895 Park Knoll Dr? CASH RECEIPT ?
CITY ,4F, .,EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE '?'??,•' /
19 .' --?
r
RECl1 V ILG
PROM
AMOUNT $ ' I
ooL-Lwws
,oo
C-] CA5H E] CHECK
-' ?
BY
77 White-Payers CopY
Yellow-Pottinp Copy
Pink-File Capy
Thank You ,
BLDG. PERMIT N0.
01-3210 Bldg 4er i
01-3422 Plan Check
01-3445 Surch./Adm.
01-3446 SAC/Adm.
01-2155 Surcharge
17-3860 Road Unit
,
20-2275
SAC
20-3865 Water Conn.
1
20-3868 Water Trmt.
20-3716 Water Meter
20-2252 Acct. Dep.
20-3713 Water Permi
20-3743 Sewer Perm!
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
BUILDING PERMIT
Tobeusedfor Est.Value '-y6+00
Receipt # j < N
Date SEPT£MB6R ln
34183
19 87
5ite Address
Lot t' E
Parcel No. _
DY7. !'AKIC ICPiVLL Uli
1
Sec/Sub. pAR? ?NOLL ??)
cc Name JOSFFfl '?ILi.i'k Cifi•',I
z Address 18133 C, r,
0 City Phone , 431-::uo 1
°G NarAe
o
o ? Address
U °-` City? Phone
Name _
Address
City _
1 here6y acknowledge that t have read this application and state that the
informalion is correct and agree to comply with all applicahle State of
Minnesota Stalutes and City of Eagan Ordinances.
Signature at Permittee --A Building Permit is issued to:_'' ?,?'?? `• 1?'?`•1' C014ST
on the express condition that all work shall be done in accordance with all
applicable State o( Minnesota Statutes and City ol Eagan Ordinances.
Building Official _
OFFICE USE ONLY
On Site Sewage Occupancy j
MWCC System Zoning
On Site Well (Actuap Const Vn
City Water 7
(Allowable) yil
PRV Required * of Stories
Booster Pump Length 4 k0
Depth 36
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr./Rssess. Permit `+"y • SU
Planner Surcharge 48.00.
Council Plan Review 144 • 7S
Bldg. Off. SAC, City too•001
Variance SAC, MWCC 525•00
Weter Conn. 57 5. 00 '
Water Meter 67.04)
,
3U5.00
Road Unit
Treatment P1
Parks
TOTA L
, CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PH N E• 4 4 8
.?.
O . 5-100
sUILDING PERMIT Receipt#
To be used for Est. Value aate ,19
Site Address
Lot Block Sec/Sub.
Parcel No.
m Name 3 Address
° City Phone • '
¢ Mame
0
oq Address
? Citv Phone
f hereby acknowfedge that I have read this applrcatiorr and state that the
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City o( Eagan Ordinances.
Signature of Permittee
A 8uilding Permit is issued to:
on the express condition that all work shall be done in accordancewith all
applicable State of Minnesota 5tatutes and City of Eagan Ordinances.
On SRe Sewage Occupancy
MWCC System Zoning
On Site Well
W (Actuaq Const
Atl
l
ater
City owab
(
e)
PRV Required # of Stories
Booster Pump Length
Depth
S.F. Total
Footprint S.F.
APPROVALS
Engr./Assess.
Planner
Council
Bldg. Off.
Variance
FEES
Perm it
Surcharge
Plan Review
SAC, City
SAC, MWCG
Water Conn.
Water Meter
Road Unit
Treatment P1
Parks
TOTAL
_ Permit No. Permit Holdar Date Telsphone ik
Plumbing G/? t1
L' : n ?
A.V-AC. L.e.{l`,
Electric x4r /
Softener
Inspection Oats Insp. Comments
Footings I 9
Footings II
Foundation
Framing
Roofing
Rough Plbg. ?
Rough Htg.
.
Isul. -IZ^F?- JO
Fireplace
Final Htg. j2 _ S Goo.? -
Flnal Plbg.
Bldg. Final
Cert Occ. ?i? ? ?? ' .,i ? G??? ? - / .Z :
Temp. LP -? Q_??G v-?
Deck Ftg.
deck Finat
Well
Pr. Disp.
G-
"
J
ti
CITY OF EAGAN Al 17801
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 --
?
BUILDING PERMIT Receipt # •'
To be used for DECK Est. Value ;? ,000 Date MAY 3 , 1990
Site Address 895 YARiC KIMDLL DR
Lot 6 Block 1 Sec/Sub. p? ?? OFFICE USE ONLY
PBfCel N0. OccupanCy - FEES
Q
Name 3? E?? Zoning
(ACtual) Const _
Bidg. Permit
2s??
AddreSS 895' PARK KNOLL Dil (Allowable) - S .
0 EA"N
43"749 urcharge
City
Phone * of Stories -
Plan Review
length _
p Name ?AME Depth - City
SAC
= ,
o
4 Address S.F.Total -
u SAC,Mcwcc
? Clty Phone S.F. Foolprints -
Water Conn
r On Site Sewage _
?
F W Name on sice weli
-
Water Mete
r
_= Address Mwcc system _
¢ =
a W
Clty Phone
City water - Acct. Deposit
i
S/W P
PRV Required _ erm
t
I hereby acknowlege that I have read this appliCation and state that the Booster Pump - SrW Surcharge
inlormation is correct and agree to comply with all applicable State o1
Minnasota Statutes and City of E an Ordinances. Treatment PI
Signature of Permitee - -R dar. APPROVALS Road Unit
A Building Permit is issued to: JFAN EMI=;'L Planner - Park Ded.
on the express condition that all work shall be done in accordance with all Council
applicable State of Minnesota Statutes and City of Eagan Ordinances. gld9. pfr_ _ Copies
Building Official
Variance -
TOTAL
25.50
Permit No. Permk Hotder Pate Telephone M
WATER
SEWER
PLUMBING
H.V.A.C.
ELEC7RIC
Inapection Date Insp. Comments
Fooiings I
foundation
Framing
Roofing
Rough Pibg.
Rough Htg.
Isul.
Freplace
Fnal Htg.
Final Plbg.
Congt. Meter Pibg. Inspedor - Notity Plumber
Engr./Plan
Bldg. Final
Deck Ftg. ?
Deck Final
Well
Pr. Oisp.
PERMIT #
, MECHANICAL PERMIT RECEIPT # f? X
CITY OF EAGAN •
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ( n ?Y
40
CONTRACT PRICE PHONE: 454-8100
Site Address BLDG. TYPE WORK DESCRIPTION
Lot Block i Sec/Sub Res ?-- New
? Name - , . ''•. - ? t Mult Add-on
?' - Comm. Repeir
Address
`? , Other
c City Phone
FEES
L Name - RES. HVAC 0-100 M BTU -$24.00
c Address ADDITIONAL 50 M BTU - 6.00
p Ciy Phone (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PEkMin - 1.50 EA.
TYPE OF WORK .,.. COMM/1ND FEE - 1a/o OF CONTRACT FEE
Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE 8 CONDOS - RES. RATE APPLIES
Boiler M BTU MINIMUM RESIDENTIAI FEE - ALL AOD-ON 8
Unit Heater M BTU REMODELS - 12.00
Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Outlets # BEYOND $1,000)
Other $
FEE:
S/C: SIGNATURE OF PERMITTEE
TOTAL:
FOR: CITY OF EAGAN
` PLUMBING PERMIT
CITY OF EAGAN
3830 PILOT KNOB ROAD, EACaAN, MN 55122
PRICE . , PHONE:454-8100
Site Addr s ??.1
Lot ?s Block
? Name
? Addre
y
C Ci11y :r
? Name
3 Addre
O ciN _:?
Phone
FEES
COMM/IND FEE - 1°rb OF CONTRACT FEE
APT. BLDGS - COMM FiATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
PERMIT # ' - ' 1-2
RECEIPT # 2 ?'S0(v
DATE:
BLDG. TYPE WORK DESCRIP
Res. ? New
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTA4
ater Closet - $3.00
ath Tubs - $3.00
avatory - $3.00
Shower - $3.00
-LKi!chen Sink - $3.00 --?
Urinal/Bidet - $3.00
_/-Laundry Tray - S3.00
3
-LFloor Drains - $1.50 , -? C'
_ZWater Neater - $1.50 4,65,
_?Whirlpool - $3.00
?Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIn
Softener - $5.00
Well - $10.00
rroate Disp. - $10.00
R _
ough Openings - $1.50
:?: ?
SIGNATURE OF PEAMITTEE FEE: yd •?N
STATE S/C: ?
II SU
FOR: CITY OF EAGAN GRAND TOTAL•
.
. a ? ??? . .. . . ?
(Ser#tftratP uf (IDrrupanry
titp of Cagan
Eppal'b1TPltf Df iltfting JIt9pPttiDri
Thrs Certifrcate issued pursuant i'o the requiremenu of Section 306 ojthe Urrifornt Building
Code certifying thar at the time of issuance lhis structure woas in contpliance with the varioas
ordinances of the City regulating building construction or use. For the following.•
ux akuisc.dw
Occup-Y TYPe Zon* DiKrict
Owner of Bm7ding CX"i: :"t: :u.iC ;aCddroe l913
:,rr
Building Add= Lacality
Due: ?
Bmlding Official .
r r, :98
- Btdg. Permic No.
Type Camt
.s Cw' `'• i?
POST IN A CON5PICUOUS PLACE
P.O. Box 21199
Eagan, MN'S5121
P
Owner. '
Site Address:
Ptumber:
MWCC:
City Chg:
Acct Dep: 15.
Permit Fee: '
Permit No: Date: 4"'? -8 7 ?
B/P No: 775" Date:
i
Miller Conet.
