855 Rogers Ct `fwr... . . _ . . . . . . pr.ar-,r.^~
~ '
} CITY OF EAGAN ~T
~ --f~- 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 1\ ~ 9~,~~
PHON~: 454-8100
BUILDING PERMfT Receipt # ~i~`~/
Te M used fer `-~F DWG/GAR ~ ya~~ $ 71, 0 U ~e JUN~ 18 ~ 9 84
5ite Address ~ 5 5 ROGERS CT Erect ~ Occupancy R~
~ot 4~ 81ock 4 sec/5ub. ~ORTHVIEW i~iEADS A?ter Zoni '
Parcel No. 1~'S21OO-QZO-O~ Repoir ~ Fire Zo~e
R(1$F,~RT & GAIL KNUTSON E^~O~ O Type of Const.
W Name Move ? # Stories
Z Address ' Demolish Q Length 5 n
~ City S ~dll phone Grode ? Depth 48 Sq. Ft.
~ GRAND OAKS DEVFLOPMENT Appeorals Fees
o Name
o" Address 7~ 3 T1PPE:R 1.67iH Assessmenr Permit ' G
u~ City LAKEV I L1.. E: phone ~ 3 2- 6 5 61 Woter & Sew. Surcharge 3 5. 5 0
Polite Plon check 1~ 3.~ ~
~W Neme Fire SAC 525 . ~0
~
Address Enp. Water Conn. 4 7 0. 0 0
~ W City Phone Planne~ Water Meter 6 3. 0 ~
Council Road Unit 2 6 0. Q 0
1 hereby acknowledge that I hove read this application ond state thot g~dg, Off.
fhe intormotion is cO~rect and ogree to comply with all qpplicoble ~ . ~
Stnte of Minnesota Statutes and City of Eagen Ordinonces. ~PC Totol
Sipnature of Permittee
Gi~~t VD : c~r;S DIi~~F:LOPMENT
A Building Pennit is issued to: on the ezpress condition thot
oll work sholl be done in occardante with all appliwbla Stote of Minnesoto Stotutes ond City of Eoflan Ordinances.
Buildinq ~ffkiol ~--4- ~ ~ -
_ '
~
Permit No. Permit Holder Mise. Permit No. Holder
Plumbing ~ j ~ ~1~1ti ~L ~l ~ (1 ~ g ~
d
H.v.a.c. (0 7 ~ 6 ~
w.n
w~.~
Disp.
S~war
Eleetric
Inspeetion Date Insp. Other
i~
Footiny~ ' 1 4~~ i~ 12 c' v u cF YC a r w~.Ck u t ~Q~x t r• d'~ Yz~ r-
b,- ~=g r+ e F,-# e i w c ~ I
~
Foundation -'~j^-~
FraminQ
Rouyh Plbp. ~
Rou~ HVA ~
Inwlation 7'~~.
Final Plba - _y~
Final HVAC 7 W `
r ~ ~
Final ' w~
~
Water Describe Location: '
v+~?ti
Sswer .
Pr, Ditp.
Receipt MECHANICAL PERMIT Permit No. _T_
CITY OF EAGAN
Fee
Fill rn numbered spaces S/C
Type or Prini legibJy •
f ~ Tot.
1. Date 2. Installation Cost
~ . ,
~ . F-~ -
3. Job Address ~ " ~ Lot `i Blk. " Tract ~ ~
f
4. Owner r , ~ ~ f . . - ~ : F i
~ i
5. Contractor ~ ~ f - f ~ j -Phone C 7 - <
6. Address " f ' ~I ~~i ~ R ` r - ~
7. City < ' ' / ~ State i / ) Zip
8. Building Type: Residential L~ Commercial ? Institutional ?
9. Work Description: New Cj Add O Alter O Repair O
10. Describe Fuel Type
11. No, ~aui~ment STU - M. Ea. No. Equipment CFM
Forced Air
, Air Handling:
, Mf9 ~ , ,
Boilers Mech. Exhaust
Mfg.
Unit Heater
Mfg. Other
Air Cond. ~
Mfg. • • `
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
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-8100
l ~r'
Receipt ' { ~ PWMBING PERMIT Permit No. ~ ~ '
GITY OF EAGAN '
i~ ~1 ~ ~f Fee sri.
" ' fill in numbered spaces S/C
Type o~ Print legibly ' ' ,
Tot. ~ ~ : .
/c,
1. Date 2. Installation Cost •
~.5 l, .Y s ~ 7, %~.,n`Tr%v, .
3. Job Address Lot~~LBlk. ~ Tract /~,'i s
/ ~
4. Owner L-r1~,clyL~~ c.~~/L~ L l•<'.J
5. Contractor ~ ~ ~ ` ~ 1 Phone
6. Address
7. City State 2ip
8. Building Type: Residential ~ Commercial ? Institutional ?
9. Work Description: New f~~ Add ? Alter ? Repair ~
10. Describe
11. No. Fixtures No. Fixtures
~ Water Closet Cesspool/Drainfield
~ Bath tubs Septic Tank
T Lavatory
' Softner
Shower Well
~ Kitchen Sink
Urinal/Bidet Other - ~ ~ ~ti
~ Laundry Tray
Floor Drains
Drinking Ftn.
Slop 5ink
~ Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with t~ll ordinances and codes governing this type of work.
9 ~ ~
Si ned : ~ : for ~ . -
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454$700
CITY OF EAGAN Aemarks
Addition NORTHVIEW MEADOWS ~ot 42 s~k 4 Parce~ 10-52100-42~-04
Ow~er Street 855 ROGERS COURT State EAGAN NIIV 55123
Improvement Date Amount Annual Years Payment Receipt Qate
STREET SURF, 1984 76. 75 7.68 10 8-6-84
STREET RESTOR.
GRADING
S~ 1981 15.89 .79 20 12.73 A014373 8-b-8
SAN SEW TRUNK 5~ 1981 138.48 6.92 20 110.80 A014373 8-6-84
SEWERIATERAL ~ 1984 275.22 18';35 15 256.88 A014373 8-6-84
R T ~ 1981 22.28 1.11 20 16.36 A014373 8-6-84
WATERMAIN t.~ 1984 70.67 4.71 15 b5.96 A014373 8-6-84
WATERLATERAL $ 1981 18,65 .93 20 13.b9 Afl14373 8-6-8
WATER AREA 1981 138.48 6.92 20 110.88 A014373 8-6-84
r 1 1982 29.52 1.48 20 23.64 A014373 8-6-84
STORMSEW TRK $50 1984 392.32 39.23 10 313.86 A014373 8-6-84
STORM SEW LAT
DRAINAG ! 1984 33.97 3.40 10 30.58 A014373 8-6-
CURB & GUTTER
SIDEWALK
STREET LIGHT
ROAD UNIT $260.00 ~~44135 6-i8-84
WATER CONN. ~~~~~Q ri tr
BUILDING PER. ~~9j]6
5AC 52rJ..~Q n rr
PAR IC
' CITY OF EAGAN 9$ ~ 1
3830 Pilot Knob Road, P.Q. Box 21-199, Esgan, MN 55121
PHONE: 4548100 -
eUILDING ~ERMIT ~+v~ #
T~ M we/ 1~ua F "x ~ i ; 1 ~ . , Est. Vo?ue ~ i . 51 ~ ~ :
} , , . ; L j , 19
Site Ad ~ 5 R Oi - . ~ Erect ~ Occupency
Lot Block 1' ~/Sub. ' ` ~ ,""~1E1~ i:. SRemodel ? Zoning
Repair ? Type of Conat.
Parcel No. Enlarge
? No.Stories
+i(~RG":~. ~r '1, ~ Move ? Length
W N~e Demoliah ? Depth
~ Addresa ~'~~y~~ h,. ~ Grede ? Sq. Ft.
Cky Phone 7" Install ?
ti D
rW ~ AYO~ovab E~~s
~ ~ Name . . 1.1
Z~ A~~ Assessment Ptrmit i J~~
s P~~ Woter 3 Sew. Surchor~a
~ citv
Police Plan Review
W
~„°C Name Fin SAC
W
x~ Addresa Erp. Water Conn.
u
` ~L~+ City Phone Plonntr Water Mater
Council Rood Unit
1 hercby ockrawledye thot I how rood thia opplitotion and stote thot g~~, pff, _ ~ perks
the informotion IS correct and agree fo comply with oll oppliooble A~ Total •
Stot~ of Minnesoto Stotutes or+d Gry .of Eo9on O~dinc~nces.
_ ~ Var. Date
Sipnaturo of Permittse _ .
, _ . Y~ 't+l U'I . ~ .V on ths expre~ caditlon 1Fw~
Buildiny Penni~ Is fuuad to:
oll work sholl be dons in occo?donct with all opplicobl~ Stafe of Mlnnesofa Statutes ond Clty of Eopon Ordinonces.
^
i
Buildinp Offlciol
Permk No. P~rmk Holdsr Dab T~le hona #
Plumbi~q
H.VA.C.
ENetrie
Soitu»r
Iropeetion Dat~ Insp. Oth~r
Footinyt
Foundation
Fnminq
Roofing
Rouqh Plbp.
Rouph HVA
Inwlstion
Final P16p,
Final HVAC
Final
CMt/Ooe.
Wa~~ Wseriba Locstion: .
~S~ai/d P'~
rwu
~ ~ ~ ~ ' ~ ~ ~ ~
w.
Pr. D'qp. ~ pi.~
CASH RECEIPT ~ ~
CITY OF EAGAN
P. O. BOX 21-199
EAGAN, MINNESOTA 55121
DATE 19
REC~IVBD,
FROM
AMOUNT $
~ - ' ~ . ~ <
~ ~ DOLLARS
~ao
~ CASH ~ CHECK
Fo~ ~ ~ . ~r' . ~ ~ t'~. ~ ~•7~1 / /.'(i
~7
~ , ' ' a / . . ~ •
~ l • L- ~ Ci[.~•~ i
~ ,I , • ` t ,
~UND CpOE AMOUNT
- _ ~ 5 - - v
~ ~ f ~ -
- ~
7/
j { , ] S
i
~c: ~ ~ ~ S" , l ~
~ c:~ i :
3 C.,
~ „
Th n ou- ~ _
l _ BY
. . .
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
CITY OF EAGAN WATER SERVICE PERMIT
3830 Pilot Knob Road
P. O. Box 21199 PERMIT NO.: J"
Eagan, MN 55127 DATE: ` - '
ZO^'^9~ R~ No. of Units: ~
Owner: - G~L' ~ _
<<."~-'-E...:_; ~ ~
Address:
Site Address: ~'~~`~q'~~~s' ~batt+L'~'~ B4 horttxview meadows
Plumber. ~'-~1''1CUQEia~~. P,~i~-
~teter No. 4~ y'.~nectlan Chorge: 470.OD pd
Stze: ',7a„ _•~:.~_~:.'~e~ 15.00 d
ur?t Deposit: p
Reader o.: ~~T ~ z`~ ~ Permit Fee: 10.00 pd
I a9ee~ M eoni~ wil1~ Iw Cily ef E~gsn Surcharc,e: . SO pd
~'"o"~ Misc. Charges: 63.00 pd meter
D/~ Totol:
B J ~-r
f~~ote Paid:
Dote of Insp.: Insp.:
!
CITY OF EAGAN SEWER SERVICE PERMIT
3830 Pilot Knob Road
P. O. Box 21199 PERMIT NO.: 6742
Eagan, MN 55121 p,,~: 6-2b-:~'~
ZO""'~~ No. of Units: 1
Owner: ~t~[H Grand Oake
Address: ~
5~te Address: 85S Ro~era C~urt 42 B4 "Jort'tvia~+ x{eado.~~~,
Plumber. ~cDonald Plb~
6-16-84 44135 Z~O.C~p pd
1 a~roe to aanoiyr wiTh the Gt~r d Easo~ Connectlon CJ~erpe: - 4 5. OQ ASL
Ordinaneer. /lctourrt Deposit: 1~~ OC1 nd
Permit Fee: 10.00 pd
Surcharpe: .50 pd
BY Mtsc. Cho?ges:
Dnte of Insp.; Totol:
1 nsp.: Dats Pold:
CITY OF EAGAN WATER SERVICE PERMIT
3830 Pilot Knob fioad
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55~1 DATE: ` `
Z~^~^9~ No. of Units:
.ren a
Address:
Sire Address: ~ers ur ortnv ew me ows
Plumber: ~'~cDonald Plbg
Aheter No.: Connection Cherge: '
Sixe: Actount ~eposit: • ~
Reader No.: Permit Fee: L0.0 pr7
1 og~w to eampl~r wrpb fl~e City of Eaqsn Surcharge: p`i
Ordinoens. JNisc. Chor~es: • p m e t e~
Totnl:
BY Dote Poid:
Date of Irtsp.: Insp.:
r j ,
~~i5.~4'~l::.K-z`'~-, ~ • • ~
ALL CONTRACTORS MUST BE LICENSED WITH THE CZTY OF EAGAN
~'7 INCLUDE Q SETS OF PLANS,
j
t jQ / ~ CERTIFICATES OF SURVEY
0 SET OF ENERGY CALCULATIONS
To Be Used For: ~~rE~Cf~CL Valuation:~ f,SCO,G~-~ Date: j 2~ Z!
Site Address: ~jrj ~ RGC.F~'S C~• • •
Lot:~r~ Block: ~Sect/Sub: ~'w ~ Erect: Occupancy: (L-3
ri~p Remodel: Zoning: R-I
Parcel N~I~Y~'V1~~~ tV1~I~I~CC~J Repair: Type Of Const: ~SL
Owner: E' l l~ ~ ~1V v j~Z(J Enlarge: # Stories:
Move: Length:
Address: ~ ~~~a ~C.G:~:~-`?-5 C-[ Demolish: Depth:
City/Zip code: ~SIZ ~ Grade: Sq. Ft.:
Phone # : -7 ~ UU7`T
Contractor: S'ELf- ~
Address: Assessments: Permit: 2 S~~
City/Zip Code: Water/Sewer: Surcharge:
Police: Plan Rev.:
Phone Fire: SAC:
Engr.: Water Conn:
Arch./Eng: Planner: Water Meter
Address: - Council: ~~~~y Road Unit:
Bldg. Off.: i~,~~p'j~ Parks:
City/Zip Code: APC: ~~~77~-`
~L-
Dy~~~p~. VdL1aRCE: ~
CITY OF EAGAN ~7
, • 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 1~1 ~ 9176
PHONE: 454-8100
BUILDING PERMIT Rece~vt # 7 y~3~
Te ba wad fa SE DWG/GAR Est.Va~ue__+5~1~000 pa~e JUNE 18 ~y 84
SiteAddress 85S ROGERS CT Erect Occupancy R3
Lot 42 Block 4 ~ec/Sub. NORTHVIEW MEADS Alter ? Zoning Rl
Parce~ No. 10-52100-420-04 Repoir ? f~re Zone N A
Enlnrge p Type of Const. V
ROBERT & GAIL KNUTSON
W Name Move ? # Stories
Z Address CHARI'E$ Demolish ? Length 5~
~ City St pau Phone - 649 Groee ? Depth 4a Sq. Ft.-
~ GRAND OAKS DEVELOPMENT Avv~a~a~a Feea
Name ~623 UPPER 167TH Assessment Permit S 346.00
O Address
u~ ~~tY LAKEVILLE phone 432-6561 Wafer85ew. Surchurge 3$.5~
~ Police Plan check 173.00
WW Name Fire SAC 525
~Z
Address Erg. Woter Conn. ~s90
~ W City Phone Planner Water Meter -~.._Q ~
Council Rood Unit 260_4~
I hereby acknowledge that 1 have reod this apDlication ond stote thot g~dg. Off.
fhe informotion i5 correct and ogree fo comply with all opplicoble 0
Stote of Minnewfo Stotutes and City of Eogan Ordinonces. APC Totol • .
Sipnature of Pertnittee
A Building Pertnif Is issued to: GRAND OAKS DEVEL~PMENT on the express condition ~hni
all work sholi ba dorre in acmrdarxe with ep ' ble~ ~nn.{ sota
S~.1 tatutes and Ciry of Eogan Ordinances.
Buildinp Officiol x~'-'
' ' CITY OF EAGAN ° 9$ ~ J
3830 Pilot Knob Road, P.O. Box 21•799, Eagan, MN 55721 i/~, '
PHONE:454-5100 ~v~
BUILDING PERMIT Receipf #
Te M wad fer FIREPLACE Eg,ya~~ $1~500 pme DECEMBER 24 ~q 84
Sitenddress $55 ROGERS CT erect ~ occupency R3 -
Lot `}281ock 4 SeclSub. NORTHVIEW MEADSRemodel ? 2oning Rl
Repair ? Type of Conat. ~
Percel No. Enlerge ? No. Stories
Move ? Length
W Neme ROBERT KNUTSON oemaiish ? DePth
€ qddress S~E Grada ? Sq. Ft.
b C~ty Phone 454-0074 Install O
Avwo.els F~a~
g Name S~E
Z~ ~ Asxssment permit 5.00
o~ Addreas
V~ Cit Phone Water 8 Sew. Surcharpe 1•
Y
PoliCe Plan fteview
GW Name Fire SAC
~"w
~3 Address . EnO. Woter Conn.
~W City Phone Plonner WoterMeter
Council Rood Unit
1 hereby ackww~edge thot 1 hava read this opplication and state fhat Bldg. Off. Parks
fM inbrmation is wrrect ond agree to comply wiih oll opP~~~able APC Total $2fi _ 00
Stote of Minnesoto Statutes ond
Ci~gon O dirwnces. Var. Date ~
Sipnature of Permittee -x 'r'~'
ROBERT UTSON o~ ~he a ss conditlon iho~
A Buildinp Permit Is izsued to: ~
uli vrork sholl be done in accordan ith oil a vliw e S ate of Minnewto Statutes ond Clry of Eayon Ordirwnces.
Buildinp Offlclal
~
.
rYl..`-~'i--~~
~
This request void U ~j' ~ "L ~'Z ~
18 nwnths (rom ~ /
A 06~2Q2 ~ .e ~ ~ rv~~ ~fa.s~
Fequest Da[e Fire No. Ro~gh-in Inspeciion
~ NeQVireA? ~Reatly Now('y~Q ill Notlty, InsOeo-
~YOS ? No rYor Wh¢n qeadY
censed ElecVical ConVactor 1 heraby request inspection of above
Owner electrical work i~retelleA at
Strect Ad/dress. Bos o Foute No. Giry
7 ~ Q ,t(?~+~ ~L 6j ?
eclion o. Townsh' Nama or No. ange No. Cou~~ty
Lo S~' - /l+~h~ J~a c~o
Occupan[ IPRINT) P one Nc.
c1 ~l~~ 5/3Z~6 5~/
Power Supplrer - ACdross ^
ah.Q f- E/~c.7~ ~c ~c.~,
Elechical Cont actor ICompany Namel ' Contractor's License No.
G . ~e , ~ G7 ~'~3
Mailing Address IComravto or Owner Making Instailatfon)
J~-~ ~i ~ ~ ~
Auffiotize 5~8^eWre 1 ontrac r Owner Making Ins lationl Pho~ Number
i 7
MINNESOTA STqTE B NO OF ELECTRICITY TN~S INSPECTION NEQUEST Wlll NOT
Griggs-Midway Bldg. Room N•'197 BE ACCEPTED 8Y THE STqTE BOAND
UNLESS PqOPER INSPECTION FEE IS
1821 University Ave., 51. Paul, MN 66704
Phnnw 18121 297-2111 ENCIOSED.
2 REQUEST FOR ELECTRICAI INSPECTION ~e-oa/p`i~'/
l , Sea instructions for como~eting [his iorm on baek o~ vellow eapy. 2-( O 7
A o 6 8 O~ X" Below Work Cove~ed by This Request
tltl Nep, Typa o/8uiltling ApD~~ances Wired • Equiomeni Wi~ed
Nome Range Temporary Service
Duplex Water Heater Lighting Fixtures
Apt. Buildinc~ Dryer Elec[ric Heatin
Cortnnercial Bldg. Furnace Silo Unloader
Industrial 81dg. Air Conditioner ~ Bulk Milk Tank
Farln Other Deci y Iher ISOecflyl
t e,~ ueuiy Ot er O~h~r
ompute lnspection Fee Be/aw
M iee ServiceEnhenceSize p Fee Featlars/Subteeders # Fee, Cirwits
0 to 200 Am s 0 to 30 Am s 12 0 to 30 Am
Above 200 Ain~s~ 37 to 700 Amps ~ 31 to 700 q
Swimming Pool Above 100_Am s Above 100_A
Transrormers Irrigation Booms Partial- Offier Fea
Signs Special Inspection S ~
TOTA
Pem~rks ~j
J'~
f
floueh-in ~ ~~e I,tha Eloc
( Inspeclot. hereby
rtify th0t thB dbove
Final ~1ei~ peetion has been
mede.
~hla request vold 18 monthe irom
i ~~~~~Q i
C~~~ LLL~~~ I Pertnd V j
~
~ Permit Fee: ~
3830 Pilot Knob Road 2
Eagan MN 55122 I Date Received '~J ` d8 j
Phone:(651)675-5675 ~ ~
Fax: (651) 675-5694 I stan: ~ i
2008 RESIDENTIAL BUILDING PERMIT APPLICATION CQ~.CI ~~~~5
Date: 1` a`~ Site Address: ~~~S t~C~ ~S C;~}-
Tenant: Suite
RESIDENT/OWNER Name: ~;j~d}~L[-S ,Si_.~~.5~ Phone: ~S~I ~~~y-~7) S~
Address / City / Zip: ~S'~ 1 v~~ C~~
Applicant is: ~~Owner _ Contractor
TYPE OF WORK Description of work: ~ C v~'~ ~ 1~G a--~ ~'i: ~ k
Construction Cost~'~.`1-v o,(~O Multi-Family Building: {Yes_/ No~
CONTRAC70R Name: C~ ' ~"J License#:
Address:
City: State: Zip:
Phone: Contact Person: -
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Energy Code • qesidential Ventilation Category 1 Worksheet • New Energy Code Warkshee~
Category Submitted Submitted
Submission typ0) • Energy Envelope Calcula~ions 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 Contrector: - Phone:
~ NOTE: Plaq`s and;supportingj dvcuments ttiat yoti sobmitare cons/dered ta tie;
public informatlon. Portior~s of
= the rntor'inaiion may be classifleii~as non-public;if `you provide specitic reasons that ivould per`miP the C~ry fo
r- .~~v.
r_._
'
' ` ~ ' ~vnclud'e tlial the are frade seerets . c~=_ 3~ . ~ ~ ~z
~ n.. _
I hereby acknowledge thaf this information is complete and accurate; that ihe work will be in confortnance with [he ordinances and codes of the City of
Eagan; that I untlersland this is not a permi~, but only an application for a permit, and work is st ~ without a permR; that the work will be in
accordance with fhe approved plan in ~he case of work which requires a review and approva~L ans. ~
r; i-7
X ~H~.~~~-r i2. S~s~S~ :
ApplicanYs Printed Name ~ ApplfCa t'S Signature
Page 1 of 3
DO NOT WRITE BELOW THIS LINE
SUB TYPES
? Foundation ? OS-plex ? 16-plex ? Accessory Building ? Pool
? Single Family ? O6-plex ? Fireplace ? Porch (3-season) ? Ext. Alt. - Multi
? 01 of _ Plex ? 07-plex ? Garage ? Porch (4season) ? Ext. Alt. - SF
? 02-Plex ? OS-plex ~ Deck ? Porch (screen/gazebo/pergola) ? Multi Misc.
~ ? D3-Plex ? 10-plex ? LowerLevel ? Storm Damage
? 04PIex ~ ? 72-plex ? Misce~laneous ~ ~
WORK TYPES
~ New ? Interior Improvement ? Siding ? Demalish Building'
Aildition ? Move Building ? Reroof ? Demolish Interior
? Alteration ? Fire Repair ? Windows ? Demofish Foundation
? Replacement ? Egress Window ? WaterDamage
' Demolition (entire building) - give PCA handout to applicant
DESCRIPTION:
Valuation 3~ aD~ Occupancy MCES System
Plan Review Code Edition /nn ZGo7 SAC Units
(25%_ 100% Zoning City Water
Census Code ~ Storles Booster Pump
# of Units Square Feet PRV
# of Buildings Length. ~ Fire Sprinklers
7ype of Const. Width ~
REQUIHED INSPECTIONS
Footings (new bldg) ~ Sheetrock
~ Footings(deck) FinaI/C.O.
Footings (addition) ~ Final/NO C.O.
Foundation HVAC,
Drain Tile Other:
Roof: Ice & Water Final PooL• _Footings Ai4Gas Tests _Final
Framing Siding: _Stucco Lath _Stone Lath _Brick
Fireplace:_R.I. _Air Test _Final Windows
Insulation Retaining Wall
Reviewed By: Building Inspector
RESlDENTlAL FEES:
Base Fee PC,~. r- 1,y7- rG~
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
Total
Page 2 of 3
~lt~ 0~ ~~~I~Il
3830 Pilot Knob Road
Eagan MN 55122
(651) 675-5675
RESIDENTIAL BUILDING PERMIT APPLICATION REGIUIREMENTS:
New Construction Reauirements
? 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas
? 1 Soils Report if proposed building is to be placed on disturbed soil
? 2 copies of plan showing beam & window sizes; poured found design, etc.
? 1 set of Energy Calculations
? 3 copies of Tree Preservation Plan if lot platted after 7/1/93
? 20% maximum lot coverage allowed
? Rim Joist Detail Options selection sheet (6uildings with 3 or less unitsj
? Minnegasco mechanical ventilation form
Remadel / Repair Requirements
? 2 copies of plan showing footings, beams, joists
? 1 set of Energy Calculations for heated additions
? 1 site survey for additions & decks
? Addition - indicate it on-site septic system '
~ L f : t
- 3
Office Use Only ~ ~ ` ~ ~ ~
, V ~,r w ` ~ ~k
Cettificate of 5urvey;Received! ~ , >
, n „ . ~ ~ ~
~
~oils Repoit ~ ~
~ , , c' aM
~
~ Tree Preservatwn Plan m ' ' ~ ~ ' F s.
~
~ , ~ ~ ~ u- , r ~
~ ~
0 7ree Pteseroation Required
; ~ ~ ~ ~ , ~ _
~ k l^rrr i A -
? qn Sde.SepUc System
1 - m,. . U.' ' ',j :
~ ..v . _se? .i'~2l.. . . w .
Page 3 of 3
,VEYOR~S CERT,IFICATE ~ GRAND OAKS DEVELOPMENT COMPANY
_ ~ i i~ ~ .
~ L `J' z
! ~ I ' ~ '
~_l.~ r h S~ ~ l i-
/ 5 ~~y 6' S/oss / / .
s;~
~ 'z 36' ` ' ~7
_PROPOSED GRADES W~ TAKEN ~~QSC~,y'~l'qG
y\ F/
FROM THE DEVELOPMENT PLAN F'~'r ~ \ R3
FOR NORTHVIEW MEADOWS BY AFRGAi~~
SUBURBAN ENGINEERING, LAST <yT
r \
DATED 9-29-83. ~
~ \
h ~
. ~O ' O ~ ~ ~9~3 0,
j ~ /9.3~~ 4~ ~ % \
.
v~ lU _ ~7/ iv[w /
O ~ ~~6g_ YlYY'L/ OE~I'' ~ M~ k,},~ .
Q ' ~ S l Lk~Sir~6D.x~
l ~ M ~ n ~ ~ ~~73. ~ 8:r~~,~ ~y
~ ~ PR ~ S~ ~2g4p / l~~L
C
' = p ^ 4po pUS~ ~ / '
, J a ~ ~
O P~y'~/ggao~ ~ !
; ~ ry ~ i o° (976,q v
,a~NN. ~ , ~ / Z^~ a \
, z2 0o
i ~ ao h~ ~ ~
~ ~ _ ~ ~o
1 0 1~:~~~' ~9~L '~,5.
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l i g~~,~.~. . ' r\ \ .
~914,0 ~~O',~ \ / ~p `1
o- ~s kp-
a=37°00'00'L~~ ~o
R= 60.00
38.75 ~s,
3 \
J
ROGERS CT. \
DENOTES PROPOSED SURFACE DRAIP~AGE
~-O DENOTES IRON MONUMENT SET SCALE: 1 INCH = 30 FEET
• DENOTES IRON MONUMENT FOUNO PROP05E~ GARAGE Fl.ODR = 9~ FEET
X000.0 DENOTES EXISTING ELEVATION °ROPOSED LOWEST FLOOR = 9?3'9 FEET
(000.0) DENOTES PROPOSED ELEVATI~N PROPOSED TOP Of BLOCK = 9'~~•~ FEET
I HEREBY CERTIFY TO GRAfJD OAKS DEVELOPMENT COP1PANY THAT THIS IS A TRUE AND CORRECT
.
"~",,,-«NTATION OF A SURVEY OF THE BOUNDARIES OF:
Lot 42; Block 4, NORTHVIEW MEADOWS, accordina to the recorded plat thereof,
Dakota County, Minnesota.
AND OF THE LOCATION OF A PROPOSED BUILDING. IT DOES NOT PURPORT TO SHOW IMPROVEMENTS
OR ENCROACHMENTS, IF ANY, THEREON. AS SURVEYED BY ME, OR l1NDER MY DIRECT SUPERYISION,
THIS 7TH DRY OF JUNE , 1984. SIGSJED: JAh±ES P.., HILL, INC.
~
, ~
, BY: C" I%%i i;
~~~I I~~~ HA OLD C. PETER50N, LAND SURVEYOR
DfINNE50TA LICENSE N0. 12294
PROJECT NO /PAGE
~z 9~.... JAMES R. HILL, INC.
~~~~G r~~~~ no~s~ ~m
Planners / Engineers / Surveyors
FILE NO.
' ' - " 8200 Humboldt Avenue South
FOLDER Bbomington, Mn. 55431 812-884-3029
I'` ~~f/ cz~ or_r:nc~ Inclucle 2 sets of plans,
- • 1 site plan w/elevarions &
D~C~- Q gUILDING pEFL~1IT I~PPLIC~YPION 1 set of enerqy calculations.
I, o
1b IIe Used For Valuation Date
Site Pddress ~ S ttiY~~
OT'FICi; USI: ONLY
IAt I31ock ~ sec./Sub• _~1 rrect x_ Oc;cupancy I~-3
P~~1 i U- 5a-/ ~0 -~~b - D~ e~lter zonirxJ {Z- I
a Repair Pire Zone N/fa
O~mer: ~oy~y~' Q~ ~~j~-~, Enlarc7e _'I~+pe of Canst. ~
Address: ~ + ~ M°'~e # Stories
~ Dex~lish Pront `~O ft.
City/Zip Code: ~~f (~a...~~ _ Grade [k~pth q-8 ft.
Pr~~ a: lQ y Y- y c~ ~l ~
A n~[~rs~vnrs
_ rr•.r•s
Contractnr: ,~a-.--.~ ~~-R~O ~R.rr~ A~sessiaents Perntit
f~ I~ater/Sc~oer Surchan7e . 5O
Pddress: ~;L 3 U r 6'1 _~lice Plan Check o°
1-13.. -
City/Zip Cr~cle: 1~~ Fire SI~C 5'Z~.~
Phone ~ 3 2 L~(~ ~ 13i9. _ water conn. ~'7 0. `3~
Planncr Water Meter (0 3.pO
Council Rr~ad Unit ~lS=
Bld9. Off. F, '~p
Pddress: 111~ %-"T~-
City/Zip Ca3e:
Phone 1C/I'AL 9~ a~ ~ S Q
~ - ~ :_L----~
~ t~
/
I , •
4
5 3 2 4- .
f°
~ lP~qoB
' ~ ~~o~~vo
~
~
SURVEYOR~S CERT FICATE ~ GRAND OAKS DEVELOPMENT COMPANY
_ r i~-r
' " ' L_~./ , r / (2z~~ ~
t ~ ~ / '
`_~J' . s.. ~ J >
5~ S/o / .
i
_PROPOSE~ GRADES W R TAKEN ~F
SE,yti~G\ S3SF /g/ C7
FROM THE DEVELOPMENT PLAN ~'rA$ 3T
FOR NORTHVIEW MEADOWS BY FR Ti~~ ~
SUBURBAN ENGTNEERING, LAST iD<,yr
r~~ \
~ATED 9-29-83. ~
G3 ,
~ ~ ~ ~ ~ ~~9 0
; r 42 ~ ; ~
W /
-
, ~?es_ ~9
~ 1. 73,~) / /
M % ~~°o ~~73.s}.~
~ 1 ~p ^ ~ ~°R ~s.
~ ~ 4~
J ~ P * ~
o'+ous ~ , ~6~, ~ ~
O A Do / •i
~B. ~
1 oi "N o Cq7 °o /
` ~ G~? R ti 6 Q~ j R.~ O
\
r P2. o% 1i A h'~~ ~
~x ~ 3 ~ o
~ o ! (9i6 4~ ~
I M 5 ' ~ _ ~
~ ~
~ ; ~ 3p ~ ~ ,
t ~
~ 14~0 ~ ~ \ \ }
, ~ ap0~
O ~
d=37°00'Od'L'~~ •
R=60.00 ~ '
38.75 ~9;
J
ROGERS CT. \
DENOTES PROP05ED SURFACE DRAIP~AGE
O DENOTES IRON MONUMENT SET SCALE: 1 INCH = 30 FEET
• DENOTES IRON MONUMEtr'T FOUND PROP05ED GARAGE FLOOR = q~ FEET
X000.0 DFNOTES EXISTING ELEVATION °ROPOSED LOWEST FLOOR = 9~3'9 FEET
(000.0) DENOTES PROPOSED ELEVATI~N PROPOSED TOP OF BLOCK = 9~~~~ FEET
I HEREBY CERTIFY TO 6RAMD OAKS DEVELOPMENT CQMPANY THAT THIS IS A TRUE ANO CORRECT
~
"~""':c~NTATTON OF A SURVEY OF THE BOUNDARIES OF:
Lot 42; Block 4, NORTHVIEW MEADOWS, accordina to the recorded plat thereof,
Dakota County, Minnesota.
AND OF THE LOCATION OF A PROPDSED BUILOIN6. IT DOES NOT PllRPORT TO SHOW IMSPRUVEMENTS
OR ENCROAGHMENTS,.IF ANY, THEREON. AS SURYEYED BY ME, OR UNOER MY DIRECT SUPERYISION,
THIS 7TH DAY OF JUNE , 1984. SIG~JED: ~AF?ES P.., HILL, INC.
l/ 'r' ~ 'i 1 t
BY: ~ . ~~i~(.4-~: ;
HA OLD C. PETERSON, LAND SURVEYOR
DIINNESOTA LICENSE N0. 12294
PROJECT NO. BOOK / PAGE ~pMES R. HILL, INC.
84749
Planners / Enginee~s / Surveyors •
FILE NO. 8200 Humboldt Avenua South
FOL DER Bbomingtan, Mn, b5431 812-884-3029
I
;us.. , .v,:s..~..., _.y;.M 2 iT'v:;..: -.C~F'~ :A,.,.. ~ :9.2F'r„ } i:~i~,_ W
. . • +.~.°r~r"~v..:.-. . - . _ .,i:n~Y.tYZ:4].~ ~
TY P
CARRIER LOAo
INFORMA~ION QENTER
cv ?i ti,t o
OP*ION 1 OP*ION Z OPTION 3
1. Summertlesigndegrees c~C p c~C p ~
#
• (90, 95. 100, 705, 170 or 175)
~ (If 90, 105, 710 or 115, Item 2 N.A.)
2. Daily range (0°-35 1 A ' `~'"L' - ; i`4 z , -
° . . . . . . . . . . . . . . . . . . r~s ~ ~ ~'rwp, ~ ;n w ~ ,~M' . p ~ . ..st"..:p
~ . ~ ~
~ 3. Winterdesigndegrees ~ q m~ r g ~
(PreceOe a minus number with M) L_J
4. NumberofwinCOwpanes a7 p ~ q ~
(1, 2 or 3. II 2 Or 3, Item 5 N.A.)
5. Stormwindows~(vor N) ~~`F ~ ~ : :p~- ~ ~
. ' #
~ 6. Windowsweatherstripped?(YOrN)..... y ~ q ~ p
7. Four wintlow ereas starting with N or ~
NEorientalion ~ # ~l M #
(Ex: NM25R301f20825lIR; Max per siCe: -
999 54 It J, -
71 N or NE -y t~ # p ~
72.EorSE 7~ p 7~ p ~ q~
t~~----_------J~~
73 s or sw ~3, a x I ~ q I
`-_J
~ - ~4 W o. NW ~.3 ~ ~ v y ~
8. Shadedwindowa~ea . G^ q C p
~ ~ (0 or sq. It. Enter 0 il not applicable.
Max: 999 sq. ft.)
9. Doorarea # ~ # a
(0 or sq. it. Max: 999 sq. f1. If 0, ~ ~
Items 10 8 11 N.A.)
. , . ~ -~y~
10. Doorweatherstripped?(YOrN~ ~p ~-J
~ 5~+ . i 'r' r.i M•_ c - .
~ 11. Stormdoors?(YorN) +~t .;i~;~~.~8. ~.~.~'~L:.?!~ ~~..'pp
12. Pirst story perimeter ~ p - $ c H ~
13. Secondstoryperimeter q ~i q ~
14. Thicknessofwallinsulation ~ p D p
(0. 2. 4 or 6" fiberglas. Enter MA for . ~
masonry; R values, enter R, then value.
Ex: R19)
75. Basementperimeter x' t/ p ~ y p ~ J
(0 or linear ft. If 0, Items 18. 17 & 28 N.A.)
16. 8asemeM heated4 (Vor N) ~ ~y Y~~::._q ~
(If N, Item 17 N.A,)
17. Percentabovegratle(Ex:S%=5) . ~;.ar~g
v~0 , ; ~ P_'~' a ~ .
18. Area of roaf wit~ exposed beams or
studioceiling q# ~ qq #a
. (0 or sq. }t. If zero, Items 19, 20 & 21 N.A.)
. " I--~
. _
19. Woodorfiber . : ....,.".t~` ~ ~
(W for wood, F forhber. If W, Item 20 N A.,
II F. Item 21 N.A.) .
20. Thicknessoffiber ~ . `~~~~<,q; + ,.*-;e ~ - ~
5 . .i ~ p
(1.5, 2 or 3" or R values) ` " -
21. Insulation : ~ ` ..~v.~f~71: . " - M
. (Y, N or R values, Y assumes 1.5") ~
.
OP*ION 1 OPTION S OP*ION 3
22. Area of ceiling under ventetl ioof or
uncontlitionedsDace ~ N ~ p ~
(0 or sq. ft. If 0 Ilem 23 N.A.)
23. Thickne55oflnSUlaUOn . . .a~,~~,~`.'~'q ";'1 C.'': p ~ :"q.
(0, 3. 6, t2 or 18" ol fiberglas or R values. ~
Ex R30)
24. Areaolfloorsoverunconditionedspace q C p ~
(0 or sq. ft Ii 0 Nem 25 N.A.)
25. Thicknessofinsulation ~ i~ - ~
. ~ (0. 3 or 6" fiberglas, or R velues) . t 9.:~~".~ ~ f . p . "
26. Area of Iloors over open or vented space,
orgarege up C a# NN
(0 or sq. N. It 0 Item 27 N.A.) r
27. Thickness of in5ulati0n ~ " p . ~ - ~'Y;~ a x °~"..h~
(0, 3 or 6" oi fiberglas or R values) 'A~
28. 8asement area . . %t9 - "//~.~7. , ; ~.e ~ 1 ,k
L
(0 or sq. it. If Item 151s O ekip Ihl~ anlry.)
29. Totalheatetlarea ~ `N ,~,3~~ w ~
(sq. f~.)
30. Perimeterofconcreleslab ~ # ~ ~ .
(D or linear it.) (If 0, Item 31 N.A )
N - . q
31. Thicknessolslabinsulation...... "-F . g ~ ~
(0. 1 or 2")
32. Desired summer indoor lemperature ~
swing ~ #k ~ k# #M
(Value belween 1 antl 6 inclusive.)
33. OesireCwinterinsi0etempera~ure ~]Z. N 7~ a ~
34. Ducl location R ~ # 1} # ~
(AT = anic, BA = basement, SL - sla~,
CR = crawl space. CO = contlitionea .
space) Qt BA, SL, or CO, Item 35 N.A.)
35. Thicknessolinsulation . . . ~ ` q -~.q ~y;'.~~ .~a_N.
(0, 1 or 2". Use 2 lor 1' rigitl.)
'REPEATDATA~ .Np ~ _gg - Nx
VorN - -
•'CORRECTIONS4" _ .
If the~e are no corrections required enter #N.
If there are corrections to Ihe dala, enter -
question number, a, the new data, and aM. ~ ~ ' ~
H no u~ he~r corrections, enler p# only. NN ~ #p gq ~ pp MN #
COOLING B.T.U.H. ~
EOUALS•~R,,.(~C, `LAT 9D °F B.T.U.H.3/ qT~~°F B.T.U.H. AT °F
HEATING B.T.U.H. ~
EDUALS F'.? f~ AT!~L°F B.T.U.H. L!'/y.~I ~ AT ~°F B.T.U.H. AT °F
"REPEAT7HEANSWERS"(YOrN) qN qq qp
..SAVE YOUR DATA9" qq pp #g
Y or N: or YRxx wili save your data and goes
to beginoing for new Analysis; or NR#H will
not save aata buf goes back [o beginning for
new Analysis.
JOBNUMBER
H you want to Save your dala CLIC assigns ~ ~
Job Number
"STRUCTURE CHANGES7' ~
If Ihere are no changes required enter Wp.
It there are Changes to the tlata: enter
ques[ion number. a. [he new tlata, and Na, p kp p pp p gp
Ex'.25NR30~tl
It no further changes. eMer #N only. pp pp pp' ,
fp~~ AN~p
~W~p~/~~~J~
~~I~~~
OPPORTUNIIV HOME 3-]e PrinleE in U.S.A. 838-039
~~.~~CS ~ab.oo
2007 RESIDENTIAL SUILDING PERMIT APPLICATION C~~ r'-"-~r ~
City Of Eagan
3830 Pilot Knob Rosd, Eagan MN 55122
Telephone # 651fi75-5675 FAX # 651-675-5694
~ Neiv~CoishudonReouiements RemodelReuairReauiremenis OficeUseOnN
~~--~-3regislereds'tesurveysshowiiqsq.a.o(Id,sq.A.dhouse;arW~IlroMedareas 2capiesofplanslwwi~fooliigs,beams,pisls Cmta'tSurveyRecd~ _Y~_N
~~,..'(20%.maxenumlotcoverageal~awed) lsetofEnergyCa~u~lio~farheafedad6tions SdISReVat _Y._N
-;'.-:Y Shcs Reppl d proposed buildmg is to 6e placed on datuibed ~il 1 sile ~rvey for addiliore & decks Trm Res PpnRecd _Y _ t~{
~ ~";~2copiesofplanshaving6eam8vnMawsirespoieedfourMdcsign.e~c. Addifon-mdicateMonsiTesepticspsfem ~TreePresRequi~ _Y _N
~ ."I sel d Energy Cakulatims On-site5ei~ SY~ _-Y_ _ N
':3 copies N Tree Presgwalim Plan d lol phtled afler 7l193
Rin ,bi5t De~ail Options sdection sheet (builmngs wilh 3 a less unAs) LOOZ ~ I 1 ~ 0
Minnegasco rt~chancal veMi~tion torm
Pians are considered ublic infiorma4ion unles ~ de secre4 and the reason.
Date 1 U / / G 7 CoeshvMion Cost ~~GU(J-~
p } 1
Site Address O`~-'?:3 VS o er e"S~ c^..c r T UniGSte #
Description of Work yi/ S 7c= l~ ~ ~ ~ w/"
~G[S rr2 aL'~ G~*-J
Multi-Family Bldg Y~ N Firoplace(s) _ 0 ~ 1 _ 2
e `
Property Owner ~u r 5 J f' i S~~ Telephone #((~1) (!i
ContraMOr m Gl ~ T~' ~C(. S j~`I"~= i
f ~ >
Address ~E'f!l~~~E/ Ln~i~E City /VUI~ S"~-~Taw~
State A n 1 ~ ~ ~
~
Zip.-~~/G~ Telephooe#((~O
/~Tn-
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
EnergY Code Cetegory . Residential VeMilation Category 7 Worksheet . Nevr Energy Code Wocksheet
wbmission type) Submitted Submfhed
. Energy Emebpe Calwletions Su6miltetl
In the last 12 monihs, has The City of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber Telephone J
Mechanical Confractor Telephone ~
Sewer/WaTer Coniractor Teiephone # ( )
I hereby a{~Qly for a Residential Building 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 State of MN
Statutes; 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 appmved plan in the case of work which requires a review and
approval of plans.
:--1 UcY./ ci a{~ r~ C~r//'l ~
Appli t's Printed Name Applic s Signature
~
i
i~~
~y_ _ ^i ~ 2/8~1
~ ~ CITY OF EAGAN
~~1i~ APPLZCATZON FOR PEIh~1IT
SEWER AND/OR WATER CONNECTIO.T
(PLEASE PRIHT)
i) PFOP~rr~ ~pt~ss :~c~~~ Q o e_ ~ r s v r~
r.Fr;z, D~pr~cv: l~d~ ~/a r, k Y /i~or t~ u. ew /~lo r~!
(Lr~t/31ock/Subdivis7.on or Ta~c Parcel I.D. Ninnt,~er)
ir ~{IS':'=`:G ST".?L'CTL^:2E, Dr~T' G_= ORIGi :AL :~iILCL;G P~_.?I^• Ic~~?\C^:
•t"-o_==° ,
~ P~Sr~_ii ~•~•TI>~r~.-~C°Oc~ ~5~: R-1 S~IGL~ FP`niT,y
? R-2 GUP~ ('I~~'p CNITS )
? R-3 'IChv1~ICt;SE (THI2F." + T.I~TITS) ( UNI'?'S)
O R-4 ApART.'~."P/C"u~]DCi~1~I2U,~1 ( Wi ITS)
p CCY~T~RC7r'1L/^nETAIi,/OE'E'ICE
? I'i~liSiRTs1L
? INSTIT[PI'IO:~"-~I,/GOV~Rt~~r'~1T
2) APPLIC~~"I' (alEase Pecvr)
r~,r~: r
ann~ss: 7loa3 (J o n~r /to7 rh S
crrY, sTti~, zr~: ~kec.~~`//r ~?n ~iS ~ly
P~~: il.3a ~C'/ /
3~ p~n,~~ PLEASEpPRLNi) FOR CITY I1SE ONLY
NPl~: ~1~, f~on~c~/~i~.r,fJi h~c
ADDRESS: J$~Sf~v pQ~~ PIUM RS LICE4SE:
Active
~ CITY~ STATE, ZIP: ~ kP ~~/~~ry~n
~y Q Ezpired
- PHOiVE: ~s~~~ / Q N~f Record
~I,I~ ~~3~ PLUMBER LICENSE k ~ ~
~
arr nitia
Q) ~[J~~p,.,yT/(f',r~ (PLEASE~ PHIN~J
NA["fE _
rwD~SS: ~ C
CITY, STATE, ZIP: ) ~ ~ - ~
PHONE:
5) INUIC~+'I'~ WHZCIi PEP,MIT IS BEIICG RD~UESTEp;
~ CC:~TIELTZON 'ii~ CITY SEL~IER
CO..~PION 1t~ CITS.' WATER
? CJR'.ER (PLEASE DESCF2IBE)
6) ~DIG,;:: C:~:
? PI,£`,SE F:OLD APP?2(ytJF~ PERtiLIT FOR PICiC-UP BY ONE OF ABC7VE
?°I.~~SE tiAiL APPROVEp PER~LLT 'IO 1, ~ 3, 4 P.EO~/E
(Circle oney
7} SI~ITL~E: DATE:
a:~~A1fA ~ i Rlt:~! flt 1!~ tii:i:~ ~ if Ss:ii:i iIr Y!l.~I:~MYFl~ f~ a~ ~~l~igiL• C
F 0 R C I T Y U 5 E O N L Y
PER'~tIT ISSUED
~
F°~S: $ ~a.S G CF?.~~',J P``AHT~ (I:ICL:iD~ SliRC?;dRG:I
+S i p ,,,~a WATE? PEIU`4IT (INCLUDE SURCHARGE)
$ ~."3•~"-b' WAT°R METER/COPPERHDRN/OUTSID~ REAGER
$ WATE~ TAP (INCL~DE CORPORAT~C:I S.OP)
$ SE:~IEn mr n
$ /~"~--s ACCDIINT GEPOSIT - SE:•:ER
$ ACCOUNT DEPOSIT - FiA:ER
$ ~~r>. .^~r~ WAC
S v~"'...~~~ .r-cJ SAC
$ TRUDIIi ?~IAT~'.a. ASSESSi3E:IT
$ TRli~IK SESvER ASSESS~SEVT
$ LATE°.AL BENEFIT/TRUNK SEtv'ER
$ LATERAL BENEFIT/TRUNiC WATER
$ ~ OTHER
$ TOTAL
~ 5?~' A:~10UNT PAID/RECEZPT # ~ S~
DOES UTILITY CONNEC.ION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
YES IF YES, THEN A"PERMIT FOR WORK SJITHIN
~ PU$LIC ROADWAY" M[lST BE ISSUED BY THE
NO ENGINEERING DIVISZON. LIST AS A CONDI-
TION.
SUIIJECT TO TFIE FOLLO~dING CONDITIONS:
APPROVED BY: ~
TITLE: „L~1 ~
DAT° : ~ , ~ 1C
.~iwwi+w~~w~~res~w_~14~~asi~w~~t~~t~w~l~~.f~a~~~~a.l~Ra~c~~a~~w~~
' 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
` CITY OF EACAN
~ ~ ~ 5 3830 PILOT KNOB RD - 55122 LI . U . ~ ~
651•681-4675
New Constiudlon Reauirements ~ Remodel/Reoalr Reauirements
? 3liegistered site surveys showing aq. tt. of lot, sq. ff. of house 2 coptes oF plan
- and all roofed areaa (20% maximum lof covefaae allowed) 1 set of energy calculations for heated addNions
~ 2~copies of p{ans (sfiow beam L wlndow sfzes; poured Fnd. design; etC.) 1 sMe sorvey tor exterfor addMions & decka
~ i set of energy calculatfons
. 3 copies of tree presenation plan H lot platted aNer 7/i/93
DATE: ~I -I ~v' ~19 CONSTRUCTION COST: ~ ~JS 1~7 . ~
DESCRIPTION OF WORK: ~.mdl(e ySe~Ia~~ ~007- ~'.~-~a-~~
STREETADDRESS: g`~ ~bciP~S C~J
LOT: ~`I BLOCK: ~ SUBDJP.I.D. J`~~~~ ` ~ V~ V ' G'~~ ~
Name: S2~.1.~ l",~1U~5 Phone#: ~~Z~~~TZ• Y~`iZ
PROPERTY lcsl First
OWNER
, Street Address: cg~J ~O~i e.1Z-S L.ll
City ~~iu~ State: YrJ ~ Zip: 5`.~~ ~J
Company: ~UZz- ~~-~'S ~-IOm~ Zrn~C? Phone ~ ~ ~ ~ '
' ~ (area code)
CONTRACTOR
Street Address: ~q~ I ~I (n~' ~T ~ License #~~~~s Exp. ~:~~C
City ~~e~ State: Y~~cA Zip: S512N
ARCHITECT/
ENGINEER Company: Name: '
, Telephone area code ( )
Street Address: Registration
City State: Zip:
Sewen 8 wafer Iicensed pWmber (reauired for new consfruction onlv):
Penafly applles when address change and lot change Is requested once permM Is Issued.
I hereby acknowledge that I have read this application, state fhat the informatlon Is correct, and agree to comply wffh all apptlcable
State of Minnesota Sfafutes and City of Eagan Ordincnces.
' Signature of Appl(cant /C~~~--OI.LL I~tXJC.~~
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required -
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 f4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 15-plex 12 12-plex ? 17 Garage ? 22 "Porch/Addn. (4-sea.)
? 03 1 of _ plex ? 08 ''6-plex 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 '7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration ? 37 ; Demolish Bldg. ? 41 Wood Stove ? 45 Fire Repair
C' 34 Repair C7 3H ; Demolish (!nterior, ? 42 Rer:~of
GENERAL INFORMATION ;
Const. (Actuai) Basement sQ. fl. Census Code
(Allowable) Main level sq. ft. SAC Code
UBC Occupancy sq. ft. No. of Units
Zoning sq. ft. No. of Bldgs
# of Stories sq. ft. MGES System
Length ~ sq. ft. City Water
Width Footprint sq. ft. Boaster Pump
PRV
APPROVALS Fire Sprinklered
Planning Buiiding Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MG/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit `
S!W Surcharge
Treatment PL
Park Ded.
Trails Ded.
Other
Copies
Total:
SAC Units
% SAC
/ For Office Us, r
E AGAN'� •� Permit#:
,�^•� Permit Fee: w a CO
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 Date Received:
(651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694
Email: buildinainspections(a�citvofeagan.com Staff:
Commercial Plan Submittal:eplans(v citvofeagan.com L
2019 RESIDENTIAL MECHANICAL PERMIT APPLICATION
Date: g i//iq Site Address: g.S S 0\7-e 45
Tenant: Suite#:
Resident/OwnerName: I. 1�7,91Lr l€ S 6-c s-4) Phone:
Address/City/Zip: 'r3r A 07-64,3 a L T /. 4 514.) 5'S 1 a 3
Name: 6 niO Per ifTS .J Al 1!L CO—icense#:
Address: / L (O 0 `j , /D ozx+T 7/1! City: A V s,GY'1 Det
Contractor L,7
State:A) Zip: -rs-0(D Phone:, �o�1-'. Z-3— 3 �D Z.-
Contact:,4 4 4,Q,AJ Email: ,1 '/,e � ' ' / .� 110 0 -Gv�
RESIDENTIAL/Furnace
Air Conditioner
Permit Type
Air Exchanger
Heat Pump
Other
New V Replacement Additional Alteration Demolition
Type of Work
Description of work: geviVti
RESIDENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit, includes State Surcharge
$100.00 Residential New, includes State Surcharge =$ ' 0. — TOTAL FEE
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.citvofeagan.com/subscribe.
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 req ires a review and approval of plans.
x C— & -5'e G k)Q ,% x .
Applicant's Printed Name Applica t' Signature
FOR OFFICE USE
Required Inspections: Reviewed By: Date:
Underground Rough In Air Test Gas Service Test In-floor Heat Final
r For Office Use
se 7 7 _C
% Permit#: /
, , , E AG A N
,� nn
• ••••
Permit Permit Fee: ��
Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff:
buildinginspections a(�.citvofeagan.com
2019 RESIDENTIAL BUILDING
G PERMIT APPLICATION
Date: '10- 0 , I q Site Address: S 55 Ro�Q,r'S C T Unit#:
Name: Phone:
Resident/
Owner Address/City/Zip:
Applicant is: Owner Contractor
Type of Work Description of work:
Construction Cost: Multi-Family Building: (Yes /No )
Company: 1'n0 C.oRSArac ltb N Contact: 1\c rt us)
Contractor Address: \7t ' WoJntp CfCIQ, City: E(1,..ce.)
State: PA ti Zip: 55(aa Phone: 6s '3?t-o736Email: o oCO kftnotiortiIet,„,„, , (,0ti
License#: 13C 666752 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 maybe
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.citvofeacian.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 re-,- e locates of underground utilities. www.aopherstateonecall.orq
I hereby ackn. ..ge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of
Eagan; tha derstand this is not a p-• , but only an application for a permit, and work is not to start without a permit; that the work will be in
accordan•- h the appro /plan in ase of work which requires a review and approval of plans.
x , x l��taTO ki'CG,MOr,d
• 'plicant's Pr",, ed N. '� Applicant's Signature