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3895 Worchester DrC!tyofEaau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 AUG 27 RECD Use BLUE or BLACK Ink For Office Use�j Permit #: / -76- Permit Fee: j / 2010 RESIDENTIAL BUILDING PERMIT APPLICATION .'-D Date: 3-�5 - ,0 Site Address: .3 E S Wor- L1C,,t:Sve.r .7':.‘e-- �o��✓\y `1 V SS1�-� Suite #: tenant: c v k L\vti.,.!c3..e c RESIDENT / OWNER Name: T.0 ✓1n A►iviek vk,..`� e G-KLI- Phone: 6S, �-, C."nbSy y Address/City/Zip: 38551A/0 *te-S4C.r 1)�-, E� v,Pl/r Ss -3 Applicant is: X Owner Contractor TYPE OF WORK Fq,t"%sty%>1 F::“-- -lc . 30•••. 1c,aSQ",e�+'i . Description of work: — 14 GCA A' oo W-\ £C 1 bo N + r o c• ✓� pp / a�' Construction Cost oa Multi -Family Building: (Yes / No` ›\----) �b CONTRACTOR Name: License #: Address:.. City: State: Zip: Phone: Contact Email: COMPLETE In the last 12 months, has _Yes No If yes, THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING the City of Eagan issued a permit for a similar plan based on a master plan? date and address of master plan: Licensed Plumber Phone: Mechanical Contractor Sewer & Water Contractor: Phone: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. 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. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x Av\A\e‘ <::„(\ e.._c_\c'ef- Applicant's Printed Idanie X N Appi .M cant's Signatu Page 1 of 2 DO NOT WRITE BELOW THIS LINE g57O7 SUB TYPES Foundation Single Family Multi 01 of _ Plex Accessory Building WORK TYPES New Addition XAlteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25% 100% 17) - Census )Census Code # of Units # of Buildings Type of Construction 18 REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: Ice & Water _Final Framing Fireplace: _Rough In _Air Test 11- Insulation Meter Size: _ Fireplace Garage Deck 4 Lower Level _ Porch (3 -Season) _ Porch (4 -Season) _ _ Porch (Screen/Gazebo/Pergola) _ Interior Improvement Move Building Fire Repair Repair 5cao 3,1 Reviewed By: Pool Occupancy Code Edition Zoning Stories Square Feet Length Width RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies Final //8 7677 TOTAL Siding Reroof Windows Egress Window Storm Damage 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 2, -> 007 R-/ MCES System SAC Units City Water Booster Pump a2,Vg PRV Fire Sprinklers Sheetrock Final / C.O. Required 4g- Final / No C.O. Required 411. HVAC 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 Agar Ao9 0 Page2of2 4° City of Earn 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 AUG 27 RECD Use BLUE or BLACK Ink For Office Use, Permit #: ! t Permit Fee: Date Received: Staff: L C 2010 RESIDENTIAL // PLUMBING PERMIT APPLICATION , r Date: O $ -'0 Site Address: 3 O p\v "1c ccAn e s e r dC' Qv� ;M IV sSl J Tenant: Suite #: RESIDENTIOWNER Name: ` -�� t I\vVNAv\A.ca. \>e C ! r Phone: 6SI 2-35-- 6.5 'N Address / City / Zip: a S W-0(` (An e Biel_ - O•gr.v.l, MAI Ss- 0-3 CONTRACTOR , Name: License #: Address: City: State: Zip: Phone: Contact Email: TYPE OF WORK New Replacement Repair Rebuild Modify Space Work in RjO.W. _ _ . _ _ T;r', l t .z4.../:, CO -Qt -.Q Iter a vh k1"Ps. I"ol-r Description of work: 4==%,\"."-e co c2 2 -' oto ec - t h . PERMIT TYPE RESIDENTIAL Water Softener Water Heater Add Plumbing Fixtures ( Main Lower Level) Lawn Irrigation ( RPZ / _ PVB) Water Tumaround Septic System New Abandonment RESIDENTIAL FEES: $55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $35.00 Lawn Irrigation (includes $5.00 State Surcharge) Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) �$55.00dd Plumbing (add $166.00 if a 5/8" meter is required) New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) 'Water Tumaround $105.00 Septic System $95.00 Fire Repair (replace O® State Surcharge) E. burned out appliances, ductwork, etc.) (includes $5.00 TOTAL FEES $ J CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454 0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.uopherstateonecall.orci 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 approypI of p x PAY-\AeN V\ Applicant's Printed x Applicant's Signatu FOR OFFICE USE Reviewed By: Date: Required Inspections _Under Ground _Rough -In Air Test _,_,Gas Test Final ~ ; ~ catc ~c anc " i ' - TJris Ccrtifrc4te issned prersxant to the rrquiirrnents of tlee Uniform Buelding Codt ccrtifying tlwt at tlu tirne of issuancc tlus strucnrre was ue canpliance with the variacs ordinmnces of the City rrgWlating bui/ding construction or use. For the followtng: uu Choswvmdm-SF DW Bft ee~c tro. 20631 R3 I ~ PD I VN Coma- o~ar ~ II~I ES~SS II~~ 4~466 WIIIQ~ I~2, F~1[',P,N - - - I~FVL~ ~s , , EIILiS 7~7~ ! Bmwn Officiol POST IN A CONSPICUOUS PLACE CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: +t,i; I lii • I h.H i11? ; i!~ I , t~,~~~; ~ r.~i'KNt i iir1r PERMIT SUBTYPE: TYPE OF WORK: rtt }J ;i « I INSPECTION . . . , . . ~ ~ ~ Permit Holder Data Telephone # PLUMBING HVAC Inspection Date Insp. Commenq FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST I BLDG FINAL DOMESTIC METER IRRIGATION METER FIUSH MAINS conioucnvirr TEST I HYOROSTATIC I TEST i I BSMT R.I. I BSMT FINAL ~ ~ DECK FTG 7~~l~/lj~ ' ,~l II ~VlZ DECK FINAL . --INSPECTION RECOR.D ~ ` CI r"'Y OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number. ~i ~ ' ~ Eagan, Minnesota 55123 Date Issued: • ; ; (612) 681-4675 SITE ADDRESS: APPUCANT: f HJ;<i ll! I, Illi ~ IR,"1 11ii llohl} fIV [ AN I ~i ir?- ~t I~~~i; i~.i t t~~,; 1.~ ~ ~s• I I PERMIT SUBTYPE: TYPE OF WORK: I INSPECTION •A • 1 1 Fl11 i, 1 0 1 ' ! N1.il) lN 1! ~~rd ~ I f~trti I i ~ . wrmn ao. Pwmn Hoas o.» TiMphorM • , SJ1A1 I ; . 4 PLUMBING ~(p~ • HVAC ELECTRIC ELECTRIC ka"ctbn DMr IraP• CommMls I Foo&W I 7 Foundatlon Fremkg ~ p4wv R.0 P"• O Jkl FinM~. Orset Teat Fmd P1bp. HoINy • Corret. Meter BMg• FkW ~ Do& Fil)- ; ' Dm* Final ~ I Pr. DiV. i ~ ,,J 8 3 ' UytGYt~r.caC Ra oest al FPe No gh-in Inspeclion f Requ ~ ? Reatly Now ill No01y Inspector es p No When Feaoy7 I~.3'licensed contractor :1 owner hereby request inspection of above electrical work at: Joo tl 1 aei o. or om o,) Ciry Seclion No Township Nama or No Range N0. Coun ^ ~V\.. Oc niiPRlyTI Pbon No Power uo • Adaress c Elxmcal Comracm, COmpanY Name) Co a<~ 's Li an a KEN~pDRQre~C}9~W MailingA1r45lf0 ortl ~~Y Vt~o~K Y Ytl E. A w onl Ane M 911aL{}~~,~f N 5512/~~ d P,n _ o B!/d MINNESOTA STATE BOARD O I 0299 ' THIS INSPECTIpN REOUEST WILL NOT Grlqyt-Mltlwey Bltlg. - Room 5-173 BE ACCEPTEO BV THE $TATE BOARO 1821 Unlvarslty Ava., St. Peul. MN 55104 UNLESS PROPEF INSPEGTION FEE IS Ppona(61P)BOb0800 ENCLOSEO REQUEST FOR ELECTRICAL INSPECTION ee.ooomas ~ ? Sae instrucuons lo, co `pleting Ihis form on back ol yellow copy 08523 Be/ow Work Covered by This Request Nea, Atltl a,ep 7ypeofBmltling ApphancesWired EquipmenlWiretl Home Range 7emporary Service Duplex Water Heater Electric Heating Apt. Bmlding yer Other-(Specity) Comm /Industnal Fumace Farm Air Conditioner Ochar(speciry) Canvecmr9 RemarksCompute Inspection Fee Below: Other Fee # ServiceEntrenceSiza Fee aY Circwts/Feeders Fee Swimming Pool 0 to 200 Amps p 0 to 100 Amps TranSformers Above 200 _ AmpS 700 _ Amps Signs Inspaciorg Use Onry: TO L [ n Irrigation Booms ~J-B Oti~~ Spacial Inspectian AlarmiCommun¢anon THIS INSTALLATION MAY BE OR ED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MO S. I, ihe Electncal Inspector, hereby Ro,n,h oat? certif that the above ins ection has Y P pinai oate been made. OiFICE USE ONLV TlIiS fpqVBSt Witl 18 TOnt115110T Address 3895 w0?UIESrm nRIVE Zip 5512 3 L.O[ - 5 $IIC "i Sllb HTTYS OF S1T7NEBR'IDGE THESE ITEMS WERE / WERE NOT COMPLGTE AT THE TIME OF THE FINAL INSPECTION. Date: Yes No Inspector. Fina1 grade (6" rom iding) ? Permanent steps (garage) V~ Permanen[ steps (main entry) Permanentdriveway Permanent gas Sod/Seeded grass v Trail/curb damage Porch Basement finish L/ Deck L-~ Please verify with the builder the removal of roof test caps from the plumbing system and the shuboff of water supply to the outside lawn faucet before freeze potential exists. ContaM engineering division at 681-4645 before working in righhof•way or installing underground sprinkler system. White - City Copy Yellow • Resident Copy Pink - Contractor Copy ~ RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 65'1-68'I-4675 New Construction Reauirements RemodellReoair ReouiremeMs • 3 registered site surveys showirg sq. ft. of lot, sq. ft. of house; and all rooled areas • 2 copies of plan (20°h maeimum lot coverage allowed) . 1 ut ot Enerqy Calculations for heated additrons • 2 copies of plan showing heam & wintlow s¢es; poured found design, etc.) • 1 site survey for extenor addilions 8 decks • 1 sel of Energy Calculations . Indicate if home served by sep6c system tor additions • 3 copies of Tree Preservahon Plan il bt platted aker 711l93 • Rim Joist DetaB OpGons seledion sheet (bldgs wiN 3 or less unils) DATE IjqI U~ VALUATION ~a SITE ADDRESS MULTI-FAMILY BLDG _Y YN TYPE OF WORK_ C 00 ~ FIREPLACE(S) _ 0~ 1_ 2 / APPLICANT PriLrSiO" STREET ADDcR~ESS y W L~ D~ CITY SrcdKf C~s* STATE ~~^'ZIP SS z TELEPHONE #S2 jyy yoyy CELL PHONE #~SI`2~/j~ S'7GG Fax #9sz Gn PROPERTY OWNER TELEPHONE # COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNFSOTA RULPS 7670 CA'fL•'GORY I MINNF.SO"fA RULLS 7672 (4 submission lype) . Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contraetor: _ Phone # Plumbing systcm includes: Watcr SoCtcner _[awn Sprinklcr rcc: $90.00 Watcr Hcatcr No. of R.I. 13aUis No. of 13aths Mechanical Contractor: Phone # Mechaunicad systcin includcs: Air Condilioning cat Rccovcry Systcm I-I F AU6 14 2002 J Sewer/Water Contractor: Phone ~ I hereby acknowledge that I have read this application, state that i infor tiori is corr t, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan inan s. Signature of Applicant OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4l02 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 E#. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4•sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 LowerLevel ? 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 0 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 Width REQUIRED INSPECTIONS _ Foo[ings (new bldg) _ FinaUC.O. _ Footings (deck) _ FinaUNo C.O. _ Footings (addition) _ Plumbing Founda[ion HVAC Drain Tile Other Roof _ Ice & Warer _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Tes[ _ Final _ Windows (new/replacement) _ Insulation _ Re[aining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total ; - k PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: a uILo i N c Eagan, Minnesota 55122-1897 Permit Number: 0 3 2 5 4 8 (612) 681-4675 Date Issued: 0 7 J 2 4/ 9 8 SITE ADDRESS: 3895 WORCHESTER DR LOT: 5 BLOCK: 3 HILLS OF STONEBRIDGE P.I.N.: 10-32990-050-03 DESCRIPTION: Building Permit Type DECK Building Work Type NEW Census Code 434 ALT. RESIDENTIAL ~ REMARKS: FEE SUMMARY: Base Fee $50.00 COPIES $.25 Surcharge $.50 Total Fee $50.75 Subtotal $50.50 CONTRACTOR: - Applicant - sT. LIC OWNER: THE DECK & OOOR COMPANY 14513192 0005457 JAWORSKI GAIL 11632 AKRON AVE E 3895 WORCHESTER DR I^NVER GROVE HTS MN 55075 EAGAN MN 55123 (612) 451-3192 (651)454-7491 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 Mn. Statutes and City of Ea9an Ordinances. L J A PLI NT! ERMIT E SIG - E SSU BY. SIGNATU E CITY OF EAGAN CASHIEF: S TEfiMINAL N0: 781 DATE: 07/24/38 TIME: 12:40:55 . ILi: NAME: R W HENNEHRY 3210 9001 3835 WORCHESTER 50.00 2155 9001 3895 WORCHESTEF 0.50 3430 9001 3895 WORCNESTER 0.25 3210 3001 4046 ALRANY CIR 50.00 2155 3001 4046 ALBANY CIR 0.50 3430 3001. 4046 ALPANV CIR 0.25 ) Total Feceip+, Amoilnt: 101.50 CF035266 USFR IU: NANCY , ' - • y 1 ~1 ' • ' _ , .75 'f , 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) 3 C a 3830 PII.OT KNOB ~ SS 12z c~9 - ~ ~ - ~ 681-4675 Naw Conshuetion Reauirementv RemodeUReoair Requirements ? 3 registered sita survays ? 2 copies of DWn • 2 copies of plans (inGude beam 8 window sizes; Doured fnd. dasign; etc.) • 2 stte surveys (exterior additions 8 decks) • 1 energy calwlations ? 1 energy calculations for heated additions ? 3 copies ot tree preservation plan H IW plattetl after 7/1193 required: _ Yes _ No 'K DATE: CONSTRUCTION COST; S~ U O DESCRIPTION OF WORK: Dr~ lC iJa ,,-i.~~? $TREET ADDRESS: J7~~1 S ~/~-G Hirf i r=.c' ~~~~i d~, , LOT: J` BLOCK: 3 SUBD./P.I.D. ~ v Name: U/Z S i!/ /2i ~ Phone r S'f - 7`t~// PROPERTY Last First OWNER StreetAddress: !5- I'JJ/Z Lr-j ItSi ,4:~i,~ Ciry f= A G= id n.' State: N!^1 Zip: Ca: u ~yi=iu~ i Company~/5~rz D/~C-A1' i9sv.~ t7:y' C... //V C Phonek: b'1J ,22"11- 5~?/-3~9L CON'fRACTOR / Street Address: //C 3L /la , ? ,qd~ License # 5 ~S. ~ ? City lNG%lil State: Zip: ~S J~S ARCHITECT/ ENGINEER Company: Phone Name: Registration k: Street Address: City State: Zip: Sewer 8 water licensed plumber (new construction only): Penalty applies when address chang and lot change is requested once pertnit is issued. I hereby acknowledge that I have read this application and state that the infortnation is correct and agree to comply with all applicabl nd City of Eagan Ordinances. 1 Signature of Applicant: Z~ ~ L r . FICE USE ONLY d Yes No Tree Preservation Plan Received _ Yes _ No _ Not Required OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Dupiex ? 11 Apt./Lodging ? 16 Basement Finish ? 02 SF Dwelling ? 07 4-plex 0 12 Multi Repair/Rem. ? 17 Swim Pool ? 03 SF Addition ? 08 S-plex ? 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous ? OS SF Misc. ? 10 _-plex ~T5 Deck WORK TYPE ~ New ? 33 Aiterations ? 36 Move ? 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. Depth Footprint sq. ft. SAC Code o/ Census Bidg / Census Unit D APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Pertnit S/V1/ Surcharge Treatment PI. Park Ded. Treils Ded. ' Other Copies • a S Total: % SAC SAC Units . , • ~1 .6-'93 TLE 13:13 ID:JRMES R HILL INC TEL N0:612 890-6244 11998 P02 f SURVEYOR'S CERTIFICATE BRIAN TNORSON MOMES ~ exIar. HOUSE I ~ p6E Lj.i r tT EIEY..91703 I IN 917.8 90a1 N n I150. 3 ~ 434° 15`40" W ~~yov.o) LLI 3 • - - 905.1 R ~ - - - soas- - - - - " ~ ~ 91 7.1 eO i 1 rq s 3 c ~ ZS ~ ~ ~IC I WI ao ~ r I o W' W ~ a: 'DQ g i S w ~C o1~r '•2 T 9,4.7 LOT 5 I 1 o z L _ 16.50-;, I S N +"`I - - - ~ n m 28.. 0 - 32.33 bj4.8 14&57 ~ N34°15'40°W /leoa.a It exisr. ~ ?+ou~ 1 r,~ ~ i BENCH .~.STf.rs fr3i _ A .~NC;INE.E.~ C ~ NOTE: NO SEGFIC SOILS INV¢TGATON HAS BED! CONPLET£D A11G N Uk.) ! ON T1115 LOT 8Y THE SURVEYOR. TIE SUTAB1LflY OF NOTE: 9ULDPIG DINENSIpJS SHOWN AqE fOR hooKWKML SOILS TO SUPPOHT THE SPELIFIC HOUSE PROpOS6p IS 6 VERTIC4L LOCpjION OF STIRXTIMI! pN1 'XE NOT THE RESPONSIBILITY OF THE SURVE`{QR • AA6IITE't)qL pLqN•; ppq yyIlDII00, SFou6mmpN + OENOTES PROPOSED SUAFACE DRAINACaE rnMFMsaks.• _ O DENOTES IRON MONUMENT SkT SCALE: 1 INCH - 3 U FEE7 • DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR - 911 6 FEE-T X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR - 9 1 / •9 FEE7 (000.0) DENOTES PROPOSED ELEVATION PROpOS£D TOP OF BLOCK - 9 70 U FEE7 WE HEREBY CERTIFY TO BR IAN THORSON HOMES THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lot 5, Bbck 31 HILLS OF STONEBRIDGE, acor6ng to the retadeC plof tMreof, Odmta County, Minnetota. , IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 25TH OAY OF MARCH , 1993. PROP0.TE0 GRpDE1 3NOWN WER! SIGN : S R. HILL, INC. TANEN. fpDM Ti~ OEVELOr1CMT PNW PoR iR113 OR SVONOMM ANMIKD AY PIOILEp blOINO LAlT DAIm II-0-9?. B . JOHN C. LARSON, LAND SURVEYOR MINNESOTA LICENSE NUMBER 19828 y ~n~ o N W r'n = o TZ m ~ o D)ame5 R. Hill, inc. _ rm y A ` ; -A z ;x m A m P L A N N E R S ENGINEER S S U R V E Y O R S ~ m ~ 2500 W. CTY. RD. 42 0 BURNSVILLE, MN. 55337 • 672$BO•8044 e=v~,~c REACTIVAjE _ CITY OF EAGAN A''~~rru'~`5 PERJ4I7 1993 BUILDING PERMIT APPLICA 4UN 681-4675 ~pR n 2 1993 W,j.j SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy 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 Valuation of work Site Address: A2 ; ?e STREET SUITE M Tenant Name: (commercial only) IAT ~ BIACK v' SUBD. P.Z.D. N i ' _f D fzScl~ f~ria/ Descri tion of work: ,Uc'uJ C!a12st,eic&,1io.? The applicant is: ? Owner D"Contractor O Other (oes«+ne) Name ~a esn.J ifory,es ~~c: Phone Property LAsT FIRST Owner pddress 44~6 GCie'~~'oC) a? .6z~?e STREET ~ STE M City ~a7ll State i7'7ti' Zip Company & Phone7~'~' '71 Contractor Address j~&l r?aa~ood 1I,eiv2 License # Dodi3/% Exp. City E~~4zn State 1,221-~ Zip ArchitecU Company Phone Engineer Name Registration M Address City State Zip Sewer & water licensed plumber ~a~-r ,C~aru m / Processing time for sewer & water permits is two days nce area as been approv"d. 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 ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging Bas~e~ent Finish ~ 02 SF Dwg. O 07 4-Plex ? 12 Multi. Misc. =~7 Swim Pool ? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind. ? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc. ? 05 SF Misc. ? 10 Multi. Add'1. 0 15 Deck ? 20 Public Facility ? 21 Miscellaneous WORK TYPE - JO 31 New ? 33 Alterations ? 35 Tenant Finish ? 31 Demolish ? 32 Addition O 34 Repair O 36 Move GENERAL INFORMATION Const. (Actual) V- N Basement sq. ft. MWCL System t5 (Allowable) v- N lst F1. sq. ft. City Water Yts UBC Occupancy R-'3 M-l 2nd F1. sq. ft. PRV Required Zoning pn R_I Sq. Ft. total Booster Pump N of Stories Footprint Sq. ft. Fire Sprinkler Len th ~ On-site well Census Code Depth 3 On-site sewage SAC Code ~ APPROVALS ~'a?+sus b~ ~ Planning Building 'L2 Assessments ' Engineering Variance REGIUIRED INSPECTIONS ? Site 0 Footing O Framing ? Insulation ? Wallboard ? Final ? Draintile 0 Fireplace Permit Fee v.iuacion: S l Z.OOO _ Surcharge ZNp ~oovi'. Plan Review ~A_a6- 32y22-`104 LicenSe 7- k/o =,20) 30 X L9~ 8~~0 MWCC SAC cr I r4 City 5AC &SMT; 12 = 4+1 Water Conn. (ob6 x/6 %/D 699 0~ 54 % Water Meter 3 oic 3 Z= 960 Acct. Deposit Z?~y(= ~16~ S/W Permit ~y o) S/W Surcharge `I X/o= Treatment Pl. y X 8~ 32 ! 25~ $ 58 Road Unit I K B~- 1~F~i~ JST FLpp(Z; $st~T-gYy LL%100 qPR-06-193 TLE 13:13 ID:JRME5 R HILL INC TEL N0:612 890-6244 p998 P02 swN SURVEYOR'S CERTIFICATE BRIAN THORSON MOMES ~ L~o xiar. ~ a ~p~W HU3E i ,-rr e~ EIEV f. 817.03 ~ .9 09.1 I 7 ~IN I n tz 1150. 3 ~aa34° 15'40" W AZA ` ~~9ob.o) 9M8- 3 w ~ Zy / 91T.1 ~ ~ I or ~M • i ~S I N ~ I ~ ~ c i m I a 1~ WI ~ 1 60 0 r u J ~Y \ ~ ~ ,i~ g bj ~ 2A Q= N ~ O .91T. Q jglr~ ~f 914.7 LOT 5 1 8 ~ Z ~ ~ L S ` -----J • sos.s ~ ( 907. o~ ~ n~ m~ 28. 0 - 32.33 919.8 , 906.8 14&57 ~ N34°15'40°W I ~ EXIST. ~I D rtausE I I L_., r,"Ir . l1\i -1/ if 76 Bv b ~ NOTE: NO SP£CFIC SOILS INVFSTGATON HAS BED7 COMR.ETED DEPT- ON TIIS LOT BY THE SUNVEYOR. TTf SUTAB0.IIY OF NOTE: 6ULD046 DINkNSI0D15 SNOWN ARE tCR ADFAMKK SqL3 TO SUPP0R7 THE 3Pt1:IFIC HOUSE YIi0p0360 IS 6 VERM4L IOCATiON OR STRWTUIE ONX !LE NOT TME fffSPONSI&LITY OF TNE SURVEYQR - • . AF10i1TE-r:fAL 7l'JN°. FOR tlU1LUP16 S POU1.'CIATIOi ~ OENOTES PROPOSED SURFACE DRAINA(3E rnucnesan5.- O DENOTES IRON MONUMENT SET SCALE: i INCH - 3U FEET • DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR - 9196 FEET X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR - 4 1l-~I FEET (000.0) DENOTES PROPOSm ELEVATION PROPOSED TOP OF BLOCK - 4 Zo U FEET WE HEREBY CERTIFY TO BRIAN THORSON HOMES THAT THIS IS A TRUE AND CORRECT FlEPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lot 5, Bbck 3, HILLS OF STONEBRIDGE, eceorQng to the recorded plat ihereof, Ddrofa County, ' Mlnnesota. , IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 25TH DAY OF MARCH , 1993. PROPOSEO flRADFS 311DWN WtRE SIGN : S R. HILL, INC. TAIEN. Fqpy T!~! pfVCL~NT FWI FOR HILL! OR S PIINMII[0 4YPqKtpONW LAlT DAIm II-l-9?. B . ~ JOHN C. LARSON, LAND SURVEYOR MINNESOTA LICENSE NUMBER 19826 N ~ oz w~ ~ N~W DAj James R. Hill, inc. 0~ o m Z o -~Z PLANNERS / ENGiNEERS / SURVEYORS - A o m ~p < 2500 W. CTY. RD. 42 9 BUHNSVILLE, MN. 65337 • 612-890-8044 R-95% JA[SES R HILL INC 04-06-93 0I:16PM P002 S{32 . fAT BLR4lY C'ZZCILIlT TOR lilZDLliTI11L ~ sIIILDZvO nRx2T APPLSCATtb lAOPLRTY ~ ~ - nate et fusTep: r/ 2 t / DOC@SLNT !TM1D 4De D, D • Reqistered Land 8urveyor siqaaiute aad eompany e~'~.~I D • Suildinq Permit 1lpplicant 's 6 D 0 • Leqal aesctiption ' D ~ 0 • 1?ddress 0" D 0 • North azrow and bar aeal• • 6' 0 0 • House type (zamblaz, vaikout, split v/o, split antry, lookout, etc.) ' Dizectional drainaqe asrovs rith slope/qraQiant • proposeC/ axiitinq sever ariQ vater serviees • Street name • Dzivsvay iflo, ZS.rvari oxs EYi~tina D 2`~D • Sevez servioe Er D D • Lot corners ~ Q D~ ~ Top of eurb at the drivtvay Elevations of any existing adjacent Domes proooseC Er'o"D 0 • Gazege floor Ef D 0 • First iloor ~ D D • Lowest sxposed slsvation (valkcvt/vindov) ~ D D • Property eorners ~ D 0 • Fzont and sear of boms at the toundation p4RDI1iG ARLaB (it asnlieablG) 0 • Easement line 0 , h~, L D Hii L 0 D • Pond 1 desiqnation D 0~ D • nezqency Ovezflov Zlevation ~2}!Lp6SONS • ~ D 0 . I'0t lines Riqht-of-vay and stroet ridth (to back of eutb) D 0 • Proposed home dimensions ir,eludinq any propossC eocks, • overbengs qzestez thsn 21, porehts, ete. (i.e. all strvetures requisinq permanent tootinqa) . ~ D ? • Shov all •nsements of recozd and any City utilities vitAin those sesements 0 0 • Setbecka of proposed strueture and setback of aEjaeent •xisting hom n~ • Retninin qui nts, if any - Revieve3• a N me i n. . Cities Di i~ tal 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. n1Nnb~viw o..~ ~ ~I~~ , -I ' BASEO OV rHA TEA vyOFVTyvV~ O~~ HO _ EPGY COD - 1993 LTION____f•'~ s' ~p~e-.~~ AdopCluo EEf~c[lv• l!1/ 4 ~ y Phone )wnt r c;tte Address :ontractor hone ' :uilding Classiflcation: Type A1 (5ingle Fa:ntlY 6 Duplex) Typc A2 (3 (Resistoridentefal s or ess I (Other) (Over ] storles) ;ENEaAL INFOfUlATION \50 1. Building Perlmeter t- y4„ \~So x q wail height (ground to eave) \ z x9 ft. 2 ~ zv Z 3. 1. x 2. (aDove) gross ti+all arga ~1Arft. } i~., ~z t tW~ Z~ ft.2 roof s ftoar area 3. Building dimensions (l) x 5. Squa n fcot +rea of rim joist -1~or x .lPerimeter `2 aim \o ? 2 st ares ft 6. Doors - Area ~ • ~ • Thtc ness 3/ ~ n. actor TYpe o1 ConstrucL on ~Perinwter \;~9 C-, ~ r 14anufscwrer 7. Total door's perimater ft 8, uindows: Manufacturer State approved U factor n1M9ER OF TOTAL fEET Z TYPE SIZE ARc ~A (f_. Z) " EACH UNITS a 14,41--4 ~l-~cO a .05 Z \t...\o ca. (cZ y. Total ft.2 Giass \qo . `l \ 10~ Flreplace area: Width x hetaht • x ~ ' Ft.2 Ft.t 11.Exposed founCation: Height x Derime[er x 1- :)MPLETION OF THIS FORA1 IS REQUIRED FOR IILI NEY COFISTRUCTION, MAJaa REMOOfLING ANO BUIIDI.'1G5 BEIN f;YED wHERE ENERGT. OTHEa THAA THE MINIt41L COOE AILQNANCE. [S USED. + Frdm4nq area o l0i oR;yross w11 are+. ' Gtloss wsll arN ~ o~ 14- f'•.2 . w{ndow area A \qCk ft.Z wlndows • 0 x A• Rim jotst area A Z\2..00ft.Z U rim jotst • c)A U s A= poor area A 1-7 ft.~ J door area ¦ a\-&-3_ U x A•~ Fireplace aren A f:. 2 U fireplace - ~ U x a• Exposed foundation A p f!." 0 foundation • U Y. A• Z. 5 Framing area A Zzi`?_ 40 ft.2 J franin9 area C,q U x A• . net wall area A .\Z. •`t. 'J walt - ~c43 U x A • `7-7 ~ (113; -:j,-,L . . . . . . . . . . U x A ~Z~~TfS -1 4, Gross wa11 area x 0.11 (A-1 single family S dL;.;=x > allowable Ux A/Code (13. above) . ' x 0.23 (A-1 other residenti;:; x .23 !Other building:, ,c .2E (Ovei• 3 star;e;) ~ _ ~BTUH Must be larger than A ~ t5- `I 4 x L' CcQe , . _ ° ~ ~~.1 138 ibove 5, Ceiling framin9 area (Af) aquals 10.". af ceiling area - ~ or the same as) ~ ~z < ~zx z 5d. Gross ceiling area •(l) ~q x('a) _ Z<o ~ `C~'-i (o ft.2 5g Joist erea (Af) - 101 ce111ng area = ft.2 5C. "let ceilina area (.4c) (15A - 158) • o ft.2 U ceiling :c A cu x_(~~ AP2 U framing x A f• cF,xp1 SD. -QTaL U x A ' 6. Ceiling area (15A) x 0.026 (A-1 sinyle `amily S duple~eo e allowoablt U x A T x 0.033 (A-2 other residz^tial) ' x O.C6 (other) BoUH Must be larger than 1!0 (above) A(15A) ~O-7 ~ xIL (coee): F (or the same as) ' . ~ NOTE: Use U and a values obtained f,•om nps 3 and 4. , ~ ~P~4_ 4 N+~`A~~~i;.':''. ' _ :~i:~.~ ~ .~.~i .v,~~µ~r^~•~':<~`;, "i:'~"~4 ~y,u~Lp~ ~~~`.~'•l c : ~'.d° ~,•'~(„~f,""4". i•~t~t~}~~f f~• 5 'a,; ;"•~ha~~.~~'~~fi C fv ti J , WALL interiaC''wai! (Watl) ~ •~~~I ^ C ~ i q SECiSOtI . 6" F• sc',su:actun sLdtna Jutstdf. air (tlm l7 , t.. ~ R TOTAL ~ lnside air Etlm i;. ST1JD ~v C, lnt.:ioc vtiii y.~4~'3~ SLCIIOtt ' ' ~~s-ud A' ~iF~ (Framing) U' F. ~ 1 ~ Ae I ^~he~thing Z.ofe Sidfns .`17 II Outslde a1r iiln .17 J 'OTAI. ~ ~ . C\ O . r-'.. Insltle air t±lm R• .68 ,z 2ND uaLL i Inter ior va i 1 .'45 5[CTI7M4 insulatton \C{.00 (Veil Shsa[hing ' Z.oa Z ExCerlor wt! ;overing Extaolor air [Ilin 'n ..1 % ~ Qe, 3; R TOTAL 2'3 . O 3 Interlur air tlia .63 RLH Fft. '.r.sula, Lon JOISi 11i ir,th su[t 'auud R=1,88 (aim ' V . ~10 i:ty, 3/4 b,.r'3h: ,1~,8 z . o ` -Exteeior vall cuvr.rtng.•~~ , Esterlos air {ilm Ra -.17 ,Oq i.. a rorAL z4 _ 4(e • , . p In[rrtor air E!ln •~~,t: , ' ;S~ insula:tor. P.A^ . ~ ' ~\1 ~ Cerc.aa FounJalidn Z•10 (Fdn.) U • i[ + j+i • ~ ~ b~Z tteCloC •{r 4tlm R+ .17 F rorAL --frpused 3luck } . ' ` ~ r~raCe ~ • ~ • , - ' • . . _ h.c_~-.r _...-._„u~._......_~..~._._...__'_.. _ " ~..._..W- . ~......~..r- . . . . . . " ,r.. `arr,'3G"~~gqr1a ~'2 .''i,'~iti}i:,~j,rv`n 'r.sr~ iJ .1,,~1}~;'f•t.i~t.yvkCeU^{' .~;I''d,r( ~f[. i£~, i. °•>il`/1•li:~::.:...1'i' •a1,,. . .r,.r:. . ~'r,'1'.: r'.' i ~i:: a 'f' ''e~''"''. . . . , • . , i,~ I, A1r ~'11i~ 0.61 ~ 3\ 5 Insulatlon _ • 4.3% .ioist celltny . $ ~ 0 .E1 Air F11m 0.61 3'1 .9 3 Total R ~ Z_ , ~ozU F! 4T ROOF OR CaTHEORAk. CEIL RIG 'R Va ue R VALUE FR;,MING CEILING / 0.61 Inside air fil,m 0.61 Ce i l i ng Jotst (stud ' In5u13tion ~ Air space ~ I I Root detkinq ~ Insulatlon I Bu11 t-up rool , p, 7, Outsldt a1r f.11m 0 Total R - U ltndpr tnfiltroticn .5 cfm/11nea1 foot of crack ; , tqtidential door inflltration 0.5 cfm/square foot or dcor and mininuc code requirement ;on-resfdential door infiltracton 11.0 cfr/lineal `oot of crack )p 12' conrr'ete block n0 lnsulation ~.41 R 2.1 lb 12" concrete block insulated cores •.26 R 3.8 12" 1 iglitaeipht blotk •.32 R 3.1 . 12^ tightweight Alotk trfsulated cores - .12 9 9.3 1;slnyle glass - 1.13: wlth storn windovr .54 doubl• glass ¦ .56 # ! trlple glass • .41 , ; ' ill exterior walls and ce111ngs must have a vapor barrier (C.10 perm i^ix•1• ',.~.:;#ppr Oarritr must be on tAe 1nslde (heated sfde) of wall. ;:Rjpcr barrfen of the polyethelene tMn film have no R value. 'q. ; €:.'1 • ' 4 . t';~ . . . • I r~,...~ w~uuM w..,~.. ~.ai ~ Ns~~ Im c«. 111114 cu. 11 (if b MI~MI0l1 • r~ L • roo//C~Illn~f ~ O.W O.p={ . . ' /IOOrt O+N ' rnMs[fd f Kef 0. 00 ,pf i{ ~ Mletaue n vo1uu for GIII F u9. a11. •nA ?loor lecelens oC i . , Ty?e A-1 Dv11Alnqa i, ' ~ 2 3 Glllnys wall• /leors vlndwi sltdlny Glass Doer• eoee• , (1) , (7) 131 EOO, fao . ' • UOtf 4 pOt/ S MOt~ ~ ; . . 6 • , , , , 30 20 29 ~ - Ncu. te r.e,. • • . • , , ` i • ' I11 Glllnqs vhlcA moot ooe *l tM [sllwlnl erlcerla •atlify j 6 t41• rpulr.nontt A: R-]/ tArouqLovt th• oetlte tolllni. . . 9 . s. t[ a yonfM ef tA• colllng ls 3eu ee.n R-3e, tM ~ • • Inavlacton In th• r4maln4@r •t tAq caillnq wuae be Incrraie0 te ' . . ' ri.ia u orerall weraq• tA@1`1141 rsatssaecS o! we 1282 tAsn ' • • . . 1l-72 uslaq ene rolle,rlng .Qu.elen. . . I'.~' ~ . . . • Ar ' lAO All / IiS/38 A1/*i1 . • ' ~I ~ • a . • • ~ . Rr~. ~lt valw of tr• lasulsttew !n ehe rtulnder .'~i • ~ ol the eolll'aq.' a- toul area o[ t1e celllny tt . q rttA ~~n tAan R-l~. Ao . •rea el tAe, e~ll!a ,a,• • . • . ~ , ~ R i • R ralw ot ta~ ceiliny vblel~ 1s lois eMn , A-78. • ' r ~ C. wMr• tAe 'reof •t tM Perlseier ef eM eaillnq prowne• ; . lwst~ll~tlo~ o! insvlaelew t* tall OOyar, tM lwlulstlo~ ln tlw' ' ros+in0er o[ t1f ullinp iuse !e InehusA N reduef eh• evenll ' ~iCr~e - faced ~ e•lstnq f~..e tb.• eo w.er. aN" It 11-36 ?ad D.•n lnaaallM ~ inaulatloa. psper ehrovpneut che •ncire aalljng. sld• ta heat (2) ?or tl+• lnsulased eavltT et ap&Quo wll anA rl• jeisu, We r~ noc fovndacioe valls. • ' • (7) isr eM teovlated uvlty •t tleer¦ •t Mseed •pse*i o+er ..t . • ' - veAutod spacu. ' . . walw ylu • arw unea uedM 32 perernt ef eM 2n8 of • ~¦eorlor vells not Inelud~nq tsundatlew vslla. AS1 vlndevs 0Mll. . p ' ' pe AoupL qlu90 or 4•• sters vlndevs. , • . . ~ ~(S) wilwr qlus area uy.eot •xueA tew percent ot eM area ef • ~{0• , • ~ • • . •aeerloC-valls, net Ineludlnl tewdattew valls, vMn a sltd?nl U • • • qlais deer ls inst@lled. All Olau aAall W 6euD1• OInM or - .00 . • Mv /tOr1 vlndCVl. . (6) A 1-7/4 lneh reed lae44 Eeer •yauw rtth an InsufaaeA eara Prwidlnq •n II valw pwl te or grutor tMn 3.0 er a . • eonvtntlonal deer and Stem 400r. •11 rrloarr doors .uat haw ' OunDl• watMratripplM. . . . . : . ~ ~ /wndatlon wil I~ful~tle+. . /iN IfN tode tIeetfl. , + . ' ully reavbn oun it M r1 Iefr1at10o MKf fleart 1MH tM 1e4PA46U64 ~e~. , vall are Mt Intrlated. LItMr the /w~0~t1M o111L pave B•IO lntYlg{1p11 . J a"11N 1rw tM teo N l4 IsundoNw to the frost llu M 1-5 foluIatIM , • A' aOplld evv tM entbe wll. nele Wt tM 4Va1N tNCt/IN 14 for tM , Iow1at1em rtertal w1y. ~ ' ~1~~-w-r~Ae 11ew~. tM refulnl tMeryl reslttact d tM IesrU• . Nri ~roan t Or~mr er d N6IN W MxqatN Iiowf are flee11104 le ~ • T44I4 S-l. TM Intr1atlM outt fateM Mw.-Mf Mw tM tar N tht 11ab lo , " ' . tM frHt 11M or /o~." U tM Mttem of tM tiab tM" Mrlteetolly bfMs111 1( IM M fqY1v4IMt /IStMce. T?i1 ?f"1fame111'sis lM 1144 to/f A I D. If IMnUCa1 to tM N7/ CNt. ' 11. . ~ . R~ ~i.7 . . . . . toors ovec unheated sp.%ees nust have mtniwua R-factor oL R-20 (tuek-ut+der gaeages). ~ooes over ou[door air (ovcrhangs) nust liave % ninimua P,-faetor of R-73• r ~ M'Y.'C35E ONLY _ . . , , . , . _ IL ~ ` . . ; . . . , . . , . ~ . . t7#~vY~! ~ ,ip.. , R F•.~¢ f 3 ~~~~~w~.'~. . . . t . . . 1993 PLUMBING PERMIT (RESIDENI'IAL) CITY OF EAGAN 3830 PILOT KriOB RD EAGAN MN 55122 (612) 6814675 PLEA3E COMPLETE FOR SINGLE FAMII.Y DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UN1T. - - - - - NO. FIXTURES EACH TOT~ ~ SHOWER 3•00 DUD WATER CLOSET 3•00 BATH TUB 3.00 /f, , n D LAVATORY 3.00 i.R. v n ~ KITCHEN SINK 3.00 . n n ~ LAUNDRY TRAY 3•00 3 ! HOT TUB/SPA 3•00 ~ WATER HEATER 3.00 . ~ Z) ~ FLOOR DRAIN 3.00 ;3 . D 0 i GAS PIPING OUTLET • minimurn -1 3.00 nn Li ROUGH OPENINGS 1.50 H ~SO WATER SOFI'ENER 5.00 PRIVATE DISP. - Dak.Cty.lic. 15.00 U.G. SPRINKLER -nome uneer const. 3.00 ALTERATIONS • to adsting 15.00 WATER TURN AROUND 15.00 ~ ~ STATE SURCHARGE r .50 TOTAL: SITE ADDRESS: 399 S- (J02-c{ kAf r,c /LLAC OWNER NAME: `p~.n i~z~r J a7ll.lh~-~-s+ ~cj v.d7 INSTALLER: 'el-n'd 6, V/2 r n P s~ 'Le ADDRESS: 4 CITY: STATE: A/ ZIP CODE: 5-5"4~2 '3 PHONE ( ) ~ n 1.~ - lo n 9 02 _ ~ c ~ SIGNATU E OF PERMITTEE ONLY , : : : . _ , . . . . . . . ~ ~ . , , : . , : . . . ..t: ; . : . ( . . ~t.. _ . _ . . . . ~\x...~9.. Y` •~t+i~ . . ~.5.• a.§"~"..RA. .nn... ~ . . J ..f....<:.......n ..........:.:/..f, f. .7~ . [ . . . W~.mv M . . ....e......v~~.`'..~.'wn~v~ i , r. V 1993 MECHANICAL PERMTT (RESIDENTTAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. - - - - - - - - - - - X NEW CONSTRUCTION ADD-ON A/C ADD-ON FURNACE DATE APril 28, 1993 FEES HVAC: 0-100 M BTU $ 24.00 ADDITIONAL 50 M BTU 6.00 GAS OUTLETS (MINIMUM 1@$3.00 EACH) 3.00 ADD-ON/REMODEL (EXISTING CONS7RUCI7oN) $ 15.00 STATE SURCHARGE .50 TOTAL $ 27.50 SITE ADDRESS: 3895 Worchester DRive OWNER NAME: Brian Thorson 'j'$LEPHONE 454-0644 INSTALLER: Kleve Heating & Air Conditioning, Inc. ADDRESS• 13075 Pioneer Trail CITY: Eden Prairie STATE: MN ZIP CODE: 55347 TELEPHONE 941-421t ~ 'SIG URE OF PERMITTEE PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA122375 Date Issued:05/06/2014 Permit Category:ePermit Site Address: 3895 Worchester Dr Lot:5 Block: 3 Addition: Hills Of Stonebridge PID:10-32990-03-050 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Ashley Orman 130 Plymouth Ave N Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 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 - Anthony O Becker 3895 Worchester Dr Eagan MN 55123--165 (651) 235-6544 Standard Heating & Air Conditioning 130 Plymouth Ave. N Minneapolis MN 55411 (612) 824-2656 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA141631 Date Issued:03/22/2017 Permit Category:ePermit Site Address: 3895 Worchester Dr Lot:5 Block: 3 Addition: Hills Of Stonebridge PID:10-32990-03-050 Use: Description: Sub Type:Siding & Windows/Doors Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of house wrap and leave on site for final inspection. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Valuation: 8,000.00 Fee Summary:BL - Base Fee $8K $162.25 0801.4085 Surcharge - Based on Valuation $8K $4.00 9001.2195 $166.25 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 - Anthony O Becker 3895 Worchester Dr Eagan MN 55123--165 (651) 329-6866 Craftsmen Home Improvements Inc 7455 France Avenue, #194 Edina MN 55435 (651) 430-1388 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA170348 Date Issued:06/28/2021 Permit Category:ePermit Site Address: 3895 Worchester Dr Lot:5 Block: 3 Addition: Hills Of Stonebridge PID:10-32990-03-050 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the water damage. 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 - Anthony O & Amanda Becker 3895 Worchester Dr Eagan MN 55123--165 (651) 235-6544 Craftsmen Home Improvements Inc 7455 France Avenue, #194 Edina MN 55435 (952) 930-3777 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA176820 Date Issued:06/02/2022 Permit Category:ePermit Site Address: 3895 Worchester Dr Lot:5 Block: 3 Addition: Hills Of Stonebridge PID:10-32990-03-050 Use: Description: Sub Type:Water Heater 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 - Anthony O & Amanda Becker 3895 Worchester Dr Eagan MN 55123--165 (651) 235-6544 Norblom Plumbing Company 1465 Selby Ave St Paul MN 55104 (612) 827-4033 Applicant/Permitee: Signature Issued By: Signature