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3514 Coachman Rd Use BLUE or BLACK Ink r For Office Use I City of Eapft Pdrmit I I Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651) 675-5675 Fax: (651) 675-5694 i Sta 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date/ ~2 - Site Address: ~ c Tenant: Suite RESIDENT/ OWNER Name: G1 Yom// Phone: ~ 17 Address / City / Zip: Applicant is: Owner Contractor TYPE OF WORK Description of work: /-27 /tea to Construction Cost: 1 z1-5 Multi-Family Building: (Yes / No ) CONTRACTOR Name:_.. , License yC ` Address: / ~~/C✓c'~ City: i7`~ v^s C- State: Zip: Phone: Contact: Email: 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: 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. 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.gopherstateonecall.org 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 accordance with the approved plan in the case of work which requires a review and approval of p ns. X x Applicant's Printed Name Applicant' ignature Page 1 of 3 3830 Pilot Knob R dl P.O. Box 2G-A1 9, Eagan, MN 55121 N2 12748 PHONE: 454-8100 BUILDING PERMIT Receipt# To be used for SF DWG/GAR Est Value $56,000 Date x`rOBEk y , 19 FS b Site Address 3514 COACHMAN RD Erect CY Occupancy R3 fiAMPTON HTS Remodel ? Lot12- Block 1 Sec/Sub Zonina R1 . Repair ? Parcel No Type of Const y . Addition ? No. Stories 48 a Name FRONTIER COKPANIES Move ? Lengih 3 Address -'?908 SIBLF;Y MEM HWY, BLDG EDemolish ? I t l ? Depth ?5 t S . mpr. n ° EAc:,AN 454-0433 City Phone Install ? .F q o Name St'?tSE ? Approva b Fees oQ Address Assessment 301.OU Permit $ ? Ciry Phone Water 8 Sew. Surcharge 28.00 Police Plan Review 150.50 ? F W Name Fire SAC 575.00 = _a Address Eng. U Water Conn. 50U• OQ < W City Phone Planner Water Meter 63. S 0 .-? Council Road Unit 290.00 I hereby acknowledge that I have read this application and state thatfh? Bldg. Off 14 g8 Tr. Pl. 156.00 ' . information is correct and agree to comply with all epgl? ab1e.84a6 oi Minnssota Statutes and City ojFaga Mi a APC 9' Parks I . . Var. Date Signature of Permittee `' ?" .:-,-''`?'-?----- Copies $ 2 G 6 d4 U 0 ? ?--? . Total ? A Building Permit is issued to: FR4NTISR COMPAN I ES on the express conditlon that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Ofliclal f` pwmq No. PermN HoMhr Dals TNopham Ik Plumynp H.V.A.C. ENo*ie iSaKenw Inspestlon DoM Insp. Comments FooNngs 1 FootM?gs II FoundaHOn Framiny pootin9 Rouyh Plby. -?'?? - rCJ? • ? j/ ?' Co Rouph Htq. Insul. Finplaea Flnal Htp. Flnsl Plbp. &dp. Flnai 3p-gj ? CM. Oce. Doelc Ftp. Deck Frmy. WMI ' Pr. Dhp. PERMIT # - PLUMBING PERMIT RECEIPT # - CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: CONTRACT PRICE PHONE: 454-8100 m Name ? Addre c Ciiy ? .. Name 3 Addre O CitY - FEES COMM/IND FEE - 1% OF CONTRACT FEE MINIMUM - RESIDENTIAL FEE MINIMUM - COMM/IND FEE STATE SURCHARGE PER PERMIT (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) BLDG.TYPE Res. Mult Comm. Other WORK DESCRIPTION New Ix Add-on Repair N?. FIXTURES Water Closet - $3 00 r1 ?, ? v . -7--gffih Tubs - $3.00 > T - Cy .3 Lavatory - $3.00 Shower - $3.00 T Kitchen Sink - $3.00 Urinal/Bidet - $3.00 --7-- 00 " $?? Laundry Tray - $3.00 7- . Floor Drains - $1.50 - " 20•00 Water Heater - $1.50 7 - .50 Whirlpool - $3.00 7- Gas Pipina Outlets - $1.50 ??tiam A'. II OF FOR C(TY OF EAGAN JOTAL /, , Softener - $5.00 Well - $10.00 Private Disp. - $10.00 =Rough Openings - $1.50 FEE ? STATE S/C: ' `f - G GRAND TOTAL• ? , ?r .. . .. R. -I. . 7 ; -i, ...i. .. +t .;µ , • t . . . .'' . . .-,'9, PERMIT # MECHANICAL PERMIT RECEIPT # CITY OF EAGAN 3830 PiLOT KNOB ROAD, EAGAN, MN 55121 DATE: 41500.0() pHONE:454-8100 Site Address Lot m Name ,,..:«?._. ,:..?.?.,..??r... Address j6`-10 K'' n n e b e c D r c City Phone BLDG.TYPE .1.? Res. Mutt Comm. Other WORK DESCRIPTION n?New Add-on Repair Name E'rontier Co m anies FEES c Addressj9U8 Sible Memorial Hw y. RES. HVAC 0-100 M BTU - $24.00 p City Phone 454-0433 ADDITIONAL 50M 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 E,4• Forced Air M BTU 2 4. o"' COMM/IND FEE - 1°Yo OF CONTRACT FEE Boiler M BTU MINIMUM - RESIDENTIAI FEE - 10.00 Unit Heater M BTU MINIMUM - COMM/IND FEE " - 20.00 Air Cond M BTU STATE SURCHARGE PER PERMIT - .50 . (ADD $.50 S/C IF PERMIT PRICE GOES Vent CFM , = ' BEYOND $1.000.00) Gas Piping Outlets # ` • Other FEE • SJGNATURE OF PERMITTEE S/C: "-?6 . t.; TOTAL: FOR: CITY OF EAGAN CONTRACT PRICE Site Address'-6_.!?^=-Zd Lot Blac m Name ? ? c Address ' City Name ? ? Addres? O CiN 'F PERMIT # - PLUMBING PERMIT RECEIPT # CITY OF EAGAN ? ? /87 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: PHONE: 454-8100 COMM/IND FEE - 1% OF CONTRACT FEE APT BLDGS - COMM RATE APPLIES TOWNHOUSE 8 CONDO - RES. RATE APPLIES MINIMUM - RESIDENTIAL FEE - $12.40 MINIMUM - COMM/IND FEE - $20.00 STATE SURCHARGE PER PERMIT - .50 (AOD $.50 S/C IF PERMIT PRICE GOES FOR CITY OF EAGAN BIDG. TYPE WORK DESCRIPTION Res. New M u It. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL Water Closet - $3.00 $ Bath Tubs - $3.00 Lavatory - $3.00 Shower - $3.00 Kitchen Sink - $3.00 Urinal/Bidet - $3.00 Laundry Tray - $3.00 Floor Drains - S1.50 Water Heater - $1.50 Whirlpool - $3.00 Gas Piping Outlets - $1.50 (MINIMUM - 1 PER PERMIT) ,Iff'softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 FEE STATE S/C: GRAND TOTAL: s , cirr oF E?GaN WATER SERVICE PERMIT 3830 Pflot Knob Road P.O. Box 27199 PERMIT NO.: R nAt Eagan, MN 55121 DATE: Zoning: ri No. of Units: ? Fron tPr Mi Owner dtir Qt ' . Address: SiteAddeSS: 3514 ('narTir ian Rnari T 17 R7 TI9m,Pt02 IIQi.ght'.S Plumber. M ? S3 S+ harge: 5nn n?d_ ection eter rNo.: l $IZA; ? yl ?WRPiQbSIt: ],.,rl-rrlfl,._ % „ -1 „ -7 , . ? . 4 i n nn_a I agree to comply w e?"qai!-'-`- "5urc?n7ar e? ? ? Ordinances. .--? r . ? Fg-es: C ToffiI: Gzsn_a ..?:.? gy Dafe Paid: Date of Insp.: Insp.: 7 WATER SERVICE PERMIT CITY OF EAGAN 3830 Pilot Knob Road .?PERMIT NO.: P.O. Box 21199 DA7E: Eagan, MN 55121 1 - n ? NO.Of Unlts: Zoning: ' Owner. Addf633: ?? r, timan nc?4 7 r? '?lam? tnn I?eiahtc c' 1 1 e SIt6 Addi'.S $ S] I 4 CQaC x Plumber: snn nn.,? Cannection Gharge: Meter No.: - ?,n Account Deposit: - 1 _a S12e; Permi! Fes: ? Reader No.: : I agree to coimply with the City oi Eagan Surcharge: _ . Misc. Charges: Ordinances. Total: ? Date Paid: - By Date of Insp.: ' lnsp' :-? CITY OF EAGAN SEWER SERV6CE PERIMIT ? 3830 Pilot Knab Road PERMIT NO. ° P. O. Box 21199 Eagan, MN 55121 DATE: ' Zaniny: Na of Units: .+ Owner. ,_ Af1UKrSS: ' Site /lddrcss: Plumber. ; „ •? - ? M?M to NVh? ? !M Cilf oi MOos ea „2 lon CF+o?s: /• 7c r Cannsct ACCOUM QEp'.'•t` O?'?IM110M• '7.?,? ' _ perRlh F!!: SNRh0fQ0: By Misc. Chorpm f Ins ? D f : Totai: e o o P- Insp.: pcft Pofd: „ EnvQlopo nvoraga "u" Compu tit:a.on Pago 2 of 4 Total cxpoucd rool/ceili»g Arca = ??Q m. 'lbtal sl:yli.gltt area ............................ ?. n. Total rooF/ccilinr, framing area (avcragc 10%) ,., o. Total net insulated roof/ceiling area.,......... . Uetermine "U" vaiue for each roof/ceiling segRZent m X loU t$ n. x „U,# . o. ? X „U„ 4 ...........•.......... ? • • • . • • /ry 1Vtal If total af ;kd is tlze.same as, or less thcin 42, you have met the intent of sxC 6006 (c) 1. A.lternate nuildin L'nve] ope Desiqn To utilize the total envelope 'system method, the values established by t-lie s:vm of i.tems #3 and 44 shall not be qreatez- than the sLVn of items #l and #2. 1. ZCQ, Z'f + z. . Z S = Z. ? r . 3. f 4. ??. s ?j ??`, s? ?V NM? l'? Cf t4r*J • .?.g.•?Z tOR ENVELOPE. AYER/1GE . . ` . . _ _ _. OWNER SITE AQORESS: COh(TRACTOR ; ????TkM .l 2 a b c d e 9 h i J PtIONE : Determine working square foota9e of each Total exposed wal l area..... jB52Z S sq. ft, x.11 = Z,04. Z? Total roof/ceiling area..... 4880 sq. ft. x.026 = Z Z, aa Total exposed wall area above flonr=_?1b%5J.z;5 Total wall wtndow area................ . ........ ....... ................... Total door area........... Total sliding glass doar arei .................................... Totai fireplace wall area ....................... . . . . . . . . Total wall framing area (average lOM) .................. ... . . .. Total rim joist area...... ... . ,,,,,,,,,,,,,, . . . . . . . . net tiral l area above floor.l.`F? . . ... .. . .. . .. . .. wall area above floor.. ?????? " ? " ' -. ... ..................... wall area a6ove floor........ frame wall area at toundation ................................... Total exposed faundation area= r Ce A.'Z S k., Tota) foundatlon window area...................... •?-- 1. Total net foundation area above grade ............. Determine "u" value of each wall segment (e.g, window, door, each separate wall section) a. 1 t 3 X b • 31. i. Z X c. A*A Z X d. A X e._ e ?5. 71? x f. c za.s X 9 .1:s co. 4 _ X ; Z. . iluit 44i'J „u„ 4 5 = ZZ.L , l,u,. . „ u„ • C) __= r 4. 8 5 „ul, 0 3 = 5 . l.U„ ,03 o f h. `?? X glut. _ { X = x „u„ _ k. wwww"al"alwa ganall x ltuit ,r,n* X 3. ............ .....................Total . Page 1 of 4 "U" C.OMFlIT117TOfJ 14A1CT?t&-MM 0 46 0-.^ 6" momme nnrr 1 , .. ;;. . If item #3 is the'sa as, or 1 ess than???i te N1, you have met::tfie intent of S8C,.6006 ..,?:,;r• ? ; BLDG. 01-321? 01-3422 01-3445 O1-3446 01-2155 17-3860 20-2275 20-3865 20-3868 20-3716 20-2252 20-3713 20-3743 79-3866 11-3855 PERMIT N0. Bldg. Permit Plan Check Surch./ndm. SAC/Adm. Surcharge Road Unit SAC Water Conn, Water Trmt. Water Meter --?? Acct. Dep. - Water Permit Sewer Permit Sewer Conn. Park Ded. TOTAL p?s.r.wR?wrr?www?+? CITY- OF EAGAN 3830 PILOT KNOB ROAD - - . _ . _. .-.. _ . _ _ _ . _ ? . _ -•-^--?---^-t CASH RECEIPT ! i ' EAGAN, MINNESOTA 55122 DATE ?. 19` Recerveo RRp/.1 AMOUNT $ I ? GASH ? CHECK ooLLwws ?ee . f FOR / IY^ ? T ?/V. ?1 L?..? i' ' ".? ?7l/?f3 - BY i r7 3? White-Payers CoPY Yellow-Posting Copy Pink-File Copy Thank You " 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. ?1 Date_Ez_l?_l04 Site Street Address ?1?}l?,i (.?'1?1'1Q.P1 ?l.l Unit # Property Owner V V Telephone #($:S? I) R? 06I jo Contractor 4 PI amrayS Telephone # 6-531 Address3-L,-ju -bW(?Pd City G-CC Statem_,?L Zip '5919 The Applicant is: _ Owner Vcontractor _Other Alte,cations to existing dwelling $ 50.00 _Add fixtures to rooms, excluding water softener and water heater _Septic System Abandonment ? _WaterTurnaround (add $121.00 if a 5/8" meter is required) Other: Water Softener 2Water Heater $ 15.00 -vr replacement _ additional 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. &501Pir? ??---- ApplicanYs Printed Name Applicant's Signature Li'7 .IAN p v ?005 ??I .SU RESIDENTIAL BUILDINC PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 ? 651-681-4875 New Conctructlon Reauiremenb • 3 registered sile surveys showing sq. fi. of lot, sq. ft. o( house; aM all roofed areas (2095 maximum lot coverage allowed) • 2 copies of qan showing beam & vrindow s¢es; poured found design, etc.) • isetMEnergyCalculadons • 3 copres of Trae Pmservation Plan'rf bt pladed after 717/93 • Rim Jost Detail OpBons selettian slreet (ddgs vrith 3 or less unifs) DATE OG,i ? ? 0-? 'y -?: co?''`' RemodeUReoair ReauiremeMa Cx-1tiS ln?"CN . 2 copies af plan ? U- • 7 set of Eneyy Calculations for heated additions . 1 sile survey tor exlerior additbns & decks . Indicate K home served hy septic system for edditions VALUATION SITE ADDRESS ? SI L-I (?' A?M,q,_./ IQ/J, MULTI-FAMILY BLDG _ Y XN TYPE OF WORK DCZ14 FIREPLACE(S) ZIO _ 1_ 2 APPLICANT L3 STREET ADDRESS _'-?'SId 'C.a?c,an,uks CITY Ei&? STATE A?(,ZIP S"f /Z TELEPHONE#(pS/ W6-63?(- CELLPHONE# 612 24 rb/25 FAX# PROPERTYOWNER S-rc_???( LJ_ %? v46L llG TELEPHONE# bs/ •GZb - O'S COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA ftUITS 7670 CA'I'EGORY 1 MINNESOTA RULES 7672 (J submission type) . Residential VenGlaGOn Category t Worksheet Submitted • New Energy?oCe' i I ?tp' • Energy Envelope CalculaUons Submitted I? OCT 0 4 L ;l), Plumbing Conhactor: _ Plumbing system includes: Mechanical Contractor. Mechanical system includes: Sewer/Water Contractor: Phone # Phone # Fee: Fee: $70.00 I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Appllcant _?i=_ l OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 _ Water Softener _ Water Heater _ No. of Baths _ Phone # Iawn Sprinkler ' No. of R.I. Baths. Air Conditioning _ Hcat Recovery System OFFICE USE ONLY ? 01 Foundatlon ? 02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex ? 05 03plex ? 06 04-plex 0 07 05-plex ? 13 16-plex ? 08 06-plex ? 16 Fireplace ? 09 07-plex ? 17 Garage ? 10 08-piex jd 18 Deck ? 11 10-plex ? 19 Lower Level ? 12 12-plex Plbg_Y or_ N ? 20 Pool 0 27 Porch (3-sea.) ? 22 Porch/Addn.(4-sea.) ? 23 Porch (screened) ? 24 Storm Damage ? 25 Miscellaneous ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) O 44 Siding ? 32 Additlon ? 36 Move Bldg. ? 42 Demollsh (Foundadon) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 WindowslOoors ? 34 Replacement •Oamolition (Endre Bldg only) - Glve PCA handout to applicant Valuation Z, v v a Occupancy MGES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const lf h W idth REQUIRED INSPECTIONS Footings (new bldg) _ FinallC.O. ?o Footings (deck) ? FinaUNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Franung _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall P,pproved By , Building Inspector Base Fee Surcharge Plan Review MC1ES SAC City SAC Water Supply & Storage S8W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total r 4)a MCLAIIGHLIN / HARTFf1RnT. F, 1986 B[TILDING P8RlIIT APPLICATI09 - CITY OF EAGAA HOYB: ALL CONTRACfORS HfJS'f BB LICENSSD WITH THE CITY OF EAG9P SINGLE FAFIILY DiiELLIAGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OE SURVEY, 1 SET OF ENERGY CALCULATIONS MOLTIPLS DiiELi.INGS - AESIDSNTLAL 9E6TAL UBIYS FOR SALE D9ITS INCLUDE 2 SETS OF PLANS, CEBTIFIC9TS OF SDRVEY - CHEC[ fiITH BLDG. DSPT.9 1 SET OF ENERGY CALCULATIONS CONAIERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND 5to,o?o To Be Used For: SINGLE FAMILY Valuation: t2-,J66 Date: 9-24-86 Site Address 3514 Coachman Road Lot 12 Block 1 Pareel/Sub HAMPTON HEIGHTS Owner McLaughlin, Bruce & Sue Address 11160 Anderson Lakes Pkwv. 41113 City/Zip Code Eden Prairie, MN.55344 Phone 829-0878 Erect ? Oecupaney R•3 Remodel Zoning [Z•I Repair _ Type of Const ?- Addition # of Stories _ Move _ Length ? Demolish Depth 3Co Int.impr. Sq Ft Install APPHOVAIS Contraetor FRONTIER COMPANIES 3908 Sibley Memorial Highway - Bldg. E Address Eagan, MN 55122 • pn City/Zip Code Phone 454-0433 Arch./Engr. 9ddress C1ty/Zip Code Phone 0 Assessments Permit 30 1, Water/Sewer Surcharge 28. Police Plan Review I SD. $O Fire SAC 515 . Engr Water Conn 500 Planner Water Meter ' &3O Council Road Unit 2qc? Bldg Off Treatment Pl I s(o. APC Parks Varianee Copies SOT9I. = HIOTE: 6DDEESSES FOR CORNER LOTS - CONTRACTOR/HOMEOHNER MQST DESIGNATS WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALI,OWSD ONCE BOILDING PERMIY IS ISSUED. CITY OF EAGAN p ?3830 Pilot Knob Road, P.O. Boz 21-199, Eagan, MN 55121NO 1Z74v " PHONE: 454-8100 & 7 3/? BUILDING PERMIT Rece ipt# Tobeusedtor SF DWG/GAR Esivalue $56,000 pete OCTOBER 9 19 86 SneAddress 3514 COACHMAN RD Erect C? Occupancy R3 Lot 12 Block 1 Sec/Sub. HAMPTON ATS Remodel El Zoning Rl Parcel No Repair ? Type of Const. 11 . Addition ? No Stories W Name FRONTIER COMPANIES nnove ? 48 ?ength 3908 SIBLEY MEM HWY, BLDG EDemolish ? Depth ??+ 3 Address Int.lmpr. ? Sq.Ft ° EAGAN 454-0433 Ciry Phone Install ? ¢ i o Name- oQ Address ? c'ty - ?a F W Name- ? z a Address z iW City- SAME Phone Phone I hereby acknowledge that I have re information is corred and agree to Minnesota Statutes and CiW-afEao Signature of A Building Permit is issued to: 1-'1fV1M'1'1r:H all work shall be done in accordance with all applicable Building Official ? Assessment Water & Sew. Police Fire of Bldg. Planner Council Permit $ 301.00 Surcharge 2$-00 Plan Review 150.50 SAC 575.00 Water Conn._500. 0 Water Meter 63,0 Road Unit 290.00 rr. Pi. 156, o 0 Total $2,064.00 LVAN.U.0 on the express condition [hat ot Minnesota atu And City ot Eagan Ordinances. wnl.r, !,Crrl'1n110 " U:-r JSt ,011 oI'ano* u,111 nton Ior ? Irr?mr ccnw.truci lun _-- ?.? • ? tI.L ? -?--"`?S? ?D FIC. M1 TOPVIEIJ OF . FIWIk liAf,i, , P .? jsCA? fA ti!z dl ?',? r :•'•'? ??. ? ? ? i '----------(? ?\TICIi : .' A ...°_rL. _---••--1.? ?: '?/ •d' •Q, ..----•---'-0 l.,• ,? f (+r,,l'_ 4 - • -----?? ----.? ti!iTR?? ?• =i i` •`1 -s . r 13 ? • . ? i G4?4 --' M 4- I; v.i lu • ' Y ? ? ,; y?;;?? i?, •. . ,? ? . ., 4, 3ffi 7 - ? ,. .510i++? A?wa??.. .. . _. . . •.fa G. _.,r i li i L 1?0 . ?q _.? ?•?'1 .__ . .. . . . (3.L? InLrrlnr eir :Ilm 1 GiI O ? . . 2- Y '.'_.Crx R 'p ----- 3. ..3. ?'/b ---. _ ?15 A.,G-?o 5. l4kNtl.1._Stll4"'' 5..- -•---. _.. . . ?.?+ , G. F.rlrr;,) r o it ii1i.L .. . 0.17 I'u?:1 I -- Ll? . 1nlcti??C ?ic tilin 2. 98 ]. _tTr./?!??!.'. ?°?1 --°-•--- --....._?_'1!QD 4. G. }:xer•rfoe nir i i Irn - ----?----------- --., o; -; L _il. i7 -.._. - ? Z9? $ 31-ac,1c, u= . 0 3 l. r nir Cil??? p.6R 4 . ? . ... L'? _S i`?.ILo .. . . _ . .. S. - G?.. .. ?--- n. PCw<<_'%_Tu+G -"'---- G. I::<lrricr ??ir t i!ri --U_l7 t'ol.i l (0• '' st.?n ort ?;iu?ut: {.IiA?j',??F"7ii k . ' , `? . •(?,\ i . . 1 "re f'! " , • . ' /i77 =. ??? ?` - ? ' M1 • • - ? i '- /?? ^ ,} , < --• /1! ? F1G. ilh r(t U • -> ? i[! ;•'r :pil'f.: Ii,?il?.n??? t?;???7, .,??. ??n!w:? ,1,?nCli nnd ' I ----?-?--- __. ?iln•:rn?:•i: ,?( iir:,il.ilinn. This reque5l void 18 months from C 69588 Reque Date Fire No. ? IROUph-in In pecbon w,ii m,,. ? insPec- Reqwre Heatly Nuw ? Y ? - I??NO mr When Reatly ?? os Q?<wensed Electncal Contrsctor I hereby requesf msDeeaon of above ? Ownar electrieal work inatalled ef: Stre et Atldress, Boz r Route No. S? Gty ecUOn o. TownsMp Name or No. ange o. Counly acc ant I T, Pho°s ? Po e, S?DOIi Adtlress Electncal Contractor (COmOany Name) F?nRiC'K ELECTE?IC Z Contracmr's License No, ?j ? on Ma,l ,na ? 1454b ????5t",'?.AM Auihora ApVdah (VW9e n i nj Phone Number MINNESOTA STATE eOAflD OF ELECTflICITY TMIS INSPECTION REQUEST WIIL NOT Gr{gps•MiEwey Bldp. - Naom N-191 - BE ACCEPTED BY THE STqTE BOARD 1837 Univeraitv Ave.. 81. Paul, MN 65104 UNLESS PNOPEfl INSPECTION FEE IS Phone4612)642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ee-ooooi-os 1 Sae inatruc4ona for tom0letirq thrs torm on back ot yellow cooV. ?9/ (` ? "R" Below Work Covered by?Thfs Request _ tIsmLtp4qj Beo.' Tyoe of Bwiding poPinances Wirod Equipmem Wvea I A w p Fee ServieeEntrenceSile I F.. Faeaans/sumaeaa.: k Fee Cucurte 0 to 200 qm 0 to 30 Am s o Am Above 200 qm ? F 31 to 100 Amps 31 to 100 q y Swinxnin Pool Above 100_Am s "OV0 Above 100_Am ' Transtormers Irri ation Booms Partial, Other Fee -- aigns speaal InspecUOn SO Aemqrk s 7 70TAL FEE ,/7? y flouBh-in ? e 9 ?/ I, ihe Elactr • J-] Inapector, heraby Final o?i cer?ify thet iha ebove ? , napeetion hes been mede. thlt reQueet vold 18 monthe Irom ROor/cEiLiNc ConstrucGion R-Valuc _. Sntcrior air filn . 0.61 ' 2. ty3?G 7 F31? ? 3. IAlSUL. ' 4L{.Qp ;. Extcri.or air fi2n (still) 0.G T°tal 2 4s8o .. . o-Z =nCed Hear flow up as. 1. Znterior air film 0.61 . Z • G ?f?D 3- _Z y-?? 1K?SuL 38.35"' d_ F:xtr_tio. aiL Ciin (stzl . 'rotaL .. . . . . . ? -?.oz4.. CoA- STX ?CT/ mJ?? . . Tnside air filtn 0.61 _ 3_ 4. ? 2 S. Out:idc ziir film 0.17 Total . -?. . ? ? Lo LG $ FiCLL f10V t1j7' , i-vented v g. Inside air f11m 0.61 2. • 3_ • . - 4- 5_ Outside air Eil:a 0.17 To tal Tnside ai.t film 0.61 2_ . 3. ' • 4_ 5. Outsidc air film 0.17 Tota1 . . . ?• .: . • HQ:7-4'?: P..D ? . ', . • ilcv up • . , . • . . • rz ._ ?27 . .. r r Notc: Uso additional sheets if morc --pace i, ? neeclecl for cletails and calculations. . , • SIG. f 6. . _ . ? ? . . .. . ' : . request voia ? months trom . e a a iij a 7 ??, v >9?'20. e) c- . Raquest Daie' ?o 1 Fire No. /Fnuph-m InsVecbon Reumred7 J xYes ?NO oFeatly Nuw Will Notrtv InsPec- A [nr When Ready C] Licensed Electncal ConVactor I hareby raquest inspectwn oi ebove 90wner electncel work inatelled at. Street -ddress, Box or Route No. C Crv ?N ??N G d F/ ectwo o. Township Name or No. flange No. Counly nl? v I-V? Occopant IPHINTI h c e /?'? c.l .4 Phone No. S'- pF ? Power Suppl,er Atldress ?+ ?U:?? ? ?C ' Elecvical Convactor (Complith y Namel s License No. Cnnvacmr Mailinp AdJress IConvactor or Owner Mabng Instailabon) AuMof¢e nalure (CoNractor? ner g InsWllaLON " Phone Number ., r?.?` MINNESOtA STATE BOAPD OF ELECTNICITY Grig9a•Midwey Blde• - poom N-191 1621 Vniversity Ava., St. Vnul, MN 55104 Phone (812) 297-2111 THIS INSPEG110N REpUt51 WILL rvUl BE ACCEPTED BY THE STATE BOApD UNLESS PNOPEN INSVECTION FEE IS ENCLOSED. HtUUt5T FOR ELECTRICAL INSPECTION ee-ouom-oa ? 7i/sz •31;21,5'7 / See inslractions lor comple4na this lorm on beck ot yellow copv0 A A V0 7 - "l!" Below Work Covered 6y 7hrs Request III AA "P'T Rep. J J 1 Type ol Bw10ine AVOlancea Wired - EquiDment WireA Home Range Temporary Service Duplex Water Heater Liqhnny Fxtures Apt. Building Dryer Electnc HeaLn Commercial Bidy. Furnace Silo Unloader InAustrial Bldg. Farm Air CondiLOner +nvr oe.:? v Bulk Milk Tenk ine, Iso.-,:,HI ?,r Sueci y ONer 01ner ., p ,yu.?. . ... Fee p? ......... . .... ..... _.. Sor??caEntrenceS¢e M Fee Feeders/5ubteeders % Fea - Circur[s U to 200 Am s 0 to 30 Am s 0 in 30 An! Above 200 qmps 31 to 100 A?nps 31 to 100 qm ? Swimming Pool Transformers Above 100-Am s Irrigation Booms Above 10Amps Partial- Other Fee Signs Special Inspection $ _aq" j T Al EE eem?rks ? L7O 1. tFin,ElaeM£nl Inspecbq neroby carUly that the abovr Mnsnection hes been rom 18 r . "-.. ? ;!'n7-? .. . . t !`,1i1?' ';t:n rr--,"•t• -,i?'w,_'??• c K ?I RE. FLA.? bl' 01iWI uq uall nCen for ,':t:,:z? ?Y•'..94f i:-V,llu.; fr?im?? u?i?rttrucl,iun ,._.,...... • ? . ,? ? ; ?t:.,. , ?_: . ..... . _ . _ , ?_ "• _?? _K... _.u.W4I?. C.7? ? u`?- . ... ??'.?? ?. :.4i?}?Ia:-?'?yF' ' ?O , Ilh ill". ••)? 1 ' ??...? ? d.? ,,. . r..? .i h;r,lt, rii,r it ' FIG. .N! ' TUl'VIFSi OF ? FIWIE NAL1.; 1, inCr_r lE?r ,i u' nk G?l ? 2 -- - - ' -- .. . . ; ;??, , .` I ?I . ; 4' ------._.._?._. .. _. __-___^---?_. ? . :; •;t'-`;?in , • _? - "_ . ., •?,?;.; :,,r,', ? ? ; ? ? •._: .._.?j 5 . -- ' -'--'- -' -' -' "' _' . -._.._.. . . _ - - o,;..- :a ";??, liL.i , f),.l'1 /? i '1 -•-'------ '-- --- >:'}:;i FIV?.IA?. , , ' yCVYrv %;" ? )iitr.iiuC aii• film t '.l•??A?{!J(`T ;v'? ,.I, I- -? ? ?` _Q'{? 5 , _-_----... _ _. . _. ?--•--....__.. .... ? .c `?':f? y?.ral: 7\sF: };xtnrSM nir iilm 0.1.7 ?? :_l?•?:.1..?I. ?^, i ._?.r ?:}?.:?::•;:??k"?ji', ? ?,?:' ?'_U.'. ? o ,? ? ::,fi+r?,?x•:;"=;i}r??i 1l, L., I,- r l I•:, (l . c,n ? ' ?1 '' '?? ?y, ?_,.?? '--Q _ . .-- .. - -- ' ----- .... _. -. -? _ ?.•?"??''?" ,?f?? •?4i" y . ... . _........ _.. ...._.? ? ?.?, ?. ? . ii. - -- 4\ ?• '?•. ??-.. ' ? --.._---•-°----•'-----___.._•------ - G. t::<lrricc' nir I i lrr 0.1'1 J` ?? ? . . . ...-- ---'-'-"-"""-"Tol,tl ?•' ? . , ? , ?,,p,; ' - ' - 5f?\li OPI 41NO111 .I? ? i ?? . ' ?+ ? • ? . , v . 41`I1<-:Vi..r'ebrz? . i ? ? ? • , . • , . .. ?????1 T:a?i u , ? ?'; ?? '- 1((-"' • , ' ' .;? 1;•?,.raez??34i''.? ?i ?? r,• ?,.-? '; ? , ' - , _? ? ?? ; , a . ? '.. r.=., ?y..' ?r , y" ? , -r ( ?rt • , ?(1, <:. T : r , • , ? :?'? ?,. _.'? :'=f P' 1 c:. I! d r, S, , :r / ? ,'?;(i. E?:'+?z??,:r?;,•?•" s?,?,. G. IJ,. ??r ?° \ .[ ,?i (1 Ps:.• T/7 flt , s ,iu•l'tL [ndlLarQ ty"' Et? v-I luc ?Icpll? nnd 3 3itty - . , ' e ? ryF? `;t' , ??i.i•:r,rn??it nf in PLA Q *i? U&jE-4 L FT, lY--,:Xpos?0 W,4L1_ BLOG K. ? 7 Z+ 4c*. S t ro = 178. 5 i:.ti.1?E '? 7Z ? 4?e• S-' i? ?• g ?:ULL! ? 1z+ 48 +8= +Zt? r--CTK--; " L. I - ? 1 R_,?t?(?G E? v? o c, t??.? , G? 1Z I 1?-t :', J z a. S wALL 13LOGIC', t zS?S K- , S = 64. ZS {e-NEE; I-t8.5 K. 5 _ Sp t. s , ? X g ? rvz.9 F, Q, ; ? ;C ?- a ? ?} 8 TotA L. _ 1$ 57. ZS W DArS ? 24148= 4= 3 z ? I3? Z41 ?? ` ? ;L GEi Lcuq 8Sa AZEA D.o+zs ? 31.?z ?7 Z."v7 ?$•G Z _?: ?ATI O mS , ; ? 4z1 -- ? -- . CITY OF EAGAN, , . . ..e ' , .. APPLICATION FOR P hERMIT SEWER AND/OR WATER CONNECTION r70rPR: PAS@QFNr' OF FFE,AT T?MOP; APPLI'??T/?? ? ? ? l1CLR/YA? VC 2ERMIT. . ' .. n*seecr=oN cF sMMM rND/tgt waM, IrMMIA'?'tON.S ie7II.L NOT -m .$QHEI>__ n? ncarII. PROUT HAs Mav 'i APPROM. ._.. .. - ?? ? . ? . ,.. :. : . ,. . : . :,, E+- . :.P:.ease Print ? . . . • ..,?? - ,., <? 1) PROPERTY ADDRESS: . . ,. ,_ ... _,?: ...., .... '? ..;:?-- __._.__..=.._..__. i f, 3514 Coactiman Road, Eagan;`MN. 55121'`'? . . . . . ?r,... : . :. " I.EGAI, DESCRIPTION:' Lot 1211o ck 1''Hampton -He3ghts - - - ? ^?•• • - -- _ " •-"" `Su ? ion or_ Ta?cParce , ID -:' _, . , Lot B oc v?- .:- _ IF ElCIS'PING 5TRC'CLS]RE. DATE OF CtIGINAL.B[.'IIDING PERMIT iSS[.'ANCE. ... ,..,?. ._ .,. . . . . . . . , . -? _ __?,?. .. _, ?,., ,..,. _... . ,. .;w.x. ,.: ftTlear r?/????LY1LYJ/LAVGWr+?}lpp y p/?y??.??• I:JG? i"[ . ... . .. !• ? . . ?. ? .. ? ,? ? , • ' - '(??`i'?= . " ? ? fAJ ? ?. . ? .. . __ . ,.. - ..., fi _ ' . . "._.- _.?._?.,..«?...... ..«.?,... w: . ?:;?. .? SINGI.E FAMYLY ..?y.. . ?. =„t-'';. , ? ? ,? '• r7 -?nmSTRIAL ?+- y??, !.? C?NAIVGDVEP224EM M?t? Y Y ix L??3 1VYY1VC1lA?JG `111LCCF?TWLLWJ•? ?"Jr?'??W? ? 'i3 r?T<.. ?'. ..? 'o 'l ?A?',"n. ;.. .' ? y ^"'' r v,y};. f v i „4 £_3..a ...?. ..' a..3?'? -.,(•'?;J;"';:in,' :..''a ?.x*i:•:ti... . r ;;-s' X . . .;`=?;. -•'• ??.?-',...,;s? ?. •";:(: .L?its?? ' •, -,? , ? -. ' ' ..... , . . . . - C06ID?1'?°.. '-~s?:• R 4 APATYiI?'IESTP/ . . • . ?r?, . . .pr.:}?tM1.+?...:?.... y?C . . . . ? , . . . ??{.. .,.f?..: ... . ; ?,:'?' , _ ?. ; .._? ,.. . ?'.y. ... . '_' ?? _{: NAME' FRONTIER MIDWESTJ$OMES CORPORATION ? ? = ? . , • : .. _._ .. _ : :. '?:r•. ;:.•. ,-?. .'",- 'i_ ADDRESS::. '3908 Sibley Memoiia..i Bigiiway Bldg..._ E ; t 'sL ? ,43'a"^„?; a ; : ia'_ ' ? . .. ?'y' J¢.?K:'1 ...- .. _... . •- . . ... , _ ? ?f ?)-;---- ? ----:??'' .?%'',-?' 0?i' CITY. STATE, ZIP: Eagan; MN:''``'S512?,.:r.,,,. 4'?,"??;Y• ,° ,.? ?- a. 454-0433,_ ? ?1 " ' • ? ?"?Sr U§r? ? ? ? ? +?: ' 3) u ?:?I• _ '•,6°. =e. rDr uLy.a:se ':. ?. NAhmc' STAR PLUMBING- "e P1tmbeLS License: `'. .. . . . :hr. , , .:, . ? e y'. ?1Ct.1VE ADDRESS: ` 1018 Mound •Spriags' Terrace . . - - ' ; s.red, CSTY. 'STATE, ZIPs Bloomington; `MN: ,:?;.; 55420 ,Npt. ,xecozdea;te? ? .- ? ._.?Nw. :<_., .. _ ,,,_ _•. _ .. , • `t PFIOM: 884-4149 ' KaS'IEE2 LICIINSE# 3329 . St? t-ral •. ? 4) r• • i?- ' •aF1ME: McLaughlin Bruce & Sue ° t i _ ADDRF$$: 11160 Anderson Lakes Pkwy. ? t CITY, STATE, ZIP: Eden Prairie, MN. 55344 PHONE= 829-0878 - 5) ? ?? r r• ?• "n • ? a?' - ? COIUNIDLTION TD CITY SEF7ER - ? CONNECPION TO CITY . WA't'ER = _( ^ OTM " . . , , •-•' - . ,..: ._., .. . .___.._ ... . ....... . ... ,. .. ._.... ?, _...,:.? _.- , . ?,_,......._,.. .,..._ .. ' b) ? . ?? • • ' ? PLEASE FiOLD APPRWID PERMT FYaR PICK-UP W ONE DF AB0?7E - --- .--- • - - -: --- Al 7 Q PLEASE MAiL APPROVID PERMIT 70 1. 2, 3,.4,,ABOVE . . (CSrcle one) k',,^?,7) r. n • ? . _. . _ _ ... FOR =CITY USE ONLY g >$, PERMIT # ISSUED ' Pd w/Bldg. Permit FEES: SEWER PERMIT (INCLUDE SURCHARGE) WATER PERMIT (INCLCTDE SURCHARGE) WATER METER/COPPERHORN/OOTSIDE READER $ S WATER TAP (INCLUDE CORPORATION STOP) $ S • SEWER TAP ACCOUNT DEPOSIT - SEWER $ l SC- t $ ACCOONT DEPOSIT - WATER n S WAC r, . S G_7 S.r.r_°z_?..._,.. . $ . . sAC , $ - $--.- - -- --- TRLNK'WATER ASSESSMENT TRONK $EWER. ASSESSMENT .: .. . . . _ 2?« ?4 . . _.__. _ .. _ ._ ..,._..., .._._,.-.._, . . . .._. . _ - $ ' ' $ LATERAL, BENEFZT/TRUNK SEWER :; `s. . . . .. . . , . - _,, . . ._.; .,...__ LATERAL BENEFIT/TRUNK WATER...- . ?,_....w_....,: . r ...., . .,, ,:.... _ . . _ . .4. ?'•^.i-._.:-'.. .. .......:..,'_,. . ... S- /1-j-?•?..,,Z/7: ?'. . $. .... WATER...TREATMENT: PLANT SORCHARGE. .: . . ,: w....,, . . , _. _ _ . . . . $:- 3"-`'?'. . _.,..... •..... _ _...._... .:.,;:,':'?._...,_. _ . •,s„axaEx:- :4...._._ .<. .... ..... :??:`?: ' ?a' .. _ .__ .. ..,.,. _. .. . .. . . :.... _.. ' . •: :: :.,... _ . .,_: • . - . _ : - . - , $ • ?j"',._-;? S `Z:,. ,.. $ TOTAL .......... .... . . ,,,?_. . .......... ? ___. ._ _,_ ._ . . . , ? ... . RECEIPT - RECEIPT DOES LTILITY CONNECTION REQOIRE EXCAVATIONI-IN PUBLIC RIGHT OF WAY? Q YES IF YES, THEN A"PERMIT FOR WORK WITHIN PL?BLIC _,ROADWAY". MUST:.BE-ISSIIED.BY TEiE ENGINEERING NO _.DIVISION.. LIST•AS--A-CONDITION.- - .. . ...,-::i'.,......_^.i_.. , , .. . SUBJECT TO THE FOLLOWING CONDITIONS:. . _ / -- - . APFFROVED BY: 0 -- XLJ ??rlIlILJ •TITLE : ''. • / _. _ - • DATE: • v •. i . < SIGMA SUI3VEYINO SERVICE8 3908 Sibley MemOrial Highwey Eagan, Minnesota 55122 Phone: (612) 452•3077 MJe: NART FoPo -L- House Certificate For: MphfE 9VIl0ERS kc lANO DEVEIOPERB 11111110 11111111111a aFALroas 1?E# Ct7MPAH1E5 , hcaLE ; I'' :do Y ? LLl , ? K l0 \?•ve„"9? , ! \ rO ??s ?? ? 3?? \ N 9 ?'O 8µ65 \l, 1 i ' .9JO i 00/ 0 X 848,0 ? i i ?, DIZAI NPA rn ? U?IoTY EASM'T. f? LOT 12 i i i L 0 i ' J i? I ? ;S 3 _, . W?,YNE D. CORDES - 14675 - -LEGEND' O Denotes Iron Mornerenf m Denotes Woai Hub Sef x 060.0 Denotes Existirg Spot Elevatian Denotes Proposed Spot Elevatien ?- Denotes Drainage Direction -PROPEItiY DESCRIPTIW- LOT ?? , BLCC'H I_ MN) ??QN HFil??1'r5 accordirg to the retarded p?at thereof, Ninnesota ' PROPOSED GARAGE FLOOR ELEVATION= Sy7''l PROPOSED Top of 81ock ELEVATION = 84$•0 PROPOSED BASEMENT FLOOR ELEVAiION a'D4 5,0 .&TE.- Verify all iloor heights with Final House Plsns. q1wEYnRS CERfIFIC0I1OhI- 1 hereby certify that this survsY. Pian or report was prePered by me or uder my direct supervisim ard tMt ! am a duly Registercd Lard SurveYa' wder the laws of the State of Minnesota. ln?lu • Date: _$`Y ?S(o Wayre D. Casies, Minn• Reg• No. 14575 ? 81 O MA SURVEYINO SEAVICES , 3908 Sibley Memorial Highway Eagan. Minnesota 55122 Phone:(612)452•3077 MoJa: NARTr-or4 -L- House Certifioate For: NOMt6UKDENS UNO OFVEIOPERS om ? rtEALrons tE,?i ? COMPAt?NE5 , hGAL E : I 11 :40 X ? ? Y ? Y? 6Q \ ? Q tT? 4. 1 . ?t // ' f h? / I 7 ? !V / ? • .. ,. PRA N?yra ? UTIL. I"f1' ? EA?iM''r I ? ' 0?•,? J V . ti .5 .? / / x 9'/8,0 LoT i 2 i i i i es°'O / N• IO.V - x V" 6 00S S ? ? ?' ' ?2 ? ?J ? J / / .Jf . WAYNE D. CORDES - 14675 - -LEGEND' O Llerwtes Iron Moniment ° Denotes Wad Hub Set n aso.o Denotes Existirg Spot Elevation („4Z1 Denotes Propned Spot Elevation ,I---- Denotes Drainage Directian -PIIOFERTY MSCRIPTlCrI- LOT ?? , BLax I_ -RAMeriV. N_ 145 4 wrs accordirg to the recorded plat thereof, County, Mimesota ' PROPOSfO GARAGE FLOOR ELEVATION= Sy7•7 PROPOSED Top of Blxk ELEVATION= Sq8•0 PROPOSED BASEYENT FLOOR ELEVATlON 9% -M5#0 NOTE: Verily all floor heights Mith Finsl Hase Plana. SUWEYpiS CERf If 1 Gllf f LYV- I hereby certify tMt this survey, Dlart ar report was prepered by me or irder nry dirxt supervisim eni tMt f am a duly Registerod Lard Surveyor I the lews of the Stete of Minnesote. oste: $(Y I8(, Weyne D. Cordes, Mirm. Reg. No. 14575 ty of Ea an 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (851) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #. D O Permit' Fee: Date Received: Staff: INFLOW + INFILTRATION PERMIT APPLICATION '" Plumbing / Sewer tic Water Date: D 3 3 !) Za t' Site Address: Tenant: l C °:-] -1 ul Address / City / Zrp: Name: License #: Con traCtrrr Address: City: State: Zip: Phone: Contact: Email: PLUMBING (within the building envelope) V/ Sump Pump Repair S ER & WATER (Outside the building envelope) Repair Other: FEES $60.00 I Each (includes $5.00 State Surcharge) TOTAL FEE $ *permit fees will NOT be reimbursed by the City of Eagan. if you plan to submit III repair costs for reimbursement, two quotes from qualified contractors must accompany this application. A list of contract can be found by visiting www.citvofeagart.corri/inflow, or City Nall at 3830 Pilot Knob Rd. 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, vvww.gopherstatecnecalloro 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 accordance with the approved plan in the case of work which requires a review and approval of plans. dkrtkJ atur FOR OFFICE USE Required Inspections: Under Ground Rough-ln Final City of Eagan PERMIT City of Eaan Permit Type: Building Permit Number: EA125110 Date Issued: 07/17/2014 Permit Category: ePermit Site Address: 3514 Coachman Rd Lot: 12 Block: 1 Addition: Hampton Heights PID: 10-31900-01-120 Use: Description: Sub Type: Siding Work Type: Replace Description: Census Code: 434 - Zoning: Square Feet: 0 Construction Type: Occupancy: Comments: Please leave printed pictures of house wrap on site for the final inspection. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Fee Summary: Valuation: 4,000.00 BL - Base Fee $4K $103.25 Surcharge - Based on Valuation $4K $2.00 0801.4085 9001.2195 Total: $105.25 Contractor: Vp Construction Of Minnesota Inc. 2263 Tilsen Ct St. Paul MN 55119 (612) 644-3866 - Applicant - Owner: Andrew Nguyen 3514 Coachman Rd Eagan MN 55122 (651) 278-9032 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. Applicant/Permitee: Signature Issued By: Signature Date: C!ty of Eau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 JUL 2 5 20i6 ---?1) For Office Use Permit #: _ Permit Fee: Date Received: Staff: Lh$3 2016 RESIDENTIAL BUILDING PERMIT APPLICATION1'311I 2-5 - 1 (.n Site Address: '351q Cc_Nr.c-*-rc - 9-tr ck cc: , M0 STD-- Unit #: Resident/ Owner Name: c cvZ L Phone: Co \2 5\0`(s, B Address / City / Zip: 'S5 ‘1-\ Ccre. ci-c..c-N Q--oeck cc�cs . 5S -V2-.2 Applicant is: X Owner Contractor T e Of Work Yp Description of work: \c-oc` h'ecr,�,V... .. C Nr -C J Construction Cost: '25(X7 Multi -Family Building: (Yes / No, ) Contractor Company:. Contact: Address: City: State: Zip: Phone: Email: License #: Lead Certificate #: If the project is exempt from lead certification, please explain why: In the last 12 months, Yes No COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? If yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Fire Suppression Contractor: Phone: Phone: Phone: 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 they are trade secrets. 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.qopherstateonecall.orq 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 accordance with the approved plan in the case of work which requires a review and approval of plans. 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. x Applicant's Printed Name Applicant's Signature Page 1 of 3 VV 1T1 TV1%11 V YVVV II 1111 11...1111V SUB TYPES Foundation Single Family Multi 01 of Plex WORK TYPES New Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25%_ 100%)6 ) Census Code # of Units # of Buildings Type of Construction Fireplace Garage Deck Lower Level — Porch (3 -Season) — _ Porch (4 -Season) _ ) Porch (Screen/Gazebo/Pergola) Interior Improvement Move Building Fire Repair Repair 25 . Pool Siding Reroof Windows Egress Window Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Accessory Building _ Demolish Building* _ Demolish Interior Demolish Foundation Water Damage *Demolition of entire building — give PCA handout to applicant Occupancy �/22 S Code Edition Zoning Stories Square Feet Length Width REQUIRED INSPECTIONS Footings (New Building) Footings -perk) QX 1 Footings (Addition) Foundation Roof: _Ice & Water _Final Framing 30 Minutes 1 Hour Fireplace: _Rough In _Air Test _Final Insulation Sheathing Sheetrock Fire Walls Braced Walls Shower Pan Reviewed By: 06,97/%2'/c /7/ P MCES System SAC Units City Water Booster Pump PRV Fire Suppression Required Meter Size: Final / C.O. Required Final / No C.O. Required HVAC _ Gas Service Test Gas Line Air Test Pool: _Footings _Air/Gas Tests _Final Drain Tile Siding: _Stucco Lath _Stone Lath _Brick Windows Retaining Wall: _ Footings _ Backfill _ Final Radon Control Fire Suppression: _Rough In _Final Erosion Control Other: , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge SSW Permit & Surcharge Treatment Plant Copies TOTAL >9. LJ X((/' Page 2 of 3 L -S1917 SIGMA SURVEYING SERVICES 3908 Sibley Memorial Highway Eagan, Minnesota 55122 Phone: (612) 452-3077 HouseCertificate Model ; N(ArzT FAO 0141, hCAL E : 1' :40 5"� LiTI WTY ' EASM'?. Lo -r 12 .• xS1FB,o %t o .•. Va 10 6S° -b 0 Denotes a Denotes x 86" Denotes 6,0=4) Denotes ----- Denotes 30 .\ -LEGEND - iron Morxnt Wood Hub Set Existing Spot Elevation Proposed Spot Elevation Drainage Direction -PROPERTY DESCRIPT IOV- LOT 12 ,BLOCK 1 4AkiPI .14a16WT according to the recorded plat thereof, AKt7fi4 County, Minnesota 1 J N970.0 WAYNE CORDES = A— 14675 -- 1 ioniliim PROPOSED GARAGE FLOOR ELEVATION= 5117,1 PROPOSED Top of Block ELEVATION— 84$.0 PROPOSED BASEMENT FLOOR ELEVATION.. V46.0 NOTE: Verify all floor heights with Final House Plans. -SURVEYCRS CERT IFICAT I pV - I hereby certify that this survey, plan or report was prepared by me or order my direct supervision ard that I am a duly Registered Lard Surveyor and r the laws of the State of Minnesota. Wayne D. Cordes, Date: a(14WD Minn. Reg. No. 14675 I- For Office Use ��t.� � tcci10 � �� :::: E AG A N 0e: E CE11,EDate Received: /C 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-569 Staff: `�� .4, ... buildinginspectionst citvofeagan.com MAY 2019 RESIDENTIAL BUI! IT APPLICATION ��J� n Date: Site Address: Unit /��Uynit#: Name: /1/1/1,(71/4* M - 1✓LQ.Z Phone: Cost J-eft?-7>' Resident/ turner ..15-..15-/e/ l_/' rner Address/City/Zip: � O0.c.A/ht/7 erA -CL)a in 1 rr(•2•? • Applicant is: Owner _.,&Contractor s /-Ii. -mp 7-04 H�is ikri---.... Description of work: leed o 1,14e,-4r Ototrti +,k Type of Work Construction Cost:_QOOr Qy Multi-Family Building: (Yes /No ) Company: I I"IA-( .. /04401S I/fl.k#rO h Contact: /eC r/-- ,�i(,S',Jli+ifre Address: /32)2 �vcdp Cr City: & .01/ Zip, A 6/ State,44bip: 5 /1c( Phone: 6.15-733d'-P-f1Email: 904.Prc/d-@ 1C;'•4••ISs irhb.r kkej told,, LEAN License#: 66 Ca 4/3 /5-r Lead Certificate#: NAT" F ( 7 O c267 — If the project is exempt from lead certification, please explain why: 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: NOTE:Plans and supporting documents that you submit are considered to be public.information. Portions of the information maybe classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets, 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.citvofeagan.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.aooherstateonecall.orq 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 accordance w.th the approved plan in the case of work which requires a review and approval of plans. x ��--- xr� A lic nt's Printed Name Ap icant's Signature 6 rr ed-J- /kg1s.4/6 I pp DO NOT WRITE BELOW THIS LINE -35i-I C'oct(L,,,,.,,,,,� F--c C 7 SUB TYPES _ Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) I< 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 k Alteration _ Fire Repair _ Windows _ Demolish Foundation Replace _ Repair _ Egress Window _ Water Damage — Retaining Wall *Demolition of entire building-give PCA handout to applicant — DESCRIPTION Valuation aa,c00 Occupancy 'T(1-L I MCES System Plan Review Code Edition apts./14 SAC Units (25% 100%X ) Zoning VC) City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction _ 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 X Drain Tile Fireplace:_Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS 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: c.--- m-1-. , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Radio Meter Read Copies TOTAL Page 2 of 3