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3930 Boston CirParcel Files Cover Sheet Unique ID: 1948 3930 Boston Cir 104507606001 " ? CAW RECElPi . ,. - , ?.? CITY Of, .???AR. ?..3795 ?ILOT KNWBi ROQtO E,qGAN; MiNI!4ES4T;A 55122 '; . ? DA ?. s:. ?cBew?eq Af4oput? ? P , r ? ? p , ?oo Q CASH +CI=PLCK . .....?, ; _ . . ? ? 3830 PI?Ot KttOb R d? P.O. BoEIaGA g' E81g8i1, RAN 55121 N6 „ 12146 PFFONE; 454-8100 BUIIDING OEhMIT Receipt # t To be uset fm SF D WGf GAR Est. Ual ue ?91r t? 0(? Date JUNE 20 , 18 $? ; Site Address 3930 BOSTON C xRCLE Erect R3 ancy O - I Sec/Sub. LEXING'TUN SQUAYti?made? ? Lot 6 Block R Zanin? Parcel No. Repair ?` Type of Const. Mn Addition ? No. Stories ? Nams ME''FtO CUSTi3M fif}MES Move ? 4 6 Length 3 Address P • O• ?X 1049 Demolish ? Depth- s$ o Int. Impr. ? Gity Bi1Ft?ISVZ? 454?^-9383 lnstatt ? Sq. Ft. ? Name $AM Approvals Fees Z 0 ? Address Assessment Permit ' ?? City Phone Water & Sew. Surcharge 50 Police Plan ReviewM' 00 F ? Name Fire SAC ??7'?• ?? ? Z Address ? ???? Water Conn. ? 00 < City Phone Ptanner ??.?i? Water Meter Council _? ?? Road Unit ` I hereby acknowledge that I have read this application and state thaYthe Sld9 Off ' PL 00 Tr informat+on is cc>rrect and agree to comply with a0 applicable State ot . Minnesota Statutes and City of Eagan Ordinances. APC ParkS Signature of Perrnittee Var. bate • Copies $2 239 00 ` , ...,;. 0 Tofal • A Buildi Permit is issued to: ?TRO 6'?X ?OMES ?9 on the express condiGon that all work shall be done in accordance with all applicable State o; innesota Statutes ant?Ci"f Eagan Ordinances. ..._ 6uilding Official , .•?.o..,G. r `:?... ?..1 .o.+ ,r•-_..-- ? ? Permtf Na. Perm4t Holdsr Dats Telephone # Plumfsinq H.V.A.C. C Ele.ctft softirw Inspectfon Date Insp. CommeMs Footfngs i Footings 11 Foundatbn 'Framing Roofing IHtnlgll PlbQ• aoua+ ?+w. ./A.t? lkfja? i..j?- /i IFMai Htg. Final Plbg. ,[:J ? .GCr Bldg. Final Ftg. Frmg. lPr. Disp. 2 . . CONTRACT PRICE: . Site Adc?ress Lot ?•? Block _._. -.......,_ . .. . . _ . .....? .,. . ..:... ... PERMIT # a : ? PLUMBING PERAAIT RECEIPT # CiTY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 QATE: PHONEs 454-8100 11 BtDG. TYPE WORK DESCRIPTiON Sec/Sub , Name 4`)?T77i"?G? ,?-?JfrtS ...1 f.JU ?a Addresf /? ??'? ?i}ca.65P l G?G c CityPhone4 4t - 3 Name c Address ??'??-?- ? ? City '?1 A(o,?tn..? FEES COMM/IND FEE - 1% OF CONTRACT FEE ' MINIMUM - RESIDENTIAL FEE - $10.00 MINIMUM - COMM/IND FEE - 20.00 ' STATE SURCHARGE PER PERMIT - .50 '(ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) ' SIGNATURE OF PERMITTEE FOR: CITY OF EAGAN X Y Res. New Mult Add-on Comm. Repair Other . FIXTURES TjoTA! Water Closet - $3.00 $: Bath Tubs - $3.00 ? Lavatory - $3.00 ? Shower - $3.00 = Kitchen Sink - $3.00 Urinal/Bidet - $3.00 a = w Laundry Tr y - $3.00 /_Floor Drains - $1.50 - _J_Water Heater - $1.50 Whirlpool - $3.00 Gas Piping Outlets - $1.50 Softener - $5.00 Well - $10.00 Private Disp. - $10.00 --j-Rough Openings - $1.50 ? FEE: g .3c? • ?? STATE S/C: ? ? ?? GRAND TOTAL: ? ?: K?}, ;a.° ? }..2.? r^:,'.`i,?yd" ama?a_-??,w ? ?; ? ?,r,r,???a::i.. ??5?e?g'??,:?,e:?y. ?q,?.?.?n f??-,•4•?,'` u. '?,'?...?,.e„?,,,.ra..?,???n° ?•" ...'Y'? ? gE^ ° . PERMIT # •?.?> MECHANI_.CAL PERMIT RECEIPT # ` . CITY OF EAGAN ?6? 3830 PILOT KNOB RO AD, EAGAN, MN 55121 DATE: ' CONTRACT PRICE: PHONE: 454-8100 " Site Ad ress ? .=?• ?'> ? "/!'c'.6 BLDG. TYPE WORK DESCRIPTION Lot Block Sec/Sub? . New Res ? Nam?-- . Mult Add-on Addre ? i R C ? • t ?- ? ?' ? ,c- ?.., ; Phone r epa omm. Other Name ,.?a FEES ,J c Addre RES. HVAC 0-100 M BTU -$24.00 p City P h o n e ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 ADDITIONAL 6•M BTU - 6.00 ? TYPE OF WORK ? GAS OUTLE7'S - 1.50 EA. ? Forced Air M BTU COMM/IND FEE - 1% OF CONTRACT FEE , ? Bofi(er ' - ' _ - -. M-BT(l' MINIMIlM - RESI_DENTJAL.FEE 10.00 i l Unit Heater M BTU - MINIMI? M MNTf#I?O?FE e ' -' - 20:00 - -- ? Air Cond M BTU STATE SURCHARGE PER PERMIT - .50 . IF PERMIT PRICE GQES S/C .50 (ADD $ Vent. ? CFM ? $1, Q00.00) BEYOND F Gas Piping Outlets # ? Other $ FEE: ? ' SIGNATURE OF PERMITTEE ; S/C: ; TOTAL: I . FOR: CITY OF ERGAN ? - _?...? ??.` -"'?°,?'-i'"-?,?' . " . . ' „? r?`:• ? . PERMIT # P4UMBING PERMIT RECEIPT # C? rJ? r? ? CITY OF EAGAN 3830 PFLOT KNOB ROAD, EAGAN, MN 55121 DATE: CONTRACT PRICE: C^ Cj'.PHONE: 454-8100 Site Address -? d? Lot L kO Bloc ? Name m Addr? c Cityf ? L Name 3 Addre O CitY - ?7 - Phone 4'' PJ° '? FEES COMM/IND FEE - 1% OF CONTRACT FEE MINIMUM - RESlDENTIAL FEE - $10.00 ; - MINIMUM - COMM/IND FEE - 20.00 ' STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) SIGN TURE OF PEij!(AITTEE ,r . . ?__..... r . . . FOR: CITY OF EAGAN Sec/Sub .? ? BLDG. TYPE WORK DESCRIPTION Re New It. Add-on Gomm. Repair Other ? NO. FIXTURES TOTAL Water Closet - $3.00 t Bath Tubs - $3.00 ? Lavatory - $3.00 Shower - $3.00 Kitchen Sink - $3.00 Urinal/Bidet - $3.00 Laundry Tray - $3.00 Floor Drains - $1.50 Water Heater - $1.50 Whirlpool - $3.00 Gas Piping Outlets - $1.50 ---L_Softener - $5.00 Well - $10.00 , Private Disp. - $10.00 Rough Openings - $1.50 FEE: STATE S/C: GRAND TOTAL: '? ? ; crTY QF.-*aaAw . W?44]? S?I+fi? l??1?3' 3830 PilotKnob Roarl ? E P. O. Box 2'f7? PEttMiT NO.c 7721. 7-27-86 ` Eagan, MN 5572?1? ? DA7E: Zonir'r9: No, of Units: ?r. Pietra Cust Hornes Addrm: Stte wddress• , ostan Cir L6 $1 Lex Sq II Ptun,ber 'Mattf%ew?anYe-Ts '- o,: f a, S 500.00 AAeter tVu.,t ?°p: 15 , 0 Size: vww ?'i'tt) ? ? ,,r- ? 10.00 Racder No.: 15 ?_ --a:,. a? ?? ov;:;eu u'b? t ??c 0 I aorse ?o witlr !6a ,4#?1E - E??ie: ??,?..--L t? By _ Qote 1 _r ?? ?? 1 f .?( Otp ),EQUIRt???+. eter 13we :PaW Ir?sp.: Irtsp.: P ...<_ , . ew,. « -....:., . , , "...:. .r ..m:.. . . __ ? CITY Of fAGAN 1NATSR Sarm' pium' ; 39W Pr'lat tCnob Roul " ?'7?1 , P. ?: Sox 21199 PERMiT'htGY.: ' Eson,MM 55121 DA7E: I` 7-22?36 zonirv; ..Rl No. of IJnit.s: ? 4 4"_,pvti-Q C ???tom . Skonies QWllef; Addrom Siioe /lddre3s: 3930 i3€3?ta7t? CiT' x,,f?= ? Plumber. Mat t ew n3ea s Meter No.: Connectton Chorge: SW Size: Account Cieposit: ??•?? Reoder No. • Penttiti Fee: 1oearae to eam* whh tM Cihr of Eogon SurtFrorge: •'^,? : ordb.nc... Nusc. c?rgm 156.0otp Totai: By Date Pold. Date of inspA: Insp.: __ ..? ? Ct"?Y d1: EAGAN SE1A1? 3? ? . ????. ? 383Q Pilat Krob Road P. LL),`; Box 27199 PFttMiT NO.: y 22=?? ' 1- AAN,5S121 DA7E: > : ya?r?is. RI ` Na of tJrft- • ?f; *t? CUStk? [??S JVddress: sft I?dclness: MtJ' BDstoa CirgTc Ib B1 IO:K > U. ` htumber• ''tAtth?? DanzGlS F 6719/86 1w 4 Uot ... . ` I orw !o"ep"I* wilb !lu qy of Eaoauir C*nnqctlon CF+au".`. , 4 75 R ?0., ? AccaauM Depot; 3 5 : ??# Perm* :€ee: 1?, ?B#3 E Su?dtorpa• By Misc. Chorom tMi+e of tnap.: Tatal: ` ? rnsp.. i)ate Paid: ? r Thrs re4uest vflid 18 months from I °C 3-3,67 0 L 1,? K? --•- Reque . Fire No. iugifi -in Mstion R red? 13 dy Now?Will Notifv, tnspet;- 1'es [] No- [or When Ready ? Gicensed Electrical Contractor I hereby request inspection of above Owner eiectrical work installed at: Street Address, Box or Route No. Citv eAs ? !V Township Name or No. Range`No. Cdutity LJ A OccuGant(PRINT) Phone No.' ?d C_1_A57-C:, • • 1 Power Supplier Address &-7T7\ °cL&cy 4136c) 220 ?'AWy1 Etectncal Contractor (Company Namel Gontractor's License No. ?'?") l U Mailing Address iContractor or Owner Making instailationl Auth ized Signatu (Contractar Owner Mak?ng Installation) Phone Number ? L) J-2 - 5?to ? MINNESOTA STATE BOARD qFvELECTRIGITY T?1IS INSPECTION REQUEST WILL`NOT Griggs-Midway Bldg.+- Hoom N.191 6E ACCE:PTED BY THE STATE 64ARD 1827 University Ave>; St. Paul, MN 55104 'UNLESS PROPER INSPECTIQM FEE IS Phone (612) 297.2111 ENCLOSED. _ ?-(__RE17€ST-FOR ELCTICAL INSPECTION » EB-00001-04 Il, See instructions tor completiog tbis form on back of yellow coRY• Belaw Work Covered by Thrs Request ?ap fAdd Rep. Fype of Building Appliances Wired Equipment Wired ' h"tome" Range T'emporary Service Duplex Water Neatar Lightiny Fixtuces Apt: Building Qryei Electric Neatin Commercial Bldy. ` Furnace Silo Untoader lndustrial Blcig. Air Conditioner $ulk Milk Tenk . Faritl... Othxr Pec.i y ther (Sper,ify) f er Svecify Other Ofher ompute inspection Fee Below 'M - Fee ? ServiceEntranceSize : ft Fee? FeedersfSubfeeders #t -Fee Gi.rcurts 0 to 200 Am s 0 to 30 Am s ? 0 to 30 Am Above 200_Amps 31 to 100 qmps 31 to 100 A s Swinvning Pool Above 100_Amps Above 100-Amps Transtormers frrigation'Booms Partial-'Other Fee ' Signs Special inspection - $ s'C? TQTA EE ? Remarks ( i Raugh-in . ? he lectri : ? . . ; .- ? .'?::. ..., . ? spec ., ereby that th c tif b Final O`??' ! ?`?? ? er y e a ove gpQ?tion has been d e. This request void 18 mofiths from CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N2 12146 BUILDING 'PERMIT PHONE: 454-8100 Receipt # To be used :for SF DWG/GAR Est. value $ 91, 0 0 0 Date JUNE 20 {g 8 6 Site Address 3930 BOSTON C IRCLE Erect C? Occupancy R3 Lot 6 Block 1 Sec/Sub. LEXINGTON SQUARRer@odel ? 2oning Rl Parcel Na Repair ? Type of Const. Va1_ Addition ? No. Stories 4 6 Z Name METRO CUSTOM HOMES Move ? l.ength P. O. BOX 10 4 9 Demolish ? Depth Sa o Address Int. Impr. ? Sq. Ft. City BURNSVI'A&e 454-9383 Install ? o N S? Approvals Fees 0 ¢ ame Address ~ City Phone ? W Name ? ? Address a W City Phone I hereby acknowledge that I have read this application and statethatthe information is correet and agree to aomply with all applicable State of Minnesota Statutes and Ci of Eagances. Signature of Permitte6 ? A' Building Permit is issued ta ETRO CUSTOM HOMES all work shall be done in accordance with all applicable te Minnesot Building Official Assessment Permit $ 406.00 Water & Sew. Surcharge 45 . 50 Police Plan Review 203 . 00 ?00 Fire SAC Eng. Water Conn. 500.00 Planner Water Meter 63 . 50 Council Road Unit 290.00 Bidg. Off. 6/19/86 Tr. PL 156.00 APC Parks Var. Date Copies $ 2. 2 39 . 0 0 Total on the express condition that S tutes a G4tg_f Eagan Ordinances. 2008 RESIDENTIAL BUILDING PERMIT APPLICATION D t ?'? ?_ 0 3 )"o/1 Sit Add a e: e ress: / Tenant: Suite #: RESIDENT / OWNER Name: -???e?'P ?/' 1 Phone: Address / City / Zip: . O A r! C li i t pp cant wner ontrac or s: TYPE OF WORK Description of work: z? e 12U' 4 e ejlV) Construction Cost: Multi-Family Building: (Yes / No ? CONTRACTOR Name:.?-?.° L.icense #: Address: ` `7 q City: Ang2 L( // ,? State: M/ " Zip: Phone: !f L Z-1l /P ? Contact Person: c /.? -?169 2 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted submission type) • Energy Envelope Calculations Submitted 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: NUTE: Plans anal supparting tlocuments tftat you submit are considered to be public information., Portions of the informatiort may be classified as non-public if you provitle specific reasans that wou/d permit the City to ' cnnclude that #hey are trad? secrets. : 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. X - X - Applicant's Print Name Applicant's ignature Page 1 of 3 1999 BUILDING'PERMIT ARPLICATfON (REStDENTtAL) CtTY Of EAGAN 3830 PtLOT KNOB RD - 55122 651-681-4675 New Construction Reauirements Remodei/Repair Reauireme t15 s ? 3 registered sNe surveys showing sq. ft. of lot, sq. ff.`of house 2 copies of plan and aii roofed areas (207, maximum lot coveraae oilowed) 1 set of energy calculations for heated addffions ? 2 coples of plans (show beam L window sizes; poured fnd, design; etc.) 1 site survey for exterior additions 8 decks ? t set of energy catculattons > 3 copies of tres preservation plan if lot piatted affer 7/1/93' , DATE: CONSTRUCTION COST: DESCRIPTION OF WORK: : STREET ADDRESS: 3; 3 f? ?--?1 ?`? LOT: ? BLOCK• SUBD./P.LD. Name: ?-N U`'rt Li ? Phone #. PROPERTY Cast Pirst OWNER ?G?-?'?'?-'?--? Stre ress: City Sta#e: Zip: ??tl-?qly Company: Phone #: CONTRACTOR G Y f t? ?- rp (?e?? fS ? 3? Street Address? ? , ticense # Exp, City State• Zip:-ss ARCHITECT/ ENGINEER Company: Name: Telephone #: area code { ) S#reet Address: Registration #: City State• Zip: Sewer 8 water Ilcensed plumber (reaulred for new construction onlv): Penalty applies when address change and lot change is requested once permit is issued. I hereby acknowledge that I have read this application, sfate that the information is correct, and agree to compiy with all applicable State of Minnesota Statutes and City of Eagan Ordinances. J Signature of Appllcanf OFFlCE USE ONLY Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No Not Required OFFtCE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 4-piex ? 11 10-p{ex ? 16 Fireplace ? 21 Porch (3-sea.) ? 02 SF Dweliing 0 07 5-plex 0 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened) 0 04 2-plex ? 09 7-plex ? 44 Aparfinents ? 19 - L.ower Level ? 24 Storm Damage ? 05 3-plex ? 10 8-plex 0 15 Lodging O 20 Pool ? 25 Miscellaneous WORK TYPE , ? 31 New ? 35 Tenant Irnpr ? 39 Gas Line On ly ? 43 Siding/Soffits/Fascia 0 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors D 33 Alteration ? 37 Demolish Bldg.* , ? 41 V1/ood Stove ? 45 Fire Repair ? 34 Repair ? 38 Demolish (Interior) q 42 Reroof * Give PCA handout to applicant for demol ition permit GENERAL 1NFORMAT ION Const. (Actual) Basement sq. ft. Census Code I (Allowable) Main level sq. ft. SAC Code UBC Occupancy sq. ft. No. of Units Zoning sq. tt. Na. o# Bldgs # of Stories sq. ft. MCfES System Length sq. ft. City Water Width Footprint sq. ft. Booster Pump PRV Fire Sprinklered APPROVALS Planning Building Engi neering Variance ' Permit Fee Valuation: $ Surchar9e Plan Review License : MC/ES 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 Units % SAC ********?**************?*********?*?. x' CITYOF EAGAN NOTE: PAnMPNToFFM AT TIM oF ? _ . ?. APPLIcATIoN noES Norr ooNSmTum ? * APPROVAL OF PE3tNfIT. ? APPLICATION FOR PERMIT - . ? INSPDCTION OF SEYM AND/CR W= * 7mnp7=ONS WILL NC3T BE SCHm- * SEWER AND/OR WATER CONNECTION ?txm tnvriz. Pa:u?ffT HAs BEw ? . ? APPROVED. ?.. ?*********************************** l) PROPERTY ADDRESS: LEGAL DESCRIPTION: Please Print IF EXISTING STRL'CIL7RE, DATE OF ORIGZNAL BLILDING PERMIT ISSL'ANCE: ? . . PRESENT ZONING/PROPOSID USE: (Nbn Year -- f? CMEFtGI.AIa?'F'I"P TL{Ou'FIGE R-I SI1iIG.I,E FAMILY' . r7 INIDL?STRIAL R-2 DLPLEX (Twd L1nits) n INSTITC,?TIONAL/GOVERNMEIVT CD R-3 'IUWNiO0SE (Three + Units )( L?nits ) . [? R-4 APARTME9T/CONIDOMIIVIUM ( Units ) . 2) NAME: ?l'a C?s?in • ADDRESS e I`RM,G_ ? w CITY, STATE, ZIP:_ ff1GIp?1/. Mw1. PlioNE: 3) ?: ?• NAME• Q? ?^ For City LTSe rlumbers License: ADDRESS: / r., Active i CITY, STATE,.ZIP: aj . Expired : Not recorded PxorrE:!?Z3- ?Q MsTM LzcEvsE# 369?'rM . - staf? UTitial. : 4) •• ?..??i?+;? NAME: a? ? _ ADDRESS : CITY, STATE, ZIP: PHONE: . ? h?s •5) . ?? «• ' ?,' 05 ? CONNECTION TO CITY SEWII2 CONNDCTION TO CITY WATER ? O'I'fM '- ? 6) 015 _ WN' [3 PI,FASE HOLD APPROVID PEftMIT F'OR PICK-L?P BY ONE OF ABOVE ---- ---- ? PLEA.SE MAIL APPROVED PERNIIT TO 1, 2,974, ABOVE (Circle one) >> Wfle""I"413im ?. ? I L t. . . . _ . _ _ ?.s . . ? .. ? . . . FOR CfTY USE ONLY ? . PERMIT # ISSUED ? 7 Pd w/Bldg. Permit FEES: $ $ / _5 o SEWER PERMIT (INCLLiDE SURCHARGE) $ $ / O. J? D WATER PERMIT (INCLLDE SL'RCHARGE) . $ WATER METER/COPPERHORN/OL?TSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ $ ACCOUNT DEPOSIT - SEWER $ $ ACCOLNT DEPOSIT - WATER $ $ WAC $ $ SAC _ S $ TRtNK WATER ASSESSMENT $ $ TRLiNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRLNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ $ WATER TREATMENT PLANT SLRCHARGE $ $ OTHER: $ 4/ -j- ev J ? $ J?I • G? C) - TOTAL _ RECEIPT # RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? F__j YES IF YES, THEN A"PERMIT FOR WORK WITHIN PLiBLIC ? ROADWAY" MUST BE ISSLED BY THE ENGINEERING ED NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CbNDITIONS: APPROVED BY: TITLE: DATE : oi F ? . . . . . *. 1985 BUILDIKG PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN COMII+IERCIAL SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF ARCHITECTURAL INCLUDE 2 SETS OF PLANS & STRUCTURAL PLANS, 1 SET OF - 3 CERTIFICATES DF 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 / Ereet ? Oecupancy ? ? Remodel Zoning ? Parcel/Sub Repair Type of Const Addition # of Stories ' Owner Move Length Demolish Depth Address Int.Impr. Sq Ft InstalZ .- Ci t y/ Z i p Cod e 1 ? 1 t? l1 S /i ??P ? y 3 3 7 - - - - - - -------------------- - _ , i ? - - -- - - - Phon e 2: APPROVALS FEES Contra ` Assessments Permit Water/Sewer Sureharge . Addres Police Plan Review .- 3 Fire SAC City/Z Engr` Water Conn Planner Water Meter , Phane Council Road Unit Bldg Off b?r?s?Treatment Pl ? Arch./Engr. APC Parks Variance Copies Addres TOTAI. -? -, C.4 City/Z Phone # ? / '? ?, .z ?? ?c 1^L a -7 406•00 + 45•50 + 203•00 + 575•00 + 500•00 + 63•50 + 290•00 + 156•00 + 2239•00 * 0• * _ - ? ROBE ENGiNEf RtNG CaNSllLTINO EHC3iHEIAS . PLAt1HE9S ond LAHD 9UAVE?O!!S t1oMC-S COMPfiNY, INC. 1000 E.J157 146Ztt S7RE:7, HURNSYtLLE, 111ttHE507A 5=237 PH 412-3000 j?aQcl -Cescri 2i crz • L.OT CC , BLOC v- LNp ADDR'10r.? ? ??s- s? ?E?o-?'C-5 ?x?s ? ??? ????t?; ?oti, ??.?.o?. G???a?; , N?????-?1 - (P' - ?"L?(-' ?(N{S?-???' ?i??-/??tE F?? , 05 t pN r ce6?? 0 RC LE /? `b 3Z,qz ? a ??°, <a?, S f ,? _ _ s) W N ? m/V (Lo C? . o e_ o 89 4-_p , V? (`? ? ' 0 ? ?? l? 30, a &1fo, ? Si ?4rN L, ? ? sc i q,P N m 0 RTN ?z ° 8C, , ? r ZS °z? 5cA ! L??•?>? I 0 hersby eartify that thia is a t: ue and correet rspraaantition ot?a trie! ot and is ahooam'snd descr3bed hereon.• Aa prapared by me on this l? day of Hinn. Res• Ho. HOO&S Use BLUE or BLACK Ink Cc- 0., '(-A ' f f For Office Use / 1 4 :::: : ! (P t0Cit ' 0f EatI .3830 Pilot Knob Road ee; F �j /� Eagan MN 55122 Date Received. —/ Phone:(651)675-5675 0 buildinuinsPebtions cityofeactan.com I Staff: ♦I 2017 RESIDENTIAL BUILDING PERMIT APPLICATION 9/27/2017 3930 Boston Circle Date: Site Address: Unit#: Name: Shari Rien Phone: 651-681-0331 Resident) Owner Address/city I zip; 3930 Boston Circle, Eagan, MN 55123 f0Applicant is: Owner X Contractor V ' ` •1 • Type of Work Description of work: �,,Z„�,,/ ,, AIL, 1 til t . -I Construction Cost:*2 n •W Multi-Family Building:(Yes !No X, Com an : Capital City Construction&Remediation Jenny Hanson p y Contact: 3010 LunarEagan , Lane Contractor Address: city; state: MN Zip: 55121 Phone: 651-994-6844 Email:jenny@capitalcityremediation.com License#: BC63$557 Lead Certificate#: N/A 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 and supporting .to documents that you submit are consideredto be public information. Portions of the information maybe classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.cityofoaean.cotnlsubscribe. 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. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan;that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit;that the work will be in accordance with the approved plan in the case of work which requires a review and appro f plans. XJenny Hanson x 11, ,----9 Applicant's Printed Name App 's Sigq Page 1 of 3 393D 13654 ► �L1-e DO NOT WRITE BELOW THIS LINE .44- IL/Cep SUB T'IPES 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 u 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 5z Occupancy MCES System Plan Review Code Edition ///17 2t'j,j' SAC Units (25%_ 100%_/5 ) Zoning 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 1 C.O. Required Footings(Addition) r Final/No C.O.Required Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test Roof:_Ice&Water Final Pool: Footings Air/Gas Tests _Final Framing 30 Minutes 1 Hour Drain Tile Fireplace: Rough In _Air Test Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS a Insulation Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Wails Fire Suppression: Rough In Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: -1-45'rk / '1. K1 y , Building Inspector RESIDENTIAL FEES Base Fee /I i tJ j �t'�'e - Surcharge f Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA146003 Date Issued:10/04/2017 Permit Category:ePermit Site Address: 3930 Boston Cir Lot:6 Block: 1 Addition: Lexington Square 2nd PID:10-45076-01-060 Use: Description: Sub Type:Reroof & Siding Work Type:Replace Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and house wrap and leave on site. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Valuation: 8,000.00 Fee Summary:BL - Base Fee $8K $162.25 0801.4085 Surcharge - Based on Valuation $8K $4.00 9001.2195 $166.25 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 - Sharilyn L Rien 3930 Boston Cir Eagan MN 55123 (651) 681-0331 Superior Exteriors Mn Inc. 4520 Tower Street Edina MN 55424 (612) 382-2549 Applicant/Permitee: Signature Issued By: Signature