891 Park Knoll Dr0'' CASH RECEIPT ?
. CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
D A T E 1__' - 1 9•,,_,_,1
i
R`CEIVED
FROM ? l ` . • I
AMOUNT $ ?•
? '•._% ? ?? ?
& ooLLwws
7ou
EJCASH ?CHECK
w ow ;_.L- V-:, :_• / Z, : 'f Y1[
i
PUND CODE AMOUNT
1
? •
Thank You
B Y rrY
.?-.-.
White-Payers CopV
Yellow-Pocting Copy
Pink-File Copy
W. CASH RECEIPT •
. CITY OF EAGAN
' 3830 PILOT KNQB ROAD
EAGAN, MINNESOTA 55122
* DATE ?g
?
RCG[I V ED •
FROM
r i
AMOUNT $ ; J I
& DOLLARS
?oo
? CASH ? CHECK
?
FOR
av
White-Payers Copy
Yellow-Posting CopY
Pink-File Copy
Thank You
--.?,..-----? --T
BLDG.
i ?
i 1 ? Cy
? .
U ?
O1-1. `10
r
01-3422
01-3445
01-3446
01-2155
PERMIT N0. I? (
? ? r _ .Lt1- ? {? f,_ . ( ? ,_ .; •
B,ldg. Permit
Plan Check ?
Surch./Adm.
SAC/Adm.
Surcharge
.,,._.?..,.r
,? .../ ?
Z-
J ?
> b5 0O
17-3860 Road Unit
20-2275 SAC
20-3865 Water Conn.
20-3868 Water Trmt.
20-3716 Water Metez
20-2252 Acct. Dep.
20-3713 Water Permit
J ;; J bU
0 O
11L)G CC
20-3743 Sewer Permit
79-3866 Sewer Conn.
11-3855 Park Ded.
00
TOTAL --? ? J Cl `I 1 C,? "J
CITY OF EAGAN
i):``-? •.... - ;. l t. ? ° 3
3830 Pilot Knob Road, P.Q. Box 21-199, Eagan, MN 55121
PHON E: 454-8100
BUILDING PERMIT Receipt #
To be used for Est. Value Date ,19
SiteAddress "' `'•'' • ?:"ULL `-+a OFPICE USE OMLY
Lot BloCk ' Sec/Sub. dn Site Sewage ? Occupancy
MWCC System _ Zoning
ParCel No. On Site Well Type of Const
Cit
Water ?
Actual)
ac Name , . ;?? :o j h..i_'C'i : ?.` t •i: y (
(Allowable)
; Address ;• !%(:??c3U1? ;?`. Le g h ries
° City Phone 4?'`4-o('`" 4 Depth
Total
S
F
, p Name .
.
Footprint S.F.
?Q Address APPROVALS FEES
? City Phone Assessments ? Permit
?¢ waterysewer ? surcnarge
? W iVame Palice _ Plan Review
s? Address Fire ? SAG City
u Engr. SAC, MWCC
aW City Phone Planner ? WaterConn.
Cquncil ? Water Meter
I hereby acknowledge that I have read this application and state Bidg. Off. _ Road Unit
that the information is correct and agree to comply with all applicable AK ? Treatment Pt
State ot Minnesola Siafutesand City of Eagan Ordinances. Variance ? Parks
SlgnetUfB Of Permittee Copies
TdTAL
A Building Permit is issued to: on the express condition that
all work shall be done in accordance with all applicable State of M innesota 5tatutes and City of Eagan O rdinances.
Permit No. Permit Holdsr Date Telsphone #
Pjumbing '' -, /;;,.2
H.V.A.C.
Electric if C, ,,,?? /C?i3 ?rl ? ?
Softener
Inspection Dats Insp. Comments
Footings I `
Footings II
Foundation
Framing
Roofing
Rough Plbg. 3
Rough Htg. ?LUt 4S- ST ad ?
Isul. • 9 -f'-'O - -/ -k 7
Fireplace jr7 ",ya-f2Q
FinalHtg.
Final Plbg.
Bldg. Final
Cert. Occ.
Temp. LP r
Deck Ftg.
Deck Frmg.
Well
Pr. Disp.
MEGHANIGAL PERMIT
CITY OF EAGAN " RECEVPT # 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: Octo.ber
RACT PRICE: 53,475.00 PHONE: 454-8100
m Name -.dE?ve x?atin
m Address 13?J75 Pione
?
c Ciry ;c? - •?,-- ;
Name uarporace 4-:oristru
c Address 4466 WedqL_Iwoucl
p City r ugan Phone
I TYPE OF WORK
ForcedAir 75,00:1 Lennnx MBTU
Boiler M BTU
? Un+t Heater M BTU
Air Cond. M BTU
Vent. - GFM.
; Gas Piping Outlets #
FEE:
S/C:
TOTAL•
BLDG. TYPE WORK DESCRIPTI ON
Res. X New
tim , Muk. Add-on
reomm. Repair
1 Other
FEES
RES
HVAC 0-100 M BTU
$24
00
.
ADDITIQNAL 50 M BTU -
,
- 8.00
544 (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS O
S
M
ER
4.0 UTLET
(
INIMUM - 1 P
PERMIT)
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES - 1.50 EA.
TOWNHOUSE & CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE
ALL ADD
ON &
-
-
REMaDELS - 12.00
- MINIMUM COMMERCIAL FEE - 20.00
- STATE SURCHARGE PER PERMIT..
(ApD $.50 SIC IF PERMIT PRfCE GOES ` - .50
f • 50 BEYaND $1,000)
,
.5
?
SIGNATURE OF PERMtTTEE
FOR: CITY OF EAGAN
.< . F ' - . . r,.. .-.. : : , .?......: .,. ,... .. ... . ,? . . . . . .. . . , .r . . --- n
' ' < < + PERMIT # a
? PLUMBING PERMIT RECEIPT #
CITY OF EAGAN t , e
3830 PILOT KNOB ROAD, EAGAN, MN 55122 pATE:
CONTRACT PRICE: PHONE: 454-8100
5ite Address
Lot - Block SecrSub
:7
? Name -
d .
