3555 Coachman RdCity of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 3555 Coachman Rd
Lot: 9 Block: 4
PID:10- 31900 - 090 -04
Use:
Description:
Sub Type: e- Siding
Work Type: Siding
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Minnesota Exteriors
8600 Jefferson Hwy
Osseo MN 55369
(763) 391 -5514
Addition: Hampton Heights
PERMIT
City of Eaan
Construction Type:
Occupancy:
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Building
EA091364
09/29/2009
ePermit
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.
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total: $90.00
Applicant/Permitee: Signature
- Applicant -
Owner:
Jacob John
3555 Coachman Rd
Eagan MN 55122
$88.50 0801.4085
$1.50 9001.2195
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.
Issued By: Signature
CITY OF EAGAN ?,? fl ?,?? 31
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ?
PHONE: 454-8100
BUILDING PERMIT Receipt #
for SF
Est Value $59 ,000
Site Address 3555 COACHMAN RD
tot iock 4 Sec?Sub. 10JVTON HT
Parcel Mo.
Phone
¢ S ?.':E
Z o Name
0 ? Address
? (?ifii Phnno
Address
Date DECEMBER 2 19 36
? R3
Erect Occupancy
Remodef ? Zoning xl
Repeir ? Type oF Const V
Addition ? No. Staries
Move ? Length 40
Demolish ? Depth d 7
Int Impr. ? Sq. Ft.
Install ?
A Dorov als Fees
Assessment
Water & Sew.
Police
Fire
Eng.
Planner_ _
Council T
I hereby acknowledge that I have read this application and siate thatthe , OfF?'p
"
information is correct and agree to comply with all applicable State of Bld9
Minnesota Statutes and City o( Eagan Ordinances. APC
Signature of Permittet '" Var. Date
NT I ER CC)'?4FAN T E S
Permit ? 325.00?
Surcharge 32.0011
Plan Review 162. 50
SAC S75 . ()0
Water Conn. 500.001
Water Meter 63 . 50i
RoadUnit 290•001
Tr.PI. 156 .00?
Capies '
Total i 0 4. 0 U I
A Building Permit is issued to: FRU • on the express cOndition that
all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
PermN No. PermH Hdder Dste Telephons #
Plumbiny
H.Y.A.C. d r . ' 1 J ,? i1-114.7
Electric
L
8oHener
Inspectfon Date Insp. Commenb
Footfnys 1
FootlngeII
Foundation
Framinq I I ?/d f
Roorinq
Rouyh Plbp.
Rouyh Mty.
Insul. ?
Fireplace
Flnal Hfg.
Flnal Plby `/D T7 ? rP( '
Bldg. F{nal
cen. occ. 3
Dsck Ftq,
Oeck Frmy.
Well
Pr. Disp.
4 • PERMIT #
' PLUMBING PERMIT
CITY OF EAGAN RECEIPT # ?--
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE:
SeclSub
? Name 97 r lU Z t h 1%? r;•! i? ti tf c.
m
aa Address C'
? ?
c City Phone';?5..? L`:.
L Name
c Addre
0 C'h -
FEES
COMMIIND FEE - 196 OF CONTRACT FEE
MINIMiJM - RESIDENTIAL FEE - $10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
6LDG. TYPE WORK DESCRIPTION
Res. New
M ult Add-on
Gomm. Repair
Other
NO, FIXTURES
$3
t
W
Cl
00 TOTAL
ater
ose
-
.
' Bath Tubs - $3.00 $
? - ? r
/ Lavatary - $3.00
Shower - $3.00
=Kilchen Sink - $3.00
Urinal/Bidet - $3.00
?Laundry Tray - $3-00
- `
Floor Drains - $1.50
Z
Water Heater - $1.50
Whiripool - $3.00
-
--
Gas Piping Outlets - $1.50
7
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
?-Rough Openings - $1.50
' • '
FEE `-'
STATE S/G -? ?
GRAND TOTAL• ? y • ?FQR: CITY OF EAGAN
CONTRACT
Site Address
i La
PERMIT #
MECHANICAL PERMIT RECEIPT # 2 3
CtTY OF EAGAN ? / 8 -7
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE:
PHANE 454-8100
y Name
? Address
c City
? Name -
3 Address -
O CitY
TYPE OF WORK
Forced Air
Boiler
Unft Heater
M BTU
M BTU
M BTU
Vent
Gas Piping Outlets #
Other
CFM
FEE:
S/C:
TOTAL•
BLDG. TYPE WORK DESCRIPTION
Res. New
Mult Add-on
Comm. Repair
Other
FEES
RES. HVAC 0-100 M BTU - a24.00
- ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
' 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 - 20.00
STATE SURCHARGE PER PERMIT - .50
T
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
SIGNATURE OF PERMITTEE
FOR: CITY OF EAGAN
..
?- - ---
, .- .•q..,. . . s . . .FA;,. , . ..? .. . - - . T '%?
PERMIT #
. .; i
__? ..
MECHANICAL PERMIT RECEIPT # -
CITY OF EAGAN --
DATE:
3830 PILOT KNOB ROAD, EAGAN, MN 55122
CONTRACT PRICE: PHONE: 454-8100 For Office Use Only:
? Site Address I ' ' • ' ? ' :
BLDG. TYPE WORK DESCRIPTION
` Lot Block Sec/Sub Res. New
I
.
? Name ' Mult Add-on ?
m Address Comm. Repair I
c City Phone Other ?
?
Name FEES
HVAC 0-100 M BTU -$24
00
RES
. .
c Address i ADQITIOMAL 50 M BTU - 6.00
? p City Phone ' (RES. HVAC 1NCLUDES A1C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1
50 EA
"
.
.
TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE
Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES
?
TOWNHOUSE & CONDOS - RES. RATE APPLIES
Boiler
I M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON & I
Unit Heater M BTU REMODELS - 12.00 ?
I Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00
' STATE SURCHARGE PER PERMIT - .50
Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Outlets # BEYOND $1,000)
Other $
FEE:
S
A
M
TEE •,
S/C: T
?
?
?f? ?r ?
Y TOTAL• FOR: CITY OF EAGAM
PLUMBING PERMIT
CITY AF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122
I Site Address
, Lot ?
m Name
?o Addre
c City +
Name
3 Addre:
p Ciry -
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE 8 COND4 - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.Oa
STATE SURCHARGE PER PERMI7 - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BLDG. TYPE WORK DESCRIPTION
Res. New
Mult. Add-on
Comm. Repair
Other
RES. PLBG. OtVLY - COMPLETE T4iE FOLLOWING:
NO, FIXTURES TOTAL
Water Closet - $3.00 $
Bath Tubs - $3,00
Lavatory - $3.00
Shower - $3.00
Kitchen 5ink - $3.00
Urinal/Bidet - $3.00
Laundry Tray - $3.00
Floor Drains - $1.50
Wates Heater - $1 50
Whirlpool - $3.00
Gas Piping Outiets - $1.50
(MINIMUM - 1 PER PERMIT)
-LSoftener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
FEE:
STATE S/C: -
PERMIT #
RECEIPT fi
DATE:
FOA: CITY OF EAGAN GRAMD TOTAL: ? y,
CITY OF EAGAN SEWER SERVlCE PERMR
3830 Pilot Knob Road
P. O. Box 21199 PfRM1T NO.:
Eagan, MN 55121 DATE:
Zonir+0: Na of Units:
Owrrr.
/lddrcss: ?
Site Addrass: _
Plum6er.
1 Nm Ir 1*111 wll& 60 d!p of yNm ConrNCtion Charpr.
OaiNwa& 11ooount Deposit:
Pem+It Fes:
Su.dm :
8Y Mitc. Chor+pm
Date of Irop.: Totaf:
Intp.: Dah Poid:
36 Pibt Knob Road
1.. TY O?EAGAN WATER SERVICE PERMIT
O. Box 21199 PERMIT NO.: 0-'µ 9
gan, MN 54121 DATE: 12-4 P ning: No. of Units:
ner. ?'rnn t i?+r dress: 3555 e Addess: ?'-Oac r. Foa . ampton eg ats,
Star P um fntanl!'?\ _
Meter No.: /ro lo.-) t !0 3 - - - arge: J ?`• .
ft?
size: ?/?"R? Sefore digging caV31
aeaaer No. 0707 q981 TELEp?OtiE • ELE ??'
I ayree to comply wtM Ihe???Epy? S?ar 1 '
Ordlnances. K l3fICGD Misc. Charges:.?
/ Total:
By / Date Pald:
Date of Insp.: Insp
-3-?-8'7
.yrr:::'c,_ic= Lr.valcpc Avc:zqc •t;,• C:.mllutat.ion
Pagn Z Q: q
• ' To tal cxpo2cc! :oof/cci'_? ng ar--a
m. Tbeul sf:/lighc area ............................
n. Tc tal roof/cci+.icu; £ramiag arca (.ivcraqc 10%) ... 1 0{,(e .
e . ':e Gil ne t insula Ccd roa£/cr.:linq aresa. . . . . . . . . . ?14 ? ?} .
. Dete=ine "U" valuc for each roet/ccilinq sac;mant
1R . X "lI" s
°V"
~U~
7 ........................... TOtdl aa '7
2f tatal e? ON Is the sa:ae as, er less t:hnn 12,. you have met the intent ot
SbC 6006 cc) 1. ,
Alter:sate 3ui'_dincr .*•.nveloae Qesian
To ut-,1.3ze :he tatall envalooa 'system method, the values estaalished by tiva s-= oi`
itecns 43 a.nd 04 ;ha1Z not be qrzater thnn ths sum of items #l anZ #2. . 1. 2.
3. ICD15i ?bl + 4. Z?r 73 _ ?• ?7? ? Lv • .
,. .
: ' '
SMITH, DAVE " 2 9 ,,., )STAFFORD
1986 BIIILDING PERZQT IPPLICATI0N - CITY OF EAGAN
NO'1'S: ALI. CONTRAC?OxS M[1ST BE LICS&SED WI3H ?HE CI1T OF EAGbA
COISmCIAI. SINGLE FAMIILY DWSLLINGS
INCLUDE 2 SETS OF ARCHITECTURAL INCLIIDE 2 SETS OF PLANS
& STRUCTURAL PLANS, 1 SET OF 3 CERTIFICATES OF SURVEY
SPECIFICATIONS AND 1 SET OF 1 SET OF ENERGY CALCULATIONS
ENERGY CALCULATIONS?
$2,000 LANDSCAPE BOND
(oq-,GnO
To $e Used For: Single Fa.mily , Valuation: -? Date: 9-26-86
Site Address 3555 Coachman Raod OFFICE DSE QNLY
Lot 9 Block 4
Parcel/Sub HAMPTON HEIGHTS
Owiler Smith, Dave & Laura
Address 1313-92? Street East
Gity/Zip Code Bloomington, MN. 55420
Phone 888-7031
Erect V Oecupaney _ - fZ• 3
Remodel ` Zoning ?ZI
Repair Type of Const ?
Addition # of Storiea
Move Length ?v
Demolish Depth 4-1_
Int.Impr. J_ Sq Ft
Install
----------------------------------
gPPROVALS
Contraetor FRONTIER COMPANIES Asaessments Permit 325-
Sibley Memorta i Water/Sewer Sureharge 3 Z.
Address Eagarl, MN 55122 ? Police Plan Review 1 c? 2. S°
City/Zip Code
Phone 454-0433
Areh./Engr.
Address
City/Zip Code
Phone #
Fire SAC 57 S•
Engr Water Conn 500 .
Planner Water Meter G 3. ?
Council Road Unit 29O.
Bldg Off .. Treatment Pl I5Co,
APC Parks
Varianee Capies
TOTII. 2, ro4.
NOTE: ADDRESS&S FOR CORNSR LOTS - CONTBACTOR/HOMEOWAER lSQST DESIGNATS WHICH
ADDRFSS IS DESIRED. NO CHANGFS WILL BE AI.LDNSD OACE BOILDING PERMIT
IS ISSQED.
CITY OF EAGAN A'
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 'v ? 1? 9 3?
BUILDING PERMIT PHONE: 454-8100
Receipt # -
To be used tor S F DWG/GAR Est. value $ 6 4, 0 0 0 natp DECEMBER 2 8 6
Site Address -
Lot 9 Block
s
W
3
0
Phone
Erect E3 Occupancy 1x `'
Remodel ? Zoning R
Repair ? Type of Const. V
Addition ? No. Stories
Move ? Length 40
Demolish ? Depth d 7
Int Impr. ? Sq. Ft.
= o Name SAM Approvals
?°, t
-c
Address
Assessment
City Phone Water & Sew.
Police
W W Name
= Z Fire
Z
Address
? En
9•
s W City Phone Planner
I hereby acknowledge that I have read this application and st
inf
i ate thatthe CounCi)
11 24/$
8td
Off
ormat
on is correct and agree to comply with all applicab g.
.
le State oT
A Building Permit is issued to:
all work shall be done in accardance with :
Building Official
3 , +?-t
i:
s
Surcharge 13c . u u
Plan Review 162.50
SAC 575.00
Water Conn. 500.00
Water nneter 63.50
Road Unit 290.00
Tr. PI. 156.00
Parks
Copies
Total $2,104 . 00
--r
(9trufira#r uf (Orrupaury
(Citp of (Eagan
-ArvaMmd o# RiAiding Jpprttun
POST IN A CONSPICUOUS PLACE
BLDG. PERMIT Np,
r-y-
-.?
oi-32ro' ?
01-3422
01-3445
01-344b
a1-2155
I7-3860
?-ildg. Pe:
Plan Che<
Surch./tic
SAC/Adm.
Surcharge
Road Unit
20-2275 SAC
20-3865 Water Conr
20-3868 Water Trmt
20-3716 Water Mete
20-2252 Acct. Dep.
20-3713 Water Perm
20-3743 Sewer Perm:
79-3866 Sewer Conn,
11-3855 Park Ded.
TOTAL
i
;
. ?. - - - -- - --- - _ . _-:r
CASH RECEIPT ?
CITY QF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
aAre - 19
RECEIVEo.
PROM ,
AMOUNT ?
1 oo
? eqSH E3 CHECK
ROR
?
S8 71;U BY
wnite-waverg couv
Yellow-Posting Copy
Pink-File CoPY
Thank You
. . ?
? . , ? .
Total wail window area ..............................
Total dcor area ..................................................
Total sliding qtass daor ares ....................................
To tat fitreplace wall area ........................................
To tal wall framing area (average 10%) .................. . ????
Total rim joist area........ , ?????
net wall area above fioor...Zz??,C.?l:
----wall area above `loar .....................................
_? wa1l area above floor .....................................
rrame waii area a:r foL:nda -r?on ...................................
. y ,
ME°:
SITEADOR-ESS:
CON TRACTOR : I'lt(INc" :
Oetermine worlcinq square F40i.31C+ of each
1. Total exposed wall area..... I ftkA. S s4. Ft, x.I; Q45
2. Total rocf/ceilzng area.... Pt. x .026 = Z(e_ ??
Total exposed wal l arca abovc fSoor=_ ?C?.+ jI
a.
b.
c.
d.
e,
S•
i.
.I•
k
1
Octcrmi rte "u" va 1 ue o f eacfz tir,; i i s.crmcnt
(e.g. windaw, daor, each separate. wail s2t:6iQn)
• a• 1 Z ? K
. b, x
c. 4? X
• d. 4 ?5 X
e . ( °rf ?'.? , =? ? x
• f • f ?o x
' g• l ?8 1 ??J X
Lr?.
r ?1 =
4S _ ,
? <:5 , i
nua
i
?
»v» . 3
"u" U?3 = f S • ? ?
Nup a 3 -? -? -
pu~ . V V =
h• X "LI" i
` • X p t' ~
1 x °uM , ..
?• X ~um ; •
1. Co S X"U"
;YT_??tOR C;;YELOPC r1IICitAL'I:: •?i•.
Total exposed fauadation area= ? J
i z ?
d 7Z-
?
- ? -
?
' Z- -
Totai foundation window area ..................
Total net fouRdation ares abave grade......... ...
.• • - -
................................. TOC?2I a L { E) 'I
If f teuc n i s the
as, ar I ess than•r
11, yau lhave met_.
t n Cent o f S8C..600
• 4 . "'r.
i•iy{'
- •, v
RESIDENTIAL
I? BUILDING PERMIT APPLICATION
q7qqo ??g ?S
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675
New Construction Reauirements RemodellReoairReauirements
• 3 registered sde surveys showing sq ft. of lot, sq R. of hoase; an?ll roofed areas • 2 copies o( plan
(20 % maximum lot coverage albwed) . 1 set of Energy Calculations (or heated additrorts
• 2 copies of plan showing beam & window sizes, poured found design, etc.) . 1 sile survey for extenor addNOnS 8 detks
• 1 set of Energy Calculations . Indicate if home served by SepGC sysfem for additi4ns
• 3 copies of Tree Preservation Plan if lot platted after 711193
. Rim Joist Oetail OpGons selecUOn sheet (hldgs with 3 or less units)
DATE VALUA[ION`?S"3?3? ?
JOB SITE ADDRESS
IF MULTI-FAMILY BUILDING, HOW MANY UNITS? ? V
PROPERTY OWNER Saltc,.G,
TYPE OF
APPLICANT /??d9.4n a..,{ ? Ka-?- li'??Ta1??,sST ,C?P,HONE#6S(L/62 (0/3?
ADDRESS `)Glq
v ZIPCODE
PAGER # CELL PHONE # GS T-? 3S-Z?5"7 F,4X # 6 V YC?2- -37- 2-f
NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY
Energy Code Category
(check one)
MINNESOTA RULES 7672
Plumbing Contractor:
Plumbing System Includes:
?
t
MINNESOTA RULES 7670 CATEGORY 1
- Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
- New Energy Code Worksheet Submitted
Phone #:
Water Softener Lawn Sprinkler
Water Heater No. ot R.I. Baths
FIREPLACE(S) _ 0 _ 1 _ 2
No. of Baths
Mechanical Contractor:
Mechanical Syslem Includes:
Air Conditioning
HeaL Recovery SysCcm
Phone #
Sewer/Water Contractor:
Phone #
Fee: $90.00
ree: $70.00
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that the i formation i orrect, agree to comply
with all applicable State of Minnesota Statutes and City of Eagan r inances.
1
S(gnafure of Applicanf ?
s s
67
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Reqwred _
Updated 7/01
CITY OF EAGAN ?'? ? ? ? ?
* p,PPxwAr. oF PERrsr.
APPLICATION FOR PERMIT * ?ctq cp ? ?/m wm
rnorvra'rioNS WII,L NCYf BE.scHED-,
SEWER AND/OR WATER CONNECTION ?um UNTIL pmaT HAS REM
. . • ' M APPROVID. • F? x,???,.x,.?,.,.,.,.,.,.x:,x:xx,??:?.:.
? . , P ease Print
??l) PROPERTY ADDRESS: 3555 Coachman Road, Eagan, MN. 55121 ?
LEGAL DESCRIPTION: Lot 9 Block 4 Hampton Heights
? . Lot B ock Sub ivision or Tax Parce
- ID ?
-
; IF EXISTING SII2C'CTS7RE. DATE OF ORIGINAL BC'ILDIb]G PERhIIT ISSI`ANCE: .. , . k'
- (l- ear `a
? PRFSENP ZONING/PROPOSID LSE:
? ? COMMERCIAL/R?FFICE.. ? lt-1 SINGLE FANIILY
r7 n`IDIJSTRIAL ? R-2 DLVLEX (Rwo Lnits) Q
INSTI2L*lIONAL'/0OVEUMC ? R-3 10WNiIX!SE (Three +'Dni.ts
)..?
R-4 APAItTIAENTP/CAbIDOMINI[JM ( Units) ?,
;,"t
! 2)
f NAME: FRONTIER MIDWEST HOMES CORPORATION ?
-
Y
? ADDRFSS; 3908 Sibley Memorial Highway Bldg. E
CITY. STATE, ZIP: Eagan, MN. 55122
-.. .:
. .
PHCNE: 454-0433
„
.
? 3) • u ?: ?• ' Far City °Use
?
l
NAME: STAR PLUMBING .
Plwnbers License:
a
AMRFSS: 1018 Mound Springs Terrace _ Active ?
' EcP2sed '
CITY. STATE, ZIP: Bloomingtoa, MN. 55420 . 140t recorded -??
PHONE: 884-4149 MASTII2ISCENgg# 3329
St?=al
4) •• ? i?•
'NTAM= Smith Dave & Laura
_ ADDRFSS: 1313-92'g Street E. '
CITY. STATE, ZIP: Bloomington, MN. 55420
PHONE: 888-7031 •
'S? ? '? r' 1 Y' • ?I• • ?IS
. QX CONNECTION TO CSTY SEWM ? CDAIINEC'TION 1O CITY MTER Q OifIER '. .
6? ? • • r ? PI.EASE HOLD APPROVID PEE2NIIT FCH2 PICK-t?P BY ONE OF P,BOVE ......
---
? PLEASE MAIL APPROVID PIItMIT 10 1, 2, 3, 4, AB0VE .
(Ci.rcle one)
? 7) k W?l
, • Y: • Y' 1' ¦ •? ? ? I' •?' ?' P 1?c• . D P Y01' •?• v .p. ? •a? •??
? n •?' ?>. ? " Y•..tly? . 1 11 7l ?!? ?' `? •. 1
f
FOR CITY USE 4NLY
PERMIT # ISSUED
Pd w/Bldg. Permit FEES:
$ JG> -1?q} $ SEWER PERMIT (INCLUDE SURCHARGE)
$ $ WATER PERMIT (INCLLDE SURCAARGE)
$ $ WATER METER/COPPERHORN/OUTSIDE READER
$ $ WATER TAP (INCLL'DE CORPORATION STOP)
$ $ SEWER TAP
$ ACCOUNT DEPOSZT - SEWER
$ ACCOONT DEPOSIT - WATER .
$ ? $ WAC
$ 0-19 ' $ S AC
$ $ TRLNK WATER ASSESSMENT
$ $ _
TRUNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRUNR SEWER
$ - -' $ LATERAL BENEFIT/TRLNK WATER - • ?
$ 'c' ?l $ _ WATER, TREATMENT. PLANT SLRCHARGE
OTHER : .. ,: .
$ I "
S j
TO
,
TAL -
.?'??
- ?- F7
RECEIPT -
RECEI _.
PT
DOES IITILITY CONNECTION REQOIRE EXCA VATION IN PUBLIC RIGHT OF WAY?
Q YES IF YES, THEN A" PERMIT FOR WORK WITHIN PUBLIC
ROADWAY" MOST BE .ISSUED BY THE ENGINEERING
Q
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE: - -
DATE : 1Z C1
!
PLU Permit pplic?aH m I?) ?I.S -?
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
Please complete for: Single Family Dwellings
Townhomes and Condos when permits aze requued for each unit
Date 2 / A
Site Address
Property Owner Telephone # ( )
Contractor ? P
oIDC1hl(1L]KQ
.
3670 DODD ROAD
Address ?wn_e??
\AA1 04
_ ? C«Y
,
?
(??) 3651340
State
Zip Te?ephone# ( )
The Applicant is ? Owner _ Conhactor _ Other
Septic System New _ Refurbished Submit 2 sets of plans and MPC license $ 100.00
Includes Counly fee. Additlonai consultant fees may apply.
Alterations To Exisring Dwelling Unit, Including $ 50.00
_ Adding fix[ures to lower levels or room additions, excluding water softener and water heater
_ Abandonment of septic system
_ Water turnaround (+ 5/8" meter if needed -$121.00)
Other.
_ RPZ _ new installation _ repair _ rebuild $ 30.00
_ Lawn irrigation system
1
_ Water softener
)? Water heater $ 15.00
? repVacement _ addiUonal
1
'_,
State Surcharge
?? ?I
Ili ? .lu
Total
? It
?-GD
S
„ ,
-
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I hereby apply For a Residenrial Plumbing Permit and aclmowledge that the information is complete and accurate; tnat tne wortc wui
be in conformance with the ordinances and codes of the Ciry of Eagan and with the Plumbing Codes; that I understand this is not a
pernut, but only an application for a permit, and work is not W 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 oFplans.
TOU K
ApplicanYs 'nted N e Applican Wst a e
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD - 55122 ?
651-681-4875
New Canffiruclion Reaulremenls
• 3 iegistered site surveys show(ing sq, ft of Io1 sq• ft of house; an?ll roofed areas
(20% maximum lot coverege albwed)
• 2 copies af plan shavring beam 8 window sizes; poured found design, etc.)
• 7 setof Energy Calculafions
. 3 copies of Tree Preserva6on Plan 'rf lot platted afler 711193
• RimJoislDetailOptionsselecfionsheel(bldgswiN3orlessunits)
DATE 1-2
JOB SITE
=6'-j_
?
RemodellReoalrReaufrements
. 2 copies of plan
• 1 setof Energy Calwlatlons for heated addiGOns
• 7 sife survey for zctenor addifions & dedcs
• Indicate if home served by seplic system for additions
VAWF[ION ?CF
IF MULTI-FAMILY BUILDING, HOW MANY UNITS? ? v
PROPERTY OWNER .rt?.s 1o T6Iti..J
TYPE OF WO
APPLICANT
ADDRESS 7
PAGER #
CELL PHONE #
FIREPLACE(S) _ 0 _ 1 _ 2
_ PHONE#
ZIPCODE SSVI Z
rr FAX #
NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY
Energy Code Category
(check one)
Plumbing Contractor: _
Plumbing System Includes:
Mechanical Contractor:
Mechanical System Includes:
Sewer/Water Contractor:
_ Air Conditioning
_ Heat Recovery System
Phone #
Phone #
Fee: $90.00
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that the information is correct, and a ree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordi ances.
Signature of Applicant
ed`c?j ?
Certificates of Survey Received Tree Preservation Plan Received _ Not Required _
Updated 2002
MINNESOTA RULES 7670 CATEGORY 1
- Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
_ MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Phone
_ Water Softener _ I.awn Sprinkler
_ Water Heater No. of R.I. Baths
_ No. of Baths
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nsed Electncal ConVactor
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uh-?n sVecuon I?qeatly Now Nobfv InsPeo-
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I hereby reVUesf insPection ot above
elactrical work installed at:
i REQUEST FOR ELECTRICAL INSPECTlON es-ooooi-os
S 7
See inshucf.o.s br comoletine this fam on back of vellow coPY.
Q a0057 '"R'" gelow Work Covered by 7hIs Request -----1
\S Ea??ume?t wt.eh I
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al Bldg. Hir i.onarzroner ?nFr
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Fee pection hee Uetow
Service EMranca5ize
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ve 200 Amps
bo
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tt
Fee
Fexders/Subfaeders
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31 to iD0 Amps
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00 Am
100_Amps
Other F
Transiormers
Irn tion Booms
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Remarks ? ? (
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e?eb
InsOecto?
y
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certdV Ihet fha bove
F?nal Oate ? inspection hes Ceen
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THIS SPECTION NEQUEST WILL NOT
MINNESOTA STATE BOAMO OF ELECTRICITY BE ACCEPTED BY THE STATE BOARD
Gri09s-Midwev Bldg. - paom N•191 UNLESS PPOPEN INSPECTION FEE IS
1621 Universitv,lve..3t. Peul, MN 55104 ENCLOSEO.
Phone (612) 642-0800
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S10 MA
BURVEYINO
SERVICE6
3908 Slbley Memorial Highway
` Eagan, Minnesota 55122
Phone: (612) 452•3077
hcALE t I"= 40'
CERT(FICATE FORY
HOMEPURbEHy
L LANC, 0EVEIf)PFA9
w AEAlTUaS
? COMPANIES
MODEL: 5-TAFP70K.D
a I
.I.3_58____?8 lo'y5"E
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WAYNE D.
CORDES
-- 14675 _,
_LEGEND"
o as,bte: rra, u«mnt
p Disnoles N'aad Hi,b Set
x8'1q.0(knotes Existirg Spof Elevation
(„ ;j;? ) Asnotes Proposed Spof Elevation
,,_----Aenotes Orainage Oirecfian
-PRLpER1Y DES(;ltIPT1Ul-
LOl 9 ,BLCCK4_
HAMPTON [IFIGHTS
accardirg to the rscorded pIat fhereof,
Ca,nty, Yimsaofia
PROPOSED GARAGE FLOOR ELfVATlON= 0??.'7
pppppcEn Tap ot Block ELEVAiION-
PROPOSED BASEMfNT FLODR ELEVATION-
NOTE. Verify all flavr helghh Mith Final Nouse Plans.
mpApW CMIFfCATI
! hereby certify thrt this svrvey, Dlan a' rePa't
was prepsred by ms or uxMr my dlreict supervisim
ard tMf 1 am e duly Ne9istsred Lard Surveyor
urder the lews of Hx Stafe of Yimesota.
D9 te:
Wsyne D. Gordes, lfinn• Reg• No. 14575
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA112937
Date Issued:08/27/2013
Permit Category:ePermit
Site Address: 3555 Coachman Rd
Lot:9 Block: 4 Addition: Hampton Heights
PID:10-31900-04-090
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes .
Dipnarine Gopaul
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 -
Jacob John
3555 Coachman Rd
Eagan MN 55122
(651) 492-0823
Main Street Exteriors
9406 Riverview Ave S
Bloomington MN 55425
(651) 214-6901
Applicant/Permitee: Signature Issued By: Signature
of
s e e e
�® 4 I �6
0 A10a
AN
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651) 675-5675 1 TDD: (651) 454-85351 FAX: (651) 675-5694
Email: building inspections(&-cityofeagan.com
Commercial Plan Submittal: eplans(a)-cityofeagan.com
For Office Use I
I I
jPermit #:
Permit Fee:
I I
I I
Date Received: I
I I
I I
I Staff: I
L ----------------J
2018 RESIDENTIAL MECHANICAL PERMIT APPLICATION
Date: ! 9—/ Site Address:
Tenant:
Suite #:
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update
on the City's website at www.cityofeagan.com/subscribe.
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 understan this is not a permit, but only an application for a permit, and work is not to start without a permit; that
the `worrk�will be in accord& the approved plan in the case of work which requires a revie and approval of plans.
J,, /%/Gtr^
X -
A -cant's Printed Name Applicant's Signature
FOR OFFICE USE
Required Inspections: Reviewed By: Date:
Underground Rough In Air Test Gas Service Test In -floor Heat Final
Name: Gi LU
`
Phone:
51 ;; '- ��4
Resident/Owner
C�G(-
ZT
Address / City / Zip:
C.
Name:
License #:
Contractor
Address: J �I�G
`( C'
T City: 4-1K k4l
State: / Zip: / Phone:
_
Contact: 1��(>1
Email:
RESIDENTIAL
CZ -Furnace
Air Conditioner
Permit Type
Air Exchanger
Heat Pump
Other
Neweplacement
Additional Alteration
Demolition
Type of Work4
Description of work:
P-� a C
RESIDENTIAL FEES
$60.00 Minimum Add or alteration
to an existing unit,
includes State Surcharge
$100.00 Residential New, includes State Surcharge
= $
TOTAL FEE
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update
on the City's website at www.cityofeagan.com/subscribe.
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 understan this is not a permit, but only an application for a permit, and work is not to start without a permit; that
the `worrk�will be in accord& the approved plan in the case of work which requires a revie and approval of plans.
J,, /%/Gtr^
X -
A -cant's Printed Name Applicant's Signature
FOR OFFICE USE
Required Inspections: Reviewed By: Date:
Underground Rough In Air Test Gas Service Test In -floor Heat Final