1510 Wellington Way
i .
v OF EA(iAN WA1'8t SERVICE PERMIT
"ilot Knob Road 7 7 3 a
O. Box 21159 PERMIT NO.:
: EaWn. MN 55121 D,,~: ?-3~~-£? b
No. of Units: 1
, Za,lrg. ~o e san . rs.
Owrrr:
/lddrrm
Sft 1 510 k7ellin ton Wa y L10 n" ttanv st?~
plu„ber ('Pnz--Rvan M
M~tor No• ~ 70 ~9/ QOpd
, sI~: %~Roc,t< Before ~ 1gbCeR'-
oo d
Aejr~
K.o&r ro.• 4,9 4/ u b -2 7 jF~f{
i.o.. ro.m F,.o 00 c,nr.f ~Y W-50Pd
lm~rlaz Z 5 6. Q0Pd T"
n Total; r,3.50d meter
' gy Doh Peid: ~
~ of Irqp.: Irnp.:
8~ 8- Y G
~
CITY OF EAGAN sown SQtv(z PLRMIT 3830 Pilot Knob Rosd
P. O. Box 21199 PERMIT NO.: ,
Eagan, MN 55121 p,^TE;
Zwd^0: No. of Unlts: 1
Ownwr,
Addnm: ~
5in Address; 1510 Ne?1'r=; on Way I,10 o--;tt.-ny 9tti 1
Plu+ter. _ "~n•r..-~va~: .
r'i35li 1•~~; ~ '
. i
I Mm h«mmiIp wM61V My oi MWN Corowetlon Chorpe: 7 5 n,OWNMoo"L AoooLr,t pepodt; 7 5~' 0 od
PlMnit FM: i n nnoA
$Vrdp/go; Sfl. -1
BY MlSe. Oarom
DoM of ImR: Torol:
l^ow: Oeb Pidd:
i _ - - - - - - :.a
v~I L cinr oF EaGaN Cv~ ° 11763 '
-8~'~ 19~P Blot Knob Road, P.O..Box 21-198, Eagan, MN 55121
r~3'8~$~ PHONE 454-8100 . ,
8U1 D1WPERMIT Receipt # ~
To be uaed for SF Di,.G/GAR Est value S j 0 b,oU U oate APR IL 9 , y g---0_6
Site Address 1510 WELLIPIGTUN WAY , Erect [5 Occupancy R3
Lot1d &ock 2 secisub. BRITTANY 9TH Remodel ? Zoning R 1
Parcel No. Repair ? Type oi Const tf
Addition ? No. Storiea
¢ TOLLEFSUN BLDRS INC Move ? Length 44
W Name Demolish ? DeP~ 4 4
o Address 12617 FAIRGREEN AVE Int Impr. ? Sq. FL
City A.V. Phone 431-1104 Insten ?
~ . SAME APprowb F"a
= o Name
~Q~ Address Assessment Permit $ 453.00
~ City Phone Water & Sew. Surcharge 54 . 00
Police Plan Review 225 . SO
F~ Name Fire SAC 575.00
~ a W Address Eng. Water Conn. 500 . OQ
I Ciry Phone Planner Water Meter63 50
Council Road Unit 290.00 I
I hereby acknowledge ihat I have read this application and state thatthe gld . Off. 4/ 9/8 6 Tr. pi. 15 6. 00 1
information is correct and agree to comply with all applicable State of 9
Minnesota Statutes and City oi Eagan Ordinances. APC Psrks
Var. Date Copie ~
5ignature oi Permittee 2~ 1. 00 I
TOLLEFSO."J BLD tSI I:vC Total
A Building Permit is issued to: on the express condiUon that ~
all work shall be done in accordance with all applicable St$te of Minnesota Statutes and City of Eagan Ordinances.
Building Official -f ' -
~
' PMmlt Ma Pwmll Noldu Dsle Tiiephoir N
Ph-,binY ~?S -17
N.U.A.C. Q _
electft cc CL ~
lnswFAM D&M Mw. Comn~Ms
Foowp. i SU-
Footlnys x
F°un"wo^ /,B 4e~B
F?o ok+o
ROOMO
a°"gh Prop. ,Q
Rough HW
l^.at
Fireplac•
sr/
'I Fr,.i Mq.
' FkW Pbg.
Nag. FkW
~ c.n. ooc. ~
4YA
Dqck Fq.
Dock fnnp.
lAldl
lPr. DNp.
. PERMIT N
PLUMBING PERMIT RECEIPT # 6c~)33 I
CITY OF EAGAN
i 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE
CONTRACT PRICE PHONE 454-8100
Site Address/,52 1BLD6.TYPE WORK DESCRIPTION
1+.
Lot Block Sec/Su• 4./ ,
Res. ~ New x'
m Name Mult Add-on
~ AddresS r'/ ~ y~ ''O ~ ~ e • Comm. Repair
c Ciry '1`UL0> j20",T ,t'jPhone ` Z ' - r Other ~
FIXTURES rOTAL
Name . , ~ ~ d :;:2-Water Closet - $3•00
3 Address Bath Tubs - $3.00 _ p City~ Phone'~f / ' / / U Lavatory - $3.00
Shower - $3.00
Kitchen Sink - $3.00 J
FEE3 Urinal/Bidet - $3.00
COMM/IND FEE - 1%OF CONTRACT FEE :.Laundry Tray - $3.00
.50
MINIMtJM - RESIDENTIAL FEE -$10•00 T/ _FloorWater Drains Heater - - $1 $1.50
MINIMUM - COMM/1ND FEE ~ STATE SURCHARGE PER PERMIT - ~yyhirlpool - $3.00
(ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outiets -$1.50 ~
BEYOND $1,000•00) Sottener - $5.00
Well - $10.00
Private Disp. - $10.00
-3-Rough Openings - $1.50
, SIGNATURE OF PERMIT.fEE FEE
STATE 3/C: ~ U
FOR CITY OF EAGAN - GRAND TOTAL: 'k' 7 G
~
, PERMIT 1k ~)1 CITY OF EAGAN FEE
MECHANICAL PERMIT
RECEIPT # ~ 454-8100 ~ S/C
~ MINIMUM RESIDENTIAL FEE - =10.00 + $.SO '22
DATE MINIMUM COMMERCIAL FEE - $20100"+:•50 TOTAL ~
1. Bldg. TypB' .Rps - _ "~COlnrrf inst- • _ 2 New " ~kdd"_ . Atter RBpeir' - ' - _ -
3. Total Bid Price 4. Job Address
Lot Block ~ Sec.~~ U 5. t')Ywndar
"
6. Contractor • ~~~'f `J+~'
(Name) (SVeeq (Ciry) (Zip)
7. Contractor Phone #
RESIDENTIAL HEATING - 01-100,000 BTU's -$24.00. Each additional 50,000 BTU's or traction -$6.00
RESIDENTIAL COOLING - 01 -24,000 BTU's -$12.00. Each additlonal 6,000 BTU's or fraction -$6.00
MODI~FCATIONS/ALTERATIONS -$tO.OQ minimum fee
HEATING VENTILATIN HOT WATER STEAM AIR COND.
-AIR PIPING P ffSSED PIPING ' AIR HAND. EQUIP. RtFRIG.
RES. (3A5 PIPING OUTLETS - a1. TAN : LP. UNDERGROUND OTHER
~r~
COMM./IND. F~A f=~1~1(e O ~f0 BID PRIC LUS s•SO STATE SURCHARGE Fc1 EACH $1,000 OF FEE.
Signed: tor
Approved Inspections: Date Rough Insp. Date Finai Insp.
cirr oF EaGAN , ~3630 Piiot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHON E: 454•8100
BUILDING PERMIT ReCeipt*
To be used for Est Value t' uU( Date ~LUCAl," i1 7 ,19
Site Address t 51, =~~:i.L wdt' OFFICE USE ONLY
gc ? TTAivY i'!'3! OnSBaSeweye OccuPe?rcY
Lot BIoCk Sec/Sub. MWCC System Zoning
ParCel NO. On Site Well (Actuat) Conat
a Name 1'`'.1.3Utr CityWater (Atlowable)
W PRV Repuired 7t of Stories z Address '
~ City Phone 8-- 5e) f' Booater Pump Length I
Depth
°G o Name A,''kL S.F.7otal
.
o~ Address 1 y 3 5' Footprint S.F.
i
U ~ City Phone b' - 04 k) APPROVALS FEES
v W Engr./Assess. Permit Name
_ g Address Planner Surcharge
~ Z Clty Phone Council Plan Review
K W Bldg. Off. SAC, City
I hereby aCknowledge that I have read this applicatiqn and state that the Variance SAC, MWCC i
information is co?rect and agree to comply with all applicable State of Water Conn. '
RAinnesota StatuYes and City ot Eegan Ordinances.
, Water Meter I
Signature ot Permittee - Road Unit 1
A Building Permit is issued to: Treatment P1 '
on the express condition that all wark shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances. !
Building Official TOTAL
1
Psrmit No. Permit Holder pate Telephone ~
Plumbing
H.V.AC.
Electrfc ~
SoRener I
InspeeNon Date lnsp. Comments
Footings I -2 _9 ~
Footings II
Foundation
Framing
Roofing
Rough Plbg. '
Rough Htg.
Isul.
Fireplace
Final Htg.
Final Plbg. i
Bldg. Final
Cert Oca
Temp. LP
Deck Ftg.
Deck Final
We! I
Pr. Disp.
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 4 ~ r' Tti
PHONE: 681-4675 i~ 2C`
BUILDING PERMM,IT ~ a Receipt #
To be used tor ADDITIOH Est. Value ;27•000 Date JAN 8
Site Address 1 S!0 WELa.IliG110N iJAY
LOt 10 BIOCk 2 S@C/SUb. WITrAN~ 4TH R F3 E USE ONLY FEES
Parcel No. Occ"pa"cy - Z~~~~
ft. ~
Name JAMRS EDEI.SON (act,al) consc - Surcharge 13.50
~ qddress 1510 WtLLINCM MAY lalowablel - plan qevie„ 172.00
~(Qfty E/1GAI1 MN Zp 55122 M ot SlOries Le~n 5.00
phone 6E8-8566 oepn, snc, city
~e EIAST LANDlt~lRlc sLDRS S.F. ro~i - ~c, Mcwcc
~ S.F. Footprints
0 qddrm 611 SLIELLZIiG AI/E S On Sde Sewage _ water Conn
~ ST' PA~1L !41 ZjP SSl lb pn Site Well - water Meter
694-3135 Mwcc sygte++
8~# 0001947 ciry wacar _ ac~. oePos~~
PRV Required _ SNV Permit
I hereby acknowlege that I have read this application and state that the Booster PumP - S/Yy Surcharge
iMormaGon is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinancps. Treatment PI
Signature of Pertnitee ( 'r` APVROVALS Roa,d Unit
A Building Pertnit is issued to: IrIRST I'ANDNARK LD1tS ~anner - Park Ded.
on the express condition that all work shall be done in accordance with all Co+ncil -
epplicable State of Minnesota Statutes and City of Eagan Ordinances. gldg, pry, _ CoP1eS
Building ONicial Variance - TOTAI 4ss
PamM No. Wnnit Holdw 04" Tebphons !
SJ1Al
PLUMBING 7
FIVAiC
ELECTAIC
aFC~?Ic
hnpsctia+ 04" Insp. canwnwtts ~
FoonVs I %s
Foundation
Frartning ~ - •li Z v ? P
Roofing
_
Rough Pbg" 2-7_72
Rough Htg.
IsuL ~
2z1Z ~
Fireplace I
Final Htg.
Orsat Tesl i
Fnal Plbp. ' plb9- Inspapo? - NotidY Plumber ~
Conat. Meter i
EnprJPlan !L ~
81d9. Final C1S /N/ I
Oedc Ftg.
Dedc Fmal
Wetl I
Pt. Disp.
Ni b ;3 e .{vL: n - . . , . yr~, . . u*"y:~ y,i~• •r*+
I V
PERMIT #
PLUMBING PERMR RECEIPT Ik "
CITY OF EAGAN ~
3630 PILOT KNOB ROAD, EAGAN. MN 55121 DATE ~ L--~-
CONTRACT PRICE PHONE 4544100
Site Address 15 ) , BLDG. TYPE WORK DESCRIPTION
Lot Block Sec/Sub
Rea New OK_
m Name Mult Add-on
Addresa 702 Excelslnr Ave. E. Comm. Repair
~ C;ty MoR~lns, E~Ip~yonb "-"`~w pther
, NO. FIXTURES TOTAL
~ Name Water Closet - $3.00 i~
c Addr88s ' t Bath Tubs - $3.00
p City Phone ~ Lavatory - $3.00
Shower - $3.00
FEES Kitchen Sfnk - $3.00
COMM/IND FEE - 196 OF CONTRACT FEE Urinal/Bidet - $3.00
MINIMiJM - RESIDENTIAL FEE _ a10,pp Laundry Tray -$3.00
MINIMUM - COMM/IND FEE - 20•00 Floor Drains - $1.50
Water He~ter - $1.50
STATE SURCHARGE PER PERMIT - .50 Whi~~~
(ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlerts -$1.50
BEYOND $1.000.00) ,9_Softener - $5.00
Well - $10.00
, i Private Disp. - $10.00
Z Rough Openings - $1.50
SIGNAV RE Of PERMITTEE FEE
STATE S/C:
FOR CITY OF EAGAN GiRAND TOTAL:
. CITY OF EAGAN (va 1 4 61 1
3830 Pilot Knob Road, P.O. Box 21-199; Eagan, MN 55121
PHON E: 454-8100
BUILDING PERMIT Receiptn 1307
To be used tor DECK Est Value $1, 000 pa1e FEBRUARY 17 9 88
Site Address 1510 WELLINGTON WAY OFFICE USE ONLY
Lot 10 Block 2 Sec/Sub. BRITTANY 9TH OnSiteSewage _ Occupancy
MWCCSystem _ Zoning
Parcel No.
On Site Well _ (Actual) Const
a Name JAMES EDELSON Ciry Water _ (Allowable)
z Address SAME PRV Required _ n of Stories
0 City PhOne 688-8566 Booster Pump _ Length
Depth
a0 Name AMRF. S.F.rotal
oa Address 1935 C.TY RD B2 FootprintS.F.
u: City ROSEVILLE phone 631-0450
APPROVAIS FEES
Ww Name Engr/Assess. Permit $24.00
w
t
32 Address Planner SurCharge • 0
i
a w City Phone Council Plan Review
Bldg Off. SAG City
I hereby acknowledge that I have read lhis applicacion and state that the Vanance SAC, MWCC
inbrmation is correct and agree to comply with all applicable State of Water Conn.
Minnesota Stalutes and City of Eagan Ortl/inances. Water Meter
Signature ot Permittee~ '-C Road Unit
A Building Permit is issued to. '"'"RE Treatment P1
ontheexpressconditionihatallworkshallbedoneinaccortlancewithall pg~ (copy) 1.00
apphca6le State of Minnesoj{~g~JS tatutes and City, f Eayan Ordinances. $25.50
BuildingOfticial ~(?=l~~h~ TOTAL
, CITY OF EAGAN
' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 yo20O 2 0
'BUILDING PERMIT PHONE:687-4675
Receipt s
RFSIDFNI7A[. RIIMDDE[. &
Tobeusetlfor D ION Est.Value ~27.000 Date .iAni R 1992
Site Address 1510 WELLINGTON WAY
Lot 10 Block 2 Sec/Sub. $RITTANY 9TH oFFICE uSE ONLY
R-3 FEES
P8fC81 NO. Occupancy
Zoning Bldg Pertntt 965_(1Q
N2fT1B JAMES EDELSON (ACNaI)Consl _ Surcharge 13.50
w AddfeSS 1510 WELLINGTON WAY (Allowable) - Plan Reviey 172.00
~ x of Stones
QOIly F.A(:AN MN Z'Ip 55199 Lengih 1,22 Ucense 5.00
Phone 688-8566 oavth 12 ~ snc, ciiy
¢ Name FIRST i.ANDMARK Ri DRS S.F. Total , - SnC, rnCwCC
S F. Footpnnls
v Address 611 SNELLINC AVE S OnSlteSewage _ WarerConn
~ C,I(y ST PAUL MN ZP 55116 On Sne Wall = Waier Metar
Phone 699-3135 (DICK WHITLEY) MWCCSyslem
~ City Water _ Acet. DeOOSit
License N 9001992
PRV Reqmretl _ S/W Permit
I hereby acknowlege Ihat I have read Ihis application and state that ihe Booster Pump - Snv Surcharge
informalion is correct and agree to comply with all applicable State of
Minnesota Statmes and City ol Eaga Ordin ces. Treaimem PI
Signafure of Permit0e APPPOVALS Road Unil
A Building Permit is issued to: FIRST LANDMARIS LDRS Pla^^ar - Park Dad.
on tha ezpress contlition that all work 5hall be done in aCCOrtlance with all Council
applicabie State of Minnesota St(aJWtes and Cyiry o1f/ Eagan OrCinances gidg. Oft. _ Copies
Buildmg Ofliciai ~~101~, ~~~1 !I Vanance - TOTAL 455.50
I l r
NO UTILITY SERVICE AVAIL ; CITY OF EAGAN
AB7.E BEFORE - = ilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N°- 1176 3
7/30/86 ` PHONE:454-8100 ~ y
BUILDING PERMIT Receiptp (Gl?15 /
Tobeusedlor SF DWG/GAR Est.Value $108,000 pyty APRIL 9 1y 86
SiteAddress 1510 WELLINGTON WAY Erect ~ Occupancy R3
Lot 10 Block 2 Sec/Sub. BRITTANY 9TH Remodel ? Zonin9 R1
Parcel No. Repair ? Type of Const. U
Addition ? No. Stories
a Name TOLLEFSON BLDRS INC Move ? Length 944
4
~ 12617 FAIRGREEN AVE Demolish ? Depih
3 Adtlress
° A. V. 31- 1 Int. lmpr. ? Sq. Ft.
City Phone Install ?
i o Name SAME Approvale Fees
$Q nddress Assessment Permit $ 453.00
~ Ciry Phone Water & Sew. Surcharge 54 . 0 0
~m Police PlanReview 226.50
rw Name Fire SAC 575.00
Adtlress
m= Eng. WaterConn. 500.00
aw City Phone Planner WaterMeter 63.50
Council RoadUnit 290.00
Iherebyacknowledgethatlhavereadthisapplicationandstatethatihe Bld9 Off 4 9 86 Tr.PI. 156.00
information is correct *to omply with all applicable State of
. Mmnesota Statmes ann Ordina APC Parks
§ignature ot Permittee ~ Var. Date Copies~r. oo
' Total
A Building Permit is issueLL SON BLDRS INC
on th e express condiuon that
all.work shall be done in accordance with all applicabla,$}~¢ ot M~ot tat s iry of Eagan Ordinances.
Building Ofricial L/GL~
2005 RESIDENTIAL MECHANICAL PERMTT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please comple[e Cor. single family dwellings & townhomes/condos when pennils are required for each uni[
Date it / a ( / o ~
Site Address W N Unit #
Property Owner ~cJ r o Telephooe G 9-1) N?Ca ~ g nS O
Contractor
Street Address 12253 Nicollet Avenue South cicy
urnsv e, .
State Tele hone: 952-746-520QiP Tclephone ~
ax:952-746-5202
Bond ~ S 67 Expires: s-
The Applicant is _ Owner ? Convac[or _ Other
Add-on or al[eration to existing dwelling unit $ 30.00
v fumace _Additional Replacement _ New
air exchanger
air conditioner
_Z'~'heat pump
other
State Surcharge $ 50
Total $ .30. S O
I hereby apply for a Residential Mechanical Pertnit and acknowledge tha[ the informaUOn is wmplete and accurate; that the work will
be in wnformance writh the ordinances and codes of the City of Eagan and with ihe Mechanical Codes; tha[ I understand this is not a
permit, but only an application for a permit, and work is not to start withou[ a permit; that the work will be in accordance with the
approved plan in the c se of work which requires a review and approval of plans.
pplicant's Printed Name Applica 's Signature
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD • 55122
651-681-4875
Now CanshucMon Reaulremenh RemotleVReoalr Reaulremenh
? S re"rod tlte wneyt tlwwlnp sq fl. ol bf, p. M. ol house 2 copiea of plan
and Qp roofed areas (20X, maximum bt coveroae allowed) 1 fet of eneryy calculaflons for healed addlHOns
D Y coplea of plaru (show Deam # Mntlow sizes; poureG fnd. 0eslpn; etc.) 1 Yte wrvey for oxtedor additlons 3 decka
D 1 set of anerpy cdculallona
D 3 coples W hea prewrvaMOn plan H lOt plaMed aMer 7/1/93
DATE: CONSTRUCTION COST: 6? Sc~
DESCRIPTION OF WORK:
S1itEETADDRESS: lSlb W~L(_SNGTU/~ wA Y
LOT: 10 BLOCK: 2 SUBD./P.I.D.o: nnflnnv A~
Name: phone Gs 4 56 -02 s 3
PROPERTY taar Flrst
OWNER
Sheet Address:
CIry FM 15n ni M~F State: ZIp; S s~ z 2
. Company. '-,rsraav cr0,1~t Hl'PL~ PhoneJt: 763 Stii-o3o`~
(area code)
CONTRACTOR
Sheet Address: 9~~ I 3'" /1 ~c N LIC6f136 # Z-I Sf f 6 6 Exp.
Sfate: Zlp: 5 S v <a 1
Ciy
ARCHITECT/
ENGINEER Company: Name:
Telephone A: ( )
Sheet Address: Regisfraflon q:
Ciy ' state: zip:
Sewerlwater licensed plumber !H instalilna sewerlwater#: L-
~Pfy I hereby ackrawledfle Ihat I have read Mis appikafbn, sfate Mwf 1he Inf and ayr wNh atl appficable State
ol Minnesoto Stafutes and CNy of Eapan Ordinances.
Sipnalure of Applicant
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No '
Tree Preservation Plan Received _ Yes _ No _ Not Required
, , , • -
63
1985 BUILDING PERlIIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACIORS NUST BE LICENSED WITH THE CITY OF EAGAN
INCLUDE 2 SETS OF PLANS
3 CERTIEICATES OF SURVEY
1 SET OF ENERGY CALCULATIONS
To Be Used For: c„6,Valuation: 10p,Mv Date:
Site Address: OFFICE USE ONLY
Lot: Z~L Block ,;2 Sect/SubIW~W-zl9~ Erect X Occupancy (~3
Remodel Zoning RI
Parcel p Repair Type of Const 'SL
Addition 11 of Stories
Owner 6'a,,) ~ Move _ Length . 44
. Demolish Depth c~_
Address 1 Int.Impr. Sq Ft
~ Install
City/Zip Code
e2---------------------------------
Phone APPROVALS FEES
Contractor Assessments Permit 453 ,
Water/Sewer Surcharge 5 4
Address Police plan RevieW 22b• 9'
Fire SAC 5'15
City/Zip Cade Engr Water Conn SOD
Planner Water Meter o 3 S°
Phone Council Road Unit z9 O
Bldg OfftjW Treatment Pl ~ S(D.
Arch./Engr. APC Parks
Variance Copies
Address TOTAL ~Ar
City/Zip Code
Phone,0
/
~
~ _ ~ ~20 K I 4^ 28 v x~° I(D z40
~ X s = 35 x 9 4
22X 21 " 4(t.~-2 Y- SZ)
_ Z~b KI ~ = 15428
I~ x~4
24,c2~ _ ~ ~2 = 83sz
2¢ r 3' Z, c98 x Q Q- = 33 ~J Z
l070-7~
' r3~~~ 3T
vA,;E sy
~;ti'
floaE CONSUlTINO ENOIHE S
Efl
~NGINEEAING PIANHEIIS and LpHD ~UflYEVOflS
COMpANY, INC.
1000 EAST 1461A STAEET, BURNSYILLE. IIINHESOiA 55337 PH 4432-3000
C'er-ki}~i crz~~ SurYe y
,~evat .t~eacr{~P~'ion: Lt' V?ELLIN_ GTON 4yqY
LO r IU BLUCK 2 BRITTANY 97H E 1y92~o j
' ~ $ . N 89°27'27"E
AuurnoN, DAKo'fA CoUNTY, MINNE5o'iA o r B,o¢
.O • ' `'37.4j
C989.B~ <o~ 0~ ~ C9fl•y
~
2S00 A, 126
~
R= 60.0o 5
30' FRONT BvIID.N 5I p I
SETBACK UNE
.o ~fj2,33
r~A' e .0 9,89.61 ~
~o~Z°a
? 6n4
1. f N 1
-I ~~•10 L~, 71Z.~,
a OP,oI. L° (9H7_2i I
' ;I rN /M~SE 0
40.o_J
NOKTH ILeas~~i1O ~a~ ~ I
•;c/aLE
r,lu~ ~
3 I ~ I W
.
m
( I
m
ONm
m I I M .
. a,
~ M ~ N M
N tl~~ °Q M I tlO
LOT !O I ~
L? ---NN c~ I
`L'+-'•~`i DENoTES EX15TIN6 ECEVfIT/Ohl \
(1v'.°) DEN07E5 PROFt95E0 ELEtIRT/ON • I~
fNUICATES lilRECTlOIU OF
SURFACE Dk'AlNA6E ~
?
PRA
FlN/5NE0 6AIiNvE FI.DOR ECEVqTlON UlA6E .nKo
UTILITY EASFMENT
=
ii3. 47
S 8i• ~Q, ¢~„E
T haz•eby certify that thia ia a true and corract repreeentation of a tract of
land ee ehoun'4nd deecribed hereon.• Ae prapared by me on this -7 r! day of
il /'i't L ~ 19 8 e-. . ~
liinn. 1les. No. /t,"€.t
~ .
CITY OF BUILDIN6 DEPARTI•IENT
, ' EXTERIOR ENVELOPE AVERA(iE t'U ll C0I4PUTATION
(To be submitted with building permit application)
one or Two Family Dwelling Owner-]DIlP,-F'QVl F2UIVJ(''.~1j .
All Other Site Addreae
~ -
!.'ontx•actorDate ZZ7 Phone
LIVEAL ' .
E;Y.[iOnED F OF
V'7AL,L 6?6 fto above
grade
TOTAL EX.DOSED VYpI.L AR;sA SQ. E"I'.
o?AQUE lVl.LL CUf'S'PRUOTIOII: "U" Value x Area
I,etai.l ~~n9L npu .5 X SQ. FT. D b (U)(A)
L. IIpII
ie cerence x S2. FT. (U)(A)
from "pn . 040 x SQ. FT. (u) (n)
atteched °u° x SQ. FT. _ (U)(4)
slieets °U° x S2. FT. - (U)(A)
°Ull x SQ. FT. - (U)(A)
'11IIIll0WS: "U° Value x Ares hlnlce & TyPe upn x SQ. FT. (U)(A)
liUll x SQ. FT. - (U)(n)
upn x Sq. FT. - (U)(A)
"Ull x SQ. FT. - (U)(n)
DOORS: "Ull Value x Area
;Iz~:ce & Tyoe ~7L_.Tvrer~i npn 7~ SQ. FT. qO ~ (U)(A)
n n _~$7"/f) ~ uUu x SQ. FT.~~1: Z'o (U) (A)
n n nuo x 3q. FT. - (U)(A)
n n npu
_ x Q. FT. _
_ (U)(A)
TOTAI,S ~.'~S'~. l~hi 'sQ. r'T. 9 (U) (A)
A ERAaE 1-1U11
ToTAL (U)(A) VALUES 154.93 a
I)IVIDL'D BY TOTAL 17pI,L AREA ZqC~(-.(~j G~
AVEk2Aak; ItUII ,115 or leee for 1&2 family dwellinge
R00 F/C F.I L I F4 •
'i'0'fAL AREA: ~
lletai.l reFerence '~U~~ •~Z! x SQ. FT.q;Y)= /9•,-~j>(U)(A)
from ilUto x SQ. FT. . (U) (A)
rittached sheete. IIUII X SQ. FT, _ (p)(p)
Drocribe oQeninga "UII R SQ. FT. - (U)(A)
i.n roof. nUn _
S SQ. FfP. - (U)(A)
'PO'PAL M(A) VALUES DIVIDED BY /G S 3 r7'AV7 CU1'~>
• 9 ~
'1'0'PAL R005/CEII,IN(3 /ll2EA 9?~~ ir oz
AVERAQE "U" ,025 for ventilated roofe.
. y
~~?~•v.~ ~
! 9.a0
~83 x ~~r +ai tao4 --30
~
Z,~~/o•(~
~
~
CONC•
; - (o ~ X (3g t3g +-3~ t3~> = ~I6 • ~ -jE
~
;;.~LM Tisr
;
~ , . 83 x ((f -f 5Z -+'!E54+5L) _ 187. 98 ~
~ , .
24 x6U = io. oU X 3 = 30-0
zoX36, = 5D x ~ - 15.0
04X3(~ _ 6.0 X% ! = D
.sl 00 -K
~ .
' Z~ ~ S~ = Z(• OU
~
,
, .
' A£r _ -t-xPn,;cD WACL
j ~Y0~55 1~1~~~~ , Z,ZN&•(~C
eiM 187• 58
'r-/. oo - 4ZJ6. 067
DRD-60-~-
; . ~
.31 x30 = 93b-~
~i
I!)
. . , . . .
i
~ . , ~ .
I
fL c E. J. Vr°4:0"'~ . i..i'.Gt•i. ~
~ .~RL,LI:.E - Li-;l; Y :
DATE; 4!2S; 97
SUB36CT: FyS9ESSh1EPJ7 #459Fy CC: MAYOF; FLGCh7QUIST
CARL T13i_i_EFSf.lN
~
UNISYS COR"r'URFaTION
,
I HAVE F.C_CEt4T'LY F.ECEIVCD A NOTICE OF F15ESSMENT, F'FiOJFCT #459R
F'F~OF'ERTY I.D. 10-15i!Op--l~~u-U2.' L1F'ON LGOf~'IN6 Ih1T0 THIS MATTER I
n13rn':'ERF.P. THAT LJHEN lHE F!5'SESSP7FNT SE()FiCH bJAS F'ERFCRMED C7N MY
F'F,QF'ERTY F'RIOR TO CL05ING (9/15/86) ,?'HE C1TY ?r EAGAN CLAIMED
'f Hr1T i FiEF:F_ 6dERE NO 1SSE85"lEPiT5 P.UE Otd THE PROF'EfiTY. AS A FESULT .
TCLLEFSCIIV FfLI] LDEF.S DID IVOT FI01_D MONEY IN CSCROW TO F'AY THIS FILL
1=LIR h1Y F'R7F'LF%TY. I LFdTER f--OUND OUT THAT ALL OTHEF. LC1TS IIV THF
Ffi1T1'AN Y 9th ADDIT?C1N HAD ESCF:OU! HELU. I SFOt~E 'TO ED t:IRSH
F:F_L;ARDING 'fHIS MAITER AND ASI"ED U.'HY THE OVEFSIGHT ON MY PF;OF'ERTY.
IiE INFOFihiED ME 7HAT THE CITY QF EAGAN WAS HAVING F'ROBLEh7S WITH
(>,55CSSOF„3 Al" THE TIME C;ND OtJE OSSESSOR OUIT WITHOUT GIVTNG NOTICE
DUF'ING THE TIME FEF;IOD OF MY CLOSING. ED THEN P,Sf;ED ME TO WORh;
. OUT THE DFTFILS OF THE ASSESSMENT WITH T'OLLEFSGtd RUILDERS.
I THEN SF'01':E TO A REF'RESENTHTIVE OF T01_LEFSUP! BUILDEF.S F.EGAF,DING
THIS M.1T?ER. THEY INFORMED ME TNF`,T EPJOU6H MONEY Hr",D BEEN HELD IN
CJCF.OW FOF: T'I-IE BRITTANY °th ECI7IOI+J TO AL.SO F'AY MY HILL AND THAT
I SHOlJl_ll I`JOT PE CO"JCER!VED. IT SHOULP ALSO BE NOTED TH1T THE
C?hlTFiflCT ~I-IA"T I SIGP1ECt IJTT.H TOLLEFSO4V BUILDEF;S SAYS TNr1T THEY
UJILL PAY THE hSSESSi•iENTS r-Or, MY FF.OFEFTY.
IN THE EVENT 7FIAT I CF;NNDT ATTEND TFIE HEAF,ING ON MAY 5, 1937 THIS
I^EMO SHUUL.? PE TAk:EN 9S.-PJFITTEN OHJECTIOIV TU MY F'AYIhJG THE
AaSESSD7ENT OF F'RDF'EF.TY~ 1U-150t>B--lOc:)-V~ AS DESCRIBED BY FF:DJECT
NUMPEG 459R. - - - •
~ apa~ (~Iv
SINCERELY,
PRADLEY ' D ORD
9
7
(~2
7-4 e PCP rc~ I
Co~ p~ ~Q~~ Ca.~~r ol fi y- tI~ in r~ c~~~ a~ r' e•~
1
. ti . .
1992 BUILDING PERMIT APPLICATION
CITY OF EAuAN
REQUIREMENTS: zoo if)
SINGLE FAMILY 2 SETS OF PLANS, 3 REGISTERED SITE SURVEYS, 1 SET ENERGY CALCS.
MULTIPLE DWELLINGS 2 SETS OF PLANS, 3 REGISTERED SITE SURVEYS, 1 SET OF ENERGY CALCS.
# OF UNITS RENTAL FOR SALE
COMMERCIAL 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF
SPECIFICATIONS, 1 SET OF ENERGY CALCS.
PENALTY APPUES WHEN TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING
DAY OF MONTH IN WHICH REQUEST IS MADE Q@ LOT CHANGE IS REQUESTED ONCE PERMIT IS
ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH
ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
KrTZHEU Rk'~opEt.+ . _JAN 0 d RECO
To Be Used For: Fl c(c(:~Dn Valuation: ~ Date:
Site Address /D
OFFICE USE ONLY
Lot BIOCk~ a7,JO0 ' EE
Occupancy R-3 eldg Permit zbs,oo
Parcel/Sub ' Zoning Surcharge 13:sb
Actual Const Plan Review 192,0~
Owner ~ v Allowable License Fee ,oo
# of stories SAC, City
Address Length SAC, MWCC
Depth ~ Z Water Conn.
City/Zip v S.F. Total Water Meter
Footprint S.F. Acct. Deposit
Phone ,i~' S/W Permit
On-site sewage S/W Surcharge
Contractor On-sfte well Treatment PI.
MWCC System V Road Unit
Address City water ? Park Ded.
PRV Trail Ded.
City/Zip r Booster Pump Copies
SUBTOTAL
Phone ) 5 License~~~ APPROVALS Penalry
# o 0o i99 Planner Lot Change
Council TOTAL ~i , ~ i
Arch./Engr. Bldg. Off. 94z b.s
' Variance
Address •
City/Zip Code
Phone #
Sewer/WaterLicensedContr. . Processingtime
for sewer/water permits is two ays once area as en approve .
agrees that all work shall be done in accordance with
ignature o ermittee •
all applicable State of innesota Statutes and Ciry of Eagan Ordinances.
+ .
~ r3,-le
~ • 51 P~e sy
RO[3E co?~sutTU+a ~?+oi"ceas
' ~NGINEER1NG pt~iiNEfIS ond LpHD kUIIVEYOIIS
" COMPANYf INC.
1000 EAST 146M STREET, BU(INSVILLE. YINHESOTII 95337 PH 432-3000
Cer~if z ca~ Surv'e y
,~4~~.pG.tcrl~PZZOSt: ~ WELLfnI67oN~ WqY
1-01' 10, BIOCK 2, BRITTANY 9714 (392y~% u89°27"27°E
A1,1)1"floN, DAKoI'A CoUN'1'Y, MINNESU'iA 8 „ ~R,oq
/ o.:
° ~l-)i.'b
(98B.b~ <.,i, C9f~.•/~
`Soo p; IZ~ ~5
i 1 R_6o oo i
5 1p
30' FROnIf Bu0.nir~6 u
SETBl1CK UNE
I ~~2oe i 64q n
zo ~---~=p I_IL.~I
~112 N /M MYSE ~
.oJ
.',IILE So'
~i~'? {5) I
/ V
r I ~9jb/ 1 I
3 I W
't. a •
~ M I o~rt
a
~ I I M
lNh ~ h
J~ sl LOT IU I~
I
~ i
~
'_j f_:i•; UEN07'£5 EX15TIN6 ELEVAT/ON \ I
i,17•^) UEN07E5 PROFYJSEU ECEVf1T/Odl I!
lNUICA7 _FS DIRfCT/ON OF \ JS 1
SU!'cFACE DlZAINA6E
r,i,n~un~.F nNn
~•17 ,?,g =!-'11V15NE'U 6ARA/oE FLOUR ELE1A7"!ON unu~r EASfMEN~.
4/"F
I h^r,by certify thet thie ie a true and corrnct repreeentation oi a tract ot
irrid ns ehoun'and deecribed hereon.• Ae prepared by me on thie --7r4 day o[
19 8~ . '
'fs
' _ ~i~... Hinn. }teg. No. P,,
~G .
cALc5 Fbe. AoD,n nhr, y, io1 BL, B~e?7t~+y ~
` EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION '
5r)jL ap, d zo
DATE ~ IU • ~~Z
OWNER
SITE ADD ESS /S/D
CONTRACTOR PHONE (q~'1 - 31 35
Determine Working Square Footage of Each.
1. Total Exposed Wall Area . _1,q Sq. Ft. X.11 = v~.otl
2. Total Roof/Ceiling Area /JII~X~ Sq. Ft. X .026 = ~.US
3. Total Floor/Cant. Area ..~'~'9 Sq. Ft. x .OS
Total Exposed Wall Area Above Floor D.oo
a. Total Wall Window Area. . . . . . . . . . ((7~. ~JS
b. Total Door Area . . . . . . . . . . . -
c. Total Sliding Glass Door Area -
d. Total Fireplace Wall Area . -
e. Total Wall Framing Area (averagelOB)
f. Total Net Wall Area Above Floor
g. Total Rim Joist Area. . . . . . . . . . .
Total Exposed Foundations Area = -
h. Total Foundation Window Area
i. Total Net Foundation Area Above•Grade
Determine "U" Value of Each wall Segment.
a. X flull .34 = ~o7,FS~
b. ~ X "U"
C. ~ X "U" _
d. X "U" _
e. X "U" . U =
f. X $pull iO-q _
g. ' X ~.U:: ~C74 =
~
h. X "U" _
i. - X "U"
SUBTOTAL
9, TOTAL = 3~ ~ 5 T
If item N9 is the same as, or'less than item 1/1, you have met the
intent of SBC 6006 (c) 2.
Total Exposed Roof/Ceiling Aeea / 5(-0• UU
J. TotA1 akylight area . . ~ . . . . . f(7.60 ~
k. Total Elat root/ceiling traming area . ~
1. Total nat inalted Elat rooP/ceiling area
M. Total vault roof/ceiling framing area-10Y ILI "
n. To[al net inalted vault rooP/ceiling area
Datermine •U• value for aech roof/ceiling aegment.
J. (ri-i % "U• 3(0
k. X NUN e
1. - X NVN e
@. X ~U~ a .44
n. x "U"
5. TOTAI: _L o -1
If item t5 ia the aeme as. oc less than item 12, you have met the
intent of SBC 6006 (c) 1.
Total Ezpoaed Floor/Cn-ntr. Areas ~~9•UU _
o. Total floor/cant. framing acea (avrg. 108) ,q
29,(o
p. Total net insulated loor/cant. area /r
Determine "U' value for each floor/cant. eegment.
O• x Y Nun u Y
p' -
6. TOTA4 m ,71T7
It total o! t6 ia the anme as, or lesa than +3, you have met the
intenG ot SBC 6006 (c) 3. •
ALTERNATE BUILDING ENV2LOPE DESICN
To util_ize the toGal envelopa syatem method, the valuea eatebliahad
by the 6m o1 itema 14, 15 and t6 ahall not be greater than the aum
of items il, t2 and 13.
1. ~~D • oZ 9 2. -7' ~U`J 3. I ~ °
. d
4. 6.
Pcepeyre
Data / `/0 ;1g2
. 7}:RU STUD Jnt. /:ir .68 TIIAU IIIS, t1A44 Int. Air .6n
'v/ S.R. C SIDIHG S.R. 1115 y/ S.R. C SIAING S.R.
Stud 7
Ins, l~l.W
sncg.
~`U9
Siding SHTG. (x)
Slding
Lxt. Air .17
:I T.
~ zt. Ai~ 17
Tota] f'A° rll~•
Total "N" =
~ 1/R= "U" _ME
1/R = "U" = ~
TFiRU CLG. Tnt. Air ,61 TNRU CLG. Int. Air .61
~
M=Y:9ER S.R. (k°) ~~?P IliSULATI01l S.R. (SIv")
ClE. Iienb. q3J`! Ins. (/oZ") 3&`~
Ins. (9") o?5-,(7U Sti21 /,Ir .E1
Still Air • 61 Total "R"
Tottl "R° =31-7..~' 1/R Q "U"
/ ~ •1/P. s uUn ,r
THRU CONC BI.OCX' 7ht. Air .60 THRU kIlt Int. Air 6E
C.B. (Ff") lI JOIST Ins. ~9'U-)
Opt.'Ins.S60 l~f" Wood .1.89
Txt. Air .17 shtg.
Opt. S.R. ~ Siding ~(Po
• • ,
. . • ~
Opt. SId•, f.xt. Air • .17
, • • -
Total "R° _ (0.9 ZO apt. Brick
• - • f ~
Total "R" :LAA3
' 1/A • "U" s~~ .
~~U"
to.
`"f'Rii pTF_MBF.K Int. Air .92 7'HRl! IP!S. Int. Air .92
@ TUCKIrNDER Carp.-Pad TUC!!UNPER !'arp.-Pad
V i ny 1 _ V i n y]
7NSlil.~•. P~ d` ~
~IWa. Und' Und.
Ply. ,ciY Ply. q4
Joist Depth blo Ins. Uo
~ 5/8" S.R. .56 c 5/8" S.R. .56
~ Still Air .92 Sti1J. Air .92
Total "R" - j(yQ ~ ?'otal "R" - 4'a
1/N = ut!n 1/R. - nlj" = LtS.N I
!a~J
THRU STi1D Int. Air ' .68 THRU ITlS. Int. Air .69
4!/ RRICK Stud w/RRICK Ins.
or STON£ Shtg. or STONE Shte.
B. or S. R. or S.
Ext. Air .17 F.xt. Air .17
r ~
Total "R" w/o S.R. Totdl "R" w/o S.R. _
i
I
1/P. _ ,ItrI I ]./R = vitin
~ i
S.R. S.R.
i ~ ~ • I.
Total "R" w/S.R.= Total "R" w/S.R. _
lIR = iiLlti 1/R = ut'ti
TY:RII !?F.MBFR Ext. Air ,17 THRtI IP!S. Fxt. Air. .17
@ VAULT Roofing 0 VAl!LT Roofing
(Not Vented) P}_y, _ (Mot Vented) Ply.
Opt. Styro. Opt. Styro
Rafter Depth Zns.
S.R. S.R.
Int. Air. .61 Int. Air. .61
Total "R" = T.otal "R" _
1!R = "1J" _ ~J 1/P.
7988 HUILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS / je, )
1
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 7 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES EOR C08NER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICA ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS 0 OF UNITS
INCLUDE 2 SETS OF PLANS, CEATIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COtMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STAUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
To Be Used For: W(-- Valuation: Date:
Site Address 15~(~ udilNU4j (,SA~ OFFICE USE ONLY
~p ID~o'
Lot ~ Block ~ On site sewage_ Occupancy
MWCC system Zoning
Parcel/Sub On site well Actual Const
C 0_"f 1 City water Allowable
Owner ~A rY)E-S 56 PRV required _ ll of stories
Booster Pump Length
Address 7fi/Yi E, Depth
S.F. Total
City/Zip Code Footprint S.F.
Phone G~ vs,0(o APPROVALS FEES
Contractor Engr/Assess Permit 9(4• •c'2
Planner Surcharge !
Address Council Plan Review
Bldg. Off. Gf1l SAC, City
City/Zip Code Variance SAC, MWCC
Water Conn
Phone Water Meter
Road Unit
Arch./Engr. Treatment P1
Parks
Address Copies ~
~ TOTAL
City/Zip Code
Phone #
I I
~ _ , ~ ? / i • •
FileNo. 32315 Exhibit "A"
PLAT DRAWING
(THIS IS NOT A SURVEY)
Lot 10, Block 2, Brittany 9th Addition.
L. L IV C7v.~
lvAI/
$,oy ~
~9s.c` ~ 10 'u40
~
I ' I
1) s' S,
iv' a9,s H octsE
lJ E. ui i
pgK TN=t
c
~ I t~ ' a
E
s cA L
~
r•;
~ W
, , .
O -
r
~ t 4 ~o
Cq LE
~M=IOO'
13• Yc'
PropenyAddress: 1510 Wellington Way, Eagan, Minnesota.
"The location of the improvements shown on this drawing are approximate and are based on a visual inspection of
the premises. The lot dimensions are taken from the recorded plat or county records. This drowinq is tor informational
purposes and should not be used as a survey. It does not constitute a liability of the company and is intended for
mortgage purposes only."
1
2165 rev. 7/79
. ******##******#****f#******#*******#
~
C I T Y O F E A A f~ **W~' PAYINFNr OF FFE AT TJME OF *
* ArriscATIorr nos Nar wrsriTUTE *
* APPROVAL OF PIItMIT. *
APPLICATION FOR PERMIT
INSPncriotv oF sE,M nrm/at wAaE[t ~
TTR'TAT.7ATTONS WIId. NKYP BE SCHII'D- ~
*
SEWER AND/OR WATER CONNECTION ~MM UNTIL PMMIT HAs sEM *
~ APPROVID. *
r
. ~~+***t.r*~.**f+*r*~**x*+:**t*,rk~#+r
P ease Print)
1) PROPERTY ADDRESS: Ao~~r ?1_
j
LEGAL DESCRIPTION:
lLot/B1ock Subdivision or Tax Parcel ID ) „
IF EXISTING STRC'CIVRE, DATE OF ORIGINAL BUILDING PERb7IT ISS[.'ANCE:
' PRFSEPTI' ZONING/pROPOSID C'SE: (I"bnt Year
Q COf,1Et2CIAL/RE,Tp,IL/OFFICE SINGLE FAMILY
Q IAIDL'STRIAI, ~ R-2 DLPLEX (1WO Pnits)
INSTITLTIONAL/GpiERN~M" ~ R-3 ZCJWNHOUSE (Three + Units) { Units)
Q R-4 APARTMENr/CODIDOMINIUM ( Units )
2) ~
~~~1~saa ~vi~v~s
ADnxESS:1~?!0/7 F/¢iR ~~P6~vlI ~i~
ciTY; STATE. zzP:~i~/~l.E
PxoNE: y3/ //oo
3) • For City Use
NAME: GENZ-RYAN PLUMBING AND HEATING Plu[[ibers License:
ADDRFSS:- 14745 South Robert Trail Q Active
i CITY, STATE,.ZIP: Rosemount. IIId 55068 ~~a
Not recorded
PHONE: 423-1144 MASTER LICENSE# 1849M
StalT Initial
4) • i~-
tuAME:
_ ADDRESS: •
CITY. STATE, ZIP:
PHONE: .
5) • a~• : ~ • o~
~ CONNECrION ZU CITY SEWER ~ CpNNECrION TO CITY WATII2 ~ p7HER .
6) ° ' Q PLEASE HOLD APPROVED PEE2NLiT FY)R PICK-UP BY ONE OF ABOyE -
PI•/~n~ MAIL PROVID PEf2D1iT Z+U 1, 2, 4. ABpVE
(Circ e
7) one) ~
0 ~ p
' • Y" • Y' 1: M ~ ~ . ~ Y • D I71' . 1~ /Y71' .
~ ' J• • ~ ~
~ I. • ~ ::r' M:/• •l15
1 1 1 ]1' • ~1' 1.
FOR CITY USE ONLY
PERMIT # ISSUED ~
773-
Pd w/Bldg. Permit FEES:
$ $ ~D O SEWER PERMIT (INCLUDE SURCHARGE)
~
$ $ WATER PERMIT (INCLL~DE SORCHARGE)
$ 63-,S-b $ WATER METER/COPPERHORN/Of.'TSIDE READER
$ $ WATER TAP (INCLUDE CORPORATION STOP)
$ $ SEWER TAP
$ $ IS ~ OC~ ACCOUNT DEPOSIT - SEWER
$ $ ~ ~.(rD ACCOUNT DEPOSIT - WATER
$ cj 00,lJ'O $ wAc
$ .~i 7 o'D $ sAC .
$ $ TRUNK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ • LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRUNK WATER
$ $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
(1-7) TOTAL
3 s~?-~ ~ Z 3 31
lRECEIPT ~ RECEIPT#~
DOES UTILITY CONNECTION REQOIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
F-l YES IF YES, THEN A"PERMIT FOR WORK 6VITHZN PUBLIC
ROADWAY" MOST BE ISSUED BY THE ENGINEERING
~ NO DIVISION. LIST AS A CONDITION.
SLBJECT TO THE FOLLOWING CbNDITIONS:
APPROVED BY:
TITLE:
DATE: ~//,36)
Vl'lI ur sAUeuv run %,lix ube unLi
3830 PIIAT RNOB ROAD
EACAN, !SN 55122 PERMIT N
PHONE: (612) 454-8100 RECEIPT ~f-`~~
BING,YEA~iIT DATE:
,
RHSID8N1'IAZ:x PLEASE COHPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS S
TOWNHOMES/CONDOS YKEN PERHITS ARE REQDIRED FOR EACH UNIT.
WORK DESCRIPTION COMPLETE THE FOLIAWING:
N0. FIXTURES EA. TOTAL
NEf7 CONST ADD-ON MINIMUM 15.00
ADD ON ~ SHOWER 3.00
REPAIR WATER CIASET 3.00
BATH TUB 3.00
IAVATORY 3.00
OSiNER NAME: llv\IZ c) N = KITCHENSINK 3.00 77M 3.00
SITE ADDRESS:
Nc(C) HOTN TUB/SPAY 3.00
UATER HEATER 3.00
IAT:~ BLACK ~L SUBD FIAOR DRAIN 3.00
~z~~ I\ ~ S( S a ~Q L{~ GAS PIPING OUT.
INSTALLER: (MINIMUM - 1) 3.00
I Z~ Z- S' I' ~ DUU l; I~S !(l gOUGH OPENINGS 1.50
ADDRESS: _ OTHER
CITY: ZIP: rn N SS I = WATER SOFfENER 5.00
PRIVATE DISP. 15.00
PHONE U.G. SPRINKLER 3.00
SUBTOTAL
ST. SURCHARGE .50
SIGNATURE F P ITTEE
TOTAL: $ SO
06MM£RCIAI:JiNDIISSEtIAL: PLEASE COMPLETE THIS PORTION FOR ALL C0MMERCZAL/INDUSTRIAL BUZLDINGS AND
MULTI-FA?IILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUTAED FOR EACH
DWELLING UNIT.
CONTRACT PRICE: FEES
OWNER NAME: 18 OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
SITE ADDRESS: EACH $1,000 OF PERMIT FEE.
IAT: BIACK _ SUBD. $25.00 MINIMUM FEE.
INSTALLER: CONTRAC'f PRICE x 18 $
ADDRESS: STATE SURCHARGE $
CITY• ZIP:
TOTAL: $
PHONE u:
(SIGNATURE)
FOR:
CITY OF EAGAN
i,49Y/27/2009/WED 05:06 PM Fax Server FAX No, P.002
i
~ ~ ~ j Partnit
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tO a~~ ~ pertnil Fee
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3830 Pilot Knob Road i
Eagan MN 55122 I Da[e Received: ~
Phone:(651)675-5675
Fax: (651) 675-5694 j S~a~ I
2009 RESIDENTIAL BUILDING PERMIT APPLICATION
Date:S.a 7' 9 Site Address: V510
Tenant: Suita 1f:
RESIDENT 1 OWNER Name: ai mc~kr Phone:
Address / City / Zip: v--)~ q~C1n O~Q. J
Applicant is: _ Owner zEontractor
TYPE OF WORK Description of work: laa+r pce ~ Y_Y_~
Construction Cost 10, ~SS• Multi-Family Buiiding: (Yes _ I No )1:11i
CONTRACTOR Name: CtJ.A lDv' ~1'-O(, K_. C.nYa License CX) ~
Address: 3
ccY: F_!'~Q,vi 'p(-G~Lt ri c State:T)I Zip: 5J34C.9.
Phone.'7 59, U'~ OQD Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672
Energy Code . Residential VantilaUon Category t worksheet • New Energy Cotla worksheet
CetOCJOry Submitted Submitted
(4 submission type) • Ener9y Envelope Calculalions Submilled
In the last 12 months, has the City of Eagan issued a permlt for a similar plan based on a master plan7
_Yes __~<Ro If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer 8 Water Contractor: Phone:
, r . .....,.a.......... . . ,.'be . ..,-lnfo . 9., g t. a i ; 1P, ,Yw y,
~ OFE: Plans and'su 'ort.. ~n ~docurri nts fi `t ou,syd rriita re"cons d e%eafto~ , utilrctmatlon: ~POR1DlISbFh
~'°FN the~lnfoima'tion !inay tie~classifled`as n"on=publiq~if'you pr vlderspec/Bc reasons that wovldrpe urtTti`tfieA°Giry~to`' ,t
i~tt~,y~rmri' 'v~ in~.~ ~v. tN')~`4 `~l tiBa tXT b zw 7ti ~,q rv
.i,~~~:t ~.1jb`r"._'jiw..i.eill;t a,'tL ~r.1~~..~[-t'.,COl1C~UC~B~«18t.«16•,~BI'9~t(8d956C/E~S.~b,...~'lm.~~~z.+.. r~"~,11e-v+~,e~~~ I.nie~~iru~kr~ Nr
I hereby acknowledge ihat this +nforma6on is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; lhat I understand this is not a permit, but only an applicatlon for a pertnil, aM work is not to start wiNout a permit; that the vrork will be in
accordance with the approved plan in the case of vrork which requires a review and approval of plans.
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Applicant's Printed Name AppllcanYs Slgnature
Page 1 of 3
Ca 1,1641
Use BLUE or BLACK Ink! 2'
For Office Use4°'
Permit:e:
City o1 Eaai P rmi e t 99 • d1
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone:(651)675-5675 RECEIVED
Fax:(651)675-5694 Staff:
JUN 1 2 2017
2017 RESIDENTIAL BUILDING PERMIT APPLICATION _
11 Site Address:jJ 1 �, �, i � 2 �O�
Date: 6 A% /
��fei�117� Pt"-- Unit#:
Name: 3re4 ,4 42 /l Phone: (ps-/ sh DZ3
Owner Address/City/Zip: ii)° fry& 1 WW1 .0• , S I zz
- 0.00
Applicant is: 1V-Owner
Description of work: YE'_ bpiit4
- Type of Work
Construction Cost: biC Multi-Family Building: (Yes /No )
,<, t., Company: Contact:
Contractor
Address: City:
4. State: Zip: Phone: Email e r L
License#: Lead Certificate#:
If the project is exempt from lead certification, please explain why:
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:
Fire Suppression Contractor: Phone:
MOT Plans�an su• i d. en -,r at 'ore ce ad'®'-red ic infoiMittion.
the information may be a as a ublic if ' provide speciff, c reasons;t qra uld permit thely to
444. 44.%, 671"i d►e that.they erre de . cress
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.00pherstateonecall.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 ofpermitissuance.�
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Applicant's Printed Name Applicant's Signature
Page 1 of 3
l 5/Q BELOW THIS LINE /4505'
SUB TYPES
Foundation Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
Single Family Garage _ Porch(4-Season) Exterior Alteration(Multi)
_ Multi Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous
01 of_Plex Lower Level _ Pool _ Accessory Building
WORK TYPES
New _ Interior Improvement _ Siding _ Demolish Building*
x, Addition _ Move Building _ Reroof _ Demolish Interior
Alteration _ Fire Repair Windows Demolish Foundation
Replace _ Repair Egress Window Water Damage
Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION
Valuation 5'1 1 0 0 Occupancy vj_ MCES System
Plan Review Code Edition 0 l(-, SAC Units
(25%_ 100% )() Zoning ( l!j,. City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction __ Width
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
y, Footings (Deck) Final/C.O. Required
Footings(Addition) Final/No C.O. Required
Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test
Roof: Ice&Water _Final Pool:_Footings _Air/Gas Tests _Final
Framing 30 Minutes 1 Hour Drain Tile
Fireplace:_Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS
Insulation Windows
Sheathing Retaining Wall:_Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In_Final
Braced Walls Erosion Control
Shower Pan 1 Other:
Reviewed By: , Building Inspector
RESIDENTIAL FEES
Base Fee 0 ktj(6,,/,v,11
Surcharge
Plan Review (
i t'
MCES SAC
City SAC i / C''`- /r / / p
Utility Connection Charge { y "� / ( V
S&W Permit&Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
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I hlr by certify that this is a true and correct representation of a tract of
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