3850 Princeton Cir? _. . . .r ` ' CITY OF EAGAN
, •• ? 3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121 ?J
PHONE: 454-8100
BUILDING PERMIT Receipt #
To be used For SF UWG
i ?.4?.3
Site Address t:li, Erect ?-Lot + Block ?. See/Sub. LE<<a N'?j•'01?4 Remodei ? Zuf iing-
Parcel No. Repair ? Type of Const -?
?
W
z
3
0
R
0
OV
u?
WW
W
F
u5
?_
t W
Addition ? No. Stones
Name Move ? Length
Demolish ? Depth 5 ? Address j Int Impr. ? Sq. Ft
City Phone ?
e.........9?e Fina
Name -
Address
Assessment
Water & Sew.
Police
Fire
Eng.
Planner
Council
Bldg. Off.
APC
Var. Date
0
hl-
Address
Ciiy Phone
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 5tatutes and City of Eagan Ordinances.
Signature of Permittee l
A Building Permit is issued to:
all work shall be done in accordance with all
Building Officiat
$89,000
Ainnesota Statutes and Gity of Eagai
Permit ?
Surcharge
Plan Review • 00
SAC - 'U
Water Conn. ' U • UJ
Water Meter 3.50
Road Unit
Tr. PI.
Parks
Copies
Total -
i the express conditian that
i Ordinances.
I I PwmH No. I ParmN Holder I Daf* I Tslephone ri I
a;I
Htq.
Dlsp.
PERMIT #? CITY OF EIkGAN
PLUMBING PERMIT
RECEIPT # ? 454-8100
MINIMUM RESIDENTIAL FEE - $10.00 + $•SO
DATE MINIMUM COMMERCIAL FEE - $20.00 + $.50
1. Bldg. Type: Res ? Comm Inst 2. New ? Add
3. Total Bi1f
Lot
Block ? Sec
6. Contractor
J3 /,.1 u>
' (Name)
43
1 ? (Sheet)
? (Clry) (Zfp;
i. Contractor Phone # .
NO. FIXTURES NO. FIXTURES NO. FIXTURES
?' Water Closet - $3.00
? ? Laundry Tray - $3.00 -Well - $10.00
Bath Tubs - $3.00
7?1- ? Floor Drains - $1.50 Private Disp Syst - $10.00
-3-
Lavatory - $3.00 ! Water Heater - $1.50 Rough Openings w/o
? Shower - $3.00 Whiripool - $3.00 Fixtures - $1.50
TKitchen Sink - $3.00 ! (ias Piping Outlets - $1.50
-Urinal/Bidet - $3.00 - Softener - $5.00
COMM./IND. RATE - 1% OF TOT-rAL BID PRICE PLUS $.50 STATE SU RCHARGE FOR EACH $1,000 OF FEE.
Signed: for
J
Approved
Inspections: Dste Rough
Insp. Date Final Insp.
FEE .1(? • GG
S/C • ?LTOTAL
Alter Repair
/ Roaipt MECHANICAL PERMIT Pennit No. :
CITY OF EAGAN
Fes
ffll in numbened spsra S/C ?
Type w Print lspibty TOL '
1. Date 2. Inatallation Cost
3. Job Address Lot Bik. Tract
4. Owner - , -- '
5. Contractor Phone
8. Address '
7. City State Zip
8. Building Type: Residential O Commercial ? Institutional ?
9. Work Description: New 'U Add ? Altsr 0 Repair ?
10. Describe ' _ q Fuel Type _
11.
No. EquiRment BTU - M. Ea.
Forced Air - No. Enuipment CFM
Air Handlin
:
Mfg. , g
Boilers
Mfg. Mach. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mfg.
Gas, Piping Outlets
12. 1 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 454-8100
CITY OF EAGAN Remarks U? S i J? "1-47_3-)
Addition LEXINGTON SQUARE Lot 7 Rlk 1 Parcel 10 45075 070 01
owr,er street 3850 Princeton Circle state Ea1zan, MN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 754-53 16-97 15 254.53 C009680 10-12-84
?ZZSEWER ben trk 1985 173.65 11.58 15 173.65 C010024 1-28-85
WATERMAIN 1986 68 68.33 C010024 1-28-85
WATER LATERAL
WATER AREA 2$6.43 C010024 1-2$-$5
STORM SEW TRK 1986 501.29 33.42 15 501. 29 C010024 1-28-85
S70RMSEWLAT 1986 513.81 34.25 15 513.81 " "
CURB & GUTTER
SIDEWALK
5TREET LIGHT
290.00 58796 1 6 86
WATER CONN. 500.00
BUILDING PER. 11413
sAC 575.00
PARK
CITY OF.,EAGAN WATER SERYICE PEIWIR
3830 ' :IOt Knob Rwd
P. O. E3ox 21199 PERMIT NO.:
Eagsn, MN 551Z1; DATE:
Zoniny; , No, of Units:
SC?tintek $4meS
?
r
?
:
Address:
51te Addrm; ?rincetor_ Cr. L,7 B1 T.,exin ton S. +
l `1echan ca.l
Plumbsr. ?
: '36 S.So .?
Meftr No .0 0
pci
ction charoe: 500
. ?
?
P
Sire: " ?Glt
e g " sit:
?
Reoder No.: O N 6 S nPa
1 Nm te am* wNh iwap !1 . .
u?'ch;??e'
"nenaw. QUI?ED ?
??fA? 132.OOpd TP ,
h3
50
d
?
,
p
?aet
Total: er
•
gy Date wld:
Date of Insp.: Intp.:
CITY OF EAGAN
` 3830 Pilot Knob Road SEWR SERVICE PERMIT
P. O. Box 29199
? PERMIT NO.:
Eagan, MN 55121; DATE;
• Zoninp: No. of Units:
01Yflwr:
1lddrcss:
Siro Add?ess: 3950 Pxinci>t,,:: .-r, '•(,x-rn, -
-JL: Sn.
Plumber
r
' .}?
r(
:??
;e prN h OOIO* NIl& lM
?r of
EOsOn •
?
Conr»ttlm Clqrss; 42 .` 010u
:Or1lMeoa. Accavtt DepOSif:
Perrnlt Fae:
' Surdw?e:
B
Y Miae. CMrgss;
Dotc of Ir?tp,; Totol:
Insix:
Dotr Poid:
CITY OF EAGAN WATER SERVICE PERMIT
3830 Pilot Knob Rosd
R. O. Box 21199 PERMIT NO.:
Eagan, MN 55121. DATE: ?
Zoniny. _ NO. of Units: ,
5rh'??:k ?or?e:?
??r:
/lddrosa:
Sits Addrass: ?--'J Princetosa
Cr. 1 - -, _,c.°!n:,?vot Sc
_ . ?
Plumber. COf1rfOdiOf1 Q1":
Meter No.: , . ?
Size: Account Deposit:
Reuder No.: Permit Fee:
to eom? wil1? !M Gy of loY?w
prN
$Urtbarfle:
I J 2p3
ru?no? Misc. CF+m'pes•
. ?? i . i?'?;? metet
Total:
i pcte Paid:
y
ate of Irnp.:
Dc
Insp.:
RESIDENTIAL
3200 Cobb GalleriaPkwy., ste. azoo ?LDINC PERMIT APPLICATION
i Atlanta, GA 30339 CITY OF EAGAN
763-542-8826 3830 PILOT KNOB RD - 55122
? BG2026g257
y6 y----7
651-687-4675
NewConstmctionReauirements RemodeVReoairRequirements
• 3 registered site surveys shaxing Sq. ft of lot sq. 8. of house; and ail raofed areas • 2 copies of plan
(20Ya maximum lot coverage albwed) . 1 set of Energy Calcula6ons tor heated additioiu ?
• 2 copies of plan showing 6eam & window sizes; poured found desgn, etc.) . 1 site survey for exterior additions &decks
• 1 set of Eneigy Calculations
• 3 copies of Tree Preserva6on Plan if bt plaried after 711/93
• Rim Joist Detail Options selecfion sheet (61dgs with 3 or less unifs)
DATE Iq •-SU1tj • 0 1 VALUATION (EXCLUDING IAND)
JOBSITEADDRESS 3`jSO 'YY?nCe?o? ?„iC
!F MULTI-PAMILY BUILDING, HOW MANY UNITS?
PROPERTY
TYPE OF WORK ? %a FIREPLACE(S) _0 _t _2 _3
APPLICANT PHONE# lSa1•314S, (oON_+
ADDRESS ZIPCODE SS4;)U
PAGER #
CELL PHONE #
FAX #
NIEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category
(check one)
Plumbing Contractor: _
Plumbing System Includes:
Mechanical Contractor. _
Mechanical System Includes:
Sewer/Water Contractor.
Air Conditioning
Heat Recovery System
Fee: $90.00
Phone #
Fee: $70.00
Phone #
All a6ove informatlon must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signafure of Applicant Jock&6pnzo'n
Certificates of Survey Received
_ MINNESOTA RULES 7670 CATEGORY 1
- Residential Ventilation Category 1 Workshee! Submitted
- Energy Envelope Calculations Submitted
_ MINNESOTA RULFS 7672
- New Energy Code Worksheet Submitted
Phone
_ Water Softener _ Lawn Sprinkler
_ Water Heater , No. of R.I. Baths
No. of Baths
Tree Preservation Plan Received _ Not Required _
Updated 1lOi
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool
? 02 SF Dwelling • ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 03 01 of_plex , ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened)
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 30 Accessory Bldg
? 31 Ext. Alt - MuIG
? 33 Ext. Alt - SF
? 36 Multi
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45
? 33 Alteration ' ? 37 Demolish (Bldg)' ? 43 Reroof ?#6
? 34 Replacement •Demolition (Entire Bldg?only) = Glve PCA handaut to aoplicant
Valuatian
Census Code
SAC Units
Nbr. of Units
Nhr. of Bldgs
Type of Const
Occupancy
Zoning
Stories
Sq. Ft.
Length
Width
MC/ES System ,
City Water
Booster Pump
PRV
Fire Sprinklered
Siding
Fire Repair
WiAdowslDodrs
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaUC.O.
_ Footings (deck) FinallNo C.O.
_ Footings (addition) _ Plumbing
Foundarion HVAC
Drain TIle
RooF Ice & Water Final Othec
_ Framing _ Pool _ Ftgs _ Au/Gas Tests _ Final
_ Fireplace _ R.I. _ Air Test _ Final _ Siding Stucco Stone
_ Insulation _ Windows (new/replacement)
Approved By
Base Fee
Surcharge
Plan Review
MC1ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Pertnit
License Search
Copies
Other
Total
Building Inspector
CITY OF EAGAN N 0 11413
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PERMIT PHONE:454-8100 Receipt p Sf-2y('
19
To be used for SF DWG/GAR Est value $ 89 ,00 0 Date JANUARY 6 86
Sitenddress 3850 PRINCETON CIR Erect C? Occupancy R3
Lot 7 Black 1 Sec/Suh. LEXINGTON $Q pemodel ? Zoning Rl
Parcel No Repair ? Type of Const ??
. AddAion ? No. Stories
SCHIMEK HOMES INC Move ? Length 45
W Name
= I Demolish ? 6epth-50
Address I
t I ? S
Ft
o SAVAGR -
89 mpr.
n q.
.
Ciry 'Phone Install ?
? Name SAMF
Z
$ Address
¢
? Ciry Phone
a
W Name
F
? ? Address
46 Ciry Phone
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 rvan O'nanc .
Signature of Permittee I 7
A Building Permit is issued to: SCHIMEK HOMES
a!I work shall be done in accordance with all ap{?lic d ta p Minr?se
?
Building Official
Assessment
water & Sew.
Police
Fire
Eng.
Planner
Council 176786
Bldg. Off.
Var.
Fees
Permit $ 400.00
Surcharge 44.50
Plan Review 200. 00
SAC 575.00
Water Conn. 500 . 00
Water Meter 63. 50
RoadUnit 280.00
Tr. PI. 132.00
Parks
Total $2, 195.00
on the express condition that
City of Eagan Ordinances.
Y REQUEST FOR ELECTRICAI INSPECTION Es•ooooi-oa
See instruetions for comoleting this form on back oi vellow copy.
'p 3?? n 5?9 "X" Below Work Covered by Ihis Request 9:11 ItL
AAtl R.P. TYOa of euilding Ap ired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Lightiny Fixtures
Apt. Building Dryer Electric He2tin
Commercial Bldy. Fumace Silo Unloader
Industrial BIAy. Air Conditioner Bulk Milk Tdnk
Fann Other Deu y Qther ISnerifyl
? P.I ?ICCI?y OLhL'f OthO!
ComUUte lnspectron Fee 8e/ow
p Fee ServiceEniranceSiza p Fee Faedars/$abfaedars d Fen Clrcuits
11-00 0 to 200 Am s 0 to 30 Am s 1 0 tn 30 Am ps
Above 200 qinps?? 31 to 100 Amps 31 to 100 Am s
Swimmin Pool Above 100_Amps Above 100_Amps
Trans}ormers Irngd[ion Boorr?s s0 Partial,'Other Pee
Signs Special Inspettion SO
?
S
TOTAL
flemvrks ? ?
- E
r
Rough-in
• Da[e
? 1 ihe Ele al
InsDector, hereby
certify that the above
Final ( ^?e ?
3?a spec?ion has been
ada.
TNS request voiE 18 montM from
This request vaid ?j L ?
N ?Q7?fl 519 La 6 l L? 5
Pqquest Date Fire No. Rouph-i nspection
Re
quf? d?
E]HeatlY Nuw ill NntifY Inspec-
/ - 'Q& ?
?'Fes ?NO ror When Heatly
FXK.censed Elec[rical ConlrTCmr 1 hereby request inspection ot above
? Owner eleetrical work instelled et:
Sveet Address, eoz or u[e No. City
?
ecUon o. Township Name or No. Penge No. Coun
Occupan[ IWiINTI Phone No.
' k `1
Power Supplier Addr 5 ?
Elact(cal ConVactor ICOmpany Name) nnt actor s Lic.ense No.
Mailing AdJress ICOnnactor or Owner Ma ' g Ingtaila ionl
A thorized Si n. e(C nva or/O f Making Install io Phone Nu
m
ber
/
/
Q
MINNESOTA STATX0ARD OF ELECTXICITY THIS INSPECTION flEQUEST WILL NOT
Gri99s-Midwey Bldg. - Hoom N-191 BE ACCEPTED BY THE STATE BOqRD
UNLESS PHOPEH INSPECTION FEE IS
1821 Universitv Ava., St. Peul, MN 65704
Phone (812) 297.2N1 ENCLOSED.
G3G?`1
2005 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
WqY
Date ' A Yl r 12 ? L 5
Site Street Address 3g90 Vlt-1`ftce-toYl GIt-L'te Unit#
PropertyOwner Kar?? Qy--,d &I ?-eer-I e Telephone#(bSl)SLJ Q'32?
Contractor 0"P P?V'l OyKS _ Telephone #((:s i ) 3(oS 134 v
Address 3Ob OU-L'ld 9-Ci City F?aq0.y-\ State hr Zip 12 3
The Applicant is: _ Owner xContracfor _Other
Alterations to existing dwelling $ 50.00
_ Add plumbing fixtures (excludes water softener and/or water heater--complete next
section if installing these appliances).
_Septic System Abandonment
_WaterTurnaround (add $125.00 if a 5I8" meter is required)
Other:
. . tf
? Water Softener _ Water Heater $ 15.00
_ new X' replacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ 50
Total ' g ?ts .Su
I hereby apply for a Residential Plumbing 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 plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the event a plan is required to be reviewed and approved.
, -F C',, a
ApplicanYs Printed Name
% G V `"_
Signature
I S-5U
RESIDENTIAL BUILDING
Permit Application
City Of Eagan
3830 Pilot I{nob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
-V 1;, Y2__1
New ConsfrucAon Reauirements RemodeVReoair ReouiremeMS Office Use Onlv . - .1
3 iegistered site surveys shaving sq. ft of lot, sq. fl of house; and all roofed areas 2 copies of plan CeR of Survey Recd
(20% mazimum lot coverege albwed) 1 set of Energy Cakulations for heated addNOns Tree Pres Plan ReaJ
2 copies of plan showing beam 8 window sizes; poured found desgn, e1c. 1 site survey for addifions 8 decks Tree Pres Not Reqd
1 setofEneyyCakula6ons Addifron - 'mdicafeff on-sdesepficsystem _On-sReSeplicSystem
3 wpies of 7ree Pmservation Plan if lot platted atter 711l93
Rim Joist Detaa Oplions selection sheet (bldgs wiN 3 or less uniLs
Date /Z / 'tu /
Site Address 3Ly CJ 3 Construction Cost S?$d o
sO iri' Zc ? w' Ca R.rd[ UnidSte #
Desc: iption of Ni'ork ? /
/ Pa,r- oi' -PGP f
Mu1N-Family Bldg _ Y_ N Fireplace(s) _ 0_ 1 _ 2
Property Owner /( G v .? (.'/`Ceni c Telephone #( 6,S f) 41 V- 93 2?
Contractor sr -i`n RnnFwir;; & REMODELING INC
Address
State 4100 EXCELSIOR BLVD. City
Ip ik0001050 Zip Telephone #(brz ) 8`L 3- 30? C
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Energy Code CategOry , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(Jsubmissiontype) Submitted Submitted
. • Energy Envelope Calculations Submitted
Licensed Plumber Telephone #(
Mechanical Contractor ll L`??C n r'-) Telephone #(
' II
Sewer/Water Contractor DEC I ? 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.
Lle ,, Mc, C?4.?
ApplicanYs Printed Name
Applicant' ignature
!2 - ZYo - 7 7 7 /
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool
? 02 SF Dwelling ? OS 06-plex. ? 16 Fireplace ? 21 Porch (3-sea.)
? 03 Ot of_plex ? 09 07-piex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gaze6o)
? OS 03-plex ? 11 10-plex ? 19 LowerLevei ? 24 Storm Damage
? 06 04-plex ? 12 12-plex PIb9_Y or _ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44
? 32 Addition ? 36 Move Btdg. ? 42 Demolish (FOUndation) 12 45
? 33 AlteraGon ? 37 Demolish (Bldg)" ? 43 Reroof ? 46
? 34 ReplaCement •Demolition (Entire Bldg) - Give PCA handout to applicant
? 30 Accessory Bldg
? 31 Eut. Alt - Multi
? 33 6ct. Alt - SF
? 36 Multi Misc.
Siding '
Fire Repair
Windows/Doors
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 Sprinkiered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaVC.O.
_ Footings (deck) FinaVNo C.O.
_ Foo[ings (addition) _ Plumbing
Foundadon HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing Siding Smcco Stone
_ Fireplace _ R.I. _ Air Test _
_ Final _ Windows (new/replacement)
_ Insulation _ Retauung Wall
Apprcved Sy , 8uiidiny inspectur
Base Fee
Surcharge
Plan Review MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
CITY U3E ONLY rv?z
? BL ? RECEIPT#: I31?
SUBD. I.e i L h sl?uclrr/ RECEIPTDATE: 7'/ ?-OO
PERMIT#
2000 PLUMBING PERMIT (RESIDENTIAI,)
CITY OF &AGAN
3830 PILOT KNOB RD
EAC,P.N, MN 55122
651-661-4675
Please complete for: D single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIXTIIRES
EACH #
TOTAL
Alterations to existing dwelling - minimum fee
Describe: $ 30.00
Sath tub $ 3.00 x
Floor drain 3.00 x = $
Gas piping outlet ' minimum -1 3.00 x = $
Hot tub/spa 3.00 x = $
Kitchen sink 3.00 x = $
Laund tray 3.00 x = $
Lavatory 3.00 x = Y
Septic System new/refurbished 'requires MPC lic. 75.00 X = $
Septic S stem abandonment 30.00 x = $
RPZ new installationlrepaidrebuild 30.00 x = $
Rough o ening 1.50 x = $
Shower 3.00 x = $
Underground sprinkler if dwelling is under construction 3.00 x = $
Underground sprinkler rf existing dwelling 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x = $
Water softener IT dwelling under construction 5.00 x = $
Water softener if existlng dwelling 30.00 X
Water tumaround 30.00 x -- = Y
State Surcharge .50 -> --> -> $ .50
TOt81 _> $
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
-----------------------------------------------...--------•-------------------- ---?------- - - ---------- - - -- - ------
- ad - this - appiication - , state that the informalion is corted, and agree to comply with all applicable City of Eagan ordinances.
I hereby- adcnowledge - that 1 have - re
It is the applicanPS responsibility to notiry the property owner that the City of Eagan assumes no liabiliry for any damages caused 6y the City during its
normal operationai and maintenance activities to the facilities consWctetl under this permit wdhin City propertylright-of-wayleasement.
SITE ADDRESS:
OWNER NAME: : TELEPHONE #,LQU-1-tl'i" ""????
(AREA CODE)
INSTALLER NAME: 1" 1Y ? TELEPHONE #: ??? •`?? ?
STREET ADDRESS: R?n cpoE>
dk Lf? ?
CITY: STATE:M?A ZIP:
SURE OF
?--/
7985 BUILDING PERMIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS MI1ST BE LICENSED WITH THE CITY OF EAGAN
CDlVMERCZAL
SINGLE FAMILY DifELLING3
INCLUDE 2 SETS OF ARCHITECTURAL INCLUDE 2 SETS OF PLANS
& STRUCTURAL PLANS, 1 SET OF 3 CERTIFICATES OF SURVEY
SPECIFICATIONS AND 1 SET OF 1 SET OF ENERGY CALCULATIQNS
ENERGY CALCULATIONS
$2,000 LANDSCAPE BOND 69 ?
To Be Used Far: C, Valuation: _???-Date;
Site Address _3,f 5,Q -2,'„&UctRi• '. rc6 OFFICE USE ONLY
Lot ? Block (
Parcel/Sub ?
?
Owner
Address ?QQ ? ? e?, "JYLT- ?J..p•
City/Zip Code
Phone 51 TL/ -c} OTl Y) -
Contractor _ ?y?l 40,
Address
Cfty/Zip Code Ct
Phone
[ %.
Arch./Engr. ii
Address t.k.
City/2ip Code ck
Erect X
Remodel ?
Repair T
Addition
Move ?
Demolish
Int.Impr. ,
Install ?
APPROVALS
Occupancy
Zoning
Type of Const
0 of Stories
Length
Depth
Sq Ft
FEES
Assessments Permit
Water/Sewer ?
? Surcharge
Police Plan Review
Fire SAC
Engr Water Conn
Planner Water Meter
Council Road Unit
Bldg Off? Treatment P1
APC 7 Parks
Variance Copies
TOTAL
Phone # h
2Zx 2g - CIc? x 44-^ 2?Ii?4
l?I ?23 " 3?1 ? 58 = 2"zG -78 ' •
l c? x 3 4- 544 Y' s? 3 c ss 2
Z4. x 2q.. - S?ta X t'i- `?R l Z
8g 24G
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-f- DEMOTES PROPOSED SURFACE DRAINAGE
O DENOTES IRON MONUMENT SET SCALE: 1 INChI = 30 FEET
• DEPIOTES IRON MONUMENT FOUND. PROPOSED GARAGE FLOOR = , FEET
X000.0 DEPlOTES EXISTING ELEVATIOF! PROPOSED LOIJEST FLOOR = 6 $y,9 fEET
(000.0) DEtlOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK = 89 7• 3 FEET
I HEREDY CERTIFY TO SCHIPIEK CONST. THAT THIS IS A TRl1E AND CORRECT
REPRESENTATION OF A SURVEY OF THE UUUNDARIES OF:
Lot 7, Block'i, LEXI'dGTOf! SQUARE, accordine to t?e recerded nlat
thereof, Dakota County, Plinnesota. -
AND OF TIIE LOCATTON DF ALL BUILDINGS, IF ANY, THEREON, AND ALL VISI[3LE ENCROACHPIENTS,
IF ANY, FROt4 OR ON SAID LAND. A5 SURVEYED DY P1E THIS 24TH DAY OF DEGEMBER. 1985.
SIGNED: JAME? . HILL, C.
L? ? ,7%' -2 a---?----
13Y : '
liAROLD C. PETERSON, LAND SURVEYOR
MINPIESOTA LICENSE N0. 12294
PROJECT NO. DOOK / PAGE . JAMES R. HILL, ING.
85398
152/74 Planners / Engineers / Surveyors
FILE NO. `
8200 Humboldt Avenua South
FOLDER eloomineton,Mn. 55431 e12-884-3029
`=,Page
?w . . '. . ' . . . . S.. 3 `M.,
CITY OF BURNSVILLE ' i
+;. EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION rr?
Oamer.?,'l???c?`i?LaS Phone 2 v2- L?i
`_Legal Description of Property: Lot?
Site Address _PL- Block ( AdditionDate /]- 3[5_
,...__ ? (? r Ni? ? t
, z3 1v
AVERAGE LINEAL FEET OF
E%POSED WALL AREA ABOVE GRADE PERMIT N0.
Main level
¢ x height of wall 1s.0
Lineal ft. of framed wall above grade I4?!
Rim'joist area .
Lineal ft. of rim x height of rim ??° ?"
',Lower level
Lineal ft, of framed wall above grade 102 x height of wall.
Lineal ft. of masonry wall above grade • x height above grade
TOTAL wall area above grade including windows and doors 20 51 .
6YII4DOWS: Area x "II" value
- Make & type j'41E.R.MoppNSt_tDE2.5, sq. ft. 5 02 x"U" .S fo = 5'i. 12 (U) (?
n n ?FfE¢?noPA?tf? FIRP.? sq. ft. c?7 x rrUll .G.? __ 39.33 (U) 0
u n sq. ft. x nUn = (U)(f
sq. ft. R„U.. _ ?u) 0
?.. .? - sq. fc. X I'Ut, ? `ct?l (k
sq. ft. X nUll _ (U) ?k
i ?. . . n. . sq. ftr g rtUv . _ ([j)
6 ti . . n sq. £t. .-K nUn ` (U) ?
[ ir u Sq. ft. x nUn ° (l1) ?/
..,.,u' .. . n . sq. ft. 8 uUn ° (U)
\?
I. , it ?r s ft. X itUli _ (U) (k
sq. ft. X (t1) U
x flU,, - ?G*) ?!
i 'n ^ sq. ft. '
^ sq. ft. x nUn ° (U)U
? n ^ sq. ft. X nUll ? (U) 0
L n ?r sq. ft. x nUn ° (j1)fE
` . .,n n . sq. ft. . . X nUt1__ (U) (Y
sq. ft. x nUrt s (U) U
.
f_. ,.. 151 9 ra...? ? f,fl
? DOORS: Area x"U" value
! Make & type ta/4" sw?u,4 ?re.a." $q. ft._ `4o x ??o?? . 2? • = 1 v.4+4 (u) (r
8 x nlln S9 .° ?s3.'IZ (t1) (?
'? .. n n £4?Z._Ca2oe- sq. ft. 145
f, n n sq. ft. x uUn s (U)
sq. ft. A nUn ° (U) U
F,
1
?:OPAQUE WALL CONSTRUCTION; Area x"U" value ?------?
{., FRAMED WALL (total area less
opening, framing members in
Detail refer- Wall, rim joist area & masonry)
j ence from sq. ft. (?40q x??U?? .04 ts?•?4 (11)
'I attached graming members in wall sq. ft. 1 5'T x11U.. . i2 ° 18 .84' (U) G
sheets Rim ioist area sq. ft. t(e4, x U (0•56 (U) <<
n n-
?.. : Masonry area abov@ CXade . .. Sq. ff: ........ . X U _ (U)U
`
{`. TQTAL Wall Area Including Windows & Doors 2CD 341 TOTAL (U) (A) 2
i,
i
i TOTAL (U)(A) VALUES ? c AVG.
! DIVIDED BY TOTAL WALL AREA
!• AVERAGE "U" Minimum ,XT or less for 1 5 2 family dwe113ngs °
Minimum .22 or less for all other Uuildings
NOTE: If average "U" values as calculated above do not meet the Energy Code requirementa, tht
?c` "Alernate Envelope Design" as indicated on Page 5 may be used.
;::
WALL SECTIONS Page 2
OTfi: Use ` lOX of opaque wall area "
for,framing mambers R-Value
. ' FRAMING MEMBERS IN WALLS
P
Exterior sir film -17
Siding
Sheathing
311" soft wood
39 "_:dTY wall
Interior air film'
4.38
.45
,68
TOTAL
U m l/g U= ' • I Z
Interior air film _ "-
. . . ' . TOTAT R = 2 4,_? 3 - .
, o4tle
U = 1/K U - '?
RIM JOIST AA?_
Exterior air film 37
Siding • V?
Sheathing
1.88
l?soft wood -
20.00
Ins:i..«ton - -
.68
Interior air film -
TOTAL R = 2 S ,Qc(o
ks.
U° 1IR p a . O'4
MASO_ NRY WAU_
,i
?
i
Top View
. ?^ ' . '. . : ' : . '?::?f:..1?'s';+:•ik`ik?`j
Page 3 t.e
?:'i
' . RO6F CFILING
Outside air film .61
Insulation 46•04
;j" Drywall •45
Interior air film .61
TOTAL R
= 1/R, . p = .OZ4.
U
Outaide air film .61
Insulation
'?" Drywall .45
Built-ug-rnnfi°,° . 33
Insulation
Wood decking ?-
Interior air film .61
TOTAL R s
U- 1/R U-
ROOF/CEILING: .
TOTAL AREA: sq.
ll
'l ft.
ft (U)(A)
Detail reference U x sq. .
°
(U)(A)
from above. r, a
?U
ll x sq. ft:
ft m (U)'(A)
Describe openings U
"
" x sq. .
ft
°
in roof U x sq. . m (iT}(A)
x sq. ft. (U) (A)
x sq. ft. ""
° _"_-(U) (A)
sq. ft.
TOTALS sa. ft.
TOTAL (U)- (A) VALUES p Z4 AVG.
DIVIDED BY TOTAL ROOF/ ?
CEILING AREA ,OZ?a
AVERAGE "U" ..03 for ventilated roofa
.10 for all other construction
NOTE: If average "U" values as calculated above do not meet the Engergy Code requirementa. the
"Alternate Envelope Design" as indicated on Page 5 may be used.
? ?
. P. ?.
t
I
Ii
Page 4,
Exterior air film •92
plywood particle board ,66
Insulation
Interior air f.ilm •92
TOTAL R =
U = 1/R
U =
! Inaulation shall have a minimum R-Value of 7.5 and must
J. extend horizontally (as illustrated) or vertically a
? dis[ance equivalent ta the design frost line; that is:
,
Zone 2= 3 feet 6 inchea
Insulation ahall have a minimum R-Value of 7.5 around the
? perimeter of slab on grade floors.
i
,
? .. ....r ?...er...n.?
Page 5 ,.
THE TOTAL ENVELOPE CALCULATION METHOD
l
-The regulations state that alternative overall "U" values for building sectiona are permiseabl,
if it is shown that the total building envelope heat loss/gain does not exceed that of a
similar building that meets the segulation "U"_value maximums. In this.case, we wi11 consider
only the walls and roof/ceiling criteria, assuming that the remainder of the building meets
regulation requirements.
A. Total heat loss as designed (walls and roof/ceiling) BTO/hr. depree F.
Walls - UoAa =,Average "U" of
wall assembly x average.wall area gq. ft. °
Roof/Ceiling = UoAo = Average "U"
of ceiling x average ceiling area eq. ft• °
TOTAL
S. Total heat loss if designed to meet the regulation minimum (walls and roof/ceiling) ;
I
Walls = U A = Minimum required
°°."U" value of wall. x average wall area $a• ft•
?
- Roof/Ceiling = Uo o = ?qinimum required
"U" value of
ceiling x average ceiling area sq. ft• °
TOTAL
, _.i.-_ . . . . . .
The following table may be used as a general guide line for
determining allowable percentage of wall openings when lowest
"U" value is estahlished.
X Wall
0 enin
10.6
13.4
15.6
17.2
18.6
19.7
20.6
21.4
22.1
Minimum
R-Value
0 a ue Wall
8
9
10
11
12
13
14
15
16
% Wall
0 enin
22.6
23.1
23.6
24.0
24.4
24.7
25.0
25,2
25.5
Minimum
R-Value
0 a ue Wall
17
18
19
20
21
22
23
24
25
Opening area (sc. ft.) • i/ X 100 $
Opening & wall area above grade (sq. ft.) opening in wall
The following table may be used as a general guide line for
determining allowable percentage of roof openings when lowest
"U" value is established.
X Roof
Opening
0
1
2
+
F
6
Minimum
R-Value of
0 a ue Roof
20.0
22.3
25.1 29.0 34.3 422
55.3
0
Opening area (sq, ft.) / X 100 = x
Opening 5 roof/ceiling area (sq, ft.) openinR in wall
? .,
i
•-
I
.
?
I? '• 2/84
CITY OF EAGAN
? APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
(PLEASE PRINT)
PROPgrrY ADoREss:
I,EC,AL DESCRSPTICN: C' Xin? ?{c/I
(Lo t/Block/Subdivision or T 'Parcel I.D. NtuNber)
I"r W{IS_'=_:G ST.'2G'CTL^:2E, D?TE OF ORIGINFIL B.iILCL'dG Pu,:1ST ISS'J?1?G.:
P2.S- ' Z?Ti::r:/PRL°CSEID U5: 1,? R-1 SMU'L-- r^PYSLY
L] R-2 DUPLEX ('Iti%-p Wi ITS )
[3 R-3 ZC'Ird[VH(XSE (TI1RE" + LRJITS) ( iNIT5)
? R-4 APAR'IP^.E:VT/CJLIDcMNICNi1 ( CNITS)
? CCMMEE2CIAL/RESAII,/OFFICE
? L-MUSTRSAL
? INSTITUTIONAL/GOVIIZ?IIKENT
2) AppISCPV"P (PLEASE PRINT)
NP.hIE: '
ADDRESS:
CIPY, STATE, ZIP:
PHONE:
3} pj,j]1.qggR PLEASE PRINT) FOR CITY USE OHLY
NA
?:
'
ADDRESS:
. ?emm mEei
ANlsAL
86t10NFuuFxECDRIYE EAGAN,MINN.551T2 PLUMBERS LICENSE:
Q Active
CITY, STATE, ZIP: 452•1565 Q Expired
PHONE: MASitR
PLUMBER LICENSE k 001445M2 Q Not of Recard
a initia
4) OCCLjPA?/CF.,,ZTR IV?LtAStPHiNTJ
N71ME:
A[IDRESS:
CZTY, STATE, ZIP:
P[IO^IE:
5) INDICATE 4JIIICH PEP.MST IS BEING REQLTES'I'ED:
Fr CO,;NECI'ION 'Ib CITY Sa7ER
Er COnNEC.Z'ICN Tp CITY WATER
? dI'E'.FS2 (PLEASE DESCRIBE)
6) L^1DIG= C2?:
? PLEASE I?OLD APPROVID PERMIT FOR PICF:-UP BY ONE OF A60VE
PLEASE PAiL APPROVED PERtilIT TO 1, 2, 3; 4 P,EC7VE
(Circle one)
i
7) SIG?i..T?'iL'RE: DATE:
, .,
.. .. ... . , ?
??ew:?iwsari???aE?:??s:a?t:rs???a;a?+i?sii?ris?aairrrtart
0 R C I T Y
PERMIT " ISSUED
FrES: $
$
$ Z: .3 5Z` .
$
$
$ /j cc
$
$
$
$
$
$ X??
$ S E 0 N L Y
SE;^;ED DEqMTy (I'dCLUDE JU°CH?RGE)
WATER PERP1IT (INCLUDE SURCHARGE)
WATER METER/COPPERHORN/OUTSIDE READER
WATER 1^AP (INCiJDE CORPORATICN STOP)
SEP7ER TAn
ACCOUNT DEPOSIT - SEWER
ACCOU^7T DEPOSIT - WATER
WAC
SAC
TRUNK ;VATER ASSESSME:IT
TRUNK SEL9ER ASSESSMENT
LATERAL BENEFIT/TRUNK SE6tiTER
LATERAL BENEFIT/TRUNK WATER
OTAER
$ TOTAL
$ AMOUNT PAID/RECEIPT #
J
5`J71
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
? YES IF YES, THEN A"PERMIT FOR WORR WITHIN
PUBLIC ROADWAY" MUST BE ISSUED BY THE
NO ENGINEERING DIVISION. LIST AS A CONDI-
TION.
SUIIJECT TO THE FOLLO;dING CONDITIONS:
APPROVED IIY:
i
TITLE:
DATS :
t wo."m RM w Wipw E.lw 1tm al okA !!# RM l4 W-1f wiF}7 Bl.i OIEr 1! ?1 jA so1s W# 0Ew in wliw PO7 /!+!! f-p1 m m
Elde???nes
Building Permit Service, Inc.
1120 East80th Street
Bloomingtnn, MN 55420
Phone: (952) 345-6047
Fax: (952) 854-4909
To whom it may concem:
SYe at Elder-7ones Buiiding Permit Servica, Inc, are acting as an agent for RMA Home Serrices,
Inc. If there aze any questions, or if die permit has to be picked up in person, please give us a call
at the number above. If the permit can be mailed back to us, we have eaclosed a self-addressed
envelope for your convenience.
Thank you,
L? 1 ???DR?YL
Kaza Henson ext 147
Elder-Jones Building Permit Service, Inc.
7120 East SOth Street I 8loomington, Minnesota 55420-1498
952-8542854 4 FAX: 952-854-4909
PROIMRMA HOME DEPOT AHS ?
7635428227 T-928 P.001/001 F-768
LIMIITEb PO'WEIi OF ATTORNEX
COUN'I"Y OF N6a+j, aF?
STATE OF MINNESOTA
KNOW ALL PEOPLE BY THESE PRESENTS:
TT-LAT I, Todd Daniel Lewis, a resident of KAM,?'Ey County,
Minnesota ("Principal"), and a licensed contraccor of R1vtA Home Services, Inc.,
DBA Home Depot InstaIled Sales locazed at 646 Mendelssohn Avenue North, Golden
Valley, MN 55427, having a license number of BC- 20268257, do herehy appoint,
name and constitnie Elder-lones Building Permic Service, Ina ("Agenc") as my true
and l2wful attarney-in-fact and do authorize and gran[ said attomey-in-fact for me and
in my name, place and scead the power co execuce, acknowledge, sign and deliver (in
such form as may be required by the municipality) a permit application, or any other
inscrumenc(s) which may be necessary and appropriate, in order to obtain the proper ,
permit(s) from the Ciiy of Eagan, Minnesota for the installation, maintenance and, ?
repair of windows and siding (the "Work").
The powers conveyed to the Agent by this Limited Power of Anorney are
limited solely to the express powers delineated herein and apply solely to the Work.
This Limited Power of Artorney shail expire and automatically be revoked on the (G
day of , 2002, which date is one year &om the execution hereo£ Furr.her,
the powers conveyed by this Limired Power of Attomey may be revoked by Principal
at any cime by express revocation and shall also be revoked 6y the Principal's death,
disability, incapacity or incompecence.
TN WIINESS WHEREOF this Limited Power of Attorney is executed this
L'= day of 3..a g- . 2001.
Todd T)aniel Lewis
NwORN TO ANI7 S1U'BSCRIBED BEFORE ME by Todd Dsmiel Y.awis oa
this day of , 20-(4.
? . .. . _. ?vWVMMMM
6 ic ia fo e State of Mitteso BUHTON T. BROWNl1
NOTAAY WBUC-MINNESOT
My Commission E?cpires: MC???M"?jM•3'•?
I
. ?
796816.r]
Received Time Jun, 7. 2:56PM
JUN-07-2001 15:43
City of Etta"
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
RECEIVED
DEC Z12011
Use BLUE or BLACK Ink
1
Fo ,(ice tie
Permit #:
Permit Fee:
Date Received:
Staff:
2011 MECHANICAL PERMIT APPLICATION
C
Date: 12�
��— I � Site Address: .3(6,--C) Apt 1_.
r1C�.�-
T1 CAl� -C
Tenant: (� \.emt �
Suite #:
RESIDENT / OWNER
Name. Y `} '-JtY\cfrFSOI Phone: (0 '-'t08 -- l3 c—(e,
Address i City i Zip (0
jrn. (.F / 7" er e (4A 7Z 3
CONTRACTOR
i
Name: BURNSVILLE HEATING &AIC, INC. License #: { �(Z c3 —� /
Parkwa
3451 W. L3umsviile 7
Address: Suite 120 City:
zurnsville, MN 55337 �"
State: Phone: 5�- �"tu 4)005
Contact: G L i/IC& - Email:,.
TYPE OF WORK
New %( Replacement Additional Alteration Demolition
Description of work: 04211109 t A_Aric%l ei
NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City
Code. Please contact the Mechanical inspector for information on permitted screening methods.
PERMIT TYPE
RESIDENTIAL
Furnace
COMMERCIAL
New Construction Interior Improvement
Air Conditioner
Install Piping Processed
Air Exchanger
!
Gas Exterior HVAC Unit
Heat Pump
_
Under f Above wound Tank ( Install i Remove)
—
Other
when instafinglremoving tank(s), call for inspection by Are
Marshal and Moiling Inspector
RESIDENTIAL FEES:
$55.00 Minimum Add-on
'
or alteration to an existing unit (includes
burned out ductwork, etc.) (includes
$5.00 State Surcharge)
$95.00 Fire repair (recce
}/`y'
$5.00 State Surcharge) $ '' W TOTAL FEE
COMMERCIAL FEES:
$75.00 Underground tank
$55.00 Minimum (includes
instailation/remav t OR
State Surcharge)
$10,010, surcharge is $ 5.00
surcharge incremes by $.50 for each $1,000 Pemdt
Fee requires a $ 5.50 sure)
Contract Value $ x 1%
_ $ Permit Fee
- If the Penult Fee is less than
Fee = $ Surcharge
- If the Permit Few is > $10,010,
(Le. a $10,010-$11,010 Pemmt
_ $ TOTAL FEE
CALL BEFORE YOU DIG. Can Gopher Stale One Can at (651) 454-0002 for protection against underground u1 rdamagpv. Can 48 hours
before you intend to dig to receive locates of underground utilities. www
I hereby acknowledge that this irfcprmation is complete and accurate; that the work win be in conformance % tth the o naarrees and codes of the City of
Fagan; that 1 understand this is not a nem*, but only an appfncalon for a pemiN, and work is not to start nilhout a permit that the work wiz be in accordance
approved plan in the case of work which requires a review and approval of
Applicants Printed Name
FOR OFFICE USE
Required Inspections: ;Under Ground
Test Gas Serve Test Heat
Use BLUE or BLACK Ink
r________________�
I For Office Use �
' � Permit#: � ���I
Clty of ����� � 1����'�
� Permit Fee:
3830 Pilot Knob Road I I
Eagan MN 55122 � Date Received: �
Phone: (651)675-5675 I I
Fax: (651)675-5694 I Staff: I
I I
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: � � � Site Address: �� � � ' Unit#:
W �
' ' ; Name: Phone: �J�� loG�" ��
, � � �. ;
,� � � ,�� :� ' .
�i., ,� ����@�li�Gt�t� ��� � %�...�
'u'`� :'��. Address/Cit /Zi 50
C�Wil�1��.M Y p�
: Applicant is: Owner �Contractor
Description of work:
Type of Wc�rk
' Construction Cost: 1 � � Multi-Family Building: (Yes /No�
��fi- ,A`
i�r�� 1 I � � p �j � �
�,��;�;� � Company: �' �f� �O✓bS�r`�`�t ,I� ,Contact: A,✓d� I�r,l')r
� ;. .�
° ��� �� Address:
�� )�-� City: ���.f�-��
�+i}fil#t+aCfp't'
�
' State: l"rV Zip: �_Jr� Phone: ���. ��i '!`���mail: �5(.b�.lri'�','�' � T'�,4h��,i'fe�
,��� ��
License#: 1 X������ Lead Certificate#:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
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:
NbTF �l�ns a�d sup,��r ►ng�Q�ii�nen,,,i�itl���y���,�r�rt�f��re c+�n���(er�a1'ti�#e pubfir�iinform�#�er� ,Portic�ns o�
�fhe�r�f�ormat���r�rr�ay��5�clas��ffed a�r��ri-pu�Ii��t���u�rc�va�(�specr��rea�or�s ttr"a�`'wc��ld perrrri�°tire Ci#,y xa '
y ,�' =�or��lu ���t�tat t��; �r�7trad����ret�.,. .
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.aopherstateonecall.ora
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 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.
Ezterior work authorized by a building permit issued in accordance with the Min ta State Building Code must be completed within 180
days permit issuance.
� C "y �, �C31,�/� �E`� /��
x �1� X
Applicant's Printed Name ApplicanYs Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA124851
Date Issued:07/14/2014
Permit Category:ePermit
Site Address: 3850 Princeton Cir
Lot:7 Block: 1 Addition: Lexington Square
PID:10-45075-01-070
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
Valuation: 500.00
Fee Summary:BL - Base Fee $500 $40.00 0801.4085
Surcharge - Based on Valuation $500 $0.50 9001.2195
$40.50 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 -
Cory L Anderson
3850 Princeton Cir
Eagan MN 55123
(651) 688-7826
J Carver Construction Inc
1345 Schletti St
St. Paul MN 55117
(651) 645-5488
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA130113
Date Issued:04/06/2015
Permit Category:ePermit
Site Address: 3850 Princeton Cir
Lot:7 Block: 1 Addition: Lexington Square
PID:10-45075-01-070
Use:
Description:
Sub Type:Fireplace
Work Type:Gas Insert
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
concealing.
Carbon monoxide detectors are required by law in ALL single family homes .
Fee Summary:BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
$90.00 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 -
Cory L Anderson
3850 Princeton Cir
Eagan MN 55123
Twin City Fireplace & Stone Company
6521 Cecilia Cir
Minneapolis MN 55439
(952) 232-1840
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA154512
Date Issued:03/27/2019
Permit Category:ePermit
Site Address: 3850 Princeton Cir
Lot:7 Block: 1 Addition: Lexington Square
PID:10-45075-01-070
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 -
Cory L Anderson
3850 Princeton Cir
Eagan MN 55123
(651) 323-7055
Kaufman Sheet Metal Roofing
2521 24th Ave S
Minneapolis MN 55406
(612) 722-0965
Applicant/Permitee: Signature Issued By: Signature