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964 Stony Point Rd ; . ~ ~51i 4 -2F~--~~ qTY OF c'P~Ak~ - P.;rtnit No: Date: 3830 Pllot Knob Road Meter No: ~Q 1 Size: o C P.Q. Box 21189 Reader No: ~~~~_S~ g~ Date: Eagan, MN 55121 Owner. ~~~~~~'iv~ C'ec;r•~-e Rl:~rs. SiteAddress: `~GG ~ton • Point ^oa~.'. Ll T.e~{,i t.,-, ?t~; Plumber ~''=~-lev ~ Conn. Chg: , - t ,~11.lpsa~Ml4i~ ~ Acct Dep: F~f E1&is: ' Pe~mit Fee: ~ • '"t''~ Surcharge: ~~~v ~B? I~dt6 complr with the Clty of Eagan Tr. Plant ~ • Ordfnances. Mater. ;.,iT:;~lg~ ~ r~ Misc; By WATER SERVICE PER : . ; ~i CITY O!~ EAGAN _ Permit No: Date: ~~-R A 3~O~~Pilot Knob Road B/P No: - Date: ~ P.9.~Box 21199 Fa~an, MN 55121 Owner. " ` . Site Address ' S:* ~ r ~ ~ Plumber. MWCC: e..~„ ~QainQ C~~~~ :1~~~1~ City Chg: -~rrou~~~ . FI f ~'?,I~yO `P~t~;i`' Acet. Dep: ~ Permit Fee; 1~ ~~~~ply wifh ths Cltr of Eagan OMinancea. Surcharge: Misc.: By ~ SEWER SERVICE PERMIT ' G:...:;,~._.__.__ - - - - . : ,...~.._~~_~:,..e.. r • . , - - . _ _ . - - - . , CITY OF EAGAN -Permlt NO: Date: ~y z~~$~ ~ 3830 Pilot Knob Road Meter No: Size: ' P.O. Box 21199 Reader No: Date: Eagan, MN 55121 ; Owner. '`arvi,n t'POr~e EI~`rs. Site Address: ~~~q o t r.oac. F'. I,ea ~;ton q L~i Plumber ~ ` u~' ' h Conn.Ch 5~~~'~~'~P~ Zoning: + g~ 1_..~lp ~1 J. ~ Acct Dep: ~ No. of Units: Permit Fee: ~ ' , 5,~ Surchar e: I agree to comply with the City of Eagan 9 Tr. Plant ~ ' ~~~ry~"~ Ordinances. Meter. - - Misc.: BY WATER SERVICE PERMIT ~ - - - Date: ~ E~--°~ . 1 ~ t ~ITY OF EAGAN Permit No: Date: I ~~'3830 Pflot Knob Road B/P No: i , ; P.O. Box 21189 , Esyan, MN 55121 ' Owner. ~ ' iY,,A r ~ - - _ * 3 i.~:.. _ = ' • , ~ Site Address: _ ~ ieV - . ' `1`` ~ Plumber. ` , ; , ~ , ~r ~ Zoning~ , MWCC: • ~ ~~ti No. of Units: City Chg: Acct Dep: ~ l ~ l~'~ ~ 1 agree to complY +~rith the C~h? d Ea9an `}Op~ Ordlnances. Permit Fee: ~ ~ Surcharge: ~ , Misc.: SEWER SERVICE PEFtMIT - - R'EAL`rIVA~ ~10R D~[K-PLAN ~ 9/2/88 !1AKK &IRYra7WES 452-7593 CITY OF EAGAN ' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHON E: 454-8100 ~UILDING PERMIT Receipt # To be used for Est. Value ~ ' Date ~ ~ ,19 Site Address ~ T~'~' ~ OFFICE USE ONLY LOt BIOCk SeC/Sub. ~`'ti,1:~GT(~N S~l1AF,R OnSiteSewage Occupancy PerCel No. T~~ t~~ ~i~~~~ T~ MWCC 3ystem Zoning On Site Well (Actual) Conat v ac Name City Water ~ (Allowable) W PRV Required ~ of Storles ; Address ~ City Phone `-~1~~ ~r B~ter Pump Length - Depth , o Name S.F. Total ~ ~ Address Footprint S.F. ~ City Phone APPRaVALS FEES ~ W , Engr./Assess. Permit Name W y~ ~ Planner Surcharge ~ ~ Address `W City Phone Councll Plan Review Bldg. Off. SAC, City I hereby acknowledge that I 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 • • "r.iR(;:'. ~3C I L:; - : A Building Permit is issued to: ~ ~ Treatment P1 on the express condition that all work shall be done in eccordance with all parks applicable State of Minnesota Statutes and City of Eagan Ordinances. TOTAL BuildingOHiCisl Permlt No. Psrmit Holder Dste Tel~phone s Plumbing y,~ C! ~ oJ ~ c~c~ _ H.V.AC. C/rIv ~ ~ ~~~~~l~ _r Electric f~~~ i J CL~ "f Softener Inspection Date Insp. U~L~2 omments Footings I - ~ ~„~S .v~- 7`r •v Footings II ~~L eiyov~= 'r` Erck Foundation --7^ c~ _ F~aming rj' C C~, ~c a. ~ ./g7ih c~. 9 ~ Roofin S /Rf` Rough Pibg. ~3 Rough Htg. .~l~~ o%~ _s•sJ Isul. T /l - , ,tS' S ~j Fireplace ,rt yI (~j - p Finaf Htg. -~i - ~ Final Plbg_ Q /vJ' Bldg. Final Cert Occ. LU'3D ~.~,y- /rv3~ C. o/~ r Temp. LP ~itic~.- ~ p- 8'S'/, ~,P Deck Ftg. 9~ C F.:, /r /r / i• `/F' Deck Final ~~3 Well ' Pr. Disp. Go~c.1L ~'V [F ~ ~ CX~I /1l0 .Q-i~5'~u~ r T/G~f'" S /4~ ~ , ~ ' , k ~ } ~prts#ir~t~ ~f (~rru~~nr~ ~itp of ~agan ~p~r~nt~tt uf ~~1~tg .~n~rrt~mt 77tis Certi,ficate issued pr~rsuanl to the requirements of Sectron 306 of the Uniform Building Code certifying drat at tke time of issuance this structure was in eomplianee wi~h the various ordinances of the City regulating building canstructtan or use. For the following• ~ vse c7s~tific.uoo ~ - Bldg. rtrmit Tlo. ~~Y ~'P~ ~ Zooing District ~ Type Const. Owoer of Buildi ' ~iy-'~~ ' i . 1; - ;r ~ t~ F~_~ti '~a.'~i~ a8 Bwlding Address . , i~. , •si: I~~h, ! } D: ~ ~ !'~ti ~A~' TPr ~ " - Budding ORiaal " POST IN A CONSPICUOUS PLACE ' ~ . , PERMIT # ; ~ , PLUMBING PERMIT RECEIPT ~ ~ ~ - ~ . ~ CITY OF EAGAN ' ~ 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: PHONE: 454-8100 ~ Site Address r ` BLDG. TYPE WORK DESCRIPTION Lot Block ~ Sec/Sub Res. x New k Mult. Add-on ~ Name ~ ~ Comm. Repair R Address ~ Other c City Phone RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAI. Name F;,_ ~-Water Closet - $3.00 ~F • ~ ` ~Bath Tubs - $3.00 3 Address ~Lavatory - $3.00 p City Phone J-Showe~ -~99A~ ~Kitchen Sink - $3.00 FEES Urinal/Bidet - ~3.00 COMM/IND FEE - 1°rb OF CONTRACT FEE .l-Laundry Tray -$3.00 APT. BLDGS - COMM RATE APPLIES ~_Floor Drains -$1.50 TOWNHOUSE & CONDO - RES. RATE APPLIES ~Water Heater -~~.50 ~ MINIMUM - RESIDENTIAL FEE - $12.00 ~Wh~rlpool - $3.00 MINIMUM - COMM/IND FEE - $20.00 .~_Gas Piping Outlets - $1.50 ' STATE SURCHARGE PEA PERMIT - .50 (MINIMUM - 1 PER PERMIn (ADO $.50 S/C IF PERMIT PRICE GOES Soitener -$5.00 BEYOND $1,000.00) Well - ~10.00 Private Disp. - 510.00 ~_Rough Openings - $1.50 ~---w~ ~ SIGNATURE OF PERMITTEE FEE: STATE S/C: ~ ~ FOR: CITY OF EAGAN GRAND TOTAL• . ~h~ ~J ~.I ~ PERMIT # ' . ti . ~ : MECNANIC/lL F~ERMIT ~ RECEIPT # ` ~ ~ • CITY OF EAGAN ~ ' ~ a~ 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: ` l%.S ~ PHONE: 454-8100 5ite Address t BLDG. TYPE WORK DESCRIPTION Lot ~Block Sec/$ub Res. New < ) ;%rc Narrfe ~L~~"!'•~ICK , • _ _ ' Mult Add-on , ~ ~ Comm. Repair c~,o Address _ • c City y ~ ~ ~hon~ Other Name t ~ ~ i - ~ FEES ~ ~ RES. HVAC 0-100 M BTU -$24.00 c Address ADDITIONAL 50 M BTU - 6.00 p City Phone (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PEH PEkMI~ - 1.50 EA. TYPE OF WORK COMM/IND FEE - 1ai6 OF CONTRACT FEE Forced Air ~~'L~ M BTU J i{ ~d APT. BLDGS. - COMM. RATE APPLIES Boiler M BTU TOWNHOUSE 8~ CONDOS - RES. RATE APPLIES MINIMUM RESIDENTIAL FEE - ALL ADD-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 S/C IF PERMIT PRICE GOES Gas Piping Outlets # ~ ~ BEYOND $1,000) Other FEE: ! 5•Sii ; f I ~.:}7 ~.'J .C.J ~».r~./J.G' "t~ f.,/~~ ~ ~ S/C: ~~G' SIGNATURE OF PERMITTEE ''r~~ ~ ;~S . , e~ _ ,.t TOTAL• .J(, e,~ ; f' FOR: CITY OF EAGAN ~w~ ?-r, r; t 2i r+~ ~ s . : _ . ~ . . CI~Y OF EAGAN . 454-8100 . DEPT. OF BUILDING INSPECTIONS ~ ~ S~~'6~ Correction Notice Located at y~ y s~~-~~~ M~ ~ I have this day inspected this structure and these premises and have found the following violations of city codes governing same: ic,S ~i u -:zU.y UST - i2 ~S E~S / Co -vf'i,S` t~'i /i.csT I/ il.l :i 4'? T ~ i,r ~/S~ } 1 ~ r T 1~ ' N ~J~+~ . / f ~ ~ -~r- s~',~ S ~Yo~ /L~'Tc~/t/~,~ When corrections have been made, please cal I 454-8100 for i nspection. Date P~ Inspector City of Eagan DO NOT REMOVE THIS TAG - ,.=,x ~ . . . ~ . . . . CASH RECEIPT ~ r CITY OF EAGAN ~ 3830 PILOT KNOB ROAD ' ! EAGAN, MINNESO ~A 55122 ,l. l - . , DATE ' ~ ~ 4 19' - . RECENED 1 r R10M 1 ~ ~ ~ J ` l ~ ( ~ ~ ~ f _ i AMOUNT $ - ~ ~ ~ , ~ _ ' ~ ~ 8 DOLLARS ' ioo ~ ? CASH by CHECK ~ Y ~ y ~ ~ i 1 ~ ~-r ( .._1~ J ~ . ~ ~ + ` t. t-- ( i i ~ ~ ~ I, r ~ ~ .,41 1 G ~ FUND OBJECT AMOUNT ~ Thank You _ Bvc ~ ! L> , ~ r ~ Whit~Payere Copy ~ ~ ~ ~y ~ Yelb~Postln9 ~PY Pink--File Copy ~ l Gf ~ . BLDG. PERMIT N0. / %-IC~.~=- , ~ ' { - _ ; ,~1:__~r ~ _j fi ~ , , ` ~ l..~ ~-.A..',..' 4\: 1 ~ 1 ' 01-3210 Bldg. Permit = C 01-3422 Plan Check ;-7c ~ L~C} , 01-3445 Surch./Adm. ^ ~ 01-3446 SAC/Adm. 01-2155 Surcharge ~-y~_) ~ ~~j-3860 Road Unit , ~ 20-2275 SAC ~l~~t , 20-3865 Water Conn. ;;G~ ' 20-3868 Water Trmt. %;~G~4 20-3716 k'ater Meter I CX~ 20-2252 Acct. Dep. 20-3713 Water Permit 20-3743 Sewer Permit 79-38b6 5ewer Conn. :._.~;j '~U i; ~~"-3855 Park Ded. ~ TOTAL ~ ~~J~ < <-i> , CITY OF EAGAN ; A~ 3830 Pilot Knob Road, P.O. 8ox 21-199, Eagan, MN 55121 PHONE: 454-8100 ~ ~ BUILDING PERMIT Receipt # v ` ~ ~ 7o be used for 5~ ~~G/G~t Est Value ~83 ~000 Date APAIL 14. ,19~- Site Address 964 Slbrlf Pq1NT RAAD OFFICE USE ON~Y Lot ~ Block 3 SeclSub. ~XINGTQ~] SQUJIRE On Site Sewage Occupancy ~"3 7TH A!?i31T10N MWCCSystem X Zoning ~~p"i Parcel No. on Site well (Actuai) Const t~~V1N GEORGB RUILDERS ci~ywater x (Allowable) oc Name PRV Required # of Stories 3 Address ~~x Booster Pump Length 49 ~ b" ~ Ciry ~1. Phone 612-389-3201 or b9' a" Depth , p Name S~~ S.F.Total ~ ` Address Footprint S.F. ~ City Phone APPAOVALS FEES ?-ac gwj~ Engr./Assess. Permit ~d•~ ~W Name W W ~ Planner Surcharge 4 • Address Zy ~ Council Plan Review Q W City . Phone Bldg. Off. SAC. City I hereby acknowledgBthat I have re this application and state that the Variance SAC, MWCC ~,~s~ infprmation is ~orrect and agreato mply with applicable State of Water Conn. SSO.OO Minnesota Statutes and City of,~ag Ordinanc ~ V~ Water Meter 67.00 Signature ot Permittee ? Road Unit Z~~ A euilding Permit is issued to: ~RY1N G~0& E BUILI3F.R3 Treatment P~ ~Qd'O0. on the express condition that all work shall be done in accordance with all Parks applicable State of Min esota Statutes and City ot Eagan Ordinances. • TOTAL IZ Building Official ~~L/ ~ ~ ; ` . . , ~"""eS`~` Prv~.~-1 * . ~ . ,~CASH RECEIPT ~ ' . ~ ~ " - ' ~ ~ CITY OF EAGAN 3$y~0 PILOT KNOB ROAD r ~AGAN, MINNESOTA 55122 ~ ' OATE ~g nECerveo t ~ I. . FROM AMOUNT $ z ' 0 & DOLLARS ioo O CASH C71 CHECK ~ raA ; - . , ~ _ ~ ,ti _ L , - i I: j' ~ , ' , ~ ~ i r, FUND OBJECT AMOUNT ' _ ~lU - ~ ' , ~r , r - t ; : ' Thank You ~ t.r~ ,~t~~~;: ~ . - ; BY ~ A ~ ~ ~ ~ Whtt~Payers Copy ~ ~ i~ vetow--Passns ~ar Pink--File Copy INSPECTION REC4RD I C°~trol No. CITY OF EAGAN PERMIT TYPE: ""t 3830 Pilot Knob Road ~ Permit Number: a`~'~ ~ Eagan, Minnesota 55123 ~ Date Issued: o~ g~ (612) 681 ~4675 SITE ADDRESS: ~ o Y, 1 ~ t~ r :3 APPLIGANT: gf+4 STI'1#tY f~pIMT Rtl T1d.tN CITY ~10fil4 $iASM CO LEK~NATUN SQilAit~ TTH (~611) 5~16--816i PERMIT SUBTYPF~: TYPE OF WORK: n ~ :r.c ~ AI.TE~RATION I11~<.CI~YPTIUN flUT1'~R RLpIAC~MCMT FJN1~1 . • - '_M • _ i.>~~ - ai.-~i'- ~''.C• . _ ' _ _ ,y.. _ -.y~i+'7.~i'1M_. . ~ . • : - - ' . ~ . - ' - ~ ~ . . ^a- . L~ Parmn No. Pamft How.r o~s Ts~sptan. s S/1N PLUMBING HVAC ELECTRIC ELECTRIC Mrpsctlon o.te ~nep. commerds Found8tlon Frgrtdng Raoflng Rough Plbg. ~9~ ~4• Isul. Fveplace Final Htg. Orsat Teet Fnel Plbg. Plbg. Inepector - Notify Phimber Co~st. Meter Engt/Plan F~ P~ o ~ - ~ Deck Rg. /lJo Decic Finel Well Pr. aisp. INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: ~ Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: ~ r; r ~ rs ~ ~ r APPLICANT: i~~!+, ; ~11N) !'tll i r,t, i: . pt'1IfN I ~ ! 1`~I. 1 ~~tY . ~~t1(~i i , I !1 ~ ~ i , ~ ~ . . ~ PERMIT SUBTYPE: TYPE OF WORK: . i ~ , ~ , . . s ~ : • . ~ i~rl t 11~. ~ i~~ ~ ~ ~~~,1 t~lt~,~! i it ! f I:i: I I Pd111 fi~ hF(~{ i , i~ 1\i i'f~t I ~ I. {.1 ~i~l I:.f i+ 1 ~il !'tl~ ~ I 1 ilFlfi 1 11~ ~~i~ ! I i~ I 1• I+:t I 1111{if I ~ ~ ~ J Permft No. Permk Holder Date Telaphone M SNV PLUMBING / rj5 HVAC ELECTRIC ~ / ~ ~ °O ELECTRIC Inspection Dete Inap. Comments Footings 1 Foundation Framing p.~3- ~ Roofing Rough Plbg. Rough Hlg. '~~s'"9s ~ Fireplace Final Htg. Orsat Test Fnal Plbg. Plbg. I~spector - NotiTy Plumber Const. Meter EngrJPlan Bldg. Fnal ~s` ,~6 Deck Ftg. Deck Final Wel1 Pr. Disp. ~T=~ _.~:•,':F"~i'~,. , PERMIT # tF ' PLUMBING PERMIT = / CITY OF EAGAN RECEIPT # ~ , ; 'Y i! ; ~ 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ` CONTFiACT PRiCE PHONE: 454-810~ Site Address ~ 1"'f~' - BIDG. TYPE WORK DESCRIPTION Lot ~ Block Sec/Sub Res. ~ New ` ` ti_ ~ ~ Mult. Add-on ~ Name y~ E r'- 'r''• Comm. Repair a~ _ ~v Address%C'U ~ '`~~~f ~ Other c City `o ~u Phone'4`'~ ~ RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL Name ° ~~tc- =~,/E S Water Closet -$3.00 S~ ~ G+~ ~ Bath Tubs - $3.00 c Address ~ ?'ZY? . • 3 Lavatory - $3.00 p City Phone '~~5~" 7 5~ Shower -$3.00 Kitchen Sink - $3.00 FEES Urinal/Bidet - 53.~0 COMM/IND FEE - 196 OF CONTRACT FEE Laundry Tray -$3.00 APT. BLDGS - COMM RATE APPLIES Floor Drains -$1.50 TOWNHOUSE & CONDO - RES. RATE APPLIES Water Heater -~i.50 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 PERMIn (ADD .50 S/C IF PERMIT PRICE GOES ~Soffener -$5.00 BEY N $1,000.00) Well - ~10.00 Private Disp. - $10.00 ~ . , f~~.~ Rough ~penings - $1.50 SIGNATURE OF PERMITTEE FEE: STATE S/C: FOR: CITY OF EAGAN GRAND TOTAL: . . . . . . . . ~ . . . . . . _ . , R . ' . ~ ~T. . r..~P'R' . . . , ~ ' I/ ~ ~ ' SEDGWICK HEATING & AIR CONDITIONING CO. / ~ • HOUSE HEATING TEST RECORD ~ ~_F.yG. ~'Jp. '7~' : r ' ADDRESS j~ ~ ' ~ ' CITY OCCUPANT ~ OWNER HEAT LOSS DATE HTG. INST. SOLD BY INSTALLED BY l Electrical Work By Gas Line By TYPE OF HEAT GA_ FA_ HW_ STEAM SPACE HTR. UNIT IiTR. OTHER GA5 DESIGN CONVERSION MAKE ~ ~i MAKE OF BURNER Model ' 1.~. - r Model Serial Max. BTU Rating INPUT MAKE OF FURNACE Model CONTROLS THERMOSTAT ~-leat Plug Vent Size - Valve ~ KIND OF LINER SI~E N~NE Limit ~ ~ ~ C , Draft Hood ! ' ~ ~ Regulator ~ Limit Setting ~ S G Filters Size Number Fan Setting Chimney Location Inside 1 Outside Pilot Type Chimney Construction Pilot Make ' 1 , Pilot Model Smoke Bomb Wiring Pilot Timing ?~!'i r Draft Test Tag L.W. Cut Off Door Pressure Lighting Inst. Pressure ~ ' Percent COZ ~ Date Tested ~ Input CFH Percent 02 ~ ~ Company Testing f, Stack Temp. ` Percent CD Name of Tester ~ ' Form 235 Thi,q repuest void ~~~/p0 O~' ~`j ~8 ~~ths fram O O p E 25~0 ~ ~ ~ ~ RppueyY Uate fire No! p igh-in IngVecti ' / - Be u~red7 QReatly Now~ Wil~ Nn~ity lnspec- y%(,. ' d~c;~ Ves ?NO ~or When qeadY LicenseA ElecVical Conlrxctor 1 hereby ~equest ins0ection ol above Owner ~ elec~rical wo~k installed at: Stree~ Atldress, Bo or oute No. City 9~ i,-`~:~ ecuon o. 7ownship Name r No. Pang¢ No. oumy ? Occ~uant IPRINTI Phone Nc. .``-'-L'iti-~ ~S ~-L~'7CC5-E- 1~1.../L!7 „i~ ~5 ~ 51 - =G+ - Power SuOPlier q Address / ~ .UrL~- YKlt~C~l-C~ /,/L/.~u,~G . Electri~al Contractor ICompaOy Namel Conhactor~s Lir.ense N~~, r-f~~ ~O-.~.~-:~ ~ '7~~ Mailing Address (Conhac~or o?~ Owner Making InstallaGOn) /oiC~-~3-e_ ii~T «~~~"G.r„ Authorized Signature IConVactor/Owner Makine Installationl Phone N ber ,.I t..` ~9'0 - 3 ~ 5 MINNESOTA STATE BOANO OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT -Griggs•Midwey Bldg. - Room N-181 eE ACCEPTE~ BY THE STATE e0AR0 UN~ESS PNOPEN INSPECTION FEE IS 1821 Universitv Ava.. St. Paul, MN 55104 ati~~a ~ai~i Fa~-nano ENCLOSE~. ~j~/~~ REQUEST FOR ELECTRICAL INSPECTION ee-ooooi-as ~ SeE instructions for como~eting this brm on back oi Vellaw coOV~ " g3.3 S~ E- Z~7fl Below Work Covered by This Request AdA fleD~ Type ot`Builtling Aoa~~ontea WireA Equipment Wiretl Nome Range Temporary Service Duplex Water Healer Lic~htiny Fix[ures Apt. BuilAinq Dryer Electric HeaLn Commercial Bidy. Fumace Silo UnloAder Industnal Bldg. Air Conditioner Bulk Milk Tank farm otne~ peci y O~ner lsnrr.ifyl 1 ,r Snecity O~her Othi;r ~ nmpute lnspection Fee Below p fee ServiceEntrencaSixe A Fea Faeders/Sabfexders k F~e Circuits Z~ D to 200 qm ~s 0 to 30 Am s - 0 to 30 Am>s Abave 200 qi»py, 31 to 100 qmps " 31 to 100 qm s Swimming Pool Above 100-Amps Above 700_Amps Transiormers Irrigation Booms : u Pertial~~ Fee Si gns Spec ia l I nspectiory Pemarks 5~~ T A F ~ / Noug~'in , ~e I, the al ~ ~ . ~ A Inspec~or, hereby cerUfy that the ebove Final . ins0action has baen nwee. Tttln repueal voiC 1B montim irom 0~~1 Om959 ~ ~ ~ o° R quest Date y~ Fire No. R ugh~ln In ec~ion equ inspeciion O~he~ Than Roughdn ~/i(J /g f (YOU must call inspector ~ n reatly) ~ Reatly Nom ~ Will Nolity Inspecb~ Ves ? No Date Reetl I ~ licensed contractor ~ owner hereby request inspection of above elecirical work at: Job Atldress ~Street. Box or Route No.) Ciry 9c s~., pt F4 a~ Section No. Township Name or No. Range No. Counly D4ko f~, Occupanl (PRINT) Phone No. Sys- sy/o @v.~. ~sa'~o-~. e...e Ysy- 6sr Power Supplier Atltlress Electrical Coniracror (COmpeny Name) . Conlrec~or's Lirense No. Meiling Atltlress (COnVacto~ o~ OwnerMaking Inslellation) ' ~41+nL Au~horizetl Signature (COnVac~otlOwner Making Inslallation~ Phone Number ~ ~ ~JRW~.Q~ MINNE$ A STATE BOAflO OF ELECTRICRY THIS INSPECTION REOUEST WILL NOT Gdggs~Mltlway Bitlg. - Room 5428 BE ACCEPTED BY THE STATE BOARD 1821 IlNVersity Ave., SL Paul, MN 55100 UNLESS PROPEfl INSPECTION FEE IS Phone (612) 801-0800 . ENCLOSED. q/,~J ` REQUEST FOR ELECTRICAL INSPECTION ee-ooo,(a~i-os G-/~/ 4,/'~ ~ See insVUCtions !or completing Ihis farm on back of yellow copy ~~~(SJ ~ ~o?~P~/~~ _ +"Yd' Se/ow Work Covered by This Request Ne A ep. Type of Building Appliances Wired Equipment Wired , Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Builtling Dryer Load Management Comm./Industrial Furnace Other (S ecify) Farm Air Conditioner, 01~er (specity) Conlrector's Remarks: y 1 {+S 1..OSV~ Compute /nspection Fee Below: N Other Fee k Service Ent~ance Size Fee # Circuits/Feeders Fee Swimming Pool~ 0 to 200 Amps 0 to 100 Amps Transformers Above 200_Amps ve 100 -Am s SI f15 inspecmrs Use Oniy: TOTAL IrrigationBOOms yQ'~ (~,50 Special Ins ection ~ Alarm/Communication THIS INSTALLATION~MAY BE ORDERED DISCONNECTED IF NOT O[her Fee COMPLETED WITHIN 18 NTH f I, the Electrical Inspector, hereby Rou9h-in Dete 4~~ certify that the above inspection has been made. F~°ai oa~e'2 ~`~C.~ J OFFlCE USE ONLY B T~IS requas~ vdtl 18 monlhs fmm v~ CITY OF EAGAN ~Jo 14 8 3 0 ~ ~ 3830 Pilot Knob Road, P.O. Box 21 •199, Eagan, MN 55121 PHONE: 454-8100 ~ a BUILDING PERMIT Receiptu To be used for SF nWG/GAR Est. Value $83,000 Date APRIL 14,_ ,1g~$_ Site Address 964 STONY POINT ROAD OPFICE USE ONLY Lot 1 Block 3 Sec/Sub. LEXINGTON SQUARE OnSitesewaga _ Occupancy R-3 7TH AD?ITION MWCCSyatem X Zoning PD~R-1 ParcelNo. OnsiteWell _ (ACtualJConst V-n MARVIN GEORGE BUILDERS CiryWater X (qllowable) V-n e Name s Address PO BOX 428 PRV Required _ it of Stories o PRICETON Booster Pump _ Length 49' 6" City Phone 612-389-3201 or Depth 49'.8'! , o Name S~E S.F.Total ~Q Address footprintS.F i City Phone pppROVALS FEES ~w Engr./Assess. Permit SO6.00 ww Name Planner Suroharge ~Fl._~0 i - Address a~ Cit Phone Council Plan Review ~.3. o0 QW Y Bldg. Off. SAC, City 1QQ~OQ I hereby ecknowledge Ihat I have r d this applicalion and slate that the Variance SAG, MWCC S$.o_nn information is correct and agr to 'omply with II applicable State of Water Conn. S$0.,.~Q Minnesota Statutes and City Ea n Ordinan s. Water Meter _(y7 _ nn Signature of Permittee . Roatl Unit .'~Z~..pp_ A Building Peimit is issued to. MARVIN GEO GE_B~II~AERS Treatmen~ P1 ~n_~.o_/,..,o~nn on the ezpress conditi0n that all work shall be done in acwrdance with all applicable State of Minnesota Statutes antl City of Eagan Ordinances. Parks Building Official~L;~7__J~~ Pt~ TOTAL SO ~ 0 ~ ~ ~I-a ~s ~ a RESIDENTIAL ~`7 BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55'122 651-681-4675 New Construction Reauiremants RemadeUReoair Rauuiremanta • 3 registared sile surveys showing sq. ft of lot, sq. ft o( house; arM all roated areas • 2 copies of plan (20% maximum lot cweraye ~lowed) • 1 set of Eneyy Calculatiore for heated addilions • 2 copies of plan showing beam 8 window sizes; poured found design, etc.) . 1 site survey lor extenar additians 8 decks . ~ • 7 set of Er~ergy CalcWatlons . Indicale if home served hy septic system for additions • 3 copies af T2e Preservation Plan if lot platted after 7/1193 • Rim Joist Detail Opfions selection sheet (Gdgs with 3 or less units) DATE S- ~~I - ~Z VALUATION ~o~) ~1 51TE ADDRESS ~I ~~I hT7 IJ~~/ ~OSrJT ~C~ MULTI-FAMILY BLDG _Y ~j N TYPE OF WORK TE A2 OFF ~~F ~Z~ FIREPLACE(S) ~ 0_ 1_ 2 APPUCANT Tp.yro2 ~Q.~,~ ~2P0`~~=O~ STREET ADDRESS ~ 3SC~1 LyiJDR~.~ RJE. S~ CITY 'r`~PLS STATE YWJ ZIP 55~1~45 TELEPHONE # c(5~• `6`G`6 •ZQ~CELL PHONE Z• 2Z) ~ 400C~ FAX #(012-- LS~L• `f C~Cx7 PROPERTYOWNER I~~JSl.1 CPrQf.35 TELEPHONE# Ios~ -~-I~- E-35Z- COMPLETE THIS SECTION FOR KNEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CAT'CGORY I MINNrSO'1'A RULES 7672 (J submission t~pe) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: Phone # Plumbing system includes: _ Water Softener _ La~m Sprinkler Fcc: $90.00 _ Water Heater _ No. oF RI. Balhs _ No. of Baths Mechanical Contractor. Phone # Mcchanical system includes: _ Air Condiuoning P'ce: ~70.00 _ Heat Recovery System SewerJWater Confractor: Phone # I hereby acknowledge that I have read this application, state that the inf tion is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ord~ ces. Signature of Applicant OFFICL USE ON Y Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 OFFICE USE ONLY ? 01 Foundation ~ 07 OSplex ? 13 16-plex ? 20 Pool 0 30 Accessory Bldg ? 02 SF Dwelling ? 08 0&plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Multi ? 03 01 of _ plex ? 09 07•plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi O 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? O6 04-plex ? 12 12-plex Plbg Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair ? 33 Alteretion ? 37 Demolish (Bldg)` ? 43 Reroof ? 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 Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bidg) _ Final/C.O. _ Footings (deck) _ FinaVNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ AidGas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.L _ A'v Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By , Building Inspector Base Fee ~ - Surcharge Plan Review MC/ES SAC City SAC Water Supply 8 Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies " Other Total RESIDENTIAL ° BUILDING PERMIT APPLICATION CITY OF EAGAN Cq ~ 3830 PI651-68146 5- 55122 O r~ ~ J ~ Naw Construction Reaulremants RemodallReoair Reouirements l-, ~ p n~_ 1~ • 3 regalered sile surveys showing sq. R. of lot sq. ft. of house; and all roofed areas • 2 copies of plan ~-OJ'~'-'~'`~y (20% maximum lot covera9e allowed) . 1 set ol Energy Calculations for heated additions • 2 copies of plan sMwing 6eam 6 window sizes; poured found design, etc.) . 1 site survey for exlenor addNOns & decks • i setof Eneyy Calculalions . Indicate'rf home served by septic system foraddiiions • 3 copies of Tree Presena6on Plan if lot platted after 7/1l93 • Rim Joist Delail Oplions selection sheet (Wdgs vrith 3 or less units) DATE y~6I ~ VALUATION JOB SITE ADDRESS ~6 `t S~"'`y P~ R~ IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNER Kev~-• Ca:...r TYPE OF WORK ` D~~I4 FIREPLACE(S) _ 0_ 1_ 2 APPLICANT ~Cev,l,~ Csti r.. t PHONE# L~l - Yf .f T t L ADDRESS Y~ S~ S~o.~ ~ ZIPCODE SS~~Z 3 PAGER #~l2- - 7~ q I CELL PHONE #`s~' ~ S' Y~; ~ FAX # w•~k 7c3- fys- S~~/o ~k~ NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category _ MINNFSOTA RULFS 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted _ MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor: Phone Plumbu~ Syslem Includes: _ Water Softener _ I.awn Sprinkler Tee: $90.00 Waler Heater No. oF R.I. I3aths No. of Baths Mechanical Contractor: Phone # i1~Iechanical System Includes: Air Condilioning P'ee: $70.00 _ Heat Recovery System Sewer/Water Contractor: Phone l5 a"~ All above information must be submitted prior to processing of application. ~ I hereby acknowledge that I have read this application, state that the information i gree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. SlgnatureofApplicant ~ Certificates of Survey Received _ Tree Preservation Plan Rec ved _ Not Required _ Updated 2002 OFFICE USE ONLY - , ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS O6-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex v? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-plex q~ 18 Deck ~ 23 Porch (screened) ? 36 Multi i~ ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? O6 04-plex ? 12 12-plex Plbg_Y or _ N ? 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 Reroof ? 46 Windows/Doors ? 34 Replacement •Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation ~_l~ 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. Y Footings (deck) FinaUNo C.O. T Footings (addition) _ Plumbing Foundarion HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding SNcco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge /~A, J~~ ~ ~'j ~ ° Plan Review ~I" f~" [L' l > MC(ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total ?601 - 73rd Avenue North bt~v-~v~~ , Minneapolis, Minneaots fi5428 Job No. 88-29 , ~l'Ue~pX~ ~Rl`~~~tA~t MN~VIN GE4RGE BUILDFRS S7'~~~ R Denotes Wood Hub Set ~C..Q PO~~ ~ - For Excavation Onl ~ ~ - Y ~in ~i ~.u ~ Denotes 5urface Drainege _ ~ ~~'u~ w~ oe e.o penotes Proposed Elevation ~6 ~ ~ y ~ L= '7(, ~j _ eao.~ Denotes Existing Elevation ~ i s~.~. 0 / ` ~ I~~o~--}- Type of Building - Split Level ~ ~'n,~~ I V ~ ~ ~ ~B°12.5 B'1~~ 8~1.ty8, 892.b9 l~2oN - - - - Cl5.0' 1¢ON ~ i ~ b N - ~ ~ ~ G4.,b¢.. ' Top of Block ~ e~2s , , , ~ ~ fli2.b b o' S b I ~I.o ' 21'b" 's~ ~ ~~5 I Oo ~ ~ ~ a Qa~ot't~~r7 icw r ~ QFSIVEtJCE N I Gara~e ~I.oor N ~ t~.q2 ~O" _ ~15,p gt2.b q ~ ~.o ~9 eq2~ r 8/~.~ 8 ~ ~"-~S~d°e\ o,~ I x ^ - Pa9;k~ ~v Lowest Most Floor z~~ I ( oS~Q I 9 s PY P ~ 3~, 8 f O I ~ ~`L~ ~ r I I ~ea22 I I / ! , LO'r SURVE~(S COMPANY, INC~ F B~N~ N~' ~ LAND SURVEYOR3 sca~E r' ~q~ ~ v 0- DENOTES IROM- REC[STERED UNDEB LAWS OF STATE OF MINNESOTA 7601- T3rd Avenue North 680-3093 Minneapolis, Minneeota 65428 Job No. 98-29 $urnr~ara ~rr#i~icutr MARVIN GEORGE $UILDERS ~j7'O~f~ P R Denotes Wood Hub Set Q~QQ ~~`y ~ For Excavation Only , ~m~ ~ - . ry Denotes Surface Drainage ~ _ ` ~°`~,u,.t,~J ae~.o Denotes Proposed Elevation ~6 / ~'~`?Lgp - -3 .gf1 - - osa,a Denotes Existing Elevation i( o cai.