3570 Coachman Rd
Use BLUE or BLACK Ink
I For Office Use
Permit V ; 0
City of Ea
Ed~
Permit Fee: D
3830 Pilot Knob Road > ~1
Eagan MN 55122 cc I Date Rec 'ved:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff:
I I
2011 RESIDENTIAL BUILDING PERMIT APPLICA ON
Date: Site Address: 3!~Io 1Aa&Mt*.4 Unit
Name: ~ 1✓ Phone:& Z_9' g0S5
RESIDENT
OWNER Address/ City/ Zip: Uackyy1eh-) f (,t iIV rVItNNtSs•}~.
Applicant is: Owner L
--L--Contractor
TYPE OF WORK Description of work:
Construction Cost: oo Multi-Family Building (Yes /No
~
Company:50VAq Mt~fb Me S Contact:E L. - 7 2002-2 Z" 01113
p. W Ve-
CONTRACTOR Address: ~~(J cAl mrmi S RV>>✓ N City: Ph a CI
1
State: M_ Zip: 5W-71 Phone: 752- 212' / 1' 3
License S D~ 10 Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
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:
Sewer & Water Contractor: Phone:
NOTE. Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
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.orp
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.
rnaN X
Applicant's Printed Name A plicant' ignature
Page 1 of 3
TH124AS Sall
. ._ .
BUILDING PERMIT
Receipt #
N9, 12909
Tobeuaedfor SF DWG/GAR Estvalue $64,000 .Oate i]OVEi°;BER 28
19 dG
,
Site Address 3570 COACHMA ,'J rZD Erect 'ID Occupancy R3
Lot2 6 Block 1 Sec/Sub . HALIPTOtr' tiTS Remodel ? Zoning Rl
Parcel No. Repair ? Type of Const
Addition ? No. Stories
W Name r?lONrIER COMPANLES Move ? Length
=
3
Address
3 y U 3 ?i I$LEY
?1EM HWY,
HLJG E Demolish
I
t I
O
O 7
Depth
t
? ??h, ?'A G?iN Phone 4 S 4- 0 4 3 3 n
mPr.
Install . ? Sq. F
°C
o Name SAMr:
=
? a Address
~ City Phone
s
? W Name
,,p Address
z
? W Ciry Phone
Assessment
Water & Sew.
Police
Fire _
Planner
Council
Permit a 325 • u U
Surcharge 32.00
Plan Review 162 . 50
SAC 571). 00
Water Conn. 500.0
Water Meter 63 . 5
Road Unit 290.0
Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe
i
f
t
i gldg
Off? 156.00
PI
Tr
n
orma
ion
s correct and agree to comply with all applicable State of , .
.
Minnesota Statutes and City of Eagan Ordinances. APC Parks
Signature oi Permittee Var. Date Copies
' .0Q
A Buildin Permit is issued to: ?'?ONTIER MPA?1 IES
9 Total
on the express condition that
all work shall be done in accordance with all applicable State ot Minnesota Statutes and Cily of Eagan Ordinances.
Building Official
F-CK-PI,AN MVMfi;D 7I30/3 bTY OF EAGAN .
452-1 I%M P?lot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
_ PNmR No. PermR Ho1dK Date TowphoeN M
Vlumbiny c* .
H .V.A.C.
EkC11iC ?b' 7
SoMenw
Inspectbn Dete Insp. Commenls
FoonnVg. I s ?1. (...? ?
Footinqa II
Foundatlon
Fnmin9 ?15 411
Rootlny
Rouyh Pibp•
Rouyh Mtp. ,. L -
Insu1. i J3 f7
Firoplaa
Final Mtp.
Final Plbg. p
Bldp. Flnal
Cod. OCC. 3 P
o.ck Ftp. Y- 7
Deck Frmq.
WNI
Pr. Disp.
Q . .
PLUMBING PFRMIT
CITY OF EACaAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121
PHONE: 454-8100
SitBAddress _ _ ;' 6) i 'Clr? L') i!.
Lot Block ?- Sec/Sub
m Name
o Addre
.r
c City -
., Name r rurv i: , iL ?
c Address -',
0 City i? N 44 fa R•'? Phone
FEES
COMM/IND FEE - 146 OF CONTRACT FEE
MINIMJM - RESIDENTIAL FEE - $10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
' (ADD $.50 S/C IF PERMIT PRICE GOES
i BEYONO $1,000.40)
C
.
FOR CITY OF EAGAN
PERMIT # ' J '"
RECE{PT # ?-
DATE:
BLDG. TYPE WORK BESCRIPTIOM
Res. ? New x
Mult Add-on -
Comm. Repair
Other
NO FIXTURES JOTAL
? Water Closet - $3.00
-7-Bath Tubs - $3.00
.
?Lavatory - $3.00 -
Shower - $3.00
=
`
`
Kitchen Sink - $3.00
• • ?
Urinal/Bidet - $3.00
T-Laundry Tray - $3.00
-
Floor Drains - $1.50
7
? Water Heater - $1.50
_.,-Whiripool - $3.00 ,
??- Gas Piping Outlets - $7.50
Softener - $5.00
Well - $10.00
?Private Disp. - $10.00
1
O
penings - $
.50
?.1-Rough
FEE:
STATE S/C:
GRAND TOTAL: C t
??. ;?1`. . , . t p 7 . . .? ..? - .-. .;,,,y... _--? . .. . ... . .
• v? . ' y ?, PERMIT #
• • • MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN
3830 PILOT KN08 ROAD, EAGAN, MN 55121 DATE:
CONTRACT PRICE: 1-?'? •' ' PHONE 454-8100
Site Address
Lot Block
m Name
? Addre:
c City _
Phone
BLOG. TYPE WORK DESCRIPTION
Res. " New
Mult Add-on
Comm. Repalr
Other
? Name
3 Address Si!b1ev i.,l Hw .
i
p City Phone 45"-04
I
TYPE OF WORK
Forced Air M BTU = 4
Boiler M BTU
Unit Heater M BTU
Air Cond. M BTU $
Vent CFM $
Gas Piping Outldts #
Other
FEE -?•5U
. 5l1
S/C:
TOTAL• = ._ c; . ?JO
FEES
RES. HVAC 0-100 M BTU - $24.00
ADDITIQNAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
ADDITIONAL 6 M BTU - 6.00
GAS OUTLETS - 1.50 EA.
COMM/IND FEE - 1% OF 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)
SIGNATURE OF PERMITTEE
?, FOR: CITY OF EAGAN
4L PERMIT
_ 3830 PILOT
Site
? Name
m .
;-
m Address P
c Ciry ^r,? +nti! Phone'
Name
?
c AddrBSS ?` ?"^ 'dr,{ ?i,,r ?c•?
p Ciry Phone °` -?'
TYPE OF WORK
Farced Air ' - M BTU
Boiler M BTU
Unit Heater - M BTU
Air Cond. ?OA-0 OW I M BTU
CFM
Gas Piping Outlats #
Otfl8f
FEE
5,C:
TOTAL:
MN 55121
BLDG. 7YPE
Res.
Mult
Comm.
Other
PERMIT # / /
RECEIPT # `
DATE:
WORK DESCRIPTION
hlew
Add-on
Repair
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 - 1Q/o 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)
SIGNATURE FOR: CITY OF EAGAN
? Name _
?o Address
c Ciry _
'# ?PERMIT 1k /o? e?o
PLUMBING PERMIT ?(p/
CITV OF EAGAN RECEIPT #
3830 PILOT KN08 ROAD, EAGAN, MN 55122 DATE:
PHONE: 454-8100
r+; BLDG. TYPE WORK D€SCRIPTION
Sec/Sub Res. X New ??
Mult. Add-on
Comm. Repair
SIO+' AvG. t. Other
L Name r` '
? AddreSS ac
3
O City Phone
FEES
COMM/IND FEE - 1% OF CQNTRACT FEE
APT. BLDGS - COMM RATE APPLIEB
TOWNHOUSE & CONDO - RES. RATE APPLIES
MINIMUM - RESIDEIVTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $2U.00
STATE SURGHARGE PER PERMIT - .50
{ADD $.50 S/C IF PERMIT PRICE GOES
F?
FOR: CITY OF EAGAN
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
Water C4oset - $3.00 $
Bath Tubs - $3.00
Lavatory - $3.00
Shower - $3.00
Ki?chen Sink - $3.00
Urinal/Bidet - $100
Laundry Tray - $3.00
Floor Drains - $1.50
Water Heater - $1.50
Whirlpool - $3.00
Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMin
J .__. t...:
_LSaftener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
F EE:
STATE S/C:
GRAND TOTAL• ?-?--?
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(651) 681-4675
1. • 1 1? _3 1 v e ?1 r? I?i t?? i
SITE ADDRESS: ? ; ,,,;? FII APPLICANT:
3S,70 .,MnN ?an ,; ,, ,.; rr?.?? ?,?:?
? "8-
? PERMIT SUBTYPE: TYPE OF WORK:
? . rroaI r0N
Permft Holder Date Telephone X
SEWER/
WATER
PLUMBING
HVAC
fnspectlon Date Insp. Comments
FDOTINGS .
FOUNO
FRAMING
ROOFING
ROUGH
PLUMBING
RLBG
A;IR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARO
FIREPLACE ,?.1?g
r [?1?
'lY`7 •
FIREPLACE
AIR TEST ?. K
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
CONDUCTIVITY
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
CITY OF EAGAN WATER SERVICE PERMIT
3830 PIIcf'Knab Road
P.Q. rrox 21199 PERMIT NO.: 8233
}
Eagan, MN 55121 DATE:
Zoning: 131 No. of Units: 1
Owner. 1gr 44d weSt
Address:
Site Addess: oe,??? a R-aad 1.26 El Ii"aIBF Ynri uQi Rrrc
Meter No.: ,.576 lwS??KWMWharge: 500 0OTd
Size: -'7'g/Qceg inA-C? IO 15??g?'
Reader No: a7o7y•3?74 QefOfe ,.9g lg1 agres to comply with the Citi &UjW E'..UPZ?9P? -
r
Ordinanc D"Byg??461PQ-TF
REQUIROt81: h3 SA^d me er
By ' Date Paid:
Date of Insp.: ? Insp.:
CITY OF EAGAN SEWER SERVECE PERMIT
3830 Pilot Knob Road
P. O. Box 21199 PERMiT NO.:
Eagan, MN 55121 DATE:
Zoninp: No. of Units:
Owner.
/lddress:
Site Addi
Piumber:
1 yno ts eempb wilr fM CMy of Lfpw
OrdlNnpe.
By
Gate of Inap.:
Conrwctian Chanpe: _ ? ? 5 • C}t???
Account Deposit:
Psrmit Fea:
Surchorpe: ,
Misc. Charoes:
Total:
Dote Poid: -
?' .. . • ?J?L?. f.C(,'1'IfiN;l ? I?_
. • .a . t •. . -? a.. ? . , 1
U:-r tItu,?il nrrl Ivt•
jl:?flV; tJf.lit.l f1+Cl (un ?_?•??'.l : ??; ' ?!•?? .. V.1 ???.'
??1t:t?
?Z , ? Q.,.°, . . . _. . ... ? .? s
? . ??I,;?Y P
7? 4 . 38
>? _,_{? ? . r+,+ eR..?o?? 7. c.Ic?
,? ? . . ._
?-? r ??. .`?.l.A?_?.... ??Lw?'?. •.Gz
G. t:n.tv.r<<,r..iii ii,.,t u.17
FIC. 11 T011VIE3,' OF
FIl11ttl: i1Af.J. . I t?lc-r i c,t• ?i i e .` i 1 m-- -- -. _._ _.__ _?_??_.?,ll
. ? z•
• . 3. ' ' • 4- 'L'?_?.?r/_rl!af..-- ?- • -----•-?---_.. ..?:_S??
{? 5. q?vm._ stra??, .. .._......... . . ..?.i?I
xIxriur' 0ii C?l1.1 ?---0.17
F.
,?
FI\i. Y Z `?? - --?•-•--. _-- ' Ul.it
? __?_-.? ? (,; L • d ?
. ? .
? " -? ? • ' . l»t.c,i?,r ?,ir fils, O fi!t
2. ?..??... . . _. ?. .. _ ? _ .... ... ?s.??
3• _????_? L` - --•--- -.__....._i_9.?
' `-?`?'- ----------? -?? 4. f.A C.FA ?'_ •? ?_^,
.?? ` `N - --?---•`--' ?
. ?i.??rt1+ -(Z ?
??.? ?`•? ? _""'l? b. }:xt??rl??r +?ir i-s lm ?)..t'1
x.'. ?-__?__ ? • "' -'-'^---'___._.. ---,t'O?:
?
C)"s
;.c2 r : ^ '? ? -°-?. __ _......__._.t:? ??. • ? . ' _ ?t.`_?._ l?L.?rf.#t 8."- - -. _ _ .. _ _ ??- ?
.L `? ' ^ ___._.-- _. L_ S! t?.iC.a . - - - - . .. ??. ..... _.. --• --?--
'? cl' • 'Q• 4._ .'-Q . 4• ??.?_'?.T?9C?....?_."?-
??
`?' 'n r `_''?--i;` G. I::cl??ri??r .?ir ,:l?•? U 1_t
-?.1. /? .? ...---.+ _..__,--• --- - ---•:ruC.k l
Q-k= . 145
St.ntl Ori GUADi.
?? f, - ?
i . `
,.
-s,' • ?••_ , ?,
°_ ..
.•t; ?rt _
.
y ? /!r
C. #3
,
, r
`
?
; '
•
.
r ? + ?
t . r ? .._
I "
}
' a ? ? t1. • i
? • , , . , ? ? • ! t
Flu. i!n
11t +'1'I::
.. . , ?. ,
• ' l.? '
/ ~( I ? . u , . ? • , ' ?; j?
f(l • , ' ? /a
.; } •u. . ' a ? '? ' /?l
"= ? -?:-- ?Y ?-? .? ---•;?....?, ; r1(
r :
(ll.?li4,1l nnc!
Erl,?•.rn?•?' ;?? ir??:??t.1Cir?n.
...... .?
M ?
. ? r
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
? , `•r .
DATE ' f 9
'?-
RECEtVG?p, i .
FROM4? ? '
AMOUNT $
i
& ooLLwRs
,oa
? GASH
FOW?-
BLDG. PERMIT ti0.
•_, . :, . ; ? . ? - ,;K?
01-321'6 'Bldg. Permir
01-3422 Plan Checic
_ ?
01-3445 Surch. /ndn:. ??
01-344b SAC/Adm.
01-2155 Surcharge
17-3860 Road Unit ?-
-
20-2275
20-3865 SAC
Water
Conn.
- r
?
20-3868 Water Trmt. ' ?
i ? ,-?
20-3716 Water Meter ? -"
_
?
20-2252 Acct. Dep. -
;? ..
20-3713 Water Permit
20-3743 Sewer Permit
79-3866 Sewer Conn.
;
11-3855 Park Ded.
--
I ?
I.-
TOTAL
?
.1
Page 1 of 4
-.- ,- •. , ExTERtort cNvELoPc nvr.RnU 1111" coMPUTl1-l'IUN
;
owHER: nnTr___??Z.S r$
? - - -- ..,?
5 t TE ADORESS : riipNE:
CONTRACTOR :
Determine working square footage of each ?
1. Tota1 exposed wal l area..... _1 0
%wq, sq. ft. x. lI = !
2. Total roof/ceiliny area....... 110140_sc;. ft. x.G26 - ,
Total exposed wall ai'ea above floor=? ?C-i L04 lr
I
a. Total wall window area ...............
b. Total door area ................... ............................
c. Total sliding glass doar area ....................................
d. Total fireplace wn11 area .............. . . . . . .
e. Total wall fram9ng area (average lOfi).......... . . . . .
f. Total rim joist area. ?.?????????'? "
g• net wall area above floor.. ?
h• wa]1 area above flaor................... i• wall area a6ove floor...... ..................
.].
frame wall area at fo?snaation ...................?_'...........?.
Total exposed faundation area= L--15
k. Total foundation window area...........
l. Tota1 net foundation area above grade ............. -
Dctermine "u" value of each wall segmcnt
(e,g. window, door, each separate vrall seCtion)
a 1 ZS X
b. ?{ 7 x
C. ?- Z X
d. !?C? a
r
`Ts
r
45 ,t u ?I
e. [ qj C,::,,4 S x „u„
f. I?o xIF u,-
?
9• I 5?)'& IrO?:2:' x "U„ .03
n. x „u,. _
i, x 1, U „ _
i, x „ul, _
k.
X
?• ? ? x
?
,iuse
i,u „ ,t,? _ .75
.................................Total = lb -?
If item #3 is the'saa
as, or less than-itea
#1, you have rttet.-ttie"
intent of SBC_,6.00&'-?(c
:? •, Z: !'?
BUILDING PERMIT
CITY OF EAGAN $830 Pgot Krab Road, P.O. Box 21-199, Eagan, MN 55121N2
PHON E: 454-8100
Receipt
To be used tor SF DWG/GAR Est Value $ 6 4, 0 0 0 Date NOVEMBER 28 19 86,
Site Address 3570 COACHMAN RD Erect 43 Occupancy R 3
Lot2 6 Block 1 Sec/Sub. HAMPTON HTS Remodel ? Zoning Rl
Parcel No. Repair ? Type of Canst ?]
Addition ? No. Stories
¢
Name FRONTIER COMPANIES
Move
? 40
Length 47
Demolish ? Depth
3 Address 3908 S I BLEY MEM HWY, BLDG E
I
I O F
S
° EAGAN 454-0433
City Phone nt.
mpr.
Install
? t.
q.
= o Name SAME
00 ¢ Address
'" City Phone
Assessment
Water & Sew.
Police
Fire
Planner
I hereby acF
information
of
Var. Date
A Building Permit is issued tp: _
all work shall be done in acCOrdai
Building Official
FRONTIER
ce with all apoli
2909 "
?
. ,. ,?. . .:
Permit 325.00
Surcharge 32.00
Plan Review 162 . 50
SAC 575.00
Water Conn. 500 . 00
Water Meter 63 . 50
Road Unit 290.00
Tr. PI. 156.00
Parks
Copi - 00
?
Total
on the express condition that
o( Eagan Ordinances.
(lierfifiratr uf Mrruvttnry
titp of (Eagan
ioppl"wiPttl Qf Iltddtm itlRpPtfiDtl
This Cerliftcate r'ssued pursuaxt to tJ?e requirements of Section 306 of the Uniform Building
Code cer7ifying tlrat at the time of issuance rhis strucrune wns in compliance with !he various
ordinances oJthe City reguladng building construciion or use. For the following.•
U, amscauoe SF DWGLQ1R ebs. Plrmic No. 129+'17t
O-P-Y TYa R3 zoaint Dvuia R I Type Go.q, V':
OwwrofBw7ding C•m (XWPWES Addrm .SXKi u-IR I'? ?, EAGALr
BuildingAdd= ?510 C360M IM L26. a?. HMM FEQrM
pue; MAHM 24. 1987
Bw7ding OPticial
POST IN A CONSPICUOUS PLACE
auvI i anU binin inei u itr BIC' .
all applicable State of g
,. ? _
C?:'2_ 90/y
SCIPIONI
? ???O?tL
1986 BUII.DING PERKIT APPLICATI011 - CITY OF EAGAN
NOTB: W-L. COFRACTORS MO5T BE LICSNSED WITH THE CITY OF R.AGAH
SIFGLE FAMILY DiiEI.LI8G3
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
MQLTIPLE DYEI.LINGS - BESIDSNTIAL
INCLUDE 2 SETS OF PLANS, CSR
1 SET OF ENERGY CALCULATIONS
RENTAL IINI?S FOR SALE IINITS
OF SDRYEY - CHE(K fiITH HLDG. DEPT. ,
INCLUDE 2 SETS 4F ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
To Be Used For: Single Family Valuation:dWm, Date: 9-5-86
Site Address 3570 Coachman- Road
Lot 26 Bloek 1
Parcel/Sub HAMPTON HEIGHTS
Owner Scipioni, Tom & Sandv
Address 3870 Ballantrae Rd. #5
City/Zip Code Eagan, MN. 55122
Phone 452-1165
Contraetor FRONTIER MIDWEST HOMES
Address 3908 Sibley Mem. Hwy. Bldg. E
City/Zip Code Eagan, MN. 55122
Phone 454-0433
Areh./Engr.
Addresa
City/Zip Code
Phone #
OFFICE USE ONLY
Erect ? Occupancy
!
Remodel Zoning ?
Repair Type oP Const ?
Addition # of Stories
Move Length ?
Demolish Depth -//7
Int.Impr. Sq Ft
Install
APPBOYeL4 FSES
Assessments Permit 3zs"
Water/Sewer Surcharge 3-7-
Police Plan Review
Fire
SAC i?
Engr Water Conn .?Oz9
Planner Water Meter
Couneil Road Unit
Bldg OfPq-is-9Yo WtTreatment Pl
APC Parks
Variance Copies
?0?AI. ?
,.
AOTE: ADDRESSSS FOR CORNEa LO?S - CONTRACTOR/HOMEOWNER MOST DESIGNATE iiHICH ADDRESS
IS D&SIRED. HO CSAAGFS YILL BE ALLOi1ED ONCE BDILDING PERMIT IS ISSIIED.
\
\
\
1987 BIIIE,DING PERMIT APPLICATION - CITY OF EAG9N
SINGLE FAMILY D4I$LLINGS
IACLIIDE 2 SETS OF PLA9SY 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCOLATIONS
AiOTE: ADDRESSES FOE COENEE LOTS - CONTRACTOR/HOMSOANER MIIST DESIGAATE ABICH ADDRESS
IS DFSIRED. NO CHANGES WILL BE ALLOWED ONCE BOILDING PERMIT IS ISSIIED.
MULTIPLE DWELLINGS - RESIDENTI9L RENTAL, OMITS FOR SALS Q?YITS
1 SET OF ENERGY CALCULATIONS . ?L
- .? ? w< < i *
cornMEacM
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 7 SET OF
ENERGY CALCULATIONS, ?-}--
$2,000 LANDSCAPE BOND ?h
INCLUDE 2 SETS OF PLANS, CERTZFICATE OF SIIRYBY - CHECB iiITH LDG. DEPT.,
To Be Used For: ?&-? C Ualuation: =
Site Address 352b COQCd(cuam 4e CJ. OFFICS USE ONLY
Lot o Block On Site Sewag
MWCC System
Parcel/Sub ??qMp-?-pr\ On Site Well
?/' City Water
Owner _ f'?pr?tGS 9i CK ?//"a
Address ,?,5 ?O ?LtC?ttctq(ir prr'?
City/Zip Code cro7 ??rZZ
Phone APPROYALS
Contractor
Address
City/Zip Code
Phone
Arch./Engr. _
Address
City/Zip Code
Phone Ik
e_ Occupancy
` Zoning
Type of Const
(Aetual)
(Allowable)
# of Stories
Length
Depth
S.F. Total
Footprint S.F.
FSES
Assessments Permit
Water/Sewer Surcharge
Poliee Plan Review
Fire SAC, City
Engr SAC, MWCC
Planner Water Conn
Council Water Meter
Bldg Off Road Unit
APC Treatment P1
Variance Parks
Copies
TOT9L
-30 "??
te: 7
-juuw--?
2005 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
*!0
a
?
r
New ConsWCtion Reauirements RamodeUReoairReauirements Office Use Onlv
3 registered sile surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies W plan Cert of Survey Recd _Y _ N
(200% maximum lot coverage allowed) t set of Energy Calculatlons for healed addiUons Tree Pres Plan Recd Y N
2 copies of plan showing beam & wirdow srzes; poured found desgn, etc. 1 site survey for eddi6ons & dedks Tree Pres Requ'ued _ Y_ N
i set of Energy Calculations Additlorr -indicate ll on-site septic system On-site Sepfic System _Y _ N
3 copies of Tree P2senaGon Plan if lot platted after 7/1193
Rim Joist DeUil ODtions selecllon sheet (buYdings with 3 or less uniGS)
Date _n_ / _X_/ OS Constructioo Cost -i _IOO ?
Site Address .ss?() (6N C}jMHAJ Q.p AAO UniUSte #
EA(AfO AJ :Szs z
Descriptioo of Work _'LCk ? ?d?llC ! 1i¢? ??uA?RRIE ! OE[14?f?? q010171IrJ nf7 5-r41 9.6,
Multi-Family Bldg _ Y?< N Fireplace(s) _ 0? 1 _ 2
PropertyOwner :57ZV/iF1U W htK-oG(t-kq? Telephone#(&t/) QcS9-???n?
Ury'VAIFez vHAKnu
Contractor
Address City
State Zip Telephooe # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Categorv l Minnesota Rules 7672
Energy Code Category . Residentiai Ventilation Category 7 Worksheet • New Energy Code Worksheet
(Jsubmissiontype) Submitted Submitted
. Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan8
_ Y _ N If yes, date and address of master plan:
Licensed Piumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone #( )
Telephone # (
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
cSTENEAJ 1? WIGAU S? r ?? 6 c?.. ti I I I
Applicant's Printed Name App icanYs ignature i' L-
OFFICE USE ONLY
Sub Types
? Ot Foundation ? 07 05-plex
O 02 SF Dwelling ? OS 06-plex
? 03 01 of _ plex ? 09 07-plex
? 04 02-plex ? 10 OS-plex
? 05 03-plex ? 11 10-plex
? 06 04-plex ? 12 12-plex
Work Types
? 13 16-plex O 20 Pool
? 16 Fireplace ? 21 Porch (3-sea.)
? 17 Garage ? 22 PorchlAddn. (4-sea.)
IR 18 Deck ? 23 Porch (screen/gazebo)
? 19 Lower Level ? 24 Storm Damage
Plbg_Y or _ N ? 25 Miscellaneous
e?I'P A DA; n9 qxv +Lmtn D; ng
? 30 Accessory 81dg
? 31 Ext. Alt - Multi
? 33 EM. Alt - SF
? 36 Multi Misc.
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 38 Move 8uilding ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building` ? 43 Reroof ? 46 Windows/Doors
)d 34 Replacement •Demolition (Endre Bldg) - Giva PCA handout to applicant
Valuation ab a `
Plan Review 100% or 25%
Gensus Code
SAC Units
# of Units
# of Bidgs
Type of Const Y [j_
Occupancy '913 MCES System
Zoning }7D
Stories
Sq. Ft.
Length
Width
Footings (new bldg)
? Footings (deck)
_ Footings (addition)
Foundation
Drain Tile
Roof Ice & Water Final
_ Framing
_ Fireplace _ R.I. _ Air Test _ Final
Insulation
City Water
Booster Pump
PRV
Fire Sprinklered
REQUIRED INSPECTIONS
Final/C.O.
>d Final/No C.O.
_ Plumbing
HVAC
Other
Pool _ Ftgs _ Air/Gas Tesu Final
_ Siding _ Smcco _ Stone _ Brick
_ Windows
_ Retaining Wall
Approved By: Building Inspector
Base Fee
Surcharge
Plan Review
MGES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge ,
Treatment Plant
License Search
Copies
Other
Total
q0162-
2007 RESIDENZ'TAL BUILDIN?'i PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan NTN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWCtlon ReQUiremenGs
3 registered site surveys showing sq. R of lot, sq. ft of house, and all roofed areas
(20%mazimum lot carera9e atloxred)
1 Soils Repwt rf propased building is to 6e placed on dislurbed sdl
2 copies of pian sM1Owmg beam & window sizes; poured found deslqn, etc
7 sel of Energy Calwlations
3 copies af Tree Preserva6on Plan if lol platted after 771193
Rim Jast Detail Op6ons selectian sheet (buildings with 3 or less unBs)
Minnegasco mechanical ventilatlon form
Cj'b, ?
RemrodellReoair ReoNremenfs -OKice Use Qilv
2 copies of plan showing footings, beams, JolsLs Ceit of Sorvey Recd " _ Y, _ N
1 seto(EnergyCakula6onsPorhealedaddi6ons SoIlsRepml ' _Y _N
1 site wrvey for additions & decks Tree Pres Plan RecG _ Y' _ N.
Adddiar-indicafe8on-s'rfesepfrcrysfem TreePresReguired _Y,- _N
Oo-siteSepticSystem _Y _N
Plans are considered public information unless vou state they are trade secret and the reason.
Date ?U l_?l0-12 ConstructionCost?
SiteAddress ?? ec?>G- r
ehV"?M UniVSte #
i
Description of Work
Multi-Family Bidg _ Y? N Fireplace(s) _ 0_ 1 _ 2
PropertyOwner ? ?l?G ?' `1 ? ??1'"rcas / "/GC/?`-""?-"? Y Telephone #((,s J) Zy K- GIl / Z
i
Contractor C p
Address ? u City
State Zip , Y'.-A'?Telephone # (65J ) L12,3^ / (vll
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cate2orv 1 _ Minnesota Rules 7672
Energy Code Category . Residential Venlilation Category 1 Worksheet • New Energy Code Worksheet
(J submisslon rype) Su6mitted Submitted
• Energy Envelope Calculafions Submitted
In the last 12 months, has ihe CiTy of Eagon issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of masTer plan:
Licensed Plumber
Mechanical Coniractor
Sewer/Water Contractor
Telephone #(
Telephone #(
Telephone #f
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
CaA 01Sa.'-7 _
Applicant's Printed Name
t's Signature
? CITY.DF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(651) 681-4675
SITE ADDRESS:
P.I.N.: 10-31900-260-01
PERMIT
PERMIT TYPE: 6 u r Ln zNG
Permit Number: 0 3 4 2 6 P
Date Issued: 12 ! 21 ! 9 8
3570 COACHMAN ftD
L07: 26 BLOCK: 1
HAMP70N HET641T9
DESCRIPTION:
i-? GFlS ]:NSER71GA5 LINE
F3u?a:Ldi?ej ?Pe:rmit Tvpe FTf?EPLACE
Nui.Ldinq Wonk 1"ype AL`f?:RATIUi+I
ensus Code \ 434 FlI_'i. RESIDENiIflL
J `
?n
)) r,: ?s',=:5; , _ ,':r ^`T?Ir;,??? -',•
REMARKS:
cHImNevlrLue r5usI" Be iN'?pecTFO RF FOue r.nNcI-AL rNr,.
FEE SUMMARY:
Basu Fee $50.00
5urcharqe $.50
Total Pee 260.50
CONTRACTOR: - R o p 1 i c an t- OWNER:
WFlLTr:R CONTRACiTNG 1R 618 E113 60 CK f3R1AN
742O COLUMBUS AVL S ;570 COACHMAN RO
RICHF:I:[LD MN 55423 r'AGt1N MN 55122
(G121 8 6 7.-80 1.3 f6 61 1452-9 rI0 5
[ herebv acknowled4e that Z have read t.his ahQlicatiori iiid state that tha
xntormation is cari°ect and aqree to comply with all applicable State ot Mn.
Statutes and CiY.v ot faaan CJrdi.nsnoes.
?
APPLICANT/PERMITEE SIGNATURE
SSUED BV: SIGNATU E
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
7998 FIREPLACE PERNIIT APPLICATION
681-4675
I S-0.st
'i a. -a-,)- -C? R-
DATE: 1.,7 -a? J - 7? Y
DESCRIPTION OF WORK: Construct new fireplace
? Install gas insert onlv
Other
PERMIT FEE: $50.50
_ Aherations W existing
? Install eas line onlv
JOB ADDRESS: I 44 Vv ? C/ C?
LOT: ? BLOCK: SUBDIVISION/P.I.D. #: ?4a LA? Vl ??•? ??
APPLICANT (circle one only): OWNER CONTRACT? J
I hereby acknowledge that I have read this applicafion and state that the information is correct
and agree to comply with all applicable State of Minnesota Statutes and City of Eagan
Ordinances.
Name: Phone #: `7SZ - I 7 p,s-
PROPERTY Last First
OWNER
Street
/G? •
rhone a: kl-etvs
FIREPLACE
INSTALLER
Street
c,Ty
GAS LINE
INSTALLER Signature:
Street Address:
Zip: sr(fY
Phone #:
DEC 2 2 1998
City ?F?-f 14 v(? State: /l1 Zip: .2-
?
Cnvclopo nvcragc "U" Computat:ion
Pngo 2 of A :
Tol-al expo3ed rooL/cciling nrcu = I oi b ,
.:
m. 7bt41 skyligltt area .-
............................
n. Total roof/cciling framinq arca (zvcragc lOP.)...
o. Total net insulated rooP/cciling iirea........... ?14LL} •
. Determine "U" value for each roof/cciling segment
? M. - X
n. I O?, ?O X ????? Qz. •-- Z, 4?
px O = C?j c Z
4 ........................... Total ?Z7?
if total of 04 is the same as, or less t:ha1 112, you have meC the int-ent oL
SbC 60C`6 (c) 1.
Alternate Huildinq Enve].one Desiqn
ib utilize tne total envelope 'system method, the values established by the sur,i of
i.tens S3 and 09 shall not be greater than the sum of itans #1 and $2.
1. ZicS>.09 + Z_ Z(o. 41 = 24Z?s ,
3. _(?V5, ?b-l + q. Zv, 73 = _1 gCo?IR,
This request voitl
18 months from
CC 80036z4c;91,
7'G C SG
x ? ?'"7 co
HeOU st Date /
? Fire No. i Noop?-in Inspec[ron
Requ re
?
oAeatly Nowt]yWTNOtdy Inspeo
1 ?NO ror When Ready
gaL oensed Elechical Con[ractor I heraby requeat inspection oi above
? Owner eleeVical work installed aL
Sneet Address, Box or Noute No.
ect?on . ownshiD Name or No. Hange No. Counly
Occ an RINT) ?
IE2 411 .
(Jlve- s Phone No.
5 -0 33
Power her Adtlress .
Elechical ConVactor ICOmOany Name, r'- nT ?
" ?'?? IE Con[ractor"s Lroense No,
4:7
Mailing Ad? 14540 O1iV? ? T aj? a5S`12 1/lav
Authonzed mnapturV?oqfra o akine InslallaLOn; _
pi,? j+L
P° Phone Number
MINNESOTA STATE BOARD OF ELECTXICITY E ° THIS INSPECTION NEQUEST WILL NOT
Grigpe-Mitlwey 81tlB. - paom N-191 gE ACCEPTED BY THE STqTE BOARD
1821 Unive,sitv Ave.. St. Paul, MN 55104 UNLESS PROPEX INSPECTIpN FEE IS
Phone (612) 842-0800 EIVCLOSEO.
i?2c?g'7 REQUEST FOR ELECTRICAL INSPECTION es-ooooi-os
1 Sea InatrucLOns for camoleting this torm on beck oi Vellow copy. 7CC?J $(f;
I 1(1'-? F "X" Be/nw Wnrk Cnvnrei/ hv 7h- Ro..,-.
H pi TYpe oi Building Appliances Wiretl Equ?ument Wire?
Home Range- 7em rery Service
- Duple.x Water , ,eater ' ightiny Fixtures
Apt BwlAinc? Dr
Electnc Heann
Commercial BIAg. umace Silo Unloader
InAustnal Bldg. qu Conditioner Bulk M?Ik Tank
Farm ??hrr oeci v ?ner?spcr,ifvl
1.r Suem Y ffier Other
ompute lnspection Fee Below
p Fee ServiceEntroneaSiza ubteadere N Fee Cvc mts
0 to 200 qm s s 0 tn 30 Am s
Above 200 q`p??y qmps 31 to 100 qm s
Swimmin Pool MAbove
_Am s Above 100
Am s
Transiormers ooms _
Partial-' Ot
Signs
pecLOn ee
Rem ?rks
f OT FHE?_??
Houeh.in ? ? Dnte ??'
c I, the
7 IngOectoq hereby
Final ! ?, 1e certify thet the above
insOecbon hes been
mede.
tl?ls rpueat vold 18 monlhe from
• nao,r•/cExLZNc
i ?
,,E.rzC%???
?-!- ? L-Ul. ? ?-
:r?ted Heat flov ?
. ? °p •
I'IC. 115 ?
r,•,_..?,v;-•-.v,:^.'1-' .,,c,-...h"r.Jn..c'.• y?
:/_ ' - . ?j^r--r
i -
? ?.
? tol*
?
$ • • .
? Y.eez flov vp ? ,
. . ..rlG. 16.'. _. • .
. • ' ' t.? ''"??..
..?..y.•-•. :;;^r... :, . ..... .
R?r •:1?. . . ?•??
ConstrucGion A-val"c
1, Intcriar air film .0.61 -
2. f3 773/-, -f _ F3p
3. lA,SUL. 44.Do
;. Extcri.or air filn (still) 0.61
- Tot&l 2 4s8o
. : .. . • • C)_ .oZ FR?r^'f ?
1. Interior air film 0.61
3.
'
4 1`?1,(SULF? 38.35
4, f:xtr.tior rir fI ln
•roeal rc- . 9p.1:5?
CoA.SrR?C Ti mp`,
1_ Insidc air film 0.61
, 2-
3.
' 4-
?$. Outsidc ?ir filin 0.17
Tota1
?- • .
. t•vented
L LU:
? . ..,• ?:••
8PI-P?. .
'?
. • ; • ilov up • '
, . - . .. _
' PIr_ •$7 ? . .?. r•
.?-.r,,.-. ? . - - . . • .
Ynsidc aiz Pilin 0:61
?.
3_ ' •
4_
OiJt51dC JlI EllTA 0.17
• , 2ota1
Znside air film 0.61
2.
.
]. ' .
4_
t?1oc air. filtn 0.17
Tota1
1COtc: Use additional sheets if morc Space i
. aeedeel for deta.ils and
, ' ealeulativns.
^This repvesl w?d
is „vimns r.om
? 214 7 8 ,,* L Rpq?est pate Fire No
, -25-
Licensed Eler.[nwl ConVactor
Owner
Street AdAress, Boz a. Rome Nn.
3570 Coqc,t4,v-?AN
ec.tron o. Townshio Name or No.
lPPt6N!
EI¢cincal CnnVactor
e uIq STp7E eOAND OF ELECTqICITY
•Midwey Blde. - Boom N-191
1921 University qve.. St. Peul, MN 55104
Phone (6121 642-0800
THIS INSPECTIDN REQUEST WILL NOT
BE qCCEPTED BY THE STATE BOA7j4
UNLE55 PROPER INSPECTION FEE 15???
ENCIOSED.
Jr?///g,y REQUEST FOR ELEC7RICAL INSPECTION
0 See inslrvctions br cumolebn t EB-00001-06
9 his form on back of Vellow copy. ?9
021478 "X" 8elow Work Covered b y 7his Request
FdJ He Typ 18 Id
e A001 W tl
I 1 1 1 n I I EO u nt Wire? I
C@
Bulk Milk
Service Entranca5ize
0 rn 900 e..,...-
s'?'G- ? 9 -
?
?Ph-In InSpeCbon
iutreA?
]Y
Heady Now Will Novty Insuec-
es ?No lor When Peady
1 hereby repaest m soectmn of ebove
electrical work ins tallad at'
Qty
E AGAN
,9e No. Coonty
.
D 41COT A
Phone No.
USZ-116y
r s Lmense No.
1?I
ip M? 5s?z3
8WO-2Rao
101,
we t
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Aemarks y? "?•O?'a' Pecuon ?D g?! -?
TOTA E
11\ N TI ON E T E
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CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
P ease Print
1) PROPERTY ADDRESS: 3570 Coachman Road, EaQan. MN. 55121 "
LEGAL DESCRIPTION: Lot 26 Block 1 Ham ton Hei hits
B ock Subdivison
Lot or Tax Parce ID )
IE' E7QSTING STRL'MME, DATE OF ORIGINAL BLZI,DING PERMIT ISSC'AIdC(E: . .
? (hbrl ear ..
_ PRESENf ZONINGJPROPOSID [?SE:
[) CAMMERCIAL/RETAIL/OFFICE
Q IPIDP57RIAL
Q INSTITVTIONAL/GOVEMMU
2) ?
? R-1 SINGLE FAMILY
0 R-2 D[;PLEX (Rtyo C?nits)
? R-3 ZUUWN[IOf-ISE (Three + Units) ( tTnits)
Q R-4 APARZTgSPT/CODIDOMINI[JM ( Units)
NAME: FRONTIER MIDWEST HOMES CORPORATION
? ?DRESS: 3908 Sibley Memorial Highway Bldg. E
CITY. STATE, ZIP: Eagan, MN. 55122
PHONE: 454-0433
3) . u?: ?• NAME: 5TBR PLUMBING
ADDRESS: 1018 Mound Springs Terrace
? CZTY. STATE, ZIP: Bloomingtoa, MN. 55420
PFIONE: 884-4149 MAST'r,R LICIIVSE# 3329
ACtlve
Expired
Not _recorded
Sta?f Initial
4) •• • ia-
-NAME: Scipibni, Tom & Sandy
_ ADDRFSS: 3870 Ballantrae Rd. l15
CITY. STA?, ZIP: Eagan, MN. 55122
pHONE; 452-1164 -
5) ?'? ?• ' w •?• :n •
? cors=orr TOciTr sEWER ? coruuEcriorr To cixY WAxEx p arM . .
6) '? '' • i' ? PLF.ASE $OLD APPROVID PERMIT EC)R PICK-t?P BY ONE OF AB(7VE _.-- .--
? PLEASE MAIL APPROVID PEEtMIT TO 1, 2. 3. 4, ABOVE
(Circle one)
7) r. n u• . . ??
NOTWK: PAXMFTS' QF FEE AT TIMC OF
aprr.icATIOu DOES rxrr cCNszzTUTE
APPxovAL oF rrrRMsr.
INSPECTIorr oF sE,Wa nND/OR WATER
U49raTTATr0NS WIIL NOT BE 9CHED-
UMID ONFIL PFI2NIIT AAS BETN
APPxwID. '
FOR CITY USE ONLY
PERMIT # ISSUED
?3/
Pd w/Bldg. Permit FEES:
$ $ SEWER PERMIT (INCLPDE SDRCHARGE)
$ 16 $ WATER PERMIT (INCLUDE SURCHARGE)
$ C/'-3 $ WATER METER/COPPERHORN/OIITSIDE READER
$ $ WATER TAP (INCLUDE CORPORATION STOP)
$ $ SEWER TAP
$ /S' G^ C? $ ACCOUNT DEPOSIT - SEWER
$ /t-j 1 O D $ ACCOUNT DEPOSIT - WATER
S o D o $ WAC
S ? 7 S. O o $ sAc
$ $ TRUNK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ LATERAL BENEFiT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRDNK WATER
$ _ `?? O !) $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
$ /-l'V5 '51) $ TOTAL
-- - 6-9 .`J` _`P ?" .
RECEIPT RECEIPT
DOES UTILITY CONNEC TION REQ[JIRE EXCA VATION IN PDBLIC RIGHT OF WAY?
? YES IF YES, THEN A" PERMIT FOR WORK WITHIN PUBLIC
ROADWAY" MOST BE ISSUED BY TIIE ENGINEERING
Q
NO DIVISION. LIST AS A CONDITION.
SIIBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE :
SIOMA
BURV
SE
3908 Sible
Eagan,
Phone
GAI.E; 1:40°
EYIND
FlVICEB
y Memorlal Highway_
Minnesota 55122
: (612) 452•3077
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Ho?M€eu?4oiasificate For:
ik uNO oeveLorEns
m REALiOR3
ITkER COMPANIES
' STAFFORD
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CORDES
- 14675 -
-Lf GEND "
O Denotes lron Morxdrent
m Denotes Woai Hub Set
471,0 Denotes Existirg Spot Elevatian
(„ygN) Denotes Proposed SPot ffevatian
,,?Denotes Drainage D+rection
-PRQPEFf1Y GESCRIPfICNV-
LDi? ? , BLCrK ._J-._
_ }}W- PYoR 14 EIG0 Th
accordirg to the recorded plat thereof,
County, Mirnesota
PROPOSED GARAGE FLOOR ELEVATION= 073,0
PRtlPOSED Top of 9fock ELEVATION- 5133
PROP05E0 BASEMENT FLOOR ELEVATION- 10.3 w?c
NpTE. Verify alf floor heights with Finel House Plans.
a?omnwc rF?IFICIITI?!-
z •• - - -
1 hereby certify thet this survey, plen or rcport
was prepsred bY me a u`der my direct supsrvision
eni that f am a duly Regisfierod Lerd SurveYa"
wder the lews of the Stefe of Mirxiesota.
Q ?? ?te: Q?9I86
Wayne D. Cordes, Minn. Reg. No. 14675 14
SIOMA
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3908SSibE
? Eagan.
Phone
?
GAI.E? 1=40?
EYINO
AVICES
y Memorlal Nighway.
Minnesota 55122
:(612)452•3077
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Ho?sBU ui sificate For:
L UNp DEVEIOPEHS
w AEAlTOR3
R CAMPANIES
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STAFFORD
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WAYNE D.
CORDES
- 14fi75 -
-LEGEND "
O GL>notes Iran Manmnt
so Denotes Woai Hub Set
x87ZA LLnotes Existin3 Spot Efevation
(„42u) Denotes Proposed Spot Elevatian
'.- Dpnotes Drainage Directian
-PROiPERiY DESCRIPTIpV-
cor? ? , eLa?c I_
: AMP'fahl 14EIG0 Tti
accordirg to the recorded plat thereof,
M i mes ota
PROPOSED GARA6f FLOOR ELEVATlON= 873,0
PROPOSED Top of 81ock ELEVATION= 573,3
PROPOSED BASEMENT FLOOR`ELEVA'TION-? 70.3 W+
l+OTE: Verify all floor heights with Final Hwse Plarts.
IFI
I hereby ceriify tMt this surveY, plan ar repa't
was prepared by me or uder mY direct supervisiai
ard fhat I am a duly Registerod Lard SurveYor
urder the laws of the State of Minnesota.
A QXa oste: 9r9I86
Wayre D. Cordes, Minn. Reg. No. 14575
Cllyot' Eaall
3830 Pilot Knob Road
Eagan MN 33122
Phone: (651) 675-S675
Fax: (651) 673-5894 •
Use BLUE or BLACK In
=221=11:11
Permit*:
Permit Fee:
3-?
Date Received:
Staff:
L.
21
011 RESIDENTIAL PLUMBING PERMIT APPLICATION
OA 331
Date: 11. - Site Address: _35140 (-A3VIIIAM-‘43111\-
Suite II:
J
RESIDENT/OWNER
r�
CONTRACTOR
Name:
Address / City /Zip:
Name: MILBERT COMPANY INC.dba CULLIGAN WATER
Address: 1801 507" ST EAST
City : INVER GROVE 4-IGTS
State: • MN.~Zip: 55.077' phone; 65.1 ;:451; 2241 •
Contact • BILL.MILBM.5 • Email:
TYPE OF WORK _New pRepiacement Repair _Rebuild Modify Space _Worklq.R.O.W.
Deaertptlon of a/orli:,
REhIDENT/AL•
.Water Heater
' Lawn Ir,1gatlgn (RPZ / _• PV5)
• Septic System •
J• . _Abandonment •
PERMIT TYPE
RESIDENTIAL FEES:
ater Softener
Add Plumbing Fixtures L_ Main i_ Lower Level)
Water Tumaround
$33.00 Minimum, Water Neater, Water sonnet, or Water Heater �(i Softener (includes 55.00 State Surcharge)
$35.00 Lawn Irrigation (Inclddes 33.00 State Surcharge)
$35.00 Add Plumbing Fixtutes, Septic System Pbendonmtint, Water Turnaround' (includes 55.00 State Surcharge)
`Water Turnaround (abd 5186.00 Ka 5/6" meter la required) • •
5103.00 Septic System
p yet � (510.00 per as twat) (includes County fee and 55.00 Stats Surcharge)
583.00 Fire Repair (replace burned out eppllances, ductwork, etc.) (includes 35.00 State Surcharge)
TOTAL FEES $
CALL BEFORE YOU DI't;. Can Gopher State One Can at (651) 454-0002 for protection against underground uOQty damage.
Call 48 hours before you Intend to dig to reCety locates of underground utilities: www.000heratateonecelt.orQ •
I hereby acknowtedgs 6*tthh intimation is complete and aocunrte;; I iat the work will by In oonformatics with the ordinances and codes of the City el
Eagan; that I understand this le a permit„ but (Wan applicationfora permit. and worlds not to etas without ■ pgrrnit; that the work wql be It
accordance the approved is In the ase of work which requires ■ rs lew and a • • ofXW1i"VOt maitr. t'/' / /i
Iv ature
• Applicant's Printed Name
Appll ,ant's
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA115713
Date Issued:09/30/2013
Permit Category:ePermit
Site Address: 3570 Coachman Rd
Lot:26 Block: 1 Addition: Hampton Heights
PID:10-31900-01-260
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
Don Schutte
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 -
Stephen C Makousky
3570 Coachman Rd
Eagan MN 55122
(612) 860-9085
Minnesota Roofing Remodeling Inc
10425 93rd Ave N
Maple Grove MN 55369
(763) 208-7819
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA121332
Date Issued:03/25/2014
Permit Category:ePermit
Site Address: 3570 Coachman Rd
Lot:26 Block: 1 Addition: Hampton Heights
PID:10-31900-01-260
Use:
Description:
Sub Type:Fireplace
Work Type:Gas Insert
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
concealing.
Carbon monoxide detectors are required by law in ALL single family homes .
Valuation: 3,000.00
Fee Summary:BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
$90.00 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 -
Stephen C Makousky
3570 Coachman Rd
Eagan MN 55122
Hearth and Home Technologies
2700 N. Fairview Ave
Roseville MN 55113
(651) 638-3309
Applicant/Permitee: Signature Issued By: Signature