3698 Pond View Pt. INSPECTION REC4RD
CI o Y OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITEADDRESS:' ' r? ''' • '? '' ? ? ";'' ;''
oM1) VIFI,f I'1
V 1 C 1J Ti)t,tM'114.10f'.
PERMIT SUBTYPE:
, , 1.
I"t111 I !i ( M1i
H.'i. :r,,,
Oki f ! 119f,
? APPLICANT: i
TYPE OF WORK: ?
ti I I ! ; ! I ! 1,,1 ;.'[ k4i 1 () r i I ai
INSPECTION .. . DA
i i:r??n?r??, .:??1 iN??
1 N•,II I 1i I I ON S I i 1 I i?3? ! i
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e
Rf t4Ak1:'- PW
w F'1 Rk - C& N%Fwh Ir nNle uA rE1i
? - ?
? _ _ ?
Permlt No. Pertnit Holder Date TelephoM •
?LECTRIC
PLUMBING /9 5
HVAC
Inspectlon Dab Intp. Commente
FOOTINGS
/
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
30-,Pj-
AIR EST xJ ty
ROUGH
HEATING
GASSVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG 11-2 -
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
WtL'tifiCQte df cCCIipQnC?
?it? of ?agan
?a?arar oF ?xitbixg ?u?ccriou
This Certijecate issued pursuant to the requirements of the Uniform Building Code
certifyrreg thar at tite trme of issuance this structurr was in compliance with the various
omfinanees of tfie City regulating building corrctruction or use. For the following:
use clasur?im: SF i1ac: aieg. Pe„.,it 14o. 26362
Oc-p-rTYve R3/171 zoti,g DaaK, R3 Tya ca,5t. VN
oweer ot euiwina OC7[Y) VAiIIE }CMyS Admess 4445 E RIVER RD, OOQV RAPID6
Building Addisss 3648 PM VM PbINT I.ocaliry 1,18, BI, pCND VM 1QM'n"L$
Da[e:
%1
WWin6Official '
POST IN A CONSPICUOUS PLACE
4-
0
75 ? ???
5
a D . A
Reques ale Fire No.
R ughdn Inspetion Reqvired Inspeclion ONar Than R gh-In
I
ll ins
e
tor when read
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IN'ricensed contractor ? owner hereby request inspection of above electrical work at:
Job Address (SUeet, Bax or Routa No.) Cily
369 -fby)d0LVZ ?
Section No. Township Name or No. Range No. Counly DA&P
Occupanl(PRINT) Phone No.
Power Supplier Atltlress
L'.?+a E
Eleciricai Contteclor (COmpany Name) Conhaclor's License No.
r? 4 -1 L t'150
Malling Atldress (Contrector or Owner Making Inslallation)
n n F-6445
brcokl
b
Authorized SignaWre (Contraclor/OVmer Making Iretellabon) one Number
?
MINNESOTA STATE BO HO OF ELECTHICITY THIS INSPECTION REQUEST WILL NOT
Grigps-Mitlwey Bldg. - Hoom 5-128 II I I I I I I I I I I I I I I I I I II BE ACCEPTED BY TNE STATE BOARD
1821 Universlty Ave., St. PaW, MN 55100 UNLE55 PROPER MSPEGTION FEE IS
Phone(612) 692-0800 ' - ENCLOSED.
??(f 7,,r REQUEST FOR ELECTRICAL INSPECTION ea-oooNai-os
' See instmctions br compleling this farm an back ol yellow copy.
(o "X" Be/ow VYOrk Cozred by This Request
Ne Atld Rep. Type of Building Apples Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Load Management
Comm./Industrial umace Other (Specify
Farm Air Conditioner
Other (speciy) Conhadors Remarkr
Compute Inspecfion Fee Helow:
# Other Fee # Service Entrance Size Fee #
1 Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 1- 10 0 to 100 Amps -
Transformers Above 200_Amps Above 100 -Amps
SIgnS Inspecior's Use Only. TOTAI
Irri9ation Booms ? ?
Special Ins ection ?/
_tJ? ?
Alarm/Communication i
THIS INSTALLATION MAY BE O FiE ONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MON7HS.
I, the Electrical Inspector, hereby
tif
th
h
6
i Rri
?y??
"
cer
y
at t
e a
ove
nspection has
6een made. Final
yu),
„yf
OFFICE USE ONLV
This request voitl 18 monihs irom
__,.wnss 36 8 PoDID Nw pornrr Zip 5512 2
.T.ot . ta Blk i Sub rtNo vrFw nxnxriEs
THESE 1'TEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'ION.
Date: d29 Yes No Inspector:
Final grade (6" from siding)
Permanent steps (garage)
Permanent steps (main entry)
Permanent driveway
Permanent gas
Sod/Seeded grass
Vi
-
TraiI/curb damage
Porch
Basement finish
Deck
Please verify with the builder the removal of roof test caps from the plumbing system and ihe shuboff of wa[er supply [o
the outside lawn faucet before freeze potential exists.
Contact engineering division a[ 681-4645 before working in righFOf-way or installing underground sprinkler system. ?
White - City Copy Yellow - Resident Copy Pink - Contractor Copy
? CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT ???q'lig
PERMIT TYPE: a u z Lo z NG
PermitNumber: 026362
Date Issued: 0 9/12 / 9 5
SITE ADDRESS:
P.I.RI.: 10-58361-180-01
DESCRIPTION:
B
3698 PONO V2EW PT
LOT: 18 BLOCK: 1
POND VIEW TOWNHOMES
(ZERO LOT
ermit T.ype
&,rk Type
Zonin9 ?
5 uildirtg stories
LSNE)
SF DWG
NEW
F2-3 U-1
V-N
R-3
1
?
! t s
111-
.2 s xf" ll
._ . ...,w ??'
REMARKS:
PRV S& W PLBR - C& N SEWER AND WA7ER
°iuf: f tPv R...
FEE SUMMARY:
VALUATION $95,000
Base Fee
Plan Review
Surcharge
SAC
SAC %
SAC Units
Subtotal
$856.00
$299.60
$47.50
$850.00
100
1
$2,053.10
MISCEI.LANEOUS $1.892.50
Total Fee $3,945.60
CONTRACTOR: - Applicant - 5T. LzC. QWNER:
GpOp VRLUE HOMES 17559793 0001583 GOOD VALUE HOME5
9445 E RSVER RD ? 9445 E RTVER RD
COON RAPIDS MN 55433 COON RAPIDS MN
(612) 755-9793 (612)755-9793
7F' hei1ehy ackntawled9e that T hauo, read this applicatian and;sttate that th0-,
1rifnrma'Ciirn i,s? carreot antf agree to camply with a3l aAP1,Seable 5ta'Co #?f'.; 3qra>
? StaCuteS arid City of ffagan Qrdirlances. . °. J
,
?
APPLICANT/P ITEE 51GNATURE ISS B: SIG URE
\
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITEADDRESS:P•T.N.: 10-58 3e1-18e-e1 APPLICANT:
LOT: 18 BLOCK: 1
3695 POND VIEW PT 600D VALUE HOMES
POND VIEW 70WNHOMES (612) 755-9793
PERMIT SUBTYPE:
SF DWG
TYPE OF WORK:
DESCRIPTION
9UILpING
026362
09/12/95
NEW
(ZERO LOT LINE)
INSPECTION
FOOTINGS D. .
FOUNpATION DA
FRAMING ROOFTNG
ZNSULATION FIREPLACE
OUGH TN PLBG ROUGH IN HTG
PINAL PLBG FINflL
REMARKS: PRV
1-
L?
S& W PLBR - C& N 5EWER AND WATER
?
?
O CITY OF EAGAN
3830 PILOT KNOB RD - 55122
IL.11996 BUILDING PERMIT APPLICATION (RESIt7EiVTIAL)
681-4675 co a?/?,?'?- ?
New Construdion Reauirements BemodeVReoalr Reauirertienfs
? 3 registered site surveys ? 2 copies W plan
? 2 copies of plena (cndude beam 8 window saes; poured fid. design; etc.) ? 2 aRe surveys (exterbr addilions 8 tlecks)
? 1 snerpY cakulations ? 1 enerpy qlaletions for heated addifions
? 3 wpbs of tree preservation plan i( lot plaHed efter 7/1/93
requlrod: Yes _ No
DATE: (e F?b I9c- CONSTRUCTION COST:
DESCRIPTION OF WORK: NFw %ow,,.(
STREET ADDRESS:
LOT 11?? BLOCK I SUBD./P.I.D. #:
ir14, 4(17 ?
?
PROPErtTY Name: ?ooa V41-4 9- ?M £ S Phone #: "75S -9 7 93
OYVNER "°' F"T
Street Address
City: (Ict! ?EA?/1>s State: MAl Zip:
coNTRncroR Company: ??? ? 0-9aY-F Phone #:
Street Address: License #:
City: State: Zip•
ARCHITECTI Company: Phone#•
ENGINEER
Name: Registration #Street Address-
City: State: Zip:
Sewer & water licensed plumber. C 4kj SsW s k penally applies when address change and lot
ehange are requested once pertnit is issued.
I hereby acknowledge that I have read this application and state that the infortnation is wrrect and agrce to comply with all
appiicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant
OFFICE USE ONLY
Certifiptes of Survey Received
Treeaervation Plan Received
?i E?btS?? V ED
_ Yes ?No AUG 3 1 1995
_ Yes _ No ---------------
OFFICE USE ONLY
BUILDING PERMIT TYPE
0 01 Foundation o 06 Duplex o 11 Apt./Lodging ?
,A` 02 SF Dwelling o 07 4-plex o 12 Muiti RepaidRem. o
0 03 SF Addition o 08 8-plex o 13 Garage/Accessory o
0 04 SF Porch o 09 12-plex ? 14 Fireplace o
? 05 SF Misc. o ._---pl 15 Deck
WORK TYPE ?''?O ^ Lo? Gi?G
-a°--81 New o 33 Alterations o 36 Move
0 32 Addition o 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Adual)
(Allowable) 0--v
UBC Occupancy -,, e /
Zoning _1z - 3
# of Stories
Length
Depth
APPROVALS
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Planning Building
., • ,
. .
r
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
?ZZa MC/WS System ?
z
7o City Water
Fire Sprinklered
PRV ES
Booster Pump
Census Code.
SAC Code 5L
Census Bldg ?
Census Unit
Engineering
Variance
P&
I v oo
Permit Fee Valuation: g g-51
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit V
S/W Surcharge
Treatrnent PI.
Road Unit l?
Park Ded. ? T
Traiis Ded.
Other
Copies
L?
Total:
% SAC
SAC Units
/„
,•
.,. • ,.
CERTIFICATE OF,._SURVEX..
?
. : . for
GOOD VALUE HONlES ;
PROPOSED BUILDING ELEVAl10NS
Top of foundation Front of house SSq• g
Garage floor D. O Rear of house _612! • g
Lowest floor 1,35 z5. o Walkout d23•?
?-- arrow denotas drainage directlon per developmant plan.
890E denotes exfsting spot elevation
is
890P denotes propoeed epot elevation . '
BENCHMARK USED: NAlG /N F&064 46 a" ?w Sovth S? DE
o?
? ENUr,??r lS+
DPP o-% rrF !_ryr- n i Poc,E E?? ? L- gCoa 75
.?,
?
0
p p ot4E {? 1
?oREVI
\C '
? g59•a ?,%/ q0,?. 16
T ?d?,?, '. . ??O1C
?j .^
? v.j
17
e
In),
?h Cf,
18
,4.
P,
S. ryM1
o
sEevic.e
SE2J. EtEV. ? 851
AZom eixajUft12 J.- ?0 (?p ?-j
1q
' 64(c.S))
D
,o
`s LEGAL DESCRIPTION
Lots 15,16,17 & 18, Block 1, POND VIEW
Ixsr'E ? t?eoPas6p Sewe?.
AuZ wc;ez s4%ougv? -r?:v5y eN,,+1°4ejST ADDITION, according to the plat of
record thereof, Dakota County, Minnesota.
• DENOTES IRON MONUMENT LS #23945 -
o DENOTES WOOD HUB SET - I hereby certify that this survey was
10' OFFSET LOT CORNER prepared by me or under my direct
supervision, and that I am a duly
DASHED LINE DENOTES DRAINAGE Licensed Land Surveyor under the
AND UTILITY EASEMENT AS PER PLAT. laws of t e tate Min ota.
PA9SE ENa]NEERINO txc ' Donalil E. Sigety MN i o. 23945
REGI9TERED PAOFE69IONAL0 LAND 9LRVEYOR8 Q ?„ _ Iq5
9446 Eue Rfver Aoad, BuIte 208 II Dote: c?/.?D1Coon Itaplde, MN 66499
Tel. (612) 765-6240 Fax. (612) 766-1882 "R F? ? 1'SF [? ? ?°j j ? q5
`9, 16'
?iL, Q A R?•
f ,
?? --
f, -• r
TER I
D
DETNL W P(? \
)TTO I -G YI'?,
lb
JOB N0: 93-12 SCALE: 1 INCH =__30 __FEET FIELD BOOK: 93 PAGE: '71 I DRAWN BY: CKP
?? ?, c. 85a. -74
, .
LOT SURVEY CHECIaIST FOR RESIDENTIqL `-
W W 8U1 ING PERMITAPPUCATION
, PROPERTYLE C'Oc.li.lNwr
/'
vt
a g
d m .
DATE OF URVEY: F"rel
.S?
?.
4 0
?
LATESTREVISION: - CL?J,/ 19 f
QOCUMENTSTA
R
9""'C
e-"
o
13
• NDA
DS
Registered land Surveyor stpnature and company
?? • Buildinp PertnitApplkant
[7'O o • Legal descriptlon
13 • Address .
C ? North artow and scale
cr' a
- o • House type (rambler, walkout, splRw/o, splft entry, lookout, atc.)
cr
o
- a • Directional drainafle artows with slape/yradfeM %
cBr'
O 0 • Proposed/eAstlnp sewer and water sarvices 3 invart elevatlon
13'? cl o • . Street name
Driveway . .
4? O O •
['r' O 0 •
0 a-O .
Zr O O •
4E' O ? .
'O/ ? p •
Cr'O 0 .
@?O O •
e
.
.
.
.
.
.
ELEVATIONS
ExisdOS
Sewer servtce
Property comers
Top of curb et the driveway
Elevatlona of any abstlnp adJacent homes
Prooosed , .
Garage floor
Fustfloor
Lowest exposed elevatlon (walkoWwindow)
Properly comers
Front and rear oi home at the foundatlon
PONDING A?Ea rtfaootlphlel
Easemen! Iine
NWL .
FiWL
Pond # deslgnatlon ?
Emargency OveAlow Elevatlon
DIMENSIONS
Lot lineslBaadnps 8 dimensions
Right-of-way and stroet width (to back of curb)
Proposed home dimensions (ncludinp any proposed decks, warhanpa preater than 7,
porches, etc. P.G. ali shuctures requfrinp pertnanant foodnps)
Show all easemenls of record and any Cily utliitles within those easaments
Setbacks of proposed structure and sideyard satback of adlacent exdsBna strudures
Rataining wali
Reviewed:
!
, . =Fi=nuY ?DN:_Rl'nT:3li iD S:JI-1-DlAV ?RKa7 :.=D:i:.;7;0K
p,lboMw III&„iT
:hic suaylement 1c provi6ed to acsiat the applican: ia eor.aL=ing
L'.^EIDF T_'TTT_.,` 0.°E AM6y' "L" FA.,,'?DR 1NFDR".6:I01:. :tis informr- _
tion is requi.red so the SCII.DIhC 0?iICIA:, can deze^aine that
sub=::zed plans eoaply vith the ENER.;I' COASERUh-,IOh D°_SICh CRI1E&IA
o: the S;/.'E BL'i:.DING CODE (Settion 6000). 1: is the IL11111-ICAI:" 5
responsib'_li:}• to accu:a:e.}• coapu.e the data; refie r. the pzoner
D„SiC1C C.:? =F,IA in the p:ans; submit product Epec_:ications,
tieeded to suppo.-: the "i." and "ti' tacto=s usec; and to assure
censZ-uc:ion is per- app-oved p:ans.
??s ioc?rior; 7Pt 1SoR I,IANY
DWN=R(S)
CDt;TRACTOR
A. D=_termine the iotai :xpesed Hlail krea es rollows:
PHDN--
?HDti=
1. iotal wall window area I Zo.7
2. iotal ,door aree 3^7.1
3. 7cta1 siidinq olass ooor ar=_a 40.0
4. iotal `ireplzce wall area 30.0
b. 7ota1 w-all framing area (av>raoe 10A) Zz b,4
.?.. IOtdl Tl?i Wdll 2T'?H dbDVE i 10DT' IleS"7'?
7. __7ota1 rim jois*.ar.ea: 1S1.5
SUSTDT;L: 7cta1 expesed wall zrea abov=_ floor 2Z(o?
E. 7cia1 roundation window ar=a r1lA
°. 7ota7 net roundztion zree zbove arad=
5U'niDTA!: 7cte1 expesed flounca.ion zrea
a 'rZlv"1D TOTAL =X?C?_D WALL 'n"r.Zk 22.
t. iittlt5piy the G'nA1iD TviAL ---7:PD=--D WAI-I nr=A i; .11 = 1i>_m ? p( -
C. .Deta.'71f1P.e iJ1°_ 70+-2l :.XPCS°d PODi/reiling krea ?5 iD1 1DW5-
10. 7cta7 sky7iatt erea
?i. Total rooi/c=_iling ;raming area , 14Z.S
12. iotal net insulated roof/Cei7ing area i Z$Z. S „
6RAND i07A! =}nS=D Rppr C=ILIN"u AFZA ??ZS
D. Multipiy .he ur2AND iOiA! ZY.?4S=D ?.60=/C:--I' INu AR=A x•C?za- it_m 11 `3-7.oS
rJoz AA,NDY
:. ie:ernine the "C" VElL° cf each secmwr.: ;;-9} and rlltiply by the aree ns foilows:
i. i -Za.-l x
2. 3"7,-7 z
3. 40, O X
- Lr , qq .
"L"' . f 'S _
Sy•Z
s. 30.o x
'. U" . 5 I a ZO ,q-
,a5 = 1.5
5. Z1Z !o .4 x ., u'= , o.q I _ -i? . 6
-- b. 1(o 57 .7 X„U„ ,043 = ? l. 3
7. I SI •S x.,u„ ,04
a. rJ/A x u° -- ? -
p X ..Ull
! .r ? _.
ADD 1- 9 FDR T6TAL WP!L 5'c"u?cNTS = liem III I
F. D_termine the "U" valu= of each s> gment (1C-I2) and multiply by the area es `o11oNs:
?o. rJ f A X.,U„
-- __ ii. ? 4Z, S x I'u°
xU , 072 = Z"? • Z
ADD 10 - 12 FDP. TDiA! RDOr/CcI! ING SEuNL'N1? - It°-m Iv
G. iT Item No. iII is ?n_ sam_ es, or iess tnan It_m No. 1, you have sn_t the -ir:_nt
of 5=,t=_ $uiiaing LoQe DODD(c)Z.
--N. it it=_m No. IV is the sam_ as, or iess tn>_n It=_m No . iI, you hav_ m_t the irt_nt
of 5tM-se Bui iding Lof,<_ 60a5(c)1,
--I. Add ?tem Ne. I ZO?} =':em No. iI 3^l•d? = Z166•69
J. kdd Item nc. I?I lcb''.; .°I Ne. IV 3Z.5 = ZI(?•`?'
Y,_ I?. tn?sum.of I*ms iil and IY are less =hen I±ems I and iI, you have m_t the irten:
----?= D7_in°• COQ°-7DT' iGLZl °T1V?IDp° 5)'St°1It {$= ° Bui idi ng L?rie 600D and tlDS 507-3.5.
= Dverall Structure P°rfD7R[iBRC° Atternative).
7h> undersigned. es epplicant Lor a Bu51ding Permit, hereby
nT7fTit5 the above inrorrration hes been prepared and subtritted
by h-imself or und=r his dir=ctior„ h_reby acl;nowledaes tne
lTIT0rmtti0T1 t0 b° COT.^_c-k. and 2CCUr2L°_; and 'nereby presens
tne ir,foriz;.ian w;tn required plans in suaport cf -tne 3uilding
?=:-rrtit kpp]icatian.
Signatur>_ •
Cate .
?( •D.-m- RL?O'm QL Pi a 16d ?i aE ??tmT ?
a--?e.. 19_ 1 1
? Fl? t?`(?2 ttma I Lee?sk S ZM I o Firik 8 1
70esM aud D.er.--G.ck+R ud Arra
t+r I?t rr I?? w.r Luew__ ?1 w+1r .a. tL
? I 61 90 ?93 Zo ,
I i4 I I 1 iz 5?8
I I I I
I I I I I ???.I ??
icn It ?
jp, wan liZZ ?
Net 6P. wall ias...a ? I I I
c?. I I I
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ncwirco ac. ft. _^'.FL o- :o. ui G'A. Leacrr erea
Rov= I L---: u,
MFr'?.) I
:r:- ..s sad Dnor?sc6F an2/vea ? -
Icz._?.I :-=1
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hc ?.•? I 12f3 ?<
In:.WAn I I
F?w 1192 I
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ro.
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L BL GITY USE QNLY RECEIPT#: /?98? -T0079
!g J ?
/ ?0?5
SUBD. mo? l/,?,cr1' ilctuJ-rti./fvnu, o DATE: ?? ?`{ 95 I
1995 MECHAN4CAL PERM{T (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
• (612) 687-4675
Please complete for: ? singte family dwellings
? townhomes and condos when permits are required for each unit
X New construction Add-on fumace
_ Add-on air conditioning Add-on airexchanger, i.e. Vanee system, etc.
Date: d20 ? ezS
FFFC
? 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 @$3.00 each)
? State Surcharge ?
TOTAL ?D • So
SITE
Jcc4j PoW7
OWNER NAME: G"00 LLkC P6 wr?' S PHONE #:
lNSTALLER NAME'
STREET ADDRESS: bqo? tAJWAj e-erT KA A Vc 1? .
CITY: aRookL?(N N2?- STATE:fAIJ_ ZIP: 5F?2?
PHONE #: ( ) ??-?'?? 57 ?
? . Y
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
Piease complete for: . all commercial/industrial buildings.
? multi-family buildings when separate permits are = required
for each dwelling unit.
DATE:
CONTRACT PRICE:
WORK TYPE: _ NEW CONSTRUCTION
DESCRIPTION OF WORK:
INTERIOR IMPROVEMENT
FEES: - $25.00 minimum fee 4t 1% of contract price, whichever is greater.
w Processed piping - $25.00
? State suroharge of $.50 per $1,000 of Fermit fee due on all permits.
CONTRACT PRICE x 1%
PROCESSED PIPING
STATE SURCHARGE
TOTAL
SITE ADDRESS:
OWNER NAME:
TENANT NAME: (IMPROVEMENTS ONL`n
INSTALLER:
ADDRESS:_
CITY:
PHOIYE #:
TELEPHONE #:
STATE: 21 P:
SIGNATURE:
SIGNATURE OF PERMITTEE CITY INSPECTOR
a CITY USE ONLY Q
L 0 BL RECEIPT #: ?/9??
SUBD & &,0_(WW DATE: _OZ'9e?f
1995 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required foreach unit
FIXTURES -- EACH NO. TOTAL
Shower 3.00 x Z = (v •a'o
Water Closet 3.00 x Z = ro -CO
Bath Tub 3.00 x i = 3•CTO
Lavatory 3.00 x a- _ (0• ov
Kitchen Sink 3.00 x j = 3• a-P
Laundry Tray 3.00 x ? = 3• aD
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x 1 = ,3 • On
FloorDrain 3.00 x 1 = 3•62?)
Gas Piping Outlet * minimum -1 3.00 x 1 cs
Rough Openings 1.50 x _?_ = sa
Water Softener 5.00 x =
Private Disposal * Dakota cry. license 20.00 =
U.G. Sprinkler "` home under const. 3.00 =
Alterations " to existing 20.00 =
Water Turn Around 20.00
STATE SURCHARGE .50
TOTAL I ?
36? pWjoViV.J ?j
SITE ADDRESS:
?ISLU C
OWNER NAME:
???1?4(r-
INSTALLER NAME:
STREET ADDRESS:
CITY: STATE: ZIP:
PHONE #: ( )
=
t BL
SUBD.
OFFICE USE ONLY
RECEIPT #:
DATE-
?-II -
1995 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOS RD
EAGAN, MN 55122
(612) 681 -t675
Please complete for: . all commerciaVindustrial buildings.
0 multi-family buildings when separate permits are pQt required for each dwelling
unit.
DATE: ? CONTRACT PRICE:
WORK TYPE: tVEW CONSTRUCTION ADD ON REPAIR
DESCRIPTION OF WORK:
IS WATER METER REQUIRED? _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING:
WATER FLOW: GPM. ARE FLUSHOMETERS TO BE INSTALLED? _ YES _ NO.
FAILURE TO PROVIDE THIS INFORMATION WIIL RESULT IN A DELAY OF METER ISSUANCE.
WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? _ YES _ NO.
IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINKLER PERMIT.
FEE: $25.00 minimum fee or 1°k of contract price, whichever is greater: State surchatge of $.50 per
$1,000 of ermit fee due on all permits.
CONTRACT PRICE x 1%
STATE SURCHARGE
TOTAL
SITE ADDRESS:
TENANT NAME: STE. #
OWNER NAME:
INSTALLER:
ADDRESS: ,
ciTr:
PHONE #:
SIGNATURE:
OFFICE USE ONLY
METER SIZE:
" DATE:
STATE: ZIP:
APPLICANT
_ iNSPECTOR:
?.
Use BLUE or BLACK Ink
310IQ~~ i -3 f0 ~6, ~O-----------------
~p For Office Use I
Permit V 0 ~5
C1 bV Ol 1J I I
I Permit Fee: Q
3830 Pilot Knob Road
Eagan MN 55122 Date Received: 1
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff: 1
I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 1 Site Address: l8 -3t,18 Poi1 dyie u-) Unit
Name: 9nC V) e GJ 2w0 /)10u~e 14'~5dC, /14C Phone: _/D &P
' d ql
Resident/ t
Owner Address / City / Zip: c Q~ l 7~
Applicant is: Owner ~ Contractor t
Description of work: l r. o-t'rl Re- " r~ f- t~G~l i.g~ RSP s1c,
Type of Work
Construction Cost: & 1, Multi-Family Building: (Yes /V--\- / No
f 4
Company: r7y~i~lvrI1f ~/U~GBj2 ~Yl~ Contact:. G+
Contractor Address: City: 119~rwk- lcq
State: Zip: 12-Y Phone:
License NPr7 -99 7 6, ~ r) Lead Certificate l ~r~ % 2 5 LJ
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
i
{
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:
i
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
I 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 they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.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 m st be completed within 180
days of permit issuance.
1 r'►') ~Syl
x x
Applicant's Printed Name p icant's Signature
Page 1 of 3
For Office Use 1
EAGAN
Permit#:e:
Permit
Date Received:
3830 PILOT KNOB ROAD 1 EAGAN,MN 55122-1810
(651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 Staff:
buildinoinspectionsAcitvofeaaan.com L. ..1
2018 RESIDENTIAL BUILDING PERMIT APPLICATION
Date; Cr 15Site Address: 70CP.A, lpti. k,* 3119
tA) P
ii
Name.Cmidt \ V \ ,(\ (Cbraview Tb\phAVIbvine5-)phone- C:21)\-i S 1
- °.I
1 .d , . . Ea,,,1),31 zr\_. yzA & mv,,i. 5.51„ z\v Li
Rest entf
1 Owner : Address/City i Zip: Iii11 If 1 IA t4i,V\
Applicant is: Owner ` Contractor I
----
•
i-alkar' ki' NA(X- rtiVrWfc ;
Type of Work Description
of
work:
I
t 1 Construction Cost: pa '. 1/4,Y0 Multi-Family Building:(Yes X /No
----
; I Compan • OkirtS.,A COAc-AYVaRContact:W) 1-ior. ‘-))r‘candktufrui\
Y.
i
0
' Address: -7 a7 1-70k-v't Lim . N\Ai City: AVV1Wte-
Contractor !
i
Zip Phone: ' ei '
' State:ft Z" CS'1)6k-1 (0G-11 to-6°10 Email: VV1(11/11- Dertwk LtAn
..,.
PcSi q kLC- 0 q3 alt
i License#: -iJ')...... a 1 _ Lead Certificate#:
...100.0.....
If the project is exempt from lead certification, please explain why:
1 1
t
r COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
1 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:
1
i
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
;
i
i Fire Suppression Contractor: Phone:
I NOTE:Plans and supporting.documents that you submit are considered to be public information. Portions ofiheinferntatit;may be
I classified as non • blic if •u • •vide specific reasons that would •- it the C to conclude that - are trade secrets.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.cityafeanan.comisubscribe.
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.
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.copherstateonecall.ord
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,
. PecattA )4artive4
x i Ir
Applicant's Printed Name Applicant's Signature