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3705 South Hills Dr RM1 -? TER SERY1CEo_o 6 w 1?79T O . RMIT N GE OF EAGAN VILLA d t Knob Roa l PATE: its: No. 0 j te8 ° 3795 Pi MN S122 n P'SSO a son 5 . , Eo9° ? .. Gast e D- eV ve =$ 16p.00 'Pa Own w^ 0 ddress: p on ChaTBe• ? t c A s Deposit: lp,Of O Pf Site Address: g?a `fin G Conne S Acc °on 5 ? l plumber N deter Fee: d QO permit ? f6() urcharge: size:°^ Charges. °I nth the Villo9° Miser fader °' 1 V Total: o 1 v pate Paid: 1uxb1??? Insp•: Date of Insq-" PRO I E 162 ER SEW lC .76 SEW ! ?6 O GF EAGAN - 1TN 1 PERM TE: VILLAGE Ktwb"" DA f units: 3795 1000! MN S51222 s No. o 8 Associate 1 E°9^^' Gustafson Zoning+ p. R• 1s Jill y21 Bl SO - Owner: xills 105 So. ess: d Drive p0,00 P 00 Pd 3 r Ad site Address: Gustaf gOn 43384 350. tion Charge Plumber' '1/a/76 o f Eo9°n Connec e posit: t p 0 with the Vill°9 ?pd Accoun 1 1 09"m to Cot°PY permit Fee: Ordinoncos. surcharge: misc. Charges: Total: Date Paid: By: pate of InsP: lrhsP•: Receipt MECHANICAL PERMIT Permit No. CITY OF EAGAN Fee Fill in numbered spaces S/C Type or Print legibly Tot. 1. Date 2. Installation Cost 3. Job Address Lot Blk. Tract 4. Owner 5. Contractor Phone 6. Address 7. City 8. Building Type: Residential ? 9. Work Description: New ? 10. Describe 11 State Zip Commercial ? Institutional ? Add ? Alter ? Repair ? Type No. Equipment BTU - M. Ea. Forced Air No. Equipment CFM Ai H dli Mfg. r an ng: Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Othe Air Cond. r Mfg. Gas, Piping Outlets 12. 1 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 Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Owner Improvement Date Amount Annual Years Payment Receipt 4 Date STREET SURF. O 1975 1,119.08 111.91 10 (f r t i STREET RESTOR. GRADING 1973 581.88 58.19 10 4 3?6c ?/ or?/7 SAN SEW TRUNK ( 1971 146.46 7.32 20 X30 ?u `? a * SEWER LATERAL 975 2,295.31 153.02 is ?G X? L WATERMAIN • WATER LATERAL 1975 15 WATER AREA 2 2 3 9. 2 11.96 20 3p u 9ai 7 STORM SEW TRK * STORM SEW LAT 15 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 160.00 3384 7-8-76 BUILDING PER. SAC 450-00 3384 7-8-76 PARK 1 110 00 3324 7-Q-76 1 INSPECTION RECORD ,,CITY OF EAGAN PERMIT TYPE: I Is "N'' 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 t i7 Ui "45 e') t. SITE ADDRESS: APPLICANT: ,tll•HI fiilf`, t?h r ,r;: 'ri?j1?U L PERMIT SUBTYPE: TYPE OF WORK: I PAIR Permit No. Permit Holder Date Telephone tt ELECTRIC PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL CITY of EAGAN N° 4011 BUILDING PERMIT 3795 Pilot Knob Road Owner e. .....i....... .... Eagan, Minnesota 55122 Address (present) ...?... .... .. ??.( 454-8100 Q Builder ............. S 1,... L .... .... .. Dale .71 Address ...... Y ................ .. .._............................ DESCRIPTION Storie To B ed For Front Depth Heigh! Est. Cost ermi! Fe Remarks X00'0 This permit does not authorise the use of streets, roads. alleys or sidewalks nor does it give the owner or his agent the right to create any situation which is a nuisance or which presents a hazard to the health, safety, convenience and general welfare to anyone in the community. THIS PERMIT MUST O THE R MISE WHILE THE WORK IS IN FROG S .................upon This is to certify, thal7Pa ... .. ? l? ktwiias permission to erect a... ... oat'/4.1 the abov described premise subjedt to th provisions of all applicabl es for lt?Ir o Eagan. c !^ ............................................ Per ... ... .........»».......... Ma or Building Inspector Y A0. 