1142 Parkview LaneCITY OF EAGAN f-4 ? Remarks
Addition ChPS Mar.A2nd Additirn Lot Bik 3 Parcel-1p_17151 ..170 nz
Owner street 1142 Parkview Lane 5tate Eagan. hIlV 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. (pU -t, 1982 2239.76 447.95 5 895.91 A013259 12-8-83
STREET RESTOR.
GRADING ?I 1981 12
25-.39
5
2S.41
A013259
12-8-83
SAN SEW TRUNK 19 73 ASS. 7. 79 20 62.32 A013259 12-8-83
* SEWER LATERAL 19$1 4078.76 --
?. 7 r1_ 5 815. ?6 ?? ??
WATERMAIN
*WATER LATERAL 19 1
WATER AREA 1981 280.00
1 56.00 S $6.00 A013259 12-8-83
STORM SEW TRK 1951 438.40 _ 87.68 5 87.68 A013259 12-8-83
*STORM SEW LAT 1981
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 450.00 0 11
BUILDING PER.
SAC 11 H
PAR K
CASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DAT 19
eeccrvso -- - ? ? _ /
FROM
AMOUNT $
& DOLLAR$
1 oo
? CASH ? CHECK
FOR 'ir
White-Payers Copy
Yellow-Poeting Copy
Pink-File Copy
Tha ou
BY
Receipt J .. PLUMBING PERMIT Permit No,
CITY OF EAGAN
Fee
Fill in numbered spaces S/C Type or Print legibly
Tot.
?
1. Date 43 2. Instaltation Cost
Lot Blk. - Tract
3. Job Addres
? r
4. Owner /j1Eti ? U? A I r ,_.r ,;?1?! r ri
5. Contractor 11 1 1 i 16 r+ ? c Phone f,ii ?"•; i/ /
6. Address / f'i4rlc' p utt '
i 1
7. rilty?'? iJ Stet@ l?/? ZIp j
8. Building Type: Residential o", Commercial ? Institutional ?
9. Work Description: New O Add ? Alter Zi Repair 0
10.
11.
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs $eptic Tank
Lavatory ? Softner
Shower Wel I
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
F{oar Drains
Drinking Fin.
Sfop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed
Rough
Inspections: Date Insp.
This is your permit when numbered and app
Approved
for
c?..e?
Date
OF EAGAN 454-8100
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: 4;
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
--- ? ? ? ? I-N ?,?-? i ? c•
SITE ADDRESS: I APPLICANT:
II I t EANr ;•??,-??; , . ra tUN',I
? Ils • Mr'9V I rl', I . aali ? ?. I .• 1 ; :??1 . . . .
?
.?
PER IT, UBTYPE: TYPE OF WORK:
??,?? ? i-r:rAIR
11 f Vtfur-
Permit Na. PPrnelt Holder Date 7elephone #
ELECTRiC
PLUM[3iNG
HVAC
lrsspeCiion Oate insp. Comments
FUUTINGS
FOiJND
FRAMING
FIOQFING
FIOUGN
1'Ll1MBiNG
Pl_[3G
nIR TEST
?-----
RUUGH
'
-----
- _
- -
HEA?ING
I ?
-- - - - --- -----------
- -
,
t,s s.-c
? ST
- -- --- -- --- - - - - - --- -
? iN°•UL
l...--
-- --
-
- - --
c-?1•P 2oAi
? I
I
- - - -
----- - - - - -
r , ?r=,°LA!?E
1 k:ST
FR•JtaL F`,&,G
- -
- --
f -N AL HTG
! _ .. I
f -- - -- -
_
i ; ,oi 1 - - - - - - - -. . -.
! crw4? / jrG f{_ii/L
--
' ?
? - -- -?
? a ! I ?
? . ?
i 9 3
? , ? •
.4 „ cirr oF E?GAN
• 3795 'ilat Knob Roed Eeyan, MN 55122
PHONEt 454-8100
BUILDING PERMIT Receipt #
To bo wed ier SP Dt,'G/(',AR Est
Volue $65,0 00 pme S eptetrber 2 b
19
.
, ,
Site Addrcss 1142 Parkview Lane Erect ? Occupar?cy P`?3
Lot 11 Block 3 Sec/Sub. Ches Mar East 2nd A?ter p Zoning ?-1
10--17151-110-03 Repoir p Fire Zone NA
parml # J
Enlargs O
TYPe of Const. n
?
ac Sunsiiine Construction Co.
Nome Move ? # Stories
? ?r? 1466 Richard' a Court De?„olish ? Length 44
,,,__Ta?,,Fr 55122 454-7485 Grode ? Depth 4$ Sq. Ft.
W. N?ner Approvals
N Fees
ome
o ,-{
"'Asseument
oU
Permit - •. ? • ? ?)
Address
U? Water & Sew. Surcha r9e 32 ' -'i,
~ Cit Phone
Polite
Plan check 154 .0 1
?°C Ncme
WW Ffre SAC 525.00
x? Address Eny. WaterConn. 450•Q?
<W Ci Phone Pla?+ner Watar Meter 60. 0Q
Council Rood Unit 250 - 00
I hereby acknowledge that 1 hove reod this opplication ond state that Bldy
Off -
the informotion is correct and ugree to comply with oll upplicable .
.
AP?
71
Totol ' s''
State of Minnesota Statutes and City ot Eagan Ordinonces.
Siqnoturc of Permittee
uns;iine C
A Building Permit Is issued to:
oll work sholl be done in atcordonce wlth oll opplicabla
n the express conditbn thnl
of Eeqan Ordinancea.
Buildirq Official
Permit No. Fermit Holder Misc. Permii No. Holder
m6i ng
F --
.V
.A.C. o
Well
Water
Disp.
Sewer
Electric
Inspection Date Insp. Other
Footin9s i..;,-i? 6, a- o,c /cqc ?>Ic? p E.
u.?ll (tiaU Z?14l? ar i v\ s C?? 6??`n t
Foundation
Framing , ;
Rough Plbg.
Rough HVAC
Insulation
Final Plbg. ?
Final HVAC ;?
Final
Water Describe Location:
weu Z,;
se„er
Pr. Disp.
Reoeipt PLUMBING PERMIT Permit No.
CITY OF EAGAN
Fee
Fill in numbered spacea S1C ' -
Type or Print legibty • -;T-,
1. Date 2. Installation Cost
L V,J?;7,? j r-
3. Job Address/z,?12 9 Q?Lot1_Bik. 3 Tract
?
4. Owner ? '
5. Contractor LG' /1 P(// Phone 46//` 1 g
6. Address
/ r' !
7. City r Cf Kt State Zip
8. Building Type: Residential t]
9. Work Description: New 6
Commercial ? Institutional O
Add ? Alter D Repair ?
10. Describe
11.
No. Fixtures
Water Closet No. Fixtures
Cess
ool/Drainfield
i Bath tubs p
Se
tic Tank
Lavatory p
Softner
? Shower Well
? Kitchen Sink
Urinal/Bidet Other%? r' y- r
/ Laundry Tray 1 r
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply wiT all ordinances and codes governing this type of work.
?
Signed : 2 for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved _-_' 4'• CITY OF EAGAN 454-8700
Re ceipt MECHANICAL PERMIT Permit No.
CITY OF EAGAN _
Fes
,
fill in numb8red spaces S/C
Type or Prin[ legiWy Tot. .
1. Date l/3Ld ? 2. Installation Cost
3 J
b Address r
:
Lot Blk ? Tract
. .
.
-
o - ?i
4. Owner :•?l ?s?i?tlt ? ? -
5. Contractor < Phon e •-
6. Address /J '- Ac
7. City State Zip
8. Building Type: Residential ? Commercial ? Institutional Cl
9. Work Description: New EY Add O Alter ? Repair ?
10. Describe Fuel Type
11.
No. Eqipment 8TU - M. Ea.
Forced Air No. EQUiament CFM
Ai
H
dli
Mfg. r
an
ng:
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
° Air Cond.
Mfg.
- Gas, Riping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed :
for
Rough Final
Inspections: Date Insp. Dete Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Box 21191
i, MN 551
Address:
Road
SEWER SERVICE PERMIT
PERMIT NO.:
DATE:
No. of Units: I
ir Las [ -na
9- 2-7 _F? 45 100.0f) P :
• to essy* wilh eM Cky oi E.9o¦ Connsction Chaqe: 425.00 pd
onas. Accoumt DepoWt:
ad
Permk Fee: 10.00
Surcharye: .' 0
Mtsc. Chorom
of Irnp.: Totol: ?
Doh Pald: I
.?
CITY OF EAGAN
3830 Pilot Knob Road WATER SERVIC E PERMR
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55121 DATE: 3
Zonirg: 'I No, of Units: i
Owner. 5unshine Cor.st
Address:
Sih Addmu; 1142 Parkview La::e L11 F3 Cner. '.ar %?.ast ttd
Plumber. L'3b.CY11Ze P13,:
Mensr No.: comecrion u,arge: 450.00 )a
? Size: AcoouM Depasit:
Reoder No.: Permit Fee: 10•00 :)d
1sym !o oonsply wh6 IM CMp of Eaoen Surchorge: .30 :xj
Ordieonae. Misc. Charqes: 5{1.00 pd raeter
Totol:
By Dare Poid:
Dote of I nsp.: I nsp.:
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN IP` 3830 PILOT KNOB RD • 55122
651-681-4675
New Construction Reduirements
• 3 registered site surveys showing sq. fl of lot sq. ft of house; an?ll roofed areas
(20°h maximum lot toverage albwed)
• 2 copies of plan showing beam & window sizes; poured found design, etc.)
• 1 set of Energy Calculatlons
• 3 copies of Tree Presenalion Plan if lot platted after 7/1193
• Rim Joist Defail Optlons selection sheet (bldgs with 3 or less units)
DATE 6-A 61 OOI
JOB SITE ADDRESS 1142, OJ1kV I.Q.I
IF MULTI-FAMILY BUILDING, HOW MANY UN
: ?
PROPERTY OWNER
TYPE OF WORK 1
APPLICANT AW' D
ADDRESS SSS$ a i!
PAGER #
NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY
Energy Code Category _ MINNF.SO'CA RULES 7670 CA'CEGORY 1
(check one) • - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumbing Contractor: _
Plumbing System Includes:
Mechanical Contractor:
Vlcchanic.il Systcm Includcs:
Sewer/Water Conhactor:
Air Conditioiung
_ Hcat Rccovery System
FIREPLACE(S) _ 0 _ 1 _ 2
?/PHONE# ?I?'9?7'9449
YJ/Y ZIPCODE 55-311.3
Fax # 967A • 935• 95#V
Phone #
Phone #
rce: $90.00
Pec: $70.00
All above information must be submitted prior to processing of application.
I hereby acknowledge that 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 Ordina ce?.
Slgnature of AppUcant ? ? &
Certificates of Survey Received _ Tree Preservation Plan Received _ t Required _
• Updated 1l01
CELL PHONE #
_ Water Sol'Lener
'Water Hea[er
No. oF Baths
I i
RemodellRepairReauirements I
• 2 copies of plan 'I" - ------ --
1 set of Energy Calcula6ons for heatad addi6ons
• 7 site survey forextenor addifions 8 decks U?-r
. Indicate if home served by septic system for additions
I -?---7-d?
VALUAfION ?oo
Phone
L-tVVI1 SnRI1klCf
No. oF R.I. 13aths
OFFICE USE ONLY
? 01 Foundation
? 02 SF Dwelliny
? 03 01 of _ plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
? 31 New
? 32 Addition
? 33 Alteration
? 34 Replacement
Valuation _
Census Code _
SAC Units _
Nbr. of Units _
Nbr. of Bldgs _
Type of Const _
W idth
G 20 Pool
? 21 Porch (3-sea.)
? 22 Porch/Addn. (4-sea.)
? 23 Porch(screened)
? 24 Storm Damage
? 25 Miscellaneous
? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 37 Demolish (Bldg)' ? 43 Reroof ? 46 WindowslDoors
`Demolition (Entire Bldg only) - Give PCA handout to applicant
Occupancy MCiE9 System
Zoning City Water
Stories Booster Pump
Sq. Ft. PRV
Length Fire Sprinkiered
REQUIRED INSPECTIONS
Foo[ines (new bldg)
Footiit2s (deck) Pinal'\o C.O.
(ad(titioii) Plimlb
Foundatiun
llrain Tile
Rouf Ice & ?Vater Final Other
Pranun- _ Pool _ Ptgs _ Air/Gas Tests _ Pinal
Fireplace _ RI. _ AirTest _ Final _ Siding Smcco _ Stone
Insulation _ ?L'indows (ncevireplacement)
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 Search
Copies
Other
Total
? 07 05-plex ? 13 76-plex
? 08 06-plex ? 13 Fireplace
? 09 07-plex ? 17 Garaye
? 10 08-plex ? 18 Deck
? 11 10-plex ? 19 Lower Levei
? 12 12-plex PI6g_Y or _ N
FitiaL/C.O.
_ .O.
_ iog
H?:4C
? 30 Accessory Bidg
? 31 Ext. Alt - Nlulti
? 33 Ext. Alt - SF
? 36 blulti
Building Inspector
er#iftrtt#e of
(?9rru?ttrir?
Citp of (eagan
Brpttrfmrut of 1.?uilding Insvpdiun
Tbit Cntificate irrard purlurtnt to tbe nquinmenu of Settion 306 o/ tbe Uniform BHiJding
Coda rnd fying that at the timc of iatnarut lhit thurture mai in rmnplianre witb thc variaru
ordinancrr of tlx C#y rrguloting building corutrrution ar utc. For thr fo!lowing:
SF DWG/GAR
o-warivu R3 Typc.?? Vn
a,o,,,r?dft Sunshine Const.
Bad,,Add? 1142 Parkview Lam
eWwmsarow
.. BIEyP?tNO. 8518
_F;. z. NA zo??x Rl
,,d?1471 Thomas Lane, Eagan
=l,?,u,rLot 11 Block 3 Ches Mar
By: East 2nd
o,,,, November 23. 1983
IIII I III I II II IIII In REQUEST FOR ELECTRICAL INSPECTION
Minnesota Stafe Board of Electricity
:
1821 University Ave., Rm. S-128, St. Paul, MN 55104
* 0 2 0 7 4 ?X Phone (612)642-0800 8/(? •
ome Duplex Apf. Bldg: Other ew Addn
ommercial Indusfriol Farm Remod Re air
Air Cpnd. Htg. Equip. Wafer Htr. Load Mgmi. Ofher.
D er Ran e Elec. Heaf Tem . Service
"k' above the work covered by fhis request. Enter remarks in fhis space and on the back o( fhe white copy only.
Calculate Inspection Fee - 7his Inspection Request will not be accepted without fhe correct fee:
' OTher Fee 3R $ervice Entrance 5'ae Fee # Circuils/Feeders
Fee
Mobile Home Pork Siall 0 fo 200 Amps 0 to 100 Amps S-
Sheet Lig./Traffic $ig. Above 200 Amps 0 Amps
Tfans{ofinef/Genefotof INSPECTOR'SUSEONLV TOTAL •
$ign/Oufline Lig. )(fmr,
?
Alarm/Remofe Con}rol
Swimming Pool I hereb cerA fia11 im ecled Me eletlnml inslailotion desoi6ad hereln on the datas xw?ed
IrrigBtian Boom Rouqh-ln
eciallns
ection
$
p
p F,^a
Inve#igative Fee
THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 18 MONTHS.
2 O 1- 4 0 3 0
PLEP.SE PRIM OR TYPE OFRCE USE ONLY This requesl .old 18 monlhe iram volidolion dak pnnkd in fiis b'ox/. /-
`q??//?
d
Request Dol
9, g- Rough.in inspection required2 ? Yes o
no? m?r ?an a ?m,P«m..,n.?eaaY1 T' Inepecfion Olher Thon Roogh-In: 0 Reody Naw iVill Gall
Dare Ready: ?\
I, Kli<ensed con}rador 0 owner hereby request inspection of ihe obove elecirical work af:
bb Pddsmss ?Slreet, Rouh Nn)
/? .2z- Ciry Zip Code
5«10o0 Na. Township Name or No. Ra,e No . Frc Na. Counry
pcrypoM
'-S? o ry- ?srt o s r n.s?l Phone No.
?87- vsy.?
Pawer Suppliar Address
EI«fic onhaWr(ComponrName) ConhacrorLicenseNo.
(7 Ag-oo3is' MamrLic.No.IPlantElzt.Only)
AAoilinB ?drass ?Canhacbr or ner PeAaeminq ImMllafion)
7 ? Ne-
?T-
/wthorized Signal?u?/{c?,,ho` Own Inskll • n)
C?? (/??i?-fil?.G Plwm No.
7 D.? ?
EB-OWOIA-10 6/95 $T EBO OVY•SEEINSTHUCTIONSONBACKOFYELLOWCOPY
s
Feque Date Fire No. Rough-in In ' )lsetion
Requir9tl?
'J.ree U-_?.
e'y Now C7 Will Notity InSpBCtor
When Reatly7
I -_IVr' .erfsed contractor ? owner hereby request inspeciion of above electrical work at:
Jo0 Atlb53ss/lSpeet? or Roule C?
/ r?
t Clry
Section No. Township Name orNO. Range No. Counry
Occu.pant Tj Pltone No.
?
PowerSupO r Atltlress
Eleclrqal /Cf?v)atlor 1 pany ame) CoMredor's Lke/nJse No. 2'J
Mailing Atltlress}Contractor or neOr Making tal tron)
?
/ YiN
lR ?`„ V??
?
AuthorizeC Signatura (GOmratlor/O r M ' g Inslalla P?one NumOer ?
?
MINNESOTA STATE BOARD OF ELECTNIGITY THIS INSPECTION REOUESi WILL NOT
Grlggs-Mltlway BIOB. - Room 5173 C,- BE ACCEPTED BV THE STATE BOARD
1621 Unlversity Ava., 51. Gaul. MN 55100 UNLE55 PROPER INSPECTION FEE IS
Phane (612) 642-0800 ENGL0.SE0.
/089?
d 08351
REQUEST FOR ELECTRICAL INSPECTION
? Sae instmclions for comRleting tnis lorm on back ol yeliow copy
"X" Below Work Covered by This Request
,:?? C- ?S
ew Add p. TypeofBUilding AppliancesWired EquipmeniWired
Home Range Temporary Service
Duplex Water Heater Elearic Heating
Apt. Builtling Dryer Other-(Specity)
Commllndustrial F urnace
Farm Air Conditioner
Olher Ispetityl Contracmr§ Remarks',
Cofnpute Inspection Fee Below:
k Olher Fee # ServiceEnirence5iie Fee # Circuits/Feetlers Fee
Swimming Pool 0 to 20D Amps / o to 10o Amps ?
Transformere Above 200 _ Amps Above 100 _ Amps
Sig05 inepenor§ Use Only: TOTAL
Irrigation Booms
J ?
u ?
Special Inspection ?
J '
AlarmlCommunication THIS INSTALLATION MAY BE RD DISCONNECTED IF NOT
Olher Fee COMPLETED WITHIN 18 MONTH .
I, the Electrical Inspector, hereby R°ugn-in oaie
certify that the above inspection has
been made. F;nai a?e _?
OFFICE USE ONLY
This request voitl 18 months Irom
LF9
ucensea tiec,ncai bonilacwr I hereby repuesi inspaction of above
Owner electtical work inslallad at
Street Address. Boxp? Houte
No. City
_
-l1 DzXh?,vi Qu? ? Lav??
ecLOn o. Township Name or Nn. Hnnge No. Coun1Y
OccupantlPfllNTI
.; Phone No.
Power Sup0lie
r Atldress
/
'
Elec?'cal Coctor IComOany Namel
CX7(S`XJL Contructor's License No.
Mailing A ress (Contractor or Owner Meking InstailatioN .
`155 µ`!''- - IJu-) KI
AuMOrized Sienawre IContractor Owner aking Installatfonl Phone NumOer
Q.ok --?g99
MINNESOTA 5TATE BOARD OF ELECTNICITY THIS INSPECTION PEQUEST WILL NOT
Griggs-Midway Bltlg. - Noom N-791 BE ACCEPTEO BY THE STATE BOAPO
UNLESS PPOPER INSPECTION fEE IS
1827 University Ave., St. Paui, MN 66104
pF-- 16121 297 2111 ENCLOSED.
This request voitl b3r ckes rUa0-
78 months fram
- REQUEST FOR ELECTRICAI INSPECTION ee-ooooi.w
?..
' See instructions for completing this form on back of yellow cooY.
?R I "X" Below Work Covered by This Reqirest j1
3 g 4?'q
AAd Rep. Type o} BuilCing Appliancea Wiretl Equiument Wired
Home Range Temporary Service
Duplr,x Water Heater Lightiny Fixtures
Apt. Buildinq Dryer Electric Heatin
Cortxnercial Bldg. -K Furnace Silo Unloader
Industrial BIAg. Air Conditioner Bulk Milk Tenk
Farm t. Peu y D?her ISUecffyl
t er Succily . Other
Comaute lnsoection Fee Below %
q Fee Service EntrenceSize d Fee Feedars/Subfeeders # Fqe Ci,cuits
0 to 200 qm s 0 to 30 Am s 0 to 30 Am ps
Above Z00 Amps 31 to 100 qmps 31 to 100 A y
Swimmin Pool Above 700_Amps Ahove 100_AinVS
Transiormers Irri ation Booms iz;b Partial:`Other Fee
Signs Speciailnspection
Remarks
. ?
•?
T OTAL FEE
, in .-.., -
Nouph-in IDate .
. /a-0 ?. ?
insaector, heraby
cerfify thnl the abova
Final /? ?'"j?e inspection has been
//OG 17T, A\ /, meda.
lrhIO reGUest voitl 18 monlRS fmm
Zb Be Used For
Slte AdCZY'eSS:
CITY OF EAGAN Include 2 sets of plans,
?- 1 Site Plan W/e1.eVdtiOns &
BUILDING PERMIT APPLICATIbN . 1 set of enerT..7 cal.culations.
Valuation Date Z C)
Y
Lot 1j Blocx 3 sec./sub,
Parcel #: JU -lZl S f- I16-03 ?
oaner: SQHSLt??P
raaress: /1-(66 ?,..Gra.•-r?s ?'fi
City/ZiP Code= S?lZL
Phone # : `-f,5?`f
Contractor: g4101Gf
Pddress:
City/Zip Code; I?ISOJ ?
Phone #:
Arch. /EnFcldress:
City/Zip
Phone #:
- k OFFICE USE OI?Y
Erect Occupancy ?a
Alter Zoning f(-?
Repair Fire Zone
Enlarge _ 7ype of Const.
Move # Stories
Desrolish Front ft.
Grade Depth ft.
APPROVAL.S FEES
Assessments
Water/Sewer
Police
Fire
EYig.
Pexmit
Surcharge
Plan Check / ,.. - !
SAC
Water Conn. ?!
4• Council ... Road Unit % 5'7-- ?ey
Planner Water Meter y,t !^
Bld
j2D3 ?b4?-s?r? 6h2APCg.
Cocle: tiJ+l) ,SS7LZ?
Off. ? i
?
BUIIDING PERMIT
N? 8518
Recelpt
Te 6e used fe. SF DWG/GAR Esf. Volue $65,000 oare September 26 1983__
Site Address 1142 Parkview Lane Erecr AR Occupancy R-3
Lot 11 Block 3 Sec/Sub. Ches A13r East 2nd Alter ? Zoning R-1
parC6l # 10-17151-110-03 Repair ? F7re Zone NA
Enlorge p Type of Const. Vn
a No? Sunshine Construction Co. Move O # Srories
Z Address 1466 Richard's Court DemoHsh ? Length 44
9 Ci Eagan 55122 phom 454-7485 Grade ? Depth 48 Sq. Ft.-
w Name OWRer
Appeovals
Faes
Ou Addross Assessmenf Permit 328.00
ul
Water 8 Sew.
Surchorge 32.50
Ci Phone Police Plan check 164.00
wW Nome Fire $AC 525.00
?Z
Address
Eng.
Wafer Conn. 450.00
`W O phom Plonner Water Merer 60.00
Council Road Unit 250.0(1
I here6y ackrwwledge that I have reod this application ond state that Bldg. Off.
the inlormatiDn is CorreCt and agree fo Comply With oll aOPliCOble 109.50
$tote of Minnewto Stotutes ond Cify of Ea9on Ordinonces. APC Totol .
Signature of Permittee
unshine Construct'
A Bullding PeRnit ts issued to: o
exDress condifion Ihm
all work sholl be done in accordance with oll appliwble Statn of Min esot .?
-r City Eagon Ordinances.
rKA
Buildinp Offidol
CITY OF EAGAN
9745 Pllaf Kaob Raad Eegen, MN SS122
PHONE: 454-8100
,.,2006 RESIDENTIAL PLIiMBlNG PERnnIr aQPLscArroN
C1TY OF EAGAN
? 3830 PSLOT iCA10B ROAD, EAGAN MN 55122
851-675-5675
;e cornpfeYe for modifications to existing residentiai dweilings.
!
Stre res? Unit #
erty Owner Telephone # "74 :ractor ' 1 n Telephone # ???[' 'J • ?
ess ? ? City StaYeft- Zipc_-
Applicant is: _ Owner ,K ContracYor _Other
ic System _ New _ Reiurbished Submit 2 sets of plans and MPC license Includes County fee
$ 100.00
Per as-built $ 10.00
rations to existing dwelling $ 50.00
Add plumbing fixtures. This fee mctudes installation of a water sofiener and/or water
heater at the same iime. If you are insfalfing anlv a wafer sofYener and/or wafer
heater, do not complete this section; move to ±he next seciion and check the
appliance(s) you are installing.
_Septic System Abandonment
Water Turnaround (add $130.00 ir a 5/8" meier is required)
_Other:n_ -..
ater_$oftener
new
NJafer Heater
? replacemeni
$ 15.00
Lawn lrrigation _RPZ _PVB _new _repair _rebuild $ 30.00
:e Surcharge
31
NOV 0 g 2006
$ 50
reby apply for a Residentiai Plumbing Permit and acknowledqe ihat the informatfon is complete and accurete; that the
will be in conformance with ihe ordinances and codes of the Gi'[y of Eagan and the plumbing codes; that t
erstand this is not a permit, but only an application for a permit, work is not to siart without a permit and work will be in
xdance with the approved plan in the event a plan is required to be re ' wed and approved.
?
,IicanYs Printed Name Applica Ys Signature
%q4D
2045 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
-. : 3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Piease ccrttplete for modifications to existing residential dwellings.
;s06
date , I
(?
?
W1Q.. Unit i{
Site 8b'eet Address
I'? 1) l?&D
Property Owne? ? rLL? t Telephone #(??q ??S • ? 9 g-3
CoMractor \J '?0 Tele
hone# (9?)
p
Addt'ess '21 S C7 ?1' P4 CK
? ?
P
t0 N Zl
V iSt
32YY
.
a
y
.
p -
The Applieant is: _ Owner ? ntraetor _Other
Alterations to existing dwelling $ 50.00
_ Add plumbing fixtures (excludes water softener andlar water heater-complete next
sedion if installing these appliances).
,.,_Septic System Abandonment
_ WaterTumaround (add $125.00 if a 518" metef is required)
Other. -- ?
-
J
_WaterSokener
?-AWaterHeater OC.? 11 L?j'JJ $ 15.00
new 2s-nplacemeM
Lawn I?rigation _RPZ _PVB _new _repalr ^rebuitd .
$ 30.00
SWte Surcharge $ .50
Totat a ? s
I hereby apply for a Resideniial Plumbing Permit and acknowledge that the information is complete
and accurate; that the work will be, in conformance with the ordinances and codes of ihe City of
Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in ccordance with the appr plan in
the event a plan is required to be reviewed and approved.
Applicant's Prited Name ApplicartYs Signatur
?tJR1/EYOR'S
?__.
N
CERTIFICA'fE ' s\INE COPISTRUCTION COMPANY ?
\ /SF [?' I\
0+
r
<
N ?
'4 E
0
?
V
p6 ? \
^ja s
30
93 ` ,/ P ,
i
/
? //T
? ?? /
?
? y / ? "r93
`` ? / ?
^??
00
/ L O T
4r') \
?
/
B ?s
3
?: es 2 /?6 x9' Tr?
T9/5.;?1 0 a ? 4> ? c
?r
2
° x'92
R?'OO ?SO
?HpUS? j i
4 1?
I ?
-r-,
{'r9?_
?
?'ORA/NAC,E 6 UT/L/TY EASEMENT PfR PLAi
93s9 / ? - -
b ?
\
5.00
??'i; ir,'r"v
3$ 44
?
?5J
h
.? - C?
(40
C
`
- ?
i W
M
? ?-
\
?
l \
/
-?--- DEn(OTES PROPOSED SURFACE DRAINAGE
O DENOTES IRON MONUMENT SET SCALE: 1 INCH = 30 FEET
0 DENOTES IRON MONUP1ENT FOUND PROPOSED GARAGE FLOOR = 919 C FEET
X000.0 DEPlaTES EXISTIN6 ELEVATIOf! PROPOSED LOIJEST FLOOR = = 9!% FEET
(000.0) DEFlOTES PROPOSED ELEVATIOM PROPOSED TOP OF BLOCK = 92?? FEET
I HEREBY CERTIFY TO SUNSHINE CONSTRUCTION COMPANY THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A Sl1RUEY DF THE BOUNDARIES OF:
Lot 11, Block 3, CHES "'AR EASi SECO^1D P.DDITICf, accordinn to the
recorded plat thereof, Cakota Countv, NIinnesota
AND OF TIIE LOCATION OF ALL BUILDINGS, IF ANY, TNEREON, ANC ALL VISIBLE ENCROACHPIENTS,
IF ANY, FR0M OR ON SAID LAND. AS SURVEYED BY ME THIS 5T!I DAY OFJU:"%E 1983.
SiGNEU: JAMES R. ILL, INC.
BY:
HAROLD C. PETERSaN, LAND SURUEYOR
PIINPJESOTA LICENSE N0. 12294
PROJECT NO. BOOK / PAGE JqMES R. HILL, INC.
83273
58/17 Ptanners / Engineers / Surveyors
FILE NO.
8200 Numboldt Avenue South
FOLDER Bbomington, Mn. 55431 e12-884-3029
. Wenihcrsttips A
Guide
V,'ipdo?a 1 -Doon I Referec« Out. Wall
Ya- o ? Yee-No 19
_
\ F1•1 FoV'e?R Room Length ?` ??+ Width
wi own ec? and Doon-Cractcaae end Area
Comtructioa No.
V/aN Ceiling Roof Floor Kind
??--
f kighe 'Nd' II -? F1.I Kt`c Rmm
W;nAnw. xnd DmrL--Cf.
Na WIdW
o[Dana Height
ofyan, Nu. of
115hb
1' d' b "
„ " O
d fe p
Coef. &o
IaGltrati
on I
Glaee °?5p 2
Fsp. wall
Net exp. wall
Int. wall
Floor
CeJ. L4
lotal BtU.
ReQuircd sq. {t. E.D.R. or sq. ins. W:A. Lender erea
\ Fl.1 U Rooml LenqthZ,?Yl" Widthky'd' Height B? C'
Wi ndo.n a nd Doora- --Crackage and Ares
No- WIEtp
ofDene HNQ?t
oty?n• No.of
II.Tb Llneqlt.
olenek A?w
q.tt
1b11 \OI
Coef. Btu
tnblaauon o \ 60
Clas+ iem
Fsp. wall 264
Net ezp. wall
Int, wall
Floor
ceil. 30 12 2..
TotalBtu. 1 6PI¢j
Required sq. ft. E.D.R. or sq. ins. W.A. L.eader arce
Fl. Dm Room I Length \% Width 000 1 Height 'oll
Windom and Doora--Crackage and Area
Coef. Btu
Infiltration
Glau
Ecp. waU ?
Net exp. wall ? 2,
lnt. wall
F7oor
Ct7. ??p I
Total B:u.
Required sq. Ft. E.D.R or eq. ins. R/A Leader teea
-'t"a+AL- 14 /L- = 5 o,4bZ B--u
Imalation
How
t{Yo? Width
and Area
No, WIGtG
a( D.ne 1{al[O[
ot peu No.o!
II(hU Llvwllt.
ef en<k Ar"
Q. [l.
2 )Il 1 1 3 y
i
Coef. Btu
Lifiltration i4O 1
Glan ?
Exp. wall
Net e:p. wall
lnt. Weu
F!oar
`"I .
TMnI Btu.
Required sq. ft ED.R. or sq. ins. W.A. Leader area
\ FI.I *L ? gD Room ILensth I?2O"Width +`ld' Height b°(f
wi ndows an a uoors -A,raeca ge aoa eue a
No. WICN
of pane Height
nf pam No, o[
IIfPU Linul fl.
Ot traek Aroa
p. [t.
Z 1 N \ d1 ` • II
Coef. Btu
WilVatwn
GlaSa SO 00
Exp. wall
Net exp. wall
Int. wall
Floor
Ceil. ?
Totai Btu.
Required sq. ft. E.D.R. or eq. ins. W.A. Leader area
R?V Fl.IAZ (iU Room I Leneth 1'ZCf ' Width ?I
Windows and Doors--Crackaee and Arca
Infiltration
Clase
Exp. wal:
Net exp. wall
Int. wall
Floor
Beu
' II Reqaired sq. ft. E.D.R.,or sq. ine. W.A. Leader area
?5M gt,looM
' Weathrrrt ' AS.[i u. idVe E. ? Conttivetion No. inwletion
C 11.
P,`i? n I Daon Referenu Out. Wal1 Int. WaH Ceiling Roof Floor kind How Applied
es- o Yes-No 19-
I F1.1 ?ft bp Room Length\1o?014 Width\(}'lati Fidehtf3%011 IItpFl.? AW Room?LenHd+yO0"' Width2y'd' Heighta_O!!
Windows and 1?oeis-Crae7esve anel Ann lL:..,i...... ..,.1 IL..,.?l..?kree and A=ta
No, Wldth
ofyana Hel(At
o(y?n. Nu, ot
Il.bb Llnql (L
otertet An&
p.tf.
Z Zb` "
Cocf. &n
Icfiltratian Lko o
Glasa
Fsp. wall U
Net exp. wall 2
Int. wall
Floor
Ceil. h
Tota1 Bta
Required sq. ft. E.D.R. ar sq. ina. W:A. l.eader area
and
Area
Na, Wltltn
of 9are Htliht
of Dane No.ot
Itghb L1eeaIlL
o[ emCk Aru
p. R. '
Coef. Btu
IOffltIB[IOO
CJaa
Esp. wall
Net up. wall t,.t9
1at. w8u
F7oor
Ceil.
No. wmN
otwre He1gm
otpyps :vo. of
Iishb unaa] fL
otwaek w.e.
q.fl.
Coef. Btu
In6ltration
Glass
Exp. wall
Net ezp. wnll
Int. wall
Floor
Ceil. 'z„
lolal kf;u. . "]?j
Required s,;. ft. E.D.R. or w. ins. Wr4. Leader area
N. WIAIE
otD.oe If.lsal
otDaeo, ilo. o!
Ilfpu Lleol [6
e[anek Are.
ep:fl.
2-
v „ ?6„ u
b Z, p„ LnL ? ln
- Coef. Btu
?tratioo OC) 0
Glaa 0 a UOd.
Exp. wall U,L .
Net tip. wall
W. weu r,?T t
Flaa. t? . 3
TotalBtw STU N !.
Requircd aq. &. E.D.R. or aq. ine. W.A. L.eader are?
Fl.l Raomll.eneth Width Heisht
Wt ndows an a Uoort -1-rac[a ge ana nrea
No. wmie
of Dsee }teltbt
nt yAm No. o[
IIiAG Llnealll.
OL enek Area
p. fl.
Caef. tu
Infiltratioo
G1asa
Exp. wall
ret e=p. W8u
Int. wall
Floor
Ceil.
Tota1 Btu.
Required aq. ft. E.D.R. or sq. ina. W.A. Leader aree
F1.1 Room I Length Width
and no.rs-(_raclcaae and Atta
N. W W, h
of pane He1gEt
oLpan? No. at
Ilfhb Unaal [[.
e!<nck Arc?
?Y• fL
Coef. Btu
Infil[ration
Glau
Eup. wull
Net exp. wall
Int. wall
Floor
Cdl.
Total Btu. I
Roauired sa. ft. E.D.R..or w. ina. W.A. Leader area
1999 BUILDING PERMIT APPLICATION (RESIDEN7IAL)
3? ?? 3830 PIL'OT KNOB RDN 55122
651-681•4675
New ConahucNon Reauirements Remodel/Reoafr RenuiremeMs
> 9 regMered sNe surveys showtng sq. ft of lot, sq. R. ol howe 2 eoples ot plan
and 21 rooted areas [20% mcximum bt coveraae albwed) 1 set of encvgy calculaNons for heaMd addlNons
> 4 copies of plans (show beam 3 window sizer, poured fnd. design; etc.) 1 fHe survey for exfeelor addiHons a dacks
Y 1 set ot energy ealculaNons -
D 3 coples of hee preservaHon plan B lof platfed afler 7/1/93
DATE: SIdC. ,ff?{ CONSTRUCTION COST: S-r 3L) S
DESCRIPTION OF WORK: Fc-? f o? ??t i"uo t}v S-Fodv, 1O-t"qq5-
STREET ADDRESS: ! I4a 1 0. v ?? v?'c w 4
LOT: 11 BLOCK: :7 SUBD./P.I.D. C
PROPERTY
OWNER
CONTRACTOR
ARCHITECT/
ENGINEER
Name: U?t 54 C. Z,% .' S Phone #?bA j ?n ?l & ' D O!o
Laat Fksi '
Street Address: 1 I `'W Y'U•viC 00Ct-j LX$.N-.L
City ? Fa S 4 , State: ?11 Zip:
Company: Y? M-t?.' ca ? iX S? Phone #: ld ?*9
(area code)
Street Address: 103o3 LY "jS IR A-,- 5U • License #ID?IS') a a f Exp.
City o arti,+-.; }o r State: M h Zlp: 15k4d 0
Company: Name:
Telephone #: area code ( )
Sheet
Cify
Sewer 6 wafer Iicensed piumber (reauired for new conshucfion onlvl:
State:
PenaMy applles when address change and lof change Is requested once permN Is Issued.
Zip:
I hereby ocknowledge thaf I have read lhts application, stote fhat the Informafion Is eon et, and agree fo comply wffh all applicabl
State of Minnesofa Stafufes and CMyW Eagon Ordinances.
Slgnafure o} Applicant:
OFFICE U5E ONLY
Certificates of Survey Received - Yes
_ No
RegisfraHon M:
MAY 2 6 f°N9
Tree Preservation Plan Received - Yes _ No _ Not Required pu?._?__.-
_. ;
OFFtCE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
Q 02 SF Dwelling ? 07 5-plex ? 92 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea.
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-plex ? OS 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
O 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 5iding/Soffits/Fascia
? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration O 37 Demolish Bldg.` ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
' Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC dccupancy
Zoning
# of Stories
Length
Width
APPROVALS
Planning
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building
Engineering
Census Code
SAC Code
No. of Units
No. of Bldgs
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Variance
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
SAC Units
Valuation:
% SAC
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT
PERMITTYPE: ffi1?$3NG
PermitNumber: 07/12/96
Date Issued:
SITE ADDRESS:
P.I.N.: 10-17151-110-03
1142 PFIRKVIEW LANE
LOT: 11 BLOCK: 3
CHES MAR EAST 2ND
DESCRIPTION: R E R O O F
BUftdin.g Permit Type
Bw:ild?.ng`?lork Type
,?Census Cod`2,
,r' . . . , '..y
i
? _..?
! `\
la_ i
???V?
-•a, `' r:¢+.,'
REMARKS
FEE SUMMARY:
STORM DAMAGE
REPAIR
434 AL7. RESIDEN7IAL
t
CONTRACTOR: - Hpplicanti - si. Ll
MIDWEST RESTORATION CONST 17842772 000526
1628 HWY 10 NE
MINNEAPOLIS MN 55432-2171
(612) 784-2772
OCMS1dAN JULIE
1142 PARKVIEW LANE
EAGAN MN
(612)687-0543
I I hereby acknowledge that I have read this application and state that the
informaticin is cvrr:eot and agree to comply with all applipabie State of Mn.
5tatutes and City of Eagan Ordinances.
?
APPLICANT/PERMITEE SIGNATURE
ISSU BCSIGNATU?
J
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
1996 BIJILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
New Conslruelion Reauirements . RemodeUReoatr Reauirements
? 3 registered site surveys ? 2 copies of plan
? 2 copies of plans (inelude beam & window sizes; poured fid. design; etc.) ? 2 site surveys (exterior additions & decks)
? i energy calculalions ? 1 energy calculations /or healed additions
? 3 copies of tree preservation plen N lot plaNed afler 7/1J93
required. _ Yes _
DATE: 7/ 1 n?1
DESCRIPTION OF WORK:
STREET ADDRESS: ))
LOT ? f BLOCK No I
L CONSTRUCTION COST:
?00E ;?I'42 L??N 6-??l
FN kv ?rn
? SUBDJP.I.D. #: ?o 214"
PROPERTY Name: CRQ-'),S N1 /fiA) Phone #:
OWNER ??
??4a AVLvl rine+
C?) L4'11ye
StreetAddress?
?
06
j ?5 la-3
M N
State
(
-vYll
Ciry: Zip:
:
CONTRACTOR COmpany: IIII& Phone #: 79 % -c? 7 7OP-
W 10 N.E•
H?9h
Wa:
2171 Li
#
.u &5432
Street Address:
? cense
:
i
City: State: Zip:
ARCHITECT/ Compa y: Phone #-
ENGINEER
Name: Registration #:
Street Address
City: State: Zip:
Sewer 8 water licensed plumber:
change are requested once permit is issued.
Penalty applies when address change and lot
I hereby acknowledge that I have read this application and state that the'nfqrfnation is cqrr?ct and agree to dmply with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
,
OPFICE USE ONLY
Certificates of Survey RecQived
Tree Preservation Plan Received Yes
No
No
_ Yes
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 71 Apt./Lodging ? 16 Basement Finish
? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool
? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch o 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. ? 10 = plex ? 15 Deck
WORK TYPE
? 31 New ? 33 Alterations ? 36 Move
?- 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
_ Basement sq. ft. MC/WS System
Main level sq. ft. City Water
_
_ sq. ft. Fire Sprinkiered
_ sq. ft. PRV
_ sq. ft. Booster Pump
_ sq. ft. Census Code.
_ Footprint sq. ft. SAC Code
Census Bldg
Census Unit
Building Engineering Variance
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S1W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Tocal:
Valuation: $
% SAC
SAC Units
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMTTS ARE REQUIRED FOR EACH UN1T.
NEW CONSTRUCfION
? ADD-ON A/C
ADD-ON FURNAC,"E
FII2EP CE IN ERT
DATE
7 7e
FEES
HVAC: 0-100 M BTU
ADDITIONAL 50 M BTU
GAS OUTI,ET'S (MINIMUM 1 @ $3.00 EACH)
ADD-ON/REMODEL (ExIS'rulc CoNSTRUCrioN)
STATE SURCHARGE
TOTAL
SITE
OWNER
?
CITY: K- /[:' A * i c° /U/ ST.
TELEPHONE
$ 24.00
6.00
$ 20.00
.50
Q7d ?3D
TELEPHONE #: /,q Zf- 0? 7` >
ZIP CODE:
SIGNATUR OF PERMTI'T
1994 MECHANICAL PERMIT (RESIDENTIAI,)
C1TY OF EAGAN
3830 PII,OT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR ALI. COMMERCIALJINDUSTRIAL BUILDINGS. AL50 COMPLETE
FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE
PERMITS ARE NOT REQUIRED FOR EACH DWELLING UN1T.
DATE:
CONTRACT PRICE:
NEW BUII.DING
INTERIOR IMPROVEMENT
WORK DESCRIPTION:
FEES
1% OF ?,."PNMWf FEE $
PROCESSED PIPING: $25.00
MINIMUM FEE: $25.00
STATE SURCHARGE $.50 FOR EACH $1,000 OF P`?l= FEE.
TOTAL $
SITE ADDRESS:
OWNER NAME: TELEPHONE #:
TENANT NAME: (IMPROVEMENTS ONLl)
INST.
CITY:
STATE: ZIP CODE:
TELEPHONE
SIGNATURE OF PERMI'ITEE CTTY INSPECTOR
1994 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMTTS ARE REQUIRED FOR EACH UNIT.
- -------- - - - --------- - --------- - --
NEW CONSTRUCTION
X ADD-ON A/C
ADD-ON FURNACE
DATE ? ?-YY?J?PX Q ,1 q q 3
FEES
HVAC: 0-100 M BTLl $ 24.00
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS (MINIMUM 1 @ $3.00 EACH)
ADD-ON/REMODEL (EXISTING CONS7RUCTION) $ 15.00
STATE SURCHARGE .50
TOTAL 1 S. sb
S]TF. ADllI2ESS: JI`7`Z PQYK-V I e1/v L-ci-ne,
OWNER NAME: JIJ I l? Cx-LZS SYYI?',Lf? TELEPHONE #:
?.? /??0-?"0 8'/
?,C: (?i?AZur? ??5,0-0
Wcte4 r-e-
SIGNATLJRE OF PERMITTEE
1493 MECHANICAL PERNIIT (RESIDF.NTIAL)
CITY OF EAGAN
3830 PIIAT KNOB RD
EAGAN MN 55122
(612) 6514675
CITY: ?t . 1 I?JO? STATE: MPM?tO? ZIP CODE:,'__)5W
TELEPHONE #: -I01
1993 MECHANICAL PERMTT (COMMERCIAL)
C1TY OF EAGAN
3830 PII.OT KNOB RD
F.AGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR ALL COMAERCL4UINDUSTRIAL BUII.DINGS. ALSO COMPLETE
FOR APARTMENT BUILDINGS OR OT'I-ER MULTI-FAMILY BUILDINGS WHEN SEPARATE
PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNTf.
DATE:
NEW BUILDING
INTERIOR IMPROVEMENT
WORK DESCRIPTION:
FEES
1% OF C4NTKt1CI" FEE $_
PROCESSED PIPING: $25.00
MINIMUM FEE: $25.00
CONTRACT PRICE: $
STATE SURCHARGE $.50 FOR EACH $1,000 OF P$RMi't FEE.
TOTAL $
SITE ADDRESS:
OWIvTER NAME: TELEPHONE #:
TENANT NAME: (IMPROVEMENTS ONLY)
INSTALLER:
ADDRESS:
CITY
STATE: ZIP CODE:
TELEPHONE #:
SIGNATURE OF PERMITTEE CITY INSPECTOR
2005 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Reauirements RemodeVReoair Reauirements Office Use Onlv
3 regislered sile surveys showing sq. fl. of IoL sq. fl of house; and all rooted areas 2 wpies of plan Ced of Survey Recd _ Y _ N
(20%maximumlotcoverepeailowed) lseto(EneigyCalculationsforhealedadditians TreePresPlanRecd _Y _N,
2 copies of plan showing beam & window s¢es; poured found design, elc. 1 site survey (or addNOns 8 decks Tree Pres Required _ Y _ N
1 sel of Energy Calcula6ons Addition - indkafe itonstte sepNc sysfem Onstte Septic System _ Y _ N
3 copies of Tree Preservatlon Plan if lot platted aftei 711193
Rim Joist Detail Options selection sheet (buildings with 3 orless units)
Date ZZ Construction Cost ZD11ded '
Site Address ?RF.9V ! E&? LA Unit/Ste #
Z50 GA.%-,o 95 123
DescriptiooofWork Uw?yj Si0%.v{ ? trt.4Yi Rpp1ol-a- u-+i.0-QC+f+?eC (10)
Multi-Family Bidg _ Y Fireplace(s) _ 0 _ 1 2
Property Owner ifRA'16 h MiCHL*L F W G°'$ % Telephone #(4?f ) V/ r
Contractor w6's7'b7Z14 R ErAa D ELC-R S ;r;uC- # 3B `f 7
Address .Z S 20 We A vG City ST t'R" L
State Zip 1C9*11 3 Telephooe # (?j„?) 6 49" holf t
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category , Residential Venlilation Category 1 Worksheet • New Energy Code Worksheet
(Jsubmissiontype) Submitted Submitted
• Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone #(
Telephone #(
I hereby apply for a Residenrial Building Permit and acknowledge that the information 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 pe t, and work is not to start without a
permit; that the work will be in accordance with the approved pjwi,,in)the s of work wtAh requires a review and
approval of plans.
?aT EI'Ne'at q . LYoti„S ?
AppiicanYs Printed Name Applicant's
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 OS-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 ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ent. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
Work Types
..
? 31 New ? 35 Int Improvement ?, 38 Demolish (nterior„ -; ?.44 Sding
? 32 Addition ? 36 Move Building ? 42 Demolish' Foundation ? 45 ;Fire fRep9ir
? 33 Alteration ? 37 Demolish Building* ? 43 Reroof IA 46 WindowsfDoors
? 34 Replacement 'Dertiolitio'n'(En;ire Bldg) • GiJe PCA handout to applPcaht "
Valuation
Plan Review 100% or 25%
. ,-. - -
Census Code
SAC Units
# of Units "
# of Bldgs ` ' •
Type of Gonst ,
Occupancy MCES System
Zoning Cit'y Water
Stories Booster Pump
Sq. Ft. ' PRV . . .
Length Fire. SprinklAred
W idth
_ Footings (new bldg)
_ Footings (deck)
_ Footings (addition)
Foundation
Drain Tile
Roof Ice & Water Final
_ Framing
_ Fireplace _ R.I. _ Air Test _ Final
_ [nsulation
Approved By:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other Total
REQUIRED INSPECTIONS
FinaUC.O.
Final/No C.O.
_ Plumbing
HVAC
Other
Pool _ Ftgs _ Air/Gas Tests Fina]
_ Siding Stucco _ Stone _ Brick
W indows
_ Retaining Wall
Building Inspector
Use BLUE or BLACK Ink
r
For Office Use n I
Permit C
City of Eap I Permit Fee:
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 i Staff:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: I&ZZ N3 Site Address: 11, `f'42- 17c~ut'~~5tp~,J L~uye Unit
Name: C,' i A I Q_EW Phone:
Resident/
Owner Address / City / Zip: W42- Dar" I_4tLc.Y1e-
Applicant is: Owner X Contractor
Type of Work Description of work: t2oec { t~q
Construction Cost:1-70 00:Od v Multi-Family Building: (Yes / No
Company: S6tg7k OrrS L.LC. Contact: 3rd
Address: L S~vSSh City:
1
Contractor State: M14 Zip: ,'o244 Phone: 02,-bto- ZZ67
License Sc (,,37l3V 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:
NOTE: 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 the 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~) t~C IL OLX-W\ V_t~a_
Applicant's Printed Name Appli nt's Signature
Page 1 of 3