900 Park Knoll Dr? CASH RECEIPT - ?
. CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19
RFCEIVED
FRdM S :,ti ?, • f r ., I ' '
i:MOUNT $ • I
: i.
tti DOLLARB
?oo
Ej CASH EJ CFiECK
ROR
Bv ' "-'/L."
White-Payera Copy
Yellow-Posting Copy
Pink-File Copy
Thank You
r
BLDG. PERMI'r No.,%??.x J
01-32Ir0 'ffldg?.- Perm:
01-342
ftan Check
01-34t3 Surch. /Adm,
01-3446 SAC/Adm.
01-2155 Surcharge
17-3860 Road Unit
20-2275 SAC
20-3$65 Water Conn.
20-3868 Water Trmt.
20-3716 Water Metez
20-2252 Acct. Dep.
20-3713 Water Permi
20-3743 Sewer Permj
79-3866 Sewer Conn.
11-3855 Park Ded.
TOTAL
CITY OF EAGAN .
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 IBUILDING PERMIT PHONE: 454-8100 Receipt # I To be used for '• Est. Value Date ,19 Site
900 PARK KNOL
Lot ` Block ' Sec/Sub.
Parcel No.
c Name _ • ; ' •;-: •< t;ONST
W ,
3 Address AE
° City • •.` , ? Phone
°C
Name
.o
z
0 ? Address
? City Phone
that I have read this
Siqnature of Permittee _
A Building Permit is issued
all work shall be done in ac
Building Officfal
with all
OFFICE USE ONLY
A!'D On Site Sewage Occupancy
MWCC System ? Zoning
On Site Well Type of Const
Ciry Water ? (Actual)
(Allowable)
# of Stories
Length
Depth
S.F. Total
Footprint S.F.
T-
_ APPROVAL3 FEE3 ?
- Assessments Permit
Water/5ewer _ Surcharye
Police _ Plan Review
Fire _ SAC, City
- Engc _ SAC, MWCC
- Planner _ WaterConn. _ 525.00
council _ water Meter _ 67.00
state Bidg Off. _ Road Unit __305.00 i
:eble APC _ Treetment Pt ---*80W00
Variance _ Parks
_ COpies
TOTAL
on the express condition that
e of Minnesota Statutes and City of Eagan Ordlnances.
Psrmit No. Permit Holder Date Telephone *
PI-imbing /? ? 'k:v'• "? `'??g ?
H.V.A.C.
Electric ?-
Softener
Inspsctlon Date Insp. Comments
Footings I iV in wd
Footings II
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
/i
F
IsuL 6?
Fireplace
Final Htg.
Final Pibg. 110-K
Bidg. Final
Cert.Oca Yz?
Temp. LP
Deck Ftg.
Deck Frmg.
Well
Pr. Disp.
?
,•
, Site Address
Lot o,! Block
m Name
? Addre;
c City _
_ Name
3 Addre
O Cih' -
MECHANICAL PERMIT REi
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DA-
PHONE: 454-8100
` BLDG.TYPE
'ec/Sub Res v-
'
Mult
Comm.
Other
TYPE OF WORK
- Forced Air M BTU $
Boiler M BTU $
Unit Heater M BTU $
Air Cond. M BTU $.
Vent CFM $
Gas Piping OuUets # y $.
Other ?
FEE
S/C: ?
TOTAL•
RES.
GAS OUTLETS
WORK DESCRIPTION
New ?-_
Add-on
Repair
FEES
'U
:. ON NEW
-1 PER PERMIT)
- $24.00
- r 6.00
- 1.50 En. ?
vvrvuvir niv r "? - 4io vr VVIY 111f4V 1 ru_c
AP-T. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
REMODELS - 12.00
- 20.00
- .50
CITY OF EAGAN
PLUMBING PERMIT
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122
CT PRICE PHONE: 454-8100
Site Address .4 ' 2 V4 4. U' Yt Jz t'.*
Lot Block -Z F1S -h
IVame
m Address
c City' '-7;- -, f': ?/. . ? t-e-, Phone" ,
Name
; Addre
p City 1
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APPLIES
MiNIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
PERMIT #
RECEIPT #
DATE:
BLDG. TYPE WORK DES.CRIPTION
Res. New v
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO.-, FIXTURES
t
Cl
$3
?N
00 TO L
oset -
-
a
er
.
?Bath Tubs - $3.00 _
Lavatory - $3.00
-
--
7
Shower -'$3.00
-_ -'
Z
Ki!chen Sink - $3.00
?
Urinal/Bidet - $3.00
=
Laundry Tray - $3.00
Floor Drains - $1.50
Water Heater - $t50 ? 5 -
Whirtpool - $3 00
?
Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIn
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
% Rough Openings - $1.50
-
FEE:
STATE S/C:
FOR: CITY OF EAGAN GRAND TOTAL:
INSPECTION
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
? SITE ADDRESS:
I Hkt ? IVI I 1 1
2 tti. vt r. . .
c'aR K. F rrol i i 4,r.
'PERMIT SUBTYPE:
PERMIT TYPE: 1:0 1 1 It I
Permit Number: 0 .''? -1 ' •'1
Date Issued: o t+ r; I !•,'?
?[:li t}N0UC,N I UM
t. ) , i 4 '. . . .1',"•
TYPE OF WORK:
hlf: EJ
?
INSPECTION .A . .A
a i 14 r,i +
'? .
? t: l- M A ft K
IF
SVPAitATC Vt=KM1 t', nkE hf4U1FtEll Filk ANY? Etf_CTkiCAl Ilk F'1lIMFtlN4i Wi1114h
?
?
__j
......
PermR No. Permit Holder Date Talephone #
S/W
PLUMBING
HVAC ?/ •? •?,1?
ELECTRI
' d°
ELECTRIC
inspectlon Dats Inap. CommeMs
Footings I
(
FoundaGon
Framing ?
Roofing
Rough Plbg.
Rough Htg.
Isul.
?replece
Final Htg.
Orsal Test
Final Plbg. ' Plbg. Inspector - Notity Plumber
Const. Meter
Engr./Plan
Bldg. Final
Deck Ftg.
Oeck Final
Well
Pr. Disp.
s -.k ti,v .
(Itrtiftratie uf (IDrrupanry
titp of (Eagan
arvgrtmt of gwbttg 3tapprtinn
This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building
Code cerlifying lhat at tlte time of issuance thrs structure was in compliarrce with the various
ordinances of the City regulating building corrstruction or use. For the foUowing.•
SF DWG/GAR 13487
use clessifickticM ffidg. Permrt tvo.
oocun.ocr Type R 3 zoa;og nistri,t R i. TypeConsL V
owomorsuudin J(1F. NiLI..I:k COPWS';: Address 1813:)' CEDAR AVE SJ. , FARMIiyGiON
Buddi
Add i'A;;K KS;t)LL :lP. L2,B2, YAKK f?.?4()LL ALill
ng
ress Locabty
Aliv^tiST 11, 1967
ak:
eu;imng ofrla.i
POST IN A CONSPICUOUS PUCE
CITY OF EAGAq Permit No: Date: 5- 6-87
3830 Pilot Knob Road Meter No: Y85.3 75? Size: y 8?? c-I
P.O. Box 11199 Reader No: D? j/T / Date: - d ,
Eagan, MN 55121
Owner._ - .TnP %ii 1 1pr f'oncr
Site Address: 1.9 R? par'• An n1 1 Ajrln
Plumber. ,.;n It -ft
Conn. Chg: 525.OOnd Wy j*'!sj'?2 ?j ? ???vo
onirig . Rl
Acct. Dep: 15. t)OncYaQf r rii ir'= W ' 46nW. 1
Permit Fee: !`) •0Onc?r, EAU??iE F?,L(; i niG - GA5 -
Surcharge:
T
Pl •5o ?j '
180
QO
D E ??rith the Clty ot Eagan
Q
r.
ant .
n( .if/dl cas.
Meter. 4 i
?t?iG
. ..
WATER SERVICE PERMIT
cinr oF EaGay SEWER SERVICE PERMIT
3830 Pliot Krx;oif Road I
I
9C, (
P.O. Bo*,27199 )
PERMIT NO.:
;
Eagan, MN 55121 bATE: 5-6-27. ?
Zonis?g: - 'Rl No. of Units: 1 :
i
Owner. Joe 2`iller Conqt
Address: ,
SiteAddress: 2 2 Park oIl d n ?
Plumber. Plymout
h n
4--21-M(3e-4019 ca{ 100.00pd '
-
-?
I a9roe to comPh? with t T4?
'nA? ??
liOrs??3harge: 52? s nn.,d
???.t?-
OrdMances. REQUIRED ?Kh ? 1,w't• 15', d
???
009d-
Surcharge:
By Misd. eharges• ? I
Date of insp.: Total7 ?
Insp.: Date Pefd:
cInr oFEAGAN SEWER SERVICE q"IT
3830 Pilot Kn ')b Road
P.O. Box 21499 PERMIT NO.: 5 6 g7
Eagaa; N1N 5512k, DATE: +
Zoning: _ No. oi Units:
Owner. - - de ' er o s.
` 525 . OOpc(
as to compiyfwith thQ City of Eagan Connection Charge: ????_
tances. Account Deposit: oopd
Permit Fee: '
Surcharge: Misc. Charges:
of Insp.: Total:
I
ITY OF EAGAN ..?'7
Permit No: ~ 2 Y Date:
130 Pilot Klob Road Meter No: Slze:
O, Box 21199
igan, MN 55121 Reader No: Date:
wnPr. ;ur : Yller C'nnar _
Address: 'IQ0 pRrk Irnnl t Tlrjyn 7.2 R7 srlc gnnl l
. Chg: 525. OUrd Zoning: ?.1
Dep: 15 •h0n? No. of Units: Z
it Fee: ? 10. Q4Pd
iarge: • Sfli)d I agree to comply with the City ot
int 1F 0• Qb d Ordinances.
, 62 i1n...a
CITY OF EAGAN nJ° 13 4 8 7
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55127
?y 0& /
BUILDING PERMIT PHONE: 454-8100 Receipt # /d-
7o be used for SF DWG/GAR Est. Value $89.000 Date APRIL 20 1987
Site Address 900 PARK KNOLL DR
lot 2 Block 2 Sec/Su6. PARK KNOLL ADD
..
Parcel No.
a Name 10E MILLER CONST
z address 18133 CE?AR AVE SO
9 City FARMINGTON phone 8 2-1010
tiQlName SAME I
o? Address
i- City Phone
City
OFFICE USE ONLY
R3
On Site Sewage Occupancy
-
-
MWCCSystem Zoning
A?
On Site Weil Type of Const
-
City Water X (ACtual) ?
(Allowable) V
# of Stories
Lengtn 44
oePtn 33
S.F. Totel
Footprint S.F.
APPROVALS FEES
Assessments Permit 465.00
Water/Sewer _ Surcnaree 44.50
Police _ Plan Review 232, 0
Fire _ SAC, City 100.00
Engr. _ SAC,MWCC ---5-25.00
Planner _ WaterConn. __ $25.00
Council WaterMeter _
_ 67.00
1 hereby acknowledge that I have read this application and state BIdg.OfL _ FioflA Unit -30S:D0
I
thattheinformationiacovectandegreetocomplywdhallapplicable APC _ 7reatmentPt ?
0
State of Minnesota StatWe nd City of er . Variance _ Parks
? CoPles
Signature of Permittee 70TAL .00
A Building Permit is issued to: JOE MILLER CONST on the express condition that
all work shall be done in accordance with all apRlieable State of,jvlinnesota Statutes and City of Eagan Ordinance&
Building Of(icial 8'.(w?? F-a?
'8
1"T? REQUEST FOR ELECTRICAL INSPECTION EryB-0>0001-06
;}/S/
I? Sea inetn.epona far completi" tMC torm on baCk 01 Vellow eopv.
"X" 8elow Work Covered by 7his Request ,
p'1wMl?G:? Tyoe of Builtlmg 1 Aooliancee Wir.tl 1 Equiume-t Wired I
IC
M Fee ServiceEntrBnceSiza d Fee Fexders/SUbleeders N Fea Circuits
,OD 0to200Ams 0to30Ams 3• An,j)s
Above 200 qmps 31 [0 100 Amps Q 31 [o 100 q y
Swimmin Pool Above 100_Am s Above 100_Am -
Trensiormers Irrigation Booms Pernal."Other Fee
I Signs Special Inspection ?
Pemarks S`"' Sfl TOTAI. E,, ?
I _ ?-'t OU
the Eta2Mie?
s0aclor, hereby
erLfY Mat the above
Final ?\ ?Drtre? jnspecHOn hes Geen
1 ?l/??6Lt dIC/6/ ?7 meda.
This repuest void-7
18 months /rom
C 9 7 2 3 0,?
?// 'y
Heqoe?! ?e Fve No. Noubp--nInspection
- -
? '3
- $
P Q ired? ?
Ready Now?Wdl Noufy InsPec-
[or Wh
P
p - Yes ?No en
eatlv
Licensed Elecirical Contrector 1 hereDy requeat inspection of ebove
Owner electrical work installed at
Sveet Atldress, eox or ute No.
l Citv
6-
OV Jq K
-
ecuon 1,1o. TownsMp Name m No. Fange No. County
!vahL
Occuuant (PqINT)
Joe-, M1 ller Phone Na.
Powe SupDher
.?a,('aA r1e&4r1c.. Atldress ?
