4466 Reindeer LaneCITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ?'•-
BUILDING PERMIT Receipt#
To be used icr SF D4+tiGf GAS Est. value $66,000 Date-
1z673
25
19 -?
Site Address 4466 RF I IVDEF,R LIi Erect C?
Lot 3 Brock 9 Sec/Sub. FAWN ZIF)GC Remodel ?
Repair ?
Parcel No.
Addition ?
W Name t'KAyD OAKS DEVF.L CO Move ?
Demolish ?
o Address lt$1 SUCYRISE Int, Impr. ?
city i;AGA.?ti Pr,one 452-8934 instan ?
cc
Z o Name-
? ? Address
F W Name
-z
? a Address
a W City Phone
I hereby acknowledge that I have read this al
information is correct and agree to comply
Minnesota Statutes and City of Eagan Ordu
Signature of Permittee 4CPt6*-;;=V'
A Building Permit is issued to: GRAND
atl work shall be done in accordance with all 2
Building Official
Ot1KS U:;VEL CO
plicable State of Minnesot,
Occupancy R3
Zoning R1
Type of Const. Y
No. Stories
Length 5 U
Depth d ?
Sq. Ft.
Assessment Permit S 331.00
Water & Sew. Surcharge 33.00
Police Plan Review .165.50
Fire SAC 575.00
Eng. Water Conn. 500.00
Planner water Meter 63 . 50
Council Road Unit 290.00
Bldg. Off. 3125 /36 Tr. PI. 156.00
APC Parks
Var. Date Copies
Total $2.1 4 . o0
on the express conditian that
5tatutes and Ciry of Eagan Ordinances.
?Y-j
„ Pw?nM No. Pormft Flolder Dda TNsphone M
Plumbiny -/I Lqy 6 /
H.V.R..,C.
• ?
ElecMe
Sorisner
1nsQectlon Date lnap. CommaNs
Footlnga 1 If?
Footinys II
Foundatfon
Frsminq ?
RooNny
. ?'.
Rough Plbg. 4,1 U`
Af ' A 4 <?
Rough Htg.
InsuL yd?
Fireplace
Ffnal Htq.
Final Plby.
Bldy. Final ^
Csrt. Occ.
Dsek Ftg.
Deck Frmp.
Well
Pr. Obp.
? (07 5 ?
•
4 PERMIT #
, • MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE:
COMTRACT PRICE: PHONE : 454-8100
Site Address BLDG
TYPE WORK DESCRIPTION
.
Lot Block Sec/Sub
R
? N
?5
Name ew
es.
Aqult Add-on
? Address Comm
Re
air
c City Phone .
p
aher
Name FEES
?
? Address RES. HVAC 0-100 M BTU -$24.00
p City Phone - ADDITIONAL 50 M BTU - 6.04
ADd-ON AIR COND. 0-24 BTU - 12.00
ADDITIONAL 6 M BTU - 6.00
TYPE OF WORK GAS OUTLETS - 1.50 EA.
Forced Air M BTU COMM/IND FEE - 1% OF CONTRACT FEE
Bailer M BTU MINIMUM - RESIDENTIAL FEE - 10.00
Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00
Air Cond. M BTU STATE SURCHARGE PER PERMIT - .50
(ADD $50 SIC IF PERMIT PRICE GOES
Vent CFM BEYOND $1,000.00)
Gas Piping OuUets #
Other $ '
FEE: '
S/C: SIGNATURE OF PERMITTEE
TOTAL:
FOR: CITY OF EAGAN
I-
PERMIT # 6/0 CITY OF EAGAN FEE -?-?• ??
PLUMBING PERMIT
RECEIPT # 454-8100 S?C ?
MINIMUM RESIDENTIAL FEE • $10.00 +s.50 TOTAL 3113•s0
DATE MINIMUM COMMERCIAL FEE - $20.00 + $.50
1. Bldg. Type: Res ?- Comm Inst 2. New _2?_ Add Alter Repair
3. Total Bid Price y?? •?? 4. Job Address '?? ?? Ac)&/ el /l
Lot? Block?Sec r?A-2-2 P RI Wq c S. Owner </ DNIC? t?P?_
6. Contractor t1,4aeJ Jj_g!t5- eD • clgio .-eeK Lrvye ?b.-??wv.?.??'?35?
(Nar -1 (Street) (Clfy) (Zip)
7. Contractor Phone # 1V92 -427A/
NO. FIXTURES
Water Closet - $3,00
:!?Bath Tubs - $3.00
_,;?,Lavatory - $3.00
?Shower - $3.00
?Kitchen Sink - $3.00
_Urinal/Bidet - $3.00
NO. FIXTURES
-J-Laundry Tray - $3.00
LFloor Drains - $1.50
/ Water Heater - $1.50
Whirlpool - $3.00
--,L-Gas Piping Outlets - $1.50
-Softener - $5.00
NO. FIXTURES
-Well - $10.00
Private Disp Syst - $10.00
ZrRough Openings w/o
Fixtures - $1.50
COMM./IN TE - 146 O OTAL BID PRICE PLUS $.SO STATE SURCHARGE !R EACH $1,000 OF FEE.
Signed: for v?
Approved Inspections: Date Rough Insp. Date Final Insp.
CITY OF EAGAN Remarks ' . .
Addition FAWN RIDGE ADDITION Lot 3 Blk 4 Parcel 10 25800 030 04
Owner street 4466 Reindeer Lane Stte Eagan, MN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. 1981 - 11.47 20
STREET RESTOR. 1984 499,46- 49.95 10
GRADING 1 , 4.08 15
SAN SEW TRUNK S - 10.27 20
SEWERLATERAL
Sewer Lateral 23,57- 1.18 20
WATERMAIN
WATERLATERAL 19$1 43.6 2.18 20
WATER AREA 81 205.44 - 10.27 2
Water Lateral `" 1981 27.68 - 1.38
STORM SEW TFK 1985 557. 79 - 37.19 15
STORMSEW 4ffaTnngp ? 1984 222.51? 22.25 10
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
13UILDING PER.
SAC
PARK
i CITY OF €AGAN WATER SERVICE PERMIT
? 38249 Pilot ..nob Rosd
? P. O. Box 21199 PERMIT NO.:
; Eagan, MN 55121 - DATE:
Zoniny: No. of Units:
Owner:
Mdross:
?
Site Addrcss: 4466 De :C.rta c-er, --
Plumber. Sra2 ieq Plumbir..;
? Metar No.: Connection Charps: _ (?
$ize: ACCOUflt DDpOSN': ??JTM
{ Reoder No.: Permit Fee:
k
1 .owe ft ea.pl,? wah eb. ckp .f e.y.. su.a,o.pe:
`
I O?1MSOr. Misc. CMrpes: . ' ?c? •' .
Totol: ,r
' BY Dote Ploid:
Date of Inap.: Irap.:
?
c
CITY OF EAGAN SEyypt SERyiCE PERMIT
3830 Pilot Knob Road -
P. O. Box 21199 PERAAIT NO.: '
Eagan, MN 55121 DATE:
Zonirg: No. of Units: "
Owner:
Addrcss:
? Site Addi
Ptumber:
CITY Gf EAGAN WATER SERVICE PERMIT
383C.Pilot knob Road ? -
P. O. Bax 21199 PERMIT NO.:
Eegan, MN 55121 DATE:
1
Zoning: z-. -;- Na of Units:
Qwner: Crac:cl Oaks
Addreaa:
Sifi Addross: '? • ' Reindeer ue 1,3 fiawil .i ge,
Pl?pnber: t111 1? l_e-7 P utt:h g -
Mster No.: 6 ? O ?. ? < . p-t
Size: i?t'(Roc k ?_r? ?? :• i?c•
Reader No.:C /IV (0 5 3
1sow to eowply wNh fiM ??iQ Fr,}? u??S'
4? ? .' k . ? ? T
t
By '
Dote of
,?_5_" 8 (u
I .sm te e..vhr .rith ew clly of E.,.. conn.uion ao?pe: 47s.:Q_j!4
Or+dlaa?aM. Aaour?t Deposit;
a?
Po?mif Fae:
Surcharpe:
R. AA:v Phnrrue• '
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
J? q 3830 PILOT KNOB RD - 55722
'L
?f / ?/'v 7 / 651-681-4675
lew Construction Reauiremenh RemodellReoair Reauiremants
3 registered site surveys showing sq. fl. of IoL sq. fl. of house; and all roofed areas • 2 copies of plan
(20% maximum lot wverage allowed) . 1 set of Energy Calculations for healed adtlNons
2 copies of plan shawing beam &windowsaes; poured found design, etc.) . 1 site survey for exlerioraddiGore & decks
1 sel of Energy Calculations . Indicafe if home served by uptic system for additbns
3 copies of Tree Preservation Plan if bt platted after 111193
Rim Joist Deyil Optlans seledion sheet (hldgs with 3 or less uniGs)
)ATE 012-qI U I VALUATION I?0`?J
IOB SITE ADDRESS GF'? ?
F MULTI-FAMILY BUILDING, HOW MANY UNITS? J?
'ROPERTY OWNER (W4 V qi-)
'YPE OF WO-RK7?? J?? J(?CF. ?? {'LQ.?^' VCu 651 WEPLA ( 1 2 3
kPPLICANT ( ?"l I? I r '' PHONE #?iY iti / O
kDDRESS A ZIP CODE
'AGER # CELL PHONE # FAX #
NE1V RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ MINNFSOTA RUI.ES 7670 CATEGORY 1
(check one) - Residentlal Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
_ MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumbing Contractor:
Plumbing System Includes:
Mechanical Contractor:
Mechanical System Includes:
Sewer/Water Contractor:
Phone #
Phone #
Tec: $70.00
?1? ?0 U
UI above information must be submitted prior to processing of application.
hereby acknowledge that I have read this application, state that the information
711 applicable State of Minnesota Statutes and City of Eagan Ordin n e. ,,,
? •1
Signature of Appli a ?
I
;ertificates of Survey Received _ Tree Preservation Plan eceiv _
_ Water Softener _
Watcr Heater
No. of Baths
Phone #:
Iawn Sprinkler Fee: $90.00
No. of R.I. Baths
-- Air Condilioning
_ Heat Recovery System
with
Not Required _
Updated 1f01
OFFICE USE ONLY
] 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 AccessoryBldg
] 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
] 03 07 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 (screened) ? 36 Multi
7 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
] 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
] 31 New ? 35 Int Improvement ? 38 Demolish (Interior) 0 44 Siding
] 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
] 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 WindowslDoors
] 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant
/aluation Occupancy MC/ES System
;ensus Code Zoning City Water
iAC Units Stories Booster Pump
Jbr. of Units Sq. Ft. PRV
Jbr. of Bldgs Length Fire Sprinklered
-ype of Const W idth
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaUC.O.
_ Footings (deck) _ FinallNo C.O.
_ Footings (addirion) _ Plumbing
Foundation HVAC
Drain TIle
Roof Ice & Water Final Other
_ Framing _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Fireplace _ R.I. _ Air Test _ Final _ Siding Stucco Stone
_ Insulation _ Windows (new/replacement)
Approved By
3ase Fee
iurcharge
1an Review
AC/ES SAC
;ity SAC
Nater Supply & Storage
i8W Permit & Surcharge
-reatment Plant
llumbing Permit
Aechanical Permit
.icense Search
;opies
)ther
rotai
Building Inspector
CITY OF EAGAN
- 11673
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 Np
` ` PHONE: 454-8100
B /
D $q ?
UILDING PERMIT v Rece iptu a
e
7oheusedfor SF DWG/GAR Est.value $66,000 oate MARCH 25 86
t9
Site Address 4466 REINDEER LN Ered PS Occu R3
panCy
Lot 3 Block 4 Sec/Sub. FAWN RIDGE Remodel ? Zoning
Parcel No Repair ? Type of Const. v
. Addition ? No. Stories
Name GRAND OAKS DEVEL CO Move ? Len9th 50
= 18$1 SUNRISE Demolish ? Depth aR
o Address
ciry EAGAN phone 452-8934 Int. Impr.
m
t ?
? Sq. Ft
s
an
o Name SAME ? ¢ Address
" Ciry Phone
.?
.13
Name
Address
a ?
Ciry Phone
I hereby acknowledge that I have read this application and state thatthe
information is correct and agree io comply with ali appiicable Stete of
Minnesota Statutes and City of Eagan Ordinances.
•? ?
Signature of Permittee yl-ti?' r?"'"
A Building Permit is issued to: GRAND OAKS DEVEL CC
all work shall be done in accordance with
State
Assessment _
Water & Sew.
Police
Fire
Planner
Council
aidg. Off. 3/25/86
Var.
Permit r JJ1. ""
Surcharge 33.00
Plan Review 165 . 50
SAC 575.00
Water Con n. 500.00
Water Meter 63.50
Road Unit 290.00
7r. pi. 156.00
Copies?00
Total ?L?114
on ihe express condition that
Statutes and City of Eagan Ordinances.
Building
REQUEST FOR ELECTRICAL INSPECTION ee-ooooi.oa
??
' Sea inetruetions for completinp this tarm on beck ot yellow copy. ?O
?
o n q 72q y..??
R ""X" Below Work Covered by Ihis Request
p;lewbAdd1.?, 'TYPe ol Building I Aooliantas Wired I Equipme.1 Wired . I
Buik Mi
M Fee Service EMrance Size- # Fee Feeders/5ubteeders U Fee Circuits
? U to 200 qm s 0 to 30 Am s 0 o 30 Am
Above 200 qinps 37 ta 70U Amps 31 to 100 q
Swimming Pool
I
t Above 100_Am i m Above 700_Am s
Transiormers I hngation Booms Partial:'Other Fee
I ? Ls'gns I I ISpecial Inspection ?S 2)I '?^?
Remarks _ _ ? ??J TOTAL /F.Fl ?f?
?'??
I,`???Il.theElecVicel I
I/v? d q? Inspector, he?eby
cartily that the above
Final D.I. ins0ection hes been
c . •7 ?de.
TMS repuesl vold 16 montlu from
TQic request v0id ?? ? ??` / / ?O ?
18 rtnn[ha (rom
.. 0 9.7 2 9 8 '.5, 8 r.1. oh..wr A-?? 4 Slcp
Nequest D te
1 Fire o.
I
Rough-in Insuection
fleqwred?
ReaAy NowWill Notify. I..pec-
? ?es ?No ur When Ready
Ay Licensed Electtical Gontractor 1 hereby mquest inspecNOn oi above
? Owner electricel wark installed et: SVeet ddress, or flou[e o. / Cit
V? B .P_Ci7C/to??h?, Cf-e
ectmn o. ownshi0 Name or No. Range No. County
O antIPRINTI
c?'esr? C?
Ct/CS- Phone No.
5Z- 87'3??
P r Sapplier / Address
EI trical ConVaclorIC pa?n/Y /Nam
L (J Con )racto/ s l?cense No. ? J
/
Mailin0 Address ICOnVactor or Owner MakinB Inslailation)
SS37,s1
AuNOri ature ICamraclo ner Maki Installation)
_="'??? Pxhy? ujmb?er /
MINNESOTA STATE BOAflD OF ELECTPICITY ? THIS INSPECTION REQUEST WILL NOT
GiriB9s-Midwey Bldg. - 0.oom N•191 BE ACCEPTED BY THE STATE BOANO
UNLESS PflOPEH INSPECTION FEE IS
1621 University Ava., St. Paul, MN 55106
Phone (612) 297-2717 ENCLOSED.
. 6 i-7 sq
RESIDENTIAL BUILDING
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Reauiremenis RemodelfReoalr Reauirements Offce Use Onlv
3 registered site surveys shaving sq. ft. of lot, sq. ft, of house; and all roofed areas 2 copies of plan Cert of Survey Reoi _ Y_ N
(20% manimum lot coverage allowed) . 1 sel of Eneyy Cakulations for heated addiiions Tree Pres Plan Recd _ Y_ N
2 coples of plan shaxing beam & window sizes; poured found design, etc. 1 site survey for addifans & decks T2e Pres Reqd _ Y_ N
7setofEnergyCalcuWtions Add'rtion-irrdicateifarsitesep6csysfem Oo-site5epticSystem _Y _N
3 copies of Tree Preservation Plan if lot platted after 7!1l93
Rim Joist Detail Optlons selection sheet (bldgs with 3 or less unifs
Date ic)/
Site Address U° I o3
L{? ?o ?v?` I? ll \
LJl.? ?N Construction Cost 25bD
UniVSte #
C . ?
Description of Work //-157,ft k C,45 S?7) L/L
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 O_ 2
PropertyOwner Telephone#(&-??
Cantractor
Address 3D
)D L.). ( ???7 ( 3 ?3 ? City
State ? Zip Telephone # ('i`'i"7. ) 6'90o70 .fyW5S;
COMPLETE THIS AREA ONLY IF
Energy Code Category M"u?esota Rules 7670 Cate orv 1
• Residential Ventilation Category 1 Worksheet
(Jsubmissionrype) Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan?
fee applies.
Licensed Plumber
Mechanical Conirqctor
Sewer/Water Contractor
Telephone #(
N if so, 25% plan review
Tefephone # ( D
Telephone # (
I hereby apply for a Residential Building Permit and acknowledge that the informWt1on is complete-and_a?curate;
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 applica6on for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved lan 'n th ase of r which requires a review and
approval of plans.
? c
( ?60 t1`c,? ij
ApplicanYs Printed Name Applic t's Signature
A NEW BUILDING
Mimiesota Rules 7672
. New Energy Code Worksheet
Su6mitted
QFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 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 Bidg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (81dg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •Demolition (Entire Bldg) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City W ater
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprink{ered
Type of Const W idth
REQUIREDI NSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footings (deck) FinaUNo C.O.
_ Footings (addition) _ Plumbing
_ Foundation
! HVAC
_ ?rain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Frarning _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final Windows (new/replacement)
_ Insularion _
_ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Pertnit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Building Inspector
? RESIDENTIAL
BUILDING PERMIT APPLICATION
? ' ? • CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
? 657-681-4675
New Constmction ReauiremaMa
• 3 reqislered site surveys shaxing sq. ft. of lot, sq. ft. of house; and all roofed areas
(20% mazimum lot coverage allowed)
• 2 copies of Dlan showing beam & window s¢es; poured kund design, etc.)
• 1 set of Energy Calculafions
• 3 copies of Tree Preservatiun Plan if lot platted aRer 717/93
. R'un Joist Delail Optlons selecGon sheet (pldgs with 3 or less uniLs)
DATE
SITE ADC
TYPE OF
APPL1CANi
RemodellReoair Reauirements ? ? ?
. 2 copies of plan
. 1 set ot Energy Calculations For heated additions
• t site survey fw extenor additions & detks
. Indicate it home served by septic system for additions
VALUATION
STREETADDRESS12_ZL?^I N ICOIJUk AVQ., 5Olte% CITY
TELEPHONE #C52=-Zb1.-`?ELL PHONE #
?ULTI-FAMILY BLDG Y 7'?W
FIREPLACE(S) _ 0 _ 1 _ 2
.SLit K?,STATE AnZIP 55337
FAX AF-SL '6h`06 '?59`(0
PROPERTYOWNERN Pt*WSSh TELEPHONE#?I' V/Vis
?
------------------------------------------------------------------------------------------°---
COMPLETE THIS SECTION FOR KNEW^ RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ yIINNESO"I'A RUI.LS 7670 CA'CEGORY 1 MINNESOTA RULES 7672
(q suhmission type) . Residential Ventilation Category 1 Worksheet Submitted . New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor: _ Phone #
Plumbing system includes: _ Water Softener _ Lawn Sprinkler
_ Water Heater No. of R.I. Baths
_ No. of Baths
Mechanical Contractor: Phone #
Mechanical sys[ein includes: _ :lir Conditioning
_ Hca[ Recovery Sysleai
Sewer/Wafer Contractor: Phone #
AUG 1 2 2002
---------------°-------°---°-----...------------------------°-----------------°--------------------------------------
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 Ordinance .
Signature of Appllcant
--°------- -°-------- -__-______----- _------------ -_ __..--------- ------------------------------- ------ _ °__
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
OFFICE USE ONLY
? Ot Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Muiti
? 03 Ot of _ plex ? 09 07-plex O 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt- SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous
? 31 New p 35 Int improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)" ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement *Demolition (Entire Bldg only) - Give PCA handaut to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footings (deck) FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Au/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insularion _ Re[aining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
W ater Supply & Storage
5&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Building Inspector
Total
? RESIDENTIAL
BUILDING PERMIT APPLICATION
? ? ? CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
657-681-4675 7-5)
NawCOnstructbn Heaulrements RemotleVHeoeB Reaulremente
• 3 rep[siered s8e surveys showmg sq, ri. of bt, sq. ft of house; and 11 roofetl areas • 2 coples of plan
(20%mexcnum lot wverage elhwed) • 7 set of Energy Calculeians for heated aAtlitians
. 2 copies of plen showing beam & window sizes; poured found design, etc.) • 1 site survey for exterbr add'Abns & decks
• 1 set of Energy Cakulatbns • Indkate N home served by sept(c syslem for adtlAbns
• 3 coples of 7ree Preserratbn Plen tl bt platled afler 7/1193
• Rtrn Joist Dahall Optbns selectlon sheet (bldgs wah 3 or kss unns)
DATE C) Z- VALUATION 160.
SITE ADDRESS R1/ h rl.P?` L? MULTI-FAMILY BLDG _ Y(? N
TYPE OF WORK Ize S, I't r?r PG ?% FIREPLACE(S) _ 0_ 1_ 2
APPLJCANT
?'h r. fu.-
STREET ADDRESS / LZ47 & CIN 1,?u rn r vrYl? STATF,l?t_v ZIP
TELEPHONE # 2?'2 -70765 SS CELL PHONE # Fax # 9s-1-70)7 9Fz r
PROPERN OWNER & A- TELEPHONE #/ S/- V s
COMPLETE THIS SECTION FOR %NEW- RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672
(J submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Coda Worksheet Submitted
• Energy Envelope Calculations Submined
Plumbing Conhactor: Phone # -i
Plumbing system includes: Water Softener Lawn Sprinkler ? 1-? ?Feb= ?-$96.00
I
_
Water
Heater _ No. of R.I. Baths ! ?l AUG 12 ZOOZ II
?
= No.
of Baths
Mechanical Conhactor: Phone If I BY---
Mechanical system includes: _ Air Conditioning Fee: $70.00
_ Heat Recovery System
Sewer/Water Conhactor: Phone 11
---------------------°-------------------------------------°------------------------------------------------------------
I hereby acknowledge ihat I have read this application, state that the Information is correct, and agree to comply
wffh all applicable State of Minnesota Statutes and City of Eagan dinances, p? ' 9
Signalure of Applicant k
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4I02
;
. ,
OFFICE USE ONLY
? 01 Foundation ? 07 OS-plex ? 13 16-plex 0 20 Pool 0 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex O 16 Fireplace ? 21 Porch (3sea.) ? 31 Ext. Alt - ftilulti
? 03 01 of _ piex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4sea.) ? 33 Ext. All - SF
? 04 02-plex 0 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? OS 03-plex O 11 10-plex ? 19 Lower Level O 24 Storm Damage
? 06 04-plex O 12 12-plex Plbg_Y or _ N O 25 Miscellaneous
? 31 New O 35 Int Improvement 0 38 Demolish (Inierior) O 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolkion (EMire Bldg only) - Give PCA handout to applicaM
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinallC.O.
_ Footings (deck) _ FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundation 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 _ Retsining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit 8 Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Building Inspector
ToWI
,
/6 73
1986 BIIILDffiG PERKIY APPLICATIOH - CITY OF EAGAN
' NOTS: ALL CAN?EACTOHS MQST BE LICENSfiD iiITH THE CITY OF BAG9N
??
CONIllERCIAL
SINGLS FANIILY DiiSl.LINGS
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 CALCULATIDNS
ENERGY CALCULATIONS-
$2,000 LANDSCAPE BOND
To Be Used For: Valuation: Date:
Site Address OFFICE IISB OALY
Lot a Bloek ?
Pareel/Sub Py?
Owner l9"G4-,`Q
Address
City/Zip Code
Phone
Contractor
Addres
City/2
Phone
Ax`eh./nngr. _
Address
City/Zip Code
Phone 4t
Ereet ?C Oecupancy f2.3
Remodel _ Zoning ?.(
Repair Type of Const Q
Addition # of Stories
Move Length SL)
Demolish ` Depth ¢ _
Int.Impr. Sq Ft
Install
APPROVALS FSFS
Assessments Permit 3 -N.
Water/Sewer Sureharge 33.
Police Plan Review =
Fire SAC 57S
Engr Water Conn Soo.
Planner Water Meter
Couneil Road Unit 'LqO,
Bldg Off? Treatment P1 IS(o.
APC Parks
Variance Copies
TOTAL
aZ24
,
NOTS: 9DDRFSSES FOR CORPER LOTS - COATRACTOR/HO!lHOiiASB MDST DESIGBATE WHICH
ADDRESS IS DESIRED. NO CHANGFS WILL BE 9LLOi16D ONCE BDILDING PERMIT
IS ISSUED.
, : '.' .': .. . .} . - .
? • . . .:'!? . ait. •
EXTERIOR ENVELOPEAVERA6E 'U' COMPUTATTON
" GRAND OAKS pEVELOPMENT COMPANY
MODEL Q AREA , U U X AREA
kEC1UIRED
1. TOTAL WALL AREA • 1800 X.11 198
2. TOTAL ROOF AREA 1196 X. 026 31.096
ACHIE VED
AREA U U X AREA
A. WINDOW NREA 186.66 , •.5 93.33
B. DOOR AREA 39.8 .077 . 3.0646
C. SLIDE OLASS AREA 13.44 .48 6.4512-
0. FIREPLACE AREA • 0 0 O
E. WALL FRAME AREA 180 .041 7.38
F. NET WALL AkEA 1164.1 .049 57.0409
0. RIM JOIST AREA 119.32' .0436 5.211072
H. FOUND WINDOW AREA' O O O
1. FOLJND A60VE ORADE 96.48 .135 13.0248
3. TOTAL? WALL AkEA 1800 185. 5026 -
J. SKYLITE 0 O :
K. RQOF FRAME"' 119.6: `.032, ,5.8272
L. NET ROOF AREA 1076.4•'` •: :025 .' 26.91
4. TOTAI. ROOF AREA 30.7372.
:- •-
SUM 1.+2. 229.096
.
SUM 3.+4. 216.2398
?
/
.'
??Y .
. .
APPLICATION FOR PERMIT
ClTY OF EAGAN
SEWER AND/OR WATER CONNECTION
*IOTF: PAYMFTTP OE F.Y-M AT TIME OF -
APPLI'CAMON mES NUr CONMMM
APPROVAL OF PIItMLT. .
nvsPncriorr oF SBM r,rID/oFt WA!=
TTSS'PAT.T.ATTONS WIIS. IVgr BE SCHED--
ULID UNfII. PERMIT AAS BEIN ?
APPRC7VID. !
. _. ? xxynrrrr?er?nrx?rx.:?r?rs.x?exr?e:xerx?e:nxxx
Please Print)
1) PROPERTY ADDRESS:
LEGAL DESCRIPTION:
IF EXISTING STAL'C![,'RE. DATE OF ORIGINAL BL'ILDING PEE2h]IT ISSL'ANCE: .
i
- I,bn Year )
PRFSEDlr ZONING/PROPpSID L'SE: .
[) COAP'IERCIAL/RETAIL/OFFICE
Q ITIDC]STRIAL
f-I ZNSTI7[)TIONAL/GpVER1ME6Tr
2) ?
ADDRESS:
CITY, STATE, ZIP:
PHONE:
? R-1 SINGLE FAMILY
? R-2 D(:PLEX (14.v Onits)
? R-3 70WN[IOC?SE (Three + Units) ( Lnits)
? R-4 ApARTMENT'/CprIDpNUNIOM ( •Units )
3)
- NP.ME:
ADDRFSS:
CITY, STATE, ZIP:
PxorE:_ YJ? - V/,? / rwsTER LsceNSS#
4) eW. • • i?-
NarE: ' ,ti
ADDRESS:
CITY, STATE, ZIP:
PHONE: •
Active
FScpired
Dlot recorded
sta?ff°mitial
•5) i? r ?? r: •?• : o? • a? - a?
corNEcrioN zo cixY sEWER ? wNrrECrzorr TO ciz^r waTEx p o=
6) ?i • ? r
? PLEASE HOLD APPROVID PERMIT FpR PICK-UP BY ONE OF ABpVE
?. PLEASE MAIL APPRdVID PERMiT TO 1, 2. Q-4. ABpVE
?? ? ? „ (Circle one)
?
. FOR CITY USE ONLY PERMIT # ISSL'ED
737G,
Pd w/Bldg. Permit FEES:
$ $ /C• ?? SEWER PERMIT (INCLODE SL7RCHARGE)
$ $ `/j"-" WATER PERMIT (INCLLDE SORCHARGE) ..
$ `? 3• S? $ WATER METER/COPPERHORN/OL'TSIDE READER
$ $ WATER TAP (INCLUDE CORPORATION STOP)
$ $ SEWER TAP
$ ?S G'D $ ACCO
DEPOSIT - SE
E
W
UNT
R
$ / S. O D $ ACCOL'NT DEPOSIT - WATER
Jd6' ?
$ $ WAC
575, G
$ I? $ SAC
$ $ TRL'NK WATER ASSESSMENT
$ $ TRL'NK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRCIVK SEWER
$ $ LATERAL BENEFIT/TRL'NK WATER
$ d $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
$
TOTAL
?G I
RECEIPT RE
CEIPT
DOES LTILITY CONNECTION REQLIRE EXCAVATION IN PC'$LIC RIGHT OF WAY?
F-1 YES IF YES, THE[V A"PERMIT FOR WORK WITHIN PDBLZC
Q
NO ROADWAY" MUST BE ISSUED BY THE ENGINEERING
DIVISION
LIST A
.
S A CONDITION.
SUBJECT TO THE FOLLOWING CbNDITIONS:
APPROVED BY:
TITLE:
DATE :
2004 RESIDENTIAL MECHAIVICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
C4 g'-7 Telephone # 651-675-5675
Please complete foc single family dwellings & townhomes/condos when permits are required for each unit
Da[e ec) V
Sit
Add i[ #
U
e
ress n
Property Owner e_J?n Telephone # (G?;(
Contractor
$TNNDAAD HEATIN6 8 AIA CON
Street Address I,AKE STREET City
MINNEAF'OIJ3. MN
S[ate gi?.ftg_21WI Zip Telephone # ( )
Bond #: Expires:
The Applicant is _ Owner ? Contractor _ Other
Add-on or alteration to existing dwelling unit $ 30.00
furnace _Additional _Replacement
air exchanger
v
? airconditioner
New ?Replacement
r
_ ?
_ otner ;=.1
'1
Ir;'
MAY 1
State Surcharge By $ .50
Total $ 3a -SG?.
I here6y 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; that I understand this is not a
pemvt, hut only an applicarion for a permit, and work is not to start without t; that the w m accordance with the
11 apprNed plan in the case of W6jF'?}i ich requires a review and approval of g)a s,l ?
14SkC ?v UR m,4 (
Aplicant's Printed Name ' Applicant's ?6 ture
2004 COMMERCIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Piease complete for: commercial/industrial buildings
multi-family buildings when sepazate pemuts are not required for each dwelling unit
Date
Site Street Address Unit #
Tenant Name (if applfcable) Previous Tenant Name
Property Owner Telephone # ( )
Contractor ,
Street Address City
State Zip Telephone # { . )
Bond #: Expires:
The Applicant is _ Owner _ Contractor _ Other
Work Type
New Construction _ Underground Tank _ Install _Remove **see helow
Interior Improvement _ Install Piping _ Processed _Gas
Nature of Work:
"'When instalfing/removing underground tank, caU for inspection by Fire Marshal and Pivmbing Inspector
Permit Fees: $70s0 Underground hank installation/removal
$$O.SD Minrmum (includes Smte Surcharge) .
or
Contract Value $ x 1% Pemu[ Fee
• If pemvt fee is $1,000 or less, add $50 State Surcharge
If pernut fee is over S1,000, add $.50 for
every $1,000 permit fee $ Total Fee
I hereby apply for a Commercial Mechanical Pemut and acknowledge that the inFormation is comptete and accurate; that the work
will be in conformance with the ordinances and codes of tLe City of Eagan and with the Mechanical Codes; 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 acwrdance with
the approved plan in the case of work which requires a review and approval of plans.
ApplicanYs Printed Name
ApplicanYs Signature
Approved By: , Inspector
SURVEYOR'S CERTIFICATE GRAND OAKS DEVELOPMENT C0.
#363
-? DENOTES PROPOSED SURFACE DRAINAGE
O DENOTES IRON MONUMENT SET SCALE: 1 INCiI = 30 FEET
A UENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR = 914-9 FEET
.X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR = 9t7-` FEET
(000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK = °115, 3 FEET
I fIERE6Y CERTIFY TO GRAND OAKS DEVELOPMENT C0. TfIAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE f30UNDARIES OF:
Lot 3, Block 4, FAWN RIOGE, according to the recorded plat thereof,
Dakota County, Minnesota.
AfJD OF TIIE LOCATION OF Fl PROPOSED [3UILDING. IT DOES NOT PURPORT TO SIIOW IMPROVEMENTS.
OR EIJCROACIIMENTS, IF ANY, TIiEREON. RS SURUEYED BY ME, OR UNDER P9Y UIRECT SUPERVISION,
TIIIS 20TH DAY OF MARCH , 1986.
SIGNED: JAM R. HILL, INC.
DY: ?
HAROLU C. PETERSON, LAND SURVEYOR
PiINNESOTA LICENSE N0: 12294
PROJECT NO. BOOK / PAGE JAMES R. HILL, INC.
86443
160 / I I Planners / Engineers /. Surveyors
FILE 140" 8200 tiumboldt Avsnue South•
FOLDER Bloomington, Mn. 66431 012-804-3029
ZSURVEYOR,'S CERTIFICATE eRAND OAKS DEVELOPMEPIT C0.
' N363
?
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a 1 40 9A?r ?s ?
r ?
z 3
? 9,¢,6? .?
? ?
= !9 m
rv 41 ro P '•^. \
F (D ? 2 i SF to / : /? ; (0
m ? ?o? e•O ai ? a` ?O ?(-? 7?
w\? 9i4' b y
?to
h
o° I I 22•? `/m 4r%
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7
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PROPOSED SURFACE DRAINACE IS PER
THE FAWN RICGE GRADING APlD DRRI
AGE PLAN/EROSIOPI COh!TROL PRE=
PARED BY PROBE ENGINEEF.INC,
COMPANY, INC., LAST DATED 3/20/85
SHEET 2 OF 2 SHEETS
FROJECT NO. BOOK / PAGE JAMES R. HlLL, INC.
86443
160 / I I Planners / Engineers / Surveyors
FILE NO.
8200 Humboidt Avenue South
' FO L D E R Btoofn?ngton, Mn. 55431 a 12-saa-aoza
C!ty of Evan
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 #: 1 j 1'qq.
Permit Fee:
o 5-
s
Date Received:
Staff:
to fr-th3
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: /° 3 Site Address: 7/CC leer -7 -Ppf CT/j
Unit
I
Resident/
Owner
Name:0/ " '4-i7L--Th Phone: 6-S7:– -- 6. 0 y.�
/ I-1'
�C6
Address / City / Zip:���� ('/' �,// r C .4.5-4:7:.-N
,t `41.xSS , / Z 5
Applicant is: / O/ wner tractor
Type of Work
Description of work: le - — r00
S/ ,r ��,
Construction Cost: ) Multi -Family Building: (Yes / No)
Contractor
Company: Contact:
Address: City:
State: Zip: Phone:
License #: Lead Certificate #:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
In the last 12 months,
Yes No If
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
has the City of Eagan issued a permit for a similar plan based on a master plan?
yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
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.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 Painted Name
x
Applicant's Sigrya'ture
Page 1 of 3