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3477 St Charles Pl:ACTi7ATE VAR ;-PLAN REVIRM) 6/23/87 M •A'tABQ^WI 688-6198(H) CITY OF EAGAN N2 457-3035(W) 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Recei pt 13019 $64,000 SP DWG/GAR 6 6 D F"CE1.BER 29 To be used for Est Value Date 19 Site Address 3477 ST CHARLES PL Erect C} Occupancy Rs Lot 1 Block 2 Sec/Sub. HAMPTON HT5 Remodel ? Zoning PD Parcel No Repair ? Type of Const. 1.1n . Addition ? No. Stories ame As a f ROUTI ER ?.ID,rJEST HOMES Move ? 40 Length W 3908 SIBLEY MEM HWY Demolish 1:1 Depth 4-7 3 Address r r?Gr'" 'a 454-0433 Int.lmpr. El Sq. Ft City Phone Install ? o Name SA; ;Z Approvals i 0< Address Assessment ~ City Phone Water & Sew. I ¢ Police F z Name Fire a Address Eng. W a City Phone Planner Council I hereby acknowledge that I have read this application and statethatthe i f ?T Bldg- Off. JIL2 1`'? ? n ormation is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. APC Var. Date Signature of Permittee A Building Permit is issued to: FRONTIER MIDWEST HOMES all work shall be done in accordance with all applicable State of Minnesota Sta B ildin nrf?^?si Permit v ' .& .0 • to v Surcharge 32.00 Plan 162.50 -57570 0 SAC Water Conn. U Water Meter- 7j-.-50 Road Unit- Z?0 `fr. PI. Copies Total ' 104. 0 on the express condition that and City of Eagan Ordinances. u to Permit No. Permit Holder Date Telephone # Plumbing HXA.C. C L ": 7 Electric Softener Inspection Date Insp. Comments Footings I Footings 11 Foundation Framing Roofing Rough Plbg. - f,?_ r Rough Htg. Insul. a Fireplace Final Htg. Final Plbg. ?Z Bldg. Final Cert. Occ. Deck Fig. Deck Frmg. Well Pr. Disp. PERMIT # ' f PLUMBING PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: CONTRACT PRICE: PHONE: 454-8100 Site Address " => f L_ BLDG. TYPE WORK DESCRIPTION LotBlock o2 Sec/Sub -; ra r Res. New Name UL-1245=1- ni N L Mult Add-on - 31 Address i "` Comm. Repair c City L 46 4 Phone Other Name / (lam h E 5 NO. FIXTURES TOTAL ;, ?, Water Closet - $3 00 c Address ` h r n] FI aU . =Bath Tubs - $3.00 - > '00 - 0 City /_ A G A Al Phone Lavatory - $3.00 3 00 7 Shower - $3.00 61 = Kitchen Sink - $3.00 FEES COMM/IND FEE - 1% OF CONTRACT FEE =Urinal/Bidet - $3.00 L' Laundry Tray - 00 - MINIMUM - RESIDENTIAL FEE -$10.00 1. Floor Drains - MINIMUM - COMM/IND FEE - 20.00 ? O =Water Heater - $1.50 STATE SURCHARGE PER PERMIT - •50 Whirlpool - $3.00 (ADD $.50 S/C IF PERMIT PRICE GOES -Gas Piping Outlets - $1.50 BEYOND $1,000.00) Softener - $5.00 Well - $10 00 I l'7L ' ' . Private Disp. - $10.00 = ? - L c . c ) L E Rough Openings - $1.50 . SIGNATURE OF PERMtTTEE FEE: J J STATE S/C: FOR: CITY OF EAGAN GRAND TOTAL - ' PERMIT # MECHANICAL PERMIT RECEIPT # CITY OF EAGAN • 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: CONTRACT PRICE -')1S00. 00 PHONE 454-8100 Site Address - Clu 3 r:i =' TYPE WORK DESCRIPTION BLDG . Lot Block - Sec/Sub New R :., Name r-,': i es. tt Add-on M m ? i? • c Address j' u Repair Comm C City ?aaati Phone . Oth er Name re ?: FEES L c Address ° - ' " ` • RES. HVAC 0-100 M BTU - $24.00 p City Phone 454-043-j ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 ADDITIONAL 6 M BTU - 6.00 TYPE OF WORK GAS OUTLETS - 1.50 EA. Forced Air OUii M BTU _'4. Ui. COMM/IND FEE - 1% OF CONTRACT FEE Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00 Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00 Air Cond. M BTU STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES Vent CFM BEYOND $1,000.00) - Gas Piping Outlets # ' Other FEE: , ,.,. SIGNATURE OF PERMITTEE - S/C: TOTAL FOR: CITY OF EAGAN (Irdifiratt of (Orrupaury (Eitp of (lagan 18rvarb"M of ino Jngtrttm This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following.- Use Chwifiauon ?F DWG/GAP. I n i Bids. Rrmit No. i PaaY Type Zoning Detrict Type Cams. Owner of Budding F fi.: ` tt `11 r Address 3 SIB ¢ 1*N 9 Buddin.Wre? Locality ?. ? H ?` ?I1?7 Date: Bu&kng Ol6cisl POST IN A CONSPICUOUS PLACE r CASH RECEIPT CITY OF PAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 r ' RECEIVCO _ PROM AMOUNT $ I & DOLLARS loo ? CASH ? CHECK BY White-Payers Copy Yellow-Posting Copy Pink-File Copy Thank You BLDG. PERMIT NO. 01-32? 'Bldg: Fermi 01-3422 Plan Check 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 CITY OF PAGAN 3630 Pilot"Knob Road 8 316 P.O. Box 21199 PERMIT NO.: _ Eagan, MN 5Pt1121 DATE: Zoning: No. of Units: Owner. Frontier Midwest Address: 3477 Site Addea? St. Car esa , .: Hampton Height s Plumber: Star P-um ing 9 . 00 Meter No.: 3 7l6 4.6-6 93efote 62. P U,. U?) P ? Cr?e? Size: 9R-? T€l VEHO y?a eposit: 5.00Pd Reader No.: d C?igC`?F T t? • 11Qnd I agree to complRh the City urc arge: • 50pd / Misc. Charges: Total: Date of Insp.: OF EAGAN WATER SERVICE PERMIT Pilot Knob Road 11 316 Box 21199 PERMIT NO.: in, MN 55121 DATE: --------- - P1 No. of Units: 1 i sia toll HetgilLB - aresu r'• 11 P '' ite Addess: 3w ? 7 Chagee P p lumber. Star ?l a b in ---?- Oft Peter No: Connection Charge: 500, Account Deposit: 15 ize: 0 X51 I4 t30?d leader No.: Permit Fee: SOod agree to comply with the City of Eagan surcharge: 156 CD*+A T-F' - >rdinances. Misc. Charges: Total: 63.50pd meter Date Paid: I Date of Insp.: CITY OF EAGAN SEWER SERVI(;"ERMIT i 3830 Pilot Knob Road 1.:-31- PERMIT NO.: P.O. Box 21199 DATE: Eagan, MN 55f1 No. of Units: • Zoning: .. 475.OOPd 1 agree to comply with the City of Eagan Ordinances. gy Date of Insp.: Insp.: i - WATER SERVICE PERMIT Connection Charge: Account Deposit: Permit Fee: Surcharge: Misc. Charges: Total: ? ??°?s B 41637g,64 ReR;?uTest,D•ate Q? 1 / G Fire No. Rbug0-in Inspection tl; Ready Now Notify l V `I No Pr-Yes I licensed contractor ?] owner hereby request inspection of above electrical work at: Jab Adbrese ISeeel. Box or Route No.) 3 ? 7 so, 7- c ,9 w/-e s Pl City .111i Setlmn No. rName or No. Range No. Countty? y/ t, ^? F/ * k O / ?j Occupam IPRINTI Phone No. Gr 1 At 13 oT? Power Supplier D *-Pv b-?rcf Address ,..N 7`1 E vactor ICOmpany Name) iracmr5 License No. Mailing Address ICo mm or Owner Making Installation) Z' s e. L) Authors azure I'?CO//?m//yye//ef??'?wwner king Installaton) Phone Number /mss -4- Y / MINNEBO TATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs- idwey Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave.. St. Paul. MN 55100 UNLESS PROPER INSPECTION FEE IS Phone 16121642-0800 ENCLOSED. REQUEST FOR.ELECTRICAL INSPECTION qEB-000011 008 // 0-107 D See instructions for completing this torn on back of yellow copy ,? 91S 3'91?? 6 \r 14 1 637 X!' Below Work Covered by This Request ys.?•< ew Add Rep. Type of Building Appliances Wired Equipment Wired ' nome Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner Omer (specify) Contractor marks' ./? U ?'1 r P-V--r T'a '1 00 Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps Above 100 Amps Signs inspector's Use Only. TOTAL\ ti a Irrigation Booms Special Inspection V Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rough in Date certify that the above inspection has been made. Final Dal OFFICE USE ONLY This request void 18 months from Ths request vo id .],8imonths fr o O1 1 1n 9'? ? Regpe Dat 07 Fire No. Ra upp-in Inspectijn e?qunf d? ?Ready Now ,II Nolifv Inspec- ?J.'Tes ?NO for When Reatlv 5J.6ieensed Electrical Contractor I hereby request inspection of above ? Owner electrical work installed at: Stre A eSsss, Box or Rou N 34 #7 1 City ((^^11 / r - Section No. To ns vp ame or No. Range No. County Oc nt INT) o Nf? ?wEs? Phone No. S9 0gl a3 Powe plier? ?/ Address Electrical Contractor (Company Name) Contract is License No. i king Instailetion) I 4q40 NOCK LANE Authorized.S ignazgra.l.?a(igt?r.QvT AFalp_rrg Yfl[ffilla,inn, Phone Number MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room N-191 BE ACCEPTED By THE STATE BOARD UNLESS PROPER INSPECTION FEE IS 1821 Unia,1 Ave.. St. Paul. MN 56104 Phone 15112121562-MOO ENCLOSED. ER-aoool-os / REQUEST FOR ELECTRICAL INSPECTION JI% ,See instructions for completing this corm on beck o1 Yellow copy. r _ -o r n n 1 "X" Below Work Covered by This Request FlevrlAfd I Rep•I Type of Building I Appliances. Wired I Equipment Wired Water oader g Fee Service Entrance Size # Fee Feeders/Subfeeders a Fee Circuits 0 to 200 Amps 0to 30 AMPS te 32 Amos Above 200 Amps 31 to 100 Amps 31 to 100 Amos Swimming Pool Above 100_Am s Above 100-Amps Transformers Irrigation Booms Partial,"Other Fee Signs I I [Special inspection ?"?u"-"' Ele?el 7 Inthe spector, hereby j j: '_y I 06" that the above Final ' a /trpection has been void 16 5 0 2c6-i? RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construction Reautremerds • 3 registered site surveys showing sq. fl. of lot, sq. ft. of (rouse; and 89 roofed areas (20% maxirnum lot coverage allowed) 2 copies of plan showing beam & window sizes; poured found design, etc.) • l set of Energy Calculations • 3 copies of Tree Preservation Plan 0 lot platted after 7/1 /93 • Rim Joist Deta80ptions selection sheet (bklgs with 3 or less units) / Ir R #113'-S • 2 copies of plan n Q • 1 set of Energy Calculations for healed additions J 1 site survey for ealerlor additions & decks • Indicate a home served by septic system for additions a ?- L/4-r Q_Q DATE S tS-Oa 1, VALUATION ?`V800 SITE ADDRESS S cf l ? 54. Cho u-i ?I, MULTI-FAMILY BLDG _ Y N TYPE OF WORK ?c t-04 FIREPLACE(S) 1Y 0 _ 1 _ 2 APPLICANT A VP_tUwl5 OF i-iiiiE f=AVAicY _7:nC. STREET ADDRESS 11091 /oot' Aar N CITY &P[C G?ue' STATE AU ZIP 55-S 5; TELEPHONE # ?0. W-?- 3d@IY CELL PHONE # 64 4 0.6096 FAX # '763- y9." `1S8a PROPERTYOWNER G;I 14raboJ1'r TELEPHONE#GV1- GAS- 6199 COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 _ (J submission type) • Residential Ventilation Category 1 Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: ,_ Plumbing system includes: Mechanical Contractor: _ Mechanical system includes: Sewer/Water Contractor: Water Softener _ Water Heater _ No. of Baths Air Conditioning Heat Recovery System Phone # Fee: $70.00 Phone # I hereby acknowledge that I have read this applicatlon, state that the information Is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan' Or?dinanc/e?s.? I Signature of Appl??t 1 `eY'n L 1'?1 WtiMaF Tke rOi" XhC 1 OFFICE USE ONLY Phone # Lawn Sprinkler I No. of R.I. Baths Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _ Updated 4102 OFFICE USE ONLY ? 01 Foundation ? 02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex ? 05 03-plex ? 06 04-plex ? 07 05-plex ? 13 16-plex ? 08 06-plex ? 16 Fireplace ? 09 07-plex ? 17 Garage ? 10 08-plex ? 18 Deck ? 11 10-plex ? 19 Lower Level ? 12 12-plex Plbg_Y or _ N ? 20 Pool ? 21 Porch (3-sea.) ? 22 Porch/Addn. (4-sea.) ? 23 Porch (screened) ? 24 Storm Damage ? 25 Miscellaneous ? 30 Accessory Bldg ? 31 Ext. Aft - Multi ? 33 Ext. Aft - SF ? 36 Mufti ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED I NSPECTIONS - Footings (new bldg) - Final/C.O. Footings (deck) _ Final/No C.O. - Footings (addition) _ Plumbing _ Foundation _ 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 _ Retaining 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 Total Building Inspector *? fk:k'k?k;K ??i#?c:$9F%?*:k"N.?k?t7k*iKx:Y?KiXxtY,i7K'k%•.y:%? f,:$(':?C%t CITY OF FACAN CAMAR: JS YERPTNAL NQ -89 ?i - 1102 OR i . . ..:.._I.7% 1M,1 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 113 . -I S ~ 'l 3830 PILOT KNOB RD - 55122 V 651-681.4675 10- 1 ?' New Construction Reaulrements Remodel/ReDalr Reaulrements D 3 registered site surveys showing sq. ff. of lot, sq. ff. of house 2 copies of plan and g)! roofed areas (2017, maximum lot coverage allowed) 1 set of energy calculations for heated additions ? 2 copies of plans (show beam L window sizes; poured Md. desigrr, etc.) 1 site survey for exterior additions b decks D 1 set of energy calculations D 3 copies of tree preservation plan R lot platted after 7/l/93 DATE: /0 - 12 -51 CONSTRUCTION COST: DESCRIPTION OF WORK: RA STREET ADDRESS: ?7 77 LOT: BLOCK: _ Z SUBD./P.I.D. #: O L ?? 65/-6S8-b/q$ lta Name: t Phone#: PROPERTY Lost 61 F-w OWNER ? Street Address: 'J7 L '/7 &' dcl? a&-- City (o Girt- State: _ Zip: Company: 10141 tW)A HUSCU INC. Phone #: -. 9j5- 9669 1 SMETANA DRIVE (area code) CONTRACTOR MINNETDNKAMR 5W ???Od se # 02/7 Ex Li Street Address: p. cen City State: Zip: ARCHITECT/ ENGINEER Company: Name: Telephone #: area code ( ) Street Address: Registration #: City State: Zip: Sewer b water licensed plumber (required for new construction only): tlalty applies when address change and lot change is requested once permit Is Issued. hereby acknowledge that I have read this application, state that the Informal on h covect, and agree to comply with all applicabi State of Minnesota Statutes and City of Eagan Ordinances. ??77 Signature of Appitcant: c ` c-? --K -- OFFICE USE ONLY RECEIVED Certificates of Survey Received Yes No OCT 14 1999 Tree Preservation Plan Received Yes No Not Required BY:_----- OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 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) ? 04 2-plex ? 09 7-plex ? 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 Bldg. ? 40 Gas Insert ? 44 Windows/Doors ? 33 Alteration ? 37 Demolish Bldg." ? 41 Wood Stove ? 45 Fire Repair ? 34 Repair ? 38 Demolish (Interior) U 42 Reroof " Give FICA handout to applicant for demolition permit GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Width APPROVALS Planning Permit Fee Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit SAN Permit S/W Surcharge Treatment Pl. Park Ded. Trails Ded. Other Copies Total: Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Building L? ,-;L "S C? 113.-7 '=T- Census Code SAC Code No. of Units No. of Bldgs MC/ES System City Water Booster Pump PRV s:t2 ,•;t pi, .j;-?„- ;fire Sprinklered Engineering Variance Valuation: $ SAC Units % SAC 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN p, 3830PILOT 55122 / 631-681-4675- New Construction Reaulremenls di*-J ?5a ?)O faf ? ,r. , U p Remodel/Repair Reouirert in T - U o D 3 registered site surveys stowing sq. ft. of lot, sq. fl. of house ? 2 copies of plan and gS roofed areas (21% maximum lot coveraos allowedl 1 set of energy calculations for treated additions 2 copies of plans (show beam & window sizes; poured fnd. design: etc.) I site survey for exterior additions & decks I set of energy calculations 3 copies of tree preservation plan H lot plotted after 7/1193 DATE: CONSTRUCTION COST: w? DESCRIPTION OF WORK: - - STREET ADDRESS: 3y 11 LOT: BLOCK: 2- SUED./P.I.D. ff: Name: R A N? 5T, Q5 a-L<-Z?) Phone fl: bs l- b?g . blgQ PROPERTY Lost First OWNER 1 1- , , i \ 0? _ Street city (ZN(9% C) State: Company. e? o s lV t} O (1 S, G Phone #: 9C?)b ?yl ) ?? (area code)) CONTRACTOR Street Address '?(,A 2 hx.J\ 1 License TI J Exp. -' 3 k O 1 city rn zip: < ARCHITECT/ ENGINEER Telephone C ( Name: Street Address: Regbiratlon II: City State: Sewerlwater licensed plumber (If Installing sewer/water): Phone M Zip: I hereby acknowledge that I have read this application, state that the inforrnalion Is correct, and ag omply with all applicable Scat of Minnesota Statutes and City of Eagan Ordinances. Signature of AppUcant: OFFICE USE ONLY Certificates of Survey Received Yes No l%" 1 4 Tree Preservation Plan Received Yes No Not Required OFFICE USE ONLY BUILDING PERMIT SUBTYPES ? 01 Foundation ? 07 05-plex ? 13 18-plex ? 21 Porch (3-sea.) ? 02 SF Dwelling ? 08 06-plex ? 17 Garage ? 22 Porch/Adds. (4-sea.) ? 03 01 of_ plex ? 09 07-plex ? 18 Deck ? 23 Porch (screened) ? 04 02-plex ? 10 08-plex ? 19 Lower Level ? 24 Storm Damage ? 05 03-plex ? 11 10-plex Plbg _Yor_N ? 25 Miscellaneous ? 06 04-plex ? 12 12-plex ? 20 Pool ? 30 Accessory Bldg. WORK TYPE ? 31 New ? 36 Move Bldg. ? 43 Reroof ? 32 Addition ? 37 Demolish (Bldg)' ? 44 Siding ? 33 Alteration ? 38 Demolish (interior) ? 45 Fire Repair ? 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors Give PCA handout to applicant for demolition permit GENERAL INFORMATION SAC Code No. of Units No. of Buildings Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Width Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. MISCELLANEOUS INSPECTIONS ? Stucco/Stone APPROVALS Planning Building Permit Fee I D S- D- Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit SMI Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: t a g D-177- Engineering Valuation: sq. ft. sq. ft. Footprint sq. ft. Census Code MC/ES System City Water Booster Pump PRV Fire Sprinklered Variance ? 31 Ext. Alt - Multi ? 33 Ext. Aft - SF ? 36 Multi SAC Units % SAC CITY OF EAGAN N 13019 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT ' Race iptR $64,000 SF DWG/GAR DECEMBER 29 86 To be used for Est Value Date tg Site Address 3477 ST CHARLES PL Erect IN Occupancy R3 Lot 1 Block 2 Sec/Sub. HAMPTON HTS Remodel ? Zoning PEI Repair Parcel No ? Type of Const. Ign . Addition ? No. Stories w Move Name FRONTIER MIDWEST HOMES ? 40 Length 3908 SIBLEY MEM HWY Demolish Address ? ? Depth 47 F S a Int Impr. Ciry EAGAN Phone 454-0433 Install ? q. t W Name SAME e Address '• City Phone Ws F m Name Address z a City Phone I hereby acknowledge that I have read this application and state that the information is correct and agree to comply t th all applicable State of Minnesota Statutes and Cry aO f nces. Signature of Permittee Assessment Water & Sew. Police Fire Eng. Planner- Bldg. Permit v • "" Surcharge 32.00 Plan Review 162.50 SAC 575.00 Water Conn. 500.00 Water Meter 63.50 Road Unit 290.00 6Tr. PI. 156.00 Var. Date I Copies Total 2 , 10 4 .0 0 A Building Permit is issued to: FRONTIER MIDWEST HOMES all work shall be done in accordance with all aoDlicableZgate of Minnes-oiB_Sb on the express condition that and City of Eagan Ordinances. Building PELLE'AIER ti 1986 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS $2,000 LANDSCAPE BOND SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY 1 SET OF ENERGY CALCULATIONS C.A00 O To Be Used For: SINGLE FAMILY Valuation: , Date: July 14, 1986 Site Address 3477 OFFICE USE ONLY Lot 1 Block 2 Parcel/Sub HAMPTON HEIGHTS Owner Pelletier, Richard & Patricia Address 655 Dardanelle Lane City/Zip Code Shakopee, Mn. 55379 Phone 888-9486 Contractor FRONTIER MIDWEST HOMES Address 3908 Sibley Mem. Hwy, City/Zip Code Eagan, Mn. 55122 Phone 454f433 Arch./ Addres City/2 Phone Erect kp Occupancy Remodel Zoning Repair Type of Const - Addition # of Stories Move Length Demolish Depth Int.Impr. Sq Ft Install APPROVALS FEES Assessments Permit 32.5 Water/Sewer Surcharge IR. Police Plan Review it.? • 50 Fire SAC $75' Engr Water Conn +500 Planner Water Meter CA-1 Council Road Unit I1° Bldg Oft?. Treatment P1 15b APC Parks Variance Copies TOTAL NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. SIGMA ( 5c 1,E: (4o x i 8' 61 Zo 1 I \ o?yo ?p P12A.1 CIE 1 EASM I X g44.ti L07 L ? l l buX f CERTIFICATE FOR: I I _ZO `0- 1A0 o ? ?' , ?? 9y2p '?. 0 Ov ., x HomEBU4nEAS LAND nE VELOIf AS IL HEAL TORS i COMPANIES Q- ?J) 1 ?I IN I tbo I ?. yq.: ?x8 = r ho ..?1? wA?'Oy? ro ,Y gIe 131. OI° 4 W..: ' '^ \\"uottni Euumrrnrrrrr WAYNED. CORDES -14675- L rrr® •S 0 Denotes iron Monument nrrrnnni m Denotes Wood Hub Set > e"54 Denotes Existing Spot Elevation (AN'^'•" I Denotes Proposed Spot Elevation ?,?--Denotes Drainage Direction -PA7ERTY OE9CRIPTIW- LOT L , BLLC'K 2 HAMPTON HEIGHTS according to the recorded plat thereof, Dakota County, Minnesota U AVEYI NG S SERVICES 3908 Sibley Memorial Highway Eagan, Minnesota 55122 Phone: (612) 452-3077 MODEL: STAFFOAO \ 10 25 PROPOSED GARAGE FLOOR ELEVATION= 84(g,0 PROPOSED Top of Block ELEVATION- 046.3 PROPOSED BASEMENT FLOOR ELEVATION- 843•3 NOTE: Verify all floor heights with Final House Plans. IFI I hereby certify that this survey, plan or report was prepared by me or viler my direct supervislal aryl that I am a duly Registered Lard Surveyor under the laws offth?ej State of Minnesota. 'n1a ---a `4d- Date: ?yIB? Wayne D. Cordes, 4jop. f Nof?9/? ?J DOWNER: SITE ADDRESS: c9L Page Iof4 -EXTERIOR ENVELOPE" AVFRAU.. "II" COMPOTATRRML - --- -- DATF :_3 PHONE CONTRACTOR:- Determine working square footage of each 1. Total exposed wall area...... sq. ft, x .1i = 126. a ?p 2. Total roof/ceiling area..... sq, ft. x .026 = (?(? Total exposed wall area above floor= IG i r a. Total wail window area ............ .... ......................... .. b. Total door area ................. c. Total ...... sliding glass floor area ......... ............. ............ ............. . q Z - d. Total fireplace wall area.. ........... ... ........... ... ? Q. Total wall framing area (average IOm) ........... .. f. Total . rim joist area ................. ......................... .. 5 4• net wall area above floor. ..?4 CF TF;y h. wall area above floor.......... • •. . ............. _? or i• wall area above floor .......... ........... ............ .. j. frame wall area at foundation ........ ...... ......................... .. Total exposed foundation area= G ?J k. Total foundation window area .......... ........... 1. Total net foundation area above grade . .. ............ Determine "u" value of each wall seymcnt (e.g. window, door, each separate wall section) a. I ZS X b. q X C. Z X d. 8 X e• I f(o,?fS X f . 1-2 X a• i 3al,a? x L,,_ - Z ? 45 =. 'lull ,u„ 7,1 „D„ 0 3 ?, „u,. ,0 .5 = fr` h . X 1 . X .. u.. _ j. X .u., _ k. X „u„ _ 1 . CP S. X °u° 3. ...............................Total 5 = 75 :WV I If item N3 is the'san as, or less than iterr NI, you have met..tfiC intent of s4C..600 (C c?cu:rf: ALI. *.. u:-n 1.j ul' rl a,n1l1 W.111 nro,% fur elf M6r" ff11n,.: 1a.n:.l rvCI lun _•'i'.r , ii; c? FIG. Al TOPVIEM OF FlUUtg (WALL lnCcrim- air :]Im V, Gli _.- _..___ _? 5• Awm._ sctmf?g ......... .... ...?.?I FIG. 112 'I',I(.;,1 t -? LAU .01 )ntcriur a:r tilc. 0,Gg`I G. }:xtorlc r niC l i lm J. )'1 inu-i inr 0r fil••.•. 0. (,A (m. 7 ?-•^- st.nn nn ,;anal: ! / r: I , ?. FIG. 114 C. 13 t- ;, ....? s frl ?.--- • •} p,rl'I:: In,ll,:U[•: ly•?G, "!1" solar., dC,iClt nnCl c ' C C"? ( }, i.,:rn?•n r. of In:;, 1.iCir::1. .y,. ;rior Envelopo Avcragc "U" Computation Total exposed roof/ceiling area - I d((p Pago 2 of 4 ; in. Total skylight area ............................ n. Total roof/ceiling framing area (average 10e) ... ( C) Co o. Total net insulated roof/ceiling area........... ??g y Determine "U" value for each roof/ceiling segment in . _? x n. 1 O I .. U.. QZ •-- 2, o.?I y x 0 O = Z 4 ........................... Total If total of 114 is the same as, or less than 112, you have met the intent of SBC 0006 (c) 1. Alternate Building Envelope Design To utilize the total envelope 'System method, the values established by the s-.am of _ items i13 and i4 shall not be greater than the sum of items 111 and #2. 09 + 2. 7 (o!!.__ 411 = s 3. -1 z,ted Heat flow I up ric. 15 Construction R-Valtlc 1. Interior air film 0.61 2. f3 Gam( -6 ID SR 3. IA)5UL. 44.00 4. Exterior air film (still) 0.f,, - Total (Z LrJ? p? ` oz 1. Interior air film 0.61 2. ' G f3 D 3- !?.{SuL ? ? 38 35 4. _ F.xtr.rio_ ; it fi In --- (st;.11) . P. T ------ -Total 2 • 9o.1S V = oz4 - - C o,?. 9r,? ? C r / m yam, ' . ?J..r-r?.VI.T •-?^-. ?:r _.J.•.?IJn\L%•..41 ?.61 -°'- - --- --?----- __?_-? 1 1_ inside air film 4. ide air. film 0.17 i S. cuts (1}I t ` ?r I' ??? i?? ?.? j?ill?,'? ?•Il li/?1/1? Total I ??? t 1_ 111 - IT -- Inside air film 0:61 feet flov up • j vented 4- 4_ • - - S. Outside air film 0-17 FIG. 06.'._. Total u 1_ Inside air film 0.61 3 - Fos 2- 5. G1:tide ai.r. film 0.17 ,r? Yotc: Use additional sheets if more sFaco is gQ7_qM needed for details and calculations- Ben= flow up r1r- 'P7 t I -,.'. P1nLL f CC1'i0t7 i e: u r l,t 'of 1111011110 11,111 Aran for _ fr{ttn; conr,IruCtlun sic j FIG.ql 'TCAIVIEM OF FIWIE WALl, FIG.I02 ?N . RIcK. L 1 4 G 1. 2. 3. 4. S. G. 1. 2. 3, 4. 5. 6. _ 1g. -.$.LDGK _1.x.11 A1, (ill„ 0.11 .•.n?,t 2•"15 rt,Crriol: nit' `. i I,,, 0.611 Exterior ail fill., -•-°---•• Tv La v )n[cl'iur Air film Tofa1 - - 1. e u I Cld i 1. 2. S. 4. 5. G. Intc1 i"c 0111.. f 11'._ (1. (fl 't ?' , .__.-__.__.--.__.....-__-._..... _....__._••--__._ • 11111:%7 st.nll 00 l;llnue r 1 (fl r , ,? I l kl? r{. -1 '1'v 1:11' 'n. • , \ 4l F,- j../ii / t / /(I ,. ? /fl rte' •. J14 FIG ? ?,f s..i . It x f L•- •_ I ,11`; ?n'rC; Irut l c at ly ,e , 'it.' valor du>Ch nnd,?-•r,?`, ' (,I?V: rn?.l ,. of in:,tt :Cron. PLA Q *? LI N E_A L FT. EXPOSED WALL u?E 1 30 WrO, r FULL I 130 4--Z= Il 1ZIM= i'3ot SK.tP- oSED WALL AZEA t3L.oe.<'r EE ; G S 1,3- X X , S = T = 3 Z ?? v .r VII 0, IT2# X _ 8 ito? F, RIM 1 '?? j- 42? (75 o W Dw5 7-011 (AP: EXPOSE-D GEI Ltuq 3rw 35 ZS `A144 = Z dy Iis? To-rA L. = 1 9(044 Ia1t0 DooRs ATI o SS tit't U ? i +5.?:: y 1 (--? ` 2/84 ` CITY OF EAGAN ?Ull ' APPLICATION FOR PERZ4IT SEWER AND/OR WATER CONNECTION (PLEASE PRINT) 1) PROPERTY ADDRESS: 3477 Coachman Road, Eagan, M. 55121 LEGAL DESCRI PTICN: Lot 1 Block 1 Hampton Heights (Lot/Block/5u=1visicn or Tax Parcel I.D. N=Der) `? Crn•T I.'....1-__.^ --G STPECTL'RE, DATE OF ORIGMIAL LLJI-..ni "G ....:-•1i lss'.l.Nc : f ...- _?.. 'ea_`, PR'-'=- ?.^,`TI ? /P?OPOSJ USE: S1.GIy. F,%%tSLY ? R-2 DUP'. -: ('P:-O UNITS) ? R-3 TCT:-L?FCUSE (THPZE + U:DITS) ( UNITS) ? R-4 AP A:IaTc^1T/CC 3DCI• IN1--- 1 ( tNITS) ? CCf!, ERCrAL/R=- L/Cz FILE ? zcus""2.- r:S. ? INSTITUTIONAL/GM'M'. 7. 2) APPLIC??iT (PLEASE PRINT) NAt•1E: Frontier Midwest Homes Corporation ADDRESS: 3908 Sibley Memorial Hwy. Bldg. E CITY, STATE, ZIP: Eagan, MN. 55122 PHONE: 454-0433 3)'. PL ,mzp, NAME: (PLEASE PRINT) Star Plumbing FOR CITY USE ONLY ADDRESS: 1018 Mound Springs Ter. PLUMBERS LICENSE: Acti CITY, STATE, ZIP: Bloomington, MN. 55420 ve Q Expired PHONE: MASic 884-4149 P LUMBER LICENSE q 3329 Not of Record ' ar tn:c:a 41 uiurprrn•iuuuER 1rLLA4t rnirrrl NAME: Pelletier, Richard and Patricia ADDRESS: 655 Dardanelle Ln. CITY, STATE, ZIP: Shakopee. MN. 55379 PHONE: 888-9486 5) INDICATE WHICH PER-LIT IS BEING REQUES'T'ED: g[ =NNEGTION TO CITY SETTER Please mail gold copy to CCIINE TION TO CITY WATER Wenzel Mechanical 3600 Kennebec Dr. ? 07TER (PLEASE DESCPSBE) Eagan, MN. 55122 6) L"DIG,. UZ: P*.`'SE HOLD APPROVM PERMIT FOR PICK-UP BY ONE OF ABGVE ' PIES ?^,)4 APPROVED PE ART TO 1, 2 3, 4 ABOVE (Circle one) 7) SIG:GITURE. DATE: July 14, 1986 A ? ?l aiagl?JS s r a lrs?:r a? rr o ria a r s s?s:a:a a! i.a ?cstayy? a i r s isc?a FOR CITY USE ONLY PERMIT u ISSUED -3 /(,? FEES $ SEI:E°, P_RmT_T (I`_ICIUDEsUp..r,- r.3GE) $ WATER PERMIT (INCLUDE SURCHARGZ) $ ?> S? WATER METER/COPPERHORN/OUTSIDE READER $ WATER TAP (INCLUDE CORPORATION STOP) $ SEVER TAP $ -y ACCOUNT DEPOSIT - WATER $ O a WAC $ S S-1 D d SAC $ TRUNK WATER ASSESS:1ENT $ TRUNK SEWER ASSZSSSMIENT $ LATERAL BENEFIT/TRUNK SE`.'IER S LATERAL BENEFIT/TRUNK WATER $ ' `D C WATER TREATMENT PLANT SURCHARGE $ OTHER: $ S TOTAL $ Al NT PAID/RECEIPT n (r C111? DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? U YES IF YES, THEN A "PERMIT FOR T40RK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE C? NO ENGINEERING DIVISION. LIST AS A CONDI- TION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: DATE: A WA !a a r! W" r:! /t y ay/ rt"A twit lift Rr Ri •t ?i+ WON 5&-Ir a* = go wig wi /tm mt iw a r CITY 06 EACAN 1-;ASHIERc S TERMWAL NO:: Oi.'.4 321 L) 900i 3477 ST CPt'il....:.o 151„25 2155 ,a'..0 ' 2577 SY CHORUS 4.00 LEER 7% NANCY 49 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) 7 CITY OF EAGAN '3s 1 - 2 3830 PILOT 651-681 46 5 55122 New construction Requirements Remodel/Repair Requirements SI z,6 ? 3 registered she surveys showing sq. ft. of lot, sq. h, of house and Q roofed areas (20% maximum lot coverage allowed) 2 copies of plans (show beam a window sizes; poured fnd, design; etc.) ? 1 set of energy calculations 3 copies of tree preservation plan h lot plaited after 7/1/93 DATE: DESCRIPTION OF WORK:: ?.L( 1 d STREET ADDRESS: LOT: --Ir BLOCK: Z SUBD./P.I.D. #: Name-a ZL#- 41r l d / Phone #: PROPERTY La F k OWNER 4r ! i. / r n Street City Stater Zip: Company: 4 ?r Phone #: g? 1CTOR (area code) CONTRf i Street Address: si?2 Ucense #6-23° KExp. City State: ?? Zip: ARCHITECT/ ENGINEER Telephone #: area code ( Street City Name: Registration #: _ State: Zip: Sewer & water licensed plumber (required for new construction only Penalty applies when address change and lot 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 applicabl State of Minnesota Statutes and City of Eagan Ordinances. Signature of Certificates of Survey Received Yes Tree Preservation Plan Received Yes OFFICE USE ONLY No No Not Required 2 copies of plan 1 set of energy calculations for healed additions 1 she survey for exterior additions b decks CONSTRUCTION COST: OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 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) ? 04 2-plex ? 09 7-plex ? 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 Bldg. ? 40 Gas Insert ? 44 Windows/Doors ? 33 Alteration ? 37 Demolish Bldg.* ? 41 Wood Stove ? 45 Fire Repair ? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof * Give PCA handout to appli cant for demolition permit GENERAL INFORMATION ft Code C 1+jT Const. (Actual) Basement sq. . ensus (Allowable) g Main level sq. ft. ft SAC Code f Units N UBC Occupancy u- sq. . o. o Zoning P. O sq. ft. No. of Bldgs I # of Stories sq. ft. MC/ES System Length 2'L sq. ft. City Water Width Footprint sq. ft. 5 2-9?1 Booster Pump PRV Fire Sprinklered APPROVALS Planning Building Engineering Variance f ! o O "U Permit Fee Valuation: $ Surcharge Plan Review License 5 Z8 X l = ??3`1Z 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: SAC Units % SAC +6128295921 ABRA EDEN PRAIRIE 277 P02/02 APR 21 199 17:41 i?E CERTIFICATE FORT RRa HOME APURnt NLI(sev R4 4NU (IE?E(OP(NB NEA(fUN$ pWM iE r*B COMPANIES STOMA SURVEYING SERVICES 3906 Sibley Memorial Highway Eagan, Minnesola 55122 Phone: (612) 45:1•3017 00 SCAt,E: Ir•4O'I MODEL: STAFFOAO i of ?{ I Hoo C vts2, ,> = 187$ ??'L / A'47??O A1.1awr o Ccu?4e 3,Sbo ' BY Ego 8161 ?• FUI! DING INSPEGT;n?JS DEPT. Zo ,\ ? ? woe 9 ? O \ / uteri', .?,,•a"'•gl 950 7^" ?,?te ? Sol .% , ? c s rse 0 :.. 0-07 . 1131 of, W n ro ? FHllp ?- -?"?"p111 op 1i111(11///a f 1t?N s %o. WAYNE ?? i ?tTF?f)F,S s s r f L .`•. 14675 - r, F. t- •. - u11 V O Venofe$ Iran orKM?lt rmnuu F Danotos Mood Nub Set v p? Go , 041 ..'? XewtA v rtW In ` -Jr I I NI PROPOSED GARAGE FLOOR ELEVATION- _ $. PROPOSED Top of Block ELEVATION- 8'1ty% y 3 _, PR,?PG'0 BASEMENT FLOOR ELEVATION- _ .. ., _ „ lion, ;. inhte with Final House Plans. r City of EaQall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office UstL7 Z Permit #: 161 Permit Fee: Date Received: Staff: 2013 RESIDENTIAL PLUMBING PERMIT /APPLICATION Date: /3 Site Address: ? C46, --/es / 7 5 C46,es /96 c Tenant: Resident/Owner Contractor Suite #: r� Name: 41r. t Phone: ,d/g--3V_ 7 O 7 Address /City /Zip: 3Y / / 7 CA,- l jrs G �C Name: 5CC (4-$ e P 1.1 � , License #: K513s-P2 Address: -7( /?t V j' we) ds e City: rn5 id/ State: 4/('(--/ Zip: .5-S33 7 Contact: ) Phone: Email: Type of Work Permit Type New eplacement Repair _ Rebuild _ Modify Space _ Work in R.O.W. c� a /1 fo [y ,.6 w 4 w � kAk 14/ Description of work: RESIDENTIAL Water Heater Lawn Irrigation ( RPZ / PVB) Septic System New Abandonment Water Softener Add Plumbing Fixtures ( Main / _ Lower Level) Water Turnaround RESIDENTIAL FEES: $60.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation (includes $5.00 State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) *Water Turnaround (add $189.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) TOTAL FEES $ CALL BEFORE YOU DIG. Call Gopher State One CaII at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit: that the.L•rk will be in accordance with the approved plan in the case of work which requires a review and approvfl of plans. (a. 1,-1 x Out -4- t'S Applicant's Printed Name Required Inspections: ppficant's Signature By: Under Ground Rough -In Air Test Gas Test Final PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA111382 Date Issued:06/20/2013 Permit Category:ePermit Site Address: 3477 St Charles Pl Lot:1 Block: 2 Addition: Hampton Heights PID:10-31900-02-010 Use: Description: Sub Type:Residential Work Type:Underground Sprinkler System Description:PVB 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. Jason Larson 25 S Sutton Lake Blvd Jordan, MN 55352 Fee Summary:PL - RPZ/PVB/Lawn Irrigation $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 - Gilson Arabadji 3477 St Charles Pl Eagan MN 55122 Jay's Plumbing 25 South Sutton Lake Blvd. Jordan MN 55352 (612) 868-4102 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA120315 Date Issued:01/30/2014 Permit Category:ePermit Site Address: 3477 St Charles Pl Lot:1 Block: 2 Addition: Hampton Heights PID:10-31900-02-010 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Janel Behrends 122 West 3rd S Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 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 - Gilson Arabadji 3477 St Charles Pl Eagan MN 55122 Haley Comfort Systems 122 West 3rd St Hastings MN 55033 (651) 437-0338 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink r-�---------------� I For Office Use � � /�� I Cit of �a �� j Permit#: j � � I Permit Fee: �� 3830 Pilot Knob Road I I Eagan MN 55122 � Date Received: � Phone: (651)675-5675 I � Fax: (651)675-5694 I Staff: I I � 2015 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: �,��.��.,w.�,.�F,.,.,.� ,�xr,��,,.x.w.,�.��,�,��,.,��,..�..»��.,.�.�„�,.��.. € \ . / � Name: �``Sor✓ �✓�at,�O ��c�j i Phone: ,E��Z''-S�L"'�78�b 7 � c� � i��ltle��C �� ,o � Qyy��;�� Address/City/Zip: �� 'l� /�� L�'i�c, I�1✓ � Applicant is: Owner x Contractor � r ( �� Description of work: " S � �� .�T�rp�c��1�Vt�rk �r`G��`�� Construction Cost: Multi-Family Building: (Yes /No� � ' Company: n act: ' Address: City: Gon�ract�r � ' State: Zip: hone: License#: � Lead Certificate#: If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NflT�':A��r��ar�d��pj�Qrtrng s��ccrmen�s tha#�!a�,submi�are co�dered tv b��tr�il��ir�#'�rr�at�irt�. !?c��n,�of ' t#�e'i»forr��t�on rna�be cJ�ssi�ed a�rron�pub��i.;y��pror�itle spe�i�'ic reas�ns�fi��t ti�or�J�i�per��t�r�Cify�� Ct3l�C�23C1@�'/'111`1'��.' �!'@�'I�C�E'3@Cf+E��. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.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. 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 �� ,f u,,,i ��'c, �� l l x Applicant's Printed Name ApplicanYs Signat e Page 1 of 3