3812 Fairhaven Rd?. .
(gerttfira#e uf (Orru?aury
Citp of (eagan
Ervar#ntpttf n# lW1b'tttg JttmpPtfintt
Thrs Cenicate i.rsued pursuant to the requirements af Section 306 af the Uniform SuiTding
Cade certrfying that at the time of rssuance this structure was in campliance with the Papious
ordinances of the City regulating building consmection or use. For the fallowing.,
[Jse Clascificxrioa
Orcupancy Type
Owrxr of Bm7dinI
Bldg. rermit No.
- TYPe Comt_
pate;
6wlding Offic6al
POST IN A CONSPICUOUS PLACE
. .. _ ? CITY OF EAGAN
.. • 3830 Pilot Knvb Road, P.O. Box 21-199, Eagan, MN 55121
PH O N E: 454-8100
BUILDING PERMIT Receipt #
To be used for _F +??/1Gy1X Est. Value i103,UOC Date SPY'iWER 27
Site Address 3912 FAT?HAVEiv
Lot ? Block Z Sec/Sub
Parcel No.
ac Name
z Address 3516 18070 aT E
a City N:txi7R t.?AfCE Phone 440°t4fRo
Name_
Address
City _
Name
City
I hereby acknowledge that I have read this application and state ihat the
information is correct and agree to comply with all applicable State ot
Minnesota Statutes and City of Eagan Ordinances.
Signature of Permittee
A Building Permit is issued to:__ h`a?:_i'JME.S_ _ _
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_
?0 J,
'78 t9 ?
i
OFFICeUSE ONLY
On Site Sewage Occupancy
MWCC System Zoning PD a- 1
On Site Well (Actual) Const
City Water x (Allowable) L'-N I
PRV Required # of Stories
Booster Pump Length 72'
Depth 39'
S.F. Total
Footprint S.F.
APPROVALS
Engr./Assess.
Planner
Council
BIdg.Off. _
Variance
FEES
Permit
Surcharge
Plan Review
SAG City
SAC, MWCC
Water Conn.
Water Meter
Road Unit
Treatment P1
Parks
TOTAL
g84•00
z??-v I
Permit No. Permit Holdsr Date Telephone ?
Plumbing
H.V.A.C.
Electric .(f ?
Softener
Inspection Date Inep. Comments
Footings I
Footings II
Foundation
Framing
Roofing
Rough Plbg. -yltr
Rough Htg.
Isui.
Fireplace
Final Htg. ?
Final Plbg.
Bldg. Final
Cert Occ.
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp.
• ?. ' • • PERMIT #
d MECHANICAL PERMIT RECEIPT # 2v
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE: PHONE: 454-e100 For Office Use Only:
Sita Address '
Lot - Block ` A L. _ ` ) '
SeclSub BLDG. TYPE WORK DESCRIPTION
rRes ??r?`?j RIDGE NeW
A-
m .?•k;;j ?I??, 17 :'iEA"'T'V`"
u ,x .
Name ? . Mu4t, Add-on
.
,
?o Address `?''' :tf"ODE ISL31'nJ "_,dr,. Cpmm. Repair
c c •
City ' • -' ? -
Phone Other
FEES
Name RES
HVAC 0-100 M BTU -$24
00
.
.
c Address ADDiTIONAL 50 M BTU - 6.00
O City Phone (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM
t PER PERMIl) - 1
50 EA
-
.
.
TYPE OF WORK ? COMM/IND FEE - 146 OF CONTRACT FEE
Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE 8 CONDOS - RES. RATE APPLJES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8
Unit Heater M BTU REMODEIS - 12.00
Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
Vent.
- CFM
- (ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Outlets # 7 BEYOND $1,000)
Other
FEE
SIGNATURE OF PERMITTEE
•
?.. S/C:
TOTAL: ?'? ? FOR: CITY OF EAGAN
a
CONTRACT PRICE
PLUMBItN
cinr oi
3830 PILOT KNOB Ra
PHONE:
Site Address 9"?1? .e
Lot ? Block ? Sec/Sub
?
m Name ? ? ? z-
ro Address
? ciry s?;?•-r. z Phone r so
Name
; Address
p City Phone
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
APT. 6LDGS - COMM RATE APPLIES
TOWNHOUSE & 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) .-
l
?
SIGNA RE OF PERMITTEE °
FOR: CITY OF EAGAN
PERMIT #
ERMIT RECEIPT #
GAN
EAGAN, MN 55122 DATE:
_n, nn
BLDG. TYPE WOFiK DESCRIPTION
Res. ? New )_(1
Mult. Add-on
Comm. Repair ,
Other ? .?
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
Water Closet - $3 00 $ J ? _L.Bath Tubs - $3.00 ?
-3_Lavatory - $3.00
?Shower - $3.00
Ki?chen Sink - $3.00 3 r•'
Urinal/Bidet - $3.00
) Laundry Tray - $3.00 -? ?
_1-Floor Drains - $1.50 ? s>'
L_Water Heater - $1.50
Whirlpool - $3.00
J-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 S/C: • S?
GRAND TOTAL• y? '?'
PERMIT NO.
01-321
01-3422
01-3445
01-3446
01-2155
r
75-3860
20-2275
20-3865
20-3868
20-3716
20-2252
20-3713
20-3743
79-3866
28-3855
Plan Check
Surch./Adm.
SAC/Adm.
Surcharge
Road Unit
SAC
Water Conn.
Water Trmt.
Water Meter
Acct. Dep.
Water Permit
Sewer Permit
Sewer Conn.
Park Ded.
TOTAL
CITY '0'F EAGAN
3.30 Pilot Knob Hoad
P.O. Baz 21199
Eagan, MN 55121
?
Permit No: ` t 1' ' Date:
B/P Na lDate: r0-27-- :
Misc.:
CITY OF EAGAN
38410 Ptlot Knob Road
P.O. Box 11149
Eagan, MN 55121
Owner._,:5?1 I
Site Address:381
SEWER SERVICE PERMIT
Permit No: 9 9 9'
Meter No: V-11:;??3 9?
Reader No: ,,?D 99? ?a
Date:
Size:
Date: Jl- z?-Sr8
Plumber.- T,azp 4iriP
Conn. Chg: 550 U4nd Zoning:
'
Acck Dep: •.S . oQ "' No. of Units:
Permit Fee:
Surcharge:
Tr. Plant • ' I agree to comply with the City oi Eagan
? ??` • ' '
Meter. Ordl ces.
/J
Misc.:
?G
S.
WATER SERVIC PERMIT
141 WCC: 5 S 0. 4i7pd Zoning. '1
r. ?
City Chg: ' ' No. of Units: `
Acct. Dep: to). i I agree to comply with the City of Eagan
Permit Fee: _ _ Ordinances.
Surcharge:
CITY OF EAGAN
3830 Pflot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N? 15650
PHONE:454-8100
BUILDING PERAIIIT Receipt# 1) 7
To be used for SF DWG/GAR Est. Value $103, 000 Date SEPTEMBER 27 ,1988
Site Address 3812 FAIRHAVEN RD
Lot Z Block 2 Sec/Sub. STONEBRIDGE
Parcel No.
a Name RSM HDMES
W Address 5516 180TH ST E
0 z
City PRIOR LAKE Phone 440-6900
°C Name_
0
?a Address
? City_
s
W Name_
z Address
a
w City1 hereby acknowletlge thaf I have ad fhis appli ion and state fhat the
of
information is correcl and a9rwagard all applicable T
Minnesota Statutes and Ciy/ o s. q ` Signalure of Permittee/ .?Q/ _ _
A Buil
ding Permit is iss6ed to: RSM NQ11E$___ ,
on the express cond ition that all work shall be done in accordance with all
applicable Sfate ofM?i-nn.?e.sota Stafutes an?tp City o! Eagan Ordinances,
BuildingOfticial?. ( W.AJA?i?-_. _
OFFICE USE ONLY
On Sfte Sewe9e _ Occupancy R-3 M-1
MWCC System X Zoning PD R-1
On Site Well _ (Actual) Conet V-N
Ciry Water X (qllowable) V-N
PRV Required # of Stories
Booster Pump _ Lengtfi 72 '
bepth 39,
S.F.TOtel
Footprint S.F.
APPROVALS FEES
Engr./ASSess. Permit 584.00
Planner Surcharge 51.50
Council Plan Review 292.00
BIdg.OH. SAC,City 100•00
Variance SAC,MWCC 550.00
Water Conn. 550.00
WaterMeter 67.00
RoadUnit
?1
325-0
Treatment P1 --204._QD
Parks
2
723
50
TOTAL .
.
P/l/SS r
R 65948 . , ?,
Hequest Date '•
C? Q C? Fire No. ouQh-in Inspecli n
uired9
YBa ? No
? ReaEy Now ?W H'II Notity Inapector
hen Ready?
Ik licensed contractor ? owner hereby requesi inspection of above electrical work at:
Job AOdress (Sireaq Boz or Ro te N0.) Ciry
?nlf? ?
Sectbn No. Towiship Name or Na. Range No. Couny
Occupanl RIM) Phone No.
aower d/?e??y /'??
??7^?r7 n?kl,ass
Electrlc nVactor (Comp9ny Name)
?. s ConVactor9 License No.
MailUg Adtlress Coniractor orOwrrer Making Inst lation)
6 7S Gc.l .l,c?,?c clt?
Autlqriz .SignaN?e pw/Ow ? kirg Installa J Phone Numbetq?'?
6
MINNESOTA STATE BOAHO OF ELECTFICfTY THIS INSPECTION REQUEST WIIL NOT
Grlgga-Mltlway Bltlg. - Noom S173 . BE ACCEPTED BY THE STATE BOARD
1821 Univaralry Ave., St. Peul, MN 5510A UNLESS PROPER INSPECTION FEE IS
Poone (612) 662-0800 ENClASEO.
rl??rJ?$8 REQUEST FOR ELECTRICAL INSPECTION ea-00001-07 WON ? See instructians lor completing fiis form on beck of yelbw copy.
65948 "X" Below Work Covered by This Request
ew Add Rep. TypeolBuilding AppliancesWired EquipmentWiretl
Home Range . Temporary Service
Duplez Water Heater Electric Heating
Apt. Building Dryer Other (Specity)
Comm.Andustrial Furnace
Fartn ' Air Conditioner
Olher (Spxify) CoMractof9 Femaeks:
Compute Inspection Fee Below:
# Other Fee # ServiceEnirancesize Fee # Circuits/Faeders Fee
Swimming Pool O to 200 Amps J Z- Z 0 to 100 Amps -?-
Transformers Above 200 _ Amps Above 100 _ Amps
SigOS Inspec[ar5 Use Only: TOTAL S?
Irrigation Booms C?
Special Inspection
AlarrtVCommunication
Olher Fee Sb (
I, the Electrical Inspedor, hereby
th
h
tiT
6
i R°"9n-'"
y
cer
at t
e a
ove
nspection has
been made.
r'y( a
OFFICE USE ONLY
Thia requaet witl 18 months tmm
,),s 2-
5Dp
RESIDENTIAL BUILDiNG
Permit Application
City OfEagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone 9 651-675-5675 FAX # 651-675-5674
New ConsWCtion Reouirements RemodeVReoair Reouiremenis Office Use Onlv
3 registered site surveys showing sq. fl. of lot, sq. ft. of house; and all roofetl areas 2 copies of plan Cert of Survey Recd
(20h maximum bt coverage allowed) 1 set of Energy Calculations tor heated additions Tree Pres Plan Recd
2 copies oi plan showing heam & window sizes; poured found design, etc. 1 5'Ae survey for addNions & decks Tree Pres Not Reqd
1setofEnergyCalculations Addifion - indicafei(on-sftesepticsystem _ On-site5epticSystem
3 copies ot Tree Preservation Plan i( lot platted after 711193
Rim Joisl Detail Options selecfion sheet (bldgs with 3 or less unAs
Date
SitcAddress )?ap{/Z A Construction Cost" 93 "50 . 06
d• UniUSte #
Description of Work ?8 Uli nrl0Gt.7S R.Z GL?Cl?P
Mtdti-Family Bldg _ Y /N Fireplace(s) _(1 _ 1 _ 2
Property Owner k/)'2 . /,Oi %//&M S Telephone # ((p51 ) y$N •lo8?v
Contractor elC?2/`/G/"5, 470 .
Address ?' (!1 t4l6cpde_t ff/,t
State YV/V cXj , City 1?100/1'10lqt?
Zip 55?12,G Telephone#(952) !?'J87•/Co/3
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv I
Enefgy Code Category . Residential Ventilation Category 1 Worksheet
(J submission type) Submitted
. Energy Envelope Calculations Submitted
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Minnesota Rules 7672
• New Energy Code Worksheet
Submitted
Telephornelz#,('
?$ r
Telepfione #? ) 1G `'' ' 1
I hereby apply for a Residential Building Permit and acknowledge that die information is complete and acciirutc;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the Statc oI' NIv
Statutcs; I understand this is not a permit, but only an applieation for a permit, and work is not to start wiihoui ?
permit; that d1e work will bc in accordance witli the approved plan in the case of work which requires a revicw nnd
approval of plans.
ILgo t- sNw
Applicant's Printed Name Applican "s Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
d 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 MiSCellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
33 Alteration ? 37
O Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
_/
W 34 ReplaCement •Demolition (Entire Bldg) - Give PCA handout to applicant
Valuation 9' Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footings (deck) _ FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundarion HVAC
Drain Tile Other
Roof _ Ice Ba Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Appraved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Building Inspector
?j2S73
• Residential Ventila6on Category 7 Worksheet Submitted
• Energy Envelope Calculations Submitted
New Construction Reauirements
• 3 registered site surveys shovring sq. ft. of lot sq. ft. of house; and all roofed areas
(20% maximum lot coverage allowed)
• 2 copies of plan showing beam 8 window sizes; poured found design, etc.)
• 1 set ol Energy Calculations
. 3 copies of Tree Preservatbn Plan if bt planetl after 711/93
. Rim Joisl Detail Options selection sheet (61dgs with 3 orless units)
DATE 6- 26 - Oz-
<3-4,1?1 "?^
RemotlellReoair Reuuirementa
. 2 copies of plan
• 1 set of Energy Calculafions for heated addNons
• 1 site survey for e#enor additiom & decks
• Indicate if home served 6y septic system for additions
VALUATION 1?pp
SITE ADDRESS MULTI-FAMILY BLDG \KY _ N
TYPE OF WORK In GCAIP FIREPLACE(S) _ 0_ 1_ 2
APPLICANT CA;-ri S?ZtiS
SiREEi ADDRESS /q&Q PzR,fl? [{1 CITY(fi"?aa?STATEPUkO ZIP ?
TELEPHONE # 6 -2 cx>,e CELL PHONE # FAX #
PROPERTYOWNER I I n?i.10. b11II 1aw.s TELEPHONE#
COMPLETE THIS SECTION FOR KNEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESO"PA RULES 7670 CA1'EGORY 1 MINTIESO'I'A RIJLES 7672
(J submission rype)
Plumbing Conhactor: __
Plumbing system includes:
Mechanical Contractor:
Mechaniril systcm includes:
Sewer/Water Contractor.
_ Air Conditioning
Heat Recovery System
JUN 2 8 2UOr
#
Fee: $90.00
-------------------------------------------°----...-----°-------°---------------------------------------------°-------
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with ali applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant
OFFICE USE ONLY
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
_ Water Softener
Wa[er Heater
_ No. oF Baths
• New Energy Code Worksheet Submitted
_ Phone #
Lawn Spnnkler
No. oF R.I. Baths
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
,
1988 BIIILDING PERMIT APPLICATION - CITY OF EAGAN -
SINGLE FAMILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTEs ADDRESSES FOR CORNER LOTS - CDNTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL HE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL QNIT3 FOR SALE UNiTS & OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECB WITH BLDG. DEPT.t
1 SET OF ENERGY CALCULATIONS
COMMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS 'EP 'j 2 1988
.
To Be Used For: j2ft?k Valuation: ft,? Date: 1tx)L(29?'
Site Address ??a ??ta
Lot ? Block H 1 LLS ?r
Parcel/Sub
Owner l` •5 . /"`
Address 65fclo tt_?OQIA Sk
City/Zip Code VIf2i0y LGkt Ss3)'
Phone ?q() - ?R05
Contractor 5CA.hl.f"
Address
City/Zip Code
Phone
Mch./Engr.
Address
Gi y/Zip Code
/D 3, pCk? ? -- -
On site sewage_ Occupancy R3 M-l
MWCC system Zoning ?D R-I
ipn site well Aetual Const I
City water ? A11owa61e - N
PRV required _ # of stories
Booster Pump _ Length
Depth 7?7
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr/Assess Permit SBy,o?
Planner Surcharge 61,O
Couneil ??.?
'
/ Plan Review 792,OD
Bldg. Off. ?
Iq R
7_7 SAC, City IDn.00
Varianee SAC, MWCC 55b,oo
Water Cann ,po
Water Meter , DO
Road Unit 3Z.S,Do
Treatment Pl ?-OU,Op
Parks
Copies
TOTAL ?
s0
Phone #
V,4LUATlON
G?RAGF
32k7-0-- 6y0X ILF= 89?- a
l? bus?
UI x3?i = ? 3?r4
? c ..
. ?:
(? X Zo = I Zo
_?-
! 514 X 62= 9 386g
) oZ ciZS
r
t, ?a //%s.a /
E:S7'G1tIUR ENVEf.OPIi AVIiINGIi •'U•' Cp;11'U'1'.YPIOII
ow«r•.e .-
si•ri: nuoiu:ss 38C`e?-
cor+TancroaRS /YJ-
onTe L( (J?p??? I,IIOtJL•' -' 1/f?0
Dctermine vorkiny square fooeagu of each.
1. TOC31 l.'%()OSCd :Idtl dYl'd ....... 1/W O.Q .".q. fi. X •11 = •6
2. Total roof.ceilinq arca .......sq. ft. x •025
Total exposed wall area above floor =/?6 O.?
a. Total wall vindow mtea .................................. O?'•
b. Total door nrea ........................................... ?3. G-- -
c. Total sliding glass dooc'arca ............................. ?-
a. Total fireplace uall area ................................. O
e. Total ua11 framing area (averaye 102) ..................... 176,0
E. Total net vall area above floor ............................ Lye
g. Tota1 rim joist area ........ ..............................'
Total exposed foundation area = Lp>•v
h. Total foundation Window area .............................. O
i. Total net foundation area above yrade..................... 1o,V.G
Determine "U" value of each wall segment.
x •?u.. ?s = 34•?
b x .,U.. , 0 7t
C. .Jf• 2 % "lJ"
?
d v X..V.,
e. /7L•G X ..U..
' f •.?Yo?'?__
?r • /79•?i/._ :.: ..??.. . Os? s 9•,3
? }? ?-?------- ."„ - -o.•?:---. _ ..._..o.._.=.
• • . . . ? . . ` . .
3 ......................................rocal . 17S:2-
IC ituw 03 is tbc samc as, or les::: thau item Nl, you have mWt c11'n i.nrunt
oc suc 6 ooG ( c?2. z_rI as .y?. c-?„-?/ a4 4
-??9SRc bo.oG?)y
Total exnosed rouf/cciliny area = /338• p.__
? j. TPtal skyliqht area••...........••........................ p
k. Total root/ceiliny frmniny arca (avorayc ioL) ............. /3 3•,?'
1.. Total net insulated roof/ceilinq araa ..................... ,o .j__
" petermine "U" value for cach cooE/ceiling scymenr._
g. o X ..U.. o _ a
-
x. 133-8 X ..U.. , oJS = 3• y
1.Ja0YL x --u-. 10.;,/ ° O'V " 3
4 ............................ . ......Total = '?98.7
If totaL of d4 is the same as, or less than 0f2?,y.ou have met tlic intent oE
?, ? S/ ?Z$. 7> ??+k."?` a. ??3• r? -rw)`,c.c.,.
SBC 6006 (01.
-.0? ? s 9 c G ov
Alternatc euilding Envelope Design
To utilize the total envelope system methal, thc values establish•id by the
sum o£ items H3 and 14 shall not be greatcr than the sum o: item, N1 and 42.
1. + z.
3. /7s. z + 4. Z9.7 = r o?. '
,
APFLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
NOTE: PA1MS7P OF FEE AT TIME OP ?.
i'. APPI.TCATION DDFS NOT CON-
? Sf21SJ1B APPRLiJAL DF PIIi[aT. "
i
?
IvSPFl`1`rON OF SESdIt APD/OR WASII2 ?.
,*t IN5P11Id.ATI0t1S WII.L N01' BE SCfDU1..ED ?
?[3TPIL PIIEpIIT FIAS HII3IN APPRGVFD. i
dtV ¦s?at++ft:fff.fitt?tfi?ifa?wt?ax+it;:wM
oF eagan
(PLEASE P INT
1) PROPERTY ADDRESS:
T•E;AT, DESCRIPTION:
T,ot7Block/St-bi division or Tax Parcel ID
IF EXISTING STRL'CT[7RE, DATE OF ORIGINAL BLILDING PERMIT ISSUANCE:
Nbnt Year
PRESENT ZONING/PROPOSID OSE:
Q CONA7ERCIAL/RETAIL/OFE'TCE
Q INDT-ISTRIAL
a INSTI'IUTIONAL/GOVERNMENT
2) ? NAME:
ADDRESS:
??-SINGLE FAMILY
? R-2 DOPLEX (;i4ro Lnits)
? A-3 TOWNHO[JSE (Three + Onits)
Q R-4 APARTMENT/COAIDOMINILM
Units)
C?nits )
E? ,P/._._?.as. . /1,?.. 7r'-
CITY, STATE. ZIP: 79
PHONE: ?/'?^L,f-•-/?D?
For City Ose
3) ?-w NAME: Pl erums I.icense:
ADDRESS: Active
Expired
CITY, STATE, ZIP: Not recorded
PHONE: MASTEE2 LICENSE # gt Initi
4)
rrArE:
ADnREss: CITY, STATE, ZIP:
PHONE:
5) =1? . i ae
CO _NNECTION 1?D CITY SEWER CON[?:C.'TION TO CITY WATER O C7Pf?R
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* TYIE GOLD COPY OF 7HE PERMIT WILL BE SENP DIRECPLY TO PUBLIC WORKS TO FACILITATE MEiER PIQC-DP. y
PLEASE ALLQW TWO WORKILVG DAYS FDR PROCESSING. SOMEONE EROM TM CITY WILL CONi'ACT YOU IF THII2E ?
* ARE ANY PROBLIIKS. ;
FOR CITY USE ONLY- +
PERMIT # ISSDED ,
z
Pd w/Bldg. Permit FEES:
$ $ /D / •-? SEWER PERMIT (INCLC'DE SURCHARGE)
$ $ WATER PERMIT ( INCLL'DE SL'RCHARGE )
$ 7'o-o $ WATER METER/COPPERHQRN/OL'TSIDE READER
$ $ WATER TAP (INCLODE CORPORATION STOP)
$ $ SEWER TAP
$ $ ACCODNT DEPOSIT - SEWER
$ $ ACCODNT DEPOSIT - WATER
$ 9,5-D G''7J $ WAC
S $ SAC
$ $ TRL'NK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRC'NK SEWER
$ $ LATERAL BENEFIT/TRC`NK WATER
$ $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
S 1 q71 ` ?Z $ TOTAL
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RECEIPT RECEIPT
DOES UTILITY CONNEC TION REQUIRE EXCA VATION IN PL'BLIC RIGHT OF WAY?
Q YES IF YES, THEN A" PERMIT FOR WORK WITHIN PUBLIC
ROADWAY" MUST BE ISSDED BY THE ENGINEERING
Q
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLL OWING CONDITIONS:
APPROVED BY:
TITLE:
DATE:
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA119358
Date Issued:11/25/2013
Permit Category:ePermit
Site Address: 3812 Fairhaven Rd
Lot:2 Block: 2 Addition: Hills Of Stonebridge
PID:10-32990-02-020
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
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 -
Linda Williams-allen
3812 Fairhaven Rd
Eagan MN 55123
Minnesota Exteriors
8600 Jefferson Hwy
Osseo MN 55369
(763) 391-5514
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA172152
Date Issued:09/16/2021
Permit Category:ePermit
Site Address: 3812 Fairhaven Rd
Lot:2 Block: 2 Addition: Hills Of Stonebridge
PID:10-32990-02-020
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.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the
water damage.
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 -
Linda Williams-brettingen
3812 Fairhaven Rd
Eagan MN 55123
Home Enhancement Services Llc
9758 Portal Dr.
Eden Prairie MN 55347
(952) 797-2179
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA172323
Date Issued:09/24/2021
Permit Category:ePermit
Site Address: 3812 Fairhaven Rd
Lot:2 Block: 2 Addition: Hills Of Stonebridge
PID:10-32990-02-020
Use:
Description:
Sub Type:Windows/Doors
Work Type:Overhead Garage Door
Description:
Census Code:434 - Residential Additions, Alterations
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 within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 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 -
Linda Williams-brettingen
3812 Fairhaven Rd
Eagan MN 55123
Home Enhancement Services Llc
9758 Portal Dr.
Eden Prairie MN 55347
(952) 797-2179
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA172324
Date Issued:09/24/2021
Permit Category:ePermit
Site Address: 3812 Fairhaven Rd
Lot:2 Block: 2 Addition: Hills Of Stonebridge
PID:10-32990-02-020
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Linda Williams-brettingen
3812 Fairhaven Rd
Eagan MN 55123
Home Enhancement Services Llc
9758 Portal Dr.
Eden Prairie MN 55347
(952) 797-2179
Applicant/Permitee: Signature Issued By: Signature