3899 Worchester Dr
;
~ CASH RECEIPT ~
~ CITY OF EAGAN
3830 PILOT KNOB ROAD
?
r~,EAGAN, MINNESOTA 55122
DATE + ` 1g L
~ ---T==-=s--~---~ ~ •
AN
AMOUIYT s i ~
cr 1 . ~
8 lw DOLLARS
? CASH ~CHECK
J~ -i~~ ~
FOR
FUND OB,IECT AMOUNT (
l(
t~
~
(
~
Thank You .
ey - ~ f
212 820~~ Yew---%&" COPY
Pink--FRe Copy
BLDG. PERMIT N0. ~
-4' .l a-1 c L r~
,
L l`~l i~},- ' : ~.1•~. r t~ r' G.:
Q1-3210 Bldg. Permit 7-
01-3422 Plan Check ' II C C~
01-3445 Surch./Adm.
01-3446 SAC/Adm.
01-2155 Surcharge f~
10-3860 Road Unit
20-2275 SAC
20-3865 Water Conn.
20-3868 Water Trmt. .44 `
20-3716 Water Meter
20-2252 Acct. Dep.
20-3713 Water Permit
20-3743 Sewer Permit
79-3866 Sewer Conn.
Q1g-3855 Park Ded.
,
~
,
TOTAL ~ ' ~
CITY OF EAGAN
~ 3830 PilOt KnOb ROad, P.O. BOx 21 -499, Eagen, MN 55121 ~ r 5 4,
PHONE:454-$100 - - ~
BUILDING PERMIT Receipt
To be used for SF DW(:1GAR Est. Value $115,0(}0 Date APfdll. 4
Site Address 3899 WORCtlESTEB aR OFFICE USE ONLY
I
Qn
Lot 4 Block 3 Sec/Sub. S''OllEBRIl1GE Sfte 3ewege Occupancy ~
MWCC System x Zoninq pp M-1 ~
ParcelNo. QnSiteWell (Actual)Conat 1r-N '
i
s Name (3&11Na UAKS D$VEl.OP1I6b1T Cityweter X (Allowable) V-N
~ Address 3988 Si'i'C?~tEBRiDGL? Dit N PRV Required # of Stories I
'o City Lh(~eAN Phone ~?52-0747 Booster Pump Length
Depth 341
= o Name 3AME . S.F. Total ~
0` Addr6ss Footprint S.F.
V-1 i City Phone APPROVALS FEES
~ Engr./Assess. Permit bl2•UO
WWa Mame
Address Planner Surcharge 57•~ ~
~ W City Phone Council Plan Review 311.00
Bldg. Off. SAC, City 100.00
O
I herepy acknowl~dge that I have read this appfication and atate that the Variance SAC, MWCC 550.0
inforni~ion is co rect and agree to comply with all applicabl@ State of WaterConn. 55Q.O~
Minnesota Statutes and Clty of Eagan Orlinanceg.
Water Meter b?.OQ
Signature of Permittee ~ i: -.'•~,a.:_~~T.-~~.,,~.- Road Unit 3=3 S 00
`y
A Building Permlt is issued to: r+RANp aAKS 66k(7PmraA1T Treatment Pt 204.00
on the express condition that all work shall be done in accordance with all
appllcable State of Minnesota Statutes and Clty of Eagan Ordinances, Parks
TOTAL 2,786.50
Building Oftioial
~ _ _ -
_+frlcs .7S
ti
CASH REGEIPT
• - ~ ' CITY OF EAGAN
3830 PILOT KNOB ROAD
~L4 i EAGAN, MINNESOTA 55122
Y~
~ ~ ~ • 'y`
DATE
FIEcervEO
FROM
AMOU4f
w.J
w
8 DoUARs
,oo
? CASH ~ CHECK
~
FOR L
~ r~ • ~ L l ~L 1
- - -
FUND OBJEGT AMOUNT
L ' ` ~ j
1 ? r ,
-:y
I - ; ~
~a
.t
Thank You
~
Plnk-File Copy . ~
.
, , • ~ ~..n'
CITY OF EAGAN
3830 Pllot Knob Road, P.O. 8ox 21-199, Eagan, MN 55121
PHON E: 454-8100
BUILOING PERMIT Receipt
To be used for Eat. Value a 1 15, ~>u~ Date
Site Addresa rir
OFFICE U8E ONLY ; ' On 3ite Sswape Occupancy j
Lot BIOCk SeC/Sub. :'I:1~r~BNla'~ Pn ~ _ ~ '
PefC@I NO. MWCC System Zon?np ,
On 31te Well (Actual) Const V-M
s Name Ciry weter x (Allowade) 4 -h ~
W PRV Requlred * of 3torles
z Address , Boos5U' I
ter Pump Lenyth J
City Phone 1~7
Depth
p Name S.F. Total ` I
z
oi Address Footprint S.F. I
~ City Phone APPROVALS FEES I
v W Engr./Assess. Permit
Name
~ W Planner 3urcharge i '
z Add v= C tyreSS Phone Council Plen Review ~
W
~ Bldg. Off. SAC, City
I hereby acknowledqe that I have read thia application and state that the Variance SAC, MWCC
information is Correct and aqree to comply with all applicable State of Water Conn.
Mlnnesota Statutea and City o} Eagan Ordinances. Water Meter
Signatu?e of Permittee Road Unlt
A Buildfng Permit is issued to: _ Treatment P1 on the ezpress condition thet all work shall be done in accordance with all Pa~$
applicaWe State of Minnesota Statutes and City of Eagan Ordinances.
~ Building Official TOT1W
'
Permit No. Permit Holder Wte TeNphone it
PYvmbing
H :-ac. gG~ y ~ 9
OR
Softener
Inepsctfon Dob q_Insp. Commsnts
Footings I ~
Footings II
Foundation
Framing S ~°P
Rooffng
Rough Plbg.
