3816 Fairhaven Rd?- -- ?' CITY OF EAGAN
, S 3830 Pilot Knob Road, P.O. Box 21•189, Eagan, MN 55121
?
PHON E: 454-8 100
BUILDINCa PERMIT Receipt
To be used for ;f DWGIGAEt Est. Value ?95, QUO Date al!P? 20
Site Address 361e FI-iR11avIEH ?- ' OFFICE USE ONLY +
5T',?NEB?IGGE
Lot 3 Block 2 Sec/Sub On 5ite Sewage Occupancy k-3 1 ?
. MWCC System K Zoning pI) R- i
Parcel No. w
Si
ll A
l
C
On
te
e ctua
)
(
onst
ac Name >it HOMES City Water x (Allowable) r-N
W
z `??j;a l??y?^n 5? -
Address ' ? PRV Required # of Stories
#
0 Cityt'JRY`.:x :LAlCE Phone 44C.-6400 Booster Pump Length 0
Depth 4$?
o Name SArE S.F.7ota1 ?
,
z
o ?
Address
Footprint S.F.
?
a City Phone APPROVALS FEES ?
4
55
.OJ
va
LyW Name Engr./Assess. Permit jp
-4 -7
_? Address Planner Surcharge .
277
??
vz
a W CitY Phone Council Plan Review '
ICK)
DQ
4 Bldg. Off- SAC, Ciry •
S
I hereby acknowledge that I have read this appGcation and state that the
Variance
-
SAC. M WCC '
50
5
00
information is correct and agree to comply with all applicable State of
t
St
d Cit
di
Mi
t
t
f E
O Water Conn. .
•
nneso
agan
nances.
a
a
u
es an
y o
r Water Meter 67•00
Signature of Permittee Road Unit 325.00 ?
A Building Permit is issued to:___
- -.- _
°
Treatment P1 204.00
on the express condition that all work shall be done in accordance with all Parks
appiicable State of Minnesota Statutes and City of Eagan Ordinances.
vi?? ?0
Building Official TOTAL
-, Permit No. Permit Holdsr Dste Telaphone it
Plumbing
. i
H.v.aC. &7 ,3,.? ? ? • 9i? '?'
?
Electric
f
Softener
Inspection Date Insp. Comments
Footings I 9? ?d
Footings II
Foundation
Framing
Roofing
Rough Plbg. ?
Rough Htg. lq,p /D f) yMf 1?/ C-
Isul.
Fireplace ?5 F l? S
Final Htg. /3?. . • ?
Final Plbg.
Bldg. Final
Cert Occ.
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp.
?
, i • PERM
? - . MECHANICAL PERMIT RECEI
' CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
aqress . - -- - -- - _ . BLDG. TYPE ,
? Block Sec/Sub Res. 'V
Name ,.. t: Mult
Address Comm.
1? :
City '',.•r -`'r Phone `, • -0405 Other
Name
Phone
3E OF WORK /
- v
,
ced Air ' M BTU
ler M BTU
t Heater M BTU
Cond. M BTU
it CFM
; Piping Outiets #
FEE:
S/C:
TOTAL:
WORK D ?C,RIPTION
New
Add-on
Repair
FEES
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 PEkMIT) - 1.50 EA.
i COMM/IND FEE - 1°'o OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8
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 PERMITTEE
-i 2 - u
FOR: CITY OF EAGAN
CITY
3830 PILOT KNOB
CONTRACT PRICE: PHOP
Site Address
Lot i:' Block ? SeciSub
Address ZWY.; S ? ? •. ? ?v ,
Ciry G d Phone
? Name _
3 Address
0 Ciry -
Phone
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE 8 CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12,00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
OF
CITY OF EAGAN
PERMIT #
PERMIT RECEIPT ti
:AGAN
), EAGAN, MN 55122 DATE:
BLDG. TYPE WORK DESCRIPTION
Res. X New ?-
Mult. Add-on
Comm. Repair
ather
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
N?. FIXTURES TOTAL
?Water Closet - $3.00 S ?
Bath Tubs - $3.00
.4 Lavatory - $3.00 L
-.1-Shower - $3.00
_LKitchen Sink - $3.00
' Urinal/Bidet - $3.00
_LLaundry Tray - $3.00
?Floor Drains - $1.50 f ?'-
?Water Heater - $1.50
Whirlpool - $3.00
? Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIT)
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
FEE:
STATE SIC:
GRAND TOTAL• %?a•? ' 1
,
.. __ . ?
(ger#ifiratt af (Orrupttnry
titp of (Eagan
?tpwftmd of Inaaing jwPrr;m
This Certifcate issued pursuant to the requirements ojSection 306 of the Urriform Building
Code cenijying that at the time of issuance thu structure was in com,pliance with the various
ordinances oj'the City regulating building construction or use. For the following.•
u,o C4mfineoo ''•?iJi;? •: Bldg. Pertait [vo.
O-UwaY TYPe 7,amn Diurict .lype Camt
OwnerofBw7din8 .?'?'I MES Addrm Ei MXCK TAKE
Building Addcaa ' ",' ? ?,:., i•? "„ iX:?1e) LnrjBry 13, IQ. Hul.Ci ?'' .4 `!1T•a; Srr;-r ? ? 'y-7,',
D&W : ?-_)N7EHNR 30. l u88
POST iN A CONSPICUOUS PLACE
CITY OF EAGAN Permit No: Date: 3 ?)' 1?'-" '.
3$30 Pilot Knob Road Meter No: Si2e: fj oC/<
P.O. Box 21199 Reader N o: A2 ? ? Date: Z?l - 57'?S
Eagan, MN 55121 '-'^?'-
SiteAddress: ?Jfi 'Pairhaven Road i3 B2 Hii.le of `'?.?cet>r?:.,
Plumber- iake ?tde P1u?binp
Conn. Chg: Zoning:
Acct Dep: 15 pppd No. of Units: r-
Permlt Fee: ? f? n[?d
Surcharga: S,Llpci I agree to comply with 1he City ol Eagan
Tr. Plant nnp•i Ordina s.
Meter. - - ??
Misc.: o„ i / ,r, ,. , ?.._ ?-
WATER SERVICE
CITY OF EAGAN
3830 Pilot Knob Road
P.O. Box 21199
Eagan, MN 55121 ;
Permit No: 1 I!.i ? Date:
B/P No: n751. ` Date:
_ Tiv flOmB9
Site Address:
b1WCC:
• - rl
Ciry Cng: ^
Acct. Dep:
R Permit Fee: =.a,
Zoning* ?
No. of Units:
I agree to camply wilh the City of Eagan
Ordfnances.
? Surcharge:
Misc.: BY
SEWER SERVICE PERMIT
BLDG. PERMIT NO. t SLF ? C?
01-3210 Bldg. Permit - `? (,- -
? 01-3422 Plan Check "D -7 CO
01-3445 Surch./Adm. q5
? 01-3446 SAC/Adm.
? 01-2155 Surcharge
? 75-3860 Road Unit ? a S ?U
y 20-2275 SAC 5L4?i So
,-)20-3865 Water Conn. J S? C'%O
? D -14 C'o
20-3868 Water Trmt.
??- 20-3716 Water Meter ?? ^??
? 20-2252 Acct. Dep.
oo20-3713 Water Permit
n 20-3743 Sewer Permit
? J 79-3866 Sewer Conn. 1 C=O O?
28-3855 Park Ded.
TOTAL
CITY OF EAGAN_?
3830 Pilot Knob Road, P.O. Box 21 •199, Ea9an, MN 55121 N? 15619
PHONE: 454-8100 ? 1 ?
BUILDING PERMIT Receipt*
To be used for SF DWG/GAR e Est. Value $95,000 Date SEPT 20 1988
Site Address 3816 FAIRHAVEN RD OFFICE USE ONLY
Lot 3 Block 2 Sac/Sub. STONEBRIDGOY- E on Stte Sewage - Occupancy R-3 M-1
MWCCSystem X Zoning PD R-1
Parcel No.
on site well _ (ACtuap const V-N
a Name RSM HOMES C+ry Water X (qllowable) V-N
w PRV Requiretl # of S[ories
z Address 5516 180TH ST E -
? City PRIOR LAKE phone 440-6900 Booster Pump _ Length 60'
oePCn 481
, o Name SAME S.F. Totel
?a Address Footprints.F.
