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3538 Coachman RdCITY OF EAGAN ? Q ` • 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ?'- 1?97? PHONE: 454-8100 BUILDING PERMIT Receipt # Tobeusedfor SF US"'(#;A'Z EstVatue S59,000 Date DF,CEA18ER 26 86 Site Address 3538 CUpCHIMt1N RD Erect EY' Occupancy tt3 Lot 113 Block 1 Sec/Sub. HAMPZ'ON HT5 Remodel ? Zoning R1 Parcel No Repair ? Type of Const. v . Addition ? No. Stories FRQ'''MEq CO:MiPAI`3IL•:S Move ? Length 39 W z Name S I BLEY MEM Ht'IY 3908 BLDG EDemolish ? Depth 4r 3 Address ? I l ? S F ° EAf' 4 0 4 ?? nt. mpr t. Q City 3 3 1 ' Phone lnstall 0 = o Name SAt•1T ? ? Address ? ,.:... .,U ¢ W W F W V? ? WZ q Assessment Water & Sew. Police Fire Address Eng. I herebyacknowledge that I have read this application and statethatthe information is correct and 3gree to comply with all applicable State of Minnesota Statutes and,Cjtypf Eagan Qrtlinances. , Signature of Permittee ' A Building Permit is issued to: FRQNT IER CO:°1= all work shall be done in accordance with all applicable State of Building Official Planner Bldg. Var. Date Permit -J+v . vv ? Surcharge ? 29.50 ! Plan Review 155. 40 ? SpC 575.04 Water Conn. 500.00 { Water Meter 63. SO ? Road Unit 290. a0 Tr. pi. 156.00 Parks Copies Total $2 , 079. 00 on the express condition that and City of Eagan Ordinances. ? . ? ? PermR No. PermH Holder Uafe TMsphont M Plumbiny H.Y.A.C. / ? Electrle .?'C. sonener InspeeUon Date Insp. Commentr Footinqs I ' Footings II Foundation Framing Rooling Rouyh Plby. - o! • . -.3 ? f? ? •?{. !l!S ? s? " ?a Rouyh Mty. 7 lnsul. 424 Fireplace Flnal Htg. Flnal Plby Bldp. Final Cert. Occ. P„ fJ Deck Ftp. Deck Frmy. We11 Pr. Disp. ? • . PERMIT # PLUMBING PERMIT RECEIPT # CITY OF EAGAN 4,4' 3830 PILOT KNOB ROAD, EAGAN,.MN 55121 DATE: CONTRACT PRICE PHONE: 454-8100 Site Address c f? i ! ', ; /r? A F ? BLDG. TYPE WORK DESCRIPTION Lot ' Block Sec/Sub . J rS ? r Res. New m Name rr J L A?-- Mult Add-on Address ll,' ? j e Comm. Repair c City c A2 AAJ Phone J a-rS6 Other I ' NO, FIXTURES TOTAL L iP k. ,?-r;/? Name k G J? S Water Closet - $3 00 $ =>> ` ' , N ' . ?- ? 3 Address ? Bath Tubs - $3.00 - - ` p City Phone Lavatory - $3.00 7 3, 6 = 5hower - $3.00 --'- Kitchen Sink - $3.00 - FEES COMM/IND FEE - 196 OF CONTRACT FEE MINIMUM RESIDENTIAL FEE pp $1p _7-Unnal/Bidet -$3.00 -?-Laundry Tray-$3.00 ? t -?- r - _ , -Floor Drains -$1.50 ? + MINIMUM - COMM/IND FEE _ 20.00 ? Water Heater -$1.50 STATE SURCHARGE PER PERMIT _ .50 _Whirlpool - $3.00 (ADD $.50 S/C IF PERMIT PRiCE GOES ? J?Gas Piping Outlets -$1.50 77 ! BEYdND $1,000.00) Softener - $5.00 ! Well - $10 00 ' . I FOR: CITY OF EAGAN Prnate disp. - $10.00 =Rough Openings - $1,50 FEE: STATE S/C: ' GRAND TOTAL• ? 7 S? MECHANICAL PERMIT CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 PRICE 1-500. J;_: PHONE: 454-8100 Sec/Sub m Name 'AENZEL PiE;Ci??.tilCAL .c Address 3600 Kenoebrc Drivs c City ?Lgaz! Phone 4 2-150:: ? ._..._ c Address 3908 S ib ] p City ?'" _:ban TYPE OF WORK Forced Air 80,00(1 M BTU Boiler M BTU Unit Heater M BTU Air Cond. M BTU Vent CFM Gas Piping Outlats # Other FEE S/C: TOTAL: PERMIT # ' RECEIPT # DATE: BLDG. TYPE WORK DESCRIPTION Res. New " Mult Add-on Comm. Repair Other FEES Lvis RES. HVAC 0-100 M BTU -$24.00 - ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 ? 4. ??? ADDITIONAL 6 M BTU GAS OUTLETS COMM/iND FEE - 196 OF CONTRACT FEE - 6.00 - 1.50 EA. MINIMUM - RESIDENTIAL FEE - 10.00 MINIMUM - COMM/IND FEE - 24.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES 1 BEYOND $ ,000.00) S. Sr} • 5 0 SIGNATURE OF PERMITTEE FOR: CITY OF EAGAN ?1• WATER SERVICE PERMIT PERMIT NO.: 8278 DATF 2 _ ? CITY OF EAGAN 3830 Pllot Knob Road ? WATER SERVICE PERMIT P.O. Box 21199 ? Eagan, MN 551 PERMIT NO.: ' • DATE: Zoning: Owner. °n er west No. of Units: Address: Site Addess: Nn . ?oa - - •- ,.Srtr, t7n : e•,r.;; ; Plumber: ? ,711r um -n" Meter No.: ?? . Size: Connection Charge: p Reader No.: " Account Deposit: • - ? Permit Fee: 1 agree fo comply with the CN1' `. j Ordtnancea. - of Eagan Surcharge: '` p' ? Misa Charges: F?• ?P BY Total: Date Paid: a Date of Insp.: Inap.: a - (; . ? . ' 1'!IS I.1, rV'9' AMN;7 . F= , " ., , , .,, . .,.. ?,,. U:•r ??1 uC (111?nUn u,11 l nrr?? !ut' Irr?m?: cc,n:.trucl fun ".?... n? ?:e ?" • ' ? -------{I) -_ ? Y1G. q] TOl'VIfM QF . FltNtk WALL • • , `-- i FIC. 12 _ _40 . ? ? ?S(R C'. 1? ?al ?.ITT.CI?I i f) '. P (? u ? A (''tl•. u -Q; . ? .n •, h r _-O ",?Iw %wn ?fE74I M c_..?? .? ? ?,? . ?.•?? t; v.1 I u.• ` y ` g ? • . 3?t,,, ?„ . ..,, , ... ., .. .. . . 4 . 3s 4 t? 7- ? . ?.?n?•?j . +o?tiwa?, . _ .. . ... . . . ?.? I G. }:):t?•r;?,r .ii? ? ! ''' ' j!, - ?` _ . . . . . ......_ . ...---- • . ,L . ag . ?????•?_?„1_ ,,??? ? i i??? a.r,t? 3. 3 ? -- ?? d. . -- --- "n t!N----... ...-----•-.? .._.....?._?C? ? 5 • ld1?rVA1+_ St m!? . _. . ti._. ...... . . . .. p.6`1 2. • ?_?i?, t? _?.?? . 3. .(6??, 4 ' -T'f??-? ??!'?.?±'? - _ .. . .. . .. ._ -- .._. __ . _ _- 7. Gi C? . ? L"'1 }:xt!,rlor Rir i i lra ?? ? t-ll t). )7 ----•-----Q?. ---•----{.-? ?y. i 1 ?1? C ? - ?LaGit. u? ? ? 3 . 1. 3nt,?i i•.,r ,+f r fil?:? 1. ?. .. L'? S?.IL?? .. . ... S.-.S?......_.-- ?1. J . . . .._. .... .' '•-• ' ..... . ."-• '-•_ '__'-. ._ .._ _ .. . G. 1::cl?:t'ii?Y .?i?• ; ili•? U.ll 'I'ul;I l • 4, • "'f I #%-k = , 115 st.nil Ori r;RAut: . . , '. ?,. ? ? ?• • • Y. .' ti , I t ? -? .V ! ' f.? ? . ? _ ?, -.•• ,. • ?' (?f .? . ?.---•-,r--- G. 13 ; • . o - _ <<. ---?--...... .? \ 4 ._ ?'fi???'"f?r ,? . :, • , ?'?.. . • t f_ + ' ? . tlc ? •, ? . • • ? (lt • . ' i?r F1c:. 04 ? ? • , . ? /. i /?I VM ? ?'tMl??. IC??It:Al?: 1 ?????, "?t•' ??.llllt:, tli21itl1 nnQ ' ??1.i?:rn?•?:. o! irr:,il,i! in;1. .+•?•--?...--- . CASH RECEIPT - CITY OF EAGAN 3&30 RiLOT KNQB ROAD EAGAN, MINNESOTA 55122 DATE 19 eacaivan FROM AMOUNT ? I & DOLLARS .ee BY , ? ' • White-Payers CoPY . Yellow-Posting CoPY ? Pink-File CoPY -- - ? ? -- - _ ? BLDG. PERMIT ti0. '/J ` • . . r i. ? /?-c? ; 01-3210 "-Sl?g. Permi* 01-3422 01-3445 01-3446 O1-2155 17-3860 20-227J 20-3865 20-3868 20-3715 20-2252 2Q-3713 20-3743 79-3866 11-3855 Plan Check Surch. /hdn:. SAC/Adm. Surcharge Rvad Unit SAC Water Conn. Water Trmt. Water Meter Acct. Dep. Water Permit Sewer Permit Sewer Conn. Park Ded. i ? TOTAL ?? ? `-' '? P f Thank You ? • ? ? ? I ,? ? Ex t-ricr EnvalCpo nvor,lgc "U" Compu tat:ion Puho 2 of 4 'y,, • ' .. . . • ?.,., , • Total expoued root/cafling nrca m. lbtal skyli,ht uren ............................ •?"`• . • . n. Total :-ooF/ccilin, fr.zming area (avcraye 10t) . . . „ . o. Tetal net insulated roof/ceiling urea........... . Determine "U" valuc for cach roof/cciling segment . M. 410000? X loUst n n. 96 5: loUil O. f x uUu ? _ ?? r 4 . . . . . . . . . . . . . . . . . . . . : . . . . . . Total If tatal of 014 is the same as, or less than #2, you have met the intent of SbC 6006 (c) 1. . _Alternate Buildin E:ivelo.e Desiqn Zb utilize the total envelope 'system method, the values establislied by the sam of items #3 and #9 shall not be greater than the sum oP items 4E1 and #2. l. ?•dQ? ??_ + 2- 3. _j (O +4. ? ? ?'. 5do&_'; RemodeVReoair Reauirements ? l({ • 2 copies of plan • lsetofEnergyCalculationsforheatedaddihons • 1 sfle survey for exterior additions & decks • Indicate H home urved by septlc system foradditions Nevr Construction Reauirements • 3 registered s@e surveys showing sq. ff. of lot, sq. ft ot house; and all roofed areas (20% maximum lot coverage allowed) • 2 copies W plan showing beam & window s¢es; poured tound design, etc.) • isetofEneW Calculatians • 3 copies of Tree Preservation Plan if lot platled after 7/1193 . Rim Joisf Detail Opiions seleIXion sheet (bldgs widh 3 or less unifs) DATE SITE ADDRESS _? 5 3 8 C,,? /+C. k k& a a` VALUATION / S? c-V c> MULTI-FAMILY BLDG Y N TYPE Of WORK-KL--& u -?°i- S' J,'-K RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EACAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 APPLICANT `S ` _ Water Softener _ Water Heater _ No. of Baths STREET ADDRESS CITY W /cl STATE ZIP TELEPHONE # VG Z-`/ 3? CELL PHONE # 7-7 S? Vc) / 9 FAX # ?? Z- 3L z y b5? c I PROPERTYOWNER 0" ( 'y'5 TELEPHONE# Y ?5_G - ? 7Y3 ----------------------------------------------------------------------------------------------- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDIN6S ONLY Energy Code Category _ MINNESOTA RULFS 7670 CATEGORY 1 ULES 7672 (J submission type) • Residential Ventiiation Category 1 Worksheet Submi ?q N?v?hj e?¢y Worksheet Submitted LI IJ 15 • Energy Envelope Caiculations Submitted ? MAY 0 9 2002 Plumbing Contractor: ____ Plumbing system includes: Mechanical Contractor. Mechanical system includes: Sewer/Water Conhactor: Phone # Phone # $90.00 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 Ordin s. ?- ? Ct,Z ?'? Signoture of Applicant ?--- OFFICE U5E ONLY FIREPLACE(S) _ 0 _ 1 _ 2 # 6 No. of R.I. Baths _ Air Conditioning _ Heat Recovery System Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 , - ? ? ? , GLASER 7986 BOILDING PEIHRT APPLICAITOM - CITY OF BAGAN OXFORD HOYE: ALL CON'fRAClO9S MI1ST BE LICE9SED fiITH THE CITY OF EAGAB SIBGLS FAFIILY DiIE[.LINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS M[TLTIPLS DiIELLINGS - HESIDfiNTIAL RENTAL DdITS FOE S9LE QNITS INCLUDE 2 SETS OF PLANS, CS6TIFICATB OF SQItVEY - CHECB FiITH BLDG. DBPT., 1 SET OF SNERGY CALCULATIONS COHIiERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 7 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $29000 LANDSCAPE BOND ", aoo To Be Used For: SINGLE FAMILY Valuation: -x".°-00- Date: Site Address 3538 Coachman Road Lot 18 Bloek 1 Parcel/Sub IIAMPTON HEIGHTS Owner Glaser, Kelly & Mike Address 1021 Stimson City/Zip Code St. Paul, Mn. 55103 Phone 488-1540 Contraetor FRONTIER COMPANIES E 390II i Address Eagan, NIN 55122 City/Zip Code Phone 454-0433 Arch./Engr. Address City/Zip Code Phone # 9-24-86 Ereet ? Occupaney fZ•3 Remodel Zoning 9.1 _ Repair _ Type of Const Q Addition _ 8 of Stories Move _ Length '59 Demolish _ Depth 4(, Int.Impr. _ Sq Ft Install APPROVAIS FEFS Assessments Permit 3 10. Water/Sewer Surcharge Police Plan Review I 55- Fire SAC 5"75• Engr Water Conn 500• Planner Water Meter (03.? Council Road Unit 290• Bldg Off1 Treatment P1 1 5(n. APC Parks Varianee Copies ?OTAL NOTE: ADDRESSSS EOR CORNER LOTS - CONTRACTOR/HOMEOWNEB HIIST DESIGNATS WHICH ADDRESS IS DESIRfiD. NO CHANGES fiILL BE ALLOiiED ONCE BIIILDING PERMIT IS ISSDED. CITY OF EAGAN A1 ? Yp 12978 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ? PHONE:454-8100 BUILDING'PERMIT Receiptu 7o be used tor SF DWG/GAR Est value $ 5 9,0 0 0 Date DECF'MBER 16 , 1986 SiteAddress 3538 COACHMAN RD Erect (N Occupancy R3 Lot 18 Block 1 Sec/Sub. HAMPTON HTS Remodel ? Zoning R1 Repair ? Type of Const. ?? - Parcel No. Addition ? No. Stories FRONTIER COMPANIES ?nove ? Length 39 a W Name BLDG E Demolish 3908 SIBLEY MEM HWY ? Depth-46 o Address ? Int. Impr. ? Sq. FI ciry EAG AN phone 454-0433 Install ? ¢ 5??E wppravais runs Z. o Name ?¢ Address AsSeSSment Pefmit 3 •?0 " City Phone Water & Sew. Surcharge 29 • 50 Police PlanReview 155.00 ?a ? W Name Fire SAC 575.00 u? Address En- WaterConn. 500.00 a W City Phone Plan ner Water Meter 63 . 50 Council RoadUnit 290.00 Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe gldg.Off. 12/12/$ Tr.PI. 156.00 information is correct and agree to comply with all applicable State of Minnesota Statutes and Ciry of Eagan Ordi a Ces. APC Parks Var. Date COpies Signa[ure of Permittea .r . Total $2. 079.00 A Building Permit is issued to: FRONTISI2 COMPANIES o n the ezpress con dition that all work shall be done in accoidance with all plicable Sta of ir?sgta Statutes and Ciry of Eagan Ordinances Building Official ?R?-? ? (tiertifirtttt of "v'avrrupttrirg Citp of (Eagan De.pttrhnmi n# 1ui1D'mg lnsprrtimi This Certificate issued pursuant to the requiremen[s of Section 306 of tke Unifornt Building Code cenijyrng that at the lime of issuance this structure was rn compliance with the various ordinances ojthe City regulan'ng buildeng canstruction or use. For the jollowing: use Q.ss.flmaon 5? II'.-WCAP, elag. aro,n N. 1 Z:Y'IS o-w+Kr T>m R? uow6 ontria RI 'ha com, V ow..rofenildine l?i7'!Ll QT.Tn357- S nmren 3?(lE{ Sm F:TrS KIY., FV? Y.fA. BI, P..'".,'?Tt?-I T:?fWifS s?aa?u8naa?ss .i5?R ?,?ty euaaing arw;,i . ou.: t;?rZfl 25, 1S87 POST IN A CONSPICUOUS PLACE 1999 BUILDINC PERMIT APPLICATION (RESIDENTIAL) q 3830 PILOT KN B RD - 55122 ? o?s # 99/?Sv 3 ! ?? ? 651-681-4675 'A 1,10onstruction R et Remodel/Reoalr Reauiremenh a_? ?- d V ? 3 regisTered sNe surveys:howing sq. R. of 101, sq. H. ol house 2 capies of plan and ail roofed areas (209 maxlmum bt crneraae allowed) 1se1 of energy calculaHons for.healed addHions D 2 copiet of plnns (show beam 3 window shes; poured fnd. deslgn; etc.) 1 slle wrvey tor exfeAor addiHons 3 decks a 1 set ot energy calculaHOns D S coples of hee preservaflon plan M lof platled after 7/1/93 DATE: GD CONSTRUCTION COST: ?O? ???'F? DESCRIPTION OF WORK: J h STREET ADDRESS: 3S ?J p (_/I q!'//'?mqN? LOT: 1• ? BLOCK: SUBD./P.I.D. N: L??I' 00 H`-U?2 JLC?L % 0S - df 33 Name: Phone PROPERTY Lcs? First OWNER ? 5-3 ? ?r ?-c ODCtG/ ?lQ/ /F , - Street Address: J . City 6-a ?Cl r? State: i? ? Zip: a- • Company: ?/??e' ?- Phone #: a ? (area code) CONTRACTOR Sheef Address: °?/If License # 217 9 Exp. d? o 41 Ci}y ? /-5 State: Zip: ARCHITECT/ ENGINEER Company: Name: Telephone #: area code ( ) Street Address: Regtstration #: . Ci}y State: Zip: SewEr 3 water Iicensed plumber (reauired for new eonslrucMon onlvl: PencNy applies when address change and lot change h requested once permH is Issued. 1 hereby acknowledge that I have read thls application, sfate fhaf fhe Informafion Is cortect, and agree to comply with all oppllcabl Stafe of Minnesota Stalutes and City of Eagan Ordinances. Signature of ApplitaM: -?' 14r • OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No _ Not Required OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 02 SF Dwelling O 03 1 of _ plex 0 04 2-plex ? 05 3-plex ? 06 4-plex ? 07 5-plex ? 08 6-plex ? 09 7-plex ? 10 8-plex O 11 10-plex ? 1212-plex ? 1316-plex ? 14 Apartments ? 15 Lodging ? 16 Fireplace ? 17 Garage ? 18 Deck ? 19 Lower Level ? 20 Pool ? 21 Porch (3-sea.o ? 22 Porch/Addn. (4sea. ? 23 Porch (screened) ? 24 Storm Damage ? 25 Miscellaneous WORK TYPE ? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia ? 32 Addition ? 36 Move Bidg. ? 40 Gas Insert ? 44 Windows/Doors M 38 AltPration ? 37 Demolish Bldg.• ? 41 Wood Stove ? 45 Fire Repair ? 34 Repair ? 38 Demolish (Interior) ? 42 Reroo' * Give PCA handout to applicant for demolition permit GENERAL INFORMATION Const. (Actual) Basement sq. ft. Census Code - (Allowable) Main level sq. ft. SAC Code UBC Occupancy sq. ft. No. of Units . Zoning sq. ft. No. of Bldgp # of Stories sq. ft. MC/E5 S- - Length sq. ft. ' `•'". Width Footprint sq. ft. CIiY GI=' L:r1GAN - APPROVALS t,A;3H'I:E:F'g 75 TrRMzNr:t.. NO: 8:1.9 nnI E:: 02iiaioo -?r.rsr_:. o9ge;6e48 Planning Building iDi; MV'fE: PAN[:I...CfrAF7 f7F' M:[FEte4=.IS0i'P - Permit Fee Valw Surcharge 32:1.0 .9001 asati C;OA(;IiMAN I; 1;1 ?)ilu2J Plan Review 2i.55 9001. 353E3 CpACHMAN F. 5.50 License MC/ES SAC City SAC Water Conn. ` Water Meter Acct. Deposit - SNV Permit SlVVSurcharge roaa:t i;eceii::.1: ni,tour,+„ 200.75 Treatment PL CR:I.F!:1538 Park Ded. uSEF: 11:;: iAh Trails Ded. Other Copies Total: 0 O SAC Units • . , • % SAC So??? 2007 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eaga? 3830 Pitot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWctian Reauirements 3 regislered site surveys shovnng sq, fl. of lot, sq. h. of house; and all roofed areas (20 % maimum Int coverage allowed) 1 SoOs Report it proposed building is to be placed on disWrbed soii 2 copies of plan showinq heam 8 window sizes; poured found design, etc. 1 set of Energy Calculatlons 3 copies of Tree Preservation Plan if Iot plaGed a(ter 711193 Rim Joist Oelail Op6ons selection sheet (bwldings wiih 3 or less units) 9nnegasco mechanical ventilafion fortn RemodellReoair Reauirements OiFrce Use OnN 2 copies of plan showinq fooUngs, heams, jasts Cert of Survey Recd _ Y _ N 1 setof Energy Calculations for heated additions Swls Report _Y _ N i sile wrvey for addifions & decks Tree Pres Plan Recd _ Y _ N, AddiAon - indreateifon-sifesephcsystem TreePresReqmred Y _N On-siteSepficSystem _ Y _N 131[-,.,. ?.e niihlir infnrmatinn iinip?G vr,ii ctata thev are trade secret and the reason. , ......, ...,. ...,.............. __.._ ..------------ ---- - -- Date 16 O 7 Construction Cost Site Address C'O4 C? IYlaC.n A---, UnitlSte # Description of Work ? S rDl?T ? 12 r S! d?J Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 2 PropertyOwner Telephone#(7(„'3) q7 3 Contractor H clb'tr S4- Address 9 7 ?o ? ?u.t ?O'w 7? ?? A/ / City ,?,.r i/ G rll? State ?? JU Zip 5> 3ln? Telephone #(-j6j 76 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cate2orv I _ Minnesota Rules 7672 Enefgy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (Jsubmissiontype) Submitted Submitted • Energy Envelope Calculations Submilled In the IasT 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _ Y _ N If yes, date and address of master plan: Licensed Plumber Telephone #( ) Mechanical Coniractor Telephone #( ? Sewer/WaterContractor Telephone#( ) I hereby apply for a Residential Building Permit and acknowledge that the mformation is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but on(y an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved lan in the case of work which requires a review and approvTo, f plans. ApplicanYs inted Name App ican ' Signature -- -- P<ige 1 of 4 Oes.?4•? • . RlOR EMVELOPE A4FR/1GE "U" COMf`UTA7101d " - ?(Nta. wI?L.ir QLfo owNER: nnTr: 3 -- z5-J5 S . ? SITE ADDRESS: CONTRACTOR:_ PIIONE: Determine working square footage of each 1. Total exposed wall area....... (BS 7 Z S sq, ft, x.11 2. Total roof/ceiling area..... Slap sq, ft. x.026 = Z Z, a$ Total exposed wall arca abnve floor=_`?S1 ,7 'S5 a b c d e f 9 h i J k 1 7otal wall window area ........................................... Total door area .......................... - ........................ Total sliding glass door arei ................................... - Total fireplace wall area....................................... .. 7ota1 wall framing area (average lOM) ................ "- ............ ? Total rim joist area ............. . . . . . , ... .. .. ... ... .... ..... . net wall aren a6ove floor.t,`!t. ............................... wall area above floor ............................ ......... wall area above floor ......................... -' ............ frame walt area at foundation................................... - Total exposed foundation area= G_ 4, 'Z g Total foundation window area ....................... •?•?-- 7otal net foundation area above grade .............. Determine "u" value of each wall segment (e.g. window, door, each separate wall section) a. 1 1 ?3 R b• 3di. fn? X c . A 7. X. d._ -i & X e ...le.[?5•! 1 X f.???•S X X „?,.-? ?_= 3? • I ? _ ??u, , 4 S . V. 4 5 ',.&, lull „u,l ,? „u„ .03 „U„ ,03 =_3?j•of h. X 1. X _ j, X k. X ??ul r.? = e t. L41 Z 5 X?? I S =?. !0 3 . ...............................Total = (.Qk t3 00 I If item q3 is the sar as, or less than;?iter #1, You have met;:`the: intent of SBC.,60061,< w Th-s rbGUes? void 7 18 npnths from C 80065!?? Rn?u st Oate -/ ?`? /7 ??[? ]/' / Fire No. ° Rouph-in InSPBCL On Aeqwredi ?Ready Nuw Q]Jy111-knUfy InsOec- 6 c? ? ? No pxlrE or When Peadv CglCmansed ElecVical ConVactor I hareby reuueat inapecvon ot ebave ?Owner electrleal work inetelletl at: Street Atldress, eoa or R te No. CitY ec ion o. Townsgi0 Nama or o. Rxnge o. i Count 0?? C- 12 /'fZ I DuJ£S? . ? Na. -O aj Po er S er Address Elecirical Contractor (Campany Name) ? o ' ctor's License No. LE?I ? nt?A I a cnto t r?nql ?qQ ?1tl1V`.' 6'?Y S 4J"z 13j Authorizedg?qqgtN ?'i er a,nB Installationl g• r a.a, Phone Number MINNE$pTq $7pTE BOANO OF ELECTRICITV Gripps-MiAwey Bltlp. - Room N•791 1821 UnivsraHV Ave.. bt. Geul, MN 66104 Phone (612) 842-0800 THIS INSPECTION XEQUEST Will NOT BE ACCEPTED BY THE STATE BOARD UNLE55 PqOPEfl INSPECTION FEE IS ENCLOSEO. FIEUUEST FOR EIECTRICAL INSPECTION ee-oaooi-os 0 See insfructiona br eolnpletlrq Mis form on bgCk o} Vallow copy. 2 R n n?r, "X'' BeloW Work Covered by Ihis Request Nw 'A,dd RaD• TVVe ol BmlEme Appliontea Wwd Epuiumenl Wired - Home Range T orary Service Duplex Water Heater Li htin Fiztures Apt. Bmldmg Dr er Electnc HeaLn Commercial Bldg. urnace Silo Unloader Industnal BIAg. Av Conditioner Bulk Milk Tenk Farm tnxr peci v Ttner (Spcr.ify) t I uec, y } or Other ompute nspectlon fee Below N Fee ServlceEntraneeSizs d iea Feadera/5ubleedere p Fee Cireuita Oto200Ams Above 200 qm ps Oto30Ams 31 to 100 qmps Otn30Am 31 to 100 A Swimmin Pool Above 100_Am s Abov 100_Am s Transrormers Irngation Booms Partial. Other Fee Signs SNeciallnspection / em3.ks r 4 7 TOTqL EE .I'Y flouQh• i n ? aie ? . ??' n '?'`?? 1. the Et?Chic InaDector here0 y , y Final ? - . , Date certi/y that the xbove d 7 mspacbon hes besn ,f-3- meda. rhls,epuast volU 18 moniM irom xno,r•/csILrNc . _ • Construction A-Valiic ?-- ??`? , l, Intcrior air film .0.61 ' ? ?' 2. tT/A 1, GF3D . 47g 4. Erior air filn {still) O.G Total 2 4sao Y.02 .. - . - ?. . . ? c?= .oz . Leac flow ? 1. Ineerior air film 0.61 >nted 4p . . 2- ?Sp 2 7 , , . 3. UL 38 ? 3S' ' • d. F:xtrtior e.ir P)ln istxl ? - ' • ' ? . Total 2 = 9 ?. ? S ? , ? ` . ? .. . . . . . ? U = . oz?.. CO.t?ST??GT/ ?Y? . . r.,.f....,-.-.v.:^•`?-^,."`•.. tri',,,,0.?.._n?.e.1? ? Insidc air filin 0.61 ,%' . . . 3: 4. (? ?• S. Outsidc air fil:n 0.17 Tota1 - .---=-r . ?O ? 3 ?" ? '. • 1.." 'Znsidc aiz' f11tn 0.61 . ? • • . . ? 2. . . . , I-vented 3- ? YCLL flov up • ' 4. . . ' ' . ' • 5. Outsidc aiz fil:n 0.17 . ? FIG. d6.7- -• " ' • ? •-. . " . Total 3 ? rO Inside aix' film ' 0.61 2- ' - • ' ? ,..X..?..1<.? .. . . _ . t?=??e?. .?'•' ;r : ' 3/? • 9w _C+ • ?/ Y •?\?\?????'...' ? ? ?? ??.??. .. ?? 0? 17 ot1C.':iC1C JlC E111R ' Tota1 ?? ?'?? ?? . .:. . .• . . 1 `LJ . . • ? ' ? . : . .? • : -? . - ?' ' . • , k?t_?.? ?•_ : Hotc: Uso additional sheets if morc -paco i: ",• , ' • sieecleQ for Jct?ils and caleulations. ' . ? Hcnc . _ . ' . • , . • ; . • flov up • . ' . . . • . .. • ' P'I ._ f7 . .. c• . • , . [ 7: ?....; ? - . r -..i.i.i ' i l nren for u,11 fr,imS coiu; trucl.tun SIC , ,• .. nt.t,'ij ' FIG. .R1 • '?: ' : ? . 1 . Fic: r?n2', ? ? .; .. .; . . ye.:al 1. Z ; .,,;. ?^ TCi? i . ?•?', •? ??+' : u i 'y ?• `?`',I'1 I r ' ? 101'V1F5I OF F1WL: HnLi,' ? , . J '. . ' ;?. ..- 1 ? ,C- - -;--; -? -,T•,??? . I ' I ! ?'V _ ? i . ,? { • _o-c? u . .? ? . V J µ ?- ? ---- -O . ? 1\ - ? r •n • ?-. , "----`. "? •' ' , - . ;% `? R? c K ? i?ZE I i?• ? ?•,.;?,, ,? Y? L'?al^ ll u? I in?f ?. I:-V.tl?i? K•...': ???:?'.r.:?.:M1?:i ? ?. :? ?n. ?••.,ta ?$ , 1. lult'i?v?.1\f.?..?li i?i - -• --•....._t)_.62a? , ..:.,; ? z. _?t?...$.wctic. .8"t•v??._......_i,.ll s:?'`: :'; ''. ; ? ??,,,?;?. :..,i? •..,...i • q , :? At?..S??? . . ...._._. .. . . ?.. (08 s. ?.K? .BFZiCK ..._..__...----..._ ....ll . =' G. F.r,larit,r al: f i; ..... -__ ._ w . . _..__..... -- . . ----- . POi?,I ?."]5' ' ; 1. 2. J. 4. S. 6. 1. 2. 3. a. 5. 6. L. 2. 's. 4. 5. G. TnCrclnr air :ilin U.GII - ----- --...- -- E):!'CYIbr i111 1141"" "'_'?..? ..??n ??1 .'%u?'.,.V.?.1,C?.=•.!r.t+' ? - :;4 ? l 'y'<_. . . > Nf.: - }: x t c r f or n i T I i 1 m • v-_" -•-- tl .).7 -..? " ' ,1'ot;il _ ? _ %:. z -d1•y":• " YKn?' ! ifn??.i ?,•??•,? ??, ,,i, ni?:? n.c,n ? ;;-. : . ll L' -,ir ._ ..l?l 1 . . .... _ _. . . 17 -_.. - . .. .. : -° ?-?--- - -- . . . _ 'rat.?l • _ ' - . .• ft iY`? s(.,mn_c?ri ; ;; ;' .N;'.•.• ,? f? G. 13? ' ?• ? ? ..;??1,b?M4y?•,+?..?1b,tt`_. . i \ • r. t ;? ????(.',::r. 1 ?f??`'Rf-`li ? C r? •? '? , . . • ', ,.;. ? ,:.;::::;- ?????:;?t;, . , ,?,??;1''+ ' a : _ , ? , .. ,., _ .. . ? ? - ?l Lyt ? .F..,'. • f. ? }%..??? ^C ? + T ? ? ' ' / I` . , . . '•??.? , y?it±". . ? . ,• ; . ' a . • !?'L<4 '[`y,;ni ??? + W ? ,? ??' ? , . ?1 i??i ? ? _ • • . • ^ } . , l __. ..: ;;+z :;_ I ? .. . ; 1ndl '1: ?nt. -''.;?? "?,?. ??alua, (leptli nnd ?•:; ? c tync : IIn1 , ' U14: r^•J '?C D( in:.111..ltl9:1. ' ` - e -- - t `• ,, Y ' . PLAQ ? ,. Lf h.t E.4 L FT, eXPOSEp WALL ?LOGk. : ?Z + 4(*.5 1- to; 178. S ?.???E '? ?Z.? 4`.S - ua•s ?:ULL f i lz+ ? , . TZ1M:' ) ?8.5 Sx.P50SEt!s wALL. t3Lo?k', ? z??s K , S = co4, z5 x S - Stz. s , Pul.L 1 X 8 ? rvZ9 (AV K ? = ? 8 To-rA L. 57. ZS SQ,?t EK aSED GEI l.[?J ? G e8o ?! D vIIS L?1 ' Z4146 r- 4 = 3Z? ZS ? I S ? 1t3? AZEA Dooes Z? 31-4z 3V 7 - Z . ?v7 t L•,? Z ._': ?ATf O DRs, ? 4Zi ; , i NIYPF: PAYMFNP' OF FEE AT TM OF APPLxcaTTON nos Nar ooNsxrtvTE ? a.n?aeu. ur.aucir?a-tviv: Lot l8 IS10CK i nawyLVii. nci61.ua . .-.- . . ?..,. ....... ?-, . Lot ? B oc S vision or Tax Parce ID ' : - - `. . : ` - " ' . ...?n..-.?. . .. . i .....?-- .._ . .?. ....._. ..i?...?.?.?_,?}„ . . ?. ? . ? - ? + ' . SRRL'Cl??RE, DATE OF ORIGINAL ?i.ILDING PIItN¢T ??• ' ._. . ? ?? .. I?Yin ear J. F- ? PRFSENf ZONIIG/PROPOSID LSE: . ._...._. _ C:E . ? _ R-1 SINGIE FAMIL.Y ? ? ?t'?, . : .:.: . .:. . Q IbIDL5TR7AL .._.,_._.._... . _ • .._ . ? R-2 DUP7M"(Rko Units) _ .. -.?'.^, . INSTIIUTIONAL%G0VERNMENI' , -;-:0;;R-3:10WNiOLSE-jThiee'+Units)`( _ .-Uni'ts);? APAR I,04 /CONIDON I s ` i IIN T Cfi4 .... _ j Unit )L_ ?: ',:2) ? ' ": , • :. ,:_. _..._ , . _ ,.. NAPE: FRONTIER MIDWEST;HOMES CORPORATION . ? ADDRES5- 3908 Sibley Memorial Iiigiiway Bldg.' E . . .- n.... ,..;. CITY. STATE. ZIP:- Eagan. MN. 55122''',' _ _..._.?.,...._.., .... ... _ ,.?t; _ .. _., :., ?', t ,? 4.xi „ _ . ? ...; • ?r i:. ?. . " _ . - ?.:? • .,- - z,-•?•-.: . ' ' T ? ' .: i . ,. . . PFI=• 454-0433 " . .. . ,- - .. ? - - -.._.. _- - ......... . . ... ._? _........._.._ ?•?n ?" 3) • u m y• , ;., .:. • ;. _ _ ` _ , .Far City , NAME: STAR PLUMffiING Pltiambers License: , ADDRFSS: 1018 Mound Springs Terrace --. --? Act1ve ? - Expired i CITY. STATE, ZIP: Bloomington', MN. 55420 - Nptrecorded . . _ . _ . ._ _ ? e PHONE: 884-4149 hA.STgt yICIIYSE# 3329 Staff IniTtial 4) Mike & Kelly Glaser c PMRFSS: 1021 Stimson Street ` CITY, STATE. ZIP= St. Paul, MN. 55103 PFIONE= 488-1540 • -5) . v r• ?• : a • • a? ? CONbIIX.TION T0 CITY SE4IER ? COMYTION 3O CITY WATER Q d1fER ?. 6) . ?? • • r ? P7Z1SE HOLD APPROVID PERMIT FQR PICK-L?P BI' ONE OF AHWE -_.- -,'_----_-_ -- ?. (] PIrASE MAIL APPROVID PERMIT 10 l. 2. 3. 4, ABOVE . (Circle one) ? ' '??w"'???Ttr"a'ZS?a7C xar+ s ? ? ertA+?.rse? GITY OF EAGAN FOR :CITY USE ONLY PERMIT # ISSUED 5 1-7 Pd w/Bldg. Permit FEES: $ $ SEWER PERMIT (INCLUDE SURCHARGE) $ (?•??3 $ WATER PERMIT (INCLDDE SURCHARGE) $ 1c.3S? $ WATER METER/COPPERHORN/OL'TSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ ??• 0 t? S ACCOUNT DEPOSIT - SEWER $ IS ? $ ACCOUNT DEPOSIT - WATER $ WAC sac $ $ .- - TRONK WATER ASSESSMENT . ,. ?. . .. , . . TRUNK SEWER. ASSESSMENT „. ? ... S _... ..,. ... . _ . . $ _ .,.... _. _ . .,,.. . . _ LATERAL BENEFIT/TRUNK SEWER LATERAL BENEFIT/TRUNK WATER, : „ ,- ? s ." S_ ???Ip C? S .. .. _._ WATER. TREATMENT ;PLANT SURCHARGE $ r_.. ' , OTHER d ?. ..... . . `.- = 'TOTAL --- - RECEIPT RECEIPT DOES LTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? ; Q YES IF YES, THEN A"PERMIT'EOR WORK WITHIN PUBLIC ,. ? ROADWAY"_MUST. BE.ISSCED BY THE ENGINEERING NO DIVISION. LIST-AS-.A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPR04"E'S BY:_ -- TITLE: DATEa ? \ r Lp MA VEY1N0 AVICEB ey Memorial Highway Minnesota 55122 : (612) 452•3077 ? d0 i i ?Q V d p( ? Q ? ?ba 0 30 • gos o?C??iificate For: LAHO ocvewPCas REAU088 Fi?C?NT,? I?R Ct3MPANIES MOUEL : oxFORn Lq7 i,' p a, •?t ?,-.-„- = -- vl'- io•r - z? ??' ? .o ? ? g : RAIIJAC?E P t?uTY 4}; O t - r` Orivaa,a i?? L ? IS ? 6 ? ?--i _d ,.,...? I ? Ii IOL JS r , ?'? '`. ,134-.ib`:. 1487.6 I8' ?`8A8.0 ZI'o E ? X$1GA ?Ci'r 1'a 4NAYNE D. CORDES - : 4675 - -LEGEND_ PROPOSED GARA6E FLOOR ELEVATION= 8W0 O G1.wiotes Iron Monirrent PRiOPOSEO Top of 81ock ELEVATION= M.3 m Qenotes Woaf Nub Set PROPOSED BASEMENT FLOOR ELEVATlON- 6s-.3 x 968,0 Demtes Existirg Spot Elevation NOTE: Verify afl flaor hei9hts with Pirol House lans. 44, Qr 4 Clenotes Proposed Spot Elevatian ,,?Aenotes Drainage Direction SAIM CER(fFICAT1aV- 1 hereby certify thet this survey, plsn or report _pA7ERry DE$CRl pf I Lrl- wes prepared by me or u'der my d i rett supervi s i cn LOT ?a ,BL.LCK I ard that I am a dufy Registercd Lard Surveyor =1+AMP'fo r-? ?-FEI(21FM? urxle; }he lsws of the Stste of Ninresota. (? 9 accordirg to the reccrded plat thereof, ,??ja„ 1? . Dete: ?? S i& pAKOTA Camty, Minnesota Wayne D, ardes, Ninn. Reg. No. 14575 / 4,111 C!tyofEa�afl 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: L L-' J Date Received: Staff: 2016 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit #: Name: 'I E Coo (CI 12 i9 Address / City / Zip: 050 �" S 1 2 2_ Applicant is: Owner Contractor Phone: Description of work: re -L— (Ql) F Construction Cost: / III ok2. Multi -Family Building: (Yes / No Company: /4 ',"1,4 te)k- (0h4 -U L h L n- / / - Contact: Address: ld CO f 94v.ze. ( °2- City: P( 'Yt State: "tit" Zip: Celle -( Phone: 6 12 "2 VC.bC17- Email: a Ca j( CO 1 i4t6X.-C2,In2u(jiO)-'. License #: K C(E 3e( Z / Lead Certificate #: 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: Phone: Phone: Sewer & Water Contractor: Fire Suppression Contractor: 'ans ani tare. 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.cooherstateonecall.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 iss . nce. x 14117-04 Ce(,, Applicant's Printed Name Applicant's Signature Page 1 of 3 Use BLUE or BLACK Ink r For Office Use4,006 H Permit#:City of Ea a� ..-- � Permit Fee: C>, 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651)675-5675 Fax: (651)675-5694 Staff: 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: t Unit#: Name: III I 7��C /L Phone: ill Resident/ 1g 3o� I Owners J Address/City/Zip: (� IJ �'�G{CY,c� a(2 I I Applicant is: Owner Contractor .Description of work .. 1 Type of Work ' i i Construction Cost: 0 '7 SCMulti Family Building: (Yes /No ) 4 Company: /'7 ti)4 Le k' Gov 1 g sk c,c,A.U A— . ., Contact:e„ 4 L y 6 cit.( 6 ) lc- Contractor c_ Con rector ' Address: )D C T ,QG S 04 4 3o1 City: - 4 vies/ �J �r ° State:v-f lf-Zip: �" t2 c / Phone: C, (2-2 111E l: a Ce )C i -.6? L y l 10 A--- Vl2 L4 bs-. J I I License# c G 6 `>i a I Lead Certificate# �' If the project is exempt from lead certification, please explain why: 1 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: i Licensed Plumber: Phone: Mechanical Contractor: 1 Phone: Sewer&Water Contractor: Phone: > I Fire Suppression Contractor: _ _ Phone: NOTE:Plans and supportingdocuments thatyou submitare c_.------- !"- ion. are cons t►ered to be public information. Portions I the information may be classified as non pudic if you provide specific reasons that would permit the City to L . ,. . ,ro.__ ., _ 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.gopherstateonecall.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 4ZE14s JA Pvn it C- 0 (A, (_ (__ xfi7.______a„.:._.,.. ______,, Applicant's Printed Name Applicant's Signature Page 1 of 3 i 1 PERMIT City of Eagan Permit Type:Building Permit Number:EA141322 Date Issued:03/06/2017 Permit Category:ePermit Site Address: 3538 Coachman Rd Lot:18 Block: 1 Addition: Hampton Heights PID:10-31900-01-180 Use: Description: Sub Type:Reroof & Siding & Windows/Doors Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and house wrap and leave on site. 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. Valuation: 12,000.00 Fee Summary:BL - Base Fee $12K $221.25 0801.4085 Surcharge - Based on Valuation $12K $6.00 9001.2195 $227.25 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 - Herta E Silk 3538 Coachman Rd Eagan MN 55122--121 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink r For Office Use �/� �j City of Eakall Permit#: / / 67O 9 C a- OO 3830 Pilot Knob Road Permit Fee: Eagan MN 55122 Phone: (651)675-5675 Date Received: Fax: (651)675-5694 Staff: L 2017 MECHANICAL PERMIT APPLICATION ❑ Please submit two(2)sets of plans with all commercial applications. AA Date: t Il 1 Y l t Site Address: 3 5 3'g Cog cfn WI Ctn Poi we r V< P) � 122- i Tenant: Suite#: Resident/Owner Name. .,. R 1 G�-.w .. Phone:m cc( - 2 5C, -.33 2�- I Address/City/Zip: 2 $_,Q4 1Ntau,. of 1 1_,,/4'�....._ S \� i i Name: M S VVI 042 0.L i "vI License#: M L 0 0 cq 7 C I 4 Contractor f. Address: 1 g C lit V�C�'W 4 Oo L L. City: Pt 'Y'i�, -�., I : State: 'v1 W Zip: �SLi LI 2" Phone: 7 4 3 . 22.S" )10 j ,� 1 _ Email: lam- t�5 i c L1 �t ( e_o vv1 , I I Contact: �'`l v Nl 1- Y New Replacement Additional Alteration Demolition Type of Work Description of work: l NOTEof Romounted and grouf d mounted mechanical equipment is requited to be screened by City Code. Please contact the Mechanical Inspector for information on permitted screening methods. RESIDENTIAL 1 COMMERCIAL ; F I KFurnace New Construction Interior Improvement Permit Type Air Conditioner Install Piping Processed s Air Exchanger Gas Exterior HVAC Unit Heat Pump i Under/Above ground Tank ( Install/_Remove) i Other 3 RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit, includes State Surcharge $100.00 Residential New, includes State Surcharge =$ TOTAL FEE COMMERCIAL FEES Contract Value$ x.01 $60.00 Permit Fee Minimum $75.00 Underground tank installation/removal, includes State Surcharge =$ Permit Fee 3 _$ Surcharge Surcharge= Contract Value x$0.0005 If the project valuation is over$1 million, please call for Surcharge =$ TOTAL FEE I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the • ances 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 p= mit;that the work will be in accordance with the approved plan in the case work which requires a review and approval of plans. x ���lD�L °\�-1��� x � i ii Applicants Printed Name Applicants Signature FOR OFFICE USE Required Inspections: Reviewed By: Date: Underground Rough In Air Test Gas Service Test , In floor Heat Final HVAC Screening PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA155652 Date Issued:05/29/2019 Permit Category:ePermit Site Address: 3538 Coachman Rd Lot:18 Block: 1 Addition: Hampton Heights PID:10-31900-01-180 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 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 - Herta E Silk 3538 Coachman Rd Eagan MN 55122--121 (651) 246-3327 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature