587 Worchester CirUse BLUE or BLACK Ink
3830 Pilot. Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Permit* `— \ \ \
Permit Fe `^^`)
Date Received:
Staff:
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
IIf , �i
drG
Date: I -lo 10 Site Address: � .. R% Vv k=5 r Circ' e
1 D
Tenant Suite #:
RESIDENT / OWNERPhone:
Name: PQ -k---1--./1.---\-a V\S O Yl � �
ILJ// / 33/
�LI C
Address / City / Zip 55---7 Wer -c. C tGni CZ h 315 r� 3
)
Applicant is: Owner Y Contractor
TYPE OF WORK
Description of work: C'eQl4CP W l OuSS.) FQ UO cloc'r e)Cj s 11►'Lot OP-•
Construction Cost: (E) w so Multi -Family Building: (Yes / No -'")
Name: 1,'(' .moo uJ L ca r\. e. e -,k - S License #: a.0\ G Z1-1 f.
CONTRACTOR
(. /
Address: t t 0 Lone. Oak kd111 I/ (7 City: ea;,cx.r.,
State: ,� °' L /'� Zip: 561 D I Phone: 6 6 1 90 010 c�
Contact: I v CILY\- C.\ —So Email:
COMPLETE
Ir the ast 12 months, has
Yes No If yes,
THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
the City of Eagan issued a permit for a similar plan based on a master plan?
date and address of master plan:
L censed Plumber: Phone:
Mechanical Contractor: Phone:
Sower& Water Contractor:
Phone:
NO rE: Plans nd suppc rtin #lu ' n 't 3 f s b td
o rmat tz ray a la srireat E s ni n pub►ld ; f you pr sv>�id s e ' f o it ns th t Mrd p rrt+ t t i it to
conclude :that there;trade s
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against; underground utility damage.
Call 48 flours 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; tat 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 o plans.
x kt CV SC ieS �1� x
ApplicEnt's Prirtted Name Applicant's Si
. CIT O EAiGAN
3
, 3830 Pilot Knob Road, P.O Box 21-199, Eagan, MN 55121 ~~~9' ~ 8~~~
PHONE: 454-8100
BUILDING PERMtT fieceipt #
To be used tor s~ ~/GAR Est. Value ;83•OW Date 3ULY 19 1990
Site Ag$ress 587 ORjiE8Z61t CI8
lOt BIOCk SeC/Sub. OFFICE USE ONLY
R-3 M-1 FEES
Parcel No. occuvar,cy
~ DANl3 dR0171ER8IMC Zoning 563.00
5 Name ' (actuap co~st eldg. Permit
'
I (Allowable) - Sureharge 41.90
` Addres
° M ol Stories
City PUTM Phone -4~t Plan RevieW 366+00
gAM le"ga, -*40 100.00
.
~ Name oePCn - sac, city
Z~ Add~ess S.F. Total 6W•~
, $ < - snc, Mcwcc
C',,ity PhOne S.F. Footprints - 625.00
On Sde Sewage Water Conn
'~W 'rJ~- On Site Well Water Meler 90•00
~ Adcttess MWCC System Aect
. oeposit 30.00
City Phone citywater = 3O.pp
PRV Required S1W Permit
" f hereby acknowlege that I have r~, lhis p' atJon and statQ that the Booster PumP - gM1 Surcharge
information is correct and agrge'com y, tk~all applicab,lA State of 252.00
Minnesota Statutes and C>.at E es. Treatment PI
L~ 355.00
Signalure of Permitee , ' t- APPROYALS Road Unit
~r
A Building Permit is issued to: ~;1 f Planrw - Park Ded.
~ on the express condition that all work shall be done in accord ce with all Cou^Gl ~
applicahle State of Minnesota Statutes and City ol Eagan Ordi ances. Bldg, plf, ~~ies
~ ' • Variance - TOTAL
BuiWing OffiCial - l
21
P«nat No. v«nw naa.. r.~nor» +r
WATER - G O
SEWER
rLuMeurc ~ 8/ So
H.VJIC. 0
ELEcrpic 897
coMm.oa
kapmam osa Nap.
Footirqs i i'"/ as
F7
Foixbalion '
Franrng
Roo&9
R&jghplbg•
Rou9h FI68• S' ~ 0 ~ `~S~O ~ ,3~ `r
la/. 8~/ ~
Finplfcs
Fiial FIEg.
Fin ~
al Plbg. q441-506
Conri. Mster PD9• Mapedor - Nolify Phnnber
Engr.IPlan
F~ Z~ D
Detk Ftg.
Deck Rnal
Well ~
Pt. Disp.
, . PLUMBING PERMIT For Off c~ sOnty
• ' CITY OF EAGAN PERMIT # ~
CONTRA'CT 3830 PILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT #
PRICE PHONE 45¢-8100 DATE: / Sv
Site Address c'/ - BLDG. TY~E WORK DE~CRIPTION
Lot I~oc'.Ic ~`b Res New
MuR. Add-0n
~ Comm. Repair
Name Ooher
~ Address s
~ RE3. PLBG. ONLY - OOMPLETE THE FOLLOWING:
.S Cfty i-c~<i~r ~ Phone~ ~CJJ
NO. FIXTURES TOTAL
~ Waler Closet - $3.00 $ Bath Tubs - S3.00 3
~ Add?e9 e i ~ Laratory - $3•00 3`"
~ City Phone Shower - $3.00
~T
, Kitcfien Sink - $3.00
UrinaU6'idet - $3.00 . O J
FEES -T Laundry Tray - $3.00
COMMJiND. FEE -1% OF CONTRACT FEE Floor Drains - $1.50
~ APT. Bl.DGS. - COMM. RATE APPLIES -T WaCer Heater - $1.50 T J ~
TOWNHOUSE & CONDO - RES. RATE APLLIES 1Nhiripool - $3.00
MINIMUM - RESIDENTIAL FEE S12•00 Z Gas FiPin9 Oudets - $1.50
MINIMUM - COMM.IND.IFEE :20•00 (MINIMUAA -1 PER PERMIT)
STATE SURCHARGE PER PERMIT .50 SotDener - $5.00
;(ADD $.50 S/C PER EACH $1,000 OF PERMIT FEE) Well - $10.00
Private Disp. - $10.00 ~ J
Rough Openings - $1.50 Z// U. G. SprinWer System - $12.00
SIGNATURE OF PEHMfTTEE PERMIT FEE:
STATES S/C:
FOR: CITY OF EAGAN GRAND TOTAL..
~ 0
, , .
MECHANICAL PERMIT For City Usa Only 3
` CITY OF EAGAN PERMIT ~ 24' 3630 PILOT KNOB ROAD, EAGANg MN 55122 RECEIPT#
F ~
DATE Z) ~ pHONE 4548100 DATE: I~.3~ SC7
Site Addr s c- BLDG. U/PE WORK DESCRIP ON ~
Lot Block Se ub V New Const
- Mult. Add-on
Na e Comm• Repair
~ Other
~ Address
c City Phon FEES
RES. HVAC 0-100 M BTU -$24.00
Nam ADDITIONAL 50 M BTU - 6.00
~ Address, (RES. HYAC INCLUDES A/C ON NEW
Pho~ TO~W NHO SE 6OCONDQS - RES. RATE APPUES
C~Y "e.-~.5 D°~~ ~
111NIIYIUIYI RESIDENTIAL FEE - ALL ADD-ON b
TYPE OF WORK REMODELS (INCLUDES GAS PIPING) - 12.00
+•r ~ GAS OUTLETS (AAIMYUAA -1 PER PERMIT-
~ Forced Air . M BTU, NEW CONST.) - 1.5o EA. Boilerrw°"'"'-"~+? E"1U1 BTUi $ COMMIIND FEE -1% OF CONTRACT FEE
Unit Heater" M BTU $ APT. BLDGS.-- COMM. RATE APPLIES
Air COnd. M BTU $ MINIMUM COMMERCIAL FEE - 20.00.,
• - ~ STATE SURCHARGE PER PERMIT - .50
Vent ~OFM
Outlets $ --J (ADD Z.30-810 Pfii~EACH $1000.00 OF PERMIT FEE)
Gas Piping
Other • $ '
: CommJlnd. Contrect Prk:e x 1% $
' PERMIT FEE• J PERMTTEE
S/C: FOR: t TOTAL: ~
~
- : . . . . . •a J-.. . . _
, CITY OF EAGAN
454-8100
DEPT. OF BUILDING INSPECTtONS " I
I
Correction Notice I!
Located at ~ ~ ~ '~0 • ' ~;~s ~'~r
I have this day inspected fhis structure and
these premises and have found the following
violations of city codes governing same:
, •i f~; f l~~-P/ -
,
k
When corrections have been made, please
call 454-8100 for inspection.
Date ~ ~
Inspector City of Eagan
DO NOT REMOVE THIS TAG
~ y . _ _ .
SEWEA & WATER PERMIT OFFICE U E ONLY
CITY OF EAGAN METER ~ !4 PERMIT DATE
3830 Pilot Knob Rd. cHiP # 111.VQ 3 a 7 9 PERMIT # 11557
Eagan, MN 55122-1897
- METER SIZE B.P. RECEIPT # C 8A65
ISSUE DATE B.P. RECEIPT DATE 071131 o
DATE .'L'LY 3C. 199t)
_ PRV - BOOSTER PUMP
SITE ADDRESS 58 7 CIR PERMIT REOUESTED
LOT I"BLOCK t SEC/SUB HILL;' ui' Si0';[;Bt2Ji,G1:
4'-. X SEWER WATER - TAPS
APPLIrANT:
ADDRESS: - COMM/IND RESIDENTIAL
CITY,'STATE ZIP X NEW - EXISTING
PHONE:
Lawn Sprinkler Meters are to be Installed
PLUMBER: STAP. Pl,llt-:Gi NG Ahead of Domestic Meters on Water Line.
ADDRESS: 1O? ° i•sO11:vD SPRI NGS TLRU 11 it WILL NOT ven for Deduct Meters.
,
CIIY, STATE BLC)011ZtNGTCN. tiN ZIP `.5420
PHONE: f 8~+-4149 ~
(,1_AGREE TO COMPLY WRH CITY OF
OWNER: DAtiLE BROTHERS itrC EAGAN ORD ANC S
ADDRESS: 9304 LYNDALE AVE S
CITY, STATE BLOOriIHGTaN. MN ZIP 55420
PHONE: SIGNA7URE WHEN METER ISSUED
, - ; :
` . , • , i ~ ~ -
? PLEASE•ALL41h1 TWO ViORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
. .,.....,-s.r++--~w,rrar~+..j........a --r.,.a . . . . . . .
SEINF.R_& WATER PERMIT OFFICE USE ONLY
CITYbF gd'bAN METER # PERMIT DATE
3830 Pilot Knob Rd. 11557
Eagan, MN 55122-1897 CHIP # PERMIT #
METER SIZE B.P. RECEIPT # AAf
DATE ~4'1 i y 1•'~{1 ISSUE DATE B.P. RECEIPT DATE 07113 I
_ PRV - BOOSTER PUMP
SITE ADDRESS S; k)RGj,:S)TEii C.:F PERMIT REQUESTED
LOT 1`''BLOCK 1 SEC/SUB vF ~'aC~r'rBf~II~f;t:
SEWER y WATER - TAPS
OPLIQ;ANT:
ADDR~SS: - COMM/IND Y RE5IDENTIAL
CITY,`~TATE ZIP X NEW - EXISTING
PHONE:
Lawn Sprinkler Meters are to be Installed
PLUMBER: STAF; PLUMnING Ahead of Domestic Meters on Water Line.
ADDRESS: 101 tti alOUt.ID SPRINGS TERR Cre~it WILL NOT ven for Deduct Meters.
t
~
CITY, STATE 1?.-OOt1INCTON, MN ZIP 55420
PHONE 6~~14-4149
c I AV`REE TO COMPLY WITH CITY OF '
OWNER: ~ ~ ~MRR5, YNC EAGAN ORDINANCES ADDRESS: 4304 LYNDALE AVE 8
CITY, STATE BLOWSNGTOh• 14K ZIP 55420
PHONE: 889--68o6 SIGNATURE WHEN METER ISSUEO
PIEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
. . _ _ . • t'~!' - , . .
T + .
. ~ w
'I .
; (ter#t#txafe nf (Orxupanrg
Citp of (Eagan
IOrParbund u# WWId'atg Jnaptdim
7Trls CatifcaQle issuedpursrraitt b llte reqrdxnents of Serxiae 306 ojtlrr Unijorm Bu7lding
Code cerd&mg Oaiat 1he dw ojtsuanoe dissovcturr wns br oaxplianoe witle 11w ?nrious
ordimners ol the CYiY reguladW buddinS conouclion or um- Fnr the jouowfiig:
ucckmmmd,. S{..M^„4raR 19147
0aa1 Ci7yve P6" 1 7oo:K Ditiiee ED/Rl Yypn e.rw VN
pww,wMwW" AMF. W71WR.S- TAY:_ AMm 93fYi T.IRNIIWF. A. S- HrMN '
awld4 Ad*= L 14, B I, EIILIS Ci~ S1Q+~RIDL~' - 587 SEPMffit 25~ t990
e~ee
POST fN A COHSPNXAOUS PLACE
' JULY 30, 1990
DATE:
RE: 587 WORCHESTER CIR (DAHLB BROTHBRS, INC)
R
Your Sewer & Water Permit for the above property has been completed. 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 OM.
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 issued or occupancy allowed until further notice.
~
COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance,
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REOUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
41 S c/7 J RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675
New Constructan Reuuirements RemodellReuair Reauirements
. 3 registered site surveys showing sq R. of lot, sq. h, of fause; and all roofed areas . 2 copies of ptan
(20%maximumbtcoveragealbwed) • isetofEnergyCalculationsforheatedadddions
. 2 copies of plan stwwing 6eam & window sizes; poured found desgn, eic.) . i sAe survey fw exterior additions & decks
. 1 set of Energy CalcWations . Indirate if fwme served by septic system for atlditions
• 3 coqes of Tree Preservation Plan if loi platted after llil93
. Rim Jois[ Detail Options selechon sheet (bldgs with 3 or less units)
DATE (L.{ ic,IOI VALUAiION (EXCLUDING LAND)
JOB SITE ADDRESS 99-7 f-Q
IF MULTI-FAMILY BUIL ING, HOW M,1ANY UNITS?
PROPERTY OWNER~'+~~4 ?7Ckrpn
TYPE OF WORK R CQ, ~Cf I4(_2 FIREPLACE(S) _0 X1 _2 _3
APPLICANT ~v ~t~ Mt,PS' a~nc PHONE # 4SZ 736-433z~
ADDRESS 19),3 wW 8L"+r'valle t~'Y ZIPCODE_~12-3
PAGER # CELL PHONE # ' FAX # -0119Y _-~4SL
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ MINNFSOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
_ MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumbing Contwctor: Phone
Plumbing System Includes: Water Softener _ Lawn Sprinkler Fec: $90.00
Water Heater No. of R.I. Baths
No. of Baths
Mechanical Contractor: Phone #
Mechanical Syslem Includes: _ Au- Conditionuig ree: $70.00
Heat Recovery System
Sewer/Water Contracfor: Phone # `y_ C. ~)"o i~
All above information must be submitted prior to processing of application. -
I hereby acknowledge that I have read this application, state ihat the information is correct, and agree to comply with
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant qaj v
Ceriificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 1f01
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex O 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level 0 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N 0 25 Miscellaneous
? 31 New d 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteralion ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Staries Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaVC.O.
_ Footings (deck) _ FinaUNo C.O.
_ Footings (addirion) _ Plumbiug
Foundauou HVAC
Drain Tile
Roof Ice & Water Final Other
_ Framing _ Pool _ Ftgs _ Air/Gas Tesu _ Final
_ Fireplace _ R.I. _ Air Test _ Fiual _ Siding SNcco Stone
Insularion _ Windows (new/replacement)
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
r
CITY OF EAGAN NO . 18147
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
• PHONE: 454-8100
BUILDING PERMIT Receipt #
7o be used for SF DWG/GAR esi vawe $83 , 000 Date _1111.Y 13 , 19 9.0-
Site Address 587 WORCHESTER CIR
Lot 14 Block 1 SeGSub. NILLS OF OFFICE uSE ONLv
Parcel No. STONEBRIDGE occupancy R-3 M-1 FEFS
Zoning PD R-1
a Name DAHLE BROTHERS. INC (ACWaI) Consl V-N gidg. Permit 563.00
; Address 9304 LYNDALE AVE S (Allowable) V-N Surcharge 41.50
° CitBLOOMINGTON phone 888-6866 xof stories
Y Length 46' PlanReviaw 366.00
, o Name SAME Deplh 44 ' snc, ary 100.00
ga Address s.F roiai - snc.MCwcc 600.00
~ CIfY Phone SF.FOO10nnts -
On Sne Sewage _ Water Conn 625,00
ww Name OnSneWell - WaterMeter 90_00
i~ AddfQSS MwCCSystem X
u~ Acct.Deposii 30•00
`<W City Phone citywaier xL
PRVRaquiree _ SlVJPermit 30.00
I hereby acknowlege th I have r his appl a! a n d stale h~~ the Booster Pump - SM1N Surcharga - 50
inlormation is correct nd agre om ~y ~ I I apphcab ate ol
Minnesota Statules d Cit s. Trealment PI 252.00
Signature of Permi e APPROYALS Road Unit 355. 00
A Building Permn is issued ro: DAH BROTHERS INC Planner - park Ded,
on the ezpress condRion that all work sh II be tlone in accordance wnh all Counctl
applicable State ol Mmnesota StaQlules and. ~Ci,ty~o/l Eagan Ordinances. Bldg. OfL _ Copies
BwldingOtiicial-!~rNl(1 I\Q~~ ~ 111-LI Variance - TO7AL 3,053.p0
8~ao /
~ 39~~~,C/ r ~,S
Requesl Oete ~ na a. Ro hm Inspec[ion
06-03-93 R °}C~RBeay NOw ?WiIlNOUtylnspMOr
? Ves )C-- No When Reatly7
IX] licensed comractor ] owner hereby request inspection of above electrical work at:
Jo0 Atldress (Streel. Box or FOUte No I py
587 Worchester Circle Eagan
Setiwn No Township Neme or Na Range No. Counry
Occupant (PRINT) Ppone No
Chuck Braun 688-7430
Power Suppuei AGtlress
Dakota electric,Co.
Eieoncai Contracmr ICOmpeny Namei Comracmr5 L¢ensa No
Brandon electric,Inc, CA 00307
MaJing AaGress (COnVector or pwnar Making Instellation)
7701 Colfax Ave.No.Brooklyn , N 55444
Am nz gnewre iCOnvanonOwner MaMmg Inst3 auon) ~ NumOer
7 560-5311
MINNESOTA STATE BOARD OF ELECTRICITY ~ THIS INSPECTION REOUEST WILL NOT
Grig s-MIEwl[y Ave. BI BE ACCEPTED BV THE STATE BOARD
1 niverc, SL Paul. MN 55106 Q~1{` UNLE55 PROPER INSPECTION FEE IS
Ppona (612) 602-0800 ENClOSED,
LO RF,QUESTFOR ELECTRICAL INSPECTION °==''^t~~a EB-00001-0e
~ 3 ? See inslmcLOnc lor mmpleling Ihis lorm on beck of yellow copy ~{•,~t'aT~ ~!a0 ~z
308 "X" Below Work Covered by This Request ew Atltl Re TypeofBUildinq AppliancasWued EqmpmeniWlretl
H Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt Building Dryer Other-(Specity)
Comm./lntlustrial Fumace OPP eak meter
Farm qirCondi~ioner ea jJUlll
Otner(suanly) Conhactor9 Remerks'
Wiring Heat pump & off peak meter
Compufe Inspection Fee Below:
# Other Fee # ServiceEntrance5ize Fee A Circuns/Feetlers Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transtormers Above 200 _ Amps Above 100 _ Amps
$I(Jf15 In50ectorY Use Only: ^ TOTA
Irrigation Booms l J. ~ 15 . 50
Special Inspechon niarmICommunication THIS INSTALLATION MAV BE ORDERED OISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby ROOBh-in oata
certify that the above inspection has hnai ~ oi _
been made.
OFFICE USE JNLY
This raquest voitl 1B months Iram
b//V/Sv C `l 5L.5's
C~ 4 28 9 7 ~G Z~~ °Q
Repuest Oate fve.Wn Roughm Inspxtion
q Raqmretl'+ ? Raetly Now ~II No'ity Inspector
~ V rYas ? No 'Nhen Featly7
I ,Alicensed coMractor O owner hereby request inspection of above electrical work at:
Jo0 AtlEress (SireeL Boa o/r Rome No ) pity
o ~.l~rC / CJr.
SecUOn No Township Neme or No. Range No. Counry
Occupam [PRIN Ppone No
.;,~It /t/C.
Power SuopLer qeeress
Oti k lu~ s~ Ys410
Eleclncal GonVaclor(Company Name) Conlreclor5 manse No.
/ M.v Cm. %NL, d C-
Madmg qeoress ICOmracror or Owner Maki Ins~anauon)
S/~ ~ ~rk _ siw . SS ?
Awhonz ^ S~ namie ICOnvactor;O~wnar Making Ins~al~ ~ion) Pnone NumEer
(/I~ -
MINNESOTA STATE 60ARD OF ELEGTqIQTY TNIS INSPECTION REOUESi WILL NOi
Gtlgge-MlEwey BIGg. - Hoom Sd73 BE ACCEPTED BV THE STATE BOARD
1801 Univerelty Ave. St Peul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Plwne (612) 61241WO ENCLOSED
~y/~[/~yVy~ REOUEST FOR ELECTRICAL INSPECTION "~'yo. ~ee-oooo_ y ou~~_
6(~1°r " ? Sae instmctions br compleong this lorm on ~ach ol yellow copy ~~f~'' ~
8_".e
C~ ~r 2 897 "X" Below WorkCovered by 7his Request '~~~~-0°
e Atltl RepT TypeofBmlding AppliancesWiretl EqwpmentWired
Home Range Temporary Service
Duplez Water Heater Elecinc Heating
Apt Buitdmg Dryer Other (Specity)
CommJlndustrial Furnace
Farm Air Conddioner
Other(specJy) Conlractor's Remprks'
Campufe Inspectron Fee Below
# Other Fee # SorviceEntrance Srze Fee # Qrcwis/Feeders Fee
Swimming Pool 0 to 200 Amps Ix, Cb 0 to 100 Amps
Transformer5 Above 200 _ Amps ov 100 _ Amps
Signs Inspecmr's Use Only: TOTAL
Irrigation BOOms ~ m S(~
Special Inspec6on
Alarm/Communicanon THIS INSTALLATION MAV BE ORDERED DISCONNECTED IF NOT
O~her Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspedor, hereby RougO-m ~ oasa
G
certdy that ihe above mspection has Fl„ai oale
been made . ~ _
OFFICE USE ONLV
TM1is raQOest witl 18 manths Irom
_.___-S,
CASH RECEIPT
CITY OF EAGAN -
.3830 PILOT KNOB ROAD '
EAGAN, MINNESOTA 55122 ~
~ . DATE 19 _LLL
5 ~
AMoUUT = 9s 5
tia. • '
& DOLLARS
O CASM ' )(CHECK .
,
4~a
x~-...
01,1 -1101,
C I ~ '
~
S~
.s
' Than ou n,
C 886,5 mi,e a,m copy
valbw--FOwng Copy
Pink-File C~
1990 BUILDING PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS MULTIPLE DWELLZNGS 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 PIGKED 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 SIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
J U L 1 1 RECD
00
To Be Used For: Single Fam Res. Valuation• ~ Date: 7-10-90
Site Address 587 Glorchester Circle / 00,0,QFFICE USE ONLY
Lot ,V Block 1 FEES
Occupancy R-3 M-l
Zoning PD R-j /
Parcel/Sub Actual Const V-N Bldg. Permit Jrb3,OJ
Allowable V-N Surcharge 141",SO
Owner # of stories Plan Review 1366, oc7
Length 1h(o SAC, City 100,00
Address Depth 4-I4F SAC, MWCC (op0, 00
S.F. Total Water Conn 'o
Gity/Zip Code Footprint S.F. Water Meter 9 o,fJJ
Acct. Deposi[ AO,p~
Phone On site sewage_ S/W Permit 30,01)
On site we11 S/W Surcharge "0
Jc Gontractor llahle Bros, Inc MWCC System Treatment P1. 62,00
City water J/ Road Unit 35S,Oo
Address 9304 Lyndale Ave. S. PRV Park Ded.
Booster Pump _ Copies
City/Zip Code Bloomington, M'id 55420 SUBTOTAL
APPROVALS Penalty
Phone 888-6866 Plenner TOTAL
Council
Arch./Engr. Bldg. Off.
Variance
Address
City/Zip Code
Phone #
. - .
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Ga~ve ~
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' CERTIFICATE OF SURVEY
Z"R e"4Usc, ;Dus.
8713 OUPONT AVENUE SOUTH
BLOOMINGTON, MINN, 55420
888-7084
LAND SURVEYORS cn rr 'e'04D -
cC~r6
89/~ ~46
~ 9z- /76•/7 a
. Ndrl °,~'2'rR' ",E rvn
% \pb
~
~ 69~
l 889.. ~
89 p\
Scale: \ 890~ ~ Z I
1"=30' d/
a- ~e
IA L
w
Survey for: \ g y N ZZ 41' .
M
DAHLE BROS., INC. \,9 50 - ~ ~ ~
~~~a 5~. ~ m 3 ; M
69ti' ~ o
. DESCRIPTION:
Lot 14, Block 1, HIIIS
OF STONEBRIDGE ~ / L2~~O~• a+~~. r= ~Curb_ ~ ,~ys=,
Proposed Grades:
v ~
Top of Blocks g95° ~Ev ~
Garage floor 99#s T ateG.~,(~
~'r~1tVEERING DEPT .
Basementi,floor B873' A '~~P
We hereby certify that this is a true and correct representation of a survey of the
boundaries of the land above described and of the location of all buildings, if any, thereon
and all visible encroachments, if any, from or on said nd. Dated this 9th day
of July , 19 gD.
~ Mins esota Registration No. 9018
2'67- ¢3
EXTERIOF ENVELOPE A1'ERAGE "U" LOMFUTATIDN
QL/IICR:'7)f
si1[ ADORESS:
COTFACTCE: D~~~~- DRTE: PNDNE:
PETERMINE MRKRlG SOUARE FOOTAGE OF EACH:
1. TOTAL EXPOSED ukLl AREA,,,,,,,, sq ft x"U"
2. TOTAL ROOF/[EILING AREA,,,,,,,, sq ft a"U"
g. TOTAL EzPOSED IiALL AREA CALCULATIONS:
Total exposed aall
area above floor,,,,,,,, so ft
.
a) Total wall alndow area:
9lazed...... so ft x "U„ Slo
~ glazed...... sc ft x "U" ~
b) Totzl door area ~S sq ft z"U" y•
c} Totel slldinq glass door area: ,
alazed...... sS ft x"U"
qlazec'...... sc ft x "U"
d) Total fireplace hall arez so ft x"U" - ~ -
•
e) Total ti•all fra-.ing erea '
(Averaoe 10°).......... s.
q ft x "U" ~ ~~O .S~P
f) 7et2l net N2Il area above •
floor (insuleted)....... Sq {t, x"U'' . C~
q} Totel rirr jeist are a...... ~Z~ sc ft a"U' ~UA ° ~•~Z'
Tctal foundation
iorea (Exposed).......... sa ft
h) Total foundEtlon _
window area sq ft n'l~' °
1) Total net fcundztion ~ I,I,p_rl
zrea abo~~e arade........ ~L% sc ft x "U" v
j. TDTAL a) thru I1
If Ite- '3 1s the sane as, or less then item fl,, you h~F.ve r,et the inten[ of
znc 0.
P~Fe i
4. TOTAL E1(PDSED RDOF/CElllllf, CALCULATIONS:
Total exposed
roof/cetllnq erea........ ` Oc1 v sq ft
I) Total Skyliaht area....... SG ft x"U" '
k) Total roof/cellinq framing
area (Averaoe Iny)...... ~ so ft z"U"
1) Total net Insulated
roof/cetling area....... ~~~•Z sq ft x"U" .OZ
4. TOTAL j) thru 11
If total of 1*4 is the 5ame as, or less thzn f2, you have met the Intent of
2^:CA;c 1.16008 A and 0.
1
ALTERt:ATE BUILDING EI:VELOPE DESIGR
To utillze the total envelope system. method, the values established by the sum
of itens 13 end N4 shatl not be g reater thpn the sur of items pl and P2. .
i. + 2.
3. ' ~ L, . ~ •
~ .
C E R T I F I C A T I 0 1;
I heret~y certify that I have calculated the "U" fecters and
values herein and that the huildinn here described neets or exceeds the State
of Minnesota Eneroy ConServation Act. '
Slnneture
(Date)
Fage 2
CONSTRUCT I ON R VALUE
NALI fRAHING SELTION:
1 Interlor alr fllm 0.[+R
2 1• .6-.
; Inches so t wooC
5 ~;/~~z~ .a S,a:~ •~F Exterlor e r ~ ()•17
TOTAL ~ to .`1 i
U~ 1/R~ DC1
uALt SECTION (INSULATED)
1 Interlor elr fllm f1,hR
2
~ ~ .v-~ ; • c~
B 4 S5 a: srlF1'~ • t:•
5 H__aL,
F zterlor elr fll 0,17
TUTAI R -
U ~ 1/R - .oy
RIM JOIST SECT101l:
1 tptertor alr fllrn ~.Fa
2 '
C 3 t`l:' s..t.a.r. •
4 4+YJ-'t•;.d4 t.cc.
6 Exterior air filc ().17
' • T07AL R - lr
FOUkDF,T10N INSULATION REQUIRED:
Yin. R-5 on entire wall OR U ~ I/R - U 4
M~in. R-10 down to'frost depth •
p'P .p
FDUNDATIDN SECTION:
D e-'"• p1 interior alr fllm ~.RR
. ..n'.' • 2 ' c- r^t~ ~ •0=
' 6-.: • 3 ur:c• •,h I.:f•'A 4 Exterior air~filn n.17
•a_
y - " G A ~5
. . a_.
~ TOTAL R
a•
u ~ 1/R
SLA° ON GRADE
. V . .p Q 1
~ a. • ; lji . ~Q
1~ • 1 _
.Q' i. 4
r'O Q ~ ,a: ' . ~ ~ ~ a~ ~ . , ' Q ~ . . d,
4
/r~/l~ ' ' '
Heated Slabs: .p,•
NinimumR=8.5 ',p'.•
. . ) 9
Unhezted Slabs: ti QQ... • Q ~
',.'Q •v mur.I R = 6.2 Q. • 4, . Q, . . • q ' "
q'G.,•' 6 0 4' FoSe 3
. o , . N
~
.
. J
CONSTRUCTION R VALUC
• [EILINf, SECTIOtJ (INSULATED):''
I Interlcr alr flln R1
y ~ i.C .°;r
3 c~c. ~a~ . 4'-. o--
3 4 4 Exterlor air fllm s[ill f1
TOTAL R ~ 4;,Zf
U ~ 1/R ~ c'L
F / CEILING FRAMINf, SECTIDN: -
~ 2 5 1 Interior atr film ~•F1 °
2 z;.
AIR VENTED 3 4A.a
4 Interlor air fi m stiil 0. I
FLOW 5 5/~, inches soft woort fr+(,
TOTAL R ~ U.L4
~
U ~ IIR ~ .G~L
CEILING SEf.TiON (INSULATED):. .
,A,~~.a.,~.,~~~•~.~~•••~-~^~~,~ta3~asS~ ~ 1' Interlor zir fi1R ~•F1
< p s~ L, _ o~„d .5~.
G s ~~E.~_~ A,
4 Fxterior air fil.r. still 1
~ TOiRL F FL15:n
U. 1 / R ~ . Oz
I 2 3 4 ~ CEllltir, FFr,~iirjr, secTioN,: ~
1 Interior zir filn
2 y~w.
VENTED S ~ ~ " ~ a `
E^-.r-: y~ c..
3 i
4 Exterlor air filr, still 1
5 jInches soft wced I."
TOTAL R ~ N'i.l
U
3 4 5
,
~ i .
Inslde a i r film
2
/
5 Outside zir filr n•1-1
2 ~ 701FL R`
y/?~' U - 1 / F -
Daco L
PY,USE;ONt,Y
. .
~ •
L.:;: BL:
.
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- .
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,
~ . . :
~ . .
s
, . . .
. ,
:
D. , . : . .
sus
. ~.~e~ ~ , . : : . . ......a . , : :
1993 MECHANICAL PERMTT (RESIDENTIAL)
CTIY OF EAGAN
3830 PILOT KNOB RD
FAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMTTS ARE REQUIRED FOR EACH UNIT.
- - -
NEW CONSTRUCTION
ADD-ON A/C
ALD-ON' Fi,JR_NACE
DATE
~
FEES
HVAC: 0-100 M BN $ 24.00
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS (MIhIMUM 1 C 53.00 EACH)
ADD-ON/REti40DEL (ExISTING CoNS7RUCnorr) $ 15.00
STATE SURCHARGE .50
00
TOTAL Cf ~$13 071. A j)o-L --bu&
~ '1~ ~O(~D
SITE ADDRESS: 4_<-3~7 ~,(,•~r^i^.l%1~ ~ ~~°h° ~~',r' CL ~E' ~nr~lr/r . G'LII~/. ~ S-U~
uwSt,RN,4Mr,: /.t~i,: ! K 1t,1,tPHONE
INSTALLER: Lel- Z,`x _rn c' ,
ADDRESS:~
CITY:STATE:ZIP CODE:
TELEPHONE
SIGNA- E OF PERMITTEE
f '
',USL !)M.'Y
~ . t~iT'Y
~ .
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BL
" • : , . SCEIPT:# "
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• . • . . `.x~r>.vw 'aP~wM'viv'i.una«.+mm~nn . . . .
~w..iinn. . ~ ~....,.~...u .in..w.v.......~~...i~...i~.....e.n.V..n..nxvn...vnJn..~.~:s~.....cnii.Aw~ .wr..~v.m~w.r.hww.~w.~a.n.HV n~n..~. .n~....
1993 MECHANICAL PERMTf (COMMERCIAL)
CITY OF EAGAN
3830 PILOT IQdOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOP, ALL COMMERCIAIJINDUSTRIAL BUILDINGS.-AISO COMPLETE
FOR APARTMENT BUILDII~GS OR OTHER MULTI-FAMII,Y BUII.DIIVGS WHEN SEPARATE
PERMITS ARE NOT REQUII2ED FOR EACH DWELLINjiJAFTT
DATE: CONTRACT PRICE: $
NEW BUILDItiG
INTERIOR IMPROVE~
WORK DESCRIPTION:
i ~
C - F'EES
1% OF CO?r'TRACT FEE $
i
PROCESSED PIPING: $25.00 '
MINIMUM FEE: $25.00
STATE SURCHARGE $.50 FOR EACH $1,000 OF PERMTf FEE.
TOTAL $
SITE ADDRESS:
OWNER NAA4E: TELEPHONE
TENAIr'T NAA4E: (IMPROVEMEN7'S ONLY) '
INSTALLER:
ADDRESS:
"o-CITY: STATE: ZIP CODE:
TELEPHONE
SIGNATtiRE OF PERMI7TEE CI7'Y INSPECTOR
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA166457
Date Issued:01/12/2021
Permit Category:ePermit
Site Address: 587 Worchester Cir
Lot:14 Block: 1 Addition: Hills Of Stonebridge
PID:10-32990-01-140
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
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 -
Alexander Bramer
587 Worchester Cir
Eagan MN 55123
(763) 732-3798
Home Energy Center
2415 Annapolis Lane N #170
Plymouth MN 55441
(763) 476-1990
Applicant/Permitee: Signature Issued By: Signature