992 Stony Point Rd ~ On
CITY O~EAGAN Permk No: ~ 04 pat~. I l 1~
383a PN~t ~:nc~b Road Meter No- a 7 Size: S e c!
Pb• Box Z~ 189 Reader n/ e o 7(n D~ Date: /a-~O~ ~
Eagan. MN 55121 ~
ty~
Owner. ^l~ssic ' c„i~~n
SiteAddress: Stonv Poiiit ''~fl~;; L° ? xi • tr 7 '
Plumber._ Johnson ~?YC/~'cT`ermott n1 tmhin~
Conn. Chg: 550. t~~1pc1 Zoning: `'1 ~
Acct Dep: 15 •~~~i?~ No. of Units: ~ ;
Permit Fee: 1~~ , nnp~
Surchar98~ ' S Qpd I agree to comply wfth the City oi Eagan j
Tr. Plant_ •~~~d Ordinances.
Meter. ~ ~ nn~~ , ~f
Misc.: gre~L/C
~P WATER SERVICE PERMIT
- _ ~ t-,.~- ...,-.-.,R.-.....~,~r~- .
. ~ x-.+z°^+.~r;-, .
S r„
CIT1f OF EAGAN Permit No: 1 A 104 ~te. 11- 1_ ,
~ 3830 Pllot Knob Road Meter No: Size:
P.O. Box 27199_ Reader No: Dat~
Eagan, MN 53121
Owner. ~'-~sssic '~~~si,n
SiteAddress: Gtor.}• ?oint ?'.oad L`~ Lexia,•t~r. 7tt~
Plumber Jo'.:nso~~l"Yc/'c^er~ott ^Iu~~`,i;~,~
Conn. Chg: `5~"~~~": Zoning:
Acct Dep: 1~• u~~~ No. of Units: '
Permit Fee: ~ ~ • ~~d
Surcharge: • 50p~ I agree to comply with the Cityr ol Eagan
Tr.Plant -'Lj'.OJDd Ordlnance~.
Meter. F~ ~i~~i,~:
Misc.: By
WATER SERVICE PERMIT
CITY OF EAGAN Permit Na: ~"~4r' Date: ~ 1-1 S_AR
3830 Piloi K~ob Road B/P No: Date: ~--Pc
P.O. Box~1199'
Eagan, M15i 55121
Owner.~ . ;s{~ ~~:;±,_:t
- nLOLl`T ?oint Road L" ICY.~-.^.~`=='n Sa ?t~--
Site Address: ~
Plumber: rcf*iCIleTmott ~T?~i.n~
MWCC: , ~ j Zoning• .
City Chg: ' No. of Units: `
Acct. Dep: r.~ s
I agree to comply wlth the City o1 Eagan
Permit Fee: Ordinances.
Surcharge: ' ~~'j
Misc : By
SEWER SEFiVICE PERMIT
_ . . . , F . ~ . . - - . . . ...+q.-+~,,,..y ..q.i,si,.z ~f
, , y
r ~
~ f~~r#t#tr~t~ ut (~rru~tt~tr~
~itp of ~a~an
~p~rar#ttpttf ~f ~u~taittg .~tis~rrtimt
Thts CertiJrcate issued pursuant to the requirements of Sectian 306 of the Uniform Building
Code certifying that at !he tinre of issuance this strurtuse was in compliance with the various
ordinances of the City reg~lating building construction o~ use. Fo~ the following.•
t~e ~taunoSF DWG/GAR g~g. No. I S7O I
' ry~ R3 /M ! ~ n;~,;a PD Ty~ ~ VN
ownero~~»~d~~ (:i.ASSIC LESI((~ I~'.S 1000 E. 146~i ST., StJl~SVIILE
8,,;~;,~ ~ 992 S1CNY POINT ~,IAD ~.~~,8, B3, I~II+~'I 9Q(1ARE 7IH
~ c... _ ~ , ~ Dau: ~-'fi, / S 40
Buildi 08icial % ~
` POST IN A CONSPICUOUS PLACE
dc.., ' . • . , - . .
~ f . PERMIT # ~L~'. ~J 5 '~1
, ` MECHANICAL PERMIT RECEIPT # ~ ~~J ~
' CITY OF EAGAN DATE: ~ ~
3830 PILOT KNOB ROAD, EAGAN, MN 55122
CONTRACT PRICE: PHONE: 454-8100 For Office Use Only:
Site Address ^ g~,p(~,, npE WORK DESCRIPTION
Lot " Block ~Sec/Sub R~ New
---~T_,
~ Mult Add-on
Name ~L SVILLE HEA:ING
m Comm. Repair
~ Address ' ' ~h~
c City ` Phone a94-U00
FEES
Name CLASSIC L~ESIG!1T RES. HVAC 0-100 M BTU - 324.00
~
c Address ADDITIONAL 50 M BTU - 6.00
p Ciry Phone (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMI'~ - 1.50 EA.
TYPE OF WORK COMM/IND FEE - 19k, OF CONTRACT FEE
Forced Air n RA BTU 1~/ ~ APT. BLDGS. - CQ~QM. RATE APPLIES
TOWNHOUSE 8 CONDOS - RES. RATE APPUES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8
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 OuUets # ~ ! BEYOND $1,000)
Other ~
, FEE:
SIGNATURE OF PERMITTEE
S/C:
TOTAL• FOR: CITY OF EAGAN
. , < . . . . . . . . . . . . . . . . . . , . . . , . 4:cy. 4i A l ..1 ~ ^ . , i
PERMIT #
' , ~ PLUM&NG PERMIT RECEIPT # ' ~~.I ? Y
' CITY OF EAGAN "
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: % J~~''
CONTRACT PRICE ~ PHONE 454-8100
Site Address BLDG. TYPE WORK DESCRIPTION
Lot " Block SeclSub
Res. New
m Name ' ' Mult Add-on
~ Address ' Comm. Repair
c Ciry ' • ~ ~ • ' Phone " ~ ~ ~ Other
NO. FIXTURES TOTAL
~ Name ~ ~ ' ` ' ` ` ~ Water Closet - $3.00 ~ .
3 Address ' Bath Tubs - $3.00
p Ciry Phone ___i_Lavatory - $3.00
~-Shower - $3.00
FEES -LKitchen Sink - $3.00
COMM/IND FEE - 196 OF CONTRACT FEE -~Urinal/8idet - a3.00
MINIMUM - RESIDENTIAL FEE _$~p.pp ~ L.aundry Tray -$3.00
MINIMUM - COMM/IND FEE _ 2Q,00 ~ Floor Drains -$1S0
STATE SURCHARGE PER PERMIT _ ,~p Water Heater -$1.50
(ADD $.50 S/C IF PERMIT PRICE GOES ~Nhiripool -$3.00
' Gas Piping Outlets - $1.50
BEYOND a1,000.00) Softener - $5.00
Well - $10.00
- ~ Private Disp. - 510.00
- Rough Openings - $1.50
SIGNATURE OF PERMITTEE FEE
STATE S/C:
FOR: CITY OF EAGAN GRAND TOTAL:
~ , CITY OF EAGAN ~T~ ~
9 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ~.~g"~i~~
` PHONE: 454•8100
BUILDING PERMIT Receipt #
To be used for ..)t~r;/GA.Q Est. Value i1pS~Qpp Date T`~'" ~ ' ,19 ~R
Site Rddress ~~t~Y ' ~FFICE USE ONLY
, .~_.1
~ ~ . ' r~ , ~ ; t~ Ajy(j On Site 5ewage Occupancy -
Lot Block Sec/Sub.
MWCC System Zoning
Parcel No. On Site Weli
(Actual)Const
^r . ; ~ ^ . ,L~ : rn~;:~ ~~,r..,,~M City Water (Allowable) 'f N
~ Name ~
z AddrBSS ~ ~ ~ ~C • PRV Required ~ of S?ories
~ Cit '~T ~~~v1L~'~ Phone 5~~ Booster Pump Length 5~
Y
Depth 3!~
, p Name S.F. Total
~Q Address ~C~~~'~ /~.S' FootprintS.F.
~ City Phone APPROVALS FEES
~ ¢ ~ Engr./Assess• Permit ~ ~'~L` • ~ ~ ,
"W Name ~V~
W W S3+~lV
~ Planner 5urcharge
= Z Address
¢z Cit Phone Councii P~anReview ~97•~
w Y
` BIdg.Off. SAC, City ;~~•C~
I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC
information is correct and agree to comply with all applicable State of Water Conn. ~ C~
Minnesota Statutes and City of Eagan Ordinances.
~ Water Meter b~.~
Signatureof Permittee _ Road Unit 3~5.~0
;:L.~,S~1G DE51.(:~`Jt?~ ~4$g
A Building Permit is issued to:__ Treatment P1
on the express condition that all work shali be done in accordance with all
applicable State of Minnesota Sfatutes and City of Eagan Ordinances. Parks
TOTAL ry 7/,.~ _
8uildingOfficial---_~-------_
- Permit No. Permit Hold~r Dste Tel~phon~ it
Plumbing C' C~I ~ t'•- )i:.-~~ ~
~ ~ ~ D ~ ~ ~ ,s/~
H.v.ac. C' .~5 ,<:Q.~L ° ~~rc 8
~ , n~~ /5/~'
Electric -.~I~~~'I ~ L ~ ~ i<<
Softener
Inspection Date Insp. COmmente
Footings I l~~~ ~S
Footings II
Foundation ,
" / I - J Cy~ ~~u•sa~- .LJ i L ~ /G ~d
9 ^
Framin ''.~EL- v ~ v' - /i ~ G - '
Roofing "r;'~r .:,r Q ~.t / c~ G~,:'>
Rough Plbg. , ~ ~
Rough Htg. ~/y g
Isul. ils
Fireplace
Final Htg. .1
Final Plbg.
Bidg. Final
Cert Occ. 3_, y pS-
Temp. LP
Deck Ftg.
Deok Final
Well
Pr. Disp.
-7 ~ ~ O
C~L. n.D~ C9G~a ~,tG~
. . ~.~.----'~,..-_"--^~nr.~OR~s~"'*~4'741~'7r'saP`~-"~r-w--!"~'T.; :=r. ~ a
MECHANICAL PERMIT For Clty Us Only
CITY OF EAGAN pERMIT #
3830 PIL~T KNOB ROAD, E~GAN~ MN 55122 RECEIPT # 9~~n U O
QATE ~ ~o PH~NE 454-8100 DATE: ~
Site Address ~ BLDG. TYPE WORK DESCRIPTION
Lot ~.Bbck Sec/Sub ` ~S• ~ New Const.
Mult. Add-on ?
Name X Comm. Repair
~ Other
~ Address ~ ~ ~ - Q~• .
c City Phone • FEES
RES. HVAC 0-100 M BTU - S24•00
Name ADDITIONAL 50 M BTU - s•~
c Add~ess • s(RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTiON)
~ City ~ Phone TOWNHOUSE 8~ CONDOS - RES. RATE APPLIES
I~IINIIAUM RESIDENTIAL FEE - ALL ADDAN d~
TYPE OF WORK ' RENIODELS (INCLUDES GAS PIPING) - 12.00
Forced Air M g~ $ GAS OUTLETS (MINIMUM -1 PER PERMIT-
NEW CONST.) 1.50 EA.
Boiler M BTU $ COMM/IND FEE -196 OF CONTRACT FEE
Unit Heater M BTU $ • APT. BLDGS. - COMM. RATE APPLIES
Air Cond. M BTU ~ MINIMUM CAMMEFiCIAL FEE _ 20.00
Vent CFM $ STATE SURCHARGE PER PERMIT
~ADD $.50 S!C PER EACH $1000.00 OF PERMIT FEE)
Gas Piping Outlets # $
Other $ `
CommJlnd. Contract Price x 1% $
~ PERMIT FEE: 2• d~ p
S/C: F : CITY EAGA
~ TOTAL: 1- , -
~..,.~..~y.. ~ . . . J..,~:. ~=..M..~._.~...~.1.~.~_.~._._ ---_~y.__.....
. ,.~,~~r
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 gg p+~1f~~f,i'~R Est. Value s~p6~(3C1p Date 21 ,19
Site Address yq2 sm**; PCl1'~T ROA~ OFFICE USE ONLY
Lot ~ Block ~ Sec/Sub. ~x • • '~'t~ ~~~y ; Qn Ske Sewage Occupancy ~ ~ 3 , ""--1
MWCC System Zoning
Parcel No. t~ ~
On Site Well (Actual) Const
~ .
..LAS3TL ~ES2(~lIE~ ~~~1F::i City weter _~L (Allowable) y4'
~ Name
Address t PRV Required ~k of Stories
z 100Q E. Iket:e 5t.
~ City ~'R~~~~ Phone ~~~-~35 Booster Pump Length .`.f•
Depth ' ~
o NaRy,g ~L?'~; S.F. Total
~ ~ Ad~'` eSS Footprint S.F.
~ City Phone APpROVALS FEES
v¢ Engr./Assess._ Permit ~ s~~•~
~y W Name
rZ Planner Surcharge g3~~
Address
~ z Cit ' Phone Council Plan Review 297
~W Y
Bidg. OH. SAC, City 1~}
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. ~
Minnqsota Steiutes a~d City of Eagan Ordinance's. ,
y,f~ Water Meter b~.~
Signatureof Permittee +~s'---'--- Road Unit 32S.bf]
CLti~a3..: 1)F.SIQ D K:3~s'::~?
A Building Pejmit is issued to:_ Treatment P1 ~flQ
on theexpress condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances. Parks
Building Official TOTAL t~ 7~+~-~~
f
.Yi y.
~ , CASH RECEIPT
~w,
~ CITY (~F ~AGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
• r
• ( I ~
DATE ~ 19
f
'1ECEIVED .
FROM .
~ AMOUPI7 $
& DOLLARS
,m
? CASH C] CHECK
~ ~
~ FUND OBJECT AMpUNT
Thank You
~
BY
- UVhite-Payers CoPY
Yellox~POSEng Copy
Pink--File CoPY
This re0uest void ~Q ~
18 mon~hs from
E 31021~ ~
Re.quest Uate Fire No.' RouPh-in InsVer.~ion
_ ! _ ~`'l/ Repwred? ~ReaAy Nuw~W~ll Nntity Insoec-
6 Q V ~es ?Nn ~ar When Ready
~ Licensed Electrical Con~rector I hereby reques~ inspaction o1 above
Owner electricel work installed aL
Street AACress, Boa ar Roale No. ~ / ClV
~02 .Sa~oYl ~oi~9~ ~d• ~a G3'll
ecuon o. Townshio me or No. anBe No. Counl
D-~KoTQ
Occupen~ (PBIN; 1 Phone No.
Cl ss~ c s% y c~ H~~es 8`7'~ - s8ss
Power Suuu~~er Address
o ~ Erec, F~1~~'~N ~ -r~~c/
Elec[rical ont ~ ctor ICOmpanv N~ C~~nvuctor's License No.
l~ ~l~ ~/PC ~ ~ S~~rc , o a 6
Mailing AAdress IContracmr or Owne Ma inp Installationl ~u^'A`~(~/
~{O ~'~'~eKC~S~~ L.u~c ~ , ~e
Auffiori e i aWre (Conh or~Owner Making Installationl Phone Number
~c ~3s- 3~a~
MINNE OTA STATE BOAPO ELECTNICIiV THIS INSVECTION REQVEST WILL NOT
BE ACCEPTED BY THE STATE BOAflD
Grie9s-Midwey Bltle. - Aoom N-t97 UNLESS PPOPEH INSPECTION FEE IS
1821 Universitv Ave.. St. Peul, MN SSt04
an....o rei~~ aa~.`mnn ENCLOSED.
~~j~~l~~ REQUEST FOR ELECTRICAL INSPECTION Ee-oooo/i--~os
' See instructions for campleline this lorm on beck ol vellow coOV~ ~y~{~'~
~ ~~.1 '"X" Below Work Covered by This Requesi
HAd Nep. Type oi 9ullding ApO~iancea Wired Equipmem Wired
Home Fange Tem~mrary ServicE
Duplex Wate~ Heater Lic~htiny Fixtures
Apt. BwlAmq Dryer Electric Heann
Cominercial Bldy. Fumace Silo Unluader
Industrial Bldy. Air Conditioner Bulk Milk Tank
Fafm O~ne. oer~ v ~her ISneufyl
1 er Su~cify Other O~ni.r
vmpute Inspection fee Be/ow
p Fee Service Enire~ca5ixe k Fae Feeders~5uhfeaders b Fee Circuits
0 to 200 qm s 0 to 30 Am ~s (4 U tn 30 Am s
Above 200 qmps~ 31 to 100 qmps 31 to 100 Am
Swimming Pool Above 100_Am s Above 100_AmPs
Transformers ~rrigation 8oort~s D Partial-'Olher Fee
Signs Special Inspection
Pemarks S6g~° TOTAL FE
HouBh-in ~~1e ( I,the Electric
~ ` ~ ~ p~~ Inspector, neroby
certity thet the above
Fina~ ~~1e~~ inspeetion hes been
~ made.
~hin reQueat valtl 18 monlhs irom
~ • CASH RECEIPT •
' CITY OF EAGAN
, 3830 PILOT KNOB ROAD
EAGAN!MINNESOT 55122
' ~~.~-/y
DATE ~g
cei~o L 'ii
^~-~Jt_. ~ . _[~-G
AMOUNT $ ~ ~j (J~'L
& OOLLAFS
im
? CASH ? CHE
wn
j ~ ' yJ~c.,~' ~L'~R~ ~iL7 •
> l~~
/ 7 ~ i
FUND OBJECT AMOUNT ~
~I O D
,oC~
oo J
f' ~ 6
/ ' C i
Thank You ,
B~
N4 89108 ~^~a~~a~~
Yello~POStirg Copy
Pmk-File Copy
CITY OF EAGAN 1
, 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N~ lrj~01
~ PHON E: 454-8100
BUILDING PERMIT Receipt#
To be used for SF DWG/GAR Est. Value $106,000 Date OCTOBER 11 ~g 88
Site Address 992 STONY POINT ROAD OFFICE USE ONLY
Lot $ Block 3 Sec/Sub. LEX. SQ. 7TH ADD On Stte Sewage - Occupancy R-3.M-1
MWCC System X Zoning PD
Parcel No.
On Site Well _ (ACtual)Const ~1`1
CLASSI~ DESIGNED HOMES Cirywater ~ (Allowable) VN
a Name
z Addiess 1000 E. 146th St. PRVRequired _ #ofStories
° City BURNSVILLE phone 892-5855 soosterPump _ ~engtn 56
Oepth 30
, a Name SAME S.F.7otai
V a AddfB55 Footprint S.F.
¢ City Phone pppROVALS FEES
a En r/Assess. Permit $ 594.00
Ww Name 9'
~i Planner Surcharge 53_00
x- Address
a w Ci~y Phone Council Plan Review 297.00
Bldg. OH. SAC, Ciry 1~Q_e_Q9
I here6y acknowledge that I have r this application and slate that the Variance SAC, MWCC 550.00
iNormation is wrrecl and agree t omply with all applicable tate of Water Conn. ~~~9~
Minneso~a Statutes and Ciry f Ea n Ordinanc . Water Meler 67 _00
~
Signature of Permittee Road Unit ~2~..._QO
A Building Permit is issued to:-LASSI ~ESI E? HOMES Treatmem P1 ~g/yTgg
ontheexpresscondi[io hatallworkshal 6edoneinaccordancewithall
applicable Slate of Min e ota Slatutes Cily f Ea an Ordinances. Parks
TOTAL ~Z~k0...00
Building O~ficial
BLDG. PERMIT NO. ~ ~ ~ (
l~= t- ~Ic~r.,4~ L-~.r S~ -7i~~ ~lG'
, 01-3210 Bldg. Permit C ~
; 01-3422 Plan Check Z`~' ~ b~
4 01-3445 Surch./Adm. ~ ° ~r
Ot-3446 SAC/Adm. 5
01-2155 Surcharge F-~ I I~
~y 75-3860 Road Unit =3-~ Y=
-~0-2275 SAC 4 c ~
~20-3865 WaterConn. SSL Oo
~ 20-3868 Water Trmt. y ~ C=
20-3716 Water Meter Co 7 C~~~
~
~ 20-2252 Acct. Dep.
~ 20-3713 Water Permit
20-3743 Sewer Permit
79-3866 Sewer Conn. I~'o o c~
28-3855 Park Ded.
TOTAL ~ ~ ~ ~
RESIDENTIAL
aggs BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122 ~ c,~
65'1-681-4675
New Conetrudion Reauiremenb RemodallReoair Reauiremeats
. 3 registere0 site surveys showinq sq. fi, af lat, sq. ft. of twuse; and ~II roated areas • 2 copies of plan
(20% maz'unum lot coverape auowed) . 1 set of Ene~gy Calculations for heated addilions
• 2 copies ot plan showing beam & wiiMow s¢es; poured fouM desiqn, eM.) . 1 sde survey for exterior additions & decks
. 1 set of Energy CalcWatiom . IrWiwte if home served by septic syslem tor additlons
• 3 copies of Tree Preservation Plan'rf lot platted after 711193
. Rim Joist ~eta0 Optiore seleclion sheel (bldgs with 3 or less units)
DATE -~SS - O a. VALUATI N~ O1`~f.l ~
SITE ADDRESS q~~. ~otJ`C ~~~tJ-C MULTI-FAMILY BLDG _ Y }C( N
TYPE OF WORK~C4A~Z O~~ I K~'cR04~ FIREPLACE(S) _ 0_ 1_ 2
APPLICANT ~A24s~W ~RcA~ ~ 1
~lr
STREETADDRESSy~+38 VJ~.l,.CO'MF A~4F, CITYCZ`CSTAI-. STATEMI~ ZIP~~
TELEPHONE #`71n3-'~` -IG~O CELL PHONE # ~n\a1-~~LI-~lti ~~1 FAX # ~'11e3 -~~1\-O~oO 2
PROPERTY OWNE ~o4a ~..A1~lV-TC TELEPHONE #~DS~ ~ ~~b3
~ COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNFSOTA RUI.~S 7670 CATEGORY l MI~INESO'C:1 RiJLFS 7672
(J submission lype) • Residential VendlaGon Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
. Energy Envelopa Calwiadons Submitted
Plumbing Contractor: Phone #
Plumbing system includex _ Wa[er Softencr _ Lawn Sprinkler Fee: $90.00
_ Water Heater _ No. oF R.I. Baths
_ No. of Baths
Mechanical Contractor. Phone #
Mechanical system includes: _ Air Conditioning Fee: 570.00
_ Heat Recovery System
Sewer/Water Contractor. Phone # ,
I hereby acknowledge that I have read this applicotion, state that the informatio D lo ect„a2d agceeltolcomply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances. ~ II
~ • i
SlgnalureotAppllcent~~~`~. ~ ~
f- - _
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updaled 4/02
OFFICE USE ONLY
O 01 Foundation ? 07 05-plex O 13 7&plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 OB-plex O 16 Firepiace ? 21 Porch (3-sea.) ? 31 Ext. AR - Multl
? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex O 10 0&plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex O 11 10-plex ? 19 LowerLevel ~ 24 Storm Damage
? O6 04-plex p 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement O 38 Demolish (Interior) ? 44 Siding
? 32 Addidon ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteretion ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 WindawslDoors
? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const W idth
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaUC.O.
_ Footings (deck) _ FinaVNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tesu _ Final
_ Frazning _ Siding SNCCO Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insularion _ Retaining Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
W ater Supply & Storage
S8W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
_ RESIDENTIAL
R (3 ~oZ _ ` BUILDING PERMIT APPLICATION
~ ~ 9 CITY OF EAGAN
3830 PILOT KNOB RD, EACAN MN 55122 o?
"~'~j"~` ~d-•~~.t ~ /.~7~~' 51-681-4675
NewConstru~io~uiremeMS 'r~~ ~~J~~~ RemodeUReoa6Raouiremenls
• 3 regislered sile surreys showing sq. ft. ot lot, sq. ft. of house; an all roofed reas • 2 copies of plan
(20% maximum lot wverage allowed) • 1 set of Energy Calculations for heated addRions
• 2 copies of plan showirg beam 8 window sizes; poured found design, etc.) . 1 sde survey for exfenor addl6ons & decks
• 1 set of Energy Calculations . Indicate if home served by septia system for addilions
• 3 copies M T2e Preservation Plan if lot platted afler 711133
• Rim Jo'st Det2il Options selection sheet (bldgs with 3 ar less uniLs)
QATE a`a' S- VALUATION ~o ~ ~ ~~J
S'`~O
SITE ADDRESS 9~2 MULTI-FAMILY BLDG _Y vN
TYPE OP WORK ~-~-'ro °1 Y' r FIREPLACE(S) ~0 _ 1_ 2
APPLICANT
STREET ADDRESS CITY Roseuille STATE MNZIP titi~
TELEPHONE # FK1_7~d_qd33 CELL PHONE # FAX # a~~_~~_~~~~
PROPERTY OWNER ~GC~~C~. C~ TELEPHONE# ln~ I~ ~Z' Ir~~
COMPLETE FOR "NEW° ESI ENTIAL BUILDINGS ONLY
Energy Code Cate9o~Y MINNESOTA RLTI,ES 670 CATEGO Y 1 MINNFSOTA RUI.FS 2~,
(d submission type) • Residential VeMilation ategory t Workshee u6mitted • N NF~r e tSUb~ itted
~ "~'C~~ u'~ ~
• Eriergy Envelope Cal ulations Submitted I
AUG 2 1 2002 U
Plumbing Contractor: hone # _
Plumbing system includes: _ ater 5oftener _ La Sprinkler gy__Fy
P_~ Q~~~~
Water Heater No. o R.I. Baths
No. of Baths
Mechanical Contractor: P ne #
Mechanical system includes: _ Air Condiboning Fee: $70.00
_ Heat Recovery System
Sewer/Water CoMraetor. ' Phone #
I hereby acknowiedge that 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 of Appltcant~
1~~?~.'~+~ r-'
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
OFFICE USE ONLY ,
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 O7 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-plex ? 1 S Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 lower Level ? 24 Storm Damage
? 06 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) - Giva PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning Ciry 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) _ FinallNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice Ba Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Frazning _ Siding Stucco Stone
_ Fueplace _ R.I. _ Aix Test _ Final _ Windows (newheplacement)
_ Insulation _ Retaining Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
city oF eag~n
PATftICIA E. AWADA
Ma}ror
PAULBAKKEN
PEGGYCARISON September 3, 2002
CYNDEE FIELDS .
MEG TILLEY
Coundl Members CATASTROPHE RESTORATION
2489 RICE ST #70
THOMASHEDGFS ROSEVILLE MN55113
GryAdminisuazor ~FUND OF BUILDING PERMIT 54652
TO WHOM IT MAY CONCERN:
Municipa! Cencer. On August 22, 2002, permit #54652 to reroof the residence at 992 Stony Point Road was issued
3s3o Piloc tcnob Road to Catastrophe Restoration. We have been advised that the homeowner, Todd Lange, hired a
different contractor to do this work; therefore, we aze refunding $89.25 to you under senarate
Eagan, MN 55tzz-~av~ cover and canceling this permit. A$50.00 handling fee appiies to this refund and the $3.50 state
Pho~e: GSt.GSt.4GOO surcharge is non-refundable.
Fax: GS I.G81.4G12
If you have any questions, please feel free to give me a call at 651-681-4695.
TDD: 651.454.8535
Sincerely,
Mainccnana Facility:
3501 Coachman Poin~ J~OR
t.~tN ss~zz. Office Supervisor
Phone: 651.681.4300
cc: Dale Schoeppner, Chief Building Official
Fax: G51.G81.43G0
TDD: G51.454.8535
ww~v.cityofeagan.com
THE LONE OAKTREE
The rymbol of urength
and growdi in our '
wmmuniry
CLAIM VOUCHER - REFUND REQUEST
. ' ` CITY OF EAGAN
MAKE CHECK PAYABLE TO: CATASTROPHE RESTORATION
ADDRESS: 2459 RICE ST #70
ROSEVTLLE MN 55113
LOCATION: 992 STONY POINT RD
RECEIPT #/DATE: 33471 8/22/02
REASON FOR REFUND: NOT DOING WORK PERMIT 54652
VALUATION: $7,000
TYPE OF REFUND:
Plumbing Permit 9001.4087 $
Mechanical Permit 9001.4088 $
Building Permit Fee 9001.4085 $ 8925
Plan Review Fee 9001.4222 $
sac (Ntaws) 9zzo.zz~s $
SAC (City) 9379.4681 $
SAC (Admin) 9001.4246 $
WaterConnecrion 92203865 $
Sewer Permit ~ 9220.4532 $
WaterPermit 9220.4507 $
Account Deposit 9220.2252 $
Watei Metei 9220.4509 $
WaterTreatment 9220.4685 $
Surcharge 90012195 $
Overpayment 90012250 $
Curb Box Deposit Refund 9220.2253 $
Conshvction Meter Dep Refund 9220.2254 $
Othex $
TOTAL $ 89.25
I declare under the penalties of law that this account, claim, ox demand is just and thaT no par[ of it has been paid.
~ 8/23/02 ~
SIGNATLJRE DATE
' 1 88 BUI DING PERMIT APPLICATION - CITY OF EAGAN
~~T~uG ~ju~-v~ G~dµ~
t- SINGLE FAMILY DWELLINGS ~~J
INCLUDE 2 SETS OF PLANS~ 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUS'f DESIGNATE WHICH ADDRESS
IS DESIRED. NO'CHANGES WILL BE ALLOWED ONCE BDILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL UNZTS FOR SALE UNITS ~1 OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COMMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS OCT 0 4 ~g $
l0(e OOn ~j
To Be Used For: ~ M1 Valuation: Date: O
Site Address 9 ~ J OFFICE USE ONLY
Lot ~ Block ~j On site sewage_ Occupancy ~ 3/~ /
MWCC system ~ Zoning f~U
Parcel/Sub On site well Aetual Const
~ City water ~ 911owable ~Y
Owner .P RV required _ Ik of stories
Booster Pump _ Length SG
Address /~j f-r /G/6'~Sj~ Depth 30
S.F. Total
City/2ip Code ~(~!~1~ J~/ ~S~ ~7 Footprint S.F.
Phone ~j~~~~"~~5~ APPROVALS FEES
Contractor Engr/Assess Permit .S5 y
Planner Surcharge 3
Address Council Plan Review 2 5 ~
l Bldg. Off. L~ (i~ SAC~ City / CO
City/Zip Code Varianee SAC, MWCC ~"SC
Water Conn ; S L'
Phone Water Meter G'~
Road Unit ??t
Areh./Engr. /~J'U~ Treatment Pl Z~y
' Parks
Address /Q~-~ ~ _ ~y~ ~ Copies d
' TOTAL !'7~4~ 0 • C) C
City/Zip Code
.
Phone ~ ~DO l'~
GQr ~ . 1
:h-
-z ~~k ~v ; s- ~ ~ ~ ~ r ~
,
~S~
~z k z ~ &~Y~, -
~j2 33~
~zk~ t~ : ~SG.~ +~y~ ~~3Shc/
~Sh~~ - ~
3Z~Z, ~Q~~~.~'~~ ~ ((~~j~
J~
;
f
s
- CLASS![ '
RO~~ CDHSUL71H6 EH6iHEfflS. . DF5IGNED ~
ENGtPIE~AING PtRNHE9S and LAH? SURYEYOlIS ~
HoM~c
COMPANY~ iNC. ~~950~ ;
~ ~00 EAST IhbE1 S7AE:7, HtlR?L`111LLE ~ Y1HHE:~11 SS337 PH ~32-vOQp ~
B~K l lb, Pq(#' ,5h
. Ct_ Z~Z C LL~G' O~ ~+L7"Y~
~,qc~ ~~C?-~ r;cr: LDT 8, Bt-~cK 3. LEXI~~TON SQUARE 77}-i ~OITiOr`J ,
. GAfCOTi4 COZJn/7"`!, M~NNE.~,O'r~.,
• ' ~895_8 DENOTES EXiST~t~G ELEVA'77G/•I
<s98. s ; c~lvcsr~ PROr-os~ ~.v,a;~o;,:
~94
5~ INDiG,c~~a., p1;4~,~On! CF'
-X---- 9.s~z ` ~r SUR!",?('_,°_ ~ !.='r ifh.i hG^G
• STONY ~89 ~
° ~~N ~ ROqp
~ ~i 898.83 : F'~r~~St~~~ cSA~~e!_ ~-;1~t~R
R' 412 4 L= ~ 8 f't,; o-'~ "c.~'i '~J~'w^i:~a'
~f456~ &.~.6 ~,=!/°53~43„ t t t`°
~89¢. ~ .
C ~ ~ y _ '
5 ~ o - ` ~~ss
o~ F~~------ - - ~ -
I ~e98, y~ m ~ ~S ~S s~ ~~l ~ ~ d1
I ~J~.7 1'~ }~,y.14~ Y~Il , y..~.~y 9
J~d~ ~.~'.dt..V b`j.'I'~.'JA~.'~_.._.:_~.~.,~~~s~ Idticl,L .
I ~ /775~ ~-o .o ' .
o ~,8. ao FRON7' 2UILplNG
:;1 i~t $ PRAFb~,,,Ep oo' 98.83~ ~s56i S~BACJ~ tJfVE
: N q.,N 20.0o j .
'°o ,o~ . lsa,eae~ ° .41 ~ t N G A iV
~ '~~c~ L ~B.,W.O 'mz4.s N f~ ~ % • ' REVIEWED
- Q ~ ~'~Si ~ 7.9y ~
~ ~•5~ ~~o, a ~ i ` eY J~M
~ (eve,~(- ~ o`~
I / ~er~ I O- (o • 8 s E
I~ ~ l -
~ ~
I ~A
I I'O T J DRAIrN,AG~E Al~D tJTILIT`/
nJ ~ / ~ 1 ~Lr43Gf'~1~"~~I ~ Y`,~,..
5 i , ' " , r StALE :1 = 30'
~
i
C!1 ~~~~;._r , ~ ` . -
~ `-JS
~f~9o,~ ~_5~~62.// , h , ;
5 i°-g9~ !~ary~ ` ~
~ `
` ' ~ _
I her~by;carlif.p that,thia•ia a.tr~ae and e~r^act,repr=aeatstiaa af ~~gs~~ ~f
Sand a: 'aho+rn ind ~aeacribed herean.. Aa p`r'spared, by me 'on th3s ~~~5~~~~' ' ~
° ;~'~,cpTEhrBE~ ~ ':19 88 . ' : r , t.: u , ~ ;
. , ' .
2 s~' ° r , s"~ b d n
' ~ ~ ~ _ , }linn: Reg;~'~t~a~lboB5 ~
. ~
a ~ ~ '`i~~~ 4 . ~ : r s o ' =d"~~' ~~4~~`y{` ~ ~ y~:, .
. ~p:
T . .,a~. x .r , a -~~'Y~ r....-:~ ~'.d' . - _ = v.t4~~a.~+~''.... _ . ,'~8~~ '"Y~ y~".z,s's~'r1 .
. , aizi/4
~ MINNESOTA STATE ENERGY CO~E CALCULATIONS ,
6ASED ON CFIAPI'ER $ OF THE ,
MODEL ENERGY CODE - 19a3 EDITION
Adoption Effective 1/1/ ~ ,
Owner Phone Date
'Site Address ~n't a L 7'~hDaN~
Contrac[or 1~I"t-~:^S f~ 1-~.SPC'~'t'z~ ~-~',:31p,^.t:." ` ' ^ Phone _
r ~
Building Classification: Type A1 (Single Family 6 Duplex) Type A2(Residential)
NOTE: Complete pages 3 and 4 first. ~3 stories or less ~
(Other) (Over 3 stories)
GENERAL INFORMATION r~
H
l. Building Perimeter~ ft. ~
2. Wall height (ground .to eave) ft.
. Z~ .
3. l. x 2. (above) gross wall area ~ J~ ~14ft.
4. Building dimensions (L) ~ X(W) q~ ft.2 roof E floor area
5. Square foot area of rim joist - Floor joist size (2 x~) -7
~f~_ X Perimeter = Rim joist area = /19 ft2
12 ~ ~ Uj .
6. Doors - A~ea r'J
'fhickne'ss in. U factor~~~ •
Type of Constructibn Perimeter ft.
Manufacturer
7. Total door's perimeter ft. ~
8. Windows: Manufacturer State approved
U factor ,
TYPE SIZE AREA (Ft.2) NUMBER OF TOTAL FEET 2
1f ' EACH UNITS
-~h~J~ .
~
9• Total f[.2 Glass 2 3~~'~~
10. Fireplace area; Width X hejght = X F[.2
11. Exposed foundation: Height X Perimeter 1~ f X~~
~p v~ Ft.2
COMPLETION OF THIS FORM IS REQUIRED FOR ALL AE~6N~rR C
IU
7 ON, MAJOR REMODELING AND BUILDINGS BEIN(
MOVED WHERE ENERGY, OTHER THAN THE MINIMAL CODE ALLOWANCE, IS USEU.
~
I2. - F.,~ ng area = 10% of gross wall area. , . .
13. Gross wall area ~ ~L(~ ~'j~l ~J' Z ft.2
Windo~ area A.~.~j~ ~ ft.2 U windows = U x A= C~ 3,79
Rim joist area A 1~l~l~f ft.Z U rim joist = ,~r U x A= / O Z
, 2 ~n
Door area A' ~"Z I n ft. U door area U x A= I t'~~7
~area A ~"Z~ O ft.Z U~e = '~7 U x A=
Exposed foundation A~ I r~~ ft.Z U foundation = I~_ U x A= ( O-]
Framing area A Ci~ 1 e~~ 21 ~ I~ft.2 , U framing area = 1~J~ U x A= z~'~~
Net wall area A ~2~ ~j ft. U wall = ! O - U x A= ~~JI~7~^
~ (138)., TOTAL . . . . . . . . . . U x = aC7~
.
14. Gross wall area z 0:11~'(A-1 single family 3 duolex = allowable U x A/Code
(13. above) JJ
x 6.23 (A-2 other residential)
x .23 (Other buildings)
x .~8 (Over 3 stories) ~
. ~ ) ~ ~ ~ ~ ' ~ I ~ _ . ~ B~H Must be larger than
A ~ ~ ! x U Code.! _ G~~ i F. 138 above
15. Ceiling framing area (Ap) equals 10% of ceiling area or the. same as}
15A. Gross ceiling area =(L) x(W} _ ft.2
15B Joist areb (Af) = l0b ceiling area = 0 ft.~
15C. Net ceiling area (A~) (15A - 158) _ ~ d c..v ft.2
U ceiling x A t0~~. x i~ ' ~ lI ~3
U framing x A f=. ~ 3 x ~(Z- _ ~
15~. TOTAL'U x A
16. Ceiling area~(15A) 0.026 (A~1 single ~amily & duplex - code allowable U x A •
x 0.033 (p-2 other residential)~
x 0.06 (other) ' '
~Jz(y? 2 BaUH Must be larger than 15D (above)
A(15A1 ;'C~ x U(code)= 2~i 71~ F (or the same as ~
NOTE: Use U and A values obtained from pages 1, 3 and 4. .
CERTIFICATION: I hereby certify that I have calculated the "U" factors and "R" values
herein and that the building here descr(bed meets or exceeds the State of Minnesota
Energy Conservation Act. ~
Date ` Signature
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Illll ~ • r~i lnenr lor alr Illm Il~ ifiA .
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. , 1~- F-. ' t'1 lncli, en[!•wuvd Il¦~.BE! (Rlm
81~e~tl~ltig . ~ D~ JOISE) .
' -1 * Lxtetlor uall eorertng ,fo7 ro~~'I ,
• ' Exte~Lat a!r Illm ~ ~ ~ • , ' .
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- \\[:~pofed 8luck . •
• ' • ' ~ ' ,
~ . . . • . .
• CEll.liUl ',Ilill 4E I pl) hTT~C SPACE AtlUVE
• n~'i:~~u~ n-~r,tu~
• . . FMNIIIU . CElLlllli
• . 0.61~ Alr Flim 0,61
~ . . ~(D~bb Insulatlan `I1I-,tt7 -
, . ~ '~n Jal~t ' • ,
~ j n. i~o Ce~lll~~g
. ~ 1 i .
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- - - - , U.61 ` hislda alr ftlm n.61
' C~ilin .
Jnla! ~iFi~
. • ~i~ul~ lan
' • Ir ~p~a~ ' .
~ Nua~ d~cking .
, . • In~ulellun
~ • ~ ~ 6u11!-up roof ~
. . . U.Il Outslda alr fllm
U,11 '
~ .
' . ~ .Tatal R ' ~
' ~ . ~ :
ItnJoN Inflltratlan ,5 cfm/llneal fvaC of crack ~ '
lesldentlal Joor Inflltratlan 0.5 cfm/square faot vr door anJ minlnmm eoda~raqulremen!
lon-resldentlal doar Inflltratlan 11,0 ~fm/llneal fao! af creck
Ib 12" cancrete 61ock na Insulatlan ¦;q~,n 2,~ , ~
I~ 12~ concrete 61ack liisulated caro~ '*.16.11 ~.8 ' ' ~
15 12 llght;~elaht black ~ .JZ (l 7.1 ~ ' ~ , ~
1~ 12" I tgl~t~+et~lit block Insulatsd~ cores ¦.12 Il B.J ~ •
'1 single glass ¦ 1.1J; xlth storm,~t~ndq~',5q ' ~ ' ' '
1 dauble glass ¦ :55 • '
1 trlple glass • .41 • , • . . • .
I11 exterlor walls and celllnys mus! liave a Yapor barrlet' (0.10 petm mnx.).
Japor 6arrier ntust be on tl~e Inslda (liaated slda) of Hall, ' ~
~aoor barrlers oF tha palyathelene thln fllm hav9'na R valua. ~ ~
~ .
_ • , , ' .
.
, : . . . '
. ~ , . . ~ .
1 -
.
APFLICATION FOR PERMIT +~E: pAYFII37P OF FEE AT 1'IME OF }
; nPPLxcrazaa oors r~ar coN- ~
' ; srimrre nrrxQwnT. oF p~T. :
s~
SEW ER AND/OR WATER CONNECTION : 2~~~ ~T~ _
' ; itasrtwr.nlzoHS wna. Nar se scmo[.Fa ;
a
~ . . i ON1ZL PII7PIIT FSAS BEESI APPR(7VID. ,*r
s~~~ii:taa»~ekria~~+r+r~raaaW»»~~r~~.
It~ OF C~~C~C~f9
(PLEASE PRINT
1) PROPERTY ADDRESS: 9 yo2 f/ O"n~~J v~ N`-~+' y-
T,FY;AT, DESQtIPTION: r- " ~ ~(pc /C 3 e X 1 Yl Y' ^ ^ ~ / • ~ ~
~t B ock S vision or Tax Par 1 ID ,
IF EXISTING STRL'CT[7RE, DATE OF ORIGINAL BLILDIN~ PERMIT ISSLANCE:
Mon Year
PRESENT ZONING/PROPOSID DSE:
Q COMMERCIAL/RETAIL/OFFICE I~, R-1 SINGLE FAMILY
Q IDIDCSTRIAL ~ R-2 DL~PLEX (3WO L~nits)
Q INSTIZVTIONAL/GOVERNMENT q R-3 TOWNHOLSE (Three + O~its) ( Units)
Q R-4 APARTMENf/COAIDONffNIUM ( . Lnits)
2~ N~' / ~/'l f AiI ~X L/. l/ R-I i q 9
~DxESS: 1 a~'or l~~.~/~~ __~1v~
ciTr, STATE; zzP: ~',,v.~ r~rr~v~ S~sa7s~
PHONE: ~{S/-~'/~'y0
/ For City Use
3) ' i' ~T' NAME: mC 1`/er~u~ ~U~ ~~i Pl s License:
ADDRESS: J~ O o ~ e~.f'u t E ~ ~-n e ~ive
ired
CITY, STATE, ZZP: Q~~~~^ryS v~~~ -7yJ~..._. -f'5337 Not recordec
PHONE: _~j',S'-L^~ MASTER LICENSE # D p^a f' 7(D w1 fl St Initia
9~
4) ~i i•• • n
t~r~: l" QctSS,~~ ~.a.c.;r w:' ~c~t /~s
ADDRESS: ,Q~ tifL
CITY, STATE, ZIP: ,~cl ~~/i~~~~ '/7?~~ SS vyy
Pxot~: ~'9oz - Sds :S'
s) . w•~•~*s ~ o., ,
CON[~7CTION TO CITY SEWER CONNECTION TO CITY WATER ~ OT~
6 ) ' ~ .R~--~- ~ J/ ` r'f -~r~
*
:r***************~**************~at ***x*********+****,~***********~~************t*****+**~~****+~**a
* THE GOID COPY' OF 1S~ PERMIT WII~ BE SENf DIRECI7,Y TO PDSL,IC WORKS 7'0 FACILITATE M~'PIIt PIQt-IIP.
PLF.ASE ~LL~W `ISVO N10RICING bAYS FOR PROCFSSING. SOP1E0[~ FROM TE~ CITY WILL CONTALT YOU IF' TF1EEtE f
* pRE ANY PROBi.~MS. +
~***~*~~**,r***~*********,r***~***,r****+,t*+*****,r+*+,t,r*~******~,r***,r*,~,t***~**,r~~*****,t,t*******~****~*;
. FOR CITY USE ONLY : ~
PERMIT # ISSOED " ~
C/Li < " ,
Pd w/Bldg. Permit FEES:
$ $ ~C' SL SEWER PERMIT (INCLUDE SURCHARGE)
$ $ ~'~`'S C' WATER PERMIT (INCLUDE SORCHARGE)
$ ~~~5 ~ $ WATER METER/COPPERHORN/OUTSIDE READER
$ $ WATER TAP (I[VCLUDE CORPORATION STOP)
$ $ SEWER TAP
$ $ ~.S ~ UZ ACCOLNT DEPOSIT - SEWER
$ $ ~ ACCOC~NT DEPOSIT - WATER
$ ~ S C~ • -Cl $ WAC
$ G. S . S
SAC
$ $ TRUNK WATER ASSESSMENT
$ $ TRLNK SEWER ASSESSMENT
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RECEIPT RECEIPT
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
~ YES IF YES, THEN A"PERMIT FOR WORK 69ITHIN PUBLIC
~ ROADWAY" MDST BE ISSC'ED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY; ~/~_u~L~
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COMMENTS:
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TYPE OF BUILDIHGe ~ ~
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LEG9L DESCRIPTIONs
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SIGNED: -
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PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA171723
Date Issued:08/27/2021
Permit Category:ePermit
Site Address: 992 Stony Point Rd
Lot:8 Block: 3 Addition: Lexington Square 7th
PID:10-45081-03-080
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
Todd D Schneiderhan
992 Stony Pt Rd
Eagan MN 55123--156
(651) 253-4502
Minneapolis St. Paul Plumbing Heating Air
640 Grand Ave
St. Paul MN 55105
(651) 228-9200
Applicant/Permitee: Signature Issued By: Signature