3652 Woodthrush Ct
, cIrr oF ucAN SEWER SERVICE PERMIT
379s Pilat Kno6 Ro~1
PERMIT NO.:
Beson. MN 55122
DATE: - -
Zoninp; rs „ ,
No. of Units: 1
lldd.ess: T
Site 1lddress:
Pfumber: " 'ruire !kCech r, c ~ - - -
~ S9ns M 00111 ' • ~1C
Plr w" ,i,. ca,, of Eag,A connecrio, aarge: 4' S. oo po
ora,~~a,.
/kcount Dbposit:
Permit Fae: 1 . p!' ~•,(I
gy Surcharpe:
Date of In Mi~. ~?Oes:
sp.: Totoi;
Insp.:
Date Pold:
ciTr OF FAw?N WATER SERVICE PERMIT
3795 Pilof Knob Rood PERMIT NO.:
Eayoe, MN 55122 DATE:
Zoning; ~ Y
No. of Units: I
OWflef: -•t inn.,i.°p Tr,f.' _
Add?685: ~
Slce ^ddrcss: 'ooc'f.hrueh e7rtirt rf, •~h
Plumber: c; ~
Meter No.: Connection Charpe: Siu: Account Deposft:
Reoder No.: Permit Fee: . .
1 aor" to aanoly wilii !lw City of Eoqem Surcharge: • ~ Ordinanat. Misc. Charpes:
Totai:
By Dote Paid: .
Dote of Insp.:
leap.:
CITY OP EAOAN •
, ' ~7!! 'pet Ksob Reod lepe, MN as12! ; `
~HONRi 4l4-8100
BUILDING rERMIT Receipt # - c, ; ~
Te M w~d Ie? SF DWG f GAI~ Vol~e ~ 132 , 000 p~e ApY'il 20 ~ q 8 3
S~t. ,~ddrcu 3652 iv'oodttirush Court E~~ ~ a~u~~ R-3
~ot 4 BI«k 2 Sec~sub, St. Francis Wood 2/~Iter p Za.,inp -
Parcel 1~ 6~9Q1 C?Gf~ 02 Repoi? ~ Fire Zone 1
Enlorpe O Type of Const, n
W N~ Martl.u ERiCkson ~,e p # Srories
~ Addross Demolish p Length 72
~i EaRan p~Q 452-b18<< Gr~ode ? Depth 34 Sq. Ft.
~ Na„N Charlee Barenee8 APP~~'a~s F•..
o~ /~~y~ ~7~5 Sl'i8riri0A Tr~sil /lssessment Permit 51_~ .OQ
C~ Ptior Lak.e p~~ 447-5622/432-3773 Woter b Sew. Su.charpe 6G. 00
Police Plon check 25t~.S0
~
tz NOM° Fire SAC 52:i. UU
x~ Addr~s~ Enp. Water Conn. 4 5~l nn
u
i W G Phw~s Plonner Woter Meter _bQ~.QQ~
Ca~nt~~ Road Unif NA
I hereby ocknowledye that I haw road this epplicotion ond stote that Bldy. Off.
the inlormotion is oorrect and oyree b comply with all applicoble 1~
Sroh of Minnesota Statutes and Gty of Eopan .Qrdinoncss. A~ Totol
Sipnature of Pam+ittee~ . ' .
r ea Barsneas
A Buildiny Pem?it Is isswd ro: on the ~xpras condition thm
all work sholl be dww in acoordonc~ with nll oppeoabb ~tate of Mln~ota Statutes ond City of Eopon Ordinonoes.
Buildin4 Offfciol _ _ - _
r
I Pwmit No. Pe?mit HoleNr Misc. ihrmit No. Holder
Plumbinp
H.~.A.~. We l~r-
W~ter W~11 .
Disp.
Swwr
Ehcaic w 3 $°[q lM &(S'el, -2i-n 6
W 37SCI 5 r< < c 14 <1
Inspction DoN IntP• Other
Footinqs ~
Foundation
Fnminq
Rouph Plbp.
Rougoh HVA
Insulation ~
Final Plbp.
Fiml HVAC
Final
Wabr Dacribe Location:
, .
Y11NI _
Sftwr Pr. Dhp.
I
Raceipt `D PLUMBING PERMIT Parmit Na.
CITY OF EAGAN ~
Fee
.
fi!l rn numbered spaces S/C
Type or Print /egib/y Tot
1. Date 5/23/B? 2. Instaliation Cost
3. Job Address)r :co-~ "1~:'C{si:LOb:1t• : qBlk. ~ Tract t ~d_ - •
4. Owner zlr,;ness (.:anst2'tiC'tinn `
rJ. COrILfeC20r _.n}'irC! -.:,~nhanjcnl 5:r*n•. PFtione !_f;c}.»:t',?•"~
6. Address 2 r,'T; . t„Ti i -
7. City State Zip r
r-
8. Building Type: Residential Commercial ? Institutional O
9. Work Description: New D' ~ Add ? Alter ? Repair O
10. Describe
11. Na, Fixtures No. Fixtures
Water Closet Cesspool/Drainfield
) Bath tubs Septic Tank
Lavatory Softner
~ Shower Well
~ Kitchen Sink - -
Urinal/Bidet Q4her
Laundry Tray
I Floor Drains
~ Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above infor tion is true and correct, and I agree to
comply with ell ordin8nces iftd'~osgoverning this type of work.
Signed : for
~ Rouph Final
Inspections: Date Insp. Date Insp.
This is your permit when num6ered and approved.
• Approved CITY OF EAGAN 454-8100
~ 1
Reoefpt ? MECHANICAL PERMIT Permit No~L:
- l, CITY OF EAGAN FN
:
- J Fill in numbered spaces S/C
Type or Print leglbly Tot. ?C
1. Date 2. Installation Cost
J J • / J ~
3. Job Address3C5t ~^di ~[:ot ~ Blk. ~ Tract
4. Owner ~ +
5. Contractor. Phone ;'35-i:: %
6. Address 4637 vt11C< . jt;U -_V'c . . •
~
7. City i•52~~~~~i- State Zip 55e';-,~7
8. Building Type: Residential 0 Commercial O lnstitutional ?
9. Work Description: New Q Add ? Alter O Repair ?
10. Describe ir.st-°2.1 force-a :-:ir 'r.e:tiz-i~Fuel Type 9"
11. No• Equiprnent BTU - M. Ea. No. Equiament CFM
~ Forced Air 100'.,000 2tLt Air Handling:
Mfg. -4,Lu'i1. :t_1::.
Boilers -d:.~~el,
Mech. Exhaust
Mfg,
Unit Heater
Mfg. Other
~ Air Cond.36s000 =`ttl :::lt.3c.
Mfg. -air r~-olotj
~ Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and 1 agree to
comply with all QrdinanAes ano codes governing this type of work.
. _i
Signed: for
Rouyh F inal
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-8100
CITY OF EAGAN
' . OFFICE INFORMATION MEMO
TO ` D TE TIME
~u
v rR ~
FR M F
PHONE NO. RECEIVED BV
H Wa5 ha?e to see y0u Will Call agaln
Please pll R*turned your call
ACTION liEMARKSANESSA(iES
Rwiwv and fe* me . ~ ~
Rsvlevr and wmment
Prepare rsply for my sly.
RepIY and sMef mO eopy
For your approval
For your Informstion
FoI s14natun
As vw discusred
As You rpwstsd
.
Tike approD?late aetlon
Notlty rtaff
A
FILE E3 DISPOSE
A
PHOTOCOPY:
ONE SIDE ONLY COLLATE
NO.OF COPIES NEAD TO MEAD STAPIE
TE N ED H AD TO fDOT Otheri
TYPING:
ROUGH DFiAFT RUSM i
i
OATE NEEDED SINGLE SPACE FINAL COPY
OOUBI.E SPAGE CAR80NS
- CASH RECEIPT ~
C1TY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 1p
RtG t! V CD
FROM - ~
AMOUNT $ I
d DOLLARi
1 so
? CASH ? CHECK
POR ` FUND COOG AMOUNT
1
\
Thank You -
`BYxI`jl.~: .
White-Payers Copy
V Yellow-Pwtin9 CoPY
Pink-File Copy
CITY OF EAGAN Remarks
Addition ST. FRANCIS WOOD 2ND ADDITION l 4 2 Paroel 10-65901-040-02
~~4 $t~t 3652 ~OODTE USH COURT
stete k)y 5
Improvement Dsta Amount Annual Ysars Payrtxnt Recaipt Dats
STfiEET SURF. 1981 8 34.76 A012837 8-23-83
STREET RESTOR. 2140.7S 11 n
GRADING 1983 610.85 122.17 5 4U.68 p
SAN SEVY TRUIVK j~$3 316 ':.84 63.37 5 253.43 A012637 8- 3- 3
* SEWER LATERAL 1953 5510.68 1102.14 5 4406.Ss
~ WATERMAtN
* WATER LATERAL 1983 $
WATER AREA 19$3 316.84 63.37 5 253.4$ A012637 8-23-83
*Services 1983 S
' STORM SEW TRK 1983 670.74 134.15 5 536.52 A012637 8-23-13
* STORM SEW LAT 1983 5
CURB * GUTTER SIDEWALK '
STREET LIGHT
WATER CONf4. 50,.-M 353" 3
6UILDING PER. Q
SAC 525.00 I
PARK
CITY OF EAGAN
+ 3795 Plla! Knob Raed Eagan, MN S512I ~7 lr O 7940
' PHONEs 454-8I00 1
BUILDING PERMIT Receipt # 15S3510
To bs vaed for SF DWC/GAR Est yalue $132,000 pate April 20 _ 19 83
Sire Address 3652 Woodthrush Court Erea R-3
I~ Occupancv
Lor 4 Block z Sec/Sub. St. Francis Wood 2 Alrer ? Zoning
Parcel # 10 65901 040 02 Repair ? Fire Zone
Enlarge 0 Type of Const. In
w Name Martin ERickson Move
? # Srories
; Address Demolish ? Length 72
° Ci Eagan pho„e 452-6184 Gmde ? Depth 34 Sq. Ft.-
o Nome Charles Barsness Avvorab Fees
ou Addreu 5795 Shannon Trail Assessment Permit 513.00
Cit Prior Lake phaM 447-5622/432-3773 ~'aterBSew. SurcMrge 66.00
F Police Plon check 256.50
,~„w Nome Fire SAC 525.00
f
mr, Addrcss Enp. Woter Conn. L S(1 _ Ofl
<W Ci Phane Planner Water Meter hn. On
Council Road Unit NA
I hereby ocknowledge that I hove read this applicotion and state thot Bldg. Off.
fhe intormofion is correct and ogree to wmply wiih oll applicable ^P~ Totol $1870.50
State of Minnesoto Statute City of Eaga dirwnces.
Slpnafure of Permittea~. ~ - -
C arles Barsness
A Building Pertnil Is issued to: on the exprev condition tfun
oll work shall be done in otcordonce witf applicob e tote of Mi oto Stntufes and Ciry of Eagun Ordinances.
Buildinp Oi(Iciel s~~
o,4 P ' Oa.~- bi' ~ -7~ ~
~ CITY OF EAGAN ~ Include 2 sets of plans,
1 site plan w/e]evations &
BUILDING PF.RMIT APPLICATION 1 set of energy calculations.
Zb Be Usecl For valuatio~ 3a, Q d C7 Date
Site Pddress: SZ . 4.wSk COU.t--~-' OFFICE USE OfII,Y
Int J/ Block Sec./S ~TF2RNU5 cuP~cY ~-j
Erect ~ Oc
. 1, „~5
Parcel jU fY5901 C~ ~ 02- nJO. AD.ON, ~~r Zoning /
pair Fire Zone
owner: ,I~A.QTir? ~2~~,c~c~,c ~ Enlarye _ Zype of const.
Nbve # Stories
Address: Descnlish Front 2 ft.
City/Zip Code: ~ Grade Depth 7 ft.
Phone # : APPROUALS FEES
Contractor: Assessments Pezmit
Address: ~ Water/Sewer Surcharge ~
Police Plan Check
city/zip coae: ,QiDi2 ~/4i« , d~li.W Fire sAC
Phone y~'r/- S(p ~ 2 !-~o,~-~ E SS3 7 Z~ ~4. q S= 9~T Water Conn. 5/s`-O
oFFi~~ 3 773 Planner ater .Meter l,o ~
Council , A-I-j%Road Unit A14
Arch./F1n5•= 5.4"E 45 /-7a.ui-2.ae2aeBldg. Off.
Address: APC 9- iIZ-R 3
City/Zip Cocle•
Phone ZUTAL P -70, s0
.
~
; ~
63,~`fS,
~p,ivo
> ~SD
56i/ ~ y'
?3~zs~
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3~ ~ I
ga
~
5 ~3
~ CITY OF EAGAN
OFFICE INFORMATION MEMO
TO DATE TIME
FROM OF
27 i
PHONE NO. RECEIVEO BV
H Was here to sea you WIII call agaln
Please call Returnetl youl call
ACTION REMARKSIMESSAGES
RevlewanE see me
Revlew antl Comment L
Prepare reply for my slg.
Raply antl senE
For your aDProval
Foryourinformatlon LJ 3.,0
For signature
AS we dlxu5setl "`LG•~ti.
As you repuesteA
Take approprlata actlon
rvotirv sterr
FILE ~ DISPOSE ON ~OVER
PHOTOCOPV'
ON EONLV COLIATE
NO.OF COFIES HEAD TO MEAD STAVLE
DATE NEEOED HEAD TO FOOT (Other)
TVPING:
ROUGHDRAFT FVSH
DATENEEDED ~ SINGlESPACE FINAICOPV
, DOUBLE SPACE CAFBONS_
This request voitl
18 onihs !mm ~
C"` 37594_ ` w~~
Rgy~~;t Das',e ` Fire No. Fouyh-in Ins-necbon
~y! 3 R?quveA7 ~Reatly Nuw Q Will NuliYy, Inspec-
y es gNo tor When Ready
g Lmensetl Electncal Contractor 1 hareb e
y r quest inspacUOn at pbove
? Owner eleclncul work mstalled et' Svee[ Atldress. Boz or Roure No. Crtv
S wooD usN-cav E6/4
e uon o. Townsnip Name or No. RnnOe No. Cownty
D/~-/-, C)
Or,cupant(PRINT) Phonc No.
S Ss coN sT. C 6 1~
Power Supplier Address
D .07~ ~L_C'. G /''1//X4 TO
Electncal Cnn[ractor ICOmpany Namel Convactor's License No.
N- ~Nt F~ o~oa9~
Mailing AdJress (Conttactor or Owner Making Instailabon)
9 1/ E o ~y A v
Authonzed Sig^ature ICOm,acmr Ownee Makmg Installationl Phone Number
MINNESOTA STATE BOAflD OF ELECTRICtTY THIS INSPECTION NEQUEST WILL NOT
Gr~e6e-Midwey Bidg. - floom N-191 BE ACCEPTED BY TME STqTE BOqpD
1821 Vnivarsity Ave., St. Paul, MN 65104 UNLESS PPOPEN INSPECTION FEE IS
PA....e 19121 J9]ti111 ENCLOSED_
?~y~,1~I, a J~ REQUEST FOR ELECTRICAL INSPECTION ~ E8-00001-03
Vll . ~ 5 9 4 0 See ins4mtwns tor completing this form on heck ol yellow coov.
"";E*' Below Work•Covered by Thrs Requesi 35; 39 ~
N 0.td Re . Type ol BuilAinO APpliOnces Wiretl Equipmont Wiretl
Home Range Temporary Service
Duplex Water Heater Lightin Fixtures
Apt. Building Dryer Electric Heatmc
Commercial 81dg. Fumace Silo UnloaAer
Industrial BIAg. qir Conditioner Bulk Milk Tank
farm Other peci y iher ISueafy~
the, Vocify t er Other
Compute lnspection Fee Below
q Fee ServiceEMrence5iza q Fea FeeAers/Subloutlers p Fee Crtcuits
0 to 700 qm s 0 to 30 qmos 0 to 30 Am
101 to 200 Amps 31 ta 100 qmps 31 to 100 qm s
Above 200 Amps Atwve 100_Am s Above 700_Amps
Transiormers Remote Control Circ. . h O Partial%Other F e
Signs ^ ISpeciallnspection $/V /1~
flemIrks %~5 7/T LC_ 60. 5 E/LV ~cr~ . ~Q T~ I~E
0V
PouP~~-~n Date
~ ctncal
Insoector, hereby
certdy thut ~be nbove
Final ~ D~ F 'nspacttun hes haen
eae.
This repuest voitl
18 months liom
c.q
~
ELINn8b
..t Date Fro No. Rouph-ui Insuection
Req vedi ~HeetlV NowQW'll Nnuty InsUec-
y 7 3 mYOS ?NO torWhenReadY
~ Licensetl Electncal Convxctor 1 hereby request inspection ol obova
? Owner elecVical work installed et'
Sveet Address, eon or Rome No. . Grv
3 b S~ ~t/ 6 0 p R G ~ a ur E 6 nr
ectmn o. Townshio Name ur No. RnnNe No. Counly
QA-Y0
OccuoantlPqlNT? Phone No.
F_S c oius . ~u7-6~73
Power $upplier Atltlress
, U 7- 4 6 ~A/LMi~ l Toiv
Elec[rical Convactor (Company Name) ConVUr.tor's License No.
~l-=~ Crr /L~ c~ oyaaq~
Mailina AtlJress (COnVac[or or Owner Making Inslailauon)
02-1 F ivo/y AG/'~_: LA~F_v~ccr /~sis-5'S'of~Y
AuNorized SiBnature (ContractoJOwnee Makmg Installalion) . Phone Number
' ~6
MINNESOiA STATE BOAPD OF ELECTNICITV THIS INSPECTION HEQUEST WILL NOT
Griges-Mitlwav Bltle. - Aoam N-191 ~ BE ACCEPTED BY THE STATE BOAND
1821 UniversitV Ave., 51. Veul. MN 65100 UNLESS PROPER INSPECTION FEE IS
Phone (612) 297-2111 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION
' Sae instructions lor com0letin9 (his torm on bnck of Vellow copy.
~Y
k Cnvered by Thrs Request ~j ~j ~j qS
!71 Ype of BuiIdinB ApPlionces Wvatl, Eqwpment Wired
me Range Teinporery Service
plex Water Heater Ligh[iny Fiztures
t. 8wlduig Dryer ElecLic Heatin
_yC
mmercial Bldg. Fumace Silo Unl oader
ustnal Bldg. Air Conditioner Bulk Milk Tank
rm 01her nem v th,r (SVecity)
er 54acIfY Ot m Othi:i
Compute lnspection Fee Below
p Fee Service Enfrence5ize k Fee Feoders/5ubfeaders M Feo Circuits
0 io 100 Am s 0 to 30 Am m)s F7 0 to 30 Am s
,p 101 to 200 Amps 31 to 700 Amps ,OU 31 to 700 Am s
Above 200 Am~s Above 100-.Q= P.bove 100_Am>s
Transrormers Remote Control Cva Partial/Other e
Signs Special Inspec[wn S
F
Re"",'`5 1/X 5 7- f3'GC. W l K/ N 6 r u N C W 0.0 7orAc3
AouO~~-~n Da~e , the Electncal
spoclor, herehY
certily that the nbove
Final ( • i` ~Q spection hes boen
•r.pf ao.
This repuest void p ~
18 months imm
~
~ For Olfice Use I
City of La~a~ IP ermil fl_~~Q
~
3830 Pllol Knob Road 1 Permil Fee:
~
Eagan MN 55122 I
I Da1e ReceivrAPR__0 VQQq-_ ~
Phone: (651) 675-5675 1 2 - I
Fax: (651) 675-5694 ~ siall~J( ~
I
2008 RESIDENTIAL PLUMBING PERMIT APPLICATION
Dale: ?L-5A V Site Address: ~(~(~C`-~'1(Z~l~ 0 .
Tenanl• ~~S V LY_ (t~A LG Sufte p:
RESIDENT / OWNER Name:
Address / City / Zip~Q~-~
CONTFAC70R Name.~ 41.b\Y-00 LLl-LI__~ J~lP..~''nse n: ~ L( C~~ Lv ~
Address: --I-
Cily: C1~[)Y1 Slale. W1 Zip:
Phone: l~~~Ol90lU~~~ ContaclPerson._
TYPE OF WORK _ New `N Replacemenl _ Repair Rebuild _ Modily Space _ Work in R.O.W.
Descri Ilon ol work:
PERMIT TYPE RESIDENTIAL
_ Waler Ilealer '41 Waler Sollener
Lawn Irrigalion Add Piwnbiny FixWres
RPZ PVB) Main Lower Level)
Seplic Syslem Waler Tumaround
New
Abandonmenl
RESIDENTIAL FEES:
$50.50 Minimum Waler Heater, Water Softener, or Water I-leafer and Sollener (includes $.SO Staie Surcharge)
$30.50 Lawn Irrigation (includes $.50 Slale Surcharge)
$50.50 lldd Plumbing Fixtures, Seplic Syslem Abandonmenf, Waler Tumaiound' (includes $.50 Stale Surcharge)
'Waler Tumaround (add $136.00 il a 5/8" meler is required) ,
$100.50 Seplic Syslem New ($10 00 per as buill) (includes Counly lee and $.50 State Surcharye)
$90.50 Fire Repair (replace bumed oul appli2nces, duclwork, e1c.) (includes $.50 Slate Surchaiye) e-,
TOTAL FEES $ .J~
I here6y acknowledge Ilial Ihis inlonnahon is complele and aceurale; Ihnt Ihe wwk will be in r,onlonnance with Ihe ordinances and codes ol Ihe City ol
Eagan, Ihal I undersland Ihis is not a permil, bul only an application lor a pennil, and work is nol lo slall wilhoul a pennil, Ihel Ihe woik wJl be in
accord nce wilh Ihe ap roved plan in Ihe case ol work which requires a review and %pproval plan
s ~
X ~
~ m ~f~
Applicanl's Prinled Name App canl's gnalure
FOR OFFICE USE Revlewed By: Dete:
Required InspecUons: _Under Ground _Rough-In _Air Test _Gas Test _Final
- .,~C,7,=ti~y".lCn:cs.•g%'r:~YZ'..s.'.~FC_{i.a.,:+m.,it
AOBE IONSUlTINO tNO1NElIIf
PIGNIGINeeRING PLRNNEIIS ond IpND tUIIVEYOIIS
COMPANY, INC.
L 1000 EAST 1461A STREET, lUIINSVILLE, MINNESOTA 55337 PN 432-3000
Cer1~i,}' ca~ Sur-Ye y j,~Gkzt 1J~e.scrL~ :
LOT 4, BLOCK 2, ST. FRANCIS WOOD,
2ND ADDITION DAKOTA COUNTY, MN. 6 J~7 4
~
0, o9.a
' CRA~r1R.b.E ~ v-riuTsn,ti6MENT ~ 1t P 6
S Bg o~oo". w~~y~~ F- i' u
I ,
~ Z ~•10 Nl +
Op
I
110.00 r 6vuhT S1~0.6' t 28~ ~ 0~N aJ . .
e8'.0 4P2A4[ z
Ll o oR.e.iNe.Gn nr+o / w ~ • : s~pe • •
d. 0 vnLITY ~SEHeNT / - ;$~0, , %A .
• w A-TER Et.,
a. PiOPoSE I~ UA~ Y
9 +1e~»i 9-'~ 11
j 3
I bo y ~
I ~
viylv 5 ~10 ~
Ih~~.~
Gx~•1f 3b8,~F
G~.+ 5884
1`l0 fZT4-~
Ihereby certify that thie is a true and corract rapretentation ot a traet ot
land as shovn'and deecribed hereon.. As preparad by ma on thit e.r or
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RESIDENTIAL
5u BUILDINC PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EACAN MN 55122 7 ~
651-681-4675
New Construction Reawrements RamadellReoav ReCUVements
. 3egis;erea , te surveys showing sq. ft cl'oL sq. 4 of house, and all rooled areas . 2 coDies of plan
~2005 maximum bt coverage alloweo) . 1 set of Energy Calculaticrs'cr neatetl addrtions
• _ comes uf olan ;howmg beam 3xinacw srz?s, pouretl foura design, a[c,) . 1 site survey lor?xtenor aaartions 8 decks
• t;el uf Energy Calculations . Ind¢ate d home serveA by septic syslem for addihons
. 7 eopies oi Tree Preservation Plan d lol olatted after 711l93
. ,4im Joist Detail Options selectlon sheet [Cldgs wrth 3 or less umts)
DATE 7 Q3 VALUATION (4' . /
SITE ADDRESS \3 la so~ '(~IIQ'~P c'~y`v-~ Gf MULTI-FAMILY BLDG Y k--9_
TYPE OF WORK_ FIREPLACE(S) _ 0_ 1_ 2
APPLICANT q't.d
STREET ADDRESS 3 2~14 6w- CITY STAT .10Z.IP
TELEPHONE #612' 7?~-Y-yJ&ll PHONE # 6/d -JO 7- (ari-`7 2 FAX a-7 a
PROPERTYOWNER TELEPHONE#
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINN1S01-:1 RGLL:.ti 7670 C.A"I'1:GORt' l -MIV"V'LSO'1':A RI-LL.ti 7070
(v submission rype) . Residential Ventilation Category 1 Worksheet Submitted • New Energy CoCe Worksheet Subrnittztl
• Energy Envelope Calculanons Submitted
Plumbing Contractor. ___________________Phonc r
Plumbing s}stem includes: Water Softencr LatirTi Sprinl:ler Pee: 590.00
Water Hcater No. of R.I. Baths
No. of Ba[hs
Mechanical Contractor: Phone #
Mcch.uuaal sy.~tcni include,: _ :Air Condiuoning
Flcat RccoccnSrstciii
1 0 2002 ~
Sewer/Water Contractor: Phone JUL
I hereby acknowledge that I hove read this application, state that the m 'f ation i e, agr' ee to comply
~Nith ail apphcable State of Minnesota Statutes and City of Eagan Or ces.
Slgnature af Applicanf ~
OFF[CE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updatea 4102
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 72 12-plex Plbg_YOr_N ? 25 tiliscellaneous
? 37 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 p 46 Windows/Doors
? 34 Replacement •Demolition (Entire Bldg only) • Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning Ciry 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) _ FinaUtio C.O.
_ Footines (addition) _ Plumbing
Fo undanon H V AC
Dram Tile Othzr
Roof _ Ice &\Varer _ Final _ Pool _ Ftgs _ Air,Gas Tzsts _ Final
_ Framing _ Siding Smcco _ Stone
_ Fireplace _ R.I. _ .Air Test _ Final _ IVindous (neiv'replacement)
_ Insulation _ Rztaming \Vall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply 8 Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
-----------------1
City For Office UsePermit
N: of EaV
830 Pilot Knob Road I Permit Fee:i C~~!
3
Eagan MN 55122 Date Receive P_-R-02-20 9__..__
Phone: (651) 675-5675 I
A a..
Fax: (651) 675-5694 Staff:
2008 RESIDENTIAL PLUMBING PERMIT APPLICATION
Dale Site Address: 5- c UD Tj L
Tenant: Suite
RESIDENT / OWNER Name: - D C` (-1 t) LO 0~
Address / City/ 1-1
CONTRACTOR lvame' en se _
Address: ~-1 t y- - - -
City:~ _ State: Zip:
Phone. l \m Z1 2 Contact Person: L l
TYPE OF WORK -New Replacement Repair Rebuild Modify Space Work in R.O.W.
Description of work:
PERMIT TYPE RESIDENTIAL
WaterHeaterWater Softener
Lawn Irrigation 'Add Plumbing Fixtures
l- RPZ / PVB)' Main Lower Level)
Septic System Water Turnaround
New
Abandonment
RESIDENTIAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation (includes $.50 State Surcharge)
$50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge)
'Water Turnaround (add $136.00 if a 5/8" meter is required)
$100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
$90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
TOTAL FEES $
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
accord nce with the approved plan in the case of work which requires a review and approval plans.
X X
Applicant's Printed Name App cant' ignature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground Rough-In Air Test Gas Test Final
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA107832
Date Issued:10/30/2012
Permit Category:ePermit
Site Address: 3652 Woodthrush Ct
Lot:4 Block: 2 Addition: St Francis Wood 2nd
PID:10-65901-02-040
Use:
Description:
Sub Type:e-Windows/Doors
Work Type:Windows/Doors
Description:House
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
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 -
Martin J Erickson
3652 Woodthrush Ct
Eagan MN 55123
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA125581
Date Issued:07/28/2014
Permit Category:ePermit
Site Address: 3652 Woodthrush Ct
Lot:4 Block: 2 Addition: St Francis Wood 2nd
PID:10-65901-02-040
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
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.
Jennie Wood
1424 3rd St N
Minneapolis, MN 55411
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 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 -
Martin J Erickson
3652 Woodthrush Ct
Eagan MN 55123
Benjamin Franklin Plumbing
1424 N 3rd St.
Minneapolis MN 55411
(612) 604-4285 X61
Applicant/Permitee: Signature Issued By: Signature