927 Savannah Rd
. „ m?~eeffr~!".,~'.. .
~ CITY OF EAGAN ~
- - ~ :~I. 177Q 1
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 ~ ~ ~
BUILDING PERMIrt'' Receipt #
To be used for S~ Est. Value ~~k+~ Date APR 11 ,~g g0
Site Address 927 s~?vAt~w?H aD
OFFICE USE ONLY
Lot ~ Block 3 SeGSub. _~i~~ gQ 6
Parcel No. occuPancy ~3 M-1 FEES
zaung PD
W Name TI~~~ ~I~ERS. It+iC (ActualJ Const Y-~ Bidg. Permil S$3.QQ
~ Address Z~1S 23RD l1VE & cabW~ie~ V't'~ Surcharge
Clty PhOne 72Z'~8 ~ ol Stories
Length ~?7~ PlanReview 3~•~
t~ Name S~ ~epin ~ snc. c~cy 100.00
Address S.F. Total - SAG MCWCC 6~'~
~ ~:Il}I Phone S.F. Footprints - ~~s•~
On Site Sewage _ Water Conn
W
Name on s+~e wen wate~ ti+ere~
W ~
Address MWCC System
~ Acct. Deposit ~0•~
i W City PhO~e City Water
PRV Required _ S/W Permit 30~~
I hereby acknowiege that I have read this application and state Ihat the Baasler Pump - S/W Surcharge
information is correct and agree to comply with ~II applicable State of ~sZ•~
Minnesola 51atuEes and City ol Ea9an Ordinances. 7reatment PI
Signdture ot Permitee +1 APPROVALS Road Unit 3ss~~
A Building Permit is issued to: TIMBER~RIC~ DD~'.DERS Planner - park Ded.
on the express condition that all work shall be done in accordance with all
applicabie State of Minnesota Statutes and City o( Eagan Ordinances. Bldg. Oif. _ Copies
Variance - TOTAL 2 ~ g8~' ~
Building Ofliciai
Permit No. Permit Holder Dete Telephone #
WATER ~ 3 7`~7
SEWER
PLUMBING l ~ ~ ~G j O
~,Q~ ~0,~/~ ~ ~ ~~90 ~~~~o~
H.V.A.C. 9(~ . 27
ELECTRIC Q Q ~ ~ ~ ~ ~
Inspection Date Insp. Comments
/ ~n
FoolingS I /i
Foundation
framiny -s~ (3 (.L'
Roofing
~ P~~ ~ - 9c q'~~
Rough Htg.
~,I. ~ ' ~ O S
Fireplace s% ~ d~ S Z ~j~ ~
Final Htg.
Final Plbg. i - G
Const.Meter P4bg.Inspector-N PI
Engr.JPlan ~ ~
Bldg. Final
Deck Ftg.
Dedc Final
we~i
Pr. oisp. o~ L G!/~
~
r~-..-~.~~j,F~ . : ~ . T" ' ~ ` . T,~
PLUMBING PERMIT For Office U~ OnJy
CITY OF EAGAN PERMIT #
CONTRACT P~~~T KNOB ROAD~ EAGAN, MN 55122 RECEIPT#
PRICE PHONE 454-8100 DATE: ~v
Site Addrpss BLDG. TYR~ WORK D~SCRIPTION
Res. New
Lot `~i~ M1 . , ~ S~ Mult. Add-on
~ Name } t ` Comm. Repair
m 1 u C, ~t << Y l•~ Other
~ Address
c City ` " Phone y ~ - ~ ~ ~ ` RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
- NO. FIXTURES TOTAL
, ~ • , • u y ~ t J ~ . S T Water Closet - $3.00 $
Name ~ f J ~ Bath Tubs - $3.00
c Addres Lavatory - $3.00 3
~ Cit ~ ~ ~ 1 Phone Shower - $3.00
y -r Kitchen Sink - $3.00
UrinaVBidet - $3.00 ~
FEES Laundry Tray - $3.00
COMM./IND. FEE -1% OF CONTRACT FEE Floor Drains -$1.50 , s"
APT. BLDGS. - COMM. RATE APPLIES T Water Heater -$1.50
TOWNHOUSE & CONDO - RES. RATE APL~IES Whirlpool -$3.00
MINIMUM - RESIDENTIAL FEE $12.00 T Gas Piping Outlets - a1.50
MINIMUM - COMM,IND./FEE a20.00 (MINIMUM -1 PER PERMI~
STATE SURCHARGE PER PERMIT .50 Softener-$5.00
(ADD $.50 S/C PER EACH $1,004 OF PERMIT FEE) Well -$10.00
~ . r Privaee Dlsp. - $10.00
~'~,~~yy,~~ ~ ~~k~_ Rough Openings - $1.50 u. ~c
SIGNATURE dF PERMITTEE / PERMIT FEE: a'~
STATES S/C: , ti v
a~~l ~ ,
FOR: CITY OF EAGAN GRAND TOTAL:
j .
. ,
~ PERMIT # ~ L'
' ' / l
MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN DATE ~ , ~"i `v/~' ~ ~
3830 PILOT KNOB ROAD, EAGAN, MN 55122
CONTRACT PRICE: PHONE: 454-8100 For Office Use Only:
Site Address ' - ' ~
- B~DG. TYPE WORK DESCRIPTION
Lot Biock - Sec!Sub Res. New
_ _
Name Mult Add-on
m Comm. Repair
~ Address
c City Phone aher
FEES
~ Name RES. HVAC 0-100 M BTU -$24.00
c Address ~ ADDITIONAL 50 M BTU - 6.00
p City Phone - (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMIn - 1.50 EA.
TYPE OF WORK COMM/IND FEE - 196 OF CON7RACT FEE
Forced Air M BTU APT. BLDGS. - COMM. RATE APPUES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
Boiler M BTU MINIMUM RESIDENTIAI FEE - A~L ADD-ON &
Unit Heater M BTU REMODELS - 12.00
Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Outlets # BEYOND $1,000)
Other ~
FEE
SIGNATURE OF PERMITTEE
' S/C:
TOTAL FOR: CITY OF EAGAN
.
.
SEWER & WATER PERMiT OFFICE USE ONLY
CITY OF EAC;AN METER # y 3~~ 7~ PERMIT DATE~4~ 17 / 90
3830 Pilot Knob Rd.
Eagan, MN 55122-1897 CHIP ~ s~~~ PERMIT # 1~ 338
METER SIZE B.P. RECEIPT # e 7211
DATE ~I Z- I~d ISSUE DATE L- U=~d B.P. RECEIPT DATE 44 1 1 90
- PRV - BOOSTER PUMP
SITE ADDRESS 92~ SAVANNAH RD PERMIT RE~UESTED
LOT ~ BLOCK 3 SEC/SUB ~RIHG'TON SQUAItE 6TH ~ / /
. !rSEWER ?WATER _ TAPS
APPLICANT: / ~~"~"""~~n~s ~i~t,S .
ADDRESS: (~?~-S~ - COMM/IND X RESIDENTIAL
CITY, STATE a'7~ 6E~`"~ Zlp 5S/l~ " y23j X NEW - EXISTING
PHONE: ~J / - D/! 2 '7Z2 -'I
Lawn Sprinkler Meters are to be Installed
PLUMBER: ~ Ahead of ~omestic Meters on Water Line.
ADDRESS; 610 ~ Credit WILL N~T be given for Deduct Meters.
CITY, STATE ~°'~OA"'~ Z~p 55352
PHONE: ~~11 - Z/ Z- f u ~~~~l
~ I AGREE TO COMPLY WI H C f OF
, OWNER: f/~~~~~o~s ~3~~5 ~~-rf2. . EAGAN ORDINANCES
ADDRESS: ~ . , , • i ; ,
CITY. STATE ZIP `~',`-K e % ~
PHONE: SIGNATUR WHEN MET R ISS 'D
_t, _ . . ~
PLEASE AL• lOW TWO WORKING DAYS FOR PROCESSING. CALL 4545220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
. - ,
SE~IIER & WATER PERMIT OFFICE USE ONLY
CITY OF EA~aAN METER # PERMIT DATE~4~ 1~/~}0
3830 Pilot,kCrloa Rd~ CHIP # PERMIT # 1~338
Eagan, MN 5512~f 1 B97 C 7311
METER SIZE B.P. RECEIPT #
DATE h=rl/~ I~~~•' ISSUE DATE B.P. RECEIPT DATE
i - PRV - BOOSTER PUMP
51TE ADDRESS ~27 .:AVM'N~11~ kU PERMIT RE(IUESTED
LOT ? BIOCK 3 SEC/SUB LEXIHGTON SQUAitE 6TN , IWER ~L~fVATER _ TAPS
~~5t
APPLICANT: ~ i • %*~~t
-~~~C S ~iL~NS ~T.~C.. .
ADDRESS: '
~~'~3~ t~t/~K.S~ - COMMIIND ~ RESIDENTIAL
CITY, STATE ~~-~o:~l ~~/br~ ZIP S~~~~ NEW _ EXISTING
PHONE: y%/-L~1/2 I '72Z - ~~(~s
~ - Lawn Sprinkler Meters are to be Installed
PLUMBER: ~ ~ Ahead of Domestic Meters on Water Line.
ADDRESS: b 10 Credit WILL NOT be given for Deduct Meters.
CITY, STATE i'Y~/~ Z~p 5 53 52 ~
PHONE: ~~~`2 ' 2/~ k: ~'~-'~.~-~:G.- ; ~
f'.. I AGREE TO CQMPLY W~ H CI~T OF
OWNER: /~~9~?`u/e.,~.trS I"3GO~t S _L~.tG . EAGAN ORDINANCES
ADDRESS:
CITY, STATE ZIP '
PHONE: SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
~ ; 04/17/90
- _ ~ DATE:
R~ ~ c ~Z7 SAVANNAR RD
x Your 5ewer & Water Permit for the above property has been completed. It will be held at the
Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
Your Sewer 8~ Water Permit for the above property cannot be completed for the following
reasons:
Your Sewer & Water Permit for the above property has been completed, but the meter cannot
be issyed or occupancy aliower! until further notice.
COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, EIECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Buitding Inspections Dept.
~ 04/17/90
- DATE:
R~ ' r 927 SAVANNAH RD
x
Your Sewer & Water Permit for the above property has been completed. It will be heid at the
Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
Your Sewer 8 Water Permit for the above property cannot be completed for the following
reasons:
Your Sewer & Water Permit for the above property has been completed, bui the meter cannpt
be issued or occupancy allowed until further notice.
COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, EIECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
, ;
CASH FiECEIPT '
~ ~ CITY OF EAGAN _
3830 PILOT KNOB ROAD -
EAGAN, MINNESOTA 55122 '
DATE • - ~ ~ 19 ~
.
ncc~~a ~t~ ~~C1tJ C.~~QJL/ ~/(N~
F~1 f rb
n?~++ourrr s 4~, Lr~o~ S~
8 DOLLARS
? CASH ~CHECK
~ . I M M~ ~~'7 5~~~~1 /J~
~ ~
FUND OSJECT AMOUNT
~
q
Thank You , ~
eY
C 72~ 1
~c-~ae cov~,
INSPECTIQN RECORD
CITY OF EAGAN PERMIT TYPE: ?'i',
3830 Pilot Knob Road Permit Number: 'i ~ H''
Eagan, Minnesota 55123 Date Issued: ~ 7/~:~s /~?N '
(612) 681-4675
SITE ADDRESS: ~ . ~ APPLICANT:
~ .it,;,,r~t~~~l1 I!h l~~tlli 1 l~l:; ,
~ 1-. I F~r~ 1 ~ip~ ,t)ti~~i~ s ~ ij ~ , ~.q~ 1
PERMIT SUBTYPE: TYPE OF WORK:
i,~ ~ t ti;
. .
~ i r~,, ~;!i,-, ~
~ ~
~ - ~
Permk No. Permlt Holder Date Telephone #
S/W
PIUMBING
HVAC
ELECTRIC
ELECTRIC
Inspection Date tnsp. Comments
Footings I
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Fnal Htg.
Orsat Test
Fnal Plbg. Plbg. Inspector - No[iiy Plumber
Const. Meter
Engr.IPlan
Bldg. Final
dedc Ftg. l~~
~'~lrn IGS
Deck Fnal yf s,,,, L~"~ 96J Cr ` ~
r~rt
we~i
Pr. Disp.
,s~,f~~/s~ ~ q~~~a
~ ~01~70 a'/~~ ~
Request D / . Fire No. Rough-in I •lon
Require0? ? Reatly Now ? Will Notity InspBdor
? Ves ? Na W~en Feetly?
I censed contractor owner hereby request inspection of above electrical work at:
re(S . Box or te N Ciry
Section o. T wnship Name orNo. Range No. County
Occ a I~~NT) Phon Na. _/ZO
C ~
Power Su Atltlress ~
Ele Ric onhaclor ~ m0any.~lame) C ttaclor's ' ense No,
i ~
I g ress (C tractor n Making Ins~alla~ion)
Au~hon Sign t e(CO racmn ner inq Installafwn~ Phon u ber ~
- Sl2 Z--~ d
MINNESOTA STATE BOARD OF ELECTHICITY THIS INSPECTION FEQUEST WII.L NOT
GrlggsMldway 61Eg. - Room S-1]3 BE ACCEPTED Bv THE STATE BOARO
18t1 Unlveraity Ave., 51 Paul, MN 55106 l1NLES$ PPDPER WSPECTION FEE IS
Phone(61]~BdY-0B00 ENCLOSED.
[/~//~{/p O REQUEST FOR ELECTRICAL INSPECTION es-0oama~
'r d~/ , ? Sen~ ~~siruct~s for rompleting this rorm on Oack of yellow mpy ~p C~ a/O
~i 7~~ ~
f~ ~ 7 O 'X" Below Work Covered by 7his Request H.`•
e ep. TypeofBuilding AppliancesWirad EquipmentWiretl
Home Range orary Service
Duplex Water Heater Electric Heating
Apt. 8uilding Other (Specity)
Comm./Industrial mace
Farm Air Conditioner
Ot~er (speoltyJ CoMrector5 Remarks:
[/n I
Campute Inspection Fee Below: ~ iek~
# Other Fee # ServiceEntranceSize Fee # Circuits/Feetlers Fee
Swimming Pool 0[0 200 Amps 0 ta 100 Amps
Transformers Above 2D0 _ Amps A Amps
$19f15 Inspeclor's llse Only: I / TOTAL ~~1
Irrigation Booms ~ ~ v
Speciallnspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTEO IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rough-in oa~e
cer~ify ihat the above inspection has F~,,,ai o c ^'~~y~
been made.
OFFICE USE ONLY •
This reQUest voitl 1B months Irom
~
~ ~ `
C~ n. 0 2 ~1 ~,C. -..~3~aa~° ,
Requ s~ te ~ ~ Fire No. Rou in Inspection .
r • V fl~~~ G No ~ ReedY Now ~n Reatly9~or
I r' nsed contractor ? owner hereby request inspection of above electrical work at~~
Job ress iree x or Fou No.~ City
~
Seclion No. Township Name or No. Fange No. County
Oc u nI~PPINT~ _ Phone No. w~~
~
Pawe~ Supplier Adtlress
Ei cV Convac~o ICompany t~ e~ Coniracror License No.
Mai~ing AOoress 1 ontrector o ner Making Inslallation~ ~
S
Autn n E S naWre (Conlracloe0wner Makinq Inslallation~ P~one NumOer
~ O
MINNESOTA STATE BOI1R0 OF ELECTNIGITY THIS SPEGTION REOUEST WILL NOT
Griggs-MlEwey Bltlg. - Poom Sd]3 6E ACGEPTEO BV TME STATE BOAfiD
1821 Unlverslly Ave., 51. Vaul. MN 5510C UNLESS PqOPER INSPEGTION FEE IS
P1wne~612)69P-0800 ENGL~SED.
_ ~ _ ~ " _ _ ~ 1
' CITY OF EAGAN N~ 17701
3830 Pilot K~ob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE:454-8100 ~Hr1,l+
BUILDING PERMIT Receipt # f d'
Tobeusedlor SF DWG/GAR EstValue $74~000 Date APR 11 ,~g~_
Site Address g27 SAVANNAH RD OFFICE USE ONLY
Lot Z 81ock 3 Sec/Su6. LEXINGTDN SO 6TH
Parcel No. occuva~cy B~ M-1 FEFS
Zoning PD
w Name TIMBERWORKS BUILDERS. INC (qcwaq const Y_=A1 81dg. Pe~mit 523.00
o Add~ess 2215 23RD AVE S (Allowabie) V-N 37,00
Surcharge
City MPLS Phone 722-9048 xoiscories
Lengih 47' Plan Review 340.00
~o Name S~ oea~h 44~ SAC.City lOQ.00
o Address S.F.7o[al
- SAC, MCWCC b00.O0
~ City Phone S.F.Footprints - 6ZS.00
On Site Sewage - Water Conn
~
' W W Name On Site weii - Warer Meter 90. 00
i? Address n+wcc sysiem ~
u'f+ Acci. Deposit 30.00
i W City Phone City Water ~
PRV Required - SN1 Permit 30.OD
I hereby acknowlege that I have read this application and state Ihat the Booster Pump - ~yy Surcharge - 50
information is correct and agree to comply with all applicable State of 252.00
Minnesota Statutes and City of Eagan Ordinances. 7realment PI
a
Si9nawre ol Permitee Alif~ M1PPROVALS qoao un~t 355. 00
TIMBERWORI I'I:.DERS P~anner
A Building Permil is issued lo: - Park Ded.
on the express Condition that all work shall be don in aCCOrdance with all Council
applicable S[ate of Minnes~o~t~a StatutesI and City of~ JEagan Ortlinances. g~9 Qf~ _ Copies
Building 0lticial 1 1S1Sd1! 1~.pa~A~ I~-rJ Variance - TOTAL 9a2. SO
0
I PERMIT C~ 2-53y~
~ CITY"` OF EAGAN PERMIT TYPE: 1~~~
3830 Pilot Knob Road B U T L p I N G
Eagan, Minnesota 55123 Permit Number: 024199
(612) 681-4675 ~ate Issued: 0 7/ 13 / 9 4
SITE ADDRESS:
927 SAVHNNAM RD
LO7: 2 BLOCK: 3
LExIN~70N SQUARE 6TH
P.I.N.: 10-45088-02@-03
DESCRIPTION:
r"'S
Bt~iildi~g-~Permit Type DECK
~FBui2ding tJ?q.r_k Type NEW
~
~ ~
c--~
/ ?
~
~t,~
~
i_
~ ' ~ ~ ~_i.kr-~.
t,~; 4 t,
f~-
~ ~
,i ~ ~~-~~~;~J,~`l~a~:1
~`~3; m„~ ci.
REMARKS:
FEE SUMMARY:
Base Fee $30.60
Surcharge $.50
Total Fee $30.50
CONTRACTOR: OWNER: - Appiicant -
JOHNSON LARRY
927 SAVANNAH RD
EH~AN MN 55123
(612)645-8271
I herehy ackn-owkedge that I have read this applicatian and state that ~he
infiprmation is carrect and agree to comply with all appl3cable Starte of Mn~
Statutss and City of Eagan Ordinances.
~ .o ~
~
Av
PP 'CANT~E SIC+~RE ISS~ BI~I ~ T R~
I~~
INSPECTION RECORD
CITYOFEAGAN PERMITTYPE: eux~oiNs
3830 Pilot Knob Road Permit Number: 0 2 q 10 9
Eagan, Minnesota 55123 Date Issued: 0 7 J 13 J 9 4
(612) 681-4675
SITEADDRESS: ~aT: z BLOCK: 3 APPLICANT:
927 SAVAMNAH RD JOHNSON LARRY
LEXINGTON SQUARE 67H (612) 645-8271
PERMIT SUBTYPE: TYPE OF WORK:
DECK NEW
. .
FOOTING3 FINNL
~ ~
~ J
• • • ~ , . , CITY OF EAGAN
~ 1994 BUILDING PERMIT APPLICATION ~~,,~Q
~ ~ 681-4675
C.Q (.~r,r~ ~
SINGLE & MULTI-FAMILY 2 sets of plans, 3 register d~~~Wv , opy of energy
calcs.
~ ~li~_ 0 8 1994
COMMERCIAL 2 sets of architectural & s ructural plans, 1 et of
specifications, 1 copy of e~
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date '7 / ~ Valuation of wark r
Site Address: q~7 sdv~ih~4.~. Qc~
STREET SUITE #
Tenant Name; (commercial only)
LOT azo BIACK SUBD. ~{hln~~~ s~~ar6 P.I.D. # rQ~j~sOE~D ~-O~'o3
bescri tion of work: ~ec ~
7he applicant is: _ Owner ? Contractor ? Other (Descr.ibe)
Name ~a~.hSO~ ~f1rr~/ Phone s7.-~+iN7
Pr'operty ~AST FIRST w ~
Owner a~7 ~aJ~r~~H R~ ~+~5- B•z~i
Address
STREET STE #
City ~Aa~vi State Zip ~~'3
Company S~ l~ Phone
Co ntractor Address License # Exp.
City State Zip
Company .Sr j`~ Phone
Arch itect/
Engineer Name Registration #
Address '
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been approved.
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.
Signature of Applicant:
OFFICE USE ONLY , ~ , ' • ~ ~
. ~ K, a
BUILDING PERMIT TYPE ~
~ ~
? O1 Foundation ? 06 Duplex ? 11 Apt./Lodging 16 Basement Finish
? 02 SF Dwg. ? O7 4-Plex ? 12 Multi. Misc. ~ 17 Swim Pool
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind.
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc.
? D5 5F Misc. ? 10 Multi. Add'1. ~15 Deck ? 20 Public Facility
? 21 Miscellaneous
WORK TYPE
~ 31 New ? 33 Alteratians ? 35 Tenant Finish ? 37 Uemolish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MWCC System
(Allowable) lst F1, sq. ft. City Water
UBC Occupancy 2nd F1. sq. ft. PRV Required
Zoning Sq. Ft. total Booster Pump
# of Stories Footprint Sq. ft. Fire Sprinkler
Length On-site well Census Code ~
Depth On-site sewage SAC Code
-QL.
APPROVALS ensus Unat
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS
? .Site ~ Footing ? Framing ? Insulation
? Wallboard ~ Final ? Draintile ? Fireplace
Permit Fee vei~t;~: $
Surcharge
P1an Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
5/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails ~ed.
CoPies
Other
Total:
5AC ~
SAC Units
y~-otz
~ TR~'LAND C0. CERTIFICATE OF SURVEY FOR:
SURVEYING
~ ~ SERVICES TIMBERWORKS
1875 PLA2A DRIVE
EAGAN, MINNESOTA 5512
LEGAL DESCRIPTION: LOT2,BLOCK~, 1.EXINGTON SQUARE 6th ADD.
ACCORDING TO THE RECORDED PLAT
~r THEREOF DAKOTA COUNTY,MINNESOTA
I
SCALE; I"-30'
~
i LOT I
~
rer ecouc
~ ~ z2
~ ~
V
a N89°43'03"W 147,41 90~3 a
Q O 1 - 31.00 - I 44'.Oa~ ~n
Q V
~ 0~10 ~A y2k ~~4k ~ ao 0
~
~ n ' 10 ~
~ ~ N
= w.v. GAK. i Z I
z ~
a LOT 2
z ~ ~ , ~
~ ' w
> ~ I ~ N
i~ I " y ~
~ u ati ~
o ~ M~--- ` '~yDRAINAGE 8 UTILITY ~
~ 10 I I`~~ EASEMENT 10 e
~ ~q a~-°°- - 44.00 - 2
n pµ
N89°43'03"W ~
p ~ 147.62 a°~
,bp B~L
903.17
LOT 3
~A~~A~e Y~ ~
- ~EV;G'~~.r T- -
i'.'r ~
By ~ _S i ~ C~~-
- - . r _____~r!6 '
p~.r~;.. ~~~.~0 . jo E'AGhN EiVuIIVBERINC DEF'''
LEGEND PROPOSEp SPLIT ENTRY - NO WALKOUT
INVERT E~EVLITION AT SERVICE EXTENSION=
a DENOTES IRON MONUMENT PROPOSED GARAGE FLOOR ELEVATION= B-~
~ DENOTES WOOD HUB SET PROPOSED FIRST FLOOR ELEVATION = 900 4
g~4.ozDENOTES EXISTING SPOT PROPOSED BASEMENT FLOOR = 8~0 4
6976DENOTES PROPOSED SPOT ELEVATION
ELEVATION
~ DENOTES DRAINAGE DIRECTION NOTE ~ VERIFY ALL FLOOR HEIGHTS WITH
FINAL HOUSE PLANS
I her~Dy c~rtify that tAis surye
y,plan or
rsport wcs preparod by me or under my ~ ~ ~ ~-r~~~C ~ ' ~ -
direct supervision and that I om a duly odley J. - on, Mn. Req. No. 15235
~ Reqistered Land Surv~yor und~r th~
~ lows of the Stute of Minnecoto. Date ~ ~~~y ~7 G~
. , 0•*
523•00+
37•00+
340•00+
~ 2~082•50+
Z, J82• 50~+
. r~
523•00+
37•00+
340•OU~-
2~082•50+
2,982•50*+
~ ~ ~~~o~
1990 BUILDING PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGI CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLllMBER.
ryOAR ~ 9 RECQ
To Be Used For: 6L[: - Valuation: Date: t~
J
Site Address ~~~}~iN?nIA~ ~ OFFICE USE ONLY
z
Lot ~ Block ~ FEES
- occupancy -3 P~I-/
~ ~ Zoning _
Parcel/Sub t.~t~ia`(~7ror~ ?Qv422~- 6- Actual Const ~
t~! Bldg. Permit SZ?
Allowable j//j/ Surcharge 3')
O~aner ,~`~R ~ ri,~ '.L L~l.~~--1~ -~LN.~• # of stories Plan Review 3~_
a Length SAC, City /00
Address Z~~~ ~~7
+L S• Depth `/y SAC, MWCC b00
S.F. Total Water Conn /aZ
City/Zip Code ~IGp(S. !/17i~ .5~~ Footprint S.F. Water Meter $O
J Acct. Deposit 3~
Phone ~2L ~ y07~ On site sewage_ S/W Permit 30
On site well 5/W Surcharge ,`t1
Contractor ~it~r~ MWCC System ~ Treatment P1. z,Z
City water ? Road Unit 3SS
Address PRV _ Park Ded.
Booster Pwnp _ Copies
City/Zip Code SUBTOTAL
APPROVALS Penalty
Phone Planner TOTAL
Council ~
Arch./Engr.`/a/~ -'`~J • Bldg. Off. ~Q/~0
/ Variance
Address ~~3 j ~-i~2~"-r~-
City/Zip Code ~iyN[edi7/ 17'~~
Phone # J / 6 / ~
~a~ . . .
r t~!, ~s ~ w ~ • .
2ZX yo = ~/~o ~
C ~ ~~.r r ~
2 ,Y /o. 3 =
5~ z, y a-ly = l~ ~~3. ~
~lo~- Z Y ~ 9~ o
PxlD,3 / 3' ~_~~a.
/D Z. -s/ /
Co4r
~r'
z~,~?,~- zz = ~i?6,7y.~~S- ~is~,~
r~ 3 J'~ P~ I
' ' 90-072
TRI-LAND C0. CERTIFICATE OF SURVEY FOR:
SURVEYING
SERVICES TIMBERWORKS
1875 PLA2A DRIVE
EAGAN, MINNESOTA 5512
LEGAL DESCR I PT ION: LOT 2, BLOCK LEXINGTON SQUARE 6th ADD.
ACCORDING TO THE RECORDED PLAT
THEREOF DAKOTA COUNTY,MINNESOTA
SCALE; I"-30'
~i
;
j LOT I
~
rov e~c+c
~ 22
tli ~ ~
Q „o~ z~ N89°43'03-W~.~ ° ~ 147.41 9~~ a
~ ~ ~ ~ A~
I O ~ ~ 10 I ~!A' _ _ ~P~`q 2a ~aqk ~ 0
~ N ~ 10 ~
,,r.fe b ~ zz
= 77`- W.v. . ~.7AR. I I
Q 4, ~
z I & , LOT 2 W
> ~
i
I u y N
~ ~ ~ }~~~t
~ ~ 6apa ,~rDRAINAGE B UTILITY 0
I ~p I ` I EASEMENT 10 0
~ ~ - ai-oo- I 44.00 - in ~ Z
N89°43'03"W O 147.62 a°a`
~ -s
,v ~
~03.
LOT 3
~~AGAi~ ~ ~
- REVIEWED ~
"
eY ~ s J ~ ~e __"~~~7`_'"'~e..
DAr~ ~-/o_~o, E;~Gd~Id EIVGINEERING DEP~'
LEGEND PROPOSEp SPLIT ENTRY - NO WALKOUT
o DENOTES IRON MONUMENT PROPOSED GARAGE FLOOR E EVATION= 8~
o DENOTES WOOD HUB SET PROPOSED FIRST FLOOR ELEVATION = 900 4
gaq.oZDENOTES EXISTING SPOT PROPOSEDBASEMENT FLOOR = 8~`~
ELEVATION
S`~~6DENOTES PRUPOSED SPOT ELEVATION
ELEVATION
~ DENOTES DRAINAGE DIRECTION NOTE'• VERIFY ALL FLOOR HEIGHTS WITH
FINAL HOUSE PLANS
I hereby certify ihat tAis survey,plan or -'j ~ ~ ~i
report was prepared by me or under my ~ °f' ~ n=
direct supervision and that I am a duly 8radley J. ~ on, Mn. Req. No. 15235
Reqistered Lond Surv~yor und~r the
Laws of the State of Minnesota. Date= -~,~~Y
~
John Bradley
architectural consulta?nts UK. ,
SDOB 3~ ~T. S. E. 09SE0~ MN. 6036Y PM_ (M2)-42~-Y771
EXTER/OR ENVELOPE A1/ERA6E "U" COMPUTATION
Plan " Z°° -e 'r Date iS ga
Owner
Contractor•• ~ ~ 5 2 -~oe S -
Sife Address~ PHO"E
1)TOTAL EXPOSED WALL AREA Z~ S$ sq.ft x~U~~' t~ - 237' 4
2)TOTAL EXPOSED ROOF/~EiLING AREA ~ V~~ 54ft•x~~=°Z~O
WALL AREA CALCULAZIONS~
70TAL WINOOW AREA sq.ft.x~U~~• 3 J= $
GLAZED
70TAL DOOR AREA 3~ Sq.ft.x`~U~~' z' ~
70TAL GLASS DOOR AREA sq.ftx~U~~~~= ~ 3' 3
GLAZED
TOTAL FIREPLACE WALL AREA 3~ sq.ftx~U~~ 1 3•7
70TAL WALL FRAMING AREA ~h 7 sq•ft.z~U" d Q ---~-3~-
NET INSUI.ATED WALL AREA G~~~ sq.ff.x~U° •043=~4_7
TOTAL RIM JOISTAREA !ZS sq.ft.xU~~ S, o
70TAL FOUNDATION AREA(EXPOSED) ~-sq.ft.z~U~~1.L~? = 1 S.S
70TAL FOUNDATION WINDOW AREA ~ q.ftz~U~~ ~
3) TOTAL • 4'"
- ~
_ !l item 3 is 1he same as, or less than ifem l, you have mef 1he infent ot
2 MCAR 1.16008 A on d O•
.
ROOF/CEILINQ CALCULATIONS~
' " ,
TOTAL SKYLIGHT AREA sq.itx U - ~
r
JOTAL ROOF~s.EiLING FRAMING AREA ~v ~ sq•ft.x~U~~-6~~'= Z•
NET INSU~ATED ROOF CEIUNG AREA L sq•ftx U=` 2'
`4) TOTAL . ~ ~i
If i?em 4 ts the some as,or less than item 2, you hove met the intent of
2 MCAR 1.16008 A on0 0.
ALTERNATf BUILDlNG ENVELOPE DESI(iN
To utiiize the fofaJ enveiope system me~hod, the sum of items I and 2 sholf 1.
be greater than ihe sum of ifems 3 and 4.
+2) _
" _ 3) +41 = .
: ' ~ I hereby cerNfy thai Me bu!!ding here described meets or exceeds the Sfate of Minnesota
Enerpy ConservaHon Act.
. '
(signed) ? ~
. ~ - ,
. ,
~ ,
- . . CONSTRUCTION -
CEILING SECTION {INSULATEO)
~interior air film 0.61
( 2 5~a ~+c~x~ ~ 5~
3 4 • ( 3'~a..,,., I..~~ 44. -
. (4 exferior oir tilm (sfilf) 0.61
, . - _ TOTAL R 45.~ a
U = _I/R ,DZZ
5 _ CEILING FRAMING SECTION .
A~ ( I interia~ oir film 0.61
FLOW 2 (2~'~'PS Si,s-,e_oc.K ~!o
~ VENTED ( 3 ~~rn.... I 3Z
~4 interior air film 0.61
" . (g ~inches of soft woad 4.~5
_ TOTAL R 3`a. ~ 3
U = I/R ,DZC.o
CEILIN6 SECTION ~ INSUlATE01.
_ ( ~ interior air film 0.61
_ (2
(3
(q exterior air film (still) 0.61
. TOTAL R
U = I/R
CEILING FRAMINCa SECTION _
I ( ~.interior air film 0.61
2 3 4 5 ~3
V.ENTED (4 infe~ior air film 0.6t
. inches of soft wooC
.TOTAI R
, ~ U = i /R
5
4 - ~
3 EXPOSED BEAM CEILING SECTION
interior alr fifm 0.61
~ (2
t3
(4
(g exferior air film 0-~7
TOTAL R
` 2 ll = I/R
I
Lf~ /~bQ 2000 BUILDIWG PERMIT APPLICATION (RESIDENTlALI ~~f;~~
/ ~ CITY OF EAGAN V~
~ 3830 PILOT KNOB RD • 55122
851-681-4675 b ~ 3,
NewConsfiuctlonReaulrameMa ~'~~595 Remodel/ReDairReaiLremenh
5 a3-ov
a 3 regiaTered pte wrveYS ahowlny fq. H. ol lot, sq. B, of house 2 copies ol plan
antl ~ rooletl areas (~9& mmdmum lot covemae Wlowetll 1 sef of energy cwlcWations lor heated addiNOns
D 2 copiea ot plans tshow bepm d wlrxbw slz9a; poured Ind. deslgn; etc.) 1 aite wrvey for exteda addlNom ~ decka
n 1 tet of energy cWCUlaHOna
D 3 coplea W kep preservaXon plan B lof platletl afl6r 7/1/93
DATE: ~ ^ /,3 ~D v CONSTRUCTION COST:
DESCRIPfION OF WORK: 4 S~~ d~ ~o /2c~
STREETADDRESS: ~J~'~ Sf}1/f}N~N.~l~
. LOT: ~ BLOCK: ~ SUBDJP.I.D.~: I2Xihdl~On •S~quare ~~"i1
Name: ~1
4 ~ ~So ~ ~~>2~ Phone
pROpERTy L~f Flnl
OWNER
Sheet Address: f ~Z 7 ~f~"~ i43UN~Ff
Clty ~ G~-~ State: 1'~ ~ Zip:
. ComPany: 12a ~v y o uS 7~ ~~otis%
~/~C Phone M: `~SZ 4' Co l- 2-~ z l
COMRACTOR (area code)
Sheet Address: U U oja ~ Uc6nse / z- Exp.
ci~y G/-~Ge'v/~« stare: 1~ ~ np: ~3"vY~i
ARCHITECT/
ENGINEER Company: Name:
Telephone ( )
Shset Address: RegishaHon a:
Clty State: Zip:
Sewerlwater licensed plumber ilf I~tsllina sewerfwaterl: Phone
I hereby acknowledge Ihat I have read this application, stafe that ihe infortnatbn is carecl, ond agree to comply wHh all applicable State
of Minnesota S~ahdes and City of Eagan Ordinances.
Signafure of Applieant: 5"~'t-~
O~
OFFICE USE ONLY "
Certificates of Survey Received _ Yes _ No ' ~ I 3
Tree Preservation Ptan Received _ Yes _ No _ Not Required -~/1
.~i~ /
~-'C. ~
~
OFFICE USE ONLY
, s
BUILDING PERMIT SUBTYPES ~
? ~1 Foundatlon ? 07 05-plex ? 13 16-plex ? 21 Poroh (3sea.) ? 31 Ext. Yslt - Multi
? 02 SF Dweiling ? 08 O6-plex ? 17 Garage ~ 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
O 03 Ot of _ plex ? 09 07-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 04 02-plex ? 10 0&plex p 19 Lower Level ? 24 Storm ~amage
? 05 03-plex ? 11 10-plex Pn~ Yor_N ~ 25 Miscellaneous
? OB 04-Plex ? 12 12-piex ? 20 Pool ? 30 Accessory Bldg.
WORK TYPE
? 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 appl(cant for demolition permit "
GENERAL INFORMATION
SAC Code ~C
L # of Stories sq. ft.
No, of Units Length sq. ft.
No. of Buildings _L Width Footprint sq. ft.
Const. (Actual) Basement sq. ft. Census Code ~
(Allowabie) Main level sq. ft. MC/ES System
UBC Occupancy u~L ~ sq. ft. ~ City Water
Zoning sq. ft. Booster Pump
PRV
Fire Sprinklered
MISCELLANEOUS INSPECTIONS
? ~ Stucco/Stone
APPROVALS
Planning Building _ QLi/ Engineering Variance
Permit Fee Valuation:
Surcharge
Plan Review ~
MC/ES SAC ~~d~ ~ < D ! ~ ~
City SAC
Water Conn.
Water Meter ~J~
Acct. Deposit
S/W Permit
S1W Surcharge
Treatment PI.
Park Ded.
Traiis Ded.
Other
Copies
Total:
SAC Units
% SAC
MNcheck COMPLIANCE REPQRT ~ ~
Minnesata Energy Cade ~ Permit # ~
MNcheck Saftware Versian 3.0 i I
~ Checked by/Date ~
~ (
CQUNTY: Dakata
STATE: Minnesota
ZONE: 2
CONSTRUCTION TYPE: Single Family
DATE: d-19-2000
COMPLIANCE: PAS5ES
Required UA = 85
Your Home = 76
10.6% Better Than Cade
Area or Cavity Cont. Glazing/Daor
Perimeter R-Value R-Ualue T1-Value UA
CEII.INGS: Raised Truss 378 38.0 0.0 9
WALI.S: Wood Frame, 16" O.C. 491 19.4 2.0 27
GLAZING: Windows or poors, Above Grade 79 0.320 25
D40RS 20 0.32d 6
FLdORS: O~er autside Air 396 38.0 5.0 9
COMPLIANCE STATEMENT: The gropased building design described here is
consistent with the building plans, specifications, and other calculations
submitted with the permit a.pplicatian. The prop4sed building has been
designed to meet the requir ments of the Minnesota Energy Code.
Builder/Designer fn~ ~ C-~ ~ ~ ~ Da~e ~ - j~ ~ ~
~`'q,~`~-~.~~'- : `JU-V/~
, ~ ~ +y~
~ ~~~y ~~ANI~ C0.
,n o rr
~ ~ CERTIFICATE OF SURVEY FOR;
• SURVEYING
p ~ ' SERVECES
- TIMBERWORKS
1875 PLAZA DRIVE
EAGAN, MINNESOTA 5512
LEGAL DESCRIPTION: LOT2,BLOCK~, L.EXIN6TON SQUARE 6ih ADD.
ACCORDING TO THE RECORDED PLAT
~r THEREOF DAKOTA COUNTY,MINNESOTA
I
SCALE; I"=30' O~
~ • ~
t~ o uy
~ ~
i LOT I
~
rer e~ouc
za
w ~
~ ~
o N89°43'03"W " 147.41 9~3 a
o ` o~- 3~.~ _ ~-+4.~ u~ qpV
0 0 ~ ~o ~ -~~,,.R ~ ~ o
~ ~
i ~ ~ ~o ~
_ w.v. . 4,~. i ~ I
a LOT 2
; ~ I 4 • r1~~~& ` ~ W
~ I ~ u u ary~ ~ f~
e ~ ~ - - ` rDRAINAGE 8 UTILITY
I Z 10 ~ I~~• EA4EMENT ~p O
~ ~q ai-°°- - 44.00 - ~ ~ ?
N89°43'03.'W O 147.62 "°p
n,P
903.1~
LOT 3
i ~~a~~ ~ ~
- FEVIFsE.r. ~
'
g„ ~S .
_ . _ . rs .,_____y~~~ _
C/i 1,. . ~
oF.r~,,.F ~AG!!N ENGINEERING DEF;
IEGEND PROPOSED SPLIT ENTRY - NO WALKOUT
INVERT ELEVATION AT SERVICE EXTENSION=
o DENOTES IRON MONUMENT PROPOSED GARAGE FLOOR ELEVATION= B~
~ DENOTES WOOD MUB SET PROPOSED FIRST FLOOR ELEVATION = 90o g
gW.oZDENOTES EXISTIN6 SPOT PROPOSED BASEMENT FLOOR = 0~`f-
897e ELEVATION ELEVATION
DENOTES PROP05ED SPOT
ELEVATION
~ DENOTES DRAINAGE DIRECTION NOTE ~ VERIFY ALL FLOOR NEIGHTS WITH
FINAL HOUSE PLANS
I her~by c~rtify fAat tAfs swvaY,Dlan or ; i ~,9 /i
report was preparod by ms or under my :•°i
direct supervision und that i om a duly ETUdlay J. oti, Mn. Ray. No. 15235
Repistsred Land Surv~yor und~r th~ /
: l.ews oi the State of Minnesota. Date ~ l7 L
' ~a(o~l ~P ~ Ro. o0
2007 RESIDENTIAL BUILDING PERMIT APPLICATION `~-lt~~
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-695-5675 FAX # 651-675-5694
~ . NewCansWCfionReauirements RemodellReuairReouiremenis f~l~Cdl.ls~y`~W
3 registered site surveys showing sq. ft. of lot, sq. ft of hase; and all roofed areas 2 copies of plan showing footings, beams, joists CeiSfl)Survay ReCtl Y'~~.~F(
(20%maximumlotcoveregeallowetl) ise[MEnergyCalculationskrheatedaddi6ons SailsReport Y.;N
i Soils Repod if proposed 6uilding is l0 6e placed on disNrbed soil 1 site survey far additions 8 decks 7re~Pres Plan Re~il Y N,
2copiesofplanshowiigbeam&windowsizes;pouretlloundtlesgn,etc. AddiUon-irM(catei/omsifesepticsystem ~'reePtesReqwi9d?~Et y,'~I~~LaN,
lselofEnergyCalcula6ons On~sdeSephcSym~[em ,_Y,~°~"'~~~tJ.
3 copies of Tree Preservatian Plan if lat platte0 after 7/1193
Rim Joist Detail OpAOns selection sheet (builtlings wiih 3 or less unds)
Minnegasco mechanical ven6lation form
Plans are considered ublic information uniess ou state the are trade secret and the reason.
Date / / ,,C/p nstruction Cost I
SiteAddress Q~~ ~(,IJY~I~~VI {~C/1 UnitlSte#
Description of Work 1 ~ -'~Q
Multi-Family B(dg _ Y_ N Eireplace(s) _ 0 _ 1 _ 2
Property Owner Telephone # ( )
~
Contractor ~
Address ~ City ~~G(.J /~Q
State I Zip ~ Telephone #~J~ji 31 ~~5~ a-Z.I
COMPLETE TNIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7G70 Ca[eeorv 1 Minnesola Rules 7672
Energy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(d submission type) Submitted ~ Submilted
. Energy Envelope Calculations Su6miUed
In ihe last 12 monihs, has The City of Eagan issued a permit for a similar plan based on a master plani
_ Y _ N If yes, date and address of master plan:
Licensed Plumber Telephone J
Mechanical Contractor Telephone J
Sewer/WaterConiractor 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 MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to staR 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. ~
~w~, c~
Applicant's Printed Na~ e Applic E's-firignatu
Citi of aoau
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Date: 2.11-9(ib
For Office Use
Permit #:
i3sz37
Permit Fee:
Date Received:
Staff:
2016 MECHANICAL PERMIT APPLICATION
❑ Please submit two (2) sets of plans with all commercial applications.
Site Address: Q2-1 SAvA NN.tt\ Road
Tenant: Suite #:
Name: L A 21tj G.,v.t o.0
Address / City / Zip: q 2 T SA
J
J A NN.4 k i\
C4S1 ZL
State: OW Zip: S S o 8 8
City: WeA).t tc.Q-
Phone: is -2,— yb l- s o
Contact: Scott' RAss Email: HC.corvsu 1-1-444-0`..S Ca Nte.1a04. iU2 1
New X Replacement Additional Alteration Demolition
Description of work: Re.tl4c-e- €4o% La -4- - d»• -ems 44,49 ieaOM ' 4/c.
RESIDENTIAL
V Furnace
VAir Conditioner
Air Exchanger
_ Heat Pump
Other
COMMERCIAL
New Construction Interior Improvement
Install Piping Processed
Gas Exterior HVAC Unit
_ Under/Above ground Tank ( Install / _ Remove)
RESIDENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit, includes State Surcharge
$100.00 Residential New, includes State Surcharge
COMMERCIAL FEES
$60.00 Permit Fee Minimum
$70.00 Underground tank installation/removal
Surcharge = Contract Value x $0.0005
If the project valuation is over $1 million, please call for Surcharge
TOTAL FEE
Contract Value $ x .01
$
_$
=$
Permit Fee
Surcharge
TOTAL FEE
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.
3(.0 Tr -T llA-Ss
Applicant's Printed Name
Applicajer•Nr: /44d/
nt's Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA169914
Date Issued:06/15/2021
Permit Category:ePermit
Site Address: 927 Savannah Rd
Lot:2 Block: 3 Addition: Lexington Square 6th
PID:10-45080-03-020
Use:
Description:
Sub Type:Windows/Doors
Work Type:Overhead Garage Door
Description:
Census Code:434 - Residential Additions, Alterations
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 within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 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 -
Larry D & Rebecca C Johnson
927 Savannah
Saint Paul MN 55123--155
(651) 497-6474
Twin City Garage Door Co
5601 Boone Avenue North
Minneapolis MN 55428
(763) 533-3838
Applicant/Permitee: Signature Issued By: Signature