2904 Skyline DrCITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS: -
. I 'I rP?I I1
? t I Ii
PERMIT SUBTYPE:
IN
I IdAl
zr
------------------------------
ON RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
tc n1. t , APPLICANT:
TYPE OF WORK:
I tj
,? i 4W.)
Permit No. Permit Holder Date Telephone N
SNV
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspection Date Insp. Comments
Footings l
Foundation
Framing
Roofing
Rough Pibg.
Rough Htg.
Isui.
Fireplace
Final Htg.
Orsat Test
Final Plbg. Plbg. Inspector- Notify Plumber
Const. Meter
Engr./Plan
Bldg. Final
Deck Fig.
Deck Final
Well
Pr. Disp.
INSPECTION RECORD
CITY OF EAGAN w!A=Am F1* EEM 10/23/92 PERMIT TYPE:
3830 Pilot Knob Road EWAL AcMSS XDRS.-450-6292 Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: ?. p 1 ; t R ?, rat. APPLICANT:
904 SKYtiNE pR EQUAt ACCESS HOMES
HEttER (blZ) 4S*-6292
PERMIT §,Y,?TYPE:
TYPE OF WORK:
Control No. 0832
IIIIIII?
Pf MARK S r RE CE IP? 0C 019970 PRV S&W Pt.HH -- Tell HESSIAN
Psrmtt No. Pumk Flouter Dab TalephaM •
S/W
PLUMBING
HVAC A/'$' e.1- &4 4
ELECTRIC ( 9 I
ELECTRIC
InepwOon Date Insp. Comments
Footings 1
Foundation
Fniunng I, 512
?s
Roofing
Rough Prog. / IC7 92
Rough Htg. p /D s d74, Aft ? ve, • k4
ls?. ? /s-s2 ??
FaWlace 59 a
Final Htg. .2 !`Q
Orsat Test
Final Plbg. j. Plug. inspector - Notify Phunber
ConaL Meter
EngrAnan
Bldg. Final /d
Deck Ftg.
Deck Final
Well
Pr. Disp.
y-z? 7z .g
77
?? .
s ,, o RFXTNA3E PM MM-10/23/42
EQUAL AC= EM.-4*-6M
wcrtiffcate of cccwancv
Of "
rapt of sawd" 3» on
This Certificate issued pursuant to the requirements of the Uniform Building Code
certifying that at the time of issuance this struchar was in compliance with the various
ordinances of the City regulating building construction or use. For the following:
Use classification: SF DWG R Bldg. p erwi No. q w
Occupancy Type R3 /M1 7mdog Disaia Type Come
OwnaofBaildina DQU& AfX;ESS MW II; Addms 2367 78TH Sr E, R NM (AWE HIS
BuiWmg Add<rss 2%4 Wfi,= DRIVE I ocaliry L1, B1, HE
10/23/Q2
Daw Building official
POST IN A CONSPICUOUS PLACE
K 0 3
Za
Request Date
?/ a G Fire No. Rough-in Inspection
Required? T
Ready Now,l Will Notify Inspector
R
d
?
Wh
)
es' E_ No
Ar-y en
ea
y
I licensed contractor ? owner hereby request inspection of above electrical work at:
Job Address (Street. Box or Route No.) City
Sedion No. Township Name or No. Range No. County ss
lPRINT) AkC?%JJ G? Phone No.
Power Supplier - Address
Eledncal Contractor tCOmpany Name)
C,,/ cz. Contractors License No.
C,R 0Cult"/
Mailing tlJ^tl 55 IGOntraclor or O'w/n?/er Ma+kinJg Installation) ? p .,/ _ y / t?
Authori d Si lure ICOntracto Ownee Making Indelletionl Phone Nu ber
MINNESOTA STATE 130ARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD
1821 University Ave.. St. Paul. MN 55104 - - UNLESS PROPER INSPECTION FEE IS
Phone 16121642.OS00 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION a. /Eqe aooot-os
K 204 23 lSe in tructipps for Eomineting this form on back of yellow copyb?j
Vi . j X' Below Work Covered by This Request ? 7
ew Add Rep. Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other-(Specify)
Comm./Industrial Furnace
Farm Air Conditioner
Omer apedyl Contractors Remarks:
Compute Inspection Fee Below.'
# Other Fee # Service Entrance size Fee' # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 1p / O to 100 Amps
Transformers Above 200 Amps Al o 100 Amps
Signs Inspector's Use Only: TOTAL
Irrigation Booms
l1 J?
7
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
1, the Electrical Inspector, hereby
tif
th
t th
b Rough-in Dire o'
cer
y
a
e a
ove inspection has
been made. Final - S 9
OFFICE USE ONLY
This request voltl to months from
,A3dre§5: 9 Lot 1 Blk 1 See/Sub EidLER
These items were/were not complete at the time of the final inspection.
Date: 10/23/92 Yes No lnspprtnr?
Final grade (6" from siding) ?
('2
Permanent steps - garage
Permanent steps - main entry
Permanent driveway
Permanent gas
Sod/seeded grass
Trail/curb damage
Porch
Basement finish
Deck
Please verify with the builder the removal of roof test caps from the plumbing
system and the shut-off of water supply to the outside lawn faucet before
freeze potential exists.
R[CIt1E0 WEP
White - City copy Yellow - Resident copy Pink.- Contractor copy
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
J? (651( 681-4675
New Construction Requirements
0 3 registered site surveys
? 2 copies of plans (include beam & window saes; poured fnd, design; etc.)
0 1 energy calculations
0 3 copies of tree preservation plan if lot platted after 7/1/93
required: _ii /Yes _ No
DATE: 5 17' 9r9
DESCRIPTION OF WORK: Uf-,P-p/ U445-P-Q
STREETADD1RESS:9at/ s?t.??tit,C 162
LOT: l BLOCK: SUED./P.I.D. #:
Remodel/Repair Requirements
? 2 copies of plan
? 1 site surveys (exterior additions & decks)
$ 1 energy calculations for heated additions
CONSTRUCTION COST:
>Sj
aF /wU6Fcr Srad?? t,\
V C LA cy aao-} t n&.1 1-1 ? l t -er I?
Name: L!P-tl ?(41eXQ //1) mzd Phone 9:
PROPERTY Last First
OWNER ' /
Street Address: a 1 o L.IdJG (?Uy i (/(
City L rN a ? aJ State: l OlrJC-TdT)3 Zip: '5 I ?Z
i
Company: UJ 1?7 V7• S l A2 dL)d-1 rl< C? ITl?l9 N! 67-r phone #: 9S-
CONTRACTOR ?/?/?
Street Address: Y??G f + M tl (1?t'' License# aExp.3`31-00
city t7-Agnaj state: Ol r1Vdu,?igarA Zip: 5 S / 2
ARCHITECT/
`ENGINEER Company:
Street Address:
City
Sewer & water licensed plumber (new construction only): _
change and lot change is requested once permit is issued.
Penalty applies when address
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable
State of Minnesota Statutes and City of Eagan Ordinances. pp ?
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received - Yes No
Tree Preservation Plan Received Yes No
RECEIVED
MAY 18 1999
Not Required BY:
Phone #:
Registration #:
State: Zip:
OFFICE USE ONLY
BUILDING PERMIT TYPE
01` Foundation ? 06 Duplex
? 02 SF Dwelling ? 07 4-plex
? 031 SF Addition ? 08 8-plex
? 04 SF Porch ? 09 12-plex
? 05` SF Misc. ? 10 = plex
WORK TYPE
? 31 New ? 33 Alterations
? 32' Addition ? 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
APPROVALS
? 11 Apt./Lodging ?
? 12 Multi Repair/Rem. ?
? 13 Garage/Accessory ?
? 14 Fireplace ?
? 15 Deck
? 36 Move
? 37 Demolition
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Planning Building
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Nleter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails bed.
Other
Copies
Total:
Engineering
Valuation:
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
Census Code
SAC Code
Census Units
Census Bldg
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Variance
% SAC
SAC Units
L J/ BL CITY USE ONLY
?
SUBD.
1998 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MIN 55122
(612) 681-4675
Please complete for: D single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
-----------------------------------------------------------
FIXTURES --------------------
EACH ------------------------------
# ---------------
TOTAL
Shower 3.00 x =
Water Closet 3.00 x =
Bath Tub 3.00 x =
Lavatory 3.00 x =
Kitchen Sink 3.00 x =
Laundry Tray 3.00 x =
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x =
Floor Drain 3.00 x =
Gas Piping Outlet ' minimum - 1 3.00 x =
Rough Openings 1.50 x =
Water Softener * for dwellings under construction 5.00 x =
Water Softener *for existing dwelling 20.00 x =
U.G. Sprinkler * for dwelling under const. 3.00 =
-U_G__Sprinkler- *forexisting`dwelling 22MO
Alterations ' to existing residence 20.00 =
Water Turn Around 20.00 =
Private Disposal System * MPC lic. 75.00 =
(new and refurbished systems)
Private Disposal Systems * Abandonment 20.00 =
RPZ (new installation only) 20.00 =
STATE SURCHARGE .50
a C' '? v
TOTAL
RECEIPT M 905c,7-c;7-
RECEIPT DATE: 7 aTlFt
-----------------d--get----hat -- I have ------readt-------hisa---pplicat-------ion-, s----tate---that----the-----information-------- isco------rrec--t,-and ------agree -to--c-o-
o co rnp-tyw----ith--allap-----plic---ableC-----ityo----fE---aganordi--------na--n-ce-- s-.-
It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its
normal operational and maintenance rac/tivities to the facilities constructed under this permit within City property/right-of-way/easement.
SITE ADDRESS: ZqO f SYC(N? i?
OWNER NAME: 131L? Lf ?D 31-.A DE
INSTALLER NAME: SY(tf /rUN
Vil
TELEPHONE #: 9 3 3 -?7r O
STREETADDRESS: L4
CITY:
C/-/o - ?
-147 I'P,6
CD/PERMIT FORMS/RPLBG PERMIT (RES?998
N(rll(- /C
0
STATE: 'A) N ZIP: -S 7V J
SIGNATURE OF PERMITTEE
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT cp.31YN
PERMIT TYPE: BUILDING
Permit Number: 025142
Date Issued: 02/21/95
SITE ADDRESS:
2904 SKYLINE OR
LOT: 1 BLOCK: 1
HELLER
P.T.N.: 10-32450-010-01
DESCRIPTION:
(GAS)
Bu"il'd Hq_ Permit Type
B°u-i-lding Wo-rk Type
REMARKS:
FEE SUMMARY-
Base Fee
Surcharge
Total Fee
FIREPLACE
NEW
?1J?oIJ U
$25.00
$.50
$25.50
I:UNIMAIL; IUK: - nppiicanti - JI. LIU. UWNI=H:
FIREPLACE SPECIALIST 14511970 0003924 LINDBLADE BILL
1200 9TH AVE 2904 SKYLINE DR
S ST PAUL NN 55075 EAGAN MN 55121
(612) 451-1970 (612)454-2429 .
" I, hereby 'acknowledge ,that T have read`thIa, ap'pl'ication and',stat'e ,that?,the
zinf6-rmation"is'correc•t and-agrree to,coTply with=al,l.applicabie State of Mn.- ,
w Statutes andl,City of Eagan'Ordknances;., s
APPLICANTIPERMITEE SIGNATURE
ISSUED : SIGNATURE
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: LOT: 1 B L O C K: I APPLICANT:
2904 SKYLINE OR FIREPLACE SPECIALIST
HELLER (612) 451-1970
PERMIT SUBTYPE:
FIREPLACE
TYPE OF WORK:
NEW
DESCRIPTION (GAS)
BUILDING
025142
02/21/95
INSPECTIONTYPE DDATE INSPTR. INSPECTION DATE INSPTR.
ROUGH-IN FINAL
i
f
U
?.^ ?.....??.+.?-..? .......:..:..»...a_...J..a.?..?a.w ?e.--_a...-?....s^_....?.?..__.???...?.-?:_-.??..?-??.?. ?.m-_......._ .__e.-.?.e.. _.... r. ?. .d.__. .«......_......?... +..._u.-.-va:.J
l ,^
CITY OF EAGAN 4) )SI41 3830 PILOT KNOB RD - 55122
1995 FIREPLACE PERMIT APPLICATION
681-4675
DATE: c'< -a - °I
DESCRIPTION OF WORK: Z INSTALL NEW FIREPLACE: _ WOOD BURNING GAS
_ INSTALL GAS LOG ONLY IN EXISTING FIREPLACE
_ INSTALL GAS LINE ONLY IN EXISTING FIREPLACE
OTHER:
AREA TO BE INSTALLED IN: L y.
Q
STREET ADDRESS: °) C) L) S k ?' N R
LOT BLOCK
APPLICANT: (circle one only)
SUBD./P.I.D. #:
OWNER
CONTRACTOR
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.
PROPERTY
OWNER
Name: Phone #: 4S q
WT RPBT
Signature:
FIREPLACE
INSTALLER
Street Address- ::,) G L, ?- k Y t' N,- D. g,
City: cak,, f State: MiJ Zip: SS Ian
S qsl -/c70
Company: Firs Olacp, U?? q-6 Phone #::?
Signature:
Street Address: I D,00 4 °j- -Is Avl- 9'0 License #- 361a q
GAS LINE
INSTALLER
city: S. 54 Qo State: MN Zip. S o ??
Company: S A r%x-
Name:
Signature:
Phone #,
Street Address-
City: State: Zip:
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 14 Fireplace
WORK TYPE
? 31 New ? 33 Alterations
? 32 Addition ? 34 Repair
GENERAL INFORMATION
Census Code.
SAC Code
REMARKS: Chimney/flue must be inspected before concealing.
94:*?
Permit.Fee
Surcharge
Other
Copies
Total:
CITY OF EAGAN
L / B? MECHANICAL PERMIT RECEIPT # D
SUBD. /Jean, (612) 6814675 DATE 9 8
RESIDENTIAI.
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, COMPLETE FOR
TOWNHOMES/CONDOS WHEN SEPARATE PERMITS ARE REQUIRED FOR EACH DWELLING UNIT.
OWNER: S -? FEES
SITE ADDRESS: Q /
(?YL(n! ( ADD ONIREMODEL (EXISTING
CONSTRUCTION ONLY) $ 15.00
/
HVAC: 0-100 M BTU 24.00
INSTALLER: _ V ADDITIONAL 50 M BTU 600
ADDRESS: -7 t-,J GAS OUTLETS - MINIMUM 1 @ $3 EA.
CITY: ZIP: S?j Z2 SURCHARGE
SIGNATURE: TOTAL: S
COMMERCIAL
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAIANDUSTRIAL BUILDINGS. ALSO COMPLETE FOR
APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR
EACH DWELLING UNIT.
WORK DESCRIPTION:
CONTRACT PRICE
FEES
1% OF CONTRACT FEE.
STATE SURCHARGE IS $.50 FOR EACH
$1,000 OF PERMIT FEE.
PROCESSED PIPING - $25.00
$
a
MINIMUM FEE - $25.00
OWNER:
TOTAL-
a
SITE ADDRESS:
TENANT:
SUITE #:
INSTALLER:
ADDRESS:
CITY.
PHONE #:
SIGNATURE
ZIP,
CITY SIGNATURE:
L CITY OF EAGAN CITY USE ONLY
PLUMBING PERMIT
SUBD.? (612) 681-4675 RECEIPT A9 /'IOU
DATE
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS
WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION COMPLETE THE FOLLOWING:
NO.. FIXTURES EA. TOTAL
NEW CONST
ADD ON REPAIR/ADD ON
SHOWER 15,00
3.00
REPAIR WATER CLOSET 3.00 6,0
BATH TUB 3.00
f 3 LAVATORY 3.00
OWNER NAME: ?? /3?cy J KITCHEN S
] LAUNDRY TRAY 3.00
SITE ADDRESS: r29f1 L/ HOT TUB/SPA 3.00
1 WATER HEATER 3.00
_Loo FLOOR DRAIN 3.00 3 vo
GAS Flrll'G OUT.
INSTALLER:
(MINIMUM - 1)
3.00
TOM HEMAN PtUMBING, INC.
121 REDWOOD DRIVE
yL
ROUGH OPENINGS
1.50
?_sD
ADDRESS:
APPLE YALLE'
M N OTHER _
..
55124 _ WATER SOFTENER 5.00
CITY:
ZIP: PRIVATE DISP. 15.00
/,// 7
46y
' U.G. SPRINKLER 3.00
PHONE
o' W. TURNAROUND, 15.00
STATE SURCHARGE .50
S
R
E OF PERMITTEE
IGNATU TOTAL: $
' COMMERCIAL
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-FAMILY
BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT.
WORK DESCRIPTION:
OWNER NAME:
SITE ADDRESS:
TENANT NAME:
SUITE #:
INSTALLER:
ADDRESS:
CITY:
PHONE
FOR:
CITY OF EAGAN
CONTRACT PRICE:
1% OF CONTRACT FEE.
STATE SllRLHARGE - $.5u ruR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 1% $
STATE SURCHARGE $
TOTAL:
(SIGNATURE)
PERMIT # 90
REACTIVATE X
r
CITY OF EAGAN
1992 BUILDING PERMIT APPLICATION
681-4675
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs. -
COMMERCIAL 2 sets of architectural & structural plans, I set of
specifications, I copy of energy calcs.
Penalty applies when typing of permit is requested, but not picked up by last working day
of month in whi
h
c
re uest is made or lot than a is re uested once permit is issued.
Date Valuation of work
Site Address: 29 D y SKYLINE D i U€
STREET SUITE 0 _
Tenant Name: (commercial only) .
LOT BLOCK ? SUBD. Nc'1-? P.I.D. a
Description of work:
The applicant is: ? Owner Contractor ? Other (Describe)
Property Name Phone
LAST FIRST
Owner
Address
- STREET STE 0
City State .' Zip
company f-=62l4-4.L 4CC.E-S S f-1 Phone `-lam -62.12
Contractor Address 2 36'? 7STH S7-4-- License # Exp.
City --gRuaw 67ovE ye-i& ,t7 State MAJ Zip 5 So76
Architect/ Company Phone
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
BUILDING PERMIT TYPE
? 01 Foundation_
? 02 SF Dwg.
? 03 SF Addition
? 04 SF Porch
? 05 SF Misc.
WORK TYPE
31 New
32 Addition
? 06 Duplex
? 07 4-Plex
? 08 8-Plex
? 09 12-Plex
? 10 Multi. Add'l
? 33 Alterations
? 34 Repair
? 11 Apt./Lodging
? 12 Multi. Misc.
? 13 Garage/Accessory
? 14 Fireplace
Ck 15 Deck
? 35 Tenant Finish
? 36 Move
? 16 Basement Finish
? 17 Swim Pool
? 18 Comm./Ind.
? 19 Comm./Ind. Misc,
? 20 Public Facility
? 21 Miscellaneous
? 37 Demolish
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy R-3
Zoning
# of+Stories
Length M-4 -
Depth 040'A 242?
APPROVALS
Planning.
Engineering
REQUIRED INSPECTIONS
? Site
? Wallboard
Basement sq. ft.
1st F1. sq. ft.
2nd Fl. sq. ft.
Sq. Ft. total
Footprint Sq. ft.
On-site well
On-site sewage
Building
Variance
IR Footing
J@ Final
MWCC System
City Water
PRY Required
Booster Pump
Fire Sprinkler
Census Code y?
SAC Code
Assessments
? Framing ? Insulation
? Draintile ? Fireplace.
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W. Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
G I Vetmtian: $
SAC %.
SAC Units
LJLI Ob "J2 04:23Wd
?tNmq
450 1530 EQUAL ACCESS HO
Ll t?
_a
?.
ffm
P02
P.2/2
R-97% 450 1330 10-23-92 10:41AM P002 #09
/ ' CITY OF EAGAN
3830 Pilot Knab Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
DESCRIPTION:
PERMIT
PERMIT TYPE:.
Permit Number:
Date Issued:
Control No. 0832
BUILDING
000980
07/17/92.
2904
LOT: 1
HELLER
SKYLINE DR
BLOCK: 1
/eBufld ng Permit Type
=-BuildingaWork Type
UBC Occupancy
Construction`-Type
Zonin
9 q_,,
Building Length-
Bu'ildng-:Wi'd,th
71
SF DWG
NEW
R-3 N-1
VN
R-1
66
59.._ , ...
!1.
(z J CPU aT n n
REMARKS:
RECEIPT qC 019970 PRV SSW PLBR--..TON.HESSIAN
FEE SUMMARY-
VALUATION. . .$136,000
Base Fee $765.50 NISC.FEES $1,610.50
Plan Review $497.58 Total Fee $3,641.58
Surcharge $68.00
SAC $700.00
SAC % 100
SAC Units 1
Subtotal $2,031.08
CONTRACTOR: - Applicant - ST. LICOWNER:
EQUAL ACCESS HONES 14506292 0002816 EQUAL ACCESS HONES INC
2367 78TH ST E 2367 78TH ST E
INVER GROVE HTS NN 55076 INVER GROVE HTS NN 55076
(612) 450-6292 (612)450-6292
I he,reby.acknowleige that 'Ihave, read this application and state that'the
information;.is correct and agree to aampTywith ,al1,applicable Statec.of Nn."
Statutes and City"of"Eagan Ordinances.
?lnt,n 'ft,?uf 1 m.N
APPLICANT/PERMITEE SIGNATURE SUED BY. IGNAT1?RE
INSPECTION RECORD Control No. 0832
CITY OFEAGAN PERMIT TYPE: BUILDING
3830 Pilot Knob Road Permit Number: 000980
Eagan, Minnesota 55123 Date Issued: 07/17/92
(612) 681-4675
SITE ADDRESS: LOT: 1 BLOCK: 1 APPLICANT:
2904 SKYLINE DR EQUAL ACCESS HOMES
HELLER (612) 450-6292
PERMIT SUBTYPE:
SF DWG
TYPE OF WORK:
NEW
INSPECTION TYPE
'.< FOOTING DDATE INSPTR. INSPECTION TYPE
..FRAMING DATE INSPTR.
INSULATION FINAL
FIREPLACE
_ REMARKS: RECEIPT NC 019970
PRV S&W PLBR - TOM HESSIAN ._.._
7,7
•
L
PERMIT CITY OF EAGAN
1992 BUILDING PERMIT APPLICATION
U 681-4675 L 0 1 REGO
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies when typing of permit is requested, but not picked up by last working day
of month in which request is made or lot chan a is re guested once permit is issued.
Date JULY / 1 / 92 Valuation of work
Site Address: 2904 SKYLINE DRIVE
STREET STE 9
Tenant Name: BILL & DOTTY LINDBLADE
LOT 1 BLOCK 1 BBD, HELLER ADDITION. F.I.D. #
Description of work:' SINGLE FAMILY HOME
The applicant is: ? Owner Contractor ? Other (Describe)
Name WILLIAM LINDBLADE Phone WK 832-5533
Property LAST FIRST
Owner
Address
STREET STE S
City State Zip
Company EQUAL ACCESS HOMES, INC. Phone 450-6292
Contractor Address 2367 78th St. E. License #0002816 Exp. 3-31-9
City INVER GROVE HEIGHTS State MN' Zip 55076
Company DESIGN CLASSICS Phone 891-4663
Architect/
Engineer
En9i Name BRITT WILLIS Registration N
Address 5613 126th ST W.
City APPLE VALLEY State MN Zip 55124
Sewer & water licensed plumber 10"'n y?5 Si??t 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. /
?.?LG ?"?
Signature of Applicant:
v• • •vr vvr v•?r•
BUILDING PERMIT TYPE
? 01 Foundation ? 05 Apt. Bldg ? 09 Basement Finish
q 02 SF Dwg. ? 06 Garage/Accessory ? 10 Swim Pool
? 03 Two family ? 07 Fireplace ? 11 Res. Add./Porch
? 04 Multi-fam. T.H. ? 08 Deck ? 12 Comm./Ind.
WORK TYPE
P 31 New
? 32 Addition
? 33 Alterations
? 34 Repair
? 35 Tenant Finish
? .36 Move
? 37 Demolish
? 99 Undefined
GENERAL INFORMATION
Const. (Actual )
(Allowable) /
UBC Occupancy ?,-3 M"/
Zoning R-/
i of Stories
Length ?
Depth 59
APPROVALS
Planning
Engineering
REQUIRED INSPECTIONS
? Site
? Wallboard
Basement sq. ft.
1st F1. sq. ft.
2nd F1. sq. ft.
Sq. Ft. total
Footprint Sq. ft.
On-site well
On-site sewage
Building
Variance
D Footing
p Final
AE) Framing
? Draintile
JP Insulation
? Fireplace
Permit Fee Veiuasson: s 13G oa 0
Surcharge Hs?t?/Sf
Plan Review _Y 6/2-
License
MWCC SAC
/3? G =
9,0
City SAC (?k qG
Water Conn.
Water Meter ?Zx y , y?
Acct. Deposit
e 3
9
z?
S/W Permit ,
S/W Surchargge zy y - 7P
Treatment P1. ! "
Road Uni
t
16,0 9 6 ?, /23
o I z
Park Ded ,
Trails Ded.
Copies
Other
Total:
? 13 Public Fac.
? 14.Agricultural -
? 15 Miscellaneous
/0-3 MWCC System
70-T City ty Water
PRV Required
Booster Pump
Fire Sprinkler
Census Code 70-7-
SAC Code l
Assessments
Gar '
2zy 30 = G6?
60,2
z,kzz,3 YyG
1 3?J ?Y8,8p
SAC %
SAC Units
F'_01
POONMER
aR9 iin, (96Rii
*4* *
LUA140
II 2422 cnterprice. Driye
Mcndoto Heights, MN 55120
SRS UVL ENGINEERS - (612) 681-1914•Fox 681-9488
LF,NOS'AP, ARMTECTS -.__?, _..- ...
I 625 Highway'10' NCrtheost
Bloinc, MN 55434
(612) 783-1880•Fox 783-1883
Certificate of Survey for: Equal Access Homes
House Address: Skyline Road. Eagan, MN
N 00'02'07 W
110.00
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EAGAN
I? EVIE WE
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ey
DATE Z 92
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to
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I21.79 F_
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22.21
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25 6 . 15 33 Q
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PROPOSED HOUSE
v 13 CGL'PSE Epr
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I I'9.0 oa p I
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GA.BAGF t0,b3 .
0 `> > (8?71.Oi
11
?1.92 .
i o 22.33 ?__ - - - - __L- 22.08
i
?I ? to
? lg
L- --- --- -------- J
T B
i10l00 ffa%Va's"11 es X61 a n?.
N 00.02'07" W
S)K `iALIN E t" MfPi ENGINEEB?NG FA-PT
X a00.0 Denotes Existing Elevation PROPOSED HOUSE ELEVATION
oo. Denotes' Proposed Elevation Lowest Floor Elevation:862
85
-= Denotes .
Drainage & Utility Easement
- ?-Denotes
Drainage Flow Direction fo of Block Elevation: 871.66
P
--o-- Denotes Monument Garage Slab Elevation: 871.33
-? - Denotes Offset Hub Bearings s hown are assumed
LOT 1 BLOCK 1 HELLER ADDITION
-
-----
_
DAKOTA COUNTY. MINNESOT A pp?s ?j
RECIU ?
I hereby certify that th is sur:? y, plen or report was Prepwd by a o a
rye or undermV'dlrect-sop
e
Msslorr and ;hat am duly Regis rerad Land Surveyor
ander the laws of the State of Minnesota, Dated this is di,y of e
i
-? ' -`A,O, 19? ? ? ..
o
IL
LR8t
l
S
3
n
ca
e: _
0
.
ROBERT B, S I H'CAi-BEG. NO. 14891
?x
OWNER:
SITE ADDREY
OZ
CONTRACTOR : DATE: az6 ? PHONE:
DETERMINE WORKING SQUARE FOOTAGE OF EACH: '
` ZG??,[>
FT X
?I = 2
3 7
1. TO
PAL, EXPOSED WALL AREA .
SQ. G [
2. O'.CA1:,
ROOF/CEILING AREA
>Q. FT.
X [?N
= 6
?Z?
3. TOTAL., EXPOSED WALL AREA CALCULATIONS:
Tot al exposed wall
are a above floor
a) Total wail window area
b) Total door area
c) Total sliding glass door area
d) 'Dotal fireplace wall area
e) Total wall framing area
(average 10;x)
f) Total net wall area above
:loon (insulated)
g) .ctal rim joist area
EXTERIOR ENFP:MPE AVERAGE "U" COMPUTATION
Total foundation area
(exposed)
;:) Total foundation window area
i.) Total net foundation area
above grade
F? SQ.F`.C
7?t SQ. FT
(PDU SQ. FT
SQ. FT
Z?J?II SQ. FT
X U .
X ".a" ta17 = u?
X „U„ zal-
X 'U'
}, U 11
?? u
- 2--
114 113 1 c
Z[40 SO MT . X „U„?
000 SQ. FT.
SQ.FT X "U" L?
QS<J w x. x "u" (? 7 l
`DOTAL, a) through i) _ 2dJ
If item N3 is the same as, or less than item ri, you have met
the intent of Z NCAR 1.16008 A and 0.
7 cor?
PACE 1
4., TOTA1, EXPOSED ROOF/CBIL SPJG CAi,{'UC,ATiONS:
Total expos(,d roof] I-Ir
ceiling area
i
'C y
X "U"
j) Total skyl
.ght area - .
SQ.E
'
` "
" 'Oz? _
k) TotaI roof/ceili.nrf [
.
SQ.P X
U
framing area
(average 10%)
J&Z "
"
1) Total net insulated SQ.FT. X
U
roof/cei.ling area
4- TOTAL, j) through 1)
If total of #9 i.s the same as, or less than 112, you have met
the i.ntent of 2 MCAR 1.1600£3 A and 0.
-?71( 1 ? +710
ALTERNATE BUILDING ENVEI,OPE DESIGN
Co uti.li.ze the total envelope system method, the values
established by the sum of =13 and #4 shall not be greater
than the sum of items i1 and 112.
1.
3.
+2.
+4,
CERTIFICATION
I hereby certi.fy that I have calculated the "U" factors and
"R" values herei.n and that the bui.lding here descri.bed meets
or exceeds the State of Minnesota Energv Conservati.on Act-
(S i gna tu
(Date) ..
PAGE 2
WALL SECTION (INSULATED)
--(1
-_ (g
_-;C" Sheetracl:
5V7-7?sat CE
--{ 3
--? 5 S4 (linF
fi Exterior air IF1
RIM JOIST SECTION:
- (I Interior al
U,a 1/R
<A ---
-:3 'Food 8?
(4 ?5/3? Pildrito 2 CE
b Exter or air'
r m
ATION REQUIREDt .. ToTAr `4.6
RrFOUNDATION
tire mall OR 4 1/R n 4
to frost depth
DkTIDN SECT90N:
1 interior air flim I.. ._ O.6R
sa Wood & 3, Insul4tion 1.0
_-A r 4 Exter or air film
0.
A a 6 (5
? F
d' ?' TOTAL R a 1 2 .96
Thl U 1/R m .08
SLAB ON GRADE
A
'V ,• d 4,'?, ,
• Q
Heated Slabs:
Miniman R - 8.5
?•-a: Unheated Slabs:
I•
. - /4?
q`1• :.
.
;a.
Page 3
° 6 Studs
INSTRUCTION R VALUE
AMING SECTION;
U ® 1/R m .043
u t
CE It 311r, SECTION (Ifl 1stAjgh)
:
I Interior air'flifn n A
2 77
3
4 E tenor air im still KAI
TOTAL R °4?..7
U.m 1/R °
RUM
CEILING, FRAMING SECTION:
P Interior AT f11e± n.Al
2
3 ina'ulati'm
interior air flifn latlill n.
5 _ 1 nehes so t wood 4. 7?
nnTAI Ra Q FYY9
0 @ 1/R ° .0?6
2 3 4 5
CEILING SECTION (INSULATED):
1' Interior air film 4.61
2
4 Exter or a r. m st n.
TOTAL °
U - 1/R ®
CEILING FRAMING SECTION:
1 lnterlor eirifiim. 11.91
2
3
4 Exterior a r m st 1 n.
5 nches so t wood
TOTAL R
U ° i/R ° -?
i IRSIde a9lr.fdlm', 11.91
2
3
4
S uts Ae aIr m n 7
TOTAL R
VENTED
2006 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675 c fI
Please complete for modifications to existing residential dwellings. S%v SD
15 11 _..c
Date
Site Street Address _r;z(-) t-?14 -?Y11 TL 1 RC??
Unit #
Property Owner`s )(_L ?(?_? A CAA k?C)(J Telephone #
Contractor k
Addres 7 - City ? - tC ° hl1 Telephone i j)
Statel , L
Zip`
The Applicant is: _ Owner Contractor -Other
Septic System - New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee
$ 100.00
Per as-built $ 10.00
Alterations.to:existing dwelling $ 50A0
Add, plumbing fixtures. This fee includes installation of 'a water' softener.andlor water, "
heater at 'the same time., "!f you are 'installing o'niy a water soften er andlor water
heater, do not complete this section; move to the next section and check the
appliance(s) you are installing.
-Septic System Abandonment
-Water Turnaround (add $130.00 if a 5/8" meter is required)
Other:
Water Softener - Water Heater $ 15.00
- new replacement
Lawn Irrigation _RPZ -PVB -new -repair -rebuild $ 30.00
State Surcharge $ .50
Total $7?
I hereby apply for a -Residential Plumbing'Permit and acknowledge that the information is complete and accurate; that the
work will be in conformance with"the"ordinances' and codes' of the City of Eagan and the plumbing codes; that 1 ;
understand.this is not a permit, but only an application fora permit, work is not to startwithout a permit and" work will be in
accordance with the approved plan in the event a plan is require to be reviewed and approved.
Applicant's Printed Name pli is Sig' ature
i ,
2007 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Requirements
3 registered site surveys shoving sq. ft. of lot, sq. ft of house; and all roofed areas
(20%nfMmum lot coverage allowed)
I Soils Report g proposed building is to be placed m disturbed soil
2 copies of plan showing beam & window sizes; poured found design, etc.
I set of Energy Calculations
3 copies of Tree Preservation Plan I lot platted after MW
Rim Joist Detail Options selection sheet (buildings with 3 or less units)
Mnnegasco mechanical ventilation form
Remodel[Reoair Requirements
2 copies of plan showing footings, beams, joists
1 set of Energy calculations for heated additions
1 site survey for additions & decks
Addition - indcafe if on-sife septic system
Via. ZD.
Office Use Only
Can of Survey Recd - _-j -N
Soils Report _Y. =N
Tree Pres Plan Recd _ Y _ N,
Tree Pres Regwretl Y -1N
On site Septic System _Y _N
Plans are considered public information unless you state they are trade secret and the reason.
Date / Zq / 0 Construction Cost Site Address R T C7
Y ??yL//l?E r?l t , Unit/Ste #
%
Description of Work / TL
T-
NN
Fireplace(s) _ 0
Multi-Family Bldg - Y
n' N - 1 - 2
, /
/
Property Owner Telephone#((fS/) 7SY O? ?oZ /-
Contractor t? 1rV/? ???//l?G
Address t D-3/0 dg-OW YLL1- 0-T-
State kill- Y'l Zip y
U y12/?s'Jl?(?
City
Telephone#(?cl?) $ ??3
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Category I _ Minnesota Rules 7672
Energy Code Category • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet
(J submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
- y - N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
I hereby apply for a Residential Building Permit and
is complete and accurat
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the a of k which requires a review and
approv plans.
Applicant's Printed Name Applicant' ignature
Telephone #(
Telephone # (
Telephone #(
DO NOT WRITE BELOW THIS LINE
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo/pergola) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? - 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 VYndows/Doors
? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant -
Description: Water Damage _ Yes
Valuation Occupancy VICES System
Plan Review _ 100% or _ 25%
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
Footings (new bldg)
Footings (deck)
Footings (addition)
_ Foundation
_ Drain Tile
Roof _ Ice&Water _ Final
Framing
Fireplace _ R.I. -Air Test -Final
Insulation
Approved By:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
REQUIRED INSPECTIONS
Sheetrock
FinaL/C.O.
_ Final/No C.O.
_ HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tests _ Final
Siding _ Stucco Lath _ Stone Lath -Brick
_ Windows
Retaining Wall
Building Inspector
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