591 Worchester Cir
5i,~~& MMT 841-~ 08/05/92 CITY OF EAGAN
r 18735
.~w .
3830 P11ot Knob Road, P.O. Box 21-199, Eagan, MN 55121;.1
PHONE:454-8100 . "r
BUILDING PERMIT Receipt #
To be used tor Sr ~/GAR Est. Value =a~ sow Date FRa 22 19 91
~
Slte ii0ilCHE'BTBR C I R
A~~eSS , lLLS--Ur OFFICE USE ONLY
Lot a~ BIOCk SeC/SUb. R-3 M-1
Parcel Notk Occupancy PD~t . FEES
zonfng
W Name (actuaq consi Bldg. Permit T581.00
~ AddfeSS (N1ON'~) - Surcharge ~ • ~
City Phone * of Sto"eS -no 378.00
LeVh Plan Review SAME ~ Name ~ hp SAC, City 100.00
Address S.F.Total _ 650•00 ~
SAC, MCWCC
~ City Phone S.F. Footprints - 6~ .00
On Site Sewege _ Water Conn
~ u¢i Name on Sile wen water Meter 90.00
sW
= Address MWCC Systam 3o.oo
00 ~ Acd. Deposit
< W City Phone Cay water _ 30. op
PRV Required - S/W Permit so
I hereby acknowlege that I hewe read this application and state fhat the Booster Pump _ ~Surchwge ~
in(ormation is correcl and 84ee lo comply th" all applicable Slate of Z76,~
Minnesota Statutes and City Eac,~a~ Ortlin~ns. ' T~ Treatmenl PI
~
Signature of Permitee ' ~ • • ~ APPROVALS Road Unil 370•00
~ Z~' Plenner
A Building Permit is issued to: ~ - Park Oed.
on the express condition that all wo?k shall be done in accordance with all Co+^cil -
applicable 5tate of Minnesota Statutes and City of Eagan Ordinances. gug, pry, _ COpieg 3--~Q~~ `
~
Building OffiCf21 ' VerianCe _ TOTAL
l
.
PKmit !b. PertMt FIoWer Oaft TNsQhonw 0
WATER
SEMIER
PLUMBING
KVJLC. a~.~3
~
ELECTRIc i3ig
b„p.ction oaft kmp. ~~ft
Foohngs I -71fl
Faur~ 3
F--,e
Aoorwg
~
P-0 ?«V.
Fkepla-
FwW Hog.
FirW Plbg.
const. Meter Plbg. hsp«x« - NotiAr Pk,rrbe.
EngrIPIa^
&dg. Finel
Dea Fig. -G-~
o~ FmW > 3 Nf/
wer
vr. oisp-
3
SEWER & WATER PERMIT OFFICE USE ONLY
CITY (?F EAGAN t METER #a a/ I~ PERMIT DATE 02 / Z 1% 91
3830 Pilat Knob Rd.
Eagan, MN 55122-1897 CHiP #Qf ~0 f.~7 7 PERMIT # 1183'U
METER SI2E B.P. RECEIPT # C 122R.5
ISSUE DATE B.P. RECEIPT DATE 02 2 S 91
DATE
_ PRV - BOOSTER PUMP
SITE ADDRESS i T~:-Dz cii;-; *er C_ rc? e PERMIT REQUESTED
LOT BLOCK 1SECrSUB H_118 of St~ebz
X SEWER X WAtER - TAPS
APPLICANT: '='tt- Luttlund Cn_ 7nr_
ADpRESS: 5201 E. River Rckad - COMM/ItD RESIDENTtAL
CITY, STATE E'ridley, P4n. ZIP L)542-1 X NEW _ EXISTING
PHONE: 571-030~:
I Lawn Sprinkler Meters are to be Inslalled
PLUMBER: 11u~,~y Ahead of Domestic Meters on Water Line.
ADDRESS: 6-10 Creek :,anE'- Credtt WILL NOT be given for Deduct Meters_
CITY, STATE `'r-'c7an r kyii-i ZIP 5535:-
PHONE: !"92-212]. ,la.R
1 AGREE TO COMPLY WITH CITY OF
OWNER: "'he Rpttluztc. Co. Inv-,. EAGAN ORDINANCES
ADDRESS: `'201 E RiverrRoad
~ ClN, STATF ~''riale~~, ~'in ZIP~~.-;
; PHONE: ^03011dNATURE WHEN ME *R ISSUED
~ PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
I x SEWER PERMITS, CONTACT ENGINEERING DEPT. .
~
SEVIiER &1NATER PERMIT OFFICE USE ONLY
CITY OF EAGAN METER # PEFMIT DATE C 2/27 191
3830 Pilot Knob Rd.
Eagan, MN 55122-1897 CHIP # PERMIT # 11 s~'h
METER SI2E B.P. RECEIPT # c 12='
M.
14e ISSUE DATE B.P. RECEIPT DATE 02
DATE
,
PRV - BOOSTER PUMP
, r~'.i I ~l~~CCilE ~if' --Y i`Y t C 1 L
SITE AdDRESS PERMIT REQUESTED
LOT LBLOCK SEClSUB Hil? of Stcmebrie~~e _X_ SEWER WATER TAPS
f APPLICANT: ;iIQ c'attl~rz Co. :-Eric- _ COMM/IND RESIDENTIAL
, ADDRESS: Aike~C pra~trz
CITY, STATE ZIP _X_ NEW _ EXISTING
PHONE: 571-0304
Lawn Sprinkler Meters are to be Installed
PLUMBER: Ve Ilgy Pla-Lmb; - t~:; Ahead of Domesiic Meters on Water Line.
ADDRESS: 610 Cz'eek ?,ane Credit WILL NOT be given for Deduct Meters.
CITY, STATE Jc'r&w, Hn ZIp 5535:~ ~
PHONE: 2`)2-'212J.
I AGREE TO COMPLY WITH CITY OF
OWNER: TiZe Rnttlund EAGAN ORDINANCES
ADDRESS: 5201 E River_-Rotvc
CITY, STATE Frio1Py, Mn ZIP554%']
PHONE: SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
UWER PERMITS, CONTACT ENGINEERING DEPT.
CASH RECEIPT `
CITY OF EAGAN .
3830 PILOT KNOB ROAD 0,
1 EAGAN, MINNESOTA 55122
OATE ~ ~ • J 19
a~iw
nMOUNr
ti
a oaLuRs
,00
O CASH I~) CHECK
FOR
l `l ~_J ~ i ~~~~r+-, ~ ' / T-
-
FUM OBJECT AMOIMQT
Thank You
BY
C 12295 V ~
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. "~ae4:.,e- . , t ' .~eh.?/~'"'*,~'-.^'!~^~Y`~.""'",~".: i•~-z -c'... . .
n
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~ ~~-r .r • .~-1 f ~ _ . . . . . . , . . . . - , c~ .:~r.. -
. (ger#t#ira#e n# (Orxup~ , r~
, .
Citp of Cagan
:
lorpmebttrw a# lttrwm J*rrtintt m Catifroart tssued pirrsrraat 1o the rrqs&ma& oJSadioA 306 ojlhe Unifonx Building
.
Co& mW*S that at the tim ojissuanm Ats slrucYune wns in rnmplian" witli the mrious
orrlinanm of !he CilY negulaliT butlding ocns(ruchTon or use Fw tlre joUowing:
una i1',oSF DWG/GAg m& Pa N,, 1,$716
COMPM7 Type R-3 M-i Z.6gDwda PD R_1 T$TX cOOSI V-H
Owmw,fwmu"THE ROTTLUND CO INC „mmo 5201 E BIVEB Rn
591 idORCHESTER CIR L,,kI.15, T41- tis fy STnMMTnrsr
tnia ~_u I I L )f Daw MAY 16. 1991
e,als ds"
' P06T M! A OOrSPICIJOIlS PtJ1CE
s... - i
CITY OF EAGAN Np ~8736
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE:454-8100 , /~r/~}~
BUILDING PERMIT Receipt tt l./ I GC 7
To be used for SF DWG/GAR Est. Value $8~ ~ 000 Date FEB 22 ,~g 91
Site Address 591 WORCHESTER CIR ~
LOt 15 Bb'~k 1 Sec(Sub. HILLS OF OFFICE USE ONLV
ParCel No. T RIDGE p~c~pancy R-3~L1 FEFS
Zanmg PD R-1
p Name THE ROTTLUND CO INC ~ACtuap Cons~ ~L-N Bldg. Permit 581 .00
3 Address 5201 E RIVER RD (Allowable) V-N Sumharge 43.50
° FRIDLEY 571-0304 +oiSiories
Cl~y Ph01lB Len ~h PlanReview 378.OD
9
, o Name SAME oep+n ~4' snc, c~ry 100. n0
g¢ Address SFTOIaI - SAC,MCWCC 650.00
~ Ciry Phone S.F. Foolpnnts _
On Sile Sewage _ N~arer Conn 660. 00
ww Name On Si1e Well - Watar Meler 90.00
~i MWCCSystem _x-
Address C1 Wd1ef ~ Accl.Depos~l 3~.0~
<w City Phone Y
PRVRequired _ SiWPermi~ 3~.~~
I hereby acknowlege Ihat I have read this apphcahon and state that the Boosler Pump - SiW Surcharge . 50
inlormabon is correct and ree to comply ~ith all applicable Stare of
Minnesota Statutes and City f Ea @n O~dinan e`. 7reatmeni PI 2 76 - 00
~ APPROVALS
SignaWre of Permitee 7~ Road Unit ~7(7 _(1(1
A Bwlding Permn is issued to: THE ROTTLUND CO INC Pianner - park Ded
on the ezpress condition that all work shall be done in accordance with all Council
appl~cable State of Min/~ne~s~o~ta,, Sptat~u~le~s and Ql'yJ ot Eagan Ortlmances. Bltlg. OfE _ Copies
Bwlding O~ficial J IIN11 I1p11A' I~~I Vanance _ TOTAL j Z~9 • 0~
T'
/,3 ~oo~s7
a 3 6"22 ~ V
Request Date Fire No Rough-in Inspecuon
pe9~~edo ? Reetly Now D-IIIIII Nonty Inspectar
l,~Ves GNO WhenFeatly>
Ilicensed contractor ? owner hereby request inspection of above elecVical work at:
JoD Atldress (Stree6 Box or oute No.) Qry
n ~ IF-ei
ii v
Section No Township Name or No Range No, Counry 0
V \
LJ
Occupan PRINT) Phone No.
PowerSU AtlOress
Elecmcal Vaoror (GOmpany Name) ConVacWr§ License No
Matlmg Atldress (COnhactor or Ow er Makmg Installation)
Awhor¢ed Siqnature ICOnVactorl ner aking Installatwn Phone Number
' ' - 3 ,-1 b
MINNESOTA STATE BOAHD OF ELECTFIqTY THIS INSPECTION qE0UE5T WILL NOT
Griggs-MlEway Bltlg - Noom 5-1]] BE ACCEPTED BY THE STATE BOARD
1921 UnlverNty Ave. SL Paul. MN 55106 UNLESS PROPER INSPECTION FEE IS
Vtwne (612) 642-0800 ENGLOSEO,
REQUEST POR ELECTRICAL INSPECTION EB-00001-08
I
p p
~d/71 ? Sea msvui;1jons lor mmpleong tnis lorm on back oi yellow copy
3 3 6 22 Below Work Covered 6y This Request
ew Add Rep. - jyPeofBmlding AOPliancesWired EqwOmeniWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Bwlding Oryer Other (Specify)
Comm./Indusirial 'FUrnace
Farm Air Conditioner
Othar (specity) ConVacror's Remarks:
Compute Inspection Fee Below:
d Other Fee # ServiceEntrenceSae Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above200_Amps Above100_Amps
SignS Inspecwr9 Use Ony: TOTAL
Irrigation Booms ` ~0C)
J~
Special Inspechon
Alarm/COmmunication THIS INSTALLATION MAV BE ORD DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, ihe Electrical Inspector, hereby Rouqn-in oace
cernfy ihat ihe above inspection has F,,,ai ~
been made.
OFPICE USE ONLY
This request voi0 18 monihs irom
~ 33599~,
Repuast Date q Fve N. ough-in Inspection
2~~-~ ~ O No 0 Reatly Now ~Will Nonty Inspector
WIen Reatly'+
I~It"censed comractor ? owner hereby request inspechon of above elecirical work at:
Job AOCress (Sireet , Box o qoote No.) Ciry
l 1 +
Sectron No Township Neme or No Fenge No Counry
Occu0anl PRINT) Phona No.
Power pLe~ Atltlress
EiectrK omracmr (COmpany Name) ContrectorS License No
14) Z - I
Maihng Atleress (COmractor or Ownar Makfng Installalion)
AWhonzeC Sgna~ure ICOntract Owner ~ion) . Phone Number
4G - 8io
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPELTION REQUEST WILL NOT
Griggs-M10way BICg. - Room S-1]] BE ACCEPTED BY THE STATE BOARD
1821 Unlvbally Pve.. 51. Paul. MN 55104 UNLESS PROPER INSPEQION FEE IS
PMne (612) W 3-0800 ENCLOSED
REO~~EST FOR ELECTRICAL INSPECTION 1=~ee-oaao1 -oe
? See msimctions lor compleling this form an back ol yellow copy 3~%~
" Below Work Covered by This ReQuest '
G~ 33599 'X
e Add ReO. I - TypeoBuildmg ApphancesWired EqwpmentWrted
Home Range Temporary Service
Duplez Water Heater Electnc Heallng '
Apt Bmlding Dryer Olher (Specify)
Comm./Industnal Fumace
Farm An Contlitioner
Otner(specity) Comracmr5 Remarks
Compute Inspection Fee Below:
N Other Fee # ServiceEntrenceSize Fee # Circwis/Feeders Fee
Swimming Po01 0 to 200 Amps O l0 100 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
Signs Inspecmr§ Use Only TOTAL
Irriga[ion Booms
Special InSpection
AlarmlCommunication THIS INSTALLATION MAV BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MO S.
I, the Electrical Inspector, hereby R°°9n,m ( Date
certity that the above inspection has F,,,ei
been made. (
OFFICE USE ONW
This requesl voW 18 months imm '
Address: 591 WORCHESTER CIR Lot 15 Blk 1 Sec/Sub HILLS OF STONEBRIDGE
These items wera/were not complete at the time of the f1na1 inspection.
Date: Y 1 1991 Yes No
Final grade (6" from siding)
Permanent steps - garage LIZ
Petmanent steps - main antry Lll/
Permanent driveway
Permanent gas
Sod/seeded grass i/
Trail/curb damage
Porch v
Basement finish
Deck
Please verify vith the builder the r0moval of roof test caps from the plumbing
system and the shut-off of vater supply to the outside lawn faucet before
freeze potential exists. L172
RFCY[IFUXRII
White - City copy Yellow - Resident copy Pink - Contractor copy
- : DATE FEa 2t, 1991
RE: 591 WORCHESTER CIR (THE ROTTLUND CO INC)
X
_ Your Sewer & Water Permit for the above property has been completed. It will be held at the
Pub:A"Works Garage (3501 Coachman Road) untd 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 issued or occupancy allowed until further notice.
- COMMEHCIAL PROJECTS ONLY: Please pay for meter at Ciry Hall. Meter size must be
contirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Bwlding InspecUOns Dept.
SI )3s RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
657-681-4675 3
New ConsVUCtlon ReaulremeMS PamodeVFleoeir peaulremente
• 3 registered sHe survey5 slrowing sq. il. of bt, sQ. it. of house; ana II rooted areas • 2 copies of plan
(20%mazimumbtcoveragealbwed) • lsetofEnergyCalculationslorheatedaGAdbns
• 2 copies ot plan showing beam 8 wmdow sizes; poured found tlesign, etc.) • 1 sHe survey for eMenoraddAions 8 tlecks
• 1 set ot Energy Cakulations • Indlrate A home served by septic syslem for addRbns
• 3 copies of Tree Preservatbn Plan il bt platted aNei 7/1193
• Rim ,bist Detail Options selectbn sheet (bIdgs wiN 3 or less uniLS)
DATE VALUATION
SITE ADDRESS MULTI-FAMILY BLDG _Y 1~ N
NPE OF WO FIREPLACE(S) 0_ 1_ 2
APPLICANT 24~2, 2~/~ /2".
STREETADDRESS aY, C J~~ STATE/M LPJr.J~U5xi
TELEPHONE 40V-S~/- ~ CELL PHONE #'l~/,,.~7-7q/- y40' FAX # 9V-
PROPERTYOWNER~S/~~~%/J TELEPHONE#
COMPLETE THIS SECTION FOR •,NEW• RESIDENTIAL BUILDINGS ONLY
Energy Code Calegory MINNESOTA RULES 7670 CATEGORY 1 M
(J submission type) • Residentiat Ventilation Category 1 Worksheet SuDmitted • 44Ni7cs; ~S bmitted
• Energy Envelope Calculations Submiried II
rUN 0;~ 2002 ~
Plumbing Conhacfor: Phone #
Plumbing system includes: _ Water Softener _ Lawn Sprinkler . .
_ 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/Wate? Conhacfor: Phone #
I hereby acknowledge ThaT I have read this application, sTate that the information is correct, and agree to comply
wiTh all applicable State of Minnesota StaTutes and City of Eagan Ordin ces.
Signature of Applicant ~
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4l02
OFFICE USE ONLY
? 01 Foundation O 07 05-plex 0 13 16plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 76 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03plex ? 11 10.plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof O 46 Windows/Doors
? 34 Replacement 'Demolition (EMire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MCIES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const W idth
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaUC.O.
_ Footings (deck) _ FinaVNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ In'sulation _ Retaining Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S8W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
' I ,
1991 BIIING T 4ALICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS C014QERCIAL
2 SETS OF PLANS 2 SETS OF PIANS 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 LICENSED PLUMBER.
To Be Used For: Valuation: Date: 2- KI-11k1
Site Address OFFICE USE ONLY
Lot 1~, Block FEES
Occupancy K-3 M- I Bldg. Permit Sc~/.OO
Zoning -pp 'R- 1 Surcharge 43.5~
Parcel/Sub Actual Const V-N Plan Review Uo
Allowable Y-N SAC, City /0 D,t70
o
Owner Tf-IE 7-',•,-r-r~, e.~ # of stories SAC, MWCC 450,0
Length L19 , . Water Conn. 660,00
Address ,z;zc)i .f=-. Depth yyT- Water Meter 0,00
S.F. Total Acct. Deposit 30,00
City/Zip Code J=j~-Acj ~-a 14 7 i Footprint S.F. S/w Permit o-o
S/W Surcharge , Sb
Phone On site sewage_ Treatment P1. 1 6, 0 0
On site well Road Unit 3 o UO
Contractor MWCC System Park Ded.
City water Trail Ded.
Address I PRV _ Copies
Booster Pump _
City/Zip Code SUBTOTAL
APPROVALS Penalty
Phone Planner _ I.ot Change
Council TOTAL
Arch./Engr. Bldg. Off. J~_~2-/$
Variance
Address
City/Zip Code
Phone #
-3-,-~ agrees that all work shall be done in accordance with
CSgnature o Contractor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
VAL l4.Al-A~
. .
,
G A2 A 6~E
z7 N 7~0 ~q~C) 1~ Is 3~200
g S t4r
Z4 3`0
3 Z
~
) Z 2c~ V~~I = I'~l b tS~
I SS
35m T = 122.v '
I Lv`4 ~ s i: G Z4, 7y
~G9s`1 oK 1?7~ Oc~o~'
* * * 2422 Enterprise Drive * PIONEER LAIYDSURVEYOR6•CIVILENGINEERS Mendota Hei9hts, MN 55120
*engineerOng•. L-^~°°L^~~E'r-c^«D~•~^a~I*ECn lf (612) 681-1914
*ic II---
I
i Certificate of Survey for: ! RQT (fN[~ C MpqNy
~ 892.c ~
~ ~ NoarN
1 r ~
I ~ i v
~ ~ ` /
I v') O^ I 6~_
M i
~
v z> \ ~"9 1c9
I ° ry~ 4P wo e
~ {{y~~, ~ K' / p 6! 7i
N 79 ~ Y
- v M a~
,
~4 k
Cy~ '~x• ~ ~ - , ,
I ~9~ -a31 ~ ~ 38 ~ \ , •',a ..c.!'
F~ ' y0 \o v 8
~ • Iys~1 . ; , ~ .
„P~y a 'ar,A E1VGIhJEERYs~TG DEi'3'
F
I* 800.o Denofes exisffn¢ flPVaflon PROpoSfD NouSir f[EVATtoNS
• soo.o D[llofe5 prp~o,~d Elevotion lnwesfF~lnorElevafro~ 88q,~~
~ ~"----'l7enotes Drtrr'na e f Utrlrf Easement
nenofes DrqlfnaeFlow rraws 7'pr or'6loc%flevafior~ : 8ylo.,$~~
o Uennles monc/mCrii . Garc7fe S1ofi Elevahon 6.5b
8 earrn~s shown crre assu rned
; LOT !S ) BLOCK I 114lCt5 OF $70NE8RIaGf
i QaKOTA CouNTy, M+NHcSOTA 5V8JfCT Tp eASEMENrS OF17ECC1Rb
I hereby cErtify thet this survey, plan or r?nort was prepAred by me nr under my d;rftt ;upervlsion ar,d thef I am duly R=gi;tered Lsnr1 SUrveyor
unAer the laws of rhe Stat& oF Minnevots. Patcd tM1is_- dny oP, q,p, 19_
! 4
py Scale : 1 40
( 6Li17B POBE4T R. SIKICH L:S. REG. 0. ]40O1
O I
FCTEHiOR t•:ravrr,rnPt•. nvYrnrr: ^u° aOrtrirrn•rinu ~V Ml~( IT
o4mEx ~~LU?Jb GO.
SITE ADDFESS G- F~~YV~~~ID(
CONTRACTOF DATF. PHQNE
Dete^min vorkinf; squnre footartc of each. ~
1. Total exposed wall area ~ v Z d sR. ft. x 0.11 = ZO ~8
- 2. Total roof{ceiling area sq. ft. x e.026
• ~
Total exposed vail area nbove floor = 1~ ZX
a. Total ua11 windou area 1(o~~ ~ .
~ b. Total door area ~jJ3. J
c. Total sliding glass door area '39 ,117
d. Total fireplace wall area Z o
e. Total va12 framing area (average lOp) 14¢1 3(.P. Total net wall area nbove floor Z ~ Z.(r •
. g. Total rim joist area JZ ~
Total exposed frn:ndation arca
h. Total foundet?on uindov a:ea ~
' i. Total net foundation a-ea nbove g,rade
Co l,
~ . Determine "U" valce o; each wall ,eF;ment.
8. x 7..157
b. 38, -7~ X„U~, 3i~7 3,::-
~ ~ C. X„u„ c~, 3 Z = 12, 71 .
d x"uli
e, X'lu,l C. Ot3 1 = / Z,
r. I 2~9, 2L X„U,, o~ 043 = 55,84
. g• X„~,,,
. ~
h. x
X _ o.~~F = b,73
. ~
3. = I7
If 3tem N3 is the same as, or les^. !.h:.n itcm Nl, you n3ve met the intent
of SBC 6oo6(c)2.
f)
2
Total exposed roof/ceilinr, are.a = f Z~
%A . _
Total gross roof/ceiling are:s =
,j. Total skylieht area
k. Total roof/ceiling framing area..............
1. Total net insulated roof/ceilinF area ~ - '
Determine °U" value for cnch ruaf/ccilint; SeF,~ucnt.
J. x "Un
- ~
k: X "ult Q•~Z ~ _ ?7 "5 •
~Z ( (1 . Ca x
b. Total ' `Z 7
~
If total oP Nk is the same as, or less than N2, you have met t}Le intent of
ssc 6oo6(c)i. . .
To utilize the total envelope system method, the values establi-hed by the
sum of items d3 and N4 shall not be greater.thxn the sum of iten:s N1 and q2.
1. ± 2.
+
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0.022
~,U ~
~~i ~ CITY OF EAGAN FOR CITY USE ONLY
_~f'cj 3830 PIIAT KNOS ROAD
EAGAN, MN 55122 PERMIT #
PHONE: (612) 454-8100 RECEIPT #
M1~CT~ANSCAI.. DATE: ~3 a0 9/
R~STDE3~11'TAI;;pLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED 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: Tla 2U. kvicJ ~ OF 1 PER PERMIT
~f /l SUBTOTAL: $ D-~, 00
SITE ADDRESS: 1 l_'i'rc_I2- STATE SURCHARGE: .50
LOT:~ BIACK ~ SUBD. TOTAL: $ a7•S ~
INSTALLER: ~iTn o x /o~ ONC. '
ADDRESS: 9303 Pl~RIOUtII AV& N0. SIGNAT E OF PE TTEE
o en a ey, .
CITY: ZIP:
PHONE ~ ~t- D-- (O
GbMMEP,GTALjINDIISTRIAI,; PLEASE COHPLEIF 'fHIS PORTION FOR ALL COMMERCIAL/TNDUSTRIAL BUILDINGS,
APARTMENT SUILDINGS, AND MULTI-FAMZLY SUILDINGS 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
(SIGNATORE)
FOR:
CITY OF EAGAN
CITY OF EAGAN FOR CITY USE ONLY
3830 PILOT KNOB ROAD
EAGAN, MN 55122 PERMIT #
PHONE: (612) 454-8100 RECEIPT # O ~3
PS~HBTN,G^~P$RHIT DATE:
RESIDEN3'IAL:: PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WHEN PER?fITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION COMPLETE THE FOLLOWING:
N0. FIXTURES EA. TOTAL
NEW CONST X~ ADD-ON MINIMUM 15.00
ADD ON SHOWER 3.00 3
REPAIR 1 WATER CLOSET 3.00 3
~ BATH TUB 3.00 3
~ LAVATORY 3.00 3
OWNER NAME: KITCHEN SINK 3.00 3
~ LAUNDRY TRAY 3.00 S
SITE ADDRESS: ~w)nQC.l%t~bea C:L~ _ HOT TUB/SPA 3.00
WATER HEATER 3.00 3
IAT:~ BLOCK ~ SUBD. SEv~~.,~y ~ 1 FLOOR DRAIN 3.00 3
GAS PIPING OUT.
INSTALLER: 1 (MINIMUM - 1) 3.00 3
3 ROUGH OPENINGS 1.50 ~~U
ADDRESS: ~ ll7 C 2~e ~L LJ _ OTHER
WATER SOFTENER 5.00
CITY: ~nr1a.J ZIP: IT S3S7 _ PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
PHONE
SUSTOTAL $ ST. SURCHARGE .50
SIGNATURE OF PERMITTEE
TOTAL: $ ~-D '
COMMERCIAIiJiNDiTSTRIALi; PLEASE COMPLETE TNIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS A
MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
° °
CONTRACT PRICE: FEES
OkTIER NAME: 18 OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
SITE ADDRESS: EACH $1,000 OF PERMIT FEE.
LOT: BLOCK SUBD. $25.00 MINIMUM FEE.
INSTALLER: CONTRACT PRICE x 1% $
ADDRESS: STATE SURCHARGE $
CITY: ZIP:
TOTAL:' $
PHONE
(SIGNATURE)
~FOR:
CITY OF EAGAN
PERMIT N CITY OF EAGAN
REacTtvaTE 1992 BUILDING PERMIT APPLICATION
681-0675
I(d 4 A 0 6 0 3 RECo
SINGLE 5 MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural 8 structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies when typiny 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 / ~ / q2-, Valuation of work V000,00
Site Address:
STREET SUITE f
Tenant Name: (commercial only)
IAT I r BLOCK J_ SUBD._g',~f, Tp.I.D. M
XJ 17y .1Onwrv,(fr.~
Descri tion of work:
The applicant is: ? Owner ? Contractor ? Other (Deaerfbe)
Name Phone Z~ - ~ ° ) O
Property LAST F,RS, ~
Owner qddress 'S lil /,•Jr C hr S/~
STREET STE I
City G Gn State Zip
Company Sf9-,/s'jf S Phone q`1_1- 3 o~
Contractor Address 1-~6 ' ST License ll ~/5 9 Exp.
City State Zip
Architect/ Company Phone
Engineer Name Registration M
Address
City State Zip
Sewer 8 water licensed plumber Processing time for
sewer 3 water permits is two days once area has been approved.
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. ~
Signature of Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE
O 01 Foundat9on ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool
? 03 SF Addition ? 08 8-Plex 0 13 Garage/Accessory 0 18 Comm./Ind.
? 04 SF Porch O 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc.
? 05 SF Misc. O 10 Multi. Add'1. E915 Deck ? 20 Public Facility
? 21 Miscellaneous
WORK TYPE
~ 13 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish
(0,32 Addition O 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MWCC System
(Allowable) lst F1. sq. ft. tity Water
UBC Occupancy 7L-'21 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 1-1314
Depth ~W ' On-site sewage SAC Code
APPROVALS
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS
O Site 0 Footing ? Framing ? Insulation
? Wallboard C1 final ? Oraintile ? Fireplace
Permit Fee vsimccm: g
Surcharge
Plan Review
License
MWCC SAC
City SAC
1later Conn.
Mater Meter .
Acct. Deposit
S/N Permit '
S/W Surcharge
Treatment Pl.
Road Unit
Park Ded.
Trails Ded.
Copies .50
Other
Total:
SAC %
SAC Units
I
i*~ ~ ~2~~422 Encerprise Drive
I) endota Heights, MN 55120
~I4.INwER l.11IiD 5URVHYOR6•CIYILENGMEER5 ~'l
~QI1gIneerIn9•• Lne1oel~NraE~15•lANDSCAOEPRCMITECn ~I(612) 681-1914
R Jf *T
T
i ~ Certificate of Survey for: R0rML.V NQ~C MPANY
' 892.0 ~
NQR7H
1 \
f ~
W ! ~
V ~ F
/ . . D ova e \
I ~ J~~ ~ ~i.
'r3 L _ ~,J~c~ ~~3 ° a~ . /
. N 79 ` \ I• y ~ ~p' V / _ ~ e
~ 00
`1 \ 17S ' ~ ~ 0. ~ ~
~
r
i4(1
' r`~~? ~ . •o a
. ~
i z
i ~ oo a3
L '
F
soo.a Denotes ezistin~ flevafion PROposeD NOUSE £[EUA710N5
• 900.0 Denofes propa0d E/evotiort Lnwesf ~loor Elevafion = $801, t~
-----CJenoIes Orarna~e ~ Utilrfy Easemenf
benofes Drarna eflow /-frrows 7'pr o' Bloek FJevation = 89to $lo
o peno{es monumerif qaro~e slab Ere~ah'on ~ f~56.5~i
gearin~s shown crre assurrled
LoT 15 , BLocK r1NlLcs oF S710NE8RIpOE
DQKOTA CouNTy, MINK"OTA $UB!£C1' 7D EASEMfNTS OFRACORb
1 hereby cErtify thet [hls survey,~ plan of reOOrt N'aa preQerey by me vr under my direct sopen9slon a-d thet 1 am daly Re9;stsred Land Surveyor
undF.r thp iaws o{ thC StatS of Minnesots, bated tbis dey pf q,p, 79_
I
~cale: linch, 40~ ~
f 871izl'18 aC+9E4T P SIKICH L.S. AEG. NO~IqB?1
I
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA162957
Date Issued:08/06/2020
Permit Category:ePermit
Site Address: 591 Worchester Cir
Lot:15 Block: 1 Addition: Hills Of Stonebridge
PID:10-32990-01-150
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Susan M Howe
591 Worchester Cir
Eagan MN 55123
(651) 260-3032
Majeski Plumbing & Heating
875 Spiral Blvd
Hastings MN 55033
(651) 437-3823
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA168150
Date Issued:04/12/2021
Permit Category:ePermit
Site Address: 591 Worchester Cir
Lot:15 Block: 1 Addition: Hills Of Stonebridge
PID:10-32990-01-150
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Mary R Scaramuzza
591 Worchester Cir
Eagan MN 55123
(952) 465-8316
Ashton Mcgee Restoration Group Llc
5555 W 78th St, Suite J
Minneapolis MN 55439
(952) 426-3736
Applicant/Permitee: Signature Issued By: Signature