3862 Princeton CirCITY OF EAGAN Remarks b' Ir' ' ' A :'? ?
Addition I'EXINGTON SQUARE Lot 9 elk ? Parcel 10 45075 090 01
Owner st,.et 3862 Princeton Circle or State Eagan. MN 55123
1 V Or?`vo-.sw:.=a
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTDR.
GRADING
SAN SEW TRUNK 254.53 16.97 15 254.53 C009682 10-12-84
EWERLATERAL g tT 1986 173.6 5 18 1 173.65 C010026 1-28-85
WATERMAIN 1986 68.3 4.56 15 68.33 C010026 1-28-85
WATER LATERAL
WATER AREA 1986 286.4 19.10 15 286.43 C010026 1-28-85
STORM SEW TRK 1986 501.29 33.42 15 501.29 C010026 1-28-85
STORMSEWLAT 1986 513.81 34.25 15 513.81 "
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PAR K
MECHANICAL PERMIT
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122
Sfte
Name v ;z n sr
y Address • ?,- -- r.?i fr?,,? ?f ?'?.
c Ciry •'' Phone
Name
c
Address
p City Phone ±?_fj
TYPE OF WORK
Forced Air M BTU
Boiler M BTU
Unit Heater M BTU
Air Cond. ?`' M BTU
Vent "CFM
Gas Piping OutletS #
Other
PERMIT #
RECEIPT # 3" ?
DATE: .? ??-f??d?•
BLDG. TYPE WORK DESCRIPTION
Res. New
Mult Add-on 1-- '
Comm. Repair
Other
rr-ca
RES
HVAC 0-100 M BTU -$24
00
?. .
.
ADDITIONAL 50 M BTU - 8.00
N N UDES A!C ON NEW
CONSTRUCT
GAS OUTLETS (MINIMUM • 1 PER PEiiiIAIT) - 1
50 EA
.
.
COMM/IND FEE - 196 OF CDNTRACT FEE
APT. BLOGS. - COMM. RATE APPLIES
TOWNHOUSE 8 CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8
REMODELS - 12.00
?.. ,,. MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $50 S/C IF PERMIT PRICE GOES
' BEYOND $1,000)
FEE: ,i i _J . f , . _.
S/C: SIG ` r O EE
TOTAL•
FOfi: CITY OF EAGAN
??_ ..._. _. .. ... _. ?.,e?: --... ....?r. ,...._ ti ?.?.---- - ='?- --•?? i?..:._?c?..-:a ..:?.?:-.?:.,..n?r,.
.3'a s(/Fs xv x;w?l ?av
INSPECTION YZECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
.:.?.. 1 i: 1 rai 1 i (IN C[k 1,
1 l? k t Nt? I UN '.?JUI?KF ( r; I.' ) 4hti-h4'?;
PERMIT SUBTYPE:
TYPE OF WORK:
IJ t 1-1
?
F 7 . ., . .., . . . . . .. ? . . . . .
L
ttll i! 11 T Nti
-1
J
Permit No. Permft Holder Date Telephone #
SNV
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspectfon Date Insp. Comments
Footings i
Foundation
Framing
Roofing
Rough Pibg.
Rough Htg.
isul.
Fireplace
Final Htg.
Orsat Test
Final Pibg. Pibg. Inspector-Notify Plumber
Const. Meter
Engr,/Plan
Bldg. Final
Deck Ftg.
Deck Final G ?
weu
Pr. Disp.
CITY OF EAGAN . . °,• . , • 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE. • 454-8100
BUtLDtNG PERMIT ReCeipt 4k
To be used for Est. Value Date 11 9_ _
Site Address ? ( ' L 11?
Lot Block Sec/Sub. ? [%y, T,',N Sr 151
Parcel No.
¢ Mame
W
; Address
° City
¢ Name
,o
? ` Address
fl_ City Phone
Mame
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 of Eagan Ordinances.
Signature of Permittee f
A Building Permit is issued to: ' on the express condition that all work shal I be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
OFFICE USE ONLY
On Site Seweqe Occupency
MWCC System Zoning
On Site Well (Actual) Const
City Wate? (Alloweble)
PRV Required * of Stories
Booster Pump Length
Depth
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr./ASSess. Permit
Planner Surcharge
Council Plan Review
Bldg. Off. SAC, City
Variance SAC, MWCC .
Water Gonn.
Water Meter
Road Unit
Treatment P1
Parks
TOTAL
. Psrmit No. Psrmit Holder Dats Tolephone
Plumbin
9
7/7l
'?! rc.{-.?_?{ ?^. ?._.
•`'=3 X J
H.V.AC.
ElectriC
Softener
Inepectlon Date Insp. Comm@nts
Footings I
Footings II
Foundation
Framing
Roofing ?j
u
Rough Plbg.
Rough Htg. ,7yc
Isul.
Fireplace
Final Htg.
Final Plbg. •-,
Bldg. Final
Cert.Occ.
Temp. LP r
Deck Ftg.
Deck Final
Well cdS -- ? /C
Pr. Disp. , J OX r L, i?
C iItIF A/ R
% / O, i!
• .,
ft.er#if trate uf (Orrupanry
Citp of (eagatt
aPpal'tiltPttf Af Bltilhtltg lI18}1Pl'twtt
This Certificate issued pursuant to the requirensentr of Section 306 ojthe Uniform Building
Code certifying that at the dme of rssuance this structure was in compliance with the varrous
ordrnances of tJre City regularing building construcaon or use. For the following:
use ahmfi.tkm DWC;/GA12 Mae. Permit rb. 15156
o-„m--r TYa R3/YI 1 aI FD?R I T cam. ??`n
o? or s?? ?`tA1tQIN t?'?7l?GE Etl`?LS ? i?:A? P. U. BC?;V? , PRIIJCSICJ?T
aAIm"8 neares; ''_ "2 P'RIN27JId CI RC-T; ??iq T.,9 , B I, 9C'J,IIARE 1 S I
- Dnoe: l%DM5124 ; 17,8
Bw7din; Official
POST IN A CONSPICUOUS PUCE
' ., . PERMIT # L1 (.?
PLUMBING PERMtT RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: 7
CONTRACT PRICE PHONE: 454-8100
Site Address I--
lot " Blocly., Sec/Sub
?
Name ,r,
m
m AddreSS ?..r; ;.l
? ciy r1 '? Phone
Name r_ ! • , °
3 Address
p Ciry Phone
FEES
COMMIIND FEE - 19'o OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TQWNHOUSE & CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.U0
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
SIGNATURE OF PERMITTEE
FOR CITY OF EAGAN
BLDG. TYP,E WORK DESCRIPTION
Res. New *`
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TO?AL
Water Closet - $3.00 $?-
j Batq Tubs - $3.00
:t:Lavatory - $3.00
Shower - $3.00
Kitchen Sink - $3.00
Urinal/Bidet - $3.00
Laundry Tray - $3.00
?Floor Drains - $1.50 1
Water Heater - $1.50
Whirlpool - $3.00
=Gas Piping Outfets - $1.54 '
" (MINIMUM - 1 PER PERMIT)
Softener - $5.00
Well - $10.00
Private Disp. - $10.00 _
3Rough Openings - $1.50 FEE: -
STATE S/C: GRAND TOTAL: '
PERMIT # MECHANICAL PERMIT RECEIPT # - '
CITY OF EAGAN
3830 PILOT KNOB ROAO, EAGAN, MN 55122 DATE;
NTRACT PRICE:? PHONE: 454-8100
Site
Lot.
BLDG._TYeE.
Res.
Mult
Comm.
Other
WORK dESCRIPTION
New ?
Add-on
Repair
m Name
?c Addre
c City _
Name FEES
RES
HVAC 0-100 M BTU
-$24
00
c Address .
ADDITIONAL 50 M BTU .
