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3763 South Hills DrCITY OF EAGAN Addition 6UU121 L L4 Z 13t Owner (' ft 1' Street S So. Hills Dr: 1 Parcel 10 70790 060 01 State Eagan, NAT 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING 1973 &A .1 10 SAN SEW TRUNK 15-1 1971 146M 7,32 y .± v iF SEWER LATERAL _ , p WATERMAIN WATER LATERAL 1975 15 WATER AREA 1972 239.22 11-96 STORM SEW TRK STORM SEW LAT - 1975 1 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 250.00 11886 9-29-78 BUILDING PER. # 999 9 - SAC 500.00 11886 9-29-78 PARK INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: „ 1; 4 ?, T1 L o r 1 APPLICANT: ,. .???.+'Trl 1111 ?.?? U? : ;,?, ?; ?.; ;; ?? • 114 lit t I 1 1 ( 0 1 l) 4.'H -;'H4'6 7 PERMIT SUBTYPE: TYPE OF WORK: r, AI 1'LRAT I (IN I f i t or4 i UA`, 1 06 ONt Y f Permit No. Penult Holder Date Telephone # 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 ?? 76 i JI// / ,Q(? FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL I - - -- I MOW. ' ?s1,9 ? Frrt l Y' t&-Fl- ry ??p?? / ivv)l l , ,JMl(r /Tont?/,,ry1&vnwM ?? r-Y -? c?u. t? cri.,oa? 11VSP6c170?. 16 V- INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: I I I I I lot I APPLICANT: PERMIT SUBTYPE: TYPE OF WORK: INSPECTION TYPE DATE INSPTR INSPECTION TYPE DATE INSPTR. . PI MAI K', - A .` l-I,hI-,All l l l:Mi l Is Iil ollll"I Il I IIV ANY I'I linldlNl, Atli 111 I iRlI' AI WIII?I I J Permit No. Permit Holder Date Telephone f ELECTRIC ??7l/l1 (Q (? J`v PLUMBING HVAC Inspeodon Date Insp. Comments FOOTINGS FOUND FRAMING O • 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 i,sua - 07 1A kW 9- CITY OF EAGAN 3795 Pilot Knob Road Eagan, MN 55122 N2 4998 PHONE: 454-8100 BUILDING PERMIT Receipt # To Ir add fnr 1{; F, Ft VnL,,, lili(}, DntP u-29 19- Site Address 'U. 111115 Ur. Erect '? Occupancy Lot Block Sec/Sub. qnilth ?H.11 Alter ? Zoning Parcel ## Repair ? Fire Zone Enlarge ? Type of Const. 1z Name T1 P Move Q # Stories Z Address Demolish ? Front ft. CI TT Phone -? Grade ? Depth ft. o N X1;.1 1?atltain*;,an Approvals Fees am ~ ?? Address Assessment Permit Water & Sew. Surcharge City Phone Police Plan check LOU' W Name Fire SAC UK Address Eng. Water Conn. <W City Phone Planner . Water Meter Council I hereby acknowledge that I have read this application and state that Bldg. Off. the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordin ances. APC Total Signature of Permittee A Building Permit is issued to: ?' on the express condition that all work shall be done in accordance with all applicabl e State of Minnesota Statutes and City of Eagan Ordinances. Building Official 57rn83 -7 8 penal # Date loved Ittew Plumbing _ 1, ' cl r `01 ?' I-A-A? LC-III r Mechanical /o --?-3 - -7 Y ?- 3 3 F / D -4-3 - C.;, . u INSPECTIONS DATE INSP. Rough-In Final Footings - - )?f Date Insp. Date Insp. Foundation - Plumbing Frame/ins. - -/.SI_) 9 Mechanical _ Final Remarks: j--,f - *79 sip ,4,w apt or for jrf(ffa^f CITY OF EAGAN 9795 Pilot Knob Road Eagan, MN 55122 PHONE: 454-8100 BUILDING PERMIT Receipt # N2 5616 To be and for Est. Value Date , 19 Site Address - - * ` : Erect ? Occu anc p y Lot Block - Sec/Sub. i Alter ? Zoning > Parcel # Repair ? Fire Zone ' i Enlarge ? Type of Const. Q! Nome - Move ? # Stories n t I Address Sc ° Demolish [] Front ft. . City Phone Grade ? Depth ft. Name _ 0 Address Name _ Address 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. Assessment _ Water & Sew. Police Fire Eng. Planner Counci I Bldg. Off. _ APC Permit Surcharge Plan check SAC Water Conn. Water Meter Total Signature of Permittee A Building Permit is issued to: on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official - - Fees Permit # pate ISM" hrmwee Plumbing Mechanical INSPECTIONS I DATE INSP. Rough-In Final Footings Date Insp. Date Imp. Foundation _ Plumbing Frame/ins. Mechanical Final }$Q Remarks: INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date issued: (612) 681-4675 SITE ADDRESS: ` 1 01 . 1.1 Ilt:r: #III I If 1111 t 11P PERMIT SUBTYPE: APPLICANT: { b 1 ??) F+a 1 - ay?9 TYPE OF WORK: HE W OfSERIP710N 0 t (I'Iit N/HI DAW11-11 S CTI T INSPTR IN PE ON INSPECTION TYPE DA E . ! N'.III A I I ION c I INil I f Permit No. Permit Holder Date Telephone M ELECTRIC PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS ffOO FOUND .?s _ G FRAMING ROOFING ROUGH PLUMBING - G PLBG AIRTEST ROUGH HEATING ` GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG ` FINAL HTG ORSAT TEST BLDG FINAL A4& BSMT R.I. BSMT FINAL DECK FTG DECK FINAL OF EAGAN WATER SERVICE PERMIT 5 Pilot Knob Road PERMIT NO.: - Eagan, MN 55122 DATE: Zoning: No. of Units: Owner: - ddress: te Address: lumber: - 1;1 r+ eter No.: r Connection Charge: Account Deposit: ze: Permit Fee: r)() eader No.: ft J , agree to comply with the City of Eagan - ) Surcharge: rdinances. Misc. Charges: Total: Date Paid: EBY ote of Insp.: Insp.: cl. Y OF EAGAN SEWER SERVICE PERMIT 4795 Pilot Knob Road PERMIT NO.: Eagan, MN 55122 DATE: Zoning: No. of Units: Owner: - - Address: qtr j ?Z,B 1 Site Address: l l r Plumber: a 1 1 ?n pd I agree to comply with the City of Eagan Connection Charge: R(j Ordinances. Account Deposit: Permit Fee: Surcharge: By - Misc. Charges: Dote of Insp.: _ Total: Date Paid: I nsp.:- RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 (5. a s New Construction Requirements Remodel/ReoairReaufrements ` ?` I . 3 registered site surveys showing sq. it of lot, sq. ft of house; andill roofed areas . 2 copies of plan V - I1 (20% maximum lot coverage albwed) . 1 set of Energy Calculations for heated additions . 2 copies of plan showing beam & window sizes; poured found design, etc.) . 1 site survey for exterior additions & decks . 1 set of Energy Calculations . Indicate if home served by septic system for additions . 3 copies of Tree Preservation Plan if lot platted after 7/1/93 . Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE VALUXION ?/? 75a JOB SITE ADDRESS 373 Solo /VNs a/c'vt? IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY TYPE OF WORK_ TPu/?iF?'FIREPLACE(S) _ 0 _ I - 2 APPLICANT CupSfi?v? /PO'fM^ PHONE# ADDRESS-1 aO® 13'-A-c 4 /0ly sr, d ZIPCODE 5s%w/ PAGER # CELL PHONE # FAX # NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY Energy Code Category (check one) Plumbing Contractor: Plumbing System Includes: Mechanical Contractor. Mechanical System Includes: Sewer/Water Contractor: All above information must be submitted prior to processing of application. Phone # Phone # Fee: $90.00 Fee: $70.00 ?jU'j I hereby acknowledge that I have read this application, state that the information is cofrect, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ord ten, es\. 3 '?- - Signature of Applicant !Z4 MINNESOTA RULES 7670 CATEGORY 1 - Residential Ventilation Category t Worksheet Submitted - Energy Envelope Calculations Submitted MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Phone #: Water Softener Lawn Sprinkler Water Heater No. of R.I. Baths No. of Baths Air Conditioning - Heat Recovery System Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 1/01 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 O 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) Footings (addition) Foundation Drain Tile Roof _ Ice & Water _ Final _ Other Framing _ Pool _ Ftgs _ Air/Gas Tests - Final Fireplace _ R.I. -Air Test -Final _ Siding _ Stucco _ Stone Insulation _ Windows (new/replacement) 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 Final/No C.O. Plumbing HVAC Building Inspector Total 0 00 [0 '?iw-xv Requ t Date <i Fire No. u -In Inspection equired (Vox t uall i tion Aor wh reatly) Inspection Other Than Rough-In ? Re Now Will Notify Inspector mly ../ ? N Yes so pate Reatl I licensed contractor ? owner hereby request inspection of above electrical work at: Jab Address (Street, Box or Route No.) _ AZ V, //,I?//-'C ? ? W' Section No. Township Name or No. RRa nnggee No. County Occupant (PRINT) Phone No. Power Supplier Address Electdeal Contractor (Company Name) Contractor's License No. S ?,J gC 7-.e Mailin tltlress (Contractor or Owner Making Installation) Z , , ' . I ..1 ? ? Z l /-r / r I-i L Authored Signa re (Contractor/Owner Making Installation) Phone Number ?CO <3'9 / v O MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT onggsMldvmy Bldg. - Room 5,128 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (6121 642-800 r. . ENCLOSED. ..=QUEST FOR ELECTRICAL INSPECTION Q-_ EB-00001-09 Ill. See instructions for completing this form on hack of yellow copy. "X" Below Work Covered by This Request Ne AcId Rep. ^Type of Building ppliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management Comm./Industrial Furnace Other (Specify) Farm Air Conditioner Other (specify) Contractors Remarks: G(J, Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps Above 100 _Am s Signs inspector's Use Only: TOTAL G Irrigation Booms / fo ,p ? Special Inspection Alarm/Communication THIS INSTALLATION MAY BE OR D DISCONNECTED IF NOT Other Fee , COMPLETED WITHIN 18 MON I, the Electrical Inspector, hereby tif th t th b i ti h Rough-in Oa ^? cer y ove a e a nspec on as been made. Finat oat A _l OFFICE USE ONLY This request void 18 months from 2 Q 2 7 3 v 7 o ( OFFiCE USE ONLY This regoest void IB months from validation date printed in this boxy Q 1 PLEASE PRINT OR TYPE 6,161 Requpat Do% Raugh.in Inspeaion regWred2 $Yex ON. Inspection Other Than Rough.ln: Ready Now. Will Call 1-5-14-94 1Yau must mll the insp , when ready) Date Ready: 1, 15 licensed contractor ? owner hereby request inspection of the above electrical work at: Job Address (Sheet, Box, or Route No.) 371,3 h?H?u6 a2ly? City ??? Zip Code 55/93 Secfion No. Township Name or Na. Ron,e No. Fire No. County O Phone No, Pa., Supplier Address Elsomool Coatmctor (Company met / Co/ntm?/^cJtor ?arue Na. Maxie, Ur. No. (Plan Eleot. Only) M iliag Add s(Co s ror Own Pet in I stallafion) (°G 6a [_ Authorized Signature (Conhaaor or Owner Periormirx I fio p L'"' - 'n Phona No.1, r ! 7 ?i ?"SS EB-00001h)a 6/95 STATE'16OARO COPY -SEE INSTRUCTIONS ON BACK OF YELLOWCOPY IIII II II II ??II II REQUEST FOR ELECTRICAL INSPECTION Minnesota State Board of Electricity f?,... 1821 University Ave., Rm. S-1 B, St. Paul, MN 55104 * 0 2 -8 2 7 3 6* t'hon0 (612) 642-66N ,S Home Duplex Apt. Bldg. Otlrax-? New Addn Commercial Industrial Form Remod Ra air it Cond. Htg. Equip. Water Htr. Load Mgmt. Other: Dryer Range Elec. Heat Tem . Service "X" above the work covered by this request. Enter remarks in this space and on the back of the white copy only. ala , nog'VG 74 Aod 17-/p 'J Calculate Inspection Fee - This Inspection Request will not be accepted without the correct fee: Other Fee sF Service Enhance Size Fee # Circuils/Fee m Fee Mobile Home Park Stall 0 to 200 Amps 0 to 100 Amps Street Ug./fraffic Sig. Above 200 Amps Above 100_Amps Transformer/Generator INSPECTOR'S USE ONLY TOTAL Sign/Outline Ltg. Xfmr. 4Q ? Hv ?t7 Alarm/Remote Control ? Swimming Pool I here e n ed herein an the d.k, stored Irrigation Boom Rou -n{O Dale? / !lam ecial Ins ection S p p Investigative Fee Fi r ?'?Q /J?' Oate I THIS INSTALLATION MAYBE ORDERED DISCONNECTED IF OT COMPLETED WITHIN 18 MONTHS. This request void (/Z ?B months 6t4 61 Lie i b( ( aD'9 ((S l'?t- aT(03 ?r /Otoo Request Date ? -87 Fire No. qo' gh ed>I ns peaion ®Readv Nuw E] Will Notify Inspec- ' Elves 13 for Whvt Ready Licensed Electrical Contractor I hereby request inspection of above ? Owner electrical work installad at: Street 'Address, Box or Route No. City 6 South IiMs Drive ecLon o. Tmvnship Name or No. Range No. County Dakota Occupant (PRINT) Phone No. J. 4lannigman 454-7054 Power Supplier Address Electrical Contractor (Company Name) Contractor"s License No. 5ossow, Inc. 408?8 8 Mailing Address (Contractor or Owner Making Installation) P.0, Box 254 Lake Elmo Mn. 55042 Authori Si lure r/Ownet Installation) Phone Number 770-5046 MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave.. St. Paul. MN 55104- UNLESS PROPER INSPECTION FEE IS o.,...., 1a111 9179111 ENCLOSED. T _ _ REQUEST FOR ELECTRICAL INSPECTION rs 4 b 1? See instructions fnr completing this form on back of yellow cop Y. "XBe/ow Work Covered by This Request ES-00001-03 ?J e aw Add Rep. Type of Building Appliances Wired Equipment Wired g Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heatin Commercial Bldg. X Fumace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank farm Other (Specify) Other (Specify) t er Specify Other Other Compute Inspection Fee Be/ow n Fee Service Entrance Size 9 Fee Feeders/Subfneders N Fee Circuits O to 100 Amps Oto 30 Amps Oto 30 Amps 101 to 200 Amps 31 to 100 Amps 31 to 100 Amps Above 200 AMTS Above 100-Amps Above I00_Amps Transformers Rernote Control Circ. Partia L'Other Fee Signs Special Inspection S T Remarks 10 50 OTAL FEE R.ugh-in Date 1. the Electrical Inspect.,, hereby certify that the above Final Da i cti.n has been made. ,n,s request vma 78 months from CITY OF EAGAN 3795 Pilot Knob Rood Eagan, MN $5123 N2 5616 PHONE: 4548100 BUILDING PERMIT APPLICATION Receipt # T 124 . To be used for WnnAh nrncv r? T) Est. Value 1 n on nn Dote 9/991 , 19go Site Address 3763 South Hills nrive Erect )7 Occupancy Al Lot 6 Block 1 Sec/Sub. SD.Hills Alter ? Zoning R1 Parcel # Repair ? Fire Zone TTT Enlarge ? Type of Const. W W Norae James D. Wanningman Move ? # Stories n? Address 3763 So. Hills R$. Dr. Demolish ? Front 113 ft. City Phone Grods ? Depth na ft. g Name Same Approvals Fees s? Address Assessment _ city Phone Water & Sew. of Police Name F ire Address Eng. <Z., Ci Phone Planner - Council _ I hereby acknowledge that I have read this application and state that Bldg. Off. _ the Information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. APC Signature of Permittee - A Building Permit is issued to. all work shall be done in a Building Official Permit 9.()o Surchorgi ,.8g Plan check SAC ng Water Conn. na Water Meter na Total 10.00 n on the express condition that Minnesota Statutes and City of Eagan Ordinances. CITY OF EAGAN '/ BUILDING PERMIT APPLICATION To Be Used For ItlNeD49,1'A -e r Valuation / 05-? -- - Site Address ' -) G S <Au t (4 ,/Z. //C 119, Include 2 sets of plans, 1 site plan w/elevations & 1 set of enemv calculations. Date ?' / OFFICE USE ONLY ---- Lot Block Sec. /Sub.. , l Erect Occupancy Parcel #: Alter Zoning - Repair Fire Zone Enlarge - Type of Const. Owner: a14 Move # Stories Address: 3 ?Lti K f,//l J)6 Demolish _ Front ft. City/Zip Code: S S/L Grade Depth ft. Phone #: yJ ?/ 70 i 'f APPROVALS FEES Contractor: 6),LI Q Address: City/Zip Code: Phone #: Arch./Eng.: Address: Assessments Water/Sewer Police _ Fire Eng. Planner Council Bldg. Off. APC Pezmit Surcharge o {' Plan Check SAC Water Conn. Water Meter Road Unit City/Zip Code: Phone #: TOTAL PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: Eagan, Minnesota 55122-1897 Permit Number: (612) 681-4675 Date Issued: aQ0,55795 BUILDING 027405 04/30/96 SITE ADDRESS: 3763 SOUTH HILLS DR LOT: 6 BLOCK: 1 SOUTH HILLS 1ST P.I.N.: 10-70790-060-01 DESCRIPTION: (KITCHEN/BED/BATH) Building .termit Type SF ADDITION Building Work Type NEW Census Code 434 ALT. RESIDENTIAL ?ti3 .J V2 REMARKS: FEE SUMMARY: VALUATION Base Fee Plan Review Surcharge Total Fee $731.00 $365.50 $37.50 $1,134.00 $75,000 CONTRACTOR: - Applicant - ST. LIC.OWNER: KEE CONST INC 19418980 0001744 WANNIGMAN JAMES 11382 BURR RIDGE LN 3763 SOUTH HILLS OR EDEN PRAIRIE MN 55347 EAGAN MN 55123 (612) 941-8980 (612)454-7034 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 Mn. L- Statutes and City of Eagan Ordinances. J c Mxt- ITRE ? APPL A ERMITEE SIG TUBE 'ISSUED BYJ SI?TATUR 7X)X>;l xOU).('.'YXtX) riCSiC7X7X)X::(?ChCY,:Y".'x °Ytri<etnt)a )r). 7::7::p..i. CITY OF EAGAN CASHIER: S TERMINAL Nor 729 DATE: 04'26/99 TINf_:: Q W706 ID: NAME: JOHN S SAI...E 21.55 9001 3763 SO HILLS D 6.50 342E 9001 3763 SO HILLS D :15.11. 320 9001 3763 60 HILLS D 223.25 Total Receipt Amount: 374.86 CRJ07429 USER ID: NANCY ,. o Xo%r6r6Xtr6rd".n%;X7Y;X)g?rt;X)r :;ox;.: 'aX;?:.;;t,,".crd7•a:;)X>:,".a::)...In:: 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN -f) 4 3830 PIL KNOB D 55122 651-681-4675 New Construction Recuirements Remodel/Repair Recuirements ? 3 registered site surveys showing sq. it of 1o4 sq. ft of house ? 2 copies of plan and lLfroofed areas (20%. maximum lot eoverace allowedl ? 1 set of energy calculations for heated additions ? 2 copies of plans (show beam & window sizes; poured fnd. design; etc.) ? 1 site survey for exterior additions & decks ? 1 set of energy calculations ? 3 copies of tree preservation plan if lot platted after 771/93 DATE: Lf- 19 - I g CONSTRUCTION COST: ?Ca, CCU - DESCRIPTION OF WORK: ' - e Ilk STREET ADDRESS: . hdl ' . H1 ?? S 124. LOT: (9 BLOCK: I SUBD./P.I.D. #: 5007-H "fut'5 /'x*r Name: Y V un 1 ?,1ma Yl I?QYY(fL 11 ?50? Phone #: PROPERTY Lwt " M Fat OWNER Street Address: ?i ]l03 nJ 1 I 15 Dr. City EOgox State: MR-T- Zip: `JrJIZ? Company.. LI mbI in(C 1- U. I aC?6 =-F4 C. Phone#:(W2- A-E-949?) CON'TRACT'OR Street Address :I 1 Yly, 1 V I license # ZR?? _Exp. ?Z [? CityY ??5 -- - tate:_M14 Zip: ARCHITECT/ 11 ENGINEER Company ?)l1 XYIt`^ ?' tl ?1CS r`7 Phone #: Registration #: Street City State: Zip: Sewer & water licensed plumber (required for new construction onlvl: Penally applies when address change and lot change is requested once permit is issued. 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 Ordinances. , 1 Signature of Applicant: OFFICE USE ONLY -- Certificates of Survey Received Yes No ' 0j 10i Tree Preservation Plan Received Yes No Not Required OFFICE USE ONLY BUILDING PERMIT TYPE or ? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 03 1 of_ plex ? 08 6-plex ? 13 16-plex tr, 18 Deck ? 23 Porch (screened) ? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage ? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous WORK TYPE 31 New ? 35 Tenant Impr ? 39 Gas Line On ly ? 43 Siding/Soffits/Fascia 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors 0° 33 Alteration ? 37 Demolish Bldg. ? 41 Wood Stove ? 45 Fire Repair ? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof GENERAL INFORMATION 5 - j / Const. (Actual) Basement sq. ft. Census Code (Allowable) _i. Main level sq. ft. SAC Code a UBC Occupancy 2-,1;, sq. ft. No. of Units 1 Zoning sq. ft. No. of Bldgs # of Stories - sq. ft. MC/ES System Length sq. ft. City Water Width Footprint sq. ft. Booster Pump PRV Fire Sprinklered APPROVALS Planning Building Cal- Engineering Variance Permit Fee Valuation: $ ?J7j bbd Surcharge 4,so Plan Review l kI4:; i f /`/ yX / 26 License MC/ES SAC 7 47X j 1 IF167 Water Conn. 2141, / X5 K l ?s g y Water Meter hr 0 I Z D v Acct. Deposit ? 2 ?g S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: 3 7NL,p 16 SAC Units % SAC Proposed Lowest Floor N Type of BuddkV m a OD N N N M M N N 1 Ln C N !r OM Li N J W z J W E 7 J ----------------------------------------- >> E a N • a N ]gam s6o-soap tars Srritru-n s ft. Oki aW WA IA, r+/ wasp PAVC KGs rY::s yvs ? (77 ary 3tfp. id-- 1 c Alp 0 'o s ? Q1':lJ i e'py.• yes 1 o rb b i a lo?? 1Z6fMtIq?G 1101'1 ?. .b " Lot 6: Block 1: SOUTH HILLS FRST ADDITION N N m ng inlarma' on must be checked Orith approved buildin. plan N on and cormrucbon. i Gn1a ntm" are Imm plats of record of 'mW wtion pro,-,M by a C t x S 5A s 1 1 O-e t+rurry i yq a 5q RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 I a New Construction Requirements Remodel/Repair Requirements . 3 registered site surveys showing sq. ft. of lot, sq. ft of house; and III 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 & window saes; poured found design, etc.) . 1 site survey for exterior additions & decks . 1 set of Energy Calculations . Indicate if home served by septic system for additions . 3 copies of Tree Preservation Plan if lot platted after 711193 . Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE VALUATION 756 JOB SITE ADDRESS S /Ti ?lS ?/ 2/2 IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNER Ac(ys519 ?>hNNi S H rJ TYPE OF WORK FIREPLACE(S) _ 0 _ I _ 2 APPLICANT ADDRESS PAGER # PHONE# 7(03-5W-,!93:e1 ZI CP ODE- -- -- FAX # NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMP Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I (check one) - Residential Ventilation Category 1 Worksheet Sut - Energy Envelope Calculations Submitted MINNESOTA RULES 7672 New Energy Code Worksheet Submitted Plumbing Contractor. Plumbing System Includes: Mechanical Contractor: _ Mechanical System Includes: Sewer/Water Contractor: - Air Conditioning - Heat Recovery System ?C?dC dMAR 15 2002 y 5> Fee: $90.00 Phone # Fce: $70.00 Phone # All above information must be submitted prior to processing of application. 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 Ordinances. Signature of Applicant Certificates of Survey Received _ Tree Preservation Plan Received _ Not R wired Updated 2002 CELL PHONE # Water Softener Water Heater No. of Baths _ Phone #: Lawn Sprinkler No. of R.I. Baths 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 EM. 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 3830 PILOT KNOB RD - 551 ZZ 0140,6 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4676 41,131,60 4? s n New Construction Requirements Remodel/Repair Requirements rW +".< ?'• ^? ? 3 registered site surveys ? 2 copies of plan ? 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ? 2 site surveys (exterior additions & decks) ? 1 energy calculations ? 1 energy calculations for heated additions ? 3 copies of tree preservation plan if lot platted after 7/1/93 required: _ Yes _ No h-5, DATE: 3 ?6 - . CONSTRUCTION COST: ?? O d DESCRIPTION OF WORK: STREET ADDRESS: D /6 Q A ?,,f-A' , LOT_ BLOCK _,/- SUBD./P.I.D. PROPERTY Name: Lf/ar» ?<rll?r? -Jzvlc5 Phone #:?y- OWNER 7 "r "rt51 Street Address,-67,63 2,5k' ??? City: q a State: Lv? Zip: CONTRACTOR. Company: , IfC C01?5 Phone #: y5 8 `??G // G 1113£ dil ?oae /?• License # 60 /71/l/ Street Address: City: 6eel7 >"ra-re State: /W/ Zip:55327 ARCHITECT/ Company: J?a as a?ov? Phone #: ENGINEER Name: Registration #: Street Address- City: State: Zip Sewer & water licensed plumber: change are requested once permit is issued. Penalty applies when address change and lot I hereby acknowledge that I have read this application and state that applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: t7iation is correct and agree to comply with all OFFICE USE ONLY Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No APR a 1956 ---------------I BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? ? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 03 SF Addition ? OB 8-plex ? 13 Garage/Accessory ? 0 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 05 SF Misc. ? 10 = plex ? 15 Deck WORK TYPE 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous ? 31 New ? 33 Alterations ? 36 Move OK-32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS 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 Depth sq. Footprint sq. ft. ft. Census Code. y? y SAC Code _0// Census Bldg Census Unit _Q_ APPROVALS Planning Building Engineering $ 7S"o0o Variance Permit Fee Surcharge Plan Review License MC/WS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit SAN Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: Valuation: % SAC SAC Units EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION SITE ADDRESS ! PHONE' Determine workigg square footage of each. AAJJ__ 1. Total exposed wall area ..... 1336 sq• ft. X ?!? !T?• ?? Of :.. 2. Total=igof/ceiling area ..... sq. ft. X A. Total wall window area... ............. ?J B. Total door area ................................ Rri./cy- C. Total sliding glass door area... NeAIY D. Total fireplace wall area ...................... E. Total wall framing area (average 101). ....... F. Total Rim joist area.. •.• •••••• G. Total Net wall area above floor .••••• •••••• Total exposed foundation area ?lGb/Z A6F4(=7-E Z7 r'Fe) , amp H. Total foundation wi area ........ 2t ........... - - I. Total net foundation area above grade........ AfOAV, 337- Determine "U" value of each wall segment. a. X 6U., -35 b. X flu,. C. X „U., a _ d. I X .,U.. e.7_ X ,.D., = 7 nZ 7 7-, ZO g.7fJ7j X ,.0,, h. 3?jq x ..u,. OZ. _ ?O•g0 i. X ..U.. _ 3 ...................................Total "1 _ lZL If item N3 is the same as, or less than item 111, you have met the intent of SBC 6006(c)2. Total exposed roof/ceiling area I J. Total skylight area ............ ................. k. Total roof/ceiling framing area (average 10%)...... 1. Total net insulated roof/ceiling area...............[ " Determine "U" value for each roof/ceiling segment. J- X null _ k. 54- X ..u.l fJZ = .(cg 4 .....................................Total /e:> If total of #4 is the same as, or less than #2, you have,met•the intent of SBC 6006(c)l. 1. 1 Alternate Building Envelope Design To utilize the total envelope system method, the values established by the sum of items #3 and U shall not be greater than the sum of items #1 and #2. 1. + 2. a 3. + 4, 0 PERMIT GzoS??? CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 027516 (612) 681-4675 Date Issued: 05/10/96 SITE ADDRESS: 3763 SOUTH HILLS DR LOT: 6 BLOCK: 1 SOUTH HILLS 1ST P.I.N.: 10--70790-060-01 DESCRIPTION: ,? (GAS LOG ONLY) B4i3ding Permit Type FIREPLACE 1* ilding ti&ork Type ALTERATION r Census Code` 434 ALT. RESIDENTIAL ?,. .nom j p rf _ n REMARKS FEE SUMMARY, Base Fee $25.00 Surcharge $.50 Total Fee $25.50 CONTRACTOR: - Applicant - PRACTICAL SYSTEMS 14282826 14226 NORDEN AVE ROGERS MN 55274 (612) 428-2826 OWNER: WANNIGMAN JIM 3763 SOUTH HILLS DR EAGAN MN (612)454-7034 I I 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'Mn. Statutes and City of Eagan Ordinances= J APPLICANT/PERMITEE SIGNATURE Lau) f I m4 ISSUED BY. 13IGNATURE - CITY OF ?0 3830 PILOT KNOB B RD RD - 55122 1996 FIREPLACE PERMIT APPLICATION p l?} 681-4675 DATE: ??/!) / /4 DESCRIPTION OF WORK: - INSTALL NE]0L FIREPLACE: - WOOD BURNING _ GAS INSTALL GAS LOG ONLY IN EXISTING FIREPLACE INSTALL GAS LINE ONLY IN EXISTING FIREPLACE OTHER: AREA TO BE INSTALLED IN: STREET ADDRESS: -3763 Jn I,A 44-l cWLU.,n 0A LOT l BLOCK I SUBD./P.I.D. #: APPLICANT: (circle one only) .OWNER 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. PROPERTY Name: WOO) 9 Phone #: OWNER Signature: C ' Street Address. 3703 vOl l;? W li ?s b, City:State: N Zip: FIREPLACE Company: ll?ll Phone #: INSTALLER Signature: Street Address: License #: GAS LINE INSTALLER City: // State: Zip• Company: ?l/7) 262j / 4 AeC oza 1l Phone #• Name: SignatL Street i City: 7? State-/;-?,'h Zip: OFFICE USE ONLY BUILDING PERMIT TYPE ? 14 Fireplace WORK TYPE ? 31 New ? 32 Addition >K 33 Alterations ? 34 Repair GENERAL INFORMATION Census Code. _ SAC Code REMARKS: Chimney/flue must be inspected before concealing. r cl J FEES Permit Fee Surcharge Other Copies Total: CITY OF EAGAN 3795 Pilot Knob Road Eagan, MN 55122 N2 4998 PHONE: 4548100 BUILDING PERMIT APPLICATION Receipt To be and forSF Dwlg. $ Garage Est.value 58,000. Date 19_7$__ Site Address 3763 So. Hills Dr. Erect 43 Occupancy 1 Lot 6 Block 1 Sec/Sub. South Hill Alter ? Zoning Rl Re air ? Fire Zone 3 Parcel # p V Enlarge ? Type of Const. o: Name James Wannigman Move ? # Stories z Address 1933 Turquoise Trail Demolish ? Front 52 ft. ,... Favan _ - wR Grade rl Depth 52 ft. o Name Donald Wannigman Approvals Pees zt r? Add Assessment Permit - Clr Islan Water &Sew. Surcharge 29.00 C Phone Police Plan check tW Name Fire SAC 500.00 Address u Eng. Water Conn. 250.00 <w cit Phone Planner Water Meter 60.00 y Park Ded. 120.00 Council 1 hereby acknowledge that a read this application an state that Bldg. Off. the information is cerr and 1 gree to j ply with al applicable APC Total 1, 111.5 0 - State of Minnesota St tutee City E an r, in ces. - Signature of Perm{ A Building Permit Is issue DO a l on the express condition that all work shall be done 1n accor with all e r a cable St of Minnesota Statutes and City of Eagan Ordinances. Building Official ? G ( A L ?('(q- DATE 2 f2 / - .7f BUILDING PERMIT APPLICATION Include 2 sets of plans, 1 site plan w/elevations and 1 set of energy calculations. To be used for f Q.4 LYE. _ Valuation Site Address-. Lot owner Adcir? s contra Addres Arch./Eng. Address Erect Alter Cam- Repair Enlarge -? Move Demolish Grade OFFICE USE Date of Approval c Initial_ a Assessment /gq L Lj Water/Sewer Police Fire Eng. Planner Council Bldg. Off. A.P.C. Parcel Numberr` f? Telephone k 37;?2 - 78a Telephone Telephone OFFICE USE Occupancy zoning Fire Zone Type of Const. # of Stories Front S? Depth V"2 FEES 1AX Permit Surcharge Tian Check SAC ?d Water Conn. Water Meter - ch TOTAL ?j Block See. Sub. {i t I t- -C,45t?K ..LAT..rt[G/,ys 0 00 0 0 j ARP RT ? DR/ N /C? Ui GpT GiNE I I (( . ST/7 FEr.. ?'J 4/)' ,><t ?• 1 EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION OWNER SITE ADDRESS CONTRACTOR DATE PHONE Determine working square footage of each. 1. Total exposed wall area ...... sq. ft. x .17 = y a 2. Total roof/ceiling area .... /a Y3 sq. ft. x .05 Total 'exposed wall area above floor = j7:1 a. Total wall window area ........................... y b. Total door area .... c. Total sliding glass door area ................ _ yrC d. Total fireplace wall area....... ... ..... e: Total wall framing area (average 10%)...:....... .?6'7 f. Total net wall area above floor 6:2 y g. Total rim joist area ............................ yY Total exposed foundation area = ?$f h. Total foundation window area.... ...:.. i. Toal net foundation area above grade yy Determine "U11 value of each wall segment. a. a Y/ X 511111 ?_ j?/9 I x C. X 11111, - .IQ1?l1G d . X 111111 { e. 3 le / X IID11 eM p mil = .??.•C 9 CC1 X 1Bull X05 - 3? ? ytji X 111 i1' a0 t;' hX Stull - C - ?. X 11011 1 ^y / 3.. ..... ........Total = E?= If item'03 is the same as, or less than item #1, you have met the intent .of SBC 6006(c)2. Total exposed roof/ceiling area / o yy 3 j. Total skylight area ............ ....... ... ... k. Total roof/ceiling framing area (average 10%)... /O V 1. Total net insulated roof/ceiling area........... I Y39 Determine "U" value for each roof/ceiling segment. j. X „U: k. ?cq X "u" , 03 3 = 3, 1'S 4 ........ .........................Total = If total of #4 is the same as, or less than #2, you have met the intent of SBC 6006(c)l. Alternate Building Envelope Design To utilize the total envelope system method, the values established by the sum of items #3 and #4 shall not be greater than the sum of items #1 and #2. 1. + 2. 3. + 4. _ .:.4"f CITY USE ONLY L ? BL ? RECEIPT #: 15 ?9 SUED. ?J(& /V- DATE: -J'Lzap- 1996 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: single family dwellings ? townhomes and condos when permits are required for each unit FIXTURES EACH NJO. TOTAL Shower 3.00 x I _ Water Closet Ic/ r 3.00 x I _ Bath Tub po 3.00 x 1 = Lavatory u)(` 3.00 x Z = Kitchen Sink 3.00 ;c _j_ _ Laundry Tray 3.00 x I _ Hot Tub/Spa 3.00 :c = Water Heater 3.00 x = Floor Drain 3.00 x = Gas Piping Outlet * minimum -1 3.00 x = Rough Openings 1.50 x = Water Softener 5.00 x = Private Disposal * Dakota Cty. license 65.00 = (new and refurbished systems) U.G. Sprinkler * home under const. 3.00 = Alterations * to existing 20.00 = Water Turn Around 20.00 STATE SURCHARGE Si .50 TOTAL SITE ADDRESS: OWNER NAME: ? ? t^ n i? ? INSTALLER NAME: ? 1 'L ( `? n 4 ? } 6S, e • A(, de STREET ADDRESS: ?'? rr CITY: cx, ;wa ku?N STATE: VIA r,, ZIP: 5??3 I PHONE #: CITY OF FAGAN PERMIT ('K 3Mgo 3830-Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 0 2 5 8 4 8 (612) 681-4675 Date Issued: 06/19/95 SITE ADDRESS: P.I.N.: 10-70790-060-01 3763 SOUTH HILLS DR LOT: 6 BLOCK: 1 SOUTH HILLS 1ST DESCRIPTION: Permit Type BASEMENT FINISH Work Type ALTERATION r. ? a s r W ? xe -a s'I e `: e. {a t /„ e4 `•-? e I ':you lf t L? g ' v, ) S .? c LvJ REMAR ARATE PERMIT IS REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK FEE SUMMARY: Base Fee $35.00 Surcharge $.50 Total Fee $35.50 CONTRACTOR: - Applicant - ST. LIC. OWNER: TIMBERWORKS BLDRS INC 16860911 0006352 WANNIGAN JAMES 829 TROTTERS RIDGE RD 3763 SOUTH HILLS DR EAGAN MN 55123 EAGAN MN 55123 (612) 686-0911 (612)454-7034 I hereby acknowledge that l have read this application and-state'that the 1 information is correct and agree to comply with all applicable `state of Mn. Statutes and city of Eagan Qr4inances APPLIC ICANT/PERMITEE SIGNyi URE ISSUED ?I! SIGf P.TU E INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: LOT: 6 BLOCK: 3763 SOUTH HILLS DR SOUTH HILLS 1ST PERMIT SUBTYPE: BASEMENT FINISH 1 APPLICANT: TIMBERWORKS BLORS INC (612) 686-0911 BUILDING 025848 06/19/95 TYPE OF WORK: ALTERATION INSPECTION FRAMING DATE INSPTF3. INSPECTION TYPE INSULATION DATE INSPTR. ROUGH IN PLBG FINAL REMARKS: A SEPARATE PERMIT IS REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK CITY OF EAGAN p, e ,? 30 3830 PILOT KNOB B RD RD - 55122 `?J 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 ? 3 registered site surveys ? 2 coples of plan ? 2 copies of plans (include beam & window saes; poured fnd. design; etc.) ? 2 site surveys (exterior additions & decks) ? 1 energy calculations ? 1 energy calculations for heated additions ? 3 copies of tree preservation plan H lot platted after 7/7193 required: _ Yes _ No 09 DATE: 6 CONSTRUCTION COST: -121 DESCRIPTION OF WORK: - S77o STREET ADDRESS: J /d o LOT BLOCK SUBD./P.I.D. PROPERTY Name: IZZA+=rv/GA.l ,%HrnES r /JiEUSSA Phone #: NSY-2434 OWNER , T FACT Street Address- 3763 5-,9,17 - /sac r /tic . City: /-r: 46AI?l State:40,4j - Zip: ??23 CONTRACTOR Company: / /rhF3<?u/o?t4 ??v?? Phone #: Street Address: License #- GG63Sz City: ?fG.OJ State: /5i? Zip: ARCHITECT/ Company: d/?4 Phone #- ENGINEER Name: Registration #• Street Address- City: State: Zip: Sewer 8 water licensed plumber: I?/1 Penalty applies when address change and lot change are requested once permit is issued. 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. OFFICE USE ONLY Certificates of Survey Received Tree Preservation Plan Received Signature of Applicant: Yes No Yes No RECEVE© J U N 12 1995 ------------ 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 ?r ? 11 Apt./Lodging G7'-16 Basement Finish ? 12 Multi Repair/Rem. ? 17 Swim Pool ? 13 Garage/Accessory ? 20 Public Facility ? 14 Fireplace ? 21 Miscellaneous ? 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 MCNVS System City Water Fire Sprinklered PRV Booster Pump Census Code. SAC Code Census Bldg Census Unit d Engineering Variance G Permit Fee Valuation: $ l50,p Surcharge Plan Review License MCMS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units KE CONSTRUCTION E LOT SURVEYS COMPANY, INC. INVOICENC?3053 _ _ 726-24 B. No F. Proposed Top of Block LAND SURVETORS A , E = 30 SCALE F. Proposed Garage Floor REGISTERED UNDER LAWS OF STATE OF MINNESOTA f2. Denotes Iron Monument Proposed Lowest Floor 7601-73rd Avenue North 560.3093 o Denotes Wood Hub Set For Excavation Only Type of Building - Minneapolis, Minnesota 554'18 x000.0 Denotes Existing Elevation ?1tCttP2?D1'S ?LIPI#i?ttBlt O Denotes Proposed Elevation E+ Denotes Surface Drainage c I 1 Proposed building information must be checked with approved building plan before excavation and construction. The only easements shown are from plats of record or information provided by client. We hereby certify that this is a true and correct representation of a survey of the boundaries of the above described land and the location of all buildings and vis- ible encroachments, if any, from ^r on said land. Surveyed by us this 16th__day of Anri 1 19 96 r s Q Signed ?/ I l Charles F. Anderson, Minn. k L rr•( ?ASfvl!I,r( Lot 6, Block 1, SOUTH HILLS FIRST ADDITION Date: City of Eaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 RECEIVED MAY U 1 2012 r Use BLUE or BLACK Ink For Office Use Permit #: /1 j� /01-/i 1 Permit Fee: q74 6 3 Date Received: Staff: 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Site Address: Unit #: Name: 6:11.0454 .3 Address / City / Zip: �Z 6) So• -11‘44 ' LL..,S 'Potties) Applicant is: Owner• -----Contractor Phone: Description of work: Construction Cost: S Company: YY µa14eScarlh- C Multi -Family Building: (Yes / No ) Address: 730 ! -Sa• » r Contact: Avz,4 State: MA Zip: C5 3+ City::-CO1..�"j Phone: 151- 3e0 ' �° i" Es License #: 202"7 GIS460 Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Phone: Sewer & Water Contractor: 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.c opherstateonecall.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 -,Building Code must be completed within 180 days of permit issuance. Applicant's Printed Name Signature Page 1 of 3 DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Single Family Multi 01 of _ Plex Accessory Building WORK TYPES New (,Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review Fireplace Garage Deck Lower Level Interior Improvement Move Building Fire Repair Repair (25% 100% ?O Census Code (( # of Units # of Buildings Type of Construction REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: lce & Water ' ' ina1 Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Occupancy Code Edition Zoning Stories Square Feet Length Width Framing Fireplace: _Rough In _Air Test _Final Insulation Sheathing Sheetrock Reviewed By: I Z Siding Reroof Windows Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Demolish Building* Demolish Interior Demolish Foundation Egress Window Water Damage *Demolition of entire building - give PCA handout to applicant MCESSystem 102 SAC Units City Water Booster Pump PRV Fire Sprinklers Meter Size: Final / C.O. Required Final / No C.O. Required HVAC Gas Service Test Gas Line Air Test Other: Pool: Footings Air/Gas Tests _ Siding: _Stucco Lath _Stone Lath Windows Retaining Wall: Footings — Backfill Final Radon Control Erosion Control , Building Inspector Final Brick RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL wz Page 2 of 3 KEE CONSTRUCTION Proposed Top of Block 0 O Proposed Garage Floor O (0 7601- 73rd Avenue North. Proposed Lowest Floor • 0 w 0 0 a Proposed Elevation 0 a O D C, d O 0 w.. a 0 O C SOUTH HILLS FIRST ADDITION iSiscs PERMIT City of Eagan Permit Type:Building Permit Number:EA133143 Date Issued:09/24/2015 Permit Category:ePermit Site Address: 3763 South Hills Dr Lot:6 Block: 1 Addition: South Hills 1st PID:10-70790-01-060 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 within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). 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 - Michael M Glasgow 3763 South Hills Dr Eagan MN 55123 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA151606 Date Issued:09/04/2018 Permit Category:ePermit Site Address: 3763 South Hills Dr Lot:6 Block: 1 Addition: South Hills 1st PID:10-70790-01-060 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 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 - Michael M Glasgow 3763 South Hills Dr Eagan MN 55123 (612) 598-3079 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature