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
?---------
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oyz
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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
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Mry /
589026'52",5 ti
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os
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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
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84'r. ?`? J
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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
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lnsulatlon
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UutslJe A1r t11m U.1'I?-
. ' lotal I!
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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.
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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