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3801 Chatham Rd CITY OF EAGAN ro- 3 38 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 17, V PHONE. 681-4675 BUILDING PERMIT Receipt # To be used for SF DWG/GAR Est. Value $95,000 Date NOV 21 19 91 Site Address 3801 CHATHAM RD Lot 1 Block 4 Sec/Sub. HILLS OF - OFFICE USE ONLY FEES Parcel No. NEWIDGE. Occupancy R-3 M-1 PD R- i Bldg. Perm 617.00 Zoning Name THE ROTTLUND CO INC (Actual) Const V Surcharge 47.50 ~ Address 5201 B RIVER RD (Allowable) V-N Man Review 401.00 city FRIDLEY MN Tip 55421 Le# of ngthories ~ Uoense Phone 57t-0304 - Depth' SAC. City 100000 SAME S.F. Total SAC. MCWCC 650.00 O Name S.F. Footprints 660 00 U Ad On Site Sewage Water Conn • City 755 On Site Well water meter 95.00 Phone MWCC System X Aoct. Deposit 30.00 p City Water 30.00 (License # PRV Required S/W Permit I hereby acknowlege that I have read this application and state that the Booster Pump S/W Surcharge .50 information is correct and agree to comply with all applicable State of 276.00 Minnesota Statutes and, City of Eagan Ordinances. Treatment PI Signature of Permitee APPROVAL Road Unit 370.00 A Building Permit is issued to: THE ROTTLUND CO INC Planner - Park Ded. on the express condition that all work shall be done in accordance with all Council - applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. Copies Variance 517f" TOTAL 3,277.00 Building Official 1 r Permit No. Permit Holder Date Telephone # SJw PLUMBING /p HVACJ¢ ELECTRIC (p 119 AA 11/15 ELECTRIC / y of D° Inspection Date Insp. Comments Footings I la/ Foundation Z . Framing Roofing Rough Plbg. Rough Htg. Isul. / 3 9 Z Fireplace Final Htg. Orsat Test r Final Plbg. a_ p Plbg. Inspector - Notify Plumber Const. Meter Engr./Plan Bldg. Final Deck Ftg. Deck Final well i Pr. Disp. SEWER 4,WATER PERMIT OFFICE USE ONLY CITY OF EAGAN METER # PERMIT DATE 11/29/91 3830 Pilot Knob Rd. 12494 Eagan, MN 55122-1897- CHIP # PERMIT # METER SIZE B.P. RECEIPT # 0 i ✓ 5 DATE 11- ISSUE DATE B.P. RECEIPT DATE 11 25 91 238A1 PRV BOOSTER PUMP SITE ADDRESS 3&21rhatham Road PERMIT REQUESTED LOT I BLOCK 4 SEC/SUB Hi 1 1 a R ida~ X SEWER X WATER TAPS APPLICANT: The liUttl"Dd CC- In . ADDRESS: 5201 E. River Pwad - COMM/IND X RESIDENTIAL CITY, STATE FridleYo Mn. ZIP 55421 X NEW EXISTING PHONE: 571-0304 Lawn Sprinkler Meters are to be Installed PLUMBER: Valle; Pluming Ahead of Domestic Meters on Water Line. ADDRESS: 610 Creek Lme Credit WILL NOT be given for Deduct Meters. CITY, STATE JOrdeno Mn- ZIP 55352 PHONE: 492-2121 qtr r; I AGREE TO COMPLY WITH CITY OF OWNER: Th a Rottlwd Co. IncEAGAN ORDINANCES ADDRESS: 5201 R_ River Rnsd CITY, STATE FridleX, Mn a ZIP 55421 PHONE: 5710304 SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. SEWER & WATER PERMIT OFFICE USE ONLY CITY OF EAGAN METER # O PERMIT DATE 11/29/9i 3830 Pilot Knob Rd. Eagan, MN 55122-1897 CHIP #4 Z PERMIT # 12404 METER SHE S u B.P. RECEIPT # /-P DATE -1 ?CSH i ISSUE DATE & " I X B.P. RECEIPT DATE 11/251 1 PRV - BOOSTER PUMP 3Tbl SITE ADDRESS 38A L"LL -tai 1 Paw? PERMIT REQUESTED LOT BLOCK 4 SEC/SUB H i 1, s Of Stonebr- i dvp- X SEWER X WATER TAPS APPLICANT: ::'he Rottlunc Co. Inc. ADDRESS: 5201 E. Ri.t-rr Road COMM/IND ~ RESIDENTIAL CITY, STATE L1r:id1e.,, Mt?• ZIP 55421 X NEW - EXISTING { PHONE: 57.1-0304 Lawn Sprinkler Meters are to be Installed f PLUMBER: Valley 21»dirg Ahead of Domestic Meters on Water Line. ADDRESS: ZO Creek Lane Credit WILL NOT be given for Deduct Meters. CITY, STATE jcrdan, M n. Zlp 55352 PHONE: 492--2121 X/~'~u} 1 AGREE TO COMPLY WITH CITY OF OWNER: Th Rot 7 tunri n Tn- EAGAN ORDINANCES ADDRESS: 5201 E. Riv&r goad CITY, STATE rrj.d].ey, t. ZIP55421 10Pz &&4, PHONE: 'r' zr1 ' SIGNATURE WHEN-IiIETif R ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. y 1 4 ~ J _ p Trx#ifirofr of (Orrupoory (citp of Fagan 7 his Cerdricate issued pursuant to the requirements of Section 306 of the Uniform Building Code certifying that at the time of issuance this structure xas in compluutae with the various ordl umm of the GFty regulating building construction or use For the following. Use Vie" SF DWG= eW& tea tom. 19402 OWWWXY Type R3/141 Zoaiuc Dwlitt FD/R 1 Type C012A VN o i eq THERCPnum op pc AM,.. 5201 E RIVER RD, FRTMEY 3801 MAIW ROAD L-R&Y L I, B4, MUS OF MEE 2/ l8j42 ( Date aumins Ofsd POST IN A CONSPICUOUS PLACE /yam /0Vi5 p 3956 i Request Date Fire No. Rough-in Inspection ReQYe9s No Addy Now L' Will Re Inspe or When en Ready? I Z(icensed contractor J owner hereby request inspection of above electrical work at: Job Address o (Street. Box or out. NO /t city ukii .2.4 Section No. Township Name or No. Range No. Gou~~nJy Occupant RINTi I ~ ~ Phone No Power Supplrp~i) ~//1~ Atldreea "'i Y.+C I y~ ' Electrical C tai (Conan N met Conlractors License No. Mailing Address (Contractor or Owner Making Installation, Authorized Signature (Contractor( weer ki g Installation) Phone Number 463 38ib QAA MINNESOTA STATE BOARD OF ELEC RICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room 5.173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave.. St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone 16121642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ESa~ t 08 S 0-Al-p- Do See instructions for completing this form on back of yellow coot'. 0 "X" Below Wak Covered by This Request New Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner Other open tv) Conlrabtor5 Remarks'. Compute Inspection Fee Below: s Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool O to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps Above 100 Amps TOTAL Signs Inspector's Use Only Irrigation Booms l J ~ o L Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORD D DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rough-in t Date certify that the above inspection has Final a been made. ' OFFICE USE ONLY 18 months hom name to S oe'a 5 p 3957 Request Date Fire N Rough-in Inspection Repu pudr` ❑ Ready Now e`Wiill Notify inspector a -?-9t P [ No When Ready? I licensed contractor ] owner hereby request inspection of above electrical work at: Job Atltlress IStreet. Box or to No.) City 338'bj Ali IVA Si im No. Township Name or No. Range No. Counry QCNne t (PRINTi A.4 tM , I fI Phone No Powe: snp Address Electrical va of ICompan IN Convacmr8 License No. ¢a4~ 3 Mai ing A foss IContracror or Owner Making Installation) Aulhonzeo Signature tContrac ,O akmg Inst II Jun, Phone Number 63-38ro MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S-173 BE. ACCEPTED BY THE STATE BOARD 1821 University Ave.. St. Paul. MN 5510E UNLESS PROPER INSPECTION FEE IS Phone (6/2)642-0800 ENCLOSED. / O~ REQUEST FOR ELECTRICAL INSPECTION ' "~"3 Ee-a otoe S fy.t /O 9 0, See instructions for completing this form on back of yellow copy O "X', Below Work Covered by This Request 395.7 s New Add Aep Type of Building Appliances Wired Equipment Wired x 4f Hm oe I Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Speclty) Comm /Industrial Furnace Farm Air Conditioner Other l5pecify) Contractors Remarks'. Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps I iii Jill o to 100 Amps Transformers Above 200 Amps Above 100 Amps Signs Inspectors Use Only: TOTAL 7~ sD Irrigation Booms Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT _ Other Fee , OD COMPLETED WITHIN 18 HS. I, the Electrical Inspector, hereby Rough-In ,ete certify that the above inspection has Final ate been made. OFFICE USE ONLY This request and 18 months from CITY OF EAGAN ~01 9902 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE! 681-4675 in & 32a BUILDING PERMIT T Receipt # Tobeusedtor SF DWG/GAR Est. Value $95,000 Date NOV 21 , tg 91 Site Address 3801 CHATHAM RD Lot _ 1 Block 4 Sec/Sub. HILLS OF OFFICE USE ONLY FEES Parcel NO. STONESRIDGE Occupancy R-3 MM1 Zoning PD $-1 Bldg. Permit 617.00 Name THE ROTTLUND CO INC (Actual) Cons( V-N Surcharge 47.50 LU Address 5201 E RIVER RD Allowable) Y-N Plan Review 401.00 # of Stories 9E City FRIDLEY MN Zlp 55421 Length 51'_ License Phone 571-0304 Depth 46, SAC, City 100.00 Name SAME S.F.Total SAC, MCWCC 650-00 O S.F. Footprints - Address On site Sewage Water Conn 660.00 City zip On Site Well Water Meter 95.00 Phone MWCC System Acct. Deposit 30.00 Q City water _X- LlCeflSe # PRV Required S/W Permit 30.00 I hereby acknowlege that I have read this application and state that the Booster Pump SAN Surcharge .50 information is correct and agree to comply with all applicable State of Minnesota Statutes and City o Ea rdinances. Treatment PI 276.00 Signature of PermiteerAPPROVALS Road Unit 370.00 A Building Permit is issued to: THE R TTLUND CO INC Planner Park Ded. - on the express condition that all work shall be done in accordance with all Council applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg, Off, Copies Building Official 111yjq. 40ij M .9 Variance 5/7/91 TOTAL 3,277.00 Address: 3801 ajAT HAM ROAD Lot 1 Blk 4 Sec/Sub HILLS OF STONEBUXE These items were/were not complete at the time of the final ins ection. Date: 2 18/92 Yes No Inspector; Final grade (6" from siding) LI/ Permanent steps - garage Permanent steps - main entry Permanent driveway Permanent gas Sod/seeded grass Trail/curb damage , N E Porch Basement finish Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. P[<KlE01U£P White - City copy Yellow - Resident copy Pink.- Contractor copy DATE: NOV 29, 1991 RE: 3801 CHATHAM RD (THE ROTTLUND CO INC) X 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 POLICY. Secretary, Building Inspections Dept. 1 r l t of ao - Nac\-ed ~ w 1 o f s A-o per "'V 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan JV' 3830 Pilot Knob Road, Eagan MN 55122 eir`~- v w i sea (-rrn',~- Telephone # 651-675-5675 FAX # 651-675-5694 ° k4 --se s s " New Construction Reouiremenfs 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 Con of Survey Recd _Y _ N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Reod _ Y _ N. 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Required _Y _ N 1 set of Energy Calculations Addition - indicate d on•siife septic system Onsfte Septic System _Y _ N 3 copies of Tree Preservation Planf lot platted after 711193 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Date -7 l l9 / D S Co rue on Cost Z S v Site Address Unit/Ste # Description of Workz~SS t~ ✓ ~it~~~~~ V L v///~7~/may Multi-Fa ~~9 _ Y N Fireplace(s) _ 0 _ 1 _ 2 Property Owner o r ~~~i~ S Telephone # ( ) Contractor 41 Address /29Y 9 ~rrtp n City State d/ Zip SS d4 Telephone # ((yy~ 02 o S 7G o r/ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeory 1 _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (4 submission type) Submitted Submitted . Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Telephone # ( ) Mechanical Contractor Telephone # ( ) Sewer/Water Contractor Telephone ) I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; 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 coo k which requires a review and approval of plans. ; Applicant's Printed Name Applic I%s Signature OFFICE USE ONLY Sub Types ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 Accessory Bldg >r 02 SF Dwelling ❑ 08 us-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 ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex Plbg-Yor-N ❑ 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 Valuation 000 Occupancy /Z- -3 MCES