823 Promontory PlINSPECTIUN RECORD
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT TYPE:
Permit Number:
Date Issued:
SITE ADDRESS: LOTr 6
823 PRflMt3Mi"qRY F'L
'rHE 1dOAULAMbS
PERMIT SUBTYPE:
1-' 1 R FP t_ A t:' F.
np^ oc? q 4 APPLICANT:
I Control No.
!
131.II LOtNO
??? ??rtY
l l f 3W?(?2
IiEAT-N-GLO FIREPLAC99
(612) 690--1111768
TYPE OF WORK:
?
Permit No. Permft Holder Date Telephone #
SMI
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspection Date Insp. Comments
Footingsl
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
l5ul. 7-? 4? l2-?z 2 YPS1
Fireplece Z,.3"?2 -'d!o tY ? a t 8?rQL S'
Final Htg. lo"
Orsat Test
Final Plbg. Plbg. Inspector- NotiTy Plumber
Const. Meter
EngrJPlan
Bidg. Final
Deck Ftg.
Deck Final
Well
Pr. Disp.
REACTZVnE FOit DECK - 6/90 CITY OF EAGAN ?t
JU?:?iK ADLER -Ok??l Knob Road, P.O. Box 21-199, Eagan, MN 55121 I?r?
PH O N E: 454-8100
BUILDING PERMIT Receipt #
11 To be used for '~ ?`,f' Est Value 4160-? Date •`?+,19
Site Address i%; 'ON: CaF'l PLACL
Lot Block ?Sec/Sub.
Parcel No.
s Name ''`LIK ? A17L,fr'R GObi$?Rt3C?20
= Address , i : • :.;, , :?^ 3; "TB
'
° City ' ^
Phone 6-9A--7209 667
¢
.o Name
? Q Address
? City Phone
Vj W Name
y _
?_
?w
? Address
u? W City _
Phone
OFFICE USE ONLY
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
Engr./Assess. _
Planner _
" council _
BIdg.Off. _
I hereby acknowledge that I have read this application and state that the Variance _
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Signature of Permittee --
A Buildin9 Permit is issued to:_._?,1[K n JIsJ '" Lr P__` '
?
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
BuildingOfficial___
FEES
Permit
Surcharge
Plan Review
SAC, City
SAC, MWCC
Water Conn.
Water Meter
Road Unit
Treatment P1
Rarks ` °' r
TOTAL
R.. ?
V ... ?R
v-Kl
E?9'
Asn_ cn
i `[. ? 1J(1 9
4?S.C?J '
?litl.ihl
.`f75.('0 J
J50YMV ?
?
90.00
y 51.c,
Jn
, 1 974.y1\;.
Permit No. Permit Holder Date Telephone #
Plumbing 7
°5z, -6c-' /C":;B ?3 rl
H.v.ac.
Electric , ? ? ?,?„ _ i?. - ' ?? ??'' oz
Softener
Inspection Date Insp. Comments
Footings I l7 f, ??' ? %? ? ?f7
Footings II
FoundatiOn u„fc, TyKu 'A- /S S 5'AO
Framing
Roofing
Rough Plbg.
Rough Htg. 40..
lsul.
Fireplace ?-z2 ? a
Final Htg.
Final Pibg.
Bidg. Final
Cert.Occ.
o 'y ? c•. 4?
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp.
?..._ _,,,.?.,,_.,_,._-?-••?? ___„r_,__. _
w . ?
(Itrtif iraft uf (Orrupttnry
titp of eagan
lgrlrttrfmmf of Nuilbing Jnsppriinn
This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building
Code certifying 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 Classification SF UW/ GkR Bldg. Plrmit No. I6023
Occupency Type R3/i'll Zoning District Ri Type Cons4 VN
Iress 4073 ?'''? TRAM, F'AGAN
Owner of Building MAK &AD"? ?S1W-M%
Huilding Addresc 823 PRCtliTf?I PLACE Lacality 15• B4+ ?M WOODLAnDS
? !
,/ l? MAY 3, 1989
% Building Oftici8f 'P-
POST IN A CONSPICUOUS PLACE
t- oft"
CONTRACT PRICE:
Site Address -
Lot Bloc
? Nar??nn? n ? u. a ni vp um
?o Addre
= city ?6e1den VaNey;-W. 0427
Name '? -• ? . ? +\ c? t ? ? ?
Address 20 7 N
oti.,..a
Forced Air
Boiler
Unit Heater
Air Cond.
Vent.
Gas Piping Outlets #
Other
..?.-?----?. -- ?
PERMIT #
MECHANICAL PERMIT ?+z--
RECEIPT #
CITY OF EAGAN /'?- C"
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: - '
PHONE: 454-8100
,
i' BLDG. TYPE WORK DESCRIPTION
? Res. Y New 1 ?
M ult Add-on
Comm. Repair
Other
12
M BTU $-2L,
M BTU $_
M BTU $
M BTU $
CFM $_
$-?=-
..
FEE: ?
S/C:
TOTAL:
FEES
RES. HVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M BTU - 6.00
(RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PEkMIT) - 1.50 EA.
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
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)
?i ,. _ - . , _ • . ....
SIGNATURE OF PERMITTEE
FOR: CITY OF EAGAN
CONTRACT PRICE:
Site Address _k2?_
Lot Bloc
? Name ?
m Address
c City
Name r
3 Address
p 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)
?
,??---
SIZ'iNATURE OF PERMITTEE
FOR: CtN OF EAGAN
PLUMBING PERMIT
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122
PHONE: 454-8100
PERMIT #
RECEIPT 1#
DATE:
-) BLDG. TYPE WORK DESCRIPTION
Sub Res. _4 New -I(,-
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
4,10 Water Closet - $3.00 $
ath Tubs - $3.00
VB Ci v
- $3.00
avatory 'j'_'
_?_Shower - $3.00
-LKitchen Sink - $3.00 s. . J J
Urinal/Bidet - $3.00 ? 0
_LLaundry Tray - $3.00 1 a ?
_?Floor Drains - $1.50
-LWater Heater - $1.50
_LWhirlpool - $3.00 ?
-CGas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMI?
?Softener - $5.00
Well - $10.00
_AIIO?rivate Disp. - $10.00
_'3Rough Openings - $1.50
Phone
FEE: S J.00
STATE S/C: 5 p
GRAND TOTAL: 5 3 , -? ?
Site
Lot.
(D
N
C
c ?y (D
c
3
O
'RACT PRI(
ddress `
??- B
PERMIT #
PLUMBING PERMIT
CITY OF EAGAN RECEIPT # 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
PHONE: 454-8100
Name ;
Address ' •' ?
City Phone
Name I
Address
City Phone
f 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
t
L
$3
00
" ` ava
ory -
.
- Shower - $3.00
Kitchen Sink - $3.00
FEES Urinal/Bidet - $3.00
COMM/IND FEE - 1°r6 OF CONTRACT FEE } Laundry Tray -$3.00
` APT. BLDGS - COMM RRTE APPLIES Floor Drains -$1.50
TOWNHOUSE & CONDO - RES. RATE APPLIES Water Heater -$1.50
MINIMUM - RESIDENTIAL FEE - $12.00 Whirlpool - $3.00
MINIMUM - COMM/IND FEE -$20.00 Gas Piping Outlets -$1.50
STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIT)
(ADD $.50 S/C IF PERMIT PRICE GOES ?Softener -$5.00
BEYOND $1,000.00) Well - $10.00
SIGNATURE OF PERMITTEE
FOR: CITY OF EAGAN
Private Disp. - $10.00
Rough Openings - $1.50
FEE:
STATE S/C:
GRAND TOTAL:
CITY OF EAGAN
„
3830 Pilot Knob Road, P.O. Box 21 -199, Eagan, MN 55121
PHON E: 454-8 100 ?
BUILDING PERMIT Receipt # '
To be used for Sg DWC/GAR Est. Value ?y atj ?COO Date J_" ,19
Site Address 823 PRCHQNTORX PLACE OFFICE USE ONLY
Lot - c Block 4 Sec/Sub. TNE WUflDLANDs
On Site Sewage
Occupancy ;;-
R-3 i
MWCC System X Zoning R^?Z
ParCel No. V
N
On Site Well (Actuaq Const -
a Name .1'L1LiK & ADLER CONSTRUCTIClPd Citywater 7t (Allowable) V--N
z? Address 4073 GEE?tWMD TB PRV Required # of Stories
? Ctty EACAN PhOne 588--7209 857_34 jG Booster Pump Length 69 '
Depth 6C+'
?¢o
. Name SAME S.F. Total
? 6 i?ddresS Footprint S.F.
? City Phone APPROVALS FEES
W W Name Engr./Assess. Permit 850'?1
80
=
Z
Address Planner Surcharge •00
42
?Z
W City Phone Council PlanReview 5.OU
< Bldg. Off. SAC, City 100.00
I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC 515• 0o
information is correct and agree to comply with all applicable State of Water Conn. -< K? . 00
Minnesota Statutes and City of Eagan Ordinances.
Water Meter r ?
Signature of Permittee
Road Unit
A Building Permit is issued to:_jY1L1iC & dF2l.F W^nhib" Treatment P1 27+5.V
on the express condition that all work shall be done in accordance with all NinO t rie ? 31.00
applicable State of Minnesota Statutes and City of Eagan Ordinances. ,
3•:' 7?'"00
Building Official_
TOTAL
BLDG. PERMIT NO.
.??
01-3210 Bidg. Permit ; .? 'f-
01-3422 Plan Check '1-
01-3445
Surch./Adm. ,
i
01-3446 SAC/Adm. ?J
01-2155 Surcharge ?
75-3860
Road Unit ? , -
?
20-2275 SAC y U 9
20-3865 Water Conn.
20-3868 Water Trmt.
20-3716 Water Meter 161
20-2252 Acct. Dep.
20-3713 Water Permit ' <`-
20-3743 Sewer Permit
79-3866 Sewer Conn. ? - ?
28-3855 Park Ded.
TOTAL
611C
?- ?
J ?
n
?.
GApSH RECEIPT
CITY OF EAG AM
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
;
DATE 19 REcEiveo ---
FaoM
AMOUNT $ ?{ 'i? ? L../ ? ? C `
& DOLLARS
,oo
? CASH ?] CHECK
? l?
!• , i,
j/
Lq?-rz,,
7.°? e^ m• .• .F- WhNe-Peyers CoPY
Yelbw-Postin9 CoPY
Pink-File Copy
Thank You ?
. ,:
Bv
SEWER &-WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
P.O. Box 21199
Eagan, MN 55121
OFFICE USE ONLY
PERMIT DATE 2/2 3 fJ ?
WATER PERMIT SEWER PERMIT #
METER # a B.P. RECEIPT # 903T3
ER # a a B.P. RECEIPT DATE
METER SIZE r _cTzrL
ISSUE DATE -? _ PRV - BOOSTER PUMP
SITE ADDRESS
LOT _ _ `, BLOCK?SEC/SUB
APPLICANT: t7
ADIDRESS: ?? t: r .:, ? ::.r c..?K?? •.l -J?
CITY, STATE ZIP
PHONE: _s-i ..'`i
PLUMBER: ._1• r !? ` ? _, ? ?_ f: ? ? ? +? q
ADDRESS: 1 '• '? NOa7FDALE BLVD.,J
CITY, STATE (y- ZIP 55433
PHONE:
OWNER: ? <Jr , . ? j
ADDRESS: ' ?e
CITY, STATE ' . ZIP
PHONE
PERMIT REGIUESTED
- SEWER V WATER _ TAPS
- COMM/IND
7v- NEW
? RESIDENTIAL
EXISTING
I AGREE TO COMPLY WITH CITY OF
EAGAN ORDINANCES:
?
i
SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT
ENGINEERING DEPT.
_ . ._ - . ' -----
SEWER & WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
P.O. Box 21199
Eagan, MN 55121
SITE ADDRESS
OFFICE USEf ONLY
PERMIT DATE
WATER PERMIT # SEWER PERMIT #
METER # B.P. RECEIPT # '?-
READER # B.P. RECEIPT DATE
METER SIZE
ISSUE DATE - PRV - BOOSTER PUMP
LOT BLOCK SEC/SUB y, .
APPLlCANT: ?
ADDRESS:
a
CITY, STATE ZIP
PHONE:
PLUMBER: t
ADDRESS:
CITY, STATE Zlp Sr`f ?s
PHONE:
OWNER:
ADDRESS:
CITY, STATE
PHONE: -
ZIP
PERMIT REQUESTED
- SEWER - WATER - TAPS
- COMM/IND
- NEW
- RESIDENTIAL
EXISTING
I AGREE TO COMPLY WITH CITY OF
EAGAN ORDINANCES:
SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT
ENGINEERING DEPT.
a?
?
?
c
m
c
3
O
.?
4TRACT pRICE:
Addr,ess
" BloclI -
L?
Name
Address
City
??.,..,..
PERMIT #
MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN -
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
PHONE: 454-8100
- ,-, ! ....
Phone
, ?wr
I Ci?, Phone?.?%e
E OF WORK
;ed Air M BTU
gr M BTU
Heater M BTU
;ond. - ' M BTU
- CFM
Piping Outlets #
viner
FEE:
S/C: -
TOTAL: ?
BLDG. TYPE WORK DESCRIPTION
Res. ?x New
Mult Add-on
Comm. Repair
Other
FEES
RES. HVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M BTU - 6.00
(RES. HVAC INCLUDES A/C ON NEW
GAS OUTLETS (MINIMUM - 1 PER PERrlllT) - 1.50 EA.
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
REMODELS - 12.00
MINIMUM COMMERCIAL FEE - 20.00
STATE SURCH4RGE PER PER{NIT - .50
- (ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000)
J'
? SI
E EE
"? n
FOR: CITY OF EAGAN
? ? ????/
//
94241
Request Date .. ,
?y Cy
?2 -' Fire No. Rough-in Inspection
Required?
"'
`
? Ready Now ple111rNotify Inspector
When Ready?
6 ( Pe
s ? No
, .
Iwc?nsed contractor ? owner hereby request inspection of above electrical work at:
Job Address (Street, Box or Route No.)
'
`
Y 3
? City
5 a
I'
f'
d Y+? c¢ r??° a ? ?
'
l
Section No. Township Name or No. Range No. County
1oa kot??
Occupant (PRINT) Phone No. r
c7.-, /,rk 4 e
Power ?Supplier
"
le
t
f'
k Address
a "
c,
V
0 a
a
Electrical Contractor (Company Name)
?
fi
-f-
°
r
? Contractor's License No.
?
? ?
,
:
? ?
? oYd 3
Mailing Address (Contractor or Owner Making Installation)
2(
3,?
Auih ' ignature (Contractor r Makin tion) Phone Number
I !!?? ; _ 1 V a ? -s-? d ?
MINAIESOTAOjE 80AD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room 5773 BE ACCEPTED BY THE STATE BOARD
7821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
`4 A A
REQUEST FOR ELECTRICAL INSPECTION
jo? See instructions for completing this form on back of yellow copy.
"Y" Rolnui IA/nr4 r'nvoror! hv Thic Ra-acl
M ea oooo,-o7
"-0 S/1, 5 3 ? 1D
r?s y ? :.y?? e y .. _....... . ...... ?........... ..? . ..... . .....?........
New d Rep. TypeofBuilding AppliancesWired EquipmentWired
2 1 Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./Industrial Furnace
Farm ? Air Conditioner
Other (specify) Contractor's Remarks:
Compute Inspection Fee Be/ow:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 Amps Above 100 Amps
Sigtls Inspector5 Use Only: TOTAL
Irrigation Booms ddo, S ?
Special Inspection 1
Alarm/Communication
Other Fee
I, the Electrical Inspector, hereby
i
h Rough-in Dat
ry t
cert
at the above inspection has
been made. Final ate
36-
OFFICE USE ONLY
This request void 18 months from
DATE: 2/23/89;
RE: 823 PROMONTURY PL., L3, 84. `&'HE WOODLAP1bS
XX Your Sewer & Water Permit for the above property has been completed. It will be held at the
? Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
' CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
? 0?Your Sewer & Water Permit for the above properry cannot be completed for the following
reasons:
Your Sewer & Water Permit for the above properry has been completed, but the meter cannot
be issued or occupancy allowed until further notice.
COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REGIUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
DATE: 2/23/89
RE: 823 PROMONTURY PL., L5, $4, TRE W00Di.ANDS
YQur Sewer & Water Permit for the above property has been completed. It will be held at the
??` Piblic Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
;ALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
• ?h;?
? ?1'our Sewer & Water Permit for the above property cannot be completed for the following
reasons -
?
Your Sewer & Water Permit for the above property has been completed, but the meter cannot
be issued or occupancy allowed until further notice.
COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21
-199
Eagan
1
MN 55121 1?? 16023
` PH O N E: 454-8 ,
,
100
BUILDING PERMIT Receipt
To be used for SF DWG/GAR Est. Value $160, 000 Date JAN ? ,1989
Site Address 823 PROMONTORY PT.ACF OFFICE USE ONLY
Lot 5 Bfock 4 Sec/Sub. THE WOODLANDS On Site Sewage Occupancy R-3 M-1
MWCC System X Zoning R-1
Parcel No.
On Site Well (Actual) Const V-N
ac Name JULIK & ADL.ER GON TRii('TTnN City Water X (AUowable) V-N
z Address 4073 DEERWOOD TR PRV Required # of Stories
0 City EAGAN Phone 689_7209 867_5474 BoosterPump Length 69'
Depth fifi 1
?
,o Name SAME S.F. Total
o Q Address Footprint S.F.
U
?
City Phone
APPROVALS
FEES
W W Name Engr./Assess._ Permit 850.00
U? Address Planner Surcharge 80.00
W City Phone Council Plan Review 425.00
Q Bldg. Off. SAC
City 100.00
,
i hereby acknowledge that i have read this application and state that the Variance _ SAC, MWCC 575.0
0
information is correct and agree to comply with all applicabie' State of Water Conn. 550. 00
Minnesota Statutes and City of Ea an Ordinances.
Si
nat
re
f P
itt
??!? Water Meter 90 . nn
g
u
erm
o
ee ? Road Unit
A Building Permit is issued to:__._JLTLI- ADLER-CONST- Treatment P1 99$ _ 00
on the express condition that all work shall b done in accordance with all g??QtZ1eT ?QO
applicable State of Minnesota Statutes and Cit of Eagan Ordinances. _
TOTAL 3,274.00
Building Official
***************************************
CITY OF EAGAN
CASHIER: JS TERMINAL NO: 763
DATE: 09/11/00 TIME: 14:13:08
.
ID:
NAME: WESTURN CEDAR SUPPLY, LLP
3210 9001 823 PROMNTRY PL 237.25
2155 9001 823 PROMNTRY PL 7.00
Total Receipt Amount: 244.25
CR137220
USER ID: JAN
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
Olq cirir oF EAcani Z
3830 PILOT KNOB RD - 55122
651-681-4675
New Construcflon Reauiremenis Remodel/Reoair Requirements
? 3 reglatered site surveys ahowinq aq. ff. of bt, sq. ft. of house 2 copies of plan
and gI rooted areca (2096 maximum lot coveraae allowed) 1 set of energy cdculations for heated additions
? 2 copies of plans (ahow beam & window sizea; poured (nd. dssign; etc.) 1 aite survey for extedor addiMons & decks
D 1 aet of energy c:alCUlatlons
> 3 copiea of tree preaervatlon plan H lot platfed after 7/1/93
DATE: 9' 11-UU CONSTRUCTION COST: 13t U92
DESCRIPTION OF WORK: -rL- to O l? f? ????2Gf??
STREET ADDRESS: SZ 3 jo dZa/,-1 c v FL.
LOT: BLOCK: A _ SUBD./P.I.D. #: ? he 1Nnocl I qhG? lS
Name: 6E6Z6CR /11Z'7'e lF Phone #: 6 S l- 6?? - G??S
pROpER'n( Lpst First
OWNER
Sheet Address: ?2 3 f' (z a n 0Av 7of;Z Y P C
C)ty State: Zip:
. Company: L"EST ?` r2,v Ce?it?2 SN 'oi"r-? Phone #: 7G ) 5z-l ( - o 3oy
(arec code) ?
CONTRACTOR zo! SS'S 66 Ex
Sheet Address: N Llcense # p.
City State: h/? Zip;
ARCHITECT/
ENGINEER Company: Name:
Telephone #: ( )
Sheet Address: Regishaflon #:
City - State: Zip:
Sewedwater licensed plumber (if installina sewer/water):,
I hereby acknowledge that I have read fhis application, state that ihe
of Minnesota Statutes and Cify of Ecgon Ordinances.
Signalure of Applicanr
Certificates of Suroey Received Yes
Tree Preservation Plan Received Yes
and
OFFICE USE ONLY
No No Not Required
comply with aq oppiicable State
R,x?..'?.?iC"I 71! ' ' ` ,iJ
SEP 11 2000
giY:
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
? 01 Foundation 13 07 05-plex
? 02 SF Dweiling ? 08 06-plex
? 03 01 of _ plex ? 09 07-plex
? 04 02-plex 0 10 08-plex
? 05 03-plex ? 11 10-plex
O 06 04-plex O 12 12-plex
WORK TYPE
? 31 New
0 32 Addition
? 33 Alteration
? 34 Repair
? 13 16-plex ?
O 17 Garage ?
? 18 Deck ?
? 19 Lower Level ?
Plbg Y or _ N ?
0 20 Pool ?
? 31 Ext. Ait - Muib
O 33 Ext. Alt - SF
? 36 Mufti
21 Porch (3-sea.)
22 Porch/Addn. (4-sea.)
23 Porch (screened)
24 Storm Damage
25 Miscellaneous
30 Accessory Bldg.
? 36 Move Bidg. ? 43 Reroof
0 37 Demolish (Bldg)* 0 44 Siding
? 38 Demolish (Interior) 0 45 Fire Repair
? 42 Demolish (Foundation) ? 46 Windows/Doors
* Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
SAC Code
No. of Units
No. of Buildings
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Staries
Length
W idth
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
MISCELLANEOUS INSPECTIONS
13 Stucco/Stone
APPROVALS
Planning Building
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S1W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
sq. ft.
sq. ft.
Footprint sq. ft.
Census Code
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Engineering Variance
Valuation: $
;
SAC Units
% SAC
,
t
-1-9$8 BUILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS
' 0 Z3
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 BOILDING 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
COMMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,'
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
To Be Used For: _Single familY residJUIMtion: $QQQTQJ;Q*'
Site Address $23 PromontorY Place
Lot 5_ Block 4
Pareel/Sub The Woodlands
Owner Mitch and T&rri Berger
Address
City/Zip Code
Phone
Contractor Julik & Adler Construction
Address 4073 Deerfrood Trail
City/Zip Code Eagan, MN 55122
Phone 688-7209 867-5474
Arch.lEngr.
Address
City/Zip Code
Phone #
OFFICE USE ONLY
On site sewage Oecupancy PI-3 M-1
MWCC system ri Zoning }Z -1
On site well Actual Const y-N
City water ? Allowable V_N
PRV required # of stories
Booster Pump Length &q'
Depth
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr/Assess Permit
Planner Surcharge , 00
Council
Bld
Off
?I Plan Review
o SAC
Cit 3 00
\00
I DQ
.
g. ,
y #
Variance SAC, MWCC $?',1,
Water Conn 5De a
Water Meter pt?
Road Unit \
2S
Treatment Pl 4*$4 + C-'
Parks
Copies
1 TOTAL
?
Date: 12-14-88
1969
?
-?-? -
E5G
5`15
S 5 L-'
30
1
J---
sp`1 `1,vb
.' '?%- VALUA! EO14
GA t2/?G?
zz.x sT2
c/ = ZS?.
ay u?6 = 6,Zy
?y x 3? ? 4')?
? ??L y I2 - 5 y
$X?
!L?S2- Xlp-I= 96 azt-4
?
1'4 S` 2.
?
??f2 k ?'f2.
?- (3 o)
L1?2?1? _ (5 q,)
r ? X(L?
lo?y tt.-??
y ?t 10 = Lc 0
r)
, 44 .. •
i ?_
y
T
? . _ . ,.r.; . _ _ . . . . . . . . . . . . .
_•i"'.*.,,."-. . '. . - .
` ,? ? ? : 't,r:.'•.-.; ? . .. . . . ? .
t EXTERIOR ENVELOPE AVERAGE nUn CONIPUTATION
; • - _ . *, `:,'' .
, • .," '.'(To be submitted with building permit application) 1 One or two family dwelling ? ? . Owner- " ?1i IL &49 1
All other ,
Site Address N-Act%, 7WWWIAIHX
Contractor Ut? Ii? pL Vl• Date / IL $Phone
7 7
LINEAL FT. OF .,, .
EXPOSED WALL ' + + + + + + + + above grade = lin, ft.
TOTAL EXPOSED WALL AREA
OPAQUE WALL COIvSTRUCTION: "U" value x area •
"U" x sq. ft. _ (U) (A)
-'.'6ruj6 *?A_Ary ./4L4.?lU".0
x
Sq.
ft. 316.00 = 3S?IS
(U)
(A)
Detail reference x sq.
_ L,1 (J
ft. Zg?S, S= 17
(U)
(A)
from ? "Ullx sq. ft. 37,1, WK =_.??5"L2_ (U) (A)
attached sheets 6d "U" j1 (, x sq. ft. 144. (e t = I°? 9v (U). (A)
"U" x sq. ft. _ (U) (A)
x sq. ft. _ (U) (A)
WINDOWS: "U" value x area • ?
Make & type "U" x sq. ft. _ (U) (A)
of of VIU11 ,Ldx sq. ft. 331, 314 _94.50 (v) (A)
„ of v ?C e„ LL 'x sq. ft. 7.77 = IN,44 (U) (A)
of 11U11_?.SS x sq. ft. )0,00 = s?_ (U) (A)
DOORS: "U" value x area
Make-& type "U" x sq. ft.. _ (U) (A)
. v..s foUls 'o x Sq. ft. 17.7 = 2-6Y (v) (A)
is $lUll x sq. ft. _ (U) (A)
if le TUTALS `{ ?Sq. ft. S1 r . (U) (A)
TOTAL (U) (A) VALUES
DIVIDED BY TOTAL WALL AREA
°
??/'j, g 3
? V 7 AVG. $oUt# .
•
.?; Avg. "U" .Value, State Code
ROOF/CEILING:
TOTAL AREA: 1171, u sq. ft.
Detail reference oaV x
"U" sq. ft.IT0G, 2S = 2,9, Lf 7 (U) (A)
from _
t US-5 &0&0, AUP+ 11U11_,/ x sq. ft. Sy, 7S' = 13 -.5' l. (U) (A)
attached sheets. -"U" x sq. ft. (U) (A)
Describe openings ' i4u '?? PjS0y "U" Lx sq. ft. ?0?j = ?2,Z (U) (A)
in roof AuiT (.046-rjW.A "U" .&3 x sq. ft. I 1,07 (u) (A) '
TOTALS /S??,OU Sq. ft. .s1J. 32 (U (A)
TOTAL (U) (A) VALUES
AVG. "U" • -
DIVIDED BY TOTAL ROOF/ W77.00
CEILING AREA • , .M6Avg. "U" Value, State Code, Vented
n
. .
MINNESOTA ENERGY CODE MAXIMUM THIS BUILDING ESTIMATED.
BTU LOSS THIS BUILDING - BTU LOSS F
4/147 9'5 SQ: FT. OPAQUE WALL Ljl,s4, 2'
?577, UO SQ. FT. CEILING @&6=
SQ. FT. UNVENT CLG. @.10 = -
, TOTAL BTU LOSS/HR./SQ. FT./
DEGREE OF TEMP • DIFFERENTIAL =?'.?•Z."I ?
a Xa?a!t?e 4 ?
grn.'k Z
: ; ? - ' - ? • . , , ? ...
;. HOME DESION
I . . . &
=.. PLAN SERVICE
w..
,. . .
.`?
?
? y. . .... . ? ? .. . ' . ....
. ? . ..
. . - . ? . . . . . . . .
? .
. '
'
. .
.
.
: _ .. .
.
? _
?;.:
-
•
?
1
. . . ? ? . ? ?. .. • 2 ?
... •. .
.
WALL.SECTIONS:
N4TE: Use `108 of opaque wall area . for :
"
frame construc
_
;
tion ' -.Gbnstruction
.. , . R-value.
, R-Value
,
-
.
.
.
..: : ? nterior air: film •
?- .. 0.68 :- : 0.58 ?:
_ 2 ? _ . d? y.?'"
.
..?-.
-..-
. ,.
'3. :
N S,nches soft` wood 2 ;
7
. .
? ? . ?
_; .
.
r
_ ?? 'S•
.. , .
? ,. '
, ?
?j _ ?.?
AASIC ,
. 6. Facterior 3ir
--?--?---- fflm
.
-
0
.l
?
_0.17
LL
? 'ibtal L
_112
Y .
A .
.
?
? . "°„ U„ -_ - .?-,-- - ,
FIG...#1 TQ?FiiOF ? 1.. Interior air fiLa ? 0.68 0?.68 -
. FR4.k3 ti'+ALL .
2-
-
, - 4. ;;r q `t
5. _ , ? V? ! A! ?+ t5e_2v
? b. Exterior air film ? 0.17 0.17 '
FIG. # 2 -? , Total
si11 sea2e
?Peripheral
l.
2
.
3.
--?2 4.
5.
-u 6.
of U,l _ 1 U ?o
2-z?
Interior air film 0.68 0.68 --
12- Lz d? 1aG
11 ,? ? !Jt 2.U
Exterior air film 0.17 0.17
^ loor Nall
? • J .
(o
_Z3,
Total .
,
Q Q• ?
_ 'p . o •:
Z
1.r
'Interior air €ilm
0.68 _
0.68
? , .
•? _s ?.
•
2.
f ?i.. ? ?h???
_ ?
FO JIVLAT I ON
•r . •?. " ?
3. _ ;
,
° . ? 4
Wqj,j, .
o . .
. ;
'
? D E 5.
D
, •.. a ^
I??- •!'
6.
Exterior air film
.?_ 0.17
0.17
Total
-
_
u?? ? `- i- _436 -u„
3
?
.. ??
A SLAS ON GRADE
V
? / .? • `? ? ?'
:
. . . y?
,
;
.
? '-
;
6F
?.,.?
.
.
`
? ,• ,
. ? ?,
D -. .
_
.`
? O
• -
? ^?
.... _ _ ;`
e e• ?
O, o V?++?
° -?;' ? `
??, ? c
`
-
'
?' ? I ' .. ."' . ?-? ? ' '
A
-
.
• ? : 1 .
1
HDME -DE81t3N .
.
o: • '
' PLAIV SERVE CE
_ .?
..
••
.
'
•
• " - s
B "R"
;ate ,t
valus
,. depth and
z
, e ..
- ... 4
.
' .
?
..
p . .. .
p2acemerst. of _ lnsulat?on,
?
.-:,
.
..
.'-. • .
. .-
.-------
?
. . ? ? _ .r.... Q?'
.._ . ? :. . .
-- -----`-?. -` '4 .
';,., L '.,:, ' ?..` y. ..
...,,.? . -., . . ..
. - -?-----_... . - -._. . .. F
_
? ..:. . .
. ,?:', . . . .._ .
---- ?'--?-----?? ---?---
. .
. '? -
. ? - - -
, .
. .
. .. .
?
ROOF/CEILING
vFNT
,
Vented
FIG. 15
Heat Flow Up
i C
FIG. # lb i
777?
?
?
1. Interior air film 0.61 0.61
2.
3. .
4. Exterior air film (still) 0.61 0.61
Total
1 . 1
njjn ? v °(Jn
?
.• .
1. Inside air film 0.61 0.61
2.
3.
4.
5. Outside air film 0.17 0.17
Total
K8b1 t
F1 ow Up
FIG. # 8
: -
?---
NON' VFA'TrD
I., Ull = 1
R
3
Construction R-Value R-Value
1. Interior air film 0.61 0.61
2. ? 'S
3. &d? jjS U?- Y1%-60 3 .UG
4. Exterior air film (still) 0.61 0.61
Total 39,79
1
„u„ „U„ _ ?to - 6OZ5-
1. Interior air £ilm 0.61 0.61 '
2.
3. Cord Depth I Itz-v r Z ` tl6
4.
5. Exterior air film (still) 0.61 0.61
Total GilL tS84
olUto itUto
1 Y
loUn uUn
NOTE: Use additional sheets if more space is
,. needed for details and calculations.
U Heat Flow Up Vented
. FIG. # ?
: ._.
`..- •; -Wfndow'Areas',Door_Lite Insulated Glass Area, Special'Insuiated_Glass Areas
AIOT E ::;: Unii Quantity=Number of.. units ,in group Sgl=l,; mu11=2,; etc. .. >
?
: ?:: -
. - D£SC?tIPTION :
.:
...
_
UNIT Y
.
.: . ? -.
S$ FT/UNIT TOTAL ?-
. ,
K
. .
: ...? .?
? -
.? i_,.;a
. :? w,. ...A.. tt?
•:?, ??:.
,
? ? r?,.•% .?i',? N ui - . A-•
zH A,
2,9 e , i 0
C
,;,? . ?? 1., =/
? =2&. Y.C_-
•?x
1
.
t.. . r
..
?
? ?
2
??
J
,
,
?
. / • 10
'5( -1 v1?:4?
. ,
.- ?.. : .,
„ . .
. To?rA,
wnvnow sQuARE FEET
33?.3y
"U" Rated @ ,i
Entry Doors
Doors With Insulated Glass Figure G1ass Area With Windows
Entry Units With Side Lites List Side Lite Only Separately-Double Doar Equals 2 x Single
.
.:: - - . . . . ,
, 1.
QTY ,
Z
I3NIT TY S2 -FT/UNIT
TOTAL DOOR,SQUARE FEET
:Door "U" Rating
Side Lites
DESCRIPTION \
SQ FT/UNIT TOTAL SQ FT
/d.vv ?
TOTAL SQ FT
ZU. aa
? /7->2
? ??
?
. * .
,
_
?
f.
}
WALL AND CEILING AREA COMPUTATIONS
To Fiaure Stud Wall Area
? 5 ?
-- - -- -'
Standard stud wall incl. plate= 91rD • sq. ft./lin. ft. xlin. ft. wa11=.! ... sq. ft. wall
Knee stud wall incl. plates=!&Se_ sq. ft./lin. ft. x lin. ft. wa11=3
Ysq. ft. wall
Other stud wall incl, plar.es= sq. ft./lin. ft. x lin. ft. wall= sq. ft. wall
Other stud wall incl. plates= sq. ft./lin. ft. x lin. ft. wall= sq. ft. wall
TOTAL
Stud And Plate Area
Total sq. ft. stud wall area including knee wall area =3703 $3.sq. ft.
10$ total stud wall area37G343 =32ej sq. ft. stud and plate. This percent allowed by state.
Rim Joist
Lin, ft. rim joist x___pqy sq. ft./lin. ft. rim joist = Z/ sq. ft..rim joist
Lin. ft. rim joist x sq. ft./lin. ft. rim joist = sq. ft. rim joist
Lin. ft. rim joist x sq. ft./lin. ft. rim joist = sq, ft. rim joist
1
Exposed Basement Block
Inches above grade x.0833 xJ%I. lin. ft. wall = sq. ft. block
Inches above grade x.0833 x' lin. ft. wall = sq. ft. block
Inches above grade x.0833 x lin. ft. wall = sq, ft. block
Inches above grade x.0833 x lin. ft. wall = sq.. £t. block
Inches above grade x..0833 x lin. ft. wall = sq. ft. block
Inches above grade x.0833 x lin.. ft. wall = sq. ft. block
Inches above qrade .. x.0833 x lin. ft. wall = sq. ft. block
. . 2ZGV 41??7
Net Wall Areas -
Total stud wall area V3,8!) Basement block area
(?, 2
14
Less windows Plus area well °
Less doors Less windows --a
Less patio doors/rt#e S"7,7' ' Less doors ?-
Less stud and plate 370;00 Less fireplace
Less fireplace TOTAL BASEMENT BLOCK AREA
TOTAL - , Ceilina Joist or Cord
Ntunber of cords or.joists x 'I Ljlength = ?..y. total lin. ft. x.125 sq. ft,
Number of cords or joists Ig x length =44L V total lin. ft. x.125 sq. ft,
Number of cords or joists x 2q length = "7012 total lin. ft. x.125 sq. ft.
U 17 134, ----- -._
Ceiling Area
,
. ??f???'? ?+Lf(e$??1?v??'
Ceilin width
g ? Z,x ceiling _
length sq. ft. ceiling ZIU3
?'
Ceiling width ? x ceiling length 4/ sq. ft.- ceiling
?
Sq. ft. ceiling ; (9bless sq.
ili
U S
ft
l ft. cord
J sq.
f
d
ft. insulated ceiling
i
i
t
t
q.
. ce
ng ess sq. t. cor
TI .av = fj(' sq. f
.
nsula
ed ceil
ng
• FIREPLACE ? _ •
` . . .' . . , . ..> . _.?
Opening width x opening height ?•? ? ' 0o sq.. ft. fireplace.'
.
.
...
_ ...._ , ,
. ,?,-- `-•' ?''
,
INSPECTION RECORD Control No. 1336
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT TYPE: F3 U z t.. ra xN G
Permit Number; 0 0 18 6 2
Date Issued: 11. / 3 0 / 9 2
SITE ADDRESS:
Lra To 5 Bi_ OCK o 4
823 PRoMaNTORv PL.
rHE wo?DLANDS
APPLICANT:
?EAT--N-GLO Fx???PLRCES
(612) 890-0758
PERMIT SUBTYPE: TYPE OF WORK:
FIREPLArE NEw
CITYXOF ?AGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
823 PROMIONTr:+ ?'? Y PL.
LaT? 5 Bi_OcK. 4
THE Wc,ODI_ANnS
DESCRIPTION:
?e F:zREPLra??E
NEW
?
??a
° ? ? ,?
?? a m m e ?
??J I L 0 xN G
001.862
i1./30/92
REMARKS:
RECEIPT #
FEE SUMMARY:
Base Fee
s, ur c har-ge
l'ota1 Fec ?$25.50
CONTRACTOR: -- Appl. irant - ;To LTCOWNER:
I?EA°1"-Nw-GLI,7 FI:PEPLRCES 18900758 0002960 BERGEh'. MI`1`CN
3850 w 1-1wv 13 823 Prc??ON'rORv PL
BURNS`v'Il.!_E MN 55:337. EAGf;N MPd
(6av2) £390....0758 (61 %)Ei8p_0966
APPLICANT/PERMITEE SIGNATURE I SUED V. SIGNA RE
Control No. 1336
PERMjT # CITY OF EAGAN
REACTIVATF 1
tit 1992 BUILDING PERMIT APPLICATION
681-4675
SINGLE & MUL7I-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:
STREET SUITE 0
Tenant Name: (commercial only)
LOT BIACK ? SUBD. P.I.D. #
Descri tion of work: [Affi(tit "
The appl i cant i s: ? Owner ? Contractor ? Other (Describe)
Name C I^c' . fiii 4c? Phone ?w ? OIW,
Property LAST F[RST
Owner dd
f
?
A
ress m ox
aa
STREET ? STE #
City i State Zip
CompanY Phone
Contractor Address ?V, ?lG j (3 License # ` % W) Exp.
,
City?T)? State 6n ? 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
carrect and agree to comply with al.l applicable State of Minnesota Statutes and City.of
Eagan Ordinances. *
Signature of Appl icant:
OFFICE USE ONLY
BUILDING PERMIT TYPE
O 01 Foundation O 06 Duplex O 11 Apt./Lodging
O 02 SF Dwg, 0 07 4-Plex 0 12 Multi. Misc.
O 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory
0 04 SF Porch ? 09 12-Plex ? 14 Fireplace ,
O 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck
WORK TYPE
O 31 New O 33 Alterations ? 35 Tenant Finish
? 32 Addition ? 34 Repair D 36 Move
GENERAL INFORMATION
Const. (Actual)
(Allowable)
U8C Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Engineering
REQUIRED INSPECTIONS
Basement sq. ft.
1st F1. sq. ft.
2nd F1. sq. ft.
Sq. Ft. totai
Footprint Sq. ft.
On-site well
O.n-site sewage
Building
Variance
O Site ? Footing ? Framing
? Wallboard O Final O Draintile
? Insulation
? Fireplace
Permi t Fee veiuac;on: g
Surcharge
Plan Review
license
MWCC SAC
City SAC
Water Conn.
Water Meter .
Acct. Deposit
S/W Permit S/W Surcharge
Treatment Pl.
Road Unit
Park Ded. -
Trails Ded.
Cop ies Other
Total:
SAC 96
SAC Units
?
=Q'i6`haslent Finish
0 17 Swim Pool
0 18 Comm./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous .
11 31 Demolish
MWCC System
City Water
PRV Required
Booster Pump fire Sprinkier
Census Code
SAC Code
Assessments
CLAIM VOUCIIF.R - REFUND RLQUEST
CITY OF FAGA1I
C1,AjtlAHT MITCHELL BERGER
/IDDRESS 823 PROMONTORY PL
EAGAN MN 55123
l.ocation 991 nrtnMnNTnRV pr. '
L.S. B4, THF. WnnLT.ANIIS
Receirt No. /Date c091743/NnV 21„ 1caA9
RPason fer Refund TWO PERMITS TAKEN OI1T FDR SeMF TnR
Tyre oE Refund Electrical rermit 01-3211 $
Flumbing rermit 01-3212 $
tlechanical rermit 01-3213 $
Surcharge 01-2155 S
Wnter Connection rermit 20-3713 S
rtewer Connrction rermit 20-3743 ? $
Account beposit 20-2252 , $ Utilitp Account OveT-rayment 20-2250 S
Other: BUILDING PERMIT $ ,95.00
s
TornL S 25.00
l dcclarp under the rpnnlties of law that this accnunt, claim or demand is just and .
tlint no part of it has been rnicl.
?1i?,'YV, ,? q• ,,?,?.,? 11/30/92
Signa ure Date
PERMIT #
iREACTIVATE ?
CITY OF EAGAN
1992 BUILDING PERMIT APPLICATION
681-4675
Su
C;) S ____
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 z?? ?e'r/ Yal uat i on of work ?.55'?o
Site Address: !j?42? 11X&mo;v,,)r? y A1,4c_r-- A/
STREET SUITE t
Tenant Name: (commercial )
LOT ? BLOCK 4-- SUBD. P.I.D. ?
Descri tion of work: 6/45
The appl i cant i s: Owner O Contractor ? Describe)
Property Name . `' r,/ ' LL Photie_ %5???-?9?'?'
LAST r FIRST
Owner Address
STREET STE i?
City State _/' dt,/ Z i p
. Company Phone --r-, v?
C011t1'BCtOt' Address License # Exp.
City State Zip
Company Phone
Architect/
Engineer Name Registration #
Address
City State Zip
Sewer b 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
BUILQING PERMIT TYPE
O 01 Foundation
O 02 SF Dwg.
? 03 SF Addition
? 04 SF Porch
O 05 SF Misc.
0 06 Duplex
0 07 4-Plex
O 08 8-Plex
? 09 12-Plex
? 10 Multi. Add'1.
WORK TYPE
;
f1
0 11 Apt./Lodging 4 ?d Basement Finish
? 12 Multi. Misc. 0 11 Swim Pool
D 13 Garage/Accessory 0 18 Comm./Ind.
? 14 Fireplace 0 19 Comm./Ind. Misc.
O 15 Deck O 20 Public Facility
O 21 Miscellaneous
0 31 New O 33 Alterations ? 35 Tenant Finish ? 37 Demolish
O 32 Addition O 34 Repair O 36 Move
GENERAL INFORMATION
Const. (Actual ) Basement sq. ft. -=°'MWCC System
(Allowable) ? lst Fl. sq. ft. City Water
UBC Occupancy 2nd F1. sq. ft. PRV Required
Zoning Sq. Ft. total Booster pum
# of Stories ?> -
Footprint Sq. ft.,-°
Fire Sprink er
Length On`-s-Ite wel l Gensus Code
Depth On-sitle-,s.ewage SAC Code
APPROVALS
v13...y
Planning Building Assessments
Engineering Variance
REQUIRED INSPEICTIONS
...?"
' `?.
O Site
0 Footing O Framing D Insulation
? :allboard El Final 0 Draintile Q Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
c i ty sac
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
valuBti«,: $
,
sac %
SAC Units
?ev-`ilV
----------------
' O
3
1990 BUILDING PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
MULTIPLE DWELLINGS
COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET QF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCUI.ATIONS 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 LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT 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 PERMZTS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
Qcc r t?G+ i V?' ?e J ? R 1 4 RECD
To Ee Used For: Valuation: Date;
Site Address • ;,vI .1, t?
Lot ,j Block ?
Parcel/Sub
Owner (Vt..? ? ev"
Address -?•„???. ?? '? Gt?
City/Zip Code
Phone
Contractor
Address ?y? („ (}ee,rwocd ?'??
City/Zip Co - ---_? =
Phon 0
Arch Engr.
Address
City/Zip Code
OFFICE USE ONLY
Occupancy
Zoning
Actual Const
Allowable
# of stories
Length / 6 x
Depth /y X/2
S.F. Total
Footprint S.F.
FEES
Bldg. Permit
Surcharge
Plan Review
SAC, City
SAC, MWCC
Water Conn
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Copies
SUBTOTAL
Penalty
TOTAL
On site sewage_
On site well _
MWCC System _
City water _
PRV _
Booster Pump _
APPROVALS
Planner
Council
Bldg. Off. La?la
Variance
Phone #
Cities Di gital Qualitv Control
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CLAIM VOUCHER - REFiJIJD REQUEST
CITY OF EAGAN
CLAIMANT DEL-AIR CONDITIONING, INC.
ADDRESS 9860 J-AMES CIRCLE
BLOOMINGTON, MN 55431
Location 823 PROMONTORY PLACE
_1,,5,`B4, THE WOODLANDS
Receipt No./Date 92476/5-30-8,9
Reason for Refund OVERPAYMENT
Type of Refund Electrical Permit 0I-3211 $
Plumbing Permit 01-3212 $
Mechanical Permit 01-3213 $ 12.00
Surcharge 01-2155 $
Water Connection Permit 20-3713 $
Sewer Connection Permit 20-3743 ? $
Account Deposit 20-2252 $
Utilitq Account Over-payment 20-2250 $
Other: $
$
TOTAL $ 12.00
I declare under the penalties of law that this account, claim or demand is just and
that no part of it has been paid.
?lL?YY? JUNE 1. 1989
ignature Date ?
`??aai ?o. sd
2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: single family dwellings & townhomes/condos when permits are required for each unit
Date <A1_
Site Address ?'? Pr C?r1 P( Unit #
Property Owner & Telephone #
Contractor STANDARD HEA.TINc atR CONDITIONING
410 WEST LAKE STREET
Street Address MINNEAPOLIS, MN 55408 City
State Zip Telephone # ( )
Bond #: Expires:
The Applicant is Owner ? Contractor Other
Add-on or alteration to existing dwelling unit $ 30.00
furnace _Additional _Replacement
air exchanger ; ?n (2 R
`
'
? airconditioner _New XReplacement %, rr U
,'.
'
_ other i
2005
1 , 6
4
?
??? •--'?".?
State Surcharge $ .50
Total . $ ' ? ? c>
I hereby apply for a Residential Mechanicai 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 with the Mechanical Codes; that I understand this is not a
permit, but only an application for a permit, and work is not to start with9ut.aperr?it; that the wo 'll be in accordance with the
apprgyed plan in the caseq0FVD* which requires a review and approval oj'plans)
` cYyl .??/???c??
Ap li ant's Printe Name Applicant's S' ure
2005 COMMERCIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: commercial/industrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
Date
Site Street Address Unit #
Tenant Name (if applicable) Previous Tenant Name
Property Owner Telephone # ( )
Contractor
Street Address City `
State Zip Telephone # ( )
Bond #: Expires:
The Applicant is Owner Contractor Other
Work Type
New Construction _ Underground Tank _ Instali _Remove **see below
fnterior Improvement _ Install Piping _ Pracessed _Gas
Nature of Work:
**When installinglremoving underground tank, call for inspection by Fire Marshal and Plumbing Inspector
Permit Fees: $70.50 Underground tank installaYion/removal
$50.50 Minimum (includes State Surcharge)
or
Contraet Value $ x 1% _ $ Permit Fee
• If e?rmit fee is $1,000 or less, add $.50 => $ State Surcharge
If ermit fee is over $1,000, add $.50 for
every $1,400 ep rmit fee $ Total Fee
I hereby apply for a Commercial Mechanical 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 with the Mechanical Codes; 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.
Applicant's Printed Name
Applicant's Signature
Approved By: , Inspector Date:
30
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S/ a9 ~ M~ e~ N~~,~' ~ q 33 ~ P ~ ~ ~ PRINTED
S!q e C~ ~0 0 ~ ~f 4 ss 1 ~
~ ~ 33 2q p ~ Q ~ ~ ~ ~ o~n,~~ % ~ DEC 01 1988
. ~ i ~~0 . oi. Q~ 2~ ~ !i
~92 ~ ~ 4.~?b ~ ~a~ 9~/ ~ " 1AMES R. HIIL IX
C 4y,s ~ sz~ , ~ , O 1 ~ ) ~ o
- g ~ y Sp S
- OGS x9o 0~ 90
F Sa e, 66 I D~NOTES PROPOSED SURFAC~ DRAWHG~ . Q U D~NOTES IRON MONUM~NT S~T SCA~~~ ' INCH = ;A~~: , WCH = 30 I EET
? 9os.~ ~ DENOTES IRON MONUNiENT FQUND PROPOS~D GAR,aG~ rL00R = AGE-: r=L00R = FEET
~ <; ~ X;i0u.0 DENOTES EX!STING ~L~V~,TION PROr~OSED LOW~S1 FLOOR = %;-::S1 FLOOR = FEET
~ ~~~~QOi DENOTES `PR~POSED ~LEVATION °ROpOScD T0~ ~r BLOCK = BLOCK = 9,:>•., ; FEET
25
~~v"~` "~~,~n T
W~ 'r~,~R~BY ~,ERTlFY 70 JULIK ~ ADLER CONST. INC. THA ~ TNIS IS A~~~RUE AND COf R~PR~~~hJ ~ RTION OF SURVc~ Or TH~ BOUNDA;I~S 0~ `RuE AND CORRECT
I LOT 5, BLOCK 4, THE WOODLANDS,ACCOROING TO THE ) T F-i E
RECORDEO PLAT THEREO~, DAK07A COUNTY, MINNESOTA. qESOTA.
,7XC~PT AS SHOWN. .AS
IT DO~S NO'` PUnPORT ?0 SNOW I~PROVFMENTS OR ~NCROACHIv1ENT~ ~XCEPT AS SF SURV=YED BY Mt ~R UNDER MY DIRECT SUPERViSION THIS 28T~dC~AY OF i~OVEMBER NOVEMBER .1988.
f" /
I I~~D ~Af~~~ ' ~LL, INC SG , ~ ~ ~ i ~ ~ ~ r ~
; ~ % ~ y f
, ; ~ ~ r
~Y ~ ~ ' - ~?f?~.1~~---' - - - HAROLD C °EiERSO~! ! ^,P,D SiJ~VEYOR D SiJ-IRVEYOR
MiNPv~SU~.A LICENS~ NU~~"E's~7'22^~4 2?9 4
~ ~ ~ '
~ ~ . ~ ~
~ I hereby cerPity 9hat ~ ~ this plan, specificofion or ~ ~
~ ~ ~ ~ ~ report wos prepared by ~ - ~ N ( ~ ~ ~ ~ me or under m direct
~.~y ~ ~ o ~ O m _ ~ v ~ ~ ~ i i ~ _ ~ supervision and thot I ~ ~ i n
~ ~ ~ ~ _ ~ ~ L ~ am a duly Reglsfered
- ~ ~ ~ ~ ~ ~ A N m Profesthe~~la s~~~f~9he i ~ N ~ ~ ~ nde o
Z,~ ~ ~ ~ i f~i State of Min~esota ° o~ M w LOT 5~LOCK 4 THE ~OODLANDS DAKOTA G(~UNTY N. e ~ /SURVEYORS
~ ' ~ ~ ~ w ! 7 9 9 ~ I ~ ~ - o r~ c~
' , oote Re9 No.~ 9401 JAMES AVE. S. ~~LOOMINGTON, Nli\9. 55431 ~ N.55431 ~ 612-884-3029
~~k,~" ~~i {r z~z a' f`, a s ~x~f'r ,ss :,r " . "`'~~~a§~ ~x~~ , ~`.w~' ~'~io-:~ t?e,nk a
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA143438
Date Issued:06/15/2017
Permit Category:ePermit
Site Address: 823 Promontory Pl
Lot:5 Block: 4 Addition: The Woodlands
PID:10-75875-04-050
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Mitchell J Berger
823 Promontory Pl
Eagan MN 55123
Minnesota Exteriors
8600 Jefferson Hwy
Osseo MN 55369
(763) 391-5514
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA152775
Date Issued:10/31/2018
Permit Category:ePermit
Site Address: 823 Promontory Pl
Lot:5 Block: 4 Addition: The Woodlands
PID:10-75875-04-050
Use:
Description:
Sub Type:Fireplace
Work Type:Gas Fireplace (new)
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
concealing.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 3,000.00
Fee Summary:BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
$90.00 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 -
Mitchell J Berger
823 Promontory Pl
Eagan MN 55123
(651) 895-0089
Twin City Fireplace & Stone Company
6521 Cecilia Cir
Minneapolis MN 55439
(952) 232-1840
Applicant/Permitee: Signature Issued By: Signature