1604 Park PlRESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN 157 Z?
3830 PILOT KNOB RD - 55122
651•681-4675
New Construction Reauirements
• 3 registered site surveys showmg sq. ft. of lot, sq. ft. of house, and all roofed areas
(20% maximum lot coverage allowed)
. 2 copies of plan showing beam & window srzes; poured found design, etc.)
. i set of Energy Cakula6ons
• 3 copies of Tree Preservation Plan if lot platted aker 711/93
. Rim Joist Detail Op6ons selection sheet (61dgs with 3 or less umts)
DATE
JOB SITE ADDRESS / (D U`f' ! C.[ I K ?
IF MULTI-FAMILY BUILDING, HO/W MANY UNITS?
PROPERTY OWNER ? ? _i7Vl?ll`J I?f
TYPE OF WORK
APPLICANT
ADDRESS Q-'96I O IF
PAGER #
0
CELL PHONE #
FIREPLACE(5))<- -0 _7 _2 _3
? PHONE# ?I?7-?'i7-p?n7dl
ZIPCODE
_ FAX # ??iL-yv.3 - ??s?
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilaiion Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumbing Contractor:
Plumbino Sys[ctn Includcs:
Mechanical Contractor:
V[cctiruiical Svstcm Iucludes:
Sewer/Water Contractor:
-- Air Conditioning
Hcat Rccovery Systciu
All above information must be submitted prior to processing of application.
Phone #
Phone #
I hereby acknowledge that I have read this opplication, state ihat the information is
all applicable State of Minnesota Statutes and City of Eagan Ord/Cr?ces.
Signature of
Certificates of Survey Received
Water 5oftener
41'arer Heatcr _
No. oF Ballis
Phone #:
I,awn Sprinklcr
No. of R.I. Batlis
Tree Preservation
RemodellReoair Reouirements
. 2 copies of plan
• 1 set of Energy Calculatwns for heated additions
. 1 sde survey for extenor addiGons 8 decks
VALUATION(EXCIUDINGLAND) -? 755-4• 06
Pee: $90.00
Pee: $70.00
agree to
Not Required _
Updated i101
OFFICE USE ONLY
? 01 Foundation 13 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
O 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition O 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •Demolition (Entire 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 I NSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footmgs (deck) FinaUNo C.O.
_ Footings (addition) _ Plumbing
_ Foundadon HVAC
Drain Tile
Roof _ Ice & Water Final Other
_ Framing Pool
Ftgs
Air/Gas Tests Final
_ Fireplace _ R.I. _ Air Test _ _
Final _ _
_
Siding Stucco Stone
_ Insulation _ Windows (new/replacement)
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
Ciry SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
, . . CITY OF EAGAN A c ?
t---' _-- ?I ?J
3830 P-iFbt Knob Road, P.O. Box 21-199, Eagan, MN 55121 ,
BUILDING PERMIT 1?`? •?j i
PHONE: 454-8100 ReceiPt # ??i."i
To be used tor SF DWG/GAR Est value $68,000 Date AUGUST 27 iy 86
Site Address 1604 PARR PLACE Erect 19 Occupancy R3
Lot 14 Block 4 Sec/Sub. HAMPTON HTS Remodel ? Zoning Pn
Parcel No Repair ? Type of Const Vn
. Addition ? No. Stories
W Name FRONTIER COMPANZES nnove ? Length 40
z 3908 SIBLEY MEM HWY H,I.pG E Demolish ? Depth d??
o ?
Address
City FAGAN Phone 454-0433 int. Impr.
Install ?
? Sq. Ft
= o Name SAM
? ¢ Address
1" City Phone
F W Name_
? ?z-y Address
i Wz
City -
Assessment _
Water & Sew.
Police
Fire
Eng.
Planner
I hereby acknowledge that I have read this application and state thatthe Bla9 ?
information is correct and agree to comply with all applicabie State of
Minnesota Statutes and City of Eagan Ordinances. APC_
i
Signature of Permittee ? r_, Var. D,
A Building Permit is issued to: FRONTIF.R COMPANlES
all work shall be done in accordance with all applicable $tate of Minnesota Statute:
Permit Y " , '
Surcharge 34.
Plan Review 16$.
SAC 575.
water Conn. 500.
Water Meter 63.
Road Unit 290.
Tr. PI. 156.
Copies
Total $2,12 4•
on the express condition that
Clty of Eagan Ordinances.
Building Official
PermR Na. PortMI HWeler Data TNephone k
Plumbiny
M.V.AC. r/ O .-3r2 /C/'?2 .34(c+
Ekmbic Lp q,56 `) 4f /?c rc ' ! ?? , CC''
So1lsner
InspoeUon Dals Imp. Comments
Footlnysl
Footlnps II
Foundatbn
Frsmloy AlI
a
Rodlnp
Rouyh Plbp.
Rouyh Htp.
Inwl. (d
Finplsce
FinM Hty.
}
(
FMN Plbp. / JIi-4.? ? ,
?!J
,
91dy. Final i
GA. Occ.
.>o
C
Dack Ftq.
Oack Frmq.
VYell
Pr. Disp.
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number.
Eagan, Minnesota 55122-1897 ?. S Date Issued: ?10)`I f.
? (612) 681-4675
SITE ADDRESS: t APPLICANT:
f f1hF I'1 ':. (t Vt . ,
iiiif•II• ! ??;I 1!i s ii?S ?? ,. 1 ? ?, '?,idf',
?
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION .• . .A
?
(
I
? ki: F1NR} `, . A i 1'/1kA I f f't i! 14 I 1 I 1• ttiU I('I 10 1 111, IiN'? I 1 I ? 1{: i 1 ii! l.11112 f
7
---------------- ----------------------------
Permit No. Permit Holder Date Telephone #
ELECTRIC
PLUMBING
HVAC
Inspectlon Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUM8ING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIF TEST
FINAL PLBG ?
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL '
DECK FfG i
oFCK ?
1 _
I
?
?
? ' iJi'??`?7 ? ' ?- ?v?3ti N?o?F-1'i,v? '
' hb17'l6'wN0r-Tb 044zL Foe. 19W+t, _AAV21?°
CITV OF: EAGAN
3830 P.llot Knob Road
P.O. Box 21189
Easjan, MN 55121
2oning: R1
Owner. - T.`Y'Qn:t ier Midwect
Address:
Slte Addess: Par
Plumber: ? tgr um
Meter No.: 5-1 A W10gi11 ca
c;,e- Ze?'I Rac A __. 1'L .nuC _ Gl F
Read6r No.: P 11,
1 agree to comply
By ?
Date oi Insp.:
WATER SERVICE PERMIT
PERMIT NO.: 8078
DATE:
No. of Unlts: 1
Hampton Heights
?.? 00 . c?Opd
?''..?rge. Opd -
P?A?{t
Surcharge: -
Misc. Charges:
Total:
Date Paid:-
TP
T?OF EAGAN ? =VICE PELW
30 Pilot Knob Road
0. Box 21199 PERMIT NO.:
gan, MN 55121 DATE:
ninp: - "2 No. of Units:
Addross: 1604 Par1' pl ac - - ., ? -W -
ber. "t? `t--'• -
M te eemmihr wa 1V C11Y of !sp¦ Connecfian Charge: •
weem Acaount DepoNh
Pomdt FN:
Surrhorqe:
MSisc. Chorpas:
of Insp.: Total:
Dioft Poid:
I
CITY OF EAGAN (v - 12531
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 / -
PHONE: 454-8100 ?C -'
BUIIDING PERMIT . ' Receiptu
7obeusedfor SF DWG/GAR Est.value $68,000' Date AUGUST 27 ,19 _86
SiteAddress 1604 PARK PLACE Erect IN Occupancy R3
14 4 HAMPTON
Lot Block Sec/Sub. HTS Remodel ? Zonmg Pn
Parcel No Repair ? Typeo(COnst. 14n
.
Addition ?
No. Slories
W
Name FRONTIER COMPANIES
Move ?
Length 40
o Address 3908 SIBLEY MEM HWY, Demohsh ?
BLDG E
? Depth4?Q
F
City EAGAN phone 454-0433 ?nt?mpr.
Install ? Sq.
t.
a
o
Name SAME
Approvals
Fees
$a Adtlress Assessment Permit $ 337.00
¢
` Ciry phone
Water & Sew.
Surcharge
34.00
? Q Police Plan Review 168 . 50
Fw Name Fire SAC 575.00
¢z nddress Eng. WaterConn. 500.00
<w city phone Planner Water Meter 63.5t
Council Road Unit 290.00
Iherebyacknowledgethatlhavereadthisapplicationand statethatthe Bid
8/27/86
off PI
Tf 156.00
information is correct and a ree to com I with II I .
.
bl St t f 9 .
.
g p y a app ica e a e o
Minnesota Statutes and City Eag n Ordin n? g cRS.?, APC_
Signature of Permittee Var. Date_
? 1
A Building Permit is issued to: F NTIER COMPANIES
all work shall be done m accordance with all aool?ble;gtate of Mmnesa S-fatutes arn
Total $2. 12 4. 0 0
on the express condition that
City of Eagan Ordinances.
Building Otticial
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Num6er:
Date Issued:
BUILDSNG
027500
05/10/96
SITE ADDRESS:
P.I.N.: 10-31900-140-04
1604 PARK PL
LQT: 14 BLOCK: A
MAMP70N HEIGHTS
DESCRIPTION:
(INCI. pECK)
ermit Type SF PORCH
jk
I;k Type NEW
434 RLT. RESIDENTSAL
-...?:mt,-'"?c
?y
'.rw? '14?A ?s;i?3 - 4R
^.'@` a ?ILt tRt ° ?..i.'C ?v?$ 19I ?> nf ? I ?4u 3J %P
?.',
?? f x s;p amee!re?r??kr ree.rcrxv <i;4ra , 'rr;a R;,e? u? ?°. se
.?°e ?atab ?d A
3 ,a? r„?,ii?+iv
sn??
REMARKS:
A SEPARATE pERMIT I5 REQUIRED FOR flNY ELECTRICAL WORK
FEE SUMMARY:
VALUflTTON $7,000
Base Fee $124.75
Surcharge $3.50
Tatal Fee $128.25
CONTRACTOR: OWNER: - Applicant -
LOVE STEVE ?
' 1664 PARK PL
EAGAN MN 55122
(612)683-7586
r
,hv rx?hy ?_pisli?A??atistate th??t ='the
i,ry??fv{??r?m?tiurtJ;;_is?n?yr?}c?e?tp?.I??s?y'?/?nzt, .yd'1Ch aPp?lica6le;, ?State ?if ,Mn
j? ,
r? ?J*Lf?4u ?a fvo SV
L
?.k.c,f,? I
APPLICANT/PERMITE NATURE -?UED BIY ?S NAT E I
- CITY OF EAGAN
3830 PILQ:T KNQB RU - 55122 41 '?i,?'
14,41)0 1996 BUILDING PEaMIT APPLICATION (RESIDEN7IAL) ?r'
681-4675 C?,C?;,(f -A
UReeair ReauLremen
? 3 registered sile surveys ? 2 copies of plan
? 2 eopies of plan9 (indude 6eam 8 window sizes; pourad fnd. design; etc.) ? 2 sile surveys (exterioi addidons $ decks) '
? 1 energy calwlatlons ? 1 energy calculations (or heated additiona
? 3 eopies of tree preservation plan it lot platted aRer 7J11/93
required: _ Yes _ No
DATE: c?'?,/9(n CONSTRUCTION COST:
DESCRIPTION OF WORK: o4- :,? 4`',,? V-,-`"'`
STREET ADDRESS: ? b°4 -:;L? • '
l0T -? BLOCK SUBD./P.I.D. #:
PROPERTY
OWNER
CONTRACTOR
ARCHITECT!
ENGINEER
Name: 1?e- Phone #: &9S,-2'E-K6
wr rmer
Street Address• l?? 'EL4L '?\?
City: S? State: M3 Zip: ?j i2-?-
Company: ' Phone #:
Street Address:
City; State:
Company: E=i41' Phone
Name:
License #•
Zip:
Registration #:
Street Address-
City:
Sewer & water licensed plumber:
change are requested once permit is issued.
State:
Zip:
Penalty applies when address change and Ict
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 Ciry of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received
_ Yes _ No
Tree PreservaGon Plan Received _ Yes _ No
?l?C?f?OMC?DD
m Y 03 1956
p ---
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt.lLodging ?
? 02 5F Dwelling o 07 4-plex ? 12 Multi Repair/Rem. ?
? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ?
9(04 SF Porch ? 09 12-p?ex ? 14 Fireplace ?
0 05 SF Misc. ? 10 = plex GiV99, 15 Deck
WORK TYPE
? 31 New ? 33 Alterations
? 32 Addition ? 34 Repair
GENERAL INFORMATION
0 36 Move
? 37 Demolition
... . `"?+ q.
16 Basement Finish
17 Swim Pooi
20 Public Facility 21 Miscellaneous
Const. (Actual) Basement sq. ft. MC/WS System
(Ailowable) Main level sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. R. Booster Pump
Length sq. ft. Census Code. y.3Y
Depth Footprint sq. ft. 5AC Code ?
Census Bldg
Census Unit a
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MCIWS SAC
City SAC
Water Conn.
Water Meter
? p/K/?/ `
1?6 K 30 = S a 5 °
Acct. Deposit o 0
?EGL-
S/W Permit
SMl Surcharge
Treatment PI. ? 0 DO
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
°k SAC
SAC Units
?S ? ? ----? -
798 _ BIIILDING PERlIIT APPLICATION - CITY OF EAGAN
NOTS: ALL CpHTRACTpRS MIIST HS LIC@iSED iTITH TH6 CITY OF EAGAN
COMMERCIAL
SINGLE FAMILY DiiELLINGS
INCLUDE 2 SETS OF ARCHITECTURAL INCLUDE 2 SETS OF PLANS
& 5TRUCTURAL PLANS, 1 SET OF 3 CERTIFICATES OF SURVEY
SPECIFICATIONS AND 1 SET OF 1 SET OF ENERGY CALCULATIONS
ENERGY CALCULATIONS
$2,000 LANDSCAPE BOND
To Be Used For :Valuation: Date: -C:c.J• ?
Site Address OFFICE IISE ONLY
Lot 1q- Block S? Ereet g Occupancy
? Remodel Zoning p
Parcel/Sub Repair _ Type of Const ?
Addition # of Stories
Owner??? Move ` Length /210
Demolish Depth
Address Int.impr. Sq Ft
City/Zip Code Install ---------- ----------------------
Phone APPROVALS FSfiS
Contraetor FfY0NTIER COMF'ANIES Assessments
3908 Sibley emoriz Water/Sewer
Address Eagan,M N 55122 Poliee
City/Zip Code
Phone
Arch./En
Address
City/ZiF
Phone 4
Fire
Engr
Planner
Council
Bldg Off 'b-?
APC
Variance
Permit
Surcharge
Plan Review
SAC
Water Conn
Water Meter
Road Unit
Treatment P1
Parks
Copies
TOTAL
337
?b
,._.7
?
80TE: ADDRESSES FDR CORAER LOTS - COATRACTO&/HOMEO{iNER MOST DFSIGNATE WHICH
ADDRESS IS DESIHHD. NO CH9NGES TiILL BE ALLOiiSD ONCE BQILDING PERMTT
IS ISS[TED.
' ,/.• ?V _ .i?i? ?I\? _l. f? ..i i?
Si7E ADDRESS:
ECOhiRKTOR: rec>
?i r ???.IT•?i`ll ?! r?l_'YMIY ? ?
`?--
?
?
Determine w:,rking squl,-e fnc'ir;e of each
?. Total exposed wall area....C,L sq. 7
2. ic,tal roof/ceiling a;-ea.... s;. `?. ;.
Te.al expesed wall area
a. 'o,=_' vrc'.1 w inCo?n? ar?a ........... ............ ..
b.
TO?3i
d00^ ]1'23 .............. ............ .... .......
.......... ......
?7
c,
lotal
slidinc g', zss door ar ea .................
.................. -
? L
d.
7ctal
fireolace wnll area .................. ...
.................. -
e. Tctal wall framing area (averanC- lOw)
I ...... ...
..................
? Z°d?•J5 (Am
f. ?otal rim jois± area ........................... ..................
g. net wail area above `loor...2-?} .......... .................. C
5?D
h. wai) area above rloor ................... ......... ?
A
i.
wall area above floor .............. .... ........
...........
j.
frame
wali area at 1a.M2_ticr........ .......... .......
..................
To*_al e;:pccec
k. 7o:a1 fevndation window a?ea .............. .... . . ?•?--?
1. ?otal net ouncation area abo?e ^........ . ... ? -"-
De:ern,, ne ?uvalue c? ea??r w,.,
-?-?
4 5 = l ?e ?
?
?
71 r3
?
?-- .
-
Y. "LI"J? - -- ??
. -..-.
. . ., . - _.
' r.:,?,
, . _
,. ....; .. . ...
. .
>?t../`J?=r'??:rd?•-: !J,• ^U'? ?,...
;g?.
. ,,n
?,.?-r",??,
...? =
. : . ., ?
. ., ,....,, .- •
, _: •??..e..
_' . , e . .. , _ .. ? .
_
. . h
.,
? • - .
.:..
.
, r.
.
...
'
: _
._
, .., .
.. '
.
,..,
. . . . . . . - . . , .
x ',ull
i x
if is tne sam:
k,
.?.? X , u??
Ls,. or 'e>s .Zhan item
X :Vn6cVc T'?? :Il°_,
ic*,en: of S5C
oGD6 C
3 ,
?
'
?
. ....... ..........................ictal ? ?
_.. .:
`
?iic;r
`'.
^c, Jn G C_ ?
? :fl. To:41 Sr:Vl] j?:l? cr C'd ............................
.,. Tc_ai roo_`/c_i1=n(? '-._,._ng a_es (rivcragc 102) ..
? e. Totai nec i::s?.laced _-oof/cei=Ing area...........
, Deternine valu^ for each roo`/CC`_1i?g ., r^:icnt
m. ? F „u,. _
,;. c,3 • It; x .l,;,l .oZq__ _ Z. G
71. Z x
............................. az
if tota.l o_ is ti:=_ Se_..?_- as, e:: less ,.^an vo-c have ^et -hc-: _„_^_nt o°
SriC' 60C?6
Alte=nate &.;i1c_nc Enve:.Dne Des_nr,
2b ..:'ilize tne tota: er.velone spst??;. :nethod, *_ne values est:.blished by th_ s:un o£
;.tems 03 und t!9 shclll not bc r,reHtcr thln the siLT, oL i=ems ;fl and 112.
,. ,. ZAn.o3_
T 4 . 7. Czb
1 ?.,
„ . . . . .. - ? .. ?'' - . . < . ,.. .. ?° '... : .. -- ... . .. =.? ?;'::. . _ , .:. ,.: _,
.. . .
;..: ?.>..., .> >,a.
-
. .. - . ,. . =- ._ -. - . .. ,,•si:- - ``*`•:?.:-.?::..? ...,. ..: . . . .. .? . . .
. . . . ? ? ?;.. -?.
?'.. . _
.
? ...
{ie: . . ? .. . C.:. . _
. ?w ..` •, , •
..r. r..'. ?'..:... ? '
. f : .?`'••?' • r' . , C R : .. ?`. T?' . .? ?`.. . . . . t. . •
..:?•!'. '?.• ' i'Fi .. ? ? ?. . .. ?:?:....' . . ? . . . . .
. . : . - . _ . ? L.. ' . . . ? . . . •'{?•' ' -
,.-.
P( ;4 Q .w
B L? r? e-AL FT. eXp cs`D WALL
a LOG{<l ; S zf,6 co 4 &* z= l '50•Coco
4ot14 + 5 ?.4-cm- .? lV?. ?tm
?:uLLi
r V vti ;?«.--?
'x?>oScD wA LL A??-E-A -
75• 3 3
?-,Q EE S = ???• :
g:p ?' --------? y 4:z'
-
?uLL I `, E? -,
? ?3 = 1l?9
-v ?
??E? • ? ?? ? ' ^ ? ??
-7N ? = Z ? :? , m '¦'
i --
. „ -...
=v, JfS=D r =-I L(UG
. . . .. ?...:?. ..... . ....."i,': .-?. ' ?_ ,
.'x:• .f _ ?J1 m. ?•:+: ?.??.?.?,., _ . . . .,::_;::_ . .... _`?.: ?,°zj°a;,z.? _ ,ni?:;:?:?.?
•. ? _ _ /? y?
??.i'.i?r . : ?.?. ? ? i''?• .. . ? F .` . . • . ? . ' . • . . . . . ? ?,?C..l::. W.: ?? : ::. ?j ..?. /?.??r?Y???3b•
?. . . . . . . ?µs????. ? • a= 6 i?; ??.V?'f 0???•, . .. i..? M
/??i1?. Qy -??/ ?fp{ .: .'-:?••i?.ti:' -:f`."s1?W 'y.•?i•.: •..
.Y. ,/ i.? _ :•'tP.1CA...???+t'.... AY.. ti?4? ,l:'::?
..r:??.:'T.,3rp
. . _ ? . . . . ? t ? ?
?(J /?{ t}'Y e r ? ••
( ?S•'??
L 14 BL 4 CITY USE ONLY RECEIPT #: ? a I D?? I
SUBD. -` Ia?Vv vol 11 RECEIPT DATE:
PERMIT #
1999 PLUMBIN6 PER141T1' (ftE.StDENTIAL)
CITY OF EAfiAN
S$SO PILOT KNOB RD
EAfiAN, MN 55122
(651) 6$1-4675
Please complete for: > single family dwellings
Y townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES EACH # TOTAL
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
G85 i ifl Outlet ' minimum -1 3.00 X = $
Hot tubls a 3.00 x = $
Kitchen sink 3.00 x = $
Laund tra 3.00 x = $
Lavator 3.00 x = $
Minimum fee alterations to existin dwellin 30.00 x = $
Private Dis osal S stem new/refurbished ' re uires MPC iic. 75.00 x = $
Private Dis osal S stem abandonment 30.00 x = $
RPZ new installation/re air 30.00 x = $
Rou h o enin 1.50 x = $
Shower 3.00 . x = $
Under round s rinkler if dwellin is under construction 3.00 x = $
Under round s rinkler if existin dwellin 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x $ -' ?
Watef Softener if dwelling under consVuction 5.00 X = $
Water softener if existin dwellin 30.00 x = $
Water turnaround 30.00 x ---- _ $
State Surchar e 50 --> ----> ----> $ 50
Total --? --? ----> ----> $
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
------------------------------ -------------------------------------------------------- --- ---
I hereby acknowledge ihat I have read this application, slate that the infortnafion is covect, and agree to comply with all applicable City of Eagan ordinances.
It is lhe applicanPs responsibiliry to notify the property owner that the Ciry of Eagan assumes no liabiliry for any damages caused by the City during its
normal operational and maintenance activihes to the facilities constructed under this permit within Cdy propeRy/nght-of-way/easemenL
SITE ADDRESS: I4-C17 JGf(lGG eleCG l?tCjlfG? ./u!/1? 5-s-1- 7/v
OWNER NAME : STL?/'L G6?/`'C- / TELEPHONE #:
(AREA CODE)
INSTALLERNAME: TELEPHONE#:
STREET ADDRESS: (A REA CODE) CITY: A l"7/i6tT UI STATE: ZIP:
/
SIGNATURE OF P/ERMITTEE
81 O fVl/a?'
suAVEYinio
SEFtVICEB
3908 Sibley Memorfal Hfg
Eagan. Mlnneaota 5512
Phone: (612) 452-3077
e---, 14
S '-- \
GALE: 1V= 40?
hwgy
2
L:;'r •L3
:c:-; •t? '
=3
N ?
? I
Z?
1
V 1 + •V 1 ? J
/
9 I
?
?
CERTIFICATE rOR;
MOME PV4 f)El1S
? LANb(IEVEIOPFHS
? pEAtiURi
?i COMPANIES
MODEL: CAM BKIDGE
i?EV
.0
? .\
/
DRAINACqE
?'ears M T?
Lo-` 14
?
Sia.ox '
?
? 6>
O Y 3 ??O
.???.
? ,...r
? ^ J
/? ` ? \?5.--• ?., . .Y87$,?i ?9 ? i.i ?o . ..?jF,°'
?
/7• ?'?'
;,c;"I'
' WAYNE D.
CORDES
- 14675 -
I _LEGEND-
0 (knotes Irm Mornurent
m (knotes N'ocd Hub Sef
„ 871.0 Denotes Existiry Spot Efevation
(„ :wW-) (knofes Proposed Spo{ Elevat ion
,„--- Oenotes Drainage Direction
-PACpER1Y DESL"RIPf IlxV-
LOT ?'f" , BLGY'K d"
HAMPTON HEIGHTS
accordirg to t?r recorded plat thereof,
Dakota Comty, yirmsota
Lr??
p ?? hh? ?\\
4) ? . o
?
x o'l.0
PAR K ?
p?,l?GE
?
PROPOSED 6ARAG£ FLOOR £LEVAT/ON = g?s•?
PROPOSED Top of 81ock ELEVATION - 87?•3
PROPOSED BASEYENT FLOOR ELEVAT ION ? 87Z. Wlo
NpTE. Verify all floor heights with Finaf House Plsro.
;aUWEvioRS CEHfIFdCATILMf-
I hereby certify thst this survey, plan or nport
wss prepsred by me or vder my direct superv isicn
ard thaf I em e duly Registered Lard Swwyar
urder the lews of fhe 5tate of lfinnssota.
61y)-p- Oate: $/ ZzIB?
Wayne Cordes. Winn. Reg. No. I4575
r .
810 MA
SURVEY1NG
gERVICE9
3908 Sibley Memorial Hiphwey
Eapan. Minnesola 55122
Phone: (612) 452•3077
SGAL E : ("= 40? \
;.:i'r •Z.?
?
.-
•t•? ?
c
;
3
?
? N
1
? It
?
w
/
9
?
I, \
2AX y
/
/ ?? s83
a DRAIFJAGE
-? UTI?IT`( ? ?a
?ensM "T,
l-o-r 14
e. `
87lAx
` is
0'a?9
n?
` WAYNE D.
CORDES
- 14675 -
_LEGENO _
a (knotes Iron Maxnr.nt
Q fknotes Mad Hub Set
x 87(•0 0.nofes Existiig Spot Efevatian
(„ =wW.. ) 0lsnotes Proposed Spof Efevatian
r- Denotes Drainage Orracfion
.PACpER1Y DESCRIPfIfxV-
LOI ?q" BLCC'K 4'
HAMkTON HEIGHTS
accord irg to tM rxcrded plet thereol,
bakota CoLnty, Yimesota
HUSE CERTIFICATE FOR;
? NpMEPVilOE111
. UNODEVElO{'FRS
? HEALipq$
er ?.
zR4NF COMPANIES
MODEL: CAM BKID-r+E
?O
? • .f ??
?...1 1 1.?
\
I?
lkw !
? ?\C
10 +
? ? . O
' o: 0 1
. v? hy ? ?
? w
PAR K ?
f?I?GE
PROPOSED GARAGE fL00H ELEVA110N = S 75•U
PROPOSED 7op of Siotk c'iEVAiiON- 8115-3
PROVOSED BASEMENi fL00R ELEYAlION- $l2. wlo
M7TEy Verify a11 floor hei9hts with Final Haue Plans.
AIA/= CFRTIFICATIa+L-
i hereby certify thet this survey, plen or nport
wsa prepsred by me ar u'der my direct supervisicn
snd lhat 1 am a Duly Registered Lerd 5vrveyor
trder the lews of the State of Winrwsote.
`-O?t?-- Date: $/Z-da(-
Mayne . Cades, Ifim. Reg. No. I4575
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA106909
Date Issued:09/17/2012
Permit Category:ePermit
Site Address: 1604 Park Pl
Lot:14 Block: 4 Addition: Hampton Heights
PID:10-31900-04-140
Use:
Description:
Sub Type:e - Water Heater
Work Type:New
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Mike Bujarski
6159 115th Ave
Clear Lake, MN 55319
763-286-5615
Valuation: 1,100.00
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 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 -
RANDY W TAPSON
1604 Park Pl
Eagan MN 55122
Sams Plumbing
6159 115th Ave
Clear Lake MN 55319
(763) 286-5616
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA106910
Date Issued:09/17/2012
Permit Category:ePermit
Site Address: 1604 Park Pl
Lot:14 Block: 4 Addition: Hampton Heights
PID:10-31900-04-140
Use:
Description:
Sub Type:e - Furnace
Work Type:New
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to Mark Anderson , State Electrical Inspector,
952-445-2840
Mike Bujarski
6159 115th Ave
Valuation: 2,400.00
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 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 -
RANDY W TAPSON
1604 Park Pl
Eagan MN 55122
Sams Plumbing
6159 115th Ave
Clear Lake MN 55319
(763) 286-5616
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
r - - - - - - - - - - - - - - - - -
I For Office Use
Permit
411100 City of EaRd Permit Fee:
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I ~i I
Fax: (651) 675-5694 I Staff: 7 I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit
Name: 4 Phone:
Resident/ ' n
Owner Address / City / Zip: ~L 0 P4 r !L
Applicant is: Owner Contractor
Description of work: a C_ 6L - t °d- ~,3 e J ,'.J,0U Lj _f
Type of Work
Construction Cost: A9 d ca Multi-Family Building: (Yes / No
Company: ~iJ e- c t , /y Contact: /,e.A1c~ aGt J
/ nee. J „~Nc_ .
Contractor Address: U 13 y City: J,-) t1r_
StateY/)YA,)_ Zip: S S J Phone: 4 s-a - 413 s" `o / Y f-
License G, p 02 O11_)- Y Lead Certificate /
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
MOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
_ conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
x 6 c.n.~ c- G~ e x
Applicant's Printed Name Applicant's Signature
Page 1 of 3