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3890 Worchester Dr • R~TIVA:E l~(7R D~K-04/30/43 " ~1T c~.9oW(MDBIIE)865-4144' CITY OF EAGAN, P 19V, ,3 , (H)686-83t38 ` 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 , BUILDING PERMIT Receipt # To be used for $r M/GAR Est. Value =110,000 DateOCT ZB , is4L- Site Address 3A90 WDQCHESTEII Ot OFFICE USE ONLY Lot -4 Block ~ Sec/Sub. I1 a Parcel No. ~ MNZUIDM OccuPa^cY ~3 A-1 FEES zoning PD -Be1 W Name t~1~t'r e~ StlSnll c~1ND~~1 (Adual) Const V-~ Bldg. Permit b7'~.00 ~ Address _1glSQ IPAYA wV8 (,ulw„ac4s) V-li ° City 1.A~vi1-t.g Phone ~4-2464 * of swries surcnarge SS•00 Length 48# Plan Review ~ ~ F Name ~ Dewh sAC, city 100• 00 Address S.F. To1al - gqC, McwcC aso•oo City Phone S.F. Footpnnts _ _ Water Conn ~ Sile Sewage On ~ W Name on site weli wacer Meier 45•00 Address MwCC System R <i w City Phone cay water ACct. DepoS't 30•00 PRV Requ'ued _ S/1N Permil I hereby acknowlege that I have read Ihis application and state that the Booster Pump _ S/W Surcharge • 30 , iniormation is CorreCt and agrae fo po ly th all applicable State o1 Mlnnesota Statutes and,Gily 1 E O)i ina ~Treatment PI 276,00 ~70~~ Signature of Permitee +RPPROVALS ~d Unit ~ A Buildirg Permit is issued to: IMU1' pg Su$AN 4't111f1tRSt1N Planner - park Ded. on the express condition that all work shall be done fn accordance with all Co+ncil - ppplicable State ol Mmnesota Statutes and Ciry of Eagan Ordinances. gldg, pff. _ Copies Building Official Variance - TO7AL 3, S"• 50 w~~ PwmM No. PWmit Holdsr Dsh ToNphorN N WATER SEWER t PLLMSING 9z r-~~ ?+.v.ac. eLEcTaic k,sp.cuon DaM wap. comm.nk Footirqs I Foundeti«, Framiny o Rooling R°"g" PIbg_ Ss- ga Rough Htg. 44-f laul. FKeplace h t t i.. . i • Fkal Hig. Orstat Test i I Finel Plbg. Ei pb9• InsPecto? - NoGfy Plumbsr Const. AAeter EnyrJPlan sWg. FinW oock Ftg. H,~o/9~ PD Dedc Final ~ WeN Pr. Dbp. . . . . . , . . . . , . c.~'r-0--•r~ --+..-.--_-~-^"~RT.wrR•'s^...v~'^ . r~ . . . . '1 SEWER & WATER PER T OFFICE USE ONLY + ' CITY OF EAGAN METER #7Z0 67 PERMIT QATE 01 /13/92 i I 3830 Pilot Knob Rd. CH ~ , Eagan, MN 55122-1897 IP ~a2~ a~-~ PERMIT # 12490 METER SIZE 9'evSkS B.P. RECEIPT # C 015976 ; DATE DEC 419. 1991 ISSUE OATE B.P. RECEIPT DATE 10 28 91 ~ i i - PRV _ BOOSTER PUMP ~ ~ SITE ADORESS 3890 WoRCHESTER DR ' PERMtT RECIUESTED 1 LOT 4 BLOCK 4 SEC/SUB HILLS OF STONEB&IDGE X SEWER x WATER - TAPS ` APPLICANT: ADDRESS: - COMMnND x RESIDENTIAL CITY, STATE ZIP X NEW - EXISTING PHONE: l.awn Sprinkler M~ ers are to be Installed ; PtUMBER: VALLEY PLUMBING CO INC Ahead of Domest~Me rs on Water Line. ? ADDRffSS: 610 CREEK LN Credii ILL N T giv for Deduct Meters. ~ ~ CITY, STATE .IORbAN MN Zip 55352 ~ PHONE: 492-2121 ~ 1 AG EE LY WITN CITY OF ~ OWNER: KBNT & SUSAN GUNDERSOH EAG N OR ANCES ADDRESS: 18150 LPAvA.AvE ` GTY, STATE r_Axpv1 Li.F MN ZIP S5044 PHONF: 469- 4 4 SIGNA URE EN METER ISSUED PL~7C~~R1LL~~T~1N0 Wb~KI~OR CALL 454-5l20~OR INS~CT~IC~+1S. FOR STORM SEWER PERMITS, CONTACT ENGINEERtNG DEPT. 6 ~i ` ~ SE ER & WATER PERMIT OFFICE USE ONLY CI OFIEAGAM METER # PERMIT OATE 01 / 13 / 42 3830 Pilot Knob Rd. 12490 Eagan, MN 55122-1897 CH~P ~ PERMIT ~ METER SIZE B.P. RECEIPT # C 015976 DATE _ DE T14. 1991 IS3UE DATE B.P. RECEIPT DATE 10/28/91 PRY BOOSTER PUMP SITE ADDRESS 3890 410RCHE3TSR DR PERMIT REGIUES7ED ! LOT 4 BLOCK 4 SEC/SUB HIL1.S OP STONEBRIDGE x SEWER X WATER _ TAPS APPLICANT: ADDRESS: - COMM/IND x RESIDENTIAL CITY, STATE ZIP x NEW - EXISTING PHONE: PLUMBER: VALLEY PLUl~BIIIG CO INC Lawn Sprinkler Meters are to be Installed Ahead of Domestic Me rs on Water Line. ADDRESS: 610 CBEEK LN Credit ILL N T giv for Deduct Meters. CITY, STATE - .10btDAN !Ql ZIP 55352 PHONE: 492-2121 I AGREE TO LY WITH CITY OF OWNER: KSlIT 6 SUSAti GUNDER80I9 EAGAN ORDINANCES ADDRESS: 1glsn IPAVA Avg CITY, STATE t./?xEVIL~1.? MH Zip 55044 PHONE: 469-2464 SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM S6WER PERMITS, CONTACT ENGINEERING DEPT. ..C . CASH RECEIPT r CITY OF EAGAN ~ 3830 PILOT KNOB ROAO EAGAN, MINNESOTA 55122 DATE 1h! _ FFIOM nMOUHr "Thr(t Irr,u~Llr)d7hrc"-hI ivS'52 DOL„RS ? CASH )(CHECK 4 1~1~Ic ~ 1~!<<~ FUND 08JECT AMOUNT r \ Thank You ~ BY ` C 015976 mm---P."- owy Yelbw--PmWg Copy PirMcFde GOpy T i • : : ~ ~~ex#i#ir~ctr a# Orrupartry titp of (fagan , ~r~r~mrta p# %tilding jwftaoa Thta C.erocale lssudprrr=aw m tlie iaguirwrrara of sectlo)t 306 ojtlYe Unyivne Bid/dliog I ~ Cak ceritjying rlrar at r1Fe tline of Lstrwxce tJUfs mucam wrrs /n rnnrpllona wit1k llu Norrtows adbawts of 1he Ckj' nguJadg bwfJdlnB oaumrnfori or tcsG Fw rht jollowbW I SF DG1G/GAR Mo. 19838 ommP..er type R3/M l z„w,s uw;a PDlt 1 ,m ck.r vN lOwwG(&d&4 Im1'T & SUSAN (~]NLER.9QV AMrm IS 150 IPAVA AVE, IMMVII1Z 3890 W0~ D~jIVE ioola L4, B4, fIIIIS OF SIQCRID(IR ! I~ / DM 5/29/92 e.un POST IN A COWSPICUOU8 PLACE r CITY OF EAGAN No .1 g838 ` 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55127 PHONE: 454-8100 C V I~~ BUILDING PERMIT Receipt # Tobeusedfor SF DWG/GAR Est.value $110,000 Date OCT 28 1991 Site Address 3890 WORCHESTER DR Lot 4 Block 4 Sec/Sub. -HILLS OF OFPICE USE ONLV Parcel No. STONEB IDGE occuPancy R-3 ML-1 FEES Zoning PD R-1 w Name KENT & SUSAN GIINDERSON (AClual)Const v-N Bldg Permit 675.00 o Addfess 18150 IPAVA AVE (Allowa6le) V-N 55.00 Surcharge City iaxFVrr.iE Phone 469-2464 xorsories 438.00 Lenglh 4$ ' Plan Review ~F Name SAME Depth 52 ~ snc, c~ry 100.00 g¢ Address SFTotal - SAC,MCWCC 650.00 ~ City Phone S.F. Foolpnnis - On Site Sewage _ `Nater Conn 660.00 $w Name oosneweu WalerMeter 95.00 i~ Address MWCCSystem X aw Clty PhOnB City Waler g Acc~. Deposn 30.00 PRV Require0 - S/W Permit 30.00 I hereby acknowlege that I have read Yiis applicahon and state that the booster Pump - S!W Surcharge • 50 infortnafion is correct and agree top6 lyy th all applicable State ot Minnesota Statmes an ~ 1 E e~~ ~ Treatment Pi 276.0 0 Signature of Permi[ee APPROYALS Road Unit 370.00 A Buildmg Permit is issued to: KF.NT OR SIiSAN r1INDFRSl1N Planner - park Ded on the express condition that all work shall be done m accordance wrth all Council applicable State ot Minnesota Statute,s andC~ity~fof Eaqan Ordinances. gl~, pry. _ Copies 0 8uilding Ofhcial ~~1T~,•{ ' ~1 y y 1 I I1J Variance - TOTAL 3,379.5 l 1~~19ia- C'U/G~4~7 p 42415 Feqvest Dale , Fre No, ough-in Inspectmn y /j eqwretl' ? Reatly Now ? WJI Noldy Inspector / .4 ' z 6^ ( G Ves C N. Nlhen Ready? i= licensed comractor ? owner hereby request inspection of above electrical work at: Job Atloraw ISlreal 8 or Route No I 'ty 89D ~ . Setlion No Township Name or No Range No Counly OcwpanliP INTI pryone No sa~ Power SuppLe, qtltlr ss E c ontra br ICom any Meme) Comrector's Lmense No p_ DF/ivSo.v ~1~G b O/l ~ 1 rling aocress ICOnVaclor Owne Makm Installalionl _ Author¢e amra iCO cmr, w i 3 stallalion~ Pbone Number no, ~DSs~ NESOTA ATE BOA OF ELECTRICITY THIS INSPECTION REOl1E5T WILL NOT Griggs-Mitlway BIEg~ - oom 54J3 * 8E ACGEPTED BV THE STATE BOARD 1821 Umversity Ave 1 Paul. MN 55106 _ UNLESS PROPER INSPECTION FEE IS Vpone (61E) 662-0900 ENCLOSEO l4~9~. REOUFST FJfi ELECTRICAL INSPECTION E800001-OB I ? See instmctions lor completmg this lorm on back oi yeilow mpY - ip715z/ - 1~_ "X" Below Work Covered by This Request W ` ~ ew Aud ReV TypeoBmlding AppbancesWired EqwpmenlWired Home Range Temporary Service ~ Duplez Water Heater Elecinc Healing I I APt Building Dryer Other (Specify) ~Commlindusinal Furnace Farm Au Condtlioner Oiner(suecdy, Con;ra br's RemarKs Compute Inspecnon Fee Below: ~ ~V m V S<5' # Olher Fee # Service EntranWS2e Fee # Qrcmis/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps Above 100 nmps $IgnS Inspector's Use Only TOTAL Irnga~ion Booms C~ ? S Special Inspechon ~ AlarmiCOmmunicauon THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 I, the Elechical Inspector, hereby Rouen-in \ Date ceridy ihat Ihe above inspection has F,,,ai oa~e been made. OFFICE USE 9NLY • Tnis request mitl 18 monms imm ` Address: 38qp [.pF-rJEgTER DgiVE Lot G Blk q Sec/SubHILIS OF S10NEBRIDCE These items were/were not complete at the time of the final inspection. t: 5 20 92 Yes No Tnqnprrnr- Final grade (6" from siding) Permanent steps - garage Permanent steps - main entry Permanene driveway Permanent gas Sod/seeded grass f Trail/curb damage Porch Basement finish Deck Please verlfy vith the builder the removal of roof test caps from tha plumbing system and the shut-off of watar supply to the outside lawn £aucet before freeze potential exists. r~ anaeoru~. White - City copy Yellow - Resident copy Pink - Contractor copy pppp~ L,+`4 2004 RESIDENTIAL BUII.DING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Conshudion Reoui2ments RemodellReoart Reauirements ON'we Use Onl1 3 registered sAe surveys showing sq. 8 of IoL sq R of house, antl all roofed areas 2 copies of plan Ceif of S'urvey Reqi _YN (20%mazimumlotcoveragealbwed) 1 selofEnertgyCalcula6onsforheatedatldAions ,TreePresP,lariRecd _Y _M 2 copies of plan showing beam & wintlow sizes; poured tound design, eh. 1 sde survey for adtlitions & decks Tree Pres Required _ Y _N lsetaiEnergyCalculafians AddAion - indreafeilon-sdesepficsystem Omsite5eptlc5ystemJ_Y_N 3 oopies of Tree PreservaUon Plan M bt platted afler 711193 Rim Joist DeTail Op6ons selec6on sheet (bldgs wAh 3 or less units Date / Construction Cos[ Site Address UniUSte # Description of Work O (1 5%I\~( K,-20G/ jCj Multi-Family Bldg _ Y~ N Fireplace(s) _ 0 _ 1 _ 2 Property Owner ~A f Telephone # (051) (0 Qi A -&"I l(!g, ~ RENEWAL BY ANDERSEN ~ Contractor 1920 COiJNTY RD. "C" "ST Address ROSEVILLE, MN 55113 _ ciTy State 651-264-4777 hone # ( ) , LICENSE #20130983 ~ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Mianesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Energy Code Category . Resitlential VenLlation Gategory 1 Worksheet . New Energy Code Worksheet (4 submissiantype) Submitted Submitted . Energy Envelope Calculations Submittetl Have you previously consiructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Telephone ) n1004 Mechanical Contractor Telephone Sewer/Water Contractor 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 the case of work which requires a review and appr ~ 1 of plans. o.,?~X SoN ~d ApplicanPs Printed Name ApplicanYs Signature OFFICE USE ONLY Sub Types ? Ot Foundation ? 07 OS-plex ? 73 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling O 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea,) ? 37 Eut. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Exl. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? OS 03-plex ? 17 10-pfex ? 19 Lower Level ? 24 Storm Oamage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement 0 38 Demolish Interior ? 44 Sidirig ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fve Repair ? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 WindowslDoors ? 34 Replacemenl _ '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 REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaUC.O. _ Footings (deck) _ FinaUNo C.O. _ Foo[ings (addition) _ Plumbing Foundztion HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests Final _ Framing _ Siding _ Smcco _ Stone _ Brick _ Fireplace _ R.I. _ A'v Test _ Final _ Windows Insula6on _ Retaining Wall Approved By: , Buiiding tnspector Base Fee Surcharge Plan Review MGES SAC City SAC Utility Conneclion Charge S8W Pertnit & Surcharge Treatment Plant License Search Copies Other Total Cities Digital Quality Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. '".....e. iv.i iuv 1L.JV tn6 iOJ D11 '4400 !(L'CllfnA7. ~k~@L'IUIS!(i/lSCf . . ~Q7 UU: re al . . . . . 2aar . Citr of Hagan . 3836 Piltrt Sttob Road ' Eagan. MN 55122 To Whom It May Concern: Elder 7ones is authorized to puII bttiIding perniits for Renewst by Andezsen_ Please siIIow date beyond 6/610 1 uA~I a~~ for ns in Ea~aa. 