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3960 Avon CtSEWER & 1NATER PERMIT CITY OF EAGAN 3830 PiloS Knob Rd. Eaga.n, MN 55122-1897 DATE OFFICE USE ONLY METER # 2 PERMiT DATE u4/01 /"' 1 CHIP # C) A ?T 3 PERMIT # 11892 METER SIZE ? ?4 S B.P. RECEIPT # G 126;'.3 ISSUE DATE B.P. RECEIPT DATE 03 2? ?31 _ PRV - BaOSTER PUMP SITE ADDRESS 3960 Av'? 1' C'(-)ur. f- LOT ' BLOCK 5 _SEClSUB ?',??r?,• n??? APPUCANT: !'rle ROttlurtd C`,C. Tnc ADDRESS: r201 E. Ri.vAr Roac i CITY, STATE -'=idIPy, Mn. Zip 5?_,421 ? PHONE: 571-0?04 PLUMBER: -. a11 ay Pl ixnhi r+g ADDRESS: 610 Crc?ek Lane CITY. STATE Jordan, Mn. Zip`i 5_H;. PHONE: lj32-•21 ?_1 OWNER: - " Rottl.i.nd Co. ADDRESS: "'W P. R? ve= R; CITY, STATE ??iC11A?. ; ?" • ZIP r?•; ._r-? : PHONE: - PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL SEWER PERMITS, CONTACT ENGINEERING DEPT. PERMIT REQUESTED X SEWER X WATER - TAPS - COMM/IND X RESIDENTIAL Y NEW _ EXISTING Lawn Sprinkler Meters are to be Installed Ahead of Domestic Meters on Water Line. Credit WILL NOT be given for Deduct Meters. i '•, ? I AGREE TO COMPLY WITH CITY OF EAGAN ORDINANCES '$1GNATURE WHEN METFifi ISSUED 454-5220 FOR INSPECTIONS. FOR STORM SEWER.&`WATER PERMIT CITIf OF EAGAN 3830 Pilqt lCnob Rd. Eag4n,'MN 55122-1897 DATE ?- % OFFICE USE ONLY METER # CHIP # ? . . ,.,,? METER SIZE ISSUE DATE i SITE ADDRESS 3960 AaC? i CYAiz'L LOT BLOCK s SEC/SUB ?,1pvlnt+:?,r n,ijAs ? APPLICANT: !':'r' RgttJ.un[: Co. ZnC ! ADDRESS: =?0i E. River Roar' i CITY, STATE Prialey, Mn. ZIP i PHONE: 571-0304 PLUMBER: `Ia21W Fltwrihina ADDRESS: c ? 0 Cr k f,ane CITY, STATE ?OCdal?t Mn. ? PHONE: 492-212-L OWNER: "ie Rottltmd Co. Tnc. ADDRESS: ' ?.OI F. R]'Yri' R?c-?+r: CITY,STATE M:• . ZIP7,5421 r,- PHONE: PERMIT DATE U" 101 ?i91 PERMIT # 11892 B.P. RECEIPT # C 12699 B.P. RECEIPT DATE ??3 2 y g? PUMP PERMIT REGIUESTED X SEWER v WATER _ TAPS - COMM/IND X NEW X RESIDENTIAL EXISTING Lawn Sprinkler Meters are to be Installed Ahead of Domestic Meters on Water Line. Credit WILL NOT be given for Deduct Meters. I AGREE TO COMPLY WITH CITY OF EAGAN ORDINANCES SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. 0Zft'k._..qb DATE: APR 1, 1991 'Fj+!' 3960 AVOH CT (?HE ROTTLUND CO INC) d X a' _ Your Sewer & Water Permit for the above property has been completed. It will be held at the Public 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 allowed 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 - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLIGY. Secretary, Building Inspections Qept. BUILDING PERMIT Tn ho iicori fnr SF D * ? • - .- CITY OF EAGAN . k?ii 18825 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 Receipt # WG/GAR Est. Value ;94'000 Date HAR 19 91 Site Ad?ess ?? AVUR vi Lot Block Sec/Sub. Parcel No. W Name -- o Address City FRIDLEY Phone a o Name . o? Address ?? ? City Phone U ¢ Name W W Address UO <W City Phone I hereby acknowlege th at I have read ihis application and state that the information is correct a nd agree to com Jy with all applicable State of Minnesota Statutes and City.ol.Eap`an Oinances./ Signature of Permitee TlIE 1tOTT[.UM CO INC A Building Permit is issued to: on the express condition that all work shall be done in accordance with all Building 0lficial OFFICE USE ONLY Occupancy R` l FEES i Zoning W-M 613.00 (Aclual)Const Bldg.Permit (Allowable} - $urcharge 47.00 # ot srones 398.00 1engih Plan Review 100.00 Depth SAC, City Total S F - 650-00 . . SAC,MCWCC S.F. Faotprints - 660.00 On Site Sewage _ Water Conn 95.? On Site well ? Water Meter MwCC System ?- ?t. Oeposit 30.00 CAy Water . 30.00 PRV Required - S/W Permit Booster Pump - S/W Surcharge ? 276.00 Treatment PI APPROVALS F1oad Unit 370.00 Planner - park Ded. Council Bldg. Off. _ Copies 3 ? Lo7 J0 Varianca _ TOTAL • Permit No. ermit Holder Date Tebphone # WATER SEWER PLUMBING H.VAC. Q ELECTRIC r/ 71? S /,'?J ?,Ip Ykspsction Date Insp. Comments Fooangs 1 zl./q/ D7 F«,ndation s?/q/ Fram„ng s ?- O Roofing R.* Pbg. /G- 9 -/?• ?i ?? Rough Htg. C'8 ISUI. Freplace Final Htg. ?[4 bA , Fnal Plbg. ? Const Meter Plbg. InspeCtor - Notify Plumber Engr.lPlan 81dg. Final Deck Ftg. Dedc Final WeM Pr. Disp. / I 41't. -: ,1 ? (g.ertt#iraft nf (Oxr??aury Citp of tagan lkmxhttetd o# ??D'atg .?tr?rrtiot? 7his Cerrifuau issuodpursuaw w the rmuiremenls of Sediori 306 of lhe Ureiform Buildirrg Cbde &*Mf*S AN at Me tine ojissuance lhir struc[ure wu tn comp!&nce with Me various ord'ura-wff of Me G1?'r+egulaft buiJdireB cnnowcdon or ure For Me following: ux aasw=&. SF DWG/GAR em& Pa xo. 1p-q95_ O=vp-7'hM !?3/A'S 1 ymios M*W R l ? c? v?"T oww of asw,g IHE RO2ZIIJrID M. Il?. ? 5201 E R7tm.R ttn, Ftrnr Fv Bukfim? 3960 AVCN -00fJRT ? 1,5. B5. OOVWLRY PASS POST fN A CONSPICUOUS ?UCE a"6 716 3 /.5 Request Dete fire No Foug In pecfion Requ '+ ? Reatly Now .B'OJill Notity Inspector es G No When ReaGyl I??'ficensed contractor O owner hereby request inspection of above electrical work at. Job AtlErBss JSlreel, Bo? or Route Na ) City 3 ?a0 Sec1ion No Towns?ip Name ar No Range No Cou Occupan IPRINT) Phone No POwer 5 Irer AGtlress ElecVroa o?V br,?Company Name) ConVector's Lroense No .225 Maihng AOOress (COntrector or Owne Making Installatwn) ? Avthonzee Signalure lConVactoe wn Making Instellat ^ Phone Number ¢b3- 3??a MINNESOTA STATE 80ARD OF IEGTHICIiY THIS INSPECTION REOUEST WILL NOT Grlgg?Midwey BIEg. - floom S113 BE ACCEPTED Bv iHE STATE BOARO 1821 Univentry Ave., SI. Paul, MN SSIOd UNLESS PROPER INSPECTION FEE IS Plrone (612) 862-08p0 ENCIOSED / REQUEST FOR ELECTRICAL INSPECTION ?Xm?? M??/ 7( ? See inslmCllons lor completing Mis tarm on Oack of yellow copy ? 67163 es-ooom-os W 3 'X" 8elow Work Covered by This Request ??'.? e Add Rep Typeof8wldmg AppliancesWiretl EqmpmeniWired Home Ranga Temporary Service Duplex I Water Heater Electric Heating Apt. Bwlding Dryer Other (Specify) Comm./Industrial ' Fumace Farm Air Conditioner Otner (specdy) Contractor's Remarks Compute lnspechon Fee Below. N Other Fee # ServiceEmranceS¢e Fae # Circuits/Feeders Fee Swimming Pool O to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps Above IQO _ Amps SignS inspectork Uu Only / ? Jrrigahon Booms Special Inspecuon Alarm/Communicatron THIS INSTALLATION MAY BE ORDERED DIS ONNECTED IF NOT Other Fee COMPLETED WITMIN 18 MO C I, the Elecincal Inspector, hereby flouyn,o r o ? certdy that the above inspection has been made. R„ai t oaia - OFFICE USE ONLY ? This repuesl voM i8 monihs imm a 67164 a (?JO? Reduest Date a 4' 1 IS' '-r Fire No Roug m In eclan Repwr ? ? ves 17'H0 Ineatly Now ? Will Nob(y Inspeqor Wnen HeatlY> I ;21icensed contractor ? owner hereby request inspection of above electrical work at: Job AdqOrefs_s (Street eox or Route No ) T1?70 C?ry Seclion N. Township Name w No ' Ratge No. Coy?ry? ( Occupant?PRINTI Phone No Powar SupIr ? AtlCress Elecinta onVacror (Gompany Name) Contracrork Lreense NO Madrng Otlreu (GOnVatlor or Owner Makmq Installatron) act /Ow Makmq InstallaL Aulhonzetl Signature (COntr Phona Num?ar 3 '3 g!o MINNESOTp STATE BOAND OF LECTFIQTY U TMIS INSPECTION REQUEST WILL NOT Gryya-Mitlway BICg. - Foom 5173 9E ACGEPTED ev THE STATE BOARO 1821 Universlty Ave., St. Geul, MN 55100 UNLESS PflOPER INSPECTION FEE IS VMna (612) 642-0800 ENCLOSED REQUEST FOR ELECTRICAL INSPECTION es-oooo,-ae ? See msVucLOns tor comptehng Ihis lorm on back of yellow copy ? Y120133 5 ^A A M C? ? 1 h"X" RaYnw Wnrk ('.rniarail hv Thi.c RAl111P.0 ew Atld Rep TypeoBuAdmg ApphancesWrted EqwpmeniWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. 8utlding Dryer O[her (Specrty) Comm.llndustnal ' Fumace Farm Air Conddioner Omer (specity) ConVactor5 Remarks Compufe Inspection Fee Below: # Olher Fee # ServiceEntrance5rze Fee # GrtcuiGS/Feeders Fee Swimming Pool 0 to 200 Amps o 70 10o Amps Transformers Above 200 _ Amps Above t00 _ Amps S19nS InspectOr's Use Only. ` TOTAL U Irrigation Booms 'S- Spacial Inspection Alarm/GOmmunicauon THIS INSTALLATION MAV BE ORDERED DISCONNECTED IF NOT Other Pee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby ROOg""" '? oare certify that the above mspection has been made. Final t ;c;,? + are ''"' • `" `?' ( lr"'? OFFICE USE ONLY This repuest vob 18 monIDS Irom CITY OF EAGAN Np, 18825 -3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUIL'DING PERMIT PHONE: 454-8100 Receipt # C. J-??7Rq To be used tor SF OWG/GAR Est. Value $94,000 Date MAR 29 , 1991_ Site Address 3960 AVON CT Lot 5 Block 5 Sec/Sub. COVENTRY PASS Parcel No. w Name THE ROTTLUND CO INC o Address 5201 E RIVER RD City FRIDLEY Phone 571-0304 o Name _ 0a Address ? Clty - Phone r ww Name '15 Address <W City Phone I hereby acknowlege that I h r ad this ap lication and state that the infortnation is correct and ie to cor9 I dh all apphcable State ot Minnewta Slatutes and Ci ! a n 0r ances. Signature of Permi[ae ? n emldmg Permit is issued ro: THE ROTTLUND CO SNC on the express condrtwn ihat all work shall be done m accordance with all apphcable State of Minnesota Stat+ulesand Ciry ol Eaqan Ordinances. Building Official '??iq 4 ud I V OFFICE USE ONLY Occupancy R-3-M=1 FEES Zonmg -R--1 (ACtual) Consl V-N Bldg. Permtl 0 613.0 (Allowable) y=N Surcharge 47-0 n F ol Stories - `, PlanReview 398.00 Lenqlh , _ Deplh 44 ? SAq City 100.00 S.F.TOtal - SAC,MCWCC 650.00 S F FoolpriNs - On Site Sewage _ Water Conn 660.00 On Sne Well - Water Meter 95.00 MWCC Syslem ? 30 00 Ciry Water qmL Deposit . PRV Raqmred - S/W Permit 30.00 Booster Pump - S/W Surcharge • 50 Treatmenl PI 276.00 APPROVALS RoadUnit 370.00 Planner - Park Ded Council BIdg.Off. _ Copies Vanance - 70TAL 3,269.50 Address: 3960 AVOPI f,(NJRT I.at 5 Blk 5 Sec/Sub !'pVENTRy pASS These items wera/were not complete at the time of the final inspection. pate: 7/3/91 Yes No i Tngl2prror, Final grade (6" from siding) J,/ Permanent steps - garage ? Permanent steps - main entxy ? Permanent driveway ? Permanent gas (.? Sod/seeded grass ? Trail/curb damage Porch ? Basement flnish 4i Deck Please verify with the builder the removal o£ roof tast caps from the plumbing system and the shut-off of vatar supply to the outside lavn faucet before freeze potential exists. ? RMIFOMRl1 White - City copy Yellow - Resident copy Pink - Contractor copy , 1991 BU ? ?GAPPLICATION CITY OF F,r1GAN SINGLE FAMZLY DWELLINGS 2 SETS OF PLANS 3 REGISTERED SITE SURVEYS 1 SET OF ENERGY CALCULATIONS MULTIPLE DWELLINGS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT 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/HOMEOWNER M[JST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLAWED 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. WIAR 2 2 RECO To Be Used For: E"/Ly, Valuation: - lft?- Date: ?,-21-PII Site Address ?Pr-e-, ,A.crn,) Lot G Block e; Parcel/Sub e::?,VEi.lTYGY !'A-¢i Owner Tk4? 12.,y-rc,v34CD Cn. 1 I-I <. Address c?2v, e?. Pitz-x City/Zip Code E"i Fy, a-=g;;; c/2_1 Phone ?-;z f_o3o5<• Contractor Addres City/Z Phone Arch./ Addres City/Z Phone » Qoar OFFICE USE Occupancy Zoning Actual Const Allowable # of stories Length Depth S.F. Total Footprint S.F. R 3 M-1 R_1 V- N v-N 4U On site sewage_ On site well MWCC System V City water ? PRV _ Booster Pump _ APPROVALS Planner _ Council Bldg. Off. Variance COt9ERCIAL FEES Bldg. Permit 61310 Surcharge 149,00 Plan Review f??OC SAC, City /00r00 sac , Mwcc 650. vo Water Conn. 660,00 Water Meter 5,00 Acct. Deposit 30.00 S/w Permit 30,00 S/W Surcharge ,Sv Treatment P1. ;2 r76,0 O Road Unit 37D,00 Park Ded. Trail Ded. Copies SUBTOTAL Penalty Lot Change TOTAL r r ? ? -E?' - 'a? ol',i? agrees that all work shall be done in accordance with ? ignature of Contractor) 2 SETS OF PIANS 2 SETS OF ARCHITECTURAL REGISTERED SITE SURVEYS - & STRUCTURAL PLANS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCUTATIONS 1 SET OF ENERGY CALCS _# OF RENTAL UNITS # OF FOR SALE UNITS all applicable State of Minnesota Statutes and City of Eagan Ordinances. -- ,, . V??u??i???? . G?? gsr.? r, yZx?y= S 7? I A ? 1sr ???2 1 vv 8 I°?2 6 b .?- I 2(,? X 14 = Ir164. B.Svr,T ? ! 2 6 e? ax7 - j'} ? I? ?'? X S3 = ?I?SZ2 ? 3862 0? gl Y, ooJ ' - o•4= 6i3-ooF 47•OUt 398•OOF 21211•50+ 3,209•50;: 61 3 • 00+ 1 47 •00+ 3yt3•U0+ ? 2, 'L17•50+ 3'269•50-t= 3b x a? = 600 ? ' le X2= ??? 5? K IS = 8'?J? pion * eng * 2422 Enterprise Drive Mendota Heiglits, MN 55120 (612) 681-1914 Certificate of Survey for: 7HE ROm_UIJD G?P1PA.W( ? NORtH avoN couRr 4' 50- 33 7.a" R- 13 s?.9? r I4V 8 ? 4111 89a.d _ 89?9. `904,5 3 x 'f-- j00•°9 ?B•9 3?R ?112,33 .43 -z- p? ? ^ o ? "'?Inmi r ?P s P? 92.0 39.88 ? + ? 9a7.s ?- _,?\ ,S9S?18 i , - K.??--•?-------------- 164. S 89°57'39'W DrP;. = 900.0 Denofes exisfinb elevafion PROPOSED f=lOU-SE ELEVAZIONS . 900.o Denotes proposed e%vation Lowesf F/oor tievaflon 933A6 Denofes braina e E Ufili.fy Edsemenf Top ot Blak Elevafion 9oi. ib Denofes Draina?e F7ow I?rrows Garage Slob Elevafion 9co-83 o Denof es monum en f I Sedrinjs shown are Qssumed o Denofes o?jl-sef Hub i Lors ,BcocK 57 , CovEnrraY pAss DAKOTA CDUNTYi MINNESOTA Subjec/ lo easemenfs olrecord II here6y certlly that this survey, plan or report was pre ared by me or under my direct supervision and thal 1 am duly RegisrereA Lnnd Surveyor under the laws of the Stale ot Minnesota. Dated thlsday of Mot? A.D. 19?_. cale : 1 Lnch = 40f'el „L eCS91 . ..- ._.. - - OPER f P.51 ICN L5. RF_ . NO. 14? ... ? I 3l_9q ?_ EXTF.RiOR ENVELrnPr: nvi;rnCr: °u" aiMru•rnTiON t5vMm iT owN Ex RO-(`TI UIJb Gv. SZTE ADDRESS L b Z? ? l D --T CONTRACTOR DATF. PHONE ?etermin vorkini; squnre footar,c of ench. 1. Total exposed vall area .. ?$ Zb sq. ft. x 0.11 _ ZO ?i'?8 l2+,d. s e,o26 = ., 2 34 • 2. Total roof/ceiling area ., q. ft. x ? • Total exposed vall area nbove floor = l?2iX a. Total vall vindov area ............................ o, 'I . ? b. Total door area . . . . . .. .. .... . ... . . . . .. . .. ..... ... . '?7g c. Total sliding glnss door area ..................... 3 q.'1 7 d. Total Sireplace wall area ......................... Z-c:> e. Total vall framing area (average 10p) ............. 14¢. 3 P. Total net vall area above floor .................... 2 P z({ . g. Total rim ,joist area .............................. rZ •(? Total exposed foi:ndation arca h. Total foun3etion vindov aree ...................... ? (o , , i. To'lal net foundation area above grade ............. . Determine "U" value o: each call seF;ment. a. c„U„ ?7.57 b. 38, ? 1 X,,,,,l c. 3 q, ?C 1 x„U„ o, 3 Z = I 2, 7? d Z D X1, u„ e. xAlu,l f. I219, U" X 84 ? . g. r z¢, a x..t,,, h. x "il" _ X „U,. _ O,If = 8,73 3 . .................................. . «t.ri, = l7a,z? O/L ? IS item N3 is the ssme as, or less !.h:,n item Nl, you nave met the intent of ssc 6oo6(c)2 ' . ?? Total exposed root/ceiling aren = ? Z `1 Total gross roof/ceilinp are:i = J. Total skylight area .......................... k. Total roof/ceiling framing area ............... 1. Total net insulated roof/ceilinF area •••••••• 7 ' - ' Determine "U" value for ench ruaf/ceilint; sc?ment. -? ? X Un x $lU,l Q-OZ7 = ?J•35 • • X,,,,,, o.o2z = z4co 3 7 ? 4 . ....................... ........:. Total 'I _Z tJK- IY total of N4 is the seme as, or less than N2, you have met ttke intent of ssc 6oo6(c)i. - • To utilize the total envelope system method, the values establi;hed by the sum of items N3 and #4 shall not be greater.thxn the sum of items A1 and N2- 1. + 2. - - + 4. - - , . r , U _ J v --?:-VkI.U? GAl-Gt.}t-ATIoN-;7 (GcNT), -rFAnnt-'- W?w G? I N?..I t-ATI?N tl1 .U ? L- LoMPo o.i,TT;E;IDE AIp FIi.M "h" C-IDINl-,. . - _-,?i{r,ATHIN?r . !>YP. n?PQ t??loE fu? ?1?M, - . R - vhWE - 0.102 " Iq.c ' G.45 - L?- Rr?'v G.G?3 -FFftMr WAU. & h'rUl? - PI.,kN• view. LoM PoNe ,NTS o_uT-sIOE Adp- pl.A. .2N5A'(N 1 N lo, . D (r- V-AM YJi? ? ?2:'???. P?D• ' INhID5 Pfi?- FiLhl. . C L C C C C F- -VALuE5 O.L2: _ 2.aU _ - "7•-IFS - -- -- , ----: G,4'? ---- _ - ° - - • ? ?' ?0 p -- - . . ?-- U= ?fAL ? r -??P?. ??U =?D.IZ X o.oa9> t?o,8a X o.043> = D, 0 4? _ Z 2 2 A PQ 1, f!:5 I i ih = IN?.-k??--Fl?tit N z(D.1Nli: --- ??j•?kl?= ?ILIM• ? _ r.CaG . I.?? :.,? o - y{ 0 ? ? ? 0 0 ? ? 0 C , Li F?LT?-. : (N I.NI --?_i-? -- . __?? 2 ? ---- - -?_-?-?-. 12 0 C C C C R= 35.-83 _.__ I ?4= , -en"?i- , ?KO?-r?• b?`(?' =?p•--,_ Wa-= ftP -FILM • I - 0, \'1 _ - I Za • (a - -r?-? o - - . .- (D o ? 2?6YP- F?o- Q ri L - M -. --- 44.4 _ o•? ?--- ---- ?_?=?_5.? 3 - - ?,? ? -, CITY OF EAGAN 3830 PIIAT KNOB ROAD EAGAN, MN 55122 jPHONE: (612) 454-8100 ,<. ........., .<_......,.......... . 1E?5,IDE?i!'?Ax;t; PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE 1 TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. -------°----------------- ----------°-------°----------------' WORK DESCRIPTION FEES NEW CONSTX_ ADD ON _ REPAIR _ OWNER NAME :ZO ?A\J^ cJ SITE ADDRESS: ?) I(OD IAT: S _ BLOCK ? SUBI). INSTALLER: tEARE . & AlC, lNC. • ADDRESS: 9303 P uth A. s Golden Valley, MN. 554ilP: CITY: PHONE #: SN o1 - /l(pw Y DWELLINGS & ADD-ON MINIMUM $15.00 HVAC 0-100 M BTU 24.00 ADDITIONAL 50 M BTU 6.00 GAS OUTLETS - MINIMUM 3.00 OF 1 PER PERMIT SUBTOTAL: $ ?1 0 ? STATE SURCHARGE: .50 TQTAL: $ T5 o SIGNATURE OF PERMITTEE FOR CITY USE ONLY PERMIT # l.?DO / RECEIPT # O So DATE: a0 9/ to3xERGI![I.' ?ND#?'STRTAI.`i YLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS, ,... ? • ........... .....: APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. ------------- CONTRACT PRICE: OWNER NAME: SITE ADDRESS: LAT: SLOCK _ SUBD. INSTALLER: ADDRESS: CITY: ZIP: _ PHONE #: FOR: FEES 18 OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR EACH $1,000 OF PERMIT FEE. PROCESSEP P?PING = $25.00 $25.00 MINIMUM FEE. CONTRACT PRICE x 18 $ STATE SURCHARGE TOTAL: (SIGNATURE) CITY OF EAGAN CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MN 55122 PHONE: (612) 454-8100 909:::;.< I7?r° ???? &?>,.. ..?F.:<,.:-...... FOR CITY USE ONLY PERMIT # 02 r/ RECEIPT # OO Jr' DATE: PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH IINIT. ------- ------------ ------------------------ ------°°---------- WORK DESCRIPTION -----°----------- COMPLETE THE FOLLOWING: N0. FIXTURES EA. TOTAL NEW CONST X ADD-ON MINIMUM 15.00 ADD ON l SHOWER 3.00 3_ REPAIR ? WATER CLOSET 3.00 3_ ? BATH TLJB 3.00 3 ? LAVATORY 3.00 3 OWNER NAME: c( ? KITCHEN SINK 3.00 3 i LAUNDRY TRAY 3.00 s SITE ADDRESS: 3'1C00 A1/6,7 C0?'t HOT TUB/SPA 3.00 J_ WATER HEATER 3.00 3 IAT: ?J BLOCK ? SUBD. C?c?•?t?y ?l ?aS5 L FIAOR DRAIN 3.00 3 GAS PIPING OUT. I INSTALLER: (MINIMUM - 1) 3.00 3y_ 3 ROUGH OPENINGS 1.50 '4,i_0 ADDRES S: CQ CO G eec Ic- L-J _ OTHER _ WATER SOFTENER 5.00 CITY: ZIP: PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 PHONE #: S 3? ?° SUBTOTAL • ca- ST. SURCHARGE .50 SIGNA RE OF PERMITTEE TOTAL S 3 ? - : ??N@fEi(CI¢L'':TFIIIUSTR?AI::; PLEASE COMPLETE THIS PORTION ? FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND .....: _-..,. ... . ... - .. MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. --__--_____-___-- __-__--__-.-' ____________________________________________ CONTRACT PRICE: ____-__ FEES OWNER NAME: 1% OF CONTRACT FEE. STATE SURCHARGE _ $.50 FOR SITE ADDRESS: EACH $1,000 OF PERMIT FEE. LOT: BLOCK _ SUBD. $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 1$ $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE #: (SIGNATURE) FOR: CITY OF EAGAN City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 3960 Avon Ct Lot: 5 Block: 5 Addition: Coventry Pass PID:10- 18400 - 050 -05 Use: Description: Sub Type: Work Type: Description: Meter Size Meter Type Comments: Fee Summary: Contractor: Tony's Appliance 2090 County Road 42 West Burnsville MN 55337 (952) 435 -2442 e - Water Heater New Water Heater Mike Skaja 2090 County Road 42 W. Bumsville, MN 55337 PL - Permit Fee (WS & /or WH) Surcharge -Fixed Total: Manufacturer 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 Applicant/Permitee: Signature PERMIT City of Eaan - Applicant - Permit Type: Permit Number: Date Issued: Permit Category: Serial Number Remote Number Owner: Susan M Casey 3960 Avon Ct Eagan MN 55123- -390 $50.00 0801.4087 $0.50 9001.2195 $50.50 Issued By: Signature Plumbing EA088618 04/02/2009 ePermit Line Size PERMIT City of Eagan Permit Type:Building Permit Number:EA133049 Date Issued:09/21/2015 Permit Category:ePermit Site Address: 3960 Avon Ct Lot:5 Block: 5 Addition: Coventry Pass PID:10-18400-05-050 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 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: 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 - David Wong 2602 Cropsey Ave Fl 1 Brooklyn NY 11214 (718) 288-9972 Home Depot At Home Services 6224 Lakeland Avenue N, #102 Booklyn Park MN 55428 (763) 542-8826 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA172838 Date Issued:10/19/2021 Permit Category:ePermit Site Address: 3960 Avon Ct Lot:5 Block: 5 Addition: Coventry Pass PID:10-18400-05-050 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 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 - David & Lily Wong 2602 Cropsey Ave Fl 1 Brooklyn NY 11214 (718) 288-9972 Tri County Water Conditioning Inc 325 Third Ave NW P O Box 65 Huchinson MN 55350 (320) 587-2950 Applicant/Permitee: Signature Issued By: Signature