4823 Richard Lane,. -• CASH RECEIPT
? CITY OF EAGAN
P. O. BOX 21-198
EAGAN, MINNESOTA 55121
? ._
DATE 19 `
RccKIvco
Rwow
AMOUNT $
6 DOLLARS
?oo
? CASH D CHECK
rOR
FUND CODE AfAGVNT
t ?
J ?
? w J / •
Thank You
BY ? ` ? I;? _?^,1/[/ ?•-•?? ? r???
54305
l
a
J
i
"o
White-Payers CoPY
Yellow-Posting Copy
Pink-Fite Copy
?
CITYOFEAGAN pla '? "??3?
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 iJ"
PHON E: 454-8100 %
BUILDING PERMIT Receipt # 77
To be used for DEM Est. Value =1 ,000
Site Address 4823 RICIiASD Lti
Lot 26 Block 1 Sec/Sub. iiI1.l.CitBST
Parcel No. _
W Name 211G1111AXV L VSGA1[
; Address 4823 RICtiAlD 1.lf
° City LAGAN Phone 454-7932
Name sAME
Phone
?¢
W W Name
F W
Address
a W City Phorle
I hereby acknowlege that I have read this application and state thet the
intormation is correcl and agree 1o comply wilh all applicable State ot
Minnesota Statutes and City of Eagan Ordinances.
) ;
Signature of Permitee
A euilding Permit is issued to: MICHA$I, 1, OSCiAI
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
suflding oflicial t
occuaancr
Zoning
(Actual) Consl
k ol5tones
Length
Deptn
S.F. Total
S.F. Footprints
On Site Sewage
On 5ite Well
Mwcc sys,em
City Water
PRV Required
Booster Pump
APPROVALS
Planner
Council
Bldg. Off.
Varianee
199,
_
OFFICE USE ONLY
160
?
Bldg. Permit
Surcharge
Plan Review
SAG City
SAC, MCWCC
Water Conn
Water Meter
ncct. oeposic
S/W Permit
SNV Surcharge
Treatment PI
Road Unit
Park Ded.
Copies
TOTAL
FEES
25.00
.50
zs.so
Permit No. Pcrmit Holder Date Telephone #
WATER
SEWER
PLUMBING
H.V.A.C.
El ECTRIC
4mpectfon Date Insp. Commenb
Footings I
Foundation .
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Hlg.
Orstat Test
Final PI .
Plbg. Inspeclor - Notify Plumber
Const. Meter
EngrJPlan
Bldg. Final
Dedt Ft9• I Y- JI s - PN--Di'e GcM't"
oeck Final
Well
Pr. Disp.
??.G?%'A?s-`' -•R'VI?i1 .?. -?-. w?1:.A°?'A?„?'„"'fi .. .. . . . . . ? r.
; . . Y/. .. . . .?T' . . .. ._ -.T . . . .. . . • ; . . .
CITY OF EAGAN ; 10 1 7854
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
'PHONE:45A-8100
J
BUILDINGPER??? ;115M Receipt#
To be used for Est. Vatue Date , 19
Site Ad41lpss
OFFICE
USE QNLY
Lot Block SeclSub.
PBfCeI N0. Occupancy - FEES
$35
00
Zoning - .
cc e+G ?sR 6.rr
Name 4623
' (Actual) Const - Bldg. Permit y--?
-
W
x
?: ?
?
Address?SM e?+ ....e (..Y
(Allowabie) -
urchar
e •.W
o City Phone # or stories - g
Plan Review
0" 9-5 _
Length
a Name 1Q?r?{jA3m m Oepth - SAC, City
o? «
.?
Address
?s?av ?
49
- S.F. Total -
snc
nncwcc
,
-
:?
? ,
? City Phone S.F. footprinis -
Water Conn
On 5ite Sewage _
U¢
Name
On Site Well -
Water Marer
W W
z
Add?ess
MWCC 5 stem
¢
? Y ??? Deposit
<
W City Phone _
Cily Wat
5AN Permit
PRV Required _
I hereby acknowlege that I have read this application and state that the Booster Pump - g/vy gurcharge
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City ofi Eagan Ordinan71 ? Treatment PI
Signature ot Permitee APPROVALS Road Unit
A Buiiding Permit is issued to: Planner - park bed.
on the express condition that all work shall be done in accordance with all Council -
Copies
appticabie State ol Minnesota Statutes and
ity of Eagan Ordinances.
? Bldg. Otf. -
I 1 1 " ?
BuildingOtficial ! VarianCe - TOTAL
' Permit No. Permlt Holder Date Talephone #
WATER
SLVYER
PLUMBING
H.V.A.C.
ELECTRIC
Inspection Date Insp. Comments
FoOtings 1
foundation
Framing -S'-p?'
Roofing - ? ? -
Pot9h Plb9• n5O G/ vtS'
Rough Ht9•
Isui. ?
b
Fr¢place
Final Htg.
Final Plbg.
Const. Meter Ptbg. Inspector- Notily Plumber
Engr.lPlan
Bldg. Final
Dedc Ftg. -
Deck Final
Well
Pr. Disp.
eviLciNG PERMrr
Lot
Parcel No.
ClTY OF EAGAN
3830 Pilot Keob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
W Nie t721 ;IUT'PNEi? COIuS`C
? Address ?; ? 0 47A''?`P ;'r?f' ? UR 14
City "' t.`.-',AP i Phone 4 J 2-3O n`,
10332
Reuia ? ? .
n,... JC'W: 12 ?e ?: `•
Repafr ? Type of Conrt.
Addftion ? No. Stwies
Move ? Length
Demolish ? Depth
Int Impr. ? Sq. Ft.
Install O
54
-1 n
Name
Addroas
City Phone
1 hereby ocknowiedye thot I hovr road this applicotion ond store tFwt
tM inlormotion is oorrect ond ogree to oomply with all opplicoble
Stoh of Minnesota Statutes ond City of Eoqan.Ordinonus.
Sfpnoturs of Permitt"
. _.. 7' :r, _ 73
A Buildinq Permif Is isswd M:
oll worlt s1+a11 be done in oCtordante with oll opplioo6le StoM of Mir
Buildlnq Offkiol ? -
Asuumenf Permit 50
W
t
3 S h
S
5
er
ew.
o
P
li urc
a?ge
?
Pl
R
i
?? '?
o
ct an
ev
ew
--77-5.30
Fih SAC
Enp. Water Conn. ? - 0 • 00
Pla Water Meter 6•3 . :P0
nner
2$(1 uG
.
Countil Road Untt
81dg. Off. Tr. PI. 1._, . ?.
APC pgrke
Var. Date Coples
Tr------7 , .
Total
on fhe express candiffon that
sota Statutes and City oi Eoqon Ordinorces.
Pamk No. Pwmit Holdw Oob TeNPhone s
r+umbia9 /'h - .D 30
H.VA.G. q o
Ekm.cc q
saft«ner
InWaetion Date Insp.
Other
F??nge I
Faotinys 11 1,?
Foundation !?'
Framiny ?
Roofing
.?
?
Rouqh Plbp.
Rouyh Hty. 7
Insul.
Flrsplacs
Final Htg. - 3 t., f
Finel Plbg. .,;G•
Final
CsrVOcc.
Watsr Dftcribe Locstion:
Well
Sewer
pr. Disp.
. ???. .?.,
Site
Lot.
m Name _
? Address
c City _
? Name
c Addre
O; CiN -
TYPE OF WORK
Forced Air
Boiler
Unit Heater _
Air Cond.
VeM. _
Gas Plping Oudets # -
OMt@r _
•?/..l?? ? .? ?' R .
&m f
lJ,?ii?t
For OiNce Uae Qnly:
MECHANIC#L PERMIT
cmr oF EAaAH PERMIT # - -? '`
RECEIPT # --
, 3830 PILOT KNOB ROAD, EAGAN, MN 55122
PHONE 454-8100 DATE:
DG
BL
. TYPE WORK DESCRIPTION
SeC/Sub r
Res. ?
N@w -------_
•
Mu1L Add-on ?
Comm. Repafr
Phone Other
FEES
,
-'? RES. HVAC 0-100 M BTU - $24.00
? . % ADDITIONAL 50 M BTU - 6.00
_ Phone (RES. HVAC INCLUDES NG ON NEW
cvwsrRUCTIoN)
GAS OUTLETS (MINIYUM -1 PER PERMIn - 1.50 EA.
COMIA/IND FEE - 1% OF CONTRACT FEE
_ M BTU APT. BLDGS. - COMM. RATE APPLIES
_ M BTU TOWNHOUSE 8 CONDOS - RES. RATE APPLIES
_ M BTU MINIIAUM RESIDENTIAL FEE - ALL AQD-ON &
_ M BTU . REMODELS -
MINIMUM COMMERCIAL FEE - 12.00
20.00
_ CFM STATE SURCNARGE PER PERMIT - .50
- (ADD $.50 S/C PER EACH $1000.00 OF PERMIT FEE)
T
,; '
' •
PERMIT FEE: ; ,'.O ti, ,
? ,-
,? :fi . - . ri/lr? ?
'
5v SI
? ER ITTE
.
SIC:
TOTAL: ' ?'? ` FOR: CITY OF GAN
Reaipt MECHANIG
CITY OF
ffll in nw»i
1. Dau 2. Instailation
3. Job Addresa
4. Ov?mer
RMIT Permit No.
Fu -
S/C
Tot
? Tract -
5. Conusctor Phone L1n
s. nddre:: i"785 ?? •? -: r j?<<??t-? -
7' y t ?
?.,
7. Cit,r ,'T state zip
8. Building Typa: Residential )l? Commercial ? Institutional ?
9. Work Description: New`Q? Add ?
/?
10. Describe
11.
Alter O Repair ?
Type
No•
'r
` Eqy,lament BTU - M. Ea.
Forced Air L ? `/1!
• No. Equipment CFM
Air Handling:
Mfg.
k' Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg.
Other
Air Cond.
Mfg.
Gas, Piping Outlets
12. I hereby certify that the above information ia true and correct, and I agree to
oomply with all ordinances and codes governing this type of work.
Signed
Rouyh
for
Final
Inspeciions: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-8100
?
Rmoeipt ! PLUMBING PERMIT PKmit No. -
CITY OF EAGAN FM
FiII rn numbered spaces S/C ,
Type or Print /egibly TOL
1. Date 2. Installation Cost
3. Job Address Lot _ ?81k. Tract ' ' -?-?
4. Owner rt r?? ?v, ' i:,`?`•
.???.?'l Lt .) ` • /..
i
5. Contractor -.rJC Phone
6. Address
7. CitY ! ` ` ' ,
t
8. Building Type: Residential 1?
9. Work Description: Newl
1
10. Describe
11.
State Pf r ? Zip •
Commercial O Institutional O
Add O Alter ? Repair O
Na.
q Fixtures
Water Closet No. Fixtures
Cess
l/D
ainfield
o
? Bath tuba r
p
o
Se
tic Tank
W Lavatory p
Softner
Shower Well
? Kitchen Sink
Urinal/Bidet Other
? Laundry Tray
Floor Qrains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. 1 hereby oertify that the above information is true and correct, and I agree to
comply with all ordin ances and codes governing this type of work.
Signed : - for
'i Rouph Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 4544100
CITY OF EAGAN Remarks ?-? ?Addition HILLCRBST ADDITTON Lot 24 glk 1 Parcel 10-32975-240-01
owner 5treet 4823 RTCHARD I.IWE scate EAC+AN MN 55122
Improvement Date Amount Annual Years ?5 Payment Receipt Date
STREETSURF, ? 198 Q f -/3-(f,5
57REET RESTOR.
GRADING
SAN SEW TRUNK 3og 1 .Oe A 0/&-/-33 9-13 "S
?EWERLATERAL 1985 4361
WATERMAIN
kNATER LATERAL 19$5
WATER AREA ,g$ -A-0/6-133 - f3' 8
*Services 1985
STORM SEW TRK 1 8 0/6 z 13 9- / "eS
*STORM SEW I.AT 19$5
CURB & GUTTEF
SIDEWALK
STREET LIGHT
WATER CONN.
::::::
v_500. 00
BUILDING PER.
SAC 52
PARK
TY OF EAGAN
30 Pilot K"b Roac1 r'
0. Box 21199
?gan, MN 5511]
??: 1
Huttner
SEINER SERVICE PERMIT
, "'W
PER1u11T NO.•
DATE: '?-6-35
No. of Untts:
ier.
- - 425.00 pd
n to asm* wNb 1V Ci1Y of Ealon Conrwction CJarpu: ?
?ear. AccOUrrt Deposit:
PennR Fes:
Surcharpa: ?
Miac. Chorpas:
of Insp.: Total:
Dota Poid: -
Add?lBz
6er: . . a? --- -
?r No.: Connectian Charye: '' •?
/locount Depostt:
br No.. Pertnit Fee:
09 [e eoapip whh !Iw Cihr of hy?w
w
Surot+orfle: r
• ?
Mwa?. Misc. Gwrges:
TotaL• E:3. 10-10 nr' ??p?•
of Insp.. -
Date Paid:
CITY OF EAGAN
3830 Pilot Knob Road
P. o. sax.211 139 Eegan, MN 55121
Zoning:
Owner.
WATHt SERVICE PERMR
RERMIT NO.: '41' 3
DATE:
_ No. of Unin: 1
ress:
??dd??• /: s ? °tica d r .;a?,
a
umber:
r No.:
xe•
. i.,,.: A 3 M d'rI 93
p?w to ?ri16 !iw CNg ef le?n
iM?a?t.
Chotgo: 500.00 pd
Lr t pevowt: 15 . 0 O;x:
Permit Fee: _ 10. Ufl;7C: _
surct,a?ge: . 5upc
Misc. Charges: 132.00 pd
Totol: 63.40 nd meter
ey Ol4,V?tIs)oote Peaid:
Date of I . Intp.:
.- -?? 8 S
/ „. .
? -
BUILDING PERMIT
SF
SiteAddress 4823 RICHARD LANE
Lot 2 Block I ?ec/Sub. HT ..CR .ST
Parcel No.
W Name WM AUTTNER CONST
? Address 960 WATERFORD DR W
c;ty EAGAN PhO1e 452-3088
SAME
o Name
Z
$< Addreaa
? City
GW
Nema
?? Address
't W CISy
CITY OF EAGAN
3830 Pilot Kno6 Road, P.O. Box 21•199, Eagan, MN 55121
PHONE: 4548100
Receipf
$105,000
Phone
I hereby ackrwwlsdge tMt 1 Mve read fhis applicotion and sfote that
tha fnlormation is torrect ond ogree,? lo wmply wifh 11 opplicable
Stata of Min?wsotq Stotutes c? oT Eaga Or "
Sipnotum o4 PermiMee ? -
A Buildiny Permit Is issued ro: WM HUTTNER CONST
oll work slwll be done in accordance with qljappliaoble 5 of
Erect Ij[I Ocwpancy R3
Remodel ? Zoning R1
Repair ? Type of Const. 11
Addition ? No. Stories
Move ? Length 54
Demolish ? Depth 38
Int Impr. ? Sq. ft.
Approvala Foas
Assessment Petmit •5(
Woter d Sew. 3urcharpe 52.5(
Polica Plan Revlaw 222.7"
Firo sqC 525.0(
Erq, Water Conn. 500.0(
Plam+ar Water Meter 63.0(
Councll Road Unit 280.0(
BIdg.Off. 6 12 85 Tr.PI. 1.32-0(
APC Paiks
Var. Date Capiea
Total $2,220.7!
on fhe express cwditlon 1hal
aptc Stotutes and Cify oS Eoqan Ordironcaa.
N_ 10382
Buildirq OffiNal
i ?
BUILDING PERMIT
To be used for DECK
Site Address 4823 RICHARD LN
Lot 24 Block 1 Sec/Sub. HILLCREST
Parcel No.
W Name MICHAEL L OSGAR
o Address 4823 RICHARD LN
Ciry EAGAN Phone 454-7932
?F Name S?
?¢ Address
? City Phone
Name _
Address
CiSy -
Phone
I hereby acknowlege that I have read this application and state that the
inlormation is correct and agree to comply with all applicable State of
Minnesota Statules and CitX of Eagan Ordinances. _
? ? ?J??
SignaWre of Permitee 1d? C1
A euilding Permit is issued to: MICHAEL L O?GAR
on tha express contlition thal all work shall be tlona in accortlence with all
applicable State ot Minnesota Statutes and City of Eagan Ordinances.
Building0(ficiel ?111 1?,(1jOLl IIITJ
l
CITY OF EAGAN N? ? 923? _
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55721
PHONE:454-8100 ?
Receipt # n u i /3O ?.
Est. Value $1,000 Date J11N 7 3 , lg9L
Occupancy
Zoning
(ACtual) Const
(nnowabie)
# of Stories
lefgth
Depih
S.F. Total
S.F. Footprints
On Site Sewage
On Sile Well
MWCC Syslem
Ciry Water
PRV Requirad
Booster Pump
APPROVAIS
Planner
Council
BICg. OH.
varianca
OFFICE USE ONLY
1&18
7x9
Bldg. Permit
Surcharge
Plan Review
SAQ Cily
SAC.MCWCC
Waler Conn
Water Meter
Acct. Oeposil
S/W Permit
S/W Surtharge
Trealmenl PI
Road Unil
Park Ded,
Copies
TOTAL
FEES
25.00
.50
9 5 _ 5f1
+". • CITY OF EAGAN NO
3630 Pilot Knoh Road, P.O. Box 21-199, Eagan, MN 55121
. PHdP(E:454-8100 ?
BUILDING PERMIT
To be used for BASEMENT Est. Value $1, 500
Site Address 4823 RICHARD LANE
Lot 24 Block 1 Sec/Sub. HILLCREST ADD.
Parcel No.
w Name MICHAEL & COLLEEN OSGAR
; Address 4823 RICHARD LANE
Q Cih, EAGAN Phone 942-0855 (W)
o Name JOHN SCHMIDT
}
gg Address 107 STUART DR
? Cih, .IORDAN Phone 492-6634
I ?5 Name I
E? Address
a? City Phone
I hereby acknowlege that I have read this application.and state that the
information is wrrect and agree to comply with all applicable State ol
Minnesota StaNtes ana City ?f Eagan Ordinances.
Signature of Permitee ??? ?
A Buildinq Permit is issued to: JOHN SCHMIDT
on ihe express condition that all work shall be done in accordance with all
applicable Stata of Minnesota Statutes and City of Eagan Ordinances.
8uiltling ONicial
Receipt # r z
Date H[AY 11
Occupanty
zoning
(Adual) Const
(nliowable)
X ol stories
Length
Deplh
S.F. 7otal
S.F. Footprinls
On Site Sewage
0o sire wen
MWCC System
cay warer
PRV Require0
Booster Pump
APPROVALS
Planner
Cquncil
Bldg. Ofl.
Variance
OPFICE USE ONIV
17854
_, t s90
FEES
$35.00
Bldg. Permil
Surcharge
Plan Review
SAC, Cily
SAC,MCWCC
Waler Conn
Water Meter
Acct Oeposit
S/VJ Permit
SM/ Surcharge
Trealment PI
Road Unit
Park Ded.
Copies
TOTAL
l.uu
$36.00
&A so 90?73j'li
0 58976 ?o
Request Dale Fire No.
?-/- ? Rough-in Inspection
e uiretl?
? Reatly Now yWill Notily Inspecbr
Wh
R
d
7
Vas ? No en
ea
y
I licensed contrador ? owner hereby request inspection of above electncal work at:
x
Job Atltlress (Street, Bax or Foule No.)
?a? r2 f?
lg? Ciry ?
SecliJ No. Township Name or No. Range No. Coumy
Occupant(PqINT)
/
` '5 ? Phone No.
POwPr up01i¢f
l ea 7A- 545C7r AdtllBSS
Elecincal Conlraclor (Company.? a?m,e?"
[ICAS ELECTRIC
1 Contredor5 License No.
?
. Q / 7 oj -.L
Mailinq Atltlress (COnlraclot or OvIMPAMMod li
811ifaikOpde, MN 55379
AulhonzeC Signawre IGanlracror/Owner Meking Inst 'on) Phone Number
L-' /A -`i .g3m8
MINNESOTA STATE BOAFD OF ELECTRICITY THIS INSPECTION REOUEST WILL NOT
GrIBBS•Mipwey Bldg. - floom 5-113 8E HGCEPTEO 8V THE STATE BOARD
1821 Universly Ave., SL Peul. MN 55100 UNLESS PPOPER INSPECTION FEE IS
Phone16/2) 602-0800 ENCLOSED.
?? QO REQUEST FOR ELECTRICAL INSPECTION ?? ?s?esaoom m
/// ? See instruieting ihis lorm on bace of yenow wpy,
-,???P
58976 m- ddet
A delow Work Covered by This Request "????+•??
e Atltl Rep. 7ypeofBUilding ApplianwsWiretl EquipmentWired
Home Range Temporary Service
Duplex Water Healer Electric Heatinq
Apt. Building Dryer Other (Specity)
Comm./Indusirial Furnace
Farm Air Conditioner
OtherhspeciNl ConVector3 F,emarks': 7
Campute InSpection Fee Belaw: ?NW
B Other Fee # Service Entrance Size Fee # CircuitslFeeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transiormers Above 200 _ Amps A Amps
SignS inspector5 Use Only? 2
? TOTAL
Irrigation Booms ?? ?Q. S"0
Special InSpection
Alarm/Communication THIS INSTALLATION MAV BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN NTH r
I, the Electrical Inspector, hereby Rough-in
F'? ' oa?e p„
Zv
certify that the above inspection has
been made. lfuo" oa?
OFFICE USE ONLV
This request voitl 16 months tmm
TM;.?ues ;d 3
B? 6
p0 ??s Tte
?° ? ° Fire No. Ibugh-in Inspec[ion
flequ' ?
?Neatly Now^yyW ill Inspec-
?
... 7 ?r?.?J ? ? ?NO ?"`o? When-NeadY
?cler5etl ElecVical GoMractor 1 hgreby repuest inspacHOn oi above -
O?hrter electncal work instslled aC
Street A dress, Box or Ibute o. Cirv
i
V7
ecL ovnsAip Name or No. Range No. Count
A*144 6
DccupantlflllNTj . Phone Na.
• II I Yi`N?
Po Su Addres?
/
<
EI ca1 C ntractw ICo?wa.rv N?I 1
?v t ?f ?;e Contrector's License No.
?
Wilfiq Atldress [COn[ract or Ownrer Making Inst
3 ilationl
/
0( . ? y ??N A,
AuNoriz " naWre Contracta/O r Makmg Installationl Pho. Nunber
1/L a-L.3t
YINNESOTp S{p7E gpppp pF EIECIRICIT' THIS INSPECTION PEQUEST INILL NOT
6ri?s-Yidvey Bldg. - RoomN-791 ? ACGEPfEO BY THE STATE BOARO
1921 Univarsity Ave., St. Peul, YN 55100 UNLESS PpOPER INSPECTION FEE IS
PMm (612128]-2111 ENCLOSEO.
r1.R/?f?.2 REQUEST FOR ELECTRICAL INSPECTION ? EB'0°°01 A° ,
-a a r r i . ? :_..._.:_.,. .... __ _._.:_ ..:_ .___ .___
?
._ ----._...._ ....? .... ?. _.._ _. ._.._.. _... ?
85 9 6""%" Below Work Covered by This Request
add ReD- Tvpe o} 6uildin9 Aooliances nirea E9uiPmBnj Wiied ?
Home Range Temporary Service
Ouplex Water Heater Ligh[iny Fix[ures
Apt Buildiny Dryer Electric Heatin
Cortmercial 81dg. Fumace Silo Unloader
Irdustrial Bldg. Air Corxlitioner Bulk Milk Tnnk
Fam ONer ceO V iher ISpecityl
t g $peciTy Other 01he,
ompu[e /nspection Fee Below
Y Fee SarvieeEMnncaSize A Fea Faedars/5ubfeeders # iee Glrcuits
O.o 0 1u Amps 0 tp 30 qm s 0 to 30 Am Is
Above 200 qm - 37 to 100 qmps 31 to 100 q
. Swimning Pool
Trar?sPOrmers
Sigts Above 100-Amps
rtigation Booms
Special Inspec[ion
S Above 100_Am{?s
Partia?l- Offier- ?Fee
TOTRL FEE
Be?rerks ysfV ? ??,
"j /
qomry.in hEtxhical
ctor, M1ev
A tr ?ha? +ebo
Fiful has been
,mirection
aa.
11n8'3?8 So
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 C) J ! 3I 1 05
Site Street Address _4(?23 Unit#
Property Owner
Contractor _
Address
H.P. PIPEWORKS
City
.r
Telephone# 01)45q _1932
Telephone #(' J N) 3(,5 ??) 4-0
State Zip
11 The Applicant is: _ Owner "! Cootractor _Other
Alterations to existing dwelling $ 50.00
Add plumbing fixtures (excludes water softener and/or water heater--complete next
section if installing these appliances).
_Septic System Abandonment
_Water Turnaround (add $125.00 if a 5/8" meter is required)
:Other:
Water Softener ? Water Heater $ 15.00
_ new ? replacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ .50
Tota? $ 16 -50
I hereby apply for a Residentiai Plumbing Permit and acknowledge that the information is complete
and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the event a plan is required to be reviewed and approved.
NlIV1G1U 4Aa1
ApplicanYs Printed ame
5ignatu
APR 4 4 2005
I 5,50
? i?? ?j ? RESIDENTIAL
BUILDING PERMIT APPLICATION
cinr oF enGnN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New ConaVUCtion Beaulremams
• 3 reglstered stte survey& showUg sq. N. of bt, sq. R of house; and gij ruofed ereas
(20°/ meximum bt coverage allowed)
• 2 coples of plan showing beam & windax sizes; paured found Design, etc.)
. 1 Bet Of Enefgy C31CUl2tbns
• 3 copies of Tree PreservaWn Plan tl lot platled aXer 7/1/93
. RYn Joisl Detail Optbns selectlon sheet (6klgs witli 3 or less unils)
DATE ',TZ-
SITE
NPE
_ Water Softener
_ Water Heater
_ No. of Baths
APPLICANT F-J "--) JV V',
STREET ADDRESqS 19)97 ,?l c o/(e? ?1/E_S CITY
TELEPHONE # l?52-J6 CELL PHONE #
PROPERTYOWNER %O.1 Jqe I ? ? -1trz
IULTI-FAMILY BLDG _ Y KN
FIREPLACE(S) _ 0 _ 1 _ 2
FAX #
TELEPHONE #
b5 / - ?sy- 79S,2
------------------------------------------------------------ ----------------------
COMPLETE THIS SECTION FOR aNEW- RESIDENTIAL BUILDINGS ONLY
Energy Cade Category _ MINNESOTA RULES 9670 CATEGORY 1 MINNESOTA RULES 7672
(J submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
. Energy Envelope Calculations Submitted
Plumbing Contractor:
Plumbing system includes:
Mechanlcal Contwctor:
Mechanical system includes:
Sewer/Water Conhactor:
_ Air Conditioning
_ Heat Recovery System
-------°---------------------------°-----------------------------------°
I hereby acknowledge that I have read this appllcatlon, state that the
with all applicable Stqte of Minnesota Statutes and City of Eagan Ord
Signature of ApplicaM
is correct, and agree to comply
OFFICE USE ONLY
Phone #
Phone #
RemodeVAeoair NeaulremeMa
• 2 coples ot plan
• 1 set of Energy Cakula8ons for heate0 atldilbns
• 1 site survey for exlerior additbns & decks
• IrMkate ii home served by septic system for adddbns
VALUATION 4 roo•d?
Phone #
_ Lawn Sprinkler
_ No. of R.I. Baths
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
Fee: $70.00
OFFICE USE ONLY
? 07 Foundation 0 07 05-plex ? 13 16-plex ? 20 Pool 0 30 Accassory Bldg
? 02 SF Dwelling O 08 06-plex O 16 Fireplace ? 21 Porch (3sea.) ? 31 Ext. Ak - Multi
? 03 01 of _ plex ? 09 07-plex 0 17 Garage ? 22 Poroh/Addn. (MSea.) ? 33 Ect. Alt - SF
? 04 02-plex O 10 08-plex ? 18 Deck ? 23 Porch (screened) O 36 Multi
? 05 03-plex O 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04plex O 12 12-plex Plbg_Yor_ N ? 25 Miscellaneous
? 31 New O 35 Int Improvement ? 36 Demolish (Interior) ? 44 Siding
? 32 Addition 0 36 Move Bidg. O 42 Demolish (FOUndation) O 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)` ? 43 Reroof O 46 WindowslDOOrs
? 34 Replacement •Demolltion (Entlre Bldg only) - Give PCA handout to applicaM
Valuation Occupancy MC/ES System _
Census Code Zoning City Water _
SAC Units Stories Boaster Pump _
Nbr. of Units T 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
_ F'ueplace _ RI. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MClES SAC
City SAC
W ater Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Capies
Other
Total
:. ir :
Building Inspector
_ iLlsgq
1990 BUILDING PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
MULTIPLE DWELLINGS
YAT 0 S RECD
?S OD Date:
?
2 SETS OF PLANS 2 SETS OF PL9NS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEYT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCUTATIONS 1 SET DF 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.
LOT 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 COMPLETED.
VPFRMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For:f lo 1 ? Valuation
Site Address yq,a 2,
?Gct vi $5 /"3-?
Lot p Oli Block
Parcel/Sub
Owner mllInE.'l t(bilPF" [-5S6al(`
Address q plflAlluYt
City/Zip Code a?-
Phone 7? ??"a Cqya -? ss3 W?
Contractor
Address ID? 5't't.r? DP-1 UL
City/Zip Code,7rrck4v, S 3Phone t{? a--lp(e3 ?
Arch./Engr.
Address
City/Zip Code
OFFICE USE ONLY
Occupancy
Zoning
Actual Const
Allowable
# of stories
Length
Depth
S.F. Total
Footprint S.F.
On site sewage_
On site well
MWCC System _
City water _
PRV _
Sooster Pump _
COMMERCZAL
FEES
Bldg. Permit
Surcharge
Plan Review
SAC, City
SAC, MWCC
Water Conn
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment Pl.
Road Unit
Park Ded.
Copies
SUBTOTAL
Penalty
TOTAL
3s
?
APPROVALS
Planner _
Council
Bldg. Off. ?5/9
Variance
Phone #
1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS MUSY BE LICENSED HITH THE CITY OF EACAN
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF S URVEY
1 SET OF ENERGY CALCULATIONS
To Be Used For: Valuation: 1os,oc>p Date:
cc ?
a?
_
y
1
Site Address: ??23 ?zrl Lu OFFICE USE ONLY
Lot: 2?( Block J Sect/Sub Wf/ efe StErect ? Occupancy
Remodel Zoning 2-I
Parcel !I Repair _ Type of Const ]T
Enlarge # of Stories
Owner Move _ Length _54
Demolish Depth 3g
Address Grade Sq Ft
City/Zip Code
Phone
Contractor ?? ?u llN?f ( o?t5"1 ?
Address %
City/Zip Code Lagpn ,?j7c? 5`S(LZ
?/' 7-Y
Phone `t"SZ '3 0 9?
Arch./Engr.
Address
APPROVALS
Assessments Permit
Water/Sewer Surcharge
Police Plan Review
Fire SAC
Engr Water Conn Spp, "?
Planner Water Meter (03_ =
Council ftoad Unit 2b0.
Bldg Off6 iA Parks
APC Treatment Pl
Variance
TOTAL aaao, ?S
City/Zip Code
Phone 11
2'l n1.4-- 3?t3 xS¢ s Zn412 . ,
S 4 ' 2 5 2`? 2 ? . ' ' . • . -,
1s x22 ? 330 x S?- =?? 'e)zv
23?22 '.5?o ? (I - SS
?4 G & (-- 4c = 19 ( 6 g
I 4 x 2? "??2 x4( = 1(00?2
10¢33U
t;ereif°icate for:
? Huttner Conatruction -
. -960 Waterford Drive West
Eagan, Mn. 55122
DELMAR H. SCHWANZ
LANpSURVEYORg INC
Fcpefprptl U?QPLdWR (1? TM1p $1A\P OI M11fIPfOIA
14750 SOUTH R08ERT 7RAIL ROSEMOUNT. MINNESOTA 55088
SURVEYOR'S CERTfFICATE
99?, I
To/ Nu?3 )
i
\N 0
Z-`?) 7.`
Drainage & utility
easement
0
?
99 i, b
ToP NuB
Proposed garage Ploor
elevation % 0 3. S'
/ool.b
7021rNu?s )
f
I ?I
I \?
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?• Z
PHONE 812 4211789
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33
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CA
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X
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'sy ,a/A4F
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r 33
SCALE: 1 inch a 3?0 feet
Elevations ahown are existing
I hereby oertify that this is a true and correct representation oP
Lot 24, Block 1, HILLCR&ST ADDITION, according to the recorde&,plat
thereof, Dakota County, Minnesota.
Also ahowing the location of a proposed house as staked thereon.
Dated: May 10, 1985.
MINNESOTA REGISTRATION NO. 8625 }
.
?
N I ?
? (Fom Dcvcloped by thc Ststc of Ninnesoca iuild;ng Godc 1)1vision)
TD EE SU3:iIT2ED NIiIt IIUILDII7C PER?tIT Ai'PLICATI0:1
' PJCiEP.IOR E:iVF.LOPE AVERACE "U" COTUUTATION '
Oi,'9ER:
SIYE ADDRE55: qgz3 RIC 4ard Lr,
CONTRACTOR:.?(J `? ff K r 1 N en/ ? 5T DATE: PA02iE: r{S2-3o??
. Determine vorking equare footage of each
2. Total exposed aa12 area......... 3'3z-S. eq.ft. : • f? ? 365 7-
',,2. Total roof/eeiling .
area..,....... .
sq.ft. x
3.• Total exposed wall area calculations: :
Total exposed wall area above floor -
? ,. ,.
. 3 ?Os
.??.?6'• ?..
? a. Total wall vindow'area .............. ...............
b:" iotal door area ..................................0 ...• 3t'. :
e. Total sliding glass door area..:....................-,_ '
.
d. Total fireplace vall area...........................
--
' e. Total i+all framing area (average 10E) ........:..... .. 3 a a.
' fs Total net wall area above floor .....................t3 O?.
. 8. Total r3ri joist area ................. ............... './2 S'
• Total expoaed foundatioa area ? ?2 O
h. ?otal foundation vindov area ........................ =
i: Total net foundation area.above grade .:............. 9ZC1'
Determine "U" value of each wail segment
• a. Zgo x$out$
? b. 3 $ x flo"
X .,Uts
• ?.
d. .? X slng. ? . -
,
, . e. ?.2.0 x"U" , a 7? - Z2, 5?D
' f. `Zo? X „uff
. , g, l.Z,S g#fUll
. Ik ? F x nU„
.
' . " i, ? Z p X ,oun
Torat z qg
3. •
'•
: -
If item 03 is the same as, or less [haa item O10 you havo mct the intent of
prl.
.
4. Total ex,osed roof/eclling ealcula[ions:
Total e:ryosed roof/ceiling area e /ZCo'=
j.-Tatal skylight area ................................... -?
k.'Total roof/ceiling framing area (averuge 107.).........
1. Tatal net fnsulated roof/ceiling area .....:.......:..._f G S)
Determine "II" value for each roof/ceiling segment
J. x eIIto
k. x??,,,,
_ •
R
?
4. ' =TOiAL
If total of 04 is the same as, or•less than #2, you have net the intent .,'.
of SSC,6006(c)2.. '
Alteraate Building Envelope Design.
'"•i.. , . . • ,
To utilize the total envelope system method. the values establistied by •.'
the sum of items 03 and 04 shall not be greater than the sum.of items 91
and ?2. • .,
2. ?
.
3. +4. . ? .
C E R T I F I C A T I O N
I hereby certifp that I have calculated the "U" factore and R'values . ?
herein and Chat the building here deseribed meete oi exeeeds the SCata of
• Tlinnesota Energy Conservation Act.
. " (Signature).
. G -10
. (Aate) '
•
,?.
.?
:
• 1Ve11.L . G? 1 al:.:p
KCO'B: tirc- ]Cr:. of vpayu^ wa21 arca for
-framc cou::tructiun
• .? ...
47AI.L II6-
FIG. #1 TOPVIEIV Or -.
. FRT2T h`AI.I.
?
. ,
FI6. t-a
5.8 LL
..
. ?- h'?•:'I
t?
:OIiD1TIC:a
. '
. Q
r
-?---? -
• ::
-p p
9 ' , ??J
IT-
p • p'•. , v
. ??. u •°: C
•ts ? N r ? . ?,??+? .
?.----?{ •. . . .
Constriiction R-Valuc
l.
2.
3.
4.
5.
6. Exterior air film . 0.17
Total 1 ? Z`t
1,LI.1.? LL . , U= D7
1. Int•crior air film O.bti
3. 3? '` INS Is, 0
_.
9. ' 2 32 -?t: l`rf L.p(p
5. G)/n (-,_ I,OS .
6, k:xterior, air Pilm 0.1 ..
Total
'
v= . 04_.. •
111 M . ' I •
1. •I'tcrior ai.r film
2.
3. ' 1 L? SUFI J,,dDb
4. ?y/SL
5. 4? !)r1V(, 1,95
6. Exterior air film 0.17
Ybt31 ??.34
,) 71-
1. Interior air film 0.69
2. ?7.zl?hD.
3. ?2,• '3c<>?•K l,l?b.
a.
5. •
6. ExL'erior air film 0.17
Total. - , 615
U?. ,IO
si.ns ow cr.aua
?IG. $3 ? •. , b
? 0 1
• O . ? ? '!1 •
• • • ? ' .
P i.? ? -, . •. ? _
• .• ? : . , r
: ,• ?? , ?
f?'Pr • :
?? ?fl • ? ? • ' ? . • `
?• . • ,a :. •
u?:=- . , •
u • ,
>A 111
FIG. 94 //? ? ?« =•j /It ?
j1z:r",
NOTE= Indicatr, typo, "P." Valun# donth an0
. placenent of insulatiou. .
. .
i. t
R001'/CtiILItiG
?f
. vrarr
?
. ?
?•?n?e3 ?
}iC1C ?fG4
up FIG. ?5 ?]teat flow up vented•
..FIG. ?6 . .
n:'tr.uction R-Vnlnc
Intcrior ai.r filr 0.61
` DhY
Ftcrior nir Lilm (!:t:ill) D•GI
. TprSl 49,61
rR_ QM? ?
?4?/?° bww... lNSvL. 3fo; O
1. interior air film 0.6I
2. JIP T2(Z'[?i!ILtr
3. ?,h? ?=#/ S C>
4. Er.terior air film still 0.61
Tor.a1 1.: y 2. a Z
,J z,
1. Inaictts air fil.m 0.61
2.
's..
4. '
5. Outsida air film .0• 17
Total
Nntes U::e addit-ional a:hcets if morn spacc i
? ncedcd fqr c}etails and calculaLionE.
Co
i'
Z:
a.
.:
_ : .. .......... ? .
.
' . HeaL
• , flov up ?
PIC. '07
?
o•x
? 27•00+
? p•5p-F
? 25•50*
?
1941 BIIILDING PERMIT APPLICATION
' CITY OF EAGAN
SINGLE FAMILY DWELLINGS
1SQLTIPLE 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 CALCULATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APYLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP SY LAST WORKZNG DAY
OF MONTH IN W1lICH REQUEST IS MADE.
IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER M[TST DESIGNATE WHICH ADDRESS IS
DESIRED. *:C C:IANGES WILL BE ALLOLIED ONC£ 3UrLDruG 9FRMT_T IS ISSTJED_._
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER. ?
To Be Used For: DECIL Valuation:Date:
Site Address 4823? OFFICE USE
Lot Block ?
Occupancy
- 1 Zoning
Parcel/Sub Actual Const
Allowable
Owner ??c.??pfL L_ ?SC AQ # of stories
Length I ?tt S
Address ?y5; Depth ???C qr
S.F. Total
City/Zip Code S5 ?2 2 Footprint S.F.
Phone 2 On site sewage_
Jarne On site well _
Ccr.tr?ato: /J SC E1/YIT?JT ./ t.nrrn cystom ?
City water
Address 07 57t N2 ?'11? PRV _
Sooster Pump _
City/Zip Code S Yl1 • 5-.3S-2
APPROVALS
Phone ?v62 3 y Planner _
?? ( Lo Council
Arch./Engr. Sldg. Off. 0pS
Variance
Address
City/Zip Code
Phone #
FEES ?
Bldg. Permit 2 Ji4&V)
Surcharge ?
Plan Review
SAC, Ci*y
SAC, MWCC
Water Conn.
Water Meter
Acct. Deposit
S/w Permit
S/W Surcharge _
Treatment P1.
Road Unit
Par_k, Lla3.
Trail Ded.
Copies
SUBTOTAL
Penalty
Lot Change
TOTAL ' L 60
c
agrees that all work shall be done in accordance with
ig ture of Contractor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
4t?•i.'?i.1.::PiLC A<:A': . !. . .
Huttner Construction -
960 Waterford Drive West ?
Ezgan, Mn. 55122
DELMAR H. SCHWAPIZ
LeND EIlRVFVORF 1NC
A•oxVrM U?ON L?'?'t n? TM Sble n? MmMMI?
14750 SOUTH ROBEqT TRAIL ROSEMOUNT. MINNESOTA 550l8 PIE 812 423-1709
?
SURVEYOR'S CERTtfICATE
99?• I • /av?.`
>o, lVNlq ? r?Nys2
0 .
! P2? (?S
?
A C?C--
<
Drainage & utility
easement
16
v
?
?----- -
99 I. c
TaF /1u6
Proposed garage floor
elevation
?
- - ?,,
'
Z I
?114
7.
33
Q
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o \j
0 I
.O `so.o I XIXZ
o
!, .
n/G•?6
rov /fu? 33
SCALE: 1 inch ? 30 feet
Elevations shown are existing
I hereby certify that this is a true and correct representation of
Lot 24, Block 1, HILWRFST ADDITION, according to the recorded?plat
thereof, Dakota County, Minnesota.
Also ahowing the location of a proposed houae as ataked thereon.
Dated: May 10, 1985.
X
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d) • ??, ?;.
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?
MINNESOiA REGISTRATION NO. 8625/ j
(_/
?
.
1 ?
?
C'`? 2/84
??
1`6 CITY Ot EAGAN
I
APP LICATION FOR PERMZT
SEWER AND/OR WATER CONNECTIODi
1)
PROP?'{I'y ACDRESS: ?k'? ?
(PLEASE PRINT)
"no
rFrAI. DESCRSPTT_CN: AC o2q 1 && /
(Lot/Block/ u: divisicn or Tax ?arcei I.D. NL:,bzr)
? I'r E%IS7=;G DAT' OF Oi2TG1^.Ai
Fn-°5M7 --,^,.;Ir'r'/??a7P05=') i'S: 19-R-1 SL:GL: :l?TSLY .
. ? iZ"? CUP!..z.{ M:? n:iTC)
? R-3 +
? r-4 t;cy:::^_?:T/CC`?•?T`;rtil ( UAiIT_S)
p CCt•nSE??CiAI,/R._z?'AII?L': -'T_C
? MCVSi?Ln.L,
2.) APPISC=V"I'
t ( PR I ti i )
a
ACDR°SS: C
CTT'_'' STaT?', ZIP:
PHO?n
j) pj,[;;mE?
NA[?: J ' V EdSE PRIHiJ
?r FOR CITY I1SE O4LY
ADD?ESS: ? PlUMBER ' C.4SE•
CIT'i', STA'I'E, ZIP: Attive
Expir d
PHON'E: -
PLUNBER LICEVSE k a nf Record
ar :niciai
91 (YLGHJt MN1:11)
?.: __??"Q{I
ADDRESS:
CITY, STA'i'E, ZIP:
Pfi0:1E:
Sj IIVDICF,i'E :VHZCH PERtilIT IS SEIIvG RD?)(,TESTEp;
9 CO,TIF_CtION 'It7 CITY Smim
El CONIJECTICN 'IC) CIT^I WAT'E.TZ
? OMER (PI.ZASE D.SCP,IBE)
7) SSCZ7,7,'ZE:
? P!ZnSE F?OID APPP,pVID PERti+ST FOR PICi:-L"P BY C.'QE OF APCUE
??IE'SE %*'.r1IL APP.T20Vm P&R•LIT TJ 16 3, 4 AFiOVE
? (Ci:cle one)
? DATy': ,j ?`?
MW Ol C?"?lMllJO'l? Il? d!!'.gfF.? !?l ?'Yt p??, ?i if f YFiii J? a!!?l?.'?I ll3f? f? f? 1t! illlpFr ,
F O R C I T Y U S E O N L Y
PEP-MIT °- ISSUED
g°?5: S /L?-5 ca
$ / C-J CJ
r
$ ?/"1UU
5
S
.S J???.c()
$
S
S
$
S
S
SE::E.°. nrgN+r?
S4aTL? PER;tIT {I,;CTU;? 3-:7C: HRGL)
WATER METER/COPFEii?ORti/CL'TST_'JE RE,-,DEP,
WATER TAP (INCLUDE COR?CB„TIQy STOP)
S-7 WER TA?
AccoUNT nEposZT - c•; :T=R
wnC
SP.C
TRliVK SQP,TER ASSE55=::T
TRliNK SE:iER ?,SSESS:--`iT
L:,TEP.AL BEivEFIT/T3ti`Ii:
LaTERAL SEtiEFIT/TRU_:iC ....^_r=
WATER TREATPEA'T PLANT SL'RCEA."iGE
OTHER:
TOT2L
rlMOL":T PAIDjR??°Ir_
DOcS UTILI.Y C0:7:1EC:ICN REQUIP.E EXCAVATION IN PUSLIC RZGriT OF WAY?
YES IF YES, THE:: A "PE2DIIT FOR 'r70R?: WZT:?IN
PUSLIC ROADWAY" MUST BE ISSlicG BY mu;
F?l NO ENGINEERING DIVISION. LIST AS A COD:DI-
?`--- TIQN_. .
SUEJECT TO THE FOLLOS4I.+G CONDITIOIQS:
APPROVED HY:
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DAT°_:
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Boe Engiaeerieg '
P. 0. Box 255 Shekapee,
Minneeota 45379
Telephone a (612) 445 - 3282
aune 17, 1985
Mr. Willism Auttaer
960 41aLerfoTd IlR'. Yo
Hagan, 1{inneaota 55122
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'Soi? Teete_ exilt,o?24P Bloak 19_ HSllereet ?.$ _' t ?„_ 9skote CoantT, t{l,ax. i
Dear 31r s
On June 12,, 19859 1 inepected the excavation of the poor soils and
made in-plaoe denaity teats on the fill to aheak the campactiono
The lot alopes doxnrard frnm the flont. The Pev feet of orgenic eoils
vere removad down to the reddish brorn eilty fiae annd. A fine silty -
sand frm acroee the street was need ee fi21 an thie lot. ?he p.xami2ar "
till was placed in layere and compacted vith a vibrating, mooth oampaotor,
which was toved behin8 the dosero
Attached are the resulte of the fo-place deneity testa, the plsn of their
location, and the modified Prxtor deneity aarv+e that was mads for the
grerrulsr fill. All oP tha teata indioate thet the fill !e campected to
more then 90 $ of the modified Proctor deaeity and ahould be eble to
support the propoeed houae very vell.
Sinaerely,
William A. Boe P.B. ( Miam, Reg. 9 6594 )
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SIEV;E ANALYSIS ;
' . yRETAIMEO ON N0. 8 SIEVE
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+ 'MflYE: THE M0DIF1E0 FRaG'76R DEIYSlTY TEST 4VAS lLIADE. WITH A•
10 L8. #4 AMMEi4 Ff1LLfMG i8 IP.ICHES,THE SQiL SVAS
COMPACTEO 1N S LAYERS 1N6YH 28 PL(3WS PEOt LAVE,R•
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hY 80E_ EP1CiiNEERiNQ
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA170506
Date Issued:07/07/2021
Permit Category:ePermit
Site Address: 4823 Richard Lane
Lot:24 Block: 1 Addition: Hillcrest
PID:10-32975-01-240
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the
water damage.
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Richard A Most
4823 Richard Ln
Saint Paul MN 55122--278
(651) 343-8206
Eagle Siding
1301 East Cliff Road
Suite 117
Burnsville MN 55337
(952) 746-3046
Applicant/Permitee: Signature Issued By: Signature