1375 Towerview RdCity of Eapil
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
qo
Use BLUE or BLACK Ink
Permit #:
Permit Fee: lqv/J
I
Date Rece'ved:
Staff:
2011 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: II (I 1 Site Address: _ ) 3 ? 5 I0UYJi e� e;...A Uni
J
RESIDENT /
OWNERAddress
Name: S V'V\ .. Phone: 661:10 I- 7 5 I -
/ City / Zip: i t9 - &'CVt &, 0 ?E:3 MM! CS-/ 2_-_ I
Applicant is: Owner X Contractor
TYPE OF WORK
Description of work: t3.CR_ t? ����\IN VWJLZ -
Construction Cost: *161139-1- Multi -Family Building: (Yes / No )
CONTRACTOR
f , `1
Company:---DiBeis-Design-&- Contact: b f (\ N (Cy ols
eltmodel .-- _---)
Address: 11825 Poin(DouglasDrive South City:
_
State: Zip: Hastings, MN 55 one:
_l.P6l�46B-094i/
License #: 118 b Lead Certificate #:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
In the last 12 months,
_Yes )( No If
Licensed Plumber:
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?
yes, date and address of master plan:
Phone:
Mechanical Contractor:
Sewer & Water Contractor:
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 yoti 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.ciooherstateonecall.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 approv plans.
x:1iy\ 16101s
Applicant's Printed Name
Applic pt's Signature
Page 1 of 3
ø
ýüûüú
þýý üüûüûúü
ùýý üêÿøñéñ
þñü
üþ ÿ
à
ÿþ
þýõ
ùø÷
öþ þõü þ
þü þ
õ
÷
öþ óþ
þÿ
ö õü þ
þü þ
ãþ þ
ùÞþãþ þ
÷
öþãüéü
þ
ùþ
üóñøþ
òþñ þóñøþ
þùÞþ
å
ÿíþ
ý
à ò
ýüûüúñ
àà
þ
ñ îþþáõùÝô
õ ßæêê
ôù
ù
ëü
ûþîèþæêäêä
çüü ê
óøøò
õ ÷ñ
ööü
ëüñö ñøûùÿü üûþñü
à òêúâ÷
þ
ìþ
ò
ýüûüãóýüûüãó
áàßà
ëþ
þø
ü
þûþ ëü ëüìþ
þü ëÿüööü üÿ ü þ ëü ëþé
ñü ÿ
þ üüû
þþ ñö
ëüüööüøþù ü þ
éãþÿ üù ü þÿü
éýüûüí
üþÿê
ööü ô þ
ñ þþ ùûü
þÿÿþ
ùûü
þ
CITY OF EAGAN
3830 Plot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE 49;A-ainn
BUILDING PERMIT
X, I
To be u"d!ar SF D1
$67,000
«2 12603
Receipt M --y
Site Address 1375 TOWf3RVIEW ROAD Erect ?I Occupancy R3
Lot 1 Block 2 Sec/Sub. LEMAY LAKE HILIAmodel ? zoning R1
Parcel No. Repair ? Type of Const V:,
Addition ? No. Stories
$ Name RSM
Address 1830
HOA".ES
8 MURPH LAKE
Move
Demolish
?
? 36
Length
Depth 46
PRIOR L
° Cit 432-2440 Int Impr. ? Sq. Ft
y one Install ?
Name SAME Approvals Fees
a Address Assessment Permit 334.00
City Phone Water S Sew. Surcharge 33.50
Q Police Plan Review 167.00
W is Name APS DESIGN
t_ z
x
Fire
575.00
SAC
o Address
o
16 City Phone 450-0867 Eng.
Pl
r Water Conn. 500.09
63.5P
Ihereby acknowledge that lhave read this application andstate that
the anne
Council
$
1
Bld
0 Water Meter
Road Unit 290.00
0
156
00
information is correct and agree to comply with all applicable State of g.
_ .
Tr. PI.
Minnesota Statutes and City E
dinances. APC Parks
q
Signature of Permittee Var. Date Copies
2
11
$
,
9.00
Total
A Building Permit is issued to: RSY1 HOMES
all work shall be done in accordance with all a
li
bl
S
t on the express condition that
pp
ca
e
ta
e of Minnesota Statutes and City of Eagan Ordinances.
Building Official-
p", Mo. I Pam Yl Madm I oaa T&whom M '
Final
Oct.
PERMIT It
MECHANICAL PERMIT RECEIPT 4 <
CITY OF EAGAN
'
CONTRACT PRICE 3830 PILOT KNOB ROAD, EAGAN, MN $5121 DATE: i ? -
PHONE: 454-8100
Site Ac(dress
BLDG. TYPE WORK DESCRIPTION
Lot- BloCk Sec/Sub•. v. r «.
m Name
Res. New
_
Address F .(?
-i •' +' I ( ?
y MuR Add-on
c
City
Phone Comm. Repair
Other
Name
F
ES
Address E
RES
HVAC 0-100 MBTU -$24
00
p
3 City Phone .
.
ADDITIONAL 50 M BTU - 8
00
.
ADD-ON AIR COND. 0-24 BTU - 12.00
TYPE OF WORK ADDITIONAL 6 M BTU - 6.00
Forced Air
MBTU
` GAS OUTLETS - 1.50 EA.
COMM/IND FEE - 1% OF CONTRACT FEE
Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00
Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00
Air Cond. M BTU STATE SURCHARGE PER PERMIT - .50
Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1
000
00
Gas Piping Outlets 4 ,
.
)
Other
FEE:-
?-
SIC: U SIGNA URE OF PER
-
FOR: CITY OF EAGAN
CONTRACT PRICE
Site Address J2;%_
?f
Lot Z_ Block 2
m Name
Address ?? y? S ?•
c city
Name
3 Address
O City
PERMIT #k
PLUMBING PERMIT RECEIPT #
CITY OF EAGAN
3030 PILOT KNOB ROAD, EAGAN, MN 55121 DATE
PHONE: 454-0100
WORK DESCRIPTION
FETES
COMM/IND FEE - 1 % OF CONTRACT FEE
MINIMUM - RESIDENTIAL FEE _$110.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $•50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
FOR: CITY OF EAGAN
Res. ., New
Mult Add-on
Comm Repair
NO. FIXTURES TOTAL
Water Closet - $3.00 $
Bath Tubs - $3.00
Lavatory - $3.00
Shower - $3.00
-
-
7
Kitchen Sink - $3.00
Urinal/Bidet - $3.00
ZLaundry Tray - $3.00
Floor Drains - $1.50
-/ -Water Heater - $1.50
Whirlpool - $3.00
/Gas Piping Outlets - $1.50
Softener - $5.00
Well - $10.00
.?_Private Disp. - $10.00
Rough Openings - $1.50
FEE
STATE 8/C: -
GRAND TOTAL- 1 '
?`
ITY OF EAGAN
Pilot Kn('b Road
. G. box 21199
again, I 55121
,Zoning: _
r xr Ii 0
to Address: 1375 T
Plumber: pS?
Meter No.: ZL -?
WATER SERVICE PERM
7345
PERMIT NO.'
DATE:
. No, of Units,
¦
1 Nr'sa to wwP1? with the filly of V'W"ftMMorl6•_ .00pd TP
Odhhawses. A? 63.5Gpd meter
BY Dab Paid:
Dab of Insp.: - Imp,:
CITY OF EAGAN
3830 Pilot Knob Road
P. O. Box 21189
Eagan, MN 55121
Zoning:
Owner::
Address A 7 ` t'eserview Po
Site Address: Plv-b iv
Plumber: £
Meter No.:
Size:
Ruder No.:
I some to ".M* wkb as 07 of E0"a
proaoaas.
Connection Charge:
Account Deposit: -
permit Fes: .
Surcharge:
w= Charges: -
Totah
Deb Paid:
By
Data of IMP.:
5
CITY OF EAGAN agesw^
????
3830 Pilot Knob Road pERMIT NO.:
P. O. Box 21189 DATE:
Eagan, MN 55121
No. of Units:
Zoning:
Owner RSM 'lo'ne
/lddross:
Site Address: 137 5 T we7[vieha + v ?* ;,ske Uills
Plumber Lake Side Plumb in
y °-
71
- wuh the cbv of Swo
m to *on*
1 Connection Chores:
t ,
el Account Deposit:
pdishaaess.
Permit Fes: °.
Surcharge:
Mac. Charges:
BY Tow:
Dab of Insp.:
Insp.: Doti Paid:
WATER SERVICE PERMIT
.
PERMIT NO.: -I- _117 _77
DATE:
No. of Unitev.
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121N2 12603
PHONE: 454-8100
BUILDING
PERMIT Receipts
To be used for SF DWG/GAR Est. Value $67,000 Date SEPTEMBER 9 19 86
Site Address 1375 TOWERVIEW ROAD Erect 1?3 Occupancy R3
Lot 1 Block 2 Sec/Sub. LEMAY LAKE HILLSemodel ? Zoning R1
Parcel No Repair ? Type of Const. ?rVn
. Addition ? No. Stories
X Name RSM HOMES Move
Demolish ?
? Length
Depth 46
3 18308 MURPH LAKE
Address Int. Impr. ? Sq. Ft
° City PRIOR Lone 432-2440 Install ?
i o a
Name-
a Address
City
U?
ww
X?
U°
a
w=
s
SAME
Phone
Assessment _
Water & Sew.
Poling
Name APS DESIGN Fire
Address
city -
450-0867 Eng -
Phone Planner
Fees
Permit $ 334.00
Surcharge 33.50
Plan Review 167.00
SAC 575.00
Water Conn. 500-00
Water Meter 63.50
Road Unit 290.00
I hereby acknowledge that l have read thisapplication and statethatthe Bldg. Off. 8/18/8 Tr.PI. 156.00
information is correct and a re to comply with all applicable State of
Minnesota Statute and an rdinances. APC Parks
Signature of Perm Var. Date Copies
its Total $2,119. 0
A Building Permit is sued to: RSM HOMES on the express condition that
all work shall be done in accordance with all app^lmab? Sta'te of M' n to Statutes and City of Eagan Ordinances.
Building Official / 2Y_/A? fLC.Cil
J7
?7 a 1j 0 Z RESIDENTIAL BUILDING
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
4:i? )o-0>
New Construction Requirements RemodellReoair Requirements Office Use Only
3 registered site surveys showing sq. ft. of lot, sq. ft of house, and all roofed areas 2 copies of plan Cert of Survey Recd _ Y _ N
(20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Recd _ Y _ N
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Reqd _ Y _ N
I set of Energy calculations Addition - indicate R on-site septic system On-site Septic System _Y _N
3 copies of Tree Preservation Plan if lot platted after 711193
Rim Joist Detail Options selection sheet (bldgs with 3 or less units
Date / / / / Z / UJ Construction Cost
Site Address 4 3 -? f 2bvJ(:NZ t//&-o 23 Unit/Ste #
&17&4j1
Description of Work l,- ) Tih--C. G? 5 /A15
Multi-Fancily Bldg _ Y
_ N Fireplace(s) - 0 - 2
Property Owner _ ^?
57l/ >A-1 Telephone # ( ) COa / YJ
% aGI
Contractor f /L
Address 3
07U C.J. 177 V7 2
City 6LMAr
State ytv_I Zip 3 3 3> 7 Telephone # (oj il-) r/?, J `0
7
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672
Energy Code Category • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _
fee applies. ((?
Licensed Plumber Telephone #(
Mechanical Contractor NOV fl 2 2003 Telephone #(
Sewer/Water Contractor Telephone #
N If so, 25% plan review
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 NIN
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 ovvprk which requires a review and
approval of plans. A
oI, lj ?(0? j
I U
Applicant's Printed Name App is Signature
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 (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex O 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bl dg) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
- Footings (new bldg)
Footings (deck)
- Footings (addition)
_ Foundation
_ Drain Tile
Roof _ Ice & Water _ Final
- Framing
- Fireplace _ R.I. Air Test -Final
Insulation
REQUIRED INSPECTIONS
_ Final/C.O.
_ Final/No C.O.
Plumbing
_ HVAC
Other
Pool _ Ftgs _ Air/Gas Tests - Final
Siding _ Stucco _ Stone
Windows (new/replacement)
Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Building Inspector
ti
+ RESIDENTIAL BUILDING
l 7 ( Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
ct Z'4 I+. ZS-
New Construction Requirements RemodeVReoair Requirements Office Use Only
3 registered site surveys showing sq ft. of lot, sq ft of house, and all roofed areas 2 copies of plan _ Cart of Survey Recd
(20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions _ Tree Pres Plan Recd
2 copies of plan showing beam & window sizes, poured found design, etc 1 site survey for additions & decks _ Tree Pres Not Reqd
1 set of Energy Calculations Addih'on - indicate if on-site septic system -On-site Septic System
3 copies of Tree Preservabon Plan if lot platted after 711/93
Rim Joist Detail Options selection sheet (bldgs with 3 or less units
Date/e/ V?) Construction Cost
Site Address p1d Unit/Ste #
Description of Work ' LP 11 W ?nCll?V V 1 V I ? 1?? n {1 i ((S -
\!
Multi-Family Bldg - Y Y N Fireplace(s) n 0 _ 1 _ 2
`
Property Owner - n
1
Telephone #X51? ?) ]'2_1_! Dr 1tn
Contractor RMA HOME SERVICES INC.
- Home Deopt Installed Sales
Address 3200 Cobb Galleria Pkwy., Ste. #200 City
Atlanta, GA 30339
State 763-542-8826
Telephone # ( )
BC-2026825.7
COMPLETE THIS AREA ONLY IF
Energy Code Category Minnesota Rules 7670 Category 1
Residential Ventilation Category 1 Worksheet
(?I submission type) Submitted
• Energy Envelope Calculations Submitted
Licensed Plumber
Mechanical Contractor ///// Or
Sewer/Water Contractor
?003
A NEW BUILDING
_ Mmnesota Rules 7672
• New Energy Code Worksheet
Submitted
Telephone # (
Telephone # (
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 plaq in the case of work which requires a review and
approva) of plans. 17 _
Apolicant's Printed Name Applicant's Signature
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 (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of- plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr, of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
- Footings (new bldg) - Final/C.O.
- Footings (deck) _ Final/No C.O.
_ Footings (addition) _ Plumbing
_ Foundation _ HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final - Pool _ Ftgs _ Air/Gas Tests _ Final
- Framing - Siding _ stucco _ Stone
_ Fireplace _ R.I. -Air Test -Final - Windows (new/replacement)
- Insulation - Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Building Inspector
Installed
Siding and Windows
I:INTITED POWER.OF ATTORNEY.... .
COUNTY OF COBB
STATE OF GEORGIA
KNOW ALL PEOPLE BY THESE PRESENTS:
THAT I, David N. Katz, a resident of Montgomery County, Pennsylvania
("Principal"), and a licensed contractor of RMA Home Services, Inc., DBA Home
Depot Installed Sales located at 660 Mendelssohn Avehue North, Golden Valley, MN
55427, having a license number of BC- 20268257, do hereby appoint, name and
constitute Elder-Jones Building Permit Service, Inc. ("Agent") as my true and lawful
attorney-in-fact and do authorize and grant said attorney-in-fact for me and in my
name, place and stead the power to execute, acknowledge, sign and deliver (in such
form as may be required by the municipality) a permit application, or any other
instrument(s) which may be necessary and appropriate, in order to obtain the proper
permit(s) from the City of Eagan, Minnesota for the installation, maintenance and
repair of windows and siding (the "Work").
The powers conveyed to the Agent by this Limited Power of Attorney are
limited solely to the express powers delineated herein and apply solely to the Work.
This Limited Power of Attorney shall expire and automatically be revoked on the 21st
day of May, 2004, which date is one year from the execution hereof Further, the
powers conveyed by this Limited Power of Attorney may be revoked by Principal at
any time by express revocation and shall also be revoked by the Principal's death,
disability, incapacity or incompetence.
IN WITNESS WHEREOF this Limited Power of Attorney is executed this
21st day of May, 2003
David . Katz
SWORN TO AND SUBSCRIBED BEFORE ME by David N. Katz on this
21st day of May, 200
Notary P is in for the State o eorgia
My Commission Expires: January 21, 2006
396816.0
Proudly sold, furnished and installed by RMA Home Services, Inc., a Home Depot authorized contractor.
3200 Cobb Galleria Parkway, Suite 200 • Atlanta, GA 30339 • Phone (770) 779-1300 • Fax (770) 984-0709 • Toll free (800) 79-DEPOT
A
0.
'36." .o+
3.50+
167 0+
75-'_0+
5. -0+
63--,C +
29"--0 +
156:0+
29.19^30'k
/abo3
1986 BUILDING PERMIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN
SINGLE FAMILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
MULTIPLE DWELLINGS - RESIDENTIAL RENTAL UNITS FOR SALE UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
To Be Used For: g Valuation: / D Date: 3
Site Address 1? S Tc?u?er? R
OFFICE USE ONLY
A.
Lot Block Z Erect Occupancy_
5 m Remodel Zoning
-
Parcel/Sub Repair Type of Const
Addition 0 of Stories
Owner M(- Move Length
P tq)
Address Y 1 \\),f
J( h1? 4. Demolish
Int.Impr. Depth
Sq Ft
-I
T
Install
City/Zip Code P(??(?? _
Phone --}? ? 2 ?? APPROVALS FEES
Contractor It
Address `?
City/Zip Code
Phone
Arch./Engr. ?P S
Address
City/Zip Code QQyy? nn
Phone # :!:j, ?Q V 10 1
Assessments Permit 33//
Water/Sewer Surcharge 33'?O
Police Plan Review /l7
Fire SAC
Engr Water Conn ?X7
Planner Water Meter 3. Sb
Council 7 Road Unit ? QC>
Bldg Off Treatment P1 15(a
APC Parks
Variance Copies
TOTAL /
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
51272
5X i0= ? X 5?= 2?C?
?Jv ? Zo= ?lJx /Z = ?i%?jj2rzj ?
/9 6a6zeq, 00
PROBE ?511n I-bmE5
CONSULTING lNOINlERS
ENGINEERING PLANNERS and LRND iURVEYORS
COMPANY, INC.
1000 EAST 1461h STREET, BURNSVILLE, MINNESOTA 53337 PH 432'9000
cep-?z}'Z ?Q? suf--y-? y
J,gggl -QG.fcrLP2ion. L07- 1, BLOCK 2, LEMAY LAKE HILLS,
DAKOTA CIDUNTY, MINNESOTA
(7 F rr=D DEMOTES EXISTING ELEVA-I ION
(910.0 ) DENOI-E5 PKOI'0560 ELEVATIUAJ
WDICATES DIRECTION OF SURFACE: DRAINAGE
)/0.33 = FIIJISHED 6ARAGE FLOOR. ELEV<ITiOA/
DRAINAGE AUP
UTILITY EASEMENT
-/
?yo3.5 N 69° 44' ZV" E
00 ,,, 003.5) I 91.bo
1 >k
" N
Q
J
I ,
ti
M
8
0
NI
0
2d
hl?
i y
LOT
k6.5) (ga.
5. E. W. 0. b 5
34°°
i Y
? PRO Poseu 1 ?
V. HOU6E n,
ry L.
I
l?
`o Q4R''66 I 16.00 24.00 1
? 2n.on ki
lfii8.
(690.0)
C
o-
2 ?J
SCALE : /" = 90'
w / ?i....?.? u....
Zo ?S) 5 30 FfCONT Lill/Lp/N
_ i ? ? m J r?9' J
8 I SETBACK LINE
z
L=31.42 ? ° ,Q X09.7
R=2o.o0 2/_? 70.oo
' `b° ?, °p,• (jov.o) N B9° 94 2B"E
U
U
U
l?,y ¢ TOWERVIEW_ ROAV
/'IoK/
I hereby certify that this is a true and correct representation of a tract of
land as shou.n'and described hereon.. As prepared by me on this Ord day of
Ac,v-,,°sr 1 19 E6 .
/1c0??
....: / Nfnn. Reg. No.
OWNER
EXTERIOR EUVELC:E A
E CO{.PUTAT;OV
SITE ADDRESS
CONTRACTOR 125./r).?/;.. PAT9
"Determine working square Pogta"e of each 3 a-?
1. Total expose,) wall area ,19
Total roof/ce111ng area .... - ;: ''•
?I
GG.?
Total exposed wall area aboye floor r I'" X
a. Total wall vriricorr area
•'`",•..;a:?.:Lr?'
Total door area .........
C . Total , ... 1 1 r • r 1,? - 0-r
sliding glass area
'
e.•,o ,`' . ?';z
;'
•
"
, • , .... , ,
. , , .. ?'?-?=..
4. 'Dotal fireplace wall area
•
? u
.
,,..
?••• •, r!
,
e. Total wall fr
amityE area (average
f. Tot
al net wall area aboye floor :;
?;. Total rile Joist area
Total exposeq foundation area
-
h. Total foundation window area
Total net unQation area aboye gr4¢oe
Determine I;U1 yalue or eac4 wall Secme(it.
a. S/.%. /
b. -/O. y? X IIV1:
e, x u 1 11
7
x U
S. d•p. X Gulf
3 ....................
.......................',Total
if Item #3 13 the same as, or less than kern #14 µ hay m? .
Y9
V; C ????° • ":`;'
Intent of SBC 6006(c)2 f
'
.
3 6i4, r.
Total exposed rood'/ceiling area ?
.
J, Total akYli
sht area
k. Total roof/ceiling framing area (average lp•
1. Total net Insulated roof/ceiling area
Determine ,U' value for each roof'/cell4pg segmxnt.;',:
? G X ?•U.i ? . o ' N,,
1. f9 3 ::
...................Total
0 `'-
14' total of #4 is the s
ame as, or less than #24 you hov
intent of SBC 6006(c)l. e.met t.h,e
Alternate EUSldina fnvalope Aealt,n
To utilize the total envelope systera method, the values
by the sum of i 'eSta??ihed '
tems H3 and #4 shall not be greater than
Items kl and s2. 6he stus,op .,. ,
--------.-..
?) t
f)
3 ---_L =' C,
16Z i I
p
•?
i
.i .
CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
1) PROPERTY ADDRESS:
LEGAL DESCRIPTION:
75- (Please
v
NOTS': PAYMENT OF FEE AT TIME OF
APPLICATION DOES NOT CONSTITUTE
APPROVAL OF PERMIT.
INSPECTION OF SEWER AND/OR WAS
INSTALLATIONS WILL NOT BE SCHED-
ULED UNTIL PERMIT HAS BEEN
APPROVED.
arce
IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: _
(Mon Year)
PRESENT ZONING/PROPOSED USE:
M'11MERCIAL/RETAIL/OFFICE
F7 INDUSTRIAL
n INSTITUTIONAL/GOV?
R-1 SINGLE FAMILY
0 R-2 DUPLEX (Two Units)
R-3 TOWNHOUSE (Three + Units) ( Units)
R-4 APARTMENT/CONDOMINIUM ( Units)
2)
NAME:
ADDRESS:
CITY, SPATE, ZIP:
PHONE:
3) u is o
NAME:
ADDRESS:
CITY, STATE, ZIP:
PHONE:
J.
Active
Expired
i fL, 553 79 Not recorded
QQ MASTER LICENSE# Q0?3?'? ?D Sta Initial
NAME:
ADDRESS:
CITY, STATE, ZIP:
PHONE: f 3a _,_'j
CONNECTION TO CITY SEWER CONNECTION TO CITY WATER OTHER
6) PLEASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE
PLEASE MAIL APPROVED PERMIT TO 1, 2, 3 4, ABOVE
(Circle one)
//n -
FOR CITY USE ONLY
PERMIT # ISSUED
7s V 5
Pd w/Bldg. Permit FEES:
$ $ SEWER PERMIT (INCLUDE SURCHARGE)
$ $_?/?)•{ Il WATER PERMIT (INCLUDE SURCHARGE)
/
$ $ WATER METER/COPPERHORN/OUTSIDE READER
$ $ WATER TAP (INCLUDE CORPORATION STOP)
$ $ SEWER TAP
$ $?? p G ACCOUNT DEPOSIT - SEWER
$ $ ACCOUNT DEPOSIT - WATER
$ 5)o, U O $ WAC
$ S7_? Q ?) $ SAC
$ $ TRUNK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRUNK WATER
$ I S(n -b U $ WATER TREATMENT PLANT SURCHARGE
$ $ /-J OTHER:
$ d7i TOTAL
la?31?? -?67
RECEIPT # RECEIPT #
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
YES IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC
Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE: /e-
DATE:
0. CASH RECEIPT •
3830 PILOT
ROAD
FUJC `nQ0.y? V UNT
U
C
Thank You
NS 6 6 6 7 4 White-Payers Copy
Yellow-Posting COPY
Pink-File Copy
CITY OF EAGAN
IC? f3 lJ Cvo? Pc.? ,
i
SNOW STORAGE. DRAINAGE AND UTILITY EASEMENT
THIS INDENTURE, made and entered into this 1e"26 day of MAY ,
1986, by and between MARTIN E. SHIELDS and MYRTLE E. SHIELDS, husband and
wife, as Grantors, and the CITY OF EAGAN, Dakota County, Minnesota, as
Grantee,
WITNESSETH WHEREAS, said Grantors, in consideration of One Dollar ($1.00)
and other good and valuable consideration, to them in hand paid by the said
Grantee, the receipt whereof is hereby acknowledged, do hereby Grant, Bargain,
Convey and Warrant to said Grantee, its successors and assigns, the snow
storage, drainage and utility easements situate in Dakota County, Minnesota,
as follows:
The westerly twenty (20) feet of the following lots, all being in the
plat of Lemay Lake Hills, Dakota County, Minnesota:
Lots 1, 7, 8, 9, 10 and 11 of Block 2, said twenty (20) feet being
immediately adjacent to the easterly right-of-way line of Shields
Drive in said plat.
The Grantee shall have the right to do whatever is necessary for the
enjoyment of the rights herein granted, including the right of clearing the
right-of-way of ingress and egress to and from said tract of land and over and
across said easement only for the purpose of snow storage, drainage, laying,
maintaining, operating and repairing said utility lines.
By acceptance of these easements, the Grantee agrees that it shall replace
any shrubs or sod removed by it in the exercise of its rights hereunder to as
near the condition which existed immediately before such rights were exercised
as is reasonaDty possible.
IN WITNESS WHEREOF, the parties hereto have hereunto set their hands and
seals the day and year first above written.
Martin E. Shields
Myr. Shields
STATE OF MINNESOTA)
ss.
COUNTY OF 1,=+0?)
On this 5 day of 19 before me a Notar Public
within and for said County, pers nally appeared c c, ct ?. .?6f? r?u.?y.1,1, LO?''?4a
me personally known to be the person described in and who execu[ the.ceu
foregoing instrument and acknowledged that 'i-'hrecuted the ame as?'hQ,t?-free
act and deed. aat/
(S
E A L) ?Le
Notarv Public
THIS DOCUMENT DRAFTED BY:
HAUGE, EIDE 6 KELLER, P.A. HAROLD UVANDER JR.
1200 Yankee Doodle Road WASIMAM COOMY
Water View Office Tower, Suite 303 t W emu F)"E's= t, im
Eagan, MN 55123 K.
(612) 456-9000
EXEMPT FROM STATE DEED TAR STAMPS
CITY USE ONLY
PERMIT r,: yl?`kG/y RECEIPT DATE:
RESIDENTIAL MECHANICAL PERMIT APPLICATION
CITY OF EmAN
3830 PILOT KNOB RD
EAGM MN 55122
651-01-4675
Please complete for: single family dwellings
townhomes and condos when permits are required for each unit
Date: ! a 7t k U t
I31S .
SITE ADDRESS:
OWNER NAME:
-Fowtrview Rd
TELEPHONE #:
lI! /I (AREA CODE)
INSTALLER NAME: V,( G? TELEPHONE #: ) Y fa ?f 3 ??
(AREA CODE)
STREETADDRESS: 7 0 y ?o E 2 (0-j?
CITY: g7 l(,(- L. tc-.)- STATE' kilAl ZIP: 5? 1 7
Place a check mark next to the nermit work tvne
New residential dwelling unit under constructionand not owner/occupied S 70.00
Add-on, modification or alteration to existing dwelling unit $ 50 00
• furnace replacement
• air exchanger
• -airsni loner
• other
Nature of work:
State Surcharge $ .50
Total $ Q 61
Reminder: Cal! for inspections.
upoa1ca i vi
CITY USE ONLY
PERMIT #:
APPROVED BY:
INSPECTOR
RECEIPT DATE:
COMMERCIAL MECHANICAL PERMIT APPLICATION
CITY OF >EAGAN
8650 PILOT KNOB RD
EAGAN, MN 55122
651-661-4675
Please complete for: all commercial/industrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE:
SITE ADDRESS:
OWNER NAME: PHONE R: -
(AREA CODE)
TENANT NAME (IMPROVEMENTS ONLY):
WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME:
INSTALLER:
.ADDRESS:
CITY:
PHONE ?r:
(AREA CODE)
STATE: ZIP:
WORK TYPE: New construction Install U.G. Tank
Interior Improvement Remove U.G. Tank
Processed Piping
Specify Nature of Work
When installing/removing underground tank, call 651-681-4675 for inspection by Fire Marshal and
Plumbing linspector.
Fees: I% of contract price OR S50.00 minimum fee, whichever is greater.
Underground tank removal/installation = minimum fee
Contract price: S x 1%= S (Base Fee)
State surcharge calculate at S.50 for each S 1.000 Base Fee
TOTAL S
SIGNATURE OF PERMITTEE
Updated 1/01
ýûø
ÿÿ þ üüû
ùþþÿÿ ø÷ê÷ þ
ó
ü
í
ððñ
ÿõ
ÿþýüû ùù ÿûùù
ú ùýüû ÷ö
ùû ÷ö
õ ùôõ ùýüûõ
ÿø
ÿùùù
÷ÿóþùòó ÷ÿóþù ô
þ
ù
ÿ
ììñê
óññðð
êñðêêêê
äëîìîðì
ôù
ÿù
ùéãäñîêîêñ
ß
ÿ
ëêñî
óøò
õ ñ÷
ûû
ù
ù
ÿ
í
ó
ììñê ù úëñý öù
öò
õ÷ññðð
õ÷ññ
èêñåðêêêê
ùþü
ö
ù
ûû
ø ùó
ùù
ù óûüö
ûû
þ
øõ
ÿ
â ü ø
áù
î
ûû
æ
ÿü
ÿù
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA161405
Date Issued:05/22/2020
Permit Category:ePermit
Site Address: 1375 Towerview Rd
Lot:1 Block: 2 Addition: Lemay Lake Hills
PID:10-44650-02-010
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
Tamrat Meswatti
1375 Towerview Rd
Eagan MN 55121
Haley Comfort Systems
4320 Hwy 52 N
West Frontage Rd
Rochester MN 55901
(507) 281-0138
Applicant/Permitee: Signature Issued By: Signature