3578 Coachman RdCity of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 3578 Coachman Rd
Lot: 28 Block: 1 Addition: Hampton Heights
PID:10- 31900 - 280 -01
Use:
Description:
Sub Type: e - Furnace
Work Type: Replace
Description: Furnace
Comments: Expired Perm
Fee Summary:
PERMIT
City of Eaan
Closed w/o Required Inspections. Letter sent. 12/10/2008 pf
Quesetions regarding electrical permit requirements should be directed to Mark Anderson, State Elec
952- 445 -2840
Contractor:
Ductworks Heating & Air Conditioning LLC
5320 Triton Drive
Golden Valley MN 55422
(763) 521 -0070
ME - Permit Fee (Replacements)
Surcharge -Fixed
Total:
Applicant/Permitee: Signature
- Applicant -
Owner:
Robert C Anderson
16625 Jacamar Way
Lakeville MN 55044
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$50.00 0801.4088
$0.50 9001.2195
$50.50
Issued By: Signature
Mechanical
EA081890
02/06/2008
ePermit
cal Inspector,
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ?4 - 12 910
PHONE:454-8100 , i
BUILDING PERMIT Receipt #
To be used for S F' n w1G/GAR Est Value $64,000 Date N V:
79 86
,
Site Address 3573 C:OACHMA?V RD Erect EX Occupancy R3
Lot 29' Block 1 Sec/Sub. ?AMPTO:1 TiTS Remodel ? Zoning ?i")
Parcet No. Repair ? Type of ConstVii
Addition ? No. Stories
¢ Name FrtONTIER COf9PAN IFS Move ? Length 40
z 3908 fi I BLF:Y MEM kits3Y
BI, G F; Demoiish ? Depth 47
o ,
Address Int Impr. ? Sq. Ft
^
City FA?sAN phone 4 54- 0 4 3 3 Install ?
a
o Name -
0 i Address
?- ic
? W Name-
_z
Address
UZ
Q W c1tV -
Assessment
Water & Sew.
Police
Fire
Eng.
Planner
Council
BIdg.Off. 9/15/8 6
APC
Var. Date
Surcharge JZ • u v
Plan Review 162• S d
SAC 575.00
Water Conn. 500.00
Water Meter i3.50
Road Unit 290.00
Tr. PI. 156.00
Parks
Copies ?
Ti.inl , •
of
A Building Permit is issued to: r-nVtvTt t:lt i.V11YHiV 1 L' J 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. Permit Hoider Dsts Tdephone #
Plumbin9 ?L? ?f ,? ?? ' " 7 ; t .? ( ???• .??` ?
H.V.A,C. .ry Lh_ //a 0
Electric
Soriener
InspecHon Date Insp. Comments
FooUngs I ?? ?,?/ (>
Footlngs II
Foundation
Fnming
Roofing
Rouyh Plby 6-'p?/ • I- 7- S 7 .? . --
Rouyh Mty.
?
Insul.
Fireplace
Flnai Htg. 4
FMaI Plbg.
Bldg. Final
cen. occ.
Deck Ftg.
Deck Frmy.
weii
Pr. Disp.
PERMIT #
, • . ,
' PLUMBING PEAMIT RECEIPT #
. qTY OF EAGAN ;
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE 'PRICE:
Name
? Address
c City _ r !+ ,
_ Name
c Addre
p Ciry _
FEES
COMM/IND FEE - 1% OF CONTRAGT FEE
MINIMUM - RESIDENTIAL FEE - $10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PR1CE GOES
BEYOND $1,000.00)
OF
FOR: CITY OF EAGAN
BLDG. TYPE WORK DESCRIPTION
Res. New
Muft Add-on
Comm. Repair
Other
NO. FIXTURES TOTAL
/ Water Closet - $3.00
-7- ?-
3
Bath Tubs - $3.00 -
?
ZLavatory - $3.00 •
Shower - $3.00
l
?Kitchen Sink - $3.00
Urinal/Bidet - $3.00
Laundry Tray - $3.00
r
Floor Drains - $1.50 '
Z Water Heater - $1.50
Whirlpool - $3.00
?IZ7Gas Piping Qutlets - $1.50
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
=
7
7
Rough Openings - $1.50 7
FEE "? J •
srare s/c: -
'? ? ' l
GRAND TOTAL:
. ? . t . - . : . . .. .. ,... . r ,. "ff.,.">.?.._'___.. _. . _ . . ." _ - . .
. , PERMIT # - '
MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: 1IRJ<`; 7
CONTRACT PRICE .; 150J .00 PHONE: 454-8100 i
Site Address -%? % Coaciv?an TYPE WORK DESCRIPTION
BLDG
Lot B lock ' Sec/Sub .
.?.
R
N
m Name 'q'l?N ZEL r2ECRAN ICAL es.
ew
M
lt Add
-on
u
?o Address560 0 F Iin b R
i
C
,
- omm.
r
epa
c Ciiy Lad an Phone., ,_ Oth
er
Name FRO N'flER ' ' FEES
?
c Address;20 c Sible.y hi emorial RES. HVAC 0-100 M BTU -$24.00
? Ciiy r a? an Phone '` -'' ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
ADDITIONAL 6 M BTU - 6.00
TYPE OF WORK GA5 OUTLETS - 1.50 EA.
Forced Air oO ?;?: } M BTU 24,00 COMM/IND FEE - 1% OF CONTRACT FEE
Boiler M BTU MINlMUM - RESIDENTIAL FEE - 10.00
Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00
Air Cond. M BTU STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
Vent CFM BEYOND $1
000.00)
Gas Piping Outlets # ? . ??, ,
Other
FEE: 25.50
S/C: .5o SIGNATURE OF PERMITTEE
' ? ?' ' ???
TOTAL
FOR CITY OF EAGAN
CITY OF EAGAN SEWER SER1/!CE PERMR
3830 Pilot Knob Road
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55121 DATE: -
,
Zonir+0: No. of Units:
Owrer:
/lddross: _
t,
Site Addross:
Plumber. u ?
t ?r< < ?. - t?`!`•.?,?n?
1 agm h ?sthr wieh !M Clep of 4p¦ Gonrwctlon Charpe: ? ' ? ?) ^
OraiMAcoount Depait:
Pemnit Fee: -
SurrfwMe:
By
Date of Insp.:
Misc. Chorpes:
Totci:
Irup.: Doh Poid: ?
3
. 'TS
CITY OF EAGAN
WATER SERVICE PERMIT
3830 PNbt Kaob Rcad
pp,Rpx2119g • PERMITNO.: ?73?
Eagan, MN 55121 DATE: >>-? ?-? 3
Zoning: ri No. of Units: 1
Owner: ''ro?t?er "irlyz¢st
Address:
SlteAddess: 1578 r^°^h"'^ Pna i T.?G E1 ?IArnntnn TTpi$ht-q
Plumber S ta P 1iLih i ng
Meter No.: 3 7? 64 $-S Connection Charge: 500 1113n•i
Size: Account Deposit: I
Reader No.: 0 74 7 ?Z,? a._-?--- Permit Fee: 1 '?
1 sgrea to comply wilh the Clty ol Eayan Surcharge:
MisaCharges: 15ti ()cl;)fl T.?
TotaL
• ` r
y. ?.; :;.na ?r.vc? ? zqc ? , a? ' ?gQ 2 c= 4
. • . '
' . ,
Tc ral c.rFjoscd rool/cci'_inq araa ? O?(O '
m. Zbcal skylight area. ............................. _ --
n. Total :oaflcciline; f:aming arca (.zvcragc 10%) . . . y 01 nec insL.lated ra01/ccilinq area . . . . . . . . . .
• Determine "U" va].uc tor e.3ch raot/ccilinq sac,ment
M. - x "vn ---
_
- .
' -n . 1 o f , tO ,; 1611.4 O = Z, 4 A
a.? x NUM ? cZ Z=T .
A ........................... Tota.t
I:1 tatal at v4 :.s the sama as, cr less t.han 92, . you have met the intent oF
SeC 6005 (c) 1.
A2te:zate 3uildinR Snvelone Oesiqz
'1`O ::til=ze the tota3 envelooe 'syst? method, the values establ? shad by the s.ta og
ite=s 43 a.*Ld #4 shall not be qreata= than the sum of zteas 01 astd #2. - 1• ZIG .C9 ' + ?. Z-G. A { _ 7.1 S ' .
3. _ iCo?, v? + a. ZC?,73
-..--..?......,.,....... --- --_ .._.. _._.__?_?__ __.._.
? CASH RECEIPT ?
CITY CfF EAGAN
3830 PILOT KN08 ROAD
EAGAN, MIIVNESOTA 55122
DATE -. ' 19 R<GEIVEO • .
FROM?.. . •. . . , .
AMOUNT
a DOLLAR•
'ao
? CASH C]CHECK
BY
'?7'
01-3210
01-3422
01-3445
01-3446
01-2155
17-3860
20-2275
_ 20-3865
20-3$68
20-3716
20-2252
20-3713
20-3743
79-3866
11-3855
-b. a citlll
Plan Check
Surch./Adm.
SAC/Adm.
SurchargE
Road Unit
SAC
Water Conn.
Water Trmt.
Water Meter
Acct. DeP.
Water Permit
Sewer Permit
Sewer Conn.
Park Ded.
TOTAL
CJ C `-?
White-Payers Copy
Yellow-Posting Copy
_ Pink-Ffle Copy
Thank You
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?3TftFFOPU)
19$6 BOILDING PERlQT APPLICATIOH - CI?Y OF EAGAB
HOYEt ALL CON?RACfOES MQST BS LICENSED iiITH TES CITY OF EAGAN
SIBGLE FAMQLY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CEATIFICATES OE SIIRVEY, 1 SET OF ENERGY CAI.CQLATIONS
MQL.TIPLS DiiS[.LINGS - aSSIDERTIAL
INCLUDE 2 SETS OF PLANS, CEA
1 SET OF ENERGY CALCULATIdNS
RIIiTAL IIHITS FOR SALS DNITS
OF SQEVSY - CHSC[ WITH HLDG. DEPT.,
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS, ? ?
$2,004 LANDSCAPE BOND C?41nm
To Be Used Fo • Valuation: Date:
Site Address 16
Lot ??- B1oCk ?
Parcel
Owner
Addres
City/Zip Code -an?`}/ ,hTOL4 /lll
Phone
Contra
Addres
City/Zip Code
Phone 7' ? d
Arch./Engr. _
Address
City/Zip Code
Phone #
Erect t5 Oeeupancy
Remodel Zoning
Repair Type of Const
Addition # of Stories
Move Length
Demolish Depth
Int.Lnpr. Sq Ft Install
APPROVAIS FSSS
?
Assessments Permit
Water/Sewer Surcharge
Police Plan Review /lZ-J b
Fire SAC 5 7?
Engr Water Conn
Planner Water Meter
Council Road Unit
Bldg Offej,15 S(o Treatment Pl ?
APC Parks
Varianee Copies
TO?AL
., 80TEs ADDRESSSS FOR CORNER LOTS - CONTRAC?OR/HOliEOWNER MOST DESIGNA?E WHICH ADDRESS
IS DESIRED. NO CHANGFS iiILL HE ALLOWED OHCE BDILDING PERMIT IS ISSDED.
..?
CITY OF EAGAN ?
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N- 12 910
PHONE: 454-8100 ? ? G S
BUILDING PERMIT ' Heceipt #
To be used br SF DWG/GAR Est value $ 6 4, 0 0 0 Date NOVEMBER 28 , 1g 86
3578 COACHMAN RD R3
Site Address Erect ? Occupancy
Lot 28 Block 1 SeciSub. HAMPTON HTS Remodel ? Zoning pn
Parcel No. Repair ? Type of ConstV,:.l
Addition ? No. Storles
¢ Name FRONTIER COMPANIES Move ? Length 4 n
_ , Demolish ? Depth 47
3 Address Int Impr. ? Sq. Ft
0 L?71/`711.T A CA_AA 77
R
10
OV
U <
a
?
Phone
?
F QW Name
_z
? a Address
i W City Phone
I hereby acknowiedge th have read this application and statethatthe
information is rrect d agree to compiy with all applicable State of
Minnesota Statut a d City o!04gan Ordiqancesn
Assessment
Water & Sew.
Police
Fire
Planner
Council
Bldg. Off.9/15/8 6
APC
Var. Date
Permit Y J ? J . V "
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
Copie
Total ' ' ?
A Building Permit is4ssued to: r'xVN1'lr:t( C:VMYANIhS on the express condition that
all work shall be done in accordance with all applicable Sta(ttlPr, o_f M'inInesp(t?_ ?Si?atutes and City of Eagan Ordinances.
Buildfng Official `I3-? , .
i
zd« ----?--- t? ?? - - - - --•?•---..._
1 ? ? ... ,
? • ,?,.,?, ., ' ' _ `1:S ?.
(gertifirate of (Orrupanry
Citp of 4Eagatt
lorpa'tatrttt af ludbtltg zIntwPrttUti
FWn,;, No. 12910
owner or Buia;ng FACNTIIIZ ClOWMM Add. 3908 SM MM wY, F.e,rAtJ
BuMng Ad&„ 3578 COA[RlAM A"p Lomhty tJR _ s 1,Hkkf=LW.TC?=
? F5=LlR( 27. 1987
Butldiog pffipd r
POST IN A CONSPICUOUS PLACE
This Certiftcate rssued pursuant w the requirements oj,Seetion 306 of the UMifarm Bullding
Cale certifying tkat at the time of issuance lhis structare was fn compliance with the various
orditrances of the City regulating building construction or use. For the following:
`"%5?D
?. ?
2006 RESIDENTIAL BUILDING rExnziT nrrLrcnTiorr
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construc6on Reomrements RemodellReoair Reawrements Office Use OnN
3 registered site surveys showing sq. R. of lot, sq tt. of house; and all roofed areas 2 wpies of plan showing footings, beams, jasis Cetl of Survey Rerd _ Y_ N
(20%maximumlotcoverageallowetl) 1set of Energy Calculations for heated additions TreePresPlanRecd _Y_N,
2 copies ot plan showinq heam S wmdow sizes; poured iound design, etc. 1 sde wrvey for atldihons 8 decks Tree Pres Required _ Y_ N
isetofEnergyCaiculations Addihon - mdicateiiorrsitesepticsystam Oo-siteSephcSystem _ Y _N
3 copies of Tree Preserva6on Plan rf lot platted a8er 711193
RimJoistOetailOphonsselec6onsheet (6uiidingswith3orlessunits)
Minnegasco mechanical vendlation £onn
zL o?
Date Coustruction Cost ?d O?fTv
_
Si[e Address 06 C?2V? 9-D UniUSte #
Description of Work 2--
Multi-Family Bldg _ YZN Fireplace(s) 0 _ 1 _ 2
PropeHy Owner Telephone # ( )
?
?
2
U 3 1
Cootractor Cw 1,
Address a /. 144 CiTy
State n?l 4i Zip T S5' 0 6 Telephone#(?Ja),?.?-02. v?
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateaorv 1 _ Minnesota Rules 7672
Energy Code Category . Restlenhal Ventilation Category 1 Worksheet • New Energy Code Worksheet
(dsubmissiontype) Submitted Submitted
. Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan 6ased on a masfer plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plvmber
Mechanical Contractor
SeWer/Water Coniractor
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. Applicant's Printed Name
7
(AJ < <h
Appl'icant's Signature
.. . ` ;XT;RIOR EP7YEl4F'C ,14CRP,,-? r " I I••
.. • ,
yFO:
' SITc AOORESS: ?
CONTRACTOR: ;7-eCXJ'C'LrCr-
COPfi'tIL1; iUY
57'7AFPy9CC 1*1e w/v
rn7r:_3=LS -A
P! IQNE:
Oetermine working squara footige c° each
1. Total exposeC wall area..... ['%g.;j sq. Ft. x.I: = Z! (e. ?S
2. Total roaf/ceiling area..... x .026 = Z(?_ 4q 1
Total exposzd wall a:•ca ahovc flr,er=` `Cj?1?
a. Tatal wa11 tirindou area ...........................................
b. Total daar area ..................................................
c. Total sliding qlass door arca ....................................
d. Total Pireplace wall area ........................................
e. Total walt framing area (average 10%) ............................
f. Total rim joist nr=a .............................................
g. ne_ wal] aren ahove fioor.. . Z`.f:4 4 .44 I.=T.C.'?e ...............
h. wa11 zrea above °toor .....................................
i. wntt area a8ave `loor .....................................
j. 'rame wali area &.-, ?ouidar:on ...................................
Total exposed Poundation area= !?
4 7_
?
k. Total foundation windaw area .......................
l. Total net Paundatian area above 9rade .............. ?.. ?
Oetermine "u " value of each wcEl s^umciG
• (e.g. window , door, each separate wail set:tion)
• a. 1 ZS X "U" . _? !:1 ? ??
. b. q ? x ,.u,. 45
C. 4 Z X „U„ , as s ?r, f
,
. d. ? V X "U" , 3 L,-:)
----?
.
- e. I 9?,45 x '.u,. . vr3 =!S. 7 f
r\ "U- 0 3 ? I
-q. 13P)1rar7 x ^u• .03
• h. X aU" a
1. x U.
? . .
X U.
' . .
: X U.
• 1. Co S X "U" ._ 1 S = 41• 75
.. ......... ................. ... .... racat = 1f????
If item 03 ts th
as, or less thaa
11, you have met
intent af S8C..6d
•a .: ..
%•?LI
_,; :
Thts request voi /3L/?'7
18 rtqmhs from
(? 8 Q Q 7,C, .?? a i. 5'1,1_
Z°/ 7 c .n.
Req i OaIe/ .) ?
'
" Fire No. ? Rough-?n Inspecuon
Requrte
?ReaAy Now•?}.14+t1 NobtY InsVec-
tor Wh
R
? es ? N. en
eatlY
[jLJ&fe-nsed Electrical ConVTCtor I hareby req.est insoecLOn ol ebove
? Owner electrical work inatelled at
Sireet Address, Box Rout o,
S Gty
f-- F,T r? )
ecuan o. Township Name or No. Range o. Covnl
?
C. n< <.?, 1??, /yl t.D aJ E% Pho??-o V 3-3
Pow r $up 'er Address
•
Elecincal Convacmr (COmOany Name)
'
Rt?: trar,lo's Lmense No.
C
dZ
]
?
?-?
Mail,n9 AaJ???nt?pt{QJor? r?r(? ? 11g'rng yiyg?
i C i? LH
^
Authorii d S?gnqt a 1
w?a s
? v P-LL , Phone Number
MINNESOTq?S-ArE BOARD OF ELECTRICITV THIS INSPECTION flEQUEST WILL NOT
Grippa•Midway eldo. - Room N•191 - r BE ACGEPTED BY THE STATE BOARD
1821 Univsrs.tv Ava.. St Peul, MN 55104 UNLESS PPOPER INSPECTION FEE IS
Phone(612) 642-0800 ENCLOSED.
i/_?o/p7 REQUEST FOR ELECTRICAL INSPECTION EB-00007-05
, S¢¢ inatrueqona for camolabne this iorm on beek ol Yellow copV• y T?'G??4
R() 'A '? 7 "X" 8elow Work Covered by lhis Request
p°P- TVDe of BuilEfng Aooliancea WireE Equiumem Wired
Home Range- ? Temporary Service
Duplex Water Heater ighbny Fixtures
Apt. Buildi2 2 Or er Electnc HeaUn
Commercial Bldg. urnace Silo Unloader
Industnal BIAg. Air Condrtioner Bulk Milk Tenk
Farm otnNr peu v Iher (Snar,,lyl
t er Sueci y the, Olher
M Fee Service EnVanceSiza p Fee Feaders/Sub/eedera N Fee Circwts
0 to 200 qm s
1
4
- 0 to 30 Am s MA ?0
40 0 to 30 Am s
Above 200 qmps
31 to 100 Amps
D -
31 to 100 Am s
Swinmm Pool q??e 100_Am s Above 100_Amps
• Transiormer5 rrigation Booms Partial-"Other Fee
Signs Special InspecLOn
$ ^
Nemarks TOTAL F?,? pp?,
?L
Nough-in '
Date 60 ?-
3
„ &-1 ?,the Elec
Inspectoq heraby
Final carbly thetthe above
?On/te inspection has Oeen
Thb repuast volE 18 moNhe irom
%?
r
- :'.xr/?=== =ic
.:e3
? ?es[ Plav
_ I up -
Cona= . ??valuc
1. Intcric: sir Fi2i
, . 0.61
2. R ? `?. r3U . c52
a_ /a???c. • au.pa
;. ExCC:i.or si= .`-=ra (sLi11) O.ul
- So?? 2 4s8o
- ? . . . • ? = .'02
FR.f+`t .: ' • . .
1. Intcrior air Ci1a 0.61
s. 3's'
d. ?:<tr.cioC :i: E1la lSt.lil l.ot
Tat:,.
, . . U = . oZ4 1
?o.1.SrrL?C ri 2_ Ir.sidc ai: Fi1m 0.61
2_
• 3_ .
' 4-
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CITY OF EAGAN
'APPCICATION FOR PERMIT
SEWER Af3D/OR WATER CONNECTION
P ease Print
1) PROPERTY ADDRESS:
LEGAL DESCRIPTION:
IF E7QSTIW. SrRL'CIURE, DATE OF ORIGINAL B(JII,DING PERMIT ISS[.'P,NCE: " '
' (Mn ear)
.
. PRFSE[Vr 7ANING/PROPOSID LSE:
0 CONA1ERCIAI./RETAIL/0FFICE
Q ITIDCS'TRIAL
INSTZIVTIONAL/GOVfRAAM]'p
2) ?w.?N
? R-1 SINGLE FAMILY
Q R-2 DLTLEX (Rwo Units)
? R-3 ZUWPffiOL?SE (Three + Uni.ts) ( Dnits)
? R-4 APARTl,1ENT/COAIDOMTIVILRM ( Units)
NAME: FRONTIER MIDWEST HOMES CORPORATION
? ADDRFSS: 3908 Sibley Memorial Highway Bldg. E
CITY, STATE, ZIP: Eagan, MN. 55122
PHONE: 454-0433
3) 1VAME: STAR PLUMBING
i
ADDRESS: 1018 Mound Springs Terrace
CITY, STATE, 2IP: Bloomington, MN. 55420
PH0NE: 884-4149 MASiEt LICIIVSE#
q) •a ? i?-
-:U1ME:
ADORESS:
CIT"l, STATE, ZIP:
PHONE:
* rxxxxxxr:xxzrx:zzxzz:a.xxxx<wrs:-,
* *iom: Pa)Mrxr OF FEE AT TIM OF
; r,err.IcATICv noFS rxyr cora-riTUTE
: APPxovar. OF rERrQT.
irSPncrioN OF MIEx Arm/oR XMM
TISSTAT.iATTO$ WIy NO'J,' $F,, $('?RED-
ULFD i7NPa. PII2MIT AAS HFENN
APPR[SVID.
3329
Y1IIIIIDESS i1CE[15E:
AG't].V2
Expired
Dlot recorded
3EEF Inttial
-5) ? ?t r- • ?- : ? • • - -Vwmj*
- - -- - -
- Q C0NN17CTION TO CITSt SEMM ? COAII?X..TION ZU CITY VATER 0 ORuR ' .,
6) ? • • r ? PLFASE FPDI,D APPROVID PII2MIT FY)R PIQC-L?P BY ONE OF-ABWE -----
? PLEASE MAIL APPROVID PEItMIT ZO 1, 2, 3, 4. ABC7VE :
(Circle one) ? _..
7) r r tu? \?IYA/?X\ riS,Gurm //1-?-"
FOR CITY USE ONLY
PERMIT # ISSIIED
Pd w/Bldg. Permit FEES:
$ $
$ $
$ $
$ $
$ $
$ $
S ? s < 117? $
$ S? o (J O $
$ S 7 S- G? D $
$ $
S $
$ $
$ $ .
$ $
$ $
$ $
r
SEWER PERMIT (INCLUDE SURCHARGE)
WATER PERMIT (INCLCTDE SURCHARGE)
WATER METER/COPPERHORN/OL'TSIDE READER
WATER TAP (INCL('DE CORPORATION STOP)
SEWER TAP
ACCOUNT DEPOSIT - SEWER
ACCOC'NT DEPOSIT - WATER
WAC
SAC
TRUNK WATER ASSESSMENT
TRONK SEWER ASSESSMENT
LATERAL BENEFIT/TRUNK SEWER
LATERAL BENEFIT/TRUNK WATER
WATER.TREATMENT PLANT SURCHARGE
OTHER:
TOTAL
RECEIPT • RECEIPT
DOES LTTILITY CONNECTION REQUIRE EXCAVATION IN PLBLIC RIGHT OF WAY?
? YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC
Q ROADWAY" M[)ST BE ISSLED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE: .
DATE :
. ,
SIOMA
LPho
VEYINO
FtVICEB
ey Memorial Highwey
Minnesota 55122
: (612) 452•3077
I
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? $?a?'?
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'
House Certificate"For:
HOMH BINLOERS .
??? VND OEVEIOPERS
?,R?
? REAITORS
??.RONTI
: uw., COMPANIES
MooE.L: STA FFOft9
WAYNE D.
CORDES
- 14675-
LEGEND PROPOSED GARAGE FLOOR ELEVATION= 14•0
O Denotes Iran Wonun?nt PRfJPOSEO iop of Blotk ELEVATION-AiZ•
m Denotes Wad Nub Set PROPOSED BASEMENT FLOOR ELEVATION. ?9b41
x 81Z,6 Denotes Existirg Spot Elevation NOTE` yerify all floor heights with Frnal Nouse PlarLS•
(„ y?N) Denotes Proposed Spot Elevation
'-?Denotes Drainage Directian aUoicvnRS (,'E,I?IFICATIaV-
1 hereby certify ti»t this survey, plan or repw'f
_PMRTy VESCRIpPpN- was prepered by me Or under my direct supervisia+
LOT 2 6,Bi-aK I ard that ! am a duJy Regisfer'ed Lard Survey°r
wider the faws of the Stafie of Mi?esota.
-NAMP'(ON N81-+FF'f?? 9
accordirg to the recorded plat thereof, Dete:
/
T- Yirm. . 14675
? OA?KOTp. Coi,nty, Alirvxsota Wayne D. Cordes. ?9• No
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA116598
Date Issued:10/09/2013
Permit Category:ePermit
Site Address: 3578 Coachman Rd
Lot:28 Block: 1 Addition: Hampton Heights
PID:10-31900-01-280
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 .
Charles Clark
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 -
Robert Tstes C Anderson
16625 Jacamar Way
Lakeville MN 55044
All Metro Construction Services Inc
4110 Central Ave NE #101
Columbia Heights MN 55421
(763) 789-4788
Applicant/Permitee: Signature Issued By: Signature