System Census Code Zoning L~- ' City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const V f) Width REQUIRED INSPECTIONS Footings (new bldg) Final/C.O. Footings (deck) i// 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 - Brick Fireplace _ R.I. _ AirTest -Final _ Windows Insulation _ Retaining Wall Approved By: _,Building Inspector - - - - Base Fee 69• Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total -70 ' CITY OF EAGAN FOR CITY USE ONLY r - 3830 PILOT KNOB ROAD EAGAN MN 55122 PERMIT # PHONE (612) 454-8100 RECEIPT # o CANIGA7 k DATE : ICES DENTIAL PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION FEES NEW CONST ADD-ON MINIMUM $15.00 ADD ON HVAC 0-100 M BTU 24.00 REPAIR ADDITIONAL 50 M BTU 6.00 1`1 n ^ GAS OUTLETS - MINIMUM 3.00 OWNER NAME: UTl I UyYI~ 1 OF I PER PERMIT l~~7 SITE ADDRESS:~1I l / _hraT~m?irl SUBTOTAL: $~_0 STATE SURCHARGE: .50 LOT: _L BLOCK S cUBD 6 TOTAL: x INSTALLER: 9303 Inymouth Ave. No. ADDRESS: SIGNATUR OF PERPITTEE 11 en vaticy, twill. CITY: ZIP: PHONE GOMPIERGIAL/INDUSTRIAL:; PLEASE 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: FEES OWNER NAME: 18 OF CONTRACT FEE. STATE SURCHARGE = $.50 FOR SITE ADDRESS: EACH $1,000 OF PERMIT FEE. PROCESSED PIPING - $25.00 LOT: BLOCK SUBD. $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 18 $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE (SIGNATURE) FOR: CITY OF EAGAN CITY OF EAGAN FOR CITY USE ONLY 3830 PILOT KNOB ROAD EAGAN MN 55122 PERMIT # PHONE: (612) 454-8100 RECEIPT # +EBI.N..G T DATE : D 9/ I{$AET1eLC:. PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS 6 TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION COMPLETE THE FOLLOWING: NO. FIXTURES EA. TOTAL NEW CONST ADD-ON MINIMUM 15.00 ADD ON I SHOWER 3.00 REPAIR _ WATER CLOSET 3.00 y BATH TUB 3.00 3- 1 LAVATORY 3.00 OWNER NAME: \\o~kkIIck 1 KITCHEN SINK 3.00 - B LAUNDRY TRAY 3.00 SITE ADDRESS: m0 1 (_1 , \ L + M1awc! HOT TUB/SPA 3.00 WATER HEATER 3.00 3 - LOT: BLOCK SUBD/ FLOOR DRAIN 3.00 3- U' 0 PIPING OUT. INSTALLER: \/.4k1ty e~5 Cc) T-c - (MINIMUM - 1) 3.00 g ROUGH OPENINGS 1.50 <<,c' ADDRESS: Ll lL9 C : ZL C OTHER _ _ WATER SOFTENER 5.00 CITY: 2c~,~r ZIP: S1 3 a PRIVATE DISP. 15.00 _ U.G. SPRINKLER 3.00 PHONE SUBTOTAL ti O C {nom ST. SURCHARGE .50 SIGNATURE OlF PERMITTEE TOTAL: S UOMM&RCIALjNDUSTRIAT 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 1991 BUIi I G"T APPLICATION CITY OF EAGAN 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 CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CAL.CS OF RENTAL UNITS OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. N CHANGES WILL B LOWED ONCE BUILDING PERMIT IS ISSUE ~ PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE ' ._S_BEEN`C0 li TED. PERMIT MUST SHOW A LICENSED PLUMBER. P1 II i 911 To Be Used For: 6p Hr E F?M/U/ Valuation: I) Nov / a Site Address 5*c,/ ~1J ~jpay OFFICE 9'J,Dao ~ Lot Block e4 FEES Occupancy R-3 M-1 Bldg. Permit 60.0 o Zoning Qp R-I Surcharged Parcel/Sub AU,-, dof 6*Vh0E',R1Qg45 Actual Const V-N Plan Review o o0 Allowable V-N SAC, City I00.00 Owner Tjj_Fn7`it»/.b e,~y, /!-L! # of stories SAC, MWCC (aSD,oO Length n'e Water Conn. (eD o Address G2eyL E_ Depth y6' Water Meter 95096 S.F. Total Acct. Deposit City/Zip Code mac- s54-.1 Footprint S.F. S/w Permit 0,00 S/W Surcharge .$D Phone t~'~I - Or3o~ On site sewage- Treatment Pl. eArM,,0* On site well Road Unit 3 90.yo Contractor l? MWCC System Park Ded. City water _V Trail Ded. Address PRV Copies Booster Pump City/Zip Code SUBTOTAL APPROVALS Penalty Phone Planner Lot Change Council TOTAL _ Arch./Engr. dg nff ~ 9/ Variance 517- Address City/Zip Code Phone # Sewer/Water Licensed Contr. a'- ou r~i4, agrees that all work shall be done in accordance with ~gnatu a of Contractor) all applicable State of Minnesota Statutes and City of Eagan Ordinances. w ,b GRRAGE aox;-0= L4Db °~yKaG r 62y' ~y.k 1SS ~ b7 2 f f 2~G x /.L(, IST FLIPOy r) IXL2= VL 135►'►'lT~--jam ' 132 Y53, '7o3~S~ 001- 2, 7 i0 ~7'7•UOF 491.00 2, ! • + 2422 Enterprise t' f PION R n~endola Heights, MN 55720 urm svRVEYOR] • C1yti EnGrNEERb _ ~y@~{~In~~r~I1C, ~n LANO PLANNCPS~LMNM~APE NPCf11TEG"rE /6'Z~ 661-~s~4 T Certificate of Survey for: E- K 0 1 C UND -COMPANY WESCOTT RDAD - - - NOt2TFi NB9°SR~zS"E ro~ j I Q 135.40 3- Q 5r la, )g w I IM I O M ~ I I 4b.S3-- I I kA 43 *0 C ! a 4I ! IQ' g ! r o Hi Q Z'O I I x Z'" LI 41 8.7> = v B a Le :did ~Cd ;INTFETTNIIf~, . 900.0 Denotes exiMn Elevation P4oposio f-l E &EIIRTJO Ng . soo•o Denotes pro d Elevation Lowesf FJoor~evafion at3,+o --_'"benofes DramJa¢e~uhlill Easement t 9 zl.z 3 Denotes Dram e Flow grrolws Top dp^ 610C4 Elevation o Denotes monument Cicrrae Slob Elev4t;iorl =w 9 $eorrn~s shown ore assumed LOT I , Stack 4 , PILLS of STONESMOE QAKOTA COUNTY MpVAlE50TA 909rrCr TO EASEMENTS 0FRte0 D 1 hereLv certity that this eurvey, plan or report 'w,are prepared by me or under my direct supervision and that ~ am duly Regimered Land Surveyor under the lave or the State of Minnesota. Dated thle l'~ de, of Nx15(Pus/s AAA, 19 Scale : t mO = 40 4~&J ROBERT B. St KICH L.S. REC. NQ. 14691 B9NZ.9~ 31 Tv 7H E /1B4u14CM Sa W)V6- crime RJDI S-'7- 9 / ~S sEr~ ~ftR~~cs G/1a9v?t~ w~57waor~ FxTFrion t•:r+vr•.t,rnPF. nvi•:r;nrt•; "u" atrtru'rn'r10xt 0WNER 1Ra7-n_y&D co- A4 SITE ADDRESS f! tj BL.C)uc H/ (.LS of STt7NEtR1D6_ CONTRACTOR DATF. PHONE Determin workini, square foota,,c of each. 1. Total exposed wall area ZQ, sq. ft. x 0'11 = ~8q+24 2. Total roof/ceiling area L7a sq. ft. x 6,026 = 3310 Z. • Total exposed wail area above floor = 17~~i (o a. Total wall window area f4-:~, / b. Total door area 4r, i c. Total sliding glass door area d. Total fireplace wall area 2-r-7 e. Total wall framing area (average 10%) i~ f. Total net wall area above floor j Z I 9 g. Total rim foist area .....................4........ O Total exposed foundation area = 1( Z h. Total foundation window area i. Total net foundation area above grade h ➢eterrine "U" value of each wall segment. a. 1 -7 x lull 0. b. 7 3/R,97 x 'lull p 31Z = I Z~/,~ 9 d. x 'lull x „U,. 0, add _ 2r 4 g• x ..t,,, ~,c 4.qz h. X „U„ _ i. x 'lull L _ ~rJ,(v$ 3. .Tot.n] 1 L o% If item #3 is the same as, or less :.h:,n item N1, you have met the intent of SBc 6oo6(c)2. r Total exposed root/ceiling area = f L Total gross roof/ceiling aren = J. Total skylight area k. Total roof/ceiling framing area 1. Total net insulated roof/ceiling area Determine "U" value for each roof/ecilinl; scgquent. J. - 3~42 r k: 2~ x „u,, - 1. 1 ! ~r3 X 'full D- O 2 2 = ?~'pr ( 4 4 . Total If total of N4 is the same as, or less than N2, you have met the intent of sBc 6oo6(e)i. To utilize the total envelope system method, the values established by the sum of items H3 and d4 shall not be greater. than the sum of items N1 and #2. 1, + 2. + 4. _ f. V ' Vk I,U~ ~ GAI.GULA'("lo ~ ~GaNT~, -~1ZAML hihtU. L~ I NCI ~ATI~N LOMPONI%N~i . R-~IALUE l i ► 01{~~DE AIF- F1LMt 0,11 2 - /i lNSULA~i~rl• 19.0 G jP, eQ o. 45 i\4j t~51Das AI(y FILM,' -_----"O: Cob - u= Rl~v(A~ o.c43 -FFAM9 WAUL & IV LoMPoN~NjS ' . F--VALL(5 -v -J 3 3' IINlo _ PI,~N• view. u r o.0~9. SAL =G1?1~t P~. I C U = 0,12 X 0.01,9) t (o, Sb X 0.043) = O' 0 43 0 IU-~~ FILM - -fH 5 ~ O5 ~IbING: . 3 0 ~;.-~~~..-ELM, - _ o; ► lv ~ t 2li = o..o t . ~~~1Np~TloN . I . 30 0. l~ /2 ~J I I I 2 4-5 0, 027 U X5.83 i 2 Q ~~It==Fi~M: -0~~'1------ ® LgG f1~ iL M_; CITY OF EAGAN FOR CITY USE ONLY 3830 PILOT KNOB ROAD EAGAN MN 55122 PERMIT # PHONE: (612) 454-8100 RECEIPT # 'I ?MB N&_.:1' T DATE: To29 e RETDETx15L:` PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS 6 TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION COMPLETE THE FOLLOWING: NO. FIXTURES EA. TOTAL NEW CONST X ADD-ON MINIMUM 15.00 ADD ON T_ SHOWER 3.00 REPAIR WATER CLOSET 3.00 _ BATH TUB 3.00 LAVATORY 3.00 OWNER NAME: KITCHEN SINK 3.00 Q LAUNDRY TRAY 3.00 SITE ADDRESS: &2 (11A A HOT TUB/SPA 3.00 _ WATER HEATER 3.00 LOT: BLOCK SUBD. lit& FLOOR DRAIN 3.00 GAS PIPING OUT. INSTALLER: l « l.~J C (MINIMUM - 1) 3.00 ROUGH OPENINGS 1.50 ADDRESS: /y0~ ~~'^l~ Sb OTHER _ WATER SOFTENER 5.00 ~ CITY: SP• ZIP: PRIVATE DISP. 15.00 _ U.G. SPRINKLER 3.00 PHONE SUBTOTAL S Awl ST. SURCHARGE .50 SIGN RE F PERMITTEE TOTAL: S COMMERGIAL/INDIISTRIAL' 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: 18 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 18 $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE (SIGNATURE) FOR: CITY OF EAGAN 4 SUBJECT: VARIANCE 7 `Il APPLICANT: UNITED MORTGAGE CORPORATION LOCATION: LOT 25, BLOCK 1, HILLS OF STONEBRIDGE ADDITION EXISTING ZONING: PD, R-1 (PLANNED DEVELOPMENT - SINGLE FAMILY) DATE OF PUBLIC HEARING: MAY 7, 1991 DATE OF REPORT: APRIL 30, 1991 COMPILED BY: COMMUNITY DEVELOPMENT DEPARTMENT APPLICATION SUMMARY: An application has been submitted requesting Variances of 15' for both Lot 25, Block 1, and Lot 1, Block 4, Hills of Stonebridge. COMMENTS: Both lots are comer lots fronting on Chatham and Wescott Roads. Chatham Road has a 30' setback from the public right-of-way and Wescott Road has a 50' setback from the public right-of-way. The applicant believes the 50' setback is excessive and could be reduced without any detrimental affects to the homes on both lots. Lot 1, Block 4, would have only 36' to build on and Lot 25, Block 1 would have 49' at the front and only 30' at the rear of the lot to construct a home. With these restrictive dimensions, houses of appropriate design or of the neighborhood standards could not be built. If approved, these Variances shall be subject to the following conditions: 1. Driveway access shall be from Chatham Road. 2. All other Code requirements shall be met. UMC Variance 1 ILLSG SE Ly. LI f~ 3 BKN MCEgING qL C RU. Street Map + rRL R MlL RID1E MTRY P11' R y r 'S ~ b 9 i 'ybWU oq S STATIM \ WF51 MI•RI I6NIN L ~ It, mm Zoning Map - - 1 { L ® f. -~_1 K 11 qG. u-i D- Comp Guide Plan Map ' N o-n .r 1 r , 1o-i r f i I\ P /Jl P S . 7 I t UMC Variances i rG ::C4?On;,•; 1 L" .wBG1 i.'~ 01`J t r ■ yk 17 -1 • NorIA /%ne a fhe N. oF' "6e `NE%i ^ 9cefeoi~ 24 37<. {3 l ti ° WESCOT T 2las7 --29.20 , i -oar 1 ' - \ 8 ? \ 1 1; _"rig?i::' `i ? 23 24 s = Yr I ze' 03 L ;lp w\ Otis\50$ 4 sq 4 67 \ i \\\n`L 6 w ~JY4/~~`0 J ~ ,fp4 / . o\ \?A 6 ~i~ /'\\y p ma. P i7~j~ 6 a /~ss2s a o 105.74 I //in \ \ 9 c~~\\ Q 2164 \I 30 30 ~ \ \ \ ~ ,1I c ~ ~a p~ t Ad J',i~.` %SS.le 8 ~1 ~ 476 d+///'077Ia O: P /C )04 * * 2422 Enterprise Drive * PIONEER LAND IFLNIVEY]IJe•CIVIL EMGNEEM Mendotefleights,MN5512n eng peering.. LAMP eLaMNERS• LA"DIMleE An HlTECn * * 16121681-1914 Certificate of Survey for:-THE Ro rn uNo COMPANY NoatN WE5COTT ROAD N 89' 51 r Zs' E 140.41 _ ,or . - o I 3 i < m I 'r 1 i ~ gUttDABLE AREA JO D I CID D W ' a lei 600 J•~ L~i -1 Iv 3p ~ r, ` t z'INDiCPrES ADD'i.'BUILDABLEARFA e 900.0 Denotes err'sllnt flevalion LWOPOSED HOUSE ECEVAT1ON9 900.0 Denotes prop d Elevofion ---'--denotes Drminaje jUtilit Easement Lowest r1ror Elevation e Denoles Drama e Flow grows 'Block ftevafion Top at o Denotes monumenl Carole Slab Gevafion = pfar, nSs shown oro assumed LOT Zs, BLOCK 1 PILLS OF t$TONEBRIdCE DAKOTA CouNTy, A41NNEsoTA 90JUE[T TO EASEMENTS 0rRLrCVt7D I hereby certify that this turvey, plan or report eyes prepared by me nr under my direct "M-111nn acrd that t am duly neirktarM Land Surveyor unslar the laws of the State of Mtne"ots. Dsted thisday Of A.D. 19 _ , Scale : I Lr,6 , 40 lid nnnr n r n. Cir(trl ii Cllr r; rJn_IneAl # PIONEER LANDSURVEyORS•[IVIL ENGINEERS 2422 Enteiptisp. Drive Mr.Firloto 111eights. MN 55120 r engineering LAND PLANNERS•LAN0110C r[AP[ IIEETS (612)681 914 T 1 * J TTy Certificate of Survey for: -THE ROT L UND COMPANY WESCOTT RDAP - NoarN A u NQge59~25'E 1 135.00 a ~ `O I p M I ~ I tV ~o f ) a I O g D ' Z I - - - L"jBUILDABLE AREA I in M Q le tJ ~ Iv .s,r " E I N t?S° 3eI 00 1- ?2: =iINDICA?