1428 Rebecca Lane
CASH RECEIPT ?
CITY .OF EAGAN
.
P. O. BOX 21-199
EAGAN, MINNESOTA 55121
DATE 7 / /-7 19
?
REC F?ROM
AMOUNT Is ? ? I U 4"1
& OpLLARB
1 oo
? CASH IXCHECK
J /
FOR _1 ??? `J.iC?L,?s?_/ •
r-f iv?
I
FUND COOE q1A0UNT
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Thank You - '
A
BY ?
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White-Payers Copy
Yellow-Posiing Copy
Pink-File CoPY
Receipt
PLUMBING PERMIT Permit No.
CITY OF EAGAN
31?g y Fee?
F Fill in numbered spaces S/C
Type or Print /egib/y Tot.
1. Date - I L ?. ? 2. Installation Cost Z%15 •
,
l 44 ,, ' ' ,,r ?• ?-
3. Job Address t LotBlk. ? Tra t
4. Owner /'fVTjNr K Cee idW.
5. Contractor/?f , ri7,(?u IA); Ji i _Z-,cJ (_ Phone ? -
6. Address / ? iY/ecw- C i txzatl
7. City State Zip !7JL'6e
8. Building Type: Residential Id Commercial ? Institutional ?
9. Work Description: New ,t5f Add ? Alter ? Repair ?
10. Describe
11.
No.
1 Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
f Bath tubs Septic Tank
; Lavatory Softner
Shower Well
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
51op Sink
Gas Piping Outlets
12. I hereby certify th
' at the above information is true and correct, and I agree to
comply with al
I o rdinances an code"overning this type of work.
Signed : i? , ?i.? i„ :? for
- Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454$100
? . ,.
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT
Ts 1.e r..d ie. ?>I' ):::r/i;AR
lv9 928 7
Receipt # 7 (. ? ,/
JULY 11 54
Site Ad,?en - - - ? - -
Lot Block qec/Sub,
Parcel No.
99 W Name ? ? i
? Address y ?? _
City Phone Erect ?
Alter ?
Repoir ?
Enloroe ?
Move ?
Demolish p
Grade ? Occuponcy
Zoniny
Fire Zona
Type af Const.
# Stories
Length
Depth Sq. Ft.
Approrals Fee•
o Name
U
Assesunent
Permit ? '? • u?
u
A??
City Phone Water 8 Sew. Surchorfle ? 0_ Q U
Police Plan check. I f,?` (I
?
?W Name Fire SAC 5?5.0?
_? Address Enp. Water Conn. 470.00
V
P
W
63.00
hone
City
? planner Woter Meter
Countil Road Unit 260. 00
I hereby ackrawledge thot I hcve reod this applicution ond stote thnt gldp. Off.
fhe informotion is corred and agree fo tomply with all applicobla ? ! y 7• 5U
Stote of Minnesoto Statutes and City of Eogon ardinances. ?PC Totol
5ipnoturc ot Permittee
A Building Permit is issued ro: on the express condition thal
oll work shall be done in atcordonte with nll oppliqqbie ?Sta f Statutes ond City of Eogan Ordinances.
Buildirq Official
Psrmit No. Permit Holder Misc. Permit No. Holder
Plumbing y 5 5? ?/ p
1 O
H.V.A.C. y 1 C g . ?
i
w.u
Watsr
Disp.
Sawer
Elsctric
Inspection Date Insp. Other
Footinps
Foundation
Fnming ?
Rouyh Pt6p.
Rouyh HVA
Inwlation ..? ?
Final Plbg.
Final HVAC
Fina1
W?? Des?xibe Location:
w.n
Sewer
Pr. Dhp.
Receipt MECHANICAL PERMIT Permit No.
CITY OF EAGAN
// ?? I
I Fee
r Fill in numbered spaces S/C
Type or Print legibly Tot. 1 ??`'? ?-J -
1. Date e? ) r T-
2. Installation Cost '- • '
,
! -ki,
3. Job Address Lot?Blk.
4. Owner ,
5. Contractor
Phone '
6. Address -) C I ' I C_i.a;>!
7. City I;• State (?-
Zip
_
8. Building Type: Residential I? Commercial ? Institutional ?
9. Work Description: New t? Add ? Alter O Repair ?
10. Describe
11.
Fuel Type
No, s7uipment 9TU - M. Ea.
Forced Air, No. Equipment CFM
qi
li
Mfg. ' . _ r Hand
ng:
Boilers
Mfg. Mech. Exhaust
?
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
lnspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
CITY OF EAGAN Remarks bV
Addition HILLrAM ADDITION Lot 6 Blk 1
Owner street 1428 RESBCCA WAB
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. 2450.15
STREET RESTOR.
GRADING
5AN 5EW TRUNK ? 73.28 A014550 9-12-84
*6EWER LATERAL 1 L{ 74 C009818 10-18 84
*1VATER LATERAL 1985
WATER AREA f? 235.47 A014550 9-12-84
*Services 1985
STORM SEW TRK 5 gg g 643.65 A014550 9-12-84
*STORM SEW LAT 1985
CURB & GUTTER
51DEWALK
STREET LIGHT
260.00 44 7 7-11-84
WATER CONN. 470.00 11 "
9UILDING PER. 11
SAC
PARK
CASH RECEIPT ?
?
CITY OF EAGAN
P. D. BOX 21-199
EAGAN, MINNESOTA 55121
DATE 19
wecerven
PROM ? ?? l / l _.. - ? .:! ?? / • --'7_?' i./
y ` -
AMOUNT
r ;
6 DOLLARS
1 oo
? CASH ?CHECK
ROR
FLiND COOE AfAOUNT
<- ?
.? .J- ?
Thank You
? BY
-'_ • 4
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
CITY OF EAGAN SEWER SERVICE PERMtT
3830 Pilot K nob Road
P. O. Box [1199 PERMIT NO.:
Eagan, MN 55111 DATE: i-?`j'?'~
Zoning; No. of Units:
?,?r: Huttner Const
Add.ess:
Scte Address: 1428 Rebecca Lane L6 B1 Hillcreat ,
Plumber: Star Plb
I proe to eomPly wid? 1w CiFp of Eegan Connectlon Char?pe: 42 . 0 p
Ordlnenosr. ,+4ccount Deposlf: ?
perrnit Fen: .
Surchorpe: ?
Bv Miac. Chorges:
Date of I nsp.: Totol:
GITY OF EAGAN
3830 Pilat Knob Road
p. a. soX 21199
Eagan, MN 55V?
Zoning:
? at
?: m huCtner Gon
Gv
',ddr°ss' Bebecca Lane
Stte Address: Star p R
Piumber.
Nkter No.:
Siu:
Recder No.:
1 d4m to 0- ph wi16 Ma CItY of Eagaa
Ordieonw.
By
Date of I rnp.:
WATER SERVICE PERMtT
-?,;-
:, . , ;
QERM4T NO.:
DATE:
No. of Units:
L B Iii craet
_ Connection Chorge: • P
_ 15.00 Deposit: F
_ Permit Fee:
Surchorse: • P
pd meter
Misc. Chorges:
Total:
_ Date Paid:
_ Insp.:
h AN WATER SERVICE PERMR ,
'? ?.. db Road ,
P. %. -"U.. :.:159 PEttMtT NO.: ,
Eagen, MN 55121 EsATE: ' 4
Zoning: 't 1 No. of Units:
Owner. WID iiut t
\Address:
te Addreu: 142.?' n'?;,? I?1 Hillcrest
' lumber:
ter No.. . ' +?ection Chorge: 415 • 00 pd
p ? ?e ?,• ?
iu: r
r `, °-` ' " ? , Aacour Deposit: ,
r;;,?,.?`>' rt 1C.50 pd
?ieader No.: ?~I ? /a Permit Fee:
6 tba Cihr of Ea?n SurcF+ar9e• • •50 pd
no , Misc. Chorfles: ??3•00 Pd meter
aorse h 7-1
Total:
Paid: ?
y pate
/0 yp •'(,L1e??ooc? , G-,.?5, C,?g? CITY OF EAGAN Include 2 sets of plans,
/ 1 Certificate.of Survey &
SFpWG./4,? BUILDING PELT,IIT APPLICATION 1 set of energv cal.culations.
'Ib Be Used Eor S ^l Valuation rD? 06 o Date 7` /-e7
Site Address : /? 8 G beCda
?- K-
Lot 6_ Block / Sec./Sub. '`
/7i Ilcre5t
Parcel #:
Qaner:
Pddress:
City/Zip (bde:
Phone #:
Contractor: ixz' ea??_fl
Acldress: !Y/D n
G(/afu-'?/'c?
CityiZiP Crde: Ez9_?,, kg K ss/ 2,2.
Phone #: qS^Z- _3 0es?
Arch./Ehg.:
Address:
City/Zip Code:
Phone #:
OFFICE USE OHI,Y
Erect \,<_ occupancy PI-3
Alter Zoning -1
Repair Fire Zone N A.
Enlarge _ 7ype of Const. 'z
Move # Stories
Demolish Front rj ft.
Grade Depth 4c? ft.
APPROUl1I.S Ff T-S
Assessments Pexmit 3'7 ?-
Water/Sewer Surcharge 40. °-°
Police Plan Check \g(, so
Fire SAC 525 . °-°
gzg. Water Conn. 4-10 . ?
Plan„Pr Water Meter (-03 . °°
Council Road Unit 2(10
.°°
Bldg. Off.
APC
TO'i'AL / , 9 /1 ' J U
9 40
I?,_? 2? = 2?2 K 54-
2f?-. x 24- = 528 x( l =?8og
`71 25{0
,
,
? .
BUILDING PERMIT
Name SAME
SiteAddress 1428 REBECCA LN
Lnt 6 Block 1 Sec/sub. HILLCREST
Parcel No.
a JN.nae WM HUTTNER CONST
Z Address 960 WATERFORD DR W
°; City EAGAN Phone 452-3088
0
Zu
u?
f
City
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 27-198, Eagan, MN 55121 N O 9287
PHONE: 454-8100 - Receipf # 7
lWG/GAR F?r_ Vn?e $80.000 oata JULY 11 _ 1 q 84
Phone
?w Neme
f
x? Address
<W CitY Phone
1 hereby ocknowledge thaf I hove read this oDPlication and state that
fhe inlormoYion is correct and ogree to comply with all applicoble
Stote of Minnewta $tatutes and City of Eagan Ordinances.
Signafure of PertniMea -
A Building Permff Is iaued to:
nll work shnll be dorw in acco
Building Offlcial
with
Erect ff Occuponty -
Alter ? Zoning ?
Repoir ? Fire Zone A
Enlarga p Type of Const. V
Move ? # Stories
--
Demolish ? Length 58
Grade ? Depth 40 Sq. Ft.-
Approvals Feas
ASSessment _
Water 8 Sew.
Police _
Fire
Eng.
Planner _
Council _
Bldg. Off. _
APC _
pe"it J 31 3. V U
Surcharge_„n n0
Plan check 196. ?j 0
SAC 525.00
Water Conn. 470, 0 0
W ater Meter -63_._0 0
Road Unit 260 _ 00
rotal $1.917.50
on the express condition thnt
$tatutes and City of Eagon Ordinances.
ry/ REQUEST FOR ELECTRICAL INSPECTION
' See instructions for omolatin9 this form on beck of vellow coOY.
W-? ?1 1"X" Below Wak Covereg by TYr'is Request
?. EB-00007-04
1? 6 I$ y
Add Nap. Type ol Building AoPliancas Wimd Equiument WireA
Home Range Temporary $ervice
Duplex Water Heater Ligh[in,y Fixtures `
Apt. BuilAing Dryer Bectric HeaLn
Commercial Bldg. Furnace Silo Unloader
? InAustrial Bldy. Air Co?itioner Bidk Milk Tank
Farm orner oe c ? v ome, Isn,,riivl
ti,r Sne,vry Ot er Other
Comoute lnsoection fee Below
q Fee ServiceEnirenca$ize k Fee Fexders/Subieeders N Fee Circui[s
0 ro 200 qm s 0 to 30 Am s 0 to 30 Am s
- Above 200 Am s 31 to 700 Amps 31 to 100 Am s
Swimming Pool bove 100-Am s
A Above 100_Am s
Transiormers rrigation Booms
I Partial-'Other Fee
Signs Special Inspection $
TO L FE
emarks 37d 0 7 w
Rau6h-in ? ? Dal¢?? I ' _ '
? cal
/( nsDector, hereby
cartify thet the above
Final r ??? /?? i menspaction hes been
7de.
I / ?. _ /1\ r?? _
Tnla reeueet voia 18 montns irom
No
II Nolify InsPec-
' When Reatly
jZt4icensed Eleclrical Cnntrector I heraby requesl inspectian ol abova ? •
? Owner elactrical work installed ar
Sheet AdAress, Bou or Route No.
-? 8
/ Ciry
-
4 'Z. zc-,? -*..- ;- " ,-?
ecuon o. Township Name or No. Fange No. Couu[y
O am (PFINTI
cc
£ P one No.
!
i?+
N
Po
J?e' Sup? Add-as?
t
?
EI tric I Contractor (Comp??^ Y Name)
M C?on,Ljrac
toTr'S License No.
.2'i , • L Ei ??/
/ 1
Mailinp Address o,nVactor or Owner Making Instailatien)
?/ 7 /
" ?"`'?? le,
?
r
?
7 ?/
C f ,
Authorizetl 5i ture (C Va /Owner ing Installdtion) Phon/e ?Numbe, / rg? fp
MINNESOTA STATE BDAHD OF ELECTRICITY THIS INSPECTION FEQUEST WILL NOT
Griggs-Midway Bltl9. - Noom N-191 BE ACCEPTED 8Y THE STqTE BOARp
1821 University Ave., St. Paul, MN 55104 UNLE55 PNOVEN INSPECTIpN FEE IS
Phona 1812) 297-2111 ENCLOSEO.
?
5?200
J s°°
Request Oate Firg No. RougRin Inspection
-
'4-Z equi
R
d' ? Ready Now p Will Notify Inspeclor
When Reatly?
7A
U ? No
G Yes
k] Ifcensed contractor ? owner hereby iequest inspection of above electrical work at:
Job Atltlress fSVeeC 9ox or Route No-] Clry
1428 Rebecca Lane
Section No. Towns?ip Name or No. Range No. Couny
IhItO'ta,
Ocapam (PRINT) PhOne No.
Jeffrey Thomsen
Power Suppller MtlresS
Dakota IIeatric F'sxmixgton
Elecvical ConVactor(COmpany Name) Contraaor4 License No.
Naber IIeetric -40591
Mexnq qtltl+ess ICOmanor or prvner.Making Instaltetion)
Fal.k Trail Northfiel,d
/mhorirea 5i atur ICOmreiQry? 9king I stallation) Phone NumDer
, Y 507-64 - 60
MINNESOTA STATE BOAHD OF ELECTHICITY THIS INSPECTION REQUEST WILL NOT
Griggs-MlOwey Bltlg. - Room S-173 BE ACCEPTED BV THE STpTE BOAPO
1621 Unlversi[y Ave., St Paul. MN 55106 UNLESS PROPER MSPECTION FEE IS
Phone(612) 642-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION ?t°i"",N ee.oroo?m-oe?5
See mtlions (ar completing fts lalm on back oi yellow copy
6-
J 5 5 2 0 0 /QS/3?`•..•
X" Below Work Covered by This Request
ew 'Add Rep. TypeafBUilding AppliencesWired EquipmeniWired
Home Range Temporary Service
Duplez Water Hea[er Electric Heating
Apt Building Dryer Other (Specity)
Comm./Industnal Fumace
Farm Air Conditioner
01har (specHy) Contrector5 Remarks:
AEA- AC Control
Campute Inspection Fee Below:
# Other Fee # Service EmranceSize Fee # Circuits/Feeders Fee
Swimming Pool D to 200 AmpS 0 to 100 Amps
Trenslormers Above 200 _ Amps Above 700 _ Amps
SignS InspectarSUSeOnly: Z'(7 Tge TOTAL -50
Irrigation Booms 15?5?
Special Inspection ?
Alarm/Communication THIS INSTALLATION MAY BE ORDE DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby
tif
th
h Ro.qn-m oaie
cer
y
at t
e above inspection has
been made. Final oa?
OPFICE USE DNLY
Tnis request voitl 18 monlhs imm
2005 RESIDENITAL BUII.DING PERNII'P APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWCtion Reauirements RemodellReuairReauiremenLa Office Use Onlv
3 registered sile surveys showing sq. ft, of lot, sq. R. of house; and all roofed areas 2 copies ot pian CeR M 5urvey Recd _ Y_ N
(20% maxlmum lat coveroge allowed) 1 set of Energy Cakuletbns for heated addiUOns Tree Pres PWn Recd _ Y_ N,
2 copies of plan showing beam 8 wirWOw sizes; poured fomM design, elc. 7 site survey for addRions & decks Tree Pres Required _Y _ N
lsetorf EneyyCalculations Addltion - IndkateNOn-siTesepNcsystem On-siteSeptic5ystem _Y _N
3 copies of Tree P2servation Plan'rf lot pfatted aRer711193
Rim Joist Oelail Options selection sheet (buildirgs wtlh 3 or less uniGs)
Date -7 Construction Cost C)
Site Address bo(' e 0. O?Gf YI ?k Unit/Ste #
Description of Work M,Q? Q 4 (710,11Q /lC1(4 AO-
V
-N
Multi-Family Bldg _ Y! Fireplace(s) _ 0 _ 1 _ 2
Property Owner ?C{--} -? i fXlVl -r tio WI s-e Yi Telephone # f(P5 1) j0Rt0- 00 &g
Contractor )?Pna', ?-i6p11e? ? ianiOf` C
Address 7351 K, rIewood ?'Ch -? /1 -?13t? city 17a A/'o v-Q- '
State iri n Zip :5?536:9? Telephone #(7/p3) 71p7 -6tCol?
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7690 Cateeorv 1 _ Minnesota Rules 7672
Energy Code Category , Residentfal VenUlation Category 1 Worksheet • New Energy Code Worksheet
(4 suhmissiontype) Submitted Submitted
. Energy Envelope Calculations Submitted
Have you previousfy canstructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone # (
Telephone #(
I hereby appiy 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 5tate 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 re uires a review and
approval of plans. T_ C T q, T T
6rend 1yi Sch??l?z luI JU 0 5 2005
I
ApplicanYs Printed Name Applicant's Signature 11 !?
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS OB-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4sea.) ? 33 Ext. Att - SF
? 04 02-plex ? 10 OS-plex q 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storrn Damage
? 06 04-plex ? 12 12-plex PI6g_Y or_ N 0 25 Miscel(aneous
Work Types
? 31 New ? 35 Int Improvement O 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Buiiding ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building` ? 43 Reroof ? 46 Windaws/Doors
? 34 Replacement *Demolition (Entire Bidg) - Gfve PCA handout to applicant
Valuation Occupancy MCES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
? Footings (new bldg) _ FinaUC.O.
_ Footings (deck) _ Final/No C.O.
? Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas T ests Final
, Framing _ Siding _ Stucco _ Stone _ Brick
_ Fireplace _ R.I. _ Air Test _ Final _ Windows
_ Insulation _ Retaining Wall
Approved By:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Building Inspector
elRESIDENTIAL
BUILDINC PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EACAN MN 55122
651-681•4675
NewConsWetlon ReautremeMs
• 3 registered site surveys showirg sq. ft. of lot sq. fl. of house; and all roofed areas
(20% macimum lot cwerage allowed)
• 2 copies of plan 5howing beam 8 window s¢es; poured found design, elc.)
• 1 set of Energy CalcWations
• 3 copies of Trce Preservation Plan if lot platted aRer 711/93
• Rim Joist Detaii Optians selectian sheet (bldgs with 3 or less units)
DATE VI?
?fN-'
SITE ADDRES
TYPE OF WO
APPLICANT _
STREET ADDA
TELEPHONE 4
PROPERTY OI
ULTI-FAMILY BLDG _Y V N
FIREPLACE(S) ._ 0 _ 1 _ 2
TELEPHONE# W- v ? l !
--------------------------------------------°--------°---------------------------------------
COMPLETE THIS SECTION FOR KNEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESO"CA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672
(J submission type) . Residential Ventilation Category 1 Worksheet Su6mitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Conhactor: ___
Plumbing system includes:
Mechanical Conhactor:
iVlechanical system includes:
Sewer/Water Conhactor:
_ Air Conditiocung
Hcat Recovery Sys[em
---------------------------°---------------._...-----...---°-°-
I hereby acknowledge that I have read this application, state
with all applicable State of Minnesota STatutes and City of Ec
Signature of
OFFICE USE ONLY
_ Water Softener
? Water Heater
No. of Baths
VALUATION C?` 1
Phone #
Iawn Sprinkler
No. oF R.I. Baths
Phone #
RemodeUReoair ReuuiremeMs
• 2 copies of plan
• 1 set of Enefgy Calculations hr heated additions
• 1 site survey for exterior additions 8 decks
• Indicate if home served 6y septic system for additions
1?--2? .-I `?;-
Fee: $90.00
M?UG Ll?l??`??
Pnone # 6 2002 ?ilu
information
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4l02
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pooi ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt- Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF
? 04 02•plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Muiti
? 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 Bidg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bltlg)• ? 43 Reroof ? 46 WindowslDoors
? 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 Bidgs Length Fire Sprinklered
Type of Const W idth
REQUIRED IN SPECTIONS
_ Footings (new bldg) FinallC.O.
_ Footings (deck) FinaUNo C.O.
_ Foorings (addition) - plumbing
_ Foundation HVAC
_ Drain Tile QtheL
Roof _ Ice & Water _ Final Pool Ftgs AidGas Tests Final
_ Framing Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final Windows (new/replacement)
_ Insulatio? _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
W ater Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Building Inspector
Total
*****************?*****************«***
CITY OF EAGAN
CASHIER: JS TERMINAL NO: 664
DATE: 09/25/00 TIME: 15:34:48
ID: .
NAME: SELA ROOFING & REMODELING
3210 9001 1428 REBECCA LN 125.25
2155 9001 1428 REBECCA LN 3.00
Total Receipt Amount: 128.25
CR137877
USER ID: JAN
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
4296? CIT, oF EACM
3830 PILOT KNOB RD - 55122
651-881-4875
w
n 3 reglsteretl elte wneys ahowlny aq. M. of lot. aq. ft. 01 house
antl 2I rooletl areoa (20X maYimum lot coveraae albwetll
? 2 caples of plaa (show beam & wlndow aizes; poured Ind. dealon; efc.)
> 1 sel of energy calculallona
> J coples of hee pretervallon plan If lot daed after 7/1/93
DATE: ? Z S- 67?n
DESCRIPTION OF WORK:
STREET SS:
LOT:
IzS.z5
2 copiea of plan
t aer w energy cacwanau ror neated addtrions
1 site wrveY ta exteda addlllona d deeks
CONSiRUCTION COST: kt '
BLOCK: I_ SUBD./P.I.D. M: lTIII Ye Ct
Name: Phone #: !
PROPERfY ? fl'd
OWNER
Sheet Address:.T1Ca/3' x
City State:
Zip:
Company: ROOFINd & REMODELINQ, INO
?
ttee G ErE?st?R R?vn anone:: ? tz ?Z 3- 8?° 5?(0
COMRACTOR ST. LOUIS PARK, MN 65416 (area code)
Sheet Address: io aoooi oso ucerise # D SO E,cp.3- 3(- O?
CNy
Sfate:
ARCHIiECT/ Name:
ENGINEER Company:
Telephone #: (
Sfreef Address: Regishaflon Y:
+
City.
State:
Sewer/water licensed plumber (j( installina sewmr/waterl: Pho^e M
Lp:
Zip:
1 herebY acknowledge fhat 1 have read Ihb opPlkaNon, slate 1Fwt the infortnaNon is cortecf, and agree to comply wNh an appllcable StotE
of Minnesofa Stahites ond City of Eagan Ordinances. /
Signalure of Appllcanh ?' ?
Certificates of Survey Received _
Tree Preservation Plan Received _
OFFICE USE ONLY
Yes _ No
Yes _ No _ Not Required
SEP 2 ? 2000 I
-' ? `? ,
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
? 01 Foundation ? 07 05-plex ? 73 16plex ? 21 Porch (3-sea.)
? 02 5F Dwelling ? 08 06-piex ? 17 Garage ? 22 Porch/Addn. (4sea.)
plex ?
? 03 01 of 09 07-plex ? 18 Deck 0 23 Porch (screened)
_
? 04 02-plex ? 10 OS-plex ? 19 Lower Level ? 24 Storm Damage
? 05 03-plex ? 11 10.plex Plbg _Y w_ N ? 25 Miscellaneous
? 06 04-plex ? 12 12-piex 0 20 Pool ? 30 Accessory Bklg.
woRx nrPE
? 31 New 0 36 Move Bldg. ? 43 Reroof
? 32 Addition ? 37 Demolish (Bldg)" ? 44 Siding
? 33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair
? 34 Repair O 42 Demolish (Foundation) ? 46 Windows/Doors
* Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
SAC Code # of Stories sq. ft.
No. of Units Length sq. ft.
No. of Buildings Width Footprint sq. ft.
Const. (Actual) Basement sq. ft. Census Code
(Ailowable) Main level sq. ft. MC/ES System
UBC Occupancy sq. ft. City Water
Zoning sq. ft. Booster Pump
PRV
Fire Sprinklered
MISCELLANEOUS INSPECTIONS
? Stucco/Stone
APPROVALS
Planning Building Engineering Variance
? 31 ExtAlt-Mutti
? 33 Ext. Ak - S F
? 36 MuRi
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
SNV Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Capies
Total:
Valuation: $
SAC Units
% SAC _
Certificate For: •
Huttner-Construction.
DELMAR H. SCHWANZ ?
? LANOSURVEVORS, IiJG,
\ qpisterW UMer Lawf ol The Stato of MinMSOb 1W8- 146TH STHEET W. - BOX M ROSEMOUNT, MINNESOTAS6068 PHONE 612 423-1769
: i
SURVEVOR'SCYf??CATE
. Zh
S@82@ : }.
O
M '
Q$,o
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1 8?; -
/
'7 0
,.
a??° °
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? tr
\\
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? 103??? 1\
'?A
D?
?- V'•,
a; `3-
?? °
? ? P?°?? y? ? a2 ? y1
m 30 Peet I°?
' d
2o,3Z
?-
' Drainage 8a utility
, easements
Proposed garage floor elev, /03-0'/
?
i,\J
'
.. \ 7
(J .1
I Hereby certify that this is a true and c?
correct representation of the following
deecribed tract of land:
L o t 6, B loc k 1, H I L I C R F S T A D D TT I O N,
?
according to ttte recorded plat tkaereof ,
s
6?
\
Dakota County, Minneaota. ?
Also showing the location of a proposed house and garage not
staked thereon as of May 30, 1984, ,
12 7-
MINNESOTA REGISTRATION NO.8625
/1
. :ti
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? ? ?
'
., z / g c}
,
Lfr CITY OF EAGAN
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g
1
-- APPLICATION FOR PERti1IT
-" - SEWER AND/OR WATER CONNECTION
(P SE PRIHTJ
1) PF.OP= ADDR:SS: /z/o p
T.F['yL DFSG4I°TTC:I:
(IGt/Block/Subdivision or Tax Parcet I.D. vumber)
ir EtZS'_=_:G S?::L'CT <c: , DA^ GF ORIG21AL :,UZi..^,l`:G F=-_.UT ISSz:?NC_°:
' --- -_-_ •
+ PRES:il- z^•Il•:r: .r.C.°CSr_.u ^ L5:. • ?_ ..?,
I ? f8?.. 1 S1.,GI::, cp?%IT?.Y -
? R-2 DLTPLEi (?T,%0 L11ITS)
? R-3 'ICI.N1i1fIC[ISE (TIII2F' + U'`7I:S) I Wi I_'S1
O R-? ApAR?°x'`;:/C?;IDCi.LNIL;.1 I L:11iJi
? C.^,C'1LCI.'-1I./'RG"TtIII/OFFICE
? Izmus-Lpsar.
Q IDISTI7L'TIO:'VAL/GC??ryff„?]T
2) APPLI= r (PLE' ' RINi)
NFli??:
ADDR°SS:
CTTY, STATE', ZZP: ? ?= ? •
PfiO:v'E:
3} PLu:;BER. VL-? ' PFfNi) FOR CITY USE ONIY
NAyE. ?
ADDRESS: PLUP,9ERS LILE45E:
` ? Active
CITY, STATE, ZZP: Expired
- PHOiVE:
- pLUMBER LILENSE Not of Recard
?
' arr initia
4] OCCUP.zC4T/C1.4hIG.."?Z NA[ IE: tYLLNJ[ rnini?
ADDRE55: ?2_lyfa
CITY, STATE, ZIP:
PHO:IG:
5) INC)ICyTE WHICH PEPT-lIT IS BEIPG REQUESTEp;
j? CC,17F.CrZON TO CITY SET,•]EFt
? CC:.1MCi'IGN 'RO CITY S4ATER
? CI'f'.ER (PLF.715E DF,SCZiHE)
o! l.:autc«?i: C;;:
?
?
PL°`,SE f?OID APP.RWEp PER.LlIT FOR PICi:-UP BY ONE OF 11BOVE
PI.FilSE ti*AIL APPROV'TJ PER'•LIT TO 1. 2. Q 4 r'1POJE
/' n (Circle one)
7) 52G:?'IL:?E: DATE:
/
? ?='?iL• t
F O R
PERMIT ° ISSUED
I T Y U S E O N L Y
F'°ns: $ ,o.aa7-a
$ Z-O
$ / -ner. o-?
S
$
$
$
$
$
sa S- a-v
S
$
$
$
$ .
S°;'?L? ncn?tT^ r' - r.•or r-__ ?._':C........... JV...?!lt!..`.?
WATER PERI"[IT (Ii;CLUDE SURCf:ARGc.)
WATER METER/COPPERHORN/OUTSID: RE2.DER
WATY' TAP (INCLUD° COR?CRAT-IO:I STCP)
SE'.9E3 TAn
ACCOUNT CEPOSIT - SE:•+ER
ACCOUNT DE°OSIT - WATER
WAC
SAC
T4iTNI; IVAT°.°. ASSF55.3E:IT
TRliiV:i Sr.T,vER ASSESSi•1ENT
LATE°.AL BENEFIT/TRUNK SE[QER
LATERAL BENEFIT/TRU:Vi; WATER
OTHER
$ TOTAL
$ ?S?• ?`+? AtiIOUNT PAID/RECEIPT ; ?f.e?7 7S
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
C, YES IF YES, THEN A"PERMIT FOR WORK WITHIN
? PUSLIC ROADWAY" MUST BE ISSUED BY THE
NO ENGINEERING DIVISIOIV. LIST AS A CONDI-
TION.
SUBJECT TO THE FOLLO:•7IDIG CONDITIONS:
APPROVED BY:
TIT*,E:
DATE:
wc? ? ?m mum w m pe sm wrn R+0 atw w qp r sPM WAL-M a* m se ckso 6ea r?M so w w m
?
...r_.. ..? ..? .. .,. ..? ......,...,..... .... _ ..r, ___.. .. .
TO EE SU94ITTED NIIH IIUILDIt7C PLRMIT A3'PLICATIOy
YMTEP,IOR ENVF:LOPE AVERAC,E "U" C04PUTATIQN
OjtNER•
SZTE ADDRESS: I7 20 ce,?
, CONTRACfORe ',(' ? - 14,7%,- DATE: 7 /J?BS? PtIONE: el52-3Q5Y-
Determine vozking equare footage.of each
• 1.
2.
_ S
Total-eipqsed wall area:........ aq.ft. x • f I ?. OEM
Total roofleeiling ares......... I1 I'tZ sq.ft. xo0??
Total exposed wall area calculationa: .
2ota1 exposed wall area above floor
...
? ?. • . : :: .
a. Total vall windoa-area............................... ,)'i 3?. _-
....... ? ..
b:",Total door area..............................
GTDidl SLidiAg gl8S8 a00r area..............,....... . .,?7Q. ?..:. .... :.'
..........
d. Total fireplace wa12 area ..... ...........
e. Total Wa}.1 framing area (avezage lOZ)...............
fa ?otal net vall area above floar..................... (7 9
g. `Total riu joist area ................................ '
•, ? Total expoaed foundation area
h. Total foundation vindow area ........................ 3 , .
:.....1 3 3
? i. Total net.foundatioa area above grade .........
Determine "U" value of each wall segment
' a. B "II" .KI' ' ? • Q?a?
X
• ?. ty) X.,u,.
d. X ??110 ---- .. . ?
. e. x .,UA ,ol . ?? ?.
f. ? X "Un
- • ?U I
R„u„
3 x ?ouh -'• ?
X uVn
i.
3 ?r?. ?7+: • w - 43
•
. . •,, '
. . ' :?
If item 03 !a the same as, or less tfiat? itcm 91, you have mct the iatent of
SBC 6006(c)2. •
.`
? . ,. -. ,
,
? ?.
,4. Total exposcd roof/cc111ng calcula[ions:
Total e:cposed roof/ceiliag area J. Total skylight area ................................... "
k: Total roof/celling framing area (averape 207.).........
1. Total net insulated roof/ceiling srea..... :...........
Determine "II" value for each roof/ceiling segaent ,
•
k. w ( Z? 4 XsoU.o
1. l a ?.1 ,? ,.u.. ,C?Z • - - Z?? ?L ? . _
°TOTAL
If total of 64 3s the same as, or•less than 42, you have aet the intent •.,
of SBC 6006(c)1. . ' Altexnate Building Envelope Desigo
tit\_: . ' .. . . . . . .
To utilize the total envelope system method, the values establislied by '•,
the sum of items 83 and 64 shall not be gzeater than the sum of items DI
and 02. . ..
. 1. . + 2. ? .
3. + 4' ? • ?
. . ?
` .
' •\
C E R? I F I C A T I O N
I hereby certify that I have caleulated the "U" factoss and lt Valuea
he=ein and that the buildlng hera described meets os exceeda the State Cf
Minnesota Energy Conservation Act. .
7ta.
• WA l.ll \l7:5
R7M`E: U:;c lU'.. of oi,;jcju^ w•i21 arca for
?Tr.amc cbn::tzuctiun
4TAIS,
t{`--?:)1=11'
FIG. 81 TOPVIEl9 C!='
. FRT.FM h'71LI.
? .
--
FIG.: #}2
7rlL
.? ,
:OI;ildTICS
'RI3:
ConstrucCinn R-Valuc
1.
2.
3.
4.
5.
6. Exterior air film = 0.17
Total ?a f ? Z`t
O 7
1. int•crfor air filrr ' O.btf .
2. /t'' '! Nf((A-iA1 ,Y( D
3: ' ??j ? INSvL . 3.00
9. 2 2 L.C)Cy
5. I D1n JS
6. L'xCerior. air film 0.3.1
i?'' ? 1.9 ( •
I I J?''? jZ 1 t`?
? ' .?....?? ? • l ..
?' ;?,._...__..Cj • 3, .
;= r? --0-•--(y? 4.
6.
: o • p i! . • . . .,.?
. /I -_t! 'w.. \
G? ? p '•? ; ? y
. i?. , •?• _ ,
. 0 . .. r7,f`t) ? .
r • • ?, • f
,( h ;???'? •
?1.??'_ . . • . . .
-- . ?
16 Interior air film 0.68
2. 2 , N-%'f i{ Al
3. 12" BC,;)LK ?7$
A.
5. .
6. Exterior air film 0.17
Tota]. , , 5
U-. ,?0
st,na o:a crau*:
r : , .
• -. ?
i? ?
. Y
• •
1 ?. ??iA
IlJ ?_.
4 r' A` ,
, • ?? '
. ?
= /1
.
r•: ? .
%
'
(??
..
'. r.
=IG. M3
Y . • ? b
. O ?
. • O ? ? /l •
`- ? ?- ,
? . , ;
P . ' ? / • . ?.i '
6 •' f' • • ? r
f?
??, • ? ? . ?6 ? ? .•
• /ff ; « ? '? ?
??? ?^ ? ' • ? ?
? ? ? e , •? ? I11 :?
./ll .• '? • ? /h '
FIG. tl4
!f1 6 •• o ?
NOT6: Indicate tyna, "t;" valun, dnpth and
placenent oP insulat.ton. .
• ? R001'/Ck:ILING •
?
VFdiT
\
1'e?te3 ?
f3cac flav
up
FZG. i5
, ?lieat flov up
. . „ '. F C_tG
Canrtr.uction A-Valiie
1, Interior ai.r film 0.61
2. ,9
3. 14" DLGw?? ?uL-. Gv
4. ratcrior air film (r1i11 O.I,I
T. 7ota1 k- 41,61
,
' ?
(f ?- ,OL,
•
t .
.
??_ ??_ •
??}?/?" ?3??wN l?S??• 3fo:0
Intciior air film 0.61
2. 017L,YALi. ?
3. ?I}Z?' ?7?UO/J •??S
9. Er.teriur air film tstill) )• 61
. Total i = ?{2 , G L
1. . Inaidc ais film 0.61
2.
's.
4. '
5, outsidcs air £ilm .0.17
Total
Notes Use additional ::heets if morc: zF+ace 3
needecl for @etSils and calcu2aLionJ.
. f
? vented
. ?
? r ,
.., • • , ?
. Hcat
• , flov up ?
.
F.r.r,. ?p7
CITY USE ONLY
LOT BL ? RECEIPT 10M(r 9
SUBD. RECEIPT DATE: s/l915'9
MECHANICAL PERMIT # Je;/, I Q VI
1999 MECHANICAL PERMIT (ft£SIDENTIAL)
CITY OF EAfiAN
3$30 PILOT KNOS RD
£i4&AN MN 55122
Date: (651)6$1-4675
Complete this section onlv if you are installing HVAC in a single family dweiling, townhome or condo under
construction and not owner /occunied.
• ?-I\?AC? 0-?00M B TTJ
ADDITIONAL 50 M BTU
• Gas outlets (minimum of one required @$3.00 eaJ
State Surchazge
Total
$ 3 c.AVc
6.00
.50
$
Complete this section onfv if you are remodeling, adding to, or repairing an existing single family dwelling,
townhome, or condo. 'Please indicate if it is a new item, alteration, or repair.
L/ New Alteration Repair _ Other
Reminder. Call 681-4675 for inspections.
v Fumace Au conditioning
Air exchanger _ Other
$ 30.00
State Surcharge .50
Minimum Total Due $ 30.50
SITE ADDRESS: / Lf"q 3 ?GC"Q' ?r--(-
OWNER NAME: ??t'? ?UVk$ Q?!/?. PHONE #: `,1S 1 - & yo ??O 6 9
?ODE)
? _
INSTALLERNAME: 1?I.CL.P?VrG?}'1 PHONE#:
(AREA CODE)
STREET ADDRESS: G O V? /
CITY: STATE: /UAJ ZIP:
?
SIGNATURE OF PERMIT"fE
L BL
SUBD.
APPROVED BY:
INSPECTOR
RECEIPT #:
RECEIPT DATE:
MECHANICAL PERMIT #:
1499 M£CHANICrtL PEftMIT (COMbt£RCIAL)
CITY Of ERfiAN
S$SO PILOT KNO$ RD
f-AfiAN, truv 55 122
(651) 6$1-4675
Please complete for: all commerciallindustrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE: CONTRACT PRICE:
WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: 1% of contract price OR $30.00 minimum fee, whichever is greater.
Processed piping - $30.00
CONTRACT PRICE x I %
PROCESSED PIPING
PERMIT FEE
STATE SURCHARGE ($.50 per $I,000 of permit fee due on all permiu.)
TOTAL
SITE ADDRESS:
OWNER NAME:
TENANTNAME (IMPROVEMENTS ONLY):
INSTALLER:
ADDRESS:
ClTY:
PHONE #: -
(AREA CODE)
STATE: ZIP:
CITY USE ONLY
PHONE #:
(AREA CODE)
SIGNANRE OF PERMITT'EE
Use BLUE or BLACK Ink
` f~® I For Office Use
RECEIVED I 1
City of Eagan APR 1 ?AU j Permit ~J
1 Penult Fee:
1
CC> 3830 Pilot Knob Road It
o Eagan MIN 55922 1 Date Received:
Phone. (651) 676-5675 1 I
z Fax: (659) 675-5694 Staff: l
-----------------J
/ 2[014 RESIDENTIAL PERMIT APPLICATION
Date: / Site Address: I I ~l l f LC- Jc~Q ~Cl~~
Tenant: Suite M.
R Name: Je* 9 p4ro -Thoyn ~ Phone:
es_ idenVOwner
Address ICity 1Zip: 1 yZ~ k 10?
Name: 'S PJLA 6l6 nt 4- tka y?e License #:rr1U~_~, 3v>
C=,
Contractor Address: N- S7 City:
State: U Zip: _9T011 1 Phone: -J
r ~J J
Contact ~C!
Lei ' ~~~1 Email: ed e45Iu_mbn
Typ_ a of Work -New -Replacement 1_~ Repair -(Rebuild - Modify Space - Work in R,O.W.
Description of work: _ Oe~ ,5kowfI uG t t!~
RESIDENTIAL
Water He aler
Lawn Irrigation RPZI_ PVB) Water Sofene r
Permit Type
Septic System Add Plumbing Fixtures Main Lower Level)
New Water Turnaround
Abandonment
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 Stale Surcharge)
$60.00 Lawn Irrigation (includes $5.00 minimum State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround" (includes $5.00 State Surcharge)
'Water Turnaround (add $200.00 if a 518" meter is required)
$115.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 Stale Surcharge)
TOTAL FEES $
CALL BEFORE YOU DIG. Call Gopher State One Call at (659 ) 454.0002 for protection against underground utility damage.
Call 46 hours before you intend lo dig to receive locates of underground ulillties. www.gonhersfateonecall.org
I hereby acknowledge Thal this informalion is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that 1 undersland (his is not a permit, but only an application for a permit, and work Is not to start withoul a permit; that the work wifl be in
aocordance with the approved plan in the case of work which requires a review and approval of plans. G~* Q
X_ ~~i~h L+~bR14~iL- x_
O Applicant's Printed Name Applicant's Signature
CV
CY-1
FOR OFFICE USE Reviewed By: Date:
o Required Inspections: Under Ground Rough-In Air Test Gas Test Final
CV
Meter Related Items: Meter Size Radio Read staff-
a