903 Park Knoll Dr? CASH RECEIPT ?
CITY OF EAGAN - '
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE
/+`•6
19
R[CtIVCD
FROM
AMOUNT $ I ,
8 COLLARS
?oo
0 CASH ? CHECK
• f
POR ?-.• I '?? % ? ? . '? ?f? ?-? / ) ?/ %.?. / I
lek I
BY
White-Payers Copy
Yellow-Posting CopY
Pink-File Copy
Thank You
I
BLDG. PE4MI'T N0. ? :: • ? ?'I
01-3210 Bldg. Permit
01-3422 Plan Check
01-3445 Surch. /Adm.
01-3446 SAC/Adm. L? r-?
01-2155 Surcharge
]?7-3860 Road Unit
20-2275 SAC
70-3865 Water Conn.
20-3868 Water Trmt.
20-3716 Water Meter
20-2252 Acct. Dep.
20-3713 water Permit
20-3743 5ewer Permit
79-3866 Sewer Conn.
11-3855 Park Ded.
TOTAL
?v f '1 /5
OU
i 7? G Q?
C:U
10010(
a, J
? .
' .`•.. ,' CITIf OF EAGAN .,
3830 Pilot Khob Road, P.O. Box 21-199, Eagan, MN 55121
PH O N E: 454-8100
BUILDING PERMIT
To be used for f:F W?G
Receipt #
Est Value $105,U0C Date JCLY 3k. ,19 '
Site Addre83 i t A r ;C
Lot BlockSec/Sub. _• ICNOLL AtJL
Parcel No.
c Name _ rri,,; :?., •; t.' j-'-: cnNST
W
? Address i: ,?11F' S(,
° City 1 . Phone,.l;?o_t
°L Name
.o
? a Addre
? Citv
Name _
Address
Z
W I City Phone
I hereby acknowledge that I have read this application and state
that the informatlon is correct and agree to comply with all applicable
State of Minnesota Statutes and Citv of Ea4an Ordinances
On Ske Sewage _
MWCC System ?i
On Site well _
Ciry Water
APPROVALS
Assessments
Water/Sewer
Police
Fire
Engr.
Bldg. Off.
APC
Varlance
OcCUpancy
Zoning
Type of Const
(Actual)
(Allowable)
* O} StOfl98
Length
Depth
S.F. Total
Footprint S.F.
FEES
Surcharge
Plan Review
SAC, City
SAC, MWCC
W8t9f COflf1.
Water Meter
Road Unit
Treatment P1
Parks
Copies
TOTAL
y -
?-
a
?-
i S1S`3.5c
J
J
A Building Permit is issued ta ?-on the expresa condition that
Wl wpik 5h'all be done in accordance with all applicable State of Minnesota Statutea $nd City of Eagan Ordinances.
Building Official "
Permit No. Rsrmlt Holder Date Tslephone #
Plumbing
H.V.AC.
Electric l?? 'r/ f ?P I r-d? ?cc'.c ?• `???' 8 ] `t?'? ;?? °?7
Softener
Inapection Date Insp. Comments
Footings I 3
Faotings II
Foundation
Framing
Roofing I
Rough Pibg.
Rough Htg.
Isul.
Firepiace
Final Htg.
Final Plbg. n/ %; ,..?.
Bldg. Final
Gert. Occ.
Temp. LP
Deck Ftg.
Deck Frmg. '
Well
Pr. Disp.
I
. PERMIT #
MECHANICAL PERMIT :.'
CITY OF EAGAN RECEIPT #
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ?
CONTRACT PRICE: PHOME: 454-8100
Site Address BLDG. TYPE WORK DESCRIPTION
Lot ' Block ? Sec/Sub' -
Res. - New
Name ' ? - t • Mult Add-on
??
Address Comm. Repair
S
City
Phone'
' Other
Name . ; FEES
HVAC 0-100 M BTU
RES
-$24
00
?
c Address ? .
ADDITIONAL 50 M BTU .
- 6.00
p City t - Phone (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMI'n - 1
50 EA
.
.
