3809 Chatham Rd
CITY OF EAFAN Permit No: I Date: 5-23-fir
3830 Plot Knob Road Meter No: Size.
P.O. Etb 21199 Reader No: Date.
Eagan, MN 55121 N . `
Owner.,,.., Y. er;
Site Address: -Latbam Roac' L3 r ,!f ,?ills of ?,toricbr:?
Plumber. -ont.-Iomery ''c►,7st:,"'o. •;r Paul nlum.bin~-
Conn. Chg: • P Zoning:
i
Acct. Dep. No. of Units:
Permit Fee: 7777
Surcharge. 1)l"- I agree to comply with the City of Eagan
Tr. Plant ~`'POrdinances.
Meter.
Misc.: By
WATER SERVICE PERMIT
CITY OF EAGAN Permit No: '?:S' Date:
3830 Pilot Knob Road B/P No:,' Date:
P.O. Bgx'211"
Eaga t,A MN 55121
Owner. °.L:E.t tom
Site Address 1809
Plumber:
MWCC: Zoning'
City Chg: 1 No. of Units:
Acct Dep: ;
Permit Fee: C. I agree to comply with the City of Eagan
Ordinances.
Surcharge:
Misc.: By
SEWER SERVICE PERMIT
BLDG. PERMIT NO. 01-3210 Bldg. Permit -,,20 CO
01-3422 Plan Check -%(o5
01-3445 Surch./Adm. 0 I
01-3446 SAC/Adm.
01-2155 Surcharge
-1$-3860 Road Unit -~=35
24-2275 SAC ~y SU
20-3865 Water Conn. ? C) !''T
20-3868 Water Trmt. ;"L) O~
20-3716 Water Meter )
20-2252 Acct. Dep.
20-3713 Water Permit
20-3743 Sewer Permit
79-3866 Sewer Conn.
1~-3855 Park Ded.
TOTAL ~G~
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PH ON E: 454.8100
BUILDING PERMIT Receipt
To be used for Est. Value ' Date ,19
Site Address 3809 Ci!,A7H A`3 '3D OFFICE USE ONLY
Lot Block 4 Sec/Sub.til Lhi OF ST0iYzDR1i' -,Dn Site Sewage Occupancy
Parcel No. MWCC System Zoning P"'), :t -t
On Site Well (Actual) Const V-1ft
a Name T11-0), EN HOB' City Water )4 (Allowable) V-n
3 Address 627 S. SHELLING AVEV1IF PRV Required # of Stories
o City •,T PAUL Phone 51)P> ` f 1 Booster Pump Length
Depth 41,
p Name SA!'tf' S.F. Total
0 i Address Footprint S.F.
city Phone APPROVALS FEES
r-= Engr./Assess. Permit 530.00
U W Name 44 50
i z Address Planner Surcharge
U z Council Plan Review! r3 5.00
W City Phone 1 ;Q. CO
Bldg. Off. SAC, City
I hereby acknowledge that I have read this application and state that the Variance SAC, M WCC 550.00
information is correct and agree to comply with all applicable State of Water Conn. J 50.00
Minnesota Statutes and City of Eagan Ordinances. Water Meter 67.00
Signature of Permittee
TILSEN _ HOMES Road Unit f •
A Building Permit is issued to: Treatment P1 204,00
on the express condition that all work shall be done in accordance with all~~ 1 S
applicable State of Minnesota Statutes and City of Eagan Ordinances. p
TOTAL
Building Official
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PH ON E: 454-8100
BUILDING PERMIT Receipt #
To be used for Est. Value Date 19
Site Address OFFICE USE ONLY
On Site Sewage Occupancy
Lot Block Sec/Sub.
MWCC System Zoning J
Parcel No. On Site Well (Actual) Const v
City Water (Allowable)
a Name
W PRV Required # of Stories
3 Address ,
o City Phone Booster Pump Length
Depth 41
c
,O Name S.F. Total
u Address Footprint S.F.
City Phone APPROVALS FEES
W Name Engr./Assess. Permit
W
W W Address Planner Surcharge
Z City Phone Council Plan Review
do
Bldg. Off. SAC, City
I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC
information is correct and agree to comply with all applicable State of Water Conn.
