3824 Fairhaven Rd
-_-_Use BLUE or BLACK Ink
For Office llse I
4U a 9. t, j Permit
City of EI Permit Fee: !
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 ~d4;/zhov&/1 Staff:
2010 RESIDENTIAL BUILDING PERMIT APPLICATION cl~
Date: o O Site Address: F-4-, )pup 91 b
Tenant: Suite
RESIDENT/ OWNER Name: Or-, p r l1 J! f1► ( Li Phone: 1_(^ 0 6 - d 9 (4
Address / City / Zip: • 3 8 a t T r1 U t/ Cil
Applicant is: Owner l Contractor
TYPE OF WORK Description of work: Df-G k ~cP f kcCrn r /1 t'
Construction Cost: "IS-, C) V C) Multi-Family Building: (Yes / No )
CONTRACTOR Name: i)e pe.~~ a L. It Ot, I d rfS License* ~2o Y 6o o S z
eu yc r A, City:` k«'A
Address: _(77
LY 2-
State: rU Ztip: Phone: > Z - 3 O 6 1-1 1 5
Contact: Z os h ~tJt~lCti Email: -_-SoS c ~p~.,~(k64 ~~r'J• EGM
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_.Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: -Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www-gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is of to start without a permit; that the work will be in
accordance with 1the approved plan in the case of work which requires a review and approv plans / J
x C S h %A c& x ~ / 7i 1 l O
Applicant's Printed Name Applicant's Signature
Page 1 of 2
DO NOT WRITE BELOW THIS LINE q5 -3o
SUB TYPES
Foundation - Fireplace _ Porch (3-Season) - Storm Damage
_ Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family)
Multi Deck _ Porch (Screen/Gazebo/Pergola) Exterior Alteration (Multi)
_ 01 of _ Plex _ Lower Level _ Pool _ Miscellaneous
Accessory Building
WORK TYPES
New _ Interior Improvement _ Siding Demolish Building*
Addition _ Move Building _ Reroof _ Demolish Interior
_ Alteration _ Fire Repair _ Windows _ Demolish Foundation
Replace - Repair _ Egress Window _ Water Damage
Retaining Wall *Demolition of entire building - give PCA handout to applicant
DESCRIPTION
Valuation -w Occupancy 2 G~ MCES System
Plan Review Code Edition -a:;~? SAC Units
(25%_ 100%_1e< Zoning City Water
Census Code Stories
Booster Pump
3 -
# of Units - Square Feet ~3t::;, PRV
# of Buildings Length Fire Sprinklers
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Sheetrock
7* Footings (Deck) Final / C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation HVAC
Drain Tile Other:
Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final
Framing Siding: -Stucco Lath -Stone Lath -Brick
Fireplace: -Rough In Air Test -Final Windows
Insulation Retaining Wall: _ Footings _ Backfili - Final
Meter Size: Radon Control
Erosion Control
Reviewed By: , Building Inspector
7/ 1
RESIDENTIAL FEES
Base Fee Q 3
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies i
TOTAL
Page 2 of 3
r • +
E RT i F l C AT GRAND OAKS DEVELOPMENT CO.
SURVEYOR'S C . FP;~~,~c~
EAGAN ~s
REVS ED
BY: -
:'',T - L~ L J fi
IVISION
J ~ o
0 r,
o a
~s 0
*0 lip"
Op AO QQ~q ! ~06~1
I
of i !
QiG
D
~
C 1 She A-1.c
.
DENOTES PROPOSED SURFACE DRAINAGE
SCALE: 1 INCH 30 FEET
O DENOTES IRON MONUMENT SET
0 DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR - 906.4 FEET
X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR - 9 03 6 FEET
(000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK - 906.8 FEET
GRAND OAKS DEV. CO THAT THIS IS A TRUE AND CORRECT
TO
WE HEREBY CERTIFY
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Lot 5. Block 2, HILLS OF STONEBRIDGE, according to the recorded
plat thereof, Dakota County, Minnesota.
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS
SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 3r rO DAY OF lwtAA C-M .1988
SIGNED: JA LL, INC.
PROPOSED ELEVATIONS SI•0IN MERE
TAKEN FROA THE DEVELOPMENT PLAN BY.
FOR BILLS OF STONEBRIDGE, PRE- HAROLD C. PETERSON, LAND SURVEYOR
PARED BY PIONEER ENGI-VEERING AND MINNESOTA LICENSE NUMBER 12294
LAST DATED' II-5-a7.
'0 o James R. Hill, inc.
Or- O ~wan>
r m N~ 0 w M-0 PLANNERS / ENGINEERS I SURVEYORS
C) x z O; m z
a) 01 z Z
9401 JAMES AVE. S. • BLOOMINGTON, MN. 55431 • 612-884-3029
5
0
p
PERMIT
City of Eagan Permit Type: Mechanical
3830 Pilot Knob Rd Permit Number: EA084739
Eagan, MN 55122 . Date Issued: 07/29/2008
(651) 675-5675~~~ EPermit Category: ePermit
www.ci.eagan.mn.us lflflUl tflflLLL
Site Address: 3824 Fairhaven Rd
Lot: 5 Block: 2 Addition: Hills of Stonebridge
PID10-32990-050-02
Use
Description:
Sub Type: e - Furnace & Air Conditioner
Work Type: New
Description: Furnace & Air Conditioner
Comments: Questions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector,
952-445-2840.
Fee Summary: ME - Permit Fee (Replacements) $50.00 0801.4088
Surcharge-Fixed $0.50 9001.2195
Total: $50.50
Contractor: -Applicant - Owner:
Pronto Heating & Air Conditioning William Smith
7501 Washington Ave. S 3824 Fairhaven Rd
Edina MN 55439 Eagan MN 55123
(952) 835-7777
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.
Applicant/Permitee: Signature Issued By: Signature
XFnT-lVATED FOR DECK 7/21/89 CITY OF EAGAN
688G9436yRSON 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 ,19
Site Address OFFIC
Lot Block Sec/Sub. On SRe Sewege
MWCC System
Parcel
on site weu
rc Name City Water
W PRV pequired
= Address
o , Booster Pump
City Phone
a
o Name
.
ou Address
? City Phone
?Q
W ? Name
d
?z
t W A
dreBs
City Phone
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 Gity of Eagan Ordinances.
Signature of Permittee
A Building Permit is issued
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 __
APPROVALS
Engr./Assess.
Planner
Council
Bldg. OH.
Variance
: USE ONLY
Occupancy
Zoniny
(Actual) Conat
(Allowable)
* of Stories
Length
Depth
S.F, Total
Footprint S.F.
FEES
Plan Review
SAC, City
SAC, MWCC
Water Conn.
Water Meter
Road Unit
Treatment P1
Parks
TOTAL
b4
Parmft No. Permit Holder Date Telephone #
Plumbing
H.v.ac. ?j'Lf 99 ?
Electric y "L G?
Softener
Inspection Date Insp. COTmBf1tS
Footings I
Footings II
Foundation
Framing
Roofing
Rough Ptbg.
Rough Htg.
Isul. 7
Fireplace
Final Htg. ,r 1-72
Final Plbg. ?
Bldg. Final
Cert Occ. ?fJ
Temp. LP
Deck Ftg. -4-wT
Deck Final 779/
Well / •'V S^ /G..
Pr. DisP.
1nh,-J-777Y
----- -- ----
MECHANICAL PERMIT
? ? C?
• RECEiPT # o ? .
CITY OF EAGAN ,
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ??
CONTRACT PRICE PHONE: 454-6100
8ite Address ? • + ! gLpG. TYPE WORK DESCRIPTION
Lot X Block ? Sec/Sub
. Res. New %
?
Name
° Mult Add-an
m
Address
r?' , ;? ,
ti Comm. Repair
c City - Phone • i . Other
Name . FEES
100 M BTU
RES
HVAC 0
3
Address
- ' .
-
-$24.00
ADDITIONAL 50 M BTU - 6.00
O CiH < < ? Phone -a c r' ? I (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS
MINIMUM
(
- 1 PER PERMIT) - 1.50 EA.
TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE
Forced Air ?_M BTU APT. BLOGS. - COMM. RATE APPLIES
Boiler
M BTU TOWNHOUSE & CONDOS - RES. RATE APPLIES
Unit Heat
- MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
er
Air Gond. M BTll --
M BTU $
- REMODEIS - 12.00
MINIMUM COMMERCIAL FEE - 20.00
Vent
CFM ?
STATE SURCHARGE PER PERMIT - .50
Gas Piping Outlets # (ADD $50 S/C IF PERMIT PRICE GOES
BEYOND $1,000)
Other
FEE: ?. =
S/C: SIGNATURE OF PERMITTEE
? TOTAL•
' FOR: CITY OF EAGAN
?
a. •
(gtr#ifiraft of (Orrupttnry
titp of (Eagan
MrVar#nnrYCt of ludding jwrrtiott
This Cemficate issued pursuanl to the requirements of Section 306 of the Uniform Building
Code certifying that at the time of issuance this structure was rn campliaxce with the various
ordinances of the City regulating building constructeon or use. For the following.•
uw CIL-AirwI,;w SF DFIG/GAR BMS.R?t No. 14765
oocupa-y ,cype R-3 zoning nucr;cc PD R-1 Tym Cmst V-N
owner orBWmm CRAND OAKS DEV AAdrm 3988 S"1'ONE$RIDCE DR N
BWkiing A?? 3824 FAIRHAVEN RD Tomfity 15 B2 EQ11S OF STl'IWMIFC-;?
??. JL?LY S, 1988
eumn officw
POST IN A CONSPICUOUS PIACE
BLDG.
? 01-32'10
01-3422
.
01-3445
01-3446
01-2155
17,f-3860
20-2275
20-3$b5
20-3868
20-3716
PERMIT N0.
Bldg. Permi
Plan Check
Surch./Adm.
SAC/Adm.
Surcharge
Road Unit
SAC
Water Conn.
Water Trmt.
Water Metez
20-2252 Acct. Dep.
20-3713 Water Permi
20-3743 Sewer Permi
79-3866 Sewer Conn.
a.g 3855 Park Ded.
TOTAL
??
CITY OF E4GAN Permit No: Datec
38M Pilot Knob Road g/P No: - + Data ?- .'
P.O. Box 21199
Eagan, MN 55121
Owner. `
SiteAddresa. s I'air v t•t, B-2 ?til:.. ....:_ .?
Plumber. .. ' t "`, n * .
MWCC: ' ?Cm R 2'o`1t n •
City Chg: • '? z7Y?. nits:
Acct Dep:-_BeJOI'E ? ri rTRI(' - GAS ?5?.
c?Ply wlth fhe City of Ea?an
Permit Fee: =108.
Surcharga _ R?_
ny-enJ Misc : gY
SEWER SERVICE PERMIT
CITY OF E/ki.AN
3$30 Pilot Knob Road
P.O. Box 21199
Eagan, MN 55121
Permit No: n?` = `rvtEter No: -9 Sl5 7 Q 6$ 5/
Reader No: tl?G? S?
Date: r
Size: S 8 oQ
Date: `9.v
R7 R
onn. Chg: 550. QOpd 'V°? ?%` - 1n1n A1
Acct Dep: 5 7tl.,ci ? ?`??1?c
Permit Fee:
Surchar e: ` Lj- ? ?/ ? A?
9 I?iee'!16 comply with the Citr of Eagan
Tr. Plant ' n Ordinances.
Meter. "
Misc.: gy C ??
? WATER SERVICE PE T
??
CASH RECEIPT
CITY OF EAGAN
3&30 PILOT KNOB ROAD
? EAGAN, MINNESOTA 55122
DATE 19 L :
?? _-?,?- ?-!; I_1;,?. , •
AMOUNT $
& DOLLARS
? CASH ? CHECK 'oo
=i
wr+ /- •-1?.-??ll?{. ? t l. ,? `? ((,?.. i ? !1 , \ ('(.i
?j
'k
FUNO OBJECT AMOU T
1 ?.`
4
Thank You
8Y - ? ?
WhHe-Payers Copy
? Yelbw-Postin9 CoPY
, . Pink-File Copy
?, ?,:?._.. __.. _ ... ?_._. ??- ? . ed?::.a•-t. _ . . .- -'- ------...._.___.?
CASH RECEIPT
CITY10Ff AGAN
3830 PILOT KNOB ROAD
? f7 ? EAGAN, MINNESOTA 55122
DATE 19
V
aE+?vEO '
- }-.? - -
nMOUrn a - . -- ? _ -
,
& DOILARS
lm
? CASH ? CHECK
F°" i
?
J
?•? 1_{"" ' .... ?".?L ..? ?? c?. }1i I?? , ? ?
FUND I OBJECT I I I AMOUNT
Thank You
BY '
VVhite-Payers CoP]!
': ? Yellow--PO81Nlg Capy
?l•? ' ' ' - Pink-FflaCopy
PERMIT #
PLUMBING PERMIT RECEIPT ti
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
PRICE: PHONE: 454-8100
Site Address L : 1
Lot Block -w-- ? ? Sgc/Sub
c
m Name
? Address ":, ,:
'
? ciry Phone
? ,
Name
c Addr@SS
O Ciry fPhone
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
BLDG. TYPE WORK DESCRIPTION
Res. h New
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
Water Closet - $3.00 $
Bath Tubs - $3.00
Lavatory - $3.00
Shower - $3.00
Kitchen Sink - $3.00
Urinal/Bidet - $3.00
Laundry Tray - $3.00
Floor Drains - $1.50
Water Heater - $1.50
Whlrlpool - $3.00
Gas Piping Outiets - $1.50
(MINIMUM - 1 PER PERMIT)
-2-Softener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
FEE:
STATE S/C:
FOR: CITY OF EAGAN
. , PERMIT #
PLUMBING PERMIT RECEIPT # ' -
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE: PHONE: 454-8100
Site Address •
Lot_ Block SeciSub -
? Name
Address -
c City Phone
? Name
; Address
O City Phone - '
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
APT BLDGS - COMM RATE APPLIES
TOWNHOUSE 8 CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
s
SIGNATURE OF PERMITTEE
FOR: CITY OF EAGAN
BLDG. TYPE WORK OESCRIPTtON
Res. K New X
Mult. Add-on
Comm. Repair
Other
nCa. rLou. vnLr - t.vmrLCi C inc rvLLvn1rra:
NO. FIXTURES
t
Cl
00
W
$3 70TAL
er
oset -
a
.
I Bath Tubs - $3.00
_2_Lavatory - $3.00 ?-
` Shower - $3.00 '
' Ki!chen Sink - $3.00 ,
UrinallBidet - $3.00
? Laundry Tray - $3.00
s Floor Drains - $1.50
? Water Heater - $1.50
Whirlpool - $3.00
_T- ' • `? `
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: ' Q
GRAND TOTAL:
,3` IS (..' _?
CITY OF EAGAN NO- 14 7 6 5
3830 Pilot Knob Road, P.O. Box 21 -199; Eagan, MN 55721
PHONE:454-8
BUILDING P 700 ??O--?
ERMIT . Receipt n
Tobeusedfor SF DWGIGAR Est.Value $81,000 Date APRIL 4 7988
Site Address 3824 FAIRHAVEN RD OFFICE USE ONLY
Lot 5 Block 2 SeC/Sub
STf1NFRRFO('
F OnSlteSewage - Occupancy R-3
,
. MWCCSystem X_ Zoning PD $-1
Parcel No. V-N
On Site Well _ (ACtuap Const
e Name GRAND OAKS DEVELOPMENT CiNwater _X_ (Allowable) V=N_
w
z
Address 3988 STONEBRIDGE DR N PRV Required # of Stories
1
;
? City EAGAN Phone 452-0747 Booster Pump Len th
9 50
Depth 48'
, o Name SAME S.F.TOtal
?a Address FootprintS.F.
i- City Phone APPROVALS FEES
a
WW
Name En r./Assess.
9 Permi[ 498.00
?i
i-
Address
Planner
Surcharge 40.50
w Council PlanReview 249.00
a City Phone eldg. Off. SAC, City 100.00
I hereby acknowledge ihat I have reatl ihis application and state that [he Variance SAC, M WCC _550.00
information is correct and a9ree to compty with all appl' State of Water Conn. 550.00
Minnesota Statutes and Ciry of Eagan Ortlinance
(
Water Meter
_ 67.00
Signature of Permittee Road Unit 395. on
A euilding Permit is issued to:___GRAND OAKSpF.?V------- Treatment P7 -2Q4 9Q
on the express contlition that all work shall be done in accordance with all
applicable State ot?Minnesota S
1aNtes and Ciry of Eagan Ordinances. parks
2
583
50
J TOTAL ,
.
BuildingONiciaL ____________ ___ --
PRONTO HEATING TEST RECORD JOB NO. L
' Q?" y,>
ADDRESS_ ?°?4 F-G j rLU L°dI R?.
OCCUPANT 6t 11141 D% 4,,yp.
SOLD BY I',V 1 V-?-
? ????cnf'
SERIAL NO.
TuFOMncTeT
LIMR
LIMfTSE"fTING 103
FAN SETTING 1 ^VV y
PIlOT TYPE .L /N, r ? ? ??rI /
IGNITION MODEL
PILOTTYMING d 7T. C
PRESSURE PERCENT COi l(
INPUTCFH PERCENTQ: S ?
n v ? ?
STACKTEMP ?PERCENTCO ?
CRY ? a,9Yn
OWNER
INSTALLED BY A i t Mq. ?r'?
MODEL J I /' 0
INPUT l0 ? ?ad ??? ' y ?
c? u
VENT SIZE
TYPE OF LINER " V •
GI
LINER SIZE /
FILTERS: SIZE
WIRING
TESTTAG
?-
LIGHTING IN5T. ?
COMPANYTESTED ' pA?YV^' ?0 , I? _AUf 46 zoos
NAME OF
DATETESTED lb vi;L v
This rxauest voitl
18 nwnths fmm
0- 2 41 L 5 13? 16
Raqoest ate., -? Fire No. Roug_ in InsVection
Ne ired? ? ?Ready Nuw Will Notity Insper, -
? y es Nn tor When Peady
Lirensed Elec[rical Contractor
1 hereby raquest inspection ot above
Owner electrical work instelled ac
Svee2 Address. Boa or Route Ni.
?82 ?rr ? Cifv
ecLOn No. Township Nama ur No. Range No. Count
Occ /xnt (PRWT) Phone No.
Pow r Suppl-er Atldress ?
? '
h
c.,TK
Elecvical Contractor ICOmpany Namel ConVa, 's License No.
Mailing Atl ess (Contrac[or or Owner Making Installatmn
--
'
7?7S
3 - ? e
Authorized Signawre (COnVactor/Own aking Inslrllation) Phone Numbcr
MINNESOTA STATE BOAXD OF ELECTqICITY THIS INSVECTION flEQUEST WILI NOT
Grie9s-Midway Bldg. - Room N-191 BE ACCEPiED BY THE STATE BOARD
1821 Univarsitv Ave.. St. Pevl, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION es-ooooi-os
It Sac instrvctions tor campleting this lorm on beck o1 vellow coCV.
'-99241 "X" Below Work Covered by 7hrs Request
AdA Xeo. Tvoe ol Buildina Aoolinntas WireA Equiumant Wired
Duolex Water Heater Liyhtiny Fixtures ?
I 1 1 1 Industrial BIAo. I I Air Conditioner I I Bulk Milk Tank I
p Fee ServiceEntrenceSize k Fee Fextlers?SabfeeJers b Fne Circuits
U to 200 Am s 0 ta 30 Am s CX? 0 tn 30 Am s
Above 200 qmps 37 to 100 Amps 31 to 100 Am s
Swimmin Paol Above 100-Amps AAove lOD_Amps
Transtormers Irrigation Booms ,?j Partial.Other Fee
J„?QI
' I ISigns ? I ISpecial Inspection TOT
Rertwrks Zf L FE
f??_
? -"'O dspectoq hereby
Final . certify that the above
? qn le ?SPecliOn hdS ?ean
?aa.
rma reauast •om 18
.,
APFLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
, , .,, ..,. ,_
.
i NryfE: PAIT1FNf O£ FFE AT TiME OF ..
.
:
APPLICATiCN WFS NdC CON- ?
t SfIfVfE APPROVN. OF PERhIIT.
? INSPFXTION OF SEWffi2 APII7/OR MIIt :.
rt TtacmnrsaTIOPLS WIIL NOT BE SCCEDIIA.FD
? [WII. PIItPIIT HAS BFIIN APPRWID. :
4tit1t4k**if ttt44f if 1?1i'F/?e#4ttYf ?l?M/f ?
oF eagcan
(PT.F.ASF. PRTNT
1) PROPERTY A?DRFSS:
r•Fr:aT• DESCRIPTION;
IF EXISTING STRC'CT[)RE, DATE OF ORIGINAL 13L7ILDING PERMIT ISSUAbICE:
Mon Year
PRESENT ZONING/PROPOSID USE:
Q , COrMlEE2CIAL/RETAIL/OFFICE
Q INDLSTRIAL
a . INSTITI?TIONAL/GOVII2DIINENT
2) NF1ME:
r,?DREss: ^jNS%,ri
CITY, STATE, ZIP: Lf-?(o?li
PHONE: 46 ;2 J?
3) i :?• NAME;
ADDRESS:
CITY, STATE, ZIP: _
PHONE: _
4)
NANIE:
ADDRESS:
CITY, STATE, ZIP:
PHONE:
SINGLE FAMILY
R-2 DLPLEX (Ttvo L?nits)
? R-3 TOWNHODSE (Three +,Dnits) ( Units)
Q R-4 APARTMENT/CONIDOMINSLM ( Onits)
N.
TMASTER LICENSE #.?(?
!
Plwnbers License:
0 Active
Expired
Not recorded
St Initia
5) s m ?• i • o-..i ae
? CONNECTION 'iO CITY SEWER 14 CONNECTION TO CITY WATER ? O'I'HER
6) 1 gre f?.?i?iT? ? • ?
***,r?***********x??**??******???******,?**********?*??****:r?**?*,e*********??***:*?***?*****?***+*??*?
* THE GOLD COPY OF THE PERNIIT WILL BE SENf DIRECIZY TO PUBLIC WOFtKS TO FACILITATE ME1ER PICK-UP. ?
* PLEASE ALIAW TFA WORKING DAYS FOR PROCFSSING. SONIDONE FROM TM CITY WILL CONPACT YOiI IF M-ERE *
* ARE ANY PROBLENIS.
} a
***** *Yr** *ft** *#Yr***ir**trLkt1+s.ta.kk++3a+taaa.. aaaiaaan.aaaan.aaa.asasaaaa..aaaaa...i.saaaau.eta+++.r.r+aii+iiktt?
4.,
: FOR CITY USE ONLY ' -
PERMIT # ISSUED
Pd w/Bldg. Permit FEES:
$ SEWER PERMIT (INCLUDE SORCHARGE)
$ WATER PERMIT (INCLUDE SDRCHARGE)
$ (P (`? $ WATER METER/COPPERHORN/OL'TSIDE READER
$ S WATER TAP (INCLLDE CORPORATION STOP)
$ $ SEWER TAP
$ ACCOUNT DEPOSIT - SEWER
$ ACCOf!NT DEPOSIT - WATER
$ S 5? '0 v S wAc
$ KD 'c9 U $ SAC
$ $ TRUNK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ S LATERAL BENEFIT/TRDNK SEWER
$ $ LATERAL BENEFIT/TRUNK WATER
$ $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
$ /7 7A ? s TOTAL
?a .S0 7 ??2 S-6 ?
RECEIPT RECEIPT
DOES UTILITY CONNECTION REQDIRE EXCAVATION IIV PUBLIC RIGHT OF WAY?
? YES IF YES, THEN A"PERMIT FOR WORK 6VITHIN PUBLIC
Q ROADWAY" MLST BE ISSLED BY THE ENGINEERI[VG
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY: (y?c_?J ?????qJ
TITLE:
DATE :
1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTR9CTOR/HOMEOWNER MUST DESIGNATE WHICB ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL QNITS FOR SALE UNITS # OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COM4tERC2AL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, ?
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
To Be Used For: ?1 TLI in I I Valuation: ?1,000
Site Address 592W OFFI,
Lot ?5
Parcel/Sub
Owner (-If
Address
Block ;), I On site sewage_
City/Zip Code
Phone "m J -
Contractor
Address
City/21p Code 4t
Phone ?
Arch./Engr.
Address
City/Zip Code
Phone Il
Date:
I•II1CC system /
On site well
City water ?
PRV required _
Booster Pump _
UNLY
Occupaney P?- 3
Zoning PD jZ_I
Actual Const V-w
Allowable y'N
# of stories
Length 50 '
Depth yg'
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr/Assess Permit q98, va
Planner Surcharge 440,,5
O
Couneil
6 Plan Aeview Zi-Iq,Do
Hldg. OPP.
22??/j SAC, City O Do
Variance SAC, MWCC $S-O,UO
Water Conn SS`O,oP
Water Meter („f), OD
Road Unit I z<,ao
Treatment P1 2L-y,oo
Parks
Copies
TOTAL
CITY OF EAGAN
EXTERIOR ENVELOPE AVERAGE 'U' COHPUTATION
ONNER: GRAND OAKS DE,VELOPMENT COMPANY
SITE ADDRESS: 1,OT J7 BL?? ? PdIgor5yt,..m,h4,a _
CONTRACTOR: GRAND OAKS DF.VELOPMENT C0. DATE: PHONE: 452-8167
Determine uorking square footage of each:
1. Total exposed wall area .. 2023 sq. ft. x.11 = 222.53
1248 sq. ft, x.026
Total roof/ceiling area
2
...
,
Total exposed uall 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 srall segment:
e. 269 x IUI _414 = 771 "{].,
b. 40 x 'U' .07700 ' ? OR
C. 42 X IUI .460 = 19 3?
d. --------- x 'U' .2500 =
e, 148 x 'U' .06998 - 10 16
f. 1332 x 'U' .03716 ' 49_50
g. 120 x ' U' .03528
h. ------- x 'U' .4800 =
i. 72 x 'U' .06609 ' 4_76
3 . ................................................... Total = 7fL7 ??
Zf item 113 is the same as or less than item U1, you have met the intent of SBC
6006(c)2.
Total exposed roof/ceiling area - 12na
j. Total skylight area ............................... ^ C-_-,
k. Total roof/ceiling framing area (average 10%) ••••. tz5
1. Total net insulated roof/ceiling area .............. LtZ
OVER
Determine '[1' value for each roo£/ceiling segment:
j. 6 x IUI .53 = 3.18
k, 125 x 1Ut .02894 ' 3_62 1. 1117 % 'UI _02205 = ,24.63
..
4 . ...................................................... Total = 31_43
If total of !14 is the same as or less than 112, you have met the intent of SBC
6006(c)t.
Alternate Building Envelope Design
To utilize the total envelope system method., the values established by the sum
of Items 113 and (P4 shall not be greater than the sum of Items !!1 and I12.
1. + 2. -
3. + 4. _
.
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.
l. 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 wa11.
5. I'oundations (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 o£ 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.
. ' , ciTt or r.ncnN •
?' • j?t ?II?;I':IU?I. "U" l'ALUE e1?\D Et-F:ICTOR AT P,OOF, [JALL, RI`[ tu\D COi C[:GTG IILOCI:
_.
? ROOF ? C?ILIN?
. VAL
iQ, I??TE?Io?' F;1f? F???`1 . ? /. .
P-D.
? ? ?NSULA?ION y?/..oo.
?J .
O EXj?(?;a(= AlR FI?M ?- / 7
? U..v?zof ?STILL) '• ' ,
U"=f??Z= ToTAL. (R?=yS7y
.?
? WALL . . -?-
. VALL
Q ICl lc(=1,0[= Al(Z FILn . GE
Q 112' GYP." -5D.?
s/Z" 11. / 9: G c.
SID?N(?,
7
' y'= .0•3?/6 .
?'?'`_ ??R = ":.If=' ToTAL (R) =26.9i.
IOZ .? ? ,t Ii?Tci??1oR Ni:? Flu? ? , ?.g.
? 2 FIC- Plf'l .lp1S`( 'Cl i !1
. 15 ?'s Z ?=?-fc . ? . . . C . o 0
.. u?
C=.XTcR1DfZ A1.7- FILCI ?./ 7._
t4? ojs1S . • `
,?. ??? ToTA? (Ct) =2 ?.3 f?
00
? Ciz? VALU?
jc17 tDiT Auc FILI1
@ 33? /7. oC
Clj(.1G. •`h,
0 E?Tc_[:Io;c AIR FILM
c(: •O? Go%
11 uu
Floors ovc.; unheat.ecl e:paees mus[ have mininuz R-factor oI R-20 (tuc.l•-under gara-?es).
Flaars av, r ou[dooz air (ovcrhangs) aust liavc n nininum P.-factor of F-33. . ? .
t .
SINGLfi FAMILY DiiELL2NGS
2 3ETS OF PLANS
3 REGISTEAED SITE SQR9EYS
1 SET OF L+'NERGY ClLCS.
1989 HIIILDING PERMTT APPLICATION k'E ?'rf u
C CITY OF EAGAN
NOLTIPLE DWELLINGS COlB'lERCIAL
2 36TS OF PLANS
SEGISTHAED 3ITB 3QRVETS -
(CHEC[ iiTPH HLDG DIV. }
t SET OF ERBAGI CALGS.
2 SSTS OF IRCgIiECTURAL
6 ST@DCTIIRAL PLRNS
1 SET OF SPECIFIC9TIONS
1 SET OF 86ERG1 CALC3.
MULTIPLE DWELLINGS AENTAL QNTT3 FOA SALE IIIQITS t OF UNITS
BOTEt 1DDAES3E4 POR CORNEA LOT5 - COATAACTOR/80HEOWAER MOST DESIGBATE iiSICB IDDAFSS
I5 DESIRED. NO CH9NGFS iiILL BE ALL01iED ONCB BDILDING PERMIT I3 ISSDED..
SEHER !4 YlTER PERF!I'S FEFS IND lCCOG'11': DE@'QST; 7E?.,' k'L'.L BS 3NCLIID£D 6tST8 TR€ SUILBIlJ3
PERMTT FEE. PROCESSIHG TIME FOR SEHER ARD flATER PERMIIS IS TKO DAYS OtiCE L PERMIT H6S
BEEA COMPLETED INDICATIRG A LICENSED PLOlBEB. _
PENALTY APPLIFS IdHENs PERA9IT IS NOT PRID FOR IN 3A9E MONTH IT IS REQUESTN:ll.
LOT C$ANGE IS REQIIESTED ONCE PERMIT IS ISSUED. I
a\
To Be Used For: Valuation: .t-6-c5? nate: -7_0-g5
?
Site Address 39?11 fnltr1-.".,rl (Zv
Lot 15 Block --7,-
Occupaney FEFS
2oning
Actual Const Bldg. Permit N C
Allon+able Surcharge
# of stories Plan Reviev
Length ? SAC, City
Depth lr%' SAC, MWCC
S.F. Total Siater Conn
Footprint S.F. ilater Meter
Acet. Deooslt
On site sexage S/N Permit
On aite well 3/ii Sureharge
MWCC 3ystem _ Treatment P1.
City vater ! Road Unit
PRV required ! Park Ded.
Hooster Pump ? Copies
SOBTOTAL
lPPAOVALS Penalty
Planner ?0l9L
Parcel/Sub d?1\5 S 5??,?ebn?r
?.
Owner (< a4;? ? ,..42 La„A >s.< a v-
Address a q •
City/21p Code Ea e., rt vx . 551 ?
Phone ti R 5? - ?t43
Contractor ,S,^lv-
Address
City/Zip Code
Phone
9rch.lEngr.
Address
City/Zip Code ?
?-
Phone R
Couneil
Bldg. Off.
Yariance
;
C/ RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EACAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Construdion Reouirements
• 3 registered sRe surveys showing sq. ft. of lot, sq, ft, of house; and all roo(ed areas
(20°k mazimum bt coverage allowed)
• 2 copies of plan showirg beam & window s¢es; poured found design, etc.)
• 7 set of Energy Calculations
• 3 wpies of Tree Preservation Plan it lot platted afler 7/1l93
. Rim Joist Detail Options seleclion sheet (bldgs with 3 or less units)
DATE aa- oc.t-oa
Water Softener
Watcr Heater
iVo. ol'Balhs
SITE ADDRESS 38a'O ?q??.N ?•O? MULTI-FAMILY BLDG _ Y _ N
TYPE OF WORK?ILlC.Q. o?CA >t,&V.]S (_1I1`6.v`n FIREPLACE(S) _ 0_ 1_ 2
APPLICANT ? kenewal By Andersen, Iac.
$TREET ADDRESS i 192.0 Counry Rd. "C" west
R.useville, MN 55113
TELEPHONE # , 65i-264-4777
L.iceuse a 20130983
-?5
??
RemodellRaoair Reauirements
• 2 copies of plan
. 1 set of Energy Calculations for heated addi6ons
• 7 sRe survey for extenor additions 8 decks
• Indicate if home served by septic system for additions
VALUATION a , 3so°°
STATE_ZIP
FAX #
- - ?
PROPERTYOWNERl[xl-ol nbl.\-10I_Z- TELEPHONE# t051'q5ZI'B_7ya
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESO"1'A RULES 7670 CA'1'EGORY 1 MINNLSO'1'A RULES 7672
(d su6mission type) • Residential Ventiiation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor: _
Plumbing sysfcm includes:
Mechanical Contractor:
Mechanical system includcs:
Sewer/Water Contractor:
Phone #
Phone #
Fee: $70.00
I hereby acknowledge that I have read this application, state that the."nformation is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan O inances. ?
Signature of Appl(cant?-
------------------°-°°"-----------------......__.•°°-------.....-------------•°---.....-------------°--°-------------..._.._
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
Phonc #
_ Lawn Sprinkler
_ No. of R.I. Baths
Air Conditioning
Heat Recovery System
Fcc: $90.00
...,...?.r..•... auv ii.ao ct?n ?OJ Oll'44?50' .
?Ifkl. tiY 4PILtSK7tf(M
rC a?. ?? . .
(21ty of Ham
3836 PiIat Kuob RoAd ER88w MN 5S122
To Whom It Maq Concern:
IIder 7ones is authorizEd to ptU bUffdlng pennits for Reatewal by Andmm_ pteasc aUow
l3lder Joncs to piovidc this servicc for ua in 8agsn, 'Ittis atuhudzatian ig vaiid for amy
date bayond f/6lOl: ua?tiI a?awa! by Andersen msnsper exPnesstY revoloas it fn wridnQ
W tha City-
I rcquest fhis authorizafian be accepted expedidously, av to not dela the
our EraildinS P?anits anY fuzthcr. Picasc cari mc lf thc= arc nny qu m ciona.. IWbe"' Of
contaa6eci at 763-502-4706_
Your imm9dia0e atuntioa to tWs mattcr 3S a?e?srr?L o .
stnoeiely.
d R Rau
osCallaciott Managar
Renowal by Andcrscn CorPoration
('.c: Karn?Fl?ie.r Tnnec
??-t??4 GC ?usz o:?
G - T-?eaj
o ?2;?
Wuuz.
Received Time Jan. ). I-01Pld
RESIDENTIAL
BUILDINC PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EACAN MN 55122
651-681-4675
New Constructlon Reouiramenta
• 3 ragistered site surveys showing sq. ft. of lot, sq. R. of houu; and all roofed areas
(200/o mazimum lot coverege allowed)
• 2 copies of plan showing beam & wiMow s¢es; paured found design, etc.)
• 1 set of Energy Calculations
• 3 copies of Tree Preservation Poan if lot platted afler 7/1193
• Rim Joisl Delail Opfians 5election sheet (bldgs with 3 or less unds)
DATE
SITE ADDRESS
TYPE OF WORI
APPLICANT
STREET ADDRESS (45 f36 ? b F,oVA-/! S6?b. •
TELEPHONE # ?S„?- 5 71/-6-a35-CELL PHONE #
ULTI-fAMILYBLDG _Y _N
FIREPLACE(S) _ 0 _ 1 _ 2
jyoFrC STATENlvZIP ne- 4.
FAX # r'95•2-F7'V -/c5"eft
PROPERTYOWNER ???Ii,q.??/ S/Wi/? TELEPHONE#G6'/`/-8/c-GWb
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULF.S 7670 CATEGORY 1 MI.
(J submission lype) . Residential Ventilatlon Category 7 Worksheet Submitted • I
• Energy Envelope Calculations Suhmitted
Plumbing Contractor: Phone #
Plumbing system includes: _ Water SoFtener _ Iawn Sprinkler
_ Water Heater _ No. of R.I. Baths
No. of Baths
Mechanical Contractor:
Mechanical system includes:
Sewer/Water Conhactor.
_ Air Conditiorung
Heat Recovcry System
Phone #
Phone #
I'ee: $70.00
-------------^°-------------------------------------------------------°-----------------------------°-----------------
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Appllcant ??
OFFICE USE ONLY
RemodellReoair ReauiremenH
• 2 copies of plan
. 7 set of Eneyy CalcWations for heated additbns
• 1 site survey forazterior addflions & decks
• Indicate il home served by sepOc system for additions
VALUATION ?y 7?rv • ?
AUG 2 8 1002
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
r ? • •
?
? O DENOTES IRON MONUMENT SET
• DENOTES IRON MONUMENT FOUND
X000.0 DENOTES EXISTING ELEVATION
(000.0) DENpTES PROPOSED ELEVATION .
/
n
GRAND OAKS DEVELOPMENT CO.
WE HEREBY CERTIFY TO GRAND OAKS DEV. C0. THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
LoT 5, Block 2, HILLS OF STONEBRIDGE, according to the recorded
plat ihereof, Dakota County, Mlnnesota.
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS
SURVEYED 8Y ME OR UNDER MY DIRECT SUPERVIStON THIS 3/ Tµ DAY OF MAR cH .1998
SIGNED: JA LL, INC.
PROPOSED FLEVATIONS 511041N 41ERE
7AKEf1 FR01•I T1iE DEYELOrPiENT PLAPI gy;
fOR fIILLS OF STONEBRIDGE, PRE- HAROLD C. PETERSON, LAND SURVEYOR
PAREO BY PIONEER ENGINEERING AND ? MINNESOTA LICENSE NUMBER 12294 .
i atr naTan 11-x-997.
?
-n
?
D
O
W
0 ?
W°
m
D
o
- Om
r ? y y
W,
- n
r z
o
T ? p o z 0) ?
0)O y
m z
y 7
m
? 'D o0
{
SURVEYOR'S CERTIFICATE
y
James R. Hill, inc.
PLANNERS / ENGINEERS / SURVEYORS
8401 JAMES AVE. S. • BLOOMINGTON, MN. 55437 • 612-884-3029
SCALE: 1 INCH - 30 FEET
PROPOSED GARAGE FLOOR - 906.4 FEET
PROPOSED LOWEST FLOOR - 903.6 FEET
PROPOSED TOP OF BLOCK - 906.8 FEET
SURVEYOR'S C-ERTIFICATE GRAND °AKS °EVt"'~MtryI "'.
/
O DENOTES IRON MONUMENT SET
• DENOTES IRON MONUMENT FOUND
X000.0 . DENOTES EXISTING ELEVATION
- (000.0) DENQTES PROPOSED ELEVATION ,
i ,
WE HEREBY CERTIFY TO GRAND OAKS DEV. CO. THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Lot 5, Block 2, HILLS OF STONEBRIDGE, according to ihe recorded
plat thereof, Dakota County, Minnesota.
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS
SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 71 TN DAY OF MA/2 cN , 1988
SICiNED: .I!7-C. PRO
P05ED ?'IEVATIONS SHOWN V1ERE
P-Z?
7AKE.N FROhI 711E DEVELOPDIENT PLAPI gY:
FOR FIILLS DF STONEBRIDGE, PRE- HAROLD C. PETERSON, LAND SURVEYOR
'PARED. BY'PIDNEER: ENGI•NEERING,AND
LAST DATFO' II-59-67 , MINNESOTA UCENSE NUMBER 72294 .
. _
o ?
?O m
o
?
W v
0
? ?
m c
0 oz
m a
?
? O
N _m
OD 'o Z
- ? p
j z
O c
i
m OD {
?
James R. HiII, inc.
PLANNERS / ENGINEERS / SURVEYORS
9401 JAMES AVE. S. ? BLOOMINGTON, MN: 55431 o 812-884-3029
SCALE: 1 INCH - 30 FEET
PROPOSED GARAGE FLOOR - 906.4 FEET
PROPOSED LOWEST FLOOR - 903.6 FEET
PROPOSED TOP OF BLOCK - 906.8 FEET
PERMIT
City of Eagan Permit Type: Plumbing
Eagan. Permit Number: EA097306
Date Issued: 12/07/2010
OR Permit Category: ePermit
41~ it~ of E3
E
Site Address: 3824 Fairhaven Rd
Lot: 5 Block: 2 Addition: Hills of Stonebridae
PID: 10-32990-050-02
Use:
Description:
Sub Type: e - Water Heater
Work Type: New
Description: Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments: William smith
3824 fairhaven rd
ea,an, mn 55123
651-686-0910
Fee Summary: PL - Permit Fee (WS &or WH) $50.00 0801.4087
Surcharge-Fixed $5.00 9001.2195
Total: $».00
Contractor: Owner: - Applicant -
Williarn Smith
3824 Fairhaven Rd
Eagan MN 55123
I hereby aeknowledae 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 Citv of Eagan Ordinances.
ApplicantiPermitee: Signature Issued Bv: Signature
PERMIT
City of Eagan Permit Type: Plumbing
Eaaan, Permit Number: EA097374
Date Issued: 12/10/2010
OR Permit Category: ePermit
41 it~ of E3
E
Site Address: 3824 Fairhaven Rd
Lot: 5 Block: 2 Addition: Hills of Stonebridae
PID: 10-32990-050-02
Use:
Description:
Sub Type: e - Water Heater
Work Type: New
Description: Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments: Kris Oien
3670 Dodd Rd
Eaaan, mn 55123
651-365-1340
Fee Summary: PL - Permit Fee (WS &or WH) $50.00 0801.4087
Surcharge-Fixed $5.00 9001.2195
Total: $».00
Contractor: - Applicant - Owner:
Champion Plumbing William Smith
3670 Dodd Rd., =100 3824 Fairhaven Rd
Eagan NIN 55123 Eagan MN 55123
(651) 365-1340
I hereby aeknowledae 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 Citv of Eaaan Ordinances.
ApplicantiPermitee: Signature Issued Bv: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA131764
Date Issued:07/07/2015
Permit Category:ePermit
Site Address: 3824 Fairhaven Rd
Lot:5 Block: 2 Addition: Hills Of Stonebridge
PID:10-32990-02-050
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 within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 4,000.00
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 -
William Smith
3824 Fairhaven Rd
Eagan MN 55123
(651) 686-0910
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:Plumbing
Permit Number:EA132329
Date Issued:08/06/2015
Permit Category:ePermit
Site Address: 3824 Fairhaven Rd
Lot:5 Block: 2 Addition: Hills Of Stonebridge
PID:10-32990-02-050
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
William Smith
3824 Fairhaven Rd
Eagan MN 55123
(651) 686-0910
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA138628
Date Issued:09/09/2016
Permit Category:ePermit
Site Address: 3824 Fairhaven Rd
Lot:5 Block: 2 Addition: Hills Of Stonebridge
PID:10-32990-02-050
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 within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 4,000.00
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 -
William Smith
3824 Fairhaven Rd
Eagan MN 55123
(651) 686-0910
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:Building
Permit Number:EA155565
Date Issued:05/22/2019
Permit Category:ePermit
Site Address: 3824 Fairhaven Rd
Lot:5 Block: 2 Addition: Hills Of Stonebridge
PID:10-32990-02-050
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 -
William Smith
3824 Fairhaven Rd
Eagan MN 55123
(651) 686-0910
Pella Northland
15300 25th Ave N #100
Plymouth MN 55447
(641) 670-7051
Applicant/Permitee: Signature Issued By: Signature
,
r 1
For Office Use
''',, 4t. : Permit#.
,
% i 0 # E Ai A N ..11 e„- Permit Fee:
1
,.. .,..
................
............ I
*RIB. Date Received' /2-31, -7/ 1
3830 PILOT KNOB ROAD l EAGAN, MN 55122-18101
(651)675-56751 TDD (651)454-8535 I FAX (651)675-5694 DEC 3 0 201H
Staff. ti
buildinoinspectionsacitygfeacian.corn LJ
2019 RESIDENTIAL BUILDING PERMIT APPLICATION
12/30/2019 3824 Fairhaven Rd
Date: Site Address: Unit#:
NameDiane & Bill Smith Phone' 651-686-0910
:
(i) 3824 Fairhaven Rd, Eagan, MN 55123
,wnerAddress/Cty/Zip
y.--,..:, i
, ,.,, .a, , . , •.
Applicant is Owner 1 Contractor
Bathroom Remodel
Description of work
,..-Typ**(Viiiiric,',
000
Construction Cost. 8 Multi-Family Building Yes /No 1 )
Company: Great Lakes Window & Siding Contact Derek
Co . ' 14690 Galaxie Ave Apple Valley
,..„.,: _ .7,, ........,,,,,,.,,,, Adoress City:
,
StatePhone
MN z,p 55124 952-891-34ktnr' Email derek.glwsco@gmail.com
:
BC060427 NAT-23297-3
License# Lead Certificate# Abb....
If the project is exempt from lead certification, please explain why ,
gd\,./
,
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes,date and address of master plan: ._
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
____
NOTE:..:.$14.41R4: ''.,''.:'.':`:si',•kg'.fr documents that you-seibmit are coniidersdi in publicfaliffRoffoff iiiitionsW*10#04110#**** :''''',:"'
, .t.:il...L.:::„...:;,,,;.;,;1, 1: ',,•'.',: ms, .; --,. reasons ,. , would., . the c, to,conclude th'ilit,:;-. are via--
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at wwwcityofeaoan.comtsubscribe.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities VAMN,qopnerstateonecall orq
I hereby acknowledge that this information is complete and accurate that the work will be In conformance with the ordinances and codes of the City of
Eagan: that I understand this is not a permitbut only an application for a permit, and work is not to start without a permit: that the work wilt be in
accordance with the approved plan in the case of work which requires a review and approval
)(Derek Brouillet ,
Applicant's Printed Name Applican ' Signature
ei r A
30 y fM./V %s 6/4
•DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation Fireplace Porch(3-Season) Exterior Alteration(Single Family)
/ Single Family Garage Porch(4-Season) Exterior Alteration(Multi)
Multi _ Deck Porch(Screen/Gazebo/Pergola) Miscellaneous
01 of_Plex Lower Level Pool Accessory Building
WORK TYPES
New Interior Improvement _ Siding Demolish Building*
Addition Move Building _ Reroof Demolish Interior
x Alteration Fire Repair _ Windows Demolish Foundation
J Replace Repair Egress Window Water Damage
Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION
Valuation Occupancy tom r.. MCES System
Plan Review Code Edition t...;- SAC Units
(25%_100%X,) Zoning City Water
Census Code (( �� Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction Y / Width
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
Footings(Deck) Final/C.O. Required
Footings (Addition) Final/ No C.O. Required
Foundation Foundation Before Backfill HVAC_Service Test Gas Line Air Test_Hood
Roof:_Ice&Water _Final Pool:_Footings _Air/Gas Tests _Final
Framing 30 Minutes 1 Hour Drain Tile
Fireplace:_Rough In _Air Test Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS
Ni Insulation Windows
(- Sheathing Retaining Wall:_Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression: _Rough In_Final
Braced Walls Erosion Control
Shower Pan Other:
Reviewed By: 17./ , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge , } ,it .,.,,,,,,c} I,,,
y / V, t
Plan Review
MCES SAC
0 6 .\‘1
City SAC •
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant /1 0 0
V
Radio Meter Read Vv'l
Copies 1-f e. „1-.)---
. vzj /• a 0
TOTAL ( 0
Page 2 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA159875
Date Issued:01/27/2020
Permit Category:ePermit
Site Address: 3824 Fairhaven Rd
Lot:5 Block: 2 Addition: Hills Of Stonebridge
PID:10-32990-02-050
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Fixtures
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
William Smith
3824 Fairhaven Rd
Eagan MN 55123
(651) 686-0910
Cities 1 Plumbing & Heating
787 Hubbard Ave
St. Paul MN 55104
(651) 274-6547
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA172284
Date Issued:09/23/2021
Permit Category:ePermit
Site Address: 3824 Fairhaven Rd
Lot:5 Block: 2 Addition: Hills Of Stonebridge
PID:10-32990-02-050
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.
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 -
William & Diane Kay Smith
3824 Fairhaven Rd
Saint Paul MN 55123--168
(651) 253-9285
Built Strong Exteriors Llc
2215 Quebec Ave S
Lakeland MN 55043
(651) 702-1300
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA173132
Date Issued:10/29/2021
Permit Category:ePermit
Site Address: 3824 Fairhaven Rd
Lot:5 Block: 2 Addition: Hills Of Stonebridge
PID:10-32990-02-050
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 -
William & Diane Kay Smith
3824 Fairhaven Rd
Saint Paul MN 55123--168
(651) 253-9285
Built Strong Exteriors Llc
2215 Quebec Ave S
Lakeland MN 55043
(651) 702-1300
Applicant/Permitee: Signature Issued By: Signature