965 Stanwix Rd y ' ' ' c....~, ~"1,~,~`~~~'°[ y ~ H-.: .
C~TY OF EAGAN Permit No: ~ ~
38: 0 Pllot Knob Road Date: ° n
P.O, Box 211 gg Meter No: Size: d
Eagan, MN 55121 Reader No: p$t~,
Owner. ~~trc ~ustor.; 'to^~es
SiteAddress: Stan~.~ix Road L27 ?33 Lc~'~;t1,-~~„ it,_
Plumber Tresh~ r ^-~c,l~}Z rerh
C'.onst.
Conn. Chg: 55i` . i ,I . .
Acct Dep: 15. N)t~l~_ ~ ~~oning: i~~l
Permit Fee: 1 ~o, Qf U rts: 1_
t•., fi „ ,~~TIP,~
Surcharge; ; ~ ,
Tr. Plant ? n, a ag~'~'~omply w City of Eagan
T`' ~,Qr !
Meter. y ~ ~
Misc.: ~
By
Vh~ re/iWATER SERVI PERMI
- -
'1 ~ "
; Date: _ _ _
j CITY OF EAGAN Permit Na
3830 P~loti(nob Road B/P No: Date:
~f P.O. Box ~ 199
I Eagan~MN 55121 ~ . ~
~ . '~~:r~„~~s~":;CQi11 ~+OT^_E'S '
Owner. ` ~ t73ASi .OII~ - - - C.X Ilfr,tC.-^. ~ ~
Site Address:
nreshez ?~c !r`1-?ierk. C~nst .
Plumber. ~
:
~ 5 S Q. 04pct Zoning~ , i
MWCC: ~
No. of Units:
` City Chg: ~
1 S . t}'~r,,':
~ Acct Dep: , 1 agree to comply with the G1Y of Ea9an
. 7,~ t ~,nr,
i Permit Fee: ' Ordinances. ~
~ Surcharge: ~ ~ `
Misc.: By ~
SEWER SERVICE PERMIT ~
i
:~~,.-~.r,~. r. , _ _ ~----,~~-.;3r
^>.,.~,s~^c~'~'.:~'- ~ '
. ' 7? .QF'
C1TY OF EAGAN Permit Na ' Date:
3830 Pfl@t Knob Road Meter No: Size:
P.Q. Box 21 ! 99 Reader No: Date:
Eagan, MN 55121
~ Owner. :~~tr~ ':usto~ ;iomes
' Site Address: ~55 Sta*~svix Road L~7 p3 I,eai~nF-tan ^r, 7t1+
` Plumber. ~-resher °~c/P!~ ?'er~ Const,
Conn. Chg: ~~0. ~'t~"~ Zoning: ~ ~
~ 15 . ~1 No. of Units: ~
Acct Dep:
Permit Fee: 2
Surcharge: ~ 5'3~' ~ 1 agree to comply with the City of Eagao
Tr. Plant • ~~~P''• Ordlnances.
, Meter. '~'~~a i
Misc.: By
WATER SERVICE PERMIT
~ -
-
. CASH RECEIPT ,
. ~
C-ITY.Or ~EAGAN
~ ~ 3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE ~-i r . J ~g ~
~ 7 , ;
~ ~ ~ LC..~ E. ~GL.L l~f7f ? ~ 1.,L;L
AMOUNT $ ~r ,c;-. ) ~ G,
ii /
8 DOLLARS
ioo
~ CASH ~CHECK
I
l~~ ~.G i j ~ ' ~
,
,
.~L~ L 4L -i_. ~ 1~
o~~~` ~ ' , ~r-, rl`,~ . '
FUND OB,IECT AMOUNT
Thank You _ t
BY __y--
.~T ~ , ,nm~a--Pe,,~ co~,,
•s • ~ ~ l.7 w1 ' ~1 Ye
~oe~ CaPY
P . "BLDG. PERMIT N0. " . ^
•~R~r1.~~~~~k " ~
~ l ~ ~ "j ~j~ ' 1
~__~J/~.G~ ~ ~ , ~ , ~ q,~/ V
OY"-3210 Bldg. Permit /7
01-3422 Plan Check ~-'i~)`" / CG
01-3445 Surch./Adm. ~`L'
~ 01-3446 SAC/Adm. ~ ~ ~ ~
• 01-2155 Surcharge - ~
. ~
~ 3860 Road Unit ~ U C
20-2275 SAC ~7"'7 ~ ~
20-3665 Water Conn. ~0
20-3868 Water Trmt. -J~~'~ G~Lr`
20-3716 Water Meter t~~~
20-2252 Acct. Dep.
20-3713 Water Permit
20-3743 Sewer Permit
79-3866 Sewer Conn. C.~!~'
~ ~ 3855 Park Ded.
1-%`~``- !i"~`
TOTAL ~ ~
CITY OF EAGAN ~ ~ ~ ~
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PH QN E: 454-8100
BUILDING PERMIT Receipt# ~ ~ ~
To be used for Sp Est. Value s~'~ Date 3 ,19aa
Site Address ~~S ~TA1~t~12X i~dAA OFFICE USE ONLY
Lot Z~ Block 3 Sec/Sub. ~I~~x 44U~~' On Slte Sewage Occupancy
MWCCSystem X Zoninp
Parcel No. On 51te Well (Actual)Const
~0 GU3Y'Q~! T11C Ciry Water X (Aliowable)
a Name
z Address r"0. ll0~ 104~ PRV Required # of Stories
~ City ~~~L~ Phone 454--~3a3 BoosterPump ~ength
Depth ~
, p N~,me S.F. Total
Footprint S.F.
~ Q Address
~ Cit~ Phone APPROVALS FEES
~ s Engr./Assess. Permit ~ 4~~~
~ W Name
~ = Planner Surcharge
Address 47~~
Q W City Phone Council Pla~ Review ~
81dg. Off. SAC, Ciry 1QQ•
I hereby acknowledge that I have read this app~ication and state that the Variance SAC, MWCC
information is correct and agree to comply with all applicable State of Water Conn. S~Q•00
Minnesota Statutes and City of Eagan Ordinances.
WaterMeter 47~QQ
Sigpa~ure of Permittee Road Unit ~ZS-~
I~l.'TRO CU~TOM l~AM~S
A Building Permit is issued to: Treatment P1 ~O4•~
on the expres,s condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances. Parks
~ i TOTAL
Building Official ~ - ~
~
. 19
CITY OF EAGAN ~ ~j
3830 Pflot Knob Road, tP.O. Box 21-199, Eagan, MN 55121
PH O N E: 454-8100
BUILDING PERMIT Receipt#
~+;n ~ R~n~~~~r ~ah4;rk ~
To be used for Est Value Date ,19
Site Address ~ OFFICE USE ONLY
Lot ~ Black ^ SeC/Sub. ' ~ "~'~~t~ ~ On Slte Sewage Occupancy
Parcel No. ~'H MWCC System Zoning
On Site Well ry
(Actual) Const
~:'f ~ il'~M HOME~ Il1t.' City Water X (Alloweble) ~
~ Name
W a ^i- ^ PRV Required ~ of Stories
z Address • • , . ~7
~ City R t`' I LL~ phOne ~ Booster Pump Length
Depth 4~
o S S.F. Total
Name
~ 4 Address Footprint S.F.
~ City Phone ApPROVALS FEES
~ r+94.~
~ W Engr./Assess. Permit
W ~y
Name 4~J.G0
~ = Planner Surcharge
U~ Address Councii PlanReview ~41.{'a
¢ W City Phone
a Bldg. Off. SAC, City ti1~~~'
Variance SAC, M WCC g~~
I hereby acknowledge that I have read this application and state that the ; i,.~
inlormation is correct and agree to comply with all appiicable State of Water Conn.
Minnesota Statutes and City of Eagan Ordinances. Water Meter
~
Signature of Permtttee Road Unit
. C. ~ _
A Building Permit is issued to: Treatment P1
on the express condition that all work shall be done in accordance with all parks
applicable State of Minnesota Statutes and City of Eagan Ordinances. r~s--~
Building Official TOTAL
Psrmit No. Psrmlt Holder Date Telephons #f
Plumbing - yL~ ~ ';1.
~ ~
H.V.AC. ya
Electric ~ ~ ~ ~ f',5' ~
/Y.GC_ , / .J,'F C~• '~~f~~~ '~~c~
Softener
tnspection Date Insp. COmments
Footings I 3 ~I~
Footings II
Foundation
Framing
Roofing
Rough Plbg. .~9~ ' _
Rough Htg. ~
Isul. ~
Fireplace ~
Final Htg. '~y ~ S'
Final Plbg. ,(j~'
Bldg. Final ~/S S
Cert Occ. /S Q f cCrS'
Temp. LP Q ~,lN . Q .p
Deck Ftg.
Deck Final
Well
Pr. Disp.
, 9~~~
i • PERMIT #
• • ~ MECHANICAL PERMIT ~l;. /1 ~ ,
CITY OF EAGAN RECEIPT #
3630 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
C~NTRACT PRICE: PHONE: 454-8100
Site Address BLDG. PE WORK DESCRIPTION
Lot B ock Sec/Sub ~ ~ ~
yf, Res. New
Name ' ~ ~ Mult ~ Add-on
m ~ Comm. Repair
~a Address ~
,f'~~, ~r 1~1! t l~ Phone ~ ~her
c Ciry -
FEES
~ Name RES. HVAC 0-100 M BTU -~24.00
c Rddress ADDITIONAL 50 M BTU - 6.00
p City ~ Phone '4 ~ (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMIn - 1.50 EA.
TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE
Forced Air _~M BTU APT. BLDGS. - COMM. RATE APPLIES
TQWNHOUSE & CONDOS - RES. RATE APPLIES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
Unit Meatet _ - - - - M BTU REMODEL,S _ - 1200
Air Cond. M BTU MINI(VIUM COINMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Outlets # L% BEYOND $1,000)
Other .
FEE: ; ' ~ ~ .
: , ~~I
~
S/C: SIGNATURE OF PERMITTEE
TOTAL: ~ `
FOR: CITY OF EAGAN
; . . . . . ~
~ • ' PERMIT #
~ ~ PlUMB4NG PERMIT RECEIPT # - 1
GITY OF EAGAN
3630 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: -
CONTFiACT PRICE: PHQNE: 454-5100
Site Address ' r~ • j ' --L' BLDG. TYPE WORK DESCRIPTION
Lot BI ck ? r Sec~Sub Res. New -
~ Muit. Add-on
~ Name ~ ~ Comm. Repair
~ Address ~ r" : - r'f Other
c City + ; Phone 2' RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
N FIXTURES TOTAL
~ Water Closet - $3.00 t 6
Name • . , _
-~Bath Tubs - $3.00 `
c Address • ' `
3 -~La~atory - $3.00 ~ _
p City 1'~~~[~j~~. - Phone " ! = ~Shower - $3A~
-~Kitchen Sink - $3.00
FEES UrinalfBidet - $3.00
COMM/IND FEE - 1% OF CONTRACT FEE -LLaundry Tray -$3.00
APT. BLDGS - COMM RATE APPLIES ~Floor Drains -$1.50 ~
TOWNHOUSE & CONDO - RES. RASE APPLIES -~Water Neater -$t.50 J
MINIMUM - RESIDENTIAL FEE - $12.00 Whirlpool - $3.00
MINIMUM - COMM/IND FEE -$20.00 .~_Gas Piping Outlets -$1.50
STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMI~
(ADD $.50 S/C IF PERMIT PRICE GOES Softener -$5.00
BEYOND $1,000.00) Well - $i0.00
, Private Disp. - $10.00
- f ' Rough Openings - $1.50
.r~~~ c~ ~ .-r ,r" .
SIGNATURE OF PERMITTEE FEE: `
STATE S/C:
FOR: CITY OF EAGAN GRAND TOTAL:
__r
. ~
h .
~~rftf tx~#~ nf (~rru~~nr~
~itp of ~agan
~r~rartm~ ~f ~u~td'mg ,~ns,pPd~nYc
This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building
Code certifying that at the time ojtssuance this structure was in compliance with the various
ordinances of the City regulating building construction or use. For the following.~
-i.:,:it'.t`% °c;:
Use Cla~si6capon ~ Bidg. Rrmit No.
O~cupaocy Type Zouing District t~' Type Cooat. J!'
OwoeratBuildiaB '-t~ ~~~'s i _ - _'i`v.' ~d~~ . . i:~~• l~f,~f~~~,'l±:
Bw7dingAddress -,"'*.4 ~ r~, ~y~~~y ~~%i ~ i_ _:i''_.~k~~ SL~~r1Y:'
Dats:
Building O~icial
POST IN A CONSPICUOUS PLACE
This`re9ue~;, void ~ ~ / ~O ~~'JG~
18monthslrom~ D ~F'
i
~ g ~ ~ ~ / ~ a-v
Rdquest~ aie Fire N, qouPh-i nsnec[ion
fr~~ Ae~~u re. ~Reatly Now~il~ Notity InsOec-
U ~es ?No ~ r When HeadY
~ ensed Elecirical Convacmr 1 hareb re
Y q~est inspec~ion of abo~e
? ~wner
elactrical work instelled at:
Sveee Address, Box or Raut No. Cily
e~~~ TawnshiP~ ar No. an9~ No. Lou~ ~f
Occupant (PRINT) Phone No,
d ~G (
PowerSupplier omE .54~- 9'3~3
~ Atldress -
~ ss~ a
Eleclrical Co tryacmr ICom~any Na~ I Conirar,tor's License No.
~s~a'~~l~i ~ L B
Mai ing AdJres ~Contractor or~wner Making ~pstailationl
~ S^GO - L~_ ~j . N S 3
Au orizetl Signature Cootracto~~Owne~ MakinB ~~~stallation) one Number
-r~-~-.--L r~~v- °~G
NESOT STATE BOApO OF ELECTflICITY 7H15 INSPECTION REQUEST W~~~ NOT
riggs•Midwey Bldg. - Room N•191 BE ACCEPTED BY THE STqTE BOARD
1821 Univaraitv Ave.. St. Peul, MN 5fi104 UNLESS PpOPEN INSPECTION FEE IS
PhOne (612) 642-0800 ENCLOSEO,
~~,7/~ REQUEST FOR ELECTRICAL INSPECTION es-ooooi-os
c ~ See instr~ctions lor completirg this torm on back nt yellow copy. L~ (~/-~~1
~ ,~o ~7 7 6 "X" 8elow Work Cove~ed by 7his Request
Add Rep. Typa ol Bailding Aoa~~a~tae Wired Equipmen~ WireA
Home Range Teniporary Service
Duplex Water Heater ightiny Fixtures
Apt. BuilAint~ Dryer EleCtri~ HeaLn
Commerclal Bldg- Furnace Sib Unloader
Industrial BIAg. Air Conditioner Bulk Milk Tank
Farm Omer Peci v ther Isne Jfvl
t er pocify O~her O~~~ar
ompu[e fnspection fee Beluw
p Fea ServiceEm~enceSixe R Fae Faeders~5ubfaeders N Fee Circuits
O 0 ro 200 qm s 0 to 30 Am s 0 to 30 An+~s
Above 200 qmps 31 to 100 Ainps 31 to 100 A s
Swimming Pool Above 100-Amps Abave 100_Am s
Transformers Irngation Boort~~s , Partial~'Other Fee
Signs SUecial Inspection S~~'~
pem3rks TOT EE
.a
Noueh-in Onte I, tne lacb-
Inspecbr, heraby
cerlilV thel tha above
Final G L insoection has been
] ! mede.
•
(nie requast vold 18 moMna from
59077 ~oa~~a
9 5'~,L o?~.Pj,3 `~~p
Fepu= t D e ~ ~ Fire No. Raug Inspeclbn
~ qgy ? ? Ready Nav p Will NoGry Inspector
~ ~yg ~ ~ ~ When Ready?
I~yficensed contractor p owner hereby request inspecdon of above electrical work at:
Job Atle s Sveei. w ar t No.~ Ciry
Section No. Towrehip Name or No. Range No. Counry
Occupa 1 MT~ Pho No. ~
Power Suppliar Mtlress
EI v al Contract r ~COmpeny Name~ rnct S Lkense pp. ~
U
Ma in tltlr ss CoMratlor Owner Making Ins1a11 tion~
Aut~ rize0 Signa~ re IGO~tra or,Owne Makinq Installati ~ ~ I~ P~~ m r_
MINNE OTA TATE 80ARD OF ELECTRICIT THIS INSPECTION REOUEST WILL NOT
Grlggo-Mltlway BIEB. - Room S1]3 BE ACCEPTE~ BV THE STATE BOARD
18I1 Universily Ava.. SL Peul. MN 5510C UNLESS PFOPEF INSPECTION FEE IS
PMne (612) 69ZA800 ENCLOSED.
/~j f~~- RE~UEST FQR EE£6TRICAL INSPECTION 4F~~2 es-ooom-oe ~
~ ~ O~~~ See ins~mtlions lor comqeting this Imm on back of yellav cnpy. ,~y~ ./0~~~' .
"X" Below Work Covered by This Request x"~`.~"
p~jy Atld Rep. TypeoiBuilding AppliancesWired EquipmentWiretl
Home Range Temporary Service
Duplex Water Heater Electric Heating
Ap1. Building Dryer Olher.(Specity)
Comm.llndusirial Furnace
Farm Air Conditioner
Otner(syecity~ Comracpr'S Remar~ , 5 ~
~~.A A ~~1.~ 1
Campute /nspection Fee Below:
S Other Fee # ServiceEntranceSize Fee # Circuils/Feeders Fee
Swimminq Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
Signs Inspectors use Onry: L r.
OL_i
~ Irrigation Booms ~,G(~
Special Inspection
AlarmlCommunication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rough~in ~e+~~~
cerlifythattheaboveinspectionhas p~~a~ oa~
been made. ~ ~p l
OFFlCE USE DNLY
T~is request voi0 1B monihs iram
T~is reQuest void G/~n ~
~8 mon~hs (mm ~ O O ~r~(~.
D ~4473 ~ ~
Ne •=st D irt^ Fire o. Fouph'in 1 sucr.tinn
~ J~ Requir tl? ~Neatly Ni~w ~J4~i11'NOtify Inspeo
es ~No [or When ~eady
~L,censed Elecirical Contrac[or I hereby request inspection ol ebove
? Owner electrical work installetl aC
Sv i ddre s, ox o Houte No. • ~
c i a. Towns ip ame or o. RanBa N County
3 ,
~ ~~`~~PflI~j ~ Pho No.
yr /L 4- MES ~s ~
Pow upplier Address
V~tiFS~~~~~~PF~~~WWl~~/'Y Can~raet e's Lir,ensa No.
1~ 1V i1 !',t_. i.,
Mailing ~ v M ~ila[ionl
Au i d ~e~ature onvacto wner Makine ~~stallationl Phone Number
M.~NESRTASTATE BQpPQUF.EIECTRIC4iY. ~ . . THIS INSPECTION REQUEST WILL NOT
uGriggs-Midway81d9~ - Aoom N-191 ` BE ACCEPTED 6Y THE STqTE BOAHD .
1821 Univnrsitv'qve.. SL~Peul, MN 55104 UNLE55 PflOPEH INSPECTION FEE IS
PhOna (612) 642-08W ENCLOSED. I
REQUEST FOR ELECTRICAL INSPECTION ea-ooooi-os
? 9 ~a"'l'G~ ~
Sea inshaclio~s for completin this torm on back ot vellow co
p 9 4 4 7 3 ~~X~ ~ Be~oW Work Covered by 7his Request
AAtl Rep: TYOe oi Buildin¢ ApO~~a~cee Wired Equiumem Wired
Home Range Temporary Service
Duplex Water Heater ightiny Fixtures
Apt. Building ryer ' Etectric HeaUn
Commercial Bldy. Fumace Silo Unloader
Industrial BIAg. Air Conditioner Bulk Milk Tdnk
Ferrtl rner peu y ~har ISn~:cityl
~ r. Suecify Other Oiher
ompute Inspection Fee Be/ow
M Fee ServiceEnneneeSize M Fea Feede~s~5ubteaders a Fee Circults
U to 200 qm s 0 to 30 Am s 0 tn 30 Am s
Above 200 q~p ~y 37 to 700 Amps 31 to 100 Am s
Swimming Pool Above 100-Amps Above 700_AmPS
Transrormers Irrigation Booms Pdrtial,~Other Fee
Signs Speciallnspection S
OTAL EE
perturks ~~a
Hough-in D ~e f
~ the cal
.:"f.~. .i InsPector.~ereOY
CBfll~y I~IPl 1118 9~lOVB
Final t ~ inspection hes been
mode.
thie requeat vo1018 monthn imm
CITY OF EAGAN (~J~ 14 6 5 9
~ 3830 Pilot Knob Road, P.O. Box 21-199; Eagan, MN 55121
• PHONE:454-8100 Q/6-~O
BUILDING PERMIT qeceipt# p
To be used for SF DWG/GAR Est. Value $80~000 Date ~CH 3 ,1988
Sife Address 965 STANWIX ROAD OFFICE USE ONLY
27 3 LEXINGTON S UARE On Site Sewage Occupency R3
Lot Block Sec/Sub. Q pp
7TH ADD. MWCCSystem X Zoning
Parcel No. Vn
On Site Well (Actual) Const
City Water X (Allowable) Vn
a Name METRO CUSTOM HOMES INC -
i P.O. BOX 1049 PRV Requlred _ # of Stories
Address
° City B~VIL~ Phone 454-9383 BoosterPump _ Length 46
Depth
, p Name SAME S.F.TOtal
~a Address FootprintS.F.
~ City Phone ppPROVALS FEES
Engc/ASSess.__ Permit ~ 494.00
°w Name
~z ~ Planner _ Surcharge ____~._00
i- Address
Cit phOne ~ Council Plan Review 24~~_00
aw Y
Bldg. OH. SAQ City t nn.00
I hereby acknowledge that I have read this application antl sta[e that the Variance SAC, MWCC r2Q.D0
inlormation is correct and a9ree to comply with all applica6le State of Water Conn. __1r r20~9~
Minnesota Statutes and City ol Eagan Ordinances.
Water Meter -fi7 DO
Signature of Permittee Road Unit __325_..00
METRO CUSTOM HOMES
A Builtling Permit is issuetl to: - Treatmenf P1 .Dp
on the express condition that all work shall be done in accordance with all
applicable State of Minnesot [a}utes antl Ci f Eaqan O dinances. Parks
TOTAL ~2._5~~.00
Building Official__ _ ~ . -
5'~ g~i3 RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122 I,a~- ,a~
651-681-4675
Naw Construaion Reauiremenh RemodeUReoair Reauiremenb
• 3 regislered sile surveys showing sq. ft. of lol, sq. ft af house; and ~II mofed amas • 2 copies of plan
(20% maximum lot coverage allowed) • i set af Ene~gy Calculalioris far heated additlons
• 2 copies of plan showing beam 8 wiMow sizes; poured found desipn, elc.) • t sile wrvey lor exterior additians & detks
• 7 set of Eneqy Calculations • Indicate if home served by sepGc syslem for additiore
• 3 copies of Tree PreservaUon Plan if lot platted after 711193
• Rim Joist DeWJ Options seledion sheet (bldgs with 3 or less unib)
DATE U/o~~/O VALUATION ~~oJG-~~
~an•~ \
SITE ADDRESS 9~ ~o0.C+, MULTI-fAMILY BLDG _ Y _ N
TYPE OF WORK ~2GYC)'~f av~~. ~ COU~ FIREPLACE(S) _ 0_ 1_ 2
APPLICANT M i C~VJ'2C~ ~1cn~e ro a~
STREET ADDRESS a~~se~ ~~C~o.o {~1v CITY ms ' STATE~ ZIP~
TELEPHONE # g-~ `~~/6-d7?~ CELL PHONE # G~~`°~SO' 95`~Cy FAX # 1~~'~y~- G~~
PROPERTYOWNER 1"1~• ~a`~`R~~:S~ TELEPHONE# ~51`ySy'I76z
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNPSOTA RULES 7670 CATEGORY I _ MINNESOTA RULES 7672
(J submission rype) • Residential Ventilatlon Category 1 Worksheet Su6mitted • New Energy Code Worksheet Submitted
• Energy E~velope Calculations Submitted
Plumbing Contracfor: _ Phone # _ _
Plumbing system includex _ Water Softener _ Lawn Sprinkler Fee: $90.00
Water Heater _ No. of R.I. Baths
No. of Baths
Mechanical Confractor. Phone #
Mcchanical sys[em includes: Air Conditioning I D n~
HeaC Recovery System Ll
Sewer/Water Conhactor. Phone AUG 2 8 Zpp2 II
I'. ~
I hereby acknowledge that I have read this application, state ihat the information is correcf, an~c
agree-to mply
with all applicable State of Minnesota Statutes and City of Eaga inances.
Signature of Appllcanf
r.._ OFFICE USE ONLY_Y~.~._____.
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
OFFICE USE ONLY
? 01 Foundation O 07 OSplex ? 13 1&plex ? 20 Pool O 30 AccessoryBldg
? 02 SF Dwelling ? 08 O6-plex ? 16 Fireplace O 27 Porch (3-sea.) O 31 Ext. Alt- Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex O 10 0&plex ? 18 Deck ? 23 Porch (screened) ? 36 Multl
? 05 03-plex ? 11 10.plex ? 19 Lower Level ? 24 Storm Damage
? O6 04plex ? 12 12-plex Plbg_Y or_ N O 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) O 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)` ? 43 Reroof O 46 Windaws/Doors
? 34 Replacement 'Demolition (Entire Bldg onl~ - Give PCA handout to applicant
Valuatlon Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const W idth
REQUIRED INSPECTIONS
_ Footings(new bldg) FinaUC.O.
_ Footings (deck) FinaUNo C.O.
_ Footings (addition) _ Plumbing
_ Foundation HVpC
_ Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tesu _ Final
- F~~B _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By . Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Piant
Plumbing Permit
Mechanical Permit
License 5earch
Copies
Other
Total
' , 1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS ~ ~ ~ ~
~
INCLUDE 2 SETS OF PLANS~ 3 CERTIFICATES OF SURVEY~ 7 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MfIST DESIGNATE WHICA ADDRESS
IS DESIRED. NO CAANGES WILL BE ALLOWED ONCE BIIILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL [JNITS FOR SALE UNITS ~f OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH HLDG. DEPT „
1 SET OF ENERGY CALCULATIONS
COMMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS~
1 SET OF SPECIFICATIONS AND 7 SET OF ENERGY CALCULATIONS
To Be Used For: Single P'amily Valuation: Date: 2/24/88
Site Address 9~5 Stanwix Road OFFICE USE ONLY
g0~ Ono -
Lot ~7 Block 3 On site sewage Occupancy {Z-3
MWCC system Zoning P~. I
Parcel/Sub Lexington Square-7th Addition On site well Actual Const V-N
City water Allowable ~/-N
Owner Metro Custom Homes, Inc. PRV required , l6 of stories
Booater Pump Length
Address P•0. Box 1049 Depth ~{(e'
S.F. Total
City/Zip Code Burnsville, NIIV 55337 Footprint S.F.
Phone 45~+-9383 APPROVALS FEES
Contractor r4etro Custom Homes, Inc, Engr/Assess Permit t{~/y•°-°
Planner Surcharge p,Q°
Address P.O. Box 104g Council Plan Review , o0
Bldg. Off. SAC, City O O a9
City/Zip Code Burnsville, M1V 55337 Variance SAC, MWCC S S~ ~
Water Conn
00
Phone k5~+-9383 RoadrUniter ..p
Areh./Engr. Metro Custom Homes, Inc. Treatment P1 D ~
Parks
Address P.O. Box 101+9 Copies
I TOTAL - ,
City/Zip Code Burnsville, NLN 55337 ~
0~~7?
Phone l~ ~?5~+-9383
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and co ct z'~P~s~ntation of a traet o!
I her~by cartify that thin ie a t:u6 ~a prapared by Mn on this ~ d~y °f
land as ahoxn'and g~eacribed hereon.•
~~gz~.rey/ ~ 19_, .
~'I ~ -~.d ?rt.,n. E~SS• 1f°•~a
~ ` PERtvl1T 4 ~ ~~"1 ~ ~ECEIPT DATE: - O I
~ ~~l ~0~3 ~SID~NTI~kL ~LUMBINfi ~tM1T ~~P~11ClkTION
crrY o~ ~ne~tx
s8so eu.oT ~cxos Rn
£AfiAN, MN 551 EE
ss~~8i-as~s
Please complete for: : single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for irrigadon system
SITE ADDRESS: ~b~ ~ W
04NNER NAME: : ~"Q~- M~~W u(~~ TELEPHONE ~'Sj `'~'S~~ I~J~
(AREA CODE)
INSTALLER NAME: MCrI11RF ~ SgN~, TELEPHONE ~3~ ~6'I(~
60512th Avenue South (AREA CODE)
STREETADDRESS: ~o.,,.~ ,n~ ~$~s -
CITY: STATE: ZIP:
Place a check mark next to the ermit work t 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 irrigation system
• water turnaround
Nature of work: ~ ~ I~
Septic System, new/refurbished - $ 225.00
• includes County & Consulting Inspector fees
• requires MrC license
State Surcharge AUG 2 O Z~01 ~ 50
Total $ ~
Reminder: Be sure to schedule inspections of alteretions, i.e. water heaters, water softeners, etc.
I hereby acknowledge that I have read this applicalion, stale that fhe informaGOn is wrrect, and agree to comply wilh all applicable City of Eagan ortlinances. It
is the applicanPs responsibility to notity the property owner that the City of Eagan assumes no liabiliry Por any damages caused by the City during its normal
operational and maintenance activities to lhe facilities constructed under this permit within Ciry propertylri9h - bway/easement.
SIGNAT RE F PERMI
~ Updated 7107
, . ,
. .
APFLICATION FOR PERMIT i~~= PA~'Tr OF FEE AT TIME OF ;
; ner~.xcaTTaa ~s ~uo~r crorr ;
~ ~ ' ; s~rncn~e arexcaw, oF rr.anuT. ;
irsesriaa oe sr.~a nrn/ox wn~
. ~ SEWER AND/OR WATER CONNECTION : S '
; xrsraia,nx~oris caQa. r~ar ae s~n.m ;
. . i', [~NCIL PERPffT HAS Hffid APPROVm. j
.NCI
. f~Rxw.t~t:s+~+~r~it+titt+:«i+:~r.r:+t~*
S. ,
Clt~ OF CCBC~C8P1
(PLEASE PRINT
i ~ ~oP~a~r ~wDxFSS: . . R.L :s:
. . S w x ~ o ~
TFf;AT n~azrrioN:..~. . I5t 3... L~~•. 5~:.'~`=... . .
Lot B ock S ivision or Tax Parcel ID
IF EXISTING STRL'CT[IRE, DATE OF ORIGINAL BUILDING PERMIT ISSUADICE:
Nbnt Year
PRESENT ZONING/PROPOSID LSE:
Q COTM9ERCIAL/RF.'TAIL/OFFICE ~ R-1 SINGLE FAMILY
Q INDLSTRIAL ~ R-2 DOPLEX (3tvo L'nits)
a:INSTI'IVTIONAL/GOVERIa1ENT Q R-3 7C~II~OUSE (Three +',Lpits) ( Lnits)
Q R-4 APARTMEPPf/COI~IDOMINIUM ( L'nits )
.
2) ~ti°'~' 'D2ESFfF,'~ ~xC -
t~DxESS: 1AoS3 ~~a~j-.,~ ~ '
cz~, ~A~, ZIP: FI PP L E E r ..r~si-~ s~
PHONE: ~5,2 ^ PI ~ ~
For City Lse
3) '~3 r~c NAME: - a E2 G C on~ri • Pl risnTe s
License:
ADDRESS: ~`f ~ o. . ST C T . I~ Active
~ ~A L/ Expired
CITY, STATE, ZIP: (+pc~ ~ ACtE~~ 1~[.~• -~r/2~T Not recorded
PHONE: 4' 3 2' IO MASTIIt LICENSE #.364//t? 9 sta
In~-ltia~
4) ~ o
NAME: ///.Er2o ~LOQS .
~Dx~ss: ~p Q ox ~b ~ 9 ,yJ
CITY, STATE, ZIP: ~ c~ ~,,.rS ~~c- L L~ nr .
r
Pxor~: ~.c~y- 93 83
5) e a~•~• • a'~e i ae
a CONNE'.CTION TD CITY SEWEE2 ~ CONNECTION TO CITY WATER ~ OTfID2
6~ ~ Q~ ~ ~i Q ~ ~ ~ ~ s ~ ~r~ _
*
* THE GOLD OOPY OF THE PERMIT WILI, BE SENf DIRDCIY,Y TO PUBLIC WORKS TD FACILITATE ME1~R PICK-L~P. *
* PLEASE ALTAW ZWO WORKING DAYS FOR PROCFSSING. SOP7EONE FROM Tf~ CITY WILL CONfACT YOD IF TI~EtE *
*
* ARE ANY PROBL~EhLS.
~*************,~**~******~*****f***~~***+~*******~******~+************~*~+*******~**:r~~**~*~~*******i
~
: FOR -CITY USE ONLY , ~ '
PERMIT # ISSC~ED ~ `
S~/3
Pd w/Bldg. Permit FEES:
$ S S~ SEWER PERMIT (INCLUDE SC~RCHARGE)
$ S / WATER PERMIT (INCLUDE SORCHARGE)
$ ~ ~ $ WATER METER/COPPERHORN/OCTSIDE READER
$ S WATER TAP (INCLL~DE CORPORATION STOP)
$ S SEWER TAP
$ $ /.S~O Q ACCOLNT DEPOSIT - SEWER
$ ~,`7 ~ ~ ACCOONT DEPOSIT - WATER
$ ~J~.G)~ $ WAC
$ (O S O~ ~ $ SAC
$ $ TRUNK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRC~NK SEWER
$ $ LATERAL BENEFIT/TRC'NK WATER
$ ~ V`o O $ WATER TREATMENT PLANT SLRCHARGE
$ ~ OTHER:
$ /7 ~/~C~~ d~ ~i'L~O TOTAL
7a fl~l3
RECEIPT RECEIPT
DOES UTILITY CONNECTION REQDIRE EXCAVATION IN PDBLIC RIGHT OF WAY?
Q YES 'IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC
Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION. ~
SLBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY: ~`~x~
TITLE:
DATE: ~/~(p
~~~37
Zoo~ RESIDENTIAL BUILDING rEwKiT arrLicaTioN
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
~~+New ConshucUOn Reauirements RemodeVReoair Reauirements ON'cee Use Onlv
~~•3 registered sile surveys showing sq. fl. of lol, sq. fl. ot house; and all roofed areas 2 copies of plan showing footings, beams, joisis Cert of Survey Recd Y_ N
~~.(20%maximum lot coverage allowed) 1 set of Energy Calculations for heated adtlitions Solls Report _Y _N
~'..1 $oils.Repoe if proposed building is to be placed on disWrbed soil 1 site survey for additions & decks Tree Pres Plan Rerd Y_ N.
:<y
2~copie& 9f plan showing Geam & window sizes; poured found design, etc. Adddion - indicate iI oo-sife sepfic sysfem Tree Pres Required _ Y N
~~ysB~ of E~ergy Ca(culations On-site Sep6c System _ Y_ N
~3 copies ~f Sree Preservalion Pian if lol platted after 7l1193
RIm~Joisf'6etail Options selection sheet (huildings with 3 or less units)
Minnegasco mechanical ventilation form
Date / b-I Construction Cost ~ 3~ OV d
Site Address ~(p ~j S'~a~ w~ X I~~7 L7nit/Ste #
DescriptionofWork ~~1YlU~~ 1~~`Q.~.ZVY~Ql'U~
Multi-Family Bldg _ Y ?N Fireplace(s) _ 0 _ 1 _ 2
Property Owner M(~,?C., ~QA.A.1 Y1~1Q.1.1.1 S~" Telephone G~J ~S ~I ' I7 O~
Contractor ~
r~,~Yl,n~,?"~ C.)CT[.1~1 d'~...5
Address rj ~D T-~V?rQ, Ce • City ~S (,L) ( ~ ~ ~
State rn N Zip,~ ~ ~ 3 Telephone )W,~I -IO ~IS".3 (oC~O
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Energy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submiried SubmiHed
• Energy Envelope Calculations Submitted
In the lasl 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 Telephone )
C~C~I~[1~;~'I~
Mechanical Contractor G Telephone ~
MaY i s zoo~ '
Sewer/Water Contractor Telephone )
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Slatutes; I understand this is not a permit, but on(y an application for a permit, and work is not to start without a
permit lhat the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
U~'.cn ~u~~ 1~G~n~~~~~ 1/ar,Wu~~-~.-
Applicant's Printed Name Applicant's Signature - 7
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA147505
Date Issued:01/12/2018
Permit Category:ePermit
Site Address: 965 Stanwix Rd
Lot:27 Block: 3 Addition: Lexington Square 7th
PID:10-45081-03-270
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Marc Malmquist
965 Stanwix Rd
Eagan MN 55123
(651) 247-2132
Bonfe's Plumbing & Heating
455 Hardman Ave
South St. Paul MN 55075
(651) 228-7140
Applicant/Permitee: Signature Issued By: Signature