915 Park Knoll Dr? CASH RECEIPT
CITY 4F EAGAN
' 3830 PILOT KNOB ROAD
? EAGAN, MINNESOTA 55122
?
DATE ? 1g '
RECQIVGO "
AMOUNT ? $ I
n
?
a ooLLwRs
2 oo
? CASH E]CHECK
BY
X. 76745
VYhite-Payers Copy
Yellow-Posiiny Copy
Pink-File Copy
Thank You
t '
01-3210 B1dg,, Permii
01-3422, Plan Check
01-3445 Surch./Adm.
01-3446 SAC/Adm.
01-2155 Surcharge
17-3860 Road Unit
20-2275 SAC
20-3865 Water Conn.
20-3868 Water Trmt.
20-3716 Water Meter
20-2252 Acct. Dep.
20-3713 Water Permi
20-3743 Sewer Permi
79-3$66 Sewer Conn.
11-3$55 Park Ded.
TOTAL
CITY OF EAGAN , . ?
?t'•' . ? , ,
, 3830 Pilot Knob Road, P. O. Box 21-199, Eagan, MN 55121
PH O M E: 454-8100
BUILDING PERMIT • Receipt #
To be used for
Est. Value Date ,19
Site Address ?-! -• OFFICE USE ONLY
Lot Bloek •"?'` i'?'?'1'?F???''
Sec/Sub. On Sita 5ewage Occupancy '
MWCC System _ Zoning
PafCel N O. On Site Well _ Type of Const
City Water (Actual)
a Name _
(Allowable) '
W
Address # of Stories
L
n
th
3
? CitY Phone g
e
Depth
tal
S
F
T
, p Name .
.
o
Footprint S.F.
z
0 ?
Address
APPROVALS
FEES
r City phone qssessments ^ Permit
? CC
? Water/Sewer ,._ Surcharge
W WW Name Police PIanR9view
-
= n Address Fire ^ SAC, City
0
cc y W
City
Phone Engc
Planner _ SAC, MWCC
_ Water Conn.
Council Water Meter
I hereby acknowledge that I have read this application and state Bldg. Off. ^ Road Unit ?
that the information is correct and agree to compfy with all applicable APG , Treatment P1
5tate of Minnesota Statutes and City n1 Eagan Ordinances. Variance ^ Parks
Capies
Signature of Permittee - TOTAL
A Building Permit is issued to: on the express conditian that
all work shall be done In accordance with all applieable State of Minnesota Statutes and City of Eagan Ordinances.
Building Officiaf
Permit No. Permit Holder Date Telephone *
Plumbing
H.V.aC. 9?9?' L?'?..; ;??"? c?•?. `?/ ??'
Electric ; ?ICI/ ? ?C4???2: z. • J, :?. `3?? ? ? ?/7 `??
Softener
lnspection Dete insp. Comments
Footings I Y,
Footings II
Foundation
Framing Af!
Roofing
Rough Plbg.
Rough Htg.
Isul. ? 7
Fireplace Q?
Final Htg.
Final Plbg.
Bidg, Final
Cert.Oca F
?
Temp. LP
Deck Ftg.
Deck Frmg.
Wefl
Pr. Disp.
DATE: - I - I
Phone
? Name'?U'
? Addres
p City ? Phone
?Forced Air - - ?? - '- M BTU
? Boiler M BTU
I Unit Heater M BTU
Air Cond. M BTU
; Vent.
G
O
1
? CFM
?
as Piping
utiets # -
-
; Other
i
`
FEE:
? S/C:
TOTAL: ?II
- - - - -- - - -»-?_-?-? -- -
BLDG. TYPE WORK DESCRIPTION
Res. New
M ult Add-on -
Comm. Repair
Other
FEES
RES. HVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M BTU - 6.00 y
(RES. HVAC INCLUDES A/C ON NEW j
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PEkiWln - 1.50 EA. {
COMM/fND FEE - 19/o OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE 8 CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
REMODELS
MINIMUM COMMERCIAL FEE - 12.00 ?
- 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000)
?
i?-
SIGNATURE OF PERMITTEE
• PLUMBIA
' CITY OI
9830 PILOT KNOB RC
:ONTRACT PRICE PHONE:
Site
lot ,
Name
FEES
COMM/IND FEE -1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE 8 CONDO - FiES. 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
I SIGNATURE OF PERMITTEE
CITY OF
TYP5 WORK DESCRIP?JON
?1
Mult. _
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
FiXTURES
Water Closet -$3.00 TOTIkL
S Si'
a
Bath Tubs - $3.00
i
Lavatory - $3.00 b
Shower - $3.00 ZKitchen Sink - $3.00 31
Urinal/Bidet - S3.00
?Laundry Tray - $3.00
Floor Drains - $1.50
?Water Heater - $1 50
Whirlpool - $3
00
.
?Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIn
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
=Rough Qpenings - $1.50
?
FEE .
?
STATE S/C:
GRAND TOTAL• ' ?' ?
? t
(gtrtitzra#it uf Mrrupttury
titp of eagan
Prparimmf rrf lutId'mg JWrriinn
This Certificate issued pursuant to the requirementr of Section 306 of the Uniforni Building
Code certifying that at rhe time of issuance ihis structure ?vas in compliance with the variotes
ordrnances of the City regulating buifding constructron or use. Far the follawing:
IJac Clasai6aflan SF DWlCAR Ndg. Rrmit No. 14071
Ot+cuQancy 7ype R3 Zoaieg Diuw PD Type Cnnat V
o,m, ?r &,me .JOE MRM OONST. Ad&. 13133 aMAR AVE SO, FARMUICtJ
awm;ng naa,m 915 PAW IQJClLL DRZVE L,i;,y, L I, B 1. PARC IQ+XOLL ADD.
,?_ o.k. tJCX?Ei?t 17, 1987
? a,iiams ort?;.i ?
POST IN A CONSPICUOUS PLACE
CITY OF EAGAN ER ERVICE PERMIT ?
3830 Pilot Krrob Road $EW $
l S ?'3
P.O. Box 21199 PERMIT NO.:
9-,14- ?'
Eagan, MN 55121 DATE:
Zoning: No. of Uniis: 1
Owner. ' Joe Ptilier :onst.
Address: . 915 SiteAddress: ar . .no ,? ve Li B ar? :?.n°1 ?
Plumber.
,_.21 3' 7r2 71tri
I agree to comp(y with ths City of Eagan
Ordinances.
ti
?.:..
By
Date ot lnsp.:
Insp,:
Gonn. Chg: S
Acct. Dep:
Permit Fee:
Surcharge: _
Tr. Plant Meter.
Connection Charge: 51-5. vGpc!
Account Deposit: 1 S • ??0pd
Permit Fee: 10' 00pa
Surcharge: . 50pa
Misc. Charges:
Total:
Date Paid;
2oning: _
No. of Units:
I agree to comply with the City of Eagan
Ordinances.
By
WATER SERVICE PERMIT
CITY OF EAGAN Permit No: - - - date; 9--14-- ? i
3830 Pilot Knoo Road Meter No:. 3i..2a 6*3,5- 410 Size: g" RoeA
P.Q. Br,x 21199 Reader No: 6 $.? :ZDate:
Eagan, MN 55121
Owner. Joe tFiller Const,
Site Address: 915 Park Knoll Drivc Ll 131 ark noll
Ph-kcr P14II2oIIth Pi??A1l%111 4
Conn. Chg;
Acct. Dep:_
F'!C. 1 .
Permit Fee: 1 El _ nf1atr"'J'?1- "- -
Surcharge: ?a? 1'o n?i y with the Clty ol Eagan
Tr. Plant 1:?+? o Ordinan .
Meter. ? Pei
Misc.: B.
WATER SERVICE PERMIT
CITY OF EAGAN Permit No: •? ?;4? Date:
3830 Pilot Knob Road Meter No: Size:
P.O. Box 21199 Reader No: Date:
Eagan, MN 55121
' OF EAGAN SEWER SERVICE PERMIT
? Pilot Knob Road
Boor 211id " ?PfRWItI`NO•.,
in, MN 55121 ' ? • i DATE: ? " ? '' •'^ '
n9: r? No. oi Units: ' Y
to comply with th
of Insp.:
-21-$7 7?J?+'------ - Luu.ulga i
S8*0"ilr•'6 WWWtIVRL'TTSrge: 525. V"' r. i
TELEPHONE - cLKd?? Woitg . 15 . 00r
1.? . C??1nr° '
e ?
REG2UIRE u „9 . . ? ?0 rd
.
Misc. 'Charges:
TotaL•
Date Paid: ?
NO PRV REQliIRED CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199,
BUILDING PERMIT PHON E: 454-8100
Tobeusedfor SF DWG/GAR Est.Value $81,000
Site Address 915 PARK KNOLL DR
Lot 1 Block 1 Sec/Sub. PARK KNOLL ADD
Parcel No.
rc Name 1OE MILLER CONST
= Address 18133 CEDAR AVE SO
o City FARMINGTON phone 431-2001
,a Name SAME
?a Address
? City Phone
Up
w W
w
Name
F
izz5 Address
a W City Phone
Eagan, MN 557 21 N! 14 07 1
Receipt # ? ?? C?3
Date AliGUST 20 t9 87
OFFICE USE ONLY
OnSiteSewage Occupancy
-?-
MWCC System Zoning
On Site Well Type of Const
City Water -2L (Actual)
(Allowable)
# of Stories
Length
Depth
S.F. Total
Footprint S.F.
APPROVALS FEES
Assessments _ Permit
Wa[er/Sewer _ Surchaige
Police _ Plan Review
Fire _ SAC, City
Engr. _ SAC, MWCC
Planner _ WaterCOnn.
Council WaterMeter
R3
P11
d
?
42
40
437.00
40.50
91$_Sp
tno.n0
575_00
59 5 _ f1Q
67.00
I hereby acknowledge that I have read this application and state BIdg.Off. _ Road Unlt 30,5,00
thattheinformationiscorrec}andagreetocomplyyithallapplicable APC _ TreatmentPt 180_0p
State of Minnesota Statute nd Citypf Ea n rdid nces. Variance _ Parks
Copies
SignOtUre Of Pefmittee TOTAL 2 398.00
A Building Permit is issued to: ? OE MILLER CONST on the express condition that
all work shall be done in accordance with all applicable State of Miqnesota Statutq¢ and City of Eagan Ordinancea
Building Official
?
IIII P21 REUET FOR ELECTRICAL INSPEC710N 57 Mi?nsota State Board of Electricity
1821 University Ave., Rm. 5-128, St. Paul, MN 55104
X324 M716 * plSone (G12) 642-0800 ly?,????p
Home up ex Apt. Bldg. Other New Addn
Commercial Indushial Farm Remad Re air
Air Cond. Hig. Equip Water Hfr. Lood Mgmt. Other.
D er Ran e Elec. Heat Tem . Service
'R" abave ihe work covered by ihis requesf. Enter remorks m this space and on the back of fhe white ropy only.
Calwlate Inspedion Fee - This lnspedion Reques/ will nof 6e a<cepted wrthout fhe wmecf fee.
Olher Fee # $ervice Enhance Size Fee # Cirtvih/Feeders Fce
Mobile Home Pork Stoll 0 fo 200 Amps 0 to 100 Amps
Sheef Lfg./Tmffm Sig. P,6ove 200 Amps Above 100 Amps
TransfotmerlGenerator INSPECTOR`SUSEDNIY TOTAL
Sign/Ou}Lne Ltg. R(mr.
Alarm/Remofe Control 7
Swimming Pool I hereb cem fim I ins e?d e elennm mslollahon ed herein on Ihe doles afal
Irrigation Boom Rouqh-In ? Dore ? [
$pecial Inspedion
Inves}igative Fee Fnol
- ? ?
THIS INS7ALLATION MAY BE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 18 MONTHS.
2 73 w2 C 7
r, ? r
PLEASE PRINT OR TYPE OFFICE US ON?Y This mqvest vmd IB monlhslmm valideean dak pnnted i s boa? y
3?y??
Q ?
Reqoes} Daro Raugh-in m.speaon reqwred2 Yes ? No
?You mvst wll Ihe impeclar when eodyl Inspecnon Othar Thon Roogh-In ? Ready Now Will Call
Date Reody.
I, 0 licensed contmcror owner hereby requesf inspeciwn of the obove electncal work aP
Job drett (Lrxt r, or Roote No
j?r• Cq
C a
a Zip Code
sS
Sedion No Tawnshtp Name o. No. Range No. Flrc No Counry
Oc<opont(-
?V,l ?-^ Nt Phone No
?/?
PowerSvpplur
? Address
Eienrical Conkaear (CompanY Nome) ConlmMr Lcensa No. Mashr Lc. No. (Planl Eled Only)
Moding Addresz (Contmnor or Ovmer Pedorming Insmllanon)
AuMo aNm(COm CVi"W Pedorminqinstollotian) ? Pone`o.
,?;2 q
..l)'_
e- IA-10 6/95 5T BOAflDCOPV-SEEINSTRUCTIONSONBACKOFYELLOWCOPY 3t0" ' Qj
This roquest voiE ?/b/o7 ?z °?y
18 npnths fmm p D .
D 41918 / , Al d2,1
Requc ' at •
3 Fire No. ouph-i Inspecuon
Req iretl, ???(((
Reudy Now?Will Noufy Insoec-
?
lor When ReatlY
I
Yes ?NO
Licensed Eleclncel Conlrac[or I hareby reqvast inspecnon of ebove
? Owner elactrical work installed aF.
Street AdAress, Baz or floute No.
,?QNk
?I?" CiiV
1="
a 4?1
eclwn o. Township Name or No. Range No. Countv /
OccuVan`I??N_T) ?UnC ?
G? ? Phono.
3
Power SupObyar ?!
Dk40"? AdEress r 1
T0/n
ElecVical C? nvT or ?gmp Namel
?-i
n Cuntractor's Licen=e N?.
/d f
?r?
C
.
N
MaJm AdJress (ConVac[or or Own ekin Instailauon) ?sO
5533?
C°
`d
9
O
?
a,,, c
.
A o zed Si9n re ICOn c or?Owner Making Installation) Phone Number
MINNESOTq STATE BOARD OF EFkTRICITY THIS INSPECTION REQUEST WILL NOT
GrigBS•Midwey Bidg. - Poom N-791 BE ACCEPTED BY THE STqTE BOARD
1821 Universitv Ave.. Si. Paul, MN 65104 UNLESS PROPEP INSPECTION FEE IS
Phone(fi12) 642-0800 ENCLOSED.
7 ;EQUEST FOR ELECTRICAL INSPECTION ? E????s?
Sae mstrucUans br complebng this lorm on back of yellow copv.
D4191 8 "K" 8e/ow Work Covered by This Requesl
New Ad? Feo. Tyoe af 9mlding Apolwncas Wired Equiument WveA
Home Range Temporary Service
Duplex Water Heater liyhhnp Rxtuies
Apt. BwlAing Dryei Hectne Heann
Conrnercial Bldy. Furnace Sito Unloader
Industrial Bldg Air CondiLOner Bulk Milk Tenk
Farm Oiher Speu y Othe.r (Snnufy7
I er S[mci y Other Othor
Compute lnspection fee Below
k Fae ServmeEntrenceS¢e tl Fee ieeders/SUbleatlans b Fe¢ Grcur?s
/? U to 2f)? Am 5 0 to 30 qm s 3C1 0 m 30 Am s
Above 200 Ampj 31 to 100 Amps 31 to 100 A s
Swimming Pool Above 100_Amps Above 100_Amln
Transrormers Irngavon Booms 31 ParttaL'Other Fee
$igns Special Inspection $ , J TOTA
Rem?rks e ?
5/
L E ?
r
Nough-in *- Date ? th Elecencal
e
?-? ?(-ra
Inspe tor, h y
carvfy t ffie abova
Frnal Unte
_f inspection hes been
• (
??12 maaa.
Thls reVUest volO 10montM tmm
? D 7,30 RESIDENTIAL
BUILDtNG PERMIT APPLICAT{ON
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
NewConatructlonRaaviremenh RemodellRewirReauaamenV ? ?
• 3 registered sde surveys shawing sq, ft, a( bt, sq. fl. af house; aM all raoted areas • 2 copies of plan
(20% mazimum lot caverage allowed) . 1 5e1 of Eirercigy CaktJatbns for healed additiona
• 2 copies ot plan shovring heam 6 wmdow s¢es; poured foufM desgn, etc.) . t sde survey far extenar additiom 8 decks
• i set af Energy Calalatlom . IMicate d home sdved by septic system fw additlons
• 9 copies of Tree Preserva6on Plan'rf lot platled aRer 711l93
• Rim Jaist Oefail Ophons selectian sheel (61Cgs vnfh 9 Or less units) -v JU
?JA0q ?
DATE SI? I o Z-- VALUATION
SITE ADDRESS yrS PAA? Gf.-?nk. D? -? MULTI-PAMILY BLDG _Y "'N
TYPE Of WORK PC-- (Goo/-- FIREPLACE(S) _ 0?1 _ 2
APPLICANT A ?w-rbcs? 'rsc(?
STREET ADDRESS 9jfS /R A-rT D,e. CITY kh-9±fy-3 STAiE +f a ZIP
TELEPHONE # ((-S )?9n ?'sE?'L PHONE #C(1`121 _'?73_-S_'437 FAX #
us'?-+c (? / it" `yyp?' W
PROPERTY OWNER ??? A-• G?Ft_rra-ow,'rSc.f? TELEPHONE# Clas,/ 775-^ 56?WJ
-- -----------------------------------------° --------------------------------°--°------------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RLZFS 7670 CATEGORY 1
(4 submission type) • Residential Ventllatlon Category 1 Worksheet SubmiCed
• Energy Envebpe Calculations Submitted
Plumbing Conhactor:
Plumbing system includes:
Mechanical Conhaetor:
Mechanical sys[em includes
Sewer/Water Contractor:
` Air Conditioning
Heat Recovery System
Phone #
Phone #
Fee: $90.00
Fee: $70.00
-----°°-----------------
I hereby acknowledge ihat 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 Ordinances.
Signature of
OFFICE USE ONLY
Phone #
_ Water Softener
_ Water Heater
_ No. of Baths
_ Iawn Sprinkler
_ No. of R.I. Baths
6-5-t z
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
OFFICE USE ONLY
? 01 Foundation ? 07 OSplex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) 0 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 ? 17 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex 13 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundadon) ? 45 Fire Repair
? 33 Alteration O 37 Demolish (Bidg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •DemoliUon (Entlre Bldg only) • Giva PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Lengfh Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Foorings (new bldg) _ FinaUC.O.
_ Footings(deck) _ FinaUNo C.O.
_ Footings (addidon) _ Plumbing
Foundadon
? HVAC
Draw 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 _ Retain?nv Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Pertnit
Mechanical Permit
License Search
Copies
Other
Total
Building Inspector
GOLD COPY PERMIT RELEASE FORM
PERMIT ll ?o
ADDRESS / I
PICKED UP BY `
CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
NOT?': PAYMENT OF FEE AT 7.?ME OF
r,rPiscAazoN noFS rOr oorsTIT[rTE
APPxovar. OF PERMrT.
nvsrFx.-riorr oF MM rNro/OR wazat
TTLSTATSATLON$ WIIS. NOP BE $QHED-
07,ID UNPII, PERI•IIT AAS BEES7
APPROVID.
, P ease Print
1) PROPERTY ADDRESS:
LEGAL DESCRIPTION:
kLOL/rslocx/SUDaivision or Tax Parcel ID #)
If' FXQSTING S1RCClURE, DATE OF ORIGINAL BDILDIM PII2MIT ISSL,ANCE: '
Nbn earl ?RGFSTP 7ANING/PROPOSID PSE:
q C00P'MCIAL/12ETAIL/OFFICE [D--R-1 SINGLE FAMILY .
? I'STRIAL M R-2 DUPLEX (7tao Units)
n INSTI2LPfI0NAL/GOVII2NMENT ? R-3 ROWNiO0SE (Three + Units) ( IInits)
R-4 APARTMENT/COAIDOMIPIILTI ( Units)
2) ?
NAME: --r? rYI-//ck Co,'-sf
.4DDRESS: 18133 L'Aasr 4,,.e- --
CITY. STATE. ZIP: Fa?rg,r?•? ?4,.J
PHONE: aZOOI
3) • ?: ?• NAN1E:
ADDRESS:
CITSt, STATE. 2IP:
MASTII2 LICED]SE# ,ey?p?5' v
Active
E?cpired
Not recorded
StaTf Initlal
,
4) •• • ? ?,.iu?: ? - -
NAME: .Uot? 45 (20 '
ADDRESS: `
QTY, STATE, ZIP:
PHONE:
5) ?? a• • ?• : ? • a? - a? _
B-`CONNECrION T0 CITY SEWER I?CONNEC'rION 1O CITY WATII2 ? dPfID2 '- .
6) ,w •' • iWo EpLp',prSE HOLD APPROVID PERMIT FY)R PICK-UP BY ONE OF ABdVE ---- --
PLF.ASE MAIL APPROVID PERMIT TD 1. 2. 3r 9. ABpVE
(Circle one) '>
?
F'OR -CITY USE ONLY
PERMIT # ISSUED
Pd w/Bldg. Permit FEES:
$ $ m- S? SEWER PERMIT (INCLUDE SURCHARGE)
$ WATER PERMIT (INCLUDE SURCHARGE )
$ $ WATER METER/COPPERHORN/OUTSIDE READER
$ $ WATER TAP (INCLL'DE CORPORATION STOP)
$ $ SEWER TAP
$ ACCOUNT DEPOSIT - SEWER
$ $ I (57- ACCOUNT DEPOSIT - WATER
$ -SZ S 6-D $ WAC
$ ?i Z. S `r7? $ SAC
$ $ TRUNK WATER ASSESSMENT
$ $ TRIINK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRDNK SEWER
$ $ LATERAL BENEFIT/TRUNK WATER
$ $ WATER TREATMENT PLANT SURCHARGE
$ ? OTHER:
$ ?Cx-n TOTAL
77 . ,-5 3
REC PT RECE 3
IPT
DOES UTILITY CONNEC TION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
Q YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC
Q
NO ROADWAY" MLST BE ISSLED BY THE ENGINEERING
DIVISION
LIST AS
. A CONDITION.
SUBJECT TO THE FOLL OWING CONDITIO[VS:
APPROVED BY: /`V.-L?
TITLE:
DATE : f 7
/
4>'l•Ut.l+
4U•*
?1 t; •??U ?
ii'.'J•UlJ+
7 e? '> • U i) ,
h'i•UU+
1 8 i? • li ?_? r
???y;•UJn
. ?
7 / V
1987 BQILDING PERMIT 6PPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS
ZNCLIIDE 2 SETS OF PLANS, 3 CERTIFICATES OF SORVEY, 1 SET OF ENERGY CALCOLATIO&S
NOTE: ADDHESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MIIST DESIGHATS WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCfi BDILDING PERMIT IS ISSQED.
MULTIPLE DflELLINGS - RFSIDENTIAL RENTAL i1NIT5 FOR SALE LiHITS
INCLUDE 2 SETS OF PLANS, CERTIFIC9TE OF SDRVSY - CFIEC[{ 6iITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COPIl7ERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
To Be Used For: a,(/ Valuation: ? Date:
Site Address
Lot ? Block _L
Parcel/Sub A/S'??
Owner
Address
City/Zip Code
Phone
Contractor ,
Address 3 , so,
City/Zip Code s?7('jhJ1?11/1'dC7? lS?
Phone Qon I
Arch./Engr.
Address
City/Zip Code
Phone If
?'/D00
On Site Sewage_
MWCC System //'
On Site Well
City Water ?
APPROVALS
Assessments
Water/Sewer
Police
Fire
Engr
Planner?
Council
Bldg Off 0 Zo
APC
Variance
Occupancy
Zoning
Type of Const
(Actual)
(Allowable)
ll of Stories
Length
Depth
S.F. Total
Footprint S.F.
FEES
N2.oo
y0, 00
Permit
Sureharge
Plan Review
SAC, City
SAC, MWCC
Water Conn
Water Meter
Road Unit
Treatment P1
Parks
Copies
TOTAL
l iSO,cb
1
f?R+Pg[d?? ' 22X Zz ^ q8y X/2= Sgpg
?? ? /IST ?LaJ!
?o X3j -. ?ala
/vX/7,b7= /77
.?-
6X3?
<?--
pb' x S?8 = S z aVy
ZND
3o X/fl= So`?,D X?lt? ? Z ZflSfo
r
r
'7b 77Z
.
One or Two Family
All Other
CITY OF BUILDITdG llEP/1RTMEIJT
EXTERIOR ENVII,OPE AVF;F2pGE "Uti COIdPUTATION J
(To be submitted ivith building permit application)
Dwelling Owner
contractor
LINEAL FEET OF
EXPOSED YJALL Yt.
?A?tK
Site Addresa 9/5 d ?
Data Phone
above grade =
TOTAL EXPOSED VYALL AREA SQ. FT.
OPAQUE WALL COPiSTRUCTION: "U" Value x Area
De ei?l -' d vlo -l,L nUu i x SQ.
reference ', U:? x S@•
? ) uUn Q.
attacf?!d"U" x SQ.
sheets x SQ.
upu x SQ.
WIND04YS: "Ulf Value x Area
FT. Z. (U) (A)
FT. (U) (A)
FT. (U) (A)
FT. _ (U) (1C)
FT. - (U) (A)
FT. - (U)(A)
Piake & Type I'+f ^b L ::U:: x SQ. FT.-?9 - q3,°B (U)(A)
n
,
°Un x SQ. FT. _ (U)(A)
n
nUu
x
n-
Sq. ?
FT. _
_
(II)(A)
u
x
SQ.
FT. _
(U)(A)
DOORS: °Ull Value x Area
P[zSte & Type ZS ??Un ,
x SQ.
to ?? ??fL.. VYv?• pu Q
i x S .
n a nUu X SQ.
a If _ ilUu x SQ.
TOTALS SQ.
AVERAaE °U"
TOTAL (U)(A) VALUES ?
DIVIDED BY TOTAL SJpLL AREA '121 (Q I '?
AVERAQli "U" ,115 or less for 1&2 family dwellings
ROOF/CEILIN4•
TOTAL AREA: _ Iyz?
FT. 5 3 = 7, Z(U)(A)
FT.? - (U)(p)
FT. _ (II)(A)
FT. - (U) (A)
k-T.?Z??, (A)
Detail reference
from CAW -Ll
A f+Ull x
-uUn ,?-x SQ.
SQ. FT. _ (U)(p)
FT.U)(A)
attached sheets.?
#4 IUv x SQ, FT. _ (p)(p)
Describe onenings5ky??? ,T fUll x S0. FT. _ (U)(A)
in roof. ?fUll x SQ. FT. _ M(A)
TOTAL (U)(p) VALUES DIVIDED BY
TOTAL ROOF/CEILIi?6 AREA ?? 10 OZ1
?
AVERAC3E "Ull ,025 for ventilated roofe.
? _------- ???D?? ??/? -- ? _-??. 2° ?
:
? - -- -- - -
o.,w,.,.,,a.?,??.,...n a„o.a...w >,o..?..
Determining- "UI` values°at°'RoofWall7j -RSm#"`and`Couc. Hlocic'
ROOF/CEILIN4
1.) Interior Air r'i1m
2.) 5/811 ayp. Bd.
3.) Inaulation
4.1
5.) Exterior Air Film
(STILL)
R VIlLUE
0.61
.56
44.0cs
.61
a0n r 1/R= I OZ? '14DTAL (R)= 4.S?7g
?-
r
WALL
6.) Interior Air Film
7.) 1" ayr. Ha.
8.) Insulation
's.) P,-nu-Pirr
10,) Masonite Siding
11.) Exterior Air Film
R VALUE
0,68
.45
19,00
2-0
1
.I?
IOpll 0 1/R=. TOTAL (R)=r
RIM
12.) Interior Air Film
13.) Ineulation
14•) 2" Fir Rim Joiet
15.) z0fuT- r,T6:F-
16.) Masonite Siding
17.) Exterior Air Film
R VALUE
0.68
17,00
1.88
z 67
.17
11p1.4 = 1/R= TOTA7. M=
--.C?
_._--
FOUtIDATION
18.) Interior Air Film
?: i K-?l sr?er???
21.) 12" Conorete Block
22.)
23.) Exterior Air Film
fl„ll _ I/a= , p7(o
R VALUE
0.68
//,oo
1.28
.17
ToTni. (x) _ 131?>
g7-174
` TRI-LAND C0.
SURVEYING
SERVICES
1260 YANKEE DOODLE ROAD
EAGAN, MINNESOTA 55122
,
SITE PLAN FOR:
JOE MILLER CONST.
LEGAL DESCRIPTION: LOT! ,BLocK! , PARK KNOIL ADDITION
ACCORDING TO THE RECORDED PLAT
THEREOF DAKO7A COUNTY,MINNESOTA
?
O
Q
cx
S 36°45'S6" E
^ 3,c0 84.4(0 9065'
toQ e QRAINAC+E ANO UTrii7y c
? 0. EASEMrNT
?Q 10 F- _ _l JY
a N ? LOT I
I Fvl !
? I No w/o I
w
?I
?I.
?
l?.l
Z
W
0
J
ON
0N
3
N
M
12'
SGALE : I"° 30'
I W
I N?
N?
ct ?
a.o
'Z I 2
3 N 17
?
r ? s
4u/ S
(G° 45' S6;" E
U)
N
:NOLL DRIVE
LEGEND
o DENOTES IRON MONUMENT
o DENOTES WOOD HUB SET
DENOTES EXISTING SPOT
ELEVATION
UENOTES PROPOSED SPOT
ELEVATION
? DENOTES DRAINAGE OIRECTION
I haeby csrtify that this survey,plan or
rsport was prepored by me or under my
direct supervision and ihat I am a duly
Repistered Lond Surveyor undor the
Laws ot the State of Minnesota
INVERT ELEV,4TION AT SERVICE EXTENSION=
PROPOSED GARAGE FLOOR ELEVATION = 0 O
PROPOSED FIRST FLOOR ELEVATION =
PROPOSED BASEMENT FLOOR =
ELEVATION
NOTE ' VERIFY ALL FLOOR HEIGHTS WITH
FINAL HOUSE PLANS
?-,oD 0
Bradley J, nwn, Mn. Req. No. 15235
Date
??1 30 1_ O? Z
?
K
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA116195
Date Issued:10/03/2013
Permit Category:ePermit
Site Address: 915 Park Knoll Dr
Lot:1 Block: 1 Addition: Park Knoll
PID:10-56725-01-010
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required by law in ALL single family homes .
James Hunter
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 -
Peter A Galatowitsch
915 Park Knoll Dr
Eagan MN 55123
(651) 341-0183
Hoffman Weber Construction Inc
3515 48th Ave N
Brooklyn Center MN 55429
(866) 970-1133
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA130854
Date Issued:05/18/2015
Permit Category:ePermit
Site Address: 915 Park Knoll Dr
Lot:1 Block: 1 Addition: Park Knoll
PID:10-56725-01-010
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
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: 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 -
Peter A Galatowitsch
915 Park Knoll Dr
Eagan MN 55123
(651) 341-0183
Eagle Window Distributing Company of Minnesota
P O Box 335
Rogers MN 55374
(763) 428-8223
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA149073
Date Issued:05/04/2018
Permit Category:ePermit
Site Address: 915 Park Knoll Dr
Lot:1 Block: 1 Addition: Park Knoll
PID:10-56725-01-010
Use:
Description:
Sub Type:Residential
Work Type:Underground Sprinkler System
Description:PVB
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - RPZ/PVB/Lawn Irrigation $59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Peter A Galatowitsch
915 Park Knoll Dr
Eagan MN 55123
(651) 341-0183
Drain Pro Plumbing
8815 - 209th Street W
Lakeville MN 55044
(952) 469-6999
Applicant/Permitee: Signature Issued By: Signature