820 Shortline SEWER & WATER PERMIT OFFICE USE ONLY
CITY OF EAGAN PERMIT DATE 3~~~~~~
3830 PIIOt KI10b Rd. HyqTER PERMIT 0314 SEWER PERMfT
P.O. BOx 21199 METER ~~~g ~ 7~--3 ~ B.P. RECEIPT ~ C 1175
Eagan, MN 55121 READER Z,
9'~, 20-~ B.P. RECEIPT DATE 3/ 16 / F~
METER SIZE ~ ~
ISSUE DATE ~ X~L PRV - BOOSTER PUMP
SITE ADDRESS - - = : ~ : PERMff REQUESTED
LOT-BLOCK~SEC/SUB ~T~+~FORQ PLACE
x SEWER X WATER _ TAPS
APPL~.^,ANT: ~ ~';1!~ `i ~ E~- '~~1 ~~1~£ST ~~1~t1~ ~ C~RF
ADDRESS: ~G."1~ +"~nAR~I":I ~ r~~TIlF _COMNVIND RESIDENTIAL
CITY, STATE EAGr1N " ZIP 1~?
PHONE: ~~a-r~a~? X NEW - EXISTING f.,~.
PLUMBER: ~T'~r~ ,~I.;l?~!'T;..,.: .
ADDRESS: 1^ 1`.~ ' i~~~itiD 5~''~INGS ~iERRNCf= ~ AGREE T9 COMPLY WITH CITY OF
CITY,STATE~t~~"~~1NGTON. Z~p '~5~2r ~ EAGAN~DINANCES:
~'8~-41 -
PHONE: ...y..•: ~ - ~j
OWNER: SKRTFAI~ i<T('NAr~n R+ ,ltl i
ADDRESS: ~459 WOGi~GATE COURT S1G TU ERISSUED
CITY,STATE gvRfVSb'ILLE ,~4tJ Z~p 55337
PHQNE: ~S55-O{;92
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT
ENGINEERING DEPT. ~
~ l • ' . ' ' ~ ~ ~ . ~ ~
SEWER & WATER PERMIT OFFICE USE ONLY
CITY OF EAGAN PERMIT DATE ' I 1:' ~ r,
3830 PilOt KnOb Rd. WATER PERMIT 1 G31 SEWER PERMIT ~
P.O. Box 21199 ,
Eagan, MN 55121 METER ~ B.P. RECEIPT # ~ 1' , S
READER # B.P. RECEIPT DATE 3 16 / 3~i
METER SIZE
r ISSUE DATE ?i~L PRV _ BOOSTER PUMP
SITE ApDRESS ~ PERMIT RE~UESTED
LOT ~ BLOCK SEGSUB - + -
APPLi~AfYT: K;"' : T; ;~~i ~.l~d,= Hf11~~ : r:1R~ _ ~ SEWER x WATER - TAPS
ADDRESS: CEQAR~IAI_ E~;,1 VF _ COMM/IND - RESIDENTIAL
CITY, STATE F 9 r=? ZIP
PHONE: + ;r+-Od33 X NEW - EXISTING
r
PLUMBER: ' '
ADDRESS: ~ T"~'~.` Tr~R 1 AGREE TO COMPLY WITH CITY OF
CITY, STATE ' ~ p"' ~ - Z~p ? ; ` EAGAN ORDINANCES:
PHONE: - ~ ~ '
OWNER: ~2D F~ J
,
ADDRESS: ~~6~ ~1GODGATE SICaNATURE WHEN METER ISSUED
BURNSYI~~-_ '~~:?~7
CITY, STATE r~ Q~ ZIP ~
PHONE: j ~ : =~42
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT
ENGINEERING DEPT.
i • DATE: 3/1~/89
RE• a2~ SHORTLINE. L2, B5, STAFFORD PLACB
~ Your Sewer & Water Permit for the above property has been completed. It will be held at the
Public Works Garage (3501 Coachman Roady until the meter is picked up. BE SURE TO
CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
~our Sewer & Water Perrnit for the above property cannol be completed for the following
~~easons:
~ .
l~our Sewer & Water Permit for the above property has been~ completed, but the meter cannot
be issued or occupancy allowed until further notice.
COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- RE~UIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
CASH REE~IQT< <
CITY OF EAGAN ~
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
' (
~ATE ~ ~ / 19 ~
- f:~_. ~ !
`~~C~/L~f~i1J ~~~~~~F;~L~(~ 1~i7/IL~G-~
aMOUrrr s ' . ~ G
a oo~u?as
~ ? CASH ~ CHECK
M
~ ~ ~ i~/ - i
ion / / L ~L C~' ~ J f ?
i .~c.
- ~ f ~~.f C.(,/L~/
' ~ . r 1
~ 4.-~' u~ ~ ~ i_._,
FUND ~ / OBJECT AMOUNT
Thank You
BY ; ~ ~-~4 ~
C y%~ ~s--P~ ~vr
va~~-aosu~ covr
~-c~rs copy
, ~ .v . ~ -
BLDG. PERMIT NO. U"
~ ~
r
01-3210 Bidg. Permit ~y% ~ L
01-3422 Plan Check r G
'L
01-3445 Surch./Adm.
01-3446 SAC/Adm. ~ Y~y
, 01-2155 Surcharge ` J 5~ ~
75-3860 Road Unit ~ ~
20-2275 SAC ~ I
2o-38s5 Water Conn. ~ G I
20-3868 Water Trmt. ~
20-3716 Water Meter %
20-2252 Acct. Dep. ~ CJ
20-3713 Water Permit - CU
20-3743 Sewer Permit ' ~ U
79-3866 Sewer Conn. ' ~ ~
28-3855 Park Ded.
TOTAL ~'y7 r~'-~ c~
CITY OF EAGAN , ~b?2U~
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE:454-8100 ~ ~
BUILDING PERMIT Receipt # `-f
To be used for 5r J'~~/~~` Est. Value ~ 7~+~~n Date ~Ch 16 , ~ g$y
Site Address F 20 SHDBTL t r: L
Lot ~L Block SeGSub. ~TAfF~O:tD ?LAC~ OFFICE USE ONLY
o~„~, r-3 ~ ~es
Parcel No.
Zornng R-1
W~lame FR9:;TILR MIDWhST ~it7; (ES (Aclual) Const ~!-K Bldg. Permit 536.Q0
3 AddfBSS 3402 ~~:DARYALE bR (Albwable) v~~ Suroharge 3~•
City nAGA~fi Phone 4S4-G433 # or s~odes - 68 00
Lergth Plan Review •
, o Name S~F Depth ~ SAC, City io~
~6 Address S.F. Tatal - SAC, MCWCC s S
~ City Phone S.F. Foo~rints -
On Site Sewage _ Water Conn 580. Q~
W W Name On Sile Well - Wa1er Meter 90. UO
Address MWCC System 7~
Cily Waler XX Acct. Deposil ~
<W City Phone
PRV Required ~ S/W Permit 20
1 hereby acknowlege that I have read this application and state that the Boosler PumP - SNY Surcharge 1•~
intormation is correct and agree to comply with ail applicable State of 22~ ~()t?
Minnesota Statutes and City of Eagan Ordinances. Treatment PI
~ APPROVALS ~ lyQ . Q('}
Signature of Permitee Road Unit
A Building Permit is issued to: ff~`'-'?~TY ~ R A1 ILWA:JT !iO~:ES ~a^^ef - Park Ded.
on the express Condition that all work shall be done in accordance with all -
applicable State of Minnesota Statutes and City of Eagan Ordinances. g~~j, pff. _ ~P~
Variance - TOTAL t? 6• S~ 1
Building Olticial
. , ~ .
_ ~r
CITY OF EAGAN 4~ ~
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt # '
To be used for - " < < Est. Value ~ ~ ` ? Date 1' , 19
Site Address 5 ` ~ OFFICE USE ONLY
Lot Block Sec/Sub. ~~~~Fl7Ri) ~~LACF:
P3fCel NO. Occupancy ~-i FEES
Zoning ~-i
W Name i'~Fi:: ~;T' i~~ti,`:~3. ;;~?~Y~ (Actuaq Const Y"K Bidg. Permii 5j6.0~
o Address -~`C<< .'"::AryV~Lc: fifi (Allowable) y`~ 3$.SO
- Surcharge
City =~~tiE~?h Phone ~ 5;--~33 # of Stories e3
~ plan Review 26g •(~O
Length
a~' ia0.00
=o Name ~ ~ ~ePCn sac, c~cy
" Address S.F.7otal
~ a - SAC, MCWCC S•~
~ Clty Phone S.F. Footprints -
On Site Sewage _ ~Nater Conn 5 t?C
W w Name On Site Well - Water Meter
~z MWCCS stem ~K
Address v 3~,np
Acct. Deposit
a W City PhOn@ City Water ~X SNV Permit Z~
PRV Required
I hereby acknowiege that I have read this application and state that the Booster Pump - SiW Surcharge 1.OG
information is correct and agree to comply with ali applicable State of ~ Zb
Minnesota Statutes and City of Eagan Ordinances. Treatment PI
Signature ot Permitee APPROVALS Road Unit 3~• CC
g ~ R(:. 7::u ::Iil?7~ST ttOiblES P~anner
A Buildin Permit is issued to: - Park Ded.
on the express condition that all work shall be done in accordance with all Council
applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. Copies
Variance TOTAL Z ~ ~
Building Officiai
r
Permit No. Permlt Holder Date Telephone #
Vy~ATER lL''~~~ ~ 3~7 /
SEWER
PLUMBING ~C' 3 g C~ C : ~ /
~ ~3lf4
H.v.a.c. ~/,.3- ( i ryr, ~ ~re
~j
ELECTRIC ' ! ~ ; , S ~ , ij` ~ i• ) .
Inspection Date In . ~ Comments
Footings I /~6 ~9
Foundation - 3 " Z ~
Framing y~ -
Roofing
Rough Pibg. ~9 ~ C11~ C~'- - 6
Rough Htg. ~ ~
ISUI. 7//O a'' ~ ~c~/n~fJ ~ ~c~t~1
Fireplace
Final Htg. -?3.,5~'
Final Plbg.
Const. Meter Plbg. Inspector - Notify Plumber
Engr./Plan
Bldg. Final S Z~ ~
Deck Ftg.
Deck Final
Well
Pr. Disp.
e`M y • ~
~~x#ifir~t~ ~f (~rr~~ttnr~
~itp of ~a~an
~P~i$i'~rilptlt 0~ ~l~l~ilt~ ~PtftDYl
This Certificate issued pursuant to !he requirements of Section 306 of ihe Urufor?n Bui[di»g
Code certifying tJtat at the time of issuance this structure wus rn complinnce with the various
ordinances of 1he Ci1y reguJating be~ilding canstructian or use. For the fallowing.•
v~ a~r~ SF DG7G/GAR Bia~. e~,;, xo. 16205
Oa.'uPenc3' TYP~ Zoning Diatrict R~ Type Coast. ~
Qwcer of Buildin8 ~'•S Address 3~2 ~
e~am~ nad~~ ~20 ~ ~~cty L2, B5, Sf~lFFU~ Pf.A,~
' ~"~v'u E- ~ n,~: MAY 7k~ 1989
Bu~ldiog
POST IN A COIVSPICUOUS PLACE
, • r PERMIT # ~ `l G~
PlUM81NG PERMIT RECEIPT # y' ~
CfTY OF EAGAN ~
3830 PILOT KNOB ROA~, EAGAN, MN 55122 DATE: ~
CONTRACT PRICE PHONE: 454-510~
Site Address ~ i BL~G. TYPE WORK DESCRIPTION
Lot ~ Block -'Y SeGSub Res. New y'
^ ~d ~ Mult Add-on
~ Name r~ ~ ' ~ ~ " ' Comm. Repair
~c Address f ~ f,l GU ~V~C r~---. k~. pther
c City ~ f i-1 !U Phone ~ RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO FIXTURES _ TOTAL
Name ` k~ ~i'~ C ~ .5 ~Water Closet - $3.00 S ~ ~ ~
` Bath Tubs - $3.00 ~
c Address = ~ ' u ~f" '77P !1 ~ ~Lavatory - $3.00 ~ - L'~
p City ~w~ Phone LShower - $3.00 1 • ` '
~Kitchen Sink - $3.06 ~ - l'~
FEES Urinal/Bidet - ~3.00
COMM/IND FEE - 146 OF CONTRACT FEE ~Laundry Tray -$3.00 i`} ~
APT. BLDGS - COMM RATE APPLIES ~ Floor Drains -$1.50
TOWNHOUSE & CONDO - RES. RATE APPLIES ~Water Heater -$~.50 ~
MINIMUM - RESI~ENTIAL FEE - $12.D0 Whiripool - $3.Q0
MINIMUM - COMMIIND FEE - $20.00 ~Gas Piping Qutlets - $1.50 ' ~ !
STATE SURCHARGE PER PERMIT - .50 (MINtMIlM - f PER PERMI'n
(ADD $.50 S/C IF PERMIT PRICE GOES Softener -$5.00
BEYOND $1,000.00) Well - $10.00
Private Disp. - $10.00 _
~Rough Openings - $1.50 • • ~ ~
r ; ; .-'i ~ ~~D. ~>~Q-6'7lJ - c_j-~~
SIPNATURE OF PERMITTEE FEE: b! •
STATE S/C:
FOR: CITY OF EAGAN GRAND TOTAL: ~~l%~
, PERMIT #
. MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ~ '
CONTRACT PRICE: ~ ~ ~ ` • ' PHONE: 454-8100
Site Address ~ ~~'rt ~ BLDG. TYPE WORK DESCRIPTION
Lot ' BIoCk SeC/Sub r=Z Fn~,°
Res. New
'I~r~~;;i. hEATPiG S A~; Mult Add-on
~ Name
Address 5 ~r.9~~ncr RE~<-• Comm. Repair
Other
~ Cii~, ~An Phone -:.>i-'~SC,~
FEES
Name 'T ~d= RES. HVAC 0-100 M BTU - $24.00
c Address ti''' ADDITIONAL 50 M BTU - 6.00
p City Phone - (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PEH~iI11T) - 1.50 EA.
TYPE OF WORK COMM/IND FEE - 146 OF CONTRACT FEE
Forced Air ti~~'i:~• M BTU APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE 8~ CONDOS - RES_ RATE APPLIES
Boiler M BTU MINIMUM FiEStDENTIAL FEE - ALL ADD-ON &
Unit Heater M BTU REMODELS - 12.00
Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PEAMIT - .50
Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Oudets # BEYOND $1,000)
Other
FEE: 25.5E) , ; '
j~ ~/{J R~
1 " Y_1'~
t'~:: S/C: • 5~ SIGNATURE OF PERMITTEE
, TOTAL: $~6.00
FOR: CITY OF EAGAN
~r, - . iJ-+}'._i..~_.._..::_-_:~~:...:.:..~.~.--4.~~i:`~~~~.!-.._ , '
' . . _ .
s CITY OF EAGAN N o .18 9 3 0
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PH O N E: 454-8100 -1
BUILDING PERMIT Receipt # '
To be used for ~ECK Est. Value $1, 000 Date APR 22 g 91
Site Address 820 SHDRTLINE
STAFFORD PLACE OFFICE USE ONLY
Lot 2 Block 5 Sec/Sub.
Parcel No. occupancy M-2 FEES
Zoning -
W Name RIG~LARI~ SKRIEN (Actuap Const - Bldg. Permit 25. 00
o Cddress EA ,AN (A»owable) = Surcharge • 5a
y Phone 456-9692 ~ ot Stories
Length 1?x~fi Plan Review
=o Name S~E Depth ~ SAC, City
Address S.F.Total - SAC,MCWCC
Clfy Phone S.F. Foolprints -
r On Site Sewage _ ~Nater Conn
W w Name a, s~~e weu -
~w Water Meter
AddfeSS MWCC System -
i W City Phone Ciry Water _ Acct. Deposit
PRV Required - S/W Permit
I hereby acknowlege Ihat I have read this application and state that the Booster Pump - SMI Surcharge
information is correct and agree to comply with all applicabie State of
Minnesota Statutes and City of gan Ordiqances. Treatment PI
. ~ ~
Signature of Permitee l- - ~ - APPROVALS
Road Unit
A Building Permil is issued to: RICHARD S IEN Planner - Park Ded.
on the express condition that all work shall be done in accordance with al(
appiicable State of Minnesota Statutes and City ot Eagan Ordinances. Bldg. Off. _ Copies
Building Official Variance - TOTAL 25. 50
,-~T ; r' -„~f"a!'nr",'~F z.~ . .~a..~:,~~''79R,-~.;-~'yar . ..nw's+ _ ~".Tw4aR!ir~~~sT!..
- ' CITY OF EAGAN
1 ~~3~
~ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt # +
To be used for DECK Est. Value =1 ~ 00~ Date APit 22 , 1 gQ1-
Site Address $ZO 81~('18TLI1~1E
Lot Z Block s Sec/Sub. STAPlrORD t1.ACY OFFICE USE ONLY
PdfC61 N0. Occupancy FEES
Zoning _
W Name QiCEL~ID BIQIEAL _ (Actual) Const - eldg. Permit zs•oo
3 Address a2e SHOe't'LiMt (Albwable) ~[n
~ Clty 1~~~1 PhOt1e d~•-Q64'l # of Stories _ Surcharge _:~L
Length Plan Review
=F Name Depth ~ SAC, City
Address s.F. ro~ai -
City Phone S.F. Footprints _ SAC, MCWCC
F On Site Sewage _ Water Conn
W W Name on si~e weu _
w Water Meter
~ ; Address Mwcc syscem _
a W CitY Phone City Water _ Acc~• Deposit
PRV Required - S/W Permit
1 hereby acknowlege that I have read this application and state that the Booster Pump - S/W Surcharge
information fs correct and agree to comply with all applicable State of
Minnesota 5tatutes and Ciiy of Eagan Ordinances. , Treatment PI
. Signature of Permitee (s~~~~ ' ~..-r 1 APPROVALS
, ~ " ~L ~ Road Unit
A Building Permit is issued to: RI~~~ s I~ ~anner - Par~ oed.
on the express cordition that ail work shall be done in accordance with all Council ^
applicable State of Minnesota Stalutes and City of Eagan Ordinances. Bldg. Ott. _ Copies
Building Qfiicial Variance - TOTAL Zs• ~
Permit No. Permit Holder Date Telepho~e #
WATER
SEWER
PIUM~ING
H.VA.C.
ELECTRIC
Inspsctio~ Date Insp. Comments
Footings I
Foundation •
Framing ~
Roofing
Rough Pibg.
Rough Htg.
Isul.
Freplace
Final Htg.
Orstat Test
Ginal Plbg. Plbg. Inspector - Natify Plumber
Const. Meter
Engr./Plan
Bldg. Final
Deck Ftg. Z 2- g/ D s
Dedc Final /O a. / ~ Q t~' ,fj ~ r L~ ` ~
Well
Pr. Disp.
. CITY OF EAGAN N~ 16205
~ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE:454-8100 /a . //~-/r-`
BUILDING PERMIT Receipt # ~J ( 1~J
Tobeusedfor SF DWG/GAR Est.Value ~~~,000 Date MARCH 16 ,~g89
Site Address 820 SHORTLINE
Lot 2 Block Sec/Sub. STAFFORD PL.AGE OFFICE USE ONLY
Pe1C01 NO. Occupancy R-3 ~ FEES
Zoning R-1
w Name FRONTIER M7DWF:ST HOMF.S ~ActuapCOnst ~!-N BIdg.Permit 536.00
~ Addfess 3902 CEDARVALE DR (Allowable~ V-N 38.50
Surcharge
~~(y EAGAN Phone 454-0433 aofsrories -
Length Plan Review Z68.
. o Name 5~ Depth 4~' SAC, Ciry 100.00
ga Address S.F.Total - SAC,MCWCC 575.00
~ City PhOnO S.F. Footprints -
On Site Sewage - Water Conn 580.00
~
W w Name On Site well - Water Meter 90.00
s~ AddfBSS MWCCSyslem X
aw Cit Phone c~rywa~er 7~L Accf.Deposit 30.D0
y PRVRequired SIWPermit Z~•~0
I hereby acknowlege that I have read this application and s[a~e ihat the Booster Pump - 5!W Surcherge 1.00
inlormation is correct and agree to comply with I plicable State of
Minnesota Statutes and City ot Eag Or i Treatment PI Zz$ • 00
Signature oi Permitee APPROVALS Road Uni~ 340. o0
A Building Permi~ is Issued to: FRONTIER MIDWEST HOMES P~anner - park oed.
on ihe ezpress condition thal all work 5hall be done in acCOrdance with all Council -
applicable State of Minneso~a Statutes and City of Eagan Ordinances. Bldg. Ott Copies
BuildingOfficial r~ 17,~~~~~ varianca - 707a~ 2.806.50
. ~ PERMIT # /,G ~
~ RECEIPT DATE:
i~SID~NTI~kL ~LUM$1Nfi ~'gMTf ~~~L1C~kTION
crrY og ~ne,~?ri
3$SO PII.OT KAOB RD
f.llfiAN, MN 831 EE
831-8bi-487~
Please complete tor: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for irrigation system
SITE ADDRESS: i) ~LO V ~ V` 1 IX~
OWNER NAME: : N~ TELEPHONE /t ~ 6~1X ' U`(i~
(AREA CODE)
INSTALLER NAME: ~ TELEPHONE ~ ~ ~O
1 AREA CODE)
STREET ADDRESS: l~
CITY: `IA.UUJ6 W+J STATE: ZIP:
Place a check mark next to the ertnit work e
New residential dwelling unit under construction and not owner/occupied $ 90.00
Add-on, modification or alteration to existin dwelling unit, including: $ 50.00
• abandonment of septic system
• new installation/repair/rebuild of RPZ
• lawn frrigation system
• water tumaround
Nature of work: ~tlG(,K.l/t~ t~~'~/z~
Septic System, new/refurbished - S 225.00
. includes Counfy & ConsuRing Inspector fees
• requires MPC license
Water turnaround - existing dwelling unit, including: $ 50.00
• 5/8" meter 115.00
$ 165.00
State Surcharge 5
Total $
Reminder. Schedule inspections of alterations, i.e. water heaters, water softeners, water turnaround, etc.
I herebyacknowledge Mat I have read this application, slate Ihat the information is correct, and agree to comply with all applicable Ciryof Eagan ordinances. It
is the applicanPs responsibiliry to notify the property owner that the Cily of Eagan assumes no liability or any damages caused bythe City during its normal
operational and maintenance activities to the hacililies constructed under this permft within City prope ht f~yray/easeme4}~ ~ ~ , /
i~Y ~ ~ \!ux" ~
SIGNATURE OF PERMITTEE Updated 9/01
' oate: ~oi~~i2oo~ Appliance Installers of MN
Installer GORDON MEYER
Install Date: 10/09/2001
Time - M
Client SEARS
Order Number: 011322422486
Department..: 42 '
Customer....: ANDERSON, STEVEN
Address.....: 820 SHORT LINE ~
City........: EAGAN, MN 55123-
Phone.......: (651)406-8285 Tivcrk Fhone : ( i -
Item: Pick up at:
WATER TREATMENT Standard Replacement - Softener ~
WATER TREATMENT Delivery
WATER TREATMENT Haul Away
WATER TREATMENT Permits
Special Instructions:
HAUL AWAY
PERMIT REQUIRED
SOFTENER HERE NAME ON CARTON
Amount Received :
Comments
NOTICE TO CUSTON~R:
Do not sign this statement until the installation is satisfactorily completed. -
The installation o£ the above has 6een completed satis£actorily.
011322422486
SALES CHECK NOMBER CUSTOMER SIGNATURE
INSTALLER NOTE: Return this form with your invoice.
= hn,e i.n ~e `ed ~aH .~.,r:di.se and L ~„nd ^ ~nr.:aqa. (X) .
` have i~ ~c~:ed my home ar~-3 f-,-,:.~~ ~:~:o ~::~r,~,age, i:z;
ha,e chP~ked a 1 w ter ar~i +-e~.:nd , leaks. (X%
C~~~st:o;ner z.iar~at;:.re
U•*
n~
Zz" 536•OU+
i.'
3H•50+
2oE3~0U+
1~9ti4•00+
2>60b•5u*
536•00+
38•50+
?_68•OU+
1~964•UU+
2~806•5U~x
, ~
' 1989 BIIILDING PEI~iIT APPLICATION - CITY OF EAG6N
SINGLE FAMILY DWELLINGS I T_` O~
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SORVEY, 1 SEf OF ENERGY CALCULATIONS
NOTE: ADDRFSSFS FOR CORN[s'R LOTS - CONTRACTOR/HOMEOWNfiR MOST DESIGN9TE WHICH ADDRfiSS
I3 DESIRED. 1~0 CH9NGES WILL BE ALLOiiED ONCE BtTILDING PERMIT I3 I3SOED.
M[TI.TIPLE DiiE[.LINGS ESNTAL ONITS FOR SALS UBITS i OF QBITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SUROEY - CHECH WITH BLDG. DEPT., 1 SET OF ENERGY
CALCULATIONS
COtR~RCIAL
INCLIIDE 2 SETS OF ARCHITECTUAAL & STRUCTURAL PLANS~
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
FEB 2 i t9s9
o~o
To Be tTsed For: NEW CONST. Valuation: -6-4-;'~59-' Date: 2/20/89
Site Address 820 SHORTLINE OFFICE USE ONLY
Lot 2 Bloek 5 Oecupancy IZ~3 N7-/ FEG3
Zoning -~J
Pareel/Sub STAFFORD PLACE Actual Const !//1/ Bldg. Permit S 3 G
Allowable 1//y Surcharge 3QSo
Owner SKRIEN, RICHARD & JILL ~i of stories Plan Review 2 6 P
Length Y.. SAC, City /O~
Address 4469 WOODGATE COURT Depth y~7,33 SAC, MWCC S ~S
S.F. Total Water Conn S 86
City/Zip Code BURNSVILLE 55337 Footprint S.F. Water Meter ~d
Aeet. Deposit 3 0
Phone 456-9692 On site sexage_ S/W Permit Zo
On site well S/W Surcharge 1
Contractor FR~NTIER MI~WEST HOMES CORP. MWCC System ? Treatment P1. z 2 en'
City water ? Road Unit 3 y0
Address 3902 CEDARVALE DRIVE PRV required ~ Park Ded.
Booster Pump _ Copies
City/Zip Code EAGAN 55122 ToTAL ~,~Q
APPROVALS
Phone 454-0433 Planner
Couneil s ~ ~
Arch./Engr. DICK WHEELER Bldg. Off. ~Z~22 ?
Varianee
Address 4635 NICOLS RD Couneil
City/Zip Code EAGAN 55122
Phone ~ 452-0575
NOTE: Sewer & Water Permit fees and account deposit fees will be ineluded in the building
permit fee. Processing time for sewer and vater permits ia two days onee a liaenaed
plumber has applied for a permit at City Hall.
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SURVEY FOR: I:ronticr P.!idtacst tlortc:s Corn.
DESCRIBEO AS: Lot 2, Bl.ock S, S'f~I1~0::ll PLACIi, Cit~~ o; C.:~~:;n, i~ul:oi:? County
~linnesota ancl rescrvi.ng casements of recorcl.
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PROPOSEO ELEVA710NS ~
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Top of Foundatian .056.8 \ / ~
Garaq~Floor .856,4 \ ~ $
Bas~m~nf f100f .953.6 \ ~
Approa. S~w~r S~rvic~ Elav. . a4 s.o' ~ ~
Propos~a El~rotions ~ Q \ I I
Eais~inp El~~utions ~ ~ ~ ~
OrdnoQ• Dinctions ~
Wnot~~ Ofb~f Stak• ~ O ~s
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6ENCHMARK+ •
TOP NV~ 1~.~J. loc.a4e.~ ~.`SL+'j~
Rhwt B1c~, c 855,56 -
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MIN. SETBACK REOIREMENTS . ~
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F=io Sa I6 0
R= i5 t• S SCAIE: 1 Inth = 30 Feaf
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I hu~by c~rllfy Ihot IM~ arv~y, plan x r~DO~~ wo~ pnpar~A bY m~~ J00 NO.;
/~IEDLUND or und~r my dlncl ~up~rvblon ond Ihol 1 om a duty R~91~I~nd &~1L 3E, p
LonO Surv~yor unA~r In~ lawa of Ih~ Slal• of Mlnn~~olo. W
eooK: 6.
P/annHrg Engineerii~g Swveying
m~ [..i uoo.y~pw, r~«.y. wmwq lan. YYw~M~l3110 ~
I~i~olww M~A N10M1
o Dal~: 2. ~ 9 ~ 89 P4GE:
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EX7ERfOR F.WVELOFf. AVfkAGr °n° cor~r'ililIT111N A"'`'`"'~'°"'
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OWNER: SKRIEN, RICHARD & JILL Iiltll : ~~3p_~~
SITE ADDRESS: 820 SNORTLINE PI!0^lE": 454-0433
CONTRACTOR• r-,~o.~r-,e~ ao,,_n~„~,~
~etermine workiny ;quarc fnoY.a~~e of eac.h
l. Total exposed wall area..... ~.o~lc~ s~l• fl.. .11 -
2 z s-'. c~ G,
2. Total roof/ceiliny area..... ~~o~! __sc~. ff., x.026 = Zg ~g
Total exposed wall drna above I'loor= p~
a. Total wail window area 1;~. ~
b. Total door area ? 2~
c. Total sliding ylass door arr.a ~ z.~l
d. Total fireplace wall area a
e. 7ota1 wa17 framing area (averaye 10'::) S, p,~,
f. Total rim joist area J.1 ~a
g. net wall area above floor z2 .-T
h. wall area ahove floor
i. wall area above floor
J. frame wall area at founciation
7utal exposed founciation arca=
k. Total foundation window area -
1. Total net foundation area above grade y
~etermine "u" value of each wall seymerit
(e,g. window, door, e~ich serarate wail section)
a. 1~$ x `"t S- _ .5~,(.
b y~ 'x ~3/ ---t~8-
c. 3 z~`/ x^ u"___--~ 3 3-------~ a, Co 9
~ d. Z~~' J( r•~ (A - o~
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0~,.~.-_-- x„~,~ a~_~ I CP ~ 2.Z
f. I ~I Co X , O`/ S'
9. ~ to z..z , 7 _ x , oy ~ y.9'
n. z ~~u~~ _
i. X "U" _
~ X _
~ lf iCem N3 is the se
k, X"17" = as, or less than ite
- ` qI, you have met the
1 7? X "U"~__~l _ _ /O. [7~> intent of SBC 6006 (
3 . .................................Total `_.L~~? ,11~ ~ ,
,.~~^'I•JCterior ~nvelope Average "U" Computation Page 2 of 4 .
; v.
Total exposed roof/cciling area = ~~r
- m. lbtal skyli.ght area ~ Z~
n. Total roof/ceiling Sraming area (avcrage 10~)... II Or ~
o. Total net insulated roof/ceiling ~~rea........... ~ q C,,, 3
• Determine "U" value for each roof/ceilittq segment
m, `Z X ~ y~~ = S Z~
: n ~ 1 O~'] g ~~U~~ , O Z`~ = Z i(o4-
r r' _
o. 9 ~I ,~3 x,.U„ , p Z = [ 9.g z-
4 Total - ?.7,~`~'i
,:f total of ,y4 is the same as, or less ihan N2, you have met the intent of
SHr_ 50Q5 {c) L
~ - Alternate Building Envelope Desi n ~
To utilize the total envelope'system method, the values established by the s•,un of
items #3 and #4 shall not be greater than the sum of items #1 and #2.
1. "2 2 S' ~ C.~ + 2. Z fi ~'?5 = 7~~.,~~
~ 3. ~ ~Ce~~l~ . + 4. Z-~~8~ = r'G ~ 3 °1~ -
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1991 BUI ~ NG P I~PPLICATION
CITY OF EAGAN
SII~GLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCUTATIONS 1 SET OF ENERGY CALCS
OF RENTAL UNITS
OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESI~ED. NQ Gi3ANGES WTL' BE A"^"E^ CNCE BIIT;.C'IVG P~TtMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER,
To Be Used For: Valuation: ~.~-~,~'~'2"! Date:
Site Address ~',,Z~i $ ~ L,j~L'~~ OFFICE USE ONLY
Lot r~ Block ~f~ FEES
Occupancy m"-Z Bldg. Permit ,15,~~
Zoning Surcharge ~s"
Parcel/Sub ~.~f~l,~r~ ~Q~fu Actual Const Plan Review
~ Allowable SAC, City
Owner ~G ~~j~~.(~~. # of stoties SAC, MWCC
~9 Length J~ K/~ Water Conn.
Address yy,r~~.~ ,5~'(J~~~~,(1~~ Depth X~c Water Meter
S.F. Total Acct. Deposit
City/Zip Code ~Sla~, Footprint S.F. S/w Permit
~ S/W Surcharge
Phone ~~~j ~ On site sewage_ Treatment Pl.
On site well Road Unit
Contractor _ r'Z ~ MWCC SYStem _ Park Ded.
City water _ Trail Ded.
Address S/~}yr~ PRV _ Copies
` Booster Pump _
City/Zip Code SUBTOTAL
APPROVALS Penalty
Phone Planner Lot Change
Council TOTAL ~
Arch./Engr. $bZt' Sldg. Off. `~ZCg/(~S
Variance
Address ~ ~ _
City/Zip Code
Phone #
~~.?~`r~~~~~ agrees that all work shall be done in accordance with
(Signature f o ractor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
/ ..o..:_;_ ,C~? a, ~G~c/
~ Y Rmsidentwl
Whole Hause Worksheet
c,,,~wn.r.M..~_~~.,.i~.f,~? !i-i).c;r d~ • • ~ •
GW ~ Stw ~
NIN iari6l 7.~ TwP~» NurMr
~iM ~mY •R-OrYid~ Dnlpn TNqY ~_'f . MwY T .
SUMMEII:Or1NW ~ ~P~N~~~ ~ -
~9~ Tymp •E_yaia Dpipn TNnY -~i~ •i .
M 1 CO°d^Y T~Y D~k~e~ a •F
. OMMON'DA7A'SECTION~....Ir ; . . . COOIING ^+'r+-•.
•rui~~M.S~ •T uB:i ' i~, i . . C.~~ ~i. .:Y
/!pI~p W~ R ~•`~~MO }y ,-V~OTIN(.~IM
. ' VT/V~ ~MLL / V / ~ ~ Q~l
DOORS b WINOQW$ ITYM~ p
~n N~r vwu 6 . 3 ~t
a i/.~~
3S , ceiur~c ~ ~ o 0
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o~.a (~j . • lOx 1.1l~s a ~°w""' : '.°ia % OT a ~ a . ~
1 r7 R~.~~ 1I 7 7{ ~.0~~ 7L7J 11 ~
7• SU8-TGG?I BTUN IOSS IDM t0~f~
" i AOJUSTMENT RAC70R 1'Tibl~ C) ' _
TC?AL 6TUN tOBS ,
M7008TUHCAW ~o•w•. . ~(Uu
AFW.IANCE8 6TUN . ' • 1200
SU&IIDTl1l BTINI GAIN (room wui~ ) . • + ~ ~
n f ouct.~ossiG~N FnC~ ~1iwn F - .
' ~ . SU&TOTAI BTUM {SMpipy G~kU . -
Id01STURE REMOW,L Iwb WtN a 1.3) . ¦ t ~
T~YI A- T~T~ BTUM LO$$lGAIN . . '
~rEe ~ar~~-~~ ~i Ti?e~+a r- ccoueW - ouoNS 6 wu~oaws
?w wwy ,Mr~ 4~on- w 1kWn la qr Nm~ MM ~MWOw . F~ocan wum~ wMidows MN inrd~ Y~WwV W~wriM a wn~wn
uwwnuc:~Pw. .~FW~Md MidinY plq~ OaWt M11PNU0 ~ wiplqw,
' ,n~d U '.~~i~~m~~ . ' wMwr wr~~ur ruwr • • '
~Uuo.lrvN - -
- aArw . Bluhbn *arora ~waw. nw~ow
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in.MawM~~~uo~ 2. ~ 9 ~ 0`t ~ PAGE:
0 oaa:
J~f r I E r~n, Llc~n~• aN378
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2007 RESIDENTIAL PLUMBING PERMIT APPLICATION C~
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date~l~/ p~ Q~~~L
Site SVeet Address D~d 1V o Y 1iv 1 W Unit #
PropertyOwner V"~' 1+1 o~~ 1 Telephone# (l~J ~'f~P •W~ ~
CHAMPION WATER SERVICES ~g ~ ~n~
Contractor 212 N Rlver rziM~i. Telephone # a~ U, p'J
Burnsville, MN 5b337 City S~~ Zp
Address
The Applicant fs: _ Owner & OccuparH ~ Licensed Plumbing Confractor
Septic System _ New _ Refurbished Submit 2 sets of plans and MPC ~icense InGudes County fee
E 100.00
Per as-buift $ 10.00
Flre Repair (replace bumed out fixtures, etc.) $ 90.00
This fee a lies when extensive lumbin re airs are made to a buildin .
Alteratlons to ezistlng dwelling $ 50.00
_ Add plumbing fictures to main level lower level. This fee includes
installation of a water softener andlor water heater at the same time. H you are
installing on a water so/tener and/or water heaier, do not complete this section;
move to the next section and place a checkmark next to the appliance(s) you are
installing.
_Septic System Abandonment
_Water Tumaround (add $136.00 if a 5/8" meter is required)
Other:
Water Softener V Water Heater $ 15.00
_ new _ replacement
Lawn Irrigatlon _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ .50
Total $
I hereby apply for a ResideMial Plumbing Pertnit and adcnowledge that the infortnation is complete and accurate; that the work will be
in conformance with the ordinances and codes of the City of Eagan and the plumbing cades; that I unde~stand this is not a pertnit, but
only an applicatian for a pertnit, work is not to stert wdhout a pertnit and wprk wil~ be in accordance wilh the approved plan in Ihe eveM
a plan is re red to be reviewed and approved. I
~ ~l
ApplicanYs Printed Name ApplicanYs Signature
~ ~5,
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 820 Shortline
Lot: 2 Block: 5 Addition: Stafford Place
PID:10- 72500- 020 -05
Use:
Description:
Sub Type: e- Windows/Doors
Work Type: Windows/Doors - New/Replacement
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Home Depot At Home Services
656 Mendelssolm Ave. N
Golden Valley MN 55427
(763) 542 -8826
PERMIT
City of Eaan
If altering the opening size, a framing inspection is required.
Smoke detectors are required in
all sleeping rooms prior to final
inspection. When wall studs or
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total:
Applicant/Permitee: Signature
- Applicant -
Construction Type:
Occupancy:
$90.00
Owner:
Steven Q Anderson
820 Shortline
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$88.50 0801.4085
$1.50 9001.2195
Building
EA077577
05/02/2007
ePermit
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA130865
Date Issued:05/19/2015
Permit Category:ePermit
Site Address: 820 Shortline
Lot:2 Block: 5 Addition: Stafford Place
PID:10-72500-05-020
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 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 -
Steven Q Anderson
820 Shortline
Eagan MN 55123
(651) 406-8285
Pella Northland
15300 25th Ave N #100
Plymouth MN 55447
(763) 355-1300
Applicant/Permitee: Signature Issued By: Signature
Oct. 19. 2016 4:06PM
City ni Eaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675.5675
Fax: (651) 675.5694
OCT 1 9 2016
r
No. 3783 P. 3
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee: /e.241.6 G
Date Received: 10 -. (C( ib
•
Staff:
2016 RESIDENTIAL BUILDING+PERMIT APPLICATION
Date: Site Address: g;2. -6J
Unit #:
,J
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Name: S * t._ s4t ,Pi✓`. p. II Phone: (6)/0 ZS 2-29Z9
Address / City / Zip: 2,0 4511•4-: , A / a AU SS/ 13
Applicant Is: Owner Contractor
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Description of work: &e OX ar LOInC. 1
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Construction Cost 13 113. Z 0 luh! ti Family Building: (Yes I No )
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Company USa� S
�# Contact, Ray /Yl
/ ,
Address: g N RI �iY l e. Grate. CityRUMS u' 11 e
• MN SS337 Phone: (I'l.)2. 2 l Emaii: A-ShoolA e 011404:Oslena, 44,
State. Zi
License ft: 6G G f IS 13 Lead Certificate #:
If the project is exempt
from lead certification, please explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING
In the last 12 months, has the City of Lagan issued a permit for a similar
Yes ' No If yes, date and address of master plan:
A NEW BUILDING
plan based on a master plan?
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Fire Suppression Contractor:
_
Phone:
Phone:
Phone:
Phone:
;a; (1 p;T .• Pj g•411.61 sip .otftn do'.c ®tib •x,� 4- t, , / ake•:cdn tArR" 't';;494m YikG .li+ :::- .Qi% �? Ctto A;cs
<;;�„>,.s✓ +v.;:S>:•Y.•;..x.. •• ,�.:� :""'.",<°.,1ne:':i•,..x»'`"•'ql:.i'3,.'a.'Zi:�,>,.e5.,�y�S•�.1` �'�' . �,:e•.rox:a..w S!� ; � .�v;�.:y �.. �n�.. :.,..».,• ,�
•�' •; :+e3h^'°,p»t.'Y.» ,.�,.r4.< �.oA $; 3�>,' �;r; ° v�.<:.��.�, c..., »,.•.t�.e; � > x, 3•.^'^`.�” ' . ,, •i
9 jat k ayeb ~-eq...ie-d � t !l�.R J! ('i�/fYt�p_'' ov �le:sp9.0163a ons>:t�hlat<i .0.11/ -0tL t'
,r'^.;.'ioxc; >�n ,,. ^::!: ,.v te(. `l, '(apC:.. y.Y to .wr...P..:... '' •, >YA•. '�>.thtr: MA •$ -' s.:s..eif6.,"le :d.v.> .��tC ^.. ar:afea<.wY'•
lr d:+. �.0, }p,'+�'Y\'•C .. M' )d::: •.^.x\�N<iMn,.',4.C>.p...::.r 4\•.: � .P. :. �\:JAn:":> yi .r. "4'v('.Y-0.....'..„.1 415 :>: .q�.{. ': V. 7"''^..,,,, +3,0.••
'�-yC;K.: iJ,'b i:: C7S/AC'Y.Y�%w1b XY > v.(�. Jty. WYiM V>w:W:i-O%':isY„°.u. �� CYMOr,
:... �:. , a_,�...Y�.�, :w:nv. >x<>:cs�itcltid�.f�iat��e .:�:1.',etNa�''ect.;ef��•.: �,�•��' -�,:sre°.,N..�„:
CALL BEFORE YOU DIG. Call Gopher State One Cali 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.00pherslateonecall.org
I hereby acknowledge that this information Is complete and accurate; that the work will be in conformance With the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit; and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota Slate Building Code must be completed within 180
days of permit Issuance.
Applicant's Print•d Name
Applicant's Sig
Qah c
nature
Page 1 of 3
Ost.19. 2016 4:06PM No. 3783 P. 4 //z.9 3
DO NOT WRITE BELOW THIS LINE
SUB TYPES sa t 5ke i 4 Li
Foundation Fireplace Porch (3 -Season) Exterior Alteration (Single Family)
70 Single Family _ Garage Porch (4 -Season) Exterior Alteration (Multi)
Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Miscellaneous
01 of _ Plex _ Lower Level _ Pool Accessory Building
WORK TYPES
New �d Interior Improvement_ Siding _ Demolish Building=
_ Addition _ Move Building _ Reroof _ Demolish Interior
Alteration Fire Repair Windows_ Demolish Foundation
Replace _ Repair — Egress Window Water Damage
Retaining Wall 'Demolition of entire building - give PCA handout to applicant
DESCRIPTION
Valuation 4 A 00a'). r,0 Occupancy 2 (- I MCES System
Plan Review Code Edition 02n Z.vl c SAC Units
(25%_ 100% ) Zoning 12-1 City Water
Census Code Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Suppression Required
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final /"C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation HVAC _ Gas Service Test Gas Line Air Test
Roof: _Ice & Water _Final Pool: _Footings Air/Gas Tests _Final
)0 Framing 30 Minutes 1 Hour Drain Tile
Fireplace: _Rough In Air Test _Final Siding: _Stucco Lath _Stone Lath _Brick
79 Insulation Windows
Sheathing Retaining Wall: _ Footings _ Backfill _ Final
Sheetrock Radon Control
—
Fire Walls Fire Suppression: _Rough In _Final
Braced Walls Erosion Control
Shower.Pan Other:
Reviewed By: 1-c, vn JY1 ; K(i , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
R/9- se 0 141
V76 54 19-Fece l.7s
Page 2 of 3
Oct. 19. 2016 4:05PM
Date:
City of Eaaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
OCT 192016
6N . or
37$3 P �2CKInk
L
For Office Use
Permit*: /
Permit Fee:
Date Received:
Staff:
2016 RESIDENTIAL PLUMBING PERMIT APPLICATION
W..13
hr
ID)IglJ Site Address: 2O �0I
Tenant: S D k l�1�U� t1 1
•
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�� ':<13�:;s<::;,I;.o. •.l:.X.;•,t;:.. Q;,•'>:wx..:>.>n::.• ;�;.,.:;,r< �r.. ,
en
'�'��"•`'`� '•.. ->�:•r % ,�
Name: � ` 3- US . VWiOn Phone:
611 VV V ^ 2-9 -6
mee Mkt S S ran
Address /City /Zip: V1-0 �i � an.
•;
-
Cd ?n racfo_r
.: ; ::.:.., :: •:s;•,: ;'� ° <:' ;, ';: <.,
Name: OS Nib J J� tt ,^, �--- -- 2_O6A
4a 7��Vs License #: PC.%$
Address: 2.1 ► N t, ve ici, e City: 60116‘111)-e.
Slate: KN Zip: a72?j / Phone: (oil) TO- 2.01 2M
Contact: Rok MtitO Email: h shoor usp%ftOSJs &vrt Co i'Y1
... ... ...
New ZReplacement Repair Rebuild Modify
Space Work In R.O.W.
—
Description of work: trinCYr
e afirertri
;•', r=.
1
;,::
R,®Xt,lt.Typ .:. ,t/Add
- -e"•''
- '' =
w.::::::.:: - :;::'•.:;,
RESIDENTIAL
Water Heater
Water Softener
( Main J Lower Level)
Lawn Irrigation L_ RPZ /— PVB)
•Plluumbf g�'Flxtures
Septic System
New
Abandonment
RESIDENTIAL FEES;
$60.00 Water Heater,
$60.00 Lawn Irrigation
$60.00 Add Plumbing
"Water Turnaround
$115.00 Septic System
Water Softener, or Water Heater and Softener
(Includes State Surcharge)
Turnaround* (includes State Surcharge)
TOTAL FEES $
(includes State Surcharge)
Fixtures, Septic System Abandonment, Water
(add $280.00 if a 3/4" meter is required)
New (includes County fee and State Surcharge)
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 far protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities, www.gopherstateonecall.org
I hereby acknowledge that this Information Is complete and accurate; that the work will be In conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work Is not to start without a permit; that the work will be In
accordance with the approved plan in the case of work which requires a review and approval of plans.
x Ct(4
Applicant's Printed ame
= FOI OFFICE;U
x
Applicants S• g t re
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA150651
Date Issued:07/18/2018
Permit Category:ePermit
Site Address: 820 Shortline
Lot:2 Block: 5 Addition: Stafford Place
PID:10-72500-05-020
Use:
Description:
Sub Type:Reroof & Siding
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and house wrap and leave on site.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Valuation: 8,000.00
Fee Summary:BL - Base Fee $8K $162.25 0801.4085
Surcharge - Based on Valuation $8K $4.00 9001.2195
$166.25 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 -
Steven Q Anderson
820 Shortline
Eagan MN 55123
(651) 249-7547
Krech Exteriors Inc
5866 Blackshire Path
Inver Grove Heights MN 55076
(651) 688-6368
Applicant/Permitee: Signature Issued By: Signature
For Office Use , tfir r
Permit 4: /S6-- ,0 (0, .04
.., ,
•• EAGAN..
do.... c Date Received: (/ // /
CE'VE'
3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810 .
.(851)875_=5675 I TDD:(851)454-8535 j FAX:{651)675-5691 ';' N 2019 jStaff:
buiidinoinsoectionstilcitvofeaoan.com
i
2018 RESIDENTIAL BUIL b • . - - APPLICATION
Date: Site Address:
l Unit S:�
_ Name: S 1[( e`A Alf)ae�SC Y� Phone: Lc "2'�t(-1p
- 7s47
Owner Address/City/Zip: 82r) r l 9(-i-- 1.,%n•
V
Applicant is: Owner Contractor /1 5-f 4(4(Lefi ce
' _type of Work Q est.pc.r.goon at work: C Illt)C1 [ -eX /s4-,),-)t7� (V e J<
-Work- Oi .
Construction Cost:_ZOO ,DO Multi-Family Building:(Yes /No 17:
Company: l (� 4O�'1 tfieTh-e, 3Pecieth contact PI 4 16C f"W Pie c
Address: 20e / W City: 6ctr) I' 114,401
State: 'Li/ 2641 11 Sep1
p:-_a one1-_,-74q 6, Email: /7J /6i 4ocr7/4 S
License#: /3 5 72,5 6.5) Lead Certificate*:
If the project is exempt from lead certification, please explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months,has the City of Eagan issued a permit fora similar plan based on a master plan?
Yes No If yes,date and address of master plan:
Licensed Plumber. Phone:
Mechanical Contractor. Phone:
Sewer&Water Contractor. Phone:
Fire Suppression Contractor Phone:
Nora Pura and supporting documents that you submit are conattbnd to be public of the iadarnaatieirmarbe
cMaaiLU as noir pubdc fyou yesmc reasons that wedWpsrn *the City te conclude Male* bed.aecrrii(i..
You may aiibeelbe le isibi i an electronic notification from the City of ordinances bysigning
website et wdww.cltvefeaaan.com/subscrib.. proposed nim mg up for an email update on the City's
Exterior work authorised by a building permit Issued in accordance with the Minnesota State Building Code must be completed within180
days of permit issuance.
CALL BEFORE YOU DIG. Cal 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.000herstateonecai.orq
I hereby acknowledge that this information is complete and accurate;that the work win be in conformance with the • ' - •-- and ••- of the City of
Eagan:that I understand this is nota permit,but only an application fora permit,and _Is net to s,- , •- a •_ *Await win be in
accoi�daace Sidle tiro-----.-- plea to me alai of ch requires a review and -.• • - • -ns.
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Applicant's Applicant's Printed eme • . icant's S g atwe
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SUB TYPES
— Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
Single Family Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
Multi Deck _ Porch(Screen/Gazebo/Pergola) Miscellaneous
01 of_Plex _ Lower Level _ Pool _ Accessory Building
WORK TYPES
New _ Interior Improvement _ Siding _ Demolish Building*
_ Addition
— Move Building _ Reroof _ Demolish Interior
Alteration _ Fire Repair _ Windows _ Demolish Foundation
Replace _ Repair _ Egress Window _ Water Damage
Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION ,,«,
Valuation u" Z6 Occupancy ix e- 1 MCES System
Plan Review Code Edition On 20 /S SAC Units
(25% 100%e) Zoning F-1 City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction — Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final/C.O. Required
Footings (Addition) x Final/No C.O. Required
Foundation Foundation Before Backfill HVAC_Service Test Gas Line Air Test_Hood
Roof:_Ice &Water _Final Pool:_Footings Air/Gas Tests _Final
Framing 30 Minutes 1 Hour Drain Tile
Fireplace: Rough In Air Test _Final Siding:_Stucco Lath Stone Lath _Brick_EFIS
Insulation Windows
Sheathing Retaining Wall:_Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression: Rough In_Final
Braced Walls Erosion Control
Shower Pan '/ Other:
Reviewed By: [19 iv' r/II c(/T , Building Inspector
RESIDENTIAL FEES 5 f(
Base Fee 9
Surcharge A i /5. o 0
Plan Review
MCES SAC 1
City SAC
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA168291
Date Issued:04/15/2021
Permit Category:ePermit
Site Address: 820 Shortline
Lot:2 Block: 5 Addition: Stafford Place
PID:10-72500-05-020
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 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 -
Steven Q & Lisa C Anderson
820 Shortline
Eagan MN 55123--158
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(641) 264-4088
Applicant/Permitee: Signature Issued By: Signature