983 Savannah Rd
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~ CITY OF EAGAN ~0 ~ 6'~ ~ 6
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 +
P H O N E: 454-8100
BUILDING PERMIT Receipt #
To be used for Est. Value =i r~ Date , 19~_
Site Address 983 SAVANNAH AD
OFFICE USE ONLY
Lot i Block 1 Sec/Sub ~I~ $Q~1,~R~
Parcel No. o~o~pa~cy ~ FEes
2oning
W Name STE~ b~ULICB SII~ILA (ac~uaq Const ~ ~B~dg. Permi~; ~ 3b~00
~ Address 983 SAVANNA~ RD (Allowa4tBT -
p Surcharge 1 ~ ~
Clty Phone bZb-0Z~ ~ ol Stories _
Lengih _ Plan Review
}o Name SA~ Depth - SAG Ci1y
Address S.F. Tolal - SAC, MCWCC
~ City Phone S.F. Foolprints _
~ On Site Sewage _ Water Conn
~ W Name On Site Well - Water Meter
Address MwCCSystem _
<W CI~I Phone Cdy Water _ Acct. Deposit
PRV Required _ S!W Permit
I hereby acknowiege that I have read this application and state that Ihe Boos~er Pump - SNV Surcharge
infarmation is correct and agree to comply with all applicable State ol
Minnesota Statutes and City oi Eagan Ordinance~ Treatment PI
Signature of Permitee APPROVALS Road Unit
Sj811~i ~ t~l~IAj.j~ Planner
A Buiiding Permit is issued to: - Park Ded.
on the express condition ihat all work shall be done in accordance with all Councii _
applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. O1f. _ Copies
Vanance - TOTAL 37 • ~
Building OffiCial ~
Permit No. Permit Hotder Date Telephone A~
WA7ER
SEN%ER
PLUMBiNG
H.V.A.C.
ELECTRiC / (p , ~ ~C!/ D~~ t~`J $~G~
Inspectloe~ Date Insp. Comments
Footings I AG~ -
-~o- O
Foundation ,~?C-~~ v~"~ T1 ~ 4 -
Framing >T~~L ~..9 cr-
Roofing
Rough Plhg. " ra~S ~
Ragh Hlg. , J~'.-.9~ ~ S
Isul.
Fueplace ~2 J~~ ~
Final Htg. 0 - ~
Final Plbg.
Const. Meter Plbg. I~spector - Notity Plumber
Engr.lPlan
Bldg. Final
Deck Ftg. ~jj ~ O ~ f~
Deck Fnal ~1 ~'N.~l~
Well ~
Pr. Disp. ~ ' G ~
2Sy C~~ //G %
r
~ • CJTY OF EAGAN •
~ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PH O N E: 454-8100
BUILDING PERMIT Receipt #
To be used for - • • t-, Est Value ~ ~'t~• Date - ~ ' " ,19
Site Address ~ OFFICE USE ONIY
Lot BloCk Sec/Sub. r"` On Site Sewage _ Occupancy '
, ~ ; MWCC System _ Zoning
PafCel No. On Site Well _ Type of Const ~
City Water {Actuep
a Name ~ (Allowable)
Z , , , , ? ^ , ~ ~t of Stories
Address Lengtn
° City ~ Phone . . Depth
S.F. Total
p Hame Footprint S.F.
~ 6 Address APPROVALS FEES
r City phone ~ Assessments _ Perm+t '
Water/5ewer _ 5urcharge
yVj W NBme Police _ Plan Review
FW
v Q Address ~~~a = SAC, City
Engc SAC, MWCC
a W City PhOne planner _ WaterConn.
Council _ Water Meter
I hereby acknowledge that I have read this application and state Bidg. Off. _ Road Unit
thattheinformationiscorrectandagreetocomplywithallapplicable AP~ - TreatmentPl
State ot Minnesota Statutes end City oi Eagan Ordinances. Variance _ Parks
Copies
Signature of Permittee 7oraL
A Building Permit is issued to: on the express condition that
all work sfiall be done in accordance with all appifcable State af Minneaota Statutes and City of Eagan Ordinances
9uilding Officfal
~ Permit No. Permit Holqsr Date Telephone ik
1 g %
P.umbin 1- ~
7; i,o-c..
H.V.A.~. ~ ~ ,l //~f~
Electric ~Q'~~/C ~c;t-7G ~k1'.~~_ ''nj.7 ("C,
Softener
Inspection Date Insp. Commants
Footings I ~ ~
Footings II
Foundation
Framing p
Roofing
Rough Plbg.
Rough Htg. ~ ~f7
Isul. ~ ~
Fireplace
Final Htg.
Final Pibg. /j b, 1~^',
Bldg. Final
Cert Occ.
Temp. LP
DeCk Ftg.
Deck Frmg_
Well
Pr. Disp.
~ ~ • PERMIT # ~ti ~ ~
~ ' , PLUMBING PERMIT RECEIPT q ~ ~ ~
CITY OF EAGAN '~7
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE: PHONE: 454-8100
Site Address BLDG. TYPE WORK DESCRIPTION
Lot F' Block ~ Sec/Sub Res. New x
f~ f~'~ Mult. Add-on
~ Name " Comm. Repair
~ Address " ' ' Other
c Ciry ~.,L_ ~ Phone ' RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TQTAL
~_Water Closet - $3.00 : b
Name ' L~~ ~_gath Tubs - $3.00 ' -
3 Address ~ ' ~._Lavatory - $3.00 ~ -
p City ~u,,.~~~ Phone U~-~~g~ ~_Shower -$3.00
~_Kitchen Sink - $3.00 ~ ~
FEES Urinal/Bidet - ~3.0a
COMM/IND FEE - 1% OF CONTRACT FEE ~_Laundry Tray -$3.00
APT. BLDGS - COMM RATE APPUES .~_Floor Drains -$1.50 ~ -
TOWNHOUSE & CONDO - RES. RATE APPUES -.l-_Water Heater -$1 50 i
MINIMUM - RESIDENTIAL FEE - $12.00 Wh~rlpool - $3.00
MINIMUM - COMM/IND FEE -$20.00 ~Gas Piping Outlets -$1.50 ~ ~
STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIT)
(ADD $.50 S/C IF PERMIT PRICE GOES Softener -$5.00
BEYOND $1,000.00} Well - ~10.00
Private Disp. - $10.00
; - Rough Openings - $1.50 ~
L~= -
SIGNATURE OF PERIv117TEE FEE: ~ ~
STATE S/C:
FOR: CITY OF EAGAN GRAND TOTAL•
~ PERMIT # ~ ~
' . ~ ~ . MECHANICAL PERMIT RECEIPT # ~ ~
CITY OF EAGAN s,~ ~~8 7
383Q PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE: PHONE: 454-8100
Site Address ~ ' 1" • BLDG. TYPE . WORK DES RIPTION
Lot 1 Biock / Sec/Sub Res. ~ New ~
. r~. ~ ~ , ~ t~
- ~ ~a~ , Mult Add-on
. r, , Comm. Repair
~ ~
Address ~ Other
c City ~'';r " i~ ~ Phone ~ - ~ ` _ ~ ~
Name ' , FEES
~ RES. HVAC 0-100 M BTU -$24.00
c Address - ~ ~ ADDITIONAL 50 M BTU - 6.00
p City i~~ f-Y~ Phone (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS ~UTLETS (MINIMUM - 1 PER PERMI'~ - 1.50 EA.
TYPE OF WORK G~ COMM/IND FEE - 1% OF CONTRACT FEE
Forced Air M BTU v APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8
Uni~ Heater_. M BTU REMODELS - 12.00
Air Cond. M BTU ~ MINIMUNt COMMERCIAL FEE - 20.00
Vent. CFM STATE SURCHARGE PER PERMIT - .5Q
Gas Piping Outlets # ~ - " BAEYOND $1 ppp) PERMIT PRICE GOES
Other
FEE: ~ ~ ~
. . ~ . ~ ~ ~ , ` ~ r'%7 7
S/C: SIGNATURE OF PERMITTEE ~
TOTAL• ~
FOR: CiTY OF EAGAN
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number.
Eagan, Minnesota 55123 Date ~ssued: ' ~
(612) 681-4675
SITEADDRESS: ; . ~ r , APPUCANT:
~~"r' ii~;iS11 It/1 i i~rl', i. ; ~~ii
~ I I fl~~ i ~il~d ' ~~II1'~1:9 ~I I li i ' 1 •t~.. '•.~'r
PERIIAIT SUBTYPE: TYPE OF 1NORK:
, r ri, i~
• , i ~ , , , , ,
•
~ i i ~ ~i.~~
~ ~
~ ~
Permit No. Psrmlt Holdsr Oate Telephone y
5NV
PLUMBING
HVAC
ELECTRiC
ELECTRIC
Inspectfon Dete Insp. Commsrna
Footings I
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
~replace
Fnal Htg.
Orsat Test
Final Pibg. Plbg. Inspector - Notity Plumber
Const. Metet
EngrJPlan ~
Bldg. Final
DeCk Ftg. / 7
Deck Flnal / Z ' (jLf/ C
~
we~i
Pr. Disp.
CITY UF EAGAN ~ Permit No: Date:
3830 Pilot Knob Road Meter No: g 3~ Size: '
RO. Box 21199 Reader No: 0 S~ (o I g Date: ~~~'7
Eagan,llAN 55121
Owner. "etro Custom Homes
SiteAddress: `?~3 Savanr.ah I'oad L1 :~1 ~:c-~::~. .t~~n '•r T"
Plumber. ~'~orthrun ~`echar.ic~
Conn. Chg: 5~5. ~)`lpd onin ' ~
Acct Dep: 15 8cl d I~If~,~ l J
~ . Q~ ~ F,IC •
Permit Fee: - -
Surcharge: ` ~e~d~ly with the City o1 Eagan
Tr. Ptant ~ ~ nances,' ~
r
Meter. -
Misc.: - gy !I/hti`"
WATER SERYICE PERMIT
CITY OF EAGAN ~ Permit No: 3~4Z Date: 4-15-E7
3830 PflofKnob Rosd Meter No: Size:
P.O. Box 21199 Reader No: Date:
Eaga~, MN 55121
s
Owner. ~~e~ro Custom Flomes
Site Address: ~ avannah ficad Ll S1 Lexjn ton S IV
Plumber. •~ort nxp ?!echanic_a1
Conn. Chg: 5?S Zoning: 11
Acct Dep: 15.~t7pd No. of Units:
Permit Fee: 1~ •
Surcharge: • 1 agree fo compty wfth the Ctt~r oi Eagan
Tr. Ptant 1 • OrdMances.
Meter. F ~ t~t3~d
Misc.: By
WATER SERVICE PERMIT
CITY OF EAGAN.~ SEWER SERVICE PERMIT
3830 PNo!' Knob Road
P.O. Box 21199 PERMIT NO.: ?
Eagan, MN 551~21 DATE: 1~'-~~
Zoning: , nl No. of Units: ~
Owner. ~'«-~tro Cr~sto~ 'i*.;s
Address:
SiteAddress: ~s3 Savanna`~ >'oa~j i.l '~1 i,erins~ton Sq IIJ
Plumber. "orttiitu~ *!ec~anictl
l!~-97 ln~.i?tl;,c'
I aQree fo comply wRh Ihe CRy of Ea~an Connection Gharge: S~ S rl~~
Ordlnances. Account Deposlt: ~ 5, {''i^~-
Permit Fee: 1 ~ r.n~ =
Surcharge: S.u~~~:
By Misc. Charges:
Date of Insp.: Totsl:
~~8p,; Date Pald:
~ CASH RECEIPT
` ,
CITY OF EAGAN ~ ~
, ' 3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
, _
DATE - ' ~ 19 '
REC61V6D ' . .
FROM ~ ~ + . 1 ~ .
AMOUNT ~ I ~ [ ~
t 1
& DOLLARS
+oo
~ CASH Q CHECK
/ ,J i
POR I -.C~_~ - ~ I.J ~ 1 • /
r' f
.
FUND CODE AMOUNT
Thank You
B Y '
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
BLDG. PERMIT NO...
~ _ / x _ y
. ~ ~ ~ ~ !
~ . -.-f r. i"
CV;r~ . _,,.2-s
01-3210 '~BY g. P'ermit ~
01-3422 Plan Check •
01-3445 Surch./Adm. =~C-~
01-3446 SAC/Adm. "
01-2155 Surcharge • ,
17-3860 Road Unit •
20-2275 SAC ~ =
20-3865 Water Conn. r~:<_;
20-3868 Water Trmt. . .
20-3716 Water Meter
-
20-2252 Acct. Dep.
20-3713 Water Permit
20-3743 Sewer Permit
79-3866 Sewer Conn. ~
11-3855 Park Ded.
~
TOTAL , t
,
. _
~ CASH RECEIPT
~ >
CITY QF EAGAN
.
' 3830 PILOT KNOB ROAD
' EAGAN, MINNESOTA 55122
DA7E 19 ?
RECEI V ED
FROM ~ \ ~
AMOUNT $ ~
~ DOLLARf
~oo
~ CASH Q"CHECK
FOR
FUNO CODE AMOUNT
) , ( r
` ! ' ~ -
7 '
s
~ 1 ~
, c t_
~ ~ ~ ~
Thank You
BY
White-Peyers Copy
Yellow-Posting Copy
Pink-File Copy
~~j95967zr~.~• y~,~~~~~ ~~p°-~
Request Dat9 ~ Fire.VO. Rough-in Inspection
8~ ~ p R uireC7 ? ReaEy Now '~WII Novty Inspec~or
!J Yes ? No When Feady7
I p licensed crontracior ~owner hereby request inspection of above eiectrical work at:
Job AtlEress (Sheet, Box or RoNe No.) I Ciry
~183 ~Gtvannal~ ~C( ~~t ah
Secibn No. Township Neme or No. Range No. Counry~ a'~O~Q
OccupaM IPRINn ~ Phona No. . .
S-~e~/ev~ F Si i ri/a !~S$-8921
Power Supplier Atltlress
D K 0. Ele~ ic
Electrlcel Canirador (Campeiry Name) Conirecroi§ License No.
Meiling Adtlress (COniractw or Onner Meking Inalellatlon)
Aullarized SignaNre (Comractar/Owner Makiig Ine~llation) P1pne NumCer
A. ~
MINNESOTq $TATE BOAHD OF ELEC7qICRY ~ THIS INSPECTION REOUEST WILL NOT
Grigge~NlEwey Bldg. - Foom &t]3 BE ACCEPTEO BYTHE STATE BOARD
1821 Universlty Ava., SL Pau4 MN 55106 UNLESS PROPER INSPECTION FEE IS
Phone~812)BI2-0B00 ENCLOSE~.
~/CJ/~9 REQUEST FOR ELECTRICAL INSPECTION eeooooi-o~
~ ? See instrudions for completing ihis form on Eack oi yellow copy. 3 5~
~ 6'~ `X" Below Work Covered by This Request
e Add Rep. TypeofBuilding AppliancesWired EquipmenlWired
Home Range Temporary Service
Duplex Water Heater ElecMC Heating
Apl. Building Dryer Other (Specify)
Comm.Andustrial Furnace
Farm ~ Air Conditioner
Other(apeciy) Contrecta~a Femarks:
Compufe Inspectian Fee Below: ~
# O[her Fee # ServiceEntranceSize Fee ~ CircuiGSJFeeders Fee
Swimming Pool 0 to 200 Amps 0 to t0o Amps
Transtormers Above 200 _ Amps Above 100 _ Amps
Signs ~nspector5 Use Onry: TOTAL ~
Inigation Booms ,-cQ S
SpeCiallnspection ~ .
Alarm/Communication
Other Fee ~
I, the Electrical Inspector, hereby Rougr.~n oa~e ~
certity that fhe ahove inspection has Finei o~
been made. ~ ° ~ , f O
OFFICE USE ONW
This request void t8 months imm
This request void ~~j/~'7
18 months from ~D
C ~ 7 24~..
~ ,L; / 1~/ ~/1 ~ , r~ .y?. ~
Hequest O ~e r 6 ' FirR No. ,J pequire7~v peC~~~~ rc~Heatly Nuw Q Will Nntify Inspec-
10^ p~ ?Ye5 No 7` ~or When Ready
L~censed Elecnical Contrncror I hereb
? Owner elee~ri el woak'instelleA et of abova
Str t Address. Bo or Raute No. Citv
~183 ~avann~ih E'a c~h
ect~on o. Township Name or o. Renge No. County
i~-~" ~ ~G[...
Occupant ~FFIINTI Phone No.
e-f-ro C~1~5~vdr1
Pawer Supplier Addre55
ako-Fci- ~1~~ 300 ~~-30`~
Elecvical Contrac~or ICompany Name) Cont ac~or's License No.
M~dla~~.d E/ecfr~c_.. ~~~~U
Mailing Address ICmnactor or Owner Makin Instailauo 1
~soa W r~d ~a 13urrrswtll
Authori d Signatu e(CoMraclor/ ner Making Installation) Pho~e Numper
~ 0 - 96!
MINNESOTA STATE eOAND OF ELECTflICITY THIS INSPECTION REQUEST WILL NOT
Gripge-Midwey elde. - Noom N•1B7 BE ACCE~EO BY THE STATE BOAXO
1821 Universitv Ave., St. Vaul, MN 55106 UNLESS PflOPEH INSPECTION FEE IS'
P~one 16121 842~OB00 ENCLOSEO.
,y~ REQUEST FOR ELECTRICAL INSPECTION es-ooooi-oe
-y S ~
~ See inatruetions /or como~eti~ this twm on beek ot yellow copy. / 02~
~ S- "'X"' Be/ow Work Covered by ~This Request ,
Hda neo. Tvca oi au~m~~v Appliuncea Wir~d Equiument Wired
Home Range Temporary Service
Duplex Wate~ Heater Lightiny Fixtures
Apt. Bui~dinc~ Dryer Electric Henun
Commercial Bldg. Fumace Silo Unloader
Industrial Bid . Air Conditioner Bulk Milk Tank
Parm ~n~~ oe~~ v mPr tsne~~rv~
t e,r ueufy Othor Oiher
ompute lnspection Fee Below
p Fee SeeviceEMmnceSisa ~k Fee Fexdera~5ubfeetlers # Fee Circults
~to200qms Oto30qms Otn30Am
Above 200 qm~s 31 to 100 Amps 31 to 700 A s
Swimmin Pool Above 100_Amps Above 100_Am ~
Transiormers Irrigation Boorc,s PartiaL'Othor Fee
Signs Special Inspection S~~ ~O TOTAL
Nemarks 6(J
PouBh-in Date I.tha ec~ ' I
(,fC/. Inspeclor, ha~eby
cortily that the above
F~^e~ ( ~N~ inspection hsa baen
f'~i~y metla.
TINe repuenl volO 1B maniM Iram
~ CITY OF EAGAN NO ~ 69 ~ s'
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8700
BUILDING PERMIT Receipt a C-~ ~S 7
Tobeusedfor BASEMENT Esi.Value $1,500 Date AUG 8 , ~g 89
Site Address 983 SAVANNAH RD
Lot 1 Block i Sec/Sub.~XINGTON SOUARE OFFICE USE ONLY
Parcel No. ~`~R Occupancy _ FEES
Zoning -
w Name STEVEN & MARIAt ICE SIIRI (ACtual) Consl - Bldg. Permit 36.00
e Address 983 SAVANNAH RD (Allowable) - Surcharge 1.00
City EAGAN Phone 626-0244 ~ oi Stodes -
~Q~~h _ Plan Review
}F Name SA1`TR Depth - SAqCiry
AddfBSS S.F.7otal - SAC, MCWCC
• City Phone S.F. Foo~prinls -
On Site Sewage Water Conn
~ W Name On S~ie wan
ti - WalerMeter
AddfeSS MwCC System
~ ,~r _ Actl. Deposit
a W City Phone ciry waier
PRV Repuired _ S/W Permi~
I hereby acknowlege that I have read this application and state ihat Ihe Booster Pump - SMI Surcharge
inforcnacion is correct and agree ro comply wilh all applicable State of
Minnesota Statutes and City ol Eagan Ordinance~~s„~,r~~~ 7reatmem PI
SignalureotPermilee APPROVALS RoadUnit
A Building Permi~ is issued to: ~ MP~RIAI.T(~ TR77A Planner - park Ded.
on ihe express condilion thal all work shall be done in accordance with all Council
applicable SWIe ol M,(i~nnesota Statutes and City ilof Eagan Ordinances. g~~ pry _ Copias
I I,ISIi~ .Dlfl .,lJ Variance - TOTAL 37.00
Building Oflicial
l~~a~fy ~~~Sv
2005 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
~ate 3 ~ a 3 / U5
Site Street Address ~ g~~Q,l'~1~ C~F.1 - Unit #
PropertyOwner ~V i~ ~1 I~e J~ ~Y~ ~a-- Telephone# ( )(0~1f -~yZ ~
Contractor~,~l~~- IL1iIl;lXi Teiephone #(1~5 U~3- I I~I ~
Address ly~~l'~ S I'~'V~ -i~'I. c~tv ROS('n^Ui.u~~- Statej~~ z~p~.-~.~8 _
The Applicant is: _ Owner ~Contractor _Other
Alterations to existing dwelling $ 50.00
_ Add plumbing fixtures (excludes water softener and/or water heater--complete neM
section if installing these appliances).
_Septic System Abandonment
_ Water Turnaround (add $125.00 if a 5/8" meter is required)
Other:
Water Softener !/~Water Heater $ 15.00
_ new ~ replacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.0~
State Surcharge $ .50
Total $ 15~
I hereby apply for a Residential Plumbing 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 plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the event a plan is required to be reviewed and approved.
I I
~ hr~ 5-+~ ~a I IS ~~'1/~1~~C ~~.~D - - -i~
Applicant's Printed Name Applicant's Signature I'I
~ a.; 5 2005 I~,
,
i~
S--~aa RESIDENTIAL a~j
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Construction Reauirements RemodellReoair Reauirements
• 3 registered site surveys showing sq. tt. of lot, sq. ft. of house; and all rooled areas • 2 copies of plan
(20 h mazimum lot ccverage allowed) . 1 set of Energy Calculations for heated additions
• 2 wpies oi plan showirg beam 3 window sizes; poured faund desiqn, etc.) . 1 site survey for exterior additions & decks
• 1 sel of Energy Calculations . Indicate if home served 6y septic system foradditions
• 3 copies of Tree Preservation Plan if lot platled atter 7/1193
• Rim Joist Detail Oplions selection sheel (bldgs with 3 or tess units)
DATE ~~~~~d~- VALUATION S'7~F~.0O {2S~ 2,5~
SITE ADDRESS ~'!~3 ~?faN61lHtf ROAV MULTI-FAMILY BLDG _Y ~N
TYPE OF WORK % ERQ D~,C /1~- 2cY~~- _ FIREPLACE(S) _ 0_ 1_ 2
APPLICANT ~Tr4 Lj CD 2 i~ /d.O CK ~'O~z ~
STREETADDRESS 3~01 L,t,jNi~~4t~E' fJYf ~ CITY ~S STATE {1~?ZIP~2~
TELEPHONE # ~15~ .~.~~u CELL PHONE # FAX # 7~00
PROPERTYOWNER Sll 2iL~?~ ~2f4UGe TELEPHONE# ~JSI~ ~~•~92/
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ AdIN\I:SO'C:A RULI:S 7G70 CA'CHGORl' l MIVNI?SOTA RUI.ES 7672
su6mission type) • Residential Ventiladon Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculafions SubmiUed
Plumbing Contractor: Pl~onc #
Plumbing systcm inclttdes: ~Vatcr Softcncr L.awii Sprinl:lcr Pcc: ~90.00
V~'a[cr Hca[cr \'o. of R.I. L'alhs
No. oC 13ad~s
Mechanical Contractor: Phone # c U~ `
~[cch.uiical s}~slcm includcs: Air Coudilioni~ig j~c~:20~7,0.
Hcat Rcco~•crv S~,tcm JUL 1 c
Sewer/Water Contractor: Phone #
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 Ordinan~
~J~
SlgnatureofApplicant
OFFICE USE ONLY
Certificates of Survey Received Tree Preservation Plan Received _ Not Required _
- Updated 4102
OFFICE USE ONLY
? O1 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ~ 77 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - 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_Y or _ 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 WindowsJDOOrs
? 34 Replacement •Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City U!/ater
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) Final.QVO C.O.
_ Footings (addition). _ Plumbing
_ Foundation . HVAC ~ ' ~
_ Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ AidGas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.L _ Air T'est _ Final _ \Vindows (ne~a/replacement)
_ [nsulation _ Retainin~ Wall
Approved By , Building Inspector
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
,s
~ ~0 3 g RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-881-4875
Naw Constructlon RanulremeMS RemodellReoair Reouirements
• 3 registered s@e surveys showing sq. ft. of lat, sq. R, of frouse; and all roofed areas • 2 copies af plan
(20% macimum lot croverage allowed) . 1 set of E~reyy Calculations for heated additlons
. 2 cropies of plan showirg heam 6 window sizes; poured found design, elc.~ . 1 site survey tor exlerior addilions 8 decks ,
• 1 set of Energy Calculations . Indicate N hane served 6y septic system far addNOns
. 3 cropies of Tree Preservation Han i11ot platted after 711/93
• Rim Joisl Defa~l Optlons selection sheet (bidgs wBh 3 or less units)
DATE ~~l2~ VALUATION r~/ ~OO ~•~S
SITE ADDRESS l~3 ~vYCc. MULTI-FAMILY BLDG Y~N
TYPE OP WORK 'E' SI~ FIREPLACE(S) _ 0_ 1_ 2
APPUCANT ~~~~l~v ~Y~CaC ~OvpcXa'nl~C~
STREEfADDRESS ~b\ C`f'~~2 ~12.S.~IC1Z CITY ~ `~SSTATE~_ZIP~
TELEPHONE #~FJZ~ 2~00 CELL PHONE # FAX # ~nI7 •~ZZ- J(Oaa
PROPERTY OWNER ~J ~ ~-J L~I , /6'! TELEPHONE# ~~I' ~'~J
COMPLETE THIS SECTION FOR KNEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULFS 7670 CATEGORY 1 MINN~SOTA RULI;S 7672
(J submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Su6mitted
• Energy Envelope Calculations Submitted
Plumbing Contractor. Phone # _
Plumbing system includes: _ Water Sottener Lawn Sprinkler ree: $90.00
_ Water Heater _ No. of R.I. Balhs
No. of' Baths
Mechanical Conhactor. Phone #
Mcchanical system includes: _ Air Conditioning Tec: ~670.00
_ Heat Recovery System
Sewer/Woter Contractor: Phone #
I hereby acknowledge that I have read ihis application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordin nces.
SignWure of Applicant I
? _ L ~
OFFIC~ USF. ONLY ~ ~
Certificates of Survey Received _ Tree Preservation Plan Received _ ~ot Required _
Y~_ U ated 4/02
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex D 13 16plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 O6-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Stortn Damage
? O6 04-plex ? 12 12-plex P16g_Y or _ N Q 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 WindowslDoors
? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout ta applicant
Valuation Occupancy MClES System
Census Code Zoning Ciry Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUlRED INSPECTIONS
_ Footings (new bldg) _ FinaUC.O.
_ Footings (deck) _ FinaVNo C.O. •
_ Footings (addition) _ Plumbing
Foundation FIVAC
~ Drain Tile Other
~ Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ 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 Supply 8 Storage
SB,W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
PERMIT ~ C~; ~5s~
~cHTY OF EAGAN - S /~~/S~j
3830 Pilot Knob Road PERMIT TYPE: BUILDI~TG
Eagan, Min nesota 55123 PermR Number: 0 2 0 9 0 4
~s7 2~ ssi -as~s Date Issued: 0 5(12 / 9 3
SITE ADDRESS:
983 SAVANNAH RD
LOT: 1 BLOCK: 1
LEXZNGTON SQUARE 4TH
P.I.N.: 10-45078-010-01
DESCRIPTION:
; ~ 10'x 12' 10'x 18'
Btiilding_ Permit Type DECK
8uilding 4Jork Type NEW
~~'UBC Occupancy~, R-3
i
~ )
~ ~ -
.
° ~ ~
' n ~1 ~ -r ~~~"1.-'- l
,i~ ~~l~\~~'~,1~' ~~!i3 ~ ~.~~~~~kJ ~
,
. ,
REMARKS:
FEE SUMMARY:
Base Fee y25.00
Surcharge $.50
Total Fee $25.50
CONTRACTOR: - ApPlicant - sT. I.IC OWNER:
NEVILLE CON3T, R00 14560260 0005424 SURILA STEVE
3607 SUNWOOD 7R 983 SAVANNAN RO
EAGAN MN 55123 EAGAN MN 55123
(612) 456-0260 (612)686-8921
I hereby acknowledge that I have read this application and state that the
informatian is correct and agree to comply with all applicable State of Mn.
Statutes and City of Eagan Ordinances.
~ ~
r ~&y~p, ~,~i t,~ ~ ~1111~
APP CA RMITEE SIGNA URE ISSUED B~'~GNAT E
INSPECTION RECORD
CITYOFEAGAN PERMITTYPE: eui~~rN~
3830 Pilot Knob Road Permit Number: 020904
Eagan, Minnesota 55123 Date Issued: 05 /12 /93
(612) 681-4675
SITEADDRESS: ~oT: 1 BIOCK: 1 APPLICANT:
983 3AVANNAH Rp NEVILLE CONST, R00
LEXINGTON SQUARE 4TH (612) 456-0260
PERMIT SUBTYPE: TYPE OF WORK:
DECK NEW
DE3CRIPTION 10'x 12' 10'x 18'
. .
FOOTING FINAL
~ ~
~ . ~
REAGTIVATE _ ~+~IT vr r.F?wa~~
PERMIT N 1993 BUILDING PERMIT APPLICATION
AY 0 6 1993 681-4675
SINGLE & MUL -FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy af energy calcs.
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 ~ / ~ / Yaluation of work ' ~ ~ 3 S~ ~ ~
Site Address: ~t-C~vt~r~.a..~
STREET SUITE M
Tenant Name: (commercial only)
IAT BIACK ~ SUBD. ~p~ 1'I ~ P.I.D. M
+t'
Descri tion of work:
The applicant is: ? Owner ~ Contractor ? Other (Deseribe)
Name S~,ch.cl2~~ S't, Phone <o ~3L~' ~9~ 1
Property LhST FIRSt
Owner Address ~ ~~'3 Sa~~.~-yv~-a~
STREET STE X
City ~Y~~^^ State ~~i~ - Zip -~S/~~
Company ' ° Phone 7J~~~-L7~ ~~7
Contractor Address J~GD ~~~c~oov T!1 , License # GYJS Exp. 3~
City State i'7~fr/ Zip ~'+~1~3
'f~'tiL
Company Phone
Architect/
Engineer Name Registration f!
Address
City State ZiP
Sewer & water licensed plumber . Processing time for
sewer 8 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 wi h all applicable S a e of Minnesota Statutes and City of
Eagan Ordinances. C~
i
Signature of Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE ~ ~ ~r». ~ ~g
? 01 Foundation ? 06 Duplex ? ll Apt./Lodging ?'7'6'Baseme t-~i-n~sh
O 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? liF Swim Pool
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comn./Ind.
? 04 5F porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc.
O 05 SF Misc. ? 10 Multi. Add'1. ~ 15 Deck ? 20 Public Facility
? 21 Miscellaneous
WORK TYPE
~ 31 New O 33 Alterations ? 35 Tenant Finish ? 37 Demolish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MWCC System
(Allowable) lst F1. sq. ft. City Mater
UBC Occupancy 2nd F1. sq. ft. PRY Required
Zoning Sq. Ft. total Booster Pump
i of Stories Footprint Sq. ft. Fire Sprinkler
Length o i On-site well Census Code y 3~
Depth On-site sewage SAC Code
APPROVALS ~llpf ~
i~ cvrclJT o
Planning Building Assessments
Engineering Variance
R~G1UfRED INSPECTIONS
O Site ~ Footing O Framing ? Insulation
? Wallboard ~ Final O Draintile ? Fireplace
Permi t Fee V O v.i,,,t;,,,: g
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment Pl.
Road Unit
Park Ded. ~
Trails Ded.
Copies
Other
Total:
SAC %
SAC Units
._..4.
. Bop.e 68, . ~s:~t Sl < .
~Et 0 B E ~-nzo ~~s7am ,c~
ENGlME~i~ING CONSUt71N6 EH~iHEfAS
1 pLNN2tf9S and IAHp S~UBVEYOpS
_ ~ C~JMI'f~NY, INC.
~ 1000 UST 1461n SiAE~7, BURHSYILLE, N~HNESOU 5~337 pH ~32-5000~ -
Ce7"~Z~ZCLZL~E 4~p"'7t'el~
La~al ..De.1cr~,a~=crL•~ Lo; BL.o~C h LEXlN6TON SQUyR~ 4TH ADD/7%G~•!
DAil07A CGU,cl7Y, /YI/N/JESOTA
~asz.a;
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s
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^ `ti p~ ~~n-~ !
O~~-~- ~ ~ ~az.s)
~~FRDAJT BUlLDI/J6 a~t~`L~i~~ lasz_~~ 5~115 - 30'
SETBACK L/NE~ ~ eA's._ n ,j
y< - . .
--o ~.F='~ a~~ /S~
(ass. ; ,_s . / ,
e~~ o DRAIAIA(~ RND
i~ ` i~'•~ 'a ~j UT7LI7Y EA`ENIE,UT
/ ~ ~ ~ -
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p. ~ _ Y- ~
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f a
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o s~
S'y , ~s ~z c3eg.g~ DENOTES EXlSTlN6 E~EVATIC~J
F-
~ Laes. s) DEAlO`fE5 PRoPOSED ELE~/HTIOiV
\-~y
~"R`R= r~ INDICATES DIREC'f1D.N oF
-
G SURFACE DRAlNA6E
r~~Ro, ge5: s3 = F/n//SN6D 6ARA6E FLAOR
~
6LE~/ATIDAJ .
I hereby cartify that thin ia a t:ue and correct rnpre~entation of ~t tPact of
land as iho,rn'and deacribed heraon~• Ae preparad by ma on thi~ `:,,'d~Y ~t
APZ,e. , 19 8~ . .
' ~r~r, ~CJ~--°-'L --Hinn. 1tsS•..Nc, /Gos's-
_ ,
: ~ 3
1987 BQILDING PERMIT APPLICATION - CITY OF EAG9N
SINGLE FAMILY DWELLINGS
INCLIIDE 2 SLTS OF PLANS~ 3 CERTIFICATES OF SIIRVBY~ 1 SET OF ENERGY CALCOLATIONS
HOTE: ADDRESSES FOR COHNER LOTS - CONTRACTOR/HOMEOSiNER MQST DESIGHATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BDILDING PERMIT IS ISSIIED.
M[TLTIPLE DWELLINGS - RFSIDENTIAL R~TAL O~ITS FOR SALE OAIIRS
INCLUDE 2 SETS OF PLANS,,CERTIFICATS OF SIIRVEY - CHEC[{ iiITH BLDG. DEPT.~
1 SET OF ENERGY CALCULATIONS
CONIM6RCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2~000 LANDSCAPE BOND
Ooo ~
To Be Used For: r1 i~ Valuation: ~ nate: 4- 9-~ 7
Site Address `~Qj3 `'jqJRI1nAI'1 ~d DFFICE USE ONLY
Lot ~ Block ~ On Site Sewage_ Oceupancy ~~J
I MWCC System ? Zoning ~ I
Parcel/Sub ~,Q.XfYIOtOtI S~UAYG' ~`N`Ac~. On Site Well Type of Const
1I City Water ? (Actual) ~
Owner mei'y'p ~,UStO~ t't~v?1~3 (Allowable) ~
a I! of Stories
Address P~. UQX ~0'~-q Length y~
Depth
City/Zip Code P~urn,5,t; f le 55337 s.F. Total
Footprint S.F.
Phone H-~~ - 93~3 9PPROV9LS F~s
~ ~
Contractor ~tary~~ Assessments Permit ~-3~J. '
Water/Sewer Surcharge l~p.
Address Police Plan Review 21co.~5
Fire SAC, City op.
City/Zip Code Engr SAC, MWCC S Z~
Planner Water Conn 5 ZS-
Phone Council Water Meter (p7.
Bldg Off Road Unit 3p 5.
Areh./Engr. 5~~~ APC Treatment P1 Igp.
Variance Parks
Address Copies
TOTAL ~ ~
City/Zip Code
Phone 4l
2c~ ,~_.2~- 2~ K S~~ G 3~ I R 2 )
~ , ~ ~
23 ~ 2~ Z( K~~ = 3~ r~
Co ~ ~o = 3c~ x 4-~- - ~ s~~ -
22-x 22 - ~7~ (2 ° ~~8
~~c~o~
43~•yU+
40•UU+
216•75+
62'.i~OU*
`i2~•OU+
6'7•OU+
5o5•uu ~
if3U•UU+
?~39?•~5~
Bcax 68, yR:~t Sl
M
a o s ~ ~o cus7o~,
~NGiNE~RING ~nNSllL71N6 EH61HEf45.
~ PLANHEflS ond IAHG SURVEYOflS
Connrr~ra~, tctc.
~ 1000 FJ.57 I4bCf S;hE:7, BUA4:YlLlE, YINHE_OU 5~33? PH ~=2-.*.OGO
CP_Tz~Z~Z CtZ~~ S~~"Ye C~
~.E~G~'CI ~C.JCT'~P~=CTL:, LOi Bl~OG%C LEX/NG%ON SQUARc' ¢iH ADCJTr'G'+~~
DArID i Ccu~t.'7Y, /YJINNESD7"11
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~"FRDA;T BlJILDIN6 ~°,~ti~i~/ CABZ_9~: S~Ls' ~ 3~~
SET&ACK L INE ~ ~ c ~ ~ , j ~ ~
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`8b5.5~ ye `°84.~~ /
~ A r/ l~ b~~' ^ ao ~ l DRAIAIA(o~ AND
- s / ~ ~ o U71 L! i 1' EAScNlE,t/T
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p • . _ - ' ~"?z~. ~
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j ~ vv
S'y RS c ~j~ G3eq-:o~ DENOTES EXISTIN6 ELEVATIC~.!
~
~~-f.~y ~ ~ass.s) DEfJOTES PRaP~OSED ELE~/f1TloiV
'Q ~'R
R~ ? INDICATES DiRECTION a~
. -
f SUFZFACE DRAJNA6E
~~R ~ aES. a3 = F/N/SNED 6ARA6E FLooR
v~~~
~ ELEVATION .
I hereby eart3fy that thia ia e t:~1~ and cflrrect rnprtaentation of a tracL of
land as ahcvn'and da~cribed hereen.• 1~a prapernd by me on this dtY ot.
Arz,~ , 19 s7 . _
' ~ ~ Hinn. .ltsE.,_Ho. /Go~f
-~-__l~
1989 BUILDI6G YE8lSIT APPLICAiION ~~J`~t'
CTfY OF EA6AN
~ ~
SIHGLE FlMILY ~LLIAGS NOLTIPLE DWELLINGS ~RCI6L
2 3ETS OF PLANS 2 3STS OF PLENS 2 SETS OF ~RCHTfECTURAi.
3 EEGISTEAED SIYE SDAYEYS BSGI3TBAED SITE 3QRVEI3 - 8 SlHDCPORAL PLAHS
1 3ET OF EHE@GY CALCS. (CBECg iiTITH HLDfi DIV.) 1 SET OF $PECIFICATIONS
1 3Ef Od~ SBEHGT C~I.C3. 1 SET OF EBERG2 CALC3.
MULTIPLfi DYEI.LIN6S RENTAL ONIT3 FOB SALE 06ITS ~ITS
~~~'fEs ~DDAFS3FS F08 COAREA LOT3 - CORl'AACIOA/SOI+~OIiNEA l~St ~SIGI~ASfi Y82CH IDDAFSS
IS DFSIHED. 80 CS1Nl3ES iiiILL BE ~LLOUIED ~CE HOII.DING PERIiIT 78 ISSDED.~
3EWER 6 iTATER PEAMIT FEES ~liD ~CCOiTHT DEP0.4IT T6&S 11II.L B6 INCLIIDED iRTH !HE BDILDIN6
pBAlfIT FEE. PAOCESSIIiG lIl+~ •FOA SSWER 1BD YATER PEAHI?5 I3 TiiO DAYS ONCE l PERMIT HAS
BIDi COMPLETED INDICATING l LICEA3ED PLO[~ffiER.
PENALTY APPLIES WEIENt PEAMIT IS NOT PAID FOR IN SAME MONTH IT IS REQIIESTED.
LOT CAANGE IS REQUESTED ONCE PERMIT IS ISSUED.
To Be Used For: ~az:~'~-~+~`Q-'"~- Valuation: ~ 5 a(~ Date: ~ A~b ~ 19~.
31te Address q S.~ C'avanncc~ ~C~ OFFICE OSB ONL2
Lot 1_ Block Occupaney ~Fa
Zoning
Parcel/Sub _.~~mn.~rn~ ~ ~~{v Actual Const Bldg. Permit ~v•Oa
Allovable Surcharge ^ o
Ormer ~J'~"~Ve.v1 F S i i r i~a ~ of atories Plan Aeview
4 ~ w~ e ma~; << .'c e Length SAC, City
Address q$3 Sa nnnah R~ Depth SAC~ MWCC
S.F. Total Aater Conn
City/Zip Code ~~an, MN 5~~23• Footprint S.F. a~~tir ~Posit
P6one (aS8 - 892 f WK : b?b-0244 On site aexage S/il Permit
On aite well S/1i Suretiarge
Contractor NNCC System _ Treatment P1.
p City stater _ Soad Unit
Address ` PRV required _ Park Ded.
- t Booster P~p _ Copies
CiEy/Zip Code ' s~~u'
1PPRQYALS Penalty
Yhone Planner _ TOTAL 4~.OJ
Cauneil
6rch./Engr. Hldg. Off. ~~3
Variance
Address
City/Zip Code
r
Phone a
~tttr***+**r**~~r**e**:r*ef*t~tf*t~
' . C I T Y O F E A G A fV PAYMhTTP OF k~E AT TIME; pF *
APPI,IC117ZON DOFS P102 OOI~S`fi1[11E
y*. APPR(3VAL OF PIItPffT. *
APPUCATION FOR PERMIT * *
rt II~SPFX.TION OF SEiaR At~ID/~t v~~3t *
*
. q*, rn~srar.ra,mr6fS WIIS. [~T BE S[]~D- y*,
SEWER AND/OR WATER CONNECTfON P~T :
* APPRWID. •
* r
+ "
•
*****~etra**r*tax*rw+*ft:+*,tkw,t*s*tt
P ease Print
' 1) PROPERTY ADDRESS: qR~ Gac~annah Road
LEGAL DESCRIPTION: Lot 1 Bloxk 1 Lexington Square 4th Addition
Lot B ock Subdivision or Tax Parce ID )
IF EXISTING STRL'Cl[]RE, DATE OF ORIGINAL ~,~ZLDIN;, PE[2NLiT ISSL'ANCE: .
Nbn Year)
PRFSENr 7ANING/PROPOSID L'SE:
~ COI~RCIAI./REPAIL/OF£ICE ~ R-1 SINGLE FAMILY '
0 I~-'~~ Q R-2 DC'PLEX (2wo C~nits)
~ INSTI'I[)TIONAL/GOVIItt~IIyE1NT ~ R-3 TOW~IIi0U5E (Three + Units) ( Units)
q R-4 APAR'Ib'lFNf/CODIDUMINIL~M ( Units)
2) ~
Northrup Mechanical Inc.
ADDRESS: 7640 146th Street
CITY, STATE, ZIP: Apple Valley, MN 55124
432-0175
3) • ~ i:7• For City Use
nT,,,-+hr„n Me~hanical Inc Pl~snbers License:
ADDRFSS: 7640 146th Street ~ ~tive
CITY, STATE, ZZP: Apple Valley, NIN 55124 ~~~d
432-0175 MASTIIt LICQISE~ 2443M
St~a
£-Initial
4) o i~•
NAME: Metro Home Builders
ADDRESS: PO Box 1049. ~
CITY, STATE, 2IP: Burnsville, MN 55337
PHONE: 454-9383 -
n r : o • ao - a~
~ ooru~mcrioN ~ cixsc s~ ~ ooramerioN zn ciTSr ~ ~ om~ ~
6I • i' PLFASE HOID APPROVID PIItI~ffT ECBt PIQC-UP BY ONE OF ABWE -
PLFASE MAIL APPROVID PERMIT SD 1~3. 4, T.BOVE .
(Circle one)
7) rn ~~h ~ T~ d~
• r ti: ~ c• r. a e . . ~ e - r a ~ a ia• . r• • ~ • ~ • • a• ~ e
, . . .
'
r~ u • ~ ~ r•i~ •,na~ ~ • a~ • ` .
` ' "
I ~ -
_
. ~il~~ ~~~Y
. .
PERMIT # TSSC~ED . • ~ . ~ . . . ' '
: y~ ~ , - . .
Pd w/Bldq. Permit FEES: "
$ $ SEWER PERMIT (INCLC~DE SIIRCHARGE)
$ $ ~C';S~'. WATER PERMIT (INCLODE SCRCHARGE)
S_ ~i? 7~ OZ~ $ WATER METER/COPPERHORN/OL'TSIDE READER
$ S WATER TAP (INCLC'DE CORPORATZON STOP)
$ $ SEWER TAP
S $ ~j
~~i~? ACCOC~NT DEPOSIT - SESv'ER
$ $ /~j
. CI-Z) ACCOL'NT DEPOSIT - WATER
$ ~ ~S ' $ WAC
s ~ ~ S ~v s sAc
$ $ TRL~NK WATER ASSESSMENT
$ $ TRONK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRL~NK SEWER
$ $ LATERAL BENEFIT/TRONK WATER
S ~~/)./9j) $ WATER TREATMENT PLANT SURCAARGE
$ $ OTHER:
$ I ~ , ~-C~ S ~ /J G~ TOTAL
~ ~ C, 7 ~
RECEIPT RECEIPT ~
DOES C'TILITY CONNECTION REQC~IRE EXCAVATION IN PC'BLIC RIGHT OF WAY?
Q YES IF YES, THEN A"PERMIT FOR WORK WITHIN PCBLIC
Q ROADWAY" MDST BE ISSL~ED By THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SCBJECT TO THE FOLLOWING COIVDITIONS:
APPROVED BY: ~~C~d-,~L~% ~~~~Zi ~7~0
TZTLE:
DATE: `7~/~S /6 ,
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City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 983 Savannah Rd
Lot: 1 Block: 1 Addition: Lexington Square 4th
PID:10- 45078- 010 -01
Use:
Description:
Sub Type: e- Windows/Doors
Work Type: Windows/Doors - New/Replacement
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Crew2 Inc
2650 Minnehaha Ave
Minneapolis MN 55406
(612) 276 -1680
Applicant/Permitee: Signature
PERMIT
City of Eaan
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.
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Construction Type:
Occupancy:
$88.50
$1.50
Total: $90.00
- Applicant -
Owner:
Steven Siirila
983 Savannah Rd
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
0801
9001
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply
of Minnesota Statutes and City of Eagan Ordinances.
h all applicable State
Issued By: Signature
Building
EA090598
08/11/2009
ePermit
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA127273
Date Issued:09/25/2014
Permit Category:ePermit
Site Address: 983 Savannah Rd
Lot:1 Block: 1 Addition: Lexington Square 4th
PID:10-45078-01-010
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Renae Frienwald
2200 Hwy 13 W
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 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 -
Steven Siirila
983 Savannah Rd
Eagan MN 55123
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
Applicant/Permitee: Signature Issued By: Signature
To: 6516755699 _ From: 7637108061 9-10-19 9:17pm p.. 1 of 2
r 9
For Office Use 1
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3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810 Date Received:
(651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694
buildinoinspectionsOcityo1eadan.com Staff:
2019 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 09110!19 Site Address: 983 Savannah RD
------ Unit#:
a
Name: Marialice and Steve Simla : B51-688-8921
Phone. I
s Resident/
Owner I Address l City JZip: 983 Savannah RD, Eagan MN 55123 i
i
kApplicant is: Owner ./ Contractor
r-____
Description of work: Replace existing overhead garage door on attached garage.
1 Type of Work = I
i 1300.00
I.....--.......,, Construction Cost: Multi-FamilyBuilding: ?
«�.-- (Yes !No }
€ AA Garage Door Dave Sands
Company: Contact:
i
s I Address: 562 Lundy Lane Hudson
Contractor City:
i I State: Wl Zip: 54016 Phone: 651-702-1420 Email: clave@aagaragedoor.com
` NAT 671642
f License#
I___ ,,____.. , Lead Certificate#:
i If the project is exempt from lead certification, please explain why:
I
i
I COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
i 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:
1
I Licensed Plumber:
Phone:
s Mechanical Contractor: _Phone:
1 Sewer&Water Contractor:
I Phone:
LF ire Suppression Contractor. Phone:
NOTE:Pians and supporting documents that you submit aro considered to be public information. Portions of the information maybe
classified as non-ublic if you provide specific reasons that_would permit the to conclude that they are trade secrets.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeaaan.comisubscribe.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance,
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)4540002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities. wmw.aonherstateonecall.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 approxal plans.
x Deborah Nyasende x .LJL -4tl/ .f7L'k4 '-'
,00,__
Applicant's Printed Name Applicant's Signature
r
For Office Use J�
` Permit 8: /- 3(✓
EAGAN
Permit Fee: v
REG EJ T ' . Date Received: /c)- "//—/
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 DECi i 2 9 Staff:
buiidinginsoectionsCcacitvofeauan.com __J
2019 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: I ' )< Site Address: 9 $3 S q V �^ /Pa
Tenant: Suite#:
Resident/Owner
Name: 1/1"104r ' i 'C ' r r ' g Phone: ("I 6 g 8- 8 y 2/
Address/City/Zip: 8 3 S 4 tic In it? `iai-c- Sr ' '
Name: 1 1 e.S S r'c n P ►-.% 6,n Se rid i S License#: Pc Gib it 3 S
Contractor Address: P U . /�o 'l + o� �I City: -`�8°
State: 't "/V Zip: -S S ) a Phone: (0S (.a 8 ) B 2_S 2--
Contact: �� Email:_e-,i e )e. vice i p 1 h w. L i MA c„r,
Type of work _New Replacement —Repair _Rebuild _Modify Space _Work in R.O.W.
Description of work:
+Water Heater
Lawn Irrigation( RPZ/ PVB)
Water Softener
DeSCripti011 Add Plumbing Fixtures L_Main/_Lower Level)
Septic System
Description:
New
Abandonment Connection to City Water from Well
RESIDENTIAL FEES
$60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge)
$60.00 Lawn Irrigation(includes State Surcharge)
$60.00 New fixtures, adding or removing piping (includes State Surcharge)
$60.00 Septic System Abandonment
$100.00 New Residential(fee collected with Building Permit)
$115.00 New Septic System (includes County fee and State Surcharge)
$60.00 Connecting to City Water from Well*+$290 for Meter and$190 for Radio Read=$540
*Sewer&Water Permit also required for connection charges
TOTAL FEES$ (' 0 ' G6'
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
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeaaan.com/subscribe.
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.
` 4
Applicant's Printed Name plicant's Signature
Page 1 of 2
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA169781
Date Issued:06/09/2021
Permit Category:ePermit
Site Address: 983 Savannah Rd
Lot:1 Block: 1 Addition: Lexington Square 4th
PID:10-45078-01-010
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
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 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: 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 -
Steven & Marialice Siirila
983 Savannah Rd
Saint Paul MN 55123--154
Home Depot Usa Dba The Home Depot
2455 Paces Ferry Rd
Atlanta GA 30339
(763) 852-1044
Applicant/Permitee: Signature Issued By: Signature