Park
By
SEWER SERVICE pERMIT
1
with the City of Eagan
?
CITY OF EAGAN Permit No: 9112 Date: 9-3027
3830 Pllot Knob Road Meter No: 3 g a Q-`a Size: `1 aA
P.O. Box 211W Reader No: 34 Date:
Eagan, kiN 35121
Owner. i . . ...... .. . . ,:? : r ,
Site Address "ar! lio _.. _ *- :. ? ._. •a.r ,:?o_ ?
liulliuvi nn. Chg: _ ct. Dep: ng C8l! ift rmit FeeNEE! F.#,.
reharge: " 1 agr?bmply wfth the City of Eagan
Plant `-)i?,n ?r?
ter. n 7 sc.: By
WATER. SERVICE PERMIT
,F. ?:: .. . . ,. .. ..
?9iiz :: 3a-s?
CITY OF EAGAN Permit Na._ - Date:
3830 PUot Knob,%'load Meter No: Size:
P.O. Box 21189 Reader No: _ Date:
Eagan, MM35121
t Owner. .Joc ??llcr Cc,nst.
ar _na - Lr ve ar . :.no.
? SiteAddress: ____.a__
Conn. Chg: '?(-"' """"
Acct. Dep: 15.00nd
Permit Fee: 10• 00ad
Surcharge: •
Tr. Plant 1``', • ?? '?
Meter. ` Zoning: ?
No. of Units: 1
1 agree to comply with the CRy of Eagan
Ordinances.
Misc.: BY ._?
WATER SERYICE PERMIT
BUILDING PERMIT
To be used for DECK
SiteAddress 895 PARK NO.. DR
Lot -6_ Block _L Sec/Sub. PARK KNOLL
Parcel No.
w IName .TEAN E MARKELL
a Address 895 PARK IINOLL DR
City EAGAN Phone 456-0749
o IName SAME
g? Address
City Phone
ww Name
?
,M; Address
aW City Phone
I hereby acknowlege ihat I have read this apphcation and state thal ihe
inlormalion is correct and agree to comply wrth all apphcable Stale ol
Mmnesota Stalutes and City ofEagan Ordinances.
Signature ot PermRee "Z?/?.A.?
A Buildmg Permrt is issued to: .TEAN E MARKELL
on the express condihon thal all work shall be done in accordance with all
applica6le State of Minnesota Statutes antl Cny,of Eagan Ordmances.
Building OHicial
CITY OF EAGAN NO 17801
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 .75p?
Receipt #
Est Value $1,000 Date MAY 3 , 1990
OFFICE USE ONLY
Occupancy - FEES
Zomng -
, (ACtual) Const - Bldg. Permil 25.00
(Allowable) - Surcharga .50
R of Stories -
Lergth _ Plan Review
Depih SAQ City
S.F. Total =
SAC. MCWCC
S.F. FoolOrjms
On Sde Sewage - Water Conn
On Site Well - Water Meter
MWCCSystem _
Accl. Deposit
Qty Waler _
PRV Requued _ S/VJ Permit
Booster Pump - Sryy Surcharge
Trealment PI
APPROVALS Road Untl
Planner - park Ded.
CAUnci1 _
Bldg Off. _ Copies
Vaziance - TOTAL I
25.$0
CITY OF EAGAN N°_ 1418 8
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454•8100
BUILDING PERMIT Receipt#
Tobeusetlfor SF DWG/GAR Est.Value $96,000 Date SEPTEMBER 18 19 87
Site Address 895 PARK KNOLL DR
Lot 6 Block 1 Sec/Sub. PARK KNOLL ADD
Parcel No
OFFICE U5E ONLY
R3
On Site Sewage , Occupancy
MWCCSystem X Zoning Rl
On Site Well (ACtuaq Const Vn
X Vn
Ciry Water (Allowable)
PRV Required _ # of Stories
49
Boaster Pump , Length
DePth 38
S.F. Total
Footprint S.F.
z Name .IOSEPH MILLER CONST
3 Address 18133 CEDAR AVE SO
a City FARMINGTON phone 431-2001
o Name_
?a Address
? CitY_
City
I here6y acknowledge that I have read
informa6on is correct and agree to c?
MinnesotaStatutesand/¢ft??ofE?a?g?an?
Signature of Permdtee [_ JI?
APPROYALS
Engr/Assess.-
Planner -
Council _
61dg.Otf. -
rtionandstatethatthe Variance -
all applicable State of
A Building Permit is issued to J EPH MILLER CONST
ontheezpressconddionthatallw rkshallbedoneinaccordancewdhall
applicable State ot Minrjj?eu ,ot,a?S, 'tutes ay" City of Eagan Ordmances
8uildingOfficial /C?"° _'?'1C?-
1
?
FEES
Permit
Surcharge
Plan Review
sac, city
snc. Mwcc
Water Conn
Water Meter
Road Unit
Treatment P1
Parks
TOTAL
$ 489.50
48.00
244.75
100.00
525.00
52$.00
67.00
305.00
18O•OQ
$ 2 2 5
Thos reQuest voia
18 months from ?
D 41871
Renuest tl,,,
? ce^s?ectriu
? Owner
SUee? Address, Box
?
ecUan o. Town:
Occupdnt?PRINT)
a 'i
Power Suppher
/
Electncal Contractor
... -- l .
?
nspection
?
N ?RCaer Nuw Will Nnufv Insper
o ?, When Ready
I hereby reauest inapectlon ot ebove
elaclricel work installed et
Contractor
or
N o.
v
?^ "'.cavvrSTqTE BOARO OF ELECTqICITV
riB9s-Midw01 Bldy. - poom N-191
1821 Univarsitv Ave., St. Peul. MN 66100
Phane (612) 642-0800
TMIS INSPECTION REpUEST WILL NOT
BE ACCEPTEO BY THE STATE BOARD
VNLESS PqOPEN INSPECTIpry FEE IS
ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION ee-ooooi-os
I10 See instrucLOns lor complelioa this form on beck oi yellow cooV.
0
D 418,71 "X eeloW Work Covered by Ihis Request
Hdd fleD. TYOO of BwlEmg Apoimnces Wrted EqaiVnieN Wired
Home Ranye Temporary Service
Duplex Water Heater Li?hhny F?xtures
Apt. Bwidinq Dryer Electnc Heaun
Commercial Bldg. Fumace Silo Unlonder
InAustnal BIAg Air Conditioner 8ulk MiIk Tenk
Farm otnNr peu y Othpr Isncr.,lyl
1 .r Su?cdV Other Olhi;r
Compute lnspection Fee Below
M Fee Service Entrance5ixa tl Fee Fenders/Subleeders N Fep Cirwrts
/ 00 U to 200 qm s 0 to 30 qm s 7".0 0 to 30 Am s
Above 200 Amps 31 to 100 Amps 31 to 100 q y
Swimming Pool Above 100_Am s Above 100_AmUs
Transrormers Irrigation Booms ?- Pdrtial. Other Fee
SignS Special InsPection 5
"
ema.ks $
(?1 TOTAL E
/ ?
??,
Nouph-m 4 D:?te f? 1. the ElecVical
Inspectoq hereby
arlilv that the above
Final ? ?^ P D^le nsoecLOn hes been I
/o! ?ea.
mis raquasl voitl 18 monthn Irom
RESIDENTIAL
BUILDING PERMIT APPLICATION
-7 CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
851•681-4675
New ConsWNion ReouiremeMs
• 3 registered sde surveys showifg sq. ft. of lot, sq. ft. of house; and all raofed areas
(20% maximum Io1 coverage alloweC)
• 2 copies of plan showirg 6eam 8 window sizes: poured fouM design, elc.)
• i ret of Energy Catculatlons
• 3 copies of Tree Praservahon Plan rf bt plaGed after 111/93
• Rim Joist Delail Optwns selectian sheet (bldgs vnth 3 w less unrts)
DATE S?? y- O?
SITE ADDRES
TYPE OF WO
APPLICANT
STREET ADDRESS
TELEPHONE #'2V- 5`95-09/O CELL PHONE #
ULTI-FAMILY BLDG _Y ?
FIREPLACE(5) _ 0 _ 1 _ 2
&avAye STATE&22_ ZIP.??
FAX# '15a-S95-?62
PROPERTYOWNER,,-? Qn TELEPHONE#1?;SI- Y56.074
---------?--------------------------------------------------- ------------------ -..............
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ y(INNESOTA RULES 7670 CATEGORY 1 MINNESOTA RiJLES 7672
(J suhmission type) • Residenqal Ven6latlon Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculatlons Submitted
Plumbing Contractor:
Plumbing system includes:
Mechanical Conhactor:
V[echanical system includes:
Sewer/Water Contractor:
Phone #
Phone #
Fee: $90.00
Fee: $70.00
................•---......_...----°-------------°--°-------------°----°------------------°--------------------------
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all appiicable State of Minnesota Siatutes and City of Eagan Ordinances.
/?`V
Slgnature of Applicanf _?/i/ra?
-----------------------__.._...._....-•---•-----...._______...__?_r.._.....___-----------
OFFICE USE ONLY
Certificates of Survey Received Tree Preservation Plan Received _ Not Required _
Updated 4l02
? Water Softener
? Water Heacer
_ No. of Baths
_ Phone 4k
Lawn Sprinkler
No. oE R.I. Baths
_ Air Conditioning
- Heat Recovery System
99?1;??
Ramo4ellRrwir Rwuirementn
• 2 copies af plan
. 1 set of Energy Cakulalioro for heated addilions
. t site wrvey for ezterior additloris d decks
. Indicate rf Iwrtie served hy seplic system far addihons
VALUATION 3C?QI. ?
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 18-plex ? 20 Pool ? 30 Accessory 81dg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Multi
? 03 01 of_ plex ? 09 07-plex 0 17 Garage ? 22 Porch/Addn.(4-sea.) O 33 Ext. Alt- SF
? 04 02-plex ? 10 08-plex ? 18 Deck 0 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration O 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bidg only) - Giva 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) _ FinaUC.O.
_ Footings (deck) _ FinaUNo C.O.
_ Footings (addirion) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & W ater Final _ Pool _ Ftgs _ Air/Gas Tests _ Finat
_ Framing _ _ Siding Stucco Stone
_ Fireplace _ R.I. Air Test _ Final _ Windows (new/replacemen[)
_
Insulahon Retaining Wall
Approved By
Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S8W Permit 8 Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
GOLD COPY PERMIT RELEASE FORM
PERMIT ll
ADDRE55
PICKED UP BY ?
.
L ? 31 J,?? (L
CiTY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
ND1V3: PAYM6U OF PEE AT TINR? pF
APPMcM«a DoEs Nar ?TM
ArPxovAw oF rEPM.
INsPncrioiv oF sLWM AND/CR WAM
INSTALL.ATToris wns. Nar sE scHED--
ULID UNM PER[+lIT AAS HEM
APPROVID.
*:******** * *?***+r *****,e**,t********r*
P ease Print
1) PROPERTY ADDRESS: vy•-
LEGAL DESCRIPTION:
tLOL/ISlOCK/AllDC11V1S1OI1 or 'Pax Parcel ID #) .
IF EXISTING STRL'GZf)RE. DAT'E OF ORIGZNAL BC?ILDING PERMIT ISSCANCE: -
PRFSENP ZONING/PROPOSID USE: Nbn Year .
q CONYM0!ZCIAL/RE1AiL/OFF'SCE SINGI,E FAMILY .
0 II'D-TSTRIAL ? R-2 DC'PLEX (Tt,o Units)
INSTIZSJTIONAL/GpVERIZ1ENT ? R-3 70WPII30USE (Three + Units) ( Units)
. q R-4 APARTMENT/COAIDOMINIDM ( i]nits)
2) ?
NAME:-
.?xESS:_!?/33 G°Y?Oc?/-- ?G
CI2'Y. STATE. ZIP:_ PHONE:_?/-
• 3) • c?+• N?_ For City Use .
Piumbers ?cense:
ADDxFSS: rctive
Fxpirea :
? CITY, STATE, ZIP: ,? ? Not recorded
PHONE: 7,S ' MASTIIt LICEDISE# ?al
4) ?• • i?•
tuiME: S?r9<sr? ,Qs- ?? '
_ ADDRESS: , ' .
CITY. STATE, ZIP:
PHOGE: _ 'S) ?? r • ?• : a • o? - ?? -
Q-coNMEcrzoN To ciTSr sEMa K[?oNrS..ziorr zo ciTY wazm Q oxHER . .
6) ?? • • ?U--pE9A,qE Hpi,p ppPROVID PEEWT FY)R PICK-OP BY ONE OF ABJVE --
? PLEASE MAIL APPROVID PERMIT SD lr 2, 3. 4. AHOVE ?
(Circle one)o
7)
rr? -
FOR -CITY USE 4NLY
PERMIT # ISSUED
„r .?-- - -
Pd w/Bldg. Permit FEES:
$ $ %O -Sv SEWER PERMZT (INCLUDE SURCHARGE)
$ $ /fi -5?U WATER PERMIT (INCLUDE SC'RCHARGE)
$ $ WATER METER/COPPERHORN/OL'TSIDE READER
$ $ WATER TAP (INCLDDE CORPORATION STOP)
$ $ SEWER TAP
$ $ ACCOUNT DEPOSIT - SEWER
$ $ ACCOLNT DEPOSIT - WATER
$ 6 Z S? $ wAc
$ ?Z SD D $ s
ac
$ $ TRLNK WATER ASSESSMENT
$ $ TRLNK SEWER ASSESSMENT
$ $ LATERAL BELVEFIT/TRONK SEWER
$ $ LATERAL BENEFIT/TRLNK WATER
$ $ WATER TREATMENT PLANT SLRCHARGE
$ $ OTHER:
$ L3 ?l 7' O`O $ cS G° -O TOTAL
s?
/ 7s7 0
` ` ,/ e,16 .
RECEIPT RECEIPT '
DOES
UTILITY CONNEC s
TION REQLIRE EXCAVATION IN P[IBLIC RIGHT OF WAY?
71 YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC
Q
NO ROADWAY" MUST BE ISSDED BY THE ENGINEERING
DIVISTON
LIST AS A CO
D
ION
. .
N
IT
SUBJECT TO THE FOLL OWIN6 CONDITIONS:
APPROVED BY: ZQy?v ZF-Z-<,-7"
TITLE:
DATE:
f
• 1
419 • 5u+
4tt •uu+
2«4•'!D+
(il5•OU+
51`i•UU+
i6'r • UU+
3',U5 •UU+
1b 0•UU+
?2>4`i4•1?,:
1987 BUILDIN PE APPLICATION - CITY OF SAGAN
SINGLE FAMILY DWELLINGS
IPCLDDE 2 SETS OF PLANS, 3 CEETIFICAYES OF S[TRYfiY, 1 SBT OF ENERGY CALCQLA2IORS
NOTE: ADDRESSES FOE CORNER LOTS - CONTR9CTOR/HOMEOSiNER MUST DESIGRATE WHZCH ADDRESS
IS DESIRED. NO CHANGES WILL BB ALLOWED ONCE BDILDING PERMIT IS ZSSDED.
MQLTIPLE DSiELLINGS - RESIDENTZAL RSNTAL IIAITS FOR SALE OMITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SIIRVEY - CHECB idITH BLDG. DSPT.,
1 SET OF ENERGY CALCULATIONS
COhR4ERCIAL
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: / ?Q/? y.?(?/r?_> Valuation: ?? Date: 9-?5- o?
Site Address ps OFF:
96, 00 0 °-°
Lot (.J Bloek ? On Site Sewage_
? p? '/,,nn /?,,,/ MWCC System ?
Parcel/Sub (2/LX[ fiYltY(' Y 1,7A,/?.(,t/i1, On Site Well
Owner
Address
City/Zip Code
Phone
Contractor0p[? `((}'1•'??Q?,? ?p?Q,?',
Address 1?133 (?tf'???rt Qu2 . ?0 •
City/Zip Code -4OJLYVI,ifhC,4w
Phone a0o?
Arch./Engr.
Address
City/Zip Code
City Water ?
6PPROYALS
Assessments
Water/Sewer
Police
Fire
Engr
Planner
Council
Bldg Off R I"7
APC
Variance
da?<I.ap?ne..-F a5r.e.+ew--1?
occupancy P--3
Zoning Q- \
Type of Const
(Aetual) V-N
(Allowable) V-N
S of Stories
Length q9, O
Depth 39.0
S.F. Total
Footprint S.F.
FSES
Permit q89.50
Surcharge y8•Op
Plan Review 044-95
SAC, City ! OD, 00
SAC, MWCC 52 S•00
Water Conn 525.00
Water Meter C. r).00
Road Unit 305,00
Treatment Pl I $O, 00
Parks
Copies
TOTAL d'?U
Phone #
GARaC,c
,7z/xZ2 = ??S'X(Z = ?336
16X46= 93G
lox?3= )3o
g66 )C?Y= !2 J Z?(
IsT F
j oo?
46x16= '13L
18 X13= z3S'
97o X yy= 426go
FLootZ
a5x ra= s22
i3 K i?= 2og
4 x10 = 40
99o x4v= 33gSo
95020
r ? b A {
?. . ,
I
?
I
JJo?.42 ??]'" . ??
?, .
-+Lo+ ?
B,S?x Z-r?Z+ ?v?-???= IoS?,c?
? 1N?.15
=0-7
7 2
°I x, I = y', o
?-Zo)??fl = Z2,oX5= I l a? ?
3-ZoXOO _
ZoK 3(p =
?I )(, ( = 1+,a
8+`75X I = 8?75
?j?J?a ? X I = 33 ,o
?X3p =
IV ,030.0 0
(?66 "t-o)
?c
?
N
N
n
VAW 5W-;W z7"
Gu/..C,
94wl 12415
lNPW 318 l75
! Ili 2 -,ZaK"bo=
_(0 7n 15
Ho - coq-
l9a 4 2-1 L
D
14x I = 14ro
IZx ? ? ? 2r°
31?•?5?
CITY OF BUILDZN(3 DEPARTMEIiT
EXTERIOR EflVII,OPE AVERAtiE "Ull C014PUTATYOft
(To be auhmitted with buildiag permit application)
One or Tvro Family Dwelling a Owner L? f ww-k-QJi
,
All other _ ' ft R
Contractor w?,?a?-1e.
4•.-, S e Addxeea ,? I:aKK
IKr.Tv zL -Dj2 i 01?F-
Date Phone
FEET
LINEAL F
EDWAL OF
I, 4,C1P,7 f t, above grade
TOTAL EXPO5ED 1YALL AREA Sq, FT.
OPAQUE WALL CONSTRUCTIONs "Ull Value x Area
Detail U_, 01+?, x SQ,
reference flUll- 0-17-x Sq.
from iIpu ? 040 x sq.
attached "u'l x SQ.
eheets isU" x SQ.
aUn x SQ.
WINDOWSs "Ull Value x Area
Make & T ?
ii ype npII
,`?? x SQ.
uUn
n n IiUii X SR.
u u x sQ.
olUll x SQ.
DOOR$t "Ult Value x Area
Make & TYPe npn . I[?-
„ „ x sQ.
?LXrt1o f-?V upn x SQ.
n u -
n' n - upu x SQ.
- nUu x SQ.
TOTALS Z-77 '?? 1 ?1 gQ,
AVERppE llU11
TOTAL (UXA) VALUES
hl
DIVIDED HY TOTAL WALL AREA
AVERAQE nU?l'-- -- ..
k•115 oY' lesa for 1&2 famil inga .
ROOF/CEILIN4 ,
TOTAL AREA: D ?Ip
FT. 7-I4A4 7405 W(A)
FT, oui = .l.e (U)(A)
FT,(U)(A)
FT. _ (U)($)
FT. _ (U)(A)
FT. _ (U) (A)
FT. IPJ'75: f?,(D?j(U)(A)
FT. _ (U)(A)
FT. _ (U)(A)
FT. _ (U) (A)
FT.=11LigU (U) (A)
FT, ?. (U)(A)
- (U) (A)
FT. _ (u) (a)
F'T._ Z17I 0I0 (U) (A)
Detail reference
fr itUto x SQ. FT. O'6O = Zi?cv3(0)(A)
om
tt IIUII x SQ. FT. s (U
a
ached sheete.
IIUII ) (A)
Describe openinga
nun x SQ. FT. ?
(U)'(A)
in r
f x SQ. FT. _ (U)(A
oo
. flUff )
x SQ. FT. M(A)
TOTAL (U)(A) VALUES DIVIDED BY ZI ?CP2j T7"?Ltj 030 N,fT Zlilp3 CVj
}
TOTAL ROOF/CEILIN(3 pREp _
AVERAC3E "Ull .025 fbr ventilated
_ " roofe. ._-.--
..--
Determining "Ull valuee at Roof* Wall#* Rim$ end Cotto. Blovk
ti
. ROO.
? _`''• 1. )
z.)
3•)
4.)
5.)
F aE N
Interior Air t'ilm
51e1, ayp. sa.
Ineulstion
Exterior Air Film
l6TILL)
A V U
0.61
.56 /
44.aa?
.61
1/Ra ibTAL (R)e ?1?. ,7$
R VALU
0.68
?45 /
14•ov
Z 674
.17
'a
IIlln a 1/Ra • O`#'7, TOTAL (R)= 23.0 j
' WALL ?
60 Interior Air Film
7.) }n UYP. Hd.
8.) Inaulation
9.) P??lcr-r4tF
10.) Maeonite Siding
11.) Exterior Air Film
RI
12.) Interior Air Film
130 Ineulstion
14.) 211 Fir Rim Joieb
15. ) gvlt.7• ?'JTG
16.) Maeonite siding
17:) ExEerior Air Film
R YALU
0.68
19•00•
1.88
2,0¢
.67
.17
ItUll a I/Re oQq.p TOTAL (R)e 201.
?
FOUNDATION
18.) Interior Air Film
?: i ?-?! yrxaP?c
21.) 12" Oottorete Bloak
22.)
23.) Exterior Air Film
IIUn a ?? na -07(o
?
R YALU
0.68 .
ll. cri
1.28
.17
ToTnt. (x) e J3.1?;,,
• j
25•uo+
o•SO+
25 • 50>Y+
illof
SINGLE FAMILY DWELLINGS
1990 BUILDING PERMIT APPLICATION
CITY OF EAGAN
H[iLTIPLE DWELLINGS
2 SETS OF PLANS 2 SETS OF PIANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
_# OF RENTAL UNITS
_# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER M[IST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE HUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
?PERMIT MUST SHOW A LICENSED PLUMBER.
d
To Be Used For: de4 Valuation: ? Date: rr?tTT7'a^
,•;_
Site Address "?)5 -k'p ?ha11 ??u2?
Lot Co Block ?
Parcel/Sub lla, k Vn?l{ -N0'4;4'
Owner -VPan E.
Address +)?-0K kn011 Zb-iv.-
City/Zip Code ?a?qn ? M11. ss/a3
Phone ySj -o7y9
Contractor }1?m? Owne^
Address RqS 7a?Y ?Cno?1 ?r;uc.
City/Zip Code MN. S-S?a3
Phone -VSG •05 v9
Arch./Engr. ?a
Address '
City/Zip Code _
OFFICE USE ONLY
Occupancy
Zoning
Actual Const
Allowable
# of stories
Length
Depth
S.F. Total
Footprint S.F
On site sewage_
On site well _
MWCC System _
City water _
PRV _
Booster Pump _
APPROVALS
Planner
Council
Bldg. Off. 1
?vZ
Variance
MAY 0 2 1990
COMMERCIAL
FEES
Bldg. Permit
Surcharge
Plan Review
SAC, City
SAC, MWCC
Water Conn
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Copies
SUBTOTAL
Penalty
TOTAL
Phone # -
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PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA108104
Date Issued:11/16/2012
Permit Category:ePermit
Site Address: 895 Park Knoll Dr
Lot:6 Block: 1 Addition: Park Knoll
PID:10-56725-01-060
Use:
Description:
Sub Type:e - Furnace
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to Mark Anderson , State Electrical Inspector,
952-445-2840
Phil Holmin
900 Park Knoll Drive
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 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 -
Lee A Markell
895 Park Knoll Dr
Eagan MN 55123
Holmin Heating & Cooling LLC
900 Park Knoll Drive
Eagan MN 55123
(651) 405-3853
Applicant/Permitee: Signature Issued By: Signature
, Use BLUE or BLACK Ink
r�----------------�
- I For Office Use �
. I ��)� �
Clty of ����� , Permit#: I
� �� �
`'�� � Permit Fee:
�� ��,. ".
3830 Pilot Knob Road `�
Eagan MN 55122_ �� ,� , L�a:� � Date Received: '����� �
Phone: (651)675 5675 �tC� I ,�}�- I
Fax: (651)675-5694 i Staff: �/T i
-----------------��1
2015 RESIDENTIAL BUILDING PERMIT APPLICATION ��
�
�1��
Date: � �� ��i5 Site Address: �q 'rJ a�"�L �Vl t�� ��"�Y"�- �� d r1 Unit#: ��� ' �
°: Name: ���� � 1�V'�e�� Phone: �P�`J�° '1 f0�' �'�-��
I�Si��t'##/ ;
p 1 . � A
Qt1lit��:1' - Address/City/Zip: ��S 1 E�V�C ��1i1��\ p�`�1�'p, , ClGld V���`-'\ (� 'r7C'J��
Applicant is: i� Owner ✓ Contractor
' Description of work: t Q�..��Ltt-� ����4� ` W�� +� X ��
T�e t�'1�iirk . � 0. � 1 y� � �►1,��'4i
Construction Cost: 5� Multi-Family Building: (Yes /No�
Company: Y 1 O�M�Q 'Q��Q.�j' Contact: �� � Qr���I
�� ` �� '� Address: City:
�Q���'d#�"��' ,.
State: Zip: Phone: Email: ��C YY�QV"��I��GO��-ST'�►'1 �
° License#: Lead Certificate#:
If the project is exempt from lead certification, please explain why:
� .:
COMPLETE THIS AREA ONLY IF CONSTRl1CTING 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:
Fire Suppression Contractor: Phone: �
' ��1�"�:Fl�t�?�S c'�t1i�5�3�01�`�I'��t��Ci�#x]�B/�#S���,���'���'9�`�8��C�A`7��1��3d;�b8����`�1i��'�'#��. Pfl�"l'�iiriS Of
�e�i��arr�►aticua�y'�e cl�rs�J�'ie�d�s r�t�n-pt�b�i�c��'�o�pr+�ri�s�e����rea�ro��t��i���u��f�r��t�� Ci�r.t�.
c�r���'e t����" a�e t��i�F���c�ets. :
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 Minnesota State Building Code must be completed within 180
days of permit issuance.
X �� �t��k�.(I X `�'.�.1
Applicant's Printed Name Applic nt's Signature
Page 1 of 3
DO NOT WRITE BELOW THIS LINE �l �
SUB TYPES O `� �`'' � K`"`� �( �`
Foundation Fireplace Porch (3-Season) _ Exterior Alteration(Single Family)
_ Single Family Garage _ Porch(4-Season) _ Exterior Alteration (Multi)
_ Multi � Deck Porch(Screen/Gazebo/Pergola) _ Miscellaneous
01 of Plex Lower Level Pool Accessory Building
WORK TYPES
_ New _ Interior Improvement _ Siding _ Demolish Building*
_ Addition _ Move Building _ Reroof _ Demolish Interior
_ Alteration _ Fire Repair _ Windows _ Demolish Foundation
� Replace _ Repair _ Egress Window _ Water Damage
Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION
Valuation � � Occupancy MCES System
Plan Review Code Edition ��� `� SAC Units
(25%_ 100%�) Zoning � City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final/C.O. Required
Footings (Addition) � Final/No C.O. Required
Foundation HVAC_Gas Service Test Gas Line Air Test
Roof:_Ice &Water _Final Pool:_Footings _Air/Gas Tests _Final
Framing Drain Tile
Fireplace: _Rough In Air Test _Final Siding: _Stucco Lath _Stone Lath _Brick
Insulation Windows
Sheathing Retaining Wall:_Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression: _Rough In_Final
Braced Walls Erosion Control
Other:
Reviewed By: � tW.�` , Building Inspector
�*
RESIDENTIAL FEES , , �����"
Base Fee ��`'� �^���.���
Surcharge c-�,�tr� ���'
Plan Review 1�� �`���"�
MCES SAC �
City SAC
Utility Connection Charge � ,�- � � � �
S8�W Permit 8�Surcharge � � � �, �' �
Treatment Plant
Copies
TOTAL
Page 2 of 3