4051 Tilbury Way ' .
~ DATE: 12/21/89
693 HANOVER COURT, CHSSHIRB COURT
xx ' .
Your Sewer & Water Permit for the above property has been completed. It will be held at the
Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
Your Sewer & Water Permit for the above property cannot be completed for te following
reasons:
Your 5ewer & Water Permit for thC prooerty has been completed, but the meter cannot
~ be issued or occupancy allowed until further notice. yDS/ ~/AV-'y ijcy
COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confirmed by Bill Adams or Qirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept. •
ppp,--
SEWER 8 WQTER PERMIT OFFlCE USE ONLY CITY OF EAGAN M~R ~'1~,3,5~0~9 9 J PERMIT DATE 12/ 21 / t'•':
3830 Pilot Knob Rd. .
Eagan, MN 551 22-1 897 CHIP # 01-S6 6 3 D g pERMIT # 11 14t:
METER SIZE s ~ B.P. RECEIPT # C 521 ~
- ISSUE DATE B.P. RECEIPT DATE I'12'
DATE
xx pRV - BOOSTER PUMP
SRE ADDRESS PERMIT REQUESTED
LOT ~ BLOCK -LL-SEC/SUB
~ SEWER ~ WATER - TAPS
APPUCANT: -'C
ADDRESS: ~e - -1.~.. - COMM/IND ~ RESIDENTIAL
CITY, STATE ZIP A- NEW - EXISTING
PHONE~ -W.r-` I S~""I l - C,
Lawn Sprinkler Meters are to be Installed
PLUMBER: ` r= ` ~ Ahead of Domestic Meters on Water Line.
ADDRESS: Credit WILL NOT be given for Deduct Meters.
CITY, STATE :~r ~f.~ k , ~ • ZIP ` ; ~ ~
PHONE: 49 ,f- Z 1 zI
1 AGREE TO COMPLY WtTH CITY OF
OWNER: u: -rz EAGANORDINANCES
ADDRESS:
CtTY, STATE ZIP
PHONE: SIGNATURE WHEN MET ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORIA
SEYYER PERMITS, CONTACT ENCiINEERfN(i DEPT.
SEWER b 1NATER PERMIT OFFlCE USE ONLY ,
CITY OF EAGAN METER PERMIT DATE 1 Z/2 j/`` G
3830 Pilot Knob Rd.
Eagan, MN 58122-1897 CHIP ~ PERMiT # 11149 '
" METER SIZE B.P. RECEIPT ~ ~ 5213
DATE ISSUE DATE B.P. RECEIPT DATE 12/ 201`~~1
xx pRV _ BOOSTER PUMP
SITE ADDRESS PERMfT REQUESTED
LOT _BLOCK ` SEC/SUB r-
X-SEWER ::~__WATER - TAPS
APPUCANT: ~ - ' y
ADORL'$S: -COMM/IND 1-'+ RESIDENTIAL
CITY, STATE ~ ZIP NEW _ EXISTING
PHDIVE~ {V Lawn Sprinkler Meters are to be Installed
PLUMBER: ' - Ahead of Domestic Meters on Water Line.
AODRESS: ' Credit WILL NOT be given for Deduct Meters.
CITY, STATE ZIP
PHONE: - _1 AGREE TO COMPLY WITH CITY OF
OWNER: EAGAN ORDINANCES
AODRESS:
CITY, STATE ZIP
PHONE: SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 4545220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, COMTACT ENGINEERING DEPT.
F
~ CAS"E-CfIPT ~
x
CITY OF iEAGAN
3830 PiLOT KNOB ROAD ~
EAGAN, MINNESOTA 55122
DATE 19 ~rveo '
FRO.
AMOUNT a
i ' 7 t' z1
& OOUARS
O CASH _,O ~CHECK
7
oIli /~S
~ i l.~43 f/Gr~~'~' r- !:d"Jr/•,~
FUND O~.IECT qp~yU -
Thank Yau
BY
i
C 5213 ~ ~
Capy
. •
. .
(~~rttftr~~~ ~v?f (~rru~~nr~
. titp of ofagan
Mr#rarincrtit o# lluOtng Atspprtion
• Tlirs Cerlificate irsued pursuant to the requiremenls of Section 306 of the Unifonn Building
Code certifying that at rhe time of issuance lhis structure was in compliance with the various
ordinances of the City regulating building construction or ase. For the following.•
vn cwantkm SF DWG= Bldg. Ftrm;, ro. 17349
Occwa-r Tx R3/M 1 Zc,,;,,g DmW PIS/R 1 7ype Can& VN
o,,M.re~U.g1M RdTIIIM 0D.,INC. AWe. 5201 E. RIM RD.. FRIDILrY
OWd.8 AM,,. 4051 1'~LBiTRY wAY Loc,,;ry L I. B!{, HIIdS CF 992EERMM 2DID
~ i
APRM 18, 1990
B..
POST IN A CONSPICUOUS PLACE
~ , _
.
CITY OF EAGAN 173~9
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt #
To be used for SF DiAG GAR Est. value $144 000 Date DEr 20 , t 9H9--
Site Address -40.51 TILIMFRY wAY
Lot I- Block 4 Sec/Sub. OFFiCE USE ONLY
Parcel No. STONSdRIDGE Occupancy R-3 -NmI FEFS
Zoning PD B-~
W Name TH8 ROTTLtlND CO~ INC (Actual) Const Bldg. Permit 794.OQ
o Address 5201 E RIVER !D (Allowable) Surcharge 72•~
City FRIDLEY Phone 571-0306 x of 5+ories -
~p ~ Plan Review 397.00
Length
ZF ~
Name SAME pl, 34 ' sAC. city 100. d0
OU OK Address S.F. Total - SAC, MCWCC 575.00
~ City Phone S.F. Footprints -
Water Conn $80,00
On Site Sewage _
~
W W Name On Site Well - Water Meler 9a.00
Address Mwcc syscem Acct. D s;t
i~ City Phone City Water ~
PRV Required xx S/1N Permit 20, Q0
I hereby acknowlege that I have read this application and state that the Booster Pump - S/yV Surcharge 1•00
inlormation is correct and agr e to comply with aJl applicable Slate of
Minnesota Statutes and City ot~gan Ordinances. Treatment PI 225-60
,
Signature Of Permitee + APPROVALS Road Unit 340,~
A euilding Permit is issued to: , THE ROTTLUIiD CO2 INC Plan^8r - Park Oed.
on the express condition that all work shall be done in accordance with all Council
applicable State of Minnesota Stalutes and City of Eagan Ordinances. Egdg. pff. _ Copies
Building Official Vanance - TOTAL 3.227.00
Permit No. Permit Holder Date Telephone #
W6ATER .~~i-Li ~ i.i~
SEKIER ~
PLUMBING
~
H.V.A.C.
ELECTRIC ev
Inspection Date Insp. Comments
Footings I
Foundation ~
Framing
Rooling
Hough Plbg.
Rough Hig. ~ / ff
l5ul.
Fireplace -Z 3- D
FinalHtg.
Fnal Plbg.
Const. Meter Plbg. Inspector - Nofity Plumber
Engr.lPlan
Bldg. Final
Oeck Ftg.
Deck Final
Well
Pr. Disp.
INSPECTION REC4RD
CITY OF EAGAN PERMIT TYPE: ~ ~ ~ ~ ~ ~ ~ ~
3830 Pilot Knob Road Permit Number: ~
Eagan, Minnesota 55122-1897 Date Issued: ,
(612) 681-4675
SITEADDRESS:' APPLICANT:
~ ~ i i ~iii~:v iaati• ~ 4~~rr
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION D . D
~ J
Permk No. Pertnit Hoider Dete Telephone 11
ELECTRIC
PLUMBING
HVAC
InspecHon Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBIN(i
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBd
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
`z ip v~v
. CITY OF EAGAN N2 17399
3830 Pilot Knob Road, P.O. 3ox 21-199, Eagan, MN 55121
BUILDING PERMIT PHONE: 454-8100 Aeceipt # Z-) G ) IJl
Tobeusedfor SF DWG/GAR Est.Value $144,000 Date DF. 70 , 19-8-9--
SitBAddress 4051 T7iRiIRY WAY
Lot 1 Block 4 Sec/Sub. HILLS OF OFFICE USE ONLV
PBrCeI No. STONEBRIDGE 2N pccupancy R-3 M-1 FEFS
Zoning PD R-1
w Name THE ROTTLUND CO. INC (Actuaq Const Bldg. Permit 794.00
3 Address 5201 E RIVER RD (niiowaeie) -L-N 72.00
~ Surcharge
City FRIDLEY Phone 571-0304 xof stories -
Langth 70' PlanReview 397.00
, o Name SAME Dapth 34 ' SAQ City 100.00
AddfeSS S.F.7otal -
ua snc.MCwcc 575_00
a
City Phone S.F. Footprints -
On Sile Sewage _ Water Conn 580.00
W W Name On Sita Well - Water MOter 90.00
Address Mwcc syscem qmt Deposit 30.00
`a W City Phone City Water XX
PRVRequired xx SNJPermit 70-00
I hereby acknowlage that I have read this appliCation and state Ihat the Boosler Pump - SrW Surcharge 1.00
information is cortect and agr to comply with applicable State of
Minnesota Stawtes and Ci oi a,.n. ~Orrp} in ces. Treaiment PI 22A nn
Signature of Permitee - ( APPROYALS Road Unit a4(1 _ n(1
9" /
A Building Permit is issued to: THE ROTTLUND C0. INC Pianner - park Ded.
on the ezpre5s condition ihat all work shall be tlone in accordance with al1 Council
applicable State ot Minnesota nStatuteIs and City of Eagan Ordinances. gidy, pff, _ Copies
~
Building Oflicial Variance - TOTAL 3,227.0
200612ESIDENTIAL MECHANICAL rExMiT arrLrcaTioN
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: single family dwellings & townhomes/condos when permits are required for each unil
Dafe _J~_ / ~ / Cb
Site Address4f~~ Unit #
Properly Owner ~o rm a n Telephone # (C~S~
Contractor STANDAROHE1iTING&AIRC6NDITIONING
41dwESrL K EET
Street Address MINNEAPOLIS, MN 55408 City
---Gi-2-V, 2656
State ~ Zip Telephone # ( )
Bond tt: Expires:
The Applicant is _ Owner X Contractor _ Other
T~
Add-on or alteration to existing dwe(ling unit $ 30.00
- furnace _Additional Replacement _ New
airexchanger
_x air conditioner (-,-,~7(a 0~
heat pump ~r
other
State Surcharge $ .50
Total $ 3a~~
~ ocT 1 0 2006
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 Mechanica] C understand this is not a
permi but only an application for a permit, and work is not to stan without a it; that the wor i be accordance with the
appr d plan in the case of hich requires a review and approval of p s. Applicant's Printed Name pplicanYs Signatu e
2004 RESIDENTIAL BUILDING PERMIT APPLICATION
City OfEagau
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5644
New Construdion Reauirements RemodeNieoair Reauiremenls INfica UseOnlv
3 registered site surreys showing sq. ft. of lol, sq. ft. of house; and all roofed areas 2 copies of plan Cert of Survey Recd _ Y_ N
(20%maximum lat coverage allowed) 1 set of Eneigy Calculatbns for healed add'Aions Tree Pres Plan Recd _Y _N,
2 copies of plan showing beam & window sizes; poured faund design, etc. 1 site survey for additions 8 decks Tree P2s Required _ Y_ N
7 set of Energy Calculations Addrtron - indicate if on-sde sepflc sysfem On-site Septic System _ Y_ N
3 copies of Tree Preservatlon Plan'rf lot platted a8er711N3
Rim Joist Detail Oplions seleclion sheel (bldgs wAh 3 or less units
Date / Z / 0`E Construction Cost
Site Address ~ ~~~\-"KV1 W QN UniUSte #
E~ ~ M"~ SSf23
Description of Work~~ ~ r\,AO W
~
Multi-Family Bldg _ Y yZ N Fireplace(s) _ 0?1 _ 2
Praperty Owner ~ev,~r~6ti'v'"4~n Telephone#((pSO4SZ-o0 3~
Contractor
Address Cih'
State Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Categorv 1 Minnesota Rules 7672
Energy COde Category . Residential Ventilation Category 1 Worksheel • New Energy Code Worksheet
(Jsubmissiontype) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan2 _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber Telephone J
Mechanical Contractor Telephone )
Sewer/WaterContractor Telephone#~ )
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the 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.
Gev-C.(ct jJ3arv-.A.,- ~
ApplicanYs Printed Name pplicant's ature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3sea.) ? 31 Ext. Alt - Multi
? 03 01of_plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn.(4-sea.) ? 33 Ext.Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screenJgazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? OB 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Impravement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building" ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement •Demolition (Entire 81dg) - Give PCA handout to applicant
Valuation Occupancy MCES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings(new bldg) FinaUC.O.
_ Foo6ngs(deck) FinaUNo C.O.
_ Foo[ings (addition) _ Plumbing
_ Foundation HVAC
_ Diaiti Tile OYher
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests Final
_ Fraznin8 _ Siding _ Stucco _ Stone _ Brick
_ Fireplace _ R.I. _ Air Test _ Final _ Windows
_ Insulation _ Retaining Wall
Approved By: , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Pertnit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
. RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
~l 3830 PILOT KNOB RD, EACAN MN 55122
U 651-681-4675
NewConstructian Reaulrements RemodellReoairReauiremeMa
• 3 ragistered site surveys showing sq. H. of lot, sq. iL of house; and all roofed areas • 2 copies of plan
(20°k mazimum lot coverege allowed) . i set of Energy Calculations for heated addifions
• 2 wpies of plan showin9 6eam & window sizes; poured fourid desgn, etc.) . i sile survey for exlerior addiUons & decks
• 7 set of Energy Calculations • Indiple if home served by septic system tor additions
• 3 copies of Tree Presenation Plan H lot platted after 7/1193
• RimJoistDetailOptionsselectbnsheet(bldgswith3orlessunits)
/ -y ~
DATE ~ 7~ VALUATION 17(1G OO -
SITE ADDIMSS DSI i MULTI-FAMILY BLDG _Y ?N
TYPE Of W Qe- P_Dn~ bm.Sp_4~cm' '~OSQS, DUAMCcXYL&0~ FiREPLACE(S) _ 0 zi_ 2
~5 H r:
~
Rki I~t~nC ~a~r-FJ~. -EorS ,
APPLICANT 11'![/[`c4v1
STREEi ADDRESS _12_24'f7 /V i~- 6I IL' l 50-*4 CITY N V+T 1 STATEI/ZIP
TELEPHONE #059 CELL PI10NE # S9>nc. FAX # 552- 707- 5925-
PROPERTYOWNER /G041 TELEPHONE#
COMPLETE THIS SECTION FOR KNEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESO'1'A RUIS'S 7670 CATEGORY 1 MINNESOTA Ri7L.ES 7672
(J su6mission type) • Resldentlal VenUlatlon Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
. Energy Envelope Calculations Submitted
Plumbing Contractor: Phone #
Plumbing system includes: _ WaCer Soflener _ Lawn Sprinkler Fce: $90.00
Water HeaCer No. of R.I. Baths
No. of Baths
Mechanical Contractor: Phone #
Mechanical syslem includes: tlir Conditioning
_ Heat Recovery System D_ D
Sewer/Water Conhactor: Phone # MAY 0 8 2002
LIU
-
I hereby acknowledge that I have read this application, state that the infor a' n is or aTeeloc; mp y
with ail applicable Stpte of Minnesota Statutes and City of Eagan Ordi s.
Signafure of Applicant
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 ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 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 Bidg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bidgs Length Fire Sprinklered
Type of Const W idth
REQUIRED INSPECTIONS
_ Footings(new bldg) _ FinallC.O.
_ Footings (deck) _ FinaUNo C.O.
_ Footings (addirion) _ Plumbing
Foundarion HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Smcco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ 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
1989 BITII.DffiG PSB!!IT APPLICATION - CriT dF EIGAN
SIRGLS F9MILY DiIELLIN(iS 173 4 4
I
INCLODE 2 SETS OE PLANSt 3 CERTIFICATE5 OF 3URVEY, 1 SET OF ENERGY CALCULATIONS
80TE! ADD8ESSES FOH CORNEH I.OTS - COAT6AClOR/HOMEOiiNER l103T DP'.SIGBATE WHICH ADDHSSS
I3 DFSIRED. AO CHANGE4 i1ILL HE ALLOiiED OHCE Bi)ILDIBQr PSHMIT LS I35SIBD.
HQI.TIPLE'DiiEI.LINGS BSNTAL OPITS F09 SALS OBITS • OF OBITS
INCLODE 2 SETS OF PLANS, CEATIFICATE OF 3U6VEY - CflEC[ iiITH HLD(i. DEPT.t 1 SET OF ENERGY
CALCULATIONS
COM4MERCIAL
INCLUDE 2 SEfS OE ARCHITECTURAL 6 STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY C9LCULATIONS DEv 1 5 i989
To Be Osed For: ~)Lc)G,cjE 4:;~icH Valuation: 14 y1 00D Date; 1z_ 14-Q~9
Site Address 4051 Tia~uML'r GC>.4-r OFFICE OSE ONLY
Lot Bloek 4 Oecupaney R 3 M-1 F6$
Zoning PD 1~-1
Parcel/Sub 4etual Const V-N Bldg. permit 94.00
llllowable \(-N Surcharge '12,00
Oamer 0 of stories Plan Reviex 00
Length ~ SAC, City 00.0
Address c52n l E_ P~vEf2 p1. Depth 3~l SACp MWCC ,00
S.F. Total Water Conn B0100
City/Zip C03e 4~S4z.J Footprint S. F. Water Meter O, o0
Acot. Deposit 3o,oa
Phone On site sewage S/N Permit 20,oD
On aite frell S/W Sureharge ,00
Contraetor `v1aYt~, MWCC Syatem ? Treatment P1. 22 00
City rrater %7 Aoad Unit 340,ap
Address ~ PRV required V Park Ded.
Booater Pump _ Copies
City/Zip Code TOTAL
APPROYAIS
Phone Planner /
Couneil S ~ W
Arch./Engr. Bldg. Off. ~2/1S ?
Varianee
9ddress
City/Zip Code
Phone 4
NOTfis Sexer dr Aater Permit fees and aceount deposit feea vill be ineluded in the building
permit fee. Processing time for aewer and water permita is two days once a lioeneed
plumber has applied for a permit at City 8a11.
` VALuAJIoQ
G ARAGE .
2oxiZ: 240 ~
22x ?2= 48y
~ Z'-f X I S= 1b8~p
BSMZ-
3~ k 1 SZ
Q `e)
llyyA~y= IbQI(o
3s~M i 4 y
.I(&~xioo l%6jC'o v
1y3) 39(.
2422 Enterprise Drive
PIONEER L/1Np5UpVEYORS~CIVILENGINEERS Mendota Heights, MN 55120
i` engineering~. LI1fJOPLRNNER3•LANOSCAPEIIRCHITECTS
* (612) 681-1914
Certificate af Survey for. TII[-RO r~LUI V LJ 00.1NC -~t
NoFtTH
RoA D
P~RK ~Qc 'G~.~n
° Z
'?oRT`I?wl/
~3y
d ~ B•~ ' ~ g.
9 ~ a
,
O/
V~ ~ O . ~ \ bo
• ~ T ;n y,0 1
~ 1 e 1
`
J-
r - I a~
~ N
~ 7p.33o ~ ~
n
~ ry
m
r,~~,y
~ v~
,z J~o
E{- F=I' lt7 EN uI~,FIZ ERE.DEP1'
f~'o o ~~QURED
. 900.0 Deriotes ex?'sf;n4 Elevaf?on sE N E LEVartoN
~,900.o Denotes propdged E/eval'ion Lowes Foor eva ion sbi•`
- Ghnofes Orainafef Ufiliy Easemenf Top o; 8/ock Elevafion 869.(.
Denotes Or4incle F7aw Arrows Garoe Slab flevation &9. 3o benofes monumenf oOeno es Otlrsef Nub
Beariqls shown vre assumed Su ~'ed to Easements o,oRecard
LOT BLOCU 4,14IILS OF STOIVEBRIdCE PLAT 2
DAKOTA CLVNTy
I hereby certify that thie is a true and correct representation ot a survey of the houndaries of the above d cri6ed la nd ofJ,h e location of all
huildings, thereon, and sit visible encroachments, if any, /rom or on uid land. As surveyed by me thisy~~lay of , r~../... A.D. 19-ft.
11
Sea/e : 1 rneh, 40eef ~ i~ /
~v`
ROBERT 8, SIKI, L.
-I S. REG. NO. I 891
. MF.fiiOii F:NVF.id11•r. nvFrncf: "u" cuo-rruTn•rION NO,eMf}NDY -
owr+ER
. ~ .
SITE ADDSESS I-c T.9 / f-1 i ~Lc, c~ -P = roU~~ ~x ~ . . .
CONTRACTOR P-oTTL l/Nl~ G C~ . DATF. PHONE
Determin vorkini, squnre footare of ench.
1. Total exposed vall area 25 /;;•I? sq. fE. x 0.11
2. Total roof/ceiling area . 1179'!F sq. ft. x g%0'`6 = ~Jfl.(9L
• •
Total exposed vall area nbove floor
a. Total wall vindow area .
o b. Total door area (0.42
c. Total sliding glass door area
d. Total fireplace vall area 2 G
e. Total wall framing area (average lOP) 2.~ D. 17
Y. Total net wall area nbove floor /,9 q 7,0 / •
. 8• Total rim joist aren .2 2 tJ,All
, Total exposed foundation arca
h. Total foundetion vindow area ^ i. Tota1 net faundation area ubove grade ,li40
. Determine "U" value o: each vall sr:Fment.
. •
8. 184.2 z,.~„ O,¢2 _ 77•34 .
b. 6(o.4--o'L x,.U„ 7.7$
• . C. X ~lUll ~
d. 2¢ x„u,,
e, .77 x-ue, 13 .'7 J'`
f. 1~97;ar X,.~.. . p.a43 81.5? ~ .
. g, 2 z.~ . o x~.t,,~ o, o~f f _ 9.0 5
n. /V, 75 X.,u,, 7. 2t
i. q~f • G 3 X..U„
3. . •ror.::l
_
If item'13 is the same as, or less 1-1i:,n iten ql, you havc met the intent
of SBC 6oo6(c)2. .
' Total exposed roof/ceilinG aren
• , ~ . . -
Total gross roof/ceilint; are:i =
Totel skylight area _ 7. g
k. Total roof/ceiling frsming area
1. Total net insulated roof/ceiling area f/ G/• 5 5_ •
Determine "U" value for cach roof/ceiling, segmcnt.
, X uUn
?
x: 1i7. 9~ X„U„ ~,cZ-7 = 3:1~ • ' .
1_ Total _Z G. 5 3
If total of N4 is the same es, or less than N2, you have met ttie intent of
53C 6oo6(c)1.
To utilize the total envelope system method, the values establiahed by the sum of items N3 end Bb shall not be greater.than the sum of iten,s 81 and N2.
+ 2.
' • g•, +
• ~ . • .
• ,
.
0
.
_ . o ^
, - CIl Y OF EAGAN PERMIT c:r~~~Do4
3830 Pilot Knob Road PERMIT TYPE:
Permit Number: B U I L D I N G
Eagan, Minnesota 55122-1897 0 2 6 3 9 9 ,
(612) 681-4675 Date Issued: 0 9 /18 f g 5
SITE ADDRESS:
4051 TILBURY WAY
LO7: 1 BLOCK: 4
HILLS OF STONEBRIDGE 2ND
P.I.N.: 10-32991-010-04
DESCRIPTION:
6ui18ing~Permit Type DECK
Building Wcs`rI Type NEW
~
.
.
.
v . .
.
,.v. ...J .i ._.~l . .L.
REMARKS:
FEE SUMMARY:
Base Fee $30.00
Surcharge $.50
Tatal Fee $30.50
CONTRACTOR: OWNER: - qpplicant
LUTZ TOM
4051 TILBURY WAY
EAGAN MN 55123
(612)490-1419
I hersby acknowledge that I have read this application and state that the
information is correct and agree to comply with s11 applicable 5tate a'P IHn.
Statutes and City f Eagan Ordinances.
L f ~
t~x }ane'~,.yt~i~rn.
APPLICANTIPERMITEE SIGNATURE - ISSUE B IGN T?. URE ' l
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: B U I L D I N G
3830 Pilot Knob Road Permit Num6er: 026399
Eagan, Minnesota 55122-1897 Date Issued: e 9/ 18 / 9 5
(612) 681-4675
SITE ADDRESS: P• I. N. e 18-32991-018-04 pppLICANT:
LOT: 1 BLOCK: 4
4051 TILBURY WAY LUTZ TOM
HILLS OF STONEBRIDGE 2ND (612) 490-1419
PERMIT SUBTYPE: TYPE OF WORK:
DECK NEW
INSPECTION . DA
FOO72NG5 FINAL
F
~
L
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
1995 BUILDtNG PERMIgs P4fi 15ATION (RESIDENTIAL)
New Conshuefion Renuirements RemodeVReoair Reauirements
? 3 iepbEerod site suneys 2 copies of plari
? 2 mpiee of plena (indutle beam 8 window sfzes; poured fid. design; etc.) ? 2 slte surveys (exterior additions 8 dedca)
? 1 energy eelala6ons ? 7 errergy calculaBOna Mr heated additions
? 3 oopies of Uee pieservation plan M b2 platted aRer 7/1/93
required: _ Yes _ No
DATE: 4;apl Ejj( 9qS CONSTRUCTION COST:
DESCRIPTION OF WORK: D2G~ rAG+(d;'E'1 p1N
STREETADDRESS:
LOT BLOCK SUBD./P.I.D.
CSa-aw~e N90 - I 19 w)
PROPERTY Name: ~,J}Z --rQ V1'N Phone 101- ~~RS LN~
OWNER
Street Address• y~Sl T~ Ibur-4 IAIa./
City: Faaa N State: Yy) l~ Zip• ~ S~ Z 3
coNTw?cTOR Company: Phone Street A ress: License
State: Zip*
ARCHITECTI Company: Phone #ENGINEER
Name: Registration
Stsae, A~' ess_
Ciry: State: Zip:
Sewer 8 water licensed plumber: Penalty applies when address change and lot
change are requested once permit is issued.
I hereby acknowtedge that I have read this application and state that the infortnation conect a gree ro comply with all
appticable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY RECENED
Certificates of Survey Received _ Yes _ No SEP 0 3 1995
Tree Preservation Plan Received Yes No -
OFFICE USE ONLY
BUILDING PERMIT TYPE . .
0 01 Foundation o 06 Duplex o 11 Apt./Lodging o 16 Basement Finish
0 02 SF Dweliing o 07 4-plex ? 12 MuRi Repair/Rem, 0 17 Swim Pool
0 03 SF Addition o 08 8-plex ? 13 Garage/Accessory o 20 Pubtic Facility
0 04 SF Porch o 09 12-plex o 14 Fireplace o 21 Miscellaneous
0 05 SF Misc. 0 10 = plex )0~ 15 Dec
r •
WORK TYPE
o~31 New o 33 Alterations o 36 Move
;P(32 Addition o 34 Repair o 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MGWS System
(Allowable) Main level sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code. h'3 y
Depth Footprint sq. ft. SAC Code o/
Census Bldg ~
Census Unit 6_
APPROVALS
Planning Buifding Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License.
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
SNV Permit
SIW Surcharge
Treatment PI.
Road Unit
Park Ded.
Treils Ded.
Other
Copies
Total:
°k SAC
SAC Units
i
~
Wif
Gorner p4at lootin9s : Goacrete I 2' square (92' deeP/36' 1teP 4' x 4' trcateJ pine ynst]
Interscdiatc Posi ioating : Goncrcto I G' squi ro (42' docp/36' dccP 4' e 9' troa[o1 pinc Pos[)
~ SPr~(~t Beu : TroAtcJpi ne 2-2'yS' nei led to ether lon )
1~I6o ~ 50 If Jaists : Traated pine 2':G'd 0" (I 6'OG, 2 ouLSi e are I 3'06)
autsi c oist .nJ roa~l p a'f;Le .r
51air : Gednr. I 2'etringer, 2 stcpe, rise b', run N', eidth 36' `
~-L~ -
Propartr Lioe 45'
• l = ~ V
EE].
1I i5 7 11 I I I I I I I I I
_ 4~~ i i6~ e~i ~ i i h~ a~i i I~ p.
~
\apcriy Lins 35' * Profcrty Line 25'+ ~ -
45" ~i
• i ~ i ~ ~ ~ i i i ~ ~
o
-
0 I 1 I I I I 1 1 I 1 1
, I I 1 I I 1 I 1 1
I I 1 I I 1 I
G•eck Flaorin9 LoJger Bsard ~ TrsateJ Pine 12' x 6')
God.r Z' x~G' U/8 9aPe) Aletal Flaehinl abors
Jsist tullq c,ulked
I 1 1 . 4~~ • 4~~ . 4~' . 4'' ' 4'~ ' 4'~I - 4'p ' 4'p1, 4''~ .~~~,p -
i i
521769
P
HILLS OF STONEBRIDGE PLAT 2
PRESSURE REDUCING VALVE AGREEMENT
This agreement, made and entered into the ZT2~/-day of
1989, by and between the CITY OF EAGAN, a
municipality of the State of Minnesota, (hereinafter called the
City), and the Owner and the Developer identified herein.
The terms "Developer" and "Owner" as used herein refer to
UNITED MORTGAGE CORPORATION whose address is 8300 Norman Center
Drive, Suite 1000, Bloomington, Minnesota 55437.
wHEREAS, the Developer has applied to the City for approval of
the plat or subdivision known as HILLS OF STONEBRIDGE PLAT 2,
located within the City; and
WHEREAS, the Owner and Developer agree to notify potential
buyers of all lots within HILLS OF STONEBRIDGE PLAT 2 that Lots
4, 5, 6, 7 and 8, Block 1 and Lot 1, Block 4 are in a high water
pressure zone and a pressure reducing valve shall be installed in
each home below the elevation of 875 feet. All costs shall be the
responsibility of the potential buyer and lot owner when a home is
constructed and shall be installed to prevent damage due to high
water pressure.
NOW, THEREFORE, the City, Owner and Developer agree as follows:
1. Recordinq. This agreement shall be recorded with the
, Dakota County Recorder so as to provide notice to the owners of
Lots 4, 5, 6, 7 and 8, Block 1, and Lot 1, Block 4, HILLS OF
5v
;TONEBRIDGE PLAT 2` The Owner shall provide and execute any and all
documents necessary to implement the recording of this agreement.
2. Notice. The recording of this document shall constitute
notice to all owners and future owners of property in the HILLS OF
STONEBRIDGE PLAT 2 subdivision that Lots 4, 5, 6, 7 and 8, Block 1
and Lot 1, Block 4 are in a high water pressure zone and that a
pressure reducing valve shall be installed in each home beZow the
elevation of 875 feet. All costs shall be the responsibility of
the potential buyer and lot owner when the home is constructed and
shall be installed to prevent damage due to high water pressure.
3. Validity. If any portion, section, subsection, sentence,
clause, paragraph or phrase of this agreement is for any reason
held to be invalid, such decision shall not affect the validity of
the remaining portion of this Contract.
4. Binding Agreement. The parties mutually recognize and
agree that all terms and conditions of this recordable agreement
shall run with the land herein described and shall be binding upon
the heirs, successors, administrators and assigns of the Owners and
Developers referenced in this Contract.
IN WITNESS WHEREOF, we have hereunto set our hands.
CITY OF EAGAN OWNER AND DEVELOPER:
DATED: . . UNITED MORTGAGE CORPORATION
By: Victor L. Ellison By:
Its: Mayor Its:
U\~AAO,hb& uL
Attest . J. VanOverbeke By:
Its: lerk Its: ~
(SEAL)
STATE OF MINNESOTA )
) ss.
COUNTY OFf~ ~O T )
On this /Zn4day of !C TG~~~,--1989, before me a
Notary Public within and for said County, personally appeared
VICTOR L. ELLISON and E. J. VanOVERBEKE to me personally known, who
being each by me duly sworn, each did say that they are
respectively the Mayor and Clerk of the City of Eagan, the
municipality named in the foregoing instrument, and that the seal
affixed on behalf of said municipality by authority of its City
Council and said Mayor and Clerk acknowledged said instrument to be
the free act and deed of said municipality.
~
7 ~
MA@ILYN L WIICHECPFENNIG 'Gt~
NnrAPYPL'.LIC-MI!;Y,ESOTA N tary llbl1C
\ DAY,OTA CCUNTY
My f.cnu:acr:cn Er.P f,b 8 1'^.3; .
NM: tNi IM,• •=:.•sr!(!1f
STATE OF MINNESOTA )
) ss.
courrrY oF
~tjeL
r P )
On this /6/~ day of 1989, before me a
No,ta~ry Publi with'n an for said County, personally appeared
_ LfJALI~'U~ l~~L -e"d--
to me person k~own, who being~a~r b me 1 $w-orn~ eae~s-did
lly
say that
D ` the fSILL~.II
--and of the Corporation named in the
foregoing instrument, =h_= ar=----' - -
`h^ °t^ eF :a earperation, and that said instrument
was signed-RnA-sealed on behalf o'f/ said o~r~ o~r~tlt~io~n~y authority of
its Board of Directors and said U~~ PK-L~I~11
-and acknowledged said instrument to
be the free act and deed of the corporation.
DENISE J. KOENCK j -
M7~M111~.~C. Duota Cou~~r ~.~nn
~ ,N ~ Fw 5 Notary Publi
EXHIBIT "A"
HILLS OF STONEBRIDGE PLAT 2
{L4L; . . r~rr~• j.::.;,~~ i ' ~ _ . . , mnar r- . --~~r
b~ . L.S-~.I-~..1~ ~i~ • •
I•~,~ ~ ` v~_ / wY O". . t . ~ r~~y~.
» y , ~ ~
J r` ~ ~ ~ ~+V.~ •
Y r:s• - ~ . yyK- ~°e
~ r ' ' ' .
jp a ti•' : j'i[;{'y} ¢y / .
7~ ~ ~i V'~4 .~,~w ~ ~ ~t :j :{~~~:~•~.~~1P~ /
~ i /
,F. _ . ~ . • . h` . _ ~ ~ N Ff .
~ f ~~~f' . w ~ 1M ~ ~ •.YE.~ ~ ~.rw
M~` ~ ~ , .~'d~•~l~ Y ~ ~ ~ ' ' ' I
~f ou..e. ~ ,4~: , - • ~ ~Y j°' / i ? i
' J~C,;•_ ~ ' ;+9i~ .fi~' ~~,r.~? t i~ • ~ ' ~ ~ t / ~
~s ~c~ • . A ' ~ ' ~ ~ 1 I I
:
J!
~
d 51or
-a8W aGE
_ RLSMM~1:
1 . _ . _ _
„L~1 ~/L MrlJ~ f~Wf iir Se W r' L.a~ ,I
3~6Ct Z O~ r Sfi/rri
LOTS ON WHICH HOMES REQUIRE PRESSURE REDUCINCS VALVES
(First Floor Elev, Below 875.0)
APPROVED AS TO FORM:
D-L'
C' y Atto ney' ce
ate•
APPROVED AS TO CONTENT:
Public Woi`ks Department
Date: n'•c.t iP,, ~gs"
THIS INSTRUMENT WAS DRAFTED BY:
SEVERSON, WILCOX & SAELDON, P.A.
I~ 7300 West 147th Street
P.O. Box 24329
Apple Valley, MN 55124
(612) 432-3136
MGDJ(P-L
921769
OFFICE OF THE CAUNTY
RECORDER-DAKOTA COUNTY, MN.
CERTIFIED THAT THE WITHIN
INSTRUMENT WAS FILED FOR
RECORD IN THIS OFFICE
ON AND AT
vs
DOC. No 921769
JAMES NCOUNTY REC RDER
DEPUTY FEE -47 CASH O HECK)~ CHARGE ?
CHARGE WHOM
REFUND
p0 NOT REMOVE
r L e ox ~ S•,-r c c.~c~ti;
PERMIT # 5-7 &R ~1
RECEIPT DATE:
8008 USIDENTIAL PLUb1BIRH PERMiT APPLICATION
crrY oF EAsAv
3830 PILOT KAOB RD
L'AfiAR, MA 551EE
651-6$1-4675
Please complete for. single family dwellings, townhomes and condos when permits are required for each unit,
backFlOw preventer for irngation system
SITE ADDRESS: I U 5 I TI IbLl r ~j W 1.4
OWNER NAME: : T1 hCI a ~V rmQn TELEPHONE 165 l_`iSZ - O0N
(AREA CODE)
INSTALLER NAME: !_)dc\TYO J ~ TELEPHONE ~ 5Z _`i (D "l ` ~AI 9
(„fte,4 cc~e;
STREET ADDRESS: V
CITY: Wm ~h STATE: ? 1 I IV ZIP:
_ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00
includes $40.00 County fee
Note: Additional consultant fees may apply
• MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING:
_ Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00
_ Abandonment of septic system.
_ W ater turnaround - existing dwelling unit 5/8" meter if needed -$118)
Other:
RPZ: new installatioNrePaidrebuild $ 30.00
_ lawn irrigation system
20-J 3
I
ReplacemenUadditional: _ watersoftener wltevr-heater3"L $ 15.00
State Surcharge $ 50
TOtal $ -5
I herebyacknowledge fhat I have read this appliration, state that the in(ormation is wrrect, and agree to complywith all applicable Ciry of 4gan ordinances. It
is tha applicanCs responsibility to noGty the property owner that the City of Eagan assumes liabil' for any damag sed hy the i du ' ils normal
n .
operational and maintenance acfivities lo the facilities conslructed under this pe it wi ty pr --wa~ 512
SI NAT RE OF PERMITT 1102
.
~ FoMQft'±ce;Use
AGEM6
qlwp ~
~lty of EBpIl ~ Per„itt gao (a cD ;
~ PermR Fee: I.~ C~v ~
3830 Pilot Knob Road
Eagan IIAN 55122 j Date Received: I
Phone: (651) 675-5675 I starf: ~ I
Fex:(657)675-5694 L 1
2008 RES[DENTIAL. BUfLD1NG.PERRAIT APPLICATION
Date: s,te AddresB: yor ~ ~ a~2y
Tenant: /'~Cec.',b +cja~ mnwi suite
RESiQENT / OWNER Name: ACCC. lA + J/+.. 902M Phone:G.']-I c-'/S- z
Address / Ciry / Zip:'705-1 ( 1~ ~3u2~ 4/sa Cc .eu /
Appiicant is: _ Owner Contractor
TYPE OF WORK Desciiption of work: eAaSeme.v~7 J~ 1.5~~
Construction Cosi: zqax) Mutti-Famity Building: (Yes Noxi
CONTRACTOR Name:.!-c T"sON CtiJTW2'S e 5 6.If License cS D(.0 30 ! a. 6'
Address: GKI4 1-no2 6A/ Auc S
c;ty: Ric.Wi, (o scate: k7r.i z;P: S3zi Z 3
Phone:Gl2-265-417)3 Corrtac[Persort: 5)-Wc'
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 76 0 Cate or 1 Minnesota Rules7672
1
Energy Code . Residential VeMilatfon ^etegory 1 Nlorksheet • New Eneryy Co~~wm~~-icsee[.
~
Cetegory Swmitted SWmitte C
(d submiSBion fype) • Energy Emelope Cakulah ris Submitted ~ ~
FtB 1 I 2008
{rt fhe last 12~mwrths; has the Clty Eagart issued a pem~Ft a simNar plart ort a masterplart?
_Yes ~No vi yes, date and addr of master plan:
' •76 - Z£~_
Licensed Plumber: reA,~/AZ Phon
Mechanical Contractor: Q~ E Phone: y 73' 2 7
Sewer & Water Contractor: N Phone:.
, NQTE: Pfans and supporting documents that you submit,are consJdered !o be publlcJnfo tJon. :Portlons'of
' the"informafion inay be classHfed as non=publlc If you provide speclfJc reasons. that would perm(t ihe City tp
°conafude`Hmt they aretrade secrets.
4 flereby aeknowledge Ehaf Ehis irNOrmstion is corapletearn1 aceurate; ihat4heworkwillbe- inoonformflr+ee-withtfle ordinances anCcodes Mthe-Giry ofEagan; that I undersland this is not a permii, but only an application tor a permit, and xrork is rrot to slart without a permit; that ihe woAc will be in
accordancewith the approved plan in 1he case of xqek which vequires a review and approvalof ptans.
x
ApplicenfsPrintedName Ap s gnafure
Page 1 013
~
,
DO NOT WRITE BELOW THIS LINE
sus Traes
? Foundatlon ? OS-plex ? 7&plex ? Accessory Building ? Pool
? Single Family ? 06-plex ? Fireplece ? Porch (3-season) ? Ext. Alt. - Multi
0 IIl af _flex ? 07•plex ? Garage ? PoTCfi (4season) O Ext. i11t. -Sf
02-Plex0 08-plex0 Deck0 Rotch(sereen/gazebolpergola).. 0MWiiMlsc.
? 03-Plex ? YO-.plex WT .Lower level ? Storm Damage
? 04PIex ? 12-plex ? Miscellanepus
WORK TYFES
? New ? Interlor Improvement ? Siding ? Demoliah Building'
? Addifion 0 Move Building ? Reroof ? Demolish Interior
ZX- Alteration ? Fire Repafr ? Windows ? Demalish Foundation
p qeptacentem ? Egress Window' O WaterDamage'
'.DemoWion.(entire.building)-9ivePCA handoutto appl'iCanl
DESCRIPTION•.
Valuation V 1J Occupancy ~ MCES System
Plan Review Code Edition SAC Units
(25% 100°/, _V_) Zoning City Water
Census Code Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Const. Width
REQUIRED INSPECTIONS-
Footings(new bldg) Sheetrock
Footlngs (deck) FinaliC:O.
Footings (addition) ~ FinalMo..C.O.
Foundation HVAC
Drein Tile ~ Other:
Roof: Ice &.Water_ Final Pool:._Footings ._AidGas.Tests Final.
Framing _ Slding: _Stucco Lath _Stone Lath _Brick
-7y Fireplace:_R.I. _AirTest _Final Windows
~ Insulation _ Retaining Wall
Revlewed By: ' In ~ . Building Inspector
- - - - - - - - - - - - -
AES/DENTlA! FEES:
Base Fee / / G ~
Surcharge (~L~~/7
~d J
Plan Review
MClES SAC
City SAC
Utility.Connection. Charge
S8W Permib& Surcharge
Treatment Plant
Gopies
Total
Page 2 of 3
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4051 Tilbury Way
Lot: 1 Block: 4 Addition: Hills of Stonebridge Plat 2
PID:10- 32991 - 010 -04
Use:
Description:
Sub Type: e - Fixtures
Work Type: New
Description: Basement Fixtures
Meter Size Meter Type
Comments:
Fee Summary:
Contractor:
Stewart Plumbing
13025 George Weber Dr #1
Rogers MN 55374
(763) 428 -1833
Total:
Manufacturer
Scott Stewart
13025 George Weber Drive
Suite #1
PL - Permit Fee (miscellaneous)
Surcharge -Fixed
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Serial Number Remote Number
Owner:
Gerald J Borman
4051 Tilbury Way
Eagan MN 55123
$50.00 0801.4087
$0.50 9001.2195
$50.50
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
Issued By: Signature
Plumbing
EA082061
02/26/2008
ePermit
Line Size
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA123284
Date Issued:06/03/2014
Permit Category:ePermit
Site Address: 4051 Tilbury Way
Lot:1 Block: 4 Addition: Hills Of Stonebridge Plat 2
PID:10-32991-04-010
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
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 -
Gerald J Borman
4051 Tilbury Way
Eagan MN 55123
Krech Exteriors Inc
5866 Blackshire Path
Inver Grove Heights MN 55076
(651) 688-6368
Applicant/Permitee: Signature Issued By: Signature
40111'
City of Eau
Date:
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use ��
Permit #: / ? 9 !j(%
Permit Fee: (:/ V `G V
Date Received:
Staff:
2016 RESIDENTIAL PLUMBING PERMIT APPLICATION
L-94% Site Address:
Tenant:
/ 1 ' /bc)r , y
Suite #:
Name: 't, c—(—C-C--\ Phone:
Address / City / Zip: 05
Name: erl 105 '`/1lt°bit7Ci License #:
Address: 7g7 /7f)h1 xi / /TLC City: ;.7'*
State: l f lN Zip: /575:/0,t1 Phone: cS�, 74 (as -LY 7
Contact: l� r.j`%F✓ /( _i1
New _ Replacement
Repair
_ Rebuild V Modity Space _ Work in R.O.W.
Description of work:
RESIDENTIAL
Water Heater
Lawn Irrigation ( RPZ / _ PVB)
Septic System
Abandonment
0-)01)._,, rcZ'nr\
Water Softener
Add Plumbing Fixtures ( ✓ Main / _ Lower Level)
Water Turnaround
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener (includes State Surcharge)
$60.00 Lawn Irrigation (includes State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes State Surcharge)
*Water Tumaround (add $280.00 if a 3/4" meter is required)
$115.00 Septic System New (includes County fee and State Surcharge)
TOTAL FEES $ if.7O '
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
CaII 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
x 1-tCvl-+��
Appli nt's Printed Name
x
Appli nt's Signature
4101.
CityofEaaafl
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
FEB 032016
r
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee:
/31
91,x.
Date Received:
Staff:
2016 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit #:
dir \
Reside ��
OWE ='
Name: ,k,. a tG(4 fi.,'l'"Q., Phone: (C(- it -25"%54
/ �
Address / Cit / Zi Oct / £� Y/2/ ° - ( 2
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Applicant is: Owner Contractor 1 `
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®. Work
Description of work: kt f(-6 ,,, 7- /' /3 I (1K.,ir7e L (S a f ,7 �
�C t)c) Multi -Family Building: (Yes / No)C )
Construction Cost: � S ,
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Com anY: li/J1 /1S�rz.(.�:, Contact: �"1 ��-y/
Address: &'/s 2,./z.,-- g-) q City: ! !
State: r Zip:�-
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License #:k o _, J2 U Lead Certificate #:
If the project is exempt from lead certification, please explain why:
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In the last 12 months,
Yes No
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
has the City of Eagan issued a permit for a similar plan based on a master plan?
If yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Fire Suppression Contractor:
Phone:
Phone:
Phone:
Phone:
NOT ` P/ans :s upporting u sub ge to be ® l rf•
ti
the info` � n may tie cas on- bli f y 6 ` ®z pecrfic reaso at would
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eludef at y a tr i ecrets.
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.qopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by
a building permit issued in accordance with the MinnespEa Sate Building Code must be completed within 180
days of permit issuance.
X a.Me
Applicant's Printe
N�fine
7
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Appli
ure
Page 1 of 3
gal-_) 'TT) bfr 1-'<J
DO NOT WRITE BELOW jrHIS LINE/
SUB TYPES
Foundation Fireplace
Single Family Garage
Multi Deck
01 of _ Plex Lower Level
WORK TYPES
New Interior Improvement
Addition Move Building
Alteration Fire Repair
Replace Repair
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25% 100%
Census Code
# of Units
# of Buildings
Type of Construction
0
0eV
'1a 4,
Porch (3 -Season)
Porch (4 -Season)
Porch (Screen/Gazebo/Pergola)
Pool
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Roof: Ice & Water Final
Framing
Fireplace: Rough In Air Test Final
,, Insulation
Sheathing
Sheetrock
Fire Walls
Braced Walls
Shower Pan
Reviewed By:
Siding
Reroof
Windows
Egress Window
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Accessory Building
Demolish Building*
Demolish Interior
Demolish Foundation
Water Damage
*Demolition of entire building - give PCA handout to applicant
Z Rz,
R
/y'
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Suppression Required
Meter Size:
Final / C.O. Required
It Final / No C.O. Required
HVAC _ Gas Service Test Gas Line Air Test
Pool: _Footings Air/Gas Tests _Final
Drain Tile
Siding: _Stucco Lath Stone Lath _Brick
Windows
Retaining Wall: _ Footings _ Backfill Final
Radon Control
Fire Suppression: _Rough In Final
Erosion Control
Other:
, Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
/77'
/
-/ 4/ # 0 '/O
Page 2 of 3