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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 7Y • ' ,? U 3 ? :J v ? v ? PI" ,,. Thank You - ' A BY ? `.". . , . ? ` 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 ? 1 8?; - / '7 0 ,. a??° ° ? n ? tr \\ ? ? 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 ???. ? ?? .? ?. ? ; ? ? ? ' ., z / g c} , Lfr CITY OF EAGAN ? ? 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