3518 Coachman Rd.. .._ ? crTY oF EaGAN d 6
`- ' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121I1? t?Q 12v1o
PHONE: 454-8100
BUILDING PERMIT Receipt # %
To be used for Sil DWC/C'AIR Est. Value $590000 Date OCTOBL'12 28 19 86
SiteAddress 3518 COACyiMAi?l RD Erect EIX Occupancy R3
Lot 1361ock 1 Sec/Sub. IWITT0N S3'1'S Remodel ? Zoning X l
Parcel No. _ Repair ? Type of Const. Y
Addition ? No. Stories
W Name r'Ka`dTIER MIDViEST fi0.11h:S Move ? Length A9
3908 S ZBLEY MEM HWY t BLDG E oemolish ? Depth 46
3 Address
n " n.- x ti, c w__ 9% '2a Int Impr. ? Sq. Ft
= o Name SE
? Q Address
F' /`:f.. Dl.....e
F W Name
? ? Addrflss
i W City Phone
Install ?
Auorovals Fees
Assessment _
Water & Sew.
Palice
Fire
VVYIVIIherebyacknowledgethatlhavereadthisappiicationandstatethatthe gldg.Off. 10/28
information is correct and agree to comply with all ap?} able S
Minnesota Statutes aryl-Ciry of E?,?J?dinanc . / ? APC
r U8(
Signature of Per?r?i?lee''"?
A Building Permit is issued to: FROIVTIER MIDWJ:ST H{lElr:S
all work shall be done in accordance with all applicable State oi Minnesota Stat
Permit -? Jlv.Uv
Surcharge 29.50
Plan Review 155.00
sAC 575.00
Water Conn. 500.00
Water Meter 63.50
Road Unit 290.00
*r. PI. 156.011)
_ Copie
Total $2,079.00
on the express condi6on that
an Ordinances.
ParmN No. Permit Hdder Oate Telaphons N
PlumSfny '
HIA.C. .J?-•? .? ?: ?' ?;'
?
Etectric ? ?n'j??J ? ? '?v_t.?=.i:,, /•? ??/?'? ?La?? C???
Sofl?ner
Inspectlon Date Inap. Commmnb
Footings 1
FooGngs II
Foundatlon
Framing
Roofln9
Rouyh Plbq.
Rouqh Fitq. u-)g
Insul. /Z ?
Ffreplace
Final Htg.
Final Plbp.
Bldy. Flnal
Csn. vec. ' -13 87 •! '
Deck Ftq.
Deck Frmy.
Wsll
Pr. Dhp.
. , ?.
. . . ,.
m Name
? Addre
c City _
L Name
c Addre
O CitY ?
PERMIT #
PLUMBING PERMR RECEIPT #
dTY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE f
PHDNE: 450-8100
Sec/Sub
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
MINIMUM - RESIOENTIAL FEE - $10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARCE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
FOR: CITY OF EAGAN
BLDG. TYPE WORK DESCRIPTION
Res. ? New ?
M ult Add-on
Comm. Repair
Other
Nq. FIXTURES TOTAL
Water Closet - $3.00 i -
TBath Tubs - $3.00 ?
_TLavatory - $3.00
Shower - $3.00
TKitchen Sink - $3.00
Urinal/Bidet - $3.00
?-Laundry Tray - $3.00
?Floor Drains - $1.50 '
Water Heater - $1.50
Whirlpool - $3.00
TGas Piping Outlets - $1.50
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
alRough Openings - $1.50
FEE
STATE S/C: GRAMD TOTAL: r
a ?L' r$"o?4„?-!",'r ;? r•: :.. i . ','.. ? r •e.r .` _.`??°a ?p.'.,y -• • . . 1F ... ;t . .3: .. . . • .? .r
. . . , . . . . . . t.; Z, . . . . ,
PERMIT #
MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: i4?7
CONTRACT PRICE: '15J0. U1_, PHONE: 454-8100
Site Address BLDG. TYPE WORK DESCRIPTION
Lot Block Sec/Sub
Res. A.. New
m Name ;: ? ? ._ • , '.:. Mult Add-on
Address
? Comm. Repair
c City Phone '` Other t:dl Name
c Addre;
O Cit1' -
TYPE OF WORK
Forced Air
Boiler
Air Cand.
Vent
Gas Piping OuNets #
Other
M BTU $24"
M BTU $_
M BTU $?
M BTU $-
CFM $?
a i.
FEE
S/C:
TOTAL:
•JV
RES. HVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
ADDITIONAL 6 M BTU - 6.00
GAS OUTLETS - 1.50 EA.
COMM/IND FEE - 1% OF CQNTRACT FEE
MINIMUM - RESIDENTIAL FEE _ -_ 1U.d0
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
. FEES
S(J I SIGNATURE OF PERMITTEE
,I
FOR CITY OF EAGAN
?
38W PNot Knob Road R t? 5
P.O. Box 21199 PERMIT NO.:
Eayan, MM 95121: DATE:
Zoning: ? -14 No. ot Units: i
Site Addess: -
Plumber.
Meter No.:
-3 7 4 Connection Charge:
Size: Account Deposit:
Reader No.: Permit Fee:
1 ayree to eomply wMh the Gry o1 Ea9an Surcharge:
Ordinanc Misc. Charges: , ,.
Tot81:
?
B Date Paid:
y
Date of Insp.: lnsp"
i -i?-
F7
' OF EAGAN WATER SERVICE PERMIT
I pllo! Knob Road
Box 21199 . • PERMIT NO.: 5
m, MN 55121 DATE: 0, -'R 6
n9:
of Units: ?
No
.
er: -
No.:
No.:
to comply with the City of Eagan
Connection Charge: 500 413^?__r_i-
Account Deposit: 15 flOT =
Permit Fee: 113 11Td
Surcharge: 5opd
Misc. Charges: 156 00*+? '?'T'
TotaL• h? 50..a .,.eto.
Date Paid:
of Insp.: Insp.:
CITY OF EAGAN SF#M sEMCE pMMR
3830 Pilot Knob Rosd
P. O. Box 21199
PERMIT NO.: 92711
Eagan, MN 55121 pATE;
Zoninp: No. of Un1ts: I
OwrNr:
Address:
Stte llddre= 3513 Coachman fioaj ?;1 :Iamptan Iieirh[.B ?
Ptumb.r: _ St8r Plumbing
10-29-FA 57F;:20 100.00pd ^.?.
I Mm t• ?•?.rh wm 60 C*v of fqs¦ Conn.ctlon Clwrye: a 7 5_ WPd
Or/iNeow. Ataount Deposif: 14_ 00nA
PermM F«:
Surdwrpe.
8y
Dnte of trup.:
Mise. Choeqm
Tatd:
Qoh Pald:
,Z+ Q,rior Envolopo nvoragc "U" ComputaL•ion • '
, . Pago 2 0f 4 ,
-•.? " • - .
ToL•al expoued root/ccilinc arca
m. 'lbtal skyli,ht arcA ............................ .?...??. . -
n. Total rooE/ccilin, framing arr_a (avcraye 10%)...
o. Total net insulated roof/cciling area...........
:72-z--
. Determine "U" value for each roof/ceiling segnient
. Tp , IMEMi X #gU il
n. a --U-
.
a. 797, a --U-- Zt4
4 ........................... Zb tal :? •
If total af ;;4 is the same as, or less than #2, you have met the i.ntent of
ShC 6006 (c) 1.
,
Alternate IIuildinq Fnve].ope Design
4b utilize the total envelope 'system method, the values established by tlze s:un of
itens U and #4 shall not he greater than the sum or items ft1 and #2.
2. 3. O 1. + 4. (7. 7 l t t?Zi15
.
. , ?,
s rv&+k^ c>CS t4*)• Pa_ 9e 1 of 4
.._. ?•.•?', ,?- . , , nILHIOR ENVELOPE AVFRAGE ° U" COhiPUTA7 jpN
. ? _ ^ -_ _ _ . . . Z,•?vi,.0 _ kN t S. i?rr?? L.?+
OWNER;
_ nnTr : 3 •.• ZS -a S .. . _
SITE ADDRESS:
a. 1 1 3 x
b.
X
c . ? Z x.
d. X
e. x
f.?a.s X
4._ .1_072 x
CONTRACTOR: ??cloinm 4 Determine working square footage of each
J. 'Total exposed wali area....._f8S'7 Z S sq. ft. x.11 = Z04, Z17 2. Total roof/ceiling area..... aDD sq, ft. x .026 = ZZ.a $
Total exposed wall area al>ovc floor=_`
a. Total wall window ar•ea
b. Total door area......... ..........................
c. Total sliding glass door area.,.. . ..
. . ...................
d, total fireplace wall area ..............................
e. Total wall frnming area (average?l001.1)......... . . . .. . .. "
. .......... ...................
f. Total rim joist area...........
g• net wall area above flaor.l'.%f !?.
h. wal] area above fioor .............................
i• wall area above floor.......... . . . . . . "
j frame wall area at foundation ...................................
Total exposed foundation area= G t}, 'Z S
.k., Total foundatlon window area.......................
