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3951 Clippers RdCity of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 3951 Clippers Rd Lot: 16 Block: 2 Addition: Sherwood Downs PID:10- 67670 - 160 -02 Use: Description: Sub Type: e- Reroof Work Type: Replace Description: House & Garage Census Code: 434 - Zoning: Square Feet: 0 Comments: P Fee Summary: Valuation: 3,000.00 Contractor: Palace Restoration 912 40th Ave NE Columbia Heights MN 55421 (612) 706 -4113 ctures are not acceptable in lieu of inspections. PERMIT City of Eaan BL - Base Fee $3K Surcharge - Based on Valuation $3K Total: Applicant/Permitee: Signature - Applicant - Construction Type: Occupancy: $90.00 Owner: Kenneth E Anderson 3951 Clippers Rd Eagan MN 55122 Permit Type: Permit Number: Date Issued: Permit Category: $88.50 0801.4085 $1.50 9001.2195 Issued By: Signature Building EA077957 05/25/2007 ePermit I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 3951 Clippers Rd Lot: 16 Block: 2 Addition: PID:10- 67670 - 160 -02 Use: Description: Sub Type: Work Type: Description: Comments: Fee Summary: e - Water Heater Replace Water Heater Meter Size Meter Type Permit expired without required inspections. 06/15/2009 CE Paul Gavic 1424 3rd St N Minneapolis, MN 55411 Contractor: Gavic & Sons Plumbing & Water Special 12725 Nightengale St NW Coon Rapids MN 55448 (763) 755 -6468 Total: Manufacturer PL - Permit Fee (WS & /or WH) Surcharge -Fixed I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Applicant/Permitee: Signature PERMIT City of Eaan Sherwood Downs - Applicant - Permit Type: Permit Number: Date Issued: Permit Category: Serial Number Remote Number Owner: Kenneth E Anderson 3951 Clippers Rd Eagan MN 55122 $50.00 0801.4087 $0.50 9001.2195 $50.50 Issued By: Signature Plumbing EA087672 12/05/2008 ePermit Line Size .T ' ? ? . - . . . . }- , ?( CITY OF EAGAN ? ' 19439 38 30 Pilot Knob Road, P.O. Box 21-1 99, Eagan, MN 55121 I •? PHONE: 454-8100 BUILDING PERMIT ? Receipt # - ! ? To be used for Sr w4m Est. Value si?looo Date JULY 19 19 91 ? Site Address -39S! CLl"923 ROAD ( LOt 16 BIOCk 2_ S6C/SUb. S? ? OFFICE USE ONLY ? ? ParCel N0. Occupancy k--3L, 11-1 FEES ' W Name '?0s? N ??M CM_ Zoning (Actual) Const ?e,t_ ? Bldg. Permit ? "3 0? ? AddrQSS 18i33 ?fl? A? 30 ' (qlbwable) ? Surcharge 790? 0?1 Cit E?Ill9I31 y Phone 431-2001 * of Staries 5"•00 Length 40_ Plan Review F Name S? Depm ?- snc. City • ?? ? Address S.F. Tofal - 650,00 ' ?. City Phone S.F. Footprinis - SAC, MCWCC 660 00 Qn Site Sewage - Water Conn 9 ? W W Name s; w u o 95 00 w ; ~ Address te e n MWCC System - XL- Water Metar . 3040 <W City PhOne Cirywater XX_ ?t. ??it '?•? PRV Required - S/W Permit I hereby acknowlege that I have read this application and state that the Booster Pump - SMf Surcharge •? information is correct and agree to ply with all applicable State of Minnesota Statutes and City o Ea O^ t PI T t 27640 rea men Signalure of Permitee APPFOVALS Road Unil 370aOO A Building Permit is issued lo: '=osEm n MZtim om'r Planner - Park Qed. on the express condition that all work shall be done in accordance with a{l Council applicable 5tate of Minnesola Stalutes and City of Eagan Ordinances. 84d9 pry Copies ? ! 8uilding Official , h..•<.( ?C'- t-c , Variance - TOTAL ' permN No. PemiR Holder Oate TebpAon* # WATEF cXI?O ? ?qI SEWER PLUMBING H.V.A.C. EIECTRIC Mapectlon Date Insp. Comments Footings I 7 z%•-g/ ?S Foundation Framing ?0_5/ Roofing Rough Plbg- Rough Htg. 4-,- ?-'! ( S 4 Isul. Fireplace Final Hig. orstat 7est Final PI6g. -? Plo•?, Inspector - Notify Plum6er Const. Meter EngrJPlan Bldg. Final Deck Ftg. Deck Final weli Pr. Disp. I ? (gtx#t#txa#e nf (O.rruparcry Citp of (gagan Bppwtatetiz a# Wuiidirig 3wprfinn This Carifkcle issued pursuanl to the requiremenls of Seuion 306 of the (Irdfoner Building Code cerAijying [hat at Ihe lime of issuance !liis snuctune was in camplrance with 1he Hartous ordinances ojthe Qity regulating building corrsiruaaion or use Fnr the jollowing. ux cbmdfied'wa 59 rs.r_ Ir??v ewg- %t rto. !?4 ?4 O*-p-xTTYPC RM'ATAd I - Zaain[Dis? R3 'I')'pe'C? VII POST IN A CANSPICUOUS PUCE Address : 395 ] CIppERg FDM Lot 16 Blk 2 Sec/SubSHERWOOD DOWNg These itemsAwere/were not complete at the time of the final inspection. 9 2p/91 Yes No Final grade (6" from siding) Permanent steps - garage ? Permanent steps - main entry ?_ Permanent driveway Permanent gas f Sod/seeded grass Trail/curb damage Porch Basement finish Deck Please verify with tha builder the removal of roof test caps from the plumbing system and the shut-off of water supply to tha outsida lawn faucet before freeze potential exists. ? xcmEOr..eR White - City copy Yellow - Resident copy Pink - Contractor cvpy BUILDING PERMIT To be used for SF • CITY OF EAGAN No .19439 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 Receipt # ? 114 S K3 /GAR Est. value $158, 000 Date JULY 19 19 91 Site Address 3951 CILIPPERS ROAD Lot 16 81ock Z Sec/Sub. SHERWOOD DOWNS Parcel No. W Name JOSEPH M MILI.ER CONST ? Address 18133 CEDAR AVE SO 0 City FARMINGTON Phone 431-2001 ? Name SAME 0 Address ? City Phone ? W W Name ? ; Address `W City Phone I herehy acknowlege Ihat I have read this application and state that the inlormation is correct and agree to ply with all applicable State ol Minnesota Statutes and City dinan s. Signature ot Permitee A Building Permit is issued to: JOSEPH M MILI.ER CONST on the express condition that all work shall be done in accordance with all applicable State of Minne a Stafutes and Ci of Eagan Ordinances. Building Official S OFFIC E USE ONLY Occupancy R--3L! M-1 FEES Zoning R_1 (ACtual) Const vfk Bldg. Permit $ 843 . 00 (?lowab1e) vrr- Surcnarge 79.00 # of stwies - 548.00 length 6p_ Plan Fieview Oepth L12_ SAC, Cily 100.00 S.F.Total - 650.00 SAC,MCWCC S.F. F°°'p?'"rs - 660.00 On Site 5ewage _ Water Conn On Site Well - Water Meter 95 . 00 MWCC System XX_ 30 . 00 City Water XX_ Acct. oeposii PRV Required - S/W Permit 30.00 ??r Pump - SIW Surcharge . SO Treatment PI 276.00 APPROVALS Road Unit 370.00 Planner - park Ded. Council _ BIdg.OH. _ Copies f ?3,6 i.50 Variance - TOTAI CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 ON REC4RD PERMIT TYPE: Permit Number: Date Issued: TYPE OF WORK: SITE ADDRESS: 1 11 1 : " I i! t I I' I k`? F7 [I ? ;i?6dttUtl kilsbJN:. i PERMIT SUBTYPE: {II ?,.'I i N[, (dFtl K?? i t tii Nit N.' 1 040 NG /.' / /'?i Y f NME 1 tl NF (1 7 APPLICANT: , '', . ?! 1 a l .' ) ' r?90 kl .' ;3 / PermR No. Permit Holder Date Telephone M S/W PLUMBING HVAC ELECTRIC ELECTRIC Inspectbn DiMe Insp. Comments Footings I Foundation Framing Roofing Rough Plbg. Rough Fltg. Isul. Freplace Finel Htg. Orsat Test Flnal Pibg. Plbg. Inspector - Notify Plumber Const. Meter Engr./Plan Bldg. Final Dedc Ftg. ? • ?-?3 ? Dedc Final 7& / Well Pr. Disp. r ---- INSTE ?N R-ECURlj ? j CITY OF EAGAN PERMIT TYPE: 4 3830 Pilot Knob Road Permit Number: ? Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: ERMIT SUBTYPE: I P ,,,,I , I ,?1`4 1 . TYPE OF WORK: ,.j, U ;., , , ; . , 1M`;f1tT riNl INSPECTION D• . .. I F L IM.- Y jF I UI aI 1"; I kt I N5;pt i iI u Fit f UHY rlin, v 1+1 APPLICANT: , , , ...: ? ,. ? .• ? rt•??5 , , , ,; ? ? ? Permit Holder Date Telephone M PLUMBING H VAC Inspection Date Inap. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE " _ _ ?/ltalr? FIREPLACE AIR TEST -- ?4b< `-- -- - - - - FINAL PLBG - - - - -- ----- FINAL HTG ORSAT TEST BLOG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVIN TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FfG - - DECK FINAL i A ?_ SEWER & WATER PERMIT CITY OF EAGAN 3830 Pilot Knob Rd. Eagan, MN 55122-1897 DATE't'?,r..l? SITE ? i nT i MEfER # yVVY ?"?* PERMIT DATE Q ??24I y 1 CHIP # lS '2 3 3 PERMIT # 12165 METER SIZFs.5A S4 S B.P. RECEIPT # C 14583 ISSUE DATE 9?1-7--91 B.P. RECEIPT DRTE 07 ? ? 2/ 1 - PRV _ BOOSTER PUMP od Ao APPLICANT: JoBeph. -M ? t i 1 l r+ r . n n a t T n r ADDRESS:18133 Cadar Av so CITY, STATL 3 rr: i n^ t o n, "n ZIP ???7 PHONE: PLUMBER: "' ° n z - Ev a n ADDRESB'. 47 +5 S o '?. -)'lp 'r ' CITY,STATE?osemount, ''n Zip>;;t1T.? 13IJf1NIC. 4 2 3 - ? 14 lL OWNER: ADDRESS: CITY, STATE ounniG• PERMIT REQUESTED x ? - SEWER _ WATER _ TAPS - GOMM/IND RESIDENTIAL x NEW _ EXISTING Lawn Sprinkler Meters are to be Installec?. Ahead of Domestic Meters on Water Line: Credit WILL NOT be given forUeduGt Meters.: REE TO COMPLY WITH GTY OPr"" SIGNATURE WHEN METER PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMRS, CONTACT ENGINEERING DEPT. I V/ 0 Request Oate Fire No. -$-15-91 Rough-?n Insp 'on Required' Z,W _? No C? Reatly Now &?41i1f9Gbtlty Inspector When Ready7 I -ensed contractor '] owner hereby request inspection of above electrical work at: Joh Address iS?reec. eox or Route No., 3951 CLIPPERS ROAD CitY EAGAN Sectwn No Townsrt,p Name or N Range No. CounTp,gOTA Q"16tIftLER CONSTRUCTION Ph°{'e "°. 612-431-2001 POWbRbTA ELECTRIC, ASSO. Address FARMINGTON ? MN Eie1MyDcaW1LTTffC, INC. Contraclor's License No 041610 Ma?lF53055145TH Mak,n 214, APPLE VALLEY, MN 55124 Autho„zeo S,5 jre ,conl.a:?? _ I,5tallaton, PhonedY'fef432-6688 MDUPIUTA STATE BOARD OF4CEG7RICITY ' THIS INSPECTION REOUEST WILL NOT Griggs-Mldway Bldg. - Room &173 BE ACCEPTED BV THE STATE BOARD 1821 University Ave.. St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone(812)642•D800 ENCLOSEO REOUEST FOR ELECTRICAL lNSPECTION ? See ins!ructions fo' comoleting this torm on track o1 yellow copy. 1'?a 7qn "X" Below Work Covered bv This Rearfa.St ew Ad? d p l Typeof8uilding AppliancesWired EquipmentWired Home &?li9ange Temporary Service Duplex Water Heater Electric Heatfng Apt. Building ryer Other (Specify) Comm./lndustrial urnace Farm Air Conditioner IOlher ispecityi CoMractor's RemarKs Compute lnspection Fee 8elow: Other Fee Service EntranceSize Fee Circuit slFeeders Fee g Pool 0 to 200 Amps 0 to 100 Amps ? ers W Above 200 Amps 00 Amps Inspector's Use Only: TOTAL Booms ? l IS eci n ti • p a spec on n AlarmlCommunication THIS iNSTALLATiON MAY BE ORBE fIE? Co h O F NNECTED IF N OT t er ee COMPLETEO WITHIN 18 HS. ? I, the Electrical Inspector, hereby i Rough-in " ?? te '1! cert fy that the above inspection has ? ?? been made. F,nai Date ?O DFFlCE USE ONLY This request vob 18 months from ? PERMIT CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMITTYPE: BuzLorNG Permit Number: 6 3 2 5 6 9 Date Issued: 0 7/ 17 / 9 8 SITE ADDRESS: 3951 CLIPPERS RD LOT: 16 BLOCK: 2 SHERWOtlD DOWNS P.S.N.: 10-67670-160-02 DESCRIPTION: GAS SNSERT BuildirYg_Permit Type =Suilding WQrk Type r'Censu? Code ' % z .. .L. _ ?. ONLY FIREPLACE NEW 434 ALT. RESIQENTIAL }t:? ?r',:? '?.I 1,: "i ??.. ?_"?,x•_'y;t.`?,'-; r ? f f t ,_ .-.? _ -..e.. ?'?°•• . _ • , . . . ? > > ? . ? ?u? ?•? ... _?_ REMARKS: CHIMNEY/FLUE MUST BE INSPECTED BEFORE CONCEAIING. FEE SUMMARY: Base Fee $50.00 5urcharge $.50 7ota1 Fee $50.50 CONTRACTOR: - HEAT-N-GLO FIREPLACES '3850 W HWY 1.3 .BURNSVILLE MN ,(612) 890-0758 Applicanz - ai. L1l . ?/?FR 18900758 20090911?AN?ER'SON KEN 3951 CLIPPERS RD 55337 EAGAN MN 55123 (651)452-0066 IL I hereby acknowledgs that I;have'read this information ie correcC and agree to aomply Statutss and Gity of Eagan pwdinances. APPLICANT/PERMITEE SIGNATURE appl`xcation end szate that Lhe with all applicable State o'E Mn. ? ISSUED BV: SIGNATURE I ? JS go, 5 b CCfY OF EAGAN ? 3830 PILOT KNOB RD - 55122 1998 FIREPLACE PERNIIT APPLICATION 6814675 DATE: PERMIT FEE: $50.50 DESCRIPTION O WORK: _ Construct new fireplace _ Alterations to existing ? Install p_as insert onlv _ Install izas llne onlv Other ? JOB ADDRESS: // LOT: I(, BLOCK: a SUBDMSION/P.I.D. #: SV1 e?'`^jOoc? owv1S APPLICANT (circle one only): OWNER rCON CTOR 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: g(,Lj,Qih Phone #: rJ? PROPERTY Last -First OWNER Signature: - Sireet Address: ?S ? l , ? ? ?' S [Kf?/ city ?,CI G0 1/I state: zip: L; S l.?3 FIREPLACE INSTALLER GAS LINE RVSTALLER Company: Street StreM Phone #: kpv'1?0-7?-g Phone #: ? JUL 1. 4 1993 City Y/?( }" Vl S(f I ?/ Q_ ? Stau: X41. Zip: SS 3 3? ? e PERMIT c? 75 ?/ 9 CI71( OF EAGAN s 3830 Pilot Knob Road PERMIT TYPE: auzLazNe Eagan, Minnesota 55123 Permit Number: 021040 (612) 681-4675 Date Issued: 0 5/ 2 7/ 9 3 SITE ADDRESS: 3951 CLIPPERS RD LOT: 16 BLOCK: 2 SHERWOOD DOWNS P.I.N.: 10-67670-160-02 DESCRIPTION: ; -? Building?Permit Type DECK Building Wark Type NEW %Building Length 'Buildiog Widtla ?,i ---? i y ? J ? ? . ? ?. REMARKS: 24 16 ?C?????G ? FEE SUMMARY: Base Fee $25.00 COpY Surcharge $.50 Total Fee Subtotal $25.50 CONTRACTOR: $26.00 OWNER: - RPPlrcanz - ANDERSON KENNE7H E 3951 CLIPPERS RD EAGAN MN (612)690-0237 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Mn. Statutes and City of Eagan Ordinances. L , ._?M R,? ? i rnq ISSUED :51 NATU E I REACTIVATE _ VERMIT A" ?' •? _ t 10, 4/a GITY OF EAUAIV 1993 BUILDING PERMIT 681-4675 APPLICATION 51?? 6"' IR E_ C E V E D SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy catcs. --------------- COMMERCIAL 2 sets of architectural 8 structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month. in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date Val uati on of work Site Address:_ C I.'IVC>-I /TJ - STREET SU1TE * Tenant Name: (commercial only) IAT BLOCK :f: SIISD. t<l P. I. D. k Descri tion of work: enc_K The applicant is: Owner ? Contractor ? Other (oescr;be) doa,1 e,7 ..F 4exN F- Phont('/5'A--6c6G Name Property ? LAST FIRST ? E2d 0'°Z-17 Owner Address 35 ) I CIl?L'-E.rj DJ- STREET STE k Lity f-State Zip ,:1 iA2_ Company Phone Contra ctor Address License N Exp. City State Zip Company Phone Arctiitect/ E6:gineer Name Registration M Address City State Zip Sewer 5 water licensed plumber . Processing time for sewer & water permits is two days once area has been approved. 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. i ? -- Signature of Applicant: - L OFFICE USE ONLY BUILDING PERMIT TYPE O 01 Foundation ? 02 SF Dwg. ? 03 SF Addition O 04 SF Porch ? 05 SF Misc. ? 06 Duplex O 07 4-Plex ? 08 8-Plex ? 09 12-Plex ? 10 Multi. Add'1. WORK TYPE Pf 31 New ? 32 Addition ? 33 Alterations ? 34 Repair GENERAL INFORMATION tonst. (Actual) Basement sq. ft. (Allowable) Ist F1. sq. ft. UBC Occupancy ? 2nd F1. sq. ft. Zoning Sq. Ft. total d of Stories Footprint Sq. ft. Length ? On-site well Depth On-site sewage APPROVALS Planning Building Engineering Variance REQUIRED IN SPECTIONS ? Site Footing ? Wallboard -Final ? 11 Apt. /Lodging "'""1 ? 12 Multi. Misc. ? 13 Garage/Accessory 0 14 Fireplace U 15 Deck ? 35 Tenant Finish ? 36 Move ? Framin9 ? Draintile / 0 ? Insulation ? Fireplace Permit Fee 2S,c)o v.tua:;on: g Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Lopies ? Other Total: e x,?..: ? 1 a§ement?inish ? 17 Swim Pool ? 18 Co?ron./Ind. iro ? 19 Comm./Ind. Misc. ? 20 Public Facility O 21 Miscellaneous ? 31 Demolish MWCC System City Mater PRY Required Booster Pump Fire Sprinkler Census Code SAC Code Assessments SAC % SAC Units ? C..g * eermg.. s89°zd'SZ "? ? a?S4t' .. .. A? Certif;cete o, Su,veY ,or:JOSEPN M. MlCL ER CONST. CO /so. o0 /hH h L.- /011k 7422 Entcrprisr. Drive Mendota Ilnighis, MN 55120 (612) 661-1914 69?.Y I ? I ( I <^ ^1^?,?? L ? a i?.bl o W L ?- ? o N i.a ?? - n zi., " flgy 4 t.; j /85, 00 5 69° Z? 52 ??EV'r s I "? m A ? 100.00 Denohs fxisfing f/evalions R oo.oo Denofrs pi-opased Elevafrons ----- -- Ornolts Ormnosle FUl%lily Easemen? Cilrw{ts Oroinote Flow 7Jrrows o Dtnofts MonuWent 6earinls shown are osirumrd °I VolIv ^' o91.a i? ? I ol _,_I lo -e? ruoattl 5.? 0 y O 0 ? Ba? LL ? 0 ? ? ? V ??_._ _....._-...- LAGA? EN:11I14EERtPlG llEI'T A15fD NOUS£ ELEVi.1T 10N5 LowPSt I-laor f/evotinn 885.7G Tqo q,081ock E/evolian ? 3?3.86 C iorale S/ob Elevofion g7 ;, ,; o Denalrs af1;le/ qub LOT16, BLOCkz, SNt-pwaoa DoWrvs DAVOTA CoUNry, MrNNESOTA •H subject lo easemcnls o,^record I herebY eerllly Ihnt ihh furveY. VlBn or rnparl wef pr,/PnrvA bV ?r ???? r my rli.or,, supr,rvieim, nnd thm I nm duly flrqicMrrd Lnml SueveYnr under Ihe lews ol the Stnte of Mi,nesote. Dated Uds4? (Iny p( _ AA. JI.UlG - 1 mch, 90 ?ef ?- .. . 90206. Q-3 -- ??nera r a. suuu ? t_.s. ier:r.. rio. 14ani ?{S ? M/NIM u M ?'j6T$AEl( 4pPROJ6b Po j)gjazpM?M rfGQfEmEN'f Dr- g. za - 90 CITY OF EAGANi 3830 PIIAT KNOB ROAD E[?GAN. lIIN 55122 PHONE: (612) 454-5100 flMomm ........................... ... ?r ? FOR CITY USE ONLY PERMIT # BECEIYT # O DATE: PLEASE COMPLETE IIPPER PORTION ONLY FOA SINGLE ' FAMILY DWELLINGS . TOWNHO2iES/CONDOS AHEN PERMiTS ARE &EQIIIRED FOR EACH IINIT. WORK DESCRIPTION NEW CONST V' ADD ON _ REPAIR _ pyNER NAME; JOE MILLER CONSTRUCTION C0. INC. SITE ADDRES5:.3cIS/ P.Pcr,?Pit? liC?.dra.Y IAT:,&- BLOCK SUBD. ???„Lrnr-Q if ecoM?o INSTALLER: GENZ-RYAN PLUMBING & HEATING C0. AnDRESS: 14745 South Robert Trail CITY: Rosemount, MN ZIP: 55068 F::ONE #: 612 423-1144 .?.?A/ ?"'Z'p- COMPLETE THE FOLLUWING: N0. FIXTURES EA. TO?r^._ ADD-ON MIPIIMUM 15.00 2 SHOWER 3.00 ? ? WATER CLOSET 3.00 ? ? BATH TUB 3.00 (o ? LAVATORY 3.00 ?7-7 ? KITCHEN SINK 3.00 LAUNDRY TRAY 3.00 HOT TUB/SPA 3.00 ? WATER HEATER 3.00 ? i FLOOR DRAIN 3.00 ? GAS PIPING OUT. ? (MINIMUM - 1) 3.00 0 ? RDUGH OPENINGS 1.50 ? oTxE[t ? WATER SOFTENER 5.00 S °$ _ PRIVATE DISP. 15.00 _ U.G. SPRINKLER 3.00 SUBTOTAL S -5 ST. SURCHARGE .50 TOTAL: S J`rcR ? pLEAgE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDIISTRIAL BUILDINGS AND MITI.TI-FAMILY SUILDINGS NHEN SEPARATE PERMITS ARE NOT REQIIIRED FOR EACH DWELLING ONIT. ,. , ________________________________________________-_-_____------------------------- CONTRACT PRICE: OWNER NAME: SITE ADDRESS: IAT: BIACK _ SUBD. INSTALLER: ADDRESS: CZTY: PAONE FOR: ZIY: FEES 18 OF CONTRACT FEE. STATE SURCHARGE - $.SO FOR EACH $1,000 OF PERMIT FEE. $25.00 MINIMUM FEE. CONTRACT PRICE x 1% STATE SURCHARGE TOTAL: $ $ (SIGNATURE) CITY OF EAGAN CITY OF EAGAN • 3830 PILOT KNOB ROAD EAGAN, MN 55122 PHONE: (612) 454-8100 9"IC„w; Y?M;Tl FOR CITY USE ONLY PERMIT # RECEIPT # D ? DATE: it?STIiE?TTIA2;. PLEASE COMPLETE DPPER PORTION ONLY FOR SINGLE FAAfILY ... ... . . :....... .... -/ TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNI . -----°-- ----- ------------------------------------------' WORK ESCRIPTION - r FEES NEW CONST X ADD ON _ REPAIR _ OWNER NAME. '??.? SITE ADDRE:` LOT:? B OCK ? StiBD. U'vJu1S ADD-ON MINIMUM NVAC 0-100 M BTU ADDITIONAL 50 M BTU GAS OUTLETS - MINIMUM OF 1 PER PERMIT SUBTOTAL: STATE SURCHARGE: TOTAL: DWELLINGS & $15.OD 24.00 6.00 3.00 g33,OD .50 $ 3;3.50 INSTALLER: A[C??1''C-?C? ADDRESS: ?? I?7 ,? C1G Cy ?1 C\ 1? ?S ?GNATURE OF PERMITTEE CITY: 4 G? ? fiv _ ZIP: PHONE #: I (OU- ?-?? C4MMERCIAVTNDUSTKIAT.'t: PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS, APARTMENT BUILDINGS, AND MULTI-FAMILY SUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: OWNER NAME: SITE ADDRESS: LOT: BLOCK _ SUBD. INSTALLER: ADDRESS: CITY: ZIP: PHONE #: FOR: CITY OF EAGAN FEES 18 OF CONTRACT FEE. STATE SURCHARGE _ $.SO FOR EACH $1,000 OF PERMIT FEE. PROCESSED PIPING = $25.00 $25.00 MINIMUM FEE. CONTRACT PRICE x 18 $ STATE SURCHARGE TOTAL: (SIGNATURE) ? 1991 BUI I P??A CA N CITY OF EAGAN ? ? SINGLE FAKILY DWELLINGS 2 SETS OF PLANS 3 REGISTERED SITE SURVEYS 1 SET OF ENERGY CALCULATIONS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLAfTS 2 SETS OF ARCHITECTURAL REGISTERED SITE SURVEYS - & STRUCTURAL PLANS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALC[TLATIONS 1 SET OF ENERGY CALCS _# OF RENTAL UNITS _# OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MiTST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALIAWED ONCE BUILDING PERMIT IS ISSIIED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. A (, 'L F RECD L,To Be Used For: New Home Valuation: QaEgeff=? Date: July 15 , 1991 Site Address 3951 Clippers Rd Lot 16 Block 2 Parcel/SubGherwood Downs Owner Address City/2ip Code Phone Contractor Toaenh M_ Mill.r Conar Address 18133 Cedar Av So City/Zip Code Farminaton,Mn 55024 Phone 431-2001 Arch./Engr. Address City/Zip Code 15?,vw - Occupancy Zoning Actual Const Allowable # of stories Length Depth S.F. Total Footprint S.F. OFFICE USE ONLY IZ-3 M-1 R-1 V-N V-N D N 2' On site sewage_ On site well MWCC System ? City water ? PRV _ Booster Pump _ FEES Bldg. Permit 6143.00 Surcharge q9.00 Plan Review 5'iS, Jo snc, City luo.oo SAC, MWCC .UO Water Conn. G6a'00 Water Meter 9$100 Acct. Deposit 30,00 S/w Permit 0.00 S/W Surcharge •SV Treatment Pl. o?rf 6, UD Road Unit 3 70, 00 Park Ded. Trail Ded. Copies SUBTOTAL APPROVALS Penalty Planner Lot Change Council TOTAL Bldg. Off. Variance / j w, / ? Phone # ZZ4. ZL agrees that all work shall be done in accordance with (Signature of Contract r) ? all applicable State of Minnesota Statutes and City of Eagan Ordinances. L^ a ? GA lRA(n,-O ?--------- 12 X22 ? ZGy Y. V4 ? `, Ko `? k b = ??u) '? ZD K IS'= /O `6v? a?1 X 2? ? `dl Z i?x I? = 3 ?u 'I?:7? X /? = Ib y78 . 1sT F?oo? ----- ?,Srr,? 'ZKK : /G 2 X ?l = I `211 `? 5'3 = 641 ?3 ZN D ?WOt2 ? 2 [8??( = u3J ? 243 xS3 % GS8 ? oyz • ?` ?` 'f -1? PIONEER * engineering.. ? * ** 2422 Enterprise Drive Mendota Ileights, MN 55120 (612) 681-1914 Certificate of Survey for:vOSE` r' M. „III t `R vON" T CO /5a. o0 PN rn? ,•S .M? h Mry / 589026'52",5 ti ? I"I - _ -- - -- `-- -'' - - S e.? a9i ? I i 12.61 n 17 h7 ? 4 to ^,?( ??? o o W L L n os ? .?.__.._ i4. ie: I ? gg49 zv.s `6 1 1o az;3 g8gf, 42.;?i /85.00 589°Z6'52"Ey? . ? 900.00 Denofes Exisfinj Elevatrons A oo.oo Denofes Praposed flevafions ----- - lJmofes Oroino e fUl%li!y fasemenf - -- Otnoles Drainoe Flow 7Jrrows o Denofes Manumenf o p?I?v ? I i ? ZS ? rJOaTN y0 0 y O o ? M o?a Z V)l D ? ? 84'r. ?`? J U .?-- EAG='? AOFY15E0 NOUSE ELEIZ.41T IONS Lowest Floor flevahan 885.7(o 7`or 006100 flevoliort 813.96 6orqe 5/ab E(evaPion $93. 9 3 6earinl-9 shawn ore asoumed ? Deno%5 a1f'Sef llub 1.oT1 6, BLocA.1 z sN[awoor Dowrvs DA!lOTA COUA/Ty, MINNE50TA •H ? subj'ect ta easem<nls al^record 1 hereby certlly thxt thls survey, plan or report was pr pared by m o? un r my dirpcl supervi5ion and Ihit 1 arn duly Re,istereA Lnnd Surveyor unAer the lawe of the Stare of Minnesola. Dared this day o( A.O. 19 ? ^ .-. Scale : 1 4104?e? n 90L04??? i ?1lE??f [1 511<IC?ILS «E0.N0.1?091 a$' M/NIM u M 5ET3AEK 4PPR0JEy pER DaUaZVOMEM 4GRE!:--M6W7' or- g- ao -Ya IIItlIIESOTn STAIE_EIdEItGY COUE CALCULAf 10115 , ' • UASEU Otl CIIAPIEfI $ OF 1HE NODEL,EtlERGY toUE - 1943 ED111011 ?q?_3a3 . . AJop[Ion Effectlve I/I/ ?S _I'hone? datc?? Oom e r • --• -•-.- s i ?Dna? 5?? ? ?/? ri,oi,c Gontractvr l) TYPe ?2(flesiden[lal) Uullding Classi,ficatlon: Type N (S l n9,1 e Faml l y L Uup ex . (3 storles or ess?• IIOi°• Complete pages 3 anJ h (lrst. (Other) (over 3 stor es,). . , . , GEIIGRIIL 111FDIlIIAT1U11 Ilallding Perlmeter GL? P•'•?}''?f[. , , - Z : .z. Wall helyht (9rowid to eave) V' Ft. j. I. x 2. (above) gross wal I area ,.V3? ?%v (t• . '. /- (iJ)?_ i'oof L floor 'a'rea, r,. oalldir,9 dImenslons (l) X 5,? Square foot area of rlm Jolst - Floor Jolst s,lze (2 X rt2 , ... • ??_ X perfineter ° Rlm J()ist area 12 150 . • ,?' .r. . • ?'` , , G. Udors - Aiea , ln. U factor .?,-lt'neter ' 'ft. , lhiclcness ' f'er 7ype ol Construction ' . tlanufac[urer ? . • , f lotai. door's perlme[er t. ? ' 7• ' I State approved ' Q, Nlndows: Nanufacturer I??jUL• 1?1?7??Sr?' - ; • U (actor ? • TYPE AnEA (Ft•Z) "UUIITS F TOTAL FEfT Z? ' SIZE. • EAGH ' . , G ,7?j IV_ ?J?-A va?i 1? ? ----? `? • ? -- --- ? 9. 7otal ft.Z Class , Fc.z. FII'eplace area.: Wldth X helght ??(.?? ° ?? Ft. • 11. ExpaseJ foundatloni Ilelght X Perlmeteri?? fl- 01x MICE,?115 IUSED't itE11UUELTIIG,RIIU"DUILUIIIGS, UEI IIOVEDEWIIERE EIIERCY,FO111ERST IA?IUT IEDI11FOR 7111nL ` CiOUE AL1 12 13 ' ?raKiiny area = lOX of yross rrall,area. ?aJ ft.Z Gross rrsl l area f t:2 U w 1 iiJo ris= U k A Nindow area A ??-7- U x A? rli „ L) f t.2 ll r 11i1 J o i s t°____1-1.1--- ?^ . nim joist area A U x A U door area Ooor area A • Z z' U x Iq I 1?L U?W-epl z?te• = i ll = rh lo, •(•ti7 , (? ft. ? _ P?ep1dCe-area A Q•I'J L. ft•Z U foundation = in?? U x A'____?----- ExposedIfoundatlon A h ? Ol J U x A, ? '. ? ,r1 !'•? 1' ft.? U iramiii g area i Framiny area A??? P = ,4? -u xn C 7i? J?' c0?? fc. uwatt ° Ilet wal l area A . . U x ° (t_3u) 1oTnL . . . . . . . . . . ? 4 14. Gross wall area x 0.11 (A-1 single famlly 1 duplex a alloorable U x NCode (13. above) • ? x 0.23 (A-2 other residential) x .23 (Other bulldings) • . ' . •• x.2t3 (Over 3 storles) . C? OTUII. liust be larger tl,an • 3_ 6f133 °?. 13a above - A... _x UCodg„_Il -• or tlte. same as) _ 15..Ce.l.lfng fraining area (AF),equals 10% of cetling ai-ea Z . ' ?.- ? ? r... ? 1? f t r ISA. Gross celling area ° (L) ?C I J O ft.Z ? ' 159 Joist ar-ea (Af). ° 10? ce111ng area = 2. ft. 15C. tlet cell ing area (11c) (15I1 - 15U O ? _ `. (' ?? • U cefling x A c= I?J, x 7 , U framing x A f= e j x_ ?p ' C• . 15U. 701A1'U x A ..................................... . • 16, Ce11{ng area (15A) x 0.026 x 0.033 x 0:'06 (A-i single Eamily 5 duplex - code allor+ablef U x A' (A-Z other residential): (othe??? ?? papll 11ust be largVr [han.•15D (above) _ 1 p (or tii,e sameN.afl, n (lsnl L-? x u `?ode - • IIOTEt Use U and A values ob[a1neJ from pages 1,r3 end 11• ' • CERTIFIjA?IO?at fiereby tthe {State S Of nHlnnesota ues icre n Energy Conservatlon Act. te ? giiaiture , - ,.' .'? ?, . _ .._ _ , ?- f i ....... -_-- .. . . , - , ....T__ ..... ...:.. ...---- . ... , , ._...._.._ ... _..__ iyz??r=.._ ?Q7 5: 41. __.?_.--??----?---II ?., ? I? ; , ? Z ?X.._ . , I? ? s._ .; .._.._.. .?..._.._: .----.--._.-- ,._II??-5X--11-..._.Iz3,?75- - -_.?, o `Y? 1.=. ?7? ?... ....._..._. {?.? ?. .... .. ... _.......__....... .-:--... _.._._.. . _.__. _._-- .. . . ?.,?_.... , . -- Zv.. _._.... . .. , .. , .. ... ,-- I I ? .w_..___------?-- ; ;._ . , . .. ..?__ ?_. ..'_ . • .?..??J???.?.. ?..?.?...r? . ..??. ... ' ' ?r . ??...?.??....... ..?.?..?.??...?-?...;.? ..??.?? • ?? ?. • . ?. I ? i ??..?... "?1 . .r •? . I • ? ?.. -?? ' ?. ? • ' ' • . ? ?• " •:. : . ? ? ?• tM1111tG . . ' CE1L111U .. . . ' 9J(Q, D . Insulatlv ,? it ?L1'.oo ? L •? ialst . ? ??P . Ce1lltig O.G1_ A1r Fllm U.G1. •?r I ? loLal fl ? ''1? az3 u? ? ' FLnt nonr on cnlnEUiinl cEtluta i?e It `lAIIIE. -?? -- - - - rnniirnc ? cEt?nic U.61 - _ _ _ - • U.GI 1nslJe a1t? F11m ?:-----^' . Ce I 1 I n . ? _ --- . Jolst lnsulatlvll ' ' ? ?..--....--?---•- '?----- n i l- s nzico Itoof deck?ng lnsulatlon Uullt-Up rdot ' UutslJe A1r t11m U.1'I?- . ' lotal I! . _ ? U . ? ? , ?i ' IlndoN (nllllratlon 5 clmMneal (aut nf erack ' -Ionittsldenlialyduor'lnfiltraElon 11?.?OSC(m/llneal 1oatoof Crack'ilIillUill code YequlremenE : Jl? IZ°'toncrete b1ocN na 111sulaNon ?.41 R 2.1 ' Jb I2II toncretn block insUlaEeJ eores =.2G fl 7.U , 1b • 12, l ighlwelljht block )b I2'I 11911Luelyht Ulock InsUldte&cvres a 112 R B:J •F• J Singl2 giass tr1Eh storin Wlndo',r .54 1 dovblE glass a .55 1 lriple glass = .41 ? •:?', . : I11 Ax1.prlor walls and ce111ngs must Iiave 1 v???or barrier (O.IU perm mAx.)i la4ror barrler must be on the inslde (heated s Je) of tiallI • ' i fapvr barrlers of ihe polyethelene thln'111m:haJe no R value. ' . ' .. . . I•• . , . .. I ? . i ? . ? i I • : , ? .? , ?. ? . ?; . ,i. . ?vvl;-? 2007 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pibt Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 NeJv,bonsMCW ROMireREh 3 registereASie arveys rJomm9 sQ R al bC 57. t[ of e0usa; and II r0oted areas (2o% marinnun lolmve`ege ?m.ed) t SaAs RePort 'rfpWosed Wi101n9 is to Ee plaoed on?sluifiad soil y mp" d pan sha." heam 8 wmdow siaes; Puurea towd tlesign, em. 1 setNEnmgyCeMzuletiom 3 oopies o(Tree Reservadrn Plan fl lot pgtled eRer 771793 RimJdslOeteil0ptiorc,selechDnsheet (huJdngsx'ilh3orlessunil5) Mmnegasrn mechanirdl ventila6an foRn Plans are consiaerea puo Date ? ? / -0'7 Address Description of Work %??,?7?- RemodabRMrReoutrements 2 mP?s M plan s1?orM9 (aofi?s. Eea?a.l? OMae Use OrAv Cerlaf 9uyey FOead ? Y-N N lselolEneigyCelalation forl?aCdltions SrnlsRapn? _Y _ N Y 1s2esuu'reYfaradctimns&deda " TreeRasPlmiRed Tree Pres Required . - _ _Y _ N sdcale F arrsAe aeAk sWfem AddOon- piyRys,* gyspem _Y -N Construceioo Coat i Unit/Ste # Multi-Family Bfdg _ YA N V Fireplace(s) _ Q - I - 2 Property Owcer &/1 C r%./ Telephooe #(p?( ) JJ r-- !'.? / 4tZ ? Contractor ! ?••? - . ?-. - - [ Addmas ? Ai?,D, '?l i i?? /Q'UG ti9 _ City [ State ll?' l N Zip e--Zzzp Z t Telephone #(Cp COMPLETE THIS AREA ONLY IF CdNSTRt7CY1NG A NE1N SUILDING Minncsota Rulc? 7672 - Minnccota Rules 7670 Cateaorv 1 - , N?, Energy Code WwKaheet Energy Code CategUfY . R¢sidenua? ve?6lalbn Cetepry 1 workshaet SubmN[ed (4 9u6mbsionrype) SubmiUetl . Energy Emebpe CaIwlaOOns SuEmded In fhe losi 12 monThs, has ihe City of Eagan issued a permiT for a similar plon based on a master pban8 y - N If yes, daTe and address of master plan: Licensed Plumber Mechanical ConTroctor Sewer/Water ConhocSor Telephone #( Telephone #{ Telephone # ( I hereby apply for a Residential Building Permit and acimowledge that the infarmation 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 percnit, 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 iu flie case of work which requires a review and appro l of pla ?V? ? ApplicanYs Printed Name E''pp t T'd 90E9-26tr-056 uaso,y ysoC dTZ:ZO LO SZ daS 9029 z6b zS6 PERMIT City of Eagan Permit Type:Building Permit Number:EA121927 Date Issued:04/18/2014 Permit Category:ePermit Site Address: 3951 Clippers Rd Lot:16 Block: 2 Addition: Sherwood Downs PID:10-67670-02-160 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required by law in ALL single family homes . Rick Schwab 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 - Kenneth E Anderson 3951 Clippers Rd Eagan MN 55122 (651) 452-0066 Eagle Siding 1301 East Cliff Road Suite 117 Burnsville MN 55337 (952) 746-3046 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA156862 Date Issued:07/23/2019 Permit Category:ePermit Site Address: 3951 Clippers Rd Lot:16 Block: 2 Addition: Sherwood Downs PID:10-67670-02-160 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Peter L Ladd 3951 Clippers Rd Eagan MN 55122 (612) 770-6531 Holmin Heating & Cooling Llc 3432 Denmark Avenue, #228 Eagan MN 55123 (651) 405-3853 Applicant/Permitee: Signature Issued By: Signature