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3821 Fairhaven Rd3830 ? BUILDING PERMIT To be used tor Site Address A ? Lot • Block ' s Parcel No. W rvart ; Add0 Clty ¢ o Name . ? Q Addre City _ I hereby acknowledge that I have read this appiication and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee A Building Permit is issued to: on the express condition that all work shall be done in accordance with all applicable State ot Minnesota 5tatutes and City of Eagan Ordinances. Address City Phone CITY OF EAGAN Knob Road, P.O. Box 21-199, Eagan, MN 55121 PH ON E: 454-8100 Receipt # Est. Value 11 S,flQ( MWCC System On Site Well City Water PRV Required Booster Pump OGE On Site Sewage APPROVALS Engr./Assess. _ Planner _ Council _ BIdg.Off. _ Variance _ 1f??12. a-,3 @EI k- . V-?r Occupancy Zoning (ACtU81) C011Sf (Allowable) # of Stories Length Depth S.F. Totel Footprint S.F. FEES Permit Surcharge Plan Review SAC, City SAC, MWCC Water Conn. Water Meter Road Unit Treatment Pt TOTAL .?-F ; , .- I r ?. 2,, . _ Permit No. Permit Holder Date Talsphons #F Plumbing "f?')C' • ?? , W. J. ?,. H.V.A.C. Electric ` Softener Inapection Date Insp. COmments Footings I Footings II Foundation ? 3 3 Framing O S Roofing Rough Plbg. ! ;;? • Rough Htg. c ZW Isul. (?4 5;p 04 Fireplace Final Htg. & Final Plbg. Ole Q Bldg. Final Cert Occ. Temp. LP Deck Ftg. Deck Final Well Pr. Disp. . ? , PERMIT # . MECHANICAL PERMIT ' cI ?i RECEIrT M ' CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: ; • ' PHONE: 454-8100 Site Address Lot Block Sec/S b BLDG. TYP? WORK D CRIPTION ? ? , . . u . Res. %` New - w ? Mult Add-on ? m Name ' Address Comm. Repair ? c City Phone - ?? Other e L Name ' FEES RES. HVAC 0-100 M BTU -$24.00 3 Address : ADDITIONAL 50 M BTU - 6.00 = p City Phone (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM 1 PER PERMln - 1 50 EA i . . - TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE Forced Air M BTU ? i APT. BLDGS. - COMM. RATE APPLIES I TOWNHOUSE & CONDOS - RES. RATE APPLIES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8 Unit Heater M BTU REMODELS - 12.00 Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00 Vent CFM $ STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping OuUets # BEYOND $1,000) Other ? '' - FEE: ? S/C: SIGNATURE OF PERMITTEE TOTAL• FOR: CITY OF EAGAN ' PLUMBING PERMIT CITY OF EAGAN '. 3830 PILOT KNOB ROAD, EAGAN, MN 55122 Site Address Sec/Sub y Name ! ? Address c Ciry ? Phone Name (D Address + O City ' Phone +s :- ? tti ? FEES COMM/IND FEE - 196 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 S1C IF PERMIT PRICE GOES BEYOND $1,000.00) SIGNATURE OF PERMITTEE CITY OF PERMIT # _ RECEIPT # DATE: _,`? BLDG. TYPE WORK D SCRIPTION Res. New .?_ Mult. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE TNE FOLLOWING: NO. FIXTURES TOTAL __?_-Water Closet - $3 00 Z)_Bath Tubs - $3.00 _3 Lavatory - $3.00 i_Shower - $3.00 1_Ki?chen Sink - $3.00 Urinal/Bidet - $3.00 _$--Laundry Tray - $3.00 Floor Drains - $1.50 ? ?-Water Neater - 31.50 Whirlpool - $3.00 __4_Gas Piping Ouilets - $1.50 (MINIMUM - 1 PER PERMIn Softener - $5.00 well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 -FEE: STATE S/C: .f GRAND TOTAL: f 6 << . lb (gtr#i#iratP uf (Orrupanry Citp of (Eagan Erpartmpnf af lutlding JWrriinn Tlu:s Certlficate issued pursuant to ihe requiremenu of Section 306 of the Unifonn Building Code certifying that at the time of rssuance this structure was in cosepliance with the varrous ordinances of the City regulating building construction or use. For che following.• ux a.aw.oo4 SF C,4, ? eMg. Phudt rra. 14712 OccvWaY TYPe 7Dning Dictrict `riVR I .ry,m Colut VTI owner of eudmmg C',I+ID Addma 3983 ?IY3c•?Cti' P4Z, F1aCiA.'V Butkhmg Add„m 3R21 FA?'?SAZ"r.'.,? ftLocaliry LiO, 113, KEL'.: _: 1r1103RIDC a,e A[!(LJST I 1, Humng ofrww POST IN A CONSPICUOUS PLACE 01-3210(, Bldg. Permit i 01-3422 Plan Check 01-3445 Surch./Adm. 117 01;-3446 SAC/Adm. d:1 U O1-Z155 Surcharge ,-- ? 16?3860 Road Unit .? ? 20-2275 SAC 20-3865 Water Conn. CJv 20-3868 Water Trmt. oll, Z?t? 20-3716 Water Meter 20-2252 Acct. Dep. 20-3713 Water Permit 20-3743 Sewer Permit 79-3866 Sewer Conn. ,it-3855 Park Ded. , ? CITY Permit No: ? I` 1' Date: e c 3830'eNot Knob Road Meter D • ? y Size: r P.O. BOx 21199 Reat19f No: Dat@: a.? r ?6-6- ? agan, MN 55121 wner. ?.._ _ .. •? i ,+ 'rn„c?- - ?ite Address: e lumber. M&PUnits* 71 Conn. Chg: 'Acct. Dep: C,;?fl I"CA l1til;tie# Permit Fee: 5 t???Nf P H fl ?? F- F Ls7 ?l ?re?tk?Pfy with the Cliy of Esgan ;Surcharge: i Tr. Plant I? ? Meter. ? Misc.: By WATER SERVICE PER IT _ aAN Permit No:, lot Knob Road B/P No: x 21199 F -7 MN 55121 ' Date: ` Date: f _ 7,10 B3 flills Of MWCC: . Ciry Chg: call to?a? `.??cFtc. P1 I agree io comply with the City ot Ordinances. Surchargev. CITY OF EAGAN Na 14 712 3830 Pilot Knob Boad, P.O. Box 21 •199, Eagan, MN 55121 BUILDING PERMIT PH ONE: 454-8100 Receipt# To be used for SF/GAR Est. Value $115,000 Date M1RCH 23 ,19 88 SiteAddress 3821 FAIRHAVEN RD Lot 10 Block 3 Sec/Sub. STONEBRIDGH Parcel No. a Name GRAND OAKS ; Address 3988 STONEBRIDGE DR ° CityEA_GAN phone 452-0747 o Name ?a Address P City Phone r? wW Name_ s? Address aw City_ 1 hereby acknowledge that I have read this application and state that the inbrmation is correct and a9ree io comply with all applica6le State of Minnesota Statutes and City^ of, Ea'g1an? Ordinances. Signature of Permittee A Building Permit is issued m: GRAND_OAKS on the exOress condition that all work shall be done in accordance with all applicable S[ate of Minnesota Statutes and City of Eagan Ordinances. Builtling Officiai _n'r4_?1aM(1- OFFICE USE ONLY On Site Sewage _ Occupancy R-3 MWCCSystem X Zoning PD R-1 On Site well _ (ACtuap Const V-N City Weter (Allowable) V-N PRV Required # of Stories _- Booster Pump Length . _50 ' Depth 34' S.P.TOtal _ Footprint S.F. __ APPROVALS FEES Engr./ASSess.- - Permit 622.00 Planner Surcharge 57.50 Council Plan Review 311 . 00 Bldg. ON. _ SAC, City 100.00 Variance SAC,MWCC 550.00 WaterConn. _5_5-0.00 Water Meter --6L7-109 Road Unit 329._._00 _ Treatment P1 204.00 Parks Z 7$6.50 TOTAL > ,u 7 9.Q &C'i5 P 1516 3 Request ate ; I Flre No. R gh?in Inspec1ion R uirtd? G Yas O No ? Ready Now ? Will Nori(y Inspecmr When Reeay? I)(licensed contractor ? owner hereby request inspection oi above electrical work at: Job AGOre ( eel, or Rqile.NaJ ?? ? ? Ciry ? Sec6on No. Township Name ar No. Range No. CouMyD Occupe flINT) 11 pT?{ ^ 4- W06 PowerSUppXer ' Adtlress Elaclnral Conlracior (COmpeny Name) Co aclor Li ns ?I Mailing Alra3sSCOnVacMr or ldl ' n) 4;i40 PENNOC R LAMP • ?Qj pga? ? ( rE?kl l?'U?J ag? 124 Phorre mber MINNESOTA STAiE BOAXO OF ELEGTRICT' THIS INSPECTION REQUEST WILL NOT GrlgpsNWway Bltlg. - qoom S173 9E ACCEPTED BV THE SL4TE BOARD 1827 Un{venity Ave., St. Paui, MN 55109 UNLESS PROPER INSPEGTION FEE IS Phare (812? 6C2-0800 ENCLOSEO. G? 15163 REQUEST FOR ELECTRICAL INSPECTION ? See insNCClions tui r.pmpletlng tliis brm on back of yellow copy. 'X" Below Work Covered by This Request EB-00001-0] ~^ /`01 Cr J 5 ew A Rep. Type of Building AppliancesWired EquipmenlWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner Otherbspecity) n eclork Remerks: Compute lnspection Fee Belaw: # Other Fee # ServiceEnirance5ize Fee # CircuitS/Feeders Fee Swimming Pool 0 to 200 Amps o to 100 Amps Transformers Above 200 _ Amps Above 700 _ Amps Signs Inspectork Use Only: TO Irrigation Booms ? Special Inspeclion Alarm/Communication Other Fee I, the Electrical Inspector, hereby Rough-in ( (/ certify thatthe above inspection has been made. Final • pyr J? OFFICE IISE ONLV This request witl 18 monihs Irom REQUEST FOR ELECTRICAL INSPECTION es-ooooi-os , See instructians for completin8 this lorm on back ol vallow coCV. _9--91 8 7 "X"' Below Work Covered by 7his Request NewI Addl neo. Tvoe oi awieioa Aooliancea wired Enuiumeni Wi.ea Home Range Temporary Service Duplex Water Heater Liyhtiny Fiatures Apt. Building Dryer Electrie Heatin Commercial Bldg. Fumace Silo Unloader Industrial Bldy. Air Conditioner Bulk Milk Tank Farm me, oou v o?no? Isnnatvl t er Stmcify Other Other Compute lnspection Fee Below p Fee Service EnVanceSixe H Fae Feaders/Sublexders k Fqe Circuits Z.cZ? o to zoo amns 1 I I 010 30 Amus U 0 au n?»>s Abtive 2?0 _qmrn? 31 to 100 Amos 1 1 31 to 100 Amus rtial 'u? 'oo RouBh.in O I, t Elacvicx -s ? f ?/ InsDec ioby 7 ? erti?y that the above Final ? j!te «;-? 5 inspaction has been mada. mia repuest voitl 18 monlhe Irom This request voitl 10 rmnths (rom ^V ? D 99187//i ??/?plo SU C?'"LrJ v o Fy `°"° - "°" °°' "°"°°`.°. 1 hBfBbV requBSl insPOCtiOn Of BbOVB ? Owner elecVical work instelled ac Street Address, Box or Hou[e No. 3aZ/ h4uc?-n k?n4. Ciry ecUOn o. Township Name or No. Ran9e No. Counl Occu ent (PRINT) ? J Phone No. Pow Sapp? er ?I ?4???G1/e?u? Address r?rn'lc/yI &'1 Ele?c {ical Gonvactor ICO uany Namel / /-?5,?2? .p?P? vactor's License No. ?i?( ? 9 Mailingdi? Ir¢ss (Con[rac[nr or Owner Makinp Ingwllati0n) `767 fi? /- S? e YY1 /1. Author' d Signawre ( on(rac Jr/Owner akiny Inslallationl Phone Number MINNESp7q STATE BOAPD OF ELECTRICITY TMIS INSPECTION qEQUEST WILL NOT Gripgs•Midwev Blde. - Room N-791 gE ACCEPTEO BY THE SiATE BOAND 1821 Universitr Ave.. St. Paul, MN 55104 UNLESS PflOPEH INSPECTION FEE IS Phone(612) 642-0800 ENClOSED. 1`?iT? Mod,el. Le 1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN #Iq q I? SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDAESS IS DESIRED. NO CHANGES WILL BE ALLDWED ONCE BUILDING PERMIT IS ISSUED. M[TLTIPLE DWELLINGS RENTAL QNITS FOR SALE UNITS ?# OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECB WITH HLDG. DEPT., 1 SET OF ENEftGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS To Be Used For: ,-::?, f', Valuation: Q70 ? Date: 3-?2 1 - 8 0 Site Address g` OFFICE USE ONLY Lot Hlock 3 On site sewage_ Dccupancy R- 3 FWCC system ? Zoning PD,, RI Pareel/Su^ ?jL1 s dT ?NP.bQldm On site we11 Actual Const V-N City water v7 A1lowable V-N Owner ?/CG[J c? ?lr,?S PHV required # of stories ? _ Booster Pump ? Length ,50 Address p,U Depth S.F. 2ota1 City/Zip Code „2-3 Footprint S.F . Phone --" - ? APPAOVALS FEES Contractor ,c% Q??S Engr/Assess Permit D4 Planner Surcharge 5? ? SO Address ? Council Plan Review _311, Q Bldg. Off. =32 z SAC, City Ol 0?0 City/Zip Code Variance SAC, MWCC S DD Water Conn ,00 Phone Water Meter 6212,00 Road Unit 3?S, Ob Arch./Engr. Treatment P1 Z.p .07J Parks Address Copies TOTAL C1ty/Zip Code Phane II VA WA-r'lvN GARAGE ZZxZ2= 51811xlLl=6'7r76 6ASE ME ?4T Z4SX Z l< /e? c Z?6 ? 96 (32? 10$Ok1?= 1LlOyd tSSmT = 1 ?ff l7 Z?.tc?? 32 ?--112 xy?i= 54488 Z ua FL oorZ zqxzg zm ri N4 zq I Z = Zy ?oK x49= 3cf59 -2- IILjkR? f ? S ? FIJI CITY OF EAGAN EXTERIOR ENVELOPE AVERAGE 'U' COHPUTATION OWNER: GRAND OAKS DEVELOPMENT C0. SITE ADDRESS: LOT 1 O.fE1 ock 3_ Wil5 bT" SrtOne?-AU CONTRACTOR GRAND OAKS DEVF.LOPMENT DATE: PHONE: 452-8167 Determine xorking square footagc of each: 1. Total exposed wall area ... 2484 sq. ft, x.'11 = 273.24 2. Total roof/ceiling area ... 976 sq. ft. x.02b = 25.376 Total exposed wall area above floor = 2144 a. Total wall window area .............. .............. 223.75 b. Total door area ..................... ............. 42 c. Tota1 sliding glass area ............ .............. 40 d. Total fireplace wall area .. ......... ............. • 6 e. Total wall framing area (average 10%) ............. 211 f. Total net wa11 area abode floor .. ................. 1626.25 g. Total rim joist area ................ .............. 268 Total exposed foundation area - 72 h. Total foundation window area ...................... 17• » i. Total net foundation area above grade .............. 67 Determine 'U' value of each Wall segment: a. 223.75 x 'U' .414 = 92.6325 b. 42 x 'U' .07700 = 3.2340 ' c. 40 x 'U' .460 = 18.4000 d. 6 x 'U' .2500 = 1.5000 e. 211 x 'U' .06998 = 14.7658 f. 1626.25 x 'U' .03716 = 60.4315 g, 268 x 'U' .03528 = 9.4550 h. 17.77 x 'U' .4800 = 8.5296 i. 67 x 'U' .06609 = 4.4280 213. 3 . ................................................... Total = If item 03 is the same as or less than item I11, you have met the intent of SBC 6006(c)2. Total exposed roof/ceiling area = 976 t ................... ht area li k 0 j. al To ............ g y s 6 97 k. Total roof/ceiling framing area (average 10%) ..... . 1. Total net insulated roof/ceiling area .............. 7 8 •4 OVER ,.. Determine 'U' value for each roof/ceiling segment: j. x 'U' .53 - k. 97.6 x 'U' •02894 - 2.8245 1. 878.4 x 'U' .02205 = 19.3687 4 . ...................................................... Total - 22.1932 If total of (!4 is the same as or less than 02, you have met the intent of SBC 6006Cc)1. Alternate Building Envelope Design To utilize the total envelope system method, the values established by the sum of Items fl3 and !14 shall not be greater than the sum of Items 111 and lf2. 1. + 2. - 3. + 4. - 2 , ' SINGLE & DOUIILE 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 Averaqe 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. All 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 Kraft face R-19 type insulation will be accepted in the rim joist areas. Air chute baffles are to be placed in every rafter space. I " "iJ" i'i\L'UE t4O S-..1CTOft AT P.OOF, [JALi., 1,%1?1 euCD CGe:CRi:"LL i;LGC[: RooF f C`ILINC, . . (Y? VAL (D: ?Q 5?3? GYP• E?, ' - s? ' O CXj?[?1o(? A;F FILM •/ 7 ? u=• ????s (S-CfLL? . - ??U?? _ ? f [ z = _ozS T6TA? (Iz?= . ? VALC RI(Z FIL-M - G? CD 'f2' GCP." ZD.' : . . . v? 7 ' u' _ .0•37/6 . . TorAL CR) ? . ? ? . - f IOZ it Ii?T?I'lor? F?t?? Fl?t1 , G.? • it, 5 ???" ti`SU?r?"[lo;•? " . ? ?i, ric ?} 2 FICz- Plf`1 ?1ST /, F? i fl . ?: o1N? : .. G l• . . Q C-Xrclzl?(L ??,F FIl.C1 . / 7.. N nUa = ; .GjS1$. ' :? ?r .To1P.? CCq =2sr.3Y I?CL=. . .00 - Ctz) vn?u? c F ,?3 tN ?C17l?It A?t ??1? , 6? 1? 33?• .tn s or ?, 17. oC • ? u - zl ii ' ' 1??a"$Cl?'1G. ?Lh, /•2i7 Q CXj??lo2 AIR FILM ??7 L(=.U?GO% , .- £lbors ove; unhcatcd slaecs must havc cr.ininu:? Ft-fac[or of R-20 (tucL-uodcr gara;,es). RF1oo-s oc,.r ouCdoor air (ovcrhangs) aust liavc a nininum P.-factor of -38. , •_ APFLICATION 1=0R PERMIT SEWER AND/OR WATER CONNECTION , ?'.NOTE: PAYMF.NP OF FEE AT TIME OF ? APPISCATION OOFS NOT CON- s i S1T1V1E APPlK'JAL OF PII2FffT. : ? ? INSPF7CfION OF SQgR AP4]/OR VATFR • y*, t IIYSfAIJ1,TIONS WIIL NOT BE SCm[JI.ED x +*, UNPIL PFIiMIT F171S SEQd APPRWID. ? •t:ff+++at?w?trs»rtkw?t:++i»irt?+?f:k++ oF eCican (PLEASE PRINT 1) PROPERTY ADDRFSS: i•FY=AT• DFSCRIPTION; IF EXISTING STRCCTORE, DATE OF ORIGINAL BUILDING PERMLT ISSDANCE: - Mont Year PRESENT ZONING/PROPOSID USE: Q CONIIMEE2CIAL/RETAIL/OFFICE Q INDLSTRIAL Q INSTITUTIONAL/GOVERNNNIEENT N 2) NAME: ADDRESS: CITY, STATE, ZIP: PHONE: 3) NAME: ADDRESS: 4) CITY, STATE, ZIP: 14 p Zd U h3 PHONE: .2 - `a I a2 / I NAME: ADDRESS: CIT'Y, STATE, ZIP: PHONE: I R-1 SINGLE FAMILY R-2 DL'PLEX (34o Cnits) ? R-3 TOWPIIIOC]SE (Three + Units) ( Units) Q R-4 APARTMENT/CONDOMINILM ( C'nits) ?K a ',l U'L- 23 I-( Active Expired Not recordec 3 LICENSE #?2O/ 7-M ? Sta Imt1a . ?? Or M e_ , C Q,bo d-e, 5) s a ?- ?? ?e ?CONNECTION TO CITY SEWERR lK"CONNECTION TO CITY WATER a OTfER \ 6) ? 1! 1n,c. _ 11...... , fJ r . -?- n"_ ,( ? . P --:I - 2f - *************??*************.*?*******************?**********?******?*?******?****??************?**? ? * 743E GOLD COPY OF THE PERMIT WILL BE SIISr DIRDCPLY TO PUBI,IC WORKS To FACILITATE METER PICK-OP. .'k * PLEASE AISAW 7WD hORKING DAYS FOR PROCF,SSING. SOMh.'ONE EROM TfIS CITY WILL CONPACT YUD IF TliII2E ? * ARE ANY PROBLHZB. : ,??*******,ts**x***t?****:t*t*tr*t,t*,t*,t*****?**«***t*?,t+*,t**?,r,t,t,t+x*??*,tt:r**rw*?*,t,ts*?*tirir***:r*********; FOR CITY USE ONLY PERMIT # ISSUED Pd w/Bldg. Permit FEES: $ ---? $ SEWER PERMIT (INCLUDE SORCHARGE) $- $ WATER PERMIT I ' ( NCLUDE SC RCHARGE) $- "•' 7` C $ WATER METER/COPPERHORN/0[?TSIDE READER $ $ WATER TAP (I ' NCLC DE CORPORATION STOP) $ $ SEWER TAP $ ACCOONT DEPOSI T - SEWER $- 16 -p o $ ACCOONT DE O _ P SIT -- WATER $ $ wac $ $ SAC $ $ TRUNK WATER AS SESSMENT $ $ TRONK SEWER ASSESSMENT $ $ LATERAL BENEFI T/TRUNK SEWER $ $ LATERAL BENEFI ""o $ T/TRUNK WATER WATER TREAT , MENT PLANT SURCHARGE $ $ OTHER - : $ J Z•.9 O S TOTAL . ?ZZO ?p RECEIPT RECEIPT , DOES UTILITY CONNECTION REQUIRE EXCA VATION IN PUBLIC RIGHT OF WAY? Q YES Q NO IF YES, THEN A" ROADWAY" MUST BE DIVISION. LIST PERMIT FOR WORK WITHIN PUBLIC ISSUED By THE ENGINEERING AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: DATE: PERMIT p RECEIPT DATE: ? ? - ` O 1 41 4D Please complete for. MSiDEN17AL PLUMINfi MbITf Aff I1CA710R crrYoF E,a?sM 3830 Paar xxos ttu r.ALsM, aax ssi sP e51-681-4675 D single family dwellings ? townhomes and condos when pertnits are required for each unit D backflow preventer for irtigation system i SITEADDRESS: OWNER NAME: : 7-jn\n Gn ?k- yyy-L,I? TELEPHONE #: ti51 1,15a- $`nl?, • (a,REn cooe) ? INSTALLER NAME: STREET ADDRESS: CITY: Place a check mark next to the aermit work tvoe STATE: ZIP: Naw residential dwelling unit under construction and not owner/occupied $ 90.00 1 1. Add-on, modification or alteration to existina dwelling unit, inciuding: $ 50.00 • abandonment of septic system • new installation/repair/rebuild of RPZ • lawn irrigation system • water turnaround Natureofwork:`R?aca, ? Septic System, new/refurbished - $ 225.00 • includes County & Consulting Inspector fees. • requires MPC license State Surcharge $ .50 T t l $?? o a , Reminder: 8e sure to schedule inspections of alterations, i.e. water heaters, water softeners, etc. I hereby acknowledge thal I have read this application, state tha[ the informaGon rrect, and agree to wmplywith all applicable Cityof Eagan ordinances. It is the applicant's responsibility to noGfy the property owner Ihat the City of Eaga as mes no IiaCili ages caused by the City dunng its normal operational and maintenance activities to the facilities consVUCted unaer this pe 't wi in City pr pe f-wayleasement. EF R. $jJtiS TELEPHONE#: qSa ??-?jlo`lln Avenue 5outh (AREA CODE) Updaled 1101 - - -- ' ?V )v\ 2007 RESIDENTIAL MF.CHAN ICAL PERMIT APPLICATION n? J City Of Eagatt ? 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-67-1-5675 Plri.c unnpiula fur: single fantily dwellin(,.`ti & luwnhnmeelconAns whcn pennit5 am rcipiiied Irn' cach unn tiirr :Addre_as _ 1?I unir# . J - -- ---- -- --------- -- 4-0 ?1L/Jl/!"- _ r?icry?o??? a( b ) Propcrty Owner - 71 ('('nh-actnr tilreM Addh'ess 51aCc ?q_ Kmid K: E'%p1CCC: l'hnAnplicantis Owner ?Contractor _ Olher I+ire a?epair {replace burnect out appliances, ductworl:, etc) This fee applies when extensive mechanical repairs are made to a building. $ --------- ----------- ---- 50.00 \dd-mn m? :Jterntion to existing dwelling nnil ? ? fumace _Additional ? Replacement _ New air exchanger an ronditioner _ heat pump other i -- tilaic tiurchaegc ror:,l y; 50 SQ ? $ I hcrr.by appty for a Rc,idential Mechanical Permit and acl:nowledee that the information is complele and accuratc; that the work will hc in contiirmmnr.e wi[h tlte ordinances and cude,s of the City of P,ag2n aud with thc Mechanwal QoJes; t6ntJ Lmdersfand thig is nM q w h the permii, but only an application for a pennit, and work is not to starr withuut a permit; Ihat the w' w? b m c r nce ?p ?rc ved plan in tlie case ofwork which requires a review and appruval Qf>lei ?s. ???W? ULft---151-- (.' - V?-W-?-------- ?1.. i!w--?- --P-??---- ?A ?nlic,mt's Printed Nam Applicant's Signlture - -, - . -` 041141 ?e-__! itV 6'oldot _ 7 y ? ?-?- 'J,iP --?.?_J_?-?TclephnneH ( ?7 )5?Q_j ? RESIDENTIAL BUILDING PERMIT APPLICATION ? ?^ 2 CITY OF EAGAN Z(/?/ 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-9875 New ConsW cdon Reauiremenb • 3 regislered site surveys showing sq. N. of lot, sq. ft. of Muse; aM all roofed areas (20% ma%imwn lot coverage allawed) • 2 copies af plan showing beam 8 window sizes; poured (ouM design, etc.) • 1 set of Energy Calculations • 3 copies of Tree Preservation Plan if lot platted after 711193 • Rim Joist Detail ODtions selection sheet (bldgs wAh 3 or less unAs) DATE I,o=???C? SITE ADDRESS MULTI-FAMILY BIDG _Y ?lN TYPE OF WORK FIREPLACE(S) V0 1_ 2 APPLICANT STREET ADDRESS TELEPHONE # •94?CELL PHONE # JM?- STATE "ZIP!?I l'-Z' FAX # 1o51 ? A 25?-OZ l °r PROPERTYOWNER? r-F ???C?tl?F-'CYt??, TELEPHONE#?'?1-L1?`Z'??I-9Io -------------------------------------------- -'_.-__'._'-------"'_____'--._____'----------.".. COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESO"CA RliLlS 7670 CATGGORY t MINNESOTA RUI,LS 7672 (J submission type) • Residential Ventilation Catagory 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: _ Plumbing system includes: Mechanieal Contractor: Mcchuiical system includcs: Sewer/Water Conhactor. Air Conditioning Heat Recovery System Phone # Phone # Fee: $70.00 ----°--------------°------°--------------------------°-----------------------------°--------------------------------• i hereby acknowledge that I have read this application, state thai the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances ??_- Signafure W orricr; Usi. orrt.Y Certificates of Survey Received - Tree Preservation Plan Received _ _ Wa[er SoEtener _ Water Heater _ No. of Baths _ Phone # Lawn Sprinkler No. of R.I. Baths RemodeVReoair ReauiremenM . 2 mpica of qan • 1 set of Energy CalcWations for heated additions • i site survey Por exterior additions & decks • Indicate H fwme served by septic sys[em for additiwis VALUATION ? '?'-'?t-AU ' I'ee: $90.00 Updated 4102 r SURVEYOR'S \ . \ . \ ?.?. ? . / .' . CE \ IFICATE .? . \\\/ J ? ?"f] I / 0'. ? ? ,`n \ aArO V s.^o yh . •' o0 1 i ?. O N Q?pt ?? E ?O / IL ?,?• . \ k ?? / \ '? ? 190 \ •1, i lq05. ? i ? l?Ob2 I? . So `? •, `b . l / GRAND OAKS DEVELOPMENT C0. . , . :.?. . i C ??o ? ? - . .?• y ? as al / 0? x ?? --?490\ 'o ... 3? a ? O a?• 6x2 pP ?ygoR ? as DENOTES PROPOSED SURFACE DRAINAGE O DENOTES IRON MONUMENT SET SCALE: 1 INCH - 3D FEEf • DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR - 906.5 FEET X000.0 DENOTES EXISTING ELEVATION' PROPOSED LOWEST FLOOR - Sve.B FEET (000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK - qo6,9 FEET WE HEREBY CERTIFY TO GRAND OAKS DEVELOPMENT C0. THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lot 10, Btock 3,FiILLS OF STONEBRIDGE, according'to the recorded plai thereof, Dakota County, Minnesota. IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISLB"HIS Z 1 DAY OF_j1/lA /2 C N , 1986 FRO"ruSEG ELEVHi iGivS SiiG4;N 'vlciiE TAKEN FROh1 THE DEVEI,OPMENT PLAPJ FOR HILLS.OF STONE6RIDGE, PRE- PARED BY PIONEER ENGI•NEERING ANC LAST DATED II-5-87. JIGIVCU: m ?T Yi 31 O A W m ? -1 'r ?r d m ? ? p) o' O ? fi? < Ui O °,° ? ? Q* O R) O •p -4 y O ? m o Z T A • O m °' HAROLD C. PETERSON, LAND SURVEYOR MINNESOTA LICENSE NUMBER 12294 James R. Hili, inc. PLANNERS / ENGINEERS / SURVEYORS 9401 JAMES AVE. S. • BLOOMINGTON, MN. 55431 • 612-884-3029 PERMIT City of Eagan Permit Type:Building Permit Number:EA126710 Date Issued:09/08/2014 Permit Category:ePermit Site Address: 3821 Fairhaven Rd Lot:10 Block: 3 Addition: Hills Of Stonebridge PID:10-32990-03-100 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. 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 $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 - Robert H Goffman 3821 Fairhaven Rd Eagan MN 55123 (651) 452-8496 Pella Northland 15300 25th Ave N #100 Plymouth MN 55447 (763) 355-1300 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA129237 Date Issued:01/23/2015 Permit Category:ePermit Site Address: 3821 Fairhaven Rd Lot:10 Block: 3 Addition: Hills Of Stonebridge PID:10-32990-03-100 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Applicant: Scott Lofgren 5708 Upper 147th St W #102 Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 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 - Robert H Goffman 3821 Fairhaven Rd Eagan MN 55123 Lofgren Heating & Air 5708 Upper 147th St W Suite 102 Apple Valley MN 55124 (952) 431-5811 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA173014 Date Issued:10/25/2021 Permit Category:ePermit Site Address: 3821 Fairhaven Rd Lot:10 Block: 3 Addition: Hills Of Stonebridge PID:10-32990-03-100 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 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 - Robert H & Rebecca L Goffman 3821 Fairhaven Rd Saint Paul MN 55123--168 Pella Northland 15300 25th Ave N #100 Plymouth MN 55447 (763) 745-1400 Applicant/Permitee: Signature Issued By: Signature