3868 Heather DrDate:
Cfty ofEaau
3630 Pilot Knob Road
Eagan MN 66122
Phone: (651) 676.6675
Far: (651) 875-0694
Use BLUE or BLACK Ink
For Office Use
Permit ii:
Pmm+it Fee: 05 a5
.141
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
9" /q Site Address: 3 coB8 t/e.471)tR DA, Unit ay:
Resident!
Owner
Name; e/D 46 4 b E rtArr.� C.
Phone: 763 - sus 9 7 7 0
Address / City / Zip: ?S0 D t C t47 u/ 4v, A), JA 6,941SE.J 411.2 Y /O')
Ss- 1147
Applicant is; Owner KCOntractor
Typist ofWoric,
Description of work: R P/- N Cr. N't v P, L E. 4�i abd S
Construction Cost: _ Multi --Family Building: (Yes , / No
Coetractor
Company: CI £ 1 EpeY t'R' o 2 MAI ../'s . Co ate: Contact 64 iJ • a Q,22i S
Address: 1,o-3- L4-3 toOft 17. City: n% PL
Sone: /1/03 Zip: 5S4//1r Phone:
to,.Z '(/-id2V/S
License #: 's 211/ / 3 % Lead Certificate #:
If the project is exempt from lead codification, please explain why: (see Page 3 for additional information)
(1,1-46)S- 1 .7' Po5:' /5'7 V
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan lowed a penult for a similar plan based on a master plan?
Yes No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor. Phone:
NOTE: Fogel
CARL BEFORE YOU DIG. Cap Gopher State One Call at (651)45d-0002 for protection against underground utility damage. Call 48 hours
before you intend 10 dig to receive locates of underground utilities. wwnysivpheratateonecsf_onq
I hereby acknowledge that this Informadon is complete and accurate; that the work will be in conformance with the ordinances and cotes of the CiIy of
Eagan:
that 1 t nde and this is not a permit, but only en application for a oenna, and work is not to start without a permit: that the work will be in
approved plan in the case of work which requires a review anis approval of plans.
Exterior work authored by a building permit Issued In accordance with the Minnesota State BupdirtLCode must be completed within 180
days of permit issuance.
x 4 ✓' 0 av,12.i
Applicants Printed Name
EZ/Z0 39Cd
x
Applicants Signature
Page 1 of 3
1NI W IX3 Iia L9Z9T98ZI9 LZ:bI btOZ/tt/b0
h`" I For Office Use
City of ELlhl~ CO
•Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I
Fax: (651) 675-5694 Staff:
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: 4iz, v /t lei S
Tenant: 3 * & 9 6-4.771 CPI 6!Z Suite
RESIDENT / OWNER Name: X/O AS So c; 47--d /%J4 A3-'.l Phone: 7&' - V9 3 7 ;"7
Address / City / Zip: 0 ,
Applicant is: Owner X Contractor
TYPE OF WORK Description of work: R S - A u ; L A £ c
Construction Cost: L/ (Jcrb Multi-Family Building: (Yes X / No _J
CONTRACTOR Name: (A £ / G X Y Lal 0 2 19914 ir.1 r. L'o2 P. License 2,01'1113 I
Address: i/c s' d &C6 57--.
City: /y7 PL S, State: Zip: SS 9
Phone: 6,1.7-9(,/- c,ZV3 Contact Person: 1)09v£ 4U~12~s
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category Submitted Submitted
('I submission type) • Energy Envelope Calculations Submitted
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:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
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 sta out a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approv of ans.
x~~JfD ? /Zu2iS x
Applicant's Printed Name Applicant's Signature
Page 1 of 3
3
DO NOT WRITE BELOW THIS LINE .
Q/
SUB TYPES
? Foundation ? 05-plex ? 16-plex ? Accessory Building ? Pool
? Single Family ? 06-plex ? Fireplace ? Porch (3-season) ? Ext. Alt. - Multi
? 01 of - Plex ? 07-plex ? Garage ? Porch (4-season) ? Ext. Alt. - SF
? 02-Plex ? 08-plex Deck ? Porch (screen/gazebo/pergola) ? Multi Misc.
? 03-Plex ? 10-plex ? Lower Level ? Storm Damage
? 04-Plex ? 12-plex ? Miscellaneous
WORK TYPES
? New ? Interior Improvement ? Siding ? Demolish Building*
? Addition ? Move Building ? Reroof ? Demolish Interior
? Alteration ? Fire Repair ? Windows ? Demolish Foundation
Replacement ? Egress Window ? Water Damage
Demolition (entire building) - give PCA handout to applicant
DESCRIPTION:
Valuation %-Q-00 Occupancy MCES System
Plan Review Code Edition '4o7 SAC Units
t
(25% 100% ftiC) Zoning City Water
Census Code ~ Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Const. Width
REQUIRED INSPECTIONS
Footings (new bldg) Sheetrock
Footings (deck) Final/C.O.
Footings (addition) Final/No C.O.
Foundation HVAC
Drain Tile Other:
Roof: -Ice & Water Final Pool: -Footings Air/Gas Tests -Final
Framing Siding: -Stucco Lath -Stone Lath -Brick
Fireplace:_R.I. _Air Test -Final Windows
Insulation Retaining Wall-
Reviewed By: , Building Inspector
RESIDENTIAL FEES:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
Total
Page 2 of 3
N To1,Iefson Builders Inc, 51 U> q Or. 11412
Scale: 1°'.40' 183-77
\q~
v= iron JACKSON - SURVEYOR
lL ~t
000,0:Existin5 Elev, V
_ Drainage / Go
REGISTERED UNDER LAWS OF STATE OF MINNESOTA
3616 EAST 55th STREET, MINNEAPOLIS, MN 55417 727-3484 /
H EATH LR
burtttpor g Certificate 69 L R N E_
Proposed Garage Floor Elev. 1
Proposed First Floor Elev. Z_
Proposed Basement Floor Elev. 33 25
qV0
0 2~', IQ'ICa
r 70.00
- DRAINA E AN
0
0
9s: LOT 4D 2~.
I HEREBY CERTIFY AT THE ABOV S A TRUE AND CORRECT PLAT OF A SURVEY
Lots 37,35,39 and 40,Block I
Briar Hill 4th, 'Addition,
Dakota County,Minnesota.
'f c~D,Q
4th. may 1983
As SURVEYED BY ME THIS._-.__--_-DAY OF A. D.
F. C. JACKSON. MINNESO A REGISTRATION. No. 3600
� 'T: r '.<i_ � E ST i1�i . ■
T " i
aex
NA Of �r�T
'
Site s' ?..r ..--._ ` Ira i- H:U 1 )
'"- 14urthe n fitter No, Corr (pe.
u No:
permit Fee: 1 G f 5 �
eo-# the ` of Eagan Surcharge , MQ 1
t-�Y •
Cl 4P EACAN SEWER SERVICE PNIT
s , '• Kn*b Road PERMIT NO 5911
€): > 1799 6 -20-83
Eaga ;MN 55121
DATE: s iii it 3
owner. To11efscn dr*
Address:
. Site Address 868 Heath : r Drive L3T B1 Briar Hi 44th
Gene Ryan �--
Plumber: 6-15-83 36 3 k • f tad
F =.
1 woos to comply with the car at setae Connection Charge 1 425 0 00 pd
• Ordinances. _ Account Deposit:
Permit Fee: 1 0- Ot) pd.
Surcharge: - 5 pa
A B Misc. Charges:
.., Co" Total-
Insp Date Paid: .: �
Use BLUE or BLACK Ink
For office U"
ty ; Permit S:
of latan Pwmk Fee.
3880 PRpt lCrtOb Road ~
Eagan LIMN 55122 i Dow PAW KW; i
Phone: (651) 8754675
Fax: (661) 6761 i
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
gate: ID " xq' /-3 $11VAddr~eee: 38btil, 34rwb, 38 ,8, 37' Q Ht Tf~E92 p2• Link
NamFlo ACT /~1 A A~ A6Z M Z A> i C Phony "743 '-%93 9 7 70
e:
l~aoi~lE~1 rK~
~Sta a E. e- r3'~ry,Q A/ ~ A
MItM4f : Address !City / Zip.
Applicant is: , Owner X- Contracxor
'y Desrauftn ofwork --FAR Or--F a• QE - Pvw=
Type;ptX±fc •
Construction Coat: ~9o Multi-Family Building: (Yea, / No __j
Company: ~E 1 E•,~ rt~¢ ~oR /T~fii,a ~2>p CorKact:v~ d Qa R.R 5
Addr
5tw e: Zip-. •~S'y~ 9 Phone: ~o ~Z - ~6 ~ - Ga z y 3
License a 49 C A 4!!j 3/ Load Car0cate
ff the project is exempt from bad cwdffCM'on. please explain why: (see Page 3 for additional inf+orme0on)
s 14 7" Post- /
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In " fast 12 mortthf: t tits City of t:apan issusd o penult for a slmNar plan based on a maetrr plan?
Yes No If yes data and address of nm%r plan:
L icerreed Plumber. P te.
Nsahankw Conbt cbr: Phone:
lifQ- Phone.
befon you in6a~i b dip to nr ~Me lo~tesW stab one utRam at lleo.) 460002 lbr prao®cttion ageird undemrou►d uliYb Esmapa• 0811 48 hours
I`WWGby sdrno xlerst W ft is6o not atow oo W only and ao WO; inat the work will to in conlbm~anoe won the adlnmm and codas of the CRY of
~peft: that I understand tf~ia is not a perm!, but an
scoa,donm van, gn aawow.a In a,a ww erg V&Vdn on for a Mow Permit. era vrorkoripls net to awd without a permlt that to W4Wk vA be in
,o s .ex .na ~PP~wr ivn. _
ExhwWwwk
de" of pWG* a buildln9 t~emrit Issued In accordrrrq wnh t1w tWnrresoma State Bul l Codr, moor M wmph~d w tdn 180
x b,Av, 4 g~ 2t2 r~
APplleant'a Prirttrad NycmQ
Applieanl°s Signature
Pop I of 3
50/Z0 39Vd 1NIVW 1X3 139 L9Z9T98ZT9 £5:5T 6T0Z/bZ/0T
4110 tyofEa&all
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675.6675
Fax: (681) 675-5694
RECEIVED
MAR 2 8 2014
Use BLUE or BLACK Ink
For Office Use 7,(�'�
Permit r i,J-iC
Permit Fee:
Date Received:
Staff:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 3 ` `' V Site Address:746 3174. G, 7" X. 3 $ 7 v i%i4.Th/r~i2 62.. Unit 0:
Red1d8eU
Otlrner
Name: eio 4c`% /1i4.14bi#ME..i- 4.74 -,4 C- Phone: 761 -a73-- 9'77a
Address / City / Zip: RSo D Z c 04 7-u 2 Av, .3 , 2A 6,oL fl s 1/ S r /')
ss- y17
Applicant is: Owner Contractor
TYPiii.: cff:YYork,
Description of work: rttwo., i a- RE PL'K£. S d/•J b b F-014.ra Al z,--4 L
Constnictlon Cost / 4/ CM • W Multi -Family Building: (Yes., / No _j
•
•
Contractor
Company: Q £ 1 £,r - n /L /Al -1 aT . eo al Contact bA 0,6 j.,1L2, S
Address: 4/°m LJ 100 * -1"- - City: m PL. S
State: P/A1 Zip: S'S -'/i 5 Phone: L / x • ' 4o / - 4o 2 V3
License #: 1.3 C. x VW 3 / Lead Certificate #:
If the project is exempt
ilc•Ntps.
from lead certlflcation, please explain why: (see Page 3 for additional information)
;,.i,.-2- Posr- /77r
In the last 12 months,
_Yes _No If
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
has the City of Eagan issued a permit for a similar plan based on a master plan?
yes, date and address of master plan:
Licensed Plumber. Phone:
Mechanical Contractor:
Se�w�er 3 Water
Phone:
Phone:
�Contractor: y .� / yp ,y�w,.,[10`��'
d► R d.00' ►!y!a9II aPor •iib 01 , .
��y_(/
ri.: !i
CALL BEFORE YOU DIG. Call Gopher State One Call at (651)450.0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gophersr<ateoneCall,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
Eaoen; that 1 undersiand this Irl nota 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 (wilding permit issued in accordance with the Minnesota State Sundt Code must be completed within 180
days of permit Issuance.
x �4✓r 0 /,d,,/2.j2 f
Applicant's Signature
Applicant's Printed Name
00/Z0 39Cd
Page 1 of 3
1NICW lX3 I3a L9Z9t98Zt9 00:60 VTOZ/8Z/s0
r For Office Use
% .% i'� Permit ft:
E AGA
Permit Fee:
0�` E
0
Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 MAY
i U '�
(651)675-5675 TDD: (651)454-8535 I FAX: (651)675-56 Staff:
buildinainspections aC�.citvofeagan.com
BY: J
2019 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: �l-« Site Address:`3 ir /Gm-) Unit#:
Name: (c-v- i f 1/vte Pwne/ 7'1/45'''-c:'.71;°-\ Phone: - y5 ` 657/
Resident/
Owner Address/City/Zip: 3 8"6 c, Dr,`�- , s-v /ti
Applicant is: Owner )( Contractor
Type of Work Description of work: 0-7(-1 (e, Seo e Pep,; r—
Construction-Cost: f c, c"'") Multi-Family Building:(Yes X /No )
Company: J( t et,( 4 vri C— Contact: 'yid ---6-7_,cn 1-+-oma
Contractor Address: I I .-`7. `� �/a((e7 B(L9 Q. City:_ - U / CSZr��ffevt,
State:/l/!/U Zip:St.,0"3-7)- Phone: 15)----15/C7 h 'Email: e -n i,t‘D vt,(v ‘44-%C c, .
License#: Lead Certificate#:
If the project is exempt from lead certification, please explain why:
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:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor:
Phone:
NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information may be
classified as non public if you provide specific reasons that would permit the City to conclude that they are trade secrets.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeaaan.com/subscribe.
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.
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.00aherstateonecall.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 ( �—(Y LrJ�i 1.,
Applidant's Print Name App nt's • e
DO NOT WRITE BELOW THIS LINE - g&ci 46-61116-1 b(I_, / ,'=". Sq/c .
SUB TYPES
—
Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
_ Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
_ Multi _ Deck — Porch(Screen/Gazebo/Pergola) Miscellaneous
01 of/Plex _ Lower Level — Pool — Accessory Building
WORK TYPES
_ New — Interior Improvement _ Siding _ Demolish Building*
_ Addition — Move Building _ Reroof _ Demolish Interior
la Alteration _ Fire Repair _ Windows _ Demolish Foundation
_ Replace _ Repair _ Egress Window _ Water Damage
Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION _
Valuation 0 S. Occupancy -LR L-3 MCES System
Plan Review Code Edition 07n Z o r r SAC Units
(25%_100%P ) Zoning ?17 City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction Y Width
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
Footings (Deck) Final I C.O. Required
Footings(Addition) >o Final/No C.O. Required
Foundation Foundation Before Backfill HVAC_Service Test Gas Line Air Test_Hood
Roof:_Ice&Water _Final Pool:_Footings Air/Gas Tests _Final
Framing 30 Minutes 1 Hour Drain Tile
Fireplace:_Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS
Insulation Windows
Sheathing Retaining Wall:_Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In_Final
Braced Walls Erosion Control
Shower Pan Other:
Reviewed By: ) ow, '11 ; X/y , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
Radio Meter Read
Copies
TOTAL
Page 2 of 3