3492 St Charles PlINSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number: + r> °+
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
PERMIT SUBTYPE:
TYPE OF WORK:
L J
Permit No. Permit Holder Date Telephone A
S/W
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspection Date Insp. Comments
Footings I
Foundation
Framing
Roofing
Rough Pibg.
Rough Mg.
Isul.
Fireplace r 2
r
Final Mg.
Orsat Test
Final Plbg. -RJhg-Inspector- Notify Plumber
Const. Meter
EngrJPlan
Bldg. Final
Deck Ftg. .v
Deck Final
?? std
Well
Pr. Disp.
CASH RECEIPT
CITY :OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
Y
DATE / -7
19
RCC FROM ! f!? ? ? ? I,- (
AMOUNT $ ?
?l / Sy' U
& DOLLARS
goo
? CASH CHECK
<?
FOR
6+!244
i` Z. r IT
BY
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
Thank You
PERMIT #
PLUMBING PERMIT RECEIPT # y
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE
CONTRACT PRICE PHONE: 454-8100
Site Address '/22- --t - C% : I L
Lot X
Blo
k Sec/Su < <-'
b BLDG. TYPE WORK DESCRIPTION
c
- . A New
Res
Name Mult Add-on
W (
N
` r'
Address
i Comm. Repair
c City EAGAN Phone 4 52-1565 Other
Name Z R 1AIDWEST CO
- Ng. FIXTURES
Water Closet - $3
00 '19TAL
c 3908 CIBL i'UR
HWY
Addre
ss
.
-
Bath Tubs - $3.00
c
03 City L&G_Cd
Phone 454 0433 Lavatory - $3.00 `
Shower - $3.00
Kitchen Sink - $3.00
FEES Urinal/Bidet - 0
COMM/IND FEE - 1% OF CONTRACT FEE
Laundry Tray -$3.00 ?r
MINIMUM - RESIDENTIAL FEE -$10.00 Floor Drains - ?
MINIMUM - COMM/IND FEE - 20,00 /
$ $11.5.50
Water Heater . C.
STATE SURCHARGE PER PERMIT _ 50 .
Whirlpool -
-
(ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets - $1.50
?
BEYOND $1,000.00 Softener - $5.00
J-
FOR: CITY OF EAGAN
Well - $10.00
Private Disp. -,$10.00
_ Rough Openings - $1.50
FEE: v2 ], &L
STATE S/C: S?
GRAND TOTAL - JZ'
PERMIT #
' MECHANICAL PERMIT RECEIPT # -?
CITY OF EAGAN _
38?0 PIk?T KNOB ROAD, EAGAN, MN 55121 DATE:
CONTRACT PRICE: ?X • 16' 0 '. ?. PHONE 4544100
Site Address ? S t. i la ce TYPE WORK DESCRIPTION
BLDG
.
Lot Block Sec/Sub : ? r
R
New
`
Name
'.!EN EL MECHA?. KCAL, es.
M
l
Add
Address
3600 Keruebec Driv. -on
u
t
Repair
Comm
c
City
L`,2' Phone LL j .
Oth
er
Name i•runricr Cuul,?tti?:, FEES
c Address 3908 Sibley '°Iewurial Hwy-. RES. HVAC 0-100 M BTU -$24.00
p City Phone 454-0433 ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
ADDITIONAL 6 M BTU - 6.00
TYPE OF WORK oo
24 GAS OUTLETS - 1.50 EA.
Forced Air M BTU . 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
Vern CFM BEYOND $1,000.00)
Gas Piping Outlets #
Other
FEE
.50 SIGNATURE OF PERMITTEE
S/C•
TOTAL:
FOR: CITY OF EAGAN
PLUMBING PERMIT
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122
PHONE: 454-8100
Site Address _
Lot
Name -
Address
c City
Phone
Name ? f (oUc??WVmr--4
3 Address ?3V r; 5) rhG r ?r s P
O City Phone 2,066
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE -$12.00
MINIMUM - COMM/IND FEE -$20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
OF
FOR: CITY OF EAGAN
PERMIT #
RECEIPT # 7? yCO
DATE:
BLDG. TYPE WORK DESCRIPTION
Res. -?5 New
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
Water Closet - $3.00 S
Bath Tubs - $3.00
Lavatory - $3.00
Shower - $3.00
Kitchen Sink - $3.00
Urinal/Bidet - 53.00
Laundry Tray - 53.00
Floor Drains - $1.50
Water Heater - S1 50
Whirlpool - 53.00
Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIT)
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
FEE: -0
STATE S/C: y U
GRAND TOTAL:
PLUMBING PERMIT PERMIT #
`?Ty
L RECEIPT #
CITY OF EAGAN
V r
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE:
CONTRACT PRICE Q C - PHONE 454-8100
Site Address f - BLDG. TYPE WORK DESCRIPTION
Lot Block Sec/Su b
Res. New
77
-
$ Name, 77,777 7 7
' M ult Add-on
y Address ' - a Comm. Repair
C City *' ' Phone ? Other
TOTAL
NO. FIXTURES
Name Water Closet - $3
00 $
c Addres8 P ' , f - .
Bath Tubs - $3.00
p City . ` • r 1- Phone s t Lavatory - $3.00
Shower - $3.00
Kitchen Sink - $3.00
FEES Urinal/Bidet - $3.00
COMM/IND FEE - 1% OF CONTRACT FEE Laundry Tray - $3.00
MINIMUM - RESIDENTIAL FEE -$10.00 Floor Drains - $1.50
MINIMUM - COMM/IND FEE - 20.00 Water Heater - $1.50
STATE SURCHARGE PER PERMIT - .50 Whiripool - $3.00
(ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets - $1.50
$1,000.00)
BEYOND
- $5.00 r .
Well - $10
00
' .
Private Disp. - $10.00
Rough Openings - $1.50
SIGNATURE OF PERMITTEE FEE
STATE S/C:
FOR CITY OF EAGAN GRAND TOTAL '
CITY OF EAGAN
3830 Pilot Knob Road
P.O. Box 21199
Eagan, MN 55121
Zoning: Rrontaer Midwest
Owner.
Address: 3492 St. Charles
Site Addess:
Plumber: Star Plumbing
Meter No.:
Size:
Reader No.:
1 agree to comply with the City of Eagan
Ordinances.
By
Date of Insp.:
CITY OF EAGAN
830 Pilot Knob Road
P. O. Box 21199
Eagan, MN 55121
Zoning: ---?? -
Owner.
Address:
Site Address: 3492
Ctnr
Connection Charge: 15.00pd
Account Deposit: 10. COd
Permit Fee: ? 50pd
Surcharge: 156.OOpd TP
Misc. Charges:
Total: -
Date Paid
SEWER SERVICE Pow
PERMIT NO.:
t - 2 n
DATE:
No. of Units: 2
.Plumber. 100.00gd
6-77-SE 61{'.47 i 2S nn„A
f s*ree to sea,* Wale fm Clef of Inva Connection Charge:
Acoount Deposit: 15 nnva
Ar?lraeeoee.
Pom+it Fos: t n nn„'t
Surcharge -- sap'i
By Misc. Charges:
Date of Insp.: Total:
Dote Paid:
Insp.:
1 CITY OF EAGAN WATER SERVICE PERMIT
3830 Pilot Knob Road 8084
P.O. Box 21199 PERMIT NO-
:PATE
'*Eagan, MN 35121 1
Zoning: R1 No. of Units:
Frontier Midwest
caner.
dress:
3492 St Charles Place I10 II2 Hampton Heights
e Addess:
lumber. Star Plumbin pd
eter No.: -3 "711 ?6 6 on Charge: S00 00 OOOORd
o n Deppsit:
ize: 15.tles 10.00pd
Bader No.: U . SO pd
• ELF
I agree to comply with theft,*
Ordinances. ??g 156.00 d T?
pEQ, 1iI`Eo S3. 4n„? .??t
V r
,,BY Date Paid:
Date of Insp.: Insp.:
WATER SERVICE PERMIT
OG
PERMIT NO.: J !
nerG-
No. of Units:
REACTIVAT_Z,,FOR BASEI'IENT FINISH CITY OF EAGAN
3 / 10 / 8 X830 Pilot Knob Road, P.O. Box 21-199, Eagan, M N 55121
PHONE: 454-8100
BUILDING PERMIT ?gj-'/ CC0 Receipt#
To be used for SF D117G/GAR Est. Value $ 64 i 000 Date JUNE 27 1gg6
Site Address 3492 ST. CHART-RS PY-AC R Erect ?t Occupancy
) 0
HAMPTON
2 HTS Remodel ? Zoning
Lot
Block
Sec/Sub.
Parcel No. Repair ? Type of Const, VIA
Addition ? No. Stories
FRONTIER I^1IDICST YOM E:S Move ? Length 40
z Name 3908 fi j BLEY MEN ti?TY Demolish ? Depth d 7
3 Address Int. Impr. ? Sq. F+
o City I ` '"SIN Phone 454-0433 Install ?
Name SA14E
Assessment I Permit
Water & Sew.
Police
Fire
Surcharge
Plan Revie
YC ? Address 1 `' a _L i Ujj tijW'4 v d`il'l L;.r Eng. Water Conn. V U . V V
ICE city A - V - Phone 432-5492 Planner Water Meter 63.50
Council Road Unit 290.00
thereby acknowledge that I have read this application and statethatthg. 6/ 2 7 156 . 00
information is correct and agree to comply with all applicable S V1 Bldg. Off. Tr. PI.
Minnesota Statutes and`City of Eagan Oro,pance?' APC Parks
Var. Date Copies
Signature of Permittee - Total , r . J 0
A Building Permit is issued to: FRONTIER ,'MIDWEST HOMES on the express condition that
N2 12200
all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances
Building Official
^ Permit No. Permit Holder Date Telephone #
Plumbing
IHMA.Z.
JEWW
S ?J
-
q :2
-
? i% ? , ,? ?I.G yy
? PLti/C- I ???,?t 111 /t. 4u'Jl?r .? /G
k,, L/ ?cf?, cnc,? .,') /????' ?. c
Inspection Date Insp. Comments
IFootings 1
IFootings 11 1 1
Foundation
Framing 1 143
Roofing
Rough Pibg.
I Rough Hill.
Insul. y
? O
?
Fireplace
IFInal Mg.
Final Plbg.
ISIdg. Final
Iced. ? tU
I Deck Fig.
IDeck Frmg.
6 s j, I pP Describe Location;
Pr. Disp.
U9JQ? K V /? A/ gq?r
BLDG. PERMIT NO. 12-2-0 6
01-3210 Bldg. Permit 2-4
01-3422 Plan Check A, Z-
01-3445 Surch./Adm.
01-3446 SAC/Adm.
01-2155 Surcharge 3 Z
17-3860 Road Unit ??! U
20-2275 SAC
20-3865 Water Conn.
20-3868 Water Trmt.
20-3716 Water Meter 3
20-2252 Acct. Dep.
G
O
J O
U
20-3713 Water Permit
20-3743 Sewer Permit / U I+c? O
79-3866 Sewer Conn. v 0 v
11-3855 Park Ded. i
I
TOTAL / (? U
This request void /e g7 7/-?;k,
18 months from . -,
C 44301
Request O to
- Flit, No. /Rough-in Inspection
Regmred?
?Ready Now ? Will Notify InsPec-
0f ?yes ?No to, When Ready
? Li coned Elei,41 - l Contractor I hereby request inspection of above
Owner alectrical work installed at:
Street Address, Box or Route No. City
C C
ecuon No. Township Name or No. Range No. Count
Oc ant (PRINT) Phone Nc.
° f ?ll4J
Po er supplier
Address
G
D
Electrical Con?t^racto}}r (?I7COmpanV Name)
lT?1Y Contractors License No.
Mailing Address 1Contractor or Owner Making Installation)
Author' etl igna re (Contract r?Ow M ine Installation) Phone Number
Cr,?J 9VC
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD
1821 University Ave., SL Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Pnnnn 16121 29]2111 ENCLOSED.
EST FOR EMWTRICAL INSPECTION EEBB-00001`-e/4
9 _ )p See instructions for completing this form on back of yellow copy.
r W11. in 1 "X" Below Work Covered by This Request
jfewl A4dI Rep.1 Type of Bufldinp I Applioncaa Wired I Equipment Wired
Water
ial
R Fee Service Entrance Size a Fee FeedersrSubfeeders N Fee Circuits
U to 200 qm s 0 to 30 Amos 0 to 30 Amps
Above 200 Amps 31 to 100 Amps 31 to 100 AmPS
Swinani ng Pool' Above 100_Amps Above 100-Amps
Transformers Irrigation Won-is Partial. Other Fee
Special Inspection
? As ' .c TOTAL
the Electnial
3 vector, hereby
rtify that the above
spection has been
This request void 0(,o
co j 3 17 4 }
18 months from o ?U O (,o /
-C 5703
Request Oat
/1 ^y/ fire No. Rough-in ospection
Require
?Ready Now ill Notify Inspec-
x ( t 0 s ?No for When Ready
w'L'fcensed Electrical Contractor 1 hereby request inspection of above
? Owner, electrical work installed at:
5tre Add es Box or Ro e N
7 , City
n
e- ??5 5 -,0"
Section No. Township Name or No. Range No. County
Occupant (P INT)
o ti i o &u C sf Phone No.
q s e 3
Power 5 p ier
t Address
jZEX +fff rr'•trC any Name)
lijll J.fnl MC Contractor's License No.
Maili ( 167AOWBBr fa ii Iretailation)
,(r
to l lation)
Authorized Signature fo Phone Number
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD
1821 University Ave.. St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Ph- 16121 297.2111 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION EB-00001-04
Il, See instructions for completing this form on back of yellow copy.
5 703 "X" Below Work Covered by This Request (p 53 9
A Rep. Type of Building Appliances Wired Equipment Wired
y Home Range Temporary Service
Duplex Water Heater ighti ny Fixtures
Apt. Building Dr r Electric Heating
Commercial Bldg. urna ce Silo Unloader.
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm Other peu v Other IS peri ivl
t er Specify Other Other
Compute Inspection Fee Below
N Fee Service Entre nce Sixe H Fee Feeders/Subfeeders a Fee Circuits
0 to 200 AMPS 0 to 30 Am s IM 0 to 30 Am
Above 200 Amps 31 to 100 Amps 31 to 100 Am s
Swimming Pool Above 100, Amps Above 100-Amps
Transformers Irrigation Boons Partial,'Otba? Fee
Signs Special Inspection
`' s
,
s 1
T
Rem
Rem
arks
7 E `
OT
// ?rv
Rough-in D=[e'
(J(??l/D I, the al
Inspector, hereby
Final ^ ^ l artily that the above
?/roC/ ?? pecti h been
//17 l -.. Al made.
This rsguest void 18 months from
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
I / 3830 PILOT KNOB RD, EAGAN MN 55122
l O 651-681-4675
New Construction Reouhemema pemodegpeoah Requirements
• 3 registered she surveys showing sq. h. of lot, sq. ft, of house; and }ill roofed areas • 2 copies of plan
(20% maximum lot coverage allowed) . 1 set of Energy Calculations for heated additions
• 2 copies of plan showing beam & window sizes; poured found design, etc.) . 1 site survey for exterior additions & decks
• 1 set of Energy calculations . Indicate r home served by septic system for additions
• 3 copies of Tree Preservation Plan If lot platted after 71W3
• Rim Joist Detail options selection sheet (bugs with 3 or less units)
DATE 6 -.S -n ?c VALUATION 161, c or)
SITEADDRESS 3Y9? ,SL CtncfeS ` Pk c2 MULTI-FAMILY BLDG _Y _N
TYPE OF
APPLICANT
STREET ADDRESS
r.
FIREPLACE(S) _ 0 _ 1 _ 2
TELEPHONE #Cj?a SW - tau,-) CELL PHONE #
( , STATE /'fit ZIP -SS V/
AX#& ) say- 6(? 8- Y
PROPERTY OWNER ?S-t": ,p C_ -,Lr, TELEPHONE 4-5-0 (,k - ?0U'
COMPLETE THIS SECTION FOR uNEW RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 _ M 0 Sat! submission type) • Residential Ventilation Category 1 Worksheet Submitted • N jnlt o t t
• Energy Envelope Calculations Submitted O 5 SOL)
Plumbing Contractor:
Plumbing system includes:
Mechanical Contractor: _
Mechanical system includes:
Sewer/Water Contractor:
- Air Conditioning
- Heat Recovery System
I hereby acknowledge that I have read this application, state
with all applicable State of Minnesota Statutes and City of E(5
Signature of
Fee: $90.00
Fee: $70.00
Is cArrect, and agree to comply
OFFICE USE ONLY
Water Softener
Water Heater
No. of Baths
_ Phone #
Lawn Sprinkler
No. of R.I. Baths
Phone #
Phone #
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 ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of-plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn.(4-sea.) ? 33 EM.Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 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 (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 INSPECTIONS
_ 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
Building Inspector
Total
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21.199, Eagan, MN 55121 N2 12200
PHONE: 454-8100 4 a 4?
BUILDING PERMIT Receipt#
Tobeusedfor SF DWG/GAR Est. Value $64,000 Date JUNE 27
Site Address 3492 ST._ CHARLES PLACE Erect Occupancy R3
Lot 10 Block 2 Sec/Sub. HAMPTON HTS Remodel ? Zoning R1
Parcel No. Repair ? Type of Const. Vn
Addition ? No. Stories
¢ Name FRONTIER MIDWEST HOMES Move 11 Length 40
Demolish ? Depth 47
w 908 SIBLEY MEM HWY
o Address 3 Int. Impr. ? Sq. Ft
City EAGAN Phone 454-0433 Install ?
¢ Approvals Fees
s Name SAME
i
a Address Assessment
city Phone Water 8 Sew.
Police
8W Name RICHARD CHARLIER Fire
z 1
u RD .NVT .W
Address 140 T Eng.
a'= City A-V. Phone 432-54 92 Planner
Council
I hereby acknowledge thatl have read this application and state that
f
information is correct an g er to comply wi=-
Minnesota Statutes a City of EaSignature of Per..
a
Permit
JZZ).VV
Surcharge 32.00
Plan Review 162.50
SAC 575.00
Water Conn. 500.00
Water Meter 63.50
Road Unit 290.00
Bldg. Off. 01411 oo Tr. PI. 156.00
APC I Parks
Var. Date Copies
Total $2,104.00
A Building Permit is issued to: FRONTIER MIDWEST HOMES
all work shall be done in accordance with all applicaA, a of Minneso tstatt
on the express condition that
City of Eagan Ordinances.
Building Official
a
1985 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
$2,000 LANDSCAPE BOND
To Be Used For: Single Family Valuation:
Site Address G?.
Lot 10 Block 2
Parcel/Sub Hampton Heights
Owner Robert & Shellie Athman
Address 2324 E. Old Shakopee Rd.
City/Zip Code Bloomington, MN 55420
Phone 854-1928
Contractor Frontier Midwest Homes
Address 3908 Sibley Memorial Hwy
City/Zip Code Eagan, MN 55122
Phone 454-0433
Arch./Engr. Richard Charlier
Address 14013 Gardenview Ct.
City/Zip Code apple Valley, MN 55124
Phone # 432-5492
SINGLE FAMILY DWELLINGS
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
1 SET OF ENERGY CALCULATIONS
Date: bt 7
OFFICE USE ONLY
Erect Occupancy
j
Remodel Zoning
Repair Type of Const
Addition # of Stories
-
Move
Demolish Length
7
Depth
4
0
77-
Int.Impr. Sq Ft
Install
APPROVALS FEES
Assessments Permit
Water/Sewer Surcharge 5 7
Police Plan Review
16
Fire SAC
Engr Water Conn :a m
Planner Water Meter 0_T ,
Council Road Unit le fo
Bldg Off I•9.9- Treatment P1 /
APC Parks
Variance Copies
TOTAL .72 C
77
SIGMA
W
J
nn? SCALS:1?-401
U..
SURVEYING
SERVICES
3908 Sibley Memorial Highway
Eagan, Minnesota 55122
Phone: (612) 452.3077
W ?.
J
Q
04tiQ ?
x 'gQ•
V '? ut va
Houma CAertAficate For:
E Wrt
ANIM, LAF40 DEVELOPERS
REALTORS -
FRONTIER COMPANIES
HaDeL: ' STAFFo AO
WT i-i
p• 2op - -- v
-TILI1'-f
p?F Ao ??.o`a Cp/?t4.a EA?aM?T•
+ , .n c
/O?Z? 7jp$L?yO"tip LoT 10
s2, ?
o ?
7.?
WAYNE D.
CORDES
-14675-
-LEGEND
O Denotes Iron Mowmnt
m_ Denotes Wood Hub Set
x863.7- Denotes Existing Spot Elevation
Irt1,4 1j Denotes Proposed Spot Elevation
,,- Denotes Drainage Direction
-PROPERTY DESCRIPTION-
LOT 110 , BLOCK 2
MAMPTDN 1-i??CaNT?i
according to the recorded plat thereof,
County, Minnesota
rA
o
t _.._
1
f N
f
1
GIs /
Spa T T
PROPOSED GARAGE FLOOR ELEVATION= 8(o4,i
PROPOSED Top of Block ELEVATION- 865,0
PROPOSED BASEMENT FLOOR ELEVATION BIOZ.O WIo
s` Verify all floor heights with Final House Plans.
gEM CERTIFICRTIp+I-
I hereby certify that this survey, plan or report
was prepared by me or under my direct supervision
and that I am a duly Registered Lary! Surveyor
urdp1_;A'.-' as of the State of Minnesota).
• Date: q318fo
Wayne D. Cordes, Minn. Reg. No. 14575
1 - ?
2/84
CITY OF EAGAN
L?11111 APPLICATION FOR PERIMIT
SEWER AND/OR WATER CONNECTION
(PLEASE PRINT)
1) PPOPE'T - ADDRESS:
LEGAL DE.SCRIPTICN: Z- L Pj( Z J I?/l/J?/G?/? ?7?/?7?lTS
(L0t/B1ock/Sui-d1visicn or Taff Parcel I.D. NT. ber)
' IF ==-R, STIR C=E, DATE OF 0R.= 1AL BOIL L G ==.ST ISS ;c'N =:
PP'-,-m7' O;:IIi7:/P?DPOSD US: R-1 SZ,=- FAMILY
? R-2 CUP -C (TS:O L^IITS)
? R-3 =,-LuCUSE Mn= + LmTS) ( UNITS)
? R-4 APA;:L"T IT/CC 7?• 11r:?l ( UNI_S)
? CCi•n]EPCL]AL/R 1AII/OFFI=-
? INDUST'tiLU
? L`ISTZTLTICNAL/GOVE????'?:T
2) APPLIC=..iT (PLEASE PRINT)
NV-!E: Frontier Midwest Homes Corporation
ADDRESS: 3908 Sibley Memorial Hwy. Bldg. E
CITY, STATE, ZIP: Eagan, MN. 55122
PHONE: 454-0433
3); Pu;;iEEP (PLEASE PRINT)
Star Plumbing FOR CITY USE ONLY
ADDRESS:
1018 Mound Springs Ter. PLUMBERS LICENSE:
?j Active
CITY, STATE, ZIP: Bloomington, MN. 55420 Expired
PHONE:
MA?TET
884-4149 P
LUMBER LICENSE # 3329
0 Not of Record
ar, nina
•.? v wrEUrLiL;rc?tiT p??? krL'A?L rninIT
NAB: J1_L z2li Sf/FC//?
ADDRESS: S"'IeOPEc 1.
CITY, STATE, ZIP: ?LyL&MW TON M/?) ?<z;4Z
PHONE:
)
5) INDICATE WHICH PERRIT IS BEING REQUESTED:
JR CONNECTION TO CITY SEWER Please mail gold copy to
CONNECI'ICN TO CITY WATER Wenzel Mechanical
? OTHER (PLEASE D 3600 Kennebec Dr.
ESCRIBE) Eagan, MN. 55122
6) Z DZG .? C: c:
PI.°1 E HOLD APPROVED PERMIT FOR PICT:-UP BY ONE OF ABOVE
PLEySE APPROVED PM%-IIT TO 1, 2 3, 4 AB OVE
(Circle one)
7) SIC,_--_NTURE:
DATE
ii
• ! ?l aiiAflJS i? i a l?:Ofe:l? ar .a r+t o ac?? M s s sia?:i a ?e !ll?lEjtj„fiAL
r
F O R C I T Y U S E O N Y
PERMIT u ISSUED
FEES: $
S
S
S
S
$
s
S
S
S
S
$
$
SECJE°. PERMIT (INCLUDE SURCcaRGE)
WATER PERDIIT (INCLUDE SURCHARGE)
WATER METER/COPPERHORN/OUTSIDE READER
WATER TAP (INCLUDE CORPORATION STOP)
SEWER TAP
ACCOUNT DEPOSIT - WATER
WAC
SAC
TRUNK WATER ASSESS."ENT
TRUNK SEWER ASSESSMENT
LATERAL BENEFIT/TRUNK SEiER
LATERAL BENEFIT/TRUNK WATER
WATER TREATMENT PLANT SURCHARGE
OTHER:
TOTAL
AMOUNT PAID/RECEIPT R
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
YES IF YES, THEN A "PERMIT FOR WORK WITHIN
PUBLIC ROADWAY" MUST BE ISSUED BY THE
NO ENGINEERING DIVISION. LIST AS A CONDI-
TION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE:
wfww?w.sra?.c.w?rw?w?w?wwf?wt?w?w?i??w??w?se?i+wawc•wsr..
CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
SSXXxxXZZZxxFxxxxxzxzzxxzzSSXSFXXX•bF
MOTE: PAYM[FRT OF FEE AT 71ME OF ?*
APPLICATION DOES NOT CONSTITUTE
APPROVAL OF PERMIT.
INSPECTION OF SEWER AND/OR WATER
INSTALLATIONS WILL NOT BE SCH D-•
ULED UNTIL PERMIT HAS BEEN
APPROVED.
(Please Print
1) PROPERTY ADDRESS:
LEGAL DESCRIPTION:
(Lot/Block/Subdivision or Tax Parcel ID )
IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE:
PRESENT ZONING/PROPOSED USE: (Mon Year
Ca44ERCIAL/RETAIL/OFFICE
r7 INDUSTRIAL
M INSTIT[TIONAL/O(AMP IIEW
R-1 SINGLE FAMILY
Q R-2 DUPLEX (Two Units)
R-3 TOWNHOUSE (Three + Units) ( Units)
R-4 APARTMENT/CONDOMINILIM ( Units)
2)
NAME:
ADDRESS:
CITY, STATE, ZIP:
PHONE:
3) ::•
NAME:
ADDRESS:
CITY, STATE, ZIP:
PHONE: MASTER LICENSE#
Active
Expired
Not recorded
Staff Initial
4) •• •..uaeA
NAME:
ADDRESS:
CITY, STATE, ZIP:
PHONE:
-5) WP, 7
i r. •: :o o? ??
CONNECTION To CITY SEWER CONNECTION TO CITY WATER OTHER
6) ° Q PLEASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE -
PLEASE MAIL APPROVED PERMIT TO 1, 2, 3, 4, ABOVE
(Circle one)
7) r n
FOR CITY USE ONLY
PERMIT # ISSUED
Town
Pd W/Bldg. Permit FEES:
$ /U• SO $ SEWER PERMIT (INCLUDE SURCHARGE)
$ l
0. 5 U $ WATER PERMIT (INCLUDE SURCHARGE)
$ /
?!/ ?•S D $ WATER METER/COPPERHORN/OUTSIDE READER
$ $ WATER TAP (INCLUDE CORPORATION STOP)
$ $ SEWER TAP
r
$ $ ACCOUNT DEPOSIT - SEWER
$ ?? G>!) $ ACCOUNT DEPOSIT - WATER
$ 5 00 . C?c) $ WAC
$ 55 $ SAC
$ $ TRUNK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRUNK WATER
$ ?SCo O U $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
TOTAL
RECEIPT RECE
IPT
DOES UTILITY CONNEC TION REQUIRE EXCA VATION IN PUBLIC RIGHT OF WAY?
YES IF YES, THEN A " PERMIT FOR WORK WITHIN PUBLIC
ROADWAY" MUST BE ISSUED BY THE ENGINEERING
NO
Q DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLL OWING CONDITIONS:
APPROVED BY:
TITLE:
DATE: / Z?' If k,
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
BUILDING
023669
05/20/94
SITE ADDRESS:
3492 ST CHARLES PL
LOT: 10 BLOCK: 2
HAMPTON HEIGHTS
P.I.N.: 10-31900-100-02
DESCRIPTION:
Building-.permit Type DECK
Building Work Type NEW
? i
REMARKS:
FEE SUMMARY:
Base Fee $30.00
Surcharge $.50
Total Fee $30.50
CONTRACTOR:
OWNER: -
GULLICKSRUD
3492 ST
EAGAN
(612)686-6292
Applicant -
LORI
CHARLES PL
MN 55123
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 Mn.
Statutes and City of Eagan Ordinances.
L
I
xA2 . &&&AJ 'Iowa Rv • 1012
(CANT/PERMITEE SIGNATURE ISSUED BV: SIG ATURE
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: BUILDING
3830 Pilot Knob Road Permit Number: 0 2 3 6 6 9
Eagan, Minnesota 55123 Date Issued: 05/20/94
(612) 681-4675
SITE ADDRESS: LOT: 10 BLOCK: 2 APPLICANT:
3492 ST CHARLES PL GULLICKSRUD LORI
HAMPTON HEIGHTS (612) 686-6292
PERMIT SUBTYPE:
DECK
TYPE OF WORK:
NEW
INSPECTION TYPE DDATE INSPTR. INSPECTION DATE INSPTR,
FOOTINGS FINAL
L
CITY OF EAGAN
U1994 BUILDING PERMIT APPLICATION RLCI.?W'E;WE®
681-4675 "A, 1 7 1944
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy 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 .'S / /¢ Valuation of work f:)
Site Address:
349 S1
A/K
z:--
c?
&
.
2.C„
STREET ?SUITE #
Tenant Name: (commercial only)
LOT _Zz BLOCK 2 SUBD. f ' P.I.D. #
R /Oh • f'
Description of work:
L°LG
The applicant is: W Owner ? Contractor ? Other (Describe)
Name 6a11 ?(rkexId LnV'% Phone(01XL&8fpa9a
Property LAST
FIRST
Owner ,, II
`
Address
STREET STE #
City 2('Qan State nAV-\, zip C5
Company Phone
Contractor Address License # Exp.
City State Zip
Company y /fr Phone
Architect/
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days o ce 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 Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging
? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc.
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace
? 05 SF Misc. ? 10 Multi. Add'l. 0 15 Deck
WORK TYPE
19 31 New ? 33 Alterations ? 35 Tenant Finish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Engineering
REQUIRED INSPECTIONS
? Site
? Wallboard
Basement sq. ft.
1st F1. sq. ft.
2nd F1. sq. ft.
Sq. Ft. total
Footprint Sq. ft.
On-site well
On-site sewage
Building
Variance
9 Footing
U' Final
? 16 Basement Finish
? 17 Swim Pool
? 18 Comm./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
? 37 Demolish
MWCC System
City Water
PRV Required
Booster Pump
Fire Sprinkler
Census Code ?3 y
SAC Code 0/
Census Bldg i
Census Unit o
Assessments
? Framing ? Insulation
? Draintile ? Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment Pi.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
valuation: $
SAC %
SAC Units
4
Jy 6,,i
V
GALIsi 1'14J
\ L,- :11
W
tiP p•. tto .?
-- I_
I---- e lie
pp ,e.
1.0
. ham`
s .y
irte
.?,t AIrJAS?G
IC F11T
J LoT I o
1JUISaX
)? \ o
I lop
,y \
1
WT 2
Qs a
0 x
1 /
5 ?
?i.o'.1
WAYNE D.
CORDES
-14675-
-LEGEND -
0 Denotes Iran Morxrmnt
A Denotes WoW Nib Set
x063.2 Denotes Existing Spot Elevation
rxs??w' a Denotes Proposed Spot Elevation
?,?-- Dhnofes Drainage Direction
-PROPERTY DESCRIPTION-
LOT 10 ,BLocx 2
according to the retarded plat thereof,
o
I
N
I
1
•'
OT '?v
L
I I
1 r
GIs ?
xspA L.=3'r l.i
• _?? 81oN.-I
101 PROPOSED GARAGE FLOOR ELEVATION-
PROPOSED Top of Block ELEVATION- 85,0
PROP05ED BASEMENT FLOOR ELEVATION- $bZ•O
NOTE: Verify all floor heights with Final House Plans.
am MUIFIC910-
I hereby certify that this survey, plan or report
was prepared by me or under my direct supervision
and that I am a duly Registered Lard Surveyor
urd r the laws of the State of Minnesota.
W Ask- "YCx?- Date: -----
Wayne D. Cordes, Minn. Reg. No. 14575
?Q?S?O b PLUMBING (RESIDENTIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
Please complete for: Single Family Dwellings
Townhomes and Condos when permits are required for each unit
Date
Site Address `?s ?A C\-L- S < . C c?C Q \ 4 c e_ Unit #
Property Owner
S ?? a-Co aX- k-1 k ti Telephone # ( )
\
Contractor a (
A
)a
-
Address (0 f -1 ?e-,
State L l? Zip ,7;; S -3 O Telephone # (tc m) '%O t - Sz F O
The Applicant is Owner Contractor Z-? Other
Septic System _ New - Refurbished Submit 2 sets of plans and MPC license $ 100.00
Includes County fee. Additional consultant fees may apply.
Alterations To Existing Dwelling Unit, Including $ 50.00
- Adding fixtures to lower levels or room additions, excluding water softener and water heater
- Abandonment of septic system
- Water turnaround (+ 5/8" meter if needed - $121.00)
Other: KZ-4 ?
-
-
c
c
_ RPZ _ new installation _ repair _ rebuild $ 30.00
= 1
'
- Lawn irrigation system '. \•
l ',
1
Water softener Water heater
i
- - 11
$ 15.00
replacement _ additional
V-
State Surcharge $ .50
Total $ 50
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; 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 ofplans.
Applicant's Printed Name Applicant's Signature
. jq ?w
2007 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
30.0
Njt?
Please complete for modifications to existing residential dwellings. Do not combine inside and outside
plumbing on the same application; separate applications and permits are required.
Date 1 / r )L /01
'
?}}
Site Street Address / " 1 ? C
4 . l_ VY IJI C 1 Unit #
Property Owner fob V a*m w ? Telephone # 61'AaSb 3P31
, Telephone # (jP I a 9b p (
Contractor V a, 4' 0) u
_
`'
Address')S C. S
? jAke 1? ??ya- city ?R` Actj/' State Zlp s?k
The Applicant is: _ Owner & Occupant Licensed Plumbing Contractor
Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee
$ 100.00
Per as-built $ 10.00
Fire Repair (replace burned out fixtures, etc.) $ 90.00
This fee applies when extensive plumbing repairs are made to a building.
Alterations to existing dwelling $ 50.00
_ Add plumbing fixtures to main level lower level. This fee includes
installation of a water softener and/or water heater at the same time. if you are
installing only a water softener and/or water heater, do not complete this section;
(s,) e
move to the next section and place a checkmark next f hr771
installing.
-Septic System Abandonment AU b 1 3 2007
-Water Turnaround (add $136.00 if a 5/8" meter is required)
Other:
Water Softener -Water Heater $ 15.00
- new _ replacement
awn Irrigation _RPZ PVB -new -repair -rebuild $ 30.00
State Surcharge $ .50
Total $el
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be
in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but
only an application for a permit, work is not to start without a permit and k will be ' accordance with the approved plan in the event
a plan is required to be reviewed and approved.
3 .VM /uf',
Applicant's Printed Name cant's signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA159048
Date Issued:11/19/2019
Permit Category:ePermit
Site Address: 3492 St Charles Pl
Lot:10 Block: 2 Addition: Hampton Heights
PID:10-31900-02-100
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Fixtures
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Mahamud A Mahamed
3492 St Charles Pl
Eagan MN 55122--123
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
EAGA
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651) 675-5675 i TDD: (651) 454-8535 I FAX: (651) 675-5
build i nqi nsoectionsta'�.citvofeaaan.com
JULECEIVIE
6 262
For Office Use.,, e../7
Permit* /
Permit Fee: 31/'•
Date Received:
Staff:
e
2020 RESIDENTIAL BUILDIN `MIT APPLICATION
Date: 07/16/20 Site Address: 3492 Saint Charles PL
Unit #:
Resident/
Owner
Name: Mahamed Mahamud Phone: 612-250-3537
3492 St Charles PI Eagan, Mn 55122
Address /City /Zip:
/.
Applicant is: Owner ✓ Contractor ' !� IJ-16i�'/it S
Type of Work
Remove existingdeck install 3 porch /
Description of work. s ason
Construction Cost: 38657 Multi -Family Building: (Yes / No ✓ )
Contractor
Company: Champion Windows Contact: Tim Wolf
Address: 5100 Hwy 169 N City: New Hope
State: MN Zip: 55428 Phone: 6125907424 Email: twolf@getchampion.com
License #: BC449672 Lead Certificate #: Nat-20968-2
If the project is exempt from lead certification, please explain why:
In the last 12 months,
Yes No
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
has the City of Eagan issued a permit for a similar plan based on a master plan?
If yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Fire Suppression Contractor:
Phone:
Phone:
Phone:
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.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
webslte at www.cltvofeauan.com/subscribe.
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.
CALL BEFORE YOU DIG. Call Gopher State One Cali 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.gooherstateonecall.orq
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 tart without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and
)(Timothy Wolf
Applicant's Printed Name
Applicant's Signa ure
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation
Single Family
Multi
01 of _ Plex
WORK TYPES
New
Addition
Alteration
Replace
Retaining Wail
DESCRIPTION
Valuation
Plan Review
(25%_ 100% )()
Census Code
# of Units
# of Buildings
Type of Construction
Fireplace
_ Garage
Deck
Lower Level
3yqa S/.Qh /1. /6677
Interior improvement
Move Building
_ Fire Repair
Repair
0
Porch (3-Season)
Porch (4-Season) _
Porch (Screen/Gazebo/Pergola) _
Pool
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
�( Footings (Addition)
" Foundation Foundation Before Backfill
Roof: _Ice & Water _Final
1(
Framing 30 Minutes ,(1 1 Hour
Fireplace: _Rough In Air Test _Final
Insulation
Sheathing
Sheetrock
Fire Walls
Braced Walls
Shower Pan
Reviewed By:
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Radio Meter Read
Copies
TOTAL
Siding
Reroof
Windows
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Accessory Building
_ Demolish Building*
Demolish Interior
_ Demolish Foundation
_ Egress Window Water Damage
*Demolition of entire building - give PCA handout to applicant
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Suppression Required
Meter Size:
Final / C.O. Required
Final / No C.O. Required
HVAC _ Service Test Gas Line Air Test _ Hood
Pool: _Footings Air/Gas Tests _Final
Drain Tile
Siding: _Stucco Lath _Stone Lath _Brick _ EFIS
Windows
Retaining Wall: _ Footings _ Backfill Final
Radon Control
Fire Suppression: Rough In _Final
Erosion Control
Other:
, Building Inspector
/P) (DA,
ege},(/
�Fso Yo
10, o
Page 2 of 3
!‘,7o(.77
a,„,
SIGMA
SURVEYING
SERVICES
3908 Sibley Memorial Highway
Eagan, Minnesota 55122 •
Phone: (612) 452.3077
-LEGEND
O Denotes Iran Monument
Denotes Wood Nub Set
Denotes Existing Spot Elevation
Denotes Proposed Spot Elevation
��---Disnotes Drainage Direction
x $63.Z
1,44
-PROPERTY DESCR!FT I W-
LOT i0 ,BLOC'( 2
. 14AMPTDN 4- eICAFre,
according to the recorded plat thereof,
• CAIKOTP County, Minnesota
Houma Cert4f icate For :
ELain
LARD DEVELOPERS
REALTORS
STA F Po AO -
4.ErsUOii
* WAYNE D. \
CORDES .1
`•--14675
40nrS,U `y`ti
PROPOSED GARAGE FLOOR ELEVATION=
8(A 1
PROPOSED Top of Block ELEVAT ION-0 6C55.0
PROPOSED BASEMENT FLOOR ELEVATION'. 810Z..0
NOTEd Verify all floor heights with Final Hasse Plans.
all/KM CERTIF!CAT Ip4-
1 hereby certify that this survey, plan or report
was prepared by me or under my direct supervision
and that I am a duly Registered Land Surveyor
urd r the laws of the State of Minnesota].
/t,,- 6-• CYL--- Date: 61318(0
Wayne D.rCordes, Minn. Reg. No. l4675