979 Stony Point Rd CITI( 6F FAGAN Permit Na Dat~
3630 allol Knob Road Meter No: ~,9 Size: ~a~
~:0. Boz 21199 Reader No: ~T9~ Date: 7~~
Eagan, MN 55121
Owner. 'a c'. ~r~Ga~~ ro s.
SiteAddress: %~79 Ston^Point Ro d L3 B4 La;; oq 7r.h
Plumber ` "
~s~~u'
Cann. Chg: 5~~ onlrg: i~' }
1; I
Acct Dep; - - ~I~ ~.`Of'U~i ~s ~ ,
Permit Fee: CTf;IC - GAS EtC.
Surcharge: Aspre~~ly with the Cit~? oi Eagan
Tr. Plant nd ~ tfrbin c - ~
~
Meter. ~ J~
~ ~
, ,e//~G~1~'
~~~~iU~
MI9C.: ~r
WATER SERVICE PERMIT
CITY OF_EAGAN Rermit No: -
3630 P~p~;~b Road ~ Date: -
B/ P No: Date:
P.O. ~ok 21189
Esgan, MN 55121
Ownec
Site Address: "_--K;~Y ~ ~ ; ' ' ~ . ~ i ~
PlumbCr t~ ~~i ~ 1LY~', i~,
MWCC: 5~5 i
2oning•
' City Chg: t!~ . ~ y~~ No. oi Units:
Acct Oep:- ` . LiJn'
Permit Fee: ~ agree to comply with the City ol Eagan
Surcharge: OMinances.
Misc.: ~
~
SEWER SERVICE PERMIT . ?
;
_ _
. - - .
. . ~
CITY 'AGAN Permit No: =`~5~ Date: ~-5-4~
3630 F„ Knob Road Meter Na: Size:
P.O. @ox 21199 Reader No: Date:
Eagan, MN 55121
Owner. ~:c's~.` P,~os.
SiteAddress: S~h'v Poii~[ ''_oau L3 ~4 1.a~; 7*'
Plumber & I~ Pltsmbin~~
Conn. Chg: 525.Q4F~ 2oning: ;
~ Acct Dep: IS • Ot~pd No. of Units: '
Permit Fee: 1~ . ~?~F~
Surcharge: • 5~%~~~i I agree to comply with the Cfty of Eagan
Tr. Plant _ 1 • Ordinances.
Meter. ,G„ ~~pp~
Misc.: gy
~ WATER SERVICE PERMIT - ~
~.a ~ i Zr ,t.~~~,~~
fi:~~,,.. ' - , . _ . . . . _
~ . ~ . . ~ PERMIT ti 1
PLUMBING PERMIT RECEIPT # ~ ~ '
CITY OF EAGAN ~y(/
3630 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ~
CONTRACT PRICE: PHONE: 454-8100
Siie Add2r@SS %`1 s- n BLDG. TYPE WORK DESCRIPTION I
Lot _ r____,Bloc SeciSu Res. New ~
~ • ~1 Mult. Add-on
_ ^ ` ~
m Name Comm. Repair
m Address 'i : Other
c City ~.~y ' Phone RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
" NO. FIXTURES TOTAL
Name ` ~ - ~ ~ ~ r ' ' ~ r Water Closet - $3.00 S
c Address - . ~ ` Bath Tubs - $3.00
Lavatory - $3.00
p City " Phone 1~ r'~' Shower -$3.00
Kitchen Sink - $3.~0
FEES Urinal/Bidet - $3.00
COMM/IND FEE - 19~6 OF CONTHACT 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 PERMI~ ~
(ADD $.50 S/C IF PERMIT PRICE GOES ' Softener -$5.00
BEYOND $1,000.00) Well - 510.00
Private Disp. - $10.00
Rough Openings - $1.50
SIGNATURE OF PERMITTEE FEE:
~ . . STATE S/C:
FOR: CITY OF EAGAN ~ GRAND TOTAL:
~ -
~ ~
~~r#~fir~.t~ u# (~rru~r~t~tr~
~itp of ~agan
~P}~1'~tttpltf 1~ ~ilt~~~~2t~ ,~pptf~tt
Tl~is Certifrcale rssued pursuant to 1he requiremenu of Secaon 306 of rhe Uniform Building
Code ce~tifying that at the time of issuance thrs siructure was in compliance with 1he various
ordrnances ojtlte City regulating building constnectton or use. For the foUowing.•
u~ ci.ss~~.ti~ 5I' D4JG/C~1i-: e~. ~ r~o. 1+4 74
oa,~y ~Yx R3 zon;,~ ~,;n !:1 Vn
ow~aer ot BuiminB 71~AN BRi7I~-I3~ ~ 452;1 l~ ! TI4~ ~I, mINA
e~ naa~ SIC~~Y YOZY: It~,IAD ~;~y L3, B4. LEX.LidGi~T 9~IAR'E 71H
D„=; 1~fAI~ 17~ ]9~?
e,~w~~ oa~~ /
POST IN A CONSPICUOUS PLACE
~ - ~ CITY OF EAGAN ~ ` ~ *
~ ~ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHON E: 454-8100
BUILDING PERMIT Receipt #
To be used for Est Value 3 ' Date ,19
Site Address ' • OFFICE USE ONLY
.~,~t~.~~: ti_,{ OnSiteSewage Occupancy ` ,
Lot Block Sec/Sub. ~ R ~
, ~ . MWCC System ' Zoning
Parcel No. On Site Well (Actual) Const y i~
t;,,, ~ Ciry Water t (Allowable) ~
s Mame
z Address ~ PRV Required # of Stories
3 ~ ~ _ ~ , Booster Pump Length
° City Phone
Depth
, p Name, S.F. Total
~ ~ Address Footprint S.F.
?°C- City Phone APPROVALS FEES -
~ W Engr./Assess. Permit ~''L• ~
Name
Wy~ 33.W
~ Pianner Surcharge
~n Address ~ _ ~ ~
¢ Z City Phone Council Plan Review
qw ~.:~.U{I
Bidg. Off. SAC, City
I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC k?~
informatio~ is correct and agree to comply with all applicable State of Water Conn. . ti)Q
Minnesota Statutes and City of Eagan Ordinances. Water Meter
Signature of Permittee - Road Unit
A Building Permit is issued to: Treatment P1
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances. Parks `
TOTAL ~ ' 31 ~ ' ~ r"
Building Official
Permit No. Psrmit Hold~r Datt T~lephons *
Plumbing y~)_~~ r ;,/'t , ,)~~.i'•~ ~y~l/,,~''~,
H.v.ac. ~ , ~ ~ , , ~ ~
~
Electric Y ~ ~ f , <
- _ "~~,i7, ~ 2 r
Softener
Inspectlon Dat~ Insp. Comments
Footings I '1~~
Footings II
Foundation
Framing ~ ~Q (~/~~1~ ~ 2. ~~S - - za-G-v- -
Roofing
Rough Plbg. . .g ~ -lG-~bT ,~J~ .
,
Rough Htg. _ .r ~ V
Isul. ~
Firepiace ~ o ~
Final Htg. 7 ~
Final Plbg. Q
Bldg. Final
Cert. Occ. '3 ~7 ~
Temp. LP
DeCk Ftg.
Deck Final
Well
Pr. Disp.
' /l- ,1: O PS . ~ o.
, PERMIT #
' , ' , MECHANICAL PERMIT RECEIPT # ~ ~ %~'1'
CITY OF EAGAN ~
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ~'ec:emb:~,. ?4~, i{~~7
CONTRACT PRICE: $ 2~~~ • PHONE: 454-8100
~ite Address = ' OAey g~pG. TYPE/ WORK DESCFj1R~T10N
Lot ~locl~~ Sec/S~ Res. New
: ~ <~r
~ Name Ue en e ea t a~ an Mult Add-on
Coon Rap as ~ v. Comm. Repair
Address Other
~ Ciry Ceon ?tspi s Phone - -
! ,.hrnan Home s FEES
Name ~ RES. HVAC 0-100 M BTU -$24.00
c Address `~~'2~ 4~• 77th ir'ln4 ADDITIpNAL 50 M BTU - 6.00
~ r d~ n~ Phone ~ (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERiIAI~ - 1.50 EA.
TYPE OF WORK COMM/IND FEE - 156 OF CaNTRACT FEE
Forced Air ~ e^ M BTU APT. BLDGS. - COMM. RATE APPIJES
TOWNHOUSE & CONDOS - RES. RATE APPUES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON ~
Unit Heate~ M BTU REMODEL5 - 12.00
Air Cond. r''~_ M BTU MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
Vent ~CFM ~i (ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping OuUets #~Ile t: t° sr~`'' BEYOND $1,OQ0)
Other
FEE 24 . ~0 + ~ ,.y~; ~~LJ 1 ~ ~ , , ,
1 , ,
S/C: " Stj SIGNATURE OF PERMITTEE _ e~'`"~
TOTAL: 2~'~~
FOR: CITY OF EAGAN
Y~~T P ' . '•[i ~ ~ ' ~ . ' ;R'• , "ji' . . . ';r1. v. . . . . , , .
. . , PERMIT #
" ~ PWMBING PERMIT ~/i'_~; ,
RECEIPT #
CITY OF EA<3AN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE:
CONTRACT PRICE ' PHONE 454•8100
Site Address BLDG. TYPE WORK DESCRIPTION
Lot - Block Sec/Sub
Res. r~ New
~ Name ' ' ~ ~ ~ Mutt Add-on
~ Address Comm. Repair
c City Phone ' ' ~ther
NO. FIXTURES TOTAL
~ Name 1 .~_Water Closet - $3.00 S ~
c Address ` ' ~ Bath Tubs - $3.00
p City Phone ~ Lavatory - $3.00
Shower - $3.00
~ Kitchen Sink - $3.00
FEES Urinal/Bidet - $3.00
COMM/IND FEE - 1% OF GONTRACT FEE ~~undry Tray -$3.00 -
MINIMiJM - RESIDENTIAL FEE - $10.00 ~ Floor Drains - $1.50 ~ ~
MINIMUM - CAMM/IND FEE - 20•~ ~ Water Heater -$1.50
STATE SURCHARGE PER PERMIT - Whiripool -$3.00
{ADD $.50 S/C IF PERMIT PRICE GOES - Gas Piping Outlets -$1.50
BEYOND $1,000.00) Soitener - $5.00
Well - $10.00
. ~ _,~Private Disp. - $10.00
~ • > ~ , ) , ~ i , . ! Fiough Openings - $1.50 •i
SIGNATURE OF PERMITTEE FEE
STATE S/C: ~
FOR CITY OF EAGAN GRAND TOTAL• 2'~'
CITY OF EAGAN ~s '
3830 Pllot Knob Ruad, P.O. Box 21-199, Eagan, MN 55121
PHON E: 454•8100
BUILDING PERMIT Receipt # f _
To be used for ~~G~~t Est. Value ~'6~~~~~ Date r~~~`'E~$~~ ~ ,19 ~7
Site Address `~~g ~TOtiY Ytsl?,'F lci,'~1;; OFFICE USE ONLY
~t is .i
~ A L1sXINGTUN S(1L~A&~ 51te 5ewage Occupancy ~
Lot Block Sec/Sub. A~~ MWCC System a Zo~ing '
ParCel No. Vn
On Site Well (Actual) Const
~ Name ~ r1CFiAtAN Bbb(1S CUMST Ct1 City water x (Allowable) Vn
= AddreSS ~ 771 ST • , # ~~4 PRV Required # of Stories
o C~ty ;:[fiN~1 Phone 6~3-t}7SS BoosterPump Length
Depth bf>
¢ Name ~S~'~ S.F.Total
.o
~ 4 Address , Footprint S.F.
~ City Phone APPROVALS FEES
~Q .
Engr./Assess. Permit S 3 H4. SU
W W IVame
U~ Address Planner Surcharge ~~2 ~ z5
¢ W City Phone Council Plan Review
a Bldg. Off. SAC, City 1~•~
I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC 52 5.
information is correct and agree to comply with all applicable State of WaterConn. ~J~S-~
Mipnesota Statutes and City of Eagan Ordinances. Water Meter 67 . U[]
~
Signature of Permittee Road Unit 3U5. W
A Building Permit is issuedto: ~~N~Ah BHi~~S ~~JMS1 ~l~ Treatment P1
on dhe express condition that all work shall be done in accordance with all parks
applicabfe State of Minnesota Statutes and City of Eagan Ordinances. 31 t. 7 S
Building Official TOTAL
" CASH RECEIPT '
.
~ CITY OF EAGAN
3830 PILOT KNOB ROAD
' EAGAN, MI~iNESOTA 55122
t DATE ' ~ 19
wece~vm , . •
FFnM '
AMOUNT $ I
~ DOLLARS
ioo
~ CASH CHECK
FOR ! r ~ ' ~ 1 ~ ~I~ ~
4
PUNO COOE pMOUMT
ThankYou ~
BY
' ~ ~ (,J. t ~ White-Peyers CoPY
f ' Yellow-Posting Copy
Pink-File Copy
INSPECTI~N RECORD ~ ~
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number: . ; i
~ Eagan, Minnesota 55122-1897 Date Issued: ~ 4: q;~,
(612) 681-4675 ; ~
SITE ADDRESS: ' ' " ' ~ ~ ~ ' APPLICANT:
~ t. , f;~ i~~.t. .
;:iN`,' ~~n1Nl 1;~~~~ ~,~:'s, 1! tdlli fc
. i . , i :itl~,~ . ! . ~ ~ . . ~ . ~ . ~
PERMIT SUBTYPE: TYPE OF WORK:
~1 f ~1t 1:~rr
• r~ •
, ~ , ~ ~i i ~ :ii~
i 1i~~
~ . n I r?i ~ I: t t t i~1 I I t, ritl.t 1,; t~~i fihl : i•i ~?Nf? I NtF ~3l; ! I i ~ 1 I; ( i A! W~~1~~
~ _ - . ~
~ ~
Permk No. Portnk Holdsr Date 7Nephons A
ELECTRIC Q .~7 ~
PLUMBING y~ 5
HVAC
Inspectlon Dat~ Insp. Comments
FO~TINGS
FOUND
FRAMING fy~O ~
ROOFING
ROUaH ~
PLUMBING ~
AIR IEST ~ ~1
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP80ARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTQ
DECK FlNAL I
~n , d ~ ~
Nv~ J~ ~n ~v ~ I
/ . . . ~ ~e ` . .
BLDG. PERMIT NO~. t` ! i`` ~
~ ~ ~
~ _ S - ~ ~
i i -4 ' ,
O1y3210 Bl'dg. Permit ' ~ >
~
01-3422 Plan Check ! ~ ~
01-3445 Surch./Adm.
OI-3446 SAC/Adm. ~
01-2155 Surcharge '
17-3860 Road Unit ' ~
20-2275 SAC - ~
20-3865 Water Conn. `J-
20-3868 Water Trmt. ' ~
20-3716 kater Meter ~ % r~
20-2252 Acct. Dep.
20-3713 Water Permit
20-3743 Sewer Permit
79-3866 Sewer Conn. ~ ~
11-3855 Park Ded.
TOTAL ' ~ ~
0°~~ 007 0 ~
p~
Req es~ ~al~/_ ~ ~ ~ Fi2 No. Rough~in Ins ection Re retl Ins ction Olher Th ough-In .
~/~j~/O~ (Y°u ~1 call InspeCto~llen reatly) ~Reedy Now ~Will No~ity Inspeator
j 7 Ves U No pa~e Reatl
I? licensed contractor ~owner hereby request inspection of above electrical work at
Job Address (Sheet, eox or R o-) I Cl~y
rf ~n ~oin~' ~o«cl
Section No. Township Name or Na. Fange No. Coun~y
Occu a(PRWT 1 Phone No.
.~enn~ er ~o~n5vn
Power Supplier Atltlress
~ ElMrica~l qonhac[or (Company Name) Conlraclors License No.
dVorn eo u~n e r
Mailing Atldress (COn[ractor or Owner Making Ins~allalionl
bo v
A orize natu tr totl ner Making Ins~alla[i Phon~eLNumber ~ J
~r../'~~ ~/vVt I
MIN A STATE OA ELECTPICITY THIS INSPECTION REQUEST WILL NOt
Gri gs- tlwey BIOg. H 428 II ( I II , II' I I BE ACCEPTED BV TRE STATE BOAP~
18 1 rversity Ave., t aul, MN 551pJ UNLESS PROPER INSPECTI~N FEE IS
P e (612) fi92-O800 ENCLOSEO.
O~ / G~~ ~ REQUEST FOR ELECTRICAL INSPECTION ee-ooooi-os
~ See inslmclions br crompleting Ihis ~orm on ~ack of yellow copy. '~;~aQ ~p 9
S:y- ~/'S "X" Below Work Covered by Thrs Request
Ne A Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electnc Heatin
Apt. Building Dryer Load Management
Comm./Industrial Furnace ~ Other (Specif
Farm Air Conditioner
01her(specityJ ConVacror's Remarks:
~g.v~~: "n~s~ ~D ~
Compute Inspection Fee Below.~
# Other Fee # Service Entrence Size Fee # Circuiis/Feetlers Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200_Amps Above 100 _Am s
$19f15 inspecrors Use Onry: TOTAL
Irrigation Booms
Special Inspection ~ ~ .
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18~MONTH ~ ~
I, the Elactrical Inspector, hereby Roug~~in oe~e
certify ihat the above inspection has Finai oei
been mada. ~ ~~i ~
OiFICE USE ONLY
T~IS request voia 18 monlhs fmm
This requesl void ~
18 mpn[hs trom ~~C'=~'~
~ ~ 2 9 3 ~~c
~ ' - . . - ''7~ -
flequest Uate f re No. flouph;in Inspection
c Rennired? ~Ready Now~Wdl Nwify, Inspec-
1'~ 7' y 7 ~Yes ~ No Ior When PeaAy
Licensed Eleclncal ConVactor I herehy ~equas~ insPec~ion of ebove
Owner alecVical wo~k installatl aL
5~reet Address, Bo. or Rome No. Ciry
9 Sro,~ P. r ~ ~
ecLOn o. Townshi0 Name or No. qanpe No. Counry
LoT 3 K~/ L£,li.d'GTd...~ S E f~ RKO PA
OccuuentlPRINTI Phone No.
2 ~ ~ . -S ~ g 3 -o s,s~
Power SupD~~er Atltlress
~KcTlt ~iEe iL
Electricrl Conbactor ICompany Nnme) Concractoe"s Li~ense No.
/7llSP~i ~LEG~X / C - 3
Mailmg qdJrass ICOnhacmr or Own¢r Makine ~~stalla[ionl
~ 6 u4
Aut~orized Signature (Con~ractodOwner Mxkine InstallatioN Phone Number
O ~ ~ S ~
MINNE50 A STATE BOAFD OF E CTflICITY THIS INSPECTION qEQUEST WILL NOT
Grig9s-Mitlwey Bltlg. - Noom N•t91 BE ACCEPTEO BY THE STqTE BOAHD
1821 Univeraitv Ava., St. Vaul. MN b6704 UNLE55 PqOPEN INSPECTION FEE IS
Phonel6t2)642-0800 ENClOSED.
~ REQUEST,.FOR ELECTRICAL INSPECTION Es-ooooi-os
~.:/..~i/~~-q ~ ,
, Sej insLUlyions for completing ~his form on back of Yellow copy. (f~~ ~y
~
--~~f3i 9 3 5 "'X" Below Work Cove~ed by~ 7his Request
AAd Rap. Tyoe of Builtling Appliancee Wired Equfpme~~ Wire~l
~ Home Range Temporary Service
Duplex Water Heater Liyhtiny Fixtures
Apt. Buildinc~ Dryer EleCtric Heabn
Commercial Bldg. Fumace Silo Unloader
Industrial BIAg. Air Conditioner Bulk Milk Tank
ther Per.i v O~her ISper:ifv)
Farm
t er Sueufy O[he~ Oih~r
vmpute lnspection Fee Below
p Fea ServiceEnhencaSixe h Fee Feedars~SUbteetle~s # Fne Circuita
7~' 0 to 200 qm s 0 to 30 Am u Ll ' 0 to 30 M~ ~
Above 200 Amps 31 to 100 qmps (O - 31 to 100 A
$wimming Pool Above 100_.Am s Above 700_/>mVy
Trans*ormers Irrigation Booms Su Partial-"Other Fee
Signs Speciallnspection ~3
S SO TOTAL
Remerks
Hou h-in
B l~~~ 1, Ihe Elec i a
~ Inspec[oq ~aroby
~ certily thet tha ebova
Final ~^«'y~ +~soacc~oo nas eee~
I , / ,~J,1 ~ic.~~ ~ea.
~
flJe repuest voitl 1B monthe fmm
. ~ CASH RECEIPT •
' ~ CITY OF EAGAN
3830 PIWT KNOB ROAD
E AN, MINNESOTA 55122 ~
o T~' 7~ ~ 9~ ~
aecerveo ~y ~
FR ~n
/
AMOUNT ` ~ ~~~.5 L /
& OOLLARS
~eo
~ CASH ~ C~I ECK
FOP . ~'~/71 .lr~ ~ y~J'(M~ / ~C~'
~~5 .s~~ C~-
/p L /
PUNO CDOE ~ NMO !
'~J
. ~
" C;
c ~.S /
(r' . /
i
~rJ
Thank You~~/
~gV G-~
N~ $'~OZS White-PayersCopy
° ~ , Vellow-Posting Copy
Pink-File Copy
CITY OF EAGAN N_ 14 a 7 4
, , 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE:454-8100
BUILDING PERMIT Receipt# J~ c/
`To6eusedfor SF DWG/GAR EstValue $66,000 Date DECEMBER 7 19 $7
Site Address 9~9 STONY POINT ROAD OFFICE USE ONLY RR3
Lot 3 Block 4 Sec/Sub. LEXINGTON SQUARE OnSiteSewage - Occupaacy
7TH ADD MWCCSystem X Zoning
ParcelNo. OnSiteWell (ACtuallConst
Ciry Water X Vn
ZACHMAN BROS CONST CO (Allowable)
rc Name
# Address 4620 W 77TH ST. ~#104 PRV Required _ xof Stories 40
~ City EDINA phone 893-0755 BoosterPUmp , Length
DePth ~6
, p Name SAME S.F. Total
oa Add~CSS FootprintS.F.
U
~ City phone pppROVALS FEES
a En r/ASSess. Permi~ ~ 384.50
wW Name _ 9' 33.00
~Z Planner Surcharge
Address I 192.25
a w City Phone 1~ Council Plan Review 100.0~
~ ~ BItlg.Off. SAC,City
~ Variance snc, Mwcc 525.00
I hereby acknowledge that I have re d this a 'r~aFi ,~-anCStata that the
information is correct and agree t comply i 2 V IipaU7~S~ate ot Water Conn. 52$.00
Minnesota Statutes and City of Ea an Ordj4 e.
~ Water Meter 67 -00
Signature of Permitt e ~ ~ Road Unit 305.00
A Building Permit is issued to: Treatmenl P1 ~00
on the express condition Ihat all work shall be tlone in accordance wiih all
applicable State o~ M~nnesota S tes and City o( an inances. Parks
Building Offlcial 70TAL ~ 2~ 31 L. 7 5
S
~ ~ / 2005 RESIDENTIAL BUILDING PERMIT APPLICATION n
5 ~ / City Of Eagan ~{~c.D~-
~ 3830 Pilot Knob Road, Eagan MN 55122 /
Telephone # 651-675-5675 FAX # 651-675-5694 ~
(
New ConsWction Reauirements RemodebReoair Reouiremenls Oflice Use Onlv
3 registered sde suNeys shaxing sq. ft. of bt sq. R. of house; and all rooted areas 2 copies of plan CeR of Survey Recd Y_ N
(20%maximum lot coverage allowed) 1 set of Energy Calculalions for heated additions T2e Pres Plan Recd Y_ N.
2 copies of plan showing beam & windowsizes; poured faund design, etc. 1 site survey for additbns & decks Tree Pres Required Y_ N
lsetofEnergyCalculations Addifion-irMkateHOnsitesepfksystem Oo-siteSeptic5ystem _Y _N
3 copies of Tree Preservation Plan if lot platted after 7/1l93
Rim Joist Detail Options seledlon sheet (buildings with 3 orless units)
Date I 2 U l 2vCi~ Construction Cost dw
SiteAddress ~'f7~'I S~jU~.l`( ~L~~N'( UniUSte #
Description of Work ~BB~~ ~`SDD f~TIGW
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2
Property Owner ~ c~cv~ ~ ~,H N<~W Telephone # ( ) '
Cantractor ~c~! 9' ~hIC CGhYAN'r
T`^~ p
Address ~ 1~~ ~Hk~~N AV~ ~ City ~U~EC G^~v~ ~~clat7f
State M 1~ Zip ~~G~~ Telephone 32z -~~'1~°~ E~! ~
/p
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Energy Code Category . ReSidential Ventilation Calegory 1 Worksheet • New Energy Code Worksheet
(J submission lype) Submitted Subm@ted
. Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber Telephone )
Mechanical Contractor Telephone I'2 I~ ~7
Sewer/Water Contractor Telephone D - ~ " ~ ` ~
DEC ~ v 2004
I hereby apply for a Residential Building Permit and acknowledge that the informatio is co~and accu te;
that the work will be in conformance with the ordinances and codes of the City of
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 plan in the case of work which requires a review and
approval of plans.
