914 Park Knoll Dr? CASH RECEIPT ?
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19
wceovKn
rwaw
AMOUNT $
? CASH ? GHECK
`•_;
rUND I CODE I ?MDUNT
Thank You
?
BY ?-
? =
Whits-Poyen Copy
Yellow-Postinp Copy
Pink-File CopY
BLDG. PERNIT N0.
,,V -
01-3210 Bldg. Permi
01-3422 PZan Check
01-3445 Surch./Adm.
01-3446 SAC/Adm.
01-2155 Surcharge
17-3860 Road Unit
20-2275 SAC
20-3865 Water Conn.
20-3868 Water Trmt.
20-3716 Water Meter
20-2252 Acct. Dep.
20-3713 Water Permi
20-3743 Sewer Permi
79-3866 Sewer Conn.
11-3855 Park Ded.
TOTAL
?---?--- ---?-._
138c?
?.
• ? , .
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
133
PHON E: 454-8100
BUILDING PERMIT Receipt ?
To be used for Est. Value Date .? i 1.. 1 ,19
Site Address
Lot Block Sec/Sub. ?NOLL ADD
Parcel No.
m Name
z Address `
° City ' Phone - ?• 'l31-_200
a Name ?
.o
? ? Address
? CitY Phone
Address
City _
I hereby acknowledge that I have read thia application and state
that the information is correct and agree to comply wkh all applicable
5tate of Minnesota Statutes and City of Eagan Ordinancea.
Signature of Permittee
A Building Permit is issued to:
all work shall be done in accoi
OFFIC E USE ONLY
On Site Sewage _ dccupancy
MWCC System _ Zoning
On Site Well Type of Const
City Water Y (ACtual)
(Allowable)
* of Stories
th '
L
eng
Depth
S.F. Total
Footprint S.F.
APPROVALS FEES
Assessments _ Permit
WatedSewer _ Surcharge
Police _ Pian Review
Fire _ SAC, City
Engc _ SAC, MWCC
Planner _ Water Conn.
Council _ Water Meter
Bldg. Off. _ Road Unit
APC _ Treatment P1 '
Variance _ Parks
Copies
TOTAL '-
on the express condition that
ite of Minnesota Statutes and City c'_ k4pan Ordinances.
_ Permit No. Permit Holder Ueta Telephone it
Plulnbin9
?
H.V.A.C.
Electric
Softener
Inspectlon Date Insp. Comments
Footings I ?
Footings II
Foundation
Framing d L'^ f'1•
Roofing
Rough Plbg.
A
Rough Htg. ."JV)"
Isui_ . -r? 4r•A-
FireplaCe
Final Htg.
Final Plbg.
Bldg. Final Lf.;? r_ ?t ?,b "?o •?i'f.?..
Cert.OCC.
Temp. LP
Deck Ftg.
Deck Frmg. '
Well
Pr. Disp.
!i
3830 PIL
nuTQecr ocif%c.
? Name
?
Addre 1
O City _? r? Phone t-;
?
?
TYPE OF WORK
Forced Air M BTU
-Boiler M BTU $
Unit Heater M BTU $
Air Cond
T
.
Vent M B
U $
CFM $
Gas Piping Outlets # $ !
Other g
FEE
?.,.< .
S/C:
TOTAL:
EAGAN
?D, EAGAN, MN 55122 DATE
154-8100
BLDG. TYPE WOR1C DE$CRIPTlON
Res. ` New ;
Mult Add-on
Comm. Repair
Other '
I
FEES
RES. HVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M BTU - 6.00
(RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PEFiiVlln - 1.50 EA. I
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS. - COMM. RRTE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
DND $1,000)
; t
? , -- .
v?a??rn ? a,ni vr rcniwi i i cc
PLUMBING PERMIT
' CITY OF EAGAN
3930 PILOT KNOB ROAD, EAGAN, MN 55122
\CT PRICE PHONE: 454-8100
Site Addre s ?? -v
Lot-Block S 5Sub.-
,-7
?
m Name - ' .- '
_
? Address ?
c
opt
it?
C'` Phone??.?j?%/
• ,.
? Name
3 Addr
.
p ? _
City ` Phone ?
FEES
COMM/IND FEE - 196 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
BEYON D . 1,000.00)
/
-a1-?t
SIGNATURE OF PEROTTEE
PERMIT #
RECEIPT k
DATE:
BIOG. TYPEI ? WORK DESCRI TfQN
Res. New
Mult. Add-on
Comm. Repair
e/Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
ater Closet - $3.00 $
' th Tubs - $3.00
Lavatory - $3.00 ` Shower - $3.00
__7Ki!chen Sink - $3.00 '
Urinal/Bidet - $3_00 ?
?Laundry Tray - $3.00
S
Floor Drains - $1.50 - S '-
=Water Heater - S1 50
Whirlpool - $3.00
=7-Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMI'n
Softener - $5.00
Well - $10.00
Private Disp. - $10.04
Rough Openings - $1.50
FEE: C"
STATE S/C: JU
FOR: CITY OF EAGAN GRAND TOTAL• ?
N
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS: ' ' ' ' `` ' ` ' ''' `' '' • : i ?;! ii ?
„ rnl I li?;
, ? ,?t t •.r14 1
PERMIT SUBTYPE:
I
PERMIT TYPE: ?;F? f ? a, i M?
Permit Number:
Date Issued:
APPLICANT:
Mh 1J i I N tif'+?IaCif
j. t ' i ; .' t 0 t-1
TYPE OF WORK:
INSPECTION ,. . ..
?':
Permk No. Permlt Holder Data Telephone #
ELECTRIC
PLUMBING
HVAC
Inspection Data Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GA5 SVC
TEST
INSUL
GYP 80ARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
(G
? -% . -i
(gertifiratit nf (Orrupanry
Citp of (Eagan
Erpariuunt af IuOing JWcrtim
This Certi, ficate rssuad pursuant to the requirements of Section 306 of the Uniform Burlding
Code certifying that at the time of issuance rhis sbucture was in campliance with !he various
ordinances of the City regulafing building construction or use. For the following:
u,c oanisc.aar`'-'' MlGAR Blda. tMnit xo. 1 3-184$
Oocuprncy Typc R3 Zooiag Dievict F, i 7?pe Cooet, V
Att? ,;=4k CA1:?-' Add„ 18 133 CEIDAR AVE SQ, FAR?IGD[xv
&,ae;,g Aaa,,. • I!+ t,o,?ay
a,te: b- " -
POST IN A CONSPICUOUS PIACE
? CITY OF EAGAN Permit No:
V Date: 7'"9 '-87
•
3830 Pllot Knob Road Meter No: Size:
P.O. Box 21199 ` Reader No:
:-` Eagan, MN 55121 Date:
`i Owner. -70C '- uler
! Site Address: 34 par :tna r ve 2 rar k . a
? Plumber ° 9mout um s-
l Conn. Chg: ?`5'0?d Zoning: `??
Acct Dep: No. of Uni4a:
Permit Fee: p
Surcharge: p I agree to comply with the City of Eagan :.
, Tr. Plant p Ordlnances.
Meter. _ ?7.00pd
?
i Misc.,
L WATER gy
SERVICE PERMIT
I
? CITY OF EAGAN
? 5830 Pllot Knob Road
? P.O. Box 21199 R;
SEWER S
PERMIT NO.:
ERVICE PERMIT
1C032
Eagan, MN'S5121
I DATE: 7- 9-"• 7
Zoning: R 1 No. of Unlts: Z
Owner. Joe :`-fil ler Coust.
? Address:
? Site Address: 914 'Par k Rnoll Drfve Ll 82 Parjc Kr.oll
Plumber. P1Ym,out h Plumbing
1 ayree to comply wMfi the Gty ol Eagan
Ordinances.
BY
Date of Insp.:
Insp.:
Joe 11'111er i.onst.
914 Park ?;noll Di
CITY OF EAGAN Permit No: 156 Date: •""Q -El 7
3830 PNot Knob Road Meter No: 297 V giZe;
P.O. Box 21199 Reader Na O.'s f?/ 39'QaZ Date:
Eagan, MN 55121
ite addre;
Plumber
Conn. Chg:
Acct. Dep:_
Permit Fee:
Surcharge:
Tr. Plant_
Meter. _
Misc.:
525.
ioo.oopa
Connectlon Charge: S -1S,..pOpd
Account Deposit, I5 QA:Pd
Permit Fee: l.fl 00Td
Surcharge: 543
Misc. Charges:
Tvtal:
Date Paid:
CAS FIC.
,.1
wlth the CRy ot Eagan
By /? \
WATER SERVICE PERMIT
F eaqaN
bt Krob Rosd SEWER SERVICE PERMIT
ic 21199 _ PERMIT NO.:
MN 55121 DATE:
?Z No. of Units: 1
Joc 71iller Const.
Address: 9
'-406 re ?ioni ail iocal utiiities 100. oopa
ayrse to comply ??ft1WRIf'0(M"p•cnarge: 515_ nnr.?
)rdino,c... REQUtRED Bl??08it: , , f,,,,,?
, ,, r,n,.d
Surcharge: `?? ?^•'
y Miac. 0hargea:
iate of Inap.: Total:
...., . ns?? os:.a•
CITYOFEAGAN (v° 13848
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PERMIT PHONE: 454-8100 Receipt# --1rb i? (
To be used for SF DWG/GAR Est. Value $67 , 000 Date JULY 1 87
Site Address 914 PARK KNOLL DR OFFICE USE ONLY
1 2 PARK KNOLL ADD on Site Sewage Occupancy R3
Lot Block Sec/Sub. MWCCSystem X Zoning gI
Parcei Na On Site Well iype of Eonst v_
City Water X (Actual)
a Name JOE MILLER CONST (Allowable) V
= Address 18133 CEDAR AVE SO # of stor?es
o City FARMINGTON phone $92-1010 Dep hh 66
S.F. Total
, p Name SAME Footprint S.F.
0 Q Address APPROVALS FEES
: CityPhone
Assessments _ Permit $ 388.00
l-, WateUSewer _ Surcharge 37 - SQ
W W Name Police _ Plan Review 1 94 _ 00
?i Fire SAC,City 700.00
Address -
Engc SAGMWCC 595_nn
aw City Phone Plenner _ WeterConn. 595_0
0
Council _ WaterMeter fi7_[1Q
I here6y acknowledge that 1 have read this epplication and state BIdg.OfE _ Road Unit 405 _[lp
thatthelnformationiscorrectandagreetocomplywithallapplicable APC _ TreatmentPl 780_nn
State of Minnesota Statu andCity ofkagen Ordinances. veriance _ Parks
Y Copies
Signature of Permittee 4, ti? 70TAL 2 317. 0
A Building Peimit is issued to: OE MILLER CONST on the express condition that
all work shall be done in accordance with all ap ' a State of jnne ta Stat tes and City of Eagan Ordinancea
Building Official S
r
Thie reQUest vmdrt/ . 7?,??1
18 rtqn[hs from J ??/k 7
D 17 9 2 5 K,?.? X4
Hequest Dale - Fire No. Rouph-,n InsvecLOn
Ramufretl?
E]fleady Nuw V WiII Noidy Inspec-
1'es ? No lor When ReoAy
?Licensed Elecincal Convactor I hereby request inspecLOn of ebove
Owner elactrical work instelled at:
SVeet Atldress, B'?f or Pou2e No. / (
14 ! ?rTl /4l d `l J?IV? Citv?/'
C.r? a ri
ecuon o Township Name or No. flange No. Countyl J
lJR?NJTC.CJ
Occuuant (PRINT)
Joe Mrller Phune No.
Pawer SuoPlier
Aal<o-ta? Ele? Adtlress
4-300
a o?
Electn al Con[racmr (COmOenY ama)
/?rdlav?d ??ec--h?I e? Con[ractor's License No.
Madine AdJress IConvacmr or Owner Ma me Installavonl .
500 W ?o o? 4.:? Burrl.5vi
1
Auihor¢ed S?Ig^alure (Conhactor Owne( Mnkmy InslxllaLOnl
' Phone Numher
8ga - gd //
MINNESOTA STATE BOAflD OF ELECTqICITY THIS INSPECTION REQUEST WILL NOT
Gri6es-Mndwev Bldg. - Xaom N-197 BE ACGEPTED BY THE STATE BOARD
56104 UNLESS PHOPEH INSPECTION FEE IS
1821 Univarsitv Ave.. St. Paul, MN ENCLOSEO.
Phone (612) 642-0800
$/???g 7 REQUEST FOR ELECTRICAL INSPECTION . ee-ooooi-os
w-
1 See inshacAOns for complebn8 this form on back ot yel Inw coOV.
DY?9`2 5 "X" Below Work Covered by 7his Request
I Hdd Rep. Tyoe ol 8uileine Aonlinntea Wired EquiVniam Wirea I
F,X
ce
on
oner
lectnc
p Fee Serviea Enhence Size tt Fea faedees/Subfenders # Fce C vcwts
&V 0 to 200 qm s 0 to 30 Am s it 3•' '0 tn 30 Am s
Above 200 qmpy 31 to 100 qmps 31 [0 100 Am s
Swimmmg Pool AGove 100_Am s AAove 100_Amps
Transiormers Irrigation Boorr?s O Partial.'Other Fee
&gns Special Inspection $ TOTA/' ?
Rerryrks ? - ?jr. ? _yrCr? ?`\
Lf ? .OC% J
I, ine 16?I
InsOect eroby
cerbfy Neo the above
inspection hes bean
meda.
RESIDEWTIAL
BIIILDING PERM17 APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
U 651-681-4675
NewCOneWCtlonNeauBemervle HemadeVHeoatrBeQulrementa
. 3 regisleretl site surveys showing sq. fl. of bt, sq. ft oi house; antl a roofed areas + 2 coples of plan
(20%maxamumqtcoveragealWwetl) • lsetofEnergyCalculatbnsforhaatedaddflbns
• 2 copies ol plan slww4ng beam & wlndow sizes; poured rouna tlesgn, etc J • 1 sAe survey br eMerior adtlabns & tlecks
. 1 set of Energy Cakulations • Indicate il Ywme served by septic system for aad'Abns
• 3 copies ot Tree Presenahon Plan it bt platted aRer 711193
• R6n Joisl Det8110ptbnS selection 6he6t (Dbgs wAh 3 or less untts)
DATE i. 17,4 ?2 _ VALUATION 1? G?
SITE ADDRESS 91 cl,0a rAl),,jIvY.
NPE OF WORK
MULTI-FAMILYBLDG _Y 4N
FIREPLACE(S) _ 0 ?y 1 _ 2
APPUCANT S?,?I,Yza.yt ^JFt'??-?STREET ADDRESS 1114 kora ? J-? /??A l?l oY' CITY1-:'aDj2jA STATE _4aq/ZIP 6i?213
TELEPHONE # 46L /'?1_ oogCELL PHONE # FAX #
PROPERNOWNERTELEPHONE# 697-6?1
/
---- ° ° °-° ----------------°---------°---------°-----°---°------------------------------
COMPLETE THIS SECTION FOR -NEW- RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672
(+1 submisslon type) • Residentiel Ventilation Category t Workshaet Submitted • New Energy Code W orksheet SubmiUed
• Energy Envelope CalculaNons Submitted
Plumbing Confractor:
Plumbing system includes:
Mechanical Conkactor:
Mechanical system includes:
5ewer/Water Conhactor:
_ Water 3oftener _
_ Water Heater ,
No. of Baths
Air Conditioning
Heat Recovery System
Phone #
Lawn Sprinkler
No. of R.I. Baths
Phone #
Fee: $90.00
Fee: $70.00
Phone # up No T T
MAY 1 7
I hereby acknowledge thai I have read this application, state that the information is c rrect, and
with all applicable State of Minnesota Stcrtutes and CiTy of Eagan Ordinances. By
Signature of Applicant g h 4 hi-ea ok 41r, A-Cl.
.. ...~. Y.. .. OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
OFFICE USE ONLY
O 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
E3 02 SF Owelling ? 08 06-plex ? 16 Fireplace ? 21 PorCh (3-sea.) ? 31 Ext. Alt - Mufti
O 03 01 of _ plex d 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Eu[. Alt - SF
O 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex q 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04plex ? 12 12-plex Pibg_Yor_ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bidg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement *Demolition (Entlre Bldg 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 Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaUC.O.
_ Footings (deck) _ FumUNo C.O.
_ Footings (addition) _ Plumhing
Foundauon HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Srucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaviing 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 Searoh
Building Inspector
Copies
Other
Total
PERMIT
? CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55122-1897 Permit Number: 025616
(612) 681-4675 Date Issued: 0 5/ 19 / 9 5
SITE ADDRESS:
914 PARK KNOLL DR
LOT: 1 BLOCK: 2
PARK KNOLI
P.I.N.: 10-56725-010-02
DESCRIPTION:
Building'P.ermit Type DECK
Build3ng Wo'rk, Type NEW
`.
REMARKS:
FEE SUMMARY:
VALUATION
Base Fee
5urcharge
Total Fee
$1,200
$30.00
$.50
$30.50
CONTRACTOR: OWNER: - Applicant -
MARTIN 6EORGE
914 PARK KNOLL DR
EAGAN MN
(612)681-0219
I
T hereby acknowledge that I heve read thi:s application and state that the
information is correct and agree to comply with all applicable State of Mn.
Statutes and City of Eagan Ordinances.
APPLICANT/PERMITEE SIGNATURE
cun ?414 i ail
ISSUED 8Y' IG TURE
a - - - - - - - - --
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: B U I L D I N G
3830 Pilot Knob Road Permit Number: 025616
Eagan, Minnesota 55122-1897 Date Issued: 95 / 19 J 95
(612) 681-4675
SITEADDRESS:P•z.H.: 1e-56725-e10-e2 qppLICANT:
LOT: 1 BLOCK: 2
914 PARK KNOLL DR MARTIN GEORGE
PARK KNOLL (612) 681-0219
PERMIT SUBTYPE: TYPE OF WORK:
DECK ryEW
F
L
?
? `
/ / CITY OF EAGAN ?
b (P 3830 PILOT KNOB RD - 55122
1895 BUILDING PERMIT APPLICATION (RE5IDENTIAL)
681-4675
? 3 repistered site surveys ? 2 copies M plan
? 2 coples af plena (indude beam & window slzes; poured fnd. design; etc.) ? 2 aRe surveys (eMerlor etlditions & dedca)
? 7 energy celalatians ? 7 energy calwlations for heated addfions
? 3 coples o/ tree preservation plan H lat platted after 711l93
mquired: _ Yes _ No
DATE: CONSTRUCTION COST: '?ZipOo
G?•r?,r?
DESCRIPTION OF WORK: aafa? `?
STREET ADDRESS: Yi4ou-7 e...
?LOT ? BLOCK "Z SUBD./P.I.D. #: -?'-)R ft IC V't'4°LL- ^ ??' -??'
PROPERTY
OWNER
CONTRACTOR
Name: ?I?R-i ?N 4Y-oR6 E Phone #: 6gY-64-13
uei rwar
Street Address-___qj .0 ?Aar- k?,Lt- Dk,
ciry: Gior 6A u
Street Address:
City:
3
#:
State:
ARCHITECTI Company:
ENGINEER
Name:
Street Address,
City:
Sewer & water liCensed plumber:
change are requested once permit is issued.
State:
License #•
•SSo24.
Phone #•
Registration #•
Zip:
Penalty applies when address change and tot
I hereby acknowledge that I have read this application and state that the infortnation is correct and agree to comply with ail
applicable State of Minnesota Statutes and City of Eagan Ordinances. ???J
Signature of Applicant: ?',/L??
a
OFFICE USE ONLY R`?ENED
Certificates of Survey Received _ Yes _ No MAY 12 1994
Tree Preservation Plan Received _ Yes _ No ------------°-
State: M4
OFFICE USE ONLY
BUILDING PERMIT TYPE
?
.. ? ,
n 01 Founda6on o 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
0 02 SF Dwelling ? 07 4-plex o 12 Mufti Repair/Rem. 0 17 Swim Pool
0 03 SF Addition ? 08 8-plex o 13 Garage/Accessory ? 20 Public Facility
0 04 SF Porch ? 09 12-plex ? 14 Fireplace o 21 Miscellaneous
? 05 SF Misc. 0 10 = plex o 15 Deck
WORK TYPE
0 31 New o 33 Alterations ? 36 Move
0 32 Addition o 34 Repair o 37 Demolition
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Basement sq. ft.
Main Ievel sq. ft.
sq. ft.
sq. ft,
sq. ft.
sq. ft.
Footprint sq. ft.
Building
Engineering
MC/WS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bidg
Census Unit
Variance
Permit Fee Valuation:
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
SNV Permit
S/W Surcharge
Treatment Pi:
Road Unk
Park Ded.
Trails Ded.
Other
Copies
Total:
$
% SAC
SAC Units
1
'A
SINGLE FAMILY DWELLINGS
INCLDDE 2 SEfS OF PLANS, 3 CfiRTIFICATSS OF SORVEY, 1 SET OE ENERGY CALCQLATTOAIS
NOTE: ADDRESSES FOR CORNER LOTS - COHTRACTOR/HOMEOANER HQST DESIGBiITE WHICH ADDRESS
IS DFSIRED. NO CH9NGE5 WILL BE ALLOWED ONCS BQILDING PERMIT IS ISSIIED.
MQLTIPLE DWELLINGS - RFSIDIIVTIAL R@ITAL IINITS FOR SALE ONIYS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SDRVSY - CI3ECB iIIT$ BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
C0iMMERCIAL
(o 7,ocx)
To Be Used For: " bbu Valuation: ? Date: CG' a'(l? -6P/
INCLUDE 2 SETS OF ARCHITECTURAL
1 SET OF SPECIFICATIONS AND 1
ENERGY CALCULATIONS,
$2,000 GANDSCAPE BOHD
& STRUCTURAL PLANS,
SET OF
Site Address
Lot / Block ?
Parcel/Sub &,k 62&
Owner
Address
City/Zip Code
Phone
Contractor'lQ,
Address ,???? Q?0J?
City/Zip Code ??-
Phone pQ a
Areh./Engr.
Address
City/Zip Code
Phone #
On Site Sewage_
MWCC System ?
On Site Well
City Water ?
9PPROYALS
Assessments
Water/Sewer
Police
Fire
Engr
Planner
Council
Bldg Off
APC
Varianee
3 ?56.
Z317, p I
Oecupancy
7.oning
Type of Const
(Actual)
(Allowable)
Il of Stories
Length
Depth
S.F. Total
Footprint S.F.
FEFS
? I
?
Permit
Surcharge
Plan Review
SAC, City
SAC, MWCC
Water Conn
Water Meter
Road Unit
Treatment P1
Parks
Copies
TOTAL
^
i
. ? ,
??1 x 12- Z7
Z-Z x 2-Z ?- 46 4 x l2 = -S8 c'°
?G cr q-, 6
p_
One or Tva
All Other
CITY OF BUILDINd DEPARIMENT
E7QMIOR ENYII,OPE AVERACiE "U ll COMPUTATION
(To be submitted with building permit application)
Family Dwelling Owaer
Site Addrese
:ontrector
LIi• EkL r r]ET OF '1r?
EiL•'OSED GlALL ?e ?O?F? ? lr?C! ft.
J.;^UE 'U.LL COf:S'PRUCTIOI+: "U" Vx1ue x Area
Date Phone
„it
above grade
TOTAL i;X°OS?D WkLL ARr,k SQ. FT.
]'KAY+1it- "Ull . 04 3 x SQ.
Detail
Co.vC_, "U" , Iq-O x SCj.
:e:erence R?? "U" . D4D x SQ.
from
attached "U" x SQ.
s'?eets itU" x S
Q
ffU" x S
.
17D0',v5: "U" Value x Area
FT. 1105.70 r lOQ•14_(U)(A)
f'T. 93-80= (U) (A)
FT. I1 .20= _?(U) (A)
FT. _ (U)(R)
FT. _ (U) (A)
FT. - (U)(A)
riu':e !4 Tyne 14 SUI.eSN1l7 ????? •sZ x SQ. FT. O. O- s7_&l (U) (A)
11 uUll x SQ. F2. - (U)(A)
n uU'l. x SQ. FT. _ (U) (A)
u n njjn x SQ. FI'. _ (U) (A)
IIJJRS: "U" Value x Area
:ic :e & Tyoe 677_• I?SUC.. rlp?? .14 x SQ.
pAT,0 -ifull 147 X sa.
n nUn x SQ.
n n nUn x SQ•
TOTAr.s 1 210.50 sc1,.
AVERAQE "U"
TOTkL (U)(p) Vl.LUES
`" .089
DIVIDED BY TOTAL 1'IpLL AREA ISI? SO
AviRAGa "Ut' ,715 or less for 1&2 iamily dwellinge
ROOF/CEILING:
TOTAL AREA:
FT. Z•o0 = s ?3$ (U)(A)
F2. 42•oD = l9?74. (U)(A)
FT. _ (U) (A)
FT. - (U) (A)
rT. /(o/•?}?O (U) (A)
Detaii reference foUll .OZS x SQ. E"f. Dv = 057000)(A) :
from IOpll x SQ. FT. ? ,(U)(A)
s=, ,
attached shaeta. Itpll x SQ. , FT. _ ,-,(U)(,a)':::
Describe o»enings nUll x SQ. FT. ? . (0)(,1??-'-;.`'..
in roof. slIIn x SQ.
TOTAL (U)(A) VALUES DIVIDED BY Z?'?SOd _ TOrA(L4?, /000 N,ft 25R7hv(A`,'
l200:/CEILIi:G :13A /1000 ev •OZS
AVERAGI; "U^ .025 for ventilrted roofa. ?_
_,,,.-.
Determining IOD" valuee at Roof. Wall, Rim, and Conc. Block
ROOF/CEILIN(3
1 . ) Interior Air r'ilm
z.) 5/81, (lyp. aa.
3.) Ineulation
4-1
5.) Exterior Air Film
(STILL)
R VALUE
0.61
.56
3$•00
.61
irUn = 1/R= OZS i'OTAL (R)= 39•78
?
WALL
6.) Interior Air Film
7.) }u GYP. Bd.
8.) Insulation
9•) Z$37-"
10.) Masonite Siding
11.) Exterior Air Film
(R) VAI,UE
o.68
.45
19.00
z614
.17
itUll _ I/x= , 043 ToTai. (a)= 23.o I
RIM
12.) Znterior Air Film
13.) Insulation
14.) 210 Fir Rim Joist
15.) ?3? Bult?- Pi76
16.} Maeonite Siding
17.) Exterior Air Film
(R) VALUE
0,6$
19.00
1.88
z.6?
.17
uU" - 1/R= .? TOTAL (R)= 24."
?
P'OUNDATION
18.).Interior Air Film
19.)
zo.)
21.) 12" Coacrete Block
22.) t7A)bER- "P-..
23.) Exterior Air Film
It(JI/ a i/na ' If
t?
R VALUE
0.68
1.28
S•00
.17
TOTAL (R)= 7,I3
__ .. - ..?,.. . . .
I I (?Jo4 S? EF- T 1,
dzrze?? f X? li1Au-
14.so X 1(o+z4+Z4) - l?f-zl. o0
9.so X ??zttz+17) = 389.so
1 SIO. so --?-
o c. ,
.697X ( 34-+34 -t' 3&+3G) = 975. go ?
m So/s7
-53X (34+34?-3??3?? = ri&.zo47
w??IDo?
r?x3c? _
Zo X 3? _
14 x 30 _
zo x 48 =
Z4x4g =
Lbat?s
3 ° STL .
? ? ??t7ro
00
z4 X ?4 =
12x I Z =
sx 8 =
NET w_,Qt,t ,
6gv5ri
I.5SS
n
n
-1, o x Z =
S•o x g ?
6•L? x 4 =
?.7 X 4 =
8o x 4 =
Z 1,00
Zl.ao
4'ZrOb
g4.oo?
g/lv
144
40
1,000 4k-
EWsl+-S
W4LL
8oac.. .
K1 m
wbw'S
Doots
8.00
ZO.O O
z4. o0
Z&-8o
jZ, o0
J/0. go 4-
93. So
!Ilv.Zo
Ilo•So
gg.oa
181D.So
_' g0¢ 56)
140s.7o4--
GOLD COPY PERFfET RELEASE FORM
PERMIT ll
ADDRESS
PICKED UP BY - /.i„
, ( 8 z --?? ?,?
CITY OF EAGAiV
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
xxzrx
NYJ.'F': PA7QKRN1' OF FEE AT TIME pF
APPLIC"ION mES NOr CONSMMM
p,erROvat, oF rERrmr.
INSPEICPION OF SUM ABID/OR FWER
T1aS+rAT.T.ATTONS WILL IxYP BE SQHED-
[)LID UNTIL PERMIT AAS BF.EN
APPRUVID.
__________..--
P ease Print
1) PROPERTy ADDRESS: •-
LEGAL DESCRIPTION:
e
IF E}}ISTING 31RIX.'iL'RE, DATE OF ORIGINAL BC'ILDING PERMIT ISSPANCE:
(14onth/Year)
PRF SENf ZONING/PROPOSID LSE:
q COP'A'EE2CIAL/REPAIL/OFFICE "R-1 SINGLE FAMILY
? I'STRIAL ? R-2 DOPLEX (Ztr,o C?nits)
? INSTZT,'TIaNAL/CMMRNMENI' ? R-3 TOWNEi00SE (Three + Units) ( Units)
. p R-4 APARZMm/COfIDOMID1ILRr1 ( Units)
2) ?
NAME: 1Joc 1M i l Ie ? G'o L-S?-
ADDRESS:
CITY. STATE. ZIP:
PHONE:_ $?'?ta- lO l0 u
3) . ,; ?,• ?ME• For City Use .
1) 1:41 w-uu,L-L -0,-is ?'.iv • Pltunbers License:
ADDRFSS: ? Active
f 4 y. a. $ 1? 29 4? ?- t.d, FScpired
CITY, STATE, ZIP:_ ? f-, R.a w?-? d31 a.a Not recorded
PHONE: 5S-'d- :Ai?jf!?' 1NASTEE2 LICCEVVSE# /d'r d tnSA St?Inltlal
4) •• ' • • i?•
NAME:
ADDRFSS: ,
CITY. STATE, ZIP:
PHONE: .
•5) i. v r: • ?• : a o? - ??
e-?CONNECTION TO CITY SEWER QSCONNEX..TION ZU CITY WATER OTHER ' ..
6) " • gru dPLF.ASE HOLD APPROVID PERMZT FC)R PICK-OP BY ONE OF ABOVE ---'- --
Cl PLEASE MAIL APPROVID PIItMiT 4+0 1. 2, 3. 4, ABCR7E
(Circle one) i 7) FaMMMS Q..+p,i T Q7 -
:FOR .CITY USE ONLY
PERMIT # ISSUED
7 ? - ?
Pd w/Bldg. Permit FEES:
$ $ / 0 ' S-2) SEWER PERMIT (INCLUDE SURCHARGE)
$ $ WATER PERMIT (INCLDDE SURCHARGE)
$ 6-7 -0--D $ WATER METER/COPPERHORN/O['TSIDE READER
$ $ WATER TAP (INCLUDE CORPORATION STOP)
$ $ SEWER TAP
$ $ ?`j . Q-t7 ACCOUNT DEPOSIT - SEWER
$ $ 15 ' ACCOUNT DEPOSIT - WATER
$ ?Z S'lra $ WAC
$ $
SAC
$ $ TRUNK WATER ASSESSMENT
$ $ TRLNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRONK SEWER
$ $ LATERAL BENEFIT/TRLNK WATER
$ /Yo- o-o? $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
$ I ? 7 7 ?Z? $ o'' ??`? TOTAL
RECEIPT RECEIPT
DOES LTILITY CONNEC TION REQUIRE EXCA VATION IN PUBLIC RIGHT OF WAY?
Q YES IF YES, THEN A" PERMIT FOR WORK WITHIN PUBLIC
Q
NO ROADWAY" MUST BE
DIVISION
LIST ISSUED BY THE ENGINEERING
AS
. A CONDITION.
SUBJECT TO THE FOLL OWING CONDITIONS:
APPROVED BY:
TITLE:
DATE: 7?9/p ?
..
. .
-k*"8-7-144
TRI-LAND C0.
SURVEYBNG
SERVICES
?
SITE PLAN F*OR
JOE I`11LLER CONSTRUCTION
%%d/ %
PROPERTY DESCRIPTION
LOTJ-, BLOCK-?_,
PARK KNO1-V AD01T10N
accordinp to the recaded plat ihereof
DAKOT,e, CauMy, Minnesota
LEGEND
o DENOTES IRON MONUMENT
a DENOTES WOOD HUB SET
DENOTES EXISTING SPOT
ELEVATlON
DENOTES PROPOSED SPOT
ELEVATION
? DENOTES DRAINAGE DIRECTION
I hsnb?r certtfy that tAis survey,plan or
report was preparsd by ma or under my
direct supervision and fhat i om a duly
Rsqistered Land Surveyor under ihe
Laws ot tha 3tote of Minneaoto.
PROPOSED GARAGE FLOOR ELEVATION= /oyP
PROP05ED FIRST FLOOR ELEVATION =/03. 7e
PROPOSED 9ASEMENT FLOOR = 9s.7n
ELEVATION
NOTE ' VERIFY ALL FLOOR HEIGHTS WITH
FINAL HOUSE PLANS
aa4? -"'9----- -
Bradlsy J. wenson, Mn. Rep. No. I5235
Date - .le6/B9
4655 NICOLS ROAD
EAGAN, MINNESOTA 55122
-"'87- l44
TRI-LAND C0.
SURVEYING joE
SERVICES
4655 NICOLS ROAD
EAGAN. MINNESOTA 55122
?
SITE PLAN FOR
(`11LLER CONSTRUCTtON
?j
ZZ
PROPERTY DESCRIPTION
LOTI , BLOCK2_,
PARK KNOLL ADOITION
xcordinp to ihe recordeE plaf thereof
D.aKOTn. CouMy, Minnesoto
LEGEND
o DENOTES IRON MONUMENT
* DENOTES WOOD HUB SET
DENOTES EXISTING SPOT
ELE VATION
OENOTES PROPOSED SPOT
ELEVATION
? DENOTES DRAINAGE DIRECTION
I hereby csrtify that this survey,plan or
report was preparad by me or under my
direct suparvision and that I am a duly
Repistered Land Survayor under ths
Laws of th., 3tote of Minnesota.
PROPOSED GARAGE FLOOR ELEVATION= 103y2
PROPOSED FIRST FLOOR ELEVATION =/03. 70
PROPOSED BASEMENT FLOOR = 4S.7e)
ELEVATION
NOTE ' VERIFY ALL FLOOR HEIGHTS WITH
FINAL HOUSE PLANS
an _",?. ?,S"a,.ti,_.
Bradley J?14wenson, Mn. Rep. No. 13235
Date
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA114592
Date Issued:09/17/2013
Permit Category:ePermit
Site Address: 914 Park Knoll Dr
Lot:1 Block: 2 Addition: Park Knoll
PID:10-56725-02-010
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 .
Luanne Yang
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Derrick J Pettis
914 Park Knoll Dr
Eagan MN 55123
New Life Contracting Inc.
814 Grand Avenue
St. Paul MN 55105
(651) 224-3442
Applicant/Permitee: Signature Issued By: Signature