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3923 Clippers Rd PERMIT City of Eagan Permit Type: Building 3830 Pilot Knob Rd Permit Number: EA092226 Eagan, MN 55122 . Date Issued: 12/03/2009 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 3923 Clippers Rd Lot: 3 Block: 1 Addition: Cutters Ridge 1st PID 10-19100-030-01 Use Description: Sub Type: e-Windows/Doors Construction Type: Work Type: Windows/Doors-New/Replacement Description: House Census Code: 434- Occupancy: Zoning: Square Feet: 0 Comments: huprovements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes. Fee Summary: BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 Valuation: 3,000.00 Total: $90.00 Contractor: -Applicant - Owner: Apex Energy Solutions Dennis L Bates 1509 Southcross Drive West 3923 Clippers Rd Burnsville MN 55306 Eagan MN 55122 (651) 688-2739 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 -'? .°? , _ .? . ?;?'?.` -,?^,?^,,?: ????!a? ? , ••?.,.x->,;:, . • . CITY OF EAGAN ? 84?Z ? . 3830 Pllot Knob Road, P.O. Box 21-199, Eagan, MN 454-8100 PHONE: 55121 BUILDING PERMIT r Receipt # S? ?/CAR ' i133,000 JULY 2 ? To be used for Date Est. Value , 19 3923 CLIPl EilS RD . Site Adiess OFFICE US E ONLY ? Lot BloCk SeG Sub. B-3 t!- i P8YC81 N0. Occupancy ?.i FEES KZYIAND HO M Zoning ?.? 753.00 ? Name (Aclual) Const - = Bldg. Permit V m o Address (a1O1Nab4e) - S cha e City SURMVL Phane ;r ol stodes ur rg 491.00 Pian Feview ??? Lergth ?i i?.? o Name oeptn - SAC. Ciiy O 4 Address S.F.Total - ?? ? U r Clty PhOn@ S.F. Footprints _ SAC,MCWCC 623.00 Water Conn ?w On Site Sewage _ ? ? W W¢ Name on siie weli ?} Water Meter W ~ '/? /y? - ? AddreSS MWCC 5ystem -? ?/ _ ?1/V ? y s W Clly PhOne City wate? q?t Deposit 5AN Permil ?.oo PRV Required _ I hereby acknowlege that i have read, lhis application and state lhat the Boosier Pump - S1W Surcharge .50 ? infamation is correct and agree taC omply with all applicable State of ZSZ*00 Minnesota Slatutes and City of Eagan Ordinances. Treatment PI 4 Signature of Permitee - ?? ? APPROVAIS Road Unit 353.00 ? 'A Buiiding Permit is issued to: I MYLAD P??ner - Park Ded. ; on the express condition that all work s hall be done in accord"ance with all c4u^cil -- J applicable State of Minnesola Stalutes and City of Eagan Ordinances. Bldg. 011, _ CoP1es ?? .i ? Building Official _ i I: Variance - TOTAL ,; Permit No. WATEH SEINER ' PLUMBING H.VAC. •i I Const. Meler I I I Plbg. Inspector - NoGfy Plumber I Pr. * . . o Trx#tfira#e o# (Oxrupan.ry Citp of tagan Erpmttptrt id wuilding ittspertim T 9iis Certi'ficale issuad pursuanl m the requirementr oJSection 306 of the Uniform Building Code ceraifying lhat a1 ihe time of issucnce tlris s&uclure was fn complrance wuh the Narious ondinancrs ojlhe City regulating building conslrudioa or uu For the joUowing: che amrxaeo. SE = , /1'AR . eies etrN,: rro. lAM7 00-p-q7* gA 4d I - zam* oau;cc R 1 Tya cow VP1 Owaet af Baldift K6%7M iEcc Ad&vz -144.59--R'=MM RugT-z,-uajx&r Baclins ?3923 6????? tomikr 1-31 R 1,,J1ST,MS i3r1W, 1 cr -, / s"adi's officw. ? POST IN A CONtSPICUOUS PLACE , Address : 3923 Ci.IPPERS ROAD Lot 3 Blk ] Sec/Sub r_UTrERS RID(E 1ST These'items were/were not cornplete at the time of the final inspection. DATE: 2/25/1991 Yes No INSPEr-I?2: Final grade (6" from siding) ? Permanent steps - garage ? Permanent steps - main entry ? Permanent driveway ? PeYmanent gas Sod/seeded grass Trail/curb damage Porch ? Basement finish ? Deck ? Please verify with the buildar the removal of roof test caps from the plwnbing system and the shut-off of water supply to the outside lawn faucet before freeae potential exists. White - City copy Yellow - Resident copy Pink - Contractor copy .. ' F Offi i MECHANICAL PERMIT : or ce Use On PERMIT # CITY OF EAGAN . . . . RECEIPT # 3830 PILOT KNOB ROAD, EA(iAN, MN 55122 CONTRACT PRICE PHONE: 454-8100 Qi4TE' Site Address BLDG. TYPE WORK OESCRIPTION Lot Block Sec/Syb -• - ResNew ?,? Mult Add-on m q Neme Addrpss Comm. Repair . City !?? . o r Ln ..? Phone * ah? FEES L Name RES. HVAC 0-100 M BTU - $24.00 ; ss I'' ? 11-4 Addr ADDITIONAL 50 M BTU - 6.00 p ? Ciy s +NSJ. ??- Phone RES. HVAC INCLUDES NC ON NEW CONSTRUCTIOH ) GAS QUTLETS (MINIIAUM -1 PER PERMI? - 1.50 EA. TrPE OF WORK COMMIIND FEE - t% OF CONTRACT FEE FOrced Alr M BTU APT. BLDGS. - COMM. RATE APPLIES Boil9r M BTU TOWNHOUSE & CONDOS - RES. RATE APPLIES Unit Heater M BTU MINIMUM RESIDFNTIAL FEE - ALL ADD-ON & Air Cond. M BTU REMODELS - 12.00 MINIMUM COMMERCIAL FEE - 20.00 Vent CFM (3 Pl i O t d 5TATE SURCHARGE PER PERMIT - .50 P RM T as p ng u e s # (ADD $;50 S!,C ER EACH $1 .00 OF PE I FEE) ar,er ; PERMR FEE: i ' SIGNATURE OF PERMITTEE S/C: TOTAL: "'? ?-? 1 1 FOR: CITY OF EAGAN CONTRACT PRICE Site Address Lot m Name ? ? Address y c ? C;ty = Name- ? Address ? City _ Phone FEES COMM./IND. FEE -1% OF CONTRACT FEE APT. BLDGS_ - COMM. RATE APPIIES TOWNHOUSE 8 CONDO - RES. RATE APLLIES MINIMUM - RESIDENTIAL FEE $12.00 MINIMUM - COMM•IND./FEE $20.00 STATE SURCMAFiGE PER PERMIT .50 (ADD ?50 S?C PER EACH $1,000 OF PERMIT FEE) FOR: CITY OF EAGAN rLumesRnu rersmI 1 For CITY OF EAGAN PERMIT # 3830 PILOT KNOB ROAD, EAGAN, MN 55122 RECE1PTa ? PHONE 4548100 DATE: _ Block S" BLDG. TYPE WORK WCRIPTION x _ New Res. Mult. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NQ, FIXTURES ?S Water Closet - $3.00 TOTAL $ .0-0 Bath Tubs -$3.00 3-0 o ? Lavatory - $3•00 /2•0d Shower - S3.00 ? Kitchen Sink - $3A0 ? 3 •Op ?- UrinaUBidet - $3.00 T ? . D o d u Laundry Tray -$3.00 3. Floor Drains - $1.50 Water Heater - $1.50 ? u ? Whirlpool - $3.00 - Gas Piping Oudets - $1.50 ? (MINIMUM -1 PER PERMI'n Softener - $5.00 .? weu - $10.00 Private Disp. - $10.00 ? Rough Openings - $1.50 • ? ? U. G. Sprinkler System - $12.00 PERMIT FEE: STATES SlC: c. • GRAND TOTAL: `' • '?? INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (651) 681-4675 SITE ADDRESS: APPLICANT: , I,I ws FI n , t? I ? i k•, : ? l+,t 1`, t I r. i.• i I. . s 1 u,r _• PERMIT SUBTYPE: TYPE OF VYORK: ? f+! lFkA7f0 N (iil + t Ntil R T /[ii INSPECTION .A • .• (Fl1if: 141f?,Y 1t1• TN`,Pt=i (IFIrCn I if IL Permit Holder Data Telephone # EWER/ WATER PLUMBING HVAC inspoctlon Dete Inep. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PIBG AIR TEST ROUGH HEATING CiAS SVC TEST INSUL GYP BOARD FlREPLACE FIREPLACE AIR TEST FINAL PLBO FINAL HTG ORSAT resr BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS coNOUCnvm TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTQ DECK FINAL ER PERMIT V F.'d. 3ULY 2, 1990 7 _ PRV - BOOSTER PUMP ADDRESS 3923 CLIPPER5 RD 3 BLOCK 1 SEC/SUB CUTTERS RIDGE IST LICANT: ? RESS: ', STATE i I(n ck, Al.:? ZI P --?a7 ? NE: ?I"! ,r'G?S G STATE ? ZIP ,STATE bURNSVILLE, PiiV ZIP_ mk -JIII.Y a, 1990 PERMITDATE 07I03/90 .13 PERMIT # 31493 PC& B.P. RECEIPT # ^ 40 B.P. RECEIPT DATE 07 0 PERMIT REQUESTED X SEWER x WATER -TAPS COMMJIND _X% RESIDENTIAL X NEW _ EXISTING Lawn Sprinkler Meters are to be Instailed Ahead of Domestic Meters on Water Line. Credi?WILL NOT be gWen for Deduct Meters. AG EE TO COMOLY W H CITY OF EAGAN ORDINA?CES ? SIGNATURE WHEN METER ISSUED SSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM ? • , OFFICE USE ONLY METER # PERMIT DATE 07 f 03/9U CHIP # PERMiT # 11493 METER SIZE B.P. RECEIPT # ISSUE DATE B.P. RECEIPT DATE k7I02I90 : ADDRESS C .T.'_'PFRS .t:1) 3 BLOCK 1 SEC/SUB CV:i1,RS PIDGI. 1:1 ! LICANT: flESS: (, STATE ZIP )NE: - PRV -BOOSTER PUMP PERMIT REQUESTED 7- SEWER _X WATER TAPS - COMM/IND y? RESIDENTIAL t NEW _ EXISTING Lawn Sprinkler Meters are to be Installed . PLUMBER: Ahead of Domestic Meters on Water Line. ADDRESS: 4253 b+? 140T?i ST Credit WILL NOT be guven for Deduct Meters. CITY, STATE Z1P '?->.. =`7?+ ',!-• ? ? PHONE TAGREE TO COMPLY W?I'FH CITY OF ; OWNER: EaYiAm mdm!?s EAGAN ORDINANCES ? ADDRESS: 144-50 BMSYZLL:? I17AY ? CITY, STATE ?:??NSV[LLE? 1.17 ZIP 55337 ? PHONE ??'-"?--P ?>16 SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM ' SEWER PERMITS, CONTACT ENGINEERING DEPT. i?;, ?...- - - - - -- -- ---- - - - ?,.. .?: . CASH RECEIPT ? CITY OF EAGAN J'3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 / DATE ? FWCroeo Y ) r ? FfOOM aiuounrr a ? s & DOUARS O CASH KCHECK 'oo Thank You ,..,? ?ns2 Mfte--Peyem CWy ? ? i- i- - dX0[O'1 ? 10835 Requi Fire No .? ?O !t ?'? qough-in nspe on e iretl' ? Reatly Now ?Wtll Notdy Inspector Yes ? No When Reatly+ 1 licensed contractor ? owner hereby request inspection of above electrical work at: Jo0 Atltlress (Street, Box or Route No 3 9a3 Ci Sedion N. Townshrp Name r No Range No Couny Oxupant (PqIN ? Phone No Po pplier PdOress . (/'?? V? / //??/.y l..G?/' W/l.? Electr¢ ontractor(COmpany Nar?e) ? ? Contrecto L¢ense No 0 Maihng Atltlress ( onhector or Owner Meking Installatmn) F ? AuIDor tl Signature (Conhactod Making InstallaLOn) ? Ppone Number MIXNESOTA STATE BOAftO OF ELECTPICITY THIS INSPECTION ftEQUEST WILL NOT Grlggs-MlEway Bidg. - Noom 5473 BE ACCEPTEO BY THE STATE BOAflO 1821 Ilnivenlty pve., SL Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Plqne(812) 8614)800 ENCLOSED a??/SO REQUEST FOR ELECTRICAL INSPECTION 9"f7n`N'j's 1- eeooooi-oe ? See insVUCtions for compleLnq thrs form on back ot yellow mpy 10835 'X" Below Work Covered by Thrs Request I e ktltl Rep ' Typaof Bu Id ng Appl ances W red ?I ? Equpm iW ed mome GonfractoYS Remarks Compute lnspechan Fee 8elow.# Other ? Fee # ServiceEniranceSrze 0 to 200 Amps Above 200 _ qmps nspetlor's Use Only 100 Fee IOther Fee I ? I, the Elecincal Inspector, hereby certity that the above inspection has been made. )FFICE USE ONLY his requast wid 18 months irom THIS INSTALLATION MAV BE 70.Otl j I IUTAL 70 :Yi / v OISCONNECTEO IF NOT ? ..- .-_ -? _• f ?j S -?•? aE: .39as DATE .iULY 3, 1990 xu (xeYt.nNn xoMss) x Youi'Sewer & Water Permit for the above property has 6een oompleted. It will be held at the Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO CALL PUBLIC WORKS (4545220) FOR VOUR PERMANENT WATER TURN ON. - Your Se,ever & Water Permit for the above property cannot be completed for the following reasons: - Your Sewer & Water Permit tor the above property has 6een 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 musi 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 6 13,0 7 RESIDENTIAL BUII,DING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 ?D " lol" , 03 New ConsWCtion Reauiremenls RemodeVReoair Reauirements Oflice Use Onlv 3 registered site surveys showing sq. ft. of bt, sq. ft of house; and all roofed areas 2 copies of plan CeA of Survey ReW _ Y_ N (200/o mar,imum bt coverage allaved) i sef of Energy Calculations for heated additions Tree Pres Plan Recd _ Y_ N 2 copies ot plan shaxing beam 8 windax sizes; poured found design, etc. 7 site survey for addilions & decJcs Tree Pres Reqd _ Y_ N 1 set of Energy Calculations Addfi'on - indicate if on-sffe septk system On-site Septic System _ Y_ N 3 copies of Tree Preservatlon Plan if bt plalted aker 7/1193 Rim Joist Defail Options selection sheet (bldgs with 3 or less units ?y Date / / / 2?3 Site Address 5(?2S C L I PREeM-,R 0 a n Construction Cost aoac ?s UniUSte # Description of Work 01(k '1bbllKN Multi-Family Bldg _ Y_','/ N Fireplace(s) _ 0_ 1 _ 2 Proper[y Owner AN ? L i NDA':? R?CS Telephone #(651 ) CtZ- 7M Contractor TNE -D vk AiJo b,,?e C 'rvHOnnN Address IILQ dlkQcw l{vE E State M hJ City INJVLQ Gfri?{ }IfhC119' Zip 5SU7 7 Tetephone #(65l ) '322- ycl( `1 E)(i Ic3 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minuesota Rules 7670 Categorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Wodcsheet (4 su6missiontype) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan2 fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor ? i. 5rL;) !I Telephone #( Telephone #( Telephone # ( N If so, 25% plan review 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. A I[HAFI- QuDU ?!/ ? Applicant's Printed Name Applicant's Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex ? 05 03-plex ? 06 04-plex Work Types ? 07 OS-plex ? 13 16-plex ? 08 06-plex ? 16 Fireplace ? 09 07-plex ? 17 Garage ? 10 08-plex X 18 Deck ? 11 10-plex ? 19 Lower Level ? 12 12-plex Plbg_Y or _ N ? 31 New ? x 32 Addition ? ? 33 Alteration ? ? 34 Replacement Valuation Census Code 44 5 SAC Units Nbr. of Units Nbr. of Bldgs Type of Const Fooangs (new bldg) :)C Foofings (deck) _ Footings (addition) Foundation Drain Tile Roof Ice & Water Final _ Framing _ Fireplace _ R.I. _ Air Test _ Final Insularion W idth REQUIRED INSPECTIONS FinaUC.O. -X FinaUNo C.O. _ Plumbing HVAC Other _ Pool _ Ftgs _ Au/Gas Tests _ Fina] _ Siding Stucco Stone _ Windows (new/replacement) _ Retaining Wall Approved By Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total ? 20 Pool ? 21 Porch (3-sea.) ? 22 Porch/Addn.(4-sea.) ? 23 Porch (screen/gazebo) ? 24 Storm Damage ? 25 Miscellaneous ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 EM. Alt - SF ? 36 Multi Misc. 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair 37 Demolish (Bidg)' ? 43 Reroof ? 46 Windows/Doors •Demolition (Entire Bldg) - Give PCA handout to applicant Occupancy MC/ES System Zoning City Water Stories Booster Pump Sq. Ft. PRV Length Fire Sprinklered OK&le, ?2 -/ (9 <.-;) v ? .?7 U`) ? ?-I 19 3 2006 RESIDENTIAL MECHANICAL YEUMrT arrLacaTioN City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete (or, smgle 1'amily dwellings & [ownhmne,elcondos when pennits are required f'or ezch unit Date 7 Site Address uaic a_ Property Owner 0-'fl.h_i TePephone # ^ -? Contractor _ r<-UfP? L(1C Street Address City Sfate'?_?j?? ? Zip ? _ Telephonett(0j?,?)`?f?j? Bond #: Expires: The Applicant is _ Owner _ Contractor Other ,f -- Add-on or alteration to existing dwelling miit 30.00 _ fumace _Additional _Replacement _ New air exchanger air conditioner heat pump _ other r?l,1c <k C kX',yf\ G\f State Surchar e 50 $ g . ? Total G 1 hereby appiy for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work wili be in conformance with the ordinances and codes of ehe City of Eagan and with the Mechanical Codes; that I understand this is not a permit, bu[ only an application for a pertniC, and work is not to start withou[ a permit fhaY the work will be in accordance with the approved plan in the case of work which requires a review and approva] of p ns. Applicant's Printed Name plicanYs Signat-ure 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. / 3 1 C)`! Date 9 _ Site Street Address c,-lX,? Q i l? Pe ?RC\ . Unit # Property Owner "Di° 1!\,(\ \.s [)c-c TcS Telephone # 651)(n? 'cJ 1 cl' C7b 7 Contractor To `_CD- zcoC -c 1 t r Telephone # ?3) .? Address 145 3v cP-T??Yt\..)QYJ City ftu h State (YlY`-) Zip Ssyq 7 The Applicant is: _ Owner 4 Contractor _Other Alterations to existing dwelling $ 50.00 _Add fixtures to rooms, excluding water softener and water heater _Septic System Abandonment _ Water Turnaround (add $121.00 if a 5/8" meter is required) Other: Water Softener _ Water Heater $ 15.00 _ replacement _ additional ? Lawn Irrigation System ?RPZZ_ new _ repair _rebuild $ 30.00 State Surcharge $ 50 Total $D I hereby apply for a Residential Plumbing 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 plumbing codes; hat I understand this is not a permit, but only an application for a permit, work is not to start without a will be in accordance witV7 the event a plan is required to be reviewe ove . D Applican s Printed Name ApplicanYs Signatur -72z 1 z .?-- 2006 RESIDENTIAL MECHANICAL rERMIT nrrLicATiorr City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for. single family dwellings & townhomes/condos when pcrmiLS aze required for each unit ,W;so.so Date ao Site Address__y?? ? YV l..Z/1' S Unit q Proper[y Owner Telephone #( ) Contractor ? Street Address City J XURdyl? State !V( ? Zip ?Telephone# 05b7-?/ Bond #: /{ "/ r% l22Q /1 1) Expires: d?V 6 T6e Applicant is _ Owner _untractor _ Other Add-on or alteration to existing dwelling unit s 30.00 furnace _Additional _Replacement _ New air exchanger air conditioner heat pump ?C other State Surchatge ?Q V $ .50 Tatal $ ?D _SU I hereby apply for a Residential Mechanical Permit and acknowledge tha[ the information is complete and accurate; that the work will be in conformance with the ordinances and codes of [he Ciry of Eagan and with [he Mechanical Codes; tha[ I understand this is not a permit, but only an application for a permit, and work is not to start wi[hout a permit; that the work will be in accordance with the approved lan ' the case of which requires review and approval of plans. -?ri? I-P.n vi ApplicanPs Printed Name ` Appl?cant's Signatur PERMIT CI`fiY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (651) 681-4675 SITE ADDRESS: P.I.N.: 10-19100-030-01 3923 CIIPPERS RD LOT: 3 BLOCK: 1 CUTTERS RIDGE 1ST PERMITTYPE: BuzLorNG Permit Number. 0 3 3 7 2 6 Date Issued: 10 / 19 / 9 8 DESCRIPTION: - GAS INSERT/GA3 t_INE Bui'lding'Permit Type FTREPI.ACE Building WoMk Type ALTERATIqN .Census Code 434 AL,T. RESIpENTIAL / . ' l ' i i , - ? - i? REMARKS: CHTMNEYJPLUE MUST BE INSPECTED BEFORE CONCEALING. FEE SUMMARY: Base Fee $50.00 Surcharge 60 Total Fee $50.50 CONTRACTOR: - Applicant - sT. LzC. OWNER: FIRESIDE CORNER INC 16331042 20090911 BATES LINDA 2700 N FAIRVIEW AVE 3923 CLIPPERS RD ROSEVILLE MN 55113 EAGAN MN 55123 (812) 633-1042 (651)688-7358 I hereby acknowledge that I have reacl Chis applieat9on and state that tMe information is correct and agree to comply with all applicable State of Mn. Statutes end CJ,ty of Eagan Ordinances. ' ? APPLICANT/PERMITEE SIGNATURE --(j ISSUED BV: SIGNATURE s t-,o (::?-o CITY OF EAGAN 3830 PIIAT KNOB RD - 55122 1998 FIREPLACE PERMIT APPLICATION 681-4675 DATE: ( 6'-I67-9? DESCRIPTION OF WORK: JOB ADDRESS: ?019?? I a-ia-9 'Ss? PERMIT FEE: $50.50 ..?_ _ Alterations to existing ?Install gas line only LOT: ? BLOCK: SUBDMSION/P.I.D. #: APPLICANT (c'vcle one only): OWNER CONTRACTOR I hereby acknowledge that I have read this application and state that the information is coaect and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Name: "80,+eS ? L ti da, Phone #: ea o(s PROPERTY Last First OWNER Signature: StreetAddress2qa'? l ( /?n?a=r'-S K d- City fo-?Q.n- State: 0?1-i Zip: Company:?f Phone #: -Sq6- 62 FIREPLACE INSTALLER Signature: StreetAddress: License #?? / Qf? City ;t lC.cJ1.YlSYI?'? Stau: MAJ Zip: 5.?.? Company; C&4 -kil Q? Phone #: GAS LINE INSTALLER Signature: Street Address: d? ? oCT i s 1998 _Conslruct new freplace V"'AInstall eas insert onlv Other 0/,0, 1940 SIIILDING PERMIT APPLICATION CITY OF EAGAN SINGLE FAMILY UWELLINGS MULTIPLE DWELLZNGS < 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 CALCS _# OF RENTAL UNITS _# OF FOR SALE UNITS PENALTY APPLIES WFIEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WIIICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. To Be Used ?.,Site Address / ct-3 Lot ?1_3 Block ? Parce Owner Address City/Zip Code j?? Phone J U K 2 8 REco ? Valuation: Date: oZ? 1 OFFICE USE ONLY FEES occupancy -3 /d/l-/ Zoning Q`/ Actual Const _y/Y Allowable V/Y -?-? # of stories ngth S/, 6 ? ` pth _ f3.33 S.F. Total Footprint S.F. Contractor 75j!??"_p Address City/Zip Code Phone Arch. /Engr . Address City/Zip Code Phone # a J ? - 7-S On site sewage_ On site well MWCC System ? City watei. ? PRV Booster Pump _ Variance Bldg. Permit ?SS APPROVALS Planner Council Bldg. Off. " AYI lc?29 Surcharge 6/?Sd Plan Review ? snc, city /oo SAC, MWCC O o Water Conn "6 ZS Water Meter 90 Acct. Deposit 30 S/W Permit 30. S/W Surcharge S'o Treatment Pl. ZS"z- Road Unit 3SS Park Ded. _ Copies SUBTOTAL Penalty TOTAL ? r BUILDING PERMIT To be used for SF DWG/GAR Receipt # 0 ?? r}'? $133,000 palp JULY 2 I090 Site Address 3923 CLIPPERS RD ' Lot 3 Block 1 Sec/Sub.CUTTERS RIDGE 15 Parcel No. w Name ?YLAND HOMES # Address 14450 BURNSVILLE PKWY 0 Cily BURNSVILLE phone 894-2636 ,a Name S? ?a Address ? City Phone ?Q uW Name ' ? Address aW City Phone 1 hereby acknowlege that I have read this applicaUOn and slate that ihe information is correcl and agree omply with all applicable Stale of Mmnesota Statutes and City of gan pances. Signature of Permrtee A 8uilding Permit is issued lo: on [he ezpress condiUOn that all work shall be tlone in accor nce with all apphcable Sta1e of Mmln?esota Stawtes antl Qt?l Eagan tlmances. - Building Oflicial M1??1? - CITY OF EAGAN NO ?