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4111 States Ave ; t CITY Qr EAGAN Permit No: Date: 1$ 3830 Pilot Knoo Road Meter No: y/6 d y ~ a 7 SiZe; r'q oeJY 'P.O. Box 21199 Reader No: 0~~ Date: Eagan, MN 55121 Owner. Front i _,r SiteAddress: 4111 States Avenue i?f, "r'.ti :-~r.Pfford 'PIa(-e Plumber Star Plumbing Conn. Chg: ; 5n_ Mnr1 Zoning: Fcl Acct Dep: I S No. of Units: Permit Fee: ' ')()nd _ Surcharge: _ SnT~ 1 agree to compl City of Eagan Tr. Plant ?04 nnp.t Ordinanc Meler. 4, Misc.: gr WATER SERVICE PERMIT _ _ CITY qf EAGAN Permit No: 10$77 Date: f'-2g'8B l! 3934Pi1o1 Knok Road B/P No: 8`130 Oate: 6-2F? -35 SP.O. Bca 21T99 Eagan, MN 55121 Owner. ?'Yont tEr ~!+..f=~: t SiteAddress:~F(Ijl States Aveaze L.26 B4 S afford Place ' Plumber:. Star Plumb nQ D MWCC: 550. Ot}pd Zoning• 100.00pd No. of Units: City Chg: Acct. Dep: 15.00p I agree to comply with the Ctty ot Eagan Permit Fee: Ordlnances. Surcharge: Misc.: BY SEWER SERVICE PERMIT I ~ CITY OF EAGAN Permit No: 9731 Date: 6""29"W ! 3830 Pilot Kneb Road Meter No: Size: II P.O. Eiox 21199 Reader No: Date: Eagan, MN 55121 Owner. "Fra,~Azr P'ieve9t SiteAddress:4ll1 SGites Av6aue I.26 B4 Staf£ar4 PLace Plumber.StaZ pluMhiitg Conn. Chg: 530 • Q9Vd Zoning: t~ Acct Dep: 15-00Fd No. of Units: 1 Permit Fee: 10.8bd , Surcharge: . Sbd ! agree tu comply with the Ciiy of Eayan Tr. Plant 204 . tl4pd Ordinancea. , Meter. ` 7 ~;tjA~ ~ Misc.: ° Br ~ WATER SERVICE PERMIT MECHANICAL PERMIT PERMIT # RECEIPT # ` CITY OF EAGAN - 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE CONTRACT PRICE: vv PHONE: 454-8400 Site Address -1 ' BLDG. TYPE WORK DESCRIPTION Lot Block ~ Sec/Sub Res New •:r <l2~'.:~ Name z•r L t Mult Add-on ~ m ~ Address Comm. Repeir ~o / _S" ~ ? •P~. c City Phone Y-j-Z Other FEES Name RES. HVAC 0-100 M BTU -$24.00 c Address ADDITIONAL 50 M BTU - 6.00 p City Phone (R~• ~AC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PEFiiVll'n - 1.50 EA. TYPE OF WORK COMM/IND FEE - 19b OF CONTRACT FEE Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLJES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Unit Heater M BTU REMODELS -'12.00 . Air Cond. M BTU MINIMUM COMMERCIAL FEE STATE SURCHARGE PER PERMIT Vent CFM (ADD $.50 5/C iF PERMIT PRICE GOES Gas Piping Outlets # $ BEYOND $1,000) Other $ FEE: % 2. c•0 S/C: GN TOTAL• FOR: CITY OF EAGAN . . , . , . . . 1 .1 a .'w - b,r.~r .ar...'t.. . CITY OF EAGAN 454-8100 DEPT. OF BUILDING INSPECTIONS ~ Correction Notice Located at -44&~ I have this day inspected fhis structure and these premises and have found the following violations of city codes governing same: I/e ~ 4-e17 .~~~ZDGG~ S c~ o y'.lS'i/~L~ S c~.c L C~.c.~/t_- sr.¢ /LS r vc,s s•.o~ c~r ~~/i'~2 sr,4„cs sv i Jz,Q-44 s- 21 [ . ~/~c 2 I~GrG/~ ~ When corrections have been made, please call 454-8100 for inspection. , Date Inspector City of Eagan DO NOT REMOVE THIS TAG REArT1VATE F1CA2 DECK-PTAN REVMM 7/ 14/89 ''`i TIIiAM 452-0206 CITY OF EAGAN - 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE:454-8100 BUILDING PERMIT Receipt # To be used for Est. Value Date ,19 Site Address ` OFFICE USE ONLY Lot Block Sec/Sub. '~k"W~~Rp pj'~Cp OnSiteSewage Occupancy MWCC System Zoning ParCel No. On Site Well (Actual) Conat ¢ Name ~O%4r5 City Water x (Allowable) W PRV Required # of Stories z Address ~ City Phone 4''4-n433 Booster Pump Length Depth , o Name S.F. Total Footprint S.F. ~ i Address ¢ City Phone APPROVALS FEES 1- Q Engr./Assess. Permit kuu W Name Planner Surcharge _ ~ Address ~ Z City Phone Council P1an Review a W Bldg. Off . SAC, City - ' I hereby acknowledge that 1 have read this application and state that the Variance SAC. MWCC . information is correct and agree to comply with all applicable State of Water Conn. ' Minnesota Statutes and City of Eagan Ordinances. Water Meter Signature of Permittee - Road Unit A Building Permit is issued to: Treatment Pt on the express condition that all work shall be done in acCOrdance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Parks TOTAL Building Official - Permit No. Permit Holder Date Telephone * Plumbttig (r ~"l. „ ~ J g r H.V.A.G. Electric Softener Inspeetion Date Insp. Comments Footings I ~ Footings II Foundation ~S- Framing Roofing Rough Pibg. Rough Htg. &s Isul. ~ 9T.~! ~'~•v 8'-f'^3& Fireplace Final Htg. Final Plbg. ~4 Bldg. Final Cert. Occ. Temp. LP Deck Ftg. Deck Final Well Pr. Disp. OG~'GIr - C aR ~ /Vo - 7 0 ~ ~ - t (ttrtif ira#e of COrrupatrry titp of eagan Rrparimpni n# ludDing Jmpprtinn This Certifrcate rssued pursuant to the requirements of Seciron 306 of tke Urriform Building Code cerlifyirag that at the time of rssuanee thrs structure was in compliance with the various ordinances of the City regulating building construction or use. For the followtng.• us, cj.,6fi,,ao. ea8. etrmit No. pavpancy Type Zoaing District t? A Type Conat. o~ oc e~ - , ~i: ' naar~ ('r2 CE?Ak:~JA~ F~l1CW~ ~ t t j r-r>- - ~r 7q~- _~IT Building Addrm I.acality a B({ ~11 :F P 3'- Dete: - • 6wldinB Official POST IN A GONSPICUOUS PLACE . ' PERMIT ri ~L 1;7~ . PLUMBIHG PERMIT RECEIPT # Z"` ~ . • CITY OF EJIGAN 3830 PILOT KNOB RBAD, EAGAN, MN 55122 DATE: 7~ 5 CONTRACT PRICE: PHONE: 454-8100 Site Address BLDG. TVPE WORK DESCRIPTION Lot ~ Block SeciSub Res. ? New Mult. Add-on Name .'Wh1tl~EI. MECti.Ani ICA;. Comm. Repair m ~ Address L959 Si{AwNt.t. kUA.i Other c City r- g:!zz Phone RES. PLBG. ONLY - COMPLETE THE FOLLOWING: - FIXTU RES TOT~ Name Frvutier Hu[n-s N Water Closet - $3.00 S _DT'__Bath Tubs - $3.00 3 Address 390$ Sib1= y :1em. Hw Lavatory -$3.00 ~ p City ~3gsli Phone t-Kitchen Shower - $3.00 Sink - $3.00 FEES Urinal/Bidet - S3.00 COMM/IND FEE - 1°r6 OF CONTRACT FEE Tray -$3.00 APT. BLDGS - COMM RATE APPLIES ,Laundry Floor Drains -$1.50 r TOWNHOUSE 8 CONDO - RES. RATE APPLIES Water Heater -$1.50 MINIMUM - RESIDENTIAL FEE - $12.00 Whirlpool - $3.00 MINIMUM - COMM/IND FEE -$20.00 Gas Piping Outlets -$1.50 ~ f STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIn (ADD $.50 S/C IF PERMIT PRICE GOES Softener -$5.00 BEYOND $1,000.00) Well - $10.00 Private Disp. - $10.00 dt°"ylJ =Rough Openings - $1.50 5 ~ SIGNATURE OF PERMIT E FEE ~ STATE 5/C: FOR: CITY OF EAGAN GRAND TOTAL• ~ ; _ . . . PERMIT # MECHANICAL PERMIT • CITY OF EAGAN RECEIPT # 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: PHONE: 454-8100 Site Address i 1'1 -7 BLDG. TYPE WORK DESCRIPTION Lot ~ Block Sec/Sub Res. New IE1?7--~ Mutt Add-on Comm. Repair m Address JNn % A c City Phone Other FEES Name RES. HVAC 0-100 M BTU -$24.00 c Address /C, i tt'/HCM, w. ADDITIONAL 50 M BTU - 6.00 p City LA C.n N Phone 5•~? 3~ (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PEkNlln - 1.50 EA. TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE Forced Air M BTU vr~ APT. BLDGS. - COMM. RATE APPUES TOWNHOUSE & CONDOS - RES. RATE APPLJES Boiter M BTU MINIMUM RESIDENTIAL FEE - ALL ADO-ON & Unit Heater M BTU REMODELS - 12.00 Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 Vent CFM (ADD $.50 SiC IF PERMIT PRICE GOES Gas Piping Outlets # 6EYOND $1,000) Other FEE: - ` C S/C: • SIGNATURE OF PERMITTEE TOTAL• ~ • G'J FOR: CITY OF EAGAN CITY OF EAGAN : r26S 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHON E: 454-8100 BUILQING PERMIT - Receipt# To be used for SF DK/GAR Est. Value Date ~4 ,19 ~8 Site Address 41 I1 STATF.S AVE OFFICE USE ONLY Lot 21 Block 4 Sec/Sub. STAFFORli PI,A;;'; On Site Sewage Occupancy R3/H1 MWCC System ~ Zoning R1 Parcel No. On Site Well (Actual) Conat vn RRcN"T? E1t P~II)WPST 4!049" Clty Water (Allowable) L01- oc Name W -jO7 , , - . y 4 (,-,7 '}p PRV Required # of Stories z Address ~ City~~'•¦•~-~ Phone ~:5/+-!N~3 > Booster Pump Length ~ Depth 34 , p Nam6 3A4t!-' S.F.Total ~ i Address Footprint S.F. ~ City ~ Phone APPROVALS FEES R kb6.00 v W Engr./Assess. Permit Name 36.50 W y~ ~ Planner Surcharge = Z Address ~Qp ~ W City Phone Council Plan Review BIdg.Otf:'i SAC,City 100'00 I hereby acknowl6dge that I have read this application and state that the Variance SAC, MWCC 550 •00 information is correct and agree to comply with all applicable State of WaterConn. 550.00 Minnbsota Statutes and City of Eagan Ordinances. 67.00 Water Meter 5ignature of Permittee II, - Foad Unit 125-00 ' ~'~,'•:~lTIE?~_ ~IDk'"ST A 8uilding Permit is issued to: 40MEr Treatment P1 -2-014-00 on ttie express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Parks TOTAL $2+531.~U Bulldint~ Official ~51 y ~ ~s ~ 89995 Request Date Mre No. ugMn Inspeclion ~ / 3/ 8 9 o v~ ' 7bi No ? ReatlY Nav N W~~ne~ a aaror IXI licensed contractor ? owner hereby request inspection ot above electrical work at: Job Adtlress (Street, Box or floNe Na) Ciry 4111 States Av Eagan SecUOn No. I I Township Neme or No. Hange No. Coumy Dakota OccupaM(PRINT) Phorre No. Dan Lodahl Power Supplier qAdress Elechicel ConGeclor (COmpany Name) CqMractw5 Lkense No. Hilite Electric, Inc 040445 Maifng Atltlress (COnVector or Owner Malting Inetallation) 1953 Shawnee Rd, Ea an, MN 55122 AuthonzeE~S'gpature (COnhactoq r inq InsWlletio`) Phone Number . 452-8886 MIN S JI &EC7pICRY THIS INSPECTION REOUEST WILL NOT GtlggsMltlwey Bltlg. - Room S173 BE pCCEPTEO BV THE STFTE BOARD 1821 Universlry Ave., SL Peul, MN 55709 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. 5' ~~~g REQUEST FOR ELECTRICAL INSPECTION O: eaaoooi-m ? Sce inslmdions br complating this form on Gack at yelbw copy. 9.2155 1~ 89995 X"-Fselow Work Covered by This Request ewy4ad Rep. TypeotBuilding AppliancesWired EquipmemWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer O[her (Specify) Comm./lndustrial Furnace Farm ' $ Air Condifioner Mer (specify) CoMrector§ Remarks: Compute Inspection Fee eelow: Job # 20517 # Olhar Fee # ServiceEntranceSize Fee # Clrcuits/Feeders Fee Swimming Pool 0 to 200 Amps j o to 100 Amps 4.00 Trenstormers Above 200 _ Amps A mr 100 _ Amps Signs Inepecror4 Usa Onty: /Jj ~ TOTAL Irrigation 6ooms 15 . 