1007 Savannah Rd z "n 7- .
s" ~ . CITY OF EAGAN ` ~ ~ 8774
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
~ PHONE: 454-8100 V , ~
BUILDING PERMIT Receipt #
To be us~d for piNlsH Est. Value f 1+~ Date ~ 8 , 19 g 1
Site Adc~ess ~ ~AV~ ~
L~t l Block ~ Sec/Sub. OFFICE USE ONLY
Parcel No. ~ Occupancy - FEES
RA~ fi fLICEK zoning - ~3.00
W Name cnauai~ Consc - aidy. Perm~~ '
~ Address (~1O`"~1e) - Surcharge
° ~ of Stories
City Phone -
Length Plan Review
$A~ Depth - SAC, City
Name
~ Address S.F. Total
S - SAC,MCwcc
~ City Phone S.F. Footprints -
On Sile Sewage _ Water Conn
r
W W Name On Sile Weil - Waler Meter
W
Address Mwcc sys~em - aca. oePos~~
~ W City Phone c~~y wa~er -
PRV Required _ S/W Permit
I hereby acknowlege that I have read this application and state that the Booster Pump - SNV Surcharge
in(ormation is correct and agree to comply with all applicabie State of
Minnesota StatWes and City ot E~gan ~rdina c s._ Treatment PI
Signature of Permitee ~ f~~ APPROYALS Road Unit
~ ~'=~K - Park Ded.
A Building Permit is issued to:
on the express condition that all work shall be done in accordance with all Council
applicable State ot Minnesota Statutes and City of Eagan Ordinances. gby, pry_ _ Copies ~
•
+ _ Variance - TOTAL
Building Official ~
. Pamn No. Pe~mit F+o~aar oate reiopnon. #
WATER
SENtER
~~B~N~ ~a~ ~ r~/9 s~-
H.V.A.C.
ELECTRIC /I/~~ D ~
Inspation Date Insp. Comments
Footings I
Fau~dalion
Freming ~J ~
~~9
Rough PIb9~ ~ if/~I
~9h ~9• ,3 ~ ~ 4(!D
3 ~ ~
~
Fnal Htg.
Fin~ Plbg.
Const. Meier Plbg. Insper,9a - Notify Plumber
Engr./Plan
Bldg. Final y
Deck Ftg.
Dedc Final
Well
Pr. pisp.
~ . ~ . .~,T„ .t ,
- ~ ~ i CITY OF EAGAN
3830 Pilot K~ob Road, P.O. Box 21-199, Eagan, MN 55121 ~~7~
' PHON E: 454-8100
BUILDING PERMIT Receip; ~
Tobeusedfor n~/~ Est.Value ~66~040 Date VC'T4~~::e~ 2~ ,19~-
Site Address Z~'~~ ~A~A~~•-'~ ~fl OFFICE USE ONLY
~ 1.$Xifi sf'~•ON $Q 3u1 On Site Sewage Occupancy r•- :i v
Lot Block Sec/Sub.
MWCC System Zoning
Parcel No. On Site Well (Actuai) Const
a Name ~~+~'a~ ~~~5 City Water X. (Allowable) V~r~
z Addre5s 1~"I~~' PRV Required # of Stories
I Ll.~; PkN'~
~ City Fi:`~Ai,'iJ'LL'. PhOne b~'~~f~3f1 ~osterPump Length 4Z~
Depth ~~1 ~
, p Name S%~~~~ S.F.Total
~ d Address Footprint S.F.
~ City Phone APPROVALS FEES
~ W Engr.lAssess.. Permit ~`~"•~'G
W Name 33.?70
= Planner Surcharge
~n Address ~1y~pQ
~ W City PhOne Council Plan Review
Bldg. Off. SAC, City k~`~'~
Variance SAC, MWCC Ss~.~
1 hereby acknowledge that I has+e read this application and state that the - ~,fl. ~
information is correct and agree to comply with all applicable State ot Water Conn.
Minnesota Statutes and City of Eagan Ordinances. r]~ p0
Water Meter ~
SignatureofPermittee - RoadUnit ~T~•~
A Building Permit is issued to:-_ ._~YLAIdi? Ht~~ES Treatment P1 2~•~
on the express condition that all workshall be done in accordance with all pyrks
applicable State of Minnesota Statutes and City of Eagan Ordinances. 2~ i~¢, ~ t)n
TOTAL
Building Official -
Permlt No. Pa~mit Hoider Date Tel~phons *
Plun'~6ing ~ /o~ '~.r
H.1~'A.C. ~ `L'"~ , v !
Electric /C
Softener
inspection ~ste in~p. Comments
Footings i
Footings II
Foundation
Framing //2~ %J ~C~ ~ ~L ~ ~.~.r' ~ /,L~ ~G ,
Roofing
Rough Plbg. ' ~ ~0.~ ~ ~
Rough Htg.
Isul. ,
Fireplace
Final Htg. . J~ ~
Final Pibg. _ ~ ~
Bldg. Final
Cert Occ. % ~y~
f
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp.
PERMIT #
• • ~ MECHANICAL PERMIT
' - CITY OF~~AGAN RECEIPT # ~ '
3830 PILOT KNOB R~AD, EAGAN, MN 55122 DATE: f!-~ r,~
CONTRACT PRICE; PHONE: 454-8100 ~T ~
Site Address ~ BLDG. TYPE WORK DESCRIPTION
-
Lot BlocJc_ - ; Sec/Sub . ! ~ New
. " .
` Mult Add-on
Name ' ' Comm. Repair
~ Addr ss `q o N o~ a L Other
c City ~t ~ e ~ Phone y~ '
FEES
fVame ;~Fi€S. HVAC 0-~~ fvt BTU -$24.00
c Address ~ " u ~ ~ I ~ , ADDITIONAL 50 M BTU - 6.00
p City F~x+~Ns~ Phone ' (RES. HVAC INCLUDES A/C OH NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PEkMI~ - 1.50 EA.
TYPE OF WORK COMM/IND FEE - ia/a OF COMTRACT FEE
Forced Air M BTU ' ~ „APT BLDGS. - COMM. RATE APPLIES
'TOWNHOUSE & COIVDOS - RES. RATE APPUES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
Unit Heater M BTU g REMODELS - 12.00
Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping OliUets # ~ ~Z BEYOND $1,000)
Other ~ ~ a
FEE: ~ ~
~l-~_.~~b..~` . -~t~l,i. 'y._~ytr.
.
S/C: ' ~ ~ SIGNATURE OF PERMITTEE
TOTAL:
, FOR: CITY OF EAGAN
's,~.:?:
PERMIT # ~ ~ - '
. ' ' PLUMBING PERMIT RECEIPT tF
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE: PHONE: a5a-e~a0
Site Address 7-"-~rt~"~°`~ ~ D BLDG. T~PE WORK DESCRIPTION
Lot Z- Block -3 Sec/Sub Res. New
t' ~ -.L ? Mult. Add-on
~ Name ~ Comm. Repair
e'~g Address 2? ~ U-~~ Other
c Ciry S v/'i ~ c. Phone yy RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
y0. FIXTURES TOTAL
Name ~ -4 Water Closet - $3.00 ~
~ Bath Tubs - $3.00
~ Address ~ Lavatory - $3.00
p City Phone Shower - $3.Q0
~ Kitchen Sink - $3.00
FEES UrinaliBidet - 53.00
COMM/IND FEE - 19~6 OF CONTRACT FEE ~laundry Tray -$3.00
APT. BLDGS - COMM RATE APPLIES 1-Floor Drains -$1.50
TOWNHOUSE 8 CONDO - RES. RATE APPLIES ~Water Heater -$t.50
MINIMUM - RESI~ENTIAL FEE - $12.00 Whiripool - $3.00
MINIMUM - COMMlIND FEE - $2U.00 ~Gas Piping Outlets - $1.50 '
STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIn
(ADD $.50 S/C IF PERMIT PRICE GOES Softener -$5.00
BEYOND $1,000.00) Well - $t0.00
~ Private Disp. - $10.00
y' v~`~_~- ~ ~ ~
f~~~ ~_Rough Openings - $1.50
SIGNATURE OF PERMITTEE FEE:
STATE S/C:
FOR: CITY OF EAGAN GRAND TOTAL•
INSPE(:TIUN RE(;~RD
CITY OF EAGAN PERMIT TYPE: ~ ~
3830 Pilot Knob Road Permit Number. ; t!" i
Eagan, Minnesota 55122-1897 Date Issued: ~
(651) 681-4675
SITE ADDRESS: ~ , ~ ~ . ~ ~ , , ~ APPLICANT:
. ~,tit! RCI , , ~
PERMIT SUBTYPE: TYPE OF WORK:
,
. .
, , ,
, f i'I..'~ . . ~ , ,'_'~i;ij li~i ~ . 1~~ F~~' ;11
f.Al.) AA~; :'ti4N kf Ci,ltsfiildli F 11 Cif<l~ ~l I'kllMl I AML+ IN'~f'F t 1 It1N'~.
~
~ -_'~...ilr"~~F il.~? I=~..iFi~~ . . . . - 1 " _ . ~ . . . _ . _ ' . .r.. . ~ _ _ . . ~
. : ~ . . . r : . ~ . . ~ ~
~ ~
Permit Holder Qete Telephone 1?
EwEw
WATER
PLUMBING
HVAC
Inspectlon Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATINQ
GAS SVC
TEST
INSUL
(3YP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL ~ ~
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
con~~ucTroirr
~sr
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG ~~k~ ~
DECK FlNAL
INSPECTI~I~ RECORD
~CITY OF EACAN PERMITTYPE: ' '
/ 3830 Pilot Knob Road Permit Number;
Eagan, Minnesota 55122-1897 Date Issued:
(651)681-4675
SITE ADDRESS: ~ ~ ; „ ~ ~ ~ ~ ~ ~ ~ APPLICANT:
~,Fa Hr~ ~ . ;
~ ~i ~ ~ . . , , ~~i~ ,
PERIUIIT SUBTYPE: TYPE 4F WORK:
, , . , ,
. „ ~
~ ~
~ ~
Permit Holder Datie Telephone #
SEWER/
WATER
PLUMBING
HVAC
Inspectlon Uate Insp. Comments
FOOTINGS
FQUND
FRAMING
ROOFING ~I ~ ~ W
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FlREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
CONDUCTIVITY
TE5T
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
~
CiTY OF EA ,AN Permit No: ^ S4 Date: ~ ~ ~
383b P(lot Knob Road Meter No: ~~5~ ~53 Size: ~
¢O.Box21199 ReaderNo: 71 Date: 1a-7-YS'
Eagan, MN 55121
Owner. ?:elZand L~ames
SiteAddress:- ~~07 Savannah Road L? B3 Le~in~ton ~,r• ?II
Plumber American S F. WID "echanical
Conn. Ch . - • ~~an~
9' Zoning: r-I
Acct Dep: 1S , s~~nd N0. of Units: 1
Permit Fee: _ . ~~Opd
Surcharge: . 50pc1 1 agree to comply wtfh the City ayan
Tr. Piant_ 2~4. OOpd OrdMances.
Meter.
Misc.: gy J.y`'~~' ,
WATER SERVICE PERMIT
. . .
~ I;~~,~~,s ADat~ 1 I ~
i A~iAN Permit No: •
383~iZRot Knob Road pJleter Na Siz~
P.O. Box 21199 Reader Na Dat~
Eapan, MN 55121 -
Owner. ==eyland ~omes
Site Address: 1(~~7 Savannah Foau L' °3 i:~ ~*o:~ III
Plumber. ~zrican 5 F. ~J/. ~ ?'~chanical
Conn. Chg: ~ ' • ~~~p`-' Zoning: ~
Acct. Dep: IS • d~rd No. of Units: ~
Permit Fee: 10. Of)pc?
Surcharge: • 5~p3 I agree to comply with the Clfy ot Eayan
Tr. Plant ~ ~ Ordinances.
Meter. F~7
M isc.: By
WATER SERVICE PERMiT
CI~'aFfR+GAN PermitNo: 11IS~ Date: Ii-2-8~
38 . Uilot Knob Road '~~p No: ~E~a9 Date: ~0-13 -gF
P.O
8ox 21199 y ~
f~gan, MN 55121a
Owner. _ i evl~nd Ro~e~
SiteAddress: Savannah Road L2 B3 I.exin tor_ r-7.
Plumber: ~~~~'rican ~ x~ 7' t' t~echanical
h1WCC: 5~~-~~a Zoning• ' ~
City Chg: ZQ^ •~~1'~ No. oi Units:
Acct. Dep: 1 S' ~^r`~
I agree to comply with the City of Eagan
Permit Fee:
_ , , Ordinances.
Surcharge:
Misc.: By
SEWER SERVICE PERMIT
~e. • .
h
• . CASH RECEIPT
. . ~ ~ ~
.
. ~ CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
~ . ,
~i i
DATE ~ 19 'J ~
f'
aECE~vEO ~ J'~ ~
PROM l. L I / ~ ,+i..'
~
nMO~!{vr s , ~ i ~ r
& DOLLAAS
,ao
O CASH ~4 CHECK
~ ~ '
~ ~ ,~7~ :j"r.~~~.J
Fon
- -
/
t.~ 7 CLd~~~~~~.v i;.,~GL~
. ~ E1 r
~ ~ krJ ~
FUND OBJECT ' AMOUNT
Thank You
BY ~ / 'r ~ ~
wnn~--aay~.s coPy ~
Yellow-PoednB C~PY
Pink-Flle Copy
. o
BLDG. PERMIT NO.I~~,~ ~ ~4"' ~ ~
~ %
; - ~ ~
~ `01-3210/ Bldg. Permit ~ c-
01-3422 Plan Check ~ ~ ~ !
01-3445 Surch./Adm.
01-3446 SAC/Adm. f
01-2155 Surcharge '-3~
75-3860 Road Unit ~ d ~
20-2275 SAC
20-3565 Water Conn. ~1 ~ ~ ~
20-3868 Water Trmt. ~
,
20-3716 Water Meter '
20-2252 Acct. Dep.
20-3713 Water Permit
20-3743 Sewer Permit
79-3866 Sewer Conn. ~ ~ ~ " ~
28-3855 Park Ded.
TOTAL ~ ~ f : ~ ~ ~ ; ~
CITY OF EAGAN
383Q Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 :
PH~N E: 454-8100 •
BUILDING PERMIT Receipt #
To be used for SF DkGf GA]t Est. Value 3bG,U~O Date ±CTGB::rt 1? ,19L~~
Site Address 1C~7 SAYANNAli ~tD OFFICE USE ON~Y
Lot ~ Block 3 Sec/Sub.~XING70N SCi 3$i) on sfte Sewage occupancy }=-3 :'°j
MWCC System ~ Zoning
Parcel No. On Site Well (Actusl) Const Y~~
a Name KPYLAAID City Water (Atlowabte)
W PRV Fiequtred ~ of Stories
= Address 2~45~ ~'i~TRN3VT I,L.-'? PKlil[
° City BllItNgVILI.~ Phone ~94-2636 Booster Pump Length 42 ~
Depth 46 ~
, p 'Name ~ 11"~ S.F. Total
~ ~ Address Footprint S.F.
~ City Phone APPROVALS FEES
v W Engr./Assess. Permit 43 ~S. Qn
W W Name 33. GO
~ Z Planner Surcharge
Rddress 219.04
ati City Phone Council Plan Review i~ ~
Bldg. Oft. SAC, City •
I hereby acknowledge that I have read this application a~d state that the Variance SAC, MWCC SSO• ~
information is correct and agree to comply with all applicable State of WaterConn. 5s~.~U
Minnesota Statutes and City of 6agan Ordinances. Water Meter 67
6ignatureofPermittee RoadUnit ~ZS.Od
;4 Building Permit is issued to:_ ~YLllIrD HOI'~$ Treatment P1 2~•~
on the express condition that all work shall be done in accordance with all
applicable State of Min~esota Statutes and City of Eagan Ordinances. Parks
Building G?ficial- TOTAL ~ ~ ~b • ~
. ~ . ,
• R.E~IDENT'l~?L' • -
- ~UI'LQiNC 'PERM17 APP~I~ATl~N
~~~~y CITIr dF E9~C,~W
~ 383~ P~L~T KHOB R~ - 5512,Z ~
651-G81-4875 ~ O -
~an~niauds ~ v. _ ~ ~d1lt~~~ r ~
* '3.re9ietered_eit~ surveya AtiewGhg,sp. fk ~a4-tot, a~4•
~ ~ ~s: aarhd.~,.coofed ~eas • . 2 copies of yl~n' _ ; - "~;i'
~~u~ i~mu~;.ra.o~a ~wea~ . ~ ~~~y c~uc~;t~h~~d a~au+~ ~
•~~o~ or v~, anoi~?r~ b~m a wi~oq?~zes: p~ee ~,mo a.e~n, e~,) . 1-s~a:,wHOy kur:~'a~+~ns~$ a~ ~
• i. set uf Er~9Y C~ta,f~otq~' . Ir~'~ hanie'eefYed 4Y se~sys~itr~~' ;
. _
. 3 copfas ai T1se Preee+~slfor~;Plea9( Iot Dla~ed etter7l~J93 -
R1m dcist Oe1a~ Op~ons s~icn sheat ~+~t!? 3~ar tess suuZs~ ~
.
~
~AT€ ~ f D I 1fALUATION (ExCLUpING ~+aNt3) - -
_
a~a sr~~ aofl~~ss foc~~ 5~u~~~~~.~~~ ~a ~~r.v~t,r11~~
IF NIUtTf~FAJiAILY ~UII.DI~tG; HQ1N: MANY U'NITS? -
PROPEIt~Y OWN~R ~~~t F ll G~? i~ _ i,
TYPE`(?F Nt4RK ~v a-~ ~Q o~ t c~ r,ti ro~ c~ ~ fl1~EPL~C~(3j ._j i.3
APRLI~ANY /~~r~ ~u ~ Ia c1~±~. - - Pi~ON~'4~ (~o~!• l~~S~..`?f9'~l.`
AQQRESS S o,r?~.-F _ _ -1'IP'COpI . ~
,
PAG~~f ~ :C~L PHON'E # FA~( ~ ~
- . - -
~N~i!' RE~I~DENTIAL BUILD?IN~ ONLY - FlI;L C~UT ~a~IAPLETEL ~ ~ ~
- - - - _ , -
Er,e~y ~aae ca~gory _ MII~i~TF~SOTA Rt1Y.;;~.5 ~6~0 ~'T~`~RY L -
fcheek one7 - Resftler~tiaF Vendla~on Catagoiry~ i Work~haet St~imitted , ~
- Energy Ertvetnpe Calcula~ions~St~tnft#ed - _ `
_ : t ~
~
~VIINNESQTA 8I3I~ES 7~~~ ~ . ~
,
- New Energy Code 1l~ort~sheeE ~bmft#ed -
' plurt~binQ C~ntnactor. _ . P~lione - - - - - - - , ' = - i
C'1um~ System Ynclucles: ,r Wa1er ~nrtene~` _ La~n ~pxirik~~r F~e: ~ ~~:1~~
_ _~tr~e.r ~-l~aiu IVo. bf R; I. B~
i~ o: 01 I~aths . • ~ ~
- ~
Me~hcinicat CoMrdeto .r. Phone ~ - _ _ '
M~ital SysC~m..Iticlud~: A~ir~ Conc~itionin~ - 'F~~: $7a ~Q =
_ Hea2 Rcrovery ~y~t~m „
,
5ewerlWc~ter ~~ractoc - - PFia~ae ~t _ _ _ - - .
All abbve.ln#Drn'~~n mu&~ be subm~f pri~r ta processing=of appl'iqlioR~
~
I F~er~kiy acknawledge ~th~at l have°r~ad ~his apptication, state that the infcsi~tnatior? is ~orfec:f. ~d:iigree ta i~orn;p~i vuitF~
all appltcabl~ State df Minneso~a ~tatuE~ ar~d ~Cit~r of ~aga~r Qrciiiu~nces~
, ~ .
Slgnoiure at App!{caAt - . _ ~
- - -
. ~ ~
.
~ , .
Ce~fi~es of-Suruey Reoeiv.ed = Tcee Pi-eservation Pa~n Rsaeiveti Mt~~k~eqtuc~d
_ .~p~ ~~0'1~; ~
.
~FFICE USE. ONLII' ~
~
O 01 Fbur~datian 0 07' 05-p4ex F~~ 43 16-pf8x ? 20 , Pool D. ~ 3.p •'Accessaory 8tdg~ I
,0 0~ :Sf'"trnr~Uing 08 06-ptex fl 96 ..Firept~e Q 21 Pcir~i,{3-$ea,.) Cl 31 ~xt,.Aqt-NCut~
O 03 01 of _ Pi~x Cl 09: 07-ptex C7, ~17 . Gaca~e CI ~ Pnrc~/Addn.. (4~sea.y. 0 33 ~xt,.At# - S~ ~
~ ~4 02-p(ex ~ O'10: 08-p18sc: ~ 1~8 i:7eCk O~~ Pofcf~'(sGreeae~i) - d 3$ Mtilti
L] 05 03-piex O. 11. 10-pEex O t9 ~ Lower.Leuei ' Ct ~24 Sborm Dsrrtaig~ ~L;~ ~~2v'^ I
? 06 04-plex ~O. i2 ~~~-pl~x~ PIb~Y or_ N ~ 2~•~ ~li~cell~neo.u~: ~i '~`1~?l.f~'~i~
fl 37 New- ;p 3a Irit Ympm~uBm~# D. 38. pe~nlist~ (tnterior.)~ D~ 44 Siding i
D 3~ ,4dtlitian O 3~ Move. 81dg. O 42 D.er~c?kish (~aunda~tion} p 4~: ~Fire RBp~$ic ,
~ 33 AlteraUon `p 37 6emoUsh~ (Bt~)'" 'C1: 43 Re~oof~ 4S: Wind~ow~Door~` ,
Q 34.~ R~p)~~e.mer~t *D.~stwlltinn (~nEira Bldg only~~ - Give P.~4 ktia~dou# to .~pptlc~nE: ~
Vafuafion Oecupancy MCf
_E.S ~ystem
E~~ensus Caie ~/_3~. Zoning Giry til~l:ater '
SRE Wnits Sto~es, BoosQer Puirotp ~
Plbr, of Units S4. ft PR1/ i
Nb~. of:8ldgs Length Fi~e ~PrinJc~+~red' - -
Type of Cranst ~7idth . '
REQWRED It~ISPECTiQNS~ ~
_ Featings.(nevw b~ldg) FinallC:O. ~
~r,~Footings (deck). ~ Final/IVa C.O.
Footin~s ~a~ddition) Plumbing
~ Fa.undation HVAC
llraisi T-~e
Raof jce;~ti'U~Tater Final' Othe~
Framing . - - Pool ! Ftgs ^=~uJGas Tests T Fiaal~
_ Fireplace _ RI. ~ Air Test: _~inaT _ 5iding s#ucco Stone
_ Lnsulstion ~ Windo~vs.(new/r~placement)
~ ~
Approved 8y 1' Z' , Bt~il~ing,lnspiector '
Ba~e F$e
S'itrGhar9e ~ ~7 r ~4'B,i~ ~`'t/}t~~- ~ ,
P1an Rsvisw-
~n~~~s sac ~ ~ ~ ~=r~ ~z
City SA~
, i
W~ter SuP~iY S.torage~ '
S&W P~mit 8 Surchar~e
Trea#ment:f'lant
~Umtring Perrrtit ~ ~
Niechanical -Rerm[t
License~Siearch ~
.
Copies ~
Qtfier
i
Total
I
/o i~/88' J
~ 5_2 4 2 5
Feques~ Date~. ~ Fire No. Fo in Ir~spectlon
J~ ^l Re i ? FeaAy Now ill Nolily Inspector
~ d ~ ~ No W~en ReaM?
I icensed contractor ? owner hereby request inspection of above electrical work at:
Jo0 Atltlreas (Sbeet, Boz~oute
No./~ ^ Ci ~
l, Ari'L-~~xw
Sedion No. Township Name or No. Ranga No. Cou
Occupent (P IM) Phone No.
~'9~- 3
Po plier Address
~
ElecUical Contrac[or Cam iry ame) ~ ConMaclor5 nsg No.
~
Mai ing Address (Contrector ar Owner Meldng Inatallation)
~ ~ ~ ~ ..>`,5~?
A riieA SignaWre ( Mr w ~r akirg Ins Ilation) Phone ber
- -s/9~
MINNESOTA STATE BOARD OP ECT1iICITY THIS INSPECTION REQUEST WILL NOT
GNgga-MlEwey Bltlg. - No S-113 8E ACCEPTEO 8Y THE STHTE 60ARD
1827 University Ave., St Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (812) 642-0800 ENCIASE~.
~p ~,y REQUEST POR ELECTRICAL INSPECTION ~ eaooom-m
.',:.M ? See InsWCtions br wmpleting t~is form on back of yelbw cbpy. ~
~5~-4 ~2.5 X° Below Work Covered by This Request
ew Add Rep. TypeofBuilding AppliancesWired EquipmenlWired
Home Range Temporary Service
Duplez Water Heater Electric Heating
Apt Building Dryer Other (Specify)
CommAndusVial FumaCe
Farm ~ Air Condilioner
Olher (specily) Comrac[orS Remarks:
Compute Inspection Fee Below:
# Other Fee # ServiceEnVanceSize Fee # Circuits/Faeders Fee
Swimming Pool / 0 to 200 Amps / 5 o to 100 Amps Z i eQ
Transformers Above 200 _ Amps Above 100 _ Amps
Signs ~nepecior5 Use onry: TpTpl SO
Irrigation Booms .~A Y~
Special Inspection
Alarm/Communication ~
Other Fee ~ e s~
I, ihe Electrical Inspector, hereby "°"~na~ v~, - oa~a~r~~~
certifyMattheahoveinspectionhas Fi~ai oae
been made. %~iC~i'~`- ~
OFFICE USE ON W _
This request wid 18 monlhs Irom
~jir s/ ~~SG
~ 3_361.4 ~ %3 ~ , ~
Feques~ Date - ~ Fire . ugh~in Inspec' n
eqviretl? ? Ready Now ~III Notify Inspactor
Yes G No When Reatlyl .
I L, licensed contractor ~owner here6y request inspection of above eledrical work at:
JoD Adtlress (Slreet Box or Roule NoJ Ciry
X ~~Q~ 50.Vp~+.ne? OLt.
Section No. Townshi0 Neme or No. Range Na. County
Occupem (PFINT/~ Phane No.
K /~'a.~L G~
Power Supplier Atltlress
Electtlcai Comrector (COmpany Name) CoMracmr's license No.
o w~t~r
Mailing Atlaress IGonVac~or or Owner Making Instailation)
W
NutM1UnzeE Si naNre ICOnV ~ouOwner Mekin InHallati ~ PM1 ne Number
X bg~ya-70
MINNESOTA STATE BOARD OF ELECTRICITV THIS INSPECTION REQUEST WILL NOT
Grlgps-MlEway Bltlg. - floom S1]3 BE FCCEPTED BV THE STATE BOARD
1821 Unlversity Ave., SL Paul, MN 5510< UNLESS PROPER INSPECTtON FEE IS
Phone (61Y) BC1~0600 ENCLOSED.
9/ qEQUEST FOR ELECTRICAL INSPECTION aq;~ ee-ooomo~'/
? Sae Insimdions tor completing ihis brm on baok oi yellow copy. ~ ~ e/a ~ c{~
. Befow Work Covered b~ Thrs Re uesf
C~ 3-3 61"4 y 4 `
ew Ad{,' Rep. y Typeol6uili~ng AppliancesWirea EquipmeMWired
~ ~ Home Range Temporary Service
Duplea Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
~ Comm./Industrial Furnace
Farm Air Condi[ioner
O[her (specity~ Camractor5 Remarks
~5,~. Sh
Compute Inspection Fee Below:
# Other Fee # ServiceEntranceSize Fee # CircuilslFeeders Fee
Swimming Pool 0[0 200 Amps 0 to 700 Amps
Trensformers Above 200 _ Amps Above 100 _ Amps
Signs Inspeaor5 Use Only: ~ TOTAL f
J
Irrigation Booms
Special Inspection
Alarm/Communicaiion THIS INS7ALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 78 MONT
I, the Electrical Inspector, hereby R°°9n-~~ ~ oa~e .
certify that the above inspection has F;~ai os~e
been made. J~
OFFICE USE ONLV
This requesi wrtl l8 manGrs !mm
~ CITY OF EAGAN Np ~$~~4
3830 Pilot Knpb Road, P.O. Bax 21-199, Eagan, MN 55121
- PHONE:454-8100
BUILDING PERMIT Receipt # ~ ~ a-`~~~'1
Tobeusedfor BASEMENT FINISH Est.Value $1,500 Date MAR R , 1g9]_
Sife Address 1007 SAVANNAH RD
Lot z Block 3 SeclSub. LEXINGTON SO 3RD OFFICE USE ONLY
P2fCBl r10. Occupancy _ FEES
Zoning -
w Name ~DY W FLICEK (ACtuaq Consi - Bldg. Permit 35. 00
~ AddreSS 1007 SAVANNAH RD (Allowa6le) - Surcharge 1. DO
° Cit EAGAN Phone ~z6-0941 :rolstones -
y Length _ Plan Review
}o Name SAME Depth - SAGCity
ga Address S.F.TOta~ - SAC,MCWCC
" Clfy Phone S.F. Foo~prints -
On Site Sewage - Water Conn
ww Name On Site Well - Water Meter .
w
s~ Addr9S5 MWCCSystem -
~u Acd. Depasi~
gw Cjty Phone Citywaier -
PRV Required _ S/W Permit
I hereby acknowlege ihat I have read this application and state that the Boaster Pump - SrW Surcharga
iniormation is correct and agree to comply with all appiicable State of
Minnesota Slatutes and Cit ot Ea an Ordi nces. Treatment Pi
SignalulB of Pefmi[Be ~ Y~~'^ ~ APPR~yA~ Road Unit
e
A Buiming Permit is issued to: RANDY W FLICEK P~a"OBf - Park Ded.
on the express wndition that all work shall be done in accordance with all Council
applica6le State of Minnesola Statutes and City ol Ea9an Ortlinances. g~~, p~~, _ Copies
~~R lll;~ Variance - TOTAL j b•~~
BuilUing OHicial
' ' CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N~ 1571 %
PH ON E: 454-8100 ~,s
BUILDING PERMIT Receiptn o~
To be used for SF DWG/GAR Est. Value $66,000 Date OCTOBER 13 ,19$$_
Sile Address 1007 SAVANNAH RD ~ OFFICE USE ONLY
Lot z Block 3 Sec/Sub.LEXINGTON SO 3RD On Site Sewage _ Occupancy R-3 M-1
MWCCSystem ~C_ Zoning P~
Parcel No.
On Site Well _ (Actuap Const V-N
e Name KEYLAND HOMES Cirywater ~ (n~bwac~e~ V-N
w PRV Required # ot Stories
~ Address-_14450 BURNSVILLE PKWY -
p Booster Pump _ Length 42'
Ciry BURNSVILI.E Phone 894-2636
Depth ~+fi ~
, p Name SAME S.F.7otal
~ a AddreSS Footprint S.F.
~ City Phone APPROVALS FEES
W w Engr./ASSess. Permit 438.00
Name 33.00
~ Z Plenner Su~charge
Address
U~ Cit PhOn@ Council PlanFeview 219.~~
a W Y Bldg. OH. SAC. City 100.00
I hereby acknowled9e that I have reatl ihis applicalion antl slate that lhe Variance SaC, MWCC 550.00
information is correct and agree ~o comply with all licable State oi Water Conn. 550.00
Mg nesota Slatules and City ~ q Ordina ce~ 6~._99
Water Meler
Si nature of Permittee Roatl Unit 37 5_(10
A Builtling Permit is issued to:_ _~~N~_. Q~$ . Treatment P1 ~~t._.Q9
ontheexpresscondi~ionthatallworkshallb oneinac ortlancewithall parks
applicable State of Min~~_'''n~~'e''',,,s~~~ota{{{~~~Statutes and Ciry of Eagan Ordinances.
BuildingOfficial~,~J`.~}~~
l.{i__ ~ TOTAL 21486.U0
(~9yS~ ~~-o 00
2005 RESIDENTIAL Bi.TII,DING PERNIl'C APPLICATION ~r~ GxSa
City Of Eagau ~
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWCfion Reauirements Remodelhieoair Reauirements Office Use OnN
3 reg'stered site suneys showing sq. ft of lot, sq. ft of house; and all roofed areas ~ 2 cop'~es of plan Cert of Survey Recd _Y _ N
(20% maximum lot crove~age allowed) 1 set of Ene~gy Calculations for heated addiUons Tree Pres Plan Recd _ Y_ N.
2 copies of plan showing beam 8 wiMow shes; poured found design, etc. 1 sile survey for addrtions 8 decks Tree P2s Required Y_ N
1 se( of Ena~gy Calculations Addifbn - ind'rcete Aon-sife septic system On-sAe Septic Systein Y_ N
3 copies of 7ree P2servation Plan R bt plaHed after 7/1193 ~
Rim Joisl Delell Op6ons seleclion sheet (buildings with 3 or less unils)
Date ~P l~_ l QS Construction Cost
Site Address ~(J~_c5 ~{f ~ N~}{{ ~ UnivSte #
Description of Work f~ 0~ E 0 f/~l L
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2
Property Owner C~ Telephone #(~y~~ )~(~S ~ d~ 7~ `T
Contractor V ~ ~J ~i,s ~SI~
Address ()C,~ C ~ '~fF-~ City ~A'~i
State ~I~ Zipl;
~'/c~ ~ Telephone # (6 Sn ~.~~/~=59 ~
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Categorv 1 Minnesota Rules 7672
Energy COde Category • Residential Ventiiation Category 1 Worksheel • New Energy Code Worksheet
(~submissionType) Submitted Su6mitted
. Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan~ _ Y _ N If so, 25% plan review
fee appiies.
Licensed Plumber r~' ~ I'I I~' I,~ II Telephone )
~~91 JUh' 2 p ~ ~I~I
Mechanical Contractor ~I I 00. I Telephone )
J~
Sewer/Water Contractor g~ Telephone )
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requues a review and
approval of plans. '
Tf
~ ! r A
V 1 y•` ~W~~W`~
Applicant's Printed Name Ap cant's Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation O 07 05-plex ? 13 76-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 O6-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-plex O 18 Deck ? 23 Poroh (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ~ 18 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-pleX P~bg_Y or _ N ? 25 MiSCellane0us
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundatfon 0 45 Fire Repair
~ 33 Alteretion ? 37 Demolish Building• ? 43 Reraaf ? 46 Windows/Doors
? 34 Replacement `Demolition (Entlre Bldg) - Give PCA handout to appliwnt
Valuation ~i ~ ~ ~ Occupancy MCES System
Census Code ~ Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const ~
r~ Width
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footings (deck) FinaUNo C.O.
_ Footings (addition) Plumbing
_ Foundation ~ HVAC
Drain Tile Other
Roof Ice & Water Final Pool Ftgs Air/Gas Tesu Final
~ Framing _ Siding _ Stucco _ Stone _ Brick
Fireplace _ R.I. _ Air Test _ Final _ Windows
Insulation _ Retaining Wall
i
Approved By: ` ~ , Building Inspector
Base Fee
Surcharge I ~ ~~-,v~
j ~
Plan Review
MC/ES SAC p
~jl~(~ +?c~~~,:~ ,
City SAC ^
Utility Connection Charge ~ ~
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
~ " I 2005 RESIDENTIAL BUII,DING PERM!'f APPLICATION ~ ~ - ~ ~
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWdion Reauirements Rempdelrtteoair Reauirements Oflice Use Onlv
3 registered site surveys showing sq. ft. oi l04 sq• R of house; and all roofed areas 2 wpies of plan Cert of Survey Recd _ Y_ N
(20% maximum lot caverage allowed) 1 set af Enert~y Calculations for heated add'Aions Tree Pres Plan Real ~ Y_ N_
2 copies of plan showing beam & vrindax s¢es; poured fiund design, etc. 1 ske survey for addi~ons 8 decks Trae Pres Requlred - _ Y_ N
1 set of Ene~gy Calculations Add'rtion - imlicate ilais~Te septic system On-stte Septic System Y_ N.
3 wples of Tree Preservation Plan R lot plaHed after 711193
Rim Joist Deta~ Oplions seledion sheet (buBdiigs wiN 3 or less units)
Date l(l;~ Construction Cost ~ ~D ~
Site Address ~~~7Jq~~~ ~ prQ UniUSte #
DescriptionofWorkl~ (/~J/ ( ~r d/ , ~
~o w ~'g ~
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0_ 1 _ 2
. r~ ~
Property Owner L L Telephone D ~~-70~
~ J
Contractor TS A(S'~
Address _(~5s I ~ City
State N ca Zip y~~ Telephone ~tS`f ~~l 9(
~ ~V~ ~ ~ T
~ . ~ \
, _ 0 Zp05 ~J
„~ti ti
COMPLETE ~N\1$ AREA ONL.Y- CONSTRUCTING A NEW BUILDING
-\~vlinne'
'sota'ftul 7se 670 Categ_ory 1 Minnesota Rules 7672
Energy Code Category liResidential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(Jsubmissiontype) Submitted Submitted
• Energy Envelope Calculations Submifled
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber Telephone )
Mechanical Contractor Telephone )
Sewer/WaterContractor Telephone#( )
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the appr d plan in the case of work which requires a review and
approval of plans. ~ ~ 1
V Gth W{~Lr~-?...~
Applicant's Printed Name A plicanYs Si nature
OFFICE USE ONLY
Sub Types
O 01 Foundation O 07 O5-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 O6-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. AR - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 E~ct. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 36 MuRi Misc.
? O5 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? O6 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 int Improvement ? 38 Demolish Interior ? 44 Siding
O 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building" ? 43 Reroof ? 46 WindowslDoors
? 34 ReplaCement 'Demolition (Entlre Bldg) - Give PCA handout to applicant
Valuation Occupancy MCES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Co~st Width -
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaVC.O.
, _ Footings (deck) _ Final/No C.O.
_ Footings (addition) _ Plumbing
Foundation _ HVAC
Drain Tile Other
Roof Ice & Water Final _ Pool _ Ftgs _ Air/Gas Tests Final
_ Framing _ Siding _ Stucco _ Stone _ Brick
_ Fireplace _ R.I. _ Air Test _ Final _ Windows
Insulation _ Retaining Wall
Approved By: , Building Inspector
Base Fee
Surcharge
Plan Review
MCIES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
~7~9 ~s~sZ
2004 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.
Date ~ ( ~ / v y FLICEK, BRENDA
1007 SAVANNAH ROAD ~ ~
Site Street Address EAGAN, MN 55123 Ufllt #
(651) 688-2704 i
Property Owner ` i elephone # ( )
.
Contractor (612) 827-4033 Telephone # ( )
Address 2905 GARFIEI.~AVE. S~. c;ty scate z~P
~
The Applicant is: _ ,Owner ~ Contractor _Other
Alterations to existing dwelling $ SO.OD
_Add fixtures to rooms, excluding water softener and water heater
_Septic System Abandonment
_Water Turnaround (add $121.00 if a 5/8" meter is required)
Other:
Water Softener ~ Water Heater $ 15.00
~ replacement _ additional
_ Lawn Irrigation S r~ a I~~ new _ repair _rebuild $ 30.00
(}l AU G 0 6 20
State 5urcharge "u $ .SO
-
Total ' $ ~ S. S~
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.
Je~ ~~~-bl~`
ApplicanYs Printed Name Ap canYs Signature
RESIDENTIAL
BUILDING PERMIT APPLICATION i~~l 2~
CITY OF EAGAN f ~5
5~~ 3830 PILOT KNOB RD, EAGAN MN 55122
851-881-4675
New ConaCUCtbn BeaulremeMS BemodaVqeoeh ReauiremeMs
• 3 reg~tered slte suNeys showtr~g sq. fl. of bi, sq. R o1 house; and pll roofetl areas • 2 caples of plen
(20% meximum lot coverage auowed) . 1 set of Energy Ca~ulatbns tor heated a00itbns
. 2 copies of plan showing beam 8 window sizes; poured round tlespn, elc.) • 1 sAe survey for e~lerbr addttbns & decks
• 1 6at of Ene~gy Ca~uletWns • Indicete B Iwme served hy septic system for atlditions
• 3 mpies ot Tree Preservatbn Plen M bt platted aker 7/1/93
. Rim Jolst Deteil Optlons selectbn shaet (bldgs wNh 3 or less un~s)
DATE ~ UZ VALUATION '~~y ~a
SITEADDRESS M~`~ ~~'~-ha~ MULTI-FAMILYBLDG _Y `~N
TYPE OF WORK ~r~.rUl I.°~ C-E'_C~t~c~~ FIREPLACE(S) ~ 0_ 1_ 2
APPLICANT ~aeFrr>'~ K~ Ct~~i'f~nt~ .1uC5 I t`c_
STREET ADDRESS 2,~~ ~.~c~ C~ . S`~~~ CITY ~~vt11c STATE ~~21P ~11~
TELEPHONE # 1oSl-~3~}-94?~ CELL PHONE # FAX #~~1 ~N6?r0219
PROPERTYOWNER +~'~`~~.I ~ C~~ TELEPHONE# 1~s1-lo~}S~Z~-~~
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MIIVNFSOTA RLJI.ES 7670 CA1'EGORY 1 M~TNESOTA RULFS 7672
(J submission type) • Residential Ventilation Category 1 Worksheet 5ubmitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Conhactor: _ _ Phone # _ _ _
Plumbing system includes: _ Water Softener _ Iawn Sprinkler Fee: $90.00
Water Heazer No. of R.I. Baths
~ No. of Baths
Mechanical Conhactor: Phone #
Mechanical system includes: _ Air Conditioning Fee: $70.00
_ Heat Recovery System
SeweNWater Conhactor: Phone #
- -
I hereby acknowledge that I have read ihis applicatlon, state that the Information Is c @n~~e~to c ply
with all applicable StaTe of Minnesota Statutes and Cfty of Eagan O' c~ ~N 1 1 2~02
Signature of Appli
-----°---°--°---°----------------°....._----_-._r...._.V..._..~...~._..._..._.~_.___.._
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
OFFICE USE ONLY ~
? 01 Foundation ? 07 05-plex O 13 1Crplex ? 20 Pool ? 30 AccessoryBldg
? 02 SF Dwelling ? 08 O6-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - MuNi
? 03 01 of _ plex ? 09 07-plex O 17 Garage O 22 Porch/Addn. (4sea.) ? 33 Ext. Aft - SF
? 04 02-plex ~ 10 08-plex O 18 Deck ? 23 Poroh (screened) ? 36 Multi
? 05 03-plex O 11 10-plex ? 19 Lower Level ? 24 Stortn Damage
? 06 04plex ? 72 12-plex Plbg_Yor_N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
O 32 Addition O 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/DOOrs
? 34 Replacement 'Demolition (EMire Bldg only) - Give PCA handout to applicaM
Valuffiion Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const W idth
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinallC.O.
_ Footings (deck) _ FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundarion HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tesu _ Final
_ Framing _ Siding Stucco Stonc
_ Fireplace _ RI. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Piumbing Permit
Mechanical Permit
License Search ~
Copies
Other
Total
Aa$>kYFY~:d:{<YfY,tJ~YR~C~:'>'t.~~X~FY6YF>%igh:~F~~°;9a~k~k~:YX~i~>Y~: ~o;ta4WY:
CITY a-~ F:nc,~u
CA,iI-I;:c.lta S T'~I;i1INAl._ N0: £3F,3
DATEs if.:)/23/J& T:[~iL: 1.2:cSr,~i3
IL~
Nr1Nd=;; E{Ilif:;l-I CRF.::S'f CONSifiUC.;'fTOP:
;'.?_:LCI >f:101 1.0f.]7 Si(~V(-itJNhF; li i3i'.?5
2i.°.ta 900:1. 1.C107 SAVANN~H h.?:HJ
7ot:.al. Re:-ei~:rt Ft~~~ot:n±.. 141.25
r,RO9Li6F.,.~
U,IE:h .T.D:, NFatECY
Y,UkM?;(X(%XiY`l(.:F:~F)XY,(yFYF.Y.c~iX:,tk!'1,S9F~?k`J,( 'MM:;<>;<:;CW ~;(ri;imm ~:Yn~';%XY,(
PERMIT
CITY OF EAGAN
0830 P'lot Knob Road PERMIT TYPE: ~ u z ~ o s N e
Eagan, Minnesota 55122-1897 Permit Number: 0 3 3 7 5 3
(651) 681-4675 Date Issued: 10 / 2 3 J 9 8
SITE ADDRESS:
10~7 SAVANNAH RD
IOT: 2 RLOCK: 3
LEXIN6TON SQUARE 3RD
P.I.N.: 10-45077-020-03
DESCRIPTION:
INCLUDES DECK
Bui'lding Permit Type SF PORCH
Building Wo'r,k Type NEW
.~'ensus Code \ q34 ALT. RESTDENTIAL
%
v
~ - \
j ~
~
` ~
~ _ti-_.,~ , _
„
,
, _ ;
r,., ~
' ~ i'~ + ~ ~
~ . , ~ ~ , ~ - . .
~
~ .
REMARKS:
PLAN REVIEWED BY CRAIG NOVACZYK.
CflLL 445-2840 REGARDING ELECTRZCAL PERMIT ANb INSPECTIONS.
FEE SUMMARY:
VALUATIQN $8,00m
Base Fee $137.25
Surcharge 4.00
Total Fee $141.25
CONTRACTOR: - flpplicant - sT. ~IC. OWNER:
pECKS UNLIMITED 15619196 8004499 FLICEK RANOY
1919 73R0 AVE N 1007 SAVANNAH RD
Bk00KLYN CENTER MN 55444 EAGAN MN 55123
(612) 561-9196 (651}
I hereby acknowledge that I have read this application and state that the
information is carrect and agree tn comply with a11 appliceble 5tate of Mn.
Statutes and City of Eagan prdinances.
L ~ r 9-v.3li 1~~ A c)
APPLICANT ERMITE IGNAT RE 1 ED BV: SIGNATURE
1~-.~ 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122 ~ l 4 l--~ ~
681-4675
New Construction Reauirements RemodeVReoair Reauirements ~ ~ 3
? 3 registered site surveys • 2 copies oi plan
? 2 copies of plans (inUude beam 8 window sizes; poured fnA. design; etc.) • 2 site surveys (exterior addkions & decks)
? 1 energy wlculations ? 1 energy ~alculations Por heated aCddions
? 3 copies of tree preservaNOn plan rf lot platted after 7/1193
required: _ Yes _ No -,,,~yv~
DATE: - - ~ CONSTRUCTION COST; ,~D. ~v
DESCRIPTION OF WORK:
STREET ADDRESS: J~~ ~~j1~C(~,,l~ /.//`j 1'7~i ~
LOT: BLOCK: 3 SUBD./P.I.D. L`f~-~ V~u ~.-C) r~ ~ 59. ~n_ Qa ~
Name: f
~CelS i'1/~~7~'~~l'L°/7GiGt Phone#:
PROPERTY Fi*St
OWNER /
Street Address: J~~~(~.(
N VLC.! M ~
City ~,l' //~n State: Zip:
~ 1- `l~°t S~ 7/ p ~7Z'Z3~is'
~ ,
Company: ~/l J '~~~1' Phone "
CONTRACTOR n //Q
StreetAddress: ~17/7 Gt,/~e License# y~Y'/
City ~l5~~~~L1 V~ ~iP~,l~l State: / ! !V Zip:
ARCHITECT/
ENGINEER Company: Phone
Name: Registration
Street Address:
City State: Zip:
Sewer & water licensed plumber (new construcKion ony): . Penalty applies when address chang
and lot change is requested once permit is issued.
I hereby acknowledge that I have read this application and state that the infortnation is correct and agree to comply with all applicabl
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Appiicant: ~
OFFICE USE ONLY RECEIVED
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required BY~
r,.~l
OFFICE USE ONLY ' ~ .
BUILDING PERMIT TYPE
? 01 Foundation 0 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
? 02 5F Dwelling ? 07 4-plex ? 12 Multi RepaidRem. ? 17 Swim Pool
? 03 SF Addition O 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
~ 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscelianeous
? 05 SF Misc. ? 10 _-piex ~ 15 Deck
WORK TYPE
~ 31 New O 33 Alterations ? 36 Move
? 32 Addition O 34 Repair ? 37 Demolition
GENERAL INFORMATION .
Const. (Actual) Basement sq. ft. MC/WS System
(Allowable) ` Main level sq. ft. City Water
UBC Occupancy ~2 sq. ft. Fire Sprinklered
Zoning 7' ; sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length ~ sq. ft. Census Code. `k~
Depth Footprint sq. ft. SAC Code
Census Bldg ~
~ Census Unit
APPROVALS ~
i
Planning Building ` `~'-h Engineering Variance
- _ ~
PermitFee Valuation: $ ~"Tc"%~-
Surcharge
Plan Review ~ - ~ . r , ~
License
.
MC/WS SAC ~ . ' ' ; _ `
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
°k SAC
SAC Units ~
1 . •
,~1R'PJEYOR'S CERTIFICATE KEYLAND ?~,oM6
i
~ `x I(~ i~~~''~^~ i ~ r'
~_~_i~~IV~.I~~..~IJ .~•~~l.N-~~~~_
_ (885.~) ,75.00 S47°45'00°E- 88y.~_
~ N Ifl \
( S~ DRAINAGE 9 UTIUTY ~ 5 \ • '
~ ~ I EASEMENT PER PLATL W
I
W4 , 18~ i a ~.i
V ' A I ~ . i
0 ~
~ I ~ G ~ '
0 4~c~` v.) I N i
~ - is.so Cas . ie.so • a.
z , I - ao.o , - , Z
~ i ~
/ PROPOSED O ~
L_ r ~ I~ ~ / HOVSE N i I i_~ i~ ~
M I
~ ~
~ 19.33 ~ ~ ,
O ° ~2 ~
O ~ (885,1) o
I GAR ~ N
N I ~ /N I N ~
N ~ ~ ;
-Ifl50-- 22.67 .I&5~_ ~
: r---~ i
~ sr
$ :-;r : ~ o
~ ° L- - J e ~
o - '>~~;i; ° ; ~
(88'kz 75.00 ; N4T°45b0"W (883,T .
~ ~ ~ ~
I
- - - ~
~~Q~. , ~ 1
~ u1J~~ ~ ~ ~ '
BY .Z'~~ i
DATE < < !
;
BUILC{NG INSPECTIO S DEPT . ; , . , '
. . , _ . ~ . ,
DENOTES PROPOSED SURFACE DRAINAGE I
O DENOTES IRON MONUMENT SET SCALE: 1 INCH - 30 FEET i
~ DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR - BBb,O FEET '
X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR - 883.2 FEET '
(000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK- 886.~F FEET ;j
~
i
WE HEREBY CERTIFY TO KEYLAND HOMES THAT THIS IS A TRUE AND CORRECT ~
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: ~
Lot 2, Block 3, LEXINGTON S~UARE 3RD ADDITION, according to the recorded
plat ihe~eof, Dokota County, Minnesota.
IT DOES NOT PURPORT TO SHOW~IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS .
SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 21ST DAY OF SEPTEMBER , 1988.
PFloaOSED oRADES sNOWN WERE 7aKEN SIGNED: JA LL, INC.
. FROM TpE GR11DiNb PLPN ~R LFXiNf.TON , .
SQVAFE 3RD AOD«~oN~ PRfPRRED DY f/.~~.~~~~~~
SUBURBRN ENi1Ni6R7nICs~ ZNL , LAS7 ~HTF.D BY: ~ !~¢7S~
3/Y-8~•
HAROLD C. PETERSON, LAND SUAVEYOR
MINNESOTA LICENS~ NUMBER 12294
~oT~o g
N )ames R. Hill, inc.
- O'"~ m ~ ~N ~ `d ~
o~ o~~ > o o', m~ Z PLANNERS / ENGINEERS / SURVEYORS
T zO m v~ p~ ~
9401 JAMES AVE. S. • BLOOMINGTON, MN. 55431 • 612-884-3029
S
0
n
p•n
S5•OOt
1 •00+
36 • 00~
cP'`
i y
1991 BU~
~G PERM~ A LICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL
2 SETS OF PLANS 2 SETS OF PL9NS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
OF RENTAL UNITS
OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS ZS
DESIRED. NO CHANGES WILL BE ALIAWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For: f"`~h~s~; tl-~li-`-~Me~~faluation: Date:
/007 $a~ar..nl~ h~oar~
Site Address £'o.~a..,MNSSla3 OFFICE IISE ONLY
(Ler r~5+or Sr~~..ur~
f' FEES
Lot Block ~.7 3rcl frad~~-lo.,~ 3 j~~,~
~Dss7.i~~ owr Occupancy Bldg. Permit
tiso~~~ Zoning Surcharge /,o J
Parcel/Suh Actual Const Plan Review
~ Allowable SAC, City
Owner l~ C,n o~N F ce k # of stories SAC, MWCC
I Length Water Conn.
Address /~U7 ...~'iAJ~2hv~c~h ~4a,~ Depth Water Meter
> S.F. Total Acct. Deposit
City/Zip Code ~.r~/i'~N ~
5/~-] Footprint S.F. S/w Permit
r,JURK S/W Surcharge
Phone 6~.Q~C-~-70`~~6iZ)7ab-~~~yl On site sewage_ Treatment Pl.
~ I~ On site well Road Unit
r~.,r,-3•~~4,- /~And w. Fi~~el~ MWCC System _ Park Ded.
City watex Trail Ded.
Address Sa.+~ ~C a S C~ ~a o PRV _ Copies
/ Booster Pump
City/Zip Code y ~.5 h 40~~ SUBTOTAL
APPROVALS Penalty
Phone c,_s ~..b pV ~ Planner Lot Change
Council TOTAL
Arch./Engr. /~/9 Bldg. Off. 3-~- /
Variance
Address
City/Zip Code
Phone #
~~lf /~~iR4%/~ agrees that all work si~all be done in accordance with
Signat e of Contractor)
all applicable State of Minnesota Statutes and City of Eagan Oxdinances.
CITY OF EAGAN FOR CITY USE ONLY
3830 PILOT KNOB ROAD
EAGAN, MN 55122 PERMIT # ~Yo2o2~
PHONE: (612j 454-8100 RECEIPT
~~,LNG~:;~'E~~ DATE: 9
~~;,~~I11~7~e;:~ PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TDWNHOMES/CONDOS WEiEN PERMITS ARE REQIIIRED FOR EACH UNIT.
WORK DESCRIPTION CDMPLETE THE FOLLOWING:
N0. FIXTURES EA. TOTAL
NEW CONST _ ADD-ON MINIMUM 15.00
ADD ON ~j5~~~'I,, _ SHOWER 3.00
REPAIR _ ~'y~i5'` _ WATER CIASET 3.00
BATH TUB 3.00
~ ~ / , , I - LAVATORY 3.00
OWNER NAME: C! ~'1 ti W r G~ K KITCHEN SINK 3.00
/n ! c LAUNDRY TRAY 3.00
SITE ADDRESS: /OV7 Savc~H.~ryl /1Ot~CY c~~~~ SSl~3 _ HOT TUB/SPA 3.00
WATER HEATER 3.00
LOT: ~ BIACK 3 SUBD. 3~~ ~OR DRAIN 3.00
AS PIPING OUT.
INSTALLER: ttoME OS.~NF2 _ (MINIF[~IT~ 1) 3.00
ROUGH OPENINGS 1.50
ADDRESS: _ OTHER
WATER SOFTENER 5.00
CITY: ZIP: _ PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
PHONE
/J / 1 SUSTOTAL S
~~f ~~~~2'-'f/ft' l~~'JbS~''-~Dy ST. SURCHARGE .50
SIGNA E OF PERMITTEE ~
TOTAL: S ~ S
~OI4fERGZfiL .it~lUIIS~'&,IlA"L;: PLEASE COMPLETE THIS PORTION FOR ALL COI~IISERCIAL/INDUSTRIAL SUILDINGS AND
. ~ ,
MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
CONTRACT PRICE: FEES
OWNER NAME: 18 OF CONTRACT FEE.
STATE SURCHARGE _ $.50 FOR
SITE ADDRESS: EACH $1,000 OF PERMIT FEE.
LOT: BLOCK _ SUBD. $25.00 MINIMUM FEE.
INSTALLER: CONTRACT PRICE x 18 $
ADDRESS: STATE SURCHARGE S
CITY: ZIP:
TOTAL: $
PHONE
(SIGNATURE)
FOR:
CITY OF EAGAN
I
' i ,
~
1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS ' ~ ~ I ~
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVE~C, 1 SET OF ENERGY CALCULf~TIONS
NOTEs ADDRESSES FOR COHNER LOTS - CONTR6CTOR/HOMEOWNER MUST DESIGNATE WfiICH ADDRESS
IS DESIRED. NO CHANGES WILL HE ALLOWED ONCE HUILDING PEAMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL QNITS FOR SALE UNITS # OF IINITS
INCL[TDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - GHECK WITA BLDG. DEPT.~
1 SET OF ENERGY CALCULATIONS
CON4IERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STAUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS ~CT Q S 1988
- ~_a-____~ ~G G~ o ao
: {y~~ j/~~~ ~j t/..{~~~Q
To Be Used Fon.~~` ~.CS''y~t`Val
ation• Date: ~ Q ~ f~U~
p ' , /
Site Address /~Tt% / C~'~°'Y~iIrF'~t ~ OFFICE USE ONLY
Lot -L Block 3 ~~On site sewage_ Occupancy ~'3 /k/•/
~ (MWCC system ~ 2oning P D
Pareel/Su ,r.-~ ,11 ;~On site well Actual Const VII~
, p / ~j'~~ ' City wQter ? Allowable //N
Owner w<. f.~+-s-~ } PRV re uired # of stories
' ~ ~ r ~8ooster Pump _ Length ~ 2
Address 1`i ~~7G !~w,~.~J~ lX~ L.~y Depth . 33
~ S.F. Total
City/Zip Code ~~-..rt~r~~-~ l Footprint S.F.
Phone ~~~T - APPAOVALS FEES
Contractor ~y-~'"`-~ Engr/Assess Permit _v3~'
Planner Sureharge 33
Address Couneil Plan Review ~.1
Bldg. OPf. ~r lo~l SAC, City //%n
City/Zip Code Varianee SAC, M61CC ~~B'
Water Conn SSO
Phone ~ Water Meter /~7
Road Unit 3Z
Arch./Engr. ~ - Treatment P1 ~,p~_._
i Parks
Address ~ - Copies
~~y~~.,.~,~, - - TOT9L ~ 2,y~ ~R[~"
027
City/Zip Code 7
~j /J
Phone ~ r~ ~ ~ ~~~7-S
I t i
~ ' ~cr
zC~ . ~ ~,t- z z ~ ~/S- 5! 7 X I ~C ~ ~3 ' p~ ~
~r
w
N~
~/0 a-z 4
[a,~.P, ,k (~z ~ S9~"~o
J
~~fi~y
. . ~ 3L
SURVEYOR'S CERTIFICATE KEYLAND ~6
i r_ 1"~"'~^' I/1 r" .
L_i_i i V~."1 J .~•~+li/-~~~.~~
(eas,~) -75.00 S47°45'00"E- 989.s~_
. ~ ~ - r r~ n \
~ `
' . ~ ' ~ 51~-"DRAINAGE d UT,ILITI(1 5 .
~ ~ ~ ~ ~ W~~ EASEMENT PER~ PLAT I W
a
g ~ LOT 2 I°~
~ ~ I ~
o y) ~~v,~ o"
~ -~~,5
~ ~8ss,,) .
s.so • ~
Z . I ao.o , , Z
~ i ~
M PROaoseo o ' ~
~ ~ I House N; % ~
~ ; I
~ m 19.33 ~ ~ ~
g a I i~885.7~ ~ ZM I
I ~ GAR ~ N
N I E~ / N I N
N ; II N ~
~ ~ ~ ~ •~&50••L--- - 22.67 .I~'S~_ . .
; I ~A~-~<.~..~„_ ~ ~ I o .
~ ~ - ~ o
. , . . , 5 ~,q,<1,;•;; o s ~ _
. ~ o~ :r: . •
\ • -:;t:=~i;~::~:I~:;.l:s .
(88~12) 75.00 N47°45'00"W (883,!)
~ M m
~xi .~Ol!!?~~~-~ g?, A p~ )j
SAVANNAH ; .
; ~~J~ ,
r:.: __r-~~/~/~
F ~ ~ " ..G. _..F-=(/
~ : ~:~~z~
. . ~~{j.' (~y...`y "v;', ,l.?i~.~J~_~:~~u..~2'~
• 1.Jt~i:. :.3. V .
DENOTES PFOPOSED SURFACE DRAINAGE
O DENOTES IRON MONUMENT SET SCALE: 1 INCH - 30 FEEf
• DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR - 886.0 FEET
X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWES7 FLOOR - 883•2 FEET
(000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK- 886,~ FEET
WE HEREBY CERTIFY TO KEYLAND HOMES THAT THIS IS A TFUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Lot 2, Blodc 3, LEXINGTON SQUARE 3RD ADDITION, according to the recorded
plat ihaeof, Dakata County, Minnesota.
IT DOES NOT PURPORT TO SHOW~IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS
SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 21ST DAY OF SEPTEMBER , 1988.
PROPpSED GRADES SHOWN WERE 7AKEN SIGNED: JA LL, INC.
. FRon TME GRADiNb P4AN ~R LF~i^wTON ~
SQuRFE 3M1D ADD~Z~oN PfIEPARED 6Y ~
SUBURBRN ENGfNiSRlI~(y~ ~NG , LpSt OR7ED gY:
~ . 3-/~/-Si.
HAROLD C. PETERSON, LAND SURVEYOR
MINNESOTA LICENSE NUMBER 12294
m o~ o D~ James R. Hill, inc.
~m~n ~ u~~iN o~~
o~ o c0 Z o~ W PLANNERS / ENGINEERS / SURVEYORS
~ . ~ m cn Oo {
E. BLOOMINGTON MN. 6b431 ~ 612-884•3029 .
' r~ , 9401 JAMES AV S ~
P "
n
~ . , . . . , . . . .
: .
rM.•.
, ~
~ EXTER[OR ENVELOPE AVFRIIfE .°U" COMPIITATION ~.j~~ f~
. . . . . . 5F'`$, '
lt i
' ! i,, ~i .
ONNER: nnTr: __~~-5~ ~
- - - ,
SITE ADDRE55: 4.OT 3 PIIONE: r~;~
3KD R-r+ ~J ~z. -33t3~ M !
CONTRACTOR: ~~YI..Nti1D A~rle i~['N
1{ `~i
Determine working square footage of each ~ y~~y,
y}
1. Total exposed wall area.....__[~sq, ft, x.11 ,~U¢,/~, • t~"~~~~;
~ ~ ~anr1~,
2. Totai roof/ceiling area.,... _ 14~r7 sq. ft. x.026 = a~.~(n + dt;`~,k '
;:P:;G
Total exposed wall arca ahove floor=__IG?~_ ~~rn`~~'~~
;:i';
a. Total wall window area //~•8 '~,4i~
b. Total door area. 3•~
c. Total sliding glass~door area y.~~
d. Total fireplace wall, area.. _ '
e. Total wall framing area (average 1DN) _fl
f. Total rim ,~oist area
g. net wall area above floor
h. wall area ahove floor
i. wail area adove floor
frame wall area at foundation
Total exposed foundation area=~~_
r•,i::
k. Total foundation window area -
1. Total net foundation area above grade
~ Determine "u" value of each wall se9ment
(e.g. window, door, each separate wall section)
. : ~ ~~,~fi
a. //.~.8 x ; 3S' = 39.~fS .
- ,
, .
b. 3•7 u u = ~S ' i'•~,+~f.. ~
z u , 4S , , , r
a~ti ~ ~ ~
40 x , ~k• ~f .
i:..
d. X a ' ;~a%.{~ ~
~ ,~.,s•~~ ,
4 ,.i:ti ,i
e. l(vlr~ X : 13.3 ?i~:'.~.rttn: :
r .
/ 'il~.~~C. ~
f. /;~5( X ~ U•a = (a,~f- • •1~"1: ~
1 i
~ 9. 13~~, 8 x , = 5~.3 - ` '~b~,;' `t;
.•f;;,
n. X _ r
~ ;
,
1. X = i.:~. '
i
~ X _ ?iy,~i~'~.y", t~
If item Y3 1s tha;saroe?
k, x~~p~~ ~ as, or less than,itemy;~
p 1, you have met..the;
~ x~~~~~ intent of.SBC 600~,. ~2
~:h'
3 . .................................Total = ~~(v•tJ3 ~;n7~, ~
; ~lt~
i . __....~~.J_......----- . .
/ . . . _ _ - .ta9 tl`
.3~'"•.1d`
• . ' . . .
.
. , , ,
• L~1j~ Construction R-VaIUC
. ~ •
~ r 3 . 1. ~Intcrior air ftlm o~61 •
. •
/~~~~-r ~ f~ , ~p
~
~ ' ~ ~ I l1 ~ • a. ~c ' . .
j .
~,/.I~I I I~ If
y 1~,~I~ill~ll~~ 4. E~xt~.or .~ir filn (still) p,
v~rr - rot~ 2 ~}s8o
;
~ _
. /~~Y--O2 • • . . . • U' ,02 - ~ ,
. . • , ' ' ~ . , ' FMM a . . . • . „
:nted 8eat flav ' Intor.ior aic film ' 0.61
s. rG'1~.._f~__
. ~p • •
. . . . 3. ~l,~~. ~NSuL 38.3$~ . .
. • • 4. IixCecio: .+ir filra (sti
. • . • , •--:--_,_~~_._~.Total 2 Y 90.~~.
rzc. os' ' • . .
. . ~ ~ : ~ . ~ . . . . . : ~ ~ o~.4v
~ - , • ' w • COA.ysR'?CT/ ay`~• . , ' •
..r~..~v-v'v~•.~. ~.to,•,,ti~~r.a~v.~~ ' 0.61
~ 1. Insida air filtn
. . • • , . •
/ ~ ' f,~ ~ ' 4. ~
~ Total
? Il~il~~~i~!`~ J.~"~/U~~I;,!/1_~~ , ' 5• Outr.ide-air. film U.,17
• ~ 1 2 J3 4 .~~C~9~tC`' • ~ ~ '
~ ~ , 1. Ynsldo :+ir Pilm 0:61
~Y.ec[ Ilov up , , ~ ~•vented • ' 3- ~ ' •
, • . ' , ~ , ' 5. Outsida .~ir fil~n 0.17 ,
• , TIG. 16: . . . ' ' . . . : . Total I
^3 ^ ~ u 1. •7nsSd~ air film . ' 0.61. ' I
. ~ l
' ' ~ s~.~,_,-_'.~-ss:t~^~r''~~~ 2 . • !
,•~G~1-... • 3, • i
' 4. - `
~.~~'-•^•".`•','1~;;%-.,; 5. Out.i.de_oir fllm 0.17 ~
r~ ~ • ToW1 ~ ~ I
< ~ . . . i
1 ~ . ~
, . • . . , • •
, . ~ . • . ~ ' •
. ~p~r_pII~~p , : Ho_tc~ Use additional sheets if moro ~paeo i: ' Ri
0
„ • . s~eeeles for deWils and colculations. . ~
. . ,
• Heet , . • • , .
- • . ; ~ ilov up . .r. . . r,; ; . ~
' , . , , ' , . ; ; ~
• rza. e~ . • . • . ~,y :
.
. ~
. . ' ' ~ ` ~
• ~ ~ • ~ ' . _.r........_~ .
I•.Iqo 'l~~:~t
iONi . • ~
j3'P~~.
~f o~~o~~un, w~il nren for .
c<,urt1'uCl l~n Ccm::trucl inn 1:~•Valu.f.
A ~'b~ ~
~ • ~ i I~hl~ry _ .
. -'~l 1. l~lls~!:!!'. 11J_.I.i,~m _ Q<<<~~
} _
~ ~ . ~?.YP
'6D__. ~
-
~ i. ~~~~:i~~-~; ;,~i~ ..,,,,i
, . . . . . . q
r--~3 4 . S.F~l~7_~k~ _ 6.+Q
.
~ -~--0 ` - -~-DarCtn. _ . ..,(v
SIC 6. F'r,l.criur nir film U.17Z
AI,L ' - . _
'ful~i l Z~ Z,T t. . .
~
V ~ •~8
PI(i, M1 7GPVIE1J QF INSUI.-
~ ~1WtE IVALL 1. 1nCrrlnr air :11m f).GII
yZ
"-C.zY~..H7?; . _~45
i,~5~~,,__ .__.----_._.~_-~c;,n
• J • ' 4. ~lcrT.~JS_.. . . ~__~a.0 '
5. _ ~ 1Du~1~b... . IiZ ; i
.
, G. Ext:crior air t'ili,i . U.17 i
FIC. 12 _ _-......._.__.._tiPul.al~..._ ~
~ J . ~ ~ Ra'- U o5
"-r'-"'Q ~ l. L~trric•lr`ilr lilm 0.6f1 ~
•
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~ = i~8
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~ ~ = 1a8
~'ULL ( ~ ~'r~~"~ ,
FuLL2. ~ ~
~ R.Et~~-A~~ ~
1~~M= ~a~
~ Sc7. .~-r, ~K.~oSED W A Ll,. A~~.EA
r3Lo~K:~, i.~~ x, s = y
~.NEE : . Ia~£~ K. 5 = ~Oyo ~
~ x g ~ ~ ~ ww4 . . .
W.O~ ~
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~ul.L I ~ _
i
FULL 2 % k' S "
~ -
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k
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24,~4~ = 9~° ¦ . ~ .
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;
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Z4~4 1111 ~
u~~ - ~?I _~4, tv ~~i'4T1 D D~ .
'3'Z~, ' G,° -1
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/l~.~ ~ 135M~+ U~,Ji+S ~
i.
' Total extw3ed roof/ceiling area = (76 '^'t ,
m• 7bta1 skylight area ~
• n. 7btaZ roof/cciling framinq•area•(,~vereqe.l0e)... ,.M1' I
o• Total net insulated roof/ceiling ;~rea..........
• Determine " . ~
U valuc for eaclt roof/cciling segment ~ ~
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If total of p9 is the same as, or less t:han N2 ~
i
SbC 60C~6 (c) 1. . You have met th~ inl-ent of `
I~
Alternate Buildfn Envelo e Desiqn
Zb utilize the total envelope'system method, the values established b I
items 3 and !
~ N4 shall not be greater than the siun of items Q1 and $Z,Y t~1e of ~
1. ,/~v + 2. . ~ ~'i
3 . ~ / ~ . 3 + 9 . ~~SU_ ° - l,r^ - ~ ~
~ 5 I
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APFLI~ATION ~OR PERMIT i~pTE: PAYMENf OF FEE'E AT TIME OF ~
~ ~ APPLICATidH DOFS NGP CON- ~
` ~ ' STI101L' APPHGi7N. OF PERbIIT.
SEWER AND/QR WATER CONNECTION : I~~~ ~ ~ ~i~ ~ .
; xcasrtw[arioes wIIa. rr~r se crcnrnfn ;
~ , f[RTlIL Pf7iFIIT WtS HEFSI APPRWID.
~i::++:rxrs:t:i~t~i::::~~~~:w~+e~t:~++
~ ~t oF ec~ c~n
~
(PLEASE PRINT
1) PROPERTY ADDRESS: ~
~ll~~~et~~cnn~ A..~~I~-!~L .
r Fr;Ar DESCRIPTION' .
Lot B ock 5 vision or Tax Parcel ID
IF EXISTING STRC'CTORE, DATE OF ORIGINAL BLILDING P~MIT ISSL~ANCE:
Nbnt Year
PRESENP ZONING/PROPOSID USE:
Q CONP~RCIAL/RErAIL/OFFICE I R-1 SINGLE FAMILY
Q INDL'STRIAL ~ R-2 DLPLEX ('1WO C'nits)
Q INSTI4[)TIONAL/GOVERI~]T Q R-3 ~WDII~OUSE (Three + Onits) ( Lnits)
Q R-4 APARTMENT/COI~IDOPIINIL'•M ( Units)
2) ~ NAME: C
ADDRESS: ~
- CITY, STATE, ZIP: 1
PHONE:
nn For City Cse
3) • i NAI~7E: ~1Yw.°~rd,1u.e tlo Pl risn~ se:
ADDRESS: I~ Active
1 Expired
CITY, STATE, ZIP: - Not recordec
PHONE: ~'I - { MASTEEt LICENSE # n~~~ I~1 ~ St Ia
n~
4) s ~ •
NAME:
ADDRFSS:
CITY, STATE, ZIP:
PHONE:
S) s a~ ~ a•, : •"u t o.e
' CONNECTION TO CITY SEWER CONNECTION TO CITY WATER a OTf~RR
6 ) '~~'T c ~l~ I ' . ~
*
* 2Y3E GOLD COPY' OF 4'HE PERMCT WIIS. RE SEPTP DIRECTLY TO PUBLIC FARKS ZO FACILITATE METII2 PIQC-DP. i
* PLEASE ALLC7W 'IS+II~ WORKING DAYS FOR PROCFSSING. SOA7EOI~ FROM ZY~ CITY WILL ODA7PACr YOU IF 741ERE ."i
~
* ARE ANY PROBLEI~IS. +
~+*~~********~**,r*+~:********~r*:~****+********~*+++~~~+***~*********«*****++************,r******+**~;
. ~OR CITY USE ONLY ~ "
PERMIT # ISSUED :.t
~DO J ~
Pd w/Bldg. Permit FEES:
$ $ ~D'y~ SEWER PERMIT (INCLC'DE SURCHARGE)
$ S ~ WATER PERMIT (INCLC~DE SC'RCHARGE)
$ ~ 7~~ ~ $ WATER METER/COPPERHORN/OC'TSIDE READER
$ $ WATER TAP (INCLGDE CORPORATION STOP)
$ $ SEWER TAP
$ $ ~?"`(I ~ ACCOUNT DEPOSIT - SEWER
$ /J`_'U d ACCOONT DEPOSIT - WATER
$ ~ .5~0 ~(J-I~ $ WAC
$ ~ L ~ $ SAC
$ $ TRONK WATER ASSESSMENT
$ $ TRC~NK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRONK SEWER
$ $ LATERAL BENEFIT/TRL~NK WATER
$ '~G ` $ WATER TREATMENT PLANT SC'RCHARGE
$ $ OTHER:
$ ~ U $ G~ TOTAL
~~~ZG ~ A~~ ~ j
RECEIPT RECEIPT
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN POBLIC RIGHT OF WAY?
~ YES IF YES, THEN A"PERMIT FOR WORK WITHIN POBLIC
~ ROADWAY" ML~ST BE ISSOED By THE ENGI[VEERI[VG
NO DIVISION. LIST AS A CONDITION.
SOBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY': _ ~~~~_~,J ~
TITLE:
DATE: ~I./~ /
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA142839
Date Issued:05/22/2017
Permit Category:ePermit
Site Address: 1007 Savannah Rd
Lot:2 Block: 3 Addition: Lexington Square 3rd
PID:10-45077-03-020
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Randy W Flicek
1007 Savannah Rd
Eagan MN 55123
Tony's Appliance
2090 County Road 42 West
Burnsville MN 55337
(952) 435-2442
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA166207
Date Issued:12/21/2020
Permit Category:ePermit
Site Address: 1007 Savannah Rd
Lot:2 Block: 3 Addition: Lexington Square 3rd
PID:10-45077-03-020
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
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 -
Randy W & Brenda F Flicek
1007 Savannah Rd
Saint Paul MN 55123--154
North State Mechanical
1444 14th Street W
Hastings MN 55033
(612) 207-0345
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA171439
Date Issued:08/16/2021
Permit Category:ePermit
Site Address: 1007 Savannah Rd
Lot:2 Block: 3 Addition: Lexington Square 3rd
PID:10-45077-03-020
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
210-0754.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Randy W & Brenda F Flicek
1007 Savannah Rd
Saint Paul MN 55123--154
(612) 240-3682
K & S Heating, A/c & Plumbing Llc
4205 West Hwy 14
Rochester MN 55901
(507) 282-4328
Applicant/Permitee: Signature Issued By: Signature