Rough Htg.
IsuL ~ ~Q C~i? f C~s'fvyt/. ?'r's'
Fireplace I-AP
Final Htg. !10;1I
Final Plbg. ,
Bldg. Final
CeR.Occ. f'
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp.
. . -,~-e~-~ e ~ . . .
PERMIT t1
" PLUMBING PERMIT RECElPT #
, CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN. MN 55122 DATE:
CONTRACT PRICE: PHONE: 454-8100
Site Address 3 y` k•` BIDG. TYPE WORK DESCRIPTION
Lot ~ Block 3 Sec/Sub Res. New
, I S ' , c Mult. Add-on
m Name `Comm. Repair
~ Address • - ` Other
c City Phone RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
Name ~ ~Water Closet - $3 00 $
~ Bath Tubs - $3.00
; Address ~Lavatory - $3.00 p City Phone ` . 7 I Shower -$3.00
~ Ki?chen Sink - $3.00
FEES Urinal/Bidet - $3.00
COMM/1ND FEE - 1% OF CONTRACT FEE Laundry Tray -$3.00
APT. BLDGS - COMM RATE APPLIES Floor Drains -$1.50
TOWNHOUSE & CONDO - RES. RATE APPLIES ~ Water Heater -$t.50
MINIMUM - RESIOENTIAL FEE - $12.00 - Whirlpool - $3.00 "
MINIMUM - COMM/IND FEE -$20.00 T- Gas Piping Outlets -$1.50
STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIn
(ADD $.50 S/C IF PERMIT PRICE GOES Softener -$5.00
BEYOND $1,000.00) Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
,
SIGNATUFE OF PERMITTEE FEE "
STATE S/C: FOR: CIN OF EAGAN GRAND TOTAL:
.ri:. . ,.'~`:'~:'..s+".r"~•r-~t~.e- ac ~r;r,~.s: ~F^~"T. , ~y`.. /
PERMIT CiF
' MECHANICAL PERMIT
CITY OF EAGAN RECEIPT #
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE: - cPHONE: 454-8100
Site Addr ` • gLpG. TypE WORK DESCRIPTION
LOt ~ BIOCk ' 2- S8CUb R~ New `a.
~
Muit Add-on
Name
Comm. Repair
c,g Address Other
c City Phone '
FEES
~ Name ' - • - - • } ~ ' r 1 RES. HVAC 0-100 M BTU - $24.00
c Address 1-' % ADDITIONAL 50 M 8TU - 8•00
p City E.Tl Phone ' (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM -1 PER PERMIT) - 1.50 EA.
TYPE OF WORK COMM/IND FEE - 1% OF CQNTRACT FEE
Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
Boiler 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
STATE SURCHARGE PER PERMIT - .50
Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Outlets # 'xBEYOND $1.000)
Other
FEE:
d S/C: '0 SIGNATURE OF PERMITTEE
~ TOTAL• '
FOR: CITY OF EAGAN
~ T
~ . K 4 ,
(Itr#if irafit u# Orrupariry
Ctp of Cagan
ioPmittltpttf of l1t~lbtug 3tB}1pttiDlt
Tltts Certificiue issued pursuant to the requiremencs of Section 306 of the Uniform Building
Code certtfying ?hat at 1he Nme ojissuance this strucmre xwns in compliahce wilh the various
ordinancec of the City regulating building consmxtion or use. For the following.•
5I''
u.e c]aaifiwuon TJi+I6lM Ptrmit No. 11: % C/i
I
~war ~x R3 ~ o~,;c, FD P. 1 ~ ~-z ~
BRI17C}: l d2 ~T, B~~'1N
o~r ot ea~wWt QiAtm QAI~S IF~'f~.Cl~h~l'i .',9$8 S'1'`E
BW&M Add,m, 3899 5'PQEBRIDCZ UKIVE I OM ty I/+> H3, HI1LS 0F `MMWJ=
pa1C R.~; :?9. 1yik:
~6 ~
POST IN A CONSPICUOUS PLACE
94'~7 4. 5_Rf3
Date: ~
CITY OF EAGAN Permit No: D Size:
3830 ^wot Knob Roed Metet No: 3 J!` Dete:
P.O. box 21199 Reader Na 0
Eaqan, MN 55121
Grand Oaks
OWner ;li.lls of StonE~-
, Site Address: 9~ Z`'orchester Tn'i brid r.
~ Plumber. $alle Plum ~ a1 U~~ ~ r t~l
; 550.00 d 1
Conn. Chg: Acct Dep:
10.00
Permit Fee: 50 d ` comPlr wlth th@ City o1 Eagan
~ Surcharge: 204.00 d Ordlnances. i
Tr. Plant 1
Metar. g j
Misc.:
WATER SERVICE PER
Date:
aTM OF IEAGAN Permlt No: Detq;- 4_4-81
3M pW .Mob Road B/P No'.l
P.d+ 6ox 21199
,
EopM MN 55721 +
:tr_d Qaks nrive L4 B3 Hi s o .:onf~„'
pwner.
~Addreax 38Q`~ Worchester
~ . „
~i Plumbec R1.
~ ni
~ Mwcc: its:
't Cih? Chff _ •G~ p~ wNh 1M Cllp aEW^
l1CCt DeP:
Permit Fee'
Surcharfle: By
Miac.:
~ gEWER SERVICE PERMIT -
- - - - - -
Dat
Permft
` CITY OF EI?GAN F4 Date: '
, 3830 pilot Kwob Road B/P No:
P.O. ISo~ SS~1~21
~QA11~ •~'+L..S ~ r r r ~ ni'[ ~
~U:j ' S,= nri.V~ L4 F'S
' Owner.'
t
I Site Address. - , , , ~ ~ .
~ Plumber ' ' ~ ~ ` t
Zoning'
~ MWCC: No. ot Units:
l City Chg: 1 ayre@ to cflmplr witl+ 111e CnY °f Eays^
Acct Dep: ~
Permit Fee: ' Ordinsnaes• I
Surcharge: BY
i
gEWER SERVICE PERMIT
~ _ -
CITY OF EAGAN Permit No: n4 4 5-R8
Dete:
3830 Pilot Kndb Road Meter No: Size:
P.O. Box $1199 Reader No: pate:
Eagan, Mii155121
Owner. Cranci ^a]<s
SiteAddress; orctlester Driva I,4 B3 Hills of Stone-
Plumber tai] eq Plumbing Uricl_g e
Conn. Chg: 550. OOpd Zoning: F1
Acct Dep: 15. p No. of Units:
Permit Fee; 10. F
Surcharge: ' p I agreO to comply wifh the City of Espn
I Tr. Plant ` pd Ordlnances.
Meter. 67 nn.d '
Misc.: gy
- - - - ---i WATER SERVICE PERMIT
i CITY OF EAGAN No 14 7 6 4
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
g o` ~1~ pS
BUILDING PERMIT PHONE:454-8100 Receipt # O
To be used For SF DWG/GAR ' Est. Value $115,000 Date APRIL 4 ,19 88
Site Address 3899 WORCHESTER DR OFFICE USE ONLY
HILL6 Lot Block 3 SeGSub. STONEBRIDGE On Site Sewage _ Occupancy R-3
nnwCCSystem X zoninq PD R-1
Parcel No.
On Site Well (ACtual) Const V-N
e Name GRAND OAKS DEVELOPMENT Cirywater X (qllowable) V-N
w PRV Required # of Stories
- Address 3988 STONEBRIDGE DR N -
° City EAGAN Phone 452-0747 Booster Pump _ Length 50'
Depth 34'
, o Name SAME S F 7otai
zl-
oa Address FootprintS.F
U
¢ City Phone APPROVALS FEES
ww Name Engr/Assess. Permit 622.00
~z Planner Surcharge 57.50
r. Address
aw City Phone Council PlanReview 311.00
eldg. Off SAC, City 100.00
I hereby acknowledge ihat I have read this apphcation and state that the Variance SAC, MWCC _SSO. 00
mformahon is wrrect and a9ree to comply with all app b State of Water Conn _550_.99
Minnesota Stalutes and City ol Eagan Or nance
WaterMeter _67_.Q9
Signature ot Permitlee Roatl Unit -3 25--QQ
A Bwlding Permit is issued toGRAND OAKS DEV LOPMENT Treatment Pi 204.00
on the expresscondihon that allwork shall be done in accordancewith all
apphca6le State of Minnesota Statutes antl City oi Eagan Ordmances Parks
Bmlding OfficialL11 baLTOTAL 2,786.50
This reQues~ void /
18 months Irom ~'f ~u/~~
~ - OL924 2 I
g~ &
Re.que~/s~ Uate ire No. R uph-in Insuer,tmn
N uned~ Ae.dy Nuw W~II No111y Insoe~:-
""1 - _ ~GS Yos ?NO r When Neu,Y
Licensetl El~~tnCal Convactor 1 bareby reouast insoocUOn ol obove
Owner elechicol work mstalled at:
SVaet AtlAress, Box or Rou[ No. C"v
ecuon o. Township N,ime or No. Rnngi; No. Cowi
ztr
l- j
Or,c .ynt IPqINTI ~ / Phone Nn.
~VdLJ
Powe upplie Adtlress .
C;to- .1
Eiecle al Con~~actor (Compan Na ~el Cnntract License Nn.
~~TcJe~ r~ c l9 Ff~ 3
Mailing A ess ICOnimc or or Owner MaWne Insur
ilauonl
n.
Authoi etl S~g^atur (Con cwr/Owne akiny Insuallation) P one ///u---m~~~~~'bm
~ -6
MINNESOTA STATE BOAFD OF ELECTflIC1iY TMIS INSPECTION NEQUEST WILL NOT
C+,.aes-Midway Bldg. - Noom N-191 BE ACCEPTEO 9Y THE STATE 90AND
1821 Universitv Ave.. St. Peul. MN 55104 UNI.ESS FHOPEfl INSPECTION FEE IS
Phono (612) 642-0800 ENCLOSEO.
REQUEST FOR ELECTRICAL INSPECTION Ee-aooot-os
~ L
II, See instructmns for completing this form an bxck ot Vellow mFV,
`Z 4 `Z "X" Below Woik Covered by Ihis Request
/ Adtl Peo Tvpe ol Bwltlmg AoOliantm Wirad Equiument Wired
Home ftange Temporary Serviee
Duplex Water Heater Lighliny Fixtures
Apt Buildinc] Dryei EleCtric Heatin
Commercial Bldy. Fumace Silo Unloader
Industnal Bldy. Air Conditioner Bulk Miik Tank
Farm otnri pech v .~~~er ISUr.r.JVI
t er Succ~fY O,hcr Oihur
ompute lnspection Fee Below
k Fee Serviee ENrence Size n Pee Fexdees/Subfexders b Fe o Circuits
U ro Z00 0 to 30 qm s j 0 in 30 F~n+.os
Above 29n mps 31 to 100 Amps 31 to 100 Am 5
Swimminy Pool Above 100-Amps Above 100_AmPs
Transrormers IrrigaUOn Booms f ID Partial.'Other Fee
R SpeciallnsUection 5 ~
SignS
/ TOTA E
e~a~ks
RouBh-in i, ~he EI tncal
InSpBCtOf. Ba V
certilv ~nnt tne above
Final 1e 1 insoeetion hes been
( ~ matle
Thierepuestvo1tl18manlhafwm 4 11.4
DO NOT WRITE BELOW THIS LINE
Sub Tvpes
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Eut. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebolpergola) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex 19 Lower Level ? 24.. Storm Damage
? 06 04-plex ? 12 - 12-plex ? 25 Miscellaneous
r
WorkTVqes ? 31 New ? 35 Int Improvement ? 38 ' Demolish Interior ? 44 Siding
32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
y~ . 33 Alteration ? 37 Demolish Building' ? 43 ' Reroof ? 46 Windows/Doors
/O 34 ReplaCement 'Demolition (Entire Bldg) - Give PCA handout to applicant
DeSCrlptloll: WaterDamage_Yes
Valuation Occupancy MCES System
Plan Review V100% or _ 25% Code Edition
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) _ Sheetrock
_ Footings(deck) FinaUC.O.
_ Footings (addition) ~ FinaVNo C.O.
_ Foundation HVAC
Drain Tile Other
Roof Ice & Water Final Pool Ftgs Air/Gas Tests Final
Framing _ Siding _ Stucw Lath _ Stone Lath _Brick
Fireplace R.I. Air Tes[ Final _ Windows
~ Insulation _ Retaining Wall
~
Approved By: , Building Inspector
- -
Base Fee
Surcharge
Plan Review
MClES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search '
Copies
Other
Total
2007RESIDENTIALBUILDINGrEi&uArrucnvoiv
City Of Eagau
3830 Pilot Knob Road, Eagan NIN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWCfion Reauirements RemodeVReoair Renui2ments OKce Use OnH
3 registered site surveys showing sq. ft of bt, sq. h of house; and all roofed areas 2 copies oF plan shwring footings, beams, joists CeA of Survey Recd _ Y_ N
(20% mazimum lot coverage aDaved) 1 set of Eneigy CaIwWGons (or heated addifions SoiLs RepoA _ Y_ N
1 Soils RepoA it proposed building is m be placed on disWr6ed sol 1 site surve f ' s 8 decks Tree P2s PWn Recd _ Y_ N
2 wpies of plan showing beam 8 window sizes; poured found desi9n, etc. n n n d' ' e sepfic sysfem Tree Pres Required _ Y_ N.
1 set of Energy CalwWfions Omsite Seplic System _Y _ N
3 copies of T2e Preservalion Plan if bt platted afler 711N3 ~ Rim Joist Detag Oplions selection sheet (buiNings with 3 w less unifs) 2007
Minnegasco mechanical ven6'lation form S EP
Plans are considered ublic informatio unless o state are trad ese c elt andt he reason.
Date ~ l Zi l 7-°°7 ConstructionCost
SiteAddress 3b49l.?oac4/ PS;E,e ~e UniUSte#
CA6F+~r . P'l.r SS
DeSCriptiOnofWork 1nPRaJEn/oirJ /r ~ASFNf.~ - ~LFGT/1i~q<,~7/tyWA~~~~~.-y< ~n.~+T..rc ~.PKi-fr
Multi-Family Bldg _ Y ~ Fireplace(s) X 0 _ 1 _ 2
Property Owner R. .+~n ? zEev Telephone G.t ys t- s S~S
Contrac[or h2.-~L'CZ'r-d.c Ry'.r~ 'rd}?'-'1~A.-
Address 7 u,?,Y,~,,, "'-Fy.= City
State Zip Telephone t! ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventllation Category 1 Worksheet . New Energy Code Worksheet
(Jsubmissionrype) Submitted Submitted
• Energy Envelope Calculations Submitted
In the lasf 12 monihs, has the City of Eagan issued o permit for a similor plan based on a master plan2
_ Y _ N If yes, date and address of master plan:
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 NIN
Statutes; I unders[and 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.
~
L/J
Applicant's Printed Name ApplicanPs Signatug
~,U~ O 6l~Q1 2oos RESIDENTIALCPYU~MBIG N PERMIT APPLICATION
U
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date ri v ~
Site Street Address W orch es4er I,
IJr• '056I ~Z3 Unit #
Property Owner l.s'~~~ ~ ~ ~ 7e-("` Telephone #
Contractor CHAMwnu WARR _ 'C~ Telephone #(IoSI r( 3417
Address 212 N•Rive, Rl City State Zip
The Applicant is: _ Owner -?qontrector _Other
Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee
$ 100.00
Per as-built $ 10.00
Alterations to er.isting dwelling $ 50.00
_ Add plumbing fixtures. This fee includes installation of a water softener and/or water
heater at the same time. lf you are insfalling onlv a water sokener and/or water
heater, do not complete this section; move to the next section and check the
appliance(s) you are installing.
_Septic System Abandonment
_WaterTurnaround (add $130.00 if a 5/8" meter is required)
Other:
Water Softener C^ !~-Water Heater $ 15.00
_ new ~eplacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ 50
Total $15_ So
I hereby apply for a Residentiai Plumbing Permit and acknowledge that the information is compiete and accurate; that the
work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I
understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in
accordance with the approved plan in the event a plan is required to be reviewed and approved.
0b&f S~'0(!2 021&L~7'~
Applicant's Printed Name ~ Applican s Signature
)q637
~
'FOR CITY USE ONLY
PERMIT # ISSUED
7
Pd w/Bldg. Permit FEES:
$ S SEWER PERMIT (INCLUDE SURCHARGE)
$ $ WATER PERMIT (INCLODE SURCHARGE)
$ Co 7D O $ WATER METER/COPPERHORN/OOTSIDE READER
$ $ WATER TAP (INCLUDE CORPORATION STOP)
$ $ SEWER TAP
$ $ /3-- 6-0 ACCOUNT DEPOSIT - SEWER
$ $ 170 ACCOUNT DEPOSIT - WATER
$ .a~SO.OO $ WAC
$ ~SD-ov s sAc
$ $ TRONK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRUNX WATER
+S $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
$ $ TOTAL
RECEIPT RECEIPT
DOES l)TILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
~ YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC
Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY: ~'-c_e.-,c..? /Yz-''
TITLE:
DATE :
I
. .
.
APFLICATION FOR PERMIT :tJD'E: pAYMfNP OF FFE AT TIME OF
. i APPLICATiOP1 D06 Ndf NN- ~
Sl'I1fT1E APPRCJAL OF PIItMIT. ~
SEWER AND/OR WATER CONNECTION : IrarErrIoN oF m'En nrD/oa wATER :
r ~ itasracuTzors wILL nor ee scmMr.m ~
t!CIl'IL PII2MIT F3AS BEEi APPROVm. :
\p ~ t~~~kltt~ffiittff~f~~~~tffff~fi~Hlitf
c'stV oF ecicgmcan
IPLEASE PRINT
1) PROPERTY ADDRFSS: C r Dr.
i,FY;AT, DESQ2IPTION' ) llll<1
t B k S ision or Tax Parcel ID
IF EXISTING STRC'CTURE, DATE OF ORIGINAL BUILDING PERMiT ISSUANCE:
Nbnt Year
PRESENT ZONING/PROPOSID USE: .
Q COMA'EI2CIAL/RETAIL/OFFICE I~ R-1 SINGLE FAMILY
Q INDL'STRIAL ~ R-2 DL~PLEX ('it„o Units)
Q INSTI7[)TIONAL/GOVERNA4ENT Q R-3 TOWNiOC'SE (Three + Units) ( Units)
Q R-4 APARIMENP/CODID0MINIUM ( Units)
2) ~ NAME: (OcA V
ADDRESS:
CITY, STATE, ZIP: M N ^ I
PHONE: ~ "o7q 7
~ \~o~Ll'{~ V ~P I u~11 bi nG For City Use
Pl riun~be s License:
3) NAME:
Active
ADDRESS: UO-r J
bLne
CITY, STATE, ZIP:
Qr Qn, M U ~!231),2 ij No lreaordec
PHONE: MASTEE2 LICENSE #~I
Sta In~'fitial-
4) e-~st •_~a ~~.ni:~:i
NAh7E :
ADDRESS:
CITY, STATE, ZIP:
PHONE:
5) u a~a~i •a~~ a.ia~
EQ CONNECTION TO CITY SEWER CONNECTION 'lb CITY WATII2 O OTIE2
6) 09072.7y_E717
.
w THE GOLD COPY OF 'iM PEI2MIT WILL BE SENI' DIRFX'PLY TO PUBL,IC Wt7RKS 7U FACILITATE MEPER PICK-UP. ;
*k PL,F115E ALS.OW 'IWO WURKING DAYS FOR PROCFSSING. SOMEONE FROM TfIE CITY WILS, 00NI'ALT YW IF 1fiERE
* ARE ANY PROBL,EN1S.
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1 .
. . . i.1'i'L Ui` I:Ai;A?i .
• j ifli;Ii'[UM "U" \'ALUii AA'D ::-F.1CT0[l AT ROOP, iJALL, CiIil i,KD CO'i,'C"I:Zli GLGCI:
~ ~ _7 _ . . ~ . . , . . .
providc incul:[ion bafflcs in cvcry' RQOF j L`~L~N~7
ra`tcz saacc. . CY) vA~
2~ 5~3~ Ca~P- 2~, sb
Q~ I~SULfqkDN ~1~1,00
~L)_ ~ ~ o(~ r1IF FILM
~~~I LJ l~J I u..o~ZO.r ~5-CILL _
ToTa,L (R~- ziS~y
G
?
. : . O . ~ WALL . .
VaLC
irl ict=lo(= RIR~ FLMi . 68
7
joTAL (R)
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~ IOL
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FICL Plf'l ~IS`~ f~~
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17. oc
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n ' n
- . . Q C, lo;c AlR FILM
n O61 GO9
, u ~ / C~ _ , -TOjP.I ~C<~ _ /.S.
i.-
Flbors o.e: unhcatcd spaccs muzt havc Rininum R-factor of R-20 (tucl-undcr ~ara-,cs).
Floors o%;r outdoor air (ovcrhanEs) oust liavc a nininum P.-taeeor of R-33. .
. .
SINGLE & DOUBLE PAMILY HOMES
' 1984 ENERGY CODE REQUIREMENTS
s
On or about March 1, 1984, the following energy code requirements
should be calculated and included with a building permit application.
1. Roof - ceiling assemblies - R-38 U= 0.025 Average
2. Exterior walls & rim joists - R-20 U= 0.11 Average
3. Floors over unheated spaces - R-20 U= 0.05 Average
4. Exterior overhangs will be considered as e:cterior wall.
5. Foundations (all exterior walls) - Minimum of R-S insulation.
6. Al1 insulated areas must be separated from the heated space
by a well-lapped or sealed vapor barrier with a minimum perm
rating o£ 0.1. A 4 mil. polyethlene sheet or equivalent meets
this requirement.
A Kraft face R-19 type insulation.will be accepted in the rim joist
areas. Air chute baEfles are to be placed in every rafter space.
, . ~
Determine 'U' value for each roof/ceiling segment: ,
i
j. x 'U' .53 -
k. 97.6 x 'U' .02894 - 2.8245
1. 878.4 x 'U' .02205 - 19.3687
4 . Total - 22.1932
If total of (l4 is the same as or less than 112, you have met the intent of SBC
60o6(c)1.
Alternate Building Envelope Design
To utilize the total envelope system method, the values established by the sum
of Items 113 and /14 shall not be greater than the sum of Items !11 and /12.
1. + 2. -
3. + 4. -
2
~FlJ I . .
ciTx or• eecnH
~ EXTERIOR ENVELOPE AVERAGE 'U' COMPUTATION
ONNER: GRAND OAKS DGVELOPMENT C0.
SITE ADDRESS: (~~j ti n4K I , HOCL6.E AF
CONTRACTOR: GRAND OAKS DEVELOPMENT DATE: PHONE: 452-8167
Determine working square footage of each:
1. Total exposed wall area 2484 sq. ft. x.11 = 273.24
2. Total roof/ceiling area 976 sq. ft. x.026 - 25.376
Total exposed wall arca above floor - 2144
a. Total wall window area 223.75
b. Total door area 42
c. Total sliding glass area 40
d. Total fireplace wall area 6
e. Total wall framing area (average 10%) 211
f. Total net wall area above floor 1626.25
g. Total rim joist area 268
Total exposed foundation area - 72
h.Total foundation window area 17.77
i. Total net foundation area above grade 67
Deter-mine 'U' value of each wall segment:
a. 223.75 x 'U' .414 - 92.6325
b. 42 x 'U' .07700 - 3.2340 '
c. 40 x 'U' .460 - 18.4000
d. 6 x 'U' .2500 - 1.5000
e. 211 x 'U' .06998 - 14.7658
f. 1626.25 x 'U' .03716 - 60.4315
9, 268 x 'U' .03528 = 9.4550
h. 17.77 x 'U' .4800 - 8.5296 ~
i. 67 x 'U' .06609 - 4.4280
3 . Total - 213.3764
If item 03 is the same as or less than item f11, you have met the intent of SBC
6006(c)2.
Total exposed roof/ceiling area = 976
j. Total skylight area 0
k. Total roof/ceiling framing area (average 10%) 97.6 •
1. Total net insulated roof/ceiling area 878.4
OVER
SURVEYOR'S CERTIFICATE / GRAND OAKS DEV.CO.
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t- DENOTES PROPOSED SURFACE DRAINAGE
O DENOTES IRON MONUMENT SEf SCALE: 1 INCH - 30 FEET
• DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR - 917,5 FEET
X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR - 910.8 FEEf
(000.0) DENOTES PROPOSED ELEVATION • PROPOSED TOP OF BLOCK - 9/e•9 FEET
WE HEREBY CERTIFY TO GRAND OAKS DEV. CO. THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Lot 4. Block 3, HILLS OF STONEBRIDGE,according to the recorded .
plat thereof, Dakota County, Minnesata.
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS
SURVEYED BY ME OR UNDER MY DIRECT SUPERV!SlON TH!S 3l ru DAY OF MARCN ,?g88
SIGNED: JA LL, INC. n
.PROPOSED ELEVATIONS SHO4;N 41ERE ^ ~ .i
TAKEN FROP1 THE DEVELOPMENT PLAP! BY:
FOR HILLS Of STONEBRID6E, PRE-
PARED BY PIONEER ENGINEERING AND HAROLD C. PETERSON, LAND SURVEYOR
LAST DATED I I•-5 -87 MINNESOTA LICENSE NUMBER 12294
~ W J'ames R. Hill inc.
' q O~~p 0 NNDr~ I
o Z~~ ~ o~ m~ Z pLqNNERS / ENGINEERS / SURVEYORS
o m o~z ~ z OD m •
O m y 0D ~ 94 p1 JqMES AVE. S. • BLOOMINGTON, MN. 55431 • 612-884-3029
m
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. . . 49~
• • 1988 BUILDING PERMZT APPLICATION - CITY OF EAGAN
?4 4
SINGLE FAMILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CEATIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTR9CTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL HE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL ONITS FOR SALE UNITS 0 OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH HLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COt-AtERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STPUCTURAL PLANS, rl~` I
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS ~ U
To Be Used For: , on't Q Valuation: Date:,~r.~ i~..:
Site Address 31 I"1 WOj'fWQ,C O( ~QQ OFFZCE USE ONLY
Lot ~ Block On aite seaage_ Occupancy R-3
V ~ap ~?dCC systea v 2oning PD, 12-I
Parcel/Sub u ` Cn site we11 Actual Cor.s+ v-rJ
City water i Allowable v-N
Owner V ~ PRV required 0 of stories
4508j Hooster Pump _ Length SO'
Address- , ~Depth 3y'
S.F. Total
City/Zip Code ~ Footprint S.F.
Phone'~b2 4~111 11- ("Ii APPROVALS FEES
T
Contractor Engr/Assess Permit 62Z,00
Planner Surcharge 57,5o
Address / Council Plan Review 311,ou
Bldg. Off. 17 411 SAC, City too.oo
City/Zip Code Variance SAC, MWCC SSO.oo
Water Conn SSO,oo
Phone i Water Meter (,'7, Oo
Road Unit 3ZS' o)
Arch./Engr. Treatment P1 200.oe
Parks
Address Copies
~
City/Zip Code TOTAL
Phone ll
OFFICE USE ONLY
? 01 Foundation 0 07 OS-plex 0 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Ait - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-piex ? 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 Canst Width
REQUIRED INSPECTIONS
_ Footings (new bldg) FinallC.O.
_ Footings (deck) FinaUNo C.O.
_ Footings (addition) _ Piumbing
Foundarion HVAC
Drain Tile Other
Roof _ Ice & Nater _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacemen[)
_ Insulation _ Retaining Wall
Approved By , Building Inspector
Base Fee
Surcharge
Pian Review
MC1ES SAC
City SAC
Water Supply 8 Storage
S&W Permit 8 Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
RESIDENTIAL
5L~ BUILDING PERMIT APPLICATION
CITY OF EAGAN /qz
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Construction Renuirementa RemodeUReoalr Reauirements
• 3 registe2d sde surveys showing sq. fl. of lot, sq. fl. of house; and ~II roofed areas • 2 copies of plan
(20% mazimum lot coverage allowed) • 1 set of Energy Calwlations for heated addibons
• 2 copies of plan showing beam 8 xvWow s¢es; poured fouM desgn, etc.) . 1 site survey for exierior additions 8 decks
• 1 set ol Energy Calculafim • Iridicate d home seneC by sepGc system for additions
• 3 copies of Tree Preservation Plan if lot platte0 after 717193
• Rim Joist Detail Optlons selection sheet (Mdgs vnth 3 or less uniLS)
DATE Z`D-~ Z_
VALUATION
SITE ADDRESS cS 0 1 I MULTI-FAMILY BLDG _ Y _ N
TYPE OF WORK . 0/ovF h.m14f d- FIREPLACE(S) _ 0_ 1_ 2
SELA ROOFING & REMODELING. •
4100 EXCELSIOR BLVD.
APPLICANT ST c0U;e onov AAAi 64+P
STREETADDRESS ID#0001050 CITY STATE_ZIP
TELEPHONE #Cd2-~Z3~Sfb~(~ CELL PHONE # FAX #
PROPERTYOWNER C_&~-~, nn~ f TELEPHONE# ~FSZ- 2:50S
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ NIIY\LSO"f:\ RULLS 7670 CA1'LGORY 1 MIVV4S0"CA RULLS 7672
(d submission type) • Residential Venlilation Category 1 Worksheet Submitted . New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor: Phonc k _
Plumbing systcm includes: _ Water Sof[ener _ Ia«n Sprinkler Fee: $90.00
Watcr Hcater No. oF R.I. l3adis
No. of Baths
Mechanical Contractor: Phone #
'vtccli.mical systcm includcs: _ Air Condiuoning Fcr. $70.00
_ Flcat Rccovcry Systcm
Sewer/Water Contractor: Phone #
I hereby acknowledge ihat I have read fhis application, state that the information is correct, and ~Sa~p ly
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
41 C
Signafure of Applicant ~
t~B----"___--------'------°°OFFICE USE ONLY
Y--- '
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4I02
�Aug 2« 2014 09:13AM HP Fax page 1
Use BLUE or BLACK Ink
� For Office Use �
• R�CG��LLJ I Permit#: /t�/�v ��v �
Cl�� o��a�aIl � . �� �
� Permit Fee:
3830 Pilot Knob Road ��� � , ����+ � � �
Eagan MN 55122 � Date Received: �
Phone; (651}675-5675 I I
Fax:(B51)675-6694 I Staffl I
I f
�.____-- -------
201� RESIDENTIAL BUILDING PE MIT APPLICATION � j �
'� rJ � 1 �
Date: � d?�'�"1 Site Address: � W�r �, cd Unit#:
Name: �"�r�.✓ti! �- Phone: �'s/-a��-��Ua
Residentl
Owner Addtess/City/Zip: � �'► ��{ G.�► ,5,���-
Applicant is: �Owner Contractor
Type of Work DesCription of work: Y�1��i n �O�r/ �i e� e,,�,rw_...,}-
Con¢truction Cost: � I�Q�C� ulti-Family Building�(Yes_I No�)
Company: ContaG:
Contractor Address: City:
Stat�: Zip: Phone: mail:
License#: Lead Certifica i�:
If the project is exempt frorn lead certification, please explain why: (see age 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUC ING A NEW BUILDING
In the 18st 12 monlhs, ha5 the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes,tlate and address oi master plan:
Licensed Plumber: Phone:
Mechanical Contractor: ; Phone:
Sewer 8,Water Contractor: Phone:
��._.,.__._.,.__.Y...w
NOTE:Plans and su�porting documents that you submit are consi red!o be public/nformation. Portions of
!he information may'b�e classlfled as non-pub/ic i€you provide spe 'fic reasons that w.ou/d perritit the.Ci.ty to
� conclude thatthe�r are frade se rets. ��
CALL BEFORE YOU DIG. Call GopherState O�e Call at(651)454-00021cr proteMi n against underground utilitydamage. Call 48 hours
before you intend to dig to rece�ive locates of underground utilities. www. hersld oneCall.a
I hereby acknowledge that this�intormation is complete and accurate;that the work will be in oniorrnance with the ordinances and codes of the City oi
Eagan; that I understand this is not a permit, but only an application for a permit, and wor is not t�start without a permit; that the work will be in
accordance with the approved plan in the case of wo�lc which requires a review and approval f plans.
Exterior work authorized by�building pe►mit issued in accordance with the Minnesota tate Building Code must be completed within 180
days of pe�mit issuance.
x �Gi✓+1 i��Pll.�l�� �
x
Applicant's Printed Name' pplica t's gnatur
Page 1 of 3
� Aug 27 2014 09:13AM HP Fax page �
; I
3���� ���� ��� � �� ���
DO NOT WRITE BELOW THI LINE
SUB TYPES
_ Foundation _ Fireplaca _ Porch (3-Season] _ Ezterior Alteration (Single Family)
_ Single Family _ Garage _ Porch (4-Season} _ Exterlor Alteration (Mutti)
_ Multl _ Deck _ Porch (ScreenlGazebof ergola) Miscellaneous
_ 01 of_Plex _ Lower Level _ Pool _ Accessory Building
WORK TYPES
_ New _ Interior Improvement _ Siding _ Demolish Building°
_ Addition _ Move Building Reroof Demolish Interior
_ Alteration _ Fire Repair _ Windows Demolish Foundation
_ Replace _ Repair _ Egress Wi dow _ Water Damage
_ Retaining Wall ;Demolition of ntire building-give PCA handout to applicant
DESCRIPTION
Valuation b�� Occupancy � MCES System
Plan Review Code Edition SAC Units
(25%_100%�) Zoning City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Sprinklers
Type of Construction � Width
REQUIRED INSPECTIONS
Footings(Now Buildingj Meter Si e:
Footings(Deck) Final /C O.Required
Footings(Addition) � Final/N C.O.Required
Foundation � HVAC Gas Service Test Gas Line Air Test
Roof:_Ice&Water `Final Pool: Footings _Air/Gas Tests Final
� Framing Drain Til
Fireplace:_Rough In _Air Test _Final Siding: Stucco Lath Stone Lath Brick
�C Insulation Window
Sheathing Retainin Wall:_Footings_Backfill Final
Sheetrock Radon C ntrol
Fire Walls Erosion ontrol
Braced Walls Other.
Reviewed By: "� ,Building Inspect r
RESIDENTIAL FEES (�,�r� -,��'�► j
Base Fee �i �� E /,� A
� ���•,,,
Surcharge ��f� � '�
Plan Review �
MCES SAC ����
City SAC
Utility Connection;Charge
S8W Permit 8�Surbharge � �� f� �
� �� � � - �
Treatment Plant
Copies
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA130901
Date Issued:05/20/2015
Permit Category:ePermit
Site Address: 3899 Worchester Dr
Lot:4 Block: 3 Addition: Hills Of Stonebridge
PID:10-32990-03-040
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
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 -
Adam J Stranik
3899 Worchester Dr
Eagan MN 55123
Diamond Construction & Remodeling LLC
24970 University Ave NW
Isanti MN 55040
(763) 528-0876
Applicant/Permitee: Signature Issued By: Signature
To: Page 2 of 10 2015-OS-14 15:43:39(GMT) 18882338352 From: Midas Auto Service
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•---�--- DENQTES PROPOSED SURFACE DRAENAGE
O DEN4TES IRON MONUMENT SET SCALE: 1 INCH — 30 FEET
• �ENOTES JRQN MONUMENT FOUND PROPOSED GARAGE FLOOR — q/7,S FEET
• X000.0 DENOTES EXISTING E�EVATION PRf)POSEO LOWEST FLOOR — 91d.8 FEET
(000.0) DENC)TES PROPOSED ELEVATION ' . PROPOSED 70P fJF BLOCK— 9/s.p FEET
• WE HERE9Y CER1iFY TO GRAN� OAKS DEV. C0. 7HAT THIS IS A TRUE AND CC?ARECT
REPRESENTATIQN flF A SURVEY OF 7HE BOUNDARIES OF: .
� tot 4. 81ock 3, HILLS OF STONEBRlDGE,according fo the recorded .
plat thereof� Oakota Cour�ty, Mlnnesota.
IT DOES NQT PURPOR7 7Q SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS
SURVEYED BY M� OR UNDER MY DIRECT SUPERV!SlON 7!-E!S 3r!r++ DAY OF /+�RRtt� , �88�8
•• SIGNED; JA LL, INC.
,PRQPOSED ELEVATIONS SH{�h�t� ti�ER� � �
.TAKEt� FR01�t •THE QEYELOPMENT PCA�!
FaR liILLS OF STQNEBRIDGE, PR�- BY� '
PAREO BY PZONEER ENGF�YEERING AND HAROLD C. PE?ER50N, LAND SUAVEYQR
LAS7 DATED l I�-5-,87 , � . MINNES(�7A LICENSE NUMBER 12294 '
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940� JAMES AVE. S. •BLOOMlNGTON, MN. 55431 • 612•884-3029
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�
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA169286
Date Issued:05/20/2021
Permit Category:ePermit
Site Address: 3899 Worchester Dr
Lot:4 Block: 3 Addition: Hills Of Stonebridge
PID:10-32990-03-040
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. We encourage you to retain an electronic copy of
photos until the project passes a final inspection.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
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 -
Hangyu Luo
3899 Worchester Dr
Eagan MN 55123
(651) 497-8854
Rose Remodeling Inc.
12188 Dogwood St NW
Coon Rapids MN 55448
(651) 324-0644
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA172230
Date Issued:09/21/2021
Permit Category:ePermit
Site Address: 3899 Worchester Dr
Lot:4 Block: 3 Addition: Hills Of Stonebridge
PID:10-32990-03-040
Use:
Description:
Sub Type:Siding & Windows/Doors
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
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.
Valuation: 10,000.00
Fee Summary:BL - Base Fee $10K $191.75 0801.4085
Surcharge - Based on Valuation $10K $5.00 9001.2195
$196.75 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 -
Hangyu Luo
3899 Worchester Dr
Eagan MN 55123
Rose Remodeling Inc.
12188 Dogwood St NW
Coon Rapids MN 55448
(651) 324-0644
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA173811
Date Issued:12/06/2021
Permit Category:ePermit
Site Address: 3899 Worchester Dr
Lot:4 Block: 3 Addition: Hills Of Stonebridge
PID:10-32990-03-040
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Hangyu Luo
3899 Worchester Dr
Eagan MN 55123
(651) 497-8854
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA174042
Date Issued:12/20/2021
Permit Category:ePermit
Site Address: 3899 Worchester Dr
Lot:4 Block: 3 Addition: Hills Of Stonebridge
PID:10-32990-03-040
Use:
Description:
Sub Type:Windows/Doors
Work Type:Overhead Garage Door
Description:
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, 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: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 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 -
Hangyu Luo
3899 Worchester Dr
Eagan MN 55123
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA176248
Date Issued:05/09/2022
Permit Category:ePermit
Site Address: 3899 Worchester Dr
Lot:4 Block: 3 Addition: Hills Of Stonebridge
PID:10-32990-03-040
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the 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. When a weather barrier is installed or
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Hangyu Luo
3899 Worchester Dr
Eagan MN 55123
Trinity Exteriors Inc
10179 Crosstown Circle
Eden Prairie MN 55344
(952) 920-9520
Applicant/Permitee: Signature Issued By: Signature