.?_
l. Total net faundation area above grade .............
Determine "u" value of each wall segment
(e.g. window, doar, eacti separate wall section)
3
If item #3 is
as, or less t
l1, You have
intent of SBC
n
„u,.
,tuti 645
?
r
„ur, .4 5 = ZZ. 4,
„u„ 3cp = r?.2
.
„L,,, $s
.
„?„ 0 3 = 5
.
.
,03 ?5cl, o{
PIIONE :
_
X "U"
i. X
J•
k , "?....?.--?
X "U"
x
i - Cg. ZS z
" U" momo,nft r
.,u „ IS = f•(o3
......... -) W
.......................Tota1
- . ? ?.
? F.
.. . •`.?• ?' •?
;...
" . . A•1
_ , _ _ . . ._, ?r,r•-p---^"'
.........,?.s?.or+s?+•,.-"^'?'°'"' .?n..a?..?..._..._. .
CASH RECEIPT ?
CITY OF EAGAN
3830 PILOT KN08 ROAD
EAGAN; MINNESOTA 55122 ,
DATE 19
REGEIVED FROM
AMOUNT $ I
E] CASH - "QGHECK
BY
f'7n nI
White-Payers CoPY
Yellow-Posting CopY
Pink-File CoPY
B L D G. P E RM I T ti 0. ?-?-?--
C?
01-3210 ?-'B?a?• permit'
01-3422 Plan Check
p1-3445 Surch. /r`.dm• _?-
01-3446 SAC/Adm.
01-2155 Surcharge
? 17-3860 Road Unit
20-2275
20-3865
20-3868
20-3716
20-2252
20-3713
20-3743
79-3866
11-3855
SAC
Water Conn
Water Trmt
Water Mete
Acct. Dep.
Water Perr
Sewer Pert
Sewer Coni
Park Ded.
TOT_--
Thank You
PEDERSON' OXFORD
1986 SOILDING PERFIIT gPPLICATION - CITY OF EAG9N
NOTE: ALL CONTRACTOES MOST BE LICENSSD IiITH THE CITY OF EAGAN
SINGLS F9lIILY DtiBI.LII7G5
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OE SURVEY, 1 SET OF ENEHGY CALCULATIONS
MULRIPLE DfiiL6I.LINGS - R&SIDfiNTIAL REN'fAL ONITS FOR SALS ONITS
INCLUDE 2 SETS OF PLANS, CS9TIFIC9TE OF SIIRVSY - CHECB WITfl BLDG. DSPT.,
1 SET OF 6NERGY CALCOLATIONS
COHIMf'sECIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SE2 OF SPECIFICATIONS AND 1 SET OF. '
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
59,000
To Be Used For: SINGLE FAMILY Valuation: 59- Date: 9-24-86
Site Address 3518 Coachman Road
Lot 13 Block 1
Parcel/Su6 HAMPTQN AEIGHTS
Owner Pederson, Allen & Michon
Address 10220 Quince St. NW
City/Zip Code Coon Rapids, MN. 55433
Phone 757-0273
Contraetor FpAMrIER.C'L11flpmJFG
3908 Sibley Memorai H;gh?xay - Sldg.
Address F2gan. MW 55122
City/23p Code
Phone 454-0433
Areh./Engr.
Address
City/Zip Code
Phone #
OFFICE IISE ONLY
Ereet ? Occupancy (Z3
Remodel _ Zoning [ZI
Repair _ Type of Const -Sr
Addition # of Stories
_
Move _ Length
Demolish Depth qcn
Int.Impr. _ Sq Ft
Install _
APPROVAIS FEES
Assessments Permit 3 I?,
E Water/Sewer Surcharge 29,5D
Police Plan Review 15s,
Fire SAC 5-I5,
Engr Water Conn 5co.
Planner Water Meter (c)3.$D
Couneil Road Unit 290
Bldg OFf Treatment Pl l 5 Co,
APC Parks
Varianee Copies "
_ TOTAL
NOTS: ADDEES56S FOR CORNER LOTS - CONTRACTOR/HOMEOiiNEB HIIST DESIGN9TB WHICH ADDRESS
IS DESIRED. 80 CHANGES i1ILL HE ALLOiiSD ONCE BDILDING PERMI2 IS ISSIIED.
BUILDING PERMIT
Aeceipt# l(L2 ll50
To6eueedfor SF DWG/GAR Est.value $59.004 Date OCTOBER 28 1986
SiteAddress 351$ COACHMAN RD Erect Occupancy R3
Lot 13 elock 1 Sec/Sub. HAMPTON HTS Remodel ? Zoning R1
Parcel No Repair ? Type ot Const V
Addition ? No Stories
W Name FRON TIER MIDWEST HOMES Move ? Len9th 39
3 Address 3908 SIBLEY MEM HWY, BLDG E Demolish ? Depth-T?G
° city EAGAN phone 454-0433 InstallInt. ?? Sq.Ft
i Name
? p Address
? City Phone
F w Name
Address
z
a w SAME Aoorovals Feea
o
Ciry Phone
Assessment.
Water & Sew
Police
Fire
Eng.
Planner
Council
IherebyacknowledgethatlhavereadthisappOcationandstatethatthe Idg. Ot
intormation is correct and agree to comply with all apph State
Mmnesota Statutes and Ci 'agan i, APC-
Var. Dat,
SgnatureotPermit(ao ( i
n Building Permit is issued to. FRONTIER MIDWEST HOMES
all work shall be done in accordance with all applicable Statp o( Minnesot tatu
CITY OF EAGAN
' 12818
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55721 Np
PHONE: 454-8100
Permit $ 310.00
Surcharge 29. 50
Plan Review 155. 00
SAC 575.00
Water Conn. 5 0 0. 0 0
Water Meter 63. 50
Road Unit 290.00
Tr. PI. 156. 00
Parks
Copies
Total $2, 079.00
on the express condition that
Ciry oF Eagan Ordinances.
Building Official ??! e i o \
?
C.. Urr p.3mn:..unll n:rn L?r
It;,m•: c<an:.irticlic,n
J.?.
TUl'YSf34 OF
FlWik Ii11I.I,
PIC. p]
FIG. 112
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r\?
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ycrl , •
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fl ?
-----(?)
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----- -?--0 l
qtffA4?n.. .. . _... . ?.(,u?
A.5
,. a, Z:?,,i?,•. .,?? ..,.., 4,3?
7 00
; . s.l n ?..?j a,1.wP+. . . _. ... .
G. }:>:lt•Yii,r 11? (t:•n ? '? O
"""_._.__ ...... ......__ ....._.....U???
'lUl,?t
y $ . og
._......--?--..._ ,!'t5
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4. T 1! 1 -1 i9 el Vma
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2. '$`???/?....... ?•fif?
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?. }:xC!-rlor nir i i Im 0. i7
---------------.. _----'--'-"--y"---Q-.. y
E;l.OGA. W=.C)'3
1. In[??: i•,r ni rI1.6n
.
aB.S 4PM
1.
n. . P@sr'?c'a?_t'??+C..
5. . .._.._-?------.._.. -•--------°--?--._..._.
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'ruLal 4• 7
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F1c,. i!a u • :>
/?
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1
;srl'l:: ti.?ii..nt?: t?;?,.•, ?•?t" v.?iw:, lenth nnd
This roouest void
18 rtpn[hs tmm ?y
69587/.2,%l?
Reqoest Da+ Fire No. / Poueh-?n Ins cuon
I I
Requ red? 0 Ready Nuw NotifY Ins0ec-
12- ` ` l1/
V s ?NO ?or When Ready
icensed EIecVical Conhactor 1 hereby mquesf mspeciion of e0ove
? Owner electncel work instelletl eY.
Street AAdress, Box o Route No. GtV ?? \
ecuon o. ownship Name or No. ange No. County
O pan INTI Phone No. ^O ??
Power u lier Address
EI¢ctncal Con(ractor (Company Name)
KEIVDRICK ELFCTRiC C. tracmr' Lmons. No.
2
MailinB A1Qd7?[sjGqn[?c?q(?y?bKkLing ANE tion)
??V i'L',1VLVU
Auth i ur Ow l *uonl Phone Number
MINNESOTA STATE BOARO OF ELECTflICITY
Gripqe•Mitlwey Bldp. - floom N-197
1821 Univ.rsitv Ave.. St. Fsul, MN 55104
Phone 16121 642-0800
THIS INSPECTION flEQUEST WILL NOT
8E ACCEPTED BV TME STATE BOApO
UNLESS PNOVEfl INSPECTIpN FEE IS
ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION ee-ooooi-os
0 See insimchons lor comoletmp this form on Deck of vallow copy.
f( rQ C, Q 7 "X" Below Work Covered by 7his Request
d
d flsD• Type ol8wlaina AoVlioncea Wne! Eqmpment Wired
Home e Range Tem rary Service
DuplOx Water Heater ? ghtm, Rxtures
Apt.
Bwlding er Electnc Heatin
m
Comercial Bldg. Furnace Silo Unloader
Industnal 81dg. Air Conditioner Bulk Milk Tenk
Parm otnr, aeoi v me, sncu00
t er ue, V t er Oth.r
ompute lnspection fee 8elow
p Fee ServicaEnbence5lxe tl Fae Feaders/5ubteeders N Fee Grewts
U to 200 Am s 0 to 30 Am s 1,7,0.04 100 m 30 Am
Ahove 200 qmpy 31 to 100 qinps .OD 31 to 100 A s
Swinanin Pool Above 100_Am s Above 100_Am '
Transiormers rngation Boort?s Par[ial.'Olher Fee
Signs SUecial Inspection g
Remarks
_ / - TOTAL F
/l7001
iouph-in
? I. Iha Ele ic
?nsOeclar,heraDy
p cer4fy that [he flbove
Final C nspaetion hea baen
mede.
ITIS reouesl voiE 18 montha Iro.
?or/cEi:.z:?c
?????1! Illi. l
': ?? • ?--0 ?--0
±nted Hea? flov
up
PYG. G5 ,.
Y_czt fiov up •
3
• o,:
---?..,•,7.?:?--:
?•vented
,
f6. . _. . ... . ' :
? .F05
1S?r??.. • • . ...
••!'.' • •??
. ,., , .
• hQ:7-L'?;T?...D ? .
? . XcaC ?
. • ; . . flav up •
. . • . .. -
' P'Z ._ 27 . .. `•
Const?ion , R-Val?ic
Sntcrior air filn .0.62.
?
2. 51f3 6-( F3U . ?
3. ItisUc.. a.4.?
4. £xtcri.or air filn (still) 0.6
? Total 2 4s8o
. : •. . - C)_ oz .
j. In[erior air film 0.61
2- G RD
3• Zj S 1?.lsul. 38.35
4. F:xtr_ric+r e.ir Piin istil .
Total
COA- 57R ?CT/ mY`_ '
? 1_ Insidc air. film 0.61
• •
3_ . .
? 4.
? • S. Outsidc air fil:n 0.17
Total
.c.t'?'l•-? E ' ' ' .
- Z. 'Insidc aii' filu 0:61
2.
3_ ' -
. 4_
• $. outsidc air fi2:a 0.17
Tota1
v 1_ Znside air film 0.51
?
( 3"
? 4_
5. Outsidc oir filtn
0.17
TOtal
' . laotee Usa additional sheets
'. needecl for clet.mils and if morc apaee i:
calculations.
" • .
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x r ,.?-_..•,. _. , _;,-, ;
nren for
Irom^, c?n;tt ruct, lun
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CITY OF EAGAN . . * -??''-? a ? ? '
, . . . ,_ : .: .,.. ., .
• • 1) PROPERTY ADDRESS • --.;. _-._ . .?_. _,..... _ _.. ..._
3518 Coachman Road,"Eagari;'r7N. SST21 ' • .,
: ; . .
I,EGAL' DESCRIPTIONv' Lot 13'Block,l"Hamp,COn_kleights,...._
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Lot B ock Su ivision or _Tax-Parce .SD
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4 IF EXISTING SlRCCIL?RE. DATE OF,ORIGINAL.?Ta,DING PERMIT I55[;ANCE: ";`:`?:-<',`: , •::?' T
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PRFSEW ZONIING/PROPOSID DSE:
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NAME: FRONTIERMIDWEST%HOMES'CORPORATION
ADDRESS: 3908 Sibley Memorial"Highway Bldg. E
a.??•
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CITY. STP.TE. ZIP:`?'°"Eagan, MN 3
: .5512';'`-_:, r,?
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, . NAME:
AUDRESS:
i
;
.•" .f::1:r?n''
STAR PLIIMBING,
1018 Mound'SF
_. . . ., ? ?N"-- ..
I I Plunt
igs Terrace -._. , , _-., . r?• ,r .;?, _ -
CZTY, STATE, ZIP: Bloomington, MN.::i_55420
PHONE: 884-4149 NgS.S7gt 7,IC']SE#
3329 ..
?. laat .recoZded
Staff Initlal '
? 4) •a • i?• .
-IvAME: Pederson, Allen & Michon
' ADDRFSS: 10220 Quince Stredt NW
; CITY, STP.TE, ZIP: Coon Rapids, MN. 55433 PHONE: 757=0273 -
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? coNsmcrioN so crrr sMM ?- ? corsmcrioN 7v .ccrrY .FiaM ?p omum
_6) ? '? • ' i ? -PLEASE HOID APPROVID PERNffT FCR PICK-i?P'BY ONE OF I+,BWE - - - -----:
? PIEA.SE MAII. APPROVID .PERNIIT 1U 1. 2. 3. 4. AEWE -
_. . • (Circle one)
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FOR :CITY USE ONLY
PERMIT # ISSUED
S% Z-5 - I
Pd w/Bldg. Permit FEES:
$ $ SEWER PERMIT (INCLUDE SURCHARGE)
$ $ WATER PERMIT (INCLUDE SURCHARGE)
$ Gi?7 .S? $ WATER METER/COPPERHORN/OL'TSIDE READER
$ $ WATER TAP (INCLLDE CORPORATION STOP)
$ $ . SEWER TAP
$ IS "?D S ACCOUNT DEPOSIT - SEWER
$ ACCOONT DEPOSIT - WATER
WAC
SAC
S ?.: $ "-•:-'-.: TRONK WATER ASSESSMENT
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$ TRUNK
SEWER. ASSESSMENT
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WATER..TREATMENT:;PLANT SIIRCHARGE
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RECEIPT - RECEIPI'
ti DOES IITILITY CONNECTION REQUIRE EXCAVATION-IN PUBLIC RIGHT OF WAY?
YES "IF YES, THEN A"PERMIT FOR'WORK WITHIN PUBLIC
Q ROADWAY" MLST:BE.-ISSLED SY THE ENGINEERZNG :
NO DIVISION_ LIST=-AS=-A-CONDITION.-
SUBJECT TO THE FOLLOWING CONDITIONS: _-. ,.
' ? -/? - --- - _ .
APPROVED BY:
TITLE:
,..?. r
. F DATE.
b
?33a.3
2005 RESIDENTIAL BUII,DING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
'
`_
?e ?7 0 0-0
New Construdion Reauiremenfs RemadeUReoair Reauirements Offee Use Onlv
3 2gis[ered sHe surveys shoving sq. ft. of lot, sq. ft. of house; and a9 mofed areas 2 coDies of plan CeA of Survey Recd _ Y_ N
(20%maximumlotcaverageallowed) lselofEnergyCakulallansforhealedaddttbns TreePresPlanRecd _Y_N
2 copies a( plan showmg beam & window sizes; poured found design, etc. 1 site survey tor addidons 8 decks Tree Pras Requi2d _ Y_ N
7 set of Energy Calculations Addition - irnlicafe iFonsne sepfic system On-si[e Septic System _Y _ N
3 copies of Tree Preservatlon Plan if lot platted after 711193
Run Joisl DetaJ Options seleclion sheet (buid'vgs with 3 or less unfts)
Date V??7 j 11? I
Site Address ? p °
0 6 g Construction Cost / O?D,
a
? 5 /0 CoAcAM /} AJ /(V Unit/Ste #
Description of Wark &-?ao / /tAK U/C)C:7-
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2
Property Owner Telephone #(???
Contractor W e r,4
Address 9760
State -/ 37,4 /QdL l
Zip City 6yli6o?
Telephone #(?? ) 5?? 636St
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules'7670 Cateeorv 1 _ Minnesota Rules 7672
Energy Code Category , Residential Ventilalion Cafegory 1 Worksheet • New Energy Code Worksheel
(Jsubmissionrype) Submitted Submitted
• Energy Envelopa Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone #(
W[Enn Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the 5tate of MN
Statutes; 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 r?ires a review and
approval of plans.
444'n? ? u'??-
?Applicant's Pnnted Name /`
SIGMA
SURV
SE
3908 Sible
Eagan,
Phone
hcA?E ? 1??-40
EYINO
FtVIGES
y Memorial Highway
Minnesota 55122
(612) 452-3077
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HouaseusUficate For:
ak 4RN0 CEVELOPERS
qEALTORB
(''lict 1 OxW
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WAYNE r.).
CORUES
-- 14675 ---
-LEGFND-
o Aenotes Iron MarWrrent
0 Denotes Woai Hub Set
x$500 Oenotes Exrstirg Spot Efevation
(XhyoW4 (knotes Proposed Spot Elevatian
_.?Denotes Drainege Direction
-PAOPEKfY OIESCRIPTILNI-
LOT 13 , gL(x'K 1
_-?fRMPTON ?}elCak?"?S
accordirg to the reccrded plat thereof,
County, Minnesota
PROPOSEO GARAGE f100R ELEVATION= Z•0
PAClPOSED Top of 8lock ELEVATlON= 8503
PROPOSED BASEMENT FLOOR ELEVAT ION= 847.3
NOTE: Verify all floor heights with Fine! House Plans.
oralivpRS CERfIFIC4fILw-
1 hereby certify thet this survey, plan or report
was prepared by me a'Lrder my direcf supervisicn
ard that I am a duly Registered lard Surveyor
under the laws of the Stafe of Yinnesota.
? ? C?_ ?
t Dafie: 10
Wayne . Cordes, Minn. fteg. No. 14575
Sarah Thomas
From: James Lanigan <jamie@lanigankolb.com>
Sent: Monday, January 14, 2013 3:42 PM
To: Sarah Thomas
Subject: Opal Services, Inc.
Hello Sarah,
Thank you for your response to our call regarding the group home locations that Opal Services, Inc. is in the process of
buying and licensing. As my colleague mentioned in the voicemail this morning, Opal Services is buying Opal In -Home
Services, and applying for licensing of all existing group home locations. The county and state licensing process requires
that we inform each municipality that we are applying for licensing. We are not requesting to be licensed within the city
of Eagan. We simply needed to inform you that we are applying for county and state licenses for homes that are located
in Eagan.
Per Minnesota Department of Human Services form DHS -0250 -ENG, page 5: "Applicants for a residential program (adult
foster care) license issued by the Department of Human Services under Minnesota Statues, Chapter 245A, The Human
Services Licensing Act, are responsible for contacting the municipality where the program will be located to inquire
about applicable local ordinance requirements." The form requires we list the contact name, phone number and date -
of -contact for each city that we informed of our application.
I will note on our license application that you are the person we informed for the city of Eagan.
For your information, the four group home locations in Eagan are:
Coachman, 3518 Coachman Rd, Eagan, MN 55122-1212
Diffley, 941 Diffley Rd, Eagan, MN 55123-1775
Gold Trail, 1868 Gold Tr, Eagan, MN 55122-1616
Slater, 4489 Slater Rd, Eagan, MN 55122-2382
Regards,
James Lanigan
Opal Services, Inc.
Owner, President & Administrator
763-242-0212
Circular 230 Statement
To ensure compliance with requirements imposed by the IRS, we inform you that, unless specifically indicated otherwise, any tax advice contained in
this communication (including any attachments) was not intended or written to be used, and cannot be used, for the purpose of (1) avoiding tax -related
penalties under the Internal Revenue Code, or (2) promoting, marketing, or recommending to another party any tax -related matter addressed herein.
INFORMATION IN THIS MESSAGE, INCLUDING ANY ATTACHMENTS, IS INTENDED ONLY FOR THE PERSONAL AND CONFIDENTIAL USE OF
THE RECIPIENT(S) NAMED ABOVE. If you are not an intended recipient of this message, or an agent responsible for delivering it to an intended
recipient, you are hereby notified that you have received this message in error, and that any review, dissemination, distribution, or copying of this
message is strictly prohibited. If you received this message in error, please notify the sender immediately, delete the message, and return any hard copy
print-outs.
1
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675-5675
www.ci.eagan.nm.us
PERMIT
Permit Type: Building
#11. Permit Number: EA109001
Date Issued: 01/30/2013
CityofEaaan
Site Address: 3518 Coachman Rd
Lot: 13 Block: 1 Addition: Hampton Heights
PID: 10-31900-01-130
Use:
Description:
Sub Type: Single Fam Construction Type:
Work Type: Day Care Inspection
Description:
Census Code: Occupancy:
Zoning:
Square Feet: 0
Comments: Opal Services - Kristi Filipiak 651-554-6160
Fee Summary:
Day Care Inspection
$50.00 1221.4216
Total: $50.00
Contractor:
Owner:
Merkan Corp
706 S Robert St
St Paul MN 55107
- Applicant -
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
Sarah Thomas
From: Sarah Thomas
Sent: Tuesday, January 15, 2013 9:00 AM
To: 'James Lanigan'
Subject: RE: Opal Services, Inc.
Thank you for the information. We will put a note in the parcel files.
)CI)1 C`s\ Q � l c e De e(, 1
Regards,
Sarah _V. V0A.C_..i` 0 11 Le. V1 SP ,
Sarah Thomas 1 Planner City of Eagan
City Hall 1 3830 Pilot Knob Road 1 Eagan, MN 55122 1 651-675-56961 651-675-5694 (Fax)1 sthomas(a cityofeaoan.com
THIS COMMUNICATION MAY CONTAIN CONFIDENTIAL AND/OR OTHERWISE PROPRIETARY MATERIAL and is thus for use only by the intended recipient.
If you received this in error, please contact the sender and delete the e-mail and its attachments from all computers.
From: James Lanigan [mailto:jamie@lanigankolb.com]
Sent: Monday, January 14, 2013 3:42 PM
To: Sarah Thomas
Subject: Opal Services, Inc.
