1467 Richards CtCity of Eaafl
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
1
Permit#: 1s® -7 2
Permit Fee: E5`e
21
Date Received:
Staff:
INFLOW & INFILTRATION PERMIT APPLICATION
V Plumbing / Sewer & Water
Date -7 — Site Address:
`147 /�/C-,}itQS Q.7* • 71iV, '>i1/
Tenant: / • 41 /jam
Suite #:
RESIDENT /OWNER
Name: `--"*EVA) /V/.- /C.9Cc%1/, Phone!f�6i)'9 7
!
Address / City / Zip: / 7/f/� g ,E--.40..„9",/ 'W/1/ ��/.2„)._
j
CONTRACTOR
4)1
Name: /14/%06/moi. /VVe21,c/S' /j License #:
Address: %. /&ei /7iVA- /i.5'`"-'7' City:' ?/ p9 'L_
/ (�J-
State: 41�Y Zip: �%O %6j Phone: 5'M 4W"--- .1e46/
Contact1' N Email:
TYPE OF WORK
PL(,JMBING (Within the building envelope) SEWER & WATER (Outside the building envelope)
_ Sump Pump Repair Repair
Other: Other:
DESCRIPTION
Description ofwork./1 9LL 4/E7.J ..5ui�A7�p./dty/ 4k/74i di, (45I..t
–
l/fit9 fk v, c - /0/0040— 7' /,,v e907 ®E" "Z-72. .7. •
FEES
$55.00 / Each (includes
$5.00 State Surcharge) (Rev. 6-30-10) TOTAL FEE $ •
*
*Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit Ill repair costs for
reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors
can be found by visiting www.citvofeagan.com/inflow, or City Hall at 3830 Pilot Knob Rd.
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 plan in the case of work which requires a review and approval of plans.
x - 7 1./&1/ 'l. �/At,
Applicant's Printed Name
x729
A plicant's Signature
. CITY OF EAGAN
. 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PERMIT PHONE: 454-8100 aK??? ? -1/ y (?/ z,
Te be wW fer SF LWG/GAR Est. value $69000 pO1e JULY 19 , 19 84
SiteAddr $s
Lot slock ?ec/sub. WALDEN IITS ST
Parcel No.
W Name MZCHAEL & JOAN KINCADE
? Address
Ciri Phone
Name FFATUttE BLDRS INC
Z?
u? Address
? City one ??
S.N
?a
1 hereby ocknowledge that I have read this application and state that
the inlormution is correct ond ogree to wmply with all applicoble
Stata of Minnesoto Sfotutes ond City of Eagon Ordirwnces.
Erect IJ Occupancy KS
Remodel ? Zoning
Repair ? Type of Conat.
Enlarge ? No. Stories
Move ? Length 5
Oemolish ? Depth 48
Grade ? Sq. Ft.
Approvais Fees
/lssessment
Woter a Sew.
Police
Fin
Er+p.
Planner
Council
Bldg. Off.
APC
Var. Date
Permit 340.00
Surchorge 34.50
Plan check 170.00
SAC 525.00
Water Conn. 470.00
Woter Meter 63. 0 0
Road Unit 260, 0 0
Parks
-
Total $1, 862.5
0
Siqnoturo of Permittee I
A Building Permit Is iuued to: FEATURE BLDRS on the express condition thoi
pll work sholl be done in acc4rd9with all o lioobte State of Mlnrxsoto Stotutea and Gity of Eapcn Ordinances.
Buildinp Offitial
Pe?mit No. Permit Holda Date
Piumbing ? (p6 Fj J-,,,
H.v.a.c.
ENctric
Softener
Inipection Date Insp. Other
Footings
Foundation
Framing ? fr
Rouph Plbg.
Rough HVAC
Inwlation
Final Plbp.
Final HVAC ?
Final
CKt/Occ.
Water Describe Location:
YVsll
Sswer
Pr. Disp.
Receipt Y MECHANICAL PERMIT
CITY OF EAGAN
?
Fill in numbered spaces
Type or Print legibly
Permit Na.
Fee s/c
Tot. ?) l} ?
1. Date ? 2. Installation Cost
3. Job Address Lot Blk. ? Tract ?
4. Owner?Er17?/?"E?
5. Contractor+v"'atie'0"s 11?1-6 Phone f.?5/-o9s9
6. Address !2'?'9o CR???o 7Eg•
7. CitYEU?? ?A/RIC State %??//
$. Building Type: Residential ? Commercial O Institutional ?
9. Work Descript+on: New 12"- Add ? Altes 0 Repair ?
10. Describe Fuel Type /Vfr 64 S
11.
No.
? Eauipment 8TU - M. Ea.
Fosced Air No. E ui ment CFM
Air Handling:
Mfg.
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mfg.
c/ Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with II ordinance and codes governing this type of work.
Signed : ?'?4 for
Rvugh Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454,6100
=4V 1GeJ• L_v")'lc.[..?' # r? PERMIT #
MECHANICAL PERMIT RECEIPT #
CI'fYOF EAGAp
3830 PILOT KNOQ ROAQ, EAGAN. MN 55122 DATE:
CONTRACT PRICE: PHONE: 454-8100
Site Address ' i ' BLDG. TYPE ?
Lot -? _ Block Sec/Sub Res.
r',? c._?. ?.,_ ::.. ' ?7
Mult
? Name ?
Comm.
Address '
? ? City ?h?
" Phone
WORK DESGRIPTION
New
Add-on
Repair
FEES
Name RES
HVAC 0-100 M BTU -$24
00
? . .
c Address ADDITIONAL 50 M BTU - 6.00
p City ' Phone (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS QUTLETS (MINIMUM - 1 PER PEkMIn 50 EA
- 1
.
.
TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE
ForCed Air M BTU APT. BLDGS. - CaMM. RATE APPLIES
TOWNHOUSE 8 CONDOS - RES. RATE APPUES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
Unit Heater M BTU $ REMODELS - 12.00
Afr Cond. > M BTU MINIMUM COMMERCIAL FEE
STATE SURCHARGE PER PERMIT - 20.00
- .50
Vent CFM $ (ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Outlets # BEYOND $1,000)
Other $
FEE:
. S/C: P?ERMITTEE
SIGNATUR=,
Qj
TOTAL•
`
i
`/`??l lN??CIA,,
FOR: CITY OF EAGAN
e
Receipt PLUMBING PERMIT Permit No. ?(? ?? •
CITY OF EAGAN '
Fee
Fill in numbered soaces S/C
Type or Print legibly L)
1. Date 1.20 2. Installation Cost
'el C ?- I C T
3. Job Address Lot , ?_Bik. ,_ Traci'
4. Owner L;
5. Contractor '/ Gf /\ P jJ fZ/ b zzPhone
6. Address f,5(]
7. City U/ State Zip
8. Building Type: Residential A
9. Work Description: New 10-
Commercial ? Institutional El
Add O Alter O Repair ?
10. Describe
11.
No.
? Fixtures
Water Closet No. Fixtures
ool /Drainfield
Cess
/ Bath tubs p
Septic Tank
Lavatory Softner
_L Shower Well
Kitchen Sink
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 oorrect, and I agree to
comply wi?ll ordinances and codes governing this type of work.
Signed: ?for
Rough ? Final
Inspections: Date Insp. Date Insp.
This is your permit when numbercd and approved.
Approved CITY OF EAGAN 4548100
CITY OF EAGAN Remarks 1 - - I / J),?, ??
Addition WAIDEN HEIGHTS 1S'i' ADDN Lot 3 Blk 1 Parcel 110-83300-030-01?
owne? screet 1467 RICHARD' S COURT state SAGAN MIN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 1976 153.31 10.22 15 61.33 A014708 10-12-84
SEWER LATERAL -L
WATERMAIN
WATER LATERAL
WATERAREA 2li / 137.70 A014708 10-12-84
STORM SEW TRK S 1984 673.75 134.75 S 539.00 A014708 10-12-84
STORM SEW LAT - •
CURB & GUTTER '
SIDEWALK
STREET LIGHT
Road Unit 260.00 #44819 7-19-84
WATER CONN. 470.00 "
BUILDING PER.
SAC
529-00
PARK
OF EAGAN SEWER SERYICE PERMIT
Pilot Knob Rosd
Box 21181 PERMIT NO.:
i, MN 551Pi DAT'E: j
?Feature drs No. of Units:
Address:
Mr.
.-? 44619
. ro eompy wieli ehe Cily ef Eeges Connection Charpe: 425.00 pd
osess. Auourwt Deposit: . u
Permit Fee: • .
Surdiarpe: • ? pc
Misc. Chargea:
of Insp.: Totoh
?CITY OF EAGAN
3830 Pilot Knob Road WATER SERVICE PERMR
-i , ?'
: l-
P. O. Box 21191 PERMIT NO.:
Eagan, MN 55127 DATE: !`
Zoning: F1 No. of Units:
pwner. Feature Bldre
Address:
? Stte /lddrcss: 1467 P.iChards Court I.3 B 1 k'alden Hgts Ist
plumber; Lakevi118 P b H
Meter No.: Connection Chorge: 470.00 d
Size: AccouM Deposit: ' p
Reader No.: Pertnit Fee: U.
1 o9ree [o caeofp wilb Nu Ciep of Esqon Surchcrge: • P
Oniineno... Mtsc. Chorqes: 53.00 pd mete
Total:
By Date Paid:
? Dote of Insp
: Inap
:
.
`-- -- .
-- -
a Y OF EAGAN WATER SERYICE PERMIT
0 Pilot Knob Road
, Box 27199 PERMIT NO.:
MN- 55721 DATE: inp: R 1 No. of Units:
er; Feature Eldra
Address:
?'AAeter No.: - '
-
^ on Charge:
?'? 470.00 ?d
?
Siu: `/ .
Account Depostt: ??
15. 0
` pu
Reo r No.. c ? `'? R Y
' L A???
C?R?T 9ree: ? il
I. _ . ; pc?
1sgrse to oss !?r wilh !ke Citg of E?yen Surcharge: . 50 nd.
OrdieonaM. ZA D g AAlsc. CFarpes: 53 70 p d met et
j Total:
By
l?&? Date Paid:
Date of Imp,: Insp.:
. ? -. •-
w3a
O CITY OF FAGAN Include ? sets of?plans,
,?? rr3 Gertificate of 5urvey. &
d?? ? gUILDING pErzlIT APPLICATION 1 set cf energy calculations.
S. F DwU • ??a,2.
Zb se used For h- .•_ valuation 6 SCl o o Date 7a3..Z19q-
Site Pddress ? N (?(l 9?k" CAw&
Lot .3 Bloc7c ? Sec./Sub. wl.,? J?
o?dcQ? '
Parcel #:
Oaner : _2?? d- 9? .?ytc?.a.cQ?Q
Address:
City/Zip Code:
Phone #:
Contractor: 9.21r'?
aaaress: 1 r si 3-A" ?,?•. . _
City/Zip Code: a-'(Ann,? S5-37:2
Pnone #: 5- - 819-V 3
Arch./Fhg.:
Address:
City/Zip Code:
Phone #=
' OFFICE USE ONLY
Erect X Occupancy ?-3
Alter zoning R-I
Repair
Enlarge _ 'Iype of Const. ?
Nbve # Stories
Deiolish Front gc? ft.
Grade Depth 8 ft.
APPROVAIS FEES
Assessments Pexmit 34 ? . =
[9ater/Sewer Surcharqe 3 4.?
Police Plan Check
Fire SAC
glq. Water Conn.
Planner water Meter C03• ?
Council Road Unit
Bldg. Off.
APC
nrrAL l) $ 41 -) •Sv
2? x 3? ? 13co x?? - s??g4
1?? x 20 - 20o x I oR)oo
?x 22 - ?? x? ? = 7ZC?v
?-
CITY OF EAGAN
' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ,? ?
PHONE:454-8100 LL d'/ BUILDING PERMIT keceiot #
Te 6a uwd fer SF DWG/GAR Esr. Vawe $69000 pote JULY 19 1 q 84
Site Addreu 1467 RICHARD'S CT Erect L`3 ,?a Occu pancy R3
Lot 3 elock 1 cec/Sub. wALDEN HTS 1ST. Remodel ? Zoning ?-
Parcel No. Repeir ? Type of Conrt: V'
Enlarge ? No.Stories
? IN,,e MICHAEL & JOAN RINCADE Move ? Length 50
?
Address Demalish ? Depth 48 ? Sq. Ft.
City ROSEMOUNT phone Grade
g Name FEATURE BLDRS INC
?S Addresy 15513 LOGARTO LN
? c;ty BURNSVILI4fO 4 3 5 - 8 4 4 3
Name _
Address
City Phone
I hereby atknowledge that I hove read this application ond sfota that
the inlormotion is correct ond ogree to comply with all avolicnble
State of Minrresoto Siotutes ond City of Eagan Ordironces.
Sipnature of Permittee
AVVrftols Faes
Assessment permit 5 340.00
Water 8 Sew. Surchorge 34. 50
Police Plan check 170.?0
Fire SAC 525.00
Eng. 470_ 0 0
Water Conn
.
Plonner WoterMeter 63.00
Council Road Unit 2Fn-n0
BIdg.Off.
APC Parks
Total V677Y0
Var. Oete
A Building Pertnit is issued to: r"C:H'1'UKC? riLUNS on the exprcss condition thot
all work shall be done in a da wlt?a?ap iwb State of Minnewta Statutes and City of Eopan Ordinoncea.
Buildinp Official -
!4q Q,.( ? REQUEST FOR ELECTRICAL INSPECTION EaA°°°i'°°.
,See iBtruetims for coemaleting this fvm on Eaek ol yellow copy.
A n 7 n n99 "X"" Below Work CoLered by This Request
F1w4Addl ROV-I TYDe ot Building I ApDliames Wired I I _ EpuiOmeot Wired I
q fes ServiceEntn?eSrse # Fee Feeders/Subieeders # Fee Circui s
0 to200A 0 to30A 0 to30Am
Above 200 Am - 31 to 100 qmps 31 to 100 A
Swimming Popl Above 7?_Amps Above 100_A
Transfomiers Irtigation Booms Partial: Other Fee
Sig's Special Inspection 5/D
TOT EE
flemerks FO
?
Rough-in
Date
I 1, the Elechiral
lnsnctor. heraby
rtiH tha[ xLe above
F?al (
D
e?
- nsPection has Oeeo
'
? ea.
nxs'wumt.ow 18 monue rran
cq ? REQUEST FOR ELECTRICAL INSPECTION ??Fg-O°°°'?
? , See ihrstructions for cooploting this fmm m hack ot vellaw cooy. ? a /a ?/ viv A. n?`? ??''? "'X"" Be/oiv Work Covered by This Request ?
Nap Add pep. TVDe of BuilAiW ADDlidmes Nired EquiDqlent Aired
Home Range TempprarySe'r\rice
Duplex Poater Heater Lighting Fixtures
Apt. Building Dryer ElecUic Heatin
Commercial Bldg. Furnace Silo Unloadrr
IrduStrial Bldg. Air Conditioner Bulk Milk Tunk
Farm T cec'h' the. ISVPCiWI
t r Succiry O[ er O1hr,
Compute lnspection Fee Below
N Fee ServiceE'rtrs,rceSiie q Fea Feeders/Subteade,s k Fee Circuifa
0 m200 0 to30A 0 to30.
Abuve 200 Amps 31 to 100 Amps 31 io lOQ AnWs
Swinmi Pool Above 700- Amps Above 1110 Anips
TransTOrmers Irtigation Boorts Partial•'Other Fee
Signs SPecialinspection ?q-
404
$
TOT
~
Nemerks :7V• ?
ALy1 , PE?
J_fD
/ • / N / Q
ftough-in Date
1. t Elecv
.?? IrisVec .
awr?ity tlnf tly abmie
Final
i ?ate ?.
? i peetian hss 4een
TM6 ie9uest voW t8mW1t7Blrtlm
This rep.est Wid ?/_ /?O
18 months frOm °) b
A 083561 ?
q,? 4/Sy
__. __._ ..? .._. ....?,. ...; .vw?..?..
(^7?1 Q// Neqyired. ? 1[]Ready N. iP.NUtifv Impec-
V / Q?? y?es No ler W??n qp?v
Licensed Elechical Contrnctor 1 hereLy roQUest ins0ei,tion oi above
[..} Owner elediical wmk installed aC
Sireet tldress, Box o, Noute o.
>5??7 C-4`. City ?
ecuon o. Townshio Name or No. Range No. Coumy
Occapant (%11NT) Pho No.
Pow Supplier Adtlress
st6T
EleCtrical ConVactor fCom?'p/a?ny Na?rrel /? ''7'? ?
?..jC-w?f1??C, s?-s'K.? Contracto?r s^ Licorx Np+?(
6MilinB Address (COntracmr w Owner Lliking Iretatlatian)
s?'/ rn?? • G. •v 55??
Aut orized SiBrui[vre (Co taclor er Mek'np I stallalian) Phone Nanber
•Gs--'O
MINNESOTA STATE BOARD OF EIEGTIIICIT' THIS INSPECTtON BEQUFST MLL NOT
Gri9es-MidweY BId9. - R. N-197 U ACCEPIED B7 THE SfAIE BOAflO
1821 University Ava., St. Paul, YM 55104 UNLE53 PIIOPEq INSIFC110M FEE 6
Plwrre 1672) 2972717 ENCLOSED.
REDUEST FOR ELECTRICAL INSPECTION •= ea00001-07/
-- ? See inslrucibns tor completing this form on back ol yHlow mpy. Y CS ?!J-' ?i! /.
ll 0 T
ff= 5 616 ?. "X" Below Work Covered 6y This Request
e Atld Rap. TypplDuiiding AppliancesWired EquipmeniWired
Fbme Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./Industrial Furnace
Farm ' Air Conditioner
Othar (spetlfy) Coritractor5 Remarks:
Compute Inspection Fee Below.'
# Other Fee # ServiceEnvanceSize Fee # Cirouits/Faetler5 Fae
Swimming Pool 0 to 200 Amps 0 to 100 Amps
TranstOrtners Above 200 _ Amps Abova 100 _ Amps
Signs Inspeclork Use Only: 7p7pL , Z
Irrigation Booms
Speciai Inspection
Alarm/Communication
Other Fee d
I, the Electrical Inspector, hereby
ce thattheaboveins ectionhas
? P
been made. Rou9n;n ?
Final oa?e
Datej? ?
OFFlCE USE ONLY
TNS request wid 18 months M1om
5
6161 g
?
?
/D
. ,
RequestDate
'7
L re No. Rough-In Inspection
ReqWred?
" VReeEy Now ? Will Noliy Inspector
Wh
R
t ' ? Yes pf
No en
eatly?
t
I Ci.licensed contractor ? owner hereby request inspection of above electrical work at:
Job Address (SUeet B. or Route Na.)
/ Co'l
r?S C' Ciry
f'O-G A
Seewn No. Township Name or No. Range No. Counry
I I !(S ig
Occupent RI ) - Plwre No.
C 4-
Power Supplier
il+Ko q- Adtlress
r )j
Eleclriral ontractor (COmpany Name)
11 1" x3- nJ
I= "? Co actork Licenee No.
? Yo S??/ -3
Meilirg qGtlress (CoM2IXOr a, Owner Mekiry Installfltbn) r?`7?
12rt ,?/3 /
Auihon Nre (COntra er M nstalletion) Phone Number ^
A 6, / I
MINNESOTA STA BOAqD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-MlEwey B tlg. - Raom Stl3 BE ACCEPTED BYTiE STATE BOARD
1821 Unlverelry Aw., SL Paul. MN 55161 UNLESS PflOPER INSPECTION FEE IS
Phone(el2)BC2-OB00 ENCLOSED.
tnis reaiest voie L4?l_( `I T1
18 mpnths fram. T O L
A 070022 L?
Bequest Date
-7 l?? -gy Rre No. Rough-in Irtspection
retl?
DReaAY Now ill Notiiy Irepec-
Yes ?NO ? ?aaY
licensed ElecniWl Cantracmr 1 hgrab
y repuest inspaction of above
Owner electri 1 wark imtalletl ae
Street Atld.ess, 8ax w ibute No.
Lr?3 94C / I-A71,' Ciiv '
ecUOn No. Towns iD ame w No. ange No. Caunly
Occupant (NtINT) M0.6
Power Supplier Address
f?e rical Contractar (Conparry Name) Contractor?s License No_
Z?67C6Z?Me t C CH t -?y ( '?5 °
Mailin0 A dress (Contracmr w Owner Nakirq fretailation)
lssa l <:2=? 1m?r .c,. rnne S53??.
Au orized SiBreNre IContmc?or Maki?q I Ilation)
v-- Phone NumDar
SV2
MINNESOTp yTpTE gpppp pF EIEGTiiICITY THIS INSVECTION REQUEST WII.L NOT
Grigpa-YiAway Bldg. - ibpn N-797 BE ACGEPTED BY TNE STAiF eppBp
7821 Uniwrsity Ave.. SL Faul, YN 65100 UNLESS PROPER INSPECTION FEE lS
PAo're (612) 2972171 . ENCLOSED.
1 a- 'zj ?-`? ?- J
w k9.L-w H-e?
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55722
651-681-4675 ??-
Naw Conshuctbn Reaulramsme
• 3 repLtered site surveys ahowing sq. it. af lot, sq. fl. of house; arM II, roofed areas
(20%mazinum lot caverage albwed)
. 2 copies of plen showing beem & wlndax slzes; poured found deslgn, etc.)
• lsetofEnergyCatulatbns
• 3 copies of Tree Preservatbn Plan If bt platlBd atler 711193
• Rlm .bist Detall Optbns seleclbn sheat (hktqs w'Ah 3 or less units)
DATE `C 6 Z? fcZ
SITE ADDRESS I`l ?? ?,,! q`-"' S Gt
TYPE OF
APPLICANT
HemodeVHeoalr Reaulrements
. 2 copies of plan
• lsetofEnergyCalculatbnsforheatedaddttbns
• t site survey tor ederior aeeAbns 8 oecks
• Indicate H home served by septic system for edtlttlons
VALUATION -63 do
MULTI-FAMILY BLDG _ Y _ N
STREETADDRESS II.VDD IZ lhJE s CITYFaea"
TELEPHONE #q!12 S?S qZJg CELL PHONE #(DI Z IOK S D30 FAX #
PROPERN OWNER 54Yt5 1'A"C 6-h1 n b TELEPHONE #6:)S1 -;4q05-
,/ yy
--------------------------------- °----------------- ------------------------------ --°---------
COMPLETE THIS SECTION FOR -NEWff RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 9670 CATEGORY 1 MINNESOTA RULES 7672
(d submission type) . Residential Ventilation Category 1 Worksheet Su6mitted . New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor:
Pluxnbing system includes:
Mechanlcal Confrcctor:
Mechanical system includes:
Sewer/Water Conhactor:
_ Air Conditioning
_ Heat Recovery System
--------------------------------------------------------------------------•
1 hereby acknowledge That I have read ihis application, state that me
wiTh all applicable State of Minnesota Sicrtutes and City of Eagan OM
Signature of Appllcanf
Phone #
Phone #
is
Fee: $90.00
Fee: $70.00
JUN 2 F 2002
-----------------.
and agree to cc
- ------ - - - ---- - --------- - ---- - --- - -
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
_ Water Softener
_ Water Heater
_ No. of Baths
Phone #
L.awn Sprinkler
No. of R.I. Baths
)RK I CJIY- ul-t" V Y-b LMl-- FIREPLACE(5) _ 0_ 1_ 2
OFFICE USE ONLY
? 01 Foundation
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? OS 03plex
O 06 04-plex
O 07 05-plex ? 13 lfiplex
? 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_Yor_N
? 20 Pool
? 21 Porch (3-sea.)
? 22 PorohlAddn. (4-sea.)
0 23 Poroh (screened)
? 24 Storm Damage
? 25 Miscellaneous
? 30 Accessory Bldg
? 31 Exl Alt - Mufti
? 33 Ed. Alt - SF
? 36 Multi
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
O 32 Addition O 36 Move 81dg. ? 42 Demolish (FOUndation) ? 45 Fire Repair
13 33 Alteretion O 37 Demolish (81dg)* ? 43 Reroof ? 46 Windows/Doors
O 34 Replacement •Demolkion (EMire Bldg only) - Give PCA handout to applicairt
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) _ FinallC.O.
_ Footings (deck) _ FinaUNo C.O.
_ Fooengs (addition) _ Plumbing
Foundation FIVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests ` Final
_ Framing _ Siding Stucco Stone
_ F'veplace _ RI. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
W ater Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Pertnit
Mechanical Permit
License Searoh
Copies
Other
Total
CERTIFICATE OF SURVEY
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5?---------
? pRA?nAGE ?.
? UTI?lTY ERSEMEN"T
i LOT 3
? BLOGK 1
I 0 0 ?
PROP05ED ?
9 HOUSE -
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r; 89° 5'7' S8" E- 80.D0 10
M RICHARD'S COURT
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A CEKTERuNEi
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FIevationa shown are existing, prades
end arO asr;umed clatum_
G:iray;o I luor tn bc• not less [han
1 .0 tont I bovc stro" t.
] heroby cortify that this is a rorrect represrntrition of a sorvev oI:
LnC'i, 1Sluck 1, WAI.DEN H}?IGH'I'S I'7RST ADDI'1'7UN, Uukota Cmuntv, Minnesota,
ziccording lo tho recordeil plal thereof.
and thar 1 am a du1v re};istered ]and s?rvevor onder tl„• law, oI the State of Minnesuta.
(11 / ?
C;one L. Jacnbson 1inn. Ke };. Nn. 7734
Un[?-d thi?; 12t1i Uay ol Julv, 1984
OR BY GR3 SCAIE - I" = 30 a DENOTES IRON MON BEARINGS ARE ASSUMED DATUM.
Pre-par"d fot:
ri:n.ru!:n snii.nrrs JACOBSON SURVEYORS
15515 i.?Ig nrt11 i.;I nI LAKEVILLE, MINN. 55044
hiurnsvill•, M!? -iii
PHONE 469 -4328
, . .?
?' ?1.•' Ex?ER10R ENYEL'OPE AYE '11• COMPIRATION
OMNER I0iG `7A1'4 JO fF N ?ive??E
S1TE ADORESS XXXX k)CAr4lLDS -7- _ L.oT3 160g,
CONTRACTOR f?r? 5_ pi?-f?R S DATf 0' YY PHOME A 3 3' y
petermine workin9 square footi9e of each.
1. Tocal exposFd uall area .....,. tgo1z:?L f0• ft• __,,.a?Y'` ? Zd`J•?
rvoF/ceili?;•? arcr .....,?fZS'.j sq. ft, x?5?• 2(o
2. Total
,O2&
Tota1 expused uall area above floor •
a. Total wail window area ........................... C20.G6
b. Total door area ..............•••,•.•.•••..•••••. 't z °?
c. Total sliding ylass door area ................... _ d o o'c.
?
d. Total fireplace wall area,,................... ...
e. Totel wall fra•iiny :rea (average lOS)...I ........ t?0.7 9
f. Total net aall area above floor ................, 13 5-2.02
9. Total rim joist arca ............................ q 9.2 0
Total e-;posed foundation ai2a s g S•a 7
h, Totai fo!inC:tic; r-indow area ..................... 2.G2
i. Toal net fotmd'atic,n area above grr.,e .. ... ••.•••• t.?
Detcrmine "U" value of eacli utll Segment.
a. 20:1c12_- x -un _L.iL-- ' -1.6-31,--
b. 1( "U° Q.??
X
C. d Q-DZ "U" '? • Z20/
_
?-
d Z
.
^u•
¦ ?
e. I9 0.?9 x „u._ ? ZZ.U?
r. f4?'L•?3 x „v •07 • 4,6a
y. 9 q. Zu z mu• .q i-
n._ -Lc z x Nu• „?- . ?.4 a
` i. 82.ss z ^u• .47 . ?
3. .....,...,.7:97.. .,........TOte1
lf ltem 13 is the sama as, or less than item 01, you hev• Mt the fntent
of SBC 6006(t)2.
t = .
?otal exposed roof/teiling area = ?12 S•S7)
j. Tota1 skyliqht area ..................... ... .
k. Total roof/ceiling framing area (average 10°1)...
1. Total net insulated roof/ceiling area............ U2S-A7- =
Determine "U" value for each roof/teiling segment.
I- --XnUll .
k. X "U" •
i, z,.U„ ?? . 27
4 ............. lI.?S•Sv..... ....... Total ¦ G,Z Y-
If totat of l4 is the same as, or less than 12, you have met the inten? of
SBC 6006(c)1.
Alternate 8uilding Envelope Oesign
To utiliie the tota) envelope system method, tne values estahtished Oy the
sum of items 03 and 44 shail not De qreater than the sum of items /1 and 02.
1._3,1j..?°? z.?i.?-z?
3. ZS7.+ a. S6•27 `..I(3qv k
1804 Melody Lerw
Bumrville, MinnasoLa.
8903063
WEP/A CO. PLAN SERVICC
ED ANDERSON
?RGNITCCTUML OC8IGNWG ANO PLANNING
o+fICl:?? ? .
1190 C ' O(IiCO:
gurnsville, Minnezote 89P4636
2/84
, • ? CITY pF EAGAI3
/ APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
(PLEASE PRINT)
1) PROPEIZPY ADDRESS: ?`?? ?J ?? + yu y- ?I ?
?
r•Frar. DF.SCRIPTION: ..
(LOt/Bloclc/Subdivision or Tax Parcel I.D. NLmber)
SF E{i=T::G STRUCIURE , DAir. 0_° ORIGINAL uiiIILLZ`:G Pt?:ST ISjUAi:C:::
?
! PRESL:1 ?:.^.2II71r,/P??OPOSEJ li5;: -P. R-1 SINGLfi r^PMTY
? R-2 DLTPLEX (T.-,'o LtiZTS)
? R-3 TWvNHOUSE (TFIlZE" + L7NITS) ( UNITS)
? R-4 APARZME.NT/CONDCtNINItM ( UNITS)
? COMSMERCIAL/RETAII,/OFFICE
? 11DUSTRIAL
Q INSTITOTIONAL/GOVEF2DP+IQNI'
2) APPLICANI, ( LEASE PRINT
PIAl"IE: f
d ?
?G? ?? ??s?1 /'--t
ADDRESS:
-}
zZip
CTTY. STATE. ZIP:
PHOINE:
a
3) PLumBER
NAb4E : PLEASE PRINT)
? FOA CITY OSE ONLY
PLUMARS IICENSE:
ADDRESS: ?
Active
CITY, STATE, ZIP: Q Expired .
Not of Record
PHONE: PWMBER LICENSE #
a ni ia
4) OCCUPANT/CIZIER ? (P?EASE ?T)
/
[YlD1ViSS: CITY, STATE, ZIP:
PHONE: t? ---:F
5)
b) INDIG,TE ONE:
E] PIEASE HOLD APPRWID PERN]IT FOR PICK-UP SY ONE OF A&7VE
121 PLFASE MAIL APPRU7Fa PIIdtiLLT 'IO 16 3, 4 AB(7VE
(Circle one)
7) SIG3A2L'RE: DATE: o fa-g
INDICIATE WHICH PERFIIT IS BEING I2EQUES'I'ID;
? CONNECI'ION 'IO CITY SE,S^1II2
CONNECPION 'IC) CITY WATER
? Cyi'EIEI2 (PLFASE DESCFtISE)
0048L-l0flJr AW Ma Ra*'
.. .? Ed lot OWW?aW= .i
. . . .. . . . . ????a???'
r •
F 0 R C I T Y U S E O N L Y
PERMIT ."- ISSUED
F°ES: $ i.O..? a
$ ,.?a
$
G 3 --G
$
$
$
i r •--
SEWE.°, PEB,^QIT (I:VCLi;DE SUP.CHARGE)
WATER PERP4IT (INCLUDE SURCHARGE)
WATER METER/COPPERHORN/OUTSIDE READER
WATER TAP (INCLUDE CORPORATION STOP)
SEWER TAF
ACCOUNT EEPOSIT - SETAER
? ACCOUNT DEPOSIT - WATER
$ WAC
$ SAC
$ TRUNK WATER ASSESSMENT
$ TRUNK SEWER ASSESSMENT
$ LATERAL BENEFIT/TRUNK SEWER
$ LATERAL BENEFIT/TRUNK WATER
$ OTHER
a
$ TOTAL
$ AMOUNT PAID/RECEIPT #
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGiIT OF WAY?
YES IF YES, THEN A"PERMIT FOR WORK WITHIN
? PUBLIC ROADWAY" MUST BE ISSUED BY THE
NO ENGINEERING DIVISIOIV, LIST AS A CONDI-
TION.
SUBJECT TO THE FOLLOWING CONDITIONS:
f
APPROVED BY:
TITLE:
DATE : O -"tS 7
glkm me qpz7 o4l"
city oF eaga
3830 PILOT FVOB ROAD VIC ELLISON
FAGAN, MINNESOTA 55122-1897 nnayo,
PHONE: (612) 454-8100 THOMAS EGAN
FA1(: (612) 454-8363 DAVID K, GUStAF$ON
PAMEIA McCREP.
July 7, 1989 n+EOOORE wncrnEa
Cancli hAenibers
niorous HEDGes
ptyPdminishalor
EUGENE VAN OVERBEKE
MIRE i JOAN HINCADE cffr?
1467 RICAARDB COIIRT
EAGANr MN. 55122
R8: Lot 3, Slock 1, Walden Heiqhts lst Additioa
Srosion and sedimeat Complaint
Dear Mr. & Mrs. Kincade:
In response to your June 15, 1989 letter to Mayor Ellison, you
stated that approximately 3 to 4 feet of sediment washed into your
backyard as a result of the July, 1987 storm. The damage done to
private property by the July, 1987 storm is considered a
responsibility of the individual property owners. The only damacje
that the City may have repaired or been responsible for on private
property was if a City owned property or facility caused the
damage. This is clearly not the case since your property is not
adjacent to City owned property or right-of-way. Cliff Road is a
County Road under County jurisdiction.
As far as possible damage to your property as a result of the
telephone building construction, that issue is between yourself and
the telephone company. Past experience with the telephone company
is that they have been very responsive to neighborhood concerns.
If you have any questions or require any additional information,
please contact me at your convenience.
sin ety yours,
M' hael P. Foerts?
Assistant City Engineer
ce: Thomas A. Colbert, Director of Public Works
Thomas L. Hedges, City Administrator
MPF/jf
THE LONE OAK TREE...THE SYMBOL OF STRENGTH AND GROWfH IN OUR COMMUNIN
Equal Opportunity/Affirmative Action Employer
Use BLUE or BLACK Ink
I For Office Use I
I I
Permit I I I H-740
City of Ea Rd~ r5
I Permit Fee: 1 I
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received: 0-1 hy 1~
I
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff:
I I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: N6 7 jZ(,14 ,7,1 D. - ~ i Unit
Name: -IN (9 QR sH U)?2J0'__ Phone:
Resident/
Owner Address/City/Zip: ll(ol w)AYZ ~7 1~tJn ~ .t i6`7 W YZ.~ Fl Mj~
Applicant is: Owner Contractor
of Work Description of work: I,-1 ;a er4 r rZ 151 .,7 1
Type
Construction Cost: Multi-Family Building: (Yes / No 'y")
Company: fllJ (l;yC E_ ~7 lio;-y-)E i - ;7 , rt Contact: _ 76-22, Hg g i ~5
.:T 1-1 G
Address: u~) 1~ s l.J 0 E S •r ' City: Z.1
Contractor /(,7
_>_5
State: Zip: SS 3 -11 Phone: '163 L/ y R j !5_2
License /3G a! Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
I
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone: I
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www._qopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
Applicant's Printed Name Applicant's ignature
Page 1 of 3
Ju1071411:21a AAGarageDoor 651-702-0838 p.1
Use BLUE or BLACK Ink
� For Office Use !
I
�it of Ea �� ' i����j i
� � � Pertnit#: �
I �
I �
� Permit Fee: �� I
3830 Pilot Knob Road � � .� I
Eagan MN 55122 � Date Received: �
Phone:(651)675-5675 � �
Faz: (651)675-5694 � Statt: j
�------- -------�
2U14 RESIDENTIAL BUILDING PERMIT APPLICATION
�� 1�(�7 R�► Cha� �
Date: / Site Address: �� l . I Unit#:
i
� Name:�.�J�� �r�� Phone: ��0�'(.U�-�' To70j
< Resident/ I�-7
� Owner Address 1 City/Zip: ��U!/ RI%.�Rt'��S ��Gf�IC1r} ,lVl/J �/��-
� � �
Applicant is: Owner V Contractor
i � � 1� � :
; Type of Work 3 Description of work: I'<i'.D�aC� `PX(S 1�r'�1 avcrr�ad qar�� do�� �n G��CIxd�1
� � Construction Cost: ���(� Multi-Farnily Building:(Yes_/No �)
�---
' � �aru '�
� � Cornpany:�f'1 � �Q�1� Contact'--!/�-b ��aS���-
� ContraCtor � Address: �6� ��' �1/� c�cy: S� I�Gr(•�� �1'�K �
�� � State:�_Zip:�SQ�� Phone: ��� �U / ' ���( �
; t� 1 �/-7 p�[
= j License#: Lead Certificate#. �SI�'� / '7 l07�
;� n
t i'
� If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
�
� i
�... j
� COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUiLDING i
; �
" �
'; In the last 12 months,has the City of Eagan issued a permii for a similar plan based on a master plan?
k
� Yes _No If yes, date and address of master plan: �
s
�
; Licensed Plumber. Phone:
1
� Mechanical Contractor: Phone: �
;
� Sewer 8 Water Contractor: Phone: �
! NOTE:Plans and supporting documents�at you submit are consldered t�n be pub/ic informatio�. Porfions of
j the informafion may be classified as non public if you provide speclfic reasons tha!`wou/d permit fhe City to
��,�,_ conclvde tf�af they are trade secrets
CALL BEFORE YOU DIG. Call Gophe�State O�e Call at(651�454•D002 for protection agairtst underground uGlity damage. Ca1148 hours
before you intend to dig to receive locates ot underground utilities, .vwiv.00�nerstateoneca(I.orc
1 hereby acknowledge that this information is complete and accurate:that the work will be in conformance with the ordinances and codes o/the CRy of '
Eagan; that I understand this is nol a permit, but cnly an application for a permit, and woric is not to start without a permit; that the work will be in
accordance with the approved plan in the case ot work which requires a review and approval of plans.
Exte�ior work authorized by a building permit issued in accordance with the Mi�nesota State Buildi�g Code must be cornpteted within 180
days oi permit issuance.
X��r�h i��a�l�-- x � �'
ApplicanYs Printed Na Applicant's Signaiure �
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA160283
Date Issued:02/27/2020
Permit Category:ePermit
Site Address: 1467 Richards Ct
Lot:003 Block: 001 Addition: Walden Heights
PID:10-83300-01-030
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Includes Skylight
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Amanda A Pierson
1467 Richards Ct
Eagan MN 55122
All Around Roofing & Renovations
701 Decatur Ave N
Suite 201
Golden Valley MN 55427
(763) 447-3944
Applicant/Permitee: Signature Issued By: Signature