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1361 Interlachen DrREQUEST FOR ELECTRICAL INSPECTION ? ? Seetslructtons tor completing this form on back ot yellow copy. E•; 702 5 4` "X" BeJow Work. CpuerW by This Requast e Add Rep. lype of Building Appiiances Wired Equipment Wired •.' Home Range Temporary Service ? uplex Water Heater Electric Heating flpt. Building Dryer Other (Specity) Comm./Industrial Furnace Fartn Air Conditioner Ottier (spaclly) ConVSCtorS Remarks: , Compute lrrspection Fee Below: # Other Fea # Service Entrance Size Fee # ClrcuiRs/Feeders Fee Swimming Pool 0 to 200 Amps o OQ 1111 0 to 100 Amps Z)?14 Transformers Above 200 Amps Above 100 Amps so Signs lnePecto.'s use ony:, TOTAL Sp Irrigation Booms 3 9 -? Special Inspection , I Alarm/Communication f 1-. ?. Other Fee • I, the Electncal Inspector, hereby, certify that the above inspection has been made. R' h-in - F? p? oace OFFICF USE ONLY Thia requeat void 18 month& hom .? - , E 70254 13 ?? ?2,??t???, Request Date ? I Fre No. Fou?-in In ion Requl QAfs ? No ? Ready Now otiry Inspector When Ready? I p.#Kensed contractor ? owner hereby request inspection of above electrical work at: Job Addreas (Street 8ox w Route No.) i Gy ? Secfion No. Township Name or No. Rargp No. Coun ?e?? Occupant (PRINT) . ; f1 /J PQAJST, Phone No. lv o ' Pawer S lier Cer qdd„esy - Eledr(cal ConVector (CqmPe^Y Neme) CoMractork License No. Malling i4ddrriss (Co ntra or or pwner Making Installation} / Authorized Signatu (Con :Zng 77n) na Number ? - -6 // MINNESOTA STATE BOAOF ELECTRICITY Griggs-Mldway Bldg. - oom S173 1821 Universtty Ava„ St Paul, MN 55104 Phone (612) 642-0B00 THIS INSPECTION REQUEST WILL NOT BE ACCEPTED 6Y THE STATE BOARD UNLESS PROPER INSPECTION FEE IS ENCLOSED. CASH RECEIPT CITY OF EAGAN ? 3830 PI?OT KNQB ROAD EAGAN, MINNESOTA 55122 DATE 19 RECEIVED ' . . ? FRO., .AMOUNT $ DOLLARS ,ro ? CASH [3 CHECK Ft]i1 • 1 ._ .• . . - . BY Whke-Payers Copy Yellow--Posting Copy Pink-file Capy Thank You CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21 •199, Eagan, MN 55121 PHON E: 454-8100 BUILDING PERMIT To be used for ~?' ??? t? ??"AR Est. Value 3143 s,44G Date SiteAddress 1361 INT?? ::LACHBI4 DR. Lot 13 elock 1 Sec/Sub. FAIR4IAY HILLS YI Parcel No, a Name AL HHRR..IANN COtiSTRUCTIOH z Address 3 ° City •` Phone t) ¢ Name SAM ,o ? ? Addoess ?M- City Phone Nartre Address, City Phone I hereby acknowledge that 1 have read this application and slate that the information is correct and agree to comply with all applicable State of Minnesota Stetutes and City of Eagan Ordinances. Signature of Permittee P.Building Permit is issued to: AL i4FRR!'•ANN O.'N57 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 Receipt OCTOBiLA 31 19 OFFICE USE ONLY On Site Sewage Occupancy R-3 11-1 MWCC 5ystem Zoning R'i On Site Well (Actual) Const V"111 City Water % (Allowable) Y-F, PRV Required of 5tories Booster Pump Length Depth 39' S.F. Total Footprint S.F. APPROVALS FEES Engr./Assess. Permit 714'00 Planner Surcharge 71.50 Council Plan Re++iew 357.00 BIdg.Off. SAC.City 100•00 Variance SAC, MWCC 550.04 Water Conn. 550• 00 Water Meter 67• 00 Road Unit 325.QU Treatment Pt 704. Parks TOTAL • , 938• 50 c,i I r vr cNUian 3830 Pilot Knob Road, P.O. Box 21-194 ` PHON E: 454-8100 BUILDING PERMIT To be used tor Site Address ' 1 11411;n1.AGHi;:1 tjR Lot Block I Sec/Sub. FwIIIWAY HIE.LS Ij Est. Value $149„Q00 Eagan, MN 55121 Receipt # Date ,19i: ", Address 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 City ot Eagan Ordinances. Signature of Permittee A Building Permit is issued to: A'' P-"A'''LKNN .COr`5T on the express condition that all work shall be done in accordance with all applicable Slate of Minnesota Statutes and City of Eagan Ordinances. Building Official--___- --- -- .---- -.