3817 Fairhaven Rd, t:. . - . CITY 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 Est. Value ' Date 1 ,19
Site Address
Lot Biock Sec/Sub.
e Name
W
3 Address
0 City Phone
°C Name
.O
? Q Address
1, Citv- Phone
Name
City
I hereby acknowiedge that I have read this application a
information is Correct and agree to comply with ail api
Minnesota Statutes and City of Eagan Ordinances.
Signature of Permittee
mdition that all work shail be done in acco
of Minnesota Statutes and City of Eagan
thatthe
State of
all
OFFIC E USE ONLY
On Site Sewage Occupancy
MWCC System Zoning
On Site Well (Actual) Const
City Water (Allowable)
PRV Required # of Stories
Booster Pump Length
Depth
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr./Assess. Permit
Pianner Surcharge
Council Pian Review
Bidg. Off. SAC, City
Variance SAC, MWCC
Water Conn.
Water Meter
Road Unit
Treatment P1
Parks
TOTAL
,
?
7-,- I
- Permit No. Permit Holder Date Telephone #
Piumbing
?
H.V.A.C.
Electric ` 1 6?
Softener
Inspection Date Insp. Comments
Footings I 3
Footings II ?
Foundation j
Framing
Roofing
Rough Plbg.
Rough Htg.
IsuL 06?
Fireplace
Final Htg.
Final Plbg. 7? ,Q
Bldg. Final
Cert Occ. zS D_
Temp. LP
Deck Ftg.
Deck Final
Weli
Pr. Disp.
MECHANICAL PERMIT RECEI
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
PHONE: 454-8100
m IName ? , , ; rt ??: ?? ?1 ; ?
? Address
c Ciry Phone `
Name -0 Lr-!c
? ?
c Address : ?y F L t t-c ,
p c;ty
? Phone ?
TYPE OF WORK
'. Forced Air
Boiler
Unit Heater
Air Cond.
Vent
Gas Piping Ourets #
Other
-7`; G °U M BTU
M BTU
M BTU
M BTU
CFM
?-
BLDG.TYPE
Res. -A
Mult
Comm.
Other
WORK DESCRIPTION
New
Add-on
Repair
FEES
RES. HVAC 0-100 M BTU
ADDITIONAL 50 M BTU
(RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PEkiIAiT)
COMM/IND FEE - 1aYo OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL AOD-ON &
REMODELS
MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50 j
(ADD $.50 S!C IF PERMIT PRICE GOES ?
YOND $1,000)
1 ? I
SIGNATURE OF PERMITTEE
FOR: GITY OF EAGAN
• PERMIT q
PLUMBING PERMIT RECEIPT a
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: _
CONTRACT PRICE: PNONE: 454-8100
Site Address 7
Lot Block, Sec/Sub
? Name ? ` r
,
?n Address
c City Phone
Name
? Address
O City Phone
FEES
COMM/IND FEE - 1°r6 OF CONTRACT FEE
APT. BLDGS - 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)
SIGNATURE OF PERMITTEE
FOR: CITI' OF EAGAN
?
?O
U
BLDG. TY E WORK DESCRIPTION ?
Res. ? New
Mult. Add-on ?
Comm. Repair ?
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
?Water Closet - $3.00 $
? Bath Tubs - $3.00 '
a Lavatory - $100 r
? Shower - $3.00
?Kitchen Sink - $3.00
Urinal/Bidet - S3.00
._L_-Laundry Tray - $3.00
? Floor Drains - $1.50
? Water Heater - $1.50
Whirlpool - $3.00
1_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:
GRAND TOTAL: -? -?• S U
1 ,
(Itr#i#iratt uf (Orrupttnry
titp of eagan
aeporhnrn# o# wuflbatg iwrriiun
This Cenifrcate issued pursuant to che requirementr of Sectron 306 of the Unijorm Buildireg
Code certifying that at the time oJissuance this slructure was in compliance with the various
orrlinances of the City regulating building construction or use. For the following.•
uaeaaWecsuon SF DWG/GAFZ 15097
BMS. Rrmu No.
??.? R- l4-1 ?a?+a PI) .F.-i. T caqee
?of?? Grand Oa?CS Devei .? 3988 Ston??ri _Se r. N.
a;.r aven . <}?a? rz e
sWwiag naa? 3817 . ?,ty . , , s o: ..t
oau: 19:?X
Huilding Of6dd
POST IN A CONSPICUOUS PLACE
-
CITY OF EA(iAN 'Permit No: Date: ?
3830 Pllot Knob Road Meter No: .116,0 ? Size: ll °r
?
P.O. Box 2.199t Reader No: Date:
Eagan, MN 55121
Owner. . .
Site Address: 'aQ "l J
Plumber.
Conn. Chg: 550 .OQpd Zoning:
Acct Dep: 15. OUPd No. of Units: t
Permit Fee: 10 , nOnd
Surcherge: 701)d I agree to comply wlih the City oi Eagan
Tr_ Plant 2- 04 , 0 `)rd Ordinances.
Meter. ? ? n,l.r, a
Misc : ?
By
WATER SERVICE PER
CITY OF EAGAN Permit No: ? ?? 7i'?i6 Date: L' -I
3830 P71ot Knob Road B/P Na a`' "PI Date: 7""3 ='•
P.O. BOZ 21109 ? Ea6an, MN 55121
Br
SEWER SERVICE PERMIT
MWCC: SSQ_t)(1nd Zoning-
City Chg: 11n. OOnd No. of Units: ?
Acct Dep: 15.000d
10. ???? 1 agres to compiy with the City of Eagan
Permit Fee: r ? Ordlnances.
Surcharge: ',Ori`'
RESIDENTIAL
' BUtLDINC PERMIT APPtiCATION
CITY OF EAGAN c14?j, a5"
! Cl 3830 PILOT KNOB RD • 55122
651-681-4875
New ConsWCtlon Recuiremenfs
• 3 regisiered site surveys showing sq. R af bt, sq. ft of Irouse; ancLff roofed areas
(20% maximum bt mverage abned)
. 2 copies of plan shpwing beam & wlndow sites; poured found deson, etc.)
. 1 sef of Ene(gy Cekulations
. 3 copin M Tree Presenation Plan if IM pladed eRer 717193
• Rim Joist Deteil Options selection sheet (bldgs with 3 or less uniS)
DATE
JOB SITE ADDRESS
?Lf /7 Fa;.
IF MULTI-FAMILY BUILDING, HOW MA,N,?Y/ UNlTS?
PROPERTY OWNER DAV,d 1/v e? ?
TYPE OF
APPUCANT _1/4N(<'
ADDRESS /?*? f f'- //
PAGER #
ZIPCODE l`-Jrl/e
CELL PHONE # eld " 7y? -°td 4- FAX # `
NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY
Energy Cade Category _ MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
_ MINNFSOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumbing Contractor. _
Plumbing System Includes:
Mechanical Contractor.
Mechanical 5ystem Includes:
Sewer/Water Conhactor.
FIREPLACE(S) _ 0 _ 1 _ 2
PHONE# 6Y°2'
Phone #
Phone #
Fee: $90.00
Fee: $70.00
All above infortnation must be submitted prior W processing of application.
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all appliCable State of Minnesoto Statutes and City of Eagan Ordinances.
SignaFure of Applicanf ?a. #_14W
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
_ Water Softener
_ Water Heater
_ No. of Baths
RemodeVReoairReauiremeMs
. 2 copies ol plan
. 1 set of Energy Caiwlatlons for heated additions
. 1 site survey for ezterior additions 8 decks
. Indirate if home served by septlc system for addilbns
VALUA[ION
Phone #:
Lawn Sprinkler
No. of R.I. Baths
_ Air Condiboning
_ Heat Recovery System
Updated 1101
BLDG. PERMIT NO. - 1 ? l( l( /
01-3210 Bldg. Permit Co
? 101-3422 Plan Check nU
? - 01-3445 SurchJAdm. P-1 I
01-3446 SAC/Adm. 5 5 c)
? 01-2155 Surcharge l(i ?
? 75-3860 Road Unit -??? 00
` 20-2275 SAC
?
I?l
20-3865
Water Conn.
?150
C?O
y' 20-3868 Water Trmt Cic)
? 20-3716 Water Meter 1 00
\
?
20-2252
Acct. Dep.
00
? 20-3713 Water Permit ? CD
U
20-3743
Sewer Permit
I ? n
?
?-LJ
79-3866 Sewer Conn.
28-3855 Park Ded.
TOTAL 01-)i
CITY OF EAGAN N° 15 0 9 7
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
" PH ONE: 454-8100
g?
BUILDING PERMIT ' Receiptu
To be used for SF DWG/GAR Est. Value $81,000 Date MAY 31 ,ig 88
Sife Address 3817 FAIRHAVEN RD
lot 11 Block 3 Sec/Sub. STONEBRIDGE
Paicel No
m Name GRAND OAKS DEV
3 Address 3988 STONEBRIDGE DRIVE N
a City EAGAN phone 452-0747
o Name_
?a Address
? CitY_
ww Name_
.w
x g Address
aW City
I hereby acknowled9e [hat I have read this application a state [hat the
iniormation is correct and agree to compry with all applica tate of
Minnesota Statutes and City of Eagan Ord' ance ? q
?
Signature of Permittee
A Builtling Permit is issued to:_GRONILOAKS_IlEY
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota StaNteys? a?nd City of Eagan Ordinances.
Building Ofticial?L?]!
l
OFFICE USE ONLY
On Site Sewage _ Occupancy
MWCC System X Zoning
On Slte Well _ (ACtual) Canst
Ciry Water X (Allowable)
PRV Fiequired _ # of Stories
Booster Pump _ Length
Depth
S.F. Total
Footprint S.F.
APPROVALS
Engr./Assess.
Planner
Council
Bldg. Off.
Variance
FEES
Permit
Surcharge
Plan Review
snc, city
SAC, MWCC
Water Conn.
Water Meter
Road Unil
Treatment P1
Parks
TOTAL
R-3 M-1
PD R-1
V-N
V-N
50,
48'
498.00
40.50
249.00
100.00
550.00
550.00
67.00
3 25. 00
204.00
2,583.50
This renuast void
18 " ?//
pmhs from
E 21 n5s1
C,
ucensea [iectncai conuactor 1 hareby raquest inapection of ebova
Owner elecbical work installed at:
Street AAAress, Box or Route No.
3s 17 GtY
eclion o. Township Name or No. AanOe No. Cou ?ly ` ?? ?
Occ nt (PRINT)
r Phone No.
? --,
Power Supplier Add,ess
- ` '/-
'r
?
C/
)
Electrical Conlractor anV N mel Conlrar,l r s mense No.?
O?l?ffS
Mailinp Jress (ConVacmr or Owner Making 1 stailationi
°
Y)n
3 - S
.
oc.?e /
r
Aut? rized Sig ??ure C vactor?0 er Making Installation) Phone Number
M?NNESOTA STATE BOAPD OF EIECTqICITV TNIS INSPECTION HEQUEST WILL NOT
GriB9s-Midwey Bldq• - floom N•191 BE ACCEPTEO 9V THE STATE BOARD
UNLESS PHOPEN INSPECTION FEE IS
1027 Univeraitv Ave.. SL Paul. MN 55704 ENCLOSED.
Phone (612) 642-0800
HEQUEST FOR ELECTRICAL INSPECTION . Epa-/o/o/oot-os
If, See Instructions for compleling this lorm on back ot yellow copy.
E F`Z.? 053 5 ""1(" Below Woik Covered by Ihis Request
AAJ Rap. Type ol BuilCing AoCluoncea Wired EnuiVmeni Wire!1
Home Ranye Temporary Service
Duplex Wa[er Heater Lfghtiny Fiztwes
Apt. Building Dryer Electric HeaLn
Convnercial Bidg. Furnace SIIO Unloader
InAustrial Bldg. Air Conditioner Bulk Milk Tank
Farm Otnx, oecitv Clne, ISimc:ivl
tner Speci y the, Othi:,
Comuute lnsoection Fee Below
# Fee Service Entmnea5iia b Fee Feaders/5ubleeders p Fey Circurts
0 to 200 Am s 0 to 30 qm s 0 tn 30 Am>s
Above 200 qmps 31 to 100 qinps 31 to 700 A
Swimming Pool Above 100-Amps Above 100_Amps
Transrormers Irrigation 8ooms PartiaLOth Fee
Signs Special Inspection .S S[j
-
TO L FEE
Nema.ks
, .. -? il7 ?
-+.
Bougn-in ihe '
InsOecbq hereby
carlity that the above
Final inspection hes been
mede.
Thia repuest voiE 18 momiu im.
-* ?
RESIDENTIAL BUII,DING
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWdion Reauirements RemodeVReoair Reauiremenis OHice Use Onlv
3 registered site surveys showing sq. k. of bt, sq. ft of house; and all roofed areas 2 copies of plan Cert o( Survey Recd
(20% maximum bt coverage allowed) . 1 set of Energy Calculatans for heated additions Tree Pres Plan Recd
2 copies of plan showing beam & windove sizes; poured found desgn, etc. 1 si[e survey far additlons & decks Tree Pres Not Reqd
1 set of Energy Calculafions Additbn - indicafe if onsite septic system _ On-site Septic Sys[em
3 copies of Tree Preservation Plan'rf bt platted aKar 711193
Rim Joist Defail options seleclion sheet (bldgs wiN 3 or less units
Date Construction Cost Mit35w/
Site Address T__(X`( ?1[A(,?,Q.?? UniUSte #
Description of Work
Multi-Family Bldg _ Y _ N
Fireplace(s) _ 0 _ 1 _ 2
Property Owner ?ANZ)Telephane #((6j )6?V p- 134$
Contractor
Address
S[ate
RENEWAL BY ANDERSEN
1920 COUNTY ROAD "C" WEST
ROSEVILLE, NIN 55113
COMPLETE THIS AREA ONLY IF
Energy Code Category - Minnesota Rules 7670 Cateeorv 1
(J submission type) ! • Residential Venfilation Category 1 Worksheet
Submitted
• Energy Envelope Calculations Submitted
Licensed Plumber
Mechanicai Contractor
Sewer/Water Coniractor.
_ City
hone # (
A NEW BUILDING
Minnesota Rules 7672
• New Eaergy Code Worksheet
Suhmitted
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the iRiSrrnation is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; 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 pla}? in the case of work which requires a review and
approval of plans. ? ,
Applicant's Printed Name AHIicanYs Signature
..v.v.YV•.t litV 4L.oV Crie. !OJ Oll ?. ,
?40o tcaarunu nr enuntu?mr
re ax
?? .
. Jmat 2001 EMS=
3? ?? p
.wd
ESM MN 55122
ro whon, rc May eonoern:
Elder 7ones ie auhorized tA ptn bniIdtng Permlts Por Reuewal by Mdaasem_ Plettss qtIow
Sldcr Joncs to pmvidc this servicc far ns in Hagen. IMa euthatizntidn U. vaiid for any
date beyond 6/610l: uutil a .?bnewaj
-
to the Clty by Andcrseyn m? ?lY cgvokes ft in arifting
jrecP
poonl w an aa be sc,?ted-?pa?dously, as eo not delny in dse p? of
oar bail ' Y fuzfftcs. Rl!eeac call mc if Uu.o aro en
oontectcd az 763-502?4746. Y 4n??ons., I can he
_ ,.
Your immgdieAe at.attott to mattCr is
sinoe*0ly.
dRenewa? bY Aud=on CorPvrativn
('.a. Karn-FlttEx Tnnea
W*0: c??
"? „,wm
qmut
Received Ti*me Jun. 7 1 ?01Pm
1\ /f
'
198'8 BUILDING PERNIIT APPLICATION - CITY OF EAGAN
?3oq?
SINGLE FAMILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CEATIFIC9TES OF SURVEYt 1 SET OF ENERGY CALCULATIONS
NOTEs ADDRESSES FOR CORNER LOTS - CONTAACTOR/HOMEOWNER MUST DFSIGNATE WSICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BOILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL QNITS FOR SALE UNITS U OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SUAVEY - CHECK WITA BLDG. DEPT.r
1 SET OF ENERGY CALCULATIONS
COhMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STAUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
To Be Used For: l,uq P?, ,[_/Valuation:
Site Address RS{) 7/ f-'?.?,Z NCt iia iJ iai f-
Lot /I Block _j
Parcel/Suh ?'L,c? '= To,r??/,?ida
Owner, e?'R.. '42 (!!!1n. /'? s
Address
City/Zip Code
Phone
Contractor 4-i2a ,,i?/ ee??Z' KS
Address
City/Zip Code 9Q,?, M AJ 6-5203
Phone o C
Arch./Engr.
Address
City/Zip Code
Phone U
Date: ?- 2
?-
On site sewage Occupancy 3 M-1
MWCC system Zoning D i2-f
On site well Actual Const V-N
City water L,7 Allowable V-N
PRV required _ II of stories
Hooster Pump _ Length so
Depth
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr/Assess Permit y98,00
Planner Surcharge -q-D 50
Council Plan Review OD
Hldg. OPf. SAC, City Ihb. 0
Variance SAC, MWCC OD
Water Conn Oo
Water Meter 6D'ao
Road Unit 32.SIDo
Treatment Pl Z D'-/. oc
Parks
Copies
TOTAL 5? 83. So
``Q '/
CITY OF EAGAN
EXTERIOR ENVELOPE AVERAGE 'U' COHPUTATION
OWNER:
GRAND OAKS DEVELOPMENT COMPANY
SITE ADDRESS:
A+I 1 , ??
CONTRACTOR: GRAND OAKS DEVELOPMENT CO. DATE: PHONE: 452-8167
Determine working square footage of each:
1. Total exposed wall area .. 2023 sq. ft, x.11
2. Total roof/ceiling area .. 1248 sq. ft. x.026 = 37_t3
Total exposed wall area above floor = 1831
a. Total wall window area ............................ 269
b. Total door area ................................... 40
c. Total sliding glass area .......................... 42
d. Total fireplace wall area ......................... -----
e. Total wall framing area (average 10%) ............. 148
f. Total net wall area above floor ................... 1332
g. Total rim joist area .............................. 120
Total exposed foundation area - 72
h. Total foundation window area ......................
i. Total net foundation area above grade .............. 72 _
Determine 'U' value of each uall segment:
a. 269 x 'U' .414
b. 40 x 'U' _07700 = "? QFiL
c. 42 x 'U' .460
d. --------- X 'u' .2500 =
e. 148 X 'U' _06998 - 1Q-"iF
f. 1332 x 'U' .03716 = 49-5iQ_
g. 120 x 'U' .03528
= 4 2?
h. x 'U' .4800 -
i. 72 x ' U' .06609
? 2
3 . ................................................... Total = _2
.1Lfi
If item 1!3 is the same as or less than item O1, you have met the intent oC SBC
60o6(c)2.
Total exposed roof/ceiling area - »aa
j. Total skylight area ............................... ^6
k. Total roof/ceiling framing area (average 10$) .....
1. Total net insulated roof/ceiling area .............. 1117
OVER
r •
Determine 'U' value for each roof/ceiling segment:
j, 6 x lUt _53 = 3 1f} ..
k. 125 x 'Ut .02694 ' 3.62
1. 1117 x 'U' .02205 = 24.63
4 . ...................................................... Total = 31 _43
If total of I14 is the same as or less than #2, you have met the intent of SBC
6006(c)1.
Alternate Building Envelope Design
To utilize the total envelope system method, the values established by the sum
of Items /!3 and t14 shall not be greater than the sum of Items {/1 and (12.
1. + 2. -
3. + u. _
r ?
• SINGLE & DOUBLE FAMILY HOMES '
1984 ENERGY CODE REQUIREMENTS
On or about March 1, 1984, the following energy code requirements
should be calculated and included with a building permit application.
1. Roof - ceiling assemblies - R-38 U= 0.025 Average
2. Exterior walls & rim joists - R-20 U= 0.11 Average
3. Floors over unheated spaces - R-20 U= 0.05 Average
4. Exterior overhangs will be considered as exterior wall.
5. Foundations (all exterior walls) - Minimum of R-5 insulation.
6. Al1 insulated areas must be separated from the heated space
by a well-lapped or sealed vapor barrier with a minimum perm
rating of 0.1. A 4 mil. polyethlene sheet or equivalent meets
this requirement.
A Kra£t £ace R-19 type insulation will be accepted in the rim joist
areas. Air chute baffles are to be placed in every rafter space.
P
RooF ? C-EILINC,
VAL
G?P. eD. -- s? •
? QQ INSULA?IDN ?1`?,°c?.
AlF FIu'1 ./ 7
' u,.???os ?STILL? • ?
TbTAL Crz)= vs3y
.?
. ;
? WALL . ? ....
(1?) vALC
Qv IC? l'c(=tof= RIfZ F[LM - G$
-5D. * : .. . y'?-
J', / q: ° `
?o ??`c` SID?rG, . 6 / •
D ex;_F-loiff- kT2 F1Lri
' y'_ .0-37/6 , • .
7oYAL
, .
? r
,i 11?TE1'-lorc A?c? Ff?t? . ?.8.
5 V2 lh'sULAllcla
IC 'Z FICZ-
. i5 Z?51-zn.
O exT`?cIDr, A.F- F?LM . i ?..
64
u.U`' _ ; .o3s?8 .
(jR=._:, /% -ToTR? ?Cc?=2?r.3Y
.00
FoJN?AT?o??? .
' • - Ctt? VALU?
•?? iN ?c.4?1?It A<<c
Q 3s/-.5 u?, ' 17_oc
• ? ?i . .
Q ETjc? lo;c A!R Fl(.M
u= •o? ?oy
tt?u _ l/CZ=
?"? T0?[A? (CC?=/S./.3
?
Floors o?e; unhcat.cd spaccs must havc mininum R-factor of R-20 (tucL-undcr gara.cs).
Floors ov,r outdoor air (ovcrhangs) nust liavc a nininum P.-f actor of R-33. , •
. Czz[ or r.nCn,i -
KININNM °U" VALUE iV\D P.-F.ICTOA AT P.OOP, IdALL, RTi[ !u\D C0NCI;L'Lf BLOC[:
`7 r.
APFLiCATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
. ,,.. , . .
.
? N31'E: PAYMFNf OF FEE AT Y'IME OF
.
:
; nrri.icr,xIoN ooFS rxm caw- ;
? S1'I1V1E APPRQJAL OF PIItbffT.
•
,*R TFISPFCPION OP SEW[It APID/OR C7ATfR R
?.
i IIY9fNdATIOIIS WILL NOT BE SCIDULID ?
y t'Nl'IL PP177+QT HAS BEEN APPROVID. ?
dtV •f!f**Yfi;1kRlk*lffkfY?*ifStfYl???YY4lf
OF CC1gai9
(PLEASE PRINT
1) PROPERTY ADDRESS: . . . . 3q) - ".] . . 1? j P 'pe cL LJ
T•FY;AT' DESCRIPTION;
or
IF EXISTING STRL'CTURE, DATE OF ORIGINAL BLILDING PERMZT ISSUANCE:
Nbnt Year
PRESENT ZONING/PROPOSID USE:
Q ,COhA9ERCIAL/REPAIL/OFFICE ?i R-1 SINGLE FAMILY
Q IAIDC?STRIAL R-2 DLiPLEX (3tvo C'nits)
= INSTITUTIONAL/GOVERAIIMENT Q R-3 TOWNHOL'SE (Three +. Units) ( Units)
Q R-4 APARTMENT/CONDOMINIUM ( L?nits)
2) ? NAME:
ADDRESS:
CITY, STATE, ZIP:
PHONE: .-Q. ,
For City Ose
3) N?1ME: Pl re L? cense:
Active
ADDRESS: ? Expired
I
CITY, STATE, 2IP: rj .5' /,-?Z 3 Not recorded
ENSE #
6
'
PHONE: MASTEEt LI C
2=1
?
] - M Sta Initia
4) e?'aZh7'.i:?o,i?
NP.ME:
A?DRESS:
CITY, STATE, ZIP:
PHONE:
?
5) ? ? • .i. a. 'al;u i .. 59ry?0
q CONNECTION TO CITY SEWER Q CONNECTION TO CITY WATEEt O OTfM
6) MU Mel, -W:7?
**t?*,t***??*t***?*?t*?t**??*,t***?*?*,t*****:tt*,t**?*t***?*r**:t***,t?,tw,t?,t***t**+*tt,t*****,t*??:t:r,t?*tt*-x?
* TfE GOLD COPY OF THE PII2NffT WILL BE SENP DIRECIS,Y TO P[JSLIC WORKS ?U FACILITATE MEfER PIQC-[)P.
PLEASE ALLrOW 7FA WORKING DAYS EY)R PROCESSING. SOMEONE FROM TM CITY WILL CONTACT YOi? IF 7HEEtE ?
* ARE ANY PROSLIIdS. `a
?+**********,t**r**********x*?t********************,r**,tr*****,r********?****t***t***?****+t****,t*****y
FOR CITY USE ONLY r , -
PERMIT # ISSC'ED
6 Z Cj .
Pd w/Bldg. Permit FEES:
$ $ SEWER PERMIT (INCLUDE SURCHARGE)
$ $ WATER PERMIT (INCLUDE SDRCHARGE)
$ $ WATER METER/COPPERHORN/0['TSIDE READER
$ $ WATER TAP (INCLUDE CORPORATION STOP)
$ $ SEWER TAP
$ $ ACCOUNT DEPOSIT - SEWER
$ 1,5?U`O $ ACCO[)NT DEPOSIT - WATER
$ 6'7S-0 a-? $ wAc
$ $
SAC
$ $ TRUNK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRDNK SEWER
$ $ LATERAL BENEFIT/TRONK WATER
$ vee o $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
$ 1572 Z- DO $
TOTAL
_ . ??Z 3 d
RECEIPT RECEIPT ?
DOES UTILITY CONNE CTION REQUIRE EXCA VATION IN PUBLIC RIGHT OF WAY?
Q YES IF YES, THEN A" PERMIT FOR WORK WITHIN PLBLIC
Q
NO ROADWAY" MOST BE
DIVISION
LIS ISSLED BY THE ENGINEERING
.
T AS A CONDITION.
SUBJECT TO THE FOL LOWING CO[VDITIONS:
APPROVED BY:
TITLE:
DATE:
?
PERMIT #
Please complete for:
RECEIPTOATE: k1_0
it£S1D£NTIAL PLUM$INfi PEgMiT !lPPLICATION
crrY oF F.As"
3930 PD.OT KNOB t{D
EA6AN. MA 55122
651-681-4675
? single family dwellings
? townhomes and condos when permits are required for each unit
> backflow preventer for irrigation svstem
wEa, oaviu
SITE ADDRESS: 3e17 FaiRHnvera aono
EAGAN, MN 55123
OWNER NAME: : c651J sa&a398
T
INSTALLER NAME: NORBLOM PLUMBINO C0. Inli4a STREET ADDRESS: ??
? MiNNEAPOUe, MN 65M
CITY:
TELEPHONE #:
- (AREA CODE)
Place a check mark nest tn the errmit wnrk tvea
TELEPHONE #:
(AREA CODE)
STATE:
ZIP:
New residential dwelling unit under construction and not ownerloccupied $ 90.00
Add-on, modification or alteration to existin dwelling unit, including: $ 50.00
• abandonment of septic system
• new installation/repairlrebuild of RPZ
• lawn irrigation system
• waterturnaround
Nature of work: V-'PO2C.2
Septic System, new/refurbished - $ 225.00
• inciudes Cour;ty & Ccn;uRing Irspector ,?ees
• requires MPC license
State Surcharge $ .50
Total $ 60• s-0
Reminder: Be sure to schedule inspections of alterations, i.e. water heaters, water softeners, etc.
I hereby acknowledge lhat I have read this application, stale that IDe information is correct, and agree lo complywith all applicable Cityof Eagan ordinances. It
is the applicant's responsibility to notify [he property owner that the Ciry of Eagan assumes no liabilily for any dama9es caused by the City during.its-rwrm\al
operational and maintenance actlvities to the facili6es consWCted under this permit within City property/right-of-way/ea§em`enL `?;
?. I,. I,
OF PERMITTEEIi'
??-
Updated
'3i ---_?-__--
S U Ft VEY O R' S CER T I F I C A T E GRAND OAKS DEVELOPMENT CO.
,
,?p?N
?? ''
SrO?'t6
16
?
I ?
I 1^? r /? I i 1 i-r /
I.-- 147.28 N88°31' IS"E
n ?
7Y E ??`
NENT PER
n ae.oo
- 60.31
`4? / -7/O
? LAT 11
AO LOCK 3
o?
,Y\ `. o GPe` o , c '?.? ? \ry0• ?0
R t
L:?
b ? ,a 6 ? ?
a? ??4j
?
al ? R C.) ED'.
17nre --?z
EAGAN EIvGI?VE RING DE4M
+--- DENOTES PROPOSED SURFACE DRAINAGE
O DENOTES IRON MONUMENT SET SCALE: 1 INCH - 30 FEET
• DEN07E5 IRON MONUMENT FOUND PROPOSED C3ARAC3E FLOOR - 9aS? Z - FEET
X000.0 DENOTES EXISTINa ELEVATION PROPOSED LOWEST FLOOR - 9oz,41 FEET
(000.0) DENO7ES PROPOSED ELEVATION PROPOSED TOP OF BLOCK - 965.4 FEET
WE HEREBY CERTIFY TO GRAND OAKS DEV. C0. THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Lot 11, BloCk 3, HILLS OF STDNEBRIDGE, according to ihe recorded plat ihereof,
Dakota County, Mlnnesota.
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS
SURVE'YED BY ME OR UNDEF MY DIRECT SUPERVISION THIS 24TH DAY OF MAY .1988.
PRoPOSED QRApBS SNnWN WBRE TAkEN
rRGin'fUb DEYELOP!*1E" PLAN PaR SIGNED:. JA , tNC.
NiGCS oF STUNE6Rl06E, PREPpRED
gY.PIOR£fiRFN6WEEF/NG, LAST DAf&O - ' .? ? •
ro-2b- 87. BY: '' ° ?}-?-
• HAROLD C. PETERSONLNDA SURVEYOR
MINNESOTA LICENSE'NUMBER 12294
m
?
?
o
D
Hill
inc
James R
? ? ? N o ? .
,
.
_
o p m
? o W ?
W-? T
D [n
Z .p D
' m ? ?
? m . .
RLANNERS / ENGINEERS / SUftVEYORS
m Z N ?
- O m 9401 JAMES AVE. S. • BLOOMINGTON, MN. 55431.• 612-884-3029
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA108830
Date Issued:01/16/2013
Permit Category:ePermit
Site Address: 3817 Fairhaven Rd
Lot:11 Block: 3 Addition: Hills of Stonebridge
PID:10-32990-03-110
Use:
Description:
Sub Type:e - Water Heater
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Dayna Gardner
505 RANDOLPH AVE
ST PAUL, MN 55102
651-228-9071
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Barbara G Weil
3817 Fairhaven Rd
Eagan MN 55123
Bonfe's Plumbing & Heating
505 Randolph Ave
St Paul MN 55102
(651) 228-9071
Applicant/Permitee: Signature Issued By: Signature
!"
#$%&'()' *+*,
-./$%'"&0-1 -FL*,$F*4
-./$%'63/7-.1 89::;C;
=*%-'!>>3-519?@A?@A?9;
-./$%'#*%-+(.&1- -./$%
B$%-'855.->>1'':<9O''G*$.L*P-,' 5''
""#$ %& ''3())* * + ''\]*$$.'KP'= +-/1*)H-
456 "!73;WW!7!37""!'
<.-
=->F.$0%$(,1
=0/'>2?- B-.*)-+ *C$
, 1&'>2?- B-?$C%-
6-.%1*? * + J01+C%-
^0-. * +.'1-HC1)*+H'-$-% 1*%C$'?-1L* '1-I0*1-L-+ .'.N 0$)'/-')*1-% -)' '= C -'X$-% 1*%C$'5+.?-% 1Q'DC1&'(+)-1. +'C 'SW:;\['
#(//-,%>1
FF:7;8F!O
EC1/ +'L + R*)-')- -% 1.'C1-'1-I0*1-)'@* N*+'"!'P-- ' P'C$$'.$--?*+H'1 L' ?-+*+H.'*+'1-.*)-+ *C$'N L-.'SD*++-. C'= C -'
DX'7'4-1L* 'J--'SB-?$C%-L-+ .\[U:WO!!'!8!"OF!88
G--'B3//*.&1
=01%NC1H-7J*R-)U"O!!'W!!"O;"W:
"(%*41HN?I??'
#(,%.*F%(.1JK,-.1
7''(??$*%C+ ''7
= C+)C1)'\]-C *+H'\\'(*1'E +)* * +*+H#1- 'D'E . C*+
"3!'4$2L 0 N'(M-O'Y38"Z'JC*1NCM-+'B)
D*++-C? $*.'DY''::F""XCHC+'DY''::";3
S9";\['8;F7;9:9S9";\['8F!7FF:"
5'N-1-/2'C%&+ @$-)H-' NC '5'NCM-'1-C)' N*.'C??$*%C * +'C+)'. C -' NC ' N-'*+P 1LC * +'*.'% 11-% 'C+)'CH1--' '% L?$2'@* N'C$$'C??$*%C/$-'= C -'
P'D*++-. C'= C 0 -.'C+)'E* 2' P'XCHC+'K1)*+C+%-.O
(??$*%C+ A4-1L* -- '=*H+C 01-5..0-)'#2 '=*H+C 01-
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA137173
Date Issued:06/21/2016
Permit Category:ePermit
Site Address: 3817 Fairhaven Rd
Lot:11 Block: 3 Addition: Hills Of Stonebridge
PID:10-32990-03-110
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
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 -
Brett M Costain
3817 Fairhaven Rd
Eagan MN 55123
(612) 840-4451
Standard Heating & Air Conditioning
130 Plymouth Ave. N
Minneapolis MN 55411
(612) 824-2656
Applicant/Permitee: Signature Issued By: Signature