3654 Woodthrush Ct
CITY OF EAGAN Ng 18839
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 c.:" - j ~ ~C~3
BUILDING PFW 6 Receipt #
To be used for , 3-$EASO PORCg Esl. Value =6 ,000 Date APR Z 19 91
site Address 634 i100DZ7liEU8A CT
Lot 3 lNOCk SeC/Sub. OFFICE USE ONLY
P8fC81 NO Occupancy - FEES
2oning
W Name (Actual)Const - Bidg. Permit a1•~
~ (Aliowabie) _ g~~
o Address 3634
Surcharge
City PhOne #ol Stop ~s
e lRTf1 Plan Review
POUt SEA80l13 OZSIGei 6 1tElADxL2 ~
~ Name Depth _ SAC, Ciiy
Addre S.F. Total - gqC, McwcC
~ City Phone S.F. Footprinfs -
On Site Sewage _ Water Conn
~
t Name On Site Well - Water Meter
i
MWCC SYstem
Address - qect. oeposit
<W City ' Phone Cdywacer -
PRV Required - S/W Pwmit
I hereby acknowlege that. I have repd thi app)ication and state that the Booster Pump _ S'y,1 Surchwge
inlormation is correcl and a e co I Ih all applicable State of
Minnesota Statutes 8nd Ci g i Ces. Treatmenl PI
Signature of Permitee APPROVALS poad Uni1
~'OUR $ ON~ DlSIGN
A Building Permit is issued to: j/ Ple""er - Pa?k Ded.
on the express condition that all work shall be done in axordance with all Council
applicaWe Stale ol Minnesota Statutes and City of Eagan Ordinances. gldg, pff. _ Coples 84~
•
Building Of(icial ~ V&kvice - TOTAL
Pwmit No. Pwmit Molder DMe TNWphorn N
WATEii SEWEA
PLUtit&NG H.V.A.C.
ELECTRIC
NaqCtlon Conumdnb
Footinpsl
Foundation
Frwning y sb
Roo&V
Rouo Plbg.
Rouo Hig.
ba. Fnplace
Final Mlg.
Fikal Plbg.
Cormt. Meter PIDg. Inspector - Noti(y Plumber
Engr.lPlan I
81dg. Final I
oed Fig. s 5 J~' I
o~ FaW
wen ~
Pr. oisp.
~
CITY OF EAGAN J 4 9 5Ii .F?
3830 Pilot Knob Road. P.O. Bax 21-199, Eagsn, MN 55121
QUILDING PERMIT PHONE: 454-8100
Recefpt #
T• w.e,r f., FF DLdG/GAR Est. vale $90, 000 pate OCTOBER 4 19 84
3654 WOODTHRUSH CT ~ R
Sita Addres~ Erect
Lot 5 Block 2 Sec/Sub. ST FRAN Remode? O Zoning
Parcel No. Repair ? Type of Cona.
Enlarge ? No. Stories
W Name BRUTLAG BUILDERS Move ? Lenqch 62
~ Address 366 WOODTHRUSH CT Demolish O Depth _4,6
Grade o
Ft.
City ~G~ Phone
SAM E AYProvob ENs
~ Name
Addrea~ ' Assessment Permit
~ City Phone Water 6 Sew. Surcharye 45.00
Police Plon check2~~
,,W, Nxne Ffre SAC ~a
2Z Addresa 470.0
~
, U43 Enp. Wcter Conn.
~ W City Phone PlonMr Wafer Meter
Couneil Rood Unit ~~Q
I hercby acknowlaclpe that I hove reod this opplicotion ond stcte fhot gldg. pff. j O 4 84 Parks
tha information is correct and ogree to wmply with oll rx licable State of Minnesoro Statutes and' Gty of Eo9 jOrdi Totsf ~
I / Ver. Dste
Sipnnturo of Permittas
A Buildinq Permit Is tssued ro: BRU AG HUILDLRS an the e,~n conditio, tho,
all work sholl bs done in occordonce with elt appliooblt Stots of,Minnesoto Stotutes ond Clty of Eapcn Ordinonus.
Bulldinp Offfolol ` ~ ,
P~rmh No. P~rmk Hold~r DaR~
birq 4 Q ~ k p Ib 10 3 o I g y y 5
A.C. I( S 4 r.~ ~-Y ( U~ l( "6T `t ~-5757
trie
sMr
IftS,41
Inspecti
on Dsta Insp. Other
Footinqs
Foundation
Fnminq
Rough PI6q. - ~ -
Rough HVA
Inwlalion
Final Plby. .3 -2S ys
Final HVAC ~
Final
CMt/Ox. A
ti,
Water Describa Lo tign:yAd /J
Sowsr ~ •
Pr. Dhp.
Heatin Syst Evaluation
Name
~ WG ` F ! < / , F! 6f1r~J
Scree~ City
Combusfion Test Equipment
Hmb Plant
Oate z X.Jw',41
M
Gross Stk Temp / 9o
Modd
a Ne1 Stk TemD 12C O jd F. Wami Air ? G. Warm Air
Ol~tYG<. ~ ? F. Hot Watet ? G. Hot Water
0 Steam ? CoaJ Comerted
9. ~ No. of Zones
BU1710f
O
MuwA.
Brexh Unf1 0 ~
ModN
Overfire Dnft ~ Noak (GPH, Mpk, Spriy)
' DOIT1mbC HO't WBK
Efficiency ~i ~
O 6, 7s D O Tankless O Gas
? Electric O Oil
? Tanldess with Booster Tank
? Excellent Temperature Settinq
? Good
? Fair Tankless Siu ppm
? Poor ouw
C4111bustIMChow6w
IKimer K-FaCtor
? Replxe ? Reptir
? No Action
ONTu*Sme Y GaIS.
Work Done-By Cert. M Comp~ No. c~•r ;
Compa„
CUSTOMER COPY
Receipt ' PLUMBING PERMIT • Permit No.
CITY OF EAGAN
Fes
FiIJ in numbered speces S/C Type or Print /egibJy Tot
1. Date 2. Installation Cost
3. Job Address Lot ~Blk. _ Tr3ct
4. Owner `
5. Contractor Phone
6. Addreu i-
- ~
7. City ~ c State Zip '
8. Building Type: Residential O Commercial ? Institutional ?
9. Work Description: New 0 Add ? Alter O Repair 0
10. Describe
11. No. Fixtures No. Fixtures
° Water Closet Cesspool/Drainfield
= Bath tubs Septic Tank
Lavatory $oftner
Shower Well
Kitchen Sink
Urinal/Bidet Other ( .
Laundry Tray
• Floor Drains •
Drinking Ftn. _
Slop Sink ~
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : - ` i for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Receipt U MECHANICAL PERMIT Permit No.
CITY OF EAGAN
Fe.
~
Fill in numbeied spaces S/C
Type or Prini /egibJy Tot.
1. Date ' 2. Inatalletion Cost ~ ' • ~ ~
3. Job Addresa ~ . ~ 4z I i ! ! Lot~Blk. ~ ilraet
rl f_
4. Owner , i';`. - i •a~
5. Contractor ~ Phone
6. Addreu • , - , , '
7. City f State Zip
8. Building Type: Rssidential Commercial O institutional O
~
9. Work Description: New ~J Add ? Alter ? Repair ?
10. Descxibe Fuel Type ~
11. No. Equioment BTU - M. Ea. No. Eauiament CFM
Forced Air , Air Nandling:
Mf9• 7~ ; r
Boilers Mech, Exhaust
Mfg. i l-,
Unit Heater . ~
Mfg. Other
Air Cond.
Mfg.
Gas. P'iping O"ts
, ~
,
12. 1 hereby oertify that thsabove information is true and correct, and I agree to
oomply with all ordinances and codas governing this type of work.
Si9"°d ' for
~lough Finel
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved. ~
Approved CITY OF EAGAN 464-8100 ~
~ CASH RECEIPT ~
•
CITY OF EAGAN
P. O. BOX 21-199
EAGAN, MINNESOTA 55121
DATE 19 r I
RLCt1V6D l ' 7 . . . • ~ rROM ~_~~Ijf..[ ' ~~r.rC.C • '._.C - i
AMOUNT
6 DOLLARS I
~eo
? cwsH CFlECK
POR
' FUND CODi 4MOUNT
/ =J tJ%' _ J i' ? I
`7J I~
J I
t' ,f ~J J
i
~ "7
Tha You
BY~d~,/1:~±~:--~~~ I
. . ,
YVhite-Payerc CoPY
Yellow-Posting Copy I
Pink-Fite Copy '
. CITY OF EAGAN Aemsrks '
Addition ST. FRANCIS WOOD 2ND ADDITIQN 3654'l 5 H ~ 2 psrcel 14-65901-050-02
oovmtis
Owne Llii Strear Suta
' Improvemant Date Amount Annusl Yesrs Paymsnt Repipt Oute
~ s`TREETSURF. 19$1 86.84 17.37 S
1Q=12-84
HESTOR. 19$3 2675,93 535.19 5 1605.57 " "
GRADWG 1983 10.$5 122.17 5 366.51 " "
SAN SEYV TRUNK 1 84 63.37 S 190.12 A014699 10-12-84
* SEriER LATERAL 1983, 5510,68 1102.14 3306 . 42 WATERMAIN
* WATEH LATERAL 1983
WATEH AflEA 1 $ 0-12-84
t
STQRM 5EW TRK 19$3 k670.74 134.15 5 442.40 A01469$ 10-12-84
~ sroAM sEUV LAT 1983 5
CURB & GUTTER
SIDEWALK
STREET LIGHT
I
8 t 260.00 4 -4-84
WATER CONN. 470.00 BUIIDII+iG PER, rr ~e
+ n
SAC 525-00
PAR K
~ CITY OF EAGAN SEWER SERVICE PERMR ~
~ 3830 Pilat Knob Road 6 9 7 F
P. O. Box 21199 PERMIT NO.: _
Eagan, MN 55121 DATE- - 1
' ~ing; Rl No. of Unlts:
. pwmr Brutlag $ldrs
, Addre:s:
3654 oa Xus u t rsnc s O
Site /lddnss:
Plumber. Wenze1 Mech
10-4-64 46840 ' 00
1.~ ee ~rb rrMr t~. dl~.of aN.¦ Corn+eceton Chaoec 425.40 vd
pd
Acoxint Dopod+: 15.00
.00 pd
10
P.n~,1c F..: 50 nd
' Surciwrpe: .
gY Mise. C]+a?Oa:
Detr of Insp.: Totol:
Insp.: DoM PbW:
--t - . °r~
CITY OF EA(iAN VIIATER SERVICE PptMIT ~
~
9830 Pilof, Knob Aoad 5786
P. O. Box 2718~ PERMIT NO.:
Eagan; MN S5121 DI1TE: t S ~
Zoninp: R1 No. of Units: 1 ~
Owrwr: Brutlag Bldrs ,
Mdnm:
Site Address: 3654 FJoodthrush Court L5 B2 St Francis Wood 2 ~
~ Plumber Wenze :Jlec
~ Meftr No.: Connection Chorye: 470.00 pd
51ze: Acoount Deposlt: 15.00 pd
Reoder No.: Pe?mk Fee: 10.00 pd
1moM lo Nwply wMli lM Cih of bwn Surdwrpe: Pd
M~~ Chorgn: 63.00 pd mete
~ Total:
; By Dac. Rold:
Dote of Insp.: Insp.:
i
CITY OF EAGAN WATER SERVICE PERMIT
3830 Pilot Knob Road 5786
P. O. Rox 211439 PERMIT NO.: _ - 3 4 10 Esgan,.MN 55121 D~?TE: I
R1 No. of Units:
OwMr. Brutla B1 -
/lddrau: ~
~~n~ 3654 1 5 C i'r. L.
2 St Francis Sdood Z
r Wenze '
. ~ a„ 470.00 pa
s,~: RFnI iiQFn~,~e~r:: z0.oo ppd - 15.00 ReadK No.: Psnnit Fea:
t 1~ wNt~ !W Ck1? of i.yGN Sut~choroo. . SO pd.
M~u. Chorp~a: b3.n0 pd meCe1
Total: ~ i~.. ~ ~ow:
,
RESIDENTIAL
BUILDINC PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
657-681-4675
NawConsWCfion Rwuiramentc RemodeYReoarcReauirements
• 3 registered sile surveys showing sq. ft of bt, sq. ft W house; an~ll roofed areas • 2 capies of plan
(2096 max4num bt coveiape albvred) . 1 set of Energy CakulaUons ior healed additlons
• 2 oupies of plen slawig 6eem 8 wiqax sizes; poured found design, atc.) . 1 site survey fw exterbr addifions 8 decks
• 1 selof Eneyy Calculatlons . Indicate if hane served by sepfic system faaddilbns
• 3 copies of Tiee Preservalbn Plen'rf bt plafted afler 711f93
• Rim Jaist Delail Options selection sheet (bidgs with 3 or less units)
DATE / VALURION • QG
JOB SITE ADDRESS „ l~ , ~
If MULTI-FAMILY BUILDING, OW MANY U ITS?
PROPERTY OWNER ~~~~~~~J S
TYPE OF WORK FIREPLACE(S) _ 02
APPLICANT GI'~1V./, PHONE#~I~
ADDRESS 7_57 t L ~t~ ~U~• SDe ZIP CODE
PAGER # CELL PHONE M 76 FAX # ~~•~,,~=-¢-4`-!IV`j /
NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY
Energy Code Caiegory _ MINNTSOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submiried
- Energy Envebpe Calculations Submitted
_ MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Piumbing Contractor: Phone
Plumbing System Includes: _ Water Softener _ Iawn Sprinkler Tee: $90.00
Water Heater No. of R.I. Baths
_ No. of Baths
Mechanical Contractor: Phone #
Mechanical System Includes: _ Air Conditioning Fee: $70.00
Heat Recovery System
SewerlWater Conhactor. Phon$, #
All above information must be submitted prior to processing of application. f ~
Ir, ,
I hereby acknowledge ihat I have read this application, state that the information is correcf, a~comply
.
with all applicable State of Minnesota Statutes and City of Eagan 71e;ZelY
Slynature of Applicanf `p~
, ~
.
-
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 1101
OFFICE USE ONLY
? 01 Foundation ? 07 OS-plex O 13 16-plex ? 20 Pool O 30 Accessory Bldg
0 02 SF Dwelling ? 08 06-plex O 76 Fireplace ? 21 Porch (3-sea.) ? 31 Ect. Alt - Multi
? 03 01 of _ plex ? 09 07-plex 0 17 Garage ? 22 Porch/Addn. (4sea.) O 33 Ext. Alt - SF
? 04 02-plex O 10 08-plex ? 18 deck ? 23 Porch (saeened) ? 38 MuIU
O 05 03-plex 0 11 10-plex O 19 Lower Level O 24 S1ortn Damage
? 06 04-plex ? 12 12-plax Plbg_Y or _ N O 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (IMerior) ? 44 Siding
? 32 Addition 0 36 Move Bldg. O 42 Demolish (Foundatbn) O 45 Fire Repair
? 33 Alteralion ? 37 Demolish (Bldg)• ? 43 Reroof O 46 Windows/Doors
? 34 Replacement 'Damolition (Entlre Bldg only) - Glva PCA handout to applleant
Valuation Qccupancy 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 W idth
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinallC.O.
_ Footings (deck) _ FinallNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile
Roof Ice & Water Final Other
_ Framing _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Fueplace _ R.I. _ Air Test _ Final _ Siding Stucco Stone
Insulation _ Windows (new/replacement)
Approved By . Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
W ater Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
.
. ~ CITYOFEAGAN N9 9566
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE:454-8100
BUILDING PERMIT Receipr # u/ p 7'
Te M wad fer 'F' DWG/GAR Est. Value $90,000 Dore OCTOBER 4_ 1984
3654 WOODTHROSH CT R3
Site Address Erect 'L1 Occupancy
lot 5 Block 2 Sec/Sub. ST FRAN WOOD 2 Remodei ? Zoning Ri-
Parcel No. Repair ? Type of Const.
Enlarge ? No.Stories
m Name BRUTLAG BUILDERS rrtove ? l.enyth 62
L
Z Address 3667 WOODTHRUSH CT Demolish ? Depth 46
~ City EAGAN phane 452-3689 Grede ? Sq.Ft.
o Name S~'ME ..Approrals Faee
0~ Address ssessment Permit '
u~ City Phone ~N°ter 8 Sew. Surchorpe 45.00
Police Plan check z01.50
,BW Neme Fire SAC 525.00
I? Address
uo Erp. Water Conn. 470.00
0
~u= i CitY Phone Plenner Woter Meter 63.0
CounNl Rood Unit 260.00
I hereby ackrqwledge fhof 1 hava read this uDVlication and stote thnl gldg. Off. 10/4 /84 Perks
fhe inlormotion is correcf and e to comply with oll a licoble APC Total ~U
Stota of Minnewto Statutes a City of Eaq rdi
Var. Date
Sipnoture of Vermittee
A Building Permit Is izsued to: BRIITLAG BIIILDERS on the express condiNon ihol
oll work sholl be done in accordonce with QR~qplica' ~le_Stay~o'~ Minnewt~ nd Ciry of Eapan Ordinances.
Buildinq Ofilcial \R~ u.C_P 'V
. . .
~ ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN
~ . ~
-INCLUDE Q SETS OF PLANS,
~s''~
(II)CERTIFICATES OF SURVEY
'S' FDWIa.0 SET OF ENERGY CALCULATIONS
To Be Used For: ~74 Mr Valuation: 49Date: /989
Site Address: ~'(„s9 '
F~a waoo
Lot: S Block: Z Sect/Sub: ,,sru) IUp, Erect: ~ Occupancy: R-3
Parcel Remodel: Zoning: R-I
Repair: Type Of Const: 7~T_
Owner• (~Nvck CIYh'IVS Enlarge: # Stories:
Move: Length: (07-
Address: Demolish: Depth: 4(_0
City/Zip Code: f/-) /Nq SS93S Grade: Sq. Ft.:
Phone 8ZS9
Contractor: ~~jv7LA(~ /tiCi/zDE/?S ~
~
Address: (,C/ool-37N2ulN ~ Assessments: Permit:
City/Zip Code: e4'4f~,a,,v, If'JN. SS/23 Water/Sewer: Surcharge:
Police: Plan Rev.: ZOI.~
Phone 4'5- 289 Fire: SAC:
Engr.: Water Conn: 117p
Arch./Eng: Planner: Water Meter (03_"_
Address: Council: Road Unit: 14,0.=
Bldg. Off.: Parks:
City/Zip Code: APC: q
ny,,,,,o~ • Variance: 50
I~- x 40 = 5&o x54 ~ 30240
12~i2 = 144 ~ 54 - ~-7-7(o
22x`2Z = 48 4' x 2(o I 3G
22 x 23 = 5C)(° K I I " SS~G
~Z x 22 ~ 2(04 x 54 ' I 4-ZSC~
,
~
~
~ o. *
~
403• +
45 • +
201•5+
525• +
470•+
63•+
260•+
1Y967•5*
i
r
S CITY OF EAGAN No , ~ 8839
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE:454-8100 /o IZ.-~C~
BUILDING PERMIT Receipt a v
DECK &
To be used for 3- E 0 0 C . Esc Value $6, 000 Date APR 2 ,~g 91
Site Address 3654 WOODTHRUSH CT
5 BIC~Ck z Sec/Sub. ST FRANCIS WOOD OFFICE USE ONLY
Lot
Parcel No. occ~pa~cy - Fees
ZOning -
a Name ~HUCIC"~STYMUS _ _3. _ (ACtual)COnsl _ BIdg.Permit 81.00
o Address 3654 SdOODTHRUSH CT~'. 1/~~owable) - Surcharge 3.00
Crty EAGAN Phone x oi s~o~~es _
p~ PorCh llXll Plan Review
,a Name FOUR SEASONS DESIGN & REMODELIN Depih _ SAQCi~y
~a Add~ess 1200 MENDELSSOHN AVE N S.F.TOIaI - SAC.MCWCC
~ City GOLDEN VALLEY php~e 546-4775 S.F.FOOtpnnls -
On Sne Sewage _ `/~aler Conn
UQ
W W NamQ On Sile Well - Water Meter
~ MWCC S srom
Address ~ y - Acct. Depasit
iw City Phone a~ywaie~ -
PRV Reqmred - S~W Permil
I hereby acknowlege tha~ I have re tl ihis applicaLOn and stata that the Booster Pump - SiW Sumharge
inlormauon is correct and a e com ty~Pplh all applicable State of
Minnesota Statutes d Cd a r i ces. Treaiment PI
SignaWre ot Permilee APPROVALS qoad Um~
A Building Permit is issued to: FOUR SE ONS DESIGN Ptanner - park Ded.
on ihe express condihon Ihat all work shall be done in accordance wRh all Council
applicable State of Mmnesola StaWtes antl C~ty of Eagan Ordinances. Bldg. Olf. _ Copies
p .~,J Vanance - TOTAL 84•
BUiltling OffiLial LL~~--1 ~ OA ~~l/
This rnque5t vaitl l(
18 months 1mm ~ O ]
A 095834 L~ a
Nequesl Data Fire No. ouP~-~~ InsVaclion
rted7 ~Heady Now~[I W~II Noufy, ZI/-gy Ycs ?No ~or When Readv
4censed Electrical ConVactor I hereb
y requeet inepection at ebove
wner elactrical work installod et:
SVeut AtlAress, /BoK or Roure No. Cn
3
ection o. TownshiD Name or No. Rang~ o. Coynty /
yL 1 ~0.~
OccupdntlPqlNTI ~ Phone Nn.
Power Supplier 94e/ Adtlress
y..,.~.~ .
Eleclncal ontrac r ICOmpanv Name) Contrnctor's Licenso 0
Mailin0 A drass Contracm or Owner mg I stallauonl / 93 ..5+ Sb
AuthorizeE $igne r IContra tor n r Making In IaLOnI Phon Nomber !
~ ~ - ~f
MINNESOTA TqTE BOAND OF ELECTNICITY TMIS INSPECTION XEUUEST WILL NOT
Grippe-Midway Bldq. - Room N•191 BE ACCEPTED 8V TME STATF BOAHD
UNLESS PNOPEN INSPECTION FEE IS
1821 Univaraitv Ave., SL Paul, MN 56104
Pn..o 16121 297-2711 ENCIOSED.
REQUEST FOR ELECTRICAL INSPECTION EB-a0001-04
' See inatrucliana lor completinv this form on beck o/ yellow copy.
~t(L~
" X" Below ly_n,rk Covered by This Request
AAn Rap. TVOa ol BwIEinB APVlioncea Wired EquipmeM Wirad
Home Range Temporary Service
Duplex Water Heater Lightiny Fixtures
Apt. Bwldmg Dryer Electric Heatin
Commercial Bldg. Fumace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm ther oeu v thnr ISner.it~l
t e. unci v Ot er Oihur
ampute lnspection fee Below
p Fee ServiceEnlrencaSizo k Fee Feetlers/Subfeedefs D Feo Circui[s
~ U to 200 Am s 0 to 30 qm s 0~ 0 to 30 Am
Above 200 qmTs 31 to 100 Amps / 31 to 700 Amp,
Swimming Poal Above 100_Am s Above 100_.4m s
Transtormers IrrigaLOn Booms Partial-Olher Fee
Signs SUecial Inspection
TOTAL FEE-----'
Nerrerks
Nouph-in ~nt4A~joroby
tify thet the above
Final ~~pection hes been
ee.
Rits nQUeal voiE 18 monthe tmm ' ~
2007 RESIDENTIAL PLUMBING PeRnniT aPPLicaTioN
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
~ 'Please complete for modifications to existing residential dwellings. Do not combine inside and outside
lumbin on the same a lication; se arate a lications and ermits are re jired.
DateC> ti
Site Street Address 3~ 5~I WUB Y" 'L Unit #
Property Owner CkGf 1-S D. S+y r`'1 N~ Telephone #"I )"l 5a _ I -w 15
Contract - A VOVl co w" V`R 1~f6 _ Telephone # (q y j, ~-TL) ` C;l 0
Address •O• I~~.V. City CwhclQt.Vl Statef'Lli- , Zip ~;97'1-,L
The Applicant is: _ Owner 8 Occupant _ Licensed Plumbing Contractor
Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee
$ 100.00
Per as-built $ 10.00
Fire Repair (replace burned out fixtures, etc.) $ 90.00
This fee a lies when extensive lumbin re airs are made to a buildin .
Afterations to existing dwelling $ 50.00
_ Add plumbing fixtures to main level lower level. This fee includes
installation of a water softener and/or water heater at the same time. If you are
installing onlv a water softener and/or water heater, do not complete this section;
move to the next section and place a checkmark next to the appiiance(s) you are ~
installing.
_Septic Sys[em Abandonment
_ Water Turnaround (add $136.00 if a 5/8" meter is required) ~
Other:
Water Softener Water Heater $ 15.00
_ new f~repiacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ 50
Tota1 $ ~ J 5~
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be
in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but
only an application for a permit, work is not to start without a permi[ and work will be in accor ance with the approved plan in the event
a plan is required to be reviewed and approved.
d 01 V?. YI ~l~1j e S
Applicant's Printed Nam~` ApplicanYs Signat e
RESIDEhTIAL BUILDING
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Reouirements RemodellRepair ReouiremenLS Offce Use Onlv
3 registered stte surveys shavirg sq. R. of lot, sq. R of house, antl all roofed areas 2 copies of plan Cert of Survey Recd
(20°h rraximum lot coverage allowed) 1 set of Energy Calculations for heated addNOns Tree Pres Plan Reo]
2 copies of plan showing beam 8 window s¢es; poured tound design, etc. 1 srte survey for addPoons 8 decks Tree Pres Not Reqd
lsetofEnergyCalalations Adddion - iridicateifon-sifesepticsystem _On-siteSepticSystem
3 copies of 7ree Preservauon Plan if lot platted after 711193
Rim Joisl Detail Options selec6on sheet (bidgs with 3 or less units
Date (::5,73 Construction Cos[ ~
Site Address UniUSte #
~AGtJ~ /L1~~ ~S/~
Description of Work /'i%'e~ l/'ppGb d 51101"qg a3ae
Multi-FamilyBldg _ Y_ N Fireplace(s) _ 0 1 _ 2 ~'P/4Gt9~1OlfS
Property Owner Telephone # (671 ) yS~ - I
Contrac[or ~G}i7JQ/~ ~j5'~~ ~12,rj
Address . 16,3!5 e~x~~/A]y W/o /U~ Cit)'
J -~i
State Zip.J3yc~< Telephone#(~3) 76'S-J~Jy
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Ene~gy Code CatOgOry . Residential Ventllation Category 1 Worksheet • New Energy Code Worksheet
(Jsubmissionrype) Submined Submitted
• Energy Envelope Calculations Submitted
Licensed Plumber Telephone )
Mechanical Contractor Telephone # ( )
Sewer/Water Contractor Telephone #
r.
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City~of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to sta[ without a
permit; that the work will be in accordance with the approved plan in the case of work which equires a review and
approval ofpians.
Applicant's Printed Name Applicant's Signature
OFFICE USE ONLY
Sub Types
? Ot Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg
? 02 SF Dwelling O 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 E#. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 E#. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck 1:1 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04•plex ? 12 12-plex Pibg_v or _ N ? 25 Miscellaneous
Work Types
El 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition 0 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof O 46 Windows/Doors
? 34 ReplaCement 'Demolition (Entira Bldg) • Give PCA handout to appiiwnt
Valuation Occupancy MCIES 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
_ Foo[ings (new bldg) _ Final/C.O.
_ Footings (deck) _ Final/No C.O.
_ Footings (addition) _ Plumbing
Foundation H V AC
Drain Tile Other
Roof _ Ice & Wa[er _ Final _ Pool _ Ftgs _ AidGas Tests _ Final
_ Framing _ Siding Smcco Stone
_ Fireplace _ R.I. _ AirTest _ Final _ Windows (new/replacement)
Insulation _ Retaining Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge .
Treatment Plant
License Search
Copies
Other
Total
PLUMBING (RESIDENTIAL)
Permit Application
City Of Eagan
3830 Pilot Kuob Road, Eagan Mn 55122 ~
Telephone # 651-675-5675 FAX # 651-675-5694
Please complete for: Single Fartuly Dwellings
Townhomes and Condos when permits are required for each unit
Da[e
Site Address „3Ec+ S7 ~~OdY"2G!'?-~ L~GU s- ~ Unit #
Property Owner Telephone k ( )
i-- ~
Contractor ;
Address _lp" ~ City r D' c. Q i
S[ate /V/~, Zip Telephone # Qol ~ ~ . J ~ lo ~J
The Applicant is _ Owner Contractor _ Other
Septic System New _ Refurbished Submit 2 seLS of plans and MPC license $ 100.00
Includes County fee. Additional consultant fees may apply.
Alterations To Existing Dwelling Unit, Including $ 50.00
_ Adding fi#ures to lower levels or room additions, excluding water softener and water heater
_ Abandonment of septic system
Water tumaround 5/8" mete/F if neede/d -$121.,0I0)/ .p
~ Other: C
s r7LC.
_ RPZ _ new installation _ repair _ rebuild $ 30.00
_ Lawn irrigatian system
_ Water soCtener _ Water heater $ 15.00
_ replacement _ additional
State Surcharge $ 50
Total S 7 ~ ,5D
I hereby apply for a Residential Plumbing Pemilt and acknowledge that the informa[ion is complete and acwrate; [hat [he work will
be in conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; 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 [he ork will be in acwrdance wi[h the
approved plan in the case of work which requires a review and approval of plans.
?,~h G~~/c•v a?
Applicant's Printed Name Applican ' Signature
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN ,
3830 PILOT KNOB RD, EACAN MN 55122
651-681•4675
New Construction ReauiremenU RemodellReoair Requirements
. 3 registered sde surveys showiig sq. ft. of lot, sq. R. of house; and all roofed areas • 2 copies of plan
(20 % maximum lot coverage aliaxed) • 1 set of Eneyy Calculations for healed addi6ons
• 2 copies of plan showing beam & window saes; pourea fountl design, etc.) • 7 site survey for extenoraddNOns & decks
• 7 set of Energy Calculations . Indicale if home sened by septic system for addi6ons
. 3 copies of Tree preservation Plan if lot platted after 7/1l93
. Rim Joist Delatl Options selection sheet (61dgs with 3 or less unifs)
DATE l9- 2 7-0 _-D- VALUATION (Q.ZO c)
SITE ADDRESS c3 6 VV (3Q j*kQ SYN Lf ~ MULTI-PAMILY BLDG _Y _ N
TYPE OF WORK T`e r~V rC ~`F t ,2 2 v'o 6e FIREPLACE(S) _ 0_ 1_ 2
SELA ROOFiNG & REMODELING, INC.
APPL1CANi 4100 EXCELSIOR BLVD.
STREET ADDRESS ST.LOU~I~PARK,MN 55416 CITY STATE ZIP
TELEPHONE # CPI -SC-d Y-~Kp~G CELL PHONE # FAX #
PROPERTY OWNER UQ I/` I-2 SL4ii) 0,S TELEPHONE -10K~
COMPLETE THIS SECTION FOR KNEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category ^ MIV[YL•'S01:A RiJLES 7670 CATF.GORY I MINNLSOTA RULLS 7672
(4 submission rype) . Residential Venlila[ion Category 1 Worksheel Submitted • New Energy Code Worksheet Submitted
. Energy Envelope Calwlations SubmiUed
Piumbing Contractor. Phone #
Pluinbing system includes: _ Water Softencr _ L.awn Sprinkler Fee: $90.00
_ Wa[er Hcatcr _ No. of R.I. Baths
~ No. of Baths
Mechanical Contractor: Phone #
Mechamic<il sys[em includes: Air Conditioning Fec: $70.00
Heat Recovery Systcm
Sewer/WaterContractor: Ph ti ~
JUN 2 7 2002
jgre~
I hereby acknowledge that I have read this application, state that the inform tion is correct, and to compiy
with all applicable Siate of Minnesota Statutes and City of Eagan Ordi
Slgnatuie of Applicant
-
OFFICE USE ONLY
52ss.~
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
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 D 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 ? 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 MC1ES 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 Canst Width
REQUIRED INSPECTIONS
_ Foatings (new bldg) _ FinaUC.O.
_ Footings (deck) _ FinaVNo C.O.
_ Footings (addi[ion) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final ~ Pool _ F[gs _ Air/Gas Tests _ Final
_ Frarmng _ Siding Stucco Stone
_ Fireplace _ R.I. _ A'u Test _ Final ~ Window5 (new/replacement)
_ [nsulation _ Retaining Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S8W Permit 8 Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
/O4. /O
.-SCAGC /QO~
P
O
~
~ 20_~~tSack .
/o~
,
~
I ~
6 ~U%LRG U,Gr~€"RS
i~CD ~ /'LF'N
JTY4ClS'
~ z.oq ZOT-S QzOCk Z
~ ` ' .
;
_ ,
EXTERIOR EtNELCPi AVERAGE "U ` COi:?BTATT0:1
OW;JER L ~ 06/ C-j V /y/US
SITE ADDRESS 3(oS~ GlI~oDTjI/ZcJN Cj ~AGRN /JJA/
CONTRACTOR ~jZU7Lf16 ~U/CDFj?J DATi 9'30 Pxorra ~lS~3G~9
Determine o-rorking square footage of each.
1. Total exposed wall area Z B 7-~ sq. ft. x,11 = 3/~ ?
2. Tot31 roof/ceiling area 14S0 sq. ft. x.oze = 37:70 ~
Total exposed wall area above floor = Z 874
a. Total wall windc:•r area /7Z
b. Total door area /08
c. Tctal sliding glass area
d. Total °ireplace vrall area . . 91-1;-
e. Total wall framing area (average 10%)... zzs
f. Total net wall area above floor Zo>8
g. Total rim joist are2 /9G
Total exposed foundation area = 360
h. Tctal foun3ation i•;indow area
1. Total aet foundation are3 sbove grade
Determine "U' value of each wall segm?nt.
a. 17Z x "U" .919 = 71,21
b. /a6 X "U" ,13 ° l4.04
c . -a- X "U -ep- _ -e-
D. 95 X :'U`' 4, ~S
e. FzS X U" , /o = zl•_S _
f. 2079 X 1°U" .O.S = /n Z. 90
/96 X "U.: .04 = X9
h. -s- X ;'U' -a = -159-
1. l S X rUt' e s. 20 3 ...........:................................Tota1 - 2 Z9.44 ?
If iten .#3 is the same as, or less than item kl, you have met the
intent of SBC 6406(c)2.
.
Total exposed roof/ceiling area = /~ISd
Total skylignt ares . 7
k. Total roof/ceilina. framin.m area (aver2ge 10T 14S
1. iotal net insulate3 rco:; ceilir.C area /z q,q
Determine "U' v21ie fer euch rocf/ce+_ling se g^ent.
J. 4~ x 1.U,; .38 = 2, 2a
k. /95 X,:V . O 2? _ 0~
1. 1293 x ,:o"
0 ~
v .........................................Totzl = 3 7.9
If total o: f# is the sa-ie as, or less tnan E2, you have r*et the
intent of SpC 6006(c)1.
Alternate Buiiding Envelope Desif,n
To utilize the total envelope syster,. nethod, the values esiablished
by the sun of items N3 ar.d N4 shali not be ~.reater than the su,:..oi
itens hl 2n3 r2.
- 1. + 2, _
3. + 4. _
~
3662 WOODTHRUSH CT. RpTCAG CUSTOM HOMES,
• EliGAN, MN. 55123 BUILDERS ADDITIONS, DECKS,
452-3689 REMODELING
V'142 /~~vcE o~i 1oi S e4loctr
Z
0
/v c,S GtJov 0
a
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~ _z ~~Gfii ~
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~7~„~!/C
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[ 1J~/S'i.OElt'/+-7 ~a .
/ / ,'+'I £e 4n10
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. (?~~W 6 ~~'Y.d-'r.`-CJ Z
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3662 WOODTHRUSH CT. RUTLAG CUSTOM HOMES,
. EAGAN, MN. 55123 IPUILDERS ADDITIONS, DECKS,
452-3689 REMODELING
~I f>L E
=F ~ ~Ers~F n>QEl1 ~/Gi/T 7f~~ -S'~r/3i7Ch /S
ON~ J ~ o~+i -T~/i1' C~i/!«E. 7L/E 7vE C'E•~.TE/~ ~s
/voT ~~v 7/~E C'E.~TE/! aF 7-f1F ~c,L DESf~~ •
S7"E~E.
~ ~ -
~
r~ (A-cl 11a~~ 61 ~
.
~ . ,
.
1991 BUILD G ERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMZLY DWELLINGS MULTIPLE DWELLINGS COMRfERCIAL
2 SETS OF PLANS 2 SETS OF PIANS 2 SETS OF ARCHITECTURAL
3 RE.GISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, SUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST_ IS MADE,
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALIAWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSE$ PLUMBER.
lo-49AF
~
gl
To Be Used For: 3-~E/~k/~J/~pr,y~Y) Valuation: Date: 31
Site Address Ngad" oy
p,Q-~ OFFICE USE ONLY
Lot ~ Block ~ FEES
Occupancy Bldg. Permit i i~
1 2oning Surcharge 3,0
D
Parcel/Sub -Low OAdActual Const Plan Review
Allowable SAC, City
Owner # of stories SAC, MWCC
LengthfloarW Cd V Water Conn.
Address Depth Dlsz~y. Water Meter
S.F. Total Acct. Deposit
City/Zip Code Footprint S.F. S/w Permit
S/W Surcharge
Phone &big On site sewage_ Treatment Pl.
On site well Road Unit
Contractor ~y CC System _ Park Ded.
City water Trail Ded.
A d d r e s s ,~f,jJ/ytiv- PRV _ Copies
.y~jq Booster Pump
City/Zip Code ~U /y]y( ~j,7 //i? ! SUBTOTAL
APPROVALS Penalty
Phone Planner Lot Change
Council ! TOTAL ~U
Arch./Engr. Bldg. Off. ~S 3.z9 ~i
Variance
Address
City/Zip Code
Phone #
:a 1/1, ~ agrees that all work shall be done in accordance with
(Signature o Cont t r)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
. . ~n. 4 r
lJ ~ C. eso i: r ,
4~tiL
?~z~,. / a ~ o _
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X /O'd X `I-o X gro X ~o-o -
~W ~cLk ~~CpANSI.O~J ~~~bx/0~8~~K 9 0 ~C b'~b XG /b
~
. 104.10 = . I
i
scAcc 40,
~
io
. 1 . ' P
, . . . - ~ ~ - • . - '
Z~r ~9 . - ' . ' . ~ •
i p .
62
~
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. , ~ - 20 SEr~jRck
/o - - - lol•oo
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~ . rt . J~~ . . . : . - t •
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,
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~ - - / .
~fi'~lJ~~i ,:T/•%~U~ f~ L„ c
CITY OF EAGAN
#:)7 z/a9
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTIODT
(PLEASE PRINT)
1) PROPER'PY ADDRESS : ~~F 5`-I ll.y u o U+r~rus
r•Frar• DESC.'FtIP'I'ION: ri ~ S'F Frr,r-~~ ~ 5 I.Jn • c~.
(7t/Block/Subdtivision or Tax Parcel I.D. NuTber)
IF F..'`CIS"_'= SI".?L'CRUT.L, J' 0Fpor-^_;* T
=,;T'__-?;G p~.•1
_ :G _
PRESENT ~",^;NlRVPRDPOSfD USE: I° R-1 SINGTE FPMILY
? R-2 DUPLEX (TM UNITS)
? R-3 ZCX^7NHOiISE (TFIIZ,E + UIVITS) ( UNTTS)
? R-4 APAR'a=/CCNDOMINILM ( 17NITS)
Q COMMERCIAL/RE,TAII/OFFICE
? IIMUSTR7AL
? INSTSTUTIO11AI,/GOVERR,1ENT
2} App7,ICANr (PLEASE PRINT)
NAME: ~rU~ t c a ~Ic~(5
aDnxESS: c°t-
CITY, STATE, ZIP: E.G q \"v\-r SS
PHOLNE:
3) PIIJMBER NAME_ R~ PLEASE PRINT) FOR CITY USE ONLY
_
. ~7~./~ VVENZEt MMECHANjCAL ERS LICEHSE:
ADDRESS: 3GOQ KENNEBEC ORNE EAGAN, MINN. 55142
Active
CITY, STATE, ZIP: 452•1565 0 Ezpired
MAS[ER 0 Not af Re[ord
PHONE: PLIIMBER LICENSE #001445M2 Statt Tn i [ iT
4) OCC[JpANr/a,INFR (PLEASE PRINi)
NANIY,: _~m'&1GLG
t1DDF2ESS: 3-
CITY, STATE, ZIP:
PHONE:
5) B4DICATE WHICH PEfMIT IS BEING RDQUESTID:
Q CONNECi'ION To CITY SEwER
Q CONNEC'PION TO CITY WATER
? OTIIER (PLEASE DESCRIBE)
6) IIJDICATE ONE:
? PLF.ASE HOLD APPRWID PEFtMTT FOR PICK-UP BY ONE OF ABWE
Fu/PLEASE MFLZL APPROVE.D PEf2NLTT 'iO 1, 2, a,i 4 AEWE
(Circle one)
7) SIGNANRE: a,~ u.~ J Glk~~, DATE:
~
~.e.~+uesu. 4~ Er:~.r rit Lr:ti'r+~a.~.:'t+aii iiJ i.f+~'r~FaTT in! a I!!~ !!!!!~r!:i~'!':~y! 3!! r i.{.# ~i.•rssa. ;
F O R C I T Y U S E O N L Y PERMIT ISSUED
FEES: SEPlER nEBMT_T (I:ICLGDE SUP.CHP.RGE)
WATER PERDIIT (INCLUDE SURCHARGE)
WATER METER/COPPERHORN/OUTSIDE READER
$ WATER TAP (INCLUDE CORPORATION STOP)
$ SEWER TAP
$ ACCOUNT GEPOSIT - SEWER
$ /.5_ -~-a ACCnUNT DEPOSIT - WATF,R,
WAC
SAC
. $ TRUNK WATER ASSESSMENT
$ TRUNK SEWER ASSESSMENT
$ LATERAL BENEFIT/TRUNK SEWER
$ LATERAL BENEFIT/TRUNK WATER
$ ' OTHER
$ TOTAL
• $ /D - AMOUNT PAID/RECESPT'3:# -1-7
DOES UTILITY CONNECTION REQUIRE EXCAVATION ZN PUBLIC RIGi-IT OF WAY?
~ YES IF YES, THEN A"PERMIT FOR WORK WITHIN
~ PUBLIC ROADWAY" MUST BE TSSUED BY THE
NO ENGINEERING.nI~~T_sTcr:. LTST AS A COT:DI-
TION.
SUBJECT TO THE FOLLOWING CONDITIONS:
~
APPROVED BY: ~~JJ
TITLE:~',~ ~
DATE: /d
f 3q RESIDENTIALBUILDING
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
NewConsWCtionReouiremenGs RemodellReoairReouiremenis Offce UseOnlv
3 registered site surveys showing sq. fl. o( lot, sq. ft. of house; and all roofed areas 2 copies oi plan Cert of Survey Recd
(20%a manimum lol coverage allowed) 1 set of Energy Calalations br healed addihons Tree Pres Plan Recd
2 copies of plan showing beam & window sizes; poured found desgn, etc. 1 site survey for addihons 8 decks Tree Pres Not Reqd
1 set of Energy Calculations Add'Rion - indicate 6on-sRe sephc system _ On-si[e Sephc System
3 copies of Tree Preservation Plan rf lot platted after 7/1193
Rim Joist Oetail Options selection sheet (bldgs with 3 or less units
Date Construction Cos[ ~ A"• n V
Site Address, !~3 (c 54 l,~J ~,~A.Yl,UniUSte #
Descrip[ion of Work
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2
Property Owner On Telephone # ((05I
~
Contractor lu,
Address 7 City State Zip Telephone # (f p~l
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category t Worksheet • New Energy Code Worksheet
(4 su6missiantype) Submitted Submitted
• Energy Envelope Calculahons Submitted
Licensed Plumber Telephone
J, I
MechanicalContractor Telephone#( ,f`i FFP 9, fl 9f1f1~ IIII
u u
Sewer/WaterContractor Telephone#( J
By
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Stzta:es; I understarid this is noi 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 in the case of work which requires a review and
<
approval of plans.
~ o ` cl oj~ 8's 0 h
Applicant's Pri ted Name Applican Si ature
4
_ OFFICE USE ONLY
Sub Types ,
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace O 21 Porch (3-sea.) ? 31 Erzt. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? OS 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscelianeous
Work Types
? 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 Replacemenl •Demolition (Entire Bldg) • 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 Canst Width
REQUIRED IIVSPECTIONS
_ Footings(new bldg) _ FinaVC.O.
_ Footings(deck) FinaVNo C.O.
_ Footings (addition) _ Plumbing
Foimdation HVAC
Drain Tile Other
Rnof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Fina]
_ Framing _ Sidmg Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulahon _ Retaining Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
2007RESIDENTIAL BUILDING rERMiT arrLicaTioN
City OfEagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New GonsWCtion Reowremenis RemodeVReoair ReawremenLS Office Use Onlv
3 registered sHe surveys shwring sq. ft. o( IoL sq. ft. of house; and all roofed areas 2 mpies ot plan showmg (ootings, beams, joists Cert of Survey Recd _ Y_ N
(20%a mawmum lot coverage allowed) 1 set of Energy Calculalions lor healed addihons Soils Report _ Y_ N
1 Soils Report d proposed building is to be placed on disturbed soil 1 srte survey for additions & decks Tree Pres Plan Recd _ Y_ N
2 copies of plan stwwing beam & windax sizes; poured fountl design, etc. AddHion - indicafe if on-site septic system Trce Pres Required _ Y_ N
lsetofEnergyCalculations . On-siteSepfic5ystem _Y _N
3 copies of T2e P2servation Plan N bt platted after 711193
Rim Joist Defail Op6ons selection sheet (buildings with 3 or less un'AS)
Minnegasco mechanical ventilation form
Plans are considered ublic information unless ou state the are trade secret and the reason.
Date 0 ~ / (2 / C)1 Construction Cost (~r(/ ~
Site Address 5 6 '1` 4 G~ • Unit/Ste #
Description of Work If(,
Multi-Family Bldg _ Y~ N Fireplace(s) ~ 0 _ 1 _ 2
Property Owner Ct(I c~~`'17 j'~I ?S Telephone q( 6~'~) 3~3 - I7 ~3
Contractor
Address ((~7 O 2 City
State Zip 5-S-9 S-Z Telephone k(
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Energy Code Category . Residential Venhla6on Category 1 Worksheet • New Energy Code Worksheet
(Jsubmissiontype) Submitted Submitted
. Energy Envelope Calwlations Submitted
In ihe last 12 months, has the City of Eagan issued a permit for a similar plan based on a masier plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber Telephone #
Mechanical Contractor Telephone )
Sewer/WaterContractor Telephone J
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
1 I b ~ I (V t ~ C:~~ -
ApplicanYs Printed Name ApplicanYs ignatu
DO NOT WRITE BELOW THIS LINE 1
Sub Tvpes
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 E#. Alt- Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage O 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screenlgazebo/pergola) ? 36 Multi Misc.
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Slorm Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
Work Tvpes
? 31 New ? 35 Int Improvement O 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish FoundaGon ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors
O 34 ReplaCement `Demolition (Entire Bldg) - Give PCA handout to applicant
DBSCflptl011: WaterDamage_Yes .
Valuation Occupancy MCES System
Plan Review 100% or 25% Code Edition
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) _ Sheetrock
_ Footings (deck) _ FinaVC.O.
_ Footings (addition) _ FinaVNo C.O.
Foundation HVAC
llrain Tile Other
Roof _ Ice & Water _ Final _ Pool Ftgs AidGas Tests Final
_ Framing _ Siding _ Stucco Lath _ Stone Lath _Brick
_ Fireplace _ R.I. _ Air Test _ Fina] _ Windows
Insulation _ Retaining Wall
Approved By: , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
2007 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone t# 651-675-5675
Please complete for. single family dwellings & townhomes/condos when permits are requii~td~~each wit / ~Z~ h
zq 4/
Date 0-T ~ I OF ' I ~~j~ U o~C 1 ?Op?
Site Address k)l ~(~n ~'C/5 ~Z~~l (1 ~ 1 T 00j # ~
Property Owoer CWU~ ,N.1_~~ :57 M U S Telephone # ( (gfj 1)
Contractor A' A a ro n s Pl.u m~ i n b
StreetAddress City Cllft"!SsnN
State Zip 55311 Telep6one 95z ) 7'9y~ 6Z
Bond 3 0 Eapires: _1)
y~7/D ~T
T6e Applicant is _ Owner Conhactor _ O[her
Fire repnir (replace bumed out appliances, ductwork, efc.) S 90.00
This fee applies when extensive mechanical repairs are made to a building.
Add-on or alteration to existing dwelling uoit $ 50.00
~ furnace _Additional ~Replacement _ New
air exchanger
air conditioner
heat pump
other
State Surcharge $ .50
Total $ O ,3
1 hereby apply for a Residential Mechanical Pennit and acknowledge that [he information is complete and accurate; Ihat the work will
be in conformance with the ordinances and codes of [he City of Eagan and with the Mechanical Codes; that I undersfand this is not a
pertnit, but only an applicalion for a permit and work is not to start without a permit; that the work will be in acwrdance with the
approved plan in the case of work which quires a review an approval oFplans.
_Ap~plicant's Printe me Applicant's Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA149380
Date Issued:05/18/2018
Permit Category:ePermit
Site Address: 3654 Woodthrush Ct
Lot:5 Block: 2 Addition: St Francis Wood 2nd
PID:10-65901-02-050
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Includes Skylight
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 -
Charles Tste D Stymus
3654 Woodthrush Ct
Eagan MN 55123
(651) 452-1815
Bayport Roofing And Siding Llc
2240 Edgewood Ave S, Suite 201
St. Louis Park MN 55426
(612) 235-7663
Applicant/Permitee: Signature Issued By: Signature
Tod 6516755699_ _ From: 7637108061 _ _ ___ _ _ 5-01-19 5:09pm _p_. 1 of 3
r ,
r For Office Use
i ii. /"7/
�•.,` ',., , Permit#:•
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Permit Fee:
3.a;
3830 PILOT KNOB ROAD 1 EAGAN,MN 55122-1810 MAY 01 2019 Date Received: /-- /7 •
(651)675-56751 TDD:(651)454-8535 I FAX:(651)675-5694
buildinoinspectionsacitvofeaoan.com Staff:
J
2019 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 51t'2019 Site Address: 3654 Woodthrush Ct, Eagan MN 55123
• Unit#:
nius
Resident/ Name: Charles St y Phone: 651 -8
-271502
i Owner Address/city/zip: 3654 Woodthrush Ct, Eagan MN 55123
1. „-� Applicant is: Owner V Contractor
Type of Work
Description of work: Replace existing overhead garage door on attached garage.
i Construction Cost: $3000.00
i.°^ - - -- Multi-Family Building:(Yes /No )
1
Company: AA Garage Door LLC
Contact: Dave Sands 1
Contractor Address: 562 Lundy Lane city: Hudson I
d
-'f420 as ora eoor_com
State:W 1 Zip: 540'16 Phone: 651-702 Email: dove g g I
License#: Lead Certificate#: NAT-671642 i
If the project is exempt from lead certification, please explain why:
1
p
` COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING 1
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: I
I
t
Licensed Plumber: Phone:
Mechanical Contractor: Phone: a
i i
i
i Sewer&Water Contractor_ Phone: )
i I
Fire Suppression Contractor: Phone: 'i
NOTE:Plans and su y 1
ppoRing documents that you submit are considered to be public information. Portions of the Information maybe I
i classified as non-•ubllc if •u • •vide s.,clfic reasons that would ., it the C to conclude that the 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.citvofeanan.com/subscribe.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit Issuance.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities. vww.gooherstatecnecall.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 f plans.
Deborah Nyasende xi t(fl 4/216C
Applicant's Printed Name Applicant's Signature