1471 Skyline RdCITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS'
INSPECTION RECORD
PERMIT TYPE: ' :; J
Permit Number:
Date Issued:
1 11 I .
l 1 Nt Ill,
PERMIT SUBTYPE:
Iti1 ,„ F APPLICANT:
(,,I. ? ?.s t IW:1.,
TYPE OF WORK:
14 1 w
f I,AS )
INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR.
a
IF
Permit No. Permit Holder Date Telephone #
S/W
PLUMBING
HVAC
ELECTRI Im 8i7 y `?
ELECTRIC
Inspection Date Insp. Comments
Footings I
Foundation
Framing
Roofing
Rough Pibg.
Rough Htg.
Isul.
Fireplace
7zt?F
t
Final Htg.
Orsat Test
Final Pibg. Plbg. Inspector - Notify Plumber
Const. Meter
Engr./Plan
Bldg. Fina l;
Deck Ftg.
Deck Final
Well
Pr. Disp.
INSPECTION RECORD
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS: , „ I .
? 'r 1 I N r I+ I)
1 i 1 1'
PERMIT SUBTYPE:
11 -1-INlis
i btI III 'Ii
PERMIT TYPE: " I I ?? t Itr;
Permit Number: >_' 7 1
Date Issued: 119 /9 1
APPLICANT:
i ?'It ?Ml
TYPE OF WORK:
NF w
f INAI
Permit No. Permit Holder Date Telephone #
ELECTRIC
PLUMBING
HVAC
Inspection Date Insp. commerris
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL 1
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued: f'
(612) 681-4675
SITE ADDRESS:
1 !l I
PERMIT SUBTYPE:
TYPE OF WORK:
INSPECTION TYPE .DATE INSPTA. INSPECTION TYPE DATE INSPTR.
i F?I•r ? ray, l: „?,l Ira+,
i,ilfff?f( i tt ri f.
Fi 1 1 iii' 1 1 0A
& W F11 Icv lifi1K P1 N11
Ht Oc r APPLICANT:
rlrslfi is +?r? ! fl?ihl£1 .1
H to H
Permit No. Permit Holder Date Telephone #
S/W
PLUMBING
HVAC
ELECTRI y Q Ov
ELECTRIC
Inspection Date Insp. Comments
Footings]
Foundation
Framing I!T14'e
Roofing
Rough Plbg. ??-9lr
Rough Htg.
Isul.
Fireplace
Final Htg.
6? auto
Orsat Test
Final Plbg. i0
Y® Plbg. Inspector - Notify Plumber
Const. Meter
Engr./Plan
Bldg. Final (? ?p
?O
Deck Ftg.
Deck Final
Well
Pr. Disp.
3630 72
3 / /DO
Re^uest Hate
' Q / Fve Nc? Rough-in Inspection
Regwred2 NOTICE: You Must Call Electrical Inspector
11 A Rough-In Inspector
?f Yes ? No Is Required
I Kllicensed contractor ? owner hereby request inspection of above electrical work at:
Job Address (Street, Box or Route No) City
Section No
Township Name or No
1
Range No
County
G''1 a
10
Occupant (PRINT) 1 /
clr Consl l'NG ti'a?
/? Phone No
?"3 - 5?y?/ y
c vr,
crv?r
Power Supplier
NSp Address
3016 I4ax /??
Aiiii / e*4 dP4
Eled Contractor (Company Name)
0 2 melee
Ff'c. Contractors License No
cAoi79J
Mailing Address (Contractor or Owner Making Installation)
ll(o? 1 iu i+rhsvi//e
NJti/ 5?3?
7M4 tr yner Making Installation)
11 Phone Number
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg - Room S?113 BE ACCEPTED BY THE STATE BOARD
1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone(612)642-0800 ENCLOSED
3/ 191 REQUEST FOR ELECTRICAL INSPECTION
Y ?J I? See msiruchons for completing this form on back of yellow copy
pp??
IYI 7 2 'X" Below Wcyk CoveWd by This Request
s 04
EB-00001-06
M1
ew Add Rep. TypeofBwlding ApphancesWrted Equipment Wired
Home Range Temporary Service
Duplex Water Healer Electric Heating
Apt Building Dryer Load Management
Comm./Industrial Furnace Other (Specify)
Farm Air Conditioner
Other (specify) Contractors Remarks
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # CocuitwFeeders Fee
Swimming Pool 0 to 200 Amps Q 0 to 10o Amps
Transformers Above 200 _ Amps Above 100 _ Amps
Signs Inspectors Use Only -' TOTAL
Irrigation Booms
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERS DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 NTHS
I, the Electrical Inspector, hereby
Roughen p
Date Y
certify that the above ins ... has
I-
been made
Final
Date
OFFICE USE ONLY
This request void 18 months from
?
?646 7
Request Date Fire No Rough-in Inppecton Feeuiretl
(You ust call mepa when ready) Inspection Other Tha Rough?ln
? Ready Now lWIII Notify Inspector
?
Yes
No Date Reatl
I f licensed Contractor owner hereby request inspection of above electrical work at:
Jo Address (Street Boa or Route No City
Section No Tow Name or No Range No County
a?a
Occupant IPRI NTI Phone No
S OA\ CAA -50y\
Power Supplrer Address
N SP
Electrical Conlractor (Company Name)
-
Contractors License No
Mailing Address (Contractor o, O
wner Making Installation)
p
Sk f
Aul razed gnature ICo onOwner Making Inslallaton( Phone Number
45A-
MINNESO A TATS BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Gr(ggsM y Bldg, -Room S-tl3 BE ACCEPTED BY THE STATE BOARD
1821 University Aye.. St. Paul. MN 55100 ki- UNLESS PROPER INSPECTION FEE IS
Phone(612)642-0800 ENCLOSED
,2 ?EST FOR ELECTRICAL INSPECTION
p/`c -_?E
IINN CCr?1 C ? stmchons for completing this form on pacts o1 yellow copy
7 "X" Below Work Covered by This Request
s' ?o .
evi dtl Rep. Typeot Bwlding Appliances Wired EquipmentWlred
Home Range Temporary Service
Duplex Water Heater Electric Heating
'r Apt. Building Dryer Load Management
Comm./Industrial Furnace Other (Specify)
Farm Air Conditioner
Other (specify) Contractor's Remarks
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 Amps Abase 100 _ Amps
Signs inspectors use Ony TOTAL
Irrigation Booms ( J?.f ?U
W, 440 ,-60
Special Inspection
Alarm/Commumcatlon THIS INSTALLATION MAY q "RD SCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 HS. i
I, the Electrical Inspector, hereby Rough-in ! le
certify that the above inspection has
been made. Final ate
OFFICE USE ONLY
This request void 18 months tram
CITY OF EAGAN
CASHIER :3 TERMINAL.. NO 47
DATI_. 06/19/97 TIME. W53:43
ID
NAME- JOAN T MATHESON
3WO 9001 1471 SKYLINE RD 50.00
205 9001 140 SKYLINE. RD 0.50
l
Total Receipt Amount % 50.50
CR07;ii376
USER TD: NANCY
P PERMIT
-"k CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: BUILDING
Eagan, Minnesota 55122-1897 Permit Number: 030271
(612) 681-4675 Date Issued: 0 & / 19 / 917
SITE ADDRESS:
1'-!71 SKYLINE RD
LOTS 3 BLOCK: 1
11FL-ER
P.I.N.: 10--32450-030-01
DESCRIPTION:
ermit Type
i4,rpk Type
g,
PECK
NEW
434 ALT. RESIDENTIAL
VE.a,
"{-,{ €{°?'' A 13
t71 ?`iM i?.^a p •;A*??;-
-,.,u as zra:' i,r I If e 20 p[ 0
REMARKS:
FEE SUMMARY:
Base Fee
Surcharge
Total Fee
$S .00
$50.50
CONTRACTOR: OWNER: Applicant: -
MATHESON JAPIES
1471 SKYLINE RD
EALAN HN 55121
(612)'452-1883
is 3aaf1eh It
1?aretay ,akrtcig=e >3x h al
r f?rmaCo 1orC5
ILI
, t 11
?VtGtt t EIS '"t'!it{'??a}!v Q-` fl€E'i'd'4Pi..x L a . n s - ' e.
a , .s
PPLICANT/PERMITEE SIGNATUfiE SSUD??. SIGNATURE
01 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) 4? 0, S o
RD
11 CITY OF EAGAN
3830 PILOT KNOB B RD - 55122
681.4675
Now Construction Reouiremems Remodel/Reeair Reouirements
3 registered site surveys ? 2 copies of plan
2 copies of plans (include beam & window sizes; poured find. design; etc.) e 2 site surveys (exterior additions & decks)
I energy calculations e 1 energy calculations for heated additions
3 copies of tree preservation plan if lot platted after 7/1193
required: _Yes _ No
DATE: (o 11 1 G1Ej CONSTRUCTION COST:
DESCRIPTION OF WORK: , `beck(`
STREET ADDRESS: `? ?1 7K the.tX
LOT A BLOCK -!- SUBD./P.LD. #: `L PAU
PROPERTY
OWNER
Name: _ I " a* 6SM ? av,nes ho AA Phone #: H so "V 613
Street Address:
City: C- AC4 at Y\ State:, - Zip:
CONTRACTOR Company: Phone
Street Address: License #:
City: State: Zip:
ARCHITECT/ Company: Phone
ENGINEER
Name: Registration
Street Address:
City: State: Zip:
Sewer & water licensed plumber (new construction only):
and lot change are requested once permit is issued.
Penalty applies when address change
t 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.
? o
Signature of Applicant:
OFFICE USE ONLY CEIVE
Certificates of Survey Received _ Yes _ No JUN 1 1997
Tree Preservation Plan Received - Yes No Not Required BY;
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex
? 02 SF Dwelling ? 07 4-plex
? 03 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
Depth
APPROVALS
Planning
? 36 Move
? 37 Demolition
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building 'Y
MC/WS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code LPL
Census Bldg
Census Unit
Engineering Variance Permit Fee
Surcharge
Plan Review
License
MC/WS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
% SAC
SAC Units
OFFICE USE ONLY
? 11 Apt./Lodging ?
? 12 Mufti Repair/Rem. ?
? 13 Garage/Accessory ?
? 14 Fireplace ?
15 Deck
Valuation: $
W..
Qv ??
3w
as G+
?y rt
1
T
wv ?t
3()D ft
CITY 6F EAGAN
3836Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT
PERMIT TYPE
Permit Number:
Date Issued:
BUILDING
024456
08/26/94
SITE ADDRESS:
1471 SKYLINE RD
LOT: 3 BLOCK: 1
HELLER
P.I.N.: 10-32450-030-01
DESCRIPTION:
(GAS)
Building,,Permit Type FIREPLACE
Building Work Type NEW
REMARKS:
FEE SUMMARY:
Base Fee $25.00
Surcharge $.50
Total Fee $25.50
CONTRACTOR: -
FIRESIDE CORNER INC
2700 N FAIRVIEW
ROSEVILLE MN
(612) 633-1042
Applicant - ST. LIC
16331042 0001068
55113
OWNER:
MATHESON JIM
1471 SKYLINE RD
EAGAN MN
(612)452-1883
I hereby acknowledge that I have read this
information is correct and agree to comply
Statutes and City of Eagan Ordinances.
L
A CA T/ IT IGN E
application and state that the
with all applicable State of Mn.
J
.? J-A R4)Lj m„d
ISSUED BY SIG TURF
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: LOT: 3 B L O C K : 1 APPLICANT:
1471 SKYLINE RD FIRESIDE CORNER INC
HELLER (612) 633-1042
PERMIT SUBTYPE:
FIREPLACE
TYPE OF WORK:
NEW
DESCRIPTION (GAS)
BUILDING
024456
08/26/94
INSPECTION TYPE DDATE INSPTR. INSPECTION TYPE DATE INSPTR.
ROUGH-IN FINAL
I
1446L
CITY OF EAGAN
1994 BUILDING PERMIT APPLICATION
681-4675
?L • t<,' 9
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.
PenaIty applies: 1) when permit is typed, but not picked up by last working day of month
which request is made, 2) address is changed or 3) lot change is requested once permit
issued.
Date / aS / Valuation of work \?MED- 6(_)
[
Site Address:
STREET SUITE #
Tenant Name: (commercial only)
LOT BLOCK SUBD. P.I.D.#
Description of work: la, t I1
?r ?IY?t Ttr -
The applicant is: ? Owner Contractor ? Other (Describe)
Name 9 h10.J1 vsrx, _A\ . Phone
Property LAST FIRST
Owner
Address a-_ a
STREET STE #
City ?QQQ- State Zip
-
- I Q Phone ?10 -dam
Company C) A \
Contractor "
,?..,\\ ?
Address 7)WP • ?Iruq D la-JO-- License # IMA Exp.
Cit
t
-
?
y State
r
'"
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.
Y
Vk
1-
J
Signature of Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging
? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc.
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace
? 05 SF Misc. ? 10 Multi. Add'l. ? 15 Deck
WORK TYPE
? 31 New ? 33 Alterations ? 35 Tenant Finish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
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
? Footing
? Final
My i
? 16 Basement Finish
? 17 Swim Pool
? 18 Comm./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
? 37 Demolish
MWCC System
City Water
PRV Required
Booster Pump
Fire Sprinkler
Census Code
SAC Code
Census Bldg
Census Unit
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 Surchargge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
vaimtim;
SAC %
SAC Units
e _ ar
atr
werti f icate of cccuvanc?
WU4 of Wagon
Tevartment of 13ni[bing 3"40ection
This Certificate issued pursuant to the requirements of the Uniform Budding Code
certifying that at the time of issuance this structure was in compliance with the various
ordinances of the City regulating building construction or use. For the following:
Use Clmmmim. SR TM Bldg. Pennit No. 22985
O-upv yType R9/4I Zoning Disuia R1 Type Co.,, VN
Owner.( Building UMS )Wff a CC= TT9• Address 1(1(1(1 R 146YTi_W $ITJTT TA
Building Address - 1471 M.X. 11 111) luraliTYT s $1 a M11M
r/h it/
POST IN A CONSPICUOUS PLACE
Address 1471 SKYLIIE ROAD Zip 5512 1
Lot '3 Blk I Sub
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: *19 Yes No Inspector:
fp
Final grade (6" from siding) -
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 shutoff of water supply to
the outside lawn faucet before freeze potential exists.
Contact engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system.
White - City Copy Yellow - Resident Copy Pink - Contractor Copy
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
X NEW CONSTRUCTION
ADD-ON A/C:
ADD-ON FURNACE
FIREPLACE INSERT
DATE
FEES
HVAC: 0-100 M BTU
ADDITIONAL 50 M BTU
GAS OUTLETS (MINIMUM 1 @ $3.00 EACH)
ADD-ON/REMODEL (EXISTING CONSTRUCTION)
STATE SURCHARGE
TOTAL
$ 24.00
-6:w
9 .,40
$ 20.00
.50
SITE
OWNER N
TELEPHONE #:
INST.
CITY: IC"l //"j7/' STATE: /9V ZIP CODE:
TELEPHONE #: h`- 1i"4
I
%G.NATL?OE OF PERMITTEE
1994 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
1994 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR ALL COMMERCIAUINDUSTRIAL BUILDINGS. ALSO COMPLETE
FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE
PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT.
DATE:
NEW BUILDING
INTERIOR IMPROVEMENT
WORK DESCRIPTION:
FEES
1% OF FEE $_
PROCESSED PIPING: $25.00
MINIMUM FEE: $25.00
CONTRACT PRICE:
STATE SURCHARGE $.50 FOR EACH $1,000 OF IsEIYMTf FEE.
TOTAL $
SITE ADDRESS:
OWNER NAME: TELEPHONE #:
TENANT NAME: (IMPROVEMENTS ONLY)
INST
ADDRESS:
CITY:
STA
ZIP CODE:
TELEPHONE #:
SIGNATURE OF PERMITTEE CITY INSPECTOR
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
NO. FIXTURES EACH TOTAL
! SHOWER 00 Jam9, d7J
3
WATER CLOSET .
3.00
/ BATH TUB 3
00
LAVATORY .
3.00 . eo
1 KITCHEN SINK 3.00
LAUNDRY TRAY 3.00
- HOT TUB/SPA 3.00
? WATER HEATER 3.00
FLOOR DRAIN 3.00 ,
GAS PIPING OUTLET • minimum - 1 3.00
ROUGH OPENINGS 1.50
WATER SOFTENER 5.00
PRIVATE DISP. • Dak.Cty. tic 20.00
U.G. SPRINKLER • home under coast. 3.00
ALTERATIONS • to c:dsting 20.00
WATER TURN AROUND 20.00
STATE SURCHARGE .50
TOTAL:
r
Q
SITE ADDRESS: •? A?J
OWNER NAME: /,,ty? i?
INSTALLER: o ln -'PIM' " , 1,2112 cwCITY: ??LrI7QG(iZ STATE: /%4/ ZIP CODE:
PHONE #:
/ jl/", / / ,C!//./LLG"
IGNAT E OF PERMITTEE
1994 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
^r` w
PLEASE COMPLETE FOR ALL COMMERCIAL/INDUSTRIAL. BUILDINGS. ALSO FOR Iv1ULTI-
FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
NEW CONSTRUCTION
_ ADD ON
REPAIR
WORK DESCRIPTION:
CONTRACT PRICE: $
FEE: I% OF CONTRACT FEE.
STATE SURCHARGE: $.50 FOR EACH $1,000 OF'R1?II7 FEE.
MINIMUM FEE: $ 25.00
CONTRACT PRICE X 1% $
STATE SURCHARGE
TOTAL
SITE ADDRESS:
TENANT NAME
OWNER NAME:
INSTALLER:
ADDRESS:
CITY:
PHONE #:
FOR:
CITY OF EAGAN
STE. #
STATE:
ZIP CODE:
APPLICANT
1994 PLUMBING-- P:ERMIT,(COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122'
(612) 6814675
PERMIT
CITY OF EAGAN
3830 Pildt Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
P.I.N.: 10-32450-030-01
PERMIT TYPE:
Permit Number:
Date Issued:
1471 SKYI.INF RO
LOT: 3 BLOCK: 1
HELLER
BUILDING
022955
02/22/94
DESCRIPTION:
Boi1dir14!-Perrnit Type SF DWG
.4uilding 4iRjr_k Type NEW
.-U8£ D?islup?vl R-3 M--1
f Construction Typp V-N
Zoning
? R-1
$Utiding Length 64
gull6lng Width " 54
Ow.i ding s'torIae 2
i y
?pVS: ?.? ? g1
REMARKS:
PRV S & W PLBR - STAR PLBG
FEE SUMMARY:
VALUATION
Base Fee
Plan Review
Surcharge
SAC
SAC %
SAC Units
Subtotal
$713.00
$463.45
$60.50
$800.00
100
$2,036.95
$121,000
MISCELLANEOUS ___,_1,828,50
Total Fee $3,865.45
CONTRACTOR: - Applicant - ST. LIC. OWNER:
MAURER CONST, THOMAS J 19534414 0004131 THOMAS MAURER CONST INC
15013 STEVENS AVE S 1000 E 146TH ST 230
BURNSVILLE MN 55337 BURNSVILLE MN 55337
(612) 868-6579 (612)953-4414
I hereby acknowledge that I have read this opplie,ation and State that the
Information is correct and agree to comply with all applicable State of Mn,
Statutes and City of Fagan Ordinances.
L- - -
APPOCANnPERMITEE SIGNATURE ?UED Y:?G,eNATU'c E p
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: BU I LO I N G
3830 Pilot Knob Road Permit Number: 0 2 2 9 8 5
Eagan, Minnesota 55123 Date Issued: 02/22/94
(612) 681-4675
SITE ADDRESS: L O T: 3 B L O C K; 1 APPLICANT:
1471 SKYLINE RD MAURER CONST, THOMAS J
HELLER (612) 868-6579
PERMIT SUBTYPE:
SF OWG
TYPE OF WORK:
NEW
INSPECTION TYPE
FOOTINGS .DATE INSPTR. INSPECTION TYPE
FOUNDATION DATE INSPTA.
FRAMING ROOFING
INSULATION FIREPLACE
ROUGH IN PLBG ROUGH IN HTG
FINAL PLBG FINAL
REMARKS: PRV
I
S F. W PLBR - STAR PLBG
- . I
zz4i s
CITY OF EAGAN
1994 BUILDING PERMIT APPLICATION
681-4675
V
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: 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) lot change is requested once permit
is issued.
Date 2- /
/ S y Valuation of work
L
Site Address: b% 0- k0djW i
STREEW SUITE #
Tenant Name: (commercial only)
LOT 3 BLOCK suBD., 1 eIle, R rQ
?
b Y.I.D. #
w
Description of work: .S ?+t l e ra. f Xa
6
The applicant is: ? Owner I& Contractor ? Other (Describe)
Name IPWatfAeAt -rx.0 '-,cs Phone 9.T.3-'1+l1 y
Property LAST FIRST
Owner Address /0,010 G 1416 ';V s 7' 23o
STREET STE #
pp
city /oNGr1Sr ,?'? State Ity,&ht) Zip Sf337
Company 7-i(.,,,c? ca Co r4s't _sGPhone 953- +/`/I y
Contractor Address JpOO )4L V ST License #_ 4r9.3 -j Exp.12&A
City 4 aXn r w.W't State 02?.iV)q- Zip lw"37
Company Arne w Z C. Phone *?rz- ?6
Architect/
N
-r
n t
x W
Engineer ame
• r
e, Registration #
o
Address
City State Zip
Sewer & water licensed plumber S_7''w /1"o Processing time for
sewer & water permits is two days once area h s 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 0 f Applicant: ?G...? -
OFFICE USE ONLY .?,
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
•E1 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool
? 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. ? 10 Multi. Add'l. ? 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. /S'2 MWCC System
(Allowable)
A 1st F1. sq. ft. _79-172- City Water X
UBC Occupancy
A07, ,
_ 2nd F1. sq. ft. Jo PRV Required
?_.
Zoning Sq. Ft. total Booster Pump
# of Stories 2 Footprint Sq. ft. Fire Sprinkl er
Length On-site well Census Code
Depth On-site sewage SAC Code a /
Census Bldg
APPROVALS Census Unit
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS
? .Site
? Wallboard
® Footing
El Final
El Framing
? Draintile
® Insulation
? Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment Pl.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
SAC %
SAC Units
Vatuetion: $ 2 / C`7C9O
/zoo
-2 3,
2 Z'O f z - ?l0
13DZA?
Nlo l Jo S7 !0 0
-r
z yk ? y _ 5 ?G
54?ks `?= 3 Z '29z
8o6.-Sy; 113?S?y
(2G D-2 %3G
CERTIFICATE OF SURVEY
ott=
? s
?.r LAND SURVEYORS
Survey for:
THOMAS 3. MAUREf; CONSTRUCTION
DESCRIPTION:
Lot 3, Block 1,
HELLER ADDITION
Proposed Grades:
Top of Blo&ks 9T!?
Garage floor &7.:?s
Basement floor fG7?
NOTE:
66e5
S&-,1
A?. Y- -
?N
Circled elevations are proposed,
others are existing.
Arrows denote direction of
drainage.
.44" R. 440", Pe".
6119 OUPONT°AVSNUS SOUTH
OLOOMINGTON, MINN. 66420
666.9054
SY, 4Y ?
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?ysF
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D
EAGANN g
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99?
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DEPT.
/ (1 o LI F1 a ll q ? ? ?l ! _1^ U LI LL i?
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(?N ? 6 ? I 11
a AGAN 1` N
REVIEWEE) i7 6 ?¢ I Yom.
G1A? 2 ? d • g y •%'o/I /? O L. ? - w 8 B7i- /3, o //M 1.
4
X90_ ?7z Z°
?I O.Firc`
,
B7.s ?° r
We hereby certif_l that thTs''s a true and correct representation of a survey of the
boundaries of th?a land above described and of the location of all buildings, If any,
thereon and all visible encroachments, if.any, from or on said land.
Dated this 15th clay of February 19 94. /) !'
LOT BURY Y CHECKLIST FOR RESIDENTIAL
BUILDING
ERMIT PPLICAT ON
T
PROPERTY LEGALt ?J
Date of Surveys T? /
T-
DOCUMENT STANDARDS
0 0 Registered Land Surveyor signature and company
0 0 Building Permit Applicant
0 0 Legal description
0 E' 0 Address
2' 0 0 North arrow and bar scale
0' 0 0 House type (rambler
split w/o
split entry
walkout
* ,
,
,
,
lookout, etc.)
Er-
0 0 Directional drainage arrows with slope/gradient %.
0 e 0 Proposed/existing sewer and water services
O' 0 Street name
0 0 D Driveway
ELEVATIONS
Existing
0 0' 0 sewer service
0, 0 0 Lot corners
D
? 0 Top of curb at the driveway
H
0 D Elevations of any existing adjacent homes
Proposed
/
2' 0 0 Garage floor
0-? 0
- ? 13 First floor
E1
0 0 Lowest exposed elevation (walkout/window)
V 0
0'? 0 0
0 Property corners
Front and rear of home at the foundation
PONDING AREAS (if applicable)
0 8'?0 Easement line
0 e 0 NWL
0 k 0 HWL
D 9r 0 Pond # designation
0 PT 0 Emergency overflow Elevation
DIMENSIONS
l? 0 0 Lot lines
f7 0 D Right-of-way and street width (to back of curb)
P( 0 0 Proposed home dimensions including any proposed decks,
overhangs greater than 21, porches, etc. (i.e. all
structures requiring permanent footings)
d 0 0 Show all easements of record and any City utilities within
those easements
0 0 Setbacks of p ed structure and setback of adjacent
existing ho
0 [?0 Retaining 1 i ents, if any
,ona Reviewed:
Na / ate
October 2992
$11V W11
• • :• I111111Ea9Tt>_non!?1;?lie?nnY_l:nn?;ell?tlu.t?lQUa .
e, RI RGn oil CIIAPTen n of Tur,
• llil[lEl,_EIIFnflY?lll1FL?L111?F,IILLI?II ?"!?J'??? •
??/I T,1?'C' Adopk otl i;ffeaElva
Owner _ VJ1? 1 HI'?7C7? t , m.
,T
elte Addreau i.
c 1 t r u
} 11? S R ?i?- [?O l?
e
on roc Or V, Phone
Itullding C1011ulfloati0111 Typo Al (Dingle Family R Dltplex)
Typo A] (Raaldentlal, J atorlon or laea)__10var ] atorlea) (Otllar)
uux$?Camnlnt?pags?ZansL!_[lrak, ' .
a>'.ucuei?zuFSlnuexznu ?? ?+ .
11 '
1. BUllding Perimeter
7. Hall height (ground to nave( li [t,
]. 1, X A. (above) groan call area aq.ft.
1. Sttllding dlalanalona (l.) X (11) I aq,ft.roof i floor area
B. Dq. foot area of rim joint - Floor iota size I X '
-; ? $ 1 tZ (Perimeter) ??i2iaq.[t.
6. boors - Area
Thlaknena In 11. factor i 44.
Type of Conatrtlatlon Per motor ft.
Ilanufacturar
7.: Total doorla perimeter ft,
B. UIndOUnl llnnufaoturar 1p5a, 64 tw`j' Dtnte approved
U factor ??lO
;TYPE SIZE AREA (Br(,Ft,) II111n1Et1 or TOTT.I.
tri, "Woe 6ACI WITS HQ FEET
9. Total uq.ft, Olnua 11514
.a
10. Fireplace arent 1161t11 X Height ° X ° eq.ft.
It. Expound foundatlonl ,11elght: X Perimeter
COUPLETIOII or TIIID Fonlt in REounEn FOn ALI. IIEU COIIDTRUCTI011, 11Adon
REIIODE1.I11q AIIO Rllll.nllla8 nEIlla 11olEn 1111Eit11 EIIEIlOY, OTHER T11A1l ,flIE IIIIIIIIAL
COOK UL01MICEt ID 119En.
?. .?M? ?j..?? ?111?Y:i'I.•?,. .. •.. , n .,'•'' ,?:'t:.'f•i• ,?;? .+?..?'. rd: .. ? . • •.??.Y. ra .,..-. .?'r... v. .. 1'r
17, f*ramin a))aa 1Ql al :; [Z/-?aq
g Y' gronn 11x11 area,
11, Oran" Well area Z97g I
aq.[t.
Hindowl aran A I. aq,tks 11 %lIndoull » ?_ II:fA a I I _
Him Joint ataa 11611+. aq.fk,•?'•?11 riot Jointa_ / Z
IIxA .. ?_
Poor area A eq,tk, ll doOrlarea--_tj_? S
' IIxA
athar door" area Anq,lt, U Other dooraA j
, IIxA »
Bxpoaed fndlt A q,lkl 11 lanndatlon4,07&
uxA »
Prawlnq Aran A7• eq,fk, Il framing q
areas Q !5-'? Z
• 1 INK » 114k 'Wall area x aq,[k,• 11 11811» ,M
• I1xA »
13111 TOTAL, , .. •. a .:...:. • UxA
Il, Qroaa Hall Area x 0.11 (A-1 aingla (amlly 1 duplax) - allocable INK/Coda
(1). apova)
' u Q,7] ?1.-7 athar raaldantlal)
x ,]l other W11?4ingal
x ,aa over I atorlaal
( ?QTtlll muck: ba larger than or same
x ll Coda._Lj ___» °F. as 1]n above
109 Calling framing araa•(All ag11a111 101 of calling area
111A, grona aailing area X (ill j2J
eq.ft.
1011, Joint area (All M lot aailing area
1409 flat calling araa (Ac) (10A,•- laul aq,tt,
11 calling x Aa » •? X ?t?'Lti'
ll framing x?A I
----
111111, TOTAL it
14, Celling area (111A) x 0.0.74 (A-1 aingla family 4 (1uplex)
» allowable l1xA/C?da .
X Q,0a3 A-7 ether realdential)
?,{{ x 0.04 'atltar)
A(L81.11??Tx ll Coda ,a -o- ' RTllli muat ha larger than or name
p -- OF• an 1511 above
UQTiil 11"e 11 anll A valtlae chtalPad Iron pagan 1, a anti 1,
REaT1gIRATIQlf1 I hereby nartify that I have oo1C111a1:4d the ••n11 caotore and
aail valuea liaraln and Lhak the building hare deaarthatj meota or axoaada the
Atoka of Ilinnaanta unargy Con"arvatlon Aak,
paka 11lgnatllra
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4,111'
City of Eaaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Date:',
Use BLUE or BLACK Ink
For Office Use
Permit #: /2 2 /q6 �i
Permit Fee: j ` 696
Date Received:
Staff:
L
2012 RESIDENTIAL PLUMBING PERMIT APPLICATION
/' Site Address:
Tenant:
/‘7" 2/ 54-4 22e›,,r ci
Name: /fr,",T4-e
Address / City / Zip: y 7
Name:
Phone:
Suite #:
`X}, e. ?v mac/
ice/ 4 ,1-v d , 4"7 7 License #: d i c� 2 4k/11--7
Address: e '7' cJ �G : City: A07 cs 47>,
State: /�� �°'/ Zip:
Contact: (2,4, l.P."
New Replacement
Phone: �.i/ ‘?'J7 SU
Email:
Repair Rebuildodify Space Work in R.O.W.
Description of work:
RESIDENTIAL
Water Heater
Lawn Irrigation (_ RPZ / _ PVB)
Septic System
New
Abandonment
Water Softener
Add Plumbing Fixtures (_ Main / Lower Level)
Water Turnaround
RESIDENTIAL FEES:
$60.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$60.00 Lawn Irrigation (includes $5.00 State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
*Water Turnaround (add $166.00 if a 5/8" meter is required)
$105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
TOTAL FEES $ t d< QC)
CALL BEFORE YOU DIG. Call Gopher State One CaII 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.gopherstateonecall.orq
1 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 p1
Applicants Printed Name
x
Applicants Signature
Date:
City of Eaall
3830 Pilot Knob Road
Eagan MN 55122 RECEIVED
Phone: (651) 675-5675
Fax: (651) 675-5694 FEB 1 4 2012
2012 RESIDENTIAL BUILDING PERMIT APPLICATION C 1 a
2 /7-1>
Use BLUE or BLACK Ink
For Office Use
i
Permit#: /t 0g& r
Y
Permit Fee: gdS�^� g
Date Received: /l(—/4i
Staff:
2/8h)"- Site Address: )h 7/ IZA* c Unit#:
Name: J,y1 I'Y' A 4- had' r Phone: 6-6/'
Address / City / Zip: ) V7/ 4v /i'n!? 4b,4 d / 1.4y4,.// ✓Y f, i .575-0.)
j
Applicant is: X Owner Contractor
Description of work: %,45(.vIlft& 54 4.11
YQQYt't
Construction Cost:
Multi -Family Building: (Yes / No )C )
Company: J Contact:
Address: � City:
State: Zip: Phone:
License #: Lead Certificate #:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor:
Phone:
Sewer & Water Contractor: Phone:
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
x �. R rr as /'?. 414 -ht f6,�
Applicant's Printed Name
A i icant's Signature
Page 1 of 3
11171 5-4(//11(4-6 RC'` DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation
i' Single Family
Multi
01 of _ Plex
Accessory Building
WORK TYPES
New
Addition
ie Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
Fireplace
Garage
Deck
Lower Level
Porch (3 -Season)
Porch (4 -Season)
Porch (Screen/Gazebo/Pergola)
Pool
Interior Improvement
Move Building
Fire Repair
Repair
(25%_ 100%_Zr
Census Code
# of Units
# of Buildings
Type of Construction
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
Roof: Ice & Water Final
* Framing
Fireplace: _Rough In Air Test
- Insulation
Sheathing
Sheetrock
Reviewed By:
iF
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Siding
Reroof
Windows
Egress Window
Storm Damage
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Demolish Building*
Demolish Interior
Demolish Foundation
— Water Damage
*Demolition of entire building - give PCA handout to applicant
Occupancy 7 Rc - a- MCES System
Code Edition Zz 7 SAC Units
Zoning %t,"/ City Water
Stories Booster Pump
Square Feet PRV
Length "' Fire Sprinklers
Width
Final
Meter Size:
Final / C.O. Required
Final / No C.O. Required
- HVAC Gas Service Test Gas Line Air Test
Other:
Pool: Footings Air/Gas Tests Final
Siding: _Stucco Lath Stone Lath _Brick
Windows
Retaining Wall: Footings _ Backfill Final
Radon Control
Erosion Control
, Building Inspector
63 - -.
3
551 Gam' ao
Page 2 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA140393
Date Issued:12/15/2016
Permit Category:ePermit
Site Address: 1471 Skyline Rd
Lot:3 Block: 1 Addition: Heller
PID:10-32450-01-030
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
James Tstes M Matheson
1471 Skyline Rd
Eagan MN 55121
(651) 452-1883
Hoffman Refrigeration & Heating
5660 Memorial Ave. N
Stillwater MN 55082
(651) 439-5770
Applicant/Permitee: Signature Issued By: Signature