-, - OFFICE USE ONLY On Site Sewage Occupancy R-3 14"1 MWCC System ? Zoning Qn Site Well " (ACtual) Const City Water k (Allowable) V"H PRV Required # of Stories Booster Pump Length Depth 39' S.F. Total Footprint S.F. APPROVALS FEES Engr./Assess. .. Permit 714.00 Planner Surcharge , 1 . ? Council Plan Review 157.00 Bldg. Off. SAG City _ 100.00 Variance SAC,MWCC )50•00 Water Conn. ?)50• 00 Water Meter 67. C7O Road Unit 32.G,.{)('j TreatmentPt f`C Parks TOTAI . 5?1 ?- Permit No. Permit Holder Date Telephone Plumbing /T?% ? . Y H.V.A.C. Electric 41 42 A , Softener Inspectlon Date Insp. Comments Footings I S'? j•j/UZ `v? ?5-i„? ,se? S• Footings II Foundation Framing ? X) ?S, yG 7`' Roofing Gc - ?CtlJ iY ? - / c?l? Rough PIb9• _ SK• Rough Htg. isui. C6.cir, orG To ?"rQcc. -? ?i Fireplace Final Htg. Final Plbg. Bldg. Final CiBft. OCC. z ` a rn 64 I' AeBf/pf* f'O co..crel4e 1"?BO y Temp. LP Deck Ftg. Deck Final Well Pr. Disp. PERMIT 1k PLUMBING PERMIT CITY OF EAGAN RECEIPT # 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ? CONTRACT PRICE PHONE: 454-8100 Site Agdress BLDG. TYPE WORK DESCRIPTION Lot __ Block SeC/Sub Res. New - _ ' Mult Add-on ? Name Comm. Repair ? Address Other c Ciy '•' 1 ' Phone ;-^'r' f RES. PLBG. ONLY - COMPLETE THE FOLLOWING: ;s FIXTURES TOTAL. . _ ., ._ ; Name Water Closet - $3.00 S k 3 Address Bath Tubs - $3.00 $3 00 ? L t ava ory - . p Ciry Phone / -bid_Shower - $3.00 --l_Kitchen Sink - $3.00 FEES Urinal/Bidet - $3.00 COMM/IND FEE - 196 OF CONTRACT FEE ? Laundry Tray -$3.00 APT. BLDGS - GOMM RATE APPLIES ? Floor Drains -$1.50 ToWNHOUSE 8 CONDO - RES. RATE APPLIES . ?Water Heater -$t.50 ' MINIMUM - RESIDENTIAL FEE - $12,00 ? Whirlpool - $3.00 . MINIMUM - COMM/IND FEE -$20.00 ' Gas Piping Outlets -$1.50 STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIT) / (ADD $.50 S/C IF PERMIT PRICE GOES Soitener -$5.00 BEYOND $1,000.00) Well - $10.00 . ?-Private Disp. - $10A0 ' Rough Openings - $1.50 SIGNATURE OF PERMITTEE FEE: STATE S/C: ' FOR: CITY OF EAGAN GRAND TOTAL• , . .. PERMIT # MECHANI CALPERMIT ? ? ' CITY O •- F EAGAN RECEIPT # -=--"I 3830 PILOT KNOB R OAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: PHONE: 454-8100 Site Addrqss t-r BLDG TYPE SC P O , . ! . WORK DE RI TI N Lot ' Block . 1_ Sec/Sub Res. New R Mult Add-on ? Name ? Comm. Repair ? Address O a ? ? c City ?C?of^ L e.lu-- Phone 'ly Other ' FEES c Name 5 0? RES. HVAC 0-100 M BTU -$24.00 ?i ! , 4 Addre s ADDITIONAL 50 M BTU - 6.00 p City Phone - (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PEkMIn 50 EA - 1 TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE . . Forced Air M BTU ? APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE 8 CONDOS - RES. RATE APPLJES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL AOD-ON & I, Unit Heater M BTU REMODELS - 12.00 ' Air Cond M BTU MINIMUM COMMERCIAL FEE - 20.00 _ STATE SURCHARGE PER PERMIT - .50 Vent. CFM $. (ADD $.50 SiC IF PERMIT PRICE GOES Gas Piping Outlets # -? ? BEYOND $1,000) ? Other FEE ?b ? - ?`I ? •? . S/C: ' y? SIGNATURE OF PERMITTEE a? ? TOTAL: FOR: CITY OF EAGAN _ .? . . y„ -- W , , . . . . . .?. ,. .. CITY OF EAGAN ? 454-8100 DEPT. OF BUILDING INSPECTIONS " Correction Notice Located at I have this day inspected fhis structure and these premises and have found the following violations of city codes governing same: ?fl ' 1?1 ?77 0,."Z/7"s 7- When corrections have been made, please call 454-8100 for inspection. Date Inspectar City of Eagan DO NOT REMOVE THIS TAG I OF.EAGAN PermR No: 11209 Date: i I--4"88 ! Rilot Knob Road ,,.$/ P No: ` ? f' 7^Date: I0-11°8 f 'Box 21195 an, MN 55121 , . ier. 'e Address: In Pryachen Drive L1l Hi F^iroav tsil1R :.C: Zoning- . if • (Trl;' NO. Of UllitS: Chg: . Dep: I agree to comply with the City of iit Fee: v Ordinances. harae: SEWER SERVICE PERMIT ,ITY OF F,AGAN Permk No: 10 10 fl 9 pate, ;1- 4 88 630 PIJct Knob Fioad Meter No: - Size: .O. Box 21199, Reader No: Date: adan. MN 55121 . Chg: 5150. Of?pd Zoning: ._ Dep: i' •(11 T) ? No. of Units: t Fee: ?rge: •'""`? I agree to compty with the City of Eagan rt 2 3t' • 00pd Ordinances. r,7 npaA WATER SERVICE PERMIT IF i- CITY OF E''AGAN Permlt No: 10069 paW. ; 3830 Pilol Knob Rosd. Meter No: q15 407 ? S6 Size: v?'