+ z-~ ~ _ / ; _ ~ ~ 1 o~~ F Type of Building - Split Level ~ ~ -R7(' 1 I ~ I892.5 9"17l.b ~f y I 991.bB. 1592.b I looa - ~~p. cc5.o-~ ~~N N I 6 j~ . _ -'yey.,~y _ . Top of Block /i ~`'Z'y ~ F- ff~2.b ~ yb" 6'b I 5 ~LO ' 2py" :n ' 092.5I i ~94.Z P/ ~ 1~ I ..r N U eonYo~r~ m ~ ~ ~ QESIVEMCE N ~ ( GBPflg@ FLOOL'' N ~ I e0~.9 ~~A2 ~o" _~~5,o_~8t2.b I 893.7 ~2° e93~ ~,2, I t c._ _ I / Lowest Most Floor I f ° t I ~ ~`34 • ~ S I F ~ =e~xZ I r t - ~ I r i . m uT~uTY ' I ' ~ ~ y ~ ~ I Dt7~,~Npli~ I ~ N i EQSEMEN7~~ < J f~ L'ot 9, Block 3, _ I LFJ~INGI'aN SQUARB 7TH ADDITION r~"~ I I I I. I I ~ ~ F ~ ~ J ~ I ~ ~ ~ ~ ~ w 3 I ~ ~ g~ ~ ~ ~ I s ~I d ~ I ~ ~ ~ ~ , ~ ~ ~ ~ ~ ~ ~~j ~ / ~ ~ ~ , ~ ~ ~ ~ ~ ~ ~ s; _ ~ D r ~ ~ ~ F, ID ( I ~B(I ~ I.tei9•8 i S 1 _ _ lqA-.02-- Tha only e~sert~ente ehown are frpm Plats ol rocord a Info~natlon provided by C1fen1. YVe hereby cartl~y Ilat Mle is s hue and correct repreaentetlon ol a eurvey ot Ihe ~ boundarbs ol ths tlwvs dsac~ibed Iend ~nd the locallon ol Nt bulidinps end vir ~ . Ibls encro~cMnsnh, fl ~nY. (ran or o~ ssid land. Signed SurvsysdbyualMs_4~_dwot Anril tg 88 mond A. Pr~, Minn. Reg. No. 8743 ~ \ 19ga BUILDING PERMIT APPLICATION - CITY OF EAGAN , . Q30 SINGLE FAMILY DWELLINGS ~ INCLUDE 2 SETS OF PLANS~ 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTEs ADDRESSES FOR CORNER LOTS. - CONTRACTOA/HOMEOWNER M[JST DESIGNATE WfIICEi ADDRESS IS.DESIRED. NO CHANGES WILL BE ALLOWED ONCE HUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNIT3 lF OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OE SURVEY - CRECK WITH BLDG. DEPT.~ 1 SET OF ENERGY CALCULATIONS CONR4ERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS~ ~ SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS - . ~'D A~Ed 1 1 1988 To Be Used For: SinQle Familv Valuation: Date: 4/6/88 s----- Site Address! ~L~-~tonv Point Rd. ~ 3J~7GCJ OFFICE`~Y Lot 1 Bloek 3 On site sewage_ Oecupancy ~y MWCC system ~ Zoning PV).~-1 Parcel/Sub Lexington Sq. 7th Add. On site well _ Actual Const t!-~i1 ~ City water Allowable Owner Mark & Kristina Burrowes PRV required _ of stories Booster Pump , Length ~ Address 3419 Grimes Ave. N Depth Minneapolis, MN 55422 S.F. Total City/Zip Code Footprint S.F. Phone 522-2366 APPROVALS FEES En r/Assess Permit ~J Contractor Marvin Georee Buildera planner Sureharge 5~/..~0 Address P•0. Box 428 Council Plan Review Z,~_ Bld~. Off. ~4~1'~ SAC, City City/Zip Code Princeton N1N 55~7i Varianee SAC~ MWCC Sd Water Conn S.S-d Phone (612) 389-320~ j~! Water Meter CT Road Unit Arch./Engr. S m~~„r--~-...- Treatment Pl ap Parks Copies Address TOTAL ~ , ~ City/Zip Code Phone # ' r ~ (/tilv4 } ;a~, , ~ , . n ~a ~ C/.i-- 1 a - M.. iY - ~39~ 3 j ~..7 ~ L~Y YY= ~15~ y~.~- r 3.. l y r~ ~ 2 ~~°°r ~~~k r~ v~. , ~ ! ~ v~- S' , s,t- 9 ~ t ~ S~ z~ E /G • _ _ /z.Z3,s,~-h'9 ` ~~SS!S 6 2. /.5w 5- R~- P.~ P~;r~e~~N ~~X3~~ MINNESOTA STATE BUILDING CODE DIVISION , EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION owNER M~4P,V~,N C~eOKCaE F~UILOERS SITE ADDRESS ~rj"~' ~ ~~OCk 3 ~~Xing~`~~ ~¢/~r /80'~ . ~j CONTRACTOR 5~1~'~~~-V ~,fJ ~~(-'pn.(: E~~11Ic1PEj DATE PHONE Determine workinR square footaRe of each: 1. Total exposed wall area..... I S7 ~o sq. ft. x . ~ ~ 3Co 2. Total roof/ceiling area..... G q~ p sq. ft. x,0 = ~p ~J, q d Total exposed wall area above floor = I~~n~ ' r~ ' a. To[al wall window area . . . . . . . . . . . . . . . b. Total door area . . . . . . . . . . . . . . . . . . ya, c. Total sliding glass door area. . . . . . . . . . . . yy-'~ d. Total fireplace wall area . . . . . . . . . . . . . . e. To[al wall framing area (average 10~). . . . . . . . _j~) f. Total net wall area above floor. . . . . . . . . . 12~5 ~I g. To[al rim joist area . . . . . . . . . . . . . . . . Total exposed foundation area = ~ h. Total foundation window area . . . . . . . . . . . . ~ i. To[al net foundation area a6ove grade. De[ermine "U" value of each wall segment: a. b g~~U~~ . 3~~ = c~ 3.q a b. ~?a X .a3 = ~•(~Cv `-la X ~~U,~ ,y a, _ ~ ~~(o`~ a . " x ~,U~~ - _ ~ e. ~ ~j ~ X ~~Uu ~ (~~'J = I ~ ~ ~ 1 f. ~~5~ X ~~U~~ ~O`-~ = SC7, ~Co . ~ 8:. 1 v`7 x„~„ , c~y 1 ~-l , 3°I ~h. ~ X ~~Un- s 1O~ X 11l'll .vV~ a V U \ G1' ~ ~ 3. TOTAL . . . . . . . . . . . . . . a ~5~,3~ If item N3 is the,same as, or less than item lll,--you have met the intent of SBC 6006(c)2. Total exposed roof/ceiling area lU - ~R To[al skylight area . . . . . . . . . . . . . . . . ^ k. Total roof/ceiling framing area (Average 10%) 1. Total net insulated roof/ceiling area ~~1 7 Determine "U" value for each roof/ceiling segment: X "U" j, - ~ k. ~ G X,~U~~ . oa~ = a, s~ ~i 7 x„~„ . oaa = 1~?~~ 3~ , ~ O 4. TOTAL . . . . . . . . . . . . . . _ . aa,3~ . If total of item ll4 is the same as, or less thari item /12, you have met the intent of ~ SBC 6006(c)1. A1[ernate Building Envelope Design To utilize the total envelope system method, the values es[ablished by the sum of itema ~ 1!3 and I14 shall not be greater than the sum of items A1 and 112. aoc~.3~ + Z. a5.4o a3a.zac~ ~ ~ 3. i53,3~7 +4. ~a,3o ~~i~J~~7'' PERMIT ' Control No. O~ g 8 ~ CITY~OF EAGAN ' 3830 Pilot Knob Road PERMIT.TYPE: BUILDIMG Eagan, Minnesota 55123 Permit Number: 000497 (612) 681-4675 Date Issued: 05 /@7/92 SITE ADDRESS: 964 STONY POIN7 RD L07: 1 BLOCK: 3 LEXTNGTON SqUARE 7TH DESCRIPTION: CaUTTER REPLACEMENT Buildii"fggPermiC Type MISCELLANEOUS Building I,iork TyQs RITERATION -UBG GccUpanCy'., R-3 .~y ti ^ 8, _lr.... - fv ~ ~ P-{ , ` 1,:. }1 ~4 rr" 1 ~ ~ s~ ~ Y~i Y~~.t ~ i r~ t' t"~5~~ s'_/ ~li { 1`, - ~ 3~'1 ~.~;J ~I,:~ `.i_.~~c`.~'ta'-y4,~~.`3F~i. REMARKS• ~'bf$L$~ FEE SUMMARY: VALUATION $700 8ase Fee $19.00 Surcharge 3.50 Total Fee E19.50 CONTRACTOR: - Applicant - sT. ~IC. py~(NER: TWIN CITY S70RP1 SASH CO 1546816@ 0003@90 BURRQWE5 MARK 10825 GREENBRZER RO 964 STONY POINT RD MINNETONKA PIN 65343 EAGAN MN 65123 (612) 546-8160 (612)452-7593 i heraby acknowledg;s that Z have read this application and state that the informaCion is correet and agree to comp3y w3~th all applicatr2e State of Mn. Statutss arttl CYty of Eegan Ordinances. ~ - APPLICANT/PERMITEE SIGNATURE 'ISS~UEq BY~GN~E'~~ INSPECTION RECORD I Control No. O~~ H CITY OF EAGAN PERMIT TYPE: Buz~ozd~ . 3830 Pilot Knob Road Permit Number: @00497 Eagan, Minnesota 55123 ~ate Issued: 0 5/@ 7/ 9 2 (612)681-4675 SITEADDRESS: ~oT: i BLOCK: 3 APPLICANT: 964 STONY POZNT RD TWIN CITY STORF9 SASH CO LEXINGTQN SQUARE 7TH (612) 546-8160 PERMIT SUBTYPE: TYPE OF WORK: MISCELLAHEOU3 ALTERATION DESCRIPTION GUTTER REPLACEMENT . . '~FSNA~°: .i,xk.,. a.,~... ~ ~ - j533g -4~~U 1992 BUILDING PERMIT APPLIGATION CITY OF EAGAN $EQUIREMENTS: SINGLE FAMILY 2 SETS OF PLANS, 3 REC~ISTERED SITE SURVEYS, 1 SET ENERGY CALCS. MULTIPLE DWELLINGS 2 SETS OF PLANS, 3 REGISTERED SITE SURVEYS, 1 SET OF ENERGY CALCS. # OF UNITS RENTAL FOR SALE COMMERCIAL 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SEf OF SPECIFICATIONS, 1 SET OF ENERGY CALCS. PENALTY APPLIES WHEN NPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE QR LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH 4L~!~RESS I~ ~ES!R~~]. N~ rHAy~~s ~lIL~ gE A~10l~ED [?NG~ Bl,!lL~IN~ PERMlIT IS ISSUED. , - ~ 7D0 • 00 To Be Used For:~ Qq.~y ~~~`)1!Aluation:`~ ~~Q •T~ %Date: Site Address !p ~ ' FFI E U E ONLY Lot ~ Block FEES Occupancy Bldg Permit 1. 0 Parcel/Sub~ Zoning Surcharge .h0 ' Actual Const Plan Review Owne ~ ~)1 ~ Allowable License Fee # of stories SAC, Ciry Address Length SAC, MWCC Depth Water Conn. Ciry/Zip ,-j .5 / oZ 3 S.F. Total Water Meter _ FootpriM S.F. Acct. Deposit Phone S/W Permit On-site sewage S/W Surcharge Coritractor On-site well Treatment PI. 70825 GREENBRIER ROAD MWCC System Road Unit Address INWNETONfG4 MINNESOTA 5 City water Park ~ed. ~=nv a~, ~ea. City/Zip Booster Pump Copies "1 SUBTOTAL Phone ~'~y-(~- S'("l~~ ~ License p(j APPROVALS Penalty ' Planner Lot Change Council . TOTAL Arch./Engr. Bldg. Off. Variance Address City/Zip Code I Phone # Sewer/Water Licensed Contr. . Processing time for se er/water permits is two ays once area as een approve . c.C~,(-~"C.ee~ agrees that all work shall be done in accordance with i nature o ermi ee all applicable 5tate of Minnesota Statutes and City of Eagan Ordinances. ~ ~ PERMIT ~~--~~~o CITY OF EAGAN ~2~I ~ 3830 Pilot Knob Road PERMIT TYPE: a I L D I N G Eagan, Minnesota 55123 Permit Number: 0 2 5 0 6 2 (612) 681-4675 Date Issued: 01 J 2 5/ 9 5 SITE ADDRESS: 964 STONY POINT RD LOT: 1 BLOCK: 3 LEXINGTON SQUARE 7TH P.I.N.: 10-46681-01Q-03 DESCRIPTION: Bu~32ding',~Permit Type BA5EMEN7 FINTSH ~E~ui~ding W~ark Type ALTERATION ~ ~ ~ C.~ ~ . 1 ` , "7' r~ . ~-^i~...~,.,lE`'~~r/ A . ~ ._~.i v r° t a 1/!'- - G ; ~ k~i~f~~L~ L ~ ' ~r`~~,~~~;~la~~ ~ ~ REMARKS: A SEPARATE PERMIT IS REQUIRED FOR ANY PLUMBING OR ELECTRIGAL WORK FEE SUMMARY: Base Fee $35.00 Surcherge $.50 7ota1 Fee $35.50 CONTRACTOR: OWNER: - Applicant - CAIRNS KEVIN 964 S7UNY POINT RO EAGAN MN 55123 (612)545-5510 I hersby acknowledge that I have reatl this application and staCe that the itrfprmation i's oarrect and agree to comply with all applicable Sta~e ofi Mn, S'Catut~s and Gity o'f Eagart Ordinances, ~ _ ~ -~AP~MITEE S~ URE IS~~E B~31G T~' ~ INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: B u r~ o r N ~ 3830 Pilot Knob Road Permit Number: 025062 Eagan, Minnesota 55123 Date Issued: 01 / 2 5/ 9 5 (612)681-4675 SITE ADDRESS: o r: 1 B L 0 C K: 3 APPLICANT: 964 STONY POTN7 RD ~ CAIRNS KEVIN LEXTNGTON SQUARE 7TH {612) 545-5510 PERMIT SUBTYPE: TYPE OF WORK: BASEMEPIT FINISH flLTERATION . „ . FRAMING INSULATION RQUGH IN PLB6 FINAL REMARKS: A SEPARATE PERMIT IS REQUIRED FQR ANY PLUMBING OR ELECTRICAL WORK ~ . . _ - - ~ ~ ~ CITY OF EAGAN 1995 BUILDING PERMIT APPLICATION (RESIDENTIA ) U~ G~~~ 681-4675 ' ~ 2 4 1995 New Construe[ion Reouirements RemodeVReoair Reauirements ~~r~~ ? 3 registered sde aurveys ~ ? 2 copies of plan ? 2 copies of plans (fnclude beam 8 window sizes; poured fid. dasign; etc.) ? 2 ske surveys (extarior additions 8 dedcs) ? 1 energy caleuiations ? 1 energy calculations for heated additions ? 1 vee preservation plan if lot platted after 7/t193 requiretl: _ Yes _ No DATE: CONSTRUCTION COST: DESCRIPTION OF WORK: -O~ ~us~`""'~ STREETADDRESS: 9~°`~ sf°''y ~oa~' Fe9ay. ~9N ~'~/13 LOT BLOCK .y~ SUBD. 9 v P.I.D. # ~4y _ sys- s~s~io PROPERTY Name: ~a~ V~S ~~ev~~ Phone#: `~s`~" ~?r,~ OWNER StreetAddress~ y~y s~'~~ P~ City: a-. State: Zip: ~S~e.?3 CONTRACTOR Company: Phone Street Address: License City: ARCHI7ECTl Company: Phone ENGINEER Name: Registration Street Address~ City: State: Zip: Sewer & water licensed plumber: . Penalty applies if address change or lot change are requested once permit is issued. 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 Ciry of Eagan Ordinances. Signature of Applicant: ~~-~`-n~' OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received Yes No 1 CITY OF EAGAN ~ ~~c, 383U PILOT KNOB ROAD EAGAN, MN 55122 ' OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ~ 16 Basement Finish 0 02 SF Dwelling ? 07 4-piex o 12 Multi (Misc.) 0 17 Swim Pool ? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory o 20 Public Facility ? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous ? 05 SF Misc. ? 10 Multi (additional) ? 15 Deck WORK TYPE 0 31 New ~33 Alterations ? 36 Move ? 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. Census Code yj~ # of Stories sq. ft. SAC Code O~ Length sq. ft. Census Bldg. ~ Depth Footprint sq. ft. Census Unit lJ APPROVALS Planning Building Engineering Variance ~ Permit Fee Valuation: $ lSdD Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units f ~ Y 7988 HUILDING PERMIT APPLZCATION - CITY OF EAGAN SINGLE FAMILY DYIELLINGS INCLUDE 2 SETS OF PLANS~ 3 CERTIFICATES OE SU Y, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CO ACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDAESS IS DESIRED. NO CHANGES WILL BE LDWED ONCE HUILDING PERMIT IS ISSIIED. MULTIPLE DWELLINGS RENTAL ONITS FOR SALE UNITS 7~ OF UNITS INCLUDE 2 SETS OF PLANS, CER ICATE OF SURVEY - CHECK WITH HLI}G. DEPT., 7 SET OF ENERGY CALCULATI COI•AtERCIAL _ . _ _ _ - / INCL[1DE 2 S OF ARCHITECTURAL & STRUCTURAL PLANS, / ~~-~GT/~f}~-~ 1 SBT SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS_ To Be Used For: }~j~C~ Valuation~~'t?~-, Date: .J Site Address 9~y sror.~a Pqlvf ~T9 OFFICE USE ONLY Lot f Block ~ On site sewa e g _ Occupancy °7 MWCC system Zoning Parcel/Sub ~C~'/~NG?~~l TQ(,I On site well Aetual Const City water Allowable Owner ~/f6~~ ~(J~/~C7GCJ~S PRV required _ U of staries Booster Pump Length Address ~,.Ni ~,Q Depth S.F. Total City/Zip Code ~f-~~ ,~-ri~3 Footprint S.F. Phone C/S~ - 7,5" ~'3 APPROVALS FEES Contractor Qc J il/t'~2 Engr/Assess Permit ~G Planner Surcharge Address Couneil Plan Review Hldg. Off. SAC, City City/Zip Code - Variance SAC, MWCC Phone " Water Conn Water Meter Road Unit Areh./Engr. DG--~/J~2 Treatment Pl Parks Address ~ Copies I TOTAL City/Zip Code - Phone II - i!j CL ~0~~~~~~ I~~~ F. BONO. NO. 'i7Ag'co I,AND 9~VE~'OYt5 SCALE I.. qn~ 2~ , 0- DENOTES IRON REGISTERED UNDER LAWS OF STATE OF MINNESOTA 7601 - 73rd Avenue North 560~3093 Minneapolis, Mimeaota 55428 Job No. 88-29 ~rgvr,~ ~ra~if~cmgr , Mt1RVIN GEORGE BUILDERS S ' Tp~yY q Denotes Wood Hub Set Q.QQ P~ y T For Excavation Only , ~ ,N ~ Denotes Surface Drsinage w-t~ ~ eeo.o Denotes Proposed Elevation i6 '`L=7(,gp _ _ _3 ~ _ _ eeo,o Denotes Existing Elevation ~ ~ ~ I 6a2., Z~ ` i o ~ j-'. -r---- Type of Building - Split Level I'nQ I F ~ I I ~ ~ , ~ ~ . -m~ ~ I ~j:5, 892.5 g~i• b I 92 65 ~ I • $~il.b8. ~n 8 I ~aca T-- - 22,~., c~s.-oT ~m~N. ~ 1 5 b I (tL,b4- - ~ ' . .!YA2b . b'O" 6'b i---~--Y I 5 II Top of Block l! ~25 J ~ ~~'d 21'b" S~ ~ Bfl'Z.SI 8/¢. Ii \ °~I . ~ i I N o f~npo~rJ a~ ~ D ~ N QESIOENCE N I Gara~e Floor { j ePfi.B ~ l_1f12 . ~O" 15.0-~ 842.b ~ ~ 2.0 9°~2~ I F r . . B`j~.~ ~93,1 4 I DECK ;•J ~ ~ , Lowest Most Floor ~ ' I , _1V I B9o.7 5 I F _ , , , r~, ~-~tf g ~ IJTIUTY ~ ~ + _ ~ ! oo~,~Npl,e ~ y ~ ~ ` I ~eSEMeN~- ' , Lbt 9 ; Block 3 , - ~ - - - ( LEXINGPON SQUARE 7TH ADDITION "C u-> v ~ i / -a - ~ ~ I ! ~ i~ ~ ~ ~u W 3 I ~ I ~ ` gl ~ ~ ~ I ~ ° r I~ ~ I V s w F~ I ~ ~ I F~- ~ D ; ~ ~s ~~I~j ; ~ ~ I ~ ~ ~ ~ I~ ~ d~.. I s; I~~ ~ rII I zI ~ ~ ' I / ~ . I~__/ ~ ~ _~O • i i~ , ~ / ~ ' ; ~s~ ~~a ~a - t94.02-- Ths only s~esmente shown aro from plate ol reeord a Intamatbn provided by client. Ws hsne~y cerlify tlal lhte te a hus ub correct ropresenlatlon of a survey of tAe ~ baeneprks W Ms above described la~ and the localla~ of dl Dul~lnpe aiW vlr r ~ fbls encroacl~nenfs, H r~y, f?om a on eab land. ~ Signcd ' Buryayedbyumthla~d~rol Apr~j.l tg 88 mond A. Pr~seh, Minn. fleg. No.8743 ~~5' -~NY P„~ So~JTH ~ ~i~iPlC /3v~P~Qc1w~ s Ys~- ~593 I I I~ ~ a~ ",PA~G ~N ~ ; I 1 a ~ X~YoZ C:~NG~L ~ t Pjt~S To PE USc ~ TR~Ts~ ~.~n~r~ER r~ ac usrc~ ~ ~ ~ / ~ ~G ~SP/~ c ini~, ('c~ ST'S ~ ~ ~C ~v c~e~ t~•_lo~..~ ~jL.`~A h'1 S - ~~`-R'~'~a~ ~~L~ ~ Q~ J c~ t S T 5~ ~ x Co 14 0, c. G~dc1N f) ~ 5?"fPS ~(cF ~aNl, ~5) SU I S"I'S ~ k d l~rr C. C~ l~c~ iN C-r ~ x (o • ~~o-~ ' , i~ ~MS. - ~ ~ l i, ~ ~ - ~ L~ ~ q ~ ~ ~ _ I ~ fl vl J ~ d z ~ k. r' r~'~ t tJ ` ~ ~ ~ 'r.~eam ~~rx ~ . ~ ~ ~a , -z~vz.s _ a i s ~ io~ U~ ~ ~ °o x ~ _ ~ - n ! _ ~ ; ~q Y ~ ~ I ~ w ~ N b o~,./ . , ~ ~ SF----'S~ - M r~ sr~'72 ~?/N/n1G ROoJ~1 1.ivin+G RooM J~arti .cv.dc-rr.P rn~,Pnnn~n CITY USE ONLY 5,5~ L BL ~l RECEIPT ~ SUBD.~i:~ O ~,e,~- ~ DATE: / ~P/9~ 1995 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612)681-4675 Please compiete for: ? single family dwellings ? townhomes and condos when permits are required for each unit FIXTURES EACH NO. TOTAL Shower 3.OD x = Water Closet 3.00 x = Bath Tub 3.00 x = Lavatory 3.00 x = Kitchen Sink 3.00 x = Laundry Tray 3.00 x = Hot Tub/Spa 3.00 x = _ . Water Heater 3.00 x = Floor Drain 3.00 x = Gas Piping Ouflet ` minimum - 1 3.D0 x = Rough Openings 1.50 x = Water Softener 5.00 x = Private Disposal " Dakota Cty. license 20.00 = U.G. Sprinkler ` home under const. 3.00 = Alterations ' to existing 20.00 =~C7 , 0 O Water Turn Around 20.00 STATE 5URCHARGE .50 TOTAL a C~ ' s O SITE ADDRESS: y s~'' 9°"' ~ J OWNER NAME: ~~u ~a: s INSTALLER NAME: S~ m e"' STREET ADDRESS: CITY: - STATE: ~ ZIP: PHONE ( ~~a ~ S'ys ~S"ia ~TC~`~'1~~F~'EI~i~TT CITY USE ONLY L BL RECEIPT SUBD. DATE: 1995 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612)681-4675 Please complete for: ? all commercial/industrial buildings. ? multi-family buildings when separate permits are ~t required for each dwelling unit. DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION ADD ON REPAIR DESGRIPTION OF WORK: FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per $1,000 of ~rmrt fee due on ali permits. CONTRACT PRICE x 1% STATE SURCHARGE TOTAL SITE ADDRESS: TENANT NAME: STE. # OWNER NAME: INSTALLER: ADDRESS: CITY: STATE: ZIP: PHONE . SIGNATURE: APPLICANT CITY OF EAGAN 7~'(?K'M ~M~i ~M)KY(•YFi;l9F1RMWY(i ~i ~(~'*pF>'~~i ~M7~C7kX;la;KYFYri *~'~i kC~i ~i ~M CITY i71= F.:r~Gl~t~ CAuEITEf:: .7S ~I::P;MTt~AI_ N0: C,JJ DA7Ea tlt3/13/~`d '?'2M[',; 14: ;:I..