3832 Fairhaven Rd
', - , CITY OF EAGAN
, 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN
PHONE: 454-8100
BUILDING PERMIT Receipt # _
To be used for Est. Value Date_
Site Address A?i- ?i=`*'F*"iLot ? Block Sec/Sub_ J
Parcel No. `'T 'N 'RID 1 Occupancy
?cc?u.r ? .; s.sc u? ria??v
W Name r.
= Address o FXQr.r -Oi:. B' VD -WAY?.lE
0
City Phone 929-551S
Name ?
Phone
I hereby acknowlege that I have read this application and state that the
information is correct and agree to comply with all applicabie State of
Minnesota Statutes and Ciry of Eagan Ordinances.
Signature of Permitee
A Building Permit is issued to:
on the express condition that all work shall be done in accordance with all
applicabls State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
Zoning
(Actual) Const
(Ailowable)
# of Stories
Length
Depth
S.F. Tota!
S.F. Footprints
on Site Sewage
On Site Well
MWCC Systam
City water
PRV Required
Booster Pump
APPROVALS
Planner
Council
Bldg. Off.
Variance
a_ ?.?4 1.9
OFFICE USE ONLY
_ FEES
_ Bldg. Permit
- Surcharge
Plan Review
- SAC, City
- SAC, MCWCC
Water Conn
- Water Meter
Acct, Deposit
SNJ Permit
- S'W Surcharge
Treatment PI
Road Unit
- Park Ded.
Copies
- TOTAL " ` ? ?
Permit No. Permit Holder Date Telephone #
WII7ER
SEWER
PLUMBING
H.V.A.C.
ELECTRIC
lespection Date Insp. Comments
Foodngsl
FoundaGon
Framing
Roofing
Rough P16g.
Rough Htg.
Isul.
Freplace r
Final Htg.
Final Plb9-
Const. Meter Pikyg. Inspector - Notity Plumber
Ergr./Plan
Bldg. Final
Deck Ftg.
Deck Final
weu
Pr. DiSp.
Y . . . . . _
? ? CITY OF EAGAN
3834 Pifot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERM
IT Receipt #
To be used for D= Est. Value # 1,00o Oate MLY 16
Site Address 3032 FAIRiiAYEp 1tp
Lot ? BloCk Z Sec/Sub. SYL?1 ?, OFFICE USE ONLY
Parcel No. - 1771??=1Vt? Occupancy - FEES
B Zoning -
W 'R? ?Y
Name (Actual) Const - Bldg. Permit 2s-no
?
p Address 3832 TwlRIiAYLN EtD (Allowabte) -
Surcharge - 50
City RAW Phone 452-0"a # or saries
1 • Pian Review
Length
o
~ NdfT12 -- 0LSM '?TRMxON ZNC Depth 12 SAC, City
U¢ Address 13Z? ???R A? S
cjtY $AY? Phone 7Z7-3763 S.F. Total
S.F. Footprints _
SAC, MCWCC
te
Co
W
F
W On Site Sewage _ r
nn
a
W
? w Name On Site Weil -
Water Meter
u ;
a W Address
Gity Phone Mwcc system -
City water _
Acct. Deposit
PRV Required - SNN Permit
I hereby acknowlege that I have read this application and state that the Booster Pump - SiW Surcharge
information is correct and agree to comply with all appiicable State of .
Minnesota Statutes and City of?Eaqan Ordinan,rgs.:
: Trealment Pt
F-
5ignature of Permitee ,.?f 'r=? f"??-?•?? - APPROVALS Road Unit
A Building Permit is issued to: ??M CM j0N Planner - park Ded.
on the express condition that all work shall 4e done in accordance with afl Counciti
,ipplicabie State of Minnesota Statutes and City of Eagan Ordinances. gld9. pif _ Copies
??
?
BuildingOfficial Variance T07AL
?
1
P¢rmit No. Permit Holder Date Telephone #
WATER -
SEWER
PIUMBING
H.V.A.C.
ELECTRIC
Inspeetion Date Insp. Comments
Footings I
FoundaGon
Framing
Roofing
Rough Plbg.
Rough Htg.
isul.
Firepiace
Final Htg.
Orstat Test
Final Plbg. Plbg. Inspector - Notify Plumber
Const. Meter
Engr./Plan
Bldg. Final
Dedc Ftg. f7?
Dedc Final
Well
Pr. Disp.
l.,---
?•. :?_, CITY OF EAGAN
' ' e.
_
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN
PHONE: 454-8100
BUILDING PERMIT Receipt # _
To be used for •`'F Est. Value Z90,00(, Date-
Site Address 3832 FAIRHAVt:P+ DR
Cl
Lot J Block 2 Sec/Sub. S'Clh1EERli)CE
Parcel No. occupancy A-3
Zorrng
W Name ?? ?? 'i ?'I4'jiJ",i (Actual) Const
3 Addfess SSlb ltif:iii 5T E (Albwable)
0 City PRIaR LAi? ' Phone 440-6900 # of Stories
Length
o Name
ln
?
=
?¢ Address S.F. Total
? City Phone S.F. Footprints
On Site Sewage
?
W W
Name
on sice weli
t
z;
Address
Mwcc system
<W City Phone Ciry Water
PRV Required
I hereby acknowlege that I have read this application and state that the Booster Pump
information is correct and agree to comply with all applicable State of
Minnesota Siatutes and City of Eagan Ordinances.
Signature of Permitee • . APPROVALS
A Buiiding Permit is issued to: R`' " ?CE:E5 Planner
on the express condition that all work shall be done in accordance with all Council
applicable State of Minnesota Statutes and City of Eagan Ordinances. gldj. pff.
Building Official Variance
:'-'-
?,? . 16066
' 1 ssS?
:E USE ONLY
FEES
Bldg. Permit 544•00
Surcharge 45i00
Plan Review 297,00
SAC, City 100*00
575•00
SAC, MCWCC
550•00
waterConn
Water Meter 9 0• 00
Acct. Deposit 30000
S'W Permit 20•00
S, W Surcharge 1 • 00
Treatment PI
Road unit 325. M
Park Ded.
Copies
TOTAL ?tia 5 5. Ci.
Parmit No. PermN Hotdar Date Telephone #
WATER
PLUMBING
H.V.A.C.
ELECTRIC
Inspactfon Date Inap. Oomments
FooEirigs I
Foundation
Framing
Roofing
Rough PIb9•
Rough Hig. LA"
Isul. • ,? • j- ?'
Fireplace ,2 ?
Final Ht9. ?b
Fnal Plbg.
Const. Meter Plbg. Inspector- Notity Plumber
Engr.IPlan
Bidg. Final
Deck Ftg.
Deck Final
weu
Pr. Disp.
y+ •`yr .
i.
. ,
MECHANICAL PERMIT
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122
PHONE: 454-8100
? anv maarCSS " BLDG. TYPE
Lot - Block Sec/Sub Res. X
; . ?• ? ?
?l Name , ::A - Mult
_ C,.Qr?m.
Address ?
? O?er
c City SAA• A= : Phone 94-
Name TEH. I oC.
-
c Address
p City Phone _
TYPE OF WORK
Forced Air M BTU
Boiler M BTU
Unit Heaier M BTU
Air Cand. M BTU
Vent CFM
Gas Piping Outiets #
FEE:
S/C:
TOTAL:
PERMIT # ? . ? . .
RECEIPT #
DATE:
For Office Use Only:
WORK DESCRIP'TION
New Y.
Add-on
Repair
FEES
HVAC 0-100 M BTU
RES
00
- $24
.
ADDITIONAL 50 M BTU .
- 6.00
_ (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMIn
- 1
50 EA
'•i COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES .
TOWNHOUSE 8 CONDOS - RES. RATE APPUES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON S
REMODELS - 12.00
MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT
(ADD $
50 S/C IF PERMIT PRICE GOES - .50
.
BEYOND $1,000)
SIGNATURE OF PERMITTEE
FOR: CITY OF EAGAN
1 , PLUMBING PERMIT For Offlci
• CITY OF EAGAN PERMIT #
CONTRACT 3830 PILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT #PRICE PHONE 4548100 DATE: ??c-
Site Adtljqss `) .' r-f . 77471' ` . , 77 BLDG. TYPE WORK
LQt- ? B' k SeclSub Res. New_
Mult. Add-on
fir? L Comm. Repair.
T Name , „ ,, _ other
d
D
Add
? City
Phone
?sts. ruua.
NO FI;
3 Water Closet - $3
? Bath Tubs - $3.00
-? Lavatory - $3.00
? Shovrer - $3.00
Kitchen Sink - $3.
UrinaVBidet - $3.C
?_ Laundry Tray - $3
Floor Drains - $1.:
-T Water Heater - $t
Whirlpool - $3.00
Gas Piping Oudet
(MINIMUM - 1 F
So(tener - $5.00
Well - $10.00
Private Disp. - $1
Rough Openings
PLETE THE FOLLOWING:
RES -k TOTAL
0? $
?
J?
?
Phone
FEES
COMM./INO. FEE - 1%OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APLLIES
MINIMUM - RESIDENTIAL FEE $12.00
MINIMUM - COMM.IND./FEE $20.00
STATE SURCHARGE PER PERMIT .50
(AD91-.10 S/C PER EACH $1,000 OF PERMIT FEE)
,=P s-rv rq
FoR: cmr
l??'r? ST ?v f P!
f?a•vso? s•
PERMIr)
)
.50
AI7 FEE:
'ES S/C:
ND TOTAL:
1 ? ?--
,
?r"
l 7
CONTRACT PRICE:
Site Address
Lot ':7 Block
? Name -2r `
? Address
c Ciry
? Name L-
c Address
3
O CitY
3830 PILOT
Phone
CITY
ev
FEES
M/IND FEE - 1% OF CONTRACT FEE
3LDGS - COMM RATE APPLIES
VHOUSE 8 CONDO - RES. RATE APPLIES
AUM - RESIDENTIAL FEE - $12.00
AUM - COMM/IND FEE - $20.00
E SURCHARGE PER PERMIT - .50
$.50 S/C IF PERMIT PRICE GOES
PERMITTEE
OF EAGAN
PERMIT #
RECEIPT # _
EAGAN, MN 55122 DATE: -?
.eiao
. TYPE WORK [
X New _
Add-on
n. Repair
ONLY
NO. 1?? FIXTURES TOTAL
_? Water Closet - $3.00 ?
Z Bath Tubs - $3.00
Lavatory - $3.00
? Shower - $3.00 KitChen Sink - $3.00
Urinal/Bidet - 53.00
Z Laundry Tray - $3.00
•?
?Floor Drains - $1.50
Water Heater - 51.50
Whirlpool - 53.00
Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIT)
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
FEE: ? ? ?,
STATE S/C: s
GRAND TOTAL: ` rr
ON
CITY OF EAGAN
3830 Pilot Kn4b Road
Eagan, Minnesota 55122-1897
(612) 681-4675
'AIT TYPE: 01146
Number. ? •) >;
sued: ?n. f?t0"8
SITEADDRESS•' 10 '"' 0?" 4?,? ? 1ij r / +i1 11l' .
i :, ! Fr11J11.'I N V'I1
ti t ': 1 i1Nt ftf, f Ill@l
I PERMIT SUBTYPE:
; :,
MiNhiL'.t)I1A L? f1 kltlFtt. .. -"?
TYPE OF WORK:
? ? r ?; ? ?:
j! n',f. I A
INSPECTION DA . .•
F
L
?
Fe?mn No. Permn Hotaer Data T.lepnone #
ELECTRIC
PLUMBING
HVAC
Inipecdon Dsb Insp. Comments
F0071NGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL '
BSMT R.I.
BSMT FINAL
DECK FfG
DECK FINAL
i
,
? 9?
1?
,
r
:
fgtr#i#irafit nf Orrupanxy
Citp of (Eagan
iorpalmrtcf of iiuildittg jnapPrtintt
This Certi, fcate rssued pursuant to the requirements of Section 306 of the Uniform Building
Code cernfying that at the time of rssuarrce thrs struclure was in complrance with the various
ordinances of the City regulating building construction or use. For the fo!lowing.•
SF DJG/GAR - FIRE REPAIlt ' Mft.NnM No. 16419
oaupaocy Type R3/I'11 zorong DaW PD Type cam. VN
ow?r of ew'kbng MASTERLRAFf !JCH.SL'd??TIQ3? 4601 @CUSIOiR BZVD., ST. UOTIS FARK
eLulain?aaa? ?3?VIld RL1AD wc.rtyL7, B2, HITI.S 0F Sil'IMIDGL
? DEMMER 27, 1989
POST IN A CONSPICUOUS PLACE
SEWER
CITY OF
& WATER PERMIT OFFICE USE ONLY
EAGAN
PERMIT DATE
3$30 Pllot Knob Rd. WATER PERMIT #' SEWER PERMIT # i i{8?
P.O. Box 21199 METER #41-2 17QZ ZA B.P. RECEIPT #
Eagan, MN 55121 +EjOlEg # B.P. RECEIPT DATE ILIZ By
METER 51ZE
ISSUE DATE 1:?2 L' g 9 - PRV - BOOSTER PUMP
SITE ADDRESS PERMIT REQUESTED
r?
LOT 6LOCK _,?n-SEC/SUe
APPLIEANT: SEWER ?WATER _TAPS
ADDRESS: MA COMM/IND ? RESIDENTIAL
CI7Y, STATE
PHONE: y A?? " ?ci Oc _ ?. {+fEW ? EX{SSING
PLUMBER: ! .: ??`?'QR ??r _ ?`?M'4 i ?? c _
ADDRESS: ?a),AnCL 1 AGREEr'rT0 COIyAPLYVITH CITY OF
CITY, STATE <cA 7 ZIP.?;_'?$Z:?? EA?p?/ NpRDN)IAfMCkF,S: f ,
, ,' ? PHONE: f- - % .? •'?,!a-. _- ? 1?S W` \
OWNER: 0n-Q_'_ ?S l? =a titA, %ADDRESS: SI U E yV?EN METER ISSUED
CITY, STATE ZIP v ?
PHONE:
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEVYER PERIYIITS, CONTACT
ENGINEERING DERT.
_ . . ?. . . _ ?,:
- ?
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3
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LL
BLDG. PERMIT Nq:
01-3210 Bldg. Permit
01-3422 Plan Check
01-3445 Surch./Adm.
01-3446 SAC/Adm.
01-2155 Surcharge
75-3860 Road Unit
20-2275 SAG
20-3865 Water Conn.
20-3868 Water Trmt.
20-3716 Water Meter
20-2252 Acct. Dep.
20-3713 Water Permit
20-3743 Sewer Permit
79-3866 Sewer Conn.
28-3855 Park Ded.
TOTAL '
?
? r r
e~Lr ? .'
; ?-
BLDG. PERMIT NO.
?
,
01-3210 Bldg. Permit
01-3422
Pian Check ,
01-3445 Surch./Adm.
01-3446 SAClAdm.
]
? 01-2455 Surcharge
? 75-3860 Road Unit
20-2275 SAC
, 20-3865 Water Conn.
20-3868 Water Trmt. -; > J
20-3716 Water Meter •` ? C-
? 20-2252 Acct. Dep.
; 20-3713 Water Permit
20-3743 Sewer Permit < <== ? "?
79-3866 Sewer Conn. D
28-3855 Rark Ded. ?
? TOTAL
? ?-
1 .. ?- ( ?
L-jq p A L-/ RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-687-4675
New CanffirucUon ReauiremeMs
• 3 registered sNe surveys showing sq, ft. of lot, sq. k. of house; and all roofed areas
(20% maximum lot coversge allowed)
• 2 copies of plan showing beam & window sizes; poured found des?n, etc.)
• 1 set of Energy Calalations
• 3 copies of Tiee Preservatlan Plan if lot plaHed after 7/1/93
• Rim Jdst DefaJ Optbns selection sheet (61dgs wilh 3 w less units)
DATE I% '&)b '110D.
RemodeUReoair Reaufrements
• 2 copies of plan
. 1 set W Energy Calculalionsfor heated additbns
• 7 sfte survey for exterior additions 8 decks
• Indipte if home served by septk system for additions
VALUATION )3i9gOOP
106 SITE ADDRESS 3`S 3;t Tt'A?t1•q?N `ZUp,A
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTYOWNERTy.k?<
TYPE OF
APPLICANT
FIREPLACE(S) _ 0 _ 1 _ 2
PHONE# 163+ $6a?V3'7"
ADDRESS A5b-jZ?.a+ A1?.0. .(V ?. ?C ? t?I'f.C,?. fY1N ZIP CODE SS"/3 a
PAGER # CELL PHONE # FAX #
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPI
Energy Code Category _ MINNESOTA RUI.ES 7670 CAT'EGORY 1
(check one) - Residential Ventllation Category 1 Worksheet Sut
- Energy Envelope Calculations Submitted
MINNFSOTA RULES 7672
New Energy Code Worksheet Submitted
Plumbing Contractor: _
Plumbing System Includes:
Mechanical Contractor:
Mechanical Systcm Indudes:
Sewer/Water Conhactor.
_ Water Softener _
_ Water HeaLer _
No. of Baths
Air Condiaoning
Heat Recovery System
Phone #
All a6ove information must be submitted prior to processing of application.
I hereby acknowledge ihat I have read this appiication, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Or ' nces.
Signature ot Applicant ,
Phone #:
I,awn Sprinkler
No. of R.I.13aths
Phone #
FF ( ?C?OdC?
EB 2 0 2002
ey 6 a
Fee: $90.00
Fee: $70.00
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 1101
CiTY OF EAGAN N? 16066
3830 Pilot Knob Road P O Box 21-199 Eagan MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt #
To be used for SF DWG/GAR Esc Value $90, 000 Date 19$4-
Site Address 3832 FAIRHAVEN DR
LOt 7 BIOCk 2 Sec/SUb. STONFARTD(:F
Parcel No.
w Name _ R S M HOMES
o Address 5516 180TH ST E
City PRIOR LAKE Phone 440-6900
Name _
Addiess
City -
Phone
Ww Name
_3, Address
cw City Phone
I hereby acknowlege that I have read?lhis application and siate that the
informalion is correct and agre to omply w4' 11 appli ble State of
Minnesota Statutes and City a?Ordinap
Signature of Permitee ?
A euiming Permit is issu to: R S M HOMES
on ihe express conditio that all work shall be tlone in accordance with all
applica6le State of Minnesola Stalutes and City yo?t E?agan Ordinances.
?1 I .,Q( I y I 11 J
Building Official j? f1 ?
OFFICE USE ONLY
Oxupancy R-3 .M-1 FEES
Zoning PD
(Adual) Const -Y--N 81dg. Permit 594.00
(Allowable) -V--N Surcharge 45 .OD
# ofStones
Length 60' Planfieview 297.00
Depih 37' SAC, City 100.00
S.F.Total - SAC,MCWCC 575.00
S.F. Footprints - $$0
00
On Site Sewage _ 'Nater Conn .
On Site Well - Water Meter 90.00
MWCCSystem xX-
Accl. Deposit 30.00
City Water ?_
PRV Required S/W Permit 20.00
BoosterPUmp - SIWSurcharge 1•00
TrealmentPl 228•00
APPROVALS RoadUnit 325.00
Planner - park Ded.
Council
81dg. Off. _ Copies
2
855.00
Variance - TOTAL ,
BUILDIP7G PERMIT
To be used tor DECK
CITY OF EAGAN Np 1906$
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 n ?/ /
Receipt# 1?-'o 7y
Est.Value $1,000 Date ?1Y 16 , 19_-9-L-
Site Address 3832 FAIRHAVEN RD
Lot 7 Block Z Sec/Sub. HILLS OF
- OFFICE USE ONLY
PBfCBI NO. bTUNEBRIDGE Occupancy - FEES
2oning -
s Name BRAD MAY (Actuap Const Permit 5.00
eldg
W -
.
Address 3832 FAIRHAVEN RD (Allowable) -
50
0 City EAGAN Phone 452-0488 x of Stodes Surcnarge -
16 ? Plan Review
th
Leng
o Name OLSETH CONSTRUCTION INC oepm 1Z sac
c
$¢
Address 13220 WEBSTER AVE S
S.F.TOtal ,
ry
-
?
City SAVAGE Phone 727-3763
S.F. Footprints SAC,MCWCC
-
t
W
C
On Site Sewage onn
a
er
? W Name on site wan
M
?w - Water
eler
330 Addfe55 MWCCSystem -
aw Clty PhOne Ciry Water _ Acct. Deposil
PRV RequirBd _ S/N Permit
I hereby acknowlege that I have read this application and state that the Booster Pump - 5/W Surcharge
information is correct antl a9ree to comply with all applicable State of
Minnasotd Statute5 and Ci an Or? 7reatmenl PI
Signature of Permitee APPROVALS Road Unit
A Building Pertnk is issued to: _ OLSETH CONSTRUCT70N Planner - park Ded.
on the ezpress condilion that all work shall be done in accordance with all Council
applica6le State ol Minnesota Statutes and City ol Eagan Ordinances. gld9 af. _ CoDies
?I
i 15.50
TY?Q,?d ) rn?
Building ONicial _,.?(,( ,_ Variance _ TOTAL
CITY OF EAGAN N? 16419
3830 Piloi Kno6 Road, P.O. Box 21-199, Eagan, MN 55121
?
PHONE: 454-
8100
/
BUILDING PERMIT Receipt # r0
To be used for FIRE REPAIR Est. Value $600.00 Date MAY 5 ,1989
Site Address 3832 FAIRHAVEN RD
Lot 7 Block 2 Sec/Sub. HILLS OF OFFICE USE ONLY
Parcel No. oceupancy - Fees
Zoning -
w Name MASTERCRAFT CONSTRUCTION (ACtual)Const - BIdg.Permit 18_00
o Address 4601 EXCELSIOR BLVD (Allowable) - 50
Surcharge -
City ST LOUIS PARKphone 929-5515 #orsrones _
P1an Review
Length _
Name SAME oepm - Snqcy
zF
¢
0 Address S.ETOtaI -
, SAC,MCWCC
? City Phone S.F. Footprints -
Warer Conn
On Site Sewage _
?
ww
Name
On Sile Well -
Water Meter
?? AddfBSS MWCCSystem -
AW D osit
?P
aw City Phone ciywaier - S/W P
it
PRV Required _ erm
I hereby acknowlege that I have read this application and sta[e that the Booster Pump - S/W Surcharge
information is correct and a?r to comply with ail applicable State of
Minnesota StaWtes
tl,Elnv agan Ordinances. 7reatment PI
?
/.(L?
Signature of PermiCee APPROVALS RoaU Unit
A Buiiding Permit is i Su¢d lo: Planner - park Ded.
on the ezpress Condition thal all ork shall be done in accordance with all Cancil
applica6le State of
M
innes
ota
S[atutes antl Ciry of Eagan Ordinances. Bldg. On. _ Copias
?
/? ??•
??.,
???
BuildingOfficial _ 11.??,0J.f 14 Variance - TOTAL 18.50
??U?Sf' `J ?j /lG oC tY
E 99064 9?
Requeet Dete
2 /7 ??
LL Fire No. ughin Inspecuon
ea reE7
? Ready Now ?II Notity Inspector
T
Wh
H
E
yes ? ? en
ee
y
16censed contractor ? owner hereby request inspection of above electrical work aC
Job AdCress (Streel, Bmc a Poute N / cm
Seclion No. Township Name or No. Range W. Coumy,
1
OccupamjP IM)
SM
? PtioneNO.
_ hcf -
Powe?S liar AtlOress
EIeMri CoMracNor (COmpany Nawe
?
? CoriVacmrS? krnse No. '
? 3
.
_
Meilin9 Atld2 (Cornractor or Owmr Maltiig Inetallation) .
/ /.
?
{i
? I
Auttiotlzetl ' naNre (COnV /Owner kirg Instellation
' ? J+hon Num?er
fY4G'
C 3??/
: -
MINNESOTA STATE BOARD OF ELECTii1CRV THIS INSPECTION REQUEST WILL NOT
Grigge-Mitlwey 91dg. - Room St]3 0E ACCEPTEO BV THE STATE 00AR0
1821 UnlvcreXy Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) e42-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION
w
,?; ?-_ ? See inshuctions For complafing this ?orm on back oi yeliow copy ?
? 9 9 0 6 4 'X°Below Wark Covered by This Request
ew dd Rv,p. . TypeofBUilding AppliancesWired EquipmentWiretl
Home Range Temporary Service
Duplex Water Heater Electric Hea}ing
Apt. Building Dryer O[her (Specify)
CommJlndustrial Furnace
Farm ' Air Conditioner
Dlher(specity) Contraclor9 Remarks:
Compute lnspection Fee Below:
# Other Fee # ServiceEniranceSize Fee # Circuits/Feedars Fee
Swimming Pool 0 to 200 Amps 0 ta 100 Amps y?
Transformers Above 200 _ Amps DO Amps
Slgns Inspector5 Use anly:
U TO AL
Irrigation Booms ? 7,0 '-
Speciallnspeciion .?7
Alarm/Communication
Other Fee
I, the Electrical Inspector, hereby
if Rough-in ? wea - ?+
r/ J?j
cert
y that the above inspection has
been made. Fnaj oa?e
r
OFFlCE USE ONLY
This requesl wid 18 monihs irom
?/as/s9 ?o ???--
L -7
[E
1
8 5 82 s
Requast Date ' .
? G? Fire No. Rough?in Inepedion
Requirad?
? Reatly Now WIII Notiylnspedor
Wh
F
a
?
o es ? N. en
ea
Y
I licensed contractor ? owner hereby request inspection of above electrical work at:
Jab Pdtlress (Sireet, Box or RoWE.NO.
) Ci
b
Sec4on Na. Tmmship Name or No. Rarge No. CounJ r I /
^
OccuPanl(PjilK'. ??l. M e?
?1 Phone No.
Power pplier"
?4 ?' PAtlress I
Electrical ConVaclor (COmpeny Name) ? Cont or5 License No.
Mailirg Addr ss (COniracWr or Owner Making Install tion)
l -s- S
'
I
2
(.c1
QC
C?C
Authonz Sgnatura (COntTclor r Meking lietallatior#j
/ a! '
Ph Num er
9C'
??
3C
(
.?y r
o
?
MINNESOTA STATE BOAflD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
GXgga-Mltlwey Bldg. - Poom S-113 BE ACCEPTED BYTHE STATE BOARD
1811 Univenity Ave., SL Peul, MN S510C UNLE$$ PROPEF INSPECTION FEE IS
Phorie (612) 6412-0800 ENCLOSED.
REQUEST POR ELECTRICAL INSPECTION ?• ee.oo001-07
p? See ineVUCtions for completing Ihis fwm on back oi yellow copy.
-E _8582 p "X" Below Work Covered by This Request
Ne% Atld Rep. Type of Building AppliancesWired EquipmentWiretl
Home Range emporary Service
Duplex Water Heater Eleciric Heating
Apt. Building Dryer Other (Specify)
Comm./Industrial Furnace
Farm ' Air Conditioner
Other (sPecM) Contracror5 flemarks:
Compute Inspection Fee Be/ow:
# Other Fee # ServiceEntranceSize Fee # Gircui'siFeetlers Fea
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Abov Amps
Signs InvspaGOr§ Uae only: OTAL S?
Irrigation Booms a r? l z -
Special Inspection
Alarm/Communication
Other Fee ?
I, the Electrical Inspecto5 hereby
tif
th
t th
i
b
h Rouen-in oete
cer
y
a
e a
ove
nspecfion
as
been made. F„?i
1 oai4 _?6
1
OFFIGE OSE ONLY -
This requeet witl 18 months fmm
PERMIT
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT TYPE:
Permit Number:
Date Issued:
C&OOf
BUILDING
025598
05/16/95
SITE ADDRESS:
3832 FAIRHAVEN RD
L07: 7 BLOCK: 2
HTLLS OF STONEBRIp6E
P.I.N.: 10-32990-070-02
DESCRIPTION:
- SIDIN6/SOFFIT/FASCIA
Building-P.ermit Type SF (MISC.)
Building WorK,Type REPAIR
REMARKS:
FEE SUMMARY:
VALUATIpN
Base Fee
Surcharge
7ota1 Fee
$108.00
$4.50
$112.50
$9,000
CONTRACTOR: - Applicant - s-r. Lzc. OWNER:
MINNESOTA EXTERIOR5 14935500 0902877 WEINBERG PETER
8600 JEFFERSON HWY 3832 FAIRHAVEN RD
OSSEO MN 55369 EAGAN MN 55123
(612) 493-550@ (612)587-0888
? a. I
i.
I hereby acknowledge that I have read #his applicatian and state that the
information is correct and ag.ree to comply withi,all applicable State af Mn. ,
? Statutes and City oF £agan Ordinances. } J
AO(ll1 U???'??
APPLICANT/PERMITEE SIGNATURE ISSUED BV SIG
INSPECTION RECORD
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS: p• I•". : 1e-329ee-e7e-e2
LOT: 7 BLOCK:
3832 FAIRHAVEN RD
HILLS OF STONEBRIDGE
PERMIT SUBTYPE:
SF (MZSC.)
PERMITTYPE: surLoxNc
Permit Number. 0 2 5 5 9 8
Date Issued: 0 5/ 16 / 9 5
APPLICANT:
2
MINNESOTA EXTERIORS
(612) 493-5500
TYPE OF WORK:
REPAIR
DESCRIP7TON SIDING/SOFFSTlFASCIA
INSPECTION
FRAMING „ .
ROU6H IN PLBG ..
OU6H IN HTG FINAL
F
:
L
?
_ _. ?
3830 PILI T KNOB RD? 55122
1995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
? 3 registared ade surveys
? 2 eopies of plans (inciude beam & window s¢es; poured fid. design; etc.)
? 1errergy calculations
? 3 copies of tree preservation plan ff lot plet[ed after 7/1193
? 2 copies of plan
? 2 ske surveys (exterior addttions 8 decks)
? t energy calculetions for heated addklons
reqwred. _ V s No 7 ?
DATE: 5 ?S CONSTRUCTION COST: ?,!rg
DESCRIPTION OF
STREET ADDRES:
LCT I
PROPERTY Name: . P h o n e #:
OWNER
Street Address, c5??3
City: ? State: Zip:
CONTRACTOR Company:??/??-?.O Phone #: -??
Street Address: ZOO License
City: ?.?? State: ?? Zip• ??
ARCHITECTI Company: Phone #-
ENGINEER
Name: Registration #S?_reeT Address-
City: State: Zip:
Sewer & water licensed plumber
change are requested once permit is issued.
Penalty applies when address change and lot
I hereby acknowledge that 1 have read this application and state tfiat the information is, correct and agree to oomply with all
applicable State of Minnesota Statutes and City of Eagan Ordinances. \
Signature of Applipnt:
OFFICE USE ONLY Iri r; C tE ? V E D
Certificetes of Survey Received _ Yes _ No MbY 16 1995
Tree Preservation Plan Received Yes No
sl ecv
1989 B[IILDI6G PEffiiI'P°APPLIC9TIOP - CIT2 0F EAGAN
SIAGLE FiHILY DiiBLLIN(i3 I?4[G
INCLITDE 2 SETS OF PLANSt 3 CERTIFICATFS OF 5DRVEYO 1 SET OF ENERGY CALCULATIONS
iOTEs ?DDRBSSE4 FOx COIttiER LOTS - COPTRACTOR/HOMEOWRBR l103S MSIGN9TE flHIC9 lDDRS3S
IS DFSIR6D. NO CBANGES iIILL BE ALLOWTiD ONC& HITILDI9G PERMIT IS I33I1ED.
MULTIPLE DWELLINGS BENTli. OAIT3 FOS 39LB DAITS i OF 06IT8
INCLUDE 2 SETS OF PLANS9 CEEtTIPICATfi OF SURYBY - CHECg fiITE BLDG. DSPT.v 1 SET OF ENERGY
CALCULATIONS
COhAfERCIAL
INCLUDE 2 SETS OF AACHITECTURAL & STROCTURAL PLANSt
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
To He Used For: FiRC TCPA12 Yaluation: 6C)o
Site Address
Lot q Hlock 9
Pareel/Sub b?p ot) 14 a,
Dwnerfpl?'S^R?'L!
Address`7` ?
City/Zip Cole [,, , S 1411
Phone 9?9? 45?
Contraetor !?S ?L7?(7- r9'd? ( ON 67 '
Address'y ? ,d l?X 2C^ ?/o,/! 13114'
City/2ip Codes;,??i o ?c < < gp 1? %YL/?
Phone
Arch. /Engr.
address
City/Zip Code
Phone S
Oecupaney .
Zoning
Aetual Const
Allowable
If of stories
Length
Depth
S.F. Total
Footprint S.F.
On site sewage
On site well _
MWCC System _
City water _
PRY required _
Booster Pump _
APPROVAIS
Planner _
Couneil
Bldg. Off.
Varianee _
Date: N1AY S , Iy5s9
036
FEGS
Bldg. Permit /g•O°
Surcharge ,so
Plan Review
SAC, City
SACp MWCC
Water Conn
Water Meter
Acct. Deposit
S/W Permit
S/W 3ureharge
Treaiment P1.
Road Unit
Park Ded.
Copies
TOT9L ?E,Sc
NOTE= 3ewer & Water Permit fees and aecount deposit fees r?ill be inoluded in the building
permit fee. Processing time for sewer and irater permits ia txo daqs onee a licsnaed
plumber has applied for a permit at City Hall.
-_ ,
j
1989 BIIILDING PEIRMIT APPLIC9TION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS , (4 O G 4
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTEs ADDRESSES FOR CORNER LOTS - CONT6ACTOR/HOMEOiiNSR MOST DESIGNATE IiHICH ADDRE6S
IS DESSRED. NO CAANGES WILL BE ALLOWED ONCE BOILDING PEAMIT IS IS30ED.
MOLTIPLE DWII.LINGS RSNTAL DNITS FOR 3ALE IINITS # OF iTHIT3
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SDRVEY - GHECg WITH HLDG. DEPT.P 1 SET OF ENERGY
CALCULATIONS
COPIIMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRIICTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
To Be Used For: C?7c1v.,?,_ Valuation: OODO Date: k'k3- ? l
Site Address ??rSnc,?Oc, S?v` OFFICE OSE ONL.Y
Lot -7 Block ? Occupancy R'3 /'/-/
Zoning PD
Pareel/Sub ?????k(Q `e--Actual Const kN
Allowable I/9l
Owner n
NDV"-'zf!E' # of stories
?
Length ?
Address Jr 5«C ??
S? , ?, Depth 3?, 3 3
p S.F. Total
City/Zip Code Footprint S.F.
s3? a
Phone c On site sewage_
Contractor On site well
MWCC System
City water ?
Address PRV required _
Booster Pump _
City/Zip Code
APPROVAI.S
Phone Planner _
Cn Council
Areh./Engr. Bldg. Off. =t 18
Varianee
Address Council
City/Zip Code
Phone 9
FE6S
Bldg. Permit
Sureharge 5
Plan Review 2 2
SAC, City /oU
SAC, MWCC
Water Conn S'0
Water Meter ? O
Acet. Deposit cD
S/W Permit z D
S/W Sureharge T
Treatment P1. 2 z g
Road Unit 3 zS
Park Ded.
Copies
TOTAL /t . QQ
NOTE: Sewer & Water Permit fees aad aeoount deposit fees will be included in the building
permit fee. Processing time for sever and raater permits is txo days onoe a licensed
plumber has applied for a permit at City Hall.
v
Main
?----
3 S?- zv =? o a 4'. '?
3??- ?y = 5-4 z. ?
Z ?,?- 6= / 2 d
13 sz a- y z yj
?--
zo,F za = yoo
?'l!f? SJGoo
La t,. er
?332 k i3? l j?sy
. E
r
? f Z y-2
?
. ... 4"61 /i/eJ6??
EXTliItIOlt F.NVELAPti AVI:Itl1GI: "U•• CCY,dPU7'ATI011
UWtJER R •:S Iv-, COtM,'e.? . _ ? .
srre nooRLss 3832- bi,..
' CoN'rancrorco/to" J?•
onTe_ '89 ruoNe
Determine vorkiny square footnqe of cach.
1. Total exposed :+a11 arca ....... %'J6o.0 sy- Et. x .11 - = 3-610
2. Tatal roof.ceiling area ....... O sy. Et. x •025 ?
Total exposed wall area above floor = /7A&9•0
a. Total wall vindow area................................... . /D-Z•
b. Total door nrea.......................................... 121 G
c, Total sliding glass•door'arca ............................. .32• a-
d, Total fireplace M.]LZ area ...........................•••••• O
e. Total wall framing area (averaqe lOt) ..................... 176,0
f. Total net uall area above floor ...........................
g. Tota1 rim joist area ....................................... 1,>Y,;e_
Total exposed Eoundation area = /O'•i
h. Total foundation windou area .............................. O
i. Total ne[ foundation area above yrade ..................... /Oa,L
DeCermine "U" value of each wa11 segment.
x
a. /03,:e „U.. ,ss- = sG.g
_
b. Y3-6 x „U.. , oy6
c. 3z. 2 x "u" , Ss = /7•7
d. Q % ?.u..
e. /7G-O x ••U.•
x "U" • oy? _____ _ _,.?z? _ ._
?, . _ /79, s!.--• .-- r .. ?,.. . os?- ? 9.3
.o. .. ? .. . 0 .._.
. /o?. ? . ... . o. $P
9?.
.,
3 ... .. ......... ... . ...... .Tocal Z_
[C itum 03 is thc samc as, or lc.:: than itum 41, you havu met ehe i,?eii ?s
oI SBC GOOG(c) 2. R",,, of y (1'75. i) G?(?,w. ?/ /??3 6J
-e-Z&`f 9s/d c 6004 C; Z
Total exPosed touf/cciliny arca = /338• ?
j. T9ta1 skylighG arca .................. .................... p
Y.. Totnl roof/eeiliny fraroiny area (avetayc LO'e) ............. /3 3•?
1. Total net inaulaecd roof/cuilinq arca .....................
potermine "U" valuc foc cach roof/cciling scyment.
j O x°u.• O b
k. /33•O j( nV•• i 0,k6r^ _ 3" >0'
.. ?. /aa y L x..,," , o?/ o as. a
4 ............................ . ......Total ° ? d•7
If total of k4 is the same as, or Less than Nn2, -you ha/ve met tlic intent of
SBC 6006 (01. c5ze, o f/ CL8.7,
59 c G oo 46 C?'J/ . o.
Alternate Building Envelope Desiqn
To utilize thc total enveLope system methal, Uic values establish•_3 by tlle
sum of items N3 and N4 shall not bc greater than the sum o: items ql and 02.
1. + z. 33-5 _aa9/
s. /?s. 2 + a. Z8.7 = ???•?
' 1991 BIIILD? ? O?P CATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
MULTIPLE DWELLINGS
COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SZTE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PIANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY IAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PE.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For: PRCK Valuation: 4*2%5;= Date:
Site Address 3$3a -F,fFSRmAUE.v 1?D.
Lot 7 Block o2
Parcel/Sub YZGtS oF 51?0vE8R=D6E
Owner f?i?q0 A'JAY
Address _ $$32 FRIRHRVEN RD.
City/Zip Code E?.46An1 MN ST/aa
Phone Z151etC*??e
Contractor O45gTm (,oniSrR?KT?tow1 SML
Address 1329o WERST6'R AUE So
City/Zip Code ,5y4r/l?6Xc Mn/ ?5,378
Phone 7a7- 3763
Arch./Engr. SAME ,G}5 ABoUE
Address
City/Zip Code
Phone #
OFFICE IISE
Occupancy
Zoning
Actual Const
Allowable
# of stories /
Length A(a
Depth
S.F. Total
Footprint S.F.
On site sewage_
On site well _
MWCC System _
City water _
PRV _
Booster Pump ,
APPROVALS ?
Planner _
Council
Bldg. Off.
Variance
FEES
Bldg. Permit 4?5,00
Surcharge „SJ
Plan Review
SAC, City
SAC, MWCC
Water Conn.
Water Meter
Acct. Deposit
S/w Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trail Ded.
Copies
SUBTOTAL
Penalty
Lot Change
TOTAL ?
?7agrees that all work shall be done in accordance with
?S`ignature of Contractor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Elder-Jones
Building Permit Service, Inc.
1120 East 80th Street
Bloomington, MN 55420
Phone: (952) 345-6047
Fax: (952) 854-4909
To whom it may concem:
We at Elder-Jones Building Permit Service, Inc. aze acring as an agent for Renewal By
Anderson. If there are any questions, ar if the pernut has to be picked up in person, please give
us a call at the number above. If the pernut can be mailed hack to us, we have enclosed a
self-addressed envelope for your convenience.
Thank you,
Kaza Benson ext. 147
Elder-Jones Building Permit Service, Inc.
1120 East BOth Street • Bloomington, Minnesota 55420-1498
952-854-2854 0 FAX:952-854-4909
??• ??..•.•.+. auv ac.uv cm 104 at1 4400 !S7'.I\CRAL CY91'1llt51SOlSCI
re al
June 7, 2001
eity ofF-agaz?
3836 Pilot $nob Road
Eagan, MN 55122
To Whom It May Concern;
IIder 7ones is authorized to pull building petmits for Renewal by Andeisen_ Please allow
Elder Jones to ptnvide this service for us in Eagan. This suthcxi2at;on is valid fpr sny
date beyond 616101; untit aZenewal by Andersen manager exprsssly reaokes it in wtlting
to the City.
I request this autliorization be acceptad axpeditiously, as to not delay in the processing of
ovr buildiag pcanit,y any fycdher. plcasc call mc if thcic arc any questions. I can Ue
cantacted at 763-502-4706.
Yaur immc,diate attcntion W this maticr is appreclatecL
sincereiy,
?
nd R Rau
nstallation Manager
Renewal by Andwscn Corporation
M
t ??? PRftutbwk
? 4q.kn.7t??py
IBI UU"C/ UL7X
Received Time Jun• 7. 1:07PM
RESIDENTIAL
I BUILDING PERMIT APPLICATION
CITY OF EAGAN
l ? 3830 PILOT KNOB RD, EAGAN MN 55122 ?
651-681-4675
New Construction ReauiremeMs
• 3 registered site surveys show(iig sq. R. of lot, sq. R. of house; and all roofed areas
(20°h maximum lot coverage allowed)
• 2 copies of plan showing beam 8 window saes; poured found design, etc.)
• 1 set of Energy Calculations
• 3 copies of Tree Presenation Plan'rf lot platted after717l93
• Rim Joist Detail Options seledon sheel (bldgs with 3 or less unAs)
RemodellReoair Reauirements
. 2 copies of plan
• 1 set of Ener9y Calculations kr healed additions
• 1 stte survey for exterior additions & decks
• Indicate'rfhomesenedbyseptlcsystemforaddiEans
DATE 6 - 7- O -2-
VALUATION S76 O '2 U
SITE ADDRESS /%9-1r &'.& «k, /2/ MULTI-FAMILY BLDG _ Y
TYPE OF WORK FIREPLACE(S) _ 0_ 1
APPLICANT
STREET ADDRESS
TELEPHONE # 3332 CELL PHONE #
_N
_ 2
S's/ p ?
t9n: CITY? STATVZ2a_ZIP?
sI-3yg'??'>s FAX#,(,?/2_-5:?2 i- °i'a26
PROPERTYOWNER Gil ?e_i? 1? 5 TELEPHONE#
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RUI.LS 7672
(J submission lype) . Residential Ventilafion Calegory 1 Worksheet Submitted . New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor: Phone #
Plumbing syslem includes: _ Water SoCtencr _ I.awn Sprinkler ree: $90.00
Water Heater _ No. of R.I. Baths
No. of I3alhs
Mechanical Contractor: Phone #
Mechanical system includes: _ Air Condilioning Pee: $70A0
Heat Recovery System
Sewer/Water Contractor: Phone #
--° ° ° °----------------°-----°---------------°-°------°-------------------------°----------------°----°------°
I hereby acknowledge that I have read this application, state that the information is correct comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances. D?(r? ?
l9
SlgnatureofApplicant
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
Saffellor's eertilAute.
SURVEY FOR: F..S.M. Fio-mes Inc.
DESCAI?EO AS: Ptinnesota and Zreservin? r easements of,rewrd.f ?Ran, pakota Grnmty,
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• Aope¦. trwn S«via Ebv, .
PfaOOM• lNratlom
[nerlng lt1•.e1laN
adna. Olne Nen. . ..,...
aromes Orriar •toU t m SGULE: ! lech a 30 a•f
/tEDLt/1ViD
PMmWip FnyVwwN+p &nr*In,p
M1 M?r+?r r?.?s?j? Mnwr 1141
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An LHIMAR-K I
SM. N.
I1 s, Ktt. i w. F•..4?..w
R044 !•/. t%%.M .u.4 M.K
; MIM. s[flN REWREMENTs
irMf - to Nows SIAe - tis
RNr "14 owhH e!!s- 6
r M..w .«Mto ron Nw Mxwr? nn « r•w•l ra proper•A w w. +a Mo.:
W wMr rM arkt aeorrNNn wN mN 160 a Miyr 4011619n1 S
lwN srv"w wiNr M Mw N IM f1oN N MIapNMf.
h G?? ra?
a?.: f, tZ, s9 u ??oe:
? an?? N? ? L
Smrpe#ors' eertificate
SURVBY FOR: F..S.A4. Flomes Inc.
pESCRIBEO AS: I,ot 7, Block 2, HILLS OP S'ItiNLIBRIDGA, City of Eagan, Dakota County,
Plinnesota and reserving easements of record.
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PROPOSED ELEVATIONS
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Use BLUE or BLACK Ink
. I For Office Use 1
City of ~a a~ Permit#:E RECEIVED i Permit Fee: " 2-6 l
3830 Pilot Knob Road 1 I
Eagan MN 55122 DEC Q 1 2011 ; Date Received:
Phone: (651) 675-5675 1 I
Fax: (651) 675-5694 i Staff:
2011 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: 3 g3oZ Fail 4Gt v,,-& R-c Unit
Name: /h/ 7-2a r q Phone: oS/ C. 31 /S
RESIDENT
OWNER Address / City / Zip: _ Co a.,k) ~ Mr7 5S7c~3
Applicant is: AfOfw~ner Contractor
Description of work: V1 n 01 (31!I '~k~`C~ m Wd l l 1.- rgela C~
TYPE OF WORK
Construction Cost: e ao Multi-Family Building: (Yes / No )
Company: Contact:
CONTRACTOR Address: City:
State: Zip: Phone:
License Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
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 i
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they 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.oopherstateonecall.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 not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of pe mit issuance.
x
Applica 's Printed Name Applicant's Signature
Page 1 of 3
S Y19 NOT WRITE BELOW THIS LINE
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 ! Occupancy MCES System
Plan Review Code Edition v J 7 SAC Units
(25%_ 100%_)() Zoning City Water
Census Code Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Construction 1 Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final / C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation HVAC _ Gas Service Test Gas Line Air Test
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 _ Backfill _ Final
Sheathing Radon Control
Sheetrock Erosion Control
Reviewed By:~ , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge tom,
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant ✓0 C-2 e-2
Copies
TOTALS
Page 2 of 3
PERMIT
City of Eagan Permit Type: Mechanical
Eaaan. Permit Number: EA102320
Date Issued: 12/06/2011
OR Permit Category: ePermit
40~ it~ of E3
E
Site Address: 3832 Fairhaven Rd
Lot: 7 Block: 2 Addition: Hills of Stonebridae
PID: 10-32990-02-070
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 $5.00 9001.2195
Total: $».00
Contractor: - Applicant - Owner:
Angell Aire Peter A Weinberg
1223 Nicollet Ave S 3832 Fairhaven Rd
Burnsville NIN 55337 Eagan NIN 55123
(952) 746-200
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
,EWER & WATER PERMR OFFICE USE O Y
CM IF EMAM _ PERMIT DATE 1/24/89
3830 Pilot K16ob:Rd. WATER PERMIT # 10247.:- seWER PERMIT # 113M_
P.O. Box 21199 METH s B.P. RECEIPT # - 9060
Eegen; AAt!l 55121 READER # $.P. RECEIPT DATE 1,123189
METER SIZE
' ISSUE DATE PRV BOOSTER PUMP
SITE ADDRESS G:r J c►.7 PERMIT ARQUEWM
LOT -I-BLOCK -]D--SEC/3U6 i ►J
APPLICANT: w~ EWER -1.WATf-R -TAPS
ADDRESS; CQMN4/INt? flESIINTIAL
CITY, STATE
PHONE: ~1'~ NEW E CISTiN .
: PLUMBER: ~
ADDRESS: t ~2c V rt~ {.AG RE o CITY
CITY, STATE _Zip EA R
Inn
PHONE:
u~a~c'4
OWNER:
ADDfiESS; ' , SIGNATURE WHOM METER' ED
CITY, STATE ZIP .
PHONE:
PLEASE ALLOY T1(1 MORKlNE3 DAYS FOR PROCES$NM KO`69;7YJ M WWER PERWM, CC*ftACT
ENGINEERING DEBT. C'"
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA164776
Date Issued:10/08/2020
Permit Category:ePermit
Site Address: 3832 Fairhaven Rd
Lot:7 Block: 2 Addition: Hills Of Stonebridge
PID:10-32990-02-070
Use:
Description:
Sub Type:Fireplace
Work Type:Gas Insert
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
concealing.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 3,000.00
Fee Summary:BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
$90.00 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 -
Peter A & Mitzi J Weinberg
3832 Fairhaven Rd
Saint Paul MN 55123--168
Fireside Hearth & Home
2700 Fairview Ave N
Roseville MN 55113
(651) 633-2561
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA168785
Date Issued:05/04/2021
Permit Category:ePermit
Site Address: 3832 Fairhaven Rd
Lot:7 Block: 2 Addition: Hills Of Stonebridge
PID:10-32990-02-070
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
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. We encourage you to retain an electronic copy of
photos until the project passes a final inspection.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
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 -
Peter A & Mitzi J Weinberg
3832 Fairhaven Rd
Saint Paul MN 55123--168
Three Rivers Contracting Llc
2676 47th St East
Inver Grove Heights MN 55076
(651) 214-6640
Applicant/Permitee: Signature Issued By: Signature