883 Park Knoll DrCArH RECEIPT ' .10
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
.
DATE 19
RECEIVEO ? FROM L L' _ I:_ ! I ?• •?' _
JAMOUNT
; f
[] CASH
D/CHECK
FOR 4d??
a ooLLwws
+oo
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
Thank You
BY
,BLDG'?, ,P
?RMIT N0.
?
• ,>4 9 ??'i ? ?<'?? 7?"
01-3210 Bldg. Permit
01-3422 . Plan Check
01-3445 Surch./Adm. ?
01-3446 SAC/Adm.
01-2155 Surcharge ? •,
17-3860 Road Unit C;
20-2275 SAC
20-3$65 Water Conn. ?
20-3868 Water Trmt.
20-3716 Water Meter
20-2252 Acct. Dep.
20-3713 Water Permit
20-3743 Sewer Permit
79-3866 Sewer Conn.
11-3855 Park Ded.
?
TOTAL ? ? ?c ?' '? ? ?? ? ? ,
*' ? f
. ,
BUILDING PERMIT
To be used for •
Site Address d I
Lot Block Sec/Sub..
Parcel No.
1%3d5G
Receipt #
Est.Value 13 Date ,19
Q Name
W
; Address
° City Phone
a Name •
.o
? ? Address
w City Phone
Phone
I hereby acknowledge that I have read this application end state
that the infarmation Is conect and agree to complywith all epplicable
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Permittee
A Building Permit is issued to: all work shall be done in accordance with all applicable State of Mi
Bullding Official '
?. .?
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21 •199, Esgan, MN 55121
PH O N E: 454-8100
OFFICE USE ONLY
On Site Sewage _ Occupancy '
MWCC System _ Zoning
On Site Well _ Type of Const
City Water _ (ACtuaD
(Allowable)
* oi Stories
Length
Depth
S.F. Total
Footprint S.F.
APPROVALS FEES
Assessments Permit
Water/Sewer _ Surcharge
Police _ Plan Review
Fire _ SAC, City
Engc _ SAC, MWCC
Plenner _ WaterConn.
Council _ Water Meter
Bldg. Off. _ Road Unit
APC _ Treatment P1
Varience Parks
Copies
TOTAL I
on the express condition that ?
nnesota Statutes and Ciry of Eagan Ordinances.
I
Parmit No. Permit Holder Date Tslephone ?t
P?mbing
H.v.ac.
Electric
Softener
Inspectfon Date Insp. Commente
Footings I y-,:, ;-7
Footings II
Foundation
Framing xx
Roofing •
Rough Plbg. ?
.
Rough Htg. Az/
Isul.
Fireplace s-,? ? CJ?•
Final Htg. ? L7
Final Plbg. - ,
Bldg. Final
Cert.OCC.
Temp. LP
Deck Ftg.
Deck Frmg.
Well
Pr. Disp.
? MECHANICAL PERMIT RECEIPT #
• CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: _
? CONTRACT PRICE:
' Site Address
I Lot Bloc
?
? Name
? Addre?
c City f
L Name
c Addre:
p City -
I- Sec/Sub
TYPE OF WORK
' Forced Air BTU
Boiler M BTU
j Unit Heater M BTU
' Air Cond. ' M BTU
I Vent CFM
Gas Piping Outlets #
Other
BLD13. TYPE
? Res. v,
Mult
Comm.
Other
WORK DESCRIPTION
New ?y
Add-on
Repair
FEES
RES. HVAC 0-100 M BTU
ADDITIONAL 50 M BTU
(RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER P
COMM/IND FEE - 196 OF CONTRAC
Joc a vv?IIUva -
RESIDENTIAL FEE
- $24.00
- 6.00
ERMIn - 1.50 EA.
FEE
=S _
ITE APPLIES
4DD-ON 8
ODELS - 12.00
- 20.00
- .50
=G T
FEE
S/C: ? SIGNATURE OF PERMITTEE
TOTAL•
FOR: CITY OF EAGAN
PERMIT #
f PLUMBIMG PERMIT r
CITY OF EAGAN RECEIPT 11
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: h%
CONTRACT PRICE: , PHONE: 454-8100
Site Address BLDG. TYPE WORK DESCRIPTION
Lot ?_ Block ?_ Secl$ub Res. f% New
Mult. Add-on
? Name ?. ? Comm. Repair
? Address _ Other
c City 44#,44? ?:• :`'?- ,_ Phone k7T RES. PLBG, ONLY - COMPLETE THE FOLLOWING:
NO. ? FIXTURES TQTAL
Name ater Closet -$3.00 S .?
?Bath Tubs - $3.00
3 Addreps
?. Lavatory - $3.00
O CitY Phone -
;-? zi: •• _. - -. ::!?Shower - $3.00 --
-4Kitchen Sink - $3.00
FEES • Urinal/Bidet - $3.00
COMM/IND FEE - 1% OF CONTRACT FEE Laundry Tray -$3.00
APT. BLDGS - COMM RATE APPLIES ?Floor Drains -$1.50 '
TOWNHOUSE & CONDO - RES. RATE APPLIES Water Heater -$1.50
MINIMUM - RESIDENTIAL FEE - $12,00 Whirlpool - $3.00
MINIMUM - COMM/IND FEE -$20.00 : Gas Piping Outlets -$1.50
STATE SURCHARGE PER PERMIT - .50 ? (MIMIMUM - 1 PER PERMIn
(ADD $.50 S/C IF PERMIT PRICE GOES Softener -$5.00
BEYOND $1,000.00) Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
SIGNATUFE OF PEFMITTEE ? FEE:
STATE S/C: , - ?
FOR: CITY OF EAGAN GRAND TOTAL•
?- - -
?? ? • -
Ter#i#iratP ,af (Orrupttury
Citp of (eagan
DppMrbliMtt of VlltMtrig J1ts,pPtfton
This Certt; ficate issued pursuant to the requirements of Section 306 of the Uniform Building
Code certifying thai at the time of tssrrance thrs structure was in compTiarrce with the various
ordinances of rhe LYty reguladng building canstruction or use. For the following.•
U. aLsma. SF DWG/C-AR
:
0-Pe-Y TYPe R3 Zoniog District ?v
owner or sdaing 70?, naarm -
eudai,e naaress iocancy -
aem: _
Meing offic.i
Permh xo.
! 345G Cmst.
18133 t?P,.?A 90M, F??TGI?I
L9 a B 1. PAW IQM, ATD
POST IN A CONSPICUOUS PLACE
- . •_ l
?? ._...._? .
1
'-????? ._?-?'r_ . __• ?'-??
N?2
..?}-'f .;?6.?? C?i'?' ?.
d
. . . . . _ . .. ? . ?' ?tl,
3tAD\DF1CE ?e
15I CA
i6w UiznM rfma
3WA9, rs ,e.r
:':'?r.-???:?a.???i . _ .... ?'?
3n oF EAcaN . SEWER SERYICE
830 P" •1'Knb.. Road
i(21199 PERMITNO:; •' 71°40 -, " 1
MM 55121 DATE: 5-6-87
F-1 No. of Units: 1
Joe r:illez Const.
4--14-871
to comply with the C
of Insp.:
RFQUIRE
'RW: 59 s nnrd
t38T3Y0 OF EAGAN Permit No: 7 Date: Pt'.+cu Knob Road Meter No: '.3 S? 3 J,T?3 Size: SAE 0 a, ?f
P.O. 13ox 21199 Reader No: Q 3 P 9/ S I?I Date:
Eagan, MN 55127
Owner.
SiteAddress: '-•-no?_1 Iirive T,`> ''l "art: 1s,o11 Ac?c':r,.
Plumber lti"'^utti I'1u;lbinr
Conn. Chg: -25. 00pd jAj ,;y
? ?? ?fng: ?
Acct Dep: 7TIpc] No. of ?
l B??ar? d i ? ?in g e 9
Permit Fee: --- L?
Surcharge: 9o coinply with the City of Eagan
Tr. Plant ??? • r?Gpu ? ?
Meter. ?7 ?
`
Misc.: By
WATER SERVICE PERMIT
CITY OiF EA
3830 PWKrSokrRoad
P.Q. 65x 21199
Eagan,-MN 5S121
Zoning: 71t
Owner. ? Jo
Address:
SEWER SERVJCE PERMIT
PERMIT NO.:
DATE:
No. of Units: i
4- 24--87 72457
?
I agree to comply wMh the City of Eagan
Ordinances.
I BY
; Date of Insp.:
; Insp.:
Connection Charge: 5? 5 _ 00pa_
Account Deposit: ? 5 - ?ictipa
Permit Fee: 13 - OOpCI
Surcharge:
Mlsc. Charges:
Total: -
Date Paid:
1
Box 21199 Reader No: Date:
3n, MN 55121
nn. Chg: 525.00pi
Ct Dep: 15. ' P`
rmit Fee: ` ' p'`
rcharge: '
Plant ° `'O• `???d
Aer. 6 7.Otip :
Zoning:
No. of Units:
1 agree to compty with the City of Eagan
Ordinances.
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675
IewConstrudionReauiremants '
3 regatered site surveys shovring sq. k. ot lot, sq, ft. of house; and all roofed areas
(20%mattimumlotcoveregeallowed) '
2 copies of plan showing 6eam & windav sizes; poured found design, etc.)
1 set of Energy Calculations
3 copies of Tree Preservation Plan if lol platted afler 7/1193
Rim Jo'st Detail OpGans selectbn sheel (bidgs wifh 3 or less unils)
)ATE
S 0(' v (
IOB SITE ADDRESS 2g3 iparL L?oll pNiv t..
F MULTI-FAMILY BUILDING, HOW MANY UNITS?
'ROPERTYOWNER 7cJ1 Lo?43 , N..V,,
'YPE OF WORK
4PPLICANT
kDDRESS
'AGER #
?o?d ?r5
RaS fla?.
vI
RemodellReoairReauirements /??I<L? „/? G ? rryl
. 2copiesatplan C?< `? IV
. 1 set of Energy CalculaUons for heated addidons ?
• isitesurveyforexterioradditions8decks
• Indicate if home served by septic system for additions
VALUATION
Mk/
CELLPHONE# 61a-''??IO-S3a6 FAX#
a?
CODE s s ra3
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category y- MINNE50TA RULES 7670 CATEGORY 1
(check one) ?/? _ Residential Ventilation Category 1 Worksheet Sut
/ Energy Envelope Calculations Submitted
_ MINNESOTA RULES 7672
New Energy Code Worksheet Submitted
Plumbing Contractor: 14 Phone #:
Plumbing SysLem Includes: ater Sottencr _ Lawn Sprinkler
Water Heater No. of R.I. Batlis
No. Baths
Mechanical Contractor: !7 Phone #
Mechanical Systcm Includes: ' Conditioning
_ Heat covery System
Sewer/Water Contractor: Phone #
MM' U Z
?
rec: $90.00
Fee: $70.00
kII above information must be submitted prior to processing of application.
hereby acknowledge that I have read this application, state ihat the information is correct, and agree to comply with
]II applicable State of Minnesota Statutes and City of Eagan OrdinanceC?s.
Signature of Appl(cant 600,
:ertificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
FIREPLACE(S) _0 _1 _2 _3
_ PHONE # b S (- 406- gE
Updated 1/01
OFFICE USE ONLY
] 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 ?,4ccessory Bldg
7 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 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 DS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
7 05 03-plex ? 11 10-plex ?19 Lower Level ? 24 Storm Damage
] 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
:W 31 New ? 35 Int Improvement ? 38 Demolish (Interior) [3 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 •Demolition (Entire Bldg only) - Give PCA handout to applicant
/aluation ?fj zo-l Occupancy MC/ES System
;ensus Code IVY v
Zoning
P-iJ City Water
>AC Units (J ? Stories Booster Pump
Jbr. of Units ( Sq. Ft. . PRV
Jbr. of Bldgs ? Length ?.. Fire Sprinklered
-ype of Const W idth
_ Footings (new bldg)
_ Footings (deck)
_ Footings (addition)
Foundation
Drain Tile
Roof Ice & Water Final
?J Framing- -
Fueplace R.I. Air Test Final
3:7 Insulation
REQUIRED INSPECTIONS
FinaUC.O.
? FinaVNo C.O.
_ Plwnbing
FNAC
Other
_ Pool _ Ftgs _ Air/Gas Tesu _
_ Siding Stucw Stone
_ Windows (new/replacement)
Approved By ?6z , Building Inspector
3ase Fee
iurcharge
'lan Review
AGES SAC
:ity SAC
Nater Supply & Storage
i&W Permit & Surcharge
7eatment Plant
llumbing Permit
Aechanical Permit
.icense Search
;opies
)ther
fotal
???•.
BUILDING PERMIT
To be used for SF DWG/GAR
Receipt# 124 ?5-7
Est.Value $$3,000 Date APRIL 13 19 87
SiteAddress $83 PARK KNOLL DR
Lot 9 Block 1 SeGSub. PARK KNOLL ADD
Parcel No.. _
: Name JOSEPH M MILLER CONST I
= Address 18133 CEDAR AVE SO
° City FARMINGTON phone 8 -1010
CITY OF EAGAN N° 13456
3830 Pilot Knob Road, P.O. Box 21 •199, Eagan, MN 55127
PHON E: 454-8100
a Name_
0? Address
? City_
u?
wW
r=
x?
¢z
aW
Name _
Address
City _
I hereby acknowledge that I have read this application and atate
thet the information is conect and agree to compiywith all applicable
State of Minnesota Statut/e}ya? n?d City o( E n O inancea
Signature of Permittee ? ?"' ?
A Building Permit is issued to: JOSEPH MILLER CONS'
all work shall be done in accordance with all pplicable Sta of
Building Official v-e
l7?
OFFICE USE ONLY
On Site Sewage Occuoancy R3
MWCCSystem ? Zoning R1
On Site Well Type of Cons[
Ciry Water X (ACtuaq V
(Allowable)
# ot Stories
Length 5R
Depth 42_
S.F. Total
Footprint S.F. APPROVALS FEE$
Assessments Permit $ 444.00
waterysewer _ surcnarge ?50
Police _ PlanReview 297_n0
Fire _ SAGCiry 100.00
Eng[ _ SAG MWCC 595 _ f10
Planner _ WaterConn. 595_00
Council _ WaterMeter 67-O0
BIdg.Off. _ RoedUni[ 30,5,00
APC Treatment Pt 180 np
Variance 9/16..$6 Parka
Copies
TOTAL $ 2 ? 609 _ 50
on the express condition that
qnesota Statutes and City of Eagan Ordinancea
5/?//87
"X" Below Work Covered by 7his Request
? -oo ?i-a?,
?/ d'
Pftr Add Nep. TVPe of BwlCing Apoliancea Wired Equipmenl WveA
Home Ranpe Temporary Service
Duplex Water Heater Lightiny Fixtures
Apt. BufiAing Dryer Electric Heaun
Commercial Bldg. Fumace Silo Unloader
InduStnal BIAg. Air CondiLOnet Bulk Milk Tenk
Farm ther Veci y iher ISnecffyi'
t.r ucci y [ er otner
Compute lnspection Fee Below -
!1, Fae ServiceEntroneeSize p Fee Fendars/Subfeeders H Fee Circuns
OD 0 to 200 Am s 0 to 30 qm s l d° 0 tn 30 Am
Above 200 qm?s 31 to 100 qmps d.p0 37 to 700 Amps
Swimming Pool Above 100_Am s Above 700_Am s
Transiormers Irrigation Booms tl?Z Parbal/Other Fee
Signs Special Inspection 5
-
TOTA
Ramerks ZZg
,? EE -
?
?
Rough-in Da?p. / I, che EI
• ? Insoeetor, hereDy
certIty thal the above
Final ?e )?e r ' soection Aas been
r I made.
REQUEST FOR ELECTRICAL INSPECTION
, See instractions for complelirg this inm on baCk oi yellow copy.
Thh reauast vo1018 months 1rom
This reQUest voitl 51?,118-7
18 mpnths fmm
e 9 zz 27 /. ? ?? An? 11,e?W
/__? ,,/ . d
Request D le ' Fire No. Roueh-in Inspection
p
? 3? " p 7 Req ved?
Yes ? No "Ready Now WiII NotHy tnsueo-
tor When Neady
., -._. ._?. _.-_.
