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3501 St Charles Pl
REACTINATF FOR DECK PLAN REVIDED 6/3/87 CITY OF EAGAN 14 - ?1 YGU.! iY WISE 726-3272(W)3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 1 `+ 2 12201 452 `5238(H) PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for SF M4G/GAR Est. Value $56,000 Date SUNE 27 tg 86 Site Address 3501 ST. CHARLES PLACE Erect EK Occupancy R3 Lot 7 Block 2 Sec/Sub. HAMPTON HEIGHT93emodel ? Zoning R1 Parcel No. Repair ? Type of Const. vat Addition ? No. Stories W Name FRONTIER MIDWEST HOMES Move ? Length -46 z 3908 S I BLEY MUM HWY Demolish 13 Depth 46 o Address Int. lmpr. ? Sq. Ft City EAGAN Phone 454-0433 Install ? S SAME Approvals Fees Phone F w Name- a Address z W City - I hereby acknowledge that I have rei information is correct and agree to Minnesota Statutes and City of Eag .1 Signature of Permittee A Building Permit is issued to: FRONTIER all work shall be done in accordance with all applicable Building Assessment W t & Se Permit $ 301.010 2 OC r ha S a er w. li P u c rge 150.510 Pl R i o ce ev ew an • 0C Fire E SAC 50000C t W C ng. Pl nn a er onn. r 63.5C W t M t a er a er e e 0( 290 Council 6/27/$6 . Road Unit 156.0( Bldg. Off. Tr. Pl. APC Parks Var. Date Copies . 0( Total I10MES on the express condition that to Statutes and- City of Eagan Ordinances. I Permit No. Permit Holder Date Telephone M Phlmbing J .y v - HN.A.C. p IlElectric ISoffenor Inspection Date Insp. Comments Footings I IFootings II IFoundatlon I Framing Rooling Rough Pibg. -?J Rough Htg. Insul. ?oZ ? IFIroplace IFInal Hill. % `f 6 (v IFInal Plbg. / _ f(p Bldg. Final Carl.Occ. i Deck Fig. fD Deck Frmg. ' Z S Well Describe Location: Pr. Dbp. l CONTRACT PRICE:$ Site Address Lot .1 Block Address City - Res. }.X New xx Nfult - __ __- .-Add-on - Comm. Repair Other Name FEES c Address 9'08 ? `b j ` " ?' V_motta Hwy. RES. HVAC 0-100 M BTU -$24.00 03 City L agan Phone 454-U433 ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 ADDITIONAL 6 M BTU - 6.00 TYPE OF WORK bU 000 UU 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 Vent T- CFM - U BEYOND $1,000.00) Gas Piping Outlets # Other FEE: S/C: TOTAL: vW) MECHANICAL PERMIT CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 • UU ounuF. dae-21nn PERMIT # C i RECEIPT #/y DATE: y///186 TYPE WORK DESCRIPTION 2 5. SIGNATURE OF PERMITTEE FOR: CITY OF EAGAN y ' ? PERMIT # - -? PLUMBING PERMIT RECEIPT # O oZ CITY OF EAGAN - 3830 PILOT KNOB ROAD, EAGAN, MN SS121 DATE CONTRACT PRICE: PHONE: 4S4-8100 Site Ad "s ?' ?' 1 + r l? Lot ? Block Sec/Sub BLDG. TYPE WORK DESCRIPTION - Res. - `? New X m Name Mult. Add-on KENNEbhC UK JbUV ' Address Comm. Repair c City LAGAN Phone - 5 Other c i iitilWC o Name N. FIXTURES 3 GA? 00 $ Water Closet - $3 m J9Ub iji LE :Jrl _w . , . T ,-1 c Address , Bath Tubs - $3.00 - p p City t' Phone ? Lavatory - $3.00 ` L Shower - $3.00 C , : C , / Kitchen Sink - $3.00 FEES COMM/IND FEE - 1% OF CONTRACT FEE Urinal/Bidet - $3.00 / 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 DD S C F E T P CE OES Whirlpool - $3.00 - (A / I P RMI RI $.50 G Gas Piping Outlets - $1.50 ?- BEYOND $1,000.00) Softener - $5.00 Well - $10.00 -- Private Disp. - 10.00 - 7 Rough Openings - $1.50 - ?` SIGN TURE OF P MITTEE FEE 1S.SU STATE SIC: FOR: CITY OF EAGAN GRAND TOTAL °?? (? CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN,.%,NN*OTA 55122 DATE j_ 19 RECerveD FROM AMOUNT $ e; DOLLARS Leo CASH CHECK FOR V) 1 BY White-Payers Copy Yellow-Posting Copy Pink-File Copy Thank You BLDG. PERMIT NO. 7? ,Z ??- • ' _ ? -may - 01-321 0 Bldg. Permit 3 O? J 01-3422 Plan Check 01-3445 Surch./Adm. 0 01-3446 SAC/Adm. 01-2155 Surcharge Z Z 17-3860 Road Unit Z `1 o v ! 20-2275 SAC 7 U Z ? 20-3865 Water Conn. D d J 20-3868 Water Trmt. 20-3716 Water Meter Cp S? 20-2252 Acct. Dep. iU v 20-3713 Water Permit ?(> 0 v 20-3743 Sewer Permit / U ?0 Cl 79-3866 Sewer Conn. l/ U ( U v 11-3855 Park Ded. 1 OTAL T I? F I? 4- cAGAN WATER SERVICE PERMIT tot Knob Road . x 21199 PERMIT NO.: 8089 MN 55121 DATE: 3 ??-9 6 No. of Units: -} -- Address: Site Addess: t Plumber Meter No.: 599. 9()Pd Size: /s? /'ieeeC ?BfoPe egging DPRss ti . . Reader No.: UTa 7d 5-q6 Tel ?H4?? ' Fee; , I agree to comply with the ??11?Gi1c??e Slq_ d Ordinances. ` Misc. Charges: 15 6. E)E)pd TP Total: . By Date Paid: F Date of Insp.: Insp.: CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Road PERMIT NO.: ^'?^ P.O. Box 21199 10-? n,.Rf Eagan, MN 55121 DATE: inninn• ri No. of Units: 1 ress: v r Adc- .;s: 351?1 01' nber: star- Wumbins cnn nn? Connection Charge: er No.: s. Account Deposit: der No.: Permit Fee: ?'-=- iroe to comply with the City of Eagan Surcharge: t SA n ? rn linances. (, Misc. Charges: o*? a Sn t ? ,,. Total: A a Date Paid: of Insp.: CITY OF EAGAN SEWER =VICE PERMIT 3830 Pilot Knob Road 9241 P. O. Box 21199 PERMIT NO.: DATE: Eagan, MN 55121 Zoning: No. of Units: - Owner: Address: Site Acidress: Plumber: 1 Arse to eessply wkb dw GM of Eeloe oraimmee& By Dote of Insp.: Connection Charge: r. Account Deposit: Permit Fee: - Surcharge: Misc. Charges: Total: Dote Paid: This request void t void (? CJ 18 months from C 5723 7 - Ran t1Da to r Fire No. Re UBF¢in Inspection Requn ? (-]Ready Now'iJ/ Notify. Inspec- (-]Ready for When R d es ?NO ea y ? Licensed Electrical Contractor I hereby raquest inspection of above ? Owner electrical Wwk installed aT Street Adorns.. Box or R 3501 - to No. I CiIY A-A) ec Ion NO. Township Name or No. Range o. County I Occup' •7 Power u plier Address EENDRI toff?p?? ontractor's License No. --,1199 Mai1111g1/BId4eSS IDSii VV CL:. 1l YYJJYY o er M i sta ila [ionl g r do wner akin, Ins tat tat ionl 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 Pa..... 16121 297.2111 ENCLOSED, w REQUEST FOR ELECTRICAL INSPECTION EB-00001-oa :1* k C I S-.2 See instructions for completing this form on beck of yellow copy. "X" Below Work Covered by This Request JJ/t) iYev4 Addj Rep. Type of Building Appliances Wired Equipment Wired Home Range emporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heating Commercial Bldg. Furnace Silo Unloader. Industrial Bldg. Air Conditioner Bulk Milk Tank Farm then peu v ihfr IS Pecs lvl t .r peufy Other Others ompute Inspection Fee Below k Fee Service Entrance Si.. H Fee Fendone/Subfeeders p Fee Circuits 0 to 200 Amps 0 to 30 Amps 0 to 30 An! I bove 200 Amps 31 to 100 Amps 1 to 100 Am wimmi rig Pool Above 100-Amps bove 100-Amps Transformers Irrigation Boorc?s Partial"Other Fee Signs Special Inspection s OTAL FE Reins rks / v ?/ Rough-in O 1e/`?,[q the Elec l ?' •? ns pact.,, hereby certify that the above Final r D%}ip rnl inspection has been made. This reauest void 18 months from This request voitl 18 months from . 6 6131 /, ? 43 Request Date Fire No. R ugh-in Ins pertion ' Required? ?Ready Now ? Will Nosily .In .. cf, p - 97 ?yes ?No ill, When Ready LicAsed Electrical Contractor ? I hereby request inspection of above ? Owner electrical work installed at: Street Address, Box or Route 35-0/ S No. res tE City AAJ ectron O. Township amo or No. Range o. County Occupant IPRINTI / V l S r-- Phone No. -52-,3.k Power SUPoli r Y all /G Address Electrical Contractor (Compa ny Name) Contractor's License No. Mailing Address (Contractor or Owner Making Installation) :=re Lure (Contra or Owner Making Installationl Phone Number .,1 " - z3 MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs•MidwaV Bldg. -Room N-191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS pi,^na rAtot RAZnRnn ENCLOSED. REQUEST FOR EVCTRICAL INSPECTION EB-00000001-06 ry? 1 See inst4tlpns for completing this form on back of yellow copy. 9? I1Qy -*,66131 "X'- Below Work Covered by This Request Add Rep. Type of Building Appliances Wired Equipment wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Hearn Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm othui pec. y Olhcr (Soo, fv) t ar Sueci lv Ot er Q Other on hee Helow p Fee Service Entrance Size h Fee Feeders/Subfeaders k Fen Circuits 0 to 200 Amps 0 to 30 Amps 0 to 30 An s Above 200 Amps 31 to 100 Amps 31 to 100 'Am Swimming Pool Above 100_Amps Above 1o0_Amps Transformers Irrigation Booms Partial."Other Signs Special l nspection S? TOTAL FE Remarks Hough-in to I, the Electrical (/ /`in-W Inspector, hereby certify that the above Final Dme 7 inspection has been made . This request void 10 montm from SIGMA BURN BE 3906 Sible Eagan. Phone SCALL : 1"% 40t EYING RVICES y Memorial Highway Minnesota 55122 . (612) 452.3077 x64 U r r' r v I O C!' acanx ?; vvmrnl•aecv NANTFORO 141.4Co woo 261 35j1 W S_ 540.5 DWA-,1 GE uTit l?`?E'ftSMIT- L-0-r Z ?J X 842.0 1 kffiv.o 1 I? n ? \` rs $SrC) t pa LL ,, ?• 'V WAYNE D. CORDES - 14675 - 0 Denotes Iron Ilawrent a Denotes Moat Hub Set x 869.0 Denotes Existing Spot Elevation (xylp?W? Denotes Proposed Spot Elevation ,..----Denotes Drainage Direction -PAG>EiERTY DESICRIPTICN- LOT? ,BL(xx 2 ...:HhMP-row .HP-I6314're7 according to the recorded plat thereof. Minnesota 'House Certificate For: HOME 9UILDERS LAND OEVELOPERS -- ., _,-- _ - _ REALTORS aiffl= =1F1kE12 - I hereby certify that this survey, plan or report was prepared by me or under my direct supervision and that 1 am a duly Registered Lard Surveyor or the laws of the State of Minnesota. IL?624- Date: ?i'ylsro Mayne. Cordes, Minn. Reg. No. 14575 1 r Cq -f U) G ;? A xei •` S.o ip , 1x849.0 4. O r-? p0• h i 4" , ?-- - r _ 1$ xB62A ST: CdA L.ES PLA.G? PROPOSED uARA6E FLOOR ELEVATIONm-- $bk•1 - PROPOSED Top of Block ELEVATION- $65,0 PROPOSED BASEMENT FLOOR ELEVATION- 562.0 AgTE. Verify all floor heights with Final House Plans. CITY OF EAGAN 1 :.130 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121N2 12201 BUILDING PERMIT PHONE: 454-8100 Receipt If 6 4; ?3 To be used for SF DWG/GAR Est.Value $56,000 Date JUNE 27 ,tg 86 Site Address 3501 ST_ CHARLES PLACE Erect Lot 7 Block 2 Sec/Sub. HAMPTON HEIGHTSRemodel Parcel No. Repair Addition FRONTIER MIDWEST HOMES Move W Name 3908 SIBLEY MEM HWY 3 Address o CIry EAGAN Phone 454-0433 SAME o Name $ ¢ Address City Phone a f W Name Address a w City Phone I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all a pl :;n- A Minnesota Statutes an it?of Ea gin d'nnaances Signature of Perm" Building Permit is issued to: FRONTIER MIDWEST H all work shall be done in accordance with all applicable tale of Minnes Building Official r EX Occupancy R3 ? Zoning Rt ? Type of Const. V-r ? No. Stories ? Length 16 ? Depth 46 0 Sq. Ft rorovals Fees Demolish Int. Impr. Install Assessment Water & Sew. Police Fire Eng. Planner Council Bldg. Off. 6/27/86 APC Var. Date Permit $ 3 01.0 ( Surcharge 28.0( Plan Review 150.5( SAC 575.0( Water Conn. 500.0( Water Meter 63 .51 Road Unit 290.01 Tr. PI. 156.01 Copies Total +'z'u°4'01 - on the express condition that of Eagan Ordinances. \N[s4 J 1986 BOII DING PEEGIIT APPLICATION - CITY OF EAGAN f NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN 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 To Be Used For: Valuation: _ Date: Site Address 3j/fj912JF ,tic, OFFICE USE ONLY Lot Block Z Parcel/Sub owner Address City/Zip Code Gj ?. /?L/Lc SSIZ? 1 4V Phone Z/6 2'S Z. iT?' Address City/Zip Code Phone 4,? - j j Arch./En Address City/Zip Phone if Erect Occupancy Remodel Zoning ?L Repair Type of Const Jai Addition 0 of Stories Move Length ? Demolish Depth Int.Impr. Sq Ft Install APPROVALS FEES .Assessments _ Water/Sewer _ Police Fire Engr Planner Council Bldg Off6-27- APC Variance Permit Surcharge Plan Review SAC Water Conn Water Meter Road Unit Treatment P1 Parks Copies TOTAL 30/_ Z_ /30. 0 NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. SIGMA scAt-E ; 1"': 40t VEYING SUR RVICE8 BE 3908 Sibley Memorial Highway Eagan, Minnesota 55122 . Phone: (612) 452.3077 e0 Ir1? e? SP r-? r v i / Q tT CbOAk Ho' a'?i ' r ificate For: 'LANO DEVELO REAL M vvn? r r r?rrrrruwr MARTFORO WAYNE D. CORDES - 14675 -- -LEGEND - O Denotes Iron Morxmnt m Denotes Wood Hub Set x863.0 Denotes Existing Spot Elevation h 001Wrj Denotes Proposed Spot Elevation -Denotes Drainage Direction -nopEmy DESCRIPTION- LOT? , BLocK 2 HhMp-ro1J :Ht^I6;iH75 according to the recorded plat thereof, Minnesota 14-1.4Co woo 2? 35 W ZS 860, S _?? o \ l DRAII`IlafaB frIJTILlf"f-epFjM-T.; i(x\-,? Lo7 `t G N 86z.o y 1 xa6N.o ? Vr 9 ? a ?'- kecs;o ? > a ?t; 6 a $ 1?9 d 5 4. Qo ?r0 1x863,0 -a ? 18 xe5z.o ST• CLJA RLES PLAGE- PROPOSED GARAGE FLOOR ELEVATION= 00-1 PROPOSED Top of Block ELEVATION= 865,0 PROPOSED BASEMENT FLOOR ELEVATION= 862.0 NOTE: Verify all floor heights with Final House Plans. gJfflX S CMIFICATIC - 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 er the laws of the State of Minnesota. W a (.1 _d?ir• Date: Wayne . Cordes, Minn. Reg. No. 14675 REOLIEST FOR ELECTRICAL INSPECTION EB-00001-06 See inziructiens ter camDlati rrp this form on beck 01 V 'low copy, Fj ? 1 -X- Below Work Covered by This Request hisio FJJ Rep. Type of Building Appliances Wired Equipment wired Home Mange Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heatm Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Omer recr v thcr (Sper.ifv) t ,r Spec- v Cher Q Other vs r Fee V rService Entrance Size a Fee Fender s/Sub leaders a Fee Circuits 0 to 200 Am >s 0 to 30 An "22 0 to 30 An >s ' Above 200 Amts 31 to 100 Amps 31 to 100 A s Swimming Pool Above 100_Am s Above 100_Amlr Transtormers Irrigation Booms Partial 'Other Fee Signs Special Inspection g nA? TOTAL FEE Remarks I, the Electrical Inspector, hereby certify that the above inspection has been trade. This request vole JTh., request sold 18 months from D 6 6131 Request Date- Fine No. Requ ietl?Inspecnon []Ready Now ? Will Notify Inspec- / - - []Yes ?No for When Reedv ? Licensed Electrical Contractor 1 hereby request inspection of above r-I n.....e. electrical work installed at: Street Address. Be. or Route No. p CnY E w l A 3sor s r rs / - ectmn No. Township Name or a. Range No. County Occupant (PRINT) J Phone No. pi /s? -52 e S a: a - Power Suppli r Address 6?A r Electrical Contractor (Company Name) Contractors License No. Mailing Address (Contractor or Owner Making Installation) Auth sign ture (Contra :e/Owner Making Installation) Phone Nu mber 66 ESOTA STATE BOARD OF ELECTRICITY BE ACCEPTED 8Y THE STATE BOARD Gripes-MidwaY Bldg. - Room N-191 .. UNLESS PROPER INSPECTION FEE IS 1821 Un-vats itv Ave.. St. Paul, MN 66104 ENCLOSED. Phone(612)642-0800 2/84 ` u [LIN CITY OF EAGAN i APPLICATION FOR PERIMIT SEWER AND/OR WATER CONNECTION (PLEASE PRINT) 1) q y? ) PROPERTY ADDRESS: - () r c .r Ff l(?( F S ?( ' E L / LEG-aL DESCRIPTITCH: L ' ar:i 2 tt 7 iawt i (L0t/Bi0C-k/Subdivisicn or Tax Parcel I.D. NTrnSer) ' I^ ===-G STPUCM7 E, DATE OF CRIGMIAL ZUI_P r. _._-ST ISS.;rtC: PRESET -=TIT7:/1'?OPCS" D LTS': X R-1 Sz=- FP:4ILY ? R-2 CUP i_ { (T:.7 uTITS) ? R-3 TO[vCUSE (TIC ,' + U ITS) ( UNITS) ? R-4 AP vm c , T/CC_SX e'ir TAI ( UNITS) ? Cci-TIIEFICLAL/REyAIL/a ICr ? 7"%DUSTi2ZS, ? DISTITLT10N1U/GOV=1=7 2) APPLI= (PLEASE PRIu) NAi•!E: Frontier Midwest Homes Corporation ADDRESS: 3908 Sibley Memorial Hwy. Bldg. E CITY, STATE, ZIP: Eagan, MN. 55122 PHONE: 454-0433 3)'.. PLL TBER NAME: (PLEASE PRINT) Star Plumbing FOR CITY USE ONLY ADDRESS: 1018 Mound Springs Ter. PLUMBERS LICENSE: Cj Active CITY, STATE, ZIP: Bloomington, MN. 55420 Q Expired PHONE: e?'icn 884-4149 PLUMBER LICENSE # 3329 Q Not of Record ' arr iniria 4, occ-IrPA?Tr/a+ilEit LN(?. ? T(I)?l ? (?tf?%lit\ j ADDRESS : 19 SL .?)rp BD CITY, STATE, ZIP: IW Al 55-17-Z, 5) INDICNTE WHICH PER-11T IS BEING REQUESTED: CONNECTION To CITY SEWER Please mail gold copy to CONNECTION TO CITY WATER Wenzel Mechanical 3600 Kennebec Dr. ? OYETER (PLEASE DESCRIBE) Eagan. MN. 55122 6) PDZG,. CNE: PTizSE HO LD APPROVED PER%IIT FOR PICIK-U BY ONE OF ABOVE -0=-,SE ;IAI.L APPROVED PER:-LIT TO 1, 2 3, 4 AB OVE (Circle one) 7) SIG:;ATL- E: A DATE !RW410L . i!f !lJaflr!t?/firp ate!f? itaa a:a :ra!Ltli.? ay!!f?wtiiii3.y-- F O R C I T Y U S E O N L Y + PERIMIT °- ISSUED FEES: $ $ $ 5 S S 5 S S S S S - S S SET:iER PERMIT (I`_JCLLDE SURCHARGE) WATER PERBIIT (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 SEWER LATERAL BENEFIT/TRUNK WATER WATER TREATMENT PLANT SURCHARGE OTHER: TOTAL AMOUNT PAID/RECEIPT R 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: 04 W.M 60j0 MW AN !fM /k W ! SUM iM AM= M+-wW WON R/ 6"W 0* lV-M wfq ok+ rp m fR u.imo wf. oW W 14 f A w a t CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION NOTE: PAYMF'NT OF FEE AT TIME OF y* APPLICATION DOES NOT CONSTITDTE APPROVAL OF PERMIT. INSPECTION OF SUM AND/OR % ER INSTALLATIONS WILL NOT BE SCf19>- ULM UNTIL PERMIT HAS BEEN APPROVED. ------------------ ----------------- P ease Print 1) PROPERTY ADDRESS: LEGAL DESCRIPTION: Lot Block Subdivision or Tax Parcel ID ) IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: (Mon Year) PRESENP ZONING/PROPOSED USE: () COMMERCIAL/RETAIL/OFFICE Q INDUSTRIAL rl INSTITUTIONAL/GOVErT 2) NAME: ADDRESS: CITY, STATE, ZIP: PHONE: R-1 SINGLE FAMILY R-2 DUPLEX (Two Units) R-3 TOWNHOUSE (Three + Units) ( Units) ? R-4 APARTMENT/CONDOMINIUM ( Units) 3) NAME: ADDRESS: CITY, STATE, ZIP: PHONE: MASTER LICENSE# Active Expired Not recorded Sta Initial 4) I•}t4 A:?7• i?• NAME: ADDRESS: CITY, STATE, ZIP: PHONE: 5) , r: •:r• : a • s, ?, n CONNECTION TO CITY SEWER Q CONNECTION TO CITY WATER OTHER 6) r • r PLEASE HOLD APPROVED PERMIT FOR PICK-LIP BY ONE OF ABOVE [J PLEASE MAIL APPROVED PERMIT TO 1, 2, 3, 4, ABOVE (Circle one) 7) r r• imam r-r q ? FOR CITY USE ONLY' PERMIT # ISSUED Pd w/Bldg. Permit FEES: $ /?J•JfO $ SEWER PERMIT (INCLUDE SURCHARGE) $ ?Q' J y $ WATER PERMIT (INCLUDE SURCHARGE) $ fr.3 ?iO $ WATER METER/COPPERHORN/OUTSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ $ ACCOUNT DEPOSIT - SEWER $ ©y $ ACCOUNT DEPOSIT - WATER $ SaD Z)b $ WAC $ y 7S. D $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ / J?o• on $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ $ TOTAL RECEIPT RECEIPT 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 : r 6011 RESIDENTIAL BUILDING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 Jr j73 a New Construction Requirements Remodel/Repair Requirements Office Use Only 3 registered site surveys showing sq. ft. of lot, sq. ft. of house', and all rocied areas 2 copies of plan _ Can of Survey Recd (201h maximum lot coverage allowed) 1 set of Energy Calculations for heated additions -Tree Pres Plan Reod 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks _ Tree Pres Not Reqd 1 set of Energy Calculation Addition - indicate if onste septic system On-site Septic System 3 copies of Tree Preservation Plan if lot platted after 711/93 Rim Joist Detail Options selection sheet (bldgs with 3 or less units Date _,` // ? Construction Cost /5 '7'CV Site Address Unit/Ste # Description of Work / STuie Qu <. Multi-Family Bldg - Y -- 'N Fireplace(s) - 0 - 1 _ 2 Property Owner ?,¢Y AVIV yef ,^D/U11/c Telephone # ( ) s ( U 0 U ? Contractor l5S-e 'o l A ?l irit; Address /G 3,? D,G? / r{eyr Fez. City (.) 5-140 State &,,/ Zip ?, f'/ /J'- Telephone # (rJ7 ) :?67 6,r2j COMPLETE THIS AREA ONLY IF Minnesota Rules 7670 Category 1 Energy Code Category . Residential Ventilation Category 1 Worksheet (J submission type) Submitted . Energy Envelope Calculations Submitted Licensed Plumber Mechanical Contractor Sewer/Water Contractor A NEW BUILDING _ Minnesota Rules 7672 • New Energy Code Worksheet Submitted Telephone #( Telephone #( Telephone #( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate: that the work will be in conformance with the ordinances and codes of the City of Eagan and the State (it' MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start wilhrnu a permit; that the work will be in accordance with the approved plan in the case of work which requires a review ? id approval of plans. Applicant's Printed Name Applicant's Signa e OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous Work Types ? 30 AccessoryBldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi Misc. ? 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) -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 Bidgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS Footings (new bldg) Final/C.O. - Footings (deck) _ FinaUNo 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 Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total Building Inspector RESIDENTIAL BUILDING 2 2,0 Permit Application J City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements RemodeUReoaif Requirements Office Use Only 3 registered site surveys showing sq. ft of lot, sq. ft, of house; and all roofed areas 2 copies of plan _ Cent of Survey Recd (200% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions -Tree Pres Plan Real 2 copies of plan showing beam & window sizes; poured found design, eta 1 site survey for additions & decks -Tree Pres Not Recd 1 set of Energy Calculations Addition - indicate if on-sde septic system _ On-site Septic System 3 copies of Tree Preservation Plan if lot platted after 7/1193 Rim Joist Detail Options selection sheet (bldgs with 3 or less units Date 9 / // l / 6'1)- Site Address ? / &S , G' 4a-,-/eS rSu Construction Cost `I (X Unit/Ste # Description of Work RP ?^ Multi-Family Bldg - Y ?N Fireplace(s) tl, 0 _ 1 _ 2 (7 / PropertyOwner .I ?Gi60 V -a. ?+N tj ?t ?!a ( J 1 j o IO Telephone # ((y$7) !r? F? O 3 cl q Contractor ,? ?''1Qc'. K Cd J ?I-lu tzo-n-? Address Q C S? 'S b--S &U-C . State M A,1 . / City r?[ cc u F a? (95:? tf kk ' /1 c1 zip S.Sfy / Telephone # ?I 3."7s COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateaorv 1 _ Minnesota Rules 7672 Energy Code Category • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted Licensed Plumber Telephone #( Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone #( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan 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 approv<plan case f work which requires a review and approval of plans 9CAL Applicant's Printed Name ture OFFICE USE ONLY 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 EM. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_v or _ N ? 25 Miscellaneous Work Types ? 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) - 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 _ Figs _ 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 Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total Building Inspector PERMIT City of Eagan Permit Type:Building Permit Number:EA138149 Date Issued:08/12/2016 Permit Category:ePermit Site Address: 3501 St Charles Pl Lot:7 Block: 2 Addition: Hampton Heights PID:10-31900-02-070 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Baburaj G Vellicolungara 3501 St Charles Pl Eagan MN 55122 (651) 808-0459 Home Depot At Home Services 6224 Lakeland Avenue N, #102 Booklyn Park MN 55428 (763) 542-8826 Applicant/Permitee: Signature Issued By: Signature