?K' P.O. Box 2119A(1,Q,?p? ader No: Oate: Eagan, MN 5512'f Y Site Address: 1161 Tntprl arl)pn TirIi ' 1? R1 F? nn. Chg: 55?) . C0n'l Zoning: ct. Dep: LS •00?'?I No. of Units: rmit Fee: t+' . 0??-i rcharge: .'")(' I ayree to comply wMh C of Eagen Plant •' l 0 D c' Ordlna . eter. . sc.: ?m By WI?TER SERVICE PERMIT / - i - g7' REQUEST FOR ELECTRICAL INSPECTION _Fe...nnn-ooom-07 ? ? See ins(rutuons br compleM1ng ihrs fortn on back of yellow mpy V ? 70254 X" Below Work Covered by This Request ew Add Rep. TypeofBuiltling AppliancesWVed EquipmentWired Home Range Temporary Senrice Duplex Water Heater Eleccric Heating Apt. Building Dryer Other (Specrfy) Comm./Industrial Furnace Fartn ' Air Conddioner Offier(spapfy) CanVadw§Ramarks: Compute Inspection Fee Be/aw: # Oiher Fee # ServiceEnVanceSize Fee # Circwts/Feeders Fee Swimming Pool 0 to 200 Amps pB 1 -1 0 to 100 Amps -W pg Transformers A6ove200_Amps Above700_Amps So Signs Irieper.iors llse Ony: TOTAL r('O Imigation Booms Special Inspection Alarm/Communication Oiher Fee I, the Elecirical Inspecror, hereby Rough-in . ? certify that the above inspection has Finai ? oai, been made. i OFFlCE USE ONLY This repuest voitl 18 monlhs Imm /?/ / / J O 7 0 , d 'j'`JJ 7 4° °Z' 2 5 4 a R a U9 RequestDete ? (? a fire No. Roug?-n Ins ion ReGw . ? ReBtly Now Nohty Inapeclw Wh R tl ? (J Q e3 ? No en ea y I ensed coniractor ? owner hereby iequest inspection of above electrical work at: Job AtlCress (Street, Bw or Route NoJ Ciry Seclion N. Tovmship Name or No Range No Cou C???i v ??"? Occupant (PRINT) - l N NV/. PMn/q N_o.Q?J (?VA / _ (?( Power Su pLer AtlEress e1` Z G-Ta Electncal Corrlractor (Canpany Neme) Comractar5 Ucense N. ? - Dyo s - Mving Adtlress ( ntra a or qvner Meking Imtelletron) --7 . J'.s37 Aulhorrsed Sgnat e(Co cmr r M king In/s?ry? on) lJ_.__ __- ?Kona Number MINNESOTA STATE BOngo oF ELECTRIC w_ THIS INSPECTION REQUEST WILL NOT OriggaMbwey BIOg. - Aoom &773 BE ACCEPTED BY THE STATE BDARO 1821 Unlveraity Ave., SL PouI, MN 55f04 UNLES$ PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED CASH RECEIPT 0 .CITY OF EAGAN ? 3830 PILOT KNOB ROAD EAGAN; MINNG? OTA 55122 onrE 1 FPOM AMOUNT ---R? DOLLARS Whrte--Payers Copy N? 88879 P ??;y°°? ? CASH ? CHECK BLDG. PERMIT NO. I L-c, t" '• '? ? 1 cc,d<- I_;= 07-3210 ` Ot-342,? n 01-3445 (01-3446 ? 01-2155 75-3860 ? 20-2275 + 20-3865 ? 20-3868 ? 20-3716 ? 20-2252 20-3713 20-3743 79-3866 28-3855 Bldg. Permit 1 ?l ' Ci ) Plan Check 3S ? Ce Surch./Adm. SAC/Adm. Surcharge Road Unit SAC Water Conn. Water Trmt. Water Meter Acct. Dep. Water Permit Sewer Permit Sewer Conn. Park Ded. TOTAL 0 CITY OF EAGAN 3830 Pllot Knob Road, P.O. Box 27-199, Eagan, MN 55121 N? 1rj806 ?C, BUILDING PERMIT PHONE: 454-8100 Receipt ? 7--1 t ?! #_? Tobeusedfor SF DWG/GAR Est.Value $143,000 Date OCTOBER 31 ,1988 SiteAddress 1361 INTERLACHEN DR Lot 13 elock 1 5ec/Sub. FAIRWAY HILLS II Parcel No. a Name AL HERRMANN CONSTRUCTION W = Address 8723 HIGHWOOD o Cdy APPLE VALI.E7FPhone 688-0696 a Name SAME .o ? Q Address `CityPhone u`w W w Name ? i za Address aw City Phone I hereby aCknowletlge that I have read this appliCaLOn and State Ihat the mformation is corre ct and agree o complY with all apphcable State ot Minnesota Statutes and Cif E an Ordinances Signalure ot Permittee A Bwldmg Permn is issued Io. AL RRMANN CONST on the express cond ihon that all work shall be done m accordance with all appticable Slate of Minnesota Statutes and G[y of Eagan Ordmances BuildingOfficial?ltu1Pi IKOLfA,i WC- OFFICE USE ONLY On SRe Sewage - Occupancy R-3 M-1 MwCC System X Zoning R-1 OnSiteWall _ (ActuaqConst V-N City Water X (Allowable) V-N PRV Repuved X _ # of Stories Booster Pump _ Length 68 ' oePm 39' S.F.TOtal Footprint S.F APPROVALS FEES Engr./ASSess. Permit 114.00 Planner Surcharge 71.50 Council Pian Review 357.00 BIdg.Off. SAC,CiIy 100.00 Vanance SAC,MWCC $$0•00 Water Conn. 550.00 Water Meter 67.00 Road Unit 32_.5-0 Treatment P1 _204..,00 Parks TOTAL 2s938.50 REQUEST FOR ELECTRICAL INSPECTION ?} ? See inslmdrons tor compieting tMS fOrm on back of yellow copy. I? 1 U 7 4 p p 'X° Below Work Cavered by This Request r Cp ..?35/-?5 e Add Rep. TypeofBUilding AppliancesWired EquipmenlWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt Buildmg Dryer Other (Specity) Comm./Industrial Furnace Farm ? Air Conditioner Olhar(spemly) ConVactor5 Remarks' Compufe Inspection Fee 6elow: # Other Fee p ServiceEniranceSize Fee # Gircuits/Feeders Fee SWimming Pool ? 0 to 200 Amps 15 /?j O to 100 Amps Transformers Above 200 _ Amps A6ove 100 _ Amps SignS Inspedor? Use Only: TOTAL Irrigation Booms ?j y/ , SO Special Inspection Alarm/Communication Oiher Fee ( I, the Electrical Inspector, hereby certify that the above inspection has 6een made. Rouyndn , F,,,M oat' y ? a? oe; F? OFFlCE USE ONLY This rapuest wW 18 morifhs from (5 /" 8,94ir & 70748?, 0? o-P RequestD ? Flre No Po m Inspectlon Req tl? ? Reatly Now ?'ll NohFy Inspector ' es ? No When ReaRy + Ixlicensed contractor ? owner hereby request inspection ot above electrical work at Job Aadress (Srceet, Bu or Rwte NoJ * Clty 13C01 ..Tn All / .e IU 4? Seclion No Taunship Name or No Range No. Co nry `' ?all fPfi1N G ? ? Phorre No I l!?h14^ OnS 6 F?- PowerSUpplier Atldress ,anM. Elecmtal Con!U1ac[or (COm!peny Name) ' Contractor5 Lroen9e Na. cJ 4, d c4C ?((o[d Maling Adtlress (COnhaqor ar Qvner Making Installebon) ? /,ro?'S AK/?CJL U.-:.? S ? $??S??IIK SSj37 Ainhonzed Sgnature (COnnaclor/Own ?rg I IeHon) Phona Number ??'lOC4 U<U MINNESOTA STATE BOAflO OF ELECTNI¢fF1rJ/ THIS WSPECTION REOUEST WILL NOT GriggaMttlway BItlB. - pmm S93 %r? BE ACCEPTED BY THE STATE BOARD 1821 Umveniry Ave., SL Poul, MN 55109 UNLESS PROPER INSPECTION FEE IS Phona (613) 662-0800 ENCLOSED. RESIDENTIAL BUILDINC PERMIT APPLICATION 1 4.? o, CITY OF EAGAN d I` 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construction Raouirements RemodeUReoair Reauirements • 3 regrslered site surveys showing sq. R. of !ot, sq fl, of house, antl all roofed areas • 2 wpies of plan (20% maximum lot cove2ge allowed) . 1 set of Eneryy Calculalions for heated additions . 2 copies of plan showing beam 3 wmGOw srzes; poured found design, etc.) . 1 sde survey for extenor addiUOm 8 decks • 1 set of Eneryy Calculations . IrMicate if home served by septk system for additions • 3 copies of Tree Preservalion Plan rf lot Flatted aRer 7l1193 . Rim Joisl Oelail Opnons selecnon sheet (bldgs wAh 3 or less units) DATE 1-((-U z- Water SoFtener Water Heater No. of Baths SITE ADDRESS MULTI-FAMILY BLDG _Y _ N TYPE Of WORK ?V-Ff- W0 (cat- hAUV ?- .ra je-_ FIREPLACE(S) _ 0 _ 1 _ 2 APPLICANT SELA ROOFING & REMODELir(- EISIOR BLVC) STREET ADDRESS ST LOL114 PARK, nnnI rS4 7e CITY STATE_ZIP TELEPHONE #&7-W'3-9-0?4G, I ? ECCYR&NE # fAX # PROPERTYOWNER?/I??SG TELEPHONE# ........................................ ------------------------------------------ -............ COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Ca[egory M[V rEgp1':\ RGI.LS 7670 C:1"I'F:GORY I ?[I (J submission rype) . ResidenGal Venfilation Category 1 Worksheet Submitted • ?_ e y Cot'd@NV?r?CS? • Energy Envelope Calculations Submitted ? JUI 112002 Plumbing Contractor: Plumbing system includes: Mechanical Conhactor: Mcch.uiic,il sv,[cm indu(ie,: Sewer/Water Conhactor: ----------•----------°-°-------------- A1C COII(Illl0ill11g E-[eal Rccovcry Systcm Phone k Phone # Ccr. $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 Ordi ances. / Slgnature of Applicanf t???? 64 ^^? _? ------------------- ---------- __._.-------- --"--------------- ---------_____------°---°---- OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Upaated 4102 Phone # ??2 -) C) . O-Z> VALUATION I.awn Sprinkler ` No. of R.I. Baths OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 73 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? OS 03•plex ? 11 10-plex ? 19 lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demalish (interior) 0 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)" ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement "Demolition (Entire Bldg only) • Give PCA handout to appiicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED IN SPECTIONS _ Footings (new bldg) FinaVC.O. _ Foonngs(deck) Final/No C.O. _ Foonngs (addition) _ Plumbing _ Foundahon HVAC _ Dram Tile Other Roof _ Ice & Water _ F inal _ Pool Ftgs AuiGas Tests Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC W ater Suppty & Storage S8W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Building Inspector Total J 1'988 BUILDING PERMIT APPLICATION - CITY OF EAGAN - - SINGLE FAMILY DWELLINGS I?? O 4 INCLUDE 2 SETS OF PLANS, 3 CERTIFI,CATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MOST DESIGNATE WHICH ADDRESS IS DESZRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL ONITS FOR SALE UNITS # OF UNIT3 INCLUDE 2 SETS OF PLANS, CERTIFICi1TE OF SURVEY - CHECK WITH BLDG. DEPT.t 1 SET OF ENERGY CALCULATIONS COMMERCIAL IVCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS - - ,QG7 27 198Q . ? yg ?o 0 To Be Used r^or:,el%LG(J I17C(J Valuatio Date: n Site Address Lot , ? Block ? Parcel/SuD??" Owner Addres City/Z Phone Contractor m4w~4!/???//P',(.? Address City/Zip Code Phone -667?i " Mch./Engr. Address City/Zip Code On site sewage_ Oecupancy MWCC system ? Zoning ? On site well Actual Const yd! City water z/ Allowable PRV required if of stories Booster Pump ? Length l'„ 8 Depth 39 S.F. Total Footprint S.F. APPROVALS FEES Engr/Assess Permit Planner Surcharge 92. sa Council Plan Review 35_2 Bldg. Off. .'-jL7Z?_jqf2e, SAC, City 10 E7 Variance SAC, MWCC SSo Water Conn S s_9 Water Meter 67 Road Unit 3zr Treatment Pl ? 1Y - Parks Copies TOTAL ?. ? Phone 16 ?-- _ z `? ??,? Z B I Pk ? ?- ? 7 -, r 3?.?-zd = /oGy ?? ?y9 - sy? ?2y ? - ?In,, ??- -73,?-ztj3 _ , . t Ac IRoaE ENGtNMING COM('nNY, INC. 1000 CAST 146tlh STf1EET, 4?& /gSZ,O/ cnnsULTlilo lNOINEE!iS ftnNNEns ond LOHD ?unvEVOns 9unt+5vILLE, ullltiESOtA 6t337 PII 4=2-3000 Ce P--Z zz c cz i e c Sz?-Y'e ?r LOT 13, BLOCK l, FR1RW.9Y HIGGS 2ND ADD/T/ON, DAKoTA COUNTY, MINN9S0TA fjo,Ko7 pENOTES EX/$T/NG ELEI/qT/ON (1044.0) DENOTES PROPoSEO EGEI//ITioN -?-- lND/CATES D/RE'CT/ON aF SURGACE DRf?/NA6E 1044.33 = FlNISHED 6A,29GE FLD02 ELEI/471O/V gCAt,r- : /" = 30, ?L036j/ ? 6p e y Q03+5 (?T;7 '' ?'Qv , ?; A N Ih I Ln36,? ? vj ? ?\ \ .s.?/?.' e\2b,e / o / ? y?o Q,??? 336 a13 ?- ORA/MA6E ANO ,?,,? UT/uTY EA.S'EAZNT \ ? I?r ? ?. pp ?0?•33 ,?ti 1 ? d0' FRONT BUILD11V6 $ETBAGe L lNE ? le¢'¢3'- \' +' O,Q?`?? ? ''% •-? o ° pM?vp ?si=?Gt-',!U I:IV?;i??`,jRIF?G DEP?.?' 0O o0 - REOWRCD 1alndraaYahaoxniandtdeeCribedihereonUe AadPr°P rad bypmeaontthian_26'w daYcof ` OCToBEf-, 19 88 • ' No. /^ 5 Jiinn. Agd, nuI,,uiIIa UFPAE2'1'I•ICIIT , F:X'xE12I01i'EIiVF;LppF7 AYEiA4C flUit CObIPUTATION " .? _ . (To be eubmibted ttitll building permi6 application), ~ One or 1'tvo Family Dwelling o ener All Other , 61te Addrees Coulraatax -??- ` ^- - Date 't7CC9--RPltotte ??-+f/?rf24, _ LIilE,11L FECT oF N 7 EJUPoSED YJALL `A ? . it, a6ove grade ? ? 7 1 O • 1bTAL EXP08ED WALL AREA 6Q. pmo oPAqUE WALL COtIS'lItU0T1U1i 1 IlUll Valua x Areet • Dataii r 2 13?.-? eterenoe x 3q. F'T. ?? (p)(n) • liull i•om ' i?u_'L?w x 9R. FT. = M (R) ? f ? attached nUn-yE2_2?{' x sQ' U)(n) slievke npn x $R. FT. _ ?p??n? . , ' upn x SQ. F'T._ = (U)(A?. ' x gQ. £T. (U)(A). YritIDOW81 ifUll Vulue x Arott Flalce & TYPa I 9 (?}C??' u u a n x SQ. FT.--4!Yi`',?