? City Phone AppROVALS FEES
f-a Engr./Assess._ Permit 554.00
uW Name 47.50
?Z Planner Surchar9e _
i5 Address 277.00
aw City Phone Council Plan Review - 100.00
Bldg. Off. SAC, City
I hereby acknowledge that I have read is a li ation tl state that the Variance SAC, M WCC 550.00
inlormation is corre ct and agre to omp all plicable State of WaterConn. 550.00
Minnesota Statutes and City a n Or i ces 67.00
/ Water Meter
SignaWre ofPermittee\? ..? RoadUnit 32.$-00
A Builtling Permit is issued o:___ RS - HO S _ Treatment P1 204.00
ontheexpressconditionl atallworkshallbedoneinaccordancewithall parks
aDPlicable State offM?i^n,n'e•so{t?a Statutes and City of Eagan Ordinances. 2,674.50
BuiltlingOfficial_,!j?ic???___ TOTAL
? ?
REQUEST FOR ELECTRICAL INSPECTlON y ea-?00j001-p06
' See inshucpons (or compleiing this form on beck ot yellow cooK
E 49841 ` "X" Below Work Covered by 7his Request
New AAe flep. Type ot Building Apoliances Wired EquiVmenl Wired
Home Range Temporary Service
Duplex Water Heater Liyhtiny Fiztures
Apt. Building Dryer Electric Neavn
Commercial Bldy. Furnace Silo Unloader
Industrial BIAg. Air Conditioner Bulk Milk Tenk
Farm Othe, S5e1117 011,ce ISnacifyl
t er Suecity ther Other
Compute Inspection Fee Below
e5ize tl Fee Feaders/Subleaders Cit
s 0 to Am 5 0 tn 30 Am s
Amps 31 to 100 Amps 31 to 1U0 Am s
E ol
M E Above 100-Ampg Atwve t00_Amps
Irrigation Boms Partil.'Other Fee
Special Inspection S ?
TOTAL F
Re?rks / r.? f [tl
Nough-in Date I, the Electnca •
InSpBCtOr, hBreby
c rtity that the above
Final '??e?? mspection hes Dean
c ? .. ? metla.
Thia re0u0s1 void 18 moNlie Irom
This repuest void [y? C?'/??
18 momhs Imm
E 4984 1Y.a
S ? Reqwred? IC]ReadV Nuw Will Notity Insoec-
9`-( ? laVes ?Na lor When fteadY
? Ucensed Eleclncal Conlrncbr 1 hereby reuuest ins0action of ebove
Owner alectricel work installeA at
Street Ad
Ares
s, Box
o
r
flovte No. . City
p
/
/
'
?
ettmn o. Township Name or No. Range No. Count? ?
Occu0?,?/1[ (PPINTI
/l/ Phone No.
Pow¢ $upp iet ?j AtltlrE55 •
Ele
cvical Contractor ICompany Namal / Conrt
cto
r's t.ice
ns
No.
n
e
/
Y.??i. (
?
/
y
?
??
Cf-7 ? O'? -_3
Mailinq A Jress (Conuaclor or Owner MakinP Instailation)
116u /3- 'Sa6x2 c--e //??.
Author'zed Signa?ure IConVactor/ ner MakinB lti+tailationl Phone Number
MINNESOTA STpTE BOABU OF ELECTNIGITY THIS INSPECTION NEQUESi WILL NOT
GriB9s•Midwev Bldp. - Hoom N-191 BE ACGEPTED BY TME STATE BOARD
1821 Universitv Ave.. SL Paul. MN 55104 UNLE55 PNOPER INSPECTION FEE IS
an....e ia»i aa?_rwnn . ENCLOSED.
///?f??8 REQUEST FOR ELECTRICAL INSPECTION Ea00001-07 '
li? See insVUClions far completing this Nrm on back of yellow copy. ?C?y /
#? Q /{
?? 6? 7 4 j '7C" Below Work Covered by This Requesf
ew Atltl Rep. TypeofBuiltling AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electnc Heating
Ap[. Building Dryer Other (Specify)
Comm./Indusirial Fumace
Farm I Air Condi[ioner
Olher (speny) Contractor5 Remarks:
Compute Inspection Fee Below:
# Oiher Fee # ServiceEntrance5ize Fee # CircuitslFeeders Fee
Swimming Pool 0[0 200 Amps JZ - (Z 0 to 100 Amps 3[L -
Transformers Above 200 _ Amps Above 100- /+mps
Signs InspedWS Use Only: 7p7pL -o
Irngation Booms
Special Inspection
Alarm/Communication
Other Fee y?
I, the Electrical Inspector, hereby
tif
th
t tb
b Raugh-in
y
a
e a
cer
ove inspection has
been made. F;nei r oa?e
OFFICE USE ONLY ?
This request v0id 18 monlhs imm
/? ?7 88
2 6
5 9 4 5.3
Fequa9l Dele
i %_
9? Fire No. gnin Inspedion
Requimtl?
? Reatly Now Will NMity Inspecin
Wl
R
d
7
- Ves ? No ren
ea
y
IP licensed contractor ? owner hereby request inspection of above electrical work at:
.lob AEOreas S(S?ireet, Boz or Routa No.)
/ (?o ( ? D?. Ciry
?'?cc?n
SecYion M. Township Nama ar No. ?. Range No. Courily
OcwpeM IN „^ C
? Phone No.
./
Powat uppller Atltlress n
Eleclrkel Contractor (COmpany Name)
)-s ppritracior's Lkense No.
erl
/ S-
Mailiig AtlORSS (CoMrador or Owner Meking IiuYallsibn)
7Z
075 4J A4u.? ? 3--
Author? Siqnature (COnirado ner Meking Installali? PFaneNu.6.r
MINNE50TA STATE 60ARD OF ELECTPICIiY THIS INSPELTION REOUEST WILL NOT
GriggsNidway 6Mg. - Room 5-179 BE ACCEPrED BY THE STATE BOARD
1821 Univeralry Ave., M. Paul, MN 55106 UNLESS PROPER INSPECTION FEE IS
Phona(812)802-0800 ENCLOSED.
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
J 6`P 3830 PILOT KNOB RD, EAGAN MN 55122
657-687-4675 ?j
l J
New Constructbn Heaulremema V
• 3 replstered site surveys showing sq. !L o1 bl, sq. f1. M house; antl JU roated areas
(20% meutlmum bt coverage albwed)
. 2 copies of Dlan showing beam & wUWow sizes; poured found design, etc.)
• lsetolEnBrgyC9lculetion5
• 3 copies of Tree Preservatton Plan if bi plalled atter 7I1/93
• Rim Joist Delall Optlons selection sheet (bldgs wAh 3 or less units)
DATE
RemaieUHeuair AegulremeMa •
• 2 copies of plan
. lsetofEnergyCalalationsforhealedadditions ?
• isResurveyforexlerioratlditions&decks
• Indicale if hane served by septic system for addttrons
VALUATION -//, P?
SITE ADDRE55 _.;?21G -r.u i f/LL!/Gn oek MULTI-FAMILY BLDG _ Y _ N
NPE OF WORK 7:P G,-i :?Y , ? /?clZ?Y3"Z FIREPLACE(S) _ 0_ 1 _ 2
APPLICANT
STREET ADDRESS ('/V?/ z?WLe DU. - CITYA
L)0Lt?STATE?""w ZIPL-f
TfLEPHONE #_9S1 CELL PHONE # G l1 ?-D?-7 IG -7 FAX #
PROPERTY OWNER TELEPHONE # GSI-L?g -73 qt?
--------------------------------------------------°----° --------°------°-------------------
COMPLETE THIS SECTION FOR -NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I MINNESOTA RULES 7672
(4 submission type) • Resitlential VenHlation Category 1 Worksheet Submitted • New Energy Code Woricsheet Submitted
• Energy Envelope Calaulations Submitted Plumbing Conhactor:
Plumbing system includes:
Mechanical Con}racfor:
Mechanical system includes:
Sewer/Water Conhactor:
--------------------° ---°-------°-°--------------°------------° °------------------
I hereby acknowledge fhat I have read this application, state that the informatlon is
wim all applicable State of Minnesota Statutes and City of Eagan Ordinan9es.
Signature of Applicanf
OFFICE USE ONLY
Fee: $90.00
Fee: $70.00
RW
Certificates of Survey Received _ Tree Preservatfon Plan Received _ Not Required _
_ Water Softener _
_ Water Heater _
No. of Baths
Air Conditioning
Heat Recovery System
Phone N
Phone #
Lawn Sprinkler
No. of R.I. Baths
Phone #
LI ?
Updated 4/02
1
1988 HIJZLDING PERMIT APPLICATION - CITY OF EAGAN
,
SINGLE FAMILY DWELLING3 q
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SUAVE3C, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CONNER LOTS - CONTR9CTOR/$OMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED, NO CHANGES WILL BE ALLOWED ONCE BOILDING PERMTT IS ISSUED.
MULTIPLE DWELLINGS RENTAL ONITS FOR SALE UNITS # OF DNITS
INCLUDE 2 SETS OF PLANS, CEATIFICATE OF 3URVEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COiM1ERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
?
To Be Used For: :?ryL lG?, Valuation:
Site Address 35LG ?Ai?p,vW •? f-
Lot ? Block 0_
Pareel/Sub
Owner t? -S
Address 55 (b
City/Zip Code VQW)u`4pL-e- 6537?.,
Phone _ u'-v) - E°[m
Contraetor ?NMF
Address
1(
City/Zip Code
Phone
Arch./Engr. _
Address
City/Zip Code
Phone 4
1(
tt
qs^?Oc. a f r
AB
ABQ_ Date: 4L (3 188
On site sewage_ Oceupancy
MWCC system ? Zoning ?D '2 I
On site well Actual Const !!?V
City water c/ Allowable v=!?
PRV required _ U of stories
Booster Pump _ Length
Depth -7-
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr/Assess Permit
Planner Surcharge
Council Plan Rev3ew
Bldg. Off. ?`]IIqSAC, City
Variance SAC, MWCC
Water Conn SS-U
Water Meter
Road Unit 32E
Treatment P1 ? ??/
Parks
Copies
TOTAL ?-4
S'0
.1---
SD,?.?g' /Vpo ,-?
Gcr
?--
`
IOfJ ? f'?,! j-
/
, ,
• 1
,
GWIJ(iR V1\eS- .-
stn ADDltt;SS
E\TEItIUU ENVLI.OI'li AVtiIiAGE "U" COI4PU'7'ATI017
onTe C?
riiorie -oi'I O- G4 O6
Detecmine vorkiny s-qtkare footagc of cach.
? 1. Total cxpoyed •aall acca: ..... ;, ft. x •?? = 9,La.?,,.
2. Total roof.ceiling arca ....... /JpW ?y. ft. x •025 ? 32.5
' Total exposed wall area above Eloo[ = 7S?B.m
a. Total aall window area................................... . //$•?/ _
odinYed . . . ... . . . .
lass door arca ............................. .'3/3
C. Tocal sl 9 9 . z.B
L1. Tocal Cireplace vall area ................................. 0•4,0w .
e. Total wall framinq area (averaye LW ..................... /7g/.$
f. Total net wall area a6ove floor ....................:...... _(AdiP 1?-_
g. Tota1 rim joist area....................................... x
Total exposed foundation area O/,'S
h. Total foundation Windov area .............................. ?
i. Total net foundation area above gradc .....................
Getermine "U" va
a. g,:K x
r,. y/.3 x
c. 3L,8 x
a. 0 x
lue of
,.U., _
„U..
.. V
..U..
each wall
. S:5"
.074
. SS
0
segment.
a d. Z
= o _
e. /7Y-tff x ..U.. , /Z = Lb. --
r . _ / 38o.3 _ x ••u" , 47Y3_ --
.?.
?,. --- a------. . ?u•' .. . ?... ' . . ?. .__..
. ..... ? v89 9• r
: . 101.3
..Tocal
......
........
J • /8?,
'l? _
...... ....... .
.
..... .
It item 07 i^+ cw: thau itum ML,
tha samc nu, or L you avu n+t+t ?.ha knraui
h
oC suc G006(c) '
2. r/$g,y14- • / „ r
(1 f 2.J) -1-4 dAr
.. ?? rIa ; 9c y eo G(c ) t-
Totql e*posed roof/ceiliny acea
j. T4ta1 skylight acea.... . ............. ... .. ........ O
k. Total roof/cciliny Erarainy a[oa (avcrayc 10"c)
_? G•?
•- .............
. 1.. Total net inL;ulatcd roof/ccilirnq arc:a .... .... ............. //70+ ?
Determine "U" valur for coch roof/ceiling seymenr,
j o x,.Q.. p z, Cy
x. 130. o x^u.. , o z c 3, Y
? 1. //70•o X ..U.. aV.f.
4 ............................ . ......Total = •2 g.0
If total of Y4 is the same as, or less than q2, you have met [Iae intant of
sac eooa c01. P'tt?, "y "7- C3 :.s) 4e...
J?s4c 4aoy ??? ''.
Alterna[e 8uilding Envelope Desiqn To utilize thc total envelope system meth«1, thc values ?:stablish-_d by the
sum of items A1 and M4 sha11 not be greater than the sum of items pl and k3.
* Z
APFLICATION FOR PERMIT - '?
SEWER AND/OR WATER CONNECTIQN
*
? NOTE: PA3Q4FNf OF FEE AT TIME OF
?
? APPLICATION DOFS NOT CON- .'?.
? STIISTIE APPA('JAL OF PIItPIIT.
•
? INSPFZTION OF SE4IIO A!ID/OR WA1ER e
; xKSratiuxxocis waa, mom sE scmvt.en ;
? [!Nl'IL PFT7NIIT HIS HEFN APPROVID. ?
?f??i?»:»+:??if:r?:i:+?343f??x W+?rf.e
OF eC1gt8P9
(PLEASE PRINT
i) PROPERTY ADDRESS: t df ? In-. .lJr-)
LE7GAL DESQ2IPTION; .
Lot B oc S vision or Tax Parcel ID
IF EXISTING STRCCTURE, DATE OF ORIGINAL BUILDING PEEtMIT ISSUANCE:
Mont Year
PRESENT ZONING/PROP0.5ID DSE:
Q.CONA9ERCIAL/RETAIL/0FFICE
Q INDL'STRIAL
Q INSTIT[JTIONAL/GOVERPII?NT
2) ? NAME:
ADDRESS:
CITY, STATE, ZIP:
PHONE:
1 SINGLE FAMILY
? R- DL?PLEX ('iWO C'nits)
Q R-3 TOWDIIIOOSE (Three + Units)
Q R-4 APARTMENT/COAIDOMINIL'•M
s) ? NaME:
ADDRESS:
CITY, STATE, ZIP: . 1 ` . . . . . . ?? -
PHONE: 1 .1 . . . ?
MASTEEt LICIIVSE # i2)41
4) • ..?i • ?-
nArE: /Um /?a?, .=, ?.
rDD?ss: .5-?lL ? ?f ?-
CITY. STATE. ZIP:
PHONE:
5)
Lnits)
( Onits)
I? Active
Expired
Not recorded
Sta Initia
???CON?CTION TO CITY SEWE?_
E?-??' CON[?CT20[V TO CITY WATER a OT[?R
_??.
6)
* ****#*** * *** * **** **** *1Y*** ***** *t#"k+'nFlM* * ***#'4A' *rt*** ** * ***'k* *rtiftF*** *'k** *'k* *'k ** *** ***'k'k*tk * *t** *** ***Y
* THE GOLD COPY OF THE PERMiT WIIS, BE SENf DIRDLTLY TO PUBL.IC WORRS 1O FACILITATE MEPIIt PIC[C-UP.
* PLEASE ALTAW 1W0 WORKING DAYS FOR PROCFSSING. SONIDONE FROM '1M CITY WILL CONTIILT YOU IF THERE *
* ARE ANY PROBLFMS. f
?r***??,r*****?:+*****a***t**?t+*?**,r+r**********?r**?*+r?*t***,t+**?**?*??+*****?**?***+*+*+**t,r**+***;
.. ?
FOR CITY USE ONLY
PERMIT # ISSOED „
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Pd w/Bldg. Permit FEES:
$ SEWER PERMZT (INCLLDE SURCHARGE)
$ WATER PERMIT (INCLDDE SL'RCHARGE)
$ (C 7•,9 v $ WATER METER/COPPERHORN/0UTSIDE READER
$ $ WATER TAP (INCLL'DE CORPORATION STOP)
$ $ SEWER TAP
$ $ ACCOUNT DEPOSIT - SEWER
$ $ lp jJ ACCOONT DEPOSIT - WATER
$ ,.5-0 ' lrYD $ WAC
$ ? S U ' lJ? $ SAC
$ $ TRUNK WATER ASSESSMENT
$ $ TRONK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRONK SEWER
$ $ LATERAL BEN°FIT/TR[!NK WATER
$ ;pw 4, O-o $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
S $ TOTAL
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RECEIPT RECEIPT
DO ES OTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGAT OF WAY?
F--j YES IF YES, THEN A"PERMIT FOR WORK 6VITHIN PUBLIC
ROADWAY" MUST BE ISSOED BY THE ENGINEERING
Q
NO
DIVISION. LIST AS
A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY: A??t-o
TITLE:
DATE:
PERMI'F #:
4?qd 4_?
CITY USE ONLY
RECEIPT DATE:
2002 RESIDEIVTIAL M£CHAIUICAL P£RMIT APPLICATION
crrY oF EnsAN
3$30 PII.OT KNOB RD
EAfiAN btN 5518E
651-6$1-4675
Please complete for: ? single family dwellings
townhomes and condos when permits are required for each unit
Date: _3 ? 11 0 ??
SITE ADDRESS:
OWNER NAME:
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TELEPHONE #:
MaR 14 zooz ? !!
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INSTALLER NAME: T-1w VYUl ` I'e. -14'tQi ?- A/G'ELEPHONE #: 954?4?9 I QC(a5
STREET ADDRESS: lol `t'ZS j }Gv1t`.?-e. .-42510w?'? {tUz ?D<_.)
CITY: ?V STATE: rv?ZIP:
Place a check mark next w the permn work type
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? Add-on modification or alteration to existinq dwelling unit $ 30.00
i • urnace re lacemen
• air exchanger
• air conditioner
• other
Nature of work:
State Surchar e $ 3050
Tot81
SIGNA F PERMITTEE
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? Arrelor?s Certificate
SURVEY FOR: R.5.b7.Homes Inc.
DESCRIBED AS: I.ot 3, Block 2, lIIL[!,S OP SI'ONEBRIDGE , City oP Eagan, Ikikota
County, h4innesota and reservi.ng easements of rewrd.
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9oL.i T
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PROPOSED ELEVATIONS
Top of Foundafion . 903.-I
Garape Floor : q o 3. 3
Baeement Floor-41Sl...l 16 675,6
Approx. Sewer Serviee Elev. . ?r3?y
Proposed Elevalions . O
Exietinq Elsvatlons .
Oroino0a Oireetione -_.
Denotas Offset Stake O
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SCALE: 1 Inch = 30 Feef
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'AGAiV ENGIIVE RI1VG DEPT.
BENCHMARK,
INV, San. 5ewc.- ? Fqrhu?ti
Road a..d t-sa L...ati 1:i
6K Z? ItiJ. = BBS.$b
MIN. SETBACK REOIREMENiS
Front - 30 Nouss Slds - 10
Raar - 6arope Side - 5
I hereAy eerllfr lhat Mb wrvq. Otae a nperl ras OnpareA !y m JOB NO.:
/?EDLUND er unAer my dlreel Suparvlslen en0 Ihof i am e Auly Re91sNrrA 88R-494
land 9wwyor under Me laws ef Me 9faN of Minnooeta.
BOOK:
Planning Engineering Surveying I3 0
no? tm ea?xro?? r?.«.+r. eroa?xyro?. M?na. ?m
PAOE:
Dat?:
J9 I 0n. Lleens• 14376
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PERMIT
City of Eagan Permit Type: Building
Permit Number: EA106606
Date Issued: 08/29/2012
Permit Category: ePermit
Site Address: 3816 Fairhaven Rd
Lot: 3 Block: 2 Addition: Hills of Stonebridge
PID: 10-32990-02-030
Use:
Description:
Sub Type: e-Reroof Construction Type:
Work Type: Replace Description: House & Garage
Census Code: 434 - Occupancy:
Zoning:
Square Feet: 0
Comments: If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are
not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes.
Fee Summary: BL -Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195
Valuation: 4,000.00 Total: $105.25
Contractor: -Applicant - Owner:
Apex Roofing & Siding Mark T Ciernia 944 Oriole Dr 3816 Fairhaven Rd
Apple Valley MN 55124-0000 Eagan MN 55123
(952) 891-1919
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.
ApplicanvFermltee: Nignature issued tiy: NIgnature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA148011
Date Issued:02/28/2018
Permit Category:ePermit
Site Address: 3816 Fairhaven Rd
Lot:3 Block: 2 Addition: Hills Of Stonebridge
PID:10-32990-02-030
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description: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.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
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 -
Mark T Ciernia
3816 Fairhaven Rd
Eagan MN 55123
Dakota Water Treatment
17484 Goodland Path
Lakeville MN 55044
(952) 953-4643
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA168321
Date Issued:04/16/2021
Permit Category:ePermit
Site Address: 3816 Fairhaven Rd
Lot:3 Block: 2 Addition: Hills Of Stonebridge
PID:10-32990-02-030
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Includes Skylight
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 -
Mark T & Cynthia A Ciernia
3816 Fairhaven Dr
Saint Paul MN 55123--168
(651) 688-7396
Apex Roofing & Siding
944 Oriole Dr
Apple Valley MN 55124-0000
(952) 891-1919
Applicant/Permitee: Signature Issued By: Signature