4 a 3do
Elec r.
ll? cal onvaGtor Company ame)
,c?la<i? E7eC-4rf c-, C.n[ramor's License No.
a-
Mailing AdOress (C?Onjractor or Owner Ma ne lnstailation)
aO W
S 1/
v
lle
?
o
i
,
S
urn5
Authpnz ignamre (ConVactor?Ow er Making Installavon) Phone Number
890 -96r /
MINNESOTq STATE BOARD OF ELECTflICITY THIS INSPECTION 0.EQUEST WILL NOT
Grigpa-Midwey Bldg. - Room N•197 BE ACCEPTED BY THE STATE BOANO
7821 UniveraitvAve..Bt. Veul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone(812)642-OB00 ENCLOSED.
/,g/(/REOUEST FOR ELECTRICAL INSPECTION
T 0, See msdmc0ons tor completing this brm on back of yaltow ropy
H0 4 8 9 8 .- X" Be/ow WorK Covered by This Request
M?
ew Atld Rep TypeofBuilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater ElOCtric H86ting
Apt Buildinq Dryer Load Menegement
Comm/Industnal Furnace Olher(SpeciTy)
Farm Air CondRioner
Olher (spemty) CoNradors Remerks
Compufe Inspection Fee Below,
k Other Fee # ServiceEniranceSrze Fee # CirwtlslFeeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
SignS Inspacmr's Usa Onry TOTAL
Irrigation Booms CG
Special Inspechon ?
Alarm/Communication THIS INSTALLATION MAY BE OR ONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MQ THS.
I, the Electncal Inspecror, hereby
if Rough.in a?e
ceA
ythattheaboveinspectionhas
been made. F,nai
OFFICE USE ONLY
Tbis requesl witl 18 months Irom
C
0?
'
?
8
9 8,ta /?
Repuest Dele
S e p t. 2 0, 19 9 4 Fire No Rough-In In seclqn Fepwretl
(?'ou vs? inspac?or when reeEy) InspecM1On OMer Than RougRln .
? Reatly Now ? Wili NotHy Inspactor
Ves ? N. Date ReaO
I licensed contractor 0 owner hereby request inspection of above electrical work at:
Job Atltlress IStreet Box or Rome No I Crry
900 Parknoll Eagan
SMion No Township Name or No Range No TYQLLnAt Q t a
K
Occupant (PRINT) PM1One No.
Tom And Diane McDonough 452-5495
PowerSupOber Atltlre t.
Dakota Electric Farmington,MN 55024
Elecmcal C nlractor ICOm an Name'
Mid?and Eectric Co ror5 i
""li U"s'g."&fl°'°F474P'"'f1Y'g "ItIftor6vi11e,MN 55044
Fw zea S?gna re iGOnV tonOwner Making Insiallatmn, Phone Number
461-1444
MINNESOTA STATE BOAqD OF ELECTPICITV THIS INSPECTION REQUEST WILL NOT
Griqgs-MlOwey Bbg. - Room S4]3 (??• BE ACCEPTED 8V THE STATE 90ARD
1821 Umvorsity Ave, SI. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phona(l 602-0800 ENCLOSEO
??
?
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
NewConstructlon Reauirements
• 3 registeretl sBe surveys showing sq. R. of lot, sq. tt. of house; and all rooFed areas
(20% maeimum lot coverage allawed)
• 2 wpies af plan showing 6eam & window saes; paured found desigq etc.)
• lsetofEnergyCalculations
• 3 capies of Tree PreservaGOn Plan if lot platted after 717193
• Rim Joisf Delail Options selechon sheet (bldgs w'dh 3 or less unds)
DATE 07A Z-
51TE ADDRESS
1(
?
?? ??
RemodeUReoair Reauirements
. 2 copies of plan
. 1 set of Energy Calculatians for heated addNons
. 1 sRe survey for ezlerior additions & decks
. Indicate if home served by septic system (aradditions
VALUATION 3 o°Q• `?
LTI-FAMILYBLDG _Y ?N
TYPE OF WORK f oo?FIREPLACE(S) _ 0_ 1_ 2
APPLICANT P?;)h;
STREET ADDRESS Mo 1%,-1L krol/ lJ/? CITY ?ae?STATE / ZIP 3Sla-3
TELEPHONE #LJ?-YoS-o? ,?7 CELL PHONE # 612-366 -6SJ/ FAX #
PROPERTYOWNER TELEPHONE# 6s1-- Yv'5--O732
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESO'1'A RULES 7670 CATEGORY 1 MINNFSO`1'A RULrS 7672
(4 submission type) • Residantial Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Confractor: ____
Plumbing system includes:
Mechanical Contractor:
Mechanical system includcs:
Sewer/Water Contractor:
Air Conditioning
Heat Recovery Systcm
Phone #
Phone #
\jw?
n AUG 1 9 2002
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 .
SlgnatureofApplicant_ ZXIP! IF //0"""-
OFFICE USE ONLY
Water Soflener
Water Heater
No. of Baths
_ Phone #
I.awn Sprinkler
No. of R.I. BaQ
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
OFFICE USE ONLY
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 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 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ?' 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New Q 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bidg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)" ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement *Demolition (Entire Bidg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const W idth
REQUIRED INSPECTIONS
_ Footings (new bldg) FinallC.O.
_ Footings (deck) FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundarion HVAC
Drain Tile ptheI
Roof _ Ice & W ater _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Fraxning Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ _
Finat Windows (new/replacement)
_ Insulation _
_ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Building Inspector
PLEASE COMPLETE FOR ALL COMMERCIAI,/INDUSTRIAL BUILDINGS. ALSO COMPLETE
FOR APARTMENT BUII.DINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE
PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNTT'.
DATE:
NEW BUILDING
INTERIOR IMPROVEMENT
WORK DESCRIPTION:
CONTRACT PRICE: $
FEES
1% OF Q FEE $
<....:>F u:>...::a.«
PROCESSED PIPING: $25.00
MINIMUM FEE: $25.00
STATE SURCHARGE $.50 FOR EACH $1,000 OF FEE.
TOTAL $
SIT'E ADDRESS:
OWNER NAME: TELEPHONE #:
TENANT NAME: (nTROVEMENTS oNLY)
INST.
ADDRESS:
CTI'Y:
STATE: ZIP CODE:
TELEPHONE #:
SIGNATURE OF PERMITTEE CITY INSPECTOR
1994 MECHANICAL PERMIT (COMMERCIAL)
C1TY OF EAGAN
3830 PIIAT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOIviES AND
CONDOS WHEN PERMITS ARE REQUIltED FQR E_a_r-H L,nNrp,
NEW CONSTRUCTION
ADD-ON A/C
ADD-ON FURNACE
FIl2EPLACE INSERT
DATE 9 ` 2_6- qy
FEES
HVAC: 0-100 M BT[.7 $ 24,00
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS (MINIMUM 1@$3.00 EACH) 31,76
ADD-ON/REMODEL (ExISTIlVG coNSTRUCi'1o1v) $ 20.00
STAT'E SURCHARGE .50
TOTAL 23.0
SITE
?"D P/9wf1 rCNOL L.