- 6.00
p Ciry Phone (RES. HVAC INCIUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER pEFilA1T) - 1
50 EA
.
.
TYPE OF WORK
Forced Air
Boiler
? M BTU
M BTU COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE 8 CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
Unit Heater M BTU REMODELS - 12.00
Air Cond.
Vent ?M BTU
k CFM MINIMUM COMMERCIAL FEE
STATE SURCHARGE PER PERMIT
(ADD $.50 S/C IF PERMIT PRICE GpES - 20.00
- .50
Gas Piping Outlets # BEYOND $1,000)
Other
FEE }
'
?/
?
;r
'
.s•
a.-
l.
' itZl-.?t
r
S/C: r' SIGNATURE OF PERMITTEE
TOTAt.
FOR: CITY OF EAGAN
. _ a , . .,
CITY OF EAGAN
454-8100
DEPT. OF BUILDING INSPECTIONS ' :
Correction Notice
?
Located at
I have this day inspected this structure and
these premises and have found the following
violations of city codes governing same:
L""i" 7, L[ j2- 1,C-? u., - L G S r---,?? ---,
??L??l?? ? /?:/ i, .i? •/
When corrections have been made, please
call 454-8100 for inspection.
Date
Inspector Ciry of Eagan
DO NOT REMOVE THIS TAG
?-
.-,
SITE ADDRESS SJG
Unit # Permit #
Sect/Sub.
INSPECTION DATE INSPECTOR OTHER
FRAMIM6 ? ? Sa. ? ? rrr c? vi -
ROU6H PL98. e,G?. •vrrv? ?/oie.i
ROUBN NT6.
INSUL
RREPUICE o R sS ,F
FINAL HTB. ,e s G.3?,•?? S9,cd ?
FlMAL PLB6.
UNR RNAL
CERT/OCC T?v55' C? o. /1(.1W l?Lt/ l'O /????/2
/_" 0
INSPECTION DATE INSPECTOR COMMENTS
Ta
? ? W4 A
?b ^ ?.
CITY OF EAGAN - ? 5 6
3830 Pilot Knob Road, P.O. Box 21 -199, Eagan, MN 551 21 =
PHONE: 454•8100 1
BUILDING PERMIT RACBIpt# ?? r?l -_1 I
To be used for $g WC+/GAR Est. Value 4?84,ouv Dete ANL y ,19 ag
Site Address 3e;62 ph 1?-..CFr?'.- C: . OFFICE USE ONLY
tr ?
Lot elock 1 Sec/Sub. r, ?= XIhGTON SO i.>: On Site Sewage OccupanCy i{-3 !t-1
MWCC System .t
Zoning ?? ?-1
Parcel No.
Y-N
On Sfte Weil (Actual) Const
cc Name MARVIN CEORGE 8U-1LDSR5. 1hiC Citywater X (Allowable) Y-N
W
z
Address P 0 8O'!, A't3 PRV Requlred # of Stories
3
°
Ci!y Pi?INCETUYPhone 372-3034 eooster Pump Len th
g 46 ?
Depth
p Name SAA`E S.F. Total
,
? ? Address Footprint S.F.
? City Phone ARPROVAIS FEES
??
W W
ame
Engr./Assess.
Permit
S??' ?
43
OQ
Planner Surcharge .
_ =
?= AddresS Council Plan Review 259•00 <
w
d Cit • Phone
Y
BIdg.OH.
SAC.City
100.00
I hereby acknowledge that I have read this application pLnd state that the Variance SAC, M WCC S w•00
?
??
information fa corrAct and egree to comply with all 40plicable State of Water Conn. •
Minnesota Statutes and Ciry of Eagan rdinances.
. ?..
Water Meter b???
Signature of Permittee ?? - Road Unit 325•00
A Building Permit is issued to: ??'uV lN C,1.0RG ISL 1 L&EhJ Treatment P7 204'oo
on the expiess condition that alKvork shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances. Parks
' •616.00
BuildingOfficial TOTAL
CASH RECEIPT
.0 ?
CITY QF EA?GAN
, 3830 PILOT KNOB ROAD
. EAGAN, MINNESOTA 55122
DATE
FE-CErvEa ` 'FiiOM
AMOUNT
& DOLLARS
lm
O CASH ? CHECK
, ..
FM
BY
y,ff White-Payers Copy
Yellow--Postin9 CoPY
?f • -. V 4' Pink-File CopY
-'._.-.,.? ??r-r.....r.....??a.?_...... _ . ?., _ _.. . .. . . . . . .
Thank You
? arr oF E?GAN
5830 Pilol Knob Road
' P.O. 8ox 14199
EaganR MN 55121
Site Address:
Permit No: Date:
B/P Na Date: ?
MWCC: 550. 00; -..:
? ??? ? •
City Chg: 1
Acct. Dep: 1 5. OC'r•'.
Permit Fee: 10. 00n(°
Surcharge:
No. of Units:
Lezingtoa Sq
I agree to comply with the City d Esgan
Ordinances.
SEWER SERVICE PERMIT
CITY OF EAGAN Permit No: 5737 pate 5'29-8$
3830 Pllot Vinob Road Meter Na Size:
P.O. Box 21199 Reader Na: Date:
Eagan, MN 55121
Owner. ''ai-?3n? Geor e Bl?rs.
Site Address: 7` ,'- Priutetcm Ci.rc2e L9 E iea gton . c:
Conn. Chg: SSn _ flnpe
Acct Dep: 15_?n;-'d
Permit Fee: lt?. o'2: d
Surcharge: - 303le-
Tr. Plant 20i-8t?ud
Me?er.
Misc :
2oning: ? a
No. of Units: 3
I agrse io comply with thw CNy ol Eagan
Ordinances.
1
sr ?
WATER SERVICE PERMIT
Owner. .,rir'-ie rs.
n Circle L9 B1
Plumber. °1v?outh
Conn. Chg:
Dep: 1 5 nn„?
Acct No. of Units;
Permit Fee: =Q O?nd -
Surcharge; ^?} d
Tr. Plant
Mete
r. ?
CITY pF EqGdN Permit No: .' 7
?. --' ':'
3030 Pqot Knob Road Date:
Meter No: d 3 ?3
Size:
P.O.,gox 21199 Reader No: 1D T> 930 3? g'? d
Eagan, MN 55121 ---r-?---?_ ?- 1 D- St k
Date:
SiteAddress: 3862 Princeto _
Zoning;
? a9ree to comply with the Clty of Eagan
Ordinanc
By ?
WATER SERVICE PERMIT
CITY OF EAGAN yP 1515 6
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 551 21
PHONE: 454-8100
? [^? ?
'"
4 Z
:
BUILDING PERMIT aeceipt # I
-
)
To be used for SF DWG/GAR Est. Value $86,000 Date NNE 9 1g 88
Site Address 3862 PRINCETON CIR OFFICE USE ONLY
LEXINGTON SO 1ST
Lot 9 Block 1 Sec/Sub OnSiteSewage _ Occupancy R-3 M-1
. MWCCSystem X Zoning PD R-1
ParcelNo. V-N
on5itewell _ (ACtuapConst
e Name MARVIN GEORGE BUILDERS, INC CiryWater -X- (Allowahle) V-N
W
z
Address P 0 BOX 428 PRV Reduired
- # of S[ories
o
City PRINCETON Phone 332-3034 Booster Pump _ Length 46'
Depth 50'
p Name SAME S.F. Total
?Q Address Footprin[S.F
i City Phone pppqOVALS FEES
?a Engr./ASSess. Permit 51$.00
Name
43
00
?= Planner Suroharge .
z Address 259
00
.
? Council PlanReview .
w
a City Phone Bldg. OH. SAC, City 100.00
I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC 550
.00
information ia wrrect and agree c?mply with all pplicable State of
Water Conn. $$0
.00
Minnesota Statutes and City of gan Ordinances
Water Meter fi7.00
Signature of Permittee rT'? Roed Unit 325.00
A Building Permit is issued to: V I N GEORG BUILDERS Treatment P1 ZO?i.00
on[heexpressCOnditionthat a wOrkshallbedoneinaCCOrtlancewithall
Parks
applicable State ofM
in
n
esota Statutes an
d City of Eagan Ordinances.
/ ?
' 2
616
00
_
?
-
p
Building Official .?
ll?LR )AA I 1
hL
r ? TOTAL .
2
18 months trom a?? (?p'
/d'l/ J p
E 4 2 4 3 Lq
fteqa¢st L]alt
0 Fire No. ouNh-in InsPer.tion
Requiretl? q?''
Oqeatly Now ?will Natify Inspec-
?Yes n N T mr Wh R d
?Licensed Electncal Conbactor ? .
I hereby request maoaction uf ebove
Owner alachicai work installed ai:
5[ree[ AdAress, Box or Raute No. ?ity
e!i.jeFTd.,J diRll-44-r
?'
ecbon o. TownshiD Name or No. qange No. Coomy
`Ex/n5rr Sdl /s1- Ko P)9-
Occvpant IPRINTI Phone No.
?L.Of?S
Power Supplier Address
1Dsf t £GE e-- Gm ?.c jGT?--?
Electrical Contractor (COmpanv Namel Cnmracw.'s Licnnse No.
?n,e-s r?? ??? ?, _ os467 yv 3
Mailmg Atldress ?Contr?ctor or Owner Making Inst ailationl
Authorized Sipna re lConvactodOwner Makine Installat'onl Phone Number
-3 SSS
MINNESOTA STATE BOAND OF ELECOICITY THIS INSPECTION NEQUEST WILI NOT
GrigBa-Yidwey 01dp. - floom N•191 gE ACCEPTED BY THE STATEBOAHU
1821 Univarsitv Ave.. SI. Peul. MN 65104 UNLESS PqOPEN INSPECTION FEE IS
Phone (612) 642-0800 ENClOSEO.
S/ ? REQUEST FOR ELECTRICAL INSPECTION . ea-ooooi-os ?
? q?
?D ? See insnuctions for comoleline this form on bxck ot Vellow capy. (]5? ?
E- 4 2-4 3 "x'' BeioW Work Covered by 7hls Request 51_?17
Hdd NeO. Type o18uilCing` ApPliancee Wired Equiymenl WireA
Home Runge Temporary Service
Duplex Water Heater Lightiny Fiatures
Apt. Building Dryer Electric Heciun
Commercial Bldy. Furnace Silo Unlonder
-
L Industrial Bldg. Air Conditioner Buik Milk Tank
Farm OthNF oeci y ,?hcr (Snocify)
__0_1 eT Speo Y -
t e,
Oth¢r
omnute lnsnection Fee Below
M Fee ServiceEnhancaSize fl Fxe Faxders/Suhteeders k Fen Circults
y- 0 to 200 Am s 0 to 30 qm s Z 1 0 tn 30 Am ?s
Abuve 200 Amps? 31 to 100 Amps ( D? 31 to 100 A s
Swimming Pool Above 100_Amps Ahove 100_Amps
Transiormers Irrigation Booms t s0 Partial?Other Fee
Signs Speciallnspection 5 '`
s. To
Pemarks _ 0 . 3
7 ?
flough-in
? Inspector, heraby
ertify that the abova
Final e/ inspection hes been
? mBtle.
TMS repueat vole 18 monihs irom
? ?
6 . 0 8 -,' - ???
Fequesl Date
- Fire R -in Inspecib
iretl?
? fleady Now I'dWiil Notity Inspec[or
5 1 1 8 9 Yes NNo When ReaRy?
I [M licensed contractor ? owner hereby request inspection of above elechical work at:
Job Atldrese (SYreet, Box ar Route No.) Ciry
3862 Princeton Circle Eagan
Section No.
Townslilp Nama or No.
Rarge No.
County
I I Dakota
OccupaM IPRINTJ Phone No.
Todd Guenther 456-5457
Power Supplier qOtlress
Electrical Connaclw (Company Neme) Coniractor? Licensa No.
Hilite Electric, Inc 040445
Meiling AGdreu (COnIrzqM or pwner Meking Instellation)
1953 Shawnee Rd Ea an MN 55122
Authonzed gn re(Qontractar/ r In;tall ' n) Phone Number
452-8886
MINNEu?/F?STAfE?dAif0i0* E{?CTpICRY ? THIS INSPECTION REOUEST WILL NOT
Gtlgga-MlGwey Bltlg. - Room 61]3 BE ACCEPTED BY THE STATE BOARO
1821 Univnsiry Ave., SC Paul, MN 55106 UNLE55 PROPER INSPECTION FEE IS
Plane (612) 642-OB00 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION i': eeooom o7/
? See in stmctions 1oT'wmpleting this form on back oF yelbw copy. 9,962 7(L
7
E: 9N08 'X" 8elow Work Covered by This Request
ew Add Rep. TypeofBuilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
F omm./Industrial Furnace
arm ? Air Conditioner
Olher (specily) ConhactoB flemaMs:
ComputelnspectionFeeBelow: JOb # 20573
# Olher Fee # ServiceEMrenceSize Fee # Circuits/Feetlers Fee
Swimming Pool 0 to 200 Amps D to 100 Amps
00
Transformers Above 200 _ Amps AOova 100? Amps
Signs Iwpecior§ Use Only: " TOTAL
Inigation Booms 15. 50
Special Inspection
Alarm/Communication
Other Fee .50
I, the Electrical Inspector, hereby
certify that the above inspection has
6ean made. Rough-In
F,wi oa?e
oWe
OFFlCE USE ONW ;
This requeat witl 18 months hom
BLDG. PERMIT NO. ???
01-3210 Bidg. Permit
01-3422 Plan Check
01-3445 Surch./Adm.
? 01-3446 SAC/Adm.
01-2155 Surcharge
,
75-3860 Road Unit
20-2275 SAC
20-3865 Water Conn.
20-3868 Water Trmt.
20-3716 Water Meter
20-2252 Acct. Dep.
20-3773 Water Permit
20-3743 Sewer Permit
79-3866 Sewer Conn.
28-3855 Park Ded.
O
/ 9,0 loo
TOTAL
7-ig-SPj
ICe.n U v`.i? Skrv
7?DO 7W?iceS MZ.
Bl?.nrC./kri-, v»n1
s5?2o
4..Q.- ?N%( ej I
-? v?? ? c?Y? ? ? ?'?
??o?,?h?-? ?. a?-? ?8? ?
?_..
,
.''-.., r-aar'
Co ?' ? b I? • ??c.,?? .
/?-
Date Ordered
Ep SaYs From
"Adequate Lead Yime Insures Good Service"
?a OSff PLUMBING (RESIDENTIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephane # 651-675-5675 FAX # 651-675-5694
Please complete for: Single Family Dwellings
Townhomes and Condos when perauts aze required for each unit
,4 30• Sa
Date 2 / 3! / d 2
Site Address 3i3o2, inc:?40j 1 Lf/'t . Unit #
PropertyOwner )!J s 6u N,4L0r Telephone # ( 4SI) n
Coutractor ?`Cq bi d- 7?
Address 12Oa f< W. City h?'t .11///
State Zip !52??W Telephoce #(?V) 2517 q12
Z
The Applicant is _ Owner Contractor _ Other
Septic System New _ Refurbished Submit 2 sets of plans and MPC license $ 100.00
Indudes County fee. Additional consulWnt fees may apply.
Alterations To Existing Dwelling Unit, Including $ 50.00
_ Adding fxtures 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
J? Lawn irrigation system
i
_ Water softener _ Water heater $ 15.00
_ replacement _ additional
7
State Surcharge $ .50
?
Total I
-_ ?
$
?Q • `?V
_ ?
Ly= -
I hereby apply for a Residential Plumbing Pemut and acknowledge that the informarion is complete and accurate; tnat me worx vnu
be in conformance with the ordinances and codes of the Ciry of Eagan and with the Plumbing Codes; that I understand tlus is not a
pevnit, but only an applicarion for a permit, and work is not to start without a pernut; that the work will be in accordance with the
appr? plan in?e?4/ case? of work which requires a review and approval of plans.
n S 0C
Applicant's Printed Name App canYs Signature
... L(T SURVEYS COMPANY, INC. FINVICE . BoNO. NO 34S?21
LAND SURVEYOR3 scAlE I" Zo'
MARVIN GFARGE BUILDERS 0-DENOTESIRON
RE(3I8TERED UNDER LAWS OF STATE OF MINNEBOTA
A Denotes Wood Hub Set 7601- 73rd Avenue North 680•8093
For Excavation Only Job N 88-53
-?"?- Denotes Surface Drainage Minneapolis, Minneeota 65428
Address:
Denotes Proposed El ation Burnrgara ?rrttftcttk 3862 Princeton Circle
Denotes Existing evation ,
Type of Building - Split level
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J o/ Z- . ?oo, 7 893 ,7
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Lot 9, Block 1, LEXINGfON SQUARE SY ` ?
Date_._____
EAGAN ERTGIINt; RIIVE L G E T
The ony saemente sAown an hom plata of rocord a Infon,ialiai provlded by
clleM.
VYb hareby caAly MN tASe Is a true and cortect roproseMaNon of a eurvey o! Ihe
bouMeri" of IM ebove deecribed Iand end ths locatlon of dl bulldlnpe end Hs•
IbN wecrt,achmsnts, ll any, lrom or an eald land.
Burvsyadbyuslhle 27th aayot MaY tg 88
QE-Y, Ju,ne -7, 117,58
'Rev. .?uhe
Signed
11:i8 8
,
RESIDENTIAL
BUILDINC PERMIT APPLICATION
CITY OF EACAN
3830 PILOT KNOB RD, EACAN MN 55122
651-681-4875
New Constmction Raoulrements
• 3 regislered site wrveys shovung sq. ft. M lot, sq, ft. W house; and all roo(ed areas
(20% maximum lot coverage allowed)
• 2 copies o( plan showing 6eam &window saes; poured found design, etc.)
• 1 set of Energy Calculations
• 3 copies at Tree Preservation Plan'rf bt platted after 717193
• Rim Joist DeGil Options selectian sheet (hldgs wAh 3 or less unils)
DATE Z-&-Da
SITE ADD
TYPE OF
APPLICANT
STREET ADDRESS ' J' ,[() / I0 Ja,L/ JS?.A
TELEPHONE # ?k3-5"Y/4U¢ELL PHONE #
PROPERTY
l?gas
RemodellReoair Reauirementa
• 2 copies of plan
• 1 setof Energy Calculations for heated additions
• 1 site survey for extenor additions & deckb
• Indicate if hwne sened by septic syslem for additions
VALUATION
ULTI-FAMILY BLDG _Y XN
FIREPLACE(S) _ 0 _ 1 _ 2
#
TELEPHONE # I i? ^Y SF?'??
CONIPLETE fOR "NEW" RESiDENTfAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RUI.ES 7670 CATEGORY 1 MINNESOTA RULES 7672
(J submission lype) . Residential Ventilatlon Category 1 Worksheet Submilted • New Energy Code Wodcsheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Confractor: __
Plumbing systetn includes:
Mechanical Contractor:
Mechanical systcm includes:
Sewer/Water Confractor:
Phone
Phone #
Au? 0 8 2on2
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signafure of Applicant OFFICE USE ONLY
_ Water Softener
Water Heater
No. of Baths
Phone #
Lawn Sprinkler
No. of R.I. Ba4
Air Condilioning
Heat Recovery System
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex O 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Nt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Parch (screened) 0 36 Multi
? 05 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 Demolish (Interiar) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration O 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement "Demolition (Entfre Bldg oniy) - Give PCA handout to applicant
Valuation Occupancy MC/E5 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 INSPECTIONS
_ Footings (new bldg) _ FinaUC.O.
_ Footings (deck) _ FinaUNo C.O.
_ Footings (addirion) _ Plumbing
Foundarion HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Reta'*+i b Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Building Inspector
Total
PERMIT# ?fyil g
itnIDENTlAL PLUM$IN? PERM1T APPLICALTION
crrYoFEAsM
3830 Pnor xivos Etn
rasnx. M?v ssi Ea
651-691-4675
Please complete for:
SITE ADDRESS:
OWNER NAME:
? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for irrigation system
W
Dd
RECEIPT DATE: /_P? _0 /
0 SSI,)_3
E#:
Jvq'nc e,bn G1--ele_
WSTALLERNAME: -TC)bt v""""`'"U_C?
STREET ADDRESS:
CITY:
TELEPHONE #:
(AREA CODE)
STATE:
Place a check mark next to the oermit work tvoe
ZIP:
New residential dwelling unit under construction and not owner/occupied $ 90.00
? Add-on, modification or alteration to existina dwelling unit, including: $ 50.00
• abandonment of septic system
• new installation/repairlrebuild of RPZ
• lawn irrigation system
• waterturnaround
??we?v- I ev " `
Nature of work
Septic System, new/refurbished - $ 225.00
• includes County & Consulting Inspector fees
• requires MPC license
State Surcharge $ .50
Total $
Reminder. Be sure to schedule inspections of atterations, i.e. water heaters, water softeners, etc.
I hereby acknowledge that I have read ihis application, state that the information is correc[, and agree to complywith all applicable Cityof Eagan ordinances. It
is the applicant's responsibiliry to notiTy the property owner that the Ciry of Eagan assumes no liability tor any damages caused by the City during its normal
operational and maintenance activitiesm melacilities constructed und Ir this permit with' Ciri f-way/easement.
A;
JAN $ 2001 I II II SIGN?TURE OF PERMITTEE
Updated 1101
GS Y'v rF i-Ar?aN
tAati:CFR j;..i,t", Tf."r.'M.T.NAl... Mr1, 7f3w '°+a
pA'FE:: ' 10J15!99 'i7ME.
NAM=,;; Nnt?'fiN CGM'[C'AL r+i!3LPMRS, :CNI:. .:
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?kri<?:?k?t?l:?rev,c#K*NX?&•kk:l:%ak?Kk?rk?NsK?k?7K#t3K?k7k?F? :
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675 I O
New ConshucNon Reaulrements Remodel/Reoatr ReaulremeMs
? 3 regiafered sHe suneya ahowing sq. k, of lot, sq. H. of house 2 copies of plan
and gp roofed areas (209 maximum bt coveroae allowed) 1 set of energy cakulations for heated addiNons
D 2 copies of plans (show 6eam 6 window sker, poured Ind. design; eic.) 1 fMe survey iw exterior odtliHona 6 decW
? 1 set of energy calculaHona
? 3 coples of hee preiervaHon plan tl lot plaHed atler 7/1/93
I?I?CS
DATE: W-DIJ[Vr I?51
DESCRIPTION OF WORK: R'eS 16e, -
STREETADDRESS: ?3&Z PQ.tiIyCETON
LOT: 'I BLOCK: 1 SUBD./P.I.D. #:
Name: vuENTH GA TUO17 Phone#: b•5I -4Sdr/ A
PROPERTY Last Fi"t
?1?2 TV-N0,E--1Z)N CI RGLE
OWNER Sheet Address: r?
ciy F-AC Pc N stare: A1 N Z1p; 6S 12-3
Company:Nlir-ni l.-,.NXAL ?LDI& 11? Phone#: 12,12- 533-61 k?
(area code)
CONTRACTOR n1Ir ?,f ?'7/?? 2
Sfreet Address: Lieense # ?Exp• "? 3/ al'
ciy ktW ft? F state: " N, ziP: E?5'-42-7
ARCHITECT/
ENGINEER Company: Name:
ielephone #: area code ( )
Streel
City
CONSTRUCTION COST: A '7;000' D0
State:
Sewer 3 water Ilcensed plumber (reaulred for new consfrucflon onNl: _
PenalFy applies when address ehange and lot change b requeated once permR is Issued.
Zip:
C hereby acknowledge thaf I have read thia appOcafion, state fhal fhe IMOrmalion Is cortect, and agree fo comply wflh all appllcabl
3taFe of Mlnnesota StatWes and CNy of Eagan Ordinances. / .
Slgnature of Appllcant
Certificates of Survey Received _
Tree Preservation Plan Received _
OFFICE USE ONLY
Yes _ No
Yes _ No _ Not Required
RegishaHon #:
RECEIVED
OCT 14 1999
B
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
0 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
O 04 2-plex ? 09 7-piex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
? 32 Addition ? 36 Move Bidg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bldg.• ? 41 Wood Stove ? 45 Fire Repair
L.? ? nepi911 ?
+.
LJ JU Je1'IIVIIDy It;:li1?:I1Vl? L ^J ?'^i2 r.3,rCiQf
' Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
APPROVALS
Planning
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq.ft.
Footprint sq. ft.
Building
Engineering
Variance
Permit Fee t S3 2-? Valuation:
Surcharge Cf? 0
Plan Review
L': ensa
MC/ES SAC :
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
SNV Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
TotaL• I
Census Code
SAC Code
No. of Units
No. of Bidgs
MC/ES 5ystem
City Water
Booster Pump
PRV
Fire Sprinklered
$ V0 • 00
SAC Units
°h SAC
INSPECTION RECORD
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITEADDRESS: LoT: s BLOCK:
3862 PRINCETON CIR
LExINGTON 3QUARE
PERMIT SUBTYPE:
DECK
?
PERMIT TYPE
Permit Number:
Date Issued:
1 APPLICANT:
GUENTHER TODD
(612) 456-5457
TYPE OF WORK:
NEW
BUTLDING
024285
@8/02/94
-1
? ?
? CITY'OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMITTYPE: BuxLoiNs
Permit Number: 0 2 4 2 8 5
Date Issued: g g t 0 2 /g q
SITE ADDRESS:
P.I.N.: 10-45075-090-01
PERMIT cR3 o i ll
3862 PRINCETON CIR
LOT: 9 BLOCK: 1
LEXINGTON SQUARE
DESCRIPTION:
Building-_Permit Type
.Building Wo,rk\ ype
/
?
% -\
,
DECK
NEW
r?;? , ?.
REMARKS:
FEE SUMMARY:
Base Fee $30.00
Surcherge $.50
Total Fee $30.50
CONTRACTOR:
OWNER: - Applicant -
GUENTHER TODD
3862 PRINCETON CIR
EAGAN MN 55123
(612)456-5457
I hereby acknowledge that I have read this
information is correct and agree to camply
Statutes and City of Eagan Ordinances.
?
;WWV&4?
APPLICANT/PERMITEE SIGNATURE
application and state thet the
with all appl3cable State of Mn.
?
Aoun., I
ISSUED B SIG TURE
CITY OF EAGAN
1994 BUILDING PERMIT APPLICATION
681-4675
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered sIREMI of energy
calcs.
COMMERCIAL 2 sets of architectural & struc uraalipl?nO, 11?9'set f
specifications, 1 copy of energ calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date 7 Valuation of work
Site Address: 386 Z cu_4vv\. C,iec 1Q__.
STREET SUITE #
Tenant Name: (commercial only)
LOT BLOCK
L SUBD. P.I.D. #
_ ?
Descri tion of work: ?? C K
The applicant is: Owner ? Contractor ? Other (Describe)
Name GLk cTo d? Phone Y5C'5"Sl57
Property LAST F1R5T
Owner qddress 3 8.6 2? 2??c?,a-o
STREET STE 71
City 0"^ State MAl Zip SS Z3
Company SCl v n Phone
Co ntractor Address License # Exp.
City State Zip
Company Phone
Architect/
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been approved.
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.
Signature of Appl icant:
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging
? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc.
0 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace
0 05 SF Misc. ? 10 Multi. Add'1. ,0- 15 Deck
WORK TYPE
b 31 New ? 33 Alterations ? 35 Tenant Finish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
N of Stories
Length
Depth
APPROVALS
Planning
Engineering
REQUIRED INSPECTIONS
? Site
? Wallboard
Basement sq, ft.
lst fl. sq. ft.
2nd F1. sq. ft.
Sq. Ft. total
Footprint Sq. ft.
On-site well
On-site sewage
Building
Variance
0 Footing
? Final
? Framing
? Draintile
? Insulation
? Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
vatmc;m: $
.. ..
. ... .,
_ .. , .e ?. ..
? 16 Basement Finish
? 17 Swim Pool
? 18 Comm./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
? 37 Demolish
MWCC System
City Water
PRU Required
Booster Pump
Fire Sprinkler
Census Code ?
SAC Code o/
Census Bldg i
Census Unit ?
Assessments
SAC %
SAC Units
' LOT SIJRVEYS COMPANY, INC• p BONO. NO. ?qU??
SCAIE 1"_ 20'
LANQ BURYEYORS , 0- OENOTES IRON
MARVIN GEDRGE BUILDERS
? REGISTERED UNDER LAWS OE STA1'E OF MINNE80TA
Q Denotes Wood flub Set 7601 • 73cd Avenue North 660-3093
Far Eccavation Only Job N 88-53 .
----?- Denotes Surface Drainage rtinneapolie, Mlnneeota 66426 Address:
Denotes Proposed Ele,vation 3A62 Princeton Circle
aooo Denotes P-cisting Jtievation
Type of Building - Split level
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Signed
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7'op of Block Garage Floor
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Lot 9, Block 1, LEXINGfON SQUARE ''.
Tlia only s"emenls shown ars trom Dlate ol rscoN or Inlon.ialloi pmvlded by
cllenl.
- Ihol lh:s le a Irue and correct repreeenlatlan of s eurvey ol lhs
t sibove dencrlbed IuM and Ihe locatlon ol NI buildlnpe and vle-
its, II any, lrom a on sald Isnd.
Is 27th aqof MaY 19 88 .-
?e.v. ,vne. 7, I °J88
L_/
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Lowest Most Floor
89 .7
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APFLICATION fOR PERMIT
SEWER AND/OR WATER CONNECTION
dtV oF eagara
(PLEASE P INT
i) PxoPSaTr aonREss: 38 ?9 ?Ca'g'z<-
PRESENT 7ANING/PROPOSID DSE:
Q CONA432CIAL/RETAIL/OFFICE
Q INDC'STRIAL
? INSTITf]TIONAL/GOVERPA7ENT
L?GAL DESCIt2PTI0N: . . g 1.
(Lot Block Sub ivision or Tax Parcel ID ?
IF EXISTING STRC'CTURE, DATE OF ORZGINAL BUILDING PERMIT ISSDANCE:
''? 'R-1 SINGLE FAMILY
? NOTE:^ PAYTENf OF FEE AT TIME OF x x:
.
; rsrrscr,xIoN noes Nar cau- ;
? s•rizvrs nrnxvML or rr.annT. ;
; iNSe¢Maa oF sE.m: arn/ox waTm ;.
t INSTALI.ATIIXNS WIId, NpT gE „CEUJLID ?
t IR7PSL PIIIMIT HAS B@7 APPftOVED. ?*.
tSff#i#kf4tff#k1ii#ttitYA!{'MfifkRffflff*
Nbnt Year
r_-_-] R-2 DUPLEX (3wo L'nits)
Q R-3 TOWNHOC?SE (Three + Dnits) ( Lnits)
Q R-4 APARTMENT/CODIDOMINIUM ( . Onits)
2) ? NAME:
ADDRFSS :
CITY, STATE, ZIP: ?nt ?cz ?+J YYf ?,
PHONE: A3 . 3p3 ?
3) NAME :
ADDRESS:
CITY, STATE, ZIP: M4r2le ?>tlcrv? //?`1.r-/
?
PHONE: 41cF3• ;2y71f MASTEE2 LICENSE #/VRpb cJ'
4) ?'" • i?.
tvAME: J?4..t A.s C?J
ADDRESS:
CITY, STATB, ZIP:
PHONE:
For C-ty Dse
Pl r ci nse:
lj Active
Expired
Not recorded
St Ia nf?"itiaT-
5) s?• a'?' • ?? ??e -
Q?NNECTION TO CITY SEWER Ea`bONNECTION TO CITY WATER O QTFIII2
6) zs?--zw
???**?*****?******,**?******?***??******?*******?*************,*??****,t****?**??*******?*,??**?****?
W
* 7iE GOIA COPY OF TfE PII2NffT WILL BE SIINP DZRDC.TLY TO PUBLIC MRKS 1O FACILITATE METII2 PICK-DP. *
*t PLEASE AIJAW 7Wp WpRKING DAYS FUR PROCESSING. SONIFONE FROM TfM CITY WILL CMALT YOU IF TAERE *
* ARE ANY PROSLENli. *
FOR CITY USE ONLY
PERMIT # ISSDED
73
Pd w/Bldg. Permit FEES:
$ $ l? SEWER PERMIT (INCLUDE SURCHARGE)
$ $ WATER PERMIT (INCLDDE SORCHARGE)
$ ? 7`c.rV $ WATER METER/COPPERHORN/OUTSIDE READER
$ $ WATER TAP (INCLL'DE CORPORATION STOP)
$ $ SEWER TAP
$ $ ACCOUNT DEPOSIT - SEWER
$ $ ACCOONT DEPOSIT - WATER
$ $ WAC
$ lo.7u'?U $ SAC
$ $ TRUNK WATER ASSESSMENT
$ $ TRCNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRONK SEWER
$ $ LATERAL BENEFIT/TRUNK WATER
$ $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
$ I?7l - UZ) $ ?/' O O
TOTAL
RECEIPT R ECEIPT
DOES UTILITY CONNEC TION REQUIRE EXCA VATION IN PUBLIC RIGHT OF WAY?
? YES IF YES, THEN A" PERMIT FOR WORK L9ITHIN PUBLIC
Q
NO ROADWAY" MLST BE
DIVISION
LIST ISSUED BY THE ENGINEERING
AS
D
O
. A C
N
ITION.
SOBJECT TO THE FOLL OWING CONDITIONS:
APPROVED BY:
TITLE:
DATE : J?,p
?
;? ..
REQUEST FOH ELECTRIGAL INSPECTION
p? See inatrucuoro for compe6ng Otls torm on back oi YeImv capy.
E,?.q,Q.O Q p X" Below Work Covered by This Request
EB-00001.OT
? 9a,i27V
Adtl Rep. Type of Building AppliancesWired EquipmeMWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Olher (Specify)
Comm./Industrial Fumece
Farm ' Air Contlitioner
Olher (5pectlY) ContreC[ar4 flmmerke:
Compute Inspection Fee Below: Job # 20573
# Otliar Fee # ServiceEntrancesiza Fee Y cirwits/Feeders Fee
Swimming Pool 0 M 200 Amps 0 to 100 Amps
Transformers A6ove 200 _ Amps Above 100 _ Amps
Signs Inepectork uso onM- 707AL
lrtigation Baoms 15.50
Special Inapedion
Alarm/Communicatlon
aher ree .50
I, the Electrical Inspector, hereby
certifythatNeaboveinspectionhas
been made. fl0104" Data
Dai, .
OFFlCE USE ONIY
rnS reaUMA •aa ia momro ft.
-5 5z
i5/sr?'i
/
E 900.08
/
Rapuest Date
'
rJ ?. ?. 8 9 Fue o Ro ' Inspec4o
ireE7 ? Ready Now ?(WIII NoNy I?apxYOr
Yes MNo When Reecly7
I [A licensed contrector ? owner hereby requast inspeclion of above electrical work at:
Job AaOrme (SVeel. Bm or Rame No.)
3862 Princeton Circle Ctty
Ea an
section w. rownsnip News « rn. a?ye r?o. coJny
Dakota
omvw cPiiiI+n
Todd Guenther rnare No.
456-5457
rower suppher nea?s
Ekctriral Contreaor (ComPeM Neme)
Hilite Electric, Inc Conlrectw9 Licanse No.
040445
Melling Addrass (COntreclor w Owner Melting InetelletiNn)
195 Shawnee Rd Ea an MN 55122
Awpnznhiire (qontnicta ' h4eil 1 ? Phone Number
452-8886
rixnedb+h%Tnfe'Ad)A% ?obb MEcrnicm
firqgrNlAray BNI¢ - Nopn S179
182I UnWenlty pve., SC Pwl, MN 55706
anene 1e721 seaaeW
THIS INSPEGTION flEOUEST WILL NOT
BE ACCEPIEO BY THE STATE BOMO
UNLESS PROPER INSPECTION FEE IS
ENCLOSED.
\
1988 BUILDING PERMIT APPLICATION - CZTY OF EAGAN ... , r
16156
SINGLE FAMILY DWELLING3
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR COANER LOTS - CONTRACTOA/HOMEOWNER MUST DESIGNATE WHICIi ADDRESS
IS.DESIRED. NO CHANGES WILL 8E ALLOWED ONCE BUILDING PERMIT IS ISStTED.
MULTIPLE DWELLINGS AENTAL UNITS FOR SALE UNITS # OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COMII+ERCIAL
ZNCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
To Be [Tsed For: Single Family
Valuation: Date, 9/-29/As
Site Address 386 a,-' P* Cj-^!-
Lot 9 Block 1_
Parcel/Sub LExineetnr S q + .? ^-d,:; *i -- -
Owner Marvin George Builders, Inc.
Address P.O. 428
City/Zip Code Princeton, MN 55371
Phone 332-3034
Contractor 5ame as owner
Address
C1ty/Zip Code
Phone
Arch./Engr. Same as own
Address
City/Zip Code
On site sewage_ Occupancy r'? %?'' ?
MWCC system ? Zoning i ., R-1
On site well Actual Const ? V?
City water -? Allowable
I PRV required # of stories
Booster PumP _ Length
Depth _fi0
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr/Assess Permit S?8
Planner Sureharge t-I 3
Couneil Plan Review -z ?5_
Bldg. Off. ?M6/4 SACP City 0
Variance SAC, MWCC ? 5 U
Water Conn SS?
Water Meter
Road Unit 32s
Treatment Pl 201/
Parks
Copies
? TOTAL ?
Phone 11
Y?'(- z?- 1(9G
., ._
9k ? : >2
I,Sx l? % f k- 4-1(
G4r.
Sz? .E- ly ?
1/ 9(, ?' lI ;
')3 5z
!?S r8
?
-----
?'
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LOT SURVEYS COMPANY, INC.
MARVIN GFARGE BUILDERS
4 Denotes Wood Hub Set
For Excavation Only
?- Denotes Surface Drainage
EP Denotes Proposed E1 ati
Denotes Existing evatii
r
Type of Building - Split level
?
I%-5-5p1,t
Frame d grvc,k
A, 3251.
d
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LAND SURVEYOR3
INVOICE N0. 22254
P. B. N0. -195-21
SCALE 1" 20'
0 - DENOTES I RON
REGISTERED UNDEIt LAW9 OF STATE OF MINNEBOTA
7801 • 73rd Avenue North 660-3093
Minneapolfe, Mitu?eeots 65428 Job q 88-53
Address:
on gurnrgarg Qlrrttficatr 3862 Princeton Circle
m
/"a48.3 898.44
30.50
er,?, ?•9
- I SqfA, -
,o
? I Dv1 ve $ N
J
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0
?
, 11;
5Z .Oo
1. o.b
O'O"
Propasec{.
Re s rd en<e.._
130.5 8?'3 I 94.?
?
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B49•4
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RT ? 89?• ?'i
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- 150.00 -
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Top of Block
go%Z ,
Garage Floor
0
Conc. Ga.b
ed ,
?00. 7
?
Lot 9, Block 1, LDCINGTON SQUARE '-i ! : .., .
TM only enertronls ehown us from plels ol rocord cr Infon,ullan provided 6y
cIISM.
Wb Mroby eeAlly that thle Is a true and correcl reproeeMatlon of s survey o11hs
boundulse of tM rbove dexrlbsd Isnd and ths locatlan of all bulldlnps and vle-
IDN encr¢,aclunente. If any. Irom a on eeld Iend.
Surveyedbyuslhie 27th agyof MaY 19 88
Qev, ?1vne -71 1?88
3lsned
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RF?''- F?ED BY
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Lowest Most Floor
89 .7
MINNESOTA STATE BUILDING CODE DIVISION
, EXTERIQR ENVELOPE AVERAGE "U" COMPUTATION
OWNER h&Rq?N GEOI?GE ??IIL?LIL-?
SITE ADDRESS_ shLEA/1 LDT L"fNbTCM.?- Jip. Iff ApAN.
CONTRACTORj&pQSl?GC F?uItDe2S DATE PHONE
Determine workinR square footaAe of each:
1. Total exposed wall area..... I SDq 16 sq. ft. x, ? ? _ ? 6 S S2-$
2. Total roof/ceiling area..... I? 6 8 sq, ft. x,D 2 b ' 5.56
Total exposed wall area a6ove floor =_ ..] l Q,6 "
a. Total wall window area . . . . . . . . . . . . . . . ?ti 5.36?
b. Total door area. . . . . . . . . . . . aQ
c. Total sliding glass door area. . . . . . . . . . . .
d. Total fireplace wall area . . . . . . . . . . . . . .
e. Total wall framing area (average 10%). . . . . . . .
f. Total net wall area above floor. ...... ...
g. Total rim joist area
Total exposed foundation area =
h. Total foundation window area . . . . . . . . . . . . -
i. Total nei foundation area above grade. .......?
Determine "U" value of each wall segment:
a. ?y8, 31e ? xIO„" 34
?. 3
b. .1 O x „U„
c. 4o X „U„
d. = r
e. 134 •?X?-u,, .0 q
f. ?-??a X,.U„??= sa•yg
e ?
" ., . g - 1' 6/. X njjn • ??1 ( ??a?
1
h.
' l l l cl a II?31 r
o
1. l&q A 11Y
D . TOTAI .. . . . . . . . . . . . . . S 7 . b ? S
If i[em li3 is the,same as, or less [han item fll, you have met the intent of SBC 6006(c)2.
Total exposed roof/ceiling area = I 368
j . Total skylight area . . . . . . . . . . . . . . . .
k. To[al roof/ceiling framing area (Average 10%) .... 1 3 b,$
1. Total net insulated roof/ceiling area ....... I 3f, R _
Determine "U" value for each roof/ceiling segment:
j X ilUli_?
k. ? 3?r b X nU- 3.6-
1. 36 x „U„ .oaa = 3v 4. TOTAL . . . . . . . . . . . . . . = 33• ? '
If total of item fl4 is the same as, or less than item /!2, you have met [he intent of •
SBC 6006(c)1.
A1[ernate Building Envelope Design
To utilize the total envelope system method, the values established by the sum of iteme ?
il3 and li4 shall no[ be greater [han the sum of items pl and #2.
1. 166'.sa'2 + z. 3s,s6? - /, 0C?6
3. I5y.67r +a. 33,.? = 188'./7?/
C:CTY (lf" FFlGAN
CASH.TLRr S TERHINAI.. N0: 693
DA7E . 04?02/99 1' ]: MI'=: 09:1 sS : 4Cl
ID .
NAMF; TODU GUENTI-IEft
320 9001. 3862 PIiTNCC70N 60.00
2155 9001. 3862 I''RTNCF'i()N 0.50
1
14
'fotal. RECeipt Ainoun1;: 60.50
CR 1.0`.3P i.8
LISI=R :I:Dc NANCY
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
q-0 CITY OF EAGAN
3830 PA.OT KNOB RD - 55122
651-681-4675
New Construdion Reauirements Remodel/Repair Reauirements ? a 9?
? 3 registered site surveys showing sq. k. aflot, sq. 1t. ofhouse
and aN roofed areas (20% maximum lot coveraae allowed)
? 2 copies of plans (show beam 8 window sizes; poured fnd. design; etc.)
? 1 set of energy calculations
? 3 copies of tree preservation pla if lot platted after 717793
DATE: Z?9 9
DESCRIPTION OF WORK: F1 ?1 1 5k 1?? q
STREET ADDRESS:
r1
? 2 copies of plan
? 1 set of energy calculations for heatetl additions
? 7 site survey for exterior atlditions 8 decks
CONSTRUCTION COST:
3Rd L e..v e__ I 1
rclet,
LOT: ? BLOCK: I_ SUBD./P.I.D. #: 1 M.
Narne: GueAie-y- 'rodrQ.
PROPERTY 1.xst Frsi
oNN'nrEx ?
Street ,9ddress:? a PV I YlC efm
CONTRACTOR
ARCHITECT/
ENGINEER
?
vl? ?'R,ttiCc/L??
Phone C)
Cl r L„e.L
ca> G Q4& rl C?.v? s? ??
a -- --- ----- stace: __? _ ziP:
Compan}:_ ? __ Phone #:
Street Address: Liccnse #
Cit}
Name: Regisvation #:
Street
City
Stale:
Sewer 8 water licensed plumber (required for new construetion oniv):
Penalty applies when address change and lot change is requested once permit is issued.
Zip:
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required
State: Zip:
Phone N:
OFFICE USE dNLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
13 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea)
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments 19 Lower Level ? 24 Storm Damage
O 05 3-plex ? 10 8-plex ? 15 Lodging 20 Pool ? 25 Miscellaneous
WORK TYPE
I
&'?
31 New
, ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Sidi ng/Soffits/Fascia
? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Win dows/Doors
? 33 Alteration ? 37 Demolish Bldg. ? 41 Wood Stove O 45 Fire Repair
? 34 Repair ? 38 Demolish (interior) ? 42 Reroof
GENERAL INFORMATION
Const. (Actual) Basement sq. ft . Census Code & 3
(Allowable) Main level sq. ft . SAC Code
UBC Occupancy sq. ft . No. of Units /
Zoning sq. ft . No. of Bldgs /
# of Stories sq. ft . MC/ES System
Length sq. ft . City Water
Width Footprint sq. ft . Booster Pump
PRV
Fire Sprinklered
APPROVALS
Planning Building Engineering Variance
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: $
,
SAC Units
cxrY nE En.r..,nr,
(7r-1f:,;.l:[FTrg 36 1'I:TtAi?:NAl. N(:l; 'lf:l.
?Fi7u.;: 08125/99 f3:tiF'r, 1306a46
zv N
't•FATfI_;: N:fa',3TL.E RC10FtNt", i< ;'E:MOUGI_:t'N(;
320 9001 3862 1='FiTi1.Cf:TOf1 125,.25
205 91701 3862 r;Fi7"idCIETON 3„00
.
ToF,a.I. F..S::rt,Apr Aiiit:iu'rtt;; :I.i'.Li,:"c.}`i
t,4'i a. J513'ri J.
l!5EI;: ]:DE JFlN
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)?
CI1'Y OF EAGAN '
3830 PILOT KNOB RD - 55122
J 651-681-4675
New Construction Reauirements
? 3 registered sile surveys showing sq. fG o//of, sq. ft of house
and a!I roofed areas (20°h meximum lot coveraae allowed)
? 2 copies oT plans (show beam 8 window sizes; poured fnd. design; etc.)
? t set ot energy calculations
? 3 copies oT tree preservation plan if lot platted aker 7!1l93
DATE _ eg`- 2-5 '- 2 7
DESCRIPTION OF WORK: o
Phone #:
Registranon k: _
State: Zip:
RemodeVReoair Reauirements
? 2 copies of plan
? 1 set of energy qlculations for heated additions
? 1 s8e survey tor e#erior adAitions 8 decks
STREET A DRESS: ? a b C) .?G Y f 'LOT: BLOCK: ? SUBD./P.I.D.#: 4-?IL.[`M JUwUZ1(,
Namr. 4?10"O'Y1 Phone N: T Sta '' ,S y,!;-:z_
PROPERTY I?t
OWNER ?p
StreetAddresz , ? ??2-
City State: Zip:
Company:A E7 S-;?'/ 'L Phone li: -2 c ?
CONTRAC'1'OR ?-/- ?^
Street Address: 75 p? ?? ???y J? license N.??+??Fxp.
City //! /i /l S[aze: _/l ll" / Zip: > 5 LI I O
ARCHITECT/
ENGINEER ComF
Nazne
Stree[
City
Sewer 8 water licensed plumber (reauired for new construction onlvl:
Penalry appiies when address change and Iot change is requested once permit is issued.
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable
State of Minnesota Statutes and City of Eagan Ordinances. ?
C
Signature of Applicant: ?y
OFFICE USE ONLY
Certificafes of Survey Received _ Yes _ No
Tree Preservation Pian Received _ Yes _ No
COST: 57
_ Not Requiredi AUG
? L
???-- !
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Firepiace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex O 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea.)
O 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-plex 0 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Misceilaneous
WORK TYPE
? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
? 32 Addition ? 36 Move Bldg. D 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bldg. ? 41 Wood Stove ? 45 Fire Repair
O 34 Repcir i] 38 uemcii,ii ?ir;teri3r) L7 •42 ?:2rxf
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of 5tories
Length
W idth
APPROVALS
Planning
Basement sq. ft.
Main levei sq. ft.
sq.ft.
sq.ft.
sq.ft.
sq. ft.
Footprint sq. ft.
Building
Engineering
Census Code
SAC Code
No. of Units
No. of Bidgs
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Variance
Permit Fee
Surcharge
Plan Review
License
MC/ES 3AC:
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Totat:
SAC Units
Valuation:
,
°k SAC
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 3862 Princeton Cir
Lot: 9 Block: 1 Addition: Lexington Square
PID:10- 45075- 090 -01
Use:
Description:
Sub Type:
Work Type:
Description:
Census Code:
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Pella Windows & Doors Turnkey Sales
15300 25th Ave N #100
Plymouth MN 55447
(763) 745 -1400
e- Windows/Doors
Windows/Doors-New/Replacement
House
434-
Applicant/Permitee: Signature
PERMIT
City of Eaan
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.
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Construction Type:
Occupancy:
$88.50
$1.50
Total: $90.00
- Applicant -
Owner:
Todd F Guenther
3862 Princeton Cir
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
0801
9001
Issued By: Signature
Building
EA089941
06/29/2009
ePermit
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA108576
Date Issued:12/18/2012
Permit Category:ePermit
Site Address: 3862 Princeton Cir
Lot:9 Block: 1 Addition: Lexington Square
PID:10-45075-01-090
Use:
Description:
Sub Type:e - Water Softener
Work Type:Replace
Description:Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Kris Oien
3670 Dodd Rd
Eagan, mn 55123
651-365-1340
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Todd F Guenther
3862 Princeton Cir
Eagan MN 55123
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA108843
Date Issued:01/16/2013
Permit Category:ePermit
Site Address: 3862 Princeton Cir
Lot:9 Block: 1 Addition: Lexington Square
PID:10-45075-01-090
Use:
Description:
Sub Type:e - Water Heater
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Kris Oien
3670 Dodd Rd
Eagan, mn 55123
651-365-1340
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Todd F Guenther
3862 Princeton Cir
Eagan MN 55123
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA111302
Date Issued:06/18/2013
Permit Category:ePermit
Site Address: 3862 Princeton Cir
Lot:9 Block: 1 Addition: Lexington Square
PID:10-45075-01-090
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, 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 -
Todd F Guenther
3862 Princeton Cir
Eagan MN 55123
(651) 456-0679
Pella Northland
15300 25th Ave N #100
Plymouth MN 55447
(763) 355-1300
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
J~~ For Office Use
City of Ea1~~ I Permit
I Permit Fee: U I
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 1 I
Fax: (651) 675-5694 1 Staff: 1
I I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: i; i Site Address: ,fo /VG. DIV c' 1A C Unit
k Name: *rO A p C?.!l tC rp4l~ Phone: s__/ "-IM75
Resident/
Owner Address/City/Zip:. AR)1VCfT01_1 C-a-,, Ea k{ MAI
Applicant is: Owner X Contractor
Type of Work Description of work:
Construction Cost: ~33 Multi-Family Building: (Yes No
Company-AV V#P'C'~ )9 V0*)QJA SW Pe`f_ hVC Contact: fAl i
Contractor Address: 1134 1 IiIII- *'t t,4,v AVW a,00 city: C 004/ &OP1-05
State: &A/ Zip: J~~y7 Phone:"
License Lead Certificate JVhT
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
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.gogherstateonecall.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 permit issuance.
X -r1 AA V" S x
App nt ed Name A li ant's Signatur
Page 1 of 3
Date:
r
CityofEaaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use �
Permit #: 1 I j fq0A
Permit Fee: (00, °°
Date Received: 1/ /It
Staff:
2013 RESIDENTIAL P UMBING PERMIT APPLICATION
PI ILI Site Address:3(g6rrIACefpni1
ca.
Tenant: Suite #:
Resident/Owner.
Contractor
Type of Work
Name: )d d_ Ey-Ikea-weePhone: Cb — -1, C(-0 ` q
Address /�Cirty /Zip:
!v
to P 1Aic-e-f ✓t C l�c e <, � 1 s (.5
Name: �O License #:
Address: City:
State: Zip: Phone:
Contact:
Email:
New /` Replacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W.
Description of work:
RESIDENTIAL
Water Heater
Lawn Irrigation ( RPZ / _ PVB)
Septic System
New
Abandonment
Permit Type
Water Softener
Add Plumbing Fixtures (X Main / _ Lower Level)
Water Turnaround
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$60.00 Lawn Irrigation (includes $5.00 minimum State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
*Water Turnaround (add $200.00 if a 5/8" meter is required)
$115.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
TOTAL FEES $
CALL BEFORE YOU DIG. CaII Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq
1 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.
Applicant's Printed Name
Appli' ant's Signature
FOR OFFICE USE
Required Inspections:
Meter Related Items: Meter; Size
Radio -Read
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA179384
Date Issued:10/03/2022
Permit Category:ePermit
Site Address: 3862 Princeton Cir
Lot:9 Block: 1 Addition: Lexington Square
PID:10-45075-01-090
Use:
Description:
Sub Type:Water Heater
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
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 -
Todd F & Janice M Guenther
3862 Princeton Cir
Saint Paul MN 55123--152
Champion Plumbing Llc
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature