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3664 Abbey Way RESIDENTIAL BUILDING 15/0Zs- Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-.5675 FAX # 651-675-5694 New Construction Requirements Remodel/Repair Requirements Office Use Only 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan Cart of Survey Recd -Y -N (209/6 maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Recd Y _N < 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site surveyor additions & decks Tree Pres Regd -Y -N 1 set of Energy Calculations Addition - indicate if on-site septic system ' On-site Septic System -Y _N 3 copies of Tree Preservation Plan if lot platted after 711193 Rim Joist Detail Options selection sheet (bldgs with 3 or less units Date i IJL V47 Construction Cost Site Address so" Unit/Ste # Description of Work Multi-Family Bldg \Y -N Fireplace(s) 0 1 _ 2 Property Owner Telephone # ( ) s WCL4 J -2 -:27- Contractor - 4)rvn-:-g9 n 1 Address 97~s/ S i City State N Zip 17 Telephone # -V'!;k) 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 0 submission type) Submitted Submitted Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with 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 work which requires a review and approval of plans. _ Applicant's Printed Name Applicant's Signature CITY OF EAGAN Remarks Addition ®®ST~~F--R--ANCIS WOOD 4TH of 1 Blk Parcel 10 65903 ni n n1 Owner lJ~!-~l/ do, treet State Eagan, MN 5 123 Improvement ate Amount Annual Years Payment Receipt Date STREET SURF. _ , - 16L-72 5 -Alf STREET RESTOR. 104 96 201. 57 134.17 15 GRADING 14 SAN SEW TRUNK 46~~ 30.88 -1 SEWER LATERAL . . / (0 3 110 7 -'18 WATERMAIN WATER LATERALBBN 1013 _ 1986, 612 . 58,, 122 , 5,2S WATER AREA STORM SEW TRK *VA!! 1985 1 22.95 2 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT'` ATER CONN. BUILDING PER. SAC PARK ~t ROBE ENGINEERING CONSULTING EN3tNEER! PLRNNERS and LAND f URYEVORS COMPRNY, INC. 1000 EAST 1461A STREET. BURNSVILLE, MINNESOTA 55337 PH' 432-3000 Lard .Quct-tegfen: LOT 1, SLOG-ic I, sT . FRAnfCls WgD v D 471f A.13 DIT10/11) D/1KOTA G4>(IAJ T*-/, MIAMI ~ JVOI4TK S CALE /`=301 31o-Q0 lSS.o ~ S it 3Z•rO5 o4.5) \ Zo.~r P ZB v ~~Q~• s 2a, tl \m \D I a rn o~- z \ ps 1` We \ ~I o~ \ a P fy fl ~ojOS~ D6NorES DES/bK ELEV. DFKorEs Exist. 6GGV -V R A~KRjy 1 000 00" sI hereby certify that this is a true and correct representation of a tract of land as shown' and described hereon.. As prepared by me on this day of xv,-" , 19 . "U 06 Inn, i , 44 2 3 3 A 5 f~ 6 L , 7 - 9 { } B 0 1 9 z., i~ 11 0{ 13 114 ',.15 • . 12 16 T 3;k f - - - 17 14 19 C ` n ? 10 21 3 3( 4 3 eh+Pt_t{' FfW`; n!~ r Al 3 2 , XI, .W,.: - - 34 I _i iC,inll, ! 1 Cif i A ~..F. It tJ- to ~,,•~`.E.'x."'6 S. YL`~~. ~T ` ~ ~ ',F~~: r: F~ ,5 ~ S S~L~k # GY k~:~kF ZSk Y Y. 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L.'1'.,;'~ <z+w~ r:f~. a S ;rYV ~'~`r& sY;t;ce?Y ,s'~~''~~. ``R~' .~s,",o., . y ~i . z~ s Yc„iL'z<~ ~'•r><i'£8 .9~ 4. f#a5 ~iv n.<Rx:=3?eyxJOY~,£:R: sg :~3:"" t, £v~, ;Y.`a'~a ,:tF ~~r 1 a, g, 7.~ , G~~x~u Sg s~R'3 zr g g 5 v x x r 15 F,: ,axS~~F ~ 6 F r. <ux,"wre IF 9 2 B L Cf _ e 9 d E - - 1E Z tZ Z 61 B IZ 91 " m 31 61 C1 at op 3 0 01 I I El I01~ I1 ~Q O1 ` 9 Z i Z CITY GAAI 3830 jrab Road WATER VFIC P. d. Box 21199 PERMIT NO.: 7077 Eagan, MN 55121 DATE: 1-10-96 Zoning: No. of Units: Owner: T ;nbertori Coirq tz . Address: Site Address' A aY rai 4th Plumber: :`~an:i~.l 'for C7 J, G Meter No.: ~C c urge. 3,_ . -GPc Size: ' f g, " ~u sit: Reader No.: 10.0 . . come to comply Wfth Oidlwonoee. Misc. Charges: 92 ' n Total: 2 x0,100pd etpi- 13y Dote Paid: Date of Insp.: Insp.: 4 CITY QrF EAGAN WATER SERVICE PERMIT r 3830 Pildt Knob Road P. O. Box 211+99 PERMIT NO.: F Eagan, IVIN 55121 DATE: Zoning _ No. of Units: ' Owner. Address: Site Address: Plumber: Meter No.: Connection Charge: Size: Account Deposit: Reader No.: Permit Fee: 1 some to comply with the City of Bogen Surcharge: Ordinances. Misc. Charges: Total: By Date Paid: Dote of Insp.: insp.: CITY OF EAGAN SEWER SERVICE RERMIT 3830 Pilot Knob Road h n P. 0. Box 211$9 PERMIT NO.: Eagan, MN- 55121 DATE Zoning: No. of Units: Owner: r C Address: Site Address: Plumber. i agree to comply with the City of Eagoa Connection Charge: Ordinances. Account Deposit: Permit Fee: Surcharge: BY Misc. Charges: Date of Insp.: Total: Insp.: Date Paid: OEM- OEM= CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION (Please Print) 1) PROPERTY ADDRESS:, l r LE C,AL DESCRIPTION: (Lot Block Subdivision or T ar e° r) IF EXISTING STRL'CTLRE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: (Month Year) PRESENT ZONIWG/PROPOSED USE: R--1 SIDLE FAMILY R-2 DUPLEX (Two Units) R-3 TOWNHOUSE (Three + Units) '44-Units) R-4 APARTMENT/CONDOMINIUM ( Units) COMNIERCIAL/RETAIL/OFFIC:E INDUSTRIALS INSTITUTIONAL/GOVERNMENT 2) 1P.&MAW.-RoM NAME: r- ADDRESS : la 1~~ e CITY, STATE, ZIP: PHONE :w~ Gf 3) r For City Use NAME: 114le ~U/ Plumbers L'cens, ADDRESS : ~fP~ uL C Ac ve CITY, STATE, ZIP: t3,~Qc f~t1 /fit X11 iced PHONE: y e,11 MASTER LICENSE #~-3 t Recor 4) • ~e NAME: a°~7,~ /U Gi ~s ADDRESS ;l CITY, STATE, ZIP: /14 PHONE 5) - ~r Q CONNECTION TO CITY SEWER d CONNECTION TO CITY WATER' OTHER (Please Describe) 6) RQUIMUNNEM PLEASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE PLEA MIL APPROVED PERMIT TO 8, 4r ABA ( Mcle one) 7) / y (p FOR CITY USE ONLY PERMIT ISSUED FEES: $ Q Sy SE:,iER PE7 IT (I`ICL;D SURCHARGE) $ ~U WATER PER11IT (INCL'U'DE SURCHARGE) WATER METER/COPPERHORN/OUTSIDE, READER $ WATER TAP (INCLUDE CORPORATION STOP) $ SEWER TAP $ ACCOUNT DEPOSIT - WATER $ WAC U SAC $ TRUNK WATER ASSESS.IENT $ TRli.dK SEWER ASSESSMENT $ LATERAL BENEFIT/TRUNK SE::ER $ LATERAL BENEFIT/TRUNK WATER $ 7Zz `C9 WATER TREATMENT PLANT SURCHARGE $ OTHER: TOTAL $`vv AMOUNT PAID/ 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 NO ENGINEERING DIVISION. LIST AS A CONDI- TION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: DATE: ~j~ J2 9 or, HOUSE HEATING' TEST RECORD ADDRESS C~ & C11"', l APT. FLOOR CITY SUBURA OCCUPANT OWNER HEAT LOSS DATE HTG. INST. SOLD BY 0106; CD INSTALLED BY S A/` I ~ Electrical Work By Gas Line By /a ,A-1 TYPE OF HEAT GA PA HW' STEAM < SPACE HTR. UNIT HTR. OTHER GAS DESIGN CONVERSION MAKE -MAKE OF BURNER Model <Model Serial 4;"PSS 5/ b 9 ZEX Max. BTU Rating INPUTSs! MAKE OF FURNACE Model CONTROLS r THERMOSTAT Heat Plug Vent Size ~x Valve KIND OF LINE~f19 SIZE__-NONE Limit Ncyu/P// Draft Hood Regulator Limit Setting s filters Size Number Fan Setting Chimney Location InsideOutside Pilot Type Chimney Construction Pilot Make Jl~✓ Pilot Model Smoke Bomb Wiring lam/ Pilot Timing S!,'!d~✓ Draft Test Tog y L.W. Cut Off &-7 Door Pressure Lighting Inst. Pressute~aL 'Percent CO f' ~f Date Tested y 2 2 Input CFH Percent 0Z 7 Company Testing Stock Temp. , Percent CO Name of Tester HOUSE HEATING TEST RECORD 3-7 q-7 ADDRESS h4 APT. ~ FLOOR CITa&N ` SUBURB OCCUPANT OWNER` HEAT LOSS % DATE HT f,. INST. SOLD BY 6 INSTALLED BY Electrical Work By Gas Line By TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNI (kfER GAS DESIGN f~ NU SIOVV MAKE MAKE OF BURNER Model Model Serial V:_S~AM Max. BTU Rating INPT MAKE OF FURNACE Model CONTROLS a THERM AT ~ Heat Plug Vent Size Valve KIND OF LINER SIZE NONE Limit Draft Hood Regulator Limit Setting O Filters Size _~llumber Fan Setting Chimney Location Zns*de Outside Pilot Type Chimney Construct on 12 Pilot Make t/ Pilot Model Smoke Bomb Wiring Pilot Timing Draft ' Test Tag L.W. Cut Off t Door Pressure Lighting Inst. Pressure 41° Percent C02 Date Tested b Input CFH Percent 02 Company Testing Stack Temp. U o' Percent CO Name of Tester Form 235 INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Ei. Eagan, Minnesota 55122-1897 Date Issued:> t (612) 681-4675 SITE ADDRESS: APPLICANT: PERMIT SUBTYPE: TYPE OF WORK: ra, lit INSPECTION DATE INSPTR. INSPECTION TYPE DATE INSPTR. i fit:! k r _ _~L Permit No. Permit Holder Date Telephone # ELECTRIC PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE AIR TEST FIREPLACE FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL PERMIT C k- 0-6 CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: BUILDING Eagan, Minnesota 55122-1897 Permit Number: 0 2 5 9 3 5 (612) 681-4675 Date Issued: 06/29/95 SITE ADDRESS: 3664 ABBEY WAY LOT: 1 BLOCK: 1 ST FRANCIS WOOD 4TH P.I.N.: 10--65903-010-01 DESCRIPTION: (GAS) Building Permit Type FIREPLACE 4uilding Work Type NEW REMARKS: 4 FEE SUMMARY: Base Fee $25.00 Surcharge .50 Total Fee $25.50 CONTRACTOR: Applicant - ST. LTC. OWNER: FIRESIDE CORNER INC 16331042 0001068 ERB DAVID 2700 N FAIRVIEW AVE 3664 ABBEY WAY ROSEVILLE MN 55113 EAGAN !MN 55123 (612) 633-1042 (612)681-9253 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Mn. Statutes and ty of Eagan Ordinances. APPLICA RMITEE SIGNATURE ISSUED SIGNATURE 4M9 CITY OF EAGAN 3830 PILOT KNOB RD - 55122 1995 FIREPLACE PERMIT APPLICATION 681-4675 DATE: DESCRIPTION OF WORK: INSTALL MM FIREPLACE: WOOD BURNING GAS INSTALL GAS LOG ONLY IN EXISTING FIREPLACE INSTALL GAS LINE ONLY IN EXISTING FIREPLACE OTHER: AREA TO BE INSTALLED IN: c3 - aLqi~i~ &,&-9 STREET ADDRESS: 3 L4- h5eL-y! -jam- U/3 J-7- A LOT BLOCK I SUBD./P.I.D. APPLICANT: (circle one only) OWNER ONTRACTOR 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: r D Phone # OWNER LAST FIRST Signature: Street Address City: Ls` 1(U State: eJ • Zip: x~, l 2- FIREPLACE Company: -L l Phone 3-3 -25 6. ~ . INSTALLER Signature: Street dress: -2- o a License City. 5 (V l L- 97 State: Zip. $ l _PW40) GAS LINE Company: Phone INSTALLER Name: A t!~ Signature: Street Address City: State: Zip: Use BLUE or BLACK Ink For Offiee'Use / I-)~~ f I Cityof Eajan Permit#: I I 3830 Pilot Knob Road Permit Fee: - Eagan MN 55122 j Date Received: Phone: (651) 675-5675 I /~lJ Fax: (651) 675-5694 I Staff- 2010 MECHANICAL PERMIT APPLICATION Date: 3-x~-,Q Site Address: _2kaLo1 AapbtA_, ujajj- tt ,1 tf a 1J Tenant: "-e -L _CA JC1 k) /Suite RESIDENT / OWNER Name: ~-tCJL. cye &nl Phone: Address/ City/ Zip: t I i CONTRACTOR Name: SURNSVILLE HEATING & A/c, INC. License M ~ 11 3451 W. Burnsville Parkway Address: Suite 120 City: State: zipumsville, MN 55337 Phone *4_L ` 1~-t ~ Contact: Email: TYPE OF WORK New X Replacement Additional Alteration Demolition Description of work: A NOTE: Roof mounted and grdui d mounte~rtnechanical e' , pm ent (s rewired- in tx screened liy City{';; Code. Phkgse contact%the Mechanica14r1 ector fot information on permitted screantri 'M ieods.' RESIDENTIAL COMMERCIAL PERMIT TYPE X Furnace New Construction _ Interior Improvement Air Conditioner _ Install Piping _ Processed Air Exchanger Gas Exterior HVAC Unit _ Heat Pump . Under / Above ground Tank Install / _ Remove) When installing/removing tank(s), call for inspection by Fire Other Marshal and Plumbing Inspector RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) $90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEE COMMERCIAL FEES: $70.50 Underground tank installation/removal OR Contract Value $ x1% $50.50 Minimum (includes State Surcharge) Permit Fee - If Permit Fee is less than $1,000, surcharge is $.50. - If Permit Fee is > $1,000, surcharge increases by $.50 for each Surcharge $1,000 Permit Fee (i.e. a $1,00142,000 Permit Fee requires a $1.00 surcharge). TOTAL FEE 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.aopherstateonecall.orci 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 th~e_c`asse, of work which requires a review and approval of plans. x GL P41 NA Applicant's Printed Name Applicant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: -Under Ground Rough In _Air Test Gas Service Test In-floor Neat `Final Exterior HUAC Screening Inspection PERMIT City of Eagan Permit Type: Mechanical 3830 Pilot Knob Rd Permit Number: EA077078 Eagan, MN 55122 . Date Issued: 03/27/2007 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 3664 Abbey Way E Lot: 2 Block: 4 Addition: St. Francis Wood 4th PID 10-65903-002-04 Use Description: Sub Type: e - Furnace & Air Conditioner Work Type: Replacement Description: Furnace & Air Conditioner Comments: Questions regarding electrical permit requirements should be directed to Mar k Anderson, State Electrical Inspector, 952-445-2840. Cindy Lilienthal 2 1210 Eaton Ave Farmington, mn 55024 651-344-4253 cilienthal@controlledai r.net Fee Summary: Surcharge-Fixed $0.50 9001.2195 ME - Permit Fee (Replacements) $50.00 0801.4088 Total: $50.50 Contractor: -Applicant - Owner: Controlled Air Lisa M Gilberg 21210 Eaton Ave 3664 Abbey Way E Farmington MN 55024 Eagan MN 55123 (651) 460-6022 X253 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 Use BLUE or BLACK Ink r-.-�--------------� J For Office Use � ' � Permit#: ` �1 �"�`� j Clt Of �� Il � Q/ ;��- � � � Permit Fee: �C/( < �� 3830 Pilot Knob Road � / � Eagan MN 55122 � Date Receivedt��`c��1.�� Fax: (6 1)5675 5694 75 , JUN Z 31015 � St�� I ��,c�� ,4—b�� -----------------� 2015 RESIDENTIAL BUILDING PERMIT APPLICATIO� Date: Site Address: � �' �"� �Unit#: � � �� } I ; M , ,�� Name: 'v��i� d�"�`^,,��.c,hc...�-- Ce�r��_�-,�, Phone: � JC'�� " �� 3�f � �� +��M��'/ � Cf �� ( S �- � �-- � � ��-� I �� Address/City/Zip: �� ; � �� £ v��"�� Applicant is: Owner � Contractor ; � `�� Description of work�-e`�� `` o�� C_ �6 U r ��Z�� Construction Cost: �'� �� Multi-Famil Buildin es /No �,.,,,;,,� � ,;- C Y 9� (Y � � �� n �� Com an : �`�� -a-`S.�-'NC..-I` Li"� Contact: �� U�� ' �� p y �� Address:�� u��-.�°c(_" ��,L City: �� S C��-��.� � '�1�'�a ` �'} I ) �� , ��, State: ��Zip: j`SU�`t Phone: � ��` E�S ��.�: � �tc��e�+rC','�r,S •�o �� , �� _ �� L��`� `�`�� License#: Lead Certi�cate#: If the project is exempt from tead 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: ��'?�E Al�n�� t� � rtln� � s��s th►��rt��r�u tr�lt ar+��r� � ��al ta��u�lx�� at�`�tr� i�t�rtia�rr r�f �, �, , �r�pu�tr�E�'yr�tt �►r�i+c�+�; � ` � � �r�'c�rr�a�`i�� lass��d�t � �� asor��s�ha��!c�� perrrttt t�e� a o �z. . .��'. �� '� ,' �� td�i`�a�tf�� ,��+�. �� ,n. ., y CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. T'/%? __� � X X . ApplicanYs Printed Name ApplicanYs Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA146405 Date Issued:10/24/2017 Permit Category:ePermit Site Address: 3664 Abbey Way F Lot:001 Block: 04 Addition: St Francis Wood 4th PID:10-65903-04-001 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations 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 - Aprilinda M Villaluz 3664 Abbey Way F Eagan MN 55123 (651) 994-8945 Window Concepts Mn 291 Eva St St Paul MN 55107 (651) 905-0105 Applicant/Permitee: Signature Issued By: Signature