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3902 Worchester Dr , ' , .,y , . . , . ' . . b . . . . . . u '1 CITY OF EAGAN 19018 7:.,_ y 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 - BUILDING PERMIT Receipt # _IZ-.m- To be used lor•' SF QiiJG/GAR Est. Value ;89. 000 Date- MAY 7 , 199,L Site Addr~ss 3902 HOQ[:ttRST1(Y pg - Lot BloCk I_ SeC/Sub. 11I~ AI? OFFICE USE ONLY Parcel No. S1'OMBBIDGE Occ„pancy 2-3-110 FEES ' Zoning ~ L-t1 W Name TME jtOT'CI.I111D CO INC (aauai) const Bidg. Permit 5~•~ 0 Address 5201 E RIVER RD (Albwable) V_Tt City lRI~U1.EY Phone 571--0304 s of siodes ~"cna`9e Length Plan Review ~~.00 Name 3AM oePm snC,City 100•00 Address S.F. Taal Clty PhOf18 S.F. Footprints _ SAC, MCWCC 6~0•00 ~ r On Site Sewage _ Water Conn fifio.OD UOJ~ Name on site weli waleF Mete? OS.m Address ti+wcC system x g W City Phone City water ~ °eP08ft PRV Required _ S/W Permil 30.00 I hereby acknowlege that I have read Ihis application and state that the 6ooscer Pump 5MI Surcharga •50 inlormatan is correct and agrep lo comply with all appHcable 5tale ol Minnesota Statutes and City ofEiigan Ordin ;r ares. ~ I Treatmant Pl Z 7b Signature of Permitee - , APPROVALS Road Unit 170_ M A Building Permit is issued to: Pla""ef - Park Ded. on the express condition lhat all work sha be one in acc~ o'rd-~ wi~ th all Council applicable State of Minnesota Statutes and City of Eagan Ordinances. gldg. Ory _ Copies 9uilding Official Variance - TOTAL 3Y• 30•~ ~ Vrnnlt No. Pwmit Flolder Dab ToNphotM N WATER II7 ' ~ g~ SEYVEt KuMsm /~ID y 5 9/ ~ KvA-c. 4 G /ei 1.59 ~ a. ELECTRIC Y"P*efion Daft kap. Coffwnetts Foaings 1 S1-79 WB Foundation vz3 GIJ F?an-ving -y ,p s Hoofmg Rough Plbg. 7~ Q Rough Htq. ~ za-l IsuL Fueplace Final Htg. Orstat Test Final PI6p. Plbg. lrtspeator - Notify Plumber Cansl. AAeter Enpr./Plan Bldg. Final DeCk Ftq. Dedc Final Well Pr. Disp. . t . , . . . . _ . . . . . . - }!x ; ~ SEWER 8 WATER PERMIT OFFIC~E~ USE ONLY ~ CITY OF EAGAN METER # yyq a~ a~~`' PERMIT DATE d5/C~8/91, 3830 Pilot Knob Rd. Eagan, MN 55122-1897 CHIP ~ PERMIT ~ 11977 METER SIZE- B.P. RECEIPT # C 13 1(1 DATE ISSUE DATE B.P. RECEIPT DATE U 5 U8 - ? ~ • PRV - BOOSTER PUMP SITEADDRESS 3902 irlorc:lester Drive PERMI7REOUESTED LOT Z 3 BLOCK 1 SECISUB ~ S • x SEWER ~ WATER - TAPS APPLICANT: 'I'he Rp L t 1 und CO. I nc . COMM/IND - RESIDENTIA~ ADORESS: -i201 E. River Road CITY, STATE r i d i ey , Mn. Zip 5 54 21 X NEW - EXISTING PHONE: 57I-0304 Lawn Sprinkler Meters are to be Installed PLUMBER: y a ley plLlmbi ng Ahead ot Domestic Meters on Water Line. ADDRESS: 610 Creek Li37e CreditxUlLL NOT be given for Deduct Meters. CITY, STATE 3ordan, M... Zip 5~5352 ( ) 1 l) PHONE: 492-212 ~ ~'C 0~. ~ .1~:I ~,ar:~-~>' - I AGREE TO COMPLY WITH CITY OF OWNER: 't'hc? RatttLnd Cn _ z nc _ EAGAN ORDINANCES ' ADDRESS: 5201 E River Road r CITY, STATE gridley. Mln. ZIP 55423. PH 571-$n4 . SIGNATURE WHEN M~' ER ISSUED .~'=C' F.~ v . ~'-,j~(:- ; ;',J;1 PLEASE(ALLOW TWO WORKING DAYS FOH PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM , SEWER PERMITS, CONTACT ENGINEERING DEPT. ~ CASH RECEIPT CITY OF EAGAN ~ 3630 PILOT KNOB ROAD ~ EAGAN, MINNESOTA 55122 a?rE J » ~ AWUW & DOLLARS D CASH CMECK ,W / ~ ~~1 , FUND OBJECT AIMOUNT ~ Thank You BY C 13 305 WN*---P"-COPY YoIl-.•postiV Caq ~ . Pfnk-FYo Capy _ . ~ w rr Y t , LYtrt`firait of lOriupailry Cirp of Cagan , ]rpwbutrtd uf lui[dacg ittoprnian ~ This Cerd*au issue~d pursuanllo W mqrdmnen[s of SeGlm 306 of !ke Uniform Brdldir;g Code oertljying lhar at tlre uiine ojissuance this svuaior ww in conipliairce with the Harious , ordinmrars ollhe Citj' regulaft bur7dittS oonsrrWdion ar use- Far the followiRg: uk (3miooo. ~~/GAR ea~. ~:c ra. 14018 ~ O=w-7T"9 R3/14' 7amt DQtia PD/Rl 7ype caaM VN ~ owmocawvnc IIM FDL'ILJna) OD IlC ,&km 52Q1 E RIVER RD. EMEY AAW- 3902 IIRIVE L,owv I23. B I. HII7S OF S1CNWJM i L'4.-(_ 7/25141 Posr IN A coNSPcxXous Pu?ce j i . ' ' CITY OF EAGAN 19018 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE:454-8100 1 BUILDING PERMIT Receipt # L 4 To he used for ' SF DWG/GAR Est Value $89, 000 Date_ MAY 7 , 194L Site Address 3902 WORCHESTER DR LOt 23 BIOCk 1 SBC/SUb. HILLS OF OFFICE USE ONLY POrCeI N0. STONEBRIDGE Occupancy R-3 M-1 FEES Zaning PD R-1 w Nam2 THE ROTTLUND CO INC 590 (AClual)COnsl e idg Permit .00 ~ Address 5201 E RIVER RD (aio„,apia) V-N City FRIDLEY PhOne 571-0304 k ol Siones Surcharge 44. 50 Length $0' Plan Rewew 3$4.00 }F Name S~ oePm snc,ary 100.00 Address S.F.TOtal _ ~ City Phone $ F Foolprints _ SAC,MCWCC 650.00 OnSiteSewage WalerCqnn 660.00 ~w Name on siie weii ~i WaterMeter 95.00 Add(BSS MWCCSystem X a W Clty PhOnO Ciry Waier X Acct. Deposit 30.00 PRVRequired _ SiWPermii 30.0~ I hereby acknowlege ihat I have read ihis applica0on and state ihat the Booster Pump - SIw Surcnarga • 50 information is correct and agmp to comply with all aOPlicable State of Minnesota Statutes antl City d~ ~gan Ordma 7reatment PI 276.00 SignaWre ofPermitee - ~~C1~1A/` e4 APPROVALS RoadUnil 370 nn A Bmlding Permit is is5ued to: THF R9~~~~~~8 0~P76 Planner - park Ded on Ihe express contlition ihat all work shall be tlone m accortlance with all Council applicable State of Min(n~esota Statutes and City ol Eagan Ortlinances. Bldg. Ofl. Copias Building Oflicial I 1/NI~OI /L Ail, Vananca - 70TAL .3 , L.SO. v.i Address: 3902 tiVRCHESTER DRIVE Lot Zg Blk I Sec/Sub = OF STI7PIEBRIDGE These items were/were not complete at the time of the final inspection. Date: 7/25/91 Yes No .S'. Ingperrnr- Final grade (6" from siding) ?Permanent steps - garage Perinanent steps - main entry E.~ Permanent driveway ? Permanent gas ? Sod/seeded grass Trail/curb damage ~ Porch Basement finish L-Z Deck PLease verify vlth the buildez the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lavn faucet before freeze potential exists. ~ ac.nm..n. White • City copy Yellow - Resident copy Pink - Contractor copy DATE: MAY B. 1991 VRE 3902 WORCHESTER DR (THE BOTTLUPID CO INC) X Vour Sewer & Water Permi[ for the above property has been completed. It will be held at the PubliC Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO CAL4UBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. ~ - Your Sewer & Water Permit for ihe above property cannot be completed for the following reasons - Your Sewer & Water Permit for the above property has been completed, but the meter cannot be issued or occupancy allowed until furthernotice. - COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) 6efore issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. yir/ , , °°5 a 6 717 0,~ ReQUesl Oale Fre No o gRin InsOedwn p 0 Reatly Now jer'Nill Notity Inspedor ~ Ves G No When Ready? Ii licensed contractor O owner hereby request inspection of above elecirical work at Job PdEress (Shaet Box Or Rw\~B NO ~ City 3 U 3- W L Sectron No. Townsnip Name or No Renge No Coun~ LJ Occu0ani(PRINT) ^ Phone No q~a Powe upOber ~ - Mtlress r Elactn Conhacbr ~COmpany Name) Conlractor5 L¢anse No. ~ ~ , Mailin FCOress ,COnvaclor or Owner Mabng InslallaUOn) Autnorrzetl SignaWre IContra o'Own r M king Installati ~ ` Phone Number ~ 3-31i0 MINNESOTA STATE BOARD OF ELECTflICITY TMIS INSPECTION REOUEST WILL NOT Grigg+-MlEway BIEg. - Room S-113 BE nCCEPTED BV THE STATE BOARO 1831 Unlvenlty Ave, St Vaul, MN 55100 UNLESS PROPEfi INSPECTION FEE IS Mwrs (612) 602-0800 ENCLOSED ~7` REOUEST FOR ELECTRICAL INSPECTION ;~=""'~a~ ee-oaom-oe ~Mi ?See msimcions br completing tpis lorm on beck al yellow copy /D/33 5 W 6 7 1 7 O X" Below Work Covered by This Request ~"~~4~~~ e Fdtl Rep,. TypeofButltling AppliancesWired EquipmeniWired Home Range Temporary Service Duplea Water Heater Electric Heating Apt Building Dryer Other (Speary) Comm /Industrial ' Fumace Farm Air Condilloner qner (speaty) Cumractor's Femarks Compute Inspection Fee Belaw: u Other Fee F ServiceEntranceSize Fee # Circuits/Feetlere Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps 0 Transformers Above 200 _ Amps ve 100 _ Amps Signs ihspecmrs use onry 70TAL Irnqation Booms Special Inspecuon Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MON S. I, the Electrical Inspector, hereby RougM1-in 0 e~ f rq certify that the above inspection has F„wi oa~ i;2 been made ~ i OFFICE USE ONLV This repuesl voitl 18 monNS Irom • /O/335 a 6 ~ ~168,~a~~ Repuesl Dale Fue No Rou in InspeMion p~ q y eaey Now ? Will NoUty Inspector ? Yes ~'fJO Wnen Ready7 I.L-.i,ticensed coniractor ? owner hereby reque5l inspection of above electrical work aT Jol~,~tltlress (Slreal, Box w Route No.) ^ Cry 3 y 0,a Jmn~. ~ SecLOn No Townshp Name or No. Renge No Cou ~ (Xcupe t~PPINTp ) ~ Phone No v •rn~i, Power har Atltlress EleclrK Convacm~(COmpany Name) Conrra<tor5 Lwense No 94-<- . 2¢/z-3 MaiLng A4 ss (COnVaclor or Owner Makmg Inslallauon) Authonze0 $gWture IConlreclor! nar M inq Insfa1181ron) ~ PM1One NumOer L - ?/d MINNESOTA STATE BOARD OF ELECTRICITY ' THIS INSPECTION REOUEST WILL NOT Grlggs-MlCwey BIEg - Room 5-113 BE /CCEPTED BViHE STATE BOAFO 1821 Unlverslty Ave., SL Veul. MN 55104 UNLESS PPOPER INSPECTION FEE IS Phonre (613)66]-0800 ENGLOSEO. ^ S REQUEST FOR ELECTRICAL INSPECTION ~ 'q~{ ee-oooo~-oe 5/ , ? se ~mstmc H67168 uon~or comPleung tnis lorm on ~acp ol vellow coor "X" Below Work Covered by This Request *~•re,•~ e Adtl Rep~ TypeoBmltling AppliancesWiretl EquipmentWVed Home Range Temporary Service Duplex Wa[er Heater Elecinc Heahng Apt Building Dryer Other (Specify) Comm./Intlusirial ' Furnace Farm Air Condrtioner Olher (spentyj GonVactorY Remurks Compute Inspeciion Fee Below. # Other Fee M Service Entrance Sze Fee # Circuits/Feeders Fee Swimmmg Pool 0 to 200 Amps 0 to too Amps Tran5lormers Above 200 _ Amps Abova 100 _ Amps S19fIS Ins0entor5 Use Only. ~.1 TOTAL Irriganon Booms Special Inspection Alarm/Communicatwn THIS INSTALLATION MAY BE OflDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Elec[ncal Inspector, hereby Rouqmin ~are certiry that the above inspection has F,rai been made. OAL~ OFFICE USE ONLY This reQUest voW 18 montrs irom I 7e. ~ 2006 RESIDENTIAL BUILDING rEUMiT ArrLicaTioN City OfEagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements RemodeVReoair Reouirements Office Use Onlv 3 registered sRe surveys showng sq. ft. of lot, sq, ft of house, and all roofed areas 2 copies oi plan showing foohngs, beams, joisGs CeR of Survey Recd Y_ N (20% maximum lot coverage albwed) i sef of Energy Cakvlations torheated addiGons Soils Report Y_ N 1 Soils Report if proposetl building is to be placed on disturbed soil 1 site survey for addihons 8 decks Tree Pres Plan Recd _ Y_N 2 copies of plan showing beam & window sizes; poured found design, etc AtldRion - irrdicate ilan-sRe sep6c system Tree Pres Requiretl Y_ N lsetotEnergyCalculations On-siteSepUcSystem _Y _N 3 copies of Tree Preservation Plan if lot platted after 711193 Rim Joist Detail OpGOns selection sheet (buildings with 3 or less uniLs) Minnegasw mechanical ventila6on form Ccl Date tIo / C)6,Construction Cost 70o Site Address ~l92 C°I7 AR- UniUSte # Description of Work fz~L- / S ld Multi-Family Bldg _ Y N Fireplace(s) _ 0 _ 1 _ 2 Property Owner dL" Telephone #((di ~~5~- p Z~L 17- Contractor Address ~ ~ ~ City State Zip Telephone#(C,,~) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minneso[a Rules 7670 CateQOry 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (4 su6missiontype) Submitted Submitted • Energy Envelope Calculations Submitted In ihe last 12 months, has the City of Eagan issued a permif for a similar plan based on a masier plan? _ Y _ N If yes, date and address of master plan: Licensed Plumber Telephone J Mechanical Contractor Telephone # ( J Sewer/WqterContractor Telephone#( J 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 approval of plans. - , ~ /Dm ~I~~rne~e2 Applicant's Printed Name A plicant's Signature DO NOT WRITE BELOW THIS LINE Sub Types ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - MuNi ? 03 Ot ot _ pfex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo/perola) ? 36 Multi Misc ? 05 03-plex ? 11 10-plex ? 19 LowerLevei ? 24 Storm Damage ? 06 04-plex ? 12 12-plez ? 25 Miscellaneous Work Tvpes ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteretion ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors ? 34 ReplaCement 'Demolition (Entire Bldg) - Give PCA handout to applicant DOSCfIptI0I1: Water Damage _ Yes Valuation Occupancy MCES System Plan Review 100% or 25% Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQU[RED INSPECTIONS _ Footings (new bldg) _ Sheetrock _ Footings(deck) _ FinaUC O. _ Footings (addition) _ FinaVNo C.O. Foundation H V AC Drain 7'ile Other Roof _ Ice & Water _ Final _ Pool Ftgs AidGas Tests Final _ Framing _ Siding _ S[ucco Lath _ Sione Lath _Brick _ Fireplace _ R.I. _ Air Tes[ _ Final _ Windows lnsulahon Retaining Wall Approved By: , Building Inspector Base Fee ` Surcharge Plan Review MCIES SAC City SAC , Utility Connection Charge S&W Permit 8 Surcharge Treatment Plant License Search Copies Other Total CTT'Y CJF CAGAN CASHII=f;. S TERhiINAL. N0: 66f3 DATE: 04/29/93 TI`1E: 15^24a20 If N:',ME.: DANIEL F'OF'F'I_E 3F'10 T001 3302 P!ORCI-fEST1=R 60.00 2.55 9001 3902 I•IORCHL£i7El't 0.50 ToCal Rece:i.p+, Amouni;: 60.30 Cfi i.O r 515 USEh TD: tJFlNCV Y,nYSC$cYXc~c)kY,:Y„ n~km;k;;::k>kY,ca;~:~X:g:X~:):;)$7;cY,q:nR~:I,;.:7kY,cM ;:"nc~c I 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 o~ -q 1 New Consirucilon Requlrements Remodel/Reoair Reaufremenfs ? 3 registered sHe surveys showing sq. N. of lot, sq. M. of house 2 copies of plan and all rooled areas (20% max(mum lof coveraqe allowed) 1 set of energy calculatlons lor heafed addflions > 2 copies of plans (show beam 8 window sizes; poured ind. design; etc.) 7 sHe suney for exterior addkions 3 decks 1 sei ol energy calculotions > 3 copies of tree preservatlon plan H lot plotted aNer 7/1/93 DATE: ~IZ/ ~g9 CONSTRUCTION COST: DESCRIPTION Of WORK: AU~ ~sq-paJL~"Jc. ZeLg_ '1v L-FFS'r Qi- I~•~E STREETADDRESS: 5gDZ 6Z. LOT: 23 BLOCK: SUBD./P.I.D. tT l L t-S (7 r STb ,~:.3R-l iL)G,E Name: ZYdPk-z Phone 3 - 0 73Z PROPERTY Last First OWNER Street Address: 3'r07_ l~Y~~'Ch/~3rF~Z L-9,- City E21-G tt'-j Stafe: Zip: 5's17_3 Company: Phone (area code) CONTRACTOR Street Address: License # Exp. City State: Zip: ARCHITECT/ ENGINEER Company: Name: Telephone area code ( ) Street Address: Registration City State: Zip: Sewer 8 water Ilcensed plumber (reauired for new construct(on onlv): Penalty applies when address change and lot change Is requested once permlt is issued. ! hereby acknowledge that I have read this appllcaflon, state that the Informatbn Is conect, ee to comply with all applfcable tkate ot Minnesota Sfatutes and Cfty of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY 27Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No _ Not Required ~ ~~~c ~ OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 4-piex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 03 1 of _ plex ? OS 6-plex ? 13 16-plex 18 Deck ? 23 Porch (screened) O 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage ? OS 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous WORK TYPE 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia ? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors ? 33 Alteration ? 37 Demolish Bldg.' ? 41 Wood Stove ? 45 Fire Repair ? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof " Give PCA handout to applicant for demolition permit GENERAL INFJRiNATiOt.i Const. (Actual) Basement sq. ft. Census Code 1413q (Allowable) Main level sq. ft. SAC Code o/ UBC Occupancy sq. ft. No. of Units Zoning sq."ft. No. of Bldgs !J # of Stories sq. ft. MC/ES System Length sq. ft. City Water Width Footprint sq. ft. Booster Pump PRV Fire Sprinkiered APPROVALS Planning Building V V~ Engineering Variance Permit Fee 60,Gb Valuation: OC~ Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge 7reatment PI. Park Ded. Trails Ded. Otf12f " r . Copies 7otal: Oi e) SAC Units % SAC ~~u`f'~~ • 2422 Enierprise Drive 'f PIONEER Mendota Hetghts, MN 55120 ~ IANOSURVEYOR3•CIVILENGINEERS ~engineeringLANOPLANNER$•LIINOSC/PE0.RCXIT[CTS (6121681-1974 Certificate of Survey tor: TNE ROTTL UND COMPANY NORTN ~•~'~b3.~3 ~ .i v ~ ~ N 'f a ~ ati' e a+ Qao~ ~ / ~ ~ ~ \6. \ t~;~~11i1 otiwly a~`\ ry ~ / ~\ti. , t~ D~8~1?" .900.o Denotes exrsiin flevafton PROCOSEO NOCJSE ELEVATIONS , 900.o Denofes propd Elevatron Lowest Floor E/ev«lion = aio./6 ------Denofes Draina~e J ufr/i'ly Easement denofes Or[1ma e Flow Arrows Top or"'8loek flevafion _'7/7• $t . o penofes monumenf Gara~a 5/ab E/evafion = 917.53 gearrijs shown orQ assumed LOT 23 , BLOCK 1 , I-ltLLs oF STOIVE$I?lDGE DAKOTA COUNTY, MINNESOTA SUBJECT 70 EASEMENTS OF/lEGORD 1 hereby aenifY tnai thls if a irue snd aoRem represmmiwa of a iurvey oi the boumda•.es ol the obove d "flfed ~an ,~nrt O} ~he Ipcalion of 0 puildinqf, ihereon, tnd di visi6le enaoeefimems, ff any, Imm or on faid 4nd. P~s svrveyeC 6v me lh~t tlav ol A.D. 19&7f. Scale : 1rn : 402d z 87'I/- 82 R09EpT8.5IKIC~+l.S.~EG.NO.lae9( J RESIDENTIAL t J BUILDING PERMIT APPLICATION `J CITY OF EACAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 NewConatructionReouiremenb RemodellReooirReuuiremenh ~ X \p ~ ~ ~ • 7 regislere0 site surveys shoxnng sp, ft. of lot, sa, ft, of houu: and all roofed areas • 2 copies o( plan (20% maximum bt coverege allowetl) . t set of :nergy Catculatians for heated acdidons • 2 copies of Olan shrnnrg beam 8 window s2es, poured found desgn, etc ) . 1 sAe survey;or extenor adduions 3 decks • t set of Energy Calculations . Indicate rf home served 6y septic system ior addAions • 3 copies ol Tree Preservahon Plan A lot platted aker 7/1193 . Rim Joist Detail Optwns selection sheet (hlGgs wth 3 or less umis) DATE VALUATION UU O SITE ADDRESS J 1 O 2 (A/0 Q4n5)1,- D MULTI-FAMILY BLDG Y N TYPE OF WORK FIREPLACE(5) _ 0_ 1_ 2 APPLICANT_ (UfnPt-5)rrne Addii-{u,s I-i„ C • STREET ADDRESS 2 7~70 Vf / nuh 4'e CITY STATEZ~~/ZIP SS020 TELEPHONE # C~I CELL PHONE ~-~'II9 - Z~7r FAX # PROPERTYOWNER~QZ,1 P ~eIP TELEPHONE# 6S1'693-C'7_?2 COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Cate9orY _ NilNNGSO"1':\ RCLk:S 7670 C.1TEGORI' I MIN\L•SO"I'A RC'LES 7672 (J submission type) . Residential Ventilation Category 7 Workshee[ Submitted • New Energy Code Worksheet Suhmrtted . Energy Emelope Calculations Submitted Plumbing Contractor: Phonc Plumbing system includes: _ Water SoFtener - Ia~v~t Sprinl:ler rp r,`~ 0 ~0 ~ Wa[er Heater No. of R.I. Baths I AUG 0 1 2002 No. of 13aths I , IJ Mechanlcal Contractor: Phone It Mcchmiical systcm includcs: :Air Condidonmg L. , i . Flcat Rccovcn' Sy'stcm Sewer/Water Contractor: Phone # • I hereby acknowledge that I have read this appiication, state that fhe information is correct, and agree fo comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signafure ot Applicanf C~ • _ _ OFFICE USE OVLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updaled J/02 OFFICE USE ONLY ? 07 Foundation ? 07 OS-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 0 i of _ plex O 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. AIt - SF ? Oa 02-plex ? 10 OB-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? OS 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 'Damolition (Entira 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 _ Footings (new bldg) _ FinaVC.O. _ Footings (deck) _ FinaVNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _!ce & Water _ Final _ Poal _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Scucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (newheplacemenQ Insulation _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply 8 Storage S8W Permit 8 Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total zo729 '~20- 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction ReaviremenGS Remode6Reoair Reouiremen45 Office Use Onlv 3 registered sRe surveys showmg sq. ft. of lot sq. ft. of house; and all roofed areas 2 copies ot plan Cert o( Survey Recd _ Y_ N (20% mazimum btcove2ge allrnved) 1 set of Energy Calculations for heated addiUOns 7ree Pres PWn Reoi Y_ N 2 copies of plan showing 6eam & window sizes; poured fowW desgn, etc. 1 site survey for addiEons & decks Tree Pres Required _Y _ N lsetofEnergyCalculations AddRion-indicatedon-srtesepticsysfem On-siteSepticSystem _ Y _N 3 copies of Tree Presena6on Plan if lot platted after 711193 Rim Joist Defail Options selection sheet (bldgs w@h 3 or less umLs Date / Construction Cost y0OU _ Site Address 306Z Wo rC Gi FS 7cQ e~ UniUSte # ~ Description of Work ~E~r f v '~au lbiulti-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2 Property Owner q~ Zr f I~E IL7 n cA Telephone #(76 ,3) 74f/S- 'JJ 2~-s Contractor ~+?(q S ~X t e ri ;o r,$' 'f ;L Address ?6 Z ~ KF,2-,CF-S 4.J N City State Zip 22 Telephone # ((D(2) 6`f1-f - 02 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residentlal Ven6lation Category 1 Worksheet • New Energy Code Worksheet (Jsubmissiontype) Submitted Submitted i • Energy Envelope Calculatlons Submitted , Have you previously constructed a building in Eagan with a similar plan2 _ Y _ N If so, 25% plan review ; fee applies. Licensed Plumber Telephone # ( ) Mechanical Contractor Telephone ~ Sewer/WaterConiractor 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 wor , accordance pproved plan in the case o which requires a r ' w and approval o ns. Applicant's Printed Na e Applic t's Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Slorm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to appliwnt 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 af Const Width REQUIRED INSPECTIONS _ Foo[ings (new bldg) _ FinaUC.O. _ Footings(deck) _ FinaVNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile O[her Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tesis Final _ Framing _ Siding _ Stucco _ Stone _ Brick _ Fireplace _ R.I. _ AirTest _ Final _ Windows _ Insulation _ Retaining Wall Approved By: , Building Inspector - Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S8W Permit 8 Surcharge Treatment Plant License Search Copies Other Total ~ RESIDENTIAL ' BUILDING PERMIT APPLICATION (~t~ CITY OF EAGAN ~ -'Il a S-~ 3830 PILOT KNOB RD - 55122 651-681-4675 New Canstruction Reauirements RemodellReoair Reauirements C~ . 3 registered site surveys showing sq. fl. of lot, sq. ft. of house; and ail roofed areas • 2 copies of plan (20% maximum lot coverage allowed) . 1 set of Energy CalculaGons for heated additions • 2 copies of plan showirg beam 8 window sizes; poured found desgn, etc.) . 1 site survey tor exterior addNons 8 decks . 1 set of Energy Calculations . Indicale if home served by septic syslem for adddions • 3 copies ol Tree Preservation Pian d lot platted aRer 71153 . Rim Joisl Detail Options selectbn sheet (bldgs with 3 or less units) DATE 1'I - Z,3 - dz, VALUATION JOB SITE ADDRESS3,102 wlrck¢~ ~~r Dt- IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNER_ SUil2 j oG t-, TYPE OF WORK FIREPLACE(S) _ 0_ 2 APPLICANT <-U f nvf s64i IJ~r~i{~d~5 Sn.l_ PHONE# GIZ --I /y -Z 71 ADDRESS Z)cl ~ o A?[_ E- /Vn M.? ZIPCODE SSOZO PAGER # CELL PHONE # 617-11f- Z 2~/ FAX # NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLE Energy Code Category MINNESOTA RUI.ES 7670 CATEGORY 1 D (check one) - Residential Ventilation Category 1 Worksheet Submi Q PR 2 3 200Z - Energy Envelope Calculations Submitted MINNESOTA RULES 7672 BY - New Energy Code Worksheet Submitted Plumbing Contractor: Phone Plumbing Systcm Includcs: _ Watcr Softcner _ I:awri Sprinklcr Pcc: $90.00 Watcr Hcatcr No. of R.I. 13aths No. of Ballis Mechanical Contractor: Phone # Machviical Systcin Includcs: Air Condilioning rce: $70.00 _ I-Icat Recovcry Systcm Sewer/Water Contractor: Phone # All above information must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signafure of Applicant C F Certificates of Survey Received _ Tree Preservation Plan Rec ived _ Not Required _ Updated 2002 OFFICE USE ONLY ~ ? 01 Foundation ? 07 OS-plex ? 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 y- 17 Garage O 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OB-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? OS 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 Uy 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 vvl W idth REQUIRED INSPECTIONS _ Footings (new bldg) FinaVC.O. Footings (deck) ~ FinaUNo C.O. `L Foo[ings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _[ce & Water _ Final _ Pool _ Ftgs _ AidGas Tests _ Final ~ Framing _ Siding _ Stucco _ Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Re[aining Wall Approved By rZ , Building Inspector Base Fee Surcharge Plan Review MCIES SAC L9 City SAC ~ ~ Water Supply 8 Storage S&W Permit 8 Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search copies , Jr0- Other Total `S 2422 Enterprise Drive 'F PtONEER M Mendota Helghts, MN 55120 NOSURVEYORS•CIViIENGINEERS ~ n aerin L11ND VLwNNERS. UND9CRP[AACHR[CT! . ,f*p9* 9•• (612) 681-1914 ; Cert;r;cate o, SuryeY fo,: TNE ROTTL UND COMPANY I . ~ i. i NoR7N q~~ I o00 ~ i s, v s~ Rti' • a ; ~ $ ~ Q 1~ ~ \ 0~0 •f 3 y~ ~ O~ ~ ~ I P~ N ySa pX k=,~"',;° q~• ~S i~~~ .q y5~~ i - ,e.z+ ys~~+ oa~~ r$00.0 Denofes existi"n~ f/evafion PRODOSED NOUSE ECEVRTtONS . yoo.o Dtnofes propoHd flevatron Lnwesf Floor E/evofi'on = ' Denofes Droma~e ~Ufrl~'!~ Easemerrt denofes Drqma eFlaw Arrows Top or`'8loclCflevafior7 :'717• ~ . o ptnotes monumenf G'araga 5/ab 6/evafion = 917.53 j 8eurins"s shown oro assurned ~ LOT 23 2 BLOCK 1 i/-lICLS oF ST4NEBRlDCE i DAKOTA COUNTY, MINNFSOTA SUBIECT 7D EASfMENTS 0Fl1FG0R0 I hereDy arnify mat thil is a t.ve end cOrrK1 representat,on of i surveY af the boandarle+ of the abo e d a~ . a~n o~ ine locae:on of &-I ' Wildinqs, Ihereon, and sll visible encroeChmentt, if any, Iram or on nid la~+d N++vrveye0 6r me eh,j dar o~ A.O. 19,? f• I ~ 5CC71e : 1'" ° 40d - ~ . . 67 ROBEpT B.SINIC`+1.5. ~EG.N0.1~~9 , , 1991 BUILI7ING OTIA LICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PIANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS OF RENTAL UNITS _it OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS SEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. :APR 2 9 RECD To Be Used For: ~~1~p Valuation: Date: ~ ~~~I T Site Address ;16~2 Uc?~V,~.pjE~--OFFICE USE ONLY 891 ovo- Lot Block \ FEES Occupancy Bldg. Permit 590tOJ H~~~S eti Zoning 'PD,- 12-I Surcharge I/ Y•Sv Parcel/Sub Y"!&"~ Actual Const V-N Plan Review 3$ LOo Allowable V-74 SAC, City 1Ob,OO owner `T}-/E !2o-rrl._.u~-!r> Go. IkIG # of stories SAC, MWCC 6 D,OC~ ' Length $O ~ Water Conn. 6O100 Address S7o i E. lZtGk--~ Depth ~!Y Water Meter ',D S.F. Total Acct. Deposit 3 O.DO City/Zip Code j=Qiyx-,~~ , qFy z) Footprint S.F. S/w Permit 30, Dp S/W Surcharge SD Phone 57On site sewage_ Treatment Pl. z~dp On site well Road Unit 370,Jn Contractor MWCC System ? Park Ded. City water ? Trail Ded. Address PRV _ Copies Booster Pump _ City/Zip Code SUBTOTAL APPROVALS Penalty Phone Planner Lot Change Council TOTAL 30.11,1 Arch./Engr. Bldg. Off. L, L'9/ ~ Variance Address ? City/Zip Code Phone # S-~a-Al~- agrees that all work shall be done in accordance with (Signatuontractor) all applicable State of Minnesota Statutes and City of Eagan Ordinances. , VA L u,~~ ~ ' G AGG ~ X i~ : c.{c>u ~/S r Coooo yox?,q = ~~d 13 x Z~r _ s~~3 =C65 /ZZ~ X Iti:l~]aSo IsT F~ooR 13S~i~~' = 1 Zz~ -7 x 2 = 1 ~1 1 23y yc 53 : ~syoz 88 N 82 " oA , Piuriaar EnsinaErine 6315488 P.02 I I " I 2422 Enterprise Drioe I I Mendotb Heights, MN 55120 PIONEER L~OSVRV~YDRS~[IVILEH6IvFCRS LaIIP~-^~~'~.LANdSGPPE4HCNITECTS (672)681-1914 ± *engineering.. * T~IF R0TTLUI~[D coMpanr-Y ~ Certificate nf Survey for;_ ~ ; ~ II i~~ NORTH ~ I o p4~ Db.b ~ . J~ ' - 2 ~ \ 0 N I N 0 ,a, I Qo 4 X-' . . i . Qv Xp ~'•.s~~ ~ ~ ~S ~ I 9,, p\ ~ / f' - wz; ' ~ i14 ^ ~ i _ ~:ra:~ . C1:a~.~_~:.b~G r~~;x~~~ j d PROPOS£D NOUSE EIEVA710N5 i = goo.o Denoies ex+'stj'n~ Elevafion r yoo.o Denofes propos`~d Elevat~on Lowesf Floor Elevafion = `i'1D' ~~O ~ Denotes Ora~nabe ~ Utilr'fyr awsemenf ~op ot g/ock Elevafion =217• $eO I - - denates DrqinageAlaw ~1~.53 ~ ~'aro~z 5lab E7evafion = ~ o Denoles monum enf ; gearrn~is shown crr'Q assurrred ~ i ' LOT 23 , BLOcu 1 ~ I-~`ICtS OF S7`OIvE$RIDCE ~ ; i ~ DAKOTA CouNTY, M'H'V~'`OTA SV~~ ~~SFMFNTS OFRK~aD ~ ~ hertby certlfy th9t th,f j% a VUe enC corrcct reprgentailon o~ 0 SurveV af the b0~ ~ ti Tllih~qb0 C O ~rihed. Un , antl o7 tn p p tt9^ o~ I ~ 1~. ~ puiIdtngs, thereon, and 4111 vixible e~t*~chments, ih any, trom or on said lend. rV su^~V = Hl/~ UI~~ 87 ROBEST 6•SIKILn L5. -EG.ND. 1489~ ~ S[~ V ' - ~v M l~t I , FXTF.NiOR t:rrvr•.t,rn•r'. nvri;nrr: "u" C;>rtruTr,•rinN ~ ocr:aER Jl.JC7 GO , ~ STTE r{nDRESS LoT 2 j~LC)clcI) COYT?tACTOF D1TF. PHONE Dete_^min vorking squnre Sootaitc of' ench. 1. Total exposed wall area ~ D Gb sR. ft. x 0.11 - 2. Total roof/ceiling area sq. ft. x e,02o • Total exposed uail are3 nbovc floor Z}j a. Total wa11 vindov area J~D O, Cf . ~ b. Total door area °7 -;~5~ ~ c. Total sliding glass door area 3 q,q j d. Total fireplece wall erea Z o e. Total wall ;raming area average lO'P) " v C¢ P. Total net wall area nbove floor 2. Z(l ~ . g. Total rim joist area JZ ~ _ Tctal ezposed fot:ndntion arca h. Total fcun3e~ion vindcv area i. Total net foundation ar=_a above grade l!+ r~- i . I ~ . Deterrnine "U" valce e: each wall ;ec;rr,ent. i ~ lY . . ? a. K Y b. *7 r~i~- _ 5, ~ ~ x„U„ 2, 7 ~ a. Z o x„u„ e. X.,1ull z ~ X,~,,.~ . s• 1 1714. ~ X ~ h. X x,.U„ . + ~ b,73 3 . _ gn,,e If item N3 is the same as, or iesc, !.h:,n iLer~ met thpeiC,/t e o: ssc 6oo6(c)2. ~ i ~ Totnl exposed roof/ceiling aren y Total gross roof'/ceilinf, are:i = ,j. Total skylight area _ k. Total roof/ceiling framing area l. Total net insulated roof/ceilinF area • ' Determine "U" vdlue for cach ruof/cci 1 int,. seFacnt. , X nUn ? /r Q•OZ _ . k: x llUll 7. `J 1. 011.X „U,, o.o2Z = 24,c~3 4 . Total = z 7 If total of N4 is the same as, or less than N2, you have met the intent of ssc 6oo6(c)i. To utilize the total envelope system method, the values establiahed by the sum of iteas !13 and Xb shall not be greater.thxn the sum of iten,s Nl and N2. 1, + 2. ' •3, +4. . F - 0 _ . J -1;~ VA GA l.GUTIo t~ ~GcNT~ . -~~~M~ WkU. @ IN~I~ATI~N LoMPoNt~-N-F;, R-VAU.IE - I - a.u-rAM AIF- Fli.rbt 0,11 --r ~ - - - ~q N~. I' " ~4,. ==5/L INSU~A'~cta 19.0 I- ~ I ~ , r O wAu. ~ AJTuD LoMPoN~NTS ~ . - F- -VALUE15 I o_uT~~oE Pi~z fIt,.u. c, ~'1. _ 3 3 h05:A'(H INb. 2.G(1 I- 4 J---' I co' cL-- _ pl.1~N~ vie W. . ~ U = ~ D. G89 . I =(0.12 x o.0~9) -t-(o,Sb X 0.043> ~ =~1~--~0?~ i • - - ti ~ 3 0 ~ • /tl~. ~jLN1, o, l "I . . Qp . ~ / ~ ' ° ~:1 = G,pa / : I ~ ~ - ~ . / / ? . i 3 _-~r'-L~---- ' ~L~ 12.~: ~-r- - ~-G'- ~ ~ i5; I~ ~~G-t4I(L.-FIG:bt=-_. -0~1~1 ~ ,-.1-~ - . C ~G~. i N~~:. -2~ • c~ ~ ~ _ T~4. : ~ ~3; 'Z~4-~i_ . ~Ho~n• - _ -5_. a - ~ 3 4- 5 R= 3 G.-8 3 - 1 - 0, 027 . u ' ~ 2 j `2 lO ~ ftI~-FIGlr1. -G~1~ F _--0 45 3 0-OZ'L ~ ~ CITY OF EAGAN FOR CITY USE ONLY , q~ 31 3830 PILOT KNOB ROAD EAGAN, MN 55122 PERMIT # ~~079 . PHONE: (612) 454-8100 RECEIPT # O O li,ECF3ANTGATI:' YERMIT DATE : &161191 RESIDENTZAL: PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WNEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION FEES NEW CONST ~ ADD-ON MINIMUM $15.00 ADD ON HVAC 0-100 M BTU 24.00 REPAIR ADDITIONAL 50 M BTU 6.00 GAS OUTLETS - MINIMUM 3.00 OF 1 PER PERMIT OWNER NAME:~ vU ~ 19Q SUBTOTAL: $~0 SITE ADDRESS: a STATE SURCHARGE: .50 LOT:~.~ BLOCK SUBD. . TOTAL: S5U INSTALLER: FiARC L1TN & 9/C IINC 9303 Plymouth Ava No. Goideii ADDRESS: SIGNATURE OF PERMITTEE 55427 CITY: , •ZIP: ~ PHONE # : 59d. - ~ 1 6lP COMMEBCIAL%2NDOSTR2AT.t: PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL SUILDINGS, APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLZNG UNIT. CONTRACT PRICE: FEES OWNER NAME: 18 OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR SITE ADDRESS: EACH $1,000 OF PERMIT FEE. PROCESSFD PIP?NG s $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 PILOT KNOB ROAD S EAGAN, MN 55122 PERMIT # 3 40 PHONE: (612) 454-8100 RECEIPT # /6 O PLC1F18ING PEWT DATE : J` 9 EE$11DENTTAI.:' PLEASE COHPLETE UPPER POATION ONLY FOR SINGLE FAMILY DWELLZNGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FQR EACH UNIT. WORK DESCRIPTION COMPLETE THE FOLLOWING: N0. FIXTUR6S EA. TOTAL NEW CONST X ADD-ON MINIMUM 15.00 ADD ON _ I SHOWER 3.00 -3_ REPAIR WATER CLOSET 3,00 3_ ~ BATH TUB 3.00 3 1 LAVATORY 3.00 3 OWNER NAME: ~n1ll.,_~L J___ KITCHEN SINK 3.00 L LAUNDRY TRAY 3.00 Z STTE ADDRESS: Z`10:~ C__~,<1-<¢ HOT TUB/SPA 3.00 ~ WATER HEATER 3.00 3 LOT: a, BLOCK SUBD. FIAOR DRAIN 3.00 3 GAS PIPING OUT. INSTALLER: (MIi3IhSliM - i) 3.00 ~ 3 ROUGH OPENINGS 1.50 ADDRES S: C o~ rC_' R.c c C L~ _ OTHER WATER SOFTENER 5.00 CITY: \ o1t Aa _ ZIP: S S3 S a _ PRIVATE DISP. 15.00 _ U.G. SPRINKLER 3.00 PHONE ~~d- ~c3 ( SUBTOTAL S 3{- ~ v Le_ -Q; z ST. SURCHARGE .50 --SIGNATUR OF PERMITTEE TOTAL: $ 3 a ~ tOMMERCIALJINDIISTRSALc PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND MULTI-FAMILY BUILDZNGS WkiEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: FEES OWNER NAME: 1% OF CONTRACT FEE. STAiE SiTRCHAnGE = a.50 FCR SITE ADDRESS: EACH $1,000 OF PERMIT FEE. IAT: BLOCK _ SUBD. $25.00 MINIMUM FEE. INSTALLER: CDNTRACT PRICE x 18 $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE (SIGNATURE) FOR: CITY OF EAGAN City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 3902 Worchester Dr Lot: 023 Block: 001 Addition: Hills of Stonebridge PID:10- 32990 - 230 -01 Use: Description: Sub Type: e - Underground Sprinklers Work Type: Backflow Preventer Description: New Meter Size Meter Type Manufacturer Fee Summary: Contractor: Ryan Mechanical 1547 Hay Creek Valley Rd Red Wing MN 55066 (651) 388 -1510 PERMIT City of Eaan Surcharge -Fixed PL - Permit Fee (Res Modifications) Total: Applicant/Permitee: Signature - Applicant - Permit Type: Permit Number: Date Issued: Permit Category: Serial Number Remote Number Comments: Amanda Church 1547 Hay Creek Valley Rd Red Wing, MN 55066 651- 388 -1510 a mandaryanmech @yahoo.com $0.50 $30.00 $30.50 Owner: Brian Zirkelbach 3902 Worchester Dr Eagan MN 55123 9001 0801 Issued By: Signature Plumbing EA074813 08/21/2006 ePermit Line Size 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 PERMIT City of Eagan Permit Type:Building Permit Number:EA164224 Date Issued:09/23/2020 Permit Category:ePermit Site Address: 3902 Worchester Dr Lot:12 Block: 1 Addition: Hills Of Stonebridge PID:10-32990-01-230 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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). 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 - Brian Zirkelbach 3902 Worchester Dr Eagan MN 55123 (651) 261-2722 Today's Exteriors Inc 11308 70th Place N Maple Grove MN 55369 (612) 644-0236 Applicant/Permitee: Signature Issued By: Signature