4247 Trenton Rd
CASH RECEIPT
~ CITY OF EAGAN ~
PrO. BOX 21-199
EAGAN, MINNESOTA 55121
,
DATE' r/'d. 19 /
wecerven
FROM ~ ,
, AMOUNT
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& ---DOLLARS
~eo
? CASH ? CHECK
Fon
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Fl1ND COOE qlAOUNT
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Thank You
IMhite-Payers Copy
Velloar-Postinp CoPY
Pink-File CopY
~ CASH RECEIPT ~
CITY OF EAGAN
P. 0. BOX 21-199
EAGAN, MINNESOTA 55121 •
DATE 19
~ .
~
w¢cervfio FIlOM
~
AMOUNT ` I$
• ~ I C"'
DOLLARS
I 100
? CASM _~--Q CHECK
~
FUNC CODE qMOUNT
\ 4
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Thanu
BY 1 .
. White-Payen CoPY
Vellow-Posting Copy
Pink-File CoPY
. - _ . CITY OF EAGAN ~T
3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121 1~ ~ 8985
PHONE: 454-8100
lU1L~tNG,.~?ERMIT rtecetpr # ~
T~ !er S F l~GdG/GAR Est. Value $ 5 0~ 0 0 0 p~e AP ~ S I, 1° ~ q 8 4
SiteAddres~ 4247 TRF,NTON RD Erect '
~f 29 2 s NO VI}3Y6 11E11D ~ Occuoancy ,
Lot Block ec/Sub, Alter ? Zoning
Percel No. ~~-52SOO-290-02 Repair ? Fire Zone r~ H
Enforya ? Type of Const.
ec Name ~F'`~ LAI~]D HOP4ES Mova
i 3 4 7 m i~1 17 3 R D S T ? # 5ror~es~
Address Demolish ? Length
~ CitY '~nRnA ~ Phone 4 9 2- 6 6 4 6 Grode q Depth ~ Sq. Ft.- ~
CLA CnT~1ST CO INC Approrals F~a~
~ Name . o 0
Addres , ~ ~ ` _ /~ssessment Permit '
Woter 8 Sew. Surchar~'
City Phone 0
Polite Plan check~ • y~
~J.O~
W Name Jy
~i 5~90 SC) I;ATE PLA7.A Hro SAC
Addresa
~ , Enp. Woter Conn. . 'J ~
IjI.~
~W City ~T,~ Phone ~i-1"~5 plonner WoterMeter
CounNf Road Unit ' ~ ~ ~
I hereby acknowledge that I hove read this application ond stote that Bldp. Off.
the intormofion is correct and agree to comply with all applicoble APC Tatol ~ ' ~~~i
Stote of Minnesoto Stotutes ond City of Eagan Ordirwnces.
Sipnaturc of Permittee _ . ~ .
A Building Permif is issued to: CLA corasT INC axprcsf conditlon ~ha~
all work shall be dona in o rd with ol~ ap licpa~~b State of Minnesoto Statuces and City of Eaqan Ordimnces.
Buildlrg OfHcbl E-~%' _'~~^x''~'"~
, ~
Psrmit No. Permit Holder Mim Permit No. Holdar
Plumbin9 l ~ (p ~ 1~ MQ ~ .
H.V.A.C. 4 (`J53 I l~ Y 8
Wdl
W~tar
Disp.
$~vMr
e~.~~ ~k5~ey'1 I-~`en a~t1g~ 4~, aa
i
Impodion Dau Inip. OthN
Footina ;13-by
Foundnion
Fnminq p.
Rouqh Plbp. <
M
Rough HVA
Inwlation
Final Plbp. ~
paaai
ho Location:
:
VYdI
Sewsr , .
Pr. D'ap.
Receipt ~~J r) CMECHANICAL PERMIT Permit No.~ 9 ~3 -T
CITY OF EAGAN Fee , '
Fill in numbered spaces S/C ~U
Type or Print /egibly ToL CPO S-0
7. Date ~ d219y 2. Installation Cost
3. Job ~ ~Uo ~y
4/dI17 %kju~BN
Address Lotc;~l Blk.~' ~ Tract
4. Owner k., 4"'"J / `vYn,t,
5. Contractor Phone yil~-G I
0~
6. Address I~1~~0~ ~1Ur?h,~n rzt~(t 4
7. City / ,0 r~~ K,c State l i?1 Zip ~5S3 11
8. Building Type: Residential ~ Commercial ? Institutional ?
9. Work Description: New Add ? Alter ? Repair
10. Descri6e Fuel Type Q-
11. No. Equioment BTU - M. Ea. No. Equipment CFM
~ Forced Air 7 5-1000 _ Air Handling:
Mtg.
Boilers
- - Mech. Exhaust
Mfg.
Unit Heater
_ Mfg. Other
Air Cond.
Mfg.
~ Gas, Piping Outlets
12. I hereby certify that the ahpve ipformation is true and correct, and I agree to
comply wit ali o inancs an~,odes governing this type of work.
'1 "1
Signed: c~{,}~^- for
Rough Final
InspeMions: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-8100
. lReceipt l I ~ ~ 0" \FLUMBING PERMIT Parmit No. ~ ~
CITY OF EAGAN '
Fee Fill in numbered spaces S/C '
Type or Print /egib/y Tot
1. Date <l 2. Installation Cost '
> 1/tti
3. Job Address ',f 6t Blk. ~ Tract 11~''
4. Owner l f'n 5. Contractor Phone
6. Address %o ~y.~ ti : •
7. City j i i! i//' < State ir Zip Z_
8. Building Type: Residential Q Commercial ? Institutional ?
9. Work Description: New 13 Add ? Alter ? Repair ?
10. Describe '
11. No. Fixtures No. Fixtures
Water Closet Cesspool/Drainfield
_ Bath tubs Septic Tank
_ Lavatory Softner
Shower Wel l
Kitchen Sink .
Urinal/Bidet Other 1 < '
~ Laundry Tray ~i. r
Floor Drains r;-,
_ Drinking Ftn. ~7 / 5 ;
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinahces and codes governing this type of work.
Signed: for
Rough F inal
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
ci 1 Y OF EAGAN Remarks
Addition NORTHVIEW MEADOViiS Lot 29 eik Z Parcel owuawwmw
Owner Street "nn,.~„i.r~r era State EAGAN PMI 55123
247 TRENTON ROAD
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. $Ig 1$4 76.75 7.68 10
STREET RESTOR.
GRADING
S WER LAT 914 1981 15.89 .79 20
SAN SEW TRUNK 51 1981 138.48 6.92 20 110.80 11 11
SEWERLATERAL TRK 1984 27$.22 18.35 1$ it
SEWER T 511 1981 22.28 1.11 20 1
WATERMAIN 1984 70.67 4.71 15 65.96 A 014291 "
WATERLATERAL 1981 18.65 .93 20 13.69 A 014290 7/20/84
WATER AREA 1981 138.48 6.92 20 110-se if if
WATER LAT 5 1982 29.52 1.48 20 23.64 it it
STORMSEW TRK 50 1984 392.32 39.23 10 313.86 014291 "
STORM SEW LAT
DRAINAGE 1984 33.97 3.40 10
CURB & GUTTER
SIDEWALK
STREET LIGHT
ROAD UNIT . - -
WATER CONN. , 00
BUILDING PER. 8985
SAC 525.00 PARK
C1TY Oc EAGAN
3830 Pilot Knob Road WATER SERVICE PERMR
P. O: Box 21199 PERMIT NO.: 5 4 F~ 3 I
Eagan, MN 55121 DATE: 5-14-84
' 2oninfl: Rl No. of Units: 1
pw„er_ Kev Land Eomes
Addrcss:
e Add,m; 4247 L29 B2 Northview *leadowa
y~.; C Mechani 1
~AAeter No.: nection Charps• - 470. 00 Ad
Size: ~l r~ , .\-~C.unt Deposit: 15.00 ad
Reader No.- F~ (l d^ 0A~"Fee: 10.00 nd
I 1 pne 1e oy rilr IM CMr of Esym¦ Surcho.pe: .50 nd
prAiwaneM. ~ o y L 67 3 S 7 Mtsc. Gwrpes: 63 . 00 nd meter
~ Tomi:
Dats Poid:
Date of Insp.: Insp,;
CITY OF EAGAN SEWER SERVICE PERMIT
3830 Pilot Knob Road
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55V11 DATE:
ZO^i^g: No. of Unih:
Owner: Kev LBnd Homes
Address:
Sire Addrou: 4247 Tsenton oad L29 B hort v ew mea oWs
Plumber. eC 8ri Ca
4-19- 4 42681 •
1o0m to aosPy wNh Nw Clry ef Lya¦ Cannection Gwrpe: 425.00 pd
Orliuasem Acoxint pepow; 15.00 P
Parmk Fee: 10.00 T)
Surcharps: .50 Dd
BY Misc. Charpas:
Dote of Insp.: Total:
Insp.: Dote Pold:
ihis request void ~~~G[
18 months from ~ f
A 456474 0:4..
Request Dat Fire No. Rouph-in Inspertion
/~j Reqwr CReaAy Now .I Nolify InspeC-
~,S 6 ~s MNo lor Wh¢n R¢ady
ice sed EI trical Contractor I hereby requast inspection of above '
? Owner electrical work installed et:
Sireet Address, Box ar R te No. ~ Ciry .
/0
ection o. Tow s ip Name or No. Range No. Counly
Occupantl RINT1 Phmne No.
J
'_'e 4~ Power up er'Z~ Address
0
Electrica ntractor (Company Namel Contracto 's Licen~ jVO
N ~ CJ
E
Mai VnB/Address (Co aclor or Owner Makin9 Instailation
Authorized Signatu e IContr tor/Owner Makmg Inst ationl Phone Number
MINNESOTA STA BOARD OF ELECTRICITV THIS INSPECTION HEQUEST WILL NOT
Grie9s-Midway Bldg. - Room N•191 BE ACCEPTED BV THE STATE BOAHD
1821 UniversiTy Ave., St. Peul, MN 55100 UNLESS PROPEfl INSPECTION FEE IS
P6...,0 16121 797.7111 ENCLOSED. ' ~
REQU~ST.FOR'ELECTRICAL INSPECTION ~ Es-a~aoi-oa
S0e insifuctions tof compleMng lhis frrm on 6ack Of Yellow copy.
Neriv A "X" Below Work Covered by This Request qdd ReP. Type ot BuilAing Appimnces Wired Equipme,,t Wired
Home Range Teinporara Service
Duplex Water Heater Liyhtin,y Fixtures
Apt. Buiiding Dryer Electric Heatin
Commercial Bldg. Fumace Silo Unluader
Industrial 81dg. Air Conditioner 8ulk Milk Tank
Farm ocnet nec, y oiner (suocify)
1 er SVCaty Othcr Othcr
Compute Inspectron Fee Below
q Fee Service Entrance Size k Fee Feeders/Su6feeders Fr,¢ Circuits
0 to 200 Am s 0 to 30 Am s 0 tn 30 Am ps
Above 200 qmps, 31 to 100 Amps 31 to 100 Am s
Swimming Pool Above 100,_Amps Above 100_Amps
Transiormers Irrigation Booms Partial•'Other Fee
Signs Speciallnspection
Rertarks TOT EE
~0 ~
RouBh-in Dnte "
, the Elec rical
Inspector, nerohy
cerlily that the nbove
Final ~'}e AnsDecbon has been
made.
i
mis request voiA 18 months from
CITY OF EAGAN ~T
~ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 1r ~ 8985
PHONE: 454•8100 ~
~ --BUILDING PERMIT Receipt #
To ba uwd for SF DWG/GAR Est. Volue $50, 000 Dote A RTT. 19 , 19__$4
SiteAddress 4247 'T'RFNTnN RD Erect [3 Occupancy R3
Lot-2 9 elock 2 Sec/Sub. Nn VTFW MFAI) A1Yef 0 Zoning Rl
ParcelNo. 10-57100-290-02 Repatr ? Fire Zone N/A
Enlarge p Type of Const. V
aWC Name KFV T AND HOMFS Move ? # Srories
Z Address 347M W 173RD ST Demottsh ? Length 45
~ City JORDAN Phone 4 9 7- 6 6 4 6 Grode ? Depth 3 6 Sq. Ft-
~ CLA CONST CO INC Avvrovals Fees
Name
o
ou Address 6451 E. 19 0 TH ST Assessment Permit . 0 0
~,tY PRIOR LK phone 447-6128 Water & Sew. Surcharge 25. 00
G~ DENNIS HALLQUIST Police Plon check 5141.50
25.00
Ww Name Fire SAC
Address990 SO GATE PLAZA Eng. Water Conn. 470'.00
QW Citv BLMTN phone 831-1875 plonner WaterMeter 63.00
Council Road Unit 260.00
1 hereby acknowledge that I have read this application and stote thot gldg. Off.
the informotion is correct and agree to comply with oll applicable $1, 767. 50
$tate of Minnesoto $tatutes and City of Eagan Ordinances. APC Total
Signature of Permittee
A Building Permit is issued ro: LA CONST INC _ on the express condition thni.
oll work sholl be done in a ord wi- ~ al op lica 5tote of Minnesota Statutes ond City of Eagon Ordinances.
Building Official ~X«
CITY OF EAGAN Include 2 sets of plans; .
. 9
1 Certificate,of Survey &
BUILDING PERMIT APPLICATION 1 set of_ enercn7 cal.culations.
To Be Used For Valuation ~60Date ~}Ftti~ (9P y
Site Address: OFFICE USE ONLY
Lot Bloclc Z Sec./Sub. /Yl-Roo~-Brect Occupancy
Parcel / O~ Sn2/ ~-2 5 D- D a. ~-ter Zoning /
Repair Fire Zone p
owner: ^E ~Ial (¢0,-,~5 Enlarge 'Iype of Const. _
Move # Stories
Address: tj DPSnolish Front ft.
Grade Depth ,36 ft.
City/Zip Code: .30'qj0~.; W c:5~3-57-
Phone # : J~q`Z - APPR.OVALS FEES
2133 co
Contractor: ~ (to,-r6 Assessments Perntit
Address: ~j S1~' Water/Sewer Surcharge v5'
Police Plan Check
City/Zip Code: 401-zteYC ~ft/Ct' /04J Fire SAC 6`o?6-
~1c~ Eng. Water Conn. y'] p ~
Phone 7! ~~~Lfj planner Water Meter 421
Arch./Eng.: ~6A,~-4( s CounCil Road Unit 46
Bldg. Off. "
Address: 9~ .45,0 ug &t.e a--4~ APC I
City/Zip Code:
L Phone # :
~rt '
• ' • ~
~ ~ W ~
~ GI
~ ~ ~
~
l ~ I 2/84
_ CITY OF EAGAN
f y/ APPLICATION FOR PERMIT
' SEWER AND/OR WATER CONNECTIODT
(PLEASE PRINT)
i) PROPEFrPY ADDRESS : ~I~ y~ 7f ew i oA.~ R D
r.FraL DESCuprzov: 4or 9LA' Z
(Lot/Block/Subclivision or Tax Parcel I.D. NLUNer)
IF EXIST=`:G STP.L'C'TURE, DaTE O° ORIGIi1AL, riiILDDIIG PER~!IT T_SS'Ja1~CE: S"
(i :o-_°
PP.:JL:7 ~^`ITir/PROPQS~ USL: R--i SRiGLE rP-MJ.LY .
? R-2 DUPL=, ('ITtiO UNITS)
? R-3 n'IN1IHOUSE (THREE + IJNITS)( UNITS)
? R-4 APAR'IMENT/CONDCmIPIILM ( WITSi
? COMMERCIAL/REI'AII,/OFFICE
p IMUSTRIAL
? INSTITUTIONAL/GOUERD.MIINT
2) AppLICAN•P (PLEASE PRINT)
NA`E: Le-Y L .4,uD /°1am e
ADDREss: 3y7/- w 17. Rb s7-
CITY, STATE, ZIP: ~phDA/J /niNw
PxoiNE: y9a - 6 ~ s/A
3} PLU)IBER PLEASE PRINT) fOR CITY USE ONLY
•_DC /YJEch ra,v+ GALL PLU RS LICENSE:
ADDRESS: /Jc~9~ SU,t~R~ S e ./j 4-" Active
CITY, STATE, zzP: E= Expired
PHONE: ~ S Q Not of Record
~5~7-5 { o l PLUMBER LICENSE
a nitia
4) OCC[JpANT1a,'TNER (PLEASE PflINT)
NAME: og m eAS AoAPX i'r ,PgA..o
ADDRESS:
CITY, STATE, ZIP: ~
PHONE:
5) INDIGATG WHICH PERMIT IS BEINC REQUESTID:
~ CONNECPION TO CITY SETrlER
~ CONI,IECTIGN 'Ib CITY 6%TATER
? C7PfIEFt (PL£ASE DESCFtIBE)
6) IiJDIGA'IE 0.E:
? PLEaSE HOLD APPRCJVID PERh1IT FOR PICFC-UP BY ONE OF ABWE
~ PLEASE h'IF1IL APPROVED PERi•LIT TO 1, 2, (n 4ABOVE
(Circle one)
7) SIGa'IL'RE: DaTE:
~
.
R:~l~ilA ~ ! E ~s:~! ! ~ r!s t:ss;ai# i{ t~l E s~i~~ ~ a~ ~It ~tl~_~ffJ~ir ! f~ !;L ~ ~~s'~ae e~
F O R C I T Y U S E O N L Y PERI,IIT ISSUED
7~
FEES: $ SE.n. PvA\iTT (T~JCi'JD.=. JURCF!AaG-L)
WATER PEFtA4IT (INCLUDE SURCHARGE)
$ WATER METEF,/COPPERHORN/OUTSIDE READER
$ WATER TAP (ZNCLGDE CORPORATION STOP)
$ Sv-WER `rAP
ACCOUNT DEPOSIT - SEIdER
ACCOUNT DEPOSIT - WATER
WAC
$ G-~ SAC
$ TRUNK WATER ASSESSi4ENT
$ TRUNK SEti4ER ASSESSMEVT
$ LATEP,AL BEriEFIT/TRUNK SEidER
$ LATERAL BENEFIT/TRUNK [9ATER
$ ' OTHER
$ TOTAL
$ ~`-/5`• AatiiOUNT PAID/RECEIPT
DOES UTILITY CON\'ECTION REQUIRE EXCAVATION IN PUBLIC RIGi-IT OF WAY?
~ YES IF YES, THEN A"PERMIT FOR WORK WITHIN
/ PUBLIC ROADWAY" MUST BE ISSUED BY THE
C~ NO ENGINEERING DIVISION. LIST AS A CONDI-
TIO1Q.
SUIIJECT TO TIiE FOLLOWING CONDITIONS:
APPROVED BY:
TZTLE:~--/'~
DATE :
wHO wJM wWw s:pa W" w.a oW~ WjV:sg spg w.-W M%Mpe s~pW ML
SURVEYOR'S' CERTIFICATE KEYLAMD HOMES • '
, -
. MODEL 3239 •
4247 TRENTON
. ^
C\ ~ I / Il r_ -7 I 1 I I
30
i
N 89052'11 "W 120.74 I ~
~ J
36.00 31.67
/ h ' . h (967.3~
10.00~ ' 2.~---~ ~ ~10.00
/0
3.OD o 1 O Q
VNHO/,S, OPOSEN1.67 (b
~ /O.O
~ .
.~"~-PROaoSEO,v,';:~ - Z
LLl
~ ~ I N N~ ~ORlVEWA_Y-':,. ~ Ot I
~ I ~ / bt:.°'~lr.•=-s7w,~-.:i: n''
r\ O I 2.00 _ y ~x~^ ^
` J ~ 5 0 4 0~ p~ ~Y~ /O Z W
o
, I
(97/.5~? I ~ O ~969-yI I
i 30
~ 36.00 31.67 ~
N89052'11"W 120.74 ~
o '
YORKTOWN PLACE
-.4-- DENOTES PROPOSED SURFACE DRAINAGE
O DENOTES IRON MONUMENT SET -SCALE: 1 INCH = 30 FEET
• DEPJOTES IRON MONUPIENT FOUND PROPOSED GARAGE FLOOR = 9 70•FEET
X000.0 DEPIOTES EXISTING ELEVATION PROPOSED LOtJEST FLOOR = 9~/ 7 9 FEET
(000.0) DEtJOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK = y71 •0- FEET
I NEREBY CERTIFY TO KEYLAND HONES THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Lot 29, Block,2, NORTHVIEW MEAD04!S, according to the recorded plat thereof,
Dakota County, Minnesota.
AND OF TNE LOCATION OF A PROPOSED BUILDING. IT DOES NOT PURPORT TO SHOW IMPROVEMENTS
OR ENCROACHMENTS, IF ANY, THEREON. AS SURVEYED BY ME, OR UNDER MY DIRECT SUPERUISION,
THIS 30-tA DAY OF fJWQra , 1984.
SIGNED: JAMES R. HILL. INC. PROPOSED ELEVATIONS WERE TAKEN FROM
THE DEVELOPMENT PLAN FOR NORTHVIEYI '
MEADOWS BY SUBURBAN ENGINEERING, INC. ~
IAST DATED 9-29-83. gy-
• HAROLD C. PETERSON, LAND SURVEYOR MINNESOTA LICENSE N0. 12294 PROJECT NO. eooK i pacE . JAMES R. HILL, INC.
. 8 4 6 0 7 Planners / Engineers / Surveyors
FILE NO. 8200 Humboldt Avenu• Scouth
FOLDER Bbotninplon„Mn. 55491 412-ee4-3020
, . _ . . .
Cities Di ig ta1 Quality Control
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cifir USE ONLY Q
L~ BL O~ RECEIPT ldov Dp/
SUBD. ~ c~ClsGU~.. RECEIP7 DATE: Y d
1998 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MAi 55122
(612) 681-4675
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
Shower 3.00 x =
Water Cioset 3.00 x =
Bath Tub 3.00 x =
Lavatory 3.00 x =
Kitchen Sink 3.00 x =
Laundry Tray 3.00 x =
o ub/Spa 3.00 x =
Water Hea e 3.00 x
Floor rain 3.00 x =
Gas Piping Outlet ~ minimum - 1 3.00 x
Rough Openings 1.50 x =
Water Softener ' for dwellings under construction 5.00 X =
Water Softener ' for existing dwelling 20.00 x =
U.G. Sprinkler * for dwelling under const. 3.00 =
U.G. Sprinklef " for existing dwelling 20.00 =
AlteratiOnS ' to existing residence 20.00 =
Water Turn Around 20.00 =
Private Disposal System " MPC rc. 75.00 =
(new and refurbished systems)
Private Disposal Systems' Abandonment 20.00 =
RPZ (new installation only) 20.00 =
STATE SURCHARGE 50
TOTAL } G
I hereby acknowledge that I have read this application, state that the information is corred, and agree to comply with all applicable City of Eagan ordinances.
It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its
normal operational and maintenance activities to the facilities constructed under this permit within City propertylright-oi-way/easement.
SITE ADDRESS: 5~~~~ /~C^~ rG~? O) 4
OWNER NAME:
~
INSTALLER NAME: p,>/Q Z4~;;Z~e TELEPHONE 4J'JJ~
STREET ADDRESS: oI'~OG ~m~~1 B2 o~vi rr ~/D
CITY: <//,1WC~erh/ STATE: ZIP:
SI RMITTEE
CDIPERMIT FORMS/RPLBG PERMIT (RES) - 1998
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
G 3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675 1r ~ ' -7 S
~ ~
New ConaVuctlon ReauiremeMe RemodeVRepalr Reauirements
• 3 registered sile surveys showing sq. ft. of lot, sq. ft. of house; and Lll roofed areas • 2 copies of plan
(20% maximum lot coverage allowed) • 1 set of Energy Calculations for heated addhions
• 2 copies o1 plan showing beam 8 window s¢es; poured lound design, etc.) • 1 sAe sunrey for exterar addRions 8 decks
• 1 set of Energy Calcutations • IrMicate'rf home served by septic system for add'Abns
• 3 copies of Tree Preservation Plan N bt platted atter 7/1193
. Rim Joist Detail Options seleclion sheet (bldgs with 3 or less units)
DATE s~b `D Z VALUATION S, uEv-
SITE ADDRESS 42'17 % IzF.1rtor1 I'_j MULTI-FAMILY BLDG Y ~'//N
TYPE OF WORK SI'D1~(r FIREPLACE(S) 1_ 2
APPLICANT RS- 0 A r C,O0 s ( rOC~ I -b ? I N& ~
STREET ADDRESS IZ') 4~;_ lb 1V)wv OIJ.D M'fH- CITY ATr STATE MP) ZIP SSf.Z
TELEPHONE # 492- `423 - !21.1 CELL PHONE # FAX #
PROPERTY OWNER 21EizcY ~ ~~6-I ?a (2~4 Vh e-- TELEPHONE # ~ S~- ~1 ~ -`3J b7
COMPLETE THIS SECTION FOR %•NEW, RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MIN FA EB'719~2~
(~l submis sion type) • Residential Ventilation Category 1 Worksheet Submitted N V~{prk~ie~t S tted
ll LUU
• Energy Envelope Calculations Submitted
!
Plumbing Contractor: Phone # Plumbing system includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00
_ Water Heater _ No. of R.I. Baths
_ No. of Baths
Mechanical Conhactor. Phone #
Mechanical system indudes: _ Air Conditioning Fee: $70.00
_ Heat Recovery System
Sewer/Water Contractor: Phone #
I hereby acknowledge that I have read this appiication, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Or inances.
SignatureolApplicant l/, '
\
OFFICE USE ONL
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
OFFICE USE ONLY
O 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex O 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex O 17 Garage ? 22 Porch/Addn. (4sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaUC.O.
_ Footings (deck) _ FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
Insulation _ Retaining Wall
Approved By , Building Inspector
- - - - - - -
Base Fee
Surcharge
Plan Review
MClES SAC
City SAC
Water Suppy & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
RESIDENTIAL
S I~ ~ 1 BUILDING PERMIT APPLICATION
CITY OF EACAN
3830 PILOT KNOB RD, EACAN MN 55122
651-681-4675
New Construction Requirertrents RemodellReoair Requiremenb
. 3 registered site surveys showing sq. ft. o( lot, sq. fl. of house; and all roofed areas • 2 copies of plan
(20% maximum lot coverage allowed) . 1 set of Energy Calculations for heated additions
. 2 copies of plan showing beam & window sizes; poured found design, etc.) • 1 site survey for exlerior adddions 8 decks
• 1 set of Energy Calculations • Indicate if home served by septic system for additions
• 3 copies of Tree Preservalion Plan if lot platted after 711193
. Rim Joist Detail Options selection sheet (bldgs with 3 or less umts)
DATE VALUATION
SITE ADDRESS ' v`l~ MULTI-FAMILY BLDG _ Y _ N
TYPE OF WORK ~UO~=- FIREPLACE(S) _ 0_ 1_ 2
APPLICANT E~~D,S ~~Illl ~y--
r-,
STREET ADDRESS I Z3C6 CR&t&W A'u C~ CITY 90Rd/5'd1l-l.E STATE~ill'-j ZIP 5s33
TELEPHONE #~IZ' 939-25-33 CELL PHONE # FAx #~Sz- _7360 -9fc9
PROPERTYOWNERDL-REK TELEPHONE#(45l`I~9~'_ !l~
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNI:SO'l'A RULES 7670 CATI:GORY t MINNGSO'1'n RULL?S 7672
(v submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor: _ Phone #
Plumbinn system includcs: Water Soliener _ I.arvn Sprinkler rcc $90.00
Watcr Heatcr No. ol'R.I. Baths
No. oF Iiaths
Mechanical Contractor: Phone #
Mcch.uiical systeiYi includes: Air Conditioning Fee: $70.00
f Ica~ Rccovcry Systcai
Sewer/Water Contractor. Phone # D T ~ ~ 0 T M
JUN 1
I hereby acknowledge that I have read this application, state that the information is c rrect, and agree to co ly
with all applicable State of Minnesota Statutes and City of Eagan Or es -
Signature of Applicant
orricc usr, oNt.Y
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ I Updated 4/02
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
0 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF
O 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex 0 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIQNS
_ Footings (new bldg) _ FinaUC.O.
_ Footings (deck) _ Final/No C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ AidGas Tests _ Final
Framine _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By , Building Inspector
- - - - - - - -
Base Fee
Surcharge
Plan Review
MGES SAC
Ciry SAC
Water Supply 8 Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Tota I
I
2006 RESIDENTIAL MECHANICAL PERMiT Arri,icATioN
City Of Eagao
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Plcase complete for. single family dwellings & towmhomes/condos when permits are required for cach unit
Date . .0-
Site Address '7 y 7 /C.(( Unit #
Property Owner Telephone # (bS f ) 69n~ qlq Q
Contrarror
Stre O'CONTNIOR'S OATE HOUR City
1904 VERMILLION ST
Stat HASTINGS, MN 55033 ZiP Telephone #(~S'~ ) t{ -3 7" qf]7
Bon. Expires:
The Applicant is Owner Contractor _ Other
Add-on or alteration to existing dwelling unit $ 30.00
? furnace _Additional Z/Replacement _ New
_ air exchanger
~ air conditioner
heat pump
other
State 5urcharge $ •
Total $ ~ •
I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that Ihe 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 onty 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
Applic nt's Printed Name AppL ant's 'gnature
Date:
City of Eapll
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
REC .1`1ED
131015
r
Use BLUE or BLACK Ink
For Office Use �j �j
Permit #: 1 (CJ r g /
Permit Fee: / 7c (,
Date Received:
Staff: 1,4
2016 RESIDENTIAL BUILDING PERMIT APPLICATION
'-� 3"- l6 Site Address:
a '7 -Trekt-tt v Rd,
Unit #:
6/4
esl en
Owner
Name: (Cy/e_ Rip /e--,40Y—C A Phone:
Address / City / Zip: 47�/�/
7 .ei4 /DtA gal/ E01441
Applicant is: Owner )( Contractor
fiYpe o#:
Description of work: /O K (0QS 5-1`I
�� — Sa S i z `�
Construction Cost: "re 00-0 Multi -Family Building: (Yes / No /C )
�¥ y
.:s g liilri r .,
& n €
Company: -5-44 5. Co,"15.A-�iio�. L. LC.. Contact: S'� �}--
p y:
Address: /l' 3 (/ a, /A S I 't A City: �� rsv��.ril
�S-° � (C,S-/— 7s's—f0Yf sir s c3".s 00" g It 01 -1A -^`N. i
State: /1/.4/Zip: g Phone: Email: h'I . e
License #: g W 3 G6,63 Lead Certificate #:
If the project is)exempt from lead certification, please explain why: I r1 Q� �j
/V 04_5,4„,,h„.,,,, /�vV {7G1, ,r y`�li s.,, e.� _ V kl- GT T'c.s � / L> D
In the last 12 months,
Yes No
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
has the City of Eagan issued a permit for a similar plan based on a master plan?
If yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Fire Suppression Contractor:
Phone:
Phone:
Phone:
Phone:
icum a at yo su nrt a o b publrc in
th formatr gi: r ped as n ou provizt�� � Drat°
coKK,Y«::.ode th i e.trade'secrets.
my
e r r' }oto
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
Applicant's Printed Name
Ap • licant's Signature
Page 1 of 3
DO NOT WRITE BELOW THIS LINE
6
SUB TYPES
Foundation
Single Family
Multi
01 of _ Plex
WORK TYPES
New
Addition
Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25% 100% )
Census Code
# of Units
# of Buildings
Type of Construction
Fireplace
Garage
Deck
Lower Level
Porch (3 -Season)
Porch (4 -Season)
Porch (Screen/Gazebo/Pergola)
Pool
Interior Improvement
Move Building
Fire Repair
Repair
REQUIRED INSPECTIONS
Footings (New Building)
X(" Footings (Deck)
Footings (Addition)
Foundation
Roof: _Ice & Water _
Framing 30 Minutes
Fireplace: _Rough In
Insulation
Sheathing
Sheetrock
Fire Walls
Braced Walls
Shower Pan
Reviewed By: , Building Inspector
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Final
1 Hour
Air Test Final
Siding
Reroof
Windows
Egress Window
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Accessory Building
Demolish Building*
Demolish Interior
Demolish Foundation
Water Damage
*Demolition of entire building - give PCA handout to applicant
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Suppression Required
Meter Size:
Final / C.O. Required
Final / No C.O. Required
HVAC _ Gas Service Test Gas Line Air Test
Pool: Footings Air/Gas Tests _Final
Drain Tile
Siding: _Stucco Lath _Stone Lath Brick
Windows
Retaining Wall: Footings _ Backfill _ Final
Radon Control
Fire Suppression: Rough In _Final
Erosion Control
Other:
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
SUR'V
EYOR'S CERTIFICATE KEYLAND HOMES /Lie61 VOA.�
�( MODEL 3239
4247 TRENTON ARO
(X)
I•
\J
0
co
5
N 89°52' 1 "W
0
m
5
0
120.74
36.00 --vir-- 3(.67 -.4%
ro.o Nl 2.0.....,__,>0/110.06--1' yA,
01 POSED
K HOUSE//; b.67
0
N89°52'11 "W
�I ro
I 0 (94,.gl •
36.00 -- '31.67 �T
120.74
0
If}
c0
YORKTOWN PLACE
30
0
W
30
—IF-- DENOTES PROPOSED SURFACE DRAINAGE
O DENOTES IRON MONUMENT SET
• DENOTES IRON MONUMENT FOUND
X000.0 DENOTES EXISTING ELEVATION
(000.0) DENOTES PROPOSED ELEVATION
-SCALE: 1 INCH = 30 FEET
PROPOSED GARAGE FLOOR = 9 70.1 FEET
PROPOSED LOWEST FLOOR = 9479 FEET
PROPOSED TOP OF BLOCK = ? 7/.2- FEET
I HEREBY CERTIFY TO KEYLAND HOMES THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Lot 29, Block.2, NORTHVIE:J 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, THEREON. AS SURVEYED BY ME, OR UNDER MY DIRECT SUPERVISION,
THISSC*4 DAY OF MA a , 1984.
PROPOSED ELEVATIONS WERE TAKEN FROM
THE DEVELOPMENT PLAN FOR NORTHVIEW
MEADOWS BY'SUBURBAN ENGINEERING, INC.
LAST DATED 9-29-83..
SIGNED: JAMES R. HILL, INC.
BY:
HAROLD C. PETERSON, LAND SURVEYOR
MINNESOTA LICENSE'NO. 12294
PROJECT NO.
.84607
FILE NO.
FOLDER
BOOK / PAGE
JAMES R. HILL, INC.
Planners / Engineers / Surveyors
8200 Humboldt Avonu• South
Bloomington, Mn. 65491 812-884-3029