OWNERNAME: LKR?G kiNdt"kmrw
INST
TELEPHONE #:
ADDRESS: 2 ?I f Np !5T
CITY: ?R?r??i?i/Ctt,/? STATE: eN ZIP CODE: S502y
TELEPHONE #: ?l?l • ?D2?
Ae / a {.n
SIGNAVkME OF PERMITTEE
1994 MECHANICAI. PERMIT (RESIDENTIAL)
C1TY OF EAGAN
3830 PII.OT KNOB RD
EAGAN MN 55122
(612) 6814675
CITY OF EAGAN
3830 F'ilot Knob Road
Eagan, Minnesota 55723
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number:
Datelssued:
cg-f _ / ,1-7/
BUILDING
024459
08/31/94
SITE ADDRESS:
P.I.N.: 10-56725-020-02
906 PARK KNOLL OR
LOTe 2 BLOCK: 2
PARK KNOLL
DESCRIPTION:
Building?--Permit Type
ouilding Wavk, Typs
Square Fset
r' \
i L-N
SF ADDITION
NEW
304
,
?
??
REMARKS:
SEPARATE pERMZTS ARE REQUIRED FOR ANY ELEC7RICAL OR PLUMBING WORK
FEE SUMMARY:
VALUATION
ease Fee
Plan Review
Surcharge
Total Fee
$189.00
$117.00
$8.50
$395.50
$17,000
CONTRACTOR: OWNER: - Applicant -
MCDQNOUGH 7pM
900 PARK KNOLL OR
EAGAN MN 55123
(612)452-5495
C ?
I Msreby acknnwledge that I Mava read this applieatian and staCe thaC the
information is aarrsct and agree ta oamply wiCh a.il applicable 5tate Pf Mn.
Statutes and City ofi Eagan Qrdinances. ?
L
I
?•C? AP? NT/P? IG'7EE?TURE ISfl?'n IG OTUFiETW
- - - - - - - - - - - -
INSPECTION RECORD
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITEADDRESS: LoT: z sI-ocK:
900 PARK KNOLL DR
PARK KNOLL
PERMIT SUBTYPE:
SF ApDITION
PERMITTYPE: eurLozNG
Permit Number: 0 2 4 4 5 9
Date Issued: 0$/ g Z/ 9 q
2 APPLICANT:
MCRONOUGH TOM
(612) 452-5495
TYPE OF WORK:
NEW
INSPECTION
FOOTINGS D. .
FRAMING .,
SNSULATION FIREPLACE
FINAL
REMARKS: SEPARATE PERMI75 ARE REQUTRED FOR qNY ELECTRICAL OR pLUMBING WORK
F-
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r:.. ?
?
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I
144W9
CITY OF EAGAN
1994 BUILDING PERMIT APPLICATION ??r1
681-4675
?
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registere site surveys, c y of energy
calcs. ?:?;J,; z 5 14?,?
COMMERCIAL 2 sets of architectural & st ue-Lurat_Llans;
l s t of
,
specifications, 1 copy of energy c . '
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date Yaluation of work Q 0
Site Address: 9 n D P Ah?
STREET SUITE A`
Tenant Name: (commercial only)
LOT '. _ BLOCK SUBD. ?xkk {? ?J?
1L..f1,0 ???-? P.I.D. #
Descri tion of work: 4 1
The applicant is: ? Owner ? Contractor Other (Describe)
Name Ott 0M 9N Phone
Property LaST fIRST ?
Owner address ? ?p9 Y
STREET STE M
City _E ryQh State Zip J?/ 2-
Company Q I tl K Phone
Co ntractor Address License # Exp.
City State Zip
Company Phone
Architect/
Engineer Name Registration #
Address '
City State Zip
Sewer & water licensed plumber Processing time for
sewar & water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to compl with all applicable State of Minnesota 5tatutes and City of
Eagan Ordinances. ?
Signature of Applicant: ? '??ti
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex 0 ]l Apt./Lodging
? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc.
o( 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace
? 05 SF Misc. ? 10 Multi, Add'1. ? 15 Deck
WORK TYPE
? 31 New ? 33 Alterations ? 35 Tenant Finish
0 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length +
Depth
APPROVALS
Planning
Engineering
REQUIRED INSPECTIONS
? Site
O Wallboard
Basement sq. ft.
lst F1. sq. ft.
2nd F1. sq. ft.
Sq. Ft. total
Footprint Sq. ft.
On-site well
On-site sewage
Building
Variance
,Et Footing
.C1`Final
?`?-'? ,• ?„ ?
?
? 16 Basement Finish
0 ll Swim Pool
? 18 Comm./Ind.
? 19 Comm./Ind. Misc.
? 20 Publjc Facility
? 21 Miscellaneous
? 37 Demolish
MWCC System
3_,-l City Water
PRV Required
Booster Pump
Fire Sprinkler
Census Code
SAC Code
Census Bldg
Census Unit
Assessments
.ll Framinq
? Draintile
v3y
o/
i
?-
AD Insulation
? Fireplace
Permit Fee vehat;o,,, g
Surcharge
Plan Review
License
MWCC SAC ?o y
City SAC
Water Conn. ---
Water Meter
Acct. Deposit
5/W Permit
5/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
SAC %
SAC Units
nnsev oN cuneTCS s oe mtic
tLL>EL, FtIFRS3 co !F ?EDMotl
Adoption Effectlvo
Owner Phone Uate
Sita Address
Con
Dullding clnsslfications Type A1 (Sinqle Fnmily & Uuplexj_?
Type A2 (Residential, 3 stories or leee) (OVer 7 atorles) (Other)
t14'LE@ C4ma1et=_Pfl9ga._1_.@risL9-Urat.
t1E?3At,.?ileo_ntte?1t y?
?????T
Up ?
1, pullding PerimeterNV '?'~ f t, ,
2. Wall Iielqiit (ground to eAVe) ft,
7. 1. H 2. (above) qross wall area Zi7 5-
-,7> sq.ft.
4. 13uildinq dlmensions (L) `- X (W) `- =? 15 e5)yq.ft.roof & floor area
5. 5q. foot orea oE rim joiet - Floor joie size 2 X._L )
_(6_ R (Parimeter) _ Z-,A.7 ?t sq.ft.
6. Doors - Area (? ?f lZ
?
Thickness in U. factar , '
Type of Constructlan PeKimeter ft.
Hanufacturer
7. Total door's perlmeter ft.
0. Windows: tfanufeckurer ./,V5(Jz? ?i?762C? 9tnte upproved
U factor t `jfO
TYPE
?/,?f:• SIZE
4?
?l ^. C' :? ? ACiCA (9q.Ft.)
EACII 11U11[3ER OF
UIII''9 TpTAL
SQ FEET
9. Totel sq.ft. Glass Z'P) 7,
t
lo. Flreplace area: Widt1i X Ilelqlit = X sq.ft,
11. Exposed foundation: Ileight X Perimeter'X I 6= ?10 sq.ft.
COHPLETIOti aF TIIS9 FORM I3 REQUIRE6 F'OR AI.I. NE{i C0N9TAUCTIOt1, NAJOR
REIIODELING Al1U pUILDIHG9 pCI11G ptOVGD WIIERE EtIERGY, OTIIER 7'IIAN TIIE 17It1INAL
COUE ALL0I9ANCC, I5 USEU,
-1-
V_K3
12. Framiny aren = 10t nf grosp wall area.
17. Gross wnll area eq.ft.
fairtdow area A sq. ft, ll wlhdawu = • 77(e,' UxA =
Rim Joist area A Z-?1 sq. ft. ll r1m joist= ?0 UxA =
D
/1
A `
? /
oor area
`
sq,ft, U door erea=
r
UxA =
ather doora area A?
ft U
th
d 1+
sq.
, o
oore=UxA
er a
Exposed fndn A
[E U
d
ti
D?rD
eq.
. a
on-,
l1xA
foun
Framing Aren eq,Pt, U framinq area=' v ? UxA = ZS°
Ilet woll aroa A 0_4 I sq.fr. U walld ? UxA =L-2
(1311) TOTAI, , . . . . . . . . UxA = Z -7
14. Gross wall nrea x 0.11 (A-1 aingle famlly G duplex) = allowable I1xA/Code
(1J. auove)
x 0.23 (A-z otli or realdential) •
x .23 (other U ulldings)
x .28 (OVOr J etorlee)
UTUtI muBt be larqer
A ?.75 x U Codo. ?11_.• 303 °F. as 17ll qbove than or eame
15. Ceiling fraining oraa (AE) aquala lot of cellinq area
15A. Grose ceilinq area = (L) ? x (W) `" _ ?_aq.ft.
15p. Joist area (Af) - 10} celllnq area sq.ft.
15C, tlet ceiling area (Ac) (15A - 15p)
U ceilinq x A, _ (/? x.d-Zi7i. ?, ?L 17
ll frnming x AE _ x?OZk A _3'
15I1. TO'PAL U x A .................. .......... 16. cnil7nq nren (15A) x 0,026 (A-1 single iemily 6 duplox)
= nllowaUle UxA/ code
x 0.073 (A-2 otlter residentlefl)
x 0.06 (otlier)
U'PUII must be lnrger thnn or same
A(15A) x U CodeZ?1??° d_?U °F. ae 15U ebova
poTG: Use ll anil A vqlues obtqlned from psges• 1, 3 und 4.
i
CrRTIEIPnTI4ti: I liereby certify tlint I hnve calculated tlie 'lull factore and
"?t" vnluen hareln an(l L-hat tho buildlnq here deeczlUed meete or exceede the
State oP Hlnnesota I3tiorqy conAOrvntion Aot, ,
Data
9lgltature
-2-
imi
o•,
465•00+
/a4•50+
232.•50+
625•UU+
525•O(1+
67•00±
S05•00+
1t3U•00+
2, 44400?
?
?
" -?
- , 3 if7
:
1987 BQILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS -
IACLDDB 2 SEPS OF PLANS, 3 CERTZFICATES OF SQ9VSY, 1 SET OF ENERGY CALCQLATIOHS
NOTE: ADDRESSES FOR C08NER LOTS - CONTRACTOR%HOMEQWNER MOST DESIGHATE WHICH ADDEESS
IS DESZRED. NO CHANGES AILL BE ALLOWEU ONCE BIIILDING PfiRMIT IS ISSIIED.
MOLTIPLE DNELLINGS - RESIDENTIAL RENTAL IINITS! FOR S6LE ONITS
INCLUDE 2 SETS OF PLANS, CERTIFICATB OF SDRVSY I CHECS WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COifl+1SRCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF I
ENERGY CALCULATIONS, I
$2,000 LANDSCAPE BOND '
,I
To Be Used For: Valuation: Date: '?"' b-2j
Site Address `-1 co Lyl ,
Lot Q Block ?
Parcel/Sub YQA
Owner
Address
City/Zip Code
Phone
?' 1 UA) Contracto
Address An ??(A4 • S„
City/Zip Code??rnlM(,`C[}Y? I?sV??"
Phone -yl ? - ? D m
Arch./Engr.
Address
City/Zip Code
Phone #
On Sit'e Sewage_
MWCC System
On Sit'e Well
City Water ?
APPROVALS
Assessments
Water/Sewer
Fire
Engr
Coune
Bldg
APC
Occupancy
Zoning
Type of Const
(Actual)
(Allowable)
# of Stories
Length
Depth
S.F. Total
Footprint S.F.
FEES
R•3
fz. I
?
?
3S
Permit 4-&"?J,
Sureharge 1 -4-4-
Plan Review Z57-?--°
SAC, City oo_
SAC, MWCC 5ZS
Water Conn Szs-
Water Meter (0'7.
Road Unit ZoS
Treatment P1 180_
Parks
Copies
TOTAL q b
,?
24x Z6 -?72??g=
,? -
2a =
Z.coo
2.0 ? 22 = 4 QC'D ?t2 ^
q?- 2o ?
? ?g -7 (o
Z?sc?B
E)oqoq--
s ? _?
-. ,
l
One or Two Family
All Other
CITY OF SUILDINa DSPAR7SIENT
EXTERIpR ENVII,OPE AVERACiE "U ll COMPUTATION
(To be submitted with building permit applica'tion)
Dwelling Owner
Site Addresa
Contractor ? AtFQ. & r5r, Date Phone
??AG?o1J S
LINEAL FEET OF u 9•?7
EXPOSED Y'?ALL ?E 1,('a,e? it. above grade = ?i?S
7OTAL nXPOSED WALL ARs.A SQ. FT.
0?AqUE '.'JAI.L CONSTRUCTIOt7: "Ull Value x Area
Detail l^Rnic "U't .oQ'3 x SQ. FT._IS1Z•48 - 77-93 M(A)
reference - Q'O"`r. ' °U" • 07(o x SQ. FT. 7640 = 7. 3-Z (U) (A)
from °Ull , 040 x SQ. FT. 20 . = 55 U) (A)
attached flU" x SQ, FP, - U)($)
sheets "Ute x SQ. FT. _ (U)(A)
nUu x SQ. FT. - (U)(A)
:°IND06Y5: "Ull Value x Area
Make & Type ?,?,uL. CSyhT "U.. •5Z x SQ. FT. rJ •Z0= S0•1$(U)(A)
" " ifUlt x SQ. FT. _ (U)(A)
" " l'II" x SQ. FT. - (U)(A)
n n nUn x SQ. FT. _ (U)(A)
DOORS: "U" Value x area '
:•la:ce & Type '51L, IA?aJL. ??U?? .?4' x SQ. FT. .00 = 6•8? (U)(A)
n n _?ATlO uUn .47 R SQ. FT. yz.ov c 19.74 (U) (A)
n n ntJu x SQ. FT. - (U)(A)
n u
_
llUlf
x SQ,
FT. _
(U) (A)
TozALS 2359.fo4sg. r•T. Zoo.z 7 (u)(n)
AVERAQE "U"
TUTAL (U)(A) VALUES zQO L7 =
.08 4
DIVIDED BY TOTAL 1'IALL AREA Z3S9.(?
AVERAGIE "Utt ji r less for 7&2 family dwellings
ROOF/CEILING:
TOTAL AREA: Z?}/Z
Detail reference flUff • OZ 1 x SQ. FT.?_ 29.b5 (U)(A}
from IIURI x Sq, FT. . (U)(A)
attached sheeta. VIU" x SQ. FT. a (U)(A)
Describe onenings flUff x Sq. FT. ? (U)(A)
in roof. x SQ. FT. - (U)(A)
TOTAL (U) (A) VALUES DIVIDED BY zt? ?? _ ??L? -1?=- •SQF( Z9 ? CV?>
Ta':AL ROOF/CEILII:Ci :,F2EA fg/z
AV1sRpGE "U ,025 r ventile. ted roofa.
.
--wat.L sECTiox--
Determining IOII" valuee at Roof, Wall, Rimo and Conc. Block
.
ROOF/CEII.I N(3
1.) Interior Air r'i1m
2.) 5/8t, ayr. Ba.
3.) Inaulation
4.)
5.) Exterior Air Film
(STILL)
(R) VALUE
o.6t
-56
g4:OD
.67
IIIIII = 1/R- i-'OTAL (Ft)= 4.5•7F
WAI.L
6.) Interior Air Film
7.) 1" QYB. Bd.
8.) Insulatlon
9.) 25z"
10.) M aonite Siding
11.) Exterior Air Film
R VALII
0, 6$
.45
17,00
Z.o f-
.67
.17
njjll = 1/R= ??7? TOTAL (R)_,2z
RIM
12.) Interior Air r'ilm
13.) Insulation
14.) 2" Fir Rim Joist
15.) el Sula i'Te
16.) M eonite sid ng
17.) Exterior Air Film
(R) VALUE
0.6$
15,00
1.88
2?674
.1?
upn = 1/g= .040 ToTAL (R)=Z4.d1
/T
FOUNDATZON
180 Iaterior Air Film
19.)
zo. ) E-d e;;TjC1PfZZD wlg-i-
21,) 12" Concrete Block
22.)
230 Exterior Air Film
(R) VALUE
0,6$
//. o0
1.28
.17
,?Q?? ? ,/R= .07& ToTai. ca)=/3./3
rl VoRK S?eETn
6 &? ExE*E37> _Gr?4GL.
la 33 x C go +,?o ? of -zl-) =
q-s? x( zo+zo> _ =
.&7x ( ff t44 tzgtzs) ?
?,? ?9•??
38o•ovv
96 .q-g 4,
„q ?
.S3x(56t5(,+4gt-4g+4o) = 2a5.9-g ?
WirlvbL,!.!?>
z0 x3(o l. 5.00
Z4 X z4 = 4• o0
7¢x4S = S•pO
2o,c&o = 8•9-
Z1)t/ad _ lo,oo
27Y l8 = 5•1
ko-vg-ez-
3°S7L. _-
Z$ S7G• S?K. _
6° ?A"no c
x 2 = /P- o0
X 7 = 5(v, op
x 3 = 25•Zo
3?. oa
X 5 17-
I
S¢.2o -?
Z8. o0
Z/. 00
4Z •oo
9/ cn> -k
14?'r 61? E-4ORL-5,
N-X? wA-cr
G6ss date .
u erir1
?t WDu>5
n b?ves
24-?¢8?..
13xzo=
9fo.g8
z?.4s ,?g_ ?_ f
LSg.zo
91.? f? S 1Z.48 ?-
l? /5Z
?
.
GOLD COPY PERMIT RELEASE FORM
PERMIT A fJ -? I (
ADDRESS ?O
PICKED UP BY
L•? 62- c?46-?t
CITY Oif'EAGAiV
APPLICATiON FOR PERMIT
SEWER AND/OR WATER CONNECTION
r*********t***?****t#f******f*****#
NOTW.: PAYMF?TT OF F.EE AT TIME pF *
ArrLxcATzorr noFS Nom ooNSriztrM *
APPAOVAL OF PERMII'r. *
INseEcrioiv oF SEWEt Arro/OR tWM
nNcrnr.raTroNS Y7IIS. NO'P BE SCFIFD-
UIED UNPIL PERNIIT HAS BEEr7
APPR(7VID.
***** * ****,r * *ww *? **w,ek,t**,t*,e,r* t*,rt,e ?
(Please Print)
1) PROPERTY ADDRESS: -?jDO PA?-? Ks•o GI ,DG "'
LEGAL DESCRIPTION: ? ,L '-
_(Lot/Block Subdivision or Tax Parcel ID )
IF F.}ISTING S'TRCCILTRE, DATE OF ORIGINAL BLILDIM PEE2N1iT ISSL'ANCE: -
(Mon Year
PRESEDTf ZANING/PROPOSID L?SE: -
q CONA'E2CIAL/RE1'AIL/OFFICE [?[R-1 SINGLE FAMILY
Q IfID[-'STRIAL Q R-2 DL'PLEX (Two Onits)
n INSTI2LITIONAL/GOVERNMENr ? R-3 70WMOUSE (Three + Units) ( Lnits)
. [? R-4 APARTMEN'P/CODIDUMIDTILTM ( Units)
2) ?
NAME:
ADDRESS: !a/?3 ???rar A??'
CITY, STATE, ZIP:_ I?.svi..+,, /.a,J
PxONE: 84a- !o (D
3) • i:?• -
tvArE:_ D17Pl.? Z7--..
ADDRFSS: L -L2 Z
CITY, STATE, ZIP:
PHONE:
LICEldSE# wvp(ob
4) •?• • • i?•
rAME: 5.,,.- as '
ADDRFSS: ?
CITY, STATE, ZIP:
PHONE:
Active
F7cpired
Not recorded
St?tial
-5) ? r• i a• • ?• : ? • a• - -N-o-872
Eg--(.ONNECi'ION TO CITY SEWETt QtK5NN8CTION M CITY WATER ? O'i'FIER
6) ?? ' • i- q pIZ,gE IiOLD APPROVID PERMIT FY)R PICK-L?P BY ONE OF ABOVE
PLEASE MAIL APPROVID PEEtMZT 10 lr Z, 3. 4, ABOVE
(Circle one) "
7) r. ru• ,
''[?." 7 S-S-87
F'OR CITY USE ONLY
PERMIT # ISSUED
O / /1
Pd w/Bldg. Permit FEES: ,
$ $ SEWER PERMIT (INCLODE SURCHARGE)
$ $ WATER PERMIT (INCLUDE SC'RCHARGE)
$ WATER METER/COPPERHORN/OL'TSIDE READER
$ $ WATER TAP (INCLC'DE CORPORATION STOP)
$ $ SEWER TAP
$ $ A , tr-6 ACCOUNT DEPOSIT - SEWER
$ $ ACCOUNT DEPOSIT - WATER
$ d L S d"D $
WAC
$ 4? Z s? $ SAC
$ $ TRDNK WATER ASSESSMENT
$ $ TRL'NK SEWER ASSESSMENT
?$ $ LATERAL BENEFIT/TRLNK SEWER
$ S LATERAL BENEFIT/TRUNK WATER
$ $ WATER TREATMENT P
LANT SURCHARGE
$ $ OTHER:
$ 7' 07) $ TOTAL
7.2-4,4/ 7?
RECEIPT RECEIPT
DOES LTILITY CONNECTION REQUIRE EXCAVATION IN PIIBLIC RIGHT OF WAY?
F--j YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC
Q
NO ROADWAY" MUST SE ISSL?ED BY THE ENGINEERING
DIVISION
IS
. L
T AS A CONDITION.
SDBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
?
DATE:
i
2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Kuob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: single family dwellings & townhomes/condos when permits are mquired for each unit
Date / l v2 3 / dy
Site Address 904 lirrk- lCl+6Il o?'. Unit #
Property Owner Telephone #( ds/ ) y05 0'73 7
Contractor 0wA,4r,.r_
Street Address City
State Zip Telephone # ( )
Bond #: Expires:
The Applicant is ? Owner _ Contractor _ Other
Add-on or alteration to existing dwelling unit $ 30.00
? fumace _Additional x Replacement
? air exchanger
X, airconditioner _New ?Replacement
other
State Surcharge $ .50
Total $ `-'0 SD
I hereby apply for a Residential Mechanical 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 with the Mechanical Codes; that I understand this is not a
permit, but only an application for a permit, and work is not to start without a permir, 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 Applicant Signature
2004 COMMERCIAL MECHANICAL PERMIT APPLICATION
City OfEagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: commercial/industrial buildings
multi•family huildings when separa[e permits are not mquired for each dwefling unit
Date
Site Street Address Unit #
Tenant Name (if applicable) Previous Tenant Name
Property Owner Telephone # ( )
Contractor
Street Address City
State Zip Telephone # ( )
Bond #: Expires:
The Applicaot is Owner Contractor Other
Work Type
_ New Construction _ Underground Tank _ Install _Remove'"see below
_ Interior Improvement _ Install Piping _ Processed _Gas
Nature ofWork:
**When installing/removing underground tank, cal! for inspection by Fire Marshal and Plumbing Inspector
Permit Fees: $70.50 Underground tank installationhemoval
$50.50 Miuimum (includes Sta[e Surcharge)
or
Contract Value $ x 1% _ $ Permit Fee
• If ermit fee is $1,000 or less, add $.50 => $ State Surcharge
If ermit fee is over $1,000, add $.50 for
every $1,000 eP rmit fee $ Total Fee
1 hereby apply for a Commercial Mechanical 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 with the Mechanical Codes; 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.
ApplicanYs Printed Name
Applicant's Signature
Approved By: ,Inspector
WC, 15? 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
? 5zlSb
,7!' l //
Date / / ?. S' 1 0 e7l
Site Street Address n
?OC? /?/7/? /\ /I?y UG L pi^ Unit #
Property Owner i? Y [Vd i? dn o 17 Telephone # S?5z) .3
Contractor Telephone #g,',5/
Address City! State Zio
The Applicant is: _ Owner Contractor _Other
Alterations to existing dwelflng
AAdd fixtures to rooms, excluding water softener and water heater
_Septic System Abandonment
_Water Turnaround (add $121.00 if a 5/8" meter is required)
Other: $ 50.00
Water Softener Water Heater
_ replacement _ additional $ 15.00
Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00
State Surcharge $ .50
Total $d--
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete
and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the event a plan is required to be reviewed and approve.
( T
ApplicanYs Printed Name ApplicanYs ignature
u
?
2004 RESIDENTIAL BUILDING PERNIIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
,$ 7a'-
C-a,[ted '[47'0?
New Construction Reauiremen4s RemodellReoair Reauirements Otfce Use Onlv
3 registered site surveys showirtg sq. ft of lot, sq ft of house; and all roofed areas 2 copies of plan Cert of Survey Recd _ Y_ N
(20% maximum lot coverage allowed) 1 set of Energy Calculations for heated addNOns Tree Pres Plan ReW _ Y_ N.
2 copies of plan shaxing beam 8. wiMow sizes; poured fouM design, etc. t sie suney (or addNons & decks Tree Pres Requi2d _ Y_ N
7setofEnergyCalculations AddJfion-intlicateifon-s8esepticsystem On-siteSepEcSystem _Y _N
3 copies of Tree P2servatlon Plan if lot plalled aRer 711193
Rim Joist Detail Oplions selection shcet (bldgs wiih 3 or less unAs
Date 1651 Constnction Cost
Site Address 900 ?ar? K ti. // ?7--? Uniuste #
Description of Work
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 2
Property Owner &/,/J t?/errLc. ??in?in Telephone #((5/ ) yoj--0737
z- 66-&
Cootractor pWNLrrg-
Address
State City
Zip Telephone # ( )
COMPLETE TMIS AREA ONLY IF
Energy Code Category - Minnesota Rules 7670 Categorv 1
(J submission type) • Residential Ventilation Category 1 Worksheet
Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan2
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
A NEW BUILDING
Minnesota Rules 7672
• New Energy Code Worksheel
Submitted
Y_ N If so, 25% plan review
Telephone #(
Telephone # (
?r
? ,- ? ? ? •
Telephone #( ? 'J?)
I hereby apply for a Residential Building Permit and aclmowledge that the inforxnation is c3anWe and acCurate;
that the work will be in conformance with the ordinances and codes of the City af -Eagan_and=the-9tat? 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 wark which requires a review and
approval of plans.
A,//e t/? /r c4--?
