3707 South Hills Dr' - ''?., WATER SERVICE PERMIT
•
PAN PERMIT N0:
Read DATE: 1
3195 Pilot Knob Na. of Units!
Eagan, MN SSi22
U Ig,Gustafs0n
Zoning a
281 H
2541
Address:: gills SO
Address: 3707 $O• 160,00
Site Address?s son Connection Charge:
IlU;.-
?' Account DePo
Plu er: _:r) 00 pd
er N Permit Fee: • 0 P
S . 1?d 2547
Size: EuYao Surcharge: 60 00
Reader No.: village - s: the I ogre, to eal1Pwith Misc. Charge
, Total:
prdino4y? /j -.. Date Paid:
//1???? insP•:
BY
Date of IneP.:
SEWER SERVICE PERMIT
VILUUE of EAOAN
3795 Pilot Knob Road PERMIT NO.: 4/14/76
Eagan, MN 55112 DATE:
1
RII
Zoning:
No. of Units:
D. H. Gustafson
Owner:-
Address:
Site Addr
Plumber: tafson
50.00 pd 2547
?
I agree to comply with the Village Of :
Eagan Connection Chazg
Ordinances Account De 10t:00 pd
Permit Fee: 50 pd
Surcharge:
Misc. Charges:
By: Total:
Date of Insp.:
Date Paid:
Insp.:
PLUMBING PERMIT For C
CITY OF EAGAN PERMIT # -
CONTRACT 3830 PILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT #
PRICE PHONE 454-8100 DATE:
Site
Lot.
Add
c City
FEES
COMMAND. FEE -1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APLLES
MINIMUM - RESIDENTIAL FEE $12.00
MINIMUM - COMM.IND./FEE $20.00
STATE SURCHARGE PER PERMIT .50
(ADD $.50 Stq+J 'EA_W$1,(9W OF
BLDG. TYPE WORK DESCRIPTION
Res. New
MuR. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
Water Closet - $3.00 $
Bath Tubs - $3.00
Lavatory - $3.00
Shower - $3.00
Kitchen Sink - $3.00
UdnaUB'idet - $3.00
Laundry Tray - $3.00
Floor Drains - $1.50
Water Heater - $1.50
Whirlpool - $3.00
Gas Piping Outlets - $1.50
(MINIMUM -1 PER PERMIT)
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
PERMIT FEE:
STATES S/C:
GRAND TOTAL: "5
Receipt MECHANICAL PERMIT Permit No.
CITY OF EAGAN
Fee
Fill in numbered spaces S/C
Type or Print legibly Tot.
t 1. Date 2. Installation Cost
3. Job Address Lot 7 '`-Blk. Tract
4. Owner
5. Contractor Phone
6. Address
7. City State Zip
= 48. Building Type: Residential ? Commercial ? Institutional ?
9. Work Description: New ? Add ? Alter ? Repair ?
10. Describe Fuel Type
11.
No. Equipment BTU - M. Ea.
Forced Air No. Equipment CFM
li
Mfg. Air Hand
ng:
Boilers
Mfg, Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mfg.
Gas, Piping Outlets
1 1 1
12. 1 hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed :
Rough
Inspections: Date Insp.
for
Final
Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
CITY OF EAGAN Remarks"he-u let) c r v 1,'Jed tv rt h C W (j-f )t - , , r -t i<d -Zm>, ?7(p
Addition SOU'j HTT.Tfi 1 e Lot 27 Rik 1 Parcel lb 70790 220 bl
Ownercn t ' Street 3707 SO. Hilla Drive State Eagan, MN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING 174 1973 581.55 _-8.19 10 290.98 A004610 9-1-77
SAN SEW TRUNK 15t 1971 146.46 7.32 20 1 95.22 A004610 9-1-77
• SEWER LATERAL3oa, 1975 2,295.31 153.02 15 1836,2S AQ 4610 9-1-77
WATERMAIN
* WATER LATERAL 1975 15
WATER AREA 1972 239.22 11.96 20 167.46 A004610 9-1-77
STORM SEW TRK
* STORM SEW LAT - 15
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 160.00 2547 3-24-76
BUILDING PER.
SAC 450.00 2547 3-24-76
PARK 120-00 2547 1-24-76
r
CITY OF EAGAN / er 70 7)?D a. e 61
3795 Pilot 1 r-^b Road , - ,
Ea r,-m Minnooo-ta 55122 / ?ls
P=,r 4IT NO.. 676
The City of Eagan hereby grants to Spetz & Berg Inc.
of 6417 Penn Ave. So.
a PLUMING Peat for: (Owner) D. H. Gustafson
at w 3707 So. Hills Drive, pursuant to application dated 5/6/76
Fee Paid: $20.00 dated this 6 day of may , 19 76 .
.50 B/c
Building Inspector
Mechanical Permits:
Lid Total:
CITY OF E11G N o?07 "/ ?• 7//S
37'5 Pilot Knob Road
Eagan, Minnesota 55122
PERMIT NO.: 812
The City of Eagan hereby grants to A. Hinder & Son, Inc.
of 120 E. Butler, Hest St. Paul
a Heating Permit for: (Owner) D. B. Gustafson
zt 3707 So. Hills Dr. , pursuant to application dated 4/6/76 .
Fee Paid: $20.00 doted this 9 day of Apr , 19.76___
0 a/c
Building L-13pcc no
Mechanical Permits:
Bid Total:
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675 ( D
New Construction Requirements RemodellReoair Requirements
. 3 registered site surveys showing sq. ft. of lot, sq. R. of house; and an roofed areas • 2 copies of plan
(20% maximum lot coverage allowed) . 1 set of Energy Calculations for heated additions
• 2 copies of plan showing beam 8 window sizes; poured found design, etc.) . 1 site survey for exterior additions & decks
. 1 set of Energy Calculations • Indicate it home served by septic system far additions
• 3 copies of Tree Preservation Plan it lot platted after 711193
. Rim Joist Detail Options selection sheet (bldgs with 3 or less unds)
2_?
R _
/ ?bU
DATE VALUATION _10
SITE ADDRESS 5, `'//1/5 TJ.,,2 MULTI-FAMILY BLDG _ Y _ N
TYPE OF WORK ?pAB°i?? f )Q et,"a2 S-7 - FIREPLACE(S) _ 0 - 1 _ 2
APPLICANT 4 Ntmv- It al"
STREET ADDRESS 7U 3 7 ' /V-? >/T/t t2 0"'I CITY : 5// STATE Yo' ZIP
TELEPHONE # CELL PHONE # FAX #
PROPERTYOWNER W14'r? TELEPHONE#
Energy Code Category
(v submission type)
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
%11NNES(yT.1 RULES 7670 C:ITEGORY I MINNESO"C.k RULES 7672
• Residential Ventilation Category 1 Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor: __
Plumbing system includes:
Mechanical Contractor:
Mechanical system includes:
Sewer/Water Contractor:
Air Conditioning
-- Hcat Recovery System
Phone #
Phone #
Fee: 570.00
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan O inonces.
Signature of Applicant -
OFFICE USE ONLY
Water Softener
_ Water Heater
No. of Baths
Phone #
Lawn Sprinkler
p-)6'
New Energy Code Worksheet Submitted
i v
Fee: $90.00
No. of R.I. Baths
Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _
Updated 4/02
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ Final/C.O.
_ Footings (deck) _ Final/No C.O.
- Footings (addition) - Plumbing
_ Foundation _ HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
- Framing _ Siding _ Stucco _ Stone
- Fireplace - R.I. -Air Test - Final _ Windows (new/replacement)
Insulation _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Building Inspector
L BL I CITY USE ONLY SUBD. , 5,A H-6
S
RECEIPT #: / 3-31
RECEIPT DATE: 7-/d IC20
PERMIT #
2000 PLUMING PERMIT (RESIDENTIAL,)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
651-681-6675
Please complete for: > single family dwellings
> townhomes and condos when permits are required for each unit
> backflow preventer for underground sprinkler system
FIXTURES
EACH #
TOTAL
Alterations to existing dwelling - minimum fee
Describe: $ 30.00
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
Gas piping outlet * minimum - t 3.00 x = $
Hot tub/spa 3.00 x = $
Kitchen sink 3.00 x = $
Laundry tray 3.00 x = $
Lavatory 3.00 x = $
Septic System new/refurbished ' requires MPC lic. 75.00 X = $
Septic System abandonment 30.00 x = $
RPZ new installatioNrepaidrebuild 30.00 x = $
Rough opening 1.50 x = $
Shower 3.00 x = $
Underground srinkler if dwelling is under construction 3.00 x = $
Underground sprinkler if existingdweliing 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x = $
Water softener if dwelling under construction 5.00 x = $
Water softener if existing dwelling 30.00 x = $
Water turnaround 30.00 x $
State Surcharge .50 -> -> -> $ .50
Total ->
Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc.
------ --- ----- - ------ --- -- --- ------•--- ---- --- ------
Ihereby acknowledge that I have read this appliption, state that the irdormation is correct, and agree to comply with all applicable City of Eagan ordinances.
It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its
normal operational and maintenance activities to the facilities constructed under rtthis permit within City property/right-of-wayleasement.
SITE ADDRESS: a J ?0 ti / oy/e=l , CA-C (
OWNER NAME: :
INSTALLER NAME:
STREET AD ESE
CITY: K/
-5 4ELEPHONE #:
StGNATURE OF PERMITTEE
MASTER CARD
LOCATION ors ??/ OP J 7OT Z?I -?H.
OWNER
STRUCTURE AND ? y a"
LAND USED AS A
Permit
No.
Issued Issued To
Contractor Owner
BUILDING 1 • Z ?_ JR.,?
PLUMBING
CESSPOOL - SEPTIC TANK
WELL
ELECTRICAL
HEATING
GAS INSTALLING
SANITARY SEWER
OTHER
OTHER
Items Approved
(Initial)
Date
Remarks
Distance From Well
FOOTING r SEPTIC
FOUNDATION CESSPOOL
FRAMING ??,?p•)G TILE FIELD FT.
FINAL
ELECTRICAL
HEATING DEPTH
OF WELL
GAS INSTALLATION
SEPTIC TANK
`a
:r
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. DATE OF
CONDITIONS OF CONSTRUCTION AT THIS INSPECTION
? NO EVIDENCE OF NON-COMPLIANCE
OBSERVED.
1:1 NON-COMPLIANCE. BUILDER DOES NOT
INTEND TO COMPLY.
ACCEPTABLE SUBSTITUTIONS OR
DEVIATIONS.
? NON-COMPLIANCE. BUILDER WILL COMPLY
WITHOUT DELAY.
ITEMIZED AND DESCRIBED AS
? COMPLETION OF CERTAIN IMPROVEMENTS
WILL BE DELAYED BY CONDITIONS BEYOND
CONTROL.
? REINSPECTION REQUIRED
REINSPECTION
DATE OF REINSPECTION
CERTI 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.
? ALL IMPROVEMENTS ACCEPTABLY COMPLETED
BUILDING
e.
CITY of EAGAN
BUILDING PERMIT
Owner Y.I.P......v.US / ....... )?..... /?.4?../.G`.S.f--f
Address (present) ? U /1l?'4.T?....??L.1.-..P .Zcti............
..............-..
Builder .................. X/CL,eK.<..........................................
Address ..../ ..pl..S........c".7J-417 .....................................
N2 3862
3795 Pilot Knob Road
Eagan, Minnesota 55122
454-8100
................
Stories To Be Used For Front
_ Depth
_ Heigh! Eat. Cos! Pirmit Fee Remarks
I zs F
1
J?QJt ?sr 7,z 70657 3S
?OnL ?
Street, Road or other Description of Location I Los I ttiock I Addition or Tract
Az I /
This permit does not authorize 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 BE KEPT ON THE PREMISE WHILE THE WORK IS IN PROGRESS?.//
This is to certify, that ...P.e-N.,.. ?e......has permission to erect a.....?W1.s'{tlt .................. .............upon
the above described premise subject to the provisions of all applicable O inances for the City f Ewan.
.......... ./(/.//../.---...! ................... ................ -........ ..
Mayor Building Inspector
# 38'6 a
DAT1?: -? -7 -74
BUILDING PEM4IT APPLICA TON CHECK
Lot Block 11 Addition
Parcel and section number
Street Lk-,mber
Owner 2. Qa,<7 __r VQsioeAddress_
Developer y Address
Zone-Ordinance #52 0 /<
Lot Size % Total area
Platted 14 r S Unplatted
Build:;_ng Size 72- % 34& Occupancy
Type of construction ?JeG /vf P
Setbacks: Street sides ® Rear
Sides
pT
Parking: Total area Total spaces
Parking area setbacks:
Street side Hear
7,90
Sides ry ?'? to
S? 3r?
Landscape approval ? _ Bond required _
Special Assessments:
SAC charge f ` @ $450.00 = r? "7
Water area: °-0
Assessed ? Unassessed
If assessed: Connection charge
If uilassessed: Connection charge
Lot division:
Additional assessments needed
Laterals:
Assessed
Waiver of hearing:
Needed
Assessment clk
Police Dept
Not needed i/
Not assessed
Not needed / jAJ}--
Water & Sewer Dept Building Dep
Fire Dept (Comm & Ind only)
T61,_... ..
Tole
M
?SOTAVq MINNESOTA VALLEY - 50TA.-V
SURVEYORS 8[ ENGINEERS GORP." ?' fn
f Y:V ..'< F ?yv' .c
G W Ila.O bllTN.v(N.f f..TM 6UAOSVIIIE, nINNES.T•1511E 7 ?W
Certificate of Survey for: jif!/sTAFTSON T
24
I - U}0*
11 1
4. X12 .
_y
<<S
\IV
1
`3?o j
Lot 22, Block 1, South Hills First Addition
f h... by..rlUy 1h.. Ihi. i.. f... ..d ......f ..h....nf. f:an Minoesotr Valley Surveyor
of. .....y of Ih. ba..d.ri.. of .h..bo.. d...rih.d rand, Engirers, Corp
and *1 Eh. 1...,ion of .11 b.ildmq., ,hereon, and .11 vi.ibl. by . R L S
.no oa.hm.np, if any, from or on id land. /
As sur..y.d by m. ,hi./srd.y.ts£ L_A-o. 1974 !1 Inn. Reg. No.- 929-17
1
I
4- g9 co l
2006 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: single family dwellings & townhomes/condos when permits are required for each unit
_YP 3o.sa
lD / -;L0
t
D
e
a
Sit
Add U
it #
e
ress n
Property Owner A n V /¢? N /1 l e r? Telephone # ?) 0.3 0 OU
BURNSVILLE HEATING & A/C, INC.
Contractor
Street Address 3451 W. bullitivi 18 Pa?t*"
suite 120
City
State umsvl e, 55337
Zi
(71 d
Tele
hone #
p p
Bond #: 0 Expires: */1
The Applicant is Owner ?Contractor _ Other
Add-on or alteration to existing dwelling unit $ 30.00
? furnace -Additional placemen t _ New
air exchanger
air conditioner
heat pump
?--- _
other
i
JUN 2 1 ZJdo iJI
JJ
State Surcharge I _ $ .50
Total $ 30-&-?)
I hereby apply for a Residential Mechanical 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 with the Mechanical Codes; that I understand this is not a
permit, but only an application for a permit, and work is not to start without a p milt; hat the work be in ccordance with the
approved (plan in the case of whirch requires a review and approval of plans.
Applicant's Printed Name Applicant's Signature
2006 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Requirements
3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas
(20% maximum lot coverage allowed)
2 copies of plan showing beam & window sizes; poured found design, etc.
1 set of Energy Calculations
3 copies of Tree Preservation Plan if lot platted after 7/1/93
Rim Joist Detail Options selection sheet (buildings with 3 or less units)
Minnegasco mechanical ventilation form
q9. Zs
fW ?; sA
Remodel/Repair Requirements ! Office Use Only
2 copies of plan showing footings, beams, joists Cert of Survey Recd -Y y
1 set of Energy Calculations for heated fiddhons rJ o` Tree Pres Plan Recd _ Y ?N
1 site survey for additions & decks ./ Tree Pres Required _ Y - t?
Addition - indicate if on-site septic system On-site Sepbc System _ Y "N
Date 'L / 19
Site Address 3 / 06 d Uj0
47 S. HIlIS Dr- Construction Cost 4 Zoom
QD
G0.Y1 MR cis a Unit/Ste #
Description of Work Cori 5+rt tEl q¢?p mX. 121 t--J x .? d I ar7q opan s C o-pav- couar bc,q-t.
i}peklA6 -{p !sides, e rE
Multi-Family Bldg - Y LC N Fireplace(s) _ 0 _ 1 - 2
Property Owner MOA VQA0VA4CL1JD! Telephone#(651) (oS3• 0lotoq
Contractor r• 1-{g 01\ftY an
Address .19n
State NM 133 Si- W city Sh, o a e-,
zip a5-79 _ _ Telephone # (%R ) 944- 10,1 ?f
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Category I _ Minnesota Rules 7672
Energy Code Category • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar
- Y - N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
cPepnone #(
Telephone If (
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 in the case of work which requires a review and
approval of plans.
Frl: nl_le- U?nyll
Applicant's Printed Name
JeVL%
3!U%C 454P &Alaff&,: A 9"A 112.
Applicant's Signature
DO NOT WRITE BELOW THIS LINE
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 ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
A 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
Description: Water Damage _ Yes
Valuation G Occupancy Z? MCES System
Plan Review ,?/4 100% or 25%
Census Code ? Zoning City Water
SAC Units Stories - Booster Pump
# of Units Sq. Ft. PRV _
# of Bldgs Length Fire Sprinklered
Type of Const_ Width
REQUI RED INSPECTIONS
Footings (new bldg) _ Sheetrock
Footings (deck) Final/C.O.
Footings (addition) Final/No C.O.
_ Foundation _ HVAC
_ Drain Tile Other
Roof - Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests -Final
Framing - Siding _ Stucco Lath - Stone Lath -Brick
- Fireplace _ R.I. Air Test
_ _ Fina _ Windows
- Insulation _ Retaining Wall
Approved By:
Building Inspector
/ife?;v
Base Fee V V
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
acorro- CERTIFICATE OF LIABILITY
Insurance Advisors, Inc.
15020 27r1L Avcave R.
PTymoucn m ssaai
Phona:163-536-8006 Fas:763-398-4060 ^ '^• ^"'^'^' "-
ALTER THE COVERAGE PEPORDEO BY THE POLICIES BELOW.
INSURERS AFFORDING COVERAGE NAICN
uaep _.- wguRERn me.mser wwv Iveu[em m. _ 14303
IN$iJRER6
dymap nd Do All Nerve
Mr. 'w6uaERC
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and Cevmeicial Services LLC -?--
2917-133rd St W !IUSURea¢ _
9hakopa¢ IQi 55379
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I-afayeIIe Road N.
St Paul, MN 561SS-4-U4
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Tetrsphla (651)2545086
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Residential Building Contractor License
Legal NZ DO ALL NOME AND COMMERCIAL SERVICES Llc Busuuess Structrre'
O6A MR HAMDYM M OF EDEN PRAIRIE LTDUAS CORP
AddeSS 2917 133RD ST IN
SRAKOPEE. MN 55379
LA nse Idanufiralien PWmber 2o323w puabfyfng Person: STEPHEN G SILVERMAN
L-nsa E%p-fim Date. =112007 Contifudng Education- 7 hours due by 3MIF1007
?SpTF Vq _.? __ ` MINNESOTA VALLEY ?aESOtA Vq?
_?. rr?lTe SURVEYORS & ENGINEERS CORP.
N I?
`IW i1pBB E-12TH AVENUE SOUTe BYL"LYILLE, YINXESOTL 59)B 4N,
.?y4. ti . +u n..: EsomB F'y Cir
FypHS.ENG?2 . _.. .. . B - r .. OltS-EN
Certificate of Survey for: ?tr JSTAF,40N
2S
776 ..
I , ? "EoT
4
U}i/ifJ Easement r zoo
o gN
'e. X72 ro ?
- SoUry ?\ zA?R ?o ?
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Lot 22, Block 1, South Hills First Addition
Minnesota Valley Surveyors &
1 hoeby wilily Chet thi+i+o Vu. and ton.el re entetien so ?Vers. Corp
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e/ o +wrey of the bounder:a+ of the ebo.e described land, gi (f , R L S
end of the loretien of .11 beildings, Theisen, and all >isibl. by
mooae hm.ets, if eny, I,.- r on se/id lend.
A++err.yed by N. thi+/sT dey etSEPT Ji 19Z4 D Inn. Reg. No. Y
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA114781
Date Issued:09/18/2013
Permit Category:ePermit
Site Address: 3707 South Hills Dr
Lot:22 Block: 1 Addition: South Hills 1st
PID:10-70790-01-220
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, call for framing
inspection. Call for final inspection after installation.
Window or Door:1 ENTRY DOOR
Jay Deems
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 -
Alan Van Wyngarden
3707 South Hills Dr
Eagan MN 55123
(651) 683-0669
Minnesota Rusco
5558 Smetana Dr
Minnetonka MN 55343
(952) 935-9669
Applicant/Permitee: Signature Issued By: Signature
House
!SER MUST BE ATTACHED v
MIN!MUM (2) 3/8" X 4" LAG SC
WITH WASHERS EVERY 16"
L
Attached Garage
Porch / Sunroom
Attached Ledger Board
2"x10"x16' SYP #2 ACQ Treated
-75(473
M
11
6"x6"x12' Posts on frost footings
Double rim joist on all
"perimeters
2"x8"x12' Joists 1•" O.C. SYP #2
ACQ Treated
Double 2"x12"x20' -ams
6"x6"x12' Posts on ' ost footings
Double ri' joist
Van Wyngarden
Boat cover. Attached structure.
50 lbs per square foot roof Toad
rc // /G X(s/7/y5
BY:
6"x6"x12' Posts o frost footings
O(4
APPROVED PLANS ti,. r
REMAIN ON J03 s
EAG
REVIEWED
August 16, 2006
Alan Van Wyngarden
3707 S Hills Dr.
Eagan, MN 55123
Evaluation for Alan Van Wyngarden:
Scope of Project:
-593
To construct an open sided carport to cover a boat. Structure will be approximately 12' wide and
20' long and attached to the side of the garage.
• Install a ledger board approximately 16' long to the side of the garage. Flash and caulk
with appropriate materials sufficient enough to create a waterproof seal.
• Construct a support post and beam structure to support the joists of the roof. Install frost
footings at least 42" down from grade and 42" in from edge of existing landscaped
terrace. Footing must be at theses minimums to prevent uplift from frost.
• Support posts and beams will be made from 6x6 posts with a double 2 x 12 beam to
support 2x8x12 joists placed 16" on center.
• A double rim joist will be built around the entire perimeter of the structure.
• Roof load is to be 50 lbs per square foot per building code.
*Homeowner will construct the roof deck and install the shingles for this structure.
Mr. Handyman will only construct the frame for this structure.
2917 133"' St, W. Shakopee, MN 55379 Phone: 9S2-944 1.024 Fax: 952-400-114
www.mrhandynian.com BBB ANGIE'S LIST twincities@n1rhandynaan.com
—I- SUPER SERVICE AWARD'
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA127198
Date Issued:09/23/2014
Permit Category:ePermit
Site Address: 3707 South Hills Dr
Lot:22 Block: 1 Addition: South Hills 1st
PID:10-70790-01-220
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
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 by law in ALL single family homes .
Brandon Thomas
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 -
Alan Van Wyngarden
3707 South Hills Dr
Eagan MN 55123
(612) 501-2477
Minnesota Remodeling Solutions
5781 Queens Ave. NE
Otsego MN 55330
(763) 428-4888
Applicant/Permitee: Signature Issued By: Signature
!"
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA156028
Date Issued:06/13/2019
Permit Category:ePermit
Site Address: 3707 South Hills Dr
Lot:22 Block: 1 Addition: South Hills 1st
PID:10-70790-01-220
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 -
Alan Van Wyngarden
3707 South Hills Dr
Eagan MN 55123
(651) 683-0669
Kat Construction Llc
8833 79th St
Annandale MN 55302
(320) 266-3455
Applicant/Permitee: Signature Issued By: Signature
For Office Use —7
" ; i i ; ° Permit 1i: /-S C'�7/
..• ••,• � Permit Fee:
_ EA
�. ECEIVE t Date Received: / /
3830 PILOT KNOB ROAD l EAGAN, MN 55122-1810
(651)675-56751 TOD:(651)454-8535 i FAX: (651)675-56 DEC U A w Staff: t,�i
buildindinspectionsCa�citVofeagan.com 1t2019
2019 RESIDENTIAL BUIL:D f MIT APPLICATION
Date: 12/2/19 Site Address: 3707 S Hills Dr. Unit#:
1, ,3r Sally Smith Phone:
tw Name: .
�' 3707 S Hills Dry 510�+1'1 )-1-`i �1
+
,*?;,1,1.,;..:-..-44:.,-', .::::;•7:%,,-;'..HAddress l City l Zip_
a
of Applicant is: Owner V Contractor
NI Drain Tile and sump pump installation
. -, . t Description of work:
l 6112
."zv Construction Cost: Multi-Family Building:(Yes /No )
i _" ..• Company: Contact:• Complete Basement Systems Lewis Uhrich
P Y
"`� .I54004 Loren Drive Mankato
,4,,...;..,r Address: City:
"" _ MN 56001 507-995-8823 Iewis@mycompletebasement.com
;, , m � r , State: zip: Phone: Email:
'
.. BC143377 NAT-105017-2
. '.'s llo"i` License#: Lead Certificate#:
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 No If yes,date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer Sr Water Contractor: Phone:
Fire Suppression Contractor: Phone:
fY• � c tfuppprb �oourniit ., A :+1 �M107'i'
a �.1.. free t , . 4 .1: � ' .
?6�. ,��l"i, ��f�.PY,lffl!S• ' ;Tr i- .a .�'�•r •�P.,i'4.r ,. 1r• ',� ., . +. .' H,t,v .»
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.cityofeagan.comisubscribe.
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.gopherstateonecali.org
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 plalik Lewis Uhrich x 11/4/
Applicant's Printed Name Applicant's Signature
II-
,II nZ. /J 9 �6/ 7
O0O NOT WRITE BELOW THIS LINE • 7f�JcoRsi-kIIS {/
SUB TYPES
Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
3. Single Family _ Garage _ Porch(4-Season) Exterior Alteration(Multi)
_ Multi _ Deck — Porch(Screen/GazebolPergola) Miscellaneous
01 of_Flex ____ 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 Occupancy P1,/
CES System
Plan Review Code Edition '11271119 ( }ICES
Units
(25%_100%10 Zoning (l I City Water
Census Code Stories Booster Pump
#of Units Square Feet __ PRV
#of Buildings Length Fire Suppression Required
Type of Construction76---- Width
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
Footings(Deck) Final/C.O.Required
Footings(Addition) 1( Final I No C.O. Required
—
Foundation Foundation Before Backfill /" HVAC—Service Test Gas Line Air Test_Hood
Roof: Ice&Water _Final Pool: _Footin _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: ,Building Inspector
RESIDENTIAL FEES
Base Feefrl%
Surcharge Dfilftlie ''
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant 0/ rr)
Radio Meter Read 0
Copiesr'eitioe
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA160142
Date Issued:02/18/2020
Permit Category:ePermit
Site Address: 3707 South Hills Dr
Lot:22 Block: 1 Addition: South Hills 1st
PID:10-70790-01-220
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
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 -
Alan Van Wyngarden
3707 South Hills Dr
Eagan MN 55123
(651) 683-0669
KAT Construction LLC
8833 79th St
Annandale MN 55302
(320) 266-3455
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA160719
Date Issued:04/07/2020
Permit Category:ePermit
Site Address: 3707 South Hills Dr
Lot:22 Block: 1 Addition: South Hills 1st
PID:10-70790-01-220
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 -
Alan Van Wyngarden
3707 South Hills Dr
Eagan MN 55123
(612) 743-9824
Kat Construction Llc
8833 79th St
Annandale MN 55302
(320) 266-3455
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA161650
Date Issued:06/05/2020
Permit Category:ePermit
Site Address: 3707 South Hills Dr
Lot:22 Block: 1 Addition: South Hills 1st
PID:10-70790-01-220
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 -
Alan Van Wyngarden
3707 South Hills Dr
Eagan MN 55123
(651) 683-0669
Minnesota Rusco
5010 Hwy 169 N
Brooklyn Park MN 55428
(952) 935-9669
Applicant/Permitee: Signature Issued By: Signature