPE D. • .•
rt;•, I
Fri:NiARKS: ASE1'llitArk Pk#:M71 1% RFtlttlpfD Ft)1? ANY 1,IIIMPTHE3 ilh C'tilr:Al 4311E4:
Permit No. Permit Floldar Date Telephone #
ELECTRIC ?O0
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
FiOUGH
HEATING
GAS SVC
TEST
INSUL
GYP 80ARD
FIREPLACE
G G?
414
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAI
BSMT R.I.
BSMTFINAL
pECK FfG
DEGK FlNAL - - - ?
INSPECTION RECORD
I CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
f i f [ NI I l i ? . . I . ' ) . . . . , .
? PERMIT SUBTYPE:
TYPE OF WORK:
tir ,I. i; ; I ;l,.l
f Jj „I t ;t fI I I i?' ?v ? N ,1 L. , i ?) V i I
II ,.1iNtiH lN I I I ; IIVAI
Permlt No. Permit Holder Date Telephone #
SNV
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inepectlon Date Insp. Comments
Footings I
Foundation
Framing
Roofing
Rough Pibg.
Rough Htg.
Isul.
Freplace
Final Htg.
Qmat Test
Final Pibg. PIUg. Inspector - Noti(y Plumber
Const. Meter
Engr.lPfan
Bldg. Final
Deck Ftg.
Deck Final
Well
Pr. Disp.
+' -. 0 .
01rrtifira#t uf Mrrupanrg
Citp of (tagan
igppwftPttY of 'N11flb1M JWPtfiplt
This Certiftcate issued pursuant to the requiremenls of Section 306 of the Uniform Butlding
Code certifying thar at ihe dme of issuance this structure was in compliance with the various
ordinances of the City regulating building construction or use. For the fo!lowing.•
un cmfi.ao4 ?T TJFlG/G1R 13?? ;
ewg. N?t xo.
Oocupancy Type P3 Zooing Disvict 1: I Type Caasf ??
Owna of 8,,DdixW SEP+G YMlFR MIM1 Adcb= 13 133 aM AW' SD, Ft5W-ThT;Cf:N
euila„,e nad,. 8J9 PARE: W',_T, '"'"'.?- Locdty L 10. B 1, PAW FQUL
nou: JUI.X 29, 19F;
suflaing officW
POST IN A CONSPICUOUS PLACE
OF EAGAN
Pilol Knob Road ?,-
Site
No. of Units:
1er Joe ??;i3ler Const.
ress:
Address; 87, Par' i' ` L10 F
nbec Pl ou ?11?
5-7- 87 o
ree to comply ???.??jgiCCi eciion
???- iELEP
lb?
p?QV?REO a??ee:_
Surcha.cge: _
Misa Cp"
of Insp.: Total:
• Date Peid:_
SERVICE PERMIT
ryr)t L
IO0.0Opd
Charge: 525-00pd?
posit: 1 5 _ ?opa
FOF EAGAN Permit No: `t i Date:
i Pilot Knqb Road Meter No: 3
g1Ze. ,Sd a ?
Box 21199 Reader No: Date:
m. )AN 55121
er.- Joc:. ; tiller Cons t.
onn. Chg: 525.00 d ?'v r'%- 1izo,,Wltie5 ?,1
Dep:
k Z5. t? GML diggi
ermit
Fee: 10. 0 ti- ???
Surcharge: • S( 4 p?/ ??
mp
Tr. Plant
1%? • ?? I agOeeT[f c
ly with Ihe City ol Eagan
Ordinances.
Meter, i:.7 s?nrd
Misc.: B
?? ?
Y
WAT ER SERVICE PERMIT
CITY OF EAGAN
3830 Pllot Knob Road
P.O. Box 21399
Eagan, ?M 55121
Zoniroj: T'i
Owner. Joe '
Address;
879 l
Site Address
I agree to
8Y
Date of fnsp.:
Inap.:
SEWER SERVICe PERMIT
"16
PERMIT NO.:
DATE: - Z 97`'
No. oi Units: z
City of Eagan
Connection Charge: 525.002d _
Account Deposit: 15. OOvd
Permit Fee: 10 000
_
Surcharge: . Sngd
Misc. Charges
Total:
Date Paid:-
CITY OF EAGAN Permit No:
3830 Pilof Knob Rcad Meter No:
P.O. Box 21189 Reader No:
Eagan, MN 55121
Owner ? ?= c? ? ' il l?x rCn s [ .
Site Addi
Plumber.
io
Conn. Chg: ?
S.S . OOpu
: IJ
Zonin
g
Acct. Dep: X5. 00'Dd No. of Units: ?
Permit Fee: 0 0?
Surcharge: •50m'• I a ree to com
ith
h
C
h
T
Pl I? C
?? ' t
e
ity of Eagan
? W
9 P
r.
ant .
r-? Ordinances.
Meter.
WATER SERViCE PERMIT
_ -.?•.? ,,._.
Date: 5 19-87
Sixe.
Date:
'?
CITY OF EAGAN nJ° 13 5 91
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
?
PHO N E: 454•8100 V7
B UILDING PERMIT Receipt #
Tobeusedfor SF DWG/GAR Est.Value $108,000 Date MAY 8 ,19 $7
SiteAddress $79 PARK KNOLL DR OFFICE USE ONLY
R3
Lot 10 Block i Sec/Sub. PARK KNOLL ADD on Sne Sewage Occupancy
?-
??
MWCCSyslem Zoning
Parcel No. On Site Well 7ype of Const V
City Water (AIXUaI)
a Name JOSEPH MILLER CONST (Allowablef
w
=
Address 18133 CEDAR AVE
SO # of Stories
gh
??
o City FARMINGTON Phone 892-1010 Dep
h 28
S F
Total
.
, p Name SAME FootprintS.F.
?< Address APPROVALS FEES
1- City phone qssessmenis Permit $ 527.50
-?
??o
ti? Water/Sewar _ Surcharge
W w Nart1e Police _ Plan Review 263.7$
?z
x-
Address Fire _ SAC,City 1M-f]Q
u? Engr. SAC,MWCC 595 np
aW City Phone Planner _ WeterCona 525_00
Council _ WaterMeter 67-h0
I hereby acknowledge that I have read this application and state Bldg.Off. _ Roatl Unit 305 _(10
thattheinfarmationisconectandagraetocomplywithallapplicable APC _ TreatmentPl 180.00
State of Minnesota Statut and Cqy of E 4n Or inances. Variance _ Perks
CoDles
2
SignatureofPermittee TOTaL rz,SG7. 5
A Building Permit is issued to: SEPH MILLER CONST on the express condition that
all work shall ba done in accordance with all a la State of Minn? ot?s? a$taDtutes and City of Eagan Ordinance&
Building Official ti.x-c?C?
?
i a yd--
o? G
?
?
J 5 8 92 Lio a) ?
Requesi Date Frte No HougM1-in I ection `,
? Requi?Btl'+ ? ReaOy Now ?7 Will NWify Inspector
/? Wh
R
+
C, Yps o en
eeay
1Kicensed contractor ? owner hereby request inspection of above electncal work at:
Job Aearey5 (SVeet Or Roule No r G
X
V ?
SecOOn No Township Name or No. Range No.
W
OcwOant (PRWT? pryone No
Power Suppiier qptlress
Fecsn? 3vo-a??sf?J -T?Ym? ?4ri.s?ay
Elecmcal Conrcapor (COmpany Name?
- ('qn aclor's l¢ense No
())9 OI 7
MaAinq Atltlress IConVacb? Owner Mabng Ila?ionl
? s?? ? ?n ?iti ss`a/
Authonzpd onVatlo 'Owner Making Inslallab ) PM1One
N
omb
ar
'
^
/
? ?? ?
MINNESOTA STATE 80ARD OF ELECTPICI?
Gnqgs-Mitlwey BIOg - Room S-173
1821 Universiry Ave, S1 PaW MN 55106
Phone (612) 642-0800
THIS INSPECTION REQUEST WILL NOTI?,l
BE ACCEPTED 6Y THE STATE BOARD ?
UNLE55 PPOPEF INSPEGTION FEE I$ ?Q
ENGLOSED
?/pZ 902. REQUEST FOR ELECTRICAL INSPECTION ee.caom-oe
j57 892 mmplefing this lorm on back of yellow copy
, See insimcb
ons" 1or
?
. tZ?'?' /D /?/ ?/
?;?, N(Q??P
"
X
B
or
e/ow Wk Covered by This Request ?-
-?
ew `Atltl• Re{r.- TypeolBmldmg AppiiancesWired EquipmenlWired
Home qange Temporary Service
Ouplez Water Heater Electric Heating
Apt Building Dryer Olher (Speafy)
CommJlndustrial Fumace
Farm Air Conditioner.
Other (syecdy) Conhaclor's Remark. ?q3
Compute Inspechon Fee Below?-?'CaK -O( R-C. I( IWT Il.lb
N Other Fee # Service EniranceSze Fee 8 Cirourts/Feetlers Fee
Swimmmg Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps A ve 100 Amps
Signs Inspector§ Use Only
l TOTAL
Irrigahon Booms ?
O
J"
Special Inspechon
Alarm/Communicalion THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby
i
ih
t th
b
h
i Ro.qn.in oeie
ty
a
e a
ove
cert
nspechon
aS
been made. F,,,ai oata.? 7??
?
OFFICE USE ONLY
Tbis requesl voitl 18 months Imm
This reqaest wid p//S? 7
18nwnffisfmm 1511
D 17859 4 1o. ?'/
7,?v.57.1/
Requast Uate Fira No.? y Rouph-m Inspeciwn
? '
1
Re iretl E]HeaAy Nuw
? Will Nobiv Insoec-
' Y?s ?NO tor When Heady
???eu uenncai ?ontrectrn I hereby request inapectmn ot ebove
Owne? eleclticel work instelle0 at:
Straet AAAress, Box o ow1e No. ?f
?
?
? k
l1
?' City
/
G
Id
Tl
ecvnn o. Townshrp Name or No. Ran9e No. Coi.n?
Occupant (PqINT)/ny??i/ ( `/e?
Joe /' ?
Pho^e No.
POw r SuppLer
af 6/ee4rilieJ
Address
V300 Aa
Elec r cal Cnntractor (COmpany?Name) , Con fvar;tor"s%icense No.
?dr?hd Tr" C? (O D -?
Mailine P.dJress IConVactor or Owner Makinp InstailauoN
asoo W oAld 4,2
BU??'15VlIIG
Auffionz
??qnature ICoMracior? wncr Making Installatiunl Phone Number
/
?-?.?
mINNESOTA STATE BOANO OF ELECt1tICITY THIS INSPECTION REQUEST WILL NOT
Gir-9gs-Midway Bltlg. - qoom N-191 BE ACCEPTED BY THE STATE BOAflD
1821 University Ave.. S[. Peul. MN 55104 UNLESS PflOPEfl INSPECTION FEE IS
Phone(612)642-0800 ENCLOSED.
?,/??/? ? REQUEST FOR ELECTRICAL INSPECTION ee-ooooi-os
? Sae instroc4ons for comDlehng this form on back of Vellow copv.
? 1? 8?5 9 X" Below Work•Covered by 7his Request
_ Add Hep. Tyy ot BmldmB Apolioncee Wirod Equiument Wired
p Fee ServiceEnhanceSae tt Fee Feaders/5ubf¢eders N Fee Cvcwts
0 t0 200 qmps 0 to 30 qm s 0 to 30 Am s
Above 200 qmps 31 to 700 Ainps 31 to 100 A s
Swimming Pool Above 100_Am s Above 100_Amps
Transformers Irrigation Booms ParUal.'Other Fee
Signs SpeciallnspecNon S 70TA F?F? /
emarks ?` ? I ? /?/'/ ? p
na
J
I, the E%.+Itr-I
Insoectoq nereoy
cerlJy thet the above
inspection hes been
? _tM
? CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
P.I.N.: 10-56725-100-01
PERMIT PERAAIT TYPE:
Permit Number:
Date Issued:
879 PARK KNOLL DR
LOT: 10 6LQCK: I
PARK KNtlLL
m0.57f1-67
6UIlDING
027701
06/03/96
DESCRIPTION:
ermit Type
sjrk T y p e
BASEMENT FINISH
HLTERATION
434 AIT. RESTDENTIRL
1a=t5
REMARKS:
A SEPARATE PERMIT IS REQUIRED F4R ANY PLUMBING OR ELECTRICAL WORK
FEE SUMMARY:
BeSe Fee $50.00
5urcharge $.50
Total Fee $50.50
CONTRACTOR: OWNER: - Applicant -
5qUIRES JOHN
879 PARK KNOLL DR •
EAGAN MN 55123
(612)310-8866
aIf. µ??fC??yr??yyy?sµa,qckeiC?i?*3.?p?y???1g?p? ry"?k??pr???J4?y h?€(? ysta"t?efµtPra-?'t?y`he
? . Str?i.C.E'C?YSp 8"fl?nc N1 Ee,?f sL}? ?4'??.?KY4 C}FndVy{'F{?IT4`B?S. . . en£ 9N ,«k _ .A.<o . . r,... __.._ v ar.??
[ f .
APPLIC N ERMITEE NATURE ?S50 BY: FIGURE
? ??
1996 BUILDING PEFtM T APPLICATION (RESIDENTIAL)
681 -4675
ti...., r,...st..,di,,., oe.. ents Remodel/Recair Reauirements
? 3 registered site surveys 2 coies-?f?
? 2 copies of plans (include beam & window sizas; poured ind. design; etc.) ? 2 site surveys (exterior additions & decks)
? 1 energy calculatfons ? i energy calculations for healed additions
? 3 copies of tree preservetion plan H bt plaqed aRer 711193
required: _ Yes _ No
nArE: m?? ?-4 } l RIb CONSTRUCTION COST: 19odQ
DESCRIPTION OF WORK: n "?tisV\ bct&ew`'2`^n? F0.W"AY ree'i'`'j p?`c .?`a`I?• 91Qb FP
STREET ADDRESS:
1
LOT BLOCK ?S SUBD./P.I.D. #: Park K? GT ?d r?i??
PROPERTY Name: Phone #:
OWNER
Street Address:
City: ?, State: Zip:
CONTRACTOR Company: Phone #:
Street Address: License #:
City: State:
ARCHITECT/ Company:
ENGINEER
Name:
Zip:
Phone
Registration
Street Address•
City:
Sewer & water licensed plumber:
change are requested once permit is issued.
State: Zip:
Penalty applies when address change and lot
1 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 Applicant:
OFFICE USE ONLY
Certificates of Survey Received
_ Yes No
Tree Preservation Plan Received - Yes - No
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11
,?6
Apt./Lodging r
? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17
? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20
0 04 SF Porch o 09 12-plex ? 14 Fireplace ? 21
? 05 SF Misc. ? 10 = plex ? 15 Deck
WORK TYPE
.. ..?
Basement Finish
Swim Pool
Public Facility
Miscellaneous
? 31 New 3 Alterations ? 36 Move
? 32 Addition ? 34 Repair ? 37 Demolition
GHNERAL INFORMAT(ON
Const. (Actual) Basement sq. ft. MCNVS System
(Allowable) Main level sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. R. Census Code.
Depth Footprint sq. ft. SAC Code
Census Bldg
Census Unit
APPROVALS
Planning Building Engineering Variance
3`
?
?
D
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
SNV 5urcharge
Treatment PI.
Road Unit
Park Ded.
Traiis Ded.
Other
Copies
Total:
Valuation: $
% SAC
SAC Units
CITY USE ONLY
L ? _ BL ? RECEIPT #: '?-79.5
SUBD. DATE:
1996 PLUMBiNG PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 551::2
(612) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
FIXTURES EACH ?Q. TOTAL
Shower 3.00 x f = 3°Q
Water Closet 3.00 x = d o
Bath Tub 3.00 ;c =
Lavatory 3.00 x oo.
Kitchen Sink 3.00 :c =
Laundry Tray 3.00 :t =
Hot Tub/Spa 3.00 :c =
Water Heater 3.00 :< _
Floor Drain 3.00 :< _
Gas Piping Outlet * minimum - 1 3.00 :c =
Rough Openings 1.50 :c =
Water Softener 5.00 r =
Private Disposal ' Dakota Cry. license 65.00 =
(new and refurbished systems)
U.G. Sprinkler' home under const. 3.00
Alterations ' to existtng 20.00 = o??
Water Turn Around 20.00
STATE SURCHARGE .50
TOTAL
SITE ADDRESS: rctrl(- le--vo l Lj? y? , YYI A) e?-,3
OWNERNAME: ?dkt., gQuIRf-S
INSTALLER NAME:
STREET ADDRESS:
CITY:
STATE: ZIP:
PHONE#:( 6 194 LfS3.-qq.y-Z_
L BL
SUBD.
1996 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Piease complete for: . all commerciaUindustrial buildings.
0 multi-family buiidings when separate permits are pDI required for each dwelling
unit.
DATE: CONTRACT PRICE:
WORK TYPE: NEW CONSTRUCTION ADD ON REPAIR
DESCRIPTION OF WORK:
IS WATER METER REQUIRED? _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING:
WATER FLOW: ' . GPM. ARE FLUSHOMETERS TO BE INSTALLEDI YES NO.
FAILURE TO PROVIDE THIS INFORMATION WILL RESUL7' IN A DELAY OF METER ISSUANCE.
WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? YES NO.
IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINYCLER PERMIT.
FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per
$1,000 of mi fee due on all permits.
CONTRACT PRICE X 1% •
STATE SURCHARGE
TOTAL
SITE ADDRESS:
TENANT NAME:
OWNER NAME:
tNSTALLER:
ADDRESS:
STE. #
CIn': STATE:
PHONE #: SIGNATURF:
OFFICE USE ONLY
OFFICE USE ONLY
RECEIPT #:
DATE:-
ZIP:
APPLICANT
METER SIZE: DATE: - INSPECTOR:
PERMIT
? CITIf OF tAGAN
3830 PilOt Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55123 Permit Number: 0 2 2 4 2 8
(612) 681-4675 Date Issued: 11 / 01 / 9 3
SITE ADDRESS:
P.I.N.: 10-56725-100-01
879 PARK KNOLL DR
Lor: se BLOCK: 1
PARK KNOLL
DESCRIPTION:
(WOODBURNIN6 STOVE)
B.U'1ldingiPermit Type FIREPLACE
B?ui].ding Wprk Type NEW
f ` ?
? rJ
_-
, ,, .
CO? Cg?i ct}n
REMARKS:
FEE SUMMARY:
Base Fee $25.00
Surcharge $.50
Total Fee $25.50
CONTRACTOR:
OWNER: - A
SQUIRES
879 PARK
EAGAN
(612)228-8866
pplicanti -
JOHN
KNOLL OR
MN 55123
I hereby acknowledge that I have read this application and state that the
znfarmation is correct and agree to comply with all epplicable State of Mn.
Statutas and City of Eagan Ordinances.
L
APPLIC T/ ERMITEESI ATURE
ISSUED BY: IGN TURE
INSPECTION RECORD
CITY OF EAGAN
3830 Pilot Knob Road
? Eagan, Minnesota 55123
(612) 681-4675
SITEADDRESS: LoT: ia BLOCK:
879 PARK KNOLL DR
I PARK KNOLL
PERMIT SUBTYPE:
FIREPLACE
F
L
PERMIT TYPE:
Permit Number:
Date Issued:
1 APPLICANT:
SQUIRES
(612) 228-8866
TYPE OF WORK:
DESCRIPTION
„ . • . ,. . ., ? ? „
BUILDING
022428
11/01/93
JOHN
NEW
(WOOpBURNING STOVE)
?
?
/ ,r f I
? F
REACTIVATE _
PERMIT f . `
CITY OF EAGAN
1993 BUILDING PERMIT
681-Q675
APPLICATION -$ 2Z •,60
SINGIE fl MULTI-FhMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs. .
COMMERCIAL 2 sets of architectural 6 structural plans, 1 set of
specifications, 1 copy of energy catcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month-
in which request is made, 2) address is changed or 3) lot change 1: requested once permit
is issued.
Date (V0V2-tm?/?/ 13 Yaluation of work
Site Address: O'M R??wiL kvtn lI Uri O-Q-
TTREET fUITE /
Tenant Name: (cortmercial only)
IAT I0 BIACK __L SUBD. QG,,/4'L 1<-V11? ?? P.I.D. N I 6'? S p7 I00 ^0?
Descri tion of work: \nS+C?L( UJrJ aC) SI-r) V-Q-
The applicant is: Owner ? Contractor p Other (Deecribe)
Name S??REC _::S1hr _S' Phone Cf';?_yz
Property LAST FIRST da?- a-aF- BY66 -
OWC1@f p
KO 1 ? D
7
i
arK
R
r
Address O
STREFT LTE /
City av\ State Ty\ 1'J Zip SS1?.3
Company Phone
Contractor Address License d Exp.
City State ZjD
Company Phone
Architect/
Name Registration y
Englneer
Address
City State ZiP
Sewer & water licensed plumber . Processing time for
sewer 8 water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
with alt applicable State of Mlnnesota Statutes and City of
to com
l
d
t
p
y
an
agree
correc
Eagan Ordinances. `
Signature of Applicant: < ?
OFFICE I1SE ONLY
BUILDING PERMIT TYPE
O 01 Foundation ? 06 Duplex ? 11 Apt./Lodging
? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc.
O 03 5F Addition ? OB 8-Plex O Garage/Accessory
0 04 SF Porch O 09 12-Plex 4 fireplace
O 05 SF Misc. ? 10 Multi. Add'1. O 15 Deck
WORK TYPE
a 31 New 13 33 Alterations O 35 Tenant finish
? 32 Addition 0 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual)
SAllowable)
UBC ccupancy
2oning
1? of Stories
length
Depth
APPROVALS
Planning
Fngineering
Basement sq. ft.
lst F1. sq. ft.
2nd fl. sq. ft.
Sq. ft. total
Footprint Sq. ft.
On-site well
On-site sewage
Building
Variance
REDUIRED INSPECTIONS 5jtvE7
? Site ? Footing O framing
O Wallboard P?final ? Draintile
0 Insulation
? Fireplace
Permit Fee ?5,
Surcharge s?
Plan Review
License
MWCC SAL
Lity SAL
Water Conn. '
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total : ; , s0
SAC %
SAC Units
v.u.tiar
d
E3 16 Baseqjent*Fi?nish
t3-IT`Swim PM -#°`
? 16 Comm./Ind.
? 19 Coron./Ind. Misc.
O 20 Public Facility
O 21 Miscellaneous
a 37 oemoiisn
MWCL System
City Mater
PRY Required
Booster Pump
Fire Sprinkler
Census Code ?
SAC Code
Assessments
o•*
38•uu+
2?•tiur
U•?
?)2'1 5u+
5 <<•uu+
2oi•'l:) +
625 •UJ+
`i2j •UU+
U'I•U0+
j 0`i•UU+
iEU•OU?
2ti4'/•Zb
ry:
. / ? ? . .
. 3
1987 BDILDING PERMIT APPLIC9TION - CITY OF EAG6N
SINGLE FAMILY DWELLINGS
INCLUDS 2 SEfS OF PL9NS, 3 CERTIFICATES OF SORVEY, 1 SET OF E6ERGY CALCOI.ATIOHS
NOTE: ADDRESSES FOR CORNER LOTS - CONTR9CTOR/HOMEOANEH MIIST DESIGNITfi WflICH ADDRESS
IS DFSIRED. NO CH9NGES WILL BE ALLOWED ONCE BQILDING PERMIT IS ISSQfiD.
M[ILTIPLE DiiELLINGS - RESIDENTIAL RSNTAL ANITS FOR SALE UBfIRS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SORIIEY - CfIECB WITH BLDG. DfiPT.,
1 SET OF ENERGY CALCULATIONS
C0.41ERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
f 08,?
To Be Used For: "ft p?I i ?m 0 Valuation:-CTjUIXJ Date: 4 -30 -[j "1
Site Address i m p? n OFFICE USE ONLY I
Lot I C) Block I
Parcel/Sub P" nog I CuMm,
Owner
Address
City/Zip Code
Phone
Contractor
Address JrJ,A (,{,{,
City/Zip Code?hkn ?,j,m(A?
Phone ?01 c? " ? ? ) C)
Arch./Engr.
Address
C1ty/Zip Code
Phone !1
On Site Sewage_ Occupancy 3
MWCC System ? Zoning R I
On Site Well Type of Const
City Water (Actual) ?
(Allowable) ?
ll of Stories
Length SS
Depth
S.F. Total
Footprint S.F.
9PPROVALS FSES
Assessments
Water/Sewer
Police
Fire
Engr
Planner
Couneil
Bldg Off
APC
Variance
Permit
Sureharge
Plan Review
SAC, City
SAC, MWCC
Water Conn
Water Meter
Road Unit
Treatment P1
Parks
Copies
TOTAL
527. =_
5
Z(o 3. Zs
?1.
I
Zs ? ?'?-•- qsZx ?e -
(Z `
?x
[6? z ?(- 20
26 r? 36- _
C??s z X a-d- .
.5S 2 ( C?
?? 1 2
c)
41880
107 e) S-U
.
One or Two Family
All Other
?++ ?• UU1L1jl1W UbY/wll'1li4L
EXTERIOR ENVII,OPE AVERAGE "Ulf COIIPUTATIOH
(To be submitted rrith buildittg permit application)
Dr+elling - Owner
Stte Addrese
Contrnctor "''??-•}? Jf,j ?,??, ?p??7
Date
Phone
LINf;AL FE6T OF ?
E:CI`OSED ti7ALL 1/ f t, above grade 2-O'-1
1C)TAL EXPOSED W/1LL AREA S@. FT.
OPA2UE ivAI,L COftSTRUCTI017: "U" Value x Aroa
lletnil' '??H/4 E ? - PIUn D'_3 x SQ. FT.
.3 D'?? 7?•??(U)(A)
reference Otir•' liult x
?' S2. FT. R:?,og- <03 (U)(A)
from npn .b4-0 x SQ. FT. ?OS, 2.,j:1'Z3.4U)(A)
attached "Ult x Sg. FT. _ (U)(A)
cltects "u" x SQ. FT. _ (U)(A)
"u" x Sq. FT. - (U)(k)
Y7IPW4YS: IfUll Value x Area
Ptafce & TYPe hNSrjI., L"Lm?npu -47 x SQ. FT. ?Z,?D=
?1-L(U)(A)
it °pll x SQ. .
FT. - ?U)?A)
"u" x SQ. FT. - (U)(A)
n u npn
x
SQ.
FT. _
_ (U)(A)
DOORS: "U" Value x Area
Ha::e & Tyoe Gi7L, ?A9?-vL, uUu .?¢ x SQ. FT. 42,00 = S•S (0)(A)
Pa
-T1o ????? x
s
R. F^r. z,oo
=?(U)(A)
upu x SQ. FT. _ (U)(A)
?? uun
_ x
SQ. _
FT. _ (U)(A)
TOT.ALS ZZ(o9•LO SQ. P'T. ZI (U)(A)
AVERAGE "U?f
TOTni, (u)(n) vai,oss
, oSS
DIVIDED BY TOTAL 1?pLL AREA ZZ (v9? ZD ?•
AVERAGE "Ulf , 115 or less for 1&2 family dti+ellinga
ROO F/C EILI N(3 :
?
TOTIIL AREA: 9SZ
Detail refere nce x Sq. FT. SZ = 19•p9 (U)(A)
from
cl ttached shee x Sq.
te
"Uit FT. ? (U)(A)
Describe onen .
x SQ.
ings +.. flUff
x SQ. FT. _ (U)(A)
FT. - (U)(A)
in roof. ilUto x Sq. Y.V. - (U)(A)
TOTAL (U)(A) VALUE3 DIVIDED BY 19 99 TT???J 9SZ ?? ?9•99 ?u??
. ?
TOTN, ROOF/C1-;II,IVc3 Af2EA 9$7
Z 'OZI
AVERAGE "U" ,02$ for ventileted roofe. ?
I 5WeET /l
&koss evmry wau?
IS-3?X ?3?+34+ZS+ZB? = ZL(o9.20,?
CorvC ,
•Co7x ?34t3-t +ZS-? ZS) = g3•o= ?
,P,•n-:Cv;T
• 83 x ( (oB *108+ ylo t5lo? ? ZoS• ?-
W lIJDoW>
07x14 = r.?o x 3 = 7.50
16, x? = 4,o X ?- = l69,oo
zoxcvo = 8.4 X So• 4?6)
Z4x48 = 6,0 k ll = 88,00
1(o2.zo?
te4-11?s
3'a s-rc., eA-r,
ZVp- STL, 6,.,5z
(v4- PA.7?o
- zl.oo
= z?,oo
= 4Z? oa
f?T E? cXLM.c.. as?"4f-s
83.og
105.84
I6Z.Lo
84'.00
zz&9,zo
-
zB x -2:4 =
9s2.004/,
--wnt,L sECT --
"Determ3aing "0ll values at Roof, Wall# Rims and Cottc. Hlock
AQOF/CEILINC3
1.) Interior Air r'i1m
2.) 5/8 1, GYp• Bd.
3.) ineulation
4.J
5•) Exterior Air Film
(STILL)
(R) VALUE
0.61
.56
1900
.6t
nUn . IIR= ?CZI iOTAL (R)= 4S.743
WALL
6.) Interior Air Film
7.1 }" ayp. sa.
8.) Inaulation
9.) t0,) Masonite Siding
11.) Exterior Air Film
R VALUE
0. 6$
.45
19,00
6
.17
nUn . 1/R= TOTAL (R)= 03.0'
?
RIM
12.) interior Air Film
13.) Ineulation
14,) 211 Fir Rim Joiet
i5.) Fux.7-Pr.:57
16.) Maeonite Siding
170 Exterior Air Film
R VAI,U
0.68
19,ao
1.88
z1 67
.
.17
npn a 1/Ra 'I QC?,p TOTAL (R)= Zt}¢QI? ?
J?•
FOUNDATION
18.) Iaterior Air Film
19.)
zo. > 9-11 sXIPps,A
21.) 12" Conorete Block
22.)
23. ) Exterior Air Film
IIUII e I/R. •?/ ?
?
R VALU
0.68
J/. 00
1.28
.17
TOTAL (A)=/3,13
M?
31530 PILOT KNOB ROAO, P.O BOX 21199
EAGAN, MINNESOTA 55121
PHONE. (672) 454-8100
Special Assessment Search
Date: June S, 1987
Requested by:
\DAICOTA COUNTY AHSTItAGT CO
1250 HWY 55, P 0 SOX 456
HASTINGS MN 55033
Re: r5i?-k Knoll Addition
J0-56725-100-01
aea eLoMauisr
ma?r
n{on-ws ec-AN
inrnESn snnin+
VIC ELLISON
iHEODORE WACHTER
Counul Members
7HOMHS HEDGES
Clly Pdminuhofor
EUGENE VA1V OVERBEKE
cIN a?
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 as they may affect this parcel.
The City's policy is to levy assessments based upon the current
zoning or existing use of the parcel (whichever is higher) as
reflected in the above assessments. If, and when, the parcel is
tezoned or developed to a higher use, a condition of development
approval will require that this parcel assume any additional
assessment obligations that have not been previously paid for
existing public improvements. The City Engineering Division can
provide further clarification of this policy if you desire.
WAIVER/DISCLAIMLR:
Neither the City of Eagan nor its employees guarantees the accuracy
or completeness of the information provided 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
of receiving and using 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 denied.
Pending assessments cannot be paid until levied. Levied assessments
can be paid to the CITY OF EAGAN.
Very truly yours,
X??
SPECIAL ASSESSMEN?
Attachment
THE LONE OAK TREE. ..THE SYMBOL OF STREN6TH AND GROWTH IN OUR COMMUNIiY
TRANSAC.TIaN IDe R763 5F'ECIAL A55ESSMENTS
S'F'EC.IAL ASSESS"ME'IVTS SEFRCH 5UMMArY
PfiOPERTY I.D. TQDAY5 Y7ATE: 06/08/87 ---SFEC.lAL FLAGS----
1-2-3-4-5-6-7-8-9-10
10-56725-I00-01 T
---------------------?/__'----- -- --- - -- ?-?--"_l._?__??'?'?____----------____------
-----------------------?---- - --------------------
S.A.# ASSESSMENT DESCR. YR YrS RATE TOTAL ANN.PRIN. FAYOFF C.QMMENT
10I281 STORM TRY: W145 86 J 8.50I 734.62 146.92 597.69
*?+**+ SUMMARY OF ACTIVE 734.62 146.92 587.69 GOMM
THIS YEAR'8 7QT F'z@I 224•94
Fress EN7ER tCommentsl, Fi or F2 (Header Form) or F7 (Pestart R768)
GOLD COPY PERMIT RELEASE FORM
PERMIT ll v ' ( o I
anDxEss g ?2 9 kll-?
PICKED UP BY
? l b 61
CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
*IOTa: PAYMFTTr OF FEE AT TIME OF
APPLICAIZON DOFS NOT COP1S'fIZST1E
APPROVAL OF PFRM4T.
' P ease Print)
?1) PROPERTY ADDRESS: S79 7?pE•-? ?i4?„? ?.,?1 ?h4
LEGAL DESCRIPTION:
IF EXISTING STRCC1LRE, DATE OF ORIGINAL BL+ILDING pII2MIT ISSL'11NCE:
(Month/Year')
PRESE6TTf 7pD1ING/PROPOSID [75E: -
q COMMERCIAL/RETAIL/OFFICE [3-R-1 SINGLE FAMILY
? IDIDL'STRIAL r-I R-2 DL'PLEX (7wo C?nits)
n INSTI'IL'TIONAL/GOVERN?ENT ? R-3 ZUWN-IOLSE (Three + Units) ( Units)
. Q R-4 APARThENT/CONIDOMINIDM ( Units)
2) ADDRESS: -
CITY, STATE, ZIP:
". PxoNE:_g9a-
3) ? i: ?• For City Use .
NAME'-? 14 "L40,-P• p tS ?vc Plunbers License:
ADDRESS: 1?f?Z 8 7-3 t2L`1 R? /? . Active
F?cpired
.. CITY, STATE, ZIP: +D (v vko Not recorded
PHONE:_559- 3(.7J MASTER LICENSE# St?a f-7nitial
- --
4) •a • 5741
NAME:_ SrO?u? 14S
ADDRFSS:
CITY. 5"I'ATE, ZIP:
PHONE:
5? ? v? a• • ?• : a • s? • ??
[]"?CONNE.'TION TO CITY SEWER M--CObNEICTION TO CITY WATII2 ? pTHER
6) ?? r• • r PI.EASE HOLD APPROtIID PEf2MIT FC)R PICK-[?P BY ONE OF AHOVE -' ---- -"--
PLFASE MAIL APPROVID PERMIT SD 1, 2, 3, 4, pgOVg
(Circle one) '
_7) 1A) o.?.W. )5 p::?_ .'ri- /4-P7
iNsrncrioiu oF sEWM aNo/at MTM
TnSTA7.TATTpNS WIId. NOT HE SCFIFD-
UI.FD UNTII, PEI2hffT HAS BFQV
APPROVID.
. FOR CITY USE ONLY '
PERMIT # ISSL'ED
Pd w/Bldg. Permit FEES:
$ $ Z) SEWER PERMIT (INCLUDE SCRCHARGE) •
$ $ WATER PERMIT (INCLUDE SORCHARGE)
$ 7$ WATER METER/COPPERHORN/OL'TSIDE READER
$ $ WATER TAP (INCLUDE CORPORATION STOP)
$ $ SEWER TAP
$ $ ACCOLNT DEPOSIT - SEWER
$ $ ACCOT-INT DEPOSIT - WATER
$ ? 7 $ WAC
$ Z S c? $ SAC
$ $ TRDNK WATER ASSESSMENT
$ $ TRCNK SEWER ASSESSMENT
$ $ ' LATERAL BENEFIT/TR('NK SEWER
$ $ LATERAL BENEFIT/TRUNK WATER
$ $ WATER TREATMENT PLANT SLRCHARGE
$ $ OTHER:
$- I 3 ? 7 ?C"i C"l $ TOTAL
. . 73_2,3'7 - .3(> 3 F
RECEIPT RE
CEIPT
DOES LTILITY CONNEC TION REQLIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
Q YES IF YES, THEN A"PERMIT FOR WORK WITHIN POBLIC
Q
NO ROADWAY" MUST BE ISSDED BY THE ENGINEERING
DIVISION
IS
. L
T AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY;
TITLE:
DATE :
,
'N
Cities Digital
? Control
The following image represents the best
available image from the original page.
Every effort was made to capture the content
from the original page.
?
NtN:';k;?V:Ac?.:?k:k`:??:a,,.4, tn;.;u" ;'
.? ,
?'s 'tLk';xSt'Fd NCDu 761.
F
;'A'7'L:
H:'!`'3/39 1111 ,.
45:c?':4i
NA..c ; n.'W;-, ,;( ,: = iNG i: fC:'1S'FFJ'!;7 Ifltd
? 32.'.." ST ? 14 7n j?.•,_;rFJ4f?•: i.K ?13:?,?:.
?'?tbJ `a.lt7.. Or"J L4..I.I.Iti lY
j;
'.C? ':J?Ji 3r'2CI k'LF.h'?:i: {,F'. 1,"?;>.i'.`•;
y
r.Gll}J gool 4.00
e:^a Sn1'tFm'{i' i.N ?.1:.25
k k??
'3iJ., . ?.i
853 SIl,it;'r.lt,V1 I t.i
'
a ?f
. ?]
? NtJ ''i()'7t 8179 "n.:'F: F:1'^L. jf.'7,.i':i
f?_i'.`;S 5}ereJq s:i,,s7 PP,;;;" „!r. U
Tw::1 l .i'i..: `
?, t: ] p. ? N;Y1=' 'r ,4 9 W; : 511
q.
:*Il?yl_f2" I.T?° .1?1n
„ F
/l?;:XY<;Kp: k ast? ?!? ;; A[', *X?'.w •,tt k.* ?'X7k:n,Rik:?".::k::.$?K?}"X., )k&' ,
,.
?
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) 59?
-- G ? CITY OF EAGAN 1j r ? y
? O 3?J 3830 PILOT KNOB RD - 55122 ?
651-681-4675
New ConshucNon ReauiremeMs Remodel/Recalr ReauiremeMs
D 3 registered sHe suneya:howing sq. H. of lot, sq. R. of house 2 copies of plan
and JI roofed areos (20% maximum lot coveraae allowed) 1 set of energy cakulatbns for heafed addHloru
D 2 coples of plans (ahow beam a window sIses; poured fnd. design; et??T 07 ?IM suney for exlerior addlNona a decks
D 1 sM of energy calculaHoro
D 3 coples of hee pre:ervaFlon plan B lot plalfed aHer 7/1 /93
DATE:
DESCRIPTION OF WORK: ZQat)*-!p
STREET ADDRESS: g 7q
'.akk Kfvo(( :,-,)??JC
LOT: BLOCK: ? SUBD./P.I.D. #:
PROPERTY
OWNER
CONTRACTOR
ARCHITECT/
ENGINEER
Name: ? ?ui?rs Jo?"J Phone#:
tcs? ? Firsf
6.5t -Y'5 Z^ 9Z'j1Z
Street Address: 91 71 r 4,e k Kb 1( ?w`fe
cny ? state: !?!'' ztp: -?s12 3
Company. 42-f-c-?,G Iws "1 Phone #• (- i Z -- -qY5 =? ? YO
' , (area code)
Sheet Addreu: 11S9/3/\ u? ?-
CRY -a u9?sd,(/c State: nlrJ
Company: Name:
Telephone #: area code ( )
Streei Address: R69?????vi I W.
Ctty
Sewer 3 water Iicensed plumber (reauired for new conshuction onlvl:
State:
Penally applies when address ehange and lot change Is requested once permiF is issued.
Zlp:
Zfp:
5-15-337
I hereby acknowledge that I have read this applicatlon, stale fhat fhe InformaHon is conect, and agree to eomply wHh all applieabl
State of I nesota Statutes and CMy of Eagan Ordinances.
? EIVLD s1900ure.o?•?APPlica?; ???
IC7 J. 8 r99.?i OPFICE USE ONLY RECEIVED
Certifi ceived _ Yes _ No OCT 12 1999
Tree Preservation Plan Received _ Yes _ No _ Not Required gy_
CONSTRUCiION COST: .you
License #*??4013gIK0 Exp.
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling . ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea.
? 03 1 of _ plex O 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
? 32 Addition ? 36 Move Bidg. 0 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bidg.' ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolitih (Interior) ? 42 t7Proof
'^i+: +' :A ha+i.;ou i :u apN;icani iur dcinniition permrt
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. Census Code
(Allowable) Main level sq. ft. SAC Code
UBC Occupancy sq. ft. No. of Units
Zoning sq. ft. No. of Bldgs
# of Stories sq. ft. MC/ES System
Length sq. ft. City Water
Width Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
APPROVALS
Planning Bu ilding Engineering Variance
Permit Fee Valuation: $
Surcharge U
Plan Review ,
License .
MC/ES SAC •
City 5AC
Water Conn.
Water Meter
Acct. Deposit
S!W Permit
SNV Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
SAC Units
% SAC
TRI-LAND C0. SITE PLAN FOR:
SURVEYING
SERVICES JOSEPH MILLER CONST.
1260 YANKEE DOODLE ROAD
EAGAN, MINNESOTA 55122
LEGAL DESCRIPTION: LOTISL,BLOCKJ-, PAkK xNOi-L nnp?v. _
ACCORDING TO THE RECORDED PLAT
THEREOF DARO7A COUNTY,MINNESOTA
\
1
\
\
0
U-?
\
\
\
LE:iEND
DENOTES IF,ON MONUMENT
DENOTES WOOD HUB SET
DENOTES EXISTING SPOT
ELEVATION
DENOTES PROPOSED SPOT
ELEVATION
DENOTES DRAINAGE DIRECTION
I hxeby certify ihat this survey,plan or
report wos prepared by me or under my
direct superviaion and that I am a duly
Reqistered Land Surveror under the
Lows of the Stote oi Minnesota
SCAL.F ?
N
i
/ "=30'
INVERT ELEVATION AT SERVICE EXTENSION=
PROPOSED GARA6E FLOOR ELEVATION=
PROPOSED FIRST FLOOR ELEVATION =
PROPOSED BASEMENT FLOOR =
ELEVATION
NOTE ? VERIFY ALL FLOOR MEIGHTS WITH
FINAL HOUSE PLANS
Bradley J. 6"nson, Mn. Rsq. No. 15235
Dore
C!ty of Eapil
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
6 2018
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee: 1
Date Received:
Staff:
2016 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 8— Z S - i (a Site Address: 8-79 •-k ‘4,0,11 Dr.""e.
Resident/'
Owner
Type of Work
Contractor
Name:
Address / City / Zip: 9 � {� {C,,,o It i.=; „L.
Applicant is: Owner X Contractor
Description of work: -1-:"
Construction Cost:
Unit #:
Company:. -ate.
Multi -Family Building: (Yes
Contact: 14,1--%-.
Address: ,Z5 City
State: v Zip: 5SL(2 Phone: -4F' -'fir Email:
License #:�?ty
If the project is exempt from lead certification, please explain why:
Lead Certificate #:
‘41,..,;.,ODJOv�AV1V� ' 'ppq
v-roa,
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:
Mechanical Contractor:
Sewer & Water Contractor:
Fire Suppression Contractor:
Phone:
Phone:
Phone:
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 the 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.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minne ota S e Bu • ing Code must be completed within 180
days of permit issuance.
x
Applicant's Printed Name
x
Applicant's Signature
Page 1 of 3
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation
Single Family
Multi
01 of _ Plex
WORK TYPES
New
Addition
•?D Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25%_ 100% )
Census Code
# of Units
# of Buildings
Type of Construction
Fireplace
Garage
Deck
Lower Level
Interior Improvement
Move Building
Fire Repair
Repair
g
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Roof: _Ice & Water _
Framing 30 Minutes
Fireplace: _Rough In
Insulation
Sheathing
Sheetrock
Fire Walls
Braced Walls
Shower Pan
�DC?� /l'l[CkIyf"
Reviewed By:
Final
1 Hour
Air Test
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Porch (3 -Season)
Porch (4 -Season)
Porch (Screen/Gazebo/Pergola)
Pool
Siding
Reroof
Windows
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Accessory Building
Demolish Building"
Demolish Interior
Demolish Foundation
Egress Window Water Damage
"Demolition of entire building - give PCA handout to applicant
Occupancy 5 12c — 1
Code Edition yYl n 2 v (5'
P1
Zoning
Stories
Square Feet
Length
Width
Final
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Suppression Required
Meter Size:
Final / C.O. Required
A Final / No C.O. Required
HVAC Gas Service Test Gas Line Air Test
Pool: _Footings _Air/Gas Tests _Final
Drain. Tile
Siding: _Stucco Lath _Stone Lath _Brick
Windows
Retaining Wall: _ Footings _ Backfill _ Final
Radon Control
Fire Suppression: _Rough In _Final
Erosion Control
Other:
, Building Inspector
Page 2 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA138750
Date Issued:09/19/2016
Permit Category:ePermit
Site Address: 879 Park Knoll Dr
Lot:10 Block: 1 Addition: Park Knoll
PID:10-56725-01-100
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Relocate Plumbing
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Richard J Picone
879 Park Knoll Dr
Eagan MN 55123
Preferred Plumbing
6400 High Point Trail
Prior Lake MN 55372
(952) 447-5761
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA143532
Date Issued:06/19/2017
Permit Category:ePermit
Site Address: 879 Park Knoll Dr
Lot:10 Block: 1 Addition: Park Knoll
PID:10-56725-01-100
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Richard J Picone
879 Park Knoll Dr
Eagan MN 55123
Lofgren Heating & Air
5708 Upper 147th St W
Suite 106
Apple Valley MN 55124
(952) 431-5811
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA167377
Date Issued:03/11/2021
Permit Category:ePermit
Site Address: 879 Park Knoll Dr
Lot:10 Block: 1 Addition: Park Knoll
PID:10-56725-01-100
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Andrew Wade Krammer
879 Park Knoll Dr
Eagan MN 55123
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature