2840 Pilot Knob RdCITY OF EAGAN
3795 Pilo! Knob Road
Ea9ae, Minnesota 55122
Phone: 454-8100
Prjma?
Dote:
9--20-79
PERMIT
'}Z40 n13.'?t ?.77ib 113ad
Site Addreu:
No. 1471
15885
Receipt No.:
Single
Residential
Lot Black Sub/Sec. Multi Res., Comm./Ind. I
Ncme 2`4 WiDIIM /Re
air
New/Alter
; Address 22-40 ??lot YZiob F?-vll .
p
Cost of Installation ??490•OC
O
City Phone:
Pertnit Fee
Name c`?km?? "Iechariml Surchorge •5?'
.
?
Address '16!''7 Yei71ebeC L-t1'i-q.lt'-
3 City
Phone: Total
This Permit is issued on the express condition that oli work shall be done in accordance with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
??xG,? '7 f Building
? C1TY OF EAGAN PERMIT TYPE: +0' ?
3830 Pilot Knob Road PermitNumber: ?•'•?++•?s
Eagan, Minnesota 55122-1897 Date Issued: ?*0 IV
(612) 681-4675
SITE QDDRESS: ' APPLICANT•
•
. , I i tac
I :(:?4 I 1?:'i ?I?tFlf I?i l f,?i '• 1 r. ?, ?--????.?'
PERMIT SUBTYPE:
- 0114 s-
TYPE OF WORK:
INSPECTION D. • D•
17-
Permit No. Permft Holder Qate Telephone A
ELECTRIC ? OPP
PLUMBING
HVAC ' &vg
4
Inspection Date Inap. Commen
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSU!
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG (7? A
ORSAT
TEST
BLDG FINAL ?
8SM7 R.I.
BSMT FINAL
DECK FTG
DECK FINAL
INSPECTIONRI
CITY QF EAGAN PERMIT TYPE:
? ?? f'ilot Knob Road Permit Number:
`?" Eagan, Minnesota 55122-1897 Date Issued;
(612) 681-4675
SITE ADDRESS: APPLICANT:
• , it c?i x"O" rtr) ?.? , ...r?
i<'r ilitm i !IE [ lii1t ? ( b!.? l i f,?t i 1! 0
PERMIT SUB7YPE:
- rv\ ?5c-.
TYPE OF WORK:
•'+ ! T 1? {3 A? 'C { ?:? N
r?(j/ftFktl(.) V / s IItol
INSPECTION DA .
. . , ? ..
! ?! .?Ij ?i i I a:il i?+1,;it ? i! 1`• 1
I , t.aM R F v:t fIj f n flv wA YN ? +4 7 r t f tr . pf€too€ tNE7, 4;10114t., fi?fr 11? i"iAi'4AtiF. "Ij
<IIANii 1 Nii 1"'01.1F S IYLE . WA 1'J[Nii iatti9 f)A14A(rF f;tki ( llAIrt; 100 Vf?R VOttf c F}AW, P .
?
?
?
Permit Holder Date Telephone #
PLUMBINd-
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
?
ROOFING
ROUGH
PLUMBING
Z'g -z- I
PLBG
AIR TEST
- ? ? Te, B
ROUGH
HEATI(VG
GAS SVC
TEST
INSUL
GO
rn??
GYP80ARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IPRIGATION
METER
FLUSH
MAINS
CONDUCTIVITY
TEST
HYDROSTATIC
TEST
BSMT A.I.
BSMT FINAL
nECK FTG
DECK FlNA!
?
??
CITY OF EAGAA!
Addition Counti
9 Parcel 0 09
stete Eagan, MN 55121
Improvement Date Amount Annual Years Payment Receipt Oate
STREETSURF. 1954 1779.20 177.92 lO 1779,20 C008197 8-1-53
STREET RESTOR.
GRAOING
[It SAN SEW TRUNK
P
SEWER LATERAL
441
WATERMAIN
* WATER LATERAL
WATER AREA 3,32 1977 16
STORM SEW TRK g?3 1984 495.00 33.00 1 495.00 C008197 8-1-83
STORMSEWLAT $0 1984 495.00 33.00 15 495.00 C008197 8-1-83
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN, 00 I 71,
BUILDING PER.
SAC ?Q
PARK
OF EAGAN WATER SERVICE PERMIT
3795 Pilot Knob Road PERMIT 1V0.: 2020
Eogon,MN 55141 DATE: 7/21/76
Zoning: R= No. of Units: 1
Owner: Tioren Max eId
Addresa: ?
Site Address: 2840 Pilot KNOb Road [
PIu?M6er: same WATF.R T[JRNED OFF T CURB ffj
o.; 2 5 2 4 3 4 5 5 Connection Charge:160. 00 pd ?
Size: 5 8 RocY,o-?ell AccountDeposit: _
Reade No.: A 0 3 G f0 Permit Fee: 10. 00 pd
1 a
g`°
To
?
ly with tha Villagr of Eogon Surcharge: .50 pd
,
} ?
/
j
? 60
00
d
O.qi(arifii Misa Chuges: .
p
meter
1
1.30 pd horn
?
By Date aid: o.
,
Date oF Insp.: Insp.:
Y!tl.A!!E OF EAOAN SEWER SERVICE PERMIT
3795 Pilot Knob Rood PERMIT NO.: _2-7? '-F 77?
Eoyan, MN 55122 DATE: 7 I21I76
Zoning: RI Na. of Units: 1
Owner: iu ren Maxfield
Address:
Sice Address: 28 40 Pilot Knob Road Eaqan , MN
Plumber: sa me
100.00 pd
00 pd 0
350
I ayroe fo comply with tha Villaga of Eegan Connection Charge: .
15. 00 pd
Ordinancas. Account Depvsit
10.00 pd i4
Permit Fee:
• 50 pdi
Surchazge:
g Misa Chazges:
y:
t
D
f I 'I'atal'
a
e o
nsp :
lnep.: Date Paid:
..y
5-31 ? 47D7
S ?
Reques a?e
??? Fire No Ro gh-In Inspectio Reqm C
(VOU musl call insp n ready)
W InspecGOn Other Than ough-ln
? Peady Now ?WJI Nolify Inspeclor
?' ? Yes
No ?ate Feetl
IAlicensed contractor ?owner hereby request inspection of above electrical work at:
Job Atltlress (Sireel, Box or Route No ) ,
a??o P; io f nob 166-o.zz' Qty
EA6AN
Seclion No TownsM1ip Name or No Range No Counry
OccupyRINT) K Phone No
Power Supplier Adtlress
Eledncal Contractor (Company Name)
r?n.v6 ? cao?.uG Contrdctors LRense N
o?? ??
Mailing AOtlress (COntracmr or Owner Making Installabon)
ANhonz i Wr
e (COncractor ner Mak InstallaLOn)
1
Phone Number ?
?7f3-?sy
MINNESOTA STATE B A D OF ELECTRICITY
Gdggs-Mitlway Bltlg. ? om 5428
1 I THIS INSPECTION REQUEST VJILL NOT
BE ACCEPTED BV THE STATE BOARD
1
1821 Universiry Ave., SL Paul, MN 55104
Phon¢ (612) 662-0800 UNLESS PROPER INSPECTION FEE IS
1
ENClO$ED
REQUEST FOR ELECTRICAL INSPECTION
T ? jll? See mstmdions lor completing Nis torm on back of yellow copy
Q
? "X" Below Work Covered by This Request
u"k"' EB-00001-09
A?)if?(p
w.ay
Ne Add Rep. Type of Building ppt?s Wired Equipment Wired
Home ange Temporary Service
Duplex ater Heater Electric Heatin
Apt Building I ryer Load Management
Comm /Industrial Furnace Other (Specify)
Farm ir Conditioner
Ofher(speoily) Contraclars qamorks
Wi.re fl /2 CoN1317-1011iEK ? Rlk HANbLE?
Compute Inspection Fee Below.
# Other Fee # Service Entrance Srze Fee # CircuitslFeeders Fee
Swimming Pool 0 io 200 Amps 0 to 100 Amps -
Transformers Above 200 Am s Above 100-Am s
SIgnS Inspector s Use Onry TOTAL
Irrigation Booms
Special Inspection
Alarm/Communication THIS INSTALLATION MA O DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, here6y
rtif
th
t th
b
i
i
h Roughin oete
ce
y
a
e a
ove
nspect
on
as
been made.
F'"ai
oat
OFFICE USE ONLY
This requast void 18 monNS imm
I? ,/ L eL BL' / CITY USE ONLY RECEIPT #: 7qo"
?? ?
?
SUBD. RECEIPT DATE: I1998 PLUMSING PERMIT (RESIDENTIAI.)
CITY OF EAGAN
3830 PILOT IINOB RD
EAGAN, bA7 55122 (612) 681-6675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
D backflow preventer for underground sprinkler system
-----------------------------------------------------
FIXTURES -------------------
EACH --------
# TOTAL
Shower 3.00 x =
Water Closet 3.00 x
Bath Tub 3.00 x
Lavatory 3.00 x
Kitchen Sink 3.00 x
Laundry Tray 3.00 x
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x =
Floor Drain 3.00 x =
G85 Piping Outlet * minimum -1 3.00 x =
Rough Openings 1.50 x =
Water Softener *for dwellings under wnstruction 5.00 x =
Water Softener ' for existing dwelling 20.00 x =
U.G. Sprinkler ' for dwelling under const. 3.00 =
U.G. Sprinkler ' for existing dwelling 20.00 =
AlterOtionS * to existing residence 20.00 = ?;.o-o
Water Turn Around 20.00 =
Private Disposal System * MPC iic. 75.00 =
(new and refurbished systems)
Private Disposal Systems ` Abandonment 20.00 =
RPZ (new installation only) 20.00 =
STATE SURCHARGE 50
TOTAL
----------- --------------------------------------------------------------------------------------------------------------------
I hereby adcnowledge that I have read this application, state that the infortnation is corteIX, and agree to wmpy with all applicable City of Eagan ordinances.
It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liabiliry for any damages caused hy the City during its
normal operational and maintenance activities to the facilities wnstruded under this pertnit within City property/right-of-way/easement.
/??Ld% f?1JPll? ??• -
SITE ADDRESS: 425W
OWNER NAME: 1-1s'I/IO/9 ,.5Zr1eic z Y2t
INSTALLERNAME: TELEPHONE#:cS??
STREET ADDRESS: 5?9-2 q 4A YAl// /g[/ AA%'
ciTV: onhLvn/
CD/PERMIT FORMS/RPLBG PERMIT (RES) - 1998
Vc*:'c?k?;'tYS?C;em?<;?M?K>'F?t:R`k'k:YU;ch; £cr;;??>?v,:,:X<m}a?:u:t%c
CIYY OF ER??,?fit:
CACt-f.[EFi; :7:a 1'FRM:CNFit.. F'rJe oE78
DAM 09/28/99 •T'IME; A:'.605
IPr
NAMF.=s rrictA'r'+".'i?f ASSOr;I1TE5. 70
32:Lg 900; 2040 r]t.OT KhJIa :i.ci7.25
2'.':?5 `)If?Ji- 2840 l'I'_.01' ,cNP 050
?
?
Tc?..,.. I''. _•f?i?;,. ??e.n??n? ., M .75
CR:I :1."i":i?9
iTF;; M :IA'J
1999 BUILDINC PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
C-) 651-687-4675
New ConahucHon ReaulremeMs
Remotlel/Reoah ReaulremeMs
D 3 registered aRe surveys showtng sq. ry, of lof, sq. R. of house 2 copies of plan
ond all roofed areas (207, maslmum loi eoveraae allowed) 1 set of energy ealeulafions iw heated addMions
Y 2 copies of plans (show beam 6 window eher, poured fnd. defign; Nc.) 1 aMe wrvey lor extedor addlHOns R decks
D 1 set of energy calculaNona
? S coples of hee prcservaHon plan 8101 plafled alter 7/11/93
DATE: CONSTRUCTION COST:
DESCRIPTIONOFWORK: LP4w?
STREET ADDRESS: aU?1O l-? l`O"t 1 II?J? ? Z?-A
LOT: ? BLOCK: 91 SUBD./P.I.D. #: t
Name: ?i? L???- 52C'k:C2WY1 Phone#: (r?Jf?
PROPERTY Las? F st
OWNER StreetAddress: c - L' t'I((J? WA4L)L QCW
Ci1y L Gga-Eu State: Y ? VL/ Iip: Ss( a-1
Company: Phone #: (l'( ?- l ?3 Ci? ???
(area code)
CONTRACTOR ???' Licertse # 3Exp.
Sheet Address: y 3 /?nJ
ctty FC%U P14/i-P stc[te: WN zip: S?3 Y
ARCHITECT/
ENGINEER
Telephone #: area code (
Name:
SfreeY Address: RegistraNon #:
City
State:
i
Sewe6?3 water Ilcensed plumber (reaulred for new conshucllon onlvl:
Penalty applles when address change and lot change b requested once permH is Issued.
Zip:
I hereby acknowledge fhat I have read fhis applicailon, sfate that Ihe InFormaHOn Is conect nd ogree to comply wHh all ipplicabl
State of Minnesota Statutes and CNy of Eagan Ordinances.
Signature of AppllcanY. --
OFFICE USE ONLY
Certificates of Survey Received ? Yes _ No
5EP 2 3 '
Tree Preservation Plan 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 X 17 Garage ? 22 Porch/Addn. (4sea.
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-piex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? OS 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
)if, 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 5iding/Soffts/Fascia
? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bldg.* ? 41 Wood Stove ? 45 Fire Repair
O 34 Repair ? 38 Demolish (Inte(or) ? 42 Reroof
' Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
Const. (Actual) 'S • °-1 Basemerrt sq. ft.
(Allowable) Main level sq. ft.
UBC Occupancy sq. ft.
Zoning 2 - ? sq. ft.
# of Stories sq. ft.
Length sq. ft.
Width Footprint sq. ft.
APPROVALS
Planning Building
Permit Fee 1 V1- 2-?
Surcharge U . ?U
Plan Review
License
MC/ES SAC ,
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
SNV Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
Census Code 38
SAC Code 61
No. of Units l
No. of Bldgs _L
MC/ES System
City Water
(000 Booster Pump
PRV
Fire Sprinklered
C" Engineering Variance
Valuation: $ .!?
?
SAC Units
°k SAC
(
L a gL CITY USE ONLY RECEIPT #:4?Z66-7
?
SUBD. DATE: i 995
?6C2 # 0??5Jrg/ 1995 MECHANICAL PERMIT (RESIDENTIAL)
?p CITY OF EAGAN
cemtia
`??'? ? 3830 PILOT KNOB RD
`}e ?o<0 EAGAN, MN 55122
(672) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
New construction Add-on furnace
? Add-on air conditioning Fireplace conversion (to existing fireplace)
Date: ",6- A3-?
FEES
? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00
? HVAC: 0-100 M BTU 24.00
Additional 50 M BTU 6.00
? Gas Outlets (minimum of 1 required Qa $3.00 each)
? State Surcharge .50
TOTAL Ad'• Sd
SITE
11 nob eoCt G-I
OWNER NAME: ( J,2i`7 Sze_i,UC2,_?/ K.. PHONE #:
INSTALLER NAME: 'Erlrk SrfYl i' (4 (1,
STREET ADDRESS: 9?a ?? '5t• Ue.
CITY: f_-?I0'e./^l?. STATE: ?,?N _ ZIP: 65WI/9
PHONE #: ( 0/a )?U,?'
i
CITY USE ONLY
L BL RECEIPT
SUBD. DATE:
1995 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please compiete for: ? all commercial/industrial buildings.
? multi-family buiidings when separate permits are = required
for each dwelling unit.
DATE:
CONTRACT PRICE:
WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: ? $25.00 minimum fee Qr 1% of contract price, whichever is greater.
? Processed piping - $25.00
? State surcharge of $.50 per $1,000 of pg,gnA fee due on all permits.
CONTRACT PRICE x 1%
PROCESSED PIPING
STATE SURCHARGE
TOTAL
SITE ADDRESS:
OWNER NAME: TELEPHONE #:
TENANT NAME: (IMPROVEMENTS ONLY)
INSTALLER:.
ADDRESS:_
CITY:
STATE: ZIP:
PHONE #:
SIGNATURE:
SIGNATURE OF PERMITTEE CITY INSPECTOR
*Vt #k"X31 ?c*%k ?F?'? /.?%?u•§.Y;:, ? iKQ MMU'16* kM
C.f rY QF Ff-t'),?N
'; iTrl'iM7NFd_. N0: ^1.£3
iiPTEs Mti/3£3 7'M!;:y i.'Sc35:49
ZD ;,
NnMr. JOrw N'ft;l-ICfl_S0n
^s_i.u 9001 P040 PIi...«r E:NnR 137..25
2i.'';5 90012E34C1 P11 DT t:NOR q„{:?n
laW Sii:i('e'Ipt Flmrnl'r11':i.4:l..i:s5
CF097303
ii.^.•E:fi 'I:D; hFlNC'f
'E YF?F?C?t?C7f * K K ???i ???k#?#'k'r ?f ?h+%?"!+'M#.?F? 1iYn?Y:T.?r.'nN'+?F?!'K
FERMIT
CITY OF EAGAN
3830 Pilot Knob Road
Eag?i, Minnesota 55122-1897
(612) 681-4675
PERMITTYPE: BuILoING
Permit Num6er: 0 3 3 2 2 9
Date Issued: @ 9/ 11 / 9 8
SITE ADDRESS:
2840 PILOT KNOB RD
LOT: 3 6LOCK: 9
COUNTRY HOME HEIGHTS
P.I.N.: 10-1$300-030-09
DESCRIPTION:
SOG/RERDOFJSTORM
Burildivi'q:,Permit TypE 5F &kt8 YY1?S? -
Building Wotirk Type ALTERATION
ensus Cod,e _ 434 ALT. RESIDENTIAL
r.
1N 4.
,. ;`i - ''? - '? - r: --• `_:
?
v^'"?-aemi:., • ?:v'-_a ..- .?i
REMARKS:
PLAN REVIEWED BY WAYNE MILLER. REROOFSNG, SIDING DUE rn STORM DAMA6E BUT
CHANGING ROOF STYLF. WAIVING STORM DAMAGE BU7 CHARGING FOR ROOF CWflNGE,
FEE SUMMARY:
VALUATXON $8,90m
Base Fee $137.25
Surcharge $A.00
Total Fee $141.25
CONTRACTOR:
i
.
OWNER: --
szewczvK
2840 PI
EAGAN
(651)683-1100
Applicant -
oaN
Ltl7 KNOB RD
MN 55121
i hereby acknowledge, that I have read this application and state that the
infiormatzon is correct and agrse ta,comply.with atl, appl:icapta st.ate of Mn;.
5tatutes anit City of Eagan Ordinance5.
APPLICA 7 RMITEE SIGNATIJ
i? ? I
ISSUED BN SIGN TURE
-1
1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
? CITY OF EAGAN ?? y
el
3830 PII.OT KNOB RD - 55122
681-4675 ?
New Construction Reauirements
? 3 registered ade surveys
? 2 copies of plans (inGude beam d window sizes; poureO fid. design; etc.)
? 1 energy wlculations '
? 3 wpies of tree preservatlon plan if IM plaCed after 7H193
required: _ Yes No
DATE: ?Tal ?1?
DESCRIPTION O -WORK:
S DDRESS: ?
?
RemodeVReoair Reauirements ^ C?'
? 2 coPies of Plan
? 2 atte surveys (exterior adddiona & decks) ?
? 1 energy calafations for Aeated add@ions
gr ?'DG ??/
?
CONSTRUCTION COST; ?
--?
IA ,
LOT: ? BLOCK: ?I SUBD./P.I.D. 0- ej ??? I?`?'/?.-? ?`F-t ?
PROPERTY
OWNER
CONTRACTOR
5b.Vn e,
P,%. 'S 3 i(
/c>G
ARCHIT'ECT/
ENGINEER Company:-- Phone #: 3 23
Name: / Registration #: Ty'i6/
Street Address: 7` %/Y SWI?P40 ?!? d a
City JJQ VAM. State: Zw Zip: sr,s 2,2
Sewer & water licensed plumber (new construction ony):
and lot change is requested once permit is issued.
Penalty applies when address chang
I hereby acknowledge that I have read this applipGon and state that the iniortna6on is correct and a9ree to comply with all applicabl
StMate?p?,fil'ngoe,?gola,USka4utes,and City of?Eagl n Ordinances.
ARE RF.QUIRED C3N t)r UiiK Sigrnah5ie of Applicant
4" 1.114 A" SiEES'1N16 kviJa.iMS (.?!'d M.k"JELs
COMAYIINv SLEf.'a'ik:.i iti3'_*E.."S, C.EPfiY=ALL7
LOGA"I'E Sl(QKE Irri7`.a&FFICE4W6NLV'n
Certificates af Survey Received _ Yes _ No
Tree Preservation Plan Received Yes _ No _
5-z.e ? C'-z,y L 7V vs-y 3Ye-Y
Name: SZPoGZf?? 1_2w Phone#:IV (oX3 //G)
Last First
a8??j' ?/Gl7?
Street Address: /Ln44
City a o?Y?? State: ?'/? Zip: ??l
OFFICE USE ONLY
.
BUILDING PERMIT TYPE
01 Foundation ? 06 Duplex
02 SF Dweliing ? 07 4-plex
? 03 SF Addition ? 08 8-plex
O 04 SF Porch ? 09 12-plex
? 05 SF Misc. ? 10 = plex
WORK TYPE
? 31 New ? 33 Afterations
? 32 Addition .fl 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
? 11 Apt./Lodging ?
O 12 Mufti RepaidRem. O
? 13 Garage/Accessory ?
E3 14 Fireplace ?
O 15 Deck
O 36 Move
? 37 Demolition
0- Basement sq. ft.
v;-N Main level sq. ft.
_/t 1 sq. ft.
sq. ft.
sq.ft.
sq. ft.
? Footprint sq. ft.
Building cVp Engineering
Variance
y 3y
?
?
0
Pertnit Fee Valuation: $ ?
Surcharge
Plan Review
License
MC/WS SAC
City SAC
Wa4er Conn.
Water Meter
Acct. Deposit
S/W Pertnit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other Copies . - ' .,,? • . ?..
/
TOtel: ,. . w . . ?. ' ..
% SAC
SAC Units
16 Basement Finish
17 Swim Pool
20 Public Faciliry
21 Miscelianeous
MC/WS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bldg
Census Unit
INSPECTION RECURll
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
auxLozNs
025968
07/10/95
SITE ADDRESS:P•I.w.: 10-1e3e0-e30-e9
LOT: 3 BLOCKo
2840 PILOT KNOB RD
COUNTRY HOME HEIGHTS
PERMIT SUBTYPE:
SF (MISC.)
9 APPLICANT:
LAND & HOMES INC
(612) 421-6868
TYPE OF WORK:
ALTERATION
DESCRIPTION (MAC SDUND INSUL)
INSPECTION
FRAMING .. .
ROUGH IN PLBG .A
ROUGH IN H7G FINAL
1-
71
I
(
-'C EIT# OF EAGAN
3830 Pilot Knob Road
Eagan,'Minnesota 55122-1897
(612) 681-4675
PERMIT a-45liy
PERMITTYPE: euiLozNG
Permit Number: 0 2 5 9 6 8
Date Issued: 0 7 J 10 / 9 5
SITE ADDRESS:
2840 PILOT KNOB RD
LOT: 3 BLOCK: 9
COUNTRY NOME HEIGHTS
P.I.N.: 10-18300-030-09
DESCRIPTION:
(MAC SOUND
Quilding-_rPermit Type
building Wbrk Type
?-
INSUL)
SF (MISC.)
ALTERATTON
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REMARKS:
FEE SUMMARY:
VALUA7TON
Base Fee
Plan Review
Surcharge
Lic. Search
5ubtotal
$324.75
$113.66
$11.50
Fee $5.00
$454.91
$23,000
COPIES $q•00
Total Fee $458.91
CONTRACTOR:
LAND & HOMES INC
13001 REVERE
MINNEAPOLIS
(612) 421-6868
- Applicant - ST. LIC
14216868 2001112
LN N
MN 55316
OWNER:
SZEWCZYK DAN
2840 PILOT KNOB RD
EAGAN MN 55121
(612)885-8425
I hereby acknowledge that I have read this
information is oorrect arid agree to comply
Statutes and City of Eagan Ordinences.
L
LICANT/PERMITEE SIGNATURE
application and state that the
with all applicable Stete of M'n.
?
ISSUED B : IG RE
??
CITY OF EAGAN
J 3830 PILOT KNOB RD - 55122
1995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
New Construction ReouiremeMs Remodel/Recav Reauiremenfs
? 3 registered ske surveys ? 2 eopies of plen
? 2 copies of plana (inGude beam 8 window sizes; poured fid. deaign; ete.) ? 2 aite surveys (exterior addRions 8 decks)
? 1 energy calwletions ? 1 energy calculetiona kr heated additions
? 3 copies of Uee preservation plan H lot Dlatted aRer 7/1/93
required: _ Yes _ No
DATE: (n• a7• 1S CONSTRUCTION COST:
DESCRIPTION OF WORK: AR AtK wIL nYY / it9 A ?>
STREET ADDRESS: ???D ?? ii n-Y KNoT3 12?
LOT ? BLOCK SUBD.lP.I.D. #:
PROPERTY Name: .5'z Eu)e Z YK 'OAV Phone #:
OWNER ""'
Street Address• aF`/o ic.oT K.voTi Pn
City: gaan/ State: l?l Zip:
CONTRACTOR Company: Phone #: `???• b???
Street Address: /.700/ ;&.ymeg L-A? N License #: -?m!p Illal
City: riY'iGS. State: IVW. Zip: SS?16,
ARCHITECT/
ENGINEER
Company:
Name: _
Street Adc
City: _
State:
Zip:
Sewer 8 water licensed plumber: Penalty applies when address change and lot
change are requested once permit is issued.
I hereby acknowledge that I have read this application and state that the info ion i correct and agree to comply with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY REUEIVED
Certificates of Survey Received _ Yes _ No ,i I fj.• 1 8 1995
Tree Preservation Plan Received _ Yes _ No -----____._.,,-_
Phone #:
Registration #•
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation o 06 Duplex ? 11 Apt./Lodging o
0 02 SF Dwelling ? 07 4-plex ? 12 Muki RepaidRem. o
0 03 SF Addition ? 08 8-plex o 13 Garage/Accessory o
o 04 SF Porch o 09 12-piex ? 14 Fireplace ?
z55p,?'M SF Misc. 0 10 _ plex o 15 Deck
WORK TYPE
0 31 New cc`-33 Alterations o 36 Move
0 32 Addition ? 34 Repair o 37 Demolition
GENERAL INFORMATION
Const. (Adual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building
Engineering
Variance
y3y
L
_L
v
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
Cky SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatrnent PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies `/. 00
Total:
Valuation: g Z 3r ?o -
? .?,. ? . ,...,
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
MC/WS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bldg
Census Unit
% SAC
SAC Units
?
` PLOT PLAhI FoR
ZSqO PILoT KN013 R,041)
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7•NO _ .
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PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA142782
Date Issued:05/18/2017
Permit Category:ePermit
Site Address: 2840 Pilot Knob Rd
Lot:3 Block: 9 Addition: Country Home Heights
PID:10-18300-09-030
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Daniel Szewczyk
2840 Pilot Knob Rd
Eagan MN 55121
(952) 445-8638
Ron's Mechanical
2026 Colburn Dr
Shakopee MN 55379
(952) 445-8585
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA147650
Date Issued:01/24/2018
Permit Category:ePermit
Site Address: 2840 Pilot Knob Rd
Lot:3 Block: 9 Addition: Country Home Heights
PID:10-18300-09-030
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Daniel Szewczyk
2840 Pilot Knob Rd
Eagan MN 55121
Kb Service Company
430 E. County Rd. D
Little Canada MN 55117
(651) 748-4933
Applicant/Permitee: Signature Issued By: Signature