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1367 St Andrew Blvd? 6TY CASH RECEIPT OF EAGAN ? 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 RECEIVED FROM V F . . . AMOUNT, `- ! & DOLLARS ioo ? CASH ? CHECK FOR BY ?? ?^ {Y .f a White-Payers Copy Yellow-Posting Copy Pink-Fiie Copy Thank You . PERMIT N0. M 01-3210 Bldg. Permi 01 4-3422 Plan Check 01-3445 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 Water Meter 20-2252 Acct. Dep. 20-3713 Water Permi 20-3743 Sewer Permi 79-3866 Sewer Conn. 11-3855 Park Ded. TOTAL ? _. / , CITY OF EAGAN Permit No: Date: 8-18-8 7 ? 3830 ?ilut knob Road Meter No: ?Ya 3G o? tc ? J`Size: ? P.O. Box 21199 Reader No:07 p?f 71E?7 Date: Eagan, MN 55121 -'T- t Owner. ,?' Uerma.nn Const. SiteAddress: 1367 St. Andrew Blvd. LE BS Fairway I3ills Plumber_ Plvmouth PlumbinR Conn. Chg: 525.002 d / w QL#NP,Z Acct. Dep: 1 '" No. ot Un±sm__ UWVN* Permit Fee: lt . t Fe 9iSgifl$ CBli iOCa! U Surcharge: _???bpN t FC,t????y With the City of Eagan "t Tr. Plant ?a?7? Meter. (? MWUIKCIJ ? ?TC7 Misc.: gy WATER SERVIC PERMIT cinr oF eaGaN -. 3830 Pilof'iinoti Rad SEWER SERVICE PERMIT - P.O.Box21199 Eagan, MN PERMIT NO.: ' Zoning: DATE: ?-- ? --? Owner. eriaann onst. No. of Units: Address: _. Site Address: Plumber: _ 1 agree to comply wRh the City oi Eagan Ordinances. _ Connection Charge: Account Deposit: _ Permit Fee: - BY Surcharge: SOpd Date of Insp.: Misc. Charges: ?- Insp.: Total: ? ? Date Paid: 1 ? , .. . . ?? .,. CITY OF EAGAN Permit No: ?19 55 3830 Pllot ICnob Ro3d Date: ?7 P.O. Box 21199 Meter No: ,Reader No: Size: Eagan, MN 55. Date: ' Owner. Her?a Con8t Site Address: Z 367 S t. /`ind rew I Plumber. Flqt couti? PluMN ;' Conn. Chg: _ 525.00 !Acct. Dep:_ ?g p4) Permit Fee: Surcharge: 50 d Tr. Plant I SO Meter. Misc.: vd . w3 3 5?'a inaay H Zoning: ^1 ? No. of Units: Z I agree to comply wlth the City of Eagan ? Ordinances. sy WATER SERVICE PERMIT GOLD COPY PERMIT RELEASE FORM PERMIT # ADDRESS PICKED UP BY ? .. _.__..__...?. ?-- . W Name RBAD'SGNNIDT 3 Address 1367 ST ANDREW HLVD 0 City Ell?GAN Phone 432-9065 ,a Name 5m zR OU Q Address ? City Phone ? W W Name ? ? ; Address a W City Phone I hereby acknowlege that I have read this application and state that the information is correct and agree to comply with all applicable Stqte of Minnesota Statutes and City of Eagan Ordinances. Signature of Permitee . ?? '; -~ ..?'''t. ,?<••'"r"` A Building Permit is issued to: U" gGMiDT 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 pfficial ? • OFFICE USE ONLY Occupancy - FEES 2oning _ (Actual) Const - Bidg. Permit 33•00 (Allowable) - Surcharge .50 # o( Stories - Lenglh _ Plan Review Depth - SAC, City S.F. Total - SAC, MCWCC S.F. Footprints - On Site Sewage _ Water Conn On Site Well - Water Meter MWCC System - Ciry Water Acct. Deposit _ PRV Required _ S/W Permit Booster Pump - S/W Surcharge Treatment PI APPROVALS Road Unit Planner - park Ded. Council BIdg.Off. _ Copies 35 50 Variance . - TOTAL Permit No. Permit Holder Date Telephone # WATER ? SEWER PLUMBiNG H.V.A.C. ELECTRIC Inspection Date ino/ Comments Footings I Foundation • Framing ? Z ?Fl Roofing Rough Plbg. Rough Htg. % Is,l. Fireplace Final Htg. Orshat Test Final Plbg. o5)1-aZg Plbg. Inspector - Notify Plumber Coost. Meter Engr./Plan Bldg. Final ??.-902 Dedc Ftg. Dedc Final Wetl Pr. Disp. - INSPECTION RECORD ? Control PJo. ^ 0499 ? CITY OF EAGAN PERMIT TYPE: fj"' tP I"'i 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 612 681 4675 K ??? O ? Date Issued: ) - E ( SITEADDRESS: L07 z 13 01,00h; 6 APPLICANT: 1361 5"f ANDREW BI..VC1 SCHMICl1' BRI1Q ' i FAIRWAY HII.RS (612) 462.-90€16 i PERM[T pBTYPE: TYPE OF WORK: ; ? - - - - - - - - - - - - - R['NARka: RkCEIPI" N C18966 qA'i'cp 5f22/92 Permft No. Permft Holder Date Telephone M S/W PLUMBING HVAC ELECTRIC ELECTRIC Inspectlon Date Insp. Comments Footings 1 Foundation FrBming Roofing Rough Pibg. Rough Htg. Isul. Fireplace Final Fitg. Orsat Test Fnai Plbg. Plbg. Inspector - Notify Plumber Const. Meter Engr./Plan Bldg. Final Deck Ftg. , Deck Final well 167 ov G ftkotr iLv ' Pr. Disp. PERMIT # PLUMBING PERMIT RECEIPT # 79? ?"? - CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: PRICE: PHONE: 454-8100 Site Address 'lG I ?A: Ll: : Lot u? Block -?? Sec/Sub --a ?. ) • . ? , ? Name +7 4 3§ Address ' r ` ? e '.d /? i • ; c City Phone l: _l^ Name !.? ; AddrESS ! ? ?? • ; ? ' ir p City Phone fr L5 , FEES COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE 8 CONDO - RES. RATE APPLIES MINIMUM - RESIDENTIAL FEE - $12.00 MINIMUM - COMM/IND FEE - $20.00 STATE SURCHA E PER PERMIT - .50 (ADD $.50 S/ERMIT PRICE GOES BLDG. TYPE WORK DESCRIPTION Res. New Mult. Add-on -Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL 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 Floor Drains - $1.50 Water Heater - $1.50 Whirlpool - $3.00 Ga§ Piping Outlets - $1.50 (MINIMUM - 1 PER PERMIT) ?Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 FEE: FOR: CITY OF EAGAN STATE S/C: GRAND TOTAL: , ? v? ¦ ¦ v¦ ?r??wr??? . :J E? d! ?'} ? ?? 3?8 Qb Road, P.O. Box 21-199, Eagan, MN 55121 ?w ? - PHONE: 454-8100 B IiILDING PERMIT Receipt # To be used for Est. Value Date ,19 Site Address OFFICE USE ONLY Lot Bloc -? k Sec/Sub On Site Sewage _ Occupancy . MWCC System J._ Zoning PafC@I NO. On Site Well _ City Water Type of Const (Actual) _ ¢ Name (Allowable) W ; Address # of Stories Length ° City Phone Depth F Total S , p Neme . . Footprint S.F. ? ? Address APPROVALS FEES ? City PhOne Assessments _ Permit F ¢ WateVSewer _ Surcharge F Name Police _ Plan Review W z i - Address Fire - SAC, City U= Cit Ph Engr. _ SAC, MWCC `W y one Planner _ WaterConn. Council _ Water Meter I hereby acknowledge that I have read this application and state Bldg. Off. _ Road Unit that the information is correct and agree to complywith all applicable APC _ Treatment P1 State of Minnesota Statutes and City of Eagan Ordinances. Variance _ Parks Copies Signature of Permittee TOTAL 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 Permit No. Permit Holder Data Telephone * Plurnbing ,/)??, /- ? ,27? H.VAC. 9a :? ? ?,7 Electric /7? Softener inspection Date Insp. Comments Footings I Footings II Foundation Framing 9I.r7 ?: ?• Roofing Rough Plbg. _ Rough Htg. Isul. Fireplace Final Htg. Final Plbg. /3 Bldg. Final Cert. Occ, oO Temp. LP Deck Ftg. Z,) Deck Frmg. ? 3 /f $? • G Well Pr. Disp. MMM- ? ,, •;. t ; (Etrtif ir -att uf (Orrupanry titp of eagan Erpar#mpnt n# Builbing lmprrtintt This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building Code cenifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following.• Use Classificauon Bldg. Rrmit No. - ? Occupaocy Type ?%3 Zoning DisUia TYPe ConsL , ,. •,? ' r '-? f: . 1ti? .'Address ' Owner of Building AiZ? Building Addras LA)c+litY Date: , Building ORiciel POST IN A CONSPICUOUS PLACE L)u +`' MECHAI CITY 3830 PILOT KNOB I Lot %`? Block Sec/Sub ? ? Name m c Address 11qot AJeh AAior L k Cit "fY I"$)aSl .. y A. Phone ? Name c Address O City _ f-o+v.w+ Phone QK111 9490 TYPE OF WORK ? 00 Forced Air M BTU $ aa Boiler M BTU R Unit Heater _T M BTU $ Air Cond. . M BTU $ Vent. CFM $ Gas Piping Outlets # , $ / • ? Other ? FEE: S/C: TOTAL: '4b 'a PERMIT ;AL PERMIT RECEIPT # F EAGAN iAD, EAGAN, MN 55122 DATE: 454-8100 BLDG. TYPE WORK DESCRIPTION Res. X_ New Mult. Add-on r`•tomm. Repair kther . 01 ? ;j FEES ; °RES. HVAC 0-100 M BTU - $24.00 ADDITIONAL 50 M BTU - 6.00 I(RES. HVAC INCLUDES A/C ON NEW ?yGONSTRUCTION) `°'GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA. : 'COMM/IND FEE - 1% OF CONTRACT FEE ? <APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES ; y ; , , MINIMUM RESIDENTIAL FEE - ALL ADD-ON & REMODELS - 12.00 MINIMUM COMMERCIAL FEE _ 20.00 STATE SURCHARGE PER PERMIT - .50 ;(ADD $.50 S/C IF PERMIT PRICE GOES ,';BEYOND $1,000) a. ? ,iti _ `.?..e.?,,?.,r ???v?? 'SIGNATURE OF PERMITTEE FOR: CITY OF EAGAN ? • , PLUMBING PERMIT PERMIT # ff 6Cc`l CITY OF EAGAN RECEIPT # 77 C" x 7 , 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: 17 CONTRACT PRICE: PHONE: 454-8100 Site Addre ,,ss ? ? • kly?? LotBlock ? ec/Sub /J ! ? Name Li A: a? ?o Address c City ?_??? i1T --ti Phone y`r ` -? ?Z ? Name -? ?? ,c .+•: . ; "''?., :- 3 Address O Ciry Phone FEES COMM/IND FEE - 1% 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 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) ?. .,..?- SIGNAT E O /PE?p MITTEE F FOR: CITY OF EAGAN BLDG. TYPE WORK DESCRIPTION Res. ? New Mult. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TQT?L 3 Water Closet - $3.00 $. 41 LBath Tubs - $3.00 • "? -5 Lavatory - $3.00 ,64 ? Shower - $3.00 -? •? ' Kitchen Sink - $3.00 Urinal/Bidet - $3.00 ' Laundry Tray - $3.00 ? • ? ' Floor Drains - $1.50 ?•?(7 ? Water Heater - $1.50 Whirlpool - $3.00 ? Gas Piping Outlets - $1.50 ?• v (MINIMUM - 1 PER PERMIT) Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 / FEE: STATE S/C: GRAND TOTAL: ' . J 0.?2 0 ?° ? ?o Request Date Fve No. uh-in Inspection ? Ready Now ill Notity Inspector Wh R d ? f 0?.? 7 Yes p No en ea y 1 licensed contractor p owner hereby request inspection of above electrical work at: Job Address (Street, Box or Ro e No.) City . 3 Section No Township Name or No Range No. Coun OccypantPRIN Phone o. 3 0 PowP• °..^^??• _ - Address - vTs? s- Electnca Co actor (Compaqy Nam ) Contractor's License No. Mailing Address (Contractor o nenMaking Installati ) ?s • • A thor ed Signature (ContractodOwner Making installatwn) ?s?a ? hone umber 43a ,s?.? MINNE&TAIEiTATE BOARD OF ELECTRICI6I ? THIS INSPECTION REOUEST WILL NOT Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 . ENCLOSED /?(? Jy'? ? REQUEST FOR ELECTRICAL INSPECTION es-oooo,-os ? SPP i ncinictin a fnr mmnletinn ihic fnrm nn hack n} vellow coov. i ? X" Below Work Covered by This Request J 01 20? ew Add Rep. Type of Building AppliancesWired EquipmentWired Home Range Temporary Seryice ` Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner Other (specify) Contractor's Remarks: Compute Inspection Fee Below: 46,1d? # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps Abov Amps Signs Inspector's Use Only: O L Irrigation Booms L ? Special Inspection 1 Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby if Rough-in Date cert y that the above inspection has been made. Final ? a OFFICE USE ONLY s This request void 18 months from This request void 18 months fi`tom O .7 2 8 5 5 3 113 :A . '?7 6,%, Request Date ? ? Fire No. Rough-i-Inspection Reqw d? ?Ready Nuw < I I Notify, Inspec- es ? No tor When Ready Licensed Electrical Contractor I hereby request inspection of above lfi ? Owne,r• electrical work installed at: oireei Aaaress, tioxor Rou?? ??. ? City ect?on o. Township Name or No. Range No. Count Occupant (PRINT) Phone No. Power Supplier Address Electr al Contractor (Co any Name) Contractor's License No. /, Mai ing d?ress (Contractor or Ow r Making I stailation) ? '??? ? f ? Q l ? ? ?'• r/ 6/?' ???< ? Authoriz igna ntrac /Owner king Installation) hone Number ?i99 I MINNESOTA STATE B ARD OF ELECTRICITY THIS INSPECTION REQUEST WILI NOT Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STqTE BOARD 1821 Universitv Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS 'hone (612) 642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTlON _ 1 See instructions for completing this form on back oi yellow copy i ?$4?5 3 "X" Below Work Covered by This Request ?-,. Ee-ooooi-os ,. '74?& ?4j New Add Rep. Type ot Buildfng Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lfghtiny Fixtures ' Apt. Bui Iding Dryer Electne Heatin Commercial Bldy. Fumace Silo Unloader Industrial Bidg. Air Conditioner Bulk Milk Tank ' Farm Otner SpecifY otner lsnecrfvl ther Specify Other Othe;r (.'ompute Inspection Fee Below q Fee ServiceEntrgnceSize tt Fee Feeders/Subfeeders # Fee Circuits /? OO 0 to 200 Amps 0 to 30 Am s 14.00 0 to 30 Am s Above 200 Amps 31 to 100 Arnps 31 to 100 Am s Swimming Pool Above 100_Amps Above 100_Amps Transformers Irrigation Booms ' Partiai, Othe Signs Special Inspection pQ Rerrarks r? OTAL EE f. ? Rough-in ' Date ? c? ! ? tha EI I t h b Q nspec or, ere y tif th h b Final D? cer y at t e a ove inspection has been ? ?? / made. / This request void 18 montha from 61`?"le C../ tit// CITY OF EACAN NO 19876 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for BASEMENT FINISH Est. Value Date NOV 12 19 91 Site Address 1367 ST ANDREW BLVD Lot 8 Block 5 Sec/Sub. FAIRWAY HILLS OFFICE USE ONLY Parcel No. occupancy - FEes Zoning - W Name BRAD SCHMIDT (Actual) Const _ Bldg. Permit 35.00 ; Address 1367 ST ANDREW BLVD (Ailowable) - 50 0 Surcharge . Clt EAGAN PhOtle 452-90 5 y # of Stories _ Plan Review Length _ Name S? Depth City SAC Z? ? o Address - S.F. Total - , c ) SAC, MCWCC ? City Phone S.F. Footprints - Water Conn On Site Sewage _ P- ? W Name On Site Well - t W M t ? W x? AddreSS MWCC System er er a e a W CitY Phone City Water _ Acct. Deposit PRV Required _ S/W Permit I hereby acknowlege that I have read this application and state that the Booster Pump - SM/ Surcharge information is correct and agree to comply with all applicable tate of Minnesota Statutes and City of gan Ordinances. Treatment PI Signature of Permitee Lz sr APPROVALS Road Unit A Building Permit is issued to: BRAD SCHMIDT Planner - Park Oed. on the express condition that all work shail be done in accordance with all Councii applicable State of Minnesota Statutes and City of Eagan Ordinances. gld9, pry. _ Copies Building Official QA,(;„1 1 I L,IJ ? l ' '\ Variance - TOTAL 35. 50 RESIDENTIAL BUILDINC PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construction Reauirements • 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas (20°k maximum lot coverage allowed) • 2 copies of plan showing beam 8 window s¢es; poured found design, etc.) • 1 set of Energy Calculations • 3 copies of Tree Preservation Plan if lot platted after 711l93 . Rim Joist Oetail Options selection sheet (bldgs with 3 or less units) DATE ?o-d ? ?a &- a?s- RemodellRenair Reauirements . Z copies of plan • 1 set o# Energy Calculations for heated additions . 1 site survey for exterior additions & decks . Indicate if home served by sepGc system for addiUons YALUATION S/ s ! 1;? SITE ADDRESS 1 3?, -7 54 •Ahdit- cJ ;Vod MULTI-FAMItY BLDG -- TYPE OF WORK % (-- ?) '& rr--r! ?' - (: " FIREPLACE(S) _ APPLICANT Y "N 0_1 _2 STREET ADDRESS !?MQ )'-!? lp A," CITY l V/Vaf STATE/eZA1ZIP TELEPHONE # CELL PHONE # ?1_2-oV`Cle?ff FAX # `___^ l/i r GS/ ?- G2,1 ?- PROPERTY OWNER I0? ? TELEPHONE # COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672 (4 submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: _ Phone # Plumbing system includes: r Water Softener - Lawn Sprinkler Fee: $90.00 ? Water Heater - No. of R.I. Baths ? No. of Baths Mechanical Contractor: Phone # Mechanical system includes: Air Conditioning Fee: $70.00 ? Heat Recovery System Sewer/Water Contractor: Phone # I hereby acknowledge that I have read this appiication, state that the information is correct, and agree to compiy with ail appiicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant --OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 OFFICE USE ONLY 0 01 Foundation O 07 05-piex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Ait - Multi ? 03 01 of _ plex O 09 07-plex ? 17 Garage O 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex 0 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi 0 05 03-plex 0 11 10-plex 0 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N O 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding 0 32 Addition ? 36 Move Bidg. ? 42 Demolish (Foundation) ? 45 Fire Repair 0 33 Alteration ? 37 Demolish (Bidg)* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement *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 Width REQUIRED INSPECTIONS _ Footings (new bldg) FinaUC.O. _ Footings (deck) FinaUNo C.O. _ Footings (addirion) _ Plumbing _ Foundarion HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests Final _ Framing Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By , Building Inspector ---------------------------- ----- ------------------- ----------------- ------------------_---_ --- Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: L OT : s BLo c K: s APPLICANT: 1367 ST aNDREW BLVD SCMMIDT FAIRWAY HILLS (612) 452-9085 PERMIT SUBTYPE: OECK TYPE OF WORK: Control No. 0499 BUILOING- 0@0635 85/22j92 BRAO N£W 7777 _- -: REMARKS: RECEIPT # C18966 DATED 5/22/92 ,x CITX Of EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: DESCRIPTION: PERMIT ? PERMIT TYPE: Permit Number: Date Issued: 1367 ST ANDREW BLVD 10T: 8:.. BIOCK: 5 FAIRWAY HILLS ,?.SUi2-i?;iang Permit Type DECK Bciil _d'in_gper,Work Type NEW Bu i l'c1i ng th r 8-61 idl'ta g`W i::d ?0s ... - - _ -- ?, ? - 41?E ?.. _ 22 12 Control No. 0499 BUILDING 800635 05/22/92 m? ??g?':e:?? ` ° ?p REMARKS: RECEIP7 !1 C18966 DATED 5/22/92 FEE SUMMARY: Base Fee Surcharge 5ubtotal CONTRACTOR: $25.00 COPY .50 E.50 _ Total Fee ,. $26.00. $25.50 .. _,I ;hereby acknc?wledge irrformatic?n =is cnrr:ect= a€??' a?ree- to ; ?, S??Ctrt?s aact .C-ty E?g?? ttrc?;i??nc? ?.._..- r = APPLICANT/PERMITEE SIGNATURE OWNER: - Applicant - SGHMIDT BRAD 1867 ST ANOREW BLVO EA6AM MPI (612)452-9085 PERMIT #, ? CITY OF EAGAN 1992 BUILDING PERMtT APPLICATION fi81'-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site.surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural_& structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies when typing of permit is requested, but not picked up by last working day of month in which re uest is made or lot chan e is re uested once ermit is issued. Date Valuation of work Site Address: l3 ?1 5i - qxSPSf_a4_._1_S Y?? Up STREET STE # Tenant Name: (commercial only) lOT ? BLOCK SUBD. l!Q LaS d} Y HI LLS P. !.D. # Descri tion of work: ?LLIC The applicant is: E Owner ? Contractor D Other (oes«;be) Name fpC-1RUA4t n( C-? Ran Pho ne Property LAST FIRST Owner Address 136'7 ?:-)T`. 4-A26?? &_U Q STREET STE ? City t!??aJ State Z?P Company Phone Contractor Address License # Exp. City State Zip Company Phone Architect/ Engineer Name Registration # Address = City State ZiP Sewer & water licensed plumber . Processing time for sewer & water permits is two days once area has been approved. . 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 Applicant: -OFFICE USE ONLY BUILDING PERMIT TYPE O OI Foundation ? 05 Apt. Bldg ? 09 Basement Finish O 02 SF Dwg. ? 46 Garage/Accessory E3 10 Swim Pool L] 03 Two family O 07 Fireplace ? 11 Res. Add. D 04 Multi-fam. T.N. ? 08 Deck ? 12 Res. Porch WORK TYPE k 31 New O 33 Alterations ? 35 Move E O 32 Addition O 34 Tenant Finish D 36 Demolish GENERAL INFORMATION Const. (Actual) Basement sq. ft. (A1Towable) lst F1. sq. ft. UBC Occupancy g -_3 2nd Fl. sq. ft. Zoning Sq. Ft. total # of Stories Footprint Sq. ft. Length On-site well Oepth ? On-site sewage APPROVALS Planning Building Engineering Variance REGtUIRED INSPECTIONS ? Site ? Footing O Framing [3 Wallboard ? Final ? Draintile E3 Insulation 0 Fireplace 'Permi t Fee 00 veiLat;«,: ' Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies •? Other Total : s -? ? O 13 Comm/Ind New ? 14 Comn/Ind Add O 15 Comm/Ind -Rem D 16 Public t-ac. ? 17 Agricultural MWCC System City Water PRV Required Booster Pump Fire Sprinkler Census Code SAC Code Assessments SAC 96 SAC Units C 3o3.}0) DENOTES EXISTING E.LEVATION . ?Tr (ioas,s) PENpTES PROPOSED ELEVA'riON iNDICA7ES DiRECYIoN oF SvRFAc.E DRAINAG?E m3se3 = F t N IS N ED GA R A G,E FLOOR ELEVATIoN ?•?? ST ??O3T \4/ a. 3?, o S 60 ° ?ga?? c? S? ? S (7 ?t3 ,? r°;? 6r' , 0o .t.q) • ?? ??? ;\ N, pR0 ?O 4)hry0 ?03 y???60 0, ?9so rl (1) e• .r• / `O ? 4 ? . +w? ? ?M \ \ V ? M sr . ?+4 -- ? 0o - ? ?o; i? < ?Co- t . . ? Z_ sd O O . , ?.o \ SCALE= 111'30/ ,DRAINAGE AND urci I-rY EasE7mEni-r ?,1a ry ? ? ? . ? v NOR-rHERN EASEMIE NT \93i? s5o' BurLL>iNG SETSACK 1-1NfE NA`fURAL GAS I heriby cartify thafi thia is e, t:ue and cflrrect rnpreaentxtion at a trAct of lind a: shavn' and deneribed heraon.• As prsPgred by ma on this Sr_.,dmy of !0" , 1912-. • ?-? Ninn. Xgb, Na• ?.? CITY USE ONLY L ? BL RECEIP'f #: fUCo 9 SUBD. 3li-ut.utrC- l:?-.iJ RECEIPT DATE: g gvvyv? 1999 PLUM$IN6 PEMIT (RESIDE1vTIAL) CTTY OF ERfiAN 3$30 PILOT KNOS fi.D EAfiAN, MN 55Y8Y (651) 6$1-4675 Please complete for: ? single family dweliings D townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinkler system -------------------------------------------------------------- FIXTURES ---------------- EACH --------------------------------------------------------- # TOTAL Shower 3.00 x = Water Closet 3.00 x - Bath Tub 3.00 x = Lavatory 3.00 x = Kitchen Sink 3.00 x = Laundry Tray 3.00 x = Hot Tub/Spa 3.00 x = Water Heater 3.00 x Floor Drain 3,00 x = Gas Piping Outlet ' minimum - 1 3.00 x = Rough Openings 1.50 x = Water Softener ' for dweilings under construction 5.00 X = Water Softener ' for exisfing dweliing 30.00 x = U.G. Sprinkler * for dwelling under const. 3.00 = U.G. Sprinkler * for existing dwelling 30.00 = Alterations * to existing residence 30.00 = Water Turn Around 30.00 = Private Disposai System ' MPC iic. 75.00 = (new and refurbished systems) Private Disposal Systems * Abandonment 30.00 - RPZ (new installation/repair) 30.00 - STATE SURCHARGE .50 eminder: Call 681-4675 for inspections of water heaters, water softeners, alterations, etc. . TOTAL -;2?? -,>L7 •-----------------•-•-•-----•---------- I hereb adcnowled e th?--? ?-- --.._.?:- ___.-__._:_•_:_._-:.:,::_u:? ?„??:? ------•-----•----••---•----------------••---•----.....--•-.•---•---.. Y g n Is correct,, and agree to comply with all applicable City of Eagan ordinances. It is the applicanPs respi jan assumes no Ilability for any damages caused by the City dunng its normal operational and mainter PETRILLI, TOM I 1367 ST. ANDREW BOULEVARD ?ermit within City property/r(ght-of-way/easement. SITE ADDRESS: i EAGAN, MN 55123 ' (651) 405-1374 OWNER NAME: i -? ---?-- -- - -- -- - INSTALLER NAME: TELEPHONE #: `? T ? - STREET ADDRESS: CITY: I*G-!!?> STATE: /,?) ZIP; 56?168 SI"ATl`lrRe"OF PERMITTEE CD/PERMIT FORMS/RPLBG PERMIT (RES) - 1999 CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MN 55122 PHONE: (612) 454-8100 95:m"0?..?`?...,:?<:?m 1$ OF CONTRACT FEE. STATE SURCHARGE _ $.50 FOR EACH $1,000 OF PERMIT FEE. ...:..............................::.. - - PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & ..:.:.:.::...:..::::.:..:: :::.. TOWNHOMES/CONDOS WHEN PERIrtITS ARE REQUIRED FOR EACH UNIT. ------------------------ --------------------------------------------------------- WORK DESCRIPTION COMPLETE THE FOLLOWING: N0. FIXTURES EA. TOTAL NEW CONST ADD-ON MINIMUM 15.00 j,!?r? ADD ON t? SHOWER 3.00 REPAIR ? WATER CLOSET 3.00 BATH TUB 3.00 LAVATORY 3.00 OWNER NAME :_L? iZ- K?r D? c? ?-Ifl/?! D ld _ KITCHEN S INK 3.00 LAUNDRY TRAY 3.00 SITE ADDRESS : I3lo -I ?"? •???2?1/JS _ HOT TtJB/SPA 3.00 - WATER HEATER 3.00 LOT:BLOCK _,Y_ SUBD. _ FLOOR DRAIN 3.00 GAS PIPING DUT. INSTALLER: ? vU q P+ R'e-o c3,i (MINIMUM - 1) 3.00 ROUGH OPENINGS 1.50 ADDRES S : l 4q (S t a-Z i e- Y- ) -s t> OTHER WATER SOFTENER 5.00 CITY: AZIP: PRIVATE DISP. 15.00 ?a I PHONE #: -?,-7t) 6 _ U.G. SPRINKLER 3.00 t SUBTOTAL $ Z.5-.07) ST. SURCHARGE .50 IGNATURE OF P ITTEE TOTAL: $ SU PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: FEES OWNER NAME: SITE ADDRESS: LOT: BLOCK SUBD. INSTALLER ADDRESS: CITY: ZIP: PHONE #: FOR: CITY OF EAGAN $25.00 MINIMUM FEE. CONTRACT PRICE x 1% $ STATE SURCHARGE $ TOTAL: FOR CITY USE ONLY PERMIT # RECEIPT # S DATE: 1 a6 / $ (SIGNATURE) 14 q 1991 BIIILDING YERMI APP ICATION GITY OF EA6AN SINGLE FAMILY DWELLINGS MiJLTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTtTRAL PLANS 1 SET QF ENERGY CALCUTATIONS (CHECR WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCUTATIONS 1 SET OF ENERGY CALCS # OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY IAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. iAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT IiAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. To Be Used For: 02?7y,LA;r- F//u/.S-f Valuation: Site Address 136d"j S1. -ANNail 64-W) Lat F) Block 5' Parcel/Sub Owner -, 40 S (H071 Address 13 b 7 Si, ??ALAtiS eI-?Q City/Zig Code L.?lA/? Phone 1f5 2 Contractor Address City/Zip Code Phone Arch./Engr. _ Address City/Zip Code Phone # Date : !/- OFFICE IISE ONLY FEES ? t v J Occupancy Bldg. Permit ° Zoning Surcharge s? Actual Const Plan Review Allowable SAC, City # of stories SAC, MWCC Length Water Conn. Depth Water Meter S.F. Total Acct. Deposit Footprint S.F. S/w Permit S/W Surcharge On site sewage_ Treatment P1. On site well Road Unit MWCC System _ Park Ded. City water _ Trail Ded. PRV _ Copies Booster Pump _ SIIBTOTAL APPROVALS Penalty Planner Lot Change Council TOTAL .? Bldg. Off. Variance SewerJWater Licensed Contr. , ?., `? *--?-? ?-?--- agrees that al2 work shall be done in accordance with ( ignature of Contrac or) all applicable State of Minnesota Statutes and City of Eagan Ordinances. ? CITY OF EAGAN N° 13 9 8 4 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 c PHONE: 454-8100 ? ? ? ? ? BUILDING PERMIT Receipt # To be used for SF DWG/GAR Est. Value $103 , 850 Date JtiLY 28 19 $7 Site Address 1367 ST ANDREW BLVD OFFICE USE ONLY FAIRWAY HILLS Lot 8 Block 5 Sec/Sub a e ancy O c R3 . MWCC Sys m ? ? n n9 R1 Parcel No. On Site Well Type of Const v_ City Water X (Actual) - s Name AL HERRMANN CONST (Ailowabie) ? w Z Address 8723 HIGHWOOD WAY # of Stories Length ? City A• V• Phone 688-0597 oePtn S.F. Total °C .o Name SAME Footprint S.F. ?Q Address APPROVALS FEES m City Phone Assessments Permit ? 515.50 ? ?? F c Water/Sewer _ Surcharge • F W Name Police _ Plan Review _? Address Fire _ SAC, City 0 Z Engr. _ SAC, MWCC ?fJ Q W City Phone Planner _ Water Conn. 5? S nn Council _ Water Meter ---kz-gD I hereby acknowledge that I have read this application and state Bldg. Off. _ Road Unit p 305-0 that the information is correct and agr e to omply with all applicable APC _ Treatment P1 1 Rn _ nn State of Minnesota Statutes Cit of an Ordinances. Variance _ Parks Copies Signature of Permittee TOTAL $?? A Building Permit is issued to: A ERRNIANN CONST on the express condition that all work shall be done in accordance with all able State of nesota St utes and City of Eagan Ordinances. Building Official v t . ? ? 1987 BIIILDING PERMIT APPLICgTION - CITY OF EAGAN SINGLE FAMILY WELLINGS INCLIID 6C-_ SETS OF PLANS%,??CERTIFICATES OF SIIRVEY, J.IS?ET OF ENERGY CALC[JLATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MIIST DESIGAATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BIIILDING PERMIT IS ISSIIED. 1? M[1LTIPLE DWELLINGS - RESIDENTIAL RENTAL IINITS FOR SgL.E IINITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SIIRVEY - CHECK f1ITH BLDG. DEPT., 1 SET OF EEjERGY CALCULATIONS COMMFRCTAi. INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS9 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, _ $2,000 LANDSCAPE BOND To Be Used For: Valuation: Da.te: '7 -2,7-2 7 Site Address Lot 3 Block Parcel/Sub ??- W Owner Address City/Zip Code LCQ0&6vti?? S (?(9 X OFFICE IISE ONLY On Site Sewage MWCC System On Site Well City Water y' Phone gPPROVALS Contractor Address S City/Zip Code Phone , Arch./Engr. . ? Address City/Zip Code? Phone # Assessments Water/Sewer Police Fire Engr Planner Couneil Bldg Off APC Varianee Oceupancy e_ 3 Zoning J?- f Type of Const (Aetual) ? (Allowable) ? # of Stories Length Depth S.F. Total Footprint S.F. FEES Permit 15,115', s? Surcharge " sA.•O Plan Review 09'7. 7s` SAC, City /Oo- ' a SAC, MWCC sazs. 'O Water Conn sz ?r oO Water Meter 6'7• O° Road Unit sos.°O Treatment Pl / So , °O Parks Copies TOTAL ? , , C;k, ? '30 796 -'Voo " ,3 0 eyo x V,/ _ '19,0. 0' t ., ? . ? _--? CITY OF BUILDING llEPARTMLIdT EXTERIOR ENGELOPE AVERAGE "U ll COI4PUTATION (To be submitted ivith building permit application) Two Family Dwelling Owner ther 1?A? tor ?kulM4, ... LINEAL FEET OF EXFOSED VJALL Site Address Date Phone ' P X- ? tl o f t. abo ve grade 7.94 TOTAL EXPOSED WALL ARi1A SQ. FT, OPAQUE 1NAI,L COPdSTRUCTION: "U" Va].ue x Arpa Detail ???? f IIUn • 3 x SG?. li reference - li "Ull D x Sq. f ro m. ---R?,? "_ • D9 "U: -P x SQ. attached ? "U x SQ. sheets x SQ. liUll x SQ. 'dJINDp6VS: "Ull Value x Area rlake- & Type irUli x S . Q IVjjll x SQ. SQ ------------ 'lU ll X e SQ • DOORS: «Ull Value x Area - i•Ialie,??: & Type ?, iiUii x SQ. IIU 11 x SQ. n ------------- X SQ. ?IUlt ------------ X SQ f;?? TO TAL S?[p 37'3 s Q. "°l,? TOTAI, (U) (A) VALUES p AVERAC3E ?Ull " 1 _ Z 7 DI VIDED BY TOTAL 4IAI,L AREA 7 q? 07 AVERA(}E "Un r less for 1&2 famiJ.y dwell3ngs F.OOF/CEILING : iq TO TAL. AREA : I I7A , nn FT...??05?(U ) (A) FT. 0- -_.._. 5t'(U) (A) FT. ?8 (A) FT. _ (U)(A) FT. (U)(A) FT. _ ?U)(A) FT. ..L?l?_° CO ? 5 (U ) (A ) (U)(A) FT. - ?U)(A) FT. - ?(U)(A) FT. Z O0 = Q (U)(A) FT.-`00 = 2-,24L:(U) (A) FT. _ (U) (A) FT. _ (U)(A) k'T. r z A Z `(U) (A) Detail reference ??U U?? ,?from -- Q• j •0O- U)(A) attached sheets. „U„ x SQ• FT• s (U)(A) Describe.onenings „U„ x SQ. FT. (U)(A) in roof. fl Uff x SA. FT. _ (U) (A) x SQ. F.T. _ (U)(A) TOTAL (U) (A) VALUES DIVIDED BY To7"?L4j II OQ?,ft Z?, 5 (?a ? ? tA> TOTAL ROOF/CEI EA , pzr? AVERpGE •025 ventilated roofs. ? ? :M : :? ? r/ Oo ?? qes-r '/ ?o X C52 tsL -?3zt?z , ; . 15910 7 X ? sz +s?-? c14 - ?c3? = ;48 = C?- 7 ?? ?._...._ ? ? _ ? ?-;?c? ? : .. . .. ..... .. .... _ .: .. .. ? .. _ ._._--- ? 6)m ?, ? > ? ZT. i??•?c? ?9??•9? ???•`? ..? ' ..?, ??u . ?? i • , Yp?? • UYp. Bd. 3. ) Insulation 4.J 5.) Exterior Air Film (sTxLL) . . ? s ," b?, 'F ?,? „ . , R VAI,UE 0.61 =?f • ?; .61 --------____. ? ifUn _ 1/R= ? l'Z(2 TOT1lL (R)-q77g ? Y?ALL 6•) Interior Air Film . $.) Insulation 9. ) P,,,,L1. 9 , r?., 1O. ) Masonite Siding >>•) Exterior Air Film R VAI,UE 0.68 •O Z.67 - .17 iiUII _ 1/R= ToTAL __.------ RIH 12. ) Interior Air Film 13.) Insulation 14.) 211 Fir Rim Joist 15• ) ?tE ?iLT- r 16.) te Masoni Siding 17•) Exterior Air Film R VALUE 1.88 z??- .17 flUif .01-p TOTAL (R) .!? =?------ - F a --PlALL' SECTION Determining IlU„ valUe$ at Roof, Wall, Rim, and Conc. Block • I ? ? I ? ROOF/CEILIN(3 ( 1.) Interior Air rilm FOU2tDATTON 18.) Interior Air Film 19.) zo. ) 1? l? . ?1RIPpED 21.) 12" Concrete Blocit 221) '-3.) Exterior Air Film lUll .07(n ___.----- R VALUE 0.68 /. 1.28 •17 TO TAL (R) ='j?, I ? .... .? tf C__T-3_37) DENoTES EXIS-riNG ELCVA-T'ioN (io3s;s) DENoTrS PROFOSETa ELCVATION IND?GATCS DlRCCTION OF SURFACE" DIZr1WA G-E 1035.83 = FIN,sHen ELEVA't'IoN ? ??•,? GARAGE FLOOR ?o) ST. S ? 0 u ?o . ' 0°? 6 a s? ; ?? f ° ? ? . ?4 p N ?Pp 2?,0A ? rn ? ? ??? •?? 9s ? '4q ,f`i/ , ??•so 0 0 ?o Z o . F ?V g F ? 1,6 \ 3 f In SCALF: f"=30/ ,D RA l 1V AGE A N D UTrUTY EASEMCW < \ +? ? ?? o,o> >o (.\z?R .? \v . ? M 8 60 0 ?? m ?'? • -?- ?3 `v ro'., N 0R-r H? R N 9 -- ? 5 A sEr Mr: NT ?0 / B , UILDIMl.s' sO-rBAcK LINE NA`fURAL GA5 I hertby cartify that thia ia a, t:ue and corrcct rnpnsentatian of a tract of lgnd aa :hou-n' and dcncribed hernon.• Aa prapdrad by me nn this Sr31 ' day or N in n . X ng . N o , 1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF 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 BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS # OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS CONIMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRtJCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS f To Be Used For: C/\ Valuation: Date: /? ?? Site Address /Sd / Lot !L Bloek ? Pareel/Sub,,--)?-G?4f/ Owner v Address City/Zip Code Phone /'1 '` J pair' /kU ?- OFFICE USE ONLY On site sewage Occupancy I MWCC system Zoning On site well Actual Const !i City water Allowable ' PRV required 4k of stories Booster Pump Length ?I Depth S.F. Total Footprint S.F. I APPROVALS Contractor Address _1 jcl JJ l/'/I°?t 4 City/Zip Code. a 1/qq'p° Phone 00 - Arch./Engr. Address City/Zip Code IEngr/Assess ? Planner ' Council ,Bldg. Off. 'Variance ? FEES Permit N G Surcharge Plan Review SAC, City SAC, MWCC Water Conn Water Meter Road Unit Treatment P1 Parks Copies TOTAL Phone # _ ?******##*******#***#************??# * C I T Y O F E A A i? ?^': PAYMFTTS OF FF? AT TIME OF *. - * ArPLicATioN ooES rxrr CONSTzTUTE ? APPROVAL OF PF,RNIIT. x*, . APPLICATION FOR PERMIT . . ?. INSPF7CTION OF SEWM ANID/OR WA.'LER ? ? . . ? msmuATTONS WII.L NiDT BE SCHm- * SEWER AND/OR WATER CONNECTION ??M UMUL P00,11T HAS BEEN ? . • . . * APPROVID. . . ?, ? _._.. ********************,r*************** P ease Print) . ? . 1) PROPERTY ADDRESS : LEGAL DESCRIPTION: 1-6 j (Lot/Block/Subdivision or Tax Parce IF EXISTING STRL'C'Ii?RE, DATE OF ORIGINAL BUILDING pERMIT ISSL'ANCE: '. ' (Nbn Year) •- PRFSENr ZONING/PROPOSID LSE: Ca4,iF'.t2CIAL/RErAIL/OFFICE R-1 SINGLE FAMILY . Fl INIDL?STRIAL R-2 DL?PLEX (Ztao Onits) n INSTIZUTIONAL/GCV'ERIZ= ? R-3 TDWNiOL?SE (Three + Units )( Linits ) R-4 APARTMENT/CONIDOMINIUN1 ( Units ) 2) ... NAME: ?'-L ???._?'?'7? h-°?rZ? ??f`?'?`7._1,..;?G i ?c?c?? ADDRESS:f723 CITY, STATE, ZIP:-.l?-,l??G? j,??'1'?.?.? /??/•,4 ?%j 1? ' 3 ) IVANEr_A///11A6tJ7_Y4 ADDRESS:_ / 'VZ2-,Y CITY, STATE, ZIP:_A-?/j11G" t;7-i~4I7 2 ,,U -S;j PHONE: .65q- :i3G= J57- MASTgt LICENSE# 4) •a ? i?- - . NANE: ADDRESS: ' CITY, STATE, ZIP: PHONE: • Plumbers License: Active Expired Not recorded Staff Initial 'S) 10 a: • ?+' : a • sa ?? ^ ' . ? CONNEC.'TION T0 CITY SEWIIt [ CONNECrION TO CITY WATII2 C( OTFIII2 . ! ` . 6) '? • ?' ? PLF.A.SE HOLD APPROVID PERMIT FOR PICK-C?P BY ONE OF ABOVE - -- - - --- '- ? PLF.A.SE MAIL APPROVFFD PERMIT TO 1, 2, 3, 4, ABOVE :. . (Circle one) 7) r . . ?? . :-FOR CITY USE ONLY PERMIT # ISSLED Pd w/Bldg. Permit FEES: $ $ $ $ $ $ $ $ $ $ $ / ?L ? ?7? $ •672- _'7 ` 02 $ $_ 62- .?"6--U $ $ $ $ $ $ $ $ $ $ $ $ $ . $ 1??7'C?C7 $ - ? 6 <S Z ? RECEIPT RECEIPT r ,y ..? SEWER PERMIT (INCLUDE SURCHARGE? WATER PERMIT (INCLUDE SURCHARGE) WATER METER/COPPERHORN/OLTSIDE READER WATER TAP (INCLLDE CORPORATION STOP) SEWER TAP ACCOUNT DEPOSIT - SEWER ACCOL1NT DEPOSIT - WATER WAC SAC TRUNK WATER ASSESSMENT TRUNK SEWER ASSESSMENT LATERAL BENEFIT/TRUNK SEWER LATERAL BENEFIT/TRLNK WATER WATER TREATMENT PLANT SLRCHARGE OTHER: TOTAL DOES LTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? F--j YES IF YES, THEN A"PERMIT FOR WORK WITHIN PLiBLIC Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SIIBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY : TITLE: DATE : 171W/ / l~ I , L i For Office Use 2009 Permit City of Eaaafi Permit Fee: 3830 Pilot Knob Road a _tl Eagan MN 55122 Date Receive Phone: (651) 675-5675 i Staff: I Fax: (651) 675-5694 /6 2009 RESIDENTIAL BUILDING PERMIT APPLICATION C?d&cd. Date: Site Address: (si yd l Tenant: Suite#: RESIDENT / OWNER Name: J oe I rr f 1 LL J'3b7 r. t CL I Phone: £5 ! O - 5SS 3'13 70 - / Address/ City /Zip: Andrew 11~btae~ Applicant is: X Owner Contractor E c c n mN S'5~1 l 3 TYPE OF WORK Description of work: A o d c b O l t c n s1 t I de Construction Cost: I . 00,0 Multi-Family Building: (Yes / No V'~ ) CONTRACTOR Name: Sf lc License Address: City: State: Zip: Phone: Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 Minnesota Rules 7672 Energy Code • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted submission type) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting 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. 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 appr plan x- ne I M, ( joto Aj N/J Applicant's Printed Name Applicant' Signature Page 1 of 3 ~vcl DO NOT WRITE BELOW THIS LINE 9OLOL7I SUB TYPES Foundation Fireplace _ Porch (3-Season) Storm Damage Single Family Garage Porch (4-Season) _ Exterior Alteration (Single Family) Multi _ Deck _ Porch (Screen/Gazebo/Pergola) Exterior Alteration (Multi) 01 of Plex Lower Level Pool _ Miscellaneous Accessory Building WORK TYPES New _ Interior Improvement _ Siding Demolish Building* Addition Move Building _ Reroof _ Demolish Interior Alteration Fire Repair Windows Demolish Foundation Replace Repair Egress Window Water Damage Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION dw Valuation /3000- Occupancy Z(rl GT1 MCES System Plan Review Code Edition SAC Units (25%_ 100%_ Zoning n-~ City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings - Length Fire Sprinklers Type of Construction yg Width REQUIRED INSPECTIONS Footings (New Building) Sheetrock Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC Drain Tile Other: Roof: -Ice & Water _Final Pool: -Footings Air/Gas Tests -Final Framing Siding: _Stucco Lath -Stone Lath -Brick Fireplace: _Rough In Air Test -Final Windows Insulation Retaining Wall Meter Size: Erosion Control Reviewed By: Building Inspector RESIDENTIAL FEES 3PY = /d2 q33 Base Fee ~3G Surcharge Plan Review /93 410 MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies 3 TOTAL Page 2 of 3 it , II z. flOBE PERRMANN., C0}ISULTIHO EHOIHEE95 ENGINEEIIING PLA21}IEAS and LAUD iURVEYOOS CONST. COMPANY, INC. Zo9,DI ,..,1000 EAST 146th S7REET, BUAHSVILLE, Ul}1UE:OTA 51237 PH 1_2-000 LOT 8, BLOCK S, FAIRWAY HILLS DAkOTA COUNTY } MINNESOTA c-o93-3) DENOTES EXISTING ELEVATION (1035;5) DENOTES PROrOSED ELEVATION INDICATES DIRECTION OF SURFACE 7RAINAGE }`o3sa3 FINISHED GARAGE FLOOR ELEVATION / SCALE: 1"=30 3 S ~ 80 6oa (F BS <'K ro , ~d OQ ~ro?I o 0 6, 3'~J o' O MI6 °of) i'A O O , N io~.3o~ .t r t i LJ ~ Gs f fp ~ Z o oM °36 a /cs ss .6RAINAGE AND /UTILITY EASEME&J1 soo " 3o' EulL.DI Jc 1 C ~O a SETBAC< LINE `r . 14, x 3a' ~ NORTHERN NATURAL GAS 3 ~,\9J EASEMENT \9 I hereby certify that this is a true and correct r-epresentition of a tract of land as ahovn'and described hereon.. As prepared by me on this 5 ' 'day of x'4`1 19Z7-. ?i i n n . R a g. No. /6,~Fs ,77 ÿ û ú þýý üûúûøú ÷ýýúòÿù÷ï é þ î ó ÷ñü ã þ ýü þýõ ôóüòüðü ø÷ö ôø÷öôóüòüÞóòßö ê üöñ ü ðü í ö ÷ ï êöìêüê üêü ùêüèë óóö üú ëë ê ý üöèð ëë üö ëü è ð ùêü ù÷ óü ë ê÷êüè üîåäåþþè þèþ ô÷ üæ åè âèãâ æ úè óñ õðï öö ßó üàáá âãð ÿ óì ßüìáÞ û áÞ ã é çãÿÿÿ ù÷ ó ì ü öö ü ëê ü êö÷ó öö ù ëáü ü ð÷ëû í üè öö òê üü ÷ City of Basan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Date: 3 RECEIVED MAR 202012 Use BLUE or BLACK Ink For Office Use Permit #: /0377-7 Permit Fee: r 7 t Date Received: u `r Staff: 2012 RESIDENTIAL BUILDING PERMIT APPLICATION iro I IO Site Address: 130 7 S4. A e T?&) 31 cd Phone: Address / City / Zip: Unit #: 4,/ 151/340-S58S �e11 763- 370-37/3 Applicant is: Owner Description of work: CLo,1\SC P or tv o 5czt- se 4,0 la nor- S Pcce 6h04 roc Construction Cost: 1 800. 00 Multi -Family Building: (Yes / No OC) If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) (Sok )-4 a ,- l978 /Jolt_ r I, �7 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: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: Phone: 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.popherstateonecall.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 approval of plans. 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. \Me ( /Yl /)1 cL Applicant's Printed Name Applicant's ignature Page 1 of 3 n) / 26 `7 6 v Pfr1LI P_6- •e) ctl Cl . DO NOT WRITE BELOW THIS LINE /0 3 7 7 7 SUB TYPES _ Foundation _ Fireplace Single Family _ Garage Multi _ Deck 01 of _ Plex _ Lower Level Accessory Building Porch (3 -Season) Porch (4 -Season) _ _ Porch (Screen/Gazebo/Pergola) _ WORK TYPES _ New Interior Improvement _ Addition Move Building if Alteration Fire Repair Replace Repair Retaining Wall DESCRIPTION Valuation Plan Review (25%_ 100%I/') Census Code # of Units # of Buildings Type of Construction 36V® 17(3y .78 REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) 1 Footings (Addition) (l•filit/o,L/ Foundation // Drain Tile Roof: _Ice & Water _Final )1- Framing Fireplace: _Rough In Air Test Insulation Sheathing Sheetrock Reviewed By: Pool Occupancy Code Edition Zoning Stories Square Feet Length Width Final Siding Reroof Windows Egress Window Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Demolish Building* Demolish Interior Demolish Foundation _ Water Damage *Demolition of entire building — give PCA handout to applicant j- 26 - j. MCES System A40-2 SAC Units City Water Booster Pump 69 PRV Fire Sprinklers /0 ter Size: Final / C.O. Required Final / No C.O. Required HVAC _ Gas Service Test Gas Line Air Test Other: Pool: _Footings Air/Gas Tests Siding: _Stucco Lath Windows Retaining Wall: _ Footings _ Backfill _ Final Radon Control Erosion Control Building Inspector Final Stone Lath Brick RESIDENTIAL FEE'S Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 City of Eagan PERMIT Permit Type: Plumbing Permit Number: EA106188 Date Issued: 08/15/2012 • of 3,(j(�Ili Permit Category: ePermit Site Address: 1367 St Andrew Blvd Lot: 8 Block: 5 Addition: Fairway Hills PID: 10-25600-05-080 Use: Description: Sub Type: e - Underground Sprinklers Work Type: New Description: New Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments: Grant Bolyard 18500 Belgian Drive Belle Plaine, MN 56011 952-873-3940 Fee Summary: Valuation: 440.00 PL - RPZ/Lawn Irrigation Surcharge -Fixed $55.00 $5.00 0801.4087 9001.2195 Total: $60.00 Contractor: Reliable Plumbing & Heating LLC 18500 Belgian Dr Belle Plaine MN 56011 (952) 378-2251 - Applicant - Owner: Joel M Mich 1367 St Andrew Blvd Eagan MN 55123 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. Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA118471 Date Issued:11/01/2013 Permit Category:ePermit Site Address: 1367 St Andrew Blvd Lot:8 Block: 5 Addition: Fairway Hills PID:10-25600-05-080 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Andrea Preusse 4145 Sibley Memorial Hwy Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Joel M Mich 1367 St Andrew Blvd Eagan MN 55123 (763) 370-3712 Wenzel Heating & Air Conditioning 4145 Sibley Memorial Hwy Eagan MN 55122 (651) 894-9898 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA176591 Date Issued:05/23/2022 Permit Category:ePermit Site Address: 1367 St Andrew Blvd Lot:8 Block: 5 Addition: Fairway Hills PID:10-25600-05-080 Use: Description: Sub Type:Water Heater Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Robert J Wood 1367 Saint Andrew Blvd Eagan MN 55123 (414) 331-7146 Champion Plumbing Llc 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature