4700 Fairway Hills DrCITY OF EAGAN
? 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHON E: 454-8100
BUILDING PERMIT Receipt #
To be used for ' ° I bt'G Est. Value $1 70 + ?)IX Date •? u ?
Site Address °
Lot Block
Parcel No.
?"? R.PiAI? CL`!1$TitllC7I Q'?:
a? Name ?
Esfi;t??'?7Cr!?
z3 Address 1:723
0 city VALt.z:?' Phone `?F_l3uyf,
:? Name
;0
Address
Citv Phone
WW Name
?
?? Address
<W City 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 of Eagan Ordinances.
Signature of Permilee
A Building Permit is issued to: '
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
16747
19$9
QFFICE USE ONLY
Occupancy Y"3 P- - I FEES
Zoning U-1
(Actuap Const Vp' Bldg. Permit 842. tx)
(Allowable) Y-N $urcharge 7C1• 00
# ot Staries - 4
1
Length
? '
?
S
Plan Review . 40
2
Depth
SAC, City ZQd.BQ
S.F. Totai - SAC, MCWCC 57 00
S.F. Footprints -
On Site Sewage _ Water Conn ?•?
On Site Well - Water Meter % U•?
MWCC System
City Water l;,Y Acct. Deposit
PRV Required S•,W Permit ? 0• w
Booster Pump S.,W Surcharge I ' 00
Treatment PI 2 2 '1• 00
APPROVALS Road Unit 340.00
Planner -- park Ded.
Council
BIdg.Off. _
Variance -
Copies
TOTAL
. 5d
Penpit No. PermH Holder dete Talephone #
WATEA -
?
SEWER
PLUMBING
H.V.A.C. 11-3
ELECTRIC ,
Sc-
Inspsctlon Date insp. Co mmenta
Foolings I ? (v
Foundation - '?
Framing •, l ? ; CffEC ?2 - ^ -?Ir'/0
Roofing
RoughPlbg. /J-<?;
Rough Htg. T Lf"
tgul.
Frraplace
Final Htg.
Final Plbg.
Const. Meter Plbg. Inspector- Notity Plumber
Engr.lPlan
Bldg. Fnal
Deck Ftg.
Decic Final
weu
Pr. Disp.
PEFiMIT #
. 1 •
MECHANICAL PERMIT i`<-?.il/` '
RECEIPT # ?
? CITY OF EAGAN _ . ? !q• y
3836 PILOT KNaB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE: PHaNE: 454-8100 Far Office Use Only:
Site Address 5'3 BLDG. TYPE WORK DESCRIPTION
Lot Block Sec/Sub
,
Res. New
?
Name . ?
'4 Muit, Add-on
m Add '`?•:)? 41? ,I Comm. Repair
c ress
City ?- •a_.Phone r., f
7-? Other
Name !` ' ?_.;? : ? ? ?"r`? `? % ? ? ?...,
FEES
RES. HVAC 0-100 M BTU -$24.00
3 Address ADDITIONAL 50 M BTU - 6.00
p Ciry ' f Phone `'(J vj6 (RES. HVAC INCLUDES A/C ON NEW
CONSTRUGTION)
50 EA
1 PER PERMIT) - 1
GA5 OUTLETS
MINIMUM
.
.
(
-
TYPE OF WORK eip COMM/IND FEE - 1% OF CONTRAC7 FEE
Forced Air M BTU APL BlDGS. - COMM. RATE APPLIES
TuWNHOUSE & CaNDOS - RES. RATE APPLIES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
Unit Heater M BTU REMODELS - 12.00
Air Cond. M BTU MINIMUM COMMERGIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Outlets # BEYOND $1,000) ,
Other
: r'. •? _.,t_k ,n.1 •.?? fL
l ?.
FEE: .
. •! , j
SIGNATURE OF PERMITTEE
S/C:
? `"?
'
,:• TOTAL• ' FOR: CITY OF EAGAN
; .. PLUMBING PERMIT For C
CITY OF EAGAN PERMIT # _
CONTRACT 3830 PILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT #
PRICE PHONE 454-8100 DATE: _
Site Addlress /U? ? ? 1-1-41 ??, .1 ff
Lot ? Block Se?
G?? - - BLDG. TYPE _ WORK DESCRIPTION
?s. ? New ?
Mult. Add-0n
Name ckP / uV?? L4i Comm. Repair i
? Addr s Ou C--- Other il
c _
Cit ?r '`? Phone
y RES. PLBG. ONLY - COMPLETE THE FOLLOWING: I
?
- N?. FIXTURES TOTAL
7JZ /??---- o •J
Name Water Closet - $3.00 $ ?
