697 Summer Lane
454~74(?S CITY OF EAGAN ( ~ i ~ ~ 3
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt #
To be used for SF Di1C:/GAft Est. Value ;92~000 Date 'NM Zb tg gl
Site Address 697 8U!!$it 3.AHE
Lot I - BIUCk I_ Sec/Sub. 8Ul~Lit PLACB 2nd OFFICE USE ONLY ,
Parcel No. Occuaarcy ~3,- l-1 FEES "
Zoning FD_
W Name Jd3BPN M1LLE1t QOI~L4t
~ t~'faal) Cotist Bldg. Permit $ 604.00
o Address 16133 CEb/1R AYE '~~1iow~ie) ya- Surcharge ~6•~
City FARrtllIMNPhone 431-2OQt:•`:. .'#a+sloriBS - 392.00
~ Length 44_ Pian Review
Name S~ Depth SAC, City l~•~
~Q Address S.F. Total _
~ City Phone S.F. Foolpiints _ SAC, Mcwcc 650•00
L9-,Ad On Site Sewage Water Conn6~. a, site we Water Msier
95.00
s MwCCSystem X~ 3Q.QQ
Phone Clty Water xL '~c~.
PRV Required _ S/W Permit 3o•oo
I hereby acknowlege that I have read ihis application and state that the Booster Pump - SNV Surcharge '50
intormation is correct and agree to comply with all applicable State ol 276'00
Minnesota Statutes and City of Eagan Ordinances., Treatment PI
Signature Of Permitee APPROVALS Road Unit 370*00
A Building Permit is issued to: J6$spH H!lILM CMt Planner - Park Ded.
on the express condition that all work shall be done in accordance with all Council
applicaWe State of Minnesota Statutes and City of Eagan Ordinances. gldy_ pn. _ Copies
S3.253.50
Building OHicial Variance TOTAL
• Permit No. Permk Holder Date Telephone 8
4ATER
SE1NER
PLUMBING
cv
H.VAC.
ELECTRIC 00
Irtepsction Date Msp. Commenis
Footings I
S =
iw•
Foundation
Framing h-2
Roofing
Rough Pitg.
- vi
Rough Fltg.
Isul. ?
Freplace
Final Htg.
Orstat Test
Final Plhg. Plbg. Inspectw - Nolity Plumber
Consl. Meter
Engr./Plan
eldg. Final 0'364,
Dedc Ftg.
Dedc Final
weli
Pr. Disp.
,
;
(Ux#tfir~te uf- Wrx~pattxy; :
p +Cf tp of (Eagan ~
arpotut~ of %nrtg 3t~.~ertinn
\
TlrLr Cerhftcale issued pursuant to the r+equuenunts of Section 306 of the Unrforrri Bullding
Code cer~il ~YinS that at the time of rssucnce lhis str" xru irc c+ompliance wiilt the various ,
ordinarrc+rs of 1he City regulaAiag building conmuclion or use For the following:
~
the~ SF DWG/GAR 814 Pcnmk Nm 1q333
OOMmADr Ta /14 1 Zoeins MU~ PD Tya Vn
ow=c(saam JCl6FPH M MIILUR ~VSr ~ 18133 CEQAR AVE, MLRMUICN
7,AMm ? S[l~Qt LAiE LI, B1, S[M~'FR P(~CE ~ID
8/2Q/9 1
ewie~o~a.t
, Posr IN A ooNSaicuous PucE ' .
' / -
. , ti . • ' _ .
INSPECTION RECORD
, CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued: •
(612) 681-4675
SITE ADDRESS: APPLICANT:
,IiniR';i I. I fiNF M I(}JA1 I
1lIt . ~ i I . j
PERIIAIT SUBTYPE: TYPE OF WORK:
INSPECTION .A • .A
~ -J
Permit No. Permit Holder Date Telephone #
SM/
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspection Date Insp. Comments
Footings I
Foundatlon
Framing
Raofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Fnal Htg.
Orsat Test
Final Plbg. Pibg. Inspector - Notify Plumber
Const. Meter
Engr./Pian
Bidg. Final
i
Deck Ftg.
Deck Final
Well
Pr. Disp.
1NSYLU'1'lUN ilE(:UK1)
CITY OF EAGAM PERMIT TYPE:
3830 Pilot Knob Road Permit Number: i,'4%
Eagan, Minnesota 55122-1897 Date issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
I.ANi i~ ~ t~~~l t
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION D• • D.
I' „..''I: . r I I IIf I~~I . f ~:i i;'•!'•I I~ t I II 1;F I i i= i ~~~i~~ ~ 3.i 1 Y~~
~ ~
Permk Hotder Date Telephone M
PLUMBING
HVAC
Inspectfon Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING ~
ROUGH '
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLSG
FINAL HTG
ORSAT
TEST
BIDG FINAL
DOMESTIC '
METER
IRRIGATION
METER
FLUSH
MAINS ,
CONDUCTI V ITY
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
rr t SEWER & WATER PERMIT. O FICE USE ONLY
CITY OF EAGAN METER 1 a~" f PERMIT DATE 08/28/91
3830 Pi lo t Kno b R d. ' CHIP # PERMIT # 12238
Eagan, MN 55122-1897 .
METER SIZE B.P. RECEIPT # C 14170
DATE J u nE 24,1J91 ISSUE DATE B.P. RECEIPT DATE 06 / 26 / 91
_ PRV - BOOSTER PUMP
SITE ADDRESS ~-07 ~uaue r L ane PERMIT REGIUESTED
LOT 1 BLOCK 1 SEC/SUB 5 umme r P 1 a c e 2 n d
_x~ SEWER x WATER - TAPS
APRLICANT:.Iose~h M. :•:i11er. Const Ir.c
AdDRESS: 11113 3 C e d a r ".v "o - COMMIINb RESIDENTIAL
CITY, STATEx 3rr.li_ng, ton, ,,in z1p 5~ x NEW -'EXISTING
PHQNE: 4 3 12001
L.awn Sprinkler Meters are to be lnstalled
PLUMBER:,C. LR z - R y e a Ahead of Domestic Meters on Water Line.
ADDRESS: 1',7 4 5 Sc R o b e r~, T r Credit W(ILL NOT be given for D~duct Meters.
