648 Superior CtPERMIT
City of Eagan Permit Type:Building
Permit Number:EA127388
Date Issued:10/01/2014
Permit Category:ePermit
Site Address: 648 Superior Ct
Lot:6 Block: 2 Addition: Lakeside Estates
PID:10-44300-02-060
Use:
Description:
Sub Type:Fireplace
Work Type:Gas Insert
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
concealing.
Carbon monoxide detectors are required by law in ALL single family homes .
Valuation: 3,000.00
Fee Summary:BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
$90.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Scott G Galbari
648 Superior Ct
Eagan MN 55123--204
Hearth And Home Technologies
2700 N. Fairview Ave
Roseville MN 55113
(651) 638-3309
Applicant/Permitee: Signature Issued By: Signature
CITY OF EAGAN ~ • r~ ~
• 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PH ON E: 454-8100
B~JIIUING PERMIT Receipt ~
To be used for "y~~! ~ ~ " Est. Value t' ~ ~ Date ~ ` ,19 '
Site Address 'L' :~r_.. ivit ~:T OFFICE USE ONLY
i,i,.:::5 l UE 1::5TA 1 LS pn Site Sewage _ Occupancy
LOt BloCk SeC/Sub. MWCC System ` Zoning ~ i
ParCel NO. On Site Well Type of Const
Ciry Water _ (Actuaq
s Name • ~ CTI 0~ • {Allowable)
w # of StOries
o Address ' Length ,
City PhOne ~i~ Depth ~
S.F. Total
, p Name Footprint SF.
~ 4 Address APPROVALS FEES
jU
~ City PhOne Assessments Permit ~~v
Water/Sewer _ Surcharge
}
yVj W Nam2 Police _ Plan Review
~ i Fire _ SAC, City ' ' ` ~
Address Engc _ SAC, MWCC
` W City Phone Planner _ Water Conn. ~
Council _ Water Mete~
I hereby acknowledge that I have read this application end state Bldg. Ofl. _ Road Unit _T_
that the information is coRect and agree to comply with all epplicable APC _ Treatment P1
State of Minnesota Statutes and City of Eagan Ordinances. Variance _ Parks
Copies
Signature of Permittee - TOTAL ~ ~ ~ ~
- 'ii,...l_r.`i.Ul~;~l~ 1_~~.~1 :l~i
A Building Permit is issued to: on the express condition that
all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinancea
Building Official
~ - Permlt No. P~rmit Holder Date Telsphon~ ~
PlurAbing ~ l ~ 9~ c~•
~ y ~u: '_C._ , ~
8 ,
H.V.AC. C,,i~'CJ " `1w
Electric ' _ 9 ~ g ~ ~
Softener ti1~~1.~ ~ ' ~l /~~~'7 ~
Inspection Dst~ Insp. Comm~nts
Footings I 8
Footings II
Foundation
Framing ~ ~
. Roofing ~
Rough Plbg.
Rough Htg. ~ -
Isul.
Fireplace •,~~,y~ r
Final Htg. ~7
Final Plbg. , PRV _ p .g ~
~
Bldg. Final ~
Cert Occ. ~~e~ N1 ~ , / ~ _ y ; ,
Temp. LP
Deck Ftg.
Deck Frmg.
Well
Pr. Disp.
. ~ _rr #p ~.:;i i~ . v
, .-'r .
t PERMIT # ~ r~ ~ '
~ , • ' ~ ~ PLUMBING PERMIT RECEIPT # ~7 ~ ~
~ CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE ~ 7
CONTRACT PRICE PHONE 454-8100 '
Site Address BLDG. TYPE WORK DESCRIPTION
Lot ~ Block Sec/Sub
- ~ • Res. New
m Name Mult Add-on
~ Address ~ Comm. Repair
c City Phone Other
NO. FIXTURES TOTAL
Name Water Closet - $3.00 S~
3 Address ZBath Tubs - $3.00
O City Phone Lavatory - $3.00
Shower - $3.00
FEES Kitchen Sink -,a3.00
COMM/IND FEE - 196 OF CONTRACT FEE Urinal/Bidet -$3.00
Laundry Tray - $3.00
MINIMUM - RESIDENTIAL FEE -$10.00 Floor Drains -$1.50
MINIMUM - COMM/IND FEE - 20.00 Water Heater -$1.50
STATE SURCHARGE PER PERMIT - Whirlpool -$3.00
(ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets - a1.50
BEYOND $1,000.00) Softener - $5.00
Well - $10.00
Private Disp. - $10.00
, ' r - Rough Openings - $1.50
SIGNATURE OF PERMITTEE FEE '
STATE SfC:
FOR: CITY OF EAGAN QRAND TOTAL:
r , ' , ~ .i. . ,
PERMIT # ~ ~ ~
~ ~ ~ MECHANICAL PERMIT RECEIPT # ~~BO ~
CITIf OF EAGAN ,~a ~ ~ ~ ~
' 3830 P~OT KNOB FiOAD, EAGAN, MN 55121 DATE: 1
CONTRACT PRI E: PHONE: 454-810Q
Site Address ~ BLDG. TYPE WORK DESCRIPTION
~
Lot ~ Block Sec/Sub ~
r
` ' - - Res. ~ New v
m Name ~ ~ ~ ~ Mult Add-on
Addr 7 6
~ Comm. Repair
c Ciy~ Phone ~~D j~ p~er
~ Name FEES
~ Addrss~ RES. HVAC U-100 M BTU - 524.00
p City d°~ hone ~ ADDITIDNAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
ADDITIONAL 6 M BTU - 6.00
TYPE OF WORK GAS OUTLETS - 1.50 EA.
Forced Air M BTU ~ ~ COMM/IND FEE - 1% OF CONTRACT FEE
Boiler M BTU MINIMUM - RESIDENTIAI. FEE - 10.00
UnR Heater M BTU MINIMUM - COMM/IND FEE - 20.00
Air Cond. M 8TU STATE SURCHARGE PER PERMIT - .50
Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES
~ BEYOND $1,000.00)
Gas Piping Outlets #
Othe~ ~
~ J'
FEE f- . S ' ~ ~ • , , T ~ ~
S/C: ~ L~ ~GNATURE OF PERMITTEE ~ ~
TOTAL• j~ ~ " '
FOR: CITY OF EAGAN
w r'#~~~~? ~.^~11'i'YWT.I~ . . . ~ , . . - Y~, , ~ .
CITY OF EAGAN
454-8100 ~
DEPT. OF BUILDING INSPECTIONS ~ '
~ ~
Correction Notice
~
Located at ~ ~ ~
I have this day inspected fhis structure and
these premises and have found the following
violations of city codes governing same:
-
When corrections have been made, please
call 454-8100 for inspection.
Date -'o~~
= ~r i~, : ~_n.. ; ~ . ^ ;4:.~
Inspector City ot Eagan
DO NOT REMOVE THIS TAG
,
1 PERMIT Ik ' -}'!Y~
PIUMBINC PERMIT RECEIPT # ~
CITY OF EAGAN /
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ~f ~
CONTRACT PRICE ~ - PHONE: 454-8100
Site Address BLDG. TYPE WORK DESCRIPTION
Lot Block. y Sec/Sub Res. x New
~ ~ Mult. Add-on
~ Name - Comm. Repair
m
~ Address ~ f ' Other
c Ciy ~ Phone ' RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
' NO. FIXTURES TOTAL
' ~ , Water Closet - $3 00 S~
Name ` • ~ 1 : Bath Tubs - $3.00
3 Address ! ' ~ ~ Lavatory - $3.00
p City ~ ~ : i Phone ~ - Shower - $3.00
Kitchen Sink - $3.00
FEES Urinal/Bidet - ~3.00
COMMIIND FEE - 1% OF CONTRACT FEE Laundry Tray -$3.00
APT. BLDGS - COMM RATE APPLIES Floor Orains -$1.50
TOWNHOUSE & CONDO - RES. RATE APPLIES Water Heater -$t.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 PERMIT) _
(ADD $.50 S1C IF PERMIT PRICE GOES ' Sottener -$5.00
BEYOND $1,000.00) Well - 310.00
Private Disp. - $10.00
_ ; ' Rough Openings - $1.50
~ t
SIGNATURE OF PERMITTEE FEE:
STATE SlC:
FOR: CITY OF EAGAN GAAND TOTAL: s
CITY OF EAGAN Remarks
Addition Lakeside Estates ~ot 6 Rik 2 Parcel 10 ~~,300 06~ 02
~ % ' ~ Street ~8 ~Perior ~'it,. State E~~+~ 55~ 23
Owner~~ =
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. S6/ IillP. 1981 1690.16 84. 51 20
STREET RESTOR.
GRADING
SAN SEW TRUNK vI'(p1
.ASEWER IATERAL
WATERMAIN
,rWATER LATERAL
WATER AREA ,+S'(~
STQRMSEWTRK 1985 ~I1.~~ ~F~.~+~ 15
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
~r~s r~ . _ _ ' _ ~ ~ ~ . ~'..TRT' _ _ _ , '^~i. ~_.~-'T,~t~. -at- - _ ,
, . ~ ~ll~
CITY OF EAGAN. Permit No: - Dat~
383~ RJIot~Kno6 Hoad Meter No: Size:
~ P:O. Box 21199 Reader No: Date:
Eagan, MN 55121
Owner. ~1i11e ~st.
~
SiteAdd~ess: ~~47 St~p 4nr ~'~.r .6 R afcEntc~e i:etbt~~
Plumber B~cka~eller P2a-~bin$
Conn. Chg: 5'S. t~pd Zoning: ~1
Acct Dep: 15 No. ot Units: I
Permit Fe~ •
5 '
Surcharge: I agreo to comply with the Ciry of Eagan
Tr. Plant Z ~ • ~~p'~ Ordinances.
Meter. ~:7 i~+t?.,~~
Misc: ~~t~ ~'~`~3.t,: ;.j'I- BY
WATER SERVICE PERMIT
CITY OF EAGAN Permit No: ~`)~56 Dat~ °-29-87 ~T. ~
3830~FIlut ll~npD'Roed B/P No: ~~d3 Dete: 7 y
RQ. Box 21199 ^
• ~ Ea~an, MN 55121 '
r ~ ' ~
Owner. ~ - ~.;c~ ~
st.
SiteAddress: E ~ ri~:~ Court L5 32 Lakeside E$tatea '
Plumber: ~ ~ , l.er P?_~~rbin~
MWCC: '`25.00-±-~
u . T Zoning• n -
Gity Chg: No. of Units: `
Acct Dep: ~-5 - ~'~F~
Permit Fee: ?~•~npd I agree to comply with the Ci1y oi Ea~an
Surcharge: • P~ Ordinances. ~
Misc.: ~
i
SEWER SERVICE PERMIT
CI7~ 0~, - -~-T--..__ -
~AN .
~ 3830 Pllat Knob q„ad Pe~~ Na: ,
Meter No: 9a2 Date: ~ -2°-v ~
~ P.O. Box 21199 '3 ~ 7 Size: o c
~gan, MN 55121 Reader No:
' Dat~
Owner. t=~ ilie Const ,
Slte Address: ' ,
Plumber Br~lc _ ~ ~ ~ ' f ~
kTR1' E'.~~
Conn. Chg: 5?_5, ~ '
Acct Dep; ~5, p ~~'~~-E2~R~t:titi~,~ R1 ~
Permit Fee; lll, ;)t: ~"E~fC~~~~~ ~~~a'F 1
Surcharge: , ; p~r
Tr. Plant i) , c~ Ci d ~~1°Q~9~~~Y wtth the
Meter. Ordlnances. ~ Eagan
~ • ~ T
Mlsc.: ' - - \
ey
WATER SERVICE PERMIT
I
PRV~REQliI~RED CITY OF EAGAN N~ 14 0 9 3
3830 Pilot Knob Road, P.O. Box 21 •199, Eagan, MN 55121
PH O N E: 454•8100
BUILDING PERMIT Receipt s ~ ~ ~Cl
Tobeusedfor SF DWG/GAR Est.Value $122,000 Date AUGUST 28 ~g 87 .
Site Address 648 SUPERIOR CT OFFICE USE ONLY
6 2 LAKESIDE ESTATES onSiteSewage Occupancy R3
Lot 81ock Sec/Sub. MwCC System X Zoning Rl
Parcel No. On Site Well 7ype of Const T,~..
Ciry Water (ACtuaq ~
a Name BLILIE CONSTRUCTION (Allowable)
w # of Sro~ies
~ Address 644 SUPERIOR CT ~ength 3~
~ City EAGAN phone 454-1438 oeptn
S.F. Total
, p Neme S?'ME FootDrinlS.F.
Address ppPROVALS FEES
~ City Phone Assessments Permit ~ 569.50
F Water/Sewer _ Surc~arge ~~0
W W Name Police _ Plen Review ~~5
~z Fire _ SAQCiry ~~0
x~ Addrees Engc _ SAC,MWCC ~Z~~~
u
aW City Phone Planner _ WatarConn. ~Z~~~
Council Water Me[er ~a~
I hereby acknowledge that I have reed this application and state BICg. O(f. _ Road Unit ~~0
thattheinformationiscorrectandag~eetocomplywithallapplicable APC _ TreatmentPl 780.00
State of Minnesota Stetute ~d City of Eagan ~dinances. Variance _ Parks
CopieB
Signetufe of P@fmitte0 ~ TOTAL ~~5
A Building Permit is issued to: BLILIE CONSTRUCTION on the express condition that
all work shall be done in accordance with all app~licabl tate of Minn ta Statutes and City of Eagan Ordinance&
BuildingOfficial lo/ ~eJt.~2J
/ ,
. _ _
~
~~ertifir~t#r of (~rrix~~nr~
c~itp of (~agan
~r}~rtment nf ~uil~ing .~tts}~erfimt
This CerJificate issued pursuant ta !he requiremenls of Section 306 ojthe Unifarm Building
Code certrjyirsg thal at !he time of issuance lhrs sJructure was in rnmpliance with the various
ordinances of the C![y regulaRng building canstruction or use. For the following.• ~
IheClnedfiotion ~~t~{~rrlR B1dH.RemilNo. Ifi.(1Q1
o~~w+~r'~Yce h3 zo~s n.v;~~ P.1 Tra c~x. Vn
~ OwnerofBwlding 3i,~.Y,1.TS GOt!Si'. ,~d~G44^SUPn_RIOB COllRl, L~AG9:.; .
sww~~naere~ ~4~ "aT1L~E:t7.0i: COiTl2i L6, ~2, LAiCB£Y.Di; liST.~'i~S
?i DIIC,~.I]B~R 1 ~ 2907
i/ amamq ar~.r~ - .
POST IN A CONSPICUOUS PLACE
~/~s/g~ REQUES7 FOR ELECTRICAL INSPECTION ea-ooaoi-os
/ ~ See instrvc~ions lor comv~ating t~is ~orm on back of yellow copy. ~ ~~'~7~//
.~~g'~ O "X" Below Work Covered by Ihis Request ~
dtl flap. Type oi Bvildin0 ApO~~ancea WireE Eq~iumem WireA
Home Range Tem{~rary Service
' Duplex Wate~ Heater Liyhtiny Fixtures
Apt. BuilAinc~ Dryer Bectric HeaUn
Commercial Bidy. Fwnace Silo Unbader
Industrial Bidg. Air Co~ditioner Bu1k Mllk T&nk
Farm otne, oac~rv Oinm ISUecNVI
t r Suecify ther n~h~~
ompute Inspection Fee Below
# fee SarviceEntreneeSiza p Fee Fexdere/Subleeders N Fee Ci~cuits
U to 200 qm 5 0 to 3~ Am s / tn 30 Am s
Above 200 qinps 31 to 700 qmps 31 to 100 A y
Swimming Pool Above 100_Amps Above 100_Amps
Transformers Irrigation Booms Partial~~Ot e
$igns Speciallns ection
riema.ks . S~`,~ TOTA F~
~
~
HouBh-in O~le (
~ ~/r ~/j~J tha EI '
h ~~spector, heraby
Finel cer~ily thet Iha above
r ' u/~'e InspBCtion has been
~L(7 made.
il~ie reQuesl vold 18 montim irom
This rr.ques~ void ~~~/87 C~' ~ 7
18 nwnths frrm
D ~2 9 . , : ~ia
Reques~ Uale ~ Fire No. RBaphetl~InsVec~ion ~qeatly Now Will Notify InsOe~'-
~ 3~~" ?~es o r When Neady
1[7~~~Licensed Elecvical Con~recto~ I hereby repues~ inspection of ebove
Lf Dwner elechical wark installetl et:
Street AdAress, Box or Pou~ No. Cit
ecl~o~~ o. I Towns~i0- ame or N. Ran9e No. Counry
Occupant ( RiNT) ~ ~ Phone No~ _ ~
V
Po ~ r $up lier Atldress
~
EI al Co vac[or (COmpany Namel C actm's License No.
_ ~4.~' 1.~c~E, o~~ Q 3 `~~3`3
Mailina /~ddress ICOn ctor or Owner Making Ins~ailationl
~4~ G 53337
Authori d Signatw (COntractor Ow kin In allatiukj Phone Number
~ 8 ~
MINNESOT pi~f'~OARD OF ELECT81CIiV THIS INSPECTION flEQUEST WILL NOT
Grie9s-Midwev B~dg. - Noam N•191 BE ACCEPTED BV THE STATE BOAflD
1821 Universitv Ave.. St. Paul, MN 55104 UN~ESS PPOVEP INSPECTION FEE IS
Phone I6'171 642-0800 ENCLOSED.
REQUEST FOR ELECTHICAL INSPECTION ea-ooooi-os
! - , See inshuctions for comple~ing ~hig torm on beck ot vellow coOV~
gc[~ ~ 7(p ~'i 9 7
D`J U J 2 9 "'1(" Be/ow Work Covered by 7his Request
FAd Rep. TVpe ot 8uilding Appliances Wired EquiV0~en1 WireA
" Home Ranye Temporary Service
Duplex Water Heater Lightinp Fintures
Apt. BuilAing Dryer Electric Heabn
Commercial Bldg. Fumace Silo Unlonder
Industrial Bldg. Air Conditione~ BWk Milk Tank
F8Yfi1 Nn~ Per,i y Olher (Spenily)
ther SpeciFy Other Oih~_~
ompute Inspection Fee Below
p Fee ServiceEntrence5ixe tt Fee Faeders~5abfeede~s # Fe,e Ciroui~s
U to 200 Am s 0 to 30 Am s 0 tn 30 Am s
Above 200 qmps 31 to 100 Amps 31 to 100 qm s
Swinttning Pool Above 100-Amps Above 100_Amps
Transiormers Irrigation Booms Pertial.'Ot e
Signs Speciallnspection 5 ~
TOT FF~,
Pflma r
Poueh-in 1 Oate .
I, the
Insoacbr, hereby
~ certify tha~ the above
Fina~ ~ inspection hes been
made.
Tbie requeat roitl 7B monthe Imm
^This request void C f7~y~~~
18 months from ~~/g7 / /
D 3693 ~
Hequest 62te ~ Fire No. RouPh~in Inspedian
1/_ p~ retl? ~NeaAV Now ill Notifv InsOeo
L( (S es o ~~r When Ready
~~censed ElecVical ConVactor 1 hereb m mst ins
y q pection ol above
? Owner alechicel work instellatl aY
Street Address, Bo or Noute No. ~ ~ Ci~~
~
ectwn o. T6wnship ame or No. Range No. County
Occ ni IPRINTh ~ ~ P~one No.
3g
Po 5 Plier ~ AddreSs
~
Elec Mrac r ICOipyapy.RJame) Comrnct r's License Nn.
~~e~. - 1-~-~,~; C~ D 3 5~3~3
Mailinp A1ddress (C~onV^actor or ner Making Ins~all ~ion)
1 ` C..-!~
Auth 'zed SiB~atwe IContra ~Owner dking ta at on) ' Phone Numbar
, C~'rZ4 ~3/-~.~/
MI NESOTA STqTE eOARD OF ELECiNICITY THIS INSPECTION qEQUEST WILL NOT
Grie9s-Midwey BIdB. - Aoom N-197 BE ACCEPTED BY THE STATE BOAND
1921 Universitv Ave.. St. Peul, MN 55104 VNLESS PNOPEN INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
. ~j-
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2006 RESIDENTIAL MECHANICAL PERMIT APPLICATION
` City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
~,Please complete for. single family dwellings & rownhomes/condos when pemvts are required for each uni[
Date r / ! Z / 07
Site Address b H~ ~ J~<<~ o f C a,~ Unit #
Property Owner ~ ( ~ ~ ~ f Telephone # ( ~j ~ 1 ) °J 2 - O `7 6 $
Contractor _~~5.~~~ ~gq~g Rr
Stree[ Address Air Conditioning, Ine• City
1815 East 41 st ree
State Minneapolis, MN 55407Z~p Telephone )
(612) 7241899
Bond k: Expires:
The Applicant is _ Owner 1C Conhactor _ Other
Add-on or alteration to existing dwelling unit $ `„~(1.00
~furnace _Additional `~'Replacement _ New
air exchanger
air conditioner
heat pump
other
State Surcharge $ .50
Total $ ~L~
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 understand this is not a
permit, but only an application for a permit, and work is not to start without a pe t; that the work ill in accordance with the
apptoved plan in the case of work which requires a review and approval of plans.
~/c.-~~ ~Lv\
ApplicanYs Printed Name Appl' anYs Signat e
• , ~
. P
~
1987 BOILDING PERMIT 6PPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS .
INCLIIDE 2 SETS OF PLANS, 3 CERTIFICATES OF S[IRVEY, 7 SST OF ENERGY CALC~[.ATIOHS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTDR/HOMEOANEE MQST DESIGRATE NHICH ADDRESS
IS DESIRED. NO CH6NGfi5 WILL BE ALLOWED ONCE BQILDING PERMIT IS ISSDED.
M[TLRIPLE DWELLINGS - RESIDENTIAL RfiNTAL [J1~ITS FOR SALE O~ISS
INCLUDE 2 SETS OF PLANS~ CERTIFICATE OF SIIRVEY - CHECB idITH BLDG. DEPT.~
1 SET OF ENERGY CALCIILATIONS
COi~RCIAL
INCLUDE 2 SETS OF ARCHITECTUBAL & STRUCTURAL PLANS,
7 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS~
$2~000 LANDSCAPE HOND
To Be Used For~S rw-(_Valuation: ja2~DOb Date: C.~ ^ Z~ ~ C~ ~
Site Address 0 J Lt~lO tr ej~ OFFICS OSS ONLY
Lot ~ Block ~ On Site Sewage_ Occupancy R-3
~+f MWCC System ~ Zoning 2-I
Parcel/Sub ~ 1'~?<fl S 1~P G S Tl~'` ~S On Site Well Type of Const
Ci.ty Water ? (Aetua:l) V- N
Owner (Allowable) ~/-N
# of Stories
Address Length S"8. Do
Depth 33.33
City/Zip Code S.F. Total
Footprint S.F.
Phone A!'PROV9LS FEFS
Contractor ~ 1~^~ ~..p,c.aST Assessments Permit 56 ,SD
~ Water/Sewer Surcharge (ol,oa
Address ( o'~ ~ o~.r- Police Plan Review 3.4i4 .7
Fire SAC, City O.DO
City/Zip Code Engr SAC, MWCC 5 ZS,Op
t!(`~ Planner Water Conn 5 25~00
Phone ~~~7 ^ ~ 4~Q Council 'j 2i Water Meter 6'1• o0
Bldg Off ~ b/2c, Road Unit 305,00
Arch./Engr. APC Treatment P1 1 p.~
Variance 21 g Parks
Address Copies
TOTAL ~ ~ S~
City/Zip Code
Phone #
Ga~,~~/ ~ , . -
. y
z4KZ2'/z=S4oxl2c 6y~o , ti
~SrF~r2, ~M,T'
H4 X - '7 O~i
3y X 12 = ~t o8
z~~,~,~,~
113o xsK = 655~10
c~Na ~i.R ,
~ j B, o x 4 y;
r~~`_
~ !21'7yo
~
` i' .
~ ~
T
EXTERIOR ENVELOPE AVERAGE "U" COPIPUTATION
041NER ~^=i'/~~~'cy/~~
SITE ADDRESS Ln~ 6 L
CONTRACTOR ~/L~~ 1rlS/ UATE ~~~0~~7 PHONE f~Sy /y3Pi
Determine working square footage of each.
1. Total exposed wall area .3/~z sq. ft. x_~i =
2. Total roof/ceiling area 1/ 3~ sq. ft. x_026 = ? 9,~5-]
Total exposed wall area above floor = ~~5.~.-
a. Total wall window area ~~3- G
b. Total door area 3, 7 7
-2--- -
c. Total sliding glass door area .
d. Total fireplace wall area ~ O ~
p..
e. Total wall framin9 area (average 10X)...:........ J 7S 2~
f. Total net wall area above floor ~_S-.SZ ~
g. Total rim joist area ~SC~
i
Total ekposed foundation area = _f~$~
h. Total foundation window area..... -
i. Toal net foundation area above grade ~
Determine "U" value cf each ~aall segment.
a. z ~~9 = ~i9,g~
b. 3? 7~ X,~~,~ ,/,23 , 6 5
c: 9 ~ x.,~., , y j = y`~! /G
d. z , 72 =
e. ' 2~5.2 X~~~~~ , OY = d`:' 7i
f. ~i ~fS, S~ X ; ~ y = ~S,
g. ~i::~j X~~~~~ i 0--
h. - X ~
1. i <r~ X , ~ _ _ `1";_
J;
3 .Tot:a1 = 2 ; ~ :`.'r
If item ~`3 is the same as, or less than item kl, you have met the intent
of S8C 6006{c)2.
~ .WALG SECT:ONS '
Nrn'E: Use.15t of opaquc aall.area for ~
' trame cons[ruction Construction . R-Value
1. 0•6Q
s. . ~ t , ~1G~! . YS
• 3. S%Li.nches soft wood
4. z / ~.o
5. ,r5 ryioii'vC , b/
BASIC 6. Exterior air film : 0.17
WpI,t, Total P~~
, a9
FIG. N1 TOPVIE[i OF
gg~~ w~,j, 1. Intcrior air film 0.68
Z . Z ` .~'./o f!!/~^ ~
3. S~/z=~'~iBf.r:<.tI / . o0
. ~ ' 4. ?y iif ~
~ 7~G6
: ~ ~ 5 . ~ .Til f/JJh?6 , c,,
---~v
6. Exterior air film 0.17
eic. xa ~ To~l ~3./ ~
- ----a . ay
~ ~
-Q 1. Interior air film 0.68
. z, ~ ~3r~ rrl ,cr~
_ 3. / Z` ~F~r~ip
0/7
~
~ ~ 4 . 29~ic~ ~irf CG
SrtL ~SrAC~( ~ 5. rf C t/O/NG ,'-'7/
Pc:ipuzral --Q • 6. Exterior air Pilm 0.17
F1nr:.~~,, % ~~---~-0. ~rocai 3 c.
'`~~T;~~;~. I ~ y ,
. . . ° . ~ p~ . • ' ' ~ ~ y
•4 ~ l. Interior air film O.GB
~ ' A ~ • ,
FOO.~il2~TICN • ~ o i ~,cv~,Fr/Tjs? 7•G'C/
p . p'. 3. '/ni'irs,~F i1LO:~/ /,2n
ktALL . , ~0: • 4.
. tl • ~~n0 f 5.
~J~~ 'n ~a F ~ :~-~j , ' G. Exterior air film 0. 17
. Total 9,/3
_ . . ~i.~ ` , .
SLAB ON GRADE . ~ .
. !Z
~ , ~ . . r
. ~ ~ . t
I rI `lC ` ' '•'i - 1
. i w , ,
~ ~ • ~ , . ~ . 11I R - . " ~ , 6' . , ~ I1 I =
~ h~ • y~ - ^ • _
• = /ll ~ . . , _ /It
• • J K/
~ . ' FIG. $4 !fl ~ '?C~ , ~ p ~/Il
` ~
FIG. N3 ' ` X`X % ~tI
~ • • e ' /Lf _ ~l! % lN ~ ~
~
~ ~ NOTE: Indicate tyoe, "R" value, death and
~ , . ' ~ placenent of insulation.
o ~ . • - • b '
, ' t ' , . . Paga T•hree
' ROOY'/CEILING ,
. •
,f f Conslruction R-Value ~
. ~ Y~ _
~ 1. Interior air film 0.61
~ ~ ~ ~ 2. /H .
~
l ~ ~CC/GO ~QO
~•~I~ 1~I."~ r~ 4. F tcrior air film (still 0.6I
, lll~_ 1~ motal 3g b
~
. ~ ~~q ^ ~
. ~ `~V ~tJ ~ ~L.
= . 6.tS
Vented Seat flow
uP • .
FZG. #5 ~
~ - 1. Interior ai film 0.61
•n~wl:'~~yVY:r_ei_+1a.?•;_~a~'~..A,±`~~A:~e.~!v A~ Z.
_ ~...r_.__~._~ 3.
4. Exteriur ai i1 sti _
. ~ . . . . oWl
i
~ ,
' ~ 1~~~~
I ~ t; , u~,~
~ ----r
~ 1 2 In -
~ ~
~Y.eat flow up ~ vented.
FIG. M6 . . .
3 ~ I V~~t~ 1. Insi.de ir film 0.G1
•.t ~ M3^'.~ 2 .
. .~~So ~ 3 .
.
~ ~ ~y7; ~!1~+~^~~ 4 .
Rl.l~ ~
t~;t1--?.:~•.;;..;;•',•::`•' S. Outs nix f1 0.17
, Total
'
1 2
` . •
NOii-01:ivTED NoCC: Uso ~dd3tional sheets if more space is
, neec!e~l for details and calculations.
~ ' . Heae ' • .
, flov up ' •
Plti. ~7 ' . ,
~ • Total exposed roof/ceiling area = //36
Total skylight area -
k. Total roof/ceiling framing area (average 10~)... //3
1. Total net insulated roof/ceiling area........... /o/ 7
Determine "U" value for each roaf/ce9ling segment.
f. X - ~
k. //3 x ~~u" , oz~ _ ~,9y
ioi ~ z , o~s = ~s. y
a ..................................rotat =
If total of ~4 is the same as, or less than ~2, you have met the intent of
SBC 6006(c)1.
Alternate Building Envelope Design
To utf7lze the totaT envelope system m2thod, the values estahlished 6y the
sum of items #~3 and ~4 shall not he greater than the sum of items ~11 a~d ~2.
~ ~7(a~! / + ~L. 2/. _ ..~/J~' ~J~,J
3. .2.~~9 Sq + 4. .2J 37 ° 3/
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PLOT PLAN Scale -1 inch - 20 feet
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Must show location of streets, lot and proposed buildings, give lot dimensions. (Lot comers and building site
areto be staked 6efore appraisalis requested.)
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URM~UNTABLE C4NC.
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MH-18 ---~~26 i' 7
M 555~-8"D.I.P.
~ 90.0' ~ i0- ~ 30.5' 2+~5
~i ~ ~2 .3 ~ ; ~
~ O 9 ~ \
- - ~ F24 ~~,~0 \ \ ~
~ ' 30' SERVICED ~~3.0' ~
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SU P ~
N ~ ~ ~ NOTE: Eor Em
° N N ~ Sewer Services
m m i~ Shall Be Laid ~
MH-18 Grade From Mc
9298_ MH-27 ~ At End To Be I
_ - 0. 70 °~0 9 28. 3
~
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210'-g~~pVC~~•9 ~
_ * ****~**#******#*****t!****##*****#
~ • C I T Y O F E A G A iV PA~~ QF FEE AT TIME OF ~
. * r,P~ca~zoN noFS cuvr corsri~ *
` * Aepxovar, oF P~T. *
APPLICATION FOR PERMIT ~ *
* II~SPF7CPION OF S~FIIIt ANID/~2 4~TII2 *
*
~ . ,*f TS.ATTOISS WIIS. PIO7.~ BE SCfIhD- *
SEWER AND/OR WATER CONNECTION P~T *
~
. * APPR()VID.
* *
* *
~ ~
~ _ . *ir*,r*t*******a,t***~***t*****+,r**,r*a*
P ease Print
~ 1) PROPERTY ADDRESS: GC ~ ~q v/. ~ ` ~c~-..~
LEGAL DESCRIPTION: ~ .
~_~`jP P/L~,~,
-~LOt B ock Subdivision or Tax Parcel ID )
IF E7Q51'ING S1RL'CI[]RE, DATE OF ORIGINAL BL'ILDING PERMIT ISS('ANCE: '
~
Mon Year
PRFSENf ZONING/PROPOSID !?SE:
COhIINERCIAL/REPAIL/OFFICE R-1 SINGLE FAMILY
~ IPIDL~STRIAL Q R-2 D[!PLEX (1WO Lnits)
~ INSTIZL,*PIONAL/GOVERNh~]'p R-3 ~WNHOOSE (Three + vnits) ( vnits>
, ~ R-4 APARTMENP/CODIDOMINILfi1 ( Units)
2)~
~ , P ~
~ ADDRFSS: ~jE/l~ ~u~-JC~i o ~ ~ir.^~`
CITY, STATE. ZIP:~ „ ~
PHONE: L/S - / ~ ~
. g? . i: / For City Use
~`?~~~rli~/~~.ZiGi,~~P~-~ ~J' ~~1 P1Lm~bexs I.icense:
ADDRESS:_ ~i 75
~ ~'~/o~~ /i il~u ~ ~y~' Act~d
i CITSC. STATE, ZIP: ~p c1P~ 5 5-i Dlot recorded
rxo~: - 61 Sv r~s~ ~sc~sE# 3 2~~ sta~f znit~ai
; 4) ~..ni~,-~
I~ME:
ADDRFSS : ,
CITY. STATE. ZIP:
PHONE: •
.g~ , : a • a~ -
CONNECTION TD CITY SEWIIt ~ CONNECPION ZU CITY WATEE2 ~ OTHER '
6) n • • r Q PI.EASE AOLD APPROVID PERNIIT fC)R PICK-UP BY ONE OF ABOVE
PI.EASE MAIL APPROVF9 PII2MIT TO 1, 2,~4, ABWE .
(Circle one)
» ~ ~
- ' Y' ~ V' 1: ~ ~ ~ ~ Y ~ A I~1 1~ ~I 71 '~I ~ ~ ~
~ n U~ • k ~ ' ~IC • •.l1~1 1 1 1 ~1 ~ t~ ~1• • ~ .
. ,
_~~'OR :CITY USE ONLY ' ~
PERMIT # ISSUED , ,
~ `iia { .
Pd w/Bldg. Permit FEES:
$ ~ ~D -S SEWER.PERMIT (INCLUDE SURCHARGE)
$ S //~•S cJ WATER PERMIT (INCLUDE SURCHARGE)
$ ~ ? $ WATER METER/COPPERHORN/OL~TSIDE READER
$ $ WATER TAP (INCLLDE CORPORATION STOP)
$ $ SEWER TAP
$ $ ~,S C ACCOUNT DEPOSIT - SEWER
$ ~ /S ~~D ACCOLNT DEPOSIT - WATER
s 5r Z S~ S wAc
S %oZ~~~ 6 sAc
$ $ TRL~NK WATER ASSESSMENT
$ $ TRL~NK SEWER ASSESSMENT
$ S LATERAL BENEFIT/TRLNK SEWER
$ $ LATERAL BENEFIT/TRONK WATER
$ ~~D~~'J $ WATER TREATMENT PLANT SL~RCHARGE
$ $ OTHER:
S_!~~% ~ G~ 7J $ U zJ TOTAL
3 ~ 7~ > >
RECEIPT RECEIPT
DOES OTILITY CONNECTION REQUIRE EXCAVATION IN PL~BLIC RIGHT OF WAY?
~ YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC
Q ROADWAY" MDST BE ISSOED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY: ~~~~~c~
TITLE:
DATE : J/ 2 J" /~J
S
ity oF e~gan
3830 PILOT KNOB ROAD, P.O. BOX 27199 Bea, eLOMODUST
EAGAN, MINNESOTA 55121 Mwor
PHONE (612) 454-H100 THONJS EGAN
JAMES h SMRH
' VIC ELLISON
7HEODORE WACHIER
Council Members
TNOMAS HEDGES ~
Ciry Adminisira~or
EUGENE VAN OVERBEKE
Clry Clerk
July 22, 1987
Mr. Steve Stenerson
4812 13th Ave So.
Mpls., MN 55417
Re: Variance #z5-V-17-7-87 for 10' variance to the front yard
setback on Lot 6, Block 2, Lakeside Estates
In official action taken by the Eagan City Council at their
regular meeting held on July 21, 1987 , the City Council
formally approved your application subject to the conditions
reflected in the Staff Report. The minutes of the meeting will
be ratified at the next City Council meeting.
If you have any questions or concerns regarding your approval
or would like a copy of the minutes, please feel free to contact
the Planning Department.
Sincerely, `
,~~L
Marilyn Wucherpfennig y!~
Planning Aide
/mlw
THE LONE OAK TREE. . THE SYMBOL OF STRENGTH AND GROWfH IN OUR COMMUNITY
~
- city of eagan
MUNICIPAL CENiER MAINTENANCE FACILIN THOMAS EGAN
3830 PILOT KNOB ROAD 3501 COACHMAN POINT Mayor '
EAGAN, MINNESOTA 55722-1897 EAGAN, MINNESOTA 55122
PHONE: (612) 681-4600 PHONE: (612) 681-4300 PATRICIA AWADA
FAX: (612) 681-4612 FAX: (612) 661-4360 PAMELA McCREA
~ TIM PAWLENTY
THEODORE WACHTER
Councll Members
October 22 , 1992 THOMAS HEDGES
CI1y Adminlnstrator
EUGENE VAN OVERBEKE
SHAWN BOUSIAG cW aerk
648 SUPERIOR COURT
EAGAN MN 55123
Re: Project 634 Streetlightinq Pendinq Assessment
Dear Mrs. Bouslog:
The City of Eagan acknowledges receipt of $207.00 as prepayment of
the pending assessment on your property (parcel #10-44300-060-02)
for Project 634. The project and pending assessment relate to the
streetlighting improvement in your neighborhood. As this amount is
only an estimate, should the final costs be lower than $207.00, the
City will refund the difference to you when the assessment is
levied. Should the final costs be more than this amount, the City
will anticipate payment of the difference when the assessment is
levied. The City will not pay interest to you on the deposit nor
will there be an interest credit given to the project for carrying
costs.
As an acknowledgement that the $207.00 is only an estimate of the
final assessment amount and that you agree to pay the difference if
the final amount is greater, please sign this letter.
Thank you for your cooperation with this matter.
Sincerely,
~4M
E. . VanOVerbeke ~~~.LGU1~
Finance Director/City Clerk Shawn Bouslog
Date io- a~- qa Date ~O~ZZ~~I1-
EJV/jeh
THE LONE OAK TREE THE SYMBOL OF STRENGTH AND GR04VTH IN OUR COMMUNITY
Equal Opportunity/Affirmative Action Empioyer
JUN-08-2099 14:42 P•02
f ~ S~ ~
a pertnit #
t ~
Cit~ of ~a~an ' o a~ ,
i Pemdt Fee: ~ ~
3830 Pilot Knob Road
~ag~n MN 55122 i Oate Received: i
Phone: (65l) 675-5675
Fax: (65'{) 675-5694 j S~~ I
~ ~~w ~ J
2009 RESIDENTIAL BUILDING PERMIT APPLICATION
bate: ~e` ~'Q9 SheAddress: (07["'7 ..X•~/~PI'"/Q}r
Tenant: J~~J ~ MQgQ~ Suite#:
RESIDENT/OWNER Name: .SGU~ °
/~Al.[i1 s,~(u/1~~,(~,LPhone~OJ~`~ r ~I~
Address J City 1 Zip: ~7 ~ V v~~ ~
AppliC9nt is: _ Owner ~ Conhactor
TYPE OF WQRK Description of work: ~Qt~ n~r~haou~r~ `J1(.~~
ConsVUCtion Cost: aQ~ 3~b Multi-family Building: (Yes_/ No~
} ~ n p~
CONTRACTOR Name: l~~O ?GI-~Q~J Licerrse#: 1~~A
Addrass: !/~'~'1~/YGC~ /iL~
City: ~ State~7rp: ~ ~
Phone: l~--` V ~ U II r~ Contact Person; nI lM c:+il ~~~.5
COMPLETE THIS AR6A ONLY IF CONSTRUCTING A NEW BUILPING
Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Energy Cvde • ResidenUai Ventiiation Galegory 1 Worksheet • New Energy Cotle Worksheei
Category Sunmitted submined
(J su6mi55ion type) • Ensrgy Enveiops Calculations submitted
In the last 12 months, has the City of Eagan issued a permit Tor a similar plan based on a master plan?
_Yes _,,,_No If yes, date and address of master plan: .
Licensed Plumber: Phone:
Mechanlcal Contractor: Phone:
Sewer & Water Contrador: Phone: ~
NPTE: Plans amf suppo#1»g: d,ocumen'ts that you su6'mit are considered to betp~ib~7c3fn~YmgGcFri ;'Por~'~ns p"~
the info/maYion may be elassiFed as'rwn~publi~ if you provicle speci~c'reasa~ Elfat~voi7ld pelnii[;:fh'e ~Cy'to
conclude'?hat:the are trade secrets. -
i hereby acknow~edge u+at tn~s ~niormatio~ is eomPiete and accurate; thai the work wi~l be in conformance with the ordinanoas ane eedes of the ciry of
Eagan; that I untl6rstantl ihis is not a permi[, but only an application ior a pe~mit, a~d wofk is not to start without a pGrmit: that the work wi11 be in
acwrdance with thE approved plan in tPe Cas6 0( wOrk which requires a review and apprwal pf p1~ng,
x ~ J M ~/lw,~ x
Appticant's Printed Name Ap n ly(ature
PdgE 1 of 3
TOTFIL P.02
. CASH RECEIPT
~ CITY OF EAGAN
. 383~0 ~iLOT K1VOB ROAD
EAGAN, MINNESOTA 55122
DATE 19
ecce~ve~ ~
FROM r ; ~ r~ j' " ' - "~s-~' l~~_ ~ '
,
AMOUNT $
6 DOLLARS
~oo
? CASH Q CHECK
i , ~
FaR ~:.i.: ~~1 ~`fJ~ ~~;i.r - ~ -
~ , i " ~ ~
G ~ ~ • L ~ f, ~
~ ~'~I ' i ~ . ~ / ,
,~~FU NO C O~E AMOU NT
r, ti, .
~ r ~l~lfi.l
J
~
r . ~ w'"" r ~
, - ~ ~ ' C:: C~.
,
L., ~ , ~ ~ C c~
~ . , ~
, ~
~ ~ v ~ J
t~ ~ I [75 "~r ~ ,
Thank You
ev '
h ~ ;~lLJ
~ ~ _ ~ ~ White-Payers CoPY
Yellow-Posting Copy
Pink-file Copy
CASH R EC E I PT
~ ~ ~ CITY OF EAGAN -
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19
[CEIVSp
FROM
AMOUNT $ I
oo~~wRs
~oe
? CASH CHECK
FOR ' . ~ ~ I
FUND COOE AMpUNT
Thank You
BY
. ~ ~ ` YVhite-PeYerf Copy
- Yellow-Poiti~g CoPY
Pink-File Copy
. ~ ~ 4 { ' . i.
~'x ° i- .4..,. i 1 _ # ~ ~ ' ~ % • .
_ a ; ~ ; ~ ; ~ , , ~ ~ - ;
x _ ~ ~ ' ~ ~ , ; . ! ~ - , ~ ~ ' ,
_ _I
;
~ ~
~
_ - . r ~ . . "
I
~ i _
BLDG. PERMIT N0. I~, i`i
' 'i ~ _ _ -a-t.
~
..v
01-3210 Bldg. ~ Permit ~ ~.~i~
, c.
~ 3422 Plan Check ~
01-3445 Surch./Adm. ~
,
-
01-3446 SAC/Adm.
01-2155 Surcharge ~ ~
17-3860 Road Unit - ~
20-2275 SAC ~ -1
20-3865 Water Conn. .r ~~U ~
20-3868 Water Trmt. ; ' ~-'U ,
20-3716 4:ater Meter ~ r
2Q-2252 Acct. Dep.
20-3~13 Water Permit
20-3743 5ewer Permit
79-3866 5ewer Conn. ; -
11-3855 Park Ded.
~
~
TOTAL r~ (~i.~ r t I
DAKOTA COUNTY MINNESOTA
RECEIPT FOR PAYMENT OF PUBLIC IMPROVEMENT ASSESSMENTS A ~'3,; i~^
~
RECEIPT NO.
~ " - ~ ~
pATE ~x ~ 1
;
/
NAME: ' ~ ~ , ; ; , J!~ t ' , f
ADDRESS: ~ M
` f l ~
DESCRIPTION:
- ~ r ~'1`' ~
: ~ f ~ ~.l . , f. .E . ~
f l ~
DISTRICT PLAT ~ ~ PARCEI NO. C~ n CHECK DIGIT MUNICiPALITY
1 2-131 f14-18) 119-271 (22-231 1241
IMPROVEMENT ~'P - /+UD ~ INT. °e FROM TO ORIGINAL AMOUNT PRINCIPAL INTEREST TOTAL PAID
f~ .
li ( ' ,
~ i 7 i , C ~ G) Z L~ . C) ~.1
(27-36) 137-40~ (41-501 157-601
Paid Before Certification C(77=4) Prepayment (77 S) Paid in Full ~(78 = 1) Partial Paid ~:(78 2)
This Receipt does not include
PR EPAR ED BY NORMA B. MARSH, County Audito~, BY: F the installment certified to the
19 taxes.
PREPARED BY MUNICIPALITY OF: " J BY: ~ ~ ~ ~
IF payment is made by check, this is not a valid re ~ ipt until check is poid.
(NAME) PO~TED BY: DATE
AUDITOR'3 C~PY
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City of Eaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit#: 107 cit -it
Permit Fee:
PO5 s
Date Received: II `tt i~
Staff: ft,
2012 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit #:
Name:
scot- 1,01(-7
Address / City / Zip: 6 Licr�/r e"—
Applicant is:
Phone: 95-.1- L117 95d 7
Owner Contractor
TYPE OF WORK
Description of work: r wV DST /�C Gt�Qv�
Construction Cost: 63 da ,
Company: M?\ l 410 4''''1)
Address: /6 711-5— n7 burl
State: Mk( Zip: 5: W
Multi -Family Building: (Yes / Nc )
Contact: t
City: (11-1-4-41
-"1
Phone: )— 3 7 '30 35—
License
S
License #: GIL5 O b (6P-- Lead Certificate #: N - (13 F-22_–/
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes _No If yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
x ?'i - Noi a -445e-1
Applicants Printed Name
x
Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA124996
Date Issued:07/16/2014
Permit Category:ePermit
Site Address: 648 Superior Ct
Lot:6 Block: 2 Addition: Lakeside Estates
PID:10-44300-02-060
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 by law in ALL single family homes .
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 -
Scott G Galbari
648 Superior Ct
Eagan MN 55123--204
Window Concepts Mn
291 Eva St
St Paul MN 55107
(651) 905-0105
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA136916
Date Issued:06/07/2016
Permit Category:ePermit
Site Address: 648 Superior Ct
Lot:6 Block: 2 Addition: Lakeside Estates
PID:10-44300-02-060
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater & Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Scott G Galbari
648 Superior Ct
Eagan MN 55123--204
(952) 487-9527
Bruckmueller Plumbing Inc
3992 Pennsylvania Ave
Eagan MN 55123
(651) 686-6696
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA165835
Date Issued:11/23/2020
Permit Category:ePermit
Site Address: 648 Superior Ct
Lot:6 Block: 2 Addition: Lakeside Estates
PID:10-44300-02-060
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
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: 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 -
Scott G & Meagan A Galbari
648 Superior Ct
Eagan MN 55123--204
(952) 487-9527
Window Concepts Mn
291 Eva St
St Paul MN 55107
(651) 905-0105
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA175401
Date Issued:03/31/2022
Permit Category:ePermit
Site Address: 648 Superior Ct
Lot:6 Block: 2 Addition: Lakeside Estates
PID:10-44300-02-060
Use:
Description:
Sub Type:Furnace & Air Conditioner
Work Type:Replace
Description:
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
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 -
Scott G & Meagan A Galbari
648 Superior Ct
Eagan MN 55123--204
Homeworks Services Co Dba Homeworks Plumbing Htg
1230 Eagan Industrial Rd, Suite 117
Eagan MN 55121
(612) 400-9020
Applicant/Permitee: Signature Issued By: Signature