Licensed Electn<al Convnctor 1 hereb
y repuest inspection of ebove
Owner alec[ricel work installed at:
MINNESOTA gTATE BOARD OF ELECTRICITY THIS INSPEGTION NEQUEST WILL NOT
Griqpa•MiEway Bld4. - Room N•191 BE ACCEPTED BV THE STATE BOARD
1821 Universitv Ave.. St. Poul, MN 56104 UNLESS VPOPEH INSPECTION FEE IS
. ENCLOSED.
Pnenw 18121 842-0000
?5 L ( ? 2006 RESIDENTIAL BUILDING rEUMrT arrLicnTioN
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Consiruction Reauirements
3 registered sHe surveys showing sq. fk of lot, sq ft of house; and all roofed areas
(20%mazimum lot coverage allowed)
1 Soils Report if proposed 6uilding is to be placed on distur6ed soil
2 copies of plan showing beam & window sizes; poured found design, etc.
1 set of Energy Calculafions
3 coµes of Tree Preservation Plan if bt platted after 711193
Rim Joist Detail Options selection sheet (buildingswith 3 w less onits)
'Minnegasco mechanicai ventilation fortn
RemodeVReoair Reouiremenis
2 copies of plan showing footings, 6eams,joisls
1 set of Energy Calculalions for heated additions
1 sNe survey for addilions & decks
Addifion - rndicafe if on-s'rte sepfic system
4 -? 0. o-z%
DKce 11se"OnN
Ceit 61;Su,rrey.,Rgcd. '„'., ,;W_Y=: ^? N
$ails
TrgePie's P* ?-7-2111t
<, N
Date 0 y? Constructlon Cost ('50O, 'C7 o
Site Address L D a? - Unit/Ste #
Description of Work V) V_&(
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2
Property Owner -?a :?)'i? Telephone # (,pS7 ) 4-fJ?p ? ?D28
Contractor 6&Ak=(s7c, ! ,LCi C__ Y`'
Address CiTy O (J
State (N%, }J Zip SS ? (Z Telephone # (C?q 2_2 1 S-,`
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Energy Code Category - Minnesota Rules 7670 Cateeorv 1
. Residential Ventilation Category 1 Waksheet
(J submission type) Su6mitted
• Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on'
_ Y _ N If yes, date and address of master plan: .?L
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Code Worksheet
.,suominea ry -'?-_
? ? "' r vr
7ster plan?,,'O0ti
--
Telephone # ( _ ) _
Telephone #(
Telephone #( )
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the wark will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
5tatutes; 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 qaae-?Dork which requires a review and
approval of plans.
MAkj=- l (?
ApplicanYs Printed Name
DO NOT WRITE BELOW THIS LINE
Sub Tvqes
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 6ct. Alt - 5F
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screeNgazebolperola) ? 36 Multi Misc. .
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
Work Tvpes
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demotish Foundation 0 45 Fire Repair
? 33 Aiteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •Demolftion (Entire Bidg) - Give PCA handout to applicant
DCSCI'iption: WaterDamage_Yes
Valuation Occupancy MCES System
Plan Review 100% or 25%
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Lengfh Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) Sheetrock
_ Footings(deck) _ FinaUC.O.
_ Footings (addirion) _ FinaUNo C.O.
Foundation HVAC
?rain Tile Other
Roof _ Ice & Water _ Final _ Pool Ftgs Air/Gas Tests Final
_ Framing Stucco Lath _ Stone I.ath
Siding
Brick
_ Fueplace _ R.I. _ Au Test _
_ Final _ _
_
Windows
_ Insutation _ 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
Building Inspector
Copies
Other
Total
.?
o•?
? 44/F•00+
41•5U+
\\ ? 222•UU+
Ei25•UU+
v 525•UU+
57•OU+
305•U0+
?..1f30•UU+
2, 4OJ•?)u*
S? .
1987 BDILDING PEAMIY 9PPLICATIOH - CITY OF EAGAN
SINGLE FAMILY DWELLINGS
IRCLQDE 2 SETS OF PLANS, 3 CERTIFICATSS OF SOHVSY, 1 SST OF ENERGY CALCOLATIOHS
HOTE: ADDRESSES FOH COENEH LOTS - CONTRACTOR/HOMEOWNEF MIIST DESIGHASS i1HICH ADDRESS
IS DESIRED. NO CHANGES WILL BS AI.LOWED ONCS BDILDING PERMIT IS ISSDED.
MOLTIPLE DTiiELLINGS - RESIDENTIAL
INCLUDE 2 SETS OF PLANS, CEN
1 SET OF ENERGY CALCULATIONS
COhIli[iRCIAL
HSNTAL OAITS FOR SAL6 OHIiS
OF SIIRVEY - CHSCK iIITH BLDG. DEPT.,
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
t?3,0?
To Be Used For: 11p/,f)01?W Valuation: 14;? tm zi
Site Address 983 PVLk k'f?od 44 OFFI,
Lot % Block /
Parcel/Sub " 6d'e .
Owner
Address
City/Zip Code
Phone
Contra
Addres
City/Z
Phone
Arch./Engr.
Address
City/Zip Code
Phone #
n
Date: 3 -a* y U /
On Site Sewage_
MWCC System ?
On Site Well
City Water ?
APPROYALS
Assessments
Water/Sewer
Police
Fire
Engr
Planner
Couneil
Bldg OfF
APC
Variance q lto•&fo
Occupancy 9•5
Zoning F-•I '
Type of Const
(Actual) ?
(Allowable) ]'L
lk of Stories
Length se>
Depth 4 Z
S.F. Total
Footprint S.F .
FEES
Permit 4-44-.
Surcharge
so
¢11
Plan Review 2 Z 2.
SAC, City lO p.
SAC, MWCC 525
Water Conn 5 Z-5
Water Meter l07.
Road Unit OS
Treatment Pl
Parks
Copies
TOTAL ?
6
Co?5o k 5b
? ? n 3 z = s?? x Sb _ ? 3 4-08
? x(c) ? 8o x- Sg
6 ? 4 x Sb° Ig?co
'14X22
.
?2`7f3?
t
One or Tra Family
All Other
(:111'1 UF BUILDINa DEPARTMENT,? O/ ?Z
k:XTERIOR ENV?,OPE AVERp(3E ??Ulf COMPUTATION YT f/L'/
(1h be eubmitted with bullding permit application)
Dwelling Oxner
Contractor D
LINEAL FEET OF
EXPOSED WALL CUW, K, SJ?fj?il? ft.
OPAQUE WALL CONSTRUCTIO1d: "U'l Value x Area
Site Addreee
Date (O Phone
above grade
1bTAL 6JG°OSED bYALL ARF.A SQ, FT.
Detail 4,17h) VQLL 1043 x SQ.
r
reference - 1• 7
-?? it uX 5Q.
from x SQ.
attached "u't x SQ,
sheeta "p" x 5Q.
nUn x 5q.
WIND0IVS: "U" Value x Area
FT. ?
M(A)
FT. _ (U) (A)
FT. _ (U)(A)
FT. _ (U)(4)
FT. _ (U) (A)
FT. _ (U)(A)
Make & TYPe ?.c191y 1/'t`npn . J"?'Ti x SQ. FT.
n if U i= a/ U( U) (A)
n - -
n nn x SQ. FT. _ (U) (A)
n i? U x Sq. FT. _ (U) (A)
npu x SQ. FT. _ (U)(A)
DOORS: "Utt Value x Area
Ma;ce & Type s, „U
„ x SQ.
u
u u u
u n nUu x SQ.
n u x 3Q.
_ nun x SQ.
TOTAI,S gQ,
7VERA4E itUto TOTAL (U)(A) VALUES 2'??lifo
?
ROOF/CEILIN(}s
/
TOTAL AREA:
I7i174•
FT._ Z?O,7(D (U) (A)
DIVIDED BY TOTAL 17pI,L AREA -_4?0_13
AVERA(]E OlUto ,115 or.leae for 1&2 family dwellinge
FT. (U) (A)
FT.?= U) (A)
FT. _ (U) (A)
FT. _ (U) (A)
Detail reference $fUu X 3Q. FT. _ (U)(w)
from
attached aheete.
D nUu x
6 p ??pu x
:: SQ.
SQ. FT. . (p)(w)
pT,?a??(U)(A)
escribe openinga
1n
roof ??U
;
u sQ. ?. a (0)(A)
, Qn z gQ. FV. a (u)(A)
TOTlIL (Q)(A) VALUE9 DIVIDED BY
D? ?7kI.,7? ?`1?.? `Up
j a
O
TOTAI. ROOF/CEILINfi AREA
AVERAQE 'lIIll ,025 for ventilated roofe. ?
?
O wroioa wno ao...wr.v ene4 oeuw T.w BurF e>w.c covice?u. uwoc m U. •
J
?
I
i ROOF/CEILINa
R VALUE
? 1.) Interior Air t'i1m 0,61
' z.) 5/811 ayp. Bd. .56
3.) Insulation
41
4.) DO
5.) Exterior Air Film ,61
(STILL)
nuu = 1/R= DZJ , '1'OTAL (R)= 4j-7E,
-?vWL JL?.11V1?--
Determining 1-plt yaluee at Roof, Wall, Rims And Conc. Block
WALL
6.) Interior Air Film
7.) }ll aYP. sa.
8.) Insulation
9.) &vR.T- F-lTE
10.) Masonite Siding
11.) Exterior Air Film
R VALUE
0.68
•45
f9•c'r'
Z o`}-
. 67
.17
iiU" _ 1/R= .04-3 TOTAI. (R)=Z3.01
RIM
12.) Interior Air F12m
13.) Insulation
14.) 211 Fir Rim Joist
15.) lSvK..T- Kt7e-
160 Maeonite Siding
174) Exterior Air Film
R VALllE
0. 6$
! 9•00
1.88
Z• 67
.17
npu _ 1/R= ,041V TOTAL (R)= Z4.t?
.?-
FOU27DATION
18.) Interior Air Film
?o. ) /1 y1R1R?
21.) 2" Concrete Block
22.)
23.) Exterior Air Film
R VALUE
0.68
ll•00
1.28
.17
"U" = I/R= .07(P TiOTAL (R)= l3.?71'
i:;17V Ui= cA+".1AN
Cr1SH:[Ea;,y 7S !`r."FttiIMft_ NC.1:: 699
Dr?IE.s pWf.):9S Tlh?E: ,.W11::!8
TL!:
r:aMEM AzrEc Ronr.Ne e c?NsrRc!MON
32:10 `i)Op:l. !dkis F'ARK I:tJM M05
2105 '_;001 233 F'F;RK t:hGL.I_ 3.50
320 900:I 92:3 SAVANF,1-I I;D Lc?).,25
?. 55 900'. 923 fiFiUfiN6Yi F'{11 3.00
32it;! 9Li0'' 046 S1-IAi...L. Lh! 125.25
??..`..IJ 9001 R1.46 ::'HFii_l:. L..N .:';,.tlfJ
10'I;:.i.l i':7Cc?YGii, Mil'IiL- 29905
r,F•:t : 690:,
Us:: < 1% )r,N
:;;?„k?;k;c:;•,k,? ,?;I;??,t>'<:,;z:?;:? .;?r,:::Mu:,;h;:6??k?o';,kr %?S;X;.;<??e
7y 1999 BUILDINC PERMIT ARPLICATION (RESIDENTIAL) 515 I
?? ? CITY OF EAGAN
3830 PILOT KNOB RD • 55122 d?
651•681-4675
New Construction ReaulremeMS Remodel/Reoalr Reauirements
? 3 regisiered sXe surveys showing sq. M. ol lot, sq. fl. W house 4 copies of plan
and,all roofed areas (209 maxlmum lot coveraae ollowed) 1 set ot energy calcvlottons tor heated addHions
? 2 coples of plans (show beam a window sizes; poured fnd. design; efc.) 7 aBe survey for exterior ad?t?pps S decks
? 3 opies t hee pre e'nat on plan H lot platfed afler 7/1 /93 ??rP 0 9 ENTD
DATE: CONSTRUCTION COST: 7
DESCRIPTION OF WORK: R40?ae?6 ?
STREEf ADDRESS: i2rg 3 140k KX-li
LOT: \ BLOCK: --f SUBD./P.I.D. #:
Name: _7 ftame'So'J ?3 6"4-000e6r Phone#: G?I - GB??- 8838?
PROPERTY Last Flrst
OWNER
CONTRACTOR
ARCHITECT/
ENGINEER
Street Address: 993
ciri E-
ztp: S-SI z 3
State:
/11?
. Company: A746:-C' Phone #: l° f Z a e`f0
(area code)
Sfreet Address: t 15-8 3 (?`4,f P -b2
City " ?02AISd 11115 State: IVAI
Telephone #: area code (
Street
City
Zip:
55337
Name:
)
RegistraHon #: _
State: Zip:
Sewer 6 wafer Ilcensed plumber (reauired for new consirucNon onN):
Penaly applies when address change and lof change is requesfed once permH is Issued.
I hereby acknowledge ihat I have reod thts appltcaFion, state that the informaffon is correct, and agree to comply wRh all applicabl
Stasre ot Minnesota Statutes and Ctty of Eagan Ordinances.
' Stgnature of Appllcard:
r
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
L
Tree Preservation Plan Received _ Yes _ No _ Not Required
0
ucense # '? o /3`? r 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 ? 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
? 32 Addition ? 36
? 33 Alteration ? 37
? 34 Rapalr G 38
GENERAL iNFORMATION
Const. (Actual)
(Aliowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
APPROVALS
Planning
Tenant impr ? 39 Gas Line Only ? 43
Move Bidg. ? 40 Gas Insert ? 44
Demolish Bldg.• ? 41 Wood Stove ? 45
Jemolisn (t,iterior) ? 42 Reroo(
' Give PCA handout to applicant for demolition permit
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft,
sq. ft.
Footprint sq. ft.
Building
Engineering
Siding/Soffits/Fascia
Windows/Doors
Fire Repair
Census Code
SAC Code
No. of Units
No. of Bidgs
MC/ES System
City Water
Booster Pump
PRV
Fire 5prinklered
Variance
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: $
i
SAC Units
% SAC
PERMIT# t ?5 3 ?
RECEIPT DATE:
RESIDENCiAL PLUM$INfi PERM1T AeFPLICATIOR
crrY oF F.Aem
3830 PaM KNos ftn
EAHAA,INR 55122
651-681-4675
Please complete for: Q single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for irrigation system
SITEADDRESS: ? ?I t?n.0? 1 C? V`1Ve?
OWNERNAME:: I?? ??Y'? TELEPHONE#: 6SI'-qO? au
(AREA CODE)
INSTALLER NAME: s°? r'`Q_
STREET ADDRESS:
TELEPHONE #:
(AREA CODE)
CITY:
Placq?a check mark next to the permit work type
STATE:
ZIP:
Add-on, modification or alteration to existin dwelling unit, including: $ 50.00
• abandonment of septic system
• new instal lation/repair/rebu ild of RPZ
• lawn irrigation system
• water turnaround
Me ?1os.i?rna?`'1
Nature of work:
T-
Septic System, new/refurbished - $ 225.00
• includes County & Consulting Inspector fees
• requires MPC license
Water turnaround - existing dwelling unit, including: $ 50.00
• 5/8" meter 115.00
$ 165.00
State Surcharge ,
- $ .50
.
i 'I
Total U
- - ? .
I hereby acknowledge Ihat I have read this app6cation, stale that fhe informatlon is correct, and agree to complywith all applicable City of Eagan ordinances. It
is the applicanYs responsibility lo notiy the property owner that the City of Eagan assumes no liability for anUaes ca ed by the City during its normal
operational and maintenance activities to the facilities construded under ihis permit within Cleaat.
J?
SIGNATURE OF PERMITTEE 1102
GOLD COPY PERMIT RELEASE FORM
PERMIT ll ?? O ,3
ADDREss ? ? ? P?,.,? I??,,?.Q
PICKED UP BY
? r ? / 6iU- I?-L
CITY OF'EAGAN
APPLICATION FOR PERMIT
SEWER ANO/OR WATER CONNECTION
xxwxs:xxtx?xtxxx:zzx:xxex??**#*#*?
*A'P5': PAYMNT1r" OF kEE AT TIIm pF ?
APPLscATIoN DOEs Nor aoNsriTIM
APPxovar, oF PERMIT. ?
iNsPncriocv oF sENM r,rro/ox Wm=
aSTAT.TaTroNS wIIa. Nar BE sc,HED-
[R.ID ONPIL PERMIT HAS BEEN
APPRWID.
. 'x_.._...... _.........._..F.____....,.,.x
P ease Print)
? 1) PROPERTY ADDRESS: g83 ?At? ??c.e // JJh •-
LEGAI. DESCRIPTION: •-
%LULin?ocx/auDaivlsion or Tax Parcel ID $) -
IF EXQSTING STRLY.'!L'RE, DATE OF ORIGINAL BLILpING pERM[T ISSL'AfXE: '
, PRFSErTf 7ANING/PROPOSID L'SE: II4on ear
? Ca44MCIAi./RE'PAIL/OFFICE
? IIIDCSTRIAL
n INSTI2L"f20NAL/GpVFRM4=
2) ,
Q' R-1 SINGLE FAMILY
0 R-2 DL'PLEX (1two L?nits)
? R-3 7Ch4Ni005E (Three + Units) ( Units)
p R-4 APARTfESI'p/COAIDOMINIUM ( Units)
NAME: -_fe t /r/r `?cG CO" 74-
ADDRESS:
CITY, STATE, ZIP:
PHONE:_?-?yd- !G!D
' 3) NAME: m/ For City Use .
r/1? Plumhers License:
ADDRESS: 5l1? a320 uc? .J ??? d
i CITY. STATE, 2IP: ?1
Not recorded
PHONE:_ 36 J3? MASTER LZCENSE#
St Initial
4) •ar9•:.i ?..niM
NAAIE: S?4i1LL /QJ ?? ?
_ ADDRESS: .
CITY, STATE, ZIP:
PHONE: . '
•5) n v •i r• •?• : o • a? - a?
a'CONMECTION TO CITY SEMM o-EpNNE(,TION 2C7 CI'I'y WATIIt ? pr?E?R
6) ??
7)
[!r'PLEASE HOLD ApPROVID PERMIT EY)R PICK-UP SY ONE OF ABOVE
PLEASE MAIL APPROVID PERMIT 70 1. 2. 3, 4, ABOVE
(Circle one)
"' g
e
_ FOR CITY USE ONLY '
PERMIT # ISSC'ED ,
.
Q G ;7D / I
Pd w/Bldg. Permit FEES:
$ SEWER PERMIT (INCLDDE SURCHARGE)
$ $ WATER PERMIT ( I[VCLUDE SL'RCAARGE )
$ (0 7'U U $ WATER METER/COPYERHORN/OL'TSIDE READER
$ $ WATER TAP (INCLPDE CORPORATION STOP)
$ $ SEWER TAP
$ $ 7? • U-"? ACCOLNT DEPOSIT - SEWER
$ $ ACCOUNT DEPOSIT - WATER
$ S lJ v $ WAC
$ ?vZ ?'t/Z7 $ SAC
$ $ TRLNK WATER ASSESSMENT -
$ $ TRUNK SEWER ASSESSMENT
$ $ " LATERAL BENEFIT/TRONK SEWER
$ $ LATERAL BENEFIT/TRC'NK WATER
$ ??D • ?/`?D
? $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
S 43? ?CJ a $ __ 7> TOTAL
7,? <</
RECEIPT RECEIPT
DOES LTILITY CONNECTION REQLIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
ED YES IF YES, THEN A"PERMIT FOR WORK WITHIN PLBLIC
Q
ROADWAY" MUST BE ISSUED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CbNDITIONS:
APPROVED BY:
TITLE:
DATE :
I TRi - Latu o c o.
SURVEYING
SERVICES
4655 NICOLS ROAD
EAGAN, MINNESOTA 55122
(.V4101 "
r^- --- - -
s Z
N i
o _
cn ? 1 ,r-,
ai 6 1 (jyo?
cn OD
m
kvt
SITE PLAN FOR:
? 94g`, 2
0
? ?1?4K?EA5?'?EN1? 1 ? ? O
?
'O
9
0
1,
y y i?
?
/
otk
? _ I 1 ?11
C-)
,
PA,?K KNOLL??
DRIVE ?
SCALE : I"= 40'
NOTE (STEP HOU8E
PROPERTY DESCRIPTION
LOT9 , BLOCK I ,
PARK KNOLL
aeeorcgnq to tha reaorded plat thereof
QAKOTA Cairuy, Minnssota
z couRSE u?)
?,,ec4- x ?j00 U
LEGEND ? h+J' Co?sf 1?14'-j5
O QENOTES IRON MONUMENT PROPOSED GARAGE FLOOR ELEVATION = J??
o p?pTES WOOD HUB SET PROPOSED FIRST FLOOR ELEVATION =
614 DENOTES EXISTING SPOT PROPOSED BASEMENT FLOOR = 31L., 8Q.
0.EVATION ELEVATI ON
W2 OENOTES PROPOSED SPOT
ELEVATION
? DENOTES DRAINAGE DIRECTION NOTE ? VERIFY ALL FLOOR MEIGHTS WITN
FINAL HOUSE PLAHS
1 Mraby cerfify tlwt this sixvoy,plan or
roport was prepared by me or unMer mr
direct aupervhian and That 1 am a dWy
Rsostired Land Surreyor undw tM
Lars of the State of Minnesota
Bradley,040wensan, Mn. Roll.Nc.352x5
Date
?
J4SEPM MILLER G4NST..
89° 55 54" W
150.00
:_
Use BLUE or BLACK Ink
1 For Office Use
, I
~3g3C
City of Eap 1 Permit
I I
J D°i I
1
I Permit Fee: [V I
3830 Pilot Knob Road I Zc ~
Eagan MN 55122 1 Date Received: 1
Phone: (651) 675-5675 1
Fax: (651) 675-5694 APR 1 Staff-------
--J
2012 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: Site Address: 5N3 y`'~
Tenant: Suite
RESIDENT/OWNER I Name: Phone:
Address / City / Zip:
Name: License
i
CONTRACTOR n Address:/j,_M~5 City:
i State: a,1' ' Zip: Phone: ~3% sfJ 3`~
i
Contact: Email:
New Replacement
TYPE OF WORK -Repair -Rebuild -Modify Space -Work in R.O.W.
-
Description of work:
RESIDENTIAL
Water Heater
Water Softener
PERMIT TYPE Lawn Irrigation RPZ / - PVB)
Septic System Add Plumbing Fixtures L- Main / - Lower Level)
I New Water Turnaround
Abandonment
RESIDENTIAL FEES:
$60.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$60.00 Lawn Irrigation (includes $5.00 State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
*Water Turnaround (add $189.00 if a 5/8" meter is required)
$105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
TOTAL FEES $ Agog
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Applicant's Printed Name Applint''s Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground Rough-In Air Test Gas Test Final
_ _ _ Use _BLUE or BLACK Ink
---------i
For Office Use {
? I
I Permit J~ I
City of Evan I r~
I Permit Fee: c~ I
3830 Pilot Knob Road
I 2 2
Eagan MN 55122 I Date Received: I
I I
Phone: (651) 675-5675 202
Fax: (651) 675-5694 ~pR Staff: 1~ 1
2012 MECHANICAL PERMIT APPLICATION
Date: Site Address: `SFI a i=,t2512LI~
Tenant: Suite
RESIDENT /OWNER Name: dpazmAi Phone:
Address / City / Zip:
Name: ilk tn&Zj,~ j~*4g License#:
CONTRACTOR Address: Ili City: ::L~2 3
State: ~~x' Zip: > 6- Phone:
Contact: Email:
New Replacement Additional Alteration Demolition
TYPE OF WORK Description of work:
NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City
t
Code. Please contact the Mechanical Inspector for information on permitted screening methods.
RESIDENTIAL COMMERCIAL
( Furnace New Construction Interior Improvement
{ PERMIT TYPE - Air Conditioner Install Piping _ Processed
_ Air Exchanger _ Gas _ Exterior HVAC Unit
s _ Heat Pump Under / Above ground Tank Install Remove)
Other
RESIDENTIAL FEES:
$60.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge)
$100.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) TOTAL FEE
COMMERCIAL FEES:
$75.00 Underground tank installation/removal (includes $5.00 State Surcharge) OR Contract Value $ x1%
$60.00 Minimum (includes State Surcharge) Permit Fee
- If the Permit Fee is less than $10,010, surcharge is $ 5.00 Surcharge
- If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee
(i.e. a $10,010-$11,010 Permit Fee requires a $ 5.50 surcharge) TOTAL FEE
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before
you intend to dig to receive locates of underground utilities. www.-gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance
with the approved plan in the case of work which requires a review and approval of plans.
X 0$9091 - -3 - &k~~Oeg~'
Appli nt's Printed Name Applie9'nt's Signature
FOR OFFICE USE
Required Inspections: Reviewed By: Date:
Underground Rough In Air Test Gas Service Test In-floor Heat Final HVAC Screening
Use BLUE or BLACK Ink
'r-----------------
I For Office Use
Permit L
flon
City of EaRd I . ~
Permit Fee:
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 1 Staff:
2012 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: '7 r Unit M
Name: Phone:
RESIDENT / l /
OWNER Address / City / Zip: Y
Applicant is: Owner A Contractor
Description of work: (Re ZoE
TYPE OF WORK
Construction Cost: Multi-Family Building: (Yes / No )
Company: ~V^~~ C~ Contact: n
CONTRACTOR Address: ~i I City:
~y i5 ) a
State:
Sta Zip Phone: License W "1 Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work aut ri ed by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit is u ce.
X_ x
Appl is Printed Name Applicant's ignature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA144650
Date Issued:08/03/2017
Permit Category:ePermit
Site Address: 883 Park Knoll Dr
Lot:9 Block: 1 Addition: Park Knoll
PID:10-56725-01-090
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
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 -
Nada Abuzzahab
883 Park Knoll Dr
Eagan MN 55123
Hoyt Exteriors Inc
16626 Flounder Ave
Rosemount MN 55068
(651) 246-4801
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA150769
Date Issued:07/24/2018
Permit Category:ePermit
Site Address: 883 Park Knoll Dr
Lot:9 Block: 1 Addition: Park Knoll
PID:10-56725-01-090
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Nada Abuzzahab
883 Park Knoll Dr
Eagan MN 55123
(612) 240-5328
Apex Energy Solutions
9655 Newton Ave S
Bloomington MN 55431
(651) 688-2739
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA160213
Date Issued:02/24/2020
Permit Category:ePermit
Site Address: 883 Park Knoll Dr
Lot:9 Block: 1 Addition: Park Knoll
PID:10-56725-01-090
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Nada Abuzzahab
883 Park Knoll Dr
Eagan MN 55123
(612) 240-5328
Apex Energy Solutions
9655 Newton Ave S
Bloomington MN 55431
(651) 688-2739
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA178872
Date Issued:09/07/2022
Permit Category:ePermit
Site Address: 883 Park Knoll Dr
Lot:9 Block: 1 Addition: Park Knoll
PID:10-56725-01-090
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 Total:
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
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 -
Nada Abuzzahab
883 Park Knoll Dr
Eagan MN 55123--191
(612) 240-5328
Window Concepts Mn
291 Eva St
St Paul MN 55107
(651) 905-0105
Applicant/Permitee: Signature Issued By: Signature