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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 , ?:xm?nzon EtrvFa,vpn nv?tnacU? ?'nzi+a t??;pnami?iPi?T i} (To 6e eubmltted wittl buildin U CotIPUmATION . g permit appllcAtion) One or 9'wo Family llwellitlg O wnar 117.1 Other . Site AddreeB Contractor '?j? MILLVE CtnNlf- •• Date Phone LIIlEAI, FgCT OF F;XPOSED YlALL ito above grade ? Z. • 7bTAI+ EXPOSED IYALL AREA S- q" FTO OPAQUE WALL Detail reCerence Irom attached sll eate Y/INDOIVS 1 COtlS'1'riUC'TIUiI I ilUti Value x Area npn ?k11__ E ? npn ? O-y7,?lo x X 3q. 8Q. iiUii ? P`7) x SQ. (1(?11 x $Q. nun x 8Q. npn x sq. uu n Flnlce & Type n u a n n a uootls t & Vnlue x Aros INZU, c_,IU„? ? Q u p ll =-------x s . iiUi? x $Q. X SQ. I!" Value x Area . Tyna IIUII of II0u ? ¢ X sq. R sR. npn X sR• - x sq. ToTAL9 COi?--SQ. rorni, (u)(n) vni,ues nvennUE flott DIVIDEU BY TaTAL {7I1LL qnEAZ14WrZ lL9 13 AVEIiAaL liUit- leos fot 1&2 tamily dtiielli[ige hooF/CEILIIUt • TOTAL AnEAf Q7?? • Detail reference irom iIUII ^ I O7i x 8R. FT. ?. nttuclied slieete. npn i???? R SQ. FT.' (p)(A) " (U)(A) Ueocribe opcuinga i i,UII x sq. FT. - (U)(A) n root. ? IIUn x 8R. FT. _ ???(A) TOTIIL (U)(A) VALUEB DIVIllLD ''PO'1'AL I20oF/CEILIIIU BY x b ? SQ• r? ? "?L?-? =4?7 (U)(A) s zi??? ?> FT. ,z_1o4?15(u) (A) Fx. (U) (n) FT. ?U)(A) Fx. - u)(R) FT. FT. - ?U)(A) FT. 8'J, _ ?r?J7+??)(A) FT. (U)(A) (U) (A) - (U)(A) FT. (U)(n) Fi.? (n) FT. _ ?U)?A) (U)(A) 17. 2 ZPJ? 31 (u) (n) NiEA f (?7? I ?VEJtAar ?'u'l •02 _ I (2Z 5 for ventilhted roois. ? ? • I!? X(+o + I 41 I 4 9 z oz4,zo ?k- , c7q ??? , ?? ,. x 198= Izz,?.? vi! X`?`? = zziSX'?= '10 f / vU Z-? x -fv = j f l2sXI= 111z57 I 1 v?l ,;; z?X ?v(o =-7 I ?nl',?? Zax(rx? = 3? x I- ? o ? il ?( z`7xaU 24X 48 X I = -154 ?? ?Tt- ??? W I SL = Zf3 ,O ?8 s?t, ??, ? , = Z I , v ^ ?2, o - (Z = (o uZCJ? , ,, 4q_o`) -# g7 '/ 0 ) uL4- P,-7w--Qc) 242;?P,z L?S e"VN?-. ri ?IW1 ? IZ2?8`?' --wLL sscTlOg-- Deteraaining ?,Ulf valuee at Rooft Wall, Rim,, and Cono. Block F200F/CEILINQ 1.) Interior Air a'i1m 2.) 5/811 ayp. Bd. 3.) Ineulation 4.1 5.) Exterior Air Film (6TILL) R VALU 0.61 .56 44.Ao .61 npn = 1/R= .021 ibTAL (R)= 'K•7g _5FEM WALL 6.) Interior Air Film 7.) 1" (lYp. Sd. 8.) Inaulation 9.) bufL-r-?-jT-F_= 10.) Masonite Siding 11.) Exterior Air Film R VALU o. 68 .k5 19•oa .67 4 .17 npu a 1/Ra • O47a TOTAL (R)= 23.0l RIM 12.) Interior Air N'ilm 130 Ineulstion 146) 2" Fir Rim Joiet 15.) gu1tT-PrTr_-- 16.) Maeonite Siding 170 Exterior Air Film R VALU 0.68 19•ov 1.88 Z.67 .17 liUu m 1/Re .440 TOTAL (R)= Z?•?l T _? ZEE5 FOUNDATION 18.) Interior Air Film ) Zo. 21.) 1211 Concretie Bloak 2Z.) 23.) Exterior Air Film R VALU 0.68 ll.co 1.28 .17 uUn = 1/R= .07(o TOT1lL ($)= )3.1? .?-- 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 ?k \ N? ? 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