4230 Trenton Rd03/15/2011 TUE 7:08 FAX 6514378831
C!ty Of aau
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
a 002/002
Use BLUE or BLACK Ink
Permit #:
Permit Fee:
Date Received:
Staff:
��
2011 MECHANICAL PERMIT APPLICATION
Date: J� 151201 r Site Address: 423O Tr fltOT' g -cad
-6 VC O VvC
Tenant:
Suite #:
a
RESIDENT ! OWNER
Name: W--- Of ''C/Tr) Phone: iosJ - D� `t�618 I
Address / City / Zip: 4130 Tree OY' RDRD. r/' - f 4 I f 5SL
CONTRACTOR
Name: One i,n (t....6/7720,e____ License #:
;/ q�� p
Address: l �? 04 Vt/r rn (11 t m S) �/C-t City: 1 E vs As
State: incl Zip: S W Phone: t 1 ~`t�'c.7 7_ j f
Contact: �]!e[, t+ Email: Iii Lijit,.L hi 'tot / . ` ( lig
TYPE OF WORK
New V Replacement Additional Alteration Demolition
Description of work: ('�s ��{Le1/11 l �� f�� QI", J
NOTE Roof mounted and ground mounted mechanical equrpment is t-eX(uired to fie screened b r ay
Code Piease cot.) a the Mechanical Inspector for information oh, eening me odsr
PERMIT TYPE
RESIDENTIAL
J mace_
COMMERCIAL
New Construction Interior Improvement
V Air Conditioner
Install Piping Processed
Exchanger
Gas Exterior HVAC Unit
_ —Air
Heat Pump
_ Under /Above ground Tank (_ Install 1 Remove)
_
_ Other
**When installing/removing tank(s), call for inspection by Fire
Marshal and Plumbing Inspector
RESIDENTIAL FEES:
$55.00 Minimum Add-on
or alteration to an existing unit (includes
burned out appliances, ductwork, etc.) (includes
$5.00 State Surcharge)
$5.00 State Surcharge) $ TOTAL FEE
$95.00 Fire repair (replace
COMMERCIAL FEES:
$75.00 Underground tank
$55.00 Minimum (includes
installation/removal OR
State Surcharge)
$10,010, surcharge is $ 5.00
surcharge increases by $.50 for each $1,000 Permit
Fee requires a $ 5.50 surcharge)
Contract Value $ x 1%
= $ Permit Fee
- If the Permit Fee is less than
Fee = $ Surcharge
- If the Permit Fee is > $10,010,
(Le. a $10,010-$11,010 Permit
= $ TOTAL FEE
CALL BEFORE YOU DIG. Call Gopher State One CaII at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www_nooherstateonecall.or0
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that 1 understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance
with the approved plan in the case of work which requires a review and approval of plans.
x ►Iawe ritrimm
App"licant's Printed Name
x
App : nt s Signature`
Oct. 7. 2010 9:02AM
City of Eat
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 676.5694
No. 0286
Use BLUE or BLACK Ink
Permit #:
Permit Fee:
Date Received:
Staff:
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: /4/44 Site Address: ,/? 3d,
,11
J
Tenant: Suite it:
RESIDENT IOWNERName:
-C/ QGve-ri Phone: 670 2.e( " .>Go.S4i
Address / City 1 Zip; VZ 30 i .-en/ l2 dl.//
-
Applicant is: Owner 0 Contractor
TYPE OF WORK
Description of work: g
Construclion Cost: (4600 Multi -Family Building: (Yes No 0 )
_ _I
CONTRACTOR
Name; Rn sfraane+sprs /AC License #: 26'6 T7?/
Address: if eco, Al City:rt
-,
State: 1<A Zip; 417 Z". Phone: ‘'Cr«3 de.59---
Contact: f:s4 Email: PrlC //iipte, 6Mko r / -a
COMPLETE
In the last 12 months, has
Yes _No If yes,
Licensed Plumber:
THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
the City of Eagan Issued a permit For a similar plan based on a master plan?
date and address of master plan:
Phone:
Mechanical Contractor: Phone:
Sewer 8 Water Contractor:
Phone:
NOTE: Plans and supporting documents that you submit are considered to be public Information. Portions of
the Information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (661) 464-0002 for protection against underground utility damage.
Gall 48 hours before you Intend to dig to receive locales of underground utilities. www.aopherstateonecall.orp
I hereby acknowledge that this information Is complete and accurate; 'het the work will b
Eagan; that I understand lhls Is not a permit, but only an application for a permit,
accolrds iL the appr d plan In the case of work which requires a review and
x r dre,
App Icant's Printed Name
lh the ordinances and codes of the City of
lho l a permit; that the work will be In
AppII : n s S `s nature
Page 1 of 2
CA3H RECEIPT II
~ • i,
CITY OF EAGAN
P. 0. BOX 21-199
EAGAN, MINNESOTA 55121
D A T.E
L
RLCi1V[C ~,1 • .
FROM ' y' " _'..6( AMOUNT' $ ,JZ I ~ J
& ooLLwws
+oo
? CASH fa'~HECK
\
71
FUNC COOG AMOUNT
~
!
V ~ 1
Thank You
White-PaYen CoPV
Yellow-Posting CoPY
Pink-File Copy I
R~~ ITY OF EAGAN Q f~ 4/ "A"' S 3830 P i l o t K n ob R w d. P.O. Box 21-199, E s y an, MN 55121 ,
PHONE: 4548100
euILDtNO PERMIT R~lpt
T• r0 w./ h. :ik Est. Valw $71,U0+' Dore AF,i: f:~ ls , 19 ,S
A "G 3~J '^REN 7'ON RD Erocc l~ OcwwneY
Sin Ad~~ N , II !~;W M , y qomodel ? Zoniny Hi
Lot Block " Soc/Sub. Rspair ? 'Type of Const. j
PwcoI No. Enlarpe ? No. Storia
Move ? l.erqth
~ Name : 17 Dsmoltsh ? Depth 53
i:aP:~-''•'.~1(i+~ f. _
Addras , 454 Gnda ? Sq. Ft.
City Phone - J ~ Install ?
.
Name Apporals FNs
~
Addrus Asussmnt Pem?it `
Cfty Phone Water & Sew. Swchorge . a 0
Poliu Plan Review. UQ
Name FIIe SAC 0
Addna E"o' Water Conn. ~'G. 00
' i. U 0
City Phone Plonrnr Watar AAotor Council Road Unit~
( henby acknowladgo that 1 haw nod this opplication and stote fhat Bldq. Off. ~ I 1 i~ . -
the inlwnwfion is torrcct ond oyree to complY with oll applicOble A~ Totsl
Stoh of Minnesoto Stotutes and City of foqon Ordirwnces. Vor. Date
, .
Slpnorun of PermittM ~
A Buildinq Per+nit Is lsswd fo: :.•}i:i':;:: 'I'; (,(1? ' i.'~ : ~i [KC on !hw expnu CondiHon thot
d) work sF+all be done in otoordana with oll opplimble Sta1e Qf Mlrwrwto Statutea ond Gty of Eopon Ordlr+onaa
~ duildinp Oflleiol
- Pwmit Na PKmit Hoidm WM TO hono 0
Plaenbing
hc;
H.V.A.C. y s s
Electria g 5 I~ sY ~ ~ d-
sac«w
ir.vason o.a irap. an«
Footirp 4 ~l ~ c 3 ~
Foundatfon
Faminp ~ W y (o Gd. ~
RooNny
Rauoh PIbg. lf"
y
Rough HVA
ImuWtion
FinN Wbo.
Final HVAC
Final
Cwt/Ooe.
w8W Oow ibe loeatlon:
IMHI
Snwr
P?. Ohp.
Receipt PLUMBING PERMIT h Permit No.
CITY OF EAGAN '
Fee •
fill in numbered spaces S/C
Type or Print legib/y Tot
1, Date 2. Installation Cost 1i~t-0. ~
LIL~JJ~'`I-L~ r_.'._ j J.
3. Job Address _ 1zE"';=7- i ~ . LotBlk. Trbcf~L t 4. Owner t~0t0-1 P_ L'_L, v
5. Contractor i i', it'- t Lti ii~ Phone
,
6. Address' ~_l Z 1~ -
7. City State Zip
8. Building Type: Residential'o/Commercial ? Institutional O
9. Work Description: NewEr-olAdd ? Alter O Repair 11
10. Descxibe
11. No. Fixtures No. Fixtures
Water Closet
- Cesspool/Drainfield
~ Bath tubs Septic Tank
_ L.avatory Spftner
_1L Shower Well
~ Kitchen Sink
Urinal/Bidet Other
~ Laundry Tray
1 Floor Drains
Drinking Ftn. V;,
Slop Sink
Gas Piping Outleu
12. I hereby certity that the above information is true and oorrect, and I agree to
oomply with all ordinances and codes governing this type of work.
Signed : ti for
Rough i Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464$100
Reaipt MECHANICAL PERMIT Ponnit No.
• CftY OF EAGAN FN S 20 -9fl-
fill in numbeisdspsces S/C • 50
Type w Print Mgib/Y Tot 5 20,52.
1. Dete ~l-3?-•~:~ 2. Installation Cost " ~.ZrS.OCy
3. JOb Address L»n Tr ntnn LOt Bik. TreCt
4. ONT!< <:Ol'QOrtlt@ r`O'ItSt'Ttlt't
. ~
5. Conuactw :.-t~e He; L' iia ? /C I: c. Phone -421.1 ~
6. Addrets 7~ 1;; c~r a i~ ~
i
7. CitY pA-, D,-,• State •t2ip
8. Building Type: Raidential Q-' Commercial O Instiwtional O ~
i
9. Work Desaiption: New Add 13 Aiter ? Repair ? ~
1
10. Desaibs ` _ , Fuel Typs
11. No. EquinmenL BTU - M. Ea. No. Ecuioment CFM ~
- Foroed Air Air Handlinq: ,
Mfy. • s~ ~ '
6o+lers Mech. Exhaua
Mfy. ii~:~~ ,i~31•• '>:2*.', fa
Unit Hester
Mfg• Other
Air Cond. L¢+n:rvx ? 3- " ~I
Mfg. o~,() ('T't`
- Gat. P'iping Outlett
12. 1 hereby cartify that the above information ia true and correct, and I spree to
aomply with ali ordinancet and oodes goveminy this tYpe of work.
Signed: for
Rouyh Ffrnl
Inspections: Date Insp. Date Insp.
Thia is your permit when numbared and approwd.
Approved CITY OF EAGAN 464-8700
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CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number: 4 I I; ~
Eagan, Minnesota 55122-1897 Date Issued:
(651) 681-4675 i
SITE ADDRESS: APPLICANT:
PERMIT SUBTYPE: TYPE OF WORK:
~
INSPECTION .A .
i
i , ; r ~ ~ir , . I t1•,~ ; , , i ~ ~ ~~idi 1 nl 1 ta~. ttf N i lyb , Ivl F ttf 1 f E,N1t 1 1`41f
J
L
Pemdt Moldsr Deb TiMphons #
SEWER/
WATER I
PLUMBING
HVAC
InspwUon Date hup. Commsnb
FOOTINGS
FOUND
FRAMINO
ROOFING
ROUGH
PLUMBING
PLBG
AIH TEST
ROUGH I
HEATING
GAS SVC I
TEST I
INSUL I
GYP BOARD I
FIREPLACE 2~` 1yy ' ~ ~
J 77 I
FIREPLACE I
AIR TEST
FINAL PLBG
FlNAL HTG
ORSAT
TEST ~
BLDG FINAL I
DOMESTIC II
METER
IRRIGATION I
METER I
FLUSH ~
MAINS
CONOIICTIVITY I
TEST I
HYDROSTATIC I
TEST I
BSMT R.I. I
BSMT FINAL I
DECK FTG II
DECK FINAL I
d
CITY OF EAGAN WpTS SERVICE PERMtT ,;3P0 Pilat Knob 8oad , 1,-~~
P: O. Itox 21199 PERMiT NO.:
' ' "
- << 5
,
Eagan, MN 55121 D/~TE:
Zoniny: ~2 No. of Elnits: duplex
Owner: Corporata Cor.st
~Iddress:
~ Site /lddroes: 4230 Trenton Road L4 E3 Nrr[hvif;w Ateadews
ur: ?Zat*t,ion$ L. !7eg P1kS;
3~l 9~.s S/ b~l Conr~ection Charrye: ' S00 .{?0 d ~
Size: ~ff " /QoJv /lcoouM Depcstt: -r.~i(S c?-
Rsoder No.: I 1 L- •Z I-;Z 7 Permit Fee: 1r1, 00
I 1 Nno te ompy wi14 eM Cfhr of Ea9.¦ 5urchorps: .5o
Iwsc. C:F,oroas: 132.00 pd
Toral: 63.00 nd meter
By ~ Dore Paid: '
~
Date n Insp.: Insp.:
C17/
- -
i CITY OF
EAGAN
SiWet SERVlCE PERMR ~
j 3830 Pilot Knob Road • ~~~a ,
P. O. Box 21199 PERMIT NO.: ~
~ Eagan, MN 55121 DATE: I
` Zontnp: pl' No. of Units: " dupler.
' Owfwr: Corporete Const
' Itiddreu:
Site Addrm, 423U Treuton ~COa,j_ L4 E3 ivorthview *fcadows ~
• I =zSZ:rrs-J'--~i~sF --azi~; . i
Plumber.
-12-~,5 0E33 too.on
' I .en. re .eMpy? ~?M ~i. cN~r .f s.e.s corx~.cHa, Charo.: 4.~.~~~_
_ OrdIMSOM. Aooourt D*potk: ~
~ Pemdt Fee: •
~ Surelwrpr. . •
By Misc, Cho.p.s:
~ Dote of Ir?sp.: Totcl: f
; Insp.: Doq Poik ~
L
This reQUest void ~j
o
~ r~056580 h /
4 y, 83 av T
Request Uate ' ~ Fire No. HouUhr-in,InsVer,tion
~ ~ Req ~ed [eaAy Nuw ?Will Notily, Inspec-
~ ~Yes ?NO lor When Ready
f&Licensed Elec[ncal Commctor 1 hereby requas[ inapection oi aCOVe
? Owner eleclncal work installed et:
Sheet Atldress, Bon or Route No. Cnv
-7-3 O kW Ea a,J
ectwn o. Township N me or No. Fingv No. Caunry
. `
OccuO~nt PINT) Phone No.
14 6,
Power SuoPlier Address
ElecVical CnnUaclor (ComV.ny Name) Convur,tor's License No.
LYrvF'S ce-F c /c-
M;ulinq AdJress (COmractor or O ner Makinp Instailuuon)
o -.z SE /s w ss
Authon $ipnamre (ContraZwner M - g Install uonl , Phone Number
~ - ~
MINNESOTA STATE BOARD O ELECTRICI 'THIS INSPECTION FEQUEST WILL NOT
Gripgs-Midwoy BItlB. - po N-191 BE ACCEPTED BY THE STqTE BOARD
1821 University Ave.. St. Pnul, MN 55109 UNLE55 PROPEF INSPECTION FEE IS
Phone (612) 297-2111 ENC LOSED.
Cl- bHEQUEST FOR ELECTRICAL INSPECTION r Ee-ooooi-oa
~ c Q' See inshuctiens for comPleting tM1is lorm on back ol vellow wpy.
'"X" Below Work Cavered by This Requesf
n O~U~O
Add Rep. Tyoe ol Builtlmg Apo~i.s wvee Fntjiunient Wired
Home Range Temporary Service
Duplr;x Water Heater Liyhtin Fixiures
Apt. 8uitding Dryer ~ Electric HeaUn 11 Commercial Bldy. Furnace Silo Unloader
Industrial BIAg. Air Conditioner Buik Milk Tank
farm ther aen y thcr (Snc,i1,)
~ ~ su~~~~v omo, oin~,
ompute /nspeciiron Fee Below
M Fee ServiceEntrence5ize p Fee Feedars/SObfxeders b Poe Grcmts
0 to 200 qm s 0 to 30 Amps 0 tn 30 An+ s
Ahove ZQO qm>s 31 to 100 Amps 31 to 100 Am s
Swmming Pool Above 100_Amps Above 700_F+mPy
Transtormer5 Irrigation Booms Pzirual'Other Fee
Signs SpeciallnspecLOn Z1() TOTAL FE
1 flough-in ~ Date ~ I, the Elect'
~ W ~ In50ectaq herob ay
" cerbfy that the bova
Final ~ O.~te S~~ inspection has bean
/
/ , P / mede.
Thia requast vo10 18 monllu Irom
ihis request void 5 p 9 d~ WI 511[
18
~ J
B~~'~,~o9 ".3~. 5,
He.;uc$ [ ate ` Fire No. Pnu ins eco
bn
% Fe~quarte~~ ~Ready Nuw Q-W*i Notity Inspev
~ Yes No [or When Ready
! LiCensed Electncal Contracmr I hereb
y raquest insPection ot above
? Owner electncal work installeA at
Street Address Boa or Route Nd City /
ecUOn o. Township Name or No. RanBe No. County /
O ~vant IPRINTI P'~~~
Pow~e{r/ Svpplier/~ Adtlress
Electncal ConVactor ICompany Namel G e~E~~~~actnr's Lcenje,NO.
F V/ c.
Mailmg Address (ConGactor or Ow er a mg InstailaUOn)
14540 PENNCK LANE 1
`n
Auphor~ a re ra [ w i ll 1 ionI Phone Number
MINNESOTq STATE BOAND OF ELECTAICITY THIS INSPECTION flEQUEST WILL NOT
Griggs-MiAway Bitlg. - floom N-191 BE ACCEPTED 9Y THE STqTE BOARD
UNLESS PPOPEN INSPECTION FEE IS
1821 UniversitV dve., $t. Paul, MN 55104
Phona 1612) 297-2111 ENCLOSED.
CITY OF EAGAN No 1 0 0 8 1
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT ReceiPt # -
~
T. 6i uwd !er SF DWG/GAR Est. Volue $71,000 pate APRIL 12 , lq $5
SiteAddreu 4230 TRENTON RD Erect 12 Occupancy R3
Lot 4 Bloek 3 ~ec/Sub. NORTHVIEW MEADS iemodel ? 2oning Rl
' Percel No. Repair ? Type ot Const. V
Enlerge ? No. Storias
CORPORATE CONSTRUCTION INC Mova ? Lengtn
~ Neme Demoliah ? Depth 53
Add,m, 4466 WEDGWOOD DR Grade ? sq. Ft.
City EAGAN phone 454-0644 InstaIj ?
SAME Aoor"ajs Feas
~ Neme
i? Assessmenr Permit 346.00
°u Add`e" .
u~ City Phone Woter 8$ew. Surcharga 3 5 5 0
Volice Plan fieview. 173.00
jm W Neme Firc SAC 525 _ OO
i~ Addras Erq. Waror Conn. 500 _ 00
1
"W City Phone Plcnner Woter Meter 63- ~ 0
Council Rond Unit 21In nQ
I hercby ackrwwladpe thct 1 hava rcad fhis a0 ication ond stata thcf Bidg. Off. 4/, 7 1/H S T. P. 132.00
fM inlormotion is correct a agree to c m y with all opplicob,a APC Totel $2, 054.5~
$tola ol Minnesota Statutes d Ciry of n Ordironus.
Ver. Dete
Slpnoturo of Pertnittas I o
A Bulldinq Pertriit Is issued to: ('QRPf1RATR (`aNqTR[]rTTllAI TNC on fhe expms7 tondlflon Ihai
oll work sholl be done in xcordanca with ell~qpplimbla Myf M nnesofo Staturea ond City of Eaqan Ordimncea
Bulldinp OfHciol
IZE)
CITY OF EAGAN ~
3830 Pilot Kmb Road, P.O. Box 21-199, Eagan, MN 55121 N~
PNONE: 454-5100
BUILDING PERMIT Re[elpt fr ~
~
T. bi awd far SF DWG/GAR Est. yahUe $71,000 pote APRIL 12 iq $5
siteAddren 4230 TRENTON RD Erect 12 Occupancv R3
4 3 NORTHVIEW MEADS 'aemodel ? Zoning Rl
Lot Block Sec/Sub. Repeir ? Type of Const. V
Peroel No. Enler9e ? No. Stories
CORPORATE CONSTRUCTION INC Move ? ~.enq~n ~
Z Name Demolish ? Depth 53
~ q~resg 4466 WEDGWOOD DR Grade O
EAGAN 454-0644 ~a• Ft.
City Phone Install ?
SAME ApOrsvob hes
~ Name
Addresa Assessment Vermit 346.00
u~ City Phone Wcter 8$ew. SurcFwrge 35.50
~W Police Plen Review 173.00
w Name Firs SAC 525 _ 00
Addreu Enp. Woror Conn. 500 _ 00
~ W City Phone Plonner Woter Aleter A-4 ~ 0
Councfl Rood Unit qRn n0
I hercby ockrowledge thot 1 how reod this opD ication and state that gid9, pry, t] j 1/H S T_ P. 132.00
tha informetion is correct a agree to c m with all opplicabla APC Totai $2,054.50
Stab of Mmnewta Statutes d Ciry of ' n Ordironcez.
ver. oete
Sipnoturo of Permittaa
A Bulidinq Permit is is3ued t0: rr1RP(1RATR C01NCTR[l[TTfIU TNC on the axDmss condiflon Ihai
oll work shall be done in xcordance with oll~qppliwble ~newta Stotutea ond Ciry of Ecpcn Ordironcea
BWidirq Otfktal
~
. ~
z/aa
CITY OF EAGAN
)l~r"~=3^~~ O
APPLICATZON FOR PERLMIT
SEWEB aND/OR LdATER CCNNECTI0.1
(PLEaSE P9I4i)
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(Lpt/31ock/SuLdivisicn or Ta:: Parcel J.D. iiis;t2r)
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2) AP?LIC_,T lPLE6SE ?RINi) g~~,J ~•L: ~-r-p.~-o~.~ C~~-~r.
rDDREss: 44W, - lZ QVJoWA..
CI'?"L, ST:,'?'u, ZIP:
PEO'c:t.: !~4- -OL.
3} PLL:BF"? NAi FOR CiiY USE 091Y
ADDRESS: PLUHB,EAS LICEtiSE:
!G~'i pctive
~ CITY, STATE, ZIP: Expired
Not of Record
PFO'E= PL(148EF LICENSE 1/Q" arr~ tf ~
~
4) OC'~:[IPpivP/G!v?Im (PLEASE PPiNf)
NFti'~:
ADDRE55:
CITY, STFTE, ZIP:
PI-?Q`IG:
5) INDIC,'I'L [dHZCH PEF."•SIT IS BEP:G RDQUESTF.'il:
~~CC~:.~1~:T0N ~ CITY 5~:'l
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" ? CI'?'--'R (PLLASE CESC:u2E)
6)
? 2I.y,SE E?OLD APPRCVFTJ PEfZ-LIT FOR PZCK-UP BY CCIE OF VG':E
EL-°I~M,.SE ~Ir1iL APPRM":~J PEa'tIT M 1, 2, 3, 4AFO'I~'
(Circl one)
7) SIC2,AT[:--E: L DNTE:
FOR C I TY U S E OhILY
PERMIT = ISSUED
F°D_S: $ v~ a $~•'•iE? nro~ir^
WATE? Pc.RPtIT (IP:CLliDE SURC: aRGc.)
WATER METER/COPPERAORN/OUTSiD : RE::GE3
5 W,-1T°_R T;,P (INCiiiDE COp?OR.tiT:CN S"_'C?)
S 5:..-7E.°. ^?_P
$ ACCOU`:T GEPOSIT - SEidER
$ ACCOliVT DE?OSIT - t•iA:==Z
$ WnC
$ ~ =7..~ ~-tJ $-C
S TRi.iNri r.;AT_°.°. ASJFSS:•?E:ii
S TFUN?; sEr;ER assEss::ENT
$ LtiTEnSi, BENLFZT/TRU`iFk SEi:E~R
$ L:+TERAL BE:•iEFIT/TRli:•'ri IdATER
$ OmuER
$ TOTAL
d
$ ..lo e7. FYSOU::T PAZD/RECEIPT
DOES UTILITY CONPIECTION REQUIRE EXCyVATION IN pUBLIC RIG;iT OF ;9AY?
C YES IF YES, THEN A"PERh1IT FOR [90RK L4ITHIN
PUBLZC ROADI•7AY" MUST BE ISSUED BY THc
17t NO ED]GZNEERING DIVISION_ LIST AS A CONDI-
TION.
SUBJECT TO TISE FOLiO:'IIDIG CONIDITIOidS:
APPROVED BY: ~oP~>
TITLE:
. DATE:
/ Pl~n $ ' D~n - t c
AddreO
w . MEAT LO86CALCVLATIONE'
TotalrHeut Loit rn.' Btu InpW I nu
-~_~_~.-~_~-•-~--=--?~c_
Roorn LOth.~.l . '.WM.
I ~fl.J "-.~Pnf Room ~ 191h.. '.Wt . ! " Nt. ~ fl. J
H~Iyn No ol
/{v4in N~pM Ho.o1
ein N0• OI ~M OI I 1s CI Cr~c\ 4, 11.
~N ~wr ol i t ol c.M n. M.
, ` •
1 ~3
77o bljel~
38 ~~unmwow~~ae.n ~
- \1!
i18
In11Nr~UmW/DOan
~ mi~n.n.rnrv/DOw~
~ i.neu.~.~.n ]lDaan » IMli~rnlonb/DOOn 71
~ere)
4e6 QS_~ NHlW.WMI % ~ _4 l~
~0
I ~n~~.q ~f~. 3?'6 ~ GIIInO ~ .
7'Jl .6 fbor 1
roW nio. ~ / ~ Toulew. •
1 L Room 10~+.~ "Wlh. J Ilt ' 1 F{. e~. Roan LOM. .••.Wth,~I ~
1 WA~* N~yu No o~ U~rYM1. ' rn WIO~n H~1~t Mo.p1 ~~W 1. ti
~o d of p, 4 n ol crc~ M. 1t. No• of d I n N cnck q. h.
1 (1
~aoon
~ /mon
BTU laoon 38
78 ~ Inlllu/lloe WI~
bn.un~..n W/DOw~ " 718 Intlltntim W/DOOn lts
~ 71 In111vnIOnE/DOOn , . 71
~ ~.,r nu Slpoon
( !.o vn~t O g- E~D WMI
f4~F.O W / • f f1 4 N., 1 W.WA1 4 d
~w.i.•q 5 _ Glllrq ~ 2.
2 3 ~ e
7~10 il°° .
~ ~ Tun1 9w. ~ Twill Bro.
/
Fi. /i i i Room LYN. WtA.~I Ht. ' PI. i,., Room LCtA.
Wd~n WpM1~ No.of LrtNtlh , bn ~pH No.ol 4~MR. A.
ol Ow~ ol O~n~ I b ol eneY q. ry. Na, a pl~ 1 n M n et.
i -
I i - ; ~ r ,e~., ~ A ''n ~ 0 ~ma.,
C
/eoon Gwl. BTU /Oeon M.
I! 1
36
Ie11iv~~bnWfndow~ ~ .r7
38
1 I.Ae~,H.r.n WlOop~ 11B INlltt/UOn W/~
3 711.11lo..,lo„giDoom
i 1.u HJI EaO. Wall
. r.u.. 6 Ouw~ . 31 Glw! O-
. ~~~C.DwW .6~' J N.tF~C.W~II l~'/ 4 Q
d
24.E GIIIK ~ k ~3
~ i wiw 3 6 7 P b^' I
7 0
~ • r.,,.+e~„ / Tmrero.
~ ~ -
ij~,-r,ti0/-f Plan# ~ry
HEAT LOBE CALCUUTIONS
Toial Hrat Laf- • -Total Btu Input I Auwlneow.adoon.tiF+•t^Vs~flppw
Roam ~ lGtb. "Wkh. -'-Mt. FI. Rdom ldN. • Wth. ' ' Ht.
OI M OI YN II 1~ OIC~IRY p.l~.
u.~ nWUn~ d~~~ No.'1 o-iu~cL n.l~. No.
•v
• ~eool.
Cad.
w..
1 ^ M,; imnin.~w~.wiw
I„m.,.. ia, wrooo.. 1o.'
e
ww WN~ d
~ 1 4 A
} aui~o
I' l.ul.rq 'f''
41 riin.r 7,106 Fbor
TotM Etu. -
1 ~~.Ollllu.
FI Room ION+. • ~Wm • k
I. fl. /.9tr f.~. Room lY~h.I Ht. . W.nn Wght wo.o
w Wd,n H,W~~ No ol 4rw4t. An` No. o~ d ~ n ofmc~ q.h.
I 1 ql~r.q M pw~ 11 -U el nrY q. ~1.
i
k~
,0
Cwl. BTU
i ~ I,den~=wnW.rquwn ~ In11wnUOn WI~ _
11B In1lhnUmW/DOOn 11~
71 11
~ i,.ou,n~onIIfUocn` ,n ) f Inllnmbn5/DOOn
EW.WNI ~
4 DOV~
1 `~.~•..Lbonn C), .J(7(n) Wwa
w.~ll 4 6
~
Na E W
4 5 Gi6K
I n...q 2 3-- ~ 6
' ~ - 3 6 Floer
7
' TP~IdIV ~ TOI&IBN.
11 •
I RI_ Room L9th. , ••Wth. H. ' FI. Room LON~. • -NM' ~ I
. v141e N..m~iao.ol LimYlt. Rr~~
i~- Nn pl p~rv ol pMM I L al tt~c4 q. h. MO. pf m W pW II b ol cnc\ O, h.
I
~r
I
, CeN.
~ lEOOn Cw1. 8TU IOOnn 39
' ' 38 INllniebn wi~
~
~mdv..rn W/Dnon 718 Inlihnuon WlDoorl
71
~ I..i..r,.u..n:lOOOn 71 In1161rrtion5/DOOn
4
E.o. Wd1
'A}l6
,&68 Giu~ A. Do~
I
~
~ _ 6 7 N.IE`p.M41 4.5
• ~n~ i .u wN~ ? 8
' e
~ -4 6 LHllp ~ 1
Z
7 106 Flca ~
ioip e~u Ta4 Ow.
i ? ' ' _ ~ ' .
~,i•-~ • ' ' •
a - ' •
f~001LIN(3 LOAD SHEET Date:
laino Addrnf f ~',C Q/?
~ lan # r Time: dPM
':nsipn Conditiom: Ounido : Dry 8ulb 89; Wet Bulb 76 Insfde: Dry Butb 78: Wat 84b 88
SENHIBLE LATENt
AREA '
I
ITEM OIMENSIONS Sn.FT. U TD HEAT HEAT
COHOUCTtON HEAT (iAINB
'iurior wall, grott - -
F rterior plats .66 11 "
"xmrior wall, net .08
furol wallt and wlndowt ~ .17 il
f looi .08
;aJiny or roo} d .08 11 ^
EKCE38 EOLAA (iA1NE
WALLE (dinatlon tepd)
wat .09 28
I- , ~v
Roof r .v 22- .08 64 -
OLA88 (dlnetion hqd)
'Y1ott ~ •6B ~
I 1-00 ( / _
j ~ -
,:4yli~ta ~ .66 119
i BODY HEAT CiAfNS
'.omiWe No. ot people x 226 '
-aeent No. ot people x 230 - 3 ~
I EOUIPMENT HEAT GAINS
Llecvic moton ~f HP x ~T~
~filtration - Sentfble 1.085 x JZ-CFM x 11
Inliltration - Leunt MF x.B7 x 30 - ~
SOTAI, HEAT GAIN (SENSIBlE)
tOTAL HEAT GAIN (LATENT) ~
TOTAL HEAT GAIN BTL PER NF
''fONNAGE EQUIVALENTpF COOLING LOAD • °L--~-~ v2.Tont
I
I
102 .
1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS l9UST BE LICENSED 41ITH THE CITY OF EAGAN
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
1 SET OF ENERGY CALCULATIONS
To Be Used For: S F DW(l.(aAQ, Valuation: ~ I,OOp. w Date:
Site Address: QZ31? OFFICE USE ONLY
Lot: ~ Block 3 Sect/Sub ~a?C6'vl~,, J~f~~et k Occupancy
Remodel Zoning (Z-~
Parcel It Repair _ Type of Const ~
Enlarge il of Stories
Owner CQr,p~OdG ( OL:~,- Move _ Length 45
Demolish Depth 53
Address bt~ ~J'~G~-rf ~~n Grade Sq Ft
City/Zip Code re.9aK, !p.ti'
Phone (j )(,I ° (~,d q , APPROVALS
Contractor 55;,~0.Y Assessments Permit
Water/Sewer Surcharge 35.50
Address Police Plan Review
Fire SAC 525.'°-
City/Zip Code Engr Water Conn m
Planner Water Meter (flg, m
Phone Council Road Unit 2g0.'-
Bldg Off9_// PS Parks
Areh./Engr. APC Treatment P1 13 2.
Variance
Address TOTAL S 7'• 5 C~
City/Zip Code
Phone 1i
2~x ¢r~ = Ilcoox s4 ~2~40
22 x 22 - 4~ 4 X~~ = 53 Z 4
~~~I C~
I SURVEYOR'S CERTIFICATE cORPORATE CONSTRUCTION
REVISED 3-27-85 TO FLIP HOUSE
30
! / \ -1 '
~
0 4 . ~ 120.64 N89°52.'11"W.
O ~ '30.00 52.33
10.00 i 1 0.00 N 10 I
10 4--'- ^
29.83 ~ W
I 01 ~ o, ° ~
~o L~OT ~4 R N~W ~o ~ W -
\~~~d ~
oOQ',
~ 22.5 ~o T v^ ~ Z o
PRO POSED ^ cn o~ a ? W I ~ 0 ~
N GAR. m x Z
Q I
Z ~;DaIVEWAY~'9 N~ \0 29J6 ~ o
0.....-,- 23.17 vi ---'---'~\y w 10 ~
Z 5.00•:
O 0.00
120.51 N89°52'!1"W
W
~ . .
~
-7- ~
ao 1 . _
PROPOSED GRAOES WERE TAKEN FROM THE
DEVELOPMENT PLAN FOR NORTHVIEW MEADOWS
BY SUBURBAN EN6IIJEERING, LAST DATED •
; 9-29-83. ,
DENOTES PROPOSED SURFACE DRAINAGE
O DENOTES IRON MONUMENT SET . SLALE: 1 INCH = 30 FEET
• DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR = 9168.6 FEET
X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR = 965.8 FEET
(000.0) DENOTES PROPOSED ELEVATION PROPOSED 70P OF BLOCK = 9109•o FEET
I NEREBY CERTIFY TO CORPORATE CONSTRUCTION THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Lot 4, Block 3, NORTHVIEW MEADOWS, according to the recorded plat
thereof, Dakota County, Minnesota.
AND OF THE LOCATION OF A PROPOSED BUILDING. IT DOES NOT PURPORT TO SHOW IMPROVEMENTS
OR ENCROACHMENTS, IF ANY, 7HEREON. AS SURVEYED BY ME, OR UNDER MY DIRECT SUPERVISION,
THIS 2b74 DAY OF 1APQA4 . 1985.
APRROVED FOR SIENNA SIGNED: A . HILL, INC.
CORPORATION
BY : ' ~
DATED THIS DAY OF BY: H OLD C. PETERSON, LAND SURVEYOR
19 MINNESOTA LICENSE N0. 12294
PROJECT NO. BOOK / PAGE JAMES R. HILL, INC.
Planners / Engineers / Surveyors
FILE NO. 8200 Humboldt Avenu• South
FOLDER sboMinseon. Mti 65431 612-884-3029
I
` • . . . . . ~ .
~ EXTERIOR ENVELOPE AVERAGE "U" COPIPUTATION
j •
~ 06lNER ~
'
rr SITE ADDRESS 193e
,
CONiRACTOR liysT Ac"' DA7E 3/`J7O.J ` PIIONE
'i
i
Determine working square footage of each.
i
l. Total exposed wall area ..20~/ sq. ft. x-1L = "~25?S~ J
.
~
~ 2. Total roof/ceiling area /1117 7< sq. ft. x_026
~ Total exposed wall area above floor
~
' a. Total wall window area /.S y, 9(;
b. Total door area _ 37 77_
i c. Total sliding glass door area
d. Total fireplace wall area -
e. Total wall framing area (average 10%)...... ~L_,/z0
' f. Total net wall area above floor
-
~ g. Total rim joist arca /~7/_
; Total ekposed foundation area
h. Total foundation window arca '
i. Toal net foundation area abeve grade
Determine "U" vatue cf each wall segment.
a. x ~~U" _-53
' b, 2 -7 x "u., ,i,z3 = v.~.s
C: ~Q x uuu S~ _ `~Cy,~lQ
d - X 1.U11
e. x .-U.,
f. X Oull
y x
. n. - x „u„
i. X O,U„ , /3 = 133;'
3 .....................................Total = Z1• S .
If item p3 is the same as, or less than item til, you have met the interit
of S8C 6006(c)2.
. . . . .
.
WALL SBCTZfINB'
`•~'~''N7'E: Use 15% of opaque wall.area !or
frame conatruction Conatruction R-Value
1. i f
2.
3, oft wood
• i.~ches s
4.
S. _.IIsL'/z_LTISiD~i?6 .L9
BASIC 6. Exterior air film = 0.17
WALL 7bta1
. rf - . 04
FIG. A1 TOPVIE14 OF
gMM wATiL 1. Intcrior air film 0.68
_ Z. rF ` ~ , 4f
s. r oG
. ' 4. z 6'i4-zz-7 ck~
5. /.Gmr~G 4'
6. Exterior a r film 0.17
~ FIG. N2 Total ~ ;
w
1. Interior air film 0.68
, . X I 2. w'/,ill(
3. ` '~oaD /•~d'
S~tL Sr•A LFA 5.
_ Pc.lpheral ,,i ---QQ 6. Exterio air film 0.17
Total 2
. ,t~ k:~~~'~ ~ •------v ~ ~ , a~.
~
• • ° o -
~e a , i
1. Interior air film 0.68
~ .F0O:7ilaTICN A ~ • 3. / a~'./f7f lal(. 2e
47ALL C, t, .
tl' •Q. 4. ~ fi~ a 5..26
~ U • wrLLUC S. V~ .h,
, M j.• G. Exterior air film 0.17
motal iPJ
SLAB ON GRADE
~ .~~Ai?~ ~r',~ . , • . ,
~4,;=A~ • y ~L; II R%i~~ rrll` V~ ~ j/ ' iri =
• ni . ~ . . = I
l~( . . - . . irr
FIG. 04 .^.r a'' ~ /ll
. .
4 FIG. N3
~ ~
% k !tl /JI ~ Iff ~ lii =
NOTE: Indicate typo, value, denth and
placenent of insulation.
'
. . ~ eago 2hrea
u.,.,'.. .
y;,.' . • RAOI'/CEILING • .
• . , , • '
~ Conalruction R-Valuo
1. Intcrior air film 0.61
2 '
a. . "
I+ 4. Rxterior air film (still) O.b~I
VIITf Total tLY;.CV
~ -v
,
Venced Heat flow
up • •
FIG. !5 .
1. Interior aYz film 0.61
sj,tt:'~ev~r•~.~ 'nr~•••.~pn1/M.•..An. Ja~.tallt~l Z. T-
_
3.
9. Er.teriur air f~l st0Tf
. , - Tutal
. .
Q- -
Neac flow up ;vented
FIG. N6 , .
3 ~ u' 1. Iuside a)r tilm O.GI.
2. . .
~
...l;x.:1:'=: . , ~ n .
~ :..:Y•:.'~~'•' S. Outside 0.17
Total
. . .
NON-9L'NTPD. NoCe: Use additional shects if more space is
• needed for details and calculations.
. . HQBC • ,
, flov up FtA. 07
~
_ , . ,
'
.
Total exposed roof/ceiling area = ?Z
Total skyl9ght area..................
. . -
k. Total roof/ceiling framing area (average lOX)... 1-272
1. Total net insulated roof/eeiling area........... Lyr/,~~
Determine "U" value for each roof/ceiling segment.
J. x iiuit
, k. 2 xPlug$ . 026 = 3 3/
X „U,. , 022 = ~s i9
4 ..................................Total
lf total of N4 is the same as, or less than #2, you have met the intent of
SBC 6006(c)1.
, Alternate Building Envelope Design
To utilize the total envelope system mathod, the values established by the
sum of items #3 and N4 shall not be greater than the sum af items lll aid V.
+ 2. 33• 07 = 2S7, su
g, :2 22 + 4. a5'0•XS
~fL•~1 ,~.~t>;.
W-.. . o,:
~ CITY OF EAGAN PERMIT 3830 Pilot Knob Road PERMIT TYPE: 13u t Loirv c
Eagan, Minnesota 55122-1897 Permit Number: 03q618
(651) 681-4675 Date Issued: 03/ 0 3/1)9
SITE ADDRESS:
9230 TRENTUN f2D
LOT: 4 BLOCK: 3
NORTNVTfW MEAUOW5
I'.L.N.: 10-52100-049--93
DESCRIPTION:
FRE[ STANDING SlOVE
HPermit Tyua FIREPI_I1CF
E3/1 Type ALTERAI SON
i..'.• ~ 439 AI T. RESIDCD'-f'F11
%
i
. , /
i
~ ,i • '
Z'~
~
?.V~ l'-_ r
REMARKS:
CHiMNFY/FIUF MUmr Cc TNSPFCIEO RfFORF CONCPRLLNG.
(waonouRNrnc STOVE - FKEE STANDING)
FEE SUMMARY:
dw;o r-op $60.00
Surcharaw $.50
Total Fae $60.50
CONTRACTOR: - APPlicant - sr. LrC. OWNER:
iIR!.SIOE CORNER 1NL' 16331042 20090911 OWEN I<ERRY
?700 N FASRVIFW AVE 1230 iRENTOP! RD
ROSI;VIILE I4N 55113 EAGAN MN 55123
( i,1 633- 7 09'' ( 65] ) 6SG -5737
-I'i)1 i t , pil iflil 1 0 c.rili.l\' .iil II „nrl• :t • • i! :il
I11 .i iiil.
L J
APPLICANT/PERMITEE SIGNATURE < SUED BY: SIGNATUFE
CITY OF EAGAN
CASHIER: S TF_.FMINAL N0: 738 '
DATE: 03/03/39 TIME: 14:45;50
Iii :
NAME: ALLIED FIRESIDEy INC.
3210 3001 4230 TkENTON RD 60.00
2155 9001 4230 TRENTON F:D 0.50
+
1
Tot,al Receipt Amoun+,: 60.50
CF103556
USER IL1: NANCY -
- • ~
:
' 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
~14 0 g a-- 651-675-5675
Please complete for modifications to existing residential dwellings.
Date 1 I I 07
Site Street Address Ta30 ~/LEn(fol~ 2~ra^)~ CtKA4 Mtf 55123 Unit#
PropertyOwner eE22`/ V. owed Telephone# ((aS/) ~1* -578'1
b W 7--e- r
Telephone# -.vo
9S ~/~v/ l°87
Contractor ~
Address PD $vX 5'R 0 City ~l4~LEv/GL~ State'ok1w Zip -S:S-b~
The Applicant is: ? Owner _ Contractor _Other
Alteretions to existing dwelling $ 50.00
_Add fixtures to rooms, excluding water softener and water heater
_Septic System Abandonment
_ Water Turnaround (add $121.00 if a 5l8" meter is required)
Other:
Water Softener Water Heater $ 15.00
_ replacement _ additional
X Lawn Irrigation System Z_ new _ repair _rebuild $ 30.00
State Surcharge ' $ 50
Total $ 30' -50
I hereby apply 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 'n accordance with the approved plan in
the event a plan is required to be reviewed and approved.
,~22 y v Owe! I/
ApplicanYs Printed Name ApplicanYs Siq atur
s ~
p L~(~TOdT
APR 2 g 2004
By.
/-L u~y 1999 BUILDINC PERMIT APPLICATION (RESIDENTIAL)f~L.~ S
b CITY OF EAGAN I'
3830 PILOT KNOB RD - 55122
651-681-4675
New ConslrucNon ReauiremeMs Remodel/Reoah ReauhemeMs
? 3 regisfered fHe surveys showing sq. R. oi 101, sq. fl. ol house 2 coples of plan
and all roofed areos (20% maximum lot coveraae allowed) 1 fet of enerpy calculafiom for heafed addRlons
? 2 coples ol plans (show beam 3 window sIzes; poured fnd. design; etc.) 1 sMe survey for exferior addilions 3 decb '
D 1 sei of energy calculaNOns ? 3 coples W hee preservaHon plan tl lot plalfed aMer 7/1/93
DATE: 9129119 CONSTRUCTION COST:
DESCRIPTION OF WORK:
STREET ADDRESS: LlpO ~v
IOT: BLOCK: SUBD./P.I.D. GW
Name: ~ 5 T Phone
PROPERTY Last Ftrst
OWNER C
StreetAddress: o vL
City State: Zip:
Company: 5eLa.~5 ko v-1 `L ~Phone N: ~ bO- 03- `"I/ 76
(areo code)
CONTRACTOR /
Sheet Address: License # d0/7 Ecp.
city state: v'~t7q/ zip: -SS'~-/yS
~
ARCHITECT/
ENGINEER Company: Name:
Telephone ik: area code ( )
Sfree1 Address: Regisfration k:
City State: Zip:
Sawer 3 wafer Iicensed plumber (reaulred lor new conshucHon onNl:
Ptnalfy applles when address chonge and lot change is requested once permM Is Issued.
1 hereby acknowledge that I have read thls applicatlon, state that the IMormatlon i nd agree 4o comply wHh all applicabl
State of Minnesota Statutes and CHy of Eagan Ordlnances.
Signature of Applicant:
OFFICE USE ONL~
Certificates of Survey Received _ Yes _ No 9
Tree Preservation Plan Received _ Yes _ No _ Not Required )~f
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation O 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex O 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea.
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
0 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bldg.' ? 41 Wood Stove O 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
' Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. Census Code
(Allowable) Main level sq. ft. SAC Code
UBC Occupancy sq. ft. No. of Units
Zoning sq. ft. No. of Bidgs
# of Stories sq. P---" -
Length sq.{
Width Footprint sq.1
APPROVALS
Planning Building C?rv oF EaGAN
CASI'.LEF': JS TEFMINFlL N7• 994
PermitFee VE D4Tc^ 07/23/99 TIM--r 13s1.3e59
Surcharge
Plan Review WvE: SEPRS h'OirE IIrFR'1VEM`NT P~0111!C'
License
MC/ES SAC C2t0 ^-.001 4230 TFCK'70N tTt E3. P5
Clty SAC 2155 SOt] .1. 4230 1 CE1J I 0! R iJ t, 50
Water Conn.
Water Meter
Acct. Deposit ~
S/W Permit S/W Surcharge
Treatment PL ~
Park Ded.
Trails Ded. ro'; 17 Rec,ipC 84 75
Other rR, i; 56^
Copies -rl'~ Jn^
T022I' ::tY,t%X)y';::g:S,",;:;(Y,c>$~:::;i,;Y;; C7 0:;;~;;'(7;'; t:,::;: ':~Y;:U,"•':o~.::Y„~tY,:'.b'c$c.";; :
SAC Units
% SAC
1999 FIREPLACE PERMIT APPLICATION ~
CITY OF EAGAN 3
3830 PILOT KNOB RD - 55122
(651) 681-4675
~
Date: ~
('q~~~\ ~ 99_
Descrip[ion of Work: _ Consvuct nerv tirzplace _ Afterntions to existin,
Install eas iirserl oiilv _ Install ;as liite arlv
~ Other i/VOOr i n
Job address: ~9,3 D VI f-oY1 /'C
Lot ~ Block: Subdivision/P.LD.#: Iv9f~4l~~l~k) ~~a~OU-~
le~
Applicant (circle one only): Owner Contracto Permit Fee: 560.50
Name: 0 Phone
PROPERTY Last -Ffrs(
OWNER /I
Street Address: ?1 ~C) (7 (Z '
City ~j y~ Sta[e _IN ! _ Lip: SS ~
Company: I i 1J I IreAeL-ne-YVG
FIREPL.4CE ~ ~
INSTALLER Street Address:
City ~fA P V\ S l) I I ~ P State: zip: SS -33~
Phone
Company:
GAS LINE
IiNSTALLER Street Address:
City Sta[e: Zip:
l hereby acknowledge that I have read Ihis application and state that the inforniation is correct
and agree to comply with all applicable State of vlinnesota Statutes and City of Eagan
Ordinances.
r - I~~, '
Signature y I--
~i IW 3 IS~9
~ _ -1
OFFICE USE ONLY
I3UILD1\G PF.RNIIT TYPE
? 14 Fireplace
NORIC TYPE
? 31 \'ew ? 33 Alterations •
? 32 Addition ? 34 Repair
GE`ERAL I\FORIMATIO\
Cznsus Code. 434
SAC Code 01
REN-IARICS
Chimney/flue must be inspectzd before concealing.
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA129738
Date Issued:03/11/2015
Permit Category:ePermit
Site Address: 4230 Trenton Rd
Lot:4 Block: 3 Addition: Northview Meadows
PID:10-52100-03-040
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Eva M Owen
4230 Trenton Rd
Eagan MN 55123--194
(612) 250-5292
Home Depot At Home Services
6224 Lakeland Avenue N, #102
Booklyn Park MN 55428
(763) 542-8826
Applicant/Permitee: Signature Issued By: Signature