987 Stony Point Rd CITY'~F EAGAN Permit No: Dat~
3830 Pilot Knob Road Meter No: 75
y' / C,l S1Ze: ~l~ ~6cK
'P.O. Box 21198 Reader No: ~ Qq
Eagan, MN 55121 ~ { ~ f Date: foT - ~ ~
Owner. ^..i 1 ~ €,o c'ttp (''~~I- c•r
Site Address: a%~,
7.._
Ct.,~Q~otnt H c~ r`'i ~4 ' c;;~~~' ,n 4~ 7ti
Plumber. ~.ar AI~Tm~in~
Conn. Chg: _
~Sn nn~„~ Zoning: ~
'
AccG Dep: No. of Units: 1
Permit Fee: n
nt~i, i
Surcharge: 1 agree to comply with the City of Eagan
Tr. Plant <~~;n~~ Ordinances.
Meter.
Misc.: ' ~
WATER SERVICE PERMIT ~ Plb~
, - . _ r ~ - - - - - G.-~-~-~t ,
CITY ,(~f ~f~GAN Permit No: ~X-~~ ~ ~ " Date: ' -t; `
3830 PBot Knob Road g/p No: i Date: ~i" ~ 9'{,
P.O. Box 21199
Eagan, MN 55121,
;~~eRe ~itp ^anst .
Owner.
SiteAddress: ~to;:~ P :i ' ? -yxir_:_
~ Plumber. StFr !'In~bi.*r~_
I MWCC: r S~' Zoning•
~ City Chg; ~ No. of Units: 1
-
_ .
Acct. Dep: , 1 ayree b comply with Itu Gt~r of Eagan
Permit Fee: Ordinanc~s.
Surcharge: ' '
Misc.: By
~ SEWER SERVICE PERMIT ~
~ ~
I
CITY OF'~AGAN Permit No: ` Date: ~
383Q Pilot Knob Road Meter No: Size:
P.O. Box 21199 Reader No: Date:
Eagan, MN 55121
' Owner. "itv Coast
Site Address: ~ •~~Y Po3~tt Faacl L,5 9~4 f_.er.j.aeton ~ n
Plumber. ` ~'^'ti,' -
Conn. Chg: ~ ! . Zoning: ~
Acct Dep: ~ 3.O~i~`~ No. of Units: -
Permit Fee: ' 1. 00~~~'
Surcharge; • 5~~~ 1 agree to comply with the City of Eagan
Tr. Plant L'~+ • Ordinances.
Meter. 6~ ~ `
Misc.: By
WATER SERVICE PERMIT
_ : .
~r,~~,,,~,j,,,~„rv_.~ _ _ :
. ~ . _ . . . _
~ CITY OF EAGAN
3830 Pfl ob Road, P.O. Box 21 •199, Eagan, MN 55121 ~ ~
PHON E: 454-8100 -
BUILDING PERMIT Receipt #
To be used for ~?~`~i Est. Value ~~~9~~+ Date 5~'~ 1~ ,19
Site Address 9~~ ~'~"~'~Y ~t~T' ~;b OFFiCE USE ONLY
~ On Site Sewage accupancy K"3 ~
Lot Block y Se ub. S~
MWCC System ~ Zoning ~D ~-1
Parcel No. On Site Weil (Actual) Const
a Name ~'~~'G` Y 40}itIRUG7IU~s Ciry Water X (Allowable) V"~
W {~t~ n i G] ~7 PRV Required ~ of Stories
3 Add er~4`: Vf.L~LY ~31-2 211 Booster Pump ~e~gtn ~6'
° City- P e ,
Depth s~
, p Name bl~~ S.F. Total
~ Q Address Footprint S.F.
~ City ne APPROYALS FEES
Engr./Assess._. Permit s~Q•~
y~ W Name SQ
~ = Planner _ Surcharge
U~ Address _ ~b~~~
Q= City one Council Plan Review 1~ ~
W Bldg. Off. _ SAC, City `
I hereby acknowled e that 1 ha ead this application and state that the Variance _ SAC, MWCC 5~d~
i~formation is correct and agr to comply with all applicable State of WaterConn. ~5~•~
Minnesota Statutes and City of gan Ordinances. ~ 67
Water Meter
Signature of Permittee _ - _ _ _ _ _ . _ _ _ _ _ _ Road Unit 3~S• ~
C~OI~:..:i~~ CI;~'Y CUx;,'T 2~4.OG
A Building Permit is issued to: - Treatment P1
on the express condition that ork shall 6e done in accordance with all ~~~;~ry
applicable Slate of Minnesot atutes and City of Eagan Ordinances.
TOTAL ~ ~ ~ ~
Building Oflicial___ _
Psrmit No. Permit Hold~r Dat~ TNsphone ~t
PfGmbing ~j ~ - • J ~~~C/ c. ~ ~ ~C ~
~
H:aI:AC. , L ~ /C ~
Electric ' ~ L 7 ~ ~ ~
Softener
Inspsctfon Date Insp. Comments
Footings I ~
Footings II
Foundation
Framing C1 .~'~n -
Roofing
Rough Plbg.
Rough Htg.
Isul. ~ V ~
Fireplace
Final Htg. , ' ~
Final Plbg. ~_~7 ~
Bidg. Final
Cert. Occ. ,
~
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp.
r,..-. PERMIT # ~ 1 ~7 i
~
~
' " ' PLUMBING PERMIT RECEIPT # R~'-~~=~
CITY OF EAGAN ,
3830 PILOT KNOB ROAD, EA(3AN, MN 55122 DATE:
CONTRACT PRICE PHONE: 454-6100 ' '
Site Address ' BLDG. TYPE WORK DESCRIPTION
Lot Block S~c/Sub Res. New
~ ~ 1 ' Mult Add-on
~ Name Comm. Repair
~o Address ' Other
c Ciry ' Phone RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
Name • Water Closet - $3.00 S
~ Bath Tubs - $3.00
c Address ' ~ Lavatory - $3.00
p Ciry ~ Phone ~ ! 5hower ; $3.60
Kitchen Sink - $3.00
FEES Urinal/Bidet - 53.00
COMM/IND FEE - 19~6 OF CONTRACT FEE Laundry Tray -$3.00 ~1
APT. BLDGS - COMM RATE APPLIES Floor Drains -$1.50 !
TOWNHOUSE & CONDO - RES. RATE APPUES ! Water Heater -$~.50
MINIMUM - RESIDENTIAL FEE - $12.00 Whirlpool - $3.00
MINIMUM - COMM/IND FEE -$2d.00 Gas Piping Dutlets -$1.50
STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIn
(ADD $.50 S/C IF PERMIT PRICE GOES So(tener -$5.00
BEYOND $1,000.00) Well - ~10.00
~ Private Disp. - $10.00 ,
~ r• ; ~ Rough Openings - $1.50
~
SIGNATURE OF PERMITTE~ ~ J FEE:
~ STATE S/C:
FOR CITY OF EAGAN . GRAND TOTAL•
PERMIT # ^
' • ' MECHANiCAL PERMIT
CITY OF EAGAN RECEIPT # ~
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE l~-'
CONTRACT PRICE: • PHONE: 454-8100
Site Address ' ~ ~ BLDG. TYPE WORK DESCRIPTION
Lot ~T Blo} k Sec/Sub ~ Res. New
r
Name ' ` ° " Mult Add-on
~ _ ~
~ Comm. Repair
~ Address , ~ .
t_
c City ~ ' Phone ` ' J
FEES
~ Name - - ~ ~ " ' RES. HVAC 0-100 M BTU - $24A~
c Address ~ ~ ' ~ ADDITIONAL 50 M BTU - 6.00
3 Ci ~.r.; - r ~ ~ ~ y ~ ~ Phone • ~ + ~ ' ~ (RES. HVAC INCWDES A/C ON NEW
~ ~ ~ CONSTRUCTION)
GAS ~UTLETS (MINIMUM - 1 PER PERdlII~ - 1.50 EA.
TYPE OF WORK COMM/IND FEE - 195 OF CONTRACT FEE
Forced Air = r~- M BTU ~ v APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
Boiler M BTU 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: • ~ ' ~ ~
~ J t ..j' _
S/C: r~-y SIGNATURE OF PERMITTEE ~y
TOTAL: ~ ' ~
FOR: CITY OF EAGAN
i
CITY OF EAGAN
383~ Pllot Knob Road, P.O. Box 21-199, Eagan, MN 55121 a j~~ h
PHONE: 454-8100 - ~ - ~
BUILDING PERMIT RBC@Ipt ~ ' r 'a'' ~
To be used for "St D~iC/4hk Est. Value ~~9, ~ Date ~~P~' ,1g $a
Site Address a87 ~ P(}I1R' RD OFFICE USE ONLY
r ` ~1~ ~ On Site Sewage Occupancy '~-1
Lot ~ BIoCk SeC/Sub. ~ MWCC System x Zoning ~ R"~
Parcel No. On Site Well (Actual) Const y-~
~ Name COLI.BCE CITY 00118?RIJCZIOid c~ty wate~ ~ (Allowable)
z Ad~ess 6VT0 iSiST ST PRV Required # of Storfes
° City!'~p~ V~~Phone 431-~ 21I Booster Pump ~engtn 46 ~
Depth ~2
, o NamA ~ ~ S.F. Total
Footprint S.F.
~ ` Address
~ City PhQne APPROVALS FEES
~ a Engr.JAssess. _ Permif 5~• ~
W W Name y,~i. Sp
Address Planner Surcharge 26~ ~
Council Plan Review •
~ W City Phone 1 ~ ~
Bldg. ON. _ SAC, City •
I hereby acknbwledge that I have read this appliCation and state that the Variance SAC, MWCC s~• ~
information is Correct and agree to comply_with all applicable State ol Water Conn. S~• ~
Minnesota Statutes and CiEy of Eagan Q~nances. Water Meter U
_ 5ignature of Permittee ~r _ ~ _ - " ~ ' ~ _ Road Unit
A Quilding Permit is issued to:.- CULI.EGE CI~ Treatment P1 ~
oq th~ express condition that all wo~k shall be done in accordance with all ~*~P' ~
applicable State of Minnesota Statutes and City of Eagan Ordinances. 636
TOTAL •
Building Official _ - _
. . -
~B~DG. PERMIT NO. ~
~ ~ ~ ~
~ c.~( ~ ~
- ~ 01-321(S Bidg. Permit ,
01-3422 Pian Check ' ~ ` ~ ~ ~
01;3445 Surch./Adm.
01-3446 SAC/Adm. lJ
(~I -2155 Surcharge
75-3860 Road Unit ~
r ~ 20-2275 SAC ~~'i d
20-3865 Water Conn. ~ ~I
20-3868 Water Trmt. ~ G 7" '
20-3716 Water Meter ~ ~ ~
20-2252 Acct. Dep.
20-3713 Water Permit
20-3743 Sewer Permit
79-3866 Sewer Conn. ~ L' U'
28-3855 Paric Ded.
l - 5~4~0 ' ~_U
TOTAL ~ U C~
~
'
' • ~ ~ CASH RECEIPT ' ~
. CITY OF EA~AN
. ~ 3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
' /c:~ ' ~
DATE ~ 19 , ~
/ j
C .
f1ECENED
~ ~ L-t
j -L u+%c. L~~ jl~
AMOUNT 3 ~ ~ ~
L
r '
& DOLLARS
w O CASH Ll CHECK
.
Fon ~ ~/~~fi. . ?
~ ~
~ / G~-" u.4~
i
/ ~ ~
f~ ~ tL _
FU OBJECT AMOUNT
i
I
Thank You
eY l
~ wnie~aar~ ~Pr
Yellow-Posting Copy
Pink-File C.opy
/C d~ ~l/~ , LD-~ ~ c~
~ 57968 N ~ ~
Requ t D~te Fire o ~-in Inspecibn
~ ~ uired? ? ReaGy Now Q~wtn Nony inspeco~
~ Yes ? No When Ready?
I~ lit~ensed contractor ? owner hereby request inspection of above electrical work at
.bb Atltlress (Streel, Bax or RoNe No.) 1 Ciy
~7 s ~ON~ ~v~a. T ~ ~ f 3~/
Seciion No. TowreNp Neme or No. Ran9e No. CcuMy ^ /
U~ e
Occupant(PRINn Phorie No.
Power Suppl' ~ ~ ~ ~ Mdreas ~
/ 1 ~ ~
V
fF G A' s ~/Q /
Elechiwl C nhapor (COmpany Name) Comr;~+q5 License Na.
.rr nt,•,. `e'e,~ ~ /Y /il4 P ~7
AAailing AOtlress (Con~ ~ or Qryne~ Makirg nstallalion) (7
~
~ e.~. J ~
Authonzed Sign e onvaclo rie ' g I s tion) Phone N mCer
~ 2-z721~
MINNESOTA STATE ApD OF ELECTIiICT' THIS INSPECr10N REQUEST WILL NOT
Grlgga~MlCwey Bltlg. - Room 51~3 BE ACCEPTED BV THE STATE BDARD
1821 UnWxsity Ave., St Peul, MN 55104 UNLESS PROPER INSPECTION FEE IS
P~onel~z)602-0800 ENCLOSED.
~p/~ ~/8~ REQUEST FOR ELECTP.:rAL INSPECTION ~J`~
? See insVUCfions for completlr~'ihis form on Oeck oi yellow wpy. ~~@fp ~~c~
V
7~ 6 8 X" Below Work Covered by This Request
e Add Rep. TypeofBuilding AppliancesWiretl EquipmeniWiretl
Home Range . Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Spec'rfy)
Comm./Industrial Furnace
Farm Air Conditioner
Wier (spedry) contractors Hemerks:
Compute Inspection Fee Below:
# Other Fee # ServiceEnVan ize Fee # Ciicuits/Feeders Fee
Swimming Pool 0 to 200 Amps ~Gd o to 100 Amps 1, ~.G
Transtormers Above 200 _ Amps Above 700 _ Amps
SigftS ~nspeclork Use Only: TOTAL
Irrigation Booms S ~
Special Inspection ~
Alarm/Communication ( y
Other Fee ~
I, the Eledrical Inspector, hereby RWghdn . ~ oe~
certify thai the above inspection has F;,~ai o~a~ ~
been made. •
OFFlCE USE ONLY
This request voltl 18 months hom
/,~-/~~89 v~i~ ~
13265 ~ ° 7~ ~~v°'-'
Requesl Oate ~ .re No. Fou9h-in n~ e~tion
~ n Re uiretl? v ~J'~eatly Now ? Will No~ity Inspector
~ Ves n No / When Ready4
I icensed contractor p owner hereby request inspection of above electrical work at:
Jo~ Atldress ~Slree6 Bo ar Route No.) Ciry
~ ~ .S .ve- /~<'-i
Section No. Township Name a No. Ranga No. County
O ~/t
Occupam (FRINT~ Phone Na.
PowerSupplier Atltlress
Bectncal Gan aclm (Company Name) ConV tor's ~ ense NO~/
enne,c. ~ve o
Mailing qaaress IGont aclor or Ow r Makiny Installat~on)
O o? f~i ro Lu+4
Aulhorized S~gnature nlradon r Makin In lel t~~ Phone Num~er
9~~
MINNESO~A STATE BO OF EIECTFICITY THIS INSPECTION FEOUEST WRL NOT
Grlggs-MlOwey BIGg. - Room 5113 8E ACCEPTED BY THE STATE BOARD
1821 Univenlty Ave., St. Peul, MN SS10G UNLESS PROPER INSPEGTION FEE IS
Plwne(61P~662-0800 ENCLOSED.
,P ~1`~y RE~UEST ~OR ELECTRICAL INSPECTION ll~~~ ee-ooom-or~~
~ ? See instmc!•ons for-C~pleting Ihis torm on back ol yellow mpy. z~ 9,~~8 /
,g 2~p 5 ~ X" Below Work Covered by This Request ~a~
e Atltl Rap. TypeolBuiltling AppliancesWired EquipmaniWiretl
_ Home ' Range Temporary Service
Duplex Water Healer Electric Heating
Apt Buildinq Dryer Other (Specity)
- CommJlndustrial Fumace
Farm Air Conditioner
Other(speciNl Con[racmr9 qemarks:
Compute Inspection Fee Below:
# Other Fee # ServiceEnirance5ize Fee R Circuils/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 700 Amps
Tran5lormer5 AboVe 200 _ Amps Above 100 _ Amps
Signs i~svecmrs use onryn / 70TA1
IrrigationBooms ~j~Ml~y /~ppwti }iUed~O~'~2O' ~ ~0
Special Inspection ~J
Alarm/Communication TMIS INSTALLATION MAY BE ORDERE ONNECTED IF NOT
Other Fee ~j COMPLETED WITHIN 1 NTM
I, ihe Electrical Inspector, hereby Rouyn-~n oa p
certify that the above inspection has F;nei oa~ O!~
been made. zv
OFFICE USE ONLY
T~is repues~ voitl 18 manlhs irom
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-198, Eagan, MN 55121 N~ 15612
~ ' PHONE:454•8100 QrJ~.y~/
BUILDING PERMIT Aeceipt# o d C/
To be used for SF DWG/GAR Est. Value $89,000 Date SEPT 19 ,~g 88
Site Address 987 STONY POINT RD OFFICE USE ONLY
Lot 5 elock 4 Sec/Sub. LEXINGTON SQ 7TH On Site Sewage _ Occupancy R-3 M-1
Mwcc svs~em X Zo„ina PD R-1
Parcel No.
On Site Well _ (ACtuap Const V-N
~ Name COLLEGE CITY CONSTRUCTION Citywater X (qlloweblel V-N
~ Address 6970 151ST ST PaV Required _ n of Swries
o ~i~yAPPLE VALLEYphone 431-1211 BoosteiPump _ Length 46,
Depth 52 ~
, p Name SAME S.F. Total
~ Q Address Footprint S.F.
i City Phone ppPROVALS FEES
W W Name Engr./ASSess. Permit 530.00
~ = Planner Surcharge ~+4.50
z- Address
Cit Phone ~ Council PlanReview 26$.00
a W Y Bldg. Off. SAQ Ciry 100. 00
I hereby acknowledge that I have reatl this application and state that the Variance SAC, MWCC _5~i00
in(o~mation is correct and agre lo com01 w'ih all applicable State of Wate~ Conn. ~~Q...Q~
Minnesota Statutes an ~ of gan ~ Ces. ~7'~
Water Meter
Signature of Permittee
RoadUnit ~25~00
A Building Permit i i ed to: COLLEGE CI~_CQN$~_ 7reatment P1 __20~{..4.4
on the express condition f hat all work shal I be done in accordance with all
applicable State of innesota StaWtes and CI~ity of Eagan Ordinances. ~~C~Py
BuildingOfficial~~~,R/~___I_~i~__ TOTAL 2.636.00
,
• ' 19$$ BUILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS r ~ ~ ' ~
INCLUDE 2 SETS OF PLANS~EATIFICATES OF SURVEY,~ET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTAACTOR/HOMEOWNER MUST DESIGNATE WHICB ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
M[ILTIPLE DWELLINGS RENTAL QNITS FOR S9LE UNITS ~ OF UNITS
INCLUDE 2 SETS OF PLANS~ CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.~
1 SET OF ENERGY CALCULATIONS
CONII~RCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
To Be Used For: Sy Valuation: Date: 9'~~
Site Address '~'J8~ ~ onv ~ OFFICE USE ONLY
~DOD'
Lot ~ Hlock ~ On site sewage_ Occupancy -3 M•~
7 ] MWCC system r/ Zoning Pn
~
1
Parcel/Sub~~ 'n To n S 7~ ~1 On site well Actual Const V-N
City water v Allowable vN
Owner ~ ~ PRV required IF of stories
Booster Pump _ Length
Address Depth 5 2'
S.F. Total
City/Zip Code Footprint S.F.
Phone APPROVALS FEES
Contractor ~o /~ea e. ` I'lU C o»s~ Engr/Assess Permit 33d, oO
`J Planner Surcharge ~
Address G~~o -/sls~ J! Council Plan Review 00
) ~S)~ Bldg. Off.~S SAC, City p0+00
City/Zip Code~qp ~c ~i4 /~~4 f/.~ Variance SAC, MWCC $a~OJ
? Water Conn O.OO
Phone / J~- J-Z Water Meter , OD
Road Unit ,~2s, o0
Arch./Engr. ~9m ~ 41' G._c1 Treatment Pl 2D .oo
Parks
Address Copies , S~
TOTAL
City/Zip Code 1
Phone Ik
~U~A~.~A~CI~N ` ,
5,~5_~~ .
Z(e u 3y ; S~~i '
q x _ ~ .
-
Go~R ~ bo ~ I 3= 1 b4o~
22 xZ~= s7Z
sx~= ~4~f)
s2~ X l~} = ~39Z
SGR~?J,~Bc~.
Izx 12= IyN X Z~ ~ z~gv
N o u,SE
x Z Z 6 3g
au x ~y s~~
3 x ~2 = (3c)
5~ S= `~4
~L~`iz - ly~l
ZXl = ru
~
13~~ X 49= 6~6~0
g$ 29 2
, 2422 Enterprise Orive
* PIONEER LwNDSVRVEYORS•CIVILENGINEERS MendotaHeights,MN55120
~ eng* eering ~ANOPtANrvERS• IRNOSC/WE NRCHITECIS (612) 681-1914
* ~C *
Certificate of Survey for: ~+~~~E~E `~~'V ~~~~~I
W~SGdf'T 5 89 °46' 3z"E Qe~. f>
I03• 68 ~~1.~
° ° - 7 ~ NORTH
- - - - ~
s,r ,s
i ~
r ~
~ /
,N o~ I ~ /
M~
\ ~ ~ / ~
C '~g'98 96 / 0 n
0
34.e ~ :
'0 m u. O~N
"I v~ Pf°°~~~ ~ ,~~~99f 5q5~
~ ~s `2•° ~
L~ M
~ P~ ry tl
~y~~7 _~~Sf~ U' 24.e M
~ Z2,o ~ ~
M/ cT
~4~`~ 4s.qj ~ , _ ti4 ~
~ Q,~y .27 A:~ ~R ~ ~
n ,~J ~
89~g ~2 ~ J~\ ~
~~Q o y ~'''i"!le ~'7
~ 4' 8°q ~ ~ 9''~ y,:
~6y '~=g62is'~ \E1:.~.~~.. ~ i:,'=~,TUT'~~y~:':iIivG Di.P'T
Aa~~~ y
r 900.0 Denotes exisf;n~ F/PyqriolT R~.~p PRl'~DSED I~Ot/SE ELEVATJpNS
• 900-o Dtnofes proposed ElevvtioR (owesf Flaor Eltvorfion = S93.q
Denotes Drorno~e ~UEili ~ ~"asPmen f
-:--DenofesOroina~ F7vw ArroW Top of
Blocl~ F1evation = 896.q
o Denofes monumenf Gara~e Sla6 Ele~•o~tion • S`~ ~O. ~i
Bea~~n s s~hown ore assumed - ~ •
L or 5, Locl~~, LEXINGTON SQuAaE 7rN-Aoarl~aN
DAKDTq C~DUNTy~ MINNESpTq SUBJECT TO fASEMENTS OF REY~ORp
1 hereby eeniiy ttut thii h ~ trua ~nd mrrxf roprnentstion ot s~urvey of the 6oundarias o1 Ma Wore ibed 4 and ot the lontion Qof~
II
buildinps, the.eon, and ~tl vhible ennosef~menn, if mY, from or on nid 4rd. As surveyed by me thh dey of~A.D, 19Q¢, .
8~ O ROBENT B, SIKICF~ L5. REO. NO. 3 1
- . , _ _ _
. , ' , _ ; ; , . , I
~ . ~ ~ ¢x~Ereiua'e:NVELORE AVEWIGE "U" cor~F~urnriu~.~
UWNER ~ ~ ~ e.~, v ` , s . ~
' S1 tE AUUNE55 ~7 ~fo n : ; ~ ~ o q -
~ con~iu?crua~ )l~g ~ C; ~y Ca~,.~~ ; DA'fE ~ VIIUNE y-7/_- l-~1 j
petermine working square footage of cach. ,
1. 7ata1 exposad, wall aroa 7_.dC 7._~~ ay. ft~ x_.~ • Z~~
~ .2. 7ota1 rnof/ce111ng area /1~-1fl aq. it. x,02~0 ¦,[~.g,~],
Total exposed wall area abova flonr •'/9 ~
a• TOta~ WB~~ window dl"Oa~~~~~~~~~~~~~~~~~~~~~~~~~~~ ~~iufl~`~n i_
~I• Yotal door area 1~.1~~-.
C• TOtA~ sliding nless door arca 4 5,S _ '
d. Total tir•eplace wall area.....~~
• E. TOCa~ well freming aree (evereye ~dx~............ ~„1(~,
t. 7ata1 net wall area above floor N/
y. Total rtm ,loist araa ~ •
• , ~ 7ate1• ekpossd founJatlon araa ¦ . ~ ~ , ~ '
h. Total tounJation wtndow'erca , „ '
i. Toal net f~undation area ebove grade ~a.n
` Detennlne pU" value of each wall seyment.
~
, a . ~ X "U" - • .
, b~ ~l~ x . l ZR' •
~ C: S S ~X "U,", , 3~f •
~ a. x Mu° - ~
~ ' e. ' Il~ z x"uN . o~z • I. 9~ ,
~ t • I ~f ~ ~ X "U" ,~1~. " G Z , SZ_
g. 1?(o x"U" • oy'/: ' S 1
. n x NU" ~ ~
~ ~ 7f ~ X NUN " Q~~ ~ ~ ~ '
.....................................Totel
3 ~ L1A~.3+.~?--~
!f item /3 is tl~e same as. or less than item ~1, y~u have met tlie lntcnt
of Sf~C 6006(c)2. ,
~Y1
. . , ,..i'Tf£ . . . ~ . .
/.r . .
_ . . . ~ . _ _ _ . . . . . .~,P.., .
' . ~ - , . , . ~
• ~ Total..expased roof/cetling area ~ ~J ~ Q ~ ,
' Tptal skyllght area..'.~:~67-t~c~J=~f?,:,J~:?SLf-,~W,^; -~-j0.0
k. 7ota1 roof/ceiling framing area (aierage 1~~)...
1. 7ota1 net.insulated roof/ceiling area..:........_ ~
g
, ,
_
~ ~ Determine "U" value for each roof/ceiling segment. ,
yp~ X'M~~~ o.dSCZ ¦ z.-7_S
k, x .«~N' . ; . ~ , , ,
~ 1: I"( OC~ x.~~~' ~ ZZ 2 ,o .
4., .................................Tota1 `I~ .
If totel of p4 1s the same ~s, or less than i2. you have met the intent of
, SBC,6006(c)1. ~
' ~ Alternate Building Envelope Deslgn
Ta utillze the total enveldpe system method. the values established by the'
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5 ~ ~ Ja-~ RESIDENTIAL /S~ o~S~
BUILDING PERMlT APPLICATION
~ CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681•4875
New Coaatructlon Reauiremenn RemodeUReaalr Reouiremanb
• 3 registered site surveys shovn~ng sq. ft. at IoC sq. ft. af house; and ~1 rvo(~ areas • 2 copies otplan
(20% macimum lot coverx~e allowed) • 7 sel o( Erreryy Calalatlans for heated addNOns
• 2 copies of plan showing 6eam 8 wi~aw si2es; poured found design, etc.) • 1 site survey kr exterior additions 8 d~k5
• 1 sel of Eneqy Calculations . Indicate i( home served by septic systan for additiore
• 3 capies of Tree Preservalian Plan if lol platted after 711193
• Rim Joist ~etail OpGonc selatlion sheet (61dgs with 3 or less wWS)
GO
DATE ~~-z ~ 2 VALUATION _T. l~~
SITE ADDRESS ST~ MULTI-fAMILY BLDG _Y ~ N
TYPE OF WORK -e -o $-~o FIREPLACE(S) _ 0_ 1_ 2
APPLICANT ~ /.~GQ/-2 ~ ~C9a~i.ti'i ~ IJ~~ST
STREET ADDR/ES~S Ll 3 yLl i.U~v~i.4 ~irl- /9v-~ S~ CITY~STATE,~ZIP-SS~D6
TELEPHONE;(FG~ ~/~d...Zi~'/ CEII PHONE # FAX #
PROPERTYOWNER ?~~1~~/~ l.v,}9l TELEPHONE# Y~S~~~-a~2X~
COMPLETE THIS SECTION FOR °NEW" RESIDENTIAL BUILDIN6S ONlY
Energy Code Category _ ~INNESOT~ RULES 7670 CATEGORY I MINNk50TA RUL.ES 767?
(J submission rype) • Residential Ventilation Cafegory 1 Worksheet Submit[ed • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plum6fng Contractor: Phone #
Plumbing system includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00
_ Water Heater _ No. of R.I. Baths
_ No. of Baths
Mechanical Contractor. Phone #
blcch~nical system includes: _ Air Conditioning Fee: $70.00
_ Heat Recovery System
Sewer/Water Contractor: Phone #
I hereby acknowledge ihat I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature af Applicant
OFFICE USE ONLY
Certificates of Survey Received Tree Preservation Plan Received _ Not Required _
Updated 4/02
OFFICE USE ONLY
? Ot Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Owelling ? 08 O6-plex ? i6 Fireplace ? 21 Porch ~3-sea.) ? 31 EM. Alt - Multi
? 03 01 of _ plex ? 09 D7-plex ? 17 Garage ? z2 ParcWAddn. (4-sea.) ? 33 EM. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Stortn Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Additlon ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bidg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Oemolitlon (Entire Bidg anly) - Give PCA handout to appiicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. af Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaUC.O.
_ Footings (deck) _ FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof , Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tesu _ Final
_ Franung _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By , Building Inspector
Base FeeY
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Pertnit
Mechanical Permit
License Search
Copies
Other
Total
. .
APFLICATIDN FOR PERMIT PAYMEClf OF FEE AT TIME OF
i APPLICIIlSOH WES C7(7P CON- ~
~ ,*R SPI'iS71E APpRLTJAL OF PERP4T. `
SEWER AND/OR WATER CONNECTIQN ~ ~ :
* na.~n[anxioxs wnx, t~ar ee scEau[.m *
~ • ; urrrn, emFUr f+ns ee~ r,em~avm. ;
n ff
? ~ t~f~f.f.kttf~+f3~if~Mrttxxtx~~ia+e~fff.+wir
.
sity oF ec'~c~can
(PLEASE PRINT
11 PROPERTY ADDRE55: - ` ~~n h,,.~~
T•Ff;AT• D~SQ2IPTION;~ . . ."`r`T L~ ~ . 5'a .
Lot B ock 5 vision or T Parcel ID )
IF EXISTING STRL'CT[)RE, DATE OF ORIGINAL B[JILDING PERMIT ISSLANCE:
Mon Year
PRESENT ZONING/PROPOSID DSE:
Q CONP~IERCIAL/RETAIL/OFFICE I17~R-1 SINGLE FAMILY
Q IND~~S7RIAL ~ R-2 DLPLEX (3tvn C~nits)
Q INSTITUTIONAL/GOVERN[~NT Q R-3 T'OWNHOUSE (Three + L~nits) { Lnits)
Q R-4 APARTMENT/COI~ID0;IINIL~M ( L~nits)
z~ c~ ~(PG f e,; ~~o~~,
~wD~ss: ~ 7~~ S` ~ 1
STATE, ZzP: ~t s- a~
PHONE: ~ ~
For City Use
3) ~ u:~; NAME; ti- Pl ers License:
Active
ADDRESS: ~ i Expired
CITY, STATE, ZIP: l2 _ ~ ~ Not recordec
PHONE: S5~ ~ y ~ MASTER LICENSE # 3 J~ St Initia
4 ) e 4 ' •
t~:
ADDRESS:
CITY, STATE, ZIP:
PHONE:
5) s a•a~• • i~e
~CONNECTION TO CITY SEWER ~CONNECTION TO CITY WATER ~ Qi'f~RR
6) ~ ~ ! ~f
**+**~**+~*+*~r***~+** •~:**+**~**~~********~*:r****~~+*,r+:e~*~*~*~*~**~***~*********~r********~**~
~
* Tf~ GOLD COPY OF 74~ PEE2NIIT WIIS, BE SENP DIRFX..TLY 770 PDBI,IC WORKS 70 FACILITATE MEi~R PIQC-t~P. ;
PLEASE ALTAW 1W0 FARKING DAYS Et~R PROCFSSING. SOMEONE EROM THE CITY WILL CONfALT YOt? IF 'I4IERE ;
' * ARE ANSt PROBL~ENIS.
i ,~*rr**,r~**+***+**~r,**~**+*,r*~*+*+***~~*a,e*****~*******+,r**+,r*******,r********~*~*~~*~**+:r***~*:****~~;
I
. FOR CITY USE ONLY . :
PERMIT # ISSUED ' '
[F S' "
Pd w/Bldg. Permit FEES:
$ ~ C '.S~' SEWER PERMIT (INCLUDE SLRCHARGE)
$ $ / D ~ ~}Z~ WATER PERMIT (INCLLDE SL'RCHARGE)
(c ~'pZ-~ S WATER METER/COPPERHORN/OL'TSIDE READER
$ S WATER TAP (INCLL~DE CORPORATION STOP)
$ $ SEWER TAP
$ $ C.r~ ACCOUNT DEPOSIT - SEWER
s $ ~L~ ACCODNT DEPOSIT - WATER
$ ~ $ WAC
$ ~ ~ - ~`Z~ $ SAC
$ $ TRUNK WATER ASSESSMENT
$ $ TRL~NK SEWER ASSESSMENT
$ S LATERAL BENEFIT/TRLNK SEWER
$ S LATERAL BEN~FIT/TRL~NK WATER
$ ~ ~~/~t~~ $ WATER TREATMENT PLANT SLRCHARGE
$ $ OTHER:
$ ~ ~ ~ ~ ' U-~ $ C'Z~ TOTAL
I ~
RECEIPT RECEIPT
DOES UTILITY CONNECTION REQL~IRE EXCAVATION IN PCBLIC RIGHT OF WAY?
~ YES IF YES, THEN A"PERMIT FOR WORK WITHIN PDBLIC
Q ROADWAY" MUST BE ISSOED BY THE ENGINEERING
NO DIVISION. LIST AS A CO[VDITION.
SUBJECT TO THE FOLLOWIIVG CONLI2TIONS:
APPROVED BY: L~, ~ fz C~~,_~~
TITLE:
DATE : 3 ~~a
- - . - - . ~-~'--•--~.r-a+r
C~/ vJIU~ RESIDENTL'~L13i7tI.DING ~ ~iZ~ 7S
Permit Application
City Of Eagan
3830 Pilot I{nob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Cons4vcGon ReauiremeMS RemodeUReoair Reauirements Offlce Use Onlv
3 registered site surveys showi~ sq. ft. of lot, sq. ft. W house; and all roofed arees 2 copies of plan Cert of Survey Recd
(20% ma~imum lot cover.ge allowed) 1 set of Energy Cakulations for heated additions Tree Pres Plan Recd
2 capies o( plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Not Reqd
7 set of Energy Catculations AddMon - indicate ifonsite sepfic sysfem _ Oo-site Septic System
3 copies of Tree Preservation Plan if lot platted after 711/93
Rim Joist Detail OpBons selecfion sheet (bidgs witli 3 or less unils
Date t / l / ~ S}~ ~ Construction Cost C ,C ~
Site Address - / ~~A , UnitlSte #
DescriptionofWork ~~~C~, l~ yy{}'Jf[f')IA15 ~/1711/Y1 lA1~Tl/2(~l Qr~rPJ~1!l~t7.S
T
Multi-Family Bldg _ Y_ N FSreplace(s) _ 0 _ 1 _ 2
Property Owner ~~~,V(~~ 1~/ Telephone #(jpJ Ut p(~ ~ac.E~
Contractor PELLq ~~~IND0IVS & DOORS
l5300-25TH AVr. N. STE. #100
Address PLYMOL7TH„ - C~~
763-7q$_7400 ~N 55447
State elephone # ( )
L(CF.,NSE #2U165884
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDtNG
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Enefgy Code CategOry , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(~1 submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
Licensed Plumber Telephone # ( )
Mechanical Contractor Telephone )
Sewer/Water Contractor Telephone (D ~ IS °
,n
~ I
1 cuu ~i ~t
`
I hereby apply for a Residential Building Permit and acl~owledge that the info ~tion is comple~.e_and~ccurate;
that the wark will be in conformance with the ordinances and codes of the City =Eagari 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 plan in the case of work which requires a review and
approval ofplans.
~G.~c O..~SOt~\
pplicanYs Printed Name pplicanYs Signature
OF~FICE USE ONLY
~
Sub Types
? 01 Foundatlon ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 O6-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-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
? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. p, 42 Demolish (Foundation~ ? 45 Fire Repair
? 33 Alteration ? 37 ~emolish (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 Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaUC.O.
_ Footings (deck) _ FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundarion HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ RL _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By , Building Inspector
-
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Totai
. ` Wd9E:l •g •uo~ awil paniaaaa
Pella Windows 8[ Doors - Twin Cities> Iac ~ 1530Q 251'H AVE. N. S'I8. #1~
PLYMOTITH, MN 55447
~
~ 763I745-1400
/,~~jf WATS 1-800-062-5359
r~,~.•- Fnx ~san4siaui
June 8, 2001
City of Eagan
3836 Pilot Knob Road
Eagan, MN 55122
Dear Jan:
Elder Jones Corporation is authorized to pull building pennits for Pella Windows &
Doors -'Ituin Ciries, Inc. Please aflow their representative to provide that service for us
in Eagan. This authorization sball be valid untii such rime as the division manager
expressly revokes it, in writing to the City.
I request that this authorization be accepted expeditiously, so as to not delay the
processing of our building permits any further. Please call me if there are any quesrions,
I can be contacted at 763-745-1432.
Your iixunediate atten6on Yo this matter is appreciated.
' cerely,
W.
Bryan _ May ii' ~
Replacement Sales Manager ore~r~[~w,bo.p,meps
cc: Kaza - Eldcr 7ones ~~/~'tx.~-~-~-~N~
Denna Krafty - Replacement Sales Process Coordinator
Windaws. Doors,
& Skylights
~n~~ Q4iTT•1 A1T11T-.iplJ blhT Cb/ 7T0 PHJ /TtCT TU.I TO/00/O!~
~3~,s~
~~~1 ~ y 2004 RESIDENTIAL MECHAiVICAL PERNIIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: single family dwellings & townhomes/condos when permits aze required for each uni[
Date / ~O ~py~V
Site Address ` U ~ ~t% Unit #
Property Owner ~~i~-~-~_ ~~-~Q~ Telephone ~ ( )
Contractor O'Connor
I Plumbing, Heating 8L Coo~ing ' City
Street Address
'1904 Vermiliion St.
State ~ Hastings~ MN 55033 Telephone )
Bond ~ - - - -~xp.res:
The Applicant is _ Owner Conhactor _ Other
Add-on or alteration to existing dwelling unit ~ 30.00
~furnace _Additional ~Replacement ~~D
air exchanger ~ ~
_ airconditioner _New _Replacement L~~
other ~ ~ ~ ~
V
State Surcharge 9~> ? $ 50
Tota~ $ 30 ~ S b
I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I undeistand this is not a
pemut, but only an applicarion for a permit, and work is not ro start without a perxnit; that the work will be in accordance with the
approved plan in the case of work which requires a review and appioval of plans.
~1~1~.~Z~ ~PJ~I~e(~.~ ~b~-A~h"
ApplicanY ''E~~i Name Applicant s Signature
2004 COMMERCIAL MECHAIVICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for. commerciaUindustrial buildings
multi-family buildings when sepazate permits are not required for each dwelling unit
Date / /
Si[e Street Address Unit #
Tenant Name (if applicable) Previous Tenaot Name
Property Owner Telephone # ( )
Cantractor
Street Address City
State Zip Telephone # ( )
Bond Expires:
The Applicant is _ Owner _ Contractor _ Other
Work Type
New Construction _ Underground Tank _ Install _Remove `*see below
Interior Improvement _ Install Piping _Processed _Gas
Nature of Work:
`*When installing/removittg underground tank, caU for inspection by Fire Marsha! and Plumbing lnspecfor
Pefmit F¢¢5: $70.50 Underground tank installation/removal
550.50 Minimum (includes Sta[e Surcharge)
or
Contract Value $ x 1% Permit Fee
• If permit fiee is 51,000 or less, add $.50 ~ $ State Surcharge
If ~ermit fee is over 51,000, add $.50 for
every $1,000 ep rmit fee $ Total Fee
I hereby apply for a Commercial Mechanical Permit and acknowledge that the information is complete and accurate; that the work
will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is
not a permit, but only an application for a permit, and work is not to start without a 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.
Applicant's Printed Name ApplicanYs Signature
Approved By: , Inspector Date:
~ „ ` ~
°7Gj~~'~ Zoo~ RESIDENTIAL BUILDING rExMiT nrrLicnTioN
City Of Eagan
3830 Pilot Knob Road, Eagan NIN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWCOon Reauiremen[s RemodellReoair Reauirements Office Use OnN
3 regisfered sife surveys showing sq. ft. of lot, sq. ft. o( house; and afl mokd areas 2 cropies of plan showirig footings, 6eams, jasLS Certof5urvey
Recd Y_ N
(20%maaimum lot coverage aliowed) 1 set of Energy Caiculations for heated add'Aions Sods Report . Y N
1 Soils RepoA if proposed building is to be placed on dislur6ed soil i si[e survey fir add'Aions & decks Tree Pres Plen Recd _Y _~N.
2 copies of plan shovring beam 6 windax s¢es; poured fvund design, etc, Addifion-indicate i/onsife septic sysfem Tree~Pres Requi2d~ Y N
isetofEnergyCalculations On-siteSepticSystem~~. _Y _N
3 copies of Tree Preservation Plan if loi platted after 7l1193
Rim Joist Detail Options selection sheet (buildings wifh 3 or less units)
Minnegasco mechanical ventilation fortn p
Plans are considered ublic information uniess ou state the are ~
e~t and ~
e reason.
Date U l ay lp p+-v7 ~,q Construc,ti,.on./Cost ~~S-~
Si[e Address 9 U~~YII.{ `~Dl ~X ~ i/~~l'1 ~ l yV~' Unit/Ste #
~
Description of Work ~VL~U/CLCI~ ~SCi"~.2QnS (/~1Y~G{bUJJ `j /?1 S~ l~!/l~ Cc,, lQk f 7 pp~~
Multi-Family Bldg _ Y~ N Fireplace(s) ~ 0 _ 1 _ 2
Praperty Owner ~J~ntLV ~ t~~~1Q 1~C~, ~-Q Telephone ~OS f) tagg-a ~ a 8
Contractor ~Ef~p~^'~~/~(~(' lenro~ym~~~i nF IYVJ
Address _ 9/ S Cr~/ u.Q. Q{7 /C_C(' • City Q
State /~/V Zip ~j~J ~ ~ Telephone p (~OSJ )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 9670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(Jsubmissiontype) Submilfed Submitted
• Energy Envelope Calculations Submitted
In ihe last 72 monihs, has ihe City of Eagan issued a permiT for a similar plan based on a master plan?
_ Y _ N If yes, date and address of masTer plan:
Licensed Plumber ~n Telephone J
Mechanical Contractor I I a ~
o~r,~~_ Telephone )
Sewer/Water Contractor 7 ' (
~ , Telephone )
I hereby apply for a Residential Building Pertnit and acknowledge that the information is complete and,accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
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. eL~ . ,
j~ /
i! J~V1C~1~1~'C.[~'~~'~' (G~
Applicant's Printed Name Applicant's Signature
Y
~
' DO NOT WRITE BELOW THIS LINE
Sub Tvnes
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
~1 02 SF Dwelling ? OS O6-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 6ct. Alt- Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF
? 04 02-plex ? 10 08-plex ~ 18 ~eck ? 23 Porch (screen/gazebo/pergola) ? 36 Multi Misc.
? OS 03-plex ? 11 10-plex ? 1g Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex /y ? 25 Miscellaneous
Work Tvpes ~C ('~D eS 'DeC}~
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
~ 33 Alteration ? 37 Demolish Building• ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement "Demolltion (Entire Bldg) - Give PCA handout to applicant
D@SCPiDtIOO: Water Damage _ Yes
Valuation ~~o~.e~ Occupancy 5~~ ~ MCESSystem
Plan Review 100% or 25%
Census Code Zoning P~ City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTION5
Footings(new bldg) Sheehock
~0 Footings (deck) FinaUC.O.
_ Foo[ings (addition) ~ FinaUNo C.O.
Founda[ion HVAC
Drain Tile Other
Roof Ice & Water Final Pool Ftgs Air/Gas Tests Final
~ Framing Siding ^ Stucco Lath _ Stone Lath _Brick
Fireplace _ RL _ Air Test Final ~ Windows
Insutation ~~ooT .a.(~' f~n2~.+~ _ RetainingWall
Approved By: b31'l~ , Building Inspector
o o
Base Fee ~c
Surcharge lr.~~n+7o'-'~5 rr'Tt f'e~ 3' ~
Plan Review A~ G~ ~ f}'r ~2C- 3, a a a•'~
MC/ES SAC
City SAC
.S~c Z°a~a
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
~}C 2422 Enterprise Drive
ONEER LANOSURVErOPS•C~vILENG~NEF.RS MendotaHeighu,MN55120
ng* eering~~ ~AN~PLANNERS•LANDSCMEARCHITEC~S ~612) 681-1914
.
Certificate of Survey for. v~~'~``+` `'O'V~~~"~~~0~
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r
r 900.o Denofes exisf~r'n~, Elevation p Pl~OSED /~DUSF ELEVATJONS
. soao Denofes Proposed EltvaPro~ Lowesf F/oor Eltvofion = 593,9
---'-"DcnotesDraina~elUfili yEasemenf
Denofes Draino~,e Flow Arrow Top of e/o~k E/evartion : 8~ q
~ Denofes monument G'ara~eSla6fJevafion~ S`~~.~n
Bear~n s shown pre assumev~ ' ~ '
~ 01" 5, LOCl~ L£XING'TON SQUAQE 7T~1 ~A00117UN
DAKOTA [10uNTy~ MINNESOTA SUBJECj TO EASEMENTS DF QFC~Rp
I hereby eertify Hmt thi. Is a tr~a ~nd croneet reprnen'ncion ot s survey ol the 6aunderia o( the ~bavs ibed h ~nd o1 the 1«a~ion qot pa~l
buiidirrys, thereon, and rll visible mvwchmenn, it snY, Irom o~ on ~aid lerd. As surveyed by me th7~ day o1 A,D, 19.Q¢.
. R~ O7y. . aOBERT H. SIKICH L5. REG. NO. 3 91
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 987 Stony Point Rd
Lot: 5 Block: 4 Addition: Lexington Square 7th
PID:10- 45081- 050 -04
Use:
Description:
Sub Type:
Work Type:
Description:
Comments:
Fee Summary:
e - Water Heater
Replace
Water Heater
Meter Size Meter Type
paul gavic
1424 3rd St N
Minneapolis, MN 55411
Contractor:
Gavic & Sons Plumbing & Water Special
12725 Nightengale St NW
Coon Rapids MN 55448
(763) 755 -6468
Total:
Manufacturer
PL - Permit Fee (WS & /or WH)
Surcharge -Fixed
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Serial Number Remote Number
Owner:
Stephen C Lupie
987 Stony Point Rd
Eagan MN 55123
$50.00 0801.4087
$0.50 9001.2195
$50.50
Issued By: Signature
Plumbing
EA083677
06/19/2008
ePermit
Line Size
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA116825
Date Issued:10/11/2013
Permit Category:ePermit
Site Address: 987 Stony Point Rd
Lot:5 Block: 4 Addition: Lexington Square 7th
PID:10-45081-04-050
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
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 by law in ALL single family homes .
Elizabeth Hess
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 -
Stephen C Lupie
987 Stony Point Rd
Eagan MN 55123
Sela Roofing Remodeling
4100 Excelsior Blvd
St. Louis Park MN 55416
(612) 823-8046
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA126428
Date Issued:08/25/2014
Permit Category:ePermit
Site Address: 987 Stony Point Rd
Lot:5 Block: 4 Addition: Lexington Square 7th
PID:10-45081-04-050
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
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 by law in ALL single family homes .
Fee Summary:BL - Base Fee $500 $40.00 0801.4085
Surcharge - Based on Valuation $500 $0.50 9001.2195
$40.50 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 -
Stephen C Lupie
987 Stony Point Rd
Eagan MN 55123
Great Lakes Window & Siding
14690 Galaxie Ave
Apple Valley MN 55124
(952) 891-3400
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA136101
Date Issued:04/25/2016
Permit Category:ePermit
Site Address: 987 Stony Point Rd
Lot:5 Block: 4 Addition: Lexington Square 7th
PID:10-45081-04-050
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 -
Stephen Tste C Lupie
987 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:Building
Permit Number:EA179212
Date Issued:09/23/2022
Permit Category:ePermit
Site Address: 987 Stony Point Rd
Lot:5 Block: 4 Addition: Lexington Square 7th
PID:10-45081-04-050
Use:
Description:
Sub Type:Windows/Doors
Work Type:Skylight
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email
Valuation: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 Total:
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
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 -
Stephen C & Sheila S Tstes Lupie
987 Stoney Point Rd
Eagan MN 55123
Sela Roofing Remodeling
4100 Excelsior Blvd
St. Louis Park MN 55416
(612) 823-8046
Applicant/Permitee: Signature Issued By: Signature