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3227 Evergreen Dr Use BLUE or BLACK Ink f I - For Office Use I y 7 Permit City of Eajan I Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 j Date Received: g Phone: (651) 675-5675 Fax: (651) 675-5694 Staff: j 2010 MECHANICAL PERMIT APPLICATION \k le rte- Date: Z, Site Address: t2- L C~e~ ✓ c~ , v- Tenant: Suite M RESIDENT/ OWNER Name: Phone: rte' .dress /City /Zip: CONTRACTOR Name: Ir-ec(5 CAJ ~t"TTr`z, -'cw ^s License* ©S/ 5-07t' boa Address: & ~y iTn/vyT 5T /v: City: C~i~9~1 ~1 State: ~Ytn/ Zip: 5-5-3 if Phone: SL' 5-s-G -01Y7 Contact: f' ~i5o Email TYPE OF WORK New -435Replacement Additional Alteration Demolition Description of work: gem/tee NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector for information on permitted screening methods. PERMIT TYPE RESIDENTIAL COMMERCIAL 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: $55.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) $95.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) $ TOTAL FEE COMMERCIAL FEES: $75.00 Underground tank installation/removal OR Contract Value $ x1% $55.00 Minimum (includes State Surcharge) = $ Permit Fee - If the Permit is less than $10,010, surcharge is $ 5.00 - If the Permit Few, is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee = $ Surcharge (i.e. a $10,010411,010 Permit Fee requires a $ 5.50 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.copherstateonecall.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 n t 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 L_,, q C e-y' x Applicant's Printed Name App "a 's Si nature FOR OFFICE USE Reviewed By: Date: Required Inspections: -Under Ground - Rough In -Air Test -Gas Service Test -in-floor Heat -Final _ Exterior HVAC Screening Inspection -?Zg6S 2006 RESIDENTIAL BUILDING rExnuT arrLrcATioN City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construcfion Reauirements 3 re9isfered sde surveys showing sq. ft of lot, sq. ft of house; and all roofed areas (20°k maximum bt wverege allowed) 2 copies of plan showing beam 8 window sizes; poured found desgn, etc. 1 set of Energy Calcuia6ons 3 copies of Tree Presarvation Plan A lot platted atter 711193 Rim Joist Defail Optiws selection sheet (buildings wAh 3 or less units) Minnegasm mechanini ventilation form RemodellReoair Reauirements 2 wpies of plan stawing too6ngs, 6eams, joists 1 set of Eneqy CakxAations for heated addNOns 1 site survey for additions & decks Adddion - indicafe i(an-sRe seAfic sysfem A 33? zs Ck. --?- s1-4 3 Office Use'AnN CeAofSuivey?Recd _Y _N TreePres'PlaoRecd ?-_Y _N. TreePres.Requ'ved ._Y _N OnsiteSepticSystem Y _N Date ?-J / ? % 0 b Construction Cost 4'Z0 m SiteAddress 3Z-ZSy3Z-Z?- 32Z.9 13 231? 3233 , 3Z3S i? UniUSte # 1 Description of Work ? Iei Cl' tTy ni ! I hQ '6+6 Multi-Family Bldg ? Y_ N Fireplace(s) _ 0_ 1 _ 2 PropertyOwner _C64c.H mAI) A?A /G4 74?n h omt 5 Telephone #( D? Contractor -t rA 0 Address ?35) rl ? ?[?lloo? Ly ? 13C? ?p City /?'Iqnk k'OVt -- State MIv Zip 7531?? r Telephone#(-V3) 1 0` DSL" COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv l Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculafions Submitted In the last 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 Mechanical Contractor SewerlWater Contractor Telephone # ( Telephone #( 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. ( ?ui ? ?iZU77lh?4<? Z/1' Applicant's Printed Name Applicant's Signature i C , 2/84 CITY OF EAGAN / APPLICATSON FOR PERPqIT - SEWER AND/OR WATER CONNECTIODI (PLEASE P4IHT) PROP= ADDRF-SS: 3a? c ?2rq r?P w, ? i)opo ryr.AT• DESCaztirzcx: 28' r9? ? ? ? 1 1 R -? (LOt/Block/Sub(livision or Taa??Parcel I.D. Nmber) ir M{IS':': :G STRUCP^:tE, DaT?. G° ORIGIIZAI, ciiILDL"IG PZF'?ST ISS?:I?NG: -.`Y --- --` , ? PRESu :' ?:`II`:?:jF.-?C,1°CS? ?5?: ? R-1 SLNGLE r^kmr?.y Cl ?R-2 CUPL,EX (ZAO Wi ITS ) ?'R-3 'IC7N'I,IIi0U5E (TH2E" + LPNITS) ( UNITS) ? R-4 ApAFt'R`^.E."':T/C..NIDC1?LLVIC,ni ( LNITS) ? COM111Q2CIAL/RETAI]',/OFFICE ? Z?.i'I7USTRIAL Q INSTITUTIONAL/GGVEFL?IM= z) j1ppL2CF?V-T NANLF' ? ' (PLEASE PRINT) ? ? i - ADDRESS: u QP C -? pi`- CITY, STATE, ZI?: . PHOiNE: 3) pLumffiER. P1LEASE PRINT) FOR CIiY USE OHLY ??= n? n?AS 1 OVh n? UG ADDRESS: PLUMBEPS LICENSE: = Active CZTY, STATE, ZIP: Expired PHONE: 'Yo?'1' I°I33 PLUMBER LICENSE Not of Recard GEO?y? S?atTnitialT 4) (JC,'LUYAMP/Cf,ViQER lrLenacrninl) D1FaME: ADDRESS: CITY, STATE, ZIP: PHONE: 5) INDICATE WHZCH PERMIT IS BEIIv'G RDQUESI'Ep: Ef , ?/C0.IVECPION 'IO CITY S?TER U/C0.^.'NECPION 'Iq CITY SJATEFt ? (7PfER (PL,FASE DESCRIBE) ? PIZ7?SE F?OLD APPROVID PERtiIIT FOR PICi:-UP BY ONE OF 11BOVE ?°LEASE ,TAIL APPROVID PFR%tIT TO 1, 2? 4ABOVE (Circle one) 7) siGNATC-RE: oaTE: , . ?4/FR:?I:a?l}?./Oi?li!!!?:=???f?lsY.t . . . .. . _ .. . .. ,_- _ ? • . . . . ??Si?i?i ? R i?:is:i ilr ? 1t ?f.?:f??'_?! f?lti?l?g:tg,jC•tm F 0 R C PERMIT °- ISSUED T Y U S E 0 N L Y FErS: $ io ,so $ S $ $ $ $ $ S $ $ $ $E'i^lt.:: nrAtlTi 0iJDC?-?2?ns?) WATER PERr4IT (INCLUDE SURCHARGE) WATER METER/COPPERHORN/OUTSIDE READER WAT£P, TAP (ZNCL`JDE CORPORATIO:I STCP) SE:4E4 T*.n ACCOUNT DEPOSIT - SE:^7ER ACCOUNT DEPOSIT - WATER WAC SAC TRUNh ?VAT°R ASSFSSME:IT TRliNK SEWER ASSES5MENT . LATERAL BENEFIT/TRUNK SES4ER LATERAI. BENEFIT(TRUNiC WATER OTHER " $ TOTAL $ AfAOUNT PAID/RECEIPT $ ?S 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. SUSJECT TO TFIE FOLL0:0ING CONDITIONS: APPROVED BY: ?` Gp T I T L E : •-Gf? ? DATE: /-,!?r i-8Lt5 ma W"m wes ??if ?i+ uc? ?e ?tr? ?c? ?? w+af? w?+ w.+? ?t? w? r! ?? w.? +t ? i? s?s w?a ?t? ra fr w? CITY USE ONLY LOT $ BL I sUSD. CdA6fth 111JkjAJS PERMIT N: 41230 RECEIPT #: , C?j 3 I 1"17 AECEIPT DATE: Ip? R I UV 2000 MECHANICAL PERMIT (RESIDENTIAL) Date: W - -1 - ?! Complete tktis section onlv if you are installing HVAC in a single 2amily dwelling, townhome or condo under construction and not owner/occuoied. • HVAC: 0-100 M B T U ADDITIONAL 50 M BTU • Gas out(ets (minimum of one required Q$3.00 ea.) $ 30.00 6.00 State Surcharge .50 Total $ Complete this section onlv if you aze remodelina, adding to, or reoairing an existing single-family dwelling, townhome, or condo. Please indicate if it is a new item, alteration, or repair. _ New X,- Alteration _ Furnace _ Air exchanger Reminder.• Call for inspections SITE ADDRESS: :-? 2 _ Repair _ Other ? Air conditioning _ Other Fee State Surchazge Total $ 30.00 .50 30.50 OWNERNAME: l(Jm SI-eba-1- PHONE#: INSTALLER NAME: !?V DblJ.'?/.S CJ???SJ??i ?f?I • PHONE #: STREET ADDRESS: CIT'Y: CITY OF EAGAN 3830 PILOT KNOH RD EAGAN I+III 55122 651-681-4675 STATE: IWA)_ ZIP: 551211 cvsr - yos-ogyy ``"RE-?31- 70°r?i SI ATURE OF PERMITTEE 1998 BUILDING PERMIT APPLICATION (COMMERCIAL) 3 40 L) ? CITY OF EAGAN 681-4675 s . .. . . _ ?.- - ------?a- uom¢ roiwwmy w wwni iIoCwl y N Foundation Onl ?...... New Construction . Interior Improvement structural plans (2 sets) architectural plans (2 sets) architectural plans i l (2 sets) (1) ? civil plans (2 sets) structural plans (2 sets) s code ana ys (1 geU code analysis (1) " civil plans (2 sets) project specs soils report (1) 1 landscaping plans codeanalysis (2 sets) (1) ° Key Plan energywlculaGons (1)notalways" ) projectspecs ( Special Inspections & Testing Schedule " soils report (1) Electric Power & Lighting Form (1) not always ° SAC determination letter from MC/WS - SAC determination letter from MCM/S - SAC detertnination letter from MCMlS - ca11 6 02-1 00 0 call 602-1000 call 602-1000 Special Inspections & Testing Schedule (1) " projed specs (1) energy calculations (1) Electric Power & Lighting Fortn (1) " Contad Builuing inspecuons Tor sampie Food & Beverage or Lodging facilities: Plan must be submitted to Minnesota Department of Health. Call 215-0700 for details. nnTF?I- ?C??cl ? WORK TYPE: _ NEW REMODEL DESCRIPTION OF WORK: CONSTRUCTION COST: TENANT NAME: C^ ° d // -" ai? / ^f OS f>7" l SITE ADDRESS: SUITE #: LOT Dc1 BLOCK SUBD. OC, CJ\-VV\ o< <-s ???•1.D. # a.9,3?3I???a33 , Phonc ft:, PROPERTY last OWNER Street City State: Zip: / ? / Company:_ 2 SSe L_W i/?rdQw ?g Phone #: CONTRACfO ?j?J? ?/ R Street Address: J`^ ? /'?L9 i'7 t?S on/ ?cense k ?P `f 5 -3 - City -------- ----- State: ZiP: _ ARCHITECT/ ENGINEER Compaziy:_ _____ Phone k: Name: __ __ Registration N: Slrcet Address: ___ ----- City --- -- Statc: _ -- - Zip' - - Sewer & water licensed plumber (only if installing sewer & water): I hereby acknowledge that I have read this application and state that the informatio r d agree to comply with all applicable State o Minnesota Statutes and City of Eagan Ordinances. Signature of Appli ? ? - OFFICE USE ONL First BUILDING PERMIT TYPE ? 01 Foundation ? 18 Comm./Ind. WORK TYPE ? 31 New ? 32 Addition GENERAL INFORMATION Const. (Actual) _ (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS ? 19 Comm./Ind. Misc. ? 20 Public Facility ? 33 Alterations ? 34 Repair Basement sq. ft. First Floor sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Planning Building Engineering ? 21 Miscellaneous ? 35 Tenant Finish ? 37 Demolitian MC/WS System City Water Fire Sprinklered Census Cade SAC Code Census Bldg. Census Unit Variance Permit Fee Surcharge '-f0 Plan Review MCNVS SAC City SAC Water Conn. SIW Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Water Qual. Other Copies Total: % SAC 5AC Units Meter Size Valuation: $ ? GIT;f` OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55722-1897 (651) 681-4675 SITE ADDRESS: PERMIT PERMITTYPE: Bu1LosNr Permit Number: 03y 005 Date Issued: 11 l 1 7/9£3 3225 EVG:.ReRt_Uu nit LOT: 29 Bt.OCKa 1 COACHMAN N1G1-II.ANDS P,I.N.: 1.8-18075--290-01 DESCRIPTION: ftEROar-/ 6 F>IEx REMARKS: IracLuoEs: Bui.tdina Perm3Y. Type MULTI, (MISC,) quz-Sding Woe.k. 7ype REPA]:R Census Gode - 434 AL.7a W",ES:CDEN't"7AL ? z t r 32z7, 3229, 3231, s2:33, nwo 3235. FEE SUMMARY: b'RLIJATTfJN Fiase Fee Surcharge 7otal Fee 1; 8 .() 0 0 `1137. 25 $1A1.)5 CONTRACTOR: - Applicant -OWNER: ' 6EISSEL WTNOOW & STI]tNG 2457.E835 COflGHMfliV H:I.GHLANDa ASSQC. 3213 EVERGP,EEN pR 3:15 EVEIZGlREcN IJR EA13qN MN 5512:L Ef) GFiN MI'd 55122 (612) 451-6836 a ? Z hareby aa4cnowledge thati I have reaci This applicataon aricf state that the in'Farmar_ion is correcr_ and aqree Co camPly with a:ll appli.cahLe 5Cat2 ot' Mn. SGatutes and City of Eaqan Orclanances> APPLICANT/PERMITEE SIGNATURE ?,JIsueo er: siGNniuaE C ? ,. ? ?.a.. , A-_I:;r:% 10.r3,.•.:. [ .... %n I...?.?( ?i '.II' i:'?.;..??,?'..?,? . ?, . 1:i ? ...? 1 ....'.f ( . , ?I.;..:?.:_. -.-f::: W::, I'' IS./.??... M_.. :i..i.r'C.. . _.. .... .._. .!_.? „ .'!Ti Yi . ... .. ... ._. P74 ..... Tpr '!Ai'.!`.,'.I i u•,y J;C'a .:?'.:}h1 1.}:.`!) 9.?.', ' kY,;; k9:$:?;' l ? . .. ,::i ? ...?.:J._ 'i? • ?.:I 210Mi ... ? :'..... . ? •.'I:',.I I _ :, i I.'"-?i:.' .25 ....:i 9001 _ 1620 II /... ...i ... 2r1 .. ..i .a . ??. ... -:f? I .. f P '.... ..:" . i (:u: _i , ..... ..? ?-.r',:..?. ' ..."P. ? y l.l'n,l..f:? ,. 9M{J ............ . i.D.. NAN%..._.i l ?-u I L. D I ?j (- A- 3 1 ?r (c:), 0 CITY OF I•'1:GAN BUILDING PERhLiT APPLICATION Include 2 sets of plans, 1 site plan w/elevations & 1 set of er.erTy calculations. 7b Be Used For Townhouse Valuation $?6 a°- Date May 24, 1984 Site Acldress:322,77 &""'""''"" ^ ? ?-VEI26I2?N J:?Z, OFFICE USE ONLY Lot 28 Block 1 SeC./Sub. Coachman Eiect x Occupancy ?-? xi hlands `? Alter Zoning R-3 Parcel #: - u Repair Fire Zone E.I A Enlarge Type of Const. ? Oaner: srutger Comoanies, znc. _ i # St Nbve or es Pddress: One Sunwood Drive, P.O. Box 399 Demlish Front ft. City/Zip Code: st. Cloud, MN 56302 Grade Depth ft. Phone #: (612) 252-6262 gpPR0UAI6 F'EFS CAntYdctor: Brutger Companies, Inc. AC1dre55: One Sunwood Drive, P.O. Box 399 City/Zip Code: St. Cloud, MN 56302 Phone #: (612) 252-6262 Areh./f.1ng.: Blumentals Architecture, Inc P13dreSS: 6100 Summit Drive North City/Zip Code: Brooklyn Center, MN 55430 Phone #: (612) 571-5550 Assessments ? Pernut Water/SCrrer ?.:Surcharge 2q.? Police Plan Check Fire SAC 57 C5 -to IIzg. Water Conn. Q-lQ,°o Planner Water .Meter Cn3,°.? Council Road Unit 2(aD, °= Bldg. Off. APC `IC)TAL ? / C7 ' S-D CITY OF EAGAN BUILDING PERMIT N° 9158 Re[eipt # -? Te be uwd 4er 1 OF 6 PLEX Est.Volue $58,000 pOfe JUNE 11 19 84 5itenddress 3227 EVERGREEN DR Erect px Occuponcy Rl Lot z$ slock 1 cec/Sub. COACHMAN HIGHLAI??,?, ? Zoni? R3 ParcelNO. 10-I8075-280-0I Repair ? FireZone N/A ' E V nlaroe p Type of Const. ? Name BRUTGER COMPANIES INC Move ? # Srories Z Addre ss 1 SUNWOOD DR., P.O. S OX 399 Demolish ? Length`E° ? City ST CLOUD phone 252-6262 Gmde ? DepthslI?g?? Sq. Ft.- rc 0 OV u? f Name SAME Address City Phane Approvala Foea Assessment _ Water 8 Sew. BLUMENTALS ARCHITECTURE INC Police - Name Fire _ Address 6100 SUMMIT DR NO City BRKLYN CTRpnone 571-5550 E?'- Plonner _ I here6y acknowledge thot I have read this opplication ond state that the information is correct and agree to comply wifh all applicabla State of Minnesota Stafutes and Cify of Eagan Ordirwnces. SiBnature of Permittro 3830 Pilot Knob Road, P.O. Bax 21-199, Eagan, MN 55121 PHONE: 454-8100 Council _ Bldg. Off APC - Permit $ 307.00 Surcharge 29.00 Plan check 153.50 gqC 525.00 Water Conn. 470-00 Wafer Meter 63 00 Roud Unit 260-00 Total $1,807.50 A Building Permit Iz issued to: B TGER COMPANIES IN on tha express corditlon tf,at all work sholl be done in occordance wit II appli4e5fe Stote of Minnesota Statutes and City of Eagon Ordinances. Building Official ? '??o??r+-??. CITY OF EAGAN WATER SERVICE PERMIT CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Road 3$30 Pilot Knob P'id P. O. Box 21139 ' PERMiT NO.: P.O. Sox 211-39 PERMIT NO.: 5613 Eagan, MN 55121 D/?TE: Eagan, MN 55721 DATE: Zoniny: L L; No. of Units: Zoninp: No. of Units: .Owner. DP. a n n yz: 1 - { -a??i??? ress: Site Address: 4%6?F6aftjp?5? s rn;??hmari '? - te Address: ffd)1&'?ik?l1????4?RItL29 El Coactuna.n I[i ill;,.,,;,. ` lumber: E ? • ' ? Piumber: f .> FP ? ete? No.: 'C ion Chorge: 470.00 pd ter r?unt ection Deposit: Charge: 470.00 .. r? ,. ?.: ?? 15 0 r) Fd Sixe: ? i ? M Deposlt: ? ' ? 13.00 , Size:'?? ?-?-s Reader No.: /b ? ? Permit Fee: lf). 00 pd Reo r No.: o l L l_n ?O/8 Permit Fee: 10.00 ;? .d 1egne !o oawPy wilh tIN City ef Eeoaw Surchorge: 1ayew to aomolp wilh Me Clty ef layaw Surchorge: .-, l'- :3. ?.i;r ?., O.dinanps. Misc. Charpes: Ordinane?s. Mlsc. Chorpes: BY - Date CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pilot Knob Road -, P. O. Box 21199 PERMIT NO.: . Eagan, MN 551 ?'?: D. DATE: o ., Zoninp: No. of Unin: Xu ?{er Owner: Address: Fve ,,iTC:er? r ve _:. .5 coa cruman iilpLilan c.s Site Add?ess: Ralph'a i'lb Plumber - - ? . _ ? 100.00 425.00 pd 1 pru to aanoly wM lhe Chy of Ee4en Connectlon Charpe: 13 O?aiwenew. /lcoouM Deposlt: . P 1J 00 Permit Fee: . p Surcharye: p By Misc. Clwrpes: of Insp.: Totol: 1R'°'?lrt? SEWER SERVICE PERMIT Site Address Lot Block o? See/Sub Name , Addres5??G ?t` ?'- ? y Phone ? Name 3 Addr 3 ? ,??' -,F,? p City Phone FEES COMM/IND FEE - 19'o OF CONTR AG7 FEE MIMlMiJM - RESlDE1VTIAL FEF - $10.00 MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) SIGNATURE OF PERMI7TEE FOR: CITY OF EAGAN PERMIT # PLUMBING PERMIT AECElP7 # 0 e CIT1f OF EAGAN / , a ?, _ , ` 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: PHONE: 454-8100 v ?`?•?J `'BLDG. TYPE WORK DESCRIPTION NBw Mult Add-on Comm. Repair Other NO. FIXTURES TOTAL Water Closet - $3.00 $ Bath Tubs - $3.00 Lavatory - $3.00 Shower - $3.00 Kitchen Sink - $3.00 Urinal/Bidet - $3.00 Laundry Tray - $3.00 Floor Drains - $9.50 Water Heater - $1.50 Whirlpool - $3.00 Gas Piping Outlets - $1.50 Soitener - $5.00 Well - $10.00 Private Disp. - $10.00 Raugh Openings - $1.50 FEE STATE S/C: GRAND TOTAL• S^ S d Receipt PLUMBING PERRAIT • Permit No. CITY OF EAGAN , Fes ' Frll in numbered spaces S/C • Type or Print /egib/y Tot. 1. Date `f2. Installation Cost ? I , 3. Job Address i.Lot Blk. ? Tract 4. Owner r ? Phone 5. Contractor ,i. r, 6. Address ? 7. CitY r- ? State y:r . Zip 8. Building Type: ResidentiaJ,.E?" Commercial O Institutional O 9. Work Description: Nevti,42'- Add ? Alter ? Repair ? I 10. Describe 11. No. ? Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs Septic Tank Lavatory Softner 4_ Shower Well ' Kitchen Sink , Urinal/Bidet Laundry Tray Other ? Floor Drains Drinking Ftn. -- - -- - ------ Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : `'for Rough F inal Inspections: Date Insp. Date Insp. This is your permit when num6ered and approved. Approved _ CITY OF EAGAN 454,6100 MECHANICAL PERMIT Permit No. CITY OF EAGAN Fee fill in numbered spaces S/C Type or Prini legibly Tot. t-z= S•" u 1. Date 2. Installation Cost 3. Job Address 3 '1 Z -7 Bik. T?act 4. Owner 5. Contractor Phone `/ L , U 6. Address 7. City State Zip 8. Building Type: Residential ? Commercial ? Institutional ? 9. Work Description: New ? Add ? Alter ? Repair ? 10. Describe Fuel Type 11, No. Eouioment BTU - M. Ea. Forced Air y G No. Equipment CFM Air Handlin : Mfg. g Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes goueaing this type of work. Signed : ?72? !? for Rough F inal Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved _ CITY OF EAGAN 454,8100 CITY OF EAGAN . ,, 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHON E: 454-8100 BUILDiNCs PERMIT Te be wad fer 1 OF 6 PLEX E? ya?1e $58, 000 N° 9158 Receipf # DntP JUNE 11 l0 84 SiteAddreaa 3227 EVFRGREEN DR Erect ? K1 a?u??ty Lot , ?- 8 Block 1 ?/Sub, COACHI'+IAN H IG ? ?• }1Lr,"l?, F 3 ? 1 Percel No. 0-18075-28U-01 Re?fr 0 F? e ? N A Enlarfla p Type ot Const. V oc Name HRUTGFR COMPAIVIES IItiC Move ? # Stories Z g Address 1 SUNWOOD DR., P.O. LOX 399 ?"?liah p Length?Zy City ST CY,OUD Phone 252-6262 Grode p Depth,31'E " Sq. Ft. ?` Name SAI'.E ?? Addresa r City Phone Name yLVI'iLiLI is'liJJ M\.1111Li1.1 Vl\Ii iLT Address SUMMIT DR NO City BRKLYI4 CTR Phone 571-5550 I hereby ocknowledge that I hove read this opplicotion and stote that the information is correct and ogree to comply with oll opplicoble State of Minnesoto Statutes and City of Eagon Ordincnces. Sipnature of Permittea /1 Building Permit Is issued to: BRUTGER GOtr1PAN I E, Assessment Water 8 5ew. Police Firo Enp. Plonner Council Bldy. Off, APC otl work sholl be done in occordance witli All appliooble 5tote of Minnesoto Buildinp Official ? -r Permit " -' %j r. v v Surcharye 29.00 Pian check 153.50 sAC 525.00 Water Conn. 4 7 0 • 0 0 WnterMeter 63.00 Road Unit 2 6 0. U 0 Total , • SO on the express tondiTion thni and City of Eoqon Ordincnces. Permit No. Parmit Holder Misc. Permit No. Holder Plumbinp K l{ H.V.A.C. Well Water Disp. Ssvwr Electric ? 9 Inspection Date Inap. Other Footings 7 Foundetion ) Framing Rouyh Plby. Rough HVAC ? Inwiation Final P16g. Final HVAC S Final Water Daeribe Location: _ YYeli Sewer - Pr. Disp. CASH RECEIPT C1TY OF EAGAN P. 0. BOX 21-199 EAGAN, MINNESOTA 55121 . . . ( . DATE 19 RE EI EO OM AMOUNT $ I? OOLLARS J A .I 32 , 00 /? GASH tZCHEGK i . ,? Ly L FOR . . . . . ? . . 1 ..? . . ? . . ? FUND CODE AMOUNT ) J -714 I Thank You'" 4 F `,-,3 t, '7". .5'o ? z7.y? White-Payers Copy Yellow-Posting Copy Pink-File Copy CITY OF EAGAN Fiemarks ?, Addition C???N ??? Lot 28 Rlk Parcel ow-er street 3Z27 BVERGREEN DRIVB State EAGAN M 55121 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 7,10 1975 pa d und Ol 10 7500 010-03 STREET RESTOR. 1974 n n tI GRAOING 1007 1986 354.14 35.41 10 -/67 20 - /S -?s SAN SEW TRUNK 1968 Paid und alCel 1 7504 010-03 SEWEF LATERAL 1984 11 f WATERMAIN / 1972 Paid und arcel 10 275 010-03 WATER LATERAL 1975 u if * WATER AREA 1972 *t rt n 11 t1 11 STORM SEW TRK 226 1975 ie ?I 11 STORM SEW LAT CURB & GUTTER ' SIDEWALK STREET LIGHT ROAD UNIT 260.00 4005 6-12-84 WATER CONN. 470.00 " BUILDING PER. SAC 525-.00 PARK Use BLUE or BLACK Ink r - - - - - - - - - - - - - - - - Fol offlce Use I Permit to City of Eaoa~ e1 b I Permit Fee: _ ct5 I 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651) 675-5675 Il I Fax: (651) 675-5694 I Staff: I I I 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: } l Site Address: S- ®p. 1J 01/- ~ /Nb Tenant: -2- Suite RESIDENT /OWNER Name: ~01-11f4 4W 11A)t~5' t WNqS.Phone: Address / City / Zip: Applicant is: Owner Contractor TYPE OF WORK Description of work: ~r 12oei► Construction Cost: - oo Multi-Family Building: (Yes X / No ) ~14 CONTRACTOR Name: Rcor (20 Z ~A .ANC. License 0201 ']a 15-3 Address: Au~ IV-E City: ST State: /4/AJ Zip: S_'S_s 7/ Phone: 76 3 _ S+S_~ _ 0 y ~/y Contact: 2 (Z'7 Email: • V'" ~ b~ 0 \rO OT' Ce1 011 e Co r; 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: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific' reasons that would permit the City to conclude that the are trade secrets. 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.oM 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. I X-1 S X- Applicant's Printed Name Applicant's Signature Page 1 of 2 I For O'fice Use i I Perm#: Ql / R 1 City of Eapn I 3830 Pilot Knob Road Permit Fee: I Eagan MN 55122 I Date Received: I Phone: (651) 675-5675 Fax: (651) 675-5694 1 staff: 1 L---- - 2009 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: Site Address: _ 3~ , -'1 //ri , Tenant- /'1)" Suite RESIDENT / OWNER Name: Phone: b s`Z `f' S rv ° L'I Z Address / City / Zip: 2-2 S'$ v e ' .r 3-x'3 7 CONTRACTOR Name: P7 FIL License S-S rrj a w+ Address: 2S ~ , Sr SF h City: State: MI Zip: SS9e i Phone: Y-F Contact Person: TYPE OF WORK New 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 Turnaround` (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 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. rdan '1 t4-1,_,5z A X Applicant's Printed Name Applicant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground -Rough-In Air Test -Gas Test -Final . �, 3 ��`� 3 � �%� 3���, :�c�3S 3�� ��� �3� ��]. � Use BLUE or BLACK ink �------------------ � For Office Use � l a 1 • j Permit#: � 1��°'�� I Clt� of E���� � � ��,a ' � Permit Fee: � 3830 Pilot Knob Road j �- � � Eagan MN 55122 � Date Received: l � Phone:(651)675-5675 I I Fax:(651)675-5694 ( Staff: � �.����������������J 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date• (� �lJ' Site Address� ��J ��� ��`-�"+�C� �`"''V�-- Unit#: 3�5��3 J� Name: Phone: i�esictentt �,��. 3�!�c'J �v��� �i1J�. . �p�r Address/City/Zip: Applicant is: Owner � Contractor Description of work: � ��� Type af Work �, ' Construction Cost:� �a�� Multi-Family Building:(Yes�/No�� Company:��� �. �. F�, l �,• Contac�:~�"t�c�F�� ���f(� .�51�� C���v�- r��. n!�.. �,ry: �t• �.�c���L COf1tf�CtOC Address� ' State:�Zip:�Z�� Phone:�4��'b v��� Email:�GK1�GC��lA.L✓�G�- ��►'�� L,C.0 License#: 4 �� Lead Certificate#: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months,has the City of Eagan lssued 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 8 Water Contractor: Phone: N4TE:Plans ar►tl suppvr�ing dacum�artts t�#you�submet are cunsider�al to:be pubtic ir►#armatic�n. Pur��s r�# t�re enfQrmaiic�n may be cfass�fieal as nort�aublic if yoet prouide sp++�cific r�easorts tha#w�tttld p�mit the City t+a concfe�ale#tat tlte are U�de secr�sets. CALL BEFORE YOU DIG. Call Gopher SYate 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.orQ I hereby adcnowledge that this information is complete and accurate;that the worlc will be in conformance with the orciinances and codes of the City of Eagan;that I understand this is not a pertnit, but only an application for a pertnit, ar�virork is not to start without a pertnit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plar�s. E�ctsrior work authorized by a building permit issued in accordance with the nnesota i�te B 'Iding Code must be completed withln 180 days of permit issuance. x�� ���� X ��!"�— Applicant's Printed Name Applicant' ig ure Page 1 of 3 Use BLUE or BLACK Ink ' For Office Use Perrnk fx /1/6 gO ity of Eam1 9 ( Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 - Date Received: Phone:(651)675-5675 buildinstinsoections@cityofeaoan.com1 20?7 Staff: 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit fk Name: C..�-3e.-1•'\i"�.. `:; tz c.A- �s_>, :ti A Phone: ��J.")5 3 Resident/ Owner Address/City/Zip:3 �sl Ev-Qv c�,ra�,�, t r:v'2) '�� a gn i Applicant is: Owner `X Contractor Description of work m<e-rv,f'". ( v.' c_‘, Type of Work Construction Cost Multi-Family Building:(Yes )4 /No ) Company: c>-.\ , rtc . Contact VV.ktz. S`a‘tya Contractor Address: Z'-1`ate -1. .14 `�#t-� city: b- .?-11 a"t v- Phone:Q.t 2--3S-3.-,031.E License#: t3;--L 3�' `t Lead Certificate#: P14 If the project is exempt from lead certification,please explain why: 112- f COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE:Plans and supporting documents that you submit we considered to be publicinfomudion.-.Portions offer information may be classified is non-public it you provide specific reasons that would permit_the City to concludethat they are trade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.cityofeaaan.comisubscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. CALL BEFORE YOU DIG. Call Gopher State One Call at(851)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.00pherstateonecali.oro I hereby acknowledge that this information is complete and accurate;that the work w31 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 mahout 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. 5 2.10 �i 1arr1 th� �j'Ca.si .7Z1`�iiC x sY V1.w+� W'-1 P`�*� X `yc. � Applicant's Printed Name 1CppIlcanrs signatu Page 1 of 3 8g-, .2`fir 7 ii6- 96 LVOT WRITE BELOW THIS LINE 5-0o SUB TYPES Foundation _ Fireplace — Porch(3-Season) _ Exterior Alteration(Single Family) Single Family _ Garage — Porch(4-Season) _ Exterior Alteration(Multi) Multi X Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous 01 of_Plex Lower Level Pool Accessory Building WORK TYPES _ New _ Interior Improvement — Siding _ Demolish Building* Addition _ Move Building — Reroof _ Demolish Interior Alteration _ Fire Repair _ Windows _ Demolish Foundation Replace Repair Egress Window Water Damage Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation 0 Occupancy 3 MCES System Plan Review Code Edition fill /4,r , SAC Units (25%y 100% ) Zoning I4, City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction 7 i Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) X Final/No C.O. Required Foundation Foundation Before Backfill J HVAC_Gas Service Test Gas Line Air Test Roof: Ice&Water _Final Pool:_Footings _Air/Gas Tests _Final Framing 30 Minutes 1 Hour Drain Tile Fireplace:_Rough In Air Test Final Siding: Stucco Lath _Stone Lath Brick EFIS Insulation Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control — Fire Walls Fire Suppression: Rough In_Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: , Building Inspector RESIDENTIAL FEES at, Base Fee .,--r,Surcharge c , 4, ?/; Plan Review rt' MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge 1 PNI Treatment Plant (ft/2, Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA147090 Date Issued:12/08/2017 Permit Category:ePermit Site Address: 3227 Evergreen Dr Lot:28 Block: 01 Addition: Coachman Highlands PID:10-18075-01-280 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 - Dawn Marie Anderson 3227 Evergreen Dr Eagan MN 55121 Genesis 6 Construction LLC 1065 Prospect Pointe Rd Jordan MN 55352 (612) 203-4217 Applicant/Permitee: Signature Issued By: Signature