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3510 Coachman RdCITY OF EAGAN 127?7 ..?..?:..,? 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt# Tobeusedfor "?'' pWr/--&R Est.Value $64,000 Date UC'!'OBER'9 19 86 SiteAddress 3520 COACHMAIJ RD Erect L5 Occupancy R3 Lot 11 Block 1 Sec/Sub. HAMpTON HTS Remodel D Zoning R Parcel No. Repair ? Type of Const V Addition ? No. Stories a Name FRQNTIER CQMPANIES Move O Length 40 z 394?i SIBLEY MEN! HWY, BLDG EDemolish ? Depth 47 o Address Int Impr. ? Sq. Ft. City ?=?"?1?? Phone Install ? o Name sAM Z oQ Address ~ City Phone ?Q ? W Name ? ? Address ? W City Phone I hereby acknowledge that I have read this application and state thqU116 information is correct and agree to comply with all applieable SfateDf' Signature of Permittee !;4 &?- ? ?- A Building Permit is issued to: FRONTIER COMPAi+I IES all work shatl be done in accordance with all applicable State of Minnesota Building O(ficial --""y ' • Assessment Water 8 Sew. Police Fire Eng, Planner -Yvui wn BIdq.Off.1Q 9 86 Permit $ 32$•00 Surcharge 32.00 Plan Review 162 • 50 SAC 575.00 Water Conn. 500- 0 0 Water Meter 63.50 Road Unit 290.00 Tr. PI. 156.00 _ Copies 104 . 0 Total ? on the express condition that in Ordinances. PormN No. PemYt Holder o.a r.aPna,. # Plurn biny rI / I ? ,,? ,, 1? , c• H.V.A.C. ?j.5 EIocMc T, 8oRensr Impectbn Deb Insp. Commenb FooUnysl /0 Footinqs II Foundaflon Framinp //y GC? RooNnq Rough Plby .?' Rouph Nly. u I??ul. 1' R?epiace flnal Hty. ?? FMaI Plbq. ?6- Btdy. Final CM. Occ. Dock Ftp. Deck Frmy. WNI Pr. Dbp. PERMIT # ? ?? • . PLUMBING PERMIT RECEIPT # dTY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: _ ' L. m Name S Addre c City? ? Name ; Addre O CnY _.? FEES COMM/IND FEE - 146 OF CONTRACT FEE MINIMUM - RESIDENTIAL FEE - a10.00 MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) ? 4ztz4Q._e7 OF FOR: CITY OF EAGAN BLDG. TYPE WORK DESCRIPTION I x ? New Res. J Mult Add-on ? Comm. . Repair Other , NC? FIXTURES TOUL ? Water Closet - $3.00 T_Bath Tubs -$3•00 -7- i $ ? ' " n 3' C I ' ` Lavatory - $3.00 -3, ( ' Shower - $3.00 - ? l ? Kitchen Sink - $3.00 3' i Urinal/Bidet - $3.00 ?Laundry Tray - $3.00 ' ? ?Floor Drains - $1.50 -' C. ' Water Heater - $1.50 Whirlpool - $3.00 T Gas Piping Outlets - $1.50 Soitener - $5.00 Well - $10.00 Private Disp. - $10.00 TRough Openings - $1.50 • 71 '" FEE 0 STATE S/C: GRAND TOTAL• % - ? • , PERMIT # _ MECHANICAL PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE CONTRACT PRICE •:> 17 J?.? . ?? U PNONE 454-8100 SiteAddress }-' oaC m ur. cu. BLDG TYPE WORK DESCRIPTION Lot Block 1 Sec/Sub . , . R . N . Name iJt;vZEL "IECki a:. es. ew M t Add m -on ul ? Address 360t; ?'h I?? Comm. Repair c City r'?.?? ?1 Phone 452-1565 M er Name - vPt i?r ? ?r.• a ilie;; FEES .. c Address ' ' `' ? ? i L i ,_ ,- ;i? <<o r i <:1 :-iw • . RES. HVAC 0-100 M BTU - $24.00 3 0 City Phone ?+54-0433 ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 ADDITIONAL 6 M BTU - 6.00 TYPE OF WORK GAS OUTLETS - 1.50 EA. Forced Air M BTU COMM/IND FEE - t% OF CONTRACT FEE Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00 Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 Air Cond. M BTU (ADD $.50 S/C IF PERMIT PRICE GOES Vent CFM BEYOND $1,000.00) Gas Piping Outlets # Other FEE - _' . S/C: ' -? •' SIGNATURE OF PERMITTEE w?6. 0! TOTAL• FOR: CITY OF EAGAN CITY OF EACAN WATER SERVICE PERMIT 3830 PII`t Knob Road 8060 P.O. Box 21199 • PERMIT NO.: _ _ Eikgsn, MN 55121 DATE: 1 ?.? Zoning: ' 1 No. of Unlts: Owner. °rontier Midwest Homes Address: SlteAddess: 510 CoachMan 1 Ham ton }te3 hts Plumber: Star Plumbin ?•' r? ,.??t??? Meter No.: SS 17;?:?_? 'Gharge: 500. Odpd Size: ?Q'' Ro cI?L Ee ., ? r,,?= • F ?Account i?h,? 15 . OOisd Reader No.: E?- m? I 10. OOpd 1 agne to comply wNh ths i l'Surcharge: . 50pd Ordioancss. ? Misc. Cherges: 156.00pd TP TOtel: 6A _ 5f1 mPt ar•: gy Date Paid: ete of insp.: , Z Insp.; CITY OF EAGAN 3830 Pilot Knob Road P.O. Box 21199 • . •, Eagan, MN 551i1 Zoning: ? Owner. r=ontser !"idwest Address: _ . Slte Add@83: 6 S 10 Coachraan ?'tiA4 Plumber: .3tar FLurtbino Meter No.: Size: Reader No.: I sgree to comply wRh the City ol Eagan Ordinances. CITY OF EAGAN 3830 Pilot Knob Road P. O. Box 21199 Eagan, MN 55121 Zoninp: OwMr. _ llddross: Site Addrsa,c: Plumber All? " 1 eym !o ee?FlIr w40 !V Cihr of b"w Oediwe.am e., WATER SERVICE PERMIT PERMIT NO.: f...__ •-.,Tar DATE: No. of Units: ` Connection Charge: ivv. uvp-. Account Deposit: 15. 00pc; Permit Fee: 10. 0!Jpci Surcharge: ' 50pd Misc. Charges: 156. Ot?pd TT' Total: 63.5(?nd mprpr Date Paid SEWER SERVlCE -. , PERMIT NO.: ? DATE: - - No. of Units: - L FisuwptOtl H Conrnction Charps: k 7 5, 7Ci r. ?. Acoount Depos+t: ParmM FN: SurcFwrpr M1sc. CF+orom Totai: Daer Poid: Dote af Inap.: ,y, L;ct=riox Lnvolopo nvcrnge "U" ComPut,zt:ion • Pago 2 of 4 : • ' Tot•al cxpo:sed root/cciling arcrs ? O(p m. Zbtal skyliyht area ............................ .. ' n. Total roof/cciling framing arca (.lvcrayc 104,) _.. (O o. Total net insulated roof/cuiling area........... tL} •. • Determine "U" value for each roof/ceiling segment , M. X a n • _1 O f . (p x „??? ? Z •-- - ? ? ? ? o. , a ????? p = Z 9 ........................... Zb tal ? If tota.l of ;p9 is the same as, or less t:hrtn 112, you he-tve met the inLent of Shr 6006 (c) 1, .. Alternate BuiZdinq EnveJ.ope Desiqz 'ib utilize tne total envelope 'systeJn method, the values esta.nlished by the s:un of items #3 and #9 shall not be greater than the sum of items #l and #2. 1. Z I(n ? Uq +?. z0. ? I = Z 4 Z. ? S 3. (b-i + 9. 2-0173 , . ? ,. , • A90,r• /cEzLiNc . Construction R-Valuc l. Intcrior air filia ? . . 0.61 ' 2. t3 _ GY _ F3D , e-R 3. I,t)SUc. . 44 • Oa 4_ Extcri.or air filn (still) 0. YLrT ; ? ?? .. :?ted uear- f loW ? up . FIC. ?3 .? . !1 , • • . • . 3 keaz f Iov np • , . -vented • . .TIG. 16.. . _ • . . ' ? ' .. .' ' : -- ?. . . _- -- ? - - - - • . ? . . . -, ..? . . • HO:i-VI?. i -??. - ? . ?. ? ' • ? • . , . Hcn= . • ' - - f2ou c;p ? . . ' • , . .? • . .. . • rzr_ ¢7 ? . ? . r• Toral ?. 4s 8a • . ' ?}_ ,?? FctA-{"t 67 ' . . . . l. Znterior nir f.ilm 0.61 2_ 3. ? ? r?sut.. . 38 , 3S+ 4_ ::xtr?cio_ oir filn (sr.;.l .b 'rfl t3L ra. - 9 .O. ? .S C o.l.SWt??ri ? 1_ Insidc air film 0.61 2_ . , . 3- , _ ? 4_ S. Outsidc -'ir fi2in 4.17 Total ,? ?C.-?•-r ? ' . ' - - .1_ 'Ynside air Eilin 0:51 . . 3 ' . • - . - . 4. • 5. Outsidc 3ir Film 0.17 . • , To tal • u 1_ Znsidc air film 0.61 ' 2_ . . • ? ? 3' a ?. C'Ltt:i.dc air filtn ? 0' 17 . . . ? . Tota1 . . . . ' lwtc: Clse additional . sheets if morc rpaca i: ' . neeclecl for cletsils snd calcu?aticns. . ' ' . ' , . BLDG. PERMIT ti0. --- . - ? , .. 01-3210 Bldg. Permit'__ ? 01-3422 01-3445 01-3446 01-2155 17-3860 20-2275 20-3865 20-3868 20-3716 20-2252 20-3713 20-3743 79-3866 11-3855 Plan Checic Surch./tidm. SAC/Adm. Surcharge Road Unit SAC Water Conn Water Trmt Water Mete Acct. Dep. Water Perm Sewer Perm Sewer Cann Park Ded. TOTAL CASH RECEIPT CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 R6CEIYWJO FROM AMOUNT $ I ? CASH ? CHECK rOR ? Thank You BY White-Payars Copy Yellow-Posting Copy Pink-File Capy 7li) , RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4875 NewConstruclion ReauiremeMs . 3 registered site surveys showing sq. ft. of lot, sq. R of house; an?ll mofed arees (200h maximum lotcoverage albwed) • 2 copies of plan showiig beam 8 window sizes; poured found design, etc.) • 1 set of Energy Calculations • 3 copies of Tree P2servation Plan if lot platted after 71753 • Rim Joist Detail Options seledion sheet (bldgs with 3 or less units) DATE f d/ Z JOB SITE IF MULTI-FAMILY BUILDING, HOW MANY U TS? PROPERTY OWNER TYPE OF WORK APPLICANT ADDRESS PAGER # ? CELL PHONE # C RemodeVReuairReaufrements • 2 copies of plan . i set of Energy Calculatlons for heated additions . 1 site survey forea1erior addNOns & decks • IndicateifhomeservedbysepticsystemforaddNOns g VALUQION ?S ) 306_ ? f1? . - -44X FIREPLACE(S) _ 0 2 PHONE# ?/z'73I-I?Sr MN ZIPCODE ?5 L FAX# - NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted _ MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor: _ Plumbing Systcm Includes: Mechanical Conhactor. Mechanical System Includes: Sewer/Water Contractor: _ Air Conditioning _ Heat Rccovery System All above infortnation must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state that the with all applicable State of Minnesota Statutes and City of Eagan OA Signature of Applicant Certificates of Survey Received _ _ Watcr Softener _ _ Watcr Heater _ No. of Baths Phone #: Lawn Sprinkler No. of R.I. Balhs Tree Preservation Plan Phone # ree: $90.00 ree: $70.00 Phone # mation is correct, and ices. Not Required _ agree to comply Updated 1101 RESIDENTIAL BUILDINC PERMIT APPLICATION CITY OF EAGAN u 3830 PILOT KNOB RD - 55122 651-681-4875 New ConstruNbn Reaulrements • 3 registered site surveys showiig sq. R. of bt, sq. fl, of house; anda11 roofed areas (20% maximum lot mverage alhwed) • 2 coples of plan showing beam 8 window sizes; poured found design, etc.) • i set of Energy CalculaGOns • 3 copies af Tree Preservafbn Plan if lot platted aNer 711193 • Rim Joist Detal Op6ons seleclion sheet (bldgs with 3 or less unils) DATE /?iKL `? 1, JOB SITE IF MULTI-FAMILY BUILDING, HOW PROPERTY < TYPE OF WC APPLICANT ADDRESS -' PAGER # :?- l-r-i l .7'5- RemodellReoalrReauiremenls ' 1 - `S_.U ? . 2 copies of plan • 1 set of Energy Calculations for heated addifions • i site survey tor euterior additions & decks . Indicate if home served by septic sysfem for additions VAW/[ION' FIREPLACE(S) x 0_ 1_ 2 PHONE# 6I2-33/- /; NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 (check one) - ResidenUal Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted _ MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor: _ Plumbing System Includes: Water Soflener Water Heater No. of Baths Phone #: I,awn Sprinkler No. of R.I. Barhs I'ee: $90.00 Mechanical Contractor: Phone # Mechanical System Includes: Air Conditioning Heat Recovery System Sewer/Water Contractor. D h? ? IC All above information must be submitted prior to processing of application. II m 1' ° I hereby acknowledge that I have read this application, state that the i for y?is with all applicable State of Minnesota Statutes and City of Eagan O anc Slgnafure of Applicant ? Certificates of Survey Received _ Tree Preservation Plan Received _ Not Fee: $70.00 t to comply Updated 1l01 TEASDALE STAFFORD - G2T4f?F02p 7986 BOILDING PEEIIiIT APPLICATIOA - CITY OF EAG9H HOYS: 9LL CABTRACfOE5 MUST BS LICE9S8D iiITH THB CITY OF EAGAN SIAGLS FAlQLY DWELLINGS INCLODE 2 SETS OF PLANSv 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS M[T[.TIPLS DHELLIHGS - HffiIDSNTIAL HENTAL OHITS FOE SALS OBITS INCLODE 2 SETS OF PLANS, CSATIFIC6TE OF SDRVEY - CHECB iiITH BLDG• DEPT•s 1 SET OF ENERGY CALCULATIONS COM4tERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 7 SET OF SPECIFICATIONS AND 1 SEP OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND To Be Used For: SINGLE FAMILY Valuation: _q4V9499- Date: 9-24-86 Site Address 3510 Coachman Rd. Lot 11 Bloek 1 Parcel/Sub HAMPTON AEIGHTS Owner Teasdale, Jill & Patrick Address 1967 Grand Ave. #101 City/Zip Code St. Paul, tin Erect ? Oecupaney ? • 3 Remodel Zoning R•I Repair _ Type of Const Addition # of Stories Move Length ? Demolish Depth _ Int.Impr. _ Sq Ft Install 6PPEOVAI.S FEFS Phone 781-5858 Contraetor Address ?"" J8 Sibley Memoria! Highway • Bidg. E ?. City/Zip Code Phone 454-0433 Areh./Engr. Address City/21p Code Phone # Assessments Permit 3 2-5Water/Sewer Sureharge 3 Z. Police Plan Review I coZ. r-? Fire SAC l 5 Engr Water Conn _ I Planner Water Meter (a -:?- w Council Road Unit 29 0• Bldg Off Treatment Pl 1510, APC Parks Variance Copies YOTAL NpTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MOST DESIGNATS iiHICH ADDRESS IS DSSIRED. MO CHANGFS WII.L SE ALLOSiED ONCE HIIILDING PERMI? IS ISSDfiD. , t CITY OF EAGAN N2 12747 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121/ PHONE: 454-8100 / „'7 7/,? BUILDINGPERMIT Receipt# ??7 7o be used for SF DWG/GAR Est. value $ 64 ,000 pate OCTOBER 9 19 86 SiteAddress 3510 COACHMAN RD Erect Occupancy R3 Lot 11 Block 1 Sec/SubHAMPTON HTS Remodel ? Zoning R . Parcel No. Repair ? Type of Const. V Addition ? No. Stories 40 Name FRONTIER COMPANIES Move ? Length W 3908 SIBLEY MEM HWY, BLDG Eoemolish ? Depth 47 o Address Int. Impr. ? Sq. Ft. City EAGAN phone 454-0433 Install ? i a Name S? Approvals Feea ? a Address m `- Ciry Phone F w Name ? Z5 Address i W Ciry Phone Assessment Water 8 Sew. Police Fire Planner ncil Iherebyacknowledgethatlhavereadthisapplicationa tat hatth dg.off.10/9/86 information is correct and a re to comply with I a lica S of Minnesofa Statutes and o( Eaan in c. APC Date Signature of Permittee A Building Permit is issued to: FRONTIER COMPANIES all work shall be done in accordance with all applicable State 'nn ta Stat tes ? Building ONicial Permit $ 325.00 Surcharge 32.00 Plan Review 162. 50 SnC 575.00 water Con n. 5 0 0. 0 0 Water Meter 63 . 50 Road Unit 290.00 Tr. PI. 156 . 00 Copies 10 . 0 TOtal • on the ezpress condition that an Ordinances. ` i ownE4: SITE ADORESS: ezrE-R[oa ENvELoPE ,1vr.Rncr. °11 ••y. a VI Y comru;l1'fION ST1%PFr+OCQ htta w6D, riloNE : CONTRACTOR: RzC4J"t'(1C'R. Determine working square foecige cf each 1. Total exposed wall area..... 1 '164,5 sq. ft. x.li = Z l(aa• arY 2. Total roof/ceiliny area..... 101(a sc:. ft. x.026 = Z(? ?? Total exposed wall a;•ca above floor= -4?`2 a. iotal tivall window area ................ ........... ............. . . ?` ? b. Total door area ............... , c. Total ........ slidin9 glass door arca ......... ........ ............. ............ .. ............. ............. ?r Z - d . Total fireplace wall area ............. ........... . . .. ............. _ q 7 e. Total wall framtng area (average 10,"-) . ...... ..... ... ....................... -11 - S f. Total rim joist area ............... .... ............ b g. net wal l area above floor...Z`?4? .............. -i i _- h• wall area above fioor .......... ......... ..... o i. wall area above floor .....:.... ............. ............ j. frame wall area at :oundation ........ ............... ........................... Total exoosed founAation area= k. Total foundation window area .......... ........... t. Total net foundation area above grade . .. r ............. Determine "u" valuc of each we,i; scy,ncuL (e,g. window, door, each separnte wail s2(_iion) d. IZ? X b. X c. x d. a e. ? ??, -4 S X f. ? ?O Y 9• 13?1r 0;:2- z n. 1. j- 0 lul, 45 -- ' ?? -! U„ - „uII I 5 (.2 ',u„ ,lu,l Ug = i S.7,1 .c.5 ------?-_ X ?, u., _ X 1. U., _ X "U" _ X "U" = - x .,u??_L ? s = ?( 75 : . ................................. Total If item N3 is the'sa as, or less than'ite #1, you have met,tiie inCent af S8C..600 '•?( , ???'?ts•'r,.ni Thls repuest void / ?//O - - ???ths fmm / 09 E 14048.v??1? /"1 ?- • a 7'l/d. i.l?? ??c'?'? °? Request pate ire No. RouAh-in InsVec[?o ,y Req iretl> ?Rcady Now ?ryWill Nolify Insper- J Yes ONo ?or When Ready ? Licensed Elec[ncal Contractor I hereby request insDecbon ol above ROwnQr 91BCVica1 wnrk installntl nr Street Address, ena /oJr RoWe No. 3 - C.iy 5 10 ecuon o. 7ownship Name or No. flanH?' No. Cnonty • / Or.copnn( (PRINT) Phone No, ? -,4 IQr `7;=/ _ o Power Suuulier Atltlress .??CL ?OLLA.' " (? Elec[n :al Contractor JCOmpan ame) Convacmr's L?cense No, ?? Mailinp address IContrarAnr or Owner Makmg Instailauonl AvNnnzed SiPoalure IContraciodOwner Making Installation) Phone Number n ? '- .% 'H ?AiE 90APO OF ELECTRIGITY Gnggs•Mi ay &dg. - Noom N-191 1821 UniversitvAve..SL Peul. MN 55100 Phone (612) 642-0800 ims irv5vEGTIDN REQUES7 WILL NOT BE ACCEPTED BY THE STqTE 9pApD UNLESS PqOPEH INSPECTION FEE IS ENCLOSED. REQUESf7bf ELECTRICAL INSPECTION EB-00001-,0/6 1 Saeeinstrvebons lor eompleting this lorm on b»ek ol vellow eopv. ~^ E "1404 8" --X -Be,ow Work Covered by lhrs Request .td,f Rea. TVOe of Bwlein9 Aaalmncxa WiroO Enuiument Wireri Home Ranye Temporary Service Duplex Water Heater LiqhUny Fixtuies Apt dwlding Dryet Electne Heatin Commercial Bldy Furnace Siio Unloader Industnal Bldg. Air CondiLOner eulk Milk ienk Farm _ 0cne7 p,7 7 y niher IStyi t N -i Su,7ify Othcr nihi:, N Fee Service Enbenee5¢e b Fee Ferders/5ubleede.rs M Frta C, rcurts 0 to 200 Am s to 30 Am ?s 0 tn 30 nn+. s Above 200 Amps l 1 to 100 qmps 31 to 100 Am 5 Swimming Pool boVe 100_Amps e 100_AinpS ransrormers ngation Booms PartiaL O,tAer' eF e- ?•a? apeciai inspection UG ? Hemarks SaQ?? TOT FE / Rou9h"t^ D:ite / I, the Ele, tncal y?/ f ?(? Inspectoq he,eby Fnal , Udte certify thni the above ins0eclior+ has been ?-?? meea. TOis re0uesl voitl 18 monlhe Imm _ L- 0 U-S 'o- Y" l.,e V e_ 1 . '?aAl.i. `',CC'1'1fiN:1 ? ? ' ? i'..' 1?1 V) l ty"9 . tJ?• u.til nCl•A jJt' ? ? 1p bram•: r6ci Iun v_itu.? L ?=?- --•-C? ,: l?MIi 4• 38 7. 00 I ??1• _?-0 ?;. ?.lA?? .K11.v?1. •? I .__ ? . }:r.:crii.r ii, -• _ ." _" ' _" .. _. _ _ .. . _.. ... 3. ?' --'- Q i. ?010 iIG. A1 TUCVIi1J OF FIW4: tJAf.f. /?. InCrr::,r :i?r 'ilm O.GII ' 2. ra'o ? ,• _._,•_ 4- 5 . At,vm._ .si m?a•g .,.?t G. FIC. 02 f •P?n.nl? ?.?.?1 t ? .??•,, l I I.'? JCAC?,JS ? ti?_:al ? J.'•. ? ? . = U. ` i C ': ' ? ` _ C ..,.L' • U p . , i?. , ?Q• ? ? u ?. - ---•- .? -.------ '% 1 ---'-'---?-Q \ . ----••----4? ?o M . .? ?'. -. • ?_-` • -.?-i. .Ol MYS-e fin -- ._.. ._-?---- 2. -----'. - .-_' 1. s. "" ' _'__".. ? 4. *:L ?? `x'_-=={'_'... -.I.C Ca ? , •.? ` / ?. F.%:l•CJOL M11C I1l01 ? ? ? 1).J) Cl i . 1? ??• ? -?.I !,. . gt-aLc. U;. . O '§+ l. intr:ili[ nlr (il,.. 6.6rt --•--- n. . PL'aT?'a_t??C.. ??•?.tceR.. _-=-- 5. .._..,-- ---._..... .----°-------?--•-.._. G. i::<<,?,??•? .,,? ::?„ --o_t? I OW t (m• 7 tA P . 115 st.nn ori I-Iu,ue 1. i • , ? ? I i ? o ? ?- ? ?? _ __. .. - - --------. - ??r:- . . • ??( ? ? ? • P1c;. i14 r` } U . ? :> . ? lc! ) ? ^ v.. ` _.- ---._...... ? .? ? • ? ,17 ? ! -_. ,« ? ? r- un•rC: In?li?.at,: l.y'.':, "t:" Vn1uc, ,L.i;th nnd This rn0uesl void / ?/??