935 Savannah Rd x~ACrivar~ N'OR DECK-PLAN REVIEWED 8/31/88 ~ ~
JOHN .RUH7 1ND-HOMEOWNER 452-8688 CITY OF EAGAN ~
MIDWEST :~~NCE- 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
CON~'RACTi -451-2221 PHONE:454-8100
BUILDING PERMIT Receipt #
To be used for Est. Value Date ,19
Site Address OFFICE USE ONLY
Lot BIpCk SeC/Sub. On Site 5ewage _ Occupancy
MWCC System _ Zoning
ParCAI No. On 5ite Well _ Type of Const
City Water _ (Actuaq
ac Name (Allowable)
W ~ of Storles
; Address Length
° City Phone ~ Depth
S.F. Total
p N3me Footprint S.F.
~ ~ Address APPROVALS FEES
City PhOne Assessments _ Permit
~ Water/Sewer _ Surcharge
¢
y~ W N8m8 PoUce _ Plan Review
W
• = p Add~ess Fire _ SAC, City
~ Enqr. _ SAC, MWCC
~ W Cfty PhOne Planner _ Water Conn.
Council _ Water Meter
I hereby acknowledge that I have read this application and state Bldy. Off. _ Road Unit
thattheinformationiscorrectandagreetocomplywithallappllcable A~ - TreatmentPl
State oF Minnesota Statutes and City of Eagan Ordinances. Variance _ Parks
Coples
Signature of Permittee TOTAL
A Building Permit is issued to: on the express condition that
all work shall be done in accordance with all applicable State af Minnesota Statutes and City of Eagan Ordinancea
Building Official
- Permit No. Permit Holder Date Telephona ~e
Plumbing ~ C~~ " .S/~ry~~'
H.v.ac. ~Jr'~ ~ ~.c . 7
Electric ~ ~/cC"~,/ l~~r-~ , ~ ' Cr• ~
~ 7 ~
~~(te~er 7~ a ~ 8 ~~o ~ S°~-o -
Inapection Dsts Insp. (~~C~iii'~ s ' ~LF~'~t"`''
Footings I j ~ ~ -
Footings il
Foundation
Framing ~
Fioofing
Rough Plbg.
Rough Htg.
Isul. ~ . ,
Fireplace
Final Htg. ~ ~ S
Final Plbg. p,
Bldg. Final pil on Qi.r s 1~.!
~ Jvo i v~.. fi ~ ~ ,
Cert.Occ. a ,.n. ..,fk~~`r v ~
Temp. LP
Deck Ftg. 2 ~v p ~ ~ S'
Deck Frmg. / ~ ~ ~O~ S T ~
Well _
Pr. Disp.
. . - ,
: • ' , PERMIT #
~ ~ PLUMBING PERMIT RECEIPT # ~
. " ~ CITY ~F EAGAN ~v- ~ ;
3830 PIIOT KNOB ROAD, EAGAN, MN 55122 DATE: -
CONTRACT PRICE: PHONt~: 454-8100
Site Addrefss ` ~ ` ' % - • BLDG. TYPE ~ WORK DESCR~e~IaN
Lot~ lock Sec/Sub Res. ~ New ~-~'J~
~ y ~i• Mult. Add-on
~ Name ~ Comm. Repair
~o Address r ~ - ~ Other
c City j~~,:. c i. , ~ c. ,
" L, Phone f` RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO FIXTUHES TOTAL;
~ i' t / _~Water Closet - 33.00 S ~
~
Name ~gath Tubs - $3.00
~ ~
3 Addre s ~ :
~ Lavatory - $3.00 S'
p Ciry ~ 1r " r~ ~ ~ Phone~ ~ Shower. - $3.00 -
_~Kitchen 5ink - $3.00
FEES Urinal/Bidet - 53.00
COMM/IND FEE - 196 OF CONTRACT FEE ~Laundry Tray -$3.00
APT. BLDGS - COMM RATE APPUES -LFloor Drains -$1.50
TOWNHOUSE & CONDO - RES. RATE APPUES -~Water Heater -$1.50 ,
MINIMUM - RESIDENTIAL FEE - $12.00 Whirlprnol - $3.00
MINIMUM - COMM/IND FEE - $20.00 ~Gas Piping Outlets - $1.50 ,I
STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIT)
(ADD $.50 S/C IF PERMIT PRICE GOES Softener -$5.00
BEYOfQD $1,000.00) ~ Well - ~10.00
~ Private Disp. - 310.00
4 ' -~l~ ' ~ t _~R~ugh Openings - $t50 7
SIGNATURE OF PERMITTEE FEE: y
STATE SJC:
FOR: CITY OF EAGAN GRANO TOTAL: ' ~
. . PERMIT #
~ ' MECHANICAL PERMIT ~
• - CITY OF EAGAN RECEIPT #
' 3830 PILOT KNO~ ROAD, EAGAN, MN 55122 DATE: ; l~ 1
CONTRACT PRICE I-~ .'~,,,'.JJ P ONE: 454-8100 '
Site Address BLDG. TYPE WORK DESCRIPTION
Lot „ Block ~ Sec/Su4. Res. ? New
L~; - i ~ ~r'~
- . ~ Mult Add-on
m Name
Address Comm. Repair
c City ~ Phone V Other
Name ~ Q C-- FEES
RES. HVAC 0-100 M BTU -$24.00
c Address k~f~y ADDITIONAL 50 M BTU - 6.00
p Gity-_~1 ~ Pfione '~t ~ r i~S. HVAC INCLUDES AiC ON NEW
CONSTRUC,TI~N)
GAS OUTLETS (MINIMUM - 1 PER PEiiMiT) - 1.50 EA.
TYPE OF WORK COMM/IND FEE - 196 OF CONTRACT FEE
Forced Air M BTU APT. BLDGS. - COMM. RATE APPUES
TOWNHOUSE & CONDOS - RES. RATE APPLJES
Boiler ~ M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8~ ~
Unit Heater M BTU REMODELS - 12.00 ~
Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
Vent CFM ~ r. (ADD $.50 S/C IF PERMIT PRICE GOES ~
Gas Piping Outiets # l ~ BEYOND $1,000)
Other
FEE: `l~.`~J . _ ~'1 } ~ .
. r., . f _ _ti
~ ~ `~i ~,•;~,v . t- "~i
S/C: ' ~ SIGNATURE OF PERMITTEE
TOTAL• ' ~
's
FOR: CITY OF EAGAN ;
1
CITY OF EAGAN Permit No: • Dat~
3830 PHot Knob Road Meter No:.,3 g~r ~
3~] Size: ~
P.O. Boo~ 21199 Reader No: n= S p~~/-SL bat~ ~ 7
Eagan, MN 55121
Owner. ~:o;11e~;e t'.i~y Coast.
SiteAddress: =~3~ Savannah Road I.5 ~2_ La;~ ~:;r, I°~~
Plumber. ?=urr Plumbin
Conn. Chg: i 2 5 OOnd , i~on'lt~$; ;~-T;r~BS
Acct Dep: ~ ; . ' ~ ~.3s.1
IY~.I YI ~1"S~fV~
Permit Fee: 1n ~ , ' i.''~ ~`:~C -
Surcharge: I~I~e ~~p~ly y~th the Cit~r of Ea~an
Tr. Plant O fnances.
Meter. ~
Misc.: Br~
WATER SERVICE PERMIT
GOLD COPY PERMIT RELEASE FORM
PERMIT ~ ~lp
~
ADDRESS ~
1
PICKED UP BY
~ ~._"5~ ~ Z J~~ .S ' ~
~
-a _ .
CASH RECEIPT
. 'f
` CITY OF EAGAN ~
• 3830 PILOT KNOB ROAD
.
EAGAN, MINNESOTA 55122
narE ~s
. . ;
R¢CQIVED ~ ' ~
RROM ! ' _ ' _ '
AMOUNT $ -
'i Y I ~J
DOLLAR{
~es
? CASH CHEGK
,
FOR ~y ~C[ ~ ~C~YI. /I e'-. , .
-+~~-r~,?~7 z ~ t
FUND CODfi AMOUNT
ThankYou
BY /
~ d • White-Peyers Copy
Yellow-Posting Copy
Pink-File Copy
BLD-'~~~.ERMIT N4. , .
y~ ~x ~ C ~
01-3210 ^Bldg. Permit ; -c_. ~
01-3422 Plan Check ~ ti'
01-3445 Surch./Adm.
01-3446 SAC/Adm. .25~
01-2155 Surcharge ~~rj ~-c ~
17-~3860 Road Unit -~c; 5 _ ~ ~
20~2275 SAC S ~ 1
20-3865 Water Conn. _S ~
20-3868 Water Trmt. ~ ~c %
20-3716 Water ?~Ieter ~ .
20-2252 Acct. Dep.
20-3713 Water Permit
20-3743 Sewer Permit
79-3866 Sewer Conn. r
11-3855 Park Ded.
TOTAL ~ i -
CITY ~F EAGAN Permit No: '~'c Dat~
3830 Pitot Knob Road Meter No: Size:
P.O. Box 21 ~ 9S Reader No: Date:
Eagan, MN 55121
Owner. ~-<%yZete City Const.
SiteAddress: 935 S&vaunah Itoad LS n2 Lc::.L=:~-to.-, Iz;
Plumber '`u=r Plu~!bing
Cann. Chg: . VOpr~ Zoning:
Acct Dep; '~5 •~~~a No. of Units: i
Permit Fee: ' 1'~
.~,r
~
Surcharge: _ . SOnd I agree to comply wllh fhe City of Eagan
Tr. Plant I''~ _ Ot7r? Ordinances.
Meter. r 7 ~ y:~,,;~-----~
Misc.: ~ By
WATER SERVICE PERMIT
CITY OF EAGAN SEWER SERVICE PERMIT
3830 Pllot Knob Road
P.O. ~ox 2f~ $9 PERMIT NO.: ~ c''
Eagan, NJN 55121 DATE: ~'-3~-V7
Zoni96.' No. of Units: Z
Owner. Co1ler~e C'ity vonst.
Address:
SiteAddress: 9~~ Savannah £o~:~i I.5 T~2 I.exin~tol So IV
Plumber: Plum~ai8~
4-}6-47 7256I ZOO.O~gd
I agree to camply with the City of Eagen Connection Charge:
Ordinances. Account Deposit: 1 5_(]Q,~cl
Permit Fee: 10 _ Qn~
Surcharge: - S~~T
gy Misc. Charges:
Date of Insp.: Total:
Insp.: Date Paid:
Th,s ea~a~ ,~;d~v/~~/g7 7~"0~~
8 months fram
90043 ,c~ h~y ~o
Req egt,Dale V~ ~ Fire N. o~ph-in In ction
Ne re ~Neaay Now ' mify, Insoeo-
~ es ?No ~or When Feady
censed Electrical ConVactor I herebv re0~esf inapection ot above
Owner elecvical work inatelled at
Sireat Atldress, 9oz or Raate No. ~ C~t
`~'3 ~
e tion o. Towns ip Name o~ No. flange o. Cou
Occu ant IPNINT) ~ Phone Ne.
Po r S p' Address
v ao?~ ,
EIe~ ~ Contractor ICO any Conlracmr's iwnse No.
~ r t9 G°~1 S-~
Mai tlJress 1 onvactor or Owner Makine tailationl
5~~7 l
Authorize gne re ( ontracter~Owner kir~g nstallai onl Phone Numb~~
J
MINNESOTA STATE BOARO OF ELECT111CITV THIS INSPECTION REQUEST WILL NOT
/ Gripps-Midwev BIAp. - Room N-191 - gE ACCEFTED BY TME STqTE BOpqD
UNLESS PROPEN INSPECTION FEE IS
7821 U~iveraitv Ave., St. Peul, MN 6610~
P~onef8721662-0800 ENCLOSED.
CP/-~~'~8? REQUEST FOR ELECTRICAL INSPECTION ~e7s-oyoooi-os
~ See insiruetien9 lor [omo~e~irq ihis ~orm on back ol vellow copy. ( a1~oL~
"'X"' Below Wo~k Cove~ed by 7his Request
aec~ ~ Tvoe o~ a~~imoe Aoorencea w~r.a Equio~~en1 Wired
Home flange Temporary Service
Duplex Water Heater Lighting Fixtures
Apt. Building Dryer Electric Heatin
Commercial Bldg. Furnace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tenk
Farm ihr.r oeai v. ~her ISnedFy)
t,r ueci y thor Oth~r
ompute nspection Fee Belaw
p Fee SarviceEntranceSize p Fee Fexders~Subleeders~ k Fee Circuits
0 to 200 Am s 0 to 30 qm s to 30 Am
Above 2 0 qmu 37 to 100 qmps 1 to 100 q
Swimmin Pool Above 100_Am s Above 100_Am s
Transrormers Irri ation Booms Partial,'Other Fee
Signs Speciarlnspection 5 ~ ~ /
ercbrks ~ E
flouph-in D~te the E cvi
G ~p ~~,oa~,o~, a= -
cerlifV thel ~ .
finel /tg~ inaPeetion ~
~ made. ~ /
mro rea~es~ w~a 16 mon+nn tran
ys'/$/87 REQUEST FOR ELECTFICAC INSPECTION EsQ~j~S
~ See instruclions for comD~e~inp this brm on beck ol vellow copy.
"'X"' Be/ow Work Covered by This Request
Fdd Rep. Type of BuilEl~e ADD~~oneea WiraA . EquiVmen~ Wired
Home Range Temporary Service
Duplex Wate~ Heater Ligh[iny Fixtures
Apt. Building Dryer Electric Heatin
Commercial Bldg. Furnace Silo Unloader
~ndustrial Bldg. Air Conditioner Bulk Milk Tank
Parm Otne. oec~ v ~he:rlSnerllN .
t.r uen y ther Other
ompute nspection Fee Below
p Fee ServiceEntrenceSixe x Fae Feetlere~3ubfeedern u F e Circuita
~ U to 200 Am s O to 30 Am s 0 1~ 30 Am
Above 200 qm~n 31 to 100 Amps 31 to 100 A
Swinvning Pool Above 100_Am s AAave 100_Am s
Trensiormers rrigation Boorc,s Partial•'Other Fee
Signs SVecial Inspection
TOTAL FEE% /~"Q
Remerks
Rough-in Date ~he Elacvical
J ~a Inaoeebq hereby
certify tliat the ebove
Finel ~ate inspaction hes been
~ ~'3 ~j ~ea.
(I~Ie repunt vo10 7B monthe Irom
This requesl void ~j/~/~'~ ' ca~.s~"L'
~ ~~~~-r~ ~ 2 ~t 5°
Heqqqyyypppeee t Date Fire No. Rough-in Inspeclion
~ V~ R wretll ? ~Reatly Now ill Notity Inspec-
y es Nu ~or When Headv
~nseJ lectrical Contrector I hereby m uest inao f above
? Owner el tric I t s
5[r ~ re o N / Ci
h
/
ectmn o. Townsnio Name or No. Range o. - Coun
Occu ~n[ IPPINT hone No.
~
Po r uo e / Adtlress ~ '
G~ 0 ~~n,~ ~
Elect ConVactor (C e CnnVactor s nse No.
i C ~
„ mY d ~lao~3{
Maili Atldress Convacro'ror Owner Makin Ins~alla~i 1
5G~?
Authorized pna ure ( nbactor~Owner a' g I s flationl Phone N ber
p~"~<%
MINNES TA STATE BOARD OF ELECTRICITV THIS INSGECTION PEQUEST WILL NOT
Grippe-MiEwev B~dB. - Moom N.191 BE ACCEPTEO 6V THE STqTE BppqD
1821 Univeral[v Ava., SL Peul, MN 66104 UNLESS PPOPER INSPECTION FEE IS
Phone (6121 642~0800 ENCLOSEO.
CITY OF EAGAN No ~ 3 4 ~ ~
, 3830 Pilot Knob Road, P.O. Box 21 •199, Eagan, MN 55121
PHONE:454-8100 p ~aS(p1
BUILDING PERMIT Recei t ~
Tobeusedfor SF DWG/GAR Est.Value ~60,000 Date APRIL 15 ~g 87
Site Add~ess 935 SAVANNAH RD OFFICE USE ONLY
Lot 5 Block 2 Sec/Sub. LEXINGTON On Site Sewege occupancy R3
SQGAFE 4TH MwCCSyetem Zoning R1
Parcel No. On Site Well rype of Const
Ciry Water ~ (ACtual)
a Name COLLEGE CITY CONSTRUCTION (Allowable)
= Address BOX 309 it of Stories
o C~h, NORTAFIELDphone 507/645-6648 Depthh Jyt~
S.F. Total
Footprint S.F.
, o Name
~Q Address APPROVALS FEES '
~ City Phone qssesaments Permit $ 363.50
~ Water/Sewer Surcharge
~ w N8m8 Police _ Plan Review 1 RO _ 7 S
t z Fire _ SAC, City 1 l1f1 _!1(1
AddfCSS Engc _ SAC,MWCC S~.?
.,.e~,S
nn
aW City Phone Planner _ WaterConn. c~c.~
Council _ Water Meter ~c=~~
I hereby acknowledge that I have read this appltcation and state gldg. Off. _ Road Unit
thattheinformatloniacorrectandagreetocomplywithallappliceble A~ - TreatmentPt
State of Minnesota Statutes and City of Eagan Ordinancea Variance _ Parks
covles ~~5
Signature of Permittee rO7AL $
A Building Permit is issued to: COLLEGE CITY CONSTRUCTION on the express condition that
all work shall be done in accordence with all applica State of Minn sota Statutes and City of Eagan Ordinancea
e
Building Official L~
~
Z6 5 ~ RESIDENTIAL BUII.DING
~ ~ O
Permit Application Q r
City Of Eagan ~
3830 Pilot Knob Road, Eagan MN 55122 , i x.~ i- ~~~L7 q'
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWction Reauirements RemodeUReoair Reauirements Office Use OnN
3 registereA site surveys shaving sq. R of bt, sq. ft of house; and all mofed ar~s 2 wpies af plan Cert of Survey Recd Y N
(20°~ maximum bt cover~ge allowed) 1 set of Eneyy Cakulatiais for heated additions Tree Pres Plan Recd _Y _ N
2 copies of plan showiig beam & window sizes; poured tOU~ design, etc. 7 site survey for addNOns 8 decks Tree Pres Reqd _ V_ N
1 set of Energy Ca~ulations Addition - iiWicate ifon-sde septic system On-site Septic System _ Y_ N
3 capies of Tree Preservation Plan if bt pWtted aker 7/1/93
Rim Joist Detail OpM1Ons selution sheet (bldgs wifh 3 ar less units
Date ~o (/7 / D 3 Construction Cost
SiteAddress 93S Sc~yu~~w(~ ~ew~1 Unit/Ste #
` F'~{•u"~
Description of Work Kmen-T n~e.+~
Multi-Family Bldg _ Y X N Fireplace(s) ~ 0 _ 1 _ 2
Property Owner ~tcr~ ~crr~.! Telephone Sl ) 3~~ ~ GGS7
Contractor f~.1cr-~ Qtvne~'
Address City
State Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Ena~gy COde Category . Residentlal Ventila6on Category 1 Worksheet • New Energy Code Worksheet
(~(submissiontype) Submitted Submitted
~ • Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan2 _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber Telephone )
Mechanicat Contractor Telephone
Sewer/WaterContractor Telephone D )
I hereby apply for a Residential Building Permit and acknowledge that the inform ' n is ~ete and a curate;
that the work will be in conformance with the ordinances and codes of the City f 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 approved plan in the case of ork which requires a review and
approva] of plans.
~o-~!~ f ~v-~
ApplicanYs Printed N e Applicant's Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation O 07 05-plex ? 13 76-plex ? 20 Pool ? 30 Accessory Bidg
? 02 SF Dwelling O 08 O6-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Mufti
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF
? 04 02-plex ~ 10 08-plex ? 18 Deck ? 23 Porch {screen/gazebo) ? 36 Multi Misc.
? OS 03-plex ? 11 10-plex ~ 19 Lower Level ? 24 Storm ~amage
O O6 04-plex ? 12 12-plex Plbg_Y or_ N? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement Q 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demollsh (Foundation) ? 45 Fire Repair
~ 33 Alteretion 0 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Lloors
? 34 Replacement •Demolition (Entire Bidg) - Give PCA handout to applicant ~
Valuation G9'v'~ Occupancy MC/ES System V
Census Code .
N~
N 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) FinaUC.O.
_ Footings (deck) FinaUNo C.O.
_ Footings (addition) Plumbin~
_ Foundation ~ HVAC
_ Drain Tile Other
Roof _ Ice & Water Final Pool Ftgs Air/Gas Tesu Final
~ FId~svn8 _ Siding Stucco Stone
Fireplace _ R.I. _ Air Test _ Final Windows (new/replacea~ent)
~ Insularion _ Retaining Wall
Approved By T~, , Buiiding Inspector
Base Fee
Surcharge ~ / C?~~. ,
,~""i`C~ ~
,
Plan Review r ~ ~ f ~
MClES SAC
City SAC
UtilityConnectionCharge ~
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
PERMIT # -1 ~ RECEIPT DATE:
8008 ii~SID~PTIi4L ~LUM$1Nfi ~P~MIT ~E~P~PL1ClETION
crrY o~ ~?s~aiv
s8so P1LOT KNOS RD
$AHRA, E!P 551 SE
851-6$]-967b
Please complete for: single family dwellings, townhomes and condos when permits are required for each unit,
backflow preventer for irrigation system
SITEADDRESS: ~ n na-~
OWNERNAME:: ~)~V1Y~ ~I/~~ICC.~GI TELEPHONE#: ~Z- O l0~
(AREA CODE)
INS~ LER NAME: I 1 ~I V' I I~ I~ TELEPHONE ~ Z-`"7' ~O i 4 /
(AREA CODE)
STREETADDRESS: ~"1 l~(e.fA~
CITY: ~~.V~1 lY STATE: I~ 1 ZIP: ~~"r
_ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00
includes $40.00 County fee
Note: Additional consultant fees may apply
• MODIFICATIONlALTERATION TO EXISTING DWELLING UNIT, INCLUDING:
_ Adding fiutures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00
_ Abandonment of septic system.
_ Water turnaround - ewsting dwelling unit 518" meter "rf needed -$118)
Other:
_ RPZ: ne~v instal!atienlrep2idrehuild $ 30A0
_ lawn irrigation system
Replacement/additional: _ water softener water heater $ 15.00
State Surcharge $ .50
Total ~ l~
I herebyacknowledge thal I have read this appliration, state thatthe infortnation is cortect, and agree to complywith all applipble City~gan ordi ett~~~
is the applicanYs responsibility lo notiy the property owner that the City of Eagan ass m s o liabili~ for any damages ~use,d~by the Ciry dyr+ it normal
operedonal and maintenance activities to the facilities consWcted under fhis,permi ' ity pro - Awayle a~fi j
SIGNA - RE OF PERMITTE Po2
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
~C~ a- I~ 3830 PILOT KNOB RD, EACAN MN 55122 ~3 , a~
851•681-4875
Naw Conetructlon Beaulremente BemodeVPeoeir BeoulremeMa
• 3 registeietl site surveys showing sq. fl. of bt, sq. N. ot trouse; and ~II roofed areas • 2 copies of plan
(20%maximumhtcoveregealbwetl) • 7setofEnergyCa~ulationsforheatetladdd'ans
. 2 copies of plan showing beem 8 wintlow shes; poured tound design, etc.) • t stle survey tor aAerior addnbns 8 tlecks
• 1 set of Energy Cakuletbns • Indicate il home served by saptic sys[em br eddttbna
• 3 o~pies of Tree Preserval'an Plsn tl bt Dlatted atler 7/1/93
. Rim ,bist Datall Optbns selection sheet (bldgs wXh 3 or less unAS)
DATE ~ y- bZ VALUATION z~3 ~5~
SITE ADDRESS~~ S~~z~`-~- ~ MULTI-FAMILY BLDG _ Y ~ N
TYPE OF WORK --k~'~n~~~ ~~exC~o~ a`c~S\~ FIREPLACE(S) 0_ 1_ 2
APPLICANT ~a~a~~ `~~.sL ~~'Fo~ ~ ,~L
STREETADDRESS Z'-I~9 ~~G-S~ - 5~~~ ~ CIN S~~^~~ STATE ~"ZIPSS~I
TELEPHONE #~S~-~?~Z(-9~[33 CELL PHONE # FAX # lsaS I' ~~3~Z~ 9'
PROPERTYOWNER~b~_ ~v~la~~` TELEPHONE# '~~~z-~~0~'
COMPLETE THIS SECTION FOR °NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULFS 7670 CATEGORY 1 _ MINNESOTA RliLES 7672
(~J submission type) • Residential Ventilatlon Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Confracior: Phone #
Plumbing system includes: _ Water Softener Lawn Spruikler Fee: $90.00
Water Heater _ No. of R.I. Baths
_ No. of Baths
Mechanical Conhactor: ~
Mechanical system includes: _ Air Conditioning D - e. 0.00
_ Heat Recovery System M pY 1 4 2002
Sewer/Water Conhactor: Pho
By
I hereby acknowiedge that I have read This application, state fhat the Information is correct, and agree to comply
with all applicable State of Minnesota StaTutes and City of Eagan Ordinances.
Signatureo}Applict~r! ~
---•--------°----°°--.....--°--°-...._------------~..._.r~_-_-....-
OFFICE USE ONLY
Certficates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
OFFICE USE ONLY
? 01 Foundation ? 07 OSplex ? 13 16plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS O6-plex ? 16 Fireplace O 21 Porch (3-sea.) ? 31 Ext. Ak - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Poroh/Addn. (4sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 MuRi
O OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
O 06 04-plex ? 12 12-plex Plbg_Yor_N 0 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)" O 43 Reroof O 46 Windows/Doors
? 34 Replacement •Demolition (Entire Bldg only) - Give PCA handout 4o applicaM
Valuation Occupancy MClES System
Census Code 2oning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft, PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const W idth
REQUIRED INSPECTIONS
_ Footings (new bldp~ FinaUC.O.
_ Footings (deck) FinaVNo C.O.
_ Footings (addirion) _ Plumbing
_ Foundation gypC
_ Drain Tile p~~
Raof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ F~~~B _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By , Building Inspector
Base Fee ~
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Suppiy 8 Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit I
Mechanical Permit
License Search
Copies
Other
Total
~.L-:uiNC~7LYt! ~vAti'C- ~/7r~ c-
~ % ~ ~.~4:~~,:~
: , ` Lt~~~~~LCC_K Z
TRAIL EASEMENT
THIS INDENTURE made and entered in[o this ID~day of ~F~3,2c<A~2/ ,
1987, by and between MERITOR DEVELOPMENT CORPORATION, as Grantor, and the CITY
OF EAGAN, ?akota County, Minnesota, as Grantee.
WITNESSETH WHEREAS, eaid Grantor is the owner of the 'tracts of land in the
City of Eagan, Dakota County, Minnesota, legally described as follows:
The East 15.00 feet (as measured at right angles to the east line) of Lots
2, 3, 4, and 5, Block 2, Lexington Square 4th Addition, on file and of
record in the office of the County Recorder, Dakota County, Minnesota.
NOW THEREFORE, the said Grantor in consideration of One ($1.00) ?ollar and
other good and valuable consideration to it paid by Grantee, receipt whereof
is hereby acknowledged, hereby conveys, warrants and dedicates to said
Grantee, its heirs and assigns, for trail purposes, together with the
unrestricted right to improve the same, free and clear of all encumbrances,
the above described tracts of land. _
The Grantor, for itself, its heirs, executors, ad~ainistrators and assigns,
does covenant never to cut, damage, destroy or remove any tree or shrub or
other natural growth upon the hereinbefore described premises for the
continuance of this easement, and does hereby grant and convey to the said
City of Eagan all grasses, shrubs, trees and natural growth now existing on
said lands or that may be hereafter planted or grown thereon.
The Grantor, for itself, its heirs, executors, administrators and assigns
does hereby release the said City of Eagan, i[s successors and assigns, from
all claima for any and all damages resulting to the lands through and across
which the parcel of land hereby conveyed is located by reason of the location,
grading, construction, maintenance, and use of a public trail over and upon
the premises hereby conveyed and from the uaes incident thereto, and the said
City of Eagan shall have the right to use and remove all earth and other
materials lying within the parcel of land hereby conveyed and the right to
construct and maintain, upon the lands adjoining the parcel hereby conveyed,
such portable snow fences during such months as weather conditione make
necessary.
All stumps and other debris resulting from the clearing of the right-of-
way will be diaposed of by Grantee by burning or otherwise, according to law.
The Grantee shall have the right to post such signs and posters along said
trail as are deemed necessary and auitable to define the above lands and
locate them for public use.
IN WITNESS WHEREOF, said Grantor has hereunto set ita hand and seal the
day and year first above written.
MERITOR DEVELOPMENT CORPORATION
By: ~
It s : I ~l G[_,y ~/L@~/~~/~
And:
Its:
STATE OF MINNESOTA)
) ss.
COUNTY OF~) _
On this ~D~ day of ~E$~QV/j,2Y , 19$7, before me a Notary Public
within and for said County personally appeared ~'~„„~~TN Ca.~San
azeH~C.rXXrC~KX.~xX>C~C to me personally known, who, being each by me
' duly sworn thath~. : ~s, - •-,~y'-~._:, the l/IL~ P6(~t/I~E~I~ .~Rd
X K X~~--K x-KX_x of the.Corporation named in the foregoing instrument,
and that the aeal affixed to said instrument is the corporate seal of said
corporation, and that said instrument was signed and sealed in behalf of said
corporation by authority of its Soard of Directors and said ~~~,uc'~~jL ~,Crvy~e~
alfde<~Cr~oc,~c y2~tit acknowledged said instrument to be the free act and
deed of the corporation.
(S E A L) ~H~ ~A~~,
THIS DOCUMENf DRAFTED BY: ~ '
Havge, Eide fi Keller, P.A. ~MAflYBETH CHRISTENSOM~i0NE5 ?
!e' ~ ~
1200 Yankee Doodle Road ~i NOTARY PUBUC-MINNESOiA. ;
Water View Office Tower Suite 303 HENNEPIN COUNTY :
~ My fAmmisaon Expues Jw~e [5. 1992 5
~ Eagan, MN 55123 r~„v,~,~„~,,,y,~,i„~~„vwvw~..
(612) 456-9000 ,
EXEMPT FROM STATE DEED TAX STAMPS
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v, ~ ~ ~ N.89 ¢3'03"1N i i
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5.89°43'03"E. 7 e SouJl~taS{ COrnli 1 ~ S
~ OUTLOF A ZEX/NGTOM SQUA,PE ~
X
GTON; S~lk9,eE .J ~ ' . _
- _ _
I
ota corporation,.and Meritor Development Corporation, a Pennsylvania corporation, owne~
States of America corporation, mortgagee of the following described property situated
he office of the County Recorder, Dakota County, Minnesota, described as follows:
NGTON SQUARE 3RD ADDITION as platted and recorded in the office of the County Recorder
he southeasterly line of said Lot 7, a distance of 122.00 feet to the southwesterly
~ extension of said southwesterly line, a distance of 62.00 feet to the most easterly
along said most easterly line, a distance of 216.66 feet to the southerly line of Bloc'
said southerly line, a distance of 69.94 feet to the southeasterly corner of Lot S,. ,
, along the southerly line of said Block 4, 75.00 feet to the northeasterly &orner of
record in the office of the County Recorder, said Dakot~ County; thence 5 0 16'S7" W:
to the southeasterly corner of said Lot 17; thence S 89 43'03" E along the northerly i
. .
, • Lc"X /NC~TDN SOUA+2E' yTN ~
~ ~ ~~T 5 ,B«~~~ z £3S~z35
TRAIL EASEMENT
THIS INDENTURE made and entered into this day of /~/~,QCK ,
1987, by and between DAKOTA ELECTRIC ASSOCIATION , as Grantor, and the
CITY OF EAGAN, Dakota County, Minnesota, as Grantee.
WITNESSETH WHEREAS, said Grantor is the owner of the tracts of land in the
City of Eagan, Dakota County, Minnesota, legally described as follows:
The East 10.00 feet of the Northweat Quarter of Section 23, Township 27,
Range 23, Dako[a County, Minnesota, including Lots 2, 3, 4, and 5, Block
2, Lexington Square 4th Addi[ion.
NOW TAEREFORE, the said Grantor in consideration of One ~$1.00) Dollar and
other good and valuable consideration to it paid by 6rantee, receipt whereof
is hereby acknowledged, hereby conveys, warrants and dedicates to said
Grantee, its heirs and assigns, for trail purposes, together with the
unrestricted right to improve the same, free and clear of all encumbrancea,
the above described tracts of Land.
The Grantor, for itself, its heirs, executors, administrators and assigns,
does covenant never to cut, damage, destroy or remove any tree or shrub or
other natural growth upon the hereinbefore described premises for the
continuance of this easement, and does hereby grant and convey to the said
City oP Eagan all grasses, shrubs, treea and natural growth now existing on
said lands or that may be hereafter planted or grown thereon. .
The Grantor, for itself, ita heirs, executors, administrators and assigns
does hereby release the said City of Eagan, its succesaors and assigne, from
all claims for any and all damages resulting to the lands through and across
which the parcel of land hereby conveyed is located by reason of the location,
grading, construction, maintenance, and use of a public trail over and upon
the premises hereby conveyed and from the uses incident thereto, and the said
City of Eagan shall have the right to use and remove all earth and other
materials lying within the parcel of Land hereby conveyed and the right to
construct and maintain, upon the Lands adjoining the parcel hereby comreyed,
such portable snow fencea during auch months as weather conditiona make
necessary. ' ~
All stumps and other debris resulting from the clearing of the right-of-
way will be disposed of by'Grantee by burning or otherwise, according to law.
The Grantee shall have the right to post such signs and posters along said
trail as are deemed necessary and suitable to define the above lands and
locate them for public uae.
~ • I
IN WITNESS WHEREOF, said Grantor has hereunto set its hand and seal the
day and year first above written.
DAKOTA ELECTRIC ASSOCIATIOt1
By: l,c~
Ics:
And:
Its:
STATE OF MINNESOTA)
) ss.
COUNTY OF~)
On this g~ day of , 19$ , before me a Notary Public
within and for said County ersonally appeared~..,~,~ W va.. ~~aao
and to me personal~l.,y~ knon , who, being e ch by me
duly sworn that t~oero-~re respectively the ,ya~ ~ne~ayqfl..~ . and
'~'k of the Corporation named in the fo going instrument,
and that the seal affixed to said instrument is the corporate seal of said
corporation, and that said instrument was signed and sealed in behalf of said
corporation by authority of its Board of ?irectors and said
and acknowledged said instrument to he he free act d
deed oF the corporation.
(S EAL) ~ r gT ~
-;--~~'-'~jh~ NOTRRY YU~
THIS DOCUMENT DRAFTED BY: ~ye ~~j~~
Hauge, Eide & Keller, P.A.
1200 Yankee Doodle Road
Water View Office Tower, Suite 303
Eagan, FIN 55123
(612) 456-9000
EXEMPT FROM STATE DEED TAX STAMPS
, ~a~i+..FSUi~.KrR.`~ff~`e11v.a. ~;~k. . . . ~
. . . . . . - .......,..~.-=mw~e+M'.w.?.nwr.rua>a~+x,W,.-~:r ~ _..a.,.... : ..::,.:i..~..i.<., ..,..;a~~.
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~/3`,/7 7
7988 BUILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY~ 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTR6CTOR/HOMEOWNER MUST DESIGNATE WFiICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE HOILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS ftENTAL QNITS FOR SALE UNITS ~ OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CIiECK WITH HLDG. DEPT.~
1 SET OF ENERGY CALCULATIONS
COhII~RCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
~ p~Q'
To Be Used For: Valuation: Date: - O U
Site Address ~~,7 Siq~/f'J/1//t/{~j~ ~L OFFICE USE ONLY
Lot ~ Block 2 On site sewage_ Occupancy
MWCC system Zoning
Parcel/Sub L.exma+oh ~-,u~re ~"~f~ On site well Actual Const
~ ~ City water Allowable
Owner~.I~y~nJ ~v~Lypr~e~ PRV required _ li of stories
Hooster Pump _ Length
Address Cj ~ S S~J(//~/J/~j//~{~ /~yq~ Depth
S.F. Total
City/Zip Cade ~,c7q64~ Mr'~ ~s~~3 Footprint S.F.
Phone S~' APPROVALS FEES
Contractor rLiidwes`f` ~c e Engr/Assess Permit N G
Planner Surcharge
Address 5' E, ~G~~q~scip ,Q.~.~2 Council Plan Review
Bldg. Off. ~{~d7 `I~ SAC~ City
City/Zip Code ~c~ Variance SAC, MWCC
S G75 Water Conn
Phone y~j~ ~ Water Meter
Road Unit
Arch./Engr. Treatment P1
Parks
Address Copies
I TOTAL
City/Zip Code
Phone l!
t .
,
TRI-LAND CO. SITE PLaN FOR:
SURVEYING COLLEGE CITY
SERVICES C4NSTRUCTION
4655 NICOLS ROAD
EAGAN, MINNESOTA 55122
M N ~i~ ta`
SAVANNAH ~20AD
S 0° 15' 67" W
y33 75.00 Zi.s
IM
_ _ - I
~ q ~ ~
~.a~ -_^-r
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t,
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N
W I 2~' I W
rn I / P2oPvsED ~ I
/ ~ I rn
~ ~~yF9 5 13~r
~ ~
~ - -
3yrc N 0° 7 07' 23" E 32*'1
~
~-z~
SCALE~ I " = 30'
PROPERTY DESCRIPTION
LOT~, BLOCK~,
LEXINGTON SQUARE 4TH
xeordlep to fhe recaded plat fhereof
DAKOTA Counry, Minnesaa
LEGEND •
o pENOTES IRON MONUNENT PROPOSED GARAGE FLOOR ELEVATION= ~1„ ,
o DENOTES WOOD HUB SET PROPOSED FIRST FLOOR ELEVATION = 2~=Z.
DENOTES EXISTING SPOT PROPOSED BASEMENT FLOOR =?1 v3
ELEVATION ELE VAT) ON
DENOTES PROPOSED SPOT
ELEVATION NOTE~ VERIFY ALL FLOOR HEIGHTS WITH
~ DENOTES DRAINAGE DIRECTION FINAL HOUSE PLANS
1
I Mnby c~?tify that this turvey, plan or
roport Kas prspared by me or under my ~ 0• 1`~i"°~'"~
direct supervision a~d fhat I am a duly 8radley enson~ Mn. Req. No. 15235
a Repisfered Land Surv~yor unG? ihe
: Laws of the Stats of Minnesota Date ~ y~2~A~ -
~ ~ . **********~~~*x**f****k#******f**#*f~
C I T Y O F E A G A N PA~~ ~F ~E AT TI~ p~ "
* ~Pracr,~oN ooFS r~om o~z~ ~
~ *
; ~Pxovaz oF P~T. *
APPLICATION FOR PERMIT ~
• * nvsencriorr oF s~z ~/o~t t~,x~z *
~
*f ~ r.ramrONS WIIS. DR)T BE S(7~D- *
SEWER AND/OR WATER CONNECTION P~T *
• . * APPROVID.
. y, ~
~ r
r *
»
. **s*****************k,r*~x*~***+r**r**
P ease Print)
~ 1) PROPERTY ADDRESS;
LEGAL DESCRIPTION: 2 ~k
_ Lot Block Subdivision or ax Parcel ID )
IF E~Q~STIhG STRLY.Z[.'RE, DA'PE OF ORIGINAL H(.~ILPING PERMIT ISSL'ANCE: . -
~
PRFSII~7P ZONING/PROPOSID C'SE: (hbn ear)
I:OhP'ff12CIAL/FtEI'AIL/OFFICE ~R-1 SINGLE FAMILY
~ II~[-'STRIAL ~ R-2 DUPLEX (Ztao Units)
~ ZNSTIZ[JTIONAL/C~ ~ R-3 ZOW[~30L~SE (Three + Units) ( tnits)
. Q R-4 APARTMEN'P/COt~IDOMINICiM ( Units)
2) ~
NANJE: . cUl - ~L e'iliu .
• ADDRESS: f ~
- ~G' .~x~fi~xd~ s%G!r.~
CITY, STATE, ZIP: GGfx-%kzT
L f~`j:1
Pxor~• ~Lr~ cy~ ~
~ 3) ~ u r~• ~ME. For City Use
- Plumbers License:
ADDRESS:~~ffJ ~2'i7'7z~ ~%"~G'~ ' Active
~ ~cpired
i CITY, STATE, ZIP: _ Not recorded
PHONE: j~ TER LIC~NSE# G ~J ~ Sta Initial
4) •a• ~„i.i~: l
~ t~AME: ~Ci l~ ~~-z s~`;,
_ aoDxESS: G - cl .
CITY. STATE. ZIP: G y ~
PHONE: ~I-` ~G7 ' ~ ~ ~ ~Y.~
•5) ~ v i a: • : ~ • a~ -
~-L:ONNEC.TION 10 CITY SE4dER ~NDIDCfION TO CITY WATII2 0 pT[iER
6} n ~ ~ r ~pr.FnSE HOLD APPROVID pERMIT FC)R PICK-pP BY ONE OF ABpVE
AT'FIlCE MAIL ROVID PERMIT 7b 1, 2~4. ABOVE -
, ~C1TC`.~2~one) ' ~ ~ :
7~ C n 4•'
~~4~- ~
, ry' • ti' ~'I' M ~ • ~ ~ I' N • @ I.7' q N YJI' • ' ~ • B• ~ ~ ~
~ r. • 1]. 1• ! : y M:/. •,(~~1 1 1 1 ~ s• • 1 ` .
. FOR CITY USE 4NLY -
PERMIT # ISSOED
.3
Pd w/Bldg. Permit FEES:
$ S L~~' ~ SEWER PERMIT (INCLL~DE SURCHARGE) ~
$ $ ~b- S~ WATER PERMIT (INCLL'DE SORCHARGE) .
$ $ WATER METER/COPPERAORN/OC'TSIDE READER
$ S WATER TAP (INCLDDE CORPORATION STOP)
$ S SEWER TAP
S S G'~ ACCOL~NT DEPOSIT - SEWER
$ $ ~ !YC/ ACCOL~NT DEPOSIT - WATER
$ 5 2, S'- d'D S wAc
S (p 2 S- ~ s sAc
$ $ TRUNK WATER ASSESSMENT
$ $ TRC'NK SEWER ASSESSMENT
$ $ ` LATERAL BENEFIT/TRCNK SEWER
$ $ LATERAL BENEFIT/TR~NK WATER
$ I~D $ WATER TREATMENT PLANT SLRCHARGE
$ $ OTHER:
$ I_! $ c~ Gr D TOTAL
7~.5'~ S~~
RECEIPT RECEIPT
DOES UTILITY CONNECTION REQLIRE EXCAVATION IN POBLIC RIGHT OF WAY?
~ YES IF YES, THEN A"PERMIT FOR WORK 6VITHIN PUBLIC
Q ROADWAY" MUST BE ISSL~ED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SDBSECT TO THE FOLLOWING CONDITIONS:
<
APPROVED BY:
TITLE:
DATE: / /3~l ,~J
' ~ .
1987 BDILDING PEAMIi AP LICAiION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS
IBCLQDE 2 SETS OF PLANS, 3 CERTIFICASES OF SIlEVEY, 1 SBT OF ENERGY CALCOI.ARIOPS
AOTE: ADDRESSES FOB COfiNEH LOYS - CONTRACTOR/HOMEOWNER MOST DESIGHATS AHZCH ADDRESS
IS DFSIRED. NO CH9NGfiS WILL BE ALLOWED ONCE BDILDING PERMIT IS ISSIIfiD.
HDLTIPLS DiiELLINGS - RESIDENTIAL RBNTAL DAITS FOR SALE [I~iI15
INCLUDE 2 SETS OF PLANS~ CERTIFICATE OF SOHVEY - CHfiCB iiITH BLDG. DEPT.~
1 SET OF ENERGY CALCULATIONS
COPIl~ERCI9L
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS~
1 SET OF SPECZFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2~000 LANDSCAPE BOND
To Be Used For: _ Valuation: I~te:
Site Address `f,jS ?Ja.uu.,~.we..(l /C~'• OFFICS IISE ONLY
Lot S Block aZ. On S1te Sewage_ Occupaney ti2 3
,~p MWCC System ? Zoning ~ I
Pareel/Sub of ~G, o~ . f~'"~ On Site Well Type of Co~st
~ City Water ? (Aetual) ~
Owner (Allowable)
~ 1F of Stories
Address ~O~L ~jD 9 Length ~
Depth
City/Zip Code S.F. Total
Footprint S.F.
Yhone SO 7 ~ ys
' G~ 5~~ _ ~raov~s ~es
- So
Contraetor ~
~~%•`G~ 6~""/~~ Assessments Permit (n3 -
Water/Sewer Surcharge 3C~,
Address Police Plan Review ~ I gID, Z
Fire SAC, City Ico.
City/Zip Code Engr SAC, MWCC 52J
Planner Water Conn SZS
Phone Council Water Meter fo7•
Bldg Off Road Unit ~ S.
Arch./Engr. ,~.~c.. a~ ~ APC Treatment Pl 18a
Variance Parks
Address Copies
TOTAL °f / `O~ s'~
City/Zip Code
Phone ak
2~ ~ ~o = ~ic~c~ ~ = 5~~~c~ .
~ r
Zo x 2.0 = qov k ti 2-- = 4 o c~ ~
~
~ d
I
?
363•50+
~0•DU+
780•'ltit
62ti•00+
/~'Z"5•00+
67•00+
>U5•OU+
180•00'~
2~27ti•27~
.
, -T f
,
TRI-LAND C0. s~TE PLAN Fo~:
SURVEYING COLLEGE CITY
SERVICES CONSTRUCTION
4655 NICOLS ROAD
EAGAN, MINNESOTA 55122 '
MN~,~r
SAVi4NNAH L~`~20AD
S 0°15' 67"W
y,y 75.00 z~.s
M
1 - ~
~ _ ~ ~
rd9 ~ -'--~--~'~',a'
~ ~~w i: ~ ~
Z I~ ; ..~~p ,I Z
I ~ 4 ti I
m q°osfi w
~ . ~ ~ ~z i t°
,.y r ;~,s . ow
7 u! N 1
~ ON `i -0
W I ~ W
m I ~ ~ rn
5 I
, I ~4~9 t~
I I
~ - -
99,c N Oo 750.0 23„ r E 3~~
i
g-Z~
SCALE~ ~I"= 30'
PROPERTY DESCRIPTION
LOT~, BLOCK.Z,
LEXINGTON SQUARE 4TH
oecordinq to ihe reeorded piar tAs?eoi
DAKOTA ca,~y, Mienesaa
LEGEND
o pENOTES IRON MGNUNENT PROPOSED GARAGE FLOOR ELEVATION= 2~jy~„~J~
e pENOTES WOOD HUB SET PROPOSED FIRST FLOOR ELEVATION
DENOTES EXISTING SPOT PROPOSED BASEMENT FLOOR y;
ELEVATION ELEVATION
DENOTES PROPOSED SPOT
ELEVATION NOTE~ VERIFY ALL FLOOR HEIGHTS WITH
~ DENOTES DRAINAGE DIRECTION FINAL HOUSE PLANS
~
I Mnbp c~rtHr fhot this surver,Plan a /~in~.. l/ .(~1 ~.p~„e...i
report Mas preparsd by me or under my
direM supervfsion and fhat I am a duly Bradley . enaon, Mn. Req. No. IS233
~ RepfsfersA Land Surv~ror unM? ihe
. Laws of ths State of Minnesota. Date ~ y~
~
~XTFRIOR, ENVELUPE A~EIiAGE "U" GOt1PUTATION
~ ~ ~ coLVn~mzn
~ ~ OVJNEk ~
' SITE IIbURE55 9 3 S /C~ '
• , CONTMCTOR CoLi~]GE CITY COjVSTRUCTION DATE PIIONE (507) ~+5-6648
" , • ,
petermine working square footage of each.
1. Total exposed wall area'..~..~ ~7z-~' sq, ft. x_, 1 a /.>n.c?,~
• 2. Total roof/ceiling area .
y__,_
b~ sq. ft. x~~Oo?~ ° 4'_S .
, ~Total exposed wall area above floor = ~-7 2 E•
~ a. Total wall window area I~1.~„'o`i
i
b. Total door area • ' -
c. Total sliding glass door area
d. 7ota1 fireplace wall area
• • e. Total wall framing area (averaqe 103d)...:........ ~~'L.E .
f. Total net wall area above floor :~~tl.•;~:~'~
g. Total rim ~aist area B 5.3 ~b .
. . • . . tl,
7otal~ eicposed foundation area = 85.37b , '
" h. Total foundation windaw'area ~
1. Toal net foundation area abov~,grade '8 s.3~b ~
` Determine "U"'value of each wall segment.
,
. . a. 141,r~9' x ,34~ C ~ d9,o17 , ~
.
, • ~ b. 3b. 6b7 z "U" ,1-Z.g ~ ,b93
. c, o .x - ¢ ' - ~
O . y P~n a r
• A
' ' , e. (72.80 ~ X "U" . o9Z tr I5,697
~ . f. ~291, ~{-g8 X ~~~n ,ok3 = SS,S~Z. ~
y, s s. 37 ~ x~,~.~ .041 = 3, S
, h. n x "U" ~ ° ,
- i . S 5. 37 ~ X "U" . 0 7 `l = b . ~ '
. 3•..• .................................TOLaI ° I~ 5.~3'
If item 03 is tlie same as, or less than.item B1~ yo~i liave met l{ie intent
of SBC 6006(c~2. ,
. , ,
' . . .
~
• ~ Total..exposed roof/ceiling area ~ `~~00 .
' 7ota1 skylight area d
k. 7ota1 roof/ceiling framing area (average lOt)... 9(0; O
• 1.. Total net:insulated roof/ceiling area,.:;.,,.... g~ ,o v
~ • .
~ ~ Oetermine,`U".value.for each.roof/ceiling segment. ,
, ' ' ~ o . • x _ Q
.
. , •
, k. `lb x'^u" ,174 s Ih,~o4
. .
- ~ 1: 6b~-.,C70 X~,~~~' ,~vZZ ' a 19.008
~ ~ . : . . ~ i. . ~ . . .
Q........'.........'
.................lotal = 3:>:II'L ~
If total of B4 is the sa~e as~ nr less than E2. you have met the intent of
, S~C.6006(c)1. . , : ~ . , ,
. . . '
' Alterna,te Building,Envelope Design
To utilize the total envelope system m~thod~ the values establisiied by the'
sum of ltems 03 and l4 shall..not.be greater. than the sum of items {1 and i1.
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a
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41,1/1
City of Eaaali
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
r
Use BLUE or BLACK Ink
For Office Use I
/-36/69-
Perm it #: sem?
Permit Fee: /v
Date Received:
Staff:
j / 2016 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: . / '5 ((la / 6- Site Address: "► ✓ .J5 ✓& s- p j2(I Unit #:
Reslien tl
QWDe
Name: jil f'Y e Srill-t'-550 14 Phone: 6 12
_ 3'"
_7 311
Address / City / Zip: q S SfM/cti44a.c., pl. &,a4.. / 33-7)3
Applicant is: X Owner Contractor
e r
Yeof ok
{
Description of work: R up i a:Lk 6ou c, c o
�'
�
80,00
Construction Cost: 4 • Multi -Family Building: (Yes
/ Nox
)
on r•
Company: Contact:
Address: City:
State: Zip: Phone: Email:
License #: Lead Certificate #:
If the project is exempt
from lead certification, please explain why:
In the last 12 months,
Yes No
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
has the City of Eagan issued a permit for a similar plan based on a master plan?
If yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Fire Suppression Contractor:
Phone:
Phone:
Phone:
Phone:
,..ans j » d ,� � ° documents: that { u • :a are consi ®- - ® ".� a uti / - {®p
ab le rnformati ®, ? i class pec!
tion P
on o
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.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
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.
x 5 a v) kt 4. ca
Applicant's Printed Name
x L
Applica is Signature
Page 1 of 3
4411/11
City of Ea2au
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit #: /3C-1 26
Permit Fee: 600. Ov
Date Received:
Staff:
/2016 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: ( 5lON Site Address: q S �L lit it 12d
Tenant:
Suite #:
tet® )
es nt10Wr#er
Name: ,,,VrY1e Dom kt✓std Phone: Lo 1a - 369- 3 i)
/ /
Address / Cit / Zip:q_ ,/�l / fCh /4-C423
#ract,
Name: License #:
Address: City:
State: Zip: Phone:
Contact: Email:
Type ark
New Replacement Repair Rebuild Modify Space Work in R.O.W.
—
— — —
—
Description of work: t/� I i if 4.wt;% nr 5 h 14rh..
'ermit Typ
RESIDENTIAL
Water Heater
Water Softener
Lawn Irrigation ( RPZ /— PVB)
Fixtures (
Add PlumbingMain / Lower Level)
Septic System
Water Turnaround
New
Abandonment
RESIDENTIAL FEES:
$60.00 Water Heater,
$60.00 Lawn Irrigation
$60.00 Add Plumbing
*Water Turnaround
$115.00 Septic System
Water Softener, or Water Heater and Softener
(includes State Surcharge)
Turnaround* (includes State Surcharge)
TOTAL FEES $
(includes State Surcharge)
Fixtures, Septic System Abandonment, Water
(add $280.00 if a 3/4" meter is required)
New (includes County fee and State Surcharge)
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
x .)tiurnt.s Din kir 5) 04
Applicant's Printed Name Appli nt's Signature
City otBaQan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
FEB U5 2016
2016 RESIDENTIAL BUILDING PERMIT APPLICATION C
kd
Date: 2/5/2015 Site Address: 935 Savannah Rd.unit #: 1
r
Use BLUE or BLACK Ink
For Office Use Permit#: /3SI73
170.141
Date Received .i A
y ,,_.; /
Staff: .
w
Permit Fee:
J
Name: James Donkersgoed
Phone: 612-369-1311
Address / City / Zip: 935 Savannah Rd. / Eagan / 55123
Applicant is: ✓ Owner Contractor
Description of work: Lower Level Remodel
Construction Cost: 10000
Multi -Family Building: (Yes / No ✓ )
Company: Contact:
Address: City:
State: Zip: Phone: Email:
License #: Lead Certificate #:
If the project is exempt from lead certification, please explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Phone:
Fire Suppression Contractor: Phone:
Sewer & Water Contractor:
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.qooherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
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.
xJames Donkersgoed
Applicant's Printed Name
Applio'ent's Signature
Page 1 of 3
SUB TYPES
Foundation
Single Family
Multi
01 of _ Plex
WORK TYPES
New
Addition
4, Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25%_ 100%7)
Census Code
# of Units
# of Buildings
Type of Construction
DO NOT WRITE BELOW THIS LINE
Fireplace
Garage
Deck
Lower Level
Porch (3 -Season)
Porch (4 -Season)
_ Porch (Screen/Gazebo/Pergola)
Pool
_ Interior Improvement
_ Move Building
Fire Repair
_ Repair
v6
REQUIRED INSPECTIONS
_ Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Roof: _Ice & Water _Final
Framing
Fireplace: _Rough In
')( Insulation
Sheathing
Sheetrock
Fire Walls
Braced Walls
Shower Pan
Reviewed By:
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Siding
Reroof
Windows
Egress Window
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Accessory Building
_ Demolish Building*
_ Demolish Interior
Demolish Foundation
Water Damage
*Demolition of entire building — give PCA handout to applicant
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Suppression Required
Meter Size:
Final / C.O. Required
Final / No C.O. Required
HVAC _ Gas Service Test Gas Line Air Test
Air/Gas Tests Final
Pool: _Footings
Drain Tile
Air Test _Final Siding: _Stucco Lath _Stone Lath _Brick
Windows
Retaining Wall: _ Footings _ Backfill _ Final
Radon Control
Fire Suppression: _Rough In _Final
Erosion Control
Other:
Iffi" , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
-1-ve„rspe
Ryaa2=
Page 2 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA142272
Date Issued:04/24/2017
Permit Category:ePermit
Site Address: 935 Savannah Rd
Lot:5 Block: 2 Addition: Lexington Square 4th
PID:10-45078-02-050
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 within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
James Donkersgoed
935 Savannah Rd
Eagan MN 55123
(651) 207-8103
Window Concepts Mn
291 Eva St
St Paul MN 55107
(651) 905-0105
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA162655
Date Issued:07/22/2020
Permit Category:ePermit
Site Address: 935 Savannah Rd
Lot:5 Block: 2 Addition: Lexington Square 4th
PID:10-45078-02-050
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
James Donkersgoed
935 Savannah Rd
Eagan MN 55123
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA167026
Date Issued:02/18/2021
Permit Category:ePermit
Site Address: 935 Savannah Rd
Lot:5 Block: 2 Addition: Lexington Square 4th
PID:10-45078-02-050
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
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 -
James & Miranda Donkersgoed
935 Savannah Rd
Eagan MN 55123
Hoffman Refrigeration & Heating
5660 Memorial Ave N, Suite 2
Stillwater MN 55082
(651) 439-5770
Applicant/Permitee: Signature Issued By: Signature