$OBZ 3830 Pilot Kno6 Road, P.O. Box 21-199, Eagan, MN 55121 ?p PHONE: 454-8100 l?v t.? OFFICE USE ONLV Occupancy R- 3 I+-], FEES zomng R=1 (ACluap Const V=N gldg Permit 755.00 (Allowable) V=N Sumharge 66.50 N of stones Lengih 52 ' Plan Review 491.00 DeON 43 ? SAQ Cny L00. 00 S.F. Total - SAC, MCWCC 600.00 ' S.F. Footprinis _ On Site Sewage _ Water Conn 67 5. Oo ' On Sile Well - Water Meter 90.00 I MWCCSystem )a- Accl. Deposit 30• n0 City Water $X_ PRVRequired _ S/WPermd 3(1-(1Q Boosler Pump - ShV Surcharge - 50 Treatment PI 2 59 - Op APPROVALS poad Unil Planner - Park,Qed. " Council Bld Olf :• P4 ..{C ifis ? g . - 7 4ariance 395.00 - _ _ ?A _ _•<iA .?pl? 132 ??? y J EXTERIOR ENVELOPE AVERAG[ "U" COMPIITATION .- ' ' ' . -------------? -- . . __.. _. ; i; OW N E R : ----- ------ ------- D11Tf : SITE ADDRESS: PNONE: CCNT RACTOR: I?cYL?c1-II? ?Dhn?? PLAN # Determine working square foota9e of each 1. Total exposed wall area..... sq. ft. x .11 = ? ?2 026 = ( 0 " 2. 7o'tal -4?y roof/ceiling area..... sq. ft. x. 0 Total exposed wall area above. floor=__ 'O -744 ???• 32- ? i a. Total wall window area ...................... .................. ... ? 3 ..;_;. r : b. Total door area ............................. .................. . . . c. Total sliding glass door area ..... :......... .................. ... . ;; ' d. Total `ireplace wall area ................... ... ............... . ... h1Pr . e. Total 9 ) ....... wall framin area (average 10% .................. ... 10 f. Total rim joist area ......... ............... .................. .:: g. net wall area a6ove floor ................ .................. ... 2-I'l S:O Z `.::, ? h. wall area above floor ................ .................. ... i. wall area above floor ................ ....... j. frame wall area at foundation .............. .................. ... ? Total exposed foundation area= ?'f SS k. Total foundation window area ....................... -- ?- l. Total net foundation area above grade .............. r'J Determine "u" value of each wall segment (e.g. window, cloor, each separate wail section) a. ,71 ?0? ?Sz_ X ?v- . 4-1 _ ?2 /•?? b. X „v c . I l? x liu„ ,4-7 d. nx, X „u„ e . ZkI , lo (c, X r X 9. ZI?S,OZ, z „u „ p ',u„ ?,ull = 2! ,'74°I h K 11 Ull _ . i X 'lull _ . ? X 'lull _ r x lluii _ x 'lu,. 3 . ....... ..... ................. .... Total t If item 93 is the s as, or less than'it, 41, you have met th intent of SBC 6006 ....... .................... . .. _ .. ry.? erea (,ivcraqe _. _`-_- .-:. -'scla=?.. ':oc=/ccil5.ng arc:a... . ...... • IU?' . - -:n' -?z e -...--.c J'ialLC for ezcl: roof/cciling segnent -?;- -. Z,'702, - . . . . . . . . . . : . . . . . .= =o==: .._ __ '-s t..- e a=, or less i:han 1r2, you have met the. intent' o: 5::= . . ;. :?:'<S' =?=Y , 1te=n_ - - - So±ldir.q cr.ve?.one Desi9a ===e :o=a! one s_•stem method, the values estzblished ?cr than the sum of , iteins ; 1 and n2 344,135' - 2. 29. z?? = 3'73.411 - ?D?71?O? = e. rGZ.R'-I = Z8???7? •.;.:., IriSr?h?? • ? 'v'l?:?j,'? ?YJf` .. .Y??,.?. . "tl}1Yy_?.??:: • ??-?'?? ? ?'? ? ?:Y:.?R? -• r )Z: ??'cs f < . :.? . ., ?4 ( -_M .r ? ==??::: I 1+8? I4f?3 f?-?+ !3?- tO f 12?-32+ ..-= Ilt8+?4+?f i?=5g Na a?l • •??? ?,?• ? a?; l , ::??. ; j. i, .'` ? . . ?; ? £>•.? : ?+1I48?1¢1-g-t/??-l3fla-?/z.St1'-+? =?; 1 s?.s+ iss.S= ?? 4ZALL AREA :-. S8 x5= 'L'r10? ,..... x a = a = l21 Z.. . . 717?1 _ . l s5-.5x s = /244 ? .. 3?)l x ? = 30'7 -31 Zg: E :,'OSED CiILITIG 1102? + Z6 =11z? Z311-I-I -II,34- Z335-3 I -'l 234'1-2-I - ?Sor 1s59_1111 - z9•ss 6-9 sci -r Sr) L-TS- I? r IZ 4'1 sLr P- f - t 9.2 Z3q?>-i-i /a.S 154?- i/ *?>;: ? . , - , ' :i•3:?'?? ?:: : , r t; ,y.. , ;. -- `_ s?.,.. - .. ? i::I; ?'??•? "r'=' : r :,7: .. ORS g, 9 37.:.•. .: 7ATTO DOORS. ?2?0'- I :'^ : ?t0 r? EAS?'??'.IJ???'TS 32 Lo . " WoL1- .7tv\ x-Y? . ,?'Use ?? of cpnque i•.Ul 1 or?a fbr % fvat*?C cl»struct'?o? WLL FT_G. #7 rG. #s .. . 1 - I , 1 x= vaure CONSTRUCTIOIS=- £RAMING 1. IN'I'IItIOR AIR FILM 0.66 2. 2 GYPBD 3. 5 1 2 SOFP 4100D 6,8 , 4. ? S. SIDING 6. EXTERIOR R FI 0.17 _ .8 U= .09 NET 1. INTERIOR AIIt fTIM 0.68 2. " 2 YP .4 3. 4. 2 32 SHEA G 2.06 5. S DING ,6g 6. MTERTOR R _ U= .04 1SEhLep, ? e .? ? Uo ? = '. ' -0 fd-N?ATIC?tl l ? o ?? _...__?...........,._.... ? ?? L ?66? • ?q?' ? ?- } 1. INTERIOR AIR FIIM - 0.68 2. 6 INSIJL,. 19.00 3. xl JO ' 4, 25/32 G .. 2.06 5. S DING .6• 6. RIOR AIR FILIM U= .04 Bi.ocx 1. 2. 3. 4. 5. 6. SLAB ON GRADE INTERIOR AIR FILM 0.66 , - o PROTECfIVE SARRIER TOTAL R= .1 U= ' .1R ` '=tf --?-; -- " ? - • ? ,V o ? ?`, A?° •. '; '. III ? ?, ? ? ' ?? ??.. ?? : " ? ?s-G• aA f,-rr- . 43 . ? - -- ' ' L ? - (i11 ? ' ? /11 . ' +. 111- S. - _ ° /1-1 ? . ? .? NOT'E - INDICATE `I'YPE, ??R?? VAII.I£. DF.PT'fi Al? ,?e • I PLACEMEt1T OF INS[JLATION. F'R4?V HnCC VE?i TE;D 1• INTERIO R-VAL,LTE 2. 5/8" GYP BD 58 3. INSULATTON /4 00 4• EXTERIOR AIR FTi_M _ n61 ?L 45.80 .02 FRAP9E FTG. #S CONS'PRUCTION 1. INSIUE AIR FILM I, ?'?.T FL,OW UT? t1 FIG. #6 y? A EEAT FI]i0W uUP ?- , 1 CONSTRUCTION 1. INTERIOR AIR FILM 2. 5 n 58 3. NSULATION 38.35 4. -EX1 IOR AIR FILM 0.61_ IVN? U = 0.024 2. 3. 4. 5. 1' IDE AIR FILM 0.17 FRAME 1 INSIDE AIR ILM TOTAL U = • 0.61 2. 3. 4. 5• OU 1. INSIDE AIR FILM U = 0.61 2. 3. 4. UUI'SID R FILM 0.17 mrae,ir U = Nl3N-VEN'I'ID NOTE: USE ADDTTIONAL SHEEfS I£ MIE SPACE IS TIEEQID FOR DETAILS AND CALCULATIONS. FEAT FIAW UP C. °i R00£-CEILING 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) 75- CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 New ConshucNon ReauhemeMs Remodel/Reoair Reauhements D 3 regtrtered sHe surveys showing sq, fl. of lof, aq, li. of house and p,ll roofed areas (2055 mazimum laf coveraae albwed) ? 2 copies of plans (show 6eam d window shes; poured fnd. deilgn; Mc.) ? 1 sef W energy cakulations ? 3 eopies ol ee prese ution pMn 91ot platted affer 7/7/93 oZ Cl DATE: DESCRIPTION OF WORK: STREEf ADDRESS: -S ( o< ? L L 1 1- LOT: 3 BLOCK: ? SUBD./P.I.D. #: 2 copie: of plan 1 set ot energy catculaftons fw healed addHioni 1 sNe suney for exferior addiNona i dec W ' CONSTRUCTION COST: S?- ?? Name: !?7'C7 I V S ?-1 /v 2?4+ Phone PROPERTY Last FM C? 0- l OWNER ?l a ? - l P??>.?'if??' ? Street Address: L• ??-??_ Ciy State: iip: Company: Phone#:?Ej v?I `r CONTRACTOR u-- 4 (area eode) Sheet Addreu: C;???? ?Z- ?P ? W Y ? License # Exp. City ?t CiF-7 State: Zip: ARCHITECT/ ENGINEER Company: Name: Telephone #: area code ( ) Sireei City Sewer S water Iicensed plumber (reautred for new constructlon onlv): State: Penaly applies when addrest ehange and lof change is requested once permff is issued. •1 hereby acknowledge that I have read this appiicaNon, staTe that the tnformaFlon State of Mlnnesota Statutes and Cfty of Eagan Ordincnces. _/ Slgnature of Applicant: OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation'Plan Received _ Yes _ No Not Required Registration S: Zip: to comply wflh all applicabl ? ? j"JP -1 t go4 4-7D. 00 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City OfEagan 3830 Pilot Knob Road, Eagan MN 55122 Telep6one # 651-675-5675 FAX # 651-675-5694 New ConsWdion Reauirements 3 registered site surveys showing sq. ft. oilot, sq. fl. of house; and all roofed areas (20% mauimum lot wverage allowed) 2 copies of plan showing beam 8 window s¢es; poured found design, etc. t set of Energy Calculalions 3 copies of Tree Pmservation Plan if lot platled after 711193 Rim Joist DelaJ Options selection sheet (buildings with 3 or less unils) RemodeUfteoair Reauiremenis 2 copies of plan 1 set of Eneryy Calculations for heated additions 1 si[e survey for additlons & decks Adddion - indicafe don-site septic sysfem office use anro CertofSurveyRecd _Y _N TreePresPlanRecd _Y _N, TreePresRequired _Y _N On-si[e Sepllc System _ Y_ N rin1d9tZ "I 12 "' Q(^_ Date J D? Construction Cost ?? Site Address " f L? C)CILC_. Unit/Ste # 1a Description of Work 1 UJ e F- b(J?J Aabn ?n9 -)/t 1J Multi-Family Bidg _ Y 4= N Fireplace(s) _ 0_ 1 _ 2 Property Owner Telephone # ( ) Contractar ? 4ens cv\ Address 3119 "02 0 'r , ? ? ? CitY -T Cd.Md.},f /,r`- State MAl Zip '5'--5- / Telephone p &5-0 // 'Y [O0 a4(0 7 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Energy COde Category , Residential VenGlalion Category 1 Worksheet • New Energy Code Worksheet (4 submissiontype) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan2 _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone # ( Telephone # ( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the wark 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. ? l nh ??-- Applica Ys Printed Name Appliignature 2006 RESIDENTIAL PLUMB(NG PeRnnir aPPLicaTioN CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. ,W6D ??o DateI_zk?/ (0 Site Street Address l ,?p'Cit?S ??. Unit # y ates P roperty Owner Telephone #( ) Contrector T ele hone # 9?? /(/// /U? p ) ) Address City State"Ai Zip? The Applicant is: _ Owner 2?contractor Other Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee $ 100.00 Per as-built $ 10.00 Alteretions to existing dwelling $ 50.00 ? Add plumbing fxtures. This fee includes installation of a water softener and/or water heater at the same time. !f you are installing onlV a wafer sofrener and/or water heater, do not complete this section; move to the next section and check the appliance(s) you are installing. _Septic System Abandonment _Water Turnaround (add $130.00 if a 5/8" meter is required) Other: _ Water Softener _ Water Heater $ 15.00 _ new _ replacement _ Lawn Irrigation _RPZ _PVB _new _repair _re6uild $ 30.00 State Surcharge $ .50 Total ?AN ?iD 7?fl? ? $ I L......L.........i.. ,„???..r or??y W. a ncaiuciiual rwmomy rermic ana acKnowieage thai the information is complete and accurate; that the work will be in conformance with the ordinances and codes ot the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance ith t e approved lan in the event a plan is required to b rev?ewed an proved. ? ?/'llL ApplicanYs Printe Name ApplicanYs Signature CLAIM VOUCHER- REFUND REQUEST CITY OF EAGAN MAKE CHECK PAYABLE TO: RALPH HANSON CONST ADDRESS: 3392 232ND St E Hampton, MN 55031 PERMIT # 73980 Valuation: $2,000 RECEIPT #/DATE: 109927/06-22-2006 REASON FOR REFLTND: Duplicate - issued in eiror - 3923 Clippers Rd TYPE OF REFUND: Buildin Pernvt Base Fee 0801.4085 $ 69.00 Construction Meter De Refund 9220.2254 $ Curb Box De osit Refund 9220.2253 $ Fire Su ression Permit 0801.4096 $ Mechanical Permit 0801.4088 $ Plan Review Fee 0720.4222 $ Pltunbin Permit 0801.4087 $ SAC MC/WS 9220.2275 $ SAC (City) 9379.4681 $ SAC Admin) 0801.4246 $ Sewer Pemilt 6201.4532 $ Surcharge 9001.2195 $ 1.00 Treatment Plant 6101.4685 $ WaterPemut 6101.4507 $ Water Meters & Radio Read 6101.4509 $ Water Su 1& Stora e 6101.4680 $ Other LicenseSearchFee 0201A230 $ TOtal $ 70.00 I declare under [he p al of law that [his account, claim, or demand is just and that no part of it has been paid. 06/19/2006 SI ATURE DATE 06/20/2006 10:44 7205' gb 6514603467 RALPH AND DEB HANSON PAGE 02 710 ez) mm RESIDENTIAL BTJILDIlVG rExrnr nrrx,icAnox CHy Of Eagan 3830 Pilot Kno6 Raed, Eagan 11+N 55122 TelepLone # 651-675-5675 FAX # 651-675-5694 NewDMMuCion Ream"rdg 3reo?ed ?a. ?m?? ? rt. orwt sa. n? n?: ?amro?d ?v: (2096 medmum bt wvaageauaxod) 2QWM a P?n 31101VI9 beam 8windowslaas: potrteQkuM Ceeign, elc. 1 ael of EneGY CBkVlaNais 9 taplee d Tree P'eeWvaticn Plan R bl ploadsfir7nM3 Rin Jokl DoW Opliansaehd'cn shrrt (6ulldryawMh 3 a Ieaa unne) Miunegaxo mechameai vcndlatian form DG' ?? /,Z& Coostnt 60 ' nCoet C>-) d06 .? 91te Addrnas 3 UniU3te M / Dnsriptlon of VYOrk 0 I.Vl'Y Le ?e l. `/r! ? M ia e ala i ; Am y A - g ? x Fireplace(s) - 0 i Pmpariy Owner ?Z-1 n a a Tckphone #( ) Contnctor l Address 7,7 .Z GYty 34te /17 .,_ . b .i Teiepbone M ( G37 ) %L a =?,4, V e 7 COMPLETE TFIIS AREA ON1.Y IF Enarsy CoaeCabgory - .`",uL,ua,w.auq ,oiu I N (4 aMnlssiontype) RuT eCaEepory lVWAmheet S En?adwisIn the IasY 12 monihs, hos ths Gty ot EaertniT for a?milar pl? Y k M yes, dole master plan: Licensed Plumber MeChanical Confractw 59wbr/Woter CqnlnactOr 10 A NEW BYILDING Mffiesofa Rules 7672 • New Enarqy Coda WorAshoot 8ubudtted a master plan? #( Telephone # I hereby apply for a ResidentiaE Buiid'vig Permit and acknowEedge that t}Ae informxtion is complete and accuraUe; that the work will be in conformance with the ordinamces and codes of the City of Eagan aad the Statt of MN Staurtes; I taRderstand this is not a parcrut? but ozdy an applicatiazi for a penni; and work is aot to start without a permit; that the work will be in accordance with the approved plen in the case of wvrk 'di reqvices a review and apprmal , p18ns. . A.ppLic s r,rrted Name A plicunt' ign ' 3EI000~ RAOIGfFInOnIB xoopW orvm+o1owinoroolinps,wema.plsts 4,70-twi-11 t aN N Emrpy Cskula8mmta nee?m aa?eh? 7 tAesurmy tv addNois & deeks ACdRbn.b+dkefoMartsdO aapEealatem ? ^ ? ?/0 ? DO NOT WRITE BELOW THIS LINE , Sub Tvpes ? Ot Foundafion '? 07 05-plex ? 13 16-piex ? 20 Pool 0 30 AccessoryBidg ?j02 SF Dwelfing ? OB 06-plex ? 16 Fireplace O 21 Poroh (3-sea.) ? 31 Exk Alt - Multi ? 03 01 of _ plex 0 09 07-plex ? 17 Garage 0 22 PorchJAddn. (4sea.) ? 33 Ext Alt - SF ? 04 02-plex ? 10 08-piex ? 16 Deck ? 23 Porch (screeNgazebo) O 36 Multi Misc. ? OS 03-plex ? 11 10-plex L9' 19 Lower Level 0 24 Storm Damage ? 06 04-plex D 12 12-plex ? 25 Miscellaneous Work Twes ? 31 New 0' 35 Int Improvement ? 38 Demofish Interior ? 44 5iding ? 32 Additian ? 36 Move Building 0 42 Demolish Foundation O 45 Fire Repair ? 33 Alterafion ? 37 Demolish Building` 0 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demoiffion (Entire Bidg) - Give PCA handout to applicant DBSCriDtion: WaterDamage_ Yes Valuation 2 0oc? Occupancy ?S MCE8 System Plan Review = ?IIO% or _ 25% Census Code 43 Zoning C+ty Water SAC Units Stories Booster Pump # of Units Sq. Ft PRV # of Bldgs Length Fire Sprinkiered Type of Const Width - REQUIRED INSPECTIONS _ Footings (new bldg) Sheetrock _ Footings(deck) FinaUC O _ Footings (addition) . . FinaUNo C.O. _ Foundation ? HVAC 91 u-k _ Dmin Tile pther Roof _ Ice & Water _ Final Pool Ftgs Air/Gas Tests Final - Framin8 Siding Stucco Lath Stone T.ath Brick _ F'ueplace _ RI. _ Air Test _ Final _ _ Windows _ Insulation _ Retaining Wall Approved By. ?? k*- Lf?klQ-- , Building Inspector Base Fee (?9', Surcharge / 00 Pian Review MClES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total ?J, Qd Zoos RESIDENTIAL PLUMBING PeRMiraPPLicaTioN CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residentiai dwellings. Date ? I I ? Il Q(Q !I Site Street Address 3 a 3 ?? t 1-?J (?QU Unit # M Property Owner l Telephone # ( ) Contractor?U (nY v yw LU04-c( Telephone #(763) aS2-2?1?e Addressq I`14?+ 9!??L) ?QT?ICe 0, City kll(1Q_. State(Y)n Zip The Applicant is: _ Owner ? Contractor _Other Septic System New _ Refurbished Submit 2 sets of plans and MPC license Includ es County fee $ 100.00 Per as-built $ 10 00 Alterations to existing dwelling $ 50.00 _ Add plumbing fixtures. This fee includes installation of a water softener and/or water heater at the same time If you are installing a,rv a water softener and/or water heater, do not complete this section; move to the next section and check the appliance(s) you are installing. _Septic System Abandonment _Water Turnaround (add $130.00 if a 5!8" meter is required) Other: ? Water Softener _ Water Heater $ 15.00 _ new _ replacement Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge $ -50 E $?U I hereby apply for a Residential Plumbing 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 piumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved. L , S R b %S-t-?rb rv\ i o rv?- ApplicanYs Prin ed Name A-pplice(nt's Signature ?? ?6v 2007 RESIDENTIAL SUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX 9 651-675-5694 New Constmction Reamrements 3 rfgisSered site snrveys showing sq ft af lol, sq R, ot house; and all rootetl areas (20%maximum lot coverage allowed) i Soils Report if pmposed building is to be placed ondisturbed soil 2 copies otplan showing beam 8 wmdow sizes, pouretl found design, etc i setof Energy Calculations 3 copies of Tree Preservation Plan'rf lot piattetl after711193 Rim Joist Detail Options selecoon sheet (bmldingswith 3 or less unAS) Minnegasco mechanical ventllation form Date / /J / 0/ Site Address 3lpZ3 C/"0 x/' Construction Costt?l Uzlz? UniUSte # ?escription of Work ?phq ?, Q6L'-?,Y"1?' Re_,fnSfq /I RA,/S Multi-Family Bidg _ Y>"'-N Fireplacc(s) _ 0 -?o?- hfo+- _ 1 _ 2 , propertyOwner e1?0121S £ LiN4 15?4{GS Telephone#((D51 ) 6 9Tj - 7350 Contractor I-A e ZDG'Gc L` DW r (? Oe Address 694D C.D 15i X !5'X State h-) Zip 5Jr 12 Z Ciry Telephone #(9,5Z )`I32 -/gQg ?f RemodellReoair Reouirements Office Use Onlv 2 copies of pian showing foofings, beams, jrnsls Ced of Survey RerA _ Y_ N 1 set of Energy Calculations (w heated addihons Soils Repwt _Y _N 1 site survey for additions 8 decks Tree Pres Plan Recd _Y _ N. Adddion - indcate if on-sRe sepfic sysfem Tree Pres Required _ Y_ N Oo-siteSepticSystem _Y _N Ca?C? a-I ( r" COMPLESE THIS AREA ONLY 1F CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateaorv 1 _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Cotle Worksheet (dsu6missionrype) Submitted Submitted • Enerqy Envelope Calculations Submi(ted In the last 12 monihs, has fhe City of Eagan issued a permit for a similar plan based on a master plan2 _ Y _ N If yes, date and address of master plan: Licensed Plumber M Telephone #( Mechanical Contractor ? Telephone #( Sewer/WaterContractor 3AN G J LUUI 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. / /V1t?1 I'JCd?4vS ? ?? ApplicanYs Printed Name App icant's Signature i 1 30'? DO NOT WRITE BELOW THIS LINE Su6 TVpes ? 07 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea ) ? 31 Eut. Alt - Multi ? 03 Otof_plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn.(4-sea) ? 33 Ext.Alt - SF ? 04 02-plex ? 10 08-plex W 18 Deck ? 23 Porch (screen/gazebo/pergola) ? 36 Multi Misc ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Stortn Damage ? 06 04-plex ? 12 12-plex ? 25 Miscellaneous Work Tvpes ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding A 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors ? 34 Repiacement 'Demolition (Entire Bldg) - G ive PCA handoutto applicant DBSCflptlon: WaterDamage_Yes Valuation D,5?,m- Occupancy MCES Sysiem Plan Review 100% or 25% _ Census Code L,? 34 Zoning City Water SAC Units - Stories Booster Pump -- # of Units Sq. Ft. 5G.1> PRV # of Bldgs - Length 7.5 Fire Sprinklered ' Type of Const /3 Width '?2 - 6-- REQUIRED INSPECTIONS Footings (new bldg) _ Sheetrock ? Footings (dack) _ Footiogs (addition) Final/C.O. ? Final/No C.O. Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final Pool Ftgs Air/Gas Tests Final ? Framing _ _ Siding _ Stucco Lath _ Stone Lath _Brick _ Fireplace _ A.I. _ Air Tesf _ Final _ Windows _ lnsulation Retaining Wall Approved By Base Fee " Surcharge Plan Review MGES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total Building Inspector -------------------- -°--- -? ??? JUN-25-' 90 l lON 13: c^6 I L1: SR19F_S R H i LL I I!C TEL N0: 612 884-9518 #121 P92 ? 3522 iUAVEYQR'S CE1tTiFICATE ? L. ?.1 I 2 v"t N ? ? lyJ I 0 8 UTILfTY • oER PLAT' N 89° 56' S9" W - 43 33 . .. I ?-r--- 13.0 i I 1 W `" VY ' Q W ? I ?i o \ I 3 k- ? M ? I o --r--- i? LOT I c903.?) 147.45 i 1 o4N-D) 134.69 ? ( ? ROC?C Y 1 ? yl ? I ..? ? 93.SJ - "'IT.V6 N 890 56' 59'pW - KEYLAMD " ?I ? ..._T._. ? ? ? ? ?yy I ? W ?? ? ?? - ,o ? ? li . _"' ??, 1 ' ? 0 (9 OEs ? D R LANE 49 - DENOTES PROPOSEO SURFACE DRAINAGE O DENOTES IRON MONUMENT SET • DENOTES IRON MONUMENT FOUNQ X000.0 DENQTES EXiSTING ELEVATION (000.0) DENOTES PROPOSED ELEVATION SCALE: 1 INCH - 30 :ET PROPOSED GARAOE FLOOR - 81f. $ I eET PROPOSED LOWEST FLOOR - E9o.1 f:ET PROPOSED TOP OF BLOCK - 898. x! :ET WE HEREBY CERTIFY TO KEYLAND HOMES THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lot 3, Block I, CUTTERS RIDGE IST ADDfTION, according to the recorded pbt there( Dokota Counry, Minnewta, iT OOES NCT PURPdRT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 25TH DAY OF JUNE , 189Q 140TE: PRO?+p9E0 ORApE9 SHOWN YI? RE TAIQN Fl10M lM[ ONEl,Ol?IT P4AN FDII CUtI?AS p.l? ?s?? ? 2N0 AOOITIONS PfIPM?D SY FOMHT A. THE6E, ., LAST oareo a-zo-ee. y ? M ? ? 0 D - d r Z O W A ? y D N ? 0 ? O 01 ? n O - i ? m ?7 z ^ ? O m y ? ? R. NILL, INC. w BY: ?OHN C. LARSdN, LAND SURVEYOF MINNESOTA LICENSE NUMBER 19828 James R. Hill, inc. PLANNERS 1 ENGINEERS / SURVEti IRS 9401 JAMES AVE S. • BLOOMINGTpN, MM 55431 9 612-81 3029 - __ .,..,1,111__ I i",_,_ iio_ icL in_i.t,l? cs-14-'71')l8 ? ? ? ? v? N ? YOR'= CE1tTIFiCATE I L L I c? ? I (463,0) 147.45 N 89 6159111 W ?I 43. .n - LVA.VAUENr AAlNAGE 8 UTfLTYs 4\ 22. w? ^ ?? ?0 PER. PLAT fi s ? ? ? ' ?? • ' - ?-•-T?-• - 0 O 45 ': ar I O 40 I } y •• i o 1 I I 2633 M LOT 3 ? t94'1•D) `? g "? ?: tl Yll2l P0e KEYLAMD hi AES n 10 10 nL v' r 30 V r.\ -- 43.33 -• •17.08; -? Y 134.69 ? FI 89° 56,591, W t¢ Q, Roc.K y ? LANE • DENOTES PROPOSED SURFACE DRAINAGE O DENOTES IRON MONUMENT SET • DENOTES IRON MONUMENT FOUND X000.0 DENOTES EXISTING EIEVATION (000.0) DENOTES PROPOSED ELEVATION WE HEREBY CERTIFY TO KEYLANO HOMES THAT THIS IS A TRUE AND CORREC7 REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lor 3, Block 1, CUTTERS RIDGE IST ADDITION, qccording to the recorded pht Therei Dakota County, Mlnnesota. IT DQES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS SURVEYED BY ME OR UNOEF MY DIRECT SUPERVISION THIS 25THOAY OF JllNE , i99Q NOTE: T?ROQOSe?» ?st p owN SiGNE : MES R. HILL, INC. w ro? cur?R? MLO?'?" " iTi aNe wtrr?i o?sr T 0. ZTMEhE', P.l., LAST BY: ? DnTED 5-2o-ee. OHN C. LARSON, LAND SURVEYOR MINNESOTA LICENSE NUMBER 19828 y m ? p ? ? m 0 ? ? ? "' ? d 0 ? > r„ ? oZ m y a w< James R. Hill, inc. PLANNERS / ENGINEERS / SURVE? ?RS 9401 JAMES AVE. S. • BLOOMINGTON, MN 55431 • 612-81 3029 SCALE: 1 INCH - 30 :ET PROPOSED GARAOE FLOOR - gtf, g I eET PROPOSED LOWEST FLOOR - D9o.l j eE7 PROPOSED TOP OF BIOCK - 8*8. 2 i cET . .- . . . I _iiiii__ I . IIILi_ 111'_ N, ; , , % ?, . ? ? ? V? ? Yt'!R'$ CERTIFICATE i I c9d3.?) 147.45 -u 3 L. 3 ? a• r ? 8t i ?-r L. L? I ILL I11 .I 1L VVV IJLV 3522 KEYLAMD 1i? AES p ? ?, ? k `_ .? ? w ? MI V' 9 6' 59" W ? 29.72 _ D C? ? Z ' m 0 1 3°o ,V c: ? ? ? 0 N ? i 14m,-5) t orrnrNacc a unurr sASEMfNT P£R. PLAT I I v i LOT 3 ? - 3N T (945?•0) ? ° ? ? N? I O ??. , ???.._.._. ` ?? f- DENOTES PROPOSED SURFACE DRAINAGE O DENOTES IRON MONUMENT SET SCALE: 1 INCH - 30 :ET • DENOTES IRON MONUMENT FOUND PROPOSED GARA(3E FLOOR - g1f, g I eET X000 0 DENOTES EXISTING ELEVATION PROPOSED I.OWEST FLOOR - 89o.t I :ET . (000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK - 8*8. 2 i _ET WE HEqEBY CERTIFY TO KEYLAND HOMES THAT THIS 15 A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: . Lot 3, Btock (, CUTTERS RIDGE IST ADDfrION, uccording to the recorded pbt ihere( pokoto Counry, Mlnnesota. IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OFi ENCROACHMENTS, EXCEPT AS SHOWN. AS SURVEYED BY ME OR UNDER MY OIRECT SUPERVISION THIS 25TH DAY OF JUNE , 7990• E? TAId N 9EAfOM 111[ DM?W? ?D ?AO%ITiO?q ?0 sr ' ROMT A. TNENE, P.l., LAST DATEO s-zo-ee. BY: ? _ m ? .? ?n r= ?? ?p p O 0 ? O A Of o ?o D - ? m rZ v W m ? W ? ? cn ? N D cn m ? ? mz ? ?O a C? o m y ? w R. HII.L, INC. . ?OHN C. LARSON, LAND SURVEYOR MINNESOTA LICENSE NUMBER 19828 James R. Hill, inc. PLANNERS ! ENGINEERS / SURVn ?RS 9401 JAMES AVE. S. • BLOOMINGTON, MN. 55431 • 612-8I 3029 mmmi 10 ., •? 4 I so x ? a •- 43.33 -• 1709? ?7 134.69 ? ?l 89° 56' 59 ? 'W '? ? I ? RocY, Y L A NE PERMIT City of Eagan Permit Type: Building 3830 Pilot Knob Rd Permit Number: EA074060 Eagan, MN 55122 . Date Issued: 06/27/2006 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 3923 Clippers Rd Lot: 3 Block: 1 Addition: Cutters Ridge 1st PID 10-19100-030-01 Use Description: Sub Type: e-Fireplace Construction Type: Work Type: Gas Fireplace (new) Description: Census Code: 434- Occupancy: Zoning: Square Feet: 0 Comments: Chimney/flue must be inspected prior to concealing. Smoke detectors are requ ired in all sleeping rooms prior to final inspection. When wall studs or ceiling joists are exposed, hard-wired detectors are required. Battery operated types are acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector.Brenda Huston 2700 N. Fairview Avenue Roseville, MN 55113 651-633-2561 hustonb@hearthnhome.com Fee Summary: BL - Base Fee $2K $69.00 0801.4085 Surcharge - Based on Valuation $2K $1.00 9001.2195 Valuation: 2,000.00 Total: $70.00 Contractor: -Applicant - Owner: Fireside Hearth & Home Dennis L Bates 20802 Kensington Blvd 3923 Clippers Rd Lakeville MN 55044 Eagan MN 55122 (952) 985-6675 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: Building Permit Number: EA105284 Date Issued: 0710612012 itj of 0n Permit Category: ePermit R Site Address: 3923 Clippers Rd Lot: 3 Block: I Addition: Cutters Ridge Ist PID: 10-19100-01-030 Use: Description: Sub Type: e-Reroof Construction Type: Work Type: Replace Description: House & Garage Census Code: 434- Occupancy: Zoning: Square Feet: 0 Comments: If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are not acceptable in lieu of inspections. Carbon monoxide detectors are required by law in ALL single family homes. Fee Summary: BL - Base Fee $4K $103.25 0801.4085 Valuation: 4,000.00 Surcharge - Based on Valuation $4K $2.00 9001.2195 Total: $105.25 Contractor: - Applicant - Owner: Legacy Restoration LLC Dennis L Bates 10650 Cry Rd 81, Unit 101 3923 Clippers Rd Maple Grove MN 55369 Eagan MN 55122 (763) 354-7660 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 For Office Use, EAGAN o` ® e Pf� Date Received: q•/ - 9- /p_ 3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810 (651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 Staff: buildinginsoectionsecitvofeagan.com 2018 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: -1:',ARKS ::141,1g. Name: ti0 t, (jj 1 U- S Phone: (Cc] —1(07' 2-7/Go ... ,• Address/City/Zip: I +( 5 � fJ S��z� Applicant is: Owner Contractor Description of work: i✓U t t,- „� .14 Construction Cost: Multi-Family Building:(Yes /No X ) Company:t.4j &Ale"l ;-1CiV.tt)c Contact: I rtit!(.(, �./As Address: ) f�L1f ^� '� �City: (Al K. Stater Zip:66 S3D f Phone: `LL3 •104? Email: ({16 dt,J/I'1f1 )f 'APORZAZORY License#: ft:13-791 ' Lead Certificate#: If the project is exempt from lead 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: .y MIJ1 6� $ ns su it ''. ___�1f,... • ° 1°• � s� ,..da o-, _ .:3.8i. p,3.', bd�t a d �' d �tS .,a f ,(s. �• .nom 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.citvofeaoan.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(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gooherstateonecall.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. Applicant's Printed Name Appucant's Si,11-:ture DO NOT WRITE BELOW THIS LINE 3 9)) nj Q 1, /Ia /5 /379er SUB TYPES _ Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) Single FamilyX _ Garage — Porch(4-Season) _ Exterior Alteration(Multi) — Multi /" _ 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 Occupancy r f fMCES System Plan Review Code Edition LA (SAC Units (25%_100%y, ) Zoning 1 / City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction / Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings(Deck) Final/C.O.Required Footings(Addition) Final/No C.O.Required Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test Hood 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 IShower Pan Other: eviewed By: Al/ ,Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review i ...)0, „d1),- MCES SAC 4,464/141. City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plan Z 5°- 2- 0 I A, y 2/0 4 TOTAL # Page 2 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA151968 Date Issued:09/20/2018 Permit Category:ePermit Site Address: 3923 Clippers Rd Lot:3 Block: 1 Addition: Cutters Ridge 1st PID:10-19100-01-030 Use: Description: Sub Type:Residential Work Type:Alteration Description:Fixtures 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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (miscellaneous)$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 - Dennis L Bates 3923 Clippers Rd Eagan MN 55122 Silver Tree Plumbing & Heating Llc 1335 Mendota Heights Rd Mendota Heights MN 55120 (651) 319-4200 Applicant/Permitee: Signature Issued By: Signature lf ;CEIVED r For Office Use // �/ /I I '*, JUN 25 2019 Permit#: c"Ob 7• E AGA N Permit Fee: I Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: buildinginspectionst citvofeagan.com 2019 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: Dennis & Linda Bates,�V (651) 767-2750 IWKI I K Name: Phone: Md 'k Address/City/Zip: 3923 Clippers Road Eagan, MN 55122 Applicant is: Owner It Contractor .." ,,,•101-0.1. Description of work: Remodel Kitchen, Powder Bathroom, Re-do Flooring, Painting 1,4; Y }::.: 4 u 178 000 �x Construction Cost: 7 Multi-Family Building: (Yes /No Che Bella Interiors TracyHains �< Company: Contact: w �" ' Address: 211 River Ridge Circle S, Suite 103 City: Burnsville MN 55337 952-239-09eg ytrac @chebellainteriors.com F „ State: Zip: Phone:• Email: BC737976 h ..' License#: Lead Certificate#: •If the project is exempt from lead 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: . � s <, r, r r�• r a¢f r S rsda.,,J,ea ;qe ss �i3' EEEE ha •ate ,d...,Ei �r�. ..mn d ....:R Xa tea, e` ° ' .u.'', of r .r r "«k.� a .` 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.citvofeagan.com/subscribe. 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(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.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•lans. xTracy Heins x 'Crite 'J Applicant's Printed Name Applicant's Signa re Po NCST WRITE BELOW THIS LINE �� h &res P--c(. l S Lisa SUB TYPES Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) r Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi) Multi — 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 I( 3 9 20.— Occupancy "1"R ( -i MCES System Plan Review Code Edition !49/1 2015- SAC Units 1 (25%_100% ) Zoning g-) City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction V3 Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings(Deck) Final/C.O. Required Footings(Addition) 16 Final/No C.O. Required Foundation Foundation Before Backfill )6 HVAC_Service Test Gas Line Air Test_Hood 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 20 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: "70 WI /Yl. 1L1.4A' , Building Inspector RESIDENTIAL FEES Base Fee 1C--fc he IV /71 fq . / Surcharge /176 ihi PCP- goo yin 2 c 5-g , Fe- Plan Review MCES SAC City SAC it , D 9 II - Er Utility Connection Charge SSW Permit&Surcharge Treatment Plant Radio Meter Read Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA156478 Date Issued:07/02/2019 Permit Category:ePermit Site Address: 3923 Clippers Rd Lot:3 Block: 1 Addition: Cutters Ridge 1st PID:10-19100-01-030 Use: Description: Sub Type:Residential Work Type:Alteration Description:Fixtures 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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (miscellaneous)$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 - Dennis L Bates 3923 Clippers Rd Eagan MN 55122 Silver Tree Plumbing & Heating Llc 1335 Mendota Heights Rd Mendota Heights MN 55120 (651) 319-4200 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA159046 Date Issued:11/18/2019 Permit Category:ePermit Site Address: 3923 Clippers Rd Lot:3 Block: 1 Addition: Cutters Ridge 1st PID:10-19100-01-030 Use: Description: Sub Type:Fireplace Work Type:Gas Insert Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 3,000.00 Fee Summary:BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 $90.00 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 - Dennis L Bates 3923 Clippers Rd Eagan MN 55122 (651) 683-8570 Fireside Hearth & Home 2700 Fairview Ave N Roseville MN 55113 (651) 633-2561 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA166502 Date Issued:01/14/2021 Permit Category:ePermit Site Address: 3923 Clippers Rd Lot:3 Block: 1 Addition: Cutters Ridge 1st PID:10-19100-01-030 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 - Dennis L & Linda M Bates 3923 Clippers Rd Saint Paul MN 55122--380 Craftsmans Choice Inc 5680 Quam Ave NE, Suite A St. Michael MN 55376 (763) 276-7465 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA167052 Date Issued:02/19/2021 Permit Category:ePermit Site Address: 3923 Clippers Rd Lot:3 Block: 1 Addition: Cutters Ridge 1st PID:10-19100-01-030 Use: Description: Sub Type:Residential Work Type:Alteration Description:Fixtures 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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (miscellaneous)$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 - Dennis L & Linda M Bates 3923 Clippers Rd Saint Paul MN 55122--380 (952) 239-0961 Weld & Sons Plumbing 3410 Kilmer Lane North Plymouth MN 55441 (763) 475-0296 Applicant/Permitee: Signature Issued By: Signature