4191 Reading
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INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675
e.n . i.%
SITE ADDRESS: I 4JT ;
: f A Ci i hk;0
`; i A1 HrN(I i'! - iyC ('
PERMIT SUBTYPE:
"1. 0 4J'- 1 R7H....M1 1
? 0 f4 1_,??? t APPLICANT:
;Y4110 1-1 E W!
(612) r i' l Ja F,4h
TYPE OF WORK:
!r1 G'At1r
Rle 9
.., .. . 4 ..?.... f . . ?
Permit Holder Date Telephone #
PLUMBING
H VAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
CONDUCTIVITY
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
I DECK FINAL
?f
.:.. , . .. .. ... . . .. ..... . ... ..nr.--...z .. v.....: tc .-.,F•!.•r g•?+?:.?,,.?y?.,. +,.?,,,,?-.:..A.;o:.. . . r.?. . ,r '*-ac;tl.,-:ox..
. . , y, ,.+. . . .
,REACTIV FOR DECK 07/10/90 ;
.?G 688-1213 CITY OF EAGAN 17329
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 85121 wJ.
. PHONE: 454-8100
BUILDING PERMIT Receipt # ,
To be used for 3F D{JG/6AR Est. Value $75.000 Date NOVEMM 22 , 19 89
Site Address 4191 1tEJIDING Lot 10 Block I Sec/Sub. $TAI?FORD PLACE OFFICE USE ONLY ?
Parcel No. occuPancy R-3 9-1 FEFS ?
Zoning
W Name p?NTIER DEVGIAP'MENT CORP (Actual) Const {L?Ri- _ Bldg. Permit ? 328.d(7
o Address 1285 GORPOW?TE CEI?TER DR (Allowable) y? 37•St7
City EAGM Phone 454"'0433 # ot Stories _ Surcharge 264•00
Length 40- Plan Review
Zo Name S? Depth Sp- sAC, cicy i?'?
?Q Address S.F. Total _ 575.00
SAC, MCWCC
? C11y Phone S.F. Footprints - 580.00
On Site Sewage _ Water Conn
U¢ Name On Site Well 9O`?
? W Water Meter
x= Addf2SS MWCCSystem X ?.OQ
0 Z ? Acct. Deposit
a W City Phone City water a? ??
PRV Required - S/W Permit
I hereby acknowlege that I have read this application and state that the eooster Pump - Siw Surcharge 1•00
in(ormation is correct and agree to cotAply with ali applicabie State o( 228.00
Minnesota Statutes and City o,{ Ea,pan prdinancq?. ' Treatment PI
APPROVALS •?
`?I?` ?. ;`.. '' ^ ""?",i' 3?
Signature of Permitee ( Road Unit
FkQ!?tT'IER UEVEL CQf(P Planner
A Building Permit is issued to: - Park Ded.
on the express condition that ali work shall be done in accordance with all Council
applicable State of Minnesota?atutes and City of Eagan Ordinances. Bldg. Off. _ Copies
g2,7g3Building Official Variance - TOTAL • ?
..?
' Permit No. Permit Holder Date Telephone #
?WATER ? ???? ?? B?
SEWER
PLUMBING
H.V.A.C.
ELECTRIC C C) 759-c
Inspection Date Insp. Comments
Footings I VS
A S Lo ? ? at ?'as
Foundation r21S•?f CIS
Framing
Roofing
Rough Plbg. ' O 644-
Rough Htg. 7
ISUL
l/ ? a
(uw 15
Fireplace u,
Final Htg. ? 1 y d ,k6
Final Plbg.
Const. Meter Plbg. Inspedor - Notify Plumber
tngr.lPlan
Bldg. Final 62
Deck Ftg.
DeckFinal (29-L- 'O
Well
Pr. Disp.
s> d,-'
s Al+
:..' .. . ,. ?. .
r = ,
(Stxtiftratit uf Mrruvttnru
titp of (tagan
lopvMrIltPttf D# s11filatt? JwWtttm .;
This Certificate rssued 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.•
'?
e.n r?_+?R Bldg. ltrmit No. 171
Use Claai6cation ?
TR1 IM I _ Zoning Disvict R 1 Type Const.
oocupancy Type ?
rrstwx?A I7R
Owner of Bw7dinBL'DlTTI'TFR MTi2dl7?'1? }?? pddress 1??st+S ' T-'F ' CjR ' EAGAN
4194 READING ,?,?ty L 10 B 1 STAFE'd1iD PLALE
Building Address
nau: Te?gLAr? ?5, Ic?]-
- Lug„
POST IN A CONSPICUOUS PLACE
?,'?i5„q? Y•?. .,,?.o..... ? .. _ . . .?.... ,.. . .
`?aa*?
PLUMBING PERMIT For Office Use Only
CITY OF EAGAN PERMIT # // 2 /
CONTRACT 3830 PILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT #
PRICE , ,, PHONE 4548100 DATE: !1_1? // / e c1
Site Add?Gss
Lot -?
Name %'
City Phone
?3 I Address
O City Phone
FEES
COMM./IND. FEE - 1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APLLIES
MINIMUM - RESIDENTIAL FEE $12.00
MINIMUM - COMM.IND./FEE $20.00
STATE SURCHARGE PER PERMIT .50
(ADD $.50 S/C PER EACH $1,000 OF PERMIT FEE)
aiw/ /
FOR: CITY OF EAGAN
BLDG. TYPE WORK DES IPTION
Res. ?? New
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONL'! - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
? Water Closet - $3.00 $ 00
-T Bath Tubs - $3.00
?- Lavatory - $3.00 ?
Shower - $3.00
? Kitchen Sink - $3.00 -
Urinal/Bidet - $3.00
?- Laundry Tray - $3.00 .
?- Floor Drains - $1.50
-? Water Heater - $1.50 ?
Whirlpool - $3.00
Q Gas Piping Outlets - $1.50 ?
(MINIMUM -1 PER PERMIT)
Softener - $5.00
Well - $10.00 -- 1-7-
Private Disp. - $10.00
? Rough Openings - $1.50 ?
PERMIT FEE:
STATES S/C: s?
GRAND TOTAL: SO
._ . _ . ? _....__ ...._.. . .-. ..
?,.
PERMIT #
f.. • . . , .
MECHANICAL PERMIT
Y . CITY OF EAGAN RECEIPT # `3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE: $1927• 00 PHONE: 454-8100
SiteAdss 4 -yA xeening
Lot 1 Block Sec/Si
?-
Name 'aF1"ZF'T; FfEA.TIPIG & A/C
?o Addre.?s 1!?`. Sawr.ee Ro?.d
v, 1.aF'ai)
c City. Phone-
Name ,._..__?.. ._r._.... _?..
c Address r.rporate .nt. Y.
p City Phone 454
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent.
Gas Piping Outlets #
Other
8C , 000 M BTU
M BTU
M BTU
M BTU
CFM
FEE:
S/C:
TOTAL:
BLDG
TYPE WORK DESCRIPTI
N
a ?x . O
Res. New
Mult Add-on
Comm. Repair
Other
FEES
HVAC 0-100 M BTU
RES
-$24
00
.
ADDITIONAL 50 M BTU .
- 6.00
- (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PEFiMIT)
- 1
50 EA
24. CO
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-COMMERCIALFEE - 20.00
STATE SURCHARGE PER PERMIT
50 S/C IF PERMIT PRICE GOES
(ADD $ - .50
?• 5?, .
BEYOND $1,000)
.
50
SIGNATURE OF PERMITTEE
FOR: CITY OF EAGAN
SEWER & WATER PERMIT
CITY OF EAGAN
3830r P1166Znob Rd.
P.O. Box 21199
Eagan, MN 55121
OFFICE USE ONLY
.,
PERMIT DATf 1 << '
WATER PERMIT # SEWER PERMIT #
METER # B.P. RECEIPT #`• r i
READER # B.P. RECEIPT DATE
METER SIZE
ISSUE DATE _ PRV - BOOSTER PUMP
SITE ADDRESS '! ' t , AGAN, MN 5=f jLOT BLOCK ' SEC/SUB '. TA:'r0RO PL.1"
APPUCANT: FRONTIER DEWELOWENT CURP,
ADDRESS: UURPOR&iL ., .. I- >
CITY, STATE C ?, e ZIP ''.
PHONE:
PERMIT REQUESTED
-" SEWER __?WATER -TAPS
.?
- COMM/IND = RESIDENTIAL
tNEW _ EXISTING
PLUMBER: STAR PL!JMB1N(a
ADDRESS: 0` ' I AGREE TO COMPLY WITH CITY OF
EAGAN ORDINANCES:
CITY, STATE ZIP
_?? - ;
PHONE: ? .
%? r
OWNER: ... t ,1ND D`75i:;' '
ADDRESS: '' r r E? .. '. - .
SIGNATURE WHEN METER ISSUED
CITY, STATE ?" - `' ;???; ZIP
PHONE: '
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT
ENGINEERING DEPT.
;? CASH FiECEIAT
CITY OF Ei4GAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE r ? V ?" • 19
neceNED
aai
?yj $ ? 7? 5
,
& DOLLARS
CASH CHECK
?
'00
C 4735 W,^?e??
Yellow-Posting Copy
Pink-Fae covy
Thank You ; J
BY n? _
SEWER & WATER PERMIT
CITY.OF EAGAN
3830 Pilot Knob Rd.
P.O. Box 21199
Eagan, MN 55121
OFFICE USE ONLY
PERMIT DATE . "
WATER PERMIT_f SEWER PERMIT #
METER # 5 3 B.P. RECEIPT # `' 4195
B.P. RECEIPT DATE ' 1122 I E' ?
METER SIZE ?
ISSUE DATE ? - PRV _ BOOSTER PUMP
SITE ADDRESS "J 71 = kt;AN1, MP1 q;123
LOT I ?BLOCK ` SEC/SUB ? IA1° r 02D P1-AC'c
APPLICANT: r k!?'`?1 (+. t)E ?!t!_C?PMEt?T CORP.
ADDRESS: ' ``''` CORPORV.'= CENTER UK
LAU- A " ' ? ZIP
CITY, STATE
PHONE:
PLUMBER: STAR P?UMR j NG
ADDRESS: ?-` - I,
? ?
CITY, STATE ION, M' ZIP ?
PHONE:
OWNER: LOTNG, 20`'':P,T ANI? DEBRA
ADDRESS: 2157 WnTERi flWN
CITY, STATE LuN6 L?;K` 11rV ZIP b'35b
PHONE: ? 3 1.
PERMIT REQUESTED
?SEWER -VVATER T TAPS
?J
- CON)AA/IND ! RESIDENTIAL
f
? IVEW _ EXISTING
1 AGREE TO COMPLY WITH CITY OF
EAGAN ORDINANCES:
SIGN U ER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERIIAITS, CONTACT
ENGINEERING DEPT.
•- . CITY OF EAGAN N2 17329
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454- 8100
0
<
BUILDING PERMIT Receipt # -
-'q
-
To be used for SF DWG/GAR Est. Value $75, 000 Date NOVEMBER 22 , 1 g 89
Site Address 4191 READING
Lot 10 Block 1 Sec/Sub. STAFFORD PLACE OFFICE USE ONLY
Parcel No. occupancy R=3 M-1 FEFS
Zoning SL
W Name FRONTIER DEVELOPMENT CORP (qctuaq Const ?_ Bidg. Permit ? 528 • OC
AddresS 1285 GORPORATE CENTER DR (Allowable) Vn- 37.5C
o Surcharge
City EAGAN Phone 454-0433 # ot stories - 264
OC
Plan Review .
Length 40_
F
Name S?
Depth
5Q.-.
City
SAC 100.OC
z
8? Address S.F. Total - , ?75 • OC
SAC, Mcwcc
? CItY Phone S.F. Footprints -
Water Conn 5$0. OQ
On Site Sewage
W NBme On Site Weil - W
t
M
t 90. OC
F
Z Address MWCC System - er
a
e
er 30
00
?
a W Clty PhOrl@ City Water - Acct. Deposit
S/W .
20• ??
PRV Required _ Permit
i hereby acknowVege that I have read this application and state that the Booster Pump - Siw Surcnarge 1. 00
information is correct and agree to co ly with al applicable State of 228
00
Minnesota Statutes and City o Ea an . nanc . Treatment PI .
Signature of Permitee ' APPROVALS Road Unit 340. 00
DVEL CORP
A Buiiding Permit is issued to: FRONTIER P?anner
-
Park Ded.
on the express condition that all work shall be done in accordance with ali Council
applicable State of Minne ta atutes and City Eagan0rdinances. Bldg. Off. _ Copies
Building Official
_ Variance - TOTAI $2. 793 . 50
?
DATE:
il/28/89
RE: 4191 READING. L}0, B2, S?AFFORD PLACCE
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.
t
-?Your Sewer & Water Permit for the above property cannot be completed for the following
areasons:
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.
?
DATE:
11J28/89
RE: 4191 READ1NG, -L14. Bi. STA1pFOR0 PLACE
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.
Your Sewer & Water Permit for the above property cannot be completed for the following
o reasons:
;gr
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.
- REGIUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
'5 " 9- 0
„
7-
-j
0 ??U'5 /Zc
Request Date Fir Rough-in Inspection
R ui ed? ??//
? Ready Now,?7Will Notify Inspector
V
es ? No
Y `When Ready?
I licensed contractor ? owner h reby request inspection of above electrical work at:
.) ?
Job Address (Street, BOx or Rr
,
City _
r
? b
e- G?
Section No. I TOwn-Ap Name or No. Range No. Coun •.
Occupant(PRINT) Phone o.
d ?`?? !? L6?
Power Supplier A
v$?l d
Electrical Contractor (Compan Name) Contractor§ License N.
Mailing Address (Contractor or Owner Making Installation)
! ??l?iQ? f '?o?
Authorized Signature (Contra / r/Owner M ing Installation) Phone umbe???
?
MINNESOTA STATE BOARD OF ELECTRICITY
Griggs-Midway Bldg. - Room S-173
1821 Universky Ave., St. Paul, MN 55104
Phone(612)642-0800
THIS INSPECTION REQUEST WILL NOT
BE ACCEPTED BY THE STATE BOARD
UNLESS PROPER INSPECTION FEE IS
ENCLOSED.
??/??
t'.r?-' z; -R II n q
REQUEST FOR ELECTRIEAL INSPECTION
? See instructions for completing this form on back of yellow copy.
`X" Below Work Covered by This Repuest
A"« EB-00007-07
ew
Add
Rep.
TypeofBuilding
y
AppliancesWired
EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
CommJindustrial Fumace
Farm Air Conditioner
Other (specify) Contractor's Remarks:
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fe # - Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 Amps Above 100 Amps
SignS Inspector5 Use Only: TOTAL
Irrigation Booms
??• ?
Special Inspectiort
Alarm/Communication
Other Fee
I, the Electrical Inspector, hereby Rough-in oate
certify that the above inspection has
been made. Final • Date ?
..? '
OFPICE USE ONLY
This request void 18 months from r [?/?A{,??J
?12? 2ri
? 2006 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Reauirements
3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and ali roofed areas
(20% maximum lot coverage allowed)
2 copies of plan showing beam & window sizes; poured found design, etc.
1 set of Energy Calculations
3 copies of Tree Preservation Plan if lot platted after 711193
Rim Joist Detail Options selection sheet (buildings with 3 or less units)
Minnegasco mechanical ventilation form
RemodeVRepair Reauirements
2 copies of plan showing footings, beams, joists
1 set of Energy Calculations for heated additions
1 site survey for additions & decks W_
Addition - indicate if on-site septic system
Date ! / ?o i ?) G?, e- ad I v,
Site Address 5 Construction Cost
? Unit/Ste #
Description of Work -5` ??
Multi-Family Bldg _ Y'X N Fireplace(s) 0 2
Property Owner ? ?? t ?? ? ?AfC-c ? ??,?i,?.? Telephone # (Lq)
Contractor
Address
State T4\ tJ City
Zip ' r 5_0_*V`? Telephone # ('jQ) LA I_
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Category 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(q submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
In the last 12 mo th , has the City of Eagan issued a permit for a similar plan based on a master pl
_ Y ? N If yes, date and address of master plan: '
• ?..?''
Licensed Plumber Telephone # ( )
Mechanical Contractor
Sewer/Water Contractor
Telephone # ( )
Telephone # (
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 which requires a review and
approval of plans.
Applicant's Printed Name
? 3"?k
Applicant's Signature
? i ?t? •a5
...?.-
Office Use Onlv
-- Cert of Survey Recd _ Y:_ N
kk? Tree Pres Plan Recd ` _ Y_ N,
Tree PresRequired _ Y _ N
On-site 8eptic System _ Y_ N
DO NOT WRITE BELOW THIS LINE
, ,
Sub Tvpes
? 01 Foundation
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-p{ex
? 05 03-plex
? 06 04-plex
Work Tvpes
9 31 New
? 32 Addition
? 33 Alteration
? 34 Replacement
? 20 Pooi
? 21 Porch (3-sea.)
? 22 Porch/Addn. (4-sea.)
? 23 Porch (screen/gazebo)
? 24 Storm Damage
? 25 Miscellaneous
0 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi Misc.
? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
0 36 Move Building ? 42 Demolish Foundation 0 45 Fire Repair
? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors
*Demolition (Entire Bldg) - Give PCA handout to applicant
DeSCflptlOn: Water Damage Yes
Valuation /oi vw. w Occupancy v MCES System
Plan Review 100% or 25%
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. ?a PRV
# of Bldgs
Length . ,?
b
Fire Sprinklered
Type of Const I Width Footings (new bldg)
Footings (deck)
? Footings (addition)
? Foundation
Drain Tile
Roof Ice & Water
? Framing
Fireplace _ R.I. _ Air Test
Insulation A ,
Approved By: IfiellIP'
---------------------------------
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
? 07 05-plex ? 13 16-piex
? 08 06-plex ? 16 Fireplace
? 09 07-plex A 17 Garage
? 10 08-plex ? 18 Deck
? 11 10-plex 0 19 Lower Level
? 12 12-plex
REQUIRED INSPECTIONS
_ Sheetrock
Final/C.O.
LO Final/No C.O.
HVAC
Other
Final _ Pool Ftgs
_ Siding _ Stucco Lath
_ Final _ Windows
_ Retaining Wall
Building Inspector
Air/Gas Tests Final
Stone Lath Brick
a6'?''x?a'x16.?o ?9,z0?°=
?"l ",Or,s ?'er?`? ?cate
??
?
fiedluil? Eing111ee1"ing 5et'YICeS szoiEa.t Moo„in4io,Fr..wor
8loominqfon, Minresota 06420
Ldnd 9Urveybtr Clyll tit9ln(porr Ldnd Planners phonr eee-Ote9
SURVEY FOR:
DESCRIBED AS:
C0j
I
f
?
?
oD ? ?
Prontier Midwest flomes Coi•p.
Lot 1.0, Block 1, S'I'nrrURV PL11cE.
City oi' Eagan, llakota County
Ptinnesota. and reserving ease-
ments of• recorci.
h?
,C`
. 9o e?
?
3C.
BOOK PAGE
J08 N0. 891- 33"I
RZ114.0I
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.
PROPOSED ELEVATIONS
Te0 ef f oundof l0?? ?q42. G f 9? ? "
Ooraoe fleor .94t.z. ? .?
8ofenNnf floor a 934.4 \VP c? ? / 0 ti? O
AppreR. Soww SKVte• Etev..11zo.o cnC3 ?p ?/ ?h ? ?•
P?opotod Eferolloni ? Q \ '?? ? ?0 C ? • ''?
Exitttn0 Elwotlons ? •,9d ? ? 1? Lot S
acinop• otncfions ? .....,.... \ ? '? s 33 `f'L3 -
• ?+
Denote• Of/se1 Stak• 00,
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BENCHMARKi •
\
7NN. 1e4c ,Z j' '3, ?rk 1. I hertby eertify thol thi, •urvsy, plan or reporf No• prepared by me or undet n?p dirtet
Elev. ` 942,te supervtelon and that I am a duly Repislered land Sutveyor under the laM• of IA•
MIN. SETBACK REQIREMENTS
F- ao c=,o Staf• ot Mi nnesota .
0a1e: 10 / 4
b Jo re D, ndpron . Ltcen: No. 14376
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? /RESIDENTIAL
BUILDING PERMIT APPLICATION
? CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New ConsVuctlon Reauirements
• 3 registered site surveys showing sq. it, of lot, sq. ft. of house; and aII roofed areas
(20% maximum bt coverage allowed)
• 2 copies of plan showing beam & wiridow sizes; poured found design, etc.)
• 1 set of Energy Calculations
• 3 copies of Tree Preservatbn Plan if lot platted after 7/1193
. Rim Joist Detail Options selection sheet (bklgs with 3 or less units)
DATE `0 Z
2 7 '2 5-
?
gernodel/Renair Reauirements
• 2 copies of plan
. 1 set of Energy Calculations for heated addftions
• 1 site survey for exterior additions & decks
. Indicate 'rf home served by septic system for addftions
4 SZ SUo ?
VALUATION
SITE ADDRESS ya?? r- " MULTI-FAMILY BLDG _ Y _ N
n .1 /1 ?
TYPE OF
FIREPLACE(S) _ 0 _ 1 _ 2
SELA ROOFING & REMODELING
APPLICANT 4100 EXCELSIOR BLVD.
STREET ADDRESS iD #0001050 CIN STATE ZIP
TELEPHONE # CsA,Z qZ? ?2PY(,CELL PHONE # FAX #
S
PROPERN OWNER ? TELEPHONE # (26
COMPLETE THIS SECTION FOR -NEW- RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672
(4 submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Conhactor: Phone #
Pluxnbing system includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00
Water Heater No. of R.I. Baths
No. of Baths
Mechanlcal Contractor: Phone #
Mechanical system includes: _ Air Conditioning Fee: $70.00
_ Heat Recovery System D??? n nn ?
I I ?r I
Sewer/Water Conhactor: Phone #
----------------------------------------------------------------------------------------- ------------------------------
I hereby acknowledge that I have read this application, state that the information is rrect, and agree to c mply
with all appiicable State of Minnesota Statutes and City of Eagan Ordinances.
C,
Signature of Applicant 4j/'
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Pian Received _ Not Required _
Updated 4/02
OFFICE USE ONLY
? 01 Foundation ? 07 05-piex 13 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace O 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) 17 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) 0 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-piex Plbg_Y or_ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. 0 42 Demolish (Foundation) ? 45 Fire Repair
0 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinkiered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaUC.O.
_ Footings (deck) _ FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
------------------------------------------
---------
--------------------------- Approved By
------------------------------- , Building Inspector
--------------------------
Base Fee --- -----------------------
Surcharge
Plan Review
MC/ES SAC
City SAC .
Water Suppiy & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
CITY USE ONLY
PERMIT #: ? )00 RECEIPT DATE:
8002 RESIDENTIAL 1VIECHANICAL PERMIT APPLICATIOft
crrY oFEAsm
3830 PaoT KxoB Rn
EAfilEN MN 55188
651-691-4675
inpS DU15
Please complete for: ? single family dwellings
townhomes and condos when permits are required for each unit
Date: '3 - 6 " ca?\
SITE ADDRESS:
Z ?t 1i1l?
OWNER NAME: W
?.
INSTALLER NAME: v' Z:b ? \"?- - 1 ? ? ? ?-
STREET ADDRESS: I ? ? I R
??? ?.??
TELEPHONE #:
TELEPHONE #: +-?o -5
d
CITY: STATE: ZIP: 55 ?? (a
Place a check mark next to the permit work type
Add-on, modification or alteration to existinq dwelling unit $ 30.00
• furnace replacement
• air exchanger
• air conditioner
• other
Nature of work:
State Surchar e $ .50
Total $36.50
?
. Q Qfnn?
SIGNATURE OF ERMIT E
1io2
CITY USE ONLY
PERMIT #: RECEIPT DATE:
APPROVED BY: , INSPECTOR
SOOL CO1VIMEftCIAI.IVIECHMICAI. PERMIT APPLICATION
CITY OF EACAft
H$SO PILOT KROB gD
EAsLAN,1VIN 55188
651-6$1-4675
Please complete for: all commercial/industrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE:
SITE ADDRESS:
OWNER NAME: PHONE #:
TENANT NAME (IMPROVEMENTS ONLY):
WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME:
INSTALLER:
STREET ADDRESS:
CITY: STATE: ZIP:
TELEPHONE #:
WORK TYPE: New construcrion Install U.G. Tank
Interior Improvement Remove U.G. Tank
Processed Piping
Specify Nature of Work:
When installing/removing underground tank, call 651-681-4675 for inspection by Fire Marshal and
Plumbing inspector.
Fees: 1% of contract price OR $50.00 minimum fee, whichever is greater.
Underground tank removaUinstallation = minimum fee
Contract price: $ x 1% _$ (Base Fee)
State surcharge calculate at $.50 for each $1,000 Base Fee
TOTAL $
5IGNATURE OF PERMITTEE
Updated 1/02
,,
. ti
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Construction Requirements
• 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and ail roofed areas
(20% maximum lot coverage allowed)
• 2 copies of plan showing beam & window sizes; poured found design, etc.)
• 1 set of Energy Calculations
• 3 cropies of Tree PreseNation Plan if lot platted after 7/1/93
• Rim Joist Detaii Options selection sheet (bldgs with 3 or less units)
DATE ? 2-11 Z/c,??-
Water Softener
Water Heater
No. of Baths ,
SITE ADDRESS 9711 12IW/1?6-- f2 l) MULTI-FAMILY BLDG _ Y ?Q N
TYPE OF WORK og-- ?(?c, a G FIREPLACE(S) ;4 0_X 1_ 2
APPLICANT /,? e__
STREET ADDRESS c??? L??r? / 50 ZIP
TELEPHONE #`J'SZ 4dt/r(o/oCo CELL PHONE #
FAX #
PROPERTYOWNER iUILL LAz?,I?_ zP'G'I TELEPHONE# ??'f ?/SZ--/9oS
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672
(4 submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calcuiations Submitted
Plumbing Contractor: _
Plumbing system includes:
Mechanical Contractor:
Mechaiical system includes:
Sewer/Water Contractor:
Air Conditioning
Heat Recovery System
Phone #
Fee: $90.00
ree: $70.00
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with ali applicabie State of Minnesota Statutes and City of Eagan ?ttna ces
Signature of Applicant `
OFFICE USE ONLY
1394, 84P
RemodellReoair Reauirements
• 2 copies oi plan
• 1 set of Energy Calcuiabons for heated additions
• 1 site survey for exterior additions & decks
• Indicate 'rf home served by septic system for additions
VALUATION AF, C70o
Phone #
_ Lawn
o. ,-of R.I:-Batkr r
! • _ ? 1 ? ?-???
- /+ C
? Phone # <---??
„
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
OFFICE USE ONLY
•- ,
? 01 Foundation O 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ?< 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage '0 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
D 04 02-plex 0 10 08-plex -0 18 Deck ? 23 Porch (screened) O 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
/,< 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
O 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation ; Occupancy MCIES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs ? Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaUC.O.
Footings (deck) ? FinaUNo C.O.
?C Footings (addirion) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof Ice & Water Final Pool Ftgs Air/Gas Tests Final
? Framing _ Siding Stucco Stone
? Fireplace ? R.I. y Air Test )( Final _ Windows (new/replacement)
_X Insulation _ Retaining Wall
Approved By Building Inspector
--------------------------------------------------------------------------------------------------- ------- - ------------ - ---- - - - - -------
Base Fee
Surcharge L? O
Plan Review
MC/ES SAC
city sac
Water Supply & Storage
S&W Permit & Surcharge ?
?
Treatment Plant
Plumbing Permit /
Mechanical Permit ?
License Search
Copies
Other
Total
.,
Fleclluiicl Engineering Services 9201Eot1M°°^,l^gl°^Fr..wor
0loomin0lon, Minrosola 58420
Lend lqurrreyetr Clvll lnliniierr Ldne hinrinor, Phdne: ee8-0109
S I if eertil?
limq0/9 s cate 800K PAGE
? J08 NO. 69'' 337
SURVEY FUR: Frontier Hidtvest Ilomes Coi•p.
DESCRIBED AS: t.ot 10, Block 1, s'rnr•FORV PLncE.
Gity of Eagan, llakota County da 9..
Ptinilesota and reserving ease- ? S?•?o
ments of. record.
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PROPOSEO ELEVAtIONS
Tep el Feuneaf len . 942. (- //
Gore4o Pleor . 44t.z. ?} 0? •?C,9?• ?
BdlefM111 ft00r • 93q.4 ` `
AopreR. Sower SKVte• Elev.
Proposed Elevoflont I
Exiittnq Elevotioni CD
? `` •ma ? V? Lot S qvare Feobw9`
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Oroinoa• Otncfioos ? ....,.... ?,f ? ? sL 33 `iZ.3 = • ??
Donofer 01/se1 Sfaks
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BENCNMARKe ?
7N4. ce49 17. 3?h i. i hereby eertily that fhi• •urvsy, plan or rOporf Mos prepatb ey me or un?r n?y dirtef
E???' " 9*2'=b
MIN. SEtBACK REOIREMENIS supetvision ond Ihat I cm a duly Re91storod land Survtyot under fhe IaN• of th•
F :;a t_,o Sfate ot Minnesoto.
R+is (,: 5 ?
Oa1e: 10 / 4 / aq ? •
b Joyre 0. LJndgron, Ltctn• No. 14376
I q314)
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 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. ,
j? $ RECD
To Be Used For: Valuation: Date:
Site Address !Vlql /Q-?W/ ?-
Lot /O alock l
Parcel/Sub 5rA{'{r6k4
Owner X-? gop, -r oc • Lo f UP
Address
City/Zip Code e_Ah5*,J S5-1Z_3
Phone # j6gq' v1.3 70 6L/E3+e<69?'1AO3
Contractor
Address
City/Zip Code
Phone
Arch./Engr. _
Address
City/Zip Code
Phone #
?
1 9,
L 0
OFFICE USE ONLY
FEES
Occupancy
Zoning
?
Actual Const Bldg. Permit
L
Allowable Surcharge
# of stories Plan Review
Length SAC, City
Depth J2' SAC, MWCC
S.F. Total Water Conn
Footprint S.F. Water Meter
Acct. Deposit
On site sewage_ S/W Permit
On site well _ S/W Surcharge
MWCC System _ Treatment P1.
City water _ Road Unit"
PRV _ Park Ded.
Booster Pump _ Copies
SUBTOTAL
APPROVALS Penalty
Planner ?
TOTAL
Council
Bldg. Off. ?l?(o
Variance
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tieclluiicl En ineerin? S?ervices 92°'Ea.'M°°ml^°'°^Fr..wo,
g g BloominOfon, Mtnr»sota 50420
Land Sufv•y6tr GIYII Etiv1t1i(sro Ldrid PIdtiriir"i PhBnes s14d•0889
5u1?ve ?ar`?s ?1
1AWfZ 800K PAGE
J08 NO. 89-" 331
SURVEY FOR:
DESCRIBED AS:
Frontier Midwest ftomes Corp.
r,ot 3.0, Block 1, s•1'ArFURU PLAcE.
City of Eagan, llakota County
Minnesota and reserving ease-
men ts o f. recorcl.
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PROPOSEO ELEVAtIONS C?? \ ` /? ? / • ?
rep el fovnection .942.G
QOfOq? f1001 ¦ 9A2.2. //
8osern?nt Ftoor ? 93q.4 01
Appren. Sewor Se?vle• Etev. .^iao.b ?
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Propotea cleroNons
Exiitino Etevation• ? ? •ma ? V Lot S qvare Pooba9? i?
Orolnope Dlnetion• `t't34 .
Denote• Ol/sef Stoke . O
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BENCHMARKe 7N,14. 104c It f13, 31 k 1, • `
I hereby csrtily that fhis survey, plan or roport Nas prepored by m• or undet ny dlreef
E/er, = 747 .:4, superviston and thaf I am a duly Repislered Land Survoyor under th• loM• o11h•
MIN. SETBACK REOIREMENTS
State ot Minnesota.
R+?s G:
Oate: IC, / 4 / bq
6 Js re D. ndqrtn, Licen= No. 14376
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1999 BUILDING
New Conshuction Reauirements
PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122 --? ?
651-681-4675
?Q
Remodei/Reoair Reautremenis L ' '?R-
? 3 registered stte surveys showing sq. R. of lot, sq. ff. of house
and cll roofed areas (2maximum lot coveraae allowed)
? 2 copies of plans (show beam b window sizes; poured fnd. design; etc.)
? 1 set of energy calculations
? 3 copies of tree preservation plan ff lot platted affer 7/1/93
DATE:
DESCRIPTION OF WORK:
STREET ADDRESS: `7`/ r/?
LOT: _L BLOCK: t_ SUBD./P.I.D. #:
PROPERTY
OWNER
Name: Phone #:
L st First
Street
City
r._-•--- State: ? Zip:
Company///i?Gc.?-?G?/i?? Phone #: ??, o? -.L?/ J???
(area code)
CONTRACTOR Street Addressti?T3/ License # el ExP
City State: Zip:
ARCHITECT/ ENGINEER Company: Name:
Telephone #: area code ( )
Street Address: Registration #:
City
2 copies of plan
1 set of energy calculations for heated addHions
1 sffe suney for exfertor addHlons 8 decks
CONSTRUCTION COST:
State:
Zip:
Sewer 8. water Ilcensed plumber (reauired for new construction onN
?
4
Penalty applies when address change and lot change is requested once permit is issued.
I hereby acknowledge that 1 have read this application, state that th mation is correct, and agree to comply with all applicabi
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
_.
, _.. --
OFFICE USE ONLY .?
,
,, .
Certificates of Survey Received Yes No
Tree Preservation Plan Received Yes No Not Required _____.
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation
? 02 SF Dweiling
? 03 1 of _ piex
? 04 2-plex
? 05 3-piex
? 06 4-plex
? 07 5-plex
? 08 6-plex
? 09 7-plex
O 10 8-plex
? 11 10-plex
? 12 12-plex
? 13 16-plex
? 14 Apartments
? 15 Lodging
? 16 Fireplace
? 17 Garage
? 18 Deck
? 19 Lower Level
? 20 Pool
? 21 Porch (3-sea.)
? 22 Porch/Addn. (4sea.
? 23 Porch (screened)
? 24 Storm Damage
? 25 Misceilaneous
WORK TYPE
? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert 0 44 Windows/poors
? 33 Alteration ? 37 Demolish Bldg.* 0 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) 0 42 Reroof
* Give PCA handaut to applicant for demolition permit
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
APPROVALS
Planning
Basement sq. ft. Census Code
Main level sq. ft. SAC Code
sq. ft. No. of Units
sq. ft. No. of Bidgs
sq. ft. MC/ES System
sq. ft. City Water
Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
. Building Engineering Variance
Permit Fee
8urcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
TotaL• aC5?.1 5'
Valuation: $
SAC Units
% SAC
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1999 FIREPLACE PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD - 55122
651 681-4675
.
Date:W ^ g ^ ! 7
Description of Work: _ Construct new fireplace )?Gas Masonry
_ Install gas insert onlv
Other
Job address: ? /
Alterations to existing
Install gas line only
Lot:
10 Block: Subdivision/P
I
D
#:
_
.
.
.
Applicant (circle one only): Owner Contractor Pern:it Fee: $60.50
?
' Name: Wt
Phone #:
PROPERTY Last First
OWNER ? /
T
Street Address:
CiTy ?FaAz? State: Zip: 63
Company:_??j,f??? Phone #: 315 ?500
(area code)
FIREPLACE
TNSTALLER Street Address: %/Q WU0yy1 E lU (0 71? U
City State: n'J 1U Zip:
Company: ? ?Q?L ? Phone #:
(area code)
GAS LINE
INSTALLER Street Address:
, City State:
Zip:
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.
Signatu e
OFFICE USE ONLY
BUILDING PERMIT TYPE
El 16 Fireplace
WORK TYPE
E] 31 New ? 33 Alterations ? 39 Gas Line ? 41 Wood Stove
C] 32 Addition ? 34 Repair ? 40 Gas Insert
GEN_ERAI. INFORMATION
Census Code 434
SAC Code 01
REMARKS
Chimney/flue must be inspected before concealing.
FERMIT ?
CITY OF EAGAN
w 3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
P.I.N.: 10-72500-100-01
PERMIT TYPE:
Permit Number:
Date Issued:
4191 RERDINC
LC?T: 10 BLQCKs
STAFFORD PLACE
BUI LL1ING
0 323A1
m6/24/9s
DESCRIPTION:
STQF2M DAMAGE
F2EpAIR
434 RL7. RESIDEtdTIAL
?
, ? ?. ..., ? ... ?? ?? ..
REMARKS:
FEE SUMMARY:
CONTRACTOR: - Applicant - S T. ?- z C OWNER:
SAMPSnN-LIidDGREN 17215546 0003129 LACKEY KAREN
2228 E 35TH ST 4191 READING
hiINNEAPOLIS MN 55407 EAGAN MN 55123
(612) 721--5546 (612)452-1905
APPLICANT/PERMITEE SIGNATURE
1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PII.OT KNOB RD - 55122
681-4675
New Construction Requirements
? 3 registered site surveys
? 2 copies of plans (inGude beam 8 window sizes; poured fid. design; etc.)
? 1 energy calculations
? 3 copies of tree preservation plan if lot platted aRer 7/1193
required: _ Yes _ No
DATE:
RemodeVReoair Requirements
? 2 copies of plan
? 2 site surveys (exterior additions 8 decks)
? 1 energy calculations for heafed additions
CONSTRUCTION COST;
DESCRIPTION OF WORK:
STREET DDRESS: Z
L : "_ BLOCK:
?-
Name: t? )-'j Phone #: `?-
PROPERTY Last First
OWNER /
Street Address: c% ??-??/L'
? .
?, J s` ?
Ci State: ktj, Zip: J-3
?
Company:-5?4 575? ?; dV? J?.,? hJ Phone #:
CONTRACTOR .-
Street Address: ??--g L ,? S g License #
City State: //?" Zip:
?
ARCHITECT/
ENGINEER Company:
Phone #:
Name:
Registration #:
Street Address:
City
State:
Zip:
Sewer & waterlicensed plumber (new construction only): . Penalty applies when address chang
and lot change is requested once permit is issued.
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicabl
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant: 11r..
OFFICE USE ONLY
Certificates of Survey Received Yes No
Tree Preservation Plan Received Yes No NotRequired
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex
? 02 SF Dwelling ? 07 4plex
O 03 SF Addition ? 08 8-plex
? 04 SF Porch ? 09 12-plex
? 05 SF Misc. ? 10 _-plex
WORK TYPE
? 31 New ? 33 Alterations
? 32 Addition ? 34 Repair
GENERAL INFORMATION
?
? 11 Apt./Lodging ? 16 Basement Finish
? 12 Multi Repair/Rem. ? 17 Swim Pool
? 13 Garage/Accessory ? 20 Public Facility
? 14 Fireplace ,. ? 21 Miscellaneous
? 15 Deck
? 36 Move
? 37 Demolition
Const. (Actual) Basement sq. ft. MC/WS System
(Allowable) Main level sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code.
Depth Footprint sq. ft. _ SAC Code
Census Bldg
Census Unit
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit S/VN Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other .
Copies
Total:
% SAC
SAC Units
4- c ._..
,- , 0 .*
528°00+
37 • 50+
264°OJ+-
19964- 00+-
2,793•50*+
?
?28•DO+
G?'.. 3? ° 50+
264°00+
1 ! 964 • O0-1-
2,793•50*+
4
SINGLE FAMILY DWELLIAGS
2 3ETS OF pLANS
3 HEGISTEIiED SITE SIIRVEYS
1 3E'P OF EAERGY CIlLCS.
2 3ETS OF PLANS
REGISTfiRED 3ITE 3QRVE?S -
(CBECg WITH BLDG DIV.)
1 SET OF EBERGT CiLCS.
iPP OVAI.S
Planner •
Couneil
Bldg. Off. ?19113
Yariance
MULTIPLE DiiELLINGS RENTAL tJNITS ? FOR 3ALE DRITS # OF ONITS
1tOTEt iDDRESSES FOR OORNER LOTS - COPTR?CTOR/HOMEOiiNER MST DE4IGAASE iiBICS LDDRESS
IS DESIRED. NO CSANGFS WILL BE 1LLOWED ONCE BUILDZNG PERMIT I3 ISSIIED..
SE6TER & iIATER pERMIT FEF.S 1ND ACCOONT DEPOSIT nES iiILL BE INCLODED i1ITS THE BUILDINt3
PERMIT FEE. PROCESSING TIME FOR SEWER AND i1ATER PEEMITS IS TWO DAYS QNCE A PERlrSIT BILS
BEEA COMPLETED INDICATING A LICENSED PLUMBER.
PENALTY APPLIES WHENt PERMIT IS NOT PAID FOR IN SAMME MONTH IT IS REQUESTED.
LOT CHMTGE IS REQUESTED ONCE PERMIT IS ISSUED.
??? A 2 ??89
To Be Used For: new construction Valuation: ` Date: O(:TfIRFR 9. 1989
Site Address 4191 READING, EAGAN, MN 55
Lot ^10 Block 1
Pareel/Sub j STAFFORD PLACE
Qwner LOING, ROBERT AND DEBRA
•ddres s2167 WATERTWON RD.
City/Zip Code LONG LAKE, MN 55356
Phone 475-1373
Contraetor FRONTIER DEVELOPMENT CORP.
Address1285 CORPORATE CENTER DR.
City/Zip Code
EAGAN, MN 55121
21 r)S,?a ,?„ OFFICE OSE
Occupaney fZ-a M -
Zoning R _I
Actual Const Y-N
A12owab2e V-N '
# of stories
Length y C> '
Depth Sd' ?
S.F. Total
Footprint S.F.
On site aewage
On site well
Mi,TCC Systsm v
Citq Mtater v
PRV required
Booster Pump
Phone 454-0433
Jlreh./Engr. DICK CHARLIER
Address 14103 GARDENVIEW DR.
City/Z%%€idgALLEY, MN 55124
Phone # 432-5492
1989 BUILDIAG PERMIT iPPLICATION
CITY OF EAGAN
I+BILTIPLE DiIELLINGS
COI+SME RCIAL
2 SETS OF 1RCHI?ECTURAI.
i STBOCTQRdI. PLiNS
1 SET OF SPECIFICATIONS
1 SET OF MRGT CALCS.
FEFS
Bldg. Permit 528.00
Surcharge 39,50
Plan Review 2,G4,oa
SAC, Citq 100,00
SAC, MWCC 575, 00
Water Conn 596,00
Water Meter 90,00
Acet. Deposit 0. t0
S/W Permit 20100
S/ii Sureharge , oo
Treatment Pl. Zr. 9 IQo
Road Unit 3
Park Ded. ?
Copies _
SUBTOTAL
Penaltp
lOTII. ?
? S?V/
EnTER?OR ENVCLOPE_AVCRAGE ."U:'_ CUMi'U_I11I1UIV_
(sQ Y be?UZ4.nnTr : 5- 11 - M
OWN E R ;
S?TE ",DDRESS: PHQNE: 454-0433 - FRONTIER
CONTRAC?OR: T:-2,>I7 1 ?e ?-li r-t=5 • PL,?N m y?217 A
2x6 STIJDS
Determine working square footage of each
4
' sq. -ft. x .11 = 1 8t3.14
1. Total t l area.....
exposed wa
sq. rt. x .026 = 2'1.0q
2. Total roof/ceiling area..... i 04 D
Total exposed wall area above .floor=_ ?Z3.&5
....... l3a
a.
* Total wa11 window area .....................
: ........ ..... .
..............
b. Total .... .
door area ..................... ........ .........
c. Total sliding glass door area .............. ........ .....
d Total lFireplace wall area .................. ........ .............
e. Total wall rraming area (av?rage lOp) ...... ........ ............::
.........
?. Total rim joist area ....................... ........ ..
g. net wall area above ^loor ............... ........ ..... . . .
-
h, wa11 area a6ove -i+oor ............... ........ ..... . . . . . . . . .
i. wall area a6ove -1floor :.............. ........ .............. ^
j. Trame wall a?ea at. To?*?da-t?or ................................... .
Total expased foundation area=
k. Total faundation window area ......................
1. Total net Toundation area above grade .............. ?2,1.8 3 -
? Determtne "u" value of each wall segment .
(e,g, window, door, each separate wail section)
, X l,ull ?_.?:
a. -
b...... a
...... 39? X t? ??? , 31 = (I ? 8
c
; -7 ?
x
"u" , ?(9
= IS. ?e
d. - X l,uii
e. 22 .3? X liuii
f. 13?1 . 3a X „U„
g X "V , 05 = 12, . 05
h. - X fluti - ? -
i. X iiutl
J-
_ x I I lu„
X " U,° -? _
?:. -.
If item ?3 is the sa,
- as, or less than ite.
T1, you have met the
XI u„ intent of SBC o006 (
?
3. .................................Total = )?7C.,8 8? ' .? .
. ' .
- ? -------- --^• ..
Total exposed roof/ceiling area =. ? r?)q O
• . . ,
:?. ?tal skylight area ............................
n. Total roo`/ce_lin, - framing area (,ivcragc 10%)
o. Total net i.^.sulatcd ;:oot/ceiling rlre:a... , : .. . . . ' ?7?,!.< . ..
Deter:nii:e "U" value tor each roof/ceiling segnent .. ..
X nUu
?^ ? ? • ' '. . - • '
M.
: ... :- :
r. ? oq ,; ltUts O,a 2.5
,
: : . ; . ..
?. q3tP X s,U,i , oZ = 13 -77
4 . . . . . . . . . . . . . . . . . . . . . . . . . . . zb tal = Z I , 2 Z _. . . .
to_ai c= -? is the same as, or less i_han 42, you have met the intert o_ • S?? 50?°5 ;r_1 1, , ' . . , .
alternate Building Enve'ope Design
To ?;i _iza the total envelope 'system method, the values established by the sur.i of .' . iterms =3 zzd a4 shall not be greater than the sum of items ##1 and 7#2. . .. .. "
l. 188.l4 + 2. '21,0?_ -
3. + 4. 7.12Z = 1.4A
.>: . -
PIAN # G ON C O fz l7
^ LINFAL FEf.T FXPOSED WA.LL
BLOCK :? J ? 2 S. 3?-i i, 54 2 Co = I? 1. 8 3
KyEE: 25,33 44 D + 2 L
W.O.. _
FULL 1: 40 FtJU 2: .. ..
FIREPLACE: _
RIli: I 3 I , ?3
? SqUARE FEEr EXPoSID wAJ-L axEA .
BLOCK: 1 ? 1 . $ 3 x .5 = :p 5. 'l 2
X=: 5 x 5
w.o.: -- x s= -
FULL 1: I 3 2 x s= 105 L
FL7LL2: r .x 8= -
FIREPLACE: , x = -
RIM: 1 3 I•33X 1- ??? '?'3
TOTAL ' n10.4
? SQUARE FF.Er EXPOSID CEILING =? 0 4 O
*.,atl?vp EWS ^ DC?ORS
1?1-H Z aa 3= 3 x?_-? a 3? = 2 = ? 8
Z o5 4,=5 x5 = Z5 •^ PATIO DOORS
2o4.o= 32.9
2,13 t,= Lo rC (o = 3 C, * SASII= UIdITS
?
,a.,"K • ?1se ;.3? C? opzqUe l'in t l orFA TUr
J fv'ar? ct??r?zGt?or
.
r-
t TG. L
pFZ4PE ?4R LL
?
n
. °--------- ? ' ? °
? .
3
??
9 > > '
4 p •,? G ? .
?r„• ? %-; ?
?
?-?-
?? - 43
?
? 711r
?Q ?
? a •'° , "? ' ? ' '?, ?
rk-• vr.LUt.
CDNSTRUC'I'I01?=- FR.AMING ' -
1. I=IOR AIP. FILM 0.68
2. 172 G-YPBD .4
3. 5 1/ 2" SOFI' WOOD 6.87
.
4.
5. -t'HERNi ? S4F?f?
?IlliNv . 2
•8
6. OR A.IR FILM 0.I7
TOTA
. L
R= 8. 99
U= 11
1VL1
INTMIOR ATR FZLM
0.68
24'- ` 2 GYPBD .45
3.
4 T}F??i+to ?t.Y sHExr?+
5. SIDING .6
6. ! R A_._ FIIM
U= .05.
l. INTERSOR AIR FIIM 0.68
2. 6 INSUL. 18.00
3 . . JO - - --
4 7)+E{?l?fo RY sNE+crH . Z
5. SIDING • ??
6. ' OR AIR FIIM • R= ?Z.SL
TUM v= __-04
BIACK
1. . INTERIOA AIR FlLd _ 0.68
2. 1:2" l.3LOt:K 1. Z.U
3. it? STYRO . 5.00
4. PROTECTIVE BARRIER
5. 017
g, ?IOR ARF -
TQTAL R= 7.13
U= .I4
SI.AB ON GRADE
.?
- /1t
tE?
?
/f 1
i!?- ` •.
' ? 1 1 D, .?\
,
J???'? - ?
ll?rrl.-?ll=
.
ff11??
_. •
Il? ?
? /1(
NO'I'E : INDICATF' '1'YPE, "R" VABJE, DE.°'IH ANID
PLP:CII071 OF INSUIATION.-
CONSTRUCTION ' R-VALJrr-
1. INIERIOR AIR FILM 0.61
2. ?
3. iNbUL.PUIUN
4. - TOTA.L T.-Ff--
.80
U = .02
A F-EAT F'UOtd
u UP FIG. #5
FRAME •
1, INTERIOR AIR FII.M 0.61
2.
?:
U = 0.024
CONSTRUCT'IOid
-\ltJ
hEt AT F-LpW tJP
J? . rr?rw?
N6N-VEN'I'ID
'r.iAT FLlJW
UP
?
1, INSIDE AIR FIIM 0.61
2•
3.
4. ' 0.17
5. '
. 'TOTAL
.U =
FRAME
1. INSIDE AIR FILM • 0.61
2.
3.
4. .
5. . TpTA
U.= ..
INSIDE AIR FIIM 0.61
1.. .
2. .
3.
4. ,
U =
NOTE :. USE PDDITIONAL SIETS I-F MORE TTONS IS
r1EEDED FOR DETAILS AND CAI??' -.
rIG. #7
R00:?-:._ ? :,1NC:
FIG. #6 - '
1-leclluiicl Engineering Services 9201Easf8loominptonFreeNay
Bbominpton, Minretota 55420
Lond Surveyors Clvli EnOineers Lond Planner• Phone: 888-0289
? wmcil,r?s er?`? ica
BOOK PAGE
? J08 N0. gqR" 337
SURVEY FOR:
DESCRIBED AS:
??-
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.
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?
Frontier Vidwest flomes Corp.
Lot 1.0, B1ock 1, s,rArroav PLncE.
City of Eagan, I)akota County
rtinnesota and reserving ease-
ments of record.
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PROPOSEO ELEVAtIONS T
?,L:?
Tep of foundatlon •q42.G
QaroQs FIOOr a q42.Z- \?
BosenNnf floor '939.4 ,?p c? ,O ?? / q 0 ?
Approx. SerrK SKVIc• Elev. .9?0•0 OC3
\? j, 0•? ?? ,i
PropoaA Elevoliont
Exisfina Elevalions (,o{ S vare Fooba9e. ?6Orolnop• Otnetlons 3
? 3Z3`- . ?
anotes O/hN Stoke O
ooy ,.? .
BENCHMARKT ?
'TN.fI. Loft Iz ?1a, 3?h 1. I hereDr certity that thi• survey, plan or reporf Nos preparM sy m• or under n+y dtr*et
EIPr. = 94z.ze
MIN. SETBACK REOIREMENIS supervision and Ihat I am a dulr Rs9{sttred Land Surveyor under tA• laws of th•
F - 'Lo S-,o State of Mlnnesota.
R= 1s Cr = 5 \
Date: 1O / 4 / 69
b J• re D. ndQrtn , Liten: No. 143T6
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4191 Reading
Lot: 10 Block: 1 Addition: Stafford Place
PID:10- 72500- 100 -01
Use:
Description:
Sub Type: e- Windows/Doors
Work Type: Windows/Doors - New/Replacement
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Crew2 Inc
2650 Minnehaha Ave
Minneapolis MN 55406
(612) 276 -1680
Applicant/Permitee: Signature
PERMIT
City of Eaan
Construction Type:
Occupancy:
A framing inspection is required when installing a Bay or Bow window or if the opening is altered. Smoke detectors are
required in all sleeping rooms prior to final
inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required. Battery operated types are
acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector.
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total: $90.00
- Applicant -
Owner:
Wilson D Lackey
4191 Reading
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$88.50 0801.4085
$1.50 9001.2195
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.
Issued By: Signature
Building
EA086073
09/15/2008
ePermit
,
Use BLUE or BLACK Ink
�-----------------,
� For Qffice Use I
� �- I
�1� ���� �� I Permit#: � 1
i �
� � Permit Fee: ��� �
3830 Pifot Knob Road �
� I
Eagan MN 55122 {��CEIVED i Date Received:
Phone:(651)675-5675 I i
Fax:(651}675-5694 � Staff: �
Jt1�� a ��� �-----------------�
2014 RESIDENTIAL BUILDING PERMIT APPLICATION �`� ���
7-1�1�
Date: Site Address: Unit#: �F�
Name:_�'�.1. �, d- K IL1�L°�.. ��C� +Q u Phone: 4r�f'/� �"a•�7 a J
� 1�eS�s�Erri'k� �
���� ,; ��� Address 1 City l Zip:�( q � ���C� ♦V�"!�
' Applicant is: Owner vContractor
�T�'�3£�+E�f 11��?i'k Descnption of work: C.•�n'V�. '..5��L►��"'� �Y�� +�i�o K'�' G� �Y
Construction C�t: �0 Multi-Famify Building: (Yes /No !�)
Company: �� 2> t�t 5�a�. �'-•ov.5� Contact: �.e�
Address: 7 �7 � A �'�10�.� li/+�
� `���n�C�ctt�X` '� —�-�-� �4 ��� 4 � City: �IA 4 �3''�
State: �1+� Zip: ��1�-3 Phone: � �v�•�'S`S7&EmaiC�YI.t( Rr4Ck�Cd�'Lp�GIf�Q�• 1'�l-r
�icense#:�G'��? o'►�'a �'"j{ �eaa certificate#: 1lt[�?' • .� b �� b� 1
If the project is exempt from lead certification, please explain why: (see Page 3 for additional informafion)
� 1
COMPLETE THIS AREA ONLY IF CONSTRUCTIIVG A NEW BUILDIRIG
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber. Phone:
Mechanical Contractor: Phone:
Sewer�Water Contractor. Phone:
AiE�7',�:Plans ar�z�►supptrr�ir��d��cr��s�li�y,r�r sub�ifare co�r�s�der�ecl���1��ar��rf* Ptrt�it�r���►#;.
ihe��'r�rrn�ticrtt t�n�ty#�cl��retl,�s r�art�r�►�t�if�y���ro�tt�+��+�``�rs�ss�s��it��i�t�`��f�����r�+�
cvr�clu��a�at�e,�a�e�ad�e.�r�ets
� � _ ., , .._�.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0�2 for protection against underground uUlity damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. uww.popnerstateonecall org
I hereby acknowledge that this information is complete and acxurate;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 applicatian for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minrtesota State Building Code must be c�npleted within 180
days of permit issuance.
X Irn�e l �a� k��2 X l�.�Q
Appl�canYs Printed Name ApplicanYs Si gnature
Page 1 of 3
� }
�� l ' I�Q.[1(,�1 �'L.h
� - 1
DO NOT WRITE BEL9YV THIS LWE �� �S�
�
SUB TYPES
_ Foundation _ Fireptace _ Porch(3-5eason) _ E�erior Aiteration{Singie Family)
� Single Family _ Garage _ Porch(d-Season) _ Exterior Alteration(Multi)
_ Multi _ Deck _ Porch(ScreentGazebo/Pergola) _ Miscellaneous
_ 01 of_Plex _ Lower Level _ Pool _ Accessory Building
WQRK TYPES
_ New _ Interior Improvement _ Siding _ Demolish Building'�
�( Addition _ Move Building _ Reroof _ Demolish Interior
�~4 Alteration _ Fire Repair _ Windows _ Demolish Foundation
_ Replace _ Repair _ Egress Window _ Water Damage
_ Retaining Wall � *Demolition of entire building-give PCA handout to applicant
DESCRIPTION �(
Valuation U Occupancy �C,,, L MCES System
Plan Review Code Edition ,, ,a,. �, SAC Units
(25%_ 100%�} Zoning � City Water
Census Code �Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Sprinklers
Type of Construction � Width
REQUIRED INSPECTIONS
Footings tNew Building) Meter Size:
Footings(Deck� Final/C.O. Required
� Footings(Addition) �. Final/No CA. Required
Foundation HVAC Gas Service Test Gas Line Air Test
Roof:_Ice&Water _Final Pool:_Footings AidGas Tests _Fina!
� Framing Drain Tile
Fireplace:_Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick
� Insulation 1Alindows
Sheathing Retaining Wall:_Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Erosion Control
Braced Walls Other:
Reviewed By: '��` ,Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
�E
Plan Review �`'��� -���
MCES SAC � �
� ����.
c�ty sac � ,
Utility Connection Charge � ��',,-f � � �� �
S�W Permit&Surcharge � �d /
Treatment Plant f
Copies
TOTAL
Page 2 of 3
r For Office Use .
+:*1 ; ; R r,► Permit#:
/5-4 3 70 (-___.
EAGANt••1. •~dr• Permit Flee: /7W3cc,
� ECEIVE
•
�
3830 PILOT KNOB ROAD EAGAN, MN 55122-1810 Date Received: •,;= Sr
651 675-56751TDD: (651)454-8535 FAX: (651)67
( ) � 5-56 Staff:
buildinginspectionsecityofeaaan.com JUN 2 5 2019
2019 RESIDENTIAL BUS' ' ; - -- : kfl T APPLICATION (}'6"11"
6 -611g-l'
Date: Site Address: Unit#: c5-11-14 1
Name: C'(`-0s Phone:ecti :711 7 1
Resident/ Li1 / '1)l A/� F—D Owner Address/City/Zip:
Applicant is: Owner Y Contractor - I -' 4 ( )(?(/ /7, it
, ,
Type of Work
Description of work: 1eA7( C*'— 4.'-KcrO t "T�( '-4 r u
Construction Cost. CJ OC' Multi-Family Building: (Yes /No'( )
•
Company: i ' m- • i� ..'Walt Contact: h! [...L.-, R--
Address: 2--2-1 10 V g,g A Jap�"Lh LA/C, City: FC��' h
Contractor
State: Zip: /---t 7 Phone: S;_ mail:. f'0lCI Yddl 161� i co
License#: ‘ C--(03gf9S—
Lead Certificate#: 1\kari[.49.9 --Z3- v
If the project is exempt from lead certification, please explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: . Phone:
Fire Suppression Contractor: Phone:
NOM mesa aAd; .. ori ►:edoc ts that ► t asoonaWwed to be mobile inion Portions of the lslb►matlbn may be
ctoS lett _ itileOPAS441401,11001C f at Vat WOO id Pent*5Ly ..10 00nOkide:Oat lhey are Brad.MVOS.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeaoan.com/subscribe.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities. www.aooherstateonecall.orq
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is of to start without a permit; that the work will be in
accordan with the approved plan inhe cas of plc which requires a review and approval os.
x /t
1 b aim rail ,11 x jA /
4 A _
Applicant's Printed Name Ap i Fc 'n s i,,nat re
DO NOT WRITE BELOW THIS LINE 11/9 6_41-11/ ,Q
SUB TYPES
Foundation Fireplace Porch(3-Season) Exterior Alteration(Single Family)
Single Family Garage Porch (4-Season) Exterior Alteration(Multi)
Multi r Deck Porch(Screen/Gazebo/Pergola) Miscellaneous
01 of_Plex Lower Level Pool Accessory Building
WORK TYPES
New Interior Improvement _ Siding Demolish Building*
Addition Move Building _ Reroof Demolish Interior
}d Alteration Fire Repair — Windows Demolish Foundation
Replace Repair _ Egress Window Water Damage
Retaining Wall *Demolition of entire building—give PCA handout to applicant
DESCRIPTION
Valuation ./ 33100 --- Occupancy ..i124 -i MCES System
Plan Review Code Edition of 4 Z O IS SAC Units
(25% 100% 20 ) Zoning /2.—1 City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction ✓F Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings(Deck) Final I C.O. Required
Footings (Addition) 74 Final I No C.O. Required
Foundation Foundation Before Backfill HVAC Service Test Gas Line Air Test Hood
Roof: Ice &Water Final Pool: Footings Air/Gas Tests Final
Framing 30 Minutes 1 Hour Drain Tile
Fireplace: Rough In Air Test Final Siding: Stucco Lath Stone Lath Brick EFTS
Insulation Windows
Sheathing Retaining Wall: Footings Backfill Final
Sheetrock Radon Control
Fire Walls Fire Suppression: Rough In Final
Braced Walls Erosion Control
Shower Pan Other:
Reviewed By: 1 °/1 /7 • k/ ,9 , Building Inspector
RESIDENTIAL FEES /`jX/(o ^ ZZ' Sg. 0--
Base Fee
Surcharge .4-11 e f aPeS
Plan Review
MCES SAC Pc4-/ Locippfril l 5-,9:f�
City SAC
04)
Utility Connection Charge
4( /51 o .fl S9 • &-
S&W Permit&Surcharge
Treatment Plant
Radio Meter Read
Copies
TOTAL
Page 2 of 3
l i
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e' l,ti,:A a /S6 --7c)
tl a d l ud Engineering Services 9201 East 81oominglonFreeway .
tend Eerevyetr Cltrli Lnginitrte MemInel n,Mhneeeto dd4=0 •
Land Planners Phone: Sed•Ote/
Suwcqor'sCcrtficatc
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SURVEY FOR: Frontier Midwest •
Homes Co rp.
DESCRIBED AS: Lot 10 , );lock 1 STAFFORD9 :'` •
PLACE. •
City of. Eagan, Dakota County d• 9•
Minnesota and reserving ease- Y4Si o p
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ments of. record. 1� - o
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PROPOSED ELEVATIONS \(21t"\
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to, \ \ //Too et Formation a+142.4 , ,
Geroge Floor .q,t�.z, / / v1 .091)
• 9�•6
9voement Floor •gsq.4 \-2:ep
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Appre�t.Sewer Service Elev.•'►eoA •
Proposed Elevations • \-r",
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Emoting Elevations 1 m .�
a v Lot S va*s Nowise.
Drainage Directions I ..�,.... e
Denotes Offset Stoke I O In
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DENCHMARK I
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'TN,l/. L.+t it i 13, ask 1' I hereby certify that this survey�plan or report was prepared!td by me or under my direct= Vz.ta
Mr.SETDACK RECIREMEUTS supervision and that I am a duly Registered Land Surveyor under the laws of the
F = lo t= to .State of Minnesota.
. 16,....N
Date: 10 / 4 / e,
Jo a D. dgren, i.tctns No. IMS78 •
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA163394
Date Issued:08/31/2020
Permit Category:ePermit
Site Address: 4191 Reading
Lot:10 Block: 1 Addition: Stafford Place
PID:10-72500-01-100
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 -
Wilson D Lackey
4191 Reading
Eagan MN 55123
(651) 738-0170
T. Dunham Construction
831 Ventnor Ave
Eagan MN 55123
(612) 819-0480
Applicant/Permitee: Signature Issued By: Signature