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584 Worchester Cir . . -11 _ . - ,r,.,,a..n,- . ,...~.r-. ,P~!„~..,~: . .,ATIVA'LE FUR DEa-PLAN BEVIEJED 6/ lE/q2 SAEA QOt'~. - 8q 1-3024 CITY OF EAGAN ` 3830 PT Knob Road, P.O. Box 21-199, Eagen, MN 55121 PHONE:454-810fl ~ BUILDING PERMIT Receipt # To be used for 8r OWCi/GAQ Est. Value =94,000 Date AIlC 21 ,1 g-n_ : Site Address M4 WORCHUTtR CIR Lot Block SeGSub. ~ OFFICE USE ONLY Parcel No. SMNEBRIDGE occ,Pancr R~3 N"'1 FEES ZoTflE xOTT1d1ND CU INC ^'"9 tD i4-1 613. 00 I, g Name (~ua4 co~t Bldg. Permif ~ Addre~S 520~ E iIIVER RD (nuowable) V'p surcharge 47600 Clty FRIDLEY phOne 571'03" +t o1 Stories 550 Plan Review 3~000 Lenglh o Name $AMZ Oepth "t SAC. City 1 ~*00 9~ Address S.F. Tofal - SAC, Mcwcc 630•~ City phone S.F. Footprints _ 6W~ On Sile Sewage _ Water Conn • W~ Name on site wen water unecer 95000 i= Address Mwcc system x ~p~pp ncct. oeposit City Phone Cirywater x 3o•oo PRV Required _ SAN Pertnit I hereby acknowl8ge that 1 hav ad this application and state that the Booster PumP - S/W Surcharge information is correct arid agr fo ; compjK ~ all applicable Slate of 276 Minnesata Statutes and City EsBaedi ces. Treatment PI ~ y . APPROVALS 370.00 S' nature ol Pertnitee Road Unit A Building Pertnit is issued to: TH$ ROTTUM CO iNC Planner - Park Ded. on the express condition that all work shall be done in accordance with all Co+ncil applicable State of Minnesota Statutes and City of Eagan Ordinances. gldg, pry, _ copie$ Building OftiCiel Variance - TOTAL 3.269.30 PumN No. N Ho1dK Osb Telsphor» # WAT€R ~ O SEWER PLUMONG The q 9r dli -07/.1/ ~~a~-c~'• ~ g U 9/ H.v.A.c. ELEcTRIc rapeedo- o.* onsp. Conwwnb Foounos I /Z-111 F«„daom y- zs-9 Framiny Roofng Rough Pb9• RagA Htg' Isul. FYeplace Final Htg. Orsmt Test ' Final Ptbg. Plbg. Inspeaa - Nolily Plumber ~ Const. AAeter EnprJPlan Bldp. Final 2 Dedt Fig. 4/ ' - 44 / Dedc Find WeN Pt. Disp. , , , . ~ SEWER b WATER PERMIT OFFICE USE ONLY ; CITY OF ERGAN i METER # PERMIT DATE 0$/26 / 91 ' 3830 Pilot Knob Rd. 45 ~ Eagal'1, MN 55122-1$97 CHIP . ~ ~ PERMIT # 12232 METER SIZES/Z e~ K B.P. RECEIPT 'f - ! DATE 8-7 5-41 ISSUE DATE ; B.P. RECEIPT DATE O$ 2, PRV BOOSTER PUMP ( SITE ADDRESS 584 4•:orcheater Circle PERMIT REQUESTED LOT ? 1 BLOCK 1 SEC/SUB t11LLS OF TONESRIDGE _X_ SEWER ~Y WATER _ TAPS I APPLICANT: 'The 'tottlund Co. Inc. . ~201 E. ~i.ver Road ; - COMM/IND X RESIDENTIAL ADDRESS: ~ CITY, STATE FricL7 ev,Mn ZIP 55421 X NEW _ EXISTING ' PHONE: _ 571-0304 i ! Lawn Sprin~ fMeters are to be Instailed ? PLUMBER: 4pl1ey _ Ahead oy-Dorpestic Meters on Water Line. ADDRESS: ~~c) arepir,~ Credit. WILL T ,giGen for Deduct Meters. i CITY, STATE jordan Mn ZIP F~+~~? / PHONE: 492-91 - • 1 AGREE T COMPLY WRH CITY OF OWNER: 'T'hp 12nttliynt3 [`n_ Tnc_ ' EAGAN IN S ; ADDRESS: 5201 F:. Ri ver nacjf i CITY, STATE FrialeY, 14n• ZIP 55il21 i PHONE: _,7l -:?`![i ir6WATUR'E WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALI. 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. . .Fa_ „__._"`q1~-r..+rrv' . . . . . r , . . , . . . . . . . , . . . SEWERA WATER PERMIT OFFICE USE ONLY CITY OF EA6AIV;s - METER ~ PERMIT DATE ~'F'IZ6/4l 3830 Pilot Knob Rd. Eagan, MN 55122-1897 CHIP # PERMIT # 12232 METER SIZE B.P. RECEIPT # - ISSUE DATE - ~ B.P. RECEIPT DATE L DATE ~--1~-•41 - PRV - BOQSTER PUMP SITE AODRESS 5AW kcrr_iiPSrF,r c'i x-cle PERMIT REOUESTED LOT,11.-BLOCK 1 SEC/SUB AnoMmbZhfta :IILLS OF TOAIEBRIDGE Y SEWER 21 . WATER - TAPS APPLICANT: 7be 'iltotClwnd Co. InC. ADDRESS: 5201 E. River Roed - COMMiIND k RESIDENTIAL CITY, STATE EX id1e=, Mr.~ ZiP 4+421 X NEW _ EXISTING PHONE: _ 571-0304 Lawn Sprin ef 1Neters are to be Installed PLUMBER: plumbi.`.. Ahead oJ omestic Meters on Water Line. ADDRESS: ra ln r,..,,d?, Credit kV`ILL UIOT~en for Deduct Meters. CITY, STATE J~dan, MR, ZIP -55352-- a9_~ i~ i PHONE: 9 I AGREE TO~COMPLY WITH CITY OF ~ OWNER: 7'ha ntt]mri do_ Tnc_ EAGAN ORDINANCES ~ ADDRESS: 5201 R_ River Rnadf i CITY, STATE kipidley, Nn• ZIP 5%A21 S~ PHONE: 5"I1-4`3Uc SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. ~ CASH AECEIPT CITY 4F EAGAN ~ 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 ~ oAre - » ~ MNAIED .,bU AMOUNT $ ~ • J ~ i : `-CJ & DOLLARS ~m ? CASH ~ICHECK 4/ ~ 14 FUND OBJECT IIMOUNT I Thank You sv :c 15oeg Yeftw-41os"~, ~ ft*--Fle Copy •'„~`.'RS•'^e'-_-'~";-,-+.!. _`»M.1,ap~~.;,y':y~,Nt '."~-'4 a 41 1 ~~er#ifi~t~#~e uf (~rru~~rtrr~ rCitp of Cagan lonmrwUl1ttt a# WttcWng .3tcvrctiua Thls Cewficate issue~d pursuan! w t/u requirrirunts ojSecnon 306 ojMe UniJorm Bur7diag - Code oa~ifying lhat at du lime of issuancc thissiruclun mafn oompl'rance witle Me varions ~ ondinwurs ollhe G5[l' re8ubliq bWdin8 c»nstniaion or usa For the jolloKdng: SUR I - Type coarVN o.macs,WM IW. Bn'?tlnM ?J IlW Aed= ';?QLE RrM frn; VRmr,EL- e.%e;-. Aee-e,s 5RG I~~IIR ClffnF. ~L 11, S l, HIIIS F SI'mQ? • a„c - POST IN A ~NSPICilO1JS PIACE ; i DATE: AUG 26, 1991 o~ + ~I , S84 WiORCHE3?Ea CIR (THE ROT'[L[1ND CD IlIC) ~ E. x Your Sewer 8 iNater PeRnit for the ahove property has been compleied. It will be held at the Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. Your Sewer & Water Permit for the above property cannot be completed for the following reasons: Your Sewer & Water Permit for the above property has been completed, but the meter cannot be Isaued or oecupancy allowed until further notlce. COMMERCIAL PROJECTS ONLY: Please pay tor meter at City Hall. Meter size must be " confirmed by 8i11 Adams or Dirk House (Plumbing Inspectors - 454-$100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REGUIRED BY LAW. CONTACT COMINUNITY DEVELOPAAENT DEPARTMENT FOR WATER TURN ON POLICY. Serxetary, Bui{ding Inspecyorts Dept. _ ~ ~ 41/s/ loo?'i p 1 206 ~ 1~1 aeouesl Da;e Fre No, Insoectw~agh;ih Qwtl? PeaOy Nw NoUly Inspecror 7`7es C No N/hen Reatly'+ I~,licensetl coNractor ] owner hereby request inspection of above electrical work at: • Jo5 AOCress ISVeet Box r Powe No I Cuv 8 Seni0p ND T0wn511iD N0m¢ Or NO Rd0g2 ND, COUn:y Occuo ~IPRINT~~ PM1One No Pow¢r Sv^ ¢r Atlar¢55 AA- Elxlnol vaaor ~Comoany Numel ComractorY L~cense No 4a z-3 Mainng Aoeress iCOnvac:or or QNner tnakung Insiallauonl Ail, Au:aonzetl SiSna;ure (GOnvaaorwner kinq msiaumuo, Pnone Number b -3V6 MINNESOTA $TATE BOAHD OF EIEC RIQTV TNIS INSPECTION REOl1E5T WILL NOT Griggs-Mitlway Bltlg - Room 5413 0E ACCEPTEO BV THE STATE BOARD 1821 Umversity Ave.. Si Peul. MN 55100 UNlESS PROPER INSPECTION FEE IS Pnone(6t])662-OB00 ENGLOSED REQUEST POR ELECTRICAL INSPECTION E800001-OB ? See mslmcnons lor compleung tpis lorm on Eacn ol yellow copy U "X" Below Work Covered by This Request 'u.~~••v e Aotl Rep. TypeofButltling AppliancesWUetl EqmpmeniWuetl Home Range Temporery Service Dea Wate r Heater Eleciric Hatng 8uiding Dryer Other (Specdy) m /lndus[nal Furnace ~ Farm Air Condi6oner Otherisyecdyi Comraclor's Remarks Campufe InspecLOn Fee Below: < Other Fee s Service ENranceSize Fee # Qrcuns/Feetlers Fee Swimmmg Paol 0[0 200 Amps 0 to 100 Amps ITransformers Above 200 _ Amps Above 100 _ Amps j SignS mspeclo: k Use Only TOTAL ~ Irngatwn Booms / SSa Speciallnspection L~ lAlarm/Commumcahon THIS INSTALLATION MAV BE OR SCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, ihe Electrical Inspector, hereby Rough-in Da~e - certify that the above inspechon has Finai Date been made OFFICE USE ONLV Thrs request votl 18 morahs from AA p L 1. 0 9 s~~ Reques~ Daie Fire N. Fo gRin Inspection ~ R¢quvptl~ ? Aeatly Now NaLfy InspeLlOr ~ b- es C No Wnen Featly? I jlicensed contractor ? owner hereby request inspection ot above electrical work at: Joo Atlaress (Slreel. Bo. or oure No ) Qry Section No Townsbip Name or N. Range No Co nln- Occupar)JPRINT) . Phone No Supeller Adtlress / Eiecmcal n;racm, IGOmpany amo) Contractar5 L¢ensa No 4 41z ",3 Mai6ng Fddress , COneracto, or Owner ntakmg Ins;allaLOry Phone N =:DP74 io wne~ n g Installation~ ~~OF ELECTRICITY THIS INSPECTION REOUEST WILL NOT m 5-1n BE ACCEPTED 9Y THE STATE BO/+PD 1811 Umverslty Ave., St Paul. MN 55104 UNLESS PFOPER INSPECTION FEE IS Phone (612) 6620800 ENCLOSEO REQUEST FOR ELECTRICAL INSPECTION _°rrc"^ ee-ooooioa No See mslmctions fOr COmpleling IM1iS brrn On back al y¢IIOw capY /O'a fo o - "X" Below Work Covered by This Request ew Add Rep. TypeolBUiltlmg AppliancesWired EqwpmemWuetl Home Range Temporary Service Duplex Wa[er Heater Electnc Heating Apt Bmlding Dryer Other (Speclfy) ~ Comm /Intluslrial Fumace Farm Au Condtlioner Ot~er ~syecJyl Comracmrs Remarks Compufe Inspection Fee Below: . Other Fee A ServiceEniranceSize Fe ~ Circmts/Feetlers Pee Swimmmg Pool ~ 0 to 200 Amps ~ 0 to 100 Amps Transformers Above 200 _ Amps Above 100 _ Amps Signs InspecmrSUseOmy TOTAL Irngalion 8ooms {g~ ~ Special Inspecuon - Alarm/COmmunicatwn THIS INSTALLATION MAY DE SC*NNECTED IF NOT Other Fee COMPLETED WITHIN 18 HS. I, the Electrical Inspectoc hereby Roui "t ace certify that the above inspection has F,nai been made. OFFICE USE ONLY ihis reques: m,o 18 monlts Irom CITY OF EAGAN NO 19588 ?830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ' BUILDING PERMiT PHONE: 454-8100 Receipt # l.~ To be used for SF DWG/GAR Est. Value $94, 000 Date A[t(: 71 ~19 9_1_ Site Address 584 WORCHESTER CIR Lot 11 Block 1 Sec/Sub. NILLS OF oFFiCE uSE oNLv Parcel No. STONEBRIDGE occ„pa„cy R-3 M-1 FEES zoning PD THE ROTTLUND CO INC R-1 w Name (Aquap Const V-N Bldg Permil 613.00 ; Address 5201 E RIVER RD (Allowable) ~L=N ° City FRIDLEY Phone 571-0304 xof Siories Surcharga 47.00 Length 95' Plan Review 398.00 Z. Name S~ oeptn 44' saC, city 100.0 0 0, a Addr255 S.F.7otai - ~ Clty PhOnC S F. Footprinis _ SAC, MCWCC 650.00 r On Sne Sewage _ water Conn 660.00 ~w Name OnSneWell _ 95.00 _w X WaterMeter zg AddfBSS MWCCSystem aw City PhOne CiryWater x Acct Deposit 30.00 ~ PRV qequired - S/W Permit 30.0 I hereby acknowlage ihat I have ead is apphcation and state that the Booster Pump _ ~ ~ S/W Surtharge .5 intormauon is correct and agr to omp all applicable State of Minnesota Statutes and Cily a ~di ces. Treatmeni PI 276.00 SignaNre ol Permitee s APPROVALS qoad Unn 370_ on A 8uddmg Permit is issued to: THE ROTTLUND CO INC Pianner - Park Ded. on ihe axpres5 contlition ihal all work shall be dona in accordance with all Council applicable Slate of Minnasola Statutes and~C,it~y) ol Eagan Ordinances. glQy. plt, Copies 0 Bwldmg Official ~~i ~ ~ Ll~ Variance - TOTAL 3,269.5 Address: Sgq 4prZ,rIESTER CIRCLE Lot I I Blk I Sec/Sub HILLS OF S10NG..SRID(E These items were/were not complete at the time of the final inspection. 11/27/ql Yes No Final grade (6" from siding) Permanent steps - garage Permanent steps - main entry ~ Permanent dxiveway Permanent gas Sod/seeded grass L/ Trail/curb damage ? Porch Basement finish ~ Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. `bs White - City copy Yellow - Resident copy Pink - Contractor copy . 1991 BUZ~INC-P M T 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 - & 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. IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER IATS - 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 LIC$NSED PLUMBER. To Be Used For: Valuation: XF-Fassm- Date: E~74/%c`~ Site Address zpl-~ u~A^j~Pla-.IES7t72 GiRccF OFFICE USE ONLY Lot ~ Block I FEES HILL6 of: Occupancy R'3 M-I Bldg. Permit 613.00 Zoning 'F9 R- 1 Surcharge 4-7,oa Parcel/Sub-6-ro4ET,5o-~pGc ~ Actual Const V-N Plan Review 36 $,oo Allowable V-N SAC, City /nc, C.30 Owner Th/E ~TT(AX-/p Ln, iHG # of stories SAC, MWCC 35,0 11 Length 55l Water Conn. 6(oDloD Address ~'7r/ E. `~bJGY ~c~kC~ Depth Water Meter S,<o S.F. Total Acct. Deposit 30,a,2 City/Zip Code cJ t Footprint S.F. S/w Permit 30. o° S/W Surcharge I5"0 Phone c,-7 t -C,---~/ On site sewage_ Treatment Pl. 76 00 On site well Road Unit 3 0,00 Contractor MWCC System ~ Park Ded. City water _L/ Trail Ded. Address PRV Copies Booster Pump _ City/Zip Code SU$TOTAL APPROVALS Penalty Phone Planner , Lot Change Council TOTAL Arch./Engr. Bldg. Off. Variance Address City/Zip Code Phone # agrees that all work shall be done in accordance with 9 (Sig ature of Contractor) a11 applicable State of Minnesota Statutes and City of Eagan Ordinances. VALU ATroI.J : K ~ ~ GAe~UF _ , ~ X l~S= IFSo SSo x /,S= 87a~ ~ bs rn 7 ; 12k 59 _ u69 I 3~ 3 2, ; Li 1!- 15~cz~{ I Z`ly k I sr F~. a o,~ zxr/zX7=Z~ IZ65 x 53s ~70 LrS cl3, 1G I orL 9Y,o~o~ 2422 Entcrprise Drive * PIONEER lANDSVRVEYOR3•CIVILENGINEEHS ~ ^ALQridotalleiglHS,MN55120 ~ en91^eering.. LANOPIANNERS•L/1NOSCIIPEARCHITECTS I (612) 661-1914 lT I *T I Certificate of Survey for: _T14E K OT / L UND COMPAN ) WoRCNESTER , ~ ClRGLE s9a. ~ Noaru %33 3 , S E .32 ~ b / O ` P \ / \rye 3 SC ~l7 ~ \ \^M \ ~ Q~~0j4 ~ Q , N ~ ~ ~l ' :T \ 41R, / ~ O s M~o Q ,L.o \ 7~ ~ V pL~ \X° lI~ _ ~ ~ ~ ~ ~ .i : B l~dt9 ~ryhcv G~. EAGAa'V k:ATGIIVEERIIVG I7E:PT' ~ ~?t,~~°' s 16, •07 a l~ 0900.0 Denofes exist~~ Elevafian 4q ~4•~x o o- PrtoposEO NOUSE ELEVAT10N5 . 900.o Dtnofes prop d Elevation ~ Iowesf Flnor~ Eleva~~on = 888. D en o te s O r a ln 4e E u t i l r{y E a s e m e n f =T benotes Orama eFlow Arrows Top ot'Bloclc EJevalion = o Denofes monumenf U'ara4z 5/ob Elevafl*on ° P9S.b~ 8earrt shownnreassumed ~Ze4v W.O. c-1ev4l'on - 891•(,~ LOT II , BLOCK I,14tLt5 oF STONEBRIDGE DAKOTA COUNTY, M/N1v£S0TA SUBJ£CT Tp EASEMENTS OFQEYURD I herebY cerNly that this survey, pl~n vr rrport wa~s~/p~~/eparrd by me nr undrr my Jirvr.t tupervisinn nnd thit I im duly Regisrm?d Lpnd Surveynr under the Iaws of Ihn Slate o( Minneeota. Oaled this-=T(n diy ~f 97",/ n p 1,13 r/ ~ Scale ~ 1= - ~ - - mch _ 40 e "1~` -\?t~~- JO7„Z.88 ?tiRFb Ifi.SIKIf.HI 5 RF.(:.Nn.IdB.~ ~ 1t _ ' _ ~ - ~ t3v mm tT , ~ . F7(TF.HTOR i-:rrvrt,rn•r. nvi•:rnr,r: "u" curiru•rr,TirnN oti+r+Ex _ fZc'~T`TL.C )IJb Go . S?TE ADD9ESS Loi II. .~'~Lpc.lc I• t1'1LL5 OF ~'~~"RRIa76~ CONTRACTOR DATF: PHOHc Determin vorkini; square footar,c o]' cuch. 1. iotal expesed wall area I~ ZsR. ft. x 0"~ _ ° „ Zo f~DB • 2. Total roof/ceiling area sq. ft. x e,p26 • ^otal exposed vall arca nbovc floor = 1,? Zn a. Total wall vindou area ~ b. Total door aree c. Total sliding glass door area 3 n,~J7 d. Total fireplace wall erea Z o e. Total wall ;ra-ning area (average lOp) 3(p f. Total net wall erea nbove floor z(l ~ . g. Total rim joist area JZ 4`', ~ Tcta1 exposed fnundntion aroa = (~2, h. Total ;oun3etzon vindow a:ee ~ i. Total net fo;ndstion area above grade Deterrnine °U" e-alue o; each wall ,eF;rnent. ~ a. „u„ b. 7( X„Ul, - C. X „U„ ~,3Z = l2,7; . d. 2 o X e.. 9 r. ~ z~~l ~ 2X„U,, e• i Zer. ~ X„1,,, J=T! _ 1I h. ~ X "W" x „u„ 3 . .r~,.~~ = ~ If item //3 is the szme as., or ies^ !.h:ln i te:; you have met the intent of SBC 6oo6(c)2. n • Totnl exposed roof/ceilinG Rre1 `1 . . Total gross roof/ceilinp are,s = _ ,j. Total skylight area k. Total roof/ceiling franing area 1. Total net insulated roof/ceilinF area _ • Detex-oine °U" value for cnch ruuf/cci 1 int,. scF,mcnt. , X nUn ~ ,y, / ? k: X 'lull Q•~Z ~ _ ~ + ' l(~~.Cv X„U„ o,oZZ = 2~:~~_ u . Total If total oP Nk is the same as, or less than N2, you have met the intent of ssC 6oo6(c)1. . To utilize the total envelope system method, the values establi;hed by the sum of items N3 and M4 shall not be greater.thKn the sum of iten:s kl and N2. 1. ± 2. -g, + 4. _ , ~ . 0 _ . J e -U --'VkI.U~ GAl-GUI-ATI01~ ~GcNT~. rFAMt~- WAU. ii; oa.{'~DE AF Fil.M O, I1 f 2 <aq Nc.. o b2 _ 3 , - 4 ly1 P. 2;1~. G.45 " IEIAIP - L . F.,i-A,= -F-AM5 wAu. G -STO.L? LoMPON~NTS - F- r o_u"r-!2IDE R1~ RI.M. ..o,l~ - I i _l . 3 ~2NZA"T}-I I N V. 2. O Ci _ 4 c L. hPan(FekM~;) J^' - ~v C~ iNhID~ MP FiLhl - vlew. i ~'SkL , -~MP~. ~~U+= (0,12 X o.01,9) t(o,Sb X o•043> _ 0• 047 _ n2MP2it~55447'12~; v ~ .16CI..=f;l~__FI~NI - r.-~=c u 5 ~ ° , 3 O ~~j • ~1 r F-l ~ ; ~ ~-=-2 G ; ' ° - _ . Gfz:~ ~ / ° ~ ~ 2G 47.= Q.CG - ~l>UND~C ~ IGN . i'D i - O ~ I~~ - - - ? , , ~ O i~ - -~-D•- --S.-c' I C~ .-=~%Zc---- / C: I~..Pri2.-F9l.Nl i ' Y Lr~-~ = o • i C- ~ I2.~: . • ' • i i , - ~ : ~ti - - C ~G~l~: i N ~29 • I O ItY=~--Pc1f~ P1~M. oz~i--- 3 = - o, 027 ~ 2 ~ ~ Fi~M,. . o.c~.l:------- 3 r F,_'_~:5.~ ~ - - 4 , :,-0 022 ~ CITY OF EAGAN FOR CITY USE ONLY • ~ 3830 PIIAT KNOB ROAD EAGAN, MN 55122 PERMIT # PHONE: (612) 454-8100 RECEIPT MEGH6NICA3:_:PERMIfi DATE: RESIDENTYAI.^ PLEASE COMPLETE IIPPER PORTION ONLY FOR SZNGLE FAMZLY DWELLINGS & : . TOWNHOMES/CONDOS WHEN PERMITS ARE REQUZRED FOR EACH UNIT. WORK DESCRIPTION FEES NEW CONST ~ ADD-ON MINIMUM $15.00 ADD ON HVAC 0-100 M BTU 24.00 REPAIR ADDITIONAL 50 M BTU 6.00 GAS OUTLETS - MINIMUM 3.00 OWNER NAME: '[~ntTlIJYICl Lo. OF 1 PER PERMIT ~ 1 I- SUBTOTAL: SITE ADDRESS:~I i,C)rvahQ_~)-Ver Cl'rCIC`L STATE SURCHARGE: .50 IAT:~ BLOCK ~ SUBD. TuTAL: INSTALLER: aDOaess: f1ARE HTG.Bi A/C, ONC. SIGNATURE • PE ITTEE cITr: Gotden Va11eY, MN. 5W.7 PHONE COtMEBCIAL/,INDQSTRIAL`,~:? PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRZAL SUILDINGS, . . APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. ° CONTRACT PRICE: FEES OWNER NAME: 18 OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR SITE ADDRESS: EACH $1,000 OF PERMIT FEE. PROCESSED PIPING - $25.00 LOT: BLOCK _ SUBD. $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 18 $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE (SIGNATURE) FOR: CITY OF EAGAN CITY OF EAGAN FOR CITY USE ONLY 3830 PILOT KNOS ROAD EACAN, MN 55122 PERMIT # PHONE: (612) 454-8100 RECEIPT # /Oo'Z PLVH$SNG'.PEFt!!IR DATE: 9 RE$IDENTIAT:T;: PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMZLY DWELLZNGS & TOWNHOMES/CONDOS WFIEN PERMITS ARE REQUZRED FOR EACH UNIT. WORK DESCRIPTION COMPLETE THE FOLLOWING: N0. FIXTURES EA. TOTAL NEW CONST ~ ADD-ON MINIMUM 15.00 ADD ON SHOWER 3.00 75 REPAIR WATER CLOSET 3.00 ;3_ ~ BATH TUB 3.00 D- 1 LAVATORY 3.00 ~ - OWNER NAME: KITCHEN SINK 3.00 1 LAUNDRY TRAY 3.00 3 SITE ADDRESS: HOT TUB/SPA 3.00 k WATER HEATER 3.00 LOT:~ BLOCK ~ SUBD. I FLOOR DRAIN 3.00 3- ~ ) GAS PIPING OUT. INSTALLER: ~/IA~~~~i PI ~ k Cv ~.->c. 1 (MINIMUM - 1) 3.00 p ~ ROUGH OPENINGS 1.50 `4. ADDRESS: 1~0~L CL•~% _ OTHER T 1 WATER SOFTENER 5.00 CITY: C1RCJA-- zzP: SS35 a PRIVATE DISP. 15.00 'I~a- U.G. SPRINKLER 3.00 PHONE SUBTOTAL $ C ~f'~~nY~ ~ ST. SURCHARGE .50 SIGNATURE 0 PERMITTEE TOTAL: S COMMERCIAL"J.INDITSTRIAL':, PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND MULTZ-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACN DWELLING UNIT. CONTRACT PRICE: FEES OSvi]Ec2 NAI4E: 18 OF CONT°9CT FEE. STATE SURCHARGE _ $.50 FOR SITE ADDRESS: EACH $1,000 OF PERMIT FEE. LOT: BLOCK _ SUBD. $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 18 $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE (SIGNATURE) FOR: CITY OF EAGAN PERMIT If1 ` ' G~ CITY OF EAGAN REACTIVATE 1992 BUILDING PERMIT APPUCATION 681-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy caics. Penalty applies when typing of permit is requested, but not picked up by last working day of month in which re uest is made or lot chan e is re uested once ermit is issued. Date _~4 i( / / 9L Valuation of work ~o ! 0~ Site Address: 5?4 Uo'-C4es c- / 'C STREEi SUI7E N Tenant Name: (commercial only) T~ BIACK ~ SUBD. P.I.D. N Descri tion of work: The applicant is: 0 Owner ? Contractor ? Other (Describe) Name Phone Property usr FIRST Owner pddress STREEi STE A' City State Zip Company Phone _1q)-30Z 9- Contractor Address 4)R cr License #1 Exp. City State kl r'-~ Zip ArchitecU Company Phone Engineer Name Registration # Address City State Zip ` Sewer 3 water licensed plumber Processing time for sewer 3 water permits is two days once area has been approved. . I bereby acknowledge that I have read this application and state that the information is correct and agree to comply with all appl'cable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish ? 02 SF Dwg. ? 01 4-Plex O 12 Multi. Misc. ? 17 Swim Pool ? 03 SF Addition 0 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind. O 04 SF Porch ' O 09 12-Plex O 14 Fireplace ? 19 Comm./Ind. Misc. ? OS SF Misc. ? 10 Multi. Add'1. 13/,15 Deck O 20 Public Facility O 21 Miscellaneous WORK TYPE 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish '0 32 Addition ? 34 Repair ? 36 Mave GENERAL INFORMATION Const. (Actual) Basement sq. ft. MWCC System (Allowable) lst Fl. sq. ft. City Nater UBC Occupancy R- > 2nd F1. sq. ft. PRV Required Zoning Sq. Ft..total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler Length On-site well Census Code y 31-/ Depth On-site sewage SAC Code APPROVALS Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS O 5ite C>3~Footing ? Framing ? Insulation O Wallboard final ? Draintile O Fireplace Permit Fee vsiwtid,: g Surcharge Pl.an- Rev_iew 'L`i cense_~ 'MWGC-SAC City SAC Mater Conn. Water Meter , Atct. Deposit S/W Permit S/M Surcharge ` Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: SAC % SAC Units ~ * * # 2422 Entprprise Drive ~PIONEER LANDSVRVEYORS- CIVILEHGINEEHS lIrMendotallcights,MN55120 ~ enIF~eerinJ(7~'• LFNOVIANNERS•LI~NOSCIIPEPRCHIiECTS / II 612' 6oa1 -1^ 14 :J y II 1 i a 1 y 1 T )f T T Certificate of Survey for: _ TNE IS OT T L UND COMPA/ r Y WoRCHESTER ClRGLE CP • 693. ! NORTN o '~9 s IK io ~ \ ~ 3 •~S 3 3 3.3 Z ~ h ~ 4 \ .e R d~ / ,0 GO 3333 A- \ \ \ 5 4• ~ : ~ V\ r\ 4 1"~ °oo O • Q- ` f.f o 1 ~ / \ a ~ M ; • , \ . / ~ ~ / / ' ` 5 ` M ~ ~ ~ ~V ~O • 0. ..""_.^~'J ~`J~`-e';:,'':•";^ S ~.437 /h 0 \ (19 ' ~ 76• 900.o Denoles exisiinQ flevofion ¢4~4 • a v4WROVOSfo NOUSE E[fVAT10lY5 • 900.o Dtno{es propoHd Elevotion - --Denofes OminaeEutilif Easemenf lowest Floo~• Elevalion > 388. --T benoies Oruma e Flnw rrows Top ot'Bloek Elevalion = o Denoles monumenf Civrole 5/ob Elevofion = 89s8~ 8earin~5 shownarn assumed lee4v 0/.0. c-lev4b on - 891.~~ LOT ll , BLOcK 141Lc5 oF STONEBRIDGE DAKOTA CouNTY, Mi^'NF-SOTA $UBIECr 7D fAS£MENTS OFRfCURb 1 hernby terUly that this survey, plan or report was prepaled py me m under my dirqr.1 tupnrvisinn inA thal I om dul Ro ~.o ~e~/ n V 9'n d lDnd SurveVOr unAer the laws ol the 5[are of Minnesota. Dated ihis _,T~^ ~f,y of n p 19 Scale :1,^~ z q) ~r _ ,j ] IIZ. SS R~~nrnl A. VKlfli 1.S. fiF.r r~n. t.+e~f ity oF eagan 3830 PILOT KNOB ROAD. P.O BOX 21199 eFn &OM9UIsT EAGAN. MINNESOiA 55121 M~ PHONE. (612) 454-8100 IHOtvvS EGW 1WNES A SMIiH VIC ELLISON 7HEODORE WACHTER May 18, 1987 c°""°'^^~n n+onws HeoGEs GN A~hisharor EUGENE V!W OVERBEKE CiN pe,k MR DON BUEHLER 4135 DODD ROAD EAGAN MN 55123 Re: Project 491, Special Assessment Summary Parce 1 C#.10-02400-010-54 Dear Mr. Buehler: As a result of our meeting on May 7, you requested that I provide you with a detailed breakdown of your proposed assessments under the above-referenced project and also the potential future assessment associated with the southerly extension of the proposed trunk water main across your frontage to its connection with County Road 30. The following information is based on 1987 rates and the area of your residual parcel being 1.85 acres per your information. 1. Trunk Area Sanitary Sewer 1.85 ac. @$1,300/ac. _$2,405 2. Trunk Area Storm Sewer 33,000 sq.ft.* @$0.053/sf = 1,749 TOTAL PENDING ASSESSMENT - PROJECT 491 $4,154 *Assessable area based on the first 16,500 sq,ft. of each acre of the 1.85 acre residual parcel. You also requested information about the potential future assessment for the extension of the water main along Dodd Road. Because I do not have the information available as to what your frontage would be, I can only give you the 1987 rates to be extended by the front footage information in your possession. The 1987 rate for lateral benefit from trunk water main is $12.47 per front foot. You have previously been assessed for your trunk area water main assessment' when the water main was installed along Diffley Road in 1983. THE LONE OAK TREE. ..THE SYMBOL OF STRENGTH AND GROWfH IN OUR COMMUNIiY MR DON BUEHLER MAY 18, 1987 PAGE 2 As I also mentioned, the City nor the County have any information regarding the proposed split of your large 30-acre parcel. 'I'herefore, the information contained in this letter is based on the assumption that this 30-acre parcel will be split as you have indicated. If you need any additional information, please feel free to contact me. Sincerely, 0~oma4s A. Colbert, P.E. Director of Public Works TAC/jj cc: Deanna Kivi, Special Assessment Clerk FOR CITf USc OtdLY ~ Petition N ' Date Received S ~G ~ PETITIatt Presented to Council ' /0 _ U,2yoC) -o/u-S7 IACATION/SUHDNISIOY East 112 of Section 23-27-23 and West 1/2 of Section 24-27-23 lying West of Dodd Road, Dakota County, Minnesota. I/we, the undersign=d, o:mers of the real property adjacent to (St.-==t) or within The Above Described Land Subdivision, hereby peti,ion for: Collector Street improvements X Trunk Sanitary Sewer x_ . Trunk Water Supply X (Check requested items) Trunk Storm Sewer X Street Lights Other (Explain) I/tive understand that this petit3on does not in itself request the installation of these improvements, but rather, request the preparation of a feasibiLty report in which the estimated costs of these i.mprovecents aill be tabulated. I/ive understand that upon receipt of this petition and '„he preparation of the requested feasibility report, a puhlic hearixg will be held at which time we may voice our support or oppos:ticn hase3 on the casts as pregared in said feasibiliiy re_pori, ' If the requested improvements are denied for construction at the time pf public nearing, Ijwe herehy gu,-,rantee paymenL for a1I costs incurred in t'ne prepaia"ion of this feasibility report. * See attached map for legal ` descriptions and location Signature of Iand Q:~er Address of Pronertv * Parcel 1._ Parcel 2, Parcel 3 _ Parcel4L-------- Parcel 5, Parcel 6 ./JP..W ~ ls,~..~,u.. (~,z~.Q..~.~ '~,~.~.a,~~i,A: - - - - - - - ~ Parcel 7` - - - - - - - ` - - - 1 - - - Sheet 1 of 3 Sheets , . FOR CITY USE Ot1LY . , Petition k Date Received PETITI02I P:esented to Council IACATIOR/SUBDIVISION East 1/2 of Section 23-27-23 and West 1/2 of Section 24-27-23 lying West of Dodd Road, Dakota County, Minnesota. . Z/we, the undersigned, o;mers of the reaZ praperty adjaceat to . (Street) or within The Above Described Land Subdivision, hereby petition for: Collector Street improvements X . Trunk Sanitary Sewer X Trunk Water Supply X (Check requested items) Trunk Storm Sewer X . • Street Lights Other (Explain)I/we understand that this petition does not ia itself request tbe installation of these impxovements, but rather, request the greparation of a feasibility report in which the estimated costs of these improvemeats erill be tabulated. I/tive understand that upon receipt of this petition and the preparation of the requested feasibility, report, a public hea:ing will Le held at which time we may voice our support or . opposition based on the costs as prepared in said feasibility report. Zf the requested improvements are denied for construction at the time pf public hearing, I/we hereby gwrantee pay-ment for a;I costs incurred in tne prepaiation of this feasibility report. * See Attached map for legal descriptions and location Signature of Land Orrner Address of Prome^tv * 'arcel 8. - - - - - - - - - 3arcel 9. - - - - - - - - - ?arcel 10. Parcel 11. _ Parcel 12. Parcel 13.•_ Parcel 14. - - - - - _ - - _ - - - ~ - - - 2 of 3 Sheets - ~ • FOR CITY USE OIILY Petitian ~ i Date Recei•red PF'fITSOP! Presented to Council LOCATION/SUBAIVISION East 1 2 of Section 23-27-23 and West 1/2 of Section 24-27-23 . lying West of Dodd Road, Dakota County, Minnesota. I/we, the undersigned, owners of the real property adjacent to . (St:eet) or within The Above Described Land hereby petition for. Subdivision, Collector Street inprovements _y~ , Trunk Sanitzry Sewer X Trunk Water Supply x_ (Check requested items) Trunk Stor.n Sewer ' X Street Lights Other (Explain) I/tive understand that this petition does not in itself request the installation of ' these improvements, but rather, request the preparation of a feasibility report in which the estimated costs of these improvements crill be tabulated. I/tive understaad that upon receipt of this petition and the preparation of the requested feasibility report, a public hearing will be held at which time we may voice our support or . opposition based on the costs as prepared in said feasibility report. If.the'requested improvements are denied for construction at the time of public hearing, Ijwe hereby guarantee paynent for a11 costs incvrred in tne prepaia',ion of this feasibility report. * 5ee attached map for legal descriptions and location SiQnature of Land Q:rner Address of Promertv * ?arcel 15. Parcel 16. Parcel 17. - - - - - - - - , Parcel 18 _ _ _ _ _ _ _ _ _ Parcel 19. Parcel 20. ` - - - - - - - _ - - - - - Sheet 3 of 3 Sheets S 7q.~-Of 2006 RESIDENTIAL MECHANICAL rEUMiT nrrr.rcaTiorr City OfEagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: single family dwellings & townhomes/wndos when permits are required for each unit Date ~ _7 / QS / (X Site Address 5 Unit # Property Owner Telephone #(G`~jl )Ac5 ( Contractor Wohlers Southside Htg. & Air, Inc. 6950 W. 146d St., #106 Street Address Apple Valley,lbIN 55124 City (952) 431-7099 State Telephone # ( ) Bond KLa- QSy r748'7 Expires: UU- The Applicant is _ Owner X Contractor _ Other Add-on or alteration [o existing dwelling unit $ 30.00 furnace _Additional -2/-Replacement _ New air exchanger ~ air conditioner " heat pump other . . ~ ~ i State Surcharge ~ JUL $ .50 i ~ Total L - - I hereby apply for a Residential Mechanical Permit and acknowledge tha[ the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes, that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit that the work will be in accordance with [he approved plan in the case of work which requires a review and approval of plans. QA-)aCQ, Applicant's Printed Name ApplicanYs Signature. 2006 RESIDENTIAL BUILDING rERMiT arrLicnTrorr City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Consiruction Reauiremenis RemodeVReoair Reauirements OfFlce Us'e Onl9 3 registered sile surveys showing sq. ft. oi lot, sq. ft. o( house; and all rooled areas 2 copies of plan showing footings, beams, joisfs Ceii of Survey N (200/o maximum lol coverage allowed) 1 set of Energy Calculalions for heated addNOns Soils Repod Y "LN 1 Soiis Repod if proposed building is lo be placed on disNrbetl soii 7 site survey for addNOns & tlecks Tree Pres PWn Recd "N ` YN 2copieso(planshowfngbeam&windowsizes;pouredfounddesyn,etc Additron-indicateifrn-srtesepticsystem 7reePresRequired,,Y, N 1 set of Energy Calculations On;sAe Septjc System:, Y:_ N 3 copies of Tree P2servation Plan d bt platted afler 711193 Rim Joist Detail Op6ons seledion sheet (buildings with 3 or less units) ' Minnegasco mechanical ventilation form Date / / 2ro /0 Construc[ion Cost Site Address w62C fle~1H? n 2 UniUSte # Description of Work ~OFE-R~T7D0 F- Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2 Property Owner M AP&IJ`l1Ze7 I v W W CHUVC.IJ Telephone #((p7 1) 4S~ 5-,~ I p Contrac[or M~~w~sr2nrEl~ ~I n)~~ ~ ~ar~oows Address City C'_f'rJ4(uPUj~1 . • . stace C_F1A'vlPUa~ MIJ ziP Telephone#(7(~) L{Z~~?6ClI~ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cafegorv 1 Minnesota Rules 7672 Energy COde Category , ResitlenGal Ventilation Category 1 Worksheet • New Energy Code Worksheet (4 submission type) Submitted Submirietl • Energy Envelope Calculations Submitted In the lasi 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _ Y _ N If yes, date and address of master plan: Licensed Plumber Telephone j Mechanical Contractor Telephone # ( J Sewer/WaterContractor Telephone ) I hereby apply for a Residential Building Permit and aclmowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only Fved plication for a permit, nd work is not to start without a permit; that the work will be in accordance with the plan in the ca e of rk hich requires a review and ap roval of plans. ~~~~~-?~1~~ ApplicanPs Printed Name Apgli ign~ ' ~ DO NOT WRITE BELOW THIS LINE Sub Tvpes ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg ? 02 SF Dwelling ? 08 06-plex ? 16 Firepiace ? 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 OB-plex ? 18 Deck ? 23 Porch (screen/gazebolperola) O 36 Multi Misc. ? OS 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage ? 06 04-plex ? 12 12-plex ? 25 Miscellaneous Work Tvpes ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building` d 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant DBSGriptiOn: WaterDamage_Yes Valuation Occupancy MCES System Plan Review 700% or 25% Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length. Fire Sprinklered _ Type of Const Width - , • - • REQUIRED INSPECTIONS _ Footings(new bldg) _ Sheetrock _ Footings (deck) _ FinallC.O. _ Footings (addition) _ FinaVNo C.O. Foundation HVAC Drain Tile O[her Roof _[ce & Water _ Final _ Pool ' Ftgs Air/Gas Tests Final y Framing _ Siding _ S[ucco Lath _ Stone La[h _Brick _ Fireplace _ R.I. _ Air Test _ Final _ Windows _ Insulation _ Retaining Wall . Approved By: , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit 8 Surcharge Treatment Plant License Search Copies Other Total 4011`. City of Eagan Date: 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 #: /6) (0'77 Date Received: 7-00-1z- Permit .Z0/z Permit Fee: Staff: 2012 RESIDENTIAL BUILDING PERMIT APPLICATION 90 1-4,Site Address: Unit #: Name: %-►i t C UKj, Address / City / Zip: 't7-1 t� • TIG .) t Applicant is: Owner )S. Contractor Phone: 64;.-- O I" TYPE OF WORK Description of work: Construction Cost: 1 ' (2 . I2 _ 1= zoo Multi -Family Building: (Yes / No ) Company: I HE aP 4 S Contact: 1 � �s— Address: 7670 1' ST- (, Skt rre (10 City: Pow kou State: v, N Zip: C5 Phone: qc 7— 1077 License #: GC -k- CIN 7 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: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: NOTE: Plans and supporting documents that you submit are considered to be public nformation Portio= the information may be classified as non-public if you provide specific reasons, that would permit the CIi conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.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 Building Code must be completed within 180 days of permit issuance. Applicant's Printed Name x Applicant's Sig atu e Page 1 of 3 Date: City of Eaall 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 #: Cr Permit Fee: /Dc cll Date Received: Staff: 2012 RESIDENTIAL BUILDING PERMIT APPLICATION 10-7)-)D, Site Address: (Za2c-1-1S1, C R Name: Address / City / Zip: ,a4-1 J O(CI G) R2 Ci�Z Phone: Applicant is: Owner )(Contractor Description of work: Construction Cost: 7L/33 aLwtc oDOoO Multi -Family Building: (Yes / No ) Company: 0c 65-10-4 Address: 7(010 16/Vi S1 W 1 SU 1 State: 11103 Zip: J I<D9. Phon GrSci Contact: ( Sbsky- 1 c- 1)0 City:L J e: cTca-cf97-1-1777 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: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. a tSS�r-� �- x Applicant's Printed Name Applicant's Signature Page 1 of 3 City of Eagan PERMIT City of Eaan Permit Type: Plumbing Permit Number: EA111700 Date Issued: 07/08/2013 Permit Category: ePermit Site Address: 584 Worchester Cir Lot: 11 Block: 1 Addition: Hills Of Stonebridge PID: 10-32990-01-110 Use: Description: Sub Type: Residential Work Type: Replace Description: Water Heater 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. Kris Dien 3670 Dodd Rd Eagan, MN 55123 Fee Summary: PL - Permit Fee (WS &/or WH) $55.00 Surcharge -Fixed $5.00 0801.4087 9001.2195 Total: $60.00 Contractor: Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 - Applicant - Owner: Margaret C Nwachuku 584 Worchester Cir Eagan MN 55123--165 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. Applicant/Permitee: Signature Issued By: Signature City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink For Office Use 1 lag Permit #: Permit Fee: Date Received: Staff: L (Do jh3 2013 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: { -51 1 13 Site Address: Tenant: Oc\- SEFe.2.4k. Resident/Owner 1/br-FPS Cu'' Suite #: Name: I l U e vC,, Phone: 1..e51 IQ 531-6 It Name: )1 Address: 3 440 License #: tO mar. 551 kC bre City: -1 I w /""� ►` [(to Phone: 16 390 S10° L P�. , �r5..M6.1741161 Email Contact: New )`Replacement Repair — Rebuild _ Modify Space Work in R.O.W. 5b6 - V 5 Description of work: RESIDENTIAL Water Heater Lawn Irrigation (RPZ / — PVB) Septic System New Abandonment I Water Softener Add Plumbing Fixtures ( Main / Lower Level) Water Turnaround RESIDENTIAL FEES: $60.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation (includes $5.00 State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) *Water Turnaround (add $200.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) < TOTAL FEES $ ltZ� CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. c x Applicant's Printed Name Applicaryt`s Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: ___Under Ground __Rough -In Air Test _Gas Test _Final PERMIT City of Eagan Permit Type:Building Permit Number:EA166596 Date Issued:01/21/2021 Permit Category:ePermit Site Address: 584 Worchester Cir Lot:11 Block: 1 Addition: Hills Of Stonebridge PID:10-32990-01-110 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. We encourage you to retain an electronic copy of photos until the project passes a final inspection. *Roof permits issued between December and March will be inspected in the spring or when weather warms up. 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 - Margaret Chimezie Nwachuku 584 Worchester Cir Saint Paul MN 55123--165 The Roof Guys 7630 145th Street, Suite 110 Apple Valley MN 55124 (952) 997-4777 Applicant/Permitee: Signature Issued By: Signature