50 Special Inspection Alarm/Communication Other Fee 1, the Electrical Inspector, hereby Rough-in oate certify that the above inspection has oere r_ been made. Fnal U ~OFFlCE USE ONLY This requeat vok 18 months hom This request voitl 8/ 18 months fmm ` - E 4 519 8 Re est Dat4e .J' S Fire N. ReuUh-in? InsVer.tion ~peatly Now Q{~IN1Notity, InsOer n ( 1~s ?N~ lor Whr.n ReadY icensetl Eleclrical Contractor I herebV request inspaction ot eGOVe ? Owner elochical work installed at Strwc dr s, ox or H te Cif~ ecu a o. TownsK Name or Na. Ran9e No. Cownry Occu - nt IP NT) ~ ~ 7- Phon Pow r lier Adtlress Elecuical ConAac[or 1Comoany Namel Conhaclor's License No. RICK ELE'CTRIC ailing s~~rr,sf~lfryqtrA~ .I+lVp7~'WrS r a talla[ionl j~} ~~V 2' Au n a,r ng InstalVation) Phone Number MINNESOTA STATE BOAPU OF ELECTflICITY THIS INSPECTION flEQUEST WIIL NOT Griggs-Mitlway BIOg. - Room N•181 BE ACCEPTED BY TME STAiE BOARD 1821 Universitv Ave.. St. Paul, MN 55106 UNLESS VROPEfl INSPECTION FEE IS Phone 16721 642-0800 ENCLOSED. ~/ff1,5-8' REQUEST POR EIECTRICAL INSPECTION AM% 5e~s-ooooi-os , See instructions br comDletinp this form on beck af yellow copY. E 4 51910 ."X" BeloW Wo,k Covered by 7his Request Nm4.jddj Neo. lYOe of BuilEing Apoliancws Wired EnuiV.,enl Wired . Nome Range Temporary Service Duplex Water Heater iGhting Fixtures Apt. Buildinq Dryer Electric Heahn Commercial Bldy. ~rnace Silo Unloader. Industrial Bldy. Air Condi[ioner Bulk Milk Tenk' Fdfm Othe, aeci v ther ISprrvlYl i, ueci(y t er Otn(., ompute Inspection Fee Belnw p Fee ServiceEntrence5ize X Fee Fee.derS/S.bieeders Circuits -Izcv Oto200qm s Oto30qm s m s Above 200 qmps 31 to 1 00 Amps 100 Am s Swinming Pool Above 100-Am 1- 4ZW e 100_Am Transiormers Irrigation Boort~s Signs Specfallnspection Nemarks IL(no ~Q ~ RouBh.in Oa[4~y ~he ctrical s oecbr, hereby thet ihe bovfinal sDeclion has been lGda. TOb repuesl voiC 18 monUS Irom BL[7G. PE MIT NO.` J e L a G n-3 01321A Bl dg. Permit Ot-3422 Plan Check 01-3445 Surch./Adm. 01-3446 SAC/Adm. 01-2755 Surcharge 75-3860 Road Unit 20-2275 SAC 20-3865 Water Conn. 20-3868 Water Trmt. C4 20-3716 Water Meter 67 00 20-2252 Acct. Dep. Sir) O 20-3713 Water Permit / ri f~ O 20-3743 Sewer Permit 70 79-3866 SewerConn. 7 e~7 (go 28-3855 Park Ded. TOTAL ~ ~o~ O F . CASH RECEIP7\ ~ ~ CITY OF , UAGAN , 3830 ,=iLOT KNOB ROAD ' ' EAGAN, MINNESOTA 55122 onh ;B i 1<%``..~ : . AMOUNT 1' ~ ~ I . UC_~ . . • . 8 DOLLARS im ? CASH CYCHECK ~ . - 1' ~7~ C! Cr - I ~ ~ ;%Cr ICO A~~~ ~I II 1~~~; 1f r_~ ,-~-Ne; rAV~-~ . - FUND O&IECT AMO T L l < \C C.1' V ~ Il l\'CI Thank You _61 eY .wnue--rayeBca,y ~ +Y~I n vdww--0osmq aWY ~ ~ . . PiNk-File CoPY' . CITY OF EAGAN N! 15 2 6 6 ' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE: 454-8100 Receipt #f3 S I 3 n Tobeusedfor S: DWG/GAR Est.Value $13,000 Date JUNE 24 18 88 Site Address 4111 STATES AVE OFFICE USE ONLY Lot 26 Block 4 Sec/Sub. STAFFORD PLACE OnSiteSeweee _ Occupancy R3 Ml MWCC System X 2oning Rl Parcel No. On Site Well _ (ACtuai) Cons[ Vn a Name FRONTIER MIDWEST HOMES City Water X_ (Allowable) Vn W 3902 CEDARVALE DR PRV Required # of Stories 3 Address - o Ciry EAGAN Phone 454-0433 Booster Pump - Leng[h 60 DePtn 34 , p Name SAME S.F. Total ~a AddreSS FootprintS.F ~ City Phone APPROVALS FEES • a Engr./ASSess. Permit $ 466.00 0w Name ~i Planner Surcharge 36.50 z Address 233.00 aw City PhOne Council PlanReview 100.00 Bltlg. Off. SA0. City I here0y acknowledge that I have read t is application and state that the Variance SAC, MWCC 550.00 information is correct and agree to mply with -11 applicable State of Water Conn. $$0.00 Minnesote Stfltutes and 'ty of n Or ipa es. ~ ~Water Meter 67.00 Signature of Permittee Road Unit -325..00 A euilding Permit is issued to: FRONTIER MIDWEST HOMES Treatment P1 904.90 on the express condition ihat all work shall be done in accordance with all applicable State of Minnes~otStatutes and City of Eagan Ordinances. Parks Building Official TO7AL ~.531 • 50 . . RESIDENTIAL BUILDING PERMIT APPLICATION 3,3419 CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55922 . 651-881-4875 7-5 rTV~ r New Conatructlon Beaulremenm HemotleUHeoah Heaulrememe • 3 regislered si[e surveys Oowing sq. ft of bt, sq. N. of house; antl all raoted arees • 2 copies of plan (20%maximumlotcoveragealbwetl) • lsetofEnergyCalculetbnstorheateAadOitions • 2 copies ol plan showing beam & window s¢es; poured bund design, etc.) . i site survey for extenor addtlbns & decks • 1 set of Energy Cakulatbns • Indkate tt tame served by septic system lor atlUitions • 3 copies ol Tree Preseroation Plan N lot plelled after 711193 • R6n Jolst Detail Optbns selecNOn sheet (bldps wtlh 3 or less units) DATE ~II 77 0 z VALUATION ~ l~Db ts ~ SITE ADDRESS fI C Sr "~PS MULTI-FAMILY BLDG _ Y J-91 TYPE OF WORKI~ZY CA C 1('e~ a*56~- FIREPLACE(S) _ 0_ 1_ 2 APPLICANT STREETADDRESS X ~c- I~e A S CITY L?'~~~~ STATE vi,•~ZIP 5~33 TELEPHONE #'167 -107 eC`i2l CELL PHONE # FAX # 9 s z $og 3y~N PROPERNOWNER V o U5 (7?e-*.n iELEPHONE# 6SI 6919' COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category MINNESOTA RULES 7670 CA1'EGORY 1 M - i~ qqq (4 submission type) • ResidenGal VentilaBOn Category 1 Worksheet Su6mitted • . e . sdee ~ mitted • Energy Envelope Calculations Submitted ,lUl 2 2 2002 II Mumbing Contractor: Phone # _ Plumbing system includes: _ Water Softener _ Lawn Sprinkler ee: . Water Heater _ No. of R.I. Baths No. of Baths Mechanlcal Contracfor: Phone M Mechanical system includes: Air Conditioning Fee: $70.00 Heat Recovery System Sewer/Wafer Contractor. Phone N I hereby acknowledge that I have read this applicatfon, state that the information is correct, and agree to comply wffh all applicable State of Minnesota Statutes and City of Eagan Ordinances. Slgnalure of Applicant L&Ie:l °^-°---------------------°---------------------.__~............r...~ OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Pian Received _ Not Required _ Updated 4/02 OFFICE USE ONLY , . ? 01 Foundation O 07 Orplex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06plex ? 16 Fireplace O 21 Porch (3-sea.) 0 31 Ext. Aft - Multl ? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4sea.) ? 33 Ext. Aft - SF ? 04 02-plex ? 10 08-plax ? 18 Deck ? 23 Porch (screened) ? 36 Mufti ? 05 03-plex 13 11 10-plex O 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex PI6g_Yor_N O 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroaf ? 46 Windows/Doors ? 34 Replacement *Demolition (Entire Bidg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of BMgs Length Fire Sprinklered Type of Const W idth REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaUC.O. _ Footings (deck) _ FinaUNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ F'veplace _ RI. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall , Approved By , Building Inspector - - Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Suppy & Storage S&W Permit 8 Surcharge Treatment Piant Plumbing Permit Mechanical Permit License Search Copies Other Total RESIDENTIAL yJ3q' V BUILDING PERMIT APPLICATION CITY OF EAGAPI 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4875 New ConaCUCtlon Beaulrements pemotleVReoeh peouhemems • 3 registere0 site surveys showing sq. fi. af bt, sq. N. of house; anA II roofed areas • 2 coples of plan (20%marimumbtcoverageailowed) • 7setolEnergyCalculelbnslorheatedaddilbns • 2 copies o1 plen showing beam & wirMOw s¢es; poured tound design, etc.) • 1 sne survey tar eMerior edd'Apns & decks • 1 set of Energy Catulatbns . Indirate Ii home served by septic system for etld'Aions • 3 copies ot Tree Preservatbn Plen N lot pletled atter 711l93 • Rim Joist Detail Optbns seleclbn sheet (hklgs wXh 9 or less unils) DATE ~I ~Lo Z VALUATION /s 0~V O SITE ADDRESS `7 I I~ S4c'lL"S A?- MULTI-FAMILY BLDG _Y 'Z~4_-PL NPE OF WORK_ QG5RX,' DkT-- FIREPLACE(S) _ 0_ 1_ 2 APPUCANT /weri~cc.,,' Bu,Jryt.'~5 6h'77'tic~~s STREETADDRESS 1 ZZY-7:z- CIN l3vrnS~rkSTATEO/ ZIP-5_~3~~- TELEPHONE #°ISZ ~('J't Gf~ZELL PHONE # FAX #f-S2 908- 8g`/(' PROPERTYOWNER Dou, V-pa"-., TELEPHONE# 657-1 4 ge 3ygY COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category MINiVESOTA RiJLFS 7670 CA1'EGORY 1 [ A'RL3~FS.Z672 (4 su6mission lype) . Resldential VeMiletion Category t Worksheet Submitted ew `~r~j~Code •Worksheef Submitted • Energy Envelope Calculations Submitted JUr 2 2 2002 ~j Plumbing Contractor. Phone # BY~ Plumbing system includes: _ Water Softener _ Iacvn Sprinkler ~Fee:= $96.00 _ Water Heater _ No. of R.I. Baths _ No. of Baths Mechanlcal Contractor. Phone # Mechanical system includes: Air Conditioning Fee: $70.00 _ Heat Recovery System Sewer/Water Conhactor: Phone # I hereby acknowledge that I have read This applicaTion, state ihat the information is correct, and agree to comply with all applicable State of Minnesota Statutes and Cffy of Eagan Ordinances. Signature of AppllcaM _.a____OFFICE USE ONLY Certiflcates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 OFFICE USE ONLY ? 01 Foundation O 07 05-plex ? 13 16-plex O 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) O 31 Ext. Alt- Multi ? 03 01 of _ plex O 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OB-plex ? 18 Deck ? 23 Porch (screened) O 38 Multi ? 05 03-plex ? 11 10-plex O 19 Lower Level ? 24 Storm Damage ? 06 04plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Inflmprovement ? 38 Demolish(Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) O 45 Fire Repair 0 33 Alteration O 37 Demolish (Bldg)' ? 43 Reroof ? 46 WindowslDOOrs ? 34 Replacement •Demolitlon (Entlre Bldg only) - Give PCA handout to applicaM 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 Width REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaUC.O. _ Footings (deck) _ Final/No C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tesu _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By , Building Inspector - Base Fee Surcharge Plan Review MGES SAC City SAC Water Supply 8 Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total t ' . 1988 BUI DING PERMIT APPLICATION - CITY OF EAGAN , SINGLE FAMILY DWELLING3 Y INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTEs dDDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MOST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL HE ALLOWED ONCE HUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL QNITS FOR SALE QNITS 0 OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS C02-AfERCIAL INCLUDE 2 SETS OF AACHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS To Be Used For: Nf-0 GNSt2ucT704 Valuation: 464,449-40 Date: 0404~3/89/ Site Address 4111 ST-ftTES RVENUa T731 Doo - OFFICE USE ONLY Lot a(Q Block Lt On site sewage_ Occupancy -3 M-I MWCC system ~ Zoning 12_I Pareel/Sub STR Ff0 P-b QLRGa On site well Actual Const V-N City water ? Allowable V-AI Owner I)qNIEL Lt,DAHL /NII[HEU,E lflDOP-E PRV required of stories ~ Booster Pump ` Length ' Address ,3575 LEXiNGTdN NVfNuE Sou7'71 Depth xs ita S.F. Total City/Zip Code FAGRN. Mr! 551a3 Footprint S.F. Phone 45 a- O aO(o APPROVALS FEES Contractor Frontier MIdwest Homes Corp. Engr/Assess Permit L~6 6b0 Planner Sureharge 50 Address 3902 Cedarvale Drive Couneil Plan Review 2 33,op Hldg. Off. SAC, City O.Oo City/Zip Code Eagan, Minnesota 55122 Variance SAC, MWCC 55D.00 Phone 4;+ 3a33 `IS`I-O 43 Water Conn 550,00 3 Water Meter G, ,np Road Unit 375 ~ 00 Arch./Engr. Phillips Plan Service Treatment P1 24U,o0 Parks Address Apple Valley, MN 55124 Copies TOTSI, CttytEtp-Cpde 14530 Pennock Ave. G{MF~R1'D(~ nDaF:` Phone ll 432-2044 Mediund. Engineering Services 9201Eas161oominplonFreeway - 8loominpion, Minnesota 55420 Land Surv*.yon Clril EnQinsan Land Plonners Phone: 888-0289 I~ survew`s G - BOOK _ PAGE - J08 N0. ftS' 3 ab SURVEY FOR: Prontier Midwest uomes Corporaticn QESCRIBED AS: Lot 2E, Block 4, STA.TFOFP. PLACF, City of F.ar*an, !''axota County, ?`innesota and reservinp: easements TOP OF FOLTNDATION =30~= GARAGE FLOOR BASEMENT FLOOR = a9a.3 SEWER SERVICE ELEV. _ ~ PROPOSED ELEVATIONS l~ EXISTING ELEVATIONS ~ 113 DRAINAGE DIRECTIONS DENOTES LOT CORNERS : o Q[~ DENOTES OFFSET STAKE: ? 'J CZ+enc~+.ar'1: T,N, Nvu. s~ Lot 1,~ 4~,5 ~ 3p q U ~10 N 6 Q N ~ ! q ' `Q a`=~ ~ (11 ~ 'O 6 ? , ~ ~ P•-r' ae~.> o~+L N~ \ ~ ~p~•k- , a`. o T ~ Z p ~ VI ' I h ` ~ \\Wv y_ 1 1 _ 1 / B . kO , EAGA IV EIVGIN'r;t;RING D~PT'. ~1 =5'•' \ 30 , CERTIFICATE OF SURVEY Z hereby certify that ihis survey, plan or report wos prsparad by me or under my direct . supervision and thof I am a duly Reqistered Land Surveyor under tha laws ot the Stote of Minnasofa. ~ Date: 62 / ID /88 ~L~,~,,~•C7~ Jeffr y . L ndpren , License Na. 14376 . , C:4Ynt~Z~~~ . . . k. . , . Ku~waA~ 7- x ~ - _ ~ E~7'~.TU^R :YVELO?c AYcr~:~GE "U" COMPUTATiON CWt{ER Daniel Lodahl and Michelle MoorP • SITE ADORESS 4111 States Avenue 1~l CONTRACTOR ~ftn„i,;.oA DATe ~ 06/23/88 pNOpE 454-0433 - Frontier ' Qeternine warking square foatage of each. 1. Total expased wail area ~ 7 $S,4rolo sq. ft. x .11 2. Total roaTlcailing araa I O$ !3 sq. ft. x ~ ~•a g~ Total exposed wail area abave floor a. Total wall window area i 25.~ b. Total daar area -A4. La c. Total siidina giass dcor arsa . ya d: Total firepiace wall area 449 e. Total wall framing area (average lQ:)...:........ a g g,Rlv f. Tota? ne:.-aall area abave fioar tt~~L.88 ' • g. Total rim joist area v{S Total exposed faundatto? area = 't5.3 3 h. Total foundatian wiadaw area . i. Taal net foundatian area above arade -Ig,~3 Deteraine "U" value ot each wa17 sagnerst. • a. i a5.5 x°u° .~s = y~.85 b. 39.(Oa X„u„ ..y5 = c. y~ z"u" . Y5 d. y8 X „Un e. e3 a.$.967 g lfuto .0-7 = I (O.b2 L~- [la rJ(o. gz X°11° O3 9• 1~-1 8 X°U" e0 3(5 = .53~ h. X "U" _ z °u° .iy = b.5 3 Total = ~ If item #3 is the same as, or less than iten 11, yau have met tF.e ietent of SBC 6006(c)2. • Total exposed roaf/ceiling ares p g$ . Total gross roaf/ceiling are3 - j. Tota] skylight area k. Total roof/ceiling framirtg area 1. TotaT net insnTated roof/caiiing area....... q -jq_-z . Oeteraine °U" value far e=ch roaf/ceiiinq semeeat. ' . - x nUu k. it75~.SS X "U" .dZi = 2.Z~ T. 914t.2 X "U° .019 8. ~o 4 ..................................Tatai = 2 . S If totai cf 744 is the same as, or less than p2, you have met the intent af SHC G006(c)7. To utiiized the tota7 envelape systrn method, the values.established 6y the sum of items a3 and 14 shali not he greater tflan the sum af ites ii and n'2. + 2. 3. \ae) 5 + 4. ZOt~~ = Z11.93 MeLM" ZALS Taera. 3esistance "fi^ EzL a: iar A:: Sidi.ns.,Kateri3l •42 Sheathing 314"'Ckac~ 5- Insulat i on SO Sheetrock , S'8 _ Iaterior Air .(s1 . Studs 2ar. .G .S? Rix& lIe"I I canc. Bus. ~,zs~ . ' ~ . •`l. .............l ~ ' ' T..re~__~ Y.l~ n.EC • . ~ I II Z• ~~7 ~ ~ 1 ~ 1 ^ •4 a. J • -':=y .:~s ' I' S. SIDtl.] G _ , ~GZ c_ a_ : 0. I : f , Tocs: ; ! ~ ' - : U. e0'7. • ~ . . , . - _^^.rv=i C? . ; T~11~i~7SLT:. 2. a:--•:~ • O.Sd~. 2. 4O? 3D • 4 7 . . . • : ~ , . 3. 'fo" _ s],1 _ ! ~i .O ' Su •(e2 • . ~ ~-,f.f ~~.nr 6. ~'..x'.erar aiz- 0.17 ?IG. #2 •~1'~I~ _ . • ' Total 302. .b37 ' ~ . ',~'~2.• Ints:u ` a:= 0~. fi' . . ~ N ~ ~ ~LJ ~ 3_ Z~-~,_ _~1 D I 5 r }~'L S- G~~~:A ~M ~..L! ~ S• ~ I D I TJ G ~ • f. Z, = 7 a~ 2i o~ f.r~ f~~ • 6. EXtericr ti= :~Zr*c O. li = . • T" ~ ~ fl . . a~.~6 . ,~~t 1 ~+'.~..----Z~ . _ • U = ;..0~C r~ e . • • - • ~ +~v . I. Sn:e:'c: ai.. or~ 0.68 . c v: ~ . • n • 2. L R1GfD 1 l •a~ C:T ' ' . • ~ . +J?T• ~ ~0~ ~ , • 4. 1? ' LOrIC 15 lAG'iC I. Z . c • p • ~ ~~r - - 5• ' , 0.17•~ "r'er_ar ai= f;iw n : t....c " ~ i • , ~ ' . . To~ • . ~3 : ' CN 'G=E • . , ' • ~ • ~~~~~/fl ~ t~ ~ • • , . . - rrr~ . , . • . • , i 4 r' ' . q~ = . ^ • : , , ' = , ~ . l~~ • • • • !!I 1 • , . : ~ . r - . ?zG. #4 I!t 6 • o • - i • . ~ . f ~ ~SG~ #3 . , • ` ~ Y X X K ~ ~~l 7- 714~t'~..0• i ~ ~ • ' . placac:r' e' 1 : ~~i. ' . ~ ~3 , • • e ' • . . Si e1IN s~ • wn t.t. ' J:n ~S1 O1 CjoAllllr} v.til ACC11 lot' T f:ar,r: cow.trvci fun _axy R 11 xu54A F.xtcrii.r .111 Ii:m^ ~ U.17 ALI. . Yui~~l~_~--~"' ' • V: Q r'J$ • ..''r;' . . . FIC. I1 'fGPVIt3i OF ~ ~ FriWti NALL . 1. Intrrlt+t air filu% (1.Gti ~ • 2. ~ . ~ . . • . . , ' 4. -°----._.._..r_. . • _ y~ 6. Extcriar ait' Cilm. . '•0.17 . PIC. 82 ~ ~ Sbltl i ~ •~-ti:! , • • ]ntcrivr air fitm n_f,9 ol 3. ~~GdL • ; ~_'-_.1~' 4. Yx[r, rior nir i i Im 0_17 1--~' Qb otal. ~l-~.a~ Q 1. InG!~ i•tt _~1Y_Cll~...._"'._ •_•_'P.G~ ~ ' :~4 1IIC11 : , 'C~ ; _.L. • _ .___r.+.~ y . • ~ . - • ~ • ~t • 'a' ~--------0 n. ~ . ~ • ~ • ,-';~_~c s. . ~ - " . J' 'r' r G. t:sr,:ri~,r .~~r i~!~,_ o.t't n . -••i•u~:il 5TJil1 f)tl (:INi)E • I-L T1C. BA . i 7 ) o. 13, ~L;;: ~ . ~ Y , s • Icr~Jl-_:•i-:'. i:; : ~:f ; rt • 7a :n ~ n T1 7c ~ ~ ~1 ~ ~ ~ . z c . . , ' ~ ~ I\ ~ ~~1 ~ CA • - ~a~ ~ Ul ~fll Q~1 f r tI ~ ~ra 0 u°? ~ m Ng-n U c c. ~ C) ~ --P~ y. C 6~ . o . ~ ~ r • r ~ r _ o ~ i• w w ~ ~ - r, ~n ep_ - • . rn ~ . J ]_i ..p ; ' N. ~ : . ~t . ' • , , c;, ' ' / Uy~.Jt~_C Cn R V1lLiC ~ ~ • • Z a7 r ea. = .0.02. . ~ • • r ~l " ~ 7/JZ.+ /--Zllr 1~..`I'D ~ '~l~T:~~' . 1_ 1dl4UC. SO ' SCA ,~~~Ill? ~.,~c~~~~~,?~1~, ~ mxtc=:a=__ (sc:,l) a. i . - • O . • ' . . . - • ' • • V= .Ot`~ . ' ~ . . . _ . . . .F+~~ _ . 1 ~ Zntcrior air ! '_l.n ' 0.51 ~ead ~ rt • =eac f1av • G~ R.~ 3. 3. 2 x y_ f ~llS tt L • K 3 S ' ' • 4. Estcrzar ri: f(stzl 1 t'. n, ~ . ' ' • ' • . . . TotaL 2 : tf(e.j . . ~5 . : ~ - • . . U E~ . . • • ~ . . V • ~ . • . - ~ • ' . . . ' _ , CoA.'~sR?CT/ o7L . ..»......-.~~s,•-•.~:.:vs..a.~_-..+.-~..i~~s:~~a.~ i 1. In512c sir filta 0.61 ' . • 3. ' ` - l. 5. Gu:s:de air f_'m . 0. t 4i ~ n Toea1 RL L,,,( ~ t L 3 Tsssidc air li2m a:5 ~k'a f ov vP . , ..="veatn3 . • ~ 4. - ` - • . • . . • • 5. Cvtside 317 film a. , • ~ . - • , ° - Total . , TIG. i 6: . . . . . ~ . • . • 3 ~ - • ~ ' :v _ ~ Inside afr tilm • ' O.E • ~ • ~1/•q~ 1.lJJJL J~ . . 3- • . • ' , ~ M;?~~ ~ .~5~.:~.: 4~ G. r.~: ' •r" ' - 5 Gtitr?dc air F?la • ; / ~ ~ . • • ~ . ~ . I • ' ' • . ~ . ~ . ~ , . . ' ~ ~ ~ ~ • Xotc: t2sa a'c.c.':"_.~.cssal s.'ss_G^. i° .:.ar _ . • 3G:-tii.:~ • . ~ , .sess:=d far ~letsi~ szu.' cale~s'_s: • . ; : . • g~= . • . . ~ . ~ . . • , , . . • • . ~ 1'_av tsp . ~ _ • t. : . • v=r_ f7 • ' . ~ . . ~ • ~ • . 1989 BUI1-DIAG PERMIT EPPLICATION ~ CTfY OF EAGAN v~~ SINGLE FAMILY DiiELLZNGS MATLTIPLE DitELLINGS COlB'IERCIAL 2 3EPS OF PLANS 2 36TS OF PLANS 2 SETS OF IACHTfECTUEtAL 3BEGISTERED SITE SDBVEYS REGIST6NED 3ITE 3URVEI3 - 6 SiBDCTQ1tlL PLAN3 1 SET OF EBERGZ CALCS. (CHECS iiITH HLDG DIY.) 1 SET OF SPECIFICATIONS 1 3ET OF ENERGS CALC3. t SET OF EAERG2 CALCS. MULTIPLfi DiiELLINGS 9ENT6L IINITS FOA SAI:E OBTTS i OF OBITS iOTEt lDDRE4SE4 FOR COAIQEA LOtS - COATRACTOA/HOlEOiiNEA !lOST DESIGNISE iiSICB IDDAESS IS DESIRED. li0 C99NGFS WILL BE 1LLOIIED ONCE HUILDING PERMIT 13 I330ED.. 3EiiER 8 WATER PERMIT FBFS j1iD ACCOONT DEP062T !E€S WII.L Bfi INCLIIDED 11I'P6 THE HOILDIN6 PERMIT FEE. PAOCESSING TIIME FOA SEWER AAD HATER PE&SI15 LS SfiO DAYS OBCE ! PEAMIT HlS HEEN CONIPLETED INDICATIAG A LICENSED PLUMER. PENALTY APPLIFS WHENs PERMIT IS NOT PAID FOR IN SAME MONTH IT IS AEQUESTED. LOT CHANGE IS AEQUESTED ONCE PERMIT IS ISSIIED. To Be Used For: ~F C-k-- Valuation: Date: J-Vl~ 41 ~q 0 Site Address 1} ~Tyj~'FS ~,"Vrz-~ 01~-, OFFICE OS6 OliL2 Lot Block Oceupancy fEF.S 2oning I Parcel/Sub ~I ,qF~cY1n P~~-~ Aetual Const Bldg. Permit Nf~- Alloxable Sureharge Qwner UA NzIEL. C. I.D,Df`v 1-Z 1.- 1 of stories Plan Review Length 26, SAC, City Address 41 1 1 <;TA'('I-;S f~NC-svAE Depth .714' SAC, NWCC S.F. Total Aater Conn City/Zip Code EA GAN \r*\f~ 551 L3 Footprint S.F. Aater Meter ~ Aeet. Deposit Phone Co iZ~ 452.' OZ 6(p On site eeuage S/H Permit On aite well S/H Sureharge Contractor DA.tj I.oIJA I-1L MWCC Syatem _ Treatment Pl. N om~ or1 N FCiLy vater Aoad tlniL Address PAV required _ Park Ded. Hooster Pump _ Copies City/Zip Code sUBTOTJLL lYPaOVALS Penalty Phone Planner _ TO'TAL Couneil Arch./Engr. Bldg. Off. YariBnCe bddress Citq/21p Code P6one 8 ~ Hedlund Engineering Services 9201East&o~maronFreaway - Bbominpton, Minmsota 55420 Land Surveyors Clvil Enpineers Lond Ptonnsrs Phone: 888-0289 ~ sur~ve~or`s G'ert~f "~cate / - BOOK _ PAGE _ _ J09 N0. "9 SURVEY FOR: °rontier ??idwest ??omes Corporation OESCRIBED A5; Lot 26, Rlock 4, STAFFC?FP, ?LACE, City of Eagan, T'aicota Cr,untp, ;`innesota and reservinp: easements TOP OF FOLINDATION = 90t.= GARAGE FLOOR =-lo', I SASEMENT FLOOR = a9s.3 SEWER SERVICE ELEV. _ ~ PROPOSED ELEVATIONS :CD EXISTING ELEVATIONS : ~ DRAINAGE DIRECTIONS :-w - ~ DENOTES LOT CORNERS : o QM DENOTES OFFSET STAKE: ? $encknarK; T.r.i.HVO. 'St Lerl.~ 4cS u 30 `r ~ t ~ 1 Pag.._1 4 L\ / ~ v ~ ~v I Li ~ ~ ~O u1 ~ - 0. 31 oE ~ ~ a \ ~ 5 1, , 30 ~ ' \ + ~ b ` o ay=9 N ~ \ sP.}- u od'' ~ ~ lN \ 7 Caa`Z= w. ~ W ~ ` ~,,,~.,.1 z~ "a 1'ea~ ~ a~~ rn 5` Y o' 1 e m o' ~06. 4 ~ b ~ t h N 78,27'/s, ~ ~ ` 1 ~ 1p % Ln _S53 ~o.c ~ CERTIFICATE OF SURVEY I hereDy cenify thot this survay, plan or report wos p?eparW by me or under my direct supervision and ihot I am a duly Reqistered lond Survtyor under the laws of fhe ` Stote of Minnesota. D o o r e: (o o, S8 d~sr--- JeHr y . L dqren, License No. 14376 :i> Ti*':RhiLNAl... NC)= 777 DA'i;;:,, 05%05I99 1'ti'iEe 09.0022 :n NAMs;,, rnOUc1...as iAi DFAt•a :iBll 9001 4:LLJ. :il'i-1TE:S At1f-_ 60.0-11 205 900+.. 4dJ.1. SifYTI::S !14'Ei: 0,5(:) Total Rc.ceipa: Amour,t: 60.50 Ci2'.l OS.;iQ $ t=, l.!'sL::R IDu N,4nq:,!' 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 J -Y (651) 681-4675 NewConstruction Requirements RemodeVReoairReauirements ~Ju ? 3 registered site surveys ? 2 copies of plan r ? 2 copies of plans (include beam & window sizes; poured fnd. dasign; etc.) ? 1 sde suneys (exterior additions & decks) ? 1 energy plculations ? 7 energy calculations for heated addBions ? 3 copies af tree preservation plan if lot platted aRer 711193 required: _Yes _ No DATE: CONSTRUCTION COST: DESCRIPTION OF WORK: U~iSPMPGtf 4- *-4-L~ STREET ADDRESS: T ~ I I c~ ~C.~ 1 e S A cle LOT: c~6 BLOCK: LI SUBD./P.I.D. S17&,'{fc)y-Ji 'lr-qCZ° _ Name: De-& n b6 U-q f 0..S Phone ~OS~ ~ C70 O~~ qD`J PROPERTY Last First OWNER j I I Street Address: City ~0.L34 ?''I State: /M !i Zip: ,SLic -3 Company: Phone CONTRACTOR Street Address: License # Exp. City State: Zip: ARCHITECT/ ENGCNEER Company: Phone Name: Regishation Stree: Address: City State: Zip: Sewer & water licensed plumber (new construction only): . Penalty applies when address change and lot change is requested once permit is issued. I heseby acknowledge that I have read this application, state that the information is wrrect, and agree to comply with all applicable State of Minnesota Statutes and Ciry of Eagan Ordinances. ~ SignatureofApplicant - - . " I OFFICE USE ONLY I ,..„29iG99 Certificates of Survey Received _ Yes _ No ~ ~ I Tree Preservation Plan Received _ Yes _ No _ Not Required ~ ~ OFFICE USE ONLY 3UILDING PERMIT TYPE 7 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ~ 16 Basement Finish 7 02 SF Dwelling 0 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool -1 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility 7 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous ? 05 SF Misc. ? 10 = plex ? 15 Deck VVORK TYPE ~ 31 New ? 33 Alterations ? 36 Move ~ 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION I ~onst. (Actual) Basement sq. ft. Census Code N3`fc; (Allowable) Main level sq. ft. SAC Gode 01 ` UBC Occupancy sq. ft. Census Units Zoning sq. ft. Census Bldg ~ ~ of Stories sq. ft. MC/ES System _ength sq. ft. City Water JVidth Footprint sq. ft. Booster Pump PRV APPROVALS Fire 5prinklered ~Ilanning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MC/ES SAC Ciry SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other ~ Copies _ Total: • % SAC SAC Units L CITY USE ONLY RECEIPT l075 1a2 ~ BL ~ SUBD. 51a-l~J'G jqQCQ RECEIPT DATE: ~7` o2I ~ V'e-Vmitit A- 1999 PLUM$INEi PERMTI' (ftESIDEN'cIAL) CITY OE £AfiAN 3$30 PILOT KNOB RD EAIfiAN, MN 551E2 (651)6$1-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinkler system FIXTURES EACH # TOTAL Bath tub $ 3.00 x = $ Floor drain 3.00 x = $ Gas i in outlet ' minimum - 1 3.00 x = $ Hot tub/s a 3.00 x = $ Kitchen sink 3.00 x = $ Laund tra 3.00 x = $ Lavato 3.00 x = $ Minimum fee alterations to existin dwellin 30.00 x = $'6o_ 06 Private Dis osal S stem new/refurbished ' re uires MPC iic. 75.00 x = $ Private Dis osal S stem abandonment 30.00 x = $ RPZ new installation/re air 30.00 x = $ Rou h o enin 1.50 x = $ Shower 3.00 x = $ Under round s rinkler if dwellin is under construction 3.00 x = $ Under round s rinkler if existin dwellin 30.00 x = $ Water closet 3.00 x = $ Water heater 3.00 x = $ Water Softener if dwellin underconstruction 5.00 x = $ I I Water softener if existin dwellin 30.00 x = $ Water turnaround 30.00 x _ $ State Surchar e .50 .50 Total $ . Reminder: Call 681-4675 for inspections of water heaters, watsr softeners, alterations, etc. " - I herebyacknowled9e that I have read this applicaGon, state that the informatlon is mrrect, and agree to comply with all applicable Gity of Eagan adinances. It is the applicanYs responsibiliry to no6fy the property owner that the City of Eagan assumes no liability for any damages pused by the Ciry during ifs normal ope2tional and mainlenance activities to the facili6es constructetl under lhis permit within Ciry property/right•of-wayleasement. SITE ADDRESS: w Stei`I eS Alle- OWNER NAME: d U4i k S lbe`t h INSTALLER NAME: / TELEPHONE STREET ADDRESS: "C 1 I I 5-F27, ~r-s / I i/E' CITY: ~CC~jR~1 STATE: ,_`N ZIP: SIGNATU OF PERMITTEE CD/PERMIT FORMS/RPLBG PERMIT (RES) - 1999 , . APFLICATIQN FOR PERMIT PA~r OF FEE AT TIME OF ; ; neetaCATIoN mrs Nar mrr- ' • 5fI1t71E APPRGJAL OF PER[-IIT. SEWER ANQ/QR WATER CC~NNECTION i INSPHCPSCN OF SE,w12 AN1/OR WATER P. . . R IDLSfALiATION5 WII.L NDT HE SCCmUfI.FD ~ (!NPIL PIItM1ffT HAS HEQV APPI20VFD. y •itsw+t++k++3>tx~wrtax~tt::tw+kxwr»i+x ~ City OF CCLc3af9 (PLEASE PRINT 1) PROPERTY ADDRFSS: .r.{fll SjA7"p-S RVeNUE TFY;AT• DESCRIPTION: . . . . . . cor ato 78100- y SvQrFoieD !?LAGE Lot Block S vision or Tax Parcel ID IF EXISTING STRL'CTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: Nbnt Year PRESENT ZONING/PROPOSID USE: Q COMh9ERCIAL/RETAIL/OFFICE I~ R-1 SINGLE FAMILY Q INDLSTRIAL ~ R-2 DLPLEX (Ttw L'nits) Q:INSTITUTIONAL/GOVERIVMENT ~ R-3 TOWNHOL~SE (Three +:Onits) ( Units) Q R-4 APARTMENT/CONIDOMINIUM ( Units) z) ~ NAME: F.QntineP- ftDwES-r HoNiEs Co2F0jeAri04 ADDRESS: 390a CEDAj2VRLE -DQi VE CITY, STATE, ZIP: FAGRN MN 5515'a PHONE: Li 5L1 - 0 433 For City Ose 3) NAME: S7aa2~tLUMf311JG Pl~ersI.icense: ADDx~ss : IO 18 o u iV 0 S'PR ING S 7~~2AGE Active xE FScpired CITY, STATE, ZIP: ~t LcOM~NC~TDN, /Ylnl ~5LJa0 Not recorded PHoNE: ~8u - 4 149 nAsTE[t Lrc.ErasE # 23,9 9 st ra n~ tial- 4) ~~m0 N1ME: -DANIEL C4pANL PNp Mic.NELtE MooPE AwDxsss: 3575 I.EXiNGTDIJ AJENUC Sou7-9-1 CITY, STATE, ZIP: FA6pN fdI iNNESOTA 551a3 PHONE: D a040 5) s a •a~• .i ~e Q CANNECTION 7n CITY SEWER M CONNECTION TO CITY WATER O OTfE2 6) o& /a3/8S * * THE GOLD COPY OF THE PERNIIT WIIS, BE SEDTP DIREGTLY Tb PUSLIC WORKS 1U FACILITATE MEPER PICK-DP. * PLEASE ALSOYi ZFA WORKING DAYS FOR PROCFSSING. SOAIDONE FRCM TM CITY WILL CONPALT YOU IF TFIERE * * ARE l1NY PROBLEMIS. + ,~,t**,~*****~**~*~*~***+~e******~~*+*+:r**~***~~***~*~r**~*~****+~*~~**~e,e+*****~*~*~**~~~~*~~****,e*****; . FOR :CITY .USE ONLY ' PERMIT # ISSOED Pd w/Bldg. Permit FEES: $ $ SEWER PERMIT (INCLUDE SURCHARGE) $ $ WATER PERMIT (INCLUDE SURCHARGE) $ 7d n $ WATER METER/COPPERHORN/OL'TSIDE READER $ $ WATER TAP (INCLL'DE CORPORATION STOP) $ $ SEWER TAP $ ACCODNT DEPOSIT - SEWER $ ACCOUNT DEPOSIT - WATER $ J .S`O C~ $ WAC $ $ SAC $ $ TRL'NK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRDNK WATER $ $ WATER TREATMENT PLANT SLRCHARGE $ $ OTHER: $ 16-2-2_- c)-O $ TOTAL ~ R CEIPT RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? ~ YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC Q ROADWAY" MLST BE ISSOED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FDLLOWING CONDITIONS: APPROVED BY: TITLE: DATE: 2005 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date ~n c-! Site Street Address Li 7 7~ AvL Unit # Property Owner bC) ' Telephone # Contractor Telephone # ( ) Address City State Zip The Applicant is: ~-<Owner _ Contractor _Other Alterations to existing dwelling $ 50.00 _ Add plumbing fixtures. This fee includes putting in a water softener and/or water heater at the same time. !f you are instaUinsr onlv a water soitener and/or 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 $125.00 if a 5/8" meter is required) Other: _ Water Softener X, Water Heater $ 15.00 _ new ~ replacement Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge $ .50 Total $115• 5D 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 I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approv . D3 J@.S Uv , tl,._J V\ V, oa~ ApplicanYs rinted Name App' nYs gnature Date q /S ,'c Site Address a'//( Unit ��u� X57 kV 3(42 4 Property Owner 7 Telephone THE SNELLING C01V ANY, INC. Contractor rONCORDIA 1101 ST. PAUL., MN 55104 Street Address EF, 1- 646.73$1 City State Zip Telephone Bond ."3-�r 1 9 t 41 3 Expires: The Applicant is Owner Y Contractor Other Fire repair (replace burned out appliances, ductwork, etc.) This fee applies when extensive mechanical repairs are made to a building. 90.00 Add on or alteration to existing dwelling unit furnace Additional /Replacement New 50.00 air exchanger air conditioner heat pump other State Surcharge .50 Total Please complete for: single family dwellings townhomes /condos when permits are required for each unit I hereby apply for a Residential Mechanical 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 with the Mechanical Codes; that I understand this is not a permit, but only an application for a permit, and work is not to start without a that the work will be in accordance with the approved plan in the case of work which requires a review and approval of pla 4 N Applicant's Printed Name SD. SO 2007 RESIDENTIAL MECHANICAL PERMIT APPLICATION 9 C City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone 651- 675 -5675 App cant's Sign