4812 Shevlin Ct '
CITY OF EAGAN SEWER SERVICE PERMIT
3836 Filo. Knob Road pE~~T NO.: `
P. O. Box 21199 1~_1,_ ,
Eagan, MN 55121 ~
No. of Units: i
Zoninp: '
.r:
Owne~:
Address: +
Site Address: 1 ~i vli ~o.~7r"
1~~__,~~'"~ ~''nv •~t,
Plumber: 1O0.'1_: , :
1,
' ? -l t-~s~ ~ '
~ O~(N !O OORI~ W~l11 ~ ~ ~~11 COI~rIlC~IOI1 ~10I~R~ ~ i ~ . f }'i +'t! .
Ordinaness. A'~count Depo~t.
Permit Fae:
Surcharpe: ~
BY Misc. Charoes:
Dote of Insp.: Total:
Insp.: Dote Pold:
CITY OF EAGqN
3Ja~ P;~~t K„ob Roed wATER SERVICE p~T
P. O. ~x 21199 1
E898n, MN 55121 PERMIT NO.: ; l n t '
Zonlnp: R ; Di1TE: ~
_q- I
~ Owner. ToI let'sor~ :slclrs No. of Un~rs: ai ;
~+ed.~~: ~
S~ee ~ddress: ~+81Z Shevli:c Court' L1 ~ i~ l c3rittan ~ ~
~'lurnber. Geas R ar~ 4 th ?
Meter No.:
Size: ConneeHon C~?or~e; ~SO.OU
Reader No.: Acoounr Deposrr: '
~~9~ to oon~N1 wiH~ Nw Permit Fee: 1 C. 00 ~
OrdiMne~s, Gh eF E~~~ Surthcrge; . 5Q
Misc. Choroes: ~0 7d meter I
By Totol: '
Dote of Insp.: ~te Poid:
r?+~.:
- ~
_
INSPECTI4N RECURD ~T~ ~T
~ITY OF EAGAN PERMIT TYPE: r' t N''
3830 Pilot Knob Road Permit Number: 7~;
Eagan, Minnesota 55122-1897 Date Issued: ' ~
(612) 681-4675
SITE ADDRESS: ~
, , , .s ~ ; APPUCANT:
. ( f= V 1 f 1V i' f ~ , . ~ . , . ,
• ~ ; i , , . ~
PERMIT SUBTYPE: TYPE OF WORK:
, , , , ~ ~ .
. .
; , , , , , ,
f~6 Mn~ ~ ~,i ::.„1: I r~ ~ i + i~r ritlti:i t i~at : i+~~qr<itw~~ ~~i~ F 1?~ Illt~ nl Wtlf?K.
!'~ntl f•tVTF~~;i~ rtt'~ ~lrif+[k
I ~
I~ _ ~1
~1~32
Pem?k No. Permk Holdsr Dn• Taephone N
ELECTRIC
PLUMBIN(3 ~f' f~ ~ Sla~-~~i~lc~
HVAC
InapecUo~ Date Insp. Comments
FOOTINGS
FOUND
FRAMING /~/+J/9~
ROOFING
ROUGH LI //9~ ~Stl a I O Q SlYr~EytT (]rr ~'J/Y1dw~
PLUMBINC., ~T .
PLBG
AIR TEST
- ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
~ FIREPIACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDC3 FINAL
BSMT R.I.
BSMT FINAL
DECK FfG
DECK FINAL
INSPECTION RECURD ~
~ITY OF EAGAN PERMIT TYPE: ' ~ ~ ~ ~ ~ ~ ~ ~ y`'
3830 Pilot Knob Road z« i g~
Permit Number:
Eagan, Minnesota 55122-1897 Date Issued: `y~''`'' ` 1`~r
{612) 681-4675
r ~ . , ~ ~ .
SITE ADDRESS: , ~ ; , , ~ , APPLICANT:
, vi iN r ? ~~~~ti
~:4 i ~ I aN`~ I H • ~ 1 ~ •i1,.' ?i~, /4
PERMIT SUBTYPE: TYPE OF WORK: r,
. .
.
~ ~
~
Permtt No. Permk Hoider Date Telephona 11
ELECTRIC
' , ' ' " T
PLUMBING
. -p- --yr--
HVAC
Inapection Dete tnsp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
' ROUGH ,
PLUMBING
PLBG ~ ~ - _ - - -
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARO
FlREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAI HTG
OFSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG ` ~.7 ti~
DECK FINAL
Receip# ~r{ PLUMB~JVG PERMIT Permit No. ~ -
CITY OF EAGAN
~ Fee
Fil! in numbered spaces S/C
Type or P~rnt legibly
Tot.
1. Date ~ ~ ' - ' ~ 2. Installation Cost - r ' ,
Ly / , - % / ~/l~ti~y
3. Job Address Lot~Blk. ~ Tract
4. Owner ~ / ~ , J
5. Contractor t- ~ : ~i i ! ~ Phone ~f - i ~ ` % ~
6. Address ~ ~ ~ ~ r/ f~ r. l/G i 1.; Ll~ ~
7. City ~ i 1 ! , f , % ~ State %v Zip ~ `
8. Building Type: Residential g,~ ~Commercial O Institutional ?
9. Work Description: New D~--~idd O Alter ? Repair ?
10. Describe
11. No. Fixtures No. Fixtures
` Water Closet Cesspool/Drainfield
Bath tubs Septic Tank
Lavatory Softner
Shower Well
Kitchen Sink
Urinal/Bidet Other -
Laundry Tray ?
Floor Drains L~ ~ ~ , ~
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
. f
Signed : y" for - 'i ~ j'!~
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGQN 464-8100
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, - CITY OF EAGAN ~e J2
S7lS Pilof Knob Rood Eegan, MN SSl'12 .I, s a LI~
PHONEs 454•8100
BUILDING PERMIT Receipt # "
To ba utad for ~r U~'~~'~~ Est. Vnlue Date ~~ovember 14 , 19 t:'~
. -
Site Address 4u12 Shevlin Court Erect Occuponcy ~
1' 1 P.ritCany 4t11 Alter Zonin ~'-1'
Lot Block Sec/Sub. O 9 2~A
Parcel # 1~~-~50U3-12U-O1 Repolr ? Fire Zone ~
Enlarge ? Type of Const.
~ Name °11e.Eson BuildETS Move ? ~k Stories,
~ Address Iu55 :doYwood Drive Demolish p Length 4~
-~i.^an 55122 p},o~,5e 454-65 i 3 Gr+ade p Depth Sq. Ft.
~ Nome ~er Approrals Fee~
Zv Assessment Permit 3~~{ •
o Addreu `
u~ Cit Phone Water & Sew. Surcharge 50
Police Plan check ~52.Oi)
FW Nome Fire SAC ~25.OJ
Address En~. Wcter Conn.'+50 - ~
<W Ci ~o~ P~a~~~ ar. vyaterMeter 60.0~
Cauntil Road Unit ~5~~
t hereby ucknowledge that I hove read this opplicorion und state thot g~dg. Off.
the inlormation is correct ond agree to comply with all applitable APC Totol ~17F,~3, j0
State of Minnesota Statutes and City of Eogan Ordinances.
~
Sig~oture af Permittee
A ~
A Building Permit is iuued to: on the express cordition ihn~
olt work shall be done in occo~darxe wlth nll appliwble Stote_o~. M+nnesata Stc..~uLes ar~d City of Eoyen Ordinonces.
Buildinp Officiot
Receipt MECHANICAL PERMIT Permit No.
CITY OF EAGAN
Fee
Fill in numbered spaces S/C
Type or Print /egibJy .
Tot.
1. Date 2. Installation Cost
3. Job Address ''r' Lot~_Blk. ~ Trac~r ??7~cn
4. Owner I l.c~.-+-. . ' -
5. Contractor - Phone -
6. Address '
7. City State Zip
8. Building Type: Residential f~ Commercial ? Institutional ?
9. Work Description: New ~ Add O Alter ? Repair ?
10. Describe Fuel Type
11. No. Eauioment BTU - M. Ea. No. Equipment CFM
Forced Air Air Handling:
Mfg.
Boilers Mech. Exhaust
Mfg.
Unit Heater
Mfg. Other
Air Cond.
Mfg.
Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed: for
Rough F Inal
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAIV 454-8100
CASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE I9
Recavco
FROM
AMOUNT $ I
Ac DOLLARS
teo
? CASN ? CHECK
FOR
J
FUND CODE AMOUNT
a ou
~ BY ~
VYhite-Payers Copy
Yellow-Poating Copy
Pink-File Copy
CITY OF EAGAN Remarks
Addition BRITTANY 4TH ADDN ~ot 12 R~k 1 Parcel 10-15003-12p-O1
Owner 5treet 4812 SHEVLIN COURT Stace EAGAN MN 55122
Improvement Date Amount Annuai Years Payment Receipt Date
STREETSURF. 19H2 452.94 90.59 5 181.20 013
STREET RESTOR.
GRADING 1981 23.92 1.59 15 17.50 A 013666 3-19-84
SANSEW TRUNK 1976 173.90 11.59 15 69.59 A 013666 3-19-84
* SEWERLATERAL ~ 1981 246.32 16.42 15 180 64 A 013666 -19-84
'L Sewer Lateral trk 1983 133.33 8.89 15 80.01 A 013666 3-19-84
WATERMAIN 1984 629.29 62.93 10 56 2-2 -84
~ WATER LATERAL i9$1 1S
WATER AREA 1981 229.95 23.d0 10 137.99 A 013666 3-19-84
STORMSEW TRK / 1981 596.40 39.76 15 437.36 A 013666 3-19-84
~c STORM SEW LAT 19$1 15
CURB & GUTTER
SIDEWALK
STREET LIGHT
25 8 -14-83
WATER CONN. 450.00 ~t 1~
6UILDING PER.
SAC t~ n
PARK
CITY OF EAGAN N~ 8652
3795 Pilot Knob Rmd Eoyan, MN SS113 `
' ' PHONE~ 454-8100 ~~~0~
BUILDING PERMIT Receipt #
To bs u~ed fo~ SF DWG~GAR Esf. Volue $5],~Q~ Date NnvomhPr 14 , ~q~3_
S~te Address 4812 Shevlin Court Erecr ~]C Occupancy R-3
Lot 12 BI«k 1 Sec/Sub. Brittany 4th qlrer ? Zoning R-1
Porcel # 10-15003-120-O1 Repoir ? F~re Zone NA
Enlarge ? Type of Const. V
rc Name TollefsOn Buildeis Move ? # Stories
~ Address 1655 Norwood Drive Demolish ? Length 45
Ci E Phone 454-Fi873 Grade ? Depth 48 Sq. Ft.-
p Nama ~er ~ Avpro.ols Feea
o'~' Mdress Asseument Permit 304.00
V~ Ci Phone Wa1er 8 Sew. SurcFwrge Z$.5~
~ Police Plon check 152.00
wW Nome Fire SAC 525.00
~
x~ Address Enp. Water Conn. ~+5(1
w(1
iW Ci Phone Plunner ~Var.) WoterMeter 60.00 ~
Council 1~-1$-83 Rood UniT Zs~.~n
1 hereby ocknowledge that I hove read this opvlication and state that Bldg. Off. 10-19-83
the inlormation It correct and ogree to comply with atl opplicoble AP~ T~a~ 51769.50
Sfate of Minnesoto Stotutes and Cify of Eogan Ordirwnces.
Sipnoture of PermiMea
o e son u ers
A Building Permit Is issued to: on tha express condition Ihnt
all work shull be done in accordonce with nll appl' le o4 esota Staf s and City of Eagan Ordirqnces.
Buildinp Official
This repuest void `"z-7 ~~s~~ g ~ ~ pjf\~'Q.NN_ yY'~ ~~~q~
18 months fmm /C
W 05~~29 ~ ~o.oz~
Request ~a[e Fire No. Rough-in InsOection
fl retl? ~Ready Now~ill Notity Inspec-
- g3 ~e5 ?No [or When Reatly
Licensed Electrical Convactor I hereby request insvection of ebove
Owner ~ electricel wark ins~ailed at:
Street Atldress, Box or Ra te No. City
s~a s~. ~I~,.L.
ecUan a. 7Qy,~nshi0 Name or Na Nange No. Cou [
Oc '~RI~~ Phone No.
P e Supplier Address
~1
ElectriciL C~n ac r ICOmpany Namel •,p Comrar,ior's Liu:nse No.
l+ ~ 'C~1 ti ~
Mailine Address (COntrecmr or Owner Makin~ Instailation) t
.IJ ?J ~
Auffiorizetl Signatvre or Owner Mak~n Installationl •Phone Num/ ~
l0 ~
MINNESOTA STATE BOAflD Oi ELECTIIICITY THIS INSPECTION flEQUEST WILL NOT
Griggs•Midway BItlB~ - poom N-191 BE ACCEPTED BV THE STATE BOAftD
1821 Universitv <.~e.. St. Peul. MN 55704 UNLESS PflOPER INSPECTION FEE IS
ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION Ee-00001-04
, Sae inslructions for comoletine this form on beck ot vellow covV•
~0~~3~?~ q
Below Wo~k overed by This Request ( ~
AAtl Nep. Type of Builtling Appliancns Wired Equipmenl WireA
Home Range Terti~orary Service
Duplex Water Heater ighting Fixtures
Apt. Building Oryer Electric Heatin
~ Commercial Bldg. Furnace Silo Unloader
Industrial BIAg. Air Conditioner Bulk Milk Tank
Farm ther veo y O~ cr ISoecityl
L P,! $UOtlfy 1hC~ ~Ih~j~
Compute /nspection Fee Be/aw
q Fae ServiceEntm~ce5ize N Fae Fenders~Subteeders N Fen Circaits
0 to 200 qm s 0 to 30 Am s 0 to 30 Am s
Above 200 Amps 31 ro 100 Ainps 31 to 100 Am s
Swimmin Pool Above 100_Am s Above 100_Am~s
Transformers Irrigation Boorcs ~j Partial,'0 Fee
~ Signs Speciallnspection
S D°'i TOT L FEE
Remarks
Nough-in Dnte I, tha Eleetriwl
Inspector, ~eraby
certify that the nbove
Finel ~ O;ite~/ '~qpection has ~aen
~~67' metle.
TNe reauast vo1018 months Iram
This request voia ~ ~ / /Z Q 111. ~l ~ ~ZZ ~
~ ~ J C` ~
78 months from F ~
1 ~ ?"`-~{u" 5~y'~~~
Bequest Date ~ Fire No. pouah-in Insver.~ion
eq ~retl? ~Reatly Now ~II Nolity, InsPac-
I~- I' 4]~ J Ves ~ No o~ W~~tl!'HeatlY
~ Licensed EI¢etrical ConUactor I hereby requasl inspec~ion of ebove
Owner electrical work installed et:
S[reet AAaress, Boa orf Nou[e No. City
~Si~. ~Y' ~Z-'~d
ecUon o. Township Name or No. Rang~ No. Counry~
~ OccupaN (PRINT) ~ Phone No.
4 ~ ~ ~ C ~ -~'~L
c Power Suppli ! Atldress
:~K.~~~
Elec 'r.al Contractor ICom ny Name) Contrar.tor's License No.
C~ ~ ~ Di lC~~ ~
Ma~inB dress IConUactor or Owne Making Instzila[ion)
5'-'~ ~ . -L~ ~ ~ C~ ~
Authorizetl SignaWre (Con. actor Owner Maki e Installa~ion~ Phoi+e umber
/ c I~ ~ (o:~'~-~~~i
MINNESOTq STATE 90AflD OF ELECTHICITV TMIS INSPECTION flEQUEST WIIL NOT
Griggs•MidweV BIdO• - Aoom N•t97 BE ACCEPTED BY THE STATE BOAND
7621 UniversitV Ave., St. Paul, MN 56104 UNLESS PHOPEH INSPECTION FEE IS
Pnnnw 16121 297-2171 ENCLOSEO.
r w I/Inx ;EQUEST FOR ELECTRICAL INSPECTION es-o~i-~
7 ~
/ n~ $ee instructions ~or completing this iorm on back o~ Yellow copV. .~_V
~ t~~ ~ ~"X" Below Work Covered by This Request ~s.
~
AAtl Nap. Type of BuilCing Appliancea WireE Equiymant Wired
Home Range Temporary Service
Duplex Water Heater Lic~htiny Fixtures
Apt. Buildin~ Dryer Electric Hea[in
Commercial Bldg. Fumace Silo Unlo.ider
Industrial 81dg. Air Conditioner Bulk Milk Tank
Farm o '~f~ ~n,,, ~soadtv7
~ uecily h O Othci
" ompute lnspection fee 8elow
k Fee Service Entrance Size B Fea Fexders~5ubfeeders b Fne Circvits
0 to 200 qm s 0 to 30 Am s T5 ?a~- ~ 0 to 30 Fam s
- A6ove 200 qmps 31 to 100 Ainps , 31 to 100 qm
Swimming Pool Above 100-Ainps Above 100_Amt~
Transtormers Irrigation Booms : yp Partial%
Signs Specialinspection S
flemark5 ~(1.~ID T~ A~/F~ ~O
w
flouBh-in D"te / , th al
G~I (Y ~spectoq ~ereby
carlity [hat Ihe nbove
Final Di`e~ spection has hean
T meda.
Thb ~eques~ void 18 months trom
n J~!Hl
2 o-°
-ck,~. lo lo ~v/
~~3 ~ zoo6 RESIDENTIAL BUILDING rE~iT nrrLrcnTrorr
. City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Gonstrudion Reauirements RemodellReoairReouirements Office Use OnN
3 registered sfle surveys showing sq. R. of lot, sq. ft of house; and all roo(ed areas 2 copies of ptan showing footings, beams, joists Cert of Survey Recd _ Y_ N
(20% maximum lot coverage allowed) 1 sel of Energy Calculations for healed additions Tree Pres Plan Recd Y_ N.
2 copies of plan showing beam 8 window s¢es; poured found design, etc. f site survey tor additions 8 decks Tree Pres Required Y_ N
1 set of Ene~gy Calculalions Add'dion ~ indicate if on-sRe sep6c sysfem On-s8e Sepfic Sys[em _ Y_ N
3 copies o( Tree~Preservation Plan if lot platted aNer 711193
Rim Joist Defail Opfans selecHon sheet (6uild"mgs with 3 or less units)
Minnegasco mechanical ventilation form
C2
Date ~L/ .J / 0~ Constructian Cost ~37Z~
Site Address ~~°1/ Z 1 ~ (i~^J Unit/Ste #
i
Description ot Work ~ ~ ~
Multi-Family Bldg _ Y~ N Fireplace(s) _ 0 1~ 2
Property Owner I l~~ A 1 V~ Telephone ) Y 7 Z'`7b"U
Fireside Hearth & Home ~
Contractor 1q3gg Huntington Avenue '
naaress . Savage, MN 55378 city
State 952.736.7761 _ Telephone # ( ) ~ 8 ~
License#20512060
~
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Ene~gy Code Categon/ . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(Jsubmissiantype) Submitted Submitted ~
• Energy Envelope Calculalions Submitted ~
In fhe lasi 12 months, has the City of Eagan issued a permit foi a similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber Telephone # ( J
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, an ork is not to start without a
permit; that the woxk will be in accordance with the approved pian ' the case w r hich requites a review and
~
approval of plans.
~
~~-~Cr~~
Applicant's Printed Name Applic t's Signature
DO NOT WRITE BELOW THIS LINE
Sub Tvqes
? O7 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 D6-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 E#, AK- SF
? 04 D2-plex ? 70 O8-plex D 18 Deck ? 23 Porch (screen/gazebo) ? 36 Mu1G Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? D6 04-plex ? 12 12-plex ? 25 Miscellaneous
Work Tvpes
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
0 32 Addition ? 36 Move Buildirig ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building` O 43 Reroof ? 46 Windows/Doors
34 ReplBCement 'Demolition (Entire Bldg) • Give PCA handout to applicant .
D85C~IAtI0I1: WaterDamage_Yes
Valuafion Occupancy MCES System
Pian Review _ 100% or _ 25%
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bidgs Length Fire Sprinklered
Type of Const Width •
REQUIRED INSPECTION5
~ Footings {new bldg) , Sheetrock
_ Footings (deck) _ Final/C.O.
_ Footings (addition) _ FinaUNo C.O.
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool Ftgs Air/Gas Tests Final
_ Framing _ Siding _ Stucco Lath _ Stone Lath _Brick
_ Fireplace _ R.I. Air Test _ Final _ Windows
_ Insulation _ Retaining Wall
Approved By: , Building Inspector
-
-
Base Fee
Surcharge •
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
5&W Permit & Surcharge
TreaYment Plant
License Search
Copies
Other
Total
C:ITY EAGFSI Include 2 sets of plans,
. ~ ' - 1 site plan w/elevations &
Y/ ~~T ~'LZ('ATION 1 set of eneryy cal~vlatirns.
~Ib Be Used Fbr ~ - J~ ~ll ~~a2uation ~ 7. o o~ nar.e I~, 1 CfQ~~ ~
Site Address L~' ' OFFIC~ USE ONLY
Lot B1oCk j SeC.~Sub. ~~~~€'xect ~ ~~Y ^r~-
Paroel I?: ~ ~d - ( ZD -O Alter Zonin9 _ -
~ F~pair Fire Zone
Owner: ~ Ehlar9e _ rn~e of Clonst.
~SS. Move # Stories
Uare,lish Front y ft.
CitY/Zip Code: Grade Depth ft.
Phos~e # :
APPf~C7VA1S F'~
Gontractor: ~r . ~ ~ Assessments Perndt ~o S~ ~
Adciress: ~ i n~~~~1L'~' Water/Saaer Surc~arye ~S'
Police Plan C9~eck l ~a ~
City/Zip Cbde: '~1 ~~./ai~ Fire SAC ~S
g~g. Wates Corn. `~a`~
Phone N: ~ ~ Planner ' WatPr Meter (O~
Council ' D- Road Unit h'7S~
~ Bldg. Off.lD -
T1f1fY~YPCs: ~
City/Zip Code:
PY~~e p: 'POrPAL lDQ ~ zSa
( ~
V-
1
r
S l3 y~
g
h ~ ~ ~
~lb~~ ~ 3Roz ~~~z~~u~,arL Il~ 1'F-8~3
d
Tnllefson Builde n Inc. ~ t)r.llilb
f~/ 183-~7 -
/r JACKSON - SURVEYORS
! N61fT[R[O YIiD[R {J~`f OF RLT[ Of YIKK~/pTA
SCall: 1~~ 40~ ~
]&16 EAST 55th STREET, MINNEIIPO~IS, MN 55677 T273tB{
s :Iron
; _ __~Drtinage 6 Ucillty Earement ~
_ ~raioage $~utbcpo['~ CKt{ticat[
000.0 = Existiog Elev.
~
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{ N[R[tY C[R~I?Y TMAT TItL A~OY! H A TRU[ AMIG CORRLCT rLAT OF A 6URYI[Y OF
Lat 12,81ack 1,Hritt~ny 4th. Additlan,
Ork~t• County,Minnesata.
?ropa~ed Gerage tlaor Elev. / c/, i
Propoied Yir~t P2oor Elev. Ie ~ n
Prapvsed Ba~emect Plvur Hl~v.97 a
M~uRVCrco w ri rw~• ~-r w~
r~..o. ~q8j
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I. C. JACK~ON. M Msr~t a~rrµ~wM. No. ~~00
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Cities Di ig tal Quality Control
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CITY n~ EFlr.,~~
CASIi:i:E.Re :iS ?'I~.f~MSMAL ~Uc Or,~4
?f~'iEr 0'r?/04/UU TTMI='; i1.c34:49
II! :
NAME: ~f.~e MUSER L'ON5TkUCT'ION
3c :I.O 9(701. 4f312 SFIFVI..IN GT 37.25
21~i i 94:10J. 4£3:l?.. SH[:V1...7N C7 2.00
r
'T'oi:al f~~rf?l~~r, Flnintln•I,~ ~'3.c?5
CR i. c'?:306£~
USE:R ID^ JA~
~CYFSk%XY,tk~1X~N~~k?Y~X~k~F~X?k~'k~~k~?k'M`%Xf~kyklk~k~X'4CMMi;C~, 'M~X'M1k
~ ZJ~ 5~ ~2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
cirr oF encar~ n,
3830 PILOT KNOB RD - 55122 c~ `l ~-~~'J
851-881-4675
•New Comhuctlon Reauirertienh Remodel/Reoalr ReaWremenh
D ~ replderetl tl~ wneY+ showinp tQ. R d lot, W. R. ol hane 2 coWes W D~
and q~j roote0 areas C10% mazlmum bf eoremae ailoweN 1 aef of eneryy cdculaHOns la Nea~etl adtllflont
D 2 capiea of P~ans (tlww beam d wlndow sixe~; Pa+~ed fid. desiprr e1C.) 1 ~Ile wney (a axfeda admHOns ~ dec W
Y 1 wl ol eneryy Cdculallona
D ~ copiet of hea preservaMon pla~ Il loi plal~ed aHer 7/1/9J d~~
DATE: rl `I' d~ CONSIRUCTION COST: 3 9~~
DESCRIPfiON OP WORK: m~ i(~G r ! ~ fi ~~IG' ~
d~~
STREET ADDRESS: ~I'`~ I~ SR~, J LI N G
~ F
LOT: ~ BLOCK: ~ SUBD./P.I.D. Y` ~~G Jl U "l t~
Name: d~~' No ~ S~ZA r r~ Pnone u:
Pao~rm w~ fl~?
OWNER
Street Address: S1~'M
CNy State: Z~p:
Company: 1 vl 3 Phone M: ~ 5~ ys~' S~ ~
(area code)
corrrRacroa Yl I c 3 ~31, cd
Sheet Address: `6 1`f Y h J~ V~, N~ License ~ 6 D Exp.
Cty ~ 5~ State: /ti1 r' ~p: 5S~ ~j
ARCHfiECT/
ENGINEER Company: Name:
Telephone 0: ( )
Sheet Address: Regfslratlon Y:
CHy Stafe: Lp:
Sewer/water licensed piumber qf I~Wllina sewer/water): Pho~e
1 herAby ackrawledye Mwt I have reud Mis appiication. sla~e that the infom~albn is corteet~ and ayree fo comply wiM atl app0oable Stafe
ol MamesoM Stalulec and Ciry of Eagan Ordinances.
.
~ Signalure of Applicant
OFFICE USE ONLY
FEB 4
Certificates of Survey Received _ Yes _ No '
Tree Preservat(on Plan ReCeived _ Yes _ No _ Not Required
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
? 01 Foundation O 07 05-plex ? 13 16-plex O 21 Porch (3-sea.) ~ 31 Ext. Alt - Muiti
O 02 SF Dwelling ? 08 O6-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) O 33 Ext. Alt - SF
? 03 Ot of_ plex 0 09 07-plex ? 18 Deck O 23 Poroh (screened) O 36 Muki
? 04 02-plex O 10 08-plex ? 19 Lower Level O 24 Storm Damage
O OS 03-plex O 11 10-plex Plbg _Vor_N 0 25 Miscellaneous
p O6 04-plex O 12 12-plex ? 20 Pool ? 30 Accessory Bklg.
WORK TYPE
? 31 New ? 36 Move Bldg. ? 43 Reroof
O 32 Addition O 37 Demolish (Bidg)' O 44 Siding
? 33 Alteration O 38 Demolish (Interior) O 45 Fire Repair ~
? 34 Repair ? 42 Demoiish (Foundation) ? 46 Windows/Doors
' Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
SAC Code # of Stories sq. ft.
No. of Units • Length sq. ft.
No. of Buildings Width Footprint sq. ft.
Const. (Actual) Basement sq. ft. Census Code
(Allowable) Main level sq. ft. MC/ES System
UBC Occupancy sq. ft. Ciry Water
Zoning sq. ft. Booster Pump
PRV
Fire Sprinklered
MISCELLANEOUS INSPECTIONS
? Stucco/Stone
APPROVALS
Planning Building Engineering Variance
Permit Fee Vaiuation: $
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Weter Meter
Acct. Deposit
S/W Permit
S!W Surcharge `
Treatment PI. '
Park Ded.
Traiis Ded. ~
Other
Copies
Total:
SAC Units
% SAC
MEADOWOOD, INC.
Engineering, Planning, Development
11D3 W. Burnsville Parkway
Burnsville, MN 55337
(612) 890-1272
14 October 1983
Ms. Bea Blomquist, Mayor
City Council Members
City oF Eagan
P.O. Box 21199
Eagan, Mn. 55122
RE: LOT 12, BLOCK 1, BRITTANY 4th ADDITION
Dear Mayor Blomquist and City Council Members:
We are requesting a variance on Lot 12, Block 1, Brittany 4th Addition because of
extreme high water in the adjacent pond which has reduced the buildable area of the
lot and necessitates that we construct a split-entry type home in piace of a full walk-
out.
The second reason is to maintain the uniformity of the streetscape and front. As
you can see from the attached sketch, the proposed setback works very well with the
existing homes on either side and creates a pleasing and uniform streetscape. A fur-
ther setback would look out of character with the neighborhood.
Thank you for reconsidering this item.
Respectfully,
~~2. J-~
William R. Dolan, C.E.
President
WRD:kd
cc: Mr. Carl Tollefson
cc: Mr. Tom Colbert ~
cc: Mr. Dale Runkle
encl.
,
Council Minutes ~t~,~~2
October 18, 1983
'fOLLEFSON BOILDERS - HAI9LIt OF PLAT
~ ~ An application of Tollefs
, on Builders, Inc. for waiver of plat to shift a
lot line for Lot 3, Block 1, Brittany 4th Addition sras next considered. The
request is to shift the lot line 3 Peet to the south in order to accommodate
the setbacks in accordance with the zoning ordinance, noting the surveyor had
made a mistake in laying out the house plan on the lot, with a proposal of 7
feet from the side lot line versus 10 feet under the ordinance requirements.
The Planning Commission recommended approval sub,ject to certain conditions.
Smith moved, Thomas seconded the motion to approve the application, sub,ject to
the following conditions:
, 1. To provide that the lot has a min3mum 60 foot width.
2. Drainage easements shall be reviewed by the Engineering Department
to assure that they fulfill all of the requirements for easements requested by
the City Engineer, including the granting of new easements and easement vaca-
tions where necessary.
3• All other ordinance requirements shall be adhered to, including alI
setback requirements.
AZ1 voted in favor.
R 83-66
TOLLEFSON BIIILDERS, INC, _ ggITTANy qTg gDDZTION - SETBACB VARIANCE
~
A request from Tollefson Builders, Inc.for reconsideration of setback
variance for Lot 12, Hlo.ek 1, B_rittany 4-th-Additioe ~was presented to the
Council. On October 4, the Council denied the application based upon lack of
hardship. The developer has now submitted a site survey which was presented
to the Council and the staff indicated that because of the level of the
ad,jacent pond, and the fact that the house may have a negative visual impact
on the ad,jacent property, that it would be appropriate to allow the variance.
Public Works Director Colbert concurred that a temporary hardship does exist,
due to the existing location and the elevation oP the lake, which eventually
rrill be lowered. Smith moved, Thomas secoaded the motion to reconsider the
application. All voted in favor, noting the high water would be the reason
for the need for variance. Bill Dolan, Engineer, and Carl Tollefson appeared
for the applicant. The owner of the adjacent property, Lot 13, was also
present and indicated he had no objection to the application and favored the
request for the variance. It was noted that Lot 12 is in a cul-de-sac and the
staff recommended approval, noting that it would be more aesthetically
pleasing to move the house closer to the front lot line. After discussion,
Smith moved, Thomas seconded the motion to approve the variance on the basis
of the inFormation submitted by the staff, noting that a hardship did present
itself because of the lake level. Mayor Blomquist indicated that she had
concerns about parking and concerns about setback, but Mr. Runkle stated that
there would be a 13 foot boulevard, plus the setbaek from the street right-of-
~ aay. Those in favor uere Smith, Thomas and cgan; Wachter and Blomquist voted
I . no.
6
, - - - _
i . _ . _ •
0()2l37
Council Minutes
October 4, 1983
MNYOR AHD CODNCII.Fffi~ffiERS SALARY
City Administrator Hedges reviewed with the Council the salaries that are
in effect for the cities within the metropolitan area and indicated that the
range of salaries for city councilmembers and mayors are somewhat higher on
the average than that in effect in the City. It was recommended by the City
Administrator that the rate be increased from $3,600.00 per year to $4,500.00
for the Mayor, and from $3,000.00 per year to $3,600.00 per year for each
council member, noLing that salaries would still be somewhat below the average
pay for other cities above 20,000 population in the State. Egan moved, Thomas
seconded the motion to approve the recommendation for increases and authorize
the amendment to Seetion 2.11 of the City Code to provide for the changes. ~
All voted in favor.
L~T-OLLEFSON-BDII.DERS - VARIANCE = HRITTANY 4TH ADD~i'IQI~'
An application of Tollefson Builders, Inc. for 10 foot varianee to the
front setback requirement of 30 feet for Lot 12, Bloek 1, Brittany 4th Addi-
tion came before the Council. A representative of Tollefson Builders was
; present and the application was reviewed by Mr. Colbert. Mayor Blomquist had
concerns about the need for driveway space by reducing the front driveway
depth and Mr. Colbert stated that the building elevation would appear to avoid
' the need for the variance. After discussion, Wachter moved, Egan seconded the
motion to deny the application because of lack of hardship shown, noting that
it appeared that a different design for the home could be provided; further,
that the staff review the matter with the applicant. All voted yes.
LERINGTON PLACB - FINAL PLAT
The application of Lexington Place lst Addition for final plat was
presented to the Couneil by Mr. Colbert. There were no objections and the
staff recommended approval. Egan moved, Smith seconded the motion to approve
the application for final plat and authorize the Mayor and Clerk to execute
the related documents. All voted yes.
R 83-65
LE%ffiGTON PLACE - DTILITIES - CONTRACT #83-15
Hids have now been received for Contract Ik83-15 and the low bidder is
Encon Utilities, Inc. in the sum of $194,154.00. Staff recommended approval
of the contract to the low bidder, noting that all necessary easements have
nox been acquired. Wachter moved, Egan seconded the motion to approve the
staff recommendation. All voted yea.
t
9
- -
CITY OF EAGAN FOR CITY USE ONLY
3830 PILOT KNOS ROAD q
EAGAN MN 55122 PERMIT # 1
PHONE: (612) 454-81D0 RECEIPT
1"~~3xNG.:~?~~~ DATE: ~S' 2 9
F~:..:.i~:.:~:::..~x:....:~.....x..s....x.
ti~~:~D~N'~fi~IILL:: PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
Y~ ~m TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FDR EACH UNIT.
WORK DESCRIPTION COMPLETE THE FOLLOWING:
N0. FIXTURES EA. TOTAL
NEW CONST ~ ADD-ON MINIMUM 15.00
ADD ON ~ _ SHOWER 3.00
REPAIR _ _ WATER CLOSET 3.00
BATH TUB 3.00
D~h~ / IAVATORY 3.00
OWNER NAME: Q~ /r[c~ w _ KITCHEN SINK 3.00
SITE ADDRESS:~~~? ,p~/~~ _ ~`UNDRY TRAY 3.00
,t/' HOT TUB/SPA 3.00
WATER HEATER 3.00
LAT: ~02- BLOCK L SUBD. _ FLOOR DRAIN 3.00
~ ~J GAS PIPING OUT.
INSTALLER: ~/~lt (A?~,/~ v ~ Lr/~li,~,~ _ (MINIMUM - 1) 3.00
/ ROUGH OPENINGS 1.50
ADDRESS: ~DO / ?YI /1»r.. .t S~ O OTHER
O WATER SOFTENER 5.00
CITY: O• ( ZIP: S ~ 2 ~ PRIVATE DISP. 15.00
_ U.G. SPRINKLER 3.00
PHONE
SUBTOTAL S
ST. SURCHARGE .50
3IGNA1^JRB OF PEP.I".ITTEE
TOTAL: S ~ 5a
~.0?ft~fERCZALj.INDUSTAIAIrr; PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND
MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
I DWELLING UNIT.
CONTRACT YRICE: FEES
OWNER NAME: 1$ OF C^vi'TRACT FnE.
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 $
CITY: ZIP:
TOTAL: $
PHONE
(SIGNATURE)
FOR:
CITY OF EAGAN
~
CITY USE ONLY
~ ~ BL ~ RECEIPT 9OS
SUBD. DATE: 7~~/9~
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: \~-O~~
FEES
? Minimum Fee: Add-on/Remodei (existing residence only) $ 20.00
? HVAC: 0-100 M BTU 24.00
Additional 50 M BTU 6.00
? Gas Outlets (minimum of 1 required @$3.00 each)
? State 5urcharge .50
TOTAL ~ ~ • ~ ~
SITE ADDRESS: ~`'l'$ ~ a S~ P•~ C~
OWNER NAME: ~o.-. ~ v„e r~ PHONE y s~ ~ S~`~
INSTALLER NAME: w-~'~ ~ t~-e-~~'~^~ ~~C-
STREET ADDRESS: ~1`Oe ~ ~r -
CITY: K e J„~~ STATE: f`~N ZIP: SSO~1.
r
PHONE ( (o~~ ) U~-Sa-~
3`fZ~ ~ `~A C~~
~/~~-1 ~
CITY USE ONLY
L _ BL _ RECEIPT
SUBD. 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 1]4t required
for each dwelling unit.
DATE: G~NTRA.GT ?R!rE:
WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: ~$25.00 minimum fee QL 1% of contract price, whichever is greater.
~ Processed piping - $25.00
~ State surcharge of $.50 per $1,000 of r i fee due on all permits.
CONTRACT PRICE x 1%
PROCESSED PIPING
STATE SURCHARGE
TOTAL
SITE AUI7RESS:
OWNER NAME: TELEPHONE
TENANT NAME: (IMPROVEMENTS ONLY)
INSTALLER:
ADDRESS:
CITY: STATE: ZIP:
PHONE
SIGNATURE:
SIGNATURE OF PERMITfEE CITY INSPECTOR
~~~:xx;~~~~:~~:~~~~~~~~~~~~~~~~~~~*~~~*~~~~
c:r.rv ow ~~:nc~r~
(:Af;I-I:CEI?. ,3 i'f:liit:[t~Al. NOa 3'3
Dt-frE.~ pt,/2"r'/`-!i T';:M('~ l.5~ ;<?~'r.'0
iL~;:
t~Fli'1C;, ~iUZAt~ltd[= C~t1GtJ0E•d
''f?:l!7 `?001 4t31? S~-IF.:VL.:CN CT Srl.O~
?].;:it'S .`.-?pDi. 4f31i? 5HL-:.VI.~.T.N C;'i Ge.;t?
f
i
~~O'~:21.1. FfF?{]e_7.~~1; AIfl~7~.:T51;: °i~,~~
C~;Oi6:l.`:)1.
~.~5e::r.: *z,~ nancv
~~kX~~~X~k~:~~K~K~kmrn~k~%xX~m~km~k~X~k~m~X#~::%~X~X~~~#~#~X~
~ PERMIT
CITY OF EAGAN
3830 Pilot Knob Road PERMIT ~YPE: B u z~ D x N s
Eagan, Minnesota 55122-1897 Permit Num~eY: 0 3 0 3 0 7
(612) 681-4675 Date Issued: 0 6/ 2 7/ 9 7
SITE ADDRESS:
QB12 SHEVLTN C7
LQT: 12 BLOCK: 1
BRITTANY 4TH
P.I.N.: 10-15003-120-01
DESCRIPTION:
6,~`il~lin~Permit Type DECK
~ui1~t~,h`~ ~~k TYP~' NEW
~~e't'~~1#~ C~ld~s 43A ALT. RESI~ENTIAL
~ ~
~
~
1.~ ` ;
y *r
. . " ' ` a:
»se?: ~ ~'c 4~ '
'ua ,r<s. "L,.
~;',E ~ ,i ~ ~..~&t ` P~
~.f *".^d,.~Ys~
~yws
~ ~d G'~~'.
k
~ ~ ~
~ g- u~„. ~T ~ v 2'fu^~~k' srsa,.,~
'Ne~ ~`p$,~'~ s~ ~ fi Y~ Y. ~,.r~y s•~` .:j
[~J~rye+~~ ~ Y8+tA` k3 °e'~~,. °:~5~~ ~"~vYPt } wy a~ ld
8~" KKP... i~..1S Ad"~
REMARKS:
FEE SUMMARY:
, 8ase Fee $50.00 .
Surcharge $.50
Tntal Fee $50.50
CONTRACTOR: ~WNER: - Applicant -
DUENOW OQN
r 4g12 SHEVLIN C7
EAGAN MN
(612)452-5574
. ~ „ _ g u : ; : . , ,a,~.
~,hereby;taokriowlat3ga ~hax";I Y~av~, r~a~ th~s ~pp~,ieata~an ~n°d ~~e~s tha~'tC~e
' a.nficarma C~.ar~ ,ks ~e~r "re~~ arid; .agre~'. tip_,cvm~?~Y m~~,'C~ all ~°P~ k~~;~kaSe S~~°Ce sifi Mfn.
,
~~6ta~u~~s `.a~r`€~ ~ci~ ~at~a°ri 4r4~,n~r~~~s , ~ ~
.
_ ~ r~ '
~ ~ << ~ ff . ` . . _ ,
~ _ ~ , . , =_v ~ ~ _
c
P LICA T MI7EE SIGNATURE ~SSUE ~ IG RE
~ ,
~ 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) S 0• S~
3 CITY OF EAGAN /r,~ p
8830 PILOT KNOB RD - 65122
681 ~675 ~ /a ~
New Constniction ReauiremeMS RemodeUReoair Reauiromenffi .
? 3 regiatered site surveYg ? 2 copies M plan
• 2 coples ot D~ans pndutle beam & wlndow slzes; poured fid. deaign; etc.) ? 2 ake surveys (ezterior additlons 8 dadcs)
• 1 energy calwWtfons ? t enargy nlwlations for heatetl adCitions
? 3 copies of tree Preaervetion plan H bt plattetl after 717/93
requlred: _ Yes _ No '
DATE ~ / CONSTRUCTI~N COST: 3 ~ ~'~a
DESCRIPTION OF WORK: ~v nf~`~ `~~~-c e-F /~r° °'E
STREET ADDRESS: ~~L°~~ y ~ov/f ~
a ron
?
LOT ~ BLOCK SUBD./P.I.D. i c~~... _
PROPERTY Name: ,~~~houJ ~~ph d'Sr/IaG,.he phone#: ~~J~~ ~s~y
OWNER M..
Street Address: y ~~~°v~N Cd~r~-
City: ~A ~ c State: ~ Zip:
CONTRACTOR Company: r e~Gt Yr Phone
Street Address: License
City: State: Zip:
ARCHITECTI Company: Phone
ENGINEER
Name: Registration
Street ss:
City: State: Zip:
Sewer & water licer.aed plumber (new construction onty): . Penalry applies when address change
and lot change are ~ equested once pertnit is issued.
I hereby acknowledge that 1 have read this application and state that the infortnation is correct an re comply with all applicable
State of Minnesota Statutes and Cky of Eagan Ordinances. - -
Signature of Applicant:
OFFICE USE ONLY F2ECEIVED
GertificatesofSurveyReceived _ Yes _ No ~~U 2 Q 1997
Tree PreservaUon Plan Received _ Yes _ No _ Not Required BY.--
OFFICE USE ONLY ~
BUILDING PERMIT TYPE
0 01 Foundation ? 06 Duplex o 11 Apt./Lodging a 16 Basement Finish
0 02 SF Dwelling ? 07 4-plex a 12 Multi Repair/Rem. 0 17 Swim Pool
0 03 SF Addition o 08 8-plex n 13 GaragelAccessory o ZO Public Facility
0 04 SF Porch ? 09 12-plex o 14 Fireplace n 21 Miscellaneous
n 05 SF Misc. ? 10 _
plex ~ 15 Deck
WORK TYPE
~ 31 New ? 33 Alterations o 36 Move
0 32 Addition o 34 Repair a 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MC/W5 System
(Allowable) Main level sq. ft. Cfty Water
UBC Occupancy sq. ft. Fire 5prinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump ~
Length sq. ft. Census Code.
Depth Footprint sq. ft. SAC Code ~
Census Bldg ~
4PPR41lALS Census Unit
Planning Building ~ Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
% SAC
SAC Units
S - ~
I
~ ~
v
, e
.s
~
~
t
_
,
~
M ~ ~
' 3 ~ i
G.1 ~
(~ti -
! W ~ r
~
c~
~
-
.
itY,t~'«C~::~;X:(~?k7,Y,9d%~'{<Y,CXt~Yd;r:X[5kk~ri %~~}:>°>YXtk~k!Y,tY„~t~:i}.;:n~:~C>K>X
CT7V fJF ~P~GAN
CA~~H~T:f,. ~i 1'=Fi11Tt,Al... NO~: i'Gi
IyqTE:;: (]41(]S)198 T'IN~!E; i.A °3:1.;4 i'
i
N~i~r! : rtr'il_g;Fi ~ ~ANt;ON r0i.!5't
32:Ll.J 9;:)0:1. R',31.c.'. ~FI.L.Ut..:!'N C:T °,O.CI'7
E'1:;5 S7D01 48i.c ~l-If_VI...I~ CT J„SO
Trii;:,7. %ir-.pn7.1;'T. Ainn~.:n~tr .`.i0,fip
(:~iC1>3'34F,., .
U51-,' IIIc N~4NCV
:~0;(iRh~~7~.A:X(h(1~(i >X~~;t~i~C ~Mri:MVFynj:~C:k~;:::7~::F?kM;k,t~';;ca;;`.;;:),l';;t?;' ~~;:;C
PEI~MIT ~ ~
' E~•TY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: g u i ~ n s n e
Eagan, Minnesota 55122-1897 Permit Number. 0 317 3 2
(612) 681-4675 Date issued: 0 4/ 0 9/ 9 8
SITE ADDRESS:
4812 SHEVLIN CT
LOT: 12 BLOCK: 1
BRITTANY 47H
P.I.N.: 10-16063-12@-01
DESCRIPTION:
r""` (BATHROOM)
Huildyin.g.,~Permit Type BASEMENT FZNISH
,Bui~.ding Wq,rk Type ALTERATION
"CensuS Cod~ A34 ALT. RESIDENTIAL
~
ti
S
. ~ ` . _ -
r` ~ ~ ~ ~ . ~ .
~ , ~ r T _ ~ ;
~ a_ ~
,<<n- q .,r , . - .v-~'~ .
~ rti~ ~_`..f- -
r
4~ '',.'~a~ "',J~~'~a~~.'~~`tlk~~<~Lz~y~~~~
~
~ , ~
;
REMARKS:
A SEPARATE PERMIT IS REQUIRED FOR ANY pLUMBING OR ELECTRICAL WORK
PLAN REVIEWED BY MIKE BARCK
FEE SUMMARY:
Base Fee $50.00
Surcharge $.SB
Total Fee $50.58
~
CONTRACTOR: - Applicant - 5T. l.IC OWNER:
HANSON CONST, RALPH 14602467 0083720 DUENOW pON
3392 232N0 ST E 4812 SHEVLIN CT
HAMPTON MN 55031 EAGAN MN 55122
(612) 460-2467 (612)452-8574
~ ~I her~t~y ~aoknowledge tMa~~ I. Mav~~ read ~xhi~ appl,~tc~t,ian ~rid sZat~a tha~ th~ ~
informativn- is ~correct and agrae to co!mply with all applicable 5~ate of Nln.
8tatu~~e.s and Cit~ of Eag~n 0~-diqanc~s. ~ ~ ~ ~ ~
~ _ _ _ _ _ _ ~ _ , ~ : ~ ~ ' ~ ~
'~t~an r~ I 1~
APPLICANT/PERMITEESIGNATURE ' ' " ISSUED Y: IGNA~l~-
' ~~998 BUILDING PERMIT APPLICATION (RESIDENTIAL) ~~Q~S~
CITY OF EAGAN
8830 PII.OT KNOB RD - 65122 rIDQA'],{l.~lhv't"f
681-4675 ~ rP~~ ~ ~
1
New Constru~tion Reauirements RemodeVReoair Reauirements
? 3 registered site surveys ? 2 copies oi plan
? 2 mpies of plans (inGutle beam & window saes; poured ind. design; etc.) ? 2 slle surveys (exterior addHfons 8 decks)
? 1 energy calalatlpns ? 1 e~rgy calwlationa for heated adtlitions
? 3 copies M tree bnservation plan M lot ptatted after 7nl93
roquired: _ Yes _ No ~
DATE: ~~9 S CONSTRUCTION COST; ~J~.
DESCRIPTION OF WORK: ~f~~~~ .l~~d~ /~i lDLriPi~ ~2v~~
STREET ADDRESS: S~S f,2 CyC ~.4~y~
LOT: BLOCK: SUBD./P.I.D. ~~ni f,~ ~t-I{~,
Name: ,~GtL'N_~u.6- ~,Jt~ .~"~u7clo4i,C Phonelk:
PROPERTY ~-%~t F~~
OWNER ~~IvZ . S~'I~ ! ~ C~ ~
Street Address: v
City ~'~'t'~ k State: /~NG~ Zip: .~-'f°~~. .
Campany: `~s
o.~ `-~-t/~ Fhone /°~3 ~ U
CONTRACTOR
Street Address: ~~7~oZ v~~`~ H~f~ ~ License # ~ 7a v
City '~/.~LS.i.s9pS+ c, State: /'~'i Zip:
ARCHII'ECT/
ENGINEER Company: Phone
Name: Regisu'ation
Smet Address:
City State: Zip:
Sewer & water licensed plumber (new construction only): . Penatty 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 ~rrect and agree to comply with all applicabl
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant
J,
OFFICE USE ONLY D
Certificates of Survey Received _ Yes _ No ~_I ~
Tree Preservation Plan Received _ Yes _ No _ Not Req ir,„__, -
_
M ~ + . I~
fI ~ i~'
OFFICE USE ONLY .
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging 16 Basement Finish
? 02 5F Dwelling ? 07 4plex ? 12 Mufti Repair/Rem. ? 17 Swim Pool
? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory O 20 Public Facility
~ 04 SF Porch ~ 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. ? 10 = plex ? 15 Deck
WORK TYPE r Svt ~~-r~+RJa~ v,V 1-y
? 31 New ~-33 Alterations ? 36 Move
? 32 Addition ? 34 Repair 0 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MC/WS System ~
(Allowable) Main level sq. ft. City Water ~
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code. H3y
Depth Footprint sq. ft. SAC Code ~
Census Bldg ~
Census Unit
APPROVALS
Planning Building M~ Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MC/WS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
5/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies~
i,+ :a
Tolal:
s~' ~
% ~
5A
v cirr use oN~v ~ c~0
L ~ 8L ~ RECEIPT#:
SUBD.C~'.~zL~-~-l/ !r~ RECEIPTDATE: ~ .7/~
1998 PLUI~ING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT HIiOB RD
EAGAN, !Mi 55122
(612) 681-4675
Please wmplete for: ? single family dwellings
? townhomes and condos when permRs are required for each unit
D backflow preventer for underground sprinkler system
FIXTURES EACH ~ TOTAL
Shawer 3.00 x =
Yvster CIweY 3.00 x _L =
Bath Tub 3.00 x _
Lavatory 3.00 x _L =
Kitchen Sink 3.00 x =
Laundry Tray 3.00 x =
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x =
Floor Drain 3.00 x =
Gas Piping Outlet " minimum -1 3.00 x =
Rough Openings 1.50 x =
Water Softener "for dwellings under wnstruction 5.00 X =
Water Softener ' for existing dwelling 20.00 x =
U.G. Sprinkler ' for dwelling under const. 3.00 =
U.G. Sp~nklef ' forexisting dweliing 20.00 =
Alte~atiOnS ' to existing residence 20.00 = ~
Water Tum Around 20.00 =
Private Disposal System ' MPC iic. 75.00 =
(new and returbished systems) ~
Private Disposal Systems " Aeandonment 20.OD =
STATE SURCHARGE .50
TOTAL
t hereby edcnowledge thet I have read tliis application, state that the iMOrrnstion is corted, and egree to comply wRh all eppliceble City of Esgan ordinentes.
It is the appiicanPs responsibility to notity the properry owner that the City of Eagan assumes no liability for any damages caused by the City during its
normal uperational and maintenance activRies to the faeilities constructed under this permit within Ciry property/right•of-way/easement.
SITE ADDRESS: 4812 Shevlin Ct
OWNER NAME: Susan Duenow
[NSTALLER NAME: GENZ-RYAN PLUMBING TELEPHONE 423-1144
STREET ADDRESS: 14745 So Robert Trl
CITY: Rosemount STATE: MPII ZIP: 55068
~
NATU OF PERMITTEE
JS/FORMS BLDGIPLBG PERMIT (RESIDENTVIL) 1998
EAGAN
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651) 675-5675 I TDD: (651) 454-8535 I FAX: (651) 675-5694
b u i id i no i n sp a cti on s acityofeaoa n. co m
r For Office Use
Permit* / / e
r
Permit Fee: / (0
Date Received:
Staff:
2020 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit #:
Resident/
Owner
NameU : AR I NE C. Arrcw-- Phone: k71 -'102 - O S-S-0
Address / City / Zip: 90 /2 'J P v 1 in C t t ct � BM 55( ZZ.
U
Applicant is: Owner K Contractor
Typeof Work
Description of work: 5 t c!1n NeirK
°�
Construction Cost: Multi -Family Building: (Yes / No X )
Contractor
Company: imie.,01 Cons/who-1 I. LL Contact: (317- q07 " 065
Address: p 3 null c FrK LI� City: f Ul ►1 At
1 I
State:M N Zip: ✓cif/b Phone: 32O2OOel/7Email:
License #: 66 h `' 35 Lead Certificate #:
If the project is exempt from lead certification, please explain why:
In the last 12 months,
Yes No
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
has the City of Eagan issued a permit for a similar plan based on a master plan?
If yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor.
Fire Suppression Contractor:
Phone:
Phone:
Phone:
Phone:
NOTE; Plans and supporting documents that you submit are considered to be public information. Portions of the Information may be
classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeaaan.com/subscrlbe.
Exterior work authorized by a building permit Issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit Issuance.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities. www.cooherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval f plans.
XSam C. 8c&Yx x C.
Applicant's Printed Name
APP
cant's Signature