ApplicanYs Frinted Name Applic Ys Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 OS-plex ? 13 18-plex ? 20 Pool
? 02 SF Dwelling ? 08 06-piex ? 16 Fireplace ? 21 Porch (3-sea.)
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screenlgazebo)
? 05 03-plex ? 11 10-plex 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
Work Types
? 31 New 'g1 35 Int Improvement ? 38 Demolish Interior ? 44
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45
? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46
? 34 Replacement *Demolition (Entire Bldg) - Give PCA handout to applicant
Valuation Zcw - Occupancy R. 3 MCES System _
Census Code 'C3 ? Zoning p City Water _
SAC Units Stories Booster Pump _
# of Units Sq. Ft. PRV _
# of Bldgs Length Fire Sprinklered _
Type of Const v ri Width
_ Footings (new bidg)
_ Footings (deck)
_ Footings (addition)
Foundation
Drain Tile
Roof Ice & Water Final
Zt Framing
Fireplace _ R.I. _ Air Test _ Final
)< Insulation
Approved By:
? 30 Accessory Bldg
? 31 EM. Alt - Mulii
? 33 EM. Alt - SF
? 36 Multi Misc.
Siding
Fire Repair
Windows/Doors
REQUIRED INSPECTIONS
Final/C.O.
,0 Final/No C.O.
_ Plumbing
HVAC
Other
Pool _ Ftgs _ AidGas Tesu Final
_ Siding _ Stucco _ Stone _ Brick
W indows
_ Retaining Wall
Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
5&W Permit & Surcharge
Treatment Plant
License Search
Capies
Other
Total
?
TRI-LAND C0.
SURVEYING
SERVICES
4655 NICOLS ROAD
EAGAN, MINNESOTA 55122
?
?
p= 87043' 17" ?c,`0
R= Ifi62 :
L= 2545
I ?
i 0
?
SITE PLAN FOR:
JOSEPH MILLER CONST.
DRIVE
N N 50° 57' 21"
125.03
<
06
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r2
49?0 35 1901
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141.00
N 50° 57' 21" E
PROPERTY DESCRIPTION
LOT'-- , BLOCK ? ,
PARK KNOLL
oeoordinq fo fhe recaded plat ihersof
DAKOTA CouMy, Minnesota
LEGEND
o DENOTES IRON MONUMENT
o DENOTES WOOD HUB SET
DENOTES EXISTIN6 SPOT
ELE VATION
DENOTES PROPOSED SPOT
ELEVATION
? DENOTES DRAINAGE DIRECTION
I henby certity That this swvey,plan or
rsport xas prepared by me or under my
direct supervision and ihot I am a duly
Repistered Land Surveyor unGsr the
Laws ot the Stote of Minnesota.
i I
-NI-
N
SCALE: I"= 30'
i0
to
0)
0
OD ?O
M
Z
? qoSXa
I
4
T,;?yKfi 89'f?7
PROPOSED GARAGE FLOOR ELEVATION=?? x-?
PROPOSED FIRST FLOOR ELEVATION = 6 ?
PROPOSED BASEMENT FLOOR = 2i'?i.?'S2
ELEVATION
NOTE' VERIFY ALL FLOOR HE{GHTS WITH
FINAL HOUSE PLANS
Bradley J..,O"ansoo, Mn. Rep. No.15235
oare
TRI-LAND C0.
SURVEYING
SERVICES
4685 NICOLS ROAD
EAGAN, MINNESOTA 55122
SITE PLAN FOR
JOSEPH MILLER CONST.
•.- - -?-- -
?/ V a 6I7 21" H
E
"i N 50° 125.03 _
. .
6= 8704?17",: `? i -=----- --- - --is
R = 1662 L= 2545--"*3• 35
? -- , to
I
? -,to? 2 ? rn to
00 oe? a ?b? i a?o r1r)
z
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N L- = .?- - O?N?LS J
? ?p M r
I 141.00
? N 50° 57 21 E
u I
I ' 4
-M-
?
PROPER7Y DESCRIPTION SCALE: I"= 30'
LOTr-_., BLOCI( ?
PARK KNOLL
xcordln0 to iM nc d pbl fMreol
DAKOTA cwirY, Minnwsoru
. S
o OEHOTES
e DENOTE3
DENOTES
DENOTES
? DFlNOTES
EQ€w.Q
IRON Md1UMENT
W000 HUB 3ET
EXISTIN3 SPOT
ELE VATI ON
PROPOSED 3POT
ELEVATION
owuw?GE aa£crioN
I hKebY eortHr tAaf Mit surwr, plon o?
report wo. w•Pc"e er n» o? una.r mr
dlroct supKVielan and that I om a duly
Raplstered LarM Swvhror undK tM
Laws oi ths 51ate of Mlmosota.
??'1Kryp' 899,7
PROP6§ED OARAQE FLOOR ELEVATION • O
PROPOSED FIR3T FLOOR ELEVATION ¦
PRUPOSED d113EM1ENT FLOOR •
ELE VATI ON
MOTE, VERIFY ALL FLOOR HEI(iHTS MIITH
FINAL HOUSE PLANE
BraAlsy J.,Menson, Mn. Rn No. Id¢35
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Use BLUE or BLACK Ink
r - - - - - - - - - - - - - - - - -
I For Office Use
n;t Permit#: lion
City of Ea I Permit Fee: n5 as
3830 Pilot Knob Road r
Eagan MN 55122 I Date Received: es-
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff: I
I I
g 2013 RESIDENTIAL (BUILDING PERMIT APPLICATION
Date: ` Site Address: q(7() 1"/~(~ )f 7 Unit
Name: S\P~,N 1~~~1(_l~~ Phone: ,
Resident/
~
Owner Address/ City /Zip: -L00 p.R{_ X_QJL)t_ e gAA)Y48) 551 A3
Applicant is: Owner Contractor
Type of Work Description of work:. f~C l- tNI- Q7 5o
Construction Cost: gnno.U4 Multi-Family Building: (Yes / No V
~`lbt 014- - h L/ r Contact: _AV ~ sK
Company: /~~('(L1~
Address: aaLt U~ City: ~>°166
Contractor
4, A
ol I~~1 3
State: IM; J Zip: ~6?SJ Phone: Cot
License #:C►2(o3 a ~ 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
i In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
i
_Yes No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
. ...ad...e m e_.........
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 a
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.ora
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 La, ~ L~ x
Applicant's Printed Name Ap lica is Sign
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA164240
Date Issued:09/23/2020
Permit Category:ePermit
Site Address: 900 Park Knoll Dr
Lot:2 Block: 2 Addition: Park Knoll
PID:10-56725-02-020
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 -
Steven D Knudsen
900 Park Knoll Dr
Eagan MN 55123
Beissel Window & Siding Co
1635 Oakdale Ave
W St Paul MN 55118
(651) 451-6835
Applicant/Permitee: Signature Issued By: Signature