1042 Savannah RdCITY OF EAWAN WATER SERVICE PERMIT
3830 Pilot Knok Road
P.O. 86x 211 PERMIT NO.: 84S2
Eagan, MN 55121 DATE: 2/17/87
Zoning: I*3 of Units: 1
No
.
Owner Lia= in renra P
Address:
Site Addess: 30d, Sati
Plumber. Kh. cel„
Meter No.: 3 T / r54
Size:
Reader o.: 6 9? 9S
1 agree to comply with the
Ordinances.
'?- - Total:
By Date
Date of Insp.: Insp.:
fI7
s-75 n n
Irges: 67, on metnr
190.0p tp
L
CITY C- EAGAN WATER SERVICE PERMIT
3830 Pilot Knob Road
P.O. Box 21199 PERMIT NO.: S 3 '
Eagan, MN 55?21 DATE: 2/17/S7
Zoning: 2 No. of Units: 1
Owner: ?•'nrvin i'Pnrvr -
Address:
Site Addess: I Q "' Sauannzt h j%nn ! T.5 L l t.ry SET TT T
Plumber. Th ?:rhror " ""o
Meter No.: Connection Charge:
Size: Account Deposit:
Reader No.:
Permit Fee:
I agree to comply with the City of Eagan Surcharge: Sn
Ordinances. Misc. Charges: h7 an mPrer
Total: 1"•n.UC til
BY Date Paid:
Date of Insp.: Insp.:-
CITY Of EAGAN SEWER SERVICE PERMIT
3830 Pilot Knob Road
P.O. Box 21198 PERMIT NO.:
Eagan, MN 55-t21 DATE: 2117/!7
Zoning: ! No. of Units: 1
Owner. aT-vir. Cvorue ---
Address:
Site Address: 104? Savann-ili T`nn : T.= E1 l eX rjn T'T T
Plumber gr"rer Pli„mhi ??
2/1:-V97 , .111,
I agree to comply with the City of Eagan Connection Charge: F.2r,
Ordinances. Account Deposit: } 5 . !^
Permit Fee: }?,{}
Surcharge: :.a
By Misc. Charges:
Date of Insp.: Total:
Insp.: Date Paid:
CASH RECEIPT
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19
RECEIVED
FROM 1
AMOUNT $
77
& -DOLLARS
+oo
? CASH ? CHECKS--
FOR
}
BY
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
Thank You
BLDG. PERMIT NO.
01-3210 Bldg. Permit
01-3422 Plan Check
01-3445 Surch./Adm.
01-3446 SAC/Adm.
01-2155 Surcharge
17-3860 Road Unit
20-2275 SAC
20-3865 Water Conn.
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
'BUILDING PERMIT
CITY OF EAGAN r;? b
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
Receipt #
13215
To be used for SF f )StiG/GBR Est Value $85,000 Date FEBRUARY 11 t 9 87
Site Address 1042 SAVANNAH RD Erect I* Occupancy R3
Lot 5 Block 1 Sec/Sub. LEXINGTON Remodel ? Zoning R1
Parcel No. SQUARE 3RD Repair ? Type of Const. V
Addition ? No. Stories
Name MARVIN GEORGE BLDRS INC Move ? Length 60
z Demolish ? Depth R
c 428
Address BOX
- Int. Impr. ? Sq. Ft
City 13t:I lCEW" 3 3 2 - { 0
? '' install ?
o Name SAMIE Approvals
i Address Assessment
~ City Phone Water & Sew.
a Police
m w Name
Fi
i re
Address E
ng.
s W City Phone Planner
Council
Permit -P .L • VU
Surcharge 42.50
Plan Review 225.5C
SAC 625.010
Water Conn. 525 OC
Water Meter 67. OC
Road Unit 3 05 . U C
I hereby acknowledge that I have read this application and state that the Bldg. Off.
i
i Tr. PI. 180.0c
nformation
s correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances. APC Parks
r Var. Date Copies
Signature of Permittee $2,421. O C
Total
??1ARVIN GEORGE' BLDRS INC
A Building Permit is issued to: on the express condition that
all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
Permit No. I Pem* Holder Dab Tebphom N
Dale
lCert. occ. IVI,, -,If 4 ,,-) ,,P II r/1i elr7 Abe . 1
Fly.
Diap.
' PERMIT #
>.i MECHANICACPERM1T
CITY OF EAGAN RECEIPT #
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ??U 7
T PRICE: ?.9 9 PHONE: 454-8100
Site Address Inv
Lot ? Block l Sec/Sub
ID Name k "t . s IFi ?-
'Fu Address 16 -1 in c-.\ r d
c City `- ?- TPhone 11 Q 32 ?i
L Name U'u_r te ... Lxcx.
C Address P - O - Y?o A La 4,6
p City"PA _. knr Phone
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent.
Gas Piping Outlets #
Other
M BTU
M BTU
M BTU
M BTU
CFM
3. TYPE WORK DESCRIPTION
X New x
Add-on
n. Repair
FEES
IIES. HVAC 0-100 M BTU -$24.00
kDDITIONAL 50 M BTU - 6.00
RES. HVAC INCLUDES A/C ON NEW
:ONSTRUCTION)
iAS OUTLETS (MINIMUM -1 PER PERMIT) - 1.50 EA.
:OMM/IND FEE - 1% OF CONTRACT FEE
kPT. BLDGS. - COMM. RATE APPLIES
'OWNHOUSE & CONDOS - RES. RATE APPLIES
AINIMUM RESIDENTIAL FEE - ALL ADD-ON &
REMODELS - 12.00
AINIMUM COMMERCIAL FEE - 20.00
iTATE SURCHARGE PER PERMIT - .50
NDD $.50 S/C IF PERMIT PRICE GOES
IEYOND $1,000)
FEE ?:1. (?,• ` ?, i? LVl? . .
S/C: • 3O SIGNATURE OF PERMITTEE
TOTAL: -
FOR: CITY OF EAGAN
PERMIT # '
PLUMBING PERMIT -71
CITY OF EAGAN RECEIPT #
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: "
CONTRACT PRICE: PHONE: 454-8100
Site Address I'. ?' d
Lot Block I Sec/Sub
m Name
Address
c City
Name
Address
O City
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
MINIMUM - RESIDENTIAL FEE _$10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
FOR: CITY OF EAGAN
BLDG.TYPE
Res.
Mult
Comm.
Phone Other
WORK DESCRIPTION
New x
Add-on
Repair
NO. FIXTURES TOTAL
Water Closet - $3.00
Bath Tubs - $3.00
Lavatory - $3.00
Shower - $3.00
Kitchen Sink - $3.00
Urinal/Bidet - $3.00
_ 1 Laundry Tray - $3.00
Floor Drains - $1.50
Water Heater - $1.50
Whirlpool - $3.00
Gas Piping Outlets - $1.50
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
FEE
STATE S/C:
GRAND TOTAL
1wC ?] ?y tQt, t t j.yi OFFICE USE ONLY This request void 18 months From validation date printed in this box.
l?HII iIIIIIIIIHIiIiIIIIIIIIIINIIIIIIIIIIIIIII?
. 0 4 4 3 1 1 6 9 * PLEASE PRINT OR TYPE
$,q 0
Z ?q Roughen inspection required? 0 Yes
(You must call the inspector when ready) inspection Other Than Rough-In:
Dole Ready: Will Call
I icensed contractor 0 owner hereby request inspection of the above electrical work at:
Job Address (Sued, Box, or Rout hlo.J
fv q.2- City Zip Code
Section No. Township Nome or No. Range No. Fire No. County
1 `6 2' - 1,5-
Power Supplier Address
Electr?qq Contr actor ny Nam) Contractor License No.
(7a Master Lic. No. (F)ont Elect. Only)
Mailing Address tC tractor w i g Installation)
A 'zed Signatur (Can r Owner Performing Insial ation) PlrOne No
EMODD I A-11 8/96 STATE BOARD COPY - SEE INSTRUCTIONS ON BACK OF YELLOW COPY /I
70?s, f / REQUEST FOR ELECTRICAL INSPECTION
443-116 1821 Univers ty Ave.,, Rm. S-128, t. Paul, IV 55104
Phone (612) 642-0800
Home Duplex Apt. Bld Other: New Addn
Commercial Industrial Farm Remod Re it
Air Cond. g. Equip. Wafer Htr. Load Mgmt. Other:
Dryer Range Elec. Heat Temp. Service
"X" above the work covered by this request.?Enterr remarks in this space and on the back of the white copy only.
/+ //
Calculate I /3Pl ection Fee -This Inspection Request wit not be accepte without the correct fee:
Other Fee At Service Entrance Size Fee # Circuits/Feeders Fee
Mobile Home Park Stall 0 to 200 Amps to 100 Amps U '
Street Lig./Traffic Sig. Above 200 Am s o Amps
Transformer/Generator INSPECTOR'S USE ONLY d? TOTAA?
Sign/Outline Ltg. XFmr.
Q? O
Alarm/Remote Control ntrol
Swimming Pool --
I hereb <eai at I e e icd insfallanon &e nbed herem on the dam sml d
Irrigation Boom RougMn ua?e
ecial Ins
ection
S
p
p
Investigative Fee /
Fin Da
THIS INSTALLATION MAY BE O ERED DISCONNECTED IF NOT COMPLETED WITHIN 8 ONTHS.
?17 00
neq ues[ ua [e Fire No. ough-iii l2/pection
'] p Rea fired?( ?ReadV Now Will Notify Inspec-
e?A A?' 6 '? Yes ?NO [or When n Ready
icensed Electrical Contractor I hereby request inspection of above
? caner electrical work installed at
Street Address, Be. or Route No. City
ecunn o. Township Name or No. Pange No. County
Occupant IPRINTI Phone No.
Power Supplier Adtlr s
. ElecU cal
gm ny NameI
Contractor (C itractor's License
J C
m No
/
ln ?
/
Mailin Addre Co tractor or Owner Making Instailation)
Authorized S' ature (Contractor?Owner aki ng Installation) Phone Number
w
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION R60UEST WILL NOT
Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD
1821 University Ave.. St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone 16121 297-2111 ENCLOSED.
FFjjrE FO R ELECTRICAL INSPECTION p: EB-°oool °2
nstructions for completing this form on back of yellow copy. U0 7?Cr'?'2'
"X" Below Work Covered by This Request
Nen Add Rep. Type of Building Applioncea Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Lighting Fixtures
Apt. Building Dryer Electric Heating
Commercial Bldg. Furnace Silo Unloadur
Industrial Bldg. Air Conditioner Bulk Milk Tank
F
arm Other peer y Cher lSper.ifyl
t
Spec, y Other Other
Compute Inspection Fee Below
p Fee Service En Vance Size d Fee Faaders/Subfeeders d Fee Circuits
1 a? 0 to 200 Amps- 0 to 30 AMPS 0 to 30 Amos
Above 200 Amps 31 to 100 Amps / - 31 to 100 Am s
Swimming Pool Above 100_Amps Above 100-Amps
Transformers Irrigation Booms Partial, Other Fee
Signs Special Inspection 8
TOT
Remarks ?F/ Tl
J AL F
-? ,
At
r .
Rough-in ??toy (?/ I, the Electrical
a yy7 • Inspector, hereby
certify that the above
I Final OD t y spection has been
^ /...? A% J made.
This mouestyold 18 moethsfrom
BUILDING PERMIT
Receipt #
N2 13215
`??6-c7s
Tobeusedfor SF DWG/GAR Est Value $85,000 Date FEBRUARY 11 tg87
Site Address 1042 SAVANNAH RD Erect C2C p R3
Lot 5 Block I Sec/Sub. LEXINGTON
Parcel No. SQUARE 3RD
W Name MARVIN GEORGE BLDRS INC
3 Address BOX 428
o City PRINCE$Q& 332-3034
i o Name SAME
$ ¢ Address
City Phone
I- 1
01
Name
?i
z Address
z
<w City Phone
Remodel
? ccupancy
Zoning R1
Repair ? Type of Const. V
Addition ? No. Stories
Move ? Length 60
Demolish ? Depth 38
Int. Imps ? Sq. Ft_
Install ?
Approvals Fees
Assessment
Water & Sex
Police -
Fire
Eng.
Planner-
Council
I hereby acknowledge that l have read this application and state that the
information is correct and agree to comply with all applicable State of Bldg. Off.
Minnesota Statutes and of Ea an Ordi ganc?S
p APC
Signature of Permidee 7 /11 ?
y??, )II k Var. Date
A Building Permit is issued to: MARVIN GEORGE BLDRS INC
all work shall be done in accordance with all applicable mate of Minnesota WL
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
Permit $ 451.0(
Surcharge 42.5(
Plan Review 225.5(
SAC 625.0(
Water Conn. 525.0(
Water Meter 67-0(
Road Unit 305.0(
Tr. PI. 180.0(
Parks
0
Copies_? r
TM.1
- on the express condition that
of Eagan Ordinances.
Building Official
K
1
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
L t rl r-l ( _ 3830 PILOT KNOB RD, EAGAN MN 55122
651.681.4675
New Construction Requirements
• 3 registered are surveys showing sq. ft. of lot, sq. ft, of house; and all roofed areas
(20% maximum lot coverage allowed)
• 2 copies of plan showing beam & window sizes; poured found design, etc.)
• 1 set of Energy Calculations
• 3 copies of Tree Preservation Plan if lot platted after 711193
• Rim Joist Detail Options selection sheet (bldgs with 3 or less units)
DATE J /1 V2
S r-1 1?.`- 5
C_e?J
RemgdelfRegair Requirements
• 2 copies of plan o
• 1 set of Energy Calculations for heated additions
• 1 site survey for exterior additions & decks
• Indicate if home served by septic system for additions
VALUATION _? :2•r'/& Y
SITE ADDRESS iO Y a Sc?„v at ? , MULTI-FAMILY BLDG - Y -ON
TYPE OF WORK g x 1'2 3-re&-all ptj j2arcL FIREPLACE(S) -4/0 1
2
_
_
APPLICANT eot:)ni o CYI c I9_f 0 rL0_C
STREET ADDRESS a123 io1? *,Vlf. CITY Ve'" Ar,4 TATEY11a.zip _ srlI
TELEPHONE # &S"l01.1! OD CELL PHONE # FAX # GSI -G 31` 23'a l
PROPERTYOWNER S' Zia I1 e'r TELEPHONE# r,s?/-LA'7.91 rl
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category MINNESOTA RULES 7670 CATEGORY 1 _ MIN (J submission type) • Residential Ventilation Category 1 Worksheet Submitted IN '7r e• Energy Envelope Calculations Submitted , 1111 1 6 2002
Plumbing Contractor: Phone # _
Plumbing system includes: Water Softener _ Lawn Sprinkler ee 0.
Water Heater _ No. of R.I. Baths
No. of Baths
Mechanical Contractor.
Mechanical system includes:
Sewer/Water Contractor:
Phone #
Phone #
Fee: $70.00
--------------------------------------------------------------------------------------------------------------------------
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances. n
Signature of Applicant
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
Air Conditioning
Heat Recovery System
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace "< 21 Porch (3-sea.) ?
/ 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (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 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation 9 Occupancy ??C 0-41 MC/ES System
Census Code y' 3 y Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. A ? PRV
Nbr. of Bldgs Length / r Fire Sprinklered
Type of Const f\; Width 1 r
REQUIRED INSPECTIONS
- Footings (new bldg) _ Final/C.O.
_ Footings (deck) Final/No CO.
?C Footings (addition) _ Plumbing
_ Foundation _ I-IVAC
Drain Tile Other
Roof - Ice & Water Final Air/Gas Tests
Ftgs
Pool Final
X Framing _ _
- _
_
Siding _ Stucco _ Stone _
_ Fireplace - R.I. -Air Test - Final _ Windows (new/replacement)
Insulation Retaining Wall
Approved By li_z, . Building Inspector
------------------------------------------------ ------------------
-----------------------
----------------------------- --
Base Fee
h
S CC
J ?`?ls
urc
arge
Plan Review
MC/ES SAC
(
/)'
?t/ ?' ?? (P lJ
City SAC d
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
1
i
i
a+iww? w ems. •att?
ml?
rrtri,?rr t•r•n+"•t•r rr•e"r. ?A»
7--w •W tw•m • Wtiw
.. CwtMosto of survey for Liar !7 orge B ?,fdPr?
?AVAA/A/A14 RoAO ?
50' 2]"E "' 1-_-_ NORTH
75.00
$0." y Q - - _.. d 9L' z
% " o I M
H a 3 •
R d '
h I 1• 6q MT. I M
0. p l?O ,'? 89x.v°
g9?gl ` __. __ L7.0 r
y p I
O
° 93. 9? 9 ? StvL I
? 22.0 ?'.?. ll.• Qt S• ? I ? W '
o . q " Lo I o
"? •
01/
Z o yy » ;g U? I `^
M ?o•
51 s u?f? 15 ???
L---- -- $933
75.00 J
s, 87030' 27"w
tearir4s Sham are Assr•ad
o Denotes Iron Memesent
o Denotes ' PMOMSED ELEVATION&
° Denotes Existing Elevation
¦ Denotes Proposed Elevation Top of Block 17s.s
Denotes Direction of Surface Drainage Lowest Floor M
Denotes Drainage and Uti l it,' Esseoent Garage Floor f 9Ss
LOT 5
L a 6 TON SQUARE 3RD ADDITION
Subjecl to drainale e ufloj eawwnls Duorp Coawy, MINN.
I bembp OWWO .w rw. 1 • so" r em"a" r+.rww4. M ¦ wr.t? M eas a.wa.r d w +w
as w.w"wd b ?. r?N ?OrM
?+ ew of •, "D N0149010. "IC.
JCQfe: 1 • 5D 1 ?'"r. o la c cm'• C D
./V i77Y.>
TC 26. An Easement Agreement for Project 751R (Dodd Road, Cliff Road to Butwin
Road - Street, Utility and Trail Improvements) with the owners of Parcel 10-
03600-028-25 (4615 Dodd Road) was approved and the Mayor and City Clerk
were authorized to execute all related documents.
Gene 27. A Resolution to issue and sell $3,550,000 General Obligation Improvement
Bonds, Series 2002A was approved.
Gene 28. A Resolution to issue and sell $1,290,000 General Obligation Improvement
Refunding Bonds, Series 200213 was approved.
Gene/MariaN. The list of absentee election judges for the September 10, 2002 Primary Election
was approved.
Ken 30. Change Order No. 2 Eagan Central Park - Bandshell in the amount of $45,729
was approved.
PUBLIC HEARINGS
Mike 31. A 1.7 percent variance from the maximum 20 percent building coverage standard
in residential zoning districts for the construction of a 216 square foot addition on
property located at 1042 Savannah Road (Lot 5, Block 1, Lexington Square 3`d
Addition) in the NW '/4 of Section 23 was approved.
Mike 32. A 7-foot variance to the maximum 10-foot accessory structure wall height for a
pool house on property located at 3537 Great Oaks Place, legally described as Lot
7, Block 1, Great Oaks in the NE '/4 of Section 14 was approved.
OLD BUSINESS
TC/Mike 33. A Final Subdivision to create 3-lots on 6.68 acres located at Northwood Parkway
and Denmark Avenue in S '/4 of Section 10 (the Final Subdivision includes the
vacation of a portion of the Denmark Avenue right-of-way which is incorporated
into the final plat) was approved.
A Final Planned Development for Lot 1, Block 2, Olson-Burger Addition for
construction of a 12,833 sq. ft. retail store was approved.
TC 34. Contract 02-17 (Cedar Grove and Central Parkway - Streetscaping) to the low
bidder, Jay Brothers, Inc., for the base bid amount only was approved and the
Mayor and City Clerk were authorized to execute all related documents.
Mike 35. A Rezoning of approximately 5-acres from A (Agriculture) to PD (Planned
Development) and a Preliminary Subdivision (Greyhawk 15` Addition) consisting
of 15 lots and three outlots located in the SE '/4 of Section 20, subject to the
conditions in the June 25, 2002 APC meeting minutes were approved.
TC 36. Action was taken to perform a traffic signal justification report on Blackhawk
Road at Silver Bell after the Cedar Grove reconstruction improvements are
substantially completed in the spring of 2003.
RESIDENTIAL
BUILDING PERMIT APPLICATION
n n/? I CITY OF EAGAN
"l ?j l0 3830 PILOT KNOB B RD RD -
55122
651-681-4675
New Construction Requirements
• 3 registered site surreys showing sq. ft. of lot, sq. ft. of house; and all roofed areas
(20% maximum lot coverage allowed)
2 copies of plan showing beam & window sizes; poured found design, etc.)
• 1 set of Energy Calculations
• 3 copies of Tree Preservation Plan ff lot platted after 711/93
• Rim Joist Detail Options selection sheet (bldgs with 3 or less units)
DATE VALUATION a-V 44
JOB SITE ADDRESS kz>AZ S' ?1ayJr?_1`
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY C
TYPE OF WC
APPLICANT
ADDRESS`Z
PAGER #
CELL PHONE #
FIREPLACE(S) _K0 _ 1 _ 2
_ PHONE#
ZIP CODE SS lV
FAX # ?I'-U93-C1Z 1 Q
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumbing Contractor.
Plumbing System Includes:
Mechanical Contractor: _
Mechanical System Includes
Sewer/Water Contractor:
- Air Conditioning
- Heat Recovery System
Phone #
Phone #
Fee: $90.00
Fee: $70.00
All above information must be submitted prior to processing of application.
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 Ordina es.
Signature of ApItca \
Certificates of Survey Received _ Tree Preservation Plan Received _ N cMowd Q 2 2002
U 21d 2002
Water Softener
Water Heater
No. of Baths
Remodel/Repair Requirements ' Q
2 copies of plan
1 set of Energy Calculations for heated additions
1 site survey for exterior additions & decks
Indicate if home served by septic system for additions
_ Phone #:
Lawn Sprinkler
No. of R.I. Baths
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of - plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (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 Windows/Doors
? 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
- Footings (new bldg) _ Final/C.O.
- Footings (deck) _ Final/No C.O.
- Footings (addition) _ Plumbing
_ Foundation HVAC
Drain Tile _ Other
Roof - Ice & W ater _ 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
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Building Inspector
L 5 BL CITY USE ONLY RECEIPT
SUED. DATE: 7 s7
J 3rd
1996 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: single family dwellings
? town homes and condos when permits are required for each unit
New construction Add-on furnace
Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc.
Date: ?& -
? Minimum Fee: Add-on/Remodel (existing residence only)
? HVAC: 0-100 M BTU
Additional 50 M BTU
? Gas Outlets (minimum of 1 required @ $3.00 each)
? State Surcharge
TOTAL
SITE ADDRESS: 42i VLT
/- / '/( '
OWNER NAME: pp ,
INSTALLER NAME:-preferred heating & air
STREET ADDRESS:- 7643 Logan Avenue South
Richfield, MN 55423
CITY: i Bus: 866-7611 Fax: 866-0125
PHONE #: ( )
FEES
$ 20.00
24.00
6.00
.50
PHONE *69
ZIP:
CITY USE ONLY
L BL
SUBD.
RECEIPT #:
DATE:
1996 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? all commercial/industrial buildings.
multi-family buildings when separate permits are not required
for each dwelling unit.
DATE:
WORK TYPE:
CONTRACT PRICE:
NEW CONSTRUCTION
DESCRIPTION OF WORK:
INTERIOR IMPROVEMENT
FEES: ? $25.00 minimum fee gr 1% of contract price, whichever is greater.
? Processed piping - $25.00
State surcharge of $.50 per $1,000 of permit fee due on all permits.
CONTRACT PRICE x 1 %
PROCESSED PIPING
STATE SURCHARGE
TOTAL
SITE ADDRESS:
OWNER NAME:
TENANT NAME: (IMPROVEMENTS ONLY)
INSTALLER:
ADDRESS:_
CITY:
PHONE #:
TELEPHONE #:
STATE: ZIP:
SIGNATURE:
SIGNATURE OF PERMITTEE CITY INSPECTOR
CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
(Please Print
1) PROPERTY ADDRESS:
LEGAL DESCRIPTION:
IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE:
(Mon Year
PRESENT ZONING/PROPOSED USE:
[] CON-ERCIAL/RETAIL/OFFICE
C3 INDUSTRIAL
o INSTITUTIONAL/GOVOWENT
2)
NAME:
ADDRESS:
CITY, STATE, ZIP:
PHONE:
3)
i
u m ?-
MANE:
ADDRESS:
CITY, STATE, ZIP:
PHONE:
R-1 SINGLE FAMILY
-R-2 DUPLEX (Two Units)
R-3 TOWNHOUSE (Three + Units) ( Units)
R-4 APARTMENT/CONDOMINIUM ( Units)
- (1 J ,?" MASTER
Ylumoers License:
Active
Expired
Not recorded
Sta -Initial
4) 1L9i_M1W;Q,) A 104-
NAME:
ADDRESS:
CITY, STATE, ZIP:
PHONE:
CONNECTION TO CITY SEWER P( CONNECTION TO CITY WATER Q OTTER
6) " • [?` PLEASE HOLD APPRJOVED^ PERMIT FOR PICK-UP BY ONE OF ABOVE
L7 PLEASE MAIL APPROVED PERMIT TO 1, 2, 3, 4, ABOVE
(Circle one)
7) r r. 7" i 4-
,-m A /.-I
1 ? 7
HOTS: PAYMENT OF FEE AT TIME OF
APPLICATION DOES NOT CONS1'ITD1E
APPROVAL OF PERMIT.
i INSPECTION OF SEWER AND/OR WATE:[2
INS71 T.LATIONS WILL NOT BE SCHED-
ULED UNTIL PERMIT HAS BEEN
APPROVED.
TOR CITY USE ONLY
PERMIT # ISSUED
Pd w/Bldg. Permit FEES:
Sv
$ / D $ SEWER PERMIT (INCLUDE SURCHARGE)
$ LAS S U $ WATER PERMIT (INCLUDE SURCHARGE)
$ /2 7 $ WATER METER/COPPERHORN/OUTSIDE READER
$ $ WATER TAP (INCLUDE CORPORATION STOP)
$' $ SEWER TAP
$ S
$ ACCOUNT DEPOSIT - SEWER
$ ACCOUNT DEPOSIT - WATER
$ ,5J6 U $ WAC
$ $ SAC
$ $ TRUNK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRUNK WATER
$ l? O B-L} $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
$ 1 7 ?? U $
TOTAL
706
RECEIPT RECEIPT
DOES UTILITY CONNEC TION REQUIRE EXCA VATION IN PUBLIC RIGHT OF WAY?
Q YES IF YES, THEN A " PERMIT FOR WORK WITHIN PUBLIC
NO
Q ROADWAY" MUST BE
DIVISION. LIST ISSUED BY THE ENGINEERING
AS A CONDITION.
SUBJECT TO THE FOLLOWING CbNDITIONS:
APPROVED BY:
TITLE:
DATE: c;;(-1/-e7
1986 BUILDING PSAMIT API 451 -0 0+
42.50+
NOTE: ALL CONTRACTORS MUST BE LICENSED WITH Ti 225 -50+
SINGLE FAMILY DWELLINGS 625-00+
525.00+
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SUH s 67.00 +
305.00+
MULTIPLE DWELLINGS - RESIDENTIAL RENTAL UNIT 180.00 +
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURM 2 ' 42 1 • 00
1 SET OF ENERGY CALCULATIONS f S?
COMMERCIAL y
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
as ooo
?-?
To Be Used For: Valuation:
0
Site Address
-5 1
Lot y() Block `f-
Parcel/SubLexinnton g. AkdrAdd.
Owner Marvi
Address Box 428
City/Zip Code Princeton, MN 5537
Phone
Contractor Marvin George Builders
Address Box 428
City/Zip Code Princeton. MN 55371
Phone 3323934
Arch./Engr.
Address
LATIONS
Date: Fsbpwar?', }987
?
Erect Occupancy R 3
_
Remodel Zoning I
Repair Type of Const -177
Addition # of Stories
Move Length b0
Demolish Depth
Int.Impr. Sq Ft
Install
APPROVALS FEES
InAgsessments Permit 451.
Water/Sewer Surcharge
Police Plan Review 225
Fire SAC (oZ5
Engr Water Conn S
Planner Water Meter l07
Council Road Unit °i0 5'
Bldg Off Treatment Pl 160.
APC Parks
Variance Copies
TOTAL /
City/Zip Code
Phone #
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR /HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
Z8x 3?l _ l?? 2 x 58 7 ?333lo
I ? X 2?^ 24 2 x?- 1403 -
22x2?" 2Z?x(2 - ?33?
= q??
?d X (2 _ (20
b4 2&6
I
Wr ea..
OR •M-Mft • A I
.n? aft w now
r'? rW-W"a.0bom0•ar T- r*• rwr&" 6 r.r rrr0
Cortirleate of survey for YlI1 o rqe B „1 ,rS
MMraeHear?
-GAVAAlAIA14 ROAD
a"?^ I 175.00
gqS ~
g9il•a ?
Y
0
0
3
4. t M
i
? C
N N
Z
?s
?yz. Z
9 p, J(0
w
N,
? q
rh O
N •
? N
?i
893.3
-de-?
W OR rH
i->
0
? v
0 ?
a i
0. p
z?
a ?.
06J
Yi
-1 1°
o I ?M
0
+• agnT,? ? I 1?
rY Gl ?'
o ?? I
? ti4°
oQ° Asti
e°' 4o I
I
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r y
o
N °.
1
5I (S
75.00
s. 870027••w.
!wrings Shorn are Assumed
o Denotes Iran ft n ment
o Denotes ' PNp05ED ELCUTIM
Denotes Existing Elevation
• Denotes Proposed Elevation Top of dock 4s.5
'- Denotes Direction of Surface Drainage Lowest Floor S
Denotes Drainage and KIM.- Easement Garage Floor d9Sz
L®7o 5 , BLOCK
L EXI NG TON SQUARE 3RD ADDITION
Su bied & drain ale ? vfi li j easer wn is DAko7w CWWY, M1W.
?...? r? ra.. qw • ......r ....... raP.r+aoaMa. aI a .......r w wa.r r w ab.a
N M'+?? ti ? raN /? aqM a. a. M?
RIYrefWm .md
co?,
LH
yb'x3y
MINNESOTA STATE BUILDING CODE DIVISION
EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION 00
OWNER M qr U pj CoPoP c F ?U ,1 A np
SITE ADDRESS
CONTRACTOR QJ1 \JT -PHONE
Determine working square footage of each:
1. Total exposed wall area...., k o y y
sq. ft. x
2. Total roof/ceiling area ..... ??
sq. ft. x
Total exposed wall area above floor
a. Total wall window area . . . . . . . _ a U C?
b. Total door area. . . .
C. Total sliding glass door area. . ' ' -?'L4?l
d. Total fireplace wall area. ?4 --
e. Total wall framing area (average 102). . .
f. Total net wall area above floor, v?
g. Total rim joist area . . . . -?--
Total exposed foundation area !.,
99
q -,
h. Total foundation window area
i. Total net foundation area above grade. ,
i
1r?'` 'I LeterminL-!U" value of each wall segment:
3
b. X "U'. a3 = ?. ?D f
d . X „U,.
_,??3 ?
X
t
kTil?; ;
t /_
?,,?? fig.
?? i. / Ap 11??? 0?? (? e3
0
TOTAL. . . . . . . . . . . .?
1f item p3 is the `same as, or less than item 111, you have met the intent of SBC 6006(c)2.
Total exposed roof/ceiling area > / ? U
j. Total skylight area . . . .
k. Total roof/ceiling framing area (Average 10X) .
1. Total net insulated roof/ceiling area . . . . . . .
Determine "U" value for each roof/ceiling segment:
?• A V
k. 133 x hull , o (o
1. )19 3 x '1?,1 , a a ??f, a s
TOTAL . . . . . . . . . . . . . . s 31 , O
ti total of item #4 is the same as, or less than item 112, you have met the intent of
;BC 6006(c)1.
Alternate Building Envelope Design
Po utilize the total envelope system method, the values established by the sum of items
!3 and 114 shall not be greater than the sum of items 111 and 82.
1. a).?a?l ?`? + 2. 3 tI .S u - 5?cc3,?1
3. I??.?c +4. jf.()? (??0.??
14i
_' i
CITY USE ONLY
L 5 BL RECEIPT* 2?a97
SUBD. aJ ?? DATE:
1996 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
New construction Add-on furnace
Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc.
Date:
? Minimum Fee: Add-on/Remodel (existing residence only)
? HVAC: 0-100 M BTU
,hdoitional 50 M BTU
? as Outlets ( inimum f 1 required @ $3.00 each
Q1 )EW (tams . ooty?
? State Surcharge 9
SITE
OWNER
FEES
$ 20.00
24.00
6.00
50 s
C5? o -
PHONE #:
INSTALLER NAME'- _- -
preferred h -
eating & air l
STREET ADORES 7643 Logan Avenue South
Richfield, MN 55423
CITY: Bus: 866-7611 Fax: 866-0125 ZIP:
PHONE #: ( )
i
CITY USE ONLY
L BL
SUBD.
TELEPHONE #:
Please complete for: ? all commercial/industrial buildings.
multi-family buildings when separate permits are DQJ required
for each dwelling unit.
DATE:
WORK TYPE:
DESCRIPTION OF WORK:
FEES: • $25.00 minimum fee gl 1% of contract price, whichever is greater.
• Processed piping - $25.00
• State surcharge of $.50 per $1,000 of permit fee due on all permits.
CONTRACT PRICE x 1%
PROCESSED PIPING
STATE SURCHARGE
TOTAL
SITE ADDRESS:
OWNER NAME:
TENANT NAME: (IMPROVEMENTS ONLY)
INSTALLER:
ADDRESS:.
CITY:
PHONE #:
SIGNATURE:
SIGNATURE OF PERMITTEE CITY INSPECTOR
RECEIPT M
DATE:
1996 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 6814675
CONTRACT PRICE:
NEW CONSTRUCTION INTERIOR IMPROVEMENT
STATE: ZIP:
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA150886
Date Issued:07/27/2018
Permit Category:ePermit
Site Address: 1042 Savannah Rd
Lot:5 Block: 1 Addition: Lexington Square 3rd
PID:10-45077-01-050
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
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.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
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 -
Kenneth J Scheller
1042 Savannah Rd
St Paul MN 55123
(651) 687-9151
Mnp Mechanical Llc
452 8th Ave SW
Lonsdale MN 55046
(952) 292-9238
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA163660
Date Issued:09/09/2020
Permit Category:ePermit
Site Address: 1042 Savannah Rd
Lot:5 Block: 1 Addition: Lexington Square 3rd
PID:10-45077-01-050
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Includes Skylight
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Kenneth J Scheller
1042 Savannah Rd
St Paul MN 55123
Minnesota Restoration Contractors Inc
12252 Nicollet Ave
Burnsville MN 55337
(612) 280-4807
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA163778
Date Issued:09/11/2020
Permit Category:ePermit
Site Address: 1042 Savannah Rd
Lot:5 Block: 1 Addition: Lexington Square 3rd
PID:10-45077-01-050
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 -
Kenneth J Scheller
1042 Savannah Rd
St Paul MN 55123
Home Depot Usa Dba The Home Depot
2455 Paces Ferry Rd
Atlanta GA 30339
(763) 852-1044
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA171682
Date Issued:08/26/2021
Permit Category:ePermit
Site Address: 1042 Savannah Rd
Lot:5 Block: 1 Addition: Lexington Square 3rd
PID:10-45077-01-050
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Kenneth J & Lisa J Scheller
1042 Savannah Rd
Saint Paul MN 55123--152
Bonfe's Plumbing & Heating
455 Hardman Ave
South St. Paul MN 55075
(651) 228-7140
Applicant/Permitee: Signature Issued By: Signature