TYPE OF WOR
F
d Ai K
` . COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
orce
r M BTU TOWNHOUSE 8 COND05 - RES. RATE APPUES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-aN 8
Unit Heater M BTU REMODELS - 12.00
Air Cond. M BTU $ MINIMUM COMMERCIAL FEE
STATE SURCHARGE PER PERMIT - 20.00
- .50
Vent CFM (ADD $,50 S/C IF PERMIT PRICE GOES
Gas Piping OuU ets # BEYOND $1,000)
Other $
?
FEE i
S/C: 'A SIGNATURE OF PERMITTEE
TOTAL:
FOR: CITY OF EAGAN
PERMIT #
r PLUMBING PERMIT RECEIPT #i
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
4TRACT PRICE: i. PHONE: 854-8100
Site Address u ? ry+? '
Lot ? Block ec/Sy
??.f'? 7 c-r' • L<'c
? Name
d
?
AddreSS
c City Phon
Name
qdckef?
3 City7?-'7-r Phon
p i
FEES
COMM/IND FEE - 1°Yo OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE 8 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
BEYON.? $1,000.00) ,
"" r'h l ' : [; [%?? ?( -'4t
SIGNATURE OF PERMITTEE
OF EAGAN
Res. " New
+-Mult. Add-on
Comm. Fiepair
Other
RES. PLBG. ONLY - COMPLETE THE FOILOWING:
NA? FIXTURES TOT
Water Closet - $3.00
1 Bath Tubs - $3.00
?Lavatory - $3.00
?Shower - $3.00
-=Kitchen Sink - $3.00
Urinal/Bidet - $3.00
-7-Laundry Tray - $100
?Ftoor Drains - $1.50 '
Water Heater - $1.50 S?
Whiripool - $3.00
ZGas Piping Outlets -$1.50
(MINIMUM - 1 PER PERMIT)
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
=?
,?Rough Openings - $1.50
FEE: _ • t t,
STATE S/C:
GRAND TOTAL•
(Urtif iratt uf (Orrupttnry
Citp of (Eagan
lor.prwbuni a# Wwidin.g jwprtivn
This Certificate issared pursuant to the requirements of Section 306 of the Uniform Building
Code certifying thar at rhe tinre of issuance this struclure was in compliance wirh the ?+arious
ordinances ojthe City regulating building construction or use. For the fo!lowing:
u,e Ou:fic.uoo SF DOGAR Bldg. permit No. 13994
Oocapsncy Type R3 7omog Uist? ti t 'fype C.ooeL V
oWO« or euaaing IMSEPi ?,.. U 133 ?.Y1)AFt AW Sf], FARII+X=TUi`+
Mmng .aearas ?:3 kfl.?`; ?''?':•`•. ?.n•?;t`.? LomEty Ib, Bl, PAFIC :NWJl ATll
ate: (:f.XBEI'i IS, 19t?7
Bw7ding OHiail
POST IN A CON5PICUOUS PIACE
CITY QF EAGAN Permit Nv: Date:
3830 Pildc Knob Road Meter No: 39 7 Zy$? 7 G Size:
P.O. Box 21189 Reader Date: ?
Eagan, MN 55121
Site Address: 4153 g-ar-k-.4-na-31 14} 111 Pa4-YR-eJ-1 44J4
Plumber. R
Conn. Chg: 5? 5_ 0(7
Acct. De': ? ?? fe(1£
Permit Fee: `1 ' • ' ?? ?'(R?G - ??
Surcharge: 1 y with the Cfty ot Eagan
Tr. Plant ??nce?s.
Meter. ?,; E?e+1 C? ? ?
Misc.: By
WATER SERVICE PERMIT
CITY'4F `I?GAN SEWER SERVICE PERMIT
3830 PNbtWnob Road 009 ,
P.O. Box 21199- . , PF,RMI7,N0.: r.. ?
. ` ?-7 -
Eagan, MN 55121 DATE: ?' '?
Zoning: rI No. of Unlts: I
Owner. Joe Miller
? Address:
Site Address: 903 Park kno 'K
?
'plumber. -'1"7"outr
7608ifQridift1call (ocal utilities 1.00.00
; I agree to comply with the Ciftfftfl E.F_gVTVV'9&0C• 42 9.^-?- !
Ordinances. Account
REQUIRED)m??: '
Surcharge:
± gy Misc:" harges: Date oS {ns ?y? . ,, ? y,-;' .•, .?
p ; Tota _
Ingp.. Date Paid:
- :.t > _ . . . , ?.-•R-?"'?°"""-'""`"?°I
i
?
•.CITY OF EAIIAN Permit No: 8926 Date: 8-4-87 .
3830 Pllct Knob Road Meter Na 5ize:
; P.O. Box 21199 Reader No: Qate:
Eagan, MN 55121
: Owner. 3oe ';i].Z: r
` Site Address: 903 PnrL- T'r,- 11 r r 1Z tn f?'„-?kl
: Plumber. Plvm lri, plhg
525.00 Zonin
Conn. Chg: 9: ?
? Acct. Dep: 15.00 No. of Units: ?
? Permit Fee: 10.00
' Surcharge: • S0 1 agree to compiy with the Cify of Eagan
Tr. PVant ??`? • t?s? Ordinances.
Meter.
Misc.:_, BY
WATER SERVICE PERMIT
?
CITY OF E%;3AN SEWER SERVICE PERMIT
3830 Pliot Knob Road
P.O. Box 21199 :. . PERMIT NO.: 1007L:
' Eagan, MN 55121 DATE: ?--?-L7
?
Zonin
9: T 1 No. of Units:
; Owner: Joe t,iller ?
;
: Address: ;
? Site Address: 903 Park K.noll Dr L4 E 1 Psrk 1n031 Ac3dn ?
t° Plumber. n1Mguth Plb; ?
_ 3?'rI 7605I 7/30!107 100.00 J
I agrae io comply wilh ihe Cfty o1 Eagan Connection Charge: ?2 .^t,0-- j
? Ordinances. Account Deposit: 1.?-00
--- .]
Permit Fee:
Surcharge: 50 ?
By Misc. Charges: ?
?•`. Date of Insp.: Total:
, Insp.: Date Paid:
CITY OF EAGAN 13994
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PERMIT PHONE:454-8100 Receipt #74pQa /
Tobeusedfor SF DWG/GAR EstValue $105,000 Date JULY 30 1987
Site Address 903 PARK KNOLL DR
Lot 4 Block 1 Sec/Sub. PARK KNOLL ADD
Parcel No.
a Name JOSEPH MILLER CONST
= Address 18133 CEDAR AVE SO
o City FARMINGTON phone $92-1010
, a Name SAME
?Q Address
: Ciry Phone
f¢
ww
Name
?
xz.
Address
aw City Phone
OFFICE USE ONLY
onSitesewage Occupancy R3
MWCC System ? Zoning Rl
On Site Well Type of Const y
City Water (Actueq d
(Allowable)
# of stories
Length
Depth 74
S.F. Total
Footprint S.F.
APPROVALS FEES
Assessments _ Permit :1; 518.50
WateUSewer _ Surcharge
O
52.5
Police Plan Review 959_7.5
Fire _ SAq City 100.00
Engr. _
Planner _ SAC, MWCC
WaterConn. 525.00
525.00
councll waterMeter 67.00
I hereby aCknowledge that I have read this applicetion and Stete 81dg.Ott _ Roatl Unit 305.00
n
thattheinformatiOniscovectandagreetocomplywithallapplicable APC _ TreatmentPl 180_0
StaTe of Minnesota Stat itep and City of gilP6 Ord, nances. Vanance _ Parks
? Copies
Signature of Permitte ToraL $.2r532_,25
A Buildin Permit is issued to: 70SEPH MILLER CONST on the express condition that
?Il?r?i slall b@? e in accord nce with all applicable State of Minnesota Statutes and City of Eagan Ordinances
Building Official
S/8/87 REQUEST FOR ELECTRICAL INSPECTlON ea-ooooi-oa
? See instructions for comolatin9 tnis form on beck ol vellaw coCy. L 7-2/02 ?
D 4?? t? "x" Be/ow Work Covered by Ihis Request
N.V ane xeo. ryoe ol emieine aooliancea Wired Equiument Wired
Home Range Temporary Service
Duplex Water Heater Lightiny Fixtures
Apt BwlAing Dryer Electnc Heaun
Commercial Bldy. Fumace Silo Unloader
Industrial BIAg. Au CondfLOner Bulk Milk Tenk
Farm otnrr per,i v lSnenivi
lhrr Spru y Othe, Othcr
Compute /nspectron Fee Below p Fee ServiceEnlmnceSrse h Fee Feetlets/5ubteeders b Frte Cvcuits
?. U to 200 qm s 0 to 30 Am s D C7 0 to 30 Am s
Above 0 qmp5
20 31 to 100 Amps 9 Ic 31 to 100 A s
Swinuni
ng Pool Above 100_Am s
4 Above 100_Amps
Trensrormers Irrigavon Booms 73 tf Partia6Oth e
Signs Speciallnspectwn
$ TOT
f
Aamtirks S`?•I AL EE ?
?f
O
floogh-in
/
?
T ?, The ctncal
E
/ ? InsPBC
lO . e V
Fi
l
?
?
??' cerldv thet the xbove
ne j
?
- ? spection has baen
I ( de.
misrepuastvo1018montlmirom ?_ -.__
This reques[ voitl
le g/s, 7
(rqn?hs Irom 9 D 41-9 161 r?/_
41-0? 77A??
.??C2 m'
Re¢? ,es Da
?/'
p
? Fire No. FooPh-in InsOecuon
Requrted? :
DReatly Nuw ?W?II Nnirty InsPec-
-1
?
/
p
14 Yes ?No
r
?or When Peady
n Licensetl E1e1111cal ConVactor I hereb
y requas? insDection ot above
? Owne.r electncal work ins<alled aY
Streat Add(ess, Box or Route /N?o.
C
9o 3
?Q CitY
&
r i
f
eclion o. Townshi0 Name or No. qange No. Cow
V?
OccupentlPRINT) "
, t1
A Phone Nn.
ygt -
??
04V
.
Power $u?prpLer ?-
?4@.a L;. ?lG.?we Address {
r'?'i.?rn iF+i1
Eleclncal ?C?JoJ nacto?pr"}company Namel -
?
'f Contrector's Lmenie No.
d
9nK
Mailmg AtlJress (COntrector or Ow Makrng InstailatwN {r , SS3 3`
42 ?
'?
Q
l
O
?fMt2SGiilv
J
Auth nzetl Signalur on racto Owner Making Insta lauon) Phone Numbe,
7 90 ?q 6l./
MINNESOTq STATE BOANO OAINECTRICITY THIS INSPECTION flEQUEST WILI NpT
Griges•Midwey Blde. - poom N-191 eE qCCEPTED 9Y THE STATE BOARO
UNLESS PNOPER INSPECTION FEE IS
1921 UnivOrsrtv Ave.. SL Paul. MN 56104
Phone (612) 642-0800 ENCLOSED.
RESIDENTIAL
BUILDING PERMIT APPLICATION
Clt CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122 ?h
pS4_921I.A4711%
NewConetruetion Reauiremenls
• 3 registered stte suneys showing sq. R. of lot, sq. ft. of houu; and all roofed areas
(20% maximum lot coverage allowed)
2 copies ot plan showirg beam E window sizes; poured found design, etc.)
. 1 set of Energy Calalatbns '
• 3 copies at Tree Preservation Plan A lot platled after 711/93
• Rim Joist Detail Options selection sheet (bldgs wilh 3 or less unils)
DATE
SITE ADDRESS (J_
TYPE OF WORK f-l-'e d
RemodellReoair Reauirements '?Z4
. 2copiesWplan S' 1? -U ?
• 1 set of Energy Calculatiore for heated additions
survey for exlerlor addiUons & decks
• Indical 'f home served by septic system for additions
r?
GGU
MULTI-FAMILY BLDG _Y ?
_ FIREPLACE(S) _ 0 _ 1 _ 2
APPUCANT
STREET ADDRESS u'2 CITY RnEj-_,- STATE (.?^d"ZIP S? ?3
TELEPHONE # 657 6Fk 3d'( S CELL PHONE # FAX #
PROPERTYOWNER Z TELEPHONE# Y-4' t
---------------------------------------------------------------------------------°------------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RUIS,S 7670 CA1'EGORY 1 MINNESO'PA RULES 7672
(J submission type) . Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculatlons Submitted
Plumbing Contractor: __
Plumbing system includes:
Mechanical Contractor:
Mechanical system includes:
Sewer/Water Contractor:
Air Conditioning
Heat Rccovery SysLem
Phone #
Phone #
--------------°-------------°------------------------------------------
I hereby acknowledge that I have read this application, state that the information i
with all applicable State of Minnesota5tctate,s?and City of Eagan Old+gance;,,--'
of
OFFICE USE ONLY
_ Water Softener
Water Heater
No. of Baths
Phonc #
_ Lawn Sprinklcr
_ No. of R.I. Badis
Fee: $90.00
Mav o 7 2002 D
- -------- -------
-----
---------------- --
- ------
comply
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
OFFICE USE ONLY
? 01 Foundation ? 07 05-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 LowerLevel ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
0 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 WindowslDoors
? 34 Replacement 'Demolition (Entire Bldg oniy) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Staries Booster Pump
Nbr. of Units Sq. Ft. PRV
Nhr. of Bldgs Length Fire Sprinklered
Type of Const W idth
REQUIRED INSPECTIONS
_ Footings(new bldg) FinaUC.O.
_ Footings(deck) FinaVNo C.O.
_ Footings (addition) _ Plumbing
_ Foundation HVAC
Drain Tile Other
Roof _ Ice & W ater _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ A'v Test _ Final _ Windows (new/replacement)
_ Insularion _ Retaining Wall
Approved By , Building Inspector
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
GOLD COPY-PERFifT RELEASE FORM
PERMIT ll Q /0? ?
ADDRESS Z2 7 / G14? ?it? /12?L
PICKED UP BY
z cI 6 l ?? /?,?
CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
*RYP6: PAYMFTTP QF FEE AT TII?: OF
APPLxCAMoN DoFS Nom oOrsm11=
APPxovat oF rERMIT.
nlsrncriCN oF sEWM nrm/tR MOa
TrSIarraTIpNS WIId, NOT BE SCEED-
ULFII UNiSL PERMIT AAS BIISI
APPRUVID.
P ease Print
1) pROPERTY ADDRESS:
LEGAL DESCRIPTZON:
IF EXISTING SIR[,'C,'iURE, DATE OF ORIGINAL S[7ILDING PERMIT ISSL'ANCE: -
(Nbn Year
PRFSEN1' ZONING/PROPOSID LSE:
? CO44ERCIAI./REPAiL/OFFICE
? IPIDPSTRIAL
f-I INSTI'ILTMfIONAL/GOVII2NMEN'p
2) ?
0--R-1 SINGLE FAMILY
0 R-2 DUPLEX (7F,a Cfiits)
R-3 TOWNiOL?SE (Three + Units) ( Onits)
R-4 APARTLEPP/CObIDOMINiOM ( Units)
NAME: J6c- XG C h
ADDRESS:
CITY, STATE, ZIP:
PHONE:
• 3) • c?• For City Use .
NW:_1a rvt(oui P/c ,vc, Pltunbers License:
ADDRESS: /V 7.:2 fi ]3? A?- .c.) Active
FScpired
? CITY, STATE, ZIP: Z64 mDaL? IVot recorded
PHONE= 559- 36 7.s MsTEx rscavsE# Yt=Imtlal
4) •• • •,.iu?
NAME:
ADDRESS: CITY, STATE, 2IP:
PHONE: •
'S) ?? r• • ?• : o • ?? ??