? Bath Tubs - $3
00
`
? Address .
?- Lavatay - $3.00
? CRy Phone ? Shower - $3.00
Kitchen Sink - $3.00
Uri
UBid
3
00
FEES
COMM./IND. FEE -1% OF CONTRACT FEE
APT. 8LD6S. - COMM. RATE APPLIES
TOWNHOUSE 6 CONDO - RES. RATE APLLIES
MINIMUM - RESIDENTIAL FEE $12.00 na
et - $
.
T Laundry Tray - $3.00
? Floor Drains -$1.50
-7- Water Heater -$1.50
Whirlpool -$3.00
T Gas Piping Oudets -$1.50
MINIMUM - COMM.IND./FEE $20.00
STATE SURCHARGE PER PERMIT .50. ; (MINIMUM -1 PER PERMIT)
SoRener -$5.00
(ADD $. SJC PER EACH $1,00 OF PERMIT FEE) Well -$10.00
? Private Disp, - $10.00
Rough Openings - $1.50
SIG /WATURE OF! PERMITTEE PERMIT FEE:
STATES S/C: 5U
FUR: CITY OF EAGAN GRAND TOTAL: ?ZDU
?• - ?.:.. y!
Ttrti#iratP of (Orrupanxy
titp of (Eagan
arwrtmrnt of luflbing 3wrrtinn
This Certificare issued pursuant to che requiremeMts of Section 306 oJthe Uniform Building
Code certifying that at tlte time of issuance this structure was in conrpliance with the various
ordinances of the City reguJating building corutruction or use. For the following.•
'
Use Classi6nuon sSF ?'zJG& BWg. ,k:r,,;, No 16747
o?upmq ,ya R31M1 Zoning Du,,;e, Rl ,ya Cc-st VN
o.M of &,7aWAi. BOOM C'NST Add,,. 8723 UGSOM WAY. APPIE VALIEY
s,ihli B naa? 4700 EAMW HLT.iS DRIVE L.Uty L 1, ffi, FAIIWY EIIIIS 2rID
D.,e: MAROR W 1990
e mg afimvm, A„lr_
POST IN A CONSPICUOUS PLACE/S*(_
' SEWER & WATER PERMIT
CITY UF EAGAN
3830 Pilot Kn4b Rd.
P.O. Box 21199
Eagan, MN 55121
OFFICE U SE ONLY
PERMIT OATE ' :` ? el 9
WATER PERMIT # i'ILL s SEWER PERMIT #
METER #4a l 3 S6L ? 4F
' B,p. RECEIPT # ? 2803
,
#? B.P. RECEIPT DATE 7/61/89
METER SIZE
.
ISSUE DATE ?:
- PRV BOOSTER PUMP
SI7E ADDRESS
LOT ` BLOCK i-SEC/SUB
APPLICANT: '
? 1 _?v4 \ ADDRE&S:
CI7Y, STATE ZIP
PHONE;. u•.
i
PLUMBER:
PERMIT REQUESTED
f. /?-
J,,"SEWER -WATER T TAPS
-COMM/IND LRESIDENTIAL
i"
_lGNEW - EXISTING
ADDRESS: ? 'U' I AGREE TO COMPLY WITH CITY OF
CITY, STATE ?'? •?-?-- •ZIP - ? 3]?j EA"? ORDINANCES:
PHONE:
t
?.
OWNER:
ADDRESS: SIGN E WHEN METER UED
CI7Y, STATE ZIP
PHONE: PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMRS, CONTACT
ENGINEERING DEPT.
77- ?i ''7 y`' ? f ±
.. / .. .l' !-_,.?` ..I, ?? L+ ?.. ? ?...?. .... _.... __.._..___. _...?._ t.
I i
CITY OF EAGAN N? 16747
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUIIC6ING PERMIT ( PHONE: 4548100 Receipt# C c? yn?
Tobeusedfor SF/DWG Est.Value $158,000 Date JULY 6 , 1989
SiteAddress 4700 FAIRWAY HILLS DR
Lot 1 Block 2 SeGSub FAIRWAY HILLS 2NI
Parcel No.
w Name AL HERRMANN CONSTRUCTION
3 Address $723 HIGHWOOD WAY
° City APPLE VALLEY phone 688-0696
o Name S?
?Q Address
? City Phone
?w Name
W
?
'- Address
,
?
<w City Phone
I hereby acknowlege that I have read this application and state that the
iniortnation is correct and aqree t comply with all applicable State of
Minnesoia Statutes and City 1 Ea Or
Signa[ure ol Permitee '?
