720 Stonewood Rd p • Ku -M
~e~~ica#e v~ ~ccu~anc~
~ ~it~q o~ ~agan
~c~partateat o~ ~xit~a~g ~n~ection
This Certifcate issued pursuant to the r~qairements of the Uniform Building Code
certifying that at the lune of issuance this structurr was en compliarece w>ith the various
- ordrnances of the City regulating building constructiore or use. For the following:
ux c~~xu;oa: awg. r~~~ No. 2~
oc~r.~r Typc ~/1'11 zan~ng aSa;r., R~ TyP~ ca,st. ~'1
o.~« oc aww~.gFF.AIURE BUII.i~RS ~ 15513 I1X'~11D II~1, B' VbiE
s~ia;~g waa~ 720 Si~~00D I~AD t,o~;n~,l l, BI, WII~IRf~L SIA
i
f~ ; . ' !6/;,/
% ~
eu~~~ ar~~
POST IN A CONSPiCUOUS PLACE
, `
. . , INSPECTIaN RECORD _
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued: ~ ~ ~ ' ~ ~ ' ~
(612) 681-4675
SITE ADDRESS: , , ~ t _ ~ ~ ~ { ~ ~ } ; APPLICANT:
+~1~~ ~I,.~~It }:(i t ii~ . i~ i i i i,
I I I tl~i f! I~ ~I i i. i,' ~ '1 ~ :t:~:~
PERMIT SUBTYPE; TYPE OF WORK:
~ u~ ii
. .
~ i i i, ~ ~ ~ ~ .
. :~.r~ ~ r~,, I ~ i Pli~
s i~.~ .t11 i't t i~~re t; t't I ,
~~~~~,ti ~ 1~ : i r.~. i~~ia~ll !!d '.I I
; I~i,~,l I f~~~ 1 II~(~1
i:i fAli! 1', I I i 1 I;I '1~~~ ~lf•J'.~1(! I`~ lil~
~ ~
~ ~
. Permlt No. PsrmR Holdsr Date Telephone t
SNV
PLUMBING ~f ~j ~y7'~
HVAC ~ ~J~ J` (f7S=Q~/(7
ELECT 33 58` ~
ELECT q ~ ~ g,~
Inspectlon Date Insp. Comments
Footings I ~ ~ /n l'X
Gr^~{.
Foundation /
V
Framing ~l~/Q
[
Roofi~g
Rough Plbg. ,/~~j
/ s~, Kr
Rough Htg.
0~ ,Jraa~r
Isul. Q
Fireplace
Fnal Htg. Y 2~'- °j ~
Orsat Test
Final Plbg. Z` 9~ ~ Plbg. Inspector - Notify Plumber
Const. Meter
EngrJPlan
Bldg. Finai ~ ` ~
Deck Ftg.
Deck Final ~ ~ DO
/
Well
Pr. Disp.
V( / 1 n J
~6 54 ~ I ~
~ Repuesl Dete - ire No. Rough~in InOSac~ion Requlretl Inapec~ion Ot~er Than Rough~ln
~^ic"~
~ (YOU ust ell inspector w~en reaEy) ~ Reatly Now~ Will Notity Inspector
~ ~Ves ? .NO DeteReatly
I~ licensed contractor ] owner hereby request inspection of above electrical work at:
Job Atlo~~ss ISlreel. Box or Route y
~ O ) QD~ Cit `
Q~y~~
Secllon No. Township Name or No. Renge No. Coun~y L~r~~
Occu anlf WT~ ~ Phone No.
. i.•~.~cvtia.~/C..C/
Power$upplier~ ~ Atldress ~
Eletlrical nLaclor~Company Na ~ ~ Gonlractor ense Na.
~ /
Maihng Atldress IC nvac~or or Owrar Making Inslallalion~
7~
AotM1OrizeC ~gnaWre ICOnlracto~%O r,er Making Inslallation~ _ Phone Number
o- 3~
MINNESOTA STATE BOARD OF ELECTHICRV THIS INSPECTION REOl1E$T WILL NOT
Griggs~Mltlway BIAg. - Roam 5-1]3 6E ACCEPTE~ BY THE STATE BOARD
1821 Ilniversity Ave.. St. peul, MN 55100 UNLESS PROPER INSPECTION FEE IS
Phone(614)fi43-D800 ENCLOSED.
j(`.~ REQUEST FOR ELECTRICAL INSPECTION #ps'""``~~,,~ EB-OWO~-j~
. 7~ ? See instmctions lor completing this brm on back ol yeilow copy. (~J
G~ 6 9 5 4 7 Below Work Covered by This Request
- ew tld Rep. ?ypeoi8uiltling AppliancesWired EquipmentWiretl
Home Range Temporery Service
Duplez ~ Water Heater Eleciric Heating
Apt. Building Dryer Load Management
~ IComm./Industrial Furnace Othef(SpeCily)
Farm Air Conditioner
Ofier ~suec~y7 Comrac~or's Remarks:
1
Compute Inspection Fee Below:
# ~ Other Fee # ServiceEnlranceSize Fee # Circuits/Feetlers Fee
~ Swimming Pool 0 ~0 200 Amps ~ 0 to 100 Amps
Transiormers Above 200 _ Amps Above 700 ~ Amps ~
SignS , Inspector's Use Only: m ~l TOTAL c~ ~
Irrigation Booms x `
,GU g -c.~/
Special Inspection ~ U ?
Alarm/Communication THIS INSTALLATION MAY BE D DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MO THS.
I, the Electrical Inspector, hereby Ro~9n-m ~ oa~e _r~~
certify that the above inspection has F;~ai a~e
been made. ~
OFFICE IlSE ~NLV ~
TMS raquesi voitl 18 momns Irom
~33~ ~9~// - , ' ~ ~~~io
Ra0uesl ~ete Fire No. Rouqbdn Inpeection FepWretl Inspectlon Other T~an Roug~~ln
}i.- /y~' (VOU must wll inspeclor when reeEy) ~ qea0y Now ? Will Natify InsOector
S ? Yee ? No Date Ready
I~licensed contractor ? owner hereby request inspection of above electrical work at:
,
Jo~ AtlOress ~SireeL Box o~ Route N Ciry
a0 Oe ~rtJ
Sectwn No. Towns~ip Name or No. Pange No. Coun~
Occupant 1 INT Phone No.
Powar pliar qtltlress +
Elecmcal Conva riCompany Name) Contrec~or5 Li No.
f
Mailing Atldress ICOnvad or pwner Ma+ing Installetion)
Aut~onxe0 51 nature IConhactorOrvner Ma'4^mg Installatio P~one Number
II ~ ~
MINNESOTp STATE BOARD OF ELECTFICITV THIS INSPECTION REOUEST WILL NOi
Grlgga~Mitlway BIEg. - Roam 51~9 BE ACCEPTED BY THE STATE BOARD
18Pi Univere0y Ave.. SL Paul. MN 55100 UNLE55 PROPER INSPECTION FEE IS
Plrone(BtP~643~OB00 ENGLOSE~.
!J' REQUEST FOR ELECTRICAL INSPECTION ee-0ooo,-oe
?q/q~// p,{, ? See insimctions ior ~ompleting Ihis lorm on back or yellow copy. ~~~/D
dtl 3~ ~~O J X" Below Work Covered by This Request ~~4~
ew TypeofBuilding AppliancesWired EquipmentWired
ttome Range Temporery Service
Duptez Water Heater EleCtric HeaNng
Apt Building Dryer Load Menagemenl
Comm./Industrial Fumace O~her (SpeCify)
Farm Air Conditioner
Other ~syeci(y~ Conhacbr's flemarks'
Compute Inspection Fee Below:
# Other Fee # ServiceEmranceSize F e # CirouitsiFeeders Fee
Swimming Pool 0 to 200 Amps r 0 to i Amps
Transformers Above 200 _ AmpS A6ove 109 _ Amps
$i9n5. Inspecror§ Use Only: T~TAL ~/~1
~ Irngetbn Booms ~ J~
Special Inspection
Alarm/Communica~ion THIS INSTALLATION MAY 6E O E DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical InspectoG hereby Rough~in oa~e
cerlify that the above inspection has F;,,ei oa~
been made.
OFFICE USE ~NLY
T~is repuast voitl 18 manths Imm
.~~uress 72o S1otu~zxlon ~w Zip 5512~_
L.ot~ ~ u Blk ] Sub wrNnrar~ srt~
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: /O Yes No Inspector:
Final grade (6" from siding) ~
Permanent steps (garage)
Permanent steps (main entry) j~
Permanent driveway l/
Permanent gas ~
Sod/Seeded grass ~
TraiUcurb damage
Porc6 V
Basement finish
Deck ?
Please verify with [he builder the removal of roof test pps from the plumbing system and ihe shut-off of water supply to
the outside lawn faucet before freeze potential exists. ~ -
Contad engineering division at 681-4645 before working in rightof-way or installing underground sprinkler system. ~
White - Ciry Copy ~ Yellow - Resident Copy Pink - Contractor Copy
I
7~ ~ s~.~~o~~p
'~.ry. ~.t~awl.
/
L ~
~ -
1
Q '0l L~
~
B '~G~
RESIDENTIAL
5n BUILDINC PERMIT APPLICATION
CITY OP EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651•68'1-4675 ~~7~ '7S
New Construction Reouirements RemodellReoair Reauirements
• 3 regis~eretl site surveys shuwi~g sq. A. of lot sq. ft. of house; and all roofed areas . 2 copies of plan
{20 % maximum lot coverage allowed) . 1 set of Ene~gy Calcula~ions for heated additians
• 2 copies of plan showing 6eam & window sizes; poured found design, etc.) . 1 site survey for ex[erior additions 8 tlecks
+ 7 set of Energy Calculations . Indicate iF home served by septic system for additioirs
• 3 copies ot Tree Preservation Plan if lot platte0 after 7l1193
• Rim Joist ~elail Options selec6on sheet (bldqs with 3 or less uni(s)
DATE ~ ~ ~'O J ~ Z VALUATION ~~O
SITEADDRESS ~~v ~7~/Il'l,P (~1,00Q~ ~MULTI-FAMILYBLDG _Y ~
TYPE OF WORK {..P~Y
00~ FIREPLACE(S) _ 0_ 1_ 2
APPLICANT ~J(.( ~~.1~"~J~-~ L~~T'E~~ D1-S
STREETADDRESS l ~~c0 ~('_3~~ ~ CITYC'CYP~l't /~~rgTATE~ ZIPJ`~S3y
TELEPHONE # 9~z'~8I^~~~£ELL PFIONE # PAX #
PROPERTYOWNER C~~{~,(' UvL TELEPHONE# ~ sf-~~5~ 7~5~`~
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
f~,,
Ener Code Cat o _ ~q~; ~ ~ ~
9Y e9 N YlINNI?S07':1 RUI.I:S 7670 CATh;GORY 1 ~I ~ L.F.. 767` I~!
d
(v submission rype) . Residential Ventilalion Category 1 Workshee[ Submitted • Er r C~d$,VI~}4ee ~u mitted
• Energy Envelope CalculaGons Submitted
By
Plumbing Coniractor: Plione #
Plumbing sys-tem i~icludes: _ ~Valer Sof~ener _ Iawn Sprinkler Pec: ~90.00
~Vatcr Heater No. of R.I. Baths
No. of Baths
Mechanical Contractor. Phone #
Vlcchuiiril sysLcm includcs: Air Condi[ioi~ing rca 5%0.00
_ Hcat Rccovcry Systcm
Sewer/Water Contractor: Phone #
- • ° .
I hereby acknowledge that I have read this opplication, state that th ' ormation rect, and a ree to ply
with all applicable State of Minnesota StatuTes and City of Eaga r' nc .
~
Signature of Appllca
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4l02
OFFICE USE ONLY
? 01 Foundation O 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg
? 02 SF Dwelling ~ OS O6-plex ? i 6 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 78 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move 81dg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bidg)' ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement 'Demolition (Entire Bldg 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 Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaI;C.O.
_ Footings (deck) _ FinaVNo C.O.
_ Footings (addition) _ Piumbing
Foundarion HVAC
Drain Ti(e Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Fiarrung _ Siding Stucco Stone
_ Fi~eplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insula[ion _ Retaining Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
~ z3~~~+t~~
~ ~~.i 3 . ~ s~a~~ ~w'r'" h <; 1 z .a3i ~'~r&iu 44~~,,~5 ~y~,~y. s i i
t r . _ SS e ~aS3's~~°'a ~ '~-G`~ gZyk A~ s ~ ~,r e~ x xr~~~ ,ga, > ,
~ v -3 i" t~. ~ i vt t 3~~ ~"t~'{3&: r t°k~ '~S' t~x s s 1_ 3~ 3 #y~ 3 .
~T9 s s ~ x~~ ''kx '~~4~~`~:~c~ ~Y2TZt~'~.E~k Y~a ~ ~ Fo.~ F~ . SY s~ sfkr>".- .
.n~~~9,.T~uti,~~,~{~S~~A~~~~~.~w~(,`~`F~4 3' a'+T~....~~Ei ~4.5 ~3..e.. ~
T"~ . . . . xx ...2~o->.~b , >~"r~x'~.:,,.~~~'zY~s4,.~~,as ~ ~ ~ ~i .
~ r ~
1994 PLUMBING PERMIT (RESIDENrTIAL)Y - ~
CITY OF EAGAN ' ~
3830 PILOT KNOB RD ~ - -
EAGAN MN 55122
(612) 681-4675 ~ : : ~
, :;.t,
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS ALSO;,, FOIt: T0~ a i`;, O'M~ES.AND
CONDOS WHEN PERIviITS ARE REQUII2ED FOR EACH ~IT. ; '
- . = - -
NO. FIXTURES ~CH TUTAL- _
- - ~ ro~`~.:~.'"3 , A .
I SH.OWER 3.00
WATER CLOSET 3:U0 ' ~ •
~ BATH'TUB 3.00 Y~ b= ~s ~ .
y~ LAVATORY 3.OQ - `;.~1`
/ KITCHEN SINK <.3.0(1 ~ . .
LAUNDRYTRAY 3.OQ
HOT TUB/SPA 3.OQ - ;
WATER HEATER 3.00 3 ~
- ~
FLOOR DRAIN 3.00
GAS PIPING OU'TL,ET •~~m~m - i 3.00
3 - ROUGH OPENINGS 1.50 ~5'_-. ~
~ ^ ,
WATER SOFTENER St00~ -
PRIVATE DISP. • nekcry: u~. 20~00 ~k'
U.G. SPRINKI.ER • nome unaer cons~. 3,:00 ~yt ~'q ;
ALTERATIONS • to aosung ZQ:00 _ ,a _
WATER TURN AROUND 20:0(!l, _ ~ ~
~ ; :
STATE SURCHt1RGE ~ .5:0: ,
TOTAL: ' `
SITE Ai?DtZE~5: rI~ D ~.~ne./~~
~y`
OWNER NAME: T~.~s17Z[~ ~ ~'Cc i~ o G-~e5 _ .
INSTALLER: ~k~~/~~ ~,C~,~n ~ . ~
ADDRESS: ~I/ 7 ~ ~S~"il/7'/ ST- E ° ~ ~ 4 ,
~
CITY: i~<~~lil~~ STATE: 1? ~ - '~Z'I°P CODE;
PHONE ( (~/a ) Z~~-Y7~1~-.. - ' . - ' '
~~-~___.~~~~~y~ -
'~SI ATURE OF PERMITTEE
_
.
. ~ . - :_-jY_
3 d~.i11 ~6~ 1 i i.: C'E'L 9 4.$6~L ? `w ty~' $ S~kRk~•$M3~Y~, . R'+M.~k 3`X"Y~ 3 F F
s~X 3° d~ .3 ~ sa zy ~c ¢~z~s c~Y s s T ,~r1 ~ 3~ x z r 3 a.
3 ~ ~ ~~s ~ .Y3 z8n, ~ 3>xy~nv$' ~ r'~ ~,?k'}c'G_rr t ~ x a a Y .,t 3ass ,~r :
r:,w i. s~ X~ ~ ia ~a.`~~3.~~~K{~R,~~,,3"~~ ~ k~,x
fi s~~ £r~r°~~~w.u,~~ ~~x"~~d~~~~3'.a~'~°'..~sr~ £ L N':
>L ~ ~ , -~ys53 ~ N~:~«.,3a~ y, ~c ~'a s s s°'W~, ~~5~ a~~a ~"~~~5 fa 9 ~ .
. . . . . n: t nQ;....z>.. h ro:e.T~e.~.e..&+~e~ F.w..>.5~'.k~sh~......s... .¢.A.. ~C~ar2?~ ,°'9~.4.. .:x...:
1994 PLITMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT'KNOB' RD
EAGAN MN SS1Z2
(612) 681-4675
PLEASE COMPLETE FOR ALL CONIIvIERCL4L/INDiIS'IRIAL BUILDINGS. ALSO FOR MiJLTI-
FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EAGH
DWELLING UNIT.
_ NE.'W CONSTRUCfION
ADD ON
_ REPAIR
WORK DESCRIPTION:
CONTRACT PRICE:
FEEE 1% OF CONTRACT FEE.
STATE SURCNARGE: $.50 FOR EACH 51,000 OF ~ FEE.
r~NIMUM FEE $ 25.00
CONTRACf PRICE X 1% $
STATESURCHARGE $
TOTAL $
SITE ADDRESS:
TENANT NAME: qq[~
OWNER NAME:
INSTALI.ER:
ADDRESS:
~TY= STATE: ZIP CODEs
PHONE
FOR: '
CITY OF EAGAN APPLICANT
Y, ~y~ ~ ~'4~~S~:y.~..~a~~.~'
`~ss3i~""'~3~~°~'`~i'+~~a~~ 5' }`i~.(S"~v a~'~itir~~"1' ~ ~T~
~ Y `,~'~~t ~°~y. ~,~ff"guxy,~,'""..2.n. ~.~~e ~~g.e<gs»~'°~,?s` h~ dt c~ ;3 a s~' ~~r: z 3a. w e.'N \ ~
3C.7t'~
fa1~ ? .a' +c ~'~~S~,~r~~~,~ ~'».~~,,3~£' 4a`~"°~!'m ~7 "~"'uy
e$~'dg
u~" e ~s~ ~ ~ : t
57NAa7I E . m .a e~~~~~~ia3~.+F E 'i.3~E 3 1ss~~z#yf;l Z,r~° ~ a c ~y$r~~ . .
...b. >~d..' i ~)k,.~...Si;.3xi~A~~i;:.l..~u3L`.3s"ic44.wk'm'~".wk.aadR...;~;i~~x.¢..~.. <Y.sJi;.,., ~T
1994 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
~ NEW CONSTRUCTION
ADD-ON A/C
ADD-ON FURNACE
FIREPLACE INSERT .
DATE ~ ) u-'~1 Z L '~I `a'
FEES
HVAC: 0-100 M BTU $ 24.00 ~
ADDITIONAL 50 M BTU 6.00
GAS OUTLET3 (Mirritvtulvt i C$3.co ~.ncxj 3° v~
ADD-ON/REMODEL (ExISTING CoNSTRUCi'ioN) $ 20.00
STATE SURCHARGE .50
TOTAL Z-1 ~5~~
SITE ADDRESS: ~n~ D D~ I~%C •
OWNER NAME ~'Jt~-GPi1 S TELEPHONE
INSTALLER: ~ ~ r~G
ADDRESS:~,~_ ~ ~ ~-I~., ~'.Q_
CITY: Tr~1~A' /'l~l,'~X-~C. STATE: ZIP CODE:
TELEPHONE llu~ - ~~?`1 ~
SIGN URE OF ERMITTEE
~Sl~ ~tN~Y
y ,~yy - k 5 b L 3> Ye+' v
~ : TS' ~l[ y, H.ro9a Y£~~~'~""~'~~~^`a w . ~ a ~O°9~ ?tH~~ ~t h A F - ~ 3~ t
dw tN~kH~~% E`~6 is~ ~u4`93ff g).» PYd ~b ~'a e3~a: a~ibV g~ e t s s
~ ~ g~ 't - > D ai'£ i cd e ~ '.Sv~'" r i i ~'j S ~ x cE~`'a i.~e a . ~s~~~ r ~ Ti#£Y }~Si~`ssy ~ s~` ~ ~ ~ ,
p~T T g. ¢asa ra aMi s.~~ ~cq""s"~.'qx~~~~ s~'YrFea a~°£~? ~,~.3°ts L j~ s,iACk<i~sz.~ t`~'~ 'hs:. a~
x'lL~Y ~s3.~~~rtw. S~c . ur~a*»~,' 2.p3_4R~3' <{x~7~~~^~?x~~ ~Y`~E~S s 3~~ A~'~~°cy4 x~~~
.....wz.o,t:".as,.ra¢.....x.§~Pi~w"tas.~§x~:~vrxr..
..~`~~.>:~~.,soa`YS.~s .ou.~s.ba~..a~c~: s?x. •~'~rx......,..'~t.~~.......,.u. u :;..~-.K.-L,....~,F~..,..<...~ , a:
1994 MECHANICAL PERMTf (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO COMPLETE
FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE
PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT.
DATE: CONTRACT PRICE: $
NEW BUILDING
INT'ERIOR IMPROVEMENT
WORK DESCRTPTION:
FEES
1% OF CC)NTF~AGF,' FEE $
PROCESSED PIPING: $25.00
MINIMUM FEE: $25.00
STATE SURCHARGE $.50 FOR EACH $1,000 OF ~'~R~T'T FEE.
