807 Promontory Pl• ? . _ .._ • , CIIY OF EAGAN ? 2 #
3830 Pilot Knob Road, P.O. Box 21 -199, Eagen, MN 55121
- ' PH ON E: 454-8100
BUILDING PERMIT Receipt ?
To be used for Est. Value 4 i 57,t?t`0 Date !' :i 1? ,19
Site Address OFFICE USE ONLY
V)rfl"AN`19 AD!? i TI Y
Lot Bl
k S
b
/S On Site sewage Occupancy '•- ?, :- l
oc
.
ec
u ` 1
MWCC System Zoning ;--
Parcel No.
?
On Site Well (Actuaq Const -
City Water ? (Allowable)
a Name
W
z i"
Address PRV Required ? of Stories
? City PhOne Booster Pump length 't
Depth 1'-
°C
o Name S.F. Total
.
? ? Address Footprint S.F.
r¢- City Phone APPHOVALS FEES
? u a
W W
Name Engr./Assess. Permlt t ??z •'?f'
,,
rr
t
_= Planner Surcharge -
•
Address Council Plan Review ? ?n
?n
Q W City Phone Bldg. Off. SAC, City ?
00
I hereby acknowledge thet I have read this application and state that the Variance SAC, MWCC _
infonnation is correCt and agree to comply with all applicable 5tate of Water Conn.
Minnesota Statutes and City of Eagan OrdinanCes. Water Meter
Signature of Permittee Road Unit
.
? . • ,??.,.y?jf;
A Building Permit is issued to: vONSY. ' Treatment P1 ^
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances. Parks
Building OHicial TOTAL •
- Permit No. Psrmit Holder Date Tslephone #
Plumbing ck;CZt
H.V.A.C. G) -3 cj '
Electric
Softener '
Inspection Date Insp. Comments
Footings I 1 171
Footings II ?
Foundation
Framing
Roofing
Rough Pibg. .
Rough Htg.
Isul. L_ -T
Fireplace L,•?, ?r ', /a?,. /D- 2 ?- ,?
Final Htg. S'
Final Plbg.
Bldg. Final
Cert. Occ.
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp.
- -? /.Dw
?. ? ?i
(terfifira#e of (Orrupanry
titp of (Cagan
loepartncent of %aing jwtrtintc
This Certifrcate rssued pursuanr to the requirenienu of Section 306 of the Uniform Building
Code certifying that at the time of issuance this structure was in compliance wifh the various
ordinances of the City regulaling building construction or use. For the following
ux .?
` elag. t?? r?o. 15321
c?s?aoo 1' ? ?'-
0-upa-r TYve ?t3/AI I xon;ng o;w;a TYIN cme. VN
? '.
o,. a e? nm?, - `:49 5I?- FAL'.Af1
?`.,,
e ?...At:?. tAalryI.9, B4, :d51CA;; n?,:.
iaan?g ?aa.e?
Daa: ?MOGEt 14, i l.1,4?
&uddug 0fficia1
POST IN A CONSPICUOUS PIACE
, • • . PERMIT # '?-
, . , PLUMBING PERMIT RECEIPT #
. CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE:
CONTRACT PRICE PHONE: 454-6100
Site Address 4 ? n'? ?? ??' ? q ? BLDG. TYPE WORK OESCRIPTION
Lot y Block Sec/Sub
,,'i, Res. ?- New
m Name r " Mult Add-on
? Addr Comm. Repair
c City ?? Phone Other
?
Name 4, k -.) ? h?,s ?r?. FIXTURES ?.QT?IL,
00 / U U
?Water Closet -$3
3 Address y1 ? •'•-•'.??? , r <<•?? ?• .
Bath Tubs - $3.00
? ?
p City L N , 0 . ?- Phone Lavatory - $3.00 .
,
Shower - $3.00 ? , O U
?
Kitchen Sink - $3.00
FEES Urinal/Bidet - $3.00
COMM/IND FEE - 196 OF CONTRACT FEE ??undry Tray -$3.00 •?
MINIMUM - RESIDENTIAL FEE -$10.00 Floor Drains -$1.50 ?U
-
-
MINIMUM - COMM/IND FEE - 20•00 7
Water Heeter - $1,50 • ?
STATE SURCHARGE PER PERMIT - •50 TWhirlpool -$3.00 ?-'
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1
000
00
=Gas Piping Outlets - $1.50 _
,
.
) ---L-Softener - $5.00
Well - $10
00
.
? Private Disp. - $10.00 u
_
?___
_
Rough Openings - $1.50
SIGNATURE OF PERMITTEE FEE
STATE S/C:
FOR: CITY OF EAGAN GRAND TOTAI: S-J'' ? O
CONTRACT P
Site Address _
Lot ? Name _
m Address
c City _
? Name _
c Address
p CitY -
, , PERMIT #
MECHAHIbAL PEFtM1T ' RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 OATE:
:E: ? PHONE: 454-8100 ? - '
° BLDG. TYPE WORK DESCRIPTION
lock Sec/Sub Res ?' New
spnrnl Mult Add-on
i „r, ., Comm. Fiepair
841n wm?4 TH kVE. SO Other
..u,
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent
Gas Piping Outlets #
Other
mnvncr+rv?.., •• ??--
FEES
RES
HVAC 0-100 M BTU -$24
00
. .
ADDITIONAL 50 M BTU - 6.00
Phone (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PEkMIn - 50 EA
1
.
.
CaMM/IND FEE - 1% OF CONTRACT FEE
?• ? M BTU APT. BLDGS. - COMM. RATE APPUES
TOWNHOUSE 8 CONDOS - RES. RATE APPLIES
M BTU MINIMUM fiESIDENTIAL FEE - ALL ADD-ON &
M BTU REMODELS - 12.00
? M BTU $ MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
CFM (ADD $.50 S/C IF PERMIT PRICE GOES
$,?. ? BEYOND $1,000)
FEE:
! a
w'f`'
S/C: i
SIGNATURE OF PERMITTEE
TOTAL•
FOR: CITY OF EAGAN
CITY OF EAGAN . '
454-8100 . DEPT. OF BUILDING INSPECTIONS
Correction Notice
Located at R&"2
I have this day inspected fhis structure and
these premises and have found the following
violations of city codes governing same:
f
When corrections have been made, please
call 454-8100 for inspection.
Date
Inspector City of Eagan
DO NOT REMOVE THIS TAG
Z C f f ?yoivc ?-7 C-C S'?C?E
• CASH RECEIPT ?
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE tg
i
? ?_
AMoUNT s
O CASH qCHECK
DOLLARS
,oo
FM ' w G(? ??% 7
L ?
FUND OBJECT AMOUNT
c?
LA 01 3 i
3? ? 0
Thank You - ?,
BY =?.
- • • . wnne-aarers copy
' Yellpw-POSting Copy
Pink-Fila Copy
cinr oF EAGaN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PH O N E: 454-8100
BUILDING PERMIT
To be used for ,qnr-;
j - '/
t 5 321
Receipt # I ;;?'
Est.Value ?t!",7,;,{;{r Date T,ztt it ig -qR
Site Address 807 PR4?NTORt PLAC.E
1
Lot ) Block Sec/Sub.
Parcel No.
a: Name 'ARK
3 Address 4144
o rU, :1CA
,o Name
z? .
? ¢ Addre
? City _
r?
W W Name
Addre
uz
a w C1tY -
1 hereby acknowledge that I have read this application and state that the
infprmation Is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Qrdinances.
Signature of Permittee , x
A Building Permit is issued to: 0?`?'f'?'? r?='i5?? •
on the express condition that all work shalt be done in accordance with al I
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
OFFICE USE ONLY
On Site Sewege Occupancy - *i-1
MWCC Syatem X Zoning g-1
On Site Well (Actual) Const V-N
City Water X (Allowable) Y-N.._
PRV Required # of Stories
Booster Pump Length 84
Depth 3`
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr./Assess. Permit 797.00
Planner Surcharge 83.50
Council Plan Review ?bLIC10
BIdg.Off. SAC,City 100.QQ
Variance SAC, MWCC
WaterConn.
Water Meter !S7 _f?t1
Road Unit 32$•00
Treatment P1 204.00
.
Parks
TOTAL ???7•rsO
BLDG. PERMIT NO.
,
?
r
, - r
1
'
?
-3210
0 Bidg.
ermit
01-3422 Plan Check
01-3445 Surch./Adm.
01-3446 SAC/Adm.
01-2155 5urcharge
75-3860 Road Unit ` ?--?
20 -12275 SAC
20-3865 Water Conn. -- ? -
20-3868 Water Trmt.
20-3716 Water Meter
20-2252 Acct. Dep.
20-3713 Water Permit
20-3743 Sewer Permit
79-3866 Sewer Conn.
28-3855 Park Ded.
TOTAL C: ? ? f .? CJ
CASH RECEIPT
,?:`,..Y
- ?? .CITY QF EAGAN
3830 PILOT KNOB ROAD
? .
EAGAN, MINNESOTA 55122
DATE
RECEIVED
Fnor
.. ,
?
AMOUNT
O CASH XCHECK
7y-
DOLLARS
100
Y--
/.?`.3?
FUND OBJECT
,C y. .6 -?--
Thank You {-.
ev
wnne--Payera copy
Yellow-Postlng Capy
Pinlt-F'tle Copy
OCCUPANT
HEATLOSS
SOLD BY _
INSTALLED BY
Electrical Wark 8y Gas Line By
TYPE OF HEAT GA_ FA-?-L HW_ STEAM SPACE HTR. UNIT HTR. OTHER_
GAS DE51GN CONVERSION
MAKE ?..Li /?IND-1L
Model 2-5
Serial
INPUT ? e 11
LS
Valve f:>c ?L I .? 1t4 1?J
Limit
Limit Setting
Fan Setting
Pilot Type '?-
Pilot Make
Pilot Model ? T I --> --)
Pilot Timing 'FA
L.W. Cut Off
Pressure ?? • ?_'' Percent COZ "
Input CFH Percent 02 %
Stack Temp. Percent CO ?
ka M r N
SEDGWICK HEATING & AIR CONDITIONING CO. ?
HOUSE HEATING TEST RECORD..
jo CITY A W
DATE HTG. INST.
MAKE OF BURNER
Max. BTU Rating -
MAKE OF FURNACE
Model
Vent Size 11
KIND OF LINER 51ZE NONE
Draft Hood /'-' ' Regulator
Filters Siae Number
Chimney Location Inside ` ? Qutside
Chimney Construction
Smoke Bomb - ,,
Vlf iring
Draft "t Test Tag L--4 !'- -? -
Door Pressure Lighting Inst.
Date Tested
Company Testing
Name of Tester T-
g 3.? 5
Form 235
----?
d
CITY OE EAGAN Permit No: Date: I 4e i
3830 Pilot Knob Road g/p No:
P.O. Box 21199 Date:
Eagan, MN 55121 •
Owner. ?'.erk Jahnson Corsst.
SiteAddress: 307 prflmoritory
' Plumber._ Schulties plu?bin?
MWCC: - SSO.OOvd Zoning• T;2
?ciry cn9: _ 10n.OCh,d
a No. of Units: -
Acct. Dep: 2 S• d0Fd
Permit Fee: L1j•UQPd I agree to comply with the City o1 Eagan
Surcharge: • - `- Ordinances.
Misc.: BY
SEWER SERVICE PERMIT
? -?•x: -?.?-?.
`---- -=
CITY OF EAGAN Permit No: 15-36
3930 Pilot Knob Road Date: Q-
Meter No: Si ze;
P. O. Box 21199
Eagan, MN 55121 Reader No: Oate:
Owner. Joi??xeon r',ongt .
Site Address: '.'rumoatorv Pl an.. r c aAs ?n. _.
Plumber.
? ,.
Conn. Chg:
Acct Dep:Zoning: ft?
Permii Fee: No. of Units: 1
Surcharge; 1; --
- Tr. Plant- agree to comply with the City of Eaqan
Meter. ? Ordinances.
Misc.: '
By
WATER SERVICE PERMIT
CITY OF EAGAM
3830 PiIbt Knob Road
P O- Box 21199
Eagan, MN 55121
Owre--
Permit No: I'
/l? Date:
Meter No: Zl(
Reader No: G' Size:
Date:
. Chg:
Dep: Zoning: Pd
t Fee: No. o} Units: ?
arge:
nt f agree Io comply w+1h the Citq of Eayan
Ordinances.
Br ?
WATER SERVICE PERMIT
'This request void
18 mpnths irom
E 43095t.? A-W
I Xenues uale - tve rvo. HouP^-??? ?^stie?1?on
?]/? ^ 0Q Renuire0? OAeady Nuw XWill Notify Insoec-
'-(J1,8-• ?J ??es ?Nn tor When fleady
QQ Lfcensed Electrical ConVactor I hereby reQUast insoectian of above
? Owner elecfrical work installad aC
Street Addiess, Box or Roule No.
` a0 1 Pfo ?,-
Plo-cJ?- Citv
E a?/
ecuon o.
I Townshi0 Name or No. flanBe No
. County
Occuuant (PRINT) Phone No.
C`n ffuh
Power SupVlier Atldress . '
VAW ? uk"Iy z,
Elect cel Contractor ICOmpany Namel
a-aa% C& c?? k C?hc, Conlrnr.mr's Lir,ense No.
04?9315 -6
Mailing A ress IConttaetor or Ownee Maki
j
$363 ;
R
d np Instailationl
?S
N r
M? 55H32
UVxd
,
ua .
.
Authorized Sig^atwe (Contractor/Owner Making Ins[allati nl
? Phone Numbcr
?sy -? a9
MINNESOTA STATE BOARD OF ELECTNICITY THIS INSPECTION PEQUEST Wll.l NOl
Griggs-Midway Bld9. - Noom N•191 BE ACGEVTEO BV THE STATE BOApD
1821 Universitv Ave.. St. Paul, MN 65106 UNLESS PNOPEfl INSPECTION FEE IS
Pen..o IFbI B620A00 ENClOSED.
REQUEST FOR ELECTRICAL INSPECTION eye-o?o?o/o?i-?os}
0 See inshuctions tor completing Ihis form on back ol vellow copV.
E 9 5 "X" Below Work Covered by Ihis Request
Ade Peo. Type ot Building Aooliances Wiretl Equipme., WireA
Hnme Range Temporary Service
Dupiex Water Heater Lightiny Fixtures
Apt. Building Dryer Electric HeaUn
Commercial Bldy. Furnace Silo Unlodder
industrial BIAg. Air Conditioner 8ulk Milk Tdnk
Farm Otner pau v 00hei ISn,,,,fVl
t er Succify ther Oth.ar
Comaute /nsaectian Fee Below
p Fee ServiceEntrance5ize fl Fae Feadars/Suhfee.ders k Fee Grcu'?ts
{• Oa 0 to 200 qm s 0 to 30 qm s f0 3q. JO ? tn 30 Am ps
Above 200 qmps 31 to 100 Ainps 10• W 31 to 100 Am s
Swimming Pool Above 100-Amps Above 100_AmPs
Transrormers Irrigation Booms ,?b Partial."Other Fee
Signs Special Inspection
E_/??
Re?ks _ ? TOTAL nrr
Electrcinl I
I?pectoq heraby
lily thet the above
Final Uale nspection hes baen
rrede.
revuesl void 18 montle from
This rev.est void
18 rtqnths Irom
E 28 2 5 4 ?? ?,,J,
Nequest DSlc " Fire No. Fouph-in InsVection
l
? ?ReatlY Now Wil Notify
InsPec-
? ? ? ?iyred ?
?- ?Yes N. or When Ready
? Licensed Elec[rical Carirector 1 hereby requesl insoection of ebove
Owner electrical work installed at
Street AtlAress, Boz or Ro te . ? ?
?aU O f
ecLnn o. Townshi0 Name or No. ange No, Counly
Occupa PINT) Phone No.
Power $upplier Address
?[G/r
ElecVic I C actor Comp mel Cnntractnrms License No.
S?
r Contm;Ownar akinglnstail '0 1
V
Autho' yigna ure (Contractor Owner Making Installationl Phone
Nb
er
/
/
MINNESOTA STATE 90AHO OF EIECTNICIiV THIS INSPECTION REQUEST WILL NOT
BE ACGEPTED BY THE STATE BOAND
Gri09e-Midway Bltle• - poom N-191 UNLESS PflOPER INSPECTION FEE IS
1821 Universitv Ave.. St. Paul, MN 55100
ce- re17i aa9.nnnn ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION e?sy-o?oooi-os ?
, See ins4uctions lor compleling this form on baek ol yellow copy. J? 4,Q?
E?2 8;25 4, "X' ' BeloW Work Covered by Ihis Request
Hdd Nep. Type ol Bmlding ApOtiantae WireA Equiument WireA
? Home Range Temporary $ervice
Duplex Water Heater Ligh[inq Fixtures
Apt. duilding Dryer Electrie Heztin
Commercial Bldy. Fumace Silo Unloader
Indus[rial Bldg. Air Conditioner 8ulk Milk Tank
Farm
Othei PFU V
.Ihpr I$I?CnIVI
t P. Sueci(v ot er 01ner
Comnute lnsaectian Fee Below _
p Fae ServiceEntrence5ize M Fee Feeders/5ubiaeAers N Fee. Circuits
0 to200qms 0 to30qms 0 to30Ams
bove 200 qm ?s 31 to 700 Amps 31 to 100 Am s
A
Swimming Pool Above 700_Amps AAove 100_Am s
Transiormers Irrigation Booms Partial.' er Fe
$igns Speclal Inspection 5 ? TOT FE 0
pemnrks \
V
pouBh-in Dote
) 1, the Ele
Inspector, hereby
certily that the above
Final ?
? ?(?,v I
? ins0ection hes Eaen
rrede.
Tia repueel voiC 1B monihe Irom
CITY OF EAGd N_ 15 3 21
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE:454•8100 ? ?
BUILDING'PERMIT Receipt# a ?o
To 6e used for SF
Est. Value $167.000
SiteAddress 807 PROMONTORY PLACE
Lot 9 Block 4
Parcel No.
Date nri.v 11 ,79 A$_
Sec/Sub.W00DLANDS
a Name MARK JOHNSON CONST. I
; Address4149 STRAWBERRY LANE
0 City EAGAN Phone 454-0623
¢ Name SAME
0
?Q Address
P City Phone
wW Name_
_z. Address
aw Ciry-
Phon
I hereby acknowledge that I have read this application and state that the
information is correct and agree to compl wit all applicable State of
Minnesota Statutes and Ciry of an?dan s.
SignaNre of Permittee
A Building Permit is issued to: MMK (TOHNSON CONST.
on the express condition that all work shal I be done in accordance with al I
applica6le State of Minnes?Statutes an iry of Eagan Ordinances.
Building Official ?
OFFICE USE ONLY
On Site SewaBe _ Occupancy R-3, M-1
MWCC System X Zoning R-7
On Site Well _ (Actuap Const V-N
Ciry Water X (Allowable) V-N
PRV Required _ # of Storiea
Booster Pump _ Length $!y
oeatn 34
S.F. Total
Footprint S.F.
APPROVALS FEE5
Engr./ASSess. Permit $ 792?Q0
Planner Surcharge _$3,50
Council Plan Review 196-00
Bldg. OH. SAC, City II20._QO
Variance SAC,MWCC 550-00
WaterConn. 5.5Q.,_00
Water Meter 67 ,.0?
Road unit 325.00
Treatment P1 204.00
Parks
TOTAL 3067.50
RESIDENTIAL
G?a BUILDING PERMIT APPLICATION
cirv oF EAcaw
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
Naw ConatrucNon RauuiramenW
• 3 registered site surveys showing sq. fl. of lot, sq. ft. of house; and all roofed a2as
(20% maximum lol caverage allowed)
• 2 copies of plan showing beam & window s¢es; poured found design, etc.)
. 1 sel of Eneyy Calculatbns
• 3 oopies of Tree Preservation Plan it IW platted aRer 711/93
• Rim Joist Detail Optiore selection sheet (hldgs wAh 3 or less units)
DATE
7 a-61?
RemadeVReoair Reauirements
. 2 wpies of plan
• 1 set af Energy Calculations for heated additians
. i site survey for exleriw additions & decks
. Indicate A home served 6y septic system for addNOns
.
VALUATlON a y J5 ? 160
SITE ADDRESS ?gp?? PrMW&0-y MULTI-FAMILY BLDG _ Y ?
TYPE OF WORK T, 0 • Rerorf' FIREPLACE(S) _ 0 _ 1_ 2
APPLICANT l.Ue5q1nrn 1-?00'h/v
STREETADDRESS CITY_46w,a,,A STATE/L1A"ZIPSS`/y
TELEPHONE CELL PHONE # FAX #
PROPERTYOWNER _301?11 VfY°n^ TELEPHONE#G5I-
------------°-------------------------------------------------°--------°--------------------
COMPLETE THIS SECTION FOR KNEW° RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RUI.FS 7670 CATEGORY 1 MInNESOTA RULES 7672
(4 submission type) . Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
. Energy Envelope Caiculations Submitted
Plumbing Conhactor: _
Plumbing system includes:
Mechanical Contractor.
Mcchanical system ittcludes:
Sewer/Water Confractor.
Phone #
Phone #
I hereby acknowledge that I have read this application, state that the information is
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Appiicanf
Pee: $70.00
and a ree to
!" Zoo2
OFFICE USE ONLY
_ Water Softener _
_ Water Heater _
_ No. of Baths
_ Phone #
Lawn Sprinkler
No. of R.I. Baths
_ Air Conditiotung
_ Hea[ Recovery System
Fee: $90.00
CeRificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Ait - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
? 34 Repiacement •Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const W idth
REQUIRED INSPECTIONS
_ Footings(new bldg) _ FinaUC.O.
_ Footings (deck) _ FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & W ater _ Final _ Pool _ Ftgs _ A'u/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insularion _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
Ciry SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Piant
Piumbing Pertnit
Mechanical Permit
License Search
Copies
Other
Total
Building Inspector
, •, 1988 BUILDING PERMIT APPLICATION - CITY OF E$GAN
SINGLE FAMILY DWELLING3
/53?J
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OE SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDSNG PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS # OE UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COMMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
To Be Used For: 6;,,ele Valuation: ?-5?jtreo- Date: '7/&/gg
?-S
Site Address $07
F?iornon?r.? P?
Lot q Block y
?
Parcel/Sub CooexP/c.rds .9ole(xe,
Owner S§:ec? 4AuA Rer(i
Address /,24R E. Ro1Sam T,2,,'I
City/Zip Code gid a„ M., 155/093
Phone 115'/- 70(os'
Contractor ?"nso,.,
Address
City/Zip Code 55i,913
? Phone .fr.sy--o?a3.
Arch./Engr. &,, ?'I?,•?s?/e(-?
Address jFC&,-.. 9-
City/Zip Code
10/=? OFFICE USE ONLY
On site sewage _ Occupancy R? Nt-i
MWCC system ? Zoning f2- 1
On site well Actual Const V-/V
City water . i/ Allowable V-N
PRV required _ # of stories
Booster Pump Length
Depth
S.F. Total
Footprint S.F .
APPRDVALS FEES
Engr/Assess Permit ?Q1 0?
Planner Surcharge g3 ?D
Council Plan Review 396. 0a
Bldg. Off. ?7/11 SAC, City 0 OD
Variance SAC, MWCC SS'D.DD
Water Conn 550 ,pD
Water Meter 61? 6 O
Road tln3t 3251 ov
Treatment P1 2 ,OD
Parks
Copies ?C
TOTAL r
'7
56
d?
. ?
.
o
Phone lk _5A r'-/ -.. (o AJ `^/
VALV,ATIoN
C? AR AcaC--
3Z 1752
?SMT ? 1S5' G'??o
3Sk3y= 1292
1 vZ,< I y = z. f
vZ
3 = ay
6 X lR _ S?
z _1-
1?13t X ?2.= 88'I22
Z o-v FLooo-
3Z>C 38 = )21 L
? N l? L! = S61
Zx? ? 1y
? K r, = 11
G?« _ 5?
I 3??X y? _ ???yd
fy
11?11 ?'
• T i
SURVEYOR'S CERTIFICATE
i?
164.50 N 0°46'06" E
SG7.o) 1 0 V ?
,
b?ORAlNAG£ & UTILlTY
£ASEMENT PER PLAT
LOT
9
EAGAN ?
REVIEWED ?
w
ev .?D1+? ?? °\ (?`
^? ? Ory
DA7Q-? _ ? o,+a
2m
? •i
?0a'.
u
Z '
/
= DENOTES PROPOSED SURFACE DRAINAGE
O DENOTES IRON MONUMENT SET
• DENOTES IRON MONUMENT FOUND
X000.0 DENOTES EXISTING ELEVATION
(000.0) DENOTES PRaPOSED ELEVATION
/0
MARK JOHNSON
I \ni I nirN-j ' r) C- r_
V V I I V Ll I I^\ L_ L_
I n r,, ni -?-I i*N nI
i-\ L i U I I I \' ll v
o .
?
751
m
/-`v('. "bli
Q•"?ro? ?
0 Q
3.76
?R=80.00
aa2°41'34"
W
Ln
d'
to
iL
co
N
6
N
v
HUB SET
;-
L_ \ / 1
Q? P?"o
V
' SCALE: 1 INCH - 30 FEEf
PROPOSED GARAGE FLOOR - `146•3 FEET
PROPOSED LOWEST FLOOR - 909.6 FEET
PROP05ED TOP OF BLOCK --1ib• 7 FEET
WE HEREBY CERTIFY TO M A R K J O H N S O N THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Lot 9, Block 4, T H E W 0 0 0 L A N D S, accordlnq to the recorded
plat Thereof, Dakota County, Mlnnesota.
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS
SURVEYED BY ME OR UNDER MY DIRECT SUPEfiVISiON THIS 8TH DAY OF J U N E, 1988.
r 2YZ, Il SIIGNED: JAM?X I, INC.
ay . vC. ?
dY.
Uat? 7? HAROLD C. PETERSbN, LAND SURVEYOR
EAGAIV ENGINEERIIVG DEFT MINNESOTA LICENSE NUMBER 12294
CA
m
i
^
W p
Nm
-1 O
- r
?m pp ? 00
\?
v' 0
O? 0 a
r ?
0
' 0 O ,pn
?? U1a ?
? ' m
m ?0 Z
T! ? • .4 z0 (0 m e
n ?
.
James R. HiI , inc.
PLANNERS / ENGINEERS / SURVEYORS
9401 JAMES AVE. S. 9 BLOOMINGTON, MN. 55431 • 612-884-3029
(908•3)
qu„x be.o ,
m '
? 10.6T 'yrj'?
c
? pRHpUSE
,
a?e . I
i
,
? '5
'O
?
FaTC.tIOR EnYEIOPE AVERAGF. 'U" COrPUTA71013
. . . .: . .
OF1N L1 . . . .
' SITE ADDIlE ?
?
SS U?
LPppU
KQS /kLTOvl
--
?
--
_ .
CONT1inCTUR DATE 62Y,6WPII0t7E --_-----
' Decermine vor}ing squace foo[age of -cach. .
l. 'lb[al exposrd vall area sq. ft. z_ll
2. iotol roo:Jceilinc arca .. 1?
Wsc_ ft. z_026
_
3. Total floor/ean:. acex so. ::. x_OS 1
L
_? Qr -J
TOL21E::70324_ 'r'211 •.YCc nbOVQ P100:
• . . a. ?otal _all -•incov zrea
b. ro:al Doo: Z:Ea . . . . . . . _ . . . aa?3!
_
c.
;o:al s?icinc c,?zsa coo: ..:ea -
--
?3??
c'.
iote? eo?zcc wa!1 a:ea . . . . . _ --
----
, - - .?
' C. 'totz? _a?l`.rz_:ne zcea (aae:z,e 10:). . -----
1???
i. ^ottl neZ _a!1 z:cz ,.lo•:,
. . . .
C.
C. 10z2l C_M iOSSi 2i0L . . . . . . _ . . .
?Oi2?..?•:?O'_G'? :0•_..::c'i:?? ?.:°d = ____'????_.
h. Tocal :ec: ca.:oa ?ncov acea . . - - • '
3.?
•.
i_ Total ne: :0a-1ctticn a;ea xF.ove c_zce --
__
Uetermin e 'll' Yaluc o: cach vzll seqaent.
1Z4? ?
x U
a' 9?-
--
----
z "U.
b
? ?
---
---
c x 'U
?
---
d. x 'U' ----
_
e. x "U'
t ' 1.Q6 91Y?- z V "
°-. X 'U
i¢i? _
--
n. : 'u- -?'?-
i. 'U•
' • SUBTOTAL
4: ' 20?AL
. . .
i (?
If item :4 is thc same as, oc less;than itca I1,'you havc met the
in.ent of SOC 6006 (c) 2. •
, 7b[a] Ec,wed Root/Cciling l,rea ' ---- Z3 0Q_L?D_ ---
j• 7'otal skpliglit area . . . . . . .
r•
7'otal
Llat roof/ceiling framing arca ?-----
1. 1•otal nct inslted tlat roof/ceiling area
M. Total voult roof/ceiling traminq area=l0't
n. Total net inslted vauli roof/ceiling area
Determine.'U' value for each roof/ceiling seyment.
j' x ,U. _
k. " U _ _•43 --- _ ?3?--
1 " - u -
??
-
m. ----
----
x "U"
n x .U. ----_------ _ ?- ----
5 • 7'ornL
(9?36 -_?
If i[e-.) :5 is ihc sene Zs, or less than itea :2, you have neC ihe
in[ent of SdC 6006 (c) 1.
iotal Erposed Floor/Cant. Areas
o. ioczl .loo;/cznt_ f[ar.iinc acea (avrc. 10i)
P. 30tel OQC ?qSUlcLEO IOOC/:en.. ac=a . . . __1r?'f2•??-----
Dete:c:.:ne "U" va?ue `or each !leoc/can;. secment.
o. 1???----- x wU- ------ 4-.U?_ °
° •' _?1c?la_?- ' ` U ? ----'Q?- --?3??----- '
6. • TO?i,L = I -------
l?_1
If cotal of :6 is :he saRe as, or less than ;3, you have net the
intent of SbC 6006 (c) 3. •
ALTERI:ATE BUILDII4G ENVELOPc DESIGN
To u tilize the totel envelope systen method, the values established
by the sun of i2ems ;S, ;5 and S6 sliall not be greater than the sum
of itens .1, :2,and :3. -
2. 3 • __CL-5--
4 . 5 . ?? 6 -
Prepared By Date'?L?y/8K .
k?
Total Ezpo:,ed rlall Area Abovc Flooc
a.
Total .
vall,windov acea ?
b. Total door acea . . . . . . . . . . . . . ____ --'- _ _
c. Total siiding glass door area . . . . . .
d. Total fireplace wall area . . . . . . .
_
-
e. .'Total vall tcaming area (avrg. 10t) . __
. . _ ?(
?
f. To[al net vall area above flooc _.. ..
!/?
g. Total cim joist area . . . . _ . . . . _-
. .
Total Exposed FoundaCion Area
Total FoundaCion F7indow Area -
Total t<et Foundation Atea Abovc Graoe
Cecermine "U" value o: each vall segir.ent. '
2' J/
? " 'u, - -=?-'?--- - ---_YL-?? _
-
b. --
-
--- x • u ' --
-- ----------
-
c. ----- ----
- X -
.u. -
--
o. - ------ ------ - x .U,
e _? p ?---- - x .U. - --
_
.
- -u-
. .. _?QY_--=-- - -
_ ----????-_-
° ??
? r ----Q ----- ---
--- - x .U, - _
- _
--
• -
? . ----- _ -- -
x -
•u~ --- ? ---
= -
sU2;o?;.! _
.?
.. - ?s
,,n.t1 STi!n ? Int. Ai{.^,. .68
t ,
Ty,r" ?*IS,
Sl8 F'.C. Stud 5/8" F.C. S.R.
S.R. R H SIPFS (Opt.) Shtg. RO"'!' SIPFS
S.P.. .56
/8" S.R. .56 ?
• F.xt Air .17
Tota3 -ti
i 1/R = iiu,i
THRI) STUD Int. Air .68 THRl1 ID1S. WAI.1.
w/o S.R. Stuc?. w S.P,.
w/ SIDIPG Shte. w/ SI_. `tG
gid
Ext. ir .17
1 i
1I tal „RIt
? ?
t 1/R _ „U„ = C? ?-'.I
,
THRiI MrN,BER
AT CA"'T.
Int. Air :92 '.".HRLi IP'.S,
Carp. -Pad a,08 pT CpMT •
Vinyl
Und. --
Ply. .93
.Taist Depth, • %/.S?P ;
Pfy.
1 .? •
Ext. Air .17 `
Total "R" •=' 41*13
: 1/R ' "U" = I.?PJ .•
Air .6
/
Ext. Air .17
Total "R" _
1/.°. _ Ill'll ' =
Ir.;. Air .EB
Ins.
sr.tg.
si (I. i nfi
Fxt. Air .17
otal "R" _
1/F
Int. Air •92
- Carp.-Pad I
a.DB
Vinyl -'
. _Un' _
ply, . .9Y
Tns. ?OL)•
. s/7
• P1Y' .
• F.xt. Air' •17
Total "R" = 3y.:5$
1/R= nUn
CITY OF EAGAN
APPLICATION FOR PERMIT #?****#****f*k*******f#**>
PAYMF_'n7P OF FEE AT TIME pF
XION DOES N(YT CONSTI4STIE
LI, I OF PF.RFffT;
* IxsPncriorr oF sEWM r+rm/ox lmMai:R
iN;Lar.rmroNS WILL tX)T SE 5(1gD-
SEWER AND/OR WATER CONNECTlON * ULED T27I'II, PfRMIT HAS BEQ]
' . * APPRdVf9.
?.
?
?
. _.... *???:*?*t:**+x***:r:r?*xa**::*xx,?*:a?
?
2)
lrlease P=int) -
PROPERTY ADDRESS: ?QQ'7 H,,„ ??uc ? ._
J"
LEGAL DESCRIPTIONc •-
Lot Block Subdivision or Tax Parcel ID )
I£ EXISTING 5"PRCCILTRE. DATE OF ORIGINAL BL?ILDING PERI1iT ISSI:ANCE:
(bbn Year}
PRFSIIIP ZONZNG/PROPOSID L'SE:
CCk•x 4ERCIAL/RETAIL/OFFZCE
? IIvT)CSTRIAL
C1 ZNSTITL'TIONAL/GpVERNAg,'NT
? R-1 SINGLE FAMILY
F-I R-2 DUPLEX (Tro Cnits)
? R-3 TOWN[i0L?5E (Tltree + Units)
R-4 APARTMENT/CONDOMIDTICM
e
ADDRESS:
C-ITY, STATE, ZIP:
Pxor?: > ?co - ?/vb 7
3) • u ic ?- ?
ADDRESS:
i CZTY, STATE, ZIP:
PAONE:
MASTr"f. t LICENSE#
r-
( Units)
( Units)
Pluniters License:
? Active
Expired
Not recerded
St?tial
4) •a• • • ? i?-
NAME:
ADDRFSS:
?
CITY. STATE, ZIP: E,2:p? A, -u //, - -
PxorE: C/6?/- oG a3
-S) f 1 «N U" M, [d' • y• y • • ot ? • o? U-?'Siua?
? CDNIT`I'ION TO CITY SEWER d2r.CbNN"CI'ION ?T3 CITY WATII2 ? ryTHER
r ? u•?-
YLE'.ASE MAIL APPROVfD PatN12T TC(1,)2, 3, 4, P,BJVE
ircle one) EM2
6) i'' PLEASE HOLD APPROVID PERhffT EOR PICK-L?P BY 0 NE OF ABQVE .--' --
F;OR CITY USE ONLY PERMIT # ISSCED
C ?J
Pd w/Bldg. Permit
c
S
?v7d I7
$
$
$
?
S
$_
s ? ?c? • ?? d
$
$
$
$
$ ?L? ??• rr0
$
s
REcalrT n
PEES:
$ OlE1- S---D SEWER
$ WATER
$ TAATER
$ WATER
$ SEWER
$
--???
$
$
$
PERMIT (INCLLDE SL'RCHARGE)
PERMIT (INCLL'DE SC'RCHARGE)
METER/COPPERHORN/OUTSIDE READER
TAP (INCLCDE CORPORATION STOP)
TAP ACCOCNT DEPOSIT - SEWER
ACCOCNT DEPOSIT - WATER
FIAC . . .
SAC
$ TRLNE WATER ASSESSMENT -
$ TRLNf: SEWER ASSESSMENT
$ ' LATERAL BENEFIT/TRCNK SEWER
$ LATEi2AL BENEFIT; TRL'NK WATER
$ 'dATER TREATMENT PLANT SURCHARGE
$ OTHER: ,
t
, S ToTaL.
?7.si?' ?
DOES UTILITY CONVECTION REQUZRE EXCAVATION IN PUBLIC RIGHT OF WAY?
Q YES IF YES, THEN A"PERMIT FOR WORK!? PLBLIC
Q ROADWAY" MOST BE ISSC?ED BY THE I.EICINEERING
NO DIVISION. LIST AS A CONDITION:
SUBJECT TO THE rOiLOWING CONDITIONS:
ArPROVED BY-
TITLE:
DATE :
- --- /_ _ _ _
rIc ar?L osscnLcu LAric,,
rj. ?
,
W
h ?? E AT L0
/'?
(3
r.rI?wD! i0 I??
?
uvrvEa
??
cat
orstr::.
. . AS
.Fi.v
E lJ . . .-MIN??.
.
. Con?:triu:lion N,? "
LVinJOws Ooors
- Guirlc
Out. WJII I .
W
__? --
_
Ycs- PJo Yes-.NO lll.
Refpr L`ilCf`
---"?"------ 21II COIIIIIu ROOI FIOOf
- --?
Kintl
19
?_ ___' _
-- How npplaed
IFI. ,r ? . • Roo m c.
Len?th Width
H ? -
.
YJindows and Doors-Cracka
ge and Area eight FI.???,?•%, powl Leng(h :? Widn?
Heigne
anc ol nxnc
-
I.,nca? h. nec.i
?
? N'indows and Doois
--- -Gacka9r, and Area
? ,
?
_ ?_ t? af [ ?ck n?. 11.
...
_ _.._
Nn. W?ibn H..?yl?t Nn. ? 1 I.?nrnl ll. A?i???
. ' ...
nrlltration
il.l;s
xp, wall
et eap. w _all
tt. wnll
OOr
?il OtU. -?-'
quirod sp. IL E.D.?7. or sq. ins. YJ.A. L???
??- ? Roem Len{?th ?,7 Width
_J'indows and Doors-Gackape and Arr,a
NIU1rM1 IluitllqT I?o.?'
nf 1?•?? .11 11. 4rvd
_ ul p.,nc il n?.?ow n I
? ?L!) ?S (n I /l,cn ?n. h
iltration
o t„
Heiyht
Btu
- Cnul 0 tu
Inhltrutipn
class -- 3-? - " > '?.? uIl
i
Exp.wall
Nel oxp. wnll ?J
I,,. wfl,l
CCilinn?
?-
F loor -
TTuf'll yfu. I 6
Fl?,qii?red Sq. 11. E.U.N. or y-"--"'-- '^-?-?---
q. ins. IV.A. lradm areu J.
Fl.,r•jY,il om LPncih
.?fl[_/ ? ?.?_ Width/? Haipht
---Windnws and Duors?-?Crucka(pr, ond Arca - --- -
No. W??1?1? M?nyl?l Np. ??I Imeal ll.TI 4?en
_? ol f!iu1H 1 V(1O•. b f113 lf l.rdf.4 1:Q. 11.
C-
/-
iss °"'? • - f?lJInhNrnnon
? i---r--- .-__-'--__
c,p. w,n w:lll wan rv,.r exp, waJI =_..r_.
„ f-- _ `-- -- -- .".._.._,Y_?.z_`
J Btu. fbnr
?) ?? f"._'--__-?
nred S7. ft. sq. ins. K'.n LC?3Anr
_ 11 t.il ??r sq. iny. Y7.A. leader area
?..-?.:.f ?_ f ) Room Lenr)th VJ,dth
kleiyhi FI. ?` y?r! Hnom Lenqlh G-W?hth
Jindnw; and Door;-Crackayc and Arca ----- "/ f' -/-`-1j----?- --??
4'Jindaws ind DoorS'-Crack,ige and Area
W ?Irn He vl ? Nn uf -
ol Ddne ai p.u?e I? h L J II 4?ru
- Iv ul cni k 1. I?. No. N? ?1 ? p I Yn. ? 1 lu.r.J
,.i ? a ? i Qni> o,?.,, , It
L?. 4i<ed
ration
t,•>
<n. „•,n
,., , .. _._.
/-? -?j, - ----- f
Btu
Hciphe
coc? j o tu ---- ----- ------ --- - ----- -
--
%•
Inf i Ilflh Vn Con,f Atu
F r?
xP
N te.
?
?
? -
.
.?-
?,_w?
?
.
._ . . -?aS.?: /.
_
L
.
, ., .......
W: i --- ---- --
nnP?or,tnps A.SJi.V.C
Window5, Doors ?iO1?O Out, Wall
fl?af orcrnce
Yos- Nn Yes- No
/4' Ruan ?lan Ih
0 Wiellh
Windows aiid Doors-CrnckaUe and qrea
No. V",PM1 Nruylq Nn. ol Lu
T al?a1? olpe,ie i'phty ot crnc4? +Areli
D b'- ?Fl, Z_
R ? ConsEniction?fJu.
Insulation
In[. Woll Ceiling Roof Floor Kind HowApplied
olglit Room lenpih Heigiit
?---
WindowS and Ooors-Crackagr, and Area
. No. W?ilh HniallINn. nf l??oai li. nm..
nipnn? nlLn_
Cool U tu
- ? 1- 1- Cno-f 0 tu"
Infitlrnlion Inr;ltrnuoo
_
Exp. wall ?X
Not exp. watl
nt
I. wnll 4?0
20
` 5? .:2 o
3 G?Ag9
Exp. wall I? 2 X
Not oxp. wall
'
InL wnll ?
Ceiling . iS
z
?J?
? 7-? ?'
101111 litu.
_' -
toquireJ sq. It. C.U.R, or sq. ins. W.A. Laadur urea
? L
r
Toial Dtu.
Roquirod cq• It. E.D.R. or sq. ins. W.A. LoaJur nroa
?
FI. Huom Lonp?h Widih
Windows and Doors-Crar.ka
and ea
Wph Hniyh1 Nn
pl Haipht F1. Room leng[b WiJlh
Windows anJ Doors- Crackaand A Hciijht
ol nnc
ol n,?e
.
?i?y
?a. fI.
No.
WLb
l
Hu"yhl
Nn. l
l.neal M1. A.,,
_ n
mun ol nnx li hTs of r,r, rk
j
E
ilihration Coel
tu
nliltrnlion
Btu
I
lass _ G Inss -
xp. wnll -
Exp. wall -
'et oxu. wnll
Nnt oxp, wnll -
it_ wnll
-
- Inl. wnll
eiling Ceiling
?nor Floor
rini 6W. ? 7otal Cltu.
aquired sq. ft. E.O.R. or sy. ins. W.A. lriadur t?ro? Hu4uired cy. ft. E.D.B. or eq. in.. N1.A. LcJdur nrea
I. l4.w» LnnF3th Widlh
Windows and Doors-Crackage and Area HoigM1t F1. R??in Len{3lh Wldth
Windows and Doors-Crackage and Area Hui[iti[
?.
_ Iv?'PM1
ul? ?nn M.uqhl
ol pu.n Nn. ?11
b I?in Lmunl h.
ul ync4 4r
n?. I?.
No. W tlib
i?l I?nia Ilr uhl
ol ? nn Nn I
b
? lu I q.
M 4n.n._
1
u
U c ?rk vq.
t.
COCf f1lU COZI 13 tu
'Ipralwn _ _
-
- InlilirntiDn I
ass - Glass - - -
p. wall
--------
-_
-
exp, wnll -
1 eKp. wnll
? -
-
- _ - Ncl e?p. wnll
_ Woll - - ? .Int. wall --•? - _ -
Coilinp
iur
I Inor
al fftu. ToWI Btu,
puioJ Sy. 14 C.U li. pr sq. Ins. Nf.l1. Le,dur arun f{?quirod 6q. IL @.U.f?. m sq. mti. 1V.A. Luudor uio.I
"-
-
?
SUBTERRANEAN ENGINEERING CORP.
""'`•• 6875 HighWay No. 65 N. E. P.O. Box 32308 ?N ?
DATE
MINNE/XPOLIS, MINNESOTA 55432 Phone: 574-1242
EARTH WORK OBSERVATION REPORT JU ?w
OBSERVED
Jo6 NameSL?qL Fa G?I_?vea/ Job No./??_4s? _ EXCAVATION?
Job tocation
?e ot n
l7/
Earthwork
Contractar YG, Client Block T
P
Arrlve Job
' 3?Alleage q?ML Zrn/f')
T
l
t lat
FILL PLACEMENT
o
a
W30/
Dspart Job Travel Tlme ? Chargaable
Hou?s
9 n ; ot
Lab. Tlme
Totel Hours 1
y Eng'? Block ?
HR.
On_Job Report Tlma J1
A?1 Revlew.Time Plat
_
Summary o/ Technical end /or Englneering Sarvices parformed Includin9 Flsld Test Data, LoCatlons,
Elavatlons, and Dectha are astlmated. THE LIMITATION OF LIABILITY STATEMENTS ON THE REVERSE '
SIDE OF THE COMPACTION OUALITY CONTROL TEST REPORT CONSTITUTE AN INTEGRAL PART HEREOF.
yZ-7- feet deep NW-NE 94"4g6(p=__ }eat deep ?tar Firaa7' /Sro ?iy
1
Exc
atio
I
t
.
av
n
end , grading to(?? 08 El
at
? •nd
s 9d]-02 Elevatlon a
tl
on
`?Q???
sva
2
Sid
??
.
e Slooea are approx : vert. 1/2 horiz.; lvert. ? 7 horiz
tlert.
2 horiz: 1 vert. ? }latter than 2:1 p oths?
E 3. Conatruction Staking Is: a
da
quate.N - not available ? Incomplets ?
X ?
?
4. Excavatfon la overalzed _ / IIl_ feel outside of bullding linas.
c S. Excavatlon Is: dry ? wet ?
A 5a. Water Is seeping from ??..._._.
_...---------
v Sb. Depth o} water in excavatlon approx.
?-. _.. - -----
---- -
A --
5c. Dewatering Is: nacessary ? not requlred ,E1
t 8• Excavatlon le with : dragline ? backhoe p ecraper ? dozer ?
1 7. All unsultable soils hava been excavats
YE
d.
S
f? NO ?
0 ?
d
?
"?
7a.feet ofaoll romalns to ba nmoved.
? T
N 8.
S
oll at excavation baee Is:
?
y
y?
3114y Clay ? Sandy Clay O Ciayay Sfit ? Silty Sand'?
C
a
?
2
9
?
/Clayey Sand ? Clsan Sand O Sand
Silt 1N
y
9. _I A \._- teet o} flll requlred to raach design aubgrade.
70. Exeavatlon Ia: Approvedo Not Approved ? for fill and/or footing placement
71. FIII Is he o rnedu:.m Si iy ' esi (typs of Solq
11 a. Importad p On-elte borrow ? Sqn.d? fyace Scvy,e y.n,veL p
i 16. Compaction le with sheepafoot roller ? manual tampsr ? vibratory ro
F smooth drum rolisr ? self-propallsd 19 non-vibratory O
?
( 12. Performed -
}leld donsity teats. Ses Compactlon Ouality Controi
L
L ^I Test Raport No.
/
13. _d feet ot Till remains ta be placed. C?C1n?y
?, A1E?(?ZJIE72
?
14. Dsnalt teets meet c J ?
Y WnPeetion spsci}Icatlons. YES N NO ?
14a. Tast No's, dld not mes mpaction spaclilcatlons.
15.Addltlonal obsarvations nd/o t ts are rs I d. ES NO wILLCALL ?
FROST
PROTECTION; ADJACENT
STRUCTURES:
yyEATHER CONDITIONS:
straw ? Hot ? Dry f8?
loose aoll
O -
Werm ? Raln ?
V troat ri Ing [j witi?in 2 feat ? COOI ? Snow 0
tsm heat ? 2 40 }eet ? > 32'F ?
b nkets ? 40 or mora /sst O §ub-hsazing?
RECOMMENDATIONS/SUMMARY/WORK PROORESS: Ga"f' ?
r ¢ e
.
? ' sLo i ' )OUS L seJ
t Aior a d rear' ides OF CLr?2Qe, Wo ct.(.so advr'Sed mois(u,v'e
_
41 1 n?_?LA?1-11? nnr! s?r
PXCAVafi?-) was bQej.h.oA _
DISTR{BUTION:
'
? cc: mAllx 7
01???oN C?v?7aucrioa _?,
7_ ]`
? cc: Lck < iine
L cc: -fAgW -_
z
&Oq j
a bY VV I
?
-
__
..._
J
_cc: Subterranean Engi eering Corp
- ": --- -
77%
TWESE LIMITATION OF LIABILITY SiATEMENTS SHGU.D 8E
CONSIDERED TO BE AN INTEGRAL PwRT OF 7HI5 aEPORT:
?^ ?.•''^"???q our profescionuxl serncas wifh regard fo e/rfhwort ?nspedion end qua64y
... '-^? nur rnd,nqs rill be e6leined and our .?commendMiontmede, ;a eccordanee
.??M ,r.•+?iv nct?o??d enginee.,ny p,inciples e,d precticet. We r;ll o6serve, Moni4or
1.0 l4" ,,,,..y .nd ^vv adrias or maite roeommanddions, cu1 w* arr re{ yuerartfort.
=s .•+•-e^'y I- iinu ,f elI Wber rarranliel nithxir erprefsed er irnDliwd.
.. .h•.-.onum cnq:n.ering Inc. tloe, nof p,ad:ce in the Coid of Iand .?•?w??a. •nd
s--' ??n,htn 4or the accurocv oi qrade dakes nnd; ar build,ng ie;,atian dakaf •i
•'u ;oEii4a. Th.re mus+ 6e adeqwTe cons4ruction stekec, cloarly mar4ad, fo enable our
soll ?ntiwcM• tr, p•ooerlv &tctss 41+e exceva;ion. We will no+ be responni6le (or &ny harm-
rul consequencet'rosuking from improper or intorroci contfrurfion sfaking. - " ? "-
3. T6e Celd denaitr tesf dde prosenfed Wi4h irn report reprns.rh the .aYues af par
r.ciu Icae67.r. c^?^•a Wyt6in the ear+h?orY. Alhouqh +?,s ?s belin,ed - be fs-rly rapn.
o< µn cnodJ,cn of the fill pbud md cerv+pacTed on this dde, condifions s+
eNvr bcetio.+ &nd eievations in the fill mey v,ry. and We do not wanan+ or gwrantse
umfee.n fill danafi*t.
• W, u,nef eiHher e:prssJy or 6y impliulion. the awii+y of ury worh oi? µ;c
w^cb w did nM hare 1fie opporluniiy to obee•ve at fnt kand. Intpaefien o, 'nu
u.Ar-rY c-eikt a1 ir»qular ir14eIVAl{ dON fle} Rar+^r} Ae imp*c+er 1e Bswu 1iw ?uN
a^CC! ••i Ke CoMraC+O"t IC?iYI}Ief.
..: "o a•.. •;s -adsfiqnMf m si:r, end sheP+, ol i/ :} is nfhenwi*n no.ed wbWquen1
'- -,!• i^sowction. we sf+oukl be nohifird w fhni Wn un asseu if add'rfional inspecFion
?nrt -i ^sawnd. w wqqed cnund enqinsarinq al!ern?ti.aF. Ws •.n nei resoennibV
- •-,, x.,i; t,,,,rdation svsNm Wbere Fke strucfuro has boen reloufad rf16 rxso*cl fo
-,-d fiil uN, subspuon1 fo our iraped;on.
SUBTE.RRANEAN ENGINEERING CORP.
6875 Highway No. 65 N.E. P.O. Box 32371
s=:.o:,,. MINNEAPOLIS, MINNESOTA 55432 574-1242
'`?=a`
e COMPACTION QUALITY CONTROL TESTS
Project I'Single Famtly Dwe111ng Report No. 1
Woodland Trai1 and Promontory Place, Eagan, Mn. JOb N0. X-88156
Sand Cone Method 2 Indicated Percent Compaction: ASTM
Nuclear ? CE % Max. Modified Proctor Dry Density D-1557
Other ^ ? ?% Max. Standard Proctor Dry Density D-698
ELEV. AND/OR
TeSt H BELOw
FOOIIn wet Oensll
Y
Of T
l
l
MOISTURE
Dry Density
Mazimum
%
DO
t@
NO.
Floar Grade
Desi n Grode o
a
Sample
CONTENT
( Correcled
For Stone ) Laboroto
ry
p y??Si?Y
Compoctbn
REMARKS
RECOMMENDATIONS
Fi I I Surface Intluding Slone) % p c f
fuly 18,
1988
1
904
132.3
1.4
124.5
128.8
97
Meets speca.
Add Moisture
" 2 906 131.7 1.5 120.2 128.8 94
NOTES: I.) ALL TESTS CORRECTED FOR STONE CONTENT, WHERE APPLICABLF.
2.) APPROXIMATE DENSITY TEST LOCATIONS ARE SHOWN BELOW.
L
\ Dx?vn?r?ior?
. _ • ? \ toINCLUD6
OVEKSIZiq
(° LOT
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3 ? ?
( ?
NDI?S
ropo
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rr
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SUBTERRANEAN ENGINEERING CORP.
?'"'`'• 6875 Highway No. 65 N. E. P.O. Box 32308
- uts DATE ?qns
MINNEAPOLIS, MINNESOTA 55432 Phone: 574-1242
EARTH WORK OBSERYATION REPORT V(/ o
?jp?
Job Nams?' ? ?F?,n __ Jab No. ?/ !?6!)7?7?fJ _ 088ERVED
E%CAVqTION:
Job tocatfon 2??dj,1 ? L. EAG?nf Lot
_
Earthwork
?',,„?--
Contractor VI EXC• Cllent 1?ISd[LL?lQbY750I1
?= Block
.
-
Arrlve Job Milea9e ?1yrni Plat
? Total
Dspart Job 7raval Tima ?HR Chergeable
4ftt LL PLCEMENT
Lot
? Hours
? Lab. Time ?2-H({
Totei Hours - En r
, -
Block ?
On Job Report Timo hti- Revlew
Tima ?rr??? rt?
P?at
Summarv of Technical and /or Enginarring Servloes perTormed Includ fng Flald Test Dsta, Locetlons,
Elsratlone, and Deoths are estlmated. THE LiMITATION OF LIABII.ITY S
SIDE OF THE COMPACTION pUALITY CONTROL TEST REPORT CQNSTIT TATEMENTS ON THE REVERSE
UTE AN INTEGRAL PART HEREOF.
1. Excavatlon Is feet deep at end, grading to }eat deep at ------ snd
El
tl
eva
on Elevatlon
2. Side Slopes are approx.: vert. ? 1/2 horiz.: lvsrt. ? 1 horl2.: 1 v .[]
2 horfz: 7 vert. ? flatter than 2:1 ? othsr
E _
3. Constructlon Staking Is: adequete ? not available f7 In pleta ?
X 4. Exeavatton la orerslzad foet outeide of 6uilding lin .
c S. Excavation Is: dry p ,,,ret ?
a 5a. Water is seaping from
v 5b. Depth of water In axcavetion appr ?
A 5c. Dewatering Is: nscessary p not rsqulred ?
T
1 8. Excavatlon Is with : dragline beckAOe ? acraper [] dozar ?
T. All unsuitable soils have bsen e vatad• YES ? NO ?
0
N 7a. _ fe of_ soll rsmalns to be romored.
S. Soll at excavatlon b a:
y Clay ? Sendy.Gfay 0 Claysy Sttt El 8llty Sand O
Clayey Sand ? Clsan Sand ? Sandy 5ilt ?
9• _ feet o} tlll requlred to reach deslgn subgrads.
1 xcavatlon Is: Approved ? Not Approved ? for fill and/or footing placement
11. Pin is ?i1e to Coarse Sr'Li? Sa oypp ?,rat?eL
? (tyas of wll)
11a. Imported ? On-slta borrow $I
11b. Compaction Is wlth aheeps}oot roller 9 manual tamper ? vibratory DO
F smooth drum rollsr ? s*lt-propalled ? non-rlbralory ?
?
I 72. Performed
tleld density teate. Sae Compectlon Quallty Control
L Test Bsport flo.
L ?
13• feat of tlll romaina to ba plaeed.?-fa{?"f?? gy?y?(e,
14. Dsnslty tests meat cojnpaction spsclflcatlont. YES 29 NO ?
14a. Test No's, dld.not mset compectlon •clfleallons.
15.Addltlonal observations nd/o t sts re rs uly d. YES O wILLCALL ?
FRO5T
ADJACENT
0
S DEWATERING: PROTECTION: S
TRUCTURES: WEATHER CONDITIONB:
N well pointe p straw ? Hot ? Dr
?
? ? d y
-
eep ellsp loose soll ? Warm ? Raln ?
I ? open tch ? ost r l Ing ? vr?thln 2 fset ? Cdol ? Snow ?
? N su pump Q
heat Q
;
m
Z 40 taet D
32'F O
S e? ? 1
6nk
ets s ? 40 or mora fest ? bub-h**tlnq?
RECO `MENDATIONS/SUMMARY/WORK ppOGRESS: ' P?.t 5 iv
-
e
.t
T e' U,l& !/liCl l/J
- t
6
"
?
wpV
,
_ NOQTNERr/
/.o' pQA6E i
-nn7inq ?
n.u..
9? 6 f
.
'?'
Lo
? '?
J
^
'?
a
-0
J
C
I
@E1?
e<i
n?_ ?
'
lh
is ry ttyr f
DISTRIBUTION:
? CC' ??QAL_ILQdL$.?1'((Gl`ON
? CC: ?k !A?/IVp ExcAvaTin?r
L cc: E41rA1j_.gLbG-,_iN_sP__pEQr. by
_cc:
- 5ubterraaean Engi eerif? ng Corp,
- ec: -------- ----------
TNESE LIMITATION OF LiABILITY STATEMENTS SHCU?3 9E
CONSIDERED TO BE AN INTEGRAL PART OF THIS REPOtiT:
Ir ?.•-?^^-?q our pro{rscmnal sernut rifh regarrJ 4o earlhrorY nspecfion and quaG1y
re-'-^? ear rmAi?js will be o6tsined •nd our ?ecomrnenddioes medo. ?n accordance
..,w actro+ed eMqmen.lMg p.i"tiplns a,d prectitey. We. will ebaerve. lonilor
•?a f•.? 14;, W?4 •nd ?av adrim or rnmke retomrnenee}ions, oul ws a*e rct qwnn4orE.
??i •?••-?^.`'i i^ i,u c? aII o4her rMrran+i*s wi4har etpreosd or imoliwd.
?•r-r?u? cmq:,ee.inq im, aoes nof pradice in 11ae Cakl oi Iand ?nd
{or fFe acwrecy of qrade dakes end; or buildmg locetio? dakei •4
"n ;oCsiie. 76ore mui4 6e adequate construcTion zteket, clearly madad, to ene6la our
aoii }e p'oa•,IV asus§ Mhn excevation. We will no+ be nsoonsible for any harm-
ful'comequsncesnsuHinq from impropir or mmrrecf comTruction s4aking. .3. The Feid dendfy fecf date presenTed Wi}h tr?ls report represerh t1+• wlun e} par
!:ciar Icuii:oe c^?^•+ wtf6in the eer+hrorE. Alhouqn +his ?c believeA •? 6a fairly reprss-
m?,4?ve oj µ» Conflltof.r of i6e fill placed end ccmpacted on fFis da4e. condifions ef
p}+yr kwa{l? ard wlssvsiions in 4he fiill may r&rv, +nd .a do ?ot warrant or guaranlee
wrifwm fill dendtiK
A `k, u?*e? ce?'tv, niH»r aipnnly or by impHufion 1he qwf+y of isny wor4 0• µ;i
w•,ck ye did ne1 Have 44,e opporFunity {o ebxe•vo a} Fnt hand. Infpedion o• 'w
u-*4r--t r•eisct af imqular inlerva4 dws ne4 pan,,41 16 incpec+or le msmu flr fub
a^r.c, ^{ •?? :o-?.?de•'c ?dirifin.
..; +?. :•.. .-•. .• is :*datiqneA in tixe end theo+, o• if lt is Mhervrke r+owd tu6awwn4
?-„- i-owcrien, we shoukl be nafifisd io Thet we un sueu if additlonel inspeciion
?nrt ?t ?aulrrd, m wqqed u+und enqinsarinq eHorn?ti?ai. Ws •.e noT rnoernib{a,
- +, r?:; <^u•da{;cn ryifsm Where f6e dructure hes bsen releuted wifh recpea4 fe
-- ... -^ e'd fiil uea, subtWwn} to our irypeNion.
SUBTERRANEAN ENGINEERING CORP.
6876 Highway No. 65 N.E. P.O. Box 32371
MINNEAPOLIS, MINNESOTA 55432 574-1242
COMPACTION QUALITY CONTROL TESTS
Project sxng7.e Fazpil,y Dwelltng Report No. Z
Woadland Trail and Promontory P1ace, Eagan, Mn. JOb N0, X,88156
Sand Cone Method ED Indicated Percent Compaction: ASTM
Nuclear ? ? % Max. Modified Proctor Dry Density D-1557
Other -----\ ? ?% Max. Standard Proctor Dry Density D-698
8S} LEV AND/OR
OEPTH BELOW
FOOtin
Wel Denslt
Y
Of T
OISTURE
Dry Density
Mo+imum
%
.
Date
No'
Floor 6rude
Desi nGrade otol
Soinp1e
CONTENT
( Cor?ected
For Stone)
Loborato
ry
prYpensitY
Compattion REMARKS RECOMMENDATIONS
Fi II Surlace (Including Stone) a
/o p c f
July 19,
1988
3
908
148.3
7,0
130,8
134.4
97
Meeta apecs.
" 4 910? 140.7 4,6 130.0 134.4 97 "
NOTES: I.) ALL TESTS CORRECTED FOR STONE CONTENT, WHERE APPLICABLF
2.) APPROXIMATE DENSITY TEST LOCATIONS ARE SHOWN BELOW.
: #3 L 0 T
?
?
Q'Cve?ti
6LocK
? ProposE 4
(?romvni?or y }?oU
PIaGE
\
?I
I "v
?
s? r ? ? PLUMBING (RESIDENTIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
Please complete for: Single Family Dwellings
Townhomes and Condos when permits aze required for each unit
S /sSD
Date-':2-/-a/03
Sit
Add
U
it #
e
d7 '
"
'
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V
0
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e
n
ress i>
-
O Yvl O Y1
O ry
1
6
(
,
•
Property Owner ---S'0Y` 1'\ e Telephone k((05 115 cQ - 59
{?(? ?
?
`tK`""Nb ? 1?)
?'
?
'
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Coniractor
(
0.\`(\ e :(
Address Cl\ T \ \ ) l E-L3 \?T V L , City L!3,`C e ? ? •. ?? 2.
I
State yY1 ?n Y-1 Zip dq Telephone# (95? y(oq- ?gqq
The Applicant is _ Owner _sz- Contractor _ Other
Septic System New _ Refurbished Submit 2 sets of plans antl MPC license $ 100.00
Includes County fee. Additlonal consulWnt fees may apply.
Altera[ions To Eais[ing Dwel?ing Unit, Including $ 50.00
_ Adding fxtures to lower levels or room additions, excluding water softener and water heater
_ Abandonment of septic system
- Water tumaround (+ 5/8" meter if needed -$121.00)
Other:
_ RPZ _ new installation _ repair _ rebuild $ 30.00
_ Lawn irrigation system
Water softener Wa[er heater
$ 15.00
.
replacement _ additional I h I? 77'n 777-I
l
?
I rCn 2 7 j il I $ .50
LJL
State Surcharge ?J
By, _
Total
$ ?j , 5 0
I hereby apply for a Residential Plumbing Pemut and acknowledge tbat the inforntation is complete and accurate; that the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that I understand tlils is not a
pemut, 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 wlrich requires a review and approval oFplans.
?an? S`?enberR ?
Applicant's Printed Name Applic# s Signature
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 807 Promontory P1
Lot: 9 Block: 4 Addition: The Woodlands
PID:10- 75875- 090 -04
Use:
Description:
Sub Type: e- Fireplace
Work Type: Gas Insert
Description:
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Hearth and Home Technologies
2700 N. Fairview Ave
Roseville MN 55113
(651) 633 -2561
Improvements to the home may requ
concealing.
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total:
Applicant/Permitee: Signature
- Applicant -
Construction Type:
Occupancy:
e smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
Carbon monoxide detectors are required by law in ALL single family homes.
$88.50 0801.4085
$1.50 9001.2195
$90.00
Owner:
John Danel Deprey
807 Promontory P1
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Issued By: Signature
Building
EA091451
10/06/2009
ePermit
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA111721
Date Issued:07/09/2013
Permit Category:ePermit
Site Address: 807 Promontory Pl
Lot:9 Block: 4 Addition: The Woodlands
PID:10-75875-04-090
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
Window or Door:1 window replacement
Tim Schenk
Fee Summary:BL - Base Fee $500 $40.00 0801.4085
Surcharge - Based on Valuation $500 $0.50 9001.2195
$40.50 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 -
John Danel Deprey
807 Promontory Pl
Eagan MN 55123
(651) 454-6154
Pella Northland
15300 25th Ave N #100
Plymouth MN 55447
(763) 355-1300
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA129269
Date Issued:01/26/2015
Permit Category:ePermit
Site Address: 807 Promontory Pl
Lot:9 Block: 4 Addition: The Woodlands
PID:10-75875-04-090
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
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 -
John Danel Deprey
807 Promontory Pl
Eagan MN 55123
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(130) 651-2644 X777
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA156611
Date Issued:07/09/2019
Permit Category:ePermit
Site Address: 807 Promontory Pl
Lot:9 Block: 4 Addition: The Woodlands
PID:10-75875-04-090
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 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 -
John Danel Deprey
807 Promontory Pl
Eagan MN 55123
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA168719
Date Issued:04/30/2021
Permit Category:ePermit
Site Address: 807 Promontory Pl
Lot:9 Block: 4 Addition: The Woodlands
PID:10-75875-04-090
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site. We encourage you to retain an electronic copy of
photos until the project passes a final inspection.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 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 -
John Daniel Deprey
807 Promontory Pl
Saint Paul MN 55123--229
Keystone Builders Inc
11670 Fountains Dr, Suite 200
Maple Grove MN 55369
(763) 280-0568
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA179009
Date Issued:09/14/2022
Permit Category:ePermit
Site Address: 807 Promontory Pl
Lot:9 Block: 4 Addition: The Woodlands
PID:10-75875-04-090
Use:
Description:
Sub Type:Furnace
Work Type:Replace
Description:
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
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 -
John Daniel Deprey
807 Promontory Pl
Saint Paul MN 55123--229
(612) 554-9554
North State Mechanical
1444 14th Street W
Hastings MN 55033
(612) 207-0345
Applicant/Permitee: Signature Issued By: Signature