4201 Yew Pt l:.
SEWER & WATER PEFiM1T , OFFICE USE ONLY
CITY OF EAGAN
PERMIT DATE
3$34 PIIOt KflOb Rd. WATER PEFiM1T # 110,10 SEWER PERMIT #
P.O. Box 21199 ~ METEH # A/-'P7 B.P. RECEIPT # ~ 43~57
Eagan, MN 55121 -~R B.P. RECEIPT DATE 10127189
• METER SIZE aCA
ISSUE DATE _ PRV _ BOOSTER PUMP
SITE ADDJ3ESS ~~e/ PERINIT REQUES7ED
1.0T r ' LOCK /SEClSl1B
APPIICANT: 5`~`~" ` SEWER WATER , - TAPS
„ i1 II
ADDRESS: CpIyIM/IND ZRESIDENTIAL
CITY, STATE 6"~ r t~'~''• ZIP
PHONE: NEW _ EXISTING
PLUMBER:
ADDRESS: •'~~~~d~ `~t~~~- ~ I AGREE TO C0IAPLY WITH CITY OF
EAGAN ORDI ANCES•
CIT'Y, STATE ZIP r ~ -
PMONE: ~'i ,T~ .
OWNER:
ADDRESS: ~ ~ SIGNATQFIE WHEN ERIS$UED
CIIY, STA7E • • ZIP~" , - - -
PHONE:
~ PLEASE ALLOW TWO WORKING DAYS FOR RROCESSING. FOR STORM S ER PERMITS, GONTACT '
' EMGINEERING DEPT. . . ~
SEWER & WATER PERMIT OFFICE USE ONLY i
~ CITY OF EAGAN PERMiT DATE /30 i ~
3830 PIIUt K110b Rd. WATER PERMIT # 110f?~` SEWER PERMIT #
P.O. BOX 21199 ' METER # B.P. RECEIPT #
Eagan, MN 55121 READER # B.P. RECEIPT DATE 10 2/ 9
METER SIZE i
ISSUE DATE _ PRV - BOOSTER PUMP
SItE MBLOOK ESS PERMR REQUESTED ~
LOT L SEC/SUB - ? / j
~ SEWER WATEFi - TAPS
APPUCANT: '~~Cf.~J - ~=;~Z'(--. ~~,~-"l~•,;=`.-~'
ADORESS:
COMM/IND ~ RESIDENTIAL
CITY, STATE ZIP
P~HONE: ` % NEW _ EXISTING
PLUMBER:
ADDRESS: I AGREE TO COMPLY WITH CITY OF
CITY, STATE Zip EAGAN ORDI~IANCES:
PHONE:
OWNER: ~ - r U_.f ~ I
ADDRESS: SIGNATURE WHEN METER ISSUED I
CITY, STATE ZIP
PHONE: PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMiTS, CONTACT ,
ENGINEERING DEPT.
~ CASH RECEIPT
~
CITY OF EAGAN . ~
3830 PILOT KNOB ROAO
EAGAN, MINNESOTA 55122 ' M •
onrE
~ ~ / 1 L~f.U v~91 ~ ~
AMOUNT Fs
f(J (l~ ~ or
a oow?As
,m
O CASH ACHECK UA) ~
~7-2, ai 1~ :l
p.
J ~1~']~
FUNO OB.lECT AMOUNT
,
~
7 c
Thank You
BY
G4357 YWWM-.Powv Cwv
w*--Fr. covy
! DATE: 10/30/89
• RE- 4$A-4203-4205-4207-4209-4211 YEiT POIN'I
,40CA'iS 60-45. Block 1, HOULDBB RIDGS
~ 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 the following
Mr reasons_
•
Your Sewer & Water Permit for the above property has been completed, but the meter Cannot
be issued or occupancy allowed until further notice.
COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONT4CT COMIAUNITY DEVELOPMENT DEPARTIIAENT FOR WATER TURN ON POUCY.
Secretary, Building Inspections Dept. t
_
SEWER b WATER PERMIT OFFICE USE ONLY
CITY 0F EAGAN 10/30/89
3830 PilOt KnOb Rd. PERMIT DATE
P.O. Box 21199 WATER PERMIT 11061 ~ SEWER PERMIT #
^
E3~~1, MN 55121 MEfER # 913 ~ R O.ti B.P. RECEIPT # ~3 57
'tiGMGFt# Qfn .2- B.P_RECEIPTDATE 10127/89
• , METER SIZE -TT ffR 6c
~ ISSUE DATE 20 - PHV _ BOOSTER PUMP
SITE A~DQ~~ SS PERMIT REQUESTED
LOT 7TALOCK• --/SEC/SUB YSEWER ,f
.L WATER _ TAPS
APPLICANT: i
ADDRESS: _ COMM/INQ RESIOENTIAL
CITY, STATE • ZIP S~
PHONE: -3-3- NEW _ EXISTING '
PLUMBER:
ADDRESS: I AGREE TO COMPLY WITH CITY OF CITY, STATE ~ • z1P EAGAN O DIN NCES:
PHONE:
~
OWNER:
ADDRESS: ' G SIGN TUREWHEN 14ETER ISSUED CITY, STATE
PHONE:
~
~
~
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWEq PERMITS, CONTACT ~
ENGINEERING DEPT.
SEWER & WATER PERMIT OFFICE USE ONLY
CITY OF EAGAN PERMIT DATE I
~ f' f~
3830 PilOt Knob Rd. WATER PERMIT # Y ludl SEWER PERMIT #
P.O. BOX 21199 METER # B.P. RECEIPT #
Eagan, MN 55121 READER # B.P. RECEIPT DATE 1C
, METER SIZE
• 15SUE DATE - PRV - BOOSTER PUMP ~
SITE ADDRESS PERMIT REGIUES7ED
LOT `'~BLOGIC• ~ SEC/SUB '
' ~SEWER -.k/WATER - TAPS
APPLICANT: ,.~--,.-a,~ =P=~',
AODRESS: COMM/IND RESIDENTIAL
CITY, STATE ' ~~i~-f~' • ZI P
PHONE: NEW _ EXISTING
PLUMBER: - ~ : • ~ ''.•.-fN~- 1-,,r14!
ADDRESS: I AGREE TO COMPLY WITH CITY OF
EAGAN ORDINANCES:.
CITY, &ATE • ~ / ' ZIP ,
PHONE:
_ _ : -r ~t_
OWNER: /!._~t
ADDRESS: ' G•/`"'~ ' SIGNATURE WHEN METER ISSUED
T
CITY, STATE ZIP
PHONE:
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT
ENGINEERING DEPT.
SEWER & WATER PERMIT OFfICE USE ONLY
( CITY OF EAGAN PEAMIT DAT 1~-'! 34% zs9 ~
3830 Pilot Knob Rd. wATER PERMIT ~ ' SEWER PERMIT #
P.O. BOX 21199 METER #41-qB.P. RECEIPT ~ C,7~33 5]
E8g811, MN 55121 qEqDER #Q1~-~'S~~ 9 B.P. RECEIPTDATE 1A 27 89
• METER SIZE ~ O ~4
ISSUE DATE 's ^~~T, - PRV , 800STER PUMP
i S17E AD RESS PERMIT REQUESTED
LOT BLOCfC LSEC/SUB
f-- ~.G,~• % ~ ~ - 5EWER w WATER ~ TAPS ~i
APPUCANT: /
ADDRESS: COMM/IND y RESiDENT1AL
CITY, STATE • l ~~-N' ZIP _-Le^z~v ~
PHONE: ~5' ~ ~ _!~NEW - EXISTING
PLUMBER: I
ADDRESS: I AGREE TO COAAPLY WITH CITY OF
GITY, STATE ZIp ~ EAGAN OqDINANCES:
PMONE:
4or
OWNER:
ADDRESS: SIG ~EWN~ _ ISSUED
CIIY, STATE • • ZIP
PFiaNE:
'r
PLEASE ALLOW TWO WQRKING DAYS FOR PROCESSING. FOR STORM S ER PERMITS, CONTACT
ENGINEERING DEPT
~ - ,
' SEWER & WATER PERMIT OFFICE USE ONLY
CITY OF EAGAN PERMIT DAT 10/ 31)! L~~
3830 Pilot Knob Rd. ~ c, L ~
P.O. BOX 21199 WATER PERMIT # SEWER PERMIT # -C-43-5-T- I
Eagan, MN 55121 METER # B.P. RECEIPT # READER # B.P. RECEIPT DATE 10 27 $9 ~
. METER SIZE
' ISSUE DATE _ PRV _ BOOSTER PUMP
Sllf ADpRESS PERMIT REQUESTED
LOT ~LOCK ! SEC/SUB
~SEWER WATER _TAPS
APPIICANT: ~
ADDRESS: COMM/IND ? RESIDENTIAL '
CITY, ST4TE 21P
PHONE: NEW _ EXISTING
~
,PLUMB$R: ~ ~'41.~,1,-t'
ADDRESS: ~s 1 AGREE TO COMPLY WITH CITY OF
CITY, STATE Zip EAGAN ORDINANCES:
PHONE:
OWNER: ~~_:-'r ».,~"-%'~•.e~= ~ .s~/7sCi:~~_ .
ADDRESS: SIGNATURE WHEN METER ISSUED
CITY, STATE • ~r I~' ' ZIP ~ ti~i
PHONE:
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERiA1TS, CONTACT
ENGINEERING DEPT.
SEWER & WATER PERIAIT OFFICE USE ONLY
CITY OF EAGAN PERMR DATE 14I 30I' 9
3830 Pilot Knob Rd. WATER PERMfT # 11063 SEWER PERMIT #
P.O. BOx 21199 METER ~1!V f 9$ t4 B.P. RECEtPT # C 43 51
Eaga '
n, MN 55121 ' qW=hgW* aa&, ?S S(o 5' g.p, RECEIPT DATE 1 89 METER SIZE T,/g Roay('
ISSUE DATE j. -(P - Y~ - PRV _ BOOSTER PUMP
SIl`E ADQRESS PERYR REQUESTED
LOT 4V-1RLOCK L/ SEC/SUB ~
-L/SEWER -/WATER - TAPS
APPLICANT:
ADDRESS: CpMM/IND ''l RESIDENTIAL
CITY, STATE ZIP
PHONE: NEW _ EXISTING
7
PLUMBER:
ADDRESS: I AGREE TO COMPLY WITH CITY OF
CITY, STATE .~?~-L ZIP EAGAN ORDINANCES:
PHONE:
OWNER:
ADDRESS: 6 SiGN TURE EN METER lSSUED
CITY, STATE ZIP
PHONE: 9;r3 - _2'sal
PLEASE ALLOW TWO WORKIN(3 DAYS FOFi PROCESSING. FOR STORIII gR PERMITS. CONTACT
ENGINEERINGi DEPT. , _ . - . , • .
; ,
~
SEWER 8c WATER PERMIT OFFICE USE ONLY
I~ CITY OF EAGAN PERMIT DATE 10~30~89
3830 PIIOt KflOb Rd. WATER PERMIT # 1 063 SEWER PERMIT # ~
P.O. BOX 21199 METER # B.P. RECEIPT # C 4357 I
Eagan, MN 55121 READER # B.P. RECEIPT DATE 10 27 89
~
• METER SIZE ~
ISSUE DATE _ PRV _ BOOSTER PUMP
SIl'E A~~ ESS PERMIT REOUESTED
LO7 ~BLOCK Z SEGSUB ,
-ZSEWER WATER - TAPS
APPUCANT: " i i•. ~ ~'J _:_z.ar~ , ~ a
ADDRESS: COMM/IND RESIDENTIAL
CITY, STA-rt -K-= _ ~~~'s„• ZIP
~ .
PHONE: -~~71 !f NEW - EXISTING
PLUMBER;
ADDRESS: % - f ~ / -'~%%~'-r ~ . - ~ ~ I AGREE TO COMPLY WITH CITY OF
. ' 7, EAGAN ORDINANCES: ~
CITY, STATE ZIP ~
PHONE:
OWNER:
ADDRESS: /JU'• 6 SIGNATURE WNEN METER ISSUED
CITY, STATE ~ ZIP
PHONE:
PLEASE ALLOW TWO WORKING DAYS FOR PROCE5SING. FOR STORM SEWER PERMITS, CONTACT
ENGINEERING DEPT.
r
SEWER & WATER PERMIT OFFlCE USE QNLY i
CITY OF EAGAN - PERMR DATE 1 o J 30 / R 9 ,
3830 Pibt Krwb Rd. wATER PERMI7 # ` 106's SEVYER PERMIT #
P. O. B oX 2 1 1 9 9 METER # B.P. RECEIPT # C 4357
Eagan, MN 55121 ' qGRI"# B.P. RECEIPTDATE 1a4T7l89 ~
• METER SIZE
ISSUE DATE PRV - BOOSTER PUMP
,
SfTE AD[)RESS -~O ~ - - PERIAIT REQUESTED
LOT -ZZ-BLOCK ~ SEC/SUB kl '
APPLICANT: ~SEWER - WATER _ TAPS
ADORESS: `-J' ~ o;at
COMAA/IND RESIDENTIAL
CITY, STATE ziP
PHONE: ~NEW _ EXISTING
PIUMBER:
AODRESS: 'I AGREE TO COMPLY WITH CITY OF
CITY, STATE •Zip EAGAN O¢DINANCES:
PHONE: 71 OWNER. .
ADDRESS: • G'• l ~ SIa TURE EN ETER ISSUED
CITY, STATE ZIP
PHONE:
/
PLEASE ALLOW TWO WORKING OAYS FOR PROCESSING. FOR STORM $16MfER PERMITS, CONTACT
ENGINEERIN(i DEPT.
SEWER & WATER PERMIT OFFICE USE ONLY
CITY OF EAGAN PERMIT DATE 10 r 30 /`t t)
i 3530 PlIOt Kf10b Rd. WATER PERMIT # 11064 SEWER PERMIT #
P.O. Box 21199 METER # B.P. RECEIPT# C 43-17
Eagan, MN 55121 READER # B.P. RECEIPT DATE -1QL211.89
, METER SIZE
- , ISSUE DATE _ PRV _ BOOSTER PUMP
SITE A~DP~RESS PERMIT REOUESTED
LOT RLOC~ ~ SEC/SUB ' ~
. '
APPUCANT: -SEWER y WATER -TAPS
ADDRE6S: COMM/IND - RE5IDENTIAL
CITY, STATE ZIP
PHONF': ~ NEW - EXISTING I
.
PLUMBER: ~ _ _ f~ r~~ I
ADDRESS: I AGREE TO COMPLY WITH CIT1f OF
CITY, STATE - - ~ - - ZIp EAGAN ORDINANCES:
PHONE:
OWNER:
ADDRESS: •~~':F" SIGNATURE WHEN METER ISSUED
~ CITY, STATE ; ; • ~ ~ y ZIP
' PHONE:
`
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT
; ENGINEERING DEPT.
SEWER b WATER PERk11T FFlCE USE ONLY
CITY OF EAGAN METEp # 411Y 4 PERMfT DATE 10130/89
3830 Pilot Knob Rd. cHiP #a"06 S9 V3 WATEN PERMIT # 11065
Eagan, MN 55122-1897
METER SIZE B.P. RECEIPT # C 4357
, ISSUE DATE g,P. RECEIPT DATE 10/27/ g
_ PRV _ BOOSTER PUMP
SffE ADORESS PERMIT REQUESTED
too
LOT ~GBLOCK _/__SEC/SUB -ZSEWER ZWATER _ TAPS
APPLICANT: 11~ ADDRESS: ~ 5~ COMM/IND RESIDENTIAL
CITY, STATE~'.,eG~*& '`f~ -
PHONE: -ZNEW - EXISTING
PLUMBER:
ADDRESS: I AGREE TO COMPLY WtTH CITY OF
CITY, STATE ZIP EAGAN OpDINANCES;
PHONE:
? i' ~ '~ii~~~~~1_ ,
OWNER:
ADDRESS: ~•~~j= ~~r ~ SI URE WHEN ER ISSUED
~ -
CITY. STATE "ye~
PHONE:
Pi.EASE ALLOW TWO WORKING DAYS FOR PROCESSING. F STORM SE PERMITS, CONTACT
ENGINEERING DEPT. APPUCANT ANp PLUTABER WILL BE NOTIFIED WHE ERMIT IS PROCESSED.
SEWER & WATER PERMIT OFFICE USE ONLY
CITY OF EAGAN MEfER # PERMff DATE 10/30/89
3830 Pilot Knob Rd.
Eagan, MN 55122-1897 CHIP # WATER PERMIT # 11065
METER SIZE B.P. RECEIPT # c 4357
~ • ISSUE DATE B.P. RECEIPT DATE 10/27L~9
' ' • - PRV - BOOSTER PUMP
SffE ADDRESS ll/ PERMIT REOUESTED
LOT .5;/&BLOCK 4-SEC/SUB 4
.01 ~SEWER WATER - TAPS
APPLICANT: f~E~ ~~~~Zadl ~ADDRESS: COMM/IND - RESIDENTIAL
CITY, e1'ATE~ ZIP
PHONF-: V NEW _ EXISTING
PLUUBER:
ADDRESS: 1 AGREE TO COMPLY WITH CITY OF
CITY, STATE a;~~_-~ --~r~!~ <l~/~ • ZIp EAGAN ORDINANCES:
PHONE:
OWNER:
ADDRESS: SIGNATURE WHEN METER ISSUED
CITY, STATE '1 G7•!~,_ ZIP
PHONE:
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMRS, CONTACT
ENGINEERING DEPT. APPLICANT AND PLUMBER YVILL BE NOTIFlED WHEN PERMIT IS PROCESSED.
~ . DATE: 10/30/69
. .
{
RE. 4201* 4203, 4205, 4207, 4209. 4211 I[EN PUINT
~ Lotsp40-45, nLOCK 1, BOULDBR RIDGB
~ Your Sewer & Water Permit for the above property has been completed. It will be held at the
Public 1N6rks Garage (3501 Coachman Road) unt11 the meter is picked up. BE SURE TO
CALL PUBLIC WORKS (4545220) FOR YOUR PERMANENT WATER TURN ON.
; Your Sewer & Water Permit for the above property cannot be completed for the following
I ~ reasons:
I
~
Your Sewer 8 Water Perrnit for the above property has been completed, but the metar cannot
be issued or occupancy allowed untit further notlce.
CONIMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confirmed_ by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORiiqIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REGUIREp BY LAW.
CONTACT COMMUNRY DEVELOPMENT DEPARTMENT FOR WATEii TURN ON POUCY.
Secretary, Building Inspections Dept.
INSPECTION RECORD
~ CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
f : Eagan, Minnesota 55122-1897 Date Issued:
~ (612) 681-4675 ~
SITE ADDRESS: APPLICANT:
„ ~
I q~ H~' f,~_K ,
i 1 I W !~1 I~~~1+ i I; I. 3~~i ,ti 1 t~~~•! .
PERMIT SUBTYPE: TYPE OF WORK:
, tol ri t,i. i•r~ i i=
~
INSPECTION .
1 f NA 1
1No 1 IllIi • it 0 . U,Nt,. 9. N; . 1 1 1 1 YI l,l 1'I
~
i 1 44 ` 1 N'l 14? f 4) 1 40
L
~
Permk No. Permft No1dK Date Teloplar» /
ELECTRIC
PlUM81NG
HVAC
Inspectlon Dste Irup. Commems
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUM8ING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPIACE
FIREPIACE
AIR TEST FINAL PLBG
FINAL HTG
ORSAT
TEST .
BLDG FINAL IW7
BSMT R.I.
BSMT FINAL
I OECK FTG
I DECK FINAL
I
I - - - - - - - -
` 1
~IE-JA1.6 i!l1IT CITY OF EAGAN ~ • , V~ 7'
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 442 242
PHONE:454-8100
BUILDING PERMIrT Receipt # _ _ •
7o be used tor ; Y OZ 6-P1.liX Est. value $72~ 000 oate a"T Zb , 1919
Site Address
Lot 45 BlOCk 1 SeGSub_ SOUL= gx= OFFICE USE ONLY
Parcel No. occupancy R-3 *4 ' FEES
Zoning R'3
W Name NUHWiZM IIOM (Actual) Consl V~ Bldg. Permit 514•00
aAddress p QDU 1367
(Allowable) SuiCharge 36•oo
CitY MPU Phone 933-2521 x oi srones
Length 249 P1an Review Zsx*00
~ Name 8AM Depth 30# SAC, Cily i~. 00 Address S.F. Totai - 573.00
~ City sAC, Mcwcc
Phone S.F. Footprints _
On Site Sewage _ water Conn M-0-x_~
~ W Name GRISOLD bASSa' On Site weii
90~00 ,
W W ~ Waler Meter I
=z AddreSS 11975 PORYI.AlfD AVB S MWCC System .
° EUiWBVILt.E Phone a94-b2a7 city water ]DI n~t. o~S
gW City ic
~ •
PRV Required _ S/W Permit ZO.
I hereby acknowlege that I have read this application and state that the Booster Pump - SMI Surcharge 1•00
intormation is correct and agree comply with all applicable State of
Minnesota Statutes and City of Ea~an O nance~'' Treatmeni PI ZZg•~
, r ~ ~
Signature 01 Permitee APPROVALS qpyd Unit ~eOO
/
A Building Permit is issued to: niw Planner - Park Ded.
on the express condition that atl work shall be done in accordance with all Council ~
applicaWe State of Mirxaesota Statutes and City ol Eagan Ordinances. gldj, pff, _ ~P1es 0Building Ofticial Variance - TOTAL 2,771.50
~ Pe?mit No. Permit Holder Date Tekphone #
WAT~ER mOt~ C 1 ~ Y
SEWER •
PLUMBING
H.V.A.C.
ELECTRIC
Inspection Date Insp. Comments
Foaings l /a/ 6 !/8'9 W8
Fa,r,aation Et~f ~T~ri r~p~J -
Framirg
Roofing
RWsn Ptbg.
HOU9h H19.
Ho
Isul. `j S / Z•/t . J f.
Fireplace f ^ `
Final H19.
Final Plbg. -/D'l/D
Const. Meler Plbg. Inspec,tior - Notify Plumber
Engr.iPl2m
Bldg. Final
Deck Ftg.
Deck Fnal
WeM
Pr. D~sp.
'~.-7/JcJdr~ For office uae only:
MECMANICAL PEIIMIT PERMIT # I
CITY OF EAGAN RECEIPT #E y'~'l r l
. 3lX PILOT KNGB ROAD, EAGAN, MN S5122
CONTRACT PRICE: %UU ~ PHONE: 454-8100 DATE:
Site Address 14-f' BLDti. TYPE WORK DE8CRIPTION
lot BIoCk SeC/Sub Res. s' New
L Name %_0 Mult Add-w?
m IIMTIttG'i ftin i` Comm. RepBir
~ Address . ' = Other
c City MINNEAPOLISO20
FEES
Name RES. HVAC 0-100 M BTU - $24.00
c Addresa / ADDfTIQNAL 50 M BTU - 6.00
p Clty Phone- (RES. HVAC INCLUDES AIC ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM -1 PER PERMIn - 1.50 EA
TYPE OF WORK ; ~ COMMAND FEE - t',~. OF CONTRACT FEE
Forc;ed Air ~ M BTU APT. BLDGS. - COMM. RATE APPUES
Bofler M BTU TOWNHOUSE & CONDOS - RES. RATE APPLIES
Unit Haater M BTU MIMMUM RESIDENIIAL FEE - ALL ADaON &
Air Cond. ~ M BTU MINIMUM COMMERCIAL FEE REMODELg - 20.00
Vent CFM STATE 5URCHARGE PER PERMff - .50
Gas Piping Outlet8 0 (ADD $.50 S/C PER EACH $1000.00 OF PERMIT FEE)
Other -
PERMfT FEE: ~ C-
SIONATURE OF PERMITTEE f ri%_,G/~.•
S/C: - ~ J
1.
T+OTAL: FOR CITY OF EAGAN ~
. --ro :'~R.'•~;-1.f7'!ga"r^*wF•-z.'!'r-.±w~!~4 x , ? . ; ^'4-• 7:~.''.~s.~.~.qs.,--iP7? . . F
PERMIT
, , . PLUMBIN(3 PERMIT
CITY OF EAGAN RECEIPT #
3830 PILOT KN08 ROAD, EA(iAN, MN 55122 DATE:
CONTRACT PRICE PHONE: 454-8100
Site Address BLDG. TY E WORK DESCRIPTION
Lot Block ! Sec/Sub Res. New
Mult. Add-on
~ Name Comm. Repair
~ Address Other
c City S[.jaC-I L r,1111':_ Phone RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES 3TOTAL
Name --t-Water Closet - $3.00 ~
` ~Bath Tubs - $3.00 3
3 Address Lavatory - $3.00 b
p City Phone J._Shower - $3.00
_4-KitChen Sink - $3.00 3
FEES Urinal/Bidet - $3.00
COMM/IND FEE - 1% OF CONTRACT FEE Laundry Tray -$3.00 ~
APT. BLDGS - COMM RATE APPLIES .~._Floor Drains -$1.50
TOWNHOUSE & CONDO - RES. RATE APPUES __~-Water Heater -$1.50
MINIMUM - RESIDENTIAL FEE - $12.00 Whirlpool - $3.00
MINIMUM - COMM/IND FEE -$20.00 ::EGas Piping Outlets -$1.50
STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIT)
(ADD $.50 S/C IF PERMIT PRICE GOES Softener -$5.00
BEYOND $1,000.00) VVell - $10.00
Private Disp. - $10.00
~ ~f~ ~_Rough Openings - $1.50
?
e a~ti 3 oi~
I SiGNATU E OF PERMITTEE FEE:
C
STATE S/C:
FOR: CITY OF EAGAN GRAND TOTAL• S~
,
i
UNI= CITY OF EAGAN
my- ~ 17237
3830 Pilot Knob Road, P.O. Box 21-199. Eagan, MN 55121 t O
'Y PNONE: 454-8100
BUILDING PERMIT Receipt #
To be used for i(W 6-P= Est. Value =7Z9000 Date OCT 26 , 1989
Site Address aZl l tEti P'T ~
Lot 40 Block ~ 1 Sec/Sub. BDUUZR AI11GB OFFICE USE ONLY
"PBfC@I NO. ~ Occupancy R-3M-1 FEES
NEW NORIZON Ham zoniriy V-N 514.00
W Name (Actual) Cons1 Bidg. Permil
~ Address p 0WX 1367 (Allowable) V p Surcharge 3b*00
Phone 933-2521 +r ot Stories
Cit WU
y 241 Plan Revfew 237.00
lengih
Name o~cn ~ snc, city i~•~
0 Address S.F.To1al - SAC,MCWCC 573•00~ CiltY PhOf18 S.F. Footprints -
On Site Sewage Water Conn
~ W Name GRISWOLD 8' AS= on sae wen 90.00
W y~ Water Meter
=Z Address 11975 P4R1'LA~1D AIiE 8 Mwcc system ~ 30.00
City SUMV'ILLE Phone 8%-6287 city waier Ac`l. Deposi1
PRV Required _ S/W Permit ~0~~
I hereby acknowlege that I have read this application and state that the Booster Pump - S/yy Surcharge 1100
information is correct and agree to comply with all licable State of
Minnesota Statutes and Ci ot ary~tinances. f. a ~
~Y ~9 Treatment PI 228•00
~ ' d.j•,- .
Signsture Of Permitee '~w `+~'o APPROVALS Road Unil 50.oo
A Buiiding Permit is issued to: uw HMiM1 Iow Planner _ Park Ded
on the express condition thal all work shall be done m accordance with all ~uncil - i*00
appticable State of Mlnnesota Statutes and City of Eagan Ordinances. gidg. p}f. _ Copies
Variance - TOTAL 29772.00
Building O}ficial ~
Permit No. Permft Holdar Date Tebphone #
warCn
SEWER
PLuMSiNC
?,.V.A.c. " ~ds s9
ELECTRIC C f
Inspsction Date Insp. Comm~nts
Foainys i
Foundation
Fraraire A~77C A1C.Aa&9r.- ! Z Si-
Roofing
Rdgh Plb9
Rough Fitg. Ia
Freplace, .
Final Htg.
Final Plbg.
Const. Meter Pibg. Inspector - Nolify PlumDer
Engr.lPlan
BWg. Final --p O
Dedc ftg.
DeCk Final
WeN
Pr. Disp.
~ .
4.W5 . . 1 fgd_'JG*r, ~
For Olflcs Use On
~/.,•:i ~ ....a~ ,
MECNANICAL PERMIT PERMIT #
' CItY OF EA(iAN RECEIPT #
3830 PILOT KNOB ROAD, EAQAN; MN 55122 .
CONTRACT PRICE - o PHONE: 4S4-8100 ' DATE: ,
3ite Addreas 7~7 7 e zz..) 7- NTypE WORK DESCNIPTION
Lot " Block Sec/Sub ` Res. Now ,i
Mult Add-on
- .m Name ~
eq.
" " .
Comm. Repair
Addres3 .r . _ ~
~ City Mi11NEAP0US, U~0 Other
J O
FEE8
ffi Name ~ t~ e RES. HVAC 0-100 M BTU - $24.00
; qddress ADDITIONAL 50 M BTU - 6.00
p Ciy Phone (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTlETS (MINIMUM -1 PER PERMI'T) - 1.50 EA.
TYPE OF WORK CpyMJIND FEE -1% OF CONTRACT FEE
Forced Air ~ M BTU APT. BLDGS. - COMM. RATE APPLIES
Boiler M BTU 1'OWNNOUSE & CONDOS - RES. RATE APPLIES
Unit Heater M BTU WMMUM RESIDENiIAL FEE - ALL ADD4)N 3
Afr COnd. M BTU REAAODELS - 12.00
MINIMUM GOMMERCIAL FEE - 20.00
Vent CFM STATE SURCHARGE PER PERMfT - ,50
(3as Piping Outlets M ~ (ADD $-50 S/C PER EACH $1000.00 OF PERMR FEE)
Other /
PERWT FEE: ~f i%.G~:~,~1 ,~i ;s~1~i' c~
SJC: SIGNATURE OF PERMITTEE
TOTIIL: FOR CfTY OF EAGAN
. • M~ . . . _ , _ ~~~-~sae~s~'~.~~~~"^
PERMIT p
. . PLUMBING PERMIT RECEIPT # zly L~ y
' CITY OF EAGAN rr~
3830 PIlOT KNOB ROAD, EAGAN, MN 55122 DATE: ~r /fs
CONTRACT PRICE PHONE: 454-8100
Site Address • r BLDG. TYPE WORK D SCRIPTION
Lot ~ Block, Sec/Sub Res. New
Mult. Add-on
~ Name ~ - Comm. Repair
.g Address Other .
c Ciry 4r~rrp)A_ 66621A=, Phone RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
Name -2rWater Closet - $3.00 s L
-4-Bath Tubs - $3.00 3
3 Address ' _4L_Lavatory - $3.00
p City Phone Shower - $3.00
-1-Kitchen Sink - $3.00 3
FEES Urinal/Bidet - $3.00
COMM/IND FEE -1% OF CONTRACT FEE Laundry Tray -$3.00 3
APT. BLDGS - COMM RATE APPLIES ~ Floor Drains -$1.50
TOWNHOUSE 8 CONDO - RES. RATE APPUES .~-Water Heater -$1.50 1 S~
MINIMUM - RESIDENTIAL FEE - $12.00 Whirlpool - $3.00
MINIMUM - COMM/IND FEE -$20.00 ? Gas Piping Outlets -$1.50 y S-
STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIn
(ADD $.50 S/C IF PERMIT PRICE GOES Softener -$5.00
BEYOND $1.000.00) V'Jell - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
s~-
SIGNATURE OF PERMITTEE FEE:
STATE S/C: S`
J ` ~
FOR: CITY OF EAGAN GRAND TOTAL:
- .r.--•-....-.-;[ . , . . . c - ~s}~p•r;~•-n-,s:
~,,y . _ . . , - . . -
wt p
T.H. EOg-SA1.lt wI? CITY OF EAGAN
1~ITS 4i~-4S 3830 Pitot Knob Road, P.O. Box 21-199, Eagan, MN 55121 1723v
PHONE:454-8100
BUILDING PERMIT Receipt # ' v -}J
To be used tor ~ 01' 6"pW Est. value =72+000 Date aCT 26 ,1g 89
Site Ad ress i2~ ~ ~
Lot ~i Block 1 Sec/Sub. SOUL= RIDGZ OFFICE USE ONLY
Parcel No. ~ Occupancy R-3~3 FEES
Zoning
W Name N'EW HORiZON HONU (AClual) Consl WN Bldg. Permit 314.00
; Address p0 OU 1367 (Allowabie) _W44 36.00
° City MPLIS Phone 933-2521 r oi stoda5 Surchar9B
Lenglh 241 Plan Review ~s~~~
o Name $AME oeptn 300 snc, cicy 100000
OU~ Address S.F. Total - S7s~(30
sAC, Mcwcc
~ CItY Phone S.F. Footprints -
On Site Sewage Water Conn
NOLD 8 ASSOC
yVj W Name CRIS On Site Well Water Meter
=Z AddreSS 11975 POR'l7.AlID wYE 8 MWCC System ~
City ~MVXIJJ Phone 894"6287 citywater xx A"t' DeP°s't
PRV Hequired - SNV Permil 20.oo
I hereby acknowlege that 1 have read this application and state lhat the Booster Pump - SiW Surcharge 1'00
inlormation is corcect and agree to,. comply with all ap icable State of ~~a•~
Minnesota Statutes and CitY of E~an 0 inances. ! Treatment PI
? ' ~ ~L
Signature of Permitee APPROVALS Road Unit 34•00
A Building Permit is issued to: witizo am$ Planner - park Ded.
on the express condition that all work shall be done in accordance with all Couricil iooo
applicable Siate of Minnesota Stalutes and City of Eagan Ordinances. gldy, plf. _ Copfes
Building pNiCial t Variance - TOTAL 2o772.00
Permit No. Permit Holder Date Tebphone #
WATER CJ(f9
SEWER
PLUMBING
H.V.A.C. n i l/~cj/jsq
ELECTRIC
Mspection , Date Inap. Commants
Footings I p,6~7/~q LLl6
Foundatan
Framing Q
Roofm9
R..,gh Plbg. .4
R,* Mg.
lsul,
Frq)Iace
Final Htg. ~ Aftq
Fnal Plbg. tf
Const. Meter Plbg. Inspector - Notify Plumber
Engr.JPlan
ewg. Finai
oeck F,y.
Deck Fnal
Well
Pr. Disp.
L_ .
For Oflica Use Only:
? `J~~ . PERMR # .
' ' • MECHAlIICAL PERMR _
_ - ,
CITY OF EAtiI?N RECEIPT # -
31190 PILOT KMOB ROAD, EAGAN, MN 55122 ~v
CONTRACT PRICE PHONE: 454-8100 DATE: '
3ite Address BLDO. TYPE wORK DEBCCRIPTION
Lot , . , Bixk Sec/Sub ' Res. New ~
Neme Mult Add-on
~
t;. , 3 , , 7, Comm. Repair
~ C ~r~ ~jUN APO IS W(y~
E31-9000 FEES
~ Name 6'e
RES. HVAC 0-100 M BTU - $24.00
; Address r! ADDITIONAL 50 M BTU - 6.00
p City Phone (R~• HVAC INCLUDES A/C ON NEW
CONSTRUCT10N)
GAS OUTLETS (MINIMUM -1 PER PERM17) - 1.50 EA.
TYPE OF WORK COyMIIND FEE -1% OF CONTRACT FEE
Forced Air M BTU y1t GJ APT. BLDGS. - COMM. RATE APPUES
Bofler M BTU TOWNHOUSE 8 CONDOS - RES. RATE APPLIES
Unit Heater M BTU MIMMUM RESIDENTIAL FEE - ALL ADD-ON a
Air Cond. ~ M BTU REMODELS - 12.00
MINIMUM COMMERCIAL FEE - 20.00
Vent CFM STATE SURCHARGE PER PERMIT - .50
Oas Piping Outlete # (ADD $.50 S/C PEfi EACH $1000.00 OF PERMIT FEE)
Other PERMT FEE: - ~ S <i 'r r' /`j T'•V ' ' r,~_
SIGNATURE OF PERMITTEE
SIC: v ~
MTAL: ~ U~ FOR: CITY OF EAGAN
~f . r . , ,
. PLUMBING PERMIT For Offlfy
- ' ' CITY OF EAGAN PERMIT #
CONTRACT 3830 PILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT # C S U
PRICE PHONE 45481 QO DATE: ~ 7 S v
Site Addjess ~ ° N- • BLDG. TYfE WORK DEPCRIPTION
~s. New
Lot ~
Sec/Sub MuR Add-on
~ Name Comm. Repair
gt Other
g Address
~ City Phone R~• P~• ~LY - COhIPLETE THE FOLLOWING:
- N5 FIXTURES TOTAL
Name Waoer Closet - $3.00 $ G D
~ Balh Tubs - Z3.00 C d
~ Address ~ Lavatory - $3.00
l. a o
~ City Phone ShO1Ner ' $3-00 ~ • ~ o
IGtchen Sink - $3.00 3, c ~
UrinaVBidet - $3.00
FEES ~ Laundry Tray - $3.00
• C c
COMMJIND. FEE -1X OF CONTRACT FEE Floor Drains -;1.50
' APT. BLDGS. - COMM. RATE APPLIES ~ Water Heater - $1.50 TOWNHOUSE & CONDO - RES. RATE APLLIES Whirlpool -:3.00
MINIMUM - RESIDENTIAL FEE ;12.00 ~ Gas Piping Oudets - 51.50
MINIMUM - COMM.IND./FEE S20•00 (MIMIMUM -1 PER PER1Afn
STATE SURCHARGE PER PERMIT .50 Softener - $5.00
(ADD $.50 S!C PER EACH $1,000 OF PERMIT FEE) Well -$10.00
Privabe Disp. - $10.00
Rough Openings - $1.50
S TURE OF PERMITTEE U. G. Sprinkler System - $12.00
PERNpT FEE: ~
FOR: CITY OF EAGAN STATES S/C: ' S v
GRQND TOTAL:
kM - . . . EMT
. , . . . . . . ,
T H UIIi= CITY OF EAGAN 17239
a: 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 -7
BUILDING PERMIT Receipt # _
7o be used for i 6-PM Est. value ;72sOOO Date OCZ 26 119 89
Site Address 4207 YM IPT Lot ~ Block 1-' Sec/Sub. ~ RLDGB OFFICE USE ONLY
PefCel N0. Occupancy R-3 -*--1 FEFS
2oning R,'3
W Name ~~I~ ~ (~tual) Consl V~ Bldg. Permit S14.Op
~ Address p 0B07t 1367 (A~bwab~e) V'~'~ Surcharge 36.00
CltY MPLS Phone 933"=321 x o1 Stories
Length Plan Review ~57~~
0- Name $JIl~ ru ~ ler 4i/5~ 87~ Depth 500 snc. city 100000
AddfBSS S.F. Total - SAC, MCWCC 373•00
F- City Phone S.F. Footprints _ s~ooo
On Site Sewage _ Water Conn
OW Name ~I~~ a' on siie wen Water Meter
Address 11973 POS'Ci.AND wVE Mwcc sy5tem XX 3O.pp
<t Ciry SUMYi= Phone 894-6287 c+ry wace~ xx Acd. oePosa
PRV Required _ S/W Permit Z~~~
I hereby acknowlege that I have read this application and state that the Booster Pump - grW Surcharge 1•00 '
inlormadon is correct and agree to comply with all,applicable State of
MinnesoW Statutes and Ciry of EagaapLdinanc'",/ Treatment PI 226900
Signature of Permdee APPROVALS Road Unit 30,oo
A Building Pertnit is issued lo: ~12M MM Planner - Park Ded.
on Ihe express condilion that all work shall be done in accordance with all Council 1.00
applicable SWte of Minnesota Statutes and City of Eagan Ordmances. Bidg, pn. _ CoP'es
BuiWing Otficial ~ Variance - TOTAI 2,772.00
.
Permlt No. Permit Holder Oate Telephone N
WATER
SEWtR
PLUMBING
H.VA.C.
ELECTRIC ~G f~fa~~ 1 J'~.
InspeeNon Dste Insp. Comments
F~tirgs i
Foundation
Framing
Raofirg
Rough Plbg
paugh Ht9
lsui. '~js/8 l~•/ -~t ,~t
Freplace
Fnal Htg.
Final Plbg. • .J; , l't) / ~'j lcnv'YC~.
Consl. Meter Plbg. Inspector - NpGfy Plumber
EngrlPlan
Bldg. Final 2-23" O
Dedc Ftg.
Deck Final
WeN
Pr. Disp.
.
For Oflics lJss Only:
tJ ~ ~~C~Ga ~ ~ • ~
~ MECHANICAL PERMIT PERMIT ~ -
; . ; CITY OF EAGAN RECEIPT #
3830 PILOT KNOB ROAD, EIIGAN. MN S5122 f q,
CONTRACT PRICE PHONE 454-8100 DATE:
3ite Address ` BLDG. TYPE WORK DESCRIPTION
Lot BI k, _Z_~L_ SeC/Sub Res. New 41~
~ Name ` ~ MuR Add-on
m Address Comm. Repair
.S Ciry Phone
, FEES
L Name ! i RES. HVAC 0-100 M BTU - $24.00
c Address ~ ADDITIONAL 50 M BTU - 6.00
p City Phone (R~• HVAC INCLUDES MC ON NEW
coNSTaucnoM
• GAS OUTLETS (MINIMUY -1 PER PERMff) - 1.50 EA.
TYPE OF WORK - COMWIND FEE -19L OF CONTRACT FEE
ForCed Air M BTU ` APT. BLDGS. - COMM. RATE APPLIES
Boiler M BTU TaNNHOUSE 3 CONDQS - RES. fiATE APPLIES
Unit Heater M BTU MININUM RESIDEM'IAL FEE - ALL 11DaON 3
12.00
Air Cond. M BTU MINIMUM COMMERCIAL FEE REMODELS - 2
0.00
Vent CFM STATE SURCNARGE PER PERMfT - .50
das Piping Outleb M ~v? (ADD $.50 S/C PER EACH $1000.00 OF PERMIT FEE)
Odier
PERMIT FEE: ` . J:? _ / f ' ~:ril
3/C: SIGNATURE OF PERMITTEE , J
TOTAL: FOR: CITY OF EAGAN
. . "r~-~--T;.~`~ . . . . • . ' .i o'*' Sr.~,,~"' , ~n''~G~~~ R=/X , `:'~i L. R.~c.: k~y~S94f~'.'~74Y:. ~.t
PERMIT #
PLUM8ING PERMIT RECEIPT k
, . CITY OF EA(iAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE PHONE: 451-8100
Site Address YWA/ L4 ' BLDG. TY E WORK DE CRIPTION
Lot 6V.; Block SeciSub Res. New ~
' -J Mult. Add-on
m Name -jai, Comm. Repair
y Address U Other
c City P:,r';~~l F, r, e,cU i- Phone RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
~ Name ---Water Closet - $3.00 s ~
m ~-Bath Tubs - $3.00
~ Address -A Lavatory - $3.00
p Ciry Phone Shower - $3.00 ~
Kitchen Sink - $3.00 ~
FEES Urinal/Bidet - $3.00
COMM/IND FEE - 1% OF CONTRACT FEE ~Laundry Tray -$3.00 3
APT. BLDGS - COMM RATE APPUES _._L.Floor Orains -$1.50 I--
TOWNHOUSE 8 CONDO - RES. RATE APPLIES Water Heater -$t.50
MINIMUM - RESIDENTIAL FEE - a12.00 Whirlpool -$3.00
MINIMUM - COMM/IND FEE - $20.00 -_.~._Gas Piping Outiets - $1.50 l. `STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIn
(ADD $.50 S/C IF PERMIT PRICE GOES Softener -$5.00
BEYOND $1,000.00) VVell - $70.00
Private Disp. - $10.00
Rough Openings - $1.50
SIGNATURE VF PERMITTEE FEE:
STATE S/C: "
FOR CITY OF EAGAN GRAND TOTAL: '
INSPECTION RECORD~
i
CITY OF EAGAN PERMIT TYPE: •
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: P 10-1atJ001-a:; 8- s i APPLICANT:
i ut : 43 et t,C~.
~~i' •rf W f I ~ I
tt~~Ul lil I. I; f ~~I,E i r• I.' ~
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION D• • DA
lj ;tit
I
-1
Psrmlt No. Permit Holdsr Date Telephaw f
ELECTRIC
PLUMBING
HVAC
Inspsction Dab Inap. Commmnta
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPIACE
FIREPLACE ltlR TEST
FINAL PLBG
i FINAIHTG '
i
ORSAT I
TEST 3LDG FlNAL , i
f ' I
I 6SMT R.I.
.
I I
~ BSMT RNAL II
DECK FTG
- y -
' DFCKFINAL
!7 ~
I ~ -I
1
i _J
- . . . . , ~ . ~ . . . . . •"7Iq'9!o~li~!k2R~'tr7"ee'~'y;'"f!9~p!~q~r%~?w~-r.~++~-..-~e-r.za.. .
~~y,3~UNIT CITY OF EAGAN 17240
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 "
' PHONE: 454-8100 - - ;
BUILDING PERMIT Receipt #
7o be used for 1 0F 6"pM Est. Va1ue $72s000 Date OCT 26 , 19 g9
Site Address u05 IYVJ FT
y . OFFICE USE ONLY
Lot ~ Bloc i Sec/Sub. ~x RZDQE
Parcel No. ~ Occupancy R-3 H""i FEES
Zoning R"~
W Name ~HORI~ H~s lactuaq consc V-p 81dg. Permit 514.00
~ Address p 0 ~X 1367 (Allowabie) V-H 36.00
0 Clt Phone 933-2521 N of Stories SurCharge
y 240 Plan Review 257.00
Length
o Name SAM Depth 501 SAC, City 100.00
~Q Address S.F. Total - SAC. MCWCC 575000
~ Clty Phone S.F. Footprints ~ SM600
On Site Sewage _ Waler Conn
~uj Name GRISfiOLD a ASSOC or, sice wen Waler Meter 90•00
i= Address 11975 PABTI.AEiD AVH MWCCSystem ~ 30.00
<E City ~~Svj~ Phone 89"287 ciry water ~ ~ct. Deposit
W
PRV Requirad - SfW Permit ~Q•~
I hereby ackrrowfege ihat I have read this application and state that the Booster Pump - SNV Surcharge 1•00
inlormation is correct and agree to comply with all applicabie State of
Minnesota Statutes and City ot Eagan Orpances. Treatment PI 228900
' APPROVALS ~Q
Signature of Permitee Road Unit `(~O
A Building Permit is issued to: Planner - park Ded.
on ihe express condition that all work shall be done in accordance with all Council 1000
applicable State of Minnesota Statutes and City of Eagan Ordinances. gldy. pn. _ Copies
Building Ofiicial = ~ ' Variance - TOTAL 2,772•00
Permk No. Permit Holder Date Telephone #
WATER
SEWER
PLUM8ING
1,7
~~z~~• G~~' ~'o " ~ i~ o ~ d'°
H.V.A.C. I1/
ELECTRIC zG,;&
Inspection Date Insp. Comments
Faainys i .7/8'q u/B
Foundation
Framing / m S j'-
Hoofing
R«ug, Plbg.
Rough Htg.
IS,E hi/3- 8' ~ i 2•/-~ AS ,..f ~e.e'
Fireplace
Fnal Htg, dC.W
Final Plbg.
Const. Meter Plbg. InspeClor - Notify Plumber
Engr.;Pian
Bldg. Final
Deck Ftg.
Deck Final
WeN
Pr. Disp-
_ ~
~
F« office Us. a;;l,,:
PEaMiT #
• . . . MECHANICAL PERMR Cl ~ C : C 7
• ' GTY OF EAGAN RECEIPT #
9830 PILOT KNOS ROAD, EAGAN, MN 55122 ~%y
CONTRACT PRI E:.lr`7d'q ~ PHONE: 45"100 DATE:
Site Addre$s -~u'~ • BLpG. TYPE WORK DEBCRIPTION
Lot Blxk t.i Sec/Sub,:-. Res. ? New ?
; .
, Mutt Add-on
~ Name Comm. Repefr
Address
~ Other
c Ciry Phone
FEES
NBme 771J ~ ~ RES. HVAC 0-100 M BTU - $24.00
L
c Address ADDITIONAL 50 M BTU - 8.00
p Cily Phone (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM -1 PER PERMIn - 1.50 EA.
TYPE OF WORK ~ COAIMIIND FEE -1X OF CONIRACT FEE
ForCed Air M BTU APT. BLDGS. - COMM. RATE APPUES
Boiler M BTU TONMHOUSE g CONDQS - RES. RATE APPUES
Unit Heater M BTU WMMUM RESIDEM'IAL FEE - ALL ADQON 6
REMODEL$ - 12.00
Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00
VeM. CFM STATE SURCHARGE PER PERMIT - .50
Gas Pipinfl Outlels # (ADD s50 S/C PER EACH $1000.00 OF PERMIT FEE)
oew
PERINTFEE:
SIGNATURE OF PERMfTTEE
SIC: ~S J
TOTAL: '~v FOR CITY OF EAGAN
...~_~'°~,q'~'$~,..~..=i't{"%?'-.:_"°~y°.'~%R`^9i'Y^•;.x'~!'~';T¢±r~s~~ql~`J}'sS+ion'~'l~.7'?~.vT~'°~" ~iT,iSei.r+r.gF~.~.~°`'~'°r~'~"+' ; :v. ..r.
PERMIT #
• . . . ' PLUMBING PERMIT RECEIPT #
. ' CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRiCE PHONE: 454-8100
Site Address ` BLDG. TYPE WORK DE$CRIPTION
Lot f- -n Block ~ SeciSub Res. New
- t Mult. Add-on
T Name 1 Comm. Repair
_o Address ' Other
c City r, r--8- U( Phaste RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
Name I-Ink'3nr.f "Z ~Water Closet - $3.00 S `
` -LBath Tubs - $3.00 3 Address _-1 Lavatory - $3.00 ~
p City Phone Shower - $3.00
--/---Kitchen Sink - $3.00 3
FEES Urinal/Bidet - $3.00
COMM/IND FEE - 1% OF CONTRACT FEE _~._Laundry Tray -$3.00
APT. BLDGS - COMM RATE APPLIES .-L._Floor Drains -$1.50
TOWNHOUSE & CONDO - RES. RATE APPLIES --I-Water Heater -$1.50
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 PERMin
(ADD $.50 S/C IF PERMIT PRICE GOES Soitener -$5.00
BEYOND $1,000.00) V`deli - $10.00
Private Disp. - $10.00
- - Rough Openings - $1.50
SIGN URE OF PERMI TEE FEE: -j 7
STATE S/C: 5 `
FOR: CITY OF EAGAN GRAND TOTAL• `
,L
:r-#"..qr,.%"W- _1. 4
X..~ ~IT CITY OF EAGAN
3830 Pilot Knob Road, P.O. Bax 21-199, Eagan, MN 55121
PHONE:454-5100
BUILDING PERMIT , Receipt # ~
To be used for 1 OlF b-PLBx Est. Value ;72,000 Date «•"t' 26 ,
Site Address T 4203 YU PT
Lot " .Block i Sec/Sub. ~RIDGB OFFICE USE ONLY
Occupancy R-3 M-i FEES
Parcel No. '
Zoning R-3
ir Name MN~i~ ~ (Actual) Const Bldg. Permit 514.00
o Address P 0 BOX 1367 (AUOwable) ~ Surcharge
City M0W Phone 933-232I ~r or scories
24@ Plan Review 257*00
Lenglh
Depth SAC, Ciry 100•00
=F Name 8AM
OU 4 Address S.F.Total - 375.00
Clty PhOnB S.F. FoolpriMS SAG, MCWCC
- S~•~
On 5ite Sewage _ Water Conn
~W Name ~I~~ 8~~ On Site Well
W W ~ Water Meter
Address 11975 PORTI.AND AV'S 8 MWCC Syslem ~*pp
`W Clty a~s~~ Phone 894"6287 City Water ~ Acct. Deposil
PpV Required - S/W Permit 20~~
I hereby acknowlege that 1 have read this appiication and state that the Booster Pump - gMl Surcharge i100
information is correci and agreerlo comply with a Iicable State of 22a~~
Minnesota Statutes and City of Fr~gan inance Treatment PI
Signature ot Permitee APPROVALS Road Uni! 3W'00
A Building Permit is issued to: A Y Planner - park Ded.
an the express condition that ail work shall be done in accordance with all Couricil 1.00
applicable State o( Minnesota StaWtes and City of Eagan Ordinances. Bldg. OH. Copies
BuildingOtliCial Variance - TOTAL 2t772.00
.
" Parmit No. ParmR Holder Oate Telephone #
WA7ER
SEYI~ER
PLUMBING
H.V.AC. e! l
ELECTRIC
Inspection Date Insp. Comments
Foonngs I
Foundation
framing
Rooiing
Rougn Plbg.
Rough Hts. ~ ~ al r2~t!
lsul. ~ p
FirepiaCe 2 v
Final Htg.
Final Plbg _ j •
Cpnst. Meler Plbg. Inspector - Notity Plumber
EngrlPlan
eldg. Final
Deck Ftg.
Deck Final
Wel1
Pr. Disp.
Address: 4203 yEW pOM Lot 44 Blk ] Sec/Sub BOULDEp, gIDGE
These items ware/were not complete at the time of the final inspection.
DIAIE: 2/26/91 Yes No IlVSPFd.'POR:
Final grade (6" from siding) ~
Permanent steps - garage f
~
Permanent steps - main entry
Permanent driveway
Permanent gas V
Sod/seeded grass ?
Trail/curb damage
.
Porch ~ •
Basement finish
Deck
Please verify with the builder the removal of roof test caps from the plumbing
system and the shut-off of water supply to tha outside lawn faucat before
freeze potential exists.
White - City copy Yellow - Resident copy Pink - Contractor copy -if
For Office Use Only:
P
r- ? - "
~MECHANlCAL PERMIT PERMIT #
' CITY GF EAGAN RECEIPT # -
3830 PILOT KNOB ROAD. EAGAN, MN 55122
CONTRACT PRICE PHONE: I54-8100 DATE: '
Sifs Address . 7 C uJ 71 rr
BLDO. TYPE WORK DESCRIPTION
Lot . Block Sec/Sub f Res. ? New ~
Name ~ Mult Add-on
~ Address . Comm Repeir
.S City MINi"i1pni 1941df~6 r Other
5420
C:,1-9000
FEEg
Neme RES. HVAC 0-100 M BTU - $24.00
~
c Address ADDITIONAL 50 M BTU - 6.00
p City Phone (RES. HVAC INCLUDES MC ON NEW
COtiSTRUCTION)
GAS OUTLETS (MINIMUM -1 PER PERMIn - 1.50 EA.
TYPE ~F WORK COMMIINp FEE -1% OF CONTRACT FEE
FOrCed Aif Z) M 8TU APT. BIDGS. - COMM. RATE APPLIES
BOiter M BTU TOWNHO1SE 8 CONDOS - RES. RATE APPLIES
Unit Heater M BTU MINIAIUM RESIDEMIAL FEE - ALL I?DD-ON &
REMODELS - 12.00
Air Cond. ' M BTU MINIMUM COMMERCIAL FEE - 20.00
Vent CFM STATE SURCHARGE PER PERMIT - .50
Gas Pipinq Oudets # ~ / (ADD $.50 S/C PER EACH $1000.00 OF PERMIT FEE)
Other
PERWT FEE:
SIGNATURE OF PERMITTEE
S/C:
TOTAL: ~J FOFt CITY OF EAGAN
_ ~~9... ~-......c.~r-c:. . . . . . . . . r• < ' . _ . _ , .
PLUMBING PERMIT For Offtca Use Only
. , CITY OF EAGAN PERMIT# ~~a71Z'
CONTRACT 3830 pILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT# C
PRICE PNONE 454-8100 DATE: s
Site Add • ~ BLDG. TYPE WORK D~SCRIPTION
Lot Blodt SeclSub Rea. New
Muh. Add-on
Name Comm. Repair
~ Other
Address
~ City Phone RE3. PLBG. ONLY - CWAPLETE THE FOLLOWING:
- NO. FIXTU RES TOTAL
w r 9 Water Closet - $3.00 S
Name
/ Bath Tubs - $3.00 Z. r G
c Address _'2 Levatory - $3.00 f. OD
~ City Phone Shower - $3.00 73 442
~ IG6chen Sink - $3.00 -2- G..~
UrinaVBidat - $3.00
FEES Laundry Tmy -;3.00 ~ . G /COMM./IND. FEE -1% OF CONTRACT FEE Floor Drains - $1.50 APT. BLDGS. - COMM. RATE APPLIES _L Water Heater -$1.50
TOWNHOUSE & CONDO - RES. RATE APLUES _ Whirlpod -$3.00
MINIMUM - RESIDENTIAL FEE $12•00 Gas Piping Oudets -;1.50
MINIMUM - COMM.IND.IFEE S20•00 (MINIMUM - 7 PER PERMIn
STATE SURCHARGE PER PERMIT .50 Soitener - $5.00
(ADD $.50 S/C PER EACH $1,000 OF PERMtT FEE) Weq - $10.00
. 1~ Private Disp. - $10.00
Rough Openings - $1.50
S TURE OF PERMfTTEE ' U. G. Sprinkler System - a12•00
PERMIT FEE:
STATES S/C: • ~ Q
FOR: CITY OF EAGAN c,v
GRAND TOTAL: Zi--
k...-
• RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN c~ 7~i
3830 PILOT KNOB RD - 55122
651-6874675
Nm Comweiion Rwu6#mwnfs R~modWRwHr RwuinmenV
. 3 royistered siie swveys show" 19. ti d bt sQ.1l d lause; and ll raokd areas . 2 wpiea d Plan
(2(N6 mazYnum bl ooverape allowed) . 1 sel d Eneqy CalcWlioro (or heated addiiora
• 2copiesafplanshowingbeamdwindowsizes;pouredfounddaign,efc.) • 7siteeuneyforexlerioradOilansddecks
• i xt of Energy CalwWioris • IMicate if home sened by sepiic system fa Wditbns
. 3 wpks d Tree Prasenation PWn fl bt plalted aRer 711193
. Rin Jast DeUi Options aelectiai aMM (bldgs wkh 3 a tess uMs) .
DATE Pn VALUATION tp?00~'~
JOB SITE ADDRESS ~ youL~ f•
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNER
TYPE OF WORK cT t ` et I Q4m,9114PIACE(S) _ 0_ 1_ 2
APPLICANT firLSl14 L dY'nLV` ;E~'il'W S/WP_ PHONE# 2~5Z-f
ADDRESS 38':20 L11J ~ i LZ ga^17.5(//V~Q/ ~~,~ZIPCODE~
PAGER # CELL PHONE 11 FAX #
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
ener9y code cateyory _ MINNESOTA RiTLFS 7670 CATEGORY 1
(check one) - Residential Venlilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
_ MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumbing Contractor. Phone 1k:
Plumbing System Includes: _ Water Softener _ lawn Sprinkler Fee: $90.00
_ Water Heater _ No. of R.I. Baths
_ No. of Baths
MechanlcalContractor. 1'lT'Q I (rlOOY`NQJ^lrAd If' vk Phone#~ ,USL 0~~ ~`75Yf
Mechanical System Includes: _ Air Condi onig Fee: $70.00
_ Heat Recovery System
SswerJWater Confroctor: Phone Ik
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that the informalion is correct, and agree to comply
wilh ali applicabie State of Minnesota Statutes and City of Eagan Orfdhpance s,_ ~
SlpnalureolApplieanf T'~_/1 ' Ar"
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 1101
i
CASH RECEIPT
CITY OF EAGAN
;
3830 PILOT KNOB ROAD {
EAGAN, MINNESOTA 55122 I
,
DA.E
,
AMOUM
l!~
i
6 DOLLARS ~
? CASH g~ CHECK
f
~ ~
~
i
~ t i
117P.3y liQ 7701 a//`%~(L`+(~). ~
/0 M.
Jl "7 7,~"t-~
I~l O i'?I -7 72 c`0 cl.7
~
FUND OBJECT AMOUNT '
~
I i ~ a i Sr ~C: " 1
I /t L77 E I
1
7
1
I
I
Thank You
BV ¦ wv : I
I
C 4357 whu--Papmcqly
Addre4s: 4205 YEW FOINT Loc 43 Blk 1 Sec/SubBOULDER RID(E
These iCems were/were not complete at the time of the final inspection.
DATE: NOVEE21BE.R 14 1990 Yes No INSPEr~,'ypg;
Final grade (6" from siding) t/
Permanent steps - garage
Permanent steps - main entry ~
Permanent driveway
Permanent gas
Sod/seeded grass cl_~
Trail/curb damage
Porch
Basement finish ?
Deck
Please verify vith the builder the removal o£ roof test caps from the plumbSng
system and the shut-off of water supply to the outside lawn faucet before
freeze potential exists.
White - City copy Yellow - Resident copy Pink - Contractor copy
T.H. FOI?-SALF. UNIT CITY OF EAGAN ~Q ~ 7242
LOTS' 40+4-., 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55721
BUILDING PERMIT PHONE:454-6100 Receipt # -7
l~ 7 c~) V
<
To be used for 1 OF 6-PLEX Est. Value $72, 000 pate OCT 26 19S9
Site Address 4201 YEW PT
Lot 45 Block 1 Sec/Sub BOULDER RIDGE OFFICE USE ONLV
.
Parcel No. occuvancy R-3-tL-1 FEFS
Zoning R-3
x Name NEW HORIZON HOMES (Actuap Const V-N Bldg. Permn 514.00
w
o Address P 0 BOX 1367 (Allowable) V-N Sumharga 36.00
City MPLS Phone 933-2521 x oi stories -
Lenglh 241 PlanReview 257.~0
~F Name SAME oePm 50, snc, cry 100.00
Address S F. Tolal
SAC,MCWCC 575.O0
~ City Phone S.F. Faotpnnis _
On Sile Sewage _ Waler Conn
yw Name GRTSWOLD & AS$OC OnSiteWell
ww - WalerMeter 90.00
z~ AddreSS 1 197 S ppRTi.AND AVR MWCC System 7CR
aw CIIY RIIRNSVTT T F. PhOf1B 894-6287 CnyWater Acct. Deposit 30.00
PFV Roqwred _ SNJ Permit 20.00
I hereby acknowlege that I have reatl this application and state that the Boosier Pump - SiW Surcnarge 1.00
inlormaUOn is correct and agree comply with all a phcable State ol
Minnesota Stamtes and City ol an O nance Trealmeni PI 228. 00
Si nature ol Permitee APPHOVALS
9 - Road Unit 340.00
A Building Permit is issuetl to: EW HORIZON f{OME$ Planner - park Ded.
on the express condrtion that all work shall be done in accordance with all Councii
applicable State of Minn~sOta Statutes and City of Eag n Ordinances Bldg Olf. _ Copies .50
.!1
BuildingOfficial ~~=01In }11f~~] Variance - TOTAL _Z..771.50
'r H R- ALE UNIT
LaTs . _a CITY OF EAGAN No _ 17241
3830 Pilot Knob Road, P.O. Box 27-199, Eagan, MN 55121
BUILDING"P`RMIT PHONE: 454-8100 Receipt #
To be used for 1 OF 6-PLEX Est. Value $72,000 Date OCT 96 , 19g9
Site Address 4203 YEW PT
Lot ~'Block _I_ SeGSub. BOULDER RIDGE OFF~CE USE ONLv
Parcel No. occuvancy R-3 --ML-1 FEFS
Zoninq R-3
w Name NEW HORTRON NOMFS (AcwapCOnst V-N BIdg.Permil 514.00
o Address P 0 AOX 1't67 (Allowable) V-N surcnarqe 36.00
City MPT.S Phone 93l-7 591 k of stories _
Lenqth 241' Plan Review 257.00
.F Name SeMF. Depth 50~ snc,ciry 100.00
AddfeSS S.F. 7otai
Cdy Phone SF.FOOtpnnt5 _ SAC,MCWCC 575.00
um
On Sile Sewage _ ~^/aler Conn 580.00
ww Name ~=RTSWOiA R ASSOC OnSneWeil _ 90.00
w Waler Moter
~z Addr05S 17975 PORTT.ANn AVF S MWCCSystem 7QC
aw City RIiRNSVTTIFphone 894-69R7 Cnywater _XX_ Acci.Deposit 30.00
PRV Fiequired _ S/4V Permn 20.00
I hereby acknowlege that I have read this applicanon and state that the Boosler Pump - SNJ Surcharge 1•00
inlormation is correct and agree o comply wrth a a plicable State of
Minnesota Statutes and City ol gan dinance Treatment PI 228-00
SignaNre of Permitee APPROVALS Road Unn 340.00
A 8wlding Permit is issued to: EW HORIZON HOMES Pianner - park Oad
on the express condition that all work shall be dona in accordance with all Counctl 1. 00
applicable State of Mmnesota StaWtes and City of Eagan Ordinances. BIdg.Olf. Capies
BuildingOfficial ollo Av1 ~71 Vanance Y_ ;p7qL 2,772.00
T.[t oR- n[,E uNiT
LoT~ o-~ CITY OF EAGAN ~p ~~240
.
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PERMIT PHONE: 454-8100 Receipt# ~ Lr2~
_5. ]
Tobeusedfor 1 OF 6-PLEX Est.Value $72.000 pyte OCT 26 , 1 g89
Sde Address -42Q,5 YEW PT
LOt 43- BIoCk 1_ SeC/Sub. RO i D R RTD ,E OFFICE USE ONLY
Parcel No. acuvancy R-3ML1 Fees
Zonin9 R-3
w Name NEW HORIZON HOMES (ACtual) Consl V_N Bldg Permn 514.00
3 Address P 0 BOX 1367 (qllowable) -V-- N 36.00
° City MPLS Phone 933-2521 xoisiories s~~cna~ye Lenglh 241 Plan Review 257.00
~o Name SAME Depth 50' sac.cay 100.00
g6 Address S.P Totai - SAC, MCWCC 575.00
~ City Phone SF Foolprinis _
On Sno Sewage _ water Conn 580. 00
ww Name GRISWOLD & ASSOC OnSnaWell _ 90.00
w Water Meter
r~ Address 11975 PORTLAND AVE MwCCSysiem ~
aw City BURNSVILLE gg Acct oeposit 30.00
Phone 89~+-6287 cnywaier
PRV Required _ SIVJ Permtl 20.00
I hereby ackrrowlege that I have read this application and slate Ihat ihe Booster Pump - SiW Surcharge 1.00
inbrmaUOn is correcl and agree to comply with all ap licable State of
Mmnesota Statutes and City ol ~ances. Trealmenl PI 228. 00
Signature ot Permitee APVROVALS Road Umt 340, 00
A Bwlding Permit is issued to: N W HORI7.ON HOMES Pianner - park Ded.
on the express conaition that all work shall be tlone in acwrdance with all CouncA
applicable State of Minnesota Statutes an Ciry ot Ea an Ordinances. Bidg. Ofl. Copies 1.00
BwldingOtficial 1-NJ A A Q.~ 11 variance - rornL 2 772.00
T.H. FOR-SAI.E UNIT CITY OF EAGAN N~ 17239
LOTS 40-~5 ~
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PERMIT PHONE:454-8100 ~
Receipt # 'Y
To be used for 1 OF 6-PLEX Est. Value $72,000 Date OCT 26 ig$Q_
Site Address 4207 YEW PT
Lot 42 Block -_I_ Sec/Sub. BOULDER RIDGE OFFICE USE oNLY
Parcel No. acuPancy R-3 M-1 FEFS
Zoning R-3
w Name NEW HORIZON HOMES (ActuaqConst V-N Bldg Perma 514.00
o Address P 0 BOX 1367 ~Allowable) -N Surcharge 36.00
Ciry MPLS Phone 933-2521 woisiories -
Lenglh 1Q' PlanReview 257.00
io Name SAMF. DepN 1S1_, SAC,Ciry 100.00
gQ Address S F. Total - SAC, MCWCC 575.00
~ City Phone S F FootpnNS _
On Site Sewage waier Conn 580.00
ww Name GRISWOLD & ASSOC on siteweu 90.00
w - WalerMater
i~ AddreSS_ 11975 PORTLAND AVE MWCCSystem XR
aw City UILL~ Phone 894-6287 cnywater }[g Acci.oeposit 30.00
PRV Reqmretl _ SPN Permn 20.00
I hereby acknowlege that I hava read this application and slate lhat the Boosler Pump - SIw Su¢harge 1.00
mlormauon is correct and agree o cor]ply wRh all pplica6le State of
Minnesota StaNtes and Ciry ot rEiinanc ireatment PI 228, 00
SignaWre ol Permitee APPROVALS Road Unii 340.00
A Building Permit is issued to: EW HORIZON HOMES Planner - park Detl
on tha express condiuon ihat all work shall be done in accordance with all Councd 1. 00
applicable State of Minnesota Statutes aIntl City of Eagan Ordinances. BItlg.Olt. _ Copies
BuildingOilicial ~,~L~ .Q/.~.l.It :M~ Vanance - TOTAL 2.r772.00
~
T.H. FOR-SALE t1NI'r CITY OF EAGAN
Lo;p ao-.:s ~1I_p 17238
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PERMIT PHONE: 454-8100 Receipt # A ~ I`Y'
-
To be used for 1 OF 6-PLEX Est. Vawe $72, 000 Date OCT 26 1982
Site Address 4209 YEW PT
41 1 BOULDER RIDGE OFFICE USE ONLY
Lot - Block Sec/Sub.
Parcel No. ~ ocaPancy R-3 M-1 FEFS
Zoning R-3
w Name NEW HORIZON HOMES (AduapConst V-N Bldg Permit 514.00
o Address P 0 BOX 1367 (Allowahle) V-N 36.00
MPLS Surcharge
Ciry Phone 933-2521 xaistolies -
Lenglh _2-4-1 PlanReview 257.~0
zo Name SAME Depth snc, Ciry 100.00
gQ Address SF Tolat - SAC,MCWCC 575_00
~ City Phone S.F Footprints -
On Srte Sewage Waler Conn 580.00
~W Name GRISWOLD & ASSOC OnSiteWell - 90.00
w W Waler Meler
z~ Address 11975 PORTLAND AVE S MWCCSysiem XX
~W City BURNSVILLE Phone 894-6287 Cirywater XX Acci.Depovi 30.00
a
PRV Reqmred - S/W Permit 20.00
I hereby acknowlege that I have read this application and state that the BooSler Pump - SIVJ Surcharge 1.00
iNOrmation is correct and agree t comply wtlh all ap hcable Slate ol
Minnesota Statutes and City of Edn inances. Trealmem PI 228 • 00
SignaWfe of Pefmitee APPpOVALs Road Unit 340. n0
A Building Permit is issued to W HORIZON HOMES Planner - park Ded.
on the express contliUOn that all work shall be tlone in accordance wnh all Councd
applicabte State of Minnesota Sta{t~utes aInd Cuy yo~l E .L1 Nagan Ordinances, gld9 pry, _ Copies 1.00
Building Otfitial _1 I9.~rA.' y I I I Variance - TOTAL 2,772. 00
T.H. FOR-SALE UNIT CITY OF EAGAN N_0 ~ 7237
LOTS, 40-.4;. 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt p ~43
To be used for I OF 6-PLEX Est. Value $72,000 Date OCT 26
Site Address 4211 YEW PT
LOt 40 BIOCk 1 SeC/SUb. BOULDER RID E OFFICE USE ONLY
Parcel No. ' ocaPancy R-3 M-1 FEFs
Zomng R-3
w Name NEW HORIZON HOMES (ACtua1) Consl y~`I BIdg.Permil 514.00
~ Address P 0 BOX 1367 (Allowa6le) ~!-~`1 36.00
~ City MPLS Surcharge
Phone 933-2521 x o1 siories _
Length 24' PlanRevtew 257.00
~ o Name SAME Depih 50 ~ snq ciry 100.00
0'~' AddBBS S F. Total
°F - SAC,MCWCC 575.n0
City Phone SF.FOOlpnms _
On Site Sewage Water Conn 580.00
ww Name GRISWOLD & ASSOC on snaweu _ 90.00
w Water Meler
iZ5 AddreSS 11975 PORTI,AND AVE S MWCCSystem XX
iw City BURNSVILLE gg ncct.oeposn 30.00
Phone 894-6287 Qry Water
PRV Requved - S/W Permit 20.00
I hereby acknowlege that I have read this applicanon and state that the Booster Pump - SiW Surcharge 1.00
inlormahon is correct and agree to comply with all a lica6le State ol
Minnesota Statutes and Crty of a inances. Treatmem PI 228.00
Signature ot Permilee APPROVALS Road Unit 340. 00
A Building Permit is issued to: ' W HORIZON HOMES Plenner - park Ded.
on tne express conduion that all work shall be done in accordance with all Counal
applicabla State of Mmnesota Statutes and-Ciry~ o'ryl1Eagan Ordmances. Bidg. Olf. Copies 1.00
Building OHiaal D~1n ~~(L I yy 111.~/J Variance - TOTAL 2,772. 00
SEDGWICK HEATING & AIR CONDITIONING CO. HE^riNC JOBNO. 5-3-2~ 2`
8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 •(952) 881-9000 TEST RECORD
ADDRESS L~ Z03 v a~~ CITV C-•'
OCCUPANT OWNER ,/r
SOLDBY INSTALLEDBV
MAKE MODEL 6-c oU L~ V l66~ ! o
SERIALNO INPUT U~
THERMOSTAT VENTSIZE
VALVE LJ~J 7VPE OF LINER
LIMIT
LINEF SIZE
~
1J r
LIMITSETTING FILTERS: SIZE 1`'w NUMBER
FANSETTING WIRING
PILOTNPE J TESTTAG IGNITION MODEL
LIGHTING INST.
PILOTTIMING
3S"•,l` ~ DATE TESTED
PRESSURE PERCENTCOs
INPUT CFH PERCENT Oz v Q j COMPANV TESTING
STACK TEMP. SG PERCENT CO l~ IV NAME OF TESTER
FORM 235 (REV n108) FORM OISTRIBUTION: NMITE COPV B FILE YELLOW COPY- CITV
(Zo 4.4T
~ 2007 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone 9 651-675-5675 FAX # 651-675-5694
New Construchon Reomrem nts RemodellReDair Reauiremenls Office Use OMv
3 registered site surveys shaxing sq. R of l06 sq. ft. of house, anG pll roofed areas 2 copies of plan showing footings, beams, joists Cert of Survey Recd Y N
(20%maaimum lot wverage allowed) 1 se( of Energy Calculatiore for heated addiGons Soils Repod Y_ N
1 Soils Report if proposed buAding's to be placed on disturbed soil 1 srte survey for addiM1Om 8 decks Tree P25 Plan Recd Y_ N
2 copies of plan showinq beam 8 window sizes; poured found design, etc Addihon - mdicate ii on-sRe sepfic sysfem Tree Pres Required Y_ N
1 set of Energy Calculations Onsite Septlc System Y_ N
3 copies of Tree Preservation Plan d Iot platted aRer 711193 -
Rim Joist Detail Options selection sheet (6uildings wrth 3 or less untls)
Minnegasco mechanical venUlation form
Plans are considered ublic information unless ou state the are trade secret and the reason.
Date 1C5 Construc[ion Cost 33GCJ -
Site Address 11.1R01r\
UnidSte #
Description of Work ~ ~xo'
Mul[i-Family Bldg Y_ N Fireplace(s) _ 0 _ 1 _ 2
PropertyOwner Telephooe#(asl)ysa - (5(6qg
Contractor Renewal By Andersen
1920 County Road "C" West
Address Roseville, MN 55113 - c'ty
State License #20130983 felephone # ( )
(,S 1 _?64_4777
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Energy Code Category - Minnesota Rules 7670 CateeoEy 1 _ Minneso[a Rules 7672
(J submission rype) • Residenhal Ventilation Category 1 Worksheet . New Energy Code Worksheet
Submitted Submitled
• Energy Envelope Calculations Submitled
In }he last 12 monihs, has ihe City of Eagan issued a permit for a similar plan based on a master plan8
_ Y _ N If yes, date and address of master pian:
Licensed Plumber Telephone )
Mechanical Contracfor Telephone )
Sewer/Water Contractor 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.
ApplicanYs Printed Name A plicant's Signature
2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Pleaze complete for. single family dwellings & townhomes/condos when pertnits are required for each unit
Date kD / 1-7 / C)S
Site Address 4acs pc--,~ nt: Unit #
Property Owner ~ CL-s-)Y1a. Z>" mn``kN~ Telephone # ((aS I ) ~PM' ~J3 7
Contractor i Wohle' rs Souths'de Htg. & Air, Inc. I
6950 W. 14611, St., 55024 I
Street Address I Apple Va110y, MI`~ City
i (952) 431-7099 ~
State r Telephone # ( )
Bond#: ~~-Tcf:44Expires: ~~s-a-P
The Applicant is _ Owner -X-Contractor _ Other
Add-on or alteration to existing dwelling unit s 30.00
~ furnace _Additional ' \Replacement
air exchanger
~ air conditioner _New 4Replacement
other
State Surcharge $ 50
Total
1 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 permit; that the work will be in accordance with the
approved plan in the case of work which requires a review and approval of plans.
,
Applicant's PrintedName Applicant's Signature ~ i. nC
- J
t*g1r2005 sa
RESIDENTIAL MECHANICAL PERMIT APPLICATION '
~_Of City Of Eagan
~f 6/ 3830 Pilot Knob Roed, Eagan MN 55122
Telephone # 651-675-5675
Please comple[e for: single fam$y dwellings & townhomes/condos when permits are required for each unit
Date 4 / oN / Z) S
Site Address 'eQ0.7- P,:9; Unit #
Property Owner Telephone # ((o.[ ~ ) !Up 0 ~
Contractor SEDGNGI( 6, .
8910 Wenr,. .nn t;vC 5o Ctty
Street Address
i s, 5
State (952) 881-9000 Zip Telephane # ( )
Bond Expires:
The Applicant is _ Owner ? Contractor J Other
Add-on ar alterafion to existing dwelling unit $ 30.00
furnace _Additional _Replacement
_ air exchanger
? air conditioner _New ? Replacement C~Z~ o~ -f-d71
other A~XAq
State Surcharge $ 50
To[al $ ICIJ No
I hereby appty for a Residential Mechanical Permit and acknowledge that the information is complete and accuiate, that the work will
be in wnforcnance w6th the ordinances and codes of the City of Eagan and wifli the Mechartical Codes; that I understand tlus is not a
permit, but only an application for a permit, and work is not m start without a permit; tha[ [he work wi I be in accordance with the
approved plan in the case of work which requires a review and approval of pians
~HTG.& AMXWOC ~J , L
Applicant's Printed Name Applicant's Signature 2&
i
! -i
`n ~?cO 2005 RESIDENTIAL BUILDING PERNII'f APPLICATION k(~-e C3
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone 9 651-675-5675 FAX 4 651-675-5694
New Construction Reauiremen4s . RemodeVReoair Reaui2menLS Office Use OnN
3 registered site surveys showing sq. ft. o( lot, sq. h. of house; and all roofed areas 2 copies of plan CeR of Survey Reod _ Y_ N
(20%maximum lot wve2ge alloweA) 7 set of Energy Calcula6ons for heated addHions Tree Pres PWn Recd _Y _ N.
2 copies of plan showmg beam 8 window shes; pou2d found design, etc. 1 site survey for addNons & decks Tree Pres Requi2d _ Y_ N
isetofEnergyCalculations AddRion - indicateilon-sitesepticsystem On-site5eplicSystam _Y _N
3 copies of Tree P2servation Plan tl lot platted after 711133
Rim Jo'st Detatl Options selecUon sheet (buildings with 3 orleu uniLS)
Date Construction Cost 'nw ^~t OL7
Site Address ya OT,3 qc20S I L{c~O I H a0~ 4d i 1 t Q cJ Unit/Ste #
- 4 S ~a
Description of Work I~WU~ EX152~N(r Af1R/190fERn SfANCr INCTfICL /YWi FSk VMYL r5~1`f~ e~
Multi-Family Bldg ~ Y _ N Fireplace(s) _ 0 _ 1 _ 2
' T: Goilz0y ~ RVENY
Property Owner Bnvl?FR IQ1l1C~_ TWnf i-IOi'V1G_S Telephone tl (bSl 504q
Contractor 131.(7GjC lANSTKUC-TIC-44 `~'~S~~Z~T10?`1 INC-
Address ! ZOZy ToGKE R N) City
State mr-1 Zip 5~37 Telephone#(6jy) ZSZ-
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Categorv 1 Minnesota Rules 7672
Energy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(Jsubmissiontype) Submitted Submitted
. Energy Enveiope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber Telephone )
Mechanical Contractor Telephone J
Sewer/Water Contractor 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 approv plan n the ca e of work which requires a review and
approval of plans.
aur-sL ~ SL&~,K
Applicant's Printed Name ApplicanYs Signature
COMMERCIAL ~ J
. . + 2002 BUILDING PERMIT APPLICATION CITY OF EAGAN J
y ~ 651-681-4675
Foundation Onl New Construction Interior Im rovement
• SWCWraI Plans (2) sets • ArchitecNrel Plans (2) sets • ArchitecWral Plans (2) sets
• Crvil Plans (2) . Structural Plans (2) • Code Analysis (i) "
• Certificate of Survey (1) • Civtl Plans (2) • Project Specs (1)
• CodeMalysis (1)" • LandscapingPlans (2) • KeyPlan (1)
. ProjectSpecs (1) • CodeMalysis (t)" • MasterExilPlan (1)
• Spec. Insp. & Testing Schedule " • Certifcale of Survey (i) • Energy Calculations (1) not always"
• Soils Report (1) . Spec. Insp. & Tesling Schedule (1) " • Elec. Power & Lighting Fortn (1) not always"
• Meter size must be established • Meter size must be established • Meter size must be established - if applicable
ProjectSpecs (1)
d EnergyCalculations (1) " 1
1 • Electric Power & Lighting Form (1) " !
1 • Master Exit Plan (1) 1
1 • Fire Protection Plan (1) ° 1
1 • Soils Report (1) 1
• MGES SAC detertninaQon letter . MGES SAC determination letter • MGES SAC detertnination letter
call 657-602-1000 call 651-602-1000 call 657-602-7000
" Contact Building Inspections for sample
Food & beverage or lodging facilities - submit plan to MN Departmen~t ~of ~Health. Call 651-215-0700 for details.
DATE: WORK TYPE: NEW vR MODELV CONSTRUCTION COST: ( U~OI CIO
SITEADDRESS: 42AU
TENANT NAME: V", e a~ SUITE
FORMER TENANT NAME, IF APPLICABLE:
DESCRIPTION OF WORK I I(~ IVP~~J ~
~
Name~owr ~IIC~Q , (bU~1~1611'~~~~ ~#c_l~~ bR~ ~S
PROPERTY Las[ First .
OWNER
Screet Address:
City: ~~n tate: Wj\ Zip: -22-
Company: O Phone
CONTRACTOR
Street Address:
City: State: Zip:
ARCHITECT/
ENGINEER Company: Phone ( )
Name: Registra[ion
Stree[ Address:
Stf p q ~I ~III I`{
~In~l 0 20131 U
Ciry: State: Zip:
i_ t
II-1"
Licensed plumber installing new sewadwater service: Phone ( )
I hereby acknowledge that I have read this application, state that the informati orrect, a~ d a omply ith all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Signature of Applica :
Updated 1102
BOULDER RIDGE 14800 APPROVED 1998
~ PAGE 2 OF 3
I
PERMIT ;
DATE & •
USE LOT BL ADDRESS
6/89 5-rLex 260 Ol 4210/ J[INIPER PT
I270 01 4212/
280 01 4214/
1290 01 4216/
1300 01 4218
12i89 5-PLEX 310 Ol 4221/ JUNIPER PT
320 01 4219/
1330 01 4217/
1340 01 4215/
~350 01 4213
5i90 a-Pt,Ex 360 01 4202/ YEW PT
370 01 4204/
380 01 4206/
I390-02 4208
~
10/89 6-PLEX 400 O1 42117YEW PT
~410 Ol 4209/
420 O1 4207/
430 O1 4205/
440 O1 4203/
450 O1 4201
1
i 60 01 COMMON AREA
i oiaa 4-PLEX 010 02 4223/ BOULDER RIDGE PT
020 02 4225/
030 02 4227/
040 02 4229
I
sisv 4-PLEX 0 50 02 4241 / BOiJLDER RIDGE PT
060 02 4243/
070 02 4245/
080 02 4247
I
~ 4
t ;
1989 HQILDING PEBMIT APPLICATION - GITY OE EAGAN
SINGLE FAMILY DWELLINGS ~
INCLUDE 2 SETS OF PiNS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRFSSES FOR CORNER LOTS - COlQTH9CTOR/HOMEO{iNER MUST DFSIGNATE WEiZCH 6DDRESS
IS DESIRED. NO CHANGES WILL HE ALLOWED ONCE BD II.DING PERMIT IS ISSUED.
i
M[TI.TIPLE DWELLINGS AENT6L DNITS FOR S6LE ONITS # OF UNITS _IV_
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECB WITH BLDG. DEPT., 7 SET OF ENERGY
CALCULATIONS
COMMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
I e -
I oF ~o TDwNf9 b~. > q
To Be Used For: T/A1, Valuation: 72i0C0 ~ Date:
Site Address OFFICE iJSE ONLY
Lot Block ~ Occupancy R•3 M-1 FEES
Zoning (Z-
Parcel/Sub Actual Const Bldg. Permit 5~y 0~
I. Allowable V- IV Surcharge 3h,Q~
Owner AAWl # of stories Plan Review ZSrI.Oa
Length y-l' SAC, City IOb,oD
Address ~C/• ~~,~~1/ Depth 50, SAC, MWCC $1S,pD i
S.F. Total Water Conn $80120
CitylZip Code ~~C~y ~.i~/~/ Footprint S.F. Water Meter 90,
DU
Acet. Deposit 30.0
D
Phone On site sewage S/W Permit - 20.00
On site well S/W Sureharge 1.0
O
Contractor y~i,~i~ I -uslar~~ MWCC System ? Treatment Pl. 22
City water ? Road Unit 3N o.oo
Address PRV required , Park Ded.
Booster Pump _ Copies $o
City/Zip Code TOT$L +
a I APPROVALS
Phone Planner ,
Council /
Arch./Engr. Bldg. Off. ~9121
f~J Variance
Address //9~.~~~~~~/~l•/.(pG.S
City/Zip Code90il_o I -1djayG4 rf/ • IMOML IF ~
Phone at
NOTE: Sewer & Watel Permit fees and aecount deposit fees xill be ineluded in the building
permit fee. Processing time Por sewer and water permits is tvo days onee a licensed
plumber has applied for a permit at City Aall.
. I
,W ,,,:,,,I
o. uaK 11;~O 47 3 -4osS
, N EW HIO ~21Z0 N t'bN~f~ -
I'i...,.ii.. I. Adiliii
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i v-m:r:u i;:,i i niaFn Anner r.i!Ain: r~ P'I I I•~~~.
WT I~
~ 32~ 1' 4~~ 43 siff.
~ a' 4416 sj4-
•
~:~,.i ..i ~ ..~ii :,i.~ ~ ,~G:.._._., i~~.;ci~i :~i,~,.~• r~.~d~~ ~ -
~il,i'M ,.,ii 1 ,i-.v ill, it„ill,g il„i.,,.. 1-1 .iI
NO(ZGO '5229 C7t1_Myu:~~i. 60. ,.u,. .S~ , - 33.0 (r) c,,~
3zz4_DN- -`l,. 30-~
r~ o n ic;,>
- - ~ - - - ~-~j- - zq. ri .2_K lo ~ '!O ' „n•.:_ : SS . . . 2.8 cr) (n)
~O'G4- - _ - - -
ri._ °n~• - (r)(a)
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- -
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(I!)(A
f1')(A)
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.(I.')(A)
(t. (11)(n
5q. (1_. r II')(A)
• ' -
00 A)
. ' _ ~n. ft. ..i...__" _ (~'1(n)
- - - 11 !o yFt !03 . 3
-
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. - -
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- _ tu)tn)
. - ~ _ 3~. 3
~•nniq: `9. f
,ii rors. nnjrilau; nrca r "u" v:,Jue
1'IiM1HIiP WAI.L ([nlnJ aren decs
npr.ninp. frmuinP. ~~.rmb¢r~ in
mnsanry)
,;q). tc. ~002 .04+5 g'S. I !r)(n>
.1 F II I i - - _
fraimu hCiz in w~al l s9. (t._ 1_~ r~~0" ,D~03 _'7 - O O(A)
o _
H_im lo.il_arca cq. fl.
~ ~ C. II I: A
,'I~~snn rl:ifCp_.,19YC_ECadr 51. C _x
10~
rrrrnt, u,ti n«:, tncktduv,te, It~3.2
IJind~~ws h?nnrc ftl'fAI II111A1
unni, ~ - nvc. °u" -O
bl\rllll'1) I41' IPIhI. IJALI. AIlEA I~S 4k.
nPlltnr:l'. "li" I~lnn. 17 ur locs !ar 1[. ' fnm{ly dvcllinn,.v
i
`liuiimim .77 nr Irsv for al] otLer bu11<liu{,s
?r~li II .~~ria~:n ~11" vol~,rc ns rnlrnlated a6ovC dn not merl ILr I:nnigv f:ndr iirinon~v, Ihr
°Plri~i,lr F.n•+rlnpr b~ciP,"" a^ indirnCed n? Pngv 5 m.~y 6r n.rd,
j:, ,
~ ~ ~ . h 4 1
r.oor cr.]i,TNC ~ .
Outsid.r.. air l17m
]nsulniton
, , ` . .
!5 Dr)va .LS
' . . . .
Incerfur nir film .6I
TOl'Ai. It -
U = 1/H
Ou[sidc air (ilm _6J-
'
lnsula[ion
.
1j" DrYvall
ox-.55
InCerlor air film .61
1'OTnL It ~
ll = 1/R U -
Ou[side air film .17
9uilt_up..ioofinr .]3
-f~i1f\I\ISL~~ lnsulation
"/.171L~ ood deckinq .
11 i - . .
In[erlor eir [llm .61
_
7'0'!'AI, R =
' U ~ 1/lt ll -
ItOOf/CfILINC-
70fAL AIt1:,V
Ilctnll referenr.e x sq. Ct. (i (f!)(A)
Crom abovc. •~U° x 5q. fl. - (I!)(A)
UQscrl6e openings SK LIQ ~~U~~ .~10 x sq. (U)(A) ,
in rooC x s9. (I') (A)
x sq. (l. - (A)
,•U•, x ~q. ft. (U)(A)
"U•' x sq. fc. (U)Inl
Tornis 1 l 1(n <o. rL. (c) (N'
IOTAL (U) (A) 1'ALUES
DIVIDED RY TOTA1, ROOF/ O•~32 AVC.
CF.ILINC AItF.A
AVFMCE "U" .OS for ventila[ed roo[s
.10 for all other construccion
NOTF.: ]f averagc "C" vnlucs as calculn[ed ebove do na[ meet the f;npergy Cnde rcqulremen[s, [he
"Alternocr. F,nvrlope Oesign" as Sndltated on 1'age 5 mny be us(:d.
1989 BOZLDZNG PERMIT APPLICATION - CITY OF EAGAN '
SINGLE FAMILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
BOTEs ADDRFSSFS FOR CORNER LOTS - CONTRACfOR/HOMEOWNER M[TST DESIGNATE WHICH ADDR£SS
IS DESIRED. IAO CHANGES NILL BE ALLOWED ONCE BUILDING PEHMIT IS IS3IIED.
MULTIPLE DWELLINGS II RENTAL ONITS FOR SALE IINITS V # OF ONITS ~
INCLUDE 2 SETS OF PLANS, CEHTIFICATE OF SORDEY - CHECB WITH BLDG. DEPT., 1 SET OF ENERGY
CALCULATIONS
COM44ERCIAL II
INCLUDE 2 SETS OFi AHCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
1 oFro Tao.4.0'iJ , - ~j /J
To Be Used For: Valuation: 72, O1'~O ~ Date: /'~7 -el
Site Address o OFFICE OS6 ONLY
Lot Izz Block ~ Occupancy R3 M-1 FEES
Zoning R-3
Parcel/Sub Actual Const y-N Bldg. Permit 514,00
Allowable V-N Surcharge 36,oa
Owner {k of stories Plan Review 257,D0
Length 7-4' SAC, City op,po
Address /~C/•~~,~~1~ Depth SD' SAC, MWCC 5c15M
S.F. Total Water Conn S'D OD
City/Zip Code~/17_~,f,y, ~'~•~„~y,~~ Footprint S.F. Water Meter 90,Do
Aect. Deposit O,DD I
Phone On site sewage_ S/W Permit 20,po
On site well S/W Surcharge 1o0o
Contractor ..QG~ MWCC System v Treatment P1. 22 ,DD
City water ? Road Unit 41,1o
Address PRV required _ Park Ded.
Booster Pump _ Copies ' I.Op
City/Zip Code TOT9L ' r1a._r,o
I ~ APPAOVAIS
Phone Planner _
Couneil
Mch./Engr..~~,~,iy~~~~? Bldg. Off. ~9/ZI
,~j,~~~~~•
Address s, Variance
~ City/Zip Codeza~',lf6. MODEL "d 1 GeN'TE ~
Phone U
NOTE: Sewer & Water Permit fees and aecount depoait fees rrill be ineluded in the building
permit fee. Processing time for sewer and rrater permits is two days once a licensed
plumber has applied for a permit at City Eiall.
4'2S'Qi$
Lou~bc-~ ?eir'c~~ Mopc-l- E) I C L-N 1e12-
AVI ,:.N,:l I I,:,Al. I 1:1 I
, ..,,~V.I I) I;,I L ,,IM A ,,MM 1:1:AI,I ~ ~
~ ~ ~ Sbo sf~.
i i :0,.,., o . II,.i,.,i,l „r ~ i i
5-4•
or 11:1f,
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(00 • ~ , SS 33.0 c~n
• , f~o(zcp 3224nn Myu~.~,. rI:.!LX _ .
32244N_.__"i. rl.~L.Xl6_~3o.,.u.• .ss 1~.6t~~~c.~~
n . n•i(n)
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'
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vnll, I~iw jni.i oi~a h nmr.nnr)')
ri. •~iv• .04-S 24-p W>(n)
- -
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I'i~miinf,Jnian6c~s in vall 1•
e '~J i~ A
luisl_arca sq. (l.__ .~9 (I:) (A)
_ __-"-_..__a~ . (l..____-"__'-'"'. x _
(02$ sF-F.
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IJind,n:s L ?nurs ` 'fOIhL (P)1A)
i(Iini. (u)(n) vnI.ur.5 2 -
iI i'viiiru iir Mini.i;ni.l. nni.n
l~\'I RM.l. ..Ii" il~in~innm .1/ o" Ir<.. (or I 6 7 family dvrllliup:
4linimum .7? I~•^•o- !ol nll oUier huildiu~:^ '
rr~ll II ]:i~•n "U" v.ilurc n~ ralrvlnlyd nhpvc Jn nul mrM ilir Ifu~ip.v f'i~dr i~•quir.inoni~+, IL~~
••Pl.•in:,i,• indirnlyd nn I'npr 5 mny I~r n.rJ.
R(lfl:' ('I:JI.1Nl: , .
' Ouls~dit :~ii Iilm .~•I •
. ~ ' insulnlinn
:
L~[crlur nir film
101A1. Il -
11 - l/lt
Uu[side n1r [ilm
.
Insula[1on
: _ _
J ~ IS" n[yv,ll
In[crioc air-fflni... ..GJ
. I'17'lAi, li ~
11 - 1/R 11 -
OuCS1de air film
Ru1.le_up roofinc . .
' fTC"~~ ` Ineulation
.
lT~t1~i- ' .
- 111 ~~iU~~a- i,ooa aecki„P
U.~_ _ / . .
IIII~~J - .
~ InCetror ai.r film
S1 / \~1 . . lU'!'AI. 4 "
U ^ 1/lt
~p1Uf/c:P.I1.l Y.l::
IQIAI. AIiCA: sq. fL.
bi•t:~il ~nfrrcnrr •~U•~ a2~7 x sq. li. ?~(!)(A)
f~nin nLnvv. ••U~~ r. Sq. ft.._' (1!) (A)
u~•«<~i,~~ - SKY~iGI-fT`--„~„ .'1O x sq. ri. -J? (a)(n)
x r.,i. ri...__.------- !k7(n)
x sq. fi -----(")(n)
- ~~p•~ r sq. (L')(n)
U.._ x vq. fc.._-_-_ -(UI(A)
ro'r~u.s 1111v s~~. n. ~~P-~ (s)(n)
iorni, (u) (n) Vni.ucs - -
uivioeu in• rorni. r.nory 0•032 nvc.
cr:ii.tr+r. nia;n i ~Il~yrt
nVERACI: "u" .OS for vencilni_ed rnoCs
.IU for nll a[hcr r.ansCnuct7on
:lOIF.: I( avCiapr "U" vnluez at, calcuLnCeJ n6ove do no[ meel lhe G11fr.rp,)' Codc ri•qulYemriiGS. [he
~•Al~~~n:~tr Gnve7ope Decign° ac IndLcntrd on I'apr 5 m:1y br
r 1969 BUILDIRG PERMIT APPLICA7ION
~ CTTY OF EAGAN
i
~
o
SINGLE FAMILY Di1ELLIAGS !lQLTIPLE DftELLINGS C0284ERCI6L
2 SEfS OF PL9NS i 2 3BTS OF fLiNS 2 SETS OF AACHIiECTURAL
3 BEGISTERED SIYE SU{tVEYS BEGISTSAED SI1'E 3UHVEZS - 8 ST80CfQRAL PLINS
l SEf OF EAEAGY C,I.CS. (CHECE HT!'H HLDG DIV.) 1 SET OF SPECZFICATIONS
1 SEf OF Fd7EACI C1LC3. / 1 SET OF ENERGS CALC3.
MULTIPLE DiTELLINGS RENT9L ONTTS FOA SALE DNITS ~ # OF DNTTS /0
HOTEt IDDRESSFS FOA CORNER LOTS - COATRACfOA/80MEOfiNEA FNST DFSIQiATE YHICH IDDRFSS
IS DFSIRED. NO CHANGFS AII.L BE ALLOftED ONCE HUII.DIAG PERMIT 73 ISSIIED..
SEiiER 6 iiITER PERMIT FEES lFD ACCOIINT DEPQSTT FEES UTII.L Hfi ItiCLODED UTtTH THE HUILDINQ
PERMIT FEE. PROL'ES3IlIG TIff Y08 SEWEA AAD W9TEA PEtalITS IS li10 DAYS ONCE A PERMIT HAS
BEEN CONIPLETED IHDIC6TING A LICENSED PLOlIDER.
I '
PENALTY 6PPLIES HFIEPI's PERMIT IS @10T PAID FOR Iid S@ME MOPITH IT IS REQUESTED.
LOT C9@NGE IS REQOESTED OP]CE PERMIT IS ISSIIED. ,
( OF G TbWry HCOAgE
i
To Be Used For: _ ~ Valuation: 72, ODD- Date:
Site Address OFFICE OSS OH[.Y
Lot ~ Block Occupancy FEFS
Zoning R-3
Parcel/Sub Actual Const V-N Bldg. Permit 514.OU
Allouable V-N Surcharge 36.00
Owner ~~i~'s~o2,-•Le of stories Plan Review 7-59.00
Length Z~f r SAC, City 1 0 0. 00
Address Depth 773O SAC, MWCC 5'75.00
• /~r S.F. Total Water Conn 5 0
City/Zip Codei1~~I <!~/,u. Footprint S.F. Water Meter OIoD
T Acet. Deposit O,~o
Phone On site aewage S/W Permit 20,00
On site Well S/W Surcharge o0
Contractor MWCC System ? Treatment Pl. u8, r70
City vater ? Road Unit 3Np1Do
Address l• G~~r3~ I~~lo ~ PRV required _ Yark Ded.
Booster Pump _ Copies .oo
City/Zip Code,s~31!~ ! //yJ SQB?OTAL
I T- APPROVAI.S Penalty
Phone ee~~ 1~07~ Planner _ TOTAL ~ .ilfl
Council ~
Arch./Engr. Bldg. Off.
Varianee
Address '
City/Zip Code~~s~!!p ~yl~~i• N10oEl ,$1 GENT& !
Phone 8 ~~y~~p..7TS7
~ r -
~rnn•i:iA iinu
ii.,..... 4~~i -4oSS
~ I 11.111 4-25-Sa
f~oUt,~Ei2 Ie~ r~gE M 017~- 2~1 Ge~T'~2
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? l:.:l I dl'I A,NIIIIVI' i:l'API I I I"II I' .
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'-r falneulalion
_ . . . .
rC'l_ '
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"Alir t nvtr Cnvc7oPc Dc~% ign- ns Indlcntr.d on 1'apr 5 mwy bl, avc.J.
1989 BUILDIBG PERMIT APPLICESION
CITY OF EAGAN
SINGLE FAMILY DHELLIBGS MULTIPLE DHELLINGS C0M8MERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHISECTURAL
3 AEGISTEAED STTE SDRVEYS REGISTfiRED 3ITE 3URVETS - 6 STROCTOAAL PL11NS
1 SET OF ENERGY CALCS. (CHECH ifTfH BLDG DIV.) 1 3ET OF SPECIFICATIONS
1 SEP OF ENEACY CdLCS. 1 3E'f OF ENERGT CALCS.
IIULTIPLE DiIELLINCS RENT6L QNTTS FOA SALE DNTTS t/ t OF DBITS U/
HOTEt IDDRES3FS FOR CORNER LOTS - COHiRACfOR/HOMEDiiNEA !lDST DFSIGNATE HHICB IDDAFSS
IS DFSIRED. 80 CHAtiGFS AILL BE ILLObTED ONCE BIIII.DING PERMIT L4 ISSQED..
SENER 6 1i9TER PERMIT FEES AND ACCOUNT DEPOSTT FEES liII.t HE INCLIJDED WITH THE HOILDINQ
PERMIT FEE. PROCFSSZNG TIME FOR SEWEA lAD iI9TER PERMITS IS Tft0 DAYS ONCE A PERMIT 8l5
BEEN COMPLE'fED INDICATING A LICENSED PLUFIDER.
PENALTY APPLIFS HHEIds PERMIT IS AIOT PAID FOR IN S&ME MOPITH IT IS REQUESTED.
LOT CAANGE IS REQUESTED OP1CE PERMIT IS ISSQED.
1 "F(a
To Be Used For: Valuation: 72.1000 Date:
Site Address y~/~ v~,tL~'~.rT OFFICE OSE ONLY
Lot Y2 Block / Occupaney -3 M-1 FEFS
Zoning R-3
Parcel/Sub Actual Const V-N Bldg. Permit 5114,00
Allo+,rable v_l~l Sureharge 36,DD
Owner ~Lli~ # of stories Plan Reviesr Z5').00
Length 2 4' SAC, City 01 O,OD
Address Depth (JT SAC, MWCC , 00
S.F. Total Aater Conn D,Ob
City/Zip Code/'• Footprint S.F. Water Meter 0.00
Aect. sit
Phone On aite aewage S/HPermit ~
A On site well S/W Sureharge 1,00
Contractor //~~ly~'I49v MWCC System ~ Treatment Pl. z20.00
City water ? poad Unit U,~
Address PAV required _ Park Ded.
Booster Pump ^ Copies hoL>
Citq/Zip Code 1• • sUBTOTkL
APPAOVdLS Penalty
Phone Planner _ TOTAL l . ()fl
Couneil
dreh./Engr. Bldg. Off.
Varianee
Address
City/Zip Code z5c~~Clv ~l1•~i • ~'oEL ~ CEM'ER ~
Phone R
,
-4o9 S
rI I i A,id uI 111,, 11 ~p, 4-2 5-88
MoPc--L-- E) I CeNTEq2
,,VI ):.,CI I I,:) Al. 1 1:1.1 W
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1~ 4" '~"7 5~•
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---29.~ '
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,1) 1 A,. (11,(A , . -~-)-5....
iuini, cu)in) Vni.ur,_ ~\5 - nvr.. °u° 14._~
IIIVIIII"B ill' Inli\I. I:AII, AItPP'-- / v2~ Z~~•
n\'IIinCI. .•li" iliniunnn I/ ui Irc.. !ar, 1 h 7 fn,,iily durllin
`liuinnun .7? ni Irrs., fm nll o11'e" buildluga
kr~ll II i.ri:~p.n "11" vali~r~ ns rnlu~la[rd nbqve Jn nol nirol ILn I.nripy t:nJr ~r.qvii~mCn~•:, Ih~~
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pu[side al[ [ilm
I.nsulaUon
- . ~ . . -
Y. nryvnll .6$
(ll( _ rUZlv (1 U~1 ~ U _ . _ - -
lnecrior air 11Lni .61
'I'O'fnl. R ~
U - 1/R 11 ^
OuCSide air fi7m
9ui1C_up.roofinr
_ ~ML_-InsulaCion . . . .
Ilood decking
(1~~ - / - . . . . . . _ .
-
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i /
7'0'I'AI. 1; -
U ~ 3/Il 11
IrOOi'/I:F.I I.I Pl::
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X q. (G (U)(n)
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n„~c~~i~~• ~,i~~•~~~~,~,. - SKYL-IU „U„ .02 x sq. Il. (,N)
in rm~( u x ^.q. ft.."_-'_"'_-_'_'_ (A)
„U.. x sq. fc.'-_- ' (n)
-a ~:q. n.'__ ' (u)(n)
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(O vu. (i 0 (G) (A)
iorm. (u) (n) Vni.ur.s -
uivinEn j%y rorni. r.ooi-/ '~lo / - O.D32 nvt:, '.e"
cF:ti.iur. niu.n i Il(a~.
nVF.ftA(:f. .Oi for veneil-led roo(s
IU fol' .1I1 othrr ronz[nmllun
8P11': If avcr:igc "C° vnlucs ns calr.uLnted nLove do nnG mer.l lhe I'.nperp.}' Cade ri-qultem~n[s, Ntc
"•Ali,nvir I:nv¢lopo 11cc1g11" ns IndLtatr.d on 1`apr 5 ma1' Ln ulnil.
• 1989 $UILDIAG PERMIT APPLICATION
. CTTY OF EAGAN
SINGLE F9MILY DNELLIBGS lIDLTIPLE DiiELLINGS COMMERCIAL
2 SETS OF PLANS 2 3ETS OF PLANS 2 SETS OF dACHIYECTURAL
3 HEGISTEAED S2TE SUAYEYS 9EGISTfiHED SI'fE SQRVESS - 8 S'l9DCTQRAL PLANS
1 3Ef OF EPEAGI CALCS. (CHECS itITH BLDG DIQ.) 1 SST OF SPECIFICATIONS
1 3Ef OF EHEBGI CtLCS. 1 3Ei OF ENERGI CALCS.
MULTIPLE DWEI.LINGS RENTAL DNTTS 1 FOR SlLfi ONTTS ? ! OF OBTTS U/
HOTEt IDDRESSES POE CORNER LOTS - COPTR9CTOR/HOMEOWNEA !lOST DESIGNAT£ YHIC9 IDDRESS
IS DFS2AED. BO CHAtiGFS AII.L BE ?LLOiTED ONCE BOILDIIiG PERMIT I3 I3SOED..
SEHER & WATER PERMIT FEES AND ACCOIINT DEPOSIT P6FS UTII.L Bfi INCLQDED iiITH THE HOILDINfi
PERMIT FEE. PAOCFSSING TIlE FOA SEHER AFD W9TEH PERNITS IS TiiO DAYS ONCE A PERMIT HAS
BEEN COMPLETED INDZCATING A LICEN3ED PLO!ffiER.
PENRLTY APPLZES MNt PERP4IT IS NOT PAID FOR IA1 S@ME MOPdTH IT IS REQUESTED.
LOT CHAPIGE IS REQUESTED ONCE PERMIT IS ISSiTED.
°Toww House
To Be Used For: Valuation: 72.,O0D Date: JU ~
Site Address ~ OFFICE OS6 ON1.T
Lot -LI Bloek ~ Oecupaney R"~) M-1 fEFs
~ ~c~~ f~ Zoning ~
Parcel/Sub / Aetual Const V-N Bldg. Permit Jrly.Oo
Q~mer Alloxable V-N Surcharge 36100
~v # of stories Plan Review 2 5 7O O
Length 2 4' SAC, City 01 Q,DO
9ddress Depth 50' SAC, Hi1CC ,'j5Oo
S.F. Total Water Conn 580,~
City/Zip Code •~~/.S Footprint S.F. Water Meter 9 O.Co
~j Acet. Deposit 3 O,ao
Phone On aite sewage S/il Permit ZO,oD
a
On site well S/M Sureharge 110
Contraetor /~Lt!/` ~lo~~e"Lli Mi1CC System ? Treatment Pl. 22540
City vater ? Road Unit Z 140, Co
Address PRV required _ Park Ded.
Booster Pump _ Copies ',O D
Citq/Zip Code sUBTDTAL
JLPPHOYALS Penalty
Phone Planner _ TOTAL 4.i fl
Council ~9Z /
Arch./Engr. • Bldg. Off. 1
Variance
Address
City/Zip Code MODEL 1 SI CENTEI2I
Phone
I`: I I P Il~i: 1'i11 1'I.i-l'I n\'I I;.\Illl "II" I'II!II'I: Ir1 1 10 1:
SS
• Nevv NoF-IZON P o. '1CC 4*7 3-40
I~.i IU..rI. Addii i,,,,
MOD&L- 81 END
r..r0r:r:n c:,i i nrr.n ,wnvic ~:iv,nr r~ Wii 1 :9 I..
,,1..,I .:,I 1 9~ . I,,.,~:~~i ~,f I , ~ ~d4
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~i,,,.,,, 5 4-}.
: ~;~i•,~i~~. . ~•n~ ,..~i„~~
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DN_ . . fi K I_6 ° ~i0-x,.u'. ..SS 1(a.~i cn)(~1
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-
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.
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1'IlM1NI;P Wh1.L (Lnln1 nren lee.c
up~.vinC~ frmninC. n.rmbr.rr. i.n
nr¢n e, ma.^.onry)
jntct
0 1.,,i~,.~i
ftaniiu, mrmbcl ~ in vall '9' rL. (n)
)(1)
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sq. fc._ x.•~~~• ( )
:tris.o~,rr. , rc~ zL+s,vc_crade -
lo~ sFk. `-'3• ~o
'10'I',11. Ilnll Arro Tncloding
IlinJnus A IlnurS 1 ? q~T. Ifl'(pl. Iill(Al
inint. (uLn) vni.ui__ 1S3•2 ' = nvc. "n
nn%iilrn m iu'ini.-i:ni.i: niicn
n\'I'IUCi. •'li" Hinlmnm .17 I"' lrc^. !or I f. 7 famlly dvcllinp.!:
.`liuimum .77 ~i Ir:v foi nll oUher hulldinj;5
riill ~ II nvriepr "11" v~lnrs n~ rnlrula[r.d aLove dn nnt mevl 1he (:ndr r~~quir~•inon~~. ~hr
°Plriii~lr Fnvrlnpr I~n~ipn° na indirnt.ed un I'ngv 5 mnl' Lr m:r,l.
r.oo!' ce>>.TNC • ' ~ . _ .
Oulsidc nIr (Ilm
. . " ' _ _ . . . .
. ~
,
• . . InsuJntion
.
~ . " • ~y• pryval l .45
.
Incerfor nir film
-
~ - Im'ni, u =
U • 1/H
Oucside aic [ilm .GJ
laculation
~ . .
Dryvnll
'
Interior air film .61
7'OTAL R =
ll - 1/R U ~
Ou[side air film .17
9uilLup..rooFinr • 33
- ~ Insulalion
_ . . . . . _
lrood decking
~ y~~ . .
In[erfor eir (Ilm ,61
_ .
l'O?'AI. It
U ~ 1/H ll -
IlOOf/C811,ING:
rornL nw:A: 2'7
Cn
I)cc:+11 refcrenr.e (A)
(rom ahovc. z sq. ff. ' (I!)(n)
Ucscribc openings SK~'LI$ x sq. fl.(p)(1) .
in roa( ~•U~~ x aq. ' (I:)(A)
sq. fc. (1:)(A)
"U•' x sq. fC. (L)(A)
. sq. rc. (u)(n)
rornis 1 11 (o su. rc. cc>(n)
IOTAL (U) (A) vnLIlES
nivineo nv rornL r.oor/ 0•032 nec. "c•'
CF.ILINC. ANF.A
nVF.RACF: "U" .OS for vencilateJ rooCs
.10 for a11 other construcclon
80TE: If average "C° vnlues ns colculn[ed above do not meet [he fnpergY CnAe requiremen[s, [he
"Alrcrmtr Envelope nesipn" ws Inditnted on 1'age 5 mny be used.
. .
1989 HIIILDIBG PERMIT APPLICAiION
t CITY OF EAGAN
t 3
SINGLB F9MILY DWELLIAGS !lOLTIPLE DiiELLINGS COlMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF AACHIiECTURAL
3 HEGISTERED STTE SUR9EY5 BEGISTfiRED SI?E SOAVE25 - 8 STRUCTIIRdL PLANS
1 3Ef OF EPEAGY C1LCS. (CHECB ATfB BLDG DIV.) 1 Sgf OF 5PECIFIC9TIONS
1 3Ef OF ENERGI CALCS. 1 SET OF ENERGT CALCS.
lIULTIPLE DitELLINGS BENTAL DNTTS t FOR SALE DNTTS f OF QNTTS _IV
BOTEt ADDRESSES FOA CORNER LOlS - COFiHACTOR/HOHEOWNEA tlOST DESIGNI?E WHICH iDDRFSS
IS D£SIAED. 80 C4iANGES YILL HS ALLOWED ONCE HOILDIIiG PEAHIT IS ISSOED..
SEiiER 8 WATER PERMIT £EES SPD ACCOONT DEPOSIT FEES UTII.L SS INCLDDED iiITH THE BIIILDINa
PEAHTT FEE. PROCFSSING TIME FOA SEWEB AAD iiATER PEIMITS IS TfiO DAYS ONCE A PERMIT HAS
BEEN COMPLESED INDICATItiG A LICENSED PLOMBER.
PENALTY APPLIFS HHE[dt PERMIT IS @]OT PAID FOA IN SAME MONTH IT IS REQUESTED.
LOT CHgIdGE IS RE9UESTED OP7CE PERMIT IS ISSIIED.
~ op 7-64,,v H~SE SEP 19 1989
a 'ror: Valuation: OC) 0 Date:
Site Address o2~~ OFFICE USH ONLY
Lot ~0 Bloek ~ Oecupaney R 3 M-I FEeS
/J/~~Zoning R-3
Parcel/Sub ,i~Go~e~=+C~P9 i~~~Co?P/ Actual Const V-N _ Bldg. Permit 'Jr1~,O0
Allocrable V-YJ Surcharge 6,00
Oimer 11 of stories Plan Review 2 51.00
Length ay ' SAC, City 1 DO.oD
Address ;7 Depth SD' SAC, MWCC
S. F. Total Fiater Conn ESD, DO
CitylZip Code Footprint S.F. Nater Meter q O,~
~ Aeet. Deposit 30.~
Yhone On site aexage S/H Permit a0,~
On site xell S/W Sureharge 1,OD
Contractor Hk'CC System ? Treatment Pl. 2.00
City vater ? Road Dnit ~f~ 0•00
Address PRV required _ Park Ded.
Booster Pump _ Copies 1. aa
City/Zip Code SUBTOTAL
' 1PP80VA1S Penalty
Phone Planner _ SOTAL
Couneil ~
Arch./Engr. . Bldg. Off. ~y~2,~ s~ G~ ~
1lariance
AdMess
City/21p Code MnDt'Z ~r6I EMD,
Phone 0
1
- • ` , I'li~'Ir.:. Ifll'll~•ii iVllf.\'.1.••~~' rlpll'1:1.\IIOR -
. h1E-.~i HopIZON YbMES P. o. WX I'~~ . 4-7 3 -4c,SS
iI "i.,,i n,id rl I„,, 11", 4-25-8a
, .i...I
. ~ ~
,
1~1t7:,qr-_ Mop~ ~I ~~TE2
AVI I:.~CIL ~ I NVAI I I:l I
~i v.1 1) 1 ,,IN A ,,)«~~~P CRAIll
, ~ ~ , . , , 2S , l~ 4~~ 3~ 5~•
. .,,L. I. i~,i,~i ,.~ii ~i,~,~~~~ ~~,~.,.i~. ~~„~i,~,i~~,~•. „i~„i„~... ~~~.i ~i,,,.,.,
,r• .SS 33• c~~~t:~~
. .
. F-_I o(L CO . 322°r. bn_Mpu:~~, . ~ ~..2 X $0 ~o o
3z24 dN-- 30 (11) r:v
, ni~,,i
(11)cn1
fl. _ - . . . (I1)(,1)
.q. (r. W ' . . (l')(•N)
i. . (11)(A)
(I.._-'"_ (11)(A)
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ucnJ. . '
, I PERMIT
CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55122-1897 Permit Number: 028203
(612) 681-4675 Date Issued: 0 7/ 0 8/ 9 6
SITE ADDRESS:
4205 YEW PT
IOT: 43 BLOCK: 1
BOULDER RIDGE
P.I.N.: 10-14800-430-01
DESCRIPTION:
Building,Permit Type DECK
Building Work Type NEW
Census Code 434 ALT. RESIDENTIAL
~ .
~
REMARKS:
FEE SUMMARY:
Base Fee $45.00 .
Surcharge $.50
Lic. Search Fee $5.00
Total Fee T $50.50
CONTRACTOR: - Applicant - ST. LIC.OWNER:
C& V CONSTRUCTION 19728203 8490 ABRRHAM50N DONNA
2665 NEL$ON RD 4205 YEW PT
DELANO MN 55328 EAGAN MN
(612) 972-8203 (612)688-8537
2 hereby ecknowledge that I have read this application and state thaC the
information is correct and agree to comply with all applicable State of Mn.
L Statutes and City of Eagan Ordinances. J
~ SIGNATURE ~ISSU DBY.nIGNA~RE
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) ~ f YYL4~
ss,-4675 , I~
/
New Construdion Reauirements Remodel/Reoair Reauirements
? 3 registered site surveys ? 2 copies ot plan
? 2 eopies of plans (include beam 8 window sizes; poured 1nd. design, etc.) ? 2 site surveys (exterior additions & decks)
? 1 energy calculations ? 1 energy wleulalions for heated addilions
? 3 wpies of Iree presarvation plan H lot plaHed after 711l93
required: _ Yes No
DATE: c, 1a" V CONSTRUCTION COST: ~`F ooo. -
DESCRIPTIONOFWORK: ~tck f r.lt~j flPNc1r RI I iQ s1 j r
STREET ADDRESS: f '-Ir} v 5 yt 'j vo "Nt ~,a a M N 6-S'l22
LOT 43 BLOCK ~ SUBD./P.I.O.
rROPERTY Name: Abrtnr,a~ 5 o1i ~a ~~*1A Phone w$e - 8 531
OWNER ' un ~esr
Street Address: LUO S`t''= ag" +4 ss 1z a
City: &5A State: Zip: s 5I z z
q-7z-szo3
CoNTRACTOR Company: C1 v C~ N s l-e, c4 ~ oPhone s 3 s- 3 y z z vo, rt
M^'
Street Address: 0"S Nc(-so^' Rop.-8 License
City: `Dc1o -10 State: Mv,'- Zip: Ss3a~
ARCHITECT! Company: F'4 1 A Phone g4qO
ENGINEER
Name: Registration
Street Address:
City: State: Zip:
Sewer 8 water licensed plumber: Penalty applies when address change and lot
change are requested once permit is issued.
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant
OFFICE USE ONLY
Certificates of Survey Received = Yes = No
Tree Preservation Plan Received Yes No
CO. STATE A/D HWY. NO. 30
DIFFLEY ROAD .
~ N89043'31"1v
a ~ S'- C% qz
N ` Ng2°IB`E 80.06 ~ z6' .k,
b ~p
A~
~ __-r1r3~,
0
~om b
1 p 0
~ O O Q O ~ w/ 1`1 P N q'~V •
p~ Q N pROPOSED 33
50~ 14.41 ~
t N 23 SS SO 33
~ ~9•~ ~/9BUic.D~0 N
N N 10~'~ Qqyy ~ .
P
Co..~,,, chFlSt v p 8/ y2.33 , 13.45 "y~ ~
o; pl.b' /cF gz_33 N o .
~~i 4 r,
N
ef n o~N P~QOPOSED 7260 Z5-0 9 ~
N f•~ m 50.33 1l0.50 N
2( 67 6, ' O ~'~1
1767 84/~ bNm
~ ~rb~ O~ w/O / P 1J r~,V' 3x~
15EPCer)~'
O
22.33 ~/$-j$ 84-0 N
ZB nl o
W "I?.b7" ~ C 22.33
~ r~~
m cu~C, N`~ PRopOSED// /4 59 9.4l-0 Z6*`~ 3
50.33p33 70.0 O v~ D
B2•53~u/t/N
zb6~
N ~ i S a
N N 81
l?~° ZZ.33 ~b4 ~ 9~~ ~i
N N i 3_9 ' .
~ zi.b7 _ ad
~ ~i-~• n
,,9 N$2oIB"E .O~
BI
z,~J
N85°4o'E /02.28 a
'o ~
m ,
E yERGREEN LA NE
I NEXElY CEFTIGY TN6T TNIS PLI~M Ap5 /IIFIAR
VNUE R Mv Di RECT SURN V ISION AMO LM11T 1AM I~ CI
ED PAOfESSOONAL ENGiNEfR UMDE11 TNE LA~'b OF
wHNME50Te.
MO OI~iE pv FfM1PIL5 NS ~~~E MEG NO.~~
mi
FIeNo.
(To be Cilled in by
board)
Name: Address:
Phone• - 7 pate:
L2ndscape Request or -Architectural Request
Describe below the type of change you want to make:
~ Q
Sketch and give dimensions of the proposed change or add drawing or blueprint detailing
how and what you propose doina:
Total Cost of Change (Optional)
This project will be complete -51 days after written approval. The board is
evalua[ing architectural changes on the basis of aesthetics alone with no responsibility
witlk respect to building code compliance and structural integrity. According to the
Declarations and Covenants you wi]l be ezpected to cover the cost of added maintenance
to the association for the change. This request wi(1 be acted upon within 30 days. Your
requesL MUST be signed and dated to be considered by the Board.
Send completed request to:
*BE SURE TO CHECK THE DECLARATION OF COVENA[VTS AND
RESTRICTION- TO SEETHAT YOUR REQUEST MEEI'S
C ENAM' STA ARDS.
B ov
Sionature
Date
~ . , PERMIT
CITY OF EAGAN
3830 Pilot Knob Road PERMITTYPE: BuiLozNG
Eagan, Minnesota 55122-1897 Permit Number: 0 2 8 7 0 6
(612) 681-4675 Date Issued: 0 8/ 2 8/ 9 6
SITE ADDRESS:
4201 YEW PT
LOT: 45 BLOCK: 1
BOULDER RIDGE
P.I.N.: 10-14800-450-01
DESCRIPTION:
Building Permit Type STORM DAMAGE
Building Work Type REPAIR
~ Census Code ~ 434 ALT. RESIDENTIAL
i
REMARKS:
INCLUDES: 4203, 4205, 9207, 4209, 4211 YEW PT
L44 L43 L42 L41 L40
FEE SUMMARY:
CONTRACTOR: - Flpplicant - sT: LIC.OWNER:
RONEL RESTORFlTIONS 14323444 0002158 BOULDER RIDGE T.H. ASSOC.
P 0 BOX 240744 4206 YEW PT
APPLE VALLEY MN 55124 EAGAN MN 55122
(612) 432-3444 (612)687-0465
I hereby acknowledge that I have read this application and state that the
infiormation is correct and agree to comply with all applicable State of Mn.
Statutes and City of Eagan Ordinances.
- ~
APPLICANTIPERMITEE SIGNATURE ISSUED Y SIGNATUIiE
r CITY OF EAGAN
3830 PILOT KNOB RD - 55122 ~
1996 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
Naw Conatruelion Reauiroments Remodel/Reoair ReauiremeMs
? 3 rogisterod sRe aurveys ? 2 eopies ot plan
? T wpbe of Dlane (fnelude beam 3 windav s@ea; poured Md. design; ete.) ? 2 site suneys (exterior additiona 8 decks)
? 1 energy calculatione ? 1 energy calculations for heated additions
? 3 wpiee ol Uee preaervatbn plan M bi platled aRer 7/7193
requfrcd: _ Yn _ No
DATE: (l -6-r'/L, . CONSTRUCTION COST: VO v '
p c
DESCRIPTION OF WORK: 5~~1 0/1)f(a6E /`-C~~1U
STREETADDRESS: (-001~ ~Cw aL L~G,-v,. 'f 0 ' LLl i -~i L'-1 0
LOT BLOCK ~ SUBD./P.I.D.
PROPERTY Name: d ~(&K I4~Pl-47! /Y5.~.~ Phone ~7- U~(~,~
OWNER p
Street Address•~ ~ Xc'
City: State: fi`V Zip• - S2 ).7?-
L'
CONTRACTOR COrtlpBflV: NQC 7o /u~7[t1rS Phone#:
StreetAddress: License#:
City: State: ~ Zip~ Py
ARCHITECTI Company: Phone
ENGINEER
Name: Registration
Street Address-
City: State: Zip:
Sewer 8 water licensed plumber: Penalty applies when address change and lot
change are requested once permit is issued.
I hereby acknowiedge that I have read this application and state that the info correct and agree to comply with ail
appiicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant: ~
OFFICE USE ONLY ~E C LIE.9MFn 1
Certificates ot Survey Received _ Yes No
Tree Preservation Plan Received Yes No -
CITY USE ONLY
L BL RECEIPT p:
SUBD Y 1 RECEIPT DATE: II~~-DD
PERMIT k I
8000 PLUM$IN& PEitMIT (RES113ENT1AL)
crn' of gwsax
3830 Pu.aT Krros [tn
f.f?fiAN, MN 551 EE
851-691-4875
Please complete for: > single family dwellings
? townhomes and condos when permits are required for each unit
> backflow preventer for underground sprinkler system
FIXTURES _ EACH # TOTAL
Alterations to existing dwelling - minimum fee
Describe: $ 30.00
Bath tub $ 3.00 x
Floor drain 3.00 x = $
Gas i in outlet ' minimum - i 3.00 x = $
Hot tubls a 3.00 x
Kitchen sink 3.00 X - $
Laundr tra 3.00 x = $
Lavato 3.00 x = $
Se tic S stem new/refurhished • re uires MPC Iic. 75.00 x = $
Se tic S Stem abandonment 30.00 x = $
RpZ new installatioNrepainrebuild 30.00 X = $
Rou h o enin 1.50 x = $
Shower 3.00 x = $
Under rounds rinkler ifdwellin isunderconstruction 3.00 x = $
Under round s rinkler if ezislin dwellin 30.00 x = $ ~
Watercloset 3.00 x = s I
Waterheater 3.00 x
Water softener if dwellin undertonslructlon 5.00 x - $ ~
Watersoftener irexisnn awewn 30.00 x = $ I
Waterturnaround 30.00 x _ $
State Surchar e 50 $ 50
Total E O . SO
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
I hereby acknowledge tliat I have read this appliwtlon, state that the informa6on is correct, antl agrea to comply with all a0plicable City of Eagan ordinances
It is the app6wnPs responsibility to noGly the property owner thal the City of Ea9an assumes no liabiliry for any damages caused by the Ciry during ils normal
operational an0 mamtenance aclivipes to lhe fauliUes consWCtaG under_this nxrmit vnthin Ciry propertyinghtoLway/easement.
SITE ADDRESS: . WRicrn, vir,r,i
a2c,i vEw Poir~r TELEPHONE
OWNER NAME: GAGAN, P.1N 55122 (AREACODE)
(
(851) 452-0698
INSTALLER NAME. - - - - J TELEPHONE
(AREA CODE)
STREET ADDRESS:
[s^-?' dENTClO/APPl1ANCE 1~.'gTALIEflS gTATE: ZIP:
CITY:
e"AS • diItL6 AVE. 30'.95'fil
MINfdEAPOLIS, MN 55408
SI N E OF PERMITTEE
PERMIT # 1 O[ 30 1 RECEIPT DATE:
8008 M1DENTI1kL PLUM$IRfi PEiiMIT APPLICATiOft
crrY oF EAs"
S$SO PILOT KAOB RD
P.A&i4A, EtF 851 ES
651-681-4e75
Please complete for: single family dwellings, townhomes and condos when permits are required for each unit,
backflow preventer for irrigation system
SITEADDRESS: 7o~OS YP!{'
~
OWNER NAME: : on 17G Si m A~ a rz ~ TELEPHONE V/
(AREA CODE)
INSTALLER NAME: .I P ~4- l7Yh / ~ h TELEPHONE / Sa' -00 CZ
STREET ADDRESS: / 7712 (AREA CODE)
GG
CITY: l''-~ ~/i l~Y STATE: s?i/ Gr ZIP: s SO t/~{
_ SEPTIC SYSTEM, newlrefurbished (requires two sets of plans and MPC license) $ 100.00
includes $40.00 County fee
Note: Additional consultant fees may apply
• MODIFICATION/ALTERATION TO EXISTtNG DWELLING UNIT, INCLUDING:
_ Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00
_ Abandonment of septic system.
_ Water turnaround - existing dwelling unit 5/8" meter if needed -$118)
Other:
_ RPZ: new installation/repair/rebuild $ 30.00
_ lawn irrigation system
ReplacemenV dditional: _ watersoftener ~ waterheater $ 15.00
State Surcharge $ .50
5 sa
Total $
I hereby acknowledge that I have read lhis application, state that fhe information is correU, and agree to complywith all applicable C' f Eagan ordinances. It
is the applicanCs responsibility to notiy the property owner tha[ the City of Eagan assume no liaty for any damag cause t City during its normal
opereGonal and maintenance activities to the facilities constructed under this permit with City ~rty/righp y/ seme SI E F PE MITTEE 1102
RESIDENTIAL BUILDING
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122 Q_0 C~
Teleptrone # 651-675-5675 FAX # 651-675-5694 v' _
New Construdion Reauirements RemodellReoair Reauirements Office Use Oniv of .
3 reqiste2d site surveys showing sq. ft of lol, sq. ft. of house; and all roofed areas 2 copies of plan CeR of Survey Recd Y N
(20% maximum lotcoverage allowed) 1 set of Eneyy Calculations for heated addilions Tree Pres Plan Recd Y N
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions 8 decks Tree Pres Reqd Y_ N
7setofEnergyCakulations Add'?ian-mdicafeifon-sifesepticsystem On-sHeSepticSystem _ Y _N
3 copies of Tree Preservafion Plan if lot platted afler7/1193
Rim Joist Detail OpGons selection sheet (bldgs wiN 3 or less uni4s
Date Construction Cost
Site Address ~U 5 ~ fy O! ~ UniUSte #
Description of Work ~ r(/G4l ta/
Multi-Family Bldg Y_ N Fireplace(s) _ 0 _ 1 _ 2
Proper[y Owner (~/C/hoq- PA6/U, Telephone )
Y
n ~
Contractor 6 /
Address City ?
State < Zip ~ Telephone # ) g ?Z -S/ US
-
~
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Energy Code Category . Residenlial Ventilation Category 1 Worksheet . New Energy Code Worksheet
(Jsubmissiontype) Submitted Submitted
• Energy Envelope Calcula[ions Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber Telephone ~
'II11 200.'1 ~
Mechanical Contractor SEP 0 Telephone )
uu
Sewer/Water Contractor ielephone # ( )
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.
117~1 At
Appl cant's Printed Name (4plicant's Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
A 02 SF Dwelling ? OS 06-plex ? 16 Fireplace O 21 Porch (3-sea.) ? 31 EM. Alt- Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) 0 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 Impravement ? 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 handaut to applicant
Valuation Occupancy MC/ES System
~
Census Code Zoning City Water
1 ~
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const IZYJ Width
REQUIRED INSPECTIONS
_ Footings(new bldg) Fina]/C.O.
Footings (deck) ~ FinaVNo C.O.
_ Footings (addition) ~ Plumbing
Foundation HV AC
Drain Tile Other
Roof Ice & Water Final Poo] Ftgs Air/Gas Tests _ Final
~ Framing _ Siding _ Stucco _ Stone
Fueplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
~ Insulation _ Retaining Wall
Approved By Building Inspector
Base Fee
Surcharge ~
Plan Review
MC/ES SAC
~ity sAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
2005 RESIDENTIAL BUILDING PERMIT APPLICATION 70
„ City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122 ~ a1 g~
Telephone # 651-675-5675 FAX # 651-675-5694
New Constmdion Reamremenis Remodel/Reoair Reowrements OfFice lhe OnN
3 registered site surveys showing sq fl of lot, sq fl of house, and all roofed areas V2 copies of plan Certot Survey Recd" _Y. _:N
(20% maximum lot cwerage allowed) ? t set of Energy Calculalions for heated addilions Frae Pres_Plan Recd_Y . N
2 copies of plan showing beam 6 wmdow sizes, poured found design, etc 1 sde survey for adddions & decks Tree Res:Required. . _ YN
t se1 of Energy Calcula6ons Addihon - mdicate i(on-sife septic system Orvsile SephcSystem s._ Y, _N
3 copies of Tree Preserva6on Plan d lot platled afler 711193
Rim Joist Detail Op6ons seledion sheet (bmldings wAh 3 or less units)
Date /C2~ Construction Cost L9 ~
Site Address Yk-Lj PV- Unit/Ste #
r a AtJ SS IZZ ':I~Ax SS~l~ 3-0
Description of Work y 5F-A7a`)
Multi-Family Bldg ~ Y_ N Fireplace(s) _ 0 2
Property Owner 8OoFJ I ~ F}tJ~t~ Telephoue # (G51 13"7-7
Contractor
Address 233v Vo~-~ A~~ r--). ciry
State ?'q IIIJ Zip SS NZ'Z Telephone #((cl Z) Z87-COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Categorv 1 ~ Mmnesota Rules 7672
Energy Code Category . -
Residenhal Ven6lation Category 1 Worksheet New'Energy.Code Worksheet
(d submission type) Submitted Submitted
. Energy Emelope Calculations Su6mitted !i /c ,
U?
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_ Y DC N If yes, date and address of master plan: Z ~
Licensed Plumber Telephone
Mechanical Conhactor 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.
T~ L-fllA KJUAt
App cant's Printed Name Applic s Signature
OFFICE USE ONLY
Sub Types _ r •
? 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 (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 Adddion ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building` ? 43 Reroof ? 46 WindowslDoors
? 34 ReplaCement 'Demolition (Entire 81dg) -Give PCp handout to applicant
Valuation D~ Occupancy MCES Sysiem
Plan Review 100% or 25%
Census Code ~ Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUII2ED INSPECTIONS
Footings (ne bldg) ~~s`0 FinaUC.O.
_ Footings (deck) O-Vj P-~T'n'~yT'y ~ FinaUNo C.O.
_ Footings(addition) Plumbing
Foundation ~ HVAC
Drain Tile ' Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests Fina]
~ Frammg _ Siding _ $[ucco _ Stone _ Brick
Fireplace _ R.I. _ AirTesl _ Final _ Windows
`,A. Insulation _ Retaining Wall
Approved By: , Building Inspector
Base Fee CZ-p p517-i"k-T 2,y3
Surcharge
Plan Review ,,,,,,F~
MC/ES SAC ~r~'"`_~
City SAC ~'~~?'~l3GT~3?L
Utility Connection Charge /
S&W Permit & Surcharge
Treatment Plant
License Search
Copies I v
Other
• Total
~ e 2005 RESIDENTIAL BUILDING PERMIT APPLICATION -75
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694
New Constmction Reauirements RemodellReoair Reomrements ~m ~
3 regrstered site surveys showing sq. R, of lot, sq ft of house; and all roofed areas 2 copies of plan Cerl o(SurveyRerd Y. '_N
(20°k mazimum lot cwerage allowed) 1 set of Energy Cakulations fa heated adcfitions 7ree'Pres Plen Recd N.
2 capies of plan showin9 beam & vrindow sizes; poured found design, etc. 1 sde survey fw addtions 8 decks Tiee Res_Reqmred: .;,i, Y`_ N
lsetofEnergyCalculations Addifion - indicateifonsdesepficsystem DrrSihe,SepticSystem~'....'_YN
3 copies of Tree Preservation Plan if lot platled after 71153
Rim Jdst Detail Op6ons selection sheet (buildfngs with 3 or less untls)
Date / 6 ConstructionCost
Site Address ~ ~ ~ ~ ~ , ' , , UniUSte #
ri n/ i`'1 N-
Description of Work I 5e KG(' ~ T G ,
Muiti-Family Bldg Y_ N Fireplace(s) _ 0 _ 1 _ 2
Property Owner b N ~ ~'e y Telephone # 7~-27
J ~ss~ ,rrTP 5
Coutractor
Address ~ ~j L ! L• 1 City
State y I n./ Zip Teiephone #(~i%~~
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Enefgy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
• - Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber Telephone ~
Mechanical Contractor Telephone J
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 lan in the ase of work which requires a review and
approval of plans. ~ n ~ ~ ~
, n
Applicant's Printed Name Applican ' ure AU'u ' zuu'
,
BY - -
OFFICE USE ONLY ~
Sub Types ,
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OB 06-plex ? 16 Fireplace 19- 21 Porch (3-sea.) ? 31 Ext. Alt- Multi
? 03 01 of _ plex ? 09 07-plex O 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. AIt - SF
? 04 02-plex ? 10 OB-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Yor_N ? 25 Miscellaneous
Work Types
? 31 New ~ O 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
x 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors
? 34 ReplaCement 'Demolition (Entire Bldg) - Give PCA handout to applicant
Valuation ~ Occupancy MCES System
Plan Review 100°h or 25%
i
Census Code U~i " Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bidgs Length Fire Sprinklered
Type of Const i D; Width
REQUII2ED INSPECTIONS
Footings (new bldg) FinaUC.O.
Footings (deck) FinaVNo C.O.
Footings (addition) ~ Plumbing
~ Foundation _ HVAC
Drain Tile Other
Roof Ice& Water Final Pool Ftgs Air/Gas Tesu Final
~i Framing _ Siding _ Stucco _ Stone _ Brick
Fireplace _ RI. _ AirTes[ _ Final _ Windows
Y Insulation _ Retaining Wall
Approved By: , Building Inspector
- -
Base Fee
SurCharge
Plan Review r; .
MC/ES SAC '
City SAC 0 C2
Utility Connection Charge
S&W Pertnit & Surcharge
Treatment Plant
License Search
Copies ~
Other
Total
: - .
CO. STATE A/O NWY. NO. 30
9
DiFFLEY ROAD ~obe ~
~ N89°43'3/'"W
. 1D
,y
y
. cv N82~18'E 80.06 26' yerj
22.33 v+ ~p
~ ( ^ W
~Q~l Q B/ wO N.~ N`,( ^~t6 W
• ~ N PROVOSED /0.4 ~-b t ~
N
SO.33 14.41 N ~ ~J
~ 23.55-' 033 N Z
19.5' 84.29BVit~iNG 'o ~ p yS ~ b .
bQ y.
w~°
z2'?3 ~ ~3.45 0 Denotes Iron Monument
o Denotes Wood Stake
P IZH
P 2~6y ` 545 Za.33 ~ o ~ X000.0 Denotes Existing Elevation
p w a
81 W~o/ / N V N ti (000.0) Denotes Proposed Elevation
r! o N 7.50 Denotes Direction of Surface Drainage
~ ( a p/10POSED 11.60 _ -O .
N f~~ a 50.33 /6.~+0 N .
Proposed Front Garage Floor Elevation: Lot 40
c` /7 y84.~r-O gU1LD"n/6 m o m ' 928.0
17.0
N r 17 ~ Lot 41 = 928.0
, g~ w/o N Lot 42 = 928.0
22.33 ~ isss s.a-0 3 t.ot 43 = 928.7
N,-,` -N Lot 44 = 928.7
`t 22.33 ~ ~ Lot 45 = 928.7
~
Proposed Lowest Floor Elevation: [.ot 40 = 928•5
odL
~ N,c, N~ i4.s9 9.a4 Z6* Lot 41 = 928.5
o ~so.33 i019
So 33 o Lot 42 = 928.5
~ ~82.5YgUitDi/J6 o m~~ tihq t,ot 43 = 929.2.
Lot 44 = 929.2
" 0 9 m.~ ,~~[J[, Lot 45 = 929•2
10 .36' We hereby certify that this is a true and correct representation of a survey of
the boundaries of:
q~ 4 Lots 40 through 45, Block 1, BOULDER RIDGE, Dakota County, Minnesota.
\ ,7
` 82 E 00 And of the location of all buildings, if any, thereon, and ell visible
T91j~y ~7, ~ encroachments, if any, from or on said land. It also shows the location of the
N85°40 E /02. stakes as set for a proposed building. As surveyed by me or under my direct
liK' pervision this 6th day oF September, 1989•
EVER6REEN ~ANE E E D McCOhIDS FRANK ROOS ASSOCIATES, INC.
By . O qe4±~
Paul A. JohDate Land Surveyor, Minn. Reg. No. 1093$
1 EAGAN EPiG?AIEERING DEPT
• Permit #
Permit Date
a .r
REScheck Software Version 3.7 Release 1a
Compliance Certificate
Project Title: Huber
Report Date: 71128105
Energy Code 2000 MinnesoW Energy Code
Location: Dakota County, Minnesota
ConsWCtion Type: Multifamily
Glazing Area Percentage: 25%
Construction Site: OwnerlAgent: DesignerlContractor:
4211 Yew Pl. Joshua Kunde
Eagan, MN 55122 J's General Construefian Inc
2330 Ywk Ave N
Goltlen Valley, MN 55422
Ceiling 1: Cathedral Ceiling (no attic): 130 370 0.0 4
Wall 7: Wood Frame, 16' o.c.. 256 19.0 0.0 11
Window 1: Above-Grade:Vinyl Frame:Double Pane with Low-E: 32 0.310 10
Door 1: Glass: 33 0.370 70
Floor 1All-WOOtl JoisUiruss.Over Oulside Art 120 30.0 9.0 3
Fumace 1: Forced Hot Air: 92 AFUE
Air Contlitioner 1: Elec[ric CenVal Air 10 SEER
Complrance SYatemeM: Statement o/ Compliance: The proposed building design described here is consistent wtth ihe building
plans, specifications, and other calculatbns submitled with Ihe permit application. The proposed building has been designed to meet
Ihe 2000 Minnesota Energy Code requirements in REScheck Version 3.7 Release 1a and to comply with the mandatory
requiremenls listed m the REScheck Inspection Checklist.
Ta5NL)6 k-iJ0g SS C~~~tsK~:. GaNST~-UC,'~16v 1NC. ~ aS" os
BwltlerlDesigner Company Name Date
Huber Page 1 of 3
September 19, 2005 ~
Mr. Jetf Lemer
J and L Assoaates
5336 Highway 101
Wnnetonka, MN 55354
Dear Jeff: ~
This is to inform you [hat you are not to continue any work on my project at 4211 Yew
Point. Per my voice mail to you on August 31, 2005, you were not even to s1ar1 the
project. The work that has been done to date is inferia and will for the most part have to
be to!a!ly re-done. As scon as f ineet with the city Inspector ( will provide you with a
punch I;st of major problems with the workmanship. Couple that with your failur2 to
communicate, your lack of presence at the job and the lies that you have told, I cannot
have you do anything for me no,v or m the future.
1 expect to be reimbursed for the ezpenses to correc; the ercors and be retumed any and
all funds I have paid you to date.
Thank you tor giving a life-long mis-trust of contre~-,Iors. This experience has been
literally gut renching and I am sure contributed to ry recent stay in the hospital. Jeff,
, you shouid be ashamed.
8onnie L. Huber
COPY
November 21, 2005
City of Eagan
Attn: Inspections
3830 Pilot Knob Rd
Eagan, MN 55122
DearTerry:
Be advised that I have terminated my conlract with Jeff Lerner, J& L Associates due to
poor management and workmanship of my project. This was done via certfied lerier
and please note this letter was not picked up by Mc Lerner and has been reiurned to
me urnopened. A copy of this le!ier is attached for your review
I have since contrected with Josh Kunde to construct my fQUr season porch, pe.r revised
architecturai plans. Please grant Josh a permit for the porch per these plans submitted ,
and recegnize him as my exclusive contractor. Thank you fcr your consideration.
Regards,
~Bonnie L. Huber, CPCU '
Commercial Account Manager
Resident 4211 Yew Point, Eagan. MN
. 2006 RESIDENTIAL MECHANICAL rExMiT nrrLicaTioN
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
;s~r1~s<r
Pleasecomplete for: single family dwellings & townhomes/condos when permits are required for each unit
Datek C~-
Site Address Unit #
Property Owner re,,-, Telephone tJ (ip51 ) `I offf
J
Contractor R'ohlers Southside Htg. & Air, Inc
6950 W. 146h St., #106
Street Address Apple Valley, MIlV 55124 City
(952) 431-7099
State Telephone p ( )
Bond#: Expires: 08-.=_?5-L'111
The Applicant is _ Owner Contractor Olher
Add-on or alteration to existing dwelling unit $ 30.00
~ furnace Additional x Replacement _ New
air exchanger
air conditioner
heat pump
other
State Surcharge $ .50
To[al
I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work will
be in conformaoce with the ordinances and codes of the City of Eagao 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 s[art without a permit that the work will be in accordance with the
approved plan in the case of work which requires a review and approva] of plans.
0.hacl Lock)4ers (j(,,Qd
Applicant's Printed Name Applicant's Signature.
7
2006 RESIDENTIAL PLUMBING PeRnnir aPPUCaTioN
CI7Y OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Pl.ease complete for modifications to existing residential dwellings.
Date
Site Street Address Unit #
PropertyOwner Telephone# ~~v{O
Contractor Qiv~a~&zt1 Wc1:1l.iT i Telephone# (~il) 31~"13~C1
Address i d City I~V1 ~ l~. State-aW- Zip
The Applicant is: _ Owner ~ Contrector _Other
Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee
$ 100.00
- Per as-built $ 10.00
Alterations to existing dwelling $ 50.00
_ Add plumbing fixtures. This fee includes installation of a water softener and/or water
heater at the same time. If you are installing on/ a water softener and/or water
heater, do not complete this section; move to the next section and check the
appliance(s) you are installing.
_Septic System Abandonment
_Water Tumaround (add $130.00 if a 5/8" meter is required)
Other:
Water Softener _ X Water Heater $ 15.00 I
_ new c-~`teplacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ .50
Total $ S0
I hereby appiy for a Residential Plumbing 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 plumbing codes; that I
understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in
accordance with the approved plan in the event a plan is require o be revie d and pproved.
kQ6P.V~ S''~7J)f2 - D
p D
ApplicanYs Printed Name ApplicanY `igna ure EdWE
MAY 2 1 2007
, ~
For Olflca Use - - - - j
InS ~ ~?5 73 '
City of Ea~ail NQ y D i Pemiil N_ i
2 4 2008 i
~ Permtl Fee
3830 Pllot Knob Road i ~
Eagan MN 55122 ~
PhOne: (651) 675-5675 I Date Received:
Fax: (651) 675-5694
i - ~
~
-
200 RESIDENTIAL PLUMBING PERMIT APPLICATION
Dale: Site ddress: l ~ ~ ~ P T
TenanL ` 112~
Suite
RESIDENT / OWNER Name<-Q_ -~~l phone
~ -
Address / City / Zip
~n m,
L y
CONTRACTOR Name'l~-\~(~~Y. nse H
Address~`-~,y'v_
City: Yk~~(I Stale. ~J ~ n~l,-
~Zi
~ c~ P:
Phone: l~~/n
3..Q_ContaciPerson:~
- ~1~- Y---\
TYPE OF WORK _ New y Replacemen[ _ Repair _ Rebuild _ Modily Space Work in R O.W.
' - Descri Ilon ol work:
PERMIT TVPE RESIDENTIAL
Waler Healer - Wafe`r 5otlener` ' ' .
' _ Lawn Irrigalion,,, ~ _ qdd Plumbing FixWres
' RPZ•/,_,RVB) . Main _ lower Level)
_ Seplic System _ Water Tumaround
New
_ Abandonmenl
RESIDENTlAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Waler Fleater and Softener (includes $.50 State Surcharge)
$30.50 Lawn hriyation (includes $.50 State Surcharge)
$50.50 Add Plumbing Fixtures, Seplic System Abandonmenl, W aler Tumaround' (includes $ 50 Siate Surotiarge)
'Water Turnaround (add $136 00 il a 5/8" rneler is required)
$100.50 Septic System New ($10 00 per as built) (includes Cowily fee 2nd $ 50 Slate Surcharye)
$90.50 Fire Repair (replace burned oul appliances, ductwork, e1c )(includes $ 50 St21e Surcharge)
TOTAL FEES
I hereby acknowledge Ihal Ihis informalion is complele and accurale; Ihal Ihe woik will be m conlonnance with Ihe ordinances and codes nl Ihe Cily ol
[agan, Ihat I widersland Ihis Is nol a permil, bul only an App6cation br 2 perrnil, and woik is no1 lo starl wtlhoul a peuntl, ihal Ilie woik will be Ln
accordnnce wilh Ihe approveJ plan in Ihe case of work which requiies a ieview and approval ilzns
x~tc~ ~ ~ .
ApplicanPs Printed Name ' A I' anl's ignature i
~
FOR OFFICE USE ' Revlewed By: Dete:
Required Inspecllons: _Under Ground _Rouyh-In _Air Tesl Gas Test Final
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4201 Yew Pt
Lot: 045 Block: 001 Addition: Boulder Ridge
PID:10- 14800 - 450 -01
Use:
Description:
Sub Type: e - Air Conditioner
Work Type: Replacement
Description: Air Conditioner
Comments: Questions regarding electrical permit requirements should be directed to Mar k Anderson, State Electrical Inspector,
952- 445 -2840. Crystal Gemuenden 8910 Wentworth Ave S Bloomington, MN 55420 952- 881 -9000 Crystal.Gemuende
n @ServiceExperts.com
Fee Summary:
Contractor:
Sedgwick Heating & Air
8910 Wentworth Ave S
Minneapolis MN 55420
(952) 881 -7739
Surcharge -Fixed
ME - Permit Fee (Replacements)
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
$0.50
$30.00
$30.50
Owner:
Vicki H Wright
4201 Yew Pt
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
9001
0801
Mechanical
EA074475
07/25/2006
ePermit
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
Sep.25. 2013 10:46AM Property Claim Solutions No.1291 P. 3
Use BLUE or BLACK ink
For Off ce Use
r-
I
j Permit
Ny of Eap 5001? 5b
Permit Fee: I
i
3930 Pilot Knob Road I I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 6755694 1 Staff:
- - - - ~
,
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date' Site Address' Unit
t . ;;w • Name: ~~Ly►~11~'YItPS
Phone:
I~esdenf%a _
w ^~1Al~1er?` Address / City /Zip:
Applicant is: Owner Contractor
K Description of work.C
ss,ks~ Construction Cost' Multi-Family Building: (Yes / No
s°:> j's Company:
=w ° : c w 1 Contact:
e.i p3~%: etii4 s . ^ C
Address: - t i,p
~~;.,~:r: city:
x Con cto.r:~~':.
State: zip: Phone:
<CJ~JC~
sawn z;:,
` License #:Lead Certificate
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? I
..Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
I
Mechanical Contractor: Phone: i
I i
Sewer & Water Contractor: Phone:
NOTE: Plans and sbpporting documents that:yc usub' t 4ee, considered to°be publlc'Information. Portfons of
the infoimat/on may be classified anon. public )f you provlda speciiFlc rdasons it would permit. the` Clfy to
aonclude'that_the :are trade secrefs ,
CALL BEFORE YOU DIG, Call Gopher State One Call at (851) 464.0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www. oq phaEgatoonecall.org I
i
I hereby acknowledge that this infotmaGon is complete and accurate; that the work will be in conformance with the ordinances and cedes 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. J
I
Exterior work authorized by a building permit Issued in accordance with the Minnesota State Building Code must be completed within 180
days errnit Issuance. 1
ufl - i:~15
X ►1~~ x i
Applicant's pri d Name Applicant' i nature
Page 100 3 i
.Nov, 4. 2013_12:21PM__Property Claim Solutions No.I647_.P, 15 _
Boulder Ridge-1013279 Use BLUE or BLACK Ink
For Office Use ;
; Permit
City of Eajan da
Permit Fee.
3830 Pilot Knob Road I i
Eagan MN 55122 j Date Received: ;
Phone: (651) 675-6675 1 I
Fax; (651) 675-5694 1 staff: I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
i
Date: 11-4-13 Site Address: 420„ 420304205, 4207,42a 4 Yew Point Unlt
Name: Boulder Ridge Townhomes Phone: 612-290-3055
Resident!" ;
Address/ C' /Zip: 4201 4203 4205 4207 4209 4301 Yew Point
Applicant is: Owner X Contractor
Description of work: Repair only siding peices that are damaged. 7 SQ
GYP„o1> 1ICark
Construction Cost: 3,493 Mufti-Family Building: (Yes /No X
Company: PCS Residential Contact: Pa Hanna
Y
r-T 'N
:COk>Etl i a Address: 2005 Pin Oak brive City: Fagan
State: MN Zip: 55122 Phone: 651-255-0609
License BC593158 Lead Certificate
y~ W u1 uu
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: Phone: !
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NQTE P. lan;and upp, v..ctmg du,u.,mesahat: j!artsubmrt:~ . cons~dereaf-td;be vbltc;lritormatipn:Pocteor~sof.:::
ffte rnformafian may..be C/assi to. as rron>publtc: f jicuQ.. ro'V"des ~c►Y/c re dkis:~that;tikouldpe i; '.Ure t ti
p
C~riclai`>ft►at fh';:areaa~esecne
I
CALL BEFORE YOU DIG. Call Gopher State one call at (051) 454.0002 for protection against underground utility damage. Call 48 hours 1
before you Intend to dig to receive locates of underground utilities, www.aoaherstateonecall.om l
. i
1 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 rase of work which requires a review and approval of plans.
i
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, l
r
,c Patty Hanna/PCS Residential I~
Applicant's Printed Name Applicant's g ature I
Page 1 of 3 ,
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA137346
Date Issued:06/29/2016
Permit Category:ePermit
Site Address: 4201 Yew Pt
Lot:45 Block: 01 Addition: Boulder Ridge
PID:10-14800-01-450
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Kate A Hoffer
4201 Yew Pt
Eagan MN 55122
(651) 249-6061
Residential Heating & Air
1815 E 41st St
Suite A
Minneapolis MN 55407-3425
(612) 724-1899
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA163463
Date Issued:09/02/2020
Permit Category:ePermit
Site Address: 4201 Yew Pt
Lot:45 Block: 01 Addition: Boulder Ridge
PID:10-14800-01-450
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Kate A Hoffer
4201 Yew Pt
Eagan MN 55122
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature