3542 Coachman RdCITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 13066
P 4NE• 45 8
H . 4- 100
BUILDING PERMIT Receipt#
Tobeusedlor SP )WGfVp?R Est.Value $6$,0()0 Date 7H=rEMKER ,19 S
Site Address 3 5 9 2 COACri1yAN RD Erect (3 Occupancy P, 3
LotZ.q._ Block i Sec/Sub. IIAMiTUN HT5 Remodel ? Zoning 21
Parcel No. Repair ? Type of Const PN?-
Addition ? No. Stories
IX Name FRQidTIER COtQPANICS Move ? Length 0
z 3908 STBLEY MEM :IW-Y oemolish 11 Depth AA
o Address Int. Impr. ? Sq. Ft
City EAGHN Phone 45 4- 0 4 3 3 Instau ?
= p Name :i Ai"l,"A-
U ? Address
'" City Phone
Vd
W W
U?
¢W
<
Assessment _
Water 8 Sew.
Police
Name Fire
Address Eng.
City Phone planner
information is correct and agree to co
Minnesota Statutes and City of Eagan
Signature of
:ufaiuia BICi
State of 9'
Var.
Permit _$ 337.00
Surcharge 34.04
Plan Review G ` 50
SAC 575.04
Water Conn._500:00
Water Meter63.50
Road Unit 2 y U. 00
'Tr. PI. 156.00,
Parks
Copies
Total $2 ,1l4• 00
A Building Permit is issued to: 1=`v.¦ 1.al'" `,"+''s`'"" j`'? on the express condition that
all work shall be done in accordance with all applicable State of Minnesota Statutes and Gity o} Eagan Ordinances.
Building Official f' - ?
Permfl No. Parmk Holder Qata Telephone M
Plumbinq
y '
= /.5
H.V.ls.C.
ElecMo (I LS/?
Soltener
InspeCtfon Oate Irup. CommenM
FootinQs I
FooUngsll
Foundaiion
Framfny
Roolinp
RouyhPlby.
Rouqh Hty.
1nsu1.
Fireplaca
Final Htg.
Final PI6y.
8ldg. FMaI
Cert.Occ.
Dsck Fty,
Dsck Frmp.
Well
Pr. Disp.
,
PERMIT #
PLUMBING PERMR
CITY OF EAGAN RECEIPT #
` 3830 PILOT KNOB ROAD, EAGAN, MN 55127 DATE;
Sibe Address `- ? BLDG. TYPE WORK DESCRIPTION
Lot Block Sec/Sub
Res. New
?
Name
Mult Add-on ,
'
? Address _ Comm. Repair
c Ci1y Phone Other
NO. FIXTURES TOTAL
Name • Water Closet - $3
00 $
?
c Address .
Bath Tubs - $3.00
O City Phone Lavatory - $3.00
$
00
Sh
ower -
3.
Kitchen Sink - $3.00
FEES
COMM/IND FEE - 1% OF CONTRACT FEE Urinal/Bidet -$3.00
Laundry Tray -$3.00
MINIMUM - RESIDENTIAL FEE -$10.00 Floor Drains -$1.50
MINIMUM - COMM/IND FEE _ 20.00 Water Heater - $1.50
5TATE SURCHARGE PER PERMIT - .50 UVhirlpool -$3.00
(ADD $.50 S/C IF PERMIT PRICE GOES (',? Piping Outlets -$1.50
BEYONO $1,000.00} Softener - $5.00
Well - $10
00
.
-Private Disp. - $10.00
Rough Openings - $1.50
SIGNATURE OF PERMITTEE FEE
STATE SlC:
FOR: CITY OF EAGAN GRAND TOTAL•
. 4 ? ^'?'??i??i ? '..?, .. .• .s.?;'?°' P i-? ; 'k'? .. '.? ' - . . . .?.. ?. - , . .F .. . ..? ? ? ? '
" , . PERMIT # y- 7
MECHANICAL PERMIT RECEIPT #
3830
m Name ?L1vLGL :.?
? Address 3600 2:enne
C Cilty E3k3I1
MN 55121 DATE:
BLDG. TYPE WORK DESCRIPTION
•.--
Res. New
Mult Add-on
Comm. Repair
Oth8f
? Name _
c Address
O3 Cib -
TYPE OF WORK
Forced Air u u 0 M BTU
Boiler M BTU
Unit Heater M BTU
Air Cond. M BTU
Vent CFM
Gas Piping Outlets #
Other
FEE 25.50
5 ?l
S/C: . ,
_): o.UO
TOTAL•
FEES
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 - 195 OF CONTRACT FEE
MINIMUM - RESIDENTIAL FEE - 10.00
MINIMUM - COMMJIND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
SIGPIATURE OF PERMITTEE
FOR: CITY OF EAGAN
PERMIT #
( PLUMBING PERMIT 2 241 ?
RECEIPT #
' CITY OF EAGAN
3830 PIIQT KNOB ROAD, EAGAN, MN 55122 DATE: 7/8/,r 7
CONTRACT PRICE: -f PHONE: 454-8100
SiteAddress BLDG. TYPE WORK DESCRIPTION
Lot Block Sec/Sub Res. New
ita . Mult. Add-on
?
-
"
?. , ; .- ?
• .
Name 1 ? , . , .,? . Repair
?o Addresa`? - ? Other
'one ? ? - RES
ONLY - COMPLETE THE FOLLOWING:
PLBG
.
.
NO. FIX7URES TOTAL
? Water Closet - $3.00 $
?
Namg ?
? Bath Tubs - $3.00
c Address to
- $3
00
L
3 ava
.
ry
O City ^ T?z-• ? P one Shower -$3.00
` Ki?chen Sink - $3.00
FEES Urinal/Bidet - $3.00
COMM/IND FEE - 1% OF CONTRACT FEE Laundry Tray -$3.00
APT. BLDGS - COMM RATE APPLIES Floor Drains -$1.50
TOWNHOUSE & CONDO - RES. RATE APPLIES Water Heater -$1.50
MINIMUM - RESIDENTIAL FEE -$12.00 Whirtpool - 53.00
MINIMUM - COMM/IND FEE -$20.00 Gas Piping Outlets -$1.50
STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIT)
(ADD $.50 S/C IF PERMIT PRICE GOES ` Sotterrer - $5.00
BEYOND $1,000.00) Well - $10.00
Pnvate Disp. - $10.00
-
-? Rough Openings - $1.50
.
SIGNAl'C7RE OF PERMITTEE FEE: ? II STATE S/C:
. --.,
FOR: Cltl' OF EAGAN GRAND TOTAL•
V
,f Ql?l?,F-D
WATER SERVICE PERMIT
!
,
OF EAGAN SEWER SERVIGE PERMIT
Pilot Knob Roed 9495
3ox 21199 PERMIT NO.:
n, MN 55DATE:
ig: No. of Units:
ror_ er ., wes
I agree io comply wfth the City of Eagan
Qrdinances.
BY
Date oi Insp.:
Insp.:
Account Deposit: 7 ? QnT"-2
Permit Fee:
Surcharge: 5n i
Misc. Gharges:
Tota4: ?
Date Paid: - ?
, Y&F/CEILIN.G
vzz
-nted
?51
,. J z
Hea[ flov
. up £IG. 05
..
- _ av.?-Yl:.f.1:JJ • • ?. ,
.? ? ' . ? • . ?
. $es?
- ? ; , - flov up ' . - .
, • ,, • . .. _
• Yz?;_ ?7 , . f'
Cons truc tion A-Valxic
1. Intcriar air filn ?. . O.G1
2. . S'
3. 1iU5vL. • 44,00
A. Extcrj.or aiz filn (still) O.-Gi
Tota-I 2 4sgo
..
1. Interior air gilm ' 0.61
2. 3MJ G . 1?, .
3. 4. .:xtez-iol- zlir 1?71n (sr.110.61
TotaL 2_
? U
Tnsidc air filtn 6.61
2. • . 3_
4.
?• 5. Qutsidc air_ fi2m 0.17
Total
1. 7nsidc air filin 0:51
3. ' - -
a_
5. Outs i3c a ir f zlta
. Tctal
1_ Tnsidc air film 0.61
2. •
3_ . . ,
a_
5. G1itsida air film 0.17
TO ta1
. .: . . . . .
. •• •
. , . _ .
Natc: Use aaaitional sheets if morc 5paco i:
??- ssecrlecl for cletaiZs and calcu! aticrns.
? . .
• . .
• ? Y
b . . , , •
? IseLt f lau up . •vented •
- . _?3G. ?6.. . _ • . ' ? '• . . ' :
_ . .. , . ?. ? .?, . - : _. - • -
CITY OF EAGAfV
` 1 )
LEGAL DESCRIPTION:
APPL[CATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
PROPERTY ADDRESS:
oc
2)
IF EXISTING STRL'{,'ILiRE, DATE OF ORIGINAL BUILDING PERMIT ISSCANCE:
` -1;
J
(I,bnth/Year )
PRFSENf ZONING/PROPOSID L'SE:
? CONMERCZAI,/REI'AIL/OFFICE PM R-Z SINGLE FAMILY
Q INMLSTRIAL U F-2 DUFi,EX (7? Lnits)
? INSTZTi'TIONAL/GpVg2DIIMENT 17 R-3 TOWDII70C1SE (Three + Units) ( t?nits)
, Ej R-4 APARTPENT/CObIDOMIbIILRN ( Units)
Nd:ME: FRONTIER MIDWEST HOMES CORPORATION
ADDRESS: 3908 Sibley Memorial Highway Bldg. E
CITY. STATE, 2IP: Eagan, MN. 55122
PHONE; 454-0433
3? • u , rN11ME: STAR PLUMBING
ADDRF.Sg; 1018 Mound Springs Terrace
CITY, STATE, ZIP: Bloomington, MN. 55420
PHONE: 884-4149 MASTER LI(ENSE# 3329
ACtiVe
ExPired
Not recorded
Sta?tial
4) ••«u•:MEN773: -
_ ADDRFSS: (? 'luQ? '
CITY, STATE, ZIP: S ?
PHONE: ?-{ 3f? ?Q(S%?
"5) i ? v i ? w• •?• :a o. - ??
Q CONNECTION TO CITY SEWER ? CpNNELTION Tl7 CZTY WATER Q p2'HER '- -
- -
6) ? n Mu• r ? PLEA,SE AOLp APPROVEEa PERMIT FOR PICK-C'P BY ONE OF P.BOVE -' --- -
? L APPROVID PII2MIT 10 1, 2, 3, 4, ABOVE
??P?C (Circle one)
» r ,. u. . ? .TVUs /.-12- ?Rj
NOTE: PA]'MENS OF FFE AT TIIM OF
APrracATIoN DOEs Nom CONSTITUTE
APPROVAL OF PFRMff'P.
INSPF7CTSON OF SESqM ArID/OR T@?1ER
TNsrarsaTrpNS p7IIS, NOT BE S(HED-
ULID [7NIZL PIItNIIT AAS BEEN
APPRWID.
/
FOR CITY USE ONLY ? PERMIT # ISSC'ED
g>3
Pd w/Bldg. Permit FEES:
$ /G ' Sm $ SEWER PERMIT (INCLUDE SURCHARGE) -
$ $ WATER PERMIT (INCLUDE SORCHARGE)
$ $ WATER METER/COPPERHORN/OC'TSIDE READER
$ $ WATER TAP (INCLL'DE CORPORATION STOP)
$ $ SEWER TAP
$ -n $ ACCOUNT DEPOSIT - SEWER
$ 45'0rD $ ACCOUNT DEPOSIT - WATER
6 C% c) L) $ WAC
$ j 7 S . o-Z) $ SAC
$ $ TRL[3K WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRONK SEWER
$ $ LATERAL BENEFIT/TRL'[VK WATER
$_ /5?> C? D $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
$ $
TOTAL
RECEIPT RECEIPT
DOES UTILITY CONNEC TION REQUIRE EXCAVATION IN PDBLIC RIGHT OF WAY?
Q YES IF YES, THEN A" PERMIT FOR WORK I42THIN PUBLIC
ROADWAY" MLST BE ISSUED BY THE ENGINEERING
Q
NO DIVISION. LIST AS A CONDITTON.
SUBJECT TO TAE FOLL OWING CO[VDITIONS:
APPROVED BY:
TITLE:
DATE : ?,l 2 ?? 7
? ?
?--Rri
- - - - - - --------?
? CASH RECEIPT
/
CITY OF EAGAN
3830 PILOT KNOB ROAD
- EAGAN, MINNESOTA 55122
DATE 19
wecerveo 4 ?\ ' -
FROM -+:?X? AMOUNT
d DOLLARS
+oe
? CASH ? CHECK
Bi.DG. PERMI'T No.
? , ?c? ,?
01-3210 Bldg. Perm
01-3422 Plan Check
01-3445 Surch./Adm
01-3446 SAC/Adm.
01-2155 Surcharge
17-3860 Road Unit
20-2275 SAC
20-3865 Water Conn.
20-3868 Water Trmt,
20-3716 Water Metei
20-2252 Acct. Dep.
20-3713 Water Permi
20-3743 Sewer Perm:
79-3866 Sewer Conn,
11-3855 Park Ded.
TOTAL
... _ _? l
,, ..
. ?
or Lilvolopo nvr.r.lgc "U" Compul•aCion
Page 2 of 4
Zblal expoied root/ccilinq nrea =
m. Zb tal skyligllt area ............................ ?--- 'n. Total roof/cciZin, framing area (avcragc lOt)... .
o. Total net insulated roof/cciling area...........
. Determine "U" value for each roof/ceiling segment
?
m . •?-?? x ,.U 11
n. ? . ? x iBU44
o.q q. a„U„ Z
9 ........................... Tbtal
If total cf #d is the same as, or less i:han 1E2, you have met the intent of
SHC 6006 (c) 1.
Alternate Buildin Envelope Design
Zb utilize the total envelope 'systecn method, the values establishacl by the s:un of
items 03 arid 114 shall i}ot be greater Chan tile swn or items fkl and 02.
75 + 2. . $ ? ,C).? '
3. _? ?? • ? _ + 4. ?.. L•?? _ _???• ??
J ?
??
b 7 0/ RESIDENTfAL BUILDING
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWction Reouirements RemodeUReoair Reauirements Office Use Onlv
3 registered site surveys showing sq. N. of lot, sq, ft, of house; and all roofed areas 2 copies of plan Cert of Survey Recd
(20%maximum lotcoverege allowed) t setof Energy Calculatlons forheated additlons Tree Pres Plan Recd
2 copies of plan showing beam & window sizes; poured found design, etc. i site survey for additions &decks _Tree Pres Not Reqd
7 set of Energy Calalations Add'rtion • indicate i/onsfte septic sysfem _ On-site Septlc System
3 copies of Tree Preservatlon Plan M lot plafled after 711/93
Rim Joist DeNail Options selection sheet (bktgs with 3 or less units
Date ?W
Site Address
Description of Work
Multi-Family Bldg
Property Owner
_ Y _ N
Telephone # (
Fireplace(s) _ 0 _ 1 _ 2
Contraetor RMA Home Uepot Inscalled Sales
Address 3200 Cobb iialleria Parkway Ste. k200
Atlanta, GA 30339
State 763-542-8826
l.,icense hBG20268257
UniUSte #
`-'1 _ " „t
3?Ol.C_J 1
CiTy
'elephone # (
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Ene?gy Code Category . Residential Ventilation Category t Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone
I hereby apply for a Residential Building Permit and acknowledge that the infon4t4tton'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 only an application for a permit, and work is not to star[ without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
a val of plans.
ApplicanYs Printed Name pplicanYs Signature
1304?
GArn?4Tyq6
1986 BQILDING PSRMIT APPLICATIOH - CITY OF SAGAN
NOTS: ALL CONTRACTORS MOST BE LICENSSD flITH THS CITY OF EAGAN
SINGLE F9lIILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SIIRVEY, 1 SET OF ENERGY CALCULATIONS
MOLTIPLfi DWfiLLINGS - iRESIDE9TIAL RENTAL IINITS FOR SAL6 ONITS
7NCLUDE 2 SETS OF PC.ANS, CSRTIFIC9TE OF SORQEY - CH6CB fiITH BLDG. DSPT.,
1 SET OF ENERGY CALCULATIONS
COl4lERCI9t:
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 7 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
To Be Used Fo Valuation:5 Date: 1z-1-LZ2QAe
Site Address
Lot ? B
?
Owner -)
Address
City/Zip
Phone
Contractor
9ddress ?
City/Zip Code
Phone l.?
Arch./Engr.
Address
City/Zip Code
Phone 6
? Erect
Remodel
0 Repair
Addition
Move
Demolish
Int.Impr
? i 1 .. . _. Install
APPHOYAIS
_ Oecupancy
_ Zoning
_ Type of Const
_ # of Stories
_ I.ength
_ Depth
_ Sq Ft
Assessments Permit 33 7
Water/Sewer Surcharge
Police Plan Review
Fire SAC 5"75
Engr Water Conn
Planner Water Meter b 3• SO
Council Road Unit
Bldg Off /- p_. Treatment Pl 5?
APC Parks
Variance Copies
TOT9I. .? /,J L
HOTE: ADDBESSSS FOR CORNfiE LOTS - CONTRACTOR/HOMEOWNEE M03T DBSIGNATS SiBICH 9DDRESS
IS DESIRED. NO CHANGES WILL BE ALLOHED ONCE BDILDIHG PERMIT IS ISSOSD.
;t .
_ .._?
CITY OF EAGAN
3830 Pilol Knob Road, P.O. Box 21-199, Eagan, MN 55721 N2 13 066
PHONE: 454-8100
.
(grr#ifirati! of "Q"9rrupanry
Citp nf eagan
l9qrttrhttml uf Iuililing.3ttsprrtiun
BUILDING PERMIT Heceiptri ('y.t'
5?-
.
To be used for SF DWG/GAR Est Value $68 • Q 00 Date D ECEMBF.R 30
SiteAddress 3542 COACHMAN RD Erect n Occupancy R3
Lat19 Block 1 Secisub. HAMPTpN HTS Remodel ? Zoning &.1
Parcel No Repair ? Type of Constr? ?
. Addition ? No. Stories
a
FRONTIER COMPANIES
Name
Move
? 40
Length
z
3908 SIBLEY
MEM HWY Demolish ? Depth 48
B.
° Address
t
454-0433
C
EAGAN ph Int.lmPr ?
0 Sq.Ft.
i
y
one Install
a
iF Name-
ou a Address
? cih' -
Fees
Phone
c
I w
Name
-z
? ?
Address
a W City Phone
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 Eaga„Ordinances, ,
Assessment
Water & Sew.
Police
Fire
Planner
Council
BIdg.Off. 12/30/8
Permit $ 337.00
Surcharge 34 00
Plan Review 168. 50
SaC 575.00
Water Conn.--5-0-2-0 0
Water Meter---6-3?50
RoadUnit 290-00
Tr.PI. 156_00?
Var. Date Copies
Signature of Permittee z Total $2,124. ? 0A ewlding Permit is issued to: ' ONTIER COMPANIES on the express condition that
all work shall be done in accordance with all applicable State f Minnesota rfaTi7te4nd-6i4yof Eagan Ordinances
Building Official
-?^
y . c-c
This Certificate issued pursuarst to the reguirements of Section 306 of ihe Unljorm Building
Cade certifying that at the k'me of issuance this sducture was in compliance wilk ihe various
ordirrances of the GYty regula[irsg buildersg constructian or use, For the fallowtng:
u.Clnnfi?,w„ 9F D'.•7G/GAR M,g ft.a No 13066
oaowoer rra R3 uwng ul,vla li ! Tra Cora Vi7
Owe,aBinwing PFOi3TIII& COBIPAP7IES Add. 3900 02F] F7EM F':JY, EACAui
BwldmH Addrm 3542 CO11C&i.1AN RD LocaJity L19. B 1 e HAFIPTOId HETG:ITS
A1AY 12, 1987
eudAn6 Ofrinalrlt
POST IN A CONSPICUOUS PLACE
? ? y -7 ? RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Conatructbn ReautremeMS NemodaVReoalr Heauirementa
• 3 registered si[e surveys showing sq. tt. ol bt, sq. fl. W house; end II rooled areas .7? • 2 copies ot plan
(20° mawmum bt coverege alWwed) / • 1 set of Energy Cakulations for heatetl aOtliNOnS
. 2 coplas of plan showing beam & window sizea; pouretl fourM design, etc.) • 7 sAe surrey lor ex[erior add'Abns & decks
. 7 Set of Energy CaICUl3tbn5 y? ?, ? • Indirate'rf home served by seplic system for 8ddilbn5
• 3 coples of Tree Preservatbn Plan H bt platled atter 7/1/93
• Rlm Jasl Detell Optbns selection sheet (bklgs witli 3 or less units)
DATE 53-` 2 - OZ
SITE ADDRESS
NPE OF
VALUATIO
R cl MULTI-FAMILY BLDG _ Y . ( ?
FIREPLACE(S) _ 0 _ 1 _ 2
APPLICANT ?14G4:120 ,? ???;
STREET ADDRESS CITY?STATE/O'/ZIP'
TELEPHONE ??'5?62`??CELL PHONE #(Q'? /775_5??& FAX # 66?j ?eZ 327's`
PROPERTY OWNER TELEPHONE #?S
------------ --------------------------------------------------------------------- ----------°-
COMPLETE THIS SECTION FOR uNEW° RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 D
0 su6mission type) • Residential Ventilation Category 1 Worksheet Submitted •
• Energy Envelope Calculations Submttted
MAY 0 2
Plumbing Confracfor:
Plumbing system includes:
Mechanical Conhactor:
Mechanical system includes:
Sewer/Water Conhactor:
_ Air Conditioning
_ Heat Recovery System
I hereby acknowledge that I have read this applicatlon, state that the
with all applicable State of Minnesota Statutes and CHy of Eagan Ord
Signalure of Applicant
OFFICE USE ONLY
Phone #
_ Water Softener
_ Water Heater
_ No. of Baths
_ Lawn SprinklerL
_ No. of R.I. Baths
Phone #
Phone #
mation Is
Fee: $70.00
and
comply
Certiflcates of Survey Received - Tree Preservation Plan Received _ Not Required _
Updated 4102
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.
DateY l I /Site Street Address ?J?'`?oZ ( I-LG? Unit #
Property Owner-??,,mi-5 Telephone #
Contractor l2 T/e?lephone #(9Sa}'- 5?- 36
Address CityizState,,i1J Zip S_ ._
The Appiicant is: _ Owner XContractor _Other
Alterations to existing dwelling
_Add fixtures to rooms, excluding water softener and water heater
_Septic System Abandonment
_Water Turnaround (add $121.00 if a 518" meter is required)
Other: $ 50.00
X Water Softener _ Water Heater
? _,X replacement additional
I - $ 15.00
Lawn Irrigation System RP2_ 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 6e 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.
??
ApplicanYs Printed-Name ApplicanYs?yignatur ? .
iq
SUBO
BL I
cirv use oNLv
U
RECEIPT #:
RECEIPT DATE:
PERMIT#
2000 PLUMSING PERMIT (RESIDEPITIAI,)
CITY OF &AC+AN
3830 PILOT KNOH RO
EAGAN, bA1 55122
651-681^4675
Please complete for: ? single family dwellings
? townhomes and cdndos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES
EAGH #
TOTAL
Alterations to existing dweliing - minimum fee
Describe: $ 30.00
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
Gas pipin outlet ' minimum - t 3.00 x = $
Hot tub/spa 3.00 x = $
Kitchen sink 3.00 x = $
Laund tray 3.00 x = $
Lavato 3.00 x = $
Septic System new/refurbishad ' requlrea MPC Iic. 75.00 x = $
Se tiC S Stem abandonment 30.00 X = $
RPZ new installation/repaiNrebuild 30.00 X = $
Rou h o enin 1.50 x = $
Shower 3.00 x = $
Under round sprinkler itdwening is under consnuction 3.00 x = $
Under round s rinkler is exisung aweuing 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x = $ . ap
Water softener If dwelling under construcUon 5.00 x = $
Water softener ir existing dwemne 3D.00 x = $
Water tumaround 30.00 x -- _ $
State Surchar e .50 -> -> -> $ .50
TOtal -> s
RemJnder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
• '• ....
i hereby acknowlodge tliat I have read this application, state that the inTomiatlon Is conea, znd agree to compty wkh ell appliceble City of Eagan ordinances
It is the applican['s resoonalhiliN to notliv the orooerlv owner that the Citv of Eagan assumes no IfabAity for any damages caused by the City during its
nortnal operational and this parmit within City propeRy/right-oFway/easement.
SITE ADDRESS:
OWNER NAME: :
DUNN,JANE
3542 COACHMAN ROAD
EAGAN, MN 55122
(651) 888-8273
TELEPHONE #:
(AREA CODE) INSTALLERNAME: ?hjQgnJ_OM 1 LjivlP?i1.1 Co TELEPHONE#:
STREETADDRESS: <ti7U? ?fFK,rIE-.Lll l7U? ?
cirY: MrAu A1 0)? po c..i ? STATE:
oF
OWNER:
SITE ADDRESS:
CONTRACTOR:
raiye L ?i v
EXTERIOR ENVELOr^E AVCR7IC,E "II" COMPI1T11TION CAf'1Q?ID3L?r
?.jyP.?, ?iJJdR.??
_ fU11?:__ ??'Z????
PfiONE :
Determine working square footage of each
?. Total exposed wall area..... Z Z??,(a(? sq. Ft. x.11 = Z,?r• ? 5
2. Total roof/ceiling area..... rV?JB sq. ft. x.026 = ?, ??
Total zxposed wall area above fiocr ''??;(?
a. ?otal wail ?aindow area ....................... . .................. ( Z. §?
b.
Total door area .................. _
c. ..............
Total sliding giass door area .................. ..................
.................. 39?4 Z
? Z
d. Total fireplace wall area ...................... ................ q g
e. Total wall framing area (average lOb) .......... .................. z
Z ?
8?
f.
g. Total rim foist area ...........................
net wall area above floor... a?,,, ...
............... ,
.
_Lq ?
h. ,,,,,,,
wall area above floor ................... ,,,,,,,,
........
.. ?? ?,?
-
?.
wAll area above floar ..............
..... .
...............
....
j.
frame wa]1 area at foundation ................. ..............
..................
Total exposed foundation arci=__ ??,?
k. Total foundation window area ................... ^.
l. Total net foundation area above 9rade .......... ....
.... ?p g,
Determine "u" value of each wall seyn,e?it
(e.g. window, door, each separate vrall section)
a. ( Z S• ? X „??,- • ? ? - -
!
?C ?
h. ??•VZ. X ????? _? C
-._s_s -
-
=?-GZ.7
c. a- Z X "U" . ?T ? _
? ? - ,
d. 4? „
x "? •-?- _
_
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e. Z Z?, 8(o X„?,? ? v? _ ?? 2,
- ? Q
aZ
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.
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..??
h. X ???„ _
i . X „??? _
j, ? ????? _
k ?^ X,u ?? If item N3 is the s
_ as, or less than it
? • 7'?, ?s ? X "U"
1
5
=?, ? N1, you have mef?.tti
inte
t
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,
_ n
of SBC„ 600
3 . .................................Totdl t ?1
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7 .:.{`?r???
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i ? ?..
This re0uest void ?3)s???7
18 ?wnths trom
? t 4669,?/u ?
D ate? ' ?
!
icensed Eleclncal Contractor
? Owner
Street Addres5, 9ox or fi.te No.
2
Electncal Contractor jCOmpany
.i y
re No. / qoaeh-in Insuecuon
Re?pu,rt/ed? E]q¢atly Now IQ+/AII Notrty Insoec-
I?!'res ?NO Ior When Reatly
1 hereby repuest inspection al abova
electricel work instalied at.
1411 ?DGtJE??`' ? m?s4 -o 4a3
? exrrL? V,?I,L?'Y A,r?,I
MINNE$OTp STqTE BOARD OF ELECTRICITY
Grippy-Mitlwey BIdB• - Room N-191
7827 Univernrty qye., St. Veul, MN 55104
Phone 16121 842-0800
3/? _5 /,s 7
THIS INSPECTION PEQUEST WIIL NOT
BE ACCEPTEU BY THE STqTE BOAHD
UNI,ESS PqOPEP INSPECTION FEE IS
ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION
? sea i,,,t.,,cno„s r ee-noovoi-os
or completuq' thig form on back of Vellow copy.
"k" Be/ow Wnrk Covered by Th?s Request
??
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,?.i, " ---- s •„??,?? ?
c.t $ . a$
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PLAN +?
Li u E.4 L FT. EXpos?C) WALL
S Z, c. ta 4843P t 18:, t?? -Cafm
? 4° t`I14 + S Z, tAM ` 0 to `. G ro
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TZtM=''A o{S'?.+-?? : 144>
N SSL. ;:?'r, Sxi?'oSED WA LL AzEA
t3LocK_', 1 K , S = 75. 13
EE; _r??.`4o x 5 ? 87;.3 .
146 1161
P.
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t z5. 3
Installed
Siding and Windows
LIMITED pOWER OF ATTORNEY
CuCFNTY OF COBB
STATE OF GEOAGIA
KNOW ALL PEOPLE BY THESE PRESENTS:
THAT I, David N. Katz, a resident of Montgomery County, Pennsylvania
("Principal"), and a licensed contractor of RMA Home Services, Inc., DBA Home
Depot Installed Sales located at 660 Mendelssohn Avenue North, Golden Valley, MN
55427, having a license number of BC- 20268257, do hereby appoirit, name and
constitute Elder-Jones Building Permit Service, Inc. ("Agent") as my true and lawful
attorney-in-fact and do authorize and grant said attomey-in-fact for me and in my
name, place and stead the power to execute, acknowledge, sign and deliver (in such
form as may be required by the municipality) a permit application, or any other
instrument(s) which may be necessary and appropriate, in order to obtain the proper
permit(s) from the City of Eagan, Minnesota for the installation, maintenance and
repair of windows and siding (the "yVork").
The powers conveyed to the Agent by this Limited Power of Attorney are
]imited solely to the express powers delineated herein and appi.y solely to the Work.
This Limited Power of Attorney shall expire and automatically be revoked on the 21 st
day of IvSuy, 2004, which date is one year from the execution hereof. Further, the
powers conveyed by this Limited Power of Attorney may be revoked by Principal at
any time by express revocation and shall also be revoked by the Principal's death,
disability, incapacity or incompetence.
INT WT"rNFSS WTIEREOF this Limited Power of Attomey is e.xecur,cd this
21st day of May, 2003
.
David . Katz
SWORN TO AND SUBSCRIBED BEFORE ME by David N. Katz on this
21 st day of May, 2003. ?
Notary P ic in for the State of eorgia
n4y Commission Expires: January 21, 2006
396816 v3
Proudly sold, furnished and installed by RMA Home Services, Inc., a Home Depot authorized contractor.
3200 Cobb Galieria Parkway, Suite 200 • Atlanta, GA 30339 • Phone (770) 779-1300 • Fax (770) 984-0709 • Toll free (800) 79-DEPOT
81 O MA
SUAVEYI NO
SEAVICEB
3908 Sibley Memorfal Highway
Eagan, Minnesota 55122
Phone: (612) 452•3077 ,
IYCn1re' Ii1" 4.0
f?+wnwrt?K
? -.
a ? .
? ? 1C
Q J '?
1711 IIDME
au? '?
i.s'??°J
,? E ^
Vo
L.oT
o 111
- - - ---> !L•o
,
?o
x x8b9;ai
? Lonr ';.:)
For:
?
?
?
?•
M! _
r?
?
x 1u•o
WAYNE D.
CORDES
- 14675 -
-LEGEND"
O Denotes Iran dlaiurent
m Denotes Nor.d Hub Set
xa-76-d Denotes Existirg Spot Elevation
(„ N,?q Denotes Proposed Spot Elevation
,,?Opnotes Orainage Direcfion
-PiqP'ERIY DESCRIP[I(,N-
LOT ?q .BLOCKi_
' =}FAMPSQN" ?EICa4F'C'?
accordirg to the recorded plaf thereof,
Mimesota
PROPOSED GARAGE FLOOR ELEVATION ?70,3
PAOPOSED Top of Block ELEVATION!
PROPOSED BASEMENT FLOOR ELEVATION- $6I.3
NOTE` Verify all'flonr heights with Finel House Plaro.
_W&EVdtS CERfIFICATIpV-
! hereby certify thnt this survey, p/an or rcpvrt
was prePsred bY me a' urder i"Y direct supervision
ard that J am a duly Re9istsred Le?d SurveYo?'
urderthe laws ot the Stste of Yimesota.
te: '??Zd18b
Wayne D. Cordes. Mirm. Reg. No. 14675 ?
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA136448
Date Issued:05/12/2016
Permit Category:ePermit
Site Address: 3542 Coachman Rd
Lot:19 Block: 1 Addition: Hampton Heights
PID:10-31900-01-190
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Thomas A Mccarthy
3542 Coachman Rd
Eagan MN 55122
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA146605
Date Issued:11/02/2017
Permit Category:ePermit
Site Address: 3542 Coachman Rd
Lot:19 Block: 1 Addition: Hampton Heights
PID:10-31900-01-190
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Thomas A Mccarthy
3542 Coachman Rd
Eagan MN 55122
(651) 688-6273
Controlled Air
21210 Eaton Ave
Farmington MN 55024
(651) 460-6022 X253
Applicant/Permitee: Signature Issued By: Signature