1425 Rebecca LaneINSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: Lot: 2 2 APPLlCANT:
1+426 REBECCA LANE PAMEICItAFT
MlLLCREST (612) T'21-66$4
PER?[T ?Vp?TYPE:
rYPE oF woRK:
tirScnIarroa
?ntrol No.
REMARKS: RVCEIi'T • C 020919
Pami! No. Pormit lioidx Daoe TiNphorw #
S/W
PLUMBING
HVAC
ELECTRIC
ELECTHIC
InspwUon Date Insp. Comm*nb
Fovtings I
Foundetion
Framing
Roofing
Rough Plbg.
Fiaigh Fllp•
iscd.
F-Owe
Fnel Hty.
Orset Test
Final Plbp. Plbg. Inspedor- Notiry Plumber
Conet. Meter
Enpr.IPlan
Bldp. Flnel
Dedt Ftg,
Deck Finat
Weif
Pr. Diep.
' °?8/7
3
1k1/
-
CITY OF EAGAN Remarks i '] J.
Addition HIL[.CRB3T ADDITION Lot 2 Blk ? Parcel 14-3205-OW4
oWner st«et 1425 REBECCA LANE state EAGAN MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF, j 1985 2450.15 490-04 5 2450.15 -1 -H
STREET RESTOR.
GRADING
SAN SEW TRUNK 1976 183.08 12.21 15 73.28 A014354 8-3-84
d6EWERLATERAL c 1985 4361.74 872.35 5 4361.74 C009818 10-18-84
WATERMAIN
9kNATER LATERAL 1985
WATER AREA 1982 294.33 19.62 15 235.47 A014354 8-3-84
*Services 1985
STORM SEW TRK 1984 804.56 160.91 S 643.65 A014354 8-3-84
'ASTORM SEW LAT 1985
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CaNN. tt n
BUILDING PER, 8781
SAC 91 ft
PARK
CASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MiNNESOTA 55122
DATE
19
AMOUNT $ I
& DOLLARS
1 oo
E]CASH [] CHECK
FOR ?-
White-Payers Copy
Yellow-Posting Copy
Pink-File CopY
Tha You
B Y
?
U
Receipt MECHANICAL PERMIT Permit No, " v
CITY OF EAGAN
Fee "
FiII in numbered spaces S/C -?
Type or Prini /egib/y Tot ' ? •
1. Date -2. Installation Cost
`/
3. Job Address Lot ` K Blk. Tract
. ,- .
4. Owner '
5. Contractor ' Phone
6. Address
7. City State ? - - 2ip
8. Building Type: Residential ? Commercial ? Institutional O
9. Work Description: New El Add ? Alter ? Repair O
10. Describe • _1 • Fuel Type
11.
No, Equipment 8TU - M. Ea.
Forced Air -? No. Equipment CFM
Ai
H
li
Mfg. r
and
ng:
Boifers
Mfg. Mech. Extiaust
; , . •
Unit Heater
Mfg. Other
Air Cond.
Mfg.
? Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed :
for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-8100
Receipt 1 PLUMBING PERMIT Permit No.
CITY OF EAGAN . J
Fee . .
Fill in numbered spaces S/C
Type or Print legibly ,
Tot. ?Y
1. Date 2. Installation Cost
3. JobAddress Lot ? Bik. Tract' 4, Owner C-f- ,-) 4yJ
5. Contractor ,???ri/,._. 1_.
' Phone
6. Address ,, ?' C f,r, G• ??.1 ?i • 7 ?, ?`?
7. City
8. Building Type: Residential ?
Stal!
zip
Commercial ? Institutional ?
9. Work Description: New ? Add ? Alter ?
10. Describe
11.
Repair ?
No.
?
,_? Fixtures ?
Water Closet No. Fixtures
Cesspool/Drainfield
? Bath tubs Septic Tank
Lavatory Softner
s Shower Well
/ Kitchen Sink
Urinal/Bidet Other
Laundry Tray
? Floor. Drains ' ?. u U
Drinking Ftn.
Slop Sink
Gas Piping Outlets -- ? - t ?
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinaqces and codgs gov?rning this type of work.
Signed : •: for
Rouyh Final
InspeCtions: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved ? CITY OF EAGAN 464-8100
CITY OF EAGAN (?.?
14
3793 Pliot Knor Rood Ee4ae, MN aS122
PHONE: 4544100
BUILDING PERMIT Receipt
'^ D?•?r/rA^ R4
JANiiF^Y ?t;
Te be Ynd for Est. Volue Dote - 19
Site /lddress ? r ? ,rrCA _ T,1.:T
'
Erec? d *?
Occupancy
'? 2 ':'IT.LCT'rS^ . .
Lot Blxk 5et/Sub. Alter ? Zoninq
Parcel 1 ^- '12"75??02'n' 02 Repair ? Firo Zone
E
,.
i
WPI .
nlarye Q
Type of Const.
ag _ .
. .
,
Name :. Move ? # Stories
=
n F n, T,TA'"'" r ppi21 ?
lP , . j; . ?
Addrcss Demolish p Length
Ci phone Grnde ? Depth Sq. Ft.
?
Na Apoeovols
- iees
- --- - - - -
=V
u?
f-
me _
Address
Nome _
Addreu
1 hereby ocknowledge tFwt I hove read this application ond sfate thot
the inlormotion is correct ond agree to comply with all opplicoble
Sfate of Minnesoto Sfatutes and City of Eogan Ordinonces.
Permit Surchorpe ? . '
Plan check ?
SAC
i . ?
Woter Conn. ?
Water Meter
Rood Unit
Total . . ?} _ . ?
Signoture of Permittee I
..,. T-?r-•R.,-R r?,.??;,
A Building Permit is issued to: on the express condition tFxa+
oll work shall be done in otcordany?with nll applic?bU State of Mlnnesota Statutes and Ciry of EQ9an Ordir?onces.
Buildirg Officiol
Assessment _
Water & Sew.
Polite
Fire
Eny.
Plonner
Council
Bldg. Off. _
APC
PKmit No. Permit Holder Misc. Permit No. Holder
Plumbing ? r. ??qnJ• a3
H.V.A.C.
W?II
Water
Disp.
Stwer
Ekct?ic wAt3z r? kL, ` 00
Irupsction Dste Insp. Other
Foot
n /
Foun
Fn m T
Roug ?
Rouph HVA
?nsulnio,
Final Plbq.
Final HVAC
Final
Waftr Dssaibe Location:
Well - •
Sftwr
Pr. D'ap. -
CITY OF EAGAN SEMR smma Plmrt
3830 Pilot Knob Rosd
P. C. Box 21199 PERMIT NO.:
Eagan, MN 55?,Z1 pATE: ? _ I " _;;,;
Zantnp; 1 1 ?
No. of Units:
Own..: -M mittner Const
? Address:
j Sits Addreu: 1425 RcbaCca Lane L, U FiilIrr?cr
? Plumber; "AttheM pBniels Inr -"-"-
1_1 : -
1 Mew M wrnoly whb !M Cihr oi Eepn
Ordieanas.
By
Dote of Insp.:
Ir?sp.:
Connxtton Charpe: _ 425. 0a) nd ^
/lccowrt Depo4lt:
Ptmnit Fae: «• ? r
Su?chorpe: Pc
Misc. Chorpm
Totol:
DoN Paid: _
CITY OF EA(iAN
3830 Piloi Knob Rosd WATER SERVICE PERMR
P. O Box 21199 PERMIT NO.: 30G
Eagan, MN 55121 D/1TE: 2- 23 - R 1
Zoninp: RI
Wi211
No of Units: 1
?9 llutttfe:'
Owner: CQ;:SC
I Add'°'s`
' Sire Address; 142; Rebecca Lane L2 B-' !;i I lcrest
Plumber: Matthei Daniels Inc
Maftr No.:
Si Connection Charpe: 4 5 U. J J ,:c]
ze: Acaourrt Deposit:
Reoder No.: Permit Fee: _ 10 00 pd
I .lm to ooaoy wm eh. ciep ei Eep• 5unc,o.ge: _ Sn ?i?l
Or1i..we... Mtsc. Chorfles; _ 6; • 00 pj met
Total:
By
Date of I rup.:
Oote Paid:
Cli'Y ',
: frAGAN
,
3830 Pilot Knob Road
P
O wATER SERVICE PERNIIT
.
, Box 21199
Eagan, MN 55121 . ?'
? ? PERMIT NO.:
2onfnp: : i DATE: 2-25_.; ?
No. of Units:
Owr,er: ••:-lla_??r, '
rass: , • ? a a
Add?sss:
r^,.: L
_1:?•
urnber.
Meter No.T - ?
S
" fConneetlon Chorye: 1.? i1. ,? D d
Reoder N DePas1t:
to
? ?' a nnit Fee:
Surciwrge:
Mix. Cho?pes:
8Y Total: -'
Date of 1nsP•:
- DaA POjd'
Insp.:
REQUEST FOR EIECTRICAL INSPECTION EB-00001-04
Y ' See instructions br comvleting this fwm on baek ot vellow copv. w
'
?? Q$?Zpp
"X?" Belc+}v ork overed by This Request ?? 33 ? !
.4Aef Hep. TyOa of Building Applionens WireA En?noment OVired
Home Flange Tem{?orary Service
Duplex Water Heater Lightiny Fixtures
Apt. Buildfn? Dryer Electric Heatin
Commercial Bidg. Fumace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tdnk
Farm Othei peci y ther ISUer.ifyl
t er Sneci y ONCr Othmr
Compute Inspection Fee Below '
k Pee ServiceEntrence5iie # Fee Feedere/5ublaetlers N Fae Circuits
10,00 U to 200 qm 5 0 to 30 Am s 67 :l. so 0 to 30 An? os
Ahove 200 qm ps. 37 to 100 Ainps 31 to 100 Am s
Swimming Pool Above 100_Am s Above 700_AmUs
Transformers Irrigation Booms .'O Partial•'Other Fee
Signs Special Inspection 5
TOTA
Remarks dt
J
I -- cerlity thet 1ha abo%
- /C ? j D'nle ?
insaection has been
- "v ". ?`. °_ ^3} ,j-
Thle reCUest volE
This request vaia
18 rtqn[hs (mm
a c -py
37 sa
?censeo ueccncai ?onvacior 1 heraby requast inspecfion ut abava
Owner i? ? electrical work installed et:
Stre s eox ,eo Ciry
!? ?!
ecbon o. Township Name or Nn. Range No. Cnunry
L
Or,cupantlPRINT) Phone Na.
f./? )C w . ?-
P wer Supplier?/^ ?. .? Address /
Electrical Contractor (COmpany Namel C??ntracmr's License No.
Ma in0 A.d ress IContractor or Owner Makin
p Instailation)
J
Authorized Signawre (Contracmr/ ner Makine lnstallation) Phone Number
4"e --
MIN ESOTA STqTE BOARD OF ELECTNICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Hoom N•191 BE ACCEPTED BY THE STp'fE BOAflD
1821 Universitv Ave., S[. Paul, MN 55104 UNLE55 PNOPEN INSPECTION FEE IS
e..___ 1a111 eo? o'll ENCLOSEO.
CITY OF EIIGAN
Af ? BUILDING PERMIT APPLICATION
)6?1 P- S 7F /
Include 2 sets o£ plans,
1 site Alan W/e1.eVdtic:ns &
1 set of er.ergy cal.culations.
°S 7/ioo-a
To Be Used For w' ?2 y+ r1 Valuation ? Date /- /?-
site Adaress: °?.
TAt Z- B10C]C L S2C./SUb. 111IeYe3/
Parcel #: ,f) 9 7S DaD 0 9t
Qaner-
Pddress:
City/Zip Code:
Phone #:
ContractAr: W LA- ?u / ?N t=? ??5. s?
Adc7ress: _ 7e0 GUa?P?O;? Dr,
City/Zip Cocle: ???;,?„ G?r1 ?S I Z Z
Phone #:
Arch. /FYng. .
Address:
OFFICE USE ONI,Y
Erect OccuPancY
-
Alter Zoninq /?
Repair Fire Zone
Enlarge _ Tylpe of Const.
Az-
move # Stories
Demolish EYOnt G / ft.
Grade Depth -? ft.
APPROVALS FEES
Assessments
Pernut ?
Water/Sewer Surcharge 1,2
Police Plan Check S
Fire SAC S a S-gm
Enq, Water Conn. 5/ S'a --
Planner Water Meter ?
CounCil Road Unit o2 SO
Bldg. Off. -?
APC
Ciiy/Zip Code:
Phon? #:
TaraL /, &/ 2' Z , s O
r
S-G, 7 ? ti
f v5 ?
39 ?-
g
?
3795 Pi1M
BUILDING PERMIT
N9 8781
Receipt #
Te M used for SF DWG/GAR Est.Value $ 79,000 Dafe JANUARY 26 19 84
Site Address 1425 REBECCA LANE --- - Erect ? Occuponq R3
Lot 2 Block 2 Sec/Sub. 'HILLCREST- Alter ? Zoning . Rl
Parcel # 10-32975-020-02 Repoir ? Fire Zone N/A
Enlorge ? Type of Const. V
rc Name WM•"HUTTTNER CONST. Move ? # Stories
? Addreu 960 WATERFORD DR. W. pemolish ? Length 61
ci EAGAN phom 452-3088 Grade ? Depth 44 Sq. Ft.-
? Ncme SAIdE ADOrovals Fees
ot Addreu Assessment
00
Permir ?•
"g Water 8 Sew. Surchorge 39.50
Cit Phone
Police 185. ??
Plan check
Gw Name Fire SAC $25.00
?? Addresa Eng. Water Conn. 450.00
i W Ci phone Flunner Water Mefer 63 . 00
Council Road Unit 250.00
I here6y aCknowledge thof I have reod rhis application ond stote thaf gldg. Off.
the inlormotion is correct nnd ogree to comply with all applicoble APC Totol $1,882.54
$fate of Minnesoto $tatutes and City of Eagon Ordirwnces.
Signature of VermiMeo .
A Building Permit is issued ro: WM. HUTTNER CONST. on the express tonditlon ffinr
oll work sholl be done in accar nc Ith al oppli of Minnewto Statufes and City of Eagon Ordinoncea.
Building Officiol ? f?2'C4YZ -e/
CITY OF EAGAN
Knob Roed Eagan, MN 55124
PHOHEs 454-8100
PLUMBING(RESIDENTIAL)
Permit Application
? -[ City Of Eagan
3830 Pilot I{nob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
Please complete for: Single Family Dwellings
Townhomes and Condos when pemuts aze requ'ued For each unit
Date S l .z7 / 03
Site Address / y,2 5 OeC L_L.[ / I'e Unit #
i Xi /JU Telephone # (G,S" 1 ) yJ` ?/ - l0 5/?--L?
Property Owner C /'J C( ? ? gea
Contractor Z??
Address City
State /f//t,/ Zip ?JS37? Telephone# (r'1j2
T6e Applicant is _ Owner ? Contractor _ Other
SeptiC System New Refurbished Submit 2 sets of plans and MPC license $ 100.00
InGudes County fee. Additlonal consuitant fees may apply.
Alterations To Exisdng Dwelling Unit, Including $ 50.00
_ Adding fixtures to lower levels or room additions, excluding water softener and water heater
_ A6andonment of septic system
_ Water turnaround (+ 5/8" meter if needed -$121.00)
Other:
_ RPZ _ new installaUOn _ repair _ rebuild $ 30.00
? Lswn irrigatiaz system jo
S
'??
Z
r
K
uP
/
/
Water softener Water heater
15.00
_ replacement _ additional
ij
$ .50
State Surcharge .
By __ _ 1
Total ? ?.
$ ?U 'S
I hereby apply for a Residential Plumbing Permit and aclrnowledge t6at the information is complete and accurate; that the work will
he in conformance with the ordinances and codes of the Ciry of Eagan and with the Plumbing Codes; that I understand this is not a
pernvt, but only an applica6on for a pemut, and work is not to start without a permit; that the work will be in accordance witL the
approved plan in the case of work wluch requires a review and approval of plans.
'
Applicant's Printed Name Applicant's Signature
»***?***??**m????z??????***???****?****
CITY UF EAGAN
CASH:CFRe 1S TERMINAl_ N0; 770
L41TE° 12/03/39 TIME: 10:04:37
IU:
NAME: MIGHAEL R. RERGLUNU
3210 9001 1425 FEBECCA LA 133.25
3430 9001 1425 RERECCA LA 0.50
2155 9001 1425 REE+ECCA LA 3.50
Total Receip+, Amoilnt: 143.25
CF12D8.°i8
USF_.F [i?: tAN
*??k ??#*?#?*??X?X?m***X?%?***%c?k*M??k?Nc?k***** *
1999 BUILDINC PERMIT APPLICATION (RESIDENTIAL)
CITY OF EACAN t t 1 13
3830 PILOT KNOB RD - 55122
q Q •?? ? -f
t l? 651-681-4675 Cc-?
New ConaWClbn ReaulremeMS RemodellReoair ReoufremeMs
? 3 repistered site surveys sAowing sq. %ot bR aq. R oT house
and all roo(ed areas (20•/6 maximum bt eoveraae allowad)
D 2 copies af plans (show beam 8 window sizes; pomed Pod. decign; ek.)
? 7 set of energy aleulationa
? 3 wpies of frae preservatfon plan H bt plaCed aRer 711193
DATE: 1?2
DESCRIPTION OF WORK:
kREer aonREss:
/4'L_s= A6,,e gc c-
2 eoples oT plan
7 set of eaergy ukulations for heated eddifions
1 eite aurvey tor exterioradditions 3 decks
CONSTRUCTION COST?'?
/ / ' V N
LOT: Z BLOCK: Z- SUBDJP.I.D.#: p I k I 0-!['sl 0?rf?'oti
? { /Cc1f 6 /2 ' 883 - ?. 19 w.,,?e n,e
Name: /J e l-g l u n q? ?. K P Phone #:
PROPERTY Un Fnct
OWNER
Street Address:
v?t
City 11
State:
MAi ?
Zip: S S/ z' ?
Company: L'1°""' a ?%.? e? Phone#:
CONTRACTOR
ARCHRECTI
ENGINEER
(area code)
StreetAddress: License# Exp.
Cit)r
TelephoneS: (
State: Zip:
Name:
Street Address: RegisVation #:
Clhl
[,jF7
Zip: :
5swer b water licensed plumber (new eonshuctlon onNl: Telephone
PrnaHy applies when address change and lot change is requested onee permk h faaued.
1 hereby acknowledge that I have read fhis applkatan, sfate thffi the Informatfon is correct, and agree to compty wfth all
of Eagan Ordinances. /11„'
c
OFFICE USE ONLY
Certificates of Survey Received L_? Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required
nFC 7
and CR
OFFICE USE ONLY
BUILDING PERMIT TYPE
.- , A
O 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Pordi/Addn. (4-sea.
? 03 1 of _ plex ? OS 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-piex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 05 3-piex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
A 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bidg.' ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
* Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
APPROVALS
Planning
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building _ Engineering
Census Code ?
SAC Code
No. of Units
No. of Bldgs ?
MC/E5 System
City Water
Booster Pump
PRV
Fire Sprinklered
Variance
Permit Fee ? 3? a 5
Surcharge
Plan Review
License
MC/ES SAC.
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W 5urcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
TotaL• 1 4 5
Vafuation:
c
SAC Units =-?
% SAC
? Certiticate Por:
Huttner Conatruction
u)
?5 2 -3??? DEIMAR H. SCHWANZ
lANOSVRVEVOP `tS, I Nc.
RpisUrW VnOV L+ws of TM SLU of Minnesob
4978 - 116TH STREET W. - BOX M ROEEMWNT, MINNESOTA 56088
ao EAST
SURV6YOR'S CERTIFICATE
-- -- --7
? Drainage &
? utillty easementl
LU? l ?
R
6/ I
?? 9,?p/y46D ? 6fr N e
r 4.? ? ??` ? " ZZ P ?V
ik ! ?y
A"' ? 1• 1
o v F ? ? _•
1op ?
l g, ? 0 3?s II ,,4/. f?
.t
?
?
Q K.-/; ,/ '/
PHONE 612 423-1769
Propoaed garage floor elev.
?• .q - .
Scale: 1 inch
? Denotes found iron
p Denotea set wooden
98,? Denotes exiating e
(elevations are
?
= 30 feet ;
?
monument ({' ?
hub
Levations !•?
asaumed ) i
I hereby certify that this is a true
and correct representation of a sur-
vey of Lot 2, Block 2, HILWRFST
ADDTTION, according to the r.ecorded
plat thereof, Dakota County, Minn.
Alao ahowing the location of a pro-
posed house whase offsets were staked
thereon.
Aated: January 10, 1984
A7_? fi
?.' o
? ry
. ?
r 1
?
/
t tX?'?{?
MINNESOTA REGISTRATION NO.B675 ?
C.?`
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: LoT : z B L 0 C K: 2 APPLICANT:
1425 REBECCA IANE PANELCRAFT
HILLCREST (612) 721-6628
PERMIT SUBTYPE:
SF (MISC.)
TYPE OF WORK:
DESCRIPTION
?
Control No. 1075
BUILDING
001477
09/18/92
ALTERATION
SIDING
?
REMARKS: RECEIPT # C 020919
'
? `CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55723
(612) 681-4675
PERMIT
Control No. 1075
PERMIT TYPE:
Permit Number:
Datelssued:
BUILDTNG
001477
09/18/92
SITE ADDRESS:
1425 REBECCA LANE
LOT: 2 BLbCK: 2
HILLCRESI'
DESCRIPTION:
-•, _, SIOING
Permit Type
8uilding`Work Type
uB c aecu p
- ? , --.;
.,,
SF (MISC,)
ALTERATION
R-3
•} r {z 7? El.?y,t'• 7 .? )r tyt`..;.:
?L.? ?w? ?Z] }
REMARKS:
RECEIPT # C 020919
FEE SUMMARY:
VALUATION
Base Fee
Surcharge
Total Fee
$72.00
$2.50
$74.50
$5,000
CONTRACTOR: - Flpplicant - sT. I.z OWNER:
PANELCRAFT 17216628 000217 CARLSON DON
- 3118 SNELLTNG AVE S 1425 REBECCA LN
MINNEAPQLIS MN 55406 EAGAN MN
(612) 721-6628 (612)452-7984
S hereby acknowledge that I have read this appJ,ication and staCe that tfie
i,nformaZ3pn 3s carrect and agree to compiy w9th atI applicab;le State of Mn.
Statutes and Gzty pf Eagan prdinartces.
?fW?fl ?rt f,?d__1111?
APPLICANT/PERMITEESIGNATURE ISSUE SI NATURE (`
PERMIT 9'
REACTIYATE
CITY OF EAGAN
1892 BUILDING PERMIT
681-0675
APPLICATION
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural 8 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
51te Address: F?F_60C'C? L''114
STREET SUITE f
Tenant Name: (commercial only)
LOT ? BLOCK ? SUBD. 1 ?
g p?
'?
'
' P.I. D. M
A
?
E, tx
I
Descri tion of work: 51 LD I
The applicant is: ? Owner Contractor ? OtI121' (Deseribe)
Name G?LS? N D IV P h o n e 4SZ -Z TO
Property LASt FIRST
Owner Address
STREET STE f
City ?/yCrA(L) State l4rv Zip
Company jaGlll(r Cr Ce?A FC? Phone ?Z
COI1tr8CtOf Address SN{L.c_, lldCr F?1/4 5 License #Exp
.
City ?A{°?S State 11/10 Zip s"?4
Company Phone
Architect/
Engineer Name Registration #
Address
City State Zip
Sewer 8 Nater licensed plumber . Processing time for
sewer & water permits is two days once area has een approved.
I hereby acknowledge that I have read this application and state that the information is
carrect and agree to comply with all applicable State of Minnesata Statutes and City of
Eagan Ordinances.
???
Si
gnature of Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation
O 02 SF Dwg.
O 03 SF Addition
? 04 Sf Porch
5X05 SF Misc.
WORK TYPE
O 06 Duplex
O 07 4-Plex
0 08 8-Plex
? 09 12-Plex
? 10 Multi. Add'1.
? 31 New ? 33 Alterations
O 32 Addition ,,x'?034 Repalr
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoniny
/ of Stories
Length
Depth
APPROVALS
Plannirig
Engineering
Building
Variance
REQUIRED INSPECTIONS 4-S, ni.yc-
? Site ? Footing
? Wallboard 'l-K Final
O Framing
? Draintile
? Insulation
? Fireplace
Permit Fee ?Z. ) '
Surcharge a, 5-9
Plan Review
license
MWCC SAC
City SAC
Nater Conn.
Water Meter
Acct. Deposit
S/M Permit
S/W Surcharge
Treatment P1.
Road Unit
Fark Ded.
Trails Ded.
Copies
Other
Total : 7 y„"
. • .
v
?
11 11 Apt./Lodging y 17 1
6 Basement Finish
O 12 Multi. Misc. O 17 Swim Pool
? 13 Garage/Accessory O 18 Comm./Ind.
? 14 Fireplace ? 19 Comm./Ind. Misc.
? 15 Deck ? 20 Public Facility
O 21 W
Miscellaneous
O 35 Tenant Finish
? 36 Move
Basement sq. ft.
lst Fl. sq. ft.
'?a 3 2nd Fl.?sq. ft.
Sq. Ft. total
Footprint Sq. ft.
On-site well
On-site sewage
v.iwttm:
S 5%, °' ?
? 37 Demolish
MWCC System
City Water
PRV Required
Booster Pump
Fire Sprinkler
Census Code
SAC Code
Assessments
SAC 76
SAC Units
Certi.ficate for:
- Huttner Conatruction
Dv, uJ
DELMAR H. SCHWANZ
Lt?S 2 -3 o UlNOSVRVEVOR$. lNc•
Rpisterb UntlK lawS of 7ne StatO 01 Minnesota
2978 - 146TH STREET W. - BOX M ROSEMWNT, MINNESOTA 56088
oC1 ?'A5T
3
?
SURVBYOR'S CENTIFICATE
? Drsinage &
` utility easement?
1
? I 3
,
.,a ,
? R-
j;?p
? , p 1 ro
ok
v?' ? `??• X' ? r/
;
PHONE 612 423-7789
Propoaed garage floor elev,
?i
i!
I ?
f `
i
Scale: 1 inch ? 30 feet
? Denotes found iron monument
p Denotea set wooden hub
48 ? Ienotes existing elevations?•;
(elevations are assumed)f I?
I hereby certify that this is a true
and correct representation of a sur-
vey of Lot 2, Block 2, HILI,CREST
ADDITION, accorr2ing to the recorded
plat thereof, Dakota County, Mlnn.
Also ehowing the location of a pro-
posed house whose offsets were ataked
thereon.
Dated: January 10,1984
, 0.0"o
?? ? ? 43 (?s lZ . f9 °?.a f N
4.,193- I
. ?
, • ;; . ?
MINNESOTA REGISTRATION N0.8675
J
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA176440
Date Issued:05/17/2022
Permit Category:ePermit
Site Address: 1425 Rebecca Lane
Lot:2 Block: 2 Addition: Hillcrest
PID:10-32975-02-020
Use:
Description:
Sub Type:Furnace & Air Conditioner
Work Type:Replace
Description:
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Ryan Sisk
1425 Rebecca Ln
Eagan MN 55122
(612) 578-2457
Blue Ox Heating & Air Llc
5720 International Pkwy
New Hope MN 55428
(612) 238-9709
Applicant/Permitee: Signature Issued By: Signature