1058 Savannah RdCITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHO N E: 454-8100
BUILDING PERMIT Receipt #
To be used for Est. Value Date ,19
Site Address OFFICE USE ONLY
Lot Block Sec/Sub. On Site Sewage Occupancy
MWCC System - Zoning
Parcel No. On Site Well - Type of Const
City Water (Actual)
_
Q Name (Allowable)
W
3
Address * of Stories
Length
° City Phone Depth
F
Total
S
.
.
p Name Footprint S.F.
u ` Address APPROVALS FEES
a
City Phone
Assessments
Permit
Water/Sewer Surcharge
W m Name Police Plan Review
u z. Address Fire SAC, City
Engr. SAC, MWCC
g W City Phone Planner Water Conn.
Council Water Meter
I hereby acknowledge that I have read this application and state Bldg. Off. Road Unit
that theinformatIoniscorrect andagree tocomply with allapplicable APC - Treatment P11
State of Minnesota Statutes and City of Eagan Ordinances. Variance - Parks
Copies
Signature of Permittee TOTAL
A Building Permit is issued to: on the express condition that
all work shall be done in accordance with all applicable State of M innesota Statute s and City of Eagan Ordinances.
Building Official
Permit No. Permit Holder Date Telephone it
Plumbing
H.v.A.C.
Electric o , 1115 8
Softener
Inspection Date Insp. Comments
Footings I 6 is ug
Footings II '
Foundation
Framing
Roofing
Rough Plbg. 3 _y ?J t '
Rough Htg. / - _
Isul. SS
V
Fireplace U,
Final Htg. a/ ?. _
Final Plbg. ?j•
Bldg. Final o s,- z.?
Cert. Occ. o.,,? f C. 1d
Temp. LP
Deck Ftg.
Deck Frmg.
Well ¢ 3
Pr. Disp.
PERMIT #
' PLUMBING PERMIT RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ?Z
4TRACT PRICE: PHONE: 454-8100
Site Address
Lot 11
Name
Address 4y1lecr
C City
Name r
3 Address
O City Phone
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE A CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE -$12.00
MINIMUM - COMM/IND FEE -$20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
SIGNATURE
FOR: CITY OF EAGAN
BLDG. TYPE WORK DESCRIPTION
Res. _ 'I New
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. . FIXTURES T TAL
_.J--Water Closet - $3.00
-1-Bath Tubs - $3.00
Lavatory - $3.00
__j___Shower - $3.00
_I Kitchen Sink - $3.00
Urinal/Bidet - $100
-1-Laundry Tray - $3.00
_ I Floor Drains - $1.50
Water Heater - $1.50
Whirlpool - $3.00
=Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIT)
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
y,
FEE:
STATE S/C: ?G
GRAND TOTAL: ?-? 11
PERMIT #
MECHANICAL PERMIT RECEIPT # ?f'flC'?Q
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE .5?a?8?b 7
CONTRACT PRICE:
Site Address '//-
Lot Bloc
m Name
a Addre
Z5 City
Name
3 Address
O .
City
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent
Gas Piping Outlets #
Other
Phone
Phone
M BTU
M BTU
M BTU
M BTU
CFM
FEE:
S/C:
TOTAL:
BLDG. TY7
Res.
Mult
Comm.
Other
WORK DESCRIPTION
New
Add-on
Repair
FEES
RES. HVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M BTU - 6.00
(RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA.
COMM/IND FEE - 1'>,to OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON
REMODELS - 12.00
MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000)
SIGNATURE OF PERMITTEE
FOR: CITY OF EAGAN
CITY OF EAGAN Permit Na: Date:
3830 Pilot Kneblkoad Meter No. -3 /q 4 ?'3 Size: " ec
P.O. Brix 21199 Reader No: Q '?? L 3 g g g Date: - Z - ?
Eagan, MN 55121
c..ustom ;tomes
Owner.
Site Address «vannaii??? 1 l,e } ton S T
Conn. Chg: 525.OOpT \1 5C-61 lap '
Acct. Dep: N . Off
Permit Fee: ?? L
Surcharge Onk I agree to cftnply with the City of Eagan
Tr. Plant Ordinanc .
Meter.
Mist: By
WATER SERVICE PERMIT
CITY OF EAGAN Permit No: 8747 Date:
3830 Pilot Knob Road Meter No: Size:
P.O. BAx 21199` Reader No: Date:
Eagan, MN 55121
:.otro Custom :?or,ec
Owner.
Site Address: 1053 Savannah Road I1 El Lexingti
5-18-87
Conn. Chg:
Acct. Dep: 525.00p
15.40 d
pd
Permit Fee.
Surcharge:
Tr. Plant Lo. '00
.50r
f 80• GC 2d
d
gd
Meter. b7
QQ
1
Zoning:
No. of Units:
I agree to comply with the City of Eagan
Ordinances.
By
WATER SERVICE PERMIT
CITY OF EAQAN SEWER SERVICE PERMIT
3830 Pilot Knob Road
P.O. qp* 21194 PERMIT NO.:
Eagan, MN,95121 DATE
f
Zoning: " r No. of Units:
Owner. Metro Hustom Homes
Address:
Plumber. ., L ..:,,.. t ?....a.. ? ??. _
5-17-77/ 733.5 100.0 p
I agree to comply wi f he City of Eagan Connection Charge: 525.00yd
Ordinances. 00 Account Deposit: 15.00rd
Permit Fee: 1.0.00yd
Surcharge: . 5(: rd
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
AMOUNT $ I
a DOLLARS
ieo
CASH CHECK
FOR
BY . J[..t
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
Thank You
BLDG. PERMIT NO.
01-3210 Bldg. Permi
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 Permi
20-3743 Sewer Permi
79-3866 Sewer Conn.
11-3855 Park Ded.
TOTAL
This request dd
m nthe fnx 6 1918
9 7 2.4 4
Request Dale
-
? Fire No. Rough-in Inspection
Re netl? V
Ready Now O Will Not ifv. Inspec-
h,
To
?? - U Yes ONo for When Ready
Licensed Electrical Contractor I hereby request inspection of above
Owner electrical work installed at:
Street Address, Box or Route No.
h City ?.
&
a akf
DS a na .
ecuon No. Township Name or o. Range No.. County
Ida kAz
Occ nt IPRINTI
eZ u s P-OvAes Phone No.
Pow r Supplier
?aku+o, ?'C`?YIL Addre,sjs
't3ob abet' 7
Electr al Contractor (Company-Name) Contractor's License No.
Midland lei-Frrc, t6rb-
Mailing Address (Contractor or Owner Makin Ins tailation)
?SoO u/ Coda /?(<rs1?Vc ! l?
Author' ed Signet re (Contractor caner Making Installation) Phone Number
/
d 6!
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midwav Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD
1821 University Ave.. St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone IS121 R42-MOD ENCLOSED.
ell 918-2 REQUEST FOR ELECTRICAL INSPECTION ?EE-yB-00001 05
See instructions for completing this form on back of yellow copy. /',16 7ly
a -r) A A "X" Below Work Covered by This Request
HevAaddl Rev.1 Type of Building I Appliances Wired 1 Equipment Wired I
ex
p Fee Servi
ze tt Fee Feeders/Subfeedere # Fee Circuits
AMps
0 to 0to 30 Amps 0to 30 Am
E
Abops 31 to 100 Amps 31 to 100 A s
Swin A bove 100Amps Above 100_Am
Irrigation Booms Partial 'Other Fee
Signs Special Inspection
emarks
S??•SD TOTAL I"/, di
I, the Elul
Inapector• hereby
certify that the above
jnspection has been
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199,
PH ONE: 454-8100
BUILDING PERMIT
Tobeusedfor SF DWG/GAR Est.Value $106,000
N_ 13606
Eagan, MN 55121 c?C
Receipt # -7 3 3 U J
Date MAY 12 ,1987
Site Address 1058 SAVANNAH RD
Lot I Block I Sec/Sub. LEXINGTON SQUARE
Parcel No. 3RD ADD
a Name METRO CUSTOM HOMES
z Address P.O. BOX 1049
o City B I VILLE Phone 454-9383
Name SAME
0
0 a Address
5 City Phone
Name_
Address
City
I hereby acknowledge that I have read this application and state
that the information lscomectanda tocolywith allapplicable
State of Minnesota Statutes an It n Aces.
Signature of Permittee
A Building Permit is i ed t METRO CUSTOM HOMES
all work shall be tl e in ac ordance with all applopble State of I
OFFICE USE ONLY
On Site Sewage Occupancy R3
MWCC System Zoning R1
On Site Well Type of Const V
City Water X (Actual)
(Allowable)
# of Stories
Length
Depth 34
S,F. Total
Footprint S.F.
APPROVALS FEES
Assessments Permit $_ 21.50
Water/Sewer Surcharge
-
-
-
Police Plan Review 75
76
0
.
Fire _ SAC, City 100.00
Engr. SAC, MWCC -525.0
0
Planner
Water Conn. 0
0
Council Water Meter 67.00
Bldg. Off. Road Unit 305.00
APC Treatment PI 18n- 00
Variance Parks
Copies
TOTALS ?y3T25
on the express condition that
4g1ne¢ota Statutes and City of Eagan Ordinances.
Building
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
?l 3830 PILOT KNOB RD, EAGAN MN 55122
` 651-681-4675
New Construction Requirements
. 3 registered site 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 saes; 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 (/ Zd
SITE ADDRESS
TYPE OF WORI
APPLICANT
ALTI-FAMILY BLDG _Y
FIREPLACE(S) - 0?` 1 _ 2
STREET ADDRESS `777 /T(AX/,M?tn T? _ CITY
TELEPHONE # 6/Z'33l-/SSA CELL PHONE #/Z-39?>S/e/7 FAX #
PROPERTY OWNER
ATEI/ZIPS z//5/
TELEPHONE #
-----------------------------------------------------------------------------------------------
COMPLETE THIS SECTION FOR KNEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I _ MINNESOTA RULES 7672
(,I submission type) . Residential Ventilation Category 1 Worksheet Submitted . New Energy Code Worksheet Submitted
. Energy Envelope Calculations Submitted
Plumbing Contractor: _
Plumbing system includes:
Mechanical Contractor:
Mechanical system includes:
Sewer/Water Contractor:
Water Softener
Water Heater _
No. of Baths
Air Conditioning
Heat Recovery System
Phone #
Lawn Sprinkler
No. of R.I. Baths
Phone
Phone
Fee: $90.00
--------------------------------------------------------------------------------------------------------------------------
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 OrC -ices.
Signature of Applicant
OFFICE USE ONLY
I/ ?) -1 1-
Remodel/Repair Requirements
. 2 copies of plan
. 1 set of Energy Calculations for heated additions
. 1 site survey for exterior additions 3 decks
. Indicate if home served by septic system for additions
VALUATION ?5) voo'
Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _
Updated 4102
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 & Water _ Final _ Pool _ Ftgs
Air/Gas Tests Final
- Framing _ _
Siding _ Stucco
Stone _
Fireplace - R.I. -Air Test - Final _ _
Windows (new/replacement)
- Insulation _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MCIES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanicai Permit
License Search
Copies
Other
Total
Building Inspector
PERMIT# 1-qo -1-) 0
RECEIPT DATE:
8008 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3630 PILOT KNOB RD
EAGAN, MN 551 EE
651-661-4675
Please complete for: single family dwellings, townhomes and condos when permits are required for each unit,
backflow preventer for irrigation system
SITEADDRESS: JQ58 -5AVn/JNK[4 ROAD
-72
OWNER NAME:: ?-l IARS f} L1 N bA TELEPHONE #:131- 9CS--V -
(AREA CODE)
INSTALLER NAME: H. P. (? 1` I Pewee' KS n TELEPHONE #: V>I -34S- 1348
STREET ADDRESS: 31v? P) D D R1?ll (AREA CODE)
CITY: EA_i. STATE: J"t ZIP
_ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00
includes $40.00 County fee
Note: Additional consultant fees may apply
• MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING:
_ Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00
_ Abandonment of septic system.
_ Water turnaround - existing dwelling unit (+ 5/8" meter if needed - $118)
Other:
RPZ: new installation/repair/rebuild $ 30.00
_ lawn irrigation system
Replacement/additional: _ water softener L water heater $ 15.00
State Surcharge $ .50
Total $-
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable City of Eagan ordinances. It
is the applicant's responsibility to notify the properly owner that the City of Eagan assumes liability for aqy mages caused by the City during its normal
operational and maintenance activities to the facilities constructed under this permit wi in ty property/rl, 1 of- a easement.
9TURE OF PERMITTEE 1/02
CITY O F E /? G A ICI * NOTR° PAW*M OF FEE AT TW OF
APPLICATION DOES NOT COTSFII[TII:
* APPROVAL OF PERMIT.
V
*
APPLICATION FOR PERMIT
* INSPECTION OF SE5 R AND/OR FII+M
INSTALLATIONS WILL NOT BE SCHED-
SEWER AND/OR WATER CONNECTION ** DLED LrNTIL PERMIT HAS BEF?
i
. * APPROVED. *
l0w)
* *
*
P ease Print
1) PROPERTY ADDRESS: '5 'dAJ"A /PpAfl
LEGAL DESCRIPTION:/
or
3Pr/ lc'de)cfVA-1 '-
IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE:
PRESENT ZONING/PROPOSED USE: (Mon Year
? MNZMCIAL/RETAIL/OFFICE
0 INDUSTRIAL
f7 INSTITUTIONAL/GOV?
2)
ADDRESS:
CITY, STATE, ZIP:
PHONE:
R-1 SINGLE FAMILY
0 R-2 DUPLEX (Two Units)
R-3 TOWNHOUSE (Three + Units) ( Units)
R-4 APARTMENT/CONDOMINIUM ( Units)
3) u :: ?k/h ?S ?fyd Ur _
NAME:_
ADDRESS:
CITY, STATE, ZIP:
PHONE:
o/7s
MASTER LICENSE#
4) IL .15 ?
NAME:
ADDRESS:
CITY, STATE, ZIP:
PHONE:
0 15074
CONNECTION TO CITY SEWER tZ CONNECTION TO CITY VATER
Active
Expired
Not recorded
Stoma f-U tlal
® OTHER
6) rl PLEASE HOLD APPROVED PERMIT FOR PICK-LIP BY ONE OF ABOVE
PLEASE MAIL APPROVED PERMIT TO 1, %) 3, 4, ABOVE
(CTcle one)
7) Mal w ?7
PERMIT # ISSUED
FOR -CITY USE ONLY
Pd w/Bldg. Permit
$ 7 a -?
c
$ 52,S-•?
s 2- S-,
s
$
$ /P6 a a
s 1322,06
FEES:
$SEWER PERMIT (INCLUDE SURCHARGE)
$ ZQ WATER PERMIT (INCLUDE SURCHARGE)
$ WATER METER/COPPERHORN/OUTSIDE READER
$ WATER TAP (INCLUDE CORPORATION STOP)
$ _ SEWER TAP
$ GHQ ACCOUNT DEPOSIT - SEWER
$ 15,0 6 ACCOUNT DEPOSIT - WATER
$ WAC
$ SAC
$ TRUNK WATER ASSESSMENT
$ TRUNK SEWER ASSESSMENT
$ LATERAL BENEFIT/TRUNK SEWER
$ LATERAL BENEFIT/TRUNK WATER
$ WATER TREATMENT PLANT SURCHARGE
$ OTHER:
$ TOTAL
-73 3 P.5? 73sr3
RECEIPT RECEIPT
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
YES IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC
ROADWAY" MUST BE ISSUED BY THE ENGINEERING
Q NO DIVISION. LIST AS A CONDITION. f
SUBJECTkTO THE FOLLOWING CONDITIONS:
,
APPROVED BY:
TITLE:
BATE:
Sf A
A
2,4>2•ALi+
51.00+
21463.75*
0•*
521.50+
53.00+
260.75+
625.00+
525.00+
67.00+
305.00+
180.00+
21537.25*
13
1987 BUILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS - RESIDENTIAL RENTAL UNITS FOR SALE UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
? C:Yo,C?OC?
To Be Used For: Single Family Valuation: $(y-;gee- Date: May 11. 1987
Site Address 1058 Savannah Road. Eagan
Lot 1 Block 1
Parcel/Sub Lexington Sauare-3rd Addition
Owner Metro Custom Homes. Inc.
Address P.O. Box 1049
City/Zip Code Burnsville, MN 55337
Phone 612-454-9383
Contractor Metro Custom Homes, Inc.
Address P.0. Box 1049
City/Zip Code Burnsville. MN 55337
Phone 612-454-9383
Arch./Engr. Metro Custom Homes. Inc.
Address -P.O. Box 1049
City/Zip Code Burnsville. MN 55337
Phone # 612-454-9383
On Site Sewage_
MWCC System ?
On Site Well
City Water
Assessments
Water/Sewer
Police
Fire
Engr
Planner
Council
Bldg Off
APC
Variance
Occupancy F?- 3
Zoning (Z- f
Type of Const
(Actual)
-
(Allowable) ?
0 of Stories
Length 54--
Depth 34-
S.F. Total
Footprint S.F .
FEES
Permit 57-1 so
Surcharge 531
Plan Review .7-Go._5
SAC, City - 100.
SAC, MWCC 5Z.5.
Water Conn SZS.
Water Meter &7.
Road Unit 305.
Treatment Pl 12>0.
Parks
Copies
TOTAL S 3
J
12 ? I? ? I?2 x ?v 4 <<i3?
22 x 2 Z- - ?-g ? x (2_ = S ooh
( Is sl:?l Z
ROBE
ENGINECRING
COMPANY,
t ICCO EAST 146*,
ME; ,? Cus?m
CDHSULTIHG EHOIHEf9S, {? $,ol
PLANNEAS and LAHD SUAVEV.
INC.
STREET, BJRNSVILLE, MINNEMOTA 5537 PH 422--.000
C4ert?i 'ice
zZe c7A
?e?c1 ..LICE C7'rspc? crt:
GAVANNAN ROAD
CS
T a
M O
N ?
\ N
3o' FRohiT BUILDING
5ETEACK LINE
5CALE : 1" = 30'
Cf6;5r DENOTES EXISTINE E? -EVaTICI.i
0 , (897.5 DEI,JOTES PRDRDSE- E:_- VAT 10 t?l
INDICATES DIRE=i iO,J OF
1 SURFACE DRAINAGE
r 997B- I= F; N15HED GARAOE FLOOR
ELEVATION
-DRAJNAGc AND
UTILITY EASEMENT
7?c.0o revs..-6
50' 27"W (895,6?
94, 8? S
I her:+Sy etrtify that this is a true and cdrrzct rapresanUtidn of A tract of
land as sho'vn'and described hernan.• As prepared by me on this 9"r day of
/ear , 19 97.
v g-° 50' 27" E
7_5D0 1
"o
r5'7F.?i1 C?7.8
_o
LOT !, BLACK I, LEXUJ67-OA1 SQUARE 3R0 ADDIT/OAr',
DAKOTA CDUAI7Y, MINNE607A
`96. 3)
z o
y p %17cFo ?? L-- 6.? 11
n
n?
T
a I ? ? ($97.5
1 IR
i LOT
c
Minn. Reg. Ho. /LaS1's-
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA121799
Date Issued:04/15/2014
Permit Category:ePermit
Site Address: 1058 Savannah Rd
Lot:1 Block: 1 Addition: Lexington Square 3rd
PID:10-45077-01-010
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Ashley Orman
130 Plymouth Ave N
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Linda J Hursh
1058 Savannah Rd
Eagan MN 55123
(612) 220-3872
Standard Heating & Air Conditioning
130 Plymouth Ave. N
Minneapolis MN 55411
(612) 824-2656
Applicant/Permitee: Signature Issued By: Signature
Use BLUE c o° E?°_ /aOK'lik
i ~
RECEIVED F For Office Use---------^I
MAY 0 8 2014 1 Permit ~
City of Evan
RECEIVED I Permit Fee. L
3830 Pilot Knob Road
Eagan MN 55122 MAY ~ f4 1 Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 1 Staff: I
I I
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit
Name._ / 17U Phon l -3 p,2
Resident/
Owner Address / City / Zip:
~p$/~~J~
Applicant is: Owner Contractor
Type of Work Description of work: r
Construction Cost:Multi-Family Building: (Yes Company: ct: Contractor
Address: 373f &9,t~ovR24o,4 M City: 5'77 C11~~fS"
State: Zip: 57 Phone(/ Sa~ [ C'
License Lead Certificate #:T-S 770
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes; date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE; Plans and supporting documents that you submit are considered to be public information. Portia,,s o
the information may be classified as non-public if you provide specific reasons that would permit the Cit" to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities, www.-gor)herstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State B g Code must be completed within 1`80
days of permit issuance.
x -x
App ica s Printed Name A p p I i is Signa ure
P !~f 3