3794 South Hills Ct
ER SERVICE PERMIT ~
SEW
iTY OF EAGAN pERMIT NO.:
3795 Pilot Knob Road DATE:
Eagan, MN 55722 No, of Units:
Zoning:
Qwner:
Address:
Site Address:
Plumber:
C
1 a9?ee to c°'^ply with the Ciry oF Ea9on onnection Charge:
qccount Deposit:
Ordinanees. Permit Fee:
5urcharge:
Nlisc. Charges:
BY Totol:
Dote of Insp.: Date Paid:
I nsp.:
f OF EAGAW WATER SERVICE PERMIT
3795 Piiot Knob Road
PERMIT NO.:
Eogon, MN 55122
Zoning; DATE:
Owner: No. of Units:
Address: -
Site Address:
Plumber. .
Meter No.:
Size: Connection Charge:
Reader No,; Account Deposit:
I a9?ee to comply N.,th the C~~, of Ea Permit Fee:
Qrdinonees, gO^ Surcharge:
Misc. Chorges
gY Total:
Dote of Insp.: - DaYe Poid:
- insp.;
:c~l~rl ~LI-f'~. U; t.( E_ •,c...111 /%i?r~
~.,uA111 fiemarks~--
Addition- $OLITH HILIwS lSt Lot 15 plk 2 Parcel 10 70790 150 02 ,
Owner Street 3794 South hille DRive State Eagan, MN 55123
04- , . -
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING 1973 581.58 8.19 10
SAN SEW TRUNK J 1971 146.46 7.32 20 73.26 A009005 4 10 8
* SEWERLATERAL 1975 2,295.31 153.02 15 1377.19 A009005 4/10180
WATERMAIN
* WATER LATERAL 1975 15
WATER AREA 1972 239.22 11.96 20
STORM SEW TRK .
It :,TORM SEW LAT IS
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
cIrY oF EAc,AN
• 8795 PHor Knob Rood Eogen, MN 53122 N2 5596
PHONE: 454-8100
' BUILDING PERMIT Reoeipt #
Te be wed for Est. Volue Dote , 19
Site Address , z,~_ Erect Q Octupcncy
Lot Block 5ec/Sub. - ' Alter p Zontng
Parcel # . Repair 0 Fire Zone
Enlarge ? Type of Const.
oWe Name Move Stories
~ Address DemoHsh ? Front ft.
Ci Phone Gf°de O DePth ff.
Approvoh Fees
~ Name
Assessment Permit
Ci Address . Phone , - -
' i Water & Sew. Surcharge
Plan chetk
Police
ldZ NOfT1e Fim SAC
Address Eng. Woter Conn.
a W Ci Phone Planner Woter Meter
Council
1 hereby ocknowledge that I have read this application and state that Bldg. Off. ~
the information is correct and ogree to comply with all applicable APC Total '
Stnte of Minnesota Statutes cnd City of Eogon Ordinances.
Signcture of Permittee
A Building Permit is issued M: on the express condition that
all work shall be done in accordance wfth all appliaable 5tcte af Minnesota Stotutes ond City of Eagcn Ordinances.
Building Official
f y
Fank # paM lawd ?uwMhw
Plumbing
Mechanicai Q a Q ^
INSPECTIONS DATE INSP. Rauph-In Flnol
Footings ~ Date Insp. Date Insp.
Foundation Plumbing .xy-
Frame/ins. Mechunical -A7-gU
Final
Remarks: T 'u1ae -
,
~.~„NTr-~'"~.~
' ~~,r,,,+~?i,~ r' +er 1r~
~ =,ti _z- : . M'~,
- - . i ; L ~ ~-r. - - ~~i'"":~•'-- mtift
~ , ~ - - - - - - - - - - ~
TPxfif iratP of w'rrupttriry
f (titp of (Eagan
BPpa1't1Pnf Qf Wlttthix[g jm.pl'tflltri
Thit Ctrtifitutt usrttd ptrrJxitru to t,lx ttyuirtmextt of Sation 306 of tfx U,iiform Building
r ~'I Cudc urtifyrsg that at tln tinc of i.rsriana tbi.r st.urturc wat in cmnpliancr with thr vasiour '
VI ordrnancu o f tix Cfty rcgxlating buijding conttructios or u.rc. For tix follou7n8:
r * r ~ ~ .
un SF Dwlg/Garage 5596
i , Bidg. hmtit No.
o-w-rTYve TywC~no. v Finz,,. III x~~ovt,xt Rl ~
Bob Trent Ad~ 7100 Beamar Ln.,Woodbury,h i
sWrmee Aar.. ° " S • I -ury , , s r.
y1 r~l~ ~
`I by
Wjgdft o++~.~ wu: 4/7/g0
4
i=a;ri~.~"•L-t++~i ~
~.~i--'-°~.' - - _ _~_i.:~a~s• -.I.~c-_• -.a.._~.u:•y.'=-a~~. J
~I '~.rr '~r.i~ "~r.~'~1~~rr'~•6„~~~~,,~~~•~,~ ~
INSPECTION REC4RD
CITY OF EAGAN P~RM1ll 7YFE:
3830 Pilot Knob Road Perrijit Number:
Ea an, Minnesota 55122-1897
9 Date Issued:
(612) 681-4675
SITE ADDRESS: APPUCANT:
' 'A i~l11?i NII1•_: Cy Ovit:fQk3R 8filVflrir',
.ii11 1 41 {I i I 1'. I•. f r,. , w+ l ,I',:1 :
PERMIT,SYV~ ~PE; TYPE OF WORK: A i i i?. r, 1 1 +ON
INSPECTION D. . D.
~ .i-11 N~i ~ I~ .~~I ;1 I ~
i?~+11~,1t i~t f' l 1; , t a Ntil
~ J
Permit No. Permit Holder Date Telephone k
ELECTRIC
PLUMBING
HVAC
Inspectfon Date Insp. Comments
FOOTINGS
FOUND
FRAMING
/
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS 5VC
TEST
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL S^ a ~1
r
Fm-
BSMTR.I.
BSMT FINAL
DECK FTG
OECK FINAL
ciTr oF EacaN
, 8795 Pllac Kneb Rand Eagae, MN 55122 N2 5596
' PHONE: 454-8700
BUILDING PERMIT APPLICATION Receipt » I/L -
re be u.ad for SF Ihvlg/Garage ¢st.vaiae 89,000 pate 1/16/ 19 80
Site Address ,3791i SCL Hi ],y,c jJri vy Erect Q OccuPaMY P`3
Lot 15 Blxk z Sec/Sub. So.Hills Alter ? Zoning Rl
10 70790 150 02 Rerwir ? Fire Zorre III
Porcel #
s Name Bob Trent e ? Type of Const. V
? Srories
3 ~re~ 100 Beamar Lane 78
Demolish ? Front ft.
° c; Woodbux'Y,I'~qlone 739-0966 Gmde ? oeorh 34 sr.
~ im er ine ui ers nc. Aovrowle Ffts
o Name
o~ Address 3707 So. Hills Drive nssessmenr O permit 199.00
C~ ag~~ 454-5918 Water & Sew. Surcharge 44.50
Police Plan eheck 99.50
~w Name Fire SAC 525.00 .
Address Eng. Water Conn. 270 • 00
<w Ci phone . Planner Water Meter 60.00
Council Rd.Unit
1 hereby acknowledge thot I have read this opplication and state that Bidg, pff, 1 8 80 Park 120.00
the infortnation is correct and agree to comply with oll appliwble APC Total 1~318.00
SMte of Minnesota Statutes and City of E/a/g'on Ordirwnces.
Signoture of Permittee
A Building Permit fs isued to: iTA'exline Bldrs. or, che exPress mndition char
ail work shall be done in acmrdance with all appli le State of MiMesota Statutes and City of Eogan Orclirronces.
Building Official i,.d~ir k ~ C-~
zz~
.6p, 1,94W
Include 2 sets of plans, `r
' 1 site plan w/elevations &
BUIIDING PIItNIIT APPLICATION 1 set of energy calculations•
To Be Used For RgSiDrs-N)cE Valuation~ Date (-9-So
' Site Address : 'S lq'+ . So, k j6L.S 7)R • OFFICE USE OPII,Y
Lot ~5 slorac z sec./sub. Erect occupancy aP3
Parcel R,7~790 / 5o D~ '?`lter zoning /
Repair Fire Zone
Eniarge _ Type of Const. r
Owner: goa TR€uP move # Stories 0p
Pddress: I i.o 8cL*w&K Dennlish Front ft.
City/Zip Code: Grade Depth ft.
WeooBuf~-`/
Phone 7 3 4-o9" APPROVALS FEE'
i zo
Contractor: -f IH4iW-A~iui;- ?ui?.pw _ 0G- Assessments 8o Pexmit /9
Water/Sewer Surcharge y~
Pr3dress: 3,a7 5o.cra N16~,5 er~v~ police Plan Check ~'9
City/Zip Code: ~txtrp,.l Fire ~ 3'~-Lsr-
gzq, Water Conn. ~7/j
Phone 4-'S'1~8 Planner Water Nleter G~
Council Road Unit
~h.~4•0 Bldg. Off. • O
Pddress: APC
Gity/Zip Cale: p
Phone TCTAL ~ ~ Q 07U
- .
u ~ T
"s> 9.vv
Z: .t
~ tJ U
L . l' , li
1 2 U , V
J
,
~ ~c~.l~ - QC}' -
U
~
2 5 6- 7 2 0 O USE LV This repoest void 18 momhs fram wlidanan dab pnmed in i~
~
tr °2'
PLEASE PRINT OR TYPE /JtXKs O
Revum Date Roughm-in inapMion required2 Yes ? N. Inspeclion OiherThan Raoghln: 0 ReadY Now Will Call
~(You ort wll the mspMOrwhen reo y Dote Reody:
I, ' ensed coMmdor ~ owner hereby request inspetlion of the obove eleciriml work af:
Job Pddr s(SVeel BoR, or 8aure No ) rn Ciry ~ Zip Code
Section No. To.mship Name or No. Ronga No. Fire No. vnry
OauPaN t l„`,~ ~ . Phana Na~
L/
PovrerSupplier ~ Pddross
~
ElecMCa onkackr (ComponY Name) e~ Conhador Lirensa Na. Master Lic. Na (Plom EIeC. Only)
Ma/iline Mdms (Commcmr or m Pedorming Insmllotion) ~
Akfiwqzed SipiaNn ( nhatlor orOwnm Pedorming Imlollaaon) Phona No.
EB-00001MI0 6/95 STATEBOMO PY-SEEINSTIIUCTONSONBACKOFYELLOWCDPV
III ~I ~II II REQUEST FOR ELECTRICAL INSPECTIO`N5,
Minnesota State Board of Electricity
1821 University Ave., Rm. S 28, St. Paul, MN 55104
b 2 5 6 7 2 004 Pnonelsi2) saz-osoo 3~Jr 9
ome up Apt. Bldg. Other w Addn
Commercial Indushial Farm Remod Re air
Air Cond. H}g. Equip. Wafer H}r. Load Mgm}. Other:
D er Ron e Elec. Heat Tem . Service
°X" above the work covered 6y this request. Enter remarks in this spaca and on the 6ack of the whire copy only.
bz'1''.'~ R -r \ ~A ~ S " '
Calculate Inspection Fee - ihis Inspeciion Request will not be accepted wiihout the corred fee:
Olher Fee #t Service EMrance Size Fee # Circuih/Feeders Fee
Mobile Home Park Sloll 0 to 200 Amps 0 to 100 Amps
Street Lig./Traffic Sig. Above 200 Amps Above 100 Amps
INSPECTOR'SUSEONLV TOT ~
Transformer/Generaror ~
Sign/Ouiline Ltg. Xlmr.
Alarm/Remofe Control 4Gf ' w
Swimming Pool I hemb ceri rfwf I ins ected thc el 'ml insrollaHon d ribe~d h n on Nie dake swted
Irrigation Boom po„9h.f„ oak 1.,
Spe<ial Inspedion
Finol ? ~ Y'~~
Invesfigative Fee +T
THIS INSTALLATION MAY BE ORDERED DISCONNECTED I .CO 8 MONTHS.
This re(luest v~1 L IS (~,~I ~ ~~~J ~ Sr /'l O"`
18 rtqnffis from
T N468 ~orC) o
Request Data Fire No, qeGUhe~ InsVectiorv ~pently Nuw QWill Nnlily. Insl~ec-
1_~2 ?YCS [~No [or When Heatly
[2.1-ir.ensed ElecVical ConVactur I hereby request inspection o( abova
? Owqer_ . elechical work installed et
Stre et Address, enx or floute No. Ci[Y
3794 5outh H=11s Court Ea an
eR.uon o. Townshio N:ime or No. Rnnge No. Cowiry
Dakota
OccuUani(PRINT) Phone No.
B b Trent 4$2-6778
Power SuuVlier Adtlress
Eleclrical Contrar.lor (COmpanv Neme) Contractnr~s Llcense No.
Rossot•, Inc. 40828 F
Mailinp AdJress IContraclor or Owner MaklnH InstailatioN
P.O. Box 254 Lake Elmo, P.n. 55042
R{.
Aut ize • igna~urc ICOnvactodOwner Makiny Installatinnl P~yy~N~Uppti~%
( ( V
/.i',
MINNESOTp STATE BOAflO OF ELECTRICITY THIS INSPECTJON flEQUEST WILI NOT
Griggs-Midwey Bldg. - Room N-197 BE ACCEPTED BY THE STATE BOAND
1 Y21 Universiry AVe., St Paul, MN 55704 UNLESS PHOPEH INSPECTION FEE IS
`
on....e Iat91 947_911 1 ENCLOSED.
~
6~ " REQUEST FOR ELECTRICAL INSPECTION ee-oooui-oa
' Se0 mstructiOes for completing this torm on back of yBllow copV~
T ~7'e~ ~7 ~y
X"" Be/ow Work Covered by This Reyuest .G }j
Ne Add Rep. Type of,Building Appliances Wiretl Equipmant Wired
Home Ranye Temporary Service
Duplex Water Heater Lightiny Fixtures
Apt. BuilAing Dryer Electric Heatin
Commercial Bldg. Fumace Silo Unloader
Industrial BIAg. Air Conditioner eulk Milk Tank
~ F3rm ~thcr Soeufv Uthor (SUecify)
t ,r Specily Othcr Ofier
Com ute Inspection Fee Below
H Fae ServiceEnlrenceSixe H Fee Feaders/5ubineders N Fee Circuits
0 to 100 qm s 0 to 30 qm s 0 tu 30 Am s
107 to 200 qnips 31 to 100 Amps 31 to 100 Am )s
Above 200 Amps Above 100_Amps Above 100_Amps
Transiormers Remote Control Circ. Partial%Other Fee
Signs Special Inspection $ 10.50 TOTAL FE (Q.
Rem.~ r ks
I RouAh-in I, the ElacUicel
( InspocWq hereby
LBflily lh&S [hB flbOVB
Final Oate C' i ction has bonn
;7 p made.
This request void
i N monlh5 fwrn
CITY USE ONLY
LoT L BL xscEIPT a: 90?ac9 3-
SUBD. lU~u~ l~ l~ RECEIPT DATE:
1997 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PIIAT KNOB RD
EAGAN MN 55122
Date: (612)6814675
I 1 '
Complete this section only if you are installinQ HVAC in sinele familv, townhome, or condos that are
under construcHon and are not owner /occupied.
• HVAC: 0-100 M B T U $ 24.00
ADDITIONAL 50 M BTU 6.00
• Gas outlets ( minnnum of one required @$3.00 ea.)
• State Surcharge: .50
• TOTAL:
Complete this section onlv if you are remodeline addinE to or repairina exisrinp- sinele familv
dwellines, townhomes, or condos.
~ Add-on furnace ~ Add on air conditioning
_ Add-on air exchanger, i.e. Vanee system, etc. _ Other
Minimum £ee applies to all remodel or add-ons of existing residences $ 20.00
S[ate Surchazge .50
Total: $ 20.50
3 d,
SITE ADDRESS:
OWNERNAME• Yt~O.l~.e PHONE#: -~O (v
INSTALLER NAME: PHONE
STREET ADDRESS:
CITY: STATE: _ ZIP:
SIGNATURE OF PERMI
7'J~-lg
AlC, ~~41,LcO
~
CITY USE ONLY
L _ BL _ RECEIPT#:
SUBD. RECEIPT DATE:
1997 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 6874675
Please complete for: ? all commerciaVindustrial buildings.
? mum-family buildings when separate pertniffi are not required for each dwelling
unit.
DATE: C^NTRQ.CT PR!GE:
WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: ?$25.00 minimum fee or 1% of conUact price, whichever is greater.
? Processed piping - $25.00
? State surcharge of $.50 per $1,000 of ermit fee due on all permits.
CONTRACT PRICE x 1%
PROCESSED PIPING
STATE SURCHARGE
TOTAL
SITE ADDRESS:
OWNER NAME: TELEPHONE
TENANT NAME: (IMaaovenneNrs oNLY)
INSTALLER:
ADDRESS:
CITY: STATE: ZIP:
PHONE
SIGNATURE:
SIGNATURE OF PERMITTEE CiTY INSPECTOR
} PERMIT GZ~I5357~'
~ CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55122-1897 Permit Number: 0 2 7 0 9 7
(612) 681-4675 Date Issued: 0 3/ 0 4/ 9 6
SITE ADDRESS:
3794 SOUTH HILLS CT
LOT: 15 BLOCK: 2
SOUTH HILLS 15T
P.I.N.: 10-70790-150-02
DESCRIPTION:
g'Bu:ilcl~ing Permit Type BASEMENT FINISH
~ Buildj`n"g Work Type AITERATION
Census C~-d"e_' 434 ALT. RESIDENTIAL
h
,
_1 /7
~ .
,r 4
REMARKS:
FEE SUMMARY:
Base Fee $50.00
Surcharge $.50
Tptal Fee $50.50
CONTRACTOR: - flpplicant - sT. T(§WNER:
VICTORY BUILDERS 18914543 0009 31 MARCUS ROBERT
14194 GARLAND AVE 3794 SOUTH HILLS CT
APPLE VALLEY MN 55124 EAGAN MN 55123
(612) 891-4543 (612)452-107.8
T hel^eby ac#cnowl.edge tha.t.I have read this epplieation and staCp that the I
informati-o-n is correcfi end agree to comply with all applica6le State of Mn.
Statutes and City b'f'Etigan Otdinances.
_ _ .
/ APPLICANT/PERMITEE SIGNATURE ISSU D BY: IG U E' k
l
INSPECTION RECORD
CITYOFEAGAN PERMITTYPE: BurLorNe
3830 Pilot Knob Road Permit Number: 027097
Eagan, Minnesota 55122-1897 Date Issued 0 3 f 0 4/ 9 6
(612) 681-4675
SITE ADDRESS: ~ or : 15 va Lo c K: AgPLICANT:
3794 SOUTW HILLS CT VICTORY BUILDERS
SOUTH NILL3 1ST (612) 891-4543
PERMIT SUBTYPE: TYPE OF WORK:
BASEMENT FINISH ALTERATION
INSPECTION „ • DA
FRAMING INSULATItlN
ROUGH IN Pl6 FINAL
r--
. ~
D J
` CITY OF EAGAN O O
lqoql 3830 PILOT KNOB RD - 55122
1996 BUILDING PERMIT APPLICATION (RESIDENTIAL)
687-4675 ~~U,5 ' 4f-
New Gonstriclion Reauirement= RemodellReoair Reauirements
? 3 registered aite surveys ? 2 eopies M pian
? 2 copies of plans (indude beam 8 window sizes; poured tnd. design; elc.) ? 2 site surveys (exterior addNions & decks)
? t energy calculationa ? 1 energy wlculations for heated additions
? 3 copies M tree preservation plan R IM pla8ed aRer 711/93
requlred: _ Yes _ No
DATE: 7-76, CONSTRUCTION COST:~~O°O
DESCRIPTION OF WORK:
STREETADDRESS: 3_79`7 Sau-/i~ /-'~'6~? -
LOT BLOCK ~ SUBD./P.I.D.
MAJS
PROPERTY Name:~` Phone
OWNER
Street Address• 3~ ~4s c 7'
City: State: ^i Zip:
CONTRACTOR Company: VicV`e 2r' /S ulL11,e'pS Phone
Street Address: 9 vt ' License
Ciry:hPeL6 V9~,~Gy State: /'7.1-1. Zip' ssit5'
ARCHITECTI Company: Phone #ENGINEER
Name: Registration
Street Addres
Ci{y; State: Zip:
Sewer & water ticensed plumber: Penalty applies when address change and lot
change are requested once permit is issued.
I hereby acknowiedge that I have read this applica8on and state that the information is correct and agree to comply with all
appiicable State of Minnesota Statutes and City oi Eagan Ordinances.
Signature of Appliqnt: ~p
OPFICE USE ONLY
Certificates of 5urvey Received _ Yes No ~
Tree Preservation Plan Received _ Yes _ No
OFFICE USE ONLY • i:
BUILDING PERMIT TYPE
0 01 Foundation ? 06 Duplex ? 11 Apt.ILodging 16 Basement Finish
? 02 SF Dwelling ? 07 4-plex ? 12 Multi RepaidRem. ? 17 Swim Pool
? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch ? 09 12-piex ? 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. ? 10 = piex o 15 Deck
WORK TYPE
? 31 New jl--33 Alterations o 36 Move
0 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MC/W5 System
(Allowable) Main level sq. ft. City Water
UBC Occupancy sq, ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code.
Depth Footprint sq. ft. SAC Code O/
Census Bldg _L
Census Unit D
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $ '
Surcharge
iw
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter , . , .
Acct. Deposit
SNV Pertnit
SNV Surcharge
Treatment PI.
Road Unit
Park Ded.
Traiis Ded.
Other
Copies
Total:
% SAC
SAC Units
I
~ • ~S~Tq~A ' " MINNESOTA VALtEY
SURVEYORS & ENGINEERS CORP.
m~ .•fJn•~, in . ' ~iW
C~ ~W qAM(.)}TNAVFMUEtOVfM "6WMSY1LL(,Y1MME5011 S3)i~
~ Ccrtificate of Survey for: D N6'L/ST.4FSON
. Sp0Ty .
~ CV - 3,soO 111L4" C'
. V t / 3k, . .
a
a~ 4 $ .
.
. ;
h . , . .
J h _ .
~
~ ~ ^ l
, t ~ •
l
` ic~. oo ~ •
WESCOTT ~r OAD '
Loi 15, Block 2, South Hills First Addition
~
1Ae~~bynnil~rhar~Ai~i~env~endurr.u~~y.n~n~oUon Nfinnesot• VYlltr Surrlyors &
•l. .rrr.r o1 iM beun0e..., a11M obe.. d~unh~d leed~ ~ e,., a fsn-f y (3. C~rV•~ ~
~n~ d fM loao.~ien el c l l Gu.ldmq~. rM.wn. end by R L S
~ni~oaahm~nn~ J enr, Ire~n or en ~a.d tond. '
.
•......~.e e, m..n~. 1=~aa~.r_EPT A.D. 19-74. 1lSnn. Rt4. No. 9293
i .
~ ~
. . ~ ~ ~ ~ . ~ ~ . ~ _ . . . '
• . . • P . . . . ' I
EXTrRIOR EtJVF.LOPE AVERAGE °U" COh1PUTA7I0I;
DIdNER f-oBEVr- -r~WT ~ i oo _~s~~r~t~~ ~r~ ~Q_---~.•• ~ i
SITE FlDDRtSS 5ou-r44 +rl w5 coua~_~w+
CONI:f:ACTOR ~Mger.?i~ _g~i~otsv-5~ rNC, DATE lPHOiJF
Determine worl:ing square Pootagc, of each.
1. TotaT exposcd wa71 area sq. ft. x 1]7
= CSYM. ?H_
2. Total rooP/c~~il;ng area sq. ft. x,p5
Tctal exposed tirali area above floor = 3iso
a. Total i-;all eJin}ow ar2a i55.L~rZ s.s v.
b. Total door area . . _ 3y.-J_~r'
c. Total door area ~
d. Total fireF.7ace wall area
e. Total t•aall iraming ar,a (averug e IOY)............ Z%
f. Totai net wail area a6ove f7oor z23z,~_ a^i
q. Tota1 rim joist area zya•5 5.~ %
Total exposed foundation area = ay rr`
h. 7ota1 foundation windcw area..................... rv- -
i. Toal neu fourid'atiCn area ahcve gracie
Dete-mine "U" value cf each wall segm°nt. _
.
~n Le4 S
d. 2-55 1 X iiUii --zi7 3'1 _~-IFIA.a~ , 33.el, %
A ?Un Y.
C: RB'.fr X nUn
d X 11 U.. .za = _ ~.i8 6..+rya+~~,.~
2. X nun .oSt = l i, ~i ~zKt t i~YP•) o°/a
f. 223L.fj Xlluil
g. zYd,S X"U" ,o;~ = 9,.~~ 3.~•/e
h. X lluli
1. 1s.o y "U" .vf~ = IS.72
3 .....................................Tota1
~
If itein ;f3 is th2 same as, or less than item #1, you have meL tfie intent ~I
of SGC 6006(c)2. I
.
. . . _ ,
. . ;
Total ezposed roof/ceiling area = i56B.~W wn
~
- -
j. Total &4= area
k. Total roof/ceiling fi•aming area (average 10%)...V ~.~9,e ~T-•- 3~ y
1. Total net insu7a*ed roof/ceiling area........... ye.Z Pr_
aa 3 %
Determine "U" value For each rooi/ceiling segment.
~e4 S
j• 7m,I~F' x uUu _.ozi
_ i
k. X "ll"
1. X "Ui, _ I ra. c%
4 ..................................Tota1
If tota7 of #4.is the same as, or less than ,.2, you have met the intent cf,
SE3C 6006(c)1.
Fllternate Building Envelope Design
To utili:e thr to'r.al envelope syste-i m_thod, the values established by the
sum oi it:t'm5 ,ur3 and #4 shall not be greai;er than the sum of items #;1 and =2.
i. 54'i,3T- + 2. 02:.73
3, zNN.e•F- +
Y~l~%
City a# Eagan
Cash Receipt
Receipt Date 10l9/80
Time Frinted 12:87:32
keceipt Number 1233
QIITDOOR RENOVATItIilS
'13794 SOUTH HId-S CT
9901.2195 5.28
BF 43194 ~
4881.4085 1$1.25
BP 43194
;otal Receipt floount 186.25
User Ht7CGkHH
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
851-881-4875 1 v_ U~
New Cansfiucllon ReaulrertiaMs RemodeUReoair Reauiremenb
D S reglaTered alte surveya ahowing aq. ft. ot loi, sq. H. ol hauae 2 wpiea oi plan
and gJl roofetl areas f20°6 maxlmum lot covewae allowedl 1 eef ol energy calculaMOns tor hearted dddlMOna
> 2 copiea of plana (ahow beam & window alzes: poured 1nd. deslgn: efcJ 7 alie surveY for axleAa addNions & decks
y 1 set W energy cNculaHam
> 3 copiea of trea preaervaMon plan II tot plattetl arter 7/1 /99
DATE: / ,~p `2"oo CONSTRUCiION COST:
DESCRIPTION OF WORK: P-e--e"'"'
STREET ADDRESS: 37yY D,w ~/LLS L"OL(,~~
LOT: ~S BLOCK: SUBD./P.I.D. Y: SG w~'t'~ 11
Name: Phone
PROPER7Y LGSt FuSf
OWNER
Sfreef Address:
ciry srate: zip: S~lz 3
Company: !~(,~TDIJTJ~ ~U?\f~-TlvytJS Phone0: cl~SZ 707-C3~1~
(area code)
corrrancroe SheetAddress: ucer,se a`4drgeXa.3-31- o(
Clty St4,(Atz!~r Stafe: Zio:
~
ARCHITECTI
ENGINEER Gpmpany: Name:
Telephone ri: ( )
Sfreei Address: Regbfration
Cny Sfate: Zip:
Sewer/water licensed plumber (if installina saweNwaterPhone M. (-.I
I hereby acknOwledge Mm1 I have read thls applkaHon. slafe Mhal the trftmwlb?1scorrect, and reB fo omply wNh aA app6cab~e Statc
of Minnesota Stalutes and Cily of Eagan Ordinances. ~Sigrwiure o( Applicanh /~i
OFFICE USE ONLY '
Certificates of Survey Received Yes _ No
Tree Preservation Plan Received _ Yes No _ Not Required
- L»_== ---,-I
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 21 Porch (3-sea.) ? 31 Ext Alt - Muwl
? 02 SF Dwelling ? 08 06-plex ? 17 Garage ? 22 PorohlAddn. (4-sea.) ? 33 Ext. Alt - SF
? 03 01 of _ plex ? 09 07-plex ? 18 Deck ? 23 Porch (screened) ? 36 Mufti
? 04 02-plex ? 10 08-plex ? 19 Lower Level ? 24 Storm Damage
? 05 03-plex ? 11 10.plex Ptbg ,V ur _ N ? 25 Miscellaneous
? O6 04-plex ? 12 12-plex ? 20 Pool ? 30 Accessory Bidg.
WDRK TYPE
? 31 New ? 36 Move Bldg. ? 43 Reroof
0 32 Addition ? 37 Demolish (Bldg)" ? 44 Siding
? 33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair
? 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors
` Give PCA handout to applicant #or demolitlon permit
GENERAL INFORMATION
SAC Code # of Stories sq. ft.
No. of Units Length sq. ft.
No. of Buildings Width Footprint sq. ft.
Const. (Actual) Basement sq. ft. Census Code
(Allowable) Main level sq, ft. MC/ES System
UBC Occupancy sq. ft. City Water
Zoning sq. ft. Booster Pump
PRV
Fire Sprinktered
MISCELLANEOU3 INSPECTIONS
? Stucco/Stone
APPROYALS Planning Building Engineering Variance
Permit Fee Valuation: $ 5urcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
SMI Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
rotai:
SAC Units
% SAC
~i 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION
UZp 1~j CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date
SkeStreet Addres s 2Qf L LS C.. ~ Unit #
Property Owner C d~ (C 615 Telephone #
Contractor a/- Q Telephone # V.5-A E-Fy- SJ ~7
Address,42do,5r' /,;Z, 65 City State/-.;)lv Zip -''',3
The Applicant is: _ Owner ~ Contractor _Other
Alterations to existing dwelling $ 50.00
_Add fixtures to rooms, excluding water softener and water heater
_Septic System Abandonment
_WaterTurnaround (add $121.00 if a 5/8" meter is required)
Other:
~ Water Softener _ Water Heater $ 15.00
X replacemenY _ additiona!
Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00
5tate Surcharge $ .50
Total $
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete
and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the event a plan is required to be reviewed and approved.
Y
ApplicanYs Pnnted Name licant's Si a ure
11011
City of Eagan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
RECEIVED
APR 01010
Use BLUE or BLACK Ink
For Office Use
Permit #: /3-) J 7(0 1
Permit Fee: I -[-
Date Received:
Staff:
L
Aci
�1 2016 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: -'7 '�/ (o Site Address: -T%q /1 //J l,/,'71 537 7.7 Unit #:
Resident/
Owner
Name: JeS501 g /�e,' Phone: 65 -frig Z —°X,T
Address / City / Zip: *-2e71.4 SPOIL `///. C 7e,,,,,/ 5737 Z -J
Applicant is: Owner 6r Contractor
Typeof Work
Description of work: 1:441-//,`,:r.9-.`-7�- JY/ ' -zrx :r """'1 �''c` ZtJ
�
Construction Cost: /7/ ®�li Multi -Family Bulding: (Yes / No ��' )
Contractor
Company: r�.„-'J �.G--"!•✓A74'U -aI�� Contact(?,',/ A//7
X/7
y51%
Address: /O.-5-2 2 e?-'1•71-43(il.-G, /'ji. City: .. C
State Vt, Zip: 575-V.74/ P>hone:771 %2 /rEmail�;X// �i2 .6,,y.:--/1,; y,loni
License #: �(�o "l/t q/ 7 7 Lead Certificate #:
If the project is exempt
from lead certification, please explain why:
In the last 12 months,
Yes No
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
has the City of Eagan issued a permit for a similar plan based on a master plan?
If yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor
Fire Suppression Contractor.
Phone:
Phone:
Phone:
Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information maybe 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.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 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 per uance.
/1* d /
Applicant's Printed Name
DO NOT WRITE BELOW THIS LINE
DO NOT BELOW THIS LINE
SUB TYPES
Foundation
Single Family
Multi
01 of Plex
WORK TYPES
New
Addition
Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25%_ 100% )
Census Code
#of Units
# of Buildings
Type of Construction
_ Fireplace Porch (3 -Season)
Garage
Deck
Lower Level
Porch (4 -Season) _
T Porch (Screen/Gazebo/Pergola)
Pool
_ Interior Improvement
_ Move Building
Fire Repair
Repair
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Foundation
_ Roof: _Ice & Water _Final
_ Framing
Y Fireplace: j Rough In Air Test Final
Insulation
Sheathing
Sheetrock
Fire Walls
Braced Walls
Shower Pan
Reviewed By:
_ Siding
Reroof
Windows
_ Egress Window
1-3*cR(aV
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Accessory Building
Demolish Building*
_ Demolish Interior
Demolish Foundation
T Water Damage
*Demolition of entire building — give PCA handout to applicant
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Suppression Required
Meter Size:
Final / C.O. Required
Final I No C.O. Required
HVAC _ Gas Service Test Gas Line Air Test
Pool: Footings _ Air/Gas Tests __Final
Drain Tile
Siding: Stucco Lath Stone Lath _Brick
Windows
Retaining Wall: — Footings ^ Backfill _ Final
Radon Control
Fire Suppression: Rough In Final
Erosion Control
Other
, Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
3794 South Hills Court
Eagan, MN 55123
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Notes: Proposal is valid through July 31, 2016. To be completed in 5 business days via 3 certified technicians.
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City of Eagan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5685
Fax: (651) 675-5694
Email: pianninbacitvofeagan.com
1 For Office Use
t `
Permit #: `J !
go(
Date Received:
201 ZONING PERMIT APPLICATION
Please identify improvemnts on a scaled site plan drawing that shows lot lines, structures
and existing conditions.
Site Address:
Owner Name:
Name:
Address:
Applicant Signature:
Email address:
City/State/Zip:
Date: ID
0 Retaining Wall <4 feet
D Patio
l Sidewalk
Description of work
0 Other:
Denied Rafe: ( Staff: �f / ��f.c
Notes:
Revised Plans
Approved: Yes I No Date: Staff:
Engineering Grading, d(a t e. t lity eatsements, wretlanc s, erosion control{ improvements in the Right -of Way
Property lines to be verified
by contractor/owner.
Revised Plans
Approved;
'ener/app Ucant is
Yes! No Dare;" ' ' . ^1atrtICIRDipOdeS.
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 nopherstateonecall.org
G;%Building Inspections \ PERMIT APPLICATIONS
INNES£}TA VALLEY
SURVEYORS 8c ENGINEERS "CORP.
of Survey for : D / ! 61JS"4FSON
/moo
oG1
- - OAD
5, Block2, South Hills First Addit
f *atilt/ swrta`fy thvt --; ,ri i• • <frww wnd sorerct fwftrefanfwxiae
tf a xwram of tAw itiwwwaorsai o! the abavw dwarribwrl fwr.xfr
Sad of xhw ln:r tiwa of. ax} bw.td,$agar ►li*i on •,rtd •H v.itibia
aareaeahr»snxs rf as+y, Itwraror ww sard,tawd.
seir.wy,rd by r*w
iroperty lines to be verified
' by contractor/owner.
City of Eagan
PERMIT
41' City of Eaan
Permit Type: Plumbing
Permit Number: EA152575
Date Issued: 10/22/2018
Permit Category: ePermit
Site Address: 3794 South Hills Ct
Lot: 15 Block: 2 Addition: South Hills 1st
PID: 10-70790-02-150
Use:
Description:
Sub Type: Residential
Work Type: Replace
Description: Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:
PL - Permit Fee (WS &/or WH) $59.00
Surcharge -Fixed $1.00
0801.4087
9001.2195
Total: $60.00
Contractor:
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
- Applicant -
Owner:
Matthew Heller
3794 South Hills Ct
Eagan MN 55123
(651) 492-4876
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.
Applicant/Permitee: Signature
Issued By: Signature