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3921 Boston Cir Use BLUE or BLACK Ink _ r For Office Use ~ Permit#: 95 7 0 I City of Ealnn Permit Fee: # ze)o 3830 Pilot Knob Road JUN 7 2011 I Date Received: Eagan MN 55122 I I Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: I 2011 RESIDENTIAL BUILDING PERMIT APPLICATION'` Date: Site Address: Q -rte Unit M Name: 'T ! Phone: cj; - 91© RESIDENT / A\ OWNER Address/ City / Zip: z(1,; &xoor") G~ Applicant is: A Owner Contractor Description of work: 1-+~r TYPE OF WORK Construction Cost: Multi-Family Building: (Yes / No ) Company: Contact: CONTRACTOR Address: City: State: Zip: Phone: License Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) I 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 the are trade secrets. 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_goi3herstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformanc wWaJhe 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 start out 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 pla s i x !5~ x Applicant's Printed Name Applicant' gnaV36 (\J Page 1 of 3 379l 1 Grd V DO NOT WRITE BELOW THIS LINE C1 9S() SUB TYPES - Foundation _ Fireplace Porch (3-Season) - Storm Damage _ Single Family garage _ Porch (4-Season) _ Exterior Alteration (Single Family) Multi ✓ Deck Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) _ 01 of Plex _ Lower Level _ Pool Miscellaneous Accessory Building WORK TYPES A-0 tiNew.0-aESs _ Interior Improvement _ Siding _ Demolish Building* _ 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 Occupancy MCES System Plan Review Code Edition SAC Units (25%100% ) Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final / C.O. Required Footings (Addition) ✓Final / No C.O. Required Foundation HVAC _ Gas Service Test Gas Line Air Test Drain Tile Other: ,Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final v/ Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: -Rough In Air Test -Final Windows Insulation Retaining Wall: _ Footings _ Backfill Final Sheathing Radon Control Sheetrock Erosion Control Reviewed By: / 16- "u-,' , Building Inspector RESIDENTIAL FEES pDG>~4k-' Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 ff-ak' 40A4 /Rose , NGIN ~fiING ~DHStiffis 17 'iEAS' and lAHC1 SIIAV E'IflllS PtAN COMPANY, INC. 1Ca0 EA-**; 1469k SiRE_r;, ac_q~r;jLLj, ullimEwurm It=V P4. 422-3coc L~ZC7 L.:T 3, BLDCK IJ LEX:MC: SQUARE VID ADD/T;Diti~ . CA.%OTA COVAl i"}; MINA19$0771 Cam?=:) DEbJ0Tl;-= EXtSTIN6 E EVATIft' e9( .a } DENOTES PROP65 P f C E VATION INDICA c5 VIRECTtCN CF SURIrACE QRA4t. A.C- ~s .a~ F/Al/5,V,; 6AItAC F-. OR k'Y.Eit,4WCA; NORTH SCALE N 87° Sd' 5' (BYe--y> tFjS.Z E--~ psi; 19.94 n v_ DRAIMAGE ANC x UTILITY EASEtAENT L 7 LOW i , y r~. r IS„is' 1~ 3.~ i+ f AO ~ y ~ 4rQ0_ t~/. LS S 78 AOACX LlAIE E> Bos-mm CIRCLE x he"by cartify that this In a t:":- and ecr:ect Mpma4ntation of a tssct of land as ahosrrt' and described heri'cn. As prsparsd by ms On this fr„ dsy 6f Minn. As;. No. Parcel Files Cover Sheet Unique ID: 1943 3921 Boston Cir 104507603001 Cities Digital Quality Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. . P~C`IO )RECORD' CITY" OF EAGAN PERWTIV, u c t D I NO 3830 Pltot Knob Read Permit 0 Z S ~ 0 6 Eagan, Minnesota 58122-1897 Date Issuod: (612) 681-4675 SITE ADDRESS: V 1. N, 145 A f 04, 0. i APPUCJwtNT: f PER pT SUBTYPE: TYPE OF WORK: -s 1,10" 1"fib Pf cif } IN ;c a 1 f ~;,.P I{d 3 „t. E,•j,; <~~5.4 ?~3 4 2 F-8 14'4. e t s rf. i ti ois, I -k 1' '1 ~ io I E: INSPECTION RECORD j CITY OF EAGA PERMIT TYPE: l~ ~~~•~t~k 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date lsswd: (612) 681-4675 91TE ADDRESS: t OT w.. f APPLICANT: 1 13 ' _7'9,21. ROS 7! Oz`s CI!'E iJ ~~~6r ~'1~~'• :-le it. lI~i.l~ 1, 4~4'b . t t JCS Mt f'iR6 A#t 2ND t 1 668-07!H PER IT SUBTYPE TYPE OF WORK: ooftN6 Permit Holder Date Telephone # PLUMBING HVAG inspection Date lrlep. Comments FOOTINGS FOUND FRAMING ROOFING RAI ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG [DECK FINAL Cl- CLAN 3830 Knob Road WATER S E P ~V IT 7825 P. {'Ssx 21199 PERMIT NO.: Eagan, ANN 55121 DATE: 8 6=86 Toning: _ Rl No of Units: I owner: Metro custom Domes Address: Side Addrm- 3921 Boston Circle L3 BI Lexi.ngtou Sq. IT Plumber: Ilaltthew Daniels Inc. Meter No.r .500 I)Od Size• , oc 1 S 00pd Reo r W.: • oopd 1 epee to the a" Q~1 rge ~-50pd tkdino Z ~ -%Oml156.00yd TP p ~QV o • b3. 50:pd rapt p- ay Dote Pafid: Dote of Insp.: Insp.: rU - 7.3 _ Qco 3830 PMtK b Road, CITY O Box 221- 99, Eagan, MN 551121 ~ F 1232 PHONE: 454-8100 SMOING PERMIT Receipt# To be used for SF DWG/GAR Est. Value $96,000 Date JULY 22 19 86 it 3921 BOSTON CIRCLE R3 Site Address Erect ~ Occupancy Lot 3 Block 1 Sec/Sub. LEXINGTON SQU model Zoning PO Parcel No. 2ND ADD Repair 11 Type of Const.} Addition ❑ No. Stories' t'9ETR!g CUSTOM HOMES Move ❑ Length 44 Name Z P.O. Demolish El Depth 47 o Address . BOX 1049 Int.lmpr. ❑ Sq. Ft City BURNSV~W ___A54-9383 Instal ❑ Name SAME Approvals Fees 8.4 Address Assessment Permit • 0 City Phone Water & Sew. Surcharge 48 • On" Police Plan Revievr- ~1~'50 VW Name Fire SAC 5~• 00 rg Address Eng. Water Conn.0'00 U City Phone Planner Water Meter 63 • SO' Council Road Unit ~-^-Q • 0O' 1 hereby acknowledge that I have read this application and state thatthe Bldg. Off. 7/22/8( Tr. PI. 13' ~0 information is Correct and agree to comply with all applicable State of Minnesota Stables and City, of Eagan Ordinances. APC Parks Signature of Permittee , Var. Date Topies r . 9 - Toni $2,26460-1-1 MiTRO CUSTOM HOMES A Building Permit is issuiRY to: on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official r f' t <.y_ Permit No. Permit Holder Date Telephone # PknWft 112 Electric (i'1 " 1 ( 6 ~t r Softener Inspection Date Insp. Comments Footings 1 Footings II Foundation Framing awU Roofing Rough Plbg. ' P6 Rough Htg• hKul. g/ p Fireplace Final Hill. ~m Final Plbg.~ Bldg. Final Carl.Occ. Deck Fig. Deck Frmg. Well Describe Location: Pr. Disp. 1 CITY OF EAGAN. 1.4 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # DECK & To be used for 3-Sj °o% R,(;g Est. Value $10, Date Y 11 19A"- Site Address 3929 ETON CI Lot 3 Block 1` Sec/Sub. LEXING O Q OFFICE USE ONLY Parcel No. Occupancy _ 1 FEES Zoning -R-4 I Name 414 STOAR (Actual) Const Bldg. Permit 117000 o Address )921 BO-SM N CIR (Allowable) Surcharge City AN Phone 41? # of Stories Length Plan Review ZF Name ~ S" WNS' ~1 Depth 141 SAC, City 0a Address 1737 1 1111 W11 S.F. Total SAC, Mcwcc City S1 . 111 Phone 698.3232 S.F, Footprints On Site Sewage Water Conn w w Name On Site Weil Water Meter X', Address MWCC System Acct. Deposit WWI City Phone city water PRV Required S/W Permit I hereby acknowlege that I have read this application and statethat,the Booster Pump S/W Surcharge information is correct and agree to comply with all applicable State of Dock 12#x12' Minnesota Statutes and City of Eagan Ordinances. Treatment PI Signature of Permitee APPROVALS Road Unit ABuilding Permit is issued to: SW-SKE C:UNS''UM"101 Planner Park Ded. on the express condition that all work shall be done in accordance with all Council 1.00 applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. Copies Building Official Variance TOTAL 123.0 Permit No. Permit Holder Date Telephone # WATER SEWER PLUMBING H.V.A.C. ELECTRIC Inspection Date Insp. Comments Footings 1 Foundation Framing 1~ ~Q 2/~" L~~ rJM'2 Roofing Rough Plbg. r CiS~f/ G!s 2 cV Rough Htg. Isul. Fireplace Y~ Final Htg. Final Plbg. Const. Meter Plbg. Inspector - Notify Plumber Engr./Plan Bldg. Final Deck Fig. Deck Final Well Pr. Disp. i C1 AGAN SEWER SOME PERM 5830 Not Knob Road P. O, B6x 21199 PERMIT NO.:, Eagan, MN' 55121 DATE:' Zoning: No. of Units: Owner Metro Custom "Imes Address: Site Address: 3921 Boston Circle L'I !3I Lexington SQ. II Plumber: - Matthew Daniels., Inc, 7-23-86 64962, 100.30~d fi oho to eorn* whh Ow C*y of Boom Connection Chorus: 41-75-0Q.4 ll rEa. Account Deposit: f QQ'nd Permit Fee: 1[};tx(sa.3 Surcharge: BY Misc. Chords: Date of Insp.: Total: lam= DO@ Paid: 2007 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements Remodel/Repair Requirements Office Use Only 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan showing footings, beams, joists Cert of Survey Recd _ Y _ N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Soils Report _ Y _ N 1 Soils Report if proposed building is to be placed on disturbed soil 1 site survey for additions & decks Tree Pres Plan Recd _ Y _ N. 2 copies of plan showing beam & window sizes; poured found design, etc. Addition - indicate if on-site septic system Tree Pres Required _ Y _ N 1 set of Energy Calculations On-site Septic System - Y _ N 3 copies of Tree Preservation Plan if lot platted after 7/1/93 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Minnegasco mechanical ventilation form Plans are considered public information unless you state the are trade secret and the reason. Date:, Construction Cost Site Address US`W V-\ ( ✓(',ISC UniVSte # inn ~ (a3 Description of Work O Vt I ~V as )VIsev'1 Multi-Family Bldg _ Y V N Fireplace(s) - 0 _ 1 _ 2 Property Owner t Telephone # ) 02 0 Contractor Address City State Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Category I _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet New Energy Code Worksheet (4 submission type) Submitted Submitted • Energy Envelope Calculations Submitted In the last 12 months as the City of Eagan issued a permit for a similar plan based on a master plan? Y N If yes, date and address of master plan: Licensed Plumber Telephone # ( ) Mechanical Contractor Telephone # ( ) Sewer/Water Contractor Telephone ) I hereby apply for a Reside tial Building Permit and acknowledge that the information is complete and accurate; that the work will,,be in , onf ance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand his ' o a permit JxA-mnly an application for a permit, and work is not to start without a permit; that the w w' acc ance with the approved plan in the case of work which requires a review and #provaTof pl Ap "p -Y an s rinte ame Applicant's Signature DO NOT WRITE BELOW THIS LINE Sub Types ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 Accessory Bldg ❑ 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt- Multi ❑ 03 01 of_ plex ❑ 09 07-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) 0 33 Ext. Alt - SF ❑ 04 02-plex ❑ 10 08-plex ❑ 18 Deck ❑ 23 Porch (screen/gazebo/pergola) ❑ 36 Multi Misc. ❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex ❑ 25 Miscellaneous Work Types ❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish Interior ❑ 44 Siding ❑ 32 Addition ❑ 36 Move Building ❑ 42 Demolish Foundation ❑ 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish Building" ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement *Demolition (Entire Bldg) - Give PCA handout to applicant Description: Water Damage Yes Valuation Occupancy MCES System Plan Review 100% or 25% Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bld9s Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS - Footings (new bldg) Sheetrock Footings (deck). _ Final/C.O. - Footings (addition) _ Final/No C.O. _ Foundation _ HVAC _ Drain Tile Other Roof _ Ice & Water _ Final Pool _ Ftgs Air/Gas Tests _ Final Framing - Siding _ Stucco Lath - Stone Lath -Brick Fireplace R.I. - Air Test - Final Windows _ Insulation _ Retaining Wall, Approved By: Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total PLUMBING (RESIDENTIAL) Permit Application'- S`a lX City Of Eagan 3830 Pilot Knob Road, Eagan"Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 Please complete for: Single Family Dwellings Townhomes and Condos when permits are required for each unit Date- 03 Site Address j a Unit # Wt. t-4 Property Owner 1 Telephone # (.&Si) ` -'7 6 Contractor Address City State Zip Telephone # ( ) The Applicant is Owner Contractor Other Septic System - New Refurbished Submit 2 sets of plans and MPC license $ 100.00 Includes County fee. Additional consultant fees may apply. Alter lions To Existing Dwelling Unit, Including $ 50.00 Adding fixtures to lower levels or room additions, excluding water softener and water heater X Abandonment of septic system Water turnaround's 5/8" meter if needed - $121.00) Other:`:- VL/H, RPZ _ new installation _ repair rebuild - $ 34.00 - Lawn irrigation system Water softener Water heater - - $ 15.00 _ replacement additional State Surcharge $ 50 Total $ I hereby apply for a Residential Plumbing Permit and acknowledge that the information ' o e and accurate; t the work will be in conformance with the ordinances and codes of the City of Eagan and with the es; that I un rs nd this is not a permit, but only an application for a permit, and work is not to start without a pe t; k will be acc :dance with the ved plan in the case of work which requires a review and approval of plans. , Applicant's Printed Name Applicant's Sign RESIDENTIAL BUILDING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 03 New Construction Requirements Remodel/Reoair Requirements Office Use Only 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan _ Cert of Survey Reod (20% maximum lot coverage allowed) ; 1 set of Energy Calculations for heated additions -Tree Pres Plan Recd 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks _ Tree Pres Not Reqd 1 set of Energy Calculations Addition - indicate if on-site septic system _ On-site Septic System 3 copies of Tree Preservation Plan if lot platted after 711193 Rim Joist Detail Options selection sheet (bldgs with 3 or less units Date / oZ Construction Cost 1> 00 ow Site Address Ma 15T?:c~`Ci. E Unit/Ste # 3 Description of Work S I fGj f~ ~3✓Ca Multi-Family Bldg Y N Fireplace(s) 0 - 1 - 2 i h YYtGat l Y\ V r X X Property Owner _ 5, Telephone # ( 1~ (p'1) I~TDr , a 0 Contractor Address City State Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 Minnesota Rules 7672 Energy Code Category Residential Ventilation Category 1 Worksheet New Energy Code Worksheet (~l submission type) Submitted Submitted • Energy Envelope Calculations Submitted Licensed Plumber Telephone ) Mechanical Contractor Telephone # ( ) Sewer/Water Contractor Telephone # Fill,(~ j I of (.1". <.a Fd L~~1 4 A I hereby apply for a Residential Building Permit and acknowledge that the info ation is complete and `accurate; that the work will be in conformance with the ordinances and codes f the Cit $3f-Eagan_and the Statt of MN Statutes; I understand this is not a permit, but only an applic i :ermit, and work is not to 'starfwithout a permit; that the work will be in accordance with the approve n h cf work ich requires a review and ap o al of plans. ~ T Applicant's Printed Name Applic ature OFFICE USE ONLY Sub Types ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 Accessory Bldg ❑ 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt - Multi ❑ 03 01 of _ plex ❑ 09 07-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt - SF ❑ 04 02-plex ❑ 10 08-plex ❑ 18 Deck ❑ 23 Porch (screen/gazebo) ❑ 36 Multi Misc. ❑ 05 03-plex ❑ 11 10-plex f$( 19 Lower L el ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex Plbg?Y or _ N ❑ 25 Miscellaneous Work Types ❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish (Interior) ❑ 44 Siding ❑ 32 Addition ❑ 36 Move Bldg. ❑ 42 Demolish (Foundation) ❑ 45 Fire Repair W 33 Alteration ❑ 37 Demolish (Bldg)* ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement *Demolition (Entire Bldg) - Give PCA handout to applicant Valuation D U Occupancy 9-~ . MC/ES System Census Code ~f t Zoning - l City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs / Length Fire Sprinklered Type of Const -S Width REQUIRED INSPECTIONS Footings (new bldg) _ Final/C.O. - Footings (deck) 4~ Final/No C.O. Footings (addition) Plumbing Foundation HVAC _ Drain Tile Other Roof - Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests -Final Framing _ Siding _ Stucco _ Stone _ Fireplace _ R.I. -Air Test -Final _ Windows (new/replacement) Insulation _ Retaining Wall p Approved By Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total ~1- RESIDENTIAL -~S BUILDING PERMIT APPLICATION Ds CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651.681.4675 New Construction Requirements Remodslifftecair Requirements • 3 registered site surveys showing sq. ft. of tot, sq. ft. of house; and all roofed areas • 2 copies of plan (20% maximum lot coverage allowed) . 1 set of Energy Calculations for heated additions • 2 copies of plan showing beam & window sizes; poured found design, etc.) + 1 site survey for exterior additions & decks 1 set of Energy Calculations • ` Indicate if home served by septic system for additions • 3 copies of Tree Preservation Plan if lot platted after 7/1/93 • Rim Joist Detail Options selection sheet(bldgs with 3 or less units)' qj DATE C~ VALUATION g(00 SITE ADDRESS 3 S P I aC)S0_0,6_=~ 0.T_2.:CLE MULTI-FAMILY BLDG Y _XN TYPE OF WORK Q-2- l t cT~ Ee, FIREPLACE(S) 0 X i - 2 APPLICANT STREET ADDRESS I ~10 tQr 0 CITYCan_Gic,C_uo ~rtSTATE _IP EIS f TELEPHONE # } g-gjLfYICELL PHONE # ,067 FAX # 9-Y70 clOa~ PROPERTY OWNER " 'alt . 1~T TELEPHONE # 7( . COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category MINNESOTA RULES 7670 C.kTEGORY 1 MEN ESO'FA Rt `LES 7672 o submission type) . Residential Ventilation Category -1 Worksheet Submitted • New Energy Code Worksheet Submitted Energy Envelope Calculations Submitted Plumbing Contractor: _ Phone # _ _w Plumbing system includes: Water Softeners Lawn Sprinkler' F F e j s~~ 10`0 M Water Heater _ No. of R.I. Baths, .y No. of Baths j Mechanical Contractor: Phone l 3\1 Mechanical system includes: Air Conditioning Fec : S "70.0O Heat Recovery System 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 Ord' ance Signature of Applicant OFFICE USE ONLY Certificates of Survey Received Tree Preservation Plan Received Not Required 4/02 Updated s OFFICE USE ONLY ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool 0 30 Accessory Bldg ❑ 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace 0 21 Porch (3-sea.) ❑ 31 'Ext. Alt -Multi ❑ 03 01 of _ plex ❑ 09 07-plex ❑ 17 Garage 0 22 Porch/Addn. (4-sea.) ❑ . 33 Ext. Alt - SF ❑ 04 02-plex ❑ 10 08-plex ❑ 18 Deck ❑ 23 Porch (screened) ❑ 36 Multi O 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 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) 0 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish (Bldg)* ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement `Demolition (Entire Bldg only) -Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS Footings (new bldg) Final/C.O. Footings (deck) FinaWo C.O. Footings (addition) Plumbing _ Foundation HVAC _ Drain Tile Other Roof Ice & Water Final Pool Ftgs Air/Gas Tests' Final. Framing _ Siding Stucco - Stone Fireplace _ R.I. Air Test Final _ Windows (new/replacement) Insulation Retaining Wall Approved By Building Inspector - - - - - - - - - - - - - - - - - Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total RESIDENTIAL ~q, BUILDING PERMIT APPLICATIO CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 New Construction Reguirernen RemodeWMjr Rgquir • 3 registered site surveys showing sq. ft of lot, sq. ft. of house; and all roofed area . 2 copies of plan (20% maximum lot coverage allowed) • 1 set of Energy Calculations for heated additions • 2 copies of plan showing beam & wkudow sizes; poured found design, etc.) . 1 site survey for exterior additions & decks 1 set of Energy Calculations • 3 copies of Tree Preservation Plan if lot platted after 7/1/93 • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE 19 VALUATION (EXCLUDING LAND) JOB SITE ADDRESS t39 ,r 0931P`7 ldr A Aag _1XA1^ yw.~ l IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNER 1,0151- 91_54p? TYPE OF WORK 3 IQ ~ IRtPLACE(S) - YES NO APPLICANT ~e , - 40- 8Wk Jo //o PHONE # Z0- M4'-_ AW ? PAGER # CELL PHONE # FAX # NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1' (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor. Phone Plumbing System Includes: _ Water Softener Lawn Sprinkler Fee:. $90.00 Water Heater T No. of R.I. Baths: No. of Baths Mechanical Contractor. Phone Mechanical System Includes: Air Conditioning Fee: <$70.00 Heat Recovery System Sewer/Water Contractor. Phone # All above information must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Ap Icant Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 1/01 OFFICE USE ONLY ❑ 01 Foundation ❑ 07 05-piex ❑ 13 16-plex ❑ 20 Pool ❑ 30 `Accessory Bldg ❑ 02 SF Dwelling ❑ 08 06-piex 0 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. AN -Multi ❑ 03 01 of _ piex ❑ 09 ,.0.7-p1ex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) 33 Ext. Alt SF ❑ 04. 02-plex 0 10 08-piex 0 1$- DBck ❑ 23 Porch (screened) ❑ 36 Multi Q 05 03-plex ❑ 11 10-plex 0 19 Lower Level ❑ ' 24 Storm Damage ❑ 06 04-plex ❑ 12 12-piex Plbg Y or N ❑ 25 ' Miscellaneous 0 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 (BI dg)* ❑ 43 Reroof ❑ 46 WindowstD oors ❑ 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bidgs Length Fire Sprinidered Type of Const Width REQUIRED INSPECTIONS Footings (new bldg) Final/C.O. Footings (deck) final/No C.O. Footings (addition) Plumbing Foundation hVAC Drain Tile Roof _ Ice & Water Final Other _ Framing Pool ~ Figs Air/Gas Tests Final Fireplace R.I. -Air Test -Final Siding Stucco Stone Insulation Windows (new/replacement) 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 . - ~ CITY OF EAGAN PERMIT 3830 Pilot Knob Road PERMIT TYPE: BUILDING Eagan, Minnesota 55122-1897 Permit Number: 0 2 5 6 0 5 (612) 681-4675 Date Issued: 05/18/95 SITE ADDRESS: 3921 BOSTON CIR LOT: 3 BLOCK: 1 LEXINGTON SQUARE 2ND P.I.N.: 10-45076-030-01 DESCRIPTION: Building Permit Type BASEMENT FINISH Building Work Type ALTERATION REMARKS: FEE SUMMARY: VALUATION $1,500 Base Fee $35.00 Surcharge .50 Total Fee $35.50 CONTRACTOR: OWNER: - A p p l i c a n t- ENGLER MATTHEW 3921 BOSTON CIR EAGAN MN 55123 (612)591-3308 I hereby acknowledge that I have read this application and state that, the information is correct and agree to comply with all applicable State of Mn. Statutes and City of Eagan Ordinances. APPL CANT/PERMITEE S NATURE 'ISSL SI A U O CITY OF EAGAN S-3, 3830 PILOT KNOB RD • 5512$ 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) 851.4$75 ~ t~ 3 negidsmod aft surveys ♦ 2 "pies of Own +l 2 copies of plans (include beam & window sites; poured fnd. design; etc.) ♦ 2 site surreys (oderier Addkim A d W 4 energy ciricutstions t 1 energy c tions far heissd addiftnt 3 copies of lm preservation plan d lot platted after 711/93 tequlred: _ Yes _ No [SATE: /2 _Cjj- CONSTRUCTION COST: DESCRIPTION OF WORK: F~n 1 h z 1 sty STREET ADDRESS: ALOT BLOCK SUBD./P.I.D. PR OWNER RIM Name: Fg. ~6" W1~~ PMT W L" tn*t Address• 3 Z s ' Gt W_ C_ ty- c1 : State: zip 7, CONTRACTOR Company: PI t Street Address: Lt City: State: ARCHITECT/ Company: Prhor* ENGINEER Name:. Street Address ~..~~.....~,W~...C4: Ste: 5 water ' ptun r: Rat + applies wMwaftos and tot hmmW dmVe am eed once permit is issued. I tweby edges that I have read this ica n and sty that ftw infoM IM Is arred and agM to com* with all applic" State of Minnesota Statute* and City of Eargan Ordinainces. Signature a# ant: ONVICE USE Y R E C E E D ioft:s of Surrey Received Yes No MAY 12 1994 Tmel Preservation Plan Received Yes Na 0090-FICE USE ONLY „ a BUILDING PERMIT TYPE a 01 Foundation a 06 Duplex 13 11 Apt /Lodging as,," 16 Besetne t Fah e+ 02 SF Dwelting o 07 4-piex Q 12 Multi Repair/R . a 17 Stern Pool o 03 SF Addis 08 "ex 0 13 raSW&ves q a 20 Public Fa ity a 04 SF Porch o 09 12-plea 0 14 Fireplace a 21 MWWIaneous o 05 SF Misc. © 10 --plea 0 15 Deck WORK TYPE 31 New o 33 Alterations to 36 Move a 32 Addition o 34 Repair a '37 Derrrotitiort GENERAL INFORMATION Const. (ActuaD Basement sq. ft. f+ VS Sysilem (Allowable) Main level . ft, CRY War USC Occupancy F Spe d 7jxft ft. MV # of Stories sq. fl. Bomar PUMP Length sq. it. C*nsu*;Code. Depth Footprint sq, ft. ,_.^,SAC C Census Bldg 06sus" lit APPROVALS Planning Building Variance Permit Fee Valuation: $ L5M Surcharge Plan Review License MCNVS SAC City SAD Water Dare,. Water Meter Acct. Deposit 51W Permit SNV Surcharge Treatment Pl. Road Unit Park Del. Trails Ded. Other Copies Total: % SAC SAC Units PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 0 3 2 2 5 4 (612) 681-4675 Date Issued: 06/15/98 SITE ADDRESS: 3921 BOSTON CIR LOT: 3 BLOCK: 1 LEXINGTON SQUARE 2ND P.I.N.: 10-45076-030-01 i DESCRIPTION: REROOE Building Permit Type STORM DAMAGE Building Work Type REPAIR Census Code 434 ALT. RESIDENTIAL i I j REMARKS: FEE SUMMARY: f I y i i i i li CONTRACTOR: - Applicant - ST. LIG OWNER: DUTCHER REMODELING 16880758 2003599 MERRITT RUTH i 3643 WOODLAND TR 3921 BOSTON CIR EAGAN MN 55123 EAGAN MN 55123 (612) 688-0758 (612)683--0482 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 Mn. Statutes and City of Eagan Ordinances, ~I -PA 00 APPLICANT/PERMITEE SIGNATURE I UED E 4~ 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 681-4675 New Construction Requirements Remodel/Repair Requirements ♦ 3 registered site surveys ♦ 2 copies of plan ♦ 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ♦ 2 site surveys (exterior additions & decks) ♦ 1 energy calculations ♦ 1 energy calculations for heated additions ♦ 3 copies of tree preservation plan if lot platted after 7/1/93 required: _ Yes _ No DATE: / I 19 S CONSTRUCTION COST; f SCE? ` O DESCRIPTION OF WORK: Tom- i n4-_ Qw~ 4-rVt iE STREET ADDRESS: C i - LOT: BLOCK: SUED./P.I.D. Name: 1► I yr r I tl Phone /ng3- 0422- PROPERTY Last First OWNER Street Address:_ ~ Zf 155 121 r . ~UM State: M V1 Zip: City & F'it 7.' 3S_72, FL Company: Phone L09-07 CONTRACTOR Street Address: __3 k43 W"d l Tra, License # 2-00 ~ SOJCIP City &.ymn State: mYl t Zip: SJ7/2,3 ARCHITECT/ ENGINEER Company: Phone Name: Registration Street Address: City state: Zip: Sewer & water licensed plumber (new construction only): Penalty applies when address chang and lot change is requested once permit is issued. I hereby acknowledge that I have read this application and state that the information is co ct and agree to comply with all applicabl State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: t5~[9 Od1 OFFICE USE ONLY D Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No Not Required OFFICE USE ONLY BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging O 16 Basement Finish ❑ 02 SF Dwelling ❑ 07 4-plex ❑ 12 Multi Repair/Rem. ❑ 17 Swim Pool ❑ 03 SF Addition ❑ 08 8-piex ❑ 13 Garage/Accessory ❑ 20 Public Facility O 04 SF Porch ❑ 09 12-plex ❑ 14 Fireplace O 21 Miscellaneous R 05 SF Misc. ❑ 10 T plex ❑ 15 Deck V(ORK TYPE ~~-rv 2 yvi RE I.47-C A Q F f~'c7ca f= ❑4 CwV% 36 Move ❑ 32 Addition 34 Repair 0 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. 143 Depth Footprint sq. ft. SAC Code 01 Census Bldg Census Unit APPROVALS Planning Building AA9 Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MCMS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pl. Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units w - 1 ' CITY OF EAGAN N4 16 4 5 9 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100„ BUILDING PERMIT Receipt # t...~ DECK & To be used for 3-SEASON PORCH Est. Value $10,000 Date MAY 11 19 89 Site Address 3921 BOSTON CIR Lot 3 Block 1 Sec/Sub. LEXINGTON SQ 2ND OFFICE USE ONLY Parcel No. Occupancy R-3 FEES Zoning PD R-1 W Name KENT STONE (Actual) Const -Y--N Bldg. Permit 117.00 Address 3921 BOSTON CIR (Allowable) V-N Surcharge 5.00 0 City EAGAN Phone 454-1487 # of Stories Length 16, Plan Review Zo Name BF.SKE CONSTRUCTION Depth 14' SAC, City 0¢ Address 1737 LINCOLN S.F.Total City ST PA111. Phone 698-3232 S.F. Footprints SAC, M On Site Sewage Water Conn onn Fw Name On Site Well Water Meter =a' Address MWCC System Q Acct. Deposit a W City Phone city water PRV Required S/W Permit I hereby acknowlege that I have read this application and stat at a Booster Pump S/W Surcharge information is correct and agree to c y with all applic St of Deck 12'x12' Minnesota Statutes and City of xenees. Treatment PI Signature of Permitee APPROVALS Road Unit A Building Permit is issued to: BESKE CONSTRUCTION Planner Park Ded. on the express condition that all work shall be done in accordance with all Council 1.00 applicable State of innesota Statutes and City of Eagan Ordinances. Bldg. Off. Copies Building Official 41.6w, A'eldrLInj Variance TOTAL 123.00 1989 BUILDING PERMIT APPLICATION CITY OF EAGAN Ll 64 SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCS. (CHECK WITH BLDG DIV..) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCS. 1 SET OF ENERGY CALCS. MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS # OF UNITS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER BUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.. SEWER & WATER PERMIT FEES AND ACCOUNT DEPOSIT FEES WILL BE INCLUDED WITH THE BUILDING PERMIT FEE. PROCESSING TIME FOR SEWER AND WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED INDICATING A LICENSED PLUMBER. PENALTY APPLIES WHEN: PERMIT IS NOT PAID FOR IN SAME MONTH IT IS REQUESTED. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. 3- SeasoN A NJ> 1:)ScK Q v To Be Used For:.; Valuation: i Date: t Site Address OFFICE USE ONLY Lot 3 V Block Occupancy R-3 FEES Zoning FD• - t Parcel/Sub I eywo&To" ~ ZND At>Dm. Actual Const V-M Bldg. Permit 11%00 Allowable N/ -N Surcharge 19,04 Owner # of stories Plan Review Length tL SAC, City Address dsr/or~ Depth _ /4 ° SAC, MWCC S.F. Total Water Conn City/Zip Code Footprint S.F. Water Meter VEt. k I ZsK 12,1 Acct. Deposit Phone ~`7 On site sewage S/W Permit M On site well S/W Surcharge Contractor MWCC System Treatment P1. City water Road Unit Address ~/~~~/4l/GIU PRV required Park Ded. Booster Pump Copies City/Zip Code e 1#1V. SUBTOTAL APPROVALS Penalty l Phone Planner TOTAL Council Arch./Engr. Bldg. Off. la Variance Address City/Zip Code Phone # VA v r2.G, M 1 k/ Z2~/ X Vo erg G-v 0 !0; % I~ ~cK 4f r'~4EE 4t METh'0 CllSTCM /~nl£S E NGINEfRiNG CIIRSULTiHO EHt31HMRS, PLANREAS' end LARD SUAVEV6311S COMPANY, INC. Iccc EAI T 146A SIRE='a, 8t ~4~:lLLE LIIHHE:07.1 SS:?? P4 CM-SOOa C~~'-,~ z z cr3~e ~ CI ,fie Cr~,cC Cr • L= 9, BLOCCr 1, LE;C;NC C,ti% SGUAiRF 2ND ADClT;O;,,; A,~07A 000,17Y, A41AJA 550TH C`3- 3-D DEQCTE5 EXI5TI1V6 E'C'V,47/0A, C e9~ DE NCTE E PRCPOSEP FL E '✓A,,710AJ INDICA.'-c"5 DIRECTICN CF SURF:gCE DRAIKIAC-= 6A94CE F:.%CR fCEi/A-TIOil;" NORTH SCALE, =3c' 8 ~9s /b°. 34 s_ DRAIIvAbc ANC UTILITY EASEMENT L 0 rt~ ~&96.5~ I v t 895_8 ~ \ I r \ Q ti $ , watt r S' ^0 m~° ~p r a, ~4~ h Rip 60.0c 3a' FRONT BUILD; :",(6 SETBACX L IAVIE BOSTON) CIRCLE I her:by certify that this is a and CCMeCt rapraaentition of a tract of land as shCn n* and described herec'n. As prepared by me on this day of Jury 19 . Mnn. Reg. No. /Gat~- CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N - 12322 PHONE: 454-8100 BUILDING PERMIT Receipt # / Y 19 8 6 To be used for SF DWG/GAR Est. Value $96,000 Date JULY 22 Site Address 3921 BOSTON CIRCLE Erect M Occupancy R3 Lot 3 Block 1 Sec/Sub. LEXINGTON SQUAREemodel ❑ Zoning I?D Parcel No. 2ND ADD Repair ❑ Type of Const. V Addition ❑ No. Stories METRO CUSTOM HOMES Move ❑ Length 44 LU Name Demolish ❑ Depth 47 o Address P.O. BOX 1049 Int. Impr. ❑ Sq. Ft City BURNSV~~ 454-9383 Install ❑ SAME Approvals Fees o Name 3i I.- 00 Address Assessment Permit $ 4 21.0 0 City Phone Water & Sew. Surcharge 4 8 . 0 0 Police Plan Review 210.50 F W Name Fire SAC 575.00 u o Address Eng. Water Conn. 500.00 a Lu City Phone Planner Water Meter_ 63.50 Council Road Unit 296.00 I hereby acknowledge that I have read this application and state that the Bldg. Off. 7/22/8 6 Tr. PI. 15 b . 0 0 information is correct and agree to comply with all applicable State of Minnesota Statutes and of Eagan rdi nces. APC Parks Var. Date Copies Signature of Permittee Ci ~Total $2,264.00 A Building Permit is issued to: M TRO CUSTOM HOMES on the express condition that all work shall be done in accordance with all applica^ble ~Se of Minne ota s-awnd City of Eagan Ordinances. Building Official /(Y4g\~LZ-✓ IC7 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN COMMERCIAL SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF ARCHITECTURAL INCLUDE 2 SETS OF PLANS & STRUCTURAL PLANS, 1 SET OF 3 CERTIFICATES OF SURVEY SPECIFICATIONS AND 1 SET OF 1 SET OF ENERGY CALCULATIONS ENERGY CALCULATIONS' $2,000 LANDSCAPE BOND / To Be Used For: Valuation: Date: Site Address OFFICE USE ONLY Lot, Block Erect Occupancy Tt 3 Remodel Zoning Parcel/Sub Le.,Vz~s foil Repair Type of Const Addition # of Stories Owner kA~jy D Ind j _I,t /yl ira~P_ S Move Length Demolish Depth Address Int.Impr. Sq Ft Install City/Zip Code ~ 41L Phone !S APPROVALS FEES Contractor Assessments Permit Water/Sewer Surcharge Address Police Plan Review Zlo, Fire SAC 7 City/Zip Code Engr Water Conn Ott Planner Water Meter j Phone Council Road Unit y' Bldg Off Treatment Pl / Arch./Engr. APC Parks Variance Copies Address TOTAL City/Zip Code Phone # -Z.77 b4 3 4 X3c) z 27 d x ~~So x VC) -,,e, 30 ~ 7G-Z. 95:55T i f ~0~ Our 4-F ROBE tnxSut~lxa Exn1xEf~s. MET CJs ~cnn ~~~s . PIFENGINEVIING pU4HHEAS and LAHD SIIAVEVOQS COMPANY, INC. 1CCQ FIST 146"A SIRE=7 8L'R4c~SLiE, UINM£_°0TA 5S_37 Psi i=2-!000 ocl .~c~cr~pC:cTz: ~ T 3, BLOCS LEx;NC- 0k'' SGUARE 2ND ADD17I10;; :;BIOTA COWTY MNAJ95074 DEMO T G5 EXISTIAI6 ELE ✓AT/01u" < 696-4 DE NCTC S PROPDSEL ELC'✓A710AJ INDICA-1=5 DIRECTICN C)F SURF:? CE GRA1N/~~E FI/UI_5YY 6ARaiGt F Zg ELE✓ATIoA," NORTH SCALE: = .?0' X95. ~ ~6 9.34 v_ 3, DRa►N,a;'OE ANC UTILITY EASEMENT L G ~s96_s, ✓ I 895J8~ a ~ F!- I y ~ ~ 28 : X95.4, \ 3 1895. . ~ ~ ~ ~ 6Q•QQ ~'1 • a 2 30' FROA/7" BU/GOr,"r& a~ ` SETBACK L/itlE ~g94.e~r BOSTON} / CIRCLE I her:by certify that thin is a t and cor^act representation of A trAct of _ day of land as shoxn' and described herecn As prepared by me cn this /fod ` . 111nn. Its. /God' PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA108004 Date Issued:11/09/2012 Permit Category:ePermit Site Address: 3921 Boston Cir Lot:3 Block: 1 Addition: Lexington Square 2nd PID:10-45076-01-030 Use: Description: Sub Type:e - Furnace Work Type:Replace Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to Mark Anderson , State Electrical Inspector, 952-445-2840 Crystal Cochran 7588 Washington Ave S Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 9001.2195 $60.00 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 - Catherine J Breet 3921 Boston Cir Eagan MN 55123 Pronto Heating & Air Conditioning 7588 Washington Avenue South Eden Prairie MN 55344 (952) 835-7777 Applicant/Permitee: Signature Issued By: Signature Use BLU": c LACK Ink, z ptitip - - - - - - - - - - - - - - - - F& Cf Use- I My of Ear 150 Fe7i nit F=ee: I 3830 Pilot Knob Road Eagan IVIN 55322 f Date Received: Phone: (653) 675-5675 6 j I Fax: (653 ) 676-5694 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Site Address:3 V/ 1osrrs,&)C.e c~ /IV ss~ i er'iant: Suitor : ESi'DEN T I OWNER Name: Phone: "4a ~ QPhone: 9~ Address t City / zip: 3U/ .UD 378~✓ Ct~ ~J /'7'?~ .S'sE~~^ ' Applicant is: Owner Contractor Q TYPE OF WORK Description of work: ' ('w3eci OF JF Construction Cost: h 1? Multi-Family Building: (Yes ! No CONTRACTOR Name: yVEGC~R/y~'Gvl/Ijc„~~/15 License: 1 Address: ? ME 4~✓,6'.LOO~' , City: 4rc.:s- /Dis e.E N State:-.1zip: S°sq~?_G Phone ~'So?> t3~- 6 soa 0-- Pk Contact: Email: COMPLETE THIS AREA ONLY IF CONSTRU TINO A NEW BUILDING In the last 32 months, has the City of Eagan issued a permit for a similar plan basest on a master plan? n _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone:, Mechanical Contractor: Phone: Sewer & V°iater Contractor: Phone: :Plans and supporting documents that you submit are considered to be public, jnfn.=afaor: - rortibns the information, may be classified a o r:ob-pubf c if you provide specific seasons it~sf too ~~~,ee . Awe . ,YU I ~~'e~cftsde B;G~: ~ ~:~r a4•c t. a~;e se re~" CALL BEFORE YOII ®iG. Call gopher State One Call at (651) 454-0802 for protection against underground ufiiity damage. Call 48 hours before yflu intend to dig to receive locates of underground utilities. wavw.cropherstat~onecall o~ 1 hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and coves of the City of Eagan; that I understand this is not a permit, but only an application fv- a permit, and workk is not to start Without a permit: that the worts w l1 be in _ccordancc- with tl- approved plan in the case of wrork which regi ,rOS a riew and ,:=pproval of plans-. ? can s P r.rtkad 14111 M e Ap„pll °~a 3"'sc.t ra Face 0~ 2 411`1 C!tyofEaQau 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 #: 139 'O7/ Permit Fee: /OS . a-) Date Received: /1 - 9 - Staff: 2016 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit #: xr Name: DQ !J pp;SSe l j Phone: 65l -^1165-07`N Address / City / Zip: 3701 1 gO,S vl C 'arC, (e 55 r.k2 Applicant is: Owner K, Contractor Type of Work Description of work: R �- 'o 7� `( Q Ae Construction Cost: `J 70 [ 4 3 d Multi -Family Building: (Yes / No Y ) ontr . Company: 6 C f "laca rt i caf(l(rS Co�fro ontact. sf re (75 o Ftr-..4..'4, ( Address: F6k Qr d Cf City: State: tlN Zip: 5-5° ( Phone: 75 -0L -8q (-851C Email: License #: 6 C' (70 L' Lead Certificate #: NAT 0 7Z1 1 If the project is exempt from lead certification, please explain why: �.yna 1 SVtk ,, , In the last 12 months, Yes No COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? If yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Fire Suppression Contractor: Phone: Phone: Phone: Phone: NOTA Plans and s e ortin d a s that you s a e ere l to ,be pub is g o this information m b aasrfre ® as non ublic if you ® . tic Baso bau d per the concludeepreta.,.= ns of 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.qopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. $'' &rte► -,a „, Applicant's Printed Name Applicant's Signa re Page 1 of 3 Use BLUE or BLACK Ink For Office Use /I�� �, CityPermit# 1 �Eaaii Permit Fee: /2 '6.67 '4) h 3830 Pilot Knob Road Eagan MN 55122 RECEIVED '.,--7-79--.G ' Date Received: Phone:(651)675-5675 Fax:(651)675-5694 FEB 102017 Staff: it;;Ai_i_____ ,..- J 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 02-10-17 Site Address: 3921 Boston CircleUnit#: NA Name: Daniel/Megan Bissell Phone: 763-234-0606 R `de3921 Boston Circle, Eagan, 55123 owner Address/City/Zip: 7-7 7.--,,,,) Applicant is: Owner X Contractor Type Work Description of work: Bathroom Remodel Construction Cost: 12,236.00 Multi-Family Building: (Yes /No X ) K2 Bath Design LLC Contact: John Hunt Company: Contractor Address: 2710 Urbandale Lane N City: Plymouth MN i 55447 651-331-8703 k2 ohnh mail.com State: Zip: Phone: Email: �g License#: BC638895 NAT120063-2 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: NOTE:Plans ander i« t., .. ' , m'7' at ou sub considered to be � mation Portions of the information Maybe classified"as non---1.! c,\if yodrtvi a i�i sons that would�trt the ity to conclude._..at.the ate trade s CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. x John Hunt x Applicant's Printed Name Ap ignature Page 1 of 3 ., - •--.�// ( U,` �i<'�1 DO NOT WRITE BELOW THIS LINE 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* _ Addition _ Move Building _ Reroof _ Demolish Interior '')(1Alteration _ Fire Repair _ Windows _ Demolish Foundation Replace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION Valuation ` E;4-; Occupancy ='(-' MCES System Plan Review Code Edition ;,,r , ; SAC Units (25%_100% r ) Zoning 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: Footings(Deck) Final I C.O. Required Footings(Addition) ____gFinal I 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 '20 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 f) Shower Pan Other: Reviewed By: ! �.'_''N. (41! V I `7 71- , Building Inspector RESIDENTIAL FEES tom« 1 ,,r, / Base Fee Surcharge Plan Review �; ` 1;,�;:y ,./4'� 1 =`= MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of 3 Use BLUE or BLACK Ink r For Office Use 1114 City of Eaaall Permit#: III 6r7CP- Permit Fee: 3830 Pilot Knob Road ll�� Eagan MN 55122 Date Received: Phone: (651) 675-5675 Staff: Fax: (651) 675-5694 1 2017 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: -A/i7 Site Address: 3 I )i ' s.1 Cave Tenant: Suite#: ResidentiOwner Name: Phone: Address/City/Zip: '31>1 - Cal/' A -n Name: App a✓6�t.5 j)��dl� pig�,b i�s License#: W7 I me t Contractor Address: 1)1.03 i i frit–' 40e City: Cin /J State: -I/V Zip: ��� !( Phone: £1) -Dv., 3C{yv Contact:-rhlTk Email: Type of Work ? —New Replacement —Repair —Rebuild Modify Space —Work in R.O.W. 11 Description of work: h z kte i vo --4I�,4- Stir•-z.- I ('d 114j ed RESIDENTIAL 3 1 Water Heater Water Softener Lawn Irrigation ( RPZ/_PVB) PermitType Add Plumbing Fixtures( Main/—Lower Level) Septic System New Water Turnaround 3 I — Abandonment RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge) $60.00 Lawn Irrigation (includes State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround*(includes State Surcharge) *Water Turnaround (add$280.00 if a 3/4"meter is required) $115.00 Septic System New(includes County fee and State Surcharge) TOTAL FEES $ 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.qopherstateonecall.org 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. T1/1c -/N l .rte x ,.i` Applicant's Printed Name Applicant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-in Air Test Gas Test Final Meter Related Items: Meter Size Radio Read Manometer Staff: PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA151564 Date Issued:08/30/2018 Permit Category:ePermit Site Address: 3921 Boston Cir Lot:3 Block: 1 Addition: Lexington Square 2nd PID:10-45076-01-030 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 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 - Daniel C Bissell 3921 Boston Cir Eagan MN 55123 Haley Comfort Systems 4320 Hwy 52 N West Frontage Rd Rochester MN 55901 (507) 281-0138 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA162037 Date Issued:06/23/2020 Permit Category:ePermit Site Address: 3921 Boston Cir Lot:3 Block: 1 Addition: Lexington Square 2nd PID:10-45076-01-030 Use: Description: Sub Type:Fireplace Work Type:Gas Fireplace (new) Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 3,000.00 Fee Summary:BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 $90.00 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 - Daniel C Bissell 3921 Boston Cir Eagan MN 55123 (952) 513-7706 Glowing Hearth And Home Llc 100 Eldorado Dr. Jordan MN 55352 (952) 492-9276 Applicant/Permitee: Signature Issued By: Signature