819 Promontory Pl, . ?" • •, 3830 Pilot Knob Road, PV.-,aox 21-1
? PHO N E: 454-811
BUILDING PERMIT
; , •: {,
To be used for Est. Value •- '`+
Site Address
Lot E
Parcel No. _
ac Name
w
z Address
° City Phone
°C Name
o
o Q Address
P City Phone
?
yVj W Name
? W
?g Address
a W City Phone
I hereby acknowledge that I have read this application and state that the
information is correct and agree to comply with all appliCable State of
Minnesota Statutes and City of Eagan Ordinances.
Signature of Permittee
A Building Permit is issued to: on fhe express condition that all work shall be done in accordance with all
applicable State of Minnesota 5tatutes and City of Eagan Ordinances.
Building Official
Sec/Sub.
, Eagan, MN 55121
Receipt #
Date ? ,19
On Site Sewage Occupancy
MWCC System Zoning
On Site Well (Actual) Const
City Water (Allowable) '
PRV Required # of Stories
Booster Pump Length
Depth
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr./Assess. Permit
Planner Surcharge
Council Plan Review
Bldg. Off. SAC, City
Variance SAC, MWCC
Water Conn.
Water Meter
Road Unit
Treatment P1
Parks
TOTAL
Permit No. Permit Holder Date Telephone #
Plumbing y 1/ ,
? ' ;??"
H.V.A.C. 911
Electric
?
Softener
Inspection Date Insp. Comments
Footings I
Footings II
Foundation ?/? ? ? f aa S Q
Framing
Roofing y
Rough Plbg. ? .
Rough Htg.
IsuL ?-za.k e
Fireplace I
Final Htg. • 7
Final Pibg.
Bldg. Final
Cert. Occ. F
Temp. LP ?
Deck Ftg.
Deck Final
Well
Pr. Disp.
w • * ?
(Itrtifirafit uf (Orrupttnry
titp of (Cagan
Bpp81'tritPtif IIf Wltilbtltg JWPtltAri
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 construcdon or use. For the following.•
Use Classification Si? N)G/GAR Bldg. Pormit No.
Oocupancy Type RUM I Zoning Distria TYPe7 Const.
OWqCrOfBuildulg L.JU \?.Ci1K?IL:JI ..rlar. ?7i??'? F'iC: l?), jiCM.
H„aaing naaress `` 19 PR.0?"TInJ:;` LociLlity I.6, B4, M tdO0DT.ArtDS
Dau: AMSf 29, 198<'?
Building Official
POST IN A CONSPICUOUS PLACE
• PLUMBING PERMIT
' CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121
CONTRACT PRICE:
Site A dress /
Lot ??_ Block Sec/Sub
? Name 5 ? h u(f 'f P S
a?
?o Address
-97
c City ? A » c Phone ?O
?
S S
Name o -,,-• ..) q» ) c- S
c Addre ' U( E hw?, /0 p City n f' Phone 7?U" a y y
.,, , .
FEES i
COMM/IND FEE - 1% OF CONTRACT FEE
MINIMUM - RESIDENTIAL FEE - $10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
SIGNATURE OF
FOR: CITY OF EAGAN
PERMIT #
- !
RECEIPT # '
DATE: BLDG: TYPE WORK DESCRIPTION
A
Res. '
New
Mult. Add-on
Comm. Repair
Other
. FIXTURES
Water Closet - $3.00 ,IOaAjJ,
?
Bath Tubs - $3.00
Lavatory - $3.00
Shower - $3.00
T- '
3' `
Kitchen Sink - $3.00
Urinal/Bidet - $3.00
?-
'
Laundry Tray - $3.00
?-
Floor Drains - $1.50
T-Water Heater - $1.50
t-Whiripool - $3.00
?
Gas Piping Outlets - $1.50
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
?-
7 7
"
Rough Openings - $1.50 Si, J J
FEE
STATE S/C:
GRAND TOTAL•
. ? Q
S /, S ? ?
CONTRACT PRICE:
Site Address _
Lot (,<)
? Name _
19 Address
c City _
? Name
3 Addre
O CitY t
Forced Air
Boiler
Unit Heater
Air Cond.
Vent.
Gas Piping Outlets #
Other
r .. ._
PERMIT #
MECHANICAL PERMIT
" CITY OF EAGAN RECEIPT #
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
PHONE: 454-8100
i BLDG. TYPE WORK DESCRIPTION
- Sec/Sub - Res. New
; Mult Add-on
r? ! Comm. Repair
Phone - Other
; , ._:
FEES
4
? BTU $2
; r.
,?
, f]4 / ;;
,!/ ?
c A DITIO AL 0 M B U _
6.00
T
??
Phone ? (RES. HVAC INCLUDES A/C ON NEW
, CONSTRUCTION)
GAS OUTLETS (MiNIN1UM - 1 PER PERMIT) - 1.50 EA.
COMM/IND FEE - 1% OF CONTRACT FEE
BTU APT. BLDGS. - COMM. RATE APPLIES
° TOWNHOUSE 8 CONDOS - RES. RATE APPLIES
M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8
M BTU REMODELS - 12.00
M BTU $ MINIMUM COMMERCIAL FEE - 20.00
CFM STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000)
?
FEE:
S/C: SIGNATUFi`E OF PtRMITTEE
TOTAL:
FOR: CITY OF EAGAN
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55 121
PHON E: 454•8100
BUILDING PERMIT Receipt#
To be used for Sg DWGICAR Est. Value $205.CV0 Date MAY 3
Site Address 819 pROM-'N?i.•fY FL OFFICE USE ONLY
T}}-r _ ? WOO¢LANDS
Lot 6 Block 4 Sec/Sub On Site Sewage Occupancy R-'3 iq'1
. MWCC System X Zoning R-1
Parcel No.
On Site Well
(Actual) Const Y??
z Name "i1B COMPANIE,, 2NC City Water X (Allowable) v"'N
z Address '7t)4 ?IE k1WY 14)
. PRV Required # of Stories
ill: 0
LS Phone 7?1 94?"
City j p
Booster Pump
Length
S?;
Depth
o Name S"ANE S.F. Total
,
? Q Addrets Footprint S.F.
? Ciry ? Phone ppPROVALS FEES
?W s
Name Engr./Assess. Permit 916•?
10
5
? Z Planner Surcharge 0
4 •
Address
45
Council Plan Review 8?
Q W City_ Phone Bldg. Off. SAC, City 100. 00
I hereby acknoyvledge that I have read this application and state that the VarianCe SAC, MWCC 35U.00
information is correct and agree to comply with all applicable State of WaterConn. 550•?
Wlinnesota Statiltes and City of Eagan Ordinances.
.
Water Meter
?
67,
Signature of Permittee 325`00
A 8uilding Permit is issued to: TJB iONPANLE" i VC Road Unit
Treatment P1 204"00
on,the express condition that all work shall be done in accordance with all Parks
applicable State of Minnesota Statutes and City of Eagan Ordinances. 3-,27T--W
Building Official TOTAL
?-- BLDG. PERMIT N0. ?? .' .R? •:? ??y
j?y.
-
Ma,? ?
r01-3210 Bldg. Permi
01-3422 Plan Check
A 01-3445 Surch./Adm. '
01-3446 SAC/Adm.
01-2155 Surcharge
--V-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.
;)
-3855 Park Ded.
TOTAL
?
` •?.,?'`; CASH RECEIPT
CITY OF EAGAN ?
?
3830 P`iLCi'f KNOB ROAD
EAGAN, MINNESOTA 55122
_. r
DATE 19 -
RECEIVED
F" ? ?.. ? _ . .
AMOUNT $
• j •_., ?
! -
& DOLLARS
,oo
O CASH [IrCHECK
FUND OBJECT AMOUNT
?
nG?
Thank You
BY
7^ White-Payers Copy
1 ? 834-ti 15 Yellow-Posting Copy
Pink-File Copy
CITY OF EAGAN Permit No: Date:
3830 Pilot Kneb Road B/P No: T-1 Date: 5-4-P?
P.O. Sox ?1199
Eagan,-MN 55121
Owner: s j-
Site Address: X9 pYOmOntory Place T Fi '34 Wcjodlla:x-I??
Plumber: SChulties
{ MWCC: ? 5C . tl?)?Sr3 Zoning• i t oope Ciry Chg: 100. No. of Units:
? Acct. Dep: ZS' 00pd 1 C+ . ?3t}nd I agree to comply with the City of Eagan
Permit Fee: Ordinances.
Surcharge: ' j
Misc.: BY
SEWER SERVICE PERMIT
_. _ . .. ?
CITY OF EAGAN Permit No: Date:
3830 Pilot Khob Road Meter No: Size:
P.O. Box 2' 199 Reader No: Date: ?
? . Eagan, MN 55121
Owner.
Site Address: ' r` 19 Promoutor7 P-??, ? F' i- `: •? z k':;?,,- ?^? d $
Plumber. schtal.Li'(rs
Conn. Chg: Zoning:
Acct Dep: No. of Units:
Permit Fee:
Surcharge: •50m j I agree to comply with the City oi Eagan
Tr. Plant 2 0.4 • ?' ? ?'?? Ordinances.
Meter.
Misc.: By
WATER SERVICE PERMIT
CITY OF EAGAN Permit No: Date:
3830 Rilot KAob Road Meter No: D3 l-3 9?7 Size:
P.O. Boz 21199 Reader No: 0?5-?-? Date: Z
Eagan, MN 55121
Owner._
Site Addr
Plumber..
Conn. Chg: 550.00nd T,=lGASi 1
Acct Dep: 15•00T'a No. of Units:
PermitFee: JO.oopd 9FCaU1RED I3Y LAW
Surcharge: •50Fd 1 agree to comply with ihe Clty oi Eagan
Tr. PIanC 204 • U0nd Ord nces.
Meter.
Misc.: By
WATER SERVICE PER T Al
E`15682
REQUEST FOR ELECTRICAL INSPECTION .r« es-oo00i-os
? See instructions for compieting this form on back ot yellow copy. W:
."X" Below Work Covered by This Request
Add Rep. Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Lightin,y Fixtures
Apt. Building Dryer Electrie Heatin
Commercial Bldy. Fumace Silo Unloader
Industrial Bidg. Air Conditioner Bulk Milk Tank
Farm Other Specifv Other(Snerify)
ther Suecify Other Other
ComUUte /nspection Fee Below
p Fee ServiceEntranceSize tf Fee Faeders/Subfeeders # Fee Circuits
0 to200Am s 0 to30Am s 0 to30Am s
Above 200 qmps 31 to 100 Amps ? 31 to 100 Am s
Swimming Pool Above 100_Amps $0 Above 100_Amps
Transformers Irrigation Booms Partial.'O Fee
Signs Speciailnspection $
TOTA yF
E
Rerru?rks ?
i
/..H
Rough-in • e 1, the lectrI
Inspec ereby
certify that the above
Final inspection has been
?P made.
rhia rwmiest void 18 months frOrt1
? months from
E 15682 1 ?l
?? ??& P
9 0,
request Date Fire No. ftRR?.ough-eii n In sVection
quird?
oReady Now ill Notify, Inspec-
?" OC'Yes ? No tor When Ready
Licensed Electrical Contractor ? I hereby request inspection of above
Owner electrical work installed at:
Street Address, Box or Rout N. City
?
/ 4
ecuon o. Township Name or No. Range No. County
Occupant
? INT) ? Phone No.
Power Suppl'
'o& 4
v, ) U , Address
Electric I actor (Com ame) Contractor"s License No,
Ma ing Addr sg'g (Contractor ner Making Insta' tion)
j?
Authorized Si ture Contracto Owner Making Instatlation)
?& Phone Number
-
3f71
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room N.791 BE ACCEPTED BY THE STATE 80ARD
1821 Universitv Ave., St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
,.• CASH RECEIPT •
CITY OF EAGAN
. 3830 PILOT KNOB ROAD
EAGAN, NESOTA 55122
DATE
n
r?cerv ?
FROM
AMOUNT $ 7d Iro
DOLLARS
? CASH 10,
? CHECK
FUND OBJECT AMOUNT
0 1 I??2/; ' I i I I e-,°-)
Thank You
P
1o1'a 83489 ellow-P sNng Copy
Pink-File Copy
CASH RECEIPT
? ?' •
' CITY OF EAGAN
,3830 PILOT KNOB ROAD
EAGAN, MIN SOTA 55122 ? i)
0?
DATE ? ?g
:EIVEq ,ry ? - . ???
FRq.1 L? J ??
AMOUNT .
& DOLLARS
?--i-00
O CASH '1"C CFIE K
Thank You
N• 83569 Whit?Payers Copy
o Yellow-Posting Copy
Pink-File Copy
CITY OF EAGAN NO- 14 9 3 3
3830 Pilot Knob Road, P.O. Box 21-199; Eagan, MN 55121
^ ?-
BUPLDINC PERMIT PHON E: 454-8100 Receipt # S('?2A ?l
To be used for '-F DWG/GAR Est. Value $205,000 Date MAY 3 ,19 $8
Site Address 819 PROMONTORY PL
Lot 6 Block 4 Sec/Sub.THE WOODLANDS
Parcei No.
,r Name TJB COMPANIES, INC
z Address 2704 NE HWY 10
0 City MPLS Phone 780-2944
°oC Name SAME
,
? Q Address
? City Phone
?Cc
OW Name
wW
i ? Address
U
? WZ City Phone
a
I hereby acknowledge that I have read this application and state that the
information is correct and a e to comply with all appli le State of
Minnesota Statutes an ' y of a rdi ces.
Signature of Permittee
A euilding Permit is issued to: TJB COMPA E, INC
on the express condition that all work shail be done in ccordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official -fiOl,no1?,@,I,j
1
OFFICE USE ONLY
On Site Sewage Occupancy R-3 M-1
MWCC System X Zoning R-1
On Site Well (Actual) Const V-N
City Water X (Allowable) V-N
PRV Required # of Stories
Booster Pump Length 721
Depth 51 '
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr./Assess. Permit 916.00
Planner Surcharge 102.50
Council Plan Review 458.00
Bldg. Off. SAC, City 100.00
Variance SAC, MWCC 550.00
Water Conn.
0
550.0
Water Meter
0
67.0
Road Unit 325.00
Treatment P1 204.00
Parks
TOTAL 3,272.50
Permit # 7 Receipt Date: -3/ !0 7
T
2007 Sewer/Water Repair/Disconnect Permit
City Of Eagan
3830 Pilot Knob Road
Eagan MN 55122
Telephone # 651-675-5675
Date 10 / -3/ Fee: 50.50
'2( City Sewer City Water ? Repair Disconnect
Description r-,w
Street Address for Proposed Work
Owner
Name '4--
Street Address )OA,? 4-fn 2
City FAq C I State Al1
?- Zip I -? Telephone # (& 3-1 D 2 C
Licensed Pipelayer ? Master Plumber _ Property Owner _
Name &
Street Address A/ cc[> 9 e-a DiD
City ?NE Lv (3n ? c k4, A,( State n ,I„, Zip Telephone # (&V ) ?? Ss ? ?' ?' [D
Pipelayer Training Certification Card # or Master Plumber License #
I acknowledge that the information is complete and accurate and that the work will be in conformance with the ordinances
and codes of the City of Eagan and the State of MN Statutes. I understand this is not a pernut, but only an application for a
pernut, and work is not to start without a permit.
?
?
Applicant (Print Name) Applicant's Signature
?
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN I?
3830 PILOT i(NOB RD, EAGAN MN 55122
651-681-4675
New Construction Reauirements RemodeURepair Re4uirements
• 3 registered site surveys showing sq. ft. of bt, sq. ft, of house; and ail roofed areas • 2 copies of pian
(20% maximum lot coverage allowed) • 1 set of Energy Caiculations for heated additions
• Z cooies of plan showing beam 3 window sizes; poured found design, etc.) . 1 site survey for extenor additions & decks
• 1 set of Energy Calculations • Indicate If home served 'oy septic system for additions
• 3 copies of Tree Preservation Plan if lot platted after 7/1/93
. Rim Joist Detail Options selection sheet (bidgs with 3 or less units)
DATE c?6? VALUATION 1-?, / 6o'
SITE ADDRESS MULTI-FAMILY BLDG _ Y _ N
TYPE OF WORK J FIREPLACE(S) _ 0_ 1_ 2
APPLICANT
STREET ADDRESS CITY__,Al/ STATE !ye/ ZI
TELEPHONE #_;?3 ??"O3vy CELL PHONE # FAX #
PROPERTY OWNER z?`/??% TEtEPHONE #'?S/- VS6 618%
-----------------------------------------------------------------------------------------------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINvES01':112i`LES 7670 C:A"I'EGORY 1 NII\NESOT.k 11I'L1:S 7672
(v submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet SubmitteC
• Energy Envelope Caiculations Submitted
Plumbing Contractor: _____- Plione
Plumbing system includes: __
Water Softencr ___
Lawn Sprinl:ler "D90.00
Water Heater
-- No. of BarhS No. of R. •?r?.?is ? ?' ?? ??
U
%?002.
` 1
J
Mechanical Contractor: Ph
?ICCt1ilIllC?i1 syStCiTl lI1CIllCltS: :?ir Conditionici;
Heal Recovery Systcin
Sewer/Water Contractor: Phone #
--------------------------------------------------------------------------------------------------------------------------
I hereby acknowledge that I have read this appiication, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicanf
----------------------------------------------------------------------------------------------------------------------------------------------------------------------
OFFICE liSE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
0 01 Foundation
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
? 31 New
? 32 Addition
? 33 Alteration
? 34 Replacement
Valuation
Census Code
SAC Units
Nbr, of Units
Nbr. of Bldgs
Type of Const
OFFICE USE ONLY
?
? 07 05-plex ? 13 16-plex ? 20 Pool ` ? 30 Accessory Bidg
? 08 06-plex ? 16 Fireplace ? 21 Porch (3rsea.) ? 31 Ext. Alt - Multi
0 09 07-plex ? 17 Garage O 22 Porch/Addn. (4-sea.) ? 33 Ext. Ait- SF
? 10 08-plex 0 18 Deck ? 23 Porch (screened) ? 36 Multi
0 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous
? 35 Int Improvement 0 38 Demolish (Interior) ? 44 Siding
? 36 Move Bldg. ? 42 Demolish (Faundation) ? 45 Fire Repair
? 37 Demoiish (Bidg)* ? 43 Reroof ? 46 Windows/Doors
'Demolition (Entire Bidg only) - Give PCA handout to applicant
_ Occupancy , MC/ES System
_ Zoning City Water
_ Stories ' Booster Pump
_ Sq. Ft. ' PRV
_ Length , Fire Sprinklered ,
_ Width
REQUIRED INSPECTI ONS °
_ Faotings (new bldg) FinaUC.O. _ Footings (deck) F'maUN o 1- O ?
_ Footings (addition)
Foundation
Drain Tile
Roof Ice & Water Final
_ Framing
? Fireplace _ R.I. -Air Test _ Fin
_ InsulaCion
_ Plumbing
HVAC
Other
_ Pool ` Ftgs Air/ Gas Tests
_ Siding Stucco ;_ Stone
i _ Windows (new/replacement)
_ Retaininlu .Wall
Final
Approved By Building Inspector ;
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Piant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
?
1"J
\
PERMIT # RECEIPT DATE:
? ? ?2,A?A X -
crrY oW EAeAv
3$30 i'ILOT KN08 ftD
EAsArr, Mx 55122
651-e81-4e75
Please complete for:
SITE ADDRESS:
8008 RUIDEIVTIAL PLU1VI$IN(? PER1VIIT ?PPLICATION
single family dwellings, townhomes and condos when permits are required for
backflow preventer for irrigation system
OWNER NAME: : \?pipQt`? ::2 ? 1
c,
TELEPHONE #: 6E--)A_ L.Sla' b (R?k
(AREA CODE)
INSTALLER NAME: .a,.r_1noc 4 en1\16 TEE.EPHONE#: Q52,
..,.,..•,•.... ......,.,. (AREACODE) "
STREET ADDRESS: 605 l 2th Av6tiuE SOtf'Ih
?
ClTY: STATE: ZIP:
_ SEPTIC SYSTEM, newlrefurbished (requires two sets of plans and MPC license) $ 100.00
includes $40.00 County fee
Note: Additional consultant fees may apply
• MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING:
_ Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00
_ Abandonment of septic system.
_ Water tumaround - existing dwelling unit (+ 5/8" meter if needed -$118)
Other:
_ RPZ: new installation/repair/rebuild $ 30.00
_ lawn irrigation system
ReplacemenUadditionaL• _ water softener ? water heater $ 15.00
State Surcharge .50
Total
I hereby acknowledge that I have read this application, state that the information is correct, and agr to c mp with alf applicable Ciryof Eagan ord'inances, It
is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability r a damages caused by the City during its.normal
operational and maintenance activities to the facilities constructed under this permit within C' erty ght-of-way/easement/ ?
.at ?ri'' 'v''1
SIGNATURE 6f PERMITTEE 1/02
4
? t
, 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 QNITS FOR SALE UNITS # OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
CONMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
1??D To Be Us(d For: Valuation:
Site Addres sgl ? 00 Nbdt11C,'zl/ P
Lot (P Block
Parcel/Sub Lfvv'los,
Qwner ? TQ Cip!/LtlapN11L2,? -7i(LC.
Address oP76V H51 t`fCc?/ %0
City/Zip Code f21A1 cSP ?v? 3 ?
Phone 790 '" ';)9 w
? Date:
e7l 2d /5?
OFFICE USE ONLY
,? 05 OvO° -
On site sewage Oecupancy
MWCC system Zoning R--I
On site well Actual Const V-N
City water Allowable V-,N
PRV required # of stories
Booster Pump Length `7- E-
Depth -zi-5 - 491
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr/Assesa Permit ' ?
Planner Surcharge _
Council Plan Review :
Bldg. Off. . ±Z4/zt SAC, City /d Q, 00
Variance SAC, MWCC 550,00
Water Canra U.OGJ
Water Meter r7,00
Road Unit
Treatment Pl O ,CaC
Parks
Copies
TOTAL
Contractor 5A7?il.e ,
Address
City/Zip Code._
Phone
Arch./Engr. /qkp.Ut
Address `j // I1.1& 14,4-,y 10
City/Zip Code lp,?? ?? ? '51'3 Z
Phone 1t `7 g0 -/9 a(j
. _..,.. R -.,. ?... . . _..?.. ., ??...??.._.._. ? . . .,.,,. ,,. . ,? m...__ .? ._..._ -?.: _ , r . , . . . ..3u.N"tffi?S .?r '- , . h . h .....a . „?. .,, ,.,..... .,,..., _ .„.. . ..
. . A?., ?mv?_ . . . . .
T
??? •
?COnIpa/IlBS 6875 Highway 65 N.E. RO. Box 32308 MMneapolls, MN 55432 (612) 571•6066
SUBURBAN ENGINEER/NG. LN[. 12203 NJcollef Aue. So. Qurnsuilie, MN 55337 (612) 890-6510
Cloµ Munklpol & Enulronmental Englneering • Lond surueying • Land Planning 0 $0(1 Testing
Certilica.te o! 8urvey !or T. J. (3. CoMPANIES INc.
Bearings Shown Are Assumed
o Denotea Iron Monument
° Denotea Foundation Corner Offset Stake. FROPOSED ELEVATZONS
x Denotes Eaisting Elevation
?x Denotea Proposed Elevation ,
r-+- Denotes Direction of Surface Drain . Top of Blftk
L
F1
age
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L 0 T IB L o C. K
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T H E
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W:OODLANDS
Subjec+ i-o easemen+s DAKOTA'' COUnITY..
I hereby certify that thie aurvey, plan or report was prepared by me or under my direct
super? s on and that I am a duly licenaed Land Surveyor under the laws of the Stete of
,
Minnesote.
N
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?
Signed this ? dar of V# I A D.
,19? _
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Eag[ompanles { ft'di
w.4, M. ?
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a .
SUBURB ENGINEE
N /NG " `;j a
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Not publieheds All righta,teserred H ?+????
Copyright 1987 SE Comvaniea, Suburben En ineering. Ine.
e
Minn.:I:ic"
se No.?
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SECTION
STL'D
SECTION
ZND WALL
5ECTION
R IM
JAIST
u rHLUt LHLLULHItUHJ
ALUE U VALUE
Inside atr film .68
I?teciox wall , ?J (Nall) U . R .
[ctsulation
Sheathing ?.37
Siding ??-1 --- ?
Outatde air film .17
R TOTAL ~Z3, p-?
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b'f stud R= M= (p,56 (Framing) U . R .
Sheathing
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-
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Intetior va1L '
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SheaChing "
8xterior M3I1 covering
Extertor air film R - .17
R TOTAL
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lsulation
h inch soEt wood R=1.88 (Rim ?
U= _
Joist) R
uathing -21Cyo
xterior Wall eovering j6-7 ---
rter tor air f t im (2= .17
R TOTAL nterior air Eilm R= .68
nsulation (>??1h
>undation
(Fdn.) U = R =
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R TOTAL 1-3
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•' CITY OF EAG/-i1V
? APPLICAT10tV FOR PERMIT
SEWER AND/OR WATER Cf3NiVECT10N
? rR7I'': PAYT? OF kEE AT TIME OF
? APPLICATTON DOFS NOT CONsTIZtT1'E
x*. APPROVAI, OF PFRNRT.
?
? INSPECTION OF SE4M ANID/OR (nLATE2
T T.A'PiONS WIIZ NaT BE SCHED-
? UIED UNTIL PII2NdIT HAS 8EE3N
? APPROVID. '
?
?
( - Please P? zint)
1) PROPERTY ADDRESS :
?
LEGAL! DESCRIPTION: •-
Lot Block Subdivision or Tax Parcel ID )
_ IF EXIf TING STRUCZL]RE, DATE OF ORIGINAI, BL'ILDING PEI2MIT ISSL'ANCE:
? ftn Y2ar )
. PRE.SSENT ZONING/PROPOSID L'SE:
[ j cqtlmII2Cr-j"
[7 INIDL'STRIA.L
? R-1 SINGLE FAMILY
? R-2 DLPLEX (Two t?nits)
(7 INSTIZI)TIONAL/GOVERNMENT ? R-3 TOWNHOT-ISE (Three + Units ) ( Qnits )
R-4 APARTNEN'r/CONIDUMIIVILN ( Units )
v
2)
ADDRESS:
CITY, STATE, ZIP:
PHONE:____? C? „ t -7
3) u i- ?,• I
- NArSE :
ADDRESS: ?
CITY, STATE, ZIP: . . '
PHONE: MT3STER LICENSE#
Plumbers License:
Active
Fxpired
, Not recorded
5taff -Yitial
4) o_???• ? .? ?::?si?;
NAME:
ADDRESS:
CITY, STATE, ZIP:
PHONE:
•5) e :? M• ?•t a: • ?+• : ? • 5• ??
. ? CONNECrION T17 CITY SEWII2 d3jj? CONNECTION TO CITY WATTEtt 0 OTFIM '- - 6) 5 : M •.r E] PIZASE HOLD APPROVFD PERMIT FOR PICK-L'P BY ONE OF ABOVE -.--' -- --
PLF.ASE MAIL APPROVID PERMIT 1. 21 3, 4, ABOVE . . ..
? ircle one)
7) r, 7 YMM s"- c/_
?
. :r?' M= • Y' 4'IL ?d ! ' i' ? ? I' dY • 6,' ? t:d• i /• Y71' ?' 141F: ' ?• 0 ' D6 i•
0 !' •• • Y:r.. 1 f ::r ?t:l• •,ti}? 1 1 1 ":A' • •?' :A' ?:•11 : •?.
?.
CI°TY tJS E qN,L,,.Y
rL6i2MIT # ISSL'ED
7
Pd w/Bldg. Permit FEES:
$ $ I? - 5-7)
$
$_ C,a7o? $
$ $
$ $ ?
$ ???•? s
?-~S? • ? $
$
?-
$
$ $
$ $
$ - $-
$ c2a ?Jr
$ $
$ /?7 a-o s ..?/,pU
3 174? _
RECEIPT RECEIPT
SEWER PERMIT (INCLUDE SC.?RCHARGE)
WATER PERr1IT (INCLL'DE SL'RCHARGE) .
WATER METER/COPPERHORN/OL'TSIDE READER
WATER TAP (INCLL'DE CORPORATION STOP)
SEWER TAP
ACCOLNT llF'POSIT - SEWER
ACCOUNT BEPOSIT - WATER
WAC
SAC
TRLNK WATER ASSESSMENT
'I'RUNK SEWER ASSESSMENT
LATERAL BENEFIT/TRL'NK SEWER
LATERAL BENEFITjTRL'NK WATER
WATER TREATMENT PLANT SLRCHARGE
OTHER:
TOTAL
DOES L'I"ILITY CONNECTION REQLIRE EXCAVATION IN PL?BLIC RIGHT OF WAY?
F--j YES IF YES, THEN A"FERMIT FOR WORK WITHIN PUBLIC
Q
ROADWAY" ML'ST BE ISSLED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SLiBJECT TO THE FOLLOWING C'ONDITZONS:
APPROVED BY:
TITLE:
DATE :
. __ ., l._.. F
oF eagan
3830 PILOT KNOB ROAD, P.O. BOX 21199
EAGAN, MINNESOTA 55121
PHONE: (612) 454-8100
TI 38552
VIC ELLISON
Mayor
THOMAS EGAN
DAVID K. GUST,4FSON
PAMELA McCREA
THEODORE WACHTER
Council Members
THOMAS HEDGES
City Administwtor
special Assessment search
Date: May 27, 1988
Requested By:
First Security Title
Re :], 0- 7 5$ 7 rj - O( O- O 4 EUGENECVANity
erk
L6 B4 The Woodlands On the attached form is the City's response to your search
request on the identified property. The information includes the
original amount of the assessments and the payoff amounts of the
assessments on the parcel. In addition, pending assessments are
included for improvement projects that have been ordered to be
installed by the City Council as they may affect this parcel.
The levied and pending assessments may or may not reflect the
complete assessment obligation based upon the parcel's current
use or zoning. Certain parcels have not been assessed at the
appropriate rate per their zoning/use. The City's policy is to
review the assessment obligation of parcels at platting, replat-
ting,: rezoning, waiver of platting, and prior to the issuance of
conditional and special use permits and certain building permits
and in other unique situations. A condition of approval requires
the parcel to assume its additional assessment obligations that
have not previously been levied for existing public improvements.
The City's Engineering Division can provide further clarification
of this policy, if you desire.
WAIVERIDISCLAIMER:
Neither the City of Eagan nor its employees guarantees the
accuracy or completeness of the information provided which was
required by the person or persons indicated. Nor does the City
or its employees assume any liability for the correctness
thereof. In consideration of receiving and using information on
the attached form and for all other consideration of any nature
whatsoever, any claim against the City or its employees rising
therefrom is hereby expressly denied. Pending assessments cannot
be paid until levied. Levied assessments can be paid to the CITY
OF EAGAN.
Very truly yours,
i .
'?? SPECIAL ASSESSMENTS
Attachment
THE LONE OAK TREE. ..THE SYMBOL OF STRENGTH AND GROWiH IN OUR COMMUNITY
..rRflNSacTz oEV TDu r;768 SPEc Ia? ?? SSESSMrrNTS
SPEc l AL ASsESSricNTS SE:rar;c.H Su MiYiwr-cY
1='RQF'E1=tiTY I. Ta a "1`C.:JDAYS Z?A7"EA 0i/27/88 ___Sl='EC T r;L Fi_(yCi..?'a.__.__
1 _?.,_..-^ _4__ ;_._ 6.._7 _.8--9--1 0
10-75875-060-04
S. A. #t ASSESSMEN"f' I.7ESCC-i. Y?'{ 1'`FiS hfy"I"E TC1TAL rtltilV.PFiTN. F'E=tYOf=F CCJMMEN"I"
1 t ic:i !. 51 :°yAN SW l° F;F;: 70 20 8. 00% 203„12 10.16 20a31
1c>F'494 Ul" T L :?. 7l"--S•""E REF'OFcl' 00 0 . 00% 2096.00 ?.'t:r9b. 00 2096. 0c:y PEhaD
SUI"1MAFiY C11= F-'iCl` ]: VL. 203. 12 10.16 20.11 COh'If`'1
??•?a???'TI-I TS 1'EAR'..?.? T'C:ll" F='&T 12.60
SUMh'IARY 01=° 1='EPaTaINCi 2096.00 2096,. 0c=>
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Pr-eus EN'1"EFt (GC}iYi(Ylf.•:1'lts),F1 or F2 (HeacJer 4"=orm) or- h"7 (F«=_7tar-t FiI66)
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2005 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675 ?
Please complete for modifications to existing residential dwellings.
Date 0-s-
Site Street Address elq R7tMOKZn7 ci C-Q-1--
lo, Unit #
Property Owner J44Z y Telephone # (?l) -O
Contractor Telephone #
Address 9171 .?? City , State Zip
The Applicant is: _ Owner a,Contractor _Other
?
Alterations to existing dwelling $ 50.00
_ Add plumbing fixtures (excludes water softener and/or water heater--complete next
section if installing these appliances).
_Septic System Abandonment
Water Turnaround (add $125.00 if a 5/8" meter is required)
Other:
Water Softener Water Heater $ 15.00
_ new _ replacement
Lawn Irrigation RPZ _PVB ?new _repair _rebuild $ 30.00
State Surcharge $ .50
Total $ 3(??7•
,
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete
and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan and the plumbing codes; that I understand this i t a permit, but only an application for a
permit, work is not to start without a permit and work wil b in accordance with the approved plan in
the event a plan is required to be reviewed and approve .
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App icant s Printed Name pl' ant Signat re
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2007 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings. Do not combine inside and outside
plumbing on the same application; separate applications and permits are required.
Date C-7
Site Street Address Unit #
Property Owner ?A"L'? Telephone # Woi ) q'J`J(a- O f 94
Contractor ?- ? • ?
Telephorte # ?l??'t ? "7,39-(??
Address ??2.`? `?t?'1??' ?.?'?. City ?State ?N Zip c65129
The Applicant is: _ Owner & Occupant Licensed Plumbing Contractor
Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee
$ 100.00
Per as-built $ 10.00
Fire Repair (replace burned out fixtures, etc.) $. 90.00
This fee a lies when extensive lumbin re airs are made to a buildin .
Alterations to existing dwelling $ 50.00
_ Add plumbing fixtures to main level lower level. This fee includes
installation of a water softener and/or water heater at the same time. If you are
installing onlv a water softener and/or water heafer, do not complete this section;
move to the next section and place a checkmark next to the appliance(s) you are
installing.
_Septic System Abandonment
_Water Turnaround (add $136.00 if a 5/8" meter is required)
Other:
Water Softener Water Heater $ 15.00
new _ replacement
Lawn lrrigation "RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ .50
Total $ 30: S
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is comptete and accurate; that the work will be
in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I unde
only an application for a permit, work is not to start without a permit and work will be in accordance with trMto;ginne ?t
a plan is required to be reviewed and approved. I A I I I
ApplicanYs Psi ed Name
nature
AUG. 0 9 2007
Aug. 5. 2013 2:11PM
41' City of Bap
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 6755675.
Fax: (661) 676-5694
No. 6294 P. 4/4
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee:
Date Received:
Staff:
221
2013 MECHANICAL PERMIT APPLICATION
❑
Please submit two (2) sets of plans with all commercial applications,
Date: p t2 I Site Address: g Pr Ot/v1 nv��vwl U/ „p
Tenant: . 1 Suite #:
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Name: M D t t 1 GO )c. bliol-` Phone: lo51-4S10—e«y
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State: MN Zip: Jul S Phone: tpS1 2'?-ir•-9200
Contact: al.cr Email: Q vt G.GI Any • fri avvi G Peri -ice -I' . [Awl
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New 1.. Replacement Additional Alteration Demolition
Description of work AG 1 Co41. nr,-144- l 64);‘ SvIii411 AA -I-
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RESIDENTIAL
Furnace
11., Air Conditioner
_ Air Exchanger
_Heal Pump
_ Other
COMMERCIAL
_ New Construction Interior Improvement
Install Piping Processed
P 9
Gas Exterior HVAC Unit
Under/Above ground Tank (_ Install / _ Remove)
.RESIDENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit (Includes $5.00 State Surcharge)
$100.00 Residential New (includes $5.00 State Surcharge) _ $ 11 n ' °I.2 TOTAL FEE
COMMERCIAL rcC3 Contract Value $ x .01
$55.00 Permit Foo Minimum
$70.00 Underground tank installation/removal = $ Permit Fee
if contract value is LESS than $10,010, Surcharge = $5.00 = $ Surcharge'
"If
contract value is GREATER than $10,010, Surcharge = Contract Value x $0.0005
***1( the project valuation is over $1 million, please call for Surcharge = $ TOTAL FEE
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 riot 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.
VIuA
Applicant' Printed Name
Ap
R tyiewed. Bys, � Date ' ,
ough�I ._ it Te t+s; Gas SeeY,I, esti -� .16,-VPSPO �; Final ,HVAC Screenin
i 1 1 f—_ � ea t,
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA154977
Date Issued:04/22/2019
Permit Category:ePermit
Site Address: 819 Promontory Pl
Lot:6 Block: 4 Addition: The Woodlands
PID:10-75875-04-060
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Timothy J Morrow
819 Promontory Pl
Eagan MN 55123
Tix Construction Inc
1735 60th St E
Inver Grove Heights MN 55077
(651) 246-5756
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA171982
Date Issued:09/09/2021
Permit Category:ePermit
Site Address: 819 Promontory Pl
Lot:6 Block: 4 Addition: The Woodlands
PID:10-75875-04-060
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Gas line for pool heater
Comments:Please call for a Rough In and Air Test, prior to the Final Inspection.
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
210-0754.
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Timothy J & Joan K Morrow
819 Promontory Pl
Eagan MN 55123
(651) 319-2342
Summit Mechanical LLC
11220 Diane Ave
Becker MN 55308
(320) 293-3019
Applicant/Permitee: Signature Issued By: Signature