A Builtling Pertnit is issued to: AL RRMANN C NST
on the express condition that all work s ia l be done in accordance with all
applicable State of Minnesota S.?tatutesI and ?Cily o?f Eagan Ordinances.
BuildingOfficial
OFFICE USE ONLY
Occupancy R- 3 M-1
Zoning R=1
(ACtuaq Const V-N 81dg. Permit
(pliowable) V-N Surcharge
# of Slories _
Length 70'
Depih 54 '
S.F. Total -
S.F. Faotprints -
On Site Sewage -
On Site Well -
MWCC System xx
City water xx-
PRV Fequired -
Booster Pump xx
APPROVALS
Planner -
Council
BIdg.Off. -
Variance
-
FEES
842.00
79.00
421.00
Plan Review
snc, cuy i on _ nn
57
00
SAC,MCWCC .
WaterConn 580.00
WaterMeter 90.00
Acct. Deposit 30.00
S/W Permit 20.00
1.00
SiW Sumharge
Treatment PI 228.00
Road Unit 340 _ Oh
Park Ded
copies .50
ToTAL 3,306.50
REQUEST FOR ELECTRICAL INSPECTION ee-0oo01-07
li? Sae insUUCllona for mmpletirg ihis tortn on beck ol yellow wpy.
V
r- 4 2 5 3 7 X° Below Work Covered by This Request
ew Add Rep. TypeofBUilding AppliancesWiretl EquipmentWiretl
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./Industrial Furnace
Farm Air Conditioner
ONer (spedy) CoMredorS Remerks:
Compute Inspection Fee Below:
s Other Fee # ServiceEmrence Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers A6ove 200 _ Amps Abo Amps
Signs InspectorSUSeDnly:
? p7p J ?oia
Irrigation Booms ;
??
J?
Special Inspection i
AlarmlCommunication
Other Fee `
I, ihe Electrical Inspector, hereby
tif
th
h
b Rough-in ./? oate r_
a
cer
y
at t
e a
ove inspection has
been made. F;,,ai ove
? ,? 24'
OFFICE USE ONLY
Th'vs requesl uvitl 18 months from
25/?/ 1 y
? 42537 ? 5'3?7Cm
Request Date
31 ?9 Fire No. Rou -in In eclbn
R?
'
? Ready N. ?ill Notify Inspactor
a
a
d
ves ? r+o wn??
ea
y
I Vicensed contractor ? owner hereby request inspection of a6ove electrical work at:
Jo A ress (Street, Box r Route Na.) Ciry
Section No. Township Name or No. Range No. County
Occup t PRMT)
A A ?
5f G? Phone No.
PowerSupplier
? Mdress
? 3 ?G-TO 2J
Electrical Convactor (GOmpany Name)
c pomracior5 License No.
v 55
+
Mailing Address?COntreclor or Ownef akI
/ talati n) ?? IV
f??375
C :
Co r Making
l alla' ) Phom Number
?
MINNESOTA STATE BOAR ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Grigga-Mltlway Bltlg. - m$-175 8E ACCEPTED 8V THE STATE BOARD
t821 Ilnlveniry Ave„ $t Paul, MN 55109 UNLES$ PROPER INSPECTION fEE IS
Phone(612) &12-080p ENCLOSEO.
iIt
:s
1989 HQILDIPG YfiFgiTT APPLICATION
CITY,OF EAGAN
+?3iGLE FAMZLY DHELLIBGS
At,'fS OF PL9NS
.; RE(3ISTERED SITE SURYEYS
t SET OF EII?AGY CAI.CS.
E
i(orlif7
MLTIPLE DiTELLING3
2 3ST3 OF PLAHS
HEGI3T8RED 3ITE SQAPEZS -
(CHBC% tiITB BLDG DIV.)
1 3Ei OF EBERGI CiLCS.
COlMRCIAL
2 SETS OF dRCSITECTURAL
6 S2HDCTITRIL PLINS
1 SST OF SPECIPICATIONS
1 SET OF EliE9GI CALC3.
MTLTIPLB DiiELLINGS RENTAL DNTTS FOR SALE DAITS iOF DliITS
110TEt 1DDRFS3E5 FOH CORIiER LOTS - COATA?CfOR/HONEOii1TER !lOST DFSIl3NAlE iTHICH iDDRFSS
I3 DFSIAED. a0 CHAtiGE4 iiII.L HE lLLOiiED ONCE BUILDIPG P8RlIIT IS ISSDED..
SEAER 8 N9T£8 PERMIT P'EES 1ND lCCOUNT DEPOSIT F6ffi itII.L 88 ZNCLIIDED iiIT$ THE HOILDIN6
PERMTT FEE. PROCESSING TIME FOR SEWER lAD WATEA PE8lSISS IS Ti10 D?YS ONCE A PEAMIT SAS
SEEN COMPLETED INDIC9TZNG A LICEN5ED PLUffiER.
PENALTY APPLIES WHENs PERMIT IS NOT PAID FOR IN S9ME MONTA IT IS REQUESTED.
- LOT CHANGE IS REQUESTED ONCE PEHMIT IS ISSOED.
To Be Used ForValuation: I Sg? 000 ? Date:
Site Address
Lot L Block
Yarcel /Sub
OFmer
Address
City/Zip Code
Phone
Contractor
?ddresa
Occupaney R-3 M-I
Zoning R-1
Aetual Const V- N
Alloxable v- N
i of atories
Length
Depth
S.F. Total
Footprint S.F.
On site sexage
On site well
MWCC Sqstem ?
City rrater ?
PRV required
Hooster Pump ?
City/Zip Code Z9' 02
1PPAOYALS
Phoae lo tp? ?H94:(_ Planner _
Arch./Engr.
\ Address
City/Zip Code
Nne i
Council
Bldg. Oif.
Yariance
Bldg. Permit &2,0O
Surcharge +7q, oa
Plan Reviex. y , 0,3
3AC. City lDO.DO
SAC, MMCC 5'?2,00
Water Conn 590, ao
ilater Meter 0,00
Aect. Deposit 30,Oo
S/H Permit zo.co
S/W Surcharge (.m
Treatment P1. 2 co
Road tlnit DiUD
Perk Ded.
Copies 5 0
3UBTOTAL
Penaltq
iOYIL 9,0. 'S
?
W\u.I AT I oIJ
GA 12p.G kz-
Z
?vZ? rs. 85gv
?s"nT
ay X. ? ? = Z8?
?X ?q 1V?1
1?1 x a? = 3oa
-7qk 32 = £35?
(S x 2) - (r o?
?s?6 x ?y? 223vN
?
{s? ?L(Dorz
ze
3z
13Sr+'l T - I 5? ?o
I (?56 X SO= flZ8c7o
Z ni a FLOoR
18 x 321/2 = 565
I? x 10 = !60
K H = 3 2
3X?x?i = 7Z
a`?y = 12
693
X 5a =?? 3bso
1 S') 3 ri H
.
t
. ? uu.U,uli,c1 vr•;PnFZliiE11r z40?
ExTL1tIOIt Llavt;t,oPP nvLl2naL "u'l coMPUTnTION
('Pa bo aubmittod lv1th building pormit applicntiou) N,11WTUCKe"t"
Ono or Ttivo Pnmily? llwolli>>? ovrc?or
All OL•Itox• . --- 1;:Lbu Addi'oau LOT 1 Q4.OGK Z
, --r-
Con6raator DuCo Pkiozia
LINEftL 11;C'1' OF EXPOSEll YIALL ft. nbovo grado
. TOTItL E}CPOSGD iYt1LL ARi;A SQ. FT.
OPAQUE WAI,L COtlS'iRUC'1'IUNI "U" Valuo x Aron
Dotail ? V.?ArLla. iiuil , oy x S2.
rater.onco =-???"? "U"
-.:.o?./
x
Sa.
irom:... nUu
07
----? x sQ'
Attacliaa IIuII -
X sa'
sziooto I I uI I x SQ.
nUn x SQ.
YlIiQDOWSt "U" V1'L1UO X Az'an
hinlca & Typo •
n . tt _npii . SS
u ' uUn
- a
,.. uUn
. , nUii
DOORS E , i!U ll
i•lalca & `TYpo
u n
n n.
u n
Va],uo x Aroa
F' -?zl (U)(A)
F? T. (A )
?1. -?.U) (e) .
U)(ff)
r'x. - (u) (n)
FT. ° (U)(A)
x SR. I'1'. Zt}_ 1,9 ? 3S os(U) (A)
x SQ. FT. _ (U) (A)
x SQ. FT. - (U)(n)
x SR. FT. - (U) (A)
?iiUn , ?-;- x S
?`as`? npu"'- cR?
npu
x SQ.
x SQ.
Toxni, {u)(n) vnt,uE;g
Tomnt,s . SQ.
nvLizn "u"
DIVIDED BY ToTAL 17ALL ARliA-?g
AVL•"12Aali. "pll .115 ox ?oaa for 1&2 fainily dwo1lillUo
ROOF/CEILINat •
TOTAL AREA: L9 ': . '- Dotail xaforenco I
from li ii
nttncliod cliaota. `-'-"----ii?„ x Sa,
Deocribo openitiGa x SQ.
in roof,
np?? x SR.
To'PAL M(A) VALUE3 llIVIll1:U llY
I'i'-5a M (A)
Fm. ?6,c> =._ ?.?.(U) (n)
F"C• _ (U) (A)
rT. _ (u)(n)
r"r• - z-2 o,c1 't (u) (n)
- I,4 s,?(u)(n)
Fr.
---- ?
( U ) (A )
--
FT.
`
_
- ?U)(A)
FT. ?U)(A)
(U) (p)
''POTAi, I20oF1CnII,III? ,S 7
AliEA ?--?- ? L (
AVERA4E 13U.1??-
'rnr" aiitllntoci roofu.
?
-Yrn1;7;" ;l;C'PIC)it - '
Uatortnlltin6 ??U?? vulUau ut I2oof? p?u11t ]iim?'¢?td Cono. ?loclc .
I
IiOpF' 01?II,II•I(7
i7 VALU};
1.) InCoriox- dlr Y'ilm O,GI
2.) 5/8":.Qytl. Dd. .56
3.) LiaulnCiou .. ..
q.1 . 4G
5.) Extarior di.r Filin .6.1
. ( n'f I LL ) ----.
. u?il ? I/R= 7 OZ 'loPAL (R)y cij ? 7n
. ?
{'IALI, R YA[,UE
6•)
7
) _Intorior Air Film
P a 0,63
.
(?. )
' y1), na.
Inoulntion q5
1
9.)
.Pw,rX p,rrz-: 9,o p
10.)
1'lUUO11iLo .°ii(]i11g , . ? 3.()(,
.
' 0
ExLorior Air F1143 .
, 17
iiuii TOT/u, (R). ?
I1Ibl ,-" ---
fl V1i1,UE
12.) Iutorior Air P'11in 0.60
13.) Iuoululion ?
111•) 2'? Fir I21m Joiat qj: ?
15.) C01L7' E1T6::-
16. ) llaoo" i ta SictinG . G.r 5=d[;:
17•) Exlorlor Air f'ilm
.17
"Ull d 1/R> r 010 TOTAL (I2)
_FOUII p
ATlpl I
_ R VALUE
10.)
t9,) Intarior Alr F'ilm
0.68
2a. ?
?1 ?-Il s1?rl?rFv /ioo
• )
22.) 12?? Oonora ta Dloclc
1.28
?3.) ?xtorior nir Fllia
:17
---
<<U?s ?,
iftz? .O?(o
To2'nt, ?-_-.
ct?>=
?3•??
7-?l
Zoos RESIDENTIAL PLlJMBING PERnner APPUCarsoN
S/ 67 Yi
CITY OF EAGAN
D GAN MN 55122
3830 PILOT KN 56O75-5675
6
Please complete for modifications to existing residential dwellings.
Date V! 1 -` 1 o -q n
5ite Street Address li-loo Unit #
Property Owner ?1 I LU 1 Ll Telephone #?
I
ContractorlJ Telephone#Q(SN"c0"5?
Address City??m?ll,??Q Stateffi?)_ Zip?_.,
The Applicant is: _ Owner Contractor Other
Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes Counfy fee
$ 1 D0.00
Per as-built $ 10.00
Aiterations to er.isting dwelling $ 50.00
Add plumbing fixtures. This fee includes installation of a water softener andlor water ?
heater at the same time. If you are installing onlv a water softener and/or water
heater, do not complete this section; move to the next section and check the
appliance(s) you are installing.
_Septic System Abandonment
Water Turnaround (add $130.00 if a 5/8" meter is required) D`? ? D
=
Other:
WaterSoftener
? WaterNeater $ 15.00
?
_ new V replacement
Lawn Irrigation `RPZ iPV6 _new _repair _rebuild $ 30.00
State Surcharge $ .50
Total $
I hereby apply for a Residential Plumbing 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 plumbing codes; that I
understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in
accordarrGe with the ap ved plan in the event a plan is require o be reviewe and approved.
Y,-?J ? i?t
ApplicanYs Printed Name Applican Signature
? ? ?'J ?
City of Eap
41?
3830 Pilot Knob Road
Eagan MN 55722
Phone: (651) 675-5675
Fax: (651) 675-5694
? -------------
? F9r i??:?7se I
j Permit 7k: lO
i Permit Fee: ?
I _-_-CLo (9 I
? Date Received
I I
I Stafl: I
i
-----------------
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address:
Tenant:
Suite #:
?1=
5
?Q SP?JJC?-? LI?•(r?
\
RESIDENT / OWNER : Phone:
Y
N a m e
? c" -
Address / City / Zip: Q
Applicant is _ Owner -2?-Contracror
TYPE OF WORK Description of work:?'?i
ConstructionCosk:;Z)Multi-FamilyBuilding:(YesNc?` )
CONTRACTOR Name:S?Nt?f?- License#: 'z7-z)?
Address:
City: State: Zip:
Phone:??aContactPerson:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateaorv t Minnesota Rules 7672
'
EnBrC]y COdO
. Residential Venfilation Category 1 Worksheet • New Energy Code Worksheel
Category Submitted Submitted
(q Submis5ion type) • Energy Envelope Calculations Submitletl
In the last 12 months, has The City of Eagan issued a permit for a similar plan based on a masler 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 tlocuments that yau submit are considered to be publlc Informatlon. Abrtions oi
the information may be classlfled as non-public if you provide specific reasoas ihat wou/d permJt the Clty to
? conclude that the are lrade secrets. `
I hereby acknowledge that [hls information is complete and accurate; thai the work will be in conformance with the ordinances and codes of the Ciry of
Eagan; ihat 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 wiih the approved plan in Ihe case of work which requires a review and approval of plans.
X ? -,
Applicant's Printed Name Applicant's Signature
Page 1 of 3
t
?0?? •.
fVGI[VCE fl1NG
CornpAruM, iNC.
p
IUUU EA9f I461h 8TRE6T,
AL fIERRM!lN.V GvST,
coNSU4TIN0 (NaINfERS #238/.0/
PIRNNERS and IRNP iIIRYEYORS
6UflNSVILLE, MINNE501A E633T PH 43Z-3000
Cerlificate o'T SLu4vey
Legul Descripliou:
LOT / BL+JL:k Z, F/11RW,4Y y/LLS 2N0 ADD/T/ON
.M&074 GOUn/T?; N//NNES'oTA
(Zfb O) DENOTES EXISTING ELEVATION
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-INUICATES UII9EC'1'ION OF SURFACE DRAINAGE
o3B, ?a = f1IVISl IEU UARAUE rLOUR ELEVAI'ION
/a3o. 79 - BASEMENT FLOOR ELEVATION
TOP OF BLOCK ELEVATION
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??OWRED
I heteby cerUfy Ihul Iliis is u liua and correct reptesenlation of a tract of lond os shown
and dascribed heraon, qs piepmed by tne an 11iis Lf daY ol LJUNE '1911,
??'« ! 1 '4 Minn, fieg. ?lo. /6085
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA119574
Date Issued:12/06/2013
Permit Category:ePermit
Site Address: 4700 Fairway Hills Dr
Lot:1 Block: 2 Addition: Fairway Hills 2nd
PID:10-25601-02-010
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, 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 -
Matthew C Mccarthy
4700 Fairway Hills Dr
Eagan MN 55123
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature
FROM:PENTAIR T0:6516755694 03/30/2015 13:04:56 #12579 P.001/001
Use BLUE or BLACK Ink £/
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� For Offlca Uso �
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� Pemtit Fee:..,, .. - �� 1
3830 Piiot Knob Road i �C�
Eagan MN 55122 I Date Received:__._...__.._................._. �
Phone: (651)675-5675 i �
Fax: (651)675-5694 � s�ff_____________ �
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2015 RESIDENTIAL PLUMBING PERMlT APPLICATION
Date: 3 3D��'D�S Site Addrasa: �F70� rCt!/�Gt�'N ��I1`> ///'-
Tenant: ! '"1�r�� v"�LC. Suite#:
R9�Id 11UOW11Ai' Name: Ct.T7�•�Gt� �i L-�// Phone;�.S"�/-7 7G-351�9
Address/Clty/Zip: ��DC� I�'�.� %l r. . � . k'I�c/ s"s'h3
Name;�,�,_�_ License#:
Address: Gty:
CO r�CtOf
/ ,'' �-i--' _ �Z"��7�
Slate� ,,.,,,,.Zip: Phone: �G��"� �V-.5 _:
Contacl: Email:
New Replacement �Repair �Rebuild �Modify Space Work in R. W.
Type of WorK — — ��J ) — J ) /,,
Descriptlon of work: w�-+� /��Pi '� S�' �� �'lG/�'''f��� �
RESIDENTIAL �/'�-�/OGC.7�L D,I� /��
Water Healer
Water Soflener
Lawn Irrigation�RPZ/_PV6)
Pa k Typ� �dd Plumbing Fixtures�Main I ✓ower Level)
_Seplic System —
New _�Natar Turnaround
Abandonment
RESIDE�ITIAI FEES: _ _ _
560.00 V1►ater Heater,Water Softener,or Water Heater�i Softener(inGudes$5.00 State Surcharge)
560.00 Lewn Irrigation(i�cludes$5.00 minimum State Surcha�ge)
$60.00 Add Plumbing Fixtures. Septic Svstem Aban onment,Water Turnaround'(includes$5.00 State Surcharge)
`1Nater Turnaround(add$200.00 if a 5/8"meter is required)
St 15.00 SeDtiC SY tem New($10.00 per ss built)(indudes Counly fee and$5.00 Slate Surchargej
TOTAL FEES S �pD,bU
GALL BEFORE YOU DIG. Call Gopher State Ons Call at(651)45A-0002 for protecllon agalnst underground utility damage.
Call 48 hours before you intend to dig to receive bcates of underground utilities. �v,�qQph�rk S�Reonecall.oro
I hereby acknowledge that thls Informatlon is complete and eccura�e;thal the woAc wlll be In conformance wlth the ordlnances and codes of the Clty of
Eagan; thal I undersland thls Is not a permit,bul only en application for a parmil, and wak Is not to start wlthout a permll; lhat the work will be In
accordance wlth the approved plan in the caee of work wMch requlres a revlew and approval of plans.
x /���12c..°12.} U"�-G'� x , ,1^ ad�
Applicant's Printed Nama AppllcanYs Slgnature
FOR OF ICE USE Revlewed By: DAtp:
Rbqulro .Inspactfons: Under Ground Rough-In Alr Te�t. Gas Test Flnal.
Mater R latad.lrems: Meter Slze Radio Read Manometer Staff:
FROM:PENTAIR T0:6516755675 04/06/2015 12:00:40#12614 P.001/002
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�b O � �� i Pemtit Fee: �v�C. 'i•� � "
3830 Pllot Knob Road z.' � ������� i' ���
;; �
Eagan MN 55122 � Date Received: , ����� �
Phone:(651)675-5675 � , .. ,.___..,-Q---� I
Fax:(651)675-5694 � S�� ._.�__,..:CJ..'�.._._ i
�----------------.,
2015 RESIDENTIAL BUILDING PERMIi' APP�ICATION
�r /` , /
Date: T 0�7 � D1� Site Address: T ��D �'`!�1 �LJa'W I�(.S Unit#�•
Name:.,.,.,���� h�h. Phone: ,�v��7?�����0�
Rosidant/ r-•
Qyyn@� Address 1 Gty/Zip; �7l'd ht.�/`l,.Jo N � /S ��_,�Q�'i�� /Lt111 ss/d--�
�
Applicantls; f�Owner Contractor Cer( - 7�3 -2v3'" 3J�7
Type of Work .,/,
Description of work: �n i S� /_�G�S�Q,.l.��c=i1.�(
Construction Cost:. T�i a '"��� Multi-Family Building:(Yes /No �
Company: �•-�� � Gontact:_,_„_
Address: �City:
COf1tf�C�Of
State: Zip: Phone: ,�. EmaiL
License il; Lead CeRlficata#:
It the project is exempt from lead certification, please explain why: (see Pege 3 for additional iMormation)
i
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months,has the Clty of Eagan issued a pennit for a slmllar plan base�d on a masta�plan?
_Yes No If yes,date and address ot master plan:
Llcensed Plumber; ,Phone:
,:.
Mechanlcal Contractor: Phone:
Sawe�8 Water Contractor: ,Phone:
NOTE:.Plena end:auppocdng documsnts.thatyou aubmlt.ais:e.ons/derqd..b..be bllc:lnforneallon�..PorNona:of
P� ..... . :..:.... .
ths lnformadon►nay be claasMled sa,non:puAlJc Kyou provlde.specfAc:rsaaons thet wrou/d.parnrlt ttie CIYy to .
conclud6 that Nre sro frade aecrets.
CALL BEFORE YOU DIG. Call Gopher SMte Ona Csll at(A51)454-0002 for protealon agalnst undorground utility damape. Call�8 houre
Defore you Inlend to dlg to recelve locates of underground utilities. www.noohgrslateonecall.ors�
I hereby acknowledge that thls Information Is complete and accurate;that the wo�lc wlll bo tn confamance wlth the oMlnencas and todes ol the City oF�
Eagan; ths�t I understand thls Is not a permlt but only an appllpqon for a permlt, and work Is not to sterl wllhout a permit;that the work will be in
accordance wlt�the apptoved plan In the case of work whlch requlres a revlew and approval of plan,s.
Exteriw work sutho�lzed by e buflding pertnk i4sued in eccordanca wkh the Minnesofa Stede!Bulldlnp Code must b6 comp �d withln 180
dsys of permlt issuanca. �
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ApplicanYs Printed Name Appllcant's Sllgnature J
�..:•
Page 1 of 3
/ , I .
,
"7.,�Q �tK(�,l " �rf�� ���DO NOT WRITE BELOW THIS LI�V� __;; � �(� �-� � T �
SUB TYPES
Foundation _ Fireplace _ Porch (3-Season) _ Exterior Alteration(Single Family)
� Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Multi)
_ Multi _ Deck _ Porch (Screen/Gazebo/Pergofa) _ Miscellaneous
_ 01 of_Plex - � Lower Level _ Pool _ Accessory Building
WORK TYPES Fi v��Sl� ���^,u`�' �'�CN(,� ln�! 11CW Wih�f��J �-'C;►-� �USSi�1r[ ��d-�. 3,����,
_ New _ Interior Improvement Siding Demolish Building*
Addition _ Move Buiiding Reroof Demolish Interior
�( Alteration _ Fire Repair Windows Demolish Foundation
_ Replace _ Repair _ Egress Window Water Damage
Retaining Wall *Demolition of entire Ibuilding—give PCA handout to applicant
DESCRIPTION � -
Valuation 1'�,,�_ Occupancy= S� MCES System
Plan Review Code Edition �iSw,S�L SAC Units _
( _ _) Zoning �_ City Water
25% 100%o k
Census Code Stories�� Booster Pump "
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required � '
Type of Construction \' " _ Width
-�.�.--�
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:_
Footings(Deck) Final/C.O. F;equired
Footings_(Addition) _. _ _ __ - - _--- ---� _FinalJ_No C.1�.Required----- ---___ _ - ---- -__
Foundatiorr � HVAC Gsas Service Test Gas Line Air Test
Roof: _Ice 8�Water _Final Pool:''_Foc�tings _Air/Gas Tests _Final
� Framing Drain Tile
Fireplace:_Rough ln _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick
� Insulation _ Wintlows ' .
Sheathing Retaining W��II:_Footings_Backfill Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough ln_Final
Braced Walls Erosion Con�trol
Other: _
Reviewed By: � � , Building Inspector
RESIDENTIAL FEES `
' BaseFee ' _ �y�,��, As� �y,1 �
Surcharge �
. '
Plan Review ��� ��'� �� �
MCES SAC ` S't'�rrn°�,�C.�DSc-�r� V � j�
City SAC
Utility Connection Charge :
S�W Permit&Surchar e ��� � x ��'
9 1
Treatment Plant �` �, ���
Copies �
TOTAL
Page 2 of 3
C!ty of Eaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee:
Date Received:
Staff:
L31
I
2016 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: /a' oG-/C Site Address: -I 700 /��i/SQL-�/�i J' c 52.'t. Unit#:
Resident/'
Owner
Type of work
Contracto'
Name: 74,WrCet, /'?C C11 -1701Y
Address / City / Zip: V700 rif/, .,,,,may //gel
Applicant is:
Phone:
Owner ®( Contractor
Description of work: % ES QVC"
Construction Cost: fZS, cup.
Multi -Family Building: (Yes / No )
Company: CO-- Contact: s 1//4s
Address: 8502 -(4 /'4 L.... City:
State:, 4t " Zip: s-514 4 % Phone:
License #: OC- .59€/e3 71
95.2. Zo/ 9S -Cy CO.-srJ2ver t'^. a041-a7;"-iir.
Lead Certificate #: A/3. --F /S— y4.' —/
If the project is exempt from lead certification, please explain why:
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:
Mechanical Contractor:
Sewer & Water Contractor:
Fire Suppression Contractor:
Phone:
Phone:
Phone:
Phone:
NOTE: Plans and supporting, documents that you submit are considered to be public information.
the information may be classified as non-public if you provide specific reasons that would pe.
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.orq
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 Stateuilding Code must be completed within 180
days of permit issuance.
x L0« S 612 k44//0
Applicant's Printed Name
x
Applica 's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA140548
Date Issued:01/03/2017
Permit Category:ePermit
Site Address: 4700 Fairway Hills Dr
Lot:1 Block: 2 Addition: Fairway Hills 2nd
PID:10-25601-02-010
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Matthew C Mccarthy
4700 Fairway Hills Dr
Eagan MN 55123
(651) 776-3809
Prescription Heating And Cooling Llc
2430 Hydram Ave N
Oakdale MN 55128
(651) 767-2737
Applicant/Permitee: Signature Issued By: Signature