3561 Coachman RdWG.?'?+VAE " Ur,<=PLAN REMM 5%3/88 CITY OF EAGAN 'Y ?I??.?f't (H)454-5 3830 Pi?lot Knob Road, P.O. Box 21-199, Eagan, MN 55121Rt
i? 2 J 13047
PHONE: 454-8100 ` ' .
BUILDING PERMIT Receipt#
SF
$68,000
Site Address 3561 COACHMAN RD Erect 6 Occupancy K3
Lot 10 BJoCk 4 Sec/Sub. HAMPTON FiTS Remodel ? Zonina R1
Parcel No. Repair ? Type of Const Vn
Addition ? No. Stories
N
t?'<<:?hTIrR COMPANIES
Move
0 40
Length
Z
ame
Address 390d S 1IiLEY ?'lEM HWY Demolish ?
O Depth 4fi
t
o AGAI? 454-0433
F lnt Impr. Sq. F
City .
Phone Install ?
a Name SAME
ou i Address
W W
W
U8 gW
Assessment _
Water & Sew.
Police
Name Fire
Address
Eng.
I hereby acknowledge that I have read this application and state that the gldg.
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City o1 Eagan Ordinances. APC_
Signature of
Planner
Council
Feea
Permit 337.00
Surcharge 34. uv
Plan Review 168 . 5 0
SAC 575.60
Water Conn. 500 . 00
Water Meter 63.50
Road Unit 290. 00
Tr. PI. 156.00
Copie
Total $ ? . U 0
A Building Permit is issued to: LVIIWALV tGa 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 `"'
i IPwmn No. I w?mn Hold« I Daie I TN.ptwoe N I
Plbg.
Ntg.
Disp.
. . , PERMIT #
• ' •• . PLUMBING PERMfT
CITY OF EAGAN RECEIPT #
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: _
Site Address
Lot Block
- Name '2 e-- 1-~ / J ?
?o Addresg J n G l? t- n? ?v c'
c City Phone
? Name r ' o N / J Sl?.
3 Address
p Ciry Phone
FEES
COMM/iND FEE - 1% OF CONTRACT FEE
MINIMUM - RESIDENTIAL FEE - $10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $50 S/C tF PERMIT PRICE GOES
BEYOND $1,000.00)
ii •
OF PERMITTEE
FOR CITY OF EAGAN
BLDG. TYPE WORK DESCRIPTION
Res. New
Mult Add-on
Comm. Repair
Other
N(?. FIXTURES TOTAL
Water Closet - $3
00 ?
.
• ' ?
.
-7-Bath Tubs - $3.00
? .
77
_> • ?? ?
?3
'
Lavatory - $3.00 , c.
t
Shower - $3.00
=Kitchen Sink - $3.00
Urinal/Bidet - $3.00
-7-Laundry Tray - $3.00
?loor Drains - $1.50
Water Heater - $1.50 =
Whiripool - $3.00
?
Gas Piping Outlets - $1.50
SoRener - $5.00
Well - $10.00
Private Disp. - $10.00
"
Rough Openings - $1.50
FEE
_x
STATE S/C: Jr
GRAND TOTAL ?
' (-C
7
?
Site Address
Lot
m Name
? Addre
c City _
Name '
c AddresS??
03 City 11.u7'ac,
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent
Gas Piping Outlets #
Other
00
. - • . . . . ? . . . . . . l S .
PERMIT #
MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN ,
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE 67 `
PHONE: 454-8100
Sec/Sub
90,000
M BTU
M BTU
M BTU
M BTU
CFM
FEE
S/C:
TOTAL:
BLDG.TYPE
Res.
Mult
Comm.
Other
WORK DESCRIPTION
New
Add-on
Repair
FEES
Uy' RES. HVAC 0-100 M BTU - $24.00
j? ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
14. ADDITIONAL 6 M BTU - 6.00
GAS OUTLETS - 1.50 EA.
COMM/IND FEE - 1% OF CONTRACT FEE
MINIMUM - 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)
-,U SIGNATURE OF PERMITTEE
S:'b.t7U
FOR: CITY OF EAGAN
.?-. -'T' v MEGHANICAL PERMIT
P,,
'? `R.c-C?ltivKA?tJ C.? G.?7-? g CITY OF EAGAN
, /0 0-0 3830 PIL07 KNOB ROAD, EAGAN, MN 55122
Site Address
roame
? Address
c City ; irf3t-„? ?, ,.. phone .
? Name
Address
O CitY f - Phone
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent
Gas Piping Outlets #
Other
M BTU
M BTU
M BTU
? M BTU
CFM
FEE:
S/C:
TOTAL:
BLDG.TYPE
Res. ?
Mult.
Comm.
Othar
RECEIPT #
DATE: WORK DESCRIPTION
New
Add-on ?-?
Repair
FEES
RES. HVAC 0-100 M BTU -$24.00
AODITIONAL 50 M BTU - 6.00
(RES. HVAC WCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMIn - 1.50 EA.
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLQGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
MINIMUM RE5IDENTIAL FEE - ALL ADD-ON &
REMODELS - 12.00
MINIMUM COMMERCIAL FEE - 20.00 • .?
STATE SURCHARGE PER PERMIT ,6.0 I
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000) ?
IrOR: C1TY OF EAGAN
CITY OF EAGAN ` - WATER SERVICE PERMIT
3830 Pllot Knob Road
P.O. Box 21199 . PERMIT NO.:
Eagsn, MN 55121 DATE: 1-Z?
Zoning: izl No. of Units: 1
Owner. Frontier rfidwest
Address:
Site Addess: 3561 Coac} -mw 4?iam ton Hei hts i
Plumber: Star ?i?i 1
nneter No.:.37?? S6 !,4j ??, ?`g?n° C3 ?,??,arge: 500.00
Size: "i?LL? t . ?Q sit: "pd
•
?
Reader No. a e rmit Fes: C. 1. 00pd
1 aqree to camply wikb ihe Ctty of 4Jrc A-F%Y • Opd ?
Ordinences. ; Misc. Charges: 156 :OOPd m
0-1 JUU TotaL• i
By Date Paid:
Date ot Insp.: Insp.: i
-?7 1
' OF EAGAN
i Pllot Knob Rosd
Box 21199
in, MN 55121
to comply with the Gry ol Eagan
SEWER SERVICE PERMIT
Connection Charge:
Account Deposit: _
Permit Fee:
Surcharge:
Misc. Charges: -
Total:
Date Paid:
.?-....,,..-. ._.. .
` CASH RECEIPT
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19
eec??vac?
VROM
ti r
AMOUNT $ ) f
& DOLLARS
too
? CASH []CHECK
row
PUND CODE AMDVNT
Th k Y
an ou
BY
White-Peyers CoPY
Yellow-Posting Copy
Pink-File Copy
I
?
BLDG. PERMI'T N0. `/
7?4
??5? ? ?- -• ,._ _ /?, : !/Ir
01-3210 Bldg. Permit`
01-3422 PIan i,heck At:, b-
01-3445 Surch./Adm. 7G
01-3446 5AC/Adm.
01-2155 Surcharge ?? --'
17-3860 Road Unit
20-2275 SAC - ?
20-3865 Water Conn. >
20-3868 Water Trmt. - , >J
20-3716 Water Meter ? ? SEJ
20-2252 Acct. Dep. ??. 'ff-w
20-3713 Water Permit
20-3743 Sewer Permit
79-3866 Sewer Conn.
11-3855 Park Ded.
DUESCHER
.?_.
3
1986 HIIILDING PBRZQ? APPLICATIOF - CI'1T OF EIGAN
80TE: ALL COATBAC'fOBS !!QS? BE LICENSED WITB YHE CI'rZ OF F.dGb9
SINGLE Fll,IILY Dii6LI,.INGS
INCLUDE 2 SETS OF ARCHITECTORAL
& STRUCTURAL PLANS, 1 SET OF
SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS?
$2,000 LANDSCAPE HdND
LANCASTER
INCLiJDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
1 SET OF ENERGY CALCULATIONS
? f n-2)
To Be Used For: SjXGI,F,_FAMjLY valuation:?---6}.999-- Date: 9-26-86
Site Address 3561 Coachman Rd. OFFICE USE ONLY
Lot 10 Block 4
Pareel/Sub HAMPTON AEIGHTS
Owner Duscher, Greg & La.urylee
Address 3665 Denmark Ave.
City/2ip Code Eagan, MN. 55123
Ereet Oecupancy
Remadel Zoning P-LD
Repair Type of Const
Addition # of Stories
Move Length
Demolish
Depth ?
Int.Impr. Sq Ft _
Install
Phone 454-5236
Contractor FRONTIER COMPANIES
3908 i ey MN 55122
Address Ea?
City/Zip Code
Phone 454-0433
Arch./Engr.
Address
Citq/Zip Code
Phone #
APPROQAIS F6ES
Assessments Permit ?
Water/Sewer Surcharge
Police Plan Revisw 13
Fire SAC
Engr Water Conn ? n r,J
Planner Water Meter ?14"
Couneil Raad Unit ?D
Bldg Off /jL2
j-a4reatment Pl ?_D
APC Parks
Varianee Copies
TOTAL --2?
/
NOTE: 11DDRESS&S FOB CORNER LOTS - CANTRACTOR/HOMEOW88R MIIST DSSIGNATE iiHICH
ADDRESS IS DESISED. HO CHgPGES NII.L BE ALLONED OACE BOILDING PERMZ'[
IS ISSIIED.
I ,
BUILDING PEFIMI
r.. r,. ?....? a... SF D
a
CITY OF EAGAN p
3830 Pllot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N-??? ; 3047
PHONE: 454-8100 ?
T Receipt #
WG/GAR Est. value $ 68 ,000 Date DECEMBER 30 .?g 86
Site ,4ddress 3561 COACHMAN RD
Lot 10 slock 4 Sec/Sub.HAMPTON HTS
Parcel No.
o Name- -SAN1E
0 ¢ Address
Erect ? Occupancy xj
Remodel ? 2oning Rl
Repair ? Type of Const VA
Addition ? No. Stories
Move
? O
Length
Demolish ? Depth 4 6
Int. Impr. ? Sq. Ft
Install ?
A ooro vals Fe"
Assessment _
Water & Sew.
Police
Name Fire
Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe gldg.Off. 12/29/8information is correct and agree to comply with all applicabie State of
Minnesota Statutes and City of Eagan Ordinances APC
Signature ot Permittee Var. Date
A Building Permit is issued to: r'KUl
all work shail be done in accordance with
Bufiding Off'icial
Y J
Permit $ 337.00
Surcharge 34.00
Plan Review 168.50
sAC 575.00
Water Conn. 500.00
Water Meter 63 . 50
RoadUnit 290.00
Tr. PI. 156.00
Parks
Copie
Total 2,12 4. 0 0
on the express condition that
of Eagan Ordinances.
