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712 Havenhill Rd Use BLUE or BLACK Ink 1-----------------i For Office Usk I 1 I 1 City of o n i Permit I Permit Fee: 3830 Pilot Knob Road I 1 Eagan MN 55122 v 1 gin, I Date Rec ved: Phone: (651) 675-5675 1 Staff: 1 Fax: (651) 675-5694 L _ _ - - _ 2011 RESIDENTIAL PLUMBING PERMIT APPLICATI Date: Site Address: ~(~~/C~ ~1(lt t\ )~(/l ~CJtfl~(\ Tenant: 651-0,5 Suite RESIDENT / OWNER Name: l~/(~ ZC~ Phone: - C N S Address/ City/ Zip: 71 YU 551 1 CONTRACTOR Name: 6 Q License 51841 s-5 er Address: P/05 c vl" 5 / vr~ City: pr Uby- Stater Zip: 6319---Phone: o% 5- 'Z& q-,3,541 t Contact: it l4;/\ Email: TYPE OF WORK _ New Replacement _ Repair Rebuild - Modify Space _ Work in R.O.W. Description of work: PERMIT TYPE RESIDENTIAL i Water Softener Water Heater Lawn Irrigation RPZ PVB) Add Plumbing Fixtures L_ Main Lower Level) Septic System Water Turnaround _ New Abandonment RESIDENTIAL FEES: $55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $35.00 Lawn Irrigation (includes $5.00 State Surcharge) $55.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) *Water Turnaround (add $166.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) $95.00 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) Jas TOTAL FEES $ 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.aopherstateonecall.org 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 approva of plans. x e r1 Iix Applican Printed Name Applicants ignature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-In Air Test Gas Test Final ? CASN RECEIPT ? . CITY OF EAGAN ? 3830 PILOT KNOB ROAD . EAGAN, MINNESOTA 55122 OATE T J2 ?g 90 aecerveo AMOUNT I s ---? a ID :? I S-0 B. DOLLAR5 'oo CASH ? CHECK O C 8618 ?? Pw*---Fle covy Thank You 6 ? BY f SE,WeR & WATER PERMIT I CITY OF EAGAN I 3830 Pilot Knob Rd. , Eagan, MN 55122-1897 DATE JUNF 26, 1990 OFFICE USE ONLY METER # PERMIT DATE06/29/9, 0 CHIP # CZf ?? a PERMIT # 11486. METEFi SIZE O B.P. RECEIPT #L2 _44: ?= ISSUE DATE B.P. RECEIPT DATE ` i 28 ?- ? _ PRV - BOOSTER PUMP SITE ADDRESS 712 HAVENNILL RD LOT 2,= BLOCK 7 SEC/SUB HILLS OF STOV.EAE:IDGE APPLICANT; AdDRESS:_ CITY, STATE PHONE: - ZIP PLUMBER: VALI.EY PLUMBIP3G ADDRE55: 610 CRLEK LN CITY, STATE JQRD?, MN ZIP 55352 PHONE: 492-2121 OWNER: EHL itU1 LLUND CU, INC AODRESS: 5201 c RIVEF. RI1 CITY, STATE FF.IDLEY, MN ZIp PHONE: 1)71-0344 PLEASE ALLOW TWO WORKING DAYS FOR PROC SEWER PERMITS, CONTACT ENGINEERING DEPT. PERMIT REQUESTED x SEWER X WATER - TAPS _ COMM/IND X RESIDENTIAL X NEW EXISTING Lawn Sprinkler Meters are to be Installed Ahead of Domestic Meters on Water Line. Credit-,WILL NOT be given for Deduct Meters. F I ? I l I, , • 1 ?.-,- I AGREE TO COMPLY WITH CITY OF EAGAN ORDINANCES -?-S1GNATURE WHEN ME7ER ISPED CALL 454-5220 FOR INSPECTIONS. FOR STORM SEVIIER &#/ATER PERMIT CITY OF EbGAN 3830 Pilot Knob Rd. Eagan, MN 55122-1897 DATE JurE 26R 1990 METER # - CHIP # - METER SIZE ISSUE DATE OFFICE USE ONLY PERMIT DATE06/29190 PERMIT # 114116 B.P. RECEIPT # 4' 1 ?- B.P. RECEIPT DATE 06 28 ? _ PRV _ BOOSTER PUMP SITE ADDRESS 712 t.AV)?P'IiILL P,D LOT _2 1? 2 - BLOCK 7 SEC/SUB F'ILIS Og STUN1.?BRIDCE r APPLICANT: ADDOSS: CITY, STATE Z1P " PHONE: PLUMBER: VALLFY PLUMBING ADDRESS: 610 CREEit LN CITY, STATE JORDAN, NA ZIP 5.5352 PHONE: 492-2 i? i OWNER: THL ILOTtLUKD C0, INC ADDRESS: 520; R RiVER RD CITY, STATE Fh'IDLEY, tiN Zlp 55421 PHONE: - 71 -J'%C' ? PERMIT REGIUESTED x SEWER - COMM/IND X NEW x WATER TAPS ' _k RESIDENTIAL Lawn Sprinkler Meters are to be Installed ? Ahead of Domestic Meters on Water Line. ; Credit WILL NOT be given for Deduct Meters. a. I AGREE TO COMPLY WITH CITY OF ? EAGAN ORDINANCES i SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. BUILDING PERMIT . To be used for 8r WAIGU ,91 . . ? CITY OF EAGAN 16061 Pilot Knoh Road, P.O. Box 21-199, Eagan, MN 55121 . PHONE:454-8100 Receipt # Est. Value *112,W0 Date JM 26 . 19 90 Site Adft ss Lot Block SeclSub. Parcel No. W Name 'fHE ROTTLt?D ? ? Address 0 na.,.. ,o Name ? ?a Address ? Citv Phone Phone I hereby acknowlege that I hav read this apptication and state that the inlormation is correct and agr to comply? with AI applicable State o( Minnesota Statutes and City of 11 agan , dinances. Signature ot Permitee '1'RE li0T37.U11D fb? I?1C 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 o( Eagan Ordinances. Guil.iinn lllf{niol • . OFFICE USE ONLY s.-3 !!-1 Occupancy PD-24 FEES Zoning (Actual) Const ? Bldg. Permit _ (Allowable) - Surcharge _ Af 01 StOriCS Lergth th ' De Plan Review _ p SAC C't S.F. Total - S.F. Footprints - On Site Sewage _ On Site Well MWCC System ? Ciry Water _ PfiV Required \ - Booster Pump - APPROVALS Planner - Council -- BIdg.OH. _ ' Y VN7?Oo SAC, MCWCC 8Z3.00 Water Conn ?.oo Water Mater 30.00 Acc1. Deposit SJW Permit • S/W Surcharge Treatment PI - - - 35Y -Oo Road Unil . Park Ded. Copias s • TOTAL permN No. Permit Holder Date Telephone # WATER SEVYER PLUMe1NG H.VA.C. ?2 ? 7v E?cTR1c G 3 91 0 C??o Uz, ? r U Inspectfon &I&VIL, Insp. ? R Com ? ? 066 footings 1 -alie Foundation Framirg Roofing Rougn Plbg. Z -I - ? Rough Fft9. ? a3 9 ISUl. Frceplace FinZJ Ht9_ ?nal Pib,. _ d Consl, Meter Plbg. Inspector - Nolify Plumber ErgrJPlan Bldg. Final - - ?Q L7s Dedc Flg. dedc Final Well Pr. Uisp. F A ' w: -? • __ i? i ? ; ---y? ?. , " ? ? • ' ? • , ,?"R??' Tn#i#trate of (Orxupartry Citp of Cagan Ermrfuirtd nf Ntriidittg Jnwrtian This Certificate issued pursuant m!he requirements of Section 306 of the Urriform Building Codr cerlijyurg thal at Oie tinte of rssuance thissauclure Kns in compliarrce wilh rlre wrious ordinanc+es ojthe Ci1y re8ululinS building consduckon or usp- For theJollowing: t- akuw-e- SE'OCOCAR ewk. nam: rra 18061 0-vaaT T?Pe R? ?-r-I---- ZaoiogDipiia Pn ' Z$ I Type C.c?t IN_ ??8' eeeR = 5201 E FZYEF? iD , FR7CE.LY POST IN A CONSPIdJOUS PlACE CONTRACT PRICE site a??s Lot ?? PLUMBING PERMIT For C CITY OF EAGAN PERMIT # _ 3830 PILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT# PHONE 4548100 DATE: _ City 4 0 Ic+ a •.• .< ? Addres "" ? ^ • '' " F ° ? City r' d?' y Phone S i,. ? 3 0•. FEES GOMM./IND. FEE - 1% OF EONTiCACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE 8 CONDO - RES. RATE APLUES MINIMUM - RESIDENTIAL FEE $12.00 MINIMUM - COMM.IND./FEE $20.00 STATE SURCHARGE PER PERMIT .50 (ADO $.50 S1C PER EACH $1,000 OF PERMIT FEE) Res. ? New _ Muft. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: N3. FIXTURES Water Closet - $3.00 -T-- TOTAL $ ? Bath Tubs - $3.00 ? 3 ( Lavatory - $3.00 . ? Shower - $3.00 ?- ? Kitchen Sink - $3.00 ? UrinaUBidet - $3.00 T $3 00 " L d ? - ray - . _ aun ry T- Floor Drains -$1.50 ' S J ?- Water Heater - $1.50 ? • • ? Whirlpod - $3.00 - 3 Gas Piping Outlets - $1.50 T (MINIMUM -1 PER PERMIT) Softener - $5.00 Well - $10.00 Private Disp. - $10.00 3- y Rough Openings - $1.50 ? PERMIT FEE: -? L STATES S1C: GRAND TOTAL: . 'ru. ? K:y'?, ` - v:i•W^. . _,.. +. . "'^ . .. ?, - •" . bffice Use Onl : F . . . y or ? ` 4, MECHANICAI. PERMIT PERM IT # CiTY OF EAGAN RECEf PT # 3630 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: PHONE: 454-8100 ; Site Adorep B W K E fiIPTION s Lot Block Sec/Sub SC. LDG. TYPE GR D • . . Res New ? ,: ? Mult Add-on ? m Name Repeir Comm AddreSS . Other c City Phone FEES ? Name RES. HVAC 0-100 M BTU -$24.00 c Address ADDITIONAL 50 M BTU - 6.00 p City Phone (RES. HVAC INCIUDES A/C ON NEW STRUCTfON ) CON GAS QUTLETS (MINIMUM • 1 PER PERMIn - 1.50 EA . TYPE OF WORK COMMAND FEE -1°1e OF CBNTRACT FEE FOrced Aif Boiler M BTU -I M BTU ' t APT. BLDGS. - COMM. RATE APPLIES ,.? T0INNHOUSE & CONDOS - RES. FiATE APPLIES Unit Heater M BTU MINIMUM RESIOENTIAL FEE - ALL ADD-0N & Air Cond M BTU REMODELS - 12.00 . MINIMUM COMMERCIAL FEE - 20.00 Vent CFM STATE SURCHARGE PER PERMIT - .50 Gas Piping Oudets # (ADD $.50 S/C PER EACH $1000.00 OF PERMIT FEE) Other PERMIT FEE: f ? SIGNATURE OF PERMITTEE ; S/C: ? TQTAL: FOR: CITY OF EAGAM1I , . _ -_ . -- -- - CITY OF EAGAN ' NO ?$O6 ? ° i BUILDING PERMIT 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ??? 6v PHONE: 454-8100 Receipt # L- Tobeusedfor SF DWG/GAR Est.Vaiue $112,000 Date .TUNE 26 , 19_40 Site Address 712 HAVENHILL RD Lot 22 Block 7 Sec/Sub. HILLS OF STUNEBRiDGE Parcel No. W Name THE ROTTLUND C0, INC ; Address 5201 E RIVER RD ° CitY FRIDLEY phone 571-0304 o Name SAME ga Address ? City Phone Q Name W ; Ad ress s d w City Phone 1 hereby acknowlege that I have read this application and state that the inlormation is correct and agi e to wmpl with II applicable State of Minnesota Stawtes and City ol agan Ordi nces. Signalure of Permitee A Buiiding Permit is issued to: THE ROTTLIJND CO ^7NC on Ihe express condition that all work shall be done in accordance with all applicable Stale ol Minnesota Slatutes and Ciry of Eagan Ordinances. Builtling Ollicial OFFICE USE ONLY Occupancy R-3-M-l FEES Zoning PD R_1 682.00 (AcWa1) Const _Y--T1 BItlg.Permit (Allowable) V-N Surcharge 56 . 00 N oi Staries 56 ' Plan Review l?43 .00 Lenglh Depth SZ ' SAG Ciry 100•00 S.F. Total - SAC, MCWCC 600.00 ' S.F.FOOtprints - On Site Sewage - Waler Conn 695- nQ j On Site Well - Water Meter 90 _ 00 ' MWCCSystem X qcctOaposit 30.00 City Water x. PRV Required - S/W Permit 30.00 Boosler Pump - S/W Surcharqe • 50 Treatment PI 252.00 APPROVALS Road Unit 355-n0 Planner - park Ded. Council 81dg. Off. _ Copies Variance - TOTAL 3,263.50 s.i . . +7g • DATE: JUNE 29, 1990 RE: 712 HAVENHILL RD (THE ROTTLUND C0, INC) x Your Sewer & Water Permit for the above property has been completed. It will be held at the Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. Ycur Sewer & Water Permi[ for the above property cannot be completed for the following reasons: ? • - Your Sewer & Water Permit for the above property has been completed, but the meter cannot w, be issued or occupancy allowed until further notice.. COMMERCIAL PROJECTS ONLY: Please pay tor meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secre[ary, Building Inspections Dept. c)'ir174/- , @ 3 810 ??19a Fepuesi Date -7- ire No. Rough?in Ins e lion Requiretl? rYes ;jj<io ? JGf Reatly Now ? Will Notify Inspector Mlhenqeatly9 I2(licedsed conttactor ? owner hereby request inspection of above electrical work at: Job Acitlress (Straet, Box or P.W. No.) Ciry Section No. Township Name or No. Range No. Coy?iry? ? Oocupant(PRiNT) Phona No. Power 5?fVP?\l1er Adtlress Elechicai Comractor lComOany Name) uol. ContraMOr's license No. ; ql ?.-3 Mai6ng AOdress (Conirector or Owner Making Installation) Awhorixetl Signature (GOnVac UO r Making Installa I n) DA9 Phone Number 3- 3?1?0 MINNESOTA STATE BOAHD OF ELECTRICITY ? THIS INSPEGTION REOUEST WILL NOT Grlggs-Mltlway BIEg. - poom S173 BE NCCEPTED BY THE STATE BOAFD 1821 Universlly Ave.. 5[. Paul, MN SStO< UNlESS PROPER INSPECTION FEE IS Phone(61P) 642-0800 ENCIOSED . REQUEST FOR ELECTRICAL INSPECTION ee-00001-07 ? See insvuctions lor completing IDis farm an Oack ol yellow copy. C? 38109 -"X" Below Work Covered by This Request e AdQ. Rep_ ? TypeofBuiltling AppliancesWiretl EquipmentWired Home Range Temporary Service , Duplex Water Heater Electric Heating Apt Building Dryer Other (Specify) Comm./IndusVial Furnace Farm Air Contlitioner ONer (specify) ConVaclor's Remarks Compufe Inspecfion Fee Below: # Other Fee # ServiceEntrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 t0200 Amps 0 to 100 Amps Transformers Above 200 _ Amps Above 100 _ Amps Si JnS Inspectar9 Use Ony: TOTAL Irrigation Booms Special Inspection Alarm/CommuNCation THIS INSTALLATION MAV BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. L the Electrical Inspector, hereby certify that the above inspection has been made. R°°gn;n F;nai / 0a1e oa+e, /G OFFICE USE ONLY ? This request wid 18 mamhs from GSU1'-f /G D// /c. n /01 / 0 38110 Caz, s u[•! /" ?- Request Orale '' ' re No. Roug?-in 1 tfion Required? ? Reatly NOw r`YAlill Notity Inspector - -? es ? No When Reatly9 I,'a'licensed contractor ? owner hereby request inspecfion of above electrical work at: Job Atldress (Streat Bov ar Route No.) Ciry '7 2 GoA Section No. Towrehip Nama or No- Ranqe No. unry Co ^y ` V? Occupa t?PRINT) Phone No. Paw Supplier Adtlress , ue'- Elechi IQonlraclor ICompany Name) Conhaclor's License No. F.Qa.?, .? t -3 MaiLng Aadresa IGonvactor?r Ow ? Making Installationl Phone Nvmber AutM1Oriietl Signawre fCOnlracto ne aNing Inslallat ? 4z6 3-_38ra MINNESOTA STATE BOAPD OF ECTRICR GrIgge-MiCway Bltlg. - Foom S173 1821 Univero0y Ave., SL Peul, MN 5510Y Phone(612)662-0800 THIS INSPECTION REQLIEST WILL NpT BE AGCEPTED BY THE STATE BOARD UNLESS PROPER INSPECTION FEE IS ENCLOSED. -?/ Yl a? REQUEST FOR ELECTRICAL INSPECTION ??a-ooom-m ?? 0- See insVUClions lor completing ihis lorm on back o1 yellow copy. "X" 8elow Work Covered by This Request e Add Rep. TypeofBuiltling qppliancesWired EquipmentWired Home Range Temporary Service plex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Gomm./Industriai Furnace Farm Air Conditioner Other (specily) ConVactor§ Remarks'. Compute Inspecfion Fee Below: # Other Fee # ServiceEniranceSize Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps to 100 Amps ,QD Transformers Above 200 _ Amps A Amps Si9n5 Inspector5 Use Only: TOTAL Irrigation Booms Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MO r I, the Electrical Inspector, hereby tif ih t h b Rough-in l Dale• - -ro c er y a t e a ove inspection has been made. Final ? oat,/,z OFFICE IISE ONLY TM1is reQUest voia 18 months Vom ihis renuest voiA r?/ ?' 18 nwnlhs fmm ? ?/? D 93876/-1!5 Feques[ nate I '1 Fire o: PouPh-i n irotl. nspemion Heady Nuw ? lII Notity Inspec- k ?_ ? - ? Ves ?No .r When ReaAY ? Licensed Elecirical Contractor I hereby reqvest inspection of ebova ? Owner eleclrical work installed at: SVeeI AtlAre ss, x or Rovte No. Ci ec mn o. Towns ip Name or No. R.nAe Na. C aft Occu tIPPIN71 Phane No. Pawer SupPlier Adtlress Elec cal CnntratlorlComp2ny 1 Contracto License Mailmg Address IConva?mr or Ov/ner kine lnsi I tionl Authon d 510nature (CoMracmr?Owner Making Installation) I Phone?r 1 - n??? ? ? / THIS INSPECTION HEaUES' WILL NOI MINNESOTq STATE AND OF ELECTPICITY gE ACCEPTED 8Y THE STATE BOARO Griggs-Midway BIdO• - Room N•191 UNLESS PPOVEH INSPECTION FEE IS 1821 Universitv Ave.. St. Ppul, MN 55109 Pnone16121642-0800 ENCLOSED. REQUEST FOH ELECTRICAL INSVECTION ee-oooot-os p 1 Sae inshuctions br comDlating tM1is form on back oi yellow roOY. " 9,?20 1`7 ? 93876 "X" Below Work Covered by Ihis Request likea Fdd Neo. Typa ot euildin0 AoPlionces Wired EquiVment Wired Home Range Temporary Service Duplex Water Heater Liyhtiny Fixtures Apt. Building Dryer Electric Heabn Commercial BIdG. Fumace Silo Unloader Industrial Bldg. Air Condltioner Bulk Milk Tdnk Farm oine, oaci v .tncrISpa?;ry? t . Sue,:, v oroor o,n.. Comaute lnsoectian Fee Be/ow p Fea ServiceEnLanceSiza n Fee Feetlers/5ubtexde's b Fee C cuits 0 to 200 qm s 0 to 30 qm s 0 to 30 Am Above 200 Amps 31 to 100 Amps 31 to 100 A s Swimming Pool Above 100-Amps Ahove 100_Ampr' Transtormers Irriyation Booms Partial,Other Fee Signs Speciallnspection S TO AL FEE Nerryrk ln /lP floo9h-ln Date I. the Inspac?or, hereby certify t the xEOVe I Final the sDaction has been ?f f r metle. •ma reauest voltl 18 monRha irom \_ 1 11041 1990 BUILDING PERMIT APPLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS _# OF RENTAL UNITS _# OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTDR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS SEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. ;ill9 2 ; RECQ To Be Used For: ; Valuation Site Address '`]r"f t tij+ J?U Lot D2 Block -1 Parcel/Sub 2l=?e, o--T Owner -cy,,P ip,p_ Address !52o? 19? 1Q,,_9E{L ?..?, City/Zip Code ?SqZt Phone SZ I-c?3[s? Contractor Scyy??. Addres City/Z Phone Arch./ Addres City/2 Phone # Date: OFFICE USE ONLY FEES Occupancy R'3 M -1 Zoning PD 'R - I Actual Const V-N Bldg. Permit 68240 Allowable V^ N Surcharge 66100 # of stories Plan Review U 4 3iO?J Length ? SAC, City /DOiaO Depth $2 SAC, MWCC 0 0010 S.F. Total Water Conn - 615,Q? Footprint S.F. Water Meter 90,00 Acct. Deposit 3 0,00 On site sewage_ S/W Permit oo 30, On site well S/W Surcharge .$o MWCC System ? Treatment Pl. 252,Do City wateY ? Road Unit 3SS,Qa PRV Park Ded. Booster Pump _ Copies SUBTOTAL APPROVALS Penalty - Planner TOTAL ' Council Bldg. Off. Variance i/ 7 Cs,c,RAGC ? . ? ? zZk22F 14 ?Z6n 13 , .__------°° 3PX ?K= ?suo CI Z 30X??= '700 , I?ix?x?- ry ??--° k 14= &- z34y I l?t? X 5?- 8Z31?( T-- I { { , , 't PIONEER uNosUAVE. * engiyneering.. LAN°PLANNE's 7? Y *T T Certificate of Survey for: W ?-o0 q,??, "- t1g?, • ' ? C ? .\ i M0 ? 2 .CIVIL ARCHITECTS 2422 Enterprise Drive Mendota Heighu, MN 55120 (612) 667-1914 ?-- ??? 4L ? \ ? ? ?? ps ? ' 692.z ? ?. ? a-1S.S . goo.o Dertoles existlno f/evafron R 900.o Denofes propcs'id Elevotion ------penofes Drar?age ?Utili'iy Easement ? denotes Drqina§e Flaw Arrows ? No1ztH 9 ?lv ?:?`..` e'?.5-.?.. i ?.NG LJr?• ? ?'d ,t.: '?-FDROPOSED NduSE fGEVA710NS Lowesf Floor E/evafl'an . 69 1. Z Top o.^B/ockElevation = sq9.z Garc??e S/ab vation = g9E.9 o Denofes monumenf , 8 eqrin?s shown nre assum ed LOT 2 Z, BLOCk 7114t[t5 oF-"STDIVEBQIDCE QaKOTA CourJTY, MINNESOTA SUHJECr TU EASEMENTS OFQKORD 1 harebY cenity tlwi [hit ia a srue snd coneCt represenubon of a wrnY of tM beunGrio ot the sbwe d ibed Land. and of ihe loption of dl buildin?, tAereoo, erW all vuible encroachmenu, il any. Irom a on iaW la?- At wn+Yb bY ^K th'sday of A.O. 184&. /lev: 01t/L? f/o?e Scaie : 1 Jn -, vad p--? IKICH L5. REG993 g711 z .. ,. ? ' F?cTFTiiOii }:NVT:T,ot•t: nvi•:!;nr,r: "u" C09ru•rn•rinrr ouN Ex SITE ADD?tESS Z CONTRICTOR _7ZVT77-(/AIL7 GD • DATF. PHc)NE Pfl?!?L?1=?/`?• r Dete:-ain vorkini; squnre tootai;e of ench. 1. iotal exposed vall area .. 0 sR. ft. x 0.11 _ 2(pQ.,pB 2. Total roof/ceiling a-ea sq. ft. x e.,026 • • . c Total expose3 wall arca nbovc floor = Z400'QJ a. b. c. d. e. f. Total Total Total Total Total Total vall vindov area . . . . . . .. . . . . . . . . .. .. .. . . . door area ................................... ? sliding gluss door area ..................... fireplace va11 area ......................... L L vall framing area (average 10%) ..... ...* ... net vall area above Sloor .................. 172 O. O ? . 6. Total rim Joist area ........ ........ ........... 3 Total exposed frn:ndntion area = 77, h. i. Total Total foundetion windov a:ea ....... ... net foundation area above grade ............. '? ............. ^(/,(e ? . . Detercnine "U" value o; eech vall ,r:E;ment. a. 2-0 b. z X„U., o, 42 - 87.4q- b. 38.?1 x„U„ 6•i3? - 5•34 ? C. 79•9?- X„U„ z?.sY d. 2T X„u„ . o, r _ z. ¢ - E. X.uun OrOO 1 = I7/o f. 1 7 zO, a4- x„u,. 0,045 -.7.3, q . s. 8 X n. ? 5-75 X.,U„ . i. X„U„ 7, q3 3. ...... ....................... .. . ror.-:i = 23Z / .. If 3tem 1!3 i of ssc 6oo6( ,. s the same as, or les^ c)2. :.ti:,n ile:a N1, you nave meL the intent , IN ;. - f) ' Total exposed roof/ceiling arez ? .?-. . . .. ? Total gross raof'/ceilin(; areri = ?. Total skylight area .......................... _ k. Total roof/ceiZing framing area •-••••-••••••• 1. Total net insulated roof/ceilinF area ........ O . _ ' Determine "U" value for clch roaf/ccitint; sey'cncnt. r ?- 1 X U?i ?• ' ? x: 117,g? X„U„ o, 027 = "3:1? 1. l??l, 5S X„U„ p, r??Z = 23.35 a . . . .... ... .. . . . .. ..... .. .. .. .: . Total c ,?=-- If total oP ft4 is the same as, or less than N2, you have met the intent of saC 6oo6(c)i. . . To utilize the total envelope system method, the values establi:hed by the sum of itens X3 and M4 shall not be 6reater.thxn the sum of items q1 and X2. 1. + 2. ?+ L a -1:11 I f. O . _ . . .. O s GAI.GU!-ATIoN? (GoNT). -MAMI?- WA1-A- (-l I N?-I LATIoH LOMf'ON?*-N-97 ?u ? ? l? aATT??GE AIF- FiW -h? ?fDIFIC.. - - _ 6{OAjHiN6- =-?%L lNSU?A'??1- ?y° G`(P, I?aD R-vAUaE?- - --- D,11 _ " - Iq.o • 0.45 - _ _ O?Cob I -fFAMV WAu. G 6PD _ pl.rtN• vlew. C c C C C C GoM PaN ?NTS au'C-tIoE Riiz pL,M. hNEA7Fl i N i?, . ! '? X u h?Ut? DC7 iNhim P*?r- R?-M. . ? P-VA(.UL 2.oV _ - -? -? g .-- - ?=?Op'---- - = I I. ? C?- ?r?r?: --- u =40-W5. it U?- 12 x a.oLk9) t(o,Sb Xo•o43) = O• 0?-7 - .: , (D 20- C 2?=e? ?HOt?r?•_.. 3i. C I?T-?'CI(? Ff?M?. k? Q ? :? dYP--?o- _ --- _ - --"r?-' o- --- _ , --- ? _ -- :o??--- I ?R== 35.-g 3 ._- _ I .: - o. 02-/ - - - - - -- -?=-- _ - - - o??- ----_.. 01022 C? ?U 3 1991? ? ? O ? 1PCA ION?t?? ? CITY OF EAGAN SZNGLE FAMILY DWELLZNGS MULTZPLE DWELLINGS Date: v 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PIANS 1 SET OF ENERGY CALCUTATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCOLATIONS 1 SET OF ENERGY CALCS # OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLIES iTEiEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. IAT CHANG E IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER HUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL B E ALIAWED ONCE BUILDING PERMI T IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. To Be Used For: Site Address P FC lr- Valuation: 712- fkya-i Ffiu? u(N r Lot Z 2- Block ? Parcel/Sub Hi LL OG 57aWE8RIDGE Owner -2CH'RR6 (Z• -K?IC.thC? Address -) I'?)L 4YTvvT TTt-,- F-?> City/Zip Code 61&? / Phone ? g 3- 903? Contractor ? 14- - Address CityJZip Code Phone Arch./Engr. /,? l?t'• Address City/Zip Code Phone # OFFZCE IISE ONLY Occupancy Zoning Actual Const Allowable # of stories Length I y K/!. Depth lYX/Y S.F. Total Footprint S.F. On site sewage_ On site well _ MWCC System _ City water _ PRV _ Booster Pump _ APPROVALS Planner Council Bldg. Off. Variance COPIlMERCIAL PEES Bldg. Permit Surcharge Plan Review SAC, City SAC, MWCC Water Conn. Water Meter Acct. Deposit S/w Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trail Ded. Copies SIISTOTAL Penalty Lot Change ? TOTAL ? Sewer/Water Licensed Contr. ? agtees that all voik shall be done in accordance with (Signature of Contractor) all applicable State of Minnesota Statutes and City of Eagan Ordinances. *ac *4 't PIONEER * engineer-ing. 7Y *? T "ND SUAVETORS • O 'IL ENGINEERS LluaOItANNERS • LANOSC"E AACMITECfS 2422 Enterprise Drive Mendota Heighu, MN 55720 (612) 681-1914 ?//d o Denofes monumenf B eQrrn?s shown ar'e assum ed s .z 9. 2 aaraP Slob Elevotiot7 = 898• 9 t LOT 22, BCOCk 7114ILLS oF-STDIVEBRIDGE QaKOTA CouNTY, MINNESOTA SUBJECT 7D EASFMENTS OFlZKORD 1 MreOV unity tMt this ia a true an0 cortact rtwatnutwn ot s ,urveV ot the Doundariw o1 Mt Wan dCsuibed bnd. aM ot the lowcion ol st1 Euildinpi, tAerson. eM a11 visibta snuwchmenn. i1 anY. irom a on rd Iand. As wcv,yb bT the tnu-4AOL mY of A.D. 79_f[L' e L/ Z4 %171 e?d.?se Scole : 1?n IKICH R08EAT B. S LS. REG. 1443.1411121 g7? / 7-, 74 _ ,2. czrv or- EncAN t:ASNIEIi° 1S 7F.I;i`1TNAI._ N0: ii.'.9 PEi'TCc 0E3/06/99 T:f.MF_a J.O?,`O:O4• NAMEe SFI_A Rf]f7F.T.NG ?: kFMODE.I...SNG 320 9001 72 HAVI:i:tJH24.I.. h 1.39.2;i 2155 9001 712 HfiVE.iJI-ITt.I_ I? 3.50 ? 7ata:L fieci:!:iprt Ainaani;. 14'r'.75 CRi.1.4943 UaE:R .T.Ua iAN 01 1999 BUILDING PERMIT APPLICATION (RESIDENTIAI.) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 New ConskucHon ReauiremeMs Remodel/Reoair Reoulrementa ? S registered sHe surveys show(ng sq. H. of lot, sq. R. ot houae and gD roofed areas (20% maximum lof coveraae allowed) ? 2 copies of plana (show beam a window sizes; poured Ind. design; eic.) ? 1 zei of energy calculotions ? 3 copies o( free preservalion plan M lof platted affer 7/1/93 DATE: 6?-<? -q"/ DESCRIPTION Of WORK: STREET ADDRESS: -710?" ? `a VeN ??U?=?? 2 copies of plan 1 sei of energy calculatlons for heafed. addNions 1 sile survey tor eMerior addiflona i decks CONSTRUCTlON COSi: d¢- o 0 ?jvo (` ?(cxhC.' f - . (?o R c ?t rj . p o ?{c 4 ? ? LOT: 10? BLOCK: TJI_ SUBD./P.I.D. #: i` Name: (/ LA Pk Cc.i a? pho e! 3 7 PROPERTY Last First OWNER 5 ? ? ? Street Address: City State: Zip: Company: eeL. Rn..R.,6 , & ..,...,.__. _ _ Phone #: 1?- s-?;,- 3 4700 EXCELSIOR BLVD. (area code) CONTRACTOR ST. LOUIS PARK, MN 55416 Street Address: 19 ,,.,,.. 69 License # i -D 5--0 Exp. 33l 100 Cffy ARCHITECT/ ENGINEER Telephone #: area code ( ) State: Name: Streefi Address: Registration #: City State: Sewer,& water Ilcensed plumber (reaulred for new conshuctlon onivl: Penalry applies when address change and lof change is requested once permM is hsued, Zip: Zip: I hereby acknowledge fhat I have read fhts applfcation, sfate that the informafion is cortect, and agree to comply with aIl applicabl State of Minnesoto Sfatutes cnd Ciiy of Eagan Ordinances. Signature of Appiicant: OFFICE l1SE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received - Yes - No - Not Required OFFICE USE ONLY BUILDING RERMIT TYPE ? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 PorchlAddn. (4sea. ? 03 1 of _ plex ? 08 6-plex ? 13 16-pfex ? 18 Deck ? 23 Porch (screened) ? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage 0 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous WORK TYPE ? 31 New 0 35 Tenant Impr O 39 Gas Line Only ? 43 Siding/5offits/Fascia 0 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors ? 33 Alteration ? 37 Demolish Bidg.' ? 41 Wood Stove ? 45 Fire Repair ? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof ' Give PCA handout to applicant for demolition permit GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Width APPROVALS Planning Permit Fee Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pi. Park Ded. Trails Ded. Other Copies Total: Basement sq. ft. Main level sq. ft. sq. ft. sq, ft. sq. ft. sq. ft. Footprint sq. ft. Census Code SAC Code No. of Units No. of Bldgs MC/ES System City Water Booster Pump PRV Fire Sprinklered Building Engineering Variance Valuation: $ SAC Units % SAC Use BLUE or BLACK Ink i For Office Use H "�r,, �-IPermit#: J`" 41,11/° City of Eaton Lo OiPermit Fee: V 3830 Pilot Knob Road Eagan MN 55122 . Phone:(651)675-5675 Date Received: Fax:(651)675-5694 Staff: J 2017 MECHANICAL PERMIT APPLICATION ❑ Please submit two(2)sets of plans with all commercial applications. Date: 6!20/17 Site Address: 712 Havenhill Road Tenant: Suite#: i Name: Rick KucheraPhone: 651-343-8885 Resident/Owner I Address/City/Zip: 712 Havenhill Road Eagan, MN 55123 Metro Heating & Cooling20090002249 P i Name: License#: Contractor I Address: 255 Roselawn Avenue East#41 •City: Maplewood State: MN Zip: 55117 Phone: 651-294-7798 Contact: Micah Email: micah@metroheating.com 4 I 1 New 1/ Replacement Additional Alteration Demolition t Type of Work i Description of work: Replace existing furnace and A/C NOTE:Roof mounted and ground mounted mechanical equipment is required to be screened by City l Code. Please contact the Mechanical Inspector for information on permitted screening methods. ,_ RESIDENTIAL COMMERCIAL I— I 1 Fumace New Construction Interior Improvement Permit Type 1 1 Air Conditioner Install Piping Processed g Air Exchanger Gas Exterior HVAC Unit Heat Pump _Under/Above ground Tank ( Install/_Remove) _Other RESIDENTIAL FEES i $60.00 Minimum Add or alteration to an existing unit,includes State Surcharge I ,, $100.00 Residential New, includes State Surcharge =$ (u'OD TOTAL FEE COMMERCIAL FEES Contract Value$ x.01 $60.00 Permit Fee Minimum $75.00 Underground tank installation/removal,includes State Surcharge =$ Permit Fee =$ Surcharge Surcharge=Contract Value x$0.0005 If the project valuation is over$1 million, please call for Surcharge =$ TOTAL FEE 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. x Carley Ferrie x Applicant's Printed Name Applicant's Signature FOR OFFICE USE Required Inspections: Reviewed By: Date: Underground Rough In Air Test Gas Service Test In-floor Heat Final HVAC Screening PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA166769 Date Issued:02/03/2021 Permit Category:ePermit Site Address: 712 Havenhill Rd Lot:22 Block: 7 Addition: Hills Of Stonebridge PID:10-32990-07-220 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. 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 - Richard G & Teriza Kuchera 712 Havenhill Rd Eagan MN 55123--165 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA167618 Date Issued:03/23/2021 Permit Category:ePermit Site Address: 712 Havenhill Rd Lot:22 Block: 7 Addition: Hills Of Stonebridge PID:10-32990-07-220 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. We encourage you to retain an electronic copy of photos until the project passes a final inspection. *Roof permits issued between December and March will be inspected in the spring or when weather warms up. Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 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 - Richard G & Teriza Kuchera 712 Havenhill Rd Eagan MN 55123--165 Minnesota Restoration Contractors Inc 12252 Nicollet Ave Burnsville MN 55337 (612) 280-4807 Applicant/Permitee: Signature Issued By: Signature