TOTAL $
SITE ADDRESS:
OWNER NAME: TELEPHONE
TENANT NAME: (IMPROVEMEN7'S ONL1~
lNSTALLER:
ADDRESS:
CTT~'- STATE: ZIP CODE:
TELEPHONE
SIGNATURE OF PERMITTEE CITY INSPECTOR
~,f~~•~~:t:ry:)F^`m.~~~~~i~~I+~i~M~~Ch`:t4).C%IIi~T)Y~Y~C~`.J.iiii~~^~ ~i~~:~~~
(;7:T'Y 4:iF ['(ar;A~ti
f:A'.aF1:f:EFi~ .:IS 7i::iiM7:i~lAl... N0: i48
Pfil'I_.;: 0[J/30f`.:3:3 'iIl'il=~ J.;?~4_1:';i3
Ilic
RArS~:c r1L.i..-A icRICFlN RCCR!-AT't01~1
321.0 `.~Urii ti~0 STCSi~!L'-_klt]Oi] 3z1.F?5
2i~;s 9oa:~. sra~~:~+~aaar.~ r, io„c~o
7a~;a:L Recei.(_~k, Amo~.:nt. 3.i:1.~2i
C~?:L i L:!.'~'f,
tJF..F:R :[D~ J~it~f
>Xm1k~%7R~nXPnYR:,°.yF7X3X~"~Y„`\~X~kiX :;~>k'~r'%t~.tn;:~k~~~>YBtk;~:'tSi~Yr~k
..t~
'i999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
. ciTr oF ~?caN
3830 PILOT KNOB RD - 551Z2
3~ 651-681-4675 ~ C ~ l a g 3 U-`~5
New ConshucNon ReauiremeMs ir
D 3 rcgMered sHe surveys ahowing sq. M. of bt, sq. H. W house 4 coples of plan
and g~ roofed areas (20~ maximum lot eoveraae allowed) 1 set of energy calculaflons for heafed addXlom
D 4 copies of plana (show beam 6 window skes; poured fnd. design; etc.) 1 sRe suney for exterior addHioni 3 decks
D 1 set o( energy cakulaNOru
D 3 coples of hee preservaffon plan B IoT plaHed alFer 7/1/93
DATE: /~U6'C~.ST ~6, /~99 CONSTRUCTION COST: ~GV~~, 000. ~
DESCRIPiION OF WORK: t~'v~~PD~id~O ~sCp.?~~`.~~G ~aL
STREEf ADDRESS: ~a0 ~%O~~GGC900D ~P~ ~/9G'/~.~ /J?~J•
LOT: ~L BLOCK: SUBD./P.I.D. ~~N'dl~.~~ ~"T~~vDrr~o.r~'
Name: ~(//5~5l~ /y,~6~/pr Phone 6-~/- F? ~ B~.o?
PROPERTY F~'~
OWNER
Street Address: 70~~ ~S'717o1/.~'CCe~~~.0 ~P! •
Cfty ~/~l~a9~ state: ~~~slJ zip: vrv`
1~~3
c.~~~ .4'~~,~ - 8~~ - B9pi
Company: /9~C-/9~,~.IQZC%/~ ~C. Phonelk: !o/d 8Q0-~1o00
(area code)
CONTRACTOR
Sheet Address: ~/e79 4 L,~ G°~~e9oP /9(l.~ S license # Exp.
Ciy ~`s~F' BCODf19l/dGT~is~1 State: //y/U Zip: .5~~o~-S
ARCHITECT/
ENGINEER Company: /9.P C~O~T'1',~G°~LP Nome:
Teiephone M: crea code ( )
SfreeR Address: Registration ~k:
,
Cryy State: Ztp:
Sewer d, water Iicensed plumber (reauired fw new conskuction onlvl: 2 6
Pen,slly applles when address ehange and lot change Is requested once permR ia issued.
I hereby acknowledge Ihat I have read thls applicaNon, state that the InfwmaHon is tortect, and
a~ comp wBh all a Ilcabl
State of Minnesota Stafutes and CHy of Eagan Ordinances.
Signalure ot Appltcanh ~
OFFICE USE ONLY yQy',~: ~/DI~?J~l~~,~~
GLI~~
~~r
Certificates of Survey Received _ Yes _ No
s.~,~~~~
~
Tree Preservation Plan Received _ Yes _ No _ Not Required ~~~~~~~~/G
~~1 ~/~G°~ ~Ld~.~',
OFFICE USE ONLY . .
BUILDING PERMIT TYPE
? 01 Foundation ? O6 4-plex ? 11 10-plex ? 16 Firepiace ? 21 Porch (3-sea.)
? 02 5F Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
O 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging ~ 20 Pool ? 25 Miscellaneous
WORK TYPE
~1 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
O 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bldg.• ? 41 Wood 5tove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
` Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. Census Code ~/3~/
(Allowable) Main level sq. ft. SAC Code ~
UBC Occupancy sq. ft. No. of Units
Zoning sq. ft. No. of Bidgs ~7/
# of Stories sq. ft. MC/ES System .
Length sq. ft. City Water
Width Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
APPROVALS
Planning Building ~ Engineering Variance
Permit Fee ~ a~,1,7y Valuation: $ ~ ~OCJ
Surcharge
Plan Review
License
MC/ES SAC ~
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit '
S/W Surcharge '
Treatment PI. ~
Park Ded. .
Trails Ded.
Other
Copies
Tota~: 3 /,2.y
SAC Units
% SAC
` PERMIT
~CITI~ OF~EAGAN
3830 Pilot Knob Road PERMIT TYPE: s u x ~ o x N ~
Eagan, Minnesota 55123 Permit Number: 0 2 3 6 0 9
(612) 681-4675 Date Issued: 05 /16 /94
SITE ADDRESS: p
72@ STONEWOOD RD
LO7: 11 BLOCK: 1
WINDTREE 5TW y~I~
P.I.N.: 10-84474-110-01
DESCRIPTION:
Building..Permit Type SF DWG
Building Wo,rk Type NEW
~UBC Occupancy~.~ R-3 M-1
Construction Type V-N
Zoning R-1
Building Length ~ 8@
~ Building Width ` 63
Building etories ~ ~ 2
, ` ,
\ . ~V j
\ ~ ~n
%rfI /~:\r f \ ; ~i "=~1
. , t. a\7~ u~~ !J
REMARKS:
5& W PLBR - HOKANSON PLBG
FEE SUMMARY:
VALUATION $174,000
Base Fee $898.50 MISCELLANEOUS $1.828.50
Plan Review $584.03 Total Fee $4,198.03
Surcharge $87.00
SAC $800.00
5AC ~ 10@
5AC Units 1
Subtotal $2,369.53
CONTRACTOR: - Applicant - s7. I.IC. OWNER:
FEATURE BUILDERS 14358443 00@1167 FEATURE BLDRS
15513 L06AR70 LN 15513 LOGARTO LN
BURNSVILLE MN 55337 BURNSVILLE MN 55306
(612) 435-8443 (612)435-8443
I hereby acknowledge that I have read this application and state that the
information is correct and agree to comply with all applicable 5tate of Mn.
Statutes and City of Eagan Ordinances.
~ J
~Q Q~-- ~1~,.a ~l,ecrll Yh,J~
APPLICANT RMI7EE SIGNATURE ~ISSUED 8: SI NATU
- CITY OF EAGAN ~~~~~~9~~
1994 BUILDING PERMIT APPLICATION hiAY } p~~
681-4675
~ Iq~ . ~g
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 10-9~- ~ / Valuation of work 1 BS~pao
3ite Address: -7~0 - .,Q~ o R~
STREET SUITE p
Tenant Name: (commercial only)
LOT BLOCK ~ SUBD. ~Q"' P.I.D. #
Descri tion of work: , ~2.¢-W
The appl i cant i s: ? Owner ~ Contractor O Other (~escribe)
Name Phone
Property ~AST FIRST
Owner Address
STREET STE tt
City State Zip
Company ~''.~a~,.e. . D.~ln~o Phone ~ 3S- $ ~{~l3
Contractor Address I~S/3-v~o~.a.,~a--~n.. License ~ 1167 Exp.3-31-95'
City ~vma.+-~2 _ State "~zn . Zip Ss~3a 6
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 ap oved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances. ,
Signature of Applicant:~~n.v~Q ~~s.~.s.-~
OFFICE USE ONLY ~ '
l~ ~ t ~ ~
Y
BUILDING PERMIT TYPE ~ ~
? O1 Foundation ? O6 Duplex ? I1 Apt./Lodging p 16 Basement Finish
,~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 Parch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc.