'IhiR end~od~~ ~g vaiid for any to the CIty. ' P~IIewai by AndCtseII mgnagec eaPtaas1Y revokas it ia wiidng I request this auttiorization bc acccpted expedidously. av ovr co not detsy in the pcvtessing~of baildiag Pamnits anY furthcr. Picasc caIl mc If thcrc arc eay qnest[one.. I can be , contacbed at 763-502-4706. Your tmmqdiate aiteation to thfs mattcr is a atej, K 9 SInciaialY. . . oud R &PaosralIation ivlanager Renowal by Andctscn CorPoration . . ('r.: Karn-F.Itie.r 7nnee G - 7--~cyr~j , - ' 2+~m"°~~ . ~anw°v°" f4ae+.be. azan Received Time Jen. 1 ~OlpM RESIDENTIAL r BUILDING PERMIT APPLICATION o CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 1, 17~~ .r-~- 651-681-4675 New ConsUUCtion Reouiremente RemodellReoair Reauiremenla • 3 registered site surveys slwwing sq. fl. of lot, sq fi of house, and all mofed areas • 2 copies of plan (20%maximum lot crove2ge allowed) . 1 set of Energy CalcWations tor heated addifions • 2 copies of plan showing 6eam 8 window sizes; poured found design, etc.) . 1 site survey for exterior additions 8 decks • 1 set of Energy Calculations . Inditate if home served by septic system for adtlitions • 3 copies of Tree Preservation Plan if lot platted after 711193 • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE S Z-J- OZ VALUATION SITE ADDRESS ~ D~O 1~ JcsYe.Y2eS~ ~ MULTI-FAMILY BLDG Y N TYPE OF WORK v...rn0 0foz>C 1S1J<_t cF q2n')C FIREPLACE(S) _ 0_ 1_ 2 SELA ROOFING & REMODELING, ING APPLICANT 4100 EXCELSIOR BLVD. STREETADDRESS ID#o001050 CITY STATE_ZIP TELEPHONE #QZ-`623-D`((o CELL PHONE # FAX # PROPERTYOWNER~TELEPHONE# COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ AqINN1S0'1'A RliLES 7670 CA'CP:G012Y 1 A91NNF_SO'1'.A RULLS 7672 (4 submission type) • Residentlal Ventllation Cate9ory 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: _ Piionc PlumUing system includes: Water Soltcner I.awn Sprinklcr Pce: $90.00 Water Hcater No. ol' R.I. 13adis No. o£ 13aiUis Mechanical Coniractor: Phone # Mechlnic.il syslcin includcs: Air Conditioning Pcc: .`'D70.00 Hcal Rccovcry Systetn Sewer/Water Contractor. Phone ~ ~ ~ M AY 2 3 ZUUI I hereby acknowledge that I have read this application, state that the information s correct, and agree to omply with all applicable State of Minnesota Statutes and City of Eagan Ord'n nces. B Signafure of ApplicanT OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 OFFICE USE ONLY ? 01 Foundation ? 07 05-ptex 0 13 16-plex ? 20 Pool 0 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ piex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 E#. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 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 ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES 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) _ Final/C.O. _ Footings (deck) _ FinaVNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice R Water _ Final _ Pool _ Ftgs _ Air/Gas Tes[s _ Final _ Frartting _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Iosula[ion _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply 8 Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total 1991 BUI ~NPVT A11'ICATION CITY OF EAGAN SINGLE FAMILY DWELLZNGS M[TLTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCUTATIONS 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 LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. i30 CHAi3GES WILL BE ALIAWED 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: Zi7Valuation: 7IO10O0~ Date: f0//7/7/ Site Address 3eq O OFFICE USE ONLY Lot ~ Block ~ FEES Occupancy R-3 N1-1 Bldg. Permit 67s, Oc3 / Z.oning R-I Surcharge S ,OJ .o Parcel/Sub "F Actual Const V-N Plan Review G(343,0 Allowable V-/J SAC, City pp,oo Owner ~~f, by~Gcn{~~ # of stories SAC, MWCC 0,0J Length 4A, Water Conn. p oJ Address J5'mb lgpv/I ~t6 Depth SZ~ Water Meter 95,00 S.F. Total Acct. Deposit 30L City/Zip Code 4mr-v,u.61 Footprint S.F. S/w Permit .30,Uo / S/W Surcharge I.SO Phone On site sewage_ Treatment Pl. 6I041 ~ On site well Road Unit ~[),vc Contractor 91-~ MWCC System J~ Park Ded. City water ~ Trail Ded. Address 1~1.g0 /PqVrs A6 PRV _ Copies / / Booster Pump _ City/2ip Code 49raY1wa SIIBTOTAL APPROVALS Penalty Phone Planner I.ot Change Council TOTAL 3 ~~_y 11.!~{1 Arch./Engr. Bldg. Off./0-/8'4 Variance Address CityJZip Code Phone # ~ fb~? Lr^'r~`3i~ ~ agrees tha t all work shall be d e in accordance with (ntractor) all applicable State of Minnesota Statutes and City of Eagan Ordinances. ~ VA Ltl.4<TI6N ~iA2ACrC Z 4 K=' ! GZy x 1 S= 136 v (3Sh~1 T, ;26*$NC,- 119L 6o ~ l fl ' !o v lyx~14 ...r----- 1ySZx1y= .20,3zs IST FlVJ fZ 3SW7.::. lN5 2. J~i~nl = iy Z)~q= IS 1 u 15l X 53 =~3o i 3~ 10~~ BZLi vn Ilb,oao- 2422 EntPrpiise Drive 'f PIONEER LIINOSURVEYORS•CIVLLENGINEERS Mendota Heights, MN 55120 ~ enC~ineering~~~ LANOPLANNER$•Ll~NOSCAPEPRCHITECTS * (6121681-1914 Certificate of Survey for: Kent Gu n derson . I I I I I yo_e s S 7554. 224.ZS," £ 4 5 ry a O h ~ hti B90\ \ ~ A h Cl ~ ~ ~ 0• ~ J h ~p 0 o ° a zs / ~000~ 'o. \ I <c. ~ 1 A 76 6 \ \ ~ ~ 5,39 / . 00 ° ~ s- v \ v ~N Nk ~Ibd• / . i ~i ' ,i• ~ ~ ~ ;T1G:a~.-.~N0iG • eooo penotes Existing Elevation PROPOSED HOUSE ELEVATION eooo Denotes Proposed Elevation Lowest Floor Elevation:912.96 - Denotes Drainage & Utility Easement Top of Block Elevation:916.16 - Denotes Drainage Flow Direction --o- Denotes Monument Garage Slab Elevation:915.83 B Denotes Offset Hub Bearings shown are assumed LOT 4BLOCK 4 HILLS OF STONEBRIDGE DAKOTA COUNTY, MINNESOTA 1 hereby certily that this is a vve and correct representation oF a su.vey af the bowld,9rics a( the above esphrd Innd, anri of tho lor.atinn of nll huddings, thereon, anA all visible encroachments, il any, lrom nr on said land, Fls surveyM hy me rhis =dny of q p ig-e~z Scale: 1,nch=30faat - anarar e siKic L.S. ar_c N t. 14821 01 eao nn ~ MINNESOTA STATE ENERGY CODE CALCULATIONS ' BASED ON CRAPTER 5 OF THE MODEL ENERGY CODE - 1983 EDITION Adoption Effective I, u owner F~1~1T ~~~~~f'~I aUND-~ZG.>c~ fJ Phone ~gJV ~ Date tG i`i l Site Address Contractor ^z' Phone q69-u"(&'I Building Classification: Type A1 (Single F/amily & Duplex) ~ Type A2 (Residential, 3 stories or less) ^(Over 3 stories) (Other) NOTE• Complete pages 3 and 4 first. GENERAL INFORMt,TSON vI,I v N 1. Building Perimeter~ V~/GQrtRTft. 2. Wall height (ground to eave) 0 ft. 3. 1. X 2. (above) qross wall area 2-10~1t51 sq.ft. 4. Buildinq dimensions (L) ~ X(W) _ 1319 sq.ft.roof & floor area 5. Sq. foot area of rim joist - Floor joist size (2 X 4 ) ~ I ~ X 1T5 (Perimeter) = Z"sq.ft. 6. Doors - Area 12 Thickness in U. factor m Type of Construction Perimeter ft. Manufacturer 7. Total door's perimeter ft. i 9. Windows: Manufacturer~+~15u~• State approved U factor • TYPE SIZE AREA (Sq.Ft.) NUMBER OF TOTAL N V~ I~ ~o 4- ~1... A EACH UNITS SQ FEET 9. Total sq.ft. Glass 10. Fireplace area: Width X Height = X = sq.ft. / 11. Exposed foundation: Height X Perimeter e(al X 175- = I,Z--5,sq.ft. COMPLETION OF THIS FORM IS REQUIRED FOR ALL NEW CONSTRUCTION, MAJOR REMODELING AND BUILDINGS BEING MOVED WHERE ENERGY, OTHER THAN THE MINIMAL CODE ALLOWANCE, IS USED. • _1_ -~z~- '12.'FYaming area = lo% of gross wall area. 13. Gross wall area -ZI 0 - I1 51 sq.ft. Window area A ~?e>oZC? sq.ft. U windows = UxA = Rim joist area A z sq.ft. U rim joist= UxA = Door area A20 sq.ft. U door area=UxA = rTiL~ Other doors area A J~ sq.ft. U other doors= UxA =~~3 Exposed fndn A sq.ft. U foundation= UxA Framing area r,Z10(9 .7sq,ft. U framing area=•~ S UxA = Z51(Q5 Net wall area A / ~ • Isq. ft. U wa11= UxA = 74,251 (13B) TOTAL . . . . . . . . . UxA 14. Gross wall area x 0.11 (A-1 single family & duplex) = allowable UxA/Code (13. above) x 0.23 (A-2 other residential) x .23 (Other buildings) x .28 (Over 3 stories) ~ p ~ Q BTUH must be larger than or same A~x U CodeH_= °F. as 13B above 15. Ceiling framing area (Af) equals 10% of ceiling area 15A. Gross ceiling area =(L) - x(W) = I1;~>1I sq.ft. 15H. Joist area (Af) = 10$ ceilinq area = I-5Z sq.ft. 15C. Net ceiling area (Ac) (15A - 15B) _?51 sq.ft. U ceiling x Ac = i 0Zz, x 1~j = (Q, 0 U framing x Af = maZ~j X 13Z=:• "-~J'• ~+'1) 15D. TOTAL U x A 16. Ceiling area (15A) x 0.026 (A-1 sinqle family & duplex) = allowable UxA/Code x 0.033 (A-2 other residential) x 0.06 (other) OZ0 _ 7} q oTUH must be larger than or same A(15A) ~~x U Code 7~JZI F. as 15D above NOTE: Use U and A values obtained from pages 1, 3 and 4. CERTIFICATION: I hereby certify that i have calculated the "U" factors and "R" values herein and that the building here described eets or exceeds the State of Minnesota Energy Conservation Act. O ~ q Date S gnatur -2- 3z4- zc41+ ?-~v) - ZZ , <\1a i~ Iil ZoX~o = I I~o x~= F~B, o 1~, ~1v X~o = Zz.o ~c Zz ~ a II;; Z~X3w =lox2= Il,,illl;; Z~{X~o = 11,25~~= ~oI~ZS 11 2~}Xr~ _ ~,?SXZ= 11~5 rz~~xL-0 = 13~~5Xz= Z~,S FoLiNc) -ror = ffl,o X I b, L? . i~ ~ P~-c ? v Az Ij ~r ~ ~ Z p I~ ~i .n.~oe ait ellm :68 ' uALL ' • ~i lnterlot wall I .45 l 'SCCil011 (uell) U . R a Ineuletlon 19.0 • ' _ r---• ) _ . Sheething i Oute(de alr [llm ,(j R iOtAL Z3 , 0 7j- . _ lnelde.alt Illm ~ .68 • SiUU lntetlor wall .~~j SECI'lON stud . R' -Wp (A~~7 (ftuoingl U - ~ . . ~ Slieetliing ~ Slding Outelde•alt [llm ' ,ll R toTAL I p, ~ Intetlor uel(' • SLC1'LOII. ! Insuletlon all ) U . ~ i . ~J at ~ xtetlot wall eovet n r Cxtetlot •It. Illm' q J J ' ~ • - R 10IAL ~m. lntetlot ~It (Llm R- .60 R UI ' • lneuletlon 00 . JOlSi ~c , '1~1 Inel~ eoll.',woo11 ,i1=1,88 (Rlm ' ~ , ~ Q I Jolst) ' ' . Shesthing Z.b(v , , Exterlor waJ( coveting Ctterlor eli [Llm ~ • ` R TottiL 2.~-, ~ (p ~ - lnterlor elt [Llm R~ .68 lneulatlon fbunJatlan (rdn.) U • ~ . • ~ Extetlor slt Illm A. ,11 ~ I 3, I 3 • o7(p a totnL Expo~ed Bluck ` . •`\~rade 7 ' . CEILING WITH VENTED ATTIC SPACE ABOV R VALUE R VALUE FRAMING CEILING 0.61 AirFilm 0.61 d Insulation 4 -0 4.38 Joist I 0.56 Ceiling 0.56 1 0.61 AirFilm 0.61 4Z,I(r Tota1R U - 1/R .022. Window infiltration 0.5 cfm/lineal foot of crack Residential door infiltration 0.5 efm/square foot or door and minimum code requirement Non-residential door infiltratioh 11.0 cfm/lineal foot of crack Ub 12" concrete block no insulation ' _.47 R 2.1 Ub 12" concrete block insulated cores =.26 R 3.8 Ub 12" lightweight block =.32 R 3.1 Ub 12" liqhtweight block insulated cores =.12 R 8.3 U single qlass = 1.13: with storm window .54 U double glass = .55 U triple glass = .41 All exterior walls and ceilings must have a vapor barrier (0.10 perm max.). vapor barrier must be on the inside (heated side) of wall. Vapor barriers of the polyethelene thin film"have no R value. i CITY OF EAGAN FOR CITY USE ONLY 3830 PILOT KNOB ROAD EAGAN, MN 55122 PERMIT ic PHONE: (612)454-BiO9- RECEIPT i~C~1dNZCAI. PZRMX'x6B1"` DATE: 121171511 RESiD$NTTAL;. YLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS S 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 SO M BTU 6.00 GAS OUTLETS - MINIMUM"z& 3.00 OF 1 PER PERMIT OWNER NAME: SUBTOTAL: $_3c, SITE ADDRESS: STATE SURCHARGE: .50 ,r ~ ~ LOT: BLOCK ~ SUBD. TOTAL: INSTALLER: klb^ ADDRESS: IS~`'-c`> lPra,m ~,rJ S GNATUA ERMITTEE CITY: LvjK67is~r-~ ZIP: 5~;_6klkf PHONE COMMERCFAI./INDIISTRTA'I.:' PLEASE COMPLETE THIS PORTION FOR ALL C OMMERC IAL/INDUS TRIAL BUILDINGS, APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: FEES OWNER NAME: 18 OF CONTRACT FEE. STATE SURCHARGE _ $.SO FOR SITE ADDRESS: EACH $1,000 OF PERMIT FEE. PROCESSED PIPING = $25.00 LOT: BLOCK _ SUBD. $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 18 $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE (SIGNATURE) FOR: CITY OF EAGAN CITY OF EAGAN FOR CITY USE ONLY 3830 PIIAT KNOB ROAD EAGAN, MN 55122 PERMIT # PHONE: (612) 454-8100 RECEIPT # L~ b"lv 7 PI~~TNfr` ~1~I~ DATE: RESIA~NT'~AS.;~ PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLZNGS 8 TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION COMPLETE THE FOLLOWING: N0. FIXTURES EA. TOTAL NEW CONST K_~ ADD-ON MINIMUM 15.00 ADD ON SHOWER 3.00 (D. L7Q, REPAIR WATER CLOSET 3.00 g.f7D BATH TUB 3.00 (u . CD 1 / ~ LAVATORY 3.00 1~, C.Y ~ OWNER NAME: Kl~f~# ~pc.lYt d+t~Z~~tSr ~ KITCHEN SINK 3.00 a 0fl ~ LAUNDRY TRAY 3.00 3 01~ SITE ADDRESS: O HOT TUB/SPA 3.00 WATEic Hr.iITER 3.00 LOT: 4 BLOCK Lr SUBD. C ~ FLOOR DRAIN 3.00 ~ fGAS PIPING OUT. INSTALLER: ~ \kls N :h I (MINIMUM - 1) 3.00 3JZ7 ' ROUGH OPENINGS 1.50 ADDRESS: LC~~ ~ D~/-~ _ OTHER WATER SOFTENER 5.00 CITY:7/S1-&j Mi ZIP: PRIVATE DISP. 15.00 1 U.G. SPRINKLER 3.00 PHO SUBTOTAL $ B• ST. SURCHARGE .50 SIGNATURE 0 PERMITTEE TOTAL: COMMERCSAVINDiiST&iAL: PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND MULTI-FAMILY BUILDINGS WkiEN 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. LOT: BLOCK _ SUBD. $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 18 $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE (SIGNATURE) FOR: CITY OF EAGAN REAGT.IVA7E ,Y CITY OF EAGAN ,PERMIT N 1993 BUILDING PERMIT APPLICATION 681-4675 /D SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of ener9Y calcs. COMMERCIAL 2 sets of architectural 8 structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date e~ Vaiuation of work Site Address: 3$'c70 Omr-46CIC704- 27 _ STREET SUITE / Tenant Name: (commerciai only) IAT BIACK SUBD. I.D. M Descri tion of work: The applicant is: Owner ? Contractor ? Other <oescr;ee> Name uV~+~~ t-7' Phone -g'; Property LAST fIRST Owner Address 3'?' STREET STE M City State Zip '1~~ Company Phone Contractor Address License # Exp. City State Zip Company Phone Archftect/ Engineer Name Registration N Address City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area.has been approved. I hereby acknowledge that I have read this aPp1'cation and state that the information is correct and agree to comply with all a ' abl State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: , OFFIGE U5t VNLY BUILDING PERMIT TYPE ~ O 01 Foundation ? 06 Duplex ? 11 Apt./lodging ? 16 Basement Finish O 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 11 Swim Pool ? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comn./Ind. O 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Cortm./Ind. Misc. O 05 SF Misc. ? 10 Multi. Add'1. -P~115 Deck ? 20 Public Facility ? 21 Miscellaneous WORK TYPE )6-31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish ? 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) Basement sq. ft. MWCC System (Allowable) lst F1. sq. ft. City Water UBC Occupancy ~ 2nd F1. sq. ft. PRV Required Zoning Sq. Ft. total Booster Pump X of Stories Footprint Sq. ft. fire Sprinkler Length On-site well Census Code ~ Depth ~ On-site sewage SAC Code ca"5"w5 6Id ' APPROVALS G;,ei~S ~ o Planning Building Assessments Engineering Variance REOUIRED INSPECTIONS ? 5ite 9 Footing ? Framing ? Insulation ? Wallboard 0 Final ? Draintile ? Fireplace Permit Fee AT, On vetuauon: S Surcharge .5D Plan Review License MWCC SAC City SAL Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pl. Road Unit Park Ded. Trails Ded. Copies Other Total: SAC % SAC Units ~ 1 - r x ` F7 I ~ ` ~ ' •'i.c . • . . . . _ I ~ • . c .~t 908_S • " " ~ ~ ~ ~ • - ?5. . 5~. CY) - 4g>> ~ F , _ ,_c,_. _ ~ ~ A : _ v o-~'/ - r~ ~ O ~ ~ - ~3 S.i ~ ~ ~ oo, A.Si ' 2 l%/r.N ~ _ ~ ~ <t/ (p t~ ~ X : J. l) ~ ~ ry eF O p•' / ' Cl) ` n ~ <0 .NI 3o- O6 Ap \ / ~ / Q\ , 0Q• w_O.7:' i ~K (C) l~.f;) ' ~ wCU ~ _ . _ City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 3890 Worchester Dr Lot: 4 Block: 4 Addition: Hills Of Stonebridge PID:10- 32990 - 040 -04 Use: Description: Sub Type: Work Type: Description: Census Code: Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 3,000.00 Contractor: Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264 -4777 e- Windows/Doors Windows/Doors-New/Replacement House 434- If altering the opening size, a framing inspection is required. Smoke detectors are required in all sleeping rooms prior to final inspection. When wall studs or BL - Base Fee $3K Surcharge - Based on Valuation $3K Total: Applicant/Permitee: Signature PERMIT City of Eaan - Applicant - Construction Type: Occupancy: $90.00 Owner: Ryan M Archer 3890 Worchester Dr Eagan MN 55123 Permit Type: Permit Number: Date Issued: Permit Category: $88.50 0801.4085 $1.50 9001.2195 Building EA077394 04/20/2007 ePermit I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Issued By: Signature Date: City of EaQall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 6/20/12 JUN 212012 Use BLUE or BLACK Ink For Office Use it(4)5 /tit 98 Date Received: 6 - ;77-42- Staff: 7l42"Staff: Permit #: Permit Fee: 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Site Address: 3890 Worchester Dr, Eagan Unit #: J I ! i 1 II II II I I �I '1 Is IJ.I 'I'llci LLA [Jj Name: Doris Myhand Phone: (651) 587-9692 3890 Worchester Drive, Eagan, MN 55123 Address / City I Zip: Applicant Is: Owner _ Contractor LA 1tT =-1— Description of work: /tp Interior Drain Tile - Homeo ner responsible for pump & discharge (1_ l Construction Cost: 1,650.00 Multi -Family Building: (Yes / No X ) I �.i f I f .I Company: Advanced Waterproofing & Foundation Repairs Inc. Contact: Kari Johnson Address: 12585 Rhode Island Avenue S City: Savage State: MN Zip: 55378 Phone: 952-562-8100 License #: 20634929 Lead Certificate #: NAT -113770-1 If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last Yes 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? If yes, date and address of master plan: Licensed Plumber: _No Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: Ork' I I j I ' . Ip r = ' = WN 6 '� �► ��' II' I ►I ISI I ( §'y6' iI II )'0k � I" �I3f> iiriir �bi Iliji �'oe 1 rlII l II k d p ll !I i , > OM ►+ � �,� Ind = 1 � j I `i' VW iiia I' ,fid 'ilia� 1�I�,�� i 7.,....i.,,,,.' U � I�i�"I i i. , ,'�,►.I,i,.�. � Ir. �! I!1►Iil!I�ti!i!!ir,Lll I ,l� ', r► l�r ll ti ilu �PIi1JSI ,;,l `i� II�IIiI��ll lII(II il 1 � 9 r � �I�!!h ii1N1'I►!!it!�11d) jlle' ► o' !t 4II � ' �It 1owli' I �0 h liI �ri/��' i II"! , i� ,L. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 4540002 for protection against underground utility damage. Call 48 hours before you Intend to dig to receive locates of underground utilities. www,goo a jateonecalLorq I hereby acknowledge that this Information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this Is not a permit, but only an application for a permit, and work Is not to start without a permit; that the work will be In accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit Issued In accordance with the Minnesota State Building • de must be completed within 180 days of permit Issuance, -�1 .DVAI(150x Applicant's Printed Name Applicant's Sig ature Page 1 of 3 1 SUB TYPES _ Foundation _ Fireplace Porch (3 -Season) / Single Family _ Garage Porch (4 -Season) _ Multi _ Deck Porch (Screen/Gazebo/Pergola) _ 01 of _ Plex Lower Level Pool Accessory Building fr WORK TYPES pI t%frix,i relL (6 New Interior Improvement _..... _ Addition Move Building •/, Alteration Fire Repair Replace Repair Retaining Wall DO NOT WRITE BELOW THIS LINE 0 C 3o(cl-v)-cr 'Dr Storm Damage DESCRIPTION Valuation Plan Review (25% _ 100% ) Census Code # of Units # of Buildings Type of Construction REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile kt, ,. Roof: Ice & Water Final Framing Occupancy Code Edition Zoning Stories Square Feet Length Width Fireplace: _Rough In Air Test Final Insulation Sheathing Sheetrock Reviewed By: JZ Siding Reroof Windows _ Egress Window Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous _ Demolish Building* _ Demolish Interior Demolish Foundation Water Damage 'Demolition of entire building — give PCA handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Meter Size: Final I C.O. Required Final I No C.O. Required HVAC _ Gas Service Test Gas Line Air Test Other: Pool: _Footings Air/Gas Tests Final Siding: _Stucco Lath _Stone Lath Brick Windows Retaining Wall: — Footings Backfill _ Final Radon Control Erosion Control , Building Inspector RESIDENTIAL, FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL (6, oi= iytyvowiriL C0s"V Page 2 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA153420 Date Issued:12/18/2018 Permit Category:ePermit Site Address: 3890 Worchester Dr Lot:4 Block: 4 Addition: Hills Of Stonebridge PID:10-32990-04-040 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: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 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 - Doris E Myhand 3890 Worchester Dr Eagan MN 55123--165 1st Choice Remodeling LLC 540 Greenhaven Rd, Suite 206 Anoka MN 55303 (763) 515-6095 Applicant/Permitee: Signature Issued By: Signature