4847 Richard Lane41111111` City otEapu
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
Permit #: 97 ?SO
Permit Fee: -1:1G5 00/
Date Received:
Staff:
(�f /
2011 RESIDENTIAL[�L./0g
PERMIT APPLICATION
Date: "l ( tom ! ( Site Address: . v g 7 1 cif �� N E
Tenant:
J
'7T LA,(
Suite #:
RESIDENT / OWNER
Name: T <1- L141,02-4- , CO 57-C0 t �3 oo
/
WEE, E ilt/Phone:
Address / City / Zip: i 7 /21f`/ MA)5 S/ ZZ -
l ��ii
CONTRACTOR
/
Name: " K -01O A/A i2 _ TaE T //License #: 14 Z q WC._
Address: t GeoiN( 1 �H City:-(PL—tL.e
• Y
State: /14 A Zip: 55 9 y Phone: q5-2__- ?s3 --1/-69e3
Contact: P Atti L_ Email:
TYPE OF WORK
X New X Replacement Repair Rebuild Modify Space Work in R.O.W.
_ _ _ _
Description of work:
PERMIT TYPE
RESIDENTIAL
gWater Softener
Water Heater
Add Plumbing Fixtures ( Main / Lower Level)
_
Lawn Irrigation ( RPZ / _ PVB)
Water Turnaround
Septic System
New
_
Abandonment
RESIDENTIAL FEES:
$55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$35.00 Lawn Irrigation
$55.00 Add Plumbing
*Water Turnaround
$105.00 Septic System
$95.00 Fire Repair (replace
(includes $5.00 State Surcharge)
Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
(add $166.00 if a 5/8" meter is required)
New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge)
TOTAL FEES $
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of
E-112-4/ 12E7TJC.e:
Applicant's Printed Name
FOR OFFICE USE
Applicant's Sign
Required Inspet ions: Under Ground iRough-in Test
Final
Date:
LK�F�S7 i
City of Etall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
Permit #:
Permit Fee: Vac 00
Date Received:
Staff:
2011 RESIDENTIAL PLUMBING PERMIT APPLICATION
/ Site Address:
Tenant: Suite #:
RESIDENT / OWNER I
Name: ( l f ....' fiN'e 1 �f'' Phone: (� 57 6 E } ?c
Address/Cit //Zip: 1! `/7 {�i " i'y1 , eit,c."
Y P� cel�r'c
CONTRACTOR
Name:_.<7c—e ci� r., ,-i/i , 4_c".w76, License #: ` " `�'l
License
Address: 77557 %7G 'S`....)7:- h i'. ,1
ct-eFv:/4
State: /77,-\ Zip: `) - /�% Phone: %S 2 ,- ?7'91
Contact: 7.tic "i rr Email:
TYPE OF WORK
New Replacement Repair Rebuild Modify Space Work in R.O.W.
_
Description of work:
PERMIT TYPE
RESIDENTIAL
Water Softener
Water Heater
Add Plumbing Fixtures ( Main / Lower Level)
Lawn Irrigation ( RPZ / PVB)
Water Turnaround
Septic System
New
Abandonment
RESIDENTIAL FEES:
$55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$35.00 Lawn Irrigation
$55.00 Add Plumbing
*Water Turnaround
$105.00 Septic System
$95.00 Fire Repair (replace
(includes $5.00 State Surcharge)
Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
(add $166.00 if a 5/8" meter is required)
New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge)
TOTAL FEES $
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 ajermit; that the work will be in
accordance with thea rovedplan in the case of work which requires a review and approval�"
pp q of plans.
x l rt ? 1 itici C_I x /� z�
Applicant's Printed Name
Applic'nt's Signature
FOR OFFICE USE
Reviewed By: Date:
Required Inspections: Under Ground Rough -In Air Test Gas Test Fina
leIP City of Eaaali
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
r
ED
APR 0 6 2011
Use BLUE or BLACK Ink
Permit #:
Permit Fee:
Date Received:
Staff:
2011 MECHANICAL PERMIT APPLICATION
Date: g` Site Allress: \(14 ')1 tftC I CU -VS
Tenant: 7 `1iL\_ `a C ,L,
Suite#:
RESIDENT /OWNER
C —' Phone: lO R -2-7P ()
s.%
Name: (. Ct
Address / City / Zip (. \ (4---( -\1_,L h -LA d Leu -vi
CONTRACTOR
Name: BURNSVILLE HEATING & A/C, INC. License #: 4 t !, S& (2 d1 I 'J
3451 W. Burnsville Parkway
Address: Suite 120 City:
State: zipBumsviIIe, MN 55337 Phone: ` t(4,_� %`_
Contact: G .1\ Email:
TYPE OF WORK
New X Replacement Additional Alteration Demolition
Description of work: �K-1--y..V_L@ c wtiC CC C1 lA\Millis . -4-7r
OTE: unte t and grc nd
Code Pie se;contactthe hank;
t� aI tyle r�#r+ r
l tr torfor t�rrrtt tion , ds
PERMIT TYPE
RESIDENTIAL
Furnace
COMMERCIAL
New Construction Interior Improvement
Air Conditioner
Install Piping Processed
Air Exchanger
Gas Exterior HVAC Unit
Heat Pump
Under / Above ground Tank ( Install / Remove)
`_
C Other X\ S,..1...111-04Marshal
**When installing/removing tank(s), call for inspection by Fire
and Plumbing Inspector
RESIDENTIAL FEES:
$55.00 Minimum Add-on
or alteration to an existing unit (includes
burned out appliances, ductwork, etc.) (includes
$5.00 State Surcharge)/�,
$5.00 State Surcharge) $ a TOTAL FEE
$95.00 Fire repair (replace
COMMERCIAL FEES:
$75.00 Underground tank
$55.00 Minimum (includes
installation/removal OR
State Surcharge)
$10,010, surcharge is $ 5.00
surcharge increases by $.50 for each $1,000 Permit
Fee requires a $ 5.50 surcharge)
Contract Value $ x 1%
_ $ Permit Fee
- If the Permit Fee is less than
Fee = $ Surcharge
- If the Permit Fee is > $10,010,
(i.e. a $10,010-$11,010 Permit
_ $ TOTAL FEE
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.aopherstateonecall.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 Ian in the case of work which requires a review and approval of plans.
( lAfC SfY1 hen
Applicant's Printed Name
(ACL (Dila
Applicant Applicants Signature
FOR OFFI+
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CASH R EC E I PT
CITY OF EAGAN
P. O. BOX 21-199
EAGAN, MINNESOTA 55121
DATE , -J 19 RlCRIVtD ? V
PROM ?
AMOUNT $ V
-- - . / ?'
_& DOLLAHS
? +oo
? CASH ? CHECK
FOR --
,_ C? -
k.._. :'lJ r/,!r' • : fi ! ?. l y . -'.?.
FUND CDDE AMOUNT
•?
• .
? 5
t 7
7
)
Thank You
f BY i
wnite-Peyer6 cocv
Yellow-Posting Copy
Pink-File Coov
BUILDING PERMIT
Te r. ....a #" >F'' nWG/GAR
$80,000
Site Add(e;s
Lot ! 1 Block Sec/Sub. HILLCREST
Parcel No.
,°C„ Mame ---- ..?--•._._. .....,.,_
Z Address 9bu • •• D W
9 City `, ' j Phone
99 :? ru•i r.
??J Neme
8u Address
City Phone
Name _
Address
Phone
I hereby acknowtedge that I hove reod this cpplication and state that
the inlormation is correct ond ogree to wmply with all nppliccble
5tote of Minnesoto Stotutes ond Gity of Eagon _rwnces.
__ ?
Sf9noturc of Permittee ???? ??8?
A Building Permit Is iuued to:
all work sholl be done in accordante with all applicoble State of MIr
8uildinp Offlcial
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-189, Eagso. MN 55121
PHONE: 454-8100
91 7 44q
Recelpt # "
r..._ DrCL•'I•iB;R 13 ,034
Erect C7 Occupancy
Remodel ? Zoning
Repair ? Type of Const.
Enlarge ? Na. Storiea
Move ? Length 61
Demolish ? Depth 44
Grade ? Sq. Ft.
I,ssessment
Woter a Sew.
Police
Firo
Eng.
Plonner
Countil?
Bldg. Off. 1?/i`/8
APC
Var. Dete 4
(SETBACK)
Permit Y .' ' .? • v v
Surchorye 40.00
Plan check 186.50
SAC 525.00
Woter Conn. 470. U 0
Woter Meter 63.00
Rood Unit 2 f' 0•0('
Parks
-
Total ? r 91
1 • L)
on t}?e exp?ess condition lhat
i Stotutes ond City of Eapcn Ordinances.
PKmit No. Psrmit Holder Date
Plumbinq
H.vA.C. J /? ?S5
Eloctrie
Softenar
Inspeetion Date Insp. Othar
Footin¢
Foundstion
Framinp ?
-x
ouyh Plbg. .???
Rough HVAC .a?? ?
Inwlation ?--
Finai Plbp.
Final HVAC
Final
Cwt/Oee. ('ip -? l0 t 2? I bS?
W?? Dsseribe Locstion:
Wel l '
Sawar
Pr. DbP•
,
Y
+,, _ ? G? •? 7
CONTRACT PRICE
Site Address
Lot Block
m Name _
?o Address
c City _
m
c
3
O
Name _
Address
City _
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air _Cond.
Vent
Gas Piping Outlets #
Other
` M BTU
M BTU
M BTU
-..?? M BTU
CFM
?rI,
PERMIT#
- MECHANICA? PERMIT CITY Ot EAGAN RECEIPT # 7-- ?- '
3KNOB ROAD, EAGAN, MN 55122 DATE:
? PHONE: 454-8100
BLDG. TYPE
Res. ?
Mult
Comm.
Other
WORK
New
Add-on L,"'_
Repair
FEES
RES. HVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M BTU - 6.00
(RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMIn - 1.50 EA.
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPUES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8
REMODELS - 12.00
1MERCIAL FEE - 20.00
ARGE PER PERMIT - .50
IF PERMIT PRICE GOES
FEE:
S/C: ?G SIGN E F P ITT
roTaL
FOR: ITY OF EAGAN
Raceipt -
MECHANICAL PERMIT Psrmit No.
CITY OF EAGAN
1. Date 2. Inatall
3. Job Address
4. Owner
5. Conuactor
6, Address _
7. City
8. Building Type: Residential ?
Fes
? S/C ?
y Tot
_Blk. Tract
Phone
State Zip
Commercial ? Institutional ?
9. Work Description: New O Add ? Alter ? Repair O
10. Descxibe Fuel TYPe
11.
No. Eauioment 8TU - M. Ea.
Foroed Air
r No. Equioment CFM
Air Handlin
:
1_ F,
Mfg. g
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Othar
Air Cond.
Mfg.
Gas, Piping Outleta
12. I hereby certify that the above information is true and correct, and I agree to
oomply with all ordinanoes and codes governing this tYpe of work.
Signed : for
Rouyh Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-8100
f
Receipt ' PLUMBING PERMIT Psrmit No.
CITY OF EAGAN
FN
Fill in numbered spacea S/C
Type or Print /egibly Tat. _
1. Date 2. Installation Cost "
, ? • " ? ' ,' . ..
3. Job Address Lot i Blk. ' Tract
4. Owner
5. Contractor • - Phone
6. Address i l 1;,• L?-- -
7. City State Zip
8. Building Type: Residential 0 Commercial O Institutional O
9. Work Description: New C] Add ? Alter ? Repair ?
10. Describe
11.
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
? Beth tubs Septic Tank
Lavatory goftner
Shower We I I
! Kitchen 5ink
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed: for
Rouyh f inal
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: "itt' i Mt"i
3830 Pilot Knob Road Permit Number: '^ •'"H •' I
Eagan, Minnesota 55122-1897 Date Issued: '±'t 4 r') 7
(612) 681-4675
SITE ADDRESS: 1 0 1" I,il t APPLICANT:
s 11!;116tiND I_AW:
t1.1;( .} 0414
PERMIT SUBTYPE: TYPE OF WORK: ?
f'n I r=
INSPECTION .. . .A
'?. ? : , ? ' . .. . . . . .. .
__J
Permlt No. Permit Holder Date Telephone A
ELcCTRIC
PLUMBING
HVAC
Inspection Oate Inap. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUC,H
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
OASAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FfNAL
CITY OF EAGAN
Addition HII'W
Owner
Street
Lot 21 Blk i
4847 RICFU?RD LANE
EAGAN IrN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. i 1985 2450.15 1 60. 7.2 o1 6 0 6-1 -8
STREET RESTOR.
GRADING
5AN 5EW TRUNK ' 61.08 01 ?j 0 11
EWERLATERAL 1985 4361.74 872.35 8. 0 A1 650 11
WATERMAIN
ATER LATERAL 1985
WATER AREA
*
STORM SEW TRK $ "
*STORM SEW LAT 1985
CURB & GUTTER
SIDEWALK
STREET LIGHT
Road Unit 12-13-84
WATER CONN. 470.00
BUILDING PER, #9796
5AC
595 - 00
PARK
CITY OF EAGAN SEyM sEMICE pERMIT
3830 Pilot Knob Raad ,
P. O. Box 21199 PERMIT NO.: .
_ 7
Eagan, MN 55121 DATE: " Z0nIng: nT No. of Units: 1
i pN„er; W; ,, Fut t r P C'on t rtic t im
i
Address:
j
Site Address: V'!7 n Jc'_ .. ;arP I.il?crest
I
! Plumber. ft ttr Pl'jr ' j- ??t{E[
. ., ? , I pm to eoNnpyr witb tb CRT of Easoe
Ordinesesr.
By
Date of Insp.:
??ion Chanp: 425 .00 c
ACOOUM Deposit: • 'c
10.00
PermK Fae:
p
.50 1"d
Surclwrye:
Mist. Chorpes:
Totol:
cirY oF EnGaM _ WATER SERVICE PERMIT
3830 Pilot Knob Road -• •
P. O. Box 21199 PERMIT NO.:
?
Eagan, MN 55121 DATE: ' "
Zoning: r v No, of Units: Z
4wnbr. 171
Addross:
Site Address' 4:'_47 Rtrlsrr
.
c; lane 121 -:1 ';-11CY'ESt
Wumber. ?taT P3`• ..
?
Meter No.: Connecl'ion Charpe: 470.0(1 ni'
00 n,
13
Size: Acoount Depos(t: .
1?.00 p
Reoder No.: Permit Fee:
1 pm to aone* wllh 60 City of E.go¦ Surchorge: . 50 p
prdiwe?,
Miec. Chorpes: F?,0?? pd cteT, pr
Totcl:
Bv Date Poid:
Date of Ir?sp.:
CITY OF EAGAN
34'?,'' ^" ' 'rtob Road
P. O. ox 2. :99
Eagan, MN 55121
[Zoning:
?r: IQ35:
Addreu: ber.
-- - ?.
er
: 5/Y R.FC
PERMIT NO.:
D/1TE:
. No, of Units:
VIfATER SERVICE PERMR
?on Charge: `' '
Xccount DeposR:
Permit Fee:
• "
Surcharge:
Mise. Chornes: . 01) P d r.-'et e r
Totol:
Date Pcid:
der iVc.: o 57p '-F cl 'a
"rw M em tbn Cihr of Eeyon
ieeeam
e of I rup..
?
CITY OF EAGAN Nil? 9796
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
. - PHONE:454•81D0
BUILDING PERMIT Receipt #
Te M asad 40,SF DWG/GAR Esr. Value $80,000 pate DECEMBER 13 , iq 84
484'7 RICHakD LI9 .i
R
6
Site Address Erect
Occupancy
Lot 21 Block 1 Sec/Sub. HILLCREST Remodel ? 2oning ____R1-
Parcel No. Repair ? Type of Const. V
' Enlarge ? No. Stories
W Name WM HUTTNER CONST Move ? Length 61
z 960 WATERFORD DR W
ddress oemolish ? Depth 4i?
? C'
EAGAN Phone 452 3088 Grade ? Sq.Ft.
SAME
ADOrovalf Fees
Zo Nama
. Assessment Permit • O
u< Address
9 Woter & Sew. Surcharga 40 . 00
City Phone
Polite Plan check 186.50
?w Name Fire 5AC 525. ?0
f
Address
Enp. Water Conn. 470- 0
?w ?? City Phone Plunner Woter Meter ?Q 0
.. Council Rood Unit 7F+n-n0
I hereby ocknowledge fhot I hove read this opDlicatian a^d state that Bldg. Off. 12I12/8 Parks
Tbe inlormntion is Wrrect ond oee to comply with all applica6le
APC Total
$1? 917 . rJ?
SMfe of Minnewto $tatutes ang City of Eog rf rances.
. . :. .
Var. Date ?1 5 /R4
?
Siprwture of Permittee ? - - ( SETBACK )
A Bu(Iding Permit 7s issued ro: WM HOTTNER CONST on the express condiHOn Ihat
oll,work sholl be done in. acwrdance with?eltSpplicable SfaF€ oT7cllinnewta $tatutes and City of Euyon Ordinances.
8uildinp Officfol
o•*
373 • 00 +
40•00+
186•50+
525• 00 +
470 • 00 +
63•00+
260 • 00 +
1r917•50*
sr ? ? •
? ALL'CONTRACTORS MUST BE LICENSED WITA THE CITY OF EAGAN
a
To Be Used For:
Site Address:
i
Lot:-z4 81ock:-/ 5ect/Sub:
Parcel #:
Owner:
INCLUDE Q SETS OF PhaNS,`
Q CERTIFICATES OF SURVEY
Q SET OF ENERGY CALCULATIONS
Valuation: ??oa0 ___ Date:_ /L
r ?
Address:
City/zip Code:
Phone #:
Contractor:?J?
Address: N0
City/Zip Code:
Phone # : L
Arch./Eng:
Address:
City/Zip Code:
Phone# : Z41"
Erect: X Occupancy_ Q-3
Remodel: Zoning: (?-I
Repair: _ Type Of Const:
Enlarge: # Stories:
Move- Length: (DI
Demolish: Depth:
Grade: Sq. Ft.:
Assessments: Permit:
Water/Sewer: Surcharge_ q0.°
Police: Plan Rev.:
Fire: SAC: 5,"
Engr.: Water Conn : q-70,
Planner: Water Meter (03.°?
Council: Road Unit:
Bldg. Off.: i,?-? t?-Parks:
APC:
Variance: ?? ? ?
)i /'s?
2CaK4- 2 = 1(:)? 2k 5 4 - 5 81?CoQ,
?`?? ?22 ' 2o?K5%` 1?444
22 ;? 2 8 x l( S 80?
eD, 2 z a
T,
,
y?jp/87 REQUEST FOR ELECTRICAL INSPECTION es-oo/o/aiJ-os
See inslructions lor complelinp this torm on back ol Vellow coPy.
D 18655 ,.mA6? low Work Covered by This Request
Add HaD Type ol Builtling ApPliancne Wired Equipmant WireA
Home Ranye - Temporary Service
Duplex Water Heater Ligh[iny Piztwes
Apt. BullAing Dryer Electric HeaUn
Commercial Bldy. Fumace Silo Unlonder
InduStrial Bldg. Air Conditioner Bulk Milk Tank
Farm oin, ne7, v incr isn.,r:lvl
I P.f PCC'1 y 1hCI ()1hV!
ompute Inspection Fee Below
N Fee ServicaEn<mnceSite 8 Fee Feeders/5u1texders d Fee Circw?s
U to 200 qm s 0[0 30 qm 5
Above 200 qmps 31 to 100 qm ps 00 Am
Swimming Pool Above 100_Amps 700_Amps
U
i
Other Fee
Signs Special Inspection
earks
^?
q F E
10
y
flaueh-in Dn?e I, he Ele cal
? Ins or, hero6y
Final
D?tr cerlify thet the above
.
3
7 insoection hes been
mae
_ a.
This rapuest roitl 18 mvntM trom
TAis request void
18 mpnth
fr
m
s
o
D 18 6 5 5?,,?i
Nxquest Date
/ Z
O
- Fire No. Rouuh-in InsVtclion
Reqviretl?
Ready Nuw QWiII Notify Insper,-
I
7
?? ?Yes ?No tor When Ready
kLicenseA ElecVical ConVactor I h
b
t i
ti
l
b
y reques
on o
are
nsoec
e
ove
? Owner eledrical work installed eC
S[reet AdAress. ?o( Route No.
NE
?8V 7
L
6 City
A
crlf9,eD
1
enion o. Townshio Name or No. Range No. Coamy
Occuu t IPflINTI Phone No.
?2E.?ERicK </4G 7
Power SunDlier AdtlFess
Electrical ConVactor (COmDany Name) Cnnvactor's license No.
HARRISON ELECTRIC Inc 421867
Maili AAJra ICOnbactor or Owner Making Ins?ailacionl
6 0 r n ve No. Mpls., MN 55412
Aut riz
onva
akine Installationl Phone Number
M
?
? ? 1-0520
STATE BOARD OF'ELECTqIGITV THIS INSPECTION HEQUEST WILL NOT
Gri09s•Midwey Bltla. - Aoom N-191 BE ACCEPTEO eY THE STATE BOqqD
UNlE55 VflOPEN INSPECTION FEE IS
1821 Universitv Ave.. SL Paul. MN 55104
Phone(672)642-OB00 ENCLOSED.
?! ? t,?- ?" RESIDENTIAL
-' ?0 `1 ? • 3 ? BUILDINC PERMIT APPLICATION
/?
? v 1 ' 1, L CITY OF EAGAN
q???? 3830 PILOT KNOB RD, EAGAN MN 55122
,,(6^0 -??- 651-681•4675 Ltv!
?c v
?1?"?lr
New Construction ReauiremenU ?I ? RemodeURemir Reuuiramenb
. 7 registered -,ite suneys showing Sq. fl. cl lot. sq. ft. af nouse; and all mofe0 areas • 2 copies of plan
(20 a maMimum l01 coverage allowed) . 1 set of Eneryy Calculations for hea[ed additions
• 2 copies of plan showing 6eam & window ;¢es: poured !ound desgn, elc.) . 1 sde survey for extenor additions & decks
. 1 set of Energy CaicWauons . Indiwte if home served 6y septic system `ar additions
• 3 copies of Tree Preservation Plan il bt piatted after 7l1793 ,
. Rim Joist Detail Optbns selection sheet (hlGgs vnth 1 or less unitS)
DATE ?? -?-' ? --2--
VALUATION ? S9?a • ?U
SITE ADDRESS MULTI-FAMILY BLDG _ Y !?I
TYPE OF WORK FIREPLACE(S) _ 0_ 1_ 2
APPLICANT
STREET ADDRESS I`I`1Y3 CITY STATE ."?''L1P 5_5 3
7ELEPHONE Oe?05-;l I55-UYIY CELL PHONE # 01-1-) rtt -6? j?( FAX r/?? 2 Y/?F
?oI-GY31
PROPERTYOWNER ? 1 ?•??-5-' ?C-rH?c%?_ TELEPHONE?bs??
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category
([?;
_ ?Np.gp-??.? gGLk:S 7670 CA"l'LGOItY i ?15 7bF2
(?Jsubmission type) . Residen[ial Ventilatlon Category i Worksheet Su6mitted • ? FJe SEnefr?)Gode WorkheMul
. Energy Envelope Calculations Submitted ? I
SEP 0 3 2002 U
Plumbing Contractor: Phone # _
Plunibing system includes: ? Water Softener _ I.awn Sprinklcr 0
_ Water Heater _ No. of R.I. Baths
No. oF I3aths
Mechanical Contractor:
AIcchanic:il svstcm includcs:
Sewer/Water Coniractor:
-- Air Condiuoniu-
_ Hc.LL Rccovcry' Systcm
I hereby acknowledge that I have read this application, state that the
with ail applicable State of Minnesota Statutes and City of Eagan
Signature
OFFICE USE ONLY
Phone #
Pce: S7U.00
Phone #
and agree to comply
Certificates oF Survey Received - Tree Preservation Plan Received _ Not Required _
Updated 4102
OFFICE USE ONLY
? 01 Foundation
? 02 SF Dwelling
? 03 Ot of ^ plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
? 07 OS-plex ? 73 16-plex
? 08 06-plax ? 16 Fireplaca
? 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
0 21 Porch (3-sea.)
? 22 PorchlAddn.(4-sea.)
? 23 Porch (screened)
? 24 Storm Damage
? 25 Miscellaneous
? 30 Accessory Bldg
? 31 Ext. Alt - MuIG
? 33 6ct. Alt - SF
? 36 Multi
? 31 New ? 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 Windows/Doors
O 34 Replacement '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 Width •
REQUIRED INSPECTIONS
_ Footings(new bid'g) _ FinaUC.O. '
_ Foorings(deck) _ FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundarion HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Au/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Au Test _ Final _ W indows (new/replacement)
_ Insulation _ Retaining Wall
Base Fee
Surcharge
Plan Review
MClES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Piumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Approved By , Building Inspector
Certificate for:, •
.Hut tyier ConstruCtion
5,60 Waterford Dr. West
Eag an, Mn. 55122
j Z
Y
?
,
DELMAR H. SCHWANZ
iANDSURVEYOAS W[
RPQi51PrPef l1npPt Lawi CI ihe GIaIP 01 M'nnesnlT
14750 SOUTH ROBERT TRAII NOSEMOUNT. MINNESOTA 55068 PNONE 612 4231789
SURYEYOR'S CERTIFICATE
992.& 99783
TOP HUB
0
TCP?
0
? ?
?
G. <'C1
y9?p
?
25.0
?
` ?!
\ 925
v 24 .3
? ? - 6AR.
i?
2 . ? f
J N
m I
. ,.
o.N ?
c? T
-
22
z .. I
PROPOSED
? HOUSE N
Drainage & utility
sa?
e
aa
.
` Easement
\
?? ?
? -- - ?4 --- o
-
6 ?
? '.
7
?
98896.
HB TOP HUB ?'
4?
p
o "C *
?,p
B A '?"
{ i
? 9q
N 89- a2-1-7 E
i'.
?
Proposed gara e floor SCALE: 1 inch = 3:? feet i
'
elevati on ??os o Denotes set woo3 hub
` `- Elevations shown are ex isY,ing
I hereby certi£y that this is a true and correct representation ;
of
Lot 21, I31ock t, HILICRFST ADDITION, accordi.ng to the ^eco^dei3 glat,
thereof, Dakota County, Minneaota. d,??
Also ahowing the location of a proposed house staked thereon.
Dated: November 27, 1984
.a
MINNESOTA REG15TRATION NO. 8625 ?
. 1
f '
w
(Forca Dcvcloped by thc Statc of tiinneso[a i.uilci:ng Codc Uivision)
Ttl EE SU3:tITTED UITti IIUILDIIIC PERMIT APPLICATIOy
EICiEP.IOR F:IVf.LOPE AYERAC,E "U" COTiPUTATION
pt
SITE ADDRESS: 9ln lamef(ord L-, ui ?
CONTRACfOR: pATE: /L-II-S`f P}IONE: -5 2-30Pr
Determine vorking squaze footage of each -
,
1. Total exposed wall area....,.... 1S?a eq.ft. z
.?2. Total roof/ceiling area....... ...? 11V-64;, sq.ft. x.eZ.S?
3.• Total exposed wall area calculations: :
, Total exposed wall area above floor
a. Total wall vindoa-area .........................c....•'
,..
b:?" Total door area....... .
................ +..........
C. TOtdi sliding glass door area..? ...................• d. Sotal firep2ace wall area ........................... ^
e. Total wall framing area (average lOZ)....... .:.,..,.. lc?
fa Total net wall area above floor ......................;/l
. g. TOt8l ria joist area.................. ........????'a ?-,Z?o': .
• Total exposed foundation area
h. Total foundation vindoW area ........................ 3
i. Total aet,foundation area above grade ...............;/3? Determina °U" value of. each wall segment
a. R nV..
, . .
b. 3e xslU„ 1`3
• c. eo X .,U.s 415'S"
d. X nun -- --
?
w . e. ??o!O g oUn
2
S. R nul. S,
gofu„
. t. /?? . X liuss
3. • TOTAL .•. ? ? 5.??
ql . .
If item 03 19 ehe same as, or less ehan iteta 01. you hnve mct the intent of
. ?
",.
4. Total ex,osed roof/cciling ealcula[lona:
Total e:ryosed roof/ceiling area -. le{D(o:
-
j.-Tatal skyligh[ aYea ................. :.................
k. Total roof/ceiling fruming area (averap,e 1U7.).........
1. Tqtal net insulated roof/ceiling azea .....:...........
Determtne "Q" value for each roof/ceiling segaent
' - - • X flp„ - ? -- -
.
k. E aVel lro
JZ& 6'- , R ??u.? ;aZ• ? zS, 3.2..: ,
? 1.
? . ...
' tTOTAL • Z? / ?.. ,
4i.
If total of 04 is the same as, or•less than 02, you have net tha intent _'.
of SBC 6006(c)1.. '
AltesnaCe Building Envelope Design.
,"?:. . ' .. . . • .
To utilize the total envelope system method, the values establislied by •
the eum of ttems #3 and C4 shall not be greater than the sum.of items 01
and C2. '
? 1.
, ;, . .
+ 2. ?
+ 4. ? •
•
.
, Z.
C E R T I F I C A'T I O N .
I hereby certifq that I have caleulated the "U" factora and R Valuea .
herein and that the building hero described meets o= exceeds the State of
Hinnesota Enezgy Conservation Act. .
. ?? ? .
(Signatute)
? . • (Aate) '
.
?.
FRT.t:E hALL
Construcfion R-Va2uc
? (..(?lL
1. Yi or air film 0.69
2
. -?,o c?
3
, ? . , i.nches soft wond
4 ? 10
S.
6. Exterior air film . 0.17
Total
?LL%l..? L?. . , U= .O?
`li ` Q?Y "AG t_-
1. InL•crior air filra O.SEt_
2- 7LrfltN1;qV
3
.
9. 2 t ? N? .tN
6. Exterior air filra
Total 1?,.. Z1.91 `, -
1
1. I terior ei.r filai 0.68.
2. 7%1,"
3. ' lj1t_? SOF1(n,OOb I,E?yi .
4. 2'VSL S?!F.TU 2D/a
5. t71? ?jy(, I,DS
6. Exterior air film 0.17
Zbtdl 2?f 34
04
1. Interiar air film 0.68
2. a ?' '` 1 K - tv_ 7. SD .
• 3. :2„ 3coUK i,L3
a.
s. ' G. Exterior air film 0.17
Total- - , b f
sr,ns o:a cnauE
:IG. 93
Y . . ? b
. p ?
. • u . ? ?i •
? .• a ?. ?
?. _ .
P . • ./ • ? b ?
• . • r . • ,
i ? 0• 74
;? r
..
. .? ..
/(f ?= , . . • ? •
/r? " ,. ' • . ' ? ?r? =?
;. , e . .
? ; .. , . ...? /?t
'?t1 '? • ? : . i /(/
FIG. 04 Jfl k '?• •• p ' ?/!/
` ? • . ,"iir ;.
HOTGs Yndica[c typo, "A" valuo, dapth and
placencnt oE insnlatton. .
• 1ViU.l. tiii? 7:IT,:S
h07`E: Us,c ]0:. of ol-:Ayur uill 'srca fOr
Sr.amc cwi::tructibn
• ; ..
. • R0011/C1:ILI1 IG
? .. i
r;
VEITT
?
l'?nte3 r
Lca[ S1a4:
up
Con.^tr.uction R-Valne
1, Interior ai.r film 0.61
2. A1, ? I "
3. i?' r'+:'t..N ?"? S•:L. • 'b, GU
4. Txtcrior nir film (st:ill) 0.6
- motal
.. ?, . (j)
- ot
Y. .
J
FIG. $5
' 1n?•?.tV::'.1nS?•:4__•?.?/•P._?f._?e_Je4.rrw?
Y
-0/V -
1;eat flow up
. . : • FIG. g6'_ :
2. Intcrior air £ilm 0.6T
2- l."
3. v h" Lo)F1uUd/J •?S'S
4. Er.teriar air film sr.ill,C: &F
Total i- y2 0 Z
7„ ir?aicic afr fflm O.Gl
2. 's.
4. .
5. outsicle air film •0.17
Total
NoCe: U::c additioaial ::hcets if more zpace i
!- needed for c}etai2s and calculatiors.
ven[ed
.
, .? NVII?YL?l6iI . if .
??' . HcaC
• , . flov up ?
pxr,. 07
?
?
?
2/84
a ;? I
(?l
CITY Or EAGAN
AP°LICATION EOR PERiMIT
SEWER AND/OR WATER CONNECTZOrI
PLEASE PRINTJ
1) PROPERTY ADDRESS:
r.Frar. DFSG2IP'PICN: J?Of ? l ? L,/ 41• 6?i?r'1
(Lot/Block/Subdivlsion or Tax Parcel l,D. NL.?m7er)
? i"r :.`iIS':_.G S'?'P,L'Ci'U'2E , DATE O° ORIGuIAi, ri;IiDI::G p=.-jjT ISS?:a%C ::
P°x'S= --:^,.`].Tr./??OPOSETJ C'S: ($, R-1 SM;GLE FPYSLY -
? R-2 DUPI....{ ('ITn'p LTIITS)
13 it 3 Tra.-k%L-?CLJSE (?';'_?= + L':7IT5) ( UiQZTS)
? R-4 APAR'!T=
:
T/
C
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DCi?S
IILfil
:
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Q CCSVlA'IF:CI.'-1L/ a?c.11i11YOFFICEE
? L\TJliSTRI.'vL
? Ni STITC,'TIO?]AI,/GGNnTXT
2) AppLI= (PLEASE PRINf)
NAi•IE: ??? ? • _/?
?L%?!
??; a-`'> V^
ACDRESS: .
?'? C? 1?. i'-?'i_?•G.c-,,,?/ ?.,, ?t,
CTTY, STAT'E, ZIP:
PHOtNE: 41'? ?-'Q
3) pEUmgEq NAME ;,/
r-(P?ASE PF1Ni) FOR CITY USE ONLY
' `??
ADDRESS: PLUMQfRS LICEYSE:
CITY, ST?TE ZIP:
r j Active
E:pired
PHONE; %&t'pLUMBER LILENSE N Not of Record
drr tnlCld
y/ W?UYHN'Lyp.v?lt? c lrLcnx rn1.1IJ
NAME:
ADDRESS:
CZTY, STAT'E, ZIP:
PFIOM:
5J INDIG'1TE S+IHZCH PERMIT IS BEING REQUESTID:
? CO.AIECPION 'IO CITY SE7r]ER
? CONNEC.TION 'IO CITY S+TATER
? 071ER (PITILSE DESCF2IBE)
W, 1..ul?.uL V::t:
?
?
PLEA.SE IIOLD APPROVID PERSIIT FOR PICF:-G'e BY ONE QF ABG'VE
?-'N
PLE'1SE hTAIL APPROVED PERMIT TJ 1, ; 3, 4 APOVE
'/ r-, (Circle one)
7) SIm-AT[7RE: -, c DATE:
? -?j
4
., .. .
??! Ail,?wfsJS i r1 s?cl?au ?t ?a I!fs sc?sa# is ?.s s rGSa?:? a ac !al.?rlls?l? a?i s s s in?saa s
F O R C I
PET^1IT °- ISSUED
Y U SE ON:,y
FEZS : $ ! d • g- d
$ /d. 5-0
$
S
S
$
$ 4l l o . <+-?
$ u-?.cC n---G
$
S
S
S
$ .
S
SEi^iE.°, n?avIrm (I`iCI;;DE SU°C`i?RGE)
WATER PERf4IT (INCL'JDE SliRCHARGc)
.
WATER METER/COPPERHORN/OUTSIDE READER
WATER TAP (INCLUDE CORPORATION STOP)
SESdER TAP
ACCOUNT DEPOSIT - WATER
WAC
SAC
TRGNK WATER ASSESSMENT
TRli:IK SELdER ASSESSMLDIT
LATERAL BENEFIT/TRUNK SE?dER
LATERIL BENEFIT/TRUNK WATER
OTHER
TOTAL
$ AMOL':VT PAID/qECEI2T
DOES UTZLITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGiiT OF WAY?
C] YES IF YES, THEN n"PERMIT FOR `r70RK WITHIN
? PUBLIC ROADWAY" MUST BE ISSUED BY THE
NO ENGINEERING DIV:SION. LIST AS A CONDI-
TION.
SUBJECT TO TEiE FOLLO[9ING CONDITIONS: "
APPROVED BY: =4--'A_A
TI;LE: ?-4-.69 DAT°: /?'-aO-?LP
Morning After
May 15, 7984
Page Three
28. The bids were received for Contract 84-8 (Westbury and Lexington Square
Additions) and the contract, including the alternate bid, was approved,
29, A request for reconsideration on the rezoning of the Cedar Cliff Planned
Development, presented by Mr, Jim Durning, was approved.
? R 30. The rezoning change for the Cedar Cliff P.U.D. was approved.
O? 31. The preliminary plat application for Cedar Cliff Commercial Addition was
approved.
32• The preliminary plat application for Pheasant Kno11 Townhouses presented
by Mr. Ed Dunn, was continued until the 6-19-84 meeting.
33. The prelfminary plat application, sUbmitted by Can American Realty
r Corporation, for Cinnamon Ridge 7th Addition was approved.
34. Harvey and Rita Kirchner's request for a variance from the 5 acre lot
minimum in an agricultural zone was approved.
`--
D 35. A request-
- from John-Parranto-f-or a 1-0'-var'iance from the 30' front
setback f`r Lots 21-29, Block 1, Hillcrest Addition, was,approved.
D?\ 36. A request by the Naegele Company to move an outdoor advertising sign
approximately 450' northwest along the new Cedar Avenue corridor was
approved.
?EAA- 37• All bills were approved and ordered paid.
?.
,. ?
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6
:3oc EnP;flar*znr- FD (). Rux ?;t ''tt:'-r?-e •,
,,`!.cnesot.s 5537c! "'clsphone s (612) W
Decmbor 1c), 1rF4
23r. Wi111c P,uttnor
SfA t:'atoeyoTB Dr. !'
Eagsa, 7?11nnorjotn 55122
RE: ?oil Reats on Lot 21t Bloek it Rillareet At1d4t#sres _'?'kR,'?+Ti''
-
Doar 31r s
In the norninq of Bo¢csr?bnr 17, ?,c?€/s Z?n;?pc3a*.,r,u the. p'tic;a;> n9.ko rtrtA.r
ull of the poor eao42a w,^ro renoned doun to +?:e raj!i'!ah brq,r Pinn aFrP,
Snnd Qron tho hlll rcroa;; +ho ctxert r.ma rincr' 'rq FiII to Fxinr t!I& rrr:•.r'
ug to tho deatro8 clcwetiona. '"hO PtZ2 c;aO placeff IA 2epers enr.` aor:?-ea*at?
with a vibrotin-- a:ooth -carT'cetor.
In tho. afternoon, I rier?o 4 in-n2eea denAf';r ?e?te tyi t11n ffl, i+ree p+'#ar
it, hnd boon Yu'ou!;ht. tip to tho Po:,+fna elevrti?!na, A11 0° }_.o
thet tho Pill Sn ce^-}^np'xd to snra tYtcn ^? ? of th3 rn-1+"?eA TrCn,tor .4vn
end a,'wuld bo nble to aupgort tho Yon±dVA vc-rg ae1l. S°. ia err-'Ar.r?,c?
nnad proctiea kb rFinforoo the i'cntS^Ra wlth 244 +'r rc-l-are r.on`innr"Iyi around t2io pcrinetcr oF tha bu•=lcllz+n. '
It ie iirportcnt to alopo tho ,^rountl nroiJ-O tha it•t'..'.,V.rr rtx °hPt wm"rce
r,^tor w311 &rein cc--,y Qrom the huildin?* p,n17 not tovmrr?s 9t.
Bttnchod rso tho ra?ialta of the t.cntop tho gltn of thnlr 1n"tIon, anA t"
rodif3ed Froctor dono9.tq curvo trai rMa rr.do far the P311 ao?Uo
9Yncorc7y?
L1i111an . A. Boe P.E. ( 1,tinna Rog. 4 65°4 )
M
y LoT z 1 a k3 LcyGtC 6., I-t FLLCitCsr AUttT
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CIT? OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
BUILDING
029821
04/24/97
SITE ADDRESS:
4847 RTCHARD LANE
LOT: 21 BLOCK: 1
HILLCftEST
P.I.N.: 10-32975-210-01
DESCRIPTION:
(ROOPING)
ermit Type
7 y p e
4+:
SF (MZSC.)
REPNIR
434 ALT. ftESIDENTIAL
??w??? ?
REMARKS
FEE SUMMARY:
VALUATSON
Base Fee
Surcharge
Total Fae
$87.25
$2.@0
? $89.25
$4,000
CONTRACTOR: - flpplicar7t - sT. -sc OWNER:
QUAIITY CRAFT,CONST 18950414 2000635 RETTKE 7ERRY
•550 E 92ND ST 5 4847 RICHARD LN '
ainnmTNr,-rnN mN 55420 EAGAN MN 55122
APPIICANT/PERMITEE SIGNATURE
fi(pPnk'0 AA
ISSUE Y:SIGNAT E
? 1997 BUILDING PERMITAPPLICATION (RESIDENTIAL) ?;?qjff
iq CITY OP EAGAN
? 5830 PILOT KNOB RD • 65122
21 681-4675
New Construction ReouiremeMS RemodeVReoair Reauiromenla
? 3 registered ske aurveys ? 2 eopies W pWn
• 2 copiea W Dlana (indude beem 8 window alzea; poured fid. design; etc.) ? 2 afte surveya (exterior adEitions & Cedcs)
? 1 energy calwlations • 1 energy celwlatlons tor heated addkions
? 3 copies o} tree preserva6on plan H IM plaltetl efter 7/1/93
requlred: _ Yes _ No ? -
I
DATE: I`1g CONSTRUCTION COST:
DESCRIPTION OF WORK: ?? r+'j? rrc? Ye - CuG?
STREET ADDRESS:
LOT BLOCK
LfL'Li 'I q1(,VlGlrtl L-C°x"?l
I_ SUBD./P.I.D. #:
PROPERTY Name: Phone #:
OWNER
Street Address:
Ciry: -C-GGa.iL\ State: MN; Zip: 56l
coNTu?cTOR Company: 4uc (a1-4-Uc-keaq Phone #: ? 15- 0`/?`/
Street Address: IC50 £ St ?4 5 License #: 26co (P 3 ? a
City: State: inn N Zip: o
ARCHITECT! Company: Phone #:
ENGINEER
Name: Registration #:
Street Address:
City: State: Zip:
Sewer 8 water licensed plumber (new construction only): . PenaKy applies when address change
and lot change are requested once pertnit is issued.
I hereby acknowledge that I have read this application and state that the information is correet and agree to comply with all applicable
State of Minnesota Statutes and City of Eagan Orclinances.
Signature of Applicant: lq 9?ua?)
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preserva6on Pian Received - Yes _ No _ Not Required
BUILDING PERMIT TYPE
OFFICE USE ONLY
?
0 01 Foundation o 06 Duplex n 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dwelling ? 07 4-plex o 12 Multi Repair/Rem. 0 17 Swim Pool
? 03 SF Addition ? 08 8-plex n 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch ? 09 12-plex o 14 Fireplace n 21 Miscellaneous
? 05 SF Misc. 0 10 = plex o 15 Deck
WORK TYPE
0 31 New o 33 ARerations o 36 Move
0 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MC/WS System
(Allowable) Main level sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code.
Depth Footprint sq. ft. SAC Code
Census Bldg
Census Unk
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S1W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
% SAC
SAC Units
L, 1-?- ++()
2004 RESIDENTIAL BUII,DING PERNIIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWdion ReoulremeMS RemodeVFieoair Reauiremenls OHicBrUse?Onlv
3 reg"stered site surveys shaxiig sq. ft of lot sq. iL of house; and a0 roofed areas 2 mpies oi plan Gert a( Sprv?Recd _Y N
(20%meximumbtmvemgeallowed) lsetofEnergyCalculallonsforheatedaddNons TreePresPlanRedJ Y 'N
2 copies of pWn slwwing beam 8 wiMow s¢es; poured fouM design, etc. 1 site wrvey for addifbns & decks Tree Pres Reqolred
15etofEneqyCalcuhSOns Additian-indicateAon-sdesepficsystem Dnslte"SeQhc
3 co0ies of Tree Preservation Plan if bt platted aRer 711193
Rim Joist Detall Options selection sheet (61dgs wilh 3 or less units
Date A;?_Mtau/? p Construction Cost I S r Zq6,`,?)
Site Address 'l a`t+ UniUSte #
Description ot Work "1?6w1Cj.( DKOQoJ?, L`m(r( dt zm
Multi-Family Bldg _ Y-y_ N Fireplace(s) _ 0 _ 1 _ 2
I PropertyOwner `V?_( (l.A A'-e.*X-C Telephooe#(4v1 ) G$g-a30z)
Contractor PELLA WINDOWS & DOORS
- 15300 - 25TH AVE. N. STE. 4100
Address _ PLYMOUTH, MN 55447
State 763-745-1400
LICENSE # 20165884
City _
Telephone # (
COMPLETE THIS AREA ONLY IF CON8TRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category , ResidenUal Ventllation Category t Wwksheet • New Energy Code Worksheet
(4 submission lype) Submitted Submitted
• Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% pian review
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone #(
Telephone #(
I hereby apply for a Residential Building Permit and aclmowledge that the information is conft?
that the work will be in conformance'with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a pernut, 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
apploval of plans. k / ^ ,
// 0( ,A.{,d-??A\_06' ?J
Applicant's Printed Name App ' ant's igiature
Sub Types
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ex[. Alt- Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Ait - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? OS 03-plex ? 11 10-piex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_v or _ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addilion ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alte2tion ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors
? 34 Repiacament 'Demolltion (En[ire Bldg) • Give PCA handout to appllcant
Valuation Occupancy MCES System
Census Code Zoning City Wa[er
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Btdgs Length Fire Sprinklered
Type of Const Width
_ Footings(new bldg)
_ Footings(deck)
_ Footings (addirion)
Foundalion
Dnin Tile
Roof _ Ice & Watec _ Final
Framvig
Fireplace _ R.I. _ Air Test _ Final
Insulation
Approved By:
Base Fee
Surcharge
Plan Review
MClES SAC
City SAC
Utility Connection Charge
5&W Permit & Surcharge
Treatment Plant
License Search
Capies
Other
ToWI
REQUIRED INSPECTIONS
FinaUC.O.
FinaUNo C.O.
Plumbing
HVAC
Other
Pool Ftgs _ Air/Gas Tesu Final
Siding _ Stucco _ Stone _ Brick
W indows
Retaining Wall
Building Inspector
Wd9E:l '.g •unr aWil paniaOay
Pella Windows 8c Doom - Twin Cides, Inc. 15300 25TI3 AVE. N. STE. #100
PLYMOUTH, A9N 55447
763/745-1400
June 8, 2001
Ciry of Eagazz
3836 Pilot Knob Road
Eagan, MN 55122
Dear Jan:
Elder 7ones Corporation is authorized to pull building permits for Pella Windows &
Doors - Twin Ciries, Inc. Please allow their representative to provide that service for us
in Eagan. This authorization shall be valid unril such time as the division manager
expressly revokes it, in writing to the City.
I request that this authorization be accepted expeditiousiy, so as to not delay the
processing of our building permits any further. Please call me if there are any questions,
I can be contacted at 763-745-1432.
Your imanediate attention to this matter is appreciated.
' cerely, ?
---.-
Bryan. May.
Replacement Sales Mattager
WIMMEWOmmruec+?usm?.lAiWs
cc: Karn - Eldcr 7ones
Denna KraRy - Replacement Sales Process Coordinator
Windows, Doora,
& Skylig?tts
WATS 1-800-462-5359
FAX763/745-1401
1
7nnr7h eWrrrn Wrur-.srus sihr cai 7ra vwa /T:CT rua rnionion
? q ? 9 60
2004 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone 9 651-675-5675 FAX # 651-675-5694
New Construction Reauirements RemodeVReoair Reauirements Otfce Use Onlv
3 registered site surveys showing sq. tt. of lol, sq. ft. of house; and all rooted areas 2 copies o( plan Cert o( Survey Recd _ Y_ N
(20°h maximum lot coverage allowed) 1 set of Energy Calculations for heated additbns Tree Pres Plan Recd _ Y_ N,
2 copies of plan showing 6eam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Raquired _Y _ N
1 sef of Energy Calculations Add'diar - indicafe i(on-stte septic system OnsHe Seplic System _ Y_ N
3 copies of Tree Preservatlon Plan if lot platted after7/i193
Rim Jolst Detail Options selection sheet (bldgs with 3 orless units
Date._Q(Z/ 0 7 /0`1
Site Address H?KW 7 }7 `r",A t ? ConstructionCost'Y lo, 3s-v
Unit/Ste #
Description of Work ?S,?Q TP.a!' pC Cl 1? >?cQ2 A.
Multi-Family Bldg _ Y4\ N Fireplace(s) _ 0 _ 1 _ 2
Property Owner i{'rlei}y'- Telephone # (f-S 1 ) 6fSg - )3Qp
Contractor Ltc& ?k?Gl?,?jfs
Address s?aSi?
State ((U/V\
Zip 2m 1
Telephone #(6,{ I) 61fk- 6 3(ft
COMPLETE TFIIS AREA ONLY IF
Energy Code Category - Minnesota Rules 7670 Cateeorv 1 _
. Residenlial Ventilation Category 1 Worksheet
(J submission type) Submiried
• Energy Envelope Calculations Submitted
A NEW BUILDING
Minnesota Rules 7672
• New Energy Code Worksheet
Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _
fee applies.
Licensed Plumber Telephone #(
Mechanical Contractor
Sewer/Water Contractor
N If so, 25% plan review
Telephone #?
? ?IR)c6r; U m
I hereby apply for a Residential Building Permit and acknowled #4hat the info?r tx?i complete and accurate;
that the work will be in conformance with the ordinances and c s of the Cit of Ea an and the State of MN
Statutes; I understand this is not a permit, but only an applicatio mi , an wor 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. _ A _
_i? 10c.
ApplicanYs Printed Name
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 18-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex El 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or_ N? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building" ? 43 Reroof ? 46 Windows/Doors
? 34 ReplaCement "Demolition (Entire Bldg) - Give PCA handoutto applicant
Valuation Occupancy MCES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ Final/C.O.
_ Footings (deck) _ FinalMo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ AidGas T ests Final
_ Framing _ Siding _ Stucco _ Stone _ Brick
_ Fireplace _ R.I. _ Air Test _ Final _ Windows
_ Insulation _ Retaining Wall
Approved By: , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
2004 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. 6_4 Ilrs? C)
Date U 1
Site Street Address Unit #
Property Owner Telephone #
Contractor c 7r. lmi v U0 I (Qg /Er,P"yl al.°r Telephone#
Address C±C 1220 1'T ?1 A,&- I N City ACL( State_LLq- Zip ?
The Applicant is: _ Owner Contractor _Other
AlteLations to existing dwelling
_Add fictures to rooms, excluding water softener and water heater
_Septic System Abandonment
_Water Turnaround (add $121.00 if a 5/8" meter is required)
Other: $ 50.00
J\ Water Softener _ Water Heater
_ replacement _ additional $ 15.00
Lawn Irrigation System RPZ_ 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 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.
J" ?'?yn1y.r
Applicant's Printed Name
-?L- .
Ap icanYs Signature
II
?? ?? 0
2007 RESIDENTIAL MECHANICAL rEUMiT arrLZCATioN
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for. single family dwellings & townhomes/condos when permits are required for each unit
.19-o 10
Date?/?? /0?
Site Address Unit #
Property Owner Telephone #((45 (O,N -
' ?I
E_ ?
Contractor
I [aLA
lA rn6r\(n
5treetAddress b`1 L) UrLI.[>j ? V i_ City ()7 ?G1j/4, I
State MA/ Zip Telephone# (es
Bond#: Expires:
The Applicant is _ OwneT ? Contractor Other
Fire repair (replace burned out appliances, ductwork, etc.) $ 90.00
This fee applies when extensive mechanical repairs are made to a building.
Add-on or al[eration to existing dwelling unit - $ 50.00
_ furnace _Additional ?Replacement _ New
air exchanger
X airconditioner
heat pump
other
S[ate Surcharge . $ .50
C
U, Li
LE?
T°tei APR 1 6
2007 $? ?
I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; [hat the work will
be in wnformance with the ordinances and codes ofthe City ofEagan and with the Mechanical Codes; tha[ I understand [his is no[ a
permit, but only an application for a permit, and work is not [o start without a p it that the work will be in accordance with the
approved plan in the cue of work which requires a review and approval of plans r .
Applicant's Printed Name Ap 4"re