4607 Fairway Hills Dr,.
CITY OF EAGAN
' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE:454-8100 • •
BUILDING PERMIT
To be used for ? 1 jWCi f;AP
Value ;107tOQ0
Receipt #
OFFICE USE ONLY
1-6662
,?
Site Address 7 FF y'A Y bTLI.B DR
Lot ^ Block ? Sec/Sub. FAIrWAY HII.La
Parcel No.
¢ Name ?`?• FIEKRMAAT'N COIHSTRUG?1Qt+l
i
; Address 721 t;?'.'IM0010 krAY
o Ciry - ;,`.LLF `' Phone 683--4+65?b
Name a?kxz
Phone
Name _
Address
C1ty -
Phone
I hereby acknowlege 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 ot Eagan Ordinances.
Signature of Permitee
A euilding Permit is issued to: AL ?EFR''A:+N CONST
on the express condition lhat all work shall be done in accordance with ali
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Occupancy G` 3 FEES
Zoning r
(Actual) Const V-N Bldg. Permit 664.00
(Allowable) V-N
Surcharge 53. SO
# of Stories
? .,
332 ? ?
Length
?j
Plan Review
Depth 34' SAC. City 100000
S.F. Total - SAC
MCWCC 575•?
S.F. Footprints - ,
5aO• 0-0
On Site Sewage _ Water Conn
On Site Weli Water Meter "' U•00
MWCCSystem ? 30
W
City Water ? Acct. Deposit .
PRV Required - S'W Permit 10•010
Booster Pump - S1W Surcharge 1.00
Treatment PI 228 • 00
APPROVALS Road Unit 3 4'c' • r-r'
Planner - Park Ded.
Council
BIdg.Otf. _ Copies
3,013_5Q
Building Otficial ? Variance - TOTAL
Permit No. Permft Holdar Date Telsphone #
VATER
SEWER
PLUM8ING
V
H.V.A.C.
ELECTRIC
i:
Mspectlon Dete Insp. Comments
Footings I
Founda6on ;?-
Framin9 X ? ? j??(L ? t=" ??= .-7 r'r?? 'y r'???.
Roofing
Rough Plbg.
Rough Htg. 8
Iwl. ? Q
Freplace
Fnal Htg.
Final Plbg.
Const. Meter Plbg. Inspector - Notify Plumber
Engr./Plan
Bidg. Final /
Deck Ftg.
Deck Final
Well
Pr. oisp.
_ ,. ...F_Jw=_ . _..,?_.:. . :..'. i: .r`h ..I : "• -- M-. .'.
, • . .. a? -.
PERMIT #
? MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN
! 3630 PIIOT KNOB ROAD, EAGAN, MN 55122 DATE:
: CONTRACT PRICE: PHONE: 454-e100 For Office Use Only:
' Site Address . ". .' IF, . : 77
.
BLDG. TYPE WORK DESCRIPTION
Lot Block 5ec/Sub ReS "I New
-
" Mult. Add-on
?
' Name ?, A
"
- i
-
1
Address
" ''
`
D Comm. Repa
r
c City • Phone ; ? `? _ I_' ? ? L Other
FEES
Name ' ? RES
HVAC 0
100 M BTU -$24
00
c lT `
L S .
.
-
6
00
AddfesS ,
i D ADDITIONAL 50 M BTU - .
p
3
City
Phone ^ ?R
2- 3
^ l DES A/C ON NEW
CONSTRUCTION}
MINIMUM
1 PER PERMIn -
GAS OUTLETS 1
50 EA
-
( .
. ,
TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE
Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE 8 CONDOS - RES. RATE APPLIES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8
Unit Heater M BTU REMODELS - 12.00
Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
Vent. CFM (ADD $.50 S1C IF PERMIT PRICE GOES
Gas Piping OuUets # BEYOND $1,000)
Other
FEE:
OF
7
Si
siC: ?Tst/A
.?S7D
..f.r.?
? TOTAL• FOR: CITY OF EAGAN
i . ..
cmr
. 3830 PILOT KNOB I
ownh
Site Address `4 E% ?'' ~?x ?, •' ?' '..
?
Lot Block
Secl;
?
a? Name '
? Address , I1 _• "??
c City
Phone ?
L Name AL': i r ir-eF ?N
c Addre§s
p City 1 Phone _
TYPE OF WORK
Forced Air M BTU
Boiler M BTU
Unit Heater M BTU
Air Cond. M BTU
Vent CFM
Gas Piping Outlets #
I
Other
FEE
S/C:
? TOTAI:
PERMIT #
lL PERMIT RECEIPT # ?
EAGAN
'
0, EACAN, MN 55122 DATE:
y
,54-8100 For Office Use Only:
.?
BLQG. TYPE WORK DESCRIPTION j
Res. New < ?
Mult Add-on '
Comm. Repair '
Other
FEES :i
RES. HVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M BTU - 6.00
(RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM 1 PER PERMIT) - 1
50 EA
- .
.
COMM/IND FEE - 1% OF CONTRACT FEE
APL BLDGS. - COMM. R ATE APPUES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL F EE - ALL ADD-ON &
REMODELS - 12.00
MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER
PERMIT - ?
.50
(ADD $.50 S/C IF PERMIT PRICE GOES
? BEYOND $1,000) SIGNATURE OF PERMI'T
°??' ? FOR: CITY OF EAGAN
P
, . ? CONTRACT
? PRICE
CITY OF EAGAN PERMIT # _
3830 PILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT #
PNONE 4548100 DATE: _
Site Addres5 BLDG. 7YPE
Lot Block eGSub ReS' ^
Muft.
` Name Comm.
?
Address Other
c Cfty Phone
40 RES. PLBG. ONLY - C
NO. FIX
?- Water Closet - $3.c
? Name
00
Bath Tubs - $3
.
? Address Lavatory - $3.00
? City Phone -f- Shower - $3.00
Kitchen Sink - $3.0
0(
Uri
VBid
3
.
na
et - $
FEES Laundry Tray - $3.i
COMM./IND. FEE - 1% OF CONTRACT FEE Floor Drains -$1.5
APT. BLDGS. - COMM. RATE APPUES ? Water Heater -$1.:
TOWNHOUSE & CONDO - RES. RATE APLLIES Whirlpool -$3.00
MINIMUM - RESIDENTIAL FEE $12.00 --jL_ Gas Piping Oudets
MINIMUM - COMM.IND./FEE $20.00 (MINIMUM -1 PI
STATE SURCHARGE PER PERMIT .50 Softener -$5.00
(ADD $.50 S/C PER EACH $1,000 OF PERMIT FEE) Well -$10.00
Private Disp. - $1(
Rough Openings -
WORK DESCRIPTIi
New
Add-on
Repair
TOTAL
$
-?1-?-
?z-
PERMIT)
FEE:
SlC:
TOTAL:
?,
??
(C.er#ifiratr uf Mrruvanry
(titp ot eagan
Drprtmnr u# 'funing JwPrtimc
This Certificare usued pursuant to the requiremenu of Section 306 of the Uniform Building
CQde certifying thar at the time of issuance this structure was in conrpliance wrlh lhe various
ordinances of the City regulating burlding construction or use. For the following.•
use ca.ffi;ck,,;em _ SF DWG/GAR &dg. eerm,, ,,o. 16762
Occupsocy Typc RW Zomg Distncy R] Type ?(1?
(',pRtf
Owner of Buildiog AL HERRMM OoNsr . Am,,. 8723 1.QGWM WAY, APRE VAI-jY-V
ewt?„ naa? 4607 FAIRWAY 1?dS I]RiVE ?iry I.2, B2, FAi1b?TA1' HII IS
, . . '-?,
? guil Da,e: SL'E'M9M 6 1989
POS7 IN A CpWSpI CUOUS P E ?
.
i
SEWER & WATER PERMIT
CITY OF EAGAN
3830 Pibt Knab Rd.
Eagan, MN 55122-1897
DATE
SfTE
LOT
APPLICANT:
ADDRESS:_
CITY, uTATE
PHONE: -
' PLUMBER: _
ADDRESS: -
CITY, STATE
PHONE: .-
OWNER: -'
ADDRESS:_
CITY, STATE
PHONE: -
OFFICE USE ONLY
METER # 41013so2 -78 PERMfT DATE 7/10/$9
CHIP # ;E? 3? 9J?? PERMIT # 10614
METER SIZE ac B.P. RECEIPT ? C 2852
?7 7 .J 78 9
ISSUE DATE K' Z z?g9 B.P. RECEIPT DATE
_ PRV - BOOSTER
ZIP
ZIP
PLEASE ALLOW TWO WORKING DAYS FOFi PROCESSING. CALL
SEWER PERMITS, CONTACT ENGINEERING DEPT.
PERMIT REOUESTED
_VSEWER V WATER , - TAPS;- COMM/IND ? RESIDENTIAL
NEW - EXISTING Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Credit WILL N T be given for Deduct Meters.
TO COMPLY WITH CITY OF
UA HEN METER ISSUED
FOR INSPECTIONS. FOR STORM
i' ? .
? . . - ..
? CASH RECEIPW.; ?
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122 I
?
DATE / 19 ?
? ?
?
nMounrr
Thank You '
BY /?,??ry?f/?? I
C r., ; •, - r, '?
?
ft--Pay- Copy
re1ww--P0swv copy ?
Pink-Re copy
11
01-3210? Bidg. Permit -?2
01-3422 Plan Check ?
01-3445 Surch./Adm.
01-3446 SAC/Adm.
01-2155 Surcharge ?
75-3860 Road Unit ?
20-2275 sac ?L
20-3865 Water Conn. ?
20-3868 Water Trmt. ?
20-3716 Water Meter
20-2252 Acct. Dep. ?
20-3713 Water Permit
20-3743 Sewer Permit
79-3866 Sewer Conn.
28-3855 Par1c Ded.
TOTAL
a
a oau?Rs
CITY OF EAGAN N? 16762
3830 Pilot Knob Road, P.tS. Box 21-1 99, Eagan, MN 55121
PHONE:454-8100 e
BUILDING PERMIT Receipt # -"
Tobeusedfor SF DWG/GAR Est.Value $107,000 Date JULY 7 , ?g89
Site Address 4607 FAIRWAY HILLS DR
Lot 2 Block 2 Sec/Sub. FAIRWAY HILLS OPFICE USE ONLY
Parcel No. occupancy R-3 M=1 FEES
R
1
2oning =
w Name AL HERRMANN CONSTRUCTION (qcWal) Const V=N Bldg. Permit 664.00
o AddreSS 8723 HIGHWOOD WAY (Allowable) V-N
n
S 53.50
urc
arge
City APPLE VALLEY phone 688-0696 x ot Stones 332
00
4(7' Plan Fteview .
Length
o Name SAME oeptn 341 snqcuy 100.00
gi
clQ Addf@SS S.F.TOtaI - 575
00
? City Phone S.F. FaoiPdms - SAC,MCWCC
Water Conn .
580.00
On Site Sewage _
?
ww
Name
On Site Well
-
Waler Meter
0
90.0
s? AddfeSS MWCCSystem ?
3
<W CIlY Phone City Waler XX Acct_ Deposit
SiWPermil 0.00
20
0
n
PRVRequired _ -
I hereby acknowlege that I have read this application and state that the Boosler Pump - SnN Surcharge 1.00
information is correct and agree to comply with all applicable State of
Minnesota Statutes and Cit o agan Ordi nc s. 7reannent PI 228.00
SignaWre of Permitee APPROVAlS ROatl Unit
n
340.0
A Building Permi[ is issued lo: AL HERRMANN CONST Planner - park Ded.
on ihe express condition that all work shall be done in accordance with all Council
applicable State of Minnesota S
latutes and Ciry
of Eagan Ordinances. gld9, pry, _ Copies
p
1
BuildingOllicial Variance - TOTAL 3,013.50
P 4 2 5 4 0,Le
flequeat Dete
? Fire No. Rough? n In ion .
Require?f ? Ready Now ?ill Nolity Inspecror
Yes ? No When Reatly?
I licensed contractor ? owner hereby raquest inspection of above electrical work at:
Job Adtlress (Sfreei, Bu or Route N J
//
A? Ciry
[
5 eFaQA?n
Section No. Township Nama or No. Renge No. Coumy
pCX
Occupanl(PRIN P?qn No.
tlo m ? ? -a
Powar Supplier Adtlress
m
Electncal CoMrec[or (COmpeny Neme)
L Contracror5 Licenae No.
4
Maling Adtlress (ConVaclor or Owner MeWng Installal' n)
:5378
A= «? ,Ma lInstall,a„ Ph N? 519g
_ ?5?-?
---
MINNESOTA STATE BO OF ELECTHICITY THIS INSPECTION REQUEST WILL NOT
GtlggsMitlwsy Bldg. oom S7TJ 6E ACCEPTED BV THE STAiE BOAFD
1821 Unlverotty Ava, St. Paul, MN 551D0 UNLES$ PROPER INSPECTION FEE IS
PMne (672) 862-0800 ENCLOSEO.
?sY.0r9
P .4254Q
REQUEST FOR ELECTRICAL INSPECTION
? See instrvciions kr compl %neg this iwm on back ol yelbw capy.
`X" Below Work Covered by This Request
M EB-00001 -0]
" 9???6,
ew Add Rep. TypeotBUilding AppliancesWired EquipmeniWired
Home Range Temporary Service
Duplex Water Heater Electnc Heating
Apt. Building Dryer Other (Specify)
Comm./IndusMal Furnace
Farm Air Conditioner
Olher (speaty) Contrectw5 Remarks:
Compufe Inspeciion Fee 8e/ow: ?
# Other Fee # ServiceEntrance5ize Fee # Cimuits/Feedars Fee
Swimming Pool 0 to 200 Amps fNjQ? 0 to 100 Amps 'J
Transformers Above 200 _ Amps e i Amps
Signs Inspecror5 Use Only:
l"0 7qL
SQ
Irrigation Booms ?
" ?
S
Special Inspection
Alarm/Communication e
Other Fee
I, the Electrical Inspecror, hereby
certify adehe above inspection has Rough-in ?f
Finel ,74ax oa?a ry^ _? .
0
OFFlCE USE ON W
TNS tequest witl 18 months ham
I? . . . .
1989 BOILDINGPSffiiIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS ' ? 1 (0 z
INCLIIDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSFS FOR CDRNER LOTS - CONTRACTOR/HOMEOWNER MOST DESIGN9TE WHICH ADDRFSS
IS DESIRED. NO CHANGES NILI. BE ALLOWSD ONCE BOILDING PEAMIT I3 I330ED.
MOLTIPLE DWELLINGS RENTAL ITNITS FOR SALE QNIT3 # OF ONIT3
INCLUDE 2 SETS OF PLANS, CERTIFIC9TE OF SIIRVEY - CHECS WITH HLDG. DEPT., 1 SET OF ENERGY
CALCULATIONS
COTAfERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, ;Ut 05 IM
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
_ ' _ lwwwpw?
To Be Used For:
Site Address
Valuation: g. Q IDate: 4p - 7- a 9
. -'_T--
Lot -?- Blo k d2 ?
Pareel/Su -Z
Owner
Address
City/Zip Code
Phone
Contraetor
Address
City/Zip Code
Phone
Arch./Engr.
Address
City/Zip Code
Phone #
)07,000
Zoning
Actual Const
Allowable
ll of stories
Length
Depth
S.F. Total
Footprint S.F.
R-3 M- I
R-I
V- N
V-N
4 (aT
34'
On site sewage_
On site well
MWCC System r
City water ?
PRV required _
Booster Pump _
9PPROVALS
Planner _
Couneil
Bldg. Off.
Variance
Council
1477,
Bldg. Permit (o(oq• of
Surcharge ,S3.SJ
Plan Review 337,0
?
SAC, City IOU'O o
SAC, MWCC $15OOc7
Water Conn 580.C0
Water Meter 901D0
Aeet. Deposit 3 D,p o
S/W Permit z7,po
5/W Surcharge f•Jo
Treatment P1. ?,2 ,QO
Road Unit L10. 00
Park Ded.
Copies
TOTAL 30)3,50
NOTS: 3ewer & Water Permit fees and aecount deposit fees will be ineluded in the building
permit fee. Processing time for sever and vater permits is tvo days once a licensed
plumber has applied Por a permit at Citq Hall.
VA ?uA?n o N
22X2
O = H y0 x 15z. 4?G?
.kOu.SE
12 x q 2 = Svy
IqXzG= 3Gy
e6a ???y ? ssss ?
2N'h, ?i ouy?
3y kL?: `3$Y KSO?
' ?14 ioo
r
/od1SZ
, CITY OF BUILDINa DEPARTMENT •
_ =TERIOR ENVII,OPE AVERAQE IIUII COt4PUTATION
(To be submitted with building permit application)
- One or Two Family Dwelling owner
All Other Site Addresa ?/v47??Z?;??fQq?
_??
Contractor ?4L, 14?V.&?n7? Date 2/? /pp phone ?? D641
"V?
I F
3CP0ED Yll1LL
E G? N1?(??C, ??.?•? fto above grade ? 2-4q J,7?L
TOTAL EXPOSED 1YAI,L ARF/t SQ. FT.
OPAQUE WALL CORSTRUCTION: IIUII Value A
Detail
refereace
from
attached
sheets
WINDOWS i
Make &
n
n
n
DOORBs
x rea
SQ.
-_.l?O? nUn r 0'71.0 x s@
?lpll x Sq.
$lUll X sQ.
uUn x SQ.
upts X SQ
.
"Ull Value x Area
FT. IM7. 002-0)(A)
FT. 1, Z = (P 1` (U) (A)
FT. ZI S = 4U)(A) 11
FT. = (U)IR)
FT. = (u)(a)
FT. _ (U)(A)
TYPe 1NI?Ck-., C{'!cyk,ff npn ?+9 x SQ. FT.?-IZ?-?? IL6??)?A)
u nUn x 34. FT. = (U)(A)
0 oun 8 SQ. FT. _ (U) (A)
x SQ. FT. 0 (U)(A)
"U" Value x Area
Make & Type
u n
n u
o' o
npn X SQ.
,upn X SQ.
nUu X 3Q.
- npn x SQ.
ToTAws
AVERADE IIIIII
iviwL ku)(A) VALUEB
, 'ZZ 1.1.3)
DIVIDED BY TOTAL WALL AREA
AVERAf3E."U" .115 or lesa for 1&2 family dwellinga
ROOF/CEILINI}s ?]
ToTAL 'AREA s ? 1 4
FT. iU = I ?7LP (U) (A)
FT. (U) (A)
(U) (A)
FT. _ ?U)(A)
F'T._ ZZ? I ?J? (U) (A)
Detail reference
from flUll If7?..1 x SQ. FT. ?iZ-
? (U)(A)
attached sheete, U x
np„ SQ. FT.
(U)(A)
Deacribe openittga upll X SQ' FT• ° M'(A)
in roof. x SQ. FT. _ (U)(A)
x SQ. FT. (U)(A)
TOTAL _(U) (A) VALUES DIVIDED BY
? -7lEV2 -CLdE*
N.f? i Q?ZCVyA\
ToT ' C )
AL ROOF/GEILINC3 AREA ? ?G-
AVERAQE flU ''y: 1. ? (JZI
.025 tor ventilated roofe.
_? ^?
Zg-?Z5) = Iz41 -7,-44
z?? ?,3Z
-??45 = 3??5 X 1=
?Il z- ?X?(? - 2z?sX3= ?o???o
? ? 3- Z?- jC c9o =41, z1?57x2= 82, 5
I z- zn?c?8 ? lo X I= I??o
Ja,CE5Xl-= Id,k:5
2?Zi2s
? _.
' -Tr 14 ? f)
. ,
i5noaaao zi9g.3z
wpm zizlzq
?l-Z-e;
4kal-,+5a
. , --P!{tLL SECTION--
Determining ilUt, values at Rooft Wallv Rim, and Conc. Block
ROOF/CEILINCi R VALU]
1.) Interior Air r'i1m 0.61
2:> 51811 ayp. sa. .56
3.) Insulation ? p
4.)
50 Exterior Air Film .61
(BTILL)
uUn = 1/R= #0LI 'jOTAL (R). 44CO,
ViALL R VALUf
6.) .Interior Air Film 0.68
7.) It' GYP. Bd.' .4S
8. ) Insulation /'1sD
9.) laUIl.T FlIl5 2 l04'
10,) hiasonite Siding .67
11.) Exterior Air Film .i'T
"U" , 1/R= 1C4?J' TOTAL
-? (R)=
RIbi R VALUE
120 Interior Air Film 0.68
13.) Insulation /9icc>
14.) 2" Fir Rim Joist 1.88
15.) 17--1 IL"f Z 10f-
16.) Maconite Siding .67
170 Exterior Air Film .17
1/R= TOTAI. (R)= z•?i•4
.T
FOUND11TION
18.) Interior Air Film
19.)
20.) ll?AXd-A1IVN
21.) 12" Concrete Block
22.)
23.) Exterior Air Film
R VALUE
0.68
/I, Do
1.28
.17
nUu : 1/R= ?01(p TOTAL (R)= I?Ji ?;
PERMIT # 1; 770 F5 S, RECEIPT DATE:
8008 MIDEPTIAL PLUM$INfi PERM1T APP11CATION
CI1'Y OP £AfiALA
3$30 PILOT KNOB i{D
EIk&AR. MN 55122
651-661-4e75
Please complete for: single family dwellings, townhomes and condos when pertnits are required for each unit,
backflow preventer for irrigation system
SITE ADDRESS:
OWNERNAME::AunCf,/U,1,(_7; ? JPN"j,4f,tl TELEPHONE#:I.4 I?q 2A
(AREA CODE)
INSTALLER NAME:
S'RCET nGDRESS:
TELEPHONE #: &'? I
(AREA CODE)
CITY: ?G/Yl STATE: M N ZIP ..?l_k_
_ SEPTIC SYSTEM, newlrefurbished (requires hvo sets of plans and MPC license) $ 100.00
includes $40.00 County fee
Note: Additional consultant fees may apply
• MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING:
_ Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00
_ Abandonment of septic system.
_ Water turnaround - existing dwelling unit (+ 5/8" meter if needed -$118)
Other:
- n
RPZ: new ins
tallation/repair/rebuild
c
j
30.00
l
i
awn irrigat
on system
o
tt?
,
p,
?A
ReplacemenUadditional: _ water softener 1 water heater $ 15.00
State Surcharge $ 50
TOtal $ i5 -SD
I hereby adcnowledge that I have read this application, sfate that the infortnation is correct, and agree to complywith all applipble Cityof Eagan ordinances. It
is ihe applicanYs responsibility to noti(y the property owner that the City of Eagan assumes iability for any d ages caused by the Cily during its normal
operational and maintenance activities to the facilities constructed under this permit ithi ',? ? lrigh o-way eme t. / IV" $fGfJATtURE OF PERMITTEE / ? 1/02
V i?
? 3)_0(01 RESIDENTIAL
5a -7°I ? BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MPI 55122
651-881-4875
Mew ConavucNOn BeaulremeMs
• 3 registered sae surveys shaxing sq. II. of bt, sq. fl. W house; and ?II roofed areas
(24% mazimum bt coverdge allowed)
• 2 capies af plen showing beam 8 wintlow siz»s; poured fourW design, etc.)
• lsetofEnergyCakuletbns
• 3 oopies of Tree Preservatbn Pfan H bt platled aner 7/1/93
• Rirn Jois[ Detall Optbns seleclun sheet (bldgs with 3 or less untts)
?
DATE ? L2 Z 40
4 f??-7s?
AemodeURauair NeaulremeMs
. 2 copies of plan
• isetWEnergyCakulationsforheatedadditions
. 1 site survey far ex[eror additions & decks
. InGiCete if home 68rvBtl by septic SyStem tor atltlMbns
VALUATION 000
SITE ADDRESS _" f ?O-7 1?Q I Y/,(/(,Lt? ?( (!! S D ?' • MULTI-FAMILY BLDG _ Y _ N
NPE OF WORK PIREPLACE(S) _ 0_ 1 _ 2
APPLICANT
STREET ADDRESS
TELEPHONE #
?-STATE/Y& ZIP ,S,SUN?
# -(rsf 4 Y[?L
PROPERTYOWNER_ ?y?.I'D U4A22 a4iQL62 TELEPH4NE# OR- 75-) -/(aS/
COMPLETE THIS SECTION FOR °NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RliLFS 7670 CATEGORY 1 MINNFSOTA RULFS 7672
(d submission typa) • Residential Ventilation Category 1 Worksheet Submitted • New Enargy Code Worksheet Submitted
• Energy Envelope Calculations Su6mittad
Plumbing Contracfor: _`
Plumbing system includes:
Mechanical Conhactor:
Mechanical system includes:
Sewer/Water Conhactor:
_ Water Softener
Water Heater
No. of Baths
_ Air Conditioning
, Heat Recovery System
I
Phone N
Phone #
Fee: $90.00
Fee: $70.00
----------------------------°--------------------°-------------------------^---------------------°--°°-°---°-------
I hereby acknowledge that 1 have read this applicatlon, state that the Information is correct, and agree to comply
wiTh all applicable State of Mlnnesota Statutes and City of Eagan Ordin
Signafure of Applicant .,
OFFICE USE ONLY
_ Phone #
Lawn Sprinkler
No. of R.I. $aths
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
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City af Eapn
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
2008 RESIDENTIAL BUILDING PERMIT
Date: " ' I - 0 O Site Address:
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? Permit#: I
I Permit Fee: I
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I Date r_A4_LA42a0L
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7enant: ? ? ,'??F-P 1( ?iCX CU_?.?1(jkZ Suite
RESIDENT! OWNER Name: i oI Phone: L9?J I-Ulc?)o? - U
Address / Citv / Zip A0171 Qu1`1'l r?) 3?JLC.? Y?
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TYPE OF WORK Description of work: qkSt fu `uP)LlQ'Q I '"i
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Multi-Family Building: (Yes No ?
Construction Cost? IcP 4?21
CONTRACTOR Name: License #: 2013C.bZ195
Address: -1,35LKJi ( t 1 ,?UU('?? LCAI) e 1,J
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Phone: 20.3-1$0'r;tCpC?D Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
_ Minnesota Rules 7670 Categorv 1 Minnesota Rules 7672
Energy Code • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheel
Category suemined subminea
(4 Submission type) • Energy Envelope Calculations Submitled
In the last 72 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:
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I hereby acknowledge that this information is complete and accurate; that ihe work will be in confortnance with the ordinances and codes of the City of
Eagan; that 1 understand this is not a permit, but only an application for a permit, and work is not lo start without a pertnit; that the work will be in
accordance with ihe approved plan in the case of work which requires a review and approval of plans.
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Applica t' Printed Name Applican ignature
Page 1 of 3
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I here6y cerlily llial lhis is n Uue nnd cortect teptesenialion ol n irncl of land ns shown
atid deacilbed beraon, Aa piepated by iue on lllis f-" deY a[ ,ty g9 ,
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PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA127336
Date Issued:09/29/2014
Permit Category:ePermit
Site Address: 4607 Fairway Hills Dr
Lot:2 Block: 2 Addition: Fairway Hills
PID:10-25600-02-020
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Janel Behrends
122 West 3rd S
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 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 -
Gilberto Hernandez Iii
4607 Fairway Hills Dr
Eagan MN 55123
Haley Comfort Systems
122 3rd St W
Hastings MN 55033
(651) 437-0338
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA136157
Date Issued:04/27/2016
Permit Category:ePermit
Site Address: 4607 Fairway Hills Dr
Lot:2 Block: 2 Addition: Fairway Hills
PID:10-25600-02-020
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater & Water Softener
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Gilberto Hernandez Iii
4607 Fairway Hills Dr
Eagan MN 55123
(651) 452-1924
Benjamin Franklin Plumbing
5718 International Parkway
New Hope MN 55428
(612) 238-9709
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA173058
Date Issued:10/26/2021
Permit Category:ePermit
Site Address: 4607 Fairway Hills Dr
Lot:2 Block: 2 Addition: Fairway Hills
PID:10-25600-02-020
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Gilberto Iii Hernandez
4607 Fairway Hills Dr
Eagan MN 55123--215
Haley Comfort Systems
3708 Broadway Ave N
Rochester MN 55906
(507) 281-0138
Applicant/Permitee: Signature Issued By: Signature