~r kL ~UD~~ GI/ -~z,
Applicant's Printed Name ApplicanYs Signature
OFFICE USE ONLY =
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 O6-plex ? 16 Firepiace ? 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 OS-plex ~C 18 Deck ? 23 Porch (screen/gazebo) ? 38 Mulli Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower ~evel ? 24 Storm Damage
? 06 04-plex ? 12 12-plex pibg_v or _ N ? 25 Miscellaneous
Work Types
? 31~New ? 35 Intlmprovement ? 38 Demolishlnterior ? 44 Siding
~ 32 Addition ? 36 Mo~e Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 ~emolish Building* ? 43 Reroof ? 46 Windows/Doors
? 34 ReplaCement "Demolitlon (Entire Bldg) - Give PCA handout to applicant
Valuation Occupancy MCES System
Census Code _~Nt f.L Zoning City Water
~
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs ~ength Fire 5prinklered
Type of Const 1,t a Width
REQUIRED INSPECTIONS
Footings (new bldg) Final/C.O.
Y Footings (deck) ~ FinalMo C.O.
7~ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof Ice & Water Final Pool Ftgs Air/Gas Tests Final
~ Framing _ Siding _ Stucco _ Stone _ Brick
_ Fireplace _ R.L `AirTest _Final _ Windows
_ Insulation _ Retaining Wall
Approved By: ( , Building Inspector
Base Fee
Surcharge ~~~G ~I~
Plan Review
MClES SAC
City SAC ~ V
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
y
* 2422 Enterpr~ise Drive
PIONEER u~osvr,~e~o~.a~ ~c~.-.:vcrr.~ Mendota Heights, MN 55120
~engiyneering•. ~^~~>~A~~~E~-~•~~-t~FAR~N'?E=15 (V~Z,UH~'~J~4
l~ V *T
T
Certificate of Survey for: y~" I Q~• O~~"
coNSravcrron~ co.INC. ~
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r 900.0 Denofes exisfrn~, ElQVation PROpDSED /-lOUSE ELfVAT10NS
• soo.o Denotes Proposed flevafion Lowest Floor Elevafion =
Dcnofes Draina¢e ~ Ufili y Easemen f
Denofes Droirio~e Flow Ar'row ToP o~ B~~~k Elevafion =
o Denofes monumen t Gara~e S~ab Elevafion = 895 33
Bearin s shown vre assr~med
Lor3 , LOCI~ LEXINGTON SQ~Al7E 7TNADDIrIaN
DAKOTq COUN7y~ M1NNF5p7A SuBJf['T TO EASFMENTS OF RFCORD
I hereby tertify tMt thif i~ a[rue s~d cortec[ reprewnution ol a w.vey of ~he boundaries-ol ihe abwe ~~bed U and o~ rne locaeion of a?
Wildn{p, tMrmo. sM t~~ visiWe H+troac~menu, if eny, 1rom m on uld iand. As wrveyed by m< th~ day o~~-A.D. 19~.
/ ~ /
SC'alQ:l eneh; J7O ee sC_n!/r~0 ~.Glc~,~ _
R BE TB. ~KIG L5. pEG. NO. 1~891
37 7~ i
PERMIT# ~ RECEIPTDATE:
~00~ #~~S~A~~~L ~~,U~41~I~16 #'~~1411T ~~FLIC~TION
CITY OF ~46A1V
S$SO PILOT KNOB RD
~RfiAN, MN 55122
651-6$I-4675
Please complete for: single family dwellings, townhomes and condos when permits are required for each unit,
backflow preventer for irrigation system
SITEADDRESS: `~1 ~3~Y~~f ~r ~
OWNER NAME: : I I A I Ci Ylf~ O,('~~~ TELEPHONE (05 I~ 5a a~S b~
(AREA CODE)
INSTALLER NAME: I )Y_~JI,I ~ ~rD Y ~U~ CIII~~ TELEPHONE "I ~c~ -~~0 ~I "CD~~ l
II/~ (AREA CO~E)
STREET ADDRESS: ~~'I I`1 "I ~A~ Y~ P~W ~ Q
CITY: l .ID~V~I Q STATE: IY1~ ZIP: JJ~~f~t
_ SEPTIC SYSTEM, new/refurbished (requires iwo sets of plans and MPC license) g 100.00
includes $40.00 County fee
Note: Additional consultant fees may apply
. MODIFICATIONIAL7ERATION TO EXISTING DWELLING UNIT, INCLUDING:
_ Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00
. f`
Abandonment of septic system. ^
- ' iJ 1! i i
Water turnaround - existing dwelling unit 5/S" meter if needed -$11 S) ~ i-"
~ [ 0 ~ 2~~~ LIJ~
Other: -
- ~ ~
_ RPZ: new installation/repair/rebuild IBy_~__ $ 30.00
_ lawn irrigation system `
ReplacemenUadditional: _ water soflener ~water heater $ 15.OD
State Surcharge $ 50
Total ~ )5 5~
I hereby acknowledge that I have read this application, statethatthe infortnation is co ct, and agr e to co plywith all appli le ityof Eaga nan s. It
is the applicant's responsi6ilityto notdy the propeRy owner that the City of Eagan ass me n i lity for ny dama es ca s by heLCity ri g its n rmal
operational and maintenanca activities to the Bcilities wnstruded under this permit ' hi i rt !e s n
SIGNATUR PERMITTEE /02
. ~
. 1 .
~ 1987 BUILDING PER;4IT 1lP?LICATION - CITY OF E11GAN •
SINGLE FAMILY DWELLINGS
INCLUDE 2 SETS OF PLANS~ 3 GERTIFICATES OF SQRVEY~ 1 SET OE ENERGY CALCOLAYIONS
TIOTE: ADDRESSES FOR CORNER I.OTS - CONTAACTOR/HOMEOHNER MIIST DESIGNATE L~HICH AD~RESS
IS DFSIRED. VO CHANGES NILL IIE ALLOL?ED ONCE BOILDIhG PERMIT ZS ISSIIED.
MULTIPLE DHELLINGS - RFSIDII3TIAL RENTAL Q;iITS FOR SALE U?dITS
INCLUDE 2 SETS OF PLANS~ CEATIFICATE OF SURVEY - CHECB 1dITH BLDG. DEPT.~
1 SET OF ENERGY CALCULATIONS
CO;R4ERCIAL - '
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS~
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS~
$2,000 LANDSCAPE BOND
To Be Used For: ~,~/y`~~f
{,g~~~Valuation: fl~-~ Date:
Site Address ~'7T 70
~ f~a:ar 66~ r- OFFICE USE ONLY
Lot 3 Block ~ On Sit~e SewageJ Occupancy IC-3
.~n MWCC System ~ Zoning 2
Parcel/Sub ~ S~wAQE ~ P170 On Site Well Type of Const
City Water ~ (Actual) Y-1~
. Owner .Zq~:,,l Q~^~'~~ ~na~~_ (Allowable) V-N
~ ' 0 0£ Stories
9ddress _ -~p~e7
n~. Sw~ /O¢ Length ~
• Depth y(~
City/Zip Code ~..~„a- ~S$¢35 S.F. Total
. Footprint S.F.'_
Phone gq ~~SS APPROVALS F~
Contractor SfM~E Assessments Permit 38 ~ 50
Water/Sewer Surcharge 3~,p0
Address Police Plan Revieu 2~
Fire SAC, City /DO~~D
City%Zip Code Engr SAC, MWCC 00
Planner Water Conn 2S~o0
Pho~e ~ - Council , Water Meter 6'7~00
Bldg Off 12 Road Unit ,oo
Arch./Engr. ff>ryi.c~" APC Treatment P1 !~D~00
' Variance Parks
Address ~ Copies ~,r
TOTAL
City/Zip Code '
Phone O
c•. r` • ~ '9
G A~a~E ~ ,A .
zoXZZ-.<~yox~2_ 5z8o ' ~ ~
NouSE
`1Dx zt~ /OVOxsa= 603Zn
6S6oo~
* ~~c 2422 Emerpnse Dnve
PIONEER I Mendota Heights, h1N 55120
y L.•:ot~nvErOwS.PV•if.v^.:YCrrF "__'i" _
4n ineerin L/NG~~A!MEitS. L~N[S-tf'E Aa:-H^t~15
9* 9~~ - Isi21 sst-ts~a
* ~c *
Certificate of Survey for: Z~ Cr'7 M Q'v u^ 0TN`'
co~vsravcrron~ co.INC. ~ ;
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ap
r 900.0 Deno}es exisfin~, EIeVC7tion PR~DpOSED h~ouSE ELEVAT1pNS
• soo~o Denotes P~oposed Elevafion Lowest Floor flevaf~on =
-------D~nolesDraina~elUfili yEaseme~}
-~DenofesOraino~e Flow A~row ToP of Bloc~C E/evafion -
Denofes monumenf Gara~e S~afi Elevafion = 89s 33
0
~ earin s shOwn pte assum ec~
Lor3 , LOC~ ~,LEXINGTON SQIJAQE 7TNADDIrIa~?l
DqKOTq fOUNTy~ MINNESOTA SUBJE(7 TO EASFMENTS OF RECORp
I ne~aby certify t~ei Nia li e true a~d comeci represcntanon ol a~u.vey of ine Goundanes o( ihe eboM ~~~xd ~a~ n~d o~ •;ora• M,.
Wi1d~nQf, tAereon, ai+A 0~~ vitible e~c~aachments, ony, from O~ o~ w~tl lond. As wrveycd by me Ih y.~day o~~i.~_ A.O./~J.1~,
,
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I Scale :1 inch, 3O ee
.
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r e~ ' EY.'PER1qR t::aVl»OPE AVI'1tnGE °U" CO:;PUTi~~TI017
~o~;,,;~ Jennlfer Jo so Luis Anchando_
979 Stoney Pofnt Road EAGAN, MN 55122
_ si,~e r,o:,ia.ss_____ .
cot+: a,~cTO~z Z A~NMA N /j ~t oJ ~n~ Z Y rfiowe S y 3- a 7 S 5-
Detcx~nine wotking square footage of each.
Total er.poscd o:all area 2-Z- `f sq. ft. X e~~ Z~~•
~f ~ sq. ft. X. O Z G - I_ 2 7._
2. Total roof/ceiling area
A. Total ~aall windoca area ~`f s•3
B. Total door area 3 7- g .
C. Total sli~ing gl~ss door area 3~• `I
3o,a
D. Tota]. fireol~ce ~rall area
F„ Total iva11 framiny arca (average 10€)
~ F. Total Rim joist arca............ "~'s
~
~ G O
G'. Total Nct wall area above fioor.•••••'-" """'-~2 9' S
Total exposeo roundation area - g$•G ~
p, Total fccr.dation ui;•do•a arca
I. Total ~:et Fonn~7ation area above grade_._........
~
Deternine "U" value of each wall seS.nent.
a. (4f x ,~U" • 5~7 = ~g
b. 3 7- g x~~,,., , r 3 ~ = s, i ~
c. 3 S• x~~U,~ . So = l 7- 9 S
. . 3 a X „u,. . 3 9 = / / . 7 .
e. ~~~i X~~~~~ pS = • 2~
f. / ~S~SG X.~~„ , 6~St~ = 7 S 2 .
' g. ~2G9•a9 x,~~.. ,0~77 ~ li~, S~ -
---r
h. ~ ~p = _
Sg,a~C a„U,. ,0$3~ ~ 3 S
/~z~z-~
3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . To C ~ 1 ° ~ ~ S,!__c~ ~ 2 ~ G O_ l
If itrm f~3 i:: t'.u ~am;r r~s, or lcc:: th:u~ .iCCm 1lJ, y~:u Laco r:ot lhc intcnt' oi
:,lsC (~UO;:
JcnniS~r Johns~n & t_uis (`.nchUndo
" _ 979 ~noy Pofnt Road " '
~ EAGAN, MN 55122
/o ~o
Tota1 c~:posed roof/ceilir~9 arca =
j. ToC~l ~kvliulit arca S• SS
k. Tnt:l roof/ceilir.g [r~mi.ng a_ca (average 10~)...... /O 3•~
Toial ~et insulaced roof/ceiling area ~ 2 ff• 7~
Determir,r "U" value for each roof/ceilin, soc~m•~nt.
' j. SS x"o•' s o _ 4• 2 7
x. /03 ,~c~c o Z G = 2•<~~"
% 1 g• x~~~„ , 0 2 3 = 2(. 3 S~
~ 4 .....................................TUta1 = Z S• 3 d ~ Z 7-d ~
~tae ~LT, M.ealhyJ
If total uf °~1 is the same as, or. less than ~2, you havr_.r;et thc in:.cmt of
S3C 50U6(c)i.
Alternate ~uilding ~nvelop.: D2sign
9b utilize tlie t.otal erroelope system r.:~thod, Chc •~aluas ^_~t~bi.ishe3 _t._
su~~ of ;tens ~3 ard ~hnli r,oc be yr~ater th.~~ tt~e sun cf ~t~.-:; ;:i anu t!2.
1. 2~~• ~f ~i +2. 2 7%0 2 3~-
s.-- ~ g 9. 9~ + a. 2$• 3~ = 2/$. 2 g z3~s
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4 PERMIT ~~~o~ ~
CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE:
PermitNumber: BUILDIN6
Eagan, Minnesota 55122-1897 0 2 5 6 A 4
(612) 681-4675 Date Issued: 0 5/ 2 4/ 9 5
SITE ADDRESS:
9~9 STONY POINT RO
LOT: 3 BLOCK: 4
LEXINGTON SQUARE 7TH
P.I.N.: 10-45081-030-04
DESCRIPTION:
, _
Build'ing~P.ermit Type BASEMENT FINISH
Ruilding Wprk,Type ALTERATIOM
r E '
~ 'r~
, ~
, .
r~ - ~ . ,
~-s ~ ~ 1~i
~ti.. ~ s ` x_ . :
REMARKS:
A SEPARATE PERMIT IS REQUIRED FOR ANY PLUMBTNG OR ELECTRICAL WORK
FEE SUMMARY:
Base Fee $35.00
Surcharge $.50
Total Fee $35.50
CONTRACTOR: OWNER: - qpplicant -
JOHNSON JENIFER
979 S70NY POINT RD
EAGAN MN 55123
(612)452-2864
• I hereby acknowledge that I have read this applicatio~ and s~aCa tNat t~e
information is co ect and agree to comply with all appliceble 5tate of Mn.
~ Statu s a Ci ofi Eagan Drdinances. ~
Ci ~ ~
APP NT/PERMITEESIGNATURE ~ ISS DBV: TURE
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: B u z ~ o z N e
3830 Pilot Knob Road Permit Number: 0 2 5 6 4 4
Eagan, Min nesota 55122-1897 Date Issued: 0 5/ 2 4/ 9 5
(612)681-4675
SITEADDRESS:P•I•N.: le-a5esl-ase-ea APPLICANT:
LOT: 3 BLOCK: 4
979 STONY POTNT RD JOHNSON JENIFER
LEXINGTON SQUARE 7TH (612) 452-2864
PERMIT SUBTYPE: TYPE OF WORK:
BASEMENT FINISH ALTERATION
. .
FRAMING INSULATION
ROUGH IN PL6G FINAL
REMARKS: A SEPARA7E PERMIT I5 REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK
~ ~
I~ _ . . ..J
t CITY OF EAGAN O
~ 3830 PILOT KNOB RD - 55122
1995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681 ~675
New Construdian Requlrements RamotleVReoair Reauirements
? 3 tegiatered site surveys ? 2 copies of plan
? 2 wpies of plans (indude beam 8 window saes; poured tnd. design; etc.) ? 2 sfte surveys (exterior edditions & dedcs)
? 7 energy plalations ? 7 energy calculations for heated additions
? 3 copies of lree preservation plan 'rf lot platted after 7/t193
requlred: _ Yes No
DATE: I~I~~J~ CONSTRUCTION COST: ~~OOO
DESCRIPTION OF WORK: ~'n«~ L 2~cQrooms I bart~~
STREET ADDRESS: S~~' r~ ~ ~Nf ~~Q"~ '
LOT ~ BLOCK ~ SUBD./P.I.D. `~~Q ~
`Tenn~~~T~hnSa-
PROPERTY Name: ~~`~p1~ Phone ~«"yS~~a~~O`~
owNeR
Street Address~ ~q ~!n ~
City: F,G State: ( P~ Zip: ~ -
cONrRACTOR Company: ~I ~ Phone
Street Address: License
City: State: Zip~
aRCH~crr Company: ~ma,w~foS.ConS~'r'u~~in`.Phone#• ~3'a~S~
ENGINEER 1
~ Name: 7~~~~n ~S, CAnS~i"uc.l+~ Registration
S*reet nde~ess~~ l•J ~ ~ ~ ~I~. ~
City: ~GQ~nC~ State: mfJ Zip:~•S'Ef3J~
Sewer & water licensed plumber: . Penatty applies when address change and lot
change are requested once permit is issued.
I hereby acknowledge that I have read this application and state that the infortnation is rrect an ree to comply with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
/ r
Signature of Applicanf;,~
OFFICE USE ONLY ~(~~Q~~~
Certifiqtes of Survey Received _ Yes _ No (~AY 1 6 1995
Tree Preservation Pian Received _ Yes _ No _ _ _ _ _ _ _ _ _ _ _ _ _
~ ~ j .
OFFICE USE ONLY ; " + `~a~,.
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BUILDING PERMIT TYPE
0 01 Foundation ? 06 Duplex o 11 Apt./Lodging ~ 16 Basement Finish
? 02 SF Dwelling ? 07 4-plex o 12 Multi RepaidRem. ? 17 Swim Pool
? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory o 20 Pubiic Facility
? 04 SF Porch ? 09 12-plex ? 14 Fireplace o 21 Miscellaneous
? 05 SF Misc. ? 10 = plex ? 15 Deck
WORK TYPE
? 31 New 45'433 Akerations ? 36 Move
? 32 Addition o 34 Repair '0 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MC/W5 System
(Allowable) Main level sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code. y
Depth Footprint sq. ft. SAC Code ci
' Census Bldg i
Census Unit ~
APPROVALS
Planning Building Engineering Variance
p
Permit Fee Valuation: $ ~sO~ ~
Surcharge '
Plan Review
License
MC1WS SAC
C~rj Sl;.~. ~r_~.~_..__-
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S!W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
°k SAC
SAC Units i
CITY USE ONLY
L BL ~Y RECEIPT
SUBD ~ DATE: `5 95
1995 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612)681-4675
Please compiete for: ? single family dwellings
? townhomes a~d condos when permits are required for each unit
FIXTURES EACH NO. TOTAL
Shower 3.00 x =
Water Closet 3.00 x =
Bath Tub 3.00 x =
Lavatory 3.00 x =
Kitchen Sink 3.00 x =
Laundry Tray `~5~``° , 3.00 x =
Hot Tub/Spa ~S 3.00 x =
Water Heater 3.00 x =
Floor Drain 3.00 x =
Gas Piping Outlet " minimum - 1 3.00 x =
Rough Openings 1.50 x =
Water Softener 5.00 x =
Private Disposai ' Dakota Cty. license 20.00 =
U.G. Sprinkler * home under const. 3.00 =
Alterations * to existing 20.00 = ~D.OD
Water Turn Around 20.00
STATE SURCHARGE .50
TOTAL c?0. 5 U
SITE ADDRESS: _~~9 S+U?lt/~j
o i~~ ~04CI
OWNERNAME: J~~~te-~' -~o~~sov~
INSTALLERNAME: ~~'''~~wF'~
~
STREET ADDRESS:
CITY: q 4~. v~ STATE: m N ZiP; 55 I z 3
PHONE ( ) h~5a - 02 ~l~
OFFICE 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: . ail commerciaUindustrial buildings.
~ multi-family buildings when separate permits are ~t required for each dwelling
unit.
DATE: CONTRACT PRICE:
WORK TYPE: _ NEW CONSTRUCTION _ ADD ON _ REPAIR
DESCRIPTION OF WORK:
IS WATER METER REQUIRED? _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING:
WATER FLOW: GPM. ARE FLUSHOMETERS TO BE INSTALLED? YES NO.
FAILURE TO PROVIDE THIS INFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE.
VNLL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? YES NO.
IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINKLER PERMIT.
FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per
$1,000 of permit fee due on all permits.
CONTRACT PRICE x 1%
STATE SURCHARGE
TOTAL .
SITE ADDRESS:
TENANT NAME: STE. #
OWNER NAME:
INSTALLER:
ADDRESS:
CITY: STATE: ZIP:
PHONE SIGNATURE:
APPLICANT
OFFICE USE ONLY
METER SIZE: DATE: INSPECTOR:
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. C I TY O F E A G A N PAYMF.~TP' OF FEE AT TSME: OP;;;*
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~ ' * APPROVAL OF PEF2MIT. _:i;;*,
APPLICATION FOR PERMIT *~y~~~ oF s~ a~/a~ c~,~:,;~
,*F ~,Lar.ramroNS WII,L NOT BE ~::,*t
SEWER AND/OR WATER CONNECTION ~ P~~T ~ ~ ` 'r'*
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' • . • ' * APPROVID- ~
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-1) PROPERTY ADDRESS: ~1~I^'\ Sipny ~D~n~
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LEGAL DESCRIPTION:
, Lot B ock Sub ivision or Tax,Parce ID
IF' E}QSTING StRC'Ct[IRE, .DATE~ OF ORIGINAL HI:ILDINv.PERMIT ISSL'ANC~: • , "i
• (Mon Yeaz .
PRESENT ZONIN~/PROPOSID L'SE: . ~ '
CQ~Y~TtCIAL/RE~TAiL/OFFICE ~ R-1. 5INGLE FAMILY •.:i:~~;~"'~;
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. 0 IDIDCSTRZAL ~ R-2 DUPLEX (Rt~u L~nits ) ; :
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: . ~ INSTITC.fiIONAL/GOV~NT ~ R-3 TOWAII~OUSE (Three + Units) ( L~ni.ts) ;,:;~;t„;
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" PERMIT # ISSUED ' . • +~~~ti
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$ $ ~C~' ~O WATER PERMIT (INCLUDE SL~RCHARGE).`;
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$ ' lp.~-CY~~ $ WATER METER/COPPERHORN/OCTSIDE READER.~r~
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$ ` WATER TAP (INCLL~DE CORPORATION STOP) j~~
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DOES UTILITY CONNECTION REQUSRE EXCAVATION IN PDBLIC RIGFiT OF: WAY? r~~``
~ S7 •
,
_ ,
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, Q.YES IF~YES, THEN A"PERMIT FOR WORK WITHIN PLBLIC
ROADWAY" MUST BE ISSDED BY THE ENGINEERING
~ ` Q NO DIUISION. LIST AS A CONDITION , f~
. . . . ; ' i , ' , . , ~1 ~
SUBJECT TO,THE FOLLOWING CbNDITI0N5: , }~i~~
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APPROVED BY: ,~~C~-,ce~' %_J-a'-?:aJ~j. ~
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TITLE:
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City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 979 Stony Point Rd
Lot: 3 Block: 4 Addition: Lexington Square 7th
PID:10- 45081- 030 -04
Use:
Description:
Sub Type: e- Windows/Doors
Work Type: Windows/Doors - New/Replacement
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Minnesota Exteriors
8600 Jefferson Hwy
Osseo MN 55369
(763) 391 -5514
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Applicant/Permitee: Signature
- Applicant -
Construction Type:
Occupancy:
Carbon monoxide detectors are required by law in ALL single family homes.
Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
$88.50
$1.50
Total: $90.00
Owner:
Luis A Anchondo
979 Stony Point Rd
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
0801
9001
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply
of Minnesota Statutes and City of Eagan Ordinances.
h all applicable State
Issued By: Signature
Building
EA092399
12/23/2009
ePermit
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA135878
Date Issued:04/11/2016
Permit Category:ePermit
Site Address: 979 Stony Point Rd
Lot:3 Block: 4 Addition: Lexington Square 7th
PID:10-45081-04-030
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Luis A Anchondo
979 Stony Point Rd
Eagan MN 55122
(651) 395-0425
Wenzel Heating & Air Conditioning
4145 Old Sibley Memorial Hwy
Eagan MN 55122
(651) 894-9898
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA164933
Date Issued:10/12/2020
Permit Category:ePermit
Site Address: 979 Stony Point Rd
Lot:3 Block: 4 Addition: Lexington Square 7th
PID:10-45081-04-030
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 -
Luis A Anchondo
979 Stoney Pt Rd
Eagan MN 55123--156
(651) 303-6473
Capital Construction Llc
416 Gateway Blvd
Burnsville MN 55337
(952) 222-4004
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA167582
Date Issued:03/22/2021
Permit Category:ePermit
Site Address: 979 Stony Point Rd
Lot:3 Block: 4 Addition: Lexington Square 7th
PID:10-45081-04-030
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation. When a weather barrier is installed or
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 -
Luis A Anchondo
979 Stoney Pt Rd
Eagan MN 55123--156
(651) 303-6473
Capital Construction Llc
416 Gateway Blvd
Burnsville MN 55337
(952) 222-4004
Applicant/Permitee: Signature Issued By: Signature