4773 Richard LaneCASH RFCF-IPT
?
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
? ?-
DATE 19
necerveo t
FtIDM i I i ,!3
AMOUNT $ •
J! J. .? 77
? CASH
8 DOLLARS
ioo
(J CHECK
1 0 -7 -1 -- L.,+ I ld? 1(>. lf .-'?
BY
?
C ?Whfte-PeYm CoPY
Yelbw-Postin9 CoPY
Pink-File Gopy
Thank You
?' - DATE: 10/2/89
RE: 4773 RICHARD LANE, L7, B3, WALDBN HBIGHTS
_?LX Your 5ewer & Water Permit for the above property has been completed. It will be held at the
Public Worlcs Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
Your Sewer & Water Rermit for the above property cannot be completed for the following
reasons:
?. Your Sewer & Water Permit for the above property has been completed, but the meter cannot
be issued or occupancy allowed until turther notice.
COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTIUTIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
,....?. ..,..• ...?._ . . .. . : ,. .. ..... .... ,. .;:?:t1?K' r .h?,? .?? •. ?:?r^m. • .. .r . ? .
r . ?.---?..«.
CITY OF EAGAN .
17 0 7 7
3830 Pilot Knob Road, P.O. Box 21- 199, Eagan, MN 55121
PHONE:454-81 00
BUILDING PERMIT
Receipt # f ?1
To be used for SF ?/CAR Esi. Value ;84,000 Date SEP 15 . ?g 89
Site Address 4773 RICHA6tD LN
7
OFFIC
E USE ONLY
Block 3 Sec/SubWALDBN NSIG!!TS 2
Lot
. T
Parcel No. pcc„pa„cy R-3 M-1 FEES
R-i
Zoning
cc Name c b HHOMES
(Actual) Const Y-!i
Bldg
Permit 568.00
W
9 AddfeSS p 0BOX 152 (Allowable) V-N . 42.00
0 City SAV? Phone 894-2523 # or Stories
? 1 Surchar e
9
Plan Review
Z?' ?
F Name 5? Length
DePtn sac
acy i?•?
= ,
0
Q Address S.F. Total - 575
QQ
0
? SAC, MCWCC •
City PhOne S.F. Foolprinis -
t
C
w
5? •?
?
On Site sewage
_
a
er
onn
W W Name On Site Well W
t
M 90•00
er
a
eter
?;
Address nnWCC System
30
00
? Accl Depos't .
<W City Phone citywa?er S 2O' ?
PRV Required _ NV Permit
I hereby acknowlege that I have read this application and state that the Booster Pump - SiW Surcharge 1•00
information is correct and agree to comply with atl applicabie State of
Minn
t
d
t E 228
?
eso
a Stawtes an
City o
agan Ordinances
' Treatment PI •
Signature of Permitee , ?.-.??:-: ?, APPROVALS Road Unit 340•00
A Building Permit is issued to: G b M H(*= Planner - park Ded.
on the express condition that all work shall be done in accordance with all Council -
applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. _ Copies .
Building Official - ti
Variance
-
TOTAL
2,858.00
Permit No. Permit Holder Date Telephone k
14(ATER
SEWER
PIUMBING
H.V.A.C. ;
ELECTFiIC 73r9 cT7 -7
Inspection Date r
Msp.
Comments
Foo6rgs I
Foundation
framin9
Roofing
Rough Plbg.
Rough Ht9. -
Isul.
Freplace
Fnal Htg. o ' ? G
Final Plbg
Cottsl. Meter PI . In or - NotiTy Piu ber
Engr.lPlan 4
Bldg. Finai
Deck Ftg. '
Deck Fnal
WeN
Pr. Disp.
. . . . ?..r. -?-q..?,;s..-: .w.v-3Fr•..taq:..
PERMIT #
MECHANICAL PERMIT RECEIPT #
CiTY OF EAGAN /,:. !i ..; ;' •?
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE: PHONE: 454-8100 For Office Use Only:
SiteAddress ?"' . ; ? '
-
BLDG. TYPE WORK DESCRIPTION
Lot Block - Sec/Sub Res. New
- Name Mutt. Add-on
m Comm. Repair
?
c Address
C
t ` Other
i
y Phone
?
Name FEES
RES. HVAC 0-100 M BTU -$24.00
c Address ADDITIQNAL 50 M BTU - 6.00
p City Phone (R?• HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1
50 EA
TYPE OF WORK
?
COMMIIND FEE - 1% OF CONTRACT FEE .
.
Forced Air ? M BTU -? APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE 8? CQNDOS - RES. RATE APPLIES
Boiler M BTU MINIMUM RESIdENTIAL FEE - ALL ADD-ON 8
Unit Heater M BTU REMODELS - 12.00
Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Outlets # ' BEYOND $1,000)
Other -
FEE: - -?- _ i .?
- SIGNATURE OF PERMITTEE
S/C:
TOTAL ??'?f FOR: CITY OF EAGAN
PERMIT #
PLUMBING PERMIT RECEIPT tf
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: le-
Site Address ?? 7,?'
Lot 7 81ock
m Name 1. •r: r? r F
AddreSS •? : % •.%:-? . -^ < < ?'u
0 C City Phone
L Name _
3 Address
p CitY -
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE 8 CONDO - RES. RATE APPLIES
MINIMUM - REStDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1.000.001
•':
SIC
FC
OF PERMITTEE
BLDG. TYPE WORK DESCRIPTION
Res. New ?-
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
No FIXTUFi ES TOTAL
r Water Closet - $3.00 ?
? Bath Tubs - $3.00
LLavatory - $3.00
Shower - $3.00
1 Kitchen Sink - $3.00
UrinaliBidet - $3.00
T
$3
' L
d
00
'
ray -
aun
ry
.
? Floor Drains - $1.50 I • 3
? Water Heater - $1.50
Whirlpool - $3.00
?Gas Piping Outlets - $1.50 l j
(MINIMUM - 1 PER PERMin
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
=Rough Openings - $1.50
1L
FEE: ? IV . "'
STATE S/C:
GRAND TOTAI: 4-2
y ? `7
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS• APPLICANT:
•
..'r,
' I i `. ?, i. ? ?' i .'!. ? • 39
PERMIT SUBTYPE:
TYPE OF WORK:
4lf. /,' 1 /4fa
Pertnit No. Permit Holder Date Telephone M
ELECTflIC
PLUMBING
HVAC
A
w.
Inepectlon Inap. Commonts
FOOTINGS
FOUND
FRAMING
ROOFING
RQUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG ?
DECK FlNAL
+Jv--
?
IN SYE(;'11()N liEC; ()K1.)
,?1TY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 bate Issued:
(651) 681-4675
SITE ADDRESS:
APPLICANT:
PERNIIT SUBTYPE:
;TYPE OF WORK:
Il; .1 ; 1i .i fiN
INSPECTION .. . .•
?Fi f=MARKPI AN fiP 4'It6Jl- il HY C RA1(1 I4itV11C'; Yh
! •.h V s rar? t f A1 srM t I Rf'til) r 1?f Il t fiR AF
w
? ,= ?
Permit Holder Date Telephone #
S WER/
WATEFi
PLUMBING
HVAC
tnspectfort Date Insp. Comrrlents
FOOTINGS
FOUND
FRAMING
RpOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATlNG
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
fRRfGA7tON
METER
FLUSH
MAINS
CONDUCTIVITY
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
? _ . . . _ . . , . .,.T .. :1?•:
?
(ItrttftratP uf Mrru?anry
Citp of Cagari
10rparimrnt o# iiuilditug JWrrfiun
nis Certifrcate issue+d pursuant !v the requirnments of Section 306 of the Uniform Building
Code certijying that at the time of issuance this structuie was in compliance with the various
ordinances of 1Me City regulating building construction or use. For the following:
Uu ?fitk. sF nwcIcAx Nd8. Nrff;t Ne. 17077
oor„P-r Tya R3/M I zo" o" R I TYm c.. VN
oW„?,,fewdi,& G& M I0ES Add. P.O. H(K 152, SAVAM
Building Addresc 4773 R?IARD IaW ,,.,;ty L7. B3. WAtM M(M 1ST
LC? ! l,? MARM 13, 1990
suadin8 dr=W
POST IN A CONSPICUOUS PLACE
CITY OF EAGAN Remarks ?j , " F? = `'It "
,4ddition WALDEN HEIGHTS 1ST AQDN Lot 7 Bik 3 Parcel 10-83300-070-03
Owner Street 44" THQNA&'h*NF State EACAN MAI 55122
# 7?' -i
Improvement Date Amount Annual Years Payment Receipt Date
STREET SUR F.
STREET RESTOR,
GRADING
SAN SEW TRUNK a?cl
SEWEFi LATERAL
WATERMAIN
WATER LATERAL
WATER AREA Z
STORM SEW TRK ? 673.75 134.75 5
STORM 5EW LAT
CURB & GUTTER
51DEWALK
STREET LIGHT
WATER CONM.
BUILOING PER.
SAC
PAR K
SEWER & WATER PERMIT
CITIf OF EAGAN
3830 Pilot Knob Rd.
Eagan, MN #5122-1897
?
DATE
LOT
APPL(CANT:
ADDRESS:_
CITY, S7A', E
PHONE: _
METER #
PERMITDATE 1012/`",
CHIP # PERMIT # - 10963
METER $IZE B.P. RECEIPT ? ? ?439
1SSUE DATE B.P. RECEIPT DATE 1)20/'k9
_ PRV , BOOSTER PUMP
21P
PLUMBEFf: 4? •''e'-''??
ADDRESS: L =
CITY, STATE - ZIP
PHONE:
OWNER: _
ADDRESS:
PERMIT REQUESTED
X SEWER ? WATER - TAPS
- COMMIIND Z_ RE5IDENTIAL
? NEW _ EXISTING Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line. '
Credit WlLL NOT be given for Deduct Meters.
I AGREE TO COMPLY WITH CITY OF
EAGAN ORDINANCES
? CITY, STATE ZIP
PHONE: SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORICING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR S70RM
SEWER PERMITS, CONTACT ENGINEERIMG DEPT.
SEWER & WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
DATE -11/2 OFFICE USE ONLY
METER #_ "'S Z? j 3q3 PERMIT DATE 10 / 2/ 89
CHIP #0 0 -7 Of (O y PERMIT # 10963
METER SIZE F b'a `in ? RECEIPT # ? 3939
ISSUE DATE B.P. RECEIPT DATE '` `' / 89
- PRV - BOOSTER PUMP
SITE ADDRESS
LOT ?LBLOCK ?_SEC/SUB
APPLICANT:
67
ADDRESS: yo y i -?
CITY, STATE
t` Ra 23
PHONE: Z4. ZIp S3
,
PLUMBER:
ADQRESS: ?- i E
CITY, STATE
PHONE: $55/ 7Cl?O ZIP -S-5 -?'7f
OWNER: _
ADDRESS:
CITY, STATE ZIP
PERMIT REOUESTED
_X_ SEWER ? 61VATER - TAPS
? COMM/IND ? RESIDENTIAL
? NEW _ EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domesiic Meters on Water Line.
Credit WILL NOT be given for Deduct Meters.
I AGREE TO COMPLY WITH CITY OF
EAGAM R ?ES
?
,,..
.UILDING PERMIT
I
Tobeusedfor SF DWG/GAR
Est. Value $84,000
Site Address 4773 RICHARD LN
Lot 7 Block 3 SeGSub. WALDEN HEIGHTS 1
Parcel No.
w Name- G & M NOMES
o Address P 0 BOX 152
City SAVAGE Phone 890-2523
o Name b?
?a Address
? City Phone
r
gw Name
? ; Address
a W City Phone
I hereby acknowlege fhal 1 have reatl this application and state that the
information is correct and agree to rqmply with all applicable State of
Minnesota Stawtes and Ciry of EagaryOrdiylnS" /
Signawre of Permitee
N° 17077
Receipt # C -?q --f.J
Date SEP 15 , 7989
OFFICE USE ONLY
Occupancy R-3 M-1 FEES
Zoning R-1
(ACtuapConst V-? BIdg.Permit 568.00
(Allowable) V-N Surcharge 42.00
F of Stories -
50,
Plan Review
284.00
Length
Deplh 48' SAQ Cily 100.00
s.F.rotal - snC.MCwCC 575.00
S.F. footprints -
On Sile Sewage _ Water Conn 580.00
On Sile Well - Water Meter 90. 00
MWCCSyslem XX 3?
??
CityWater XX Accl.Deposit .
PRVRepuired _ S/WParmil 20.00
Booster Pump - S/W Surcharge 1.00
Treatmenl PI 228.00
APPROVALS Road Uni1 340. 00
A Buiiding Permit is issued to: G & M HOMES I Planner - park Detl,
on Ihe ezpress condition ihat all work shall 6e done in accordance with all Cauncil
applicable State of Minnesota Statutes andCy?ity { ?I o?f Eaqan Ordinances. Bltlg. ON. _ Copies
BuildingOfliCial ^A1.(1 p 1\ d I '{' i?l Variance - 70TAL 2,858.n0
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
ll? S. instructions br comPW7 „ow cop%
P 46858 "X" Below Work Covered by This Request
e 111 d Rep. TypeoiBUiltling AppliancesWired EquipmenlWired
Home qange Temporary Service
Duplex Water Heater Electric Heatinq
Api. BUilding Dryer _ •. ' O[her (Specify)
Comm./Industrial urnace
Fartn Air Conditioner
OUier (specity) Contrector§ RemaBS:
Compute Inspection Fee Below:
# Olher Fee # ServiceEntrenceSize Fee # Circu%siFeedere Fee
Swimming Pool 0 to 200 Amps &/ 0 to 100 Amps ' s
Transformers Above 200 _ Amps Above Amps
Sigf15 Inspector§ Use Only: TOTAL
Irrigation Booms 73; J?Q
Special Inspection
Alarm/Communication ?
O[her Fee
I, the Electrical Inspector, hereby Rough-In . „ Dale ?
certifylhattheaboveinspectionhas
been made. F„al o
OFFICE USE ONLY ?
T?is request voitl 18 monNe hom
P 4 6 8 5 8/ ,6j
Requeet Oale Fre No. RwgRin Inspeclbn
Raq?iretl? ? Reetly Now ill Notity Inspector
O_? s ? No n Ready7
I censed contractor ? owner hereby request inspection of above electrical work at:
Job Atldre Slreet Bax or Foute No.
y?7.? R??l?ar?os ?aN6 Cily
g"AC.ItiJ
SBdion No. Townshlp Name or Na. Renge No. Counry
i?
Occupant (PBIM)
1"-rI44) z J,,1c. Phona No.
?S- o.2Y?
PowerSUpplier AOress /
AA/<07
Elecnical Comracmr (Comparry Name)
' Cormacta5 L'cenae No.
`
? E G£ C??2 r C
l-? / ? e S
? •
Mtil g AAtlress (COMreIXa or Oxrrer Maltirg InslellaGOn)
?4 2- 6 2 3 AV- eA-?-IlfA4w'
Authonz Ignatu ` Z ?nstalletion) PheneNUmber
? ??
MIN SOTq STATE BOAHD OF ELECTfi1CRY
OrlggsMltlwey Bleg. - Poom S1]3
1BY7 Unlaermtty Ava, St Paul, NN 55104
Pho. (612) 842-p800
[J
THIS INSPECTION REQUEST WILL NOT
BE ACCEPTED BY THE STATE BOARD
l1NLE5S PROPER INSPECTION FEE IS
ENCLOSEO.
Re9ue t Date R re No. (VOU Lln Ir
NowThe? Flou-in
W191 Notify Inspecror
.Yo ate Peatl
I licensed contractor ?owner hereby request inspection of above elac[riral work at:
Job Atl?ress (SVeet, Box or oNe No n?
7 d;i`Kgv
? ?GJ
Seaion No. Township Neme or No. Range No. Counly T7?leUQ??
??
Occupan[ (PR?? /a Phone No?
Power Supplier Address
Eleclrical Conhactor (COmpany Name)
Harrison Electric, Inc. ConVaclofs Lkense No.
CA 0080f
Mailing Atlareu (COnhedor or Owner Making Installetion)
2525 Nevada Ave. N., #301, Golden Valley, MLV 55427
Avthorized SignaWre (COnt cror/Own stallatian) Phone NumCer
C'A
544-3300
MINNESOTA STATE BOARD OF ELECiRICITY pII THI3MISPF.C?TION fl
Grigga-Midway Bldg. - Raam 5-128 I I II BE ACCEPTED B
1821 Univenity Ava., SL Paul. MN 55100 II , I? ?? I:. I I III UNLESS PROP
Phone(612) 642-0800 ? ? i ENCLOSED.
? ??7'sv1
REQUEST FOR ELECTRICAL INSPECTION es-oaooi-os
op. See inshuctions for completiny Ihis brm on back of yellow copy.
"X" Below Work CovP•^t 4?c Th:° Request ly-11
Ne Add ep. Type of Building A . red Equipment Wired
Home Range Temporary Service
Duplex ?Water Heater Electric Heating
Apt. Building Dryer Load Management
Comm.Jlndustrial F ace Other Specify)
Fartn ir Condilioner
ONer (specify) ConVac[or's Remarks:
Compute Inspection Fee Below
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 Amps Above 100 _Amps
SI p5 Inspector's Use OMy: TOT/?
Irrigation Booms ??r?,
$pecial Inspection "
AIarMCommunication THIS INSTALLATION MAY BE O DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 78 MONTHS.
I, the Electrical Inspector, hereby
certity that the above inspection has
been made. Rough-in
Fin81 oaie
oa?
OFFlCE USE ONLY
This request vaid 18 monihs irom
y?9 k y v
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RQ, EAGAN MN 55122
651•681-4675
dew ConsVUCtlon ReauhemeMe
• 3 registared sile surveys Showing sq, il, of bt, sq. k. of house; and gll roofed areas
(20% maxinum lot coverage allowed)
• 2 mpies of plan showing Deam 8 window sizes; poured tountl tlesign, etc.)
• lsetofEnergyCakulatbnS
• 3 mpies of Tree Preservatbn Plan'rf lot platletl afler 711193
• Rim Jolsl Detail Options seledbn sheet (hMgs witli 3 or less unMS)
DATE
b'-Z - oz.
BemodeVHegair NeauirameMs
. 2 copiesof plan '
• lsetofEnergyCakulatbnsforheatedaGCitions
. 7 sAe surrey ioreaterioraddRions & decks
• Indicate'rfhomeservedhysepticsystemlora0dftions
fi3.7s'
VALUATION 400• ?
SITE ADDRESS 4773 ??o"? MULTI-FAMILY BLDG Y
NPE OF WORK r,ath. 5% ? e4 FIREPLACE(S) _ 0_ 1
APPLICANT (nei ,
N
_ 2
STREET ADDRESS f XZ- KYa?% «?
TELEPHONE # ?Sc- ??l?-Sbi g CELL PHONE #
CIN L?? ;?t?STATE_ZIP
(-i7=3(-9-IQI Z. FAx# 6s??'-f9?-os???
PROPERTYOWNER 't(a,66oCl, TELEPHONE#
COMPLETE THIS SECTION FOR %%NEW- RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 D
(4 submission type) . Residential Ventilation Category t Workaheet Submittad •
• Energy Envelope Calculations Submittetl
Plumbing Conhactor:
Plumbing system includes:
Mechanical Contractor:
Mechanical system includes:
Sewer/Water Conhactor:
_ Water Softener _
_ Water Heater _
No. of Baths
Air Conditioning
Heat Recovery System
Phone #
$90.00
Fee: $70.00
I hereby acknowledge that I have read this application, state that the informatio correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Orrinances. C Signature of Applicant ? - OFFICE USE ONLY
Phone #
Lawn Sprinkler
No. of R.I. Baths
Phone #
MAY 0 3 2002
Certificates of Survey Received _ Tree PreservaGon Plan Received _ Not Required _
Updated 4J02
OFFICE USE ONLY
? 01 Foundation
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
? 07 05-plex ? 13 16-plex
? 08 06-plex ? 16 Fireplace
? 09 07-plex ? 17 Garage
? 10 08-plex ? 18 Deck
? 11 10-plex ? 19 Lower Level
? 12 12-plex Plbg_Y or _ N
? 20 Pool
? 21 Porch (3-sea.)
? 22 PorcNAddn. (4-sea.)
? 23 Porch(screened)
? 24 Storm Damage
? 25 Miscellaneous
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Exl. Alt - SF
? 36 Multi
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repeir
? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 WindowslDoors
/
34 Replacement
i6 'Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const W idth
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaUC.O.
_ Footings (deck) _ FinaVNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storege
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Building Inspector
,
3INGI.E FIMILY DiIELLIAGS
? SETS OF PLANS
; REGISTER6D SITE 308VEYS
1 SET OF 66ERGY CALCS.
1989 HITILDIRG PERI4IT APPLIClTIO19
CTTY OF EAGAN
, /
KJLTIPLE D LLIN COlBlERCI6L
2 SSTS OF PL?NS
BEGISTfiAED 3ITE SDA9ES3 -
(CHECg iTITH BLDG DI4.)
1 SET OF ENEAGT CALCS.
2 SST3 OF tRCHTfECfURiI.
i ST80CTURlL PLINS
1 SET OF BPECIFICATIONS
1 SET OF ENERGS CALCS.
MULTIPLfi DSiELLINGS REIPTAL DNITS FOA SALE D11ITS i OF UBITS
110TEs 1DDRE53FS P08 CORtiER tATS - COATAICTOR/HOfEOfiNEA lIUST DFSIGNIlE iiHICB 1DDAF55
IS DFSIRED. 80 CHlNGES iJILL SE lLLOiIED ONCE BDILDIIOG PERISIT 13 I3SDED..
SENER 8 xATEA PERMIT FEES lND 1CC00NT DEPOSIT FfiBS WII.L BS INCLODED i1T1'$ SHE BOILDINfi
4ERHIT FEE. PAOCFSSING TIME FOR SEYJER L1QD W9TEA PER!!I?5 I3 TiiO DAYS ONCE • PEAMIT Hl3
BEEB COt4PLETED INDICITIPG A LICENSED PLUMBER.
K
PENALTY APPLIES WAENs PERMIT IS NOT PAID FOH IN SAME MONTB IT IS REQUESTED.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSIIED.
SEP 1 g 1989
To Be Uaed For: Valuation: ? Date: ??e,t)T , /94z
T?
Site Address L?9 21
Lot JU Block _y-??
Parcel/Sub :<1 [`J l ?
Osmer (od- IVI 74firY/e S
Eddress ?d , Ro>C
City/Zip Code 55,37
Phone o2 029 V
Contractor *Td-yj+?
Address
City/Zip Code
Phone
ireh./Engr.
lddress
City/21p Code
? 4/ p?? ?y ?VCi1VL WL
? {„?(JV
oceupancy R- 3 M-1
Zoning ii-1
Aetual Const V- P4
Allowable V-h
i of atories
Length -5???-
Depth -Ffs
"
S.F. Total
Footprint S.F.
On aite aexage
On site vell
MIiCC 3yatem
City water L/
PRV required _
Booster Pump _
lPPA0QAL3
Ylanner _
Couneil
Bldg. Off.
Yariance
P'EFS
Hldg. Fermit S/,S. 0D
Surcharge ?
Plan Reviesr 2gN, oa
SAC, City
?
100,0
SAC, MwCC sp) S, ou
ilater Conn ss?o.
Water Meter o.ao
Scet. Deposit 30.00
S/Si PermiL ;ko .m
S/W Sureharge l,oV
Treatment Pl. 2,7-9,60
Road Unit Wp,oo
Park Ded.
Copies
SDBTOTAL
Penalty
SOTlI.
Yhone I
r
V',4Lt.tA iI 0 N
*74A ?
? cIK Z 2 = 52-9 X !s= r7 ci
Nottse
.?-.----
?lLXZ?
l I 7 6 x??-_ r)S Z6y
g 3?xy
.
z
CITY USF. ONLY ?/6Jr,. , /
L I BL 6- RECEIPT #: ?" ?y
SUBD. L(JaD&4t__ d(iPr"' DATE: ? ?6?5
1995 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILQT 4CNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
New construction Add-on furnace
? Add-on air cor.ditioning =irepldce conve'rsion (to existing flreplace)
Date:
FEES
? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00
? HVAC: 0-100 M BTU 24.00
Additional 50 M BTU 6.00
? Gas Outlets (minimum of 1 required @$3.00 each)
? State Surcharge .50 --?
TOTAL -z>C a - i
SITE
OWNER NAME: ??'(/,c[_ pi CJz2zo-r'.L PHONE #: 'dav
INSTALLER NAME:
HEAiING & AIR CONDITIQNING C0.
STREET ADDRESS: 8910 wFNnunRru auc cn
MINNEAPOLIS, MN 55420-2853
CITY: 881-9PATE: ZIP:
PHONE #: (
?l?2E?ki
CITY JSE-0RfLY
L BL
SUBD.
1995 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 687-4675
Please complete for: ? ail commercial/industrial buildings.
• multi-family buildings when separate permits are n.2t required
for each dwelling unit.
DATE: 'COr:TRACT PP.lCE: _
WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: ?$25.00 minimum fee gL 1% of contract price, whichever is greater.
? Processed piping - $25.00
? State surcharge of $.50 per $1,000 of pgrioit fee due on all permits.
CONTRACT PRICE x 1%
PROCESSED PIPING
STATE SURCHARGE
TOTAL
51TE ADDRESS:
OWNER NAME:
TELEPHONE #:
RECEIPT #:
DATE:
TENANT NAME: (innPROVeMENrs oNLv)
INSTALLER:
ADDRESS:_
CITY:
PHONE #:
STATE: ZIP:
SIGNATURE:
51GNATURE OF PERMITTEE
CITY INSPECTOR
1 M-? ?55D
2005 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date !
Site Street Address Unit #
Property Owne(?/tr7-(/ir7 h-)A ML/ Telephone #
Contractor Telephone #
Address City i e State Zip,"Sr337
The Applicant is: _ Owner Contractor _Other
Alterations to existing dwelling $ 50.00
_ Add plumbing fixtures. This fee includes putting in a water softener and/or water
heater at the same time. If you are installinsr onlv a water soitener and/or water
heafer, do not complete this section. Move to the next section and check the
appliance(s) you are installing.
_Septic System Abandonment _
_Water Turnaround (add $125.00 if a 5/8" meter is required) `
Other:
Water Softener ? Water Heater $ 15.00
_ new X, 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; that I understand this is not a permit, but oniy an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the event a plan is required to be reviewed and approved.
.h E-T 1-0 _?
/A(?pllicanYs Printed Name A li anYs Signature
,.
MINNESOTA S?qTE'E`lERCY CODE CALCULATIONS
? , - HaSID OY'r,HppTEA ? OF 1`HE
MOULL NERGY CODE - 1 $DLTION
ndoption Effec[ive 1(1J84
Jwner
;ite Address L.c7T 71
Phone .,a*P
:ontractor
?hon@
suilding LlassifiCation: Type A1 (5ingle Fa:nity & Duplex) T
ype A2 (Residential
(3 stories or ess
(Other)
3ENERAL INFORMfiTION
Building Perimeter ft.
?. Wall height (ground to eave)_ / 3 ft.
3. 1. x 2. above Z
( ) gross wall arQa. /LZf ft.
(Over 3 storieS)
a. Building dimensions (L)_ Z6 L, x(Fl) ft.2 roof s floor area
i. Square fcot area of rim joist - Floor joist size (2 x/a ?
' x Perimeter = Rim joist area ?/Z? ftZ
T
6. Doo,.s - fiP°e._"7_7 7 r
Thicxness s/? -in, U?actor
7ype of Construction s' cf / Perimeter 3 ?
Manufdcturer_ -fft.
V
7. 7ota1 door's perimeter 37, 7cr ft
8. Windows: Manufacturer le State a
U factor pproved C..???
TYPE
_ V/6'P f.- SiC&i-
SIZE ARcA (Ft.2;
a ??lp EprH
/333
??-
- a /d G, 7
?o3'Z g.n5
g. Total ft.2 Glass //7,3;
JVC-?Fireplace area: Width x heiaht =
x = Ft.Z
17. "czposed foundation: Height x?erimeter z'x
' 95 ft.Z
:)M?LETION OF THIS fORM IS REQUIRED FOR ALL NEW C0rISTRUCTION, MAJOR REMODELING APlD BUILDI'rG5 BEING
f:•VED NHEitE ERERGY, QTNER THAN TNE MINIMAL tQDE ALLOI•JAMLE, IS USED.
NUM6ER OF TO?P,L FEET z
UMITS
a a?.6E
2
- 2
? /7.7 5:- -
_ / 7,5^.P?
lox of gross wall area. ' * .
i 13. Gross wall area?o2?/
" i
window area //7. 33
A $.?
?5 9S
2
ft. windcws = 61?1
Rim joist area A ???-- ? o A ?
1Z.o?a 2 x _ 1(a•? _
f?• U rim ioist -
Door area A J7?. -77 ? =c ? U x A= L.l,`?G
?t• J door area
44r-eplace U x A =
f=.Z U Pireplace = --
Exposed foundation A - U x?=
??•"" I ft,- U foundation = ,p$
Framing area A / 4 ?" a=!_
5?2
f*• J framino area =,?s3 = /??
net wall area A /? 7 ? . U x A
oo ft
?? Wa> >= • o S 3. 75
?>>qi ';'a.l u X :, =
. .
Uxa= O.7C?
?4. Gross wall are x O:ll -1
(13. single family gdLL;?x
above) = ellowable U x A/Code
x 0.23 (a-2 other residentia';
x •23 ,4[her buildin s?
x .28 (?Jver• i stor•;o9) ?
? IF,:P (./ 67UH M
X 'Ccde Z,_-'r ust be larger than
!5. Ceiling framing area y, --- -?- F. 136 abnve
(.4f) equals 10of :;;lino area
:SA. Gross C?71ing arag = (i t ? or the same as)
- /O X (w) ZC-e 6 2
•58 Joist ared (Af) ? ceilin9 ?- ft.
= 10., area =
l5C. ?vet ceiiinc area (AC) (15A - 158 = -?-- ft.2
} ?-90 - ft.2
U ceiling x q c=
"- ' ??S _ _ ? c1, 7 S
U framing x A f=
:5e. -oTaL u X a
........................................ .? ?. e
:6. Ceiling area (15 x 0.026 q ?
? single ,amiiy g duolex - code aliowable U x A
x 9.C23 (a-2 other rzsidential)
x 0.06 (other)
?(15a) BTUH Must be larger than 1°0 (above)
X U ?cor,e = ?.EC ?? (or the same as)
"?n'F : Use
U and A values obtained `?•o? -)..; 1, 3 and 4,
3
, . -r/'l.. ?vlld
YALUE U 'JALUE
Ins!de air film .68
uALL Interioc wa:1 (tiall)
?
. SEC?ION pv !asu;a[iun
_? Sheet.hink
.
Siding
! 'vutside air film .17
.
S TOTAL 105
Inside air film .c$
STL'D I? C/S ?nt.:ior vsil
SECTION i ?5 S' 4" scud R= 4,38 (Fracaing) U. F =
Sheathing
t Siding
F
OutsiCe air tiln .17
t? ; OTAL , a F
2ND u:+LL
SEGT.?N'
-r
RIM
JOIST
Inside air film R= .68
Incerior wail
insulaC;on
Sheathing
Exterior ++all :over:ng
Exterivr air film n =.li
R TOTAL
(aall - t
? ? R ?
?n.e*iur air :i iT R_ .63
?ascla:io? ?
L ^? \
-? ? /• $'? 14 ir,ch SUIf '.IUU(! R=1 .$$ (Rim U = R =
? JO75t)
6-ODSheathing
l
Exterior vall covering
cxter?or ait film R= .17
R TOTAL • D?
R_ .Es
, ( 1ntNrio: a:-
V 7., lnsulatlor. ?
?2 Founda:ion (Fdn.) U = R =
/7 Fx,erior air film R= .17
--
?? -7
R TGTnL
-{xposzd 31ucK
!i --?
---• i ;.
, ? _ __ r,rade ?.
'E'.LiNf 'dI'H 4'cNTcD rTT:C S7ACE ABCVE
R ':Al'Jc %?LUE
FRAMING CEIUNG
. .
Air FiTm 0.61
Insuiation ---?5?•?'?
L/•: ; Joist
? S O Ceilina ? SQ
O.E1 Air Film 0.61
33. 05 Total
i
'03o u = R
R .5 ;:/: '7.a
?O2S
F!AT ROOF OR CATHEORAL CEILING
R Va ue R 'lALUE
FRAMING CE?LING
0.61
II
I
I
I
? . 0.17
Inside air film 0•61
Ceiiina
Jo;st cs-,-ua
Insulation
Air soace
Rocf decking
Insulation
Built-up roof
Outside dir film 0.17
TotaT
I
= U
R
R
Jindow infiltraticn .5 cfm/lineal foot of crack
tes4dential door infiltration 0.5 cfm/squarz foo; or deor and minimur code requirement
Jon-residential door infiltration 11.0 cfm/lineal `oct of crack
Jb 12" concrete block no insulation =.47 R 2.1
!b 12" concrete bleck insula:ed cores =.26 4 3.8
15 12" liclitweiaht block =.32 R 3.1
;b 12" lightweight block insulated cores =.l2 R S.3
J single gla:s = 1.13; with sto m windoN .54
J double glass = .55
1 trip3e glass = .41
'.i7 exierior walls and ceilinas must have a vapor barrier (C.10 perrn ir:sx.).
;apor barrier must be on the inside (heated side) o` wa'i.
iaoor barriers of the polyethelene tfiin film have no R value.
4.
y:,', •
HINIMUH "U" VALUL A,D R-FnCTOR nt iwur , IJALL, It_n A?Nu wnV?i?Lli nLU?a
- .. I iypt A.1 !
y [tpnent
• . .?a TS
. roof/ce11/ngi
, I7o0rt Ortr
.•? ?
uf101nq Y..TaIYt Rpulr ti
N%
191e coe. ise? coee
lktro A." Mlnneset+f
rrw?
O.G O.Ot6
? Miniwuo R Valuei for [etllnq,. pall, anA Tlooc Sections e6 j? - Tr" A-1 avileinqa .
f Geilinys kalla floers xindors Slidinq Glaaa Coors Doera 1 (l) , (2) (3) See Set S«
aa zo :a MOie { NOie S l10te 6
, .
,?. • - • Notts t0 TOO1• . .
,T?? • • ? . • ' . ' (1) Ceillnqs vhieA meet ene of tAe io2leving eriteria satialy
r,• • . . . thia requiresents •
L•.. S ' . .
"! • • , . ' A. ]t-38 thtouqhout the entire eoilinq.
'-%;. ,• • - ? ?? _ !, it s portion of the eailinq is lesz iTan R-36, tAe
•'? lnsulselon in che reuinder ot the collinq susc De lnereaseE to
•- ?•'. . ? yield an evsr+ll average thetmal raslstanee ot not lesa tran
. +;?. ' • • • • lt-]8 usiny the !o]lovlnq equatlon. . '
' . . • . • Er . (Ao - A11 / CAe/78 - Al/R1? ? .
: ?0 • " ' vht[e: '
•'•l:: . '• . x= . R value et the insulation in cAe remainder •
. • • of the celling.
x . total area of ere erilinq.'tx?.' . .
Ai . area oI cha eeiling vitn less tAen R-78.
?. ? A1 • A value et tha Ceillnq vAiCh ia less ctun
R-38.
C. Fhacz ¢t:cmrrwi si int ncriaeter af tAe ceiling preventa
. \? • installation of inaulation to Lull Oepch, the iasulation in tl+e
.• -Kraft = f aCed remainder of ere eeiling must be ineseased to reduee the overal2
. "' ceilinq heat loss to eo eore tAan if R-78 had been iestalled
' lnsulation, paper. _ serovgnoue sAe ensire etilinq.
?. Side to heat . (z) ror tf+e insulated eovity ot opaque vall and rlujeistz, but
? not toundatioe valls. -•- .. p) For the insulated uvttr oi floors ot Assced sDaees over
. ' - unAeaced spaces. ' - •
• i• ({) Maziwva glass srsa aay not eseeed 12 pe*eent eS the +rea of
• • '• exterior valls nat Ineludiny iwndatinn valls. AlI vindovs ahall
•• • . ? o • • Le douDl• glased or Aa•e storok vindws.
-• .' , •'(5) wa:taua qla:: aeea ay.not e:ceed ien pereent of tAe area ot
? e:terioivalls. not ineludinq loundacion valls, vhen • aliding
. ? A •• • • ? ' glass door is inssalled. Al1 qlass s1u11 Ds douDle qlased or
? • 0e ? • , Aave stors +eindovs. '
? ? O ? • (6) A 1-3/4 lneh +neta1 faced deor :rstew vitA an insulaced eore
' . providing an R value equal to or qreaser cAan 3.0 or a
. eonventional door and scozs door. All pri"ry doars must h+re
durable weather2trippin9. ' '
l ? . I FovnEatton pT1 lnsulatien. / THe 1984 COde fOt[1f1-? .• ' • ?. ' ully reautres ounda[ on rt tnsulatton rDere floori aOev[ tht fcun0atfon
1 ( p o• • ra11 4re not tntul8ted. Ettner tAe foundatfen mst Tare p-10 lnsulatfon
p , aoPllea frm tAe toD of the foundatlm to Lhe trost ltne ef 0.-5 5nsulstfon
' • A' A ? • avolied orer the entfre wll. Ma[e that tne R valve sDKmed 1s tor tHe
..•? . 1nsuLtion .aterlal only.
,' ' ? . • s?ae-a?- ?de f?oors. Tae requlred tbernal reslstanee of !he fnsula-
tten ?roun tee Dennecer of neated and Yr?tiLlE fSCOfS art spettfted tn
TaDle 5-1. iAe tnsu)at1on wst e:tmd dom.ard frm tne tao ot tne s1aD to
' •. • tnr frot[ Ifnt m Own.ard to tAt pottaM of the sLb then MNsontAlly
Deneath it for in tau+r+lent Etstmnce. This reaulre•ent'1n the 1984 code
+ ?o • ts ttlrntical te tne 1978 eoCe-
? , n. _ . . a- . .
Floors over unheated spaces nust have minimu:n R-factor of A-20 (tue.l•-under Sarages)..
.. •.
;'loors ovcr ou[door azz (overhanss) nust tiave a ninimum Y,-fac[or of R-35.
S
-.. ?
y g 7 3 Y'2?4,,/ J"
c.r.rv nF Far.aAN
CASHIER: S TFkMINAL NfJg 670
llATE:: 02/1.6/95 TIMF: 14e47:04
ID :
NAME: DAVID S NfATTIOLI
3210 9001 4773 FICHARIi LN 60.00
2155 9001. 4773 RICNAliD L..N 1.00
3212 9001 4773 RSCHARII LN 30.00
)
iotal Receipt qn,ouni,e 31.00
CF1023'2
fJSE.R Ib: NANt',Y
_ . . ?.
? CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(651) 681-4675
SITE ADDRESS:
PERMIT
PERMIT TYPE: B ia ?I L n;N 6
Permit Number: 0 3 A 5 2-:
Date Issued: 0 2! 1 6 / 9 9
1177:3 P.ICHr3RU l;iiVF
LOT? 7 E3L(JCPG: :3
WFl,LDEIV HE7GFI7S
P .I.fd.: ;1.0 -8330 L) -0.)70 -8;
DESCRIPTION:
FrHEPLRCF
SRSEMENT FIPI:fSH
AL7LR(-11TON
43^ AlT. RLSIOENT]:AL
.-, ziycL «D ts
t3o i l d i n ). ?P w r- n, i. t r v p e
?uildlnn tJbjrk voe
?'Censijs Code ?
.'"
?
?_.
\
? f
r
REMARKS:
i'I.RM1I REVIEWED CaY CRS) 7C, NOVA CZYk:.
;;P-REFtf4TE FERMI"'1' t2ElJU'CREq FQR ANY PL!JMF3If;G WORK.
t;A Li_ (fi?12) 445-234 0 R`fGARi'11N(3 EI1'P TCAL PCRM7"l' AND 7NSNECTI6IVS.
FEE SUMMARV:
[3ase Fne $60.00
'3urcfiarae $.C,[n
'Total Fee $(;H.5o
CONTRACTOR:
OWNER: - Applicant -
IqO,'i1'IGLZ DHllE
4773 RICI-IARD LANE
EAGAN MN 55122
(651)4756-9208
:. herebV a<?kribWledoe tYiat 'C have reael t'rtis hpGliccitipii eind st.ai:e thnt ".fiu
irt forfnaciorr Ss carre ct and ,q r e e to comf) lv wich aI l appl.ica bla 5T.ate a 1 Nn.
Sta1LAtes and Ca Cv ot Eaqan prd3rianoe? .
L
a:;kT MITEE SIGNATl1RE
0&"'SSUED BY: SIGNATU?RE -
J
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PII,OT KNOB RD - 55122 ? cC7, is-?)
CS (651) 681-4675
New Construction Reauirements RamodeUReoair Reauirements `? pt?
? 3 registered sfte surveys ? 2 copies of plan
? 2 copies of plans (include beam & window sizes; poured fid. design; etc.) ? t s@e surveys (exterior addRions & dedcs)
? 7 energy calculations ? 1 energy CalculaGons for heated additions
? 3 copies of tree preservation plan 'rf lot platted aRer 7/1193
required: _ Yes _ No
DATE: d -lG'?1 CONSTRUCTION COST:
DESCRIPTION OF WORK: f-/t171bl-7 ?ii?eyrt???
STREET ADDRESS: Y27 3
LOT: ? BLOCK: 3 SUBD./P.I.D. #:
?J
PROPERTY
OWNER
CONTRACTOR
ARCHITECT/
ENGINEER
Sewer & water licensed plumber (new construction only): _
change and lot change is requested once permit is issued.
State: Zip:
Phone #:
Regislration #:
State:
Zip:
Penalty applies when address
1 herehy acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable
State of Minnesota 5tatutes and Ciry of Eagan Ordinances. / ?
Signature of Applicant? 1
OFFICE L1SE ONLY
Certificates of Survey Received _ Yes _ No
??7 _/ JC
Name: /Y!R T7?/? q!!Q Phone #:
Last First
StreetAddress:
?
City Eo yccg?l Stare: /??/ Zip: s?`la °2
Company: g-e r ?
Phone H:
Street Address: License #
Ciry
Company:
Name:_
Street Adc
City _
Tree Preservation Plan Received - Yes - No ,_ Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
> . _1
0 01 Foundation ? 06 Duplex ? 11 Apt./Lodging W 16 Basement Finish
0 02 SF Dwelling ? 07 4-plex ? 12 Muiti Repair/Rem. ? 17 Swim Pool
? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. ? 10 = plex ? 15 Deck
WORK TYPE
? 31 New ? 33 Alterations ? 36 Move
? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) 5" • ?j Basement sq. ft. Census Code 4-;4
(Allowable) S- Main level sq. ft. SAC Code
UBC Occupancy ?-3 sq. ft. Census Units I
Zoning 2-1 sq. ft. Census Bldg o
# of Stories ?- sq. ft. MC/ES System
Length sq. ft. City Water
Width Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
APPROVALS ?
Planning Building ? Engineering Variance
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
5/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total
Valuation: $
% 5AC
SAC Units
CITY USE QNLY
L ? BL ?- RECEIPT#: IOa
SUBD. RECEIPT DATE:
1999 gLuMSINC PE{MTT (RE5IDEN'ctAF.)
crrY oF fasArt
SSSO PILOT KNOB [{D
EAflAii, MN 55122
(651) 681-4675
Please complete for: i single family dwellings
i townhomes and condos when permits are required for each unit
: backflow preventer for undergro und sprinkler system
-----------------------------`---------------------------------
F4XTURES -----------------
EACH ------------------------
# ------------------------------
T?rL
2
Shower 3.00 x
Water Closet 3.00 x =
Bath Tub 3.00 x =
Lavatory 3.00 x
Kitchen Sink 3.00 x
Laundry Tray 3.00 x =
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x =
Fioor Drain 3.00 x =
Gas Piping Outlet ' minimum - 1 3.00 x =
Rough Openings 1.50 x =
water Softener " for dwellings under construction 5.00 x =
Water Softener ' for existinq dwelling 30.00 x =
U.G.Sprinkler ' for dwelling under const. 3.00 =
U.G.Sprinkler ' for existing dwelling 30.00 = ?v
AlterBtiOnS to ezisting residence 30.00
Water Turn Around 30.00 =
Private Disposal System ' MPC iic. 75.00 =
(new and refurbished systems)
Private Disposal Systems ? Abandonment 30.00 =
RPZ (new installation/repair) 30.00 =
Reminder: Call 687-4675 for inspections of water heaters,
water softeners, alterations, etc.
STATE SURCHARGE 50
T?
TOTAL
---- ----- ---.---------...---- ----------- ------- ----------------- -------------- --------------
I hereby acknowledge Mat I have reaC this application, state that fhe information is corzect, and agree to comply with all applicable City of Eagan ordinances.
It is the applicanYS responsi6iliry ro notify the property owner that Ne Ciry of Eagan assumes no liability for any damages qused by the Ciry durin9 iLS normal
operational and maintenance activities to the facilities constructed under fhis permit within City property/right•of-way/easement.
SITEADDRESS:
OWNER NAME:
INSTALLER NAME: TELEPHONE #:
STREET ADDRESS: k77 3 gl/'Am?? LeLne
CITY
PG+tn Gc,y`! STATE: #//U ZIP:
CD/PERMIT FORMS/RPLBG PERMIT (RES) - 1999
CaTY40 EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
P.I.N.: 10-83360-670-03
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
4773 ftICHARD LAN£
LOT: 7 BLOCK: 3
WALDEN HEIGHT5
ck40z
6Jz4(u
BUILDING
025875
06/21/95
DESCRIPTION:
d`i ld%n^{?'---;Permit Type DECK
ui1[tirtg Wia.ryk Type NEW
?
?
d?
? - .. ? .. .. ??
3vd +.." ? .•
Y . t
?v . . E j'},., myam,
....,»-
e .,
at
s FB ?.? n
n , P s
t.....? ? ?W3
7wS
REMARKS:
FEE SUMMARY:
Base Fea $36.00 CDPY $•50
5urcharge $.50 Total Fee $31_00
5ubtotal $30.50
CONTRACTOR: - Applicant - sT. Lzc
P K CONSTRUCTION 12573926 0008800
15875 2607H 5T N
LIND5TROM MN 55045
(612) 257-3926
OWNER:
MATTIOLI DAVE
4773 RTCHARD LN
EAGAN MN 55122
(612)456-4632
? . .. . . _. . : .. . -. - . .:?
X Hsraby acknffwledg,e that I have read th18 app7,fcdtion ant9 staCer that the
infarmatian is aarrztt and agrae to camply with a11 aPPlic:able State csf Mn.
Statutes and CYty of Eaga-ra Ordinances.
L
g-AP-P?ICANTlPERMITEE SIGNATURE ISSUED B CW?TUE ?-
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: B U I L D I N G
3830 Pilot Knob Road Permit Number: 025875
Eagan, Minnesota 55122-1897 Date Issued: 0 6/ 21 / 9 5
(612) 681-4675
SITEADDRESS: P.x.N.: 10-833ee-e7e-03 pppLICANT:
LOT: 7 BLOCK: 3
4773 RICHARD LANE P K CONSTRUCTION
WALDEN HEIGHTS (612) 257-3926
PERMIT SUBTYPE:
DECK
TYPE OF WORK:
NEW
4 v
CITY OF EAGAN 43 ( OO
3830 PILOT KNOB RD - 55122
)004, fq4 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681fL675
? 3 registered site surveys ? 2 aopies of plan
? 2 copiea of plana (InGude beem & wlndow sizes; poured Mtl. rbsign; etc.) ? 2 site surveys (exterior additions 8 dadca)
? 1 energy calaladons ? 1 energy calcula6ons Por heated additions
? 3 copiea of tree preservation plan M IM platted aRer 717J93
roquired: _ Yes _ No
DATE: Z' / `t -9S CONSTRUCTION COST: 3, sC", °°
DESCRIPTION OF WORK:
STREET ADDRESS: /Jrr'c 1. 1 -1 L &¢ o n . .2 , S s IY-?
LOT ? BLOCK SUBD
/P
I:D
#: til ll'
.
.
.
PROPERTY Name: Phone #:
OWNER `"°'
y """
A
l
`
2
Street Address-
773 1 I
aec
C?
?
City: C" ?oa-. State: Zip: as 13A
CONTRACTOR Company: I014, C•rs Jr Phone#: _321
Street Address: 159 ?;57 gt !o 4 s? -41 License #: ?Soo
City: 5tate: /t, -, Zip- ss o tis
ARCHITECTI Company: Phone #-
ENGINEER
Name: Registration #•
Street Address•
City: State: Zip:
Sewer & water licensed plumber:
change are requested once permit is issued.
Penalty appiies when address change and lot
I hereby acknowledge that I have read this application and state that the infortnation is correct and agree to compiy with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY RECEQVED
Certificates of Survey Received _ Yes _ No J U N 14 1995
Tree Preservation Plan Received _ Yes _ No _______________
OFFICE USE ONLY
. ,
r I
BUILDING PERMIT TYPE
0 01 Foundation o 06 Duplex
0 02 SF Dwelling ? 07 4-plex
0 03 SF Addition o 08 8-plex
? 04 SF Porch o 09 12-plex
n 05 SF Misc. 0 10 _ plex
WORK TYPE
.6-37 New ? 33 Alterations
0 32 Addition ? 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
?_1";1*17ct111
Planning
? 11 Apt./Lodging ?
? 12 Muiti Repair/Rem. o
? 13 Garage/Accessory o
? 14 Fireplace o
A?--15 Deck
0 36 Move
? 37 Demolition
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
MCMIS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code. yly
SAC Code o/
Census Bidg ?
Census Unit
Engineering Variance
Permit Fee.
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
5NV Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: $ /z°O K
% SAC
5AC Units
oFeaaan
3830 PILOT KN08 ROAD, P.O. BOX 27199 - .. BEA BLOM9UIST
EAGAN, MINNESOTA 55121 , rnayor
PHONE: (612) 454-8100 THOMAS EGAN
JAMES A. SMITH
JEM7Y THOMAS
- THEODORE WACHTER
_ Council Members
THOMAS HEDGES
Ciry Atlministrafor
OCTOBER 31, 1985 EUGENEC ACIOk ERBEKE
ROD HARDY
SIENNA CORPORATION
4940 VIKING DRIVE
MINNEAPOLIS MN 55435
Re: Walden Heights, Lots 7 and 8, Block 3
In researching your request for driveway extensions off of Richard
Lane for Lots 7 and 8, Block 3 of Walden Heights Addition 2 came
across the Resolution of Street Vacation Right-of-Way for Richard
Lane. Unfortunately, the portion of Richard Lane you are proposing
to use was vacated by Council action on May 19, 1981. The City
attorney recorded these vacation documents on June 8, 1981 in
the Dakota County torrens office. I am enclosing a copy of this
notice and Resolution for your information.
Regretfully, this means the City cannot accomodate your proposal
to obtain access on to Lots 7 and 8, Block 3 of Walden Heights
Addition from Richard Lane.
Sin e 1 y ,Xill'
Richard M. He i
Assistant City Engineer
enclosure
RMH/jeh
THE LONE OAK TREE. .. THE SYMBOL OF STRENGTH AND GROWfH IN OUR COMMUNITY
oE engan 3830 PiLOT Kta08 ROAD. P.O. BOX 21199' - •
EAGAN. MINNE507A 55721 .
PHONE (612) 4S1-8100 DATE: March 25, 1986
Y77j- BEA BIONOlAST
SPECI.aL ASScSSiE`]T SEARCH
DAKOTA COUNTY ABSTRACT CO ? RE= tWal-den-Heights-F.irstj
1250 HWY 55, P O BOX 456 ' C-Lat_7-_Blpck 3_ _?)
HASTINGS MN 55033 I - 1 -•
Morn
fiqMAG EGaN
JAMES A. SMIiM
JERRV t1,0!Aa5
TKG`oC:iE VIPCHTE(i
co,<. t?.
1HC.LtnS McOC,ES
Guv ??i.unurora
EllGENE VAN OvERBE:
Gh Ccn
Enclosed herein is the search which you requesced made on the above descrihed prooert
Kind oi InoroveTenc YAq-- Be¢innins Orisinal Amount Balance Due
San Sew Ti-unlc 15 1976 $153.31 ' $ 40.89
Water Area 15 1980 206.50 110.18
Storm Sew Trk 5 1984- 673.75, J 269.50
I further certify that according to the records 'of said office, the fallowing imorove
ments are contemplated or pending af[er having been approved and are now in the proce
of planning or completion. .
Kind of Imorovemenc Avoroxivate ?ate of Comnletion Avnroxinate Cost
. I I3JNE
.
WAIVEt• , , . . .
heither the City ofEagan nor its employees guarantees the accuracy of the above infc
mation which was =equested by, the nerson or persons indicated. Nor does the City or
employees assume any liability for the correctness thereof. In consideration for the
supplying of the indicated information in the above form and for all other considerat
of any nature whatsoever, any claim against the City or iCs employees rising therefrc
is hereby expressly waived. Levied assessments to be paid.to the CITY OF EAGA.Y,
3830 Pilo[ Knob Road, P. 0, Box 21199, Eagan, MN 55121. •
,Very,truly yours, • . '
SPECM ASSESSIE:IT DIVISION ' • . • - , .
iHE LONE OAK iRFE...THE SYMBOL OF STRENGTH AND GROWTH IN OUR C04iMUN11Y
TERS
onose TN oi
eNGINceI?II?7 `PLRN4NEfli n1?JAND 1'?t1RV? /3D
6E 6Z
COMPRN'?INC.
IUUU [A9T I
N43ZZ"-?3000
A6Th &TREE7, BURNSVILLE:, MINNE80TA 663lCerti Ticate o'f Survev
Lega! DeSCt'ijdioti: La7 7, 9141C.e 3, WALD??J yE-isNTS
DAKOTA CGr?n/TY N11NNES07'fI
3a ' SETLIivE
?ss3.s ) DENOTC-S EXISTING ELEVATION
( 988, o? UENOTES PFlOnOSEU ELEVATION
-+ INUICATES UIIIEC'1'ION Of SURFACE DRAINAGE
988, 33 = p114ISI•IEU C;ARAI;E FLf]UR ELEVATION
985- 31 = BASEMENT FLOOR ELEVATION
982,66 = TOP OF BLOCK ELEVATION
SCALE: /" _ ''
ORA/rUf]GE AND
30, oo UT/L /TY EySEMENT
Q? o lat i/
???
1- 19"AV
? /o I ~ ? R,4or3 /3
Qn?? ?J ? ti
?'Y? 26•ro .;
oy0
?
5 \
Q
QQ-\x0?
? :`? ? t'• ?qV? (?
961
s 6s?= '>9 ?< 08 03' a?
,
;. ?
IPIq',
By `
Date
h ?
t `
-? 1
I5
\ I
i I
I
F/RST .4DD/T/ON,
u?
N
?q N
?
N ?
N o
>1
lI
?
.?
EP,GAN ENGI EE IN DEPT lai ?
?y v
I lieraby cetiily iltat ihis is a true and correct represental{on of a trncl oF land as ehawn
and described hsraon, As piepareJ by me on tltis -ff day ol -5E?E?) ?C-Z ,tgEZ ,
:. Minn, Reg. No. ?6?BS
U 97
'06
Mi.rE Pe rE,eS
T ? z4B8. o?
•• +?NGrI?'CE??NG C PlRN4NEflS o dO?RnP ?iURV(YORS B°OK /30
PA6E 6 Z
COMPANY, INC.
L IUUU EA9i 1461h STREET, 6URN5VILLL, MINNE80iA 4635i PH 432-3000
Cer'lificafie o'C Survey
Legai Descx'1()[lUll: LOT 7, BLOCK 3, WALDE,'? yE/GNTS
DAKOTA CaAi17Y, MiNNESvTA
F/RST ADD/T/ON,
(983•S ) DENOTCS EXISTING ELEVATION
( 988. o) UENOTES PFlOPOSEU ELEVATION
-. INUICA7ES UII'IECl'ION OF SURFACE DRAINAGE
988, 33 Q r-INISI•IEU UARAGE PLUOR ELEVA710N
985, 31 = BASEMENT FLOOR ELEVATION
98b.166 = TOP OF BLOCK ELEVATION
y'CALE: /" _ -30'
¦ .
•DRA/NAGE AND
uT/L /TY E45EMEN7-
? ?-
?_C.
h
? " - N 78. -
?
'r)
I !\
1 ?
.,
?
?\ 4
?? ?
?..`:. .T
Ry `
?
`
g ?
?
? ?
y 26•?? ?? i
1i oQ0 ?(? \ti \ l.
?
"5. "?
O,\
. s??°
; . ??.
?-
T ?
I
' 6ETB'?'?e ???v?
h ?
t ?
I5
1 I
? I
(Y87.15'
, I
?
,.
?°YlA
N
?p N
?
N ?
N o
?
Date
`I N
EAGAN EN I., EE N DF,PT •
I?i N
10
1 bere6y oerli(y tlial tliis ia a itue anJ cortecl repieaenlallon ol o irocl oI land as sliown
? dey of A54 .18 EZ .
and deaari6ed M1eraoa. As piepareJ hy uie on lliis 7+?
30, 00
S
Minn, Reg. Plo. 16109
-v
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4773 Richard Lane
Lot: 7 Block: 3 Addition: Walden Heights
PID:10- 83300 - 070 -03
Use:
Description:
Sub Type: e- Reroof
Work Type: Repair
Description: House & Garage
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Gopher Company
2701 36th Ave S
Minneapolis MN 55406
(612) 331 -1555
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
- Applicant -
Construction Type:
Occupancy:
Permit closed without required inspection(s). Letter & correc
If there is no ice protection inspection prior to final, you must meet inspecto
acceptable in lieu of inspections.
$88.50 0801.4085
$1.50 9001.2195
$90.00
Owner:
David S Mattioli
4773 Richard Lane
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Issued By: Signature
Building
EA083829
06/26/2008
ePermit
on notice sent to applicant on 8/18/09. (pf)
ith ladder and flat bar. Pictures are not
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
õ
ÿþþý üíüû
úýýþþí
ýì
éøâ
î
êééé
ÿþ
ÿþýüûúçþáù
øüûú÷ö
úçþáù
ñþ
úðïþðîþýõ ÿ ú íôìë
þ
ôìê
õ
æôåê
åêê
÷ú
ÿþî
çäæôå
åì
ô
öõõô
óò
úú
âÙù åèÿõ
ê
âÙåéî
ÿîúõ÷ôôé
õ÷ôô
ìì
í
ìëôêìì
îýûö
î îèîúúîîãð
ðúûöîúúýÿ
ãõÿþùûã
òå
úúà
þûÿ
þ