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
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3830 Paar xxos ttu
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e51-681-4675
D single family dwellings
? townhomes and condos when pertnits are required for each unit
D backflow preventer for irtigation system
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SITEADDRESS:
OWNER NAME: : 7-jn\n Gn ?k- yyy-L,I? TELEPHONE #: ti51 1,15a- $`nl?,
• (a,REn cooe)
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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
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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#
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Propcrty Owner
- 71 ('('nh-actnr
tilreM Addh'ess
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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.
$
---------
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---- 50.00
\dd-mn m? :Jterntion to existing dwelling nnil ?
? fumace _Additional ? Replacement _ New
air exchanger
an ronditioner
_ heat pump
other
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tilaic tiurchaegc
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$
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?
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?A ?nlic,mt's Printed Nam Applicant's Signlture - -, - . -`
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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
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SURVEYOR'S
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GRAND OAKS DEVELOPMENT C0.
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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.
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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