~.i. ILi: t.~r1N~Lc Rfi.T.AN PAL.iiW C[JN:iTf;IJCTT(:1P: 3~ i.0 90~i. 76A S1"GMY I"T RLi II.~~J.f~.J zt~;s ~~oo~. :,~~a sra~v r-r F;~~ ,.~~u lot,al, "r'tnceip+. Arc~oi_+.ni:: 9.2F;.r ~ Cfi J. i [.'i4'33 ~J.~ie~fi .T.I~c JAN X:%~>k~FyR%k,Y/tX<vc~:~k~W.'M>k'a~8: k~hckckcM~Y7kY:r~M"X«Ck~~Y„>k~n8:%~%t 1999 BUILDINC PERMIT APPLICATION (RESID~NTIAL)~j' CITY OF EAGAN T i,Z~ ~ 3830 PILOT KNOB RD • 55122 651-681-4675 New Conslrudion Reautremenh ~ Remodel/Reoatr ReaaHemeMs ~ ~ ' ~ ~ ? 3 regisfered sHe suneys showing sq. H. of lot, sq. H. of house ~ 2 copies of plan and ~ roofed areas (20% maximum IoT coveraae allowed) 1 sM of energy calculatlons for heated addHlons ? 2 coples of plans (sAow beam 6 window sfzes; poured fnd. design; Mc.) 1 ske suney for exterior addRfons E decks ? 1 sef ol energy cokulatlons D 9 coples of hae preservatlon plan M IW plaltad ~fer 7/1/93 DATE: _ YJ ` r2- 9/ CONSTRUCTION COST: 5~a DESCRIPTION OF WORK: ~2, - F SiREETADDRESS: ~10~'I' ~ton~~p~a~ I"dL~ P `1C~, LOT: ~ BLOCK: SUBD./P.I.D. i Vi a~'fl In ~~w OA/\~ ~ ~ Name: ~Ch'?~nIS ~~~u~~ Phone#: Il~sl~~~-~~Z PROPERTY Firsf ~ OWNER Street Address:_~_~ City State: Zip; Company: ~r~ia~ (~w~ov~ `~+~~+~'~~b*~ Phone#~ s~ r'~22-'77-ZZ rea codej CONTRACTOR StreetAddress: ~3S`~ t~Pp~.v ~S ~r~' S~GJ License# 7~/f3 ~~Exp. Zi7 City f-o4aP 6M,v.+~ State: d~ts Zip: S~0(occ'3 ARCHITECT/ ENGINEER Company: Name: Telephone area code ( ) Stree't Address: Regisfratfon City State: Zip: Sewer $ water Ilcensed plumber {reauired for new eonshuction onlv): PenaNy applles when address change and lot change is requesFed once permN Is issued. I hereby acknowledge that I have read this appiicafton, state that fhe Informaflon is correcl, and agree to comply wBh all applicabt , Ste~ie ot Minnesota Statutes and Ciy of Eagan Ordinances. ~ Signatu~e of Applfcan~ ~ ~ • OFFICE USE ONLY Cert~cates of Survey Received ~ Yes _ No Tree Preservation Plan Received _ Yes _ No _ Not Required OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 4-plex ? 11 10-plex ~ 16 Fireplace ? 21 Porch (3-sea.) ? 02 SF Dwelling ? 07 5-plex ? 12 12-plex O 17 Garage ? 22 Porch/Addn. (4sea. ? 03 1 of _ plex ? 08 6-plex ? 13 16-plex O 18 Deck ? 23 Porch (screened) ? 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 ? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia ? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 ~ndows/Doors ? 33 Alteration ? 37 Demolish Bldg." ? 41 Wood Stove ? 45 Fire Repair ? 34 Repair 38 Demolish (Interior) ? 42 Reroof * Give PCA handout to app~icant for demolition permit GENERAL INFORMATION Const. (Actual) Basement sq. ft. Census Code (Allowable) Main level sq. ft. SAC Code UBC Occupancy sq. ft. No. of Units Zoning sq. ft. No. of Bldgs # 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 a5 a Valuation: $ Surcharge ~ U ~ Plan Review License MC/ES SAC ; City SAC Water Conn. Water Meter Acct. Deposit S!W Permit SNV Surcharge Treatment PL Park Ded. Trails Ded. ° Other ~ Copies ~ TotaL• 1 a R-, a~ SAC Units % SAC ~ . APFLICATION 1=OR PERMIT PA~r ~F FEE AT TIME OF ~ ' . ~ APPLICATSON DOFS NCri' CON~- ~ • SfIYVfE 11PPHQJAL OF PERhIIT. SEWER AND/OR WATER CONNECTION = I~~~~ ~+~i~ ; itsrnu~xxars wa.r. rio~r ee sc~[n.Fn ~ ~ . ' ' ~ [1NfIL PIItt~IIT H~IS HFI~S/ APPROVID. : S y#i~e#4#ff44iitfROR*fl~fifiiil~fffifiil~i l' , C~~O~ OF C~C9~C'~P9 - „ ~ ~ (PLEASE PRINT J l~ T 1) PROPERTY ADDRFSS: S t~ IZc~ T,FY:AT• DESCRIPTION' . . . r ~ ~ . 5 . -I ~ ~ . . Lot B oc S ivision r Tax Parcel ID IF EXISTING STRC'CTORE, DATE OF ORIGINAL BUILDING PERMiT ISSLANCE: Nbnt Year PRESENT ZONING/PROPOSID C~SE: Q COPM9EF2CIAL/RETAIL/OFFICE I~ R-1 SINGLE FAMILY _ Q INDL~STRIAL ~ R-2 DUPLEX (3~.o C'nits ) ~ INSTITL'TIONAL/GOVERI~NP ~ R-3 TOWNIIOC~SE (Three +.L'nits) ( L~nits) Q R-4 APARTMENT/COAIDO[vIINIOM ( L'nits) 2) NAME: AnD~ss: ~-t'p ` - . INC. , CITY, STATE, 2IP: IORn[.~ ~ aeae~ PHOI~: ~{9a-1ia ~ For City Lse 3~ .~,J:~~ N~: P1 rs License: ADDRESS : ~ ~ • ~ ~ NQ 1 ~ ~cpired CITY, STATE, ZIP: E i~ Not recordec l~ ia PHONE: ~`11-d~~, SE # r~-}l~'7 gt Initi 4 ) s • ~1~i • r~r~: /'l 2 G < ~ . H~ ~ ~ ADDRESS: ~3;, v 1 y ' CITY. STATE, ZIP: 2;_.~ /r ' PHONE: _ 5~ ~ ~ , ~ CONNECTION TO CITY SEWER CONNECTION TO CITY WATIIt ~ OTHER 6) LYh.~G~~ Q /t'j~- '~~a~ ~Y4 * *'lY~ GpIJJ COPY OF '14~ P~2MIT WII,L BE SENP DIR~CTLY TO PUSLIC WORRS 40 FACILITATE METER PICK-UP. y', * PLEASE ALLOW 7FA h~7RKING DAYS EYAt PROCFSSING. SONIEONE FROU9 TI~ CITY WILL COD1I'ALT 3i(xJ IF ~E * ~ * ARE ANY PROBL~E[KS. i *+****,r*+*********~+~,t**~**,+*~**+**: ****+«*+**r«+r*,e,r,r**,r,t+*~*,r,r*******~*****,t*:*****~~~*; . ~OR CITY USE ONLY ~ PERMIT # ISSOED y.a ~ _ . Pd w/Bldg. Permit FEES: $ ~1>• S~' SEWER PERMIT (INCLUDE SURCHARGE) $ S /cr-~?J WATER PERMIT (INCLUDE SC~RCHARGE) $ C 7•~ $ WATER METER/COPPERHORN/0[.'TSIDE READER $ $ WATER TAP (INCLL'DE CORPORATION STOP) $ S SEWER TAP $ S c~? ACCOUNT DEPOSIT - SEWER $ $ ~,5'~Ci C~ ACCOLNT DEPOSIT.- WATER $ S S~ ' ~j ~ $ WAC $ ~ S~b .~I~ $ ' sAc ' ':r $ S TRUNK WATER ASSESSMENT $ $ TRONK SEWER ASSESSMENT $ S LATERAL BENEFIT/TRDNK SEWER yh $ $ LATERAL BENEFIT/TRC~NK WATER $ V ~ $ ' ~WATER TREATMENT PLANT SURCHARGE $ S " OTHER: $ I~f' ~ I. U`~ $ /r. Q-~ TOTAL ~a > ~ s~ ~3 ~s- RECEIPT RECEIPT , DOES DTILITY CONNECTION REQDIRE EXCAVATION IN PC'BLIC RIGHT.OF WAY? ~ YES IF YES, THEN A"PERMIT FOR WORK L4ITHIN PL~BLIC Q ROADWAY" MLST BE ISSC~ED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: • APPROVED BY: ~~~,,y~ ~~oZ-~J-7~-~0 TITLE: DATE : Z Cp J . ; RESIDENTIAL BUILDINC PERMIT APPLICATION ~7 qp, q 3830 PIL'OT KNOB RDN 55122 ~ r I~• J V ~ / O 651•681-4675 q~~'OI NewConsWCtion ReauiremaMS RamodeURaoafrReaufrements ~n^ • 3 registered sile surveys showing sq. tt. of b4 sq. 8 of t~wse; an~~ iooted areas . 2 copies of plan r~ r r• (20% mazimum b1 coverage albwed) . 7 set of Eneyy CelaWtions for heated add~ions . 2 copies of plan showing beam & window sizes: poured tound design, etc.) . . 7 ske wrvay for exterlw add'Na~s 3 deG~s . lseto}Ene~gyCalculations . Ind'Kaleflhomeservedbysepticsystemtwaddilans- /~/o • 3 copies M T2e Preservation Pian H bt platled afler 711193 • Rim Jaist ~etail Opfions selection sheet (bldgs wilh 3 or less unBs) DATE 9~°~y /o! VALU/[ION o00 JOB SITE ADDRESS ~I(~,y Sfr~~ Rd~ IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTYOWNER Ilev~i.. ~ BL~ G-•rwr TYPE OF WORK ~~1 ~%=K D~ ~-k _ FIREPLACE(S) _ 0`~1 _ 2 APPLICANT Ke~~ Ca~~~r PHONE# 6S/-ySy-63f.t ADDRESS q6~/ 57~.~ P¢ R~ ZIPCODE S~S~~~ Wa~K PAGER# ~~~-s~7-7~9/ ~PHONE# 763-~Y.S"-~"Sio~k~~FAX#7c3-5"ys-78a3 NEW RE5IDENTIAL BUILDING ONLY- FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULES 7670 CA'I'EGORY 1 (check one) - Residentlal Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculatians Submitted _ MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Conhactor. Phone Plumbing 5ystem Includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00 _ Water Heater _ No. of R.I. Baths _ No. of Baths Mechanicai Contractor: Phone # Mechanical System Includes: _ Air Conditioning nI7 r~, . 0 _ Heat Recovery System D~~~~ u LS 3ewer/WaterContractor. Pho a 1 All above lnfortnallon must be submitted prbr to processing of application. BY I hereby acknowledge that i have read this application, sTpte that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinance~~~ ~ ~ Signoture of Applicant d Certificates of Survey Received = Tree Preservation Plan Received _ Not Required ~ Updated t/01 • ff- OFFICE USE ONLY : . ? 01 Foundation 0 07 OS-plex ? 13 16-plex ? 20 Pool ~ 30 Accessory Bldg ? 02 SF Dwelling ~ 08 O6-plex O 16 Fireplace ~ 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ~ 17 Garage ~iy' 22 PorchlAddn. (4-sea.) ? 33 Ext Alt - SF ? 04 02-plex O 10 0&plex O 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 1 D-plex O 19 Lower Level ? 24 Stortn Damage O 06 04-plex O 12 12-plex Plbg_Y or _ N ? 25 Miscelianeous ~ 31 New 0 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ~ 32 AddiGOn ? 36 , Move Bldg. ? 42 Demolish (Faundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)" ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'DemoUtion (Entlre Bldg only) - Give PCA handout to applfcant G Yaluation cy' D d Occupancy ~ MC/ES System Census Code ~ Zoning ~ Ciry Water SAC Units Stories Booster Pump Nbr. of Units _1_ Sq. Ft PRV Nbr. of Bldgs ~ Length „2 6~~ Fire Sprinklered Type of Const ~`,(J Width 1(o T REQUIRED INSPECTIONS _ Footings (new bldg) FinaUC.O. Footings (deck) ~ FinaUNo C.O. ~ Footings (additionl _ Piumbing ~ Foundarion _ HVAC Drain Tile Roof Ice & Water Final Offier ~ Framing _ Pool _ Ftgs _ Air/Gas Tests _ Final Fireplace _ R.I. _ Air Test Final Siding Stucco Stone Insulation _ Windows (new/replacement) Approved By ~ , Building Inspector Base Fee ____M~_~__ Surcharge L ~ v~ ~ L ~ Plan Review " a~ MC/ES SAC ~ S ~~°f ~ Cicy sac L ~ L SNater Supply & Storage ~ yy k~y 5~~~ 5&W Permit 8 Surcharge Treatrnent Plant G_ _ l'" a~ ~ 7~ Plumbing Permit ~ Mechanical Permit License Search Copies Other ~ ' Total ~ry ~ . Z Job Site Address: Y S~K ~ Ea uw l7N ~~CATEGORY 1" ALTERNATE FOR c~~ O~ ~~~~n ONE & TWO FAMILY DWELLING5 INS11tUC1'[ONS: 'l~is akeraatlve may 6e osed foi ono- and two-famill dwdtlogf baitt W meN We Category t*Watr~e°d °f Mionesota Reks, Ch'Pter 7670. Camplete Parts A, B, and G Clearly mazk Plaos with: insulstion R values; wiodow M~ ~ values; siu and tYPe of equipmm; equiPment conhols; and lacation uf vapo* netarder and wiod~'asb syeets avaitsble from the Minnesota Depernn ~o~uon rrp be fpuad in tlte Minnesota Energy Cade summazY Part A. BUILDING~ ~E ~ p er~+vtive (~ulnos. e~• ? rereom~aox (ceu~ac ~67o aa70 subp ? c~. r CheclcPmPom°dmv,dapnJou~s~++~~. , . _ _ _ e. "{Lick the~nl aqp.ald~uon ~u ue~ ~ ~ ~ I~ "Caokbook" (rompku ~ 6dow) ? Md3ak method (atm~fi =eport) ~ O P+ecfo~erce (aGacL U-vdue calealariona) ? Sy~^^' ~Y~ mathpd a~Y~) r . , _ _ . F~NUAf SI~QZIA~~ -.-.T 3- - KCookbook" Worksheet : : c~..~°~~~+i; , ~ - O CeilinB Ina~eti°°~ Mm~mum R-38 vnth 754" emn6Y me~; or Uo~xxocnm+s TrGoimum R~4 with low wss hed: a 1. C6eck i~em(s) tlrec deaBn meefs m Afininum 1Pa4~dr~~ve~ 1~ Mmienm R-38 aith R-5 a6m m mi~ Step p popy: Max. U-value of 030 a 1'/.^ eo6d waod wid~ amrm 0o the right. Muat mee[ all i~ m use'~Cookbook" aPdoa O ltim Joiac im~ilation: IrLoimum R-19 Sap2. i~ePt~o~d°'°u~YP~~~~'. R24 nJ/A SmP 3. t~Sta Wi~9w U-vslue aod awace. ? Floms arer ~rioned : Mwimum gtep 4. Verif7/ mtal window (inc~udin8 am of all foimdatim wiudows) O Fo~ Inailstion: Minhown R-10 O Fmmds~ion w~oas: h" im~aro~ °ro°d 6ma N' and dwr ara is equsl m tesa tLan allowabk peseotaSe• ~ TABGEFORDE[~'ID'iGMAI~7UMW~IDOWAI~IDDOORARFrk i`~ E1~ F` j`. Mawoum Flilowabk TotaFCY'wbw agd DOOC Atte as ~ I2Y. ..t47e',.. I6S6 : 18Sb ;10°h 22`h z~'ti 26C4 ~185~ ~ a of WaII . . ~ , s::~w3'i'fi?!i w~n ~ : smm~~ ~ ~ w~~.u-~ ~ " ~~,wma~a ° ~ O 2x4 R-l3 insule6on. R 7 4S5'~:`~. < p.4T OA1 ~ A36 ` Q33 0:~6.r 0.27 0,25 ``-;0.23'~! 052::: ~ 0.45 039, 033 631 =D.28,: R26 4.T~S" 'U,22 O 2x4,R-ISimiilafion. R5 4p,2q,; 0.42 ;U3t 2x6 R-t9ies~ilau <RS 0:48`" :0.41 036 . 0 0:49 .:63A;,; O 2x6.R-l9insula6on. R-5 0.56" .0.48" 'DA2 '='037 034 031':. 0.28 ~ O 2x6 R-21' ' <R-5 'd.SL.:' `0.43 ' 038 -p.34 : 0:30 0~8' .p,2f ' 0.23' '~'Q.~2 r: 0~c6,R-2liamlafio4 R-s _..OSS~~:i OSO':` 0.44 ~-~.:039 ~~~~035 032;~. 029 9.29 wan . , ae~a F ~ a... a.~, v=~ -:r~ ' 'r a^~ . . _ p 2x6 R-19' ' <R-S shatt~in .0~2;% OAS: i' 039 .035 ~.;031 ` A.28 0.26 , 038:" ' 650 0.44 . 039 035 A32 D . Q 7 0 2x6 R-19 imWarion. R-S O 2x6 R-2l' <R-5 0:55 :'0.47. 0.41 036 033 030_ 0.2~ OZS 0~ 0 2x6 R 2l ' R-S ahee ' p.60 : 0.52 ' ' 0.46 0 41 036 t d.33. . 030 " ~ WmdowU-value: o.3z Gnsu.+ Sooro~. ONFRC O ASHRAE1993Ha~dbodc ~r: ffs+rc. D"opo'f' r r 100 x ~Ys. ~ ,[E' , ~ 6 c~ ~'r ~ _ /6.9 Q ~ _ ~ y ~i,R. n~ ncs.ow!~ ts~ ne~~owei _.;..w, i ; . ~oaowa~d~~.,:_ , . ~~n~ M/NNESOTA ENERGY CODE - WHICH RULES MAY I USE ? APpLICABLE RUL&4 ` ~ TYPE OR RESmENTfAI: B1TII.DING : : 76T2. ~ ; . D~ &3 oeeoPane91= ~nd ~9 ~ , ~ 7670 1" wvh ~ • - . . ~`•a Nvm ~ ~ ~na~a~r~ . . ~~4~ °t ~ a a r~m~ees.~a ~sro wvn wu~ i" a r ` ~Ta; ~ ; . Rrl aee~oe~ ~ ota too~ld or ku ' - ~ . - . . . : , . 7610 wll6euhet I° ~ 2" . 8_I aa~cy bnOd6~ ~3~l~. ~ ~ , . , ~ ~6~6 ~ . - ~ ' ~ ~ ,.n`:i : 9~y ~-~w pt ~ c,~~ , ; - LOT SURVEYS COMPANY, INC~ F. B~NO. N~ ~~A8;0 LAND SURVEYORS SCnIE ~n~ ` ;"o 0 - DENOTES I RON REGI9TEREb UNDEB LAWS OF STATE OF MINNESOTA 7801 • 7Srd Avenue North 66U-3099 Minnespolis, Minnetota 65428 ' Job No. 88-29 Bururgara ~irrtifirete MN2VIN GEORGE BUILDERS ~j7'O~~ a Denotes wood Hub Set ` PO~~-~ For Excavation Only „ ~~~wy~ ~ - Denotes Surface Drainage ~~.4+~ ~ c~~.o Denotes Proposed Blevation ;6 , ~ '~L=~(,~ -3 .gfl - - eae.~ Denotes F~cisting Elevation ' ' ~ I I o ~Z'' z7 ~ _ i r- , Type of Building - Split Level i~~' ` J'~Q~ l j ~ I 1 ~ ~ ~ / .5 ~~b 592 b8 ' fl'i1.bB. I IODA ,M,~Q" ~15.0~ IR7~1 I ~ 6 -b~4,bQ- _ Top of Block / I ~125 ? ~ I I r . ~ 4AZ.b y'p ~ S~b" I 5 ILb ' 21'b" S? ~ ' A92.5I . Oo\ C d I 894•? - N/ U e~~~ ~ ~ I I ~ Gara~e Hloor' ~ ~ ~t0Er1CE N i ( e0q.6 ~ t7.q2 L~lS,o~p Ai2.b . I ~zo~ C`B' •S e~.z-~ T I r 89.~.~ / ABa:+;>w ~c~ I De~k i Lowest Most Floor I 6-'I8 I I ~ k--r- y ~ - 5 E vv' I I 8~~•~ F-. - - , ~~~.z r~ ~ , , _ , ~ ; 16L.6 _ _ . . • _ _ ~ . -~.I__--- - _ . / I I~ ~ ~ ~ _ ~~UTILITY { ( ~ 1y ~ vp~,iNnr,e ~ ( / EA~MENT' ~ Lbt 7 ; Block 3, ' , ~ ' f _ ~ _ LEXINGfON SQUARH 7TH ADDITIUJ ~ / ~ I 7 I I ~ ~ E ~p I ~ ~ ~ ; ~~t". I + ~ I ~ E ' I s ~ I~ ~I d I ~ ~ I~ ~ ~ ~ I s s ~ ( % ~ ~ ~ ~ ~ ~ ~ ~ ~ ( ~ I ~ F I 9~ i ~ I z ~ r ) Ifl ~ I = I I io ~ I ~9:1 ' a9~9.a H~8' - tq4.02-- tns o~w s~s~nfs show~.re hom v~~ls a r~a a ~a~o~m.uo~ prov~a.a by ? CIIaM. 1Nb hs~sby csAlly MN Mle Is ~ trvs and corrscl ?epresentation ol s swvey ol the 1 bounderise W 1ha above dsecdbsd Iend MW Ihs IoCatlon pl ~11 bulldinpe eaM vis- ` IbN enc~W~cMnenl~, ll ~ny. lrom a on add land. • 8ip~ea . 8uiwyedbyuethle_4~_1L_dwot~pril 1g 88 moridq.Prnnh,Minn.Raq.No.8713 ~ . ~ Q p~ X RESIAENTIALIBUII.DING ~ " ~ ~ ~ U Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-Sb75 FAX # 651-675-5694 New ConstrucGon Reouirements RemodeVReoair Reauirements Otfice Use OnN 3 registered site surveys showing sq. il. of lo4 sq. ft. of house; and all roofed areas 2 cropies of plan Ced of Survey Recd (20% maximum lot coverage allaved) 1 set of Ene~gy Cakulations (or heated additions Tree Pres Plan Recd 2 cQpies of plan showing beam R window sizes; poured found design, etc. 1 site survey for addiUons & decks Tree Pres Not Reqd lsetofEnergyCalculatio~s Addition-indicafe'rfonsiteseptksystem _On-siteSeplicSystem 3 copies of Tree Preservation Plan 'rf lat platted aker 717/93 Rim Joist Defail Op6ons selection sheet (bldgs with 3 or less unBs Date S_~_ Construction Cost / ~7 l(J a'~V ~ Site Address 9~p~ ~l~ . 1~G1 . UniUSte # Description of Work ~`Q ~ p~~ J]~ (Zi A C~~ ~ S! ,/~'1 t Multi-Family Bldg _ Y_ N Fireplace(s) _ 0_ 1 _ 2 ~'e~~' Property Owner (v ~Q Telephone # ) `1~ Contractor RENEWAL BY ANDERSEN 1920 COUNTY ROAD "C" WEST C~~, Addreas ROSEVILLE, MN 55113 - State 651) 264-4777 hone # ( ) LICENSE # 20130983 COMPLETE TF{IS AREA ONLY {F CONSTRUCTING A NEW BUILDING - Minneso[a Rules 7670 Category 1 Minnesota Rules 7672 Energy CodO Category . Residential Ventilation Category 1 Wwksheet • New Energy Code Worksheet (Jsubmissiontype) ~ Submitted Submitted • Energy Envelope Calculations Submitted ~ Licensed Plumber _ ; n Telephone ) - ~ 'a vy ~ ~ 1` MechanicalContractor `~VL~ ~';C~~~ ~i. Telephone#( ) )~1' ~ ~ Sewer/WaterContractor ' ~ 7elephone#( ) ,U,' / ~ gy ~ 1 hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the wark will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved pl in the case of work which requires a review and app o al of plans. ~ YLS ~ Apphcant's Printed Name plicant's Signature QF,FI~ USE UNLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg O 02 SF Dwelling O OS D6-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? O9 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF ? 04 D2-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? OB 04-plex ? 12 12-plex pibg_Y or _ N ? 25 Miscellaneous Work Types ? 31 New O 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding , ? 32 Addition ? 36 Move Bldg. ? 42 Demol'rsh (Foundation) 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors ? 34 ReplaCement •Demolition (Entire Bldg) - 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 Bidgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footmgs (new bldg) FinaUC.O. _ Footings (deck) FinallNo C.O. _ Footings (addition) _ p~~b~g _ Foundation HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Au Test _ Final _ Windows (new/replacement) _ Insularion _ Retaining Wall Approved By , Building Inspector - Base Fee Surcharge Plan Review MGES SAC City SAC Utility Connection Charge 5&W Permit & Surcharge Treatment Plant License Search Copies Other Total ••d• o..