Hello Sarah,
Thank you for your response to our call regarding the group home locations that Opal Services, Inc. is in the process of
buying and licensing. As my colleague mentioned in the voicemail this morning, Opal Services is buying Opal In -Home
Services, and applying for licensing of all existing group home locations. The county and state licensing process requires
that we inform each municipality that we are applying for licensing. We are not requesting to be licensed within the city
of Eagan. We simply needed to inform you that we are applying for county and state licenses for homes that are located
in Eagan.
Per Minnesota Department of Human Services form DHS -0250 -ENG, page 5: "Applicants for a residential program (adult
foster care) license issued by the Department of Human Services under Minnesota Statues, Chapter 245A, The Human
Services Licensing Act, are responsible for contacting the municipality where the program will be located to inquire
about applicable local ordinance requirements." The form requires we list the contact name, phone number and date -
of -contact for each city that we informed of our application.
I will note on our license application that you are the person we informed for the city of Eagan.
For your information, the four group home locations in Eagan are:
Coachman, 3518 Coachman Rd, Eagan, MN 55122-1212
Diffley, 941 Diffley Rd, Eagan, I\71N 55123-1775
Gold Trail, 1868 Gold Tr, Eagan, MN 55122-1616
Slater, 4489 Slater Rd, Eagan, MN 55122-2382
Regards,
James Lanigan
Opal Services, Inc.
Owner, President & Administrator
1
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA116903
Date Issued:10/14/2013
Permit Category:ePermit
Site Address: 3518 Coachman Rd
Lot:13 Block: 1 Addition: Hampton Heights
PID:10-31900-01-130
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required by law in ALL single family homes .
Brian Preuss
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 -
Merkan Corp
706 S Robert St
St Paul MN 55107
(763) 242-0212
Aspen Exteriors Inc
14245 St. Francis Blvd
Suite 101
Anoka MN 55303
(763) 277-8869
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA118896
Date Issued:11/12/2013
Permit Category:ePermit
Site Address: 3518 Coachman Rd
Lot:13 Block: 1 Addition: Hampton Heights
PID:10-31900-01-130
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments: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.
Carbon monoxide detectors are required by law in ALL single family homes .
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 -
Merkan Corp
706 S Robert St
St Paul MN 55107
(763) 242-0212
Aspen Exteriors Inc
14245 St. Francis Blvd
Suite 101
Anoka MN 55303
(763) 277-8869
Applicant/Permitee: Signature Issued By: Signature
. I� ���`�{'a (y Use BLUE or BLACK Ink
' ., .. ---------,
�------- �
��6 � G � � For Office Use
�� ' � R��EtVED � �
���� (]�����]1 � Permit#: 1
u� 11 ll � I
3830 Pilot Knob Road ��� � �� NQ� (� � z��� � Permit Fee: � � �
Eagan MN 55122
Phone:(651)675-5675 j Date Received� — �"' I
Fax:(651)675-5694 I � I
� Sta{f�,s �
i
�___��__���_�����J
2015 MECHANICAL PERMIT APPLICATION
❑ Please submit two(2)sets of plans with ali commercial applications.
Date: Site Address:
Tenant: Suite#:
� Name: l J�W V ' L Phone: l t(��� l �V U�S
' Address/City/Zip: a.
' Name: � Q I"fp �' 'i'� "� � License#: � I � U �� S �
Address:_`��`�� �' � � I 15�2� ��' City:
State:�Zip: �j'�j��j�j Phone:�D��1' ��7 - �� �
Contact: Email:�`(��(.SS1�•'YCX.��ct DYl eI/l.(�I.d-Yc�.l Y',CC�Vlrt
_New �Replacement _Additional _Alteration Demolition
Description of work:
RESIDENTIAL COMMERCIAL
�Fumace _New Construction _Interior Improvement
_Air Conditioner Install Piping _Processed
_Air Exchanger Gas Exterior HVAC Unit
_Heat Pump _Under/Above ground Tank (_Install/_Remove)
Other
RESIDENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit(includes$5.00 State Surcharge)
$100.00 Residential New{includes$5.00 State Surcharge =
) $ TOTALFEE
COMMERCIAL FEES
Contract Value$ x.01
$55.00 Permit Fee Minimum
$70.00 Underground tank installation/removal =$ Permit Fee
*If contract value is LESS than$10,010,Surcharge=$5.00 =� Surcharge*
**lf contract vatue is GREATER than$10,010,Surcharge=Contract Vafue x$0.0005
***If the project valuation is over$1 million,please cail for Surcharge _$ TOTAL FEE
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 approvai of plans. �
X �Gt 1� f��n� X �' __.-
Applic nt's Printed Name ApplicanYs Signature