~5 ADDIL 8UILDA8LE AQDDt 900.o Denotes ex4ll'n~ Elevation EROPOSED NOUSf ECEV_AT10N5 9oa.o Denotes prop d Elevation Iowesf arlnofElevation = Denotes Drum le t utdfy Easemenf - - Denotes Dmir?a a Flow Arrows Top of 1 Block flevahon o Oenoles monument Carole Slab Elevation = 13 earinSs shown art assumed LOT 1 BLOCK 4 , NILCS OF STOAT RIDGE DAKOTA CCVNTY, MINNESOTA Svaircr 7D EASEMENTS or Rtropo I hereby certlfy thel thli survey, pion or report was ptepaled by rile or Under my direct sunervlsinn and ow I nm duly Aeglsl.red Lend Surveyer under the IBM of the Slate of Minnnote. Doled This day of A.D. 19 Scale -1 ~^j6 : 400d _ -R In" 91 11 ;iN U'ni c. IF r.. Nn. IARP i 31 I,rAt nn I Eo-rCSffce:US(e~ ll~~ C I City of Eayn j Permit # O5 1 I Permit Fee: 3830 Pilot Knob Road Eagan T / Eagan MN 55122 I Date Receiv I/ I Phone: (651) 6755675 staff: Fax: (651) 675-5694 I I 2008 RESIDENTIAL BUILDING /PERMIT APPLICATION YD I P~ f)r..~. .o4d Date: C Site Address: K Tenant: DFftML Circ.3g Suite RESIDENT I OWNER Name: ]~A-Jrl C,ro.to~ Phone: BSI-48r6"76Y7 ~D'O~ Wr"d' Address/City/Zip: e Applicant is: -Owner '(Contractor TYPE OF WORK Description of work: Tw r .04.4- S rr.!'ook Construction Cost: 0714Y Multi-Family Building: (Yes No CONTRACTOR Name: 1600; to /V.+ X'-e- License aolwtzl Address: 55-1100 IL.' SIC. City: 114. Lr,~, State: Wt'^ Zip: 6.1-dw Phone: GIZ'if'fS'S3b$ Contact Person: -r.*' `sb " COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _ Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet New Energy Code Worksheet Category Submitted Submitted (4 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: NOTE: Plans and supporting documents that you submit are considered.to be public, information. 'Portions of the information may be classifled as non-public if you provide speeffc reasons that would p_ermifthe `City to conclude that the are trade 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 twits ,¢,JwF f/+of"-I x Applicant's Printed Name Applicant's gnature Page 1 of 3 1 851~~ 2007 RESIDENTIAL BUILDING PERMIT APPLICATION ~o 3830 City Of Eagan 4 Pilot Knob Road, Eagan MN 55122 Telephone hone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements Remodel/Repair Requirements Offlu 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 Cart of Survey Recd _ Y _ N (20% maximum lot coverage allowed) i 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 7/1193 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Minnegasco mechanical ventilation form Date _-F / 5 / 03 Construction Cost 3d6o. 00 Site Address _s.LIL { hC1 V» &7 _ Unit/Ste # Description of Work 1/~~h~Uw / Qd ~aCPjiYj (47~' Multi-Family Bldg _ Y ✓ N Fireplace(s) 0 _ 1 - 2 Property Owner d Cra {G Telephone # ( > iD 0 & - / IP LI7 Contractor LCtYnnerf fk7~-r,nrc Address 7 {a i e i-t-~u t, City a f . nL// /l , State CIl N --Zip 5S / 3 Telephone ft ( ) (oeZ 3& eo 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 (q submission type) Submitted Submitted • Energy Envelope Calculations Submitted In the lost 12 months, has 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 Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of N4N Statutes; 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. Da&ta [fah wu~ Applicant's Printed Name Applicant's Signature City of Baran I Permit# Permit Fee: (-v I 3830 Pilot Knob Road Eagan MN 55122 j Date Received: I I Phone: (651) 675-5675 Fax: (651) 675-5694 1 Stan: J 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: 3m ov/ 0At+ 4r1 QaJ Tenant: h C~ Suite RESIDENT I OWNER Name: h4i,4& t DAJ-a Cf~'S Phone: GSl^6~G"7Gy7 Address / City / Zip: U0 Applicant is: _ Owner Contractor TYPE OF WORK Description of work: pts Jc Enkh -Iv-3L r Construction Cost: 70019 Multi-Family Building: (Yes No ) CONTRACTOR Name: kaoF Co N*Tnc License#: 207;t5"3 Address: 5r(00 16.19w"f IA x City: IMa'A-, State: rKn Zip: y0 r Phone: 612.6'i1s"n68 Contact Person: /OM 40511+4 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _ Minnesota Rules 7670 Category 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: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public N you provide specific reasons that would permit the City to conclude that the are trade 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 I rrip5 A ffvs ~-1 x ~~GY Applicant's Printed Name Applica s Signature Page 1 of 3 r o Gttice e-% ` 1 J -7 1 City of Eap ; Permit SQ i~ 3830 Pilot Knob Road Permit Fee: Eagan MN 55122 j Date Received: Phone: (651) 675-5675 I Fax: (651) 675-5694 Staff: j ________________J G 2009 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: ! 38 09 Site Address: :380 Tenant: 0 ✓v ~L1 Suite RESIDENT / OWNER Name: Phone: :16 47 Address / City / Zip: 3~6 rt,~ CONTRACTOR Name: kv- f License 6. ph^ Address: City: State: -e Zip: 12;5) 2 Phone: (~5 1 -337J7 -R Contact Person: 1711- TYPE OF WORK -New 1/Replacement -Repair -Rebuild _ Modify Space Work in R.O.W. Description of work: PERMIT TYPE RESIDENTIAL Water Heater Water Softener Lawn Irrigation -Add Plumbing Fixtures RPZ / _ PVB) Main_ Lower Level) Septic System Water Turnaround _ New Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnarounds (includes $.50 State Surcharge) `Water Turnaround (add $165.00 if a 5/8" meter is required) $100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEES $ 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 at jw, rstand this is not a permit, but only an application for a permit, an work is not to start without a permit; that the work will be in Eag trdnc ace e a pproved plan in the case of work which requires a review and appro I of p(ans~- x x Ap I' an 's Printed ame Appl nt's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: -Under Ground -Rough-In -Air Test ---Gas Test Final PERMIT City of Eagan Permit Type: Mechanical 3830 Pilot Knob Rd � � � Permit Number: EA148067 Eagan, MN 55122 -- E AG Date Issued: 05/30/2018 (651)675-5675 Permit Category:ePermit www.ci.eagan.mn.us Site Address: 3801 Chatham Rd Lot: 1 Block: 4 Addition: Hills of Stonebridge PID: 10-32990-04-010 Use: Description: Sub Type: Residential Work Type: Replace Description: Furnace&Air Conditioner 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). Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes(Minnesota Fee Summary: ME-Permit Fee(Replacements) $59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 Total: $60.00 Contractor: - Applicant - Owner: Uptown Heating&Cooling David M Craig 3110 Washington Ave N, Suite 100 3801 Chatham Rd Minneapolis MN 55411 Eagan MN 55123 (612)827-4674 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. Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA159757 Date Issued:01/15/2020 Permit Category:ePermit Site Address: 3801 Chatham Rd Lot:1 Block: 4 Addition: Hills Of Stonebridge PID:10-32990-04-010 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard Water Heater 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 - David M Craig 3801 Chatham Rd Eagan MN 55123 Adam's On Time Plumbing & Water Heaters Llc 13791 Jonquil Lane N Dayton MN 55327 (612) 205-6060 Applicant/Permitee: Signature Issued By: Signature