4705 Pebble Beach Way?? CASH RECF?IPT 0
CITY OF?EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19 ?
?
RECErVCo
Ff1016 i4?I2,4, f% - ?
AMOUNT s i{/ )r
..J ???
& OOLLARS
? CASH WCHECK ,m
U
C 4416 ?Oo-P8??
Yello%?Postlng Copy
Pink-File Copy
Thank You
BY ??
SEWER & WATER PERMIT
CITY QF EAGAN
3830 Pilot Knob Rd.
P.O. Box 21199
Eagan, MN 55121
SITE ADDRESS
OFFICE USE ONLY
PERMIT DATE 1, I 3/ v ?
WATER PERMIT #' 1o74 SEWER PERMIT #
METER # B.P. RECEIPT # C 4tYi!
READER # B.P. RECEIPT DATE 11 i 2 i;i?
METER 51ZE
ISSUE DATE - PRV X'? BOOSTER PUMP
PERMIT REQUESTED
LOT _BLOCK SEC/SUB
APPLICANT: ?
ADDRESS:
CITY, STATE ZIP
PHONE:
PLUMBER:
ADDRESS:
CITY, STATE ZIP PHON E:
OWNER:
ADDRESS: )(( i- I CITY, STATE ? ? • ti . ZIP '
PHON E: ?
SEWER 1//
WATER - TAPS
- COMM/IND ? RESIDENTIAL
? NEW _ EXISTING
I AGR E T0 COMPLY WITWCITY OF
EAG N , ? ?t? 71?CES: /
2/?"Y I
SIGNATURt WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT
ENGINEERING DEPT.
SEWER & WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
P.O. Box 21199
Eagan, MN 55121
OFFICE USE ONLY
PERMIT DATE 11 / 3/ 89
WATER PERMIT # ! 127 - SEWER PERMIT #
METER # 3d B.P. RECEIPT # L441b
REA9Eft# ? B.P. RECEIPT DATE 1 1 -2 1 Rg
METER SiZE G Jo.? 1-17-F0
ISSUE DATE I- 17-146 - PRV xR800STER PUMP
SITEADDRESS E:C', LOT ?BLOCK -1_SEClSUB
APPLICANT: i
ADDRESS: ?
CITY, STATE ZIP -
PHONL %? -
PLUMBER: /eC) -Y, rl ,?..
ADDRESS:
CIIY, STATE ZIP = =?
- ?..',? ?
PHONE: ' 1(
OWNER: ri , ;
? ? ..? r ? f 1-1 ?, ?. } . ;-• /
ADDRESS: t 'I , " ,
CIIY,STATEc:, ZIP
? PHONE: ? '
PEHMIT REQUESTEO
SEWEH ?! WATER - TAPS
- COMM/IND .!! RESIDENTIAL
-i,ZNEW - EXISTING
COMPLY MfIT?`CITY OF
I?ANCES: ?
?, ? I.
ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT
ENGINEERING DEPT. , ? .
? ,
• • PLUMBING PERMIT
ClTY OF EAGAN
3830 PIIOT KNOB ROAD, EAGAN, MN 55122
CT PRICE PHONE: 454-8100
SiteAddress 4Jf)'_? PKuRr.E !,i.z±Cti 4JAY
Lot 5 Block 4 SeciSub
m Name 'T•AMfM MF:CfiANTCAL
?o Address 124n.9-..0(IN`fi' una
c City Wu21V,;v=T.r.P. Phone
Name
COMM/IND FEE - 1°r6 OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/1ND FEE - $20.00
STATE SURCHARGE PER PEAMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
SIGNATURE OF
FOR: CITY OF EAGAN
PERMIT #
RECEIPT li
DATE: "` V
BLDG. TYPE WORK DESCRIPTION
Res. x New
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
N4,. FIXTURES TUTAL
-'Water Closet - $3 00 $ !
= Bath Tubs - $3.00
-4_Lavatory - $3.00
_L-Shower - $3.00
?Ki?chen Sink - $3.00
Urinal/Bidet - $300
-LLaundry Tray - $3.00
?Floor Drains - $1.50
d'- Water Heater - $1.50
Whirlpool - $3.00
Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMI7)
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
FEE
STATE S/C:
GRAND TOTAL• L? 4
?
. . ' , ...... . . . . .. ,? ?..,_'
PERMIT #
' MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN if;.
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE: PHONE: 454-8100 For Office Use Only:
Site Address 6LDG. TYPE WORK DESCRIPTION
Lot Block
•;
?, Sec/Sub
?
- Fies. New
`
,
Name ?1, . ' _ Mult Add-on
m
Addre Comm. Repair
?a
c ss
Cily Phone
ia 7
Other
?
- "
' FEES
?
c Name
Addres3 -
? ? ? ` RES. HVAC 0-100 M BTU - $24•OQ
ADDITIONAL 50 M BTU - 6.00
p City Phona* -' (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1
50 EA
.
.
TYPE OF WORK CQMM/IND FEE - 146 OF CONTRACT FEE
Forced Air M BTU - APT. BLDGS. - COMM. RATE APPUES
TOWNHOUSE & COND05 - RES. RATE APPUES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
Unit Heater M BTU REMODELS - 12.00
Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Outlets # BEYOND $1,000)
Other
FEE
SIGNATURE OF PERMI7TEE
S/C: '
TOTAL• _?I FOR: CITY OF EAGAN
i s r 44,
(ter#ifirafit of Orrupttnrg
Citp of Cagan
1hpttrtmmt u# WutlDing Jw.periintt
This Certif[cate essued pursuant to the requiremenls o, f Section 306 of The Uniform Building
Code cernjying lhat at the time of issuance tJris structure was in compliartce with the varivus
ordirrances of the City regulating building construction or use, For the falTowing:
uu aasmfica ,' DWG/GAR Bwa. No. 17265
Occup-r T5'Pe RA/1`'I I Zon;ng Disaia R I 7yPecoost. VN
owner or euaa??11NP,HK t1Q S'S IlVC ,,,dde,, 14055 QWID AVE S. B' VI[ IE
7A7 4705 BF'?AC?i WAY t,o,,;tyL5, B4, FAII?IAY ?IS ZI+D
FEBldIARY 13. 1990
Dek:
` I Building Otfi
POST IN A CONSPICUOUS PViCE
n.r•n, Y- :3 . , . , .. . . -p •'? : , °:.±? . . . . .. .,.c..,,r , . ^''"?,
k•• `?'?-?'`? CITY OF EAGAN
' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PH 0 N E: 454-8100
BUILDING PERMIT
To be used for S g/GAR
Site Address '
Lot s Block
Parcel No.
Sec/Sub.
Value $161,000
Receipt #
NoV
?,--' ,._.,.s?s•.-s• - a
17265
2 .ig89
a lvame HALLMARK H0lIES, INC
? Address 14055 GAAND AYE 3. SUITE 8
° City BLRNSVILLE Phone $92-36
_?? Name _ SAME
Address
Clty -
Phone
uW Name
W W
1`-; Address
a W City Phone
I hereby acknowiege that I have read ihis application and state that the
information is correct and agree to comply with all applicable State of
Minnesota 5tatutes and Ci1y of Eagan Ordinances.
Signature of Permitee
A Building Permit is issued to: HALU4AREC HO4Eg , I NC
on the express condrtion that alI work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Otticial
OFFICE USE ONLY
Occupancy R 3 Lf-1 FEES
Zoning a-i
(Actual) Const V-N Bfdg. Permit 834000
(Allowable) V-H
Surcharge 80.50
# ol Stories
Length
PlanReview
427•00
Oepth SAC, Ciry 100•00
S.F. Tota! - SAC, MCWCC 575.00
S.F. Footprints - 580•00
On Site Sewage _ Water Conn
On Site Well Water Meter 90•00
MWCC System ? 30.00
City Water xx Acct. Deposit
30`?
PRV Required SiW Permit
Booster Pump S!W Surcharge 1000
22$.00
TreatmentPl -
APPAOVALS Road Unit 1?
Pianner - Park Ded.
Council
BIdg.Olf. _ Copies
Variance - TOTAL 3,325.50
` Permit No. Permit Nolder Oate Telephone #
WATER
SEWER
ELECTRIC 4
Inspection Date Insp. Commenis
FOOtings I
Foundation
Framing 1 f 2 ,
ROOfing
Rough Plbg. ki? 6
Aough Htg 1,2w CX?P j
Isul.
Fireplace ? A- 11
Final Htg.
Final Plbg.
Const. Meter Pibg Inspeclor - Nolify Plumber
EngrlPlan ?
Bidg. Final ,PSI
Deck Ftg.
Deck Final
Well
Pr. Disp.
CITY OF EAGAN N2 17265
3830 Pilot Knob Road, P.O. Box 27-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMI.T
To be used for S F /GAR
Esc Value
Receipt # ?i`t`'c 4 W
1,000 oate NOV 2 , 1989
Site Address 4705 PEBBLE BEACH WAY
Lot 5 Block 4 Sec/Sub. FAIRWAY HILLS 2r
Parcel No.
w Name HALLMARK HOMES INC
o Address 14055 GRAND AVE 5 SUITE B
City BURNSVILLE phone 892-3636
o Name SAt?r?' I
g¢ Address
`- City Phone
? W Name
Address
aW City Phone
I here6y acknowlege that I have read Ihis application and state that the
inlormation is correct and agree lo comply with all applicahle State ot
Minnesota Statules antl Cit of Ea?qan Ordinan s.
Signature of Permilee X.?
A Building Permit is issued to: HAI'LMARK HOMES, INC
on the express condilion that all work shall be done in accordance with all
applicable State oi Minnesota Statutes and City of Eagan Ordinances.
Builtlin9 OHicial
OFFICE USE ONLV
Occupancy R-3 M=1 FEES
zoning R=1
(ACtuap Const V=N 81dg. Permit 854.00
(Allowabla) V=N
Surcharge
80.50
X Of Slones
length 581 PlanReview 427.00
DePth 44' SAQ Cily 100.00
S.F.TOtal - SAC.MCWCC 575.00
S.F. Footprints -
On Si1e Sewage _ Watar Conn 580.00
On Site Well - Water Meier 90, 00
MWCC System xx
XX Aat Deposit 30.00
City Water
PRVRequiretl . S/W Permil 20.00
Booster Pump XX S/W Surcharge 1.00
TreatmeN PI 228.00
APPROVALS Road Unit 340.00
Plannar - park Ded.
COUncil
BIdg.ON. _ Copias
Variance - TOTAL 3.325.50
14??9 -
P 74055
REUUEST FOR ELECTRICAL INSPECTION
? S. insWctions for complatlng thia form on beck oi yellow capy.
'X' Below Work Covered by Tiris Request
l/..?E?13y-0?000/1-0-7
n
ew Add F',ep. .. 7ypeofBuilding AppliancesWired EquipmenlWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Speciy)
Comm./lndustrial Furnace
Farm Air Conditionar
01her (spaciy) Coniractor§ Pemarks:
Compute Inspecbbn Fee Below:
# Other Fee # ServiceEntrenceSize Fee # CircuitsiFeetlers Fea
Swimming Pool 0 to 200 Amps D to l00 Amps
Transformers Above 200 _ Amps A6ove 100 _ Amps
Signs Inspector5 Use Only'. 7p7pL ?
Irrigation Booms
Special Inspection
Alarm/COmmunication
Other Fee
I, the Electrical Inspector, hereby
th
ti
t th
b
i
i
h
n
Rough-in
?" , /' at¢
cer
y
a
e a
ove
nspect
on
as
been made. Finv osia
OFFlCE USE ONLY • ? ` ' ' - -
This request vdE 18 moMhs irom
7-4 0 55?
ReQUest Dak Flre No. Hou9h-in In fion
qqqu??
? fieady N. ?WII Notily Inspecror
Yes ? Na ?n Reatly
I licensed contrapor O owner hereby request inspection of above electrical work at:
0o ndaress Istreet. em w aoute No.) "? /?6h JC
? C"Y ?
?
z3?nn e a a h
Sepion No. Township Nertre w No. --'"- Range No. Caunry
OccupaM (PRINn
l mc r- Phone No.
Power Sv b r
C? 'eC/i /! L- U!' 4?1 C.? ?'C
FJednwl C ctor (COmpairy Name) / Contracia9 ' irse Na.
Qq(
MaiGn9 AGdress (COnhaclw w Onirer Making I?lalletio ?
?
Authorizetl S' eWre (COrrtrapor/O?ry; kiig Inatalletan) Phone N
MINNESOTA STAiE BOAND OF ELECiflICRY THIS INSPELTION REOUEST WILL NOT
Griyp?Nidway BICg. - Room &1]3 BE ACCEPTED 8V THE STATE BOARD
7821 Unfvertky Aw., SL Paul, MN 55100 UNLESS PROPER INSPECTIIXJ FEE IS
Phane (612) 641I-0800 ENCLOSED.
DATE: 11/3/89
RE: 4705 PESBLB BBACB iIAY. L5. BA. FA1RflAY HILLS 2nd
xa
- Your Sewer & Water Permit for the above property has been completed. It will be held at the
„ Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
/'CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
_• ?our Sewer & Water Permit for the above property cannot be completed for the following
teasons:
.?
Your Sewer & Water Permit for the above property has been completed, but the meter cannot
be issued or occupancy allowed until turther notice.
- COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, EIECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
DATE:
11/3/89
4705 PESBLB BHACfl iiAY, L31 B4, FA1@WAY NILIS 2nd
RE:
xx
Your Sewer & Water Permit (or the above property has been completed. It will be held at the
Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
t CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
-° ?our Sewer & Water Permit for the above property cannot be completed for the following
+?,,, l?asons:
??
_ Your Sewer & Water Permit for the above property has been completed, but the meter cannot
be issued or occupancy allowed until further notice.
COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC: -
- REQUIREO BV LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building inspections Dept.
?-----------------
i Fo%Of((cO,lJs ?
40> City of Eapn i Pertnit#:
Permit Fee:
3830 Pilot Knob Road I
Eagan MN 55122 j Date Received:
Phone:.(651)675-5675 ? I
Fax: (651) 675-5694 .I--stan, ° - i
-----------------
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 6 y O SiteAddress: L17O5 CAlL beRCA i?GI
Tenant 14?kB Ve ?e q I Suite
RESIDENT/OWNER Name: fl /kC SJLVBhS Phone: 657"
Address / City / Zip: q70'S /"ebJ/. bewA (AVA V!
Applicant is: _ Owner )c Contractor
TYPE OF WORK ?
Description of work: lrw0ft' Cfrlal 1H$?411 NeGI raeir
sp
ConsWCtion Cost: 46,0019• Multi-Family Building: (Yes _ 1 No ?
CONTRACTOR Name: II?Li?leY/0/$ License#: 2dGZ(v.??fa/
Address: sXi SE
.
cnv: ?rnneg,Cn?Is State: ?v] Zip: $$1111
Phone: G/ 7- ?6 7- yGda Contact Person: /.?+dlel 1qdrm4A7
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category Submitted Submitted
submission type) • Energy Envelope CalculationsSubmitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan7
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contrector: Phone:
NOTE: Plans and supporting documents thaf you submitare cansldered fo be public Inlormation: Portions of
the information ma'y be-classified as non-publlc I/ you provfde speclflc reasons;hat would permit the C(ty to <
' conclude.thatthe areiradesecrets. -
I hereby acknowledge Ihat this information is complete and accurate; that lhe work will be In confortnance with the ordinances and codes of the City of
Eagan; that I understand this is not a pertnit, but only an application for a permit, and work is not to start without a permit; thal ihe work will be in
accordance with the approved plan in the case of work which requires a review and approval o anC;.
x (IAJt c/ ??dYr?9/! X v
Printed Name s Signature
Page 1 of 3
? GJ Cl ?'j MECHAIVICAL (RESIDENTIAL)
?' ? Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
Please complere for. Single Family Dwcllings
Townhomes and Condos when pemvts azc required for each unit
Date o / I 01 / Dw -:?>
SiteAddressq-1C)s bblX b("?C
RQ A
- U
i
i i
.vr
n
t#
?
Property Owner nt Telephone #(?},/ )) l Qh lJ--49 d? 1
Coatractor 1
Vlp? P
U. Vy? ? iy1 r l _ '
StreetAddress `v 1 'e-(/ W1 City Ci-S ? S;
State MA / Zip Telephone # (?l ) `{" ? ??'-L l 7 -7
The Applicant is _ Owner Conhactor Other
Add-on, modifica[ion or alteration to eaisHng dwelling unit $ 30.00
? furnace replacement
air exchanger
? air conditioner
other
State Surcharge $ .50
°T,r?r?1?n]
Total ?JUN 2 4 ZU03 ??? s :?O•10
?'y_-- =s- -
I hereby apply for a Residential Mechanical Permit and acknowledge that t e-information is complete and accurate; that the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand ihis is not a
permit, but only an application for a peruu[, and work is not to start without a pe 't; that the work 71 e in accor3ance witli the
approved plan in the case of work which requires a review and approval of plans. }/
?C v iv i\`? C
ApplicanYs Printed Name Appli ant's Signature
MECHANICAL (COMMERCIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
Please complete for: commerciaUindushial6uildings
mul[i-family buildings when scparate permits are not rcquired for each dwelling unit
Date
Site Address Unit #
Tenant Name (if applicable) Previous Tenant Name
Property Owner Te[eplionz # ( )
Contractor
Street Address City
State Zip Telephoue # ( )
The Applicant is _ Owoer _ Contractor _ Other
Work Type
Newconstruction UndergroundTank _Install _Remove
Interior Improvement Call for inspection during installation/removai of tank
Processed Piping
Nature ofWork:
Pe£mlf F04 $50.50 Minimum Pee (includes State Surcharge)
Contract Value $ x .Ol% _ $ Pemut Fee
• If pemut fee is $1,000 or less, add $.50 => $ State Sarcharge
Ifpemut fee is over $1,000, add $.50 per
$1,000 Pemrit Fee
$ Total Fee
I hereby apply for a Commercial Mechanical Permit and aclaiowledge 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 with the Mechanical Codes; 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.
ApplicanYs Printed Name
Applicant's Signature
Approved By: , Inspector Date:
7:;$$c;?;? .,",Y6i$%kMY,(gc„;X:*"?r:xkiXo$X;)1c;it:YY.;$:.•'„$cY,c;;:?$Jk1o:;,:;Y?vo:;Xc
r_ITV ni- F:nrAN
c.a5HrEi.:e S II:.:RHINAI._ V02 894
.
DA7E:, 04/28139 7IN':: 0°0002
IV
\'Ad'F:: MIGNAEI_ J STEVE.NS
205 9001 470=; r-'rBrii._i- r,c, 0.50
320 9001 4705 F•EB$LE BC;- 01.30
,
7a2<,:l Rrceip? Amoi!nC: 69..50
C:::10i ii4
iJSI"R ID„ NAtJCY
'.i???Y?:???/i'?)?:i???.T??M?t?M.i?l?.?fn!?y?MM??ii:?)Fi?.: ???y?•?.i?l.4i?W??.?!?
1999 BUILDiNG PERMIT APPLICATION (RESIDENTIAL)
I
3830 PILOT KNOB RDN 55122 0
651-681-4675
New Consiructfon Reaulremenfs
? 3 regisfered stte suneys showing sq. fl, of Ioi, sq. R, of house
and oll roofed areas (207 maximum lot coveraae allowed)
> 2 copies ot plans (show beam 8 wlndow slzes; poured fnd. design; etc.)
: i sef of energy calculatlons
> 3 copfes ot hee preservafion plan X lot plaffed affer 7/7/93
DATE: q / Z lJ/q cl
DESCRIPTION Of WORK: _ SikPB? AGk *{- k
STREET ADDRESS -`
b
LOT: ? BLOCK: ?t SUBD./P.I.D. #:
Name: ?;IenjL° o5 m [ G?ol e-( Phone #: (o.s ? b?b- 6b VI
lasi FIM
Phone #:
(area code)
PROPERTY
OWNER
CONTRACTOR
ARCHITECT/
ENGINEER
Street
e p?
P'n
G ? (/?--i
City IFR c? H State: 441V Zip: S s1ZS
11
Company: MG aa IVP/( o Cl e cle C•
Street
City
Remodel/Reoalr Reauirements
2 coples of plan
1 set of energy calculations for heafed addNfons
1 sfle survey lor exterfor addBions 8 decks
CONSTRUCTION COST:
i zf ck.,,cp I v
State:
Company:
Telephone #: area code ( )
Street
City
Sewer 8 water Iicensed plumber (reauired tor new consfruction onlv):
State:
Penalty applles when address change and lot ehange is requesfed once permR is issued.
Zip:
- I hereby acknowledge that I have read fhis application, stote fhat ihe informatlon Is correct, and agree to comply wlth all applicable
,Stafe of Mlnnesota Sfatutes and CMy o} ECgan Ordinances.
Signature of Applfcant: 7
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Llcense #
10 000
C ;?n h 4 Se rvt ertl
;RO Mn)SYrzi
Zip:
Name: A -n
RegishaNon #:
Tree Preservation Pian Received - Yes - No - Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments 0 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
',W 33 Alteration ? 37 Demolish Bldg.' 0 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) Basement sq. ft. Census Code
?
(Allowable) ? Main level sq.
? ft. SAC Code
UBC Occupancy sq. ft. No. of Units
Zoning ? sq. ft. No. of Bldgs O
# of Stories sq. ft. MC/ES System
Length sq. ft. City Water
Width Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
APPROVALS •
Planning Building l? J Engineering Variance
Permit Fee Valuation: $ 1 ZOD -
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
SNV Permit
S/W Surcharge
Treatment PI.
Park Ded.
Traiis Ded.
Other
Copies
Total:
SAC Units
% SAC
1989 HBILDIIiG PERMIT iPPLICAiI01Q
CTfY OF EIGAN
SINGLE FAMILY DtiiELLIAGS
2 SETS OF PLANS
3 REGIS?ERED SITE SORYEYS
t SET OF ENERGY CALC3.
11?
MQLTIPLE DiJELLINf1S 4?6 COMMERCIAL
2 3ET9 OF PLANS
6EGIST6RED 3ITS 3QRVESS -
(CHEC% YITH BLDG DIV.)
1 8Ef dF EliERGL GLCS.
2 3ETS OF 18CH13ECTURAI.
Q STaDCfOAIL PLiN3
1 SSP OF BPECIFIC9TIONS
1 SET OF F.NERGI CALC3.
laJLTIPLS DNELLINCS HENTAL DNIT3 FOR SALfi 08ITS i OP DBTI3
iOTEt IDDAFS3E4 FOR CDRNER LOTS - CORTAAC!'OR/HOMEOiiNEH !!QS? DOIGNlSE iiHICH iDDAFSS
IS DESIAED. HO CHANGES WILL BE ALLOiiED OIiCE HDILDIAG PERHIT I3 ISSOED..
3ENER 3 WATER PEIdM FEES lND lCCOURT DEP03IT l663 iiII.L BH INCLUDED fiTPH ?HE 80ILDIN4
PEIHM FEE. PAOCESSING 2IM FOR Sfl'iTEA 1FD IiATER PEANI?3 IS TWO DAYS OHCE A PEAMIT HAS
BEEq COlfPLETED INDICATING A LICEASED PL9lIDER.
PENALTB 9PPLIFS WHENs PERMIT IS NOT PAID FOR IN SAME MONTH IT IS REQIIESTED.
LOT CAANGE I3 REQOESTED ONCE PERMIT IS ISSDED fiDy Q i 196z3
?? G?.CZ1.pp „ .
Be Used For: ; m /??,, ""'Ya?u?'tion aV Date:
Site Address 4'1U5-C b? ?j nCL, I.t?t 149+1 om ? OFFICE OS6 ON[.I
LoL ,5' Block q Oecupancy A-3 M-1 FEES
ParcellSub
Owmer 44
Address /yC)5? ?and F-h12. 3.?3i
City/Zip Code EUfnSvil Ie,
Phoae M 3L 36
Contractor /tt)flrnnrk FtDmPS Tt2C_'.
Addresa Iq ?(2anrl )p. cl. Stj; iP A
City/Zip Code
Zoning 2 -1
Actual Const V -N
Allowable V _1J
# of atories
Length ?
Depth Hy?
S.F. Total
Footprint S.F.
On aite eewage
On aite well
l1WCC Syatem ?'
City water ?
PRV required ?
Hooster Pump _
APPAOYAIS
Yhone ?9Z'31L'3 1n Planner
Couneil
lrch./Engr. Bldg. Off. „f?I??L
veriance
Address -.
City/Zip Code
Bldg. Permit ff54-0C
Sureharge E30,SC
Flan Aeview Qa4, ot
SAC, City
0
100.0
sact rnWcc 57 ,oa
Nater Conn 5 ,ao
Water Meter 90.00
?eet. Deposit .30. o-1
S/K Yermit o0
3/il Surcharge 1 ,00
Treatment P1 . ?a 00
Aoad Unit 9,00
Park Ded.
Copies
SDBTOTAL
Penaltq
?OiEL
/?' '-`'&l
Phone i q;j7 - 2U4y v
V,4t?uATI at,,J
? . • ? ,?
3 2, x . z o - ? ? •' `A"`?; . ?
'7 y x r.? ?? !? s?`a
'?1ous?
'-I x?o? yU
_?-
13?3 x?1?1= :'/??6k'?T
TRI-LAND C0.
SURVEYING
SERVICES
1260 YANKEE DOODLE ROAD
EAGAN, MINNESOTA 55126
SITE PLAN FOR:
HALLMARK
HOMES
LEGAL DESCRIPTION; LOT 5,BLOCK 4, FAIRWAY HILLS 2nd ADDI
ACCORDING TO THE RECORDED PLAT
00STER PUldlP
.. REQUIRED _._._
LEGEND
o DENOTES IRON MONUMENT
a DENOTES WOOD HUB SET
/o?s.ie DENOTES EXISTING SPOT
ELE VATION
(io9z -)DENOTES PROPOSED SPOT
ELEVATION
? DENOTES DRAINAGE DIRECTION
PROPOSED FULL BASEMENT-WALKOUT
INVERT ELEVATION AT SERVICE EkTENSION=
PROPOSED GARAGE FLOOR ELEVATION = ioas e
PROPOSED FIRST FLOOR ELEVATION = Ia<s £
PROPOSED BASEMENT FLOOR = ??3z =
ELEVATION
NOTE ? VERIFY ALL FLOOR HEIGHTS WITH
FINAL HOUSE PLANS
I Aareby certity that this survey,plan or
raport wes prepored by me or under my
direct supervision and that I am a duly
Repistered Land Surveyor unda ihe
Laws of the State of Minnesota.
Li" n ?L?
Bradley . So6enson, Mn. Req. No. 15233
Dafe- ,o 1N,/a9
a L'"? V_C_ ? C01C.0 1%/Oor I
OWNER' ?
SITE ADDRESS
DATE _ /n-,36- o P .
CONTRACTOR
PHONE $cI2-3?3?
Determine Working Sguare Footage of Each.
1. Total Exposed Wall Area' .
• Sq. Ft. X 7
.11 a
2. Total Roof/Ceiling Area . , Sq. Ft. X .026 = 33.ad
3. Total Floor/Cant. Area
• ^
• Sg. Ft. x
.05 = -
Total Exposed Wall Area Above Floor
.
a. Total Wall Window Area. .,
b. Total Door Area . . . ' ' ' '
c. Total Sliding Glass Door.Area.. d. Total Flreplace Wall Area . e. Total Wall Framing Area (average.109) ,.
f. Total Net Wall Area Above Floor
g. Total Rim Joist.Area.
. . . . . . . . . .
Total Exposed Foundations Area a -
i. Total Net Foundation Area Abov,e Grade ..
Determine "U" Value ofoEach Wall Segment.
h. Total Foundation Window Area
a. X fluff
b. lz X
z oV
o °
C. ?
y
? 11
?
11
?
d •
v
11 u11 O
B• X uVu °
f. X uVo ° 7,0
q. X ????? ?.
n. x ???,?
i. - X 44ull = o
• . SUBTOTAL
4.
TOTAL Q 9 7
If item Y9 is the same as, or less than item IY1, you have met the
intent o! SHC 6006 (c) 2.
.
Total Expoaed wall Area AboVe Floor
a. Total,wall window area
b• Total door area
c. Total sliding glasa.door area. . . .
a• Total fireplaca vall area ???
e. ToEal uall framing area (avrg, 30%)*
f. Total net Wall area above floor
g. Total rim joiat area ,,
. . . . . .
Total Expoaed Foundation Area
1H Total Foundation WindoW Area
I Total Net Foundation Area Abova
Determine •U" value ot each wall aegment.
. -
. 3S?2.or)
. ?aro7
. . .
. . . -•
. • . /2g,94
Grade
a. -??0.'o7 Y
b. ?U?
x ?V. -
C
rV•
d. x •uM . __ ? •OSt? ?
f . _.L? Y ? U ?
N
X Mu
9• x .U•
h. - _ -? ? '
x rVr
.uN '
, . = T7-_
SUBTOTAL • O
b.
c.
d.
f.
9•
Determine •U• value of each wall aegment.
Total Expoaed Wsll Area Abova Floor _ 1f14,00
Total vall windov area . \
Total door area . ? ? ?
Total alidin ? ? ? ? ' ' '
area
a
i
a
Total . . .
firepl
wall
area
ce . . . ?--
Total vall framing area (avrg. 10!)* ,,,
Total net vall area above iloor
?
rotal rim joiat area , , , ' '
. . . . . ' ' '
9? -
. . .
Total Expoaed Foundation Area
Total Foundation Window Area ?-
Total Het Foundation Area Abova Grade
A.
b % `U• /-7'T?
--
. ? x
.
.u
?
.
C.
d
x
¦U, r_
-
.
x
"U"
.
i
e•
f
x
•uY
°
. x "U• _
0
9• _ ^_
h x .p¦
? . .
•
?.? x MuY
•
x V r,M
SUBTOTAL ?
?_ , 3
. j.
m.
n.
Deterai
Tota]
Total
Total
Total
Total
Total
ne •u'
Expoaed Roof/Ceiling area 072
skyligh[ area „ , , , , ,
ilat roof/ceiling traming area .
net tnalted flat roof/ceiling area . _76
vault roof/ceiling iraming area-10t
net ioslted vault roof/celling area _J
value for each roof/ceiling aegment.
J. , x •U. _ m ?
k. x •U•
--
x •U" . ?,
AI. x wV• ? ?
. fl • X ¦ V • "?1 a
5• • TOTAL ¦
. ? .?a
Il itew 15 ia the aame ae, oc leaa tAan item 120 you havb meCthe
intent oi SBC 6006 (c) 1.
Sotal Exposed Floor/Cant. Areaa
, • • o. Total
p. Total
? Determine •U•
? o.
• p •
floor/cant. framing area (svrg, l0i)
net insulated loor/cant. area . . .
value for each floor/cant. aegment.
x 'U" .
" x `U' .
6. TOTAL '
If total of 16 is Lha same aa, or leaa tAan #3, you have met ttie
intent o! SBC 6006 (c) 3.
ALTERNATE SUILD2NG ENVBLOPE DESIGN
To utilize the total envelope ayatem method, tha valuea establiahed
? by the sum of items 14, 15 and 16 shall not be greatar than the aum
? of items 110 12 and 13.
?..399z._ 1 32
3. . 3 Fr ,o
4,s. a ?kA 6 -? . .
'i ' •
,I . • - • .??.. r.ar `.uB ` . TIIAU ]NS. 41ALL Int. Air .6n
•v/ S.R. E SIDING S•;R, 45
srua ul S.A. 6 SIDING S.R. ,'fS
I
•Shtg. ' 0210'9 • . ns.
'
?y 7 • . SHTG.
. Siding ? 6P7.
Siding
' ? • Txt. Air ,17 ,
r.xc. Ais ".17
' 7otal "R" =/O.?}'J
Total 'lhll
' • 1/R
THRU CLG. Int. Air .61 ? THRI! CLG, Int. Air .61
. HE1:9ER S.R. I??SUI.ATI01•1 S.R. (yres) .579
Clg. Piemb, Ins. (I'`i"') IV-00
Ir.s. (1011) 30,0O •. • • Sti3? Air .61
' . . Still Air .61 Total "R" _
TOiLl "Ru 1/R ? uUn
? .'l I? "U" ? ? . ? •
1
. . . .:?? • .
. : • . , ' . . ' ' '. •• ' ' , f .,.:
. . . . . . . .. . ..
I
THRU CdNC BLOCK' ,Int. Air ? • •,68 .
• . . , C.B. U-114i)
, . , ' ' ? • ? 'Opt. 'Ins. •'Jr(.? .
Ext. Ai£ • .17.
Opt. S.R. • ' -? .
•
. Opt.
5id•, . ?- .
' ' •
.' Total "R" : ? • -]„L3
"U"
'TNRU kI
JOIST
.•,'.
: . .
Int. Air
' .,68
.
' ,.. .
1900
, . ih" woad . .1.89
` Shtg: C;),O9
' • Siding . ••??7
• Lxt. Air • • •.17
Opt. Brick
'r
?i ?•?
• TotAl
R
, =
H
------------------
?
j Permi[#: l5? ?5?? j
? Permit Fee:
? Date Received: ?
I I
I SIaH I
I
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: C 20 v D Site Address: /?
/ y-
Tenant: ??(GP gI C1t?, 0 ???GtS Suitetk:_
RESIDENT / OWNER
14 • ?? • L2/° ` v' '?Phone: 66 ?' 4
Name:
Address / City / Zip: f7
Applicantis: _Owner ?Contractor
TYPE OF WORK Description of work: (l
Construction Cost: Multi-Family Building: (Yes _/ No U)
CONTRACTOR Name.1% eX, r71U License u: 2 D6 Z?3 ?/
i
?
e?
5?
?-
2
,
Address:
I
1
City: l StateAL Zip:
Phone:b? ?7 &7`ContactPerson:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateoorv 1 Minnesota Rules 7672
Energy Code . Residential Ventila[ion Category 1 Worksheet • New Energy Code Worksheet
Category sunmined submined
(4 SubinissiOn type) • 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?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting dacumenfs that you submit are considered #o tie puWic.iniormation. Portfons af :
,!he information may be classrfied as nnn-publJC 4tyau provrd?specF#7c reason5 that wauJd permit Ihe City to"- ;
,
'4 canclude'thatthe a'retradeseorets.-,
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance wifh the ortlinances and codes of the Ciry of
Eagan; that I understand this is not a permit, but only an application for a pertnit, and work is noyl tart without a permi[; that the work will be in .
accordance wdh the apprwed plan in the case of work which requires a review and approval of lai s?.
x?),A u' cX 161 A3' 6,() x
ApplicanYs Printed Name ApplicanYs Signature
Page 1 of 3
Use BLUE or BLACK Ink
For Office Use I
3
1 X3
I
EaEd o I Permit 1
lin
I
City of
Permit Fee: 1
3830 Pilot Knob Road I
Eagan MN 55122 1 Date Received:
I
Phone: (651) 675-5675 Staff: 1
Fax: (651) 675-5694
2013 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: nt"~1L~1!7 Site Address: ~ 5 P,ib[/V, WA A VY"
Tenant: Suite
Resident/Owner Name: MCI 54%VIM5 Phone: 1.1 U26- gig
Address / City / Zip: Loq pt 19171f
Name: Wenzel-Plymouth Plumbing, LLC License#: 061555
Contractor Address: 1710 Alexander Road City: Eagan
State: MN Zip: 55121 Phone: 651-452-1565
Contact: Carl Michels Email: cmichels@wppmn.com
Type of Work -New _Replacement -Repair _Rebuild - Modify Space _ Work in R.O.W.
Description of work: Demo Pressure Booster
RESIDENTIAL
Water Heater
Lawn Irrigation L_ RPZ PVB) Water Softener
Permit Type
Septic System Add Plumbing Fixtures Main Lower Level)
New Water Turnaround
X Abandonment
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$60.00 Lawn Irrigation (includes $5.00 minimum State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround" (includes $5.00 State Surcharge)
*Water Turnaround (add $200.00 if a 5/8" meter is required)
$105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
TOTAL FEES $ N/A
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 pla
x Carl Michels x
Applicant's Printed Name Ap s Si nature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground Rough-In _Air Test Gas Test Final