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3959 Clippers Rd PERMIT City of Eagan Permit Type: Plumbing Eagan. Permit Number: EA092697 Date Issued: 02/01/2010 OR Permit Category: ePermit 41~ it~ of E3 E Site Address: 3959 Clippers Rd Lot: 18 Block: 2 Addition: Sherwood Downs PID:10-67670-180-02 Use: Description: Sub Type: e - Water Heater Work Type: New Description: Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments: Kris Oien 3670 Dodd Rd Eagan, mn 55123 Fee Summary: PL - Permit Fee (WS &or WH) $50.00 0801.4087 Valuation: 200.00 Surcharge-Fixed $0.50 9001.2195 Total: $50.50 Contractor: - Applicant - Owner: Champion Plumbing Timothy R Fredbo 3670 Dodd Rd., =100 399 Clippers Rd Eagan MN 55123 Eagan MN 55122 (651) 365-1340 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and Cite of Eagan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature ^ ! INSPECTIaN RECaRD ?ntrol No.- 0 7 0 3? CIT1( OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number. •?s"?' Eagan, Minnesota 55123 Date Issued: •?' ? z'? ?`i `(612) 681-4675 SITE ADDRESS: LoT t 18 Rt r,CI?: 2 APPLICANT: 3969 CLIPpER9 ItU MILlEIt NOIiES JOSfpM SHf'RWt#qU UONMS (611) 454-4663 PERMT ?,qPTYPE: TYPE OF WORK: NEW ss. 77W_ kPMARK`+T kkCETP'f t '3%iW pIHR - akN7--HYAN Pwnk No. PertnK HoIdK 0o% Tbieplwte t SJVH PLUM8ING HVAC ELECTRI EIECTRIC k+spectfoe Ddte Insp. Comments Fodings I T?P/, oL !J,e Foun4atbn Frarttinq Rooflng R9Ugh PIbg' ?Zli / ! V / Y Rough Htg- ?? l?l •'1+ Flreplace ap '? ?ji) rY Fnal Flly. OrsBt Test F?nal Pbg. Pfbg. Inspector -Nofin? ?mber Const Meter EngrJPian Bldp. Final Deck Ftg- Deck FmW "'0111S?? ? wen Pr. Diap. /??2 ? « ? v Me, 'V k ' 'catc vf cccupanc? ?? ? ??? mail" -"dim 7his Certifteate issued pursuant to the requerements of the Uniforrn Building Code certifying that at the time of issuortce this structure was in compdiance with the various ondinances of the City ngerlating building coRStructron ar use. For the following: Usc 02saiCxa2ion: SF DWG Bldg. Ptrmit No. ? O-MP-Cy TYM aoe r?.? ? °?` kifft, or.er of soil? Ad?ese rxmum 3 LIS, + BoddbW naa?m Lowur 10/IS/42 awe: smMwoMc.i POST IN A CONSPICUOUS PLACE •AtidYess: 9 Lot 1$ Blk 2 Sec/Sub?? ?S These items were/were not complete at the time of Che final inspection. ]0 !5 92 Yes No Final grade (6" from siding) ? Permanent steps - garage ? Permanent steps - msin entry L", Permanent driveway ? Permanent gas ? Sod/seeded grass l? Trail/curb damage J/ Porch Basement finish Deck ? Please verify with the builder the removal of roof test caps from the plumbing system and tha ahut-off of vater supply to the outside lawn faucet before freeze potential exists. r? ,?_,4, xrnaEO wu White - City copy Yellow - Resident copy Pink - Contractor copy i i D ,--:r y S_ //o 71 [Z?, ' 14 166 Td Requas[ Dale Fra Na a?? y 29, 1992 Rough-in Inspec[ion Fequire ,?.I ? ReatlY Now Mvrnl NoLty Inspecta s C No When Reatly? IL_?.Ftensed contractor ? owner hereby request mspection of above electrical work at: Job Aaaress (Slreet Box or Route No ) ciry 3959 Uiploe2h i2d. Eayan Section No Township Name or No Range No Counry t7¢kota OccuOant (PRINT) oe ?li?kea Komee o? W Etr 454-4663 Power Supplier [7¢kot¢ EQect2ic Aaaress z? ,p R. S. W? fu2m?Ryton ,(?N 55024 Elec'ncai Conhactor(COmpany Name, GonVaotor's L¢ense N. Pltidkartd EQ Lat.tLc 04 1610 Maibng qtltlress IGOnlractor of Owner Makrng Inslsllalion) 97854-d uP,ee Gl? L¢k e2jieQe,/'1N. 55044 Aulnori a S?9naN Comra oOwnar Meking Ins?allation7 Pnone Number - 1 s9z-1444 ntaViaelalttlUaHUUF qICITY Griggs-Mitlway Bitlg - qoom S4 1821 Umversity Ave, 5t Paul, MN 55106 Vhane (612) 642-0111 THIS INSPECTION REOUEST WILL NOT BE ACGEPTED BV THE STBTE BOARD UNLESS PROPER INSPECTIDN FEE IS ENCLOSED L) J I REQUEST FOR ELECTRICAL WSPECTION J 4 916 6' See ins[mclans for completing this iorm on beck oi yellow copy X" Below Work Covered by This Request 73 7 7 FewrAtld ReP F Tvoeofauinr? _ Heater Comm /Indi Farm ]therfspecfy) Compute Inspechon Fee Below: Other Fee Swimming Pool eooms _1OtherFee ?- I, the Electncal Inspector, hereby certify that the above inspection has been made iFFICE USE JNLY his request voitl 18 months fmm ServiceEntrance5ize Fee !0 200 Amos i1 Use Other (Specity) Cvcuns/Feeders Fee 10 100 Amps 7! ? JQ0 - Amps y TOT AL 1 p 0i?.5U THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 76 MOnfrwc I PERMIT CITY OF eAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 3959 CLIPPER3 RD LOT: 18 BLOCK: 2 SHERWOOD DOWNS BUILDING 09@902 06/24/92 SITE ADDRESS: DESCRIPTION: -8uilifi.ng Permit Type Building,Work Type UBC Occupancy Construction Type Zaning ? Building Length % Building Width 44 42 - ?, REMARKS: RECEIPT N S&W PLBR a 6ENZ-RYAN FEE SUMMARY: Base Fee Plan Review Surcharge SAC SAC $ SAC Units Subtotal VALUATZON PERMIT TYPE: Permit Number. Datelssued: SF DWG NEW R-3 M-1 VN R-1 $131,000 $748.00 $486.20 $65.50 $700.00 100 1 $1.999.70 MI9C FEES $1,610.50 Total Fee $3,610.20 CONTRACTOR: - Rppilcanc - 51. Lil;OWNER: MILLER HOMES JOSEPH 14544663 0002431 MILLER HOMES JOE 16133 CEDAR AVE S 16133 CEDAR AVE S FARMINGTON MN 55024 FARP9INGTON MN 55024 (612) 454-4663 (512)454-4663 I hereby acknowledge that Z have read this application and state Chat the information is correct and agree to comply with all applicable State of Mn. Statutes and City of Eagan Ordinances. ? fPull f{ ei ? I i,.t( ISSUEL) .??T?'T- Control No. 0703 G FERMIT M RE"ACTIVATE'_ ? CITY OF EAGAN I '_5 6/ d 1992 BUILDING PERMIT APPLICATION COQ ?' * 681-4675 ' J U N 1 8 RECD SINGLE MULTI-FAMILY 2 ts of plan , 3 r istered site surveys?opy of energy ~-? alcs. - COMMERCIAL 2 sets of architectural 6 structural plans, 1 set af specificatiohs, 1 copy of energy calcs. Penalty applies when typing of permit is requested, but not picked up by last working day of mon h 1n which re uest is made or lot chan e is re uested once ermit is issued. Dat 02 Yaluation af work 10c?? O? o Site Address: J??J 9 QWAg? `?C GQ STREET SUITE w Tenant Name: (commercial only) IAT I BLOCR ? SUBD. P.I.D. N Descri tion of work: The applicant is: O Owner 4Contractor ? Other (Describe) Name Phone Property 1A51 FIRST Owner qddress STREE7 STE R City State Zip Company Phone Contractor Address 18133CEDARAYE.SQ License # Exp. City 1f0002431 State Zip Company Phone Architect/ Engineer Name Registration # Address City State Zip AU/I Sewer 6 water licensed plumber Processing time for sewer 8 water permits is two days once rea ha been appraved. 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. Signature of Applicant: L2__j OFFICE USE ONLY BUILDING PERMIT TYPE O 01 Foundation ,9 02 SF Dwg. ? 03 Sf Addition ? 04 SF Porch ? 05 SF Misc. ? Ob Duplex ? 07 4-Ptex 11 OS 8-Plex ? 09 12-Plex ? 10 Multi. Add'1 ? 11 Apt./Lodging ? 12 Multi. Misc. ? 13 Garage/Accessory ? 14 Fireplace ? 15 Deck • • 1 R ? 16 Basement Finish ? 17 Swim Poal ? 18 Comm./Ind. ? 19 Comm./Ind. Misc. O 20 Public Facility 0 21 Miscellaneous WORK TYPE ,W31 New ? 32 Addition ? 33 Alterations O_ 34 Repair ? 35 Tenant Finish ? 36 Move ? 37 Demolish GENERAL INFORMATION Const. (Actual) V-rI Basement sq. ft. MWCC System E s. (Allowable) UBC Occupancy N .3 lst F1. sq. ft. 2nd F1 ft City Water kQp Zoning R=r? . sq. . Sq. Ft. total PRY Required Booster PumP # of Stories - footprint Sq. ft. Fire Sprinkler Length Depth ? On-site well On-sit Census Code /01 e sewage SAC Code p? APPROVALS Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS ? Site ? Footing O Framing O Insulation ? Wallboard ? Final 0 Draintile ? Fireplace Permit Fee Surcharge Yaluetion: R ISI 0?..?' .,... :i 1 Plan view .., . , a; z2X22 ;7 44 94 K I(e= 9q4 H License Mwcc snc RSMT: aa - rt6o City SAC Mater Conn. ' I y K 7?,;30S Water Meter Acct. Deposit y- 8 S/N Permit S/N Surcharge 1ST F-LovtZ /ozo 'Of Treatment P1. Road Unit 8?T =. tiozo Park Ded. Trails Ded . a% ? = r4 Coies aX 8? ? . To?al : 55(? 5 Ly . SAC % ? ao SA ZNa :r(_,o,?L S I C Units -?- C? 7 Q ? 1? S 3' r ?i3Q?szg # izi/4 Owner ~ Stte Address Contrattor Bui.lding Classification: Type Al (Single Family 6 Duplex) NOTE: Complete pages 3 and 4 first. (Other) GENERAL INFORMATION - N 0 1. Buildfng Perimeter?WQEL t. 2. Wall height (ground to eave) ? ft. , . 2 3. 1. x 2. (above) gross wall area :"TK'?? ? ft. Phone Type A2(Residential) ? 0 stortes or less (Over 3 stories) 4. Building dimensions (L) X(W) ' IZ?.?aI ft.2 roof S floor area 5. Square foot area of rim joist - Floor joist size (2 x 10 ) Iq? X Perimeter = Rim joist area = ??!? ft2 12 14+ 6 in. U factor I4) ?? ?-+ Perimeter 7. To[al door's perime[er ft. ? 8. Windows: Manufacturer State approved U factor . TYPE SIZE AREA (Ft.2) N EACH ..M,..;;0 .; r- 9. Total ft.Z Glass 1 t. NUMBER OF TOTAL FEET 2 UNITS 10. Fireplace area; Width X helght = X = Ft.2 11. Exposed foundation: Hei ht X Perimeter X '1`7 9 w. 4J Ft.2 LOMPLETION OF THIS FORM IS REQUIRED FOR ALL E CONSTRUCT ON, MAJOR REMODELING AND BUILDINGS BEI MOVED WHERE ENERGY, OTHER THAN THE MINIMAL CODE ALLOWANCE, IS USED. MINNESOTA STATE ENERGY CODE CALCULATIONS ?/1?_r?,•? BASED ON CHAPTER S OF THE MODEL ENERGY CODE - 1983 EDITION . Adoption Effective I/l/84 Phone Date Ddors - Area Thickness Type of Construction Manufacturer oT Ie. 'BLocK 2 I 1,2.'- Framing area = 10Y of gross wall area. 13. Gross wall area ?? ?;, I-1 7 41?fl... l;-, ft.Z U windows = o3 La U x A= l?iCn1 U rim joist =041_ U x A= "4 1?v U doorarea= I ?4 U xA= u f?0*8"e, ?4 ? u X a= 3•? ?? U foundation = 1 (r' U x A= 71 3 3 U framing area = 0" U x A= ZJ' ?7 1 U wall = iO??JU x A= r?!L yI ZG?? n I ' (136 ) TOTAL . . • . • • • • • . U x A Windo•rr area A o?-4, `5 ft.2 Rim joist area A q. J?' 7i ft.2 ?1.c? 2 Door area A'-1 i,v ft. area A 04,0 fc.2 ?. Exposed foundation A ? ?• ??' ft.2 Framing area A Zq?( ft.2 Net wall area A I 1 74 iZ7 ft. a 14. Gross wall area z 0.11 (A-1 single family & duplex = allowable U x A/Code (13. above) • , 15 x 0.23 (A-2 other residential) x .23 (Other buildings) x .23 (Over 3 stories) BTUH Must be larger thar A x U Code. uF. 13B above (.or the same as) Ceiling framing area (Af) equals 10% of ceng area 15A. Gross ceiling area =(L) x(W 158 Joist area (Af) = 15C. Net ceiling area U ceiling x A c _ U f rami ng x A f= 15D. TOTAL U x A...., ft.2 lOa ceiling area = I Z 3 r U ft.2 (Ac) (15A - 158) = ft.2 ? X ? ??J = Z '? J X 16. Geiling area (15A) x 0.026 (A-1 single `amily & duplex - code allowable U x A, x 0.033 (9-2 other residential) x 0.06 (other) i0Z BaUH Must be larger than 15D (above) q05q) I z- 5 1 x lJ (code)= JZ?O? F (or the same as) NOTE: Use U and A values obtained from pages 1, 3 and 4. CERTIFICATION: I hereby certify that I have calculated the "U" factors and "R" values herein and that the buflding here described meets or exceeds the State of Mfnnesota Energy Conservation Act. te gnature 0 ?. ;'r/, v3X l?'?+ ?? ,??. s'?' ?Js,J?"? ? ? Z=/? I ? 1 1 V I? ! zO? ? = I11z? X II = I Z3 _ . ,; pX , ?. ?oXcao = Jl??y I:? = I lcv,o UXlo _ TOX4 = ?10 I!? wl5c., i. ; ? ---. „ I' i.? - ??l; WALL ' SECTION . ?' STUD SECTION SECTLQN. R1M JO15T IntetLor aall u vHLUt LNLLULUIluNS R YALUE U VALUE Inaide att film .68 Intetior vall .47 (Uall) U ? 1 R = Insulatlon 101'0 i ? O 2 7 Shea[hing 4'00 . • ' •( 01 Stding . Outstde alr film .17 R TOTAL Z 3D?j Inside air film ' .68 Interior wall •4,/ .,? stud R= AIN 0,5 (Framing) U? R . Shea[hing d Si ing ? Outside air film 17 R 20TAL ? D 1 52 3> Inside air film R= .68 Insulatlon (Well ? U d R a iing ^ . Exterlor wall co Exterior air film R e.17 R ?OTAL lnterlor atr film R= .68 Insulatlon I 1'Or-> I l-? inch soft wood R??B? (Rim U,??I Shea[hing Extetior wall covering Exterior air film R= ,17 • R TOTAL z 1?` 1p Lnterior ai: film R= .68 ? Lnsulatlon 11'0 I Foufidation ? -- E:cterior air film R= •17 a roraL 3 \ -Exoosed 91uck .\ .. ?? 3. ? (Fdn.) U = ? = ,070 ,-_ . , CEILING WITH VENTED ATTIC SPACE ABOVE R `lALUE V UE • • • FRAMING CEILING 0.61 Air Film 0.61 Insulation ?'T Joist fl tv___ Ceiling 0,61 Air Film 0.61 4zI 1 (D Total R 45.797 1 , O'L'7;7 U = a ? Oz'L FLAT ROOF OR CATHEORAL CEILIN6 R Va ue R `JAIUE FRAFIING CEIUNG- 0.61 Inside air film 0.61 Ceiling Joist (stu Insulation Air space Roof decking Insulation euilt-up raof 0 17 Outside air fil m 0.17 , 1ota1 R - R - U 4indow infiltration .5 cfm/lineal foot of crack 2esidential door infiltration 0.5 cfm/square foot or door and minimum code requirement . •lon-residential door infiltration 11.0 cfm/lineal foot of crack )b 12" concrete block no insulation = .47 R 2•1 )b 12" concrete block insulated cores = .26 R 3.8 )y 12" liglitheight block = ' .32 R 3.1 )b 12" cores = lightv,eight block insulated .12 R 8.3 J single glass = 1.13; with storm taindow .54 1 double glass = .55 J triple glass = .41 all exterior walls and ceilings must have a vapor barrier (0.10 perm max.). ;apor barrier must be on the inside (heated side) of Viall. rapor barriers of the polyethelene thin film have no R value. 4. 2004 RESIDENTIAL BUILDING PERMIT APPLICATION L City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 __QW?- vvw?? Telephone # 651-675-5675 FAX # 651-675-5694 i ?.-? -? - cJ ? New ConsWCtion Reauirements RemodeUReoair Reauirements OIFice Use OnN 3 registered site suneys showing sq. R. of lot, sq. ft. of house; and all roofed areas 2 copies of plan CeA of Survey Recd _Y _ N (20°h maximum lot coverage allawed) 1 sel ot Energy Calcula6ons for heated addilions Tree Pres Plan Recd _ Y_ N. 2 wpies of plan showing 6eam 8 window sizes; poured tound design, etc. 7 site survey (or addihons & decks Tree Pres Required _Y _ N 7 set of Energy Calculations Addifion - inMicate if arsRe septic system On-site Septic System _ Y_ N 3 copies of Tree PreservaUon Plan'rf lot platted atter 711193 Rim Joist Detail Op4ons selection shcet (61dgs wM 3 or less uniLs Date /! / /??