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3784 South Hills Ct CITY OF EAGAN SE1F ..'.R SERVICE PERMIT 3830 Pilot Knob Road p~~T NO.: P. O. Box 21199 D^,,E: Eagan, MN 55121 1 Zo~ing: R 1 No. of Units: Owner. T berlinc i;l::r9 IsIc /?ddnss: . Sise Addrcu: 375So liills Court I.I~ ~;C) :..lls lst Piumber: Star P1U ' & =:;c _ `~-~.•!-5: . ~ 4.,. _a 1agm te eanoy with the Cih? of Ee9an Connechon CharOe: Ordineean. Account Depoa(t: 1Ii , Pe?mR Fae: d Surcharqe: BY Misc. Charoes: Date of Insp.: Totol: . Insp.: Date Paid: ~.,...r.-,- CITY OF EAGAN WATER SERVICE PERMIT 3830 Piiot Knob Road pE~~T NO.: 'i1''~' ' P. O. Box 21199 I~-«.~_ ~a . Eagan, MN 55121 DNTE: ' Zonir.j: Ri No. of Units: 1 Owner, 11'~1 drs Inc ` llearcss: ~ills lst S~e '7~u iills Co~.~rt co , Plumber. ~L3T r` l',.~ ~ i LXC Meter No.: Connection Charge: 4S0.010 Pd Siu: /kcount Deposit: 10.00 '„1 Reader No.: Permit Fee: I .JO 1agm to carVhr wiHb Hha Ciq of Eayon Surthorge: i~Cte~ ~m~ Misc. Choroes: 60.001 } 7otol: BY pcte Poid: Date of Insp.: Insp.: CITY OF EAGAN WATER SERVICE PERMIT _ 3830 Pilot Knob Road 5159 1 P. O. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: 10-28-83 Zoni.q: R1 Na of Units: 1 pwr1er; Timberline ~1dr Inc - . AdJr+en: ' yte /ddress; 3784 So Hills fQ,irt 1 2 Sn Hi 11 e 1 st Plurr~r: Sta~b¢ ~ EYG - ^ , _ r No.: a Connection Chorps: dS(1 (1(1 nd ze, /f lt 0, /looount Depostt: weade. No.: 0 6 Per„it Fee: 10.00 pd I .r» h ee.avh? wNb ew ah? of E.ww surd+oros: - 50 Rd---mist Misc. Charoes: An _ np_U_ Total: ~ gy - Date PaTd: Date of Insp.: . I^dip.. GAS WORK ORDER 1082 Payne Ave. STAIV DARD 410 W. Lake St. St. Paul, MN 55101 9 Minneapolis, MN 55408 651 /772-2449 b H EAT I IV GO 612/824-2656 & AIR CONDITIONING A Blue Dof. Service Co. EQUIPMENT INFORMATION LAST'/~~~,r FIRST TYPE ADDRESS MAKE CITY ac ZIP Z3 MODEL HM PH-4 ,-t- U~-7 r?~I WK PH SERIAL 2p TECH DATE - - IN ~ s- ORSAT TEST RECORD C02 % METERED INPUT 5~2 Cfh CHIMNEY TYPE 02 % LIMIT SETTING 0 FLUE SIZE ICI. Co % PILOT OUTAGE sec CONNECTOR sIZE in. ~ NET STACK TEMP 0- 0 TOTAL CHIMNEY INPUT btuh • cirr oF E?GAN 3795 Nlot Keob Reed Eagon, MN 55122 ?HONEs 4S4-e100 BUILDING PERMIT Receipt # Te b~ wsd (or SF DkTG/rA? Est.Value QI22,000 Date Septeml~er 14 , 19 Site Address 3784 South Iiills [:ourt Eroct Occuponcy Lat 12 Blotk 2 ~/SubSouth liills lst plter p Zonirq Pcroet ~t 10--70790-120-02 Repoir ? F1re Zone ' i ustin *1i2' C: Enlorye ? Type of Ccxut. ac Name Move p # Stories i 3755 South Iiills 7)rive L) + Address Domolish ? Length--77 ci Eagan 55I?3 Phone 452-2574 Grode ? Depth Sq. Ft. ~ Name m er ine !`,ui- ers, nc. APProvals F.es ~o ._out~1 . s :tay . . , 3727 ' Address Assessment Permit Ea 3:, 55173 454-591 `i1. S Woter b~ Sew. Surcharpe Ci PhO^e Police Plon check ~W Nome Flr* SAC 525. ~0 Address Enp. Woter Conn. 45') . 00 ~ <W CI Phone Plonner Water Meter t'rr, .00 r ~ I hereby ackrqwledge thot i have read this opplication and stote that dg. 04. 9-/ ~`t~~~~ fhe information Is wrrect ond ogree to comply with all applicabls APC Totol 5tate of Minnesoto Statutes a{~d City of Eagon Ordinances. i •Sipnoture of Pertniftee n-7- -J- ~ ( !~s- ~ - * - - l 7nC. r j1- - - - /1 Building Permit Is issued to: on the expren condition that oll work shall be done in ataordonte with all appliooble Stote of, Minnesota Statutes ond Ciy of Eapon Ordinances. Bufldlnp Offlciol FEIectric Permit No. Permit Holdar Mi9c. Pe?mit No. Holder O $'3 dd r wo s~ 6 Wt 1' ' 4' Z t-g3 C , ;~-~ogos pw ?~.~r ~t-B'-~3 Inspection Date Insp. Other Footinpt - Vie% Foundation Freming 3hq Rouqh Pibp. ~ Rouph HVAC L Insulation Final Plbp. ' Final HVAC " Final Waftr Dmacribe Locatioa: W.u sewe. _ Pr. Disp. Receipt MECHANICAL PERMIT Permit No. CITY OF EAGAN Fee Fill in numbered spaces S/C Type oi Prini /egib/y Tot. 1. Date 2. Installation Cost J 3. Job Address Lot- Blk. - Tract 4. Owner " 5. Contractor Phone 6. Address 7. City State Zip ~ 8. Building Type: Residential G]' Commercial ? Institutional ~ ,9. Work Description: New 13 Add ? Alter C! Repair ? 10. Describe Fuel Type 11. No. Eauioment BTU - M. Ea. No. Eouipment CFM , Forced Air Air Handling: Mfg. Boilers Mech. Exhaust Mfg. Unit Heater Mfg. pther Air Cond. Mfg. Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and 1 agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Flnal Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454,8100 Receipt PLUMBING PERMIT Permit No. CITYOFEAGAN Fee Fill in numbered spaces S/C Type or Prinr /egib/y Tot ~O • ~ 1. Date 2. Installation Cost ' 0, Iaj Qu~ <5 3. Job Address 3 7$7 Lot12- Bik. -2, Tract 4. Owner r i 5. Contractor Phone " - ~ 6. Address 7. City State Zip ' 8. Building Type: Residential Z Commercial ? Institutional ? 9. Work Description: New ~ Add ? Alter ? Repair ? 10. Describe 11. No. Fixtures No. Fixtures " Water Closet Cesspool/Drainfield Bath tubs Septic Tank Lavatory ~ Softner Shower Well _L Kitchen Sink Urinal/Bidet Other j Laundry Tray Floor Drains Drinking Ftn. ` Slop Sink Gas Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codas governing this type of work. Signed : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numhered and approved. Approved CITY OF EAGAN 454-8100 r ' CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE f 9 Recsivsn ' - F110M AMOUNT $ I A DOL_LARS +oo ? CASH E]CHECIC i,- FOR r FUNO GOCE AfAOUNT Tha ou BY J White-Payers Copy Yellow-Posting Copy Pink-File CoPY CITY OF EAGAN Remarks (.v!`I h 611L~Tbr LG~C~~1 i F.'d ,Li'7L~ 4ol7~„ Additio SOUTI3 HILLS ZHt Lot 12 Blk 2 Parcel lfl 70790 120 Z Owner ~a~ J~~-'• Street 37$4 So. Hills CAUrt state Eag~ , MN 551233 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING 1973 581.58 8.19 SAN SEW TRUNK tS + 1971 146.46 7.32 20 sl• 30 A012571 9-4-8; * SEWER LATERAL ~ 2,295.31 2 c, 918.13 it of WATERMAIN * WATER LATERAL 1975 15 WATER AREA a-4-93 STORM SEW TRK * STORM SEW LAT 15 CURB & GUTTER SIDEWALK STREET LIGHT WATEt-i CONN. 450.00 38627 9-14-83 SUILDING PER. 8471 SAC PARK 051 9 r Re0ue7s10ate iire NO. Rou9h-in nspeclion ~ ~J ReWirea?~ ? ReaGY NowG~4'fdl Nolity Inspector ~ Yes When ReaOy? I:3 . licensed contractorXWVner hereby request inspection of above electrical work at: Ciry Jo0 AtlOssi$L Bax~FOUte N~ ~ • 3~0~ ~ S $eclion No. Township Name or No. Range No. Caunty OcmOant IPRINTI/ Plione No. / ' / Power SuOWier Atltlress Eiecmcal om ctor ( COmpany Name) Convactor5 Licanse No. wn Mailing Ore SlCOntractor or Owner Making Installatary O A"~ etl gna IConVac~or~ r Making Inslalla~ion~ ~ Phone N , ~ a umbar MINNESOTA STRTE BOARO OF ELECTIiICRY THIS INSPECTION REOUEST WILL NOT Grigga-MlEway Bbg. - Room S173 BE ACCEPTED Bv THE STATE BOARD 1821 Unlvanity Ave., SL Paul. MN 55104 UNLE55 PqOPER INSPECTION FEE IS Vhane (612) 602-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION °~N Es-opooi-o~ a ~ • See ins[ructions for compk[ing this torm on back ol yellow copy 45109 ~T o-- Liwlow Work Covered by This Request e dd Rep. TypeafBuilding AppliancesWired EquipmemWired Home Range Temporary Service Duplex Water Heater Elechic Heating Apt.Building Dryer Othec(Specify) Comm./Intlustrial Furnace Farm Air Conditioner Other (syecity) Contrector's Femarks: ^d~ y Compufe Inspection Fee Below: # Other Fee # Service Entrance Size Fae # Cimuiis/Feeders Fee Swimming Pool 0 t0 200 Amps 0 to 100 Amps Translormers Above 200 _ Amps Above 100 _ Amps SIgnS Inspecrorg Use Only. 7p7pL Irrigation Booms ~S Speciallnspection al , 1~ armlCommunication THIS INSTAILATION MAV BE 0 ERED • ONNECTED IF NOT Other Fee COMPLETEO WITHIN 18 MONTH . "I, the Electrical InSpactor, hereby RO09hin ` f P oate certify that ihe above inspection has Final oaie y been made. , . yy'.•:~=,`•d.•,~ ~ OfFICEUSEONLY This reQUest voi0 1,5. U V ~ ,x483So•~l,))s ~ff y~o Renuest Data Fira No. flouph-i Insycction Re4uired? oReady Now ? WilI Nolity. InsPec- ! ~ `p ?Yes ?No tor When Ready Q0o LicenseA EI¢clriwl Convactor I hereby reauest inspection ot above ~qOw?.er eleclrical work installed eC Street Addrass, Box or Route No. Citv 'I -S~vtlz G'- 7- Q ?t ect on P,Jo. Townsbip Name or No. flange o. Cowrty Ucct-ko & Occupent IPPINTI Phone No. Power Supph r Addross L~-l4o-.. FI eUf v-,` L FQ r EleMrical Conhac[or (Company Name) ontrarmr's License No. Mailine Addrass 4C'6Rl7dcTd1-ar Owner MakinB Instailationl 71 50 UtLi_ Authorized Sure (Contract dOw king Inspllaliop) Phone Number y`~= ~ MINNESOTA STpTE BOARD OF ELECTNICITY THIS INSPECTION qEQUEST WILL NO Grigga-Midway Bldg. - Poom N-1e1 BE ACCEPTED BV THE STATE BOARD UNLESS PNOPEfl INSPECTION FEE IS 1821 UniversitY Ave., St. Paul, MN 55104 Phone 16721297-2111 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION - , ' Sae instructions tor completim this fwm on beck of Yellow cooy. o 0 ~~3 "X" Below Work Covered by This Request Nft4Addl Reo• 7Vpe of Builtlina Aocliancee Wiretl Equipment Wired Home Range Temporary Service Duplex Water Heater Liyhting Fixtures Apt. Buildinq Dryer Electric Hefltin Commercial Bldg. Fumace Silo Unloader Industrial Bldy. Air Corxlitioner Bulk Milk Tank Farm Otber Peci V .ther45ueci~yl t er Sue~,tv ther Othur Compu[e Inspection Fee Below M Fee ServiceEntrBncaSize p Fee Feeders/5ubfeeders &IFe. Grcuits U to 200 Am s 0 to 30 qm s 0 to 30 Am s Above 200_Ampa 31 to 100 Amps 31 to 100 Am s Swimming Pool Above 100-Amps Above 700_P.mps TransfIrrigation 6oorc~s Partial.'Other Fee SignS SpeCial InspeCtion Femarks TOT F62 HouBh-in Date ~he Elechicel Inspec~or, hereby rt{fy thet the above Final nspection has been ~ mBda. Thja repueat voi018 montln Irom Thfs request void 78 mpnths trom l l7~ 1 Svk-~~ A -20809 Fequest Da~e Fira No. Noueh-in Inspection Reetl? ~Ready Now ~Will NotitY Inspec- Yes ? N. or When ReatlY ? Licensed Elechical Conhactur I herebv requast insoection oi above Dkowqer electtical work installetl at Street Atldress, Box ar floute No. Ci1y -378'f 5avth /~~'//s Cdurt Ea.ya.n. ecLOn o. Township Name or No. ange No. Counry I,77ee.k d tQ.. OccooantlPHINT) Phone No. W. Dust;r, q-zelt&c Power Suo0lier AAdress L)a.kata E/ect,i~_ 19-SSDC. FecrM.;n on Ir M/1J Elecal ConVactor JCOmOany Name) Contractor's License No. 6b712F,A(` Mailine AdJress (QenRe6tow.enOwner Making Instailation) 3'`18+5' o t- h~, ~(/s 8~' « K~~V ssi a3 A thorized Si ture 1 er Makiny bistall ionl /Phone Number~r MINNESOTA STATE eOAflD OF ELECTflICITV TNIS INSPECTION REQUEST WILL NOT Griggs-Mitlway Bldg. - Room N-781 BE ACCEPTED BY THE STATE BOARD 7821 University Ave., St. Peul, MN 55104 UNLESS PROPEA INSPECTION FEE IS Phone (612~ 297.2111 ENCLOSED. REQUEST FOR ELECTRICAI INSPECTION . `w ' See in~ructinn~s tor complelin9 Ihis farm on beck oi ye11oW copY~ A' , "X" Below Wwk Covered by This Request 34'7 (p ( HAd Peo' TVpe ot Builtling APpliancea Wirod Equiumen<Wired , Home Range 7emporary Service Duplex Water Heater Lightiny Fixtures Apt. Building Dryer Electric Heatin Commercial Bidg. Fumace ps Silo Unloader Industrial Bidg. Air Conditioner Bulk Milk Tank Farm oinP, oecl v Other Isuer-tfvl t er Suecify Ot or Other Compute lnspection Fee Below # FBa ServiceEntranceSixe N P¢a Featlers/Subieeders b Fee Circuits 0 to200Am 4,Amps 0 to30Am s ~ Oto30Am s A6ove 200 31 to 1 DO Amps 31 to 100 Am s "tlo Above 100-Amps Above 100_Amps Transtormers Irrigation Booms .,'j Pdrtial-'Other Fee Signs Speciallnspection ~ ~lJ TO R¢marks ~A~ Fough-in ~a[e . ~ the mal ( U ~ soectoq herebv certity that the above - Final '~te~ ~gpection hes been ~ de. I Thls reQUeel voitl 18 months trom , This,V~ uest void p/~/9 p' t . c5 s y 18 hs fmm ~ ~ O E 371-,Q5.C1:. I ~ llz~-/n ° ~ flequest Uate I Fire No. Rnuph-in InsVection . ~ Reqwred? ~No ~fleatly Now %W loir ll Notity InsDec- b ? 1'es When Ready Licensetl ElecUical Convactor . 1 hereb re v auesf inspaction of abova Owner electrical work instelled at'. Svaet AAdress, Boa or Houte No. Citv 31 814 ~u4) 4zIls Cc,u?-+ ecuon o. Township Name or No. AT~ee o. Counl Occupant(MilNT) . Phone Nn. W. Iu5~'i h ~l~ r ILIL Power SupOter . Atltlress 1=Q r m i n 1-o r, Electrical CoA uactor (COmpany Name) onvar.mr's license Nn. f~rrllC~3 E~CC~YIG Mailinp AAJ,ess IContraclor or Owner MakinB InsteflatioN ~.3~ ~h er C~, . (.r¢~hah Fa/ls , /yi~ S.sZ~ AuthorizaA 5i nature IConv tor O ner Maki eIns[allationl Phone Number ' ,~0 ~-a-63 MINNESOTA STATE BOANO OF ELE RICITY THIS INSPECTION NEQUEST WILI NOT Griggs-Midwey Bldg. - Noom N-191 BE ACCEPTED BY THE STATE BOAND 1821 Univer5itv Ave.. St. Paul. MN 55704 UNLESS PPOPEB INSPECTION FEE IS Phone 16721 642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION tl% ee-aoooi-os N' p 1 See insvucbens for comoleting this brm on back ot Yellow copy. S E'3-`ng 5 "X" 8elow Wak Covered by 7his Request Fdtl ReP. TyOe oi euiltling APPlionces Wiratl EquiVment Wired Home Ranye Temporary Service Duplex Water Heater Lightiny Fixtmes Apt. Building Dryer Eleclric Heatin Cominercial Bldy. Fumace Silo Unluader InAustrial Bldg. Air Conditioner Bulk Milk Tank FBfm OtOer Geci y iher (Speniy) t er $pecify the, Othn)r ompute Inspection fee Below p Fea SarviceEnvance5iza X Fee Feetlers/Subteeders # Fne Circuots U to 200 qm s 0 to 30 Am s 0 to 30 An~os Above 200 qmps 31 to 100 Amps 31 to 700 A s Swinxning Pool Above 100-Amps Above 100_Am~s Transformers Irrigation Booms PartiaCOther Fee Signs Special Jnspection g 1~~0 TOT Nema rks ~ ~ 2a.c~i n~tro flouph-in D• 1e I. t e ecvical IOSP V cerliW thnt the above Final has been I d de. (his reqvest roid 18 months Iram I This reauest d LIP '~j01.,~ 18 rtronths fro d~ •~g 616 ~o , ~o Requ t Ddt Fire No. flouPh-in InspoctiyFF n Reqvired? eatlY Now Q Will Nnlity, Inspee;- ' ~ 1993 ?Yes No tor Whan Reatly licensetl Electrical onuactor I hereby requast inspection of ebove ? Ownar elecVical wark inslalled ar Sneet Atldre . Bo r Paut No. City~ . 3 7~ o' ecuon o. 1 ownshiv Name or No. Range o. Co ~ Pho e No. O- ( INT) S-s~8 we' ppli r _ Atldress Ele Acal Contr~tor ICOm y Namel Contrncmr's License No. -~~4u~- . O 3 3 ~ Mailing drass IC cto Ow r Mekinp Instailation) Authori e Signawre ontrector Owner Ma nB lnstall tion) P ne Nu ber ~ 3~-1330 MINNE T STATE 80AN0 OF EIECTNI ITY THBEIS IACCEPTEDNSPECTIBYON THE flEQUEST STATE WILL NOT BOAHD Grigg weY Bldg. - Noom N•191 UNLESS PHOPEN INSPECTION FEE IS 1821 versityAVa., SL Paul, MN 55704 .~......o ENCLOSED. ' ~ REQUEST FOR ELECTRICAL INSPECTION ee-ooom-oa ~ See inatructions for campleting this form on back of yellow copy. w' , ~ ' X"" Beloo ~'rwk'Co"e~d by This Request ? J~ AAd Rep. TyDe ot Builtling Appliancns Wired Equipmenl WireA Home Range Temporery Service Duplex Water Heater Liyhting Fixtures Apt. Building Dryer Electric Heatin. Commercial Bldg. Furnace $ilo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tenk Farm omer ovm v mer tsoadeyl t er I peci v t er Otn,•.r Compute lnspection Fee Below k Pee ServiceEntrence5iza k Fee Fentlers/Subteeders N fee Circuits U to 200 Am 5 0 to 30 qm ps 0 to 30 Arn os Above 200 qmps37 to 100 Amps 31 to 100 A s Swimming Pool Above 100-Amps Above 100_Am s Transiormers Irrigation Booms Partia6`Other Fee Signs Special Inspection J Remar . S/ t S TOT ~~EQ I Rough-in Date I, the acbical Inspectur, h"eby rtity thet Aha ebova I Final ~ ' ~+~0 ' pection hes been l~ ~ meda. ThLa reaueat volA 18 monlhs irom CITY OF EAGAN N~ 8471 3795 PIIM Kno6 Road Eagon, MN S5122 PHON[s 4548100 BUILDING PERMIT Recelpt # To 6e wed fer SF DWG/GAR Est. Volue $122,000 pate September 14 1 q 83. $Ite Addrea 3784 South Hills Court erecr gy occuponcy Lot 12 Block 2 Sec/SubSouth Hills lst qiter ? Zoning R-1 pOfCBl # 10-70790-120-02 Repoir ? Flre Zona NA Enlarge p Type of Const. V a Name Dustin MiTick Move ? # Stories = Addreu 3755 South Hills Drive oemolish ? Length 64 ~ r; Eagan 55123 p~ 452-2574 Grode p Depth 49 Sq. Ft._ o Name Timberline Builders Inc. AVOro+ols Fees o~ Addrass 3727 South Hills Way Assessment Permit 488.00 Cit Eagan 55123 phom 454-5918 woter 8 Sew. Surcharye 61.00 Police Plan check 244.00 ww Name Fire SAC 525.00 ~ Address Enp. Wafer Conn. 45p.00 ~W C~ php~y Plonner WaterMeter bn_nn Counc+l Road Unir NA I hereby acknowledge that I hove read this opplicotion and state that Bldg. Off. Park D2d.120.00 the information is wrrect ond ogree to camply with all a071icoble AP~ Totol $1948.00 Stote of Minnesota Srotutea d Ciry of Eagan Ordincinces. ~ J Signoture of Permittee imberIin u ers, In A Bu7lding Pertnif Is issued ta: on the express condition Ihm oll work shall be done in ocwrdance with all applica 1 St of AAinn ta atutes and Ciry of Eapon Ordinonce9. Bufldino Offlciai l(KI CITY OF EAGAN Include 2 sets of p ans, ~U 1 site plan w/elevations & BUILDING PERMIT APPLICATIbN 1 set of enerc~y cal.culations. ~~'a0..C~ Zb Be Userl For Valuatiorrwai= u ~/o2o?i Date Site Pddress: 'lL7gr(- 5d, Niu-4 GT. OFFICE USE ONLY Int 1?~- Block 2, Sec./Sub. Seutm f1tu,s Erect pC Occupancy /f3 Parcel # : Jo -?b'79o -1 20 - o z Rx.sr hoD • Alter - - zoning _ / kepair ' Fire Zorie A- Oaner: w, puSTir1 MjMc., Enlarge Type of Con st. Nbve # stories Pddress: 375Cj Sp ~H%&1.5 DR.. DeJ[nlish Front (o'I ft. City/Zip Code: ~ 5-S'123 Grade Depth /~19 ft. Phone 452- 'iS7+f' APPI3OUALS FEES Contractor: *ywgqtuagr Assessnents Permit ' yeiF ~ ~ Address: Water/Sewer Surcharge j~ `3~2 S~,N~wS wN'~ ? Poli~ Plan Check y City/Zip Code: E?reti.lt S-yi 2-3 Fire SAC ,s- as- rp Phone NS*-- s9?h p Water Conn. Water .Meter Arch./Ehg•: Council Road Unit Alyq Bldg. Of£• 9_64O Pddress: APC City/Zip Code: r o O ~ Phone TOpAL CITY QF EAGAN CASHIER: JS TEFMINAL N0: 770 DATE: 12/09/33 TIME: 07:24;28 IU° NAME: JAMES D. FINCH 3210 3001 3784 SOUTH HILL 111.25 2155 4001 3784 SOUTH HILL 2,50 a Total Receipt Artiount: 113.75 CR12(.1E,98 USER ID; 7AN ~k~C *~C***Xc%~Xc~Kkc~k*~kC*k:%~**~XX~~ ~K~~*~K~X~X%c~%X~~~X##* 3~ D D 7 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN ~ 5830 PILOT KNOB RD - 55122 651-681-4675 NewConstruelion Reauiremenls RemodeVRecair Reouiremenffi ? 3 repistered site surveye showirre sq. 8 of bt, sq. R M house 2 wpks of plan and all roofed areas (20% maximum lot cmeraae albwed) 1 set ot enerpy akulations tor heated addifianc ? 2 copies of plans (ehow beam 6 wlndow sizes; pound tnd. declgn; atc.) 7 afte survey Por ezbrlor additions & deeks D 7 cet of energy caleulatioes ? 3 coples of Uee arvation plan H Iot phtted aNer 711199 OATE: CONSTRUCTION COST: DESCRIPTION OF WORK: ( L4vFR'TC-Fkr,UFF r cbrnpcErF i?y5T,44-c $TREET ADDRESS: J~ e~ v SO - (4/ L L S c% . LOT: ~ BLOCK: SUBDJP.I.D. / / Name: n'1 ~R i C K Z F r--~~ Phone S: PROPERTY ust Fimt OWNER streecaddress: 3"78'1 So , (~i- CRY V-fFGAN State: YVl n.1 Zip: ~7S I 2 3 Comparry: 6-FF0KJ)6(3Lr coiv si . Phone#: !~s`J'~GS`~-Slc9y (area code) CONTRACTOR StreetAddress: IS00f COncoaD 57. S o. License# Za169a62Exp 3-Oo L`ity S6. S! . pA-LLL .S`ZBtB: iryl /v ziE1: ARCHREC7! ENGINEER Company: Name: Telephone Street Address: Registratioa City State: Zip: Sawer 8 water Ilcensed plumber (new eonstructlon onlvl: Telephone Penalty applles when address change and lot dunge ia requested once permH ia bsued. I hereby aeknowledge that I have rad this applkatlon, sfate tlhat tlie Mformation k cortsd, and agree to eompy witli all applfcable STate oi Minnasah Statufes and Ck of Eagan Ordinances. Signafure ofApplicant: OFFICE USE ONLY Certificates of Survey Received _ Yes No Tree Preservation Plan Received _ Yes ^ Na _ Not Required OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porc,h/Addn. (4-sea. ? 03 1 of _ plex d 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened) ? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Levet ? 24 Storm Damage ? 05 3-plex ? 10 S-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous WORK TYPE ? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia ? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors ? 33 Alteration ? 37 Demolish Bldg.* ? 41 Wood Stove ? 45 Fire Repair O 34 Repair ? 38 Demolish (Interior) ? 42 Reroof * Give PCA handout to applicant for demolition permit GENERAL INFORMATION Const. (Actual) Basement sq. ft. Census Code (Allowable) Main level sq. ft. SAC Code UBC Occupancy sq. ft. No. of Units 2oning sq. ft. No. of Bldgs # of Stories sq. ft. MC/ES System Length sq. ft. City Water Width Footprint sq. ft. Booster Pump PRV Fire Sprinklered APPROVALS Planning Building Engineering Variance Permit Fee Vaiuation: $ Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PL ' Park Ded. " Trails Ded. , Other Copies Total: SAC Units °k 5AC ~ sourh sca N;US • ano>n CoUft eearlr~ Fountl I/2j Open Iron Monumenlf CIOJRe ^.1•' / I Y ~ 850 Found 1/2„ =8 oC'26 \OP@n I/On 2-$-F HS@. 6~i•4j„ Mpos w \ Monument 2-$-F NSC. ~ ~ i ` i 13.4' i ` I ~ t 2~2 ~~h m 2-S-F Hse. a r„4r 11oo'! ~ ° 6'• 6' P .f1 I ~ V' T n ~ Q,.iQ cn ' o N .o o ~ e (ODQ ~ o n ~ O . W~ ~ a ~Qi ~A Q o o 12 . . ~ 0 o i ~ rr N ~ n N'iy line of WESCOTT N 880 23~26 E rron Monument - - 130.07 Meas. R.Ls 772e 130.00 Plat I/2" Iron Monumenf R L.S. 7726 I)ESCIliPT?ON . 12, 610,kSUl'"fH I!1l.LS FIkST AUPIT[U1, nrcording [o [he pla[ ;h,ri•of on Cil.- dnd of record in th, nl Che (:,un[v Norur?,c, in and For I?:ikot" Cuunty. Ninnrsot:~. 3 is a true and correct representation of a survey of the boundaries of the above described . ._:1•._ :C C- -.A ..,.A ~ , 4: . r . a E}CTERIOR EI1VETCFr AVcRAGE "U ` COi +j ( OWNER L.+. DuSrl.J Mt GaLK SITE ADDftESS 3'l~xt- ~o, N~u-S GT CONTRACTOR DA21V3 pfi0t1E ~PS~•°S-qr,? * . Determine vrorking scu2re footag€`oqaG:h• 1. Total exposed wall area 353•Z, eq;=fa .19 = b-7 1 - "`Y 2. Totsl r~o~of%ceiling area (qyyr Sq;:t ftx .04 - N.17 7r> 19*Total exposed wall 2rea above floor =31- a. Total wall window area lb. Total door area .:rt pr: 0. . . . . . . . . =n. d. Total fireplace wall area :-rr- Yz Pr' e. Total wall framing area (ave:age f. Total net wall area above fioor .....~.7-~g Pr` g. Total rim joist area )J-3 fl-z Total exposed fcu^dation area h. Tctal foun3ation r;in3ow area i. Total net foundation a.rea aboveg^ade • Determine "U' value of each wall s.T&Ixe. a. zRS x "U" .sso = ~n.-o- b. 7`o ttU r 39" ° (o/~y C S'~ro~l J C. a{ t'jJ: _ D. w2. X"U;' .eS~ m e. z-,w X~.UH ww9 S°n*~ f. n..vc8 I:Ui; , o38s = 9N'~X. ( 8"~ 9- Iq3 X nU•- 2•°1 h. a x '*ut ~ X 3 ............................................~~a.s 3a8,so If item .#3 is the same as, or less than item #LYQU have met the intent of SBC 6016(c)2. r-w °A Total exposed roof/ceiling area ~ :otal skylight area rr'- k. Total oof/celling framino 8rea~(average 10% 9r{- 1. iotal net insulated roof/ceiling area !'iy3 Determine "V value for each roof/ceiling segrient. J • ? 3.rs na k. 194- X ,V1 .07zd = IZ- 1. 1IY~j x r:ut, O.er.z = 3r.35 4 .........................................Tota1 = s[.3 z If total o:' l."4 is the same as, or less than F.2, you have met the intent of SBC 6006(c)1. Alternate Buiiditig Envelope Desit,n To uti?ize the total envelope syster netho3, the values established by the sum of items #3 and #4 shall not be ereater than the sum.of items dl an3 s2. 1. 6-11.L-l + 2. ~'?~c = ~~F4.o3 3. 32-?.s0 + 4. sc.ay = 3Yq-~Py CITY USE ONLY PERMIT#: 0//0 O RECEIPTDATE: MIDEPTIAL MECfIANICAI. PERMIT APPLICATION crrY oF KAsM 3830 Pao r xxos [tn gAsM auv sslas 651-681-4675 Please complete for: ? single family dwellings townhomes and condos when permits are required for each unit Date: SITE ADDRESS: OWNER NAME: TELEPHONE (AREA C DE) - INSTALLER NA1VIE@~WWA"~~0C'-rnT"3ft TELEPHONE (AREA CODE) STREET ADDRESS: CITY: STATE: ZIP: Place a check mark next to the ermit work t e New residential dwelling unit under constructionand not owner/occupied $ 70.00 'X Add-on, modification or alteration to existin dwelling unit $ 50.00 • furnace replacement • air exchanger • air conditioner • other / Nature of work: State Surchar e $ .50 Total Reminder: Cadl far inspections. ~ SIGNATURE ERMITTEE Upda[ed U01 ~----------------i I Fm:O~tice'4f"se ~ ~ Clty of Eapn ; Permit# 741, ~ ~ 6 I I Permit Fee: 76~ i 3830 Pilot Knob Road Eagan MN 55122 ~ Date Received: ~ a"~' j Phone: (651) 675-5675 ~ 1 Fax: (651) 675-5694 i Staff: I 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date:A~_ Z)'OR SiteAddress: r Tenant: N! ! Kz < <C Suite RESIDENT/OWNER Name: VuSrcfl) .~?rv~;~fr Phone: 65~~' yS"~ ^ 2r 7Lj AddresslCity/Zip: 17,vc1 Soat+, ~(~`IlS Ccc•r/~ Applicant is: _ Owner / , Contractor TYPE OF WORK Description of work: J'fJ1'1$ c LCA F''G4 G~Oa1^ Constnuction Cost: Multi-Family Building: (Yes No ~ CONTRACTOR Name: /GV'ke S 66hfTruU^,711 License#: Address: /B/d S A6j4-1_ rr City: tvcp7' State: V(/( J/ Zip: Phone: Contact Person: Vr~ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet CetCgOry Submitted Submitted submission type) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contrector: Phone: NOTE: Plans and supporting documents thaf you submit are considered to be public information. Portions of the information may 6e classified es non-public if you provide specift'c reasons that would perm+t the Cify to < sondude that fhe aae lrade secrefs. I hereby acknowledge that this infortnation is complete and accurate; that the work will be in confortnance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a pertnit, and work is not to stad without a permR; that the work will be in accordance with the approved plan in the case of work which requires a review and approval o` /r~ x ~~~tcat OS X ApplicanYs Printed Name ApplicanYs Signa ure Page 1 of 3 05/05/2014 MON 9:21 FAX 651 437 9745 HALEY COMFORT SYSTEMS 0001/001 Use BLUE or BLACK Ink For Office Use ~ I City of Eaua n P ermit 2 33 I I Permit Fee: o 1 3830 Pilot Knob Road Eagan MN 55122 Date Received: j Phone: (651) 675.5675 I I Fax: (651) 675.5694 1 Staff: t I I q 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Date: "J ' I I Site Address: I NIS C~t~~1 S 6 ~ G1 ,-Unit Name: 1~s~?~ Mlrl~k Phone: D Address/City/Zip: 31 V 1 I~I IJ l•~~I~f CG(4 ~S Applicant is: Owner Y-Contractor Description of work: 71 I I I r1 (J Construction Cost: d • J Multi-Family Building: (Yes ) Company:_ CowV oyf gWe-iAS Contact: (~ICUI~, ~~G~~tV Address: W 3 S+ City: I~ Gl S 7 I VI ~1S State: _MN Zip: ~J~J Phone: (C S f' µ3~ ' U ~7 3 6 ' License M 0 1 ~j Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: ~~,}ifar2raf/ n m;~i Jt: Arm soon pr7Crc s so 0 ~olhel JIM d, R WO W 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.cooherstateonecall.oro 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 in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit Issued In accordance with the Minnesota State Building Code must be completed within 180 days of permit Issuance. l l X I\(1 ~ o IQ, I e x - I ~01UA 10 Applicant's Printed Name Applicant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA129875 Date Issued:03/20/2015 Permit Category:ePermit Site Address: 3784 South Hills Ct Lot:12 Block: 2 Addition: South Hills 1st PID:10-70790-02-120 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 by law in ALL single family homes . 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 - Dustin W Mirick 3784 South Hills Ct Eagan MN 55123 (651) 452-2574 My Exteriors Inc 6957 Hwy 10 NW, Suite 206 Anoka MN 55303 (763) 241-4900 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA135820 Date Issued:04/06/2016 Permit Category:ePermit Site Address: 3784 South Hills Ct Lot:12 Block: 2 Addition: South Hills 1st PID:10-70790-02-120 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door 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: 500.00 Fee Summary:BL - Base Fee $500 $40.00 0801.4085 Surcharge - Based on Valuation $500 $0.50 9001.2195 $40.50 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 - Dustin W Mirick 3784 South Hills Ct Eagan MN 55123 (651) 452-2574 Minnesota Rusco 5558 Smetana Dr Minnetonka MN 55343 (952) 935-9669 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA139917 Date Issued:11/14/2016 Permit Category:ePermit Site Address: 3784 South Hills Ct Lot:12 Block: 2 Addition: South Hills 1st PID:10-70790-02-120 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 - Dustin W Mirick 3784 South Hills Ct Eagan MN 55123 (651) 452-2574 Minnesota Rusco 5558 Smetana Dr Minnetonka MN 55343 (952) 935-9669 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink EaaaflFor Office Use 'Oki` Cit of Permit#: r/rd05- Permit Fee. /05: 3830 Pilot Knob Road Eagan MN 55122 Date Received: /i/7 Phone:(651)675-5675 Staff: Fax:(651)675-5694 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 4/12/17 Site Address: 3784 South Hills Court unit#: Name: Zella &William Mirick Phone: 651-452-2574 Resident/ 3784 South Hills Court Owner Address/City/Zip: Applicant is: Owner X Contractor Type of Work Description of work: Remove & Replace Roof Construction Cost: $17,290.00 Multi-Family Building:(Yes /No X ) Company: Signature Home Services, LLC Contact: Shane Paulson Contractor Address: 15631 Darling Path City: Rosemount State: MN Zip: 55068 Phone: 651-731-1147 Email: office@signaturehomeservices.org Lead Certificate#: NAT-57396-1 License#: BC396508 If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan? Yes X No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. 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.ciopherstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan;that I understand this is not a permit, but only an application for a permit,and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuP4h1 nce. x Slit‘A-6 II�/1 Applicant's Ptrinname � l Applicant's Signature 5;0" J2 (14.1')L Page 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA156493 Date Issued:07/02/2019 Permit Category:ePermit Site Address: 3784 South Hills Ct Lot:12 Block: 2 Addition: South Hills 1st PID:10-70790-02-120 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Dustin Tstes W Mirick 3784 South Hills Ct Eagan MN 55123 (651) 452-2574 Standard Heating & Air Conditioning 130 Plymouth Ave. N Minneapolis MN 55411 (612) 824-2656 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA157133 Date Issued:08/06/2019 Permit Category:ePermit Site Address: 3784 South Hills Ct Lot:12 Block: 2 Addition: South Hills 1st PID:10-70790-02-120 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Dustin Tstes W Mirick 3784 South Hills Ct Eagan MN 55123 (651) 452-2574 Standard Heating & Air Conditioning 130 Plymouth Ave. N Minneapolis MN 55411 (612) 824-2656 Applicant/Permitee: Signature Issued By: Signature