°_ q/?77(?)(A) . . " ,o ? x eq. FT. i? „ ??Un = (u) (A) u x ae. FT. = (u)(n) Doousi I?, ll x sR. F°r. ? (u)(n) U Va1ue x Areu , Ilahe & Type tiqU," n n x 8q. FT. ::Up:l o ,? `L uu -?-? u n ?ip?i R sQ. Fr.-'N(U)(n) x sq. FT. - M(A) ' To'tALB Z(P1j? S F"P. ZZZ? ?`J?? M(A) TOTAL M(A) VflLUEg AVE1tAclE itUii 4• L ?G?I ? n I O ?? DIVIDEll BY TOTAL 17A(,(, /?ttEA 114E1iA(lE npn *115 or 1.eoe ior 1&2 iamily dtiiellinge . f?00 P/O gI LI1101 • TOTAL AIIEA f ? Q=` : Uetail reierenoe iiUll ? . C7Zl [rom IIp??, x 9Q. FT. ?(QC) - ZZ?Z(fj?U (A) nttacl?ed sl?eete. n??? x sQ. FT. K (U)(A) Ueocribe oponin?s ? u??? X$Q. FT.? (U)(n) in root. • upn x gR. F'T.? x 3q. FT. r (U)(A) ToTA[, M(A) VALUES DIVSllIib 8Y zZi 2(v , 1?,??5 -L1a25Q.rr ZzIz0?u?? ''f0'1'AL Ii00F/CEILI.IIU AtiEA / AVEItAaB ??Un ,02$ ior venEilnled roO ??O ? 0 Z?I ? , • ? . ?54 X4(v 1(07 ?C 144 = 1l0, 48 83x 5z- ,N???,s 7z? ? i i c 3Zu 2? ?? = I 1 ? 2 s,? ?- ? 4 S, o z2, I ?1-Zoul?a = ?4?1 I = ?? ? o sx I = /J l?q r? ? s r-lz, ??? P(- I 21 ? o Pt?w I? ?-, = 4240 9?,1:7 -% eL?PD IiTL,? 0a?Z_ G? 4a? lm,? r-im, i? klr-'A) ? qzo 2???? --wntr, sECTioN-- Determining 11U!l valuee at Roofp Walls' Rims nnd Conc. Block ROOF/CEILINa 1.) Interior Air t'i1m 2.) 5/8" ayp. Ha. 3.) Insulation 4.1 50 Exterior Air Film (BTILL) (R) VALUE 0.61 .56 44.Ro .61 uUn - 1/R= iOTAL (R)='¢S•7S WALL 6.) Interior Air Film 7.) 1" aYp. Ba. 8.) Inaulation 90 bufL.T-P-ITF 10.) Masonite Siding 11.) Exterior Air Film R VALU 0.68 .45 19• oa .67 4 .17 nplf a 1?Re • O47? TOTAL (R)= 23.O f RIM 12.) Interior Air Filro 13.) Ineulation 14•) 211 Fir Rim Joiat 15.) E-oiZT- RiTG 16.) Ataeonite Siding 170 Exterior Air Film R VALUE 0.68 19•00 1.88 27,0 4 .67 .17 Irpn = 1/Re .04-D TOTAL (8)n Z¢.gg. _- =r FOUNDATION 18.) Interior Air Film 19.) zo. ) ?-?I 57?IPr?D 21.) 1211 (Soncrete Block z2.) 23.) Exterior Air Film R VALU 0.68 //.co 1.28 .17 npu a 1/12= .o7(D TOTAL M= ?- r CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION xxrxxxxxxrxxxxxxwxxx:::::wxxxxxxxi *10'1W3: PA7a%4FNP OF k'F.E AT TIME OF ADPT.TcATI«a noFS NOr oONsrxTUTE APPROVAL OF PF.RNIIT. irsencriori oF sDM r,rm/CR MTEa rMrar.ramrONS F7ITd, NOT BE SC1HED- tLEn vrriIL rERMIT xA.s BEEv APPROVID. P ease Print) 1) PROPERTY ADDRESS: LEGAL DESCRIPTION: IF EXISTING STRL'CIiTRE, DATE OF ORIGINAL BPILDING PERMIT ISSL'ANCE: ' Mon Year .. pRESENT ZONING/PROPOSE9 USE: q CONMCIAI./REPAIL/OFFICE [D IbIDL'STRIAL n INSTZZSPPIONAL/GOVfRDMET1T R-1 SINGLE FAMILY R -,2 DCPLEX (Tt,o LTnits) ? R-3 TCIIWNHOUSE (Three + Units) ( Units) rl R-4 APARThENPP/CONIDOMINKM Uni.ts ) 2) ?ko NAME: AnDREsS: SOS .u_ & CITY, STATE. ZIP: P(, if Mwn{ M?.G . SS0LA1 PHONE: S? S- Co C-1 .,S O 3) • i: • For City Use. NAI"E=_?f? Pliunbers License: aoDxsss: ?C?' i,?? ti; n FaYt ??, C,? 2? ve ? E?tpired ? CITY. STATE. ZIP: Pl.qI/Vfo'?lrl '?'? 1?r Not recorded PHONE:'EC( 5'(d? CC7 MASTEF2 LICENSE# S?tial 4) •• • i?- NAM: ADDRESS: CITY, STATE, ZIP: PHONE: LOk& - U (o LL' (o 5) ? w •?• .a • ? - ?? w CONNECTION TO' CITY SEWE2 ?j CONI?CrION TO CITY WATER ?( O?PHER ' . ??--' 6) ?? • • E3 PLEASE HOLD APPROVID PERMIT FY)R PICK-L?P BY ONE OF ABOVE PLFASE MAIL APPROVID PERMIT 10 1, 2, 3, 4, ABOVE (1? n 0 „ I tin (Circle one) FOR -CITY USE ONLY PERMIT # ISSC?ED m? ln % Pd w/Bldg. Permit FEES: $ $ 10-5-6 SEWER PERMIT (INCLUDE SURCHARGE) $ $ /0- ? WATER PERMIT (INCLUDE SORCHARGE) $ (r.?B O $ WATER METER/COPPERHORN/OUTSIDE READER $ $ WATER TAP (INCLLDE CORPORATION STOP) $ $ SEWER TAP $ $ ??`?(J-?) ACCOUNT DEPOSIT - SEWER _ $ $ ACCOLNT DEPOSIT - WATER $ J'?5-D d-U $ WAC $ 6 ?D • (T G? $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRLNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ WATER TREATMENT PLANT SUR H R _ C A GE $ $ OTHER: $ l 7! ? '" ? $ TOTAL fef 7? RECEIPT RECEIPT DOES UTILITY CONNEC TION REQLIRE EXCAVATION IN POBLIC RIGHT OF WAY? Q YES 'IF YES, THEN A"PERMIT FOR WORK WITHIN PLBLIC Q NO ROADWAY" MUST BE ISSOED BY THE ENGINEERING DIVISION LIS . T AS A CONDITION. SUBJECT TO THE FOLL OWING CONDITIONS: APPROVED BY: TITLE: DATE : CLAIM VOUCHER - REF'[JND REQUEST CITY OF EAGAN CLAI?fANT B 6 i, FfRr'TRT!; II?7'. ADDRESS 13874 ITITCA AVME SIXTIII SAVME_ 2EI 55378 Location 1361 rr.*nU.erEy*D-RIVE L 13. B 1, FAIIdJAY FffI.IS II Receipt No./Date 89556-12/I/88 Reason for Refund pER raRAr-?q rMIE57 Type of Refund Electrical Permit 01-3211 $ 39,0o Plumbing Permit 01-3212 $ Mechanical Permit 01-3213 $ Surcharge 01-2155 $ Water Connection Permit 20-3713 $ Sewer Connection Permit 20-3743 , $ Account Deposit 20-2252 $ Utility Account Over-Payment 20-2250 $ Other: $ $ TOTAL S 3o_m I declaze under the penalties of law that this account, claim or demand is just and that no part of it has been paid. ' F'EBBUARY 21, 1989 Signature Date ?p i 33W/3 `' ? (Q DS I I PLUMBING (RESIDENTIAL) Permit Application City Of Eagan ? ?`J • ? 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 Please complete for: Single Family Dwellings Townhomes and Condos when pernvts are required for each unit Date , ? 1 U it # Sit Add J( I k y/C ress _ • n e y Property Owner ?.l (? Tjjyu Telephone # 66' ) lp W(p - q6-74 Contractor McGuire & Sons Address City state HOpkllls, MN 55343 Zip Tetepeone #((Q51) The Applicant is _ Owner X- Contractor _ Other Septic System New _ Refurbished Submit 2 sets of plans and MPC license $ 100.00 Includes Counry fee. Additional consultant fees may apply. Alterations To Existing Dwelling Unit, Including $ 50.00 _ Adding fiMures to lower levels or room additions, excluding water softener and water heater _ Abandonment of septic system _ Water tumaround (+ 5/8" meter if needed -$121.00) Other: _ RPZ _ new installation _ repair _ rebuild $ 30.00 _ Lawn irrigation system _ Water softener ? Wa[er heater $ 15.00 ? replacement additional _ np -, j U? $ .50 State Surcharge L' Total s I hereby apply for a Residential Plumbing Permit and ac}nowledge that the informarion is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that I understand this is not a pernut, but only an applicarion for a pernut, and work is not ro start without a pemilt; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. U llU 6 Lht f awe? Applican's Printed N e Applicant's S gnature PERMIT City of Eagan Permit Type:Building Permit Number:EA107151 Date Issued:09/27/2012 Permit Category:ePermit Site Address: 1361 Interlachen Dr Lot:13 Block: 1 Addition: Fairway Hills 2nd PID:10-25601-01-130 Use: Description: Sub Type:e-Windows/Doors Work Type:Windows/Doors-New/Replacement Description:House 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, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . 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 - David G Bergh 1361 Interlachen Dr Eagan MN 55123 Berghomes LLC 1361 Interlachen Drive Eagan MN 55123 (612) 968-5127 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink �----------------- � For Office Use � ' j Permit#: l �� I ��6� O� L���11 � P rm' : � I � e d Fee � 3830 Pilot Knob Road Eagan MN 55122 j Date Received: j Phone:(651)675-5675 1 I Fax:(651)675-5694 1 Staff: I I 1 a��������'������`�J 2015 RESIDENTIAL BUILDING PERMIT APPLICATION Dffie: Site Address: Unit#: , � � ` Name: �i/� � ���-c�� Phone: CoS l- �\5`1- i�15 r s ���. : � _ � � � " � � AddFess�c�ty i z�p_ l3�1 ��,-1-��IA�h��-► D���v�-e F�.��.� M,� SS1a.3 �� � � �. � ` :: Applicant is: �Owner Contractor r n. � x � ,� x - k .: . ci . Description of work: c�tGl.i �n� �.Qp`/,�C�v►�c�` �r rap�r.J �s�p���v�.-�" ����� ss � � c� �.— � � , �: Construction Cost: �I�E�� Multi-Family Building:(Yes /No� { � ` ` Company: Contact: t t ���,,,��,�� � , Address: City: � � � State: Zip: Phone: Emaii: l� � �, ; , � �_ a , y , License#: Lead Certificffie#: If the project is exempt from lead certification, please explain why: � �,. �- — �-b,�-e bL:�� t�, �`�I�c�3 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 ba�d 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: Pnone: r ��i.�j;��.�f�������j�����y ������, ,�' ����� .. ��i�1��3`SF�al�`:#��i!'.���y"�:f`���f��J.��� ��L����`��M�� � �r �.�il������"`.� # '.} . ;t' � ., 4 C v �� Ni,�{� t. �{ $` h r� ,. Y. � ( i£ � }f � �' S � �` h� � -..n }� r y:5 .�.�� ?i, r 3. »w. ..'1'/.s�� CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0�2 for protedion against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground util�ies. www.qopherstateonecall.ora I hereby acknowledge that this infortnation is complete and accurate;that the wor4c will be in confoRnance with the ordinances and codes of the City of Eagan; that 1 understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permlt issued In accordance wlth the Minnesota State Building Code must be completed within 180 days of permit Issuance. X D�v�d G. t�•e��.��. X . . Appllcant's Printed Name V Applicant's Si ature Page 1 of 3 Use BLUE or BLACK Ink For Office Use Permit#: /g006 CC.. City of Eapft / cN) jPermit Fee: 6C%).- 3830 Pilot Knob Road Eagan MN 55122 Phone: (651)675-5675 Date Received: Fax: (651)675-5694 Staff: L 2016 MECHANICAL PERMIT APPLICATION ❑ Pleas submit two(2)sets of plans with all commercial applications. Date: I A.1 1 Site Address: 1 �j `�rJ r t-(Z. LAc-N N Q Tenant: Suite#: (012-) elw$�S1 �� Re , Name: � � st_ f� Col-� Phone: ,; Address/City/Zip: c. . License#: Address: J 11 O '1 'Nil-C/ 5 �flJa 'i N Ci t y: �fl W ontractOr k State:I(Y\ N (05 1 Zip: SS �� Phone: 35�—00 O z rt Contact: C - \1L Email: 5 l J 1 r rrt E c $s \O L ,L.f) New \ Replacement Additional Alteration Demolition /pe`of Work` Description of work: ss *14:z NOTE R;® 1 me•% ® round mounted avec calx;® „tit Is a t a to be s Code a lit schsnical Inspecto ® info-1 • on pe ascreening •e RESIDENTIAL COMMERCIAL Furnace New Construction Interior Improvement n • Air Conditioner Install Piping Processed be $ Air Exchanger Gas Exterior HVAC Unit _Heat Pump Under/Above ground Tank ( Install/ Remove) 1,4 Other RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit, includes State Surcharge $100.00 Residential New, includes State Surcharge =$ TOTAL FEE COMMERCIAL FEES Contract Value$ x.01 $60.00 Permit Fee Minimum $70.00 Underground tank installation/removal =$ Permit Fee =$ Surcharge Surcharge=Contract Value x$0.0005 If the project valuation is over$1 million, please call for Surcharge =$ TOTAL FEE 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. f7x Applicant's Printed Name Applicant's Signature FOR OFFICE US �n a01* ,Required Inspetlons Re 1" ndergrou . ® Air t Oas ervice Test r;-floor Final . c PERMIT City of Eagan Permit Type:Building Permit Number:EA162562 Date Issued:07/20/2020 Permit Category:ePermit Site Address: 1361 Interlachen Dr Lot:13 Block: 1 Addition: Fairway Hills 2nd PID:10-25601-01-130 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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). 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 - David G Bergh 1361 Interlachen Dr Eagan MN 55123 Xlnt Built 8500 Normandale Lake Blvd., Suite 350 Bloomington MN 55437 (612) 562-1487 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA166487 Date Issued:01/13/2021 Permit Category:ePermit Site Address: 1361 Interlachen Dr Lot:13 Block: 1 Addition: Fairway Hills 2nd PID:10-25601-01-130 Use: Description: Sub Type:Windows/Doors Work Type:Overhead Garage Door Description: 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, 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: 1,500.00 Fee Summary:BL - Base Fee $1500 $62.50 0801.4085 Surcharge - Based on Valuation $1500 $0.75 9001.2195 $63.25 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 - David G & Stephanie Bergh 1361 Interlachen Dr Eagan MN 55123 Applicant/Permitee: Signature Issued By: Signature