••i tnV Li.JV Ctl6 !OJ Oll '44C0 tcn~vsn~u.lttr annnu~esn ~tuuz r~ . ~ . . . ru„e~~, 200~ ~ ~ 3s 6 ~ ~ . . ~e~. ~a' ss~zL ' ~ro w~ rc ~y e~m~: . IIder 7ones is authoriza~ tA pt~ ~~g ~1ts forR~nwel by Aadarsem. pi~ase xllow Sider lonos to pmvide this s.cc'vicc for ua in Ba~. 'li~ia mtthorizadan ia velid For sny date beyond 6/6/0~; undt a~`enewa! by Andw~sen m~ ~1y cevoloas fc in wilctng to the City- ou ~ost this authorizatian be ac.~ted expadic~oosly. ac to not delay in the of d~S P~~itb emY fuxthcr. Picasc caA mc if thctc aro nny qneattona.. I'~~S ~ contacaed ac 763-502-4706. Your imm~dipt,e a~~oll to Wis mattcr is ep~, . , . Slnoe~elY. . . vnd R R.as, oatx[Iation Manager Renowal bY At~detscn Conwratzon ~ C'.e: Karn_Alfte~ 7nnec ~K~~i~iz~+~4 U ~o~.~ ~ G-T-~~ off ~ 'b~,~ Receive~ Time Jun. 1. 1~O1P~ I ~ 2005 RESIDENTIAL PLUMBING PERMIT APPLICATION ~~Fj~ CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date ~a I / b ~.c,~_ n _ Site Street Address ` l~~ ~+uCl l s p~'~LR~ Unit # Property Owner KlF l~ L~l ~~~Q-n S Telephone #~LC~ `~-I~`~ ~`7~U Contractor~ ~ 171~~ V,L~1.L~,n'F.~ I ~1 e~~~1~ ~ Telephone , Q!~-~ ~ Address~~~ ~+l 1-~"l 1 I~t ~C' City `~l.l~~~ StateL~~ 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. If rL are instaJllna onlv a water softener 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 _ Water Heater $ 15.00 _ new ~ replacement Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge $ .50 Total 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 piumbing 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 approve rn ~V~.~~~ ~ ~ ~ ~ ApplicanYs Printed Name Ap cant's Signature ~c ~'1~ ~ V ~ ~ ~ ~ MAY l 3 2009 i i ~J~, Clt~ 0~ E~~~Il ~ Pe~,~~ s~ t~ o ~ ~ Pertnit Fee: S D' ~ 3830 Pllot Knob Road i 5_~ ~ Esgen MN 55122 ~ Dafe Received: ~ ' . Phone: (651) 675-5675 ~ i ~ Fax:(651)675-5694 ~ Stan______________~ 2008 MECHANICAL PERMIT APPUCATION Date: 5 1~ SlteAddress: 964 Stony Point Road 7enant: Kevin Cairns Suite#: RESIDENT(OWNER Name: Kevin Cairns Phone: 651-454-3529 Address/City/Zip: 964 Stony Point Rd• Eagan MN 55723 CONTRACTOR Name: Ron's mechaniCal Inc License#: Address: ~ z01 0 Old Brick yard R~qd Shakopee MN 55379 City: State: Zip: Phone: 952-445-8585 ContactPerson: Linda TYPEOFWORK -New _Replacement _Additional _AlteraUon _Demolition Description of work: ti t :4s , . . . o ~~:^.i~~.,i'. PERMITTYPE RES/DENT/AL COMI4fERC/A1 ~ New Construction IMerior Improvement ~urnace = _ Alr Conditioner Install Piping Processed _ Atr ezchanger _ Gas _ Ezterior HVAC Unii ' HVAC units must be screened . _ Heat Pump Under / Above ground Tank Inslall! _ Remwe) ~ Other " When Installinglremoving tank(s), call for inspection by Fre Marshal and Plumbin Ins or RES/DENTIAL FEES: inimum Add-on or alteration to an existing unit (includes $.5o State Surcharge) $90.50 Fire repair (replace burned out applances, ductwork, etc.) (includes $.50 State Surcharge) $ ~A•~ TOTALFEE COMMERClAL FEES: $70.50 Underground tank installation/removal OR Contract Value $ x 1~0 $50.50 Minimum (includes State Surcharge) ~ $ Permit Fee - If rmi F~,g is less than 57.000, surcharge Is $.50. - Ii Pertnit Fgg is > t1,000, surcharge increasas by $.50 for each StBte Sufcharge $1,000 Permit Fee (i.e. a$1,001-$2,000 Permit Fea requfres a$1.00 surcharpe). $ TOTAL FEE I hereby acknavAedge thaf this information la complete and accurate; that the vrork vAll be in conformance vrith the oMlnances aritl cades of the Ciry of Eagan; that I understantl tha is not a pertnR, but only an applicatlon lor e permit, end vrork is not to starl vnthou a pertnR; that the ~wrk will be in accordance with Ihe approved w plan in ~he case oi work which reqWres e revlew and approvel of plans. X Lindo, ~~vr~o~~eie~ X ' ut~t,uW~r . Applicant's Printed Neme ~ ApplicanYs Signatu :~Fb~1~F~~ 1~~~ ~t" . . t ,~M' ~ ' ~ _ ^ . ~ , a "~"'~'~"•,h ~ ~ 't . m t ~""`,~"nai~ i'Q~ .z, ~ Date: City of Eapil 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 SF 2 6 r Use BLUE or BLACK Ink For Office Use Permit #: /0/11e3 Permit Fee: - `� �° 6 Date Regieived: 91'-d 64if Staff: 2011 RESIDENTIAL j BUILDING0; 56 APPLICATION %t Site Address: 71 ( <" , l O w56 Rd I' CONTRACTOR Name: Address / City / Zip: ?'%' (1-1,4,(7 Applicant is: Owner Contractor Description of work: 3 So Construction Cost: 5 0a0 0 / Unit #: Phone: C �(',z ��r '(dig Multi -Family Building: (Yes / No > ) Company: !1%0 Contact: Address: City: State: Zip: Phone: License #: Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) ilqatSe &'j H-) M 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 supporting documents that you submit are considered to be public information. Portions the information may be classified as non-public if you provide specific reasons that would permit the conclude that they are trade 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.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. t, - -S" Applicant's Printed Name Ap cant's Signature Page 1 of 3 q& oinf,'c/ DO NOT WRITE BELOW THIS LINE /3/1'g SUB TYPES Foundation Single Family Multi 01 of Plex Accessory Building WORK TYPES New Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25% 100%) Census Code # of Units # of Buildings Type of Construction Fireplace Garage Deck Lower Level Interior Improvement Move Building Fire Repair Repair alp_o REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: _Ice & Water Final Framing Fireplace: Rough In _Air Test Final x Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Occupancy Code Edition Zoning Stories Square Feet Length Width 4_Insulation Sheathing Sheetrock Reviewed By: RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Siding Reroof Windows Egress Window Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building - give PCA handout to applicant i"i i?- 07 MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Meter Size: Final / C.O. Required )4. Final / No C.O. Required HVAC Gas Service Test Gas Line Air Test Other: Pool: Footings _Air/Gas Tests Final Siding: _Stucco Lath Stone Lath _Brick Windows Retaining Wall: Footings _ Backfill _ Final Radon Control Erosion Control , Building Inspector 1,5(yk5s^� afto LOD() Page 2 of 3 'c Y 54w) pi- fix /®1 q(.' /- - LOT SURVEYS COMPANY, INC. � 8OICE NO. ;21 W LAND SURVEYORS . SCALE 1" 0 — DENOTES IRON REGISTERED UNDER LAWS OF STATE OF MINNESOTA 7601 73rd Avenue North MARVIN GEORGE BUILDERS m Denotes Wood Hub Set For Excavation Only .a Denotes Surface Drainage EA), Denotes Proposed Elevation 4 40.0 Denotes Existing Elevation Type of Building - Split Level Top of Block 894. Z Garaie Moor 893.`1 Lowest Most Floor 090.7 Minneapolis, Minnesota 55428 �ttrutgara Certificate • STONI' 560-3093 Job No. 88-29 • 4' &lig 4 — -- I-- _ i -L:11 / t —V5.2f1 — - Seri.% • UTILITY vrusrNAe 1 EA ME141- Lbt 7 Block 3, LEXINGTON SQUARE 7TH ADDITION 8 tr 816;1 The only easements shown are from plats of record or information provided by client. We hereby certify that this is a true and correct representation of s survey of the boundaries of the above described land and the location of all buildings and vis- ible encrotrdnnenta, if any, from or on said tend. Surveyed by us this ..4 L__day of April to 88 2,,',c /aC'•- " i r- lo14-.02 • Sipud maid A. Pres*, Minn. Reg. No. 8143 PERMIT City of Eagan Permit Type:Building Permit Number:EA143495 Date Issued:06/19/2017 Permit Category:ePermit Site Address: 964 Stony Point Rd Lot:1 Block: 3 Addition: Lexington Square 7th PID:10-45081-03-010 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 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 - Kevin A Cairns 964 Stony Point Rd Eagan MN 55123 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA153590 Date Issued:01/04/2019 Permit Category:ePermit Site Address: 964 Stony Point Rd Lot:1 Block: 3 Addition: Lexington Square 7th PID:10-45081-03-010 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 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 - Kevin A Cairns 964 Stony Point Rd Eagan MN 55123 Metro Heating & Cooling 1220 Cope Ave E St. Paul MN 55109 (651) 294-7798 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA165169 Date Issued:10/20/2020 Permit Category:ePermit Site Address: 964 Stony Point Rd Lot:1 Block: 3 Addition: Lexington Square 7th PID:10-45081-03-010 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 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 - Kevin & Elizabeth Cairns 964 Stony Pt Rd Saint Paul MN 55123--156 (651) 295-4037 Property Claim Solutions Llc 2005 Pin Oak Dr Eagan MN 55122 (651) 994-2028 Applicant/Permitee: Signature Issued By: Signature