? OS SF Misc. ? 10 Multi. Add'1. 0 15 Deck ~ 20 Public Facility
? 21 Miscellaneous
WORK TYPE
,0 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish
? 32 Addition ? 34 Repair O 36 Move
GENERAL INFORMATION
Const. (Actual) ~/K Basement sq. ft. 2 3 Oo MWCC System ~
(Allowable] ~ lst F1. sq. ft. z 3 0o City Water
UBC Occupancy 3 M-/ 2nd F1. sq. ft. PRV Required
Zoning R_/ Sq. Ft. total Baoster Pump
# of Stories z Footprint Sq. ft. Fire Sprinkler
Length a-d On-site well Census Code
Depth ~ On-site sewage SAC Code ~
APPROVALS eensus Unit ~
Planning Building Assessments
Engineering Variance
RE(~UIRED INSPECTIONS
? Site Footing ~ Framing ~ Insulation
~ Wallbaard I~ Final ? Draintile ? Fireplace
Permit Fee vai~c;an: $ l'~`/Gbfj Gg~,.
Surcharge Rs~.t~-Nra;,, y ; y.SZ,~-/ :
Plan Review zs- ~~szs 2~`r~ 6
License
MWCC SAC S~ 2s,s : 12~,~ ,~,j`~z32
City SAC ~Z Z z y
Water Conn. X -
Water Meter z~ " 3~y / ~ ~ o
Acct. Deposit ~ 28 ' ~~F % ~~3/ 9 'r
S/W Permit ~p,~. Z ~ 2 0 ~ i
5/W Surcharge ~~~„S - Sd
Treatment P1. z ~
Road Unit '7,~ 3 r
Park Ded.
Trails Ded. 22g9.~X~~~ ~s&~~O~SSO
Copies
Other
Total:
SAC %
SAC Units
; 05/12/1994 1~:26 6124691899 WESTER(~REN & ASSOCIT PAGE 02
.r
rzi nis~
C~prtiftrtttP .vf ~~urvP~
FEA TURE BUILDE_RS'R A~~
prepared for:
RES1D£NCE F02' ~ ~0~'~ ' ~ ~
MqRL,~'NE EARLL LOT 11, HLOCK 1, 8
WIHDTREE 5TH ADDITION ~e ~13~y
occording 1o the recorded plal thereoi. ~ L' -
~ DAKOTA COUNiY,lANNESOTA
~ '7Z J76n)~ce76c3~ o ^ " sa
~ oTE: SCALE : 1 " = 30'
c R~y ~ RIFY ELEVA7'/ONS &
~ IM~'NS/ONS PR/OR TO BENCHMARK.•
~ ONSTRUCT/ON
~ C6~.,, ~:G,.,y. 7I1„mAeG.
~ C...G~,6,.... ~..t.
~
f~.bL..,~. 924.16
~1 G~ G D~ L 0 T 10 ~,,,,,,t = s o os 1
~ 6. :J~~ r-;~;c;y;--
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i r ,..t
ORAlNAG£ & f1T217Y ~
~E~SEMENT PER PLAT ~ ' ~ ~q f'
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~ ~ ~
~ ~ ~ ~ pR ~ y ~0 . p,1.6 , ~ i ,
Q ~ ~ $0 4. 5~~0 ~ ~ ~ c~ ~ /
.b j ~ M ~ ~
~ ~ 60.39 ~1 17.6J 4 0° 8.$p n o. ~ Iw
~ K._ ~ I~ ~ ~
7p ' a 13.83
~ ~4.4~ , t~~r
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C • ~ ~ CONCRCTf CUf74 & GUTT£R ~ `
AITUMINOUS SURFACE W~
_ ~ - ~
~ ~ I - . ~ ~
o Dr.noles iron monumeni ~
983.5 x Dc~notes exisling elev.
~FStPr1~rPTt $C .~8$IIrtM~PB, Jnr. e9e7.o~ Denotes proposed elev. O
~ Denotes UfF-Set hub
LAND SURVEYORS R'52~~ = Top of block elev. ~
L~~2.~i1 = Top of fin. garoge fioor
8500 210TH STREET WES7 LAKEVILLE, uMNESOTA 55044 n2A'1,~.~~ = Top of bosemenl ftoor elev.
P4IONE :(612) 469-t899 FAX~ (612) 469-1899 Indicotes direction of surface droinoqe
~
i raxr ~m~sr ~w~ M.c xwrr. r.c rwv~nn m r n va~ w nwn avcnr~ n enxa w M otat v w qwcvE wo ani. ~.s [rccmto x Kwn++i ew uc astw
af W{JLLO ~GCLbMS fOi IIE w4C1~2 Oi IMO 9A~C~NC !Gm~[0 9Y M MM30~~ 90f£R 0~ Pbf~GCN SYIVhW. u0 nM~ ~.W ~ WL~ 1SV891 LxD 9PVRd NCfl
ll,/JOrSYU 1N111VA6rAS5ViI0 [~U 1 10 MEPflCN1C LENS l~Mt 9P'Vn['f W~S T[00.1¢~E. NS ~E45. /.b 53W[. ~ L Bl11Vrt1fJ ~4~LG
d~!M ~/WJ4 LYS~O 1~
f AP'~t1',~
e~rm na w o_ . ew
Field Book 16 ~ ~ Minnesoto Regisfralio~. t9~90
Job N0. JJ32 Don R. Weafaqren
R=95% 6/24691899 05-12-94 04:24FM P002 lt49
, LOT SIIRVEY CHECRLIST FOR RESIDENTIAL
¢ '
m S SOILDING PERMIT AP LICATION `
~ ~ ~ PROPERTY LEGAL~
< a W
~ < ~ D te of 8urvey: ~
~ ~ ~ DOCIIMENT STANDARDS -
~p 0 • Registered Land Surveyor signature and company
6~~j] D • Suilding Permit Applicant
Q~ ? ? • Leqal description
~tl 0 • Address
0~ 0 ~ • North arrow and bar scale
p~0 0 • House type (rambler, walkout, split w/o, split entry,
lookout, etc.)
H~ 0 ~ • Directional drainage arrows with slope/gradient
0~ • Pioposed/existing sewer and water services
B'~] 0 • Street name
[d~ 0 0 • Driveway
SLEVATIONB
Existina
fd~? 0 • Sewer service
~0 ? • Lot corners
Ja • Top of curb at the driveway
D~D • Elevations of any existing adjacent homes
prooosed
~0 0 • Garage floor
~ 0 0 • First floor
H~ 0 0 Lowest exposed elevation (walkout/window)
Cy 0 0 • Property corners
C1~0 0 • Front and rear of home at the foundation
PONDINQ AREAS lif auplicable)
D Q~ ? • Easement line
0 C~ 0 • HwL
0 0'~ 0 • Pond # designation
D~ 0 • Emergency Overflow Elevation
DIMENSIONB
0 • Lot lines
~ 0 0 • Right-of-way and street width (to back of curb)
~ ~ 0 • Proposed home dimensions including any proposed decks,
overhangs greater than 2', porches, etc. (i.e. all
structures requiring permanent footings)
~ 0 ? • Show all easements of record and any City utilities within
those easements
0~ ~ 0 • Setbacks of proposed structure and setback of adjacent
existing homes
~6 0 • Retaining requirements, if any
Reviewed: ~
Na / e
October 1992
6, ~ , ~ v~ ~.v v~.,--~~
F 1 I~ h
1~ ° D ; ' WESCOTT a ELRENE
. \ `
` i.
„ L , . ;i
,
E~ Services ~T ~ ~ ~ ,
~ PVC, I" COPPER r,i : ?
F ~end services 15~ into tot ,`<<~ ~ F~ ~ .
ce curb stop and box ~~p .
property line ~'~r~~cr oi, i0r46
c\ o~o-~-~ , : 10 ~
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r'/~ / ~ ~ ~ 10 99
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' t; SEE RECORD ~ ,tii ~ ~ Q~1G /
PLAN 154 ~ ',B
REMOVE & REPLAC~ EX. 1' j ~4~, s ~SOO 6~~_t/8 BEND ~g \ C~
8618 C& G AND BITUMINOU ' ~ , M a~\ ~
~ , Q ~
` STREET AS O~RECTED /
: BY ENGINEER ~ /
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t,:.. :7 ~ ~ ~/i~ l , /S~O~ , ~ -=15.00 ~C
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;.TION ,~j 4~,r~~`;~ CAUTION 6,~ Ptu~ ~
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' PVI 40+00 EL.919.00 ~ PVI 42+00 EL.934.60 ~ ' ~
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_ , . _ DROP.
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14750 Gaiaxie Ave. Suite tOs
Apole Valiey, Vinnesota 55124
(612) 432-2044
c;~•r.:~~7o g*.~JEiO?~ A~~:;hn"GE °U" CO~U."ATIO?~1
' ~Tia:'A~' Fr'~--: aZ.
:v 1 ~.~iV ~ .°L?,D'' T?~1'.".,'3.'..'1? ~ i t ~ `t'=1( .L..~
` De~e:~--"te i~rorkir.~ scuare ~oota~e of eacr ~~~~-~"v
1. `:'o~al ex~osec w211 ~sea..... ~'"~7~~ so.f~. ~ .11 - „-~"~j'7,,,~,
2. `"otal roof/ce'_L`r.g area..... ~S~.1L. X .~12`l sq.~
Gl ~
Tota:. exposed :•rail 2rez. a.bove iioor = t j w
~~.1.~
a. Total *r~all vr_~~o+; 2sea ~
b. `_"ota?. door a..^eG ~7,r^~
c. ^ot21 slidir~ ~lass door area.......... -
d. Total firenlace ~,rail area
~
e. ?'etal ~vall fr-~;~1r.~ ar.ea (2ve^age 10").. % f?~.
motal net ~a2'_1 zrea above flcor.. ?jt
g. Total rirn Joist area........ ~.~Z
'
Tot?1 ea~osed four.datior, area = Z
h. Total founda~~or, iti~irriow area........... •
i. Total net fot:ncation area above ~rade... 7,i
i
DeteTnine °[J" aalue of each rrall se,!~nent
z. r ~~U~~ . ~ = l Sq ~
b. ~OZ.~ x ~~U~~ ,139 = f ! ~~O`'. ~
c . "II" . 52 = -
a. x. ~~U~~ .68 =
e. ~'f/ x. . 096 = 3~1, Z--
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met the inten~ o~ S~C CC46 (ci
`"O utilize t~':e ~O~c~ 21'1VE`~C~~E .>;r5`G~i ;!':C-`~':CG'. i.}'1P. ~Id~.L'2.S
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F.xterior ~r........
Sidlr.g rrkzterial.....
, Ghe2t^i.*t~...........
Insuiation..........
Sheet~^ock...........
Int~,~^icr a~ r. . . . . . . .
Stu~s
Rtn .
Conc:ete blocks.....
-2-
I
~ - Zoo~ RESIDENTIAL PLUMBING PeRMiraPP~icarioN
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122 l~
651-675-5675
Please com lete for modifications to existin residential dwellin s.
Date ~ I ~ a I~
Site Street Address ~ a-d Y~ w~= ~ Unit #
Property Owner ```e ~1 ~ ~ Telephone # ) I ~Y ~ b~0`
Contractor Telephone # ( )
Address City State Zip
The Applicant is: _ Owner & Occupant _ Licensed Plumbing Contractor
Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes Countyfee
$ 100.00
Peras-built $ 1D.00
Fire Repair (replace bumed out fixtures, etc.) $ 90.00
This fee a lies when extensive lumbin re airs are made to a buildin .
Alterations to existing dwelling $ 50.00
_ Add plumbing fixtures to main level lower level. This fee includes
installation of a water softener and/or water heater at the same time. lf you aie
installing onlv a water softener and/or water heater, do not complete this section;
move to the next section and place a checkmark next to the appliance(s) you are
installing.
_Septic System Abandonment
_Water Turnaround (add $136.00 if a 5!8" meter is required) ~
Other. % a~ti- Y`f-~. ~ l R ~ C~
Water Softener _ Water Heater $ 15.00
_ new _ replacement
R~CA Z- v=, ; ~t-~v. 1
_ Lawn Irrigation _RPZ ~PVB _new _repair _rebuild $ 30.00
State Surcharge $ 50
Totai $ a~"~"~-5~
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 plum6ing 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
acco ance with t~oved plan in the event a plan is requir d 6 be rev' ed qd a proved.
2
App icanYs rinted Name y$ gnature
v
j ,
~ ~6~@Ice Us I
I PermR71: v C ~ I
I ~
City of Ea~an ~S ~
I
3830 Pllot Knob Road i Pertnit Fee: S i
Eagan MN 55122 ~ Date Received: ~
I
Phone: (651) 675-5675 i s~an: j
Fax: (651) 675-5694
2008 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: ! ~ SiteAddress: ~~+nC~~wc/
Tenant: Suite
RESIDENT/OWNER Name: I~trry ~~-y?~n ~4q~ Pnooe: 6/a 3SG.~ao6
~ n
Address / City / Zip: ~ZO s.~a. w 1b t~C J S~
CONTRACTOR Name: License
Address:
City: State: Zip:
Phone: Contact Person:
TYPE OF WORK New x Replacement _ Repair Re6uild Modify Space _ Work in R.O.W.
Descri tion of work: ~c X~T c--~rfv~ '~«7~,2
PERMIT TYPE RESIDENTIAL
~ Water Heater _ Water Softener -
Lawn Irrigation Add Plumbing Fixtures
~ RPZ PVB) Main _ Lower Level)
SepticSystem _WaterTurnaround
New
Ahandonment
RESIOENTIAL FEES:
$50.50 Minlmum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation (includes $.50 State Surcharge)
$50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround' (inciudes $.50 State Surcharge)
'Water Tumaround (add $136.00 if a 5!S" meter is required)
$100.50 Septic System New ($10.00 per as huilt) (includes County fee and $.50 State Surcharge)
$90.50 FifO RBp2ir (replace 6umed out appliances, duclwork, etc.) (includes $.50 State Surcharge)
TOTAL FEES $
I hereby acknowledge that Ihis information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; tha~ I understand this is not a peimit, but only an application for a permit, and work ~s not fo Start withou[ a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval plans.
% ~Lrr~~ V9/Y1 x
ApplicanYs rinted Name Appli i nature
_ . , ~,F _
FOR OFFiCE USE" " q Rev~ewed_By Date:
~Required tnspectlons ..Under Ground Rough in ° Air Test _Gas Test '_Final
- • Use BLUE or BLACK Ink
. � r----------------�
i For Office Use �
� � Permit#:_ �`�v"�I
Clty of ����� ; � ; . rz�,,-� ;
Pe m t Fee.
3830 Pilot Knob Road � �
Eagan MN 55122 � Date Received: � ") �
Phone: (651)675-5675 � �� I
Fax: (651) 675-5694 � Staff:
I I
---------------��
20 4 RESIDENTIAL BUILDING PERMIT APPLICATION '���
; _ �r-��'�
Date: s �' Site Address: ��1 I� ' DUI� r` �I� �'" Unit#: �
Name: I���� r'J ���� �����I ' ��1�11� I Phone: l�1'0�"1���"f
Resident/ �°� .✓� ( � (� p� r� q�
�� OW�eC ���� Address/City/Zip: I(�,�� J�6h{,`W U�� I�� ���(A11����� Q��l�%�� V�o('" Dv�' �� � .
�.�`. Applicant is: �Owner Contractor
�� ` Description of work: ��'L a���.(rl'����"i
Type of Work ��
��� ;; Construction Cost: ��� ��� Multi-Family Building: (Yes /No
3�; �.
���.r�; Company: Contact:
r,< � �
°' ' Address: City:
Contractor.'" :
s
" State: Zip: Phone: Email:
License#: Lead Certificate#:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
J1
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:
NOTE�Plans and support�ng documenfs,°thatyou sutimit are considered to be.public informa'tion: Portions of '
the rnformation may be class�fied as non public if yau provide specific reasons fhat would permit the City to
" conc/uole fhat the are tratle secrets:
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.qopherstateonecall.ora
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�v+� �Q�1t� X 9
ApplicanYs Printed Name Applicant's Signature
Page 1 of 3
. • �� 5���1,�;� �. DO NOT WRITE BELOW THIS LINE ��'��Z�„�
SUBTYPES f e��,.��} �r 2 ���. rc�on.,5 � �c� L�21/�' nYW ra� �� � � P � '�-, rL
rvc�c t '" �,�o c�.��
_ Foundation Fireplace Porch (3-Season) � _ Storm Damage pU e
P��^�S-� <
�' Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family)
_ Multi _ Deck _ Porch (ScreenlGazebo/Pergola) _ Exterior Alteration (Multi)
_ 01 of_Plex � Lower Level _ Pool � Miscellaneous
_ Accessory Building
WORK TYPES
_ New _ Interior Improvement _ Siding _ Demolish Building*
Addition _ Move Building Reroof Demolish Interior
� Alteration _ Fire Repair _ Windows Demolish Foundation
_ Replace _ Repair _ Egress Window � Water Damage
_ Retaining Wall *l�emolition of entire building—give PCA handout to applicant
DESCRIPTION
Valuation 7�7 �0„ � Occupancy ���� MCES System
T-
Ptan Review Code Edition 2pc57 r�S�3(� SAC Units
(25%_ 100%� Zoning 2_� City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Sprinklers
Type of Construction �_ Width
REQUIRED INSPECTIONS
Footings (New Building) Sheetrock
Footings (Deck) Final/C.O. Required
Footings (Addition) � Final/No C.O. Required
Foundation � HVAC
Drain Tile Other:
Roof: _Ice &Water _Final Pool: `Footings �Air/Gas Tests Final
� Framing Siding:_Stucco Lath _Stone Lath Brick
Fireplace: _Rough In _Air Test _Final Windows
� Insulation Retaining Wall: _Footings_ Backfill Final
Meter Size: Radon Control
Erosion Control
Reviewed By: � � Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge �r�'�h�-{�UWt� � , �-�� ��
I �� � !� 1 1 � �
Plan Review !�
MCES SAC � ��
City SAC x �p
Utility Connection Charge � �
S&W Permit � Surcharge � z�� 6 �
Treatment Plant �J �.I l �� la�� �
Copies �n� c1n `?�5on'� - v���c�+-�o a o_�_
TOTAL `� i�r� rs%t�� ►.-��Gl � �
Page 2 of 2
,r Z-6 � 2����
1`���^�• `� 1�d _ �� d ��� �7 L �
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA129035
Date Issued:12/31/2014
Permit Category:ePermit
Site Address: 720 Stonewood Rd
Lot:011 Block: 001 Addition: Windtree 5th
PID:10-84474-01-110
Use:
Description:
Sub Type:Fireplace
Work Type:Gas Fireplace (new)
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
concealing.
Carbon monoxide detectors are required by law in ALL single family homes .
Valuation: 3,000.00
Fee Summary:BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
$90.00 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 -
Travis G Wolle
720 Stonewood Rd
Eagan MN 55123
(612) 801-7847
Glowing Hearth and Home LLC
100 Eldorado Dr.
Jordan MN 55352
(952) 492-9276
Applicant/Permitee: Signature Issued By: Signature
* ,
,
i
For Office User _.z4
.° i Permit#:
:,, EAGAN
1 Permit Fee:
Date 5 R ved
• //
iECE I ece .
3830 PILOT KNOB ROAD 1 EAGAN,MN 55122-1810 EIV
(651)675-56751 TDD:(651)454-85351 FAX: (651)675-
JUN 0 2019
l Staff:
butldinginspecttons(a.cityofeacian com L 1-r-T--.1
cc-k\);?,
2019 RESIDENTIAL a,el a-. - • a - , IT APPLICATION
Date: Site Address: Unit#:
1 I
NameTravis Wolle Phone 651.245.5697
! i :
'Reskienti , Address/City/Zip: 720 Stonewood Rd, Eagan
owner I
I ' . , h_
.
Applicant is- Owner Cmtraci91 7- a ....,. ,..... --7V--
..,
1 .
Description of work: Add on to existing deck and add stairs apc,
.....___p. . ....e,........
)
,
Type of Work 4-i, /115/73--P,A-
I 2500
I Construction Cost Multi-Family Budding:(Yes_/No If )
Company: Summit Craftsman, LLC
Contact: Jeremy Leifemian
1 9/37
AddressAshley Ter Brooklyn Park
I : City:
Contractor
, 55443 1.331.9652 r
State: MN Zity. Phone: 65Email: liftotte 5)(nth/lc iretIShvtil,694A
1
License-#: BC626592
Lead Certificate* 107339-2
...,..,.__...........„....,...._,..... d........4.0.,.....,..a.......3.-,....1 l....6-al.ia..7,......A................,.....6,6,I ...., ....ay. 66 -...-..,..•.....6 ,...,..,,‘.6. ........ Or......6.6..`.,.......1.....I...14.,.. ....._.,...,.-,,,, .., -,....-....,,....,,,S...1...-....I ,....-.,,...........```,.-.........,,...‘,6 If the the project is exempt from lead certification, please explain why:
Its a Deck being constructed out of composite material.
=COMPLETE THIS AREA ONLY IF CON&TRUCTIMGA 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 plait
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
fire Stqapreesion Contractor: Phone:
i NOTE:Plans and supporting docdinivpti4hatyOUSli;Iiii;reCOnSidereda;be public hdonnailOn. PO4#01,S01ilie infOnnadon niay be
Lsrasffled as rublicifyou provide specific reasons that would pernit the Citylo conclude that they aie trade secrets.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the Citys
website at www.cityofeacian.comisubscribe.
Exterior work authorizedby ubuilding permit issued inaccoulance with.the MinnesataStatelluildigg,Code must be completed within 180
days of penal issuance.
CALL BEFORE YOU DIG. Cal Gopher State One Can at(651)454-0002 for protection against underground utility damage. Cali 48 hours before you
intend to dig to receive locates of underground utilities. www qopherstateonecall otg
I hereby acknowledge that this information is complete and accurate;that the work wiff 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 v•tttilheapproved.plan in the case ofwork which naquiresa review and appall:810f plans.
x3---e."4-e-e6:1-41 L "SC"r•0'V at-- x
Applicantp 1
's Name
, e, ,
-ix, st6,. ...),04 0 1C/ ZI'1
DO VDT.WRITE BELOW"THIS LINE
*SUB TYPES
Foundation _ Fireplace Porch(3-Season) _ Exterior Alteration(Single Family)
Single Family Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
_ Multi Deck Porch'(ScreenlGazeb &Pergola) _'Misceilaneous
D1 of_'Plex -4 Lower _"Pool _ Accessory Building
WORK TYPES
New _ Interior Improvement ____ Siding — Demolish Building*
Addition _ Move Building Reroof Demolish Interior
Alteration Fire Repair Windows Demolish Foundation
Replace _ Repair Egress Window —Water Damage
Retaining Watt *Demolition of entire buikGng-give PCA handout to applicant
DESCRIPTION
Valuation ( (V 0 0 Occupancy ` MCES System
Plan Review Code-Edition ilk'1, „L i i SAC Units
(25%_100%1 ) Zoning 1 City Water
Census Code Stories Booster Pump
#of Units Squarre.Feet PRY
#of Buildings Length Fire Suppression Required
Type of Construction —_ Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
X. Footings(Deck) Final/C.O. Required
/' Footings(Addition) )( Final!No C.O.Required
Foundation Foundation Before Backfill HVAC_Service Test Gas Line Air Test_Hood
Roof:_Ice&Water _Final Pool:_Footings _Air/Gas Tests _Final
framing 30'Minutes 1 Hour Drain Tile
Fireplace:_Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFTS
insulation Windows
Sheathing Retaining Wall: Footings_Backfill Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In_Final
Braced Walls Erosion Control
Shower Pan Other:
Reviewed By: eiL ,.Building Inspector
RESIDENTIAL FEES n /"4f�' ik
Basa±.Fed (ait,
1 1,41 -
Surcharge enNI
Plan-Review PLit
MCES SAC /91) /‘
1"idli
City SAC 46171P
.Utility Connection Champ
S&W,Perrnit 4,,age
Treatment Plant � ^t0 s/-„_
Radio Meter Read i
Copies
TOTAL
Page2of3
95/12/1994 15:26 6124691999 WESTERGREN & ASSOCIT PAGE 02
l'
' /. I - 1
4
-1 D...0 S ful....iz.t...,3,>(..,c4 (Let-
12/15/9J
Tertifirtute of t tiro p1j
A �`
prepared for: EA T URF BUILDERS' E REVIE i t _.
RESIDENCE FOR: - MIK 1
MARE'NE EA RLL LOT 11 , BLOCK 1,
WINDTREE 5TH ADDITION in .- l^\ 13'y
according to the recorded plot thereof. -. t1la
DAKOTA COUNTY, MINNESOTA 4. ri 1'' __
�,6� ir-`1/(f 0 le to 3a I
7Z d Sr6^' ,'
_ OTE: SCALE : 1" = 30' 1
to A Ay 74r Z 1 I� 9
•a;` � ,1/ �;, .. i__,
1I, RIFY ELEVATIONS dr
S116:41.� • ►IM1 NSIONS PRIOR TO
/ BENCHMARK.
NI I ONSTR flCTION
• T 10 0&.1.1. ,�A.1.,t11„y. 776-AA
f"��t 9 C l 511}
u G D a1.eGA.�I 924.16
DRARNAGE & UTILITY "'I, ,e- ', Pe`tr'el ~
4exii, TA.e.-f: :cx) f
/EASEMENT PER PEAT V .L'. ,�'olip. vtiii
s�~ '�, 1'p 4,i V" '
41(S\
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-0G.6-: ...-0-----... CONCRETE CUR4 dr CUT TER
"`111111
BI TUMAJOUS SURFACE �
u
tf I o Denotes iron monu
983.5 x Denotes existing elev.
�eSfPrg'rPII Sc A.8snrtutrs, �nr. (987.0) Denotes proposed elev. �\ Q
g Denotes Off-Set hub
----- LAND SURVEYORS Q'ri2l = Top of block elev. T,�
41,2.Z " = Top of fin. garage floor "d
8500 210TH STREET WEST LM(EV1LLE. ►AIVNESOTA 55044 01241) = Top of basement floor elev.
PHONE : (612) 469-1899 FAX: (612) 469-1899 Indiccltes direction of surface droinoge
I wrEIT tIIIKT TM RR SASIrrT 1AR PIrP\PfTI Le R on yore W OIfCT SIPSAtlll SL CCI l0 M KIM v YT$ LOX MIOTCL1T.1AS iIQClPT O PI AtetiOe+Q*IH 1K CRE*
LiMeeKl4 PIOCLWRS MI Ile PIACta Or IND 1ARY l%AOOPICO RY TI(11TI030TA 700EtT Or PItORSSdAL SUIVtYoRS.No rIMT 1 All A DULY MI=INC SUMTOe ow
TIC 1.1.%Ir DC Mit Or ipe4SAlk. TK ClerrCAli LOWS let L0CAIxM Or ILL MOM AT1AOIfl TO VC lA/O.AID Ile LOCATION Or ALL IOW LfCNO•b4,t111S.P IMT.MY OR OH SIO
('JO ILO IAOLITOVC AMMOnem10 TIC M • rlMOM Tilt DINCY WS PlriaSte.IAS.dMD 11.AASSIOIICle ASAD 111* SN
Meetly if AScO oar ran e(ACDAAIISL COS1 Or 1141 U.CICV
1,1`36 r 1:41111:‘
k. OAtfD T16—± /(�wbar Or— ISl1Field BookMinnesota Registration . 19790
Job NO. Ji 532 �� IL1 Don R Westergren
R=95% 6124691899 05-12-94 04:24PM P002 3149
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PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA162967
Date Issued:08/06/2020
Permit Category:ePermit
Site Address: 720 Stonewood Rd
Lot:011 Block: 001 Addition: Windtree 5th
PID:10-84474-01-110
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
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 -
Travis G Wolle
720 Stonewood Rd
Eagan MN 55123
(612) 801-7847
Controlled Air
21210 Eaton Ave
Farmington MN 55024
(651) 460-6022 X253
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA162968
Date Issued:08/06/2020
Permit Category:ePermit
Site Address: 720 Stonewood Rd
Lot:011 Block: 001 Addition: Windtree 5th
PID:10-84474-01-110
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Exchanger
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 -
Travis G Wolle
720 Stonewood Rd
Eagan MN 55123
(612) 801-7847
Controlled Air
21210 Eaton Ave
Farmington MN 55024
(651) 460-6022 X253
Applicant/Permitee: Signature Issued By: Signature