/X(? ' 18 months from (r 69574 1/.i/ 61 Y./?.,?, FeQUOSr Data- ? Fna No.! Rouph-in InsVecuon e mr . ?Aeady Nuw ?LLM'?tifV Inspec- ?or When Read ? ? ? es No y ? icensetl Elecvical ConVactor I hereby request insPeetion ol abova ? Owner elecvical work irefelled et 5 Address,U qQx or te No. ? Cit?? a ` ection o• Township Name or No. I I Range No. Co?i??y / OccuVant IP T) ?? ,/, , j_ f ? Pow pplier Atldfe55 Electr?calCOnuacwr(COmvany NemeL. ? CTR.1.iJ NE ? mr's Lwense No. CwecD Ma iline AdJ ?? treC( r?Yh Q cy G iU 4:?• 1 ?aLqN?/? ?Y 6d Auihoraed Sign?i? er Making Installation) ,. } Phone Number MINNESOTq STqTE BOARO OF ELECTRICITY Gripps-Midwey Bitly. - Room N-191 1821 Univereifv Ave.. St Peul, MN 66700 Phone (612) 642-0800 iF115 INSPEGTION XEaUESi WILL NOT BE ACGEPTEO 9Y TME STqTE BOAXD UNLESS PROPER INSPECTION FEE IS ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ee-oooai-o/s" 0 See imiruetiens for tompleting This form on beek of yellow copy. (l C. Q. -7 A "x" Be/ow Wnrk Cnvnred hv 7h, e Ranimc? d XeO. Tvpe of 6wlding pOplmnCea Wired Equipment Wved Home Range Temporary Service Duplex Water Heater g Lny Fixtures Apt. Buildmg D r Electric Heatin Commercial Bldg. Pumace Silo Unloader Industnal Bldg. Air Condinoner Bulk Milk Tdnk Farm OMPr peci y mpr Isunr,iiy) t. uea Y t er Oth.r ompute lnspection Fee Below p fee ServiceEntrencei tt Fee Feetlers/Sutiteetlers p Fae Cvcuitz 0 ro 200 qm s 0 to 30 Am s 0 ta 30 Am Above 200 qm , 37 to 100 Ainps 31 to 100 Amp, Swimmin Pool Transiormers Above 100_Am s rri ation Booms A6ove 100_Am s Parnal.'Other Fee Signs Special Inspection $ ? - emelks /2 / f ? TAL FYC i/ ?IA/I HouBh-m A VC- 1e C I, the Elec ic Inepector, hereby Fmel DA1e certdy thet tha nbav¢ • _- •/'7 e on hag baen mo nsdoacti. 71e roqueet vole i8 montln kom •?- WnU ,;r,r.TMN: CK . . ? .••yl-,.a? w.F.? i0( S+L0iLUr, 4A1 l tl[OR COY ? frrimo ctvn+?truci,iun c<,11_it ,i<<10M r,_vntkl.; • ?'- ----? •'? _?li?..$-t.oc.K z.1ie-{_.. ..t+If y.t-.; ; '?- ? ;.. I ?.? 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"".""_ "'" ' '_ ?-"- , ' ?y? ?.n' ? ? ? %:. ,.-• ?-?„ G. • . ?.?'%, i:.tl?.l'it?C ??tt• ?it O.i?l i• ._._'_ _'__"'"._.. .."',fol.?1-_""^_ .., .? . . 1 ' S[.I?It (7p! 4I1AUI.: , - r ?!': ti ? /•: . ?+ 1D . •°_"J'? + " , „ y , _ _R.;r ` --- • ? . . . :' _ `,?,, ?,;?a??x;.. P! ? ,?„??;.. •??5?,::. .? . , ?,`? ?a ?•+?.... ?( ?.' . n..,, R':' y' i." . F /; r .,.,,:.-?.•..?•-.,;. ! ?'.. . r ?tc:. 11a ?r? a . :> /1 _ =:•?};?'.=:;;,:?t.: ? ,•? /i? ?l 1 j? ????`r`'{T"1 1y.hT. ? 13`.? ' y?.?'?+?"??•. } tla?'i"». tndleaCC'lyne, ",. v.tluc ?dC,i?L'li??n?tl?,c.-;e-'t '''• ? `?'tly f"'k:?.,p,?i?l?`?+ t?. I .+_??^.,:•,•?,?,.'f,`'l ? a ,ir.,?y}I°?+i•?t , ??????? pi.r:rne??t af in:;iil?Cion. ,. „ ? ° S:, - PLAN *? Lt&jE.,4 L FT, EXposED W,4LL '?.?J ?E ? tic ( 3 O , ;:ULL( i 130 1?7I t?..?+?L.?G E. ; ?ca ? . ? t'? ••-«+? { TZt M ` -?oi . Sy?PoSED WA LL AZEA c3L G S K , S = 3 Z, X S= ?? v ?' ? .0. - t=uLL I ', x. 8= tto? 4db To-r-A t_ 2. 41 ? ?C.- ? Cv = .. Z.o EKPoSE--D GEf LIUq I v 1(.L?I -3ra ss Zs t.40tj 44 Z. 9 t z.s ? PAT1o DR..S q ? asM'+ u?i +- ?? (O a 7Y 2004 RESIDENTIAL BiJII.DING PERMTl' APYLICATION ? City Of Eagan 3830 Pilot Knoh Road, Eagan MN 55122 - ---. -- - - Telephone # 651-675-5675 FAX # 651-675-5694- - - 7? ev--f? New ConsWction Reauirements RemodeUReoair Reauirements 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 wpies of plan (20% mazimum bt coverage allowed) 1 set of Energy Calcula6ons for heated addifions 2 copies of plan showiig beam & window slzes; poured found design, etc. 1 site survey for addifions & decks 1 set of Energy Calculatbns AddiGon - irMkate 'rf oo-sife sepfk system 3 copies M Tree Preservation Plan if lot platted after 711/93 Rim Joist Detail Options selection sheet (61dgs with 3 or less uni4s Date 'T / - _ / C) Z'[ Construction Cos?^' iID , 2 p j?j Site Address 3Cjilo D l afmct_Y? UniUSte # ' 7 ? Description of WorkTe 1ClLCP '!J - ) ll-) - IIIC4 < ( ?t Multi-Family Bldg _ Y_ N FSreplace(s) _ 0 _ 1 _ 2 PropertyOwaer Telephone#(LDSJ)(p2?'{-`1 C) c.((1 K1V4A HUME Jh1ZV1C:hJ, 1N1;. Contractor Home Depot Installed Sales Address 3200 Cobb Galleria Pkwy.Ste. 9200 City Atlanta, GA 30339 State _ 763-542-8826 BG20268257 ''p Telephane # ( ) COMPLETE THIS AREA ONLY IF Energy Code Category - Minnesota Rules 7670 CategM 1 Residential Ventilation Category 1 Worksheet (J submission type) Submitted • Energy Envelope Calculations Submitted Have you previously constructed a buiiding in Eagan with a similar plan? fee applies. Licensed Pfumber Mechanical Contractor Sewer/Water Contractor 7elephone #( Telephone # ( N If so, 25% plan review Telephone # ( il D I hereby apply. for a Residential Building Pernut and aclaiowledge that the informa Yk is complete and acjurate; that the work will be in conformance with the ordinances and codes of the City o g?agan and th? c+^f NIN Statutes; I understand this is not a pernut, but only an application for a pernut, and or is not to start without a pernu ; that the work will be in accordance with the approved lan in the case of work which requires a review and appkoal of plans? ? I /-N A NEW BUILDING Minnesota Rules 7672 • New Energy Code Worksheet Su6mitted 7f-\\A(a ?Lk,???? e?4 pplicant's Printed Name plicant's Signature Installed Siding and Windows LIMITED POWER OF ATTORNEY cuiJNTY OF COBB STATE OF GEORGIA KNOW ALL PEOPLE BY THESE PRESENTS: THAT I, David N. Katz, a resident of Montgomery County, Pennsylvania ("Principal"), and a licensed contractor of RMA Horne Serviccs, Inc., DBA Home Depot Install_e3 Saies loca±ed at 6E0 MendelssoYLn Avenue North, Golde^ Valley, r?II?I 55427, having a license number of BC- 20268257, do hereby appoint, name and constitute Elder-7ones Building Permit Service, Ina ("Agent") as my true and lawful attorney-in-fact and do authorize and grant said attorney-in-fact for me and in my name, place and stead the power to execute, acknowiedge, sign and deliver (in such form as may be required by the municipality) a permit application, or any other instrument(s) which may be necessary arid appropriate, in order to obtain the proper permit(s) from the City of Eagan, IvIinnesota for the installation, maintenance and repair of windows and siding (the "Work"). The powers conveyed to the Agent by this Limited Power of Attemey are limited solely to the express powers delineated herein and apPly solely to the Work. This Limited Pawer of Att6mey shall expire and autorriatically be revoked on the 21st day of May, 2004, which date is one year from the execution hereof. Further, the powe:s conveyed by this Limited Power of Attorney may be revoked by Principal at any time by express revocation and shall also be revoked by the Principal's death, disability, incapacity or incompetence. IN WI'INESS WHEREOF this Lim?ted Posver of Atto!ne-y is e.lectrtcd this 21st day of May, 2003 David R. Katz SWORN TO AND SUBSCRIBED BEFORE ME by David N. Katz on this 21st day of May, 2003. Notary PtiDic in for the State o eorgia b4y Commission Expires: 7anuary 21, 2006 3968t6.v3 Proudly sold, furnished and installed by RMA Home Services, Inc., a Home Depot authorized contractor. 3200 Cobb Galieria Parkway, Suite 200 • Atlanta, GA 30339 • Phone (770) 779-1300 • Fax (770) 984-0709 • Toll free (800) 79-DEPOT Gsa(0 3 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. 15. sd Date I _ 2 I b V^ . ,e /n/? Site Street Address 35/b C?-?ivy)?o.?J't? 7CC?l? Unit # Property Owner / elli 2/yYLa?G. _ Telephone # C._f° j) 1,W-'?Q q0 Contractor W ?O '?^''?--e?3¢-cc.7 c9-L,?Ld? Telephone # ((o,`? ?j?3?5? -?? ? Address 90 (JdcQk yQ? City _ State m h, Zip f/.3 The Applicant is: _ Owner ?ontractor _Other Alterations to existing dwelling _Add fixtures to rooms, excluding water softener and water heater _Septic System Abandonment _Water Turnaround (add $121.00 if a 5/8" meter is required) Other: $ 50.00 Water Softener Water Heater replacement _ additional $ 15.00 Lawn Irrigation System RPZ_ 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 event a plan is required to be reviewed and approved. Nam ,p 1 4 2004 ? I? ??N 11 nA .4( r"1 d"dj Applicant's Signature , CITY-OF EAGAN APRLICATION FOR PERMIT ' SEWER AND/OR WATER CONNECTION *!aOTF: PA`ASF71P OF kF'E.AT TII??,' OF, , APMscMCN noEs Nar aorsriTUTe. : * Arpxavai. OF PERMsr. , . ,z . * Il4SRHC'PICH 0F SfNffit APID/bfft WTER : . * .II?S'rAISATI?S+?I.L ?N10T: BE .SCCE?;4 :: * m? U[?Tl? PIItNIIT HAS ?il : :? : * APPftAm. *lrsrseirlR7rtrArlrw,Mir+nlinFRwe4+kir#sr?!!*4?lf, ? ,_. ,. ._ . tPlease Print . ? ' • ?' .- ?;' .oy`..; ?.:,,,, -... ,? ,. ._ ._ . ...,.. ..,.. . . . ? ..:..c:tM,.. . _....:s..,.'W-:.:.?..._. . `"° Mn': 55'121 1) PROPERTY ADDRESS: 3510 Coaehman RoaR;"Eagau, _?,:;z? •- - I.EGAI.DESCRIPTION:,"' Lot?ll Block l•Hampto?,H?i?ts_.,..,__ ._.,?.._,;..??.....?-. -.? Lot' B oc .S ion. or Tax Parce t. ... '?i.:?. ?:??.6_n, F;??G "ct'a?^_'.. :5:tf: ?•,?I:1;,it:iv .<_t.,... _ _rv?..»...? '""" 'r. '?+vnr.y.i•-"+. IF F?STING S'i4tL'CiL?RE, DATE OF ,C]F2IGINAL ?[7II?DII4G .PERMIT ?ISSt;ANCE: . ? ,. , . .... .. , . . . -..?;ct?,;:,?. ? . .. - .... . .. . PREuF31P ' ZOHII?G/PROPO-SID IISE: ., ?' , " , -_ ._ . ._..,: ..' ......... . . . . _ - . „ , . p? - I?I ?G »'x'???xf [? _ CE y]M..R-1 SINGLE FANIILY ?"R-2 D0VLEX.(Tr0 't..?I11tS? j?y? .??11LL'C..". y?.{i..;A.y '? ra`..:?y>.1L`IJ<ill.'liVL??WVii[?IYC•^",?;:1?; _i"i???{ ?ti:?1:°'f ?1.DJ"'?l(' ••??•? •'ia:. ',.x .' ,::F M' ^?i:1 _ '.i? ?;?2?{i _ ?Y?;3Si.g: d????_,' .?,''}+u*,?'r¢??1i^"?s,.`?::i.?e?A?r`'S'?2x;^:. , Lr`1?:i?Fiti?"ii' APARTMEN1yCODIDC7ifiTI0M'..s..?..?`?(?': Zkiits 'NAME:.:. `.FRONTIER MIDWESTZHOMES CORPORATION' ° • ? ';?? `„?.: _ ' ?;;_?-'. ,.. r:: ^, _ ? ,:....._.. _ .. . ,... - . .........,, .... }1D?RESS',3908 S3bley Memo,,. rial Eighway.Bldg: E _,??;' . •. ?- :, '; EYx'S^? :CITY, p : _ ..-. . . 1_ i,_..... STP.TE? ZIP:;?s`":Ea v..--.,?_?:';R;::?:?, ,. .,,•`? - ;'''%??c?-?'^''^=-:_. `.»;`?;.fr"''= ft Y , ,1'-RPHCNE: ,454-0433' ? 'r' 'f.¢ :'Nd1MEd' 'STAR PLUMBINGy :. . ..:... .. ,... . . _..-.....»,-. ..; a ADDRESS- ?`"?1018 ' Mound Spria .. _ CITY, STATE, ZIP- Bloomington.MN:g:s 55420 Terrace_ = ° .... .... .... .. .._. __ PHOM: 884-4149 ' MAS7ER IS(:ENSE# 3329 ., ?INPlx,?°. ? a? S?a??tial ' . 4) ?• • i?- -- - - _ . ,. -NAME: Teasdale, Jill & Patrick i _ ADDRF.SS: 1967 Grand Ave. 41101 ? CITY. SPATE, ZIP: St. Paul, MN. 55105 ? PHONE: 781-5358 -5) n r ?• • a?• ? ?? ? _,.. ..;., ,.,.. _ -. . .. ?..ooruuECrioN-70 cM sEwmcorumCrioiu zv.ciTr r'aaaM ? 01111ER ? . : .. .-'._ - ?. .... ,. .,_ . . ?. . ?.: ,. .. . _ _,_ .... . ,... . . . .:, ......_ . __..,.,..?w ...:....... ............v. ....,_, . _ _?, , .. ._. .... ,'_'.6) : n • ? r ?. PLEASE HOLD APPRCJVID PE:EWT FCIIt PICK-UP "BY OI? OF A800 II PiZASE MF?IL APPROVID PERMIT .7D 1. 2. 3. 4. .AB7VE . " (Circle one) ?'?;'?) r ?• ' .. - -? --- - ?? FOR CITY USE ONLY 5 PERMIT # ISSLED Pd w/Bldg. Permit FEES: $ $ SEWER PERMIT (INCLUDE SLRCHARGE) $ /(`" $ WATER PERMIT (INCLUDE SLRCAARGE) $ ?.? $ WATER METER/COPPERHORN/OL'TSIDE READER $ $ WATER TAP (INCLLDE CORPORATION STOP) $ $ , SEWER TAP $ ?`•i ? n t= S ~ ACCOUNT DEPOSIT - SEWER $ O $ ACCOUNT DEPOSIT - WATER WAC .. ,,. S - sAC . -. . . TRLNK ?WATER ASSESSMENT TRLNK--SEWER.ASSESSMENT ','•,r. . . - . . .... .-nY --..._,.. .,......__.. , ,:,... LATERAL SEN ? EFIT/TRUNK"SEWER . . .. i LATERAL BENEFIT/TRLNK WATER. - ?? y $ ?`??+ ' l'-'t} $ .,,WATER,._TREATMENT, PLANT SURCHARGE .,_.._. ..-,rOTHER;- `?' . . . .. .\ . ... .-. . ...........et._-_.. ,..? _. . , ., : ? - , -?..._.. :_.... TOTAL . . . a.!. ?, ... ._ 7'3 7 ? .. .. -- .... . . _ _ ., . .._q_.... _. _. ._, ..,. _..., ._. . . ,.. - - .. _ . . . RECEIPT - RECEIPT ? DOES OTILITY.CONNEC TION REQUIRE-EXCAVATION--IN PUBLIC RIGHT OF WAY? Q YES - 'IF YES, TAEN A'"PERMIT FOR.WORK WITHIN PUBLIC „..._ Q NO ROADWAY" MUST.'BE. DIVISION LIST ISSUED-BY THE ENGINEERING S O , . ,. . --A »A- C NDITION. SL?BJECT TO THE FOLLOWING CONDITIONS:, w:v ?._.. _ ... .._ _ _ APPROVED BY: TITLE: DATE: _ ._.: . . . ?-. 1 SIOMA A ? ? ? ? s-rAPPoriO CYlode? ; 8UFiVEY1N0 SERVICES 3908 Sibley Memorial Highway Eagan, Minnesota 55122 Phone: (612) 452-3077 ycaLE . I° =40 ,. o i ? \ $a% i ? J?0 A \ I LoT fi ? • t / i / 5 ?a`? I,?X8W6.0 / v? k ? qy? I 0 / C ?pJ?Q? ?Or.vewsy ? ?? % O \ 44c ;. o -LE6EN0 ' O Denotes 1 ran Marnurent m Denotes Woai HLb Set x 0 yb•0 Denotes Existirg Spof Elevation (X-H?) Denotes Propos? SPot Elevation ?-Ilenotes Dra+nage Direction -PAOPER?Y OESCRfPrICN- LpT 1i , BLLL'K 1 NAMP'foN HEIC3H'fti actording to the recarded plet thereof, County, Mirnesota House CertfEicate For: MONEBULLDEN9 . ? I.ANOOEVElOPE0.4 HEAlTOR8 ? ?R GQMPAMtfS e0 ?• ? ? ? i I I,'? Q"' N i: x: WA'1' N E D. ' _ CQRncS PROPOSED GARAGE FLOOR ELEVATlON= ???•b PROPOSED Top of Block ELEVATION= Sy?e•3 PROPOSED BASEMENT FLOOR ELEVAiIONm S? NOTE: Verrfy all floor heights with finel Hause Plans. 4igIEW CFRTIFIC0ICYV- 1 hereby certify thet this survey, plan or report was prepared by me or urder my direct supervisicn ard that ! am a duly Ftegrsfered Lard Surveyor under the lews of the State of Minnesota. ? C' A -- Date: ?`ly l? Wayre . Cordes, Minn. Reg. No. 14575 ? PERMIT City of Eagan Permit Type:Building Permit Number:EA140496 Date Issued:12/27/2016 Permit Category:ePermit Site Address: 3510 Coachman Rd Lot:11 Block: 1 Addition: Hampton Heights PID:10-31900-01-110 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - William I Smith Jr 3510 Coachman Rd Eagan MN 55122 (952) 594-9048 Window Outfitters Inc 12605 Creek View Avenue Savage MN 55378 (952) 746-6661 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA140496 Date Issued:12/27/2016 Permit Category:ePermit Site Address: 3510 Coachman Rd Lot:11 Block: 1 Addition: Hampton Heights PID:10-31900-01-110 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - William I Smith Jr 3510 Coachman Rd Eagan MN 55122 (952) 594-9048 Window Outfitters Inc 12605 Creek View Avenue Savage MN 55378 (952) 746-6661 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA154945 Date Issued:04/19/2019 Permit Category:ePermit Site Address: 3510 Coachman Rd Lot:11 Block: 1 Addition: Hampton Heights PID:10-31900-01-110 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace 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 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - William I Smith Jr 3510 Coachman Rd Eagan MN 55122 Minneapolis St. Paul Plumbing Heating Air 640 Grand Ave St. Paul MN 55105 (651) 228-9200 Applicant/Permitee: Signature Issued By: Signature ' G A Nr For Office Use .,% � � 1,, Permit#: `` MAY 10 2019 / -—7 •.....• ���, E A , Permit Fee: L/ 7� Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD: (651)454-8535 I FAX:(651)675-5694 Staff: bu i ld i ngi nspectionstacitvofeaoan.com 2019 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: , ; Name: V/(/ /// til / -5;h / Phone: 9 2 .? Reaicfe� ' Address/City/Zi.• / D Cd Acit{/��it „,...k.'66 , . Applicant is: Own- Contractor Description of work: .' Si' I 4 4 Le : i I 412 _ 1 . / It!J er°I: 4TSf ? / W�r44t, PAndJ A•71 /9140' - gISE'I�tfAir ,1 ,z' Construction Cost: 5$/8 IJ Multi-Family Building:(Yes /No F ___ Company:A« -G►/4 6/i2 fiji ty Contact: 5b(M?147,0 ,4 t2.. v k Address:7�2C / Ef sr City: �f2��G✓14i ij CORS to • , ' 't it State4/2 Phone:752 6S Email:/at/.cil,/ysG,e.4f£Alf RYak AA( I L.(04) 41; :•;.,.' License#: 294 2 !Q8,4 Lead Certificate#: If the project is exempt from lead certification, please explain why: 9'. 730(kr fit) et COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: " r; that� sui t ~rconsidered to a�ticainfo ,ion P.oGrtions ofi� iforrm,, o ,,� i,1 4�'�E� 44 s �",, s .. .,al x t �^, ff the y .bade+ frets. ;' ,.. .L` ;- y�r°. *k .® ��',►�ado" soils� +�ulCf p� � �-� �.�. �"` You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeauan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.000herstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be in c../formance with th ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and wor is not to sta hot a permit the work will be in accor nce withthe approved plan in th case of k which requires a review and approval .f p.ns. x / / /a.4-1 / ' jlx Applicant's Printed Name Appl cant's •ignature •/C CoAch0/1411 Rd / .- --_ -5 DO NOT WRITE BELOW THIS LINE • SUB TYPES Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi) Multi — Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous 01 of_Plex — Lower Level — Pool _ Accessory Building WORK TYPES _ New — Interior Improvement _ Siding _ Demolish Building* _ Addition — Move Building _ Reroof _ Demolish Interior — Alteration _ Fire Repair _ Windows Demolish Foundation Replace _ Repair Egress Window Water Damage Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION ,L Valuation 2�U Occupancy 7ne-/ MCES System Plan Review ----0--) Code Edition Lp/7 SAC Units (25%_100% )(/ Zoning Pa City Water Census Code /13 4 Stories — Booster Pump — #of Units ) Square Feet — PRV — #of Buildings / Length — Fire Suppression Required Type of Construction JQ Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings(Deck) Final/C.O. Required Footings(Addition) ;• Final/No C.O. Required Foundation Foundation Before Backfill HVAC_Service Test Gas Line Air Test_Hood Roof:_Ice&Water _Final Pool: Footings _Air/Gas Tests _Final Framing 30 Minutes 1 Hour Drain Tile Fireplace:_Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS t- Insulation Windows Sheathing Retaining Wall:_Footings—Backfill Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: , Building Inspector RESIDENTIAL F S Base Fee 7 3 Surcharge Plan Review /VA MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Radio Meter Read Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA175872 Date Issued:04/20/2022 Permit Category:ePermit Site Address: 3510 Coachman Rd Lot:11 Block: 1 Addition: Hampton Heights PID:10-31900-01-110 Use: Description: Sub Type:Air Conditioner Work Type:Replace Description: Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) 210-0754. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State 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 - William Irvin Jr Smith 3510 Coachman Rd Eagan MN 55122 (952) 594-9048 Minneapolis St. Paul Plumbing Heating Air 640 Grand Ave St. Paul MN 55105 (651) 228-9200 Applicant/Permitee: Signature Issued By: Signature