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3907 Worchester Dr CITY OF EAGAN Permit Na Date: 3640 Pilot;!(nob Road B/P No: '7 "4 2 Date: `•-'1" % 4 P.& Box 21199 - ~ Eapan, MN 55121 ~ f ~ Owner. Grand Oa' s - I 3907 WoTChesY_Ar of SLa1't~'_- i Site Address: naZle P? ~.*b :n:; ~ Plumber: ~ MWCC: Zoning, ~ City Chg: 100. 00pd No. of Units: 15 .00 ~ ~ Acct. Dep: ~ t ~ I agree to comply wlth ihs City of Eagan ' Permit Fee: • Oopd Ordinances. ~ Surcharge: • St?nc? i Misc.: By 1 SEWER SERVICE PERMIT ~ ~ CITY OF EAiiAN Permit No: pate; 11 -19-87 3M RMbt Knob Road Meter No: 3 5 Size: ' P.O. Box 21199 , Reaaer No: d Date: I~-/1- K-7_ ~ Eayart, MN 55127 ~ Qwner. Gxand Oai:s SiteAddress: 3907 ?~Torcliester Drive L? ]33 H111s of Stone• ~ Va11ey Plumbinp brzd~e Plumber. - d Conn. Chg: ~ R1 ` Acct Dep: ( p MUnits: Permit Fee: 10 • 0 1l 10+"~I LltllitlPS Surcharge: .5 ~ aj#ftsdO"&*IY wlth ths City of Eagan Tr. Plant 1SQ •5W Q~ a c~,~r Meter. ri ~ Y~r Misc.: By WATER SERYICE PERNiI4 es .....P-. . ~ . . 12-19-87 , CIT1f OF EAGAN Permit No: 9231 Date: Size: 38:"1 Pilot;,tnob Road Meter No: P.O. Box 21199 . Reaber No: Date: I Eagan, MN 55121 ! Owner. Grand Oaks ` ~ Site Address: ~u Worchester I?rive L B lIi s o 5ton~- fie ;I Plumber. Valllry Y ~'a~bing Itl ' Cann. Chg: 525 00 d Zoning: No. of Units: Acct Dep: 10.OOpd Permit Fee: ~ I 9 ~~e Cny ot Eagan Surcharge: .50 a ree to comply ~ I Tr. Plant 18 0Opd Ordinances. ~ ~ Meter. ' Misc.: BY ~ I WATER SERVICE PERMIT CASH RECEIPT ~ ' CITY OF EAGAN 3830 PILOT KNQ*. AOAD EAGAN, MINNESOTA 55122 DATE 19 ~ R6CEIV<D FROM ~i' . ~r ~ : (~.LJ C?JvL- ;i . AMOUNT $ 71 Q ~ & DOLLAR$ oo 7 ? CASH CHECK ~ FOR r , _ ~ 7 / FUND CODE i/ AMOUNT Thank You . BY . 7" White-PaYert CcPY Yellow-Pottinp Copy Pink-File Gopy ,...r- _ . $LDG.~PERMIT N0. q ~t6i ; 01-321 BldgePermit 01-3422 Plan Check 01-3445 Surch./Adm. .01-3446 SAC/Adm. S.,01-2155 Surcharge ~ 17-3860 Road Unit 20-2275 SAC 2b-3865 Water Conn. 20-386$ Water Trmt. 20-3716 Water Meter C~ / Q 20-2252 Acct. Dep. oC 20-3713 Water Permit 20-3743 Sewer Permit 79-3866 Sewer Conn. ,~2~ 11-3855 Park Ded. TOTAL d' i:'i.A:.'CTtV OF EAGAN ~I ^ n t, 3830 Pllot Knob Road, P.O. Box 21-199, Eagan, MN 55121 1R'L. PH ONE: 454-8100 BUILDING PERMIT Receipt To be used tor 5F' DuG/GA& Est. Value $74•000 Date 2y 1 9 t~7 Site Address 3907 iJORCFiESTER hR OFFICE USE ONLY ' 3 SeGSub. Fl ILL5 OF On Ske Sewage Occupancy k~ Lot ` Block Parcel No. STU~~ DGE MWCC System h zoning R1 On Site Well (Actual) Const Vn c Name _ v~AND UAKS DEVEL CQ City water (Allowable) Vn ; Addres~ 4521 SO ]iAY L/!KE l~i, PRV Required ik of Stories ~ ° City NAGAN Phone 452-8934 Booster Pump Length 52 Depth 54 , p Name SAE1E z S.F. Total ~ ~ Address Footprint S.F. ~ City Phone APPROVALS FEES yVj W Name Engr./Assess. Permit ~ 412.50 _ = Address ' Planner Surcharge 37.00 z ' Plan Review ~ W City Phone Council 206.25 81dg. Off. SAC, City I hereby acknowledge that I have read this application and state that the Variance SAC, M WCC 525•00 information is correct and agree to comply with ali applicabie State of WaterConn. 525.00 Minnesota Statutes and City of Eagan Ordinances. Sigpature of Permittee Water Meter . i?U Road Unit Q .LiU A euMding Permit is issued to: VkRklL) C3r1'sC5'F38Vk1,- Cb (jQ Treatment P1 on the express condition that al) work shall be done in accordAnce with al I applic,ikble State of Minnesota Statutes and City of Eagan Ordinances. Parks Building Oflicial_ TOTAL - , 14 ~ 4 ~ ~ ~"F EI~GAM~ , 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PH O N E: 454-8100 BUILDING PERMIT Receipt ~t ' • ~ : , ~ . ~ ~.:h ~r ~ ~ YT i.: L: : ~ y e~ ; To be used tor ~ Est. Value 7 4,,xX.o Date Site Address ~0 ~~~F't"Nr.5 !'!;F•: OFFICE USE ONLY ` 1.1 i i,Ls CfT' On Sfte Sewege Oocupancy Lot Block Sec/Sub. s~ - - W MWCC System Zonfng ParCel No. On Site Well (Actual) Conat Vn .tiAl;i3 OA4<:-. CityWate? ~ (Rlloweble) e''i ' W Name z Address PRV Required ~ ot Storiea # 3 y;.. Booster Pump Length 1 0 City Phone S4 , Depth , p Name _ S.F. Total O~ Address FootprintS.F. ~ V t I ~ff City Phone pppROVALB FEES t F¢ ~4~5~~ 4 yVj W Name Engr./Assess. Permit q FW J7.W4~ Address Planner Surcharge Council Plan Review • ~ ~ ~ i W City Phone ~ ; Bldg. Off. SAC, City I hereby acknowledge that I have read this application and state that the Varience _ SAC, MWCC 525. 00'~ informatlon is conecl and agree to comply with all applicable State ot Water Conn. •T= r Minnesota Statutes and City of Eagan Ordinapces. Water Meter Signature of Permittee - Road Unit A Building Permit is issued ta Treatment P1 } on the express condition that all work shall 6e done in accordance with all Parks applicable State of Minnesota Statutes and City of Eagan Ordinances. , Building Official _ TOTAL ' Permit No. PrrmR Holder Wte TeIephone * Plumbing i H.v.ac. 9 Elect?ic !9 ~'7 Softener InspeCtlon Date Insp. Commentf Footings I Footings II Foundation Framing 4" Roofing Rough Plbg. _ J 1 Rough Htg. IsuL Fireplace Final Htg Final Plbg. Bldg. Final Cert. Oca f ! ' . Temp. LP Deck Ft¢ Deck Final Well Pr. Diap. . :r . . - . . . . . . . { K 5r~. -~z... , : . PERMIT # ,h y C~~_~• . PLUMBINQ PERMIT CITY OF EAGAN RECEIPT It ` 3630 PIIOT KNOB AOAD, EAGAN, MN 55122 DATE: CONTRACT PRICE PHONE: 454-e100 Site Address BLDG. TYPE WORK DESCRIPTION • LotBlock Res. OK New ' Mult. Add-on m Name ~ Comm. Repair ~ Addre Other c Ciry Phone - RES. PIBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES OTAL Name __,iLWater Closet - $3.00 ~ Address ~-Bath Tubs - $3.00 _~Lavatory - $3.00 O City Phone _-/-Shower -$3.00 3 a o 4_Kitchen Sink - $3.00 C o • FEES Urinal/Bidet - $3.00 COMM/IND FEE - 1% OF CONTRACT FEE ~Laundry Tray -$3.00 o O RPT. BLDGS - COMM RATE APPLIES ~Floor Drains -$1.50 ~L.=_ TOWNHOUSE & CONDO - RES. RATE APPLIES Water Heater -$1.50 -e7_ C,~ MINIMUM - AESIDENTIAL FEE - $12.00 Whirlpool - $3.00 MINIMUM - COMM/IND FEE -$20.00 _,I--Gas Piping Outlets -$1.50 STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIn (ADD $.50 S/C IF PERMIT PRICE GOES • Sottener -$5.00 BEYOND $1,000.00) Well - $10.00 , Private Disp. - $10.00 - _W.01-Rough Openings - $1.50 SIG TURE OF PERMITTEE FEE: _3_4 . An O . STATE S/C: - - Sn FOR: CITY OF EAGAN GRAND TOTAL: . ~ . . PERMIT # MECHANICALPERMIT CITY OF EAGAN RECEIPT # F` 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: tCONTRACT PRICE: PHQNE: 454-8100 Site Address r BLpG. TYPE WORK DES~FIIPTION Lot_~~ Block Sec/Sub New Name Mult Add-on Comm, Repair E ~ Address ~ c City ~L LA,, Phane Other - 0 Name l 'FEES ~ RES. HVAC 0-100 M STU - a24.00 c Address ADDITIONAL 50 M BTU - 6.00 p City Phone (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) ~ GAS OUTLETS (MINIMUM - 1 PER PERMI7) - 1.50 EA. ' TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE Forced Air ~ M BTU APT. BLDGS. - COMM. RATE APPLIES I TOWNHOUSE 8 CONDOS - RES. RATE APPUES ' Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON & 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 OuUets # BEY(3ND $1,000) Other FEE - i i, ~.J! l • S/C: SIGNATURE OF PERMITTEE TaraL FOR: CITY OF EAGAN ' . . 'T". . , ? . , . ' . . ( . ~ . . . ` PERMIT # ~l PLUMBING PERMIT RECEIPT p y CP2 CITY OF EAGAN 3830 PILOT KN08 ROAD, EAGAN, MN 55122 DATE: ~`~8 77 &T CONTRACT PRICE PHONE: 454-8100 ' Site Addrgss 2 1-7 ^ ` " BLDG. TYPE WORK DESCRIPTION ~ lot Block S/Sub Res. New Mult. Add-on ~ Name Comm. Repair .q Address `Other c City Phone RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAI Water Closet - $3.00 ~ Name c Address Bath Tubs - $3.00 Lavatory - $3.00 ~ Ciry Phone l Shower - $3.00 Kitchen Sink - $3.00 ~ FEES Urin21/Bidet - $3.00 COMM/IND FEE - 146 OF CONTRACT FEE Laundry Tray -$3.00 APT. BLDGS - COMM RATE APPLIES Floor Drains -$1.50 TOWNHOUSE 8 CONDO - RES. RATE APPLIES Water Heater -$1 50 I MINIMUM - RESIDENTIAL FEE -$12.00 Whiripool -$3.00 MINIMUM - COMM/IND FEE -$20.00 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 -$1.50 SIGNATURE OF PERIyI(TT FEE: sTare sic: FOR: CITY OF EAGAN GRAND TOTAL• ~ PLUMBING PEiiMIT For City Uso Only CITY OF EAGAN PERMIT # : CONTRACT 3830 PILOT KNOB ROAD, EACIAN, MN 55122 RECEIPT # PRICE PFIONE 4348100 DATE: -~~150 Site Address u BLDG. TYPE WORK DESCRIPTION Lot Block eGSub Mult. X Add-on~s,~$~ k. Sys k _ r Comm. Repair ~ Name 1ro aher -2 Address 0 Dr~ s fCv rI RES. PLBG. ONLY - COIAPLETE THE FOLLOWING: ° c City Phone 691-II&A NO. FIXTURES TOTAL Name - F Bath Tubs BS3.oo00 a ' ~ Address 3207 W° ~ Lavatory - $3.00 ~ City FAi Mi/ Phone shawer - $3.00 Kitchen Sink - $3.00 UrinallBidet - $3.00 FEES Laundry Tray - $3.00 COMM./IND. FEE -1% OF CONTRACT FEE Floor Drains -$1.50 APT. BLDGS. - COMM. RATE APPLIES Water Heater - $1.50 TOWNHOUSE & CONDO - RES. RATE APPLIES Whirlpod - $3.00 ° MINIMUM - RESIDENTIAL FEE $12•00 Gas Piping Outlets - $1.50 MINIMUM - COMM.IND./FEE $20.00 (1AINIMUM • 1 PER PERIYIIT-NEW CONST.) ti STATE SUFiCHARGE PER PERMIT .50 Softener -$5.00 (ADD $50 S/C PER EACH $1,000 OF PERMIT FEE) Well -$10.00 s ~ . Private Disp. - $10.00 ~ Rough Openinys - $1.50 51GNA URE OF PERMfTTEE ~ U. G. Sprinkler System - $12•00 PERMIT FEE: STATES S/C: "S'[~ FOR: CITY OF EAGAN 10-,,96 -0 GRAND TOTAL: ~o-L~Nu o . il, MODEL HOME - NO C.O. tiNTIL PLAt ~7 APPROVES. ~T1' OF EAGAN 1 4 2 2 5 3830 Pilot Knob Roa .O. Box 21-199, Eagan, MN 55121 nr~/0p,/ ` PHONE: 454-8100 Receipt u / 7~ BUILDING PERMIT To be used for SF DWG/GAR Est. Value $74,000 Date SEPTEMBER 29 1g 87 Site Address 3907 WORCHESTER DR OFFICE USE ONLY Lot z Block 3 Sec/Sub. HILLS OF OnSiteSewage Occupancy R3 Parcel No. STONEBRIDGE MWCC System X Zoning Rl OnSiteWell (Actual) Const Vn c Name GRAND OAKS DEVEL CO Cirywater X (Allowable) Vn z Address 4521 SO liAY LAKE RD PRV Required of Stories 52 o City EAGAN PhOne 452-893~+ BoosterPump _ Length Depth 54 , p Name SAME S.F. Total Ou Q Addf2SS Footpnnt 5 F ~ City Phone APPROVALS FEES Name engr./ASSess. Permit 412.50 U y~ ~i Address Planner Surcharge 37.00 x- Q w CityPhone Council Plan Review 206.25 BldgAff SAQ City 100.00 I hereby acknowled9e ihat I have read this application and state that the Variance SAQ MWCC 525.00 iMormahon is correct and agree to comply with all appHca6le State of Water Conn 525.00 Minnesota Statutes and Cit ot Eagan in nces. . Water Meter ~Z.00 Signature of Permittee Road Und 305.00 A Building Permit is issued ro: RAND OAK EVE 0 Treatment P7 180.00 A ontheexpresscondihonthatal workshallbetloneinaccOrda Rhall applicable State ot Mmnesofa Statut s and Gty of an Ordinances. Parks 70TAL $Z>357.75 Builtling ONicial , ~ (Irr#ifirxte of (Orrupttnry Citp of ttagan DP}1KTIl1tPril of Illt[Idl1UJ It[6}1Pf1lIIri This Certificnle issued pursuant to the requbements of Seclion 306 ojthe Uniform Building Code cenijying that at the time aJissuance this structure was in compliance with the various ordiwnces ojthe Ciry regu(ating building construction or use. Far the jo!(owing.• ux c~rm~o~ eiae. rt.a No. ~ ou-v-r ryx Z.Nae o~ma rra OwncrofBmlding ~~::rn 1' i.~ Addressb::')' :'1 i'•.• 7/ ' 't ~ i " _ 'i•," i +.1 ' j';c. r.- r t"i]'. BuiWinBAddr¢5 toolity ~ . . . W¢: 6wlding Offioil ' POST IN A CONSPICUOUS PUCE /o// 5/8°7 REQUEST FOR ELECTRICAL INSPECTION Ee.ooIo/ai-os ~p ~ Sort instruciions lor comvletinB thls lorm on Letk ol vollow copy. 7"G 5 D ' 6 5 Q 8 2 "X" Below Work Covered by Ihis Request aviJAddl NeD. Tvoe ol Bmldmq Applmncea Wind Equ.urrueni Wired Home kinge Temporary Service Duplex Water Heater Lightiny Finhnes !Farm t. Bwldiny~ Dryei Electnc HeaLn mmercial Bldy. Fumace Silo Unlonde, dustrial Bldg. Air ConAitioner Bulk Milk Tank Otnet aer,i y .ihir ISUncityl im pocily 1hnr Oih,!r ompute lnspectian Fee Below Y Fee ServicaEntrenca5ize p Fea Fqxders/SvbieeJers N Fee Cu~w~s Z.6L 0[10 200 qm 5 0 to 30 qm s t~ 0 in 30 {~n s Above 200 qmps 31 to 700 Amps 31 to 100 Am s Swimminp Pool qtwve 100-Amps Above 100_~1m s Transtormers Irrigation Booms PartialOther Fee S • Remrks Signs Speciul InspeClion TO T L F E ~ ~ RouBh-in DI, the ctricxl r fOJ'a'b) insoactor, netabv ceniry thnt the abave Final D.,y~ ~ inspecbmn hes been i made. Tnls rapuest vola 18man0u Imm 18monthstrom .5w ~ .6 5 .8 2 j I-qs A~nuest Ua~e Fire No. RouPh-in Insuer,tion ~ ) c' RE~wred~ HCady Nuw Will NoUly InspK- D' Q7 93Yes ?No ~Ior When eeady ~Licen+ed Elecvical Contrar.tor I hxruby requast insoeclion of obove ? Owner elechical work installad at Svem Address, Box or Rome No. Oiy 3eJ0-7 s~ Q/-- ~a an ecuun o. Township Namc or No. RanBe No. Cou~my , Oec ant IPflINTI Phome No. ~,-d Os. Fc s Power Suppher Address ElecUical Comractnr ICo iUanY Namel Con~r Ior's Licunse No. ri(~- Ma~linH dJress ICunvaclnr oe Owner Makinp Insrnilatwnl _7/ ~s 13- 5qu ~ Auth ized Signature ICOnvacmd ne1 MnkinB Install.tlion) Phone Nuniber &9a- 6 36 MINNESOTA STATE BOAflO OF ELECTqICITY THIS INSPECTION HEQUEST WILI NOT Griggg-Midway Bldg. - Foom N•191 BE ACCEPTED BY TME STqTE BOAFD 1821 Universitv Ava.. St. Peul. MN 55109 UNLF55 PPOPEH INSPECTION FEE IS Phone (612) 642-0800 ENCLOSEO. ~ FOf OfflCR USC ~ Pe Clty of Ea~an ; rmit# g396 i Permit Fee. ~ 3830 Pilot Knob Road Eagan MN 55722 ~ Date Received: Phone: (651) 675-5675 Fax: (651) 675-5694 I Staff: , I i i 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: ~ Tenant: Suite RESIDENT I OWNER Name: Afi 3JVST~ti( 'G(( S6n' Phone: ~051 - 338- 3~YS Address / City / Zip: ~ Applicant is' _ Owner -xContractor TYPE OF WORK Description of work: -T-e" c~o Construdion CosY ~kcco. Multi-Family Buildfng: (Yes _ J No ~ CONTRACTOR Name: r:41,-I- 04- t-lo~e Serv~`c.,c.S License#: o`~OS6Sy45 Address: Hc'.4t (~Uo It_> City: YYlo621,e 61r-0,it_ State:M,2)_Zip: sS 3~ 5 Phone: ~o I aa 4U - LJ ~-S 8 Contact Person: /0i Ll r.~S 44 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _ Minnesota Rules 7670 Categorv 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Categoy 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted (4 Submission type) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents thaf you submif are considered to be pubiic information. PoRions of fhe information may be classitied as non-public if you provide specific reasons thaf would permii the City to conclude that the are frade secrets. I hereby acknowledge that this information iscomplete and accurate, that the work will be in confortnance with the ordinances and codes of the City of Eagan, that I understand this is not a permit, but only an application for a pertnit, and work is not to start wrthout a permit, that t ork will be in accordance with the approved plan in the case of work which requires a review and approval of plans X~Vi(4 : s ~ F x ~ ApplicanYs Printe Name pplicant's Signature Page 1 of 3 PLUMBING (RESIDENTIAL) o~ Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 Please complete for. Single Family Dwellings Townhomes and Condos when permits are reqwred for each unit Date (l /,~5- /-03- Si[e Address Unit # PropertyOwner U~ 1~1 J~ Telephone w') 016 Contractor H_P pIpEWORIES 3670 DODD ROAD Address FpCAN, n~N §§12^ City (651) 365 1340 State Zip Telephone # ( ) The Applicant is _ Owner Conhactor _ Other Septic System New _ Refurbished Submil2 se4s of plans and MPC license $ 100.00 Includes County fee. Additional consultant fees may apply. Alterations To Existing Dwelling Unit, Including $ 50.00 _ Adding fiMures to lower levels or room additions, excluding water softener and water heater _ Abandonment of septic system _ Water turnaround 5!8" meter if needed -$121.00) Other: _ RPZ _ new installation _ repair _ rebuild ~J'LQp3 30.00 ~v J _ Larrn irrigation system v _ Water s7`1 r Water heater gy / $ 15.00 place ment _ additional State Surcharge $ .50 Total $ ~ I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be m conformance with [he ordinances and codes of the City of Eagan and with the Plumbing Codes, that I understand this is not a permit, but only an applica[ion for a permii, and work is not to s[art withou[ a pemut; that the work will be in accordance wi[h the approved plan in the case of work„which requires a review and approval of Ila --t) E-RL-JQ~ 7wi Applicant's Printed Name Applicant's Signature 7987 BDILDING PERMIT APPLIC9TION - CZTY OF EAGAAT L i N 4L- ~ / V ~ ~ r S NGLE FAMILY DWELLINGS INCLQDE 2 SEfS OF PLANS, 3 CERTIFICASES OF SQ1tVEY, 1 SET OF ENERGY CALCOLATIONS NOTE: ADDRESSES EOR CORNER LOTS - CONTRACTOR/HOMEOSiNER MQST DESIGNATE WHICH ADDRESS IS DFSIRED. NO CHANGES WILL BE ALLOWED ONCE BOILDING PERMIT IS ISSIIED. MULTIPLE DiiELLINGS - RFSIDENTI9L RENTAL UNITS FOR SALE IIIIITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SL]RVEY - CHECg flITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS . COMMERCIAL . ZNCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND To Be Used For: Valuation: 7~{~ p00 Date: Site Address OFFICE USE ONLY Lot ~ Block _3 On Site Sewage_ Occupancy R- 3 j /MWCC System v Zoning {Z- ~ Parcel/Sub On Site Well Type of Const City {iater ~ (Actual) V-N Owner 0) !x-o (Allowable) y-lJ Ik of Stories Address Length SZ,oo Depth SL(. DO City/Zip Code S.F. Total Footprint S.F. Phone APPROVALS FEES Contractor Assessments Permit y12,50 Water/Sewer Surcharge ?D,DO Address Police " Plan Review 206• ZS ~ Fire SAC, City O•oo City/Zip Code Engr SAC, MWCC 525,00 Planner Water Conn 5 $,ov Phone tLZ, o/,3 7 Council Water Meter 6.OO Bldg Off `I/Z`~ Road Unit 3o5.a0 Arch./Engr. APC Treatment P1 / SD.oo Variance Parks Address Copies TOTAL r,935 1. ~75 City/Zip Code Phone l1 . . ' . . ' • J ` ' . . ; ' r F~.. • : . o EXTEfiIOR ENVELOPE A~~AGE 'U' COMPUTA7TOfJ . , : GRAND OA~:S DEVELDAMENT COh1PANY°': P10DEL ~F}L'IiUl~' '.AREA U. U X AREA ~ • FEQUIFED ' TOTAL WALL AREA 1800 X.11 190 - 2. TGTAL ROOF1ARE:A 1196 X.026 31.096 ACHIEV[D AREA U U X AFE/l A. WINDOW AREA 186.66 . •5 93•-• ` G. DGQR AREA 39.0 .077 ~.VS4h C. 5LI DE GI.ASS AREA 13.44 .40 6. li51? D. FIREPLACE AFiL'A G v o f_. WF:LL FFAME AREA 1F30 .041 7--EJ F. NE7 WALL AREA 1164.1 .~~4y - G. RIM JOIST AREA 119.52 .0436 5.211072 H. GOUND WINDOW AREA 0 C' 1. FOUND AEOVE GkADE 96.48 .135 13.024E1 r TOTAL WF1LL AREA 1800 / 105.5026 J: SKYLITE 0 0 Ci K. RODF FFtAMt 119.6 .032 3.927_2 L. NET ROOF AREA 1076.4 .025 26.91 4. TOTAL ROOF AREA 1196 =0•7372 ? SUM 1.+2. • 229.096 SUM 3. +4. 216.2390 S4.RVEYOR'S C'E~IFICATE GRAND oAKS #467 WORCHESTE R DRIVE N N CwS.._- 85.00 N89°59'25"E (9ao,~) o •;,i,:~ o 1 ~ 5 5 g t14ia/~OVE2NANG~ ~ C4ob.o) % liJ -1I16.00- f .17.00'• W 26. O M ~ g P ~ C~Ub-U N HWSE~ ~ O a t~ ~ . O a G26A .0 R. n~ ~ 62.0 -iioo~ N N ~ LO T 2 ~ DRAINAGE & UTILITY I L EASEM£NT PER PLAT ~ _J 5 ~ 5 I 1 ' n . 85.03 N88°31 IS E., C~o3'6) / ~ ~ ~ DENOTES PROPOSED SURFACE DRAINAGE O DENOTES IRON MONUMENT SET SCALE: 1 INCH - 30 FEET • DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR - 0)06•3 FEET X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR - 90 3.5 FEET (000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK -9ob,-I FEET WE HEREBY CERTIFY TO GRAND OAKS THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lot 2, Block 3, HILLS OF STONEBRIDGE, according to ihe recorded plat thereof, Dak0t0 CQlfliy, MIf1f10SOta (THIS LEGAL DESCRIPTION WILL BECOME VALID UPON FILING OF THE PLAT OF HILLS OF STONEBRIDGE.) IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVI THIS 257N DAY OF SE'PT , 1987. PROPOSED ELEVATIONS SHO4;N 41ERE SIGNED: P. 4£S . ILL, !NC. TAKEfJ FROP1 THE DEVELOPP1ENT PLAP! FOR HILLS OF STONEBRIDGE, PRE- BY PARED 6Y PIONEER ENGINEERING AND HAROLD C. PETERSON, LAND SURVEYOR LAST DATED 8-26-87.. MINNESOTA LICENSE NUMBER 12294 ~ m o T~ o~ m9 N~ James R. Hi / inc. N ~ > ~ p m ~ m ~ ~ D o~ o~~ D Z N R' ~ Z PLANNERS / ENGINEERS / SURVEYORS T O m ~ ~ { 9401 JAMES AVE. S. • BLOOMINGTON, MN. 55431 • 612-884-3029 a a ~ APFLI.^,ATION FOR PERMIT ~NME' PAYMENr OF FEE AT TIME OF •`F' APPLICAI'ION DOE$ NUf CYk1- i SfI1lT1E APPR(iVAL OF PFRhIIT. ~ SEW ER AND/OR WATER CONNECTION : INseECTIaN oe sEwx nrn/ox vmTx ; ; xrsrnctJ,TIaas wua. r,CYr ee scEDUtm ; ~ . • r l'Nl'iL PE]tPIIT HAS HIIIJ APPROVm. : \ ifl4fx}rflltttf~l~1~~14}tf4~tlf~kttffi ~ MV oF (zclcjn c~ (PLEASE PRINT 1) PROPII2TY ADDRESS: ..~9Q . ) c ~ L• ~i ~ 57 e (Z ~~2 i c12 , G ~K e LE•X'~AL DESQ2IPTION: Lot B oc S ivision or Tax Parcel ID r' IF EXISTING STRL'CTY)RE, DATE OF ORIGINAL BLILDZNG PERMiT ISSUANCE: Mont Year PRESE6PP 7ANING/PROPOSID USE: Q CODM'E2CIAL/RETAIL/OFFICE I R-1 SINGLE FAMILY Q INDL~STRIAL ~ R-2 DLPLEX ('IWV C'nits) Q INSTIILTIONAL/GOVERNNIENT Q R-3 'IC)WNHOOSE (Three + Units) ( Lnits) Q R-4 APARTMENf/COAIDOMINILM ( Onits) z) NAME: 412a,t/~~ ~-veLc vAf~Jr- Ce~. AnDRESS: ,ece"d CITY, STATE, ZIP: ~Q Y( I. ,c~ .~S" 1-2 3 PHONE: For City Use 3) NAME: ~ yt p, ,r/ ' Plumbers License: ADDRESS: Active Expired STATE, ziP: ~ a,z .,J ~5_52, I~ Notrecordec PHONE: ~ MASTII2 LICENSE # 7 -M ~c Sta In£~ i~ 4) Wik " • . N.aME: ez- 6, (`)c~. K S ,QJ e (,c_1 crtf o ADDRFSS: CITY, STATE, ZIP: PHONE: 5) s ~ • a ~~i •oo ..i CE CONNECTION TO CITY SEWEE2 [ETCONNECTION TO CITY WATEF2 O OTHER 6) MF 9, ~//7 THE GOID COPY OF T4iE PII2hffT WILL BE SENP DIRFX.'IS,Y TO PUBLIC WORKS TO FACILITATE MEI'ER PIQC-OP. PLEASE ALTAW 7TAD WORKIP]G DAYS FDR PROCFSSING. SOP7EONE FROM TfE CITY WILS, CONPACP YOU IF 14ERRE ; * ARE ANY PROBIEKS. ; ~*~****+*******+**~***~**~*******«~*+*,r**~***+**~+***+r**,r«~~****+****+******~*+******+**+*~*~*****~ .-F'OR CITY USE ONLY PERMIT # ISSOED Pd w/Bldq. Permit FEES: $ $ SEWER PERMIT (INCLODE SURCHARGE) $ $ WATER PERMIT (INCLUDE SC'RCHARGE) ~ $ $ WATER METER/COPPERHORN/0[.'TSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ ~-3- /S',~~ ACCOUNT DEPOSIT - SEWER $ 16f-3 ACCOUNT DEPOSIT - WATER $ 2 5~ 'ln ) $ WAC $ S SAC $ $ TRUNK WATER ASSESSMENT $ $ TR[)NK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TR[)NK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ $ WATER TREATMENT PLANT SURCHARGE $ OTHER: ~00 $ TOTAL RECEIPT ~ RECEIPT DOES UTILITY CONNECTION REQUIRE,EXCAVATION IN PUBLIC RIGHT OF WAY? F__j YES IF YES, THEN A"PERMIT FOR WORK SVITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE E[VGINEERING ~ NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: ZC t-7-0 TITLE: DATE : ~l I /Q Z 2005 RESIDENTIAL BUILDING PERNIIT APPLICATION 00 City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConstruGion Reauirements RemodellReoair Reauirements OKce Use Onlv 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all rooted areas 2 copies of plan CeA of Survey Recd _ Y_ N (20% mazimum lot coverage allowetl) 1 set of Energy Calculations for heated addNOns Tree Pres Plan Recd _Y _ N, 2 copies of plan showing beam & wintlow sizes; poured found design, etc. t sHe survey for addHions 8 decks T2e Pres Required _Y _N t sel of Energy Calculallons Addilion - ind'roate Bon-sde sepfic sysfem On-site Septic Systam _Y _N 3 copies ot Tree P2servation Plan If lot platted after 711193 Rim Joist Detail Oplions selection sheet (buildings with 3 or less units) Date 7,7 Construction Cost 6L,J7~ Site Address 39c) ~ Z{k)2CA3124 4n, Unit/Ste q ' Description of Work ~CG~Jq~ (~lf/~L(r l,twy e5-/f S Multi-Family Bldg _ Y AN Fireptace(s) _ 0 J~ 1 _ 2 Property Owner J..~ 5f ~ ~ 1 I w5c'J Telephone #6D )*U- 6 3~13 Contractor ~ ~ I~~l7C~~ ,~t ~r Aadress 1V3ei~1 14,!u jlr-L,7~2j /f..L_S, Ciry S/~1/i~(r State P-i Zip 7~) ~ b Telephone bi) ) S,l/' 5y/ 5Ei1 7 7 COMPLETE THIS QREA ONLY IF CONSTRUCTING A NEW BUILDING . - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Enefgy Code Category . Residenliai Ventilation Category 1 Worksheet • New Energy Code Worksheet (4 submissiontype) Submitted Submitted . Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee appiies. Licensed Plumber Telephone ) Mechanical Contractor Telephone ) Sewer/WaterContractor Telephone#( ) I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a pe it, and work is not to start without a permit; that the work will be in accordance with the approved pl in the a of work which requires a review and approvaI ans . ` n^ ~ l~ ~~f`' ~ llp ft Applicant's Printed Name App i ant's Signat OFFICE USE ONLY , Sub Types O Ot 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 EM. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF ? 04 02-plex ? 10 OB-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Stortn Damage ? 06 04-plex ? 12 12-plex Pibg_Yor_N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior O 44 Siding ? 32 Addition O 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building' ? 43 Reroof 0 46 WindowslDoors ? 34 Replacement 'Demolitlon (Entlre Bldg) - Give PCA handaut to applicant Valuation Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaUC.O. _ Footings (deck) _ Final/No C.O. _ Footings (addition) _ Plumbing Founda[ion HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ AidGas Tests Final _ Framing _ Siding _ Stucco _ Stone _ Brick _ Fireplace _ R.I. _ AirTest _ Final _ Windows Insulation _ Retaining Wall Approved By: , Building lnspector - - - Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit 8 Surcharge Treatment Plant License Search Copies Other Total 2007 RESIDENTIAL MECHANICAL rExMiT nPrLicaTioN City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 ' Please comple[e for: single family dwellings c@. townhomes/condos when pertnits are required for each wit Date / c1 7 Site Address ~ 90 7 Z4Zo C~ PS7~ J ore / ve- Unit # Property Owner 4$/jh C~C 5 U.7 Telephone 6 S/ ) 3 3 8- .3s ys i c°°t'a`t°r A!4GEl.l AIRE,JflLC 12253 Nicollet Avenue South Street Address Rumevill . MN 55337 4 City s~te Telephone:952-746-5200 Fax:9eft 7An I?02ZiP Telephone# Bond 0 S 0 ? U 7j Expires: ~ '0 The Applicant is _ Owner A_ Contractor Other Fire repair (replace burned out appliaoces, ductwork, etc.) $ 90.00 This fee applies when extensive mechanical repairs are made to a building. Add-on or alteration to existing dwelling unit $ 50.00 ? furnace _Additional V_'~Replacement _ New air exchanger air conditioner 7 heat pump other State Surcharge $ .50 Total $ 5a. ,S-a 1 hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the Ciry of Eagan and with the Mechanical Cod t ~6,1,y~ 4 i~ ot a permit, bu[ only an application for a permit, and work is not to start without a permit; that the wor~ilL'~eUri'~dthe approved plan i3thase of work which requires a review and approval of plans. U Jl1L 2 3 2007 Applic t's Printed Name Ap cant's Signature ANGELL AIR INC. Fax:952-746-5202 Rue 7 2007 06:29am P002/002 -KC E APPLLA PERFORNInN_._~~~T ulato~ At~ch ro gas line adjacent to ~e9 Heating Gorctracta ~ Name of Tester . oace JobAddress Heating Contractor 11 f Name of Tester ~ ~ Date 7 7- ~ Percent0 PerCent C02 6'_-~-- Percent CO . 4 Stack Temp. 3~ ò ÿ ù þýüýû ÿþýþü ûÿÿ ýùîøí òúÿù üÿ íí ÿ ø úùø ÷ÿÿö ø ÷ÿ ö ø ÷ÿðÿ÷ýÿ ÿ ÷ ÿ ÿááÞ÷ý Ûü úëý ÿçÿÿ ÿ ç êôÿîýîýßÿÿ ôÿý÷ ûôõáê êêê ý ÿçÿÿââáèèá ÷û ú îý üÿý ÿéýýââèíèí éýýè öúõ øôó ÷÷ý ÿ Ü ô êôÿîýîýßÿíö îÿ ÿ ôÿý÷ ôõáêþýüýôõ æêãêê îÿ ÿù ý ÿüÿîýîýßÿ ÿýî ý÷÷ýý ýÿîýîÿò ñý ÿýýü ÿÿñ÷ îýý÷÷ýùÿúýÿ òôÿ ýúýÿ ý òþýüýÞ ýÿ è ÷÷ýä ÿ ñÿÿúüý ÿ ÿ úüý ÿ PERMIT City of Eagan Permit Type:Building Permit Number:EA122806 Date Issued:05/20/2014 Permit Category:ePermit Site Address: 3907 Worchester Dr Lot:2 Block: 3 Addition: Hills Of Stonebridge PID:10-32990-03-020 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 by law in ALL single family homes . 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 - Justin M Hickson 3907 Worchester Dr Eagan MN 55123 Renewal Andersen 1920 County Road C West Roseville MN 55113 (130) 651-2644 X777 Applicant/Permitee: Signature Issued By: Signature � ` � Use BLUE or BLACK Ink / � � . . r-__-____.--------i � r • ��'�,� .`� i For Office Use i C14 Ol L� �11 �� Permit#:�� l � � � I PermibFee: � I� . �� I 3830 Pilot Knob Road ��.�"�..�'�`,�� Eagan MN 55122 � Date Received: � - �.a''�� Phone: (651)675-5675 �� ZQ j� � �l I Fax: (651)675-5694 �� I Staff: I T- I 2015 RESIDENTIAL BUILDING PERMIT APPLICATION . • y y. Date: Site Address: Unit'#: � � �� . � . � / � �,� ;��; ` Name:�Tu S T : ,.r H �'c�t"pr Phone: c,oS�3 `fa "` �S'-// � �� F �� Address