3650 Woodthrush CtT. II'. City of Eaaafl
I
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
RECEIV
D
DEC 13 2010
Use BLUE or BLACK Ink!
Permit #:
q -7 G
Permit Fee:` D
Date Received:
Staff:
'2010 RESIDENTIAL PLUMBING PEF MIT APPLICATION
Date: ID b Site Address: / 0
Tenant: Sa l4 C' fl i1 V
Suite #:
RESIDENT / OWNER
Name: $O Ott, Ch l I E v Phone: 6251 SI !`I Lf
Address/City/Zip: 3 ottouhruGh C -,�cte MN 51Z
CONTRACTOR
, ,
,
Name: -1"--, C,rDixVail
L,�}�� �'„`^ License #: Lo q" cr ri boc, , I
Address: `1 J _((/
' '
City:
,,oLL -^7
State: �) Zip::�S`iDI 0 Phone:
I
2(� / - /,,(Th,,
115 3S(P SW -7
Contact:t� 1 . o Email:
TYPE OF WORK
_ New _ -1. Replacement Repairn
_ Rebuild
ai Of-
v
_ Modify Space _ Work in R.O.W.
Description of work: i nsitu Q+1
i na
PERMIT TYPE
RESIDENTIAL
Water Heater
Water,
Softener `
Plumbing Fixtures (_ Main / — Lower Level)
Add
Lawn Irrigation (_ RPZ / — PVB).
Water
Turnaround
i
Septic System
New
Abandonment
RESIDENTIAL FEES:
i
$55.00 Minimum Water
_
Heater, Water Softener, or Water Heater
(includes $5.00 State Surcharge)
Fixtures, Septic System Abandonment,
(add $166.00 if a 5/8" meter is required)
New ($10.00 per as built) (includes County
and Softener
I
(includes $5.00 State Surcharge)
(includes $5.00 State Surcharge)
State Surcharge)
State Surcharge)
TOTAL FEES $ 55 Db
I
$35.00 Lawn Irrigation
$55.00 Add Plumbing
*Water Turnaround
$105.00 Septic System
$95.00 Fire Repair (replace
Water Turnaround"
fee and $5.01
(includes $5.0Q
burned out appliances, ductwork, etc.)
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. wWw.•o•herstateonecall.or
I hereby acknowledge that this information is complete and accurate; that the work will be in onformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit but only an application for a permit, and wor is not to start without a permit that the work will be in
accordance with the approved plan in the case of work which requires a review and approve pla
L
x ins S
Applicant's Printed Name
FOR OFFICE USE
Required Ind'$ections•
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CITY OF EA(iAfd SEWER SERVICE PERMIT
3830 pqot Knob Road pERM1T N~.: 14020 ;
P.O. %ox.211~ 7-7-a7
Eaqsn, MN 55121 DATE: 1 ~
' Zoning: ~ - No. 01 Unita: j
Owner. Timberline Bldra. 7
:
Address:
SiteAddress: 3&50 ~,doodthrush CourL L3 B2 St. Fraz?cis Woods I'L'i
~ Plumber. a an Plunbin Johnsoa Excavatia ~~Q.p~pd ,
6-2-87 74209 S~S nnn~ ~
' I ayree to comply wMh the CItY oi Ealien Connection Charge: i5 nn~~
Ordinances. Account Oeposit: -
Permit Fee:
5
Su rcharge:
'
' By Misc. Charges: 1
. Date of Insp.: Tota4: {
~
fnsp.: Date Paid:
1
- - -a^'- - r - -_.^'~+r'x~ _ •t`i.~'n Ts: ~ troF~ ~'7' : : . -r n1
r 74-87 I
' CITY OF EAGAN Permit Na Datec
, 3830 Pilot Knob Rosd Meter No: Size:
P.O. Bbx 21191 Reader No: Date:
Eagan, MN 55121 '
, Owner. Timberline Bldrs.
Site Address: 3650 Woodthruah Caurt L3 B2 St. Francis Woods '1'l
Plumber. Eagan Plumbing/Johnson T:xcavat i.np..
Conn. Chg: 'g?5_00"d Zoning:
Acct Dep: 7 5 00„d No. of Units: L
Permit Fee: ic7 (1c1.,tt
' Surcharge: _r%n~a I agree to comply with the Cfty of Eagan
Tr. Plant 1Rn hn..d Ordinances.
Meter. .
' oovd-
Misc.: sy ;
i WATER SERVICE PERMIT I
' - - _ !
-
~
CITY OF EAGAN Permit Na ~ Date. 7-7-87
3830 PIlot Knob I6ad Meter No: 3 Size:
P.O. Box 21,1149 Resder No: !S 6P ° I / .IU Date:
Esqsn, MN 55121
Owner. Timberliue Bldrs.
SiteAddress: 3650 Woodthrush Court L3 B2 St. Francis 4Jooc3s 11
Plumber Eagan Plum6in Johr_son Excavatin
I
Conn. Chg: : n1 I
ACCt Dep: " t Oa!"" UN~lLi 1
Permit Fee: RGAS Etc.
Surcharge: ths Clty of
Eagan Tr. Plant ~ Meter. . ,
Misc.: I
WATER SERVICE PE MIT ~
I
~ CASH RECEIPT
• ~
' - CITY OF EAGAN
3830 PILOT KNOB ROAD ,
EAGAN, MINNESOTA 55122
.
„ DATE 1g
RFCEIVED .
PROM
AMOUNT $
& DOI.LAR$
~oo
EJCASH ~]CHECK
ROR
{ - • . . , ' '
FUND GODE AMOUNT '
Thank You .
BY
•w • ; .
. . . , ,i
White-Payers Copy
Yeilow-Posting Copy
Pink-Fila Copy
BLDG. PERMIT N0. ~
-
01-3210 Bldg. Permit
r
01-3422 Plan Check
01-3445 Surch./Adm. ~
01-3446 SAC/Adm. ~
01-2155 Surcharge
17-3860 Road Unit ~
20-2275 SAC 7 '
20-3865 Water Conn. ~ 20-3868 Water Trmt.
20-3716 Water Meter
;
20-2252 Acct. Dep.
20-3713 Water Permit
20-3743 Sewer Permit
79-3866 Sewer Conn. 11-3855 Park Ded.
,
TOTAL
A'~ '•_~bR D~(X PI:AN RZYEJED 5/ 11 /88 C, 3EICHOW 689.0677 CITY OF EAGAN ,
3830 Nilot Knob Road, P.O. Box 21-199, Esgan, MN 55121
PHON E: 454-8100
BUILDING PERMIT . Receipt ~
To be used tor Est. Value • ~ l % , ;k, Date
Site Address OFFICE USE ONLY
ti+liUL On Slle Sewaqe Occupancy
Lot Block Sec/Sub. MWCC System Zonfnq
.
Parcel Na On 5ite Weu ~ Type of Conet ~
City Water _S (Actual) v_ I
(Alloweble)
W Name ' s ot Storles
Z Address Lenpth
City • Phone Depth
S.F. Toiai
~ Footprint SF.
, p Name
~i Address APPROVALS FEES
~ City Phone Assessments _ Permit
Water/Sewer Surcharpe ~
yVj W Name Police _ Plan Review - . Fire _ SAC, City
v n Addrbss " Engr. _ SAC, MWCC
a Z Clty ' f?hQne Plenner _ Water Conn.
tW
, Councll _ Water Meter _
I hereby ecknowledge that I have read this application and state Bldg. Off. _ Road Unit
that the Informatfon is Correct and agree to Comply with ell eppliCeble APC _ Treatment Pt -
State of Minnesota Statutes and City of Eaean Ordinancea Variance _ Parks
Copiea
Sipnature of Permittee TOTAL '
A Building Permit is issued to: on the expreas condition that
all work shall be done in accordance with all applicatble State of Mfnnesota Statutes and Clty of Eagan Ordinances.
Building OffiCiel I
- - - J
Permit No. Permit MoWer Date TNophone t
Pluqibing 7 ~r~ 2 ~'~,k , - ?
H.V.A.C. K/. -s AM
Electric
Sotscw.
Inapoction Dat* Ins . Comm*nb
Footings I I
Footings II
Foundation
Framing
Fioofing
Rough Plbg. ~
Fiough Htg. p iI a7196/ P/3 isul.
FireplBCe
Final Htg.
Final Plbg.
Bldg. Final
CeR Occ.
Temp. LP . I
Deck Ft¢ /
Deck Frmg. 4rST-
Well
Pr. Disp.
,77.. PERMfT # D
' MECHANICAL PERMIT RECEIPT #
" CITY OF E11GAN 2
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE J~
CONTRACT PRICE PHONE: 454-8100
Site Address " BLDG. TYPE WORK DESCRIPTION
Lot ~ lock ,1- Sec/Surb Res ~ NBW
~ Muft Add-on Name
Address " - Comm. Repair
c City ~ Phone Other
FEES
~ Name RES. HVAC 0-100 M BTU - $24.00
c Address ADDITIONAL 50 M BTU - 6.00
p City Phone (RES. HVAC INCLUDES A!C ON NEW
CONSTRUCTION)
GAS OUTL:ETS (MINIMUM - 1 PER PERMIT) - 1.50 EA
TYPE OF WORK COMM/IND FEE - 196 OF CONTRACT FEE
Forced Air ' M BTU APT, BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPUES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8
Unit Heater M BTU REMODELS - 12.00
Afr Cond. M BTU MINIMUM COMMERClAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping OuNets # , BEYOND $1,000)
Ottler
; -
' FEE
S/C: SIGNATURE OF PERMITTEE
TOTAL• '
FOR: CITY OF EAGAN
. , • . ,-~rr'~ir"'r.~r:i!!0,?'n~^'re.Y-.wp-+.- r. .-'r-•~4~ ---r,~',", ~-,.5wi.. . . . .
. , , . . PEFiMIT #
: PLUMBIN(3 RERMIT RECEIPT #
' CITY OF EAGAN
3830 PILOT KNOB ROA4 EAGAN, MN 55122 DATE:
CONTRACT PRICE: PHONE: 454-8100
Site Address BIDG. TYPE WORK DESCRIPTION
Lot " Block Sec/~ub Res. New
Mult. Add-on
y Name Comm. Repair
~ Address Other
c City Phone RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
N'p. FIXTURES TOTAL
-..~_Water Closet - $3.00
Name ~
y _/-Bath Tubs - $3.00
3 Address _.~._Lavatory - $3.00 =
p Ciry Phone _i Shower - $3.00
_I Kitchen Sink - $3.00
FEES Urinal18idet - $3.00 . ^
COMM/IND FEE - 1% OF CONTRACT FEE ___~__Laundry Tray -$3.Q0 -
APT. BLDGS - COMM RATE APPLIES -LFloor Drains -$1.50
"
TOWNHOUSE 8 CONDO - RES. RATE APPLIES Water Heater - $1,50
, • ~ '
MINIMUM - RESIDENTIAL FEE - $12.00 -~Whiripool - $3.00
MINIMUM - COMM/IND FEE -$20.00 -~Gas Piping Outlets -$1.50
STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIT)
(ADD $.50 S/C IF PEFiMIT PRICE GOES Softener -$5.00
BEYOND $1,000A0) Well - $10.00
Private Disp. - $10.00
- Rough Openings - $1.50
SIGNATUR6 OF PERMITTEE FEE G G t
STATE S/C:
FOR: CITY OF EAGAN GRAND TOTAL: J^
T`PERMIT #l-d•
• MECHANiCAL PERMIT RECEIPT # '
, , • ~
CITY OF EAGAN
3830 PILOT KNOB ROAD, EA(3AN, MN 55122 DATE
CONTRACT PRICE:~/ f r oo PHONE: 454-8100 --'U
Site Address BLDG. TYPE WORK DESCRIPTION
Lot $lock Sec/ Sub pes. NeW ~
Name 67,xAze Mult Add-on
~
Address Comm. Repair ~
~
c City '"T~~w Phone ~ Z~•~ 6 Other
QGI~' ~~i~ ,k~=' ~?i~./ FEES
~ Name RES. HVAC 0-100 M BTU -$24.00
YZI- n Wo' j~'1 l~ • ADDITIONAL 50 M BTU - 6.00
c Address
p Ciry Phone (RE3. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERi1AlT) - 1.50 EA.
TYPE OF WORK COMM/1ND FEE - 1% OF CONTRACT FEE
Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE 8 CONDOS - RES. RATE APPUES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
Unit Heater M BTU REMODELS
Air Cond. M BTU MINIMUM COMMEFiCIAL FEE - 20.00
Vent CFM STATE SURCHARGE PER PERMIT -
(ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Outlets # BEYOND $1,000)
Other
FEE ~ ~
DMT
S/C: ~=Z SIGN j'RE
TOTAL• ` • a ~
FOR: CITY OF EAGAN
CITY OF EAGAN Ramsrks
ST. FRAASCIS WOOD 2ND-ADDITION 3 2 10-65901-030-0L
Addition Lot Rik Psrcel
Owner Ststs
05l Improvesnent ` Oate Amount Annwl Year: Peymsnt Redlpt Dste
STREETSURF. 1981 86.84 17.37 5
STAEET RESTOR, 1983 2675.93 535.19 5 A 7,0•3 R O/G Z
GRADING 1983 610.85 122.17 5 .2 0i627/ /a/i/84'
SAN SEW TRUNK 1983 316.84 63.37 5 /2l0 • 74 o 44 1- 7/ ¢~~s
* SEWER LATERAL 1983 5510.68 1102.14 S .2 ~20
. 1 m~f?2 / /D
VYATER MA I N
* WATER LATERAL 1953 5
WATER AREA 1483 316.84 63.37 S ~`1 7/ /a d~
*5ervices 1983 5
STQRM SEYY TRK - 19$3 670.74 134.15 S -V IlL O~
* STORM SEW LAT 1983 $
CUR9 & GUTTER SIDEWALK
STREET LlCiHT
WATER CONN.
BUILDING PER.
SAC
PARK
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number. "~;4~-"?
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
, ;;-?t7'fNA1Jyli < 1, I
~
I t I I.I(i,)(i .•l~il~ . ~ ~ i ~ , ~ .
PERMIT S~I~qTXPE: TYPE OF WORK:
, , , I , I i f I pi ~1.
INSPECTION . .A
~ i'1 • . ~ i ~'1. I~ ~ ~ i - . . . ~ll. ~ .~11 ,
~ . . . . . . J
Permit Holder Date Telephone #
PLUMBING
FiVAC
Inspection pate Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING S
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP 80ARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
coNDucriwrv
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
- - - . -J
CITYOFEAGAN No p '(37 00
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 -
BUILDING PERMIT PH ONE: 454-8100
Receipt # -1 ~ ~UCi
Tobeusedfor SF DWG/GAR Est.Value $116,000 Date_ JUNE 1 ,798Z_
Site Address 3650 WOODTHRIiSH CT OFFICE USE ONLY
ancy R3
Lot 3 Block 2 Sec/Sub. ST FRANCIS WOOD MWCCSysteme X O~cnu9 Rl
Parcel No. 2ND ADD On Site Well ryPe of consc
V
City Water _XL (ACtual)
a Name TIMBERLINE BLDRS (Allowable)
w # of Stones
z Address 3727 SO hills WAY Len9th - 38
o City EAGAN Phone 454-5918 oePm 29
S.F Total
o Name SAME Footpnnts.F.
~Q Address AppROVALS FEES
,
P City Phone Assessments Permit 551:50
Water/Sewer Surcharge 0
W w NamC Police _ Plan Review 275.75
~i Rre SAC,City tno.no
i- Address -
Engr. _ SAC,MWCC 524_00
aw City Phone Planner = WaterCOnn. 5267.~po
Council Water Meter _
I hereby acknowledge that I have read this application and state Bltlg.Off. _ Road Unit
thattheinformationiscovectandagreetocomplywithallapplicable APC _ TreatmentPl 1Rn np
State of Minnesota Statutes and City of Eagan Ordinances. Variance _ Parks
9 n Copies ~
Si nature of Permittee !F..(.r 7orAL 2 587.25
A Building Permit is issued to: TIMB L E BLDRS on the express condition that
all work shall be tlone in accordance with all applicab State of MipVe sota Statutes and City of Eagan Ordinances.
Building Official
~
~ -1
T
4
(gtr#ifirtttt of (Orrupttnry
Citp of eagan
FP}tttl'trilFtl2 of lllt11b1ritJ J1t9}1Ptftlril
This Cerlificate issued pursuanl ta the requiremenu ojSection 306 ojthe Unrjorm Building
Code certijying thar at the time of issuance 7his slructure was in compliance with the various
ordinances of the Ci1y regula7ing building construction or use. For rhe jo![owing:
U. cvuflrcaeo. slas. Nnnit N.
i
0,X°Pe.Y TYK Zoning Usincl TyPe Com1 t
o~roteuaaioqlL i naa.'1••! 7.'rj:isb.. Y p•
~ I.auI~N L? J!.
BuildingAdDr~ ) `Y
Dak. - ~
8mldmgOlfinel
POST IN A CONSPICUOUS PLACE
Thisjequest void `J[~ : /
18 maf ths /mm I
.C 6 3 5 4 8 2~~, ~2 r--j
Raqu t Dale' / ~ Fire No. p~oqPhea,InsVeclion
I
~Ready NowKW,ll Nnbfy InsOec-
~ 3 , es ONo tor When Peaay
g Lii/s@ ElecVical Contractor 1 hereby reQUest insoection of ebove
Owner elecVicel work instelled ac
Street Atldress. Boa or N re No Urv ~
3~S
ecUOn o. Townshlp Name or No. flange No. County
Occupant IPPIyT~ ^ f' Pho No. f>
{J-C~ J' ( I !'1 e l'S ~J a
Power Address
l
EI rical Contractor ICO Uan Nam 1 Contracwr's License No.
` f O
~dni8 A ess onb c r or Own r Maki B Ins~ailationl
a
t n ed 5ig^al e (Co tt mr~ wne aking Installation) P 3 e Nober 334
-
MIIN S A STATE BOAPD OF ELE flIGITY TMIS INSPECTION flEQUEST WILL NOT
Grip s- idwev Bldp. - Noom N•191 BE ACCEPTED BV THE STATE BOAflD
UNLESS PNOPEH INSPECTION FEE IS
182 iveraitv Ave.. S1. Paul, MN 55104
Phone I6121 642-0800 ENCLOSEO.
REQUEST FOR ELECTRICAL INSPECTION ea-ooooi-os
/ Sea inshucpens lor complefl.q this fwm on beck o/ Vellow copV.
83548 "X" Be/ow Work Covered by This Request
w AAtl ReD. Tvpe ol Bmltlmg AoPlnoncea WimE Equiument Wired
Home Range Temporary Service
DuplPx Water Heater Lightin Fixtures
Apt. Bwldlng Dry¢r Electric HeaUn
Commercial Bldy. Fumace Silo Unloader
InduStrial Bldg. Air Conditioner Bulk Milk Tank
Farm 1ne.r oeci v tner IsWtnfyl
~ n Vecr y [hC, 01M1Cr
ROL,te lnspectron fee Below
M fe Service EnhenceSixe B Fee Fexders/5ubleedars M ea Circuits
1 0 to 200 qm 5 0 to 30 qm s 0 tn 30 Am s
Above 200 Elf 31 to 100 Amps 31 to 100 Am s 610 Swinuning PooAbove 100_Amls Above 100_Am s
Transtormers Irngation Boort~s Pertial."0
Signs Special InsUection
TOTA FEfI /f
Aamvrks s (DOl °O
Nouph-m r ' D° e I. [he ecv
r InsPBClar, hereCy
cerUly ~het the above
Final nspection hea been
. T/ metle.
/Nb rspueal valE 18 months irom
7 REQUEST FOH ELECTHICAL iNSPECTION
, See inahuctione lor comDlelin0 lhie lorm on back o1 Vellow coPy.
N~S ~O` 5 O K" Be/ow Work Covered by 7his Request
AAd NeO. Tyoa ol BuilEinp ApPlionma wina Eqmument Wired
Home Range Temporary Service
Ouplex Water Heater Lighhny Fixtures
Apt. BuilAing Dryet Eleclric HeaLn
Commercial Bldg. Fumace Silo Unloader
InAustrial BIAg. Air Condi[ioner Bulk Milk Tenk
ther Peci y 1her ISUer.~ly1
Farm
, .r veci y mor Otho,
ompute lnspection Fee Be/ow
p Fee ServieaEntroneaSixa b fee Faxtlers~Subleedem p Foe Grcwb
0 ro 200 qm s 0 to 30 qm s 0 tn 30 Am
Abave 20 _qm ps 31 to 100 Ainps 31 to 100 Am s
Swinttning Pool Above 100-Am s Above 100_Am '
Transrormers Irngation Boorcis PertiaL'Other Fee
Signs SUecial inspection 70TAL F
Ramarks
,
Rouph-in I.tne Electncel
Inapector, nen certily thet tF
finel InePection h'
~ l U~ mede.
l
tOb rpuent roi0 18 mon1M Imm
•~'~tlQVBSIVOIdY7
18 rtqnths 1wm
3540
Re ue t Dala ' fre No. Roup~-in InsVec~ion
-n~ Hequvetl~ ~floatly Nuw Q Will Nouly, InSPec
~ ?~as No tar When PeuEv
ensetl ElecVical Contrador 1 hereey roauest inepectron ot above
? Owner elecVical work inatelled eL
S~eet Address, Box or Houre /J Cit~
~ ~D ' L ~
eCtion o. Townshi0 Name or o. anBe o. Cou~ ~
OccuOa IPPINT / ` Pho e Ne. -
la/'rS.
Power olier ~*-j~' / y- Atldress ~
~ . ;~r.(.i l ~i.v h-
EI c ncal Contrar 1 m y eme n Cn tr~tor-s Linse No.
l C\f ~ • Q
Ma linp J,ess ICOntra or or O ner ukin0 lnSlailationl
.S ~2 -5 -S 3 4 .S
Auth riz ~mrac r Owner kinp Instaliat N P ne No ber
3 - l3311
THIS INSPECTION HEQUEST WILI NOT
MINN p p STATE BOAPD OF EIECT ICITY
BE ACCEPTED BY THE STATE BOARO
Urippd-Midwer Bltlp. - Noom N•791 UNIESS PNOPEX INSPECTION FEE t5
1821 Univeraitr Ave.. SL Peul. MN 65104
Phone167216AT-OB00 ENCLOSEO.
2004 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Conshuclion ReauiremenGs RemodeVReoair ReauiremenLS bifii~Use Onhi
3 regate2d site surveys showing sq. fl. of IoL sq. ft. of house; and all roofed areas 2 wpies of plan Cert M Survey Read
(20°/,maximumlotcoverageallaxed) lsetofEnert~yCalculationsforheatedaddihans TIreBPresP19nR00d ~ _Y_h
2 copies of plan shovring beam & wiiMow sizes; poured found design, etc. 1 site survey for addNOns 8 decks Tree.Pres ReqUired '-Y_N
lsetofEnergyCalculsEons Add'm'on - indicafeifonsifesepticsystem OnsHeSeptlcS_ystem ,_Y _K
3 copies ol Tree PreservaEon Plan d lot platted after 711/93
Rim Joist Detail Options selection sheet (61dgs with 3 or less units
Date CA e-jL /5Mfl `Construction Cost d T~J f
SiteAddress 3(psh CQxj(k Unit/Ste #
Description of Work -;?-4~~ /V i S7) C~4.cV/il1.
Mulp-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2
Property Owner C srv Telephone # ( (0:5 (0 p I - / 9 -I
~ - `
Contractor RENEWAL BYANDERSEN
Address 1920 COUNTYROAD "C" WEST City
State ROSEVILLE, MN 55113 Telephone #((p~ (O
ao13o9-83 %
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeocv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(Jsubmissiontype) Submitted Submitted
• Energy Envelope CalculaUons Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
r"'`
i~,
Licensed Plumb r- Telephone #
( )
Mechanical Con4`ac4or1 a CJ04 Telephone )
~
Sewer/Water C ~ntractor Telephone # ( )
I hereby apply for a Residential Building Permit and aclaiowledge that the information is complete and accurate;
that the work will he 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
pernut; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
C.L,~o!~) . - iv-, ~
~
Applicant's Printed Name Applic 's Signature
OFFICk USE ONLY
Sub Types
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Erzt. Alt - Multi
? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc.
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement 38 Demolish Interior 44 Siding
? 32 Addition ? 36 Move 8uilding ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building" ? 43 Reroof ? 46 WindowslDoors
• 34 Replacement 'DemoliGon (Entlre Bldg) - Give PCA handout to applicant
Valuation Occupancy MCES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# 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 H V AC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ AidGas Tests Final
_ Framing _ Siding _ Stucco _ Stone _ Brick
_ Fireplace _ R.I. _ Air Test _ Final _ Windows
_ Insulation _ Retaining Wall
Approved By. , Building Inspector
Base Fee
Surcharge
Plan Review
MClES SAC
City SAC
Utility Connection Gharge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
~~•~..n..•.i iuv ic.ov rm ~oJ D!1 i400 !(t;fU:l(Ali Hk`BPIDt5L47lSCI .
' . 0 uu:
rC a,~, .
. . .
runeaoo1
Cay of Eapa .
3836 PiIcrt &tob Rosd -
Eagan.Ivud 55122
To Whom It May Cosicern:
Elder Jones is authorized to pu11 buiIdfng Pftmits Por Ranewal 6y Andeisen Ptease alIow
Sldcr Jones to provide this servix far us in Bagan. 'lTtiB enthorizaian j5 valid for any
date bcyond 6/6/01: until aJ*newa! by Andmen OMZaiiiting
Y ~vokes it in w
to the Clty-
I rcqnest this au8iozization be accepted expedidously. as to not dela thn ~
our baildinS Pomsita any further. Plcasc can mc lf thcic anc enr Y m P~~ng of
~nr~a ac 763-502-4705_ ~«``o~.. I 'xi
,
Your immGdiate Mntion to thLs matfer is a ated, a . .
Sincaialy, . .
ymond R Rau
rostallation Managcr
Ranowal by Andasen Cotpotation . C:c.: Kflr.a-F.lr~e.r7nnea
:Qk pNCOL"
Y 4w,*"w^
~ ~a. n zooa
Receive~ Time Jun. 1. 1:07pld
13 1987 BDILDING PERMIT 6PPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS
INCLQDE 2 SETS OF PLANS, 3 CERTIEICATES OF SQItVEY, 1 SET OF ENERGY CALCQL9TIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOUiNER MDST DESIGAATE WHZCH ADDRESS
IS DFSIRED. NO CHANGES WILL BE ALLOWED ONCE BQILDING PERMIT IS ISSQED.
MULTIPLE DWELLINGS - RFSIDENTIAL RENTAL ONITS FOR SALE ONITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SORVEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS \
COMMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS, ¢
$2,000 LANDSCAPE BOND la~•-:.~ ?6 C~
I l OOC~
o.
To Be Used F9r: ~O.Lw~ Valuation: ~--ac,a-~ Date: ~-26-~~
3b S 0 T-
Site Address _TU E~r~ 9s7't-kF,i~rD OFFICE USE ONLY
(qS E osn'f ;~{+.us H Cr • )
Lot ~ 61ock 2 On Site Sewage Occupancy
D MWCC System -7 Zoning
Parcel/Sub '57• fepNaS W ~D 2 Abb. On Site Well Type of Const
City Water -7 (Actual)
Owner FtGµW W,4;o„3 (A1lowable)
IJ of Stories
Address R,94E Dp- Length
Depth
City/Zip Code 55) zz. S.F. Total
Footprint S.F.
Phone Ie ~04-7 h APPROVALS FEES
Contractor -rt7#-6gnq.,,,6 qU,~~~ac. Assessments Permit SSt ~
Water/Sewer Surcharge 55,
Address 372-7 ifo• jyju,s Police Plan Review z_'15
Fire SAC, City ( CO.
City/Zip Code P~46A*', SSP7-3 Engr SAC, MWCC SZS
Planner Water Conn S 25
Phone 45'1- Sjiz Couneil Water Meter fo7.
Bldg Off Road Unit N/A
Arch. /Engr. r•/A APC Treatment Pl Iep'J.
Variance Parks
Address Copies
TOTAL ~ 3
City/Zip Code
Phone al
~~~SII
or~~2 = zi~ o~~~ = ~Z ~c;
C) St~>,)
~ ~ ~ ~ ~ 4-? ~ x S ~ ~ X ~ ~
, .
. ~ ~ ; ~~L 2 Z - x2~,~
. . ~
CITY OF EAGAN
E%TERIOR ENVELOPE AVERAGE 'U' COMPUTATION
OiiNER: flzqAP'.q
SITE ADDRESS: b7 3. 15wGC Z~~;i?• 1-P-WO5 2k9 Fe~.
CONTRACiOR: -1'It-~tR4.ia6 BusWaaSt 1.3~' DATE: PHONE: 'IT}I^'9WS
Determine rorking square footage of each:
1. Total exposed wall area 3o55 sq, ft. x.11 = 33 20
2. Total roof/ceiling area 1 3'7 i sq. ft, x.026 = 39.~.7
Total exposed wall area above floor
a. Total wall windox area 2-7 `f"
b. Total door area z II
• c T„f_i ai •ds iasz a N'r
n
d. r.
e. Total wall framing area (average 10%) Z 36
f. Total net wall area above floor 2 iz3
g, Total rim joist area IS e
Total exposed foundation area - 5$
h. Total foundation window area r'IA
i. Total net foundation area above grade 53
Determine 'U' value of each wall segment: ~
4F1, zo
a. 2-7+ x' U' Pru,=
b. i 1 I xI U' d.3t
C. ~ x ' U' -
d. ~ x 'U' = r
e. 234 x'U' o./o~- _ • Sb'
f. ziz3 x 'U'
g. x'U' 47.oq3
h , ~ x ' U' -
- i. 53 X' u' 7. *3
3 . Total = Z .6
If item 113 is the same as or less than item U1, you have met the intent of SBC
6006(c)2. ~
Total exposed roof/ceiling area
J. Total skylight area 1-7
k. Total roof/ceiling framing area (average 10%) I"3~
1. Total net insulated roof/ceiling area 6c f
ua..~sj ~5 y
OVER
. .
Determine 'U' value for each roof/ceiling sepent:
J. (-7 x 'U' 0,V = 6,~G
k. 134 x 'ut a.0"34
1. 669, x IU? P-'
ybA. SS~ .o27L /S.O,6''S t l fa~+R.
4 . Total = a.
If total of p4 is the same as or less than 112, you have met the intent of S C
6006(c)1.
Alternate Building Envelope Design
To utilize the total envelope system method, the values established by th sum
of Items !13 and U4 shall not be greater than the sum of Items ~l1 and ll2
1, + z. 36.c~z. - 3-~I,-)zL
3. ZR~i, b9 + u. yo,9h - 335, bb
2
SINGLE 8 DOUBLE FAMILY HOMES
1984 ENERGY CODE REQUIREMENTS
On or about March 1, 1984, the following energy code requirements
should be calculated and included with a building permit application.
1. Roof - ceiling assemblies - R-38 U= 0.025 Average
2. Exterior walls & rim joists - R-20 U= 0.11 Average
3. Floors over unheated spaces - R-20 U= 0.05 Average
4. Exterior overhangs will be considered as exterior wall.
5. Foundations (all exterior walls) - Minimum of R-S insulation.
6. All insulated areas must be separated from the heated space
by a well-lapped or sealed vapor barrier with a minimum perm
rating of 0.1. A 4 mil. polyethlene sheet or equivalent meets
this requirement.
A Kraft face R-19 type insulation will be accepted in the rim joist
areas. Air chute baffles are to be placed in every rafter space.
. . cuio[uuc Ta (a) vnnuas rnon n;unac MNiunL .
OF irritnLLr usco rr.or,ucTS (R) (R)
Incerior Air iilm (llalls) 0.c8 Cypsum or plas[er 6oard 7/8" 0.72
Cxterior Air Fllm (ualls) 0.17 Eypsum ar yiaster board I/2" 0.45
Intcrlor hir film (Vcnted Ceilinn) O.LI Gypsum pr pl:.stcr board 5/6" 0.$6
Fxt¢ri..r Air illm (Vented Ccillnq) 0.61 Plywood 3/8" 0.47
Intcrior Alr filn (Iltn VenteA) 0.61 Plywood 1/2" 0.62
Eaterior Air Flln (Ilon Ven[ed) 0.17 P1yHmd j/L" 0.93
' Sheathinq, reg. denslcy 1/2" I.32
Rluminwn Sidino 0.61 Sneathinn, reo. density 25/32" 1.06
hluminum with Oacker 1.82 Nnil-hase She.:thing, I/2" . 1.14
Aluminum with Backcr L Foiled 2.96 .
1/2 x 8 Lao Sidinn (NOOtl) . 0.81 Bullt-up Aoofs D.)} .
7116 , ii u.roeoa1a siaiog 0.67 Asbesros-cemen[ zhinal,z 0.21
6sLestos SiAinns I/4 LapPed 0.21 Aspholt roll roaling 0.15
Stucco (Oro,m and Pinish Coa[) Aspahlt Shinqles 0.44
7;0" vooe suefiool or Sneathing 0.94 Insulation: 24 7/4" iiEerqlass 7.00
I12" Plywootl hca[hinq 0.62 Insula[ion: 7 1/2^ Fiber9lass iF.oo
1/2" Particlc tlo.rd 0.66 Insula[ion: 6^ Fiberglasz 19.00
VOODS: . BLOVIIIf. 1lOOLS
ilr, pine t slmilar soft lloads 1 I/2" 1.89 Approx. j" 9•00
I 1/2" 3.12 Apvroa. 4 1/2'• 13.00 . .
3 I/]" 4.35 PvFrox. 6 1/4•' 19.00
' '....,..r~.
.
5 I/2" 6.67 ApProx. 7 1/4" 24.00
' Apvros. 14" ' ;0.00 '
" AOGrox. IB" 40A0 ' - . " . . .
AII otner insaiation materials must be . . ,
Fllled verified (R Fac[or) '
(R) Vermiculicc 8" Concrcte Block (5 t G Feq.) 1.11 1.93
„
12" Concrete Clotk (5 L G Reg.) 1.29 3.15 . 8" liqhc 14ci9ht 2.18 5.03
. . , ' . II" Li9nt We19ht 2.48 5.81
pRG{~~SE>Crt~nnf.v`f.1RiC:1GGORf.R • '
NOTE: (Il) x Area Sauare Fec[
-~u
nii uinnows . , . . . . . ,
(v/SCOrns i" to 4" Spacc) .56 Removal DoaCle Llazing (RDW .SS
Tnerma ar wclded 3/16" air spacc .69 -
1/4" air :pacc .65 -
1/2" air svace .58
(O[Aer windows specifiWlly teited can ese 6e[[er ratin9s) - , I 3/4 5olle corc aoor .46 , _
w/storm, wnod .31 . w/smrm, me pal .76
Pease StcelUoor Insl/r:/CL 7.45R .I3 . . SIIdIn9 Glass Ooor. Vaod .65 . ' . .
Metal .715 ; .
i
?
. CITY OF EAGAN •
PIINIrNM "U" VALUE AND R-FACTOR AT ROOF, WALL, RIPI AND CONCRETE BLOCl:
. J . ,
Provide insulation baffles in every' ' 'RODF I L`~L~N(~
La_tez space. . . C9
f') VAL
>
v _ OO EX~ER;o(~ AlF FI~M
/
G ,r~~~ = ljiz _o s bTAL (R)= H9•79
-f
. ~
VaLc:
s p tr~T~r-t,3t= Firc ~lLn .6 f
UYP.- BD.' : H6
r'1' 19,00
- ~Y ~ 'r sz
• r- ,~I
. ~ . wAOD a ~r+t~-c~ StD~rG
. . . I .
tl 7oYRL (R)= ?1.7 3
~1M
. ~ ~ ~z ~ -1'loR qtr. FIU~ , b8
7 ~ 2 FI C~ RlI't ~lS~[ ~y
~ IS u~ ~ Q r~7 P~r~ r b2
I' p -xTEnIDr- AM FtLM
ToTP` (R)_
. • ..°Q ' . ~oJNDATioi~~ .
. Ctz) VA~U~
tN je111DV- AM FiLt-I ~ F
L)a ~ ~ ~ .
o'.
• e n ~J ll ("J~~X GG[IG.
S
. ' °b . • Q i ~F~A.;'j • - ~
. ~ ' . . EX~cf~lOiL AIR FICM . •/7
~p° : 8~.. nU~~ _ ~/CC= TO1P.~ ~C<~= ~•~3
n
,
Floors ove; unhea[ed spaces mus[ have mininum R-factor of R-20 (tuck-under garages).
Floors ovr.r outdoor air (overhangs) aust tiave a ninimum P.-factor of R-33. ,
FERMIT
CITY~OF EAGAN
3830 Pilot Knob Road PERMITTYPE: BuILoING
Eagan, Minnesota 55122-1897 Permit Numher: 0 3 3 0 Z 9
(612) 681-4675 Date Issued: 0 8/ 2 7/ 9 8
SITE ADDRESS:
3650 WOODTHRUSH CT
LOT: 3 BLOCK: 2
5T. FRANCIS WQOD 2N0
P.I.N.: 10-65901-030-02
DESCRIPTION:
REROOF/STORM OAMAGE
Building Permit Type STORM DAMAGE
BGilding Wbrk Type REPAIR
Census Code 434 ALT. RESIDENTIAL
.
/ .
REMARKS:
LAYING OVER EXISTING ROOF.
FEE SUMMARY:
CONTRACTOR: OWNER: - Applicant -
COYKENDALL DAVID
3650 WDODTHRUSH CT
EAGAN MN 55123
(651)683-4853
I hereby acknowJ.edge that I have read this application and state that the
iriformation is correct and egree to oomply with all applicable SCaCe of Mn.
Statutes and City of Eagan Ordinances.
~
APPLICANT/PERMITEE SIGNATURE I EO BV: SIGNAT E
• 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
' CITY OF EAGAN
U 3830 PII.OT KN~OB RD - 55122
i
New Construction Reauirements RemodeVReoair Reauirements
? 3 rcgistereA sRe surveys • 2 copies of plan
• 2 copies of plans (inGuOe beam 8 window sizes; pouretl MO design; ete.) ? 2 sde surveys (exlerior addrtione 8 decks)
• t energy wlculations ' ? 7 energy raleulations for heated additions
? 3 copies of tree preservation plan if lot platted after 717/93
required. _ Yes Nc
DATE: '7 g~ Tq ei CONSTRUCTION COST;
DESCRIP N OF WORK: IV'J~F " STBP.IM h7 `V~L:~ n~ ~i~C~
S ETADDRESS: "-S~~
LOT: ~ BLOCK:
Name: C-Or Phonetl: (A lpiB(- !1 l-l
PROPERTY Lasc Fvsc
oVINER Street Address: I_~~~~ ft):21 16U(zT
City State: / b O Zip: 11155(2i~
Company: ~ Phone tJ:
CONTRACTOR
Street Address: License #
City State: Zip:
ARCHITECT/
ENGINEER Company: Phone
Name: Registration
Street Address:
Ciry State: Zip:
Sewer & water licensed plumber (new construction ony): . Penalty applies when address chang
and lot change is requested once permit is issued.
I hereby acknowledge that I have read this appliqtion and state that the information is correct and agree to comply with all applipbl
State of Minnesota Statutes and City of Eagan Ordinances. ~
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No ' IJ
Tree Preservation Plan Received _ Yes - No _ Not equired
.
OFFICE USE ONLY
BUILOING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dweliing ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool
? 03 Sf Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility,
? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. ? 10 = plex ? 15 Deck
WORK TYPE
O 31 New ? 33 Alterations ? 36 Move
? 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 sq. ft. Census Code.
Depth Footprint sq. ft. SAC Code
Census Bldg
Census Unit
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $
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:
% SAC
SAC Units
LOT ~ BLOCK ~ SUBD.
RECEIPT # & DATE
CITY OF EAGAN
UNDERGROUND SPRINKLER SYSTEM PERMIT
1993
Application Date: 7~1% .3
_ Commercial project Gallons per minute/rnmmercial only
~ Residential project (sprinkler systems for development pmjects)
_ Facisting residence
Area/address to be sprinklered: -36.S~0 -
Installer: Azy
Street addmss• Z, - Z
City, state & zip: ~~N.hsdf.~!y-r,? f,,,l 4J4-1
Telephone 6 3 06 '
Owuer name•
Street address:
City, state & zip:
Phone
~
Irrigation rnntractor, if different:
Phone ~ 7 3-U!2-,6~
I hereby acknowledge that I have read this application and state that the information is correct and agree
to comply with all applicable City of Eagan ordinances.
~N
-7 2,15) Sign ure of Permittee
New service required ~i1 0
Fee due: $/S s~ Calculated by:
CITY OF EAGAN
UNDERGROUND SPRINKLER, SYSTEM PROCEDURE
1993
1. A plan must be submitted to the City's Engineering Department for approval before
installing a lawn sprinkler system. If digging in the boulevard, a right-of-way permit
may be required.
2. Once plan is approved, it will be presented to the City's Plumbing Inspector for sizing
of the meter.
3. Jerry Wobschall, Finance Department, will calculate permit fees as follows:
a. Commercial proiect: $ 25.50 underground sprinkler pemut.
$ 50.50 water permit fee onlv if new service is installed.
$100.00 per tap if installed by City. Please consult with
Engineering Department regarding feasibility of City
installation (City will only install taps up to 1").
b. Residential project: $ 15.50 underground sprinkler permit.
$ 50.50 water permit fee if new service is installed.
$695.00 per connection - W.AC.
$324.00 per connection - water treatment plant.
c. Existing residence: $15.50 underground sprinkler permit -(fee not required
if backflow preventor previously installed); however, plan
must still be presented for approval and an application
must be filled out.
4. Once meter size is determined, Protective Inspections Clerk Typist will contact Utiliry
Billing Clerk for cost and notify installer of all costs associated with project. If new
service lines are not required, one check may be written for meter and permit costs.
No meter will be sold before all sewer and water inspections are rnmplete on a new
service--(Engineering Department will advise Utility Billing Clerk when meter can be
sold). Receipt will be coded to 20-3716 (meter portion only) with pink copy
forwarded to Utility Billing Clerk.
5. The installer is to contact Protective Inspections at 681-4675 for inspection of the
inside water line and backflow preventor. T'he Public Works Department may be
reached at 681-4300 for water turn-on and set and seal of ineter. Inspection hours are
8:30 AM to 3:30 PM, Monday through Friday. Requests for AM inspections should
be made on the preceding work day. Requests for PM inspections will be accepted
until 12:00 noon that day.
.
1988 BUILDING PEAMIT APPLICATION - CITY OF E6GAN
SINGLE FAMILY DWELLINGS '
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEX, 1 SET OF ENERGY CALCULATIONS
NOT$t ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE HUILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL QNITS FOR SALE UNITS 0 OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COMMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
To Be Used For: Dzc~l Valuation: /O h U~ Date:
Site Address fQ GtJO C OFFICE USE ONLY
Lot : Block ~ On site sewage_ Oecupancy
~ „ MWCC system _ 2oning
Parcel/Sub ~ Y 'On site Well Actual Const
City water Allowable
Owner ~C(G,~IA-~-l7 1~1~1 Gl-(OJ PRV required _ U of stories
Booster Pump _ Length
Address 3G~b 6A)ua12 7r~~2ers~ f% Depth
p S.F. Total
City/Zip Code pACI'~/l-) Footprint S.F.
Phone lo?SO Dz77 APPROVALS FEES
Contractor (~X()N,-k Engr/Assess Permit
Planner Surcharge
Address Council Plan Review
Bldg. Off. 11 SAC, City
City/Zip Code Variance SAC, MWCC
Water Conn
Phone Water Meter
Road Unit
Arch./Engr. Treatment P1
Parks
Address Copies
TOTAL
City/Zip Code
Phone ll
N ;o. o 0
yO•o^ 6~ ^ -
fF_tI, ~
IN; ~867 _
00p0.. ~
\ ~P~ l6i k;
~E..7b.
t, - ,
` 1
~ ~b2~ ~ o +
\ ~ .
F I.'. OO 1
%
oeoy(~ 'v,6•r~ py',~• C. si Di ~
\ C ~
lArr-o~t~,~~5~ 1
( aB• , I t~`
" s 9
o ~ c . o, 1
~k° t8g1:
00 `ae1.3~
OD~
4 o0 /
~-7 f,t`1C,: Llh.'E: ~g~ •
~y
SULTIN6 ENGINEEflS, ~"gpE°r ccRrirr 1NA7 rwis PLAN wAe
pN4i0C n.A ~If~m •un~~~~u..~ PREMI1[D BY Y[ OII YMD[II YT OIR[C? _
Mt****t**i**#******fftf****~##*f#**bF
C I TY O F E A A f~ PAY~Tr OF FF~ AT TIME OF ;
; AprLicATzoN ooFS Nom cors•riTum *
APPROVAL OF PF•E2NIPr. *
APPLICATION FOR PERMIT * *
~ . * INSPFXTION OF SESdIt ANID/OR WATR
* Tt1STAT.TATTOp]$ wII,L NO7' $E $QHED" *
SEWER ANO/OR WATER CONNECTION *IIIID UNPIL PFRMIT HAS HEEN *
* APPROVID. "
»
a *
*****~+~t#*:****t*+**+~:~*x*r*~,e,rr**:
P ease Print
1) PROPERTY ADDRESS: /,/J0 od/ %/,',fuJSJJ
LEGAL DESCRIPTION: '
Lot Block Subdivision or Tax Parce ID )
ZF E}QSTING STI2CCIL'RE, DATE OF ORIGINAL BLILDZNG PERMIT ISSL'ANCE: '
1
PRRSENP 7ANING/PROPOSID LSE: (Mon Year)
q CO?%NEf2CIAL/RETAIL/OFFICE In-R-1 SINGLE FAMILY '
0 IDIDCSTRZAL r-I R-2 DCPLEX (Two Units)
n INSTI'ILTIONAL/GOVfRNff1NT r7 R-3 MWNHOUSE (Three + Units) ( Cfiits)
F7 R-4 APARZMENT/CONIDOMINZtfi7 ( Units )
2) F-~
NAME. T,
r,noRF-ss:
CITY, STATE, ZIP:-7;f„0-7'-
PHONE: 5/S`/- A=Y s~~~
u a• / For City Use .
3) 1114
- N11NIE: Plumbers License:
ADDRESS: Active
r o SJ'C a E7cpired
~ CZTY. STATE, ZIP: Not recorded
~
PHONE: ~/S~.' / 9 7.;2 MASTER LICENSE# 77 - 3;Z St~t1a1
q) • • i~'~. ' ~ifyihE.-/<Lrl~ ~a,~~~r^~S'
_ ADDRFSS:
CITY, STA= ZIP: ~•tl'Zr~ ~7'f,•~v SS%1-s
PHONE:
5) ~ v i • : o •
~ CONDIDCPION TO CITY SEWFTt ~ CONNECPION TO CITY WATII2 C] dnM .
6) PLEIISE HOLD APPROVED PO2MIT FOR PICK-UP BY ONE OF F,BOVE -
~ PLFJaSE MAIL APPROVID PfI2MIT TO 1. 2,0 4, ABOVE .
~ (Circle one)
7) r •
J'1: ~ Y 1'I: M 7 1~ ~ I" ? Ip' i~ IY91' . ~ . `ry. • J~ • ~ ~
• ' • 1+. p ~ : i M'!•,(yJ~ 1 1 1 - : ~ :A' • 1 r .
.FOR CITY USE ONLY - PERMIT # ISSUED
Pd w/Bldg. Permit FEES:
$ $ SEWER PERMIT (ZNCLODE SURCHARGE)
$ $ WATER PERMIT (INCLODE SC'RCHARGE)
$ $ WATER METER/COPPERHORN/OCTSIDE READER
$ $ WATER TAP (INCLC'DE CORPORATION STOP)
$ $ SEWER TAP
$ $ C ACCOUNT DEPOSIT - SEWER
$ $ 57 CcACCOL'NT DEPOSIT - WATER
$ ~i 7 c, $ WAC
$ $ SAC
$ $ TRUNK WATER ASSESSMENT
$ $ TRC'NK SEWER ASSESSMENT
$ $ ' LATERAL BENEFIT/TRUNK SEWER
$ S LATERAL BEN°FIT/TRUNK WATER
$ I,YC~'l O $ WATER TREATMENT PLANT SORCHARGE
$ $ ' OTHER:
$ I 7 • el ~ $ TOTAL
7~~~Z n r 75-2 S z-
RECEIPT RECEIPT
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
~ YES IF YES, THEN A"PERMIT FOR WORK WITHIN PC~BLIC
Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITZON.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE: ~ f~/
CITY OF EAGAN Page 1 of 5
PERMIT
, TO VORR WITHIN CZTY PROPERTY/RIGflT-OF-WAY/EASEMENTS
1. Location 3f7,52) u,laY`(/l'zS`/ ( Y Aww.
` 2. Nature of Work 62/lw)
A, ' ~ -
'
3. Indicate below items to be affected and ine ude a sketch r plan~of wor to be done.
Curb & Gutter Street Surface
Trail/Sidewalk Trees:
Pond/Wetlands Public
Traffic Control Devices/Signs Private
Drainage Utilities
Structures/Buildings Other
4. Method of Installation or Construction
5. Work to start on or after: 7-i-93 and shall be completed by: unless an
extension granted to: by:
DATE STAFF/DATE
6. Will detouring of traffic be necessary? . If necessary to detour traffic,
describe suggested route:
DETOURS: The Director of Public Works shall be notified in writing at least 72
hours in advance of any detour being established, changed or discontinued.
NAME OF APPLICANT PHONE y77-, V f46
ADDRESS Q R~x ~/6D~A P~liimnmY-/1 M, .'~3-~
STREET CITY STATE ZIP
NAME OF PARTY OR 0 GANIZ ION E RFORMING WORK ,~/G~ •
CONTACT PER ON: ~ EMERGENCY (24 HR.) PHONE -
ADDRESS DAY PHONE
STREET ITY STATE ZIP The undersigned herewith accepts the terms and conditions of this permit by the City of Eagan
as herein contained and agree to fully comply therewith to the satisfaction of the City of
Eagan.
~ Y64to Signed: Title: . t e ,DATE: '
FOR CITY USE ONLY AUTHORIZATION OF PERMIT
FINANCIAL SECURITY: AMOUNT: TYPE:
(Cash,bond,IAC,etc.)
Fee: $ Receipt No. Permit No.
In consideration of agreement to comply in all respects with the regulations of the City of
Eagan covering such operations, and pursuant to authorization duly given by said City of
Eagan; permission is hereby granted for the work to be done as described in the above
application, said work to be done in accordance with special provisions as hereby stated:
APPROVED BY: DEPT. OF PUBLIC WORKS
BY:
/DATE
ALL LEGAL REQUIREMENTS SHOWN ON REVERSE SIDE AND ON ALL "SPECIAL PROVISIONS" TO BE COMPLIED
WITH! THE DATE WHEN WORK IS COMPLETED MUST BE REPORTED TO THE EAGAN CITY ENGINEER.
~ . Permit No. Page 2 of 5
PERTINENT REGUTATIONS
Safety
1. Traffic shall be allowed to pass and to be protected at all times. If it is not
possible to allow traffic to pass, a suitable detour must be provided and plans
submitted to the Director of Public Works 72 hours in advance.
2. Barricades shall be erected in a manner which will provide suitable visibility in all
directions. All barricades shall be in good condition, and all signs shall be of such
size and legibility to provide adequate warning to oncoming traffic. At least two 7"
flashing amber lights shall be mounted on each end barricade with one on an advance
warning sign.
3. Excavations must be shored or sheeted when necessary to prevent under-mining of
roadway, trailways, utilities, or for safety reasons.
4. Guys or stays shall not be attached to trees on right-of-way or private property
without written permission.
5. Flagmen shall be furnished by the party or organization performing the work whenever
the work being done creates a hazard either to the traffic using said road or the
personnel engaged in the construction, or when directed to do so by the City.
OPERATIONS
1. Permit on .7ob--Permits or copies shall be kept on the site of the work while it is in
progress in the custody of the individual in charge, and shall be exhibited upon
request made by any City official.
2. Provisions and Specifications--These general provisions, specifications and Std. Plate
P-1 shall be considered as forming an integral part of each and every permit issued for
operations within Eagan. The work authorized by this permit shall be done at such time
and in such manner as shall be consistent with the safety of the public and shall
conform to all requirements and standards of the City. If at any time it shall be
found by the City that the work is not being or has not been properly performed, the
permittee, upon being notified by the City, shall immediately take the necessary steps,
at his own expense, to place the work in condition to conform to said requirements or
standards.
3. Execution--The permittee shall use diligence in the execution of the work authorized
under this permit in order not to endanger or unnecessarily obstruct travel along any
road or trailway. Operations shall be so conducted at all times as to permit safe and
reasonable free travel over the roads and trailways within the limits of the work
herein prescribed. All safety measures for the free movement of traffic shall be
provided by the permittee at his own cost.
4. Conformity to Laws--The installation shall be made in conformity with all applicable
laws, regulations and codes covering said installations. All installations shall be
made in conformity with regulations of governmental agencies for the protection of the
public.
a. The applicant shall furnish a bond or financial guarantee in the amount to be
determined by the City which is required to ensure adequate & timely completion
of repair. This bond or financial guarantee shall remain in effect for 2 years
subsequent to completion of street repair to protect the City from defects in
material, workmanship or non-compliance with City Standards or specifications.
Permit No. Page 3 of 5
b. The applicant shall furnish evidence of public liability insurance of not less
{ than $100,000/300,000 and property damage of not less than $25,000 issued by an
' insurance company authorized to do business in the State of Minnesota on which
the City is named as an additional insured party.
c. Except for the negligent acts of the City, its agents and its employees, the
permittee shall assume all liability for, and save the City, its agents and its
employees, harmless and defend same at its sole cost and expense from any and all
claims for damages, actions or causes of action arising out of the work to be
done herein and the continuing uses by the permittee, including but not limited
to the placing, constructing, and reconstructing, maintaining, protecting and use
of said facility under this application and permit for construction.
5. Existing Facilities--The utility facility and installations shall not intexfere with
any existing utility facility on the City's right-of-way or easements. It is the
responsibility of the applicant to call for necessary locations of existing utilities.
(Gopher One 454-0002)
6. Yrivate Property--The work permit or permit for construction as issued does not in any
way imply an easement on private property.
7. Quality of Work--Finished surface, base and sub-base of road or trailway upon
completion of work shall be at least equal to or better than specifications of
originally provided road or trailway in accordance with City Standard Specifications.
Surface shall be finished within 48 hours unon comoletion of backfill.
8. Cutting Trees--The pexmission herein granted does not confer upon the permittee the
right to cut, remove or destroy trees or shrubbery within the legal limits of the
right-of-way, easements that are not specifically identified on the plan attached to
this permit or relieve permittee from obtaining any consent otherwise required from the
owner of the property ad,jacent thereto.
9. Drainage--All waterways and lines of drainage shall remain operative.
10. Pole Anchors--Pole anchors, anchors, braces or other construction will be permitted
within right-of-way or easements and will be approved on a case by case basis.
11. Driving Limitations.
a. Driving or parking on City trails or sidewalks shall only be permitted for those
operations requiring direct access to the boulevard area.
b. Vehicles operating or parked within the right-of-way area shall utilize their
warning flashers at all times.
c. Vehicles driving on trails or sidewalks shall not operate in excess of 5 miles
per hour. Vehicles shall operate at slower speeds when weather conditions, trail
conditions, poor visibility, obstructed sightlines or other conditions require
special precautions to ensure the safety of trail users and the general public.
d. Driving shall not be permitted within those boulevard areas where damage to turf
trailways or other infrastructure may occur.
e. Vehicles shall not be parked on trails or sidewalks in such a manner as to
unnecessarily impede the safe and efficient use of trailways by the general
public.
Permit No. Page 4 of 5
12. Vehicles or equipment traversing roads or trailway surfaces shall not utilize studded
, or chained tires, caterpillar traction, or any other form of traction which will result
in damage to the surface.
13. Clean-Up--Street, trailways and affected right-of-way shall be scraped clean at the end
of each work day and swept clean after construction is completed and left in a neat and
presentable condition.
14. Trees and Vegetation-Burning or disking operations and/or the use of chemicals to
control or destroy trees, brush and other vegetation is prohibited without prior
approval from the City.
15. Replacement of Sod--Wherever top-soil and sod are disturbed, they shall be replaced and
maintained satisfactorily until the turf is established.
The undersigned hereby declares he/she has read and will comply with all the PERTINENT
REGULATIONS as stated ahove and relevant City Ordinances.
1
DATE: ~ ~ SIGNED:
Revised 5/93
LTS#1-PERMIT.FM
PAGE 5 OF 5
PROPERTY LINE ~
1 I
I
~ I
3 ~ q ~ SAME AS REMOVED
(3" MINiNUM)
SM4E AS RiMOVED
7 7 7 7 7 7 7 1
(6" MIHiMIJM)
5
2
I I
~
TRAILWAY
1. Curb and Gutter shall be removed only after saw cutting at joints and replaced
accordir.g to specifications or Standard Place.
z, Bituminous pavement area removed shall be saw cut prior to patching.
3. Boulzvard sod removed shall be replaced wich minimum 4" of topsoil and cultured sod.
4. 2341 bituminous wear course shall be paved between May lst and November 15th for
permanent patch. Temporary cold miz patch should be used November lbth to April 20ch
(or as permitted by weather).
5. Class 5, 100% crushed aggregate base.
6. Roadway closures in accordance with Appendix B- Traffic Control for screet or highway
work zones - MnDOT/^iUTCD.
7, Bituminous trailway closure requirements same as roadway in #6 above.
8. Backfill shall be thoroughly compacted by the "Specified Density Method" of compaction.
All suitable backfill material placed below a depth of five (5) feet below the final
pavement surface shall be placed in maximum lifts of twelve (12) to eighteen (18)
inches and compacted to a minimum ninety-five (95%) percent of ASTM Specification D698-
64T (Standard Proctor Density), method "A". All suitable backfill material placed
within five (5) feet below the final pavement surface shall be placed in lifts not to
exceed twelve (12) inches and compacced to a minimum of one-hundred (100%) percent of
the above ASTM Specification.
(i ily of eagan STREET AND BITUMINOUS TRP.IIWAY approved : PSlate #tl
P U B L I C EXCAVATION/PATCH DETAIL
, WORKS s/ss
P-1
~ DE PARTMEN TRAFFIC CONTROL REQUIREMENTS
~ .
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411'
City of hp
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
RECEIVED
SEP 2016
Use BLUE or BLACK Ink
For Office Use
Permit#: /3Ei6'07
Permit Fee: 90 • n
Date Received: 9`x—/60
Staff:
2016 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 9/6/2016 Site Address: 3650 Woodthrush Court
J
Unit #:
Resident/
Owner
Name: Kathryn Langer Phone: 612-720-3022
Address / City / Zip: same as site
/2,._,
Applicant is: Owner / Contractor /
Type of Work
Description of work: gas fireplace insert
Construction Cost: $33000.00 Multi -Family Building: (Yes / No ✓ )
Contractor
Company: Walter Mechanical, Inc. Contact: Rich Walter
Address: 1013 East Cliff Rd #101 City: Burnsville
State: MN Zip: 55337 Phone: 612-895-1992 Email: waltermechanical@live.com
License #: Lead Certificate #:
If the project is exempt
from lead certification, please explain why:
In the last 12 months,
Yes No
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
has the City of Eagan issued a permit for a similar plan based on a master plan?
If yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Fire Suppression Contractor:
Phone:
Phone:
Phone:
Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of '.
the information may be classified as non-public if you provide specific reasons that would perrrrit kite City to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Buj4ding Code must be/ omplet9i within 180
days of permit issuance.
)(Richard J Walter
Applicant's Printed Name
x
pplicant's Signat e
Page 1 of 3
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation
Single Family
Multi
01 of Plex
WORK TYPES
New
Addition
Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25%_ 100% )
Census Code
# of Units
# of Buildings
Type of Construction
Fireplace
_ Garage
Deck
Lower Level
_ Porch (3 -Season) _
_ Porch (4 -Season)
Porch (Screen/Gazebo/Pergola)
Interior Improvement
Move Building
Fire Repair
Repair
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
_ Footings (Addition)
Foundation
Roof: _Ice & Water _Final
Framing 30 Minutes
Fireplace: _Rough In _
Insulation
Sheathing
Sheetrock
Fire Walls
Braced Walls
Shower Pan
Pool
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
1 Hour
Air Test Final
Siding
Reroof
Windows
Egress Window
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Accessory Building
_ Demolish Building*
_ Demolish Interior
Demolish Foundation
Water Damage
*Demolition of entire building - give PCA handout to applicant
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Suppression Required
Meter Size:
Final / C.O. Required
Final / 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:
Reviewed By: , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
SEP - 7 2016
Use BLUE
I For Office Use
IPermit#: g5 9'67
I Permit Fee: / 7.9- 361
r BLACK Ink
trit‘C
Date Received:
I Staff:
2016 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 9/5/2016 site Address: 3650 Woodthrush Court Unit #:
Name: Katherine Langer
Address! City / Zip: 3650 Woodthrush Court, Eagn
phone: 612-384-7229
N, 55123
Contractor
Applicant is: Owner Contractor
scription of work: -4 eV 1-11„4. pit L94- (#vi
Construction Cost Z -r-, a c,),-6
Home Building and Remodeling Experts (HBRE)
Company:
Address: 1143 South Shore Drive
e , /4' j6
ulti-Family Building: (Yes / No
Contact: Robbie Hyland
State: MN zip: 55441 Phone: 763-337-3585
Car Plymouth
Email: robbie@hbre-mn.com
License #: BC675372 Lead Certificate #: F-150909-1
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 & Water Contractor: Phone:
Fire Suppression Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered public
the information may be classified as non -Public if you provide specific reasons that ivoul
conch" e that the arolra a secrets.
permit the C
.";
0
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.
)(Robbie Hyland
Applicant's Printed Name
plicantss Sig -1:e
Page 1 of 3
•
1%,60 100
SUB TYPES
Foundation
> Single Family
Multi
01 of ___ Flex
WORK TYPES
New
Addition
Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25% 100% t -v, )
Census Code
# of Units
# of Buildings
Type of Construction
ettsit
DO NOT WRITE BELOW THIS LINE
Fireplace
Garage
Deck
Lower Level
linterior Improvement
Move Building
Fire Repair
Repair
Porch (3 -Season)
Porch (4 -Season)
Porch (Screen!GazebolPergola)
Pool
Exterior Alteration (Single Fa
Exterior Alteration (Multi)
Miscellaneous
Accessory Building
Siding Demolish Building*
Reroof Demolish Interior
Windows Demolish Foundation
Egress Window Water Damage
*Demolition of entire building — give PCA handout to applicant
ily)
Occupancy J c -I MCES System
Code Edition yv) z C SAC Units
Zoning City Water
Stories Booster Pump
Square Feet PRV
Length Fire Suppression Required
Width
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Roof: Ice & Water Final
Framing 30 Minutes 'I Hour
Fireplace: Rough in Air Test Final
Insulation
Sheathing
Sheetrock
Fire Walls
Braced Walls
Shower Pan
Meter Size:
Final 1 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:
Reviewed By: W\ 1\11;.\C-- Pf , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
/6 (
TOTAL
Page 2 of 3
City otEtau
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
For Office Use
`�flll
I
I
Permit #: /1/d/9��. �
Permit Fee: 3,2I. 3 11 1
Date Received: -‘6
Staff:
2016 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: 3(Sb W Pod1hr1.-L e_ Unit #:
Resident/
Owner
Type of Work
Contractor
Name: (y et n Lcc.,rnS
-,
Phone: 6 I - $fes 5 - llq S
Address/City/Zip: AGO LC) 00411') rush c4-_ eac.1,1 tY)&) 55/aD-
Applicant is: Owner )( Contractor
Description of work: AtILLe
Construction Cost: c% `C
lr (��+ i if S..4) .
t
Se.o.. 84 - ?.'tt a.. La C. Eley '•
Multi -Family Building: (Yes / No X )
Company: 3-4- AA COnc- +e--4- VOG i r -. Contact: Me -f" X'..-Y1rf'p
�- pp
Address: a 5�% �dO((k ti V pt"•VD-�ttiity: r'1 OSS Mc % tv f
State:ni/yZip: 55(7(0c� Phone: S) - 3ofci-1E 4/
I .�r r,dwica. le t, a� cwI. C.pry'1
n,o Cee t, 1-ya3-SSS%
License #:S peciCt411 Lon Tr • Lead Certificate*
-1 3b 1 l3 - ao �
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 & Water Contractor: Phone:
Phone:
Fire Suppression Contractor:
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.aopherstateonecall.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.
4W) 60,.-% ir0`t'Je r
Applicant's Printed Name
ex o i'<
icant's/fSignature
Page 1 of 3
1G' ± ( f,, it ,d111.IL •:v. Tf I.
YVL.V VI ....V 1..111116. /‘101 ei. --
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
New _ Interior Improvement _ Siding _ Demolish Building*
— Addition _ Move Building _ Reroof _ Demolish Interior
Alteration _ Fire Repair _ Windows _ Demolish Foundation
—— Replace 2° Repair _ Egress Window _ Water Damage
Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION
Valuation 4 / 00 . — Occupancy YC- I MCES System
Plan Review Code Edition Mid Z'"i5 SAC Units
(25% 100% ?'°) Zoning (�-) 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/C.O. Required
Footings(Addition) >a Final/No C.O. Required
24 Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test
Roof:__Ice&Water _Final Pool:_Footings _Air/Gas Tests _Final
io Framing 30 Minutes 1 Hour k Drain Tile
Fireplace:_Rough In _Air Test _Final Siding: Stucco Lath _Stone Lath _Brick EFIS
14' 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: 7-0
' IY) kl y/,1 Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA150812
Date Issued:07/25/2018
Permit Category:ePermit
Site Address: 3650 Woodthrush Ct
Lot:3 Block: 2 Addition: St Francis Wood 2nd
PID:10-65901-02-030
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: 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 -
Ryan P Langer
3650 Woodthrush Ct
Eagan MN 55123
(612) 865-1195
Shelter Construction Llc
7040 Lakeland Ave N
Brooklyn Park MN 55428
(612) 849-8082
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA153375
Date Issued:12/14/2018
Permit Category:ePermit
Site Address: 3650 Woodthrush Ct
Lot:3 Block: 2 Addition: St Francis Wood 2nd
PID:10-65901-02-030
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Ryan P Langer
3650 Woodthrush Ct
Eagan MN 55123
(612) 384-7229
Bonfe's Plumbing & Heating
455 Hardman Ave
South St. Paul MN 55075
(651) 228-7140
Applicant/Permitee: Signature Issued By: Signature
/ \ 01)�
For Office Use
Permit# / � /: / � ` ---
'
*a I
Permit Fee: I (///
rf .,a Ifal►fti` e Date Received: -� `�
3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810 MAR 0 Staff _-_ '�� 1
(651)675-56751 TDD: (651)454-8535 i FAX: (651)675-5694 4 2020 L 1
buildinginspertions r cityofeagan.corgi
RY
2020 RESIDENTIAL BUILDING PERMIT APPLICATION
3/4/20 3650 Woodthrush Ct Unit#:
Date: Site Address: Unit
�
�..K.M. Name: Katheryn Langer ---
Phone:
Resident/ 3650 Woodthrush Ct
Owner -, Address/City/Zip:
Applicant is: Owner 4/ Contractor '
.�..__ .n.. Bathroom remodel I _-�. igii-n c S. (,rib&
Description of work: i
Type of Work 15000
Construction Cost:
Multi Family Building: (Yes /No
„
Honey-Doers Contact: 612-200-2415 —�
Company: — - "
19848 Highview AveLakeville
, Address: City:
Contractor CustomersuPport@honey-doers.com
State: MN Zip: 55044 Phone: 952-985-5383 Email:
1 License#: BC387590 Lead Certificate#:
If the project is exempt from lead certification, please explain why:
house is not pre 1978 �.
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:
O.. Plan. ...,and orti
. NOTE:Pians supporting documents that you submit are considered to be public information. Portions of the information may be
classified as non public if you provide specific reasons that would permit the City to conclude that they are trade secrets.
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.comisubscrtbe.
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. :-, ,:gopner:tateone cali.orz
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 plan
xRyan Berres xu
Applicant's Printed Name Applic ' Sig ature
DO NOT WRITE BELOW THIS LINE
6,(;--ok)00(11-heusk J41_ / o � l
SUB TYPES
Fireplace Porch(3-Season) Exterior Alteration(Single Family)
Foundation P
Single Family — Garage _= Porch(4-Season) Exterior Alteration (Multi)
_ Multi Deck Porch(Screen/Gazebo/Pergola) Miscellaneous
01 of Flex Lower Level —_ Pool — Accessory Building
WORK TYPES
__ New Interior Improvement Siding Demolish Building*
Addition Move Building _ Reroof — Demolish Interior
! Fire Repair _ Windows Demolish Foundation
+Alteration
Replace — Repair Egress Window Water Damage
_ Retaining Wall *Demolition of entire building—give PCA handout to applicant
DESCRIPTION d`
Valuation Occupancy / MCES System ______
Plan Review Code Edition t`ai
'',;(,)1,01,(7. SAC Units — --..
(25%_100% ) Zoning City Water _-._—......... -
Census Code StoriesBooster Pump __
mm
#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/C.O. Required
__ Footings(Addition) _1 Final/No C.O. Required
Foundation Foundation Before Backfill y[` HVAC`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: , Building Inspector
RESIDENTIAL FEES _
Base Fee
Surcharge —... ... 1
Plan Review `
MCES SAC �' ',,s. 'NV u<
City SAC ii
l '
h
1
Utility Connection Charge
S&W Permit&Surcharge (1\-)
Treatment Plant9":" i (1.
Radio Meter Read . 4
Copies
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA160492
Date Issued:03/12/2020
Permit Category:ePermit
Site Address: 3650 Woodthrush Ct
Lot:3 Block: 2 Addition: St Francis Wood 2nd
PID:10-65901-02-030
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description: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 -
Ryan P Langer
3650 Woodthrush Ct
Eagan MN 55123
Drain Pro Plumbing
8815 - 209th Street W
Lakeville MN 55044
(952) 469-6999
Applicant/Permitee: Signature Issued By: Signature
Smoke and CO detectors affidavit for Building permit final
I /70,7/7 have tested all the required smoke detectors and Carbon Monoxide detectors,
At address(3:E il /,.SA',on this date They are correctly located as per the
manufacturer's installation instructions and operating.
There are working smoke detectors in every sleeping room, in every hallway leading to a sleeping room and on every
level of the house.
There are working
Carbon Monoxide detectors outside of every sleeping room, within 10'
Permit# /170q/
Signature
5/t