3859 Princeton Cir4°
City of Eaali
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694.
Permit #: s/(� '
Permit Fee: if ; • v 0
Date Received: Gi--a e)_ l l
Sta
f 2009 RESIDENTIAL PLUMBING PERMIT APPLIC ION
Date: 1 { 251 (
Tenant:
Site Address: _ Elisa Heffernan
3859 Princeton Circle
Suite #:
RESIDENT / OWNER
LC15011, IVIIV JJ1LJ
Name: 6512836327 'hone:
Address / City / Zip:
CONTRACTOR
^� p
Name: Le ORB CSM PI I MBING C'.ti License #: OtP (5 _4 T M
Address: (612) 8274033
City: 2905 GARFIELD AVE. SO. State: Zip:
MINNEAPOLIS, MN 55408Ar
Phone: Contact Person:
TYPE OF WORK
New X_ Replacement RepairaRebuild Modify Space Work in R.O.W.
_ _ _ _
Description of work: replace, 1 V V afer heater
PERMIT TYPE
RESIDENTIAL
IWater Heater Water Softener
Lawn Irrigation Add Plumbing Fixtures
( RPZ / PVB) ( Main Lower Level)
_
Septic System Water Turnaround
New
Abandonment
RESIDENTIAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation
$50.50 Add Plumbing
*Water Turnaround
$100.50 Septic System
$90.50 Fire Repair (replace
(includes $.50 State Surcharge)
Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge)
(add $165.00 if a 5/8" meter is required)
New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
TOTAL FEES $ A —.►
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.
' J'eiffrb orbt anti
Applicant's Printe Name
As„'icant's SignaTure
Mt?`,L-7'+rAi1'; .iOK Dt'CL PI.AN RETIEWED 6/lu/CiCITY OF EAGAN ,. ?;..
c
`;?,?'" ?'°?T`rt E,?f'--? (. 3831 ., a, E`.,.. _'k .;-199, Eagan, MN 55121 t?. ? ?? J q v
? . PHONE: 454-8100 BIJILDiMG PERMIT Receipt# , To be used for Fst. VahiP y 7 b i U;! i; nara :'?t?t2C?i ll. ?a f3o
Site Address -
Lot Block
Parcef No.
cr
W
Z
3
0
o Name ?I 1.
Z
Q
U
-c Address
? City Pho
?
? W?
Name
z
?
a Address
< W citv Pno
A Building Permit is issued to: J
all work shall be done in accordance
Building Official
Addition ? No. Stories
Move ? Length
Demolish ? Depth
Int. Impr. ? Sq. Ft
Install ?
PN11a.m1- I alw aiaic u lni uIc
with all applicable State of Bld9.
Permit $ 361.00
Surcharge 3b• 00
Plan Review160-50
SAC 5 7 5_ 0 p
Water Conn. `i0 j_ ? 0
Water Meter fn 3_ Sp
Road Unit %??1; - U
Tr. PI. - t+ 6
Var. Date I Copies
Total ?,2 + 164 . GO
on the express condition that
Statutes and Gity of Eagan Ordinances.
?^ ?`.,
CITY OF EAGAN Remarks - ?? 'J ' = •?'??'-- ' ?'" ?! 4t
Additio LEXINGTON SQUARE Lot 1 RIk 1 Parcel 10 45075 010 Ol
owner?),?r' -.' ?b• Street 1093 Savannah Road nr State Eagan, MN 55123
.-? (?) , i,; ,) ?-`,.tkff jw?. :, -, 3859 Princetan Circle
Improvement I r' . . Date Amount Annual Years Payment Receipt Date
STREET SUFIF.
STREEt RESTOFi.
GRADING
SAN SEW TRUNK ?t I 1985 254.53 16.97 15 254.53 C009674 10-12-84
SEWER lA7ERAL ? 173.65 CQjQQl$ 1-2$-$5
WATEFiMAIN 68.33 C010018 1-28-85
WATER LATERAL
c? -? WATER AREA 286,43 C010018 1-28-85
.: ? STORM SEW TRK ? 501.29 CQZOOZ$ 1-28-85
4,1 STORM SEW LAT 1 6 513.81 34.25 IS 513. 81 T?
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PEFi.
SAC
PARK
a. . !
(Iltxti#ira#p uf (IDrrupttnry
titp of eagan
EPputmPtlf Qf gltilbittg 3itB.pPtttDrT
This Certifrcate issued pursuant to the requiremenu of Section 306 of the Uniform Burlding
Code certifying thar at rhe dnie of issuance this structure was in compliance witJ+ the varioer.s
ordinances of the City regu/aring building construction or use. For the following:
? clawriamon SF I76JG/GAR B4. Favik Na. 13122
o-P-y Tya R3 zoning nisa;a x 1 Type corAL v
owoff oc eMImM OCuln CITY OQdSI' Addi- BCQ{ 304, NOFC}IFLIID
BWWing Addrm 3859 PR71EE1C1V CIRLZL' .,,y L I, B 1, I.EKItiC,'IXN 9QIIARE
D„e: JL?LY 17. 1987
POST IN A CONSPICUOUS PLACE
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT
N2 M22
Receipt #
To be used lor SF DtisG/GAFt Est. Value $80,000 Date JA14UARY 10
19§7
,
SiteAddress 3859 PRINCET0N CIR- Erect n Occupancy R3
Lot1-elock 1 Sec/Sub. LEXINGTON SQUAIWemodel ? Zoning R1
Parcel No Repair ? Type of Const V
. Addition ? No. Stories
¢ Name C'?LL+.GE CITY CONST Move ? Length 56
= BUX 3 09 Demolish ? Depth S 0
o Address
C;ty yORTHFloiba 507/645-6 Int Impr.
64$ Install ?
? Sq. Ft.
= o Name S?E Approvals
0 ¢ Address Assessment
~ City Phone Water 8 Sew.
F W Name _
? z
Address
z
i W City -
I hereby acknowledge that I have
information is correct and agree
Minnesota Statutes and City of E
Signature o} Permittee Police
Fire -
En
g.
Pl
nn
r
a
e
Council
ation and state that the Bldg.OH.
all applicable State of
es. APC
Var. Date
Permit '? ''" • -1 V
Surcharge 40.00
Plan Review 216.75
sAC 625.00
Water Conn. 525 . 00'
Water Meter 67.00
Road Unit 305.00
Tr. PI. 180.00
Parks
Copies
T4,1 $2,392.25
A Buildin Permit is issued to: `-""""""' ?'1 1 1 .........? A...,?.. ?....
9 on the express condition that
all work shall be done in accordance with atl applicable State o( Minnesota Statutes and City of Eagan Ordinances.
Building Official -_ ?
. Preeit No. MwYt Floldr DaN TdplarN !i
Pkmmnr'? 1?J 2
H.T?.C.
???
,
?J
?r '?/
EI/CA1C CC
Y
sollow
hupeetlon Daft Inw Ca
Fooffinige I - I-?5 d r:
Fooli?ps p
Foundallon
Fr+"ig ? ?7 u?1S
Rao?ny
RouyA Fft
RoNh HD' '.3 ?'
Usd. ? ?
Fk"wiaee
FYuI tN4. 7 l/
FMd Plbp. C-*97
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ada Flml '7 / 7 ? • ?J .
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Dwk F1p.
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wa
P?. Dimp.
PLUMBING PERMIT
CITY OF EAGAN
3830 PtLOT KN08 ROAD, EAGAN, MN 55122
PHONE: 454-8100
Site Address
Lot Block , ,J,. SeciSub
? Name _
? Address
c City
`m
c
3
O
Name _
Address
City _
FEES
COMM/IND FEE - 1°r6 OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE 8 CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.Q0
MINIMUM - COMM/IND FEE - $20.00
STATE SURCNARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
SIGNATURE
FOR: CITY OF EAGAN
PERMIT #
RECEIPT ii
DATE:
BLDG. TYPE WORK DESCRIPTION
Res. .a New x
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTtt,
____.Water Closet - $3.00 3L
Bath Tubs - $3.00 `
Lavatory - $3.00
-4_Shower - $3.00
__?__Kitchen Sink - $3.00 K
Urinal/Bidet - $3.00
_?.Laundry Tray - $3A0
?Floor Drains - $1.50 I `
_4_Water Heater - $1.50
Whirlpool - $3.00
_.__?_Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMin
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
FEE: -7 C; o
STATE S/C: ? ?-GRAND TOTAL• ??"C
, , .. .
f ? .,
. . .
PERMIT # T
, .
• . ?'
MECHANICAL PERMIT
7CU ? 7
RECEIPT #
CITY OF EAGAN
?`?_f3,;:J-13830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE PHONE: 454-8100
Site Address BLDG. TYPE WORK DESCRIPTION
Lot ? Block ? Sec/Sub
?-- Res. New
i ?•.::
? ? L ? Mult Add-on
Name
?
V- Comm. Repair
?a Address )
->> ?
c City s<\ ? Phone u Other
E?
Name RES. HVAC 0-100 M BTU
-$24.00
? Address ?< ADDITIONAL 50 M BTU - 6.00
O City phone ?-( (RES. HVAC INCLUDE3 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. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
Unit Neater M BTU REMODELS - 12.00
Air Cond. M BTU $ MINIMUM COMMERCIAL FEE - 20,00
STATE SURCHARGE PER PERMIT - .50
Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Outlets # BEYOND $1,000)
Other $
FEE:
S/C: ' SIGNATURE OF PERMITTEE
TOTAL: ? )'J
FOR: CITY OF EAGAN
CASH RECEIPT
-v* - CITY OF EAGAN
- , ? 3830 P1LOT KfVOB ROAD
EAGAN, MINNESOTA 55122
- DATE 19
RECEIVED
FROM
AMOUNT
Ee DOLLARt
+oo
? CASH `[? CHECK
,
?
RoR
r 57 1- 1-1 '? . . ' _ _ 1 1 1` 'i
FUND CODE AMOUNT
J
?. I.l.J I r l ?
?- -;? oc
V
BY ?
f
White-Payers Copy
Yellow-Posting Copy
Pink-File CoPY
` CASH RECEIPT
CITY aF EAGAN
3830 PIL07 KN08 ROAD
EAGAN, MINNESOTA 55122
.
D ATg 19
?
r
RGCEIVED , ? i . FROM ' r ? f -
AMOUNT $ I
& DOLLARS
1 oo
E) CASH GMZCK
`- - _ .
.
i
FUND C DE AMpUNT
?
Thank You
BY ?
White-Payers CopY
Yellow-Posting Copy
Pink-File Copy
CASH RECEIPT
CITY OF EAGAN
' 3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
• • BA"TE 19
wecerv? .
FRQM ? ' Y ). .
AMOUNT $ ?
?
DOLLAR$
E3CASH ? CHECK "
i
POR i ? ?( ?•
BY
White-Peyers CopY
Yellow-Posting CopY
Pink-File Copy
Thank You
BLDG. P?RMIT NO.
;a-'--
0 1-12 16 :"Eldg. Permi
01-3422 Plaii Eheck
01-3445 Surch./Adm.
01-3446 SAC/Adm.
01-2155 Surcharge
17-3860 Road Unit
20-2275 SAC
20-3865 Water Conn.
20-3868 Water Trmt.
20-3716 Water Meter
20-2252 Acct. Dep.
20-3713 Water Permi
20-3743 Sewer Permi
79-3866 Sewer Conn.
11-3855 Park Ded.
TOTAL
' OF EAGAN SEWER SERVICE PERMIT
Pllot Knob Road
gox 21199 PERMIT NO.:
m, MN 55121 DATE:_ 2 =
ng: 11 No. of Unfts: I
to comply wRh the City ol Eagan
of Insp.:
100. OOpc:
Connection Charge: S"'• - ?011d -
Account Deposit: ?sjln?sl -
Permit Fee: 1 n_ ?1f1.,R _
Surcharge: 5??d
Misa Charges:
Total: nar,?l r,-
Date Paid:
7=
CI7Y OF EAGAN
3830 Pllat Knola Ftoad
P.O. Box 21,1199
Eagan, MN 55121
1
Zoning: ' r?17
WATER SERVICE PERMIT
c a 67
PERMIT NO.: _
of Units:
Addess:
No.:
No.:
to comply with Ihe City of Eagan
Connection Gharge:
Account Deposit; -
Permit Fee:
Surcharge:
Misc. Charges: -
Total: _-,?-?
c ';'18 Date Paid:
of Insp.:
oFExGaµ WATER SERVICE RERMIT
30 Pllot Knob Road ,
. BOx 211.99 PEFlMIT NO.: `
. 17 , -
gaa, MN 55121 ` DATE: ?
T ,
ning: b. • No. ot UnNs: J.
tr',OZj.E_'{'E Cit]T cdL".9i .
nsr.
dress:
teAddess` 3?.59 PrinEeton ?irc]_e Ll '4I T:exi.r.-:.nr,. Sq
umber: rr Plc.;.?':;ing
eter Na.- 38!5' 7d_6 /? T-L on rge: ?-'- ize: " a p?}E$ k ? ?'?t3 .c?
A','?44A.51.V;? .1???
d r Na.: -- c i.. -?
:eyree to comply wNh the Clly;ollaAiw, ` char
inances. i?3?11 ? „?re Tp
. x ? 9 •
k s ? . '?ete
?,??? -• ?{? (??: . ?;
-- Date Paid:n
te ollnsp.: Insp.:
-.-??18-7
CITY OF EAGAN t?' p
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N-
PHONE: 454-8100
BUILDING PERMIT
Receipt
13122
o9-1-?
To6eusadlor SF DWG/GAR Est.Value $$0,000 pete SANIIARY 20 ,1947
SiteAddress_3859 PRINCETON CIR Erect occupancy R3
Lot 1 BloCk 1 Sec/Sub. LEXINGTON SQUARFemodel CI Zoning R1
Parcel No Repair ? Type W Const v
. Addition ? No. Stories
a Name COLLEGE CITY CONST Move ? Length 56
W 309
BOX Demolish ? Depth 5?
o Address
piry N0RTHFIPj4;b 507/645-6648 Int. Impr.
I
t
ll 11
O Sq. FL
ns
a
a Aoorwals Fees
i ? Name SAME
0,a Address ? Ciry Phone
c
F W Name
Address
a w Ciry Phone
I hereby acknowledqe that I have reatl this appl ication and state that the
information is correct and aqree 6 comply'?+ith all applicable State oF
Minnesota StaWtes and Cityy agan OH?yha es.
Signature of Permitte
A euilding Permit is issued to: C LEGE CITY CONSTRU
all work shall 6e tlone in accordance with all app !ab State ot Minnes'q4
Bullding Official Y?
Assessment
water & Sew.
Police
Fire
Eng.
Planner
Council
Bldg. Off.
Var.
Permit $ 433.50
Surcharge 40.00
Plan Review 216.75
SnC 625.00
Water Conn. 525. 00
Water Meter 67 . 00
Road Unit 305.00
Tr. PI. 1$0.00
Parks
Copies
Total $2 ,392.25
ION an the express condition that
[atytes and City of Eagan Ordinances.
This request void
ie ,,,onins r.om
C 72107,/-i
G'' LI /
Licensed Electrical Contractor
Owner
?-
?
re NQ`
(% Rouph-i{i Inspection
flequir¢d?
?Heatly Now ? Will Notifv Inspec-
?Yes ?No tor Wh¢n R¢atly
1 hereby request inspaclion of a6ove
eiectricel work installed at=
Str¢et Address, Bon ar oute No. - C.tV
ecuon o. TownsAip Name or No. Nanee No. Coun .
Occupan fll 1 Phone No.
Power upplier . Address •
/A. . r
/1'
? /7 r
i gal Convacmr ICompanY Name)
Elec
v o' racmr'S L
ice
n
se
No.
?
{
!7 E/1 ?l r '. F?r i T'?C? p
?
y
,r
0 0 Q/
Mailing Address (Camr tor o? Ow er Maklne Instailationl
'3o st •?-
n u., .
Authoriz tlignatur IContreclor/Own MakinB lnstallationl Phone Number
MINNESpTp TpTE 90ANO OF ELECTRICITY THIS INSPECTION PEQUEST WILL NOT
GrigOS-MidwaY Bldq. - Room N•791 BE ACCEPTED BY THE STATE BOARO
UNLESS PROPER INSPECTION FEE IS
1821 Universitv Ava.. SL PeW, MN 6510d
GM1nnw16121642-0600 ENCLOSEO.
3-?g y REQUEST FOR ELECTRICAL INSPECTION
' See inatructions for completing this form on beck of yellow copy. ?- _
P:'7 71._f17 "X" Below Work Covered by This Request
Atld XeO. TyOe ol Builtling ' 1r AOOlianeee Wired I Equipmanl Wired ?
$il0 Un10
Bulk Milk
M Fee ServiceEMrOnmSixe tt Fee Feeders/Sabiaetlers # iee Circuits
C'Z 0 to 200 qm s 0 to 30 Am s G'O 0 tn 30 Am
1I ?s
Above 200 qm
37 to 100 Amps
31 to 100 AnVS
Swinuning Pool Abave 100-Am s Above 100_Am s
Transrormers rn ation Booms Partial."Othe
I I I $ign5 iSpeCial InSpecLOn ?S
Femarks Jzi TOTAL
I noupo-m _ - w 3"•, " I. thaee Elec31'F?'S`
• i ,??o.. ?a,ebY
? carti1y thet tha abova
D:?te
Final ? ?? insoection hes Deen
meee.
(hisfBqUest
REQUEST FOR ELECTRICAL IN5PECTION ? 7°?? 05
See inslruciions tor comOleling this iorm on heck oi vellow caOV?
? 7911 Q "X" 8elaw Work Covered by This Request
1NewIAd3T'1KP'.I- Tyoe ol Builtlino 1 Aooliancea Win! 1 Equioment Wired I
p Fea Service Entrenca 5ize tt Fee Fenders/5ubieedars N Pee Circuits
0 to 200
qm 5 0 to 30 Am s 0 to 30 An+ s
Above 2
,Amps 37 to 100 qmps 31 to 100 A s
Swimming Pool Above 100_Am s r Above 100 Am s
TransiormerS rrigation Booms Partial."Other Fee
L' I Signs I I ISpecial Inspection ?y ? sG) I TOTAL F:?(!J
\
em3rks /
R 1??
?i i? i .
?••-'° !/? W/r+"/'? '%?? I.ihaElecVicel
ep ? r ? Inspector, ?e?aby
certi/y thet the above
rinal OH^/ Y71
inspecfion hes bean
? ...e? 5 rnaaa. I
TTia requeat vold 18 montna
.vyae5t voitl ??? 7 / / ? ?
1H months from
C 72118 /- i /-,)/
!
?.?o.
..._____.
`? ?•`? , Reqwretl? Ready Nuw C] Will Nplily InSPBP
? D ?y? El N.o. lor When ReaEy
A Licensed Elecirical ConVactor 1 herebv rapuesc insoection oi ebove
? Owner elactrieel work installed at:
Street Address, Box ot floja?j No.
CC t Ci!Y-
.5 fJ7inC > ,! A 'fJ?/
ection o. Township Name or No. ange N. Cou
Occupuni(PFI 1 l Phone No.
\?.
Power SupOlier Adtlress
ElecVical ontractor tCOmpany?aa?
?
? mr'?i?se No.
Con ac
f
P?nc't f? ?c. w( 1,
Meilmg Address (Convactor o Owner Ma inB Instaflation)
? -?-?
?
rqu / Cy•? J4
Authorized Si at e
ICon ractor Ow er i ?? Ilationl Phone Num
b
er
_ /
?
. 96?
MINNESOTA STATE'BOARD OF ELECTRICITY THIS INSPECTION NEOUEST WIIL NOT
Grippe•MidweY Bld9• - Room N-191 BE ACCEPTEO BY THE STATE BOAHD
7821 Univeraitv Ave.. St. Peul, 4N 56704 UNLFSS PROPER INSPECTION FEE IS
Phone(6121642-0800 ENCLOSED.
• - CASH RECEIPT
,CITY OF EAGAN
3830 PILOT KNOB ROAD
EAG MINNESOTA55122
L /J DA
neeervec
AMOUNT I $ 1^1?7I U
•
O /
19
& DOLLARS
?oo
? CASH
FVNO I CO.E // I AMpUNT?
Thank You
N_ 70803
White-PaYers Copy
Yellow-Posting Copy
Pink-File Copy
ocI2006 RESIDENTIAL BUILDING rExmTT nrrLIcnTioN
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
NewCmsWClion Reauiremen6
3 reqislered si[e surveys showing sq. fl. ol lot, sq. ft. of house; and all roofetl areas
(20%macimum lat coverage allowetl)
2 copies d plm showing beam 8 window sizes; poured found design, etc.
1 set of Eneyy Calala6ons
3 capies of Tree Preservalion Plan'rf lot platted after 111193
Pom Joist Detail Op6ons sdection shcet (buildings with 3 or less wi5)
Minnegasco mechanic:al ventilazion fonn
RemadeUReoair Reouiremenfs
2 capies of plan showing (ootlngs, beems, jdsls
1 set M Enefgy Calculations for heated addi0ons
1 site survey for atldiuans & decks
AdG6"on - intlicate ifar-ste seplk SYatem
D?
011tceuseonro
CBrt ofSuiveyRecd _Y _N
Tree Pres Plan Recd _Y _ N.
TreePresRequired _Y ,N
Oirsite5eptlcSysh.m _Y _N
Date 0? 1?ia?
5ite Address Q2tN Construction Cos[ gS! U?v
C.V[-9p.! C12C-l??' UniUSte #
Description of Work ?Le nnOVE A'1?D Zp,pLaG6 ? /c6Jl=
Mu16-Family Bldg ^ Y_ N Fireplace(s) _ 0 _ 1 _ 2
PropertyOwner 20T'E? PE F'FE2.l?A?j Teiephane#((s1a)
-Contractor DIJs C,,rE21D9 J,
Address
State /AoNN6-SC7'-L? City
??N??SAPOI_?.S
Zip 5SL4 It-? Telephone#((Yl0)7(,pj-Y loCal7
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minneso[a Rules 7672
Enefgy Code Category , Residen6al Ventila6on Category 1 UVOrksheet . New Energy Cotle Worksheet
(J suhmission rype) Submitted Submitted
. Energy Envelape Calculations Submitted
In the last 12 monihs, has ihe City of Eagan issued a permit for a similar plqn based on a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechonical Contracfw
Sewer/Water Contractor
Telephone #(
Telephone #(
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan attd the Statc of MN
Statutes; 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 ofplans.
L. Dv?al6or-
Appiicant's Printed Name Apph •ant's Signature
DO NOT WRITE BELOW THIS LINE
Sub Tvoes
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Exi. Af1- Muki
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4sea.) ? 33 E#. Att - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screenlgazebo) 0 36 MuMi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 72 12-plex ? 25 Miscellaneous
Work Tvoes
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
32 Addition ? 36 Move Builtling ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building• ¦ 43 Reroof ? 46 Windows/Doors
u 34Ae(Ira[xmeth "bernoYfuon(Erfiire95871-GSvaPLAhanBoUCWap?hca?h
DCSCfIDLIOn: Water Damage _ Yes
Valuation GbD Occupancy MCESSystem
Plan Review 100°!0 or 25%
r.,WakJar.ru.ie, Z.noi.cu3 Crfi{ uVatP?.
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
_ Footings (new bldg)
_ Footings (deck)
_ Faa'asgs k4aA&i*
Foundation
Drain Tile
Roof Ice & Water Final
_ Framing
_ Fireplace _ R.I. J Air Test _ Final
[nsulation
Approved By:
Base Fee
Surcharge
Plan Review
MG/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
1.kL'E.rA.° &EZrL•h
Copies
Other
Total
REQUIREA IPiSPECTIONS
_ Sheetrock
FinaUC.O.
- F.;rea4;?l?e.J
HVAC
Other
_ Pool Ftgs AidGas Tests Final
_ Siding _ Stucco Lath , Stone Lazh _Brick
_ Windows
_ Retaining Wall
Building Inspector
Vll G.G
2005 RESIDENTIAL BUILDING PERNII'f APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX 0 651-675-5694
C70
New ConsWCtion Reauirements RemodellReoairReauirements Ofllce Usa Onlv
3 registered site surveys showing sq. fL o( lot, sq. H. of house; and all rookd areas 2 copies of plan CeR of Survey Reoi _ Y_ N
(20%ma)imumlolcoverageallowed) 1seto(EneqyCalwlationsforheetedadditions TreePresPlanRerd _Y _N,
2 copies of plan showing beam & window sizes; poured faund design, etc. 1 site survey for additions 8 decks Tree Pres Required _ Y_ N
7 set of Energy Calculations - Addifron - iMicafe iYonsHe sephb system OnsRe Septic System _ Y_ N
3 cop'ies of Tree Preservation Plan if lot platted after 777193
Rim Joist Detail Options selec6on sheet (buildings wBh 3 or less unHs)
-?-`
Date ? /J ll LU
``.. r'n,_0?
/?_ Construction Cost 31?'ICJ?
Site Address
?
3S 59 '7't inu3an C4
c1 e.. UnitlSte #
Description of Work i
Multi-Faroily Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2
Property Owoer L?Jc nos ?3 {?!!Z Telephone #({psj) lp %O'
The Home Depot A.H.S. Inc.
Contractor 3200 Cobb Galleria Pkwy.
Address Atlanta, GA 30339 City
State 763-542-8826 Telephone # ( )
License #20268257 -
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential VenGlation Category 1 Worksheet • New Energy Code Worksheet
submissiontype) SuCmitted Submitted
. Energy Envetope Calculalions Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies. Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone # (
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances codes of 'ty of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an app i tion for a ermi and work is not to start without a
permit; that the work will be in accordance with the approv plan in th case f work which requ review and
?al of pians. ?
? D? l!n I? fj ?,?!
?1?? 64 4
Appl? fG Ys Printed Name Applicant's Sig e ? UL t ?%uua
i " U ' *
433•5U+
40•UU+
216•77+
5`L7•00+
52-D •OU+
G7•OU+
305-OU+
160•OU+
2, 392•z5*
APPLICATION FOR PERMIT
CITY OF EAGAN
SEWER AND/OR WATER CONNECTION
*ATE: PAYMSTTP OF FEE AT TINIE OF
r,Ppr.rcATzoN Dors Nom cors2zzM
APPROVAL OF PERNffT.
INSPFXTION OF SEFM ADID/O2 MM
rrlsrar.r.amrONS WII,L ND2 BE SCHED--
ULS•D ONPIL PFRMIT AAS BEIN
APPROVID.
1) PROPERTY ADDRESS:
LEGAL DESCRIPTION: •-
_ Lot Block Sub ivision or Tax Parce ID )
IF E7QSTING STRL'CitME. DATE OF ORIGINAL BLZLDING PERMIT ISSf,'ANCE:
PRFSFS]T 7ANING/PROPOSED C'SE: (Fbn ear
L' '..0.'2?P.iIAL!?ZFIPSL/QE'FIr'S
F7 IbIDCSTRIAL
n INSTIZS,"PIONAL/GOVII2NbE[V'i'
?.R-]. SINGLE FAhIILY
? R-2 DLPLEX (4t.o L?nits)
? R-3 70WN[IOUSE (Three + Units) ( Onits)
Q R-4 APARTMEDPP/COPIDOMINlLM ( Units)
2) ?
NAME:
ADDRESS:
CITY, $TATE, ZIP:
PHONE•
3) • c ?• NAME:
ADDRFSS:
CITY, STATE. ZIP:
rAsTm LICavSE# 3S?C5 /'r7
--?
4) ?• • i?•
P,DDRE55:
CITY. STATE, ZIP:
PHONE:
rl iun[7er 5 1,1CEI152 :
Pctive
Expired
Not recorded
st.a Initial
-5) n v? a• • ?• : o • n• ?s -
CONNECTION TD CITY SEVE2 ?CONNEEX.TION 1n CITY WATER ? pTHER '. .
T?----
r r • -
6) ?? •' • r El PLEASE HOLD APPROVED PERMIT F'OR PICK-OP SY ONE OF ABOVE
? PLEASE MAII, APPROVID PERMIT TO 1, . 2,3,4. ABOVE :
i _
FOR CITY USE ONLY
PERMIT # ISSUED
r J%?- -7
Pd w/Bldg. Permit FEES:
$ S /C 5 0
s
$ ?0 7, CiTJ
'
$.
$
S
$
$ ? ZS Cl'd
$ ?pZ 5'-n a
S
$
$
$
e) C)
S
?G?DS Z
RECEIPT 4
$
$
$
$
s
$
$
$ "
$
S
S S-G2?
RECEIrT
SEWER PERMIT (INCLUDE SURCHARGE)
WATER PERMIT (INCLUDE SL'RCHARGE)
WATER METER/COPPERHORN/OOTSIDE READER
WATER TAP (INCLUDE CORPORATION STOP)
SEWER TAP
iiCCOU[VT I7EYOSIT - SEWER
ACCOLNT DEPOSIT - WATER
WAC
SAC
TRUNK WATER ASSESSMENT
TRLNK SEWER ASSESSMENT
LATERAL BENEFIT/TRL'NK SEWER
LATERAL BENEFIT/TRUNK WATER
WATER TREATMENT PLANT SLRCHARGE
OTHER:
r-7-
? ??
TOTAL .7G 3
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUSLIC RIGHT OF WAY?
? YES IF YES, THEN A"PERMIT FOR WORK [dITH2N PUBLIC
Q ROADWAY" MOST BE ISSLED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
-7
TITLE:
DATE :
1986 BOILDING PERHIT APPLICATION - CITY OF EAG9N
AOTE: ALL CONTRACTORS MfJST 88 LICBNSSD 1iITH THE CITY OF EAG9N
SINGLE FAMIILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
M[1LTIPLE DWSLLIAGS - RESIDENYIAL SM9L 09ITS FOH S9L6 DNITS
ZNCLUDE 2 SETS OF PLANS, CEHTIFICATE OF SDRVSY - CHECg iiITH BLDG. DSPT.,
1 SET OF ENERGY CALCULATIONS
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL YLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
:
.v'EkJ
To Be Used For: Si.d LE
?
Valuation:
8P,0C3'0 Date: / 9- J17
Site Address 3859 ?o,Pl,t/CETD.d CiRec?? OFFICS U3fi ONLY
Lot / Block /
Pareel/Sub L EX. SQi.
Owner SAM E As Bui?OE .
Address
City/Zip Code
Phone
Contraetor Cc
Address 6p,r ,jpq
City/Zip Code
sso s7
Phone .50 '7 (o v5- 6
Arch./Engr. S,qm€ ,qs .Buit//_,p
Address
City/2ip Code
Phone 4
Erect ? Occupaney ?•3
Remodel _ Zoning ?•I
Repair _ Type of Const S?
Addition ` # of Stories
Move _ Length St?
Demolish _ Depth $b
Int.Impr. Sq Ft
Install
APPROVAL4 FE&S
Assessments Permit 4-33.Sa
Water/Sewer Surcharge 4D,
Police Plan Review 21 co ??
Fire SAC (o2s,
Engr Water Conn S Z S,
Planner Water Meter !n ?,
Council Road Unit
Bldg Off Treatment Pl 19,0.
APC Parks '
Varianee Copies
TOTA,
NOTE: ADDRBSSES FOR CORNE6 LOTS - CONTRACTOR/HOMBOiiNER MOST DESIGNATfi NHICH ADDRfiSS
IS DHSIRSD. NO CHANGES WILL BB ALLOiiED ONCE BOILDING PERMIY IS ISSUED.
Z 3 n (o 62 -7? S8) ? 38 & 8 G
S,?7 8 ?C sva ` 3G-696 4-
22 K 24 ~ SZv y- ?2 - CQ33(o
Ig ?o6
$7-009
TRI-LAND C0.
SURVEYING
SERVICES
4655 NICOLS ROAD.
EAGAN, MINNESOTA 55122
SITE ` PLAN FOR :
COLLEGE CITY
PRINCETON
?
N N 0°00'24" E .
?p?x6 ? zfs 90.00
0 0
5I ? -----? io
--- 5'63 I?o4 ? -----??ro?,? ?.
/03 "3 ? zw I I
Ne?yhbo??+?5 ? e I
6a.ast F/a? ( a GR ? I
I 1 ' 24? I '?1
I . . .. . I Y
?, HvusE ?
? N N IW
(0
? 102"? IOyrO ' I ?
?
0
m LD 50 c
co
%0 I i z i? LOT; I ?a
?
?.M I
?
r
Io W ?
?
5I i 10
. .L----- -1
1ooYo
3 "9
30
3
(D
0)?
?o
- 0)
OD
Z
90.00 io2=?
N 0°00' 24" E
PROPERTY DESCRIPTION
LOT --L, BLOCK I ,
LEXINGTON SQUARE_FIRST ADD.
occordinq to the recarded plat thereof
QAKOTr4 Caunry, Minnesaa
LEGEND
o DENOTES IRON MONUMENT
0 DENOTES WOOD HUB SET
100`0 DENOTES EXISTIN(i SPOT
ELEVATION
DENOTES PROPOSED SPOT
ELEVATION
? DENOTES DRAINACaE DIRECTION
AVE.
Z-
SCALE: I" = 30'
PROPOSED GARACaE FLOOR ELEVATION • lO'f_ 00
PROPOSED FIRST FLOOR ELEVATION = 104.So
PHOPOSEDBASEMENT FLOOR = 161. 00
ELEVATION
NOTE * VERiFY ALL FLUOR HEIGHTS WITH
FINAL HOUSE PLANS
I h?re by cert{fy that thfs surrey,plan or '
roport ras praparod by me or under my
dirset supervision and fhat 1 am a duly
RepisNrad Land Surveyor undw the
Laws of fAe Stafs of Minnesota
Mn. Rey. No.13235
Dute ? I/A/a17
•
,
041NER
EXTERIOR ENVELOPE AYERAGE MU COwPUTATION LEk i 1?G'T? ?
1n . . M o D FC.,
l ?3 /?J= > l?- IT\i ? Ll r:.C-; QJ ) h!1.r.J . '.
SITE ADDRE55 ?5ZEL_-f'Q; n7G?-jo?• L'!Lf6xay J
CONTRACTOR oc.L EGE rr? (OxsJ-,- DA7E l- /9 - e7 PHONE
petermine working square footage of each.
1. Total exposed wall area ...... Z019 sq, ft. x,_(L = Z22
2. Total roof/ceiling arca ..... sq. ft. x,02(0 ° 4.bb
Total er.posed wall area above floor ="yolq
a. Total wall window area ..............:............ 257
b. Total door area .. . ........................... ?
e. Total sliding glass?door area ................ . 40
d. Total fireplace wall area........................ -
e. Total wall framing area (average 10%)...:........ _ 155-
.
f. Total net wall area above floor ................. J 3WZ
g. Total rim joist area ........................... t3?
Total eicposed foundation area = O
h. Total foundation window-area ..................... ?
1. Toal net foundation area abcve grade ........:... 90
Determine "U" value of each wall segment.
a. Z5-7 X "U"
a. ?d- x .un
c: ?o •x wU.
d. - X "U"
.3A.b = __L9
$ ?Za = 6_
.34b a ? d...
-+ s
e. X "u" .092 = Id-
f. 13qZ x wuN .043 = ' bo
y, I 31 x„u„ . o d: l = ?
n. O x Mu°
?. 90 A uVn .0.1 a (
3 .....................................Tota1 = lQ S
If item 6'3 is the same as, or less than item #1, you have met the intent
of SBC 6006(c)2.
. .. . . ,.
Totat..exposed roof/ceil ing area = ? 333
J. Total skylight area .....:.......................
k. Total roof/ceiling framing area (aierage lOX)...
1. Total net insulated roof/ceiling area..:........ .. q'-^
Determine `U" value for each roof/ceiling segment.
. . 1 ? ?? • '
11 V MY I111
Y a
k. t ?i lh X 'wust
.
1:_ _".)1 q?} x uu,i , 0
2z.
4 ....... ............ ..........Total
= a
lf total of 14 is the same as, or less than 12, you have met the intent of
, SOC 6006(c)1.
Alternate Building Envelope Design
To utilize the total envelope system method. the values established by the'
sum of items A3 and #4 sball rtot be greater than the sum of items ol and €2.
'• + 2.
3, + 4. . a .
, •
? • -- -----.-•-. .
MY L/{r Y!1 F 4? AN1i?? 5 ? ? ?? ? ?ft.?y /1lV?L?~r ??Tt'?u
W/NDOW AREA : TYPk ot WINZ)pW i
61011 INSvc. G'A.ASS
Tuc wINOOWJ uu'rs /.rArt BsC4 Tfira'O foC "re"Lv,44.Ka, tMIIY Asc As L-66-19O
. •
aBoJt vyo ow+y Oi ossIGYto I A OC„4Af C,.,L, V..w& of Z•89
INCt4D1a/? 41R f/LM5 .
pplAt?L '?'fO?TI?4?
FnUNpAria4w,NOaWARrA : -i-YPL or W,NCOw :
rpL vv,..oow uAhrsN,01rE BLtN T'tSTCDFoR'a= vA.L?C,THLYARtIIi Io.,co ae.v• wun
m4r ar AaII4NLu ^ 0Ls$b#ICA^R4J VAWL oc •1C"• ?uC44DIl?y
A!3 P!L-?a i .
l.{?l:l/??. • ?/ a?, Foor?44 i FODTwqL ?
SLIDIN4; 164LA55 DvvR ARIrA: TYPL oIL DooR:
-- S?g
59-fDiN` 44.499 OQORS Nwvc iLi-{ ttSTtO FoR"K.= VAL-Kc,, TNty AQL +i uarfo
ADO?L AVO Mwy B? A3i,yMtip A DASO Col1GiAr1-) ywLN6 oIL'R."O •Z6? ,?^?ra?A4
410 fI4N46
+44s . V'r°4 s 1/ ¦ ? ?Tw4?''=
DoorZ ARc^ : 7YPe pr. L1ovR:
pews r. .TizU
[)OOQ lJtJl'Y `.+ HAY4 OL4H T4fT[D A,lP rouyp To tlqVi AN
*R'- VAL•44 AiA
• 1 C-D FODTAC L W+
s?F.CrALs : rypL :
?
' parc? SK?NLY7
wRM 9-0 ,eAa,,.%
, ? ?1rv v a.. • n?.,-ti :?-.v•.. ? ?-.. ::..•- vr -rir.?? -•;j«:?ti aqs°"--a __.??
RiM So1S-r
ARE.A
"R'- vALue
,
i, ..
r-•
- AOt _i nltF r;lo2 ^ifL fit M
- 19.0 IusuLAT?oN CR•/9 )
2.06 *L7 SHEArfNy ulL-r-,¢rrF_
ip7 L.AP 5l0il•4 C,_ly,i
- ?? g 8 I?h° SoP twoop
IT_EX7f.R 1o R N IIL ff401
_ 24.39 To'?'A L'l?..3?' 1i.41-eLL
??? . ? /a.? . ? 24. ; ?
TOTAL Ir,0TACjr6
FOUM p AT ION \X/ALi- AREA CAbovf. C4RwpL.3
. R,• vAL u. E.
IWTER1olZ A11Z Ft-?1
• 8S .$" C.o.?ea r i-r pL.oeK.
C S ?u2i?? (R. ?
? u I ??. O •??_ ZK 4 1
Ex7ttloR, nut IIL.A
12.63 -rornc. µ„q VALLLL
N & • I/ I2?3 AL =a?7=l
ro,AL ,?TAC.L
i
OBAna.i lo#vwlb ' arc: 9lW6v_
• f'? ?ilYl] ? U. ?PA L?.fE. ? R"?c'i:r ?'?5 ? vr ?rv ?•?? o?? ???+•3 _-
STI•lD
yALue
._4t-TyTeKtoR AiR FiL.rt
?4S ?'Z- G?v.sr1M w?«?onea
lf 6.87,5 J/'Lsorr?o•o
._..' ,b'7 L . AP S?c?uc, yy
vnAae aARR+tk
.. 1rteLloR nIR. r,4.r1
0.63 o rA L. ' R..?; JAL. uc-
'w =1^ • 1 i oM.s .?
?-,
To rAL roorA4 c .
?NSU-L.ATLJ 11R[A BLTW«W STyDS
• "R" VA?w(.
- • b? iureeioa ,?IOL r??M?
t
.5 o
4
4yaSunn y,iAILL?dvqeo
-Iq,O ?usuL wT roN (a,19 )
• Z.O(O ? SNt? TM I04 4 P VILTR-ITf-
S1 OIN[4 LeP
? YAPOR. q^N-Ritg.
- •,trLR.1a?, A?+?. M??M,
22. prAL Wws. VAt.LAI-
Nw..,f.,%. , t,?2.9b . ?
-1 H iMN-l1. !ti
710TA4 roorAca,
UArco lliuao_.
? . h KKfJs 1:i." , "l/A ait'o '?i K+irsT ?n S • :+'r--, .; ?r• • ?r?S:+l"
JOiST/ FRAMIM4 ARCk
•R•- vA Lu e
1NTERioR AlR riLM
? . 75 31/z 50trwo00•
.5$ 4YF'S4M WAI.t0oA110
Q? 22 !N?..Ur?C-r`fol-?
VA'POR 041"QIik
I NTEQ ioa. AlR Il+.m
AfOT /1 L " Ri.+, ?41-ld.L
uwl : r/?+ry • 1/ 27."7?{-=1.--s1.?-1
'roTAl. FaoM46 i
zNSu?.,,7? AQ?A ??rw?r? THE ?015`T"S '
•/z' - VAu44
• lalJiurFR +oR Aip RILM r
i1-4.o0 ?JN3?I.e.A 7loH CR•4U-"- )
58 ?Q11PsuM wALLsCA4D
V APG R OI1 R R IL 2
• - 17-.1 ?rrtRrort AiK fuM
4roTA z vALLLL
?t7, : I/K.,,, a 1/ 45,310 = o?z
'IbTAL Faor*cIL
y" a y 1 r//V')61}0 PAfq 314IJfb
?
PERMIT # H
RECEIPT DATE: ! C7 I ? - 0 `
MSIDENTIAL PLUM$IftH PEiM1T APPLICATION
CITY Of £AfiAF
S$SO PILOT RNOB RD
Bt46RA, MN 55122
651-691-4675
Please complete for:
SITE ADDRESS:
? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for irrigation system
r
OW NER NAME: : TELEPHONE #: W I
(AREA CODE)
INSTALLER NAME:
STREET ADDRESS:
TELEPHONE#: q0
(AREA CC
CITY: V"???i ?J'? STATE:
Place a check mark next to the ermit work t e
luIV
ZIP: ? Y)
New residential dwelling unit under construction and not ownedoccupied $ 90.00
Add-on, modification or aReration to existing dwelling unit, including: $ 50.00
• abandonment of septic system
• new instailation/repaidrebuild of RP2
• lawn irrigation system
• waterturnarou
Nature of work:
Septic System, new/refurbished - $ 225.00
• includes County & Consulting Inspector fees
. requfres MPC license
Water turnaround - existing dwelling unit, including: $ 50.00
• 5/8" meter 115.00
$ 165.00
State Surcharge $ .50
$ S-0
G"
Total •
Reminder: Schedule inspections of alterations, i.e. water heaters, water softeners, water turnarountl, etc.
I hereby acknowledge that I have reatl this appliration, state that the information is cortect, and agree to complywith all applicable CiryoTEagan ordinances. It
is the applicanfs responsibility to notify ihe propeAy owner that the Ciry of Eagan assumes no liebilnnity ??for any damages rausad by the Cit}}'' during its nortnal
operational and maintenance activdias to the fecilities constructed under this pertnit wkhin City prgh?(?+`Yleae??.?
f/?lJ ? wtiif L/U
SIGNATURE OF PERMITTEE Updated 9/01
Date: 10/18/2001 Appliance Installers of MN
Installer ...
Install Date: 10/18/2001
Time ........ - M
Client .....: SEARS
Order Num6er: 011322422700
Department..: 42
Customer.... : HEFFERNAN, ELISA
Address..... : 3859 PRINCETON CIR
City........ : EAGAN, MN 55123-
Phone....... : (651)686-8133 Ftiork Ph^ne : (651;683-5228
Item: Pick up at:
WATER TREATMENT Standard Replacement - Softener
WATER TREATMENT Permits
Special Instructions:
AT HOUSE
PERMIT REQUIRED
CALL WORK WITH TIME 651-662-5949
Amount Received :
Comments ........
NOTICE TO CUSTOMER:
Do not sign this statement until the installation is satisfactorily completed.
The installation of the above has been completed satisfactorily.
011322422700
SALES CHECK NUMBER
CUSTOMER SIGNATURE
INSTALLER NOTE: Return this form with your invoice.
i Yiave inspe-^tFd mar.-ha.^:r.'i.se anci L,::n:: no damaqe. !X;
=. hnvA insre: -_ed my home and found ne dar.,.aqe. tX%
,
T have checked -a-:.:L w.ster J.:..nes nnd feund *;•::, leaks.
C::s`,.nme_ Sicnnr,.:xe
PERMIT
Permit Type: Building
City of Eagan
Permit Number: EA105120
Date Issued: 06/26/2012
Permit Category: ePermit
Site Address: 3859 Princeton Cir
Lot: 1 Block: 1 Addition: Lexington Square
PID: 10-45075-01-010
Use:
Description:
Sub Type: e-Windows/Doors
Construction Type:
Work Type: Windows/Doors-New/Replacement
Description: House
Census Code: 434 -
Occupancy:
Zoning:
Square Feet: 0
Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection.
Comments:
Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes.
BL - Base Fee $4K $103.25 0801.4085
Fee Summary:
Surcharge - Based on Valuation $4K $2.00 9001.2195
Valuation: 4,000.00
Total:
$105.25
Contractor: Owner:
- Applicant -
Home Depot At Home Services Stephen T Heffernan
656 Mendelssohn Ave. N 3859 Princeton Cir
Golden Valley MN 55427 Eagan MN 55123
(763) 542-8826
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
PERMIT
Permit Type: Building
City of Eagan
Permit Number: EA105120
Date Issued: 06/26/2012
Permit Category: ePermit
Site Address: 3859 Princeton Cir
Lot: 1 Block: 1 Addition: Lexington Square
PID: 10-45075-01-010
Use:
Description:
Sub Type: e-Windows/Doors
Construction Type:
Work Type: Windows/Doors-New/Replacement
Description: House
Census Code: 434 -
Occupancy:
Zoning:
Square Feet: 0
Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection.
Comments:
Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes.
BL - Base Fee $4K $103.25 0801.4085
Fee Summary:
Surcharge - Based on Valuation $4K $2.00 9001.2195
Valuation: 4,000.00
Total:
$105.25
Contractor: Owner:
- Applicant -
Home Depot At Home Services Stephen T Heffernan
656 Mendelssohn Ave. N 3859 Princeton Cir
Golden Valley MN 55427 Eagan MN 55123
(763) 542-8826
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
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA162506
Date Issued:07/16/2020
Permit Category:ePermit
Site Address: 3859 Princeton Cir
Lot:1 Block: 1 Addition: Lexington Square
PID:10-45075-01-010
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.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
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 -
Wayu Bekele
3859 Princeton Cir
Eagan MN 55123
Haferman Water Conditioning
12142 12th Ave.
Burnsville MN 55337
(952) 894-4040
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA164972
Date Issued:10/13/2020
Permit Category:ePermit
Site Address: 3859 Princeton Cir
Lot:1 Block: 1 Addition: Lexington Square
PID:10-45075-01-010
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.
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 -
Wayu Bekele
3859 Princeton Cir
Eagan MN 55123
(612) 296-3991
Elite Restoration Pro
1120 E 80th St, Suite 201
Bloomington MN 55420
(952) 322-7773
Applicant/Permitee: Signature Issued By: Signature