4183 Reading; ... : . G..:.,.. . . ... . L:.r .A....:y.>:ee*?i
.?t? ? '??.?"?n
a . _ ,.
(gertifira1? ?? ????????y
(Citp of Cagan
Eppart1ltm Qf itttidtlto 3tilapPtfi0lt
T/iis Cerlificate issued pursuant 1o the requirements of Secaion 306 of the Urdform Building
Code cerlijying 1ha1 a1lhe time ojissuance lhirstruclure rwrs in compliance witii the various
ordinances of the City regulabing building consbuction or use For 1he following.
use aassu;c.uoo SF 943W ew8- Pamk *ro- 18817
o=w,T 'jYa, R31HI - zonine nwa;a R) rya cava vN
ow=asuacwa SFA9CNAL B[JIIMS IlNC Add= 952 JEFFER.90[d LANE, EAGP,N 4183 TB, B I, SLAFFM P1A..r'E
p,tc 5/28/91
BuDding oMcW i/
POST IN A CONSPoCUOUS PI.ACE
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS: t ,J s
PERNNT SUBTYPE:
.:,
[10 1 t i, I Ni,
Gt" ;/?+I
i1lw IlY S i'1!1
APPLICANT:
;
,; , i. '! dtl? IF?N
t r:a J.' ) ki .' 4 . t, i 0 Q
TYPE OF WORK:
r'i l 1.1
INSPECTION .. . ..
. . t , ,?...
F
L ?
INSPECTION RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
Permit No. Permit Holder Date Telephone #
S/W
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspection Date Insp. CommeMs
Footings I
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Orsat Test
Final Plbg. Plbg. Inspector - NotiTy Plumber
Const. Meter
Engr./Plan
Bidg. Final
Deck Ftg.
Deck Final
fl
Well ?
Pr. Disp.
?.,.,...
CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
? PHONE: 454-8100 '
BUILDING PERMIT Receipt #
To be used for SF DVG/C'A'R Est. Value =83,000 Date MA$ 2 7
Site AcWress 41$3 IkBADING
Lot -Block Sec/Sub. TAFFOBD PLACE
Parcel No.
? Name 39"QNAL BUILDERS IAlC
o Address 3EFFERSO!! LN
City EAGAN Phone 640-4951
, o Name
OV
04 Address
m City Phone
Name _
Address
City -
Phone
I hereby acknowlege that I have read this application and state that the
information is correct and agree to-comply with ' applicable State of
Minnesota Statutes and City an Ordinanc . ?
` ..., fJ `% ?
Signature of Per
A EA&QNAL StJtI.UR3 IKC
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 Ofiicial
...;._ _... . ...?. ?•._
18817
1991
OFFICE USE ONLY
? 3 M-i
Occupancy
V- 1
FEES
Zoning 563.?
(Actual) Const V? Bidg. Permit
(Allowable) - Surcharge 41.50
# of Stories
-??
i
P?
R 366.40
Length
?y ev
ew
an
1?'?
Depth SAC, City
S.F. Total - SAC, MCWCC 650'00
S.F. Footprints - 660.00
On Site Sewage _ Water Conn
95'00
On Site Well Water Meter
MWCCSystem ? Acct.Deposit 30.00
Ciry water - 30.00
PRV Required _ S/W Permit
.50
Booster Pump - S/W Surcharge
276.00
Treatment PI
APPROVALS Road Unit 370.00
Planner - park Ded.
Council
BIdg.Off. _ Copies
1$2.OQ
Variance - TOTAL ,
Permit No. Permit Holder Date Telephone #
WATER (f ? ?
SEWER
PLUMBING
H.V.A.C.
ELECTRIC
Inspection Date tns . Comments
Footings I 2
Foundalion
Framing
Roo(ing
Rough Plbg. "7911-C?
Rough Hig. /
lsul. ?S
Freplace
Fnal Htg. ??' Ql 1(? ?3
Fnal Plbg. ?3 G l
Const. Meter Plbg. Inspector - Notify Plumber
Engr./Plan
Bldg. Fina1 S yJ
Deck Ftg.
Deck Final
Well
Pr. Disp.
4?1. :;•ti "3r
;
t
T?erfi#tra#t of (Orrupanxy ?
- (Litp of (Eagart °
Brfatatrax nf %Yldiag ittoprrtinn
77is Certifica[e issued pursuant to the requinemenls oJSection 306 oJthe Unijorm Building
Code cer[i11in8 thal a1 the liirte ojissuance rhisstructure uas in conrpliance wilh !he tKUious;
ordinances oj[he City negulaling building conslrudion or use For the foUowing.
u? ? SY =?R Mk ? No. 18817
O_V_q '15pe FJAII -zooingnaw;a S i Tya co?u VN
o.oc e.aa? Add,. 952 JEEEER?r r.aNt? ? EAGAN
Ad*= 4183 r LO=k T A, S I- STAFFM PLAM
r/no/et
Bioldinf O .
?
iPOST IN A CONSPICUOUS PIACE
SEWER & WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
DATE ML4R 27, 1991.
aFFICE USE ONLY
METER# ? PERMITDATE 03/27/91
CHIP #n rl D?(2 25- I PERMIT # 11886
METER SIZE ? Sp??s B.P. RECEIPT # (? - ? ?L,
1SSUE DATE S' - B.P. RECEIPT DATE C'3 ?7?? 1
- PRV - BOOSTER PUMP
SITE ADDRESS 4133 READING
LOT 21 BLOCK 1 SEC/SUB STAL'r'ORD PLaCE
APPLICANT:
ADDRESS:_
CITY, STATE
PHONE
ZIP
PERMIT REQUESTED
X SEWER Y WATER - TAPS
- COMM/IND x RESIDENTIAL
X NEW
EXISTING
Lawn Sprinkler Meters are to be Installed
PLUMBER: REGEIdGX PLUMBItBG Ahead of Domestic Meters on Water Line.
ADDRESS: ?XRM-X22= 320 F12OhT A`,/E Credit WILL NOT bg given forpeduct Meters.
CITY, STATE ???MM= MN sT PAULZIP 5C2422 55117.
PHONE: 92MM. 751-0298 OR 489-7344
I AGR TO C01dPLY WITH CITY OF
OWNER: SLA`?flhAL BUILDERS .i?IC VgINANCES
ADDRESS: 952 ,IEFI'Et2S01d LA1
CITY, STATE ERGAN e'`M ZIP 55123
PHONE: 0--4?)51 ' SI NAT RE WHEN METER UED
r_
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
SEWER & W?TER PERMIT
CITIt?bFtA AN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
DATE 11AR 27. 1991
° a=.?X7-•In,m.'4.:. 3^_ ..w++!rm^s. ?^?"l1r•?Rn"... . . .. a-wi'.,.,..
METER #
CHIP #
METER SIZE
ISSUE DATE
OFFICE USE ONLY
PERMITDATE 03/27; 9i
PERMIT # 11886
B.P. RECEIPT # L -' --?
B.P. RECEIPT DATE 03 27 91
PRV - BOOSTER PUMP
SITE ADDRESS 413.1 RE:ADING
LOT ".` BLOCK 1 SEC/SUB STAFFORD PLACE
APPLICANT:
ADDRESS:
CITY, STATE
PHONE: _
PERMIT REGIUESTED
A SEWER X WATER - TAPS
- COMM/IND Y RESIDENTIAL
ZIP Y NEW - EXISTING
Lawn Sprinkler Meters are to be Instailed
PLUMBER: REGEZICY PLUHI3INC Ahead of Domestic Meters on Water Line.
ADDRESS: s20 FRnNT AVr Credit WILL NOT be given for peduct Meters.
CITY, STATE V '1 OM MN ST PAULZI P 1=11?. 51 17
PHONE: 11401$SIRX 751-0298 OR 489-7344
I AGREE TO COIiIICPLY WITH CITY OF
OWNER: +"<<Z? '?'•-?S T:NC EAGAN ORDINANCES
ADDRESS: 952 JEFFERSOh i,N
CITY, STATE FA? AV MN ZIP 51,123
PHONE: 540 -41S 1
SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
'WER PERMITS, CONTACT ENGINEERING DEPT.
?
CASH RECEIPT •
` CITY OF EAGAN 3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19 ?-
/
"??
AMOUNT
J?
8 DOLLARS
lm
O CASH ? CHECK
l ?` ?,?:?'? i /fr,? ?- • '?J
C 12562 ?'"?°??°°?
Yellow--Posdng copy
Pi?--F*ca,y
, ,.. - - .-14y., .
Thank You - BY `" (u(
Address: 4183 READING Lot $ Blk 1 Sec/Sub STAMRD PLAM
.? -These,items were/were not complete at the time of the final inspection.
D e: 5/28/91 Yes No
Final grade (6" from siding) G?
Permanent steps - garage 10
Permanent steps - main entry ?
Permanent driveway ? • -
Permanent gas ?
Sod/seeded grass
Trail/curb damage
Porch
Basement finish
Deck
Please verify with the builder the removal of roof test caps from the plumbing
system and the shut-off of water supply to the outside lawn faucet before
freeze potential exists. ?
PECYQEOPAPEN
White - City copy Yellow - Resident copy Pink.- Contractor copy
W'?
CITY OF EAGAN N O 18817
s - 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
?' o ? ?- ,R
BUILDING PERMIT PHONE: 454-8100 Receipt # ?-/
To be used for SF DWG/GAR Est. value $83, 000 Date Mt1R 27 , 19al-
Site Address 4183 READING
Lot 8 Block 1 Sec/Sub. STAFFORD PLACE
Parcel No.
W IName SEASONAL BUILDERS INC
3 Address 952 JEFFERSON LN
° City EAGAN Phone 640-4951
, a Name SAME
O
U ¢VAddress
? City Phone
U¢
W W Name
W
?-; Address <W City Phone
I hereby acknowlege that I have read thi application and state that the
information is correct and agree t ply with N' applicable State of
Minnesota Statutes and City o n Ordinance ...
Signature of Per ' ?
A Building Permit is issued to: SEASONAL BUILDERS INC
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 - A?„rVTQlA
OFFICE USE ONLY
Occupancy R-3 M-1 FEES
Zoning R-1
(Actual) Const Bldg. Permit 563.0
n
(Ailowable) -?N Surcharge
n
41.5
# of Stories -
(0 ' Plan Review 366.00
Length
Depth 48 ? SAC, City 100.0
n
S.F. Total - SAC, MCWCC
0
650.0
S.F. Footprints -
660
00
On Site Sewage _ water Conn .
On Site Well - Water Meter 95.00
MWCC System • X
Acct. Deposit 30.00
City Water
PRV Required _ S/W Permit 30.00
Booster Pump - S/W Surcharge • 50
Treatment PI 276.00
APPROVALS Road Unit
0
370.0
Planner - Park Ded.
Council --
BIdg.Oft _ Copies
3
182.00
Variance - TOTAL ,
. +
: DATE: i MARCK 27, 1991
? ?•?' ? ,
RE: 4183 READING (SEASONAL BUILDERS INC)
X 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.
Your 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.
-RECIUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
V193Lggl
?
Requ t Date F?V Rough-in ection
'
Now ill Notit
Ins
ector
? R
ad
I Requ y
e
p
y
es ? No When Ready7
I WTCensed contractor p owner hereby request inspection of above electrical work at:
Job A ress ( et, x o o e No.) .
? Ciry -
ion o. Township Name or No. Range No. CouMy
Occu (?T) ?O ? ?I"
? Ph rre No.
PoweXci'
• Addre
EI ri I Contractor (Company Name)
` IAFtr ctor's icense No.
(
I F
D
ailing dress (Contractor or Ow king Installation) - . `
r
Auth ed- Si na ure (Contrac U wner Making Installation) Phone mber -
•
?_•
AY
• •
?"'
? V
MINNESOTA STATEBOARD OF ELECTRICITV " THIS INSPECTION REOUEST WILL NOT. .
Griggs-Midway Bldg: = Room 5-173 BE ACCEPTED BY THE SSATE BOARD
1821 Univerbky Ave., St. Paul, MN 55104 UNLESS PROPER WSPECTION FEE IS
Phone (612) 642-0800 . ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION
? See instructioas for comp!eting this torm on back of yellow copy.
H 64193 "X" Be/ow Work Covered by This Request
EB-00001-08
? ?? ? /QOtr55
?
ew A Rep. Type of Building AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer. Other (Specify)
Comm./Industrial ' urnace
Farm Air Conditioner
- Other (specity) Contractor5 Remarks: .
Compute Inspection Fee Be/ow:
# Other Fee # Service Entrance Size e # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 Amps 100 Amps
SignS Inspector's Use Only: TO L
g?
Irrigation Booms -
Special lnspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MON n
•
f, the Electrical Inspector, hereby {
Rou9h-in Dat, < •-,??
certify that the above inspection has
been made. Fi„ai oate ?^
OFFICE USE ONLY
This request void.l8 months irom -
, . , RESIDENTIAL BUILDING
Permit Application
City Of Eagan
?i 3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Reauirements Remodel/Repair Requirements
3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan
(20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks
1 set of Energy Calculations Addftion - indicate if on-site septic system
3 copies of Tree Preservation Plan if lot platted after 711/93
Rim Joist Detail Options selection sheet (bldgs with 3 or less units
Office Use Onlv
Cert of Survey Recd
Tree Pres Plan Recd
Tree Pres Not Reqd
_ On-site Septic System
Date _6" Construction Cost /, (90c
Site Address J:?/ n. ? Unit/Ste #
Gi. an a' l A/
' 3 r
514/l
aclQ ezcedi ,d 11
Description of Work a? '
Multi-Family Bldg _ YLIN Fireplace(s) IV O _ 1 _ 2
PropertyOwner y?J"`/Qh ?&/Jf)c? !1 I e-r't'dL Telephone#(?p67)
Contractor
Address t (c: S'
State ?15Z Telepho? e # ?
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Category l Minnesota Rules 7672
Energy Code CategOry . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(4 submission type) Submitted _ ? Submitted
• Energy Envelope Calculations,-Submitted1
,I
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
?.
J
Telephone # (
Telephone # (
Telephone # (
?1)f
I hereby apply for a Residential Building 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 State of MN
Statutes; 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 whi requires a review and
approval of plans.
Applicant's Printed Name Applicant's Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 03 01 of _ plex ? 09 07-plex y 17 Garage ? 22 Porch/Addn. (4-sea.)
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo)
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) 0 44
'IRC 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45
? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46
? 34 Replacement *Demolition (Entire Bldg) - 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
_ Footings (new bldg)
_ Footings (deck)
?C , Footings (addition)
? Foundarion
Drain Tile
Roof Ice & Water
_ Framing
_ Fireplace _ R.I. _ Air Test
Insulation
Final
Final
REQUIRED INSPECTIONS
FinaUC.O.
?C . FinaUNo C.O.
_ Plumbing
_ HVAC
? Other
_ Pool _ Ftgs _ Air/Gas Tests
_ Siding Stucco Stone
_ Windows (new/replacement)
Retaining Wall
Final
Approved By ,/ ?, , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
?p,OD,
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi Misc.
Siding
Fire Repair
Windows/Doors
; OV- ;l( l (o =- ?,, r4?-o
? .
.J
1875 PLAZA DR.
i SUITE 200
EAGAN, AqN, 55122
Certificole of Survey for: (612)452-7850
?EYORS
,
r? .
SEASONAL BUILDERS
DESCRIPTION: LOT 8,BLOCK I , STAFFORD PLACE
ACCORUING TO TNt RECORDED PL AT
THEREOFDAKOTA COUNTY, MINNESOTA
Pv ?:
P??NG ?sp
R? ?0 o
.? .3
D q23 ir:
o -? ' ? ? VQ' $ ?\g O
0
• `?. y?,?? 1?N ao ?, ?o \ ?
M
:
?
; ? ? h ? q3ti
-? 1 5?•0 :??? ? ?\ °N .
1 yz ? ? 5
? ?='' -o?,,??' ?°? ` ??
? W ? y°e $ ?
-
M ` ? %? q3? .
o'
SCALEt I30'
? q'?
rv. ? ---...
. t ' .. . . . 5`/?G • /• • . .. - .. ... . .......
, . . . .... .._ _.
wbPbs ,r E4?rR.y ED ?n? .:.
o OENOTE S IRON MONIJMEN T N P OPO EO GARAGE FLOOR E E ATION •• y51.0
? DENOTES WO00 HU9 SET PROPOSED FIAST FLOOR ELEVATION ¦ 5
DENOTES EXISTING SPQT PROPOSED BASEMENT FLOOR • z- .o ELE.VATION E LE VAT ION
(q3p"? DENOTES ?IEVAT ONPOT :
OENOTES DRAINAGE DIRECTION NOTE: VERIFY ALL FLOOR MEIGNTS WITH
FINAL NOUSE PLANS
:urviyo Plon or,
riporf , wus prAporGd`?y nN or under my
dirict iup"sion:,;ond that I.am a dulY 8radls J. Swanson, Mn. Ria. No.1s235 "
o ; Ri?piitir6d ::Lond-, S4.4600 undK thi -r „
: Lawt 'ol thi Stoti` ol IiAiiui66oiQ Dof `l
( ' . ,_
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: Lo r: g BLpCK: 1 APPLICANT:
4183 READINCa MERICLE BRTAN
S7AFFqRD PLACE (612) 829-6104
PERMIT SUBTYPE:
DECK
TYPE OF WORK:
NEW
BuzLazNG
023791
06/@3/94
INSPECTION .A . ..
F'Of1TIN6S FINAL
?
,
et
?,
=°_
o
?
e a
.
e. .. ? ,
` PERMIT
--?CITY OF ,EAGAN
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55123 Permit Number: 023791
(612) 681-4675 Date Issued: 0 6/ 0 3 /g q
SITE ADDRESS:
4183 FtEADINC
LQTs 8 BLOCK: 1
STAFF'ORCI PLACE
P.T.N.s 10-72500--080-91
DESCRIPTION:
Blxiltt.imq-??Permit Type DECK
? u1 1=c??I n g?? ? iT6,r k T y p?: N E W
???.,
t e ?``? ?
?
?--?-
J
REMARKS:
FEE SUMMARY:
Base Fee $30.00 COPIES 1.00
Surcharge .50 1'otal Fee $31.50
Subtntal $30,50
CONTRACTOR:
OWNER: - Applicant -
h9ERTCLE BRIAN
4183 REACIING
EAGAid MN 551.23
(612)829-6104
? Tk he?reby T acknowlecf?ge -that ,Is? h:ave,.: r, ead thi-s .a ppl1 c,at ippn; ar,0s, t.-a t,.,e tl?at. the
_ knfa•rm &t i o n °.i? ear,.ro c.t . &r?d agxreeg tc? ;-:amply ...w i th all, :appla..coble .Statp of, M n.
S?t???u?e°? ?a?fei C3.?ty ?of Eag??r O?d.?rt?anczes
?