CITY, STATE -~c s emo un. t, Mn Zlp7 /PHONE:
3 - I 1 1~ <!!N :.~C-~ . E 70 GOMPLY WITH C! OF
OWNER: ORDI ANCES ,
ADDRESS:
CITY, STATE ZIP
PHONE: ji;z RE WHEN ETER ISSUED
o PLFJ\SE ALLOW TWO WORKING DAYS FOR PROCESSING.,CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
, %
SEW1100,VATER PERMIT OFFICE USE ONLY
Cly'Y OF EkGAN METER # PERMIT DATE
3830 Pilot Knob Rd. ,
Eagan, MN 55122-1897 ~ CHIP # PERMIT #
METER SIZE B.P. RECEIPT # C l 417i..,
DATE 24,11491 ISSUE DATE B.P. RECEIPT DATE U6 ' 26 ? I
_ PRV - BOOSTER PUMP
SITE ADDRESS 6117 uane r Ge PERMIT REQUESTED
LOT i BLOCK ' SEC15UB ' u°°mH r P 1 acQ 2 n d
~ SEWER ~ WATER - TAPS
APPLICANT:In seJ. Tiillgr Gor_st Inc
ADDRESS: 13 3 Ce d&r Av g o - COMM/IND - RESIDENTIAL
CITY,STATE~irmxng.,ton, ZIP 55024 x
- NEW -fXISTING
PHONE: 4~ I- 2 0 0 I
Lawn Sprinkler Meters are to be Installed
PLUMBER.'•' A n 2 - R ya n Ahead of Domestic Meters on Water Line.
ADDRESS: 14745 S c R a b e r t 't r Credit V~ILL NOT be given for Deduct Meters.
CITY, STATE n s emo un t. :ZIRS 5~ 8 r PHONE:
I AGRf-E TO COMPLY WITH CITY OF
OWNER: EAGAN ORDINANCES
ADDRESS:
CITY, STATE ZIP
PHONE: SIGNATURE WHEN METER ISSUED
PLEASE AILOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIOIVS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
DATE: AUG 28, 1991
RE: ' 697 SUlQlSbt LN (JOSEPH M!lILLER CQN3TRUCTION INC)
x Your Sewer & Water Permit for the above property has been completed. It will be held at the
PublrF Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
Your Sewer & Water Permit for the above property cannot be completed for the following
reasons:
Your Sewer & Water Permit for the above property has been completed, but the meter cannot
be issued or occupancy allcwed until further notice.
COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHOME, ELECTRIC, GAS, ETC.
- REOUIREO BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
~ CASH RECEIPT
CITY OF EAGAN ~
3830 PILOT KNOB ROAD ~
EAGAN, MINNESOTA 55122
" oare 19 a[0E(Veo -
F~,o,.
,aMouNr a
s 3 150
s ooLuAFIs
? CASH PeCHECK
r)r'
,
un7J)
/
FUND OBJECT AMOUNT
Thank You
eY -~4-- ~
C 14170 7~'`~
Yelbw--POStinp COpy V-i/"/
Pink--Fb Copy ,
.
Address: 07 SLHER TANF: Lot I Blk I Sec/Sub 5L7~M pLq„rE 2Np
These items were/were not complete at the time of the final inspection.
$ Zq 91 Yes No
Final grade (6" from siding)
Permanent steps - garage
Permanent steps - main entry
Permanent driveway
Permanent gas t~
Sod/seeded grass ?
Trail/curb damage
Porch
Basement finish
Deck
Please verify vith tha builder the removal of roof test caps from the plumbing
system and-the shut-off of water supply to the outside lawn faucet before
freeze potential exists. ~
mnaeewnn
Wlt3te - City copy Yellow - Resident copy Pink - Contractor copy
CITY OF EAGAN N2 19333
3830 Pilot Knob Road, P.O. 8ox 21-199, Eagan, MN 55121
^
BUILDING PERMIT PHONE: 454-8100 C f y'.7~, ~
Receipt #
Tobeusedfor SF DWG/GAR Est. Value $92,000 Date JUNE 26 19 91
Site Address 697 SUPQfER LANE
Lot 1 Block 1 Sec/Sub. SUMMER PLACE 2n OFFICE USE ONLY
Parcel No. oaupancy R-3, M-1 FEES
a Name JOSEPH M MILI.ER CONST Zonin9 Pn $ 604.00
W (ACNap ConSl {/n eldg. Permit
~ Address 18133 CEDAR AVE (Allowable) 46.00
° CitFARMINGTONPhone 431-2001 surena~ye
y # of stories 392.00
Length 46_ Plan Review
;io Name SAME oePm 47 snc,cny 100.00
gg Address S.F.Total - SAC,MCWCC 650.00
~ City Phone S.F. Foororims _
On Sike Sewage _ Water Conn 660.00
¢ Name on sne waii
~i - Water Meter 95.00
r~= AddfB55 MWCCSystem XX q«t.0eposit 30.00
gw City Phone Cnywater X7L_
PFV Raquired - S/W Permit 30.00
I hereby acknowlege that I have read this application and state thal the Booster Pump - S/w Surcharge • 50
infortnation is corcect and agree to compl witl all applicable Stale of 276.00
Minnesota Stawtes an " of Eagen Ordi¢ s. % Treatment PI
Signature of Permitee APPROVALS Roatl Unit 370.00
A Building Permit is issued to: SEPH M MILLER vONST P1e^"a' - Perk Detl.
on the express condition that all work shall be done in accordance with all Coumil
applicable State of Minnes Statutes and Ci of Eaga rdinances. gldg, pff, _ CoPiee
8uilding O%icial Variance - TO7AL ~3 , 253.
r
lj / 911
~
Fequesl Date Fire No. Rough-in Inspectian
7-23-91 qequir9tl? ?ReatlyNOw aliylnspeqor
_r No when Reatly?
I'-censed contractor ] owner hereby request inspection ot above electrical work at; .
Joor.eares:1 9~1t7eo191 LANE 01y EAGAN
SeclionNO. TownshipNamearNO. RangeNO. Counly DAKOTA
OccupantlPR i Phone No. .
E MILLER CONSTRUCTION 612-431-2001
aowe'siUvoI'DAKOTA ELECTRIC, AS pOress FARMINGTON, MN
Elec«,o.,l co~~~~LAN~NEeLECTRIC~ INC, Conlractor5LicenseNO.
041610
nstallattani
Ma~~9ptltl763~O145THa~5TREET WEST, APPLE VALLEY, MN 55124
~
Aumonzetl Sig m&rado•i0wner M slali Phone Number
612-432-6688
NN STATE BOAflD OF ELECTRICITY . THIS INSPECTION REQUEST WILL NOT
Grlggs-Mitlway Bldg. - Room 5473 BE ACCEPTED BV THE STATE BOAFD
1821 University Ave.. 51. iaul. MN 55100 IINLE55 PROPEF INSPECTION FEE IS
Vhone(61Y) 60241800 ENCLOSEO. '
Q~ REQUEST FOR ELECTRICAL INSPECTION ee-o m-
~ O(/q/ ? See instmcLOns lor compleling thiclorm on back of yellow copy ~~'rt""~' /
uest ~ ~
~ 7 5 "X" Below Work Covered by This Req 3"~y ~
ew Add Rep.'Typeoi6uilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplez Water Heater Electric Heating
Apt. Building Dryer Other (Specity)
~Comm./Indusirial Furnace
Farm ir Conditioner
Omer (sVerityl Convacror's Remarks.
Compute fnspecfion Fee 8efow:
~ Other Fee # ServiceEntrance5ize Fee # Circuits/Feetlers Fee
Swimming Pool 0 to 200 Amps / 1 0 to 100 Amps
Transformers A6ove 200 _ Amps Above 100 _ Amps
Signs i~speciors use oniy ~ TOTAL
Irrigation Booms
Special Inspedion ~
AlarmlCommunication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTH "
I, [he Electrical Inspector, here6y Rouqn-m
certify that the above inspection has F~~ai a
been made.
OFFICE USE ONLY "
Tris reauest voitl 18 montns Imm
- a'j~ va-- ~ eoaoai s
~:4 7541, el- . , ~ -50 Request Date . Fire No. RougRin Inspeclion
G a 9 q~ R i~? ? Ready Now fJpWill Notity Inspecmr
Ves ? N. ~ VNhen ReadyP
4
I G licensed coniractor Xowner hereby request inspection ot above electrical work at:
Jon Atltlrecss ($VeeL Box RoNe No-) Ciry
/ MME
Section No. Township Name or No. Range No. CouMy
Phone
Occu anl ~PRiNTI No.
• ~ (Y' Euwis
Power SuOplier Atltlress
Electnc C ntracror ICompany Nemi Conlractor5license No.
. w/lE/,
Mailing Atltlress ICOmractor or Owner Makinq Instaliation)
Llf-
Auhgnd~ ~21ConVatl ' ¢r MdkLltn _sidlldi Phone Number
4~Si/-7l
MINNESOTA STATE BOAHD OF ELECTRICIiV THIS INSPECTION REOUEST WILL NOT
Griggs-Mbwey BIEg. - Room &173 BE ACCEPTED BV TNE STATE BOARO
1821 Oniverslty Ave.. 51. Paul, MN 551D< UNLESS PROPEF INSPECTION FEE IS
Plrone (612) 802-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION 4r ee ooaoi-os
See Instmctions lor comrsting this iwm on Oack ol yellow copy. ~gi
&
? ~oaoais
X" Be/aw " Be/aw Work Covered by This Request
edd Rep. TypeotBuiitling AppliancesWiretl EquipmernWired
Home Range Temporary Service
Duplax Water Heater Electric Heating
Apt. Buildinq Dryer Other (Specity)
Comm./Indus[rial Furnace
Parm Air Conditioner
Other(syenfy) ConvactorE Re-jS/r+' ni,sk
Compute Inspection Fee Below:
# Other Fee # ServiceEnVanceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps o to 100 Amps
Transformers Above 200 _ Amps A Amps
Signs mspecmrs Use Oniy: ~ T TAL
Irrigation Booms ~
Special Inspection
AiarmiCommunication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 78 MO S.I, the Electrical Inspector, hereby ROO9h'n oa~a y
certiry that the above inspection has
been made. r1n ~
OFFICE USE ONLY
This reQUest voitl 18 months imm
RESIDENTIAL
BUILDING PERMIT APPLICATION
/ CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675 ~ b D `
New ConsWetion ReauiremeMs RemodeVReoair Reauiraments
• 3 registered site surveys showing sq. ft of lol, sq. ft. of house; and all roofed areas • 2 copies of plan
(20% maximum lot coverage allowed) O;evoo5'C2 . 1 set of Emrgy Calculaliore kr heated additbns
• 2 copies of plan slwwing beam & window srzes; poured found dasign, etc.) • 1 sile survey for exteriar additions & decks
. 1 set of Errergy CalcWations L• Indicate' rved by sepGc system for addilions
. 3 eopies of Tree Preservation Poan if lot platled aNer 111193 Z77 d~y l f
• Rim Joist Detail OpHons selection sheet (bldgs vrilh 3 or less uniLs)
n
DATE Sr~oZ^Oo`Z VALUATIO ~ . aOO- (iU ~
SITE ADDRESS sLl~~ ka~~ MULTI-FAMILY BLDG _Y _N
TYPE OF WORK f' FIREPLACE(S) _ 0_ 1_ 2
APPLICANT S" ~y-
STREET ADDRESS ITY~STATE/lx. ZIP •t~
TELEPHONE#&Z}jK-A~K6CELLPHONE#65-/-2,Z~-7024~ FAX# 4~v_-4492
PROPERTY OWNER TELEPHONE#
COMPLETE POR NNEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATLGORY 1 MINNISOTA RULE
(J su6mission type) • Residendal Ventilatlon Category 1 Worksheet Submitted • N ~y(,ibc~~V~rk`~e~ ~ tted
D ` IJ
• Energy Envelope Calwlations Submitted
Auc i 2 zaoz
Plumbing Contractor: Phone #
Plumbing system includes: _ Watcr SoFtener _ Lawn Sprinkler gy_~e ' _
_ Water Heater _ No. of R.I. Baths
_ No. of Baths
Mechanical Contractor: Phone #
Mechanical system includcs: _ Air Conditioning Fee: $70.00
_ Hcat Recovery Systcm
Sewer/Water Contractor. Phone #
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordi n es.
SignaFure of Appllcant
, -
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pooi ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Multi
? 03 07 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level 0 24 Storm Damage
? 06 04-plex ? 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 *Demolitian (Entire Bldg only) - Give PCA handout to appllcant
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 hldg) FinaUC.O.
_ Footings (deck) FinaUNo C.O.
_ Footings (addition) _ p]wnbing
_ Foundation HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ A'u/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insularion _ Retaining Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
• f 1991 BUI IN P E3 ICATION
CZTY OF EAGAN
O
SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS G014EkCIAT. ~
\
2 SETS OF PIANS 2 SETS OF PIANS 2 SETS OF AkCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & ST'RUCTUkAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPFCIP'ICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF kNERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE tINITS "
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, Bi1T NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEDWNER M[TST DESIGNATE WHICH ADDRE55 IS
DESIRED. NO CHANGES WILL BE ALIAWED ONCE BUILDING PERMIT IS ISSUED
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
vl~
TO Be Used For: N=w H^me Valuation: ~ Date: J-ne 94 , 1 991
Site Address 697 Summe*- Ln OFFICE USE ONLY
~IZ,ODJ'
Lot ~ Block 1 FEES
Occupancy R-3 M-I Bldg. Permit 6014.0
o
Zoning P D Surcharge 0
C7
Parcel/SubS++mm-r P1 ac° 2n(I Actual Const V-N Ylan Review 9Z,op
Allowable V-N SAC, City 100.00
Owner # of stories SAC, MWCC SO, 00
Length q p Water Conn. 0.0 J
Address Depth ~ Water Meter 96,DO
S.F. Total Acct. Deposit 30,Ou
City/Zip Code Footprint S.F. S/w Permit 30,oa
S/W Surcharge i cp
Phone Dn site sewage_ Treatment P1. 2(e,0
~
On site well Road Unit D O a
Contractor Jo-enh M. Miller conGt I++cT1WCC Sy'stem V Yark Ded.
City water -4z Trail Ded.
Address 18133 Certar pv PRV _ Copies
Booster Pump _
City/Zip Code Farmington Mn 55094 SUBTOTAL
APPROVAIS Penalty
Phone 411-2n01 Planner Lot Change ~
Council TOTAL ~
Arch./Engr. Bldg. Off. , r~"
Variance
Address
City/Zip Code
Phone #
/
~ agrees that all work shall be done in accordance with
( gnature of Contractor)
I all applicable State of Minnesota Statutes and City of Eagan Ordinances.
UaL:O~ZN
GARAGE
Z`~XZZ -$Z 8 X 15~= 792v
QsMr,
2~ky~ =l~sc~
r
~2lE/ x 14c 1G99(.
)S'7'
agM-i = 1 2 ~
L/
f2G~ k 5~3= k7Ko
~1l 696 ort ~1 z, 03~ -
,
. METRO . 1e75 Pcaz,a oR
SURVEYDRS suIrE 200
INC. EAGAN, MN. 55J22
Certificate of Survey for. (&2)452-7950
MILLER CQNSTRUCTIDN.
LEGAL "DESCRIP4fION; LOT-LIBLOCK.-L, SUMMER PLACE 2ND ADD
ACCORDING TO THE RECORDED PLAT
THEREOF DnKOTn COUNTY,MINNESOTA
N
: k
q0' S 89° 56' 33" E 87.89 0116'
0 0
DRAINAGE B UTILITY 1
;p EASEMENT ~1o
N S P EAuEMENT I O
~ O
U?
- .
O -
~ LOT ~I~I LOT 2
(907 qdt(, ~i D Nsc
4..
3
~ ol N
S C A L E= I~~ = 30 ap
~ o o 0
r----- I a e
O
(90r) o js+P$- 0
~ N
o L
p o ~
Q05~_ _ ~4-, 41i ~
~ io 9`~ranc
Z
N ~ r
L1=4°12'40" ~ pQ•~~ J ~
L'= 17.50 - -
0
N 89 56' 3" Waa,'=
50.00
SUMMER LA.N~E_
~I ~ F
. . .._...r~ ~
. 33, . T.2?taA.N EN+.~1KEER:Y4 ~'~ga pfCOPOSED 3 L~v~~ SGLrr -~lo UJA-ceo~
LEGEN
--D
INVERT ELEVATION AT SERVICE ExTENSION=
o DENOTES IRON MONUMENT PROPOSED GARAGE FLOOR ELEVATION R 0~•5
o DENOTES WOOD NUB SET PROPOSED FIpST F100R ELEYATION •
jpL° DENOTES EXISTING SPOT PROPOSEO BASEMENT FLOOR •
ELEWATION ELE VpTI ql
DENOTES PROPOSEO SPOT
ELEVATION
~DENOTES DRAlNAi'iE 131RECTION NOTE' VERIFY ALL FLOOR MEIGHTS WITM
FINAL HOUSE PLANS
I hreby cenify tAaf tAit surwY~plon a
report ros prepand py ow or under my
direct wprvisian an0 thaf I om a duly &odiey J. #inson, Mn. Roq. Na 1523OL
Reqisfered LanQ Swrera uifdM /M Laws oi tM State ot Minntwta Dote
' MINNESOTA STATE ENERGY CODE CALCULATIONS
BASED ON CHAPTER 5 OF THE
'MODEL ENERGY CODE - 1983 EDITION
Adoption Effective
owner Phone Date
site Aaaress "ry° 113" e& I mm6oe P4o&g D 4b&1ll
contractor A WuLL? 4{7N,:5"• Phone
Building Classification: Type A1 (Single Family & Duplex) 4-
Type A2 (Residential, 3 stories or less) (Over 3 stories) (Otk}er)
NOTE: Comnlete ,ages 3 and 4 first.
GENERAL INFORMATION N
1. Building Perimeterr7~ ~aa %I"s 1 ft.
2. Wall height (ground to eave) N ft.
3. 1. X 2. (above) qross wall area sq.ft.
4. Building dimensions (L) - X(W) _ ~ sq.ft.roof & floor area
5. Sq. foot area of rim joist - Floor joist size (2 X )
X 1-(Perimeter) _ sq.ft.
04 O
6. Doors - Area 12
~ 7
Thickness in U. factor •
Type of Construction Perimeter ft.
Manufacturer
7. Total door's perimeter ft. ~
~
S. Windows : Manufacturer I NFivL •aGiWfT'1C- 5tate approved
U factor
TYPE SIZE AREA (Sq.Ft.) NUMBER OF TOTAL
~E~ N~K g~E~u EACH UNITS 5Q FEET
F..
9. Total sq.ft. Glass ~(46
10. Fireplace area: Width X Height = X = sq.ft.
11. Exposed foundation: Height X Perimeter ~Qll X I I 1= N,5 sq.ft.
COMPLETION OF THIS FORM IS REQUIRED FOR ALL NEW CONSTRUCTION, MAJOR
REMODELING AND SUILDINGS BEING MOVED WHERE ENERGX, OTHER THAN THE MINIMAL
CODE ALLOWANCE, IS USED.
-1-
. 0 -135
12.~Framing area =,10$ of gross wall area.
13. Gross wall area v 1-7[•-I(0 sq.ft.
window area A 2-097 sq.ft. U windows = i ~~(-O UxA = l(M
r+
Rim joist area A 144 A~sq.ft. U rim joist= t~) UxA = )z'
ALi
Door area A 71. 67 sq. ft. U door area= UxA =
other doors area A~~10sq.ft. U other doors= ~ f UxA = ~4
Exposed fndn A `~0, 5e7 sq. ft. U foundation= UxA
Framing area AZ44 0s1 sq.ft. U framing area= UxA = ~~i~ lJ
Net wall area A AZ+q(Psq.ft. U wa11= 1 UxA = 44g(13B) TOTAL . . . . . . . . . UxA ~
14. Gross wall area x 0.11 (A-i single family.& duplex) = allowable UxA/COde
(13. above)
x 0.23 (A-2 other residential)
x .23 (Other buildings)
x .28 (Over 3 stories)
~q q 1 r~ BTUH must be larger than or same
A i f I' !~x U Code p ~ l = L~ r °F. as 13B above
15. Ceiling framing area (Af) equals lo% of ceiling area
15A. Gross ceiling area =(L) x(W) sq.ft.
15B. Joist area (Af) = 10$ ceiling area sq.ft.
15C. Net ceilinq area (Ac) (15A - 15B) = ZZ~ sq.ft.
U ceiling x Ac _ ~nZZ X
U framinq X A f = ~ 023 x~
15D. TOTAL U x A............................. -
16. Ceiling area (15A) x 0.026 (A-1 sinqle family & duplex)
= allowable UxA/Code
x 0.033 (A-2 other residential)
x 0.06 (other)
, bL(O _~j~SZ oFUH musta e 5larger D abovean or same
A (15A ) 1 I,, x U Code
NoTE: Use U and A values obtained from pages 1, 3 and 4.
CERTIFICATION: I hereby certify that I have calculated the "U" factors and
"R" values herein and that the buildinq here described meets or exceeds the
State of Minnesota Energy Conservation Act.
Date Signature
-2-
a
o ~ Z=-' 7Sf (17 ' ~ "?I ~ o ~u
s ~ n~X~ ~?E°?
o'~b I Xo' I~ =~~X ~~fI tN~ ~
SI''`° ~M
~
a
. n rnLu[ U YALUt
fnelde alr film :68 '
NALL InGerlor well ~ • 45 (Nall) U . FL +
SEC710N ~ ~ •
Ineulatlon
Sheathing L.p(p • ~3
SldLaB • . [D~ .
Outelde alr film .11
R TOTAL 7-215 , O aj . '
1 Inatda.alr film ~ .68 '
STUD _ Interlar uall •45
SEC7ION 411 stud . R' .6Gfi~ (p,5 (Ftaming) U~ R •
~ Sheething ~ Z .O10
Slding .0
. s
outside alr film ' .17 •
R 7OTAL IO. r7 ~j .68
o
~ Iotetloc wall
SECTLQti. Ineulatloct dall ) U
Z R i
Ex[erlor wall cover n
Extetlor alt.fllm' R -.17
R IOTAL
lnteclor alr film Rz .68
VL- i a
Rltl Inauletton
J01sT 'l-~ Ineh eo[t wooJ R=l,gg (R1m U
Joist)
. Sheathing 2•~ ~ p+1
. Exterlor wa~l cvvering .~01 •
,
Exterlor alt film Rd ,17
R T01'AL • 44O
\ .
Lnterlor.alt Ellm; R° .68 , .
Lnaulatlon (
c Founda[Lon (Fdn. ) U Exterlar nlr Ellm R' .7
F rornL ~Exposed 8luck
'~`,rade 3.
e rFTTrur_ mTmu VENTED ATTIC SPACE ABOVE
R VALUS R VALUE
FRAMING ' CEILING
0.61 AirFilm 0.61
~ ~J~• C7 Insulation 4 • o
4.38 Joist
0.56 Ceiling 0.56
1
0.61 AirFilm 0.61
Tota1R
OZ~J p = 1/R
window infiltration 0.5 cfm/lineal foot of crack
Residential door infiltration 0.5 cfm/square foot or door and minimum code
requirement
Non-residential door infiltration 11.0 cfm/litteal foot of crack
Il6 12" concrete block no insulation =.47 R 2.1
Ub 12" concrete block insulated cozes =.26 R 3.8
Ub 12" lightweight block =.32 R 3.1
Ub 12" lightweight block insulated cores =.12 R 8.3 _
U single glass = 1.13; with storra window .54
U double glass = .55
U triple glass = .41
All exterior walls and ceilings must have a vapor barrier (0.10 perm max.).
vapor barrier must be on the inside (heated side) of wall.
Vapor barriers of the polyethelene thin film have no R value.
~ i
`r PERMIT
`V CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Mnnesota 55122-1897 Permit Number: 0 3 3 2 4 7
(61'2) t81-4675 Date Issued: 0 9/ 11 / 9 8
SITE ADDRESS:
697 SUMMER LANE
LOT: 1 BLOCK: 1
SUMMER PLACE 2ND
P.I.N.: 10-72961-010-01 DESCRIPTION:
G A S
Building:,Permit Type FIREPLACE
Building W"q,rk Type NEW
CeM6us Code'434 ALT. RESIDENTIAL
\
s
~
..:..V i i y.~.
REMARKS:
CHIMNEY/FLUE MUST BE INSPECTED BEFORE CONCEHLING.
FEE SUMMARY:
Base Fee $50.00
Surcharge .50
Total Fee $50.50
CONTRACTOR: OWNER: - Applicant -
mEUWISSBN MICHAEL
697 SUMMER LANE
EAGAN MN 55123
, (651)454-7405
I hereby acknowledge that T have read this application and state that the
information is cqrrect and agree to comply wibh all applicable State of Mn.
5tatutes and City d'F E'aqan Ord'znances.
L J
!~-~.~~Str RA ~c~E!J
APPLICANT/PERMITEE SIGNATURE SUED BV: SIGNATURE
ctrv uF EAcaN
CA5HIL"4i: S TERMINAL N0: 784
?A7F^ 03/1 ;/98 l'SMIi: 12:33r.25
IUa
NF1ME: MTC;HAFI_ MEUNT.if~iEtd
3210 9001 637 .riUMMEf: LN 50.00
2155 3001 43' 5Ui1MF_R l..N 0.50
To+,al. Rere9.Frt Rmoun+. " 50.50
Cfi03'r'378
USFFt IA:, NANCY
3 3 a ~E'~
~ CITY OF EAGAN
3830 PILOT KNO$ RD - $5122
1998 FIItEPLACE PERMIT APPLICATION
681-4675
DATE: 9- o' qS PERMIT FEE: $50.50
DESCRIPTION OF WORK: Construct ews fireplace _ Alterations to existing
_ Install eas insert oniv _ Install ¢ss line oalv
Other
JOB ADDRESS: _(,9 -I S u;"', tt~, 6>2 C.rAN~ ~
LOT: BLOCK: , SUBDMSION/P.I.D. Cx?
APPLICANT (circle one only): OWNER CONTRACTOR
I hereby acknowledge that I have read this application and state that the information is coaect
and agree to comply with all applicable State of Minnesota Statutes and City of Eagan
Ordinances.
Name: M CutvissEn~ yvl/cNAEL Phone#; LIS41-7405
PROPERTY Last First
OWNER
Signature:
StreetAddress: N
City 646rA") State:/,/4_ L) Zip: 5-/2 3
Company: Phone
FIltEPLACE
INSTALI,ER Signatwe:
Sueet Address: License #
City State: Zip:
Cqmpany: Phone
GAS LINE
IIVSTALLER Signature:
Street Address:
p~@
SEP I I I998
OFFICE USE ONLY
BUILDING PERNIIT TYPE
? ld Fireplace
WORK TYPE
O 31 New O 33 Aherations
O 32 Addilion ? 34 Repair
GENERALINFORMATION
Census Code. 434
SAC Code Ol
REMARKS
Chimney/flue must be inspected before concealing.
~ITY 3F EAGAN PERMIT
PERMIT TYPE:
3830 Pilot Knob Road B U I L D I N G
Eagan, Minnesota 55123 Permit Number: 023597
(612) 681-4675 . Date Issued: 05 f 13 J94
SITE ADDRESS: ~
697 SUMMER LANE ~ aZ4VLOT: 1 BLDCK: 1
SUMMER PLACE 2ND SI
P.I.N.: 10-72961-010-01
DESCRIPTION:
B{i3ldingi-.PermSt Type pEGK
Building Wor.k Type NEW
j
l
t,
`
i v
L~
~
REMARKS:
FEE SUMMARY:
Base Fee $30.00
Surcharge $.50
7ota1 Fee $30.50
CONTRACTOR: OWNER: - Applicant -
MEUWISSEN MICHAEL
697 SUMMER LN
EA6AN MN 55123
(612)688-4326
I hereby acknawledge that T havs read this applicatipn and state that the
infowmstion is correct and' agree to comply with all applicabl,e 5t•ate of Mn.
5tatutes and City of Eagan Ordinances.
APPLICANTlPERMITEE SIGNATURE ISUED 6Y: $IG~ATURE
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: B U I L D I N G
3830 Pilot Knob Road Permit Number: 0 2 3 5 9 7
Eagan, Minnesota 55123 Date Issued: 9 5/ 13 / 9 A
(612) 681-4675
SITEADDRESS: LoT: 1 BLOCK: 1 APPLICANT:
697 SUMMER LANE MEUWISSEN MICHAEL
SUMMER PLACE 2ND (612) 688-4326
PERMIT SUBTYPE: TYPE OF WORK:
DECK NEW
INSPECTION D. .
FOO7INGS FINAI
~ ~
~ A U
CITY OF EAGAN RECENEU
13 9 1994 BUILDING PERMIT APPLICATIO
681-4675 MAY 0 5 1994
SINGLE & MULTI-fAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penaity applies: when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lat change is requested once permit
is issued.
Date /YIA`/ 9N Valuation of work 800
Site Address: (n97 Sv,MME2 ~ W FRGAn/ MN SSl 2~
STREE7 SUITE #
Tenant Name: (commercial only)
IAT ~ BLOCK / SUSD. S~r•+~+E~ PcAc's 271fp- I. D. #
Descri tion of mork: pEC~r_
The applicant is: & Owner ? Contractor ? Other (Describe)
Name MfuwisseeJ micHREi- Phone 4S4-74e5
Property LasT FiesT CG88-43Zhday)
Owner qddress 6~11 5~m wt J52 f-Al
STREET STE #
City ,FA l.Ar/ State M/t/ Zip Sl/z?
Company Phone
Contractor Address License # Exp.
City State Zip
Architect/ Company Phone
Engineer Name Registration #
Address '
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this aPplication and state that the information is
correct and agree to comply with 11 applicable State of Minnesota 5tatutes and City of
Eagan Ordinances. `
~
Signature of Applicant: .cf
OFFICE USE ONLY
BUILDING PERMIT TYPE O`" ~
.
,A ~.....~w..,...r.~"~k
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ~16 Basement Finish
? 02 SF Dwg. O 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool
? 03 SF Addition O 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind.
? 04 SF Parch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc.
O 05 SF Misc. O 10 Multi. Add'1. PU5 Deck ? 20 Public Facility
? 21 Misce1laneous
WORK TYPE
IW 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MWCC System
(Allowable) lst F1. sq. ft. City Water
UBC Occupancy 2nd F1. sq. ft. PRV Required
Zoning Sq. Ft. total Booster Pump
# of Stories Footprint Sq. ft. Fire Sprinkler
Length On-site well Census Code ~
Depth On-site sewage SAC Code
Census Bldg
APPROVALS Census unit
Planning Building Assessments
Engineering Variance
REGIUIRED INSPECTIONS
? .Site Pi Footing ? Framing ? Insulation
11 Wallboard ~ Final 0 Draintile 0 Fireplace
Permit Fee veiuaeia,: $
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
5AC %
SAC Units
PEttM1T ' CITY OF EAGAN
992 BUILDING PERMIT APPLICATION
681-4675
,
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies when typing of permit is requested, but not picked up by last working day
of month in which re uest is made or lot chan e is re uested once ermit is issued.
Date /19f?Y /6 / 92- Valuation of work ooo
Site Location: (091 Svrv+ME/L. L.RNF-
STREET STE #
Tenant Name:_MICHREL. p +r.0 InAkY S I'~EUWISt'EN
LOT ONF BLOCK QNL SUBD. N~ P.I.D. Y
SvMe+EK (r.Ac.E oZ -
Descri tion of work: F/Ni SH /3495rl6tlT
The applicant is: WOwner ? Contractor ? Other cces«;ne> Name MEUwrSSEn/ /j'lICNRBe- MARY Phone'/S'!-7NOS
Property u:T F1R5T
Owner Address (09'1 Sv.HnAeiz LilNE
STREET " STE M
City _ FAGf?n) State MN Z;p SSI7-3
Company Phone
Contractor Address License # Exp.
City State Zip
Company Phone
Architect/
Engineer Name Registration #
Address
City State 2ip
Sewer & water licensed plumber . Processing time for
sewer & water permits is two days once area has been approved.
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.
5ignature of Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Garage/Accessory ? 11 Res. Add./Porch ? 16 Agricul-tural
O 02 Sf Dwg. ? 07 Fireplace ? 12 Comn./Ind. New ? 17 Building Move
O 03 Two family ? 08 Deck O 13 Comm./Ind. Add ? 18 Demolition
? 04 Multi-fam. T.H. 15 09 Basement Finish O 14 Camm./Ind. Rem. O 20 Miscellaneous
? 05 Apt. Bldg. ? 10 Swim Pool O 15 Public Fac.
WORK TYPE
? 31 New ? 34 Remodel ? 37 Move
O 32 Addition ? 35 Repair ? 38 Demolish
? 33 Alterations ? 36 Tenant Finish ? 99 Undefined
GENERAL INFORMATION
Occupancy '(Z- 3 Basement sq. ft. MWCC System
Zoning lst F1. sq. ft. City Water
Const. (Actual) 2nd F1. sq. ft. PRV Required
(A1Towable) Sq. Ft. total Booster Pump
# of Stories Footprint Sq. ft. Fire Sprinkler
Length On-site well Census Code
Depth On-site sewage SAC Code
APPROVALS
Planning Building ~ S Assessments
Engineering Variance
REGIUIRED INSPECTIONS
? Site ? Footing 19 Framing ? Insulation
? Wallboard fig Final ? Draintile ? Fireplace
Permit Fee vetuac;on: s
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies ,S o
Other '
Total:
SAC %
SAC Units
CITY OF EAGAN FOR CITY USE ONLY
3830 PIIAT KNOB &OAD
EP+GA1d. HIN 55122 PERMIT #
` PHONE: (612) 454-8100 RECEIPT # o c*PQ
(p
~ B~1~G~ DATE: 7 9
PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE ' FA?IILY DWELLINGS
TOWNHOMES/CONDOS WHEN PgR2iITS ARE REQIIIRED FOR EACH IINIT.
WORK DESCRIPTION COMPLETE THE FOLI.OWING:
NEW CONST v N0. FIXTURES EA. TC,:
- ADD-ON MINIMUM 15.00
ADD ON ~ SHOWER 3.00
REPAIR _ _6;~ WATER CLASET 3.00
BATH TUB 3.00 C4
~
OWNER pAME: JOE MILLER CONSTRUCTION C0. INC. ~ I1?VATORY 3.00
KITCHEN SINK 3.00 ~
r~ ~ LAUNDRY TRAY 3.00
SITE ADDRESS: 1
HOT TQB/SPA 3.00
LOT:_L BIACK J SUBD. WATER HEATER 3.00 ~JD
FLOOR DRAIN 3.00 INSTALLER: GENZ-RYAN PLUMBIN6 & HEATING C0. GAS PIPING OUT.
~
~ (MINIMUM - 1) 3.00
~y ROUGH OPENINGS 1.50 Std
nDDRESS: 14745 South Robert Trail pTHER
WATER SOFfENER 5.00
CZTY: Rasemount, MN Zip: 55068 _ pRIVATE DISP. 15.00
F~:oNE 612 423-1144 U. G. SPRINKLER 3.00
-
SUBTOTAL S 37. SU
ST. SURCHARGE .50
SIGNATURE OF ZTTEE
TOTAL: S 3 ~ N
So_3~~~~`;;~;~ PLEASE COMPLETE THIS PORTION FOR ALL COlafERCIAL/INDUSTRIAL BIIZLDINGS AND
M[TLTI-FAMILY BUILDINGS AHEN SEPARATE PERMITS ARE NOT REQIIIRED FOR EACH
DWELLING UNIT.
,
CONTRACT PRICE: FEES
~~ER NAME: _ 18 OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
SITE ADDRESS: EACH $1,000 OF PERMIT FEE.
LOT: BLACK _ SUBD. $25.00 MINIMUM FEE.
INSTAIS.ER: CONTRACT PRICE x 18 $
ADDRESS: STATE SURCHARGE $
CITYC ZIP:
TOTAL: $
PHONE
(SIGNATURE)
FOR:
CITY OF EAGAN
ti CITY OF EAGAN FOR CITY USE ONLY
~ 3830 PILOT RNOB ROAD
EAGAN, MN 55122 PERMIT #
PHONE. (612) 454 8100 RECEIPT #~~/9 9
343~GHdNICA7.~~',E,°m DATE: / l
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION FEES
NEW CONST V ADD-ON MINIMUM $15.00
ADD ON HVAC 0-100 M BTU 24.00
REPAIR _ ADDITIONAL 50 M BTU 6.00
GAS OUTLETS - MINIMUM 3.00
OF 1 PER PERMIT
I~ OWNER NAME:
~c~~ SUBTOTAL: $
SITE ADDRESS: STATE SURCHARGE: .50
LOT:~ B^LOCK ~ SUBD. ~~vw~~`~ Pa a d TOTAL: $
INSTALLER: ~l \ ~ c ~ k
ADDRESS : TURE OF PERMITTEE ^
CITY: ZIP: G ~
PHONE
~O~At~RCIAI,jTtIDDSTi~TAT.: PLEASE COMPLETE THIS PORTION FOR ALL COMMERCZAL/INDUSTRIAL BUILDZNGS,
APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING IINIT.
_ _
CONTRACT PRICE: FEES
OWNER NAME: 18 OF CONTRACT FEE.
STATE SURCHARGE _ $.50 FOR
SITE ADDRESS: EACH $1,000 OF PERMIT FEE.
PROCESSED PIPING = $25.00
IAT: BLOCK _ SUBD. $25.00 MINIMUM FEE.
INSTALLER: CONTRACT PRICE x 1% $
ADDRESS: STATE SURCHARGE $
CITY: ZIP:
TOTAL: $
PHONE
(SIGNATURE)
FOR:
CITY OF EAGAN
~
a
89MMER PLACE BSCOND ADDITION
PRESSIIRB REDIICINCi VALVE AGREEMENT
This Agreement, made and entered into the /27~~ day
of 1990, by and between the CITY OF EAGAN, a
municipality of the State of Minnesota, (hereinafter called the
City), and the Owner and the Developer identified herein.
The terms "Developer" and "Owner" as used herein refer to:
TRI-LAND DEVELOPMENT, INC., whose address is 1875 Plaza Drive, #200,
Eagan, Minnesota 55122.
WHEREAS, the Developer has applied to the City for approval of
the plat or subdivision known as SiTMMER PLACE SECOND ADDITION,
located within the City; and
WHEREAS, the Owner and Developer agree to notify the proposed
potential buyers of all lots within SUMIIdER PLACE SECOND ADDITION that
Lots 1-8, Block 1 and Lots 1-13, Block 2, are in a high water
pressure zone and a pressure reducing valve shall be installed in
each home below the elevation of 966 feet. All costs shall be the
responsibility of the Owner and Developer and shall be installed to
prevent damage due to high water pressure.
NOW, THEREFORE, the City, Owner and Developer agree as follows:
1. Recordina. This aqreement shall be recorded with the Dakota
County Recorder so as to provide notice to the owners of Lots 1-8,
Block 1 and Lots 1-13, Block 2. The Owner shall provide and execute
any and all documents necessary to implement the recording of this
agreement.
2. Notice. The recording of this document shall constitute notice
to all owners and future owners of property in the STJNMER PLACE
SECOND ADDITION subdivision that Lots 1-8, Block 1 and Lots 1-13,
Block 2 are in a high water pressure zone and that a pressure
reducing valve shall be installed in each home below the elevation of
966 feet. All costs shall be the responsibility of the Owner and
Developer and shall be installed to prevent damage due to high water
pressure.
3. Validitv. If any portion, section, subsection, sentence,
clause, paragraph or phrase of this agreement is for any reason held
to be invalid, such decision shall not affect the validity of the
remaining portion of this Contract.
4. Bindina Aareement. The parties mutually recognize and agree
that all terms and conditions of this recordable agreement shall run
with the land herein described and shall be binding upon the heirs,
successors, administrators and assigns of the owners and developers
referenced in this Contract.
IN WITNESS WHEREOF, we have hereunto set our hands.
CITY OF EAGAN OWNER AND DEVELOPER:
(Date: - '1- / TRI-LAND DEVELOPMENT, INC.
i
Thomas A. Egan By• ,
Its: Mayor Its:
~~,vk Le4U -
Atte : E. J. VanOverbece By:
Its. Clerk Its:
STATE OF MINNESOTA )
) ss.
COUNTY OF DAKOTA )
_ ~
On this ?'~-day of 1990, before me a Notary
Public within and for said County, ersonally appeared THOMAS A. EGAN
and E. J. VanOVERBEKE to me personally known, who being each by me
duly sworn, each did say that they are respectively the Mayor and
Clerk of the City of Eagan, the municipality named in the foregoing
instrument, ar.d that the seal affixed on behalf of said municipality
by authority of its City Council and said Mayor and Clerk
acknowledged said instrument to be the free act and deed of said
municipality.
~
~
- ~ L,
r, c a ti
~ . ; . ; , A C. U OY ~ N
e~a r e 1,~3 'aryi ublic ~
z . n z
STATE OF MINNESOTA )
I ) ss.
COUNTY OF
On this day of , 1990, before me a Notary
Public wit~}in and for said County, personally
appeared ~ 1 I a i •J . S. LA a y, aad- to me
personally known,J who being each by me duly s rn, each d'd say that
they are respectively the ~r~s:de
erid- of the corporation named in the
foregoing instrument, and that the seal affixed to said instrument is
the corporats seal of said corpora±ion, and that sai3 instrumer.t was
signed and sealed on behalf of said corpor 'on by authori~y of its
Board of Directors and said 1• , ~.cch.,
and acknowledged said inst ent to be the
free act and deed of the corporatio .
Notary Public
• ROXqryN DUFFY ~
NOTARY PUBIIC._
~ UANOTA ~O~NTy ~iA
MY ~
Commissipi ~pa*y 22•&95
r
APPROVED AS TO FORM:
Ci ttor ey's ce
D,zfted : 4
~
APPROVED S TO CONTENT:
Public Works Department
Dated: 7-/X -fre
,THIS INSTRUMENT WAS DRAFTED BY:
n~'
SEVERSON, WILCOX & SHELDON, P.A.
600 Midway National Bank Bldg.
~ 7300 West 147th Street
Apple Valley, MN 55124
(612) 432-3136
MGD
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 697 Summer Lane
Lot: 1 Block: 1 Addition: Summer Place 2nd
PID:10- 72961 - 010 -01
Use:
Description:
Sub Type: e - Furnace & Air Conditioner
Work Type: New
Description: Fumace & Air Conditioner
Fee Summary:
Contractor:
Controlled Air
21210 Eaton Ave
Farmington MN 55024
(651) 460 -6022 X253
ME - Permit Fee (Replacements)
Surcharge -Fixed
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Comments: Quesetions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, (952)
445 -2840
- Applicant -
Owner:
Michael P Meuwissen
697 Summer Lane
Eagan MN 55123
$50.00 0801.4088
$0.50 9001.2195
$50.50
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
Mechanical
EA092441
12/29/2009
ePermit
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA110580
Date Issued:05/16/2013
Permit Category:ePermit
Site Address: 697 Summer Lane
Lot:1 Block: 1 Addition: Summer Place 2nd
PID:10-72961-01-010
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, 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 -
Michael P Meuwissen
697 Summer Lane
Eagan MN 55123
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA121937
Date Issued:04/18/2014
Permit Category:ePermit
Site Address: 697 Summer Lane
Lot:1 Block: 1 Addition: Summer Place 2nd
PID:10-72961-01-010
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required by law in ALL single family homes .
William Krech
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 -
Michael P Meuwissen
697 Summer Lane
Eagan MN 55123
(651) 454-7405
Krech Exteriors Inc
5866 Blackshire Path
Inver Grove Heights MN 55076
(651) 688-6368
Applicant/Permitee: Signature Issued By: Signature
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
RECEIVED
FEB 12 2016
Use BLUE or BLACK Ink
For Office Use
iJ�`�
Permit #: / �
IICv
Permit Fee:
Date Received:
Staff:
2016 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 2/11/2016 Site Address: 697 SUMMER LANE Unit#:
Name: MICHAEL MEUWISSEN
Phone: 651-262-8685
Address/City/Zip: 697 SUMMER LANE, EAGAN MN 55123
Applicant is: ✓ Owner Contractor
Description of work:
REPLACE SHOWER - ONE WALL PARTIALLY EXPOSED TO EXTERIOR
Construction Cost: $2500
Multi -Family Building: (Yes / No ✓ )
Company: Contact:
Address: City:
State: Zip: Phone: Email:
License #: Lead Certificate #:
If the project is exempt from lead certification, please explain why:
HOME BUILT IN 1991
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:
Phone:
Phone:
Sewer & Water Contractor:
Fire Suppression Contractor:
NOTE -°'Plans and supporting documents" that you s
the
tot bon may be ctassifled. s nonpublic'if.
conclude that
are considered to be public
ou provide specific. masons th '
e tradesecrets.
nfo
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.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 Sjate Building Code must be completed within 180
days of permit issuance.
,4i,< i4: / 5-S4 /\-1
Applicant's Printed Name
Applicant's Signature
Page 1 of 3
SUB TYPES
Foundation
Single Family
Multi
01 of _ Plex
WORK TYPES
New
Addition
Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
01.
DO NOT WRITE BELOW THIS LINE
Fireplace
Garage
Deck
Lower Level
Interior Improvement
Move Building
Fire Repair
Repair
(25%_ 100%4)
)
Census Code
# of Units
# of Buildings
Type of Construction
Porch (3 -Season)
Porch (4 -Season)
Porch (Screen/Gazebo/Pergola)
Pool
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Roof: _Ice & Water _Final
Framing
Fireplace: Rough In Air Test Final
Insulation
Sheathing
Sheetrock
Fire Walls
Braced Walls
Shower Pan
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:
Reviewed By: , Building Inspector
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