?u Address
c Ciy ?_ . 4?' Phone 4'?
? Name
; Address
p City ?0A?• 16hone
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APPLIES
MINIMUM - RESIDEN7IAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,400,00)
SIGNATURE O,F P&MITTRiE
J
FOR: CITY OF EAGAN
_._v.?..... .,?:._. _?..
BLDG. TYPE WORK DESCRIPTIC>N
Res. ??- New
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES
Water Closet - $3.00 TOTAL
$- ?- •?_
?Bath Tubs - $3.00
_e;??Lavatory - $3.00
--/-Shower - $100 ~ - l-C
_4--Kitchen Sink - $3.00 .'3 . (S O
Urinal/Bidet - $3.00
--/-_Laundry Tray - $3.00 4 -?
_4-7-Floor Drains - $1.50
-LWater Heater - $1.50
Whirlpool - $3.00
__J_Gas Piping Outlets - $1.50 A1. ? O
(MINIMUM - 1 PER PERMIT)
Softener - $5.00
Well - StO.oo
Private Disp. - $10.00
^
--3-Rough Openings - $1.50 4• ?'
FEE: ? ? • ? -
STATE S/C: i
GRAND TOTAL: " - ' ?
? .
(Itr#iftrate of (Orrupanry
Citp of (Eagan
llrpwtmmt of lutld'mg jwPrtiun
This Certificate rssued pursuant to the requirements of Seciion 306 of the Urriform Building
Code cenifying that aJ 1he time of usuance this structure was in compliance with rhe various
osdinances of the Cuy regulating bu(Jding construction or use. For rhe following:
use cW65cmm SP D W G/ G A P. ffiag. ttffiiic No.
?
Omvw-rType CORYC'P, ^ ?TF. ??a?", - •?' r?? ,. ??????.?
Owner of &olding Addrae ?
Bwlffillg Addft9s . . . . . . ._. . . ? :'01iry
D.tx '2bluirY l8. 1 ?i:S'1.;
Building OHkiel
POST IN A CONSPICUOUS PLACE
. -. . .,_...r..,c-T v..?f?+?_7f?1l??••"T"'v',•'!.'-'-=-t.P+:' .:.t?:..?, ?
? ._ -z..? . y .
CITY OF EPGAtJ v, Permit No: 9086 Date:
3830 Pilot Knob Road Meter No: Size:
P.O. Box 21199 _ Reader No: Datec
Eagan, MN 55321 '
n....,__ -• fi?rt,nr?te r.....,r
SiteAddress: 1,91 Ferk -kn.oll Dtive L7 D1 T'^r?, nnoll
Plumber Raymttd w F.aey P1. um inf
Conn. Chg: 525• 00pd
t ?
Acct Dep: 15. O? `
Permit Fee: 10.06pd
Surcharge: . SOgd
Tr. Plant 1co,60pd
Meter. 67? clad
Zoning: _
No. of Units:
1 agree to comply wlth the City of Eagan
Ordinances.
WATER SERVICE PERMIT
CIT1f OF EAGAN Permit No: 102 3F, Date: -?!
3830 Pilot Knob-Road B/ P No: 7 69 55 Date:
P.O. Box 21199 ,
Eagan, MN,5512-r
Site
MWCC: 325 . OOpd
Ciry Chg: I00.00p a'
Acct Qep: - ' U d
Permit Fee: ?
Surcharge:
re L7 B1 P.iric Y.uoll ?
ue7 ing 1
2oning• rl '
No. of Units:
I agree to comply wFth the Gty o} Eagan ?
Ordlnarces.
By I
SEWER SERVICE PERMIT
OF EAGAN Permit No: -Date: 2 4 -47
30 Pllot Knob Road Meter No: -3?02 &'3. g1Ze; g"
.O. Box 211 a; Reader No: d g P 7?F It Q
. agar .&4N ;A;121 Date:
Owner. rr'c- t
Site Address:
Conn. Chg:
IOCBI
F cct Dep:_ 15. 1flF,?E?€Rl?bo???„ `liA3 G14.. 1
ermit Fee: u
urcharge: .5 0?_qE ?t sCOmpy yYlfh the City of
Tr. Plant- 1?0 ??7nc Ordinances.
Meter. ?37 on_a
Misc.: P
sY , m , , ae = _
WATER SERVICE PERMIT
NO PRV REQIiIRED CITY OF EAGAN N! 14106
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHON E: 454-8100 ?.
BUILDING PERMIT , Receipt# ? L-c -" 5
To be used for SF DWG/GAR Est. Value $112 , 000 Dete SEPTEMBER 1 19 87
SiteAddress 891 PARK KNOLL DR
Lot 7 Block 1 Sec/Sub. PARK KNOLL ADD
Parcel No.
c Name CORPORATE CONSTRUCTION INC
; Address 4466 WEDGWOOD DR
0 City EAGAN phone 454-0644
a Name SAME
?Q Address
m
1- City phone
City
OFFICE USE ONLY
On SrteSewaBe _ Occupancy R3
MWCCSystem X Zoning R7
On Site Well Type of Const
Ciry Water X_ (ACtuaQ
(Allowable) Vn
# o( Stories
-
,6
Length
Depth 39
S.F. Total
FootDrint S.F.
APPROVALS FEES
Assessments _ Permit 539.50
WaterySewer _ Surcharge Sh _ 00
Police _ Pian Review 269.75
Fire _ SAGCity 100.00
Engc _ SAC, MWCC 57 5_ 00
Planner _ WaterConn. 525.?0
Council _ Water Meter 67.00
I hereby acknowledge that I have read this appBCation and state Bidg. Off. _ Road Unit 3()S_ flp
I
thattheinformatianiscovectandagreetocomplywithallapplicable APC - TreatmentPl istn n0
State of Minnesota Statutes 0ty Eagen Ordinances. Variance _ Parks
Copies
SlgnatUle of PBfmlttBe TOTAL 25
A Building Permit is issued to: CORPORATE CONSTRUCTION INC on the express condition that
all work shall be done in accordance with all a e State of M' esp a Statutes and City of Eagan Ordinances
Building Ofticial _
N
6, ? REQUEST FOR ELECTRICAL INSPECTION 10 oe-oo/o?oi-os ?
// ? Sea instmcbons for complebng thus form on back ot vellow caOV?5d0 ?
D4--1. ??t 8 3 "R" Below Wak Covered by 7hrs Request
4d fle . TyDe of BuilEing ApOlanc,eaWrtaE Eqinu.aant Wrted
Home Raiige - Temporary Service
Duplex Water Heater iqhnny Fixiwes
Apt. Bwldmg Dr r Electrie Heatin
Commercial Bldy. umace Silo Unloader
Industnal Bldg. Air Conditioner Bulk Milk Tcenk
Farm
t.r sueu Y Mer Other
Comutite lnspection fee Below
p Fee Service EMmnceSize 11 Fea Fextlers/Subfeetlers e Cucurts
U to 200 qm s 0 to 30 qm s 0 tn 30 nm s
Above 200 qmps 31 to 100 Ainps 31 to 700 Am s
Swimming Pool Above 100_Amps Above 7n0_Amps
Transrormers Irrigation Booms PaitiaL"Other Fee
Signs Speciatinspection $
XerrNrks OTAL FE K
flough-in D?
?? 1, the Eledrical
Jf
y l?? Inspectoq heroby
certdy that Ne abpve
Fnal ? U%?te inapeccmn has bean
mede.
(hlsrequestvoblBmontl?strom , / ? -
This roQaes[ vaitl
18 mpnths Irom 1Q/?z3/?',
D 415 8 3_7 i,,
RP ? b • (', Fire No. Ro gh- n Inspecbon
y Req';i'retl`? E]Heady Nuw ?j74N'Nolity Inspec-
? tl• [1 ??j? nryo , lor When ReaGy
L(,JJwce'nsed Elec[ncal Contnctor 1 hereby reouest inspecbon ot abova
? 0wner electncal work mslalled eY SV d?es Box or Rou a. III ?/ Cit?y./ /'?
V
ecuon o. Township Name or No. Fanye No. Counly
O(?tcp1! I ,V ?7 Phuii. -{/? F !
Pav+e vher Address
Electncal Cnntractor (COmpany Name)
RCTRIC vact r's License No.
M ? ? pEt???aq?? , c 'la[ion)
.g 4
lnstell.,,,o.) Phone Number
MINNESOTq STATE BOARO OF ELECTRICITV THIS INSPECTION PEQUEST Wlll NOT
Grie9s-Mitlwey Bldg. - floom N-191 BE ACCEPTED BY TME STAiE BOAPD
1621 Universitv Ava.. St. Paul, MN 55104 UNf.E55 PftOPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Constructlon Reaulrementa
. 3 registered site surveys showing sq, ft. af lot, sq. ft, of house; and aN roofed areas
(20% maximum lot coverage allovred)
2 copies of plan showing beam & window s¢es; poured found design, etc.)
. 1 set of Energy Cabulations
• 3 copies of Tree Preservatlon Plan if IM pla@ed after 711193
. Rim Jaist Detail Opliops seleGion s¢eet (bldgs wBh 3 or less unib)
DATE ? ?? o?
RemodeUReoair RaouiremeMs
. 2 copies of plan
. 1 set of Energy Calculations for heatad add7tions
7 sRe survey for extenor additions & decks >
. Indicate If home served by septic system for additions 1?'?' O? • J
- 110 t `2'
VALUATION ? D 2o? ?-
SITE ADDRESS ??? ?rZl(? 1? N6 ID2 MULTI-FAMILY BLDG _ Y XN
TYPE OF WORK
f,Rvc? F
)C-
FIREPLACE(S) _ 0
_ 1_ 2
APPLICANT
P
S?
STREETADDRESS?SP?? CITYZDf_N IR?,2?E STATE,4&2ZIP s3
TELEPHONE # 1So7"!?7 Y-S03!?-CELL PHONE # FAX #
PROPERTY OWNER J U% S L I TELEPHONE #?L
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RLII.ES 7670 CATEGORY I
(J submission type) • Residential Ventilation Category 1 Worksheet Submilted
. Energy Envelope Calculations Su6mitted
Plumbing Conhactor:
Plumbing system includes:
Mechanical Conhactor:
Mecharucal system includes:
Sewer/Wpter Contractor.
Phone #
Phone #
MAY 1 5 2002
y'
Fee: $70.00
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordi a e.
Signafure of Applicant
OFFICE USE ONLY
Water 5oftener _
Wa[er Heater _
No. of Ba4is
Phone #
Lawn Sprinkler 11
No. of R.I. Baths
Air Condi[ioning
Heat Recovery Syslem
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated a102
OFFICE USE ONLY
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 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 Ext. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex O 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 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 *Demolition (Entire Bldg oniy) • 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) FinallC.O.
_ Footings (deck) FinallNo C.O.
_ Footings (addirion) _ Plumbmg
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Fraxning _ Sid'mg Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insularion _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
5&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Building Inspector
C1TY OF EAGAN
APPLICATION FOR PERMIT
SEWER ANDlOR WATER COIVNECTlON
PAT6: PAYMEA" QF k'EE AT 1'I+lE OF
APPLscr.xIoN noEs Nar ooNSTIxUTE
r,PPxovaL oF PEpmT.
nvsPncriorr oF sF.M AND/CR MTM
xNs-rnLLUzCNS wraIx., Nar EE scHED-
ULID U[1PII, PERbffT HAS BEE@]
APPR(3VID.
P ease Print
1) PROPERTY ADDRESS: Q91 ?Q?? ?/ ?J 1121J? '"
LEGAL DESCRIPTION:
Lot Block Subdivision or Tax Parce ID )
IF EXiS"PING S1RL'GZL'RE, DATE OF ORIGINAL Bf,'ILDING pERMIT ISSI.'ANCE:
(Month/YearJ
PRE SENZ' 7ANING/PROPOSID LSE:
? COA44MCIAL/RE,TAIL/OFFICE ? R-1 SINGLE FAMILY .
Q ZNDLISTRIAL ? R-2 DDPLEX (Ztao Units)
? INSTI2S]TIONAL/fpVERM4KN? ? R-3 70WPII-IOUSE (Three + Units) ( Units) ,
, q R-4 APAR7PMNT/CODIDOMINILTI ( Uni.ts)
2) ?
ADnRESS:
CITSt, SPATE, ZIP:
PHONE:
• 3) i: ?• NAME:_? rna
P,DDRESS: '7tlo
? CITY, STATE, ZIP:
PxorE: '?/„
MASTER LICIIVSE# A6 /) U41
4) •• •:.? e?..i?i?+:
NAPE:
P,DDRFSS:
CITY, S"1'ATE, ZIP:
PHONE c n1n (/ u
5) ?? a• • ?• :o a• • ?s
CONNECPION 1U CITy gEWIIt ? CpNNSGTION TU CITY WATElt
6) ?• i
rlimioers 1,icense:
Active
Expired
Not recorded
5ta Init1a1
Q OIHEF-
? PI,EASE HOLD APPRpVID pEaMIT FY)R PICK-UP BY ONE OF ABOVE
? PLF.ASE MAIL APPROVID PERMIT TO 1.(j) 3. 4. ABOVE
? n , (Circle one)
FOR -CITY USE ONLY
PERMIT # ISSDED
y,j z?--?
Pd w/Bldg. Permit
C
S
$ C0 7 C1 -o
S
$
$ /,S• o-D
$ 1,5'r
$ J Z.S
$ ? Z S • G? 7?
S
S
S
$
S
FEES:
$
$
c
$
$
S
$
s
$
$
$
$
$
$
$
,,
SEWER PERMIT (INCLUDE SURCHARGE)
WATER PERMIT (2NCLLDE SURCHARGE)
WATER METER/COPPERHORN/OUTSIDE READER
WATER TAP (INCLLDE CORPORATION STOP)
SEWER TAP
ACCOUNT DEPOSIT - SEWER
ACCOL'NT DEPOSIT - WATER
WAC
SAC
TRLNK WATER ASSESSMENT
TRUNK SEWER ASSESSMENT
LATERAL BENEFIT/TRUNK SEWER
LATERAL BENEFIT/TRUNK WATER
WATER TREATMENT PLANT SLRCHARGE
OTHER:
$ I LI1 7i ,T, 6) $ ?/, G?-c? TO TAL
--- 7?.gs-s 77(o72-
RECEIPT RECEIPT
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
? YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC
Q ROADWAY" MUST BE ISSUED BY TAE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE :
,
. ?
?
/
,
,
1987 BOILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS
ZNCLIIDE 2 SETS OF PLANS, 3 CERTIFICATBS OF SDRVEY, 7 SST OF ENERGY CALCOLATIONS
NOTE: ADDRESSES FOR COENER LOTS - CONTR9CTOR/HOMEOiiNER MOST DESIGHATE WHICH 9DDRESS
IS DfiSIRED. NO CH6NGES WILL BE ALLOWED ONCS BQILDING PERMIT IS ISSD&D.
MOLTIPLE DWELLINGS - RFSIDENTIAL RSNTAI.iTNITS FOR SALE ONIYS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SDRVEY - CHECB WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
cn+mrt?ar.Tni.
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
To Be Used For: kle4r-o Valuation: //;g_ pDC7=o Date:
Site Address In. `
Lot -? Block ?
Parcel/Sub
Owner { brPp,?'Y ?4'? , rj-L
Address WQk"), o,
City/Zip Code L.,F,., AA1f Sf tL?
Phone `[ ??? (96jt4 () 6 c) ?j
Contractor 5./I,i
Address
City/Zip Code
Phone
Arch./Engr.
Address
City/Zip Code
Phone Il
On Site Sewage_ Occupancy 12-3
MWCC System v' Zoning I?-/
On Site Well Type of Const
City Water (Aetual) (/-/U
(Allowable) !/-Al
Ik of Storiea
Length SG,O
Depth ,3.2, o
S.F. Total
Footprint S.F.
APPROVALS FfiBS
Assessments
Water/Sewer
Police
Fire
Engr
Planner
Couneil
Bldg Off
APC
Variance T er deuelqo
ment
aSree..ie,+. *
Permit 3 .SD
Surcharge S6•00
Plan Review 269•75'
SAC, City 100 • 00
SAC, MWCC 525,100
Water Conn 5 Z-
Water Meter 6 .Dp
Road Unit 3405,00
Treatment P1 I Vp.00
Parks
Copies
TOTAL 25(?-7. ??S-
(?A?eAbE
Zzxzoxi2- .5?8'D
Isr ?,? `''z? gSmT
:52X ?4 % /oes
? as? x se=
a?a ?onR
a?X?B `7ag
? K iz = zy
saxy4=
'728y8'
3 3 0 W
i I r, a1 G
r
?
i
'??C MiNn?a
•'?' ,r,p1?? 3-??1 , K
I? J?I? \ {? r..r
ASED ? ?H?
;hc.r k.vuL -
lon E ft c[iv?
---- f.J •
? Z"S?"ory
?r
Phone ^ac ? ? '??
)wr+er
:1te Address ?°I 1 QR.L?!< ??„ , ?R?.?
?hane
:ontractor
:uitding Classtflcatlon: Type A1 (51ng1?t b Duplex)
(Other)
(Over 1 stories)
;ENERAL INFORFW7ION
\50 %k?-•?
I. Building Perimeter L• vF„ ?. 5
" 5o x 4
Type A2 (Residential
(3 stories ar ess
?. 11a11 helght (ground to eave) Xk-z- x9 ft.
2
3. 1. z 2. (aDOVe) grots wal l arggk _41A_ft. x?„ ?a ?• z" Z
t
3. Building dimenslons (l)?4 x(W) z- >ft• roof S fioor are¦
S. Squan fcot area of ris joist -,1T r x jPerimeter (ZQim\ o?st area ? Z\R:) ft2
6. Ooors - ArN 1
Th1c ness ?3/ ,a. actor ? z 3 fL ?
Type oI tonstruct on_ ?Feriioeterj
T
. t IynufacLurer
.
7. Total door's peHeroter a-2.. Zrcs ft
S. y1nEOws: Manuticturer State approve4 j.Q-
u tacto? • ??
^ c Z
TYPE
- - ?_
StZE AREA (f_.
EACH
W-?(o
1C-3?.
X --4 P? _ -i . R o
?Z ? r YsC?? ?.-e. ?1
4UMBER OF TOTAL FE.T
UNITS
?. .A
Z ? `C) _
3 Zq" 9?Fs
` ?O• LZ
g, Total ft.2 Glass \C,?o . 'l \
106 Ftreplace area: Midth x helahL • -? Ft.2
1 Y. Expose4 foundat/on: Ne1gAt x Perimeter „? Ft.Z
I.fOT?HERS THA?VU THE MINIHAL L CONEW DE A?IOHANCEIO IS USEDa REMOOELING ANO BUILOIYGS BEII
13YEDERE ENERGT
area ? TOY of gross well +n+.
?.
Cieos: ii?t t tr.? ?
• o? -i 4 - f'• • Z ' •.. i
'
.,
, Z ?
wl,bpw, area A ft. C wlndows • _?:Z t1 x A¦ lo\_G8
Rtm ,tolst area A Z\?'..oo fi.z
? U rim joist • :C>-C U x A•
poor area A 2?'i .1'7 ft.? J door area • a\-zx-3 !1 x A'
fireplace area A -iiD- f:.2 U fireplace U x a- Exposed foundation A "7 f! •- U foundation • _\\ U r. Aa "r"5
Framing area A Z a`1 _'40 ft•2 J franing area ¦.c,ck U x A• Z.Z
, ket wall area A k:1?T \Z. `t• 'J wa11 Q „G-43 U xA, • Z-!_lq
• (t1a',. -: ;-, L . . . . . . . . . . U x .?
..
4. Gross wall area x 0.11_ (A-1 single family 3 d6;.;=x • allowable U.c A/Code
(13. above) •
x 0.23 (a-2 ather residentia';
x .23 ;Ocher buiidings` '
,c ,28 (Over• ; star+es)
BTUH Must be larger than
A x U CcQe 138 3bove
' ? ( or
(eiliog framing area (Af) aquals 100 nf c°ilinn ar ?a the same as)
`AF Z}?zx Z
2
Sd. Gross ceiling area ?(L) 3-4 x('?+ . Z? ft.
5i Joist area (Af) - 1M ceiling area = 0'1? C. ft.2
5G. Vet ttiling area (.4C) (15A - 158) • O ft.Z
U ceiling r A ce _ o
U framing x A f¦ -QTAL U x A ........................................ z" _3 •9 ?
.?--
6. Ceiling area (15A) x 0.026 (A-1 single `amily S Cuplex - code allowa61t U x A
z O.C33 (A-2 other resiCe^:ial) , x O.C6 (other) grUH Must be larger than 150 (above)
A t15a1 ?O --7 ( ziL(coae): -o-?' ? 0 F (or the same as)
.,
-?
90TE: Use U and a values obtained f••c+m nps i, 3 and 4.
t
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a
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S'fIJD
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is- ,i .
lnslde air fila •?g
nt.:tor +iit
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'
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,
??heaLtaing Z.o? '^.
Sld1n{ • `7 ?
Ou[sICe air i11n .17
. OTAL ? C, . C? O
Inaiae air t:la a• .68
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`,!nsu;ati??
1..51.<???.athins
a Si{?t(IJ? •???
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`?• ? 1 r;uts[d• air ftlia .11 ?
Q TOTAL
cric.r tor ».'il .45
in??l?tlon \?.op? (wall 2? • ?+'.`
Sheathtag ? 2 •°a
Extetlor v-i11 :overing
Extrrtor air f11ia n..1 7?
R 70TAL 23 O s ?
lnttrior air Ciir I•
_ / .
'.r.sal..1% ian % 4'O? f 1 .•1Ii ir,ch Suft •+uud A=1.88 (R1M V•?
JOift}.
°'°?J3hea`c?lri?$ Z . o L
?
? 1"titeelor vall cuverina. •?O?
_ Eaterlor atr Etim Ro •.17 tl _. O 4
i TOTAL Z? ? 4 b `L
lnt.rtcx' air f! in R' .66 .
2=6 lnsul3.tor. ?•?b ? .
.aCFounJatiun Z-•?o (Fdn._) U • ?•
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a rorAL R
\ ?-
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3.
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Infulation .44 .O
/
,...
3oist ,,
?
teiliny
O.E1 Air Film 0.61
- ',
3?.93
o. J4
Totai R
u -A dZ?
R VALUE
CEILIyG
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In51de air fi?C
Ceiiing 1
Jo1st {stud _
Insulaw'tton ,
I?ir Srcf
rtoaf arktoa -
Insutation _,
8u11t-yp root
Outsldo air f.l
Totil R
I • U
A '
n,•
t?{ndpr intiltraLicn .5 cfm/lineal foot of crack
, tRSidsncial door 1nt11tration 0.5 cfm/square foot or dcor and mininur tode requirement
n-residential door infiltrstion 11.0 cfr/lineal foct of crack
ap
?.s Ie 12" conrreto black no insulation - , .41 ,26 0. R 23.1
.8
', .? 12" concreta Dtock insulated cores a .32 R 3.1 .
?; ?b }y• 113htN?iQl+t blotk
;b 1Z~ liqhtweight block iitsulated cores - .12 Q 8•3
•^'.J:single ylass a 1.11: rlth sto m window .54 .
f'k doubie glass • .55
tr4ple glass ¦ .41 '.1
'!:riil exteriar walls and ceiltn9s must have a vapor barrier (C.10 perm ',ax•?•
,..;?ppr p??rier must be on ths inside (heated side) of wall.
0pr barrters of tht polyethtlene Lh1n film have no R vslue.
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2006 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
NeMr Caztruction Reauvernenls RemodellReoair Renwremen5 Offioe Use OnN
3 reg'stered site swveYS growin9 59. ft d lot s9. ft tl hase: end ap roofed areaz 2 copies of plan ftwin9 1006igs. beans, joisls CeA N Surrey Recd
(20%mmcimum bt coverage alloxed) 7 set af Eneagy Cakulafims fa heate0 atldifions Trce Pres Plan Recd
2 oopies M plan shawing Ueam 8 window szes; poureE found design, elc 1 sfte wney fp addiAOns 8 Gedts Tree Pres Required
ise[ofEnei9yCakulafims AddAion-indcafei/o/rsifesepficsystem OrtSiheSepticSyshem
3 mpies af Tree PreservaCan Plai'rf lot platted after 711193
Rim Joist Detail Opdans sele; tlan sheel (buildirgs wilh 3 or less unils)
Minnegasco mechanical ventilation fortn
Date % / -21 / 610 ConstruMion Cost 4?, 2-1 1 ?
j?
SiteAddress qQ? T?t( ktioll ?r- Unit/Ste #
Description of Work ?s??'?SJ-?
Multi-Famity Bldg _ YX N
x 0 2
Ftireplece(s) r?.J
PropertyOwner (?,IZGc5; Ct.RSHAZL 4 ICMYI1-{Cej?$3 V60K_ Telephone#(bSI ) 999 -+56 7
Contractor `T'? 9?L(..?"TRrTES
Address 321'95 uPL4AhAA F-P CityT?Alr?,?.5'
State /A 11`4 Zip _5?5D Telephone #(661) Sa-P? -&$"Jo
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Energy Code Category . Residerrtial Ventilatian Calegory 1 WoAcsheet • New Energy Code Worksheet
(J submission rype) Submitted Submided
. Energy Ernelope Calculatiom, Submitted
In The lasT 12 months has ihe City of Eagan issued a permit for a similar plan based an a masTer plan?
_ Y ? N If yes, date and address of masTer plan:
KUAzr FLC°i'cti'EIZ
Licensed PlumberFL4_?' ??+ Telephone #( 01.5'4 29 5 2L
Mechanical Coniractor - ? - ? Telephone #(
Sewer/WaterContractor Telephone#?
I hereby apply for a Residential Building Perrnii ? acknowledge that the information is complete and accurate;
that the work will be in conformance with-the ordinances and codes of the Ciry 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 with the approved plan in the case of work which requires a review and
approval of plans.
Sr6%/F?1 ? . ?rl-b?18al?
Applicant's Printed Name ApplicanYs Sig
•-?? . t??
Y N
Y N
Y N
Y N
..,14
Sub Tvoes
? 01 Foundation
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? 05 03-plex
? 06 04plex
Work Tvoes
? 31 New
? 32 Addition
?
[ 33 Alteration
? 34 Replacement
O 07 05-plex
? 08 Ofrplex
? 09 07-plex
? 10 08-plex
? 11 10.plex
? 12 12-plex
DO NOT WRITE BELOW THIS LINE
? 13 16-plex
? 16 Fi2place
? 17 Garege
? te Deck
9? 79 Lower Level
? 20 Pool
? 21 Porch(3-seaJ
O 22 Porch/Addn. (4-sea.)
? 23 Porch (screen/gazebo)
? 24 Stortn Damage
? 25 Miscellaneous
? 30 Accessory Bidg
? 31 Ext. Alt - MuRi
? 33 6ct. Alt - SF
? 36 Mul6 Misc.
? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
O 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors
'Demolkion (Entlre Bldg) • Glve PCA handout to applkant
DESC?Iq11on: Water Damege _ Yes
Valuation ?/ 400D Occupancy MCES System
Plan Review 100%or 25°k
Census Code Zoning Ciry Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
?
_ Footings (new bldg)
_ Footings (deck)
_ Footings (addition)
Foundation
Drain Tile
Roof Ice& Wffier Final
J Framing
Fireplace _ R.I. _ Air Test _ Final
? Insulation
REQUIRED INSPECTIONS
_ Sheehock
FinaVC.O.
?C FinaUNo C.O.
? HVAC
O[her
_ Pool Ftgs _ A'v/Gas Tests Final
_ Siding _ Stucco Lath _ Stone Lath _Brick
Windows
_ Retaining Wall
Approved By: 'rl/ , Building Inspedor
Base Fee
Surcharge
Plan Review
MGES SAC
City SAC
Utility Connection Charge
S&W Permit 8 Surcharge
Treatment Plant
License Search
Copies
Other
Total
?v ?
76 a/, 2006 RESIDENTIAL BUILDING PExnuT arrLicaTTON
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telep6one # 651-675-5675 FAX # 651-675-5694
New ConsWCtion Reauiremen4s
3 regislered site surveys showing sq. R. of lot, sq, ft. of house; and ali roofed areas
120 % maximum lot coverage allowed)
1 Soils RepoA if proposed buikling is to be placed on dislurbed soil
2 copies ot plan sfrowing beam & window sizes; poured found design, etc.
1 set of Energy Calculations
3 copies of Tree Preservation Plan if lot platted after 711193
Rim Joist Detail Opllons selection sheet (buildings with 3 or less unNS)
Minnegasco mechanipl ventilalion form
RemodeVReuair Reouirements
2 copies of pWn showing footings, beams, jois4s
1 set of Energy Calculations for heated addNOns
1 sAe survey for add'Nons & decks
Addifion - indicafe if on-site septic sysfem
5
8 4. ??'
Offce Use OnFv
CeAof?uiJe?,R'?W'?
_M
?ree"Pras"'Ft
epticeq'ui
Oi?s`ife S System?,;, ?_Yw-•_N
Date L.60E ConstructionCost ? H
SiteAddress A1kl Pn.rV KrtolL Q? Unit/Ste #
E M1`4 SS/a3
Description of Work Eq re$5 V3
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 2
Property Owner Telephone #(6$'! )-1.21-1 -- G 99 1
Contraetor fi?> a0, ° OU T ?c"Se?'+^ea?' ?r1SS ?'+'?•s ?j ?YLG
Address 3Z9k M, dLn,nrA Ilve. City Wh:tc R&,w l-ctiu-
State MQS Zip Ss- 110 Telephone #(b5-l)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category , Residenfial Ventilation Category 1 Worksheet • New Energy Code Worksheet
(Jsubmissiontype) Submitted Submitted
. Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master planB
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
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 with the approved plan in the case of work ich requires a review and
approval of plans. i
5;?: cf;;1111? ° 4 W7
ApplicanYs Printed Name ApplicanYs Signature
DO NOT WRITE BELOW THIS LINE
Sub Tvpes
? Ot Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
p 02 SF Dwelling ? 08 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 EM. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo/perola) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex ? 25 Misceilaneous
Work Tvpes
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building" ? 43 Reroof e)Q 46 Windows/Doors
? 34 ReplaCement •Demolition (Entire 81dg) -Give PCA handout to applicant
DBSCflpflOil: WaterDamage _Yes
Valuation 3"
?? • ?
Plan Review 100% or 25°/a
Census Code ly 44
SAC Units
# of Units
# of Bldgs _
Type of Const Y ?
Occupancy f2- '3
Zoning
Stories
Sq. Ft.
Length
W idth
MCES System
City Water
Booster Pump
PRV
Fire Sprinklered
REQUIRED INSPECTIONS
Footings(new bldg) Sheetrock
Footings(deck) FinaVC.O.
Footings (addirion) FinaUNo C.O.
Foundation IVpC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool Ftgs Au/Gas Tesu Final
_)4 Framing _ Siding _ Stucco Lath _ Stone L.ath _Srick
_ Fireplace _ R.I. _ Air Test _ Final _ Windows
_ Insulation _ Retaining Wall
Approved By." -???? ? Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
????-29 32160
006 01:16P FRDM:FLETCHEROPLUMBONG 3208381600 T0:16516755694 F?1'?
2006 RESIDENTIAL PLUMBING PeRnnir aPPticarioN
CITY OF EAGAN
3630 PlLOT KNOB ROAD, EAGAN MN 55122 A}p?? (),
659•675-5875 Xuwe Ga?
Please complete for mfldifications to existing residentiai dwellings.
b
Date
Site Street Address N.?i
C 1Jd ?? M11 _
Unlt #
Property Owner Yelephone # ( )
Telephone # (?S/ )
Contractor
Adtlf@55 I'd Clty IISI?OrJ, StateJ?}?_ Zfp
The Apptfcant is: _ Owner y ContracWr _Other
New Refurbished Submit 2 sets of plans and MPC Itcense Incfudes County fee
Septic Syetam
_ $ 100.00
Per as-built $ 10.00
Alteretfons to ezisting dwelling $ 50.00
Add plumbing fxtures. This fee inCludes installation of a weter softener and/or water
4
„
heater at the sama time. If you are fnstalfing on a water softener and/or water
heater, do not complete this sectfon; move to the next sectlon end check the
appliance(s) you ara fnstatling.
,,,,_Septic System Abandonment
Water Tumaround (add $130.00 ff e 5/8° meter is required)
Other:
Water Softener Weter Heater $ 15.00
_ new _ replacement ' •
Lawn 1rrlgation -RPZ _PVB _new _repalr _,.rebuild $ 30.00
State Surcharge $ .50
Total $
I hereby apply for a Residential Plumbing Permit and acknowledge tnac tne mrormanon is cumpmv a? ?U ?..u.a." .1-• -
work will be in conformance with the ordinances and codes of the City of Eagan and ttie plumbing codes; ihat I
ut a permit end work will be in
understand this is not a permit, but anly an appiicatfon for a m2w
accordance with the approved plan in the event a plan is raqved.
?c iirT l"/?Tc F?.!^
me Applicant's Signature
ApplicanYs Printed Na
7+'
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??6
c?, ??n.? ?.s? -a?s-??.s-?
-1 'z ? ?,1C)
87-159
TRI-LAND C0.
SURVEYING
SERVICES
1260 YANKEE DOODLE ROAD
EAGAN, MINNESOTA 55122
SITE PLAN FOR:
CORPoRATE CONST.
LEGAL DESCRIPTION? LOT 7,BLOCK -L, PARK KNOLL ADDITION
q6oxo ACCORDING 70 THE RECORDED PLAT
1711? THEREOF DAKOTA COUNTY,MINNESOTA
A?
Scale : I''= 30'
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o N
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PARK KNOLL DRIVE Y
LEGEND
o DENOTES IRON MONUMENT
a DENOTES WOOD HUB SET
DENOTES EXISTING SPOT
ELEVATION
(96o`o)DENOTES PROPOSED SPOT
ELEVATION
? DENOTES DRAINAGE DIRECTION
I hereby certify that this survey,plan or
rsport was preparsd by me ar under my
diroct supervision and that I am a duly
Reqistered Land Surveyor undsr ihs
Laws of ihe Stata of Minnesota.
1=ull ? No W/o
INVERT ELEVATION AT SERVICE EXTENSION=
PROPOSED GARAGE FLOOR ELEVATION= ?9z-/-"?-
PROPOSED FIRST FLOOR ELEVATION = r?
PROPOSED BASEMENT FLOOR
ELEVATION
NOTE ' VERIFY ALL FLOOR HEfGHTS WITM
FINAL HOUSE PLANS
8radley Jj?$f/enson, Mn. Req. No. 13235
Date
Use BLUE or BLACK Ink
r
I For Office Use
City of Eazan ; Permit#:/~°~ y ;
d I Permit Fee:
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received: Y -
Phone: (651) 675-5675 ; staff:
Fax: (651) 675-5694 I I
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: GD Site Address:
Tenant: Suite M
RESIDENT/ OWNER Name: f7~` Phone:
Address/ City/ Zip: /I BIZ ID-
1-Applicant is: Owner Contractor
TYPE OF WORK
Description of work: 4~r4ldlf
Construction Cost: OPig- Multi-Family Building: (Yes / No )
CONTRACTOR NameA~~ z;446'n'o License 4& MA*
Address: 46 ~L 491d44 City: ~l~r01fM ~C
State: r Zip: SY3 -7 / Phone: 1aO
12
Contact: i~l G &V"., Email: ~/'lG ldl~►~dJ own extee.>, Ga^
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 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.aopherstateonecall.or-g
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 his 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 a ved plan in the case of work which requires a review and approval of plans.
x x
Applica s Printed Name Ap cant's Signature
Page 1 of 2
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA118329
Date Issued:10/30/2013
Permit Category:ePermit
Site Address: 891 Park Knoll Dr
Lot:7 Block: 1 Addition: Park Knoll
PID:10-56725-01-070
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
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 by law in ALL single family homes .
James Hunter
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 -
Gregory A Cutshall Tste
891 Park Knoll Dr
Eagan MN 55123--191
Hoffman Weber Construction Inc
3515 48th Ave N
Brooklyn Center MN 55429
(866) 970-1133
Applicant/Permitee: Signature Issued By: Signature
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City of Eagan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee:
C O Co -Z.--
222-.°
Date Received:
Staff:
2016 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 1' /f' /‘ Site Address:
`) f7r' Kyo%/ ,%',
tiod
/— -1Y
Unit #: fq17
�e n r
Name: f'�_ C -U �, 4' FI tt/J Phone: ,eri"
% .� :7,,
Address / City / Zip: 9.1 fai'K J'0// ,
Applicant is: Owner )( Contractor
Ype�W�r s
Description of work: A c r7 i /Y" i 7c` Iii ,-7,T Pi/en
8 r//
/
Construction Cost: S' 75?.) Multi -Family Building: (Yes
/ No X )
nt#
Contractor
Company: o /`i<'- Zct / C /7E5 T"& <:i e's' Contact: 0420,7
P®/C04t/
Address: / 5` ?3 1 / e- City: J ,i / + f"
t ick?
State: p4f7 Zip:- 3�:ZPhone: c7,3----- 2.3 i(a
License #: /36 ,--5-7 39 /. Lead Certificate #: Mti--- /
7—/
If the project is exempt from lead certification, please explain why:
ho c //c pt. tr"' 7r/-(401 17 7
In the last 12 months,
Yes No
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
has the City of Eagan issued a permit for a similar plan based on a master plan?
If yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Fire Suppression Contractor:
Phone:
Phone:
Phone:
Phone:
• t "` m
/MOTE: an lnd pportin idocuments that yo u sub it are considered to beio
the info t sort may • ssifIed as non ublic rf you pro
p, ®rtin
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.qopherstateonecall.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 Minnesota State Building Code must be completed within 180
days of permit issuance.
x r3f417 flnIC
Applicant's Printed Name
Applicant's Signa
Page 1 of 3
SUB TYPES
Foundation
)( Single Family
Multi
01 of _ Plex
DO NOT WRITE BELOW THIS LINE
Fireplace
Garage
Deck
Lower Level
(K9 I
WORK TYPES
New Interior Improvement
K Addition Move Building
Alteration Fire Repair
Replace Repair
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25%_ 100%)
Census Code
# of Units
# of Buildings
Type of Construction
5-1
513
Porch (3 -Season)
Porch (4 -Season)
Porch (Screen/Gazebo/Pergola)
Pool
Occupancy
Siding
Reroof
Windows
Egress Window
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Accessory Building
Demolish Building*
Demolish Interior
Demolish Foundation
Water Damage
*Demolition of entire building - give PCA handout to applicant
Code Edition g b ( S
Zoning
Stories
Square Feet
Length
Width
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Roof: Ice & Water Final
Framing
Fireplace: _Rough In Air Test Final
X/ Insulation
Sheathing
Sheetrock
Fire Walls
Braced Walls
Shower Pan
Reviewed By: 10
I If t( I
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Suppression Required
Meter Size:
Final / C.O. Required
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
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
City of Eagan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee:
Date Received:
Staff:
2016 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: t\11 -A2 -0k LPSite Address:
Tenant:
ccI Pc's.k-L,,
Suite #:
Resident/OwnerName:
Phone:
Address / City / Zip:
ContractorAddress:
Name: i JeCS i 09 ine -,n C.X4---9 License #:
/2}1(oO 7-21 A Cetn ..A -U 2 City: .CA -J r.„
State: /M. Zip: S -S-31 Co( Phone: 952--854i-76O&
Contact: IR2JL Email: Ric, -Q R i Jtcs', 1Jxr;rteJ , C.c.'y►
Type ofWork :'
New Replacement Repair Rebuild Modify Space Work in R.O.W.
— —
Description of work: Qilse..} n \:.:1-1_,4
—
t...d- triqQ fl One LA3�4%.-r- C..LOS
Permit Type
RESIDENTIAL
Water Heater
Water Softener
Lawn Irrigation (— RPZ / PVB)
Add Plumbing Fixtures (— Main / Lower Level)
_
Septic System
—
Water Turnaround
New
Abandonment
RESIDENTIAL FEES:
$60.00 Water Heater,
$60.00 Lawn Irrigation
$60.00 Add Plumbing
*Water Turnaround
$115.00 Septic System
Water Softener, or Water Heater and Softener
(includes State Surcharge)
Turnaround* (includes State Surcharge)
TOTAL FEES $
(includes State Surcharge)
Fixtures, Septic System Abandonment, Water
(add $280.00 if a 3/4" meter is required)
New (includes County fee and State Surcharge)
CALL BEFORE YOU DIG. can Gopher State One CaII 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 her- • . cknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
1 understa is is not a perm' b only an application for a permit, and work is not to start without a permit; that the work will be in
with the a prov d plan in the c ork which requires a review and approval of plans. r�
.an; th
ccordance
Iicant's Printed Name
x CA CC
Applicants Signature
(
FOR OFFICE USE
Required Inspects
Meter Related Items
Reviewed ley Date:
er Ground Roth In Air Test Gas Test Final
Radio Reade ,} Manometer, Staff:
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA164379
Date Issued:09/28/2020
Permit Category:ePermit
Site Address: 891 Park Knoll Dr
Lot:7 Block: 1 Addition: Park Knoll
PID:10-56725-01-070
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 -
Gregory A Cutshall Tste
891 Park Knoll Dr
Eagan MN 55123--191
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature