1383 St Andrew Blvd1NSPEUrl"ION RECORD
CITY OF EAGAN PERMIT TYPE:
'L--afeO Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(651) 681-4675
SITE ADDRESS:
1Nf1RFl•I fit, VO
! A I R61A'i 141 1 f cSb_ :.?
PERMIT SUBTYPE:
APPLICANT:
TYPE OF WORK:
III I lit NI
t I N i/ 4?
INSPECTION TYPE DATE INSPTR, INSPECTION TYPE DATE INSPTR.
ii 1,-•:, ; ? ? r•; ?
?.f PI kA I f P1 14141 1 k(Ci11 i It1 1.1 1 IIR ANY P 1 (INfi 1 NG WIWI,
imp
Permit Holder Date Telephone N
SEWER/
WATER
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
CONDUCTIVITY
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
BOOSTED, PUMP REQUIRED CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt #
To be used for Est. Value Date
Site Address
Lot Block Sec/Sub. _
Parcel No.
z Name
W
Z Address
p v1r
City Phone
co Name _
,
a Address
City_
Address
City_
OFFICE USE ONLY
On Site Sewage Occupancy
MWCC System Zoning
On Site Well Type of Const
City Water (Actual)
(Allowable)
* of Stories
Length
Depth
S.F. Total
Footprint S.F.
APPROVALS FEES
Phone Assessments Permit
Water/Sewer Surcharge
Police Plan Review
Fire SAC, City
Engr. SAC, MWCC
Phone Planner Water Conn.
I hereby acknowledge that I have read this
that the information is correct and agree to con
State of Minnesota Statutes and City of Eag+
Signature of Permittee
A Building Permit is issued to.
all work shall be done in accordance with all
Building Official
FAIRWAY HILS
'19
Council Water Meter
and state Bldg-Off. Road Unit
applicable APC Treatment P1
an Variance Parks
Copies
TOTAL
on the express condition that
innesota Statutes and City of Eagan Ordinances,
Permit No. Permit Holder Date Telephone ie
Plumbing
HN.A.C.
Electric (?lq0I ? .,, ?3/ 7 7av
Softener
Inspection Date Insp. Comments
Footings l
Footings II
Foundation
Framing Ov,
Roofing
Rough Plbg. of
Rough Htg.
lsul. 10 -- To C,?l/ p?Ir 3 ' ?r
Fireplace '?Mg? 60
Final Htg. JAL
Final Plbg. -,r
Bldg. Final S. ?
Cert Occ.
Temp. LP
Deck Fig.
Deck Frmg.
Well
Pr. Disp.
PERMIT #L?
PLUMBING PERMIT RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ?' '?? • 7
kCT PRICE: PHONE: 454-8100
Site Address TO? ? f 4_-' -
Lot Ste- Block - <- Sec/Sub
Name d yri 6-vr-
Address ,6.414 2 -r .?:• c?1 d
C City ;;:' L Phone ."fr/ ]/r ?i
Name _
3 Address
O City -
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE -$12.00
MINIMUM - COMM/IND FEE -$20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1.000.00)
FOR: CITY OF EAGAN
BLDG. TYPE WORK DESCRIPTION
Res. New Irf-
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
--.Z-Water Closet - $3.00 $
--_L-Bath Tubs - $3.00
?-Lavatory - $3.00
?_Shower - $3.00 '
_?Kitchen Sink - $3.00
Urinal/Bidet - $3.00
Heater - 91 50
ool - $3.00
iping Outlets - $1.50
JIMUM - 1 PER PERMIT)
J ?
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
-3! Rough Openings - $1.50
FEE:
STATE S/C:
GRAND TOTAL ??
PERMIT # ?
MECHANICAL PERMIT
RECEIPT # L9 -L
CITY OF EAGAN v
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE: PHONE: 454-8100
Site Address
BLDG. TYPE WORK DESCRIPTION
Lot ?
Block ec/Sub
Res
w
N
p
.
e
m Name
Muit Add-on
Address
1. Comm. Repair
c City Phone - Other
Name
:` FEES
RES
HVAC
.
0-100 M BTU -$24.00
3 Address - ADDITIONAL 50 M BTU - 6
00
p City 1 ( Phone .
(RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OU
T
-
TLE
S (MINIMUM - 1 PER PERMIT)
- 1.50 EA.
TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE
Forced Air - : M BTU APT. BLDGS. - COMM. RATE APPLIES
Boiler
M BTU TOWNHOUSE & CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
Unit Heater M BTU REMODELS - 12.00
Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00
Vent CFM STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Outlets # BEYOND $1,000)
Other it
FEE:' 19 ? I "
S/C: SIGNATURE OF PE MITTEE
TOTAL ::- ::j
FOR: CITY OF EAGAN
A
!-:,
(In ifiratt of (Orrupattry
Citp of (Eagan
ve}otrt "w of ditto . trthmt
This Certifwwle issued pursuant to the requirements of Section 306 of the Uniform Building
Code certifying that at the time of issuance this structure was in compliance with the various
ordinances of the City regulating building construction or use. For the following..
Use clasoation UG1G??'' slag pmnit No.
Ox P-7 Type R3 Zoning District type cAOC
TEHORSE
Owner of &nldM ',?t'
Address
1393 ST . ANT
Hulling Address Locality
Date:
POST IN A CONSPICUOUS PLACE
CASH RECEIPT
CITY OF EAGAN
• 3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE f 9 _L
otLGEIVED %
FROM Zr?, ?C
AMOUNT $ I
& -DOLLARS
+oo
CASH Q CHECK
Root _t lit ; L I ( i % I sr Cl _/
i
1
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
Thank You 1
BY / C.! C
BLDG. PERMIT NO. % d
?
c - "
01-3210 Permit
1d ?? c-
01-3422 Plan Check
01-3445 Surch./Adm. ! .
01-3446 SAC/Adm.
01-2155 Surcharge S J
17-3860 Road Unit
20-2275 SAC `- % 7 .,.
20-3865 Water Conn.
20-3868 Water Trmt. ! J ° c
20-3716 Water Meter u
20-2252 Acct. Dep.
20-3713 Water Permit
20-3743 Sewer Permit
79-3866 Sewer Conn.
11-3855 Park Ded.
TOTAL
r
CITY OF EAGAN Permit No: Date: 8-21-87
3830 Pilot'"O.ot_Road Meter No: 3 -V- 37.3 - t5 Size: "12 o r/
P.O. Bou c I I" Reader No: Z _2 Date:
Eagan, MN 55121
Owner urr Oak Bldrs.
Site Address: 133' 3 St, Andrew Blvd. ?4 B5 Fairwat, 1_'11s
Plumber. Lake Side Plumbins-
C C 525.00pc tl
onn.
g.
'
Acct. Dep: Opdw
m
Permit Fee oBft"1$91119 call
Surcharge: ' NE - E
Tr. Plant
Meter.
Misc.:
?
h
R
SERN
g,to comply with the City of Eagan
with the City of Eagan
F ?
-.SEWER SERVICE PERMIT
PERMIT NO : 1 `)1 p
DATE: -21 -63 7
No. of Units:
Connection Charge: 525.00
Account Deposit: 15.00Rd
Permit Fee: 10.002d
Surcharge: • S?Pu
Misc. Charges:
Total:
Date Paid:
CITY OF EAGAN Permit No:
3830 Pilot Knobfload Meter No:
P.O. Boer 211 98 Reader No.
Eagan, MN 55121
Owner L°rr ai. L?ldrs.
Site
Chg: 5, 5_
Fee:
B5
Date: - 21--87
Size:
Date: J
Zoning: _
No. of Units:
R1
1 agree to comply with the City of Eagan
Ordinances.
WATER SERVICE PERMIT
C
This request void
18 months from
D 4190
;76tis?
???
.....?....... ...'w._ ... • •?c .. v. ?v.. e..-.ii IV-il Vn
fT ?y ft?ery/,u ved? ?flea dl Now ill Notify Insoec-
J / d ? ?/,I Yes ?No nr When Ready
Licensed Electrical Contractor
I hereby request inspection of above
? Owner electrical work installed at:
Street Address. Box or Route No.
? City
E
•???s
an 9
ecUOn NO. Township Name or No. Range No. County
// /
?P?r rI
Occupant (PRINT)
?
B
?
Phon
j ? - a ?C?
a.
u r h
Power S PPlier
?
K
? E
y Address
?
a
.
lr?
?;1 r??n ?o
Electric},,C,ontra r (Co?any Name) ontrectois License No.
Mailing Address (Contractor or Owner Making Installation)
•215000 can Z/;7 Qot-nSU?IId ?,A SS4??
Authorized Signal ICo rector Owner Making Installation) Phone Number
`6 o(:w
MINNESOTA STATE BOARD OF LECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room N7191 BE ACCEPTED BY THE STATE BOARD
1821 University Ave.. St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone(612)642-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION E?By-00/0011-/06
/ Sea instructions for completing this fwm On back of yellow copy. /l1'U% ?tp
D "X" Below Work Covered by This Request
Add Rap Type of Building Appliance3 Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Lighting Fixtures
Apt. Building Dryer Electric Heabn
Commercial Bldg. Furnace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm then peel y .the, Ispecifyl
t er Specify Other Other
ompute Inspection Fee Below
e Fee Service Entyanee Size a Fee FeadarsrSU1blendar3 # Fne Circwts
0 to 200 Am s 0 to 30 Amps 90 0 to 30 Am s
Above 200 Amps 31 to 100 Amps ) 31 to 100 A
Swinlrning Pool Above 100-Amps Above 100_Am s
Transformers Irrigation Booms a PartialOther Fee
Signs Special Inspection B
.
T
Remarks ? OTAL E
?
Bough-in Date ^
Y the Electrical
a n3peCt01" hen,by
Final
Da c rtily that the above
m- i spection has been
made.
This reuuest Vold 18 months from
001P
City of Eapn kihahcr
Make Check Payable to: TOP SHELF BUILDERS
Address: 836 NORTHVIEW PARK RD
EAGAN MN 55123
Permit # 77396
Receipt #/Date: 126214 4/20/07 Site Address: 1383 ST ANDREW BLVD
Reason For Refund:PERMIT NOT NEEDED
TYPE OF REFUND
Building Permit Base Fee 0801.4085 $ 147.50
Construction Meter De Refund 9220.2254 $
Curb Box Deposit Refund 9220.2253 $
Fire Suppression Permit 0801.4096 $
Mechanical Permit 0801.4088 $
Plan Review Fee 0720.4222 $ 95.88
Plumbing Permit 0801.4087 $
SAC (MCES) 9220.2275 $
SAC (City) 9379.4681 $
SAC Admin) 0801.4246 $
Sewer permit 6201.4532 $
Surcharge 9001.2195 $ 3.50
Treatment Plant 6101.4685 $
Water Permit 6101.4507 $
Water Meters & Radio Read 6101.4509 $
Water Supply & Storage 6101.4680 $
Copies 0201.4230 $
Total S 246.88
declare under the p altie f law that this acco t, claim, or demand is just and that no part of it has been paid.
4/25/07
SIGNATURE DATE
City of Eap
Mike Maguire
MAYOR
Paul Bakken
Peggy Carlson
Cyndee Fields
Meg Tilley
COUNCIL MEMBERS
Thomas Hedges
CITY ADMINISTRATOR
MUNICIPAL CENTER
3830 Pilot Knob Road
Eagan, MN 55122-1810
651.675.5000 phone
651.675.5012 fax
651.454.8535 TDD
MAINTENANCE FAcILRY
3501 Coachman Point
Eagan, MN 55122
651.675.5300 phone
651.675.5360 fax
651.454.8535 TDD
www.cityofeagan.com
THE LONE OAK TREE
The symbol of
strength and growth
in our community.
April 25, 2007
ROSS GRAUPMAN
TOP SHELF BUILDERS
836 NORTHVIEW PARK RD
EAGAN MN 55123
RE: REFUND OF PERMIT #77396
Dear Ross:
It has been determined that a building permit to remodel the kitchen at 1383 St.
Andrew Boulevard is not required. As a result, the City is refunding the permit
fee of $246.88 to you under separate cover.
This letter is also meant to advise you that effective January 1, 2001, the City
of Eagan's Fee Schedule assesses a $50.00 fee to refund permits that have
been processed and receipted. As a courtesy, we are informing contractors of
this policy and issuing a full refund for a cancelled permit on a "one time only"
basis.
If you have any questions, please feel free to give me a call at 651-675-5671
Sincerely,
i
Janice D. Severson
Office Supervisor
cc: Dean & Lynn Freeman, 1383 St. Andrew Boulevard, Eagan, MN 55123
1:41
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2007 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Reaurrements
3 registered site surveys showing sq. ft of lot, sq. ft of house; and all roofed areas
(20% maximum lot coverage allowed)
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 plaited after 7/1 W
Rim Joist Detail options selection sheet (buildings with 3 or less units)
Minnegasco mechanical ventilation form
Remodal/Reoalr Requirements
2 copies of plan shoving footings, beams, joists
t set of Energy Calculations for heated additions
1 site survey for additions & decks
Addition - indicate if on-site septic system
X46 '7g
Office Use Only
Cisirtof Survey Recd N
Soils Report - _ Y 4, N
Tree Pres Plan Recd Y !N
Tree Pres Requited' _Y' R
or"iteSepdcSystem _Y _N
Plans are considered public information unless you state thev are trade secret and the reason.
Date Ll
Site Address ( 3 t9
3 5 - -
N D P-CW Construction Cost
F>LV V Unit/Ste #
Description of Work Ia `4, ---C C4B(rJ 44-5, CQJ(J- y'rur_jlY?sl -
Multi-Family Bldg _ V-Y N Fireplace(s) i 0 - 1 _ 2
Property Owner Dsti A L??J j yfVl;<1-N Telephone #(65( )q5Z-6i`7,3
Contractor T
oF' 5K6Lf(:
oo
Address 83(?
State M t,60TitVV K D City C! 661J
Zip 5'512 Telephone # (65-1) 353 -OS O
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Category I _ Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet New Energy Code Worksheet
(J submission type) Submitted Submitted
• 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?
- Y N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #
Telephone #( APR
Telephone #( )
herebv annlv for a Residential Ruildine Permit and acknowledge that the information is complete and accurat
e;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of N/IN
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 approved plan in the case of work which requires a review and
approval of plans.
s.
Applicant's Printed Name Applicant's t
jig . "- DO NOT WRITE BELOW THIS LINE: a 4
Sub Types
?
01 Foundation 11 07 05-plex 13 13 16-plex ? 20 Pool 13 30 Accessory Bldg
..
t (- 02 SF Dwelling
/,,, 11 08 06-plex 13 16 Fireplace 13 21 Porch (3-sea.) ? 31 Ext. Alt- Multi
? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt- SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo/pergola) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex El 25 Miscellaneous
Work Types
R {t
(WhaL>Q, lG{ j 31^/27vG-xv-s 2 V&OA N?y?^ 69t?.? i¢ y
1'] 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) - G ive PCA handout to applicant
Description: Water Damage_Yes
0
Valuation 0 Occupancy MCES System
Plan Review 100% or 25%
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
Footings (new bldg)
Footings (deck)
Footings (addition)
_ Foundation
_ Drain Tile
Roof _ Ice & Water Final
Framing
_ Fireplace R.I. Air Test Final
?C Jnsulation
REQUIRED INSPECTIONS
Sheetrock
_ Final/C.O.
FinaVNo C.O.
_ HVAC
Other
Pool _ Ftgs _ Air/Gas Tests _
Siding _ Stucco Lath _ Stone Lath
Windows
Retaining Wall
Approved By: 'I. Cf , 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
00#a5
Brick
0 L9 -0
/rlN/ 00C)
?/ 00 o
S a RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
Now Consauotlan Reaulremerrts
• 3 registered site surveys showing sq. fI. of lot, sq. ft. of house; and all roofed areas
(20% maximum lot coverage allowed)
• 2 copies of plan showing beam & window sizes; poured found design, etc.)
• l set of Energy Calculations
• 3 copies of Tree Preservation Plan It lot patted after 7/1193
• Rim Joist Detail Options selection sheet (bldgs with 3 or less units)
DATE Ul '?
fr7S
RemodegReaafr Reaulrements
• 2 copies of plan
• 1 set of Energy Calculations for heated additions
• 1 site survey for exterior additions & decks
• Indicate a home served by septic system for additions
VALUATION a-Vl?
SITE ADDRESS 1 3 ? > Si 141'\J r-° ? ? (u d MULTI-FAMILY BLDG -Y Y N
TYPE OF WORK V- r_(D U •- FIREPLACE(S) _ 0 _ 1 _ 2
APPLICANT ?(i( Vjt t r ?Q,GI c I Q? f /0'S
STREET ADDRESS rO wos"? S CITY
TELEPHONE # ?5z ???-?ZCELL PHONE # FAX #
??IP 5f?3 ?
/
PROPERIYOWNER eCC ???el U^?-?? TELEPHONE# 657 ?S z-(P !2 3
COMPLETE THIS SECTION FOR a NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I _ MINNESOTA RULES 7672
(J submission type) • Residential ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor: Phone #
Plumbing system includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00
Water Heater No. of R.I. Baths
No. of Baths
Mechanical Contractor: Phone #
Mechanical system includes: Air Conditioning Fee: $70.00
Heat Recovery System
SewerlWaler Contractor: Phone #
--------------------------------------------------------------------------------------------------------------------------
I hereby acknowledge that I have read this application, state that the information Is correct, and agre comply
with all applicable Slate of Minnesota Statutes and City of Eag1 ce .
Signature of Applico
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ jBNQtBequ"d-_-__J Updated 4102
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 0&plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Ak - Multi
? 03 01 of-plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Aft - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Yor_ N ? 25 Miscellaneous
? 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
? 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 bldg) - Final/C.O.
Footings (deck) - FinaVNo C.O.
_ Footings (addition) - Plumbing
_ Foundation _ HVAC
_ Drain Tile Other
Roof _ Ice & Water Final _ Pool _ Figs _ Air/Gas Tests _ Final
_ Framing _ Siding _ Stucco _ Stone
_ Fireplace - R.I. - Air Test -Final _ Windows (newHeplacement)
_ Insulation _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Building Inspector
u 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
1 9 37 CITY of EAGAN
3830 PILOT KNOB RD - 55122
651-681.4675
cR? 13oc??10
9-a l.oo
> 3 registered site surveys showing sq. ft. of lot, sq. ft. of house
and go roofed crew (M maximum lot coverage allowed)
2 copies of plans (show peon S window sizes; poured Ind. design; etc.)
DATE: ? -r 4160
D I set of energy calculations
plan If lot plaited after 7/1/93
3 copies of tree prose rto
.75
Calkd SIlgio(
2 copies of plan
1 set of energy calculations for heated additions
I site survey for exterior additions A decks
CONSTRUCTION COST:
DESCRIPTION OF WORK: an irrooJ 4b gx,t5'tlISC7 ?rc g
STREET ADDRESS: ?T•
LOT: BLOCK: a SUBD./P.I.D. C ' f
; HS
V
rr--t2
?? ? u Phone #: 105 (a 2
Name: Y`cs&n+C ti
PROPERTY Cast Rrst
OWNER _ A.
Street
city ?H La AaJ State: ?](`? Zip:
Company:?L)srbNs, Ak?g-- +?I) '?)Y 6#151Phone#: 4oS-4(rz12-
(area code)
CONTRACTOR 3r I
Street Address: q' ( License # 2o(`i S9 Exp. 0
City - State: Zip:
ARCHITECT/
ENGINEER R Company: l,o5TOk>', CIS Name
ENGINEER
Telephone #: ( )
Street Address: Sp?r.Jr !US Registration #:
City
State:
Sewer/water licensed plumber (if Installing sewer/water): Phone #:
Zip:
I hereby acknowledge that I have read this application, state that the Info mwti is con , and agree "?,comply, with an applicable State
of Minnesota Statutes and Cfty of Eagan Ordinances. c?
Signature of Applicant. 1 \'k ?cr
OFFICE USE ONLY
Certificates of Survey Received V11" Yes No 7
Tree Preservation Plan Received - Yes No ) Not Required
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 08 06-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 03 01 of _ plex ? 09 07-plex IN 18 Deck ? 23 Porch (screened)
? 04 02-plex ? 10 08-plex ? 19 Lower Level ? 24 Storm Damage
? 05 03-plex ? 11 10-plex Plbg _Yor_N ? 25 Miscellaneous
? 06 04-plex ? 12 12-plex ? 20 Pool ? 30 Accessory Bldg.
WORK TYPE
X 31 New ? 36 Move Bldg. ? 43 Reroof
? 32 Addition ? 37 Demolish (Bldg)' ? 44 Siding
? 33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair
? 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors
• Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
SAC Code 0_ # of Stories sq. ft.
No. of Units 0 Length sq. ft.
No. of Buildings I Width Footprint sq. ft.
Const. (Actual) Basement sq. ft. Census Code
(Allowable) Main level sq. ft. MC/ES System
UBC Occupancy sq. ft. City Water
Zoning sq. ft. Booster Pump
PRV
Fire Sprinklered
MISCELLANEOUS INSPECTIONS
? Stucco/Stone
APPROVALS
V
i
Planning B uilding Engineering ance
ar
? 31 Ext. Aft = Mufti
? 33 ExL Aft - SF
? 36 Multi
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment Pi.
Park Ded.
Trails Ded.
Other
Copies
Total:
.a5
Valuation: $ 10700
SAC Units
% SAC
ROBE --
ENGINEERING
COMPANY, INC,
L 1000 EAST 1464 STREET,
597.01
WHITE Hr,R;t
CONSUL71NO fNOINffAS Dr=y/.
PLANNERS and LAND ?URVE9OAS
C-:;,'N
BURNSVILLE, YINHE:OTA 5CM7 PH 432-3000
CereZdi ctzze Su-p-w-ey
;tee cl cr p2iosz: LOT 4, SLJC< 5, FA IRWhY HrL;
DAK^.TA COUNTY, MPJJ\1ES0TA
00 ?°3s
RJ
3S ••
9J
?o
C/ v
r.
?F
8 2g , ?:?a, 9'P
S ? X3 " f Cio'
/S-
_
00 c
? ?` S h GAR moo/
ro?pc?• rO '. o Ov u0
R/ -\
el ? J 33 ,°J s, SF
m ?
°o f
m
hV
N 6o 6
2a
R3,?
m
SCALE: 12 ;
36 4J i
?- 3G BurLDING
SETSAC< LIVE
•ro_6:Di GENOT-E-? EXI?iING ELFVATj'-`
DENOTES PROPOSED ELEVA,iu!
sue- ING'tCAT c
SURFACE
DIRECTION OF
PRA I.NA GE
;,a3 1_37.83= FINISHED GARAGE F0
`:SQ ELEVATI ON
PkAINAGE AND
UTILITY EASEMENT
I her:by certify that this is a t:ue and correct representation of a tract. of
land As shown' and described hereon As prepared by me on this day of
S?Y 19?.
Minn. leg. No.lza-
CITY OF EAGAN N°_ 13 9 0 8
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PERMIT PHONE: 454-8100 Receipt # r76?5 33
Tobeusedfor SF DWG/GAR Est.Value $114,000 Date JULY 14 tg87
Site Address 1383 ST ANDREW BLVD
Lot 4 Block 5 Sec/Sub. FAIRWAY HILS
Parcel No.
a Name WHITEHORSE DEVEL CORP
T Address 11473 GOLDENROD ST
c City COON RAPIDSPhone 688-8077
o Name SAME
o< Address
r¢- City Phone
?w
ww Name
w
Address
gw City Phone
I hereby acknowledge that I have read
that the information Is corre&
State of Minnesota Statutes;,
Signature of Permittee 4
A Building Permit is issued to:
all work shall be done in acco?
Building Official
application and state
nply with all applicable
OFFICE USE ONLY
R3
On Site Sewage Occupancy
MWCC System Zoning
On Site Well Type of Const
-
' V
City Water ?
(Actual)
(Allowable)
# of Stories _
Length 56
Depth 36
&F. Total
Footprint S.F.
APPROVALS FEES
$ 545.50
Assessments Permit
Water/Sewer Surcharge =0
Police _ Plan Review 2=5
Fire SAC, City 100.00
Engr. SAC, MWCC 525.00
Planner Water Conn. 525.00
Council Water Meter 6700
Bldg. Off. Road Unit _ 60
APC
Treatment P7 0
Variance Parks
Copies
TOTAL T7. 5
I WHITEHORSE DEVEL CORP on the express condition that
with all applicable State of Minnesota,,Statutes and City of Eagan Ordinances
4
MopC.L_ -
DR7 RnTT-nTU - PRPMTT ePPT-TCATTnM - CTTI
SINGLE FAMILY DWELLINGS
OAKCLIFF 2-STORY
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR /HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS - RESIDENTIAL RENTAL UNITS FOR SALE UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COMMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
1 \ d, OCCD
To Be Used For: Single Family Valuation: 99: 06-,to Date: 6/29/87
Site Address 1383 St. Andrew Blvd.
Lot 4 Block 5
Parcel/Sub Fairway Hills
Owner
(Burr Oak Builders, Inc.)
Address 11473 Goldenrod St.
City/Zip Code Coon Rapids, Mn. 55433
On Site Sewage
MWCC System ?
On Site Well
City Water ?
Phone 688-8077 I APPROVALS
Contractor same
Address
City/Zip Code
Phone
Arch./Engr. Russell Plan Design
Address 4940 Viking Drive
City/Zip Code Edina, Mn.
Phone 835-5970
Assessments
Water/Sewer
Police
Fire
Engr
Planner
Council
Bldg Off
APC
Variance
Occupancy {? 3
Zoning (L I
Type of Const
(Actual)
(Allowable) SC
U of Stories
Length -?
Depth
S.F. Total
Footprint S.F.
FEES
Permit 54S a
Surcharge 57.
Plan Review 272-'+r
SAC, City 100.
SAC, MWCC S25
Water Conn -':727S-
Water Meter (o7.
Road Unit 30
Treatment Pl 1$?.
Parks
Copies
TOTAL Ii S 7 Z,
P
CITY OF EAGAN
CASHIER: S TERMINAL N0: ?08
LATE:: 03/01./33 TIME: 14:47:23
ID:
NAME: DEAN R. FREEMAN
321.0 9001 1383 ST ANDREW 60.00
2155 3001 :1383 ST ANDREW 0.50
r
Total Receipt Amount, 60.50
CRi03352
USER ID: NANCY
kcXt%?XcX?X:?kX??X:kkc?c%??X*#k?? %?Y?k?%c?K?t ?? ?c ?X%t?k# rX?X? ?Y #? XtX?
PERMIT
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(651) 681-4675
PERMIT TYPE: BUI1_DINC
Permit Number: 0 3 4 6 9 5
Date Issued: 0 3 ; U .l 19 9
SITE ADDRESS:
P.I,19.z 10-25600-040-05
13b-? ST ANDR£`4J BLVD
LOT: 4 BLOCK; 5
FAIRWAY HILLS
DESCRIPTION:
Pui'idilEt )Perm.it Type
61)ULIdirlq W'Oic Tvpa
rCenSL18 Code ._?
?h
f°
r
l ?.
r
8ASFIII ENI- FINISH
ALTERATION
434 ALT. RESIDENTIAL
REMARKS:
PI ANTI RP.VTELJEO `)Y CRAIG NOVAI K.
?EPFRAIE PERMIT REQUIRED FOR A`Y PLUM13lNG WORK.
CALL ((112) 445-28110 REGARDING ELECTRI CA1, PERMIT AND 1ASRECIT0NS_-
FEE SUMMARY:
Base Fee $60.00
total Fee $60.50
r*CONTRACTOR:
OWNER: -
FREEMAN
138"3 ST
EAGAN
(651)452-6723
App Ijoant -
0EA14
ANOREW BLVD
Mill 55123
I herebv acknowledge that. I have read thi3 application and state I-hat tho
inrormeti.on ts correct and agree to comply with ail appl.Lcat,1, State of N-..
St?.,tu'Crrs rand City of Bagarn Or-di nawlee.
y' fem.
APPLICANT/P EE SIGNATURE
. " 0I
SUED BY, SIGNATURE
I
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 MOT KNOB RD - 55122 $ (? C) .
(651) 681-4675- ` -1
New Construction Requirements - RemodelfRegair Requirements
? 3 registered site surveys
? 2 copies of plans (include beam & window sizes; poured fnd, design; etc.)
? 1 energy calculations
? 3 copies of tree preservation plan if lot platted after 711193
required: _ Yes _ No
DATE:
? 2 copies of plan
? 1 she surveys (exterior additions & decks)
? 1 energy calculations for heated additions
CONSTRUCTION COST: Z72 D44?
DESCRIPTION OF WORK:
.???
STREET ADDRESS: S5f d tires rZ£r, J C1Gr?kJ
LOT: BLOCK: SUBD./P.I.D. #:
PROPERTY
OWNER
CONTRACTOR
Name: L°?° .pv? «tr ?--/ Phone #: 5 1-
Last First
Street Address: gsL?X?y?'?-??
City State: fLc ? Zip: r Z3
Company: Phone #:
Street Address: License #
City
State:
NE
ARCHITECT/
ENGINR
ENGINEER Company:
Street
City
Sewer & water licensed plumber (new construction only): _
change and lot change is requested once permit is issued.
State:
Penalty applies when address
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable
State of Minnesota Statutes and City of Eagan Ordinances. --17
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received - Yes
No
Zip:
Phone #:
Registration
Zip: _
MAR 11999
r -)- ill
' I ITree Preservation Plan Received Yes No - Not
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging X 16 Basement Finish
? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool
? 03 SF Addition ? 08 8-plex ? 13 Garage/Acce ssory ? 20 Public Facility
? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. ? 10 = plex ? 15 Deck
WORK TYPE
? 31 New X33 Alterations ? 36 Move
? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) 5 Basement sq. ft. Census Code 43L
(Allowable) S-, Main level sq. ft. SAC Code 01
UBC Occupancy
sq.
ft.
Census Units _
_
Zoning -I sq. ft. Census Bldg G
# of Stories sq. ft. MC/ES System
Length sq. ft. City Water
Width Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
APPROVALS
?D
Planning Building Engineering Variance
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
SAN Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other .
Copies
Total:
Valuation:
% SAC
SAC Units
CITY USE ONLY
L BL J RECEIPT #: /05,'f 900/
SUED. RECEIPT DATE:
3 S" / 1999 PLUM$IN@ PERMrr (RESIDENTUL)
CITY OF PAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(651) 681-4675
Please complete for. ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow, ppreventer for underground sprinkler system
FIXTURES EACH # TOTAL
Shower 3.00 x =
Water Closet 3.00 x
Bath Tub 3.00 x
Lavatory 3.00 x
Kitchen Sink 3.00 x
Laundry Tray 3.00 x =
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x =
Floor Drain 3.00 x
Gas Piping Outlet ' minimum - 1 3.00 x
Rough Openings 1.50 x
Water Softener for dwellings under construction 5.00 x =
Water Softener for existing dwelling 30.00 x =
U.G. Sprinkler for dwelling under const. 3.00
U.G. Sprinkler for existing dwelling 30.00
Alterations ` to existing residence 30.00 = M
Water Turn Around 30.00 =
Private Disposal System MPC lic. 75.00
(new and refurbished systems)
Private Disposal Systems Abandonment 30.00 =
RPZ (new installation/repair) 30.00 =
Reminder. Cali 681-4675 for inspections of water heaters,
water softeners, alterations, etc.
STATE SURCHARGE .50
TOTAL
-- -------------- ---------- --------------------- -------------------------
I hereby acknowledge that I have read this appligtion, state that the information is correU, and agree to comptyxdih all applicable City of Eagan ordinances.
It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal
operational and maintenance activities to the facilities constructed under this permit within City property/right-of-way/easement.
SITE ADDRESS:
OWNER NAME:
INSTALLER NAME:/ //- '
STREET
CITY:
TELEPHONE #:
STATE:
PERMITTEE
ZIP: ff- A b-
CC/PERMIT FORMS/RPLBG PERMIT (RES) - 1999
ROBE
NGINEERING
COMPRNV, INC.
1000 EAST 146771 STREET,
59'*'0'
WHITEHORSE
CONSULTING fNOINEfRS
PLANNERS and LAND l?UAYfYOAS DES/.
CO R F.
BURNSVILLE, MINNESOTA 5:;7 Poi 432-3000
?e?c1 Dkescr 22fcn: LOT 4, BLOCK 5. =AIRWAY HILLS,
DAKOTA COUNTY, MINNESOTA
?lg3ss y\ S 6
9) 0 O
!t
o
/` \ ^ S ryry AR 1o
9
? 7 GI ?0 e z.a ? J •°7
/ e P
r'!o " y
N r ?R °? SFo
N 6(,6
2?,0
S ` ?1
'Op SS,? J :!a
\ a
C
? <;
SCALE: 1"- 30/
36.4)
?- 3C BUILDING
SETBACK LINE
-eNOT_G.? EXISTING ELEVATION
0037.5) DENOTES PROPOSED ELEVA-101
?.--- INDICATES DIRECTION OF
SURFACE DRAINAGE
I^37.83= FINISHED GARAC-E FLOt>>-
nj ELEVATION
PRAINA6E ANG
UTILITY EASEMENT
I hereby certify that this is a true and carract representation of a tract of
land as shown' and described hereon.. As prepared by me on this Sri/ day of
SL-Y , 1997
X .-? Minn. leg. NO. /G06.?
C
s7s-4947
cradlt & nsocVtea, Inc.
.M • N.MY n... wpb., minn. 66111
Ej:b
Ipn•n of n n
FATERIOR ENVELOPE AVERAGE "U" COMPUTATION
OWNER PLAN NO. 2-42 0':-!> 11
SITE ADDRESS DATE -k 15 I?s'°
Determine working square footage of each
1. Total exposed wall area...... 11 1% sq.ft. x A =
2. Total roof/ceiling areas..... sq.ft. x A52;?= G>,
3. Total floor/cant. area....... sq.ft. x
Total exposed wall area above floor
a. Total wall window area ....................... II-1
b. Total door area ..............................
c. Total sliding glass door area ................
d. Total fireplace wall area ....................
e. Total wall framing area (average 10,%)........? ?
f. Total net wall area above floor.......':......
g. Total rim joist area .......................... t•?Lo
Total exposed foundation area 9 1
h. Total foundation window area .................
i. Total net foundation area above grade........
Determine "U" value of each wall segment
a. 119 x "D" ?JS = 1
b. 3 x "U"
C. x "II" = t9?.0
d. x "IIn
e. x "U"
g x "II" x II 04 _ it,
. ^" ,
h.x nU" _
t x i,U" 0 , ,1
4 . ................................... Total =
If item f4 is the same asq or less than item #1} you have met
the intent of SBC 6006(c)2.
Total exposed roof/ceiling area g2j!o
j. Total skylight area** ....... loss ...... o ........ o.... so..
k. Total roof/ceiling framing area (aver. (.10016"o/c)...„
(.062924"o/c)...os' ?,a®
1. Total net insulated roof/oeiling area.................. 0 15
Determine "U" value for each roof/ceiling segment
J. x "U" _
k. (P I x "U"
1. X °U"
5 . ................................................. Total = ??• O
If total of #5 is the same as, or less than #29 you have met the
intent of SBC 6006(c)1.
Total exposed floor cant. area
m. Total floor/cant. framin area (average .10?)..........
A. Total net insulted floor7oant. area ....................
Determine "U's value for each floor/cant. segment
m• x "D" _
X nun Cl
n.
6. ................................................. Total =
If total of #6 is the same as, or less than #39 you have met the
intent of SBC 6006(c)3-
aLTERNATE BUILDING ENVELOPE DESIGN
To utilize the total envelope system method, the values established
by the sum of items #4, #5 and B6 shall not be greater than the sum
of items #1, #2 and #3.
1. 2. Zb'' 3. = Zz?.
4. 14q.4:5 5. 11 .10_ 6• ICA- 13
Prepared
Date I /?{?
THRU STUD
x/ S.R. & SIDING
at. Air .68
1/2" S.R. .45
stud cp- Sn5
25/32" Bild. 2.06
Siding ,(01
Dot. Air •17
Total "R"
RUN z:
THRU RIM
JOIST
i
at. Air .68
Ins. Az)
Opt. Styro.
1 112" Wood 1.89
25/32" Bild. 2.06
Siding i(01
Ext. Air .17
Opt. Brick
Total "R" = Zj-A9-l
1/R = "Ut = A D
THRU CM.
MEMBER
l'l
Int. Air .61
S.R.
Clg. Memb.
Ins. ( "> ,a
still Air .61
Total "R"
1 /R = "U" = OZ?
THRU INS. WALL Int. Air .68
w/ SR. & SIDING 1/2" S.R. .45
" as. (,? , 0
25/32" Bild. 2.06
Siding A(P7
Ext. Air •17
Total "R" = 23 03
1/R = "U" = D 3
THRU CONC BLOCK
Int. Air
C.H. (1Z ")
Opt. Ins.
Ext. Air
Opt. S.R.
Opt. Sid.
Total "R"
1/R,= "U"
.68
IAL?
S,o
.17
•. y
/ e
THRU GLG.
INSULATION
2L.
?13
L?.1=L=1
Int. Air .61
S.R. (. ")o
as. (. ") IO
Still Air .61
Total "R" _ "I I l
1 /R = "U" _ , D O
,4j kavz?j
age ?? V-6
c?
CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER
!, ATE :. PA)24ENT OF FEE AT TIME C
APPLICATION DOES NOT CONSTITUTE
APPROVAL OF PERMIT.
XNSPBCTION OF SEWER AND/OR WAS
ONS WILL NOT BE SCHEE-
UI UNTIL PERMIT HAS BEEN
APPROVED.
(Please Print)
1) PROPERTY ADDRESS:
LEGAL DESCRIPTION:
(Lot/Block/Subdivision or Tax Parcel ID )
IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE:
(Mbntn Year)
PRESENT ZONING/PROPOSED LSE:
CO:^YMCIAL/RETAIL/OFFICE
Q INDUSTRIAL
INSTITUTIONAL/GOVERNMENT
R-1 SINGLE FAMILY
R-2 DUPLEX (Two Units)
R-3 TOWZEOUSE (Three + Units) ( Units)
Q R-4 APARTMENT/CONv'DOMINIUM ( Units)
2)
PHONE:
3)
NAME:
ADDRESS: _/,?2c,.,g lamella ?7-
CITY, STATE, ZIP: _ S ti 3 ?),F-
PHONE: 0 MASTER LICENSE-
Plumbers License:
Active
Expired
Not recorded
St Initial
NAME:
?a F ?31? . LiJ
ADDRESS: Z/ L?? r Zr z:ec5- -
CITY , STATE, ZIP:(fc'o.
1
PHONE: -? ?-:-i -
tg:?CONNECTION 117 CITY SEWER CONNECTION TO CITY WATER C( OTHER
6) Eli ?• i? r r PLEASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF AB'J/E
tj<TLEASE MAIL APPROVED PERMIT TO 1, 2, iD, 4, ABOVE
?, (Circle one)
rt s ?, 4
NAME: Z'2k-c S, e1-9 "I S 'c ,y .? WA{L°i f err, l- I
ADDRESS: r2r/-L5 g 3nz
CITY, STATE, ZIP;
1 7)
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:i73cte k
2007 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 Requirements
3 registered site surveys showing sq. ft. of lot sq. ft. of house; and all roofed areas
(20%mmimum lot coverage allowed)
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 711/93
Rim Joist Detail Options selection sheet (buildings with 3 or less units)
Minnegasco mechanical ventilation form
40. ez)
RemodeVReoair Requirements Office Use Only
2 copies of plan showing footings, beams, joists Cert of Survey Recd - _ Y N
1 set of Energy Calculations for heated additions Soils Report _Y _N
l site survey for additions & decks Tree PresPlan Recd _Y_N.
Addition-indicate if on-site sepfic system Tree'.Pres Required - _Y _N
On-site Septic System _Y _N
Plans are rnnsidered nuhlir information unless you state thev are trade secret and the reason.
- 17 q OOc7
/ 7 Construction Cost
Date / I
?1
Site Address 1-j63 (?Z VC,) Unit/Ste#
Description of Work (e,-,PL h Est 57 44/) ?)' -S S
k r,
l "l04431 rf T 5
Multi-Family Bldg _ Y Y N Fireplace(s) 0 _ 1 - 2
Property Owner DF?? L t'il`l p
Telephone #((??I ) yJZZ3
7ZC 54- 'F -L ?-' &J
C2 S
I L-D
Contractor
Address 16 3 a2T ?J I l2 W f /j Ic - _ l
City c Rl/ v
State /Ylf\i Zip 5 ?) 23
3 S 3 -O?JQ
Telephone #((051)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672
Energy Code Category • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet
(J submission type) Submitted Submitted
• 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?
- Y - N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #f
Telephone #(
Telephone #(
I hereby apply 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 NIN
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 approved plan in the case of work which requires a review and
approval of plans.
?sS (->C JeM q„)
Applicant's Printed Name Applicant's Signature
DO NOT WRITE BELOW THIS LINE
Sub Types
? 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 Ext. Alt - Multi
? 03 01 of._ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo/pergola) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ,
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
Work TV Des
? 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 handout to applicant
Description: Water Damaga _ Yes
Valuation Occupancy MCES System
Plan Review 100% or 25%
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
- Footings (new bldg)
- Footings (deck)
- Footings (addition)
_ Foundation
_ Drain Tile
Roof _ Ice & Water _ Final
Framing
Fireplace _ A.I. _ Air Test - Final
Insulation
Approved By:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
REQUIRED INSPECTIONS
Sheetrock
_ Final/C.O.
_ Final/No C.O.
_ HVAC
Other
_ Pool _ Figs _ Air/Gas Tests Final
_ Siding Stucco Lath _ Stone Lath -Brick
_ Windows
Retaining Wall
Building Inspector
II
Use BLUE or BLACK Ink
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For Office Use I
1 0 360
I Permit
of 1
Emu
JILY I
Permit Fee: I
3830 Pilot.Knob Road 13
Eagan MN 55122 1 Date Received: -
Phone: (651) 675-5675 j
Staff:
Fax: (651) 675-5694 I I
2013 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: L 2 Site Address: Y(Jt
Tenant: Suite
ResidentlOwner Name: tea a D , 10 ,M H Phone:1L.«gI-0r It/07
Address / City / Zip:
Name: Wenzel-Plymouth Plumbing, LLC License 061555
Contractor Address: 1710 Alexander Road City: Eagan
State: MN Zip: 55121 Phone: 651-452-1565
Contact: Carl Michels Email: cmichels@wppmn.com
Type of Work - New _ Replacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W.
Description of work: Demo Pressure Booster
RESIDENTIAL
Water Heater
Water Softener
Lawn Irrigation RPZ PVB)
Permit Type Add Plumbing Fixtures Main Lower Level)
Septic System
New Water Turnaround
X Abandonment
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$60.00 Lawn Irrigation (includes $5.00 minimum State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
*Water Turnaround (add $200.00 if a 5/8" meter is required)
$105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
TOTAL FEES $ N/A
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 pla
x Carl Michels x
Applicant's Printed Name Ap ant' Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground Rough-In Air Test Gas Test Final
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA111303
Date Issued:06/18/2013
Permit Category:ePermit
Site Address: 1383 St Andrew Blvd
Lot:4 Block: 5 Addition: Fairway Hills
PID:10-25600-05-040
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 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 -
Dean R Freeman
1383 St Andrew Blvd
Eagan MN 55123
(612) 860-1607
Pella Northland
15300 25th Ave N #100
Plymouth MN 55447
(763) 355-1300
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA129908
Date Issued:03/24/2015
Permit Category:ePermit
Site Address: 1383 St Andrew Blvd
Lot:4 Block: 5 Addition: Fairway Hills
PID:10-25600-05-040
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 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 -
Dean R Freeman
1383 St Andrew Blvd
Eagan MN 55123
(612) 860-1607
Pella Northland
15300 25th Ave N #100
Plymouth MN 55447
(763) 355-1300
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA137848
Date Issued:07/26/2016
Permit Category:ePermit
Site Address: 1383 St Andrew Blvd
Lot:4 Block: 5 Addition: Fairway Hills
PID:10-25600-05-040
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 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 -
Dean R Freeman
1383 St Andrew Blvd
Eagan MN 55123
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA170549
Date Issued:07/08/2021
Permit Category:ePermit
Site Address: 1383 St Andrew Blvd
Lot:4 Block: 5 Addition: Fairway Hills
PID:10-25600-05-040
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the
water damage.
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Cullen K & Kelsey A Reif
1383 Saint Andrew Blvd
Eagan MN 55123
(651) 230-6212
T 10 Construction Services Llc
16754 US 10 Bldg 2
Elk River MN 55330
(612) 254-8060
Applicant/Permitee: Signature Issued By: Signature