ICANT/PERMITEE SIGNAT ISSUED BY: GNATURE
` CITY OF EAGAN
1994 BUILDING PERMIT APPLICATION
fi81-4675
C00U l?- 111-2- ?yrI
? ?ass`b?
i
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys
6f energy
15Vy
L
j
calcs. 1994
COMMERCIAL 2 sets of architectural & structural plans_
??
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date 0 Valuation of work
Site Address:
STREET SUITE #
Tenant Name: (commercial only)
LOT ? BLOCK ( SUBD
?
?I Lo? 8/
?
# D
P
D
I
.
R1?
? ? D
.
.
.
D 7
/ J`? d O 8 O
Descri tion of work: cc
The appl i cant i s: Owner ? Contractor ? Other (Describe)
Name Me, r? C.l(L Phone bg$- ??1 I
Property
Owner LAST F1RST ro 4
l
!'c 2a
Add
'(L
ress
STREET STE #
??/?
S'--S??a
Cit
" `
3
y State Y
-
Zip
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 f Min ota Statutes and City of
Eagan Ordinances.
Signature of Applicant: - ?
\_
OFFICE USE ONLY
BUILDING PERMIT TYPE
O 01 Foundation 0 06 Duplex ? 11 Apt./Lodging
O 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc.
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory
O 04 SF Porch ? 09 12-Plex 0 14 Fireplace
O 05 SF Misc. e ? 10 Multi. Add'1. G 15 Deck
WORK TYPE
[3 31 New ? 33 Alterations O 35 Tenant Finish
? 32 Addition ? 34 Repair O 36 Move
GENERAL INFORMATION
;?? -,?, •,,, .
M4.
?
.? ?
0 16 Basement Finish
? 17 Swim Pool
? 18 Comm./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facility
0 21 Miscellaneous
O 37 Demolish
Const. (Actual) Basement sq. ft. MWCC System
(Allowable) lst F1. sq. ft. City Water
UBC Occupancy 2nd F1. sq. ft. PRU Required
Zoning Sq. Ft. total Booster Pump
# of Stories Footprin t Sq. ft. Fire Sprinkler
length On-site well Census Code T3
Depth On-site sewage SAC Code o?
Census Unat ?-
APPROVALS
Planning Building Assessments
Engineering Variance
REQUIRED INS PECTIONS
? Site Q Footing ? Framing ? Insulation
0 Wallboard M Final ? Draintile 0 Fireplace
Permi t Fee veiuati«,:
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.
Copies , V
Other
Total.
SAC %
SAC Units
S
dETRO 1875 PLAZA OR.
SURVEYORS ? SUITE 200
EAGAN, AMI. 55122
INC. Ceriificate of Survey for? (612)452-7850
SEASONAL BUILDERS
LEGAL DESCRIPTION: LOT 8,BLOCK I , STAFFORD PLACE
ACCORUING TO TNt RECORDED PL AT
THEREOF DA KOTA COUNTY, MINNESOTA
D\NG
D'
?
?23 L = 8i
'00- 0
.
4t 00
?1.$3,
4? ?
- ? , ?-
tw?
, O g ?
? i ?
c6 ` a?1- 1Z.N ao
M ?
! o
-? 1
,
OI
ol
~ 5'
g?
?
? o \
0
r
?
v.'??. ' ? y
p1 y?' ? ? ?
8 \?
i'
?
o 00
?•
0
q3i
N
1
q3? ?
I; SCALE = I " = 30?
q?
. . . ? !
.... ?.;_Y .:w ? '.'`. ' T•? 'il.... ...... ?.._.._...
i ?
i i ... .. . . ?/?. • /• . .. .-. . _. ._. . .....
, ?...... _ .._.
i.iT E4TIQ4 - Al0 1UcxO?T
:E:hc,A t( tEliiEiik.,L:l,[t:ii, wd'T'bSED Sp
?
LEGENn INVERT ELEvAT10N AT SERVICE EXTENSIaN-
o DENOTES IRON MONUMENT PROPOSEO GARAGE FLOOR ELEVATION¦ ?•?
a DENOTES WOOD HUB SET PROPOSED FIAST FLOOR ELEVATION = '7
DENOTES EXISTING SPOT PROPOSED BASEMENT FLOOR • ?- o ELEVATION ELEVATION
(q3o"? OENOTES PROPOSED SPOT
ELEVATION
,.- OENOTE5 DRAINAGE piRECTION N'. VERIFY ALL FLOOR MEIGHTS WITH
FINAL HOUSE PLANS
I hweby coNif y ihat 1hi• •urvey, Plon or
reporf wos prepotoa py rrN or un0er mr
direcf supervision and thaf i om a duly
o Repisterid Land Syrveror undw tAe
: l.awt of tl?e Staf• ot Minnesota
?
q$P
,
\ ?°3 °
e3
8radle J. Swenson, Mn. ReO. No.15235
Dof • 7 ?_,
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
FOR CITY USE ONLY
PERMIT #
RECEIPT # /0
DATE : // 9
PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
:.....................:.... ...........
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
----- -------------------------------------------------------
WORK DESCRIPTION FEES
NEW CONST K ADD-ON MINIMUM $15.00
ADD ON HVAC 0-100 M BTU 24.00
REPAIR ADDITIONAL 50 M BTU 6 00
OWNER NAME: L4 '? /y 124L
SITE ADDRESS;
LOT:81 BLOCK ? SUBD.
INSTALLER:
ADDRESS:
CITY: 1/ ZIP:
PHONE #;` J G`S /
GAS OUTLETS - MINIMUM
OF 1 PER PERMIT
c
JdBTOTAL;
TATE SURCHARGE:
3.00
oe
.50
T?:*I:;:` PLEASE COMPLETE THIS PORTION FOR ALL COMMERC IAL/INDUS TRIAL BUILDINGS,
::..::...:::::::::.........:::..............::...............:. ...
APARTMENT 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.
1% OF CONTRACT FEE.
STATE SURCHARGE _ $.50 FOR
EACH $1,000 OF PERMIT FEE.
PROCESSED PIPING = $25.00
$25.00 MINIM[TM FEE.
INSTALLER;
ADDRESS:
CITY: ZIP:
PHONE #:
FOR:
CONTRACT PRICE x 1$ $
STATE SURCHARGE $
TOTAL:
(SIGNATURE)
$
CITY OF EAGAN
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
.....: ..................: .. ? ..................
FOR CITY USE ONLY
PERMIT # / 02•
RECEIPT #
DATE:
PLEASE COMPLETE UPPER PORTION
...................................... ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
------------------------ --------------------
WORK DESCRIPTION ----------- --------------------------
COMPLETE THE FOLLOWING:
N0. FIXTURES EA. TOTAL
NEW CONST 1 ADD-ON MINIMUM 15.00
ADD ON
REPAIR (
? SHOWER
WATER CLOSET 3.00 3
3.00 ?
_Z BATH TUB
Y 3.00 3.00
OWNER NAME: KITCHEN
SINK 3.00 3--'
,`/4? ??
SITE ADDRESS: ?? ? LAUNDRY TRAY
HOT TUB/SPA 3.00
J?
3.00
LOT:0 BLOCK ? SUBD. WATER HEATER
FLOOR DRAIN 3.00
3,00 3=`
C
INSTALLER: L. ?? elf ? aly1 16`' iAS t?IPiidG OL1.
(MINIMUM - 1)
3.00
ADDRESS: ROUGH OPENINGS
OTHER 1.50
YS°
CITY: ZIP: WATER SOFTENER
PRIVATE DISP. 5 . 00
15.00
PHONE #
49= U . G . S PRINKLER
SUBTOTAL 3 . 00
S J ?
ST. SURCHARGE .50
TEE ?
?
TOTAL : J
$ ?
??MMER?;I:AZfiNIIUSTi??AI:;:' PLEASE COMPLETE THIS PORTION FOR ALL COMMERC IAL/INDUS TRIAL BUILDINGS AND
• MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:
LOT: BLOCK SUBD.
INSTALLER:
ADDRESS:
CITY:
ZIP:
PHONE #:
FEES
1$ OF CONTRACT FEE.
STATE SURCHARGE _ $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 1$ $
STATE SURCHARGE $
TOTAL:
$
(SIGNATURE)
FOR:
CITY OF EAGAN
Q•*
`a
S
1
a.,
c?
563•D0-t'
41 • 50+
356•00+
2,211•50+
3,182°00*
56 3•00}"
41•50+
366•00+
2,211°50T
3s 16 2 •00=r
SINGLE FAMILY DWELLINGS
1991 BUILDING PERMIT APPLICATION
Y G
JLTIILIRWILLI
COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 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 PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
, 4AR 2 5 RECD)
To Be Used For: Valuation: Date: cJ < - 9/
? -???--
Site Address ?;?:' ?.:' e^-°+?'?,
Lot ? Block
Parcel/Sub ce-
Owner .1'
Address
City/Zip Code
Phone
Contractor
Address
City/Zip Code
Phone
Arch./Engr.
Address 1700M ; h ,. f?•?
City/2ip Code
Phone # 5-j .? - !F,6'90
Sf 3 oDO?
, OFFICE USE ONLY
FEES
Occupancy p
I? ?J m -? Bldg. Permit 563,00
Zoning (Z - ` Surcharge 411,5-b
Actual Const v-N Plan Review 366,00
Allowable V-N SACa City Ofl,a'O
# of stories SAC, MWCC ,00
Length 4? - Water Conn. 660,00
Depth $ Water Meter -Tb, O'o
S.F. Total Acct. Deposit ?0, v
Footprint S.F. S/w Permit Boloa
S/W Surcharge Isb
On site sewage_ Treatment P1. Z76,o0
On site well Road Unit ?O p?
MWCC System ? Park Ded.
City water ? Trail Ded.
PRV _ Copies
Booster Pump _
SUBTOTAL
APPROVALS Penalty
Planner Lot Change
Council TOTAL
Bldg. Off.
Variance ?s s kl
i
.?„
agrees that all work shall be done in accordance with
(Signature of Contractor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
•. .? '?
'V A L v.4'?l 0 ?-
?-1A2AG?
?-lKo x/S= o o
.?-
?? x 3Li = t3?y
12Xt2?.
?
I
.. - ?
$?rn r ? ? t ?
a x -? ? ?I
113? X 5? ? ?6 2U 1
OX,
P
. METRO 1875 PLAZA OR.
SURVEYORS suiTE 200
EAGAN, MIV. 55122
?6/2J452-?s5o
INC. - Certificate of Survey for.
SEASONAL BUILDERS
LEGAL DESCRIPTION: LOT a,BLOCK I, STAFFORD PLACE
ACCORDING TO THE RECORDED PLAT
THEREOFDA, KOTA COUNTY, MINNESOTA
PN E:
41 sp
qz3 , _ 6.39
$ ?% O
o P?
o ? ? ? ? Q qy°1? ?y ta'''
4p\ cA?
?r a3?
?, t ? , ?12' ,?•°
O 5?°n'A??'
4b$
tD
.
?1 ? ? // 1 /?? ? •
O
??? ti Ivti h l• \
,.
,
' ;.
-
0 q?,?
0?
1
1 ? s 9?
_ 3.
?o
a
930=
SCALE = I II = 30'
?--
cC
• ?1'.d r ^` _ i ??? 4?,[ / ..
LEGEN.Q
INVERT EI.EVATION 4T SERVICE EXTENSIONs
PROPOSED GARAGE FLOOR ELEVATION • i•o
PROPOSED FIRST FLOOR ELEVATION = `7
PROPOSED BASEMENT FLOOA
E LE VAT I ON
DENOTES IRON MONUMENT
DENOTES W000 HU6 SET
DENOTES EXISTING SPOT
ELEVATION
(q 3Do ") DENOTES ???AT ONPOT
DENOTES DRAtNAGE DIRECTION
. . ;. , . ... ,
l Mrebjl cerfify thot this survey,plon or
report wos prepored py nM or under my
direct supwiuon and thot I om a duly
Repistored Land Survoyor unaK tlti
Lows ot tM Stote of Minnesota
NOTE * VERIFY ALL FLOOR MEtGHTS W17H
-? FINAL HOUSE PLANS
& 9 P? at A'ywos-
Broal• J. Srenwno Mn. Rep. No. 15233
Dott
t
E;:7EF' I t7R EhIVFLOF'E AVERAGE "U" GOh1F'UTATT ON
___...______________..._____-----_____._------------___.____________
P1 an #k R1?!14 r?ate :?-12-91
_..._.__-... ._
0 wnP r-
C:ontr-actur ----------------
Si te addressAa% ____.....___.___.
1) TotaI e::posed aaal I area ^i_??1 ?g?ft__?11. ?_2?ya u"1
^? Total e;:pasec1 roafr cei 1 ing -11-`'g ----
Wal ]. cal cul ati on
T ot a1 w i ncl ow ar- ea
Total dr.aor area
Tcata1 gl asw door area
To•kat fi repl ace area
Total wa11 frarning are?.a
Net i nsul ated wa1 l. area
Tctal r-im jo:i. v•t area
Total fnuncJ?.3•tion area
Totat ?oundata.on wincloaa
-
---A7 _- s.g..f tw_
-_. ..-.'?'`?._ ?-? e_._.?
_._.?.. _
----:38 _-- - S9-M_
- 00 _ -- ----? ? ?
-
----?;?r_ scJ-.- ??t?_ . ??;?_ _1?,,.!??_
---P'i/A ---
?- - sn._*ft__ -n ?'r?_ .- =_ __..- - CY?If?
--
---09--- -?
---1??--- -w-Ks- °-t'?M - --4R 9_
----9`5--- -5,9=•f
--t??,'t?__
-
-- T)T??al
I f i tem 3 i s the same a= 4 0r 1ess than i t em :1 ,yau
have met the intent of ^ I"lCAF:1. i6008 A and C}
Roof:'cei 7. i ng ca7. cu1 ati oi-i
Total sky1 :i ght area
T«tal rcacrf:'cri 1 i. nq frami ng
Nct i nsu3. ated racaf area
T z item 4 i= same as, or-
of ? MCAR 1.16008 Aand CI
---h! / A -- --? ---
---115_
'
?
t
}?'` sq_ft. ? {?2 2 '?'^
-
--
--
•
= --
?•? T'otal _
?^A
?
1ess th an ?' p vou m ntent
?
A1 terna±e bui 1 di ng envel ope desi gn
ta uti1ize the total envelope system rrfethrd th7e surn of
i tems 1and ^ s!•iaI 1 be yi°eater than the sum of i tem5
3 and 4
1) +^ ?
......... .........
3) ._..----------+4) ___._.___......_.__=........
I tiereby c.erta. tfy that the bui. 1 di ng her-e cie3cr-i bec! meetC
ar e;:ceeds •khe state a r mi nneuota ener-gy canscrvati. on act e
Si ?.?neci_--
?
WALL_CDNwTRUCT TON CE.T. L` ING COhdSTRUGT ION
_._
?
y: cs wr` Bi.ldr-ite ins.
R- 42.0 blown
Fra mirir? secti.on Franii.ng sectican
?
l. Interi.or air film .bP 1. Inter~ior
aii^ filin a68
^> 1 /2" gyp. bd. .45 2. 5i 8" g yp bd w .56
3. 5 1>2" of sof twood 6a8? _. _ 1/2" wood 4 a37
4. 25% •.T .?.'. t7 1 ldY" 1 t. E 2.08 4. 10" 7. tl ?"a e 33.24
5a siding e1 -rotal R :38e85
?
6A exter-ior air film .].i U= 1%R .026
Tata1 Fi 11.06 Irisu7. ated secti on
?
?
?
1.
Triterivr-
air
film a68
l.J =:LlR ?09 ^. 5; 8" gtifp bd. .56
_. 14" insu7.ation 42at_ti)
I.nsulated section
? Tata1 R 43.24
i. Interiar- air
fiim e68 U= 11R ,???'??:
.?'.. 1/.4,'.?? C?vp. taCl. .?i•5 _........__
_. 5 5; 8 batt inw. 19.0 52e9i nl conciit_ian
4a 25/32 bildrite 2.08 nf.a
k;. siding .81
6o e:,terior air film .17
Total Fi 23.19
U - I% R i ) . ()4,Y; .
-ii m ioi st secti.can
1. Inter-icrr air film .68
^o 5 J..-^"
_„ 1 1i2"
Gt. . 25; -_ 2-'
5. siciing
batt i n=_.a 19.0
waad 1. . 8°
bi.ItJrite :'.zf°
.81
6. e..t:c=r°ior ai.r film .17
Total Fi 24.63
(J = 1;' R , i_a 4
FOundati. on
j.. interior
2. 1 " stvro
_e conc
4. e., -t er- i crr
secti cn
?air film
1f`tua
blk:a
ait- film
Tcytal R
lJ = 1 I' R
.b8
5.00
1. 2e.
. 1-7
; 1=
a 1 4
City of Eapn
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
D
D ????VIE
? F-7 . . ? ?7 ----------- i
I Permit #: 3!?
?
I /,,
? Permit Fee: ?V - S? I
/? l I
j Date Received: l0 '"/D I
? Staff:
------------------
2009 RESIDENTIAL PLUMBING PERMtT APPLICATIt?N
Date: Site Address: &Ir"
i
Tenant:
Suite #:
RESIDENT ! OWNER Name: Eban { ` Phone:
Address ! C+ty ! Zip:
?.????s 1zhinu,_ -
_
CONTRACTOR Name: ticense #:
Address: as-
/1 '
State: i f L 1 V Zip:
City: A
Ph
?4CR C
t P
t
erson:
one:
on
ac
TYPE OF WORK -7'(New _ Repiacement _ Repair Rebuiid _ Modify Space _ Work in R.O.W.
d
Descri tian of work: 1Lili
PERMIT TYPE RESIDENTIAL
Water Heater Water Softener
? Lawn Irrigatio Add Plumbing Fixtures
(_ RPZ / PVB) (_ Main _ Lower Levei)
Septic System Water Turnaround
New
Abandonment
REStDENT/AL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heafer and Softener (nciudes $.50 State Surcharge)
$30.50 Lawn irrigation (includes $.50 State Surcharge)
$50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround" (inctudes $.50 State Surcharge)
'Water Turnaround (add $165.00 +f a 5!8" meter is required)
$100.50 Septic System New ($10.00 per as buiit) (includes County fee and $.50 State Surcharge)
$90.50 Fire Repair (repiace bumed out appiiances, ductwork, etc.) (includes $.50 State Surcharge)
TOTAL FEES $
??
r?}
.,!''
i hereby acknowledge that this information is complete and accurate; that the work witi be in conformance with the ordinances and cacies ot the G+ty ot
Eagan; that I understand this is not a permit, but only an appiication for a permit, and work is not to start withgut a permit; that the work wili be in
.
accordance with the approved plan in the case of work which requires a review and appro::!7
X CifGv't ?i ?.l?tA/1 X
App(icant's PriMed Name #icant's gnature