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3784 Golden Hill Ter VILL GE OF EAGAlI WATER SERVICE PERMIT 379 Pilot Knob Road PERMIT NO.• 1376 t'. Ea n, MN 55122 DATE: 12/11/73 R - � 2 Townhosues Zoning: I�lanito x No. of Units: Owner: Address: Site Address: 3784-3786 Golden Hill Terrace Plumber: Donaldson McCormick `I Meter No.: Connection Charge: Size: Account Deposjt • Reader No.: 11 I agree to comply with the Village of Eagan Such gee. . Ordi • Misc. Charges: By Total: Date of Ins Date Paid: p " Insp.: DESCRIPTION OF BUILDING Industrial Commercial Residential Multipl: Location of Connections: Co Pe St To In Da Re • EACAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454 -5242 PERMIT FOR SEWER SERVICE CONNECTION DATE: 1' ✓?q ✓7? NUMBER ie =.oa OWNER i`��:. mac .v : Address TlC -3;L4 UJidan hill AUY3al j ft :d�"'GJLLi.li.'}. ='3(:J PLUMBER > . ii.,s , 4qu„ _L,. tx stg. TYPE OF PIPE ir DESCRIPTION OF BUILDING • Industrial Commercial Residential Multiple Dwelling No. of units Location of Connections; Connection Charge Permit Fee +J•-' j i� /_ / (2 Street Repairs Total Inspected by: Date Remarks: By Chief Inspector In consideration of the issue and delivery to me of the above permit, I hereby agree to do the proposed work in accordance with the rules and regulations of Eagan Township, Dakota County, Minnesota By c.Alald;;on- nccormick Pl f eas th k e notify s when ready for inspection and connection and before any portion oe wor i covere (Q - ~'11co, 3~1$ gto Cdl~ 4' kt "ear Use BLUE or BLACK Ink -For Office Use I city o~ Permit#: I Permit Fee: 1 3830 Pilot Knob Road i I I Date Received: 2-1 I Eagan MN 55122 i I Phone: (651) 675-5675 i I Fax: (651) 675-5694 18' 1------------------ 2013 RESIDENTIAL. BUILDING PERMIT APPLICATION C~ldt~ W`II Trr4e.e- Date: 13 Site Address: 'r7U4 377$ 37$y} Ylai Unit Phone. Name: I Resident! Owner Address / City / Zip: I 1 Applicant is: Owner Contractor t Type of Work Description of work: C~Co rtiti - i Construction C Mufti-Family Building: (Yes I No ost 115, __J Company: '~o taia j, Contact: 1 t d r✓~~y +rinen4 Address: ~C) o~ i~.~ ;rctJ~ rr . City: 9 Contractor q i OYZ~! State: Zip: ~)<53`4S Phone: ` 7( License `4 5 Lead Certificate#: N lq cgoop - f If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? -..Yes -No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor; Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public Information. Portions of the information may be classified as non-public If you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Calf 48 hours before you intend to dig to receive locates of underground utilities. I hereby acknowledge that this information is complete and accurate-; that the work will be in conformance withthe 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. x ctr I C k P Applicant's Printed Name Applicant's Signature Page 1-of 3 116 City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink For Office Use Permit#: Permit Fee: Date Received: Staff: / 2013 RESIDENTIAL �BUILDING �PERMIT APPLICATION Date: / l"'�- 9 13 Site Address: 3 -7g. •=31041.‘ �' Mi'5 74ertrILe-- Unit #: Resident/ Owner Name: '�►�i 1 G • A -rh i . Address / City / Zip: 3'79' via /91/4- i/ to f e - Applicant is: Owner Contractor Phone: 6/2 Z 7 J 3/5 - Type of Work Description of work: /2P -r) r d toe Construction Cost: Multi -Family Building: (Yes X. / No ) Company: -e1$ t `�I w� BUl- 4,45 Contact: Cf �'i' 1-5-Z.3 9/ 72a Address: ,..6"5 -lid /L rX City: "'AA -®'l State: /HAI Zip: 5530 Phone: 9 Z 393 rao License #: Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) i4tso--( ee,ii4Yr,k , /®z,k L /1 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: NOTE: Plans and supporting documents that you submit are considers the information ma'y be classified=as non-public if you provide specific real conclude t/at they;are trade ecrets .; Phone: lic information PortionsOf- 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 State : u g Code must be completed within 180 days of permit issuance. xAE:y6/6--- 4-24 x Applicant's Printed Name Applican '-:'Signature Page 1 of 3 DO NOT WRITE BELOW THIS LINE 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 Interior Improvement Move Building Fire Repair Repair LaY C� 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 Drain Tile Roof: Ice & Water _Final Framing Fireplace: _Rough In _Air Test Final Insulation Sheathing Sheetrock Reviewed By: Siding Reroof Windows Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Accessory Building Demolish Building* Demolish Interior Demolish Foundation EgressWindow t Water Damage *Demolition of entire''bUiiding - give PCA handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Meter Size: Final / C.O. Required Final / No C.O. Required HVAC _ Gas Service Test Gas Line Air Test Other: Pool: _Footings Air/Gas Tests _ Siding: _Stucco Lath _Stone Lath _ Windows Retaining Wall: _ Footings _ Backfill Radon Control Erosion Control , Building Inspector Final Brick Final 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 NEW SINGLE FAMILY DWELLING — BUILDING PERMIT REQUIREMENTS I, `` t Qa Site Address: 3��i zee Applicant: G"4,' 3 4ydryc4 Phone Number: £SZ 33 f 2( Check V Appropriate Box ❑ One (1) signed and completed building permit application including a current contractor license number. ❑ Two (2) copies of detailed plans, drawn to scale including but not limited to; foundation plan and wall design including foundation wall insulation, radon control system, floor plan(s), cross section(s), elevation plan(s), beam size(s), joist size(s) and spacing, label window and door openings with the manufacturing U -value, and label all exterior wall and ceilings with the R -value n Three (3) copies of a scaled Certificate of Survey prepared by a Minnesota registered land surveyor complying with City approved Survey requirements (maximum size 11 x 17). ❑ One (1) copy of energy code design criteria labeled on the plan, verifying that the building envelope meets the provisions of Table N1102.1 and/or Table N1102.1.2. Exceptions would include one of the following calculations that must be submitted for approval: o R -value computation method per N1102.1.1. o Total UA alternative per N1102.1.3. o Engineered systems alternative per N1102.1.5. ❑ One (1) copy of calculated heat loss / gain and calculated cooling load verifying HVAC sizing in compliance with the Minnesota Energy Code. ❑ One (1) copy of IFGC Appendix E, Worksheet E-1 calculating combustion air size, AND One (1) copy of IMC Table 501.3.1 calculating makeup air quantity. OR One (1) Centerpoint Energy Form completed by a HVAC contractor, including size of mechanical room.* ❑ One (1) copy of New Construction Energy Code Compliance Certificate (N1101.8). ❑ Two (2) copies of the individual lot tree preservation plan, if required by the development contract, shall be in accordance with the Eagan City Code. * Please contact (651) 675-5675 if you are experiencing problems with the Centerpoint Energy software. REMODEL /REPAIR REQUIREMENTS Check ✓ Appropriate Box Two (2) copies of plan showing footings, beams and joists, label window and door openings with the manufacturing U -value, and label all exterior wall and ceilings with the R -values ❑ One (1) copy of energy code design criteria labeled on the plan verifying that the building envelope meets the provisions of Table N1102.1 and/or Table N1102.1.2. Exceptions would include one of the following calculations that must be submitted for approval: o R -value computation method per N1102.1.1. o Total UA alternative per N1102.1.3. o Engineered systems alternative per N1102.1.5. 111 One (1) site survey for additions and decks ❑ Addition — indicate if on-site septic system LEAD CERTIFICATION EXEMPTION Check ✓ Appropriate Box ❑ The applicant is not a Minnesota licensed residential contractor, residential remodeler or roofer. ❑ The building was constructed after 1978. ❑ The structure is not residential housing or a child occupied facility. ric The renovation will not disrupt 6 square feet or more of painted surface per room for interior activities, or 20 square feet or more of painted surface for exterior activities, and does not involve windows. Page 3 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA120601 Date Issued:02/21/2014 Permit Category:ePermit Site Address: 3784 Golden Hill Ter Lot:5 Block: 09 Addition: Town View 1st PID:10-77100-09-050 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . Valuation: 500.00 Fee Summary:BL - Base Fee $500 $40.00 0801.4085 Surcharge - Based on Valuation $500 $0.50 9001.2195 $40.50 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 - Ayanle N Ayanle 3784 Golden Hill Ter Eagan MN 55122 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA160706 Date Issued:04/06/2020 Permit Category:ePermit Site Address: 3784 Golden Hill Ter Lot:5 Block: 09 Addition: Town View 1st PID:10-77100-09-050 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 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 - Samantha R Alsadi 3784 Golden Hill Ter Eagan MN 55122 (612) 986-2723 Pella Northland 15300 25th Ave N #100 Plymouth MN 55447 (763) 745-1400 Applicant/Permitee: Signature Issued By: Signature