3660 Woodthrush Ct
CITY OF EAGAN SEWER SERVICE PERMIT
3830 Pijpt Kra RoM
pERMIT NO.:
P.O. Bo Y
x l1 w Eayan, MN 55121 DATE:
Zoning: R1 No. of Uniffi: ~
Owner. PosBUm Conat
Addreas:
SiteAddreas: 3660 Floodthrush Court L8 B2 St. Pzancis Wooda
Plumber. McGuirgHechanlcAl
YI 4 `22-$ 77704 100.00pd
I egrN to comply wMh ft CMy ol Eagan Connection Cherge: S7 5_(l Opd '
p~ances, Account Deposit: 19 _ ()0nd. Permit Fee: T cl _ 0012ti_
Surcharge: - 5n_';- ~
By Misc. Charges: ,
Date of Insp.: Total: .
InsP•: Date Peid:
r~r•*,- -s- _ _ - - - - _ - . - - , ~_t _..._--....,~.:.F~rv. -..t• ----+-J-- - •
CITY OF EAQAN Permit No: 8907 Date: 7-22-87 ;
3830 PUpt Krpb'Road Meter No: Size:
P.O. ~px 211 9~ Reader Na Dete
Eayan, MN 55121
Owner. ToBSUr., Const. '
Site Address: 3660 Wo t rue t. t. Wanc s o s I i
Plumber YcQuire Aiec anica
Conn. Chg: 525. OOp4
2oning: •'I
Acct Dep: 15• QOpd No. of Unita: j ~
Permit Fee: 10. OQqci '
Surcharge: - • SaDd I agrae to compty wkh fht Clty of Esyan '
Tr. Plant 180. OOnd Ordinances. ~
Meter. G7,L1pT
nnisc- gy i
I
~ WATER SERVICE PERMIT I
- - - - J;
CITY OF EACAN Permit Na 8907 Datec 7-22-87
3830 PBot Knob Road Meter No: Size: y ~
P.O. lpox 24199 Reader No: 91 Date D~
Eagan, MN 55121
Owner. Fossuiu (;onst.
Site Address: 3660 Woo t rus i('t . L., t. T'ranc sWooc, s
Plumber 1'-cCuire rl%li
Conn. Chg: 525.002d R.1
Acct Dep:
Permit Fee: 10 • ROtg~
, Surcharga --16 ' •m ~~rsbfo mpty with tho CMy of Eagan
Tr. Plant 1 30• Atwv nc,s.
Meter. ('7 00F i ~
Misc.: gr
WATER SERVICE PERMIT
~ CASH RECEIPT ~
• - ~ CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, M I N NESOTA 55122
DATE • V~ 19
REClIV<D , , • ~
FROM ~-7c?' %L.ti J ~ 1l1~ L _
AMOUNT $ I•
6 DOLLwRB
~ee
~ CASH CHECK
~
raR L~'(.i' r~-' ~-I/ L(.-t__• fC_•
i
:
79 ,
•VND CODE AYOUNT
.j
C f:rl d~ ~ i... C/
Thank You
,
B Y
T^hh
7
White-Payen Copy
Yellow-Posting Copy
Pink-File Copy
CASH RECEIPT
~
• . - CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE ~ 19
i I
RlCtiVBD _ RROM " ' ~ •
aMOUNr
~
Q DOLLARS
~e•
? CASH aCHECK
FOR
\
' ' ~ .r-~' "
FUND COD6 AMOUNT
-
Thank You ~
BY (
a
~ . White-PaYert COPY
Yellow-Postinp Copy
Pink-File Copy
BLDG. P5RMIT NO
01-3210 , Bid'g. Per~~t'
01-3422 Plan Check
01-3445 Surch./Adm.
01-3446 SAC/Adm. ~
01-2155 Surcharge ~ 7 U
I7-3860 Road Unit
20-2275 SAC S ~
.
20-3865 Water Conn.
20-3868 Water Trmt. ull v
20-3716 Water Meter
20-2252 Acct. Dep. I
20-3713 Water Permit
20-3743 Sewer Permit
79-3866 Sewer Conn. C1 c_ ,
11-3855 Park Ded.
~
I
I
TOTAL ~ ~ ~ ~
. . ~ J
CITY OF EAGAN ' 76s'
3830 ISilot Knob Road, P.O. 8ox 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt # - ~ '
To be used for a EME!lEli! Est. Value =1r500 Oate APR 2 g 90
Site Addrs 3660 W00D'htRUBH CT
I LOt 8 BIOCk Z S@GSub. ar ~MI& ~p OFFICE USE ONLY
Parcel No, acuoancy - FeEs
Zoning
W Name PEZ'ER a DARI.1? THALDORF (Actual) Const _ BIdg.Permit 35.00
~ 3 Address 3660 ~~RUSH CT (Albwable) - Surchar e 1•~
0 City Phone 452-2059 # of Stories _ 9
Lgngth _ Plan Review
i o Name SAM Devth - snc, ciry
Address S.F. Total
V~ City Phone S.F. Footprints _ SAC, MCWCC
On Siie Sewage - Water Conn
~
~ W Name on Site weu
w Wa1er Meter
Address MWCC System _
i~ Clty PhOn@ CityWater _ Accl.Oeposit
PRV Required _ S/W Permft
I hereby acknowlege Ihat I have read this application and state that the eooster Pump - S/yy Surcharge
infartnation is correct and agree to comply with all applicable State of
Minnesota Statutes and City al Eagan Ordinances. Treatmeni PI
Signature ot Pertnitee APPROVALS Road Unil
n auilding Permrt is issued to: pETER OR DARLA TElALbORF Planner - park Ded.
on the express condition thai all work shall be done in accordance with all Council '50
applicable State ol Minnesota Statutes and City of Eagan Ordinances. gldg, pff, _ Copies
Building OHicial Variance - TOTAL
~ c
PKmit No. Permk Ho1dw Dats TelepAo~e x
r
WATER
SEWER
PLUMBING
H.VA.C.
ELECTRIC
Iopwtlon Date Msp. Comnents
Foolings I
Foundation
framirg pj~"
~9 Ragh PIb9•
~ ~
bd.
Fireptaos
Final Hlg.
Final Plbg.
Const. Meter Plbg. Inspettor - NoNfy Plumber
Engr.IPlan
Bldg. FinW 'S / - u 5- OR O i' ~
Oedc Ftg. cw- % -
Dedc Final
weli
Pr. Disp.
' •CITY OF EAGAN 349 3
' ? 3830 Pflot Knob Road, P.O. Box 21-198, Eagan, MN 557 21 '
PWON E: 454•8100
BUILDING PERMIT Receipt
To be used for Est Value ? 13u,t1Uu Date I"}; ? L ,19 :.1
SiteAddress OFFICE USE ONLY
~ Lot 'Block • Sec/Sub. 2 On Site Sewafle Occupancy '
MWCC 3ystem ~ Zoninq
ParCel No. On Site Well Typs d Conat '
City Water ~tX (Actueq
a Name ' I (Allowable) %I
W • it of Storles = Addreas ~
~ 4~~'.;_3614 Lengtn
C(ty PhOne Depth 33
S.F. Total I
p Neme Footprtnt S.F.
0~ Address APPROVALS FEES
~ City Phone Aseeeaments Permlt
Q WatedSewer _ 3urcharge
w W N9me Police _ Plan Review
W
Address Fire _ SAC, City • ~ ~
Engr. 3AC, MWCC
~ W C(ty PhOne Planner _ Water Conn.
Council _ Water Meter
I hereby ecknowledqe that 1 have read thie appllcation and state Bld9• Off• - R08d Unit IZ ~thatthefnformat{oniacorrectandaqreatoCOmplywithallappliceble APC - TreatmentPl
State of Minnesota Statutes and Cfty of Eagan Ordlnenoes. Variance _ Parke
Copies
Signeture of Permittee ~ TOTAL A Buildlnq Permit is Issued to: on the express condition that
all work shall be done in accordance with all appliCeble State of Minnesota Statutes and City of Eagan Ordinancea.
Buildiny Officiel
~ Prrmit No. Permit Nolder Date TeIephone ~t
Plumbing
H.V.A.C. Electric 9915
Softener
Inspoctlon Date 4*p, Commenb
Footings I %7 Footings II I
Foundation Framing
Roofing
Rough Plbg. Rough Htg.
Isul.
Fireplace
Final Htg. P
Final Plbg.
81dg. Final
Cert.Occ.
Temp. LP
Deck Ftg.
Deck Frmg
Well
Pr. Oisp.
y r ,'r; Y :.kfi _ ~~~~~~'r J'r~~;C',~. " P, r
• • . . , y PERMIT #e. 4~~~ ~ [ Z
' • MECt1ANICAL PERMIT RECEIPT # CiCITIf OF EAQAN
~ 3830 PILOT KNOB ROAD, EA(iAN,1AN 55121 DATE:
~ CONTRACT PRICE PHONE 1544100 Site Address ' BLDCi. TYPE WORK DE8CRIPT'ION
' Lot~ Block ' ~ Sec/Sub Rea. New
~ Name t ' Mult Add-on
Addreas " Comm. Repalr
City Phone 'e-
' Other
Name L-' FEEg
; Address RES. HVAC 0-100 M BTU - $24.00
E p City Phone ADDtTIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
TYPE OF WORK - ADDITIONAL e M BTU - 6.00
GAS OUTLETS - 1.50 EA.
Forced Air M BTU COMM/IND FEE - 1% OF CONTRACT FEE
Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00
Unk Heater M BTU MINIMUM - COMM/IND FEE - 20.00
Air Cond. M BTU STATE SURCHARGE PER PERMIT - .50
Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1
i
C3as Pipinfl Outleta 1~ ,000.00)
Other
FEE:
S/C, SIGNATURE OF PERMITTEE .
\ -
TOTAL:
FOR: CITY OF EAGAN
• - . . ' , _ ~f . . , A .
' PERMIT ii
. PIUMBING.PERMIT RECEIPT # 7-21
CITY OF EAGAN
3830 PILOT KNOB ROAp, EAGAN, MN 55122 DATE:
CONTRACT PRICE: PHONE: 454-8100
Site Address ~ SLDG. TYPE WORK DESCRIPTION
Lot Block SeciSub Res. NeW ~
' n Mult. Add-On
m Name Comm. Repair
~ Addr ss ~,Pther 'L
c Ci _ Phone (?-k ~:'RES. PLBG. ONLY - COMPLETE THE FOLLOWING: ~
* FIXTURES TAL
Name Water Closet - $3.00
Bath Tubs - $3.00 C. .
3 Address Lavatory - $3.00 G"
p City Phone Shower - $3.00
~ Kitchen Sink - $3.00 ~
A
FEES I,", Urinal/Bidei - $3.00
' COMM/IND FEE - 195 OF CONTRACT FEE ;I_Laundry Tray -$3.00
F APT. BLDGS - COMM RATE APPLIES ~_Floor Drains -$1.50
! TOWNKpUSE & CONDO - RES. RATE APPLIES ..-L-Water Heater - $1.50 ~
~ MINIMUM - RESIDENTIAL FEE -$12.00 Whirlpool -$3.00
~ MINIMUM - COMM/IND FEE - $20.00 ;.~Gas Piping Outlets - $1.50
STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIT)
(ADO $.50 StC IF PEF~MIT PRICE GOES Softener -$5.00
, BEYOND $1,000.00)~~ Well - $10.p0 ~
Private Disp. - $10.00
--3_Rough Openings - $1.50
SIGNATURt PERMITT E FEE: ~
STATE S/C: s~
FOR."CITY OF EAGAN GRAND TOTAL: ti
. . . : . ...'!rr+sw!r^~..--.;. ~ ~ .r.z : P~
PERMIT li I
PLUMBIN(i PERMIT RECEIPT 1~ ~
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: 8~, '/S- ?
CONTRACT PRICE: PHONE: 454-8100 li
~
Site Address ' BLDG. TYPE WORK DESCRIPTION !
Lot,. Block Sec/Su Res. New
i~ r ' Mult. Add-on
m Name Comm. Repair
~ Address • Other ~
c Ciry ; ~.b"~~ P one RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
r ' NO. FIXTURES TOTAL
~
Name Water Closet - $3.00 $
Bath Tubs - $3.00
~ Addre ss ' Lavatory - $3A0 ,
p City Phon~s=l n 5`4 Shower -$3.00
Kftchen Sink - $3.00
FEES Urinal/Bidet - $3.00
COMM/IND FEE - 1% OF CONTRACT FEE Laundry Tray -$3.00
APT. BLDGS - COMM RATE APPLIES Floor Drains -$1.50
TOWNHOUSE & CONDO - RES. RATE APPLIES Water Heater -$i.50
MINIMUM - RESIDENTIAL FEE - $12.00 Whirlpool - $3.00
MINIMUM - COMM/IND FEE -$20.00 Gas Piping Outlets -$1.50
STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIT) '
(ADD $.50 S/C IF PERMIT PRICE GOES ~.L-Sofcener -$5.00
BEYOND $1,000.00) Well - $10.00
, ` Private Disp. - $10.00
Rough Openings - $1.50
SIGNATURE OF PERMITTEE FEE:
STATE S/C:
FOFi: CITY OF EAGAN GRAND TOTAI:
I Aad ~OFST~ FRANCIS tY00D 2ND ADDITI Lot g Rlk 2 P,rpt 10-65901-080-02
I 3660 WOOI3THRUSH COURT
Owner Street State
~ ~k,*,:~:,sJ.,--.&,,&j &ft ~ I.; -I Al VI
Improvement Dat* Amount Annual Years Peyment Rscefpt Date
STREETSt1RF. 1981 86.84 17.37 5
STREET RESTOR. 1983 2675.93 535.19 5 1605.57 to it
GRADING - 1983 610.84 122.17 5 366.51 't of
SAfY SEW TRUNK 1983 31 03.37 5 190.12 A014717 10-].5-$4
* SEWEA LATERAL 5510,68 1102.14 5 3306.42
WATERMAIN
* WATER LATERAL
WAT£R AREA 190.12 A014717 10-15-84 1983 316.84 63.37 5 * 8 5
STORM SEW TRK 1983 670.74 134.15 S 402 . 40 A014717 10-15-84
* STORM SEW LAT 1983 $
CURB & GUTTEFi '
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
CITY OF EAGAN N? 13 4 9 3
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
'f
BUILDING PERMIT PHONE:454•8100 Receipt # 7 a -3 `I'
7obeusedfor SF DWG/GAR Est.Value $130,000 Date APRIL 21 19 87
Site Address 3660 WOODTHRliSH CT OFFICE USE ONLY
R~
Lot 8 Block Z Sec/Sub. ST FRANCIS WOOD 2 OnSdeSewage ~ Oonupancy R3
MWCC System g
Parcel No. On Site Well Typeof Const
CityWeter }~X (ACtuaQ
a Name FOSSUM CONST (Allowabie) v
i 9789 208TH ST u of stories
3 Address Length
o City LAKEVILLE phone 469-3614 Deotn
S.F. Total
, p NamB SAME Footprmt S.F.
~a Address APPROVALS FEES
m~ City Phone Assessments _ Permit $ 593.50
WW Water/Sewer = Sumharge 65_00
Name Police Plan Reviaw 79F _ 7 S
~ i Fire SAQ City 1(1f) _!ln
i- Address -
ui Engr. _ SAC,MWCC S,ZS._,QQ
aW City Phone Planner _ WaterCOnn c~~~c nn
Council _ WaterMeter 64,-GO
I hereby acknowledge that I hav read this app cation and state BId9.Oft _ Road Unit 365._.00
thattheinformetioniscova com;fy wrthallapplicable APC _ TreatmenlPl --ifto-Te0
State of Minnesota Statu s a y f Ordinances. Variance _ Parks
Copies
Signature of Permitt ' TOTnL $2,657 2
s
A Building Permit is issued to: FOSSUM CONST on the express condition that
all work shall be done in accordance with alpplicable S te of Minnesota Statutes and City of Eagan Ordinances
Building Official Q-u'1
e
CITY OF EAGAN NO 17667
3830 Pilot Knob Road, P.O. 8ox 21-199, Eagan, MN 55121
PHONE: 454-8100 ~
BUILDING PERMIT Receipt # C~ --7 G~Z
To be used for~ BASEMENT Est. Value $1, 500 Date APR 2 , 199Q_
Site Addrass 3660 WOODTHRUSH CT
Lot 8 Block 2 Sec/Sub. ST FRANCIS WOOD OFFiCE USE ON~v
Parcel No. 2ND Occupancy _ FEFS
Zomng _
w Name PETER & DARLA THALDORF (ACtuaI) Consl _ BId9. Permtl 35.00
o Address 3660 WOODTHRUSH CT (Ailowable) - Surcharge 1.00
City EAGAN phone 452-2059 x of stones ' -
Length _ Plan Reviow
io Name SAME DePih - SAQCity
0,04 Address S.F.TOtaI - SAC,MCWCC
i- ClfY Phone S.F. Footprinis -
On Sile Sewaga _ Wale, Conn
UQ
Fw Name On Ste Well - Waler Meler
XV Addf@SS MWCCSystem _
Acct. Depasii
aw City Phone Qty Waler _
PRV Fequired _ SIW Permit
I hereby acknowlege that I have read this applica6on and state that Ihe Boosier Pump - SrW Surcharga
information is correcl and agree to comply with all applicable State of
Minnesola Statutes and City ol E~agan Ordinances. TrealmeM PI
Signalure Ot Permitee APPROVALS Road Unit
A Bwidmg Permit is issued toPETER DARLA THA DORF Planner - park Ded.
on the express condition that all work shall be done in accortlance with all Councd .50
applicable State of Minnesota Statutes and City of Eagan Ordinances. 6ldg Ofl. Copies
Variance - 7p7nL 36.50
Building Official Qh/1 ~.01l~, r Ill.-II ,
(Ipr#ifirxtr of (Orrupnry
Citp of (Eagan
Drparfmrnt of Build'mg lnsprrtimt
This Certifica7e issued pursuant to 1he requiremencs ojSection 306 ojthe Unijorm Building
Code certejying that at the lime ojissuanre this structure was in compfiance with 1he various
ordrnarsces ojthe City regulattng building constructian or use. For the ja!lowing:
UseCls.mfiafion :•o VBIdg.R.nNO
OccuWrcyType P~ 7uninBDiaria '•1 TYP, Cow. ~
OwnaofBUiWmg . CA' AdErcss O~F T'(?
:<~l T ~ (Jf'I ti~ '~'f• i
Bwlding Add~css - Louliry ^
wm: 1N1
Budding ORciel -
POST IN A CONSPICUOUS PLACE
This reauest void ~/C/0 O7 ~+C
1B mOn~M1S (!OT O Y~
D 9875k~ a 2
Reql'~yt Uato~ Fire No. Rouph-in InsW:r.lian
J ~ Nanuire , IMReady Now ~.Will Notrty, Inspec-
' Wh y
es ?NO en Nead
censed Electrical Coniracror I hereby reQUest mspectmn ot upova
? Owner elec4mnl work instolled at
$vent Atldress, a or Rmte No.
L.V
, ~ ! •
eclmn o. Township Name or No. Rnnps AAZ_A
No. Cowity
Occvpdnt (PpINT) Phone No.
5 5 t -
Puwer upplier Atlaress
Electrical CnnVacmr tC pany Namel C va r's Lmense No.
T~11~S17i r g InstailauoN
~
M:' ris
ANF,
Author¢e LEV ~T.T.F J~ wne k~trlst~ljptiun) Phune Number
1GY
~
MINNESOTA STATE BOAFD OF ELECTqICITY ) TNIS INSPECTION flEQUCST WILL NOT
Griges-Midwuy Bldg. - Hoom N-191 BE ACCEPTED BY THE STATE BOAND
1821 Universitv Ave.. St. Veul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSEO.
[P1915 7 REQUEST FOR ELECTRICAL INSPECTION w-: Ee-~oo/ooi-Cos
, See inslrucbons lor complelin9 thrs iwm on back of yellow copy
D _ 9,Q7 "X" Below Work Covered by Ihrs Request
ArIJ Fep TyoeolBwlding AOOlianceaWneA EquiuneemWVed
! Home Fanye Teinporary Service
Duplax Water Heater huny Fixhnes
Apt. Building Dryei Electnc Heatm
Cominercial Bldy. umace Silo Unlunder
Industnal 81d9 . Air Conditioner Bidk Milk Tenk
Farm otne., neci v (Sno, fv)
t r. SpcuN 011hcr p, ni.,
ampute lnspection Fee Below
p Fee ServiceEnGanceSixe rc Fee Faxtlers/5v1bieeders N Fer, Cv uits
U to 200 Amps 0 to 30 Am s • 0 to 30 Am ps
Above Z00 qmtis, 31 to 100 qmps ~ 31 to 100 Am s
Swimming Pool Above 100-Amps Above 100_Amps
Transiormers Irrigation 8ooms PartiTl.'Other Fee
Signs Special InspecLOn
Nerryrks OTAL FE {
V ~
Faueh-in ~ ~ate
, ID
p Ia Elec
fncal
~D7
Insoector, naraby
certi(v lhet the above
Final Oate inspection has been
~ 7-3(-5'? purine.
fhis repuesl vold 1B monlhs Irom '
~/4' /so
15050
Request Oaa Fre No RougM1-in Inspection
Reqwretl'+ X Reatly Naw ? Will NoLly Inspector
i X ves ? No wnen qeeay?
I fX licensed coniractor ? owner hereby request inspection of above electrical work at.
Job Atltlress (Slreel. Box or Route No ) Qty
3660 Woodthrush Court Eagan
Sectmn No Township Name or No qange No County
Occupent (PfiINT)
Phone No
Darren Wyman (contractor) 452-2059 ('ob #
Power SopPher Adtlress
Electnwi ConVatlor (Company Name) Comractor5 Licanse No.
Paul Staf£ord Electric 410069
Meiling Aatlress (COnlreclor or Owner Meking Instellalion)
5004 Xerxes Ave. So. M ls. m 5
Hmbonrea Wre ICOntrec[or/Ownar M"ek"ing ~Installa"lion, Phane Numbar
o-uC/ 927-7194
MINNESOTA ST BOI1R0 OF ECTRIQTY THIS INSPECTION REOUEST WILL NOT
Gtlqga-Mltlwey BICg - Room 5473 BE ACCEPTED BV THE STATE BOr1FD
1031 Univenlty Ave., 51. Veul. MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone(61Y) 692-0800 ENCLOSED
3'°~='~~„ ~ ee-oooma7
#16/9 D REQUEST FOR ELECTRICAL INSPECTION
~mmple0ag this torm on back yellow ropy
? See ins~mclions I ol
"X" Below Work Covered by This Requesf
015050
ew A6U Rep._. TypeoiBUdding ApphancesWired EqwpmentWiretl
Home Range Temporary Serwce
Duplez Water Heater Eleciric Heating
Apt. Building Dryer Other (Specdy)
Comm./Indusinal Furnace
Farm Air CondiM1Oner
Omer (speaty) Comraaor's Remarks
Compute Inspechon Fee Below Wiring of office
# Other Fee # Serv¢eEniranceSize, Pee # CvcuitslFeetlers Fee
Swimming Pool 0 to 200 Amps 0 ta 100 Amps
Transtormers Above 200 Amps Above 100 -Amps
Signs Inspecror§ Use Oniy 70TAL
~rriganoneooms 'J~'~ 30.50
Special Inspection
Alarm/Commumcation THIS INSTALLATION MAY BE ORDER DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONT
L the Elecirical Inspector, hereby Rouqn-io oate
certit thattheaboveins ectionhas ^ 3 ~U
Y P Fnal r oxte
been made
pfFlCE USE ONLY
This requesl voia 18 monNS Irom
RESIDENTIAL
/ BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
~ UI 651-681-4675
New Conetructbn Heaulremente RemoEeVHeoalr ReauhemaMS 7S
• 3 registered site surveys showing sq. ft. of bt, sq. k. ol house: arM 11] rooted areas • 2 copies of plan ~
(200% maximum bt coverage albwed) . 7 setof Energy Calculatbns for heated additbns
• 2 copies of ptan staw'vig beam 8 window sizes: pouretl found Aesign, etc.) • t sAe survey for eMerior addd'ans & decks
. 1 set ot Energy Calculetbns • Indicale il home sened by septk system for a00Abns
• 3 coples of Tree Preservation Plan H bt platted a8er 7l1193
• Rim W DetalODtpns selectbn sheet (bkgs wAh 3 or less unils)
DATE 6 '/9 -o Z- VALUATION
SITE ADDRESS .~lola0 ~aacC-E~ rws~.. C~o~~•ti.~ MULTI-FAMILY BLDG _ Y _ N
TYPE OF WORK 7~^- FIREPLACE(S) _ 0_ 1_ 2
APPLICANT
STREET ADDRESS I$2 CITY LQ~ C^~" STATE ZWZIP 45-117
TELEPHONE i65-1`696"814 CELL PHONE # 6iz`38b ~63z FqX #(05-l-q9V- 0575-
PROPERTY OWNER ~a±f TELEPHONE # 122- V5z_ - Zo Sq
COMPLETE THIS SECTION FOR ~%NEW- RESIDENTIAL BUILDINGS ONLY
Energy Code Category MINNESOTA RULES 7670 CATEGORY 1 MIN n4rklel (4 submission lype). ResiCential Ventilation Category 1 Worksheel Submitted N ed
• Energy Envelope Calculations Submitted Plumbing Contractor: Phone #
Plumbing system includes: _ Water Softener _ Lawn Sprinkler ee: $90.00
_ Water Heater _ No. of R.I. Baths
_ No. of Baths
Mechanlcal ConhaCtor: Phone #
Mechanical system includes: _ Air Conditioning Fee: $70.00
_ Heat Recovery System
Sewer/Wafer Conhactor: Phone #
I hereby acknowledge mat I have read this application, state that me information Is correct, and agree To comply
wlih all applicable State of Minnesota Statutes and City of Eagan Ordinpnces. G~
Signafure of Applicanf ~
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
uvdaced aroz
OFFICE USE ONLY
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (&sea.) ? 31 Ext. Alt - Multi
? 03 Ot of _ plex ? 09 07-plex O 17 Garage ? 22 Porch/Addn. (4sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex O 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addilion ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)• O 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning Ciry Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const W idth
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaVC.O.
_ Footings (deck) _ FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ AidGas Tes[s _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacemen[)
_ Insulation _ Rctaining Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply 8 Storage
SRW Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
~
7987 BOILDING PERMIT APPLICATION - CITY OF EAG9N
SINGLE FAMILY DWELLINGS
INCLODE 2 SEfS OF PLANS, 3 CERTIFIC6TES OF SURVEY, 1 SET OF ENERGY CALCOLATIONS
HOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOSINER MDST DESIGPAYE AHICH ADDRESS
IS DESIRED. NO CHANGES HILL BE ALLOWED ONCE BDILDING PEAMIT IS ISSOED.
MOLTIPLE DWELLINGS - RFSIDENTIAL RENTAL UNITS FOR SALE UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SQRVEY - CHECK iTlTH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COAIlMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
• I 3O, oo~
To Be Used For: /~e5 Valuation: ~ Date:
Site Address 2106D OFEICE USE ONLY
Lot ~ Block Z On Site Sewage_ Occupancy
MWCC System ? Zoning h~•I
Parcel/Sub S741c'-a,,rc,5 Woo¢/ On Site Well Type of Const
City Laater ? (Actual) ~
Owner (Allowable)
~ Ik of Stories
Address Length (oCo
Depth 33
City/Zip Code S.F. Total
Footprint S.F.
Phone APPROVALS FEFS
SO
Contractor "Z Assessments Permit Sq
Water/Sewer Surcharge (05,
Address y 7Oq oZO~.l.t Police Plan Review 29(o.~s
Fire SAC, City IDO
City/Zip Code ~S0 Sl4l Engr SAC, MWCC 52S
Planner Water Conn -77s'
Phone Council Water Meter (p~.
Bldg Off Road Unit ~ .
Arch./Engr. APC Treatment P1 \Q>D.
Varianee Parks
Address Copies
TOT9L 6-a
City/Zip Code
Phone Il
~
~22z~
4Co ?
~-7 ~7 ~D
Z~ Z~ r 7ZO ~c~~ ~ ~2U32
~
~G z 20l 2s
eUs (612)544-7619 Certificate of Survey
~ SURVEVING 8 LAND PIANNING FOI : E L D 0 N FOSSO M
5905GOLOENVALLEYROAD.SUITE223.GOLDENVALLEY,MN55422
~ N
NOTES ' -
~ ~
0 Oenoles /ron - ~
J091•f}Aeneles exnKny e/ev. ,t-/ is
895.71 Deno/rs Proposed'elev Drant5e ~ Uiili/y EasemeRf ~
OerroEes Surfnr.e dra.ne't I
NGVD Verlicol dalum
' Fjnished Gar e F/cvr
Ele v. 9S. ~
1 / = I
a'~~~
ros
0
L
p
~
0
\ e
/ -r7 s Q' ~ I
%P ~
(evs.;t) i
, .
cM
Tc. (Brs . is)
Z ° 10
1 _
~ %37.t4 ~
g91A4 ~
ti 7op !ro~
¢ e of
y ~ I Des~~,ofo~i.l~f~oc/r1S.TFf~IJ/1/.S'/S ~ODD
21-)oDoyofa,Ca~fy, ii»esofa,
WE MEREBY CERTIfY THAT TMIS IS A TRUE AND CONRECT REVRESENTATION OF A SURVEY OF THE
60UNDARIES OF TMF IAND ABOvE DFSCRI6ED AND OF TNE IOCATION OF All 6UIlDINGS, If ANY,
THEREON, AND AlL V15181E ENCROACMMENTS. If ANY, FROM OA ON SAID lANO
rw
Darcd rhis ~day ol ti~L A.D. I987
Job No. ~C.3. D3-
y. Book page ~l
ZR by x/Sec. ~s T. 27 R. 23
~ Survvvor, Minnewta Rarifrrabon No 13s93
z
~ EXTERIOft ENVELOPE AVERAGE "U" COMPUTATION
OWNER PiTL l,/"I ~
SITE ABDRESS
CONTRACTOR Pj-OSCiLivt DATE V-1J--R7 PHONE 7(O~ 3lc/fG
. Determine working square footage of each.
1. Total exposed wall area..... "Vsq. ft. x.I) •
2. Total roof/ceiling area..... /4/'517 sq. ft. x.tl2JoVlr= ~ 2Z
Total exposed wall area above floor
a. Total wall window area
b. Total door area
c. Total sliding glass door area............ D
d. Total fireplace wall area
e. Total wall framing area (average 10i)..... d o
~
f. Total net wall area above floor............ 1-5-4911
g. Total rim ,joist area
Total exposed foundation area =
h. Total foundation window area ~9
i. Total net foundation area above grade...... / O
Determine "U" value of each wall segment.
X flUit
b. X ttUit
c. -L1O X. itUlf -47
d. g iiUfi 3Ce = .Z~.t~Z
v~ _ . D
e. --X itUit
la 3, ~lf°
x "v" ~ 04 _
g. ;2 0 41Z JC nUn ,t7Y = [C).14
n. x „U„
i. x „Uff ,i3 = f~.~0
3 . ................................Total = a S~k
If item #3 is the same as, or less than item N1, you have met the
intent of SBC 6006 (c)2.
0
IXN
\
Total exposed roof/ceiling area = 44W
t
. Total gross roof/ceiling area =
J. Total skylight area .
k. Total roof/ceiling framing area....
1. Total net insulated roof/ceiling area X-340'
Determine "U" value for each roof/ceiling segment.
J. g f, U fr = ."A~
x. X flU~f 123 _
i. x I,Ult . Dz t: _ ~ .6'm
4 . ....................................Total = .
If total of #4 is the same as, or less than #2, you have met the intent
of sBC 6006 (c) 1.
To utilize the total envelope system method, the values established by
the sum of items #3 and N4, shall not be greater than the sume of items
#1 and #2.
1. .2 100,,['r + 2. y 77Z
3 . -.~~rrr- + 4. 3rts~~
Materials Therm. Resistance "R"
Exterior Air •17 ~U 57`fP~j
Siding Material ,45 Mt7A'L avv&-S 7•~~
Sheathing 2~v(o
Insulation
Sheetrock ~ `fs
Interior Air •110Qj
Studs 6• 4>7
Rim
Conc. Blks. Zv
0
#7XYdX~MYFX~B(~l'F1X ~kMM7kM 'M~kaYYd~(SO:(XtY,tX(Yd~Y,tX~X~$OY Y,t1$%F7kY,tX~
CITY OF E.AGAN
CASH:[ER: JS TERMINAL N0: E33
Pf-tTF_: 08/13/39 TTME: 10:11c34
SD:
NpME; LON SMITH ROOFING f: CONSTR
3210 9001 1501 PLACF:FdAWI: :li .80
2155 3001 1501 bLACF:HA'd; 0.50
3210 9001 3660 WOCDTNFUS4 83•25
2j.55 3001. 3660 4400U1HftUSH 1.50
321.0 3001. 2070 FLZNT DFi 153.25
2155 9001. 2070 FLINT Lifi 4.00
Tota1 Recei.p+. Aaioun+,: 280.30
CF11S405
IJSF:R TLi: JFlN
*~C#X~~X~ ~%XadXc~k r~m~Cr,c#Y;m %~M id~k8n;c x'~a'o:cr,oXXcY~ ~~kR<~CY~~;c~," %X
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling O 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea.
? 03 1 of - plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging 0 20 Pool ? 25 Miscellaneous
WORK TYPE
0 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bldg.* ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
' Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. Census Code
(Altowable) Main level sq. ft. 5AC Code
UBC Occupancy sq. ft. No. of Units
Zoning sq. ft. No. of Bldgs
# of Stories sq. ft. MC/ES System
Length sq. ft. City Water
Width Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
APPROVALS
Planning Building Engineering Variance
~
Permit Fee gJ 3~~ Valuation: $
Surcharge 1.57~
Plan Review
License
MC/ES SAC City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded. Other
Copies
Total: Z --t s •
SAC Units
% SAC
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3 3830 PI651-68/46 5- 55122
- New Conshuctlon ReaulremeMS Aemodel/Reoalr Reauirements ol ~l
? 3 registered stle surveys showing sq. fl. of lot sq. H. of house 2 coples of plan
and all rooted areas (20% ma:imum lot coveraae allowed) 1 sef ot energy calculvlions lor heated addiflons
? 2 coples ot plans (show beam 6 wlndow sizes; poured fnd. design; efc.) 7 sfle survey lor exterior addMlons 6 decks
? t sef ot energy calculatlons
? 3 coples ot hee preserva}ion plan M lot platted arier 7/1 /9;
DATE: L, CONSTRUCTION COST:
DESCRIPTION OF WORK: PV Vlgi Of LtJecirYlPr ~~?Mr7Qf-CJ Mr7~t°J'ir7/
SiREETADDRESS: 3 666 ~OOd`~I'11'US~ U:
LOT: ~ BLOCK: Q SUBD./P.I.D. FtiV~ C ti~ ~K~Clc1r~
Name: ~~dG4, P~~r Phone#:
PROPERTY Last First
OWNER 3~~6
Street Address: Lcboc~hrusA 8L-
ciiy _f*eV1 state: J`'tA) zip: S 510~-3
Company: Lori '&M! ~ 90w)-n9 Phone L2 2412 - Lq'L9
(area code)
CONTRACTOR y~
Street Address: f' 1GY1Pef Tra ~ ucense #;201 ~ 3~-J_S Exp. 3 /aD
ciry Ed~ Ptairip, stare: 1"lA) zip: .553e-4
EN Company: Name:
~
Telephone k: area code ( )
Stree't Address: Registration k:
City State: Zip:
Sewer 3 wafer Iicensed plumber (reaulred for new conshuctlon onlvl:
PenaHy applies when address change and lot change is requested once permN Is iss d.
1 hereby acknowledge that I have read fhis appllcotlon, state that ihe Informatio Is orrect, and ag/epJ to comply w8h all applicabl
StoSe of Mlnnesota Sfatutes and City ot Eagan Ordlnances.
Signature of Applicant:
• OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received - Yes - No _ Not Required
J '
1990 BUILDING PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - 6 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, BUT 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 ALLOWED ONCE BUILDING PERMIT IS ISSUED,
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For: ~~RS~rip,ru QC-~C.Q Valuation: Gn Date: O
Site Address 3"O I0DOd4'hru.S'L, OFFICE USE ONLY
Lot Block ~ FEES
Occupancy
4 1 ,lfp Zoning
Parcel/Sub Actual Const Bldg. Permit ~•00
Allowable Surcharge /,0 zo
O~-mer Pfl-f ;r117C,1.~ Djd'.lIrC # of stories Plan Review
Length SAC, City
Address 3bb0 It)nodl-L,,.~,th Cf)ur--F Depth SAC, MWCC
S.F. Total Water Conn
City/Zip Code E~ Ssl~ 3 Footprint S.F. Water Meter
Acct. Deposit
Phone `'45 oZ - ao Scf On site sewage_ S/W Permit
I"~ On site well S/W Surcharge
Gontractor DGYy ~~fylGn MWCC System _ Treatment P1 .
City water _ Road Unit
Address PRV Park Ded.
Booster Pump _ Copies ,5 V
City/Zip Code LQ k,pv~I~e. SUBTOTAL
APPROVALS Penalty
Phone Planner _ TOTAL 3h . 9~
Council
Arch./Engr. Bldg. Off.
Variance
Address
City/Zip Code
Phone #
*xxrxx:xxxxxxFxxrt:.........rsx:.x
,*F *IOT~': PAYMF:Nt OF FF.E AT TIME OF~ *
C I T Y O F E A G A iV *APPLICATIa„ mE, Nc,r coNsTiTuiE *
*t APPROVAL OF PII2NIIT. *
APPLICATION FOR PERMIT * *
* INSPF]LTION OF SEWEI2 ADID/OR FTATER *F
. *f 7NsLAi.7.ATTONS WIIS. NOT BE Saim' ,*F
SEWER AND/OR WATER CONNECTION ~~M UNYTL PmMIT HAS BEEN *
~ APPROVID. *
M *
•
* ***f ********fRtlt*f *fi1*f
P ease Prin )
1) PROPERTY ADDRESS: ~CB~1O ~ ~~QZP
LEGAL DESCRIPTION: f3 ~ S'f ~".ue~s cJv~rS +
Lot Block Subdivision or Tax Parcel ID )
IF EXISTING SIRL'Cl[JRE, DATE OF ORIGINAI, B[,'ILDING pERMIT ISSCANCE:
~ n Year)
' PRESENf ZONING/PROPOSID LSE: (Nb
~ 0 COMP'IERCIAL/REPAIL/OFFICE IE4 R-1 SINGLE FAMiLY
rl IIID'STRIAL f-I R-2 DL~PLEX (Zt.o Units)
n INSTZ2LTIONAL/GOVIItIOENP CD R-3 TOWNHOUSE (Three + Units) ( L~nits)
~ R-4 APARTMENT/COrIDOMINILT7 ( Units)
2) ~
NAME: O.Su (GN[-
. ADDREss: 95~~y,
CITY, STATE, ZIP: fr',~lx UJle tiu 0 Y~
PHONE: 3 4171
3) • i:7• NAME. For City Ose .
P1umUers License:
ADDRESS: 96%"~O ~ Active
~ CITY, STATE, ZIP: , b H N~otlrrecorded
I--1
PHONE: L{CJG ~'~~1~l~C MASTII2 LICENSE# ~'EAW. Sta Initial
4) ' • ~.n.i~: r
NADE:
ADDRFSS: '
CITY, STATE, ZIP:
PHONE:
5) n - ~r: :o •a~ • a~
~ CONNE.'TION 1V CI'PY SEWII2 ~ COIaIfX,TION M CITY WATER ~ 0'I4iERR ' .
6) • • r ~ PLEASE AOLD APPROVFD PERMIT FOR PICK-UP BY ONE OF ABOVE -
P E MAIL APP OVID PERMIT ~ 1, 2, 3, 4, AHOVE
~ (Circle one)
7) r. r. u• ` ~ ~
' '1; • Y' I: ~ • • • I" • J I}' I~ F Y71' • • ~1• • • D~ 1' • ~ ~
0 1. 6 • ]s 1 : b M:I. •,ND~ 1 1 1 71' :A' ~ • N. M1 .
. FOR CITY USE ONLY
PERMIT # ISSUED
Pd w/Bldg. Permit FEES: .
$ $ SEWER PERMIT (INCLUDE SURCHARGE)
$ $ ~Q • ~ WATER PERMIT (INCLUDE SORCHARGE)
$ $ WATER METER/COPPERHORN/OUTSIDE READER
$ $ WATER TAP (INCLL'DE CORPORATIO[V STOP)
$ $ SEWER TAP
- - •
$ $ ACCOUNT DEPOSIT - SEWER
$ $ ACCOUNT DEPOSIT - WATER
$ Z S ' DZ7 $ WAC
$ ~ Z S' ll7~ $ SAC
$ $ TRUNK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRUNK WATER
$ $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
$ $ TOTAL
7-27 0 75- 7(p3
RECEIPT# - RECEIPT
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
~ YES IF YES, THEN A"PERMIT FOR WORK [JITHIN PUBLIC
ROADWAY" MUST BE ISSUED BY THE ENGINEERING
~ NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE : 7I2 Z 14 ~
2005 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan (20 t t`,,(~
e-~' 0116710~
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX 4 651-675-5694
New Construdion ReQUirements RemodelRteoav Reamrements OKCe Use Onlv
3 reqistered site surveys showing sq ft of bt, sq. tt of house; and all roofed areas 2 cropes of plan CeR of Survey Recd Y_ N
(20% maximum lot coverage allowed) 1 set of Energy Calculahons for heated addihons Tree Pres Plan Recd Y N
2 copies of plan showing beam 8 window sizes, poured found desgn, etc. 1 site survey for addihons 8 decks Tree Pres Required Y_ N
isetofEnergyCalcula6ons Addihon-indicateilon-sResep6csystem On-siteSepticSys[em _ Y _N
3 copies of Tree Preservation Plan if lot piatted after 711193
Rim Joist Detail Options seleclion sheet (buildings with 3 or less units)
Date C'onstruction Cost (J('JU
SiteAddress tA,f,J.514 LT Unit/Ste #
Ssr Z,.3
Descrip[ion of Work ~/OWC'-r- .L.2de%~ 17r~ ~S h
Multi-Family Bldg _ Y x N Fireplace(s) X 0 2
PrapertyOwner J q4r 717qAOc-Telephone#((S/) yS.P-- Z0S9
Contractor 5 wOV-l /uL
r
Address yC'~ p_ 3 1V4?//A 141(t__ City '95~45o 9.-/
~
S[ate /YJ /y ZipSJ/-;? J Telephone # (651 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv t Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet . New Energy Code Worksheet
submissiontype) Submitted Submitted
• Energy Envelope Calculations Submdted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies. _
Licensed Plumber Telephone # ( J
Mechanical Contractor Telephone J. ,
Sewer/WaterContracTor Telephone#(
u u
I hereby apply for a Residential Building Permit and acknowledge that the informati n is comp e nd accu ate;
that the work will be in conformance with the ordinances and codes of the City of ~ - -the-State of
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start wit out a
permit; that the work will be in accardance with the approve I n in the case o k which requires a review and
approval of plans.
UvlviP _
App icl nYs Printed Name Applicant's Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dweliing ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage O 22 Porch/Addn. (4-sea.) ? 33 Ext. AN - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ~ 19 Lower Level O 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N O 25 Miscellaneous
WorkTypes 3 A-n4g
? 31 New ? 35 Int Improvement ? 38 Demolish Interiar ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration 0 37 Demolish Building' O 43 Reroof ? 46 WindowslDoors
? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant
Valuation Occupancy R' 3 MCES System
Census Code L y Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const X(~ Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ Final/C.O.
_ Footings (deck) ~ Final/No C.O.
_ Footings (addi[ion) _ Plumbing
Founda[ion HVAC
Drain Tile Other
Roof Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests Final
j~ Framing _ Siding _ Stucco _ Stone _ Brick
Fireplace _ R.I. _ AirTes[ _ Final _ Windows
~O Insulation _ Re[aining Wall
Approved By: gm Building Inspector
Base Fee
Surcharge (1 1 ^
Plan Review {F- l j riee
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
2004 RESIDENTIAL BUILDING PERNIIT APPLICATION
City Of Eagan
/ h 3830 Pilot Knob Road, Eagan MN 55122 V
Telephone # 651-675-5675 FAX # 651-675-5694
New ConstrucUon Reouiremenis RemodellReoair Reauirements OKce Use Oniv
3 registered site surveys showing sq. ft. of lot, sq. tt of house, and all roofed areas 2 copies of plan Cert of Survey Recd Y N
(20°h maaimum tot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Recd _Y _ N.
2 copies of plan showing beam 8 wmdow sizes, poured found design, etc 1 stle survey for additions & decks Tree Pres Required Y_N
i set of Energy Calalations Addrtion - indicate iton-sife sepfic system On-site Sepllc System _Y _ N
3 copies of Tree Preservation Plan if lot piatted atter 711193
Rim Joist Defail Options selection sheet (bldgs with 3 or less units
Date / oy Construction Cost ~7 nn
Site Address 0 (,JOOCr {yl rL15('aV f-}- Unit/Ste #
Descrip[ion of Work p p~ rc
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2
Property Owner jR-4 e/L Joi Telephone )
Contractor Rvnr~ ~ P1 .vw CON1rGff /Nc-
~lao--<•~-~~
Address X?c' S~1 0 z4i4 City
C
State M Zip t-XS-q-_3 / Telephone #(G/2) ~ 3 Z 8
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheel • New Energy Code Worksheet
(V submissiontype) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously consiructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber Telephone )
Mechanical Contractor Telephone D)~ ~~r n ~r I ri I
Sewer/Water Contractor Telephone ) V` ?004
II I
U
I hereby apply for a Residential Building Permit and acknowledge that the inform Pi~-'s*te-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 lan in the case of work which requires a review and
approval ofplans.
e 1\CX"e r kE'r/V-C G
App hant's Printed Name Appli ant's Sign re
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
X 02 SF Dweliing ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 E#. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25_ Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Irtterior ? 44 Siding
? 32 Addition ? 36 Move Building O 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration O 37 Demolish Building` ? 43 Reroof IX 46 Windows/Doors
? 34 ReplaCement 'Demolition (Entire Bldg) - Give PCA handout to applicant k/ A
Valuation 200p Occupancy ~n11.J~ MCES System ^
Census Code y 3y Zoning City Water "
§AC Units ° Stories Booster Pump
# of Units - Sq. Ft. PRV -
~
# of Bldgs Length Fire Sprinklered
Type of Const ~ Width
REQUIRED INSPECTIONS
_ Footings(new bldg) FinaUC.O.
_ Footings (deck) FinallNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Fina] _ Pool _ Ftgs _ A'u/Gas Tests Final
Framing Siding _ Stucco _ Stone _ Brick
_ Fireplace R.I. AirTest Final A Windows
_ Insulation Retaining Wall
Appraved 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
's
2005 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date 2 / 2 ! Zcn)
Site Street Address ~67Q (1~A"{'h~ ~ ~t-~ Unit #
PropeRy Owner Telephone ~
~
Contractor ~ 6' ~tJl Telephone #(C~5t) tn
Address . City xC StatelM.AJ_ Zip:~J! -:Z
The Applicant is: _ Owner ~Contractor _Other
Alte~r,a+tions to existing dwetling $ 50.00
Y~ Add plumbing fixtures (excludes water softener and/or water heater--complete next
7Jsection if installing these appliances).
_Septic System Abandonment
_WaterTurnaround (add $125.00 if a 5/8" meter is required)
Other. ~~-Y~~ vi" ~t 4'l1 S.~
Water Softener Water Heater $ 15.00
_ new _ replacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ .50
Total $ ~ •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 ardinances 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 permit and work will be in accordance with the approved plan in
the event a plan is required to be reviewed and approved.
ApplicanYs Printed Name ApplicanYs Signature FEB 0 2 2005
By
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 3660 Woodthrush Ct
Lot: 8 Block: 2 Addition: St Francis Wood 2nd
PID:10- 65901- 080 -02
Use:
Description:
Sub Type: e - Furnace & Air Conditioner
Work Type: New
Description: Fumace & Air Conditioner
Comments: Questions regarding electrical perm
952- 445 -2840.
Fee Summary:
Contractor:
Standard Heating & Air Conditioning
130 Plymouth Ave. N
Minneapolis MN 55411
(612) 824 -2656
ME - Permit Fee (Replacements)
Surcharge -Fixed
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
equirements should be directed to Mark Anderson, State Electrical Inspector,
$50.50
Owner:
Peter D Thaldorf
3660 Woodthrush Ct
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$50.00 0801.4088
$0.50 9001.2195
Issued By: Signature
Mechanical
EA082427
04/01/2008
ePermit
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Use BLUE or BLACK Ink
r----------------_,
I For Office Use I
� � Permit#: � ��-(��� �
I �
Clty of ����� � ,
� Permit Fee: �
3830 Pilot Knob Road I I
Eagan MN 55122 � Date Received: �
Phone: (651)675-5675 � �
Fax: (651)675-5694 I Staff: �
I I
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: �C��� Vv�/Gt:t' �✓L�v� �'� Unit#:
Name: ��'7'� i V!�1 C�t D�� Phone:
Reside:nt/ n ` A J
'Owner Address/City/Zip: �5 C��� vV tU �j2.t�(
Applicant is: Owner Contractor
�
Type of WoPk Description ofwork: �-� "' �1`��
Construction Cost: �� (�U Multi-Family Building: (Yes /No�V
Company: ��pZZ ��������J2S , L� --1—� �D
Contact: �� 2
Contractor ' Aaaress: � � —?� �'!P'ac3��� �� c�ty: �/'1I//d//�D�t/✓'c.�"
State: ��(N'Zip: ,3 .S� Phone: �s�'c�d��61,5�Email:
License#: Lead Certificate#:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
NOTE:Plans and supporting documents that you submit are considered fo be public information. Portions of
fhe informafion may be classified as non-public if you provide specific reasons that would permit the City to
conc/ude that the' are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.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.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Buildi Code must be completed within 180
days of permit issuance. .
X � � � '1�0 2 X ,`�
ApplicanY rinted Name ApplicanYs� ' ure !
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA174567
Date Issued:02/04/2022
Permit Category:ePermit
Site Address: 3660 Woodthrush Ct
Lot:8 Block: 2 Addition: St Francis Wood 2nd
PID:10-65901-02-080
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 -
Peter D & Darla Y Thaldorf
3660 Woodthrush Ct
Saint Paul MN 55123--114
Trinity Exteriors Inc
10179 Crosstown Circle
Eden Prairie MN 55344
(952) 920-9520
Applicant/Permitee: Signature Issued By: Signature