(Itrfi#ira#t uf (Orrupanry
Ctp of (lagan
liPm'hltpilt Df iltdbim iwPttim
This Cestiftcate rssued pursuant to the requirements of Section 306 of the Uniform Building
_ _ _.,,A-f__ .L_. _. .d.. .:...- ,.o:..?......,.o rh.c .a.vet,.ra wac in comnlianCe with lJte variotts
.,.,.... ..... :.,-•-o ----- -- - -- - -
ordinances of the City regulating building cortstr'uction or use. For ihe fo!lowiMg:
Une Clutiriation S F DGIG /GAR Blde. Flraui Mo. ?'t )6 7
0-"-r'nvt R3 z?e Dkuwt R I Tya YM
OwoerdMild'nt JM(NITFR [T1MANTFS pd*m 3908 ent .rWAX
Maing naam 3561 0111100i'1AN Ig.lQ t,,nt;ty I 1(l. F4la??= EEI4M
?: evoTt ?7 IOR7 -
Bwldint ORc++I -
POST IN A CONSPICUOUS PLACE
?-?_?
yaa-g?
1988 BIIILDING PERMIT APPLIC9TION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OE SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTEs ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHIC$ ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
MULTIPLE DWELLZNGS RENTAL ONITS FOR SALE UNITS
0 OF IINITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.,
1 SET OE ENERGY CALCULATIONS ?? ?
COhII4ERCIAL ?? V
V\?%'
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
o Be Used For: OPGh-
,.-.,, •
Site Address r-
.- ?=..r.,?;: Lot L Block 4-
Valuation:
Parcel/Sub lqm?t?On ?Q?,-fs
T
Owner ?i-,o2y -!- LA"Rw..i :E --&.5r1:.=a
Address Rt?:,
City/Zip Code
Phone ?J2fe
6 Y'eS- Y6/
Contraetor _
Address
City/21p Code
Phone
Mch./Engr. _
Address
City/Zip Code
Phone #
IM M.4`i 2
Date:
OFFICE USE ONLY
On site sewage_ Occupancy
MWCC system _ Zoning
On site well Actual Const
City water _ Allowable
PRV required _ # of stories
Booster Pump _ Length
Depth
S.F. Total
Footprlnt S.F.
APPROVALS FEES
Engr/Assess Permit N G
Planner Sureharge
Couneil Plan Review
Hldg. Off. SAC, City ?
Variance SAC, MWCC _
Water Conn ?Water Meter Road Unit
Treatment P1
Parks
Copies
TOTAI.
RESIDENTIAL BUII.DING
Permit Application
City Of Eagan
U o? 3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWCtlon Reauiremen4s RemodeVReoairReauirements Olfice Use Onlv
3 registered sde suneys showirg sq. R of bt, sq. R of house; and all roofed areas 2 copes of pWn _ CeR af Survey Recd
(200k maximum bt coverage albwed) 1 set of Energy Calculations for heated additions _ Tree Pres Plan Recd
2 coples o( plan showing beam & window sizes; poured tound design, etc. 1 site survey for addihans & decks Tree Pres Not Reqd
1 set of Energy Calcula6ons Addition - irMkate if on-sife septic system _ On-site Septic System
3 copies of Tree Preaervation PWn if bl platted aRer 711193
Rim Jo'st Dehail Opbans selectlan sheet (bldgs with 3 oi less unAs
Date -Y /
Site Address -? ?j ?/ ( /JCCl?J/J7q/1 I
? MAI. S Construction Cost ?i ? rlD
LL?- • UniUSte #
Description of Work 61i1-?? •,. .e - ?? Lb?`?.c ?`? ci,4 °K ---
Multi-Family Bldg Y N
- - Fireplace(s) _ 0_ 1 _ 2
?
Property Owner Telephone # (fe$/ ) L/f7ff" .F-Z0 6
I
Contractor .Ct171 (? •
14 ?
I
Address
State rVpa n/ . C<<Y
Zip ?a.s/o2 y Telephone #(9Sy ) -
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Categorv 1 Minnesota Rules 7672
Enefgy Code CategOry , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(4 submission rype) Submitted Submitted
• Energy Envelope CalculaUOns Submitted
Licensed Piumber
Telephone #(
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone
AUG 2 5 2093
I hereby apply for a Residential Building Permit and acknowledge that the infoWafion is complete and 'accurate;
that the work will be in conformance with the ordinances and codes oF the CHpf EagatLanci-the_SYat of MN
Statutes; I understand this is not a permit, but only an application for a permit, and worc 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.
Applicant's Printed Nanie' ApplicanYs Signature
411?MV oF eagen
PATRiC1A E. AWADA
Mavor
PAUL BAICICEN
PEGGY CARLSON
CYIVDEE FIF.LDS
MhG TIL[.EY
C:ouncil Membea
THOMAS HEDGES
Ciry Administramr
Municipal Center:
3830 Pilot Knob Road
Eagan, MN 551224897
Phone: 651.681.4600
F;uc: 651.681.4612
TDD: 651.454.8535
Maintenanm Faciliry:
3501 Coachman Poinc
Eagan, MN 55122
Phone: 651.681.4300
Farz: 651,681.4360
TDD: 651.454.8535
wwwciryofngan.wm
THE LONE OAKTREE
"Phc rymb>I of urengtli
and grnwth in our
commumry
July 11, 2002
MS SHERRY THEIS
MINNESOTA EXTERIORS INC
8600 JEFFERSON HWY
P O BOX 266
OS5E0 MN 55369
RE: REFUND OF BUILDING PERMIT 50140
Dear Ms. Theis:
On May 13, 2002, a pennit to reside the residence at 3561 Coachman Road was issued to
Minnesota Exteriors Inc. As your company did not perform the work at this address, we are
refunding $181.25 to you under sepazate cover. We are unable to refund the $5.00 state
surcharge that was collected.
This letter is also meant to advise you that effective January 1, 2001, the Citc of Eagan's Fee
Schedule assesses a$50.00 fee to refund permits that have been processed and receipted. As a
courtesy, we are informing contractors of this policy and issuing a full refund, minus the state
surcharge, for a cancelled permit on a"one rime only" basis.
If you have any questions, please feel free to give me a call at 651-681-4695.
' cerely
?
an Severson
Office Supervisor
cc: Dale Schoeppner, Chief Building Official
MINNESOTA
WLVIT?EXTERIQRS INC. 8600 Jefferson Hwy. • P.O. Box 266 (763) 493•5500
SIDING and WINDOW SPECIALISTS Osseo, MN 55369-0266 Fax: (763) 493-8980
June 17, 2002
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
To Whom it may concern:
Please find enclosed your permit # EA050140, for
3561 Coachman Rd, Eagan.
The customer has decided to cancel this joH with
us, and we would like to ask for a refund of our
permit monies.
Thank you for your consideration in this matter.
Sincerely
Sherry Theis /I
Production Coordinator
?7/JI/D Z-
I???I?
JtiN 1 8 2002
MN Res. Contractor License #0002877
?S-a l,a
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Construdion Reouiremeirts
• 3 registered site surveys showin9 sq. ft. of lol, sq. ft. of house; and all mofed areas
(20%mazimum lot coverage allowed)
• 2 copies o( plan showing beam & windrnv s¢es; poured found design, etc.)
• 1 set of Energy Calculations
• 3 copies of Tnea? Preservation a'rf lot platted aRer 711/93
• RimJolstDeWilOptbnssele o eet(Mdgswith3orlessunits)
DATE
SITE ADDRESS 3
TYPE OF WORK
APPLICANT
STREET ADDRESS cliw '?!s
ANI' ??l E
TE
PROPERTY OWNER r
-------------------------------
COMPLETE THIS SE
Energy Code Category _ MINNrS(
(4 submission type) • Residenti
• Energy
Plumbing Contractor:
Plumbing system includes: _
No.
Mechanical Contractor:
Mechanical system inc
Sewer/Water
Phone #
Phone #
ree: $70.00
-------------- - - - ' - ---°-----°----°--------------
.is oRect, and agree to comply
I- -her--- eby acknow dge that I have read this application, state that the infT
with all applica le State of Minnesota Statutes and City of Eagan Ordin Signature of A
ppllcant
?
OFFICE USE ONLY
???ST/?A,TE 7?/?-fZI P
FAX # `?`"/3 ?oJ 7
TELEPHONE#
- ------------------------------------------------------
FOR "NEW" RESIDENTIAL BUILDINGS ONLY
ULI:S 7670 CATEGORY 1
ation Category 7 Worksheet Submitted
Calculations Submitted
Softcner
_ Phonc #
Lawn Sprinkler
No. of R.I. Baths
Air Con oning
_ Heat Reco ery System
RemodellReoair Ranulrements
. 2 copies of plan
?'14
-f--
• i set of E ergy Calculations for heated additions
. lsitesu eykrexterbradditions8decks
• Indicat if home served by septic system foraddilions
9?- ? ta
VAL ATION ?
MULTI-FAMILY BLDG _Y 4N
FIREPLACE(S) _ 0 _ 1 _ 2
Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _
Updated 4102
Pee: $90.00
, rage 1 of 4
CXTCR(0!t CIJVCLOPC AVf RAGI: "1'" CC1pii'!iii1f;OP1 Lpwjc.0o4STerF.
^ ?N CG W o?+v
OWNER.: nnTr:
s t re aooRESS :
CONTRACTOR: FZ=NTIG1r-
Oetermine working
,1. Total exposed wall area..,,, zar.4
2. Total roof/ceiling area..... ( Q17L
Total exposed wall area
a.
b.
c.
d,
e.
f.
4•
h.
i.
.
k
1
PHO"IE:
square fpota9e of each
SS s q. F t. x.11 ZZ7 Q,5
sq. fti. x .026 = Z8. 3 2
abovc floor= U(SG?i!)4b
Total wail window area ........................
...................
Total door area
...........................
7ota1 sliding glass door area.......... -
.........................
Total fireplace wall area ...................... ? -
..................
Total wall framing area (average 10N)............ -
Total rim joist area........... . . . . . . . "
.......................... -
....
net wall area aSove floor.Z .ye,,,,,,,,,,,,,,,,,, ., ., . .
, -
........ _
wail area above fioor..........
...........................
wall area above floor
frame wall area at foundation.........
Total exposed foundation area=
Total foundation window area ..............
Total net foundation area above grade .............._L
Determine "u" value of each wall segment
(e.g. window, door, each separate wall section)
a . ? ZCs • !S- X
h • ??. (? „ X
C. ?4 z X
d. x
e X
f.-AA 7.--- X
y 14 bco . 03x
h. X
1.
?•
????.? 35_ ?T11
l,u„ .45 8
,
„u., ?5 =_ +S•q
„u„ . 3 ? = r 7 ZS
.
I.W.
. ,
0 3 - 9 Z?
„u„ .0 3 = 43,9?
„u„
x lU„ _
X "U" _
k. X _
1 . ( 'r'T.$8 X U„ .15 = W, 4&
3. . . .. . .. ?'134
..........................Total =
120.
If item #3 is the !
or less than°.ii
you have mettitF
intent of SBC..600 e
`?y
.;?.
,
This request void
18 mo 5?-7
nths ?/ tmm
C 8 4639Zi?,)
7/?t/CF
R?t Uate . ? ' Fre No. ? Hoogh-in Inspecuon ?
H¢quireA? ?Raatly Now §],Yfnl rvoufY InsOec-
'? ?Eryo ior When qeady
Le-4censed Electncal Convactor I herebv repuest inspacnon ot ebova
? Owner electrical work irretel letl ac
SLeet AAdress, Box or oute Na. Crty
S (O ( vrr.-a !f -11?
ection o. Township Name or No. Range No. Co.nty
?
OccuVant RINTI ,r= Ae 40t4)-E_S7`- Phone No.
S _-o??
wer S pliar Adtlress
Electnca Convactor (COmpany Namel Contract r 's Lwense No.
o 2
Ma i s o akinB Instailatmn)
11 n LAW
AuMo z ignature Con od?0y?py"rpilpgtallabonl
PPLE VALL?, b?dltl ia`P PhoneNUmber
MINNESOTq STATE BOAflD OF ELECTRICITY THIS INSPECTION PEQUEST WILL NOT
Orippa-Midwey Bldp. - Room N•791 BE ACCEPTED eY THE STqTE BpqqO
7821 UnivsrnNV Ave.. St. Peu1, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone(612) 642-0800 ENCLOSED.
7 REQUEST FOH ELECTRICAL INSPECTION .-efe-o>oooi-os
? See instruchpns for rompbtirp thia idm on peck o1 vellow coOY.
"1('" Below Work Covered by 7his Request
a rteo.
0/naUle In.e
Tvoe ol Builaine Apphoncea 17ned Euwumeni Wved
Home Range Temporary Service
Duplez Water Heater ighUng Fixtures
Apt. Building Dr er Electnc Hefltin
Commeraal Bldg. umace F. Unloader
Industnal BIAg. Air Condiboner Bulk Milk Tenk
Farm Other peu v inor Isneriryl
t er yen(v
,.,...,... c_' n_ __. t nr Dther
N Fee ServiceEnSronceSita p Fee Fextlers/Subteetlers # Fee Circwts
(1 to 200 qm s 0 to 30 Am s
• 0 tn 30 qm
Above 20 _qm?s 31 to 100 Ainps 7 31 to 100 q
Swimmin Pool
q?ve 700_Am s y
Above 100_Am s
TranStormers
c:..... Irrigation Boorc?s Par[ial."Other Fee
- - .,?,c??ai uisVecuon g Cd TO L FEE /
eirerks
S_ 3 •°U
1. tha T'hirtbrice
3?/Q Inspectar, hereby
certffy that the abova
?'?!'?,? inapaction hes been
?
repuest
6lEctgrior :nvelope Avcrage "U" ComputaCion
ToCal ex»osed rooL/cciling arca = 1011_
Page 2 of A
m. Total skylight area ............................
n. Total roof/ccilinS framing arca (avcrayc 108)... (G .1
o. Total net insulated roof/ceiling arca ........... fTAI,j
. Determine "U" value for each roof/ceiling segment
? m r? x „U.,
n. ( a9. (x "U" . c Z1
o. 'i??• 1 x„U„ ,d z= t'i.{o
4 ........................... Total
Zf total of ;;4 is the same as, or less t:han #2, you have met the intent of
SriC 6006 (c) 1. .
Alternatc Buildin F.nvelone Desiqn
7b utiliza the total envelope'system method, the values establishecl by the su,^? of
itens ii3 and 49 shall not be greater than the siun of items I'rl and 1f2.
1. Z7
7.vb + z. tS 4. 7 _ 3SS?S. .
3. __t"11- 34 ± 4. ?? = 19 's 41
?qP
This reauaet void &/?/ l7O !l
18 nwn[hs fmm
E 27774 ///> 12.
?`•°`••"° `•o"°•1O' `I hereby request inspection oi ebove
? Owner electrical wark mslalled aY
St?t AAAreS?, %x or? No.
S ?? Ci?y
? 1
?I\1
ectron o. TownshiD Name or No. RanBe No. Counry ?
Occ an? RINi) ^A1
?/ IV
V Phone No.
Pow¢r Sunulier Atltlress ?
Electncal Contractor ( ompany Name) Convar. n's Lmense No.
O ?
Ma
?l
m
g A
d
J
re
ss
on
IC
va
m
r or
c
w
n
O
e
r Makinp InstaflaLOnl -
+p
?
?
y
?
T
?
/?
pp
q
+
?
?
?
y
y
r9
?
L1tlLILLl.11 L?Lr?I.+ l illla
A.H{o??eA,6(v qndryRg4l¢p?Tfdt!'611XgwL
Ti? Inst,?llntinn)
1 ?°t rr,l?ivv?.i?
Phone Numbcr
NrtIPRESOTq STF,TE 90AR0 OiTELECTRIGITV
Griges-Midwey Blde. - Room N-191
1821 Universi1v Ava.. SL Peul, MN 55104
Phone (612) 642-0800
THIS INSPECTION HEQUEST WILL NOT
BE ACGEPTED BY THE STATE BOAND
UNLESS PFOPEH INSVECTION FEE IS
ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION ear-ooo/oi'-os
? See ins[ruc4ons tor camoleting'this femi on Ceck o/ vellow copy.
E 2 7 2 7 4 "X" 8elnw Work Covered by 7hrs Request .
New nnn nao f'.a<, ol ButieinA Applmncwe WrteA Enuinuerit wi,en
Home Range TeinpMary Service
Duplex Water Heater Lightiny Fiztures
Bmldinc? Oryer Efectnc Heatin
mercial Bldg. FurnHCe Silo Unlonder
d stnal Bldg.
I Air CorMrtmner Bulk Milk Tank
Farm Otner neu v Oine r 15ner.ityl
r uccity eher Oihu.
L0/IIOtlLB l/lSDBCIIOn fPP fjFIOW
M Fee Service Enlranca5,xe h Fea Faxders/SU0leeders u FrzA Circuits
U to 200 Amps 0 t0 30 qm is 0 tn 30 Am s
Above 200 qinps 31 to 100 qmps 31 ta 100 Am s
Swimming Pool Above 100_Amps Above 100_Am S
Transtormers Irtigation Booms PdrLal.'Other Fee
Signs Speaal Inspection S
F
T
Nemarks 0 %?$
EE
.fS
RooBh- in ?`11° 1
ectncal
"ill
? Inspectoq hereby
itify that the abova
Final t ?e mspecbon has been
mede.
Thlsrequestvo171Bmonthsfrom ?? ` ?
. • ` r?ni.i, ;.r.r:•rirn?? ????lir`
•F.. tl.lliur? u,tll
?
fc:im•: ccin:.l ri.,cl Sun r. v.i Ill.r.
Al1! pLI?'1 O
- ? t. ??,,i?,•. ..,?? i 4•S?
7. rx?
._. ?
? . ? ?? ?. .s.lt??? .. ?o,Lwn. _ .. ..._. .. _ •.l,cr I
.. ?
.lli
"'
cA s . o?
PIG. dl TQPVIfti OF
. InCrrl?,r nir ! I lu1 D:.I;ft
FIN2t2; NALI,
------- 3..??O .
. -.•-----_O S • A4vm._ .s?»t? . _ . __._._... ...?.f.l
F.rl.rc'i??cait l111.4,---^-•O.l'/
C? •r??,i Z???i
---?
eic. 02
? ----Q • • . Ii?trii?+r aiC tilm 0.(?:
.•'.!i (..____-(JLl 2. '?.?iM...._ _. _.. _..._. ?_??
o/
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?
yr::al ,• ? ' ? 6. t:xtctlP[ ni?' i?lc? 0.17
---
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? ---- ;.,
? (?•` J
•,?? • ??
`2 ?__-^_ •?O` 1. Intr?ivc nlr fil^: . . 11.(,R
, o ••
, 1_131.94AC
. ?'
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` • if?="Iri?',? w ., • ` I 1`ry.. •,t`` \ 1 ?
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?? ? /1l 1' rri '=
? • "' • • ? ? .?•--? ?pifl:. In?1li.6t?: ly? _, •R?• y.1?w1? t?C1iC?i nnd
i ?•Y. Q . ? it?. ? ? ' ?fi.l':r•11C'1C J? ?n::lld'_Irl::. '
This req.[!51
18
fIMmhS (lORI
C 43824
Reques[ Uz? ?
?
/
? Rre No. Rouph-in Insuertion
A
rted?
Fleady Now 0 Will Nouty Insper
/
`
1 O
?es ?No Ior When PeaAy
? LicenseA Elec?ncal Conlrac?ur
? O
n I harebv requast inspacnon of ebove
w
¢r elBCtriwl work mxwllad ac
Stree[ Atldress, Box or floute No.
3 Cny
e4-
e<LO? o. Townshio Name or No. Rang¢ No. Cow"ly
Or.cuVant IPqINT) Phone No.
Power Suppher Atltlress
E1I Cnntr?clor ICOmpany Nemel ? t
? 7\ [ G?! R-( Cnntractor's l insc No.
Mailing AdJress (Cont?tor Owner Making Ins1ailalionl
/-? 7 S it ? T /c L%!y P
?1u Signawre (Co actorl0 ner Mabna InstallaLOn)
r
Phpriy
u
r
?
?
???
?O
f
MINNESOT!(/STATE BOABO OF ELEC7IIICITY
GrIpps-Midwey Blde. - Hoom N•191
1871 11navarsitvAVa.. St. Paul. MN 56104
Phone (612) 642-0800
THIS INSPECTION NEQUEST WILL NOT
BE ACCEPTED BV THE STATE BOAHD
UNLESS PXOPEH INSPECTION FEE IS
ENCLOSED.
71S5' REQUEST FOR ELECTRICAL INSPECTiON , ee-ooooi-os
p , Sae inslmclions lor complebep tM1ic form on Deck of yellow copy.
E 43824 "1(" Below Work Covered by lhis Request
AA
e? fle Type oi 8wltl,ng A
Dohonce. WveE
Enu-pment WveA
Home Ronge Tempprary S?rvice
_ Duplax
ApL BwlAing Water Heater
Dryei Lightin, Fixtures
ElertnL : Heahn
Commerc.al Bidy. Fumace Silo Unloader
Industnal Bldg, , Air Conditinner Bulk Milk Tank
Farm oinrr pe,.7 W 00n,' (5nc,'iv1
ue
a 17e7 Suec- lv
n_i__. ther p'n??
# Fee SarviceEnVanceSize H Fea feeders/Subfeadnrs M Fee
? to 200 Am s to 30 Am s m
Above 200 qmps 31 to 100 qmps qm s
M
Swinmung Pool Above 100Amps 0_Amp?
Al,,,,
Transrorm?rs Irngation &wms ,; Pam er e
Signs Speaal Inspectwn
Aemarks T TA
HooBh-in Dnte
I, [ EI icql
InsDec or, hereby
Final rtdy that tha above
? mspecUOn has been
meda.
• . Raor/cFzLiuc
. ? • ' 1? ? •
Construction R-Val»c
- ?? ? y, Intcrior air filn .0.61
?-
?,T 9'??? 3 ? 2 • -7 D ?
>. _ ltisUL. ? 406
;. ExCcrior air filn (still) 1
Tatal 2 4580
? ::??•. . ? .
• ' ' F??r ? ? . .
Heac flocr ? 1- Intcrior nir Cilm 0.61.
:nted 2- G
Lp . . ac?
. 3. ? c ll.(Su1. 38.35
•' • d. F.xtecie= aiL Iiln (stil . T
- • ' ' • . ? Total 2 - 9p.1?
' .
PIG. 45
ozq.
Coti.Yr?tvcri mr.._
0.61
? 1. Tnsidc air filin
2. .
3. ' .
' 4-
?• 5. Outsidc air filin 0.17
Total
? . . . , .
? ?ect flov up • . j•vented •
,
• , _YIG_ t6.. . .. . . -. . ' :
' •.c -S=
? • • ' O.?'=.??-- .'•'c-
y??. ? .
--•?...y.rc.r_?•. 1;??/ .1 !?
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o ? ? ?. ?J ? . ? ?i? •
• hII:2-,'TL^:T2? .
- • ; . - flov up •
. . • . .. -
' $I6? 27 . .. r•
1_ Tnside afr filin 0.51
2. -
3. ' - -
4_
5. outside air filin 0.17
To tal
I_ Ynside air filsn ' 0.51
2_
3_ " • 4.
S. Cutsidc ai.r filin 0•17
Tota1
Ptotc: UsQ additional sheets if morc '-pacn .
neceieci for cletail> and ealeu3atians.
. , .
_?•!l?\VY N1S?rX?• ??%"??^4'pK ?M1V.?)GI
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?3
CITY OF• EAPGAN
APPUCATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
NCYt¢: PA2MENT OF PEE AT 1IM OE'
??? ? ? ?=
APPxovar. OF rEIOsr.
--------------
P ease Print
?1) PROPERTY ADDRESS: 3561 Coachman Road, Eagan, MN. 55121 " ._
, LEGAL DESCRIpTION: Lot 10 Block 4 Hampton Heights
IF EXISTING SlRL'CiURE. DATE OF ORIGINAL BL'IIDING PE'E2bIIT ISSL'ANCE: . .
_ (Mon ear .
PRESENf ZONZNG/PROPOSID LSE:
? QFFICE . .
Q ItIDIISTRIAt'
. ? ?;; - ? INSTIIL'TICNAL/GOVIItIZ=
OM R-1 SINGLE FAMILY
D
?
R-2 DUPLEX ('itao Lhnits) --
?.
R-3 10WNFIWSE (Three ±Units) --( °,. Units)"';y ?
R-4 APARTNa7P/COAIDCMIINI[.T1_.. { ,t'" '
2) ?
.?._.. .
.,.
i_ .., NAME: FRANTIER MIDWEST HOMES CORPORATION
ADflRES5= 3908 Sible9 Memorial Hi waY Bld&• E
e. , >
K"
'?: CITY. STATE, ZIP: Eagan, MN. '55122
_ t
5:
= PHONE: 454-0433
_._ . . .._..... - `,?
3) u ?• ?• ' ° For City :Lse . ;
NAME: STAR PLIII?ING
P
li
mibers License: ,..
ADDRESS: 1018 Mound Springs Terrace . - r
?
H Ac1ve r
CITY, SPATE, ZIP: Bloomingtos, hIN. 55420 .? ?ded.41
PHONE: 884-4149 MASPEEt LI(EN^E# 3329 StIn1t1a1
¢) ?i.?u•:.i ?..wx:
.NAME: ?uscher, Greg & Laurylee
ADDRFSS: 3665 Denmark Ave. '
CZTY. STP.TE. ZIP: Eagan, MN. 55123
PHONE: 454-5236 •
.fj? 1 i? Y• ' 1 ?1' •?1' :D • ! ' 7?i
'
i Q CON[gX.TION TD CITY SEWF32 ? OD=X..TION TO CITY WATEFt ? dl'EIECt '. .
? _ 6) ?? • ? r ? PIEASE TiOLD APPROVID PERMIT F?CEt PICK-UP BY ONE OF ABOVE ---•- ----
r CJ PLEASE MAIL APPROVID PERNIIT TO 1, 2. 3, 4, AH WE
E- •.
• (Circle one) .
-7) r. r• •
MMECTIort CF _sE,M ArID/att ROx
asTAL?aT*oNs waa. Nar BE scEED-
nLED nmrrB. PMW HAs EM
rPPROVED.
, ~' ' ?.
.`pv
..
FOR -CITY USE ONLY
j, PERMIT # ISSOED
p g3 3 -
Pd w/Bldg. Permit
i FEES:
$ SEWER PERMIT (INCLUDE SURCHARGE)
I $ WATER PERMIT ( INCLIJDE SLTRCHARGE )
S Gj ?j•,?'Z? $ WATER METER/COPPERHORN/OIITSIDE READER
? $ $ WATER TAP (INCLUDE CORPORATION STOP)
? $ $ ' SEWER TAP
$ ACCOUNT DEPOSIT - SEWER
/7 tl D $ ACCOC'NT DEPOSIT - WATER
' $ h?01?• irD
? $ wAc
$ ?7,5 ' 0t
$
sAc
$ $ TRLNK WATER ASSESSMENT
, $ --"' $ TRCNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRUNK SEWER
LATERAL BENEFIT/TRLNK WATER
$ -?JZ • U"?? $ . WATER. TREATMENT PLANT SDRCHARGE
$._. . , $ OTHER:
...
$ I -?'Y".??` SZj S TOTAL
RECEIPT • RECEIPT
DOES LTILITY CONNECTION REQUIRE EXCAVATION IN PLTBLIC RIGHT OF WAY?
Q YES IF YES, THEN A" PERMIT FOR WORK WITAIN PUBLIC
ROADWAY" MUST BE ISSUED BY THE ENGINEERING
Q
NO ,DIVISION. LIST.- AS A CONDITION.
SIIBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE :
, -? . ,
SIOMA
SUiaVEY1Nm
BEAViCEB
` 3908 SibleY Memorial Hiphway
Eagan. Minnesota 55122
Phone: (812) 452-3077
ScALE % I''=40?
Lc?T `30
? HOMEBV40EtIS
? tANUUEVEUOK A8
? RfAITUR+
M COMPANIES
Rad.?),
I q. y. b'I i hl ?? I 2', 4Ci ?
? N/ ? LO T 10 ;. -ren
oc ? 1' pRA A ;
tLITILITY ep x''
g-15,tnd o, ? , . a
?
/ GxSye '?6?
?-SSpo ?8y `
?
i ,.
.
?-
E CERTIFICATE FOR:
?
?
IeO?
? n
I d
46,02
i
`?sl+o :Lio0 R?4AOo
?. t?kgg? '. no' ae
5°9'O°° C?LAS
op . pAR?,;?-
( i
?
.?
1'? _
( "e ?1
O
UR $ 9
?1 ?,. 812A
??. ?s4 x
WAYNE D.
CORDES
- 14675 -
..?i"
O Okrwfes Iron Marnxrent
A Uenotes wocd Hub Set
x 8'1y•o Ornotes Existirg 5pot Elevetion
(x+?") Denofes Propnsed SPot Elevation
,.--- Aerates Drainage Directian'
-PROPERTY DESCRIPf ICN-
LOT 11) ,BLCICK?-
HAMPTON "HF'IGHTS •
eccordirg to the recarded plat fhereof,
CoW}y, Mimesota
PFiOPOScD GARAGE fL00R ELEVATION= 513.0
pfdDPOSEO Top o1 81otk ELEVATION- 873.3
.
PROPOSEf?SBAfSEMENT FLOOR ELEVATfON-??0$?
Qlsrolcq ?-+? gasew%c?+ ?
NOTE. Verify ell flaor hei9hfs wifh Firof Nouse Plans•
n?eavrws (?EttTIFICATIGN-
1 ysreby tertify tMf fhia sLr"Y. Plan °r rePOrt
was prepered by me aundef my direct supervision
ard that 1 am a dulY Re9i3terod Lerd Survo)`Or
Ithe laws of the State of Minnesota.
?.?,a:
weyr;w D. cwdes. Mim. Rcg. No. 14575
.
810 MA Hl
*IIfILITY
; I,'Lsg
.?'SSOOiBv. ?.
/ ? S4° 1?fO?
L st? ?Q:' ed?l° IW' :ff?0???_y,.? RJ
; ? - ---
9URVEYINO .?
BERVICEB iiw
3908 Sibley Memorlal Highway FRO
Eagan, Minnesota 55122 ?
Phone: (612) 452•3077 ?
?
scALE: ? I`_ 40?
Lca? ca
LLi7 ;?
?C 14Az.'D'i' i N 6S° 12`.4G. E
l-O T 10 . °` ?
?DRAINAGE
; N I EA'S M' T.
?75cnd 1
?
-LEGEND-
O Gknotes fran Marr?nt
4 Denotes N'ad H4b 5ef
CERTIFICATE FOR;
HoMe euIL ne ns
? LANUOEVEIOPFRS
? HfAt IUHi
? COMPANIES
MODEL: LANCASTER
.
Q??
?
i• , * Q
a
?• ?;? QI
?4
oa °?
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Fi E V I F IN E D ?? ?`,,....? •.,,
-' '?." WAYNE D.
BY /??z y-,y6 i CORDES
Q-15 DATE 3f':M1 14675 -
;.?_. .
„ 8-1y•0 Denotes Existirg Spot Efevation
Denotes Proposed 5pof Elevatian
?,s-- Denotes Drainage Directicn
-PAOPEHiY OESCRIPrICrI- •
LOi 10 , &aK 4--
HAMPTON IiFIGHTS
eccord irg to th recorded plat theroof,
Dakota C"ty, Yimesote
.
PROPOSED 6ARA6E FLOOR ELEVATION= 8L3.0
PfdOPOSED Top af 81ock ELEVATIDN- 8733
PROPOSEVSBASEMENi FLOOR ELEVATION- a10•
PraPojed l.?? BasemeJ- H? = 8653
NOTE: Vtrity all floor heights with Firo! House Pfsro.
MaM= L'WRTIFICATIQN-
f hereby certify tlut thie survey, plan ar rcport
was Frepered by me w' u?der my direcf eupervisicn
ard tMt I am a dulY Re4istered Lard Surveyor
er the laws of the Stefe of Mimesota.
_??.oAte. 8lzzl??
Wayne D, Cordes, Mirn. Reg. No. 14575
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA126849
Date Issued:09/12/2014
Permit Category:ePermit
Site Address: 3561 Coachman Rd
Lot:10 Block: 4 Addition: Hampton Heights
PID:10-31900-04-100
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required by law in ALL single family homes .
Kathleen Myrman
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 -
Neil C Schmitt
3561 Coachman Rd
Eagan MN 55122
(651) 788-0136
Apex Roofing & Siding
944 Oriole Dr
Apple Valley MN 55124-0000
(952) 891-1919
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA127150
Date Issued:09/22/2014
Permit Category:ePermit
Site Address: 3561 Coachman Rd
Lot:10 Block: 4 Addition: Hampton Heights
PID:10-31900-04-100
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 by law in ALL single family homes .
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Neil C Schmitt
3561 Coachman Rd
Eagan MN 55122
(651) 788-0136
Pella Northland
15300 25th Ave N #100
Plymouth MN 55447
(763) 355-1300
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA146999
Date Issued:11/30/2017
Permit Category:ePermit
Site Address: 3561 Coachman Rd
Lot:10 Block: 4 Addition: Hampton Heights
PID:10-31900-04-100
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 -
Neil C Schmitt
3561 Coachman Rd
Eagan MN 55122
(651) 788-0136
River Valley Rpz Llc
1623 210th St E
Farmington MN 55204
(515) 210-2094
Applicant/Permitee: Signature Issued By: Signature