Minnesota Statutes and City of Eagan Ordinances. Water Meter
Signature of Permittee Road Unit
A Building Permit is issued to: Treatment P1
on the express condition that all work shall be done in accordance with all Parks
applicable State of Minnesota Statutes and City of Eagan Ordinances.
TOTAL
Building Official-
Permit N~o~.✓ Permit Holder Date Telephone #
Plumbing ~J ~d +
H.VA.C. d y/U 8
Electric VC~(~~j~^ J'~~~88
Softener
Inspection Date Insp. Comments
Footings 1 y Gv,6'
Footings II
Foundation 9
Framing
Roofing ~3n C m en P
Rough Plbg. lJ~
Rough Htg.
Isul.
Fireplace
Final Htg. 12
f D zg P~3D'
Final Plbg. d-lS i
Bldg. Final
Cert Occ.
Temp. LP ~L
Deck Ftg.
Deck Final
Well
Pr. Disp.
PERMIT #
• g + PLUMBING PERMIT f' q I
CITY OF EAGAN RECEIPT #
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: "7 9"/F
CONTRACT PRICE: PHONE: 454-8100
6Ei "e* BLDG.. TY WORK DESCRIPTION
Site Aftess
Lot Block Sec/Sub Res. New 77 Mult. Add-on
m Name I Comm. Repair
S Address -2, 7 Other
S City Phone RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL '
I Name 7 77 Water Closet - $3.00 S y fi
t m -,;Z_Bath Tubs - $3.00
3 Address
Lavatory - $3.00
p City Phone Shower - $3.00
-Kitchen Sink - $3.00
FEES Urinal/Bidet - $3.00
COMM/IND FEE - 1% OF CONTRACT FEE " Laundry Tray - $3.00
APT. BLDGS - COMM RATE APPLIES ~ Floor Drains - $1.50
TOWNHOUSE & CONDO - RES. RATE APPLIES / Water Heater - $1.50
MINIMUM - RESIDENTIAL FEE -$12.00 Whirlpool - $3.00 t--"
MINIMUM - COMM/IND FEE -$20.00 Gas Piping Outlets - $1.50
STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIT)
(ADD $.50 S/C IF PERMIT PRICE GOES Softener - $5.00
BEYOND $1,000.00) Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
-
SIGNATURE OF PERMITTEE FEE:
STATE S/C:
FOR: CITY OF EAGAN GRAND TOTAL:
PERMIT #
- MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: r# - /g' 19$8
CONTRACT PRICE: $ 230(1.00 PHONE: 454-8100
I Site Address a t ham • BLDG. TYPE WORK DESCRIPTION
Lot Block Sec/Sub Res. X New `a.
Name llerendable Flea ins- and A/C Mult Add-on
m Address > - coon Rapids Comm. Repair
,
; City Coon Rapids phone Other
Pilsen Homes FEES
Name RES. HVAC 0-100 MBTU -$24.00
C Address 3632 Geretswln ADDITIONAL 50 M BTU - 6.00
p City Cakdaie Phone 777-4204 (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA.
TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE
Forced Air 100, 2NIM BTU 24.00 APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
Boiler M BTU MINIMUM RESIDENTIAL FEE -ALL ADD-ON &
Unit Heater M BTU REMODELS - 12.00
Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.0
Vent. CFM STATE SURCHARGE PER PERMIT - .50
PERMIT PRICE GOES
Gas Piping Outlets #'3P ter to furnace 1.5o BEYOND $1,000)
Other
FEE: 25.50 i _ I 5
S/C: 50 SIGNATURE OF PERMITTEE
^f ~r
TOTAL:
FOR: CITY OF EAGAN
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR.
I
I
i~ ~I
Permit No. Permit Holder Date Telephone #
ELECTRIC
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
I
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE ( r
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
S_.~
CITY EAGAN Permit No: ? Date:
3830,PNot Knob Road Meter No: Yo 7 V 6 a. Size:. "Roca:
P.O. Box 21199 Reader Na. 6-5-a 3 2,1 3 5 Date:
Eagan, MN 55121
Owner. ilscn 'Ton
tliam Foac 1:
Site Address: ~ `"'a. t ' T'+ '?i1.is of ;Lcnef)r'
Plumber -_or,.t~omery Const./T'Io. ` Paul P1_ur' i
Conn. Chg: :'11,pd Zoning: IL
Acct. Dep: No. of Units: 1
Permit Fee:
Surcharge: I agree to comply with the City of Eagan
Tr. Plant Ordinanc
Meter r.7
n,a
Misc.: By
WATER SERVICE PERMIT
This request void /e e
18 months from
flag oast Dat
111F f; i e No. ouuh-i t Ins pectinn f
25
5 quired? Ready Now Will Notify Inspec-
Q Yes ❑No for When Reatly
Licensed Electrical Contractor 1 hereby request inspection of above
Owner electrical work installed at:
Street Address, %/r Route No. C'tv gxl~
ecUOn o- Township Name or No. Range o- County
Occupant (PRINT) Phone No.
L 5I~w D_/ES
Pow upp I i of Address
pA~o/0 I LCL~
Elec tri al Cony /tt , (Company N me) Co a tor's License No.
F p/tl
Mailing Address (Cons ratty or Owner Making lnstailati nl
y 3
0/ /NN~70Ajk _ V')
Authorized Sig amre IC tta odOwner Making Installation) Phn Nuumber
3
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room N•191 BE ACCEPTED BY THE STATE BOARD
1821 University Ave-. St- Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION E9-00001-06
0 Sea instructions for completing this farm on back of Yellow Copy.
D--97456 " X' Below Work Covered by This Request
Add Rep. Type o1 9uilding Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Lighting Fixtures
Apt. Building Dryer Electric Heating
Commercial Bldg. Furnace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm Other Pecs y the, ISPgofyl
1 er $Pecify they Other
ontpute Inspection Fee Below
p Fee Service Entrance Size H Fee Fenders/Subleeders N Fee Circuits
0 to 200 Amps 0 to 30 Amps 0 to 30 Amps
Above 200 Am tsj 31 to 100 Amps 31 to 100 Amps
Swimming Pool Above 100-Amps Above 100_Am s
Transformers Irrigation Booms PartiaWOther Fee
Signs Special Inspection
Remarks To
Rough-in once
a Electrical
p Y
'o ent the above
ce
Final inspection hes been
Cam', l~ ~Fuv:i~~ made.
This red uesl void to months from
(Ier#iftrofe of Mrrnvanry
citp of (fagan
arpotm t of suawo . wirrvan
This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building
Code certifying that at the time of issuance this structure was in compliance with the various
ordinances of the City regulating building construction or use. For the folio wing:
Use C1.3 ifimion Bldg. Fennit No.
Occupaoey Type ZDnutg Dis6ct Type Coast
Ownwof Building t
`E`~ ` 'Yom': 5 Addrtse
9 G10
FAoldieg AAd= ty
Date: bece rn b e r 0,
BuOding Official
POST IN A CONSPICUOUS PLACE
PERMIT
~C CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: BUILDING
Eagan, Minnesota 55122-1897 Permit Number: 031082
(612) 681-4675 Date Issued: 11/07/97
SITE ADDRESS:
3809 CHATHAM RD
LOT: 3 BLOCK: 4
HILLS OF STONEBRIDGE
P.T.N.: 10-32990-030--04
DESCRIPTION:
(STOVE)
Rvildirx€ errrit Type FIREPLACE
uiingUlit)4 Type NEW
= Censuie'Dode 434 ALT. RESIDENTIAL
lw
~ za
"$p a w - i i
"j" a
s ~ix - d(3
Hwy a _ T
e ~ ~s
Y4~tryp&
P ia. 9 ° mkt ~143~ °-~u~'•° SAN ~U m
: s 'V&r& xi" nP
REMARKS:
FEE SUMMARY:
Base Fee $50.00
Surcharge $.50
Total Fee $50.50
CONTRACTOR: - Applicant - ST. LIC OWNER:
FIRESIDE CORNER'INC 16332561 2009091 GOODSON SANDRA
2700 N FAIRVIEW AVE 3809 CHATHAM RD
ROSEVILLE MN 55113-0847 EAGAN MN 55123 -
e612) 633-2561 (612)686-5271
g r_ 6 fi i 1 5 S ' I 3 't t pAj PM ~„S age S d S t"i L};u} l i
4 - S ?Rr 5 frC t~3h & & S¢IX~ai ° 61 .G {~ml by %Lkv p IS'~a
I hereby acknowIedr-je that = hauei"'~ d~~ ~f? t tap i k # ~s ~ k ~ ru ~p
nr§~
I'M t on Is coCwr'vc an agl""ep€r `GO t'S b#.Y+, 'r -I, ~a~I e~S'4Te ~ 'fy yfi~~ ^uY-bi - gr"Qyyn a cf~:
i i 9 s ms rims ans -nti mac e " a em mkt ~ v
`~y~` "`r9 '3L t1E'8 E1 Ind ,
c~j y,alf E,*-g, 04- r,
'
5 y~ 02
ER, C
APPLICANT/PERMITEE SIGNATURE ISSUED Y. SIGNATURE k
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
1' v
1997 FIREPLACE PERMIT APPLICATION -5,-10 b/ 4 681-4675
DATE: / PERMIT FEE: $50.50
Szsu~
DESCRIPTION OF WORK: NEWFIREPLACE CONSTRU _ ALTERATIONS TO EXISTING
_ INSTALL GAS INSERT ONLY
INSTALL GAS LINE ONLY
~j OTHER: ~j
STREET ADDRESS: 8 O 0-0~f 4 / ~1A R
LOT BLOCK SUBD./P.I.D.
A -
APPLICANT: APPLICANT: (circle one only) OWNER 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.
PROPERTY Name: Cameo I7 $ a,/ Div 1JYJdL~ Phone -,5-2- ~ OWNER Signature: cy
Street Address: 8 ( , /
City: &A SA State: Zip:
FIREPLACE Company: s6~~ i✓tb?L. Phone 8i0~O7~g
INSTALLER
Signature:
Street Address-'-30 SC) Vfl U. /License
City),J"S ,/'f LL~ State: //SIN Zip: 7
GAS LINE Company: Phone
INSTALLER
^ Rp Name:
11 a v Signature:
Street Addre
City: State: Zip:
1
CITY OF EAGAN N2 14 9 0 8
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PERMIT I PHONE: 454-8100 Receiptu gA'-)j27
To be used for SF DWG/GAR Est. Value $89,000 Date APRIL ,19 88
Site Address 3809 CHATHAM RD OFFICE USE ONLY
3 4 HILLS OF STONEBRID LonSiteSewage Occupancy R-3/14-1
Lot Block Sec/Sub. MWCC System X Zoning PD R-1
Parcel No.
On Site Well (Actual) COnst V-n
m Name TILSEN HOMES City Water X (Allowable) V-n
i 627 S. SNELLING AVENUE PRV Required #of Stories
o Address
City ST PAUL phone 698-5501 Booster Pump Length 561
Depth 411
p Name SAME S.F. Total
ou Address Footprint S.F.
¢ City Phone APPROVALS FEES
uw Name Engr./Assess. Permit 530.00
m 44.50
~ i Planner Surcharge
i- Address
a W City Phone Council Plan Review 265.00
Bldg. Off. SAC, City 100.00
I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC 550.00
information is correct and agree 1 omply with all appli ble State of Water Conn. 550._00
~Ip
Minnesota Statutes and City a n Ordinanc Water Meter 67.00
Signature of Permittee _ Road Unit 325.._9Q
A Building Permit is issue o: TILSEN HOMES Treatment Pt
on the express condition that all work shall bedone in accordancewith all ~arkEO ieS -50
applicable State of Minnesota Statutes and City of Eagan Ordinances. P
TOTAL 2,.636_,OO_
Building Official-
1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS l g
INCLUDE 2 SETS OF PLANS, .2 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS # OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COMMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
To Be Used For: jJValuation: 1000'- Dater APR 2 7198$
.7.f'iV<, Y"'
Site Address L/ > OFFICE USE ONLY
Lot ':R Block On site sewage- Occupancy -3 M-
/ MWCC system Zoning PD R.1
Parcel/Sub + Svke(/!rl~ On site well Actual Const y-N
/ City water Allowable V-N
Owner
1.52 G t'0 A'tes PRV required # of stories
Booster Pump Length 56 1
Address 6d 7 S- S ~ra<5 five _ Depth y!'
S.F. Total
City/Zip Code SO(- rka $ S l/~ Footprint S.F.
Phone ~ APPROVALS FEES
Contractor ( ~4 Gu"-) - /r [WK/ gr/Assess Permit 530,0
O
Planner Surcharge OU, s o
Address ~Ja ? 50. s ke (l a C Council Plan Review 24,5.00
Bldg. Off. 4fil SAC, City 100.00
City/Zip Code ..L- 2r-" 1 S s' Variance SAC, MWCC 550, 0 0
Water Conn 550, 00
Phone A ~1772- 41070!_ l Water Meter 07.00
Road Unit 3 ,Oo
Arch./Engr. Treatment Pl 2oo __,oo
Parks
Address Copies .50
TOTAL > i
City/Zip Code
Phone #
1
V~~uA~1oN
6;412,4-4
BsmT -
~s x zy ^ 3i2
"'4`,F~.rFKrrsi;t~.'~ftwx' ..w•:-hs-emu' L 9-:.::h,:so ra.~' ~ + .cyr
.PwF, ~flirre~,..° }E+-•w;"sw-4a ~ -B~Ra .s•~'Z.iisw- ~•we-seat'~•sai`st!!ecr=.?•C4'°:atr.Ri
Z ~.12 = zy
1340 13 (BbTi~
lsT F~~„~ •
13 s ml- 1 3 k o
~xf.0 IQ
l is i u ~Fq'- C~ (7.31q
Po~2cr~
1~~~~ _ ! sR )e 40
.
1
y
-.a.sw:_. - a
r~~ ~y - ~~S' K y~~y`~[ yyJ y+ + L v t~yj~4yy y~y}q
7~.T'~~i('~~"G~. '['~~t'a.}~A ~P~ C' ^✓4.'y'.M~;"~'~,]'~lo' j ~`ZA l `-Y €yt dfi~N~".,'~'"'1~`. ~~'e~'P+LT ~"Ae1 ~~~y~~~.
- _ r..J..is a1 ~•'H.$ nY2~::a n. ww._... .~...~tas.~ini. {y~. .~.r.`. ~I
~.E G ~ i- D EScRt 1~10~.1
TLS of SroQE PCC;6s , EAGAQ )DAK07A"CouQT-(,MINNe
sue.. I....
9 s~ i y
,u
s ,,pp
L i d D
~
,o.elad~
("7gp~~ ~~~p TT~~++ 7~.
N ~3 51i I ICJ'. V3Y ~'JV DEPT
/.V F-IOUSS
N P 1
P all
CiAR.
Sb' 41'
n zz
h 25~ q~t/.?•
3!
.
D ` C20p' /
E.. /
`~;,,,f / INorzjN ~
/ ScA~.E : Ira 30~
LXTERIOR ENVELOPE SPACL •'U" CONPI'7'Al'ION
(To be submitted with building permit application)
)ne or two family dwelling V Owner Spec *-io'V►
ill other L cyr aloe* 14 HIS&04:~ -9MNG2A1r*6
Site Address [hatllaw+ RtY1~
,ontractor Ti 15en 1~orr\e6 , wc. Dated rest Iggg Phone
,INEAL FT. OF
?XPOSED WALL Z.5 + 1.0 +15.3 + ~,p +10.3+ 13.o+j_V•I2&_ft. above grade-_ 23€59. /
+ TOTAL EXPOSED WALL AREA SQ. FT.
+6A+1_04 13.0+I&S le Io.SF 1933.arD
)PAQUE WALL CONSTRUCTION: "U" Value X area 4"6.08
Z38q.1 (U) (A)
"U" X sq. ft.
P.06\~ V-mAMe_ WAIL. "U"_ .oU3 _X sq. ft. 1.737.5 = 7t/.7 (U) (A)
)etail reference "U" X sq. ft. _ (U) (A)
from Cn lcrterE $lAC1C.y U1 _..U,$ . IL4 X sq. ft. 283.8 39.7 .(U) (A)•
attached sheets "U" X sq. ft. _ (U) (A)
"U" X sq. ft. (U) (A)
"U" X sq. ft. _ (U) (A)
vJINDOWS: "U" VALUE X AREA
'2 C. c31 @ 4O>t Se _ 4$.I sq. ft.
4 (i Cal @ xu"x SW = sq. ft.
3 0 C-1 i @ 24' Y 50" 2•t! 9 sq. ft.
) a- Cll @ 2thY56" 9.7 sq. ft.
N~4g euacLe. ~ @ ~m+x 374' ° 1e. I sq. ft.
Ito- Ca ~\sett[i4Yt = '1.7 sq. ft.
1!• @ $A48MSJ7 = Z. q sq. ft.
Make & type "u" X sq. ft. _ (U) (A)
c0.6ew\\°n+ / ~nau1 "ll"-~7X sq. ft. /S9. S ° J:3.b (U) (A)
111 TIE: 41, X sq. ft. ~.7 3.5 _(U) (A)
Siae
- / r. s V I.
b
I. $al !y^y+T/~r.cul. "U .(/y X sq. ft. 2. C) - /a3 (U) (A)
DOORS: "U" value X area
Make & Type
1Q 3°- 5( f~ uUn .I3 X sq. ft. 2b.O '2.b _ (U) (A)
- 10- X b lull ,13 X sq. ft. (U) (A) <q
11 11 dull X sq. ft. C IU) (AY-., is
11 11 X sq. ft. S.C7 3b.8 (U) (A)
2 Q. ~ae~ is Doo~Pa ~f
TOTAL (U) (A) VALUES 2311.3 O98 TOTALS 2389.1 sq. ft. 23U. (U). (A)
DIVIDED BY TOTAL WALL AREA Z 3 89.1 AVG. "U"
AVERAGE "U" or less for 1 &-2 family dwellings
s
or -
CONSTRUCTION FRAMING R-Value
1.
2. : 61 y
3. "XV& j! liri4t 5htt4W.ka-2.into s
4. 19. 00
23.0 - "'Z3-0
-.tea
ROOT'/CEII: NG: "
PUPAL AREA: 128y 3 sq. ft.
Detail reference "U" ,aZC~ X sq.ft./28t/.3 = 3 (U) (A)
from "U" X sq.ft. _ (U) (A)
attached sheets "U" X sq.ft. _ (U) (A)
Describe openings "U" X sq.ft. _ (U) (A)
in roof "U" X sq.ft. _ (U) (A)
rOPAL (U) (A) VALUES 32.! v TOTALS 128+J.3 sq.ft.3Z_(U) (A)
DIVIDED BY TOPAZ ROOF/ 1a8y.3 s .025 IL
u
MILING AREA
AVEEAGE "U" .0 entil roofs
.10 for struction , QZC®
RM /CEILING: R-VALUE
1. QLA-.' e Ae w- f7
2. rn au-La4-Lrk. %R do
3• Caupsum 439
11. side ACr !e 1
5.
6. ;9 3d ~ 39 ~ °.d~S
dOPE* if average "U" values as calculated above do not meet the Energy Code Requirements,
the "Alternate Lnvelope Design" as outlined in SBC 6006 (g) may be used. Additional
sheets may be used to show calculations.
e
*x n....... x........ nn nAPPLICATION FOR PERMIT ;NOM: PAYMENP OF FEE AT TIME OF
* APPLICATION DOES NOT CON-
' * sTlsvrE APPRGJAL oP PERFfIT.
+
SEWER AND/OR WATER CONNECTION + INsPwncN OF Mm Am/OR wATM
I rMMATIONS WILL NOT BE a'~n.E f
i U ML PERbUT HAS BEEN APPROVED.
SE i~ i++++++Yi+++rr++e+++++++++*4+*+++**+a++
l
dty of cz agan
(PLEASE PRINT
1) PROPERTY ADDRESS:. Chi + h rn
LEGAL DESCRIPTION; . 4 R LotBB lock SS. ahivislon horr( `
ax Parcel I➢
IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE:
Mont Year
PRESENT ZONING/PROPOSED USE:
Q .COMMERCIAL/RETAIL/OFFICE R-1 SINGLE FAMILY
Q INDUSTRIAL R-2 DUPLEX (Two Units)
Q INSTITUTIONAL/GOVERNMENT R-3 TOWNHOUSE (Three Units) ( Units)
R-4 APARTMENT/CONDOMINIUM ( Units)
2) NAME: "3 n-n Fly `n CllnS+'
ADDRESS: L Iri 1 K n (ib Dr.
CITY, STATE, ZIP: f,rx_G7a.n fY( n
PHONE: fn 4) - q l 17
For City Use
3) ~5 •N,~ NAME: 110 Y+5-)- PaI( L~_mb G Plum re s License:
T
ADDRESS: a S -7 2 -7k . Active
Expired
CITY, STATE, ZIP: d)~ S+, Pain Not recorded
PHONE: -77-7-G 6-3 MASTER LICENSE # 1 7 -30 St Ia n£ it1aT
4) EON a x•
NAME: TILsnu Bu 4"m p
ADDRESS:
CITY, STATE, ZIP:
PHONE:
5)
El-CONNECTION TO CITY SEWER Q`CONNECTION TO CITY WATER O OTHER
6)MUE Mm
ET1H '7Y1. ~an~ Yl S - l 9 - S SI
y
* THE GOLD COPY OF THE PERMIT WILL BE SENT DIRECTLY TO PUBLIC WORKS TO FACILITATE METER PICK-UP. y'
* PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. SOMEONE FROM THE CITY WILL CONTACT YOU IF THERE
ARE ANY PROBLEMS.
FOR CITY USE ONLY
PERMIT # ISSUED s
C~ n
Pd w/Bldg. Permit FEES:
$ $ SEWER PERMIT (INCLUDE SURCHARGE)
$ $ ~D WATER PERMIT (INCLUDE SURCHARGE)
$ 67 o y $ WATER METER/COPPERHORN/OUTSIDE READER
$ $ WATER TAP (INCLUDE CORPORATION STOP)
$ $ SEWER TAP
$ $ ACCOUNT DEPOSIT - SEWER
$ $ fS v ACCOUNT DEPOSIT - WATER
$ 0 Z1 $ WAC
CO $ SAC
$ $ TRUNK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRUNK WATER
$ c~O 7'O O $ WATER TREATMENT PLANT SURCHARGE
$ / $ OTHER:
$ f d $ TOTAL
3-3 3,3 RECEIPT RECEIPT
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
YES IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC
ROADWAY" MUST BE ISSUED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
Q
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY: pzt~yc_o
TITLE: /
DATE: /21-3
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
3830 PILIOT KNOB RD - 55122
VT1 l 651-681-4675
New Construction Reaulrements Remodel/Repair Reauirements
a 3 registered site surveys showing sq ft. of lot, sq. ft. of house 2 copies of plan
and gQ roofed areas (20% maximum lot coverage allowed) 1 set of energy calculations for treated additions
> 2 copies of plans (show beam & window sizes; poured fnd. 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
DATE: CONSTRUCTION COST. JQ~DD • ~a
DESCRIPTION OF WORK:
STREET ADDRESS:
1(JbZrIVoty
LOT: L. BLOCK: SUBD./P.I.D.#: th I) s eA E1
Name:_ 21:t~Am Phone
IXJ&I) PROPERTY last First
,,D
OWNER 30 0 / / l(/`
Sheet Address: C~
City / Stater- zip:
Company. - ` Phone (D7 v ~ lLdLcd2
(area code)
CONTRACTOR
~
Sheet Address: License
City state. Zip: ARCHITECT/ J Name:
ENGINEER Company:
Telephone ( )
Sheet Address: Registration
City State: Zip:
Sewer/water licensed plumber (if installing se"dwater): Phone (
I hereby acknowledge that I have read this application, state that the Information is coned, and a t comply with a0 applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant.
OFFICE USE ONLY
Certificates of Survey Received Yes No
Tree Preservation Plan Received Yes No Not Required
PERMIT
City of Eagan Permit Type: Building
Eagan. Permit Number: EA095153
Date Issued: 07/29/2010
OR Permit Category: ePermit
41~ it~ of E3
E
Site Address: 3809 Chatham Rd
Lot: 3 Block: 4 Addition: Hills of Stonebridae
PID:10-32990-030-04
Use:
Description:
Sub Type: e-Fireplace Construction Type:
Work Type: Gas Fireplace (new)
Description:
Census Code: 434- Occupancy :
Zonin,:
Square Feet: 0
Comments: Improvements to the home may require smoke detectors in all bedrooms. Chimney flue must be inspected prior to
concealin,.
Carbon monoxide detectors are required bn law in ALL single family homes.
Fee Summary: BL - Base Fee S3K $88.50 0801.4085
Valuation: 3.000.00 Surcharge - Based on Valuation S3K $1.50 9001.2195
Total: $90.00
Contractor: - Applicant - Owner:
Heath and Home Technologies Scott J Goodson
2700 N. Fairview Ave 3809 Chathmn Rd
Roseville MN 55113 Eagan MN 55123
(61)633-261
I hereby aeknowledae 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 Cite of Eagan Ordinances.
ApplicantiPermitee: Signature Issued Bv: Signature
Use BLUE or BLACK Ink
r
For Office Use
Permit 3 I
City of EI Permit Fee: VJ6
3830 Pilot Knob Road 1
Eagan MN 55122 Date Received: 3 )2
Phone: (651) 675-5675
Fax: (651) 675-5694 I staff:
INFLOW & INFILTRATION PERMIT APPLICATION
Plumbing / Sewer & Water
Date: ~J -/,)-Site Address:
C~ Cf~lr~~f/YUL
Tenant: Suite
Name: Phone:
RESIDENT /OWNER
Address / City / Zip: D
Name: f\'6A-V\ N e)bP, ~2CFLiL'ense
CONTRACTOR Address: I~J o 1{2(~O~ww1 J City: (A0ad~Gv~y
State: MAI Zip: Phone: ~O / U
Contact: s Nd Email: 6-2 - ?-55- -3 Fa f
PLUMBING (Within the building envelope) SEWER & WATER (Outside the building envelope)
TYPE OF WORK Sump Pump Repair Repair
Other: uL T,o Other:
Description of work: &MQ S u.l/lc t~ C`r`y ~T SC,1,C r
DESCRIPTION
FEES
$60.00 / Each (includes $5.00 State Surcharge) TOTAL FEE $
*Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit 1/1 repair costs for
reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors
can be found by visiting www.cityofeagan.com/inflow, or City Hall at 3830 Pilot Knob Rd.
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.
x Do-, x
Applicant's Printed Name plicanVs Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground -Rough-in Final
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA160545
Date Issued:03/18/2020
Permit Category:ePermit
Site Address: 3809 Chatham Rd
Lot:3 Block: 4 Addition: Hills Of Stonebridge
PID:10-32990-04-030
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
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 -
Scott J Goodson
3809 Chatham Rd
Eagan MN 55123
Haferman Water Conditioning
12142 12th Ave.
Burnsville MN 55337
(952) 894-4040
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA164795
Date Issued:10/08/2020
Permit Category:ePermit
Site Address: 3809 Chatham Rd
Lot:3 Block: 4 Addition: Hills Of Stonebridge
PID:10-32990-04-030
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Scott J & Kari A Goodson
3809 Chatham Rd
Eagan MN 55123
Minnesota Restoration Contractors Inc
12252 Nicollet Ave
Burnsville MN 55337
(612) 280-4807
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA168493
Date Issued:04/22/2021
Permit Category:ePermit
Site Address: 3809 Chatham Rd
Lot:3 Block: 4 Addition: Hills Of Stonebridge
PID:10-32990-04-030
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
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. When a weather barrier is installed or
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Scott J & Kari A Goodson
3809 Chatham Rd
Eagan MN 55123
(952) 715-0836
Minnesota Restoration Contractors Inc
12252 Nicollet Ave
Burnsville MN 55337
(612) 280-4807
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA173002
Date Issued:10/25/2021
Permit Category:ePermit
Site Address: 3809 Chatham Rd
Lot:3 Block: 4 Addition: Hills Of Stonebridge
PID:10-32990-04-030
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
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 -
Scott J & Kari A Goodson
3809 Chatham Rd
Eagan MN 55123
(651) 315-6120
North State Mechanical
1444 14th Street W
Hastings MN 55033
(612) 207-0345
Applicant/Permitee: Signature Issued By: Signature