3656 Woodthrush Ct
CITY.OF EAGAN WATER SERVICE PERMIT ~ 3830 ilot Knob Road 5734 P. O. x 21199 pERµIT NO.:
~
Empn, MN"551R1 ' DNTE:
~ing; No. of Units:
p Dea3gn 6 (~nst ,
Welker
wr»r:
Addmw. 3656 Woodthrush Court L B2 St Francie Wood
~ Stee Addr~ns: a _.ec
~ Plunbor. a": 470.00 ~
i Metar No.:
Siu: Account DepWt: p
'
' Reoder No.: Pemnit Fee: . P
1 Nme Nsmop'r wuh the ph, of Novo SurcF+orye: pa meteT
Mlsc. Choroesc ~
~ Total: I .
i BY Daft Po1d: ~i
'i Dote of-insP.: 1?up.:-AL-
CiTY UF EAGAN wAlM SERV`ICE p SE~~j 1I
3830 pilpt Knob Rosd pERMIT NO.:
P. O. BoY 21199 OATE:
Eag1ao. MN'. 55~~1 No. of Unlr::
ZOf~~~ Wel_ker Desi ot Cnnst
Owrwr-
365b W ush h ourt 6 B2 St Francis ~1oad l
Sib Addreas: Alta . _ •
Plumber. +1'! ' Connec~aw Gharoe: 470.00 d
leer No.: 3 4, 15. U F
0.00 pz~: ~e'So°~~ ~
Reader No . - .50 pci ~
1 N+'N fo e~f ~!IN C~ih? ~ bi00 $urchor~e: Misc. Chnrpas~ 6_ 3 0roeCet ~
!
Total:
T. Dote Poid:
BY - ' Insp.:
pate of I nsp.:
1:._ -
' CITY OF EAGAN T SEWER SERVICE PERMR 6974
i 3g30 Pilot Knob Rwd PERM1T NO.: ~p_22-84
1 P. O. Box 21199 a
Eagan, MN 551 No, of Unib:
i Zonln°: ~ialkar Dssi 6
i Qwrnr Cont
IAddrom 3656 ~oodthru~h Court L6 B2 St Francis Wood
~ Site Addrrss: Me
10-10-84 46939 ~
425.00 pd
I, 1 Mm HamWf?wI& llw CIM of MM¦ C°'mc"on C!'°rp' I F.-WP-~-
Aooou„: aoeWt lo-Do
i O~IN~a~. prmW F+r. . p
i` Surchar0es •
` By Mtsc. Chorom
E
~ poft of Imp.: Total;
~
Irnp.: Date Paid:
~
~ CASI-1 RECEIPT •
' • C1TY OF EAGAN
P. O. BOX 21-199
EAGAN, MINNESOTA 55121
~
DATE 19
w:cervcn
FROM
AMOUNT $ I
~ OOLLARS
+oo
? CASH ? CHECK
FOR
FUND COGE AMOUNT
Thank You
BY
White-Payers Copy
Yellow-Posting Capy
Pink-File Copy
I~3/J
CITY OF EAGAN 958i
` 3830 Pilot Knob Rosd, P.O. Box 21-199, Esgan, MN 55121
PH ON E : 454-8100
dUILDING 'ERMIT Recelat #
T* wiespd fwM S F 1)TNG/GAP Est. Value $12 5, 000 Date ()CTOB :R 10_, 19_$4.
Site Address 3656 WOODTHRUSH CT Erect C~ Occupsncy R3
Lot 6 Block 2 Sec/Sub. ST FRAN WOOD 2 Remodel ? Zoning
Parcel No. Repeir ? Type of Con:t. V
Enlerge ? No. Stwiea
W Name WILKER DESIGN & CONST INC Move ? l.engtn 73
Addres EDAR AVE SO Dsmolish ? Depth 61
City AF' LE VAL phone 432-3084 Grade ? Sq. Ft.
Name SAA1E Aworab F482 ~ 0
Assessment Permit
u= Addres: 62.50
~ Cit Phone Wate? & kw• SurcFarpe 2 4 7. 7 5
Police Plon check
P Y
W Name Firr SAC 525. 00
Z Address Enp. Water Conn. 470.00
u~
t W City Phone PlonMr Water Mete? 63. ~ ~
c,u,~il Rood Unit 260.00
I hereby otknowledpe fhat I how reod this opplication ond stote that Bldg. Off~~g Parki
fM Informotion Is correct ond ~T~ to comp{y with oll appti obl~ APC Totet i
State of Minnewb Sto of Eo O in ~ 7 5
Var. Date
Sipnaturo of Permittr. I
WILKER DESI N& CONST INC
A Buildinq Permit Is issued to: a'? fhe exprcss conditlc^ fhao
oll work shall be dons in «con'~71th oll opplicoble State of Minnesota Stotutes and Gty of Eopan Ordinoncn.
Buildinq Offlciol ` ~ ' ~
Permit No. Pwmk Holdw D~
~~~ng 1411
(a
H.VA.C. J1Y~. YEL'-Y~
ewct. c 95 93fl 5-t y '
a ~~~3~ + L t[-e
so+nr,..
Irapeetion Date Insp. Othw
Footings
Foundstion
Framinp
'j. •
Rouyh Plbp. ~S" o- " ? t h ~w-aT d • , ~ , o ~
~
Rouyh HVAC
r
7
Inwlatian 6
Final Pibp. r
-12
~
J ~
Final HVAC
I ,
? s~cs
Final
-24
CKt/Ooc.
w,tr. .;be Luc,ti~o/n: 1 Rt Rfv
YVsll ~/ff°a~
Saaar
Pr. DifP.
.
Receipt MECHANICAL PERMIT Permit No.
CITY OF EAGAN
Fee 0
ll
fill in numbered s,paces S/C 0
Type or Mint /egib/y T~ ~-0
1. Date 12-06-84 2, Installation Cost
3656 Woodtnrush ct. j"t
3. Job Address Lot Blk. r>'Tract
j 7~ r
4. Owner WIL2CFR DESIQi & CONSTRU(,'TIOI!
5. Contractor FREDRIGICSON HiG.& A.C. phone 452-2775
6. Addreu 4030 Beau D' Rue Dr.
7. City Ea9an State MN Zip 55122
8. Building Type: Hesidential bZ Commercial ? Institutional ?
9. Work Descxiption: New [2 Add ? Alter O Repair O
10. Descxibe LENNOX G14 Pulse funiace Fuel Type 21at. Gas
11. No, Equipment BTU - M. Ea. No. EQUitxnent CFM
1 Forced Air Air Handling:
Mfg.
Boilers
Mech. Exhaust
Mfg.
Unit Heater
Mf9• Other
Air Cond.
Mfg.
Gas, Piping Outlets
i
~
~
12. I hereby oertify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : for
Rough F inal
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
' Approved CITY OF EAGAN 464$100
0. CASH RECEIPT •
CITY OF EAGAN
P. O. BOX 21•199
EAGAN, MINNESOTA 55121
DATE 19
R<C<IV<D
FnOY
AMOUNT $ I-
& DOLLARS
+ao
? CA3H ? CHECK
row -
FUND GOOE AMOUNT
, i..~
~
Thank Y u ~
. :
BY
White-Payero Copy
Yellow-Posting CopY
Pink-File Copy
~ CITY OF EAGAN Remarks ' Additlon ST. FRANCIS WOOD 2ND ADDITION Lot b Rik 2 Parcel 10-65901-060-02
~
'Owne ~ ' strsst 3656 WOODTHItUSH COURT State
Improvement Osts Amount Annusl Yeari Payment Recelpt Wte
STREET SUiiF. 1981 86.84 M.37 $
STREET RESTOR.
GRADING 1983 610.85 122.17 5
366.51
SAN SEW TRUNK 1983 316, 84 63.37 S
* SEWER LATERAL 1983 5510.6$ 1102.14 S 't "
WATERMAIN
* WATER LATERAI 1983 5
WATER AREA 1983 316.84 63.37 5
*Services 1983 5
STORM SEW TRK " 1983 670.74 134.15 5
* sTOAM sEuv LAr 1983 5 '
CURB & GUTTER '
SIDEWALK
STREET LIGHT
Road Unit 260.00
WATER CONN. 470.00 it i~
BW LDING PER. n ~r 99551
SAC .595 00
PARK
; . . . . }
~ . .
ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN ~
INCLUDE 19 SETS OF PLANS,
CERTIFICATES OF SURVEY
~7•F• DW(~.~, ~ SET OF ENERGY CALCULATIONS
To Be Used For: ~g,~Valuation: a~ Date:_ )0141g4
Site Address: '3 6;516 WDOD'T"W(W5J} foj2.T ~Zr7,G~0.~ •
WOoO
Lot: W Block: 2 Sect/Sub: S"C FQpA/CI$ Erect: X Occupancy: IZ-3
Parcel #=-2$)Q ADD1Tfll') Remodel: Zoning:
Repair: Type Of Const:
Owner: CQ~q,~ G MA"1'°rlCt , Enlarge: # Stories:
Move: Length:
Address: Demolish: Depth:
City/2ip Code: Grade: Sq. Ft.:
Phone # :
T. TIJC • , . . ,
Contractor: o41S
Address: ~34Z1 C2.17,4YZ 4?e- SO Assessments: Permit: 41 Cj,
City/Zip code:~Q.bPLc V.4LLev .SS1L~ater/Sewer: Surcharge: (02.5
-r- olice: Plan Rev.: 2q~.~5
Phone 4 IS Z,. ^ 30 ~C -4 Fire: SAC: 5Z5,°=
Engr.: Water Conn: 4-7p.=°
Arch./Eng: Wi ACOL)S-r. Planner: Water Meter (93.0-0
Address: 54, M e Council: Road Unit: 2(0('.°
Bldg. Off.: ~ Parks:
City/Zip Code: APCO a/a 3~75
Phone#: Variance: ~ ~
Ic~ x 20 = 32o x 4-I = 1'~~2v
0
~ 2-~ = 43 2 x 5 4 ' 233 Z a
25X24' (,CXO x (0(900
5-7& ~ 41 = 23~ I~
2c~ X 3~= (~~o x 4~ " ZCaZ4o
l2~
.
,
o• *
I
I 495•5+
62•5+
247 • 75 +
525• +
470 • +
63 • +
260 • +
2j123•75# •
r '
'(-1~ ~ iy~ REQUEST FOR ELECTRICAL 1NSPECTION r EB-OOWl-0At/
! ' Sae inaUUCtions lor complobng this lorm on beck ol Vellow coOY.
A "X" Below Work Covered by Thrs Reques7
AA4 R.P. Type of BuilCing Aoclinnces WireE Equipmant Wirad
Home Range Temporary Service
Duplex Water Heater Lighhny Fixtures
Api. Bwiding Dryer Electric HeaUn
Commercial Bldg. Furnace Silo Unloader
Industrial BIAg. Air Conditioner Bulk Milk Tank
Falm Otne.r Deu y .~her ISner.ifyl
1 . uccify Ot er Otnur
ompute Jnspectron Fee Be/aw
p Fee ServiceEntranceSixa k Fee Feeders/S.bfeaders N Fno Circuits
/ U to 200 qm S 0 to 30 Am s 0 in 30 Am p
Above 200 qm ps 31 to 100 q,nps 31 to 100 Am s
Swinminq Pool Above 100_Amps Above 100_/am s
Transrormers Irtigation Booms Partial.'Other Fee
Signs SpeciallnspecUOn ~
Ne~mrks ~ TOTAL E
r r r .~J 3 Y
NouBh-in Datye Iha Elec rre
Inspector, hereby
° ce~tify t~at the nbova
Final ( Dale ~peetian has been
3-2 t-Y roada.
Thb repuest rdE 18 montlu imm
This request void 4
18 months irom
A ~ , 34 s-t --V6, ~j~~~c
flaquest bate Fire Na. Rouph-in ImVec~~on
ReqmreA7 0Hmtly Nuw ,II Noti~y, InsPec-
/~/"f~tp?S 04-K ?No torWhenReadY
.cA.sad Eleclrical Coovactor 1 hereby request mspectmn ol obove
? Owner eleclncnl work ingtelled at
Street Atldress. Box or Houre No. G1v
36 b a c. ~'6~*1'i
ectmn o. Township Name or No. Rangu Na. Covm^y
OccuOantlRilNT1 Phune No.
W, /
Power Suppher Adtlress
ElecVical Convactor (COmuanY Nama) Contractor's license No.
I~3F ~c ovv ss
Mailing Address ICOnvac[or oe Owner Mak.nB Inslallationl
/ (r c/
Authori SiOna e Con1r tor Ownor MakinB liislallation) Phone Numbar
m&
MINNESOTA STATE OAND OF EIECTNICITY THIS INSPECTION NEQUEST WILI NOT
Grippa-Midwey Bldg. - Noom N•781 BE ACCEPTED BY THE STATE BOANO
1621 University Ave., St. Paul, MN 55104 UNLESS VHOPEF INSPECTION FEE IS
Pn.nn I9121297-2111 ENCLOSED.
CITY OF EAGAN NO 9581
~ 3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121
' PHONE: 454-8100
BUIIDING PERMIT 2eceipr
Te M wed lerM SF DWG/GAR Est. Volue $125,000 Date OCTnRF.R 70_, 198.4.
SiteAddress 3656 WOODTHROSH CT Erect 0( Occupency R3
Lot 6 Block 2 sec/Sub. ST FRAN WOOD 2 Remodel ? 2oning Rr-
Parcel No. Repair ? Type of Const. V
Enlarge ? No. Stories
W Name WILKER DESIGN & CONST INC Move ? Lenqth 73 ,
~ Address 13421 CEDAR AVE SO Demolish ? Depth 61
City APPLE VAL phone 432-3084 Grade ? sq, pt.
O Name SAME ADOrovols Faea
Address Atsessment Permrt • 0
Water 8 Sew. Surchorge 62 . 50
f- City Phone 247.75
Palice Plon check
15.
Name Fire SAC 52$.~0
FW
Address Enq. Woter Conn. 4 7O. OO
'Z City Phone Plonner WoterMeter 63.00
Council Rood Unif 260.00
I hereby acknowledge fhot I hove read this application and sfate fhaf Bldg. Off. 1 0 1078 parks
fhe inlormation is correct ond ogree to comply with oll applico)le AP~ Totat $2 ].2.3.~]5
State of Minnesom5Fdy Giry of Eoyary0~di ce~ Var. Date
$ipnoture of PermiM•~ ~ / 9/~'1lA ''A Building Permir Is iuued to: WILKER DESIGN & CONST INC' on the exprea conditlon lhol
oll work sholl be done in occord e w all oppli le tote of Minnewta Statutes ond Ciry of Eapon Ordinances.
Buildirp Officiol KiC.C v1l
~f
(osi°( o s°-
2005 RESIDENTIAL PLUMBING PERMIT APPLICATION ,
CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 S 2005
651-675-5675
Please complete for modifications to existing residential dwellings.
Date ~ ! 15 Mnrrice, canic - - - 1
Site Street Address 3656 WOODTHRUSH COURT Ufllt #
EAGAN, MN 55123
(651) 452-2932 , .
Property Owner ;ihone # ( )
i
contractor NORBLOM PLUMBING CO. Telepnone u( )
Address Ciiy State Zip
MINNEAPOUS, M.NP
540~ _
The Applicant is: Owner ontrac or Other
Alterations to existing dweiling $ 50.00
_ Add plumbing fixtures (excludes water softener and/or water heater--complete next
section if installing these appliances).
_Septic System Abandonment
_ Water Turnaround (add $125.00 if a 518" meter is required)
Other:
_ Water Softener X Water Heater $ 15.00
_ new ~ replacement
_ Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ .50
Total g IS. SO
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 appiication for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the event a plan is required to be reviewed and approved.
JP.tt IVC1r61om ~_,XIIZl`
ApplicanYs Printed Name AicanYs Signature
.
. ~ iZ5
--I--'~-- -
OPeJnwl.c EASEMU~~
1 ~
o p I 8 ~ 3\L oj4 +7m yt,'' ~ .L . .
~
.i, 4~~ ru.e sc,aAuc
, „ \DZAINA~ EASEMEt,I\
30' s~ra.uc -
\
W
PorJo \ ~ \ \ \ I 11 \ ` ' \ ~ p
91~ Il~f
'co
9be. o L o 5. 4
PLO7 PLAN • ~
~ SUI_L 1~:20'-O'~ . . ' • - ~ ,
LEGni. pCSCRIPTON; . ~
LOT (e DLOCK Z ST.F4ArJU5 wm0
. 2^OADOITION,pqy,pTA CaJNIY, MN.
Cities Di it~ a1 Quality Control
The following image represents the best
available image from the original page.
Every effort was made to capture the content
from the original page.
~•a~ ' ' , . ".i.l
_
` ;.CITY OF•c~ BUILDING DEPARTMENT
•'r. ~ .
EXTE&IOR ENVEI.OPE AVERAGE "U" CODtPU'fATZO;I
,:(To ba submitted witH building permit application)
: or two.'family'dvellia Xgs XXXXx,'
L other " Site Address` 3656 Waod.tlwt.ih Couict-
' 432-3Oc44
atractor w"~~=v~~A" B.Cor+e.f::"9/IC. • ~pate Phone
3474 . Soo gablA
vM Fr. 'oF 48'` 20 r8 }i6 21 A I6 18 ft 4
POSED. WALL + • + . + ~ ic' _ . above grade =
- T--- TOTAI. E7POSED WAI.L AjtEA SQ. FT. -
9QUE WALL CONSTRDCTION: "U" value x area
ifUll_ - . x sq. ft. (A)
* ° Tnrio unlf ~t / nUli~'! x sq. ft. J/r4 ° /Q(~ (A)' ' . .
p ~~u.~ _
. 4r' ft. (u) (A)
tail reference x S
from ' 8 w:~. ~ 'lu','~_a sq. ft. 70,77?. f !04_88 (U) .(A) .
tached •shaets ?im 2oiwfA jiQ,Z_"U° :04 x sq. ft+. ~86 = /q- 44 (U) (A) '
x sq. ft. _ (U) (A) ,=x sQ. ft. ~zaj 38.68 (U) cA> :NDOWSi''~0". value x area: . ~ . ' 'i.
ike 6 type . 'nqu,.' :r x aq. ft. _ ~U) (A)
R "U"_:,~x sq. ft. 9<4.2?_(L7) (A)
' "Y . 4m'f ni nn j XSQ: ft. _ /Q• 4 __(U) (A)
'u nU^ X sq. ft. (U) (A) . . . j~ _ . ..i' _ - ~ . . . . '
i ,
)ORS: "U" value x-.area, . ~ '
sq. ft. 25.9° ~S. S/ (U) ~A)
ke & type
, ,`~"eaae ecoo r,II~~ : SS x sq. ft. _ //j,j5 (U) (a) ' . .
nUu . x sq. ft. _ ~ (ti) (A) . .
TOTALS 3,974 sq. ft. 357•9 (v)(a) ; .
]TAL M(A) vai.rrES . 357;~9 " a • 09 ? . AVG. "U" '
LYIDED BY. TOTAL',(7ALL AREA . 3974. O'„. .
"'~1~?` . , . , . . . ,
7Ei2AGE "U" ox less for.l 6 2 family dwellings
.22*or,lesa for all'other buildings , • ; . ' . , . • ' r;
'JOF/CEILING: /AZ. 0', .
OTAL As2EA: ;sq: ft.
etail reference "U" x_sq. ft. a (U) (A)
from' ~[aivte S , 1 nUn •0~ x sq. f[. 1552 ° ~6• S20) (A)
t[ached sheets "U° x sq. ft. (U),(A)
escribe openinge "U" x sq. ft. = (U) (A) , - z raof' . ~ . ..nUll x sq. ft. _ (U) (A)
. , '
=r < . , •
TOTALS• l g4• ft. S2 N) (A) `
_ . •s SS2
OTAL (J) (A). VALUES.'~f_c~ ~.'S2' 03 j~ AVG._11,U11 s..e.,;
~TVIDED BY TOTAL.ROOF/,~ . ` . _ ~~~1EILING AREA 15.~• 0 '
_ O2.f'Ud~.. - ~ • " '
. ' .
VERAGE "U" _foi'vehtilated.;roofs
._`.10",fo=,a11 othe=. construccion. • • • ;r'...
..v..':t~ .
~OTE: If average'".lT";6alues as calculated:above do not meet e}i'e Energy Code requlrements, the
"A]:ternate ~Envelope Designas-outlined:'in SBC 6006('g) may be used. Additi.ona2 shaets
may be used=to~:shov calculaEions. ".4,
,t-. ;s. 9t .F • r' , . .iyc.. `:J.'.v..;~,
' ' .}:q•,'. . ' _ ;i}' ' .A. ;t . . . , :~'.s_
*s . Y e.... . rn v... . . .
~ Qp
- ' j _ _ . 'lr~~'~.'f ' . . ~ ~
,-.<Y=
' ~1.?. SGCT7L41i5, ~ 'o- . . t. _ . , f ~ " " ~ _
- o- ~~r 'COaB~tLtiC[~OII . ~ OSItl6
" _ _ _ •'t?~`:%~ .
~i.~' , . ~ `?Z ~ . • , . . ~ . ' '',_:y
e~., air filn 068-
nt` rfor
u.,_inches soft wood
5 ~ c - •
Z.A
O.,YT
• ~ ~ . ~6::: sir
;SZC f im
s~ Total 10:13
vt~.T.is
' . , w . ;5~'" , - ~~~~~~~.'7~ ~ : ~ , . , ~ ' ~ . ~w;i"
1 ~•n.. y . fi.
' I~~u'',,,~•'~4'~~f.f, . . ~ ..f'' .~ry5
~ v,;~ ~[h ` !i ~•u
. ; .,.0.68:
`FIG OF
1'.- ~-2aterior_ sir film- ~
FRF~t'L
- _ _ i • i:: 2.
f " . k.. 2 • o ; ~.•s
~ - 5•= terior air.film ' O.ll
~ Total
3• /7 ` 23• ~7 . ~
- ~
%%2
FIG. 1s2
, ..P'n . . . . . . ..y . G~ C
' ' ~ ~~.r'i' U: ' • Y~1' . . . ` ' ~
•
t 'a 0.V9
' ' •1. :.Inario[
- , ~ h----'~--~"l~J 2.
~ 3, •:m • up
4...,2
L~ S. - z 1. . 0.17 .
6. 'Exterior air•film , . ~
r~ Total. :24:6
r ~ .---v I/ 24.•6 .04
~1
' ~j. [~..~v
.~_~j_~~.~. .'V'..a~ ~ • • , .
terior, air film 0.68 _
~ - ;I!•.t.'~~:1. l ~ t~ " ~2. ~ ~ .2
• D . • ~ . ; ~-3. !2 co
I nc.
+
-1d.' Clf . . ' . C.
~ ' .
I ~~~l • ti'~G~. '-A~C~~=.
- I • • r ~ . '.0.17
6: Exterior air film ' . •
Total'
~1~j8.~/3 .a.i3
, , r . _ ~ ~ - ' • ~ ' : - . . . , ' ~ ~:~.i ,Ze1"
'S2dt8 OV GRn.D°
~'^S~• ^i~', ~ ~ . , . . . _ • • • ~ • , ~ • ~ 1 . . ! : v.b' :rr.~:N~at'N.t.
+ . . < ~ .
~ Q ~::':J
' . . . . ~ ~ ~ .~•t {.F T>;4}.~.
/ ~M • .~a
1 ~ ~ ~ ~L• ~ ~i•
` • ' ' . T(: Ll~ t
~ • • ' - r~ • ` .
~ I• I~ • ~~•l~T1R~ - ' r,~~ . u { ' ' • ~ .t~ ~ _ ~.'l~;
• ~ • . ~ • _ t.
t, f•-.. ~ . ` . ' . . .
:IfI! r . • .lll, -1'C'_!;''e
. . • s,YIG. ~
&4, ~ / ~ ~
. . ~ 1' '-.1 ' . . - r i ~ ~ . /~I ' , t • µf~~~i
f ~ ~ ' , p 1~• ~ `v.
G~ 4 i'''~ ' .l'r,' ~ _tt ~if ~ ~ • . . i ~ k~, V r . ( ; y5:~ ~~~k,'Q~1;'~
1 3
. ~ :v' p • ° . . ~ . . '(Y{ f~. ~l•~ ,'~i', . 6i7',
_ _ : ,r;~
~ ~~~.~s_'~ . " . ~ _ ~ - ,~x~zrp
r,'e, ...:r.~r_, t..w::.:.i~'a c-• - °n" ~
' .3~~~- ~ n ~"'d . ' ' . _ " ' , ~ri"~'
..tA
Cf3"~ `
41,«
, 6'~ _ , . . * . ''i•~ - - ^
- `f~'.".P4` .s 'i?.:~~~
, . ; f;.,Ccns!°rt3ctio~i•" - R--Value , xi,-
• ~~3~ ' ~ ' • : ~ ' - - 'M~~~:
~ 1.. ntexior air film
.10
;r
~ ~rf ; t (`'';-C'It ~1,1,,~?l~~~ 3.- n ' . n
x
e„'4. ~.-t riar.air filra (still)
_
.
7~°
. -'03 _ ~ / ~ ~ ' un:• :f~ ,4~.• •~L~ ' ,i~~„~~~:
•^~.i:'~1~-' ~ ' ~4::4,:Y`x°Jl~.
{ • . :t'~•_~~ ~ , r.4.r~yS'~.
i. ~ir~!s~i ~ - ~,h` r _ ';'R\:''•r+;'.=rl' " ' : . ~ . _ Y
' _ '~1' S'C . _ ' N`` ,S ° n ` ? • ~ . `~1''}
• ' ° ,.Zt:'?.'-~",*.', - ' .eFni~~2~~;
t 1ow
Heat
Ventad°'
•:L ~ ' l : R.~P~pv "rg
up
~ - " - ~ ' wi;=~~~~•''" , ' _ . ' ' . ~ "v-"~;.et:rs`
' ? v • . ~y't>v ~ '.`y'= ~ ~ - . , - " ` . ' _ ~.p~.' p_1p_ • e+nl ~~T-n . . ~ , ' . I~ ~'~`~~A~_
^ { .r Y :Y :.1.'~n~ _ ~ Y ~ . . ~1~' Y$ ~ ~yj-K[i
' = z '"i< ~ . ~;~:.;'t• _ . . ~
` , ' ~ : .p~;~ ;s, ~ . ; , - ~;f~xY,,';:
. '.~i ' . . : . ? . ~ ~ ~ 4:'y.~:fstrs`
0.~71
T3lt@I1Cl'~vTS ~1-L12
• _~...,`'Q't.Yrti:.~ .~~kt.~~ r ~ s.~S.`aY'~y . ; ^ . . . . . . .
'i
IA~~T ~tV S1'.~1P'L n~;V'~ ~w~~~f.ytil~l~t ~C~! • • ' ` - -Y
3.
Sxterfoz= ri±' filte ,(s±11
; .,',,r,~ , • : . _ . ~ x . `
~ _ ~ , , . • , ' ~ Totzl
LIG
eat `floo1 up :-vented.
Y.
w,~:...
: ; ~Y,A• - . , . _ - `i~:; .
~ FIG. ob ` • . _ ~w,. :
_ _ . - - _ • ' ' - . - ,f' ~t~.,~
" ~ ' ~ - _ ,,,j~, • " ~ ~ ~ ~«~-aJj
b ~v ~Insidc air film " 0.61
a.
<.c
~ 3.
::~.i:. 4.
jeJ•;,.;~ - 5. 'OuCSid3 air Pili
a - 0.1
TotaY - _.r•.r„
1
1 r . " . • ~r..:±
~ ~ . , ' t. • • ` . ' ....~'"~'-`,,,:K,.
~Note`i Usa additional 'shects mare spacc
~ ~ . - . • hecdod for details and calculations.'-.A''~~
`•'..S:;Hedt' .'sF,,'',
J~I~ Y~ k f'N 1• Ja Y `n~ _K ~~I W., . "F L...Y`~. :
.
• . ~ . . ~ - :Y.~- , ~ ~f . .
A0:8E......,
. , . . coiii INO "oNdINl4R!
~ENGINEEAING lANO ~UIIViY011!
, : ~ CAMPANY ,`4.;INC.~.:, , • ' ; - : .
~~1000 [AST 1466 , ST11[ET, OURNSVI~L[; MINM[SOTA 45337 MI' 43!-SO00
~ ~Q'~Cil '~:~6:tes~<~~~0li~: • , ; J,
, t . ~
. ,
~ ~ . .
LOT •6:, ' B LOC">.,• 2 , ST'.. FRANCIS W •
WOOD,,': . ' ,
,
~ 2 ND 'ADDITION. DAKOTVCOUNTY;;;'MN::"
~ -
41 ~ , . •
'.N .8' •,'oi E . ~ • „`:r~"
,.1,~~ 1;~~ o, s~ ' . ' • ' ' .
, $I~ b~vv*su.c;.E ~aiyv ~ N o RTFI ~~~k
r~ VTi
. s ,s . t • ' .
r .
. ~ ~ ~ 4~ ~ /~C • ~ ;L ~K ~ :
.
o ~
M6uT 041
. . ,_c• . ' . n~/~ v . . _
0
~ s pa 47 , _ ~
: . . o~~
~ • 1 . ~
At •
2 hereby cartify that this is a't,.rue and correet reprasentatioa ot a traet..
la d a• sham' and EeecriDed hereon.. As prepared by via on this i!r dhr, et ~
1~.1~~ N~flll. ~!t• XO~j'tGO~.
'•'~V._04
at
y rj / ry .L.
m. ~ ' ~ ' ~ d , , . . ' . . . • . Y,.:..rc:.'
~ ~ ~ r ~ ~ ~ ~ ~h~i~•,
V~~,, ~.~'•:,1tf. N !yp ~ ',4'
mi"J
'.i`LL' ' t a.t~ ,S ,n,., 5~ . r ~iv•f~ ' , L ~ \ .~Y . _ _ ji.
r r~
; ~ 69.0 ~r.~ -
~ ~ ~ ' ~ ' 1 ~ ~ ~ . ~04~ ,7`,~;-'~~ J i , ~ - • _ - _ ~ ~ ~
! 1 ' ::..~1~; , , A l. " l ~ _ ' .
i . . , ~;,;<:~t
' ' ~ I ~ ~i ~ ~ ~ ~ _ ,
r . . ~ , t~,`~`. ~ • ~ ,
~.4 ~
~ . ~ ~ ~ : ~'m.', ~~T~ y ~ ~ ~ .,'1~~ ? r;.
~ • ~ ` ~ I' ~ ' \d~:.. R"~ ~ t a,
r Y , ,
~ ~ ~,.'r'.~ ~ ~ ~4 ~ ~ ~ 1 • ~ ~ ~Y~'
~ . -1:: fl• • A ~ ~`r ~ ti , b
~ ~ ; ~ , ~ ~ ~V,Z •.A`~,
.i \ > , / • '
S'.•'I~ \ t (t
:
47 ' , • :-A- ~1~ ' I M i 1 ~ ~ ~ ~.:y,
~ . , . 1 ~ ~ • ~ ~ 1 r O . :;~I..,
k 1 \ 11 1 ~I^ I oo~
' ~ ' ' ; . _ i' ~ .--Vd'J 'L-"~ ` l j( ~V 1 4 ( i:
' ' . ~ : s.~'' . ' ,i.,;`V. ~ ~ ~ ~ r , i ~ ! . ~~'~~N ~ a'~:.'~•'i~ '
w• ~ r l:' I ~ • ~ i
~i . . . .,1;T„ :7 • / C`. o , • j :be
. , , „ , ~ , D , ~ ~ , P ~ '
' a`x{ '.~Y,;R!:,~tS~.;, •l" 14
.r`.>"~...1.`( .W ~-wn 0
.
• 1 ;r ; . . ~ :
.
_
_ N .
' i'i i ~
' . `..r . '~j
, 00
a ~ ~ ~ ~~',i~ - ' ~ ~
~ ,4
~ . ' :r~.~ ~ ~ ~ ,o ~
dot
?~~~~A~''~' ' ~ ~~i~"' - : ,.A' . A . ~ ~ ~4"''~. ~~~at^i`.t
~ ~l~ ' . ~ ~ ~ Z. .T ~ e;q•' "
~ ~ ' ~..t_.~~ ; . ~1.rL 'Y' . ~r....o ' k. , . ~ f ~--~zx:~
? \ ~.r.~ ...;4• ~ v • 1 . _ ~ i~ „~~y;,~~ _ ~ - "~~~`s;;s'r° - :;N
~ A~ ~ ' ~ ~fL~~.. ~ ` - ~y~•
V ~ ~ ~ ~ ~ • • ~ ~ Y ~ ~
A`
` \ , , `1 /S• y~~ t A ` 4E,`!~~',1 ,t . L~
~ 4NOI ~ \e 6.
4
~ ~'i ~ r'°' ~ ~ •~+s~~ ~ 1. 'J ~.ti~i~ . f~';~~d '~l~r, a ~
I i~~ ~ V d A' ~,~f- • " -Y ~ A ~
','1 1 ' ~ r._;_ i,l ~...~y,-. ' I .
~ ~ • ~ ,r. . ti; i...y , . ~ a
I A~
1~ ~ .i ~~v .y • Cb E' ti' s
,~1~ 't, I 1 _ ~ I ~ ~ 7 1 ~j- ; a'?i`,
8
9
IO SEE LEF
\
o ~
O
9
R
"b
-1.
N / n
F~010 r35'13
7 ' 40.04 a•
ro ~ 38.00 v 15'R ~
65.62 a
ri 9740
cv
~
7- (D
~ -F`~ (MO
X~ -m
).5'/o grode olong
cul-de - sac. °o
52 Oq /
~g3 L35'R 26.00 . 64.75 i
97.40
9{.25 1S'R 0
~ m.
r ~
~
~
6/J
Surmountoble Conc.
Curb a Gutter
6 5 4 3 ~C
~ o = a° oo' oo" - ,
2 R = 500.00'
' T =34.96' SEE LEFT
L =69 81
-J
i
I 2/84
y ~ CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CON[VECTIOrT
(PLEASE PRINT) .
1) PROPEIYPY ADDRESS: ?Lof S lo i~voo~-1A ti C,.-f •
r•Frar• DESCRIPTION: LC~ ~O Z /7• ~+'Anc.$ ~'?oDt~ 2
(Lot/Block/SubcLivision or Tax Parcel I.D. Nuunber)
T Tn
1L' ST:ci: DAi:. O_° O:ZGii 'i~i LG F~: s'` =5SU:i:C=.:
' PRESE~:i _^.:ll :r/Pt?OFOSED, C77S-: R-1 S;GI„S F2V.Lr,T_,_'
? R-? DU= ('IYiO LNITS)
p R-3 7Cfrin1HO[JSE (THRE"" + UNITS) ( [TiQITS)
? R-4 RPART1-1E^]T/CpVDC{~1Pi]IUD1 ( UNITS)
? CMj E2C7AL/FtE.TAIL,/OFFICf.'
? LIMUSTRIAL
? INSTITUTIONAL/GOVERNMIINP
2) APPLICrINT (PLEASE PR1Ni) n
t~F1ME : j~ l~ l l•'~ 3', l ~e c~ti h 1 1-I Lf"A-
ADDRESS: 4 Z 2 i C~ k c'PLP v T ~PU 'E •
CTTY, STATE, ZIP: L6, /<e~ yYl ~ 3 -7 Z
PHONE: ((„f 2) N 4 7- 1-i ~1l 6
3) PLU„BER PLEASE PHiNT) FOR CITY USE OHIY
NA1vE: 2
PLUHBERS LICENSE:
ADDRESS: ~ Active
CITY, STATE, ZIP: ~ Expired
MAbILH Q ot af Recard
PHONE: PLUMBER LICENSE /i
a nt ia
4) OCY.^UpAN'r/Q+R,1ER (PLEASE P INT)
NAME: fylti~~ CQ
r.DDr~ss : '3 ~ S~ w ~ o ~ s ti (c
1-
CITY, STATE, ZIP: E ~q p /-~'j „ • ~S /
PHO^IE:
5) INpIC11TE Wi-IICH PERMIT IS BEZNG REQUESTf:D;
0 CONNECPION 'IC? CITY SES^TER
,p CONi1E.Y.'I'ION 'IC) CITY WATGR
? OTEiIIt (PITASE DESCRIBE)
6) INDIG,:E O.'v'E:
? PL,EASE HOID APPI2pVEp PERMIT FOR PICK-UP BY ONE OF ABOVE
~ PL£ASE M4IL APPRUVID PER'AIT 'lb 1, 2, 3, 4 AHOVE
• (Circle one)
7) SIGNA'NRE: DATE: 8
F O R C I T Y U S E O N L Y PERMIT ~ ISSUED '
F°ES: ° SE?•iER oEnMT_T (I:ICL'vDE SUP.CHARGE)
WATER PERMIT (I*]CL'JDE SU4CHARGE)
$ WATER METER/COPPERHORN/OUTSZDE READER
$ WATER TAP (ZNCLUDE CORPORATION STOP)
: SEbicR tAP
$ AC:.OUNT GEPOSZ'P - S~i?ER
ACCOUNT DEPOSIT - SdATER
$ t<70. WAC
$
SAC
S TRUNK S+IATEP. ASSESSMENT
$ TRliNK SE:^iER ASSESSMENT
$ LATERAL BENEFIT/TRUNK SETHER
$ LATERAL BENEFIT/TRUiIK WATER
S OTHER $ TOTAL
$ AiNSOUNT PAID/RECEIPT # •~l -~6
DOES UTILZTY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF S9AY?
~ YES ZF YES, THEN A"PERMZT FOR WORK WITHZN
/ PUBLZC ROADWAY" MUST BE ISSUED BY THE G~ NO E[VGINEERING DIVISION. LIST AS A CONDI-
TION.
SUBJECT TO THE FOLLO[JING CONDITIONS:
APPROVEp BY:
TITLE:~~/~ f~_f~•/~
DATE: 10- a ~-(ST
~~ww~==sobo.c=Was*_wwAWwWwtwwwRawUM w4P~10 Wr~~wt~s~frw.awtw wwwMM
13R J~ ~ ~ 8raun InMrtec Corpowfion
~
, 6950 Wesl 146th Streel, Suite 131
( Apple Valley, Minnewta 551248520
I N T E R T E C 612-431 4443 Fax: 431,3084
Engmeers and Scienlisfs $ervmg
the 8udl ana Natural Environments
November 1, 1996 Praject BODX-96-289
Mr. Myron Staph
Fischer-Staph Construction
3438 150th Street West
Rosemount, MN 55068
Dear bir. Staph: to590a o('o oz /YI F" w.,o 2h4
Re: Engineering Evaluation, Townhomes at 3678~ 3682, 3684, 3686 and 3688 Widgeoa
Way, Eagan, Minnesota
As you authorized on Sepcember 30, 1996, Braua Intertec has conducted observations and
made recommendarions zegazding the repair of the slab-on-grade pauos and deck footings at
the above-refezenced rownhouses.
Background Information
Braun Intertec first observed the townhomes at 3678 and 3686 Widgeon Way on October 17,
1995. The piupose of our original observation was to aid in evaluauag the cause of the
seveze frost heave of the deck footings and slab-0n-grade patios. Results of our observations
were summarized in our report dated October 20. 1996, Braun Intertec Project
BODX-95-287.
You indicated that in the fall of 1995, a drain tile was installed approzimately 10 feet east of
the existing slab-on-grade patios. The drain tile was installed approzimately 4 feet below the
existing surface and was placed az a flaz grade to the existing catch basin on Widgeon Way to
the nonhr°st oi ;he ouiIdings. .ou indicaL°d «at *!+e drtin h1e aupeared to reduce the &ost
heave during the winter of 1995-96.
Observations
The recent ohservatlons were conducted on October 1 and 2, 1996. The existing
slab-on-grade patios were removed on October 1, ezposing the subgrade soils. Random,
stiallow hand auger probes pess than 3 feEt) were put dowa to aid in evaluating the exiscing
soil condiuons. The soils encountered consisied of silty sand, clayey sand and silt. The soils
weze wet and judged to be in a loose coadition. At tiris time, we recommeaded that the
exisring soils be removed to top of footing elevation az the rear frost depth footing of the units
to 4 feet below exisang grade az the deck footings. We recommended that the soils be
replaced with a cleaa sand with less than 10 pezcent passing the numbez 200 sieve and that
drain rile be installed below each pario unit.
Fischer-Staph Construction
Project BODX-96-289 !
November 1, 1996
Page 2
On Oaober 2, 1996, we observed the repair. The ezisting soils had been removed to the
depths recommended on Oaober 1, 1996. From 3 1/2 to 4 feet of soil was removed. Drain
tile was instalied at each pacio and was connected to the existing drain tile installed along the
east of the building. The saad import was a medium- to coarse-grained washed sand with less
than 2 percent passing the aumber 200 sieve.
On October 2, 1996, we recommended that the soils around the post footings aiso be removed
and renlaced with sand. Based on our hand auger probes, it was our opinion that the soils
beiow the existing post fooungs are adequate for support of the relatively light foundation
loads. The soiis encountered generally coasisted of inedium dense silty sands.
Summary
Based on our observations and hand auger probes, it is our opinion tYiat the repair conduc[ed
az 3682, 3684. 3686 and 3688 Widgeon Way will reduce rhe frost heave to the slab-on-grade
pa[ios and deck foodngs. The clean sand is considered to be non-frost susceptible and will
provide a stable subgrade below the pados. Around [he deck foorings, the clean sand will
reduce the ireezing, adhering and heaving of the deck foodngs.
We recommend rhat positive surface drainage away from the patios be maintained az all times.
The draia tiles placed in the clean sands will assist in draining water which could drain into
and potenrially pond.
We did not observe rhe installadon of the drain tile to 3678 Widgeon Way but we understand
that the drain ale was eztended to 3678 Widgeon Way to connect into the street storm sewer.
The drain dle was placed between the rear of ihe uniu and the existing retaining wall. Drain
rile was stubbed off the main drain tile to each deck fooung.
Geaerai
Services perfocmed by the geotechnical engineers for tlus projeci have beea conducted with
that level of care and skill ordinarily exercised by members of the profession currendy
pracricing in this area. No warranry, ezpressed or implied, is made.
It has been a pleasure beiag of service m you on rhis project. If you have any quesrions or
require additional informaaon, piease call Jim Samuelson at (612) 431-4493.
Sincerely,
M. Samuelson
Office Manager
~ Fischer-S[aQh Construction
Projecs BODX-96-289
Novembez 1, 1996
Page 3
Pro[essional Certification:
I hereby certify that this report was prepared under my
direct supervision and that I am a duly Registered
Professional Engineer under the laws of the State of
Minnesota.
John T. Cazlson, PE
Senior Engineez
Regisoratiion Number: 20663
c: Mr. Mike Foertsch, PE; City of Eagan
.
jw:d6\96289Vtr
,
Use BLUE or BLACK Ink
r-----------------+
I For Office Use I
C� � Permit# ������ �
lty of Ea�an �o�� � zo�� � � - �./ �� �
� Permit Fee: llQ� I
3830 Pilot Knob RQad � �
Eagan MN 55122 � Date Received:� 2���
Phone: (651)675-5675 � �
Fax: (651)675-5694 I Staff:�j �
I I
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 1,�2'�"{� `� SiteAddress: ��C S�O Wp��.�'Us� C.- ` Unit#: �—
- � � ` � � C�St� �cS2-2�32
`` '° Name: �1�-}�tC{ rn,P "�t �C Phone:
# Address/City/Zip: �S�a �.�'� (�� �,r � N ���
Applicant is: Owner Contractor
�� /� $ � �.` ���U �4�"` *�
Description ofwork: ��,p(� ���N� ��iJ�l � 1C �,Q �dy� ��
O
Construction Cost: � � O� Multi-Family Building: (Yes /No � )
N�a N�n..� ,�y0o�'.J,R� ��n� v ��.-�a- .,I1r� �f` ` (
Company: on act: QKF-1c� 1 G t
Address 1-.V. a (7�1C ��� City: C,���o `l'e
,. O
State�zip� U�� Ph`or��-21�'•2yS 3 Enea1�y�Q��C�'��n�?� � �
' License#: �C.(os Q'Z� � Lead Certificate#:�v�T– ��'�� .s(p 2� �
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
� : ��— ��t�-� 1�"'1 �
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: i
Sewer&Water Contractor: Phone:
� . t, .
; 0,> � a � a � g oc o. ` e • - .
: f a o a e s � o ; �
n a - e � �
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.qopherstateonecall.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.
Ezteriorwork authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
X p�� �l, G.�� X ��', I
ApplicanYs Printed Name Applicant's Signature
Page 1 of 3
DO NOT WRITE BELOW THIS LINE l �-���j� �
SUB TYPES ���� ��'"����';°��� ��J
_ Foundation _ Fireplace _ Porcb(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 _ Repair _ Egress Window _ Water Damage
Retaining Wall *Demolition of entire building`—give PCA handout to applicant
DESCRIPTION
Valuation � OUO Occupancy �� MCES System
�
Plan Review Code Edition �p� �IS�C- SAC Units.
(25%0_100%�) Zoning �2 City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Sprinklers
Type of Construction _'� � _ Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final/C.O. Required
Footings (Addition) � Final/No C.O. Required
Foundation HVAC Gas Service Test Gas Line Air Test
Roof: _Ice &Water _Final PooL• _Footings _Air/Gas Tests _Final
Framing � Drain Tile
Fireplace: _Rough In Air Test _Final Siding: _Stucco Lath _Stone Lath _Brick
� Insulation Windows
Sheathing Retaining Wall: _Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Erosion Control
Braced Walls Other:
Reviewed By: , Building Inspector
RESIDENTIAL FEES
Base Fee � -r ,�^ �������--ll�---
Surcharge ����r�� v� �
Plan Review 1 j �v-1U �-
MCES SAC ��f�N
City SAC
Utility Connection Charge
S8�W Permit 8�Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
Use BLUE or BLACK Ink
� r_�______________i
I For Office Use
' � Permit#: � ��I D�� �
Clty of Ea�aIl �� �
� ,
3830 Pilot Knob Road I Permit Fee: �
Eagan MN 55122 � I
Phone: (651)675-5675 � Date Received: �
Fax:(651)675-5694 I �
� Staff: �
�-----------------�
2015 MECHANICAL PERMIT APPLICATION
❑ Pleas submit two(2)sets of plans with all commercial applications.
Date: l 1 �� Site Address:✓�t� W �Q C+ �"� f �� C� -
Tenant: Suite#:
i��i� �E ��,
� �;`� �� �: Name:
� Phone:
���� ��m ui�������
,�,�,�H,�.����A�,���o��,�;�„ � Address/City/Zip:
x n {
;. �.: �� � �a,n�Gl� C � � �
� r ���i�
� - ����� Name: �wl,!� �t+�, � License#: � """ �
��� .E .�. , 1' ( � �
'` '� = �� Address: ��� b GtG ���t.� City: �� `��I I J
'� ��E�ti1' r Q �
�ia�� ��h�� v �± �
�`s � State: Zip:�ofc,/ Phone: � �" �{�`t' '�"l O��
��� � i��� � .�; Contact: ��-7�`�C EmaiL �Q✓� ��4.�.G �C,cr+�
�
�o �-����: ..�a��, � �Ii�N�ti�-_
��aEi� ���t��� �a �
�,. � �� � i�a����i�,���- � New Replacement Additional �Alteration Demolition
4�� � � � {� r _ ,, �-+
'C��p���y���,�` Description of work: lCetM�e�IiL,. w-� �ce,cK.f�e�.�L "T'�-c.�L..L�---
�I) �. ifl�'Y��i�l� ll��l��"�'�k. ' . ; . (� '■�+�
i a��`"`� i �,�( �
.: � 7 1 ��"#'7��� .�� � °I�1 � � � ►I �#v}ar �•_. \ � � �t s; `A..... 's.?_.�a
�. � ���� ��: � �► c �� �r
E.�e� � � ¢�� �. .� ��� e,:, y���� ��� � �� � � �� �:
�'�a�a s���=�` �±"���!�l °:,� �'ii,���'�Wi r, ,, � .� re� 1�!'�tlfit 81 t1�! �,���
��, Y� �� j ri�' RESIDENTIAL COMMERCIAL
` u �� Fumace New Construction Interior Improvement
..`�
�
� ���,����� . _Air Conditioner Install Piping Processed
� �� Air Exchanger Gas Exterior HVAC Unit
�,i�u��:��, ,��H�ti��������,k - — �. �
��f����� � �
����� f�a�� _Heat Pump _Under/Above ground Tank (____Install/_Remove)
ia �� q����+,����, Other �
;,h��H��� —
RES/DENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit(includes$5.00 State Surcharge)
$100.00 Residential New(includes$5.00 State Surcharge) _$ TOTAL FEE
COMMERCIAL FEES Contract Value$ x.01
$55.00 Permit Fee Minimum
$70.00 Underground tank installation/removal =$ Permit Fee
"If contract value is LESS than$10,010, Surcharge=$5.00 =$ Surcharge"`
"*If contract value is GREATER than$10,010, Surcharge=Contract Value x$0.0005
'""`If the project valuation is over$1 million, please call for Surcharge =� TOTAL FEE
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.
x ����b ����1 x
ApplicanYs Printed Name ApplicanYs Si ture
�� � � � �'��� v a �� �-� ��� � �"� � �
��� � ��� _ � ��� �- � ����" ������"�`�� � � ��� _
q t`� q . � �, � � �� �� �vt��d��r��r `� � �
� > , .:. �, �.� � � � �� � � :� ��
v�nde" a�� � �, �h�m � =Air T�:s��� : . a�_��:�u��e T�t; lrrR��r`:F�[�a� .. :�.� �t�J �¢��x:�.
. ��.. A � � �
Use BLUE or BLACK Ink
. . r----------------�
I For Office Use �
� I
' � Permit#: �� ��� I
Clty of ����� � v�- �
� Permit Fee: �
3830 Pilot Knob Road � �
Eagan MN 55122 � Date Received: �
Phone: (651) 675-5675 � �
Fax: (651) 675-5694 L Staff: ______________�
2015 RESIDENTIAL PLUMBING PERMIT PLICATION
Date: � �� Site Address: ��� ��%���. � �
Tenant: Suite#:
� F �.
�` � ���� Name: Phone:
� :�S ;��
�;-_�. Address/City/Zip:
�g} 1 '���
. ��
�� -; Name: K E�G � l y License#:_�i v w�
, ,
� _
. �I
;. � Address/�� �G�-- �O...c_._- � �.. c� C.�„ City: �t c 't Z.
.�1 � .r
��.� �-- ����
� °� � : State:,�Zip: �1�---E� Phone:�e� �
_�
� Contaat�� � � Email: �w+�'�'�� ��w c °-�ati�,_,..
�. , ,.�, „
#�;3� " � _New �Replacement �.Repai� _Rebuild _Modify Space _Work in R.O.W.
,� ��t ��f —
R � _° �� ,_jJ'�_
� ���� _• - " Description of work: �'"�K� C' W�i, °' G�'�'�\ F�- 0.t�---
- �=: RESIDENTIAL C��– d��"^ �� �Q !
� I
� � � '�� �-�{Vater Heater II
�� Water Softener
� ,�! � Lawn Irrigation�RPZ/_PVB)
� `��,���r � Add Plumbing Fixtures�Main/_Lower Level)
�
��� -��i � Septic System
��Y
°� _ � ` NeW Water Turnaround
�: ? Abandonment
,x�_. _= Y_3_:
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener(includes$5.00 State Surcharge)
$60.00 Lawn Irrigation (includes$5.00 minimum State Surcharge)
$60.00 Add Plumbing Fixtures, Septic Svstem Abandonment,Water Turnaround`(includes$5.0o State Surcharge)
*Water Turnaround(add$200.00 if a 5/8"meter is required)
$115.00 Septic System New($10.00 per as built)(includes County fee and$5.00 State Surcharge)
TOTAL FEES$
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.qopherstateonecall.org
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
X ��`�"�' � V'�iW Lv X
Applicant's Printed Name Applicant ignature
��-.� . � . v,. . __ . _ _ _ - _ .- _ .
e m
F �r � - _a� �. . .
���� �� � -- Q . - -:o. .
���er .e��� � $�# � .:_ . . . _, .. ���.ea y�, � �
� ._ � �.� , �- }� _ : _ � � :.
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA132424
Date Issued:08/13/2015
Permit Category:ePermit
Site Address: 3656 Woodthrush Ct
Lot:6 Block: 2 Addition: St Francis Wood 2nd
PID:10-65901-02-060
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Craig H Mattice
3656 Woodthrush Ct
Eagan MN 55123
(651) 452-2932
Haley Comfort Systems
122 3rd St W
Hastings MN 55033
(651) 437-0338
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
. r—————————————————
I For Office Use. �
I
• � Permit#:�� �
Clty Of ����Il '
i �.�--v��. �
� Permit Fee: �
3830 Pilot Knob Road I �
Eagan MN 55122 � �
Phone: (651)675-5675 I Date Received: i
I
Fax: (651)675-5694 � I
� Staff: I
�-----------------�
2015 SEWER AND WATER CONNECTION AND AVAILABILITY CHARGES
EXISTING RESIDENTIAL PROPERTY
Address:
_�3�0�C� WG r r�f'�i v� �� C �'. ��.,,..��i��� ����u� ���� �` `�
�;
�� �� • � �.,�w�r�i`'���� �u �� F 3
� '� �A��'����r�`' c'`;�sr�
S 7 � +� 2�f h€ I
Property Owner: �C �a a�� � � �
�
.
�-- 7 �` ����������� ���� ��
PIIOIIC: ����� � --1 J�� C011td'Ct N'dlll@: ������ � �`� �"`�': ��� a� � � ��� �.�
Plumber: �GL vL 2 C. l"C � �"����,�`'������������ �
y � y Y 1:.4'°r 3"' � 'd{`0� �, L °t'D rc' :,,?.
��S& � {}�� # � t�.iY
��
�gk.� �::����C 'j35 3`d,�"
$'. .�'1�'.k`d"a4 F^"�'�'h'��`�,. ",
� �G"��M�i1 � �,"�i��'vt ���` ,a ar�.��^������:R � r: r `�„s r 3;��
a�y
Sewer Service Water Service
Sewer lateral charge Water lateral charge
Sewer trunk Water trunk
City SAC @$100/unit Water Sampling Fee
MCES SAC @$2,485/unit Water supply storage
� Receipt#: , Date: Receipt#: , Date:
Permit Fee $60.00 Treatment Plant @$843.50/unit
State Surcharge $5.00 Permit Fee $60.00
��� �� TOTAL: ��jU State Surcharge $5.00
"Plumbing Permit Required—water meter to be
acquired with buiiding permit TOTAL:
. ._ .. '� ' u:� ��.. +��� !� p �'x'�`�: �:'�1v�✓.r t -1 �v', rb,�3��y.�>�.-�;�":�d�'���'��'�'r�' S a a� i
'; �, "' s,_. , : . �i ^ � _,�� . ..,.,.a� ,.,. ,..v ,-���[1���'���..4=�l�"�,. ^.,,��.. ,.^ti
°g b a^�^x
e. ..,.., ,,., p , . . , .. �, ,..
w(�S l h S�'I�L� '6 � Sewer Service
�c � ,� L�G /� Water Service
�'v� �- Sewer lateral charge
,L� ��u� � t•y�J Water lateral charge
� � �- ,/ / Sewer trunk
�'� N'� Water trunk
Water Sampling Fee
City SAC
MCES SAC
Receipt# ,Date
Water supply&storage
Receipt# , Date
Treatment plant
Permit Fee $120.00
State Surcharge $5.00
"Plumbing Permit Required—water meter to be
acquired with building permif TOTAL:
Number of SAC units is determined by the Metropolitan Council Environmental Services(651)602-1000.
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
Cc: City of Eagan Finance Department
City of Eagan Inspection Department
ATTN: Peggy
Work performed affidavit for 3�55 V�oadt�rt�sh �tt Eagan, MN 55123 ,
Plumbing Permit# 129066 i
We removed and reset the water heater er our ermit a lication. We did not I
p p Pp
remove and reset the furnace as this was no longer required by the general
contractor.
Sewer and Water Permit # 132807
We performed emergency sewer line repair for 8 feet of sewer pipe coming out of
the house. The sewer line had a large split and significant leak into the ground.
We made the repairs and insulated the line.
X �
Dav' Janecky
Use BLUE or BLACK Ink
r-----------------+ / .
• I For Office Use ��_�
. � ������ I
Permit#:
��� 0� ����� I Permit Fee: ��` ���
3830 Pilot Knob Road � � ,�I f}"�
Eagan MN 55122 � Date Received• `���sf i
Phone: (651)675-5675 I I
Fax: (651)675-5694 i Staff: i
2015 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit#:
` Name: ' ' fj C�^c� �,1���� Phone: b��'4''1 �-�2�3"Z
R�srr��r�t� \
�yp�l' Address/City/Zip: ��os(m ��C`��`�"hC�i"�� e-�
Applicant is: Owner ✓Contractor —'
Description of work: � '2�� ��3 1JPS� �2J��iC(��� ,Z= ��s�
, T�pe a�wo,�c � � 5 s
�'���' `'
Construction Cost � "'� Multi-Family Building: (Yes /No�
Company:_t�\����-�..��SS'K�c.�" � r
�Contact: � ► 1
Can�ra�t�r Address: �, � . �cg� ��—F� c�ty: �t�-�.�':t�''
State:�,{JZip:�J J��"'�r Pho� �`�'2'"��� EmaiL���T'���SJ 1"� r C'`�v°hA.\ ►CB
n � i�/'
License#: (�C�o� �Z'� � Lead Certificate#: � ��`�.� V�r' �
If the project is exempt from lead certification, please explain why: ��+ ���G�
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:
' N#3TE"P�a�S s�i�d��rrg d�cil�r���,�t�;�'cr��t�et��cferoal to 1��p��'�c i�'�rr�i�, P�rf��f��
t�re�rtf�r��i�rn ma��be����r�sd�s r�or��r�b�c 1Y yat►pro�+i�e�pe�i��reast�t��t�af ww�ulr�perr��t��C�Ky t� ,,
�
co�ccc�rde��t the ��e t�t�l����ets. , :
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.ora
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.
x ��'F—l—a—' t� YI '� � x ��_
Applicant's Printed Name Applicant s Signature
Page 1 of 3
�/ �
����i �dQ�:I������ Cr DO NOT WRITE BELOW THIS LINE ��-���� V
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 _ Poof _ Accessory Building
WORK TYPES ��YJ jT�'�,1 �,(f�..��1.f1 L.
_ New _ Interior Improvement Siding Demolish Building*
_ Addition _ Move Building Reroof Demolish Interior
� Alteration _ Fire Repair _ Windows _ Demolish Foundation
_ Replace _ Repair _ Egress Window _ Water Damage
_ Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION
Valuation ���� Occupancy � MCES System
Plan Review Code Edition ���.�,r c,'` 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 �_ Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final/C.O. Required '
Footings (Addi#ion) � Final/No C.O. Required
Foundation HVAC Gas Service Test Gas Line Air Test
Roof:_Ice &Water _Final Pool:_Footings _Air/Gas Tests _Final
Framing Drain Tile
Fireplace:_Rough In _Air Test _Final Siding: _Stucco Lath _Stone Lath _Brick
Insulation Windows
Sheathing Retaining Wall:_Footings_Backfill_Final
Sheetrock � Radon Control (�������=�;�,.
Fire Walls Fire Suppressiori� ough In_Final
Braced Walls 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 S'� (�
Treatment Plant
��
Copies
TOTAL
Page 2 of 3
� tfse�Lt�E ar BLACK tnk
' Fort1fficeUse---------{ `�
�' ,: permit#: /�-s L/..5� (j Q��" ��
��� �� ����,�� ( Permit fee. 4�� ��� � ,`�
3838 P�lat Knob Raad �
Eas��,nn�����a RECEIVED ; o�te Receiued: /o J� �/.Sf� �
Phc3ne:{651}67�-5675 � ��
�a�:�s���s7s-�ssa. OCT 0 6 2015 � st��: — i
v��.��v��_�'������J
201� R�E�1[}E�ITIAL BUI�.�ING PER�{1T APFL�CA71t�1� "
�at�: /��..�"�'P� Sit�Address: '3.��� ����.�-�,�c�s�4., ��- ur��t�: xi_..-�-�--
� � � � � � Name: A:,e �.: �A +�.�.- Phone: t,���- �l S`Z-�.�,,�'Z.. �
� ��� � � � �
� � � ' ���� � ad�r��r c��y r zp: ��� ��� � � � ��� �'e �..�--� �/�' .��'►►r-� � �'�1�. � �
� �ippficant is: �wner �' ConEracfor
�„� ,�„��.�. �� _ n.�„�4
� ; �� . ��� `� Descriptian af waek: ��eP� � �� � ��R '�,sZ.. ����-� �+���f�.����m
�� � � ��
��x ���� �
� `� ���r�� � �`� Construction CQst: �(%� Multi-Family Build'ang:{Yes l�ta�
�r � �
�+ � �e
� , � ,,�� Gt3fTt[lafl}t: Gi � � �.5'��-°" L.i��S ���OE'ttr3G'�: , F-�i� ��`�a�
� �
�` b Address: �.'� . ���..�:�� , City: �..:�,.�-�`.���-
� ��
�� � � � ���
� ,�� � State: Zip: ���+c Phone:�-�t.��Z-�t� Emai{: �e�1�,,�1e° �.'�5�\ "�Ai�
� � ' �G�r�..,.
� 0 s .� i p
� �F° �..iG@tiS�#: _l�� �--- \ LG'8t��:�C�tftC����: �1�.�- k °�• �'�.'." 1 �
: u �,��... �
if the project is ex�mpt from tead c�r�ific�tian, please explain why: � `��"" ��,r..� �
�
� +COtVtPE.ETE THtS AREI�I(3P�LY 1� CCtNSTRUCTING A N�W BU1LE)IEIG
� tn#he Bast 12 months,has the City af Eagan�s�ued a permif for a similar plan based on a master ptan?
Yes No [f yes, date and address of master piart:
�
Licensed Ptumber:_ _�-- ---__.._�___Fhane: �
� �
Nfechanical Gontractor: Phone: �
Sewer&Vltater Gon#ractor: Phone.
�
� Fir�e Suppressietn Coniractor: Rhone.
�� �� � �+t � �. N ` � � a � u��, � , < �M
� '-t e,� �, 9� s t�.. �",�,s�:.�d�, L. �- � � � �'�h �� c �t �� r,a� � .�'z s�' ��..:�
���C�����t� .��` ,� h � ��," �'�� �' �� � � ��
3 4 k. ,"x"e.:n '� f �a'`� � 'L `C�,{t "? 0. ,Y Ak c.A �
\7 t-P - D �' 4.{. � 3�-. x +YE .�"'� -�,p+; > : 3+m'.� �.3�5 �y'@,� �'`S�xw�� �k � '�':A��
,,,.�}, z�.r, n r' a�� �� t�� � � � ����;� '�l� ��� �' r�
r
� �.,, .�, ,e� r, � =.. 4� ,, <. ,4, �FP.,.v ,- � ,�. �... .. _ <� _ ..�..a�s= ��� �� �.
w' a �
." , , :�. -,�, . �, . �,, , �e�G-
CALL BEFC}RE YdU QlG. Gai(Gopher State One Ca11 at{651}454-QikI2 for prntection against underground u4ility damage. Ca(fi 48 haurs
befare you intend to dig ta rece�e tocates of underground utif�ties. � h�rsta#�car€�c�ll.ar
i hereby acknowledge fhat this irrfc�rmatiQn is compPete and accurate;that the work will be in conforma�ce with the ordinances and codes c�f the Gity of
Eaga�; that I understand this is not a permiY, but oniy�n applicatiart far a permit, and wark is not fo start without a permit; that the work wi1P be in
accordance with the appraved pEart in the case af work which requires a review and approva!flf pfans.
Exterlar wark authorized by a building permit issued in accordance vuith the Minnesota State Buitding Code must be campleted wrEthin 1$Q
days ot permit issuance. �
� e� X
*��
Apptican#'s Pr��ted Mame Applican#"s Si�geta#ure
Page� of 3
,
* • C..��DO NOT WRITE BELOW THIS LINE � ���'S�
���to G( �'� f �� ►�GL�-i. -
SUB TYPES
Foundatio� Fireplace Porch(3Season) _ Euterior Alteration(Sing�Famity�
�( Single Family _ Garage _ Porch(4-Season) _ E�cterior Alteration(Mutti}
��--� Multi Deck Porch(ScreeNGazebolPergola) _ Miaceltaneous
01 of_Plex _ Lower Level _ Pool _ Accessory Buiiding
WORK TYPES
New interior Improvemer�t _ Siding _ Dema�ish Building'�
` Addition � Move Buiiding _ Reroof _ [�molish tnterioe
Alteration Firn Repair _ Windows Demotish Eoundation
Replace _ Repair _ Egress Window �Water Damage
Retdining Wali •Demoiition of entire buiiding—give PCA handart to appiicant
DESCRIPTION
Vatuation � Occupancy a �� MCES System
Plan Review Code Edition ��_'�'��/ ��'�� SAC Units
{25%_100%,� Zoning Ci#y Water
Census Code Stories Booster Pump .
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction Width
REQUIRED INSPECTIONS
Footings(New Building} Meter Slze:
Footings(Deck) Finai/C.O.Required
Footings{Addition) X Finai/No C.O.Required
Foundation TP HVAC�Gas Service Test Gas Line Air Test
Roof•_Ice&Water _Finai Pooi: Footings Air/Gas Tests Final
� Framing Drain Tile
Firepiacs:_Rough In Air Test _Final Siding:�Stucco�ath Stone Lath _Brick
k insulation Windows
�� Sheathing Retaining Walt:_Footings_Backfill_Final
Sheetrock Radon Control
Fire Walis Erosion Cantroi
Braced Walls ��8f:
./`�
Reviewed By Building Inspector
RESIDENTIAL FEES
Base Fee �� �;��
Surcharge ��� ? �k ��� ��
vi w ���"�� : `�P � �f�
Plan Re e � , ��
MCES SAC � �� �
�r�1��,�
City SAC ��!
Utility Cannection Charge
S�W Permit�Surcharge �
�.
Treatment Plant
Copies
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA132726
Date Issued:09/01/2015
Permit Category:ePermit
Site Address: 3656 Woodthrush Ct
Lot:6 Block: 2 Addition: St Francis Wood 2nd
PID:10-65901-02-060
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.
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 (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Craig H Mattice
3656 Woodthrush Ct
Eagan MN 55123
Benjamin Franklin Plumbing Northfield Inc.
32018 Dahomey Ave.
Northfield MN 55057
(507) 645-4037
Applicant/Permitee: Signature Issued By: Signature
411°
CityofEaQali
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
r
Use BLUE or BLACK Ink
For Office Use
Permit #:/ e
li
Permit Fee: t
Date Received:
Staff:
2015 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: (/ f/ 7 ' Site Address:
Tenant:
Suite #:
seder
Name: Phone:
Address / City / Zip:
Name: ��i "7 Cf._ C-- by fw ',"2 4, License #:
�' `� 0 i City: 4 ,/
Address: /oC / m �? % �L L4. / /
State: Zip: Phone:
Contact: Email:
e
New Replacement Repair Rebuild Modify Space _ Work in R.O.W.
— —
—Description of work:
x .
It T "x
E ENTIAL
Water Heater
Water Softener
Lawn Irrigation (_ RPZ / PVB)
Add Plumbing Fixtures ( Main / Lower Level)
—
Septic System
Water Turnaround
New
Abandonment
RESIDENTIAL FEES:
$60.00 Water Heater,
$60.00 Lawn Irrigation
$60.00 Add Plumbing
*Water Turnaround
$115.00 Septic System
Water Softener, or Water Heater and Softener
(includes State Surcharge)
Turnaround* (includes State Surcharge)
TOTAL FEES $
(includes State Surcharge)
Fixtures, Septic System Abandonment, Water
(add $280.00 if a 3/4" meter is required)
New (includes County fee and State Surcharge)
CALL BEFORE YOU DIG. CaII 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
1 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 ' to tlart,Itbo a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval -plans.
x
Applicant's Signature
Applicant's Printe
Name
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA177329
Date Issued:06/27/2022
Permit Category:ePermit
Site Address: 3656 Woodthrush Ct
Lot:6 Block: 2 Addition: St Francis Wood 2nd
PID:10-65901-02-060
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.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the
water damage.
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Craig H & Charlotte Mattice
3656 Woodthrush Ct
Eagan MN 55123
Estate Claim Services Llc
6701 Penn Ave S, Suite 201B
Richfield MN 55423
(651) 309-1114
Applicant/Permitee: Signature Issued By: Signature