/ ol/ Construction Cost ? Site Address `3959 C`i?2s? ?'AW, /rIN 57;7Zy UniUSte k Description of Work / %MSf/ hV%/x'/V! ( (.?x}LK ocrr? Multi-Family Bldg _ Y Zc N Fireplace(s) _ 0V/ 1 _ 2 ?- /? ? Property Owner 1?? ?F- L/Sfj Telephone #( 65/)4Yl - l '77/ W ? i - Z9 -?Ft9c7 Contractor Address N0 Y State 'p le e # ( ) Y COMPLETE THIS AREA ONLY IF Energy Code Category - Minnesota Rules 7670 Catesorv 1 (J su6mission type) • Residential Ventilation Category 1 Worksheet Submitted • Energy Envelope Calculafions Submitted Have you previously constructed a building in Eagan with a similar plan? fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor A NEW BUILDING Minnesota Rules 7672 . New Energy Code Worksheet Submitted Y_ N If so, 25% plan review Telephone #( Telephone #( Telephone #( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to s[art 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. ? fic.?vgo ? Applicant's Printed Name Applicant's Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? OS 03-plex ? 11 10-plex )k 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex 1 Plbg_Y or _ N ? 25. Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair 1121 ? 33 Altera6on ? 37 Demolish Building' ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement 'Demolition (Entire Bldg) - G ive PCA handout to applicant Valuation r- zg 0 Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bidgs Length Fire Sprinklered Type of Const ? Width _ Footings (new bldg) _ Footings (deck) _ Footings (addition) Foundation Drain Tile Roof Ice & Water Final X Framing ? Fueplace y R.I. -K Air Test )t Final Insulation REQUIRED INSPECTIONS FinaUC.O. ? FinaVNo C.O. _ Plumbing HVAC Other _ Pool _ Ftgs _ Air/Gas Tests Final _ Siding _ Stucco _ Stone _ Brick _ Windows _ Retaining Wall Approved By: TZ/ , Building Inspector Base Fee Surcharge Plan Review nncres sa,c City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total L? ?? ;? c? 0 z7 ? -- I' /tL%?c. T /1,1P 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. Date // 1 /? 1 oc/ sitestreet,4ddress 393'9 unit# Property Owner Am Telephone #(67v?) 6YI-17 7) Contractor ?- Address City Telephone # ( ) State Zip The Applicant is: Owner _ Contractor _Other Alterations to existing dwelling ?dd fixtures to rooms, excluding water softener and water heater _Septic System Abandonment _ Water Turnaround (add $121.00 if a 5l8" meter is required) Other: $ 50.00 Water Softener _ replacement _ Water Heater additional $ 15.00 Lawn Irrigation System RP2_ new _ repair _rebuild $ 30.00 State Surcharge $ 50 Total $ 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; 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 ev?ent a Ian is requi to be reviewed and approved. ApplicanYs Printed Name Applicant's Signature PERMIT N REAC?IVATE--K ? -? CITY OF EAGAN 1992 BUILDING PERMIT APPLICATION 681-4675 • SEP 0 1 _REC^ SINGlE?B MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural 8 structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies when typing of permit is requested, but not picked up by last working day of month in which re uest is made or lot chan e is re uested once ermit is issued. Date S__ / -6-a [ ? Valuation of work ?1?/ir Site Address:_ ,-1 q`, ?I ?Li6,Q? G? 0?- STREET L) SUITE N Tenant Name: (commercial only) IAT BIACR ? SUBD. P.Z.D. k Descri tion of work: e. ?a .t,vv,.-?t The applicant is: ? Owner 63, Contractor ? Othe (oeseribe?? ??'HA ?cALpe?tJT Name Phone Property «:T F1RSi Owner Address STREET STE ! City State Zip Company Phone 10E ILLE HOM S Contractor Address 18133 CEDAR AVE. S0. Litense 1/ • Exp. FARMINGTON, 02 City N0002431 State Zip Company Phone ArchitecU Engineer Name Registration # Address City State Zip Sewer & water licensed plumber . Processing time far sewer & water permits is two days once area has been approve . 1 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. Signature of Applicant: OFFICE U5E ONLY BUILDING PERMIT TYPE O 01 Foundation ? 02 SF Dwg. ? 03 SF Addition ? 04 SF Porch ? 05 SF Misc. WORK TYPE 31 New 32 Addition ? 06 Duplex ? 07 4-Plex ? 08 8-Plex ? 09 12-Plex O 10 Multi. Add'1 O 33 Alterations 11 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning #? of Stories . Length Depth ? APPROVALS Planning Engineering REDUIRED INSPECTIONS t ? y ? 18 Comm./Ind. f• . - O 16 Basement Finish ? 17 Swim Pool ? 19 Comm./Ind. Misc. ? 20 Public Facility O 21 Miscellaneous ? 11 Apt.{Lodging O 12 Multi. Misc. ? 13 Garage/Accessor ? 14 Fireplace g 15 Deck ? 35 Tenant finish ? 36 Move Basement sq. ft. lst Fl. sq. ft. 2nd F1. sq. ft. Sq. Ft. total Footprint Sq. ft. On-site well On-site sewage Building Variance ? 37 Demolish MWCC System City Water PRV Required Booster Pump Fire Sprinkler Census Code ? SAC Code Assessments ? Site 1?1 Footing , O Framing ? Insulation ? Mallboard y Final O Draintile ? Fireplace Permit Fee N ? Valumtim: $ ?-- ' Surcharge Plan Review License MWCC SAC City SAC Water Conn. Mater Meter , Acct. Deposit S/W Permit S/W Surcharge . Treatment P1. Road Unit Park Ded. Trails Ded. Copies ? Other Total: SAC % SAC Units A Certificate ofi Survey for: JOSepII M. Miller Construction CO. House Address: 3959 Clippers Road. Eagan. MN " Model Name: Custom CLIPPERS ROAD i -------------------------? 5 00'33'08" W 4"P AN, I ? -- \ 90 ?S O 0 02 ---- 75.00 3 3 ee? ___ 0 ___ f 9 fl N -- i W ? I DRIVEWAY I > 20 p .0 22.34 - - ?- - - --8- ? 51.00 Q 0 o 2.0 CANT + ^m + N GARACE ' 074.33 rri I 75 7.33 .? 6.0 _ J N o I + I r r? o PROPOSEV HOUSE 4 ?' i ? ? Q W 12 COURSE BASEMENT I O I oc 2.a WALKOUT 'S I ? O 5.0? - ? 38.00 }- 1 ANi N ' " ? Q I ?? 9 . C 0033 E 08 pp n I ? ?N I w ? / 50 rn II 10 N rn rn N II 00 R I B s . S 3??2 EF?GAN EN s?3 8i olp, . 900.0 Denotes . eoa.o Denotes -- Denotes Denotes -o-- Denotes .-e- Denotes Existing Elevation ?Y Proposed Elevation Drainage & Utility Easement Drainage Flow Direction Monument Offset Hub Bearings shown ore LOT 18, BLOCK 2 DAKOTA COUNTY, MINNESOTA Z ? T3G DEPi L est Floor Elevatfon:882.45 Top o lock Elevation:890.56 Garage Slab Elevation:890.23 assumed SHERWOOD DOWNS . L A gL CITY OF EAGAN ?? PLUMBING PERMIT SUBD _ mrrL, (612) 681-4675 &ESZDENTIAL PLEASfi COMPLETE IIPPER PORTION ONLY FOR SINGLE FAHILY DWELLINGS WfiEN PERMITS ARE REQUIRED FDR EACH UNIT. --------------------------------------- WORK DESCRIPTION NEW CONST ?X ADD ON _ REPAIR _ pWr7ER NAME; JOE MILLER CONSTRUCTION C0. INC. SITE ADDRESS: /CA'-a-ci' INSTALLER: GENZ-RYAN PLUMBING ADDRESS: 14745 South Robert Trail CITY: Rosemount Zip; 55068 CITY USE ONLY RECEIPT # DATE 77/ a' 9_f'L_ rl AISO, FOR TOWNHORES AND CONDOS COMPLETE THE FOLIAWING: N0. . FIXTURES EA. TOTAL REPAIR/ADD ON 15.00 SHOWER 3.00 ? ? WATER CIASET 3.00 BATfi T[JB 3.00 ? IAVATORY 3.00 /]-Z ? KITCHEN SINK 3.00 ? ? IAUNDRY TRAY 3.00 ? AOT TUB/SPA 3.00 / WATER HEATER 3.00 ? ? F7ACc? DRAZN 3.00 .3 ? ? GAS PIPZNG OUT. (MINIMUM - 1) 3.00 ? E ? ROUGH OPENINGS 1.50 0 _ OTHER WATER SOFTENER 5.00 PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 W. TURNAROUND 15.00 STATE SURCHARGE .50 TOTAL: S SD tJD COMMERCIAL PLEASE COMPLETE THIS PORTION FOR AIS, COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED F(1R EACH DWELLING UNIT. WORK DESCRIPTION: OWNER NAME: SITE ADDRESS: TENANT NAME: ISUITE INSTALLER: ADDRESS: CITY: PHONE FOR: ZIP: CONTRACT PRZCE: 1% OF CONTRACT FEE. . STATE SURCHARGE - $.50 FOR EACR $1,000 OF PERMIT FEE. $25.00 MINIMUM FEE. CONTRACT PRICE x 1% STATE SURCHARGE TOTAL: $ (SIGNATURE) CITY OF EAGAN PHONE #: 423-1144 „ L? B a MECHANICAL PERMIT SUBD. ,=?4r.r? (612) 681-4675 RESIDENTIAL xEECEirr # /0 73>?- DATE PLEASE COMPLEI'E UPPER PORTION ONLY FOR 3INGLE FAMIIY DR'ELLINGS. ALSO, COMPLETE FOR TOR'NHOMES/CONDOS R'HEN SEPARATE PIItMT15 ARE REQUIRED FOR EACH DWELLING UNTT. OWNER: FEES STfE AD RESS: 31?$ ADD ON/REMODEL (MSTING CONSTRUCI'ION ONM $ 15.00 WSTALLE1t. GENZ-RYAN HEATING HVAC: 9-100 M BTU 24.00 PHONE #: 423-1144 ADDTl'IONAL 50 M BTU 6.00 ADDRFSS: 14745 South Robert Trail r GAS OU7T.EfS - MINIMITM 1@ $3 EA. a ?VIV I1'1'. F Rosemount ZIP: 55068 SURCHARG& $ .50 I GNATURE: S ?• ???' . TOTAL: $ 3 d ro COMMERCIAL PLEASE COMPLEfE THIS PORTION FOR ALL COMMERCIAIIiNDUSTRIAI. BUILDINGS. AISO COMPLEfE FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WIiEN SEPARATE PERMTTS ARE NOT REQUIRED FOR EACH DWELLING UNI'I'. WORK DFSCRIPT70N: CONTRACf PRICE 146 OF CONTRACT FEE. FEES STATE SURCAARGE IS $.SO FOR EACH $1,000 OF PERMTI' FEE. $ PROCFSSED PIPING • $25.00 ivIIlvairilTR3 PEE - $25.00 $ OR'NER: TOTAL: $ STI'E ADDRFSS: 1'ENANT: ,.. UTI'E #: • .:. _. ,..,,. .. INSTALLER: , ..: _ .. . ADDRESS: , CI1'P: ZIP: PHONE #: [CrrYSIGNATURF_ SIGNATURE. * y* PIONEEA „ _r_'_' -__r___" * engmeermg LAND * * * * Certificate of Survey for: 5 • CIML ENGINEERS House Address: 3959 Clippers Road, Eagan, MN " Model Name: Custom CLIPPERS ROAD j ---------------- ----i S 00'33'08" W 4 "i" ? gQ 2SO ? - - - - 75.00 ?9 eeze ° - - - - - - - ? ? 4 ? ? I DRIVFWAY I 669.9 I 20 Q ? .0 22.34 __-?_- _? 1 51.00 p 2.0 CANT o ,^o ? - o14.J3 GARAGE ' e I 25 N ^' 7.33 I : J a 6.0 I r ~ _ n ? o PROPOSEO HDUSE h i I w I -12 COURSF. BASEMCNi -' I I o .0 WALKOUT 1e 2.0 I N ? D I ?-? 39-00 I- 50.95 _ _ ? N Q ? 10 CANT N 0033'08° E Bet.9 ppn ? ? ? N J l o o i i U) I J I ? ? ? ? ? ? \ 12 ? ?sY3 87 02,, EAC" 'LANNF.RS • LANOSCAPE ARQIITECTS 625 Highway 10 Northeost Blaine, MN 55434 ? 1(612) 783-1880•Foz 783-1883 Joseph M. Miller Construction Co. : 900.0 Denotes Existing Elevation ?Y x 9mDo Denotes Proposed Elevation -- Denotes Drainage & Utility Easement Denotes Drainoge Flow Direction -o-- Denotes Monument -e Denotes Offset Hub Bearings shown are LOT 18, BLOCK 2 DAKOTA COUNTY, MINNESOTA 2422 Enterprise Drive Mendota Heights, MN 55120 ;612) 661-1914•Fax 681-9488 LLJ / ? ? ? ? ? LL] C) 50 ? Q7 LC) rn N rn co Z \ D °'- ? EE IA1G DEPi' L est Floor Elevation:882.45 Top o lock Elevation:890.56 Garage Slab Elevation:890.23 assumed SHERWOOD DOWNS I hereby certily that this survey, plan or report was prepared by m`e or under my direct sup rvision and fhat 1 am duly Reghtered Land Sarveyor under the laws of the State of Minnesota. Dated this day ol °? NF A.O. 79 ? Z , Scale: 11nch=30Te_et / 4R? 9 /?0? O5. AEG. NO. 14891 I or_Office Use -ry I j Permit ~Ck O` 11 ty of Eap I I 3830 Pilot Knob Road Permit Fee: Eagan MN 55122 I Date Received: y` Phone: (651) 675-5675 I 1 Fax: (651) 675-5694 1 Staff- 12010 ESIDENTIAL BUILDING PERMIT APPLICATION Date: a o_ / Site Address: 37-3? ec Tenant: Suite RESIDENT / OWNER Name: S/- Phone: Address / City / Zip: Applicant is: -Z Owner Contractor TYPE OF WORK Description of work: Cen //AW444-, Qr/ Construction Cost: Multi-Family Building: (Yes / No ) CONTRACTOR Name: _ J fU7 1G 11f. 1,G~ License ~0 3 0C: ? y Address:.. 17 / SS 7~~ City: State: Zip: M410 Phone: (®S~ ° c~-~C37Yf Contact Person: 1 a Se-D 14Ce,-,- COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet New Energy Code Worksheet Category Submitted Submitted submission type) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. 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 accords h the approved plan in the case of work which requires a review and approval of plans. x x /ao S is Prin ame App icant's Signature Page 1 of 3 DO NOT WRITE BELOW THIS LINE SUB TYPES _ Foundation - Fireplace - Porch (3-Season) _ Storm Damage - Single Family - Garage _ Porch (4-Season) _ Exterior Alteration (Single Family) - Multi - Deck - Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) - 01 of _ Plex - Lower Level - Pool _ Miscellaneous - Accessory Building WORK TYPES New - Interior Improvement Siding _ Demolish Building* Addition -Move Building Reroof _ D _ emolish Interior - Alteration - Fire Repair Windows _ Demolish Foundation Replace - Repair - _ Egress Window Water Damage Retaining Wall *Demolition of entire building - give P CA handout to applicant DESCRIPTION SrD< d Valuation Occupancy MCES System Plan Review Code Edition SAC Units (25%_ 100%-) Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Sheetrock Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC Drain Tile Other: Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final Framing Siding: Stucco Lath Stone Lath -Brick Fireplace: -Rough In -Air Test -Final Windows Insulation Retaining Wall Meter Size: Erosion Control Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA109890 Date Issued:04/12/2013 Permit Category:ePermit Site Address: 3959 Clippers Rd Lot:18 Block: 2 Addition: Sherwood Downs PID:10-67670-02-180 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. Janel Behrends 122 West 3rd S Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 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 - Timothy R Fredbo 3959 Clippers Rd Eagan MN 55122 Haley Comfort Systems 122 West 3rd St Hastings MN 55033 (651) 437-0338 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA152798 Date Issued:11/01/2018 Permit Category:ePermit Site Address: 3959 Clippers Rd Lot:18 Block: 2 Addition: Sherwood Downs PID:10-67670-02-180 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 1,500.00 Fee Summary:BL - Base Fee $1500 $62.50 0801.4085 Surcharge - Based on Valuation $1500 $0.75 9001.2195 $63.25 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 - Timothy R Fredbo 3959 Clippers Rd Eagan MN 55122 (651) 470-8346 Justkyle 3966 Riverton Ave Eagan MN 55122 (651) 230-6016 Applicant/Permitee: Signature Issued By: Signature