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
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? icensetl Elecvical ConVactor I hereby request insPeetion ol abova
? Owner elecvical work irefelled et
5 Address,U qQx or te No.
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ection o•
Township Name or No.
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} 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
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?? (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
_,??;' .
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EYx'S^? :CITY, p
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_
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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 ? .
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_ _?, , .. ._. ....
,'_'.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
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s-rAPPoriO
CYlode? ;
8UFiVEY1N0
SERVICES
3908 Sibley Memorial Highway
Eagan, Minnesota 55122
Phone: (612) 452-3077
ycaLE . I° =40
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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
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Q"' N
i:
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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