6
e--CONNECTION 70 CITY SEWIIt M--epNNDCPION 20 CITY WATER
6) jffu • • r
? di'FIER
Cj,P .fEASE HOLD APPROVED PERMIT FCaR PICK-C?P BY ONE OF AHC7VE
? PLEASE MAIL APPROVID PERMIT TO 1, 2, 3, 4, AHOVE
(Circle one)
_ F'OR ;CITY USE ONLY PERMIT # TSSUED ,
Pd w/Bldg. Permit FEES:
$ $ /O SEWER PERMIT (INCLUDE SURCHARGE)
$ $ le WATER PERMIT (INCLUDE SORCHARGE)
$ $ WATER METER/COPPERHORN/0[)TSIDE READER
$ $ WATER TAP (INCLUDE CORPORATION STOP)
$ $ SEWER TAP
$
ACCOUNT DEPOSIT - SEWER
$
ACCOL'NT DEPOSIT - WATER
$ ??? c t1 $ WAC
S S
C
A
$ $ TRONK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRLNK SEWER
$ $ LATERAL BENEFIT/TRUNK WATER
0
C
$ $ WATER TREATMENT PLANT SLRCHARGE
$ $ OTHER:
$ /
I % 7 -S
51d--o TOTAL
- '
RECEIPT ' RECEIPT
DOES UTILITY CONNEC TION REQLIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
F-1 YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC
Q
NO ROADWAY" MLST BE ISSUED BY THE ENGINEERING
DIVISION
IS
. L
T AS A CONDITION.
SOBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE : ? ? ,y?
P, p,, •?
Nr1" 52•50+
259•25+
?
? 100•00+
? 525•00+
525 • 00 +
67•00+
305 • 00 +
180•00+
2 )532•25#
I
, 13
1987 BIIILDING PERMIT 9PPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS
IHCLIIDE 2 SETS OF PLANS, 3
OF SORVEY, 1 SET OF ENERGY CALCQLATIONS
, .,
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNEE MIIST DESIGHAYE HHICH 9DDRESS
IS DESIRED. NO CHANGfiS WILL HE ALLOWED ONCE BIIILDING PERMTT IS ISSOED.
MULTIPLE D{iELLINGS - RFSIDENTIAL RENTAL OAITS FOR SALE 0NiT5
INCLUDE 2 SETS OF PLANS, CERTIFIC9?S OF SDRVSY - CHECK flITH BLDG. ?EPT.,
1 SET OF ENERGY CALCULATIONS
COLMMRCIAL
INCLUDE 2 SETS OF ARCHITECTURAL
t SET OF SPECIFICATIONS AND 1
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
& STRUCTURAL PLANS,
SET OF
????
To Be Used For: ,(,(J y [/? ?'/?.Q Valuation:? Date: 7 - c93-f 7
Site Address 911?3 Lot Block ?
Parcel/Sub A4?
Owner
Address
City/Zip Code
Phone
Contracto
Address
City/Zip Code ,,?JL?A YIN
Phone b
Arch./Engr.
Address
City/2ip Code
On Site Sewage_ Oecupancy 3
MWCC System ? Zoning -'f
On Site Well Type of Const
City Water A--' (Actual) ?
(Allowable)
# of Stories Z
Length 6g '
Depth 3?
S.F. Total
Footprint S.F.?
APPROVALS FSBS
Assessments
Water/Sewer
Police
Fire
Engr
Planner
Council
Bldg Off
APC
Variance
Permit s?
Surcharge 551?
Plan Review 259 Lff-
SAC, City
SAC, MWCC 2
Water Conn 1?7
Water Meter 4,7i
Road Unit 305 '
Treatment P1 I80 '
Parks '
Copies
TOTAL
Phane ll
. ,
2 8 x za - 784
?
X
/oo X?SB°ID:
$NO 3o xZ8 = 89D x y?oo ?
66R Jo X ZZ' ?d o x
?a696a ?'
? 9z90 ?
------
?
?' ?0 9 2 00 -l"
,
i ,
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. Site AddreeB
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Date Phone
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t?
RESIDENTIAL BUILDING
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Reouirements RemodeUReoairReouirements Olfice Use Onlv
3 reqistered sde surveys shaxing sq. ft of lot, sq. R. of house; and ail roofed areas 2 copies ot plan CeR of Survey Recd _ Y_ N
(20%maximumlotcoverageallaved) 7setofEne(gyCalala6onsforheatedadditions Tree Pres Plan Recd Y N
2 cnpies of plan showing beam & window sizes; poured found design, elc. t site survey for additbns & decks Tree Pres Not Reqd _ Y_ N
1 set of Eneryy CalculaUons AddNOn - mdicate i/on-sfte sepNc system On-site SepUc Syslem _ Y_ N
3 copies of Tree Preserva6on Plan if bt platted after 717193
Rim Joist DeMail OpUons selec6on sheel (bldgs with 3 ar less unAs
Date / Q 9_ Construction Cost'? ? 9 -7 S .
Site Address UnidSte # ?
Description of Work 10P
Multi-Family Bldg _ YN
?? Fireplace(s) _ 0 _ 1 _ 2
Property Owner ???ri c tL Telephone #(?( ) S„Q r6?i-a 10
?
r
'
k '
-
r
?
CORY[$CfOC 2?
Address .5 O ? City
State ? /? Zip Telephone
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category t Worksheet • New Energy Code Worksheet
(Jsubmissiontype) Submitted Submitted
. Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan?
fee applies.
Licensed Plumber Telephone #(
Mechanical Contractor 1 Telephon i#(
Sewer/WaterContractor ,I,uSL? i zTelephone#l(
N If so, 25% plan review
I hereby apply for a Residential Building Permit and ack Qwledge. tha_ t-the-infQrination 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,plwrip the case of work wWch requires a review and
approval of plans.
_ Y-)?.(Applicant's Printed Name
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-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 O 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 78 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
O 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y w_ N ? 25 Miscellaneous
Work Types
? 31 New 0 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Altera5on ? 37 Demolish (Bldg)' ? 43 Reroof 0 46 Windows/Doors
? 34 ReplaCement 'Demoli6on (EnGre Bldg) - Gtve 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 I NSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footings(deck) FinaUNo C.O.
_ Footings (addition) _ Plumbing
_ Foundation HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing Siding Stucco Stone
_ Fireplace _ R.I. Air Test _ _
Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatrnent Plant
License Search
Copies
Other
Total
TRI-LAND C0.
SURVEYING
SERVICES
1260 YANKEE DOODLE ROAD
EAGAN, MINNESOTA 55122
SITE PLAN FOR:
JOE /`!/LLER CONST.
LEGAL DESCRIPTION: LorI--,BLOCK 1 , PA.PK ,r.vo44 AQA2&.
THEREOF ACCORDINGdAkOZATHE RECOCOUNTY,MINNESOTA
oy o°
S a5 1?6
i
?
\
qa `?
3?00?
S
N
sca?. E ? i•'=qa'
LEGEND
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0or/0 ?
\
v ,'! SS- ? /
e"
ro
ed-
?
?
? ?\ \
+ ' .
/`?
`P
o DENOTES IRON MONUMENT
a DENOTES WOOD HUB SET
DENOTES EXISTINCa SPOT
ELEVATION
DENOTES PROPOSED SPOT
ELEVATION
? DENOTES DRAINAGE DIRECTION
I he?eCy certityprepars thof this survey,plan or
reporf wcs d by me or under my
direct suparvision and that I am o duly
Reqistered Land Surveyor undor ihe
Lows oi the Stata of Minnesotc.
.j
?
?
?o
h ?
M ?
V ?, t
INVERT ELEVATION AT SERVICE EXTENSION=
PROPOSED GARAGE FLOOR ELEVATION= 910, o
PROP05ED FIRST FLOOR ELEVATION = y/Q. S
PROPOSED BASEMENT FLOOR = 1%2, T
ELEVATION
NOTE ? VERIFY ALL FLOOR FIEIGHTS WITH
FINAL HOUSE PLANS
Brcdley J//S*nson, Mn. ReQ. No.13235
Date --
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA115991
Date Issued:10/01/2013
Permit Category:ePermit
Site Address: 903 Park Knoll Dr
Lot:4 Block: 1 Addition: Park Knoll
PID:10-56725-01-040
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes .
James Hunter
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 -
Robert J Milbrandt
Monica L Milbrandt
903 Park Knoll Dr
Eagan MN 55123
Hoffman Weber Construction Inc
3515 48th Ave N
Brooklyn Center MN 55429
(866) 970-1133
Applicant/Permitee: Signature Issued By: Signature