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3612 St Francis WayCITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: PERMIT SUBTYPE: INSPECTION RECORD PERMIT TYPE: Permit Number: Date Issued: 3 APPLICANT: TYPE OF WORK: INSPECTION TYPE .DATE INSPTR. INSPECTION TYPE DATE INSPTR. 11, F 3Wly cf7•? - /n 7a 930 'p" - m -73433 -999 L =q?• QD - m 73 ?3a. • f - 7 3 9 3 - x'97 ,V - r>n -7 3? 3G - %17 " 4"- rh7993T-99? Permit No. # Permit Holder Date Telephone R S/W -PLUMBING HVAC £ ?S y ?0?777 ELECTRIC ELECTRIC Inspection Date Insp. Comments Footings I `0L/?/?3 Foundation Framing AIP Roofing Rough Plbg. Rough Mg. t? LL?- (t t 1 ? ? Isul. Fireplace , Final Htg. Orsat Test Vzalj? Final Plbg. Plbg. Inspector - Notify Plumber Const. Meter EngrJPlan Bldg. Final a? Deck Ftg. Deck Final Well Pr. Disp. F- Wei f icate of cccupanc? WitV of @agan Mcvartcut of Zwning 3n60cction This Certificate issued pursuant to the requirements of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building convruction or use. For the following: Use ansiftntion: 8-PM Bldg. Permit No. 22580 Occupancy Type RI/111 Zoning District R3 Type const. V- I HR o..f Building SI] M Address W7 63RD AVEIdIEM, MAPLE GM BniWi.g Address 3612-R- FRA=S WAY Locality 131 , B3, ST FRAWIS WOM 41H DOC BmWiog OfficZ POST IN A CONSPICUOUS PLACE SITE ADDRESS Unit # Permit # L 31 B I Sect./Sub. INSPECTION INSPECTOR DATE COMMENTS ?L ? Zvi T 'n Lo w ,. l/,.w y rP1?wN / QfIVn Op:?. o ? S1N3WW03 Rva a0133dSNI N01133dSN1 CITY OF EAGAN Remarks 0:2 t Addition ST_ FRANCIS WOM lam{ Lot ? Blk 3 Parcel io 65903' Q3 Owner Street 3612 St. Francis Way State Eagan, MIST 552„3 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 1982 823.58 161-72 5 STREET RESTOR. 41963 :ID86- 2012.57 1 31-17 1?i GRADING . - - SAN SEW TRUNK SEWER LATERAL w-- .- j WATERMAIN WATER LATERALB E N 101 -19 $ 6 12.5 8 12 2. 5 2 5 WATER AREA Z41 'J W3 -22-SAK.- 65 J8 STORM SEW TRK 1.985 1092.95 72 80 15 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK VYX36 v`/11,,4 3, ?n?t (ante Reques Fire No. Rough-in Inspection F, NOTICE: You Must Call Electrical Inspector It A Rough-In Inspection Is Required. I Icensed contractor ? owner hereby request inspection of above electrical work at: Jo Addres ((Sir Brno or ute i city Seofion No. Township Name or No. Range No. Cou ?V Occupant(PRI Phone No. W L Powers upp'r Address ElecMcal Contra ( oral, y Name)) 1 Comr o loen G Malin o r w ing Install on) / Atha 1zed Sign a urcttoood7O?wn?er Making Inat I a MW7 MINNESOTASTATE HOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - R00m S-173 BE ACCEPTED BY THE STATE BOARD 1821 Unlwrsity Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone(612)642-0800 ENCLOSED. .51 jlTc? REQUEST FOR ELECTRICAL INSPECTION ? See instructions for completing this form on back of yellow copy. M r 33U6 . X 8b/ow Work Covered by This Request 0 Y EB-ODDDI-D0 ??p ?7?/ 'Jew Add Rep. Type of Building Appliances Wired Equipment Wired Home ange Temporary Service Ll? Duplex Peter Heater Electric Heating Apt. Building er Load Management Comm./Industrial F nace Other (Specify) Farm Air Conditioner Other(speoity) Contractors Remarks: Compute Inspection Fee Below: # Other Fee # Service Entrance Size F Circuits/Feeders Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps Above 100 Amps Signs Inspectors Use Only - TOTA Irrigation Booms 7 OC I Special Inspection Alarm/Communication THIS INSTALLATION Y BE 0 R DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 7 f 1, the Electrical Inspector, hereby Rough-in Do certify that the above inspection has been made. Final o OFFICE USE ONLY This request mid 18 months from M/ 7334 97 Request Fire No. Rough -in Ins ction Must NOTICE: Vou Call Electrical Inspector gwre II A Rough-In Inspection s ? No Is Requiretl. I Icensed contractor ? owner hereby request inspection of above electrical work at: .lo tlr s ( Box a No ? City S 4 Section No. Township Name or No. Range No. Cop Occupant (P Phone No- Powers at Address Eleolncal C (Comp y Name) r Conir for Livens Man (Co r or aking Inst Lion) M v Authorired Signatur o ract r/Owner Makin in n) Pho N MINNESOTA STMATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 551D4 UNLESS PROPER INSPECTION FEE IS Phone (612) "2-0600 ENCLOSED. REQUEST P k ELECTRICAL INSPECTION 11. See insirucilill.Wbr completing this form on back of yellow copy ,M.-7-3934 X° Below Work Covered by This Request t!, EB 0 001 -08Y ew Add Rep. Typeol BUitding AppliancesWlred Equipment Wired Home Range Temporary Service Duplex ter Heater Electric Heating Apt. Building D er Load Management Comm./Industrial Fu ce Other (Specify) Farm v Conditioner Other (specify) Contractork Remarks: X fX Compute Inspection Fee Below. # Other Fee # Service Entrance Size # Circuits/Feeders Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps Above 100 -Amps Signs fnspector5 Use Only: T Irrigation Booms 7 Special Inspection Alarm/Communication THIS INSTALLATION MA ORD E DI^CONNECTED IF NOT Other Fee COMPLETED WITHIN 1 TH 1, the Electrical Inspector, hereby Rough-in ate ?` .<?s certify thatthe above inspection has been made. F,nal Date f1 Yl 01 OFFICE USE ONLV ? Thia request void 18 months ham s/i 7 7e` 7 39 3 3 &97 ReQuesf Da 7. Fire No. Rough-in ctbn NOTICE: You Must Call Electrical Inspector II A Rough-In Inspection Y[ j No Is Required. I cans ed contractor ? owner hereby request inspection of above electrical work at: JW s is Box ute No City V Sectio o. Towns ip Name or No. Range No. Cou Occupant (P Phone No. p S Power Sup Address Elegrica o mean 11anae) Con clot n I Mailin r or Ow r aking Instal lion) r G•' Aulhorized Sign ure n actoUOwner Making Instal Pno 7Z 27 MINNESOTA BT BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 56100 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION " l ? See instructions for cvmphling this form on back of yellow ocpy. e 7 3 9 3 3 X"3elow Work Covered by This Request EB-00001-08 a?7?"71 New Add Rep. Typeof Building Appliances Wired Equipment Wired Home ange Temporary Service Duplex Water Heater Electric Heating Apt. Building D yer Load Management CommAndustrial u ace Other (Specify) Farm it Conditioner Other (specify) Compute Inspection Fee Below: Contractors Remarks: LL 3 # Other Fee # Service Entrance Size Circuits/Feeders e Swimming Pool o to 200 Amps to 100 Amps Transformers Above 200 Amps Above 100 Amps Signs Inspeclors Use Only: TO Irrigation Booms ?? R) r r? Special Inspection Alarm/Communication THIS INSTALLATION M E ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 M S. 1-7 I, the Electrical Inspector, hereby Reugh-in ? 3 ,, certify that the above inspection has been made. Final ( oath OFFICE USE ONLY This request wid 18 months from 5 M 7 3 ?3 2 6;? 1; -43, '0 97 C?o Reryue - Fire No. ' Rough-in spection NOTICE: YOU Must Call Electrical Inspector I Ru If A RoughIn Inspection es p No Is Required. censed contractor ? owner hereby request inspection of above electrical work at: I All Jo dres (Str Box or ute No. City nG/ ? Se No. Township Name or No. Range No. Coun Occupant (P ) hone No. G Power Suppli Address Electrical ontr (COm ny Name) Con ct § Licen YU Mang tea or Owner a g Imost, tion) \ u actor/ nor Making Inst Authorized Signnlu hon N r I MINNESOTA MATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55106 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-OB00 ENCLOSED. S? 7/Jn? REQUEST FOR ELECTRICAL INSPECTION ll? See inslrudions for completing this form on back of yallow copy. M. 7 3 9 3 2 'X" Below Work Covered by This Request '13-00001 08 ew Add Rep. Typeot Building Appliances Wired Equipment Wired Home Range Temporary service 61 Duplex ater Heater Electric Heating Apt. Building er Load Management 1 Comm./Industrial ce Other (Specify) Farm Air Conditioner Other (specify) Contraclona Remarks: Compute Inspection Fee Below: L # Other Fee # ServiceEntranceSize # Circuits/Feeders Swimming Pool O to 200 Amps to 100 Amps Transformers Above 200 _ Amps = - Abo 100 -Amps Signs Inspectars Use Only ? ? ?I TOTA Irrigation Booms / C), / Special Inspection ((( Alarm/Communication THIS INSTALLATION AV BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN ONT I, the Electrical Inspector, hereby Rough-in / Dst?y ,yw / certify that the above inspection has been made. Final Data OFFICE USE ONLY This request void 18 months from s 73830- X31,43, S4- A-, $97 °n Request Fire No. Rough in I pecfion Requi NOTICE: You Must Call Electrical Inspector 11 A Roui n Inspection es p No Is Required. Icensed contractor ? Dwne hereby request inspection of above electrical work at: J Add ss St t, Be Roma City YCtr1GiS Q ? ? on No. Township Nam No. Range No. Cot Occupant (P S P one Poo. D G Power Su li r Address fl Electric Conti Comp yName) Can, 1 or u ?? /7 Mailing Morass Contr Owner a ng Installation f Authorized Signat ontractor/ n Making Ins Phon Z1 MINNES ATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT OriggsMidi Bids. - Boom 5-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55106 UNLESS PROPER INSPECTION FEE IS Phone(612)642-0800 ENCLOSED. 15117///r REQUEST FOR ELECTRICAL INSPECTION Tf' -? See instructions for completing this form on back of yellow copy, ' ,M -739'30 X' Below Work Covered by This Request 0 A7; c 5 Now Add p. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building ryer Load Management CommAndustrial F ace Other (Specify) Farm Air Conditioner Other (specify) Contractors Remarks: Compute Inspection Fee Below. d Other Fee # Service Entrance Size XfAW # Circuits/Feeders Swimming Pool 0 to 200 Amps to too Amps Transformers Above 200 Amps Above 100-=Amps Signs Inspector's Use Only: (,? TO Irrigation Booms Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ERE I OIIINECTED IF NOT Other Fee COMPLETED WITHIN 18 M I, the Electrical Inspector, hereby Rough-m r oat ,i _. certify that the above inspection has been made. Final CLXt- ey?? OFFICE USE ONLY This request void is months from VY 35 3 76W .1 95 rleqe 51 Fire No. RouInspecfion R NOTICE: You Must Call Electrical Inapeclor If A Rough-In Inspection F ? No Is Required. , ensed contractor ? owner hereby request inspection of above electrical work at: J ss t. 8 oute City t S Section No. Township Name or o. Range No. County 51 z Occupant (PRI Phone No. Power Sup r Address Etectdca Co r (Co any Na r Confrac orb Lic N Y/ G ?J Mali tl oror akingI IlaGOn) / [?' r G? L Y' Authorized Sig u ractor/Owner Making Inst on) Phon N r '-7 v MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT y Bldg. St Room S-173 BE ACCEPTED EV THE THE STATE BOARD 1821 UnWeral 1621 iy Ave., St. Paul, MN N 5 55100 UNLESS PROPER INSPECTION FEE IS Phone e (612) al (612)692-0660 ENCLOSED. ?j9 REQUEST FOR ELECTRICAL INSPECTION M ? See instructions for completing this form on back of yellow copy M , 7 935 -x° Below Work Covered by This Request ES-00001-08 New Add Rep. Type of Building AppliancesiWlred EquipmenlWired 1 Home ange Temporary Service Duplex jl?ater Heater Electric Heating Apt. Building Dyer Load Management Comm./Industrial u ce Other (Specify) Farm it Conditioner Other (specify) Contractor's Nemarks: Compute Inspection Fee Below., # Other Fee # Service Entrance Size # Circuits/Feeders Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps Above 100 Amps Signs Inspectork Use Only: /^ ?I L Irrigation Booms - l ,I- Special Inspection I I Alarm/Communication THIS INSTALLATION MAY RD D ISrONNECTED IF NOT Other Fee COMPLETED WITHIN 1 HS I, the Electrical Inspector, hereby Rough?in a[ ?, (? certify that the above inspection has been made. Final Dale Z OFFICE USE ONLY This request void 18 months from ,5177y?37 Requitte Fire No. Rough-in Inspection NOTICE: You Must Call Electrical Inspector ? Re uir II A Rough-In Inspection R I i L es ? No s equ red. I.- Icensecl contractor ? owner hereby request inspection of above electrical work at: J_.,5d6 reys (Z9oz r oute 4 City ?c?G 5 a ? Section No. Township Name or No. Range No. Cou ?i N Cccupant Phone No. Q GS Power Su Address Electrical Contr omp Name) Con roc r5 Lioe a Np G ? Medlin Add (Cant or Owner ki Instellatio /_ \ ' C4 f V Authorized Sigdz ntractor/ ne Mak' g Inst ions Pho e bar ?? _ MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Grtgga-Midway Bldg. - Room 5-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55100 UNLESS PROPER INSPECTION FEE IS Phone (812) 642-0800 ENCLOSED. 5? 7/9r? REQUEST FOR ELECTRICAL INSPECTION ? See instructions for completing this form on book of yellow copy, "M -j 3 9 3 7 - 'X" Below Work Covered by This Request B- 0001-OB 77? New Add Rep. Type of Building Appliances Wired Equipment Wired Home L .Winge Temporary Service Duplex Ater Heater Electric Heating Apt. Building ryer Load Management Comm./Industrial F ace Other (Specify) Farm Air Conditioner Other (specify) contractors Remarks: Compute Inspection Fee Below.: # Other Fee # Service Entrance Size F # Circuits/Feeders Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps Above 100 Amps Signs Inspectors Use Only: \ \ TOT _ Irrigation Booms \ C ? ,?G? II C Special Inspection ( / / Alarm/Communication THIS INSTALLATION AY BE ERED DISCONNECTED IF NOT • Other Fee - COMPLETED WITHIN 1 THS. I, the Electrical Inspector, hereby Rough-in 91L., 4 Dats? ?? p certify that the above inspection has been made. 9 Final are ' OFFICE USE ONLY This request void 18 months from si77 1? 3? 931 ?' ...? . ?•rk ? I:x ? ?5` ?, 3 ' equest Fire No. Roughough-fiction R NOTICE : You Must Call Electrical Inspector ! R m es ? No I! A Rough-In Inspedion Is Required. I I Icensed contractor ? owner hereby request inspection of above electrical work at: Job ddre ( r Box cute city G/ S?M n o. Town ame w No. Range No. Coun Occupant IPRI Phone b1c. C. 61401 q 1/ L/ J Power RU I' Address // D Rr Electrical Conir r omo y Name) Contr orb tense C ?v l7 Meiling to onir ownering Installation !L?' Gr Authorized Signature actor/ wner Making Install Phon MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT 0119911-Mil Bldg. - Room S-173 BE ACCEPTED By THE STATE BOARD 1821 University Ave., SL Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 842-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION to See instructions lot completing this form on back of yellow copy. 73931 - Xr BeYow Work Covered by This Request •`- E8-00001- a41Z / e Xdd fiep: Type of Building Appliances Wired EquipmerlWired Home angle Temporary Service Duplex ater Heater Electric Heating Apt. Building Dryer Load Management Comm./Industrial Fu ce Other (Specify) Farm Ir Conditioner other(specity) Compute Inspection Fee Below: Contractors Remarks: 75 # Other Fee # Service Entrance Size # Circuits/Feeders e Swimming Pool 0 to 200 Amps to 100 Amps Transformers Above 200 Amp! j --, Above 100 Amps Signs Inspectors Use ly Irrigation Booms : Special Inspection Alarm/Communication THIS INSTMAY LLAT, n ORDERED ISCONNECTED IF NOT Other Fee COMPLETED WITHIN HS. f I, the Electrical Inspector, hereby Rough-in l certify that the above inspection has been made. Finel Data ORIFICE USE ONLY This request void 18 months from 2004 RESIDENTIAL BUILDING PERMIT APPLICATION / _3 25 City Of Eagan l (? 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 00 -* » New Construction Requirements RemodeVReoair Requirements DIUge?l 3 registered site surveys showing sq. R. of lot, sq. ft of house; and all roofed areas 2 copies of plan C?S11rRerd l7r (20%maximum lot coverageallowed) 1 set of Energy Calculations for heated additions T RresF.? R ` = Y I 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks (T Ems R' ul "_- Y m."N I set of Energy Calculations Addition - Indicate ifonsite septic system i-,' 3 copies of Tree Preservation Plan if lot platted after MIR Rim Joist Detail Options selection sheet (bl gs with 3 or less units Date 3 / 2L( / OL( onstruction Cost 9T300-- C Site Address , &o(2 6 6?I teVA n &b , W p .' ?1 Unit/Ste # /T 1 Description of Work l/" %- c?? ••ll,A /?rtc Ny1 Multi-Family Bldg - Y - N Fireplace(s) - 0 - 2 Property Owner (-n?e 2- Telephone # (??7 ) of Z -??L3 Contractor 15 (JL' l 1 ?i Address City bt ? t t pr State 1?^ Zip i 37 Telephone # (lf4 5?il J7 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 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 Have you previously constructed a building in Eagan with a similar plan? fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor ? n,q I hereby apply for a Residential Building Permit and acknowledge that the infol' ation is compl?ndJaccurate; that the work will be in conformance with the ordinances and codes of the City MY 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 lan ' the case of work which requires a review and approval of plans. -W ??0j Applicant's Printed Name Applic is Signature Telephone #( N If so, 25% plan review - `Fn Telephonel#)( )_ 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 Parch/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 Accessory Bldc ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Mufti Misc. ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement *Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # 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 Brick - Fireplace _ R.I. -Air Test -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 J b(? RESIDENTIAL BUILDING PERMIT APPLICATION Ij'y ` CITY OF EAAN y 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New construction Requirements • 3 registered site surveys showing sq. ft. of lot, sq. R. of house; and all roofed areas (20% maximum lot coverage allowed) • 2 copies of plan showing beam & window saes; poured found design, etc.) • 1 set of Energy Calculations • 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 I J I O SITE TYPE APPLICANT ULTI-FAMILY BLDG \ _ N FIREPLACE(S) ? 0 _ 1 _ 2 STREET ADDRESS 7 6vZ ?pnt4aa Oa_ h S, CITY TATEI ?IZIP ©ssl ? TELEPHONE # 16uon IQI?I CELL PHONE # (4Ia, I C9 O E? FAX ##hQ" YU -Oc(R PROPERTY OWNER ? fl?24 LLS?8_ Ms TELEPHONE# COMPLETE THIS SECTION FOR KNEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I _ MR f (J submission type) • Residential Ventilation Category I Worksheet Submitted • 7Ar'U ` e o Ir t • Energy Envelope Calculations Submitted 0 6 2002 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( Signature of OFFICE USE ONLY Water Softener Water Heater No. of Baths RemodelfReoair Requirements • 2 copies of plan 1 set of Energy Calculations for heated additions • l site survey for exterior additions & decks • Indicate if horse served by septic system for additions VALUATION ?? OS _ Phone # Lawn Sprinkler No. of R.I. Baths Phone # Fee: $70.00 Phone # pion is car 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 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 INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: LOT: 31 B L O C K 3612 ST FRANCIS WAY ST FRANCIS WOOD 4TH PEq4TAPBTYPE: 3 APPLICANT: SUNSET HOMES CORP (612) 531-6714 TYPE OF WORK: NEW BUILDING 622580 12/67/93 INSPECTION TYPE DDATE FOOTINGS INSPTR. INSPECTION TYPE FOUNDATION DATE INSPTR. FRAMING ROOFING INSULATION FIREPLACE ROUGH IN PLBG ROUGH IN HTG FINAL PLBG FINAL REMARKS: S & W PL.BR - PLYMOUTH PLBG L_ _ J CITY C F EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612)681-4675 SITE ADDRESS: P.I.N.: 10-65903-031-03 DESCRIPTION: i% \?rJvJ `J Chu\ ljI Qif Bylldin-9, Permit Type 8-PLEX Building-Work Type NEW 68C Occupane'y? R-1 M-1 ` Construction Tjpe V-1 HR f j Zoning R-3 Building Length 164 Building Width 72 \ Building stories _ 2 ice. Square Feet 11,536 REMARKS: S & W PLBR - PLYMOUTH PLBG FEE SUMMARY: Base Fee Plan Review Surcharge SAC SAC ? SAC Units Subtotal PERMIT PERMIT TYPE: BUILDING Permit Number: 0 2 2 5 8 0 Date Issued: 12 / 0 7 / 9 3 3612 ST FRANCIS WAY LOT: 31 BLOCK: 3 /?I(f?11? ST FRANCIS WOOD 4TH L VALUATION $443,000 $1,840.00 $1,196.00 $221.50 $6,000.00 100 8 $9,257.50 CITY SAC WATER CONNECTION S & W PERMIT S & W SURCHARGE TREATMENT PLANT ROAD UNIT Total Fee $800.00 $5,560.00 $100.00 $.50 $2,592.00 $3,120.00 $21,430.00 SQNSET'Ti0 N C0RP n??1115310714 0002176 SUN'5ET OMES CORP 9687 63RD AVE N 9687 63RD AVE N MAPLE GROVE MN 55369 MAPLE GROVE MN 55369 (612) 531-0714 (612)531-0714 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 Mr. Statutes and City of Eagan Ordinances. I_ J ?ED o, UR A LICANT/PERMIT G URE t ISSUED :51 NATUR REACTIVATE F,FRAIT'#' PC 9ENED 0 CITY OF EAGAN 1993 BUILDING PERMIT APPLICATION $44JO- 00 681-4675 p6f.6'el It-'3 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 Valuation of work ISO ed?? l p ( ba ?L I sfalt . l Site Address: STREET SUITE Tenant Name: (commercial only) IAT 0 BLACK ]? suBD. ?7' F¢ilNCiS nloap P.I.D. _ 97b (lDOit7GN Description of work: The applicant is: ? Owner contractor ? Other (Describe) Name U Phone 5,?1-0'71q Property LAST FIRST Owner Address q/o82 - /0"W I-lur l' 1n,2TN STREET STE I City yOj??/ - State fI]na zip Fi?7'jlo?l Company ?_'AMF Phone yl°J1-G?n; Contractor Address License # J126- Exp. City State Zip Company Phone 31//2 Architect/ Engineer ???,? Name Registration # Address City State Zip Sewer & water licensed plumber Processing time for er & water permits is two days once area has been approved. ereby acknowledge that I have read this application and state that the information is F correct and agree to comply with licable St f Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 02 SF Dwg. ? 03 SF Addition ? 04 SF Porch ? 05 SF Misc. ? 06 Duplex ? 07 4-Plex pt 08 8-Plex ? 09 12-Plex ? 10 Multi. Add'l WORK TYPE P 31 New ? 32 Addition ? 33 Alterations ? 34 Repair ? 11 Apt./Lodging; ? 12 Multi. Misc.'"' ? 13 Garage/Accessory ? 14 Fireplace ? 15 Deck ? 35 Tenant Finish ? 36 Move Y 7Bas mefit Finish 'a+701 m'Pool ? 18 Comm./Ind. ? 19 Comm./Ind. Misc. ? 20 Public Facility ? 21 Miscellaneous ? 37 Demolish GENERAL INFORMATION Const. (Actual) yjo Basement sq. ft. MWCC System (Allowable) _ v-fyl2 1st F1. sq. ft. C-6-76 City Water E5. UBC Occupancy R 1 M-1 2nd F1. sq. ft. 4W oo PRY Required Zoning R_'s Sq. Ft. total 1115 6- Booster Pump # of Stories y Footprint Sq. ft. Fire Sprinkler Length S3? On-site well Census Code /a 5 Depth X2.1 On-site sewage SAC Code 03 APPROVALS Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS ? Site ? Wallboard ? Footing ? Final ? Framing ? Draintile ? Insulation ? Fireplace Permit Fee Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: valuation: dap 16 19,97 9SYS?e?_ y! o ?y ae?ll?-?. ort Nil3,aso .50 SAC % DV SAC Units ?_ 911k ZOOd - WYOI:Z0 £6,-bZ-Ii I090I?. 9 Z.,9_ ? f Sunset MN Homes More NWW W 1bWA40n r 9687 - 63RD AVENUE NORTH MAPLE GROVE, MINNESOTA 65W9' TELEPHONE: 531-0714 November 23, 1993 City of Eagan 3830 Pilot Rnob Road Eagan, MN 55121 Attn: Joe Merchak Building Department Refs St. Francis way condominiums Mr. Merchak, The buildings will all be built with 1-hour protected construction type V-1hr. Sincerely, Sunset Ho>1?s Corpora n Paul Donnay, President PD/jma d0d 600 S3WOH 13SNns 1090tS5aig 90:V1 U-11-C661 jWn"? EXTERIOR ENVELOP AVERAGE "U" COMPUTATION otnlER: L3; STS TRANCiS vk??S y74qua/ l SITE ADDRESS: CONTRACTOR: ??L/m 1 ( 1t p DATE: c) I? PHONE: I ai,6? DETERMINES WORKING SQUARE FOOTAGE OF EACH : I. TOTAL EXPOSED WALL AREA 131 sq ft x "U" . Z S, Z 2. TOTAL ROOF/CEILING AREA,,,,,,,, sq ft •026 ?z 3. TOTAL EXPOSED WALL AREA CALCULATIONS: Total exposed wail area above floor,,,,,,.. 1316 sq ft t .5,*r-r CcMMOAI Yy fjLL a) Total wall window area: $ .S glazed,-„• sq ft x "U" glazed ,...... sq ft x "U" b) Total door area sq ft x "U" c) Total sliding glass door area: glazed...... sq ft x "U" s 77? glazed...... sq ft x d) Total fireplace wall area sq ft x "I1" • e) Total wall framing area (Averaoe IOt)........... ?3 J• sq ft.x "U" ,2Z1 8 f) Total net wall area above floor (Insulated)....... Z sq ft x "U". L2 g) Total rim joist area...... ?L. 447 sq ft x "U" (V, 4?/?ju s/ ?zg WR?t 54 'r - Total foundatio ?---© area (Exposed).......... sq ft h) Total foundation window area ............. sq ft x •'U" • 1) Total net foundation. area above grade........ sq ft x "U" • TOTAL a) thru I) LLL'1a If It em /; Is the same as, or less than Item ft. you have met the Intent of 2 !SCAR 1.16008 A and O. Pale 1 If., TOTAL EXPOSED ROOF/CEILING CALCULATIONS: Total exposed roof/cellinq area........ sq ft J) Total skylloht area....... sq ft x "U.. k) Total roof/ceiling framing= tsg ft x "U" f? z - _ A 7, area (Average 1Af,)...... 1) Total net insulated 5-2 b e?? - 43z roof/telling area....... . •Osq ft x "U" i 4. TOTAL J) thru 1) 1t. . If total of !4 is the same as. or less than F2, you have met the intent of 2 MCAR 1.16008 A and C. . . ALTERNATE BUILDING ENVELOPE DESIGN To utilize the total envelope system method. the values established by the sum of items P3 and 04 shall not be greater than the sum of items R1 and 02. ?, 3'653 2 32g, ?3 1. S • 2. /S. - C E R T I F I CAT I O N 1 hereby certify that 1 have calculated the "U" factors and "R" values herein and that the bulldinn here described meets or exceeds the State of Minnesota Energy Conservation Act. Signature (Date) Page 2 EXTERIOR ENVELOPE AYERAG "U" COMPUTATION ptnlER 5T, T)2AAe-/, lUODDS yH AWAi, SITE ADDRESS: // CONTRACTOR: sGir,Se! woo- Inc S DATE: c;24R.:?7 S PHONE: DETERMINE WORKING SQUARE FOOTAGE OF EACH: .5 70, 3q.. ?318 z= 1 3?,?y 3. TOTAL EXPOSED WALL AREA ........ _ sq ft x uun 2. TOTAL ROOF/CEILING AREA,,,,.,. iq ft x "U" .026 . 3. TOTAL EXPOSED WALL AREA CALCULATIONS: Total exposed wall area above floor......,, 7Q, 3.56 sq ft e a) Total wall window area: 6:4,f 60 14?ljcL glazed,,,,, glazed, b) Total door area c) Total sliding glass door sq ft x .lull W C, o sq ft x "U" C3 sq f t x "U" ?G z . 71 area: glazed..... 25 sq ft x "U" glazed...... sq ft x "U" - -?--rte d) Total fireplace wall area sq ft x "bit e) Total wall framing area (Average 10L)........... 7 (f 3 sq ft x "U" ZZ?? • jam. 1??) f) Total net wall area above floor (Insulated)....... ?%3-3% sq ft x "U" 1 ??i3J` •32 g) Total rim joist area ......_ J?'. 33J sq ft x "U" 05?? ?, 47? Total foundat n area (Exposed).......... sq ft h) Total foundation window area ............. ?- sq ft x "U" t) Total net foundation area above grade........ sq ft x "U" TOTAL a) thru 1) • S„/ If Item /3 Is the same as, or less than item /1, you have met the Intent of 2 MCAR 1.26008 A and 0. Page 1 4. TOTAL EXPOSED ROOF/CEILING CALCULATIONS: Total exposed roof/cellinq area........ G G sq ft ]) Total skylight area...... sq ft x "U" k) Total roof/cellinq framing area (Average iM).... G-? "iq ft x "U" O:L ;75rl 1) 'Total net insulated A 0 Z. roof/ceiling area....... r? T sq ft x "U" •0 9 3 Z 4. TOTAL )) thru 1) ®Z If total of t4 is the same as, or less than f2. you have met the intent of 2 MCAZ 1.16008 A and 0. ALTERNATE BUILDING ENVELOPE DESIGN To utilize the total envelope system method, the values established by the sum of items P3 and A shall not be, greater than the sum of Items R1 and 12. 1. 'S 'A +2. f5, ?e ISt,3?1 3. 5, I' + 4. C E R T I F I C A T I O N 1 hereby certify that 1 have calculated the "U" factors and "R" values herein and that the bulidinn here deWlbed meets or exceeds the State of Minnesota Eneruy Conservation Act. Signature (Date) Page 2 EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION [.f N? OWIIER: L,3 .?. F t2A NCiS c?lie ?1 At)D 1 7Z blv SITE ADDRESS: CONTRACTOR: ?JCCih Se f 74Cd7-n(°S r DATE: 02 a 9F PHONE: DETERMINE WORKING SQUARE FOOTAGE OF EACH Z 3? - ! e 1. TOTAL EXPOSED WALL AREA ...... I 1-3 sq ft x "U" , 2. TOTAL ROOF/CEILING AREA........ ?'6 3 sq ft x "U" .026 a 22, 7/8 3. TOTAL EXPOSED WALL AREA CALCULATIONS: ("PG A- Z Total exposed wall area above floor......,. sq ft a) Tot 1 wall wt dow/area: t 9 6 3 glazed..... sq ft x "U" • 3($(2? glazed,,, sq ft x "U" b) Total door area O sq ft x "U" , 669 .7 . 7-o c) Total sliding glass door area: glazed...... T r 3 sq ft x '.'U" , ?l S 77 (Y glazed...... sq ft x "U" d) Total fireplace wall area sq ft x e) Total wall framing area (Average lot)......... _ sq ft x "U" f) Total net wall area above floor (Insulated)...... sq ft x "U" U63? / ZSS"? g) Total rim joist area...... sq ft x "U" ?()$ 44, . 64'/8 Total foundation area (Exposed).......... -- C) sq ft h) Total foundation _ window area ............. sq ft x "U" 1) Total net foundation. area above grade........ sq ft x "U" TOTAL a) thru 1) If Item R; Is the same as, or less than item FI, you have met the Intent of 2 MCAR 1.16008 A and 0. Page 1 ' A. TOTAL EXPOSED ROOF/CEILING CALCULATIONS: Total exposed tq f/ r ill ft ea........ nq a ce roo J) Total skylloht area ....... k) Total roof/ceiling framing ?? C / , ` " " 9 ? sq area (Average Inf,)...... T ft x U i 1) 'Total net Insulated T1, F7 roof/ceiling area....... i sq ft x "U" ?U?3 73 4 TOTAL J) thru 1) If total of t4 is the same as, or less than d2, you have met the Intent of 2 MCiUZ 1.16008 A and 0. ALTERNATE BUILDING ENVELOPE DESIGN To utilize the total envelope system method, the values established by the sum of Items /3 and 04 sha 1 not be greater than the sum of items P1 and ! 19 + 2. Aga* zz.-?l-7 3. lb-?- .3s' + 4. Z/, / z C E R T I F I C A T I O N 1 hereby certify that 1 have calculated the "U" factors and "R" , values herein and that the buildinq here described meets or exceeds the State of Minnesota Energy Conservation Act. Signature (Date) Page 2 ;"ego PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. NO. FIXTURES EACH TOTAL SHOWER 3.00 WATER CLOSET 3.00 BATH TUB 3.00 LAVATORY 3.00 KITCHEN SINK 3.00 LAUNDRY TRAY 3.00 HOT TUB/SPA 3.00 WATER HEATER 3.00 FLOOR DRAIN 3.00 GAS PIPING OUTLET minimum - t 3.00 ROUGH OPENINGS 1.50 WATER SOFTENER 5.00 PRIVATE DISP. • Dak.Cty. lic. 20.00 U.G. SPRINKLER • home under cont. 3.00 ALTERATIONS - to existing 20,00 WATER TURN AROUND 20.00 STATE SURCHARGE SITE OWNER INST TOTAL: .?,, 1 ,i, t; / ice; .50 ADDRESS: ? 'r < 1) 1-4" S. CITY: STATE: ?7N ZIP CODE: PHONE #: SIGNATURE OF PERMITTEE i ?bl?rtw 1994 PLUMBING PERMIT (RESIDENTIAL) CrIT OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 681-4675 *ti 1994 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN SS122 (612) 6814675 PLEASE COMPLETE FOR ALL COMMERCIALANDUSTRIAL BUILDINGS. ALSO FOR MULTI- FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. NEW CONSTRUCTION _ ADD ON REPAIR WORK DESCRIPTION: CONTRACT PRICE: FEE: 1% OF CONTRACT FEE. STATE SURCHARGE: $.50 FOR EACH $1,000 OF 711 I FEE. MINIIIIUM FEE: $ 25.00 CONTRACT PRICE X 1% STATE SURCHARGE TOTAL SITE ADDRESS: TENANT NAME: STE. # OWNER NAME: INSTALLER: ADDRESS: CITY: PHONE #: STATE: ZIP CODE: FOR: CITY OF EAGAN APPLICANT SChip # D 3/ 7/ 8 a ?6 9 a 10 Permit # Address: _ 1 AGREE TO COMPLY WITH CI.Ty OF a t ; qq ORDINANCES GAN ece Signature - __- , f Tyco:. «: 41 YAUti +d -city of eagan MEMO TO: MIKE RIDLEY, PROJECT PLANNER FROM: MIKE FOERTSCH, ASSISTANT CITY ENGINEER DATE: AUGUST 11, 1993 SUBJECT: AUGUST 17, CITY COUNCIL ITEMS Variance, Sunset Homes Corporation. A Variance of 20' to the sideyard setback to the dwelling unit for Lots 5-7•, Block 1; Lot 1, Block 2 and Lots 2- 6, Block 3, St. Francis Wood 4th Addition, located in the SEC of Section 15. - Sanitary sewer and watermain exist along the common lot line between Lots 5 & 6, Block 3, within a 25 foot wide utility easement. The existing sanitary sewer along this alignment is 15-20 feet deep. Without a proposed grading plan and building elevations, a Variance to the 30 foot building setback cannot be supported. - Proposed Conditions: • Provide a Certificate of Survey showing the as-constructed location of the existing watermain and sanitary sewer in relation to the 25 foot utility easement along the common lot line between Lots 5 & 6, Block 3. • A 7s foot minimum and 10 foot maximum ground cover is required along the existing watermain along the common lot line between Lots 5 & 6, Block 3. • The existing drainage and utility easement along the common lot line between Lots 5 & 6, Block 1, requires vacation by the City prior to building permit issuance. • The bottom of the footings for the proposed buildings on Lots 5 & 6, Block 3, cannot encroach within a 1:1 backslope as measured from the invert from the existing sanitary sewer or the watermain, whichever distance is greater from the common lot line. - The other proposed setback requests do not impact existing public utilities which are owned and maintained by the City. Special Use Permit, Steininger Construction Company. A Special Use Permit renewal to allow continued concrete recycling, processing and stockpiling on PID #10-01300-012-26 located In the NWh, Section 13. - Engineering staff is not aware of any concerns relating to the renewal of this permit. If y6p have any questions, please advise. As istan City Engineer MPF/B Ctl •?: ', EAGAN MN 55122. (612) 681-4675 1994 MECHANICAL PERMIT `?T: CITY OF EAG 3830 PILOT KNOB PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. NEW CONSTRUCTION ADD-ON A/C ADD-ON FURNACE FIREPLACE INSERT DATE ? -'; .c HVAC: 0-100 M BTU ADDITIONAL 50 M BTU GAS OUTLETS (MINIMUM 1 @ 53.00 EACH) ADD-ON/REMODEL (EXISTING CONSTRUCTION) STATE SURCHARGE TOTAL SITE OWNER INSTALLER: TELEPHONE #: ADDRESS: 929D ZACHARY LANE N. MAPtE GROVE, MPi 55369 CITY: 493-2477 STATE: ZIP CODE: TELEPHONE #: ?,,/?s?o/ n ?i W?AaM'? ??{aa FEES rtazo 6.00 (1?) $ 20.00 ?/ lg2.Ut) ZZz2_?' 6 0 29, SIGNA RE OF PERMITTEE 14 1994 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 681-4675 PLEASE COMPLETE FOR ALL COMMERCLWNDUSTRIAL BUILDINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. DATE: y -s - CONTRACT PRICE: $ ?, Gds "ac/' NEW BUILDING INTERIOR IMPROVEMENT WORK DESCRIPTION: FEES 1% OF q9 ? FEE $ PROCESSED PIPING: $25.00 MINIMUM FEE: $25.00 STATE SURCHARGE $.50 FOR EACH $1,000 OF IT FEE. TOTAL $ SITE ADDRESS: _S(g1a \d? 1t???,11 ti (5 t 1 ? , Y(?1 CL? 11 ?A Ao OWNER NAME: ?Uir_-?K..Y i 1V ?L? TELEPHONE #: TENANT NAME: (IMPROVEMENTS ONLY) INSTALLER: ADDRESS: HEATING & COOLING TWO, I JC. 9299 2ACI ARV LANE N. CITY: MAPLE GROVE, MN 55 5'TATE: ZIP CODE: TELEPHONE #: SIGNATURE OF PERMITTEE CITY INSPECTOR 4. t} 4 b t two +?? ?u ?4?'F=gaa". ??`r.§MeaA,°`ia ws3o. a '?` ' 8-Yk.gg a??x.?{x""?,xfi•4?:s , sar c?x? f[. i^? ` s v r ? .. x ?S s sc £ .L<. s iz x c z s eZ x?sF ?' r :.. ? " ' L ? x ,. ? ,{35' ? '. as3i'dx' C°8 ` , 'S'^?xn ? a *. ? i'•r? ,a 3 Ya? 4 x eo ,¢ ?^.rtn. .... sc ?. '°' .wW 't sfiE" `?';,s? x ?? ?c ? "e x e?..3II.ACac z rw a.F a?, ?,{? s, x A€ ss ?c° n a ? ?? a ? z w ? . a L A?` Y s., tidy ? e s w e Z. e «v . p.L s.? 3 Y s , $ sw K5. F 4. x.. .,.c ..:' ..i3i ` a$ ,L' L '{Ab v : e EKE i. xv?. r5°o xYaai z w - v - •. c, wF...?vw.u?S?... ??u.. ?v. ?.'Sw4? ? v^taw':'a3y?at '".u"hv-,nyw?.: .k>... 1994 PLUMBIPLrS Pw (aREMS¢ID A)i c r (? 3830 `PYL z T K iO. B3D L EAGM MIL SSE22 ?I2)? _'N PLEASE COMPLETE FOR SINGLE FAMI1 Y DWEL "ING O, ®R THOS f r OMES Ab?ID r CONDOS WHEN PERMITS ARE REQUIRED FOR?F1C?IiUNai?ia, ------------------------ a._•r NO. FIXTURES y = t(? tU?I g, SHOWER 3 QO' a WATER CLOSET t3m40 ®o BATH TUB '?00 ? LAVATORY 3;OU oa' 8 KITCHEN SINK OOH kz_ ??: Ss LAUNDRY TRAY 8 00 rµ r??a ; HOT TUB/SPA 1517 00? 53 WATER HEATER 300 .?lxoaw.` . FLOOR DRAIN 3°OO?Z'A'o? R- _CZ GAS PIPING OUTLET • minimum' '3 0U ' 'L oa ' ROUGH OPENINGS 15'U ?xx d? WATER SOFTENER y500;' " PRIVATE DISP. • Dsk.Cty. lic. 20 ©0 U.G. SPRINKLER • home under-cont. ALTERATIONS • to vasq-ng 20 UO f WATER TURN AROUND 20`00 '!MM fl. STATE SURCHARGE .506. r TOTAL:? `LEISD? ` r SITE ADDRESS: ,3(p J - -?- `}-r/G< f'i C f _- _ xY ?1 i ?? •? r Y[' tiles ???t 'T - , OWNER. NAME: JUtr1 4Yl`teo _ . E INSTALLER:??I F YI'Ot??N 1 ?pI UM ? ADDRESS: VU1 n yu -k }} i 4 N> r/ y, ? ,err r?''? ? S CITY: ?K STATES(: ; {rGItlC®DE: yr .R F 4 2.i,W ) ? ? _ PHONE #'( ) 633- 4357 {. ,ac t i p'l i SIGNAT.U^EZOFPMiE ` - i- 4 r = yy? I PLEASE COMPLETE FOR ALL COMMERCIAL/INDUSTRIAL FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE DWELLING UNIT. _ NEW CONSTRUCTION ADD ON REPAIR WORK DESCRIPTION: CONTRACT PRICE: $ F[ E: 1% OF CONTRACT FEE. STATE SURCHARGE: $:50 FOR EACH $10000 OF FERMI7 FEE. MINIMUM FEE: $ 25.00 CONTRACT PRICE % 1% $. STATE SURCHARGE $ TOTAL $ - BUILDINGS. ALSO FOR MULTI'- NOT REQUIRED FOR EACH SITE ADDRESS: TENANT NAME: STE. # OWNER NAME: INSTALLER: ADDRESS:. CITY: STATE: ZIP CODE: PHONE #: FOR: CITY OF EAGAN APPLICANT 1994 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT.KNOB RD EAGAN MN 55122 (612) 6814675 LOT SURVEYS COMPANY, INC. SUNSET HOMES 12 Denotes Wood Hub Set For Excavation Only ?.? Denotes Surface Drainage Denotes Proposed Elevation Denotes Existing Elevation Type of Building - SL Ar3 s;?p-AOc-- WEST SIDE Top of Block 911.E Garage Floor '911.2 Lowest Most Floor 9111: EAST SIDE Top of Block °113.6 Garage Floor 9 rL.5 Lowest Most Floor ? Iz,S i' .r EL" -- 248.00.-- 0 UTILITY 4- DlZA,%NA4,a ?A`+EP S tvT-- - 9H o 9ta,3 , 9 3Zi g °Q• - - - - - - - - - - - - - - - - - REGISTERED UNDER LAWS OF STATE OF MINNESOTA 7601 - 73rd Avenue North 560-3093 Minneapolis, Minnesota 55428 K\N C) 0 C) So ` Omegors Mtr#tfu b co..lc GVaB "-? s 86 506.z _ J 5 oq ° 3O9'd i$09'•9 , y57?-- J s ? rB" ?^ p21YE. ?8 N 00 w' 1 f m in r ? 9 1 N et AOS 132,' In r9-93-X15_0111..- _ T 6j T 1 rt `? 'k'v Lot031, Block 3, ST FRANCIS R, ' f' _ WOOD 4TH ADDITION 1907.a 1 c Proposed building information must be checked with approved building 1-7- plan before excavation and construction. 3°7a TL The only easements shown are from plats of record or information provided by S Client. We hereby certify that this is a true and correct representation of a survey of the boundaries of the above described land and the location of all buildings and vis• ible encroachments, if any, from or on said land. Surveyed by us this 2nd day of November 19 93 Revised 11-4-93 LAND SURVEYORS ro 9:° 6 P?,?sr.t7 14'0 917 > 9°$ TC •30 F 9G o„ Lj>l "C-4 'p ZS,o.. 'o :o 9•s ? Z' 8.. 4?d• ? N 0 7,O„ 9'°9 9'', 2-0,0.. 3/ N :t o ' gta3 84• --- -?------ 1-- gIZ3 9jS9 a ? Q - ?sy 9°$ 6 s Signed No. 6743 W a C] INVOICE N03580 F. B. NO. 3SR09 SCALE 1'• 30' 0 - DENOTES IRON J. ? d ? as' Y i j 111 I i i tQ ! L 24' ? Via. I ; i SEDGWICK HEATING & AIR CONDITIONING CO. HEATING 1408 NORTHLAND DRIVE, SUITE 310 • MENDOTA HEIGHTS, MN 55120 • (952) 881-9000 TEST RECORD JOB NO ADDRESS 36/?' • r -f-41th/S (Jfrj CITY OCCUPANT OWNER 7VM )441, SOLD BY tv4-", INSTALLED BY 7177 MAKE y 1 r " a /604, MODEL 00 14/11-7) /1 / o/4L SERIAL NO THERMOSTAT VALVE ,// LIMIT L rc_ P Tc, -,G% LIMIT SETTING FAN SETTING / I PILOT TYPE l� IGNITION MODEL �e PILOT TIMING /1)44 44 PRESSURE /% INPUT CFH Y V STACK TEMP Li/14 FORM 235 (REV. 10/10) PERCENT CO2 PERCENT 02 f. PERCENT CO INPUT VENT SIZE TYPE OF LINER 1 /-Cet. �S LINER SIZE LC i/ FILTERS: IZE t D x' )' Q.'' WIRING l� .ichh�� Y TEST TAG NUMBER LIGHTING INST. DATE TESTED l.( COMPANY TESTING NAME OF TESTER FORM DISTRIBUTION: WHITE COPY - JOB FILE YELLOW COPY - CITY PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA108112 Date Issued:11/16/2012 Permit Category:ePermit Site Address: 3612 St Francis Way D Lot:011 Block: 05 Addition: St Francis Wood 4th PID:10-65903-05-011 Use: Description: Sub Type:e - Water Heater Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Joy Post 1408 NORTHLAND DRIVE SUITE #310 MENDOTA HEIGHTS, MN 55120 Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087 Surcharge-Fixed $5.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Anthony R Petrangelo 3612 St Francis Way Unit D Eagan MN 55123--116 Sedgwick Heating & Air Conditioning 1408 Northland Drive, Suite 310 Mendota Heights MN 55120 (952) 881-9000 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA108113 Date Issued:11/16/2012 Permit Category:ePermit Site Address: 3612 St Francis Way D Lot:011 Block: 05 Addition: St Francis Wood 4th PID:10-65903-05-011 Use: Description: Sub Type:e - Furnace Work Type:Replace Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to Mark Anderson , State Electrical Inspector, 952-445-2840 Joy Post 1408 NORTHLAND DRIVE Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Anthony R Petrangelo 3612 St Francis Way Unit D Eagan MN 55123--116 Sedgwick Heating & Air Conditioning 1408 Northland Drive, Suite 310 Mendota Heights MN 55120 (952) 881-9000 Applicant/Permitee: Signature Issued By: Signature Aug. 5. 2013 2:11PM City of E fan 3830 Pilot Knob Road Eagan MN 56122 Phone: (651) 675-5675 Fax: (651) 675-5694 No. 6294 P. 3/4 Use BLUE or BLACK Ink For Office Use Permit #: 1 1-170 °v Dale Received: 10 1 Permit Fee: Staff: 2013 MECHANICAL PERMIT APPLICATION 111 Please submit two (2) sets of plans with all commercial applications. Date: c(1S- Site Address: Tenant: :t? Name: 1 --esti Suite #: Phone: 65 1 " 1O �$ ^i c9(•`1 Address / City / Zip: 5G, -v.€. s v -c Name: 54" Orte 6' • License #: 1p Address: t0 -0Y144-,APl�� / City: .i2 (1r'--12- State: Zip: l05 Phone: (o 5 (,-774 —a(?) Contact: Email: New Replacement Additional Alteration Demolition 1t 1, Description of work: iJv, t a`�' {�,�v�race ate. L �L &. $-� /145;-1 T'd',{" 't •u �, U ,�( „EAr,{ys;x-idP•t,. i o-, ,r..r, '-i,•,. I . o� .;� . i, . ... .. „nl;Y a I'` ,f ;bei3; seri `Cit �I .l!�6 ,��!".�Oq, c n �cIo " . n f �o(?.,Qf! p9rfl lECe.. sgr9en ng mstfjods emit Typo. c,} RESIDENTIAL Furnace AIr Conditioner AIr Exchanger Heat Pump Other New Construction Install Piping Gas COMMERCIAL Interior improvement Processed Exterior HVAC Unit _ Under/Above ground Tank (_ Install / _ Remove) RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit (includes $5.00 State Surcharge) $100.00 Residential New (includes $5.00 State Surcharge) COMMERCb L PEES $55.00 Permit Fee Minimum $70.00 Underground tank installation/removal *If contract value is LESS than $10,010, Surcharge = $5.00 **If contract value is GREATER than $10,010, Surcharge = Contract Value x $0.0005 **If the project valuation is over $1 million, please call for Surcharge $ CO1D,TOTAL FEE Contract Value $ x .01 ;$ Permit Fee Surcharge* TOTAL FEE hereby acknowledge that (his 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 (his 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. x Applicant' INU t',uv. x Applicant's Si OFFICE USE, gq'ulred Inspections li`t7ndorground ”ugt(`.li ate' Screening 6 0 ne Us`/')eQ1/BLUE or BLACK Ink For Office Use I Permit#: City /jgj~~ I I of Eap I ~1 U v I I Permit Fee: V I 3830 Pilot Knob Road I I Eagan MN 55122 I Date Received: I I Phone: (651) 675-5675 I Staff: Fax: (651) 675-5694 l 2013 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: Site Address: Tenant: Suite [Resident/Owner Name: Phone: Address / L v / Zip: J 2- Name: MILBERT COMPANY INC dba CULLIGAN WATER License 063031 Address: 1801 50111 STREET EAST City: INVER GROVE HGTS Contractor State: MN Zip: 55077 Phone: 651-451-2241 Contact: BILL MILBERT Email: Type of Work - New replacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W. Description of work: RESIDENTIAL Water Heater Water Softener Lawn Irrigation RPZ PVB) Permit Type Add Plumbing Fixtures Main Lower Level) Septic System New Water Turnaround Abandonment RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener (Includes $5.00 State Surcharge) $60.00 Lawn Irrigation (includes $5.00 minimum State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) *Water Turnaround, (add $200.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) TOTAL FEES $ CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities, www.gopherstateonecall.orq 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 t to start without a permit; that the work will be in accordance with the approved p n in the case of work which requires a review and appof x PIP, x Dow- Applican tinted Name Applicant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections Under Ground Rough-In Air Test Gas Test Final Oct 2 2014 12. 05PM Crest Exteriors 651-463-8095 P. 5 Use BLUE or BLACK Ink �---------,-------� � For Office Use i J�7�10�- i Clty of Ea�a� , Permil#: I ' �7fi��� ' � Permll fes: � 3830 Pilot Knob Road j GZ � f j Eagan MN 66122 � Da1e Recelved: V � Phone;(661)676•5675 I Staff: � Fax;(661)676-5694 � � `__-_____ �._-____J 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date:I� Site Address: ' Unit�I: Name:l� Phon��,�J���7�1� (1\��� ResiilenU P - . � � ��''�' Address/Ci p Owner h+/zt � ����,;,:_ ;,t•;.::,�,. : Applicant is: Owner Contractor ,:,�, R;-�•*�.�.;.�E,� �� ��R �a'�''�P`' Descrlption of work: - ' s e'of, o�� �'�.r..�� �l. /� "�-'' ' Canstruction Cosl:� v`� y Buildin :(Yes�1 No_� � Multi-Famil g :- ,. .. • Company:l J► �(�jl x�,( �1)1 J� LLJ� i _ContacL��,,� ,';�� �:: Address:�7 � I 1 � (\����Clty: . �;f3ontractor ��;,<--::�. (� �.,,`' • State:�Zip� lJ��'�' Phone: � `�mall:��,s1�T�.���r�� �Q,��2�r►�t License#:���\Y�7-�'�VJ���� Leed Ce�tificate#: If the project is exempt from lead certfflcatlon, please explain why: (see Page 3 for additional information) U �, �� 1 ;�� r� �� ' r, � � - ,i' 1� -� C� , COMPLETE THIS A A ONLY IF CONSTRUCTING A N�W BUILDING In the last 12 months,has the Clty of Eagan issued a permlt for a similar plan based on a master ptan9 ,�Yes _No If yes,date and address of master plan: Llcensed Plumber. Phone: Mechanfcal Contractor: Phone: Sewer&WaEer Contractor: Phone: NOTE:Plansandsu;���tl"� 'cu"`'e�� -Y�a�+q!/; ��i `�`r'e'cq P ')'E�'_o�lii.e' ubllcinfo►7ndtion. Port7onsof tfie informe'`�%n htay�°classif -i�y ��c' �. , ��would permi��Iie�City to .. _ . . ,- : . `_`Eo � e_ a��t r,a ts . .. � . ' CALL BEFORE YOU DIG. Call Gapher Stete Ona Call al(ebi)464•0002(o�protecllon againsl undefground ulility damage, Call 48 hours before you i�lend lo dlg to recelve locales of underground uIIllUes. www. o hersl e Il.or 1 hereby acknowledge thal lhis inforrnalion IS complete and accurale:lhal the work wlll be in con(ormance wlth lhe ordinanc�snd codes of lhe City of �agan;lhal I understand►hls Is not a permil, but only en appllcallon for a permil, end wollc fs not lo sleri wilhout a permll; Ihal lhe work v✓�II be in accordence wllh the approved plen(n lhe ease of work which requifes e fevlew and approval of plBnS. Ezterlor work authorizad hy a bullding permit issued In aeeordance wlth the Minne6ota Slale 8ullding Cada must 6a compleEed witnln 180 days of parmll Issuance. X ; �,W���.C�'�� � x . Applicant's P�Inted Name Applic nt's Slgnature Page 1 oF 3 For OinC,0 the*Ratt*ta mm f.. '-'a'thtt P.f a# .: '' AN, MN 55122-le a .........._..m.........._. � ( e$75-5675gym. i,N r,t 4.5€43"''--£., "w ('559 ,.1576`3;4 2018 RESIDENTIAL Syk_ILDING PERMIT APPLICATF ON Rei r a. t Type of Work _ �... w.... . ..W... L� t"rtttuthY ta, contact i _x;, r e v,* "..`"'S%w+w«'Y a 'CA.., a ir.' 6 "L,L . ..� ^.. w�,,:_ _+'._ �1 `e.... ..,� .-_-•--... f , gym._ a ga. 'Toff lead faatiOn ;lease excels COIrIPLETE F CONSTRUCTING .� . ,,;, i.Ftan last / infanta... nab If* Eagan tanned . :: t #rt :plan`ba of plan? ..,, !in yna tiatio aritt,: AritdreSS ..3r rieee taut: inorr =3 Maranon nt n tof; Piffnf Ittn2 ' 44D1144 t d at dbff netnnftfarantt rc oa> r,. tan may be . . elesONtef ste nunabtabb ft yanyatouniu feunatty that parayitafand the,Clap pubtantatayou antat.taatau i be ,:torr tht,,xtptaa tiettromu aotifieativn abut the City of trenatand tattananyhes by Parana ttp tor fut entirII ate op the says 34,4344 44 ' "cel on au-wizeet by a93Shc runt Weotsal 'sa‘eartistrua,w,t the Meteimouatop tatagCada X01beam •: k Withal/110 11/4 s nn 1304 - tanal:bat 0f 44460.2, parotutatta.,.sem.°: t ?r 91>rae rr :.-."1149 t N.n os 19 to_u"-.,-'-ot far s .,*.3r•ls C arm f.t1 4 _444 4, _ a 4 `1. t t t=" ,'.seta ahat Af",TH r rs t444.:4;n rrrr ey € a-. r u h? a OW 1 b0 1 44 ^140 . , :)r s� Ek_:r , €'.t tak t t . r t � i�: r r M� t Nm aK that ttte Ma:"t 4 r tar ;: rda.:a: <_..the buytnahayawna tri a' tat O ' 4n$7,14 4;444. aprhotuu :a otach #--33 e. ro. . w, .. a1Fr�` 'mt NameApplicant'sSignature p