70-7 9Z) CITY OF EAGAN 3795 Pilot Knob Road Eagan, Minnesota 55122 PERMIT NO.: 866 The City of Eagan hereby grants to A. Binder & son Inc. _ of 120 E. Butler Gustafson - Gold Medallion a Seating Permit for: (Owner) Tils-an-A WAS Inc 3705 So. H lls Dr. at ",'2s TAIW pursuant to application dated 7/21/76 Fee Paid: S40.00 dated this 26 day of JULY 19 16 .. 1.00 s/c Building Inspector Mechanical Permits: Bid Total: /D 7D 7 9e2 ?/D o/ I CITY OF EAGAN 3795 Pilot Knob Road Eagan, Minnesota 55122 PERMIT NO.: 703 The City of Eagan hereby grants to Proiect Plumbina Cc. of 9743 Humboldt Avl. She a Plumbing Permit for: (Owner) Qwt dy= - Gold Ngdtiion at 3705 So. Hills Dr. , pursuant to application dated 7/76 Fee Paid: $20.00 dated this 26 day of July l9--7L-- .30 a/c Building Inspector Mechanical Permits: Bid Total: CITY OF F AGAN CASHIER: 39 TERMINAL NO: 699 jATE: 05/06/98 TIME: i4:47:2i TV. JAME• EDWARD PLANTE 3210 7001 3705 MOUTH HILL 47.25 055 9001 3705 SOUTH HILT... 0.75 3210 9001 3705 SOUTH HILL... -0.75 Total Receipt Amount, : 49.25 CROK 08 f USER 10 JAN CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: P.I.N.: 10-70790-210-01 DESCRIPTION: PERMIT PERMIT TYPE: BUILDING Permit Number: 031964 Date Issued: 05/06/98 3705 SOUTH HILLS DR LOT: 21 BLOCK: 1 SOUTH HILLS 1ST °"?-- (ROOFING) Building-,Permit Type ,j6uilding -ab-rk Type !Census Code 1 r" f t NfJ ~ SF (MISC.) REPAIR 434 ALT. RESIDENTIAL s _ REMARKS: FEE SUMMARY- VALUATION $1,500 Base Fee Surcharge Total Fee $48.50 $49.25 CONTRACTOR: OWNER: - Applicant - PLANTE EDWARD 3705 SOUTH HILLS OR EAGAN MN 55123 (612)452-4643 I hereby acknowledge that I.hav+e read this application and state that the ' information is 'correct and agree to comply with al.k appli.oabie .Stateo'f Mn', Statutes and City of Eagan Ordinances.° APPLICANT/PERMIT GNATUR ISSUED ITV: SIGNATURE 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) - 3 1qL4 CITY OF EAGAN 3830 PILOT KNOB RD RD 65122 681-4675 New Construction Requirements # 3 registered site surveys # 2 copies of plans (Include beam & window saes; poured fnd. design; etc.) # 1 energy calculations # 3 copies of tree preservation plan ff lot platted after 7/1193 required: _Yes _ No DATE: 5 - /6 -- ?l J?7 Remodel/Repair Requirements # 2 copies of plan # 2 she surveys (exterior additions & decks) # 1 energy calculations for heated additions CONSTRUCTION COST; l ?l oo " DESCRIPTION OF WORK: _ Z;a?Fpl, r-2 ?f ?oXt S et/ L- I=- S STREET ADDRESS: ?70s' So , , _S -T--) l 1??= ? ¢scJ LOT: II BLOCK: _ I SUED./P.I.D. #: Name:' oU (rte G=? -/g/ZD Phone #: Z?-S`,Z PROPERTY Last First OWNER ` Street Address: 7? 5 Sc? 1/j L L_ S J City l= State: Zip: S S / Company: S f' Phone #: CONTRACTOR Street Address: License # City ARCHITECT/ ENGINEER Company: ?- Phone #: Name: Registration #: Street City State: Sewer & water licensed plumber (new construction only): and lot change is requested once permit is issued. Zip: Zip: Penalty applies when address Chang I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicabl State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant OFFICE USE ONLY Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No Not Required State: OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 02 SF Dwelling ? 07 4-plex ? 03 SF Addition ? 08 8-plex ? 04 SF Porch ? 09 12-plex ? 05 SF Misc. ? 10 _-plex WORK TYPE ? 31 New ? 33 Alterations ? 32 Addition ? 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth ? 11 Apt./Lodging ? ? 12 Mufti Repair/Rem. ? ? 13 Garage/Accessory ? ? 14 Fireplace ? ? 15 Deck ? 36 Move ? 37 Demolition Basement sq. ft. Main level sq. ft. sq. ft, sq. ft. sq. ft. sq. ft. Footprint sq. ft. APPROVALS Planning Building Engineering Variance Permit Fee Surcharge Plan Review License MC/WS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: Valuation: $ 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous MC/WS System City Water Fire Sprinklered PRV Booster Pump Census Code. SAC Code Census Bldg Census Unit % SAC SAC Units ?SOTA ?' -'?:;?- + MINNESOTA VALLEY `ESOTA (+'? <<F, SURVEYORS & ENGINEERS CORP. t f n F< N ¢ IME-12TH AVENUE SOUTH SUENSVIIEE. MINNESOTA SSIIE G?. W no... 0907750 YoHS ENG Certificate of Survey for: .D H. CaTzA1c,-5o.A1 ? A 0 - . _. 7 22- -- tv 'i. s U???y F 6.? E _ ? ' W UTy __, -, 714 I 120.29 .... __.L"_.SQr.. ,, e9ze` y Lot 21, Block 1, South Hills First Addition Ti-y-i 1 her.by...tify Ih.1 this i+. trU. and .or.ert ..p.e..ntnr.n q'iinnesota Valley Surveyors & ?j ? V Of a +ureey .1 the bwndorie+ of the ubov. de+c ribed land, 'En ?+. I ne firs, Corp., 'I" and of the location of oll huildL?ga, Ihereoq and all ri+ible by . _e:.,r_{,? ?+ ?'..F• • R L S mvoochmenn, ii ony, bon+ or on said land. ??T°°- ?? A. wleey.d, by me th„/=Y d.y .LSE F'?_w.n.ao 911III IT . Reg. No. 9 9_3 MASTER CARD LOCATION tj OWNER STRUCTURE AND LAND USED AS Permit No. Issued Issued To Contractor Owner BUILDING PLUMBING CESSPOOL - SEPTIC TANK WELL ELECTRICAL HEATING v r ry?,/ 22 GAS INSTALLING SANITARY SEWER OTHER OTHER Items Approved (Initial) Date Remarks Distance From Well FOOTING )6 SEPTIC FOUNDATION CESSPOOL FRAMING TILE FIELD - FT. FINAL ELECTRICAL HEATING DEPTH OF WELL GAS INSTALLATION SEPTIC TANK CESSPOOL DRAINFIELD PLUMBING WELL SANITARY SEWER Violations Noted on Back COMMENTS: COMPLIANCE INSPECTION REPORTS TO BE USED ONLY IN EVENT OF OBSERVED VIOLATIONS PERMIT NO. CONDITIONS OF CONSTRUCTION AT THIS INSPECTION ? NO EVIDENCE OF NON-COMPLIANCE OBSERVED. ? ACCEPTABLE SUBSTITUTIONS OR DEVIATIONS. DATE OF INSPECTION ? NON-COMPLIANCE. BUILDER WILL COMPLY WITHOUT DELAY, NON-COMPLIANCE. BUILDER DOES NOT INTEND TO COMPLY. ? COMPLETION OF CERTAIN IMPROVEMENTS WILL BE DELAYED BY CONDITIONS BEYOND CONTROL. AND DESCRIBED AS FOLLOWS: ? REINSPECTION REQUIRED DATE OF REINSPECTION REVEALED CE RTI FI CATION -I certify that I have carefully inspected the above in which I have no interest present or prospective, and that I have reported herein all significant conditions observed to be at variance with ordinances of the Town of Eagan, approved plans and specifications, and any specific require- ments for off-site improvements relating to the property inspected. 7 ALL IMPROVEMENTS ACCEPTABLY COMPLETED DATE COMMENTS: sa 40w .M' Lot Parcel and Street 0,hner? Developer D^TL: Q BUILT)? NG IL ?E.rd.IIT Apr ICk"TOi' CHECK Block Adtion OO iVTL+TYiJ°r ?/ D T61(-, Zone-Ordinance #52 7r Address Tc.12 Lot Size X Total area Platted ee b.platted Building Size % _Total area Oc cvnp?nc Type of c0_^_ tni.ct10n Setbacks: Street sides Sides Parking: Total area Parking area setbacks: Street side Landscape approval Rear Rear Total spaces ??- i Sides 125 Bond required 2 of YV` @ $4-50-00 Special Assessments: SAC charge Water area: / Assessed b If assessed: Connection charge If unassessed: Connection charge Lot di,-ision: Additional assessments needed Laterals: Assessed Waiver of hearing: Needed Unassessed Not needed Not assessed Not needed r 5-0 ?7 Assessment elk Water & Sewer Dept Building Dept Police Dept Fire Dept (Comm & Ind only) CITY USE ONLY LOT BL I PERMIT #: (/ ?K E D SUBD 1, . ( I i 115 ? d RECEIPT #: / -?,ij -A I RECEIPT DATE: -7 - )0 -OO 2000 MECHANICAL PERMIT (RESIDENTIAL) Date: ?y Od Complete this section only if you are installing HVAC in a single family dwelling, townhome or condo under construction and not owner/occup • HVAC: 0-100 M B T U ADDITIONAL 50 M BTU • Gas outlets (minimum of one required @ $3.00 ea.) State Surcharge Total $ 30.00 6.00 .50 Complete this section only if you are remodeline, adding to, or repairing an existing single-family dwelling, townhome, or condo. Please indicate if it is a new item, alteration, or repair. New Alteration Furnace - Air exchanger Reminder: Call for inspections Repair _ Other ?" Air conditioning Other Fee State Surcharge Total $ 30.00 .50 SITE ADDRESS: r37OJ?` S .( f I S / . OWNER NAME: C 0(boa-roL P(M 4_e_ _ PHONE #: &0 57 4125_?2 - 2,16, ?I3 11 -- (AREA c DE) INSTALLER NAME: 13)f-ns n?( Q a_ er, 4, h?. °? AI C_ PHONE#: 89ZI- 0K)c - (AREA CODE) STREET ADDRESS: CITY: CITY OF EAGAN 3830 PILOT KNOB RD EAGAN Doi 55122 651-681-4675 -STATE: ZIP:: i S37 d POa_ ZZZ-2 S GN TURE OF PERMITTEE L BL SUBD. APPROVED BY: INSPECTOR PERMIT # _ RECEIPT#: RECEIPT DATE: 2000 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 651-681-4675 Please complete for: all commerciaUndustrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: WORK TYPE: New construction Install U.G. Tank - Interior Improvement Remove U.G. Tank - Processed Piping When installing/removing underground tank, call 651-681-4675 for inspection by fire marshal and plumbing inspector. Description of work: Fees: 1% of contract price OR $30.00 minimum fee, whichever is greater. Underground tank removal/installation = minimum fee Contract price: $ x 1%= $ (Base Fee) State surcharge calculate at $50 for each $1,000 Base Fee TOTAL $ SITE ADDRESS: OWNER NAME: PHONE #: (AREA CODE) TENANT NAME (IMPROVEMENTS ONLY): WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME: INSTALLER: ADDRESS: PHONE #: - (AREA CODE) CITY: STATE: ZIP: CITY USE ONLY SIGNATURE OF PERMITTEE -70V l 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 9/z -?-. '9V New Construction Requirements RemodeVReoair Requirements Office Use Only 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan Can of Survey Recd _Y _N (20% maximum lot coverage allowed) I set of Energy Calculations for heated additions Tree Pros Plan Recd _Y _N. 2 copies of plan showing beam & window sizes; poured found design, etc, t site survey for additions & decks Tree Pres Required _Y _N 1 set of Energy Calculations Addition - indicate if on-site septic system on-site Septic System _Y -N 3 copies of Tree Preservation Plan if lot platted after 71193 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Minnesota Rules 7672 New Energy_Code-Wq Date Construction Cost 7 azl k)e& !' c a Site Address V .5--- # P, .-j s Unmt/Ste ( i v? ?Lwi1 - ------------- Qe? peRm; Description of Work "? ? S• Ser»tn Multi-Family Bldg _ Y k N Fireplace(s) _ 0 2 c Property Owner ?Jf'q. v „z 4in.4 sti u? Telephone # ((-y / )Sly - 7 t Contractor Address a City State Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Energy Code Category - Minnesota Rules 7670 Category 1 Residential Ventilation Category 1 Worksheet (J submission type) Submitted Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a - Y - N If yes, date and address of master plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone # ( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan injbe_case of work which requires a review and appro al of plans. RS?'?YI t9n C/frn.cR? I£i r'PISR1 9 2005 Telephone Telephone #( Applibant's Printed Name -Applic6tVs Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of- plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or_ N g 25 Miscellaneous Work Types ? 31 New 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building" ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement `Demolition (Entire Bldg) - Give PCA handout to applicant Valuation 31 oaD . - Occupancy R -3 MCES System Plan Review _ 100% or 25% Census Code 93q Zoning P T) City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const V S Width REQUIRED INSPECTIONS - Footings (new bldg) _ Final/C.O. - Footings (deck) Final/No C.O. - Footings (addition) _ Plumbing _ Foundation I4VAC _ Drain Tile _ Other Roof _ Ice & Water _ Final Pool Ftgs Air/Gas Tests Final 14 Framing _ _ - Siding Stucco Stone Bri - ck _ Fireplace _ R.I. - Air _ - - Test -Final Windows -,A Insulation _ _ Retaining Wall Approved By: , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total R-cx ?jPVe.Pozen4- c.-CI179 11s°a.- ?s}r.? f2 )o>Z ReMaDQ1 oZ,eco. -- City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Date: RECENE° APR 702.010 r Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: Date Received: Staff: (97 a" 2016 RESIDENTIAL BUILDING PERMIT APPLICATION Site Address: Unit #: Address / City / Zip: Applicant is: 3 s - //%/, J2 - Owner )r Contractor Description of work: /7a��..�✓/�"�/ Type of Work Construction Cost: Phone: Multi -Family Building: (Yes / No Company: 17.e,. Contact: -_14-36.4- City: .4412'e4ate_ State: Zip: 4-5/Mil- ( Phone: 65)-4/01-c (,, Email: tiwh & CeWe-' /»t€ ke-4ur.� License #: Lead Certificate #: IIfff the project is exempt from lead certification, please explain why: 4) 07 /9 c/a/c a ce.cu tI,1�0 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: 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 may be classified as non public if you provide specific reasons that would permit the City to conclude that the 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 permit issuance. x (/ f Applicantted Name X �. /Z/ App c/ re Page 1 of 3 DO NOT WRITE BELOW THIS LINE SUB TYPES T7 Dc So A -1-N I\.qS -br Foundation _ Fireplace _ Porch (3 -Season) Exterior Alteration (Single Family) Single Family _ Garage_ Porch (4 -Season) Exterior Alteration (Mufti) Multi Deck Porch (Screen/Gazebo/Pergola) Miscellaneous 01 of _ Plex y Lower Level Pool Accessory Building WORK TYPES New Interior Improvement Siding_ Demolish Building* Addition _ Move Building Reroof Demolish Interior Alteration — Fire Repair Windows Demolish Foundation Replace Repair Egress Window ` Water Damage Retaining Wall *Demolition of entire building — give PCA handout to applicant DESCRIPTION Valuation 5 -coo Occupancy MCES System Plan Review / Code Edition SAC Units (25% 100% y) Zoning City Water Census Code •i3K Stories Booster Pump # of Units / Square Feet PRV # of Buildings / Length Fire Suppression Required Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Roof: Ice & Water _Final Framing Fireplace: _Rough In Air Test _Final Insulation Sheathing Sheetrock Fire Walls Braced Walls Shower Pan tt. Reviewed By: RESIDENTIAL FEES Base Fee Surcharge Plan Review MQES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL -7G Meter Size: Final / C.O. Required Final / 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 3d0 Aertf gpw-= 6010 1,.moyN /doh/ sajf, ,/ Page 2 of 3 Eleanor Olmstead 3705 South Hills Drive Eagan, MN 55123 612.860.1445 24 April 2016 To whom it may concern: This letter confirms that: The renovation will occur at my home, 3705 South Hills Drive, Eagan, MN. No child under age 6 resides at my home. My home is not a child -occupied facility. I acknowledge that the work practices to be used during the renovation will not necessarily include all of the lead -safe work practices contained in the EPA's renovation, repair, and painting rule. Thank you. Sincerel Eleanor Olmstead Homeowner 3705 South Hills Drive Eagan, MN 55123 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA136546 Date Issued:05/19/2016 Permit Category:ePermit Site Address: 3705 South Hills Dr Lot:21 Block: 1 Addition: South Hills 1st PID:10-70790-01-210 Use: Description: Sub Type:Residential Work Type:Alteration Description:Basement Fixtures 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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087 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 - Raymond R Olmstead 3705 South Hills Dr Eagan MN 55123 Hessian Plumbing Services Box 22172 Eagan MN 55122 (651) 681-8252 Applicant/Permitee: Signature Issued By: Signature d 'V E AG :, ',, 1E� c� r For Office Use/S-D3(03 r UN 2 5 2018 :::: / 3 .tea ;-(F (_7 Date Received: v 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 Staff: ( ' ' buildinginsoections(acitvofeagan.com L 2018 RESIDENTIAL BUILDING PERMIT APPLICATION Date: a ZS-1`I Site Address: 70 C it-di5' Pr, Unit#: Name: 7/rc5/T--✓( Phone: Resident! r /j n Owner Address/City/Zip: � e 1t& /9,111✓ 5 ; Applicant 1 is: Owner ?r Contractor Ype word Description of work: I loT Construction Cost: ) 5 Multi-Family Building:(Yes /No tY ) �L-iA4I Company: /vie— Contact: Contractor Address: //,t/L4 �-SGS..-,� �+-t_ City: l ,c✓,�� State: Vtiti ip: c51-(4( Phone: i -1-11 t- Email: 4544 a eeigh,rS/C+2' License#: /3 ("475660.',.-S Lead Certificate#: If the project is exempt from lead certification, please explain why: a/kr f COD 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: Fire Suppression Contractor: Phone: NATE 'fans andsupporting ing documents that submit are ons tiered to publicinformation. Orifices of the in a -may be classified as non-public.if you provide specific reasons that would permit the City to; (ate that they are trade secrets 1 . You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeagan.com/subscribe. 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. 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.Qooherstateonecall.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. +' �, Applicant's Printed Name App is s S nat e DO NOT WRITE BELOW THIS LINE bvt -gist 3 k3 SUB TYPES Foundation Fireplace _ Porch (3-Season) _ Exterior Alteration(Single Family) _ Single Family Garage _ Porch (4-Season) _ Exterior Alteration(Multi) Multi <'Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous 01 of Plex Lower Level Pool Accessory Building WORK TYPES 1 New _ Interior Improvement _ Siding _ Demolish Building* _ Addition — Move Building _ Reroof _ Demolish Interior _ Alteration _ Fire Repair _ Windows _ Demolish Foundation Replace _ Repair _ Egress Window Water Damage Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION Valuation _` • m_ Occupancy '" / MCES System Plan Review Code Edition /0/2. 2ot "" SAC Units (25%_100%X) ) Zoning ? 17 City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction ,v Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: `# Footings (Deck) Final I C.O. Required Footings (Addition) Ic Final I No C.O. Required Foundation Foundation Before Backfill HVAC Gas Service Test Gas Line Air Test Hood Roof: Ice &Water _Final Pool: Footings Air/Gas Tests Final Framing 30 Minutes 1 Hour Drain Tile Fireplace: _Rough In Air Test Final Siding:_Stucco Lath Stone Lath Brick_EFIS Insulation Windows Sheathing Retaining Wall: _Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression: _Rough In_Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: / / i�l I.-- , Building Inspector RESIDENTIAL FEES Pi 51 • I ti' Base Fee 4 Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of 3 4(2/i '' . . 7 ,50. 62_Z ��r.___ . .:'i;;-:• , - MINNESOTA VALLEY OTA- SURVEYORS & ENGINEERS CORP. �� 'l`.r_-'1°'``�� t.'1., is I; G 11000 E-11TH AVENUE SOUTH ISURNSVISLE,MINNESOTA SOTS per, � � 4)11;S•t..\-4(' ____ Certificate of Survey for ;� 1/ 6/JSTAFSO/J • .?0 s 56. jttilth`/l S • _.___• J'6. 96' ---_... .. . • / Iq • a � v4 ` -- —_-jamf • 22 k7 �,lr '2i 71311 i ' s'2 2/• I • el./..;%z ed l � �S. \9 kQ 1e h fly �a"3-7/4I /20.29 ___. '!=.54'/ . ----I/LLS • = -.:_DRi vE- • • • • , 4 • t Lot 21, Block 1, South Hills First Addition • 7/-1` " 1 hereby ca rtify that this is o true and correct ropresontalion bonne sot a Valley Surveyors &t Engineers, Corp!, �,-,_„�;Cr \�+} of a survey of I . boundaries of the ubove described land, t� , and of the Location 01 all buildings, Ihercon, and all visible by„,,a.%:s. . �...:.--/...,,,,.3........, 1.S encroochmenn, i1 any, irons or on said fund. � L� ^� �.. As turveyed.by me thisr'�Tday ot_ i4IEr, ,F.6--1024. !lipnn, Reg. No. "`-'—�9 . PERMIT City of Eagan Permit Type:Building Permit Number:EA161312 Date Issued:05/18/2020 Permit Category:ePermit Site Address: 3705 South Hills Dr Lot:21 Block: 1 Addition: South Hills 1st PID:10-70790-01-210 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations 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: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 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 - Eleanor A Olmstead 3705 South Hills Dr Eagan MN 55123 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA163062 Date Issued:08/12/2020 Permit Category:ePermit Site Address: 3705 South Hills Dr Lot:21 Block: 1 Addition: South Hills 1st PID:10-70790-01-210 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations 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: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 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 - Eleanor A Olmstead 3705 South Hills Dr Eagan MN 55123 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA165852 Date Issued:11/23/2020 Permit Category:ePermit Site Address: 3705 South Hills Dr Lot:21 Block: 1 Addition: South Hills 1st PID:10-70790-01-210 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 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 - Eleanor A Olmstead 3705 South Hills Dr Eagan MN 55123 (612) 860-1445 Kat Construction Llc 8833 79th St Annandale MN 55302 (320) 266-3455 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA166618 Date Issued:01/25/2021 Permit Category:ePermit Site Address: 3705 South Hills Dr Lot:21 Block: 1 Addition: South Hills 1st PID:10-70790-01-210 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) 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 - Eleanor A Olmstead 3705 South Hills Dr Eagan MN 55123 (612) 860-1445 One Hour Heating & Air 11825 Point Douglas Rd S Hastings MN 55033 (651) 437-4177 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA167972 Date Issued:04/05/2021 Permit Category:ePermit Site Address: 3705 South Hills Dr Lot:21 Block: 1 Addition: South Hills 1st PID:10-70790-01-210 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door Census Code:434 - Residential Additions, Alterations 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: 1,500.00 Fee Summary:BL - Base Fee $1500 $62.50 0801.4085 Surcharge - Based on Valuation $1500 $0.75 9001.2195 $63.25 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 - Eleanor A Olmstead 3705 South Hills Dr Eagan MN 55123 (612) 860-1445 Renewal Andersen 1920 County Road C West Roseville MN 55113 (641) 264-4088 Applicant/Permitee: Signature Issued By: Signature