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816 Shortline C~~ ~F EAGAN Permit No~ 383~ pilot KnoM Road Date: P O. Box 11199 Meter No: y0 y~ p2 ~ 7 Reader No: S12e~ o`'!( Eagan, MN 55~2~ ~g 3 S~Q Dat~ Owner. Site Address: Plumber ` " St~fford Place Conn. Chg: Acct Dep: ' Zoning: n ~ Permit Fee: ' No. of Units: Surcharge: " " ' Tr. Plant 1 agree to comply ihe City ol Eagan Meter. ' Ordinances. Misc.: • ~ , , . ' ey - ° WATER SERVICE pERMIT f ~ g' Q PIb~ ~ Permit in,~ y _ No: ' ' ~ ! P Box 21189 ~~d B/P No: c S 6? ; Date: 7- I 8_$8 ~gan, MN S5121 Date: 7-15-~g Owner. ~ ; t . ~ . Site Add~ess: . yi ~~liortZ,~~e ` V~ t Plumber: ~~ar p `t ;~t~f.forc' P --ura ~n~ ~are. ~ MWCC: `'S~,~,~.,~~ City Chg: I~C.!)~p~ Zoning~ Acct Dep: ~ No. of Units; Permit Fee; . p Surchar ~ ~ eg~Be to comp~y w~ ~ ge' Ordinances, Ea9an Misc.: By _ SEWER SERViCE' pERMIT CITY pp ~AGAN Permit No: ~T?7 3830 P1lot Iknob Road luieter No: Date: ~-Z~--a8 ~ ' P.O. Box 21199 Eagan, MN 55121 Reader No: S'ze: Date: Owner. ='rovt3r~ u~}~~t SiteAddress: ~1~? 5hortli~~ ~ rt3 Staffor3 Plumber. -'t«r ~I:r:ch~ 3 P ace Conn. Chg: 55~ Acct Dep; Xg ~i~ ~ Ioning; oZ Pe~mit Fee: ~.0 , t?Q d No• of Units: ~ Surcharge: ~ j d Tr. Plant , x ~ a9?ae to comP1Y wlth ihe Clty of Ea~an Meter. Ordinances. MISC.: ~ 7 ^,-~.rr , 7 ~ By WATER SERVICE PERMIT ~ ~ BLDG. PERMIT NO. e' ~ ~ ~ / . - t,, , / ,_~,J ~ , i ~L ~ a1-3210 ~Idg. Permit ~ G'~ ~ G ~ 01-342~„ Plan Check 01-3445 Surch./Adm. ~i -3446 SAC/Adm. • ~ r~ ~ ~ ~ 01-2155 Surcharge 75-3860 Road Unit ~ ~ ~ r~ ~ . , 20-2275 SAC f ' ~ ~ 2o-3ss5 water Conn. D~ 20-3868 Water Trmt. ~ ~ , 20-3716 Water Meter / U 20-2252 Acct. Dep. ~ , G~ ~ 20-3713 Wate~ Permit ~ ~ G 20-3743 Sewer Permit i G' G~C~ F , „ 79-3866 Sewer Conn. ~ ' 28-3855 Park Ded. ~ ~'r7 TOTAL ~ ~ ~ ~ ~ % CITY OF EAGAN ; ~ ~ ~ ~ . 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHON E: 454-8100 BUILDING PERMIT Receipt # ~ ' To be used for ~~~j/~qFr Est. Value ~?'+,u~~ ~ Date ..I~LY 14 ,19 =t~ Site Address ` 1G ~~?'.t`~'' i.' OFFICE USE ONLY I 5'~'r'+~''ft:~G F-I.~~;;E On Site Sewaye Occupancy '--3 Lot Block 5ec/Sub. MWCC System ~ Zoning ;~-1 Parcel No. On Site Well (Actual) Const \ rc Name t'~~~'T~"~ ~i~~::ST !tOi~F:b C~)t•;!'. CityWater (AUowaWe) Y,"~ z Address 3902 C:'I`At.Jr1L:. URIVE PRV Required -ti ~ oi Stories ~ ~~ty r i','' Phone g4"'~1+~ 3 Boaster Pump Length 4~ ' Depth 47 , p Name S~t'r' S.F. Total ' Footprint S.F. ~ ~ Address ¢ City Phone APPROVALS FEES Engr./Assess. Permit ~47(3~W yVj W Name = Z Address Planner Surcharge 37 . OU City PhOne Council Plan Review ~ 5.0 ~W Bidg. Off. SAG City I heraby acknowledge that I have read this application and state that the Variance SAC, MWCC 5~ inicrmation is correct and agree to comply with all applicable State of Water Conn. Sg0.00 Minnesota Statutes and City of Eagan Ordinances. Water Meter 67 .[3G Si9natureofPermittee RoadUnit 't^5_Cul A Buil~ding Permit is issued ta = F~~ E~L-'~ Treatment P1 3~•~ on the express conditfon that altwork shall be done in accordancewith all applTcable State of Minnesota Statutes and City of Eagan Ordinances. Parks Building Official TOTAL ~2s'~8 • W INSPECTIUN REC~RD CITY OF EAGAN PERMIT TYPE: ' ~ + ~ ~ ~ ~ ~ 3830 Pilot Knob Road Permit Number: t;';§,. Eagan, Minnesota 55123 Date Issued: '1!~ 1~~~ I'+~i ~ (612) 681-4675 SITE ADDRESS: ~ f, 1 , APPLICANT: , ~i~~~. i ~ 1 Nf „~;~ir , •i , i,1i , ~ , I ~1i t ~ ~ ~ - . ~ . ,4; ".n . : .t - ~ ~ ' r~ r i ~ c ~ ~ ~ ~ is~.f°.-srti, i.,~ . ~M"r PERMIT SUBTYPE: ; ; ~ TYPE OF WORK: ~ r: i i i r, ' ~4.. r f~~ ~ ~ ~ t~ t~ I~ r~ r~ , _ . . :~:a ~ ~ . . i~, r•.~~t i rd~~ i r~•.rli n i i ~~Fa I; i~~~~~t! I M I' I Iz~~ I l NAi : ~ nli~,~ ~.1 F'iasei'ti f i ~ 1 1•.M 1 I•, r11~ 1 ,~F t.lli 11af l~ f~1k (iN1` I'1 ~iMt+( M~~ ~~I~ 1 1 t~ ~k rcRt W~~irl ~ ~ ~ J i Pertnit No. Permit Holder Uate Telephone t ~I S/W 'i ~ PLUMBING i HVAC I~ ELECTRIC b~$s +j D ELECTRIC 8 / g ~t~m Inapection Date Inap. Comments I Footings I I I~I Foundation I I Framing / II ! ! Roofing i Rough Plbg. I I Rough Htg. ; 2~ ~ I Isul. II Rreplace I Final Htg. II Orset Test I Final Pibg. Pibg. Inspector - Notify Plumber i Const. Meter I Er~grJPlan I I Bldg. Flnal I ` I ~ F~,. ~ oeck Fi~a~ I I w~i Fr. oisp. ~ ~ ~ ~ .5 o Ti~~°-~ ~xDc~•>~v511 w/,~. ~t ~c 8~24~89 CITY OF EAGAN ~t .TdE~N s2~2A23 , 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 • PH O N E: 454-8100 BUILDING PERMIT Receipt# To be used for Est Value , ~ Date ,19 Site Address OFFICE USE ONLY Lot Block Sec/Sub. ~ On Site 5ewape Occupancy. MWCC System Zoning Parcel No. ~ • On Site Weil " {Actual) Const ' City water (Allowable) rc Name W F'RV Requfred # of Stories 3 Address ~ City Phone Booster Pump Le~gth Depth _ ¢ Name S.F. Total ,o ~ Q Address Footprint 5.F. ~ Gity Phone APPROVALS FEES ~ ~ Engr./Assess. Permit WW Name Address Planner Surcharge ~ W City Phone Council Plan Review Bldg. Off. SAC, Ciry I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC information is correct and agree to comply with all applicable State of Water Conn. Minnesota Statutes and City of Eagan Ordinances. Water Meter Signature of Permittee Road Unit A Building Permit is issued te: Treatment P1 on the express condition that all work shall be done in accordance with all appficable State of Minnesota Statutes and City oF Eagan Ordinances. Parks Buitding Officiat ~ ' SOTAL . . Permit No. Permit Holder Date Telephone ik Plumbing ~1, ~ , , fi. V AC:. Qc~J~ o~ v~- Electric a5' ry ~ f~$ a Softener Inspection oats Insp. Comments Footings I % Footings II Foundation ~ ~jy G ' J? ~ Framing Goil.e(~c . S-' -2~- .i'r- Roofing Rough Plbg. . Rough Htg. r, Isul. - ;a'~ ~~~~7 '~_C/'~~ c~'2~ Fireplace Final Htg. _ _ ~ ~ Final Plbg. ~ Q , C~~~ fd-~ Bldg. Final ~ e~/ Cert. Occ. Q ~ , Q Temp. LP Deck Ft9• ~ j~ ~Q~r ~ ~ ~O Deck Final 1r 9 Well Pr. Disp. a . ~ ~~ex#~f irtt~~ ~f (~rru~ttnr~ ' ~Citp of ~agan ~B,e~r~rtment u# ~uil~in~ .~aPrtinn ~ This Certifcate issued pursuant to the requirements of Section 346 of the Unijorm Building Code cernJ'ying that at rhe tinre of issuance this structure was in compliance with the various ordinances of ahe City regulating buifcfing consrnertion or use, For the following.• ~~:--„{~1~~ jti_ i Use pa~5cadon Bldg. Ptrmit Na - o~„~.~yTy~ y L:.f°.;? zo~n~riM ~ 4~:: -~~S~l~f•~ 1-~ t~ hi:~.~ I 'I..~l ~~~7i ~'f I~C'"•LTti\~l/'111i ilI~~ itY_.t1lL~ Owner of Bm7ding ~ Addrtss . s~wa~~ naa~ `~~I?1~,' +i'. w~iay i. i;~, STA2~'°(~~ Y~ ti~;,~. ~~t: :E~}::1':,~' swlding o~idq. POST IN A CONSPICUOUS PIACE ~ti ~ 4~;~~. ~ _ . - . ; ~ . - - . ' _ ' . . ' ~ ` , . . F;:}~ 1 , _ . ~ ~ '-s l i , ' ' . PERMIT # PWMBING PERMIT S1[~- • ~ CITY OF EAGAN RECEIPT ~ 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE PHONE: 454-8100 Site Address ~ V BLDG. TYPE WORK DESCRIPTION Lot Btock Sec/Sub Res. New ~ ' ' Mult. Add-on Name ~ ~ . ' ' G ; ' ; ' ' Comm. Repair a~ ~ Address . ~ ~ ~ ' Other c Ciry *-L ~%~4~ ~1! Phone RES. PLBG. ONLY - COMPLETE THE FOLLOWING: ~ N~ FIXTURES __TOTAL Name ~ ~ J Water Closet -~3 00 ~ T ~ ZBath Tubs - $3.00 3 ~ l ~ 3 Address " ~ ~Lavatory - $3.00 3 ~ p City - % ~ ~ hone Shower - $3.00 n ~Ki?chen Sink - $3.00 3- L~ n ~ FEES ~_UrinallBidet - $3.00 COMM/IND FEE - 1% OF CONTRACT FEE Laundry Tray -$3.00 ~ APT. BLDGS - COMM RATE APPLIES Floor Drains -$1.50 TOWNH~USE & CONDO - AES. AATE APPLIES Water Heater -$t .50 ~ MINIMUM - RESIDENTIAL FEE - $12.00 Whiripool - $3.00 MINIMUM - COMM/IND FEE - $20.00 ~-Gas Piping Outlets - $1.50 STATE SURCHARGE PER PERMIT - .50 {MINIMUM - 1 PEF1 PERMIT) (ADD $.50 S/C IF PERMIT PRICE GOES Softener -$5.00 BEYOND $1,000.00) Well - $10.00 Private Disp. - $10.00 ~ i~ ; ' : ` • f~~~J) ~Rough Openings - $1.50 r~ SIGN~4TURE OF PERMITT FEE: L- STATE S/C: ~ FOR: CITY OF EAGAN GRAND TOTAL: ~,~',7 ' . ~ PERMIT # -~L ~ ' ~ MECHANICAL PERMIT RECEIPT # c, v~~ r~~l ~ CITY OF EAGAN ~ 3930 PILOT KN08 RaAD, EAGAN, MN 55122 DATE: "~~8~ CONTRACT PRICE: PHONE: 454-8100 Site Add~ess ~~4 ' ~ BLDG. T~PFi WORK DF~S PTION Lot B~ock Sec/Sub R~ New ~(.:~a ;~a~.~_~ x:;Cl~~l.. Name I~ a ~~T, ,v(, ~ A Mult Add-on Gomm. Repair Address IS ~ ~ E A Gr~ aJ Phone ~ s Other c Ciry FEES Name ~`~'~T f;' ~ ~ s RES. HVAC 0-100 M BTU -$24.00 3 Address ~ Y'J P S t r ~F . ~ , ADDITIONAL 50 M BTU - 6.00 p City r~ Phone ` 5' -d~ 33 (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PEFiMI'T) - 1.50 EA. TYPE OF WORK COMMIIND FEE - 1% OF CONTRACT FEE Forced Air M BTU ~~:h-~ APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE 8 CONDOS - RES. RATE APPLIES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8~ Unit Heater M BTU REMODELS - 72.OQ Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # ~ ' ` BEYONO $1,000} Other FEE: . S/C: SIGNATURE OF PERMITTEE TOTAL: ~ FOR: CITY OF EAGAN CITY OF EAGAN ' 454-8100 ' - DEPT. OF BUILDING INSPECTIONS - ~ ~,~~~z,~ w~~~,: s ~ ~ Correction Notice Located at °k~~ = ~~~~T~~~v~ I have this day inspected fhis strueture and these premises and have found the following violations of city codes governing same: ~ f%~~c.?~~ ~ - ~f:L: ~1,Cr /U~~' /~l'~i~G T , ~~-i __~a ;'C.~: C /I~1 Ct-., - ~ ~ ~ ~ - , U ~J 7' , . T ~ ~ -~l 7`,4~,~'~ >U ; ~~y ~ v < c= , :i;,~: `L . ~ _ ~ 'r~o.ZT`" ~-i~7f(y /`s_'~,z'~ . ~e-,~: ~l / i~' Ci~;'~ [rt /LT t ~~~`:y~" - , ~ r:~° L t`, ~-r- ~ E!J r4- 7/.~;r~'i=T = j~~' ~rc:. ' - ~ ' ~ - i . - , L I~Vhen corrections have been made, please call 454-8100 for inspection. ; - Date -~T ` ~ Inspector City of Eagan DO NOT REMOVE THIS TAG MECHANICAL PE$MIT DATE: 3/28/91 RECEIPT: 100605 SITE ADDRESS 816 SHOBTLINE Unit # Permit # 128g2 L ~ B 5 Sect./Sub. STAFFOR? PLACE PREFERRED ME~HANICAL SER I~E - 8 I1 INSPECTION INSPECTOR UATE COMMENTS A/G ~u/ ~~y # .2 9 '~5O° INSPECTION INSPECTOR OATE COMMENTS CASH RECEIPT CITY O~ ~;GAN ~ 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 .DATE ~ ~ 19 ' / ~ ~ ~ ~~~'.-c~ir~E ~ /1 ~ r.u..t,c.l. AMOUNT $ 3~j ~ li~/ . & DOLLARS ° ~m ? CASH ~CHECK ~ 1 ~ ~a~35~/ i~/( r _ ~ . ~'3 y~c ~ , ~ ~ ~ . - l : : . FUN O&IECT AMGIYNT _ ~~u Thank You _ ; : BY . . . ~ . . C: ~ A ~ ~ . ~ ~ v~eu"""-rosnre covr ~ Rnk~'ueCapy C~02554 ~~1~ q S~~ ~~5~0°~ Repues~ Date fir No. Rough~ln Inpsecli0n RepuireE Inspeqion Othar Then auqh-In 5/~/C (VOU mu call Inspactor when reatly) ~ RaeOy Now ~Will Nolly Inspactor ~ ves ? .r+o oaieaeaa I G licensed coniractor ~wner hereby request inspection of above electrical work at: Jab~~ss IStreet. ~ r,FOou~ ~ .I ~ City /O ~ . Section No. Townsnip Name or No. Range No. Coun~y Occ M IPRiNT~ Phone N0, re .9o~hsd PowerSuppLer Atltlress Elechma Co vamoriCampany Neme~ Comractor5 License No. ~[~'1 ~~W» Meiiing Adtlress ICOnhatlor ar Owner Making Installation~ ~ ~ Aut~orized SI Wr ICOmracbn n ng taliationi Phone Nom~er -7/1l MINNESOTA STATE D OF EL TRICITV THIS INSPECTION FEOUEST WILL NOT Grigge-MlEwey Bltlg. - floom 5~1]3 BE ACCEPTEO BY THE STATE BOARD 18f1 Universlly Ave.. SL Peul. MN 55100 UNLES$ PROPER INSPECTION FEE IS P~one~6tt)6a2-0B00 ENCLOSED. 'J CJ~ REQUEST FOR ELECTRICAL INSPECTION t ea-ooooi-oa ? 5ee ins~mctions for complering tnis lorm on back oi yeliow copy. ' as~7~.s -'X" Sv9ow Work Covered by fhis Request M+:~:: ~ C~~J2554 a- ew A. p. Typeofeuilding AppliancesWired EquipmeniWired Home Range Temporery Service Duplez Water Heater Electric Heating Apt. Builtling Dryer Loed Manegement Comm./Indusirial Furnace Other (Specity) Farm Air Conditioner Otner~spac~y~ Contra<ror§ q / Compute Inspection Fee Below: ~ S~~ ~/j 6~1~ ¥ Other Fee # SBrviceEnMancBSiZe Fee # CirCUits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps AboveN00 _ Amps SiJns Inspectar§ Uee Only: ~ ~ TOT ~ Irrigation Booms ~ Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ERED S NiNECTED IF NOT Other Fee COMPLETED WITIiIN 18 M 1, the Electrical Inspector, hereby Ro~gmm .'1~ G "S~ ! certify that the above inspection has F;~ai oa~e heen made. f .1 ~ OFFICE USE ~NLY ~ TOiS request void 18 mom~s imm 2~~J Q/~ OFFl E USE NLY This request wid 18 monPoa from volidafion dare pnnted in Ihis box^/ ^ J O~} 8'~/~9~/ ~Po~6~'/ ~ /~~~y'/" ~~(/~/O~ W EASE PRINT OR TYPE / VX. Raquest Dab / cA~ Rough-in Inspeclion rcquired <s ~ No Impection Olher Than Rough.ln: ~ Ready Now Will Cail ~'/ou must mll the inspeclor wher~ ready) Dah Ready: I, ? licensed contrador ~owner hereby request inspecfion o{ fhe a6ove electrical work af: Jab Address (SVeet, Bo:, o. Rouh Noa Gry Z~p Cade 81 b S~nn~\~~.e SS' I Z3 Section No. Township Noma or No. Ronge No. Fire No. Gaunry ~k otw OttoPant Phone No. G~ Y - k~.s~~ G~Z ~~7ri i Pjo~wer~S{u~ppiiya~ Pddress 4~CI./~OW ~~Q[~V'1C Elecfiwl Cankoaor (Compvny Name~ Cankador License No. Maskr Lic. Nn ~Planl Elecl. Only~ tOW P~ " g Pddress (Conhador or Owner Pedorming liulollcfion) V AvMon i amre ~Co va r P ormirg Insklla~ion) Phone No. c EB~OOOOIA-1 6 STATEBOARDCOPV-SEEIN5fNUCTION50NBACKOFYEILOWCOPV IIIIIIIIIIIIIIIII~IIIIIIIIIIIIIIIIIItiI~~I REOUESTFORELECTRICALINSPECTION~a Minnesota State Board of Electricily ~p 1821 University Ave., Rm. S-t St. aul, MN 55104 - OQ 2 7 3 2?1 4 0* Phone (612) 642-0800 ~a- ome Duple: Apt. Bldg. . 5~,~ , n ~ 5 4„~ New Addn Commercial Indusirial Form Remod Re air Air Cond. Hig. Equip. Water Hh. Load Mgmt. Other: D er Ran e Elec. Heat Tem . Service "X" obove 1he work cavered by ihis request. Enter remarks in ihis space and on ihe back of the white copy only. Te i~~~ ~.;~5 ~ o~t~s Calculate Inspxtion Fee - This Inspection Request w"ill not 6e occepted wilhout the wmed fee: Olher Fee aF Service Enha`rce Sae Fee # Circuih/Feeders Fee Mobile Home Park S~all 0 to 200 Amps 0 fo 100 Amps Sireef Ltg./Traffic $ig. Above 200 Amps 100 Amps Tmnsformer/Generaror INSVECTOH'SUSE 0 ~ - Sign/Outline L}g. Xfmr. Alarm/Remote CoNrol Swimming Pool i h~.~b mm ~hm i ~ ma ~I.cm~i mMllation desribed herein on the dab nabd Irrigation Boom Rooeh.l~ Do~~ Speciol Inspecfion Fi~a~ Investigative Fee ~ ( THIS INSTALLATION MAY BE ORDERE SCON E ED IF NOT COMPLETED WITHIN /8 ONTHS. ~/ri~i ~ioo~~-i 53112~.~.. Raquesl ~e1e ire N Rough-In Inspepbn ~ ~ - RequlreG7 6J.Re3"tly IVaw ? WIII Notlty Inspector ? Ya6 When ReBdyP I~~nsed contrector ? owner hereby request inspection of above eledrical work et: .bb AOtlreea Skea~, Box or Rpute Ciry -~L~t-~.-~,~, ~ti Sectlon No. , Township Neme or No. Range No. Coumy ~ / ~~~1~ Occupen RINT) P~orre No. i,~.~f / Power 9u Ilar AEErees Eleqtlcel Ca rectar Cam -Neme Convector§ Llcerea No. ~ ' `J'G`~i ja-/ ~ Meillnp AtlErese ( redor w Uvner~ g Installetion) ' ~v d l~~.Q~~v'~D Authadzetl Signeture ntraclpr/Ownar Meking Inetallatlon) Phane NumOer 3.~ MINNESOTA STATE BOARD OF ELECTRICRY THIS INSPECTION REQUEST WILL NOT Otlyya•Midway Bltlp. - poom 5-073 BE ACCEPTED BYTHE STATE BOAR~ 1847 Unlveralty Aw., SI. Poul, MN 55106 UNLESS PROPER INSPECTION FEE IS Pha~p (MQ) 844-OB00 ENCLOSE~. ~/~/9~ REOUEST FOR ELECTRICAL INSPECTION eaaooorm ? See ineVUCUOna for mmpleting ihla form on back oi yellow copy /QQ i'r' 5 3112 Y X" Below Work Covered 6y This Request ew A6d TypeolBUilding AppllancesWiretl EquipmeniWlreC Home Range Temporary Service Duplex Water Heater Electric Heating ApL Bullding Dryer Other (Specify) Comm./lndustrial Fumece Ferm ir Conditloner Other (speciry~ Contrec1ar§ Remerks: . Compute Inspection Fee Be/ow; # O[her Fee # ServiceEntranceSize Fee # ClrcuiWFeeders Fae Swimming Pool O to 200 Amps ~ 0 ro~00 amps hanaformers Above 200 _ Amps Above 100 _ Amps Sigf15 ~nspectorg Uee Onty: ~ TOTAL i Irrigation Booma ~,J -~i f S ? ~ Special Inspectlon Alarm/Communicetion Other Fea I, the Electrical Inspector, heieby Ro°eh-i" oa~e certify that the ahova inspection has Finei oe~e1 ~ been matle. i OFFICE USE ONLV Thia request wIE 18 montt~a from This request void~Tf74` ~ S'~~~7 18 nnnihs from v E 45253 / ~ ~ ~ a,e~ ° Renu t Date Fir o. qouph-in InsVeclion l~ ReQUir ? ~Reatly Now~~l Notify Inspec- • e es ?No ~or Wh¢n ReaGv ~icensed Electrical Conirac~or I hereby rapuast inspection ol ebuva ? Jwn¢r eleclricai work installed at: St t AdAress. Box N ute Na. n Ciry l ~ e<bon . To nship Name r No. Bange No. ' Counly Occ ' tIP TI ~ Phane No. S"- C~ ~3..3 Pow r S ier AAtlress Electrica Contractor (Comyeny Name) Conva~s LiCense No. 0~ ,MailinB A res aking Ins~ailationl 14540 PENN A gS~ll~e~~yto~r Ma inH ~~~s~allationl Phnne Number vri 5512~ MINNESOTA STATE 80AflO OF ELECTRICITY THIS INSPECTION NE~UEST WILL NOT GriB9s•Midwey Bld9. Room N-191 8E ACCEPTED BY THE STATE 6DARD 18Y7 lJniveraitv Ave.. St Pa~l. MN 5fi704 UNLESS PROPEN INSPECTION FEE IS an,..,e ~ai~~ en~.nann ENCLOSE~. ~ 8`/~~j/~`i~ REQUEST FOR ELECTRICAL INSPECTION Nee-oo/oo/i~-os ~ See instructions for compbti~ this lorm on back ot vallow copy. C y lM E 4 5. ~ 5 3 ~~X~ Be~oW Work Covered by 7his Request ~ A d~. Typc o~ Buildine AVO~~nnms Wired~- E~uiyment WireA i'.- Home Range Temporary Service Duplex Water Heater iyhtiny fixtures ~ Apt Buildinc~ Oryer Electric HeaLn Commerciai Bldy. umace Silu Unloader Industrial Bldy. Air Conditioner Bulk Milk Tank Farm Otner oeri v .~hee lsner.ifyl t er Syccify [her Othe~ ompute lnspection Fee Below p Fae ServiceEniranceSize 8 Fee Feaders~5ubfeedere ~ Fve Cirwits U to 200 qm 5 0 to 30 Am s 0 tn 30 Am Above 200 qmps 31 ta 700 qmps 31 [0 700 A s Swinuning Pool Above 100_Amps ~ Above 100_Am~s Transformers ~rngation Booms Partial,'Ot Signs Special Inspectlon OTAL flemxrks floug~-i^ ~ ~°1e I,the Elac ' ~ Insoector, he~eby certi~y that the abova Finel ~'~~e inspaction hes ~ean made. ~nb repuest voltl 18 monlM irom ' , CITY OF EAGAN N~ 15 3 41 ' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE:454-8100 Ci~ BUILDING PERMIT Receipt# b To be used for SFD/GAR Est Value $74,000 Date .TIiLY 14 ,19$$_ Site Address R16 SHORT N OFFICE USE ONIY Lot 1• Block 5 Sac/Sub. STAFFORD PLACE onsitesawage _ Occupancy R-3,M_7 MWCCSystem __~L Zoning R-1 Parcel No. On Site Well _ (ActuepConat VN a Name FRONTIER MIDWEST HOMES CORP. Ciry Water ~ (A~~oweb~e) VN = Address 3902 CEDARVALE DRIVE PRV Required x of Stories p Booster Pump _ Length ~13 City EAGAN Phone 454-0433 Depth L~7 , p Name Sp'ME S.F.TOtal ~Q Address ~ FootprintS.F. ~ City ~Phone pppROVALS FEES En9r./Assess. Permit ~~.7Q.00 w W Name t z Planner Surcharge ~Z.On x~ Address aw City Phone Council PlanReview 735_00 Bldg. Off. SAC, City _LQ~ _ nn I hereby acknowledge that I have read-this application and state that the Variance SAC, M WCC .-5 ~1D..D4_ iniormation is correct and agree to comply with all ap licable State of Water Conn. 55l1 _M Minnesota Statutes and CityQ~.f~ /E/~ g~an O~rdina s. Water Meter _~.z,..p(~ Signature of Permittee "-~f/ _ _ ~ Road Unit 3.23~.89.- A euilding Permit is issued to:_EB4NTIER_MID4IEfiZ.HOME$ Treatment P7 zQt.99 ontheexpressconditionthatallworkshall edoneinaccordancewithall parks applicable State of Minne ot Statutes City o( Eagan Ordinances. BuiltlingOfficial ~ TO7AL $2~~~~Q~ AS~'~- ~ J3 i, • : ~~•r'u~utl+ ~'7•UUt ?sa~U~t l0U•UJ+ `i~U'Uu} ~i iU•lIU'~ (i`!•UU+ 92?•UU~ ~ r~~k•UU'T 2~~Sd•ilu;~ 1 / RESIDENTIAL BUILDING PERMIT APPLICATION /~J~ CITY OF EAGAN ~ ~ J 3830 PILOT KNOB RU - 55122 Q~ 651-681-4675 New Construction Reouiremants RemodeUReoair Reauiremenls 1~~G1 ~I e~ /~l 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all mofed areas • 2 copies o( plan (20%maximum lot coverage allowed) • 1 set o~ Ene~gy Calculations for heated addilions • 2 copies of plan showing beam & wi~ow sizes; poured found design, etc.) . 1 site survey for extenor additions & decks • 1 sat of Energy Catculalions . Indicate if home sened 6y septic system for additions ' • 3 copies of Tree Preservalion Plan i( lot platled afler 711193 . Rim Joist ~elail Options selec6on sheet (bldgs with 3 or less units) i O 7~5 ~ a O` n D! U 5 DATE ~~r j ~ ~ ~I VALUATION (EXCLUDING LAND) , Dl~ JOB SITE ADDRESS ~I ~ ~{~o1'z`r~~~7~ Ln1 IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNER IJ~~R~ L_~L-oL 1~ TYPE OF WORK ~j,4T~-~~LaO~`^ /Z(~,~..o~~L FIREPLACE(S) _0 _1 _2 _3 APPLICANT L.-Y{~v~-~'~ C+s~/.fT" PHONE # 1-~Z -.Y~] •~`l ADDRESS ~J~ (~~l ~n/~o9GE ~v ZIPCODE S~ ~ PAGER# CELLPHONE# bf2.~ ~~-i~ •`~JZL~ FAX# 95Z NE1V RESIDENTIAL BUILDING ONLY - FILL OUT COMP Energy Code Category MINNESOTA RULES 7670 CATEGORY 1 If~ (check one) - Residential Ventilation Category 1 Worksheet Su6' i~ ~d - Energy Ernelope Calculations Submittad ~ItF~ : ~l ; MINNESOTA RULES 7672 ' - New Energy Code Worksheet Submitted ~ Plumbing Contractor: Phone P1umUing System Includcs: _ Water Softener I,awn Sprinkler Fee: $90.00 _ Water Heater No. of R.I. Baths _ No, of Baths Mechanical Contrador: Phone # Mechanical System Includes: Air Conditioning Fee: $70.00 Heat Recovery Systecn Sewer/Water Contractor: Phone # 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 corre , and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 1f01 ~ ~ OFFICE USE ONLY ~ ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ~ 02 SF Dwelling ? 08 06-plex O 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Parch (screened) ? 36 Multi ? OS 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 ~emolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bidg. ? 42 Demolish (Foundation) ? 45 Fire Repair 33 Alteration ? 37 ~emolish (Bldg)' ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement *Demolition (Entire Bldg onl~ - Give PCA handout to applicant Valuation ~_()?'C9-7~ Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const W idth REQUIRED INSPECTIONS _ Footings (new bldg) FinaUC.O. _ Footings (deck) ~ Fina]/No C.O. _ Footings (addirion) Plumbing _ Foundation HVAC Drain Tile Roof Ice & Water Final Other Framing _ Pool _ Ftgs _ Air/Gas Tests _ Final Fireplace _ R.L _ Air Test _ Final _ Siding Stucco Stone ~L Insulation _ Windows (new/replacement) 7 Approved By ) 2- , Building Inspector - - Base Fee Surcharge ~y Plan Review ~ ~l ~~vrn !p~ MC/ES SAC (il') OL'J ~ v v ~ City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total ~ ~ ~ ~-Y ~ RESIDENTIAL BUILDINC PERMIT APPLICATION a ~ ~"l"l.~'~~S 3830 PILOT KNOB RD~EACAN MN 55122 L"~ 65'I•681-4675 New Canstruction Reuuiramenb RertadellReoair Reauirementa • 3 reg'stered sde surveys showing sq. ft of lot. sq. ft of trouse; and all roofed areas • 2 copies of plan (20°k maximum bl coverege allowed) . 1 set of Energy Calalations for heated additions • 2 copies o( plan shovnng beam & windax sizes; poured tound design, etc,) . 1 sRe survey for exterior addNOns & decks • t set af Eneryy CalculaGOrS . Indicate if home served by seplic system for additbns • 3 copies of Tree Preservafion Plan if lot plaHedaRer 7/i193 • Rim Joist Detail Oplions seleaian sheet (bltlgs with 3 or less unhs) DATE (O'~'aZ , VALUATION SITEADDRESS ~Ib S1a6/ir L~N~. MULTI-FAMILYBLDG ~Y ~N TYPE OF WORI~S?DI N(~ FIREPLACE(S) _ 0_ 1_ 2 APPLICANT Ia~nk,RtcA,.~ [3~,,,~fl sQ.~. t ~RS STREET ADDRESS ~'~'Z-~~1 N t w ~.~.f~C" A v S cirr Ep~,~ A tJ STATE N~AI ZIP SS33~ TELEPHONE # 957.-'l0'1-~`159 CELL PHONE " FAX # S2 ~,~E~~7'~f,~1.'~ PROPERTYOWNER BEtt'yL (iea.j TELEPHONE#leS1-905- ~$pI COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ ~INNESO"1'A RUI.CS 7670 CATF.GORY I MINNESOTA RULES 7672 (J submission type) . Residential VentilaCOn Category 1 Worksheet Submitted . New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: _ Phonc # _ _ Plumbing system includes: Wa[er Softencr ~ Lawn Sprinkler 7 Water Heater No. of R.I. Ba r~ / ~ No. of Baths ~ ~ - , . CC7 2 4 Z~~? Mechanical Conhactor: Phonep~J ~ Mcchanical system includes: _ Air Condiuoning Pce: ~70. 0 _ Heat Recovery System ~ Sewer/Water Conhactor: Phone # ° ° - ° ° ° ° ° ° I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with alI applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicanf Y/B.v~ ~+~+u c.[iNU~ OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updaled 4/02 OFFICE USE ONLY , ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS O6-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt- Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? O6 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous O 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 "Demolitian (Entire Bldg only) - Gfve 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) _ FinaUC.O. _ Footings (deck) _ FinaVNo C.O. _ Footings (addirion) _ 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 , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAG Water Suppiy & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total 1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS ' ~ ~ ~ f INCLUDE 2 SETS OF PLANS~ 3 CERTIFICATES OF SURVEY~ 1 SET OF ENERGY CALCULATIONS NOTEs ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL HE ALLOWED ONCE BQILDING PEAMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL QNITS FOR SALE UNITS i! OF UNITS INCLUDE 2 SETS OF PLANS~ CERTIFICATE OF SURVEY - CHECS WITH HLDG. DEPT., 1 SET OF ENERGY CALCULATIONS CO[rAfERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS SfQ. To Be Used For:UEi.JCc,NSiRucnon/ Valuation: ~'~,-968~-[~ Date: D'r~~b1.~g~ Site Address $Ile SH-D~T"L.INE ~Y ppp OFFICE USE ONLY Lot ~ Block 5 On site sewage Oecupancy ~4~3 /~g-/ SrRFFpR' PLRCE ~CC system ~ Zoning ~ Parcel/Sub On site well Actual Const VN ~ City water Allowable Y~1/ Owner--~OHh1SON ~(~'2E602y f}ND ~LC, PRV required l~ of stories Booster Pump _ Length y,~ ' Address 90(n ~{m RVF . Sp. Depth S.F. Total City/21p Code I-IDPKINS, pnN 553y3 Footprint S.F. Phone q3g -~87~j pPPROVALS FEES Contractor Frontier Midwest Homes Corp. Engr/Assess Permit ~/70 Planner Sureharge 32_ Address 3902 Cedarvale Drive Couneil Plan Review 23S Bldg. OPF. 7~jZ SAC, City /a~ City/Zip Code Eagan, Minnesota 55122 Variance SAC, MWCC -~'~S"i Water Conn 5~5-~ Phone ~ ~~~~04~ Water Meter G~ Road Unit 3 2 Arch./Engr. Phillips Plan Service Treatment P1 Z~ Parks Address 14530 Pennock Avenue Copies ~ TOTAL ~ - ' ~ ~ City/Zip Code Apple Va11ey,MN 55124 Phone li 432-2044 I I C.,~~ . . • . `/Y~k~y= ~l~o ra~ ~ ~o~?,~. ~z - ~~~~r "7 3 ss ~ ^ ~ ? . s~cr~ve~or~s G'ert~f~cate ~ SURVEY FOR: +.~rontie~ I::idwcsi: llames (:orn. DESCRIBED AS: Lot 1, Bloc': 5, S'I'AFPO:'ll i'I.P.Cis, Ci t~ cf Eag2n, D~l<ota Ccimty, t;iimesota ~ and reserving ease~uen~s o[ record. " ~ I . Sz.3 , . . ! P.F3.1/. R~QU~~~~ , ~ . 0 tioRr \ ?S 3, ~ ~''~iF~ ~ , i ;l ,P 8sso ,o,qR I ,-t ~ s r~- ~ ~i " \ ~oB~a ~'QD ~ ''9o R % ~ •~p~ ptio ; ~ N ~ a ' ~v ~ ' ~ \ O ~v ,Sy , ~ _,o o~ ~ . , .~l . ~ ~~s p ~ i MNYM,p i~'-' J~ \ Gj`r S R~Lh` i ~ V~~ h O 1 ~ S / ~~N) ' ' ~a~ ~y~ o/ ~ \\o ~ G~J^ /,{~7 ' JJ n~ . hh ~!7 ~y~ /~9'/ q' . BJ•.? ~ l~ p'Q', ~ ~ I ~p \ i P~ y~~~~,a~ I ~ ~ ~ f Sa8 ~ o ~o y3 I ~ • ~ ~ ,o ~ q,P/ ~ O ~ ,W ~3 ~ ~ h i ~ n„ 43 . ~e~s ~ NQ ia,~ ~ \ ~ N s i I t ~~?~'aR~'~ I ~ ~ G J ~Y . ~EVI~~v~d Z Date ~ LtlC9 \ E~.GFi1~___ ~~:~IIt~EERIY~~ ~~P~ a~,Q.~ - 8~ o ~ f 2 ~tA~'i~~ PROPOSEO ELEVATIONS ~ BENCHMARK+ rov of founeation . 85L,1 I , L-crayt ;°::s: . g S~e. 3 ' . Bm~menl Floor : a 5 a.5 ; MIN. SETBACK REOIREMENrS Approx. Sawar Sarvk~ Elev.. , ~ Propossd Elevatlons ~ p Fronf - 3o Houa~ Sida ~ u Ex~sllnq Elevaflanf Drotnoq• Dlrscllons . Rear - I g Oo~apa SId1- 5 ~ Oenotaa Otfsel Stoke . O SCALE: i lneh = 30 Fest , . ~ I Mnby colllg I~ol Ihl~ wrv~y, plon er ~~pert wo~ pr~ponA pY m~ J09 NO.; /~IEDLUND ef und~r my dlrscl ~up~rvl~ion antl Ihpl ! om o dulr R~q~~t~~~d ggR-191 Land Surv~Ya undu m~ law~ of tA~ Stot~ of Minnoofa. BOOK: P/anning Enqineertng Surveying W ~ l~~t ~b'oiN~plon fiN~y. Fm~M~q1eM1 NMUNwI~ S'H10 n ~«ro~w+Mirwwe~ 9~~`~ i44 ~ Y~. PA6E: ODalr J~ • l dqr~n, Lic~n~ NaN378 ~~~~IIL . L ~ •1 ' . ' ' , . `ovGL~tir,~..a.,~ , , ~-:<T~iti:,'i1 ~Fl';LLOPL' A7f:i,u~(' "11^ ('Oh1i'uir~fil:', /r...~E-a, sL~ . z~ ~ owuE~: ~or+n~~n~, GReGo~ev ~Nt~ ~ti,,~~ : 07- ia - Sg' ~ „ - 4j'-0433 - =3o\_IF3 SIT~ ADCRESS: ~SI~ SNO~TUN~ r~.n.:r: CON7RAC~uR• :~OVTi'c3 wSDI+cST HO_~S COR90R3TIOS De'_crnine wuri:iny ;~tuarc lc~oW~~c uf eac4 1. Tot~l ezposzd watl area..... ~=~!t<<_s~i. ll.. ~_ll.--•-, z2s- ~c- 2. 7oCai roof/ceiling are:..... ii _~~1• i~• x._~~f Total exposed ~raii arr.a ilmve f~an~= ~g~ Y - • ' a. iotal wall w~ndc~.a area b. To:zl door ar°a _ . c. ~otal slidirg atass door arza G~. IOL21 ~1~'~~LCB WZ11 d^': E. IOsdi WSiI i~8'".::~n Z~~a j~:^_~3(:° ~1~..~ - , ~ ~Ctul rin ~GiS: 2i'?~ g. ne: viail are: aCavz `ioor , h. wall ar=~ abov: "ioor i. wall ar~a ahove °lucr j. frane wali area a. _`ucr:.:a=_c _ ~J:3~ ex;e•_ed ~cur,Jatiun area-..^~ ~ k. Total foundation window area - l. Total net ,`ouad~tion ar~a a6cve ~rade Deter^~ir.e "u" value of each k~?l segm~:it (e.n. window, door, t~~ch sep~ra[e wail section) a. i-?, Y Ys---~.S7,G _ _ ~ e. ? _ r , 3 ! ll,~ S C• -2 -1 _ g "~J~• • ~ IJ ICn`~ d._ r~` : _ r ~ , - ~ • e. 1 Y0 _ g = I~,Z: r. c~ X^,,,. , = r, k~/ g. ~c~'_~ .7 x ~u^ _ ~y.9 h. X n~n ~ uUn - . 7. 5 _ X _ 1r ;ceR~ is ' y_ X.~. . as, or iess tt - /1, Yau hav~ rt 1. 7~ X"U"_~J`~ /C,c7~. ince.^„ ScC 3 . .................................Tctal = i~CC:.II , .~,iictnr:cr ..r.veicrc lvcrac,e "U" C_z.u;ar:on Page _ c' ~i Total exrosed zco./cc_1=n, z=e= = IITi % m. ?btal skyl°_5h: area ~ ~ ~ n. ~'c al rco5/cc:'ia, :ra.aiag ar~a (avcra,c lOt) r ~ ~ , '7 . o. Total r.et i.^.s~la.ed roo./cezliaq are~........... ~=:e . 3 ~ • Deeeraiae "U" value !or each rcof/ceilinc, se~ent ~ z x^u^ , Y~r = r z5 n. 11C•~] X "U" .CZ~ = Z,(oS` o. G~1G ~j X nun .O Z = +G 47 4 T~tzl = 7 ; 4`; I` .o:al c~ ;-0 is t::e sa^~e as, cr less thaa ~2, you have me_ the ir.tent o` Sbr_ 60Q5 ;c) 1. alt 3u:lfl°_^c ~.velcn_ Bzsica To ~.~lize .he total envelo?e'sys:~ aethcc, G'~e vzlnes es~~^1?s:ec by :`e s_^ o` =te~ns ;3 a:,d .';4 s`all not be great~ ~'~aa t':e sun a: itews =1 a^d =2. ~ . G Z ~ } "iI ~ 6l 7.. ~ ~ . % `~..1 I (1 I . 3. I YC.~ ~I i 4. Z!'~'r - G I~ ' ' . . F ~ . '})_\I.1~ 5'..^.:C:t7: . . . ~`.~'1 r wll nrc~ for ~:__~~l <.i . . Z: ~:'~~1~~1 C~•Cl~-]nU (~i.nrlf.~4_7i.~:~. : n•: r.cau:t r:,c~ !un _ . t7.,,i :~;G ~ _ ' yL~~~ ~.D. :_~a"I . 1: 1ult::":'--'`~~'1--'•, 1. ~j% i~,.:.~. . ~ ~t .Z.CCi I ~ . ~ . ~ ~ o. iG~t...6~'f.(~. . - . . ..lrZ - S~o.~a~ s. _ , G. }:r.t~~ri~_~.slr.lil~u ~4 _ '•,•.,,,,i (La ~o. 85 : >I.:, ~ ~ ~ic ' I~ ~ • U- .o't , : f 1 q;.r,~t F1C. D1 :e:! OF l, Snerrl;r_air., ....-i=.. --J,d~ , °IW'=~ Nn(.S. 1, _/Z.1,.~p-.~oQ.... . L°L~ . 3. _S..'_..itLSUi-_..._..._.-------- `'Z,_a` • . 4 . ~~t_ _~1TL • ° ' A_ . ~ • _ 5. nb?- G. E~.~r:.ior a:r •t•ui.al ~ s ZZ•~1 aJ . J._,I(,= - ~ ~ i ; i F:C. 9: ~.I.L.__--;; U~~ ^ ~I~_._---0 ' ~ ' ~ ~`~~.~-~~Q . : ]ntr,t.i~!~'::.li,ir.~_..._-•-= -.-'..-_..(°.~+Q ~ ~ ~n ' y~•-~rx5u~ . ~ --•I.,•..9 '~'~~~Ii"` l. Z~t..!9..._~?:~~.~. ~Z.c~ , _----Q a. .zSf.3'--•s;rtlo....._ _~_tiz. a,:f!. ' -----^-t~ 5. _S+di,~vy..... . a_ A~ r f`~~'~_.`J }:xC~~~~~~C ni'~! i Im~ _ ~`~Z. ~j:..: ~ " G. :.-~r;,t 21 a,:.~i ~~~;~i'~._.~ , ~ . ~:,~,L .~,.~,;~`~~-.~I . , LI q.r,n ~ ' - . I.`; p', pI~_^_,_Q ~~oGKnlr (it•'~..__.._._. ''f } 1. Itt t 1 ------=-'`J $.~°c.k._:--~. ~~q_ ; r ~ " ~ . _~z:'.. ~ i--°~ c~ •-•~~~i~..'o.x.r:,L~_ ~?ic;d ~o ~~~wl _...._--0 . a. . _ _.---...___._---•u.%% r~--- ~ ~ ~ •Q' l , 5~ 1::c T.--.-'~`~"''.'.iy.._ . ~ , \ ~ i_s~JC'~_~ G~ t~.=~~~C ..,t'til.~l '1.13 y 7 ~ ~=r`,ri I~ / , . . ` V = . . I ~ r. . . 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To~L = zv,!~ : ~S~~t, a c{ j~ GEILIU o~ . ~x QJG+i ~ z- =`~ti'3 G alc~ L, c.r i ~ W Dx15 fl ~ D oo~z5 ~ zyx-~v ~z-' ~4 = a5 rn1i~ z 3» DI~ L~ - r. _ _ ~ }~~`t'10 . " `uy~„^~, ~ ~ v Q _ II Y.''. ~O^ ' 3~.L~ ~ _i l • `~~b ~ F35 M'+ U ~ ~ +5 ? : 1989 BI1I1-DIAG PEA!!IT IPPLICA?ION ~ ~a ~ ~ ~ CTfY OF EAG~N ~ ~ ~P~' ( 1~ SINGLE FAMILY DHELLIFGS lIDLTIPLE DWELLINGS ~RCIAL 2 SETS OF PLANS 2 3SfS OF PLlA3 2 SETS OF 1ACHIlECfUAAL 3 HEGISTEAED STTE SQRYEYS BEGISTfiAED SITE SOROESS - i 3THOCTQAAL PLANS 1 SEf OF ENERGT CALC3. (C~C6 iiITH HLDG DI4.) 1 SST OF BPECIFIClTI0N5 1 SET OF EI~AGT CALC3. 1 SET OF ENEAGI CLLCS. MULTIPLB DWELLINGS RENT`L ONITS FOA SiLE 9NTT3 f OF DBITS iOTEt ~DDRESSES P08 COAt7ER LORS - CORSRACiOA/HOMEOWHEA lIOST DE42GNATE UflICH IDDAESS IS DESIAED. BO CHANaFS AII.L BE 1LL06iED ~iCE HtlILDING PERlfIT IS I35~ED.. SEYIER 8 iiATER PEF~IIT FEES ~liD ACCOtTNT DEPOSIT F6E3 IiII.L BE IRCLIIDED WIT$ SHE BOILDIN4 PERHIT FEE. PAOCESSING TII~4E FOA SENEA lAD WATEA YEHHI?S IS Ti10 DIYS ONCE A PERMIT HAS BEEN OD2~LETED INDIC9TItiG A LICEASED PLOl~EA. PENALTY 9PPLIFS WHENs PEEiHIT IS NOT PAID FOR IN 59ME MONTA IT IS REQUESTED. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. ,AUS z s +sas To Be Used For: ~ fo Valuation: Date: ~~23~~ ouSQ 31te Address t~, ~ ro S`no~~ kP OFFICE 03S 06Li Lot ~ Slock Oecupaney FEES nI n~ ~ ~ 2oning Parcel/Sub ~t4~ r OC~ Actual Const Bldg. Permit Allorrable Surcharge O~mer ~-S,~P~„~,~ t~. SpIANS~N 1 of stories Plan Reviev Length i~ ' 3AC, City Address gl~o S~rtor~~iae Depbh SAC, MWCC S.F. Total Water Conn City/Zip Code ~~n~H 55lZ3 Footprint S.F. iiater Meter Acet. Deposit Phone ~.~i-~ll! GJK 12)~-2o7_~i On aite aexage S/il Permit On aite well 5/il Surcharge Contractor HYICC 3yatem _ Treatment Y1. City vater _ Road Unit Address PRV required _ Park Ded. Booster Pump _ Copies Citp/Zip Code s~T~~' ~ lPPAOYALS Penaltq Phone Planner TOT~ Council lrch./Engr. Bldg. Off. ~P~23 7ariance address City/Zip Code Phone 4 / ~ • Sl~r~ve~or~s G'ert~f~cate SURVEY FOR: Firontier I`idwesC ilames (:oi-;~. DESCRIBED AS: ~pt Bloc'_: 5, s~•nrro~ n~i.a.c~, City cf Fagan, Ika!cota Ccimt;~, t;iimesota and reserving ease:ienis of record. S7, p ~ P.R.V. REQUIRED , ~ \ - . o \ a N 2s ~..a.~'~°°' oR~y~'/F~ ~ , ~ f 'Q a~ AqR ~ / ss ~ R i~ ~ ~ e~a ~'90 ~ ~ . / J1 ~ ~ O ?k' °o° i 1 N \ ~ a ~v e y, ~ / µ . ~ ~Y^+,p ~/~f\~. O~s 0 ~ i~~~ ~ h ~ ~ ~ 9 S ~'2' s '~~~F ; a~~ ~ =y~ o~ v~Uw ' ~ S ~ ti , ; ~ ' ~h zs ~ ~N o ' ~ ~ N, j i , ~ \o ~ o~ \ Ny~i.p 2~' ~i ~,P~ y ~t•~,~i - I ` ~ m x• ~ I s'a 8 a. o~o •~s N~ y3 ~ ~ ~ ~o ~ /n),~ i ~ ~ \o ~/~r/ ~ W ~3 ~ hh I n^ p ~9~ ~ ~ ~ o ~ `~s~ Y~y \ ~ \ ~ h J ~ 1 I . ~ ~ ~ . ~~e ~ ° ` ~ ~ ~ l" L E. ~l ~ ~1 ~ ~ ~ ~ J ~ ~ ~ • {{EYIE.\'~+~.D _ ~ Y Dcte Z ~ , - -_:.s.. ~'~?o EAGAN E GINEERII~IG D~P'J' e~ " f 2'8'~___ \ PROPOSED ELEVATIONS ~ BENCHMARK~ Top ol Foundotion ¦ 856,1 ' 3a::;,tF::c: '85`°~3 ;MIN.SETBACK REOIREMENTS Bas~msnt iloor :e5S.5 - ApproR. Serwr Serrk~ Ekr. . ' ProDOS~d Elerallons ~ Q Front - 3o How~ Sid~ -~O Er~~tina Elevatlons R~ar -~S 6oroq~SlM- 5 ~ . DrainoQ• Dlraatlonf • ' Dsnotss 01(set Slake . O SCALE: t Ineh = 30 Feet lam m ~pert ~a~ Onpand OI m~ dOB NO.: I Mr~Oy c~r~lry tnal thb arvq. 0 /~EDLUND er und~r mY dlnct ~up~~~~~~~ onA t~al 1 am a GuIY R~O~~~~~~4 BBR-191 lanA sw.~ra u~a.. m~ w.n er mr 81at~ N Mlen~~eta. BOON: Plennirrg Engineedng Surveying u w~~.a~co,W~mr~w.n.~~M~~ww.w.u1s Vy,~ PAGE: ~NSns+~~nwe»~ OOaNt 9 ~ i9 ~4a . J~ • l dyr~n, Uc~n~ NaH]iB PERMIT C-% ,~rg~ ~ CITY O ' EAGAN ~ s ~ 3830 Pilot Knob Road PERMIT TYPE: e u i ~ o x N ~ ~ Eagan, Minnesota 55123 Permit Number: ~ 2 3 2 0 6 (612) 681-4675 Date Issued: 0 4/ 0 4/ 9 4 SITE ADDRESS: 816 SHORTLINE LOT: 1 BLOCK: 5 STAFFORD PLACE DESCRIPTION: ~ BWYldi g~~Permit 7ype BASEMENT FINISH Quilding Wo~rk Type ALTERATION ~r 1 / ` ~ „ ~r- , i..-. ~ i1 ~ r~„ C'~C~~ Q~ ~~7C~~[~ _ REMARKS: SEPARATE PERMITS ARE REQUIRED FOR ANY PLUMBSNG OR ELECTRICAL WORK FEE SUMMARY: Base Fee $35.00 Surcharge $.50 Total Fee $35.50 I CONTRACTOR: OWNER: - Applicant - OHNSON GREGORY 16 SHORTLINE AGAN MN 55123 (612)688-7111 I hereby acknawledge that I have read this application and state that the information is correct and agree to camply witM all applicable Stete of Mn. Statutes and City o'f Eagan Ordinences. ~ - . ~ fla~a K.~ .1~~ A I TfPERMITE GNATURE ISSUED B: I NATU E INSPECTION RECORD CITYOFEAGAN PERMITTYPE: Buz~DrNc 3830 Pilot Knob Road Permit Number: 0 2 3 2 0 6 Eagan, Minnesota 55123 Date Issued: 0 4/ 0 4/ 94 (612)681-4675 SITE ADDRESS: ~ o r: 1 B L 0 C K: 5 APPLICANT: 816 SHORTLINE JOHN50N GREGORY STAFFORD PLACE (612) 688-7111 PERMIT SUBTYPE: TYPE OF WORK: BASEMENT FINISH ALTERATION . . FRAMING INSULATION ROUGH IN pL66 FINAL REMARKS: SEPARATE PERMZ7S ARE REQUIREO FOR ANY PLUMBING OR ELECTRICAL WORK ~ ~ L ~ ~ CITY OF EAGAN ~ ' 1994 BUILDING PERMIT APPLICATION J 681-4675 ~ ~ 1 1994 ut,U1~ ~ ~'i,1 . . . SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered slte surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy af energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed or 3) lat change is requested once permit is issued. Date 3 / 3 I /~4 4aluation of work Site Address: ~l~ S~Ovt`1~2 Ec~`~a~ /{'~f~ .~-123 STREET SUITE R Tenant Name: (commercial only) LOT ~ BIACK 5 susn. ~jta{~'Ord PlaC2 P.I,D. tk Descri tion ot work: .Sy~, 'F ~ The appl i cant i s: C~Owner ? Contractor ? Other (Describe) Name ~10~t~t5o?~ ~'sr~drJ V Phone 6~-~'~~~ ~ Property ~asT FIRST ~ Owner Address g ~ ~ S ~tor~iu~e STREET STE # City ~ vr 5tate /~/V Zip .55~2~ Company Phone Co ntractor Address License # Exp. City State Zip Company Phone Architect/ Engineer Name Registration # Address ' City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY f BUILDING PERMIT TYPE ~ ~ ~ ~ ~ ~,4A ~ ~:W ~ ~ h!. . ~ ? O1 Foundation ? 06 Duplex ? 11 Apt./Lodging Li~l6 Basement Finish ? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Poal ? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind. ~ 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc. ? 05 SF Misc. O 10 Multt. Add'1. ? 15 Deck ? 20 Public Facility ? 21 Miscellaneous WORK TYPE ? 31 New ~ 33 Alterations ? 35 Tenant Finish ? 37 Demolish ? 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) Basement sq. ft. MWCC System (Allowable) lst F1. sq. ft. City Water UBC Occupancy 2nd F1. sq. ft. PRV Required Zoning Sq. Ft. total Booster Pump # of Stories Faotprint Sq. ft. Fire Sprinkler Length On-site well Census Code y35i Depth ~n-site sewage SAC Code _~l APPROVALS eensus undt ~ Planning Building Assessments Engineering Variance REt~UIRED INSPECTIONS ?.Site ? Footing ~ Framing E~ Insulatian C! Waliboard L•~ Final ? Qraintile ? Fireplace Permi t Fee van,acta,: g Surcharge Plan Review License MWCC SAC City 5AC Water Conn. Water Meter Acct. Deposit S/Y Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: SAC % SAC Units CITY USE ONIY 1~3 ~ fq{p~ L ~ BL -~y-~ RECEIPT#: 1 SUB~. r) 1`~~rG~ ~`a RECEIPTDATE: I D" ~O PERMIT # 2000 PLUL~ING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT IINOB RD EAGAN, A47 55122 651-681-G675 P~ease complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinkler system FIXTURES EACH # TOTAL Alterations o xisting welling mjqimum fee $ 30.00 Describe: ~ ,~f~ Bath tub $ 3.00 x = $ Floor drain 3.00 x = $ Gas piping outlet * minimum - ~ 3.00 x = $ Hot tublspa 3.00 x = $ Kitchen sink 3.00 x = $ Laundry tray 3.00 x = $ Lavatory 3.00 x = $ Septic S stem oewrres~rt~isnea ' requtres MPC Ile. 75.00 x = $ Septic System abandonment 30.00 x = $ RPZ new instsllatioNrepaidrebuild 30.00 X = $ Rough openin 1.50 x = $ Shower 3.00 x = $ Unde round sprinkler if dwelling is under consUuction 3.00 x = S Underground sprinkler ff existlng dwelling 30.00 x = $ Water closet 3.00 x = $ Water heater 3.00 x = $ Water softener if dwelling under eonstructlon 5.00 x = $ Water softener N exisdng dwelling 30.00 x = S Water tumaround 30.00 x - _ $ ~ State Surcha e ~5o $ TOt81 S ~i . Reminder: Call for inspeetions of alterations, i.e. water heaters, water softeners, etc. ~I hereby adcnawledge that I liave re2d this appliption, state that the information is correct, and agree to mmpy wifh all applicatile City oF Eagan ardinances. It is the applipnYs responsibility ta notify tha property owner that the City of Eagan assumes no liability tor any damages caused by the City during its normal operational and maintenance adivities lo the facilRies constructed under this permit within City propeRy/right-of-way/easement. SITE A~~RESS: ( ll~~ ~ 1~~~, V~ SS(a3 OWNER NAME: : ~V~~~`-~~~ TELEPHONE ~ ~W ' 1 ~ ~ ~ (AREA CODE) INSTALLER NAME: ~ C~ TELEPHONE (AREA CODE) STREET AD~RESS: CITY: ST TE: ZIP: I NATURE OF PER EE kn8~8c~c?X~A~Xt~C>X~:u?k~k?~~c:~~~XM:k~~XY,c~c~~c~C:~C~,~?~i~C~:;~B; k:k CITY QP" EAf:>P~t~ CASH:f.E:Ra :~S TIcI;MIN~I_ iV~1. f.i02 DATE:: 0~/i3£3/GC1 'T'IMIc: 09:29c:1.4 SD~ NAME n GRCGOl;Y t. J II_I._ JUHPdSON c;c1.0 :~001 8l6 `iN01i1"LTi~E~ 6f].00 - 21',`35 90f.1i. ESi6 'SH01"iTL:f.d;F b.`0 ~ Tni;-~:L F;ar-,:,:i.~~i: Am~~~r~i,c L-O.30 CR tl. ~?'i39:';9 l.1Sl:::i 1Lie JAN 7k~;>K%<:$:~%,tx'c3%'~~Xyi.~k~XW,.7k~Rc~9F~SnX 'M 'M~kyka~'M 'M%~?k~F#~k 'M;n*Y,( 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) cirv oF ~?cari 3830 PILOT KNOB RD - S51Z2 ~ ~ ~ ~ ~ 851-881-4675 a-~-~ c~ Naw ConshucMon Reaidremenh Rertatlel/Reoalr ReaiiremeMs D 3 repitlered tlb wneYa Ywwi~G f4 K af bt. s4 B. ol house 2 coPtes of Wan and yp roofed araat f7DX mmdmum bt coveraae alloweAf 1 set W energy cdadaMOns for heafed addiMOns D 2 ooplea oi plarn (ehow beam 8 wlndow sixe~; poured Ind. desipn: etc.) 1 sMe wrvey for exleAOr addi8ont ~ daeb D 1 set of inerpy cdeWaXOna D ~ ooples d hee Dr9fervaMo~ plon N lot platled aRer 7/1/99 DATE: ~'O~~'~O CON5IRUCTION COST: DESCRIPTION OF WORK: ' r ~P 51t2EET ADDRESS: LOT: ~ BIOCK: ~ SUBD./P.I.D.O: Name: ~'L~~~ Y Phone Y: G ~~~~~a C~ J ~ PROPERTY wat Flrat OWNER Sheei Address:~E~ - - CRY ~ ~ ~ State: ___I-U.~- LP: o~~ . Company: Phone t: (aree code) COMRACTOR Sheef Addreu: Lkense 11 ExP. Cly State: Zip: ARCHITECT/ ENGINEER Company: Name: Telephone S: ( ) Sheet Address: Re9~TMatio~ ~ ~ CHy State: ZiP: Sewerlwater licensed plumber (H I~tallina sawer/water): Pho~e 1 here¢y acknowiedpe ttat I have read Ihia app6cafbn. afate Nwl the Wom~aNon~ rtect. and oyee b comply wNh aB app6cable StaRe of Minneaota Sfahites and CMy ot Eapan Ordinances. ~ Slyrwhire of Applicant ~ r OFFICE USE ONLY CeRiBcates of Survey Received _ Yes _ No ~ Tree Preservation Plan Recefved _ Yes _ No _ Not Required OFFICE USE ONLY BUILDING PERMIT SUBTYPES ~ 01 Foundation 0 07 O5-plex O 13 16plex ? 21 Porch (3-sea.) ? 31 Ext Alt - Muld D 02 SF Dwelling ? 08 O6-piex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 03 Ot of _ plex ? 09 07-ptex ? 18 Deck ? 23 Porch (screened) O 36 Multi ? 04 02-plex ? 10 08-ple~c O 19 Lower Level O 24 Stortn Damage ? 05 03-plex ? 11 10.piex Pibg _Y or_ N 0 25 Miscellaneous ? 06 04-plex ? 12 12-plex 0 20 Pool O 30 ' Accessory Bldg. WORK TYPE ? 31 New ? 36 Move Bldg. O 43 Reroof O 32 Addition ? 37 Demolish (Bldg)' O 44 Siding O 33 Alteretion ? 38 Demolish (interior) ~ 45 Fire Repair 0 34 Repair ~ 42 Demolish (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. City Water Zoning sq. ft. Booster Pump PRV Fire Sprinklered MlSCELLAN50US IN8PE~C770NS ? Stucco/Stone APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Pian Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. ' Other Copies Total: SAC Units % SAC 4xT z. ~ APFLI~ATfON FOR PERMIT :~'E: PA~~2Ir OI' YY~ AT'lIME OF' , ; nrriacpazau ooes nu~r coN- ' : srizT?~ a,ePxrnmL oF P~.ux. ; . . SEWER ANQ/OR WATER CONNECTION : ~ ~i~ . r ; ir~srAC,uTiors wua. rr~r se xm~n.m ~ ~6 • ; ermir. rII+nuT xns se~ rsrRwm. , •i+w+t+t:::++r~~~a+:ffi~~aa~~ifw*~ffrfry , . (PLEASE PRINT i) PROPIItTYADDRFSS: $I~ SNokr~rNE ~ LEGAL DESCRIPTION: . tor !~k LOGk . 5 STRFFO~D f~LF~G~ Lot loc S ciivision or Tax Parcel ID IF EXISTING STRCCTURE, DATE OF ORIGINAL BUILDING PII2MIT ISSUANCE: Nbnt Year PRESENT ZONING/PROPOSID DSE: Q COR~7ERCIAL/RETAIL/OFFICE R-1 SI[~LE FAMILY Q INDLSTRIAL ~ R-2 DUPLEX (3tVo Ljnits) Q INSTITUTIONAL/GOVERIa7EL~1T Q R-3 TOWNHOLSE (Three + Onits) ( Lnits) Q R-4 APARTMENT/COtIDOMINIUM ( C~nits) 2) ~ Fkr~ninG2 1vi~ou~EST '{~omES ~'o~P~~AnoN ~D~ss: 39o a CE~A-2 v~c.~ ~,e,,,~ CITY, STATE, ZIP: ~/-}~4N ~~`LI N 551aa- PHONE: U 5 ~ -P~-133 l~1 For City Use 3) ' T' NAME: S1'~~' YLI.lM~1T~1Cr P1LUnber~ s License: rwo~ss: ~018 K\OUND Sp~rntGS TE~~~-E ~cti"~ Expired ci~, STATE, ZIP: ~~,~^j~,rtl{~16~pj.(~ (1(~~V 55~-I-aU Not recorcled Pxon~: a$~ c~ q MASTII2 LICENSE # 3~~ 9 st m~t~a 4) e ~ r • NAr~: ~offNSC>N~ .,~EC~O~~( r=~lvr~ ~L(~ ~~ss: 9o c~ 9~~ vEn~ u~ ~s ~ rr~ c~ czTr, STATE, . ZIP: ~H'D PKlA1 S{ Ki N ~,53 tf3 PHONE: q?jg -0~-7-J 51 s~' a • a0 ~ CONL~CTION TO CITY SEWII2 CONNECTION TO CITY WATEE2 a OTf~R 7"' 6~ ~y~ ~ o7/ia~8~ * TIIE GOLD COPY OF THE PERNIIT WILL BE SENP DIRECPf,Y TO PCBLIC WORKS TO FACILITATE MEl'ER PICK-LP. ~ * PLEASE ALS~OW ~SVO WORKING DAYS FOR PROCF,SSING. SOMEONE FROM TEL~ CITY WILL ~Ni'AGT YOL IF ~E * * ARE ANY PROBL,IIKS. ~*+.**:r****~***«~*****x~**~***~**********~~********~~*+~~******~~***~***~*******~x************«~*+***t , ~OR CITY USE ONLY ' PERMIT # ISSLED 7 Pd w/Bldg. Permit FEES: ~ $ I~•S~~ $ SEWER PERMIT (INCLUDE SURCHARGE) $ ~D ~ $ WATER PERMIT (INCLODE SC'RCHARGE) $ `~'7'd z' $ WATER METER/COPPERHORN/OL'TSIDE READER $ S WATER TAP (INCLLDE CORPORATION STOP) $ $ SEWER TAP $ I~' $ ACCOLNT DEPOSIT - SEWER ~ $ ACCOONT DEPOSIT - WATER $ ~~d ~ ~7 $ WAC $ N ~ • G~' L~ $ SAC $ $ TRUNK WATER ASSESSMENT $ $ . TRL~NK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRCNK SEWER $ $ LATERAL BENEFIT/TRCNK WATER $~U `f ^ ~Z) $ WATER TREATMENT PLANT SL~RCHARGE $ S OTHER: $ %~L Z ~c~'~~) S TOTAL ~s`~ 7I RECEIPT RECEIPT DOES UTILITY CONNECTION REQDIRE EXCAVATION IN PUSLIC RIGHT OF WAY? ~ YES IF YES, THEN A"PERMIT FOR WORK WITHIN POBLIC Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED SY: ~ TITLE: DATE : '/~P ~ I ,...c _ ~ ,C / ~ 5 ~ , ^ . " R.s.d~en, , t;, si n£c.._~a a,_ ' W/~ode Hoi/s~? IA/a?kshe~ "~-~ra..~ ~ ~1~G le.~% . ApyYM C~? . . . . Sur Z+Y TwIMmrlWeOn . ' . 1M1f1?EA: tA1M O~Ipp TM11~ - 7$ ~f~,OYIYA~ ~ . CYMMEII: Ordiy aMyn Ten~ (~Q~~ y_1nNOr ?M~? C ~F ~~MY TMN CMMrMM 9S y NEATINO ~YaTaM-.~_'i. CaelMyTr~yp~M~r~y~ _ ~S COMMOM OATA 6ECTIpN. C UN r ~~~I:f.in4t~ r~~inp Cyw~~~~~'i..... • 4B.I~CT., . , . • . ~ " .d.c.'.'~ ,^eoo.~r± . GqOSSWAII y,~ •a~~n.~. ~ oooas r. wiN 3~ DOWSITsW~Aa01 ~ . o NET WAIL S o~ ~ ~ ~ ,o •.Z CEILING _ v7 7S +~.~M~ y FLDOpS - ~w . wr. ~ . ~ ~ ~ , ` ¦ 10 t ~•.1/b lt w~w ~ ..w ~....Y . ¦0.183.13. ~ - ¦ i.i~e kGTx~ ~ ww.w ~ . . a . oo,w~3 ¦ ,d - i ~j SUB•TO~AL BTUN IDSS Ipw t0~p?. . 1 . ~.A ADJUSTMENT Ft~CTpq ITypy CI . ~ ~ ~.~/+7 IOTAL BTUN IGSS PEOi t 3pp BTyM GAIN ' 1 . MVLIANCES BTUM - ~ o u ~ SUB•IOTAL BTUM GAIN Iroan rrripy ~ DUCT IGSS/G,UN FAC7pR ITiby fl SU&TOTAL BTUH IS~ihb G~y~) ~ ~ MOISTURE REMOVi~I Iwe ~oul ~ 1.31 0 7 7'JTAt 8Tili1 lOSS/(iA1N r 1.? U~t~A- ~ tMtR 16~FI~X~-~0011i Y 1Np00 f11AME ~pp~~ TAB~E B~ COOl1N0 - DOOIIS i WINOpW4 S ~ i~~'Y WM~~OIIOh • ulr I~tiOh b1 tll~ Yh11 M~Or wirWOr . ' f~qm~ wwr wwwow~ NM +wtl~ Yy~iY bv OnPO~IOr wMW~ ~ ~W {Wr AoO+~ ~n aYtW M w~10o~~. ~ . 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"'y t~Yrlw.Mwd11. 70 ~D 60 q 70 ~p y~ ~'n ~.i ~ y,a V os ~M~r'f 7 • 6 7----~._! o.t aa ~w n~ r°°' o.~ ~a. ~ ~~~.i+~« an ~SI~d. M(c Ig~ V o s Pus uo 2t noia . CITY OF EAGAN FOR CITY USE ONLY 3830 PILOT KNOS ROAD EAGAN, MN 55122 PERMIT # ~~8~~' PHONE: (612) 454-8100 RECEIPT tk DO J` ttX:Cl~'tT~CA17s;;"~,!S,F~~~: DATE : .3 a 9 , I~$;~~?El~xql;.;; PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WNEN PERMITS ARE REQUIRED FOR EACH UNIT. ~ WORK DESCRIPTION FEES NEW CONST ADD-ON MINIMUM $15.00 ADD ON ~ HVAC 0-100 M BTU 24.00 REPAIR ADDITIONAL 50 M BTU 6.00 GAS OUTLETS - MINIMUM 3.00 ~~eF, ~/~H~1J~a .U oF 1 PER PERMIT OWNER NAME: Q SUBTOTAL: $ ~S SITE ADDRESS: O~~ `r'y~~L~'ve STATE SURCHARGE: .50 ;.0.:~ 3;.OCK ~ :,UB;.. ~a.e.e~ Tv:hL: S /S,}b INSTALLER: / ~c'/~eeD ~~~N iP~L ~~+'viGes ~ ~ ~ ~ m,..~ ADDRESS: ~~L ~ SIGNATURE OF ERMITTEE CITY: ZIP: ~`f~'1`j PHONE 4 G~'`~G~~ ~`O~SER£2A~j~NDUS"~1L2.A~:; PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS, APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNZT. CONTRACT PRICE: FEES OWNER NAME: 18 OF CONTRACT FEE. STATE SURCHARGE ~ $.50 FOR SITE ADDRF.SS: EACH $1,000 OF PERMIT FEE. YnV~C$SE.U :lYiNl: ~ aZ~.OV LOT: BLOCK _ SUSD. $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 18 $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE (SIGNATURE) FOR: CITY OF EAGAN PERMIT # ~"'I ~ ~ 1 RECEIPT DATE: ~ C~ ' ~ ' ~ 1 ~ }~j ~ ~SIDENTI~EL ~LUM$1Nfi ~P~iiMiT ~PLIC~kTiON 5~,` ~ ~ ~ crr~toF~s~v s8so ~aar xivos gn PR&AA, bilY 551 EE s6i-s9i-4s~s Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for irrigation system SITEADDRESS: ~ ` `F~ ~ ~ o r ~ ~ 1 ~ W ~ OWNERNAME:: ~ Q-~yL--. ~i0~ TELEPHONE#:lAs~~' ! b~" 0 C~ (AREA CODE) INSTALLER NAME: T G^e- Y'Q-~ ~/`4~~~ ~~~~~~LEPHONE IS^ ~ ~ I~' f~ O~ ~ (AREA CODE) STREETADDRESS: ZZ-~ 6 O ~X P'`~ ~ ~ Y'G CITY: i~ ~ v,~ I I"~ STATE: ~Y1 Z~P: S~0 7 Place a check mark next to the ermit work t e New residential dweiling unit under construction and not owner/occupied $ 90.00 Add-on, modification or alteration to existinp dwelling unit, including: $ 50.00 • abandonment of septic system . new installation/repair/rebuild of RPZ . lawn irrigation system • waterturnaround Nature of work: 1 ~ " 9~ ~ r'~S Septic System, new/refurbished - $ 225.00 . includes County & Consulting Inspector fees . requires MPC license State Surcharge $ 50 Total ~ ~ " * ~ Reminder: Be sure to schedule inspections of alterations, i.e. water heaters, water softeners, etc. I hereby acknowledge thal l have read this application, state that the information is correct, and agree to complywith all applipble Cilyof Eagan ordinances. Il Is the applicant's responsibility to notlfy lhe property owner that the City of Eagan assumes no liability for any damages caused by the CiTy during its normal operational and maintenance activlties to lhe hacilities conshucted under this permit within City property/right-of-wa s ent. ~ SIGNATURE OF PERMITTEE Updated 1/01 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA157107 Date Issued:08/05/2019 Permit Category:ePermit Site Address: 816 Shortline Lot:1 Block: 5 Addition: Stafford Place PID:10-72500-05-010 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. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. 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 - Katie R Kamrowski 816 Shortline Eagan MN 55123--158 (651) 336-1226 Holmin Heating & Cooling Llc 3432 Denmark Avenue, #228 Eagan MN 55123 (651) 405-3853 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA168037 Date Issued:04/07/2021 Permit Category:ePermit Site Address: 816 Shortline Lot:1 Block: 5 Addition: Stafford Place PID:10-72500-05-010 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) 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. We encourage you to retain an electronic copy of photos until the project passes a final inspection. *Roof permits issued between December and March will be inspected in the spring or when weather warms up. 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 - Katie R Kamrowski % Katie Braun 816 Shortline Eagan MN 55123--158 (651) 336-1226 1st Team Exteriors P O Box 9237 St. Paul MN 55109 (651) 308-6860 Applicant/Permitee: Signature Issued By: Signature