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3496 St Charles PlCity of Bain 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink Permit#: Id? Permit Fee: '43 -55 - Date Date Reccved:� Staff: 2011 MECHANICAL PERMIT APPLICATION Date Site Address: c SS 1 lidC..0 2 Tenant: Suite #: RESIDENT / OWNER Name: �T LCA; o Phone: LQ1--/ �� i Address / City / Zip:, iii 0 - —Ch; -ft k 121 Pi9Ccf1 Si CONTRACTOR Name:BURNSVILLE HEATING & A/C, INC. License #: 16S3 -Az.,) --- 13 3451 w.$WnSville Parkway Address: Suite 120 City: Burnsville, MN 55337 State: Zip: Phone: �-t et --L— 1 I Can 3 Contact: 'a {X Email: TYPE OF WORK New Replacement Additional Alteration Demolition Description of work: NOTE ste ed :and ground meted pi llical equip mens is r iuiir l bo s eened b + c s tans al In ter t , tlon +:tt1 fi PERMIT TYPE RESIDENTIAL Furnace COMMERCIAL New Construction Interior Improvement y)Air Conditioner Install Piping Processed Air Exchanger Gas Exterior HVAC Unit Heat Pump Under / Above ground Tank ( Install / Remove) I iQ Other (�1�0 K,l_611 Siler! t ** When installing/removing tank(s), call for inspection by Fire Marshal and Plumbing Inspector RESIDENTIAL FEES: Minimum Add-on or alteration to an existing unit (includes burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) ) `�° TOTAL FEE $5.00 State Surcharge) $ ` 0$55.00 $95.00 Fire repair (replace COMMERCIAL FEES: $75.00 Underground tank $55.00 Minimum (includes installation/removal OR State Surcharge) $10,010, surcharge is $ 5.00 surcharge increases by $.50 for each $1,000 Permit Fee requires a $ 5.50 surcharge) Contract Value $ x 1% = $ Permit Fee - If the Permit Fee is less than Fee = $ Surcharge - If the Permit Fee is > $10,010, (Le. a $10,010-$11,010 Permit _ $ TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Cali 48 hours before you intend to dig to receive locates of underground utilities. www.aopherstateonecali.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 ' the case of wgrk which requires a review and approval of plans. S eTtil t() combo() Applicant's Printed Name Applicant's Signature CITY OF EAGAN 16" - 3830 Pilot Knob Road, P.O. Box 21 -199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for Est. Value 1 aG Date JULY 3 9 j q Site Address Cr.AkLa PLACE Lot Block Sec/Sub. hAc*?"TON HEIGHTS OFFICE USE ONLY Parcel No. Occupancy FEES Zoning W Name CAW N LARDS (Actual) Const Bldg. Permit ? It, •'-'0 Address (Allowable) Surcharge 1.tC o City Phone 698-0137 # of Stories Length Plan Review p Name, Depth SAC, City 0< Address S.F. Total SAC. MCWCC City Phone S.F. Footprints - On Site Sewage Water Conn W w Name On Site Well Water Meter W = t S _ - Address em M WCC ys Acct. Deposit Q W City Phone City Water PRV Required S.,W Permit I hereby acknowlege that I have read this application and state that the Booster Pump SW Surcharge information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Treatment PI Signature of Permitee APPROVALS Road Unit A Building Permit is issued to: t:A', v P t-AR(;bS ` Planner i Park Ded. on the express condition that all work shall be done in accordance with all Counc l applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. Copies .1% „r' Building Official Variance TOTAL 7 3 3 Permit No. Permit Holder Date Telephone # WA;ER SEWER PLUMBING G G" j H.V.A.C. ELECTRIC q? ^' •?c?fiC (? f Inspection Date In Comments Footings I T- Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace 7 ctp/ ,v _ r?'_ Final Htg. Final Plbg. Const. Meter Plbg. Inspector - Notify Plumber Engr./Plan Bldg. Final n ?j A e-,, , j Deck Ftg. ?r EX t' - Deck Final r? Well Pr. Disp. CONTRACT PRICE Site Add-ws Lot I Phone Phone FEES COMMAND. FEE -1% OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDO - RES. RATE APLLIES MINIMUM - RESIDENTIAL FEE $12.00 MINIMUM - COMM.IND./FEE $20.00 STATE SURCHARGE PER PERMIT .50 (ADD $.50 S/C PER EACH $1,000 OF PERMIT FEE) FOR: CITY OF EAGAN PLUMBING PERMIT For C CITY OF EAGAN PERMIT # 3830 PILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT# PHONE 4548100 DATE: BLDG. TY? WORK Res. New - Mult. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL Water Closet - $3.00 $ Bath Tubs - $3.00 Lavatory - $3.00 Shower - $3.00 Kitchen Sink - $3.00 UrinaVBidet - $3.00 Laundry Tray - $3.00 Floor Drains - $1.50 Water Heater - $1.50 i Whirlpool - $3.00 Gas Piping Outlets - $1.50 (MINIMUM - 1 PER PERMIT) Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 PERMIT FEE: I o1 ' `? 1) STATES S/C: j GRAND TOTAL: °2 ?? REACTIVATE RR DECK - PLAN REVIE M 7/ 13/8tlTY OF EAGAN CIAO LAS 890-8186 0830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N2 12205 PHONE• 454 8100 BUILDING PERMIT - Receipt # i To be used for SF DWG Site Address 3496 S`. Lot 9 Block 2 ; Parcel No. Name rRONT I El W 3 9 08 S I1 Address o City EAGAN Phone 0 Name _ s Address ~ City Phone Q W Name r. Address u a City Phone Water & Police _ Fire - Eng.- Planner Fan Permit 325 . 0 Surcharge ' 0 Plan Review-575-.00 SAC 500.00 Water Conn. Water Meter ---PF7V7V-^ Council Road Unit I hereby acknowledge that I have read this application and statethat the Bldg. Off. 6/27/8 Tr. PI. x'00 information is correct and agree to comply with all appl' able State Minnesota Statutes and C? ct f=agan O APC Parks Var. Date Copies Signature of Permittee - L-???- $2,104.00 Total A Building Permit is issued to: FRONTIER MIDWEST HOMES on the express condition that all work shall be done in accordance with all applicable. State of Minnesota Statutes and City of Eagan Ordinances. Building Official $64,000 Date JUNE 27, 1986 . yg 'LACE Erect al Occupancy R3 )N HEIGHTSRemodel ? Zoning g1 Repair ? Type of Const t?- Addition ? No. Stories )MES Move ? Length HWY Demolish ? Depth 47 Int Impr. ? Sq. Ft Install ? Permit No. Permit Holder Date Telephone # Plumbing. L, C-c HMA.C. Q y? C 1 b Electric S011Mer Inspection Date Insp. Comments Footings I ?y Footings 11 Foundation Framing / 946- 420- 1 Roofing Rough Plbg. `. Rough Htg. IFIrsplace IFInal Htg. Final Plbg. /A Bldg. Final : -/ Icaft. Dec. I Deck Fig. ?j / Deck Frmg. Well Describe Location: IPF. Dlsp. PERMIT # MECHANICAL PERMIT RECEIPT # CITY OF EAGAN ' 3830 PIL OT KNOB ROAD, EAGAN, MN 55121 DATE: CONTRACT PRICE. PHONE: 454-8100 Site Address BLDG, TYPE WORK DESCRIPTION Lot Block Sec/Sub A N R ew es. Name lt Add- M on u Address air Comm Re c City Phone . p O h t er Name FEES L c Address RES. HVAC 0-100 M BTU -$24.00 p City Phone 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 M BTU COMMAND 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 SAC. TOTAL FOR: CITY OF EAGAN Site Lot. Name W Addre c City _ Name 3 Addre O City - 7 PLUMBING PERMIT CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN SS121 PERMIT # 787.3 RECEIPT # DATE FEES COMMAND FEE - 1% OF CONTRACT FEE MINIMUM - RESIDENTIAL FEE _$10.00 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. TYPE WORK DESCRIPTION Res. New Muff. Add-on Comm. Repair Other NO, FIXTURES TOTAL Water Closet - $3.00 - $ ? • () O 7 Bath Tubs - $3.00 n_ C 4 Lavatory - $3.00 Shower - $3.00 =Kitchen Sink - $3.00 Urinal/Bidet - $3.00 = Laundry Tray - $3.00 / _ Floor Drains - $1.50 = Water Heater - $1.50 Whirlpool - $3.00 -Gas Piping Outlets - $1.50 n? !Softener - $5.00 Well - $10.00 Private Disp. - $10.00 =Rough Openings - $1.50 FEE - ' STATE S/C: - GRAND TOTAL- ' ?` CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 e RECerveo FROM t' ! 1. AMOUNT $ s a, DOLLARS goo p CASH HECK FrOR 4? ) BY e,riG ?n l l White-Payers Copy Yellow-Posting Copy Pink-File Copy Thank You G J BLDG. PERMIT NO. 01-3210 Bldg. Permit 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 Permit 20-3743 Sewer Permit 79-3866 Sewer Conn. 11-3855 Park Ded. TOTAL I i f ITY OF EAGAN SEWER SERVICE PERM Pilot Knob Road P. O. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: I _ .. F. ing: ?:I No. of Units: I r Frontier 'fidwest Address: Charles Place 1-9 B2 ilampton Heights Site Address: 3496 St. ..tar rlumhlni- Plumber: 109reeft Ql,IME01 Y of I yr r r yr cs%umn 3830 Pilot Knob Road P.O. Box 21199 Eagan, MN 55121 Zoning: R1 Owner. Front l er Address. Site Addess: 3496 SL _ charl Pc Plumber: Star Plumhing? Meter No.: Size: Reader No.: I agree to comply with the City of Eagan Ordinances. By WATER SERVICE PERMIT PERMIT NO.: PnPt; DATE: 10-?0-RA - No. of Units: 1 P1s;rP I.4 '0 T?aftn1-nn HQ4g,r - Connection Charge: SOIL QQpd - Account Deposit: i5.OclPd _ Permit Fee: i!1 t14T Surcharge: 910r- Misc. Charges: t 56 nn O T H Total: 6:3. 59H _ Date Paid: CITY OF EAGAN 3930 Pilot Knob Road WATER SERVICE PERMIT P.O. Box 21199 PERMIT NO.: 9996 Eagan, MN 55121 DATE 19 20 96 Zoning: FQ No. of Units: Owner -'--? -• At le FrG . w - Address: Site Addess: Plumber. - - W A Meter No.: o on Charge: - Slze: " -k Reader NoO70 2 00re Igglit 1 agree to compkwith ihs t%WQ t?Fil 9: F? rcharge: REQU1REDli? ? - 63. 5OTM r Date Paid: Insp.: Cc3crnen`? -? ? 95945 s 1 - ° ? ? _ 1 7tou c ms Request bate fire No. Rough-in Inspection Required? Inspector ? Ready Now ft Yes 0 NO .n an Ready? a I ? licensed contractor owner hereby request inspection of above electrical work at: Job Address (Sweet, Box or Route No.) City Section No. T ownship Name or No. Range No. County 1 ?q Occupant (PRINT) Phone No. G.?,ey ??er?- r Sri Power Supplier / ( ?`G 14 1 Address Electrical Contractor (Company Name) ContraCOr9 License No. D wNE Mailing Address (Contractor or Owner Malting Installation) 5 R rn '-0- Authorized Signature (Contractor/Owner Making Installation) Phone Number MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Grigga-Midway Bldg. - A. S-IM BE ACCEPTED BY THE STATE BOARD 1821 Univerelty Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 6420800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION //??EB-00001 or ? See instructions for completing this form on back of yellow copy. ' Cv/,?/ „?r ? 4 5 ' X" Below Work Covered by This Request New Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner • Other(specity) Contrautor5 Remarks: ?C•??YLT 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 _ ttpve 100 _ Amps Signs Inspectors Use Only: - G? TOTAL Syr Irrigation Booms 30 -? Special Inspection Alarm/Communication `- - Other Fee 4V I, the Electrical Inspector, hereby certify that the above inspection has been made. Rough-in Final o r Z?? 42 474 OFFICE USE ONLY t' This request void 18 months Tram This request void 18 months from C62104 L 0'f OC x.17 O G' 77 Lrara "'a no. ouPn-m mspecoon /,.// egmr Ready Now III NntifY InsDec- ' / 1 es ? N. for When Ready &L-11c'ensed Electrical Contractor 1 hereby request inspection of above ? Own'e'r electrical work installed at: Str t Ad ressss. Soon. or Ro No. 9 City //?! *A) ? ?7 Section No. Towns Name or No. Range o. County O an PRINTI ti W ?S _ q - o_6?33 )7/CJ Power S Plier Atltlress Electrical Contractor (Company Name) Contractor's License No. Q M L1p{Sdt ontractor or Owner Making Installation) 1i?Vjjff CK 'L C Authari t PLC?' c ra 1 wner aking Installation) APP K LANE Phone Number MINNESOTA STATE BOARD OF ELE GRRYCITI„) i THIS INSPECTION REQUEST WILL NOT Grippe-Midway Bldg. - Rom N-181 124 BE ACCEPTED BY THE STATE BOARD o 1871 University Ave.. St. Paul. MN 66104 UNLESS PROPER INSPECTION FEE IS Phone/612)642-0600 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION Ee--000011-0s Ili, See instructions for completing this form on back of Yellow copy. is 4 X" Below Work Covered by This Request llihswl(.i1 Rep. Tvoa of Building _ Auplicoces lifted Equipment Wired I # Fee Service Entrance Size # Fee Feeders/Subfeeders # .fee Circuits 0 to 200 Amps 0 to 30 AMPS O to 30 Ant Above 200 Amps 31 to 100 Amps 31 to 100 A Swimming Pool Above 100-Ams Above 100_Am s Transformers Irri ation Booms Pa rtia L'Other Fee Signs Special Inspection emarks TOTAL F.EE II, thpe Electrical Inaec for. hereby certify that the above inspection has been made. request 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 122 , I 3830 PILOT KNOB RD • SS / 4 11 3 651.681-4675 to 10 Q--i - ? (7 New construction Reaulrements 60 l?q ql Remodel/R > 3 registered site surveys showing sq. ff. of lot. sq. it. Of house U 2 copies of plan and gp roofed areas (20% maximum lot coverage allowedl I set of energy calculations for heated additions > 2 copies of plans (show beam & window sizes: poured Ind. design: etc.) I site survey for exterior additions ?k decks > I set of energy calculations > 3 copies of free preservation plan If lot planed offer 7/1/93 DATE: Z' 00 CONSTRUCTION COST: DESCRIPTION OF WORK: STREET ADDRESS: 3496 VSt cte 1 (ct cB- LOT: 9 BLOCK: Z SUED./P.I.D. #: NaT 6 4 c PROPERTY OWNER CONTRACTOR ARCHITECT/ ENGINEER Name: Larl c GGrv j0wnt4 Phone#: GS "688' 013 Lab - 1 I? Flrsl Sheet Address: Et CI,C"LS P141C-e-- / City F-Agan State: Zip: ?- Company. Phone #: _ (area code) Street Address: Ucense # -EXP. City State: Company: Name: Telephone #: ( ) Street Address: Registration #: City State: Sewertwater licensed plumber (if installing se"dwater): Phone #: Zip: Zip: I hereby acknowledge that 1 have read this application, slate that the Information is coned, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant. -il-139 OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes - No Zr Not Required OFFICE USE ONLY BUILDING PERMIT SUBTYPES ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 21 Porch (3-sea.) ? 02 SF Dwelling ? 08 06-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 03 01 of _ plex ? 09 07-plex X 18 Deck x 23 24 Porch (screened) D e St ? 04 02-piex ? 10 08-plex ? 19 Lower Level ? orm amag ? 05 03-plex ? 11 10-piex P1bg Yor_N ? 25 Miscellaneous ? 06 04-plex ? 12 12-piex ? 20 Pool ? 30 Accessory Bldg. WORK TYPE ? 31 New ? 36 Move Bldg. ? 43 Reroof 32 Addition ? 37 Demolish (Bldg)' ? 44 Siding p 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 (91 # of Stories sq. ft. No. of Units Length sq. ft. No. of Buildings Width Footprint sq. ft. Const. (Actual) Basement sq. ft. Census Code (Allowable) Main level sq. ft. MC/ES System UBC Occupancy ",t, sq. ft. 3 2c? City Water Zoning sq. ft. Booster Pump PRV Fire Sprinklered MISCELLANEOUS INSPECTIONS ? Stucco/Stone APPROVALS Planning Building DLJLA?l/ Engineering Variance ? 31 Ext Aft - Mufti ? 33 Ext. Aft - SF ? 36 Mufti it Permit Fee ?9 Z_, Valuation: Surcharge Plan Review 2 (o - C e M MC/E /ES SAC City SAC Water Conn. Water Meter UIV- Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: (??° $ 170 3;- 0)r 30 4, Pt7 SAC Units % SAC SIGMA SURVEYING SERVICES 3906 Sibley Memorial Highway Eagan. Minnesota 55122 Phone: (612) 452.3077 7 7GALE: I"a 401 \? V n 0 /Co "' 10U84 Certificate For: HOME 6UnDERS ,NANO OEVElOOERS REALTORS TIER COMPANIES' 7 1 .L)` ' 5gapOrO3N G-5S.0-1 W. /?'= _ ? ? RAINAC?t3 Ut! LI?Y EASM'T. LOT Cl 4jo I ?L\ , P. ,?) m M r- 0 ?--? < < 3 Re`s <ei- 00 5?: CHAIRLE5- " PLACE x 6z° N / ?P /ZS D + X too, >'?T,1IiM? „?u sf, I YJAYNE D. CORDES u • opt ll l i. ,? f0 i0. `AGC .? - 00 ? --14675- -LEGEND O Denotes iron Morwirnt a Denotes Wood Htb Set x 863.0 Denotes Existirg Spot Elevation (x NbW4 Denotes Proposed Spot Elevation ,.- Denotes Drainage Direction .PAOpEW DESCRIPTICN- LOT01 ,& XK }}EIraMTS according o the recorded plat thereof, , Minnesota ' r. MoDEI STAFFoRa L,7-r 74 L-, ?hA? J 1- 1 'o ?` Spa 1 'c LJri LJ I I? I LCD 17 Ric' $,_ 104.7 PROPOSED GARAGE FLOOR ELEVATION= PROPOSED Top of Block ELEVATION- 565,0 PROPOSED BASEMENT FLOOR ELEVATION- 862.0 w?a Verify all floor heights with Final Howe Plans. §11 CER'TIFICAT1 - I hereby certify that this survey, plan or report was prepared by me or under my direct supervision and that 1 am a duly Registered Lard Surveyor under the laws of the State of Minnesota. ?. Date: 6/4166 Mayne D. Cortices, Minn. Reg. No. 14575 / RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 1 651-681.4675 1 New Construction Requirements • 3 registered site surveys showing sq. ft. of lot. sq. ft. of house: and all roofed areas (20% maximum lot coverage allowed) • 2 copies of plan showing beam & window sizes; poured found desgn, etc.) • 1 set of Energy Calculations • 3 copies of Tree Preservation Plan if lit platted after 711M • Rim Joist Oetad Options selection sheet (bldgs with 3 or less units) DATE IU - IC -4 ')- SITE ADDRESS 3 41 QC. '57-?. G 1,1 TYPE OF WORK 5 f5A ( RemodeffReoair Requirements • 2 copies of plan • 1 set of Energy Calculations for heated additions • 1 site survey for exterior additions & decks • Indicate if home served by septic system for additions VALUATION C)OC? MULTI-FAMILY BLDG -Y "IN FIREPLACE(S) - 0 I - 2 APPLICANT G f /be y-f Sv 'I-j 46 AJ 5Jv t/ r u rJ Of M 1J STREET ADDRESS 1(t7 11I &rw J AV C CITY'yw"'G krld? STATE/rkr' ZIP SSo5"7 TELEPHONE # -4&7-(. S'o -077U CELL PHONE # 612-1 7r-( 300 FAX # PROPERTY OWNER C24 -!I t-&.r yer TELEPHONE # COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ ytINNE,SOTA RULES 7670 c.,\TEGORY I _ MINNESOTA RULES 7674 (V submission type) • Residential ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: Phone # Plumbing system includes: - Water Softener - Lawn Sprinider Fee:1 890.00 Water Heater No. of R.I. Baths No. of Baths Mechanical Contractor: Phone # Mccllvlical system includes: Air Conditioning -Fee: 570.00 Heat Recovery System Sewer/Water Contractor: Phone # I hereby acknowledge that I have read this application, state that t information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan din ces. Signature of Applicant OFFICE USE ONLY 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 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Mufti ? 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 _ IIVAC _ 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 , Building Inspector 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 RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 4 ` 1 3830 PILOT KN06 RD, EAGAN MN 55122 651.681-4675 New Construction Requirements • 3 registered site surveys showing sq. R. of iot sq. d, of house, and all roofed areas 20% maximum lot coverage allcwed) • 2 copies of plan showing beam & .vindow sizes; poured found design, etc.) • t wet of Energy Calculations • 3 copies of Tree Preservation Plan :f lot waded after 711193 Rim Joist Detail Options selection sneet Ibldgs with 3 or less units) DATE RemodellReoair Reg uirements • 2copies of plan . I set of Energy Calculations for heated additions • I site surveyor exterior additions d decks • Indicate it home served by septic system for additions VALUATION 4 a l e3 SITE ADDRESS ` Y qb ST- CXF21_bS A ll MULTI-FAMILY BLDG _Y ? N TYPE OF WORK_ Rw 3- c z o(0 w wlernoS bas ?C r tbPUa d 6ac,rroSS7b FIREPLACE(S) _ 0 T 1 - 2 APPLICANT "(-?S CAZf ,2S CwATIA ,Ix3G- STREET ADDRESS lto? cr Ra lq CITY t0l00,A STATE 1N1?J ZIP SS36U q??-997J- 2411y TELEPHONE # 9S? c11Z S?ls CELL PHONE # (,1_-369 '2,,U6 FAX # PROPERTYOWNER Cpw+ Iw2665 TELEPHONE# 65I- 6!Ei8- 013 COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA W.rLE.S 7670 CA 1EGORY I _ NIINNES )"t-A itll 7672 (v' submission type) • Residential Ventilation Category 1 Worksheet Submitted New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: __-_-------- __ Phone n Plumbing system includes: _ Water Softener Lawn Sprinkler Fee: $90.00 Water Heater No. of R.I. Baths No. of Baths Mechanical Contractor: Phone # Medial system includes: Air Conditioning Fee: 870.00 -- Heat Recovery' System Sewer/Water Contractor: Phone D -----------°°-----------------------------°°--------------------------------------- iUl 2Q{}?-- - ------- I hereby acknowledge that I have read this application, state that the information orrect. gree omply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Y Signature of Applicant OFFICE USE ONLY 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 Accessary Bldg ? 02 SF Dwelling ? 08 06-plex X 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 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 Pibg_Y or _ N x 25 Miscellaneous J,,w ' 0WJ ? 31 New ;1'- 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 ;K 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) _ FinaLNo C.O. Footings (addition) _ Plumbing _ Foundation HVAC _ Drain Tile _ Other Roof _ Ice & Water _ Fi nal _ Pool _ Ftgs _ Air.%Gas Tests _ Final Framing Siding Stucco Stone Fireplace Y R.I. ? Air Test a' _ Final _ _ _ Windows (new/replacement) 7 Insulation r _ Retaining Wall Approved By Building Inspector 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 r-A-atev P6,n-c-c U 0,t? V,-(N0 01&,? RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 851-881-4675 New Coneaucifon Reaubemems • 3 registered site surveys showing sq. N. of lot, sq. ff. of house; and 12 roofed areas (20% maximum lot coverage allowed) • 2 copies of plan showing beam & window sizes; poured found design, at.) • 1 set of Energy Calculations • 3 copies of Tree Preservation Plan it lot platted after 711193 • Rhin Joist Detail Options selection sheet (lodge with 3 or less units) OL I ?_ DATE Old (2 SITE ADDRESS (` t0 ?`? C { l 0) TYPE OF i.2. APPLICANT I`h f` j2 R I (1A, t_". O V R P_ h / STREET ADDRESS :3 K!;-(-) g /i b TELEPHONE #q5, q 12CELL PHONE # PROPERTY FAX # TELEPHONE # COMPLETE THIS SECTION FOR -NEW RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 _ MINNESOTA RULES 7672 (J submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted - Energy Envelope Calculations Submitted Plumbing Contractor: Plumbing system includes: Water Softener Water Heater No. of Baths _ Phone # Lawn Sprinkler No. of R.I. Baths Mechanical Contractor: rile da &)rP1(?r Mechanical system includes: _ Air Conditioning Heat Recovery System Sewer/Water Contractor: Phone # Phone # --? () -0 o Fee: $90.00 Fee: $70.00 I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordi ces. Signature of Applicant OFFICE USE ONLY 'gazIP 5 MULTI-FAMILY BLDG _ Y _ N ruin FIREPLACE(S) _ 0 X 1 _ 2 Remodet/Reoeir Reaulremente • 2 copies of plan • l set of Energy Calculations for heated additions • 1 site survey for exterior additions & decks Indicate it tome served by saplk; system for addttbns VALUATION V00J-) 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. A@ - Multi ? 03 01 of. plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. AR- SF ? 04 02-plex ? 10 08-plex , ? 18 Deck ? 23 Porch (screened) O 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex O 12 12-plex Plbg_Yor_ 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/Doom ? 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 N 2 _ 12205 BUILDING PERMIT - * PHONE: 454-8100 Receipt p bygq 7 . To be used for SF DWG/GAR Est Value $64,000 Date JUNE 27, 1986 tg_ Site Address 3496 ST. CHARLES PLACE Erect )] Occupancy R3 Lot 9 Block 2 Sec/Sub. HAMPTON HEIGHTSRemodel ? Zoning R I Repair ? Type of Const. Viet Parcel No. Addition ? No. Stories r< FRONTIER MIDWEST HOMES Move El 40 Length Name Demolish ? Depth 47 z 3908 Address SIBLEY MEMORIAL HWY Int Impr. ? Sq. Ft. City EAGAN Phone 454-0433 Install ? o SAME Approvals Fees z Name $ 325.00 U 4 Address Assessment Permit 32.00 City Phone Water & Sew. Surcharge Police Plan Review 162.50 w W Name Fire SAC 575.00 xa Address Eng. Water Conn. 500.00 a W City Phone Planner Water Meter 63.50 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all ap cable Stat Minnesota Statutes and Ci agan yces: Signature of Perm itte A Building Permit is issued to: FRONTIER MIDWEST HOME all work shall be done in accordance with all applicaglgtState of Minnes z Council Bldg. Off. 6/27/8E APC Var. Road Unit 290.00 Tr. PI. 156.00 Copies Total $2,104.00 on the express condition that City of Eagan Ordinances. Building 57z?FF? S SA'00 LARGES 12w ?, I- -_ 1986 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN COMMERCIAL SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF ARCHITECTURAL INCLUDE 2 SETS OF PLANS & STRUCTURAL PLANS, 1 SET OF 3 CERTIFICATES OF SURVEY SPECIFICATIONS AND 1 SET OF 1 SET OF ENERGY CALCULATIONS ENERGY CALCULATIONS- $2,000 LANDSCAPE BOND C-Ielo x5 To Be Used For: Sinele_FajRi,ly _ Valuation: _ Date; une 20, 1986 A r r Site Address 3496 - hharles Place OFFICE USE ONLY Lot 9 Block 2 Erect Z Occupancy /ZS Remodel Zoning '/ - Parcel/Sub HAMPTON HEIGHTS Repair Type of Const SC/ Addition # of Stories Owner LARGES, GARY & CHERYL Move Length Demolish Depth Z Address 13401 Morgan Ave. #218 Int.Impr. Sq Ft _ Install City/Zip Code Burnsville, MN. 55337 ---------- - --------------- ------ Phone 890-8186 APPROVALS FEES Contractor Frontier Midwest Homes Corp Address 3908 Sibley Memorial Highway City/Zip Code Eagan, MN. 55122 Phone Arch. /En Address City/Zip Assessments _ Permit 32S Water/Sewer Surcharge ;?z Police Plan Review - /6 7,5Z? Fire SAC >r Engr Water Conn 5z?o Planner Water Meter Council Road Unit j 9D Bldg Off 2 r1 reatment Pl _ APC Parks Variance Copies TOTAL : C/ Phone # NOTE: ADDRESSES FOR CORNER TATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. i SIGMA - House certificate For: NOME OUILOERS I.ANO DEVELOPERS SURVEYING ion a REALTORS SERVICES F"TIER COMPANIES \ 3908 Sibley Memorial Highway_ Eagan, Minnesota 55122 Phone: (612) 4523077 M ", STAFFORD LC 1'=401 LLi ?+ ` t' ^ 9,58201 o7J/1w ap 5 3• D eM rte- ?? i .1c ? 4 1 ? U T I txrY 1 LP EA?SM'T. .-1 J UI m NO ,< N S / "-PLACE X 62° r. LO T N /?? is, o `y .S 4A N In X ? 1ylp I I X g6z.o r I? ^III I GARAGE ° 6+Ax'?? tivy? E'tew w8 sp '6, OO _..v 1, Le `r -LEGEND- - Denotes Iron MorEnent m Denotes Woad Hub Set x 863.0 Denotes Existirg Spot Elevation (xAAbWrll Denotes Proposed Spot Elevation .,?Denotes Drainage Direction -PADPERTY MSCRIPTIGV- LOT 01 , BLOCK ?, 9$MF t"ON +Felfal+T5 according to the recorded plat thereof, County, Minnesota WAYNE D. CORDES -- 14675 - O gq°.0 C? Z7 PROPOSED GARAGE FLOOR ELEVATION= S?`+•0 PROPOSED Top of Block ELEVATION= 865,0 PROPOSED BASEMENT FLOOR ELEVATION= ROT- Ito/0 Verify all floor heights with Final House Plans. 41AVWZ OffIFIC/ITIfXV- 1 hereby certify that this survey, plan or report was prepered by me or under my direct supervision and that I am a duly Registered Land Surveyor under the laws of the State of Minnesota. 6, `A' °4- Date: 6/4/86 Wayne D. Cordes, Minn. Reg. No. 141575 CITY OF EAGAN N4 16730 3830 Pilot Krab Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE: 454-8100 Receipt # Oi 747/ & n To be used for BASEMENT Est. Value $1,500 Date JULY 3 J R 89 Site Address 3496 ST CHARLES PLACE Lot 9 Block 2 Sec/Sub. HAMPTON HEIGHTS OFFICE USE ONLY Parcel No. Occupancy FEES Zoning W Name GARY R LARGES (Actual) Const Bldg. Permit 36.00 Address SAME (Allowable) 1.00 h S o City Phone 688-0137 u of Stories urc arge - Plan Review Length o Name SAME Depth SAC City 04 0 Address S.F. Total , 0, City Phone S.F. Footprints SAC, MCWCC Water Conn On Site Sewage Name on sae well Water Meter P l Address MWCC System i l Acct. Deposit City Phone City Water - S/W Permit PRV Required I hereby acknowlege that I have read this application and state that the Booster Pump SNd Surcharge information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Treatment PI <?? APPROVALS Signature of Permitee Road Unit A Building Permit is issued to: rARV R i ARGES Planner Park Ded. on the express condition that all work shall be done in accordance with all Council applicable State of Minn eso Statutes and Ci f Eagan Ordinances. Bldg. Ox. Copies $37.00 Building Official Variance TOTAL 1989 BUILDING PERMIT APPLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS gDLTIPLS DWELLINGS 2 SETS OF PLANS 3 REGISTERED SITE SURVEYS 1 SET OF ENERGY CALCS. MULTIPLE DWELLINGS RENTAL UNITS COMMERCIAL 2 SETS OF ARCHITECTURAL i STRUCTURAL PLANS i SET OF SPECIFICATIONS 1 SET OF ENERGY CALCS. FOR SALE UNITS 1 OF UNITS NOTEt ADDRESSES FOR CORNER LOTS - CDNTRACTORMOUMEOWNER MST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS-ISSUED-- SEVER 8 WATER PERMIT FEES AND ACCOUNT DEPOSIT FEES WILL BE INCLUDED WITS THE BUILDINO PERMIT FEE. PROCESSING TIME FOR SEWER AND WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED INDICATING A LICENSED PLUMBER. PENALTY APPLIES WHEN: PERMIT IS NOT PAID FOR IN SAME MONTH IT IS REQUESTED. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. '4#* 2 9 > 4 fi.?isyi? 06? To Be Used For: Valuation: Site Address 35s6 y7cfi92lls?L. Lot '/ Block 2 Parcel/Sub Owner G-??PV .? G? eGEs Address 3?f9G sT c9izGGf ?L City/Zip Code Phone 6&-Ff Contractor SEaG Address City/Zip Code Phone Arch./Engr. _ Address City/Zip Code Phone i 2 SETS OF PLANS REGISTERED SITE SURVEYS - (CHECK WITH BLDG DIV.) 1 SET OF ENERGY CkLCS. 15 00 - SUN s ,?d9 Date: /zZZ42 Occupancy Zoning Actual Const Allowable i of stories Length Depth S.F. Total Footprint S.F. On site sewage On site well MWCC System City water PRV required Booster Pump _ FEES Bldg. Permit 3?• 00 Surcharge I,r)o Plan Review SACt City SAC, MWCC Water Conn Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Copies SUBTOTAL Penalty TOTAL APPROVALS Planner Council Bldg. Off. ?=qzq Variance X2/84 4 ?- - CITY OF EAGAN (i4i1 APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION (PLEASE PRINT) 1) PR0P= ADDRESS: "I LEGAL DESC JPTIC 1: (Lot/B10ck/SL...aivisicn or ax Parcel I.D. N=oer) IF E:a-z '=;G ST=MME, DATE OF CRIGZT-Z?L u ITyDI :G Pte: ST ISSN?\C: PPr i :?' ::^, T. p.--nPOSa-) USE: A R-1 Si GLEE FAMILY ? R-2 CUP= (T:') UNITS) ? R-3 M.,71?_CUSE (TI?p^ + UNITS) ( UNITS) ? R-4 AP T TM ^ T/CC:7JC •Lr 7IL?q ( UNITS) ? M-2,ERCL7eL/RETAIL/OFFT_CE ? LITUCSTRLU ? MTTSTITGTICN L/GOVMT.?E:?"T 2) APPLIC=:,T (PLEASE PRINT) N7V•IE: Frontier Midwest Homes Corporation ADDRESS: 3908 Sibley Memorial Hwy. Bldg. E CITY, STATE, ZIP: Eagan, MN. 55122 PHONE: 454-0433 3), ' pu:mBE4 ??''?: (PLEASE PRINT) Star Plumbing FOR CITY USE ONLY ADDRESS: 1018 Mound Springs Ter. PLUMBERS LICENSE: C A ti CITY, STATE, ZIP: Bloomington, MN. 55420 - ,f c ve C= Expired PHONE: MA?ILA 884-4149 U4RER LICENSE N 3329 pA 0 Not of Record ' an' na:a ADDRESS: 7??/ Q CITY, STATE, ZIP: ?() /?)S y! Ll.? + AA L S-. ?; 7 PHXrE: 5) MDICATE WHICH PE?%UT IS BEING REQUESTED: - ydI CONNECTION TO CITY SEWER Please mail gold copy to CONNECTION TO CITY WATER Wenzel mechanical ? 0711ER (PLEASE DESCRIBE) 3600 Kennebec Dr. Eagan, MN. 55122 P*.rASE HOLD APPROVED PERMIT FOR PICN-UP BY ONE OF ABOVE \ \ PIEASEIIM4^ APPROVED PEF_UT TO 1, 2 3, 4 ABOVE ( lI (Circle one) 7) ' SIG A7L;Ri E: 4, DATE: Xo- - ?f?RA:?IM ?JYi1?,il?gfal?ffSKO ?riii?tiii:aa!!lllfRly!!O!li?lgr F O R C I T Y U S E O N L Y PERMIT °- ISSUED FEES: $ S S S S S S S S S $ S S $ S S SE! ER PERMIT (I`iCL:P, SURCHr.RGc) WATER PEl.UlIT (INCLUDE SURCHARGE) WATER METER/COPPERHORN/OUTSIDE READER WATER TAP (INCLUDE CORPORATION STOP) SEWER TAP ACCOUNT DEPOSIT - WATER WAC SAC TRUNK WATER ASSESS:L.NT TRUNK SEWER ASSESS: ENT LATERAL BENEFIT/TRUNK SE-= LATERAL BENEFIT/TRUNK WATER WATER TREATMENT PLANT SURCHARGE OTHER: TOTAL AMOUNT PAID/RECEIPT n DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? C 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: O+W sMMUM iW!.kww!Mwwww.w wfwwwVt+0&w14WigwsqMUM wWwWjovwlaMawwwlmw" CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION NOTF: PAYMU1T OF FEE AT TIVE. Or% APPLICATION DOES NOT COrSTIlUTE APPROVAL OF PERMIT. INSPECTION OF SEWER AND/OR WAS INSTALLATIONS WILL NOT BE SCHED- 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: (month/Year) COMMERCIAL/RETAIL/OFFICE INDUSTRIAL INSTITUTIONAL/GOVERNMENT 0 M ? R-1 R-2 R-3 R-4 SINGLE FAMILY DUPLEX (Two Units) TOWNHOUSE (Three + Units) APARTMENT/CONDOMINIUM ( Units) ( Units) 2) NAME: ADDRESS: CITY, STATE, ZIP: PHONE: 3) c: NA For City Use ME: Plumbers License: ADDRESS: Active CITY, STATE, ZIP: PHONE: MAST ER L ICENSE# Expired Not recorded Staff Initial 4) • • i:? NAME: ADDRESS: CITY, STATE, ZIP: PHONE: 5) Fir., w :r •? :a •a? :. - n CONNECTION TO CITY SEWER CONNECTION TO CITY WATER OTHER_ 6) . • i' 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. r• FOR CITY USE ONLY PERMIT # ISSUED Pd w/Bldg. Permit FEES: $ SU $ SEWER PERMIT (INCLUDE SURCHARGE) $ / O. SU $ WATER PERMIT (INCLUDE SURCHARGE) $ $ WATER METER/COPPERHORN/OUTSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP TT $ $ ACCOUNT DEPOSIT - SEWER $ S $ ACCOUNT DEPOSIT - WATER $ $ WAC $ J 7J (D-?-) $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ $ WATER RE T N RCH R T A MENT PLA T SU A GE $ $ OTHER: $ i3elS+ J o $ TOTAL . 6 y?) y 7 RECEIPT RECEIPT 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 ENGINEERING NO Q DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: TITLE: G DATE: ?d?? (J -111` 2006 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements 3 registered site surveys shaving sq. ft of lot, sq. ft. of house; and all roofed areas (20% maximum lot coverage allowed) 1 Soils Report if proposed building is to be placed on disturbed soil 2 copies of plan showing beam & window sizes; poured found design, etc. 1 set of Energy Calculations 3 copies of Tree Preservation Plan If lot platted after 71153 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Minnegasco mechanical ventilation form Remodel/Repair Requirements 2 copies of plan slowing footings, beams, joists 1 set of Energy Calculations for heated additions 1 site survey for additions & decks Addition - indoate if onsde septic system Date e?9 / 07 Construction Cost Site Address ?yY? ST G?S?- GGS ?G, Unit/Ste # Description of Work Multi-Family Bldg _ Y Fireplace(s) _ 0 _ 1 Property Owner z Telephone # (?X;, S/) Contractor Sd-Z Address State Zip City Telephone # ( ) COMPLETE THIS AREA ONLY IF Energy Code Category - Minnesota Rules 7670 CategM 1 • Residential Ventilation Category 1 Worksheet (J submission type) Submitted • Energy Envelope Calculations Submitted _ Minnesota Rules 7672 New Energy Code Worksheet Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? - Y _ N If yes, date and address of master plan: Licensed Plumber A NEW BUILDING Upe j Telephone #( I I'' I '? i I I 1. Mechanical Contractor I Sewer/Water Contractor Telephone #( Office Use OnN Cart of Survey Recd -- _Y _N Soils Report _Y _N Tree Pies Plan Recd _Y _N, Tree Pres Required' - _Y _N On-sue Seplic:System,,; Y. _N . Telephone #( ) I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; 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. ?2,2y l?,ec c-s Applicant's Printed Name Applicant's Signature DO NOT WRITE BELOW THIS LINE Sub Types ? 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 Ext. Alt - SF ? 04 02-plex ? 10 08-plex J? 18 Deck ? 23 Porch (screen/gazebolperola) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair X 33 Alteration ? 37 Demolish Building` ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant Description: Water Damage _ Yes Valuation Occupancy l?- 3 MCES System Plan Review 100% or _ 25% Census Code L/3 y Zoning City Water SAC Units - Stories - Booster Pump # of Units Sq. Ft. PRV # of Bidgs - Length Fire Sprinklered ' Type of Const Width REQUI RED INSPECTIONS _ Footings (new bldg) _ Sheetrock Footings (deck) Final/C.O. _ Footings (addition) FinaUNo C.O. _ Foundation _ HVAC Drain Tile Other _ Ice & Water Roof Final Pool _ Ftgs _ Air/Gas Tests -Final _ _ _ Framing _ _ Siding _ Stucco Lath _ Stone Lath -Brick R.I. Air Test Fireplace _ Final _ Windows _ _ _ Insulation ?- _ Retaining Wall Approved By: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total Building Inspector Jf> -t WNIN% SIGMA l 401 . /./'` 'SCALE; t(viN(,7 [??(?J V 0K q? J? ., ,11 1 ;. LOT 9 Q `A V) / p fry',• OIpU ++ C'140' ?I??IISeIyp ?o ° 1; 15 , IPcARAOE' it Va. -1 5 x$630 s 001, , 'l _n B UI?VEYIIYG SE SERVICES 3908 Siblo y Memorial Highway Eagan, Minnesota 55122 Phone: 1612) 452.3077 ?L m rri S/ 1 /?- v 96 ?0 ? / s Ira sr cNI?R?ES, 00 ? PLACE x 62° 1 r?-r WAYNE D. GOPDE°, (louse Certificate For: NOME6UILOERS. ft DEYELOPERS WINW REALTORS R rfth - 3 8°201 05 of L513.07 W? RAINACa6 I l t-I I Y 1 .P ,o -14675- - -LEGEND O Denotes Iron Maxnent W Denotes Flood Nub Set x 863.0 Denotes Existirg Spot Elevation WO Denotes Proposed Spot Elevation (x ?b°1 _--Denotes Drainage Direction .PROERIY DESCRIPfIGN1- LDr-ft-,BLcs ?._ "MPTOh1 4E1630T5 according to the recorded plat thereof. Minnesota loOEt_S STAFFoRa r• .Li-r Lti 14, 89oA _. -CL Z? PROPOSED GARAGE FLOOR ELEVATION- S44•l PROPOSED Top of Block ELEVATION- 965,0 PROPOSED BASEMENT FLOOR ELEVATION- 6167.01010 I?TE: Verify all floor heights with Final Hone Plans. §fld/EYQRS CERfIFICATIQN- 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 order the laws of the State of Minnesota. b li /6 ba4ti,4- 0 , Date: Wayne D. Cordes, Minn. Reg. No. 14575 '?_. 3 k /6 - /6 ? /c y CL?N/1/ ?cC /4- vorsv, lz? i" S -74- /c7) PERMIT City of Eagan Permit Type:Building Permit Number:EA115993 Date Issued:10/01/2013 Permit Category:ePermit Site Address: 3496 St Charles Pl Lot:9 Block: 2 Addition: Hampton Heights PID:10-31900-02-090 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are not acceptable in lieu of inspections. Carbon monoxide detectors are required by law in ALL single family homes . James Hunter Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Gary Larges 3496 St Charles Pl Eagan MN 55122 Hoffman Weber Construction Inc 3515 48th Ave N Brooklyn Center MN 55429 (866) 970-1133 Applicant/Permitee: Signature Issued By: Signature LEDG MUST MINIM M (2) 3/8' ITH SHERS E HED W G SCR e 44)-1 AUL lj), 4) l i°iis4 J1/2" " 16'X20 C c /eel forc Wig) )6'x10' Zxw le 2eco4 DiS�3 iM 6Vi Li ej is G 1 lov„_.1 VIA q I i ilf ,< es t -, bec,, ,t ci)xce LLiLe• he.i ) rn&X, C. si ,y s ; c rt 6d 0=q1s 16'x0, C., Je4.10,, sly xd eee4 1"&T W<i� r FOuci'� s e 1 / pa -41, )lour 3«rpt ,,aoo EAG 1V I WED z_ )+4 G ca se_vNw‹d so MAME& P0041‘7,5 .. ►`iC 4-- J c c c `1�'` der 0A\ded X88 411/04 wood is ° Glee^ \.r?cire.d rur 1.%7 2 h. �. scree- 3i vGu1.1-/1 f()a ` )t 11 \i6de n( To r pegs��7v. 3 seo so. hI4I 304vooPW+ 5 -Aral black Slt"jles- �1G�inuwt St +- d-�G4iic\ 1 Screen 5c <ee., scree,., nr-1.41 04,4 6o',es ware. o 00 00 0 0 0 0 u 0 0 o O 0 o D 0 o 0 0 o v 6 0 tl 6 v 0 0 , b o O 0 O� 0 betrelAde pre- rt'G, � t 4�TW S�,�S so' ?O0 }r+.sS�$ 2,410, C. s k tr rooC '�''hu^� �'u^1PP 2,Y4"-4o''s cvreed ., '. 0 O_ 0 0 0 0 i;I Ioy1^..df_,a.a. • 0 O e 0.0 O a 0 O 0 0 0 --=2xg. 61°4bied e exit Pnjr' w411 + 11evtle. :ity of Eagan 1830 PILOT KNOB RD ?AGAN, MN 55122 651) 681-4675 Site Address: 111 ►JI L' 1. l 1 11 1\L' . kJ IX Permit Type: Permit Number: Date Issued: Building EA041183 06/07/2000 3496 St Charles P1 . ot: 9 Block: 2 Addition: Hampton Heights i0-31900-090-02 Permit Subtype: ?orch (3 -season) Description: 'ormerly deck Applicant: GARY LARGES Type of Work: New Use/Business: .11L� %e.G446n . F x � a. v r ...J,eh ® x�`r - ,x .i ".. a it'Y .lr®.:./k ?ootings Framing 8'2 '4 .00f Final • Z3 • /PO/ c Ice- 1 j�pdnal - No C.O. Requires =j -� -Oo ei-e------)- 6 )11 eiNcIngg-Iaka. q-1-1-0 6 Z iprovements to the home require smoke detectors in all bedrooms. all (612) 445-2840 regarding electrical permit and inspections. an reviewed by Terry Zelenka. (Replace deck with screen porch and add a ne * Contractor is responsible for erosion control. * House #s required for final.