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3886 Worchester Dr ; , • ~~rtif ir~ttr uf (~rru~r~nr~ , . , . . . , titp of Cagan ~rvwfttrut u# Iufildtng Jwrrttmt J,; { r' This Certificate issued pursuant to 1he requirements ojSection 306 of the Uniforni Bu~ding ~ ~ Code certifying 11tat at the linre of rssumtce this structure ww in compJrance witk tlre yarrous ordinances of the City regulating building construction or use. For the fo!lowtng.. ~ I r ' I use a.nur?wno. SF T=/GAR B1* Fe,nii;t rb. 17291 ' o-pa,,,, T,m R3441 Zoning DW,;U PD/!tl .,yw COOSL VN owm of emww RSi HM.5 Add,m, 16670 PRMM.IN IIR SE. PRIM LW e ~aa~ ~ WOMEM DRM c«,~ity. L51 B49 HIId.S (F S1UMEM= ; n.k: JAId[]ARS[ 26. 1990 e~aPOST IN A CONSPICUQUS PLACE DATE: 11/14/89 RE: 3886 WORClIESTEx DRIV6. LS1, Dk. HILL3 OF ST021BDxIDGB xx 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 CAIL PUBLIC WORKS (4545220) FOfi YOUR PERMANENT WATER TURN ON. Your Sewer & Water Permit for the above property cannot be completed for the folfowing ~ reasons: Your Sewer & Water Permit for the above property has been completed, but the meter cannot be issued or occupancy allowed until lurther 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 OEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. . . . . . . i . ' . ' . 1 1 . _ - DATE: 11/14/89 l RE: 3886 WORCHE3TBR DRIVL, L5, 134, H1LLS OF STONSBRIDG6 xx Your Sewer & Water Permit for the above property has been compieted. It will be held at the Public Works Garage (3501 Coachman Road) until the meter is picked up. 6E SURE TO CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. Your Sewer & WatQs~Permit for the above property cannot be completed for the following 4y' reasons: ~ ~ Your Sewer & Water Permit for the above properry 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 DtGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. " CITY OF EAGI4N I 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PMONE: 454-8100 BUILDING PERMIT Receipt # To be used fo DECi( Est. Value 1 000 Date_MAY 24 ,190,_ Site AddF~ss 3888 iiK1EClmm1t pil - LOt JT ' BIOCk 4 SeClSub. OFFICE USE ONLY Parcel No. occupancy MMI FEES Z Name ST~1IR 1OAl1 uaf (Actual) Consl _ 81dg. Permit 23.00 0 Address 388lioacuzR'tEt rks 1AJlowable1 - su~cna~ S~ City g~I Phone x ot Stwies ge - Length 23# Plan Review o Name j~ Ol ALL il1AD=S I ~t BEriilOm D~ ~"~o~i snc, city Address 963 ~ City I?rPLB V t.t-Etr Phane _ 432-3499 S.F. FootpnMS _ SAC, Mcwcc ~ On Site Sewage _ Water Conn ~ W Name On Site Weii - Water Meter Address MWCC System _ City PhOne City Water _ Aect. Deposit PRV Required _ SAN Permil I hereby acknowlege tha! I have read this application and state that the Booater Pump S/yy Surcharge infortnation is corcect and agree to comply with all applicable Stale ol Minnesota Statutes and City of Eagan Ordina Treaunent PI Slgnature ol Permltee i`.~'.-~ -.i APPROYALS Road Unit A 8uilding Permit is i9sued to: JAM OF AM TWE$ Plarvw - Park Ded. on the express condition that all work shall be done in accordance wiih all Council applicable State of Minnesota Statutes and City of Eagan Ordmances, gldg pM _ Copies BuildingOHicial i ~ Variance - TOTAI Z~•~ ~ vermit No. Parnit Hokl.. oau TeNpFwns # WATER SEWER PLlNr181tVG H.VAC. ELECTRIC ~don po% Irqp, CorrwnMNs FootingS I Foundation Framing Rooliny RouOh Pib9- Rough Htg. Isul. FreQlaoe Final Fftg. Orstat Test Final Plbp. Plbg. Inspetta - Notlly Plumber Const. Metef Enyr./Plan Bldp. Final Dedc FbB. Dedc Final weli Pr. oisp. . ~ . , ~ . , CITY OF EAGAN 42 17291 r-- - 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 ] BUILDING PERMIT Receipt # To be used for s~ ~/GAR Est. value ;840000 Date 11/11/e9 19 Site Address 38" WORMgTER DaI1R Lot 3 Block 4 Sec/Sub. HII.LS OIP a1M D(u OFFICE USE ONLY P2rC@I NO. Occupancy R-3 W-1 FEES ! Zoning ~ ~1 W Name (Actuap Const ~ Bldg. Permit S~'~ I Address 1"70 FRAWLIII TR SE, #230 (Albwable) sp ~ City Pn~R LAKE Phone 490"64M _ Surcharge o1 stories 295.00 Length Plan Review t~ Name SwM ~u, snc. city 100.00 ~Q~ Address S.F. Total 575.00 ~ Clty PhOn@ S.F. Fooiprints _ SAC, MCWCC Name sAME On Site Sewage Water Conn soo'oo ~ W t= On Site Well Water Meter 90.00 Address MWCC System ~ jQ QQ Aoct. De sit . < W C~~Y PhonA Clry water 3M PO PRV Required _ S/W Permit ~.oo I hereby acknowlege that I have read thi plication and state that the Booster Pump 1•00 information is correct anyi1 gree t o co pwith all applicable State of - SNY Surcharge Minnesota Statutes and Cot ~agandi ances. Treatment PI 228•~ SignatureafPermitee APPROVALS 3~.~ I ay moms Road Und A Building Permit is issiued to: Planner - Park Ded. on the express condition that all work shall be done in accordance with all Councii applicable State of Mir~sota StatWes and City ol Eagan Ordinances. eldg. Otf. _ Copies ~ - ~`~11; l. Buildirlg OffiCial Variance - , l - TOTAL 2,"3.30 `T- permit No. Permit Holde? Dale Telephone WATER SEWER PLUMBING ~ H.V.A.C. ELECTRIC Inspeetion (ate Insp. Commsnts Footings I foundatan / Framing Roofi^9 R«,O Plbs. -1:50 Rough Hig. h". -s-- v v Fireplace Final Htg. FuW PIh9. Const. Meter Plbg. Inspetta - Notily Plumber EngrJPIan Bldg. Final Oedc Ftg. Deck Final weu Pt. oisp. I I ' •PERMIT # r~ I PLUMBINCi PERMIT • F- s CITY OF EAGAN RECEIPT N -3830 PILOT KNOB RO'AD, EAGAN, MN 55122 DATE: CONTRACT PRICE PHONE: 454-8100 Site Address - , 4' - 4'•r BLDG. TYPE WORK DESCRIPTION Lot Block Sec/Sub Res. L- New . f . ' 1 e Mult. Add-on y Name t Comm. Repair ~ Address y'' ~ ' • ~~w ~ - Other c Ciry Phone RES. PLBO.ONLY - COMPLETE THE FOLLOWING: NO. FIXTUFiES TQTAL Name ~9 ~ ~-Water Closet - $3.00 Bath Tubs - $3.00 ; Address Lavatory - $3.00 O City Phone r Shower -$3.00 ~ Kitchen Sink - $3.00 ~ FEES Urinal/8idet - $3.00 COMM/IND FEE - 1% OF CONTRACT FEE _LLaundry Tray -$3.00 ' APT. BLDGS - COMM RATE APPLIES ~-Floor Drains -$1.50 i)`- TOWNHOUSE & CONDO - FiES. RATE APPLIES Water Heater -$1.50 1}MINIMUM - RESIDENTIAL FEE - $12.00 Whirlpool - $100 MINIMUM - COMM/IND FEE - $20.00 _LGas Piping Outlets - $1.50 ' STATE SURCHARGE PER PERMIT - ,Sp (MINIMUM - 1 PER PERMIT) (ADD $.50 S/C IF PERMIT PRICE GOES Softener -$5.00 BEYOND $1000.00) ' Well - $10.00 Pnvate Disp. - $10.00 Rough Openings - $1.50 SIGN RE OF PERMITTEE FEE ?2 1- STATE S/C: s FOR: CITY OF EAGAN GRAND TOTAL• 2< ' . _ . . PERMIT 1f w • ' MECHANICAL PERMIT RECEIPT # CITY OF EAGAN ~ 3930 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: PHONE: 454-8100 For Office Use Only: Site Address gLpC,,, npE WORK DE8CRIPTION Lot ~ Block Sec/Sub Res. ~ New : >VI LE '.E.. T . Mult Add-on m Name ' Comm. Repair Address ' ~8' HUDE ISLA':5 Other c City Phone q94 000 FEES Name RES. HVAC 0-100 M BTU - $24.00 c Address ADDITIONAL 50 M BTU - 1100 O City Phone - • (RES. HYAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM -1 PER PERMIn - 1.50 EA. TYPE OF WORK COMM/IND FEE - 196 OF CONTRACT FEE Forced Air ~ M BTU lAPT. BLDGS. - COMM. RATE APPUES TOWNHOUSE 8 CONDOS - RES. RATE APPUES BOile? M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8 Unit Heater M BTU REMODELS - 12.00 Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00 Vent CFM STATE SURCHARGE PER PERMIT - ,50 (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # BEYOND $1,000) Other FEE SIGNATURE OF PERMITTEE S/C: TOTAL• - FOR: CITY OF EAGAN SEIIVER b WATER PERMIT OFFICE USE ONLY ! CITY OF EAGAN ~ 3830 PIIOt K110b Rd. PERMIT DATE ~ i~~~`" WATER PEFiMIT # ' SEWER PERMIT # ~ P.O. BOX 21199 METER # 4L6'4a0 79 B.P. RECEIPT # •'-[+'i8 ~ i Eagan, MN 55121 O D / I B.P, RECEIPT DATE 1 t 0i" 1 METER SIZE Ro ~ ~ ISSUE OATE a y' 9a _ PRV _ BOOSTER PUMP , SfTE ADDRESS PERMIT REOUESTED LOT ~ BLOCK _'-1__SEC/SUB ` ( < N ° ~ ~ APPLICANT: R e ASEWER _KWATER _ TAPS ' ADDReSS: ? ~ C < COMM/IND xRESIDENTIAL CfTY, STATE ` c' ZIP PHONE: NEW _ EXISTING PLUMBER: ~Q ~ ADDRESS: I AGREE 41u CO LY Wj~l CITY OF CITY, STAT Zip ~ N~ DI CES• PHONE: S M#, y J OWNER: N ~S D • ' ADDRESS: 7RMS RE WH ETEi~ U CITY, STATE ZIP PHONE: PL.E/1SE ALLOW TWO WORKING DAYS FOR PROCESSINQ. FOR ST R PERMITS, CONTACT ENdINEERING DEPT,..~,w ' t~ r; SEWER bVATER PERMIT OFFICE USE ONLY CITY OF EAGAN PERMIT DATE 3830 Pilot Knob Rd. WATER PERMIT : L) SEWER PERMIT # P.O. BOX 21199 METEq # B.P. RECEIPT # Eagan, MN 55121 READER # B.P. RECEIPT DATE 1~ 1~~•" METEFi SIZE ISSUE DATE _ PRV _ BOOSTER PUMP z' f.~,)(~~ :.L4~n ,n~.,.. SITE ADDRESS PERIIAR REQUESTED LOT BLOCK tLSEC/SUB APPLICANT: -2LSEWER ~ WATER - TAPS ~ ADDRE,SS: CpMM/IND __,~(RESIDENTIAL CITY, STATE ZIP 3--? e~ ' PHONE `iln !t NEW - EXISTING ' PLUMBER: ADDAESS: 1464'1 -1~ NOe,., I AGREE Tb CO Y WITH CITY OF CITY, STATE ZIP ~GDINES: i t PHONE: OWNER: vv~ ADORESS: / SIGfNATURE WHEN YETER ISSUED CtTY, STATE ZIP PHONE: PLEASE ALLOW TWO WORKING DAYS FQR PROCESSING. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. ~ CA3"E~,FIP~T CITY OF EAGAN W0 PILOT KNOB ROAO EAGAN, MINNESOTA 55122 DATE ~ ~ nMOUNr s r a ~ aauws ? CASH ~$I CHECK J I ~ ~x' D7 ' ' ' c FUND OBJ CT ~ AMpUPIT Thank You BY C 4s~ ~ ~---"qcwy I • + CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 NO 17291 • BUILDING PERMIT PHONE:454-8100 Receipt # l 1 7obeusedfor SF DWG/GAR Est.value $89,000 oate 11/13/89 ,ig_ Site Address 3886 WORCHESTER DRIVE Lot 5 Black 4 SeGSub. HILLS OF STONEBR DGE oFFICE uSe ON~Y Parcel No. occuPancy R=3 M-1 FEFS c Name RSM HOMES zoning PD R-1 w (Actual) Consl \(-N_ Bldg. Permn 590.00 o Address 16670 FRANKL N TR E #230 (Allowable) V=N Surcharge 44.50 City PRIOR LAKE phone 490-6900 xoisiories _ Lenglh PlanReview 295.~~ fF Name - SAME oePm IZ-L snc, ciry 100.00 g: Address S.F. Total ~ City Phone SF.Foolprinls _ SAC,MCWCC 575.00 ~ On Sne Sewage _ `/~'ater Conn 580.00 ww Name S~ onsitaweii r w - Waler Meter 9(7 _(10 Address Mwccsysiem X 30.00 I. CitY PhOnB Cily Water _gx Act1. Deposil I PRV Reqmrad _ SIW Permit 9n _ nn I hereby acknowlege mt plicati and state that the Boosier Pump - SiW Surcharge 1.00 information is correcith apphcable State ot Minnesota Slatutes aces Treatment PI 728.00 Signature ot PBrtnitBe APPROVALS Roatl Unil 340.00 A BuilOing Permit is is OMES Planner - park DeO. on Ihe express contlrt done i n accordance wrth all Counal applicable State ol Migsota St and City of E/a9an Ordinances. Bldg. Ofl. _ Copies Building Oflicial 'A-~-_i l~A.I__ varianco - 7p7qL 2,893.50 ~ CITY OF EAGAN Np ' 91 09 ~ 3830 Pilat Knob Road, P.O. Box 27-199, Eagan, MN 55121 BUILDING PERMIT PHONE: 454-8100 Feceipt # / 3 5"/ n _ l~ ~ To be used for , DECK Est. Value $1 , 000 Date MAY 23 ,~g 91 Site Address 3886 WORCHESTER DR OFFICE USE ONLY Lot 5' Block 4 SeclSub. HILLS OF P21C81 NO. 5TONEBRIVGE Occupancy ~-2 FEES Zoning _ w Name STEVE MOON (AC1uai) Const - Bldg. Permil 25.00 o Address _3886 WORCHESTER DR (Allowable) - Surcharge .50 City EAGAN Phone +r of stodes Length 231 Plan Review o Name 1ACK OF ALL TRADES Deplh 16' sac. ciry ou qddress 965 REDWOOD DR S.F Tolal Uw City APPLE VALLEY Phone 432-3499 S.F. Footpnnts _ SAC, MCWCC IN On Sne Sewage _ Water Conn Name on Sne weu Waler Moler - Address rnwcc Sysiam AttL Deposil Ciry Phone aiywaier _ PRV Rapmred - ShV Permil I hereby acknowlege that I have read this application antl stale that the Boostar Pumv - SNJ Surcharge inlormation is correct and agree to comp11nnly wrth all apphcable State of Minnesota Statutes and City of Eag apt~ Treatmant PI Signature of Permilee ~ APVROVALS Roatl Unit A Builtling Permit is i ued to: JACK OF ALL TRADES Pianner - park Ded. on the express condinon Nat all work shall be tlone in accortlance with all Co+ncil apphcable State of Mm{n~esota SptaWtes and City ~oJf Eaqan Ordinances. Bmg.Oa. Copies BwldingOlficial~IISP;OIll Variance - TOTAL 2 5•.5V 9~~& 74 0 31 ~ V -It/F Repuest Oate Frte No. Ro g~-m Inspec0on ~ R wre~i ? ReaEy Now n Notry Inspedw ~6 ~ es ? No When Reotly7 \ ~ Ilicensed contractor ? owner hereby request inspection of above elecirical work at. Job AdAresg~5 real, eox or Route No ) Qry ~~Sc~s-~O SecUOn No. TowrisNp Name or No Range No Cwnty ^ , 1~L~C.i \ Occupant(PRI Phone No. Pawer Su AdOrass ~ DecMCal nvacfor (Compairy Name) Cont or5 Lcense No. e. G ~sS 3 Mailirg AdOress (COnirec(a a Owner Making Irstelladion) 13- AuMonzetl S Wra (Cont2clodp.mer Mekin Installah Plw umEer Z'~~63G~z MINNESOTA STATE BOARD OF ELECTRILITV THIS INSPECTION REQUEST WILL NOT Gtl89s-MlEwey Bltlg. - Poom S170 BE ACCEPTED BY THE STATE BOARD 1831 UnMrsiry Ava., SY Poul, MN 551UC UNLES$ PROPER INSPECTION FEE IS Phona (612) W2-0800 ENCLOSED. ~~/~9 REQUEST FOR ELECTRICAL INSPECTION 0= esooama7 ? See inshuclitfi; tor complating this lorm on back al yelbw copy. ~is(/J~ ~ 7 "X" Below Work Covered by This Request Add Rep. TypeofBuiltling AppliancesWued EquipmeniWireU Home Range ~ Temporary Service Duplex Water Heater Electnc Heating Apt. Building Dryer Other (Specily) Comm./lndustrial Furnace Farm Air Conditioner Other (spedry) Comraaw5 Remarks: Compute Inspection Fee Below: # Other Fee # ServiceEntranceSize Fee Crtcuits/Feeders Fee Swimming Pool 0 to 200 Amps # 0 to 700 Amps Transformers Above 200 _ Amps Above 100 _ Amps Signs Inspecaor5 Use OnryTOTAL Irngation Booms Special Inspection AlarmlCommunication Other Fee I, the Electrical Inspector, hereby Aouqn,n oate certity [hat the above inspection has been made. OFFICE USE ONLV This requesl void 16 months Imm 130 2-7,~~ Repuest Data Fne No R in InsOeclion R mred'+ ? Aeatly Now>{WA1 NoUty Inspector Yes ? Na When Reatly? I licensed wntractor O owner hereby request inspection of above electncal work at JaE ACdress (SCreeC Bov ar Po C -3 88 ute Na)02 ~ r ry~i9G~~? SBC1iDn No TownsM1ip NamB Dr Np. qanqa No Coun ~~COT/9 Occupant (PRIFfr) Q M / Phone No /1 , / • iL-J!9 ~J"J f. S Pow r SupP1.er Atltlress - ~+.~~~s--~ • ~ -~.g2rr~in9 ioi? Elxuwal omracior (GOmpany Name) C Con[raclor5 Ucensa No .s G`F L~T/~/C'~ O /qy5-.3 Maihng Atltlress IComraztor or Owner Makmg Inslallationf -7 S G~J , GcJ /3 AutM1Onzetl naWre (Conuacion0 ner Making Installa0on) Phone Number 90-~ 3 MINNESOTA STATE BORHO OF ELECTNICITV THIS INSPECTION PEOUEST WILL NOT Grlgga-MlEwey Bldg. - Room S173 BE ACCEPTED BV THE STATE BOARD 1B21 Unlvenlty Ave, St Vaal, MN 55104 UNLE55 PROPER INSPECTION FEE IS Plwne (612) 642-0B00 ENCLOSEO REQUEST FOR ELECTRICAL INSPECTION ee-00001o7 ? See inshucUOns lor completinq this form on Dack ol yellow ropy ~ 1 3n 4' 27 "X" Below Work Covered by This Request "'a,~,~•~ ew Atld' ReO. 7ypeofButltling AppliancesWired Equipmired Home Range Temporary Service ' Duplez Water Heater Electric Heallng Apt. Bwlding Dryer Other(Specity) Commllndusirial Furnace Farm Air Conditioner Olber (speafy) ConVacrorS Remarks: Compute Inspection Fee Below: ~k Other Fee R Service Entrance Size Fee # Cucuits/Feetlers Fee Swimming Pool 0 t0 200 Amps 0 to 100 Amps ~ Transformers Above 200 _ Amps Abo r700 Amps S19n5 Inspxtor's Use Only. TAL Irrigauon Booms ~j' O SO Special Inspec6on AlarmrCommunicauon THIS INSTALLATION MAV BE ORDERED ISCONNECTED IF NOT Other Fee , COMPLETED WITHIN 1 THS ( I, the Electncal Inspector, hereby aoi ~ ate _ l' O certAy that the above inspection has p~~ei oaie v r been made. OFFICE USE ONLY Tms request wid 18 monNS Irom o Y~ p$ ~ 2005 RESIDENTIAL BUILDING PERD4IT APPL7CATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX 9 651-675-5694 Niew ConslmchonReouiremems Re odel/R pa r R om e ents Offce Use Onlv 3 regislered site surveys showinq sq, ft of lot, sq 0 of house, and all rwfed areas 2 mpies of plan Cetl ot Survey Recd .Y. _ P (20% maximum lot coverage allowed) 1 sel o( Ener9y Calculations for heated adddions Tiee Pres Plzn Recd 2 copres of plan showmg beam 8 window sizes, poured found design, etc 1 sde survey for adddions & decks Tree ?res Reqlrued--` Y: -f iseto(EnergyCalculafions Addihon - indicaler(on-sitesepLcsystem Dn-sile5ephcSyslem-~Y._r 3 copies of.Tree'Preservahon Plzn it lol platled aRer 771193 Rim Joist Delail Ophons seledion sheel (buildmgs wtlh 3 or less units) ate Construction Cost ~ ~ ? ~ Site Address L) Unit/Ste # ~~s~~-~~t;on af Wo,k Multi-Family Bldg _ Y v,/ N Fireplace(s) _ 0 _ 1 _ 2 1'rupcrty Owncr hau ~n0 Telephone # (!G?~ ~89 ?713 Contrxtor ~Q~~1 ~~,(h`~ Address ~~Ua-~ pbl/~/ (-i1Q.S (~G• 7O" . City State Zip Telephone # ~Jr033 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Mmnesota Riiles 7672 Energy Code Category . Residenhal Venldation Category 7 Worksheet • New Energy Code Worksheet (J submission tyoe) Submitted Submitted • Energy Envelope Calculahons Submdted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If ;o, 25% plan reviE fee applies. Licensed Plumber Telephone # Mechanical Contractor Telephone # ( ) Sewer/Water Contractor Telephone ) I hereby apply for a Residential Building Permit and acknowledge that the information is complete and ac( tha± ±he work will be in conformance with the ordinances and codes of the City of Eaaan and the State c Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start wit permit; that the work will be in accordance with the approved plan i e case of work wh~ requires a revie approval of plans. ~~d1~lle D vl,-~iJ _ Applicant's Printed Name App 'cant's Signature OFFICE OSF.ONLY Sub Types ? 09 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory BI, ? 02 SF Dwelling ? OB 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 6ct. Alt - Mult ? 03 01 oi_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt- SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc. ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Oamage ? 06 04-plex ? 12 12-plex Plbg_Yor_N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvemeni ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Buildiny' ? 43 Reroof ? 46 WindoevsfDoors ? 34 RePlaCement 'DemoGtion (Enlire Bldy) - Give PCA handout to applicant Valuation Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUll2E1) INSPECTIONS Footings(new bldg) _ FinaVC O Footings(deck) _ FinaUNo C.O. Footings (addition) _ Plumbing Foundauon _ HVAC Drain Tilc Oiher Roof Ice & Water Final _ Pool _ Ftgs _ Air/Gas Tests Final _ Framing _ Sidmg _ Stucco _ Stone _ Brick _ Fireplace R.I. AirTest Final Windows Insula[ion _ Retaining Wall Approved By: , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge 7reatment Plant License Search Copies Other Total a~005 RESIDENTIAL BUILDING PERMIT APPLICATION ~ City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Constmchon Reouirements RemodeVReoair ReQUirements Office UseClnlv . 3 regislered sile surveys shaxmg sq fl of lol, sq. N. of house; and all mofed areas 2 copies a( plan Ced 6t Survey Recd ._Y _N (20% maximum lot coverage allaxed) 7 sel of Energy Calculahons for heated additions 7reo PresPlan Recd Y._N. 2 copies of plan showing beam 8 window sizes, poured (ound design, elc 1 sile survey tor addilions & decks iree Pres Required:~ Y: ;.N 1 set of Energy Calculations Adddion -indicafe d on-site septic sysfem Oo-site Seplic Syslem YN 3 copies of Tree Preservahon Plan if lol platled afler 71153 Rim Joisl Delail Options selechon sheel (buildmgs wilh 3 or less umts) Date Construction Cast 0°100 Site Address L)r L Q ~ ~t-) Unit/Ste # Description of Work r b"' s ~ Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 2 Property Owner S Mo f ~¢4hone # ( l (71213 Contractor " ' 6~) _2,5ii /r Address 11825 Point Douglas Dr. S. CitY State astin 95, 55ma ip Telephone # COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Ene~gy Code Category . Residenlial Ventilation Category 1 Worksheet • New Energy Code Worksheet (Jsubmissionfype) Submdted Submitted . Energy Emelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Telephone ~ Mechanical Contractor Telephone # Sewer/WaterContractor Telephone#( ) I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in ~ case of work whic equires a review and approval of plans. / JMlelle Du)3o;I ~ Applicant's Printed Name Applicant's Signature , ~ 6 - OFFICE USE ONLY Sub Types ' ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg 0/02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 0 1 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 E#. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Add'Rion ? 36 Move Building O 42 Demolish Foundation 45 Fire Repair ? 33 Alteration O 37 Demolish Building' ? 43 Reroof gp 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQULRED INSPECTIONS Footings(new bldg) _ FinaVC.O. FooUngs(deck) _ FinaUNo C.O. Footings (addition) _ Plumbing Foundauon _ HVAC Drain Tile Other Roof Icc & Water Final _ Pool _ Ftgs AidGas Tesls Final Framing _ Siding _ Stucco _ Stone _ Brick Fireplace R.I. AirTest Final Windows Insulation _ Retaining Wall Approved By: , Building Inspector Base Fee Surcharge Plan Review MC1ES SAC City SAC Utility Connection Charge S8W Pertnit 8 Surcharge Treatment Plant License Search Copies Other ~ Total ~ , • ~ - Smrivellori's Certilicate SURVEY FOR: R.S.I,1, )fomes DESGRf8E0 AS: Lot S, Iilock A, )f}LLS Or' STONEHRIDGF:. C.ity of Eagan, Dakota County lfinnesota and reserviiig easements of record. ~ r ' ^ ~ qD / DO~~ • o. ~ ~ ~ ~S9 J / ~ . w ryy ,p Ir~ 8 G 51.9 ~ ~ ~ ~ ~ 4vg0f W ~d ~ y 4 ~ 1 M O~ S 6 AvI / vQ~ ~C 4, 4f ~ ~ v W ro N LOT SQUARE FOOT GE = 13, B~ ~ ~ aL~"te EAG~T EN IPdEERIAF DEF'' PROP09E0 ELEVATIOMS DENC~Ky ' Top of fsunaellen w 4r3.8 N.J. G[o.- .r 4°`,~, SIkL. oornqeileor . i qro.tiD BoloMenf floor :~b•6 H1 t~ ~R fREMENT~ Appea. Bow~r SKrk@ ENr.+a+d. Vrr:~r propotqp0 Elerofions Eutrtno £ierat(onle . frMt ~ NwiN {IN ~ ~o DrmnvQs Duecfbn. o.not•s orr»r stok. , o eCALE: t teefi • aa F•.i ' c I MrrOy agtNly Mof fMo wrW", plsn v rqa/ tN NMMN rT m am MO.S 7 I~~D~~~~ N.M.w n~r oN~gt tn~.nron wa leor i«o a ooit INoNeund i'C4R lwd NwRrw wiNr MH Iw@ N1M qrq gf MIM91@16. ~OOnt PrNwunp Enpfnsatrp S+~?*l~~D 14~ SZ- , wMww.+w.`r.+~~n~rw~i ,49 24 ~ • ~ tA~b~fttl~ w+a.cr~ua it" u.«r• M1n Qsahn-~... . F ? EX1'GItIOIt F.NVL(.OI'I{ AVI;RAGI: •.U" C0:41'U'I'A'PIOtI ouur•.ii st•ru nuoxLSS L~V\&'f.STe-L.., kw"'.- - CONTRACCOH,t?sm~ 42~~ _ DI1TE (O ~ 1'~~ ( Q 1 ['IIOtJL ~~j'~ f~~0 Detecmine Workiny squuc footagc oC caeh. 1. 'CoWI exposed •.+all arca /AGo.O sq. ft. x .Il = /9j-6 2. 'fotal roof.ceilinq arca .......i338.0 sy. f[. x •025 ,33J Total exposed vall area above floor • a. Total wall vindov area /D1•~ ~ b. Total door arca fi~• G . c. Total sliding ylass door'arca .32• Z d. Total Cireplace .+all area O U. Total NO11 Eraminy area (averaye 10e) 1.716.0 f. Totat net uall arc.3 a Mvc floor LynY.B _ g. Total rim joisr. area Total exposed foundation arca = jU'•i h. Total foundstion Window arca O i. Tocal net foundztion area above yrade Lp?,G Determine "U" value of cach wall segment. ~ = SG•,9 a. /ns,~ x ^u" . -4-577 b. y3.t, x ..U.. , oll J, y 7 c. 3z Z x•'u'• _ ss /_7 a. p x^u^ O = d _ . e. /7G • v x .•U" . v>/.3 ~ - _ _ ~ - - ~ ~ t~..-°-p-----. • .p ' ~ . ~o.. ~ . , 09 9,~ ' ...........................To[il = ~~5•2--_ IC item qJ i. [hc samc as, or lc!::: thon item Al, you liav(! mat ehc iuCelit oC SUC GOOfi (c) 2. O'Arem -11 Y rl7s-. 3) G ~93 6~ ~"c•/ c ba c-7 G() y ! Total exposed rouf/cciliny ncca = /33B• h__ j. Tatal skylight area O Y.. Tocal roof/ceiliny fraininy in.:o (avcrayu 1o*0 1. Total nec in::ulatcd roof/cuilin-j ar<:a ,o •2 • Detormine "U" value for each roof/ceilinq seyment- j, O X"U" O = d k. X,.u.. 3- y ~ 1•1.20 514 X"U.. 4 .............................:.......Total 2, ~you liave met thc intent of If total of k4 is the same as, or less than 11 SBC 6006 (01. C'71"„ IZ.B. -e...t....t s!9 c ~ oo t <<J/ elternate Building Envelope Design To utilize the to[al envelope system methoS, che valucs establish•.d by thc sum of items Nl and N4 shall not bc greater than [lie sum e: item5 #1 nnd P2. i93•~ + z. 33•S - aa7/ 3. %7s.2 . a. -~..-f %Ae„ s . , . ~ ` 1989.HOILD7NG PERFIIT 6PPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS 7a I I INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTEs ADDRESSFS FOR CORNER LOTS - CONTRACTOR/HOMEOWNEN MfTST llFSIGN9TE iiHICH ADDRFSS IS DFSIRED. NO CHANGFS WILL BE ALLOWED ONCE HOIl.DING PERMIT I3 ISSOED. M[TLTIPLE DNELLINGS RENTAL QNITS FOH SALE D6ITS t OF IINITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECB WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMB4EHCIAL ZNCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS OGj 2 u 1989 To He Used For: ~k lpQev-'. Valuation: ~ Date: icd~s~4,~ , ..OFFICE DSE ONLY Site Address ~yg~ (k~ i Lot ~ Block Oecupaney Q_'3 M-I FEE4 Ln Zoning PD R-) Parcel/Sub 1~~115 C~~ eilinCtl~S"P, Actual Const V-N Hldg. Permit (~c i' Allowable V-N Surcharge '+4•So Owner _ M ~w W",e ` A of stories Plan Review Z 11!7. DO 1 Length G~ SAC, City loo.oo Address t~~O rQ~~~i~~~R..S•~ DePth 3g SAC, MWCC r)S.oO ~~t S.F. Total Water Conn 580-~ City/Zip Code'QIZiQv., u:s~~c2 kh;) Footprint S.F. Water Meter 90.oa Acet. Deposit ,30,00 Phone On site seuage_ S/W Permit y o,co On site well S/W Surcharge I,flo Contractor MWCC System r/ Treatment P1. Z2 B.oo City water v Road Unit 34D.00 Address PRV required _ Park Ded. Booster Pump _ Copies City/Zip Code TOTAL APPROV9LS Phone Planner _ Council Mch./Engr. Bldg. Off. =0 WIZ6, Var iance ~ Address Council City/Zip Code Phone # NOTE: Sewer & Water Permit fees and account deposit fees irill be ineluded in the building permit fee. Processing time for aexer and vater permits is tvo days onae a licenaed plumber has applied for a permit at City Aall. . r V / \ L (.,k f~~ I C) I~J ,r GAgAGE ` Zzx2o~ 14ypX~S~~6o0 SSY"r', ~ u 55= `~a~ X ly = X00 z~k3r_ ~on zn~ = iy IM~3'1=518 K z2 1y52 x5o= ~2~00 8`I oav _ s 1991 BUI lLDIN~~ ITOA ZCATION CITY OF EAGAN YAY 2 1' ~ SINGLE FAMZLY DWELLINGS MJLTIPLE DWELLINGS COMMERCIAL ~ ~ 2 SETS OF PIANS 2 SETS OF PI.ANS 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 WNEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY IAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALIAWED ONCE BUILDING PERMIT IS ISSUED. . PROCESSING TIME FOR SEWER 6 WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED, PERMIT MUST SHOW A LICENSED PLUMBER, q~-(1 To Be Used For: D~L K Valuation: Date: r7/ Site Address DA OFFICE USE ONLY Lot ~ Block ~ Z. FEES Occupancy M Bldg. Permit 7.j,oD ~,I n^/~ Zoning Surcharge •5v Parcel/Sub "~1~XY,! 9~ 9~IOfl.Ln, IW~~2. Actual Const Plan Review Allowable SAC, City Owner # of stories SAC, MWCC ~i~ Length Water Conn. Address 3gg` ~/1~O'SST~-"' D~ Depth Water Meter S.F. Total Acct. Deposit City/Zip Code nGv-? Footprint S.F. S/w Permit S/W Surcharge Phone On site sewage_ Treatment P1. ~t On site well Road Unit Contractor JnoI( A~ `~a~lhsafq~,p// MWCC System _ Park Ded. ~6~ V~ City water Trail Ded. Address 17--CYW/O j Dr PRV _ Copies n Booster Pump City/Zip Code Vjy//f ylYI.i.S~ SUBTOTAL ~ APPROVALS Penalty Phone Planner Lot Change Council TOTAL Arch./Engr. Bldg. Off. ts S'-7/.9/ Variance Address City/Zip Code Phone # e agrees that all work shall be done in accordance with (Signature of Contractor) all applicable State of Minnesota Statutes and City of Eagan Ordinances. . . ` ~ Y ~Sirt~v~f~or`~ G'ert~f~catc SURYEY FOR: R.S.M. Ifomes OESGRIBEQ AS: Lot 5, Iilock A, }{l1,LS Of S1'ONCHRIDGIi. City of Eagan, llakotn County flinnesoca and reservijtg easements of record. ~J ~ a ~ • r ~ 1>a 4. / ~ t a~ •~i R~i / / f'~op . • e ` ~ ' ` ; ~ ~ ~ 8 ? ~ r ~ ~ ~i ~ ~ / ~0 4~ 8 c' • ` s ,c, ~o ~ ~ `i ~~10 ~ ~ h/ °'O ~~J"V 6. 8/vn,( f 144f ' ~ ~ ` v d i a' at~ +0 n I , LOT SQUARE FOOT GE = 13, R. A E WB LUEE : r EAGAN EN INEERIN DEP~' PROPD9E E EYAf10M DEfICNMARK! • , aIkc. ' Tap ol fwneatlOn . w 415.9 ?''d. rw co- r tot., ooroo.floer .~jm4.s El~r zqro.te Bonrnonl floar +906.G MIM.SEiQ~CK 11EOf~ BE~4~ Appes. SdMr Nrrlao ENr. o Md. Vr.: Ilr Prepost4 Elevallsn~ I (c) ; Eutlley Elwoflen• . ifMt NMN ~IN ~ 10 aanooe Oir.eraos I~.;... R~ir -~5 N?N~ ~Id~- S ° f Diinofet O1fN1 810R~ . 0 wCALE: t InCh + 30 Fee1 c i b...M ooNfo MNI Mo wrti1. N" M••rwt M4«*4 rt m 408 NO.t j ,~~D~~~~ Or .MOw ~rr ONfat aNr.On ww roor tsw a Ivq M/NHn/ S'C4R -35 ~ t LMd MetIA r~MN IM Mw N IM qN$ d MiMssote. ~ ~?N(1 R*nr~w~p Enprn~~rq ~r"p t1 4 ~ _ . City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 3886 Worchester Dr Lot: 5 Block: 4 Addition: Hills of Stonebridge PID:10- 32990 - 050 -04 Use: Description: Sub Type: e- Siding Work Type: Siding Description: House & Garage Census Code: 434 - Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 3,000.00 Contractor: Home Depot At Home Services 656 Mendelssolm Ave. N Golden Valley MN 55427 (763) 542 -8826 Total: Applicant/Permitee: Signature PERMIT City of Eaan Surcharge - Based on Valuation $3K BL - Base Fee $3K - Applicant - Construction Type: Occupancy: Permit Type: Permit Number: Date Issued: Permit Category: When installing ventilated soffit material, remove existing soffit material (i.e. debris that could block vent openings) and take steps to ensure maximu m ventilation into attic space. Tim Schenk Elder -Jones Building Permit S ervice 1120 East 80t Street, Ste. #211 Bloomington, MN 55420 952- 345 -604 0 tims@elderjones.com $1.50 $88.50 $90.00 Owner: Mikhail I Smotkin 3886 Worchester Dr Eagan MN 55122 9001 0801 I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Issued By: Signature Building EA076829 02/28/2007 ePermit City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 3886 Worchester Dr Lot: 5 Block: 4 Addition: Hills of Stonebridge PID:10- 32990 - 050 -04 Use: Description: Sub Type: e - Furnace Work Type: Replacement Description: Furnace Comments: Fee Summary: Contractor: Angell Aire 12253 Nicollet Ave S Burnsville MN 55337 (952) 746 -5200 Quesetions regarding electrical permit 952- 445 -2840 CRAIG ANGELL 12253 NICOLLET AVE. S. ME - Permit Fee (Replacements) Surcharge -Fixed Total: Applicant/Permitee: Signature PERMIT City of Eaan - Applicant - Owner: Mikhail I Smotkin 3886 Worchester Dr Eagan MN 55122 Permit Type: Permit Number: Date Issued: Permit Category: equirements should be directed to Mark Anderson, State Elec $50.00 0801.4088 $0.50 9001.2195 $50.50 Mechanical EA081710 01/17/2008 ePermit cal Inspector, I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Issued By: Signature To: 6516755699 _ _ From: 7637108061 _ _ _ 9-17-19 6:37pm _p 2 of 3 r A A , For Office Use `. �*..0 REC s' r_,. Permit 0: /51/4 0 •...� ..�• 1� �_„ `. �1 APR j 7 ;e: 3. �� 2019 ! / G} 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 Date Received: `f�(/7--/ / (651)675-5675 I TDD: (651)454-8535 I FAX:(651)675-5694 buildinginspectionsf&cityofeagan.cpm Stag: a 2019 RESIDENTIAL BUILDING PERMIT APPLICATION Date: (17/19 Site Address: 3886 Worchester Drive Unit#: Name: Elina Smotkin 651-688-9713 Resident/ Phone: Owner Address i City/zip: 3886 Worchester Drive, Eagan, MN55123 Applicant is: Owner Contractor I T,�_ Description of work: Replace existing overhead aaraae door on attached garage. I yie w rrVrit I -----..-. Construction Cost: $1500.00Multi-Family Building:(Yes /No ✓ ) i a Company: AA Garage Door LLiT, Contact: Dave Sands A Address: 562 Lundy Lane Hudson IE Contractor City: jf I \h/m cancan _ I State: ' Zip: = Phone: "`' -i iii- U Email: udVt:r�dagaragea00r.COm j License#: Lead Certificate#: NAT 671642 If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes,date and address of master plan: Licensed Plumber. Phone: III Mechanical Contractor. ' Phone: Sewer&Water Contractor. Phone: I Fire Suppression Contractor. Phone: NOTE:Plans and supporting documents that you submit are considered to be public Information. Portions of the information may be r I classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeagan.comisubscribe. 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. CALL BEFORE YOU DIG. Cali 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. wvnv.gooherstateoneca lora 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 appbth lans. Deborah Nyasende x t) t Applicant's Printed Name Applicant's Signature