3883 Princeton Tr400•
CityofEaali
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
\ l� w1
2
W LUi6 ij-) V
Use BLUE or BLACK Ink
For
Permit #: 1�1/(1
Permit Fee: I / 7',0
Date Received: c‘A/r)
Staff:
2010 RESIDENTIAL BUILDING PERMIT APPLICATION31Ia
/� za-1 3
we once I"r1 �'` CI��
Date: �V Site Address: 3
Tenant:
J
4i000 cLik 11)0.4C-•11)0.4C-•k%P, �v.s
Suite #:
RESIDENT / OWNER
Name: 1,0%..1% Gv\ ? ti 0..4.0_4‘ ,' -e. \6.Y -Wet Phone:451 -6 V 6` 2'11
1
Address /City / Zip: 3 9f� .e 41-L k cev\ 531.2- "5
Applicant is: Owner Contractor
TYPE OF WORK
Description of work: -7/ C/
Construction Cost: jOO t Multi -Family Building: (Yes / No )
CONTRACTOR
Name:0lif•cv\a- 45vASA./vc, ®-v\ Tv\C._ License#: ZOcO2-
Address: i' 4g7_ C3 -ca rry 1a. `'A— City: i Ve ) 1 �y
661-7-711--3114 ,,�
State:4*J Zip: C512 -1-I Phone: 6 1-2-7' 1 lfro
Contact: \ 'c\V
w e—i \ Email: \ G t G Na)......ft sc.,
COMPLETE
In the last 12 months, has
If yes,
THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
the City of Eagan issued a permit for a similar plan based on a master plan?
date and address of master plan:
_Yes _No
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor:
Phone:
NOTE: Plans and; supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
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.gobherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is 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.
nt's P ' ted Name
x
Applicant's Signature
Page 1 of 2
DO NOT WRITE BELOW THIS LINE
q6a
SUB TYPES
Foundation
Single Family
Multi
01 of _ Plex
Accessory Building
WORK TYPES
New
Addition
Tjj Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25%_ 100% ✓)
Census Code
# of Units
# of Buildings
Type of Construction
Fireplace
Garage
Deck
Lower Level
Porch (3 -Season)
_ Storm Damage
Porch (4 -Season) Exterior Alteration (Single Family)
— Porch (Screen/Gazebo/Pergola) Exterior Alteration (Multi)
Pool Miscellaneous
Interior Improvement
Move Building
Fire Repair
Repair
ao0
Ve
148
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
Roof: Ice & Water _Final
Framing
Fireplace: _Rough In Air Test _Final
Insulation
Meter Size:
Reviewed By:
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
V3
Siding
Reroof
Windows
Egress Window
Demolish Building*
_ Demolish Interior
Demolish Foundation
Water Damage
*Demolition of entire building — give PCA handout to applicant
7114 -2
37
PD
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Sheetrock
Final / C.O. Required
le Final / No C.O. Required
HVAC
Other:
Pool: Footings _Air/Gas Tests _Final
Siding: _Stucco Lath _Stone Lath _Brick
Windows
Retaining Wall: _ Footings _ Backfill _ Final
Radon Control
Erosion Control
, Building Inspector
Page 2 of 2
?
1. Date f--
3. Job Address
4L PERMIT
EAGAN
in
. Installation
Ptrnnit No.
Fu
s/c
Tot .
? r
_,Bik. ' Tract
4. Owner
5. Contractor f Phone ' .
8. Address
7. City
8. Building Type: Residential Q.
9. Work Description: New Q
10. Desrxi6e
11.
Type
No• Fsiu,ipmeni BTU - M. Ea.
Forced Air No. Equiament CFM
Air Handlin
:
Mfg, g
,
Boilers
Mfg. + Mech. Exhaust
'I
Unit Heater
Mfg. ? Other
Air Cond.
Mfg.
Gas, Piping Outle2s
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 F inal
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
State 2ip ' . /
Commercial O Institutional ?
Add ? Alter ? Repair ?
CITY OF EAGAN 11205
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Re«ipt ?t
To M wwd fer Est. Value ' Dote , 19
Site Address Erect ? Occupancy
Lot Block SeclSub. - Fiemodei ? Zoning
Parcel No. Repair ? Type of Const.
Addkion ? No. Stories
Move ? Length
? Neme Demolish ? Depth
Address Int Impr. ? Sq, Ft.
City Phone Install ?
?
Name AoProrols Fees
?
Address Assessment Permlt
?
V? City Phone Water S Sew. Surcharge
li
i
P
Pt
R
"
o
ce
an
ev
ew
Name Firo SAC
?? Addreas Eny
Water Conrt
?W City Phone .
Planner WaterMeter U
Cauncil Roed Unit ? 8 C • 00
I hereby acknowiedfle thot I hove rcad this opplication and stote that gldg. Off. L_' ,'`}•' Tr. PI. 13 2•0 ?
fhe informction is correct ond agree to comply with oll upplicoble APC
State of Minnesota Stotutes and City of Fn9on Ordinances. Perks
f P
rmitta
Si
t Var. Date Copies
pna
urc o
e
e ,
Total ?
A Bufldinfl Permit is issued to: on ths exprcsa conditlon Iho+
all work sholl be done in atoordonte with oll opplicoble State of Minne soto Statutes and Ciry of Eoflon Ordinonces.
Buildinp Offlcial 'rl'
Pwmk No. Pwmk Hoklw prtw Tslaphone #
Plumbing T r Y,)-i 3) 30
H. VA.C.
EMedic ? C) Ci
Soitowr
ImMetion Dete Insp. Othx
Footinys 1 `
Footings II
Foundatlon
Framinp
Roofiny
Rouyh Plbq. 1'fO• 4L3o1/.G? (?2Q,'L,?/? /(-2??'c?
Rough Hty.
Insul.
Fireplaco
Finel Htg.
Flnal Plby. _ l
Final
Csrt/Occ. ? ? -
Water Dneribe Location:
WNI
Sswsr
Pr. Dlsp.
I?1u•_.? '. i
CITY OF EAGAN Remarks f
Addition LE$INGTON SQUARE Lot 3 Rlk 4 Parcel 10 45075 030 04
owner street 3883 Princeton Trail 5tate Eagan, MN 55123
Improvement Date Amount Annual Years Payment Receipt Oate
STREET SURF,
STREET RESTOR.
GRADING
SAN SEW TRUNK 1985 254.53 16.97 15 254.53 C009745 10-12-84
EWER LATERAL 1_28_8
WATERMAIN 1986 68.33 56 15 68.33 C010090 1-28-85
WATER LATERAL
WATER AREA 1996 296 - 41 19-10 15 286.43
STORM SEW TRK 1986 501.29 33.42 1 501.29 C010090 1-28-85
STQRMSEWLAT 1986 513.81 34.25 15 513.81 C010090 1-28-85
CURB & GUTTER
SIDEWALK
STREET LIGHT
Road ni. $280.00 57200 11 4 85
WATER CONN. 500.00
BUILDING PER.
sa,c 525.00
PAR1C
Receipt ? PLUMBING PERMIT Permit No.
CITY OF EAGAN
Fee
Fill in numbered spaces S/C
Type or Pirnt /egibly T,at_
1. Date 2. Installation Cost
it ^
3. Job Address F? ?`1 f Lot Blk. Tract • Y ?
I
?
4. Owner ?? I E_ i r-=C t u"„ l?_? 1` t c i .
a
5. Contractor Phone
. ?
6. Address
7. City State Zip '
8. Building Type: Residential CI Commercial O Institutional O
9. Work Description: New Add ? Alter ? Repair ?
10. Describe
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
, Bath tubs $eptic Tank
Lavatory Softner
! Shower Well
? Kitchen Sink
Urinal/Bidet Other
i Laundry Tray
Floor Drains
Drinking Ftn.
-
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I a9ree to
comply with aIl ordinances and codes governing this type of work.
Signed : for
Rough F inal
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved GTY OF EAGAN 454$100
.? AL??
BUILDING PERMIT
To be used for DBCK
CITY OF EAGAN 10 18762
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 `'
PHONE: 454-8100 -
Receipt #
Est. Value ;1.000 naeA API! 25 91
Site Address 3883 pR1NCE'TO
Lot 3 Block 4 Sec/Sub.
Parcel No.
W Name HI1MiLD C KOELi
1 Address 3883 PRI1tC8'i'0!1 ?!t
° City RACM Phone 454-8154
:o Name S?
;? Address
? City Phone
U¢
W W Name
W
? ; Address
i W City Phone
I hereby acknowlege 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.
Signature of Permitee
A Building Permit is issued to: ?OLD CMOsU
on the express condition that all work shall be done in accordance wilh all
applicable State of Minnesota Statules and City of Eagan Ordinances.
I
8uilding Official
Occupancy
Zoning
(Actual) Const
(Allowable)
# of Stories
Length
Oepth
S.F. Total
S.F. Foolprints
On Site Sewage
Ofl S11Q V1I@ll
MWCC System
Gity Water
PRV Required
Booster Pump
APPROVALS
Planner
Council
Bldg. Off.
Variance
OFFiCE USE ONLY
-Ji--2 FEES
ib'
-M9
81dg. Permit
Surcharge
Plan Review
SAC, City
SAC, MCWCC
Water Conn
Water Meter
Acct. Oeposit
SMI Permit
SNV Surcharge
Treatment PI
Road Unit
Park Ded.
Copies
TOTAL
_ SA
iv.w
Permit No. Permit Holder Date Telephona #
WATER
SEkVER
PLUMBING
H.VA.C.
EIECTRIC
Inspection Date Insp. Comments
Foolings I
Foundation
Framing
Rooting
Rough Pibg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Orstat Test
Final Pibg. Plbg. Inspector - Notiiy Plumher
Const. Meter
EngrJPlan
81dg. Final
Deck Ft9•
Dedc Final
Well
Pr. Disp.
i . -r ?v"?•'w!!"?,'.c.;.^C^Pra no?'?,?IV.1ic?.?s."?.P.. , . .i .r'. ,? . , , . . . , . ?
CITY OF EAGAN 16546
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 f
PHONE: 454-8100
BUIEDING PERMIT Receipt # L%
To be used for ADDITION Est. value ;35+000 oate NOV 1S 19 _90
Site Adtlwss 3883 PRINCETOA1 TR
Lot Block Sec/Sub.
Parcel No.
Name
Address
City Phone 454-8154
Name
Address
City Phone
Name -
Address
I hereby acknowlege that I have read this application and stale that the
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City ot Eagan Ordinances.
Signature of Permitee
A Building Pertnit is issued to: ?OLD CKOaLE
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes anC City of Eagan Ordinances.
?•
Building Official r`
Oceupancy
Zoning
(Aclual) Const
(aiowabia)
* oi Stories
OFFICE USE ONLY
R-3 FEES
Length
oeptn
S.F. Tolal
S.F. Footprints
On Site Sewage
a, sde weu
MWCC System
Ciry Waier
PRV Required
Booster Pump
APPROVAIS
Planner
CqmCil
Bldg. Off.
Variance
-m'
-249
Bbdg. Permit
Surcharge
Plan Review
sAC, cicy
SAC, MCWCC
Water Conn
Weter Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Trea[ment PI
Road Unit
Park Ded.
Copies
TOTAI
317.00
17.50
206•00
1.00
541.50
• Permk No. Permit Holder Date Telephone #
WATEA
SEINER
PIUMBING
2(p
A
0
H.Y.A.C. p7? ? JD
EIECTRtC ? ? 7` ! O
Inspsetion Dste Insp. Comments
Foolings I 1l aU 1c/
Foundation ??7?Q'D i?
Framing 2
Roofing JL- lC S Z-/ -2'O
Rai9h ?Ib9• Q
Roigh Htg.
lsul. 2. r -9o D
F?eplaoe IZ-I D c?S
Fnal Ht9-
Final Plbg.
Conyt, ?ter Plbg. Inspector- Notily Plumber
EngrJPlan
Bkfg. Final
Deck Ftg.
Dedc Final
Well
Pr. Oisp. ? ? .?,r •
?ot ( lrJ l i !? i ., ?
/ f t
? ,. .
CITY OF EAGAN
CONTRACT 3830 PILOT KNOB ROAD, EAGAN, MN 55122
PRICE
Site Address Z-W
Lot 2 Bbc
Name '?1 E
?
? Address
i c Cfty
` Name
'co Address
8 City
PHONE 4548100
Phone
FEES
COMMJIND. FEE -1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPL?ES
TOWNHOUSE & CONDO - RES. RATE APPLIES
MINlMUM - RESIDENTIAL FEE $12.00
MINIMUM - COMM.IND./FEE $20.00
STATE SURCHARGE PER PERMIT .50
(ADD $.?Q,S/C PER EACH $1,000 OF PERMIT FEE)
For City Use Only
PERMIT # .,Z
RECEIPT #t
DATE:
Res. ? New Const
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
MO. FIXTURES TOTAL
? Water Closet - $3.00 $ `
Bath Tubs - $3.00
? Lavatory - $3.00 ?
Shower - $3.00
Kitchen Sink - $3.00
UrinaUBidet - $3.00
Laundry Tray - $3.00
Floor Drains - $1.50
Water Heater - $1.50
Whirlpod - $3.00
Gas Piping Outlets - $1.50
(MINIMUM -1 PER PERMIT-NEW CONST.)
5a(tener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
U. G. Sprinkler System - $12.00
PERMIT FEE: ?
( 11 STATES SlC:
FOR: CITY OF EAGAN GRANQ TOTAL: ?_? ?
PERMIT #
CONTRACT PRICE:
Site Address
Lot Block
y Name
? Address
c Ciry F
_ Name _
c Address
0 City
-
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent.
Gas Piping Outlets #
Other
MECHANICAL PERMIT
CfTY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122
BLDG. TYPE
Sec/Sub Res. `
Mult
Comm.
- Other
c.r
RECEIPT #
DATE:
For Office Use Only:
WORK DE$CRIPTION
New
Add-on ?
Repair
FEES
RES. HVAC 0-100 M BTU
ADDITIONAL 50 M BTU
(RES. HVAC INCLUDES A/C OH NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMI'n
COMM/IND FEE - 1% OF CONTRACT FEE
? k?' P? APT. BLDGS. - COMM. RATE APPUES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
.It 4 ` M BT
MINIMUM RESIDENTIAL FEE - ALl ADD-ON &
REMODELS
M BTU
M BTU
M BTU
CFM
c1)y
FEE:
S/C:
TOTAL•?3
- $24.00
- 6.00
1.50 EA.
- 12.00
MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PEFiM1T PRICE GOES
BEYOND $1,000)
SIGNATURE OF PERMITTEE
CASH RECEIPT ' CtTY OF EAGAN P. O. BOX 21•199
EAGAN, MINNESOTA 55121
DATE 19 _
RECEI V ED
AMOUNT $ I
& oaLLwas
+oo
Ej CASH ? CHECK
FOR
6Y
White-PeYers CaPY
Yellow-Posting Copy
Pink-File Copv
Thank You
; CITY OF EAGAN
3830 P
SEVM se
r
.
ilc; Knob RoW ia
n pamIT
? P. U, Box 21199 PERMIT NO
:
Eagan, MN 55121
' .
??:
? L
Zoranp.
OwMr: ' •' • No. of Unlts:
AddPQi3:
Sih Addross: 3 ''3511 cei:,.? ex ng ?5n rt. -
: PlUTbEf.
7 7
1dsN. to Mew* wilfi tM.C*y of y
C
1
?
g,n onrnction cmmo; :
AooouM DePotih -,
Permit Fw: :-0. GOa?i
B
y Surcharoe:
Dote of Insp,; Mlsc. Chorgs;
Insp.: Toto1:
i Dah Pald:
_ . ? _ ----?.?..?. _•- =_
CITY OF EAGAN WATM sERyICE POM
3830 Pilot Knob Road
P. O. Box 21189 PERMIT NO.:
Eapn,,MN 551,.1 DATE:
Zoninp: P,., . No. of Unttx 11
Owner !`?L-ro Cnston i?umes
Mdrsss:
Site /lddnm 3883 Priaceton Tr. L= _': I,exington Sq.
Plurriber. "`. : t e9' ? n 1c S ,
Mehr No.: Connsctian Qwrye: • ?
51ze: Acooixrt DepoWt: ? -;
Reader No.: Permit Fee: L' .
1 pm to Nyly wkb 1w CMT ei Mpw Surchorqe:
O?r?iiwweM. Misc. Chorflss:
?
Total:
' . ( '^d met,
i ey oar. onid:
? Date of Imp.: Irap.:
I
:AGAN S`S"f b VUATER SERVICE PERMR
..,t Knob Road
Box 21199 PERMIT NO.: . , -
:ipn,,lAN 55W DAT'E: ?
niny: . No. of Units:
?r; .e ro us om v?aes
llddrem:
Sit? /1ddro?: r ce on r. _ .er. Q on q.
._ .,ew an
Plumber.
AAshr fVo.• o D Sp / .? ? ` i ??p? • ?
'f /l
?7A: S?R _[_.. AirsQ1II?'?QQS?:r , i jJ
? r??v••_ ivpu
I .,?.. ft ? ,h ? ,.? a. ?R EQL IR??: _.
?.DOgd meter
Taol:
By Daft Paid:
Dote of Insp.: , 2- z 3- S irop.:
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 27-199, Eagan, MN 55127
PHONE: 454-8100
BUILDING PERMIT
Receipt #
205
SF DWG/GAR $60,000 NOVEMBER 4
85
Ts bs mad far
Est. Volue Da te 19
SiteAddress 3883 PRINCSTON TR Erect %7 Occupancy R
LEXINGTON
Wt3
Block 4 Sec/Sub S4 Remodel ? Zoniny Rl
-
.
Parcel No Repair ? Type of Const. V
. Addition ? No. Stories
METRO CUSTOM HOMES Mave ? LengtA 60
?
Z Name
P' 0• BOX 1049 pemolish ? Depth Zt}
? Address
BURNSVILLE
454-9383 Int Impr. ? Sq. Ft.
phone
Chy Install ?
? $AMF Apptorals Faea
oE
uS?
r
Name
Address
Name _
Address
city -
Asussment _
Wofer $ 5ew.
Police _
Firo
Eng.
Planner
Councfl
BIdg.Oif. 114 85
APC
Var. Date
N_ 11
5 `;J-uG
Parmit Y
Surcharge °" • ""
PlanRaview 156.50
snc 525.00
Water Conn. 500.00
Wata,Matar 63.00
RoadUnN 280.00
Tr. Pi. 132.00
I hereby acknowledge that I have rend this upplication ond state that
fhe informofion is correcf and ogree fo comply with oll applicoble
Srota of Minnesom Stowces a ?y of gon Ord n es.
Sipnaturc of Perminee A Building Pennir Is issued to: TRO ,!C?USTOM HOMES
all wrork shall be done in accordance yrlTfia(t ppqliwbfe jltot . of Mlnru
Parks
Copies
? rotal $1.999.50
on the expreaa condition thol
Statutes and City af Eoqon Ordllwwmes.
Buildin0 Ofiiciol
BUILDING PERMIT
To be used for DECK
CITY OF EAGAN N? 18962
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
- - PHONE:454-8100
, Receipt #
Est
$1,000
Site Address 3883 PRINCETON TR
Lot 3 Block 4 Sec/Su6. LEXINGTON SQUAR OFFICE USE ONLY
PefC@I
NO. Oaupancy ?`1=2 FEES
,
Zoning -
w Name HAROLD C KOBLE (Acluaq Const Permit
Bldg 25.00
- .
? Address 3883 PRINCETON TR (Allowable) - SO
surcr?arqa .
Cily EAGAN Phone 454-8154 x ol stories
16, Plan Review
Lenglh
o Name S?E Depih 951
SAC
Cit
} ,
y
gu Address s.F.rotai -
SAC, MCWCC
Qlfy Phone S.F. Foolprinis _
t
C
W
On Sile Sewage - er
a
onn
r?
w
Name
on sae weii
M
W
? - ater
elef
s? AddfeSS MWCCSyslem
-
U Actl. Deposit
aW City Phone Ciry Water -
PRV RequireO - SNJ Permit
I hereby acknowlege that I have reatl this application and state that the Boos[er Pump - S/VJ Surcharge
information is correct and agree to compty with all applicable State ol
Minnesota Stawtes and City Ea an rdinan s.( 7reatment PI
f
Signalure of Permitee?x Q?
?. APPAOVALS Road Unit
A Building Permit is i5sued lo: HAROLD C KOBLE Pla^^ar - park Ded.
on the express condilion that all work shall be done in accordance with all Cauncil - 50
applicable State oi Minnesota StaWtes and
i
ry
C
of Eagan Ordinances. BIdg.OfL - Copias .
?
,
v
?1
Building Oilicial ?(?? 01 f i I ILlI Variance - 70TAL 26.00
CITYOFEAGAN NO 18546
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
l
PHONE:454-8100 n (?a
o
BUILDING PERMIT Receipt # ,
To be used for AD?ITION Est. Value $35, 000 Date NOV 1 5 , 7994_
Site Address 3883 PRINCETON TR
Lot 3 Block 4 Sec/SubLEXINGTON SQUARE OFFICE USE ONLv
Parcel No.
Occupency
R-3
PEES
Zoning -
W Name H?IROLD C KOBLE (Actuaq Const - sidg. aermit 317.00
? Address 3883 PRINCETON TR (qllowable) - S
h 17
50
arge
um .
City EAGAN Phone 454-8154 8 ot stories -
0
206
0
12' PIan Review .
Lengih
p Name SAML Depth 141 SAC,Ci1y
}
U<
Address
S.F.TOtal
?
City Phone
S.F. Footprints
_ SAC,MCWCC
Water Conn
On Sile Sewage _
ww Name' on Sne weii - wacer Meter
E
3 Addf6SS MWCCSystem -
,
0
aw
Ciry Phone
Cirywater
- ACC1.p
?05i?
S)W Permit
PRV Required -
I hereby acknowlege Ihat I hava read this application and state Iha[ Ihe Booster Pump - gryy Surcharge
information is correct and agree to compty wi[h all applicable State of
Minnesota Statutes and ity f E?,gan .OrIdinances. Treatmenl PI
Signature of Permilee [?x? APPpOVALS Road Unit
A Building Permit is issued to: HAROLD C KOBLE PlaO°ef - Park Ded.
on the express condition that all work shall be done in accordance with all Council - 1
00
applicable SWte of Minnesota Sta
tutes a
nd C
ily
of
Eagan Ordinances. Bldg. Olf. _ CoPies .
I
„
p
-
u
Building Oflicial ?? ,?fA. 1 1l111 Vanance - TOTAL 541.50
REQUEST FOR ELECTRICAL INSPECTION
Sea instmctians for completing this fprm on 6Qyk of Yellow copV.
? - ? - '"X' Below.WorYtCo.-,,-rCd by This Request
Ee-ooom-na
u:
ndn neo. Tyue oi ewidinn . Aooiiaocas wir•e Epuipment Wired
Home Range Temporary Service
Duplex Water Heater Lightiny Flxhrtes
Apt. BuilAing Dryer Electric HeaUn
Commercial Bidy. Furnace Silo Unloader
Industrial BIAg. Air Conditioner Bulk Milk Tank
Farm omer soecr. v me. Isoc,:rfvl
t r Succify Othcr - Oiher
omP?i?e /nspeciion Fee Belaw
N Fea Servica EnhenceSize q Pen Feaders/Subiendere N Fqe Clrcuits
p 0 to 200 Am 5 0 to 30 Am s D tn 30 Am ?s
Above 200 qmpy 31 to 100 Amps 3to 100 qm s
Swimming Pool Above 100_Am s 10 R?Pti
Trensionners Irrigation Boorris 5 ti thcr Fe
Signs SNeciallnspectiun S TO
Aemarks D
?
Hough-in n?ie
I, LhB AI
? ? / s Inspectoq horeby
Final 1 °?
S./O
Di-e 2 r
6 <erlilV 11a1 the sbove
inspaction has been
made.
71iis recuest vo1018 montha trom
This requesl void
18 mpnths from . `?
B: 0J?-1740 Z3 64 LcncS",
I l - ?-- Q ?5-
/U ua
Ae'quest Date
' Fire No. poueh-i Insp ?ion
Re rted? v
?Ready Now Will Notify Inspec-
? Yes ?Nu «?? When fleadv
VVyLice.sed Electrical ConVactor 1 herebV request inspection ot above
R
LJ Owner e lechica 1 work i nsta I led at
Suree[ Address, B or Route No. CitY
ecUOn o. ToWnship Mame or No. ftange No. County
OccuDantIPRINTI Phone N
.
o
J
!
Pnwer Supolier Address
ElBCtrical CoNnIttac[or ICompany Namel Conirar,tors License No.
Maili+re /add,ess I onvacto, or Owner Making Instailation)
G ? elol . /? . ?
Authori d Signature ( nVaci r Owner Makin InstallatioN Phune Number
j-A5?
z -
4z
D
. 16 / . '
4
?
'/ -/ TMIS INSPECTION FEQUEST WILL NOT
MINNESOTA ST11TE BOAHD OF EIECTRICITV
?'+iiggs-M'rdwaY Bldg, - poom N-191 BE ACCEPTED BV THE STATE BOARO
UNLESS PFOPEF INSPECiION FEE f5
1821 University Ave.. St. Paul, MN 66104
Phone 16121 291-2111. ENCLOSED.
This reyuest voitl 1)
,8mnnths f?.749 ? .?L 3 ?
Ne:t? asl' ?;? te -
!I_? Fire
'kd Lmensetl ElecMcal ConVactor
] Owner
ls -
ph-ln Insp [ion
e1ed? ?Heady Nu]W'ill No[iiy Ins ec-
Y°s ?NO tor Wh q ?{ u
Y
I herebY irequest inspecjion of above
eleclrical work installed at
„o'l,t No.
"C„ ,,, 3 in57on
o.. Township Narnn or No. Ranye ?
Oc i (PqINT)
Po er oPPlier b/YLQS _
ID Aaa,PSs
Hechical ConVacmr ICompany Name) ?a
MaiIInO Adtlress IConVactor or Owner Making Instailaelonl
-
A uthor
' ied i namr
?_ e }`$?(GO Vac[ r/Ownor Mekl g Installation,
MINNESOTA STATE BOApD OFELECTflICITY
GH99s-Midway 81dg. - Room N-191
^821 Univarsfry Ave., St Paur, MN 55104
.-_. rc.o1 vo otii
n 4r?„
c tra,:rors No.
?y ?l? ?D-a
55/Z3
Phone Number
THIS INSPECTION pEQl1EST ?4 NOT
BE qCCEPTEO BY THE STpTE BOqqp
UNLESS PqDPEN INSPECTION FEE IS
F_NCLOSED.
f
REQUEST FOR ELECTRICAL INSPECTION /ft ea-ouooi.o<
' J 11, See instructions for compietin9 this torm on Eeck of yellow coDV.
Q
8
749 "x," Below- Work'Mnvered by This Request
4
nAd R.P. Type ol Builtling Appliancee Wired Equiumen! Wired
Home N Range Temporary Service
Duplex Water Heaiar ' Lightiny Fictures
Apt. Buildinq Dryer - Electric HeaUn
Commercial Bldg. Fumace Silo Unlonder
Industri2l Bldg. Air Conditioner Bulk Milk Tdnk
Farm tnxr 5pi:ci y ' Other ISner.ilvl
t .? Uccity Other Other
Compute Inspection Fee Below -
p Fae SarviceEntranceSize p Fee Fnxders/SUhfae.dors H Fax Circuits
U to 200 Am>s 0 to 30 qm s cZ2g to 30 Am s
Above 200 qi.Ips? 37 to 100 Amps ( 31 to 100 Am y
Swimmin Pool Above 100-Am ps Above 160_Amps
Transiormers Irrigation Booms .50 PartiaL'Olher Fee
Signs Special Inspection S a0 ?y TOTALjFEE -
-
--,
Remarks -
,
/ , ? 'h
Nooeh-in te tha Electriwl?
? - . + ?? 7? InsPe<torThereby
cer?ify Net the above
Final re }? ?Q inspection has been
// A"' made.
lhla reoueat voitl 18 months irom
8402?3 ' tv°° ?
ReQUBSt?ta ? lPiWNG,
/ v Roughin I n
uired?
ea G No
? ReatlY N ill Nouty Inapeclor
en Reatlyt
10 licensed contractor 0owner, hereby request inspection of above electrical work at: ..
hb Mtlmss (Stree6 Box or Roule No.)
8'8'3 ri --o ?-,: lr\c Ciry ?
Section No. 11winshi0 Neme o/NO. Ra ge Na. Coumy
OccupanlIPRINT)
l? I Phore No.
5 - 8'I
Power $upplier PLtlre9s
Electn I ConVacla ?mpany Nama) CoMrac[M§ license No.
Mailing AEtlress (CMhaclor or OwnBr Making Instellalion)
Au nz Sgnature (COnnactariOwner lns IW4on1 . Piw ?m- ?
MINNE60TA'-wrATE BOAflD OF ELBCTflICITY • ' THIS INSPECTION REOUEST WILL NOT
G?IyphNlAray BIU9. - Foam S1]] ' BE ACCEPTED BV THE STATE BOARO
1l41 UnNSrsily Rve., 51. Veul, MN 55101 - UNLE55 PROPER INSPECTION FEE IS
P1wne (814) 642-0800 ' ENCL0.SED.
2005 RESIDENTIAL PLUMBING PERMIT APPLICATION
? CITY OF EAGAN
3830 PIL4T KNOB ROAD, EAGAN MN 55122
651-675-5615
Please complete far modifications to existing residential dwellings.
Date
Site Street Address Unit #
Property Owner Telephone #
H.P. PIPEWORKS
Contractor 3570 DODD ROAD Telephone #( )
Address rc5i?36i; City Sta#e Zip
The Applicant is: ` Owner ? Contractor _Other
Alterations ta existing dwelling $ 50.00
` add ptumbing fixtures (excludes water softener ar?dlor water heater--complete nexk
section if installing these appliances).
_Septic System Abandonment
Water Turnaround (add $125.00 if a 5/8" meter is required)
Other:
1 Water Softener _ Water Heater $ 15.00
_ new ? replacement
Lawn Irrigation RPZ _PVB _new ,repair _rebuild $ 30.00
State Surcharge $ ,50
Total $
-
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; thaf I understand this is nat a permit, but onry an application for a
permit, work is not to start without a permit and work will be in accordanee with the approved plan in
the event a plan is required to be reviewed and approved.
Applicant's Printed Name
Applicant's Signature'
i II I JUL I a 2005
S,SoH-C)
2005 RESIDENTIAL BUILDING PERNIIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Cons6uclion Reauiremenfs RemodeVReoair Reauirements Office Use OnN
3 2gate2d site surveys showiig sq. ft of lot sq. fl of house; and all roofed areas 2 apies of plan Cert of Survey Reoi _Y _ N
(20%mazimumlotcaveiageallowed) lsetofEnergyCalculaliansforheatedadditlons TreePresPlanRecd _Y _N.
2 copies of plan shawing beam &window skes; poured found design, etc. 1 site survey for addltlons & decks Tree Pres Requlred _Y _N
1 set a( Energy Calculations Additlon - irMkate Hon-sife septlc system Ona@e Septic System _ Y_ N
3 copies of Tree Preservation Pian if lot pladed after 711193
Rim Joist DeUII Options selectlon sheet (buildings vnth 3 orless units)
Date 15 / :YU ll4 Construction Cost ? t (PL)
/ 625-
Site Address q T
?J C6 01.\ ? UniUSte #
Description of Work '4 C??CYI'f
?90 r? '-D ` wl t'n ?.Q?iS'1 ??? r?Q?M?? f?m •
`
Multi-Family Bldg _ Y _ N Fireplace(s) _ 0_ 1 _ 2
PropertyOwner Telephone # (651) (¢ g(.Q - GCGy
PELLA WINDOWS & DOORS
Contractor 15300-25TH AVE. N. STE. 9100
Address PLYMOUTH, MN 55447 CitY
State 763-745-1400 _ Telephone # ( )
LICENSE # 20165884
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Energy Code Category . Residentiai Ventilation Category 1 Worksheef • New Energy Code Worksheet
(Jsubmissiontype) Submitted Submitted
• Energy Envelope Calculations Submitted
97a "--'
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber
Telephone # (
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the 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 pl in the case of work which requires a review and
app val of plans.
t
n?t i
?0. 5
Applicant's PrintedName A icanPs Signature NI1' V I
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg
? 02 SF Dwelling ? OS OB-plex ? 16 Fireplace ? 21 Porch (3-sea.) 0 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entlre Bldg) - Give PCA handout W 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 WaII
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
'g 'unr amil paniMy
Pelta Windows & Doors - Twin Cities, Inc. 15300 ZSTH AVE. N. STE. #100
PLYMOUTIL MIQ 55447
? 763Y145-1400
?
June 8, 2001
Ciry ofFagan
3836 Pitot Knob Road
Eagan, MI?I 55122
Dear 7an:
Elder 7ones Corporation is authorized to pull building penmits fox Pella Windows 8c
Doors - Tcvin C`iries, Inc. Flease allow their representaYive ta provide that service Por us
in Eagan. 'Fhis authorization shall be vaIid unril such time as the division manager
expressly revokes it, in writing to the City.
I request that this authorization be accepted expeditiously, so as to not delay fhe
processing of our building permits any further. Please call me if there are any questions,
I canbe contacted at 763-745-1432.
Yow- uiunediate attention fo tfiis matter is apprecsated.
' cerely, z?s
Bryan . y.
Rgplaceulent Sales Manager
?w.sna?a a
?Mlmeso?°4
WasemhewnB?See,?r.9F.Q0?
cc: Kara-Eldcr7ones
Denna Kratty - Replacement Sales Pmcess Coordinafor
WATS 1-80
fk462-5359
FAX 763l745-1401
Windows, Doors,
& Skylights
7nnfdi aWrrr?
? ?94
1991 BUILD l ING PERMIT APPL CATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
2 SETS OF PLANS
3 REGISTERED SITE SURVEYS
1 SET OF ENERGY CALCULATIONS
MULTIPLE DWELLINGS
COMMERCIAL
2 SETS OF PLANS 2 SETS OF ARGHITECTURAL
REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
(CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY GALCS
_# OF RENTAL UNITS
_# pF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
DF MONTH IN WHICH REQUEST IS MADE.
IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH AD?RESS IS
DESIRED. NO CHANGES WILL BE ALLDWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PI.IIMBER.
To Be Used For: c.\?. Valuation:
Site AddYess 3y?'y ?-
Lot 43 Block
Parcel/Sub
Owner ' v •3\0. ?-. ?
Address
City/Zip Code
Phone
Contractor ?dW?SL•
Address I
City/Zip Code
Phone ^
Arch./Engr. "
Address
City/Zip Code -
Date : '-?- I
OFFICE USE ONLY
Occupancy M• Z
Zoning
Actual Const
Allowahle
# of stories
Length
Depth !t s
S.F. Total
Footprint S.F
On site sewage_
On site well
MWCC System _
City water _
PRV _
Booster Pump _
APPROVALS
Plannex _
Council
Bldg. Off.
Variance
APR26
-- -
FEES
Bldg. Permit
S'040
Surcharge --A-S-O
Plan Review
SAC, City
SAC, MWCC
Water Conn.
Water Meter
Acct. Deposit
S/w Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trail Ded,
Copies •50
SUBTOTAL
Penalty
Lot Change
TOTAL ?
es that all work shall be done in accordance with
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Phone # ?
.?'
? 33 ?C60
IR O BE NGINEEAING `PtwNEAS ond6lANDSfUAN432--3000
I COMPANY, INC.
1000 EA57 146e1 STREFT, ll?INSVILL£, MINNESOTA 53337 PH &¢_Qat QCJCr4?p2iosi: LO-r 3 gLpCK 4, LExINGTON SQuARE,
I • DAKOTA COUAlTY, iVI1NNE50TA
,X96.4' pE/JOT6:S EXISTING ELEVAT/oN
I
C896.s) DErJOTES PROPoSEp ELEV.4T/OA.1
r/ND/CATES D/REG710A.1 OF SuRFACB DR/1/IVAgrpg
896.70= F/N15NEp 64946E FLO02 ELEV,Q7/o.t!
NORTH
SCALE : I" = 30'
30' FRON7 SuIWiNb
SET$ALK L+NE
55'
?
.?
)
<
?
L
i
?
?
e
?
?
.^
a
ti
?
?
w
c -(-
V
?.8)
/0'r---
3 ?
L_\i I L_
5 89° 59' 36" E 6594,
/bb_ 99 :B9e
?-- I-: _. --a V+
11 `8 S;9 ' 22.33 ?^ . ?.
(8 9 6S) ? ? -?? I
a GAR.9rE m 92.00
I
.. ? /lE c I o, ? e
O I ? YT lNV ? Q
? LLl O O• ? N
O Q '
kn W
LiJ 24
3
? .
: ?n i0
4?2 9:
?ee9.?`
(BE9.6) 166.99
o
' ?_-?:`?' .
cu
g gg
59
36 E
J
A
i 1 L+
?
L
- ?
_
I??enby certity that thia is a true and correct repreeentation ot a tract ot
land aa shoxn' and deseribed hereon.. As preparad by fne on this r,3= dsr ot
xmsER , 1g es .
v .
o•x
31'1•00+
17•50+
200•00+
1•00+
541•5U* +
317•00+
17•50+
206•00+
1 •00h
541•50*+
A
w
?
4
1990 BUZLDING PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCIILATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
_# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED, NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLEI'ED.
PERMIT MUST SHOW A LICENSED PLUMBER.
A vD rn or.l
To Be Used For: Valuation:?Or-7 UQG?' Date: %1^9 9D
° s--
Site Address !3w3 ? ?-) ln,.,,f I OFFICE USE ONLY
Lot -1L Block ?
Parcel/Suh
Owner p?? ? o???
Address ?3n3 QAZ,,u
City/Zip Code
i
Phone
35,vUv
Occupancy
Zoning
Actual Const
Allowable
# of stories
Length
Depth
S.F. Total
Footprint S.F.
2-?
FEES
Contractor
Address
--27--r--
-2-4 '.
On site sewage_
On site well _
MWCC System _
City water _
PRV
Booster Pump _
City/Zip Code ?. ?
SSIa?
?,I APPROVALS
Phone yS4 -IIS7 Planner _
Council /
Arch./Engr. /R Bldg. Off.
Variance
Address
City/Zip Code
Bldg. Permit 3(")'oa
Surcharge I' 1, So
Plan Review 22D610 0
SAC, City
SAC, MWCC
Water Conn
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Copies ,o v
SUBTOTAL
Penaity
TOTAL
Phone #
axaq =sz8 x (?s=
vqLuA=lt)Kmi
? Y
3 S? 3 20
?. ..
OBE CONS?f -LTIHO.ENGiNEEA3 '
IGIN`ElIING PL?nNEAS end LAND fUAVEY0113 ,? 33 F?60
COMPANY, INC.
?1600 EAST 1461h 57REET, EURNSVILLE, NINNESCTA 55337 Pti 432-3000
?gQa1 QeJCr40e2ios2: Lo? 3, BLOCK 4, LExINGTON 5QvARE,
? • DAKO7A COU,vTY, MI?.1NESOTA
kk96,4' DENOTES EXISTJNG ELEUAT/ON
6
NORTH
SCALE : !" = 30'
896.70= F/N/SNED 6ARAC-?E FLOOf2 ELEV,qT/O.t!
c-?-
v
55,
?
2
'a
_t
3
Z
?
3
?
v
h
1
ti
?
?
?
r.ij
?
(696.5) pEMOTFS PROPOSEp ELSYqT/OA/
? /NDICATES DIREGT/CIt/ aF SuRGqC,E ORA/NAdE
?. a)
-? ?
5 B9° 59' 36" E
/66. 99
1? ?895_9 (8 9 bS)
Z.
30' FRONT Bv1LpIN6
SETBAGK LiNE
(e9¢.
I -
?
?
,,.
ry
o ? N 7
-
o% .OO
`?
tn
?
.
? ?
?
?
p•
? N i
h7
o ?
?„? .
?
a
32.00 'I,
V
, i?.1 (896.5) 24.33 ?6_9_sL'- /O'
69d.5)Li ?
?
'r? i•-- f ° ur
(pp2 -
9s
(889.6) 5 89° 59' 36" E ?993'2} a?
n 4'f'
I hereby certity ihat tnis ie a true and carrect representat3on ot a tr&et of
land as thown'and deacribed hereon.. Aa preparad by me on this 31 dar ot
crroeER , 1985
.
eo""? 1linn. 1tea. No. /Gc?s?
v
. ? • •. ? . ? . ? . • ?. . ,,. .
•71• e • • •C O • ` •• ? ? I II • • Y
CZTY OF EAGAN
APPLICATION FOR PII2MiT SEWER ArID/OR WATEE2 CONAECTION
(Please Print)
1) PROPERTY ADDRFSS:
T•Fr:nr• DE9Q2IPTION:
IF EXISTING STRL'CTURE, DATE OF ORIGINAL BDILDING PERMIT ISSL'ANCE:
(Nbnth Year)
PRFSENT 7ANiNG/PROPOSID USE: R-1 SINGLE FAMILY
R-2 DuPLEX ('Itoo tinits)
' R-3 TOWNII-10(.'SE (Three + Onits) ( Units)
IR-4 APARTMENP/COAIDOMINIUM ( L'nits)
CONA9EEtCIAL/RETAIL/OFFICE
INIDCSTR3AL
INSTIT[)TIONAL/GOVII2N1,1ENT
2) ? /?
NAME: rnF'((? l. ucTfrY?) /'Ydn?65
ADDRESS: f?R/??-GTGY1? TIz •
CITY, STATE, ZIP:
PHONE: zf 5y' e7rY
3) • r. ?• n For City C'se
N? : /11R- ? ?
'T!L/? SC- plumbers License
ADDRFSS: tive
CITY, STATE, ZIP: 4?lc << m cci<-'T ?14? G7 bcpired
PAONE: Ll 2 MASTII2 LICENSE #?D? ? t Recorc
It???
St-C?a1
• • ?•
4)
NAlC: 'mF' ?-
ADDRFSS:
CITY, STATE, ZIP:
PHONE:
5) ? •a• • a?
? CONNECTION TO CITY SEWEE2 ? CONAII7CTZON 'IO CITY WATEE2
? OTHERR (Please Describe)
6) u • •
Cl PLEASE HOLD APPROVID PII2MIT FOR PICK-C'P BY ONE OF ABOVE
? P ? E MAIL APPROVID PERMffT ZO 1, 2,(?3 4, ABOVE
(Circle one)
7) ? '?' ? ?VbcJ [?T??y
F 0 R C 2 T Y U S E O N L Y
PERMIT °- ISSUED
F°rS: $
$
$ '1
?J ?L
5
S
$ /S',?
'S
$ C`oG, crp
S
$
$
S
$
$
SEi^iEP. PF''..R?1TT (I?ICLIIL.'_ SUP.CH?.RCL)
WATER PERP1ZT (INCiuDE SuRCfiAcZGE)
WATER METER/COPPERHORN/OUTSIDE READER
WATER TAP (INCLUDE COR?ORATION STOP)
SE:dER TA?
ACCOliNT DEPOSIT - WATER
WAC
SP C
TRliNK WATER ASSESSi-?E\T
TRli?IK SESJER ASSESSMENT
LATE4AL SENEFIT/TRUNK SE;:-R
LATERAL SENEFIT/TRUNK WATER
WATER TREATMENT PLANT SURCHARGE
OTHER:
TOTAL
AMOCNT PAID/qECEIPT
DOES UTILITY CONNECTION REQUIP.E EXCAVATION IN PUBLIC RIGHT OF WAY?
? YES IF YES, THEN n"PERMIT FOR SdORK WITHIN
PUBLIC ROADWAY" MUST BE ISSUED BY THE
? NO ENGINEERING DIVT SIO[V. LIST AS A CONDI-
TION.
SUBJECT TO THE FOLLOSJING CONDITIONS:
APPROVED BY;
TI:LE:
DATE :
. ? _
nn-D ,-nO ,J B5Li4
' CITIf OF EAGAN
E7CTERIOR ENVELOPE AYERAGE ' U' COlIPUTATION
OWNER: " a1o?Jl V, Ol:? le-
SIiE ADDRESS:
CONiRACTOR: S av?2 DATE: II-?6'f 0 PHONE: ?YSY-??Sy
Determine Morking aquare footage of each:
1. Total exposed wall area ., Ca 3 d sq, ft, x .11 = ?n q,
2. Total roof/ceiling area .. ?j2 J aq. ft, x ,U26 = 13,72-
Total e:posed vall area above floor = (030
a. "Total wall vindou area ............................ ?2?> -
b. 'Total door area ..................................: ?5 --
c. Total sliding glass area .........................
d. Total fireplace wall area ......................... /Z-?-
e. Total wall framing area (average 10U) ............. (n3 -
f. Total net wall area above floor ...................
g. Total rim joist area ..............................
Total e:posed foundation area = 13
h. Total foundation window area ....................... ?{1
i. Total net foundation area above grade .............. ?
Determine IU' value of each wall segment:
b. ? x
c. Tx
d, x
e, x
f, x
g. x
h, x
i. x
ful ySQ?
' U' '46 -
' U' , tot -
?U?
U
'
'
?2 -
' U' ? o'i -
p, Q _
' U' ..5
I U I , p ,-A--.. _
r
3 . ................................................... Total _ -73, 3 ?
If item 83 is the same as or less than item !1, you have met the intent o£ SHC
6006(c) 2.
Total eiposed roof/ceiling area = Ci Z'e'
J. Yotal skylight area ............................... ?
k. ?otal roof/ceiling framing area (average 10%) .....
1, Total net insulated roof/ceiling area .............. [ 7
OVER
Determine 'U' value for each roof/ceiling sepent:
3• ? x 'U' 171K
k- Gi3 xIU' / 0 = ZtS
1. L{'/'i x'U' i0"7- `7 - 11'56
4 . ...................................................... Total
If total of 64 is the same as or less than /2, you have met the intent of SBC
6006(c)t,
Alternate Huilding Envelope Design
7o utilfze the total envelope system method, the values established by the sum
of Items 03 and 04 shall not be greater than the sum of Items #1 and 02.
t. (oq,30 + 2. )3,7z = ?3,ov
3. 73. 3'5- + 4. 7, 7 7
2
rilniClt121 ' U ' l'ALUh AiVU H-tal;lUH A1 HUUt , IJHLL, KLCI /u.U LU::l,xt1L tlLUl,l.
ROO? j C?lL?NC, .
?p) Vf
Q 10TeVl* AiR FILr-1 a
O Sls" UYP ED,
?
O
l?'SUTA ?lo? 3.g :.'0
.
O EX jE(?;ot? AtF FI?M
ozs TbTAI ?
? R
? WALL ? ?`
(T-) Vat
QQ ll?lcl'-lo[= AIfZ f llM ,bEb
UYP' 'BD.' : . ?415-
1r'suLA`(IoN
?o ?"j?1°ONljc 51D?N(a ?l07
u EX;100 k1?? FILP'? . '/ i 7
tJ'l= ToYRL (?) a3,c3
00 VAu
CL It17EMor Nr. F1ul (, g .
is 51/7-0 irs(1Lrti7tc:-+ ' Iq-.ao
?` 'L FlR RlP-l .?D15"` 1. 69.'
105 ?sf,y
? O ?xT?tzt?R A?F- FiLM
nUn -
.
. t?R= _, ly? To7Af
'-,r..
. (tt? 47
. ,_.
foJrA1DATt01-I ? .
v
tNTEt71?? Atrc rILlj r?6
vi '?
•
I . . 7.4
on? q 8,
4r.rYP2oFoA.;--1i 9.5 - v, aO?
?? . EXjcP?lo2 AIR F{LM . ;4O I
nUll
^ 1/1Z= •j , T?1A? (rc?= ?7?tt
. •- .
Floors ove; unhezced spaces must have mininuR R-factor of R-20 (tuc.l•-under garages).
Floors occr outdoor air (ovcrhangs) oust liave a nininum Y.-factar of R-33.
r? ? /'•
G
? _ ? .
7985 BUILDING PERMIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS NUST BE LICENSED NITH THE CITY OF EAGAN
CO[4MERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL
& STRUCTURAL PLANS, 1 SET OF
SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS
$2,000 LAN?SCAPE 80ND
SINGLE FAMILY DNELLINGS
INCLUDE 2 SETS OF PLANS
3 CERTIF'ICATES OF SURVEY
1 SET OF ENERGY CALCULATIONS ?- ??yQy
(00j 9op
To Be Used For: Valuation: /? Date: /!,?' ?1-q?
Site Address ,?9$ pr?ace o?. /ra?
Lot Block ?
Parcel/Sub le?o'k,?/n. 4 & ;Z=>
Owner /vlQ,teu (.v54? TT?? 1-hc•
Address l'. o
. . ae-!X /Q
City/Zip Code ?J LY kS Li /?e 2515 33,
Phone
Contractor
Address ? ??
City/Zip COde ?III'hS[/r??? /?NSS}?3?
Phone y.5 Y- 3? 3
Arch./Engr, ScZny..? ?
Address
City/Zip Code
Erect ?
Remodel
Repair '
Addition ?
Move ?
Demolish '-
Int.Impr. ^
Install
APPROVALS
Occupancy
Zoning
Type of Const
!! of Stories
Length
Depth
Sq Ft
FEES
Assessments Permit
Water/Sewer
? ? Surchar.ge
Police Plan Review
Fire SAC
Engr Water Conn
Planner? Water Meter
Council Road Unit
Bldg Off Treatment P1
APC Parks
Variance Copies
TOTAL
Phone #
22-x 2Lo = 512? 3 6 -'? 317 b
I '?v r`?ZCQ ' 9Co9x
20 K 2 z= 44 o x('z- -5Z&- 0
5 '1og8
/AOBE (ONSlllTIH4 ENG1HEfR5
ENGINEEAING PIANHEAS and LAND fUAVEYOBS BK 33,?60
COiNf?ANY, INC.
I000 EAST 1461f 57REfT, BURHSVILLE, LIINHESOTA 55337 p!1 432-3000
CeT?Z?ZCGi? S?a"YG?
LOT 3, BLoCK 4, LExINGTON SQuARE,
? DRKOTA Cou,vTY, MINNESOTA
6896.4? pENOTES EXI57)NG ELEU?4T/ON
(896.5) DEh10TE5 PRQPOSED ELEVAT/Oil!
? /ND/GqTES DIREGTiO,V OF SURFACE ORAlNA64C
896.70= FrNlSHEp 64RA6E FLOa2 EtEVqT/o.U
NORTH
SCALE : !" = 30'
55,
3
R
N
0
0
O 4?
r
0
?
?ij
30? FRON7 6utl.piNb
c+ SETBAGK UA/6
V I
L_?. I L- 25'
890.8) 5 89° 59' 36 E (894.7)
99
_ - ?894 z
I-'
l0? ? - - - - - - r895;9 ? 2733 r /O
I (8 9 6.S} . 4i m_'\ I
GARAGE '? 92.Do
?C (y? ? N 'oL.OD - -- I 7 Q ?.
m?
r .d o q a 'x o I
I . j m m 'U ? o• ? `v?
I ?-, ? 2.00 `I r?if O y°. Q I
? J0
3z.oo ?
ro'I L''1 (8?96s5)?24.33 ,a95,'_
`-------f-- ? $ 696.5} 0.
"? +- ? ? ? + Bp 2 9S
Bes.:' 166.99 :892;?J' w -
889.? 5 89° 59' 36" E ?893.2?7
1 ? -1 -i A
L_-i I 4-F
I hereby certify ihat thia ie a true and eorrect repreasntation of a tract of
land as slfowef"and deacribed hereon.• Aa preparad by me on tDis 3/ day ot
cC rneER , 1985 .
? Iiinn. 1teg. lio. /G69s'-
rI'tV !:1F EAGAN
CAf3M:I:E'Fic :Iv; 7E:ki'fSNF1L N7J: 695
DAiTI=:: 09/08/99 T):t'fE, 1i;jA150
IV
R!AP+E:: fsANNF_F' f?OCIF':CNG
3210 900_ 3883 C'R7:NCF::TON 139.25
20% 3001
0 3883 F'R.7:NCE'TON 3.50
Tot,a7. F;:rae:ip+ Flir?ount:: i^2.75
Cfi:L i.E,0:l.4
l.1SI:Ci Ili° JAN ?
qla 96? 1999 BUILDINC
New Conatrucilon Reauirementa
PERMIT APPLICATION (RESIDENTIAL) #'W-?'S
CITY OF EACAN itt-sy
3830 PILOT KNOB RD - 55122
851-881-4675
Remodel/Reoalr Reaulremenh
? 3 registered ske surveys showing sq. lt. of bt, sq. fl. of house 2 coples of plan
and QII roofed areas (2maximum lot coveraae allowed) 1 set of energy calculafions for healed addRlons
? 2 copies of plans (show beam 6 wlndow sizea; poured Ind. design; efc.) 1 sfle survey for exlerior addRlons & decks
? 7 set of energy calculatlons
? 3 copies of hee preaenation plan X loi platted aker 7/7/93
DATE: ?1 I ?I 1 CONSTRUCTION COST: IQ r?SQ0
DESCRIPTION OF WORK: o?. 4IL? ?IF, °? ?L
STREET ADDRESS: V3 ?JI,UVIohVu :V
LOT: ? BLOCK: q SUBD./P.I.D. #: _?
h
Name: c J 6-A?;6^- NA4 'rnone #: "tpyb' D 0 Z?
PROPERTY Lon Firs? ?
OWNER r? •
StreetAddress: 39$3 Y.2.nij4tx: 5?
City EaQtA?^'? State: A4IJ zip: S5? 23
Company: BClI1W ,i A-/n Phone #: jt
(a?ea code)
CONTRACTOR
Sfreet Address: W0 1 !a nM ? n fi-(f, S+ License # Mbl O Eup.
City State: M 1) Zip:
ARCHITECT/
ENGINEER Company: Name:
Telephone #: area code (
Sheei
City
Sfate:
?er 8 water Ilcensed plumber (reauired for new constructlon onlvl:
i nalty applies when address change and lot change irrequesfed once permM is issued.
Zip:
I hereby acknowledge that I have read this application, rtate fhat the information is eonect, and agree to compty wifh all appOcabl
Siafe oi Minnesota Statufes and CiFy of Eagan Ordlnances.
SignafureofAppltcant
• OFFICE USE ONLY
B#:
????;IVED
Certffcates of Survey Received _ Yes _ No °
Tree Preservation Plan Received _ Yes _ No _ Not Require ? SEP 0 7 1999
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea.
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? OS 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
? 31 New ? 35
? 32 Addition ? 36
? 33 Alteration ? 37
? 34 Repair ? 38
vG,iV(V1L il?f vR tA IiT1'`il\
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
length
Width
APPROVALS
Planning Building
Permit Fee -?)9 . 7-'
Surcharge
Plan Review
License
MC/E5 SAC ;
City 5AC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S!W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total: 1 (( -)- --1 IS-
Tenant Impr 0 39 Gas Line Only ? 43 Siding/Soffits/Fascia
Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
Demolish Bidg.' ? 41 Wood Stove ? 45 Fire Repair
Demolish (Interior) ? 42 Reroof
•?;,,? aC^ hanLiou f Fo appi;cant fUr demoiitian permiz
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. R.
sq. ft.
sq. ft.
Footprint sq. ft.
Census Code
SAC Code
No. of Units
No. of Bldgs
MC/ES System
City Water
Booster Pump
PRV
Fire 5prinklered
_ Engineering Variance
Valuation: $
P
?
SAC Units
% SAC
r 3v3
2006 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for. single family dwellings & townhomes/wndos when permits are required for each unit
56.6f)
Date J'n'
/ o f0
- Unit#
5iteAddress
Property Owner VvuG? I.JQ ??J? Telephone ri( ?,5 f)
Contractor STANDARD NEATING & NR CONDITIONING
4
StreetAddress MINNEAPOLIS, MN 55408
612 824 2656 City
State Zip Telephone # ( )
Bond #: Expires:
The Applicant is _ Owner Contractor _ Other - ? ?
Add-on or alteratian to existing dwelling unit $ 30.00
? furnace _Additional -_xRepFacement _ New,
air exchanger
air conditioner 1 6
_ heat pump _
other L-- -- - __?
State Surcharge $ .50
$ ? •??
Total
I hereby apply for a Residential Mechanical Permit and acknowledge that the information is wmplete and accurate; that the work will
be in wnformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a
permi but only an application for a permit, and work is not to start without ermit; that the we in accordance with the
appr d plan in the case of hich requires a review and approval of ans.
ApplicanYs Printed Name Applicant's 5i e
737?5?
2006 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for. single Family dwellings & townhomes/condos when permits are required for each unit
3D 1'?D-
(
c (o
Date
p
Site Address 1 rrlc? ? Unit#
Property Owner 6-C.(G1 .( (4bv1 Telephone / - y
4? 'C oo a
Contractor STANDARDHEATING&AIRCONOITIONING
41
Street Address MINNEAPOLIS, MN 55408 City
612 824 2656
State Zip Te?ephone tt ( )
Bond #: Expires:
The Applicant is _ Owner ? Contractor _ Other -
Add-on or alteration to existing dwelling unit $ 30.00
furnace _Additional _Replacement _ New "
air exchanger
'5?_ air conditioner
heat pump
otrer
- I
State Surcharge $ .50
? 30,60
Total $
I hereby apply for a Residential Mechanical 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 with the Mechanical Codes; tha[ I understand this is not a
permi but only an application for a permit, and work is not to start wit t a permit; that the ill be in accordance with the
appr d plan in the case of hich requires a review and approva f p
!
Applicant's Printed Name Appiicant's nature
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 3883 Princeton Tr
Lot: 3 Block: 4 Addition: Lexington Square
PID:10- 45075- 030 -04
Use:
Description:
Sub Type: e - Furnace
Work Type: New
Description: Furnace
Comments:
Fee Summary:
Contractor:
Standard Heating & Air Conditioning
130 Plymouth Ave. N
Minneapolis MN 55411
(612) 824 -2656
ME - Permit Fee (Replacements)
Surcharge -Fixed
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Quesetions regarding electrical permit requirements should be directed to Mark Anderson, State Elec
952- 445 -2840
Ashley Orman
410 W Lake St
Owner:
Douglas L Barton
3883 Princeton Tr
Eagan MN 55123
$50.00 0801.4088
$0.50 9001.2195
$50.50
Mechanical
EA088369
03/05/2009
ePermit
cal Inspector,
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
City of 6a�an
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
COt
AUG 2 6 2011
Use BLUE or BLACK Ink
Permit #:/60 ,760
Permit Fee: °55 ' 00
Date Receied:
Staff:
2011 RESIDENTIAL PLUMBING PERMIT APPLICATION
G
Date: 08' `�. 5-- Site Address: 35 g 3 �Y ()'1 ce-1 f o3
Tenant: ) O L' 4 j Cry4,4-0
Suite #:
rl
RESIDENT / OWNER
Name: ✓ 04 3 l nr-6 It)Phone: 45l-6 -0022/
C _
Address / City / Zip: 3 S. S 3 ?r ( v ce� r'' Y. 3c!)-'01".1 M N 5.512 3
CONTRACTOR
�t!
Name: l J �b 2S 3- 4-1 %I ` CC) - License #: C ' I y3-0 ` 0,3e,
Address: `3,�, ICI C X 4) d „-4— City: 54 )'t ti S 1 G( t<
State: M 1`t Zip: 5 5 V2 l Phone: 7 5- 2 2 5- ' i/li I
Contact: f . t e 2 eY ccW)Ct (Email:
TYPE OF WORK
New ✓Replacement Repair Rebuild Modify Space Work in R.O.W.
_ _ _ _
Description of work:
PERMIT TYPE
RESIDENTIAL ,�/
✓ Water Softener
Water Heater
Add Plumbing Fixtures ( Main / Lower Level)
_
Lawn Irrigation ( RPZ / PVB)
_
Water Turnaround
Septic System
New
_
Abandonment
RESIDENTIAL FEES:
$55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes .$5.00 State Surcharge)
$35.00 Lawn Irrigation
$55.00 Add Plumbing
*Water Turnaround
$105.00 Septic System
$95.00 Fire Repair (replace
(includes $5.00 State Surcharge)
Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
(add $166.00 if a 5/8" meter is required)
New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge)
TOTAL FEES $ ✓ !� 5
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.gopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is n. _rt without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approva
a
x £i1e2c'� joY - QY)
Applicant's Printed Name
City of Eaaali
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694.
r
1
Permit #: IPS v
Permit Fee: Ul v
Date Received: 2--)7,/ 2
Staff:) J - I
2009/RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: f (it i e Site Address:
Tenant:
Doug Barton
3883 Princeton Trail
Suite #:
RESIDENT / OWNER
Eagan, MN 55123
Name: 6516860024 ::
Address / City / Zip:
CONTRACTOR
//�� ^�
Name: NORBLOM PLUMBING CO. License #: OjLP ! 56—N Pt
Address: . (612) 8274033
City: 2905 GARFIELD AVE. SO. State: Zip:
MINNEAPOLIS, MN 55408
Phone: Contact Person:
TYPE OF WORK
_ New X Replacement Repair: Rebuild Modify Space Work in R.O.W.
_ _ _
Wafer Description of work: replace, e' hea
PERMIT TYPE
RESIDENTIAL
IWater Heater Water Softener
Lawn Irrigation Add Plumbing Fixtures
( RPZ / _ PVB) ( Main Lower Level)
_
Septic System Water Turnaround
New
Abandonment
RESIDENTIAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation
$50.50 Add Plumbing
*Water Turnaround
$100.50 Septic System
$90.50 Fire Repair (replace
(includes $.50 State Surcharge)
Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge)
(add $165.00 if a 5/8" meter is required)
New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
TOTAL FEES $ .1
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.
x Je- L-. Orta c
Applicant's Printe Name
A•,% icant's Signare
íý
õ
ÿ
ÿþþý ûûüü
ùýýþþ úú
à í æ þòý
íîîíà
ÿþ
þýüûúù ÷ õß ý ûúù
÷ ûúù ÷ õß öõßêùó
ù á ý
ý íàíäýùú
Ý
þòýø
óù
ó ññ óòýó ü óç å õ õ ù ÿå åó
þ
ù çå åù å ç
ü ó æ òýüúõ åóúñ óç
øèíãèàç îìçíìî
÷ù
þýñ Üý èíãè çïç ïî
Üý íÿç
öøôüø
óò
ùù
ý
îà î ñ
öÛàììà
û
ðöîî à
ëàéàîîà
ñüú õ ñ ñ
ñùù ñ ñå ó óùúõ ñùùüþ
åð þ ý ú å äç
ùù ß
ýú þ ý
41,11
City of kap
Date:
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
r
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee: !
Date Received:
Staff:
2012 RESIDENTIAL BUILDING PERMIT APPLICATION
Site Address:
Unit #:
hArty—
Address
/ City / Zip: 3m
Applicant is: Owner x Contractor
lAttivsiLl� //b&H
Name:
Phone: bi2`99/ -acts
Description of work:
Construction Cost: CM -
Multi -Family Building: (Yes / No
Company: 6. (meg, Contact: ALI/ 641/4"---
Address:
"Address: q1-1-1 ��- 1od{
State: VW) Zip: Phone:
City:
(012. 72,z,—lq`l 4
License #: bc../Oo 7-,3 '1 , 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:
Mechanical Contractor::,
Phone:
Phone:
Sewer & Water Contractor: Phone:
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.gopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be gpmpleted within 180
days of permit issuance.
Ad sJ . 1)40
Applicant's Printed Name
Applicant's Signature
eLdLi
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA130600
Date Issued:05/04/2015
Permit Category:ePermit
Site Address: 3883 Princeton Tr
Lot:3 Block: 4 Addition: Lexington Square
PID:10-45075-04-030
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
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 within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 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 -
Douglas L Barton
3883 Princeton Tr
Eagan MN 55123
(651) 686-0024
Pella Northland
15300 25th Ave N #100
Plymouth MN 55447
(763) 355-1300
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
r-----------------+
I For Office Use �
C' � Permit#: ��a'`� � / I
lty of ���ar� � Permit Fee: 0�` �� �
3830 Pilot Knob Road � � �
Eagan MN 55122 � Date Received: �
Phone:(651)675-5675 I I
Fax:(651)675-5694 I Staff: I
I I
2015 RESIDENTIAL BUILDING PERMIT APPLICATION
� �.___._...
Date: f� �� Site Address: �J C:�-� ��'d'''"'`'K,.�.�,�.�-�'�.�,�
Unit#•
� �
� i `�
Name: _ f:� t �-- Phone:
��� ._��y� F .. . .
_ ;� +-:.
�� ���?��'��� ` : Address/Ciry/Zip:�� �'l'��N��4s�..��..�(.e��
�����
; Applicant is: Owner �Contractor
�� ' � Description of work:
��'�9��@�'�Q� � �
� � � 3.
' Construction Cost: ���=�� `''`j' Multi-Family Building: (Yes /No,,�
� � ,� -,. --�
z; Company: � a.�� �.:�:Il� ru. �►�n + Contact:�y , ,� �< � f
� � Address: 1 ��� -71�� � � City: �c;�,�+n'v�-"_ a. f 5
�������� `� ���� � f
� State: ����Zi ���� ,��� ����� -/�7�Email: L..'�x��'►r�.,-�t���l��t�1'�L '',"�'..
p:_� Phone:
`` ����'�� ` �.���� License#: k�-���T'���� Lead Certificate#:
If the project is exempt from lead certification, please explain why:
�' r
� � L`�-'�� ��..� t�-►-,. I�' �' c..,�
COMPLETE THIS AREA ONLY IF CONSTRUC�'ING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes,date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer�Water Contractor: Phone:
Fire Suppression Contractor: Phone:
?��t�3� ���t?ral��t�c����I�►c�����t,��������t at�3�;��E9(���!�r�����t�a�, � ;�f�
��r��'�ar�������r� ��t,��t��i6���F' ��n�i���"�re����;�' � ��� �
, ,,-;,`���., .;. �.-.V.� ;: ,..; .. .��°���'".��, d$ . .,:.� �:�s$��'r�'@�'$., ;�� x�s��,,...��a �,� +k�
� �:
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. wuvw.goaherstateonecall.orq
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is 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.
Exteriorwork authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
day&.of permit issuance. r
� ` � x
X (�^4 c,;�'_ �,.1J1,��1 ��!' �J X �4� �• ^�
� ` � /CA.�.��� .� ���___--,..
Appl anYs Printed Name ! Applicant's Signature }
Page 1 of 3
!"
#$%&'()' *+*,
-./$%'"&0-1 23/4$,+
-./$%'53/4-.1 6789888
<*%-'!==3->1?8@?N@:?7;
-./$%'#*%-+(.&1- -./$%
A$%-'6>>.-==1''8MM8'' .$,E-%(,'".''
4#$ %& ''"())* * + '' ,N*+F +'8O9-@,
/01 !23"52J532"3242'
67,
<-=E.$0%$(,1
89:';<=, >,7*),+ *-$
? @&';<=, ($ ,@- * +
1,7%@*= * + #-7,E,+ 'Q*N 9@,7
A, ,@'8*B,A, ,@';<=,A-+9C-% 9@,@8,@*-$'D9E:,@>,E ,'D9E:,@ *+,'8*B,
/$,-7,'%-$$'#9*$)*+F'0+7=,% * +7'- 'GH5!I'HJ535HJ5' '7%K,)9$,'-'C*+-$'*+7=,% * +L
#(//-,%=1
M-@: +'E + N*),'), ,% @7'-@,'@,O9*@,)'P* K*+'!2'C,, ' C'-$$'7$,,=*+F'@ E' =,+*+F7'*+'@,7*),+ *-$'K E,7'GA*++,7 -'8 - ,'
#9*$)*+F'M ),IL
/ '3'/,@E* 'Q,,'GE*7%,$$-+, 97IT5UL22'2V2!L"2VJ
G--'A3//*.&1
89@%K-@F,3Q*N,)T!L22'U22!LW!U5
"(%*21
H;?I??'
#(,%.*E%(.1JK,-.1
3''(==$*%-+ ''3
8=@*+F'/$9E:*+F' $%1 9F$-7' '#-@ +
!!"J4'a,+< +'M 4VV4'/@*+%, +';@
#$-*+,'AD''55""UY-F-+'AD''55!W4
GJH4I'H!"3JUH4
0'K,@,:<'-%&+ P$,)F,' K- '0'K-X,'@,-)' K*7'-==$*%- * +'-+)'7 - ,' K- ' K,'*+C @E- * +'*7'% @@,% '-+)'-F@,,' '% E=$<'P* K'-$$'-==$*%-:$,'8 - ,'
C'A*++,7 -'8 - 9 ,7'-+)'M* <' C'Y-F-+'Z@)*+-+%,7L
(==$*%-+ S/,@E* ,, '8*F+- 9@,0779,)'#< '8*F+- 9@,
4110I Clly of Eaau
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use f
Permit #: /L Jac 3
Permit Fee: ` ` 6 9
Date Received:
Staff:
L
2016 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: ' ' 2° Site Address: 33 ?e c r —reA t'
Unit #:
Name: 1-7a)L-Ci(V,AA" 1-�� a"-at•S
Address / City / Zip: 4011ii3 �Q tOJt�E'Talni j�2�t L --
Applicant is:
Owner X Contractor
Phone: (05( — ( &o
Description of work: Bk11-1-esk
Construction Cost: Multi -Family Building: (Yes / No 2< )
Company: ` �s�ucn oN -1NL'Contact: /414 J
Address: 13 jr 82- City: AP - �`�L Lel/
State: MN Zip: %(V*Phone: (051 Z7*r-3 Em(a I:,, Q o AidiN `ck(
License #: >g097_ \ Lead Certificate #:
If the project is exempt from lead certification, please explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
Fire Suppression Contractor: Phone:
NOTE: Plan;
the inform a
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.gooherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
Applicant's Printed Name
s Signature
Page 1 of 3
C 64-ork I .
DO NOT WRITE BELOW THIS LINE
/3L-4,3
SUB TYPES
Foundation_ Fireplace Porch (3 -Season) _ Exterior Alteration (Single Family)
.."'r_
° Single Family _ Garage _ Porch (4 -Season) _ Exterior Alteration (Multi)
(_ Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Miscellaneous
01 of _ Plex Lower Level Pool Accessory Building
WORK TYPES
New
Addition
Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25%_ 100%
Census Code
# of Units
# of Buildings
Type of Construction
Interior Improvement _ Siding _ Demolish Building*
Move Building_ Reroof _ Demolish Interior
Windows Demolish Foundation
Egress Window _ Water Damage
*Demolition of entire building - give PCA handout to applicant
Fire Repair
Repair
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Roof: _Ice & Water _Final
Framing
Fireplace: _Rough In _Air Test _Final
')(.. Insulation
Sheathing
Sheetrock
Fire Walls
Braced Walls
Shower Pan
Reviewed By:
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Suppression Required
Meter Size:
Final / C.O. Required
? Final / No C.O. Required
1( HVAC _ Gas Service Test Gas Line Air Test
Pool: _Footings Air/Gas Tests _Final
Drain Tile
Siding: _Stucco Lath _Stone Lath _Brick
Windows
Retaining Wall: _ Footings _ Backfill _ Final
Radon Control
Fire Suppression: _Rough In _Final
Erosion Control
Other:
, Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
City of Blau
3830 Pilot Knob Road
Eagan MN 65122
Phone: (661) 675.5875
Fax: (651)675.5694
MAY? 02016
Use BLUE or BLACK ink
For OMoe U •
736/7V
Permit t
Penne Fee: 99('
Date Received:
Start
2016 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 5/4/2016 Sue Address: 3883 Princeton Tri unit #:
Resident/
Owner
Name: Ryan Sewell Phone: 651-274-3116
Address i Cry I zip: 720 Main St, Ste 107, Mendota Heights, MN 55118
Applicant is Owner L, Contractor
Type•of Work
Description of work: Draintile System 4- Racial m ; t'i�t ati6n
Construction Cost: 9055- Multi•Famity Building: (Yes I No
Contractor
Company: Standard Water Control Con Mike Hogenson
Address: 5337 Lakeland Ave N,. Crystal
state: MN zip:55� Phone: 7634374649 Email: mike@standardwater.com
License#. BC001522Lead Certificate #: NAT21436-2
If the project is exempt from lead certification, please explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
1n the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No if yes, date and address of master plan:
Licensed Plumber. Phone:
Mechanical Contractor. Phone:
Sewer & Water Contractor Phone:
Fire Suppression Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classlfted.as non-public if you provide specific reasons that wouldpemmit the City to
conclude that are trade secrets.
CALL BEFORE YOU DIG. Cab Gopher State One Can at (851)454.0002 for protection against underground utnny damage. Can as hours
before you Intend to dig to receive locates of underground utilities. www.oeoherstaiaonecall.ortt
I hereby admowtedge that this Information Is complete and accurate: that the work win be In conformance with the ordinances end codes of the City of
Eagan: that I understand this is not a penult but only an application for a permit. and work is not to start without a pemml that the work MI be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorised by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit Issuance.
x Betty L Baker
Applicants Printed Name
j% DO NOT WRITE BELOW THIS LINE
SUB TYPES -5 �� `► r l �� 17
Foundation
Single Family
Multi
01 of Plex
WORK TYPES
New
Addition
tAlteration
Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review /
(25% 100% ✓)
Census Code
# of Units
# of Buildings
Fireplace
Garage
Deck
Lower Level
Interior Improvement
Move Building
Fire Repair
Repair
qevo
Type of Construction
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Roof: Ice & Water
Framing
Fireplace: Rough In
Insulation
Sheathing
Sheetrock
Fire Walls
Braced Walls
Shower Pan
Reviewed By:
Porch (3 -Season)
Porch (4 -Season) .•
Porch (Screen/Gazebo/pergola)
Pool
— Siding
Reroof
Windows
Egress Window
//V
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Accessory Building
Demolish Building*
Demolish Interior
Demolish Foundation
Water Damage
*Demolition of entire building – give PCA handout to applicant
Occupancy -/
Code Edition
Zoning
Stories
Square Feet
Length
Width
Air Test Final
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Suppression Required
1
ovinle
Meter Size:
Final / C.O. Required
Final / No C.O. Required
HVAC — Gas Service Test Gas Line Air Test
Pool: _Footings Air/Gas Tests _Final
Drain Tile
Siding: Stucco Lath Stone Lath Brick
Windows
Retaining Wall: — Footings Backfill Final
Radon Control
Fire Suppression: Rough In Final
Erosion Control
Other:
, Building Inspector
RESIDENTIAL FEES V
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
/7?w
Page 2 of 3
Use BLUE or BLACK Ink
------------------
1 For Office Use
I I
I I
I Permit#:
Clay of Ea I
Permit Fee: 1
3830 Pilot Knob Road j I
Eagan MN 55122 1 Date Received: I
Phone: (651)675-5675 I I
Fax:(651)675-5694 Staff:
L-----------------I
// 2+016 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: � IG Site Address: F� �k Unit#:
Resident/ 4
Name: IJU V` D+ te_ �jTar ''' Phone: l��`" W�
Owner Address/City/Zip: lJ (Z1�1c
Applicant is: Owner x Contractor
Description of work: V�
Type of Work
Construction Cost. Multi-Family Building: (Yes_/No )
CompanywO�lN (�" t` f- 1� Contac'.✓t
Contractor
Address: � `� city: '
1 State:Zip:///�l A Phone: ...t 0(6Email:�r" �n"
License#: � �� Lead Certificate*
If the project is exempt from lead certification, please explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes,date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
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.gopherstateonecall.org
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.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Buildi g Co must be completed within 180
days of permit issuance.
X_
Applicants Printed Name +Appcant's Sign ure
Page 1 of 3
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation _ Fireplace _ Porch(3-Season) Exterior Alteration(Single Family)
Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
Multi Deck Porch(Screen/Gazebo/Pergola) _ Miscellaneous
01 of_Plex — Lower Level _ Pool _ Accessory Building
WORK TYPES
New _ Interior Improvement _ Siding Demolish Building*
Addition _ Move Building Reroof _ Demolish Interior
Alteration Fire Repair Windows Demolish Foundation
Replace _ Repair _ Egress Window Water Damage
Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION
Valuation oo u Occupancy MCES System
Plan Review Code Edition SAC Units
(25%_'C %ff Zoning City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction Width
REQUIRED 'NSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final/C.O. Required
Footings (Addition) Final/No C.O. Required
Foundation HVAC_Gas Service Test Gas Line Air Test
Roof: _Ice &Water _Final Pool:_Footings _Air/Gas Tests _Final
Framing 30 Minutes 1 Hour Drain Tile
Firepiaca: _.dough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick
Insulatrc::n Windows
Sheathing Detaining Wall: _Footings_Backfill_Final
Sheetrock Radon Control
Fire Wa is ':Fire Suppression:_Rough In_Final
Braced Walls Erosion Control
Shower~Pan Other:
Reviewed By: \ , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAG
City SAC
Utility Connection Charge
S&W,Oern?it&Surcharge
Treatmant Plant
Copies
TOTAL
Page 2 of 3
Use BLUE or BLACK Ink
',*. r
For Office Use
/L�/�)
Permit:ee:
City of Eaaal3830 Pilot Knob RoadPermit ��7 oZ
Eagan MN 55122 Date Received: q-'ce —1
Phone: (651)675-5675
buildinginspectionsacityofeagan.com Staff:
•
2017 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 1i, ' I Site Address: 3BS3 S -"Pfi no n t(I Unit#:
I Name:-a— e-1.1•^-•&4,--- Phone: 66 i 45/3
f Resident/ 1 2
Ovvden Address/City/Zip: 3BB3 ahii:4.€J2
7---
I `�
tApplicant is: Owner N Contractor
Type of Work Description of work: .0 � x 14
1 Construction Cost I a'53-`4rO Multi Family Building: (Yes /No X )
Company: 5— f ��g,n/a iL Contact: t) ) I1✓
Contractor Address: 9-771
"{-'7 l l 1 City: fiiiZ?,
State: Zip: 50/ Phone:tv12,-7 "1 tl`Email: asIb4--e--64-INLb "
License#:
9/3. Lt Lead Certificate#:
If the project is exempt from lead certification, please explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
I
Yes No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
b,
A
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
I NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the
information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they
are trade secrets. _
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on`
the City's website at www.cityofeagan.com/subscribe.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before
you intend to dig to receive locates of underground utilities. www.qopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
acco with the approved plan in e case of work which requires a review and ap rova lans.
X ` .
t1 , Itii„Ds_ctiars j Li,
Applicant's Printed Name Applicant's Signature
Page 1 of 3
DO NOT WRITE BELOW THIS LINE j' •C
SUBTYPES ; g3 IjrInc-e4-n7 TnI
_ Foundation Fireplace Porch (3-Season) __ Exterior Alteration (Single Family)
Single Family Garage Porch (4-Season) _ Exterior Alteration (Multi)
Multi T�,( Deck Porch (Screen/Gazebo/Pergola) _ Miscellaneous
01 of Plex Lower Level Pool Accessory Building
WORK TYPES
fNew Interior Improvement Siding __ Demolish Building*
Addition Move Building Reroof __ Demolish Interior
Alteration Fire Repair Windows _ Demolish Foundation
Replace Repair _ Egress Window __ Water Damage
Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION
Valuation
412a0 Occupancy , , MCES System
Plan Review Code Edition ',,/?12/5' SAC Units
(25%_ 100% () Zoning I p40 City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV — _
#of Buildings Length Fire Suppression Required
Type of Construction y6 Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size: _
x Footings (Deck) Final/C.O. Required
Footings (Addition) ./ Final/ No C.O. Required
_ Foundation Foundation Before Backfill ` HVAC _Gas Service Test Gas Line Air Test
_ Roof: Ice &Water Final Pool: _Footings Air/Gas Tests _Final
Framing 30 Minutes 1 Hour Drain Tile
Fireplace: _Rough In Air Test _Final Siding: _Stucco Lath .Stone Lath _Brick EFIS
Insulation Windows
Sheathing Retaining Wall:_Footings— Backfill_ Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In_Final
Braced Walls Erosion Control
Shower Pan Other:
Reviewed By: 12-- , Building Inspector
RESIDENTIAL FEES
Base Fee (1'1)f6"
Surcharge
Plan Review crAP\I
MCES SAC
City SAC
Utility Connection Charge
S&W Permit& Surcharge (.2„,"
ciev
x f c ii
Treatment Plant
Copies
TOTAL
Page 2 of 3
.11Z. . -,s--79 vo n b ?it nc.,el-ty)
IDROBE CONSy LTINt3 ENGINEERS '�
ENGINEERING PLRNNEAS and LAND �uAVEVOAs SX 33, PC60
COMPANY, INC,
l J000 EAST 1461h STREET, BURNSVILLE , MINNESOTA 55337 PH 432-3000
Cert if/eerie c ‘5 7.-?re ty
jjezl £escr ,p2ion: LOT 3, BOCK 4, LEXINGTON SQUARE,
• DAKOTA COuwTY, MINNESOTA
`e 96.4- DENOTeS EX/ST/A/6 ELEVAT/On)
•
(99 6.5-) DENOTES PROPOSED ELEVAT/OA!
–.F— /AJD/GATES DIRECT/CA/ OF 5URFACE DRA//V,46E
896.70= Fr/.1I51-1EO 6.4RA9 E Fi.coR Ec.EV,47/OBJ
NORTH
SCALE : /"= 30'
30' FRONT BU L-DiMb
`-I SETBACK LimeV - -'- .�
55' I / y
L_. I. L_ 25'
8_90.8) 5 89° 59' 36'1 E (894.7)
v�890^3' /66- 99 i
:
85.2o _- `-
(894 :-
-in
r '- --- I—: 96,-_`— - 1n
\ i re9 � 2 .33 � -, g
• lo, lo(8965) a " ' z0 � I
h
_ _ _ N GARAGE �Nlz, 32.00 _
_
N
Q I r t - N O 4 o N k
_ N .- a' os l� I 0 0 N
O tri r _J ff 0.-le, ,h7 2.00.,(1.;
t. 4:1 4i
0 8' •' p p r�
IL4,1,,, --I N 92.00
10
f5 �.�2-4.33vB_9_5., ,O
1 �8_ _a $ _ie 96.5)
"•n / o --11.-- u> re-9-2 x95
,24'74.7' /66. 99 :ez:7' w
(889.e) 5 89D 59' 36" E \ 4/ , � (893.2,) -' ' �t
I ;..„— 4 m1,01(Tft-/ ms
^ 0(11A/t V 1- 411/ \`7 s.
ti
I hereby certify that this is a true and correct representation of a tract of
land as shown' and described hereon.. As prepared by me on this `_ day of
CC7Veee , 19 85 .
."-Ad-,4fre41 lei /firm. let. No.!_
v v
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA145688
Date Issued:09/20/2017
Permit Category:ePermit
Site Address: 3883 Princeton Tr
Lot:3 Block: 4 Addition: Lexington Square
PID:10-45075-04-030
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Douglas L Barton
3883 Princeton Tr
Eagan MN 55123
(651) 686-0024
Norblom Plumbing
1465 Selby Ave
St Paul MN 55104
(612) 827-4033
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA166328
Date Issued:12/30/2020
Permit Category:ePermit
Site Address: 3883 Princeton Tr
Lot:3 Block: 4 Addition: Lexington Square
PID:10-45075-04-030
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Douglas L Barton
3883 Princeton Trl
Eagan MN 55123--152
Ray N Welter Heating
4637 Chicago Ave S
Minneapolis MN 55407
(612) 825-6867
Applicant/Permitee: Signature Issued By: Signature