3661 Pinecrest CtCITY OF,EkQAN Permit No: 9273
3830 RNot Knob Road Meter No: ,Y-? 24 9'
P.O,, Box 21199 Reader
Eegan, MN 55121
Data z -)'£--87
Size: " o c
oate: ?-3- g57
Owner. fiuttner Const.
Site Address: L l' D ^ : t o Eagan
Plumber
Conn. Chg:
Acct Dep:_
Permit Fee:
Surcharge:
comply with tho Clty of Eayan
Tr. Plant ! =''1Evz Ordl css.
Meter. -PQ-'qd
Misc.: gy
WATER SERVICE PERMIT
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PH ON E: 454-8100
BUILDING PERMIT
To be used for
Est Value
SiteAddress -''i • . , ' ??
Lot 81ock ? SeclSub. j'-?'" 0F
Parcel No.
a Name '
3 Address
° City Phone 45': - v:
. o Name . ub7- ?..?. .
? ? Address
? City Phone
Name
Address
City Phone
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.
Signature of Permittee _
A Building Permit is issued to:_
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
Receipt #
Date
OFFIC E USE ONLY
On 3Re Sewage Occupency
MWCC System ' Zoning
On Site Well (Actual) Const
City Water Y (Allowable) ?F
PRV Required # of Stories
Booster Pump Length ?
Depth
S.F. Total
Footprint S.F.
APPROYALS FEES
Engr./Assess. Permit .50
Planner Surcharge ' IJU
Council Plan Review ' • • kS
81dg. Off. SAC, City
Variance SAC, MWCC '
Water Conn.
Water Meter
Road Unit
Treatment P1
Parks
TOTAL . i , . S
Permit No. Permit Holdar Oate Teiephone #
Mumbing ?• > i i .r_' ' ,?;:? ' ?,,t'`
0
1
H.V.A.C.
.?
?
EleCtriC
'AL
Softener
Inspectlon Date Insp. Comments
Footings I
Footings II
Foundation
Framing 4%9
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Final Pibg. _ S g' ?
Bidg. Final
Cert Occ.
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp.
PERMIT #
. , MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN
3830 PILO T KNOB ROAO, EAGAN, MN 55122 DATE:
CONTRACT PRICE: PHONE: 454-8100
Site Address `z '
BLDG. WORK PE
SCRIPTION
Lot ? Nock ? Sec/Sub ?
Res. New
?
? - - - Mult Add-on
Name
? r Comm. Repair
Address Other
c City G' " - (ifi Phone 5
, FEES
? Name ` RES. HVAC 0-100 M BTU -$24.00
c Address ? r f? r ADDITIONAL 50 M BTU - 6.00
p City Q?'? r? Phone
-
- (RES. HVAC INCLUDES A/C ON NEW
7 CONSTRUCTION)
GAS OUTLETS
MINIMUM
1 PER PERMIT)
1
50 EA
-
.
(
-
.
TYPE OF WORK COMM/IND FEE - 1a16 OF CONTRACT FEE
Forced Air ?/?
_r. ? M BTU APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
Unit Heater M gTU REMODELS - 12.00
Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00
STATE
RC
RGE PER PERMIT
Vent
CFM - .50
SU
HA
(ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Outlets # L BEYOND $1,000)
Other $ ,
FEE QlL/
? ?'L •:??
S/C: y
51GNATURE OF PERMITTEE c??
TOTAL• ! •? - t
FOR: CITY OF EAGAN
IP);Ir
PLUMBING PERMIT
CITY OF EAGAN
3830 PILOT KNOB FiOAD, EAGAN, MN 55122
PHONE: 454-8100
Site Address -'-';_
Lot Block
? Name, Y ?
?
c Address L' `
City
c Name
Add
0 ress
City ;.,
FEES
COMMfIND FEE - 196 OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADO $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
SIGNATURE F PERMIT
FOR: CITY OF EAGAN
PERMIT #
RECEIPT # - ?-
DATE: ? ??
BIDG. TYPE WORK DE$CRIPTION
Res. New
Mult. Add-on
Comm. Repair
Other
RES. PLBCa. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
;1 Water Closet - $3.00
? Bath Tubs - $3.00 -
Lavatory - $3.00
Shower - $3.00 - ?
Kitchen Sink - $3.00 ~
Urinal/Bidet - $3.00
_?_Laundry Tray - $3.00
_?_Fioor Drains - $1.50
-i_Water Heater - $1.50 Z-=
Whlripool - $3.00
?Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIn
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
=Rough Openings - $1.50
FEE:
? • STATE S/C: -
- GRAND TOTAL•
.?.*-.....,,._:
(Irr#if iratie uf (Orrupanry
Citp of (eagan
aPpwrtmpitY Df sltlbig jwP1'tiD1t
This Certifrcate r.ssued pursuant to the requirementr of Section 306 of 1he Uniform Buildrng
Code cenifying that rrt the time of issuance thr's structure was in compliance wirh the various
ordinances of the City regulateng building construction or use. For the foliowing:
use cN365cgdw :'r' TJ4C/G1R ewg. Poniit rro. 3442?
.
0-4may Trx -R-' zoning obwia k i Tya COUSL ?'r: ,
OwnerotBuilding I?'1?'. , Addrm `t'?
eoiaing ndanm ^•"'S ! PIIJ(',RF-15?' Mi<1 i.oauty B f.,; ?-a-T-OV-3T CF F?4?C",{°.'v
oate: Zfi. Mr
POST IN A CONSPICUOUS PLACE
._ ?-?--- --. -` ?
1?_?-Fi7
Permit No: 9272; Date:
CITY OF EAGAN ?
Size:
3830 Pilot Knob Road Meter No: • Date:
; P.O. Box 211?9 Reader No:
Fagan, MN 55i21
pwner. .'uttner Con t c7
'
r? p ?
Site Address: ?
Plumbe Sta
r T,,
52 5 OQod Zoning: x
Conn. Chg: 15.00 ? No. of Units:
• Acct. Dep: 10.002 Z
Permit Fee: I agree to comply with the City ot Eagen
Surcharge: .5 d 180.
Ordinances.
Tr. Piant
Meter.
1NATER SERVICE PERMIT
Date:
OF EAGAN Permit No: De,?, l j-1?
PHot Knab Road BIP No: --
Box 21 199
in4 MIi 55121
ier. ' `iLittner Coust.
..,,, „x_.?__,.o* rr,,,rt L6 A1 Pinecrest of
Plumber - , RI
MWCC: 525.0 id Zoning' 1
City Chg: loo' ?0nd No. of Unit,s:
Acct. Dep: 15. ?pd I Ordagree folnances. 00 comply wlth !he CitY af Fayan
?
Permit Fee:
Surcharge: ?
Misc.: Y
SEWER SERVICE PERMIT
` .,
BLDG. PERMIT N0.
1 • , ?- f t- i?f? .C.? `?i, ?C?
01-3210 Bldg. Perm:
?
01-3422 Plan Check
41-3445 Surch./Adm
01-3446 SAC/Adm.
01-2155 Surcharge
17-3860 Road Unit
20-2275 SAC
20-3865 Water Conn
20-3868 Water Trmt
20-3716 4:ater Mete
20-2252 Acct. Dep.
20-3713 Water Perm
20-3743 Sewer Perm
79-3866 5ewer Conn
11-3855 Park Ded.
TOTAL
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Bax 21 •199, Eagan, MN 55121
PHON E: 454•8 100
BUILDING PERMIT Receipt#
To be used tor 4F vWG?(,AR Est. Value ??? ?000 Date N-0Vk'FBER 17
Site Address 3661 FTNU:CREST GT OFFICE USE OMLY
Lot +i Block 1 Sec/Sub. PI??CItEST 0F On Site Sewage Occupancy
KAGAN MWCC 5yatem ? Zoning
Parcel No.
On 5ite Well (Actual) Const
m Name wm Hli'f'fNER CQNST Cirywater x (Allowable)
z Address 964 WATEY31•'hRD Uk PRV Required # of Stories
0 City AN Phone 451_'3088 Booster Pump Length
Depth
¢
,a Mame SA:-111 367-6523 (:d )
S.F. Total
? 4 Address Footprint S.F.
City Phone APPROVALS FEES
W W Name Engr./Assess. Permit
Address ? Pfanner Surcharge
q W City Pho?1e Council Plan Review
Bldg. Off. SAC, City
I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC
information is correct and agres to comply with all applicable State of Water Conn.
Minnesota 5tatutes and Gity of Eagan drdinances:
. Water Meter
Signature,of Permittee Road Unit
A Building Permit is issued to: 4vM t[r1'TNEk j,.,i:'d' Treatment P1
on the express condition that all wprk shal I be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances. Parks
Building Official ?>:?? TOTAL
REQUEST FOR ELECTRICAL INSPECTlON ? E8-000011-q6
?`? ? See instructions for completing this lorm on back o1 Vellow copy, l
D..t?.?. 2 "X" Below Work Covered by lhis Request
AAd Reu• Troe of Buildone Appliancea Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Lightiny Fixtuies
Apt. Building pryer Electrie HeaUi+
Corrnnercial Bldy. Fumace Silo Unloader
Industrial Bidg. Air Conditioner Bulk Milk Tenk
Farm Othri Pect Y .iher iSocr.ifyl
t.r Succi y ther Olher
LOI)1Olf7B !f)SDBCIIOl7 tP.P. tSP.MW
p, Fee ServiceEntranCeSize e Fee Feeders/Suhfeeders tt _ Fee Circuits
0 to200Am s ` 0 to30Am s Oto 30Am s
Above 200 qmEs, 31 to 100 Amps ` 31 to 100 qm s
Swimming Pool Above 100_Am s bove 100_Amps
Transformers 7?t _lrrlgation Booms Partial Other Fee
Signs
I Final
Thls roquest vold 18 montM trom ?
I
This .equest void
18 monihs ir m
D2602'\ ,
?'J Special, Inspection g/9,?I TOTAL FEE
? V
Date
I, the Electrical
` Inspector, here6y
' cerlify thal the above
r Date inspecGOn hes been
ti ?' meda.
?
7Req/qup,?t
?1 ? N re No.
, ction
Ready Now [?Will Notily In
?
?S ? , [?es ? No [ar Whe
n n Ready
Q Licenked Electrical Cbntra*r 1 hereby request insDection of ahove
, Q Ownqr ,, etectrical work instal led at:
Street AAdress, Bo? ` ov o e . C
euwn. o. Townshfp Name or No.
? Range o. Co t
????1,
Occu n L?IPHI T
7 Phone Nn.
Power Supply'?r_ / Add s
EIe ical tntrapyr lCompany amel Contr t s Licen?ee?o. ,
?fJ ? ?
Mai?i Address IContra tor or wner Making Instailationl
?/ j,?j?y? •r l ?? /? /7
Authorized ature Conffactor Owner Making Instal tionl
? l Ph n Number y
?O CL/ ?J ??
MINNESOTA STATE BOARD Of ELECTRICITV THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldfl• - Room N-191 8E ACCEPTED BY THE STATE BOARD
1821 Universitv Ave.. St. Peul, MN 551D4 UNLESS PROPER INSPECTION fEE IS
Phone (6121 642•0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION ee-ofo?ooi-os
4? ?f
1 See insbuctions lor oompleting this tqm on beck oi yellow copy. 9
7tJ 2 "X" Below Work Covered by This Request
Ihw4 Addj flep. Type oi Builtling Applioncee Wired EquiVmam Wired
Home Range Temporary Service
Duple,x Water Heater Liyhtiny Fixtures
Apt. Building Dryer Electric Hezun
Commercial Bldy. Fumace Silo Unluader
InAuStrial Bldg. Air Conditioner Bulk Milk Tank
Fdfrtl Othnr pacr y ther ISnr.ntyl
t ,r Ueci(v Other Oih¢r
ompute lnspectron Fee Below
N Fae Service Entrence5i:e Fee fexders/SUbleeders k Fee Circuits
&V 0 ro200Ams 0 to30qms Oto30Ams
A6ove 200 qmps 31 100 Amps / 31 to 100 qm s
Swimming Pool ve 100_Am s Above 100_Amps
Transiormers Irng tion Booms L Partia6'Other Fee
Signs Speci I Inspection 1
ertnrks
t\ _ j
0
TOTAL FEE
I, ihe Elactrical
? ?IISpBClOl? hBlB?y
cartily Ihat the abova
Fina? ? U:ne
ins0ection hes bean
, c mede.
Tnia
This reqoast void ^`,
18 mon[hs trom O?
D 2 6M0M
Request a?e
/?1 ? (] ?
?? Fire No. Rouuh-in InsUection
HenuireAP
C]qeaAV Now&Wiil Notity, InsOec-
7 ?Yes ?No tor When Peatly
LJ L cesetl Eleclrical ont or V I hereby request inspedion oi above
? Ow er electrical work installed ac j^_
Stree AdAres
s, Boz P o. ?-
/
?
ecu i o. Towns Nome or No. Han9e No. C n
/
Occu a IPflf I Phone No.
I
Power SuDD ier qd
Ele rical onlr!er(Company ame) Cont ctor's Liconsc Nn.
Q.O 7/7 r?2
Maih 9 AdJress (Contthclor or wner Makinq Instailation)
Authorir.ed 'Bo3ture ICo raclodOwner Makin Installa[ionl Pho Number
62
MIryNESOTq STATE 90ANO OF ELECTRICITV THIS INSPECTION XEQUEST WILL NOT
Grigps•Midway Bltle• - floom N•191 8E ACCEPTED BY THE STATE BOARD
1827 UniversitvAVe.. SL Paul. MN 55104 UNLESS PROPE0. INSPECTION FEE IS
Phone(612) 642-0600 ENCLOSED.
This re0ues? void
18 nwnthr?s frmc'-
D 2`ZJ
?i I ? (,• ?) ( ???? e .n Ncnx` x, l P,i!a?v.sa_? '?' ? a? ?'
flequest Oate Fire No. Noupb-inn Vectio '
Reqaire0?. j
[]Heady No ill Notify Inspec-
e ?NO ?or When Peady
censed ElecVical ConGactor 1 hereb
y request insDection ol above
Owner electrical work instelled ec
5[reet Address, 9on or Faute No. Cit
ae,St
?-
P
ection o. Township Name or No. ange No. Coonty
Occuudn
t (PHINT) Phone No.
7
/
Power Supplier Address
Elec[rir,al /ConVactor ICompany Namel Co/n?tracmr's License No.
M?inB A?Jress lCOnlractor yr Owner Makine Instailation)
G
( G ? ? ?
Authorize - ignalure ( onVactor/Owner MakinB Ins Ilation) Phone Number
MINNESOTA STATE BOAPD OF ELECTXICITV THISINSPECTION HEaUEST WILI NOT
GriB9s•Midway Bltlq. - Poom N-197 BE ACCEVTED BY THE STATE 80AND
1821 Univeraitv Ave.. SL Paul. MN 65104 UNLESS PHOPEN INSPECTION FEE IS
Phone(612) 642-0800 ENCLOSED.
REQUEST FOR•ELECTRICAL INSPECTION Ee-ooOOi-os
?r,-? ' See instrucliuns lor compiating Ihis rorm on back of yallow copY.
?- ??a? s
D c 6 6 "X" BeloW Wwk Covered by 7hrs Request '
Adal Hep. Type of 8uiltlin9 ApOliances Wiretl Equipment Wired
Home - Range Temporary Service
Duplex Water Heater Lightiny Fixtures
Apt. Building D
ryer Hectric Heatin
Commercial 81dg. urn
ace Silo Unloader
lndustrial Bldg. I ir Conditioner Bulk Milk Tenk
Fgr?p ber Oeci Y
tMr Suoufy her Other
Compute lnspection Fee Below
p Fee ServicaEntrence5ize R Fee Feeder3/Subfeetlers M Fee Clrcui?s
0 l0 200 Am s 0 to 30 Am s c ? 0 tn 30 An! s
A6ove 200 Amps 31 ro 100 qmps 31 to 100 Am s
Swimming Pool Above 100_Amps Above 100-AmUs
Transformers Irrigation Booms PartialO
Signs Special Inspection $
6
Nemarks z
•Yd TOTA
M-
Roueh-in O te
/? ? , the Elec a
M1 ^,? Insaectar, heraby
tit
th
t th
b
Final
_ s
Date
y, a?, cer
e n
a
ove
V
? pec[ian has been
d
e.
thlareQUestvoldl8montMirom t,/
CITY OF EAGAN N°_ 14428
3830 Pilot Knob Road, P.O. Box 21-189, Eagan, MN 55127
BUILDING PERMIT PHON E: 454-8100 Receipt #7 q t I ?
To be used for SF DWG/GAR Est. Value $94,000 Date NOVEMBER 17 19 87
Site Address 3661 PINECREST CT
Lot 6 Block 1 Sec/Sub. PjNECREST OF
Parcel No
EAGAN
a Name WM HliTTNER CONST
w
z Address 960 WATERFORD DR W
° City EAGAN Phone 452-3088
,o Name SAME 867-6523 (W)
?a Address
P City Phone
t-¢
w Ww Name
?
iz. Address
a W Ciry phone
I hereby acknowledge that I have read ihis application and state that ihe
information is correct and agree 19? omply with al?applicable State of
Minnesota 5tatutes and CitypfE7(?anAltlin ,a-- .
Signature of Permittee %f// I
A euilding Permit is issued to:-I?LL.HUTTNE?CONST
on t he eapress condition that all work shall be done in accordance with all
applicable State of Minnesota S tutes and City Eagan Ordinances.
Buildin90fficial ?
-C
OFFICE USE ONLY
R3
On Site Sewage Occupancy -
-
MWCCSystem X Zoning RT
--
-
Vn
On Site Well (Actual) Canst ?
City Water X (Allowable)
PRV RequireA _ # of S[ories
Booster Pump _ Length 60
oepth 42
S.F. Total
Footprint S.F.
APPROVAL5 FEES
Engr./ASSess. Permit S 482.50
Planner Surcharge 47.00
Council Plan Review 241.25
81dg. OR. SAC, City 100.00
Variance SAC, MWCC 525.00
Water Conn. 525.00
water Meter 67 90
00
30$
Roed Uni[ .
180.00
Treatment P1
Parks
*2
472.75
TOTAL ,
RESIDENTIAL
BUILDINC PERMIT APPLICATION
?1o CITY OF EACAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Conswclioo Reauiremenh
. 7 regislered site surveys showing sq. R of lot, sq. R. a( house; and a{I rooFed areas
(20°b mmimum lat coaerage allowed)
. 2 wpies of plan showirg beam 8 window sizes; poured found design, etc J
• i set o( Energy Calcuiatmns
• 3 copies of Tree Preservation Plan if lol platted atter 711/93
. Rim Jaist DeWi OpUans selection sheet (61dgs wifh 3 or less wits)
DATE
RemodellReoair Raauirements
• 2 copies of plan
• 1 sel ol Eneryy Calalatiom for heated additions
• 1 site survey for extenor adONOns 8 decks
• InOitale if home served 6y septic system for additions
VALUATION
J?
SITE ADDRESS _S6161 !/'1 ?MP. (e rBd- l.:.T. MULTI-PAMILY BLDG _Y _N
TYPE Of
APPLICANT
ct k& v un ot gr.4s _-a1,i e .
STREET ADDRESS .5 TS'=5 U
TELEPHONE # 25d-7PQO'CELL PHONE #
FIREPLACE(S) _ 0 )t 1 _ 2
i
-,6' ' '21psSTATE"dIP_:??__
FAX #
PROPERTY OWNER k t GvlG1N . J CA (/l IXY` TELEPHONE # 0,57- q5_6 - Q06
COMPLETE fOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MIVNESOTA I2CLI:5 7670 CA'CEGOI21" t JIINNESOT:1 RCLES 7674
(J submission type) • Residential VenGlation Category t Worksheet Submitted • New.Fecg, ? ; E$t-y?c-u6
. Energy Envelope Caicula6ons Submitted ?D L lS
I!?I 00T 2 8 2002
Plumbing Contractor: ___ Phone #
Plumbing system includes: Water SoRener _ Iawn Sprinkler
Water Heater No. oF R.I. Baths
No. of Baths
Mechanical Contractor: ?; t es,-cQn_ ??.rEp %?'GS?? one #
Mccfuviic.il syslcm includrs: :lir Condiuonii
Hcal Recovcry• Syslccn
Sewer/Water Contractor:
Phone #
Fee: $90.00
9s?-?4'('/-D9s?
Fcr. S70A0
1 hereby acknowledge that I have read ihis application, state that the information is correct, and agree to comply
with ail applicable State of Minnesota Stotutes and City of Eagan Ordluqnces.
S(gnature of Appltcant
OFFICE USE ONLY
Certificates oF Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
? RESIDENTIAL
BUILDINC PERMIT APPLICATION
CITY OF EACAN
/ 3830 PILOT KNOB RD, EAGAN MN 55122
851-681•4675 3. -7 s
New Construction Reauircmenh
. 3 regis[ered sile surveys showing sq. fl. of IoC sq. @. of house; and all roofed areas
120% mazimum IW coverage allowed)
• 2 wDies of plan showing 6eam & windaw sizes; poured found design, etc.)
• 1 sel of Enegy Galculalions
• 7 copies of Tree Preserva6oa Plan il lot Flatted aRer 717193
. Rim Joist Oetail Options seleclion sheel (blEgs with J w less unds)
DAiE /0 `(7'v ?--
SITE ADDRE55
TYPE OF WORK
APPLICANT
STREET ADDRESS 44/K dd-/L-f L+
TELEPHONE # S (v ,3l__? CELL PHONE #
PROPERTYOWNER,„?/CeL 2' Co??o/40,44 Z TELEPHONE#
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
-- -'
I
Energy Code Category MINNP:SO`C:\ R[.`I.IS 7670 C:\"fEGORl' 1 MI\YESO'f Y RT:LE57672
su6mission type) • Residential Ventilatlon Ca[egory 1 Worksheet Submitted • Nevr Eneigy Code?Nlorkshee[ Subfnitted
• Energy Envelope CalculaUOns Submittetl ' - ? I ? ?' ,!
? U?T l_'?,l,?ll
i? VI
Plumbing Contractor: Phone # - - -- -
Plumbing system includes: _ Water Softener _ Lawn Sprinkler Fee: S90.00
_ Water Heater _ No. oF R.I. Baths
No. oF Baths
Mechanical Contractor:
Mcctuviicsil,ystcm inclu<lcs:
Sewer/Water Contractor:
MULTI-FAMILY BLDG _Y
FIREPLACE(S) _ 0 _ 1 _ 2
Phone #
Phone #
Fec: 570.00
I hereby acknowledge that I have read this application StaTe fhat th 'nformation is correct, and agree to comply
with all applicable State of Minnesota Statutes and C ty of Eagan i ces.
Signature of Appli
------ ---------- __--------------- ---------- ------ _----- _._....--------- ------- --------------"'- -
OFFICE USE ONLY
Certificates of Survey Received Tree Preservation Plan Received _ Not Required _
- Updated 4l02
_ .-1ir Conditioning
Hcat Recovcry• Syslcm
RemodellReoair Renuiremenb
• 2 copies of pian
• 1 set of Eneyy CalcWations for heateU additions
• 1 site survey for exterioraddifions 6 decks
. indicate iF home served by septoc system for aaditions
VALUATION e7 CoO?/
FAX #
-RESIDENTIAL
7 BUILDINC PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MPI 55122
851-881-4875
New ConeVuetlon BeaulremeMe
• 3 registered s8e surveys shaxing sq. tl. ol bt, sq.8. of house; and II raofetl areas
(20No maximum bt coverage elloweA)
. 2 copies of plan showing beam & window siZes; poureC found design, etc.)
• 7setWEnergyCalculations
• 3 coples W Tree Preservatbn Plan Ii lot plattetl after 7/1f93
• Rim ,bist Qetall Options salectbn sheel (hidgs wNh 9 or less unfts)
DATE 6- Aqr(32-
SITE ADO
NPE OF
AULTI-FAMILY BLDG _ Y _ N
FIREPLACE(S) _ 0 _ 1 _ 2
APPLICANT l ? 6p - ??-
STREET ADDRESS 3453 rfa ev.r CITY14-tL_STATE -AWYIP S?J??
TELEPHONE # a.s5l? I,( {z S-(9-O% CELL PHONE #Csl-ali?-'J8</'j FAX # Lsl''?94V--
1 Gsl-
PROPERNOWNER S ChC?Wc?? /?zcrt- ?('`L-?'d l TELEPHONE# YSe _°1,i.-2 C
-- ° -------------------------------- ----------- -----°--------------------------------------°-
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNFSOTA RUI,FS 7670 CATEGORY 1 MINNESOTA RULFS 7672
(4 submission typa) • Resitlential Ventilation Category 1 Worksheet Submittetl • New Energy Code Worksheet Su6mitted
• Enefgy Envelope Calculations Submitled
Plumbing Conhactor:
Plumbing system in
Mechanical Conhac
Mechanical system
Sewer/Water
Phone #
Phone #
Fee: $90.00
Fee: $70.00
------------------------°-----------°-°-------°------------°------------------------°-------------------------------
I hereby acknowledge that I have read this applicatton, state that the information Is correct, and agree to comply
with all applicable State of Minnesota Statutes and Cffy of Eagan Ordinances.
Signature of Applicant
OFFICE USE ONLY
Water Softener
Water Heater
No. of Baths
_ Phone #
Iawn Sprinkler
No. of R.I. Baths
_ Air Conditioning
_ Heat Recovery System
19 _'? - -1S
RemodeVRe Iq?r.RgputremeMs
. 2 copies of plan
• 1 sat of Energy Calculaihns for heatad add'Abns
. 1 stte survey for exAerbr atldltions & decks
. Indkate ii homa senred by seft "em for adtl0bns
VALUATION G0347 . ?
Certiflcates of Survey Received - Tree Preservation Plan Received - Not
P I? 2? .
?? .
7987 BQILDING PERMIT 6PPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS
IHCLIIDE 2 SETS OF PLANS, 3 CERTIFICATES OF SIIRVEY, 1 SST OF ENERGY CALCOLATIOHS
NOTE: ADDRESSES FOR CORHER LOTS - CONTRACTOR/HOMEOLiNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCS BDILDING PERMTT IS ISSIIED.
M[R.TIPLE DWELLINGS - RESIDENTIAL RFNTAL ONITS FOR SALE ONITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SLTRYEY - CHfiCK HITH BLDG. DEPT.,
t SET OF ENERGY CALCULATIONS
COLMMRCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTVRAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
To Be Used For:
Site Address
Si?l?- Farii/ Valuation:
?'-
Lot Bloek
Parcel/Sub / /?f2cYe5t "'f
Owner
Address
City/Zip Code
Phone 0/
Contraetor ?? u YIPi? l.?rf( r
Address 94?? brrCC/r
City/Zip Code
?/ --?
Phone 70'j(JgT
Arch./Engr.
Address
City/Zip Code
REC"D NOV 12 198Tj
nate:
T
9y,oo?? -?
On Site Sewage_
MWCC System ?
On Site Well
City Water
9PPR09ALS
Assessments
Water/Sewer
Police
Fire
Engr
Planner
Council
Bldg Off F' i 1 16
APC
Variance
Oecupancy IR- 3
Zoning (2 -1
Type of Const
(Actual) V-N1
(Allowable) V-tf
# of Stories
Length e)
Depth y9•
S.F. Total
Footprint S.F.
FEFS
Permit #B v
5urcharge , 0 U
Plan Review 241.25
SAC, City 'loo-oo
SAC, MWCC SZ ,00
Water Conn pD
Water Meter 02100.
Road Un3t OT, OD
Treatment Pl 1 8D, 00
Parks
Copies
TOTAL
31
Phone #
yHLuAT 4oN
G,aRRGE
,-- ,
2q x a?t, c Io9(o-
'7 f (
?2?? x r2 = 868?
?
HousE
3G xzg= ?oos
16 X 10> !60
16 x i3= 2os
g K to = _ ?o
1q Sro X S$= 8'f? 4_48
?'1313?
I S ?
? . .
y Li .,.
4'T•UU+
':Jti•UU+
u+
1ttU°UU+ i
C/472•"(:a'
r
,
TRI-LAND C0.
SURVEYING
SERVICES
1260 YANKEE DOODLE ROAO
EAGAN, MINNESOTA 55122
SITE PLAN FOR:
HUTTNER CONST.
LEGAL DESCRIPTION: LOTI-,BLOCK! , PINECREST
ACCORDING TO THE RECORDED PLAT
THEREOF DAKOTA COUNTY,MINNESOTA
CRESTRIDGE COURT
0 0
? S 0° 00`02" E ?
85•00
Q M
o?
W I I? ???e \ ?
o W
oI
o O-
m ^ - I O?
co Iq
Ito.
? , ! rn
fi--? n,-_-? „----? co
? i• '?• n N .. 1. .
?r I
I ?_
?
LOT 4
?
85•00
S O° On'02" E
.
S-CALE: 1"= 30'
LEGEND
o OENOTES IRON MONUMENT
a DENOTES WOOD HUB SET
DENOTES EXISTING SPOT
ELEVATION
DENOTES PROPOSED SPOT
ELEVATION
? DENOTES DRAINAGE DIRECTION
I hersby cerfify that this survey,plan or
report was prepcred by me or undar my
direct supervision and that I am a duly
Reqistered Land Surveyor under the
Laws oi the Stote of Minnesota
INVERT ELEVATIOiV AY SERVICE EXTEfi1SI0iV=
PROPOSED GARAGE FLOOR ELEVATION= 9??7t 7
PROPOSED FIRST FLOOR ELEVATION
PROPOSED BASEMENT FLdOR = !W71, 7
EL.EVATI ON
NOTE ? VERIFY ALL FLOOR HEtGHTS WITH
FINAL HOUSE PLANS
Brodley J. SbTpp'son, Mn. Rep. No. 15235
Date.
s'1
• -, ...
TO EE SU9.`(ITTcD 4lI21t DUILDII7C PLPJfIT IJ'PLICATIOy
, aTE.°.IOR F.:7VF.LOPE AVFRACE "U" CO`fF'UTATIDN '
D'. ':7ER:
SITE ADDRESS
36/:, 6 ?
CONTRAGTOR: DATE: II' Il-0 7 P}IONE: 95'"dPF
T?7. LSZ 3
Determine vorking aquare footage of each
1. Total exposed wall area......... sq•ft. x
2, Total roof/ceiling area......... 147 Z- sq. ft. x.0
3. Total exposed wall area calculations:
2ota1 exposed wall area above floor
s. Total wall windoW area ..............................
b:Total door area ..................................... 57
c. Total sliding glass door area ....................... ? Z
d. Total fireplace wall area ........................... -
......?] 7
e. Total wall framing area (average 10T) .........
......?
f: Total net wall area above floor ...............
g. Total rin Joist area ................................
Total expoaed foundation area
h. Total foundation vindov area ........................ /
i. Total net foundation area above grade ............... /o_$?'
Determine "U" value of each wall segment
8. x „u„
b. s? X ,lU., 3f
- ?
C. 7Z x ovule ,55
x "u"
_ r'7,67
_ 3
?
, . e. l 7-Z X.iu,l . 07 ? / Z, ZS
' • f. ? ZZ-0 X fluff , oq . y?.
g. / /O x .,,,,. _ y, `{
x
,l„ll , sG -
. I. /o S X „U„
3.
• TOrAL
?'.
If item n3 is the same an, or less than item #1, you huva mct the intent of
SriC 6006(c)2. •
,.
4. Total ca-poscd roof/ceiling cnlculations:
? Total e:ryosed roof/ceiliag area = (/? J. Total skylight area .......................... .......
k. Total roof/ceiling framing area (averaye 107)......... /
1. Total net insulated roof/ceiling area ................. /-
Deteroine "II" value for each roof/ceiling segaient
j. _ . X fln„
k. )1f7 x„u„
R ..U., ?-
4. TOTAL
If total of 64 is the same as, or less than 02, you have ne e intcnt
of SBC 6006(c)1.
Alternate Building Envelope Design
''.t'. . . . . ..
To utilize the total envelope system method, the values establfslied by '
the eum of itens #3 and 04 shall not be greater than the sum of ltems Q1
and 02.
1. + 2. ?
3. + 4.
:
C E R T I F I C A T I 0 N
I hereby certify tliat I have calculated the "U" factors and R values
hezein and that the building hero described meeta or exceeds the Scate of
Hinnesota Energy Conservation Ac[.
??` ?a??
(Signa[ure),
? . (Date) '
•i? : .
IY/Il.U"JI'.i J IIIV.?I si ? d I ., :I
=i:nreijUSc JU': of oI,:jyu^ y.':lll dTC.I for.
fr.:,mc conr.:tructiun Construcrion R-Valuc
. I
' . . VLV L..?il.l , II • , .°i :: '
t3or ai.r fi]m 0.60
2.
i.nchessofr. wond
,i. ., •,'.4. ("T7 ? .0(,g .
BASIC 16. Exterior film : 0.17
WALL Total
i
i
`.
?vLL'. I?.,-C ' ' , U= .0"1
FIG. i{1
. FRT2:E Y:ALL .. 1. Intcrior air filn ? 0.68
?. 2. lt•, IbIC??:?_,.??.? ?j ,. ?
. ' ?/?? • • ' ?. z?,.r}2 =.?i.i.??.! . 'L??l.i
?? ??? ?? ? 5. . ? ?llA ? ? ??-•
6. Exterior air filn 0.7.7
, FIG, @2 sbtal
U-)
? ? ""'?'??' • 1. Intcrior ai.r film 0.68
• _ ?.• ?"?? ^'^-`?.? 2.
d.
6. Er.terior air film 0.17
L
, Totoi 1.
? ? : l?? F • ?:? ,
. ti? , '? ,"'-??• . • , ? u
''--. ?k?
1. Interior air film 0.68
??72;ilATIC."i 1.`• ' R a.._.d. ' , `2. ( iUr..
P • p • , _"? ?' • 3. i 7 " ".' , '?'.. s I 1, ?. ?, ?
S?'?.LZ: ? . d • • 'p' ' ? . • 4 .
? . u . 6Tnat .. .
. ?` • • . ?_ 5. .
6. ExLerior air £ilm 0.17
r. •a r ?y'% ?.
Total 1:b>
. ?. • U=. ,14 ?
SI.AB ON G?L1UF:
r '
. ? .
(. ? ? ? ? •
? f'? • ,? _ /!/
M
: ..' r
?IG. 03
, • o , ' ii .
. • • , /
p .' .J. . b '
O • -? I ,?
• • ? Y
?
l
r
' ?r
? ?`
; ' ?
•
"
: ?r? ? !
. : •
, ,
?
; •
'
' I(/:?- .
. •
?
Ir( ?
. l
=
• .
?
0 ?
• )? ??? .?
.
,?
?
, ./[I •
, . . i .? ? ? 1
'
' /(/
FIG. 04 •
•
rn
? f
•.
°
!
. 1
:
^ .
)
• tcr _ `< x ! ? (rI
/ir
NOT6: 2ndicatr, tyno, "P." valuo# darth and
. , placenent of in
i sulatinit.
i .
•' .
RoW/cLZLZ;:c,
(Ovn,T
_ _ ..4
\? -
?l /? \'J \J
l'e?Ced ?1' Lc?[ ilo?:
np
FIG. 115
?17eat flocy up
, ,FIG. UG
3
.
, . o..e:.?.:
; ven[ed
? t:0:7-C?LtTi? .
' . Hcat
, flov up
1F.r.r,. 07
4
.:Jl. .. lV
Construction R-V;iliie
1, Interio air filtr 0.61
z. ??? • .s?s
3. ?l viu.- fu.Sw _ . o0
4. 8xtcrior nir fill" (s:t.ill) 0- Z
'Potal 6 9
/l
rOL
?C oic4tqz £ 3 6??
1, Intcrior air £i m O.L1
2.
3.
q. Er.teriur air iilm still '• _
7'otal yZ?OL
/T
Gl= ??2
1. Inside aix fi].m 0.61
2.
3.
4.
5. Outside air. Lilm .0.17
Total
Notc: U::c additional ::hects if morc: sFacc is
needed for dctails and calculationc.
.
va.• .av-: v?•+?rY^ 'r/.?r.•.r?^.?-?•.?i_rr..?
APFLiCATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
oF eagan
LATE: PAYFffNf OF PEE AT TIME OF *
; nrrt.icaTTaN DOEs rOr coN- ?
S1T1i71E APPAGVAi. OF PE[tMIT. ?
•
* .r,SvErTraN or s¢M nrn/ai vmM •
;.
; irsrnw.nxioxs wILL Nam eE scmvr.m ;
? UNPIL PFl16IIT HAS BEFId APPROVID. :
•:sieis?*?t?a???i**t?aei+?ii:itwf?+tax
„?•run rccli?a /
. . . . .c../.1?6/. . . r
1) PROPII2TY ADDRESS: T•FY:AT• DFSCRIPTIONS . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . .
Lot oc S vision or Tax Parce ID
IF EXISTING S1RCY°PURE, DATE OF ORIGINAL BiJILDING PERMIT ISSUANCE:
Mont Year
PRESENP ZOIVING/PROP0.SID LSE:
Q . CONA'E2CIAL/RETAIL/OFFICE
Q INDUSTRIAL
a; INSTI'IUTIONAL/GOVERN&wP
2) ? NAME:
r_,D?-l SINQ,E FAMILY
r=1 R-2 DLPLEX ('itwn Units)
Q R-3 TOWMOUSE (Three +,Onits) ( Units)
Q R-4 APARTMENP/COAIDOMINIUM ( . Onits)
ADDRESS: 96o i?7,-TA XZ? 7:Z
CITY, STATE, ZIP:
PxorE: - 30
For City Use
3) NAME: Pl rs Iacense:
ADDRESS:
U/
1Lc. Active
Expired
CITY, STATE, ZIP: Not recorded
PHONE MASTER LICENSE #?
32 9
: -. / . St Initi
4) • ?° NAME: S?
-?
ADDRESS:
CITY, STATE, ZIP:
PHONE:
5)
E11c?rMDcrzoN To crrst sEWER NN1cr10rr TO czTY wATEa p arHm
6)
***,r*****?*,r**?*?****v?**?*******,r**?****?*?*****+*************,r***?****?***?*?****?******+****+**?
* THE GOLD COPY OF 7uE PERNIIT WILL BE SENf DIRECTLY 1o PUBS,IC WORKS TO FACILITATE METER PIQC-uP. *
* PLEASE AIUDW 7FA hORKING DAYS EC)R PROCESSING. SONIDONE EROM Tm CITY WILL CONfACP YOU IF 7YIII2E *
* ARE ANY PROBLEMS. ?
?**? ****??+r******? **,r***,r**+*r,r***?**+r***++****? ******,r**+?**,r*****+******,r****************+*«??***y
FOR CITY USE ONLY
PERMIT # ISSC!ED
/,? '3
Pd w/Bldg. Permit
C
$
$
$
$
$
$
$
$
$
$
S
RECEIPT
FEES:
?
S
$
?S' UZl
$
$
s
s
$
$
$
$
S
$
_ 9? 3 z
RECEIPT
SEWER PERMIT (I[VCLDDE SURCHARGE)
WATER PERMIT (INCLUDE SIIRCHARGE)
WATER METER/COPPERHORN/OC'TSIDE READER
WATER TAP (INCLUDE CORPORATION STOP)
SEWER TAP
ACCOUNT DEPOSIT - SEWER
ACCOUNT DEPOSIT - WATER
WAC
SAC
TRUNK WATER ASSESSMENT
TRONK SEWER ASSESSMENT
LATERAL BENEFIT/TRLNK SEWER
LATERAL BENEFIT/TRCNK WATER
WATER TREATMENT PLANT SORCHARGE
OTHER:
TOTAL
DOES UTILITY CONNECTION REQLIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
? YES IF YES, THEN A"PERMIT FOR WORK WITHIN PC?BLIC
Q ROADWAY" MLST BE ISSLED BY THE ENGINEERING
NO DIVISION. LIST AS A CO[VDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
1
APPROVED BY:
TITLE:
DATE : 1Z . 0 0 7
f ^F
CLAIpt VOUCHER - REF[IND REQUEST
CITY OF EAGAN
CLAIMANT nATE FRANKE ELECTRTC
ADDRESS 20175 AKIN ROAD
- FARMiNGTON MN 55024
Location
Receipt No./Date
Reason for Refund
Type of Refund
_ 3661 PTNECREST COURT
-Th RI. PTNFCRFFT OF EA AN
2/17/88 - 81269
DlIPLICATE PERMTT Electrical Permit
Plumhing Permit
Mechanical Permit
Surcharge
Water Connection Permit
Sewer ConnecEion Permit
Account Deposit
Utility Account Over-Payment
Other:
01-3211 $ 62.00
01-3212 $
01-3213 $
01-2155 $
20-3713 $
20-3743 $
20-2252 $
20-2250 $
$
$
TOTAL $ 62.00
I declare under the penalties of law that this account, claim or demand is just and
that no part of it has been paid. - FF.RRTIARV 19_ 19$$
Sign2ture Date
?
11,1/1
City of Eau
Date:
Use BLUE or BLACK Ink
For Office Use
Permit Fee:
Permit #:
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
2011 RESIDENTIAL BUILDING PERMIT APPLICATION ,41
Q 9 1 1 Site Address: % (c ( P1.4 C(425 rCQin,
Unit #: /42
AUG — 9 2011
Date Received:
Staff:
CALL BEFORE YOU DIG. CaII 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.orq
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 approva 'A lans.
x .(i ,'h—v _W., -.! `(
Applant's Printed Name
Applicant's Signature
Page 1 of 3
Name:‘2'304-y\ NI, 01 Phone: (05 -II d 1 7 ?( 0
SEs! /
O R
Address / City Zip 3 (1 2 I i �r (�}C�'"
Applicant is: X Owner Contractor
'YPE OF ORl
Description of work: -) ( e=i4 /;.;a! t v1 I ,ks /1) . 6 eel/roomeel/room 5
Construction Cost: tL� Multi -Family Building: (Yes / No
)
CON
Company:A Contact:
Address: City:
State: Zip: Phone:
License #: Lead Certificate #:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
In the last 12 months,
If
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
has the City of Eagan issued a permit for a similar plan based on a master plan?
yes, date and address of master plan:
_Yes _No
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
Phone:
NOTE: Plans and uppo € docsubmit are o i$3 n a t A �
tie informatracl � y be �assffie�► an ff y pirovi afe +cAreasans that would g _
conclude
C+
sof
t�
CALL BEFORE YOU DIG. CaII 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.orq
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 approva 'A lans.
x .(i ,'h—v _W., -.! `(
Applant's Printed Name
Applicant's Signature
Page 1 of 3
•
pin 6_6(7.(-- C-4- -
DO NOT WRITE BELOW THIS LINE
• SUB TYPES
Foundation
.•1� Single Family
Multi
01 of Plex
Accessory Building
WORK TYPES
New
Addition
Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25%_ 100%_)
Census Code
#of Units
# of Buildings
Type of Construction
Fireplace
Garage
Deck
Lower Level
Interior Improvement
_ Move Building
Fire Repair
Repair
3®e®
1/,3y
A
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
Roof: _Ice & Water _Final
yFraming
Fireplace: _Rough In
Insulation
Sheathing
Sheetrock
Porch (3 -Season)_ Storm Damage
Porch (4 -Season) _ Exterior Alteration (Single Family)
Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi)
Pool Miscellaneous
Siding
Reroof
Windows
_ Demolish Building*
Demolish Interior
Demolish Foundation
% Egress Window )(A _ Water Damage
*Demolition of entire building - give PCA handout to applicant
Occupancy MCES System
oZF%*'7 SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Code Edition
Zoning
Stories
Square Feet
Length
Width
R-1
Meter Size:
Final / C.O. Required
44- Final / No C.O. Required
HVAC Gas Service Test Gas Line Air Test
Other:
Pool: _Footings _Air/Gas Tests _Final
Siding: _Stucco Lath _Stone Lath _Brick
Air Test Final Windows
Retaining Wall: _ Footings _ Backfill _ Final
Radon Control
Erosion Control
, Building Inspector
Reviewed By:
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
Use BLUE or BLACK Ink
r-----------------I
I For Office Use I
g
Permit
~ao
_1 r
J
City of Eamloff
I Permit Fee: UGQ' I
3830 Pilot Knob Road I rC I
Eagan MN 55122 i Date Received: J 5 t
Phone: (651) 675-5675 I staff:
Fax: (651) 675-5694
2014 RESIDENTIAL, PLUMBING PERMIT APPLICATION
Date: Site Address: (0 na&V-4 Dr
Tenant: Suite
w Name: 1JeC` au Phone: Lx:A t-)Jc6 ! 7 "
Resident/Ownerr
r
Address / City / Zip: C. c C SS
Name: %(6 X A'C& License t.Q`t ~'Z7 W C i
Address: : T7 oe City: : u
Contractor f
State: Zip: Le Phone:
~
Contact: Email:
Type of Work New X Replacement _ Repair -Rebuild - Modify Space Work in R.O.W.
Description of work: 10,~~V ma,\~Co cs
RESIDENTIAL d
b
Water Heater
Lawn Irrigation RPZ PVB) Water Softener
Permit Type Add Plumbing Fixtures Main Lower Level)
Septic System
New Water Turnaround
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) I
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround? (includes $5.00 State Surcharge)
*Water Turnaround (add $200.00 if a 518" meter is required)
$115.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) QZ}
TOTAL FEES $ C L1,
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.oogherstateonecall.ora
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.
x x~
App rcant's Printed Name Appli nt's Signature
4
da
FOR 60 4E USE ° Reviewed By: te:
Requtred Inspections: UFt tGround Rough-In Air Test has Test Final
- r
21
M et;1C~T1ffl~" r.,t1f+, a ► ff
u'
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA139651
Date Issued:11/02/2016
Permit Category:ePermit
Site Address: 3661 Pinecrest Ct
Lot:6 Block: 1 Addition: Pinecrest Of Eagan
PID:10-57600-01-060
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Includes Skylight
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Deanne R Kroll
3661 Pinecrest Ct
Eagan MN 55123
Siding Sales & Service Llc
716 Cty. Rd 10 NE, Unit 232
Blaine MN 55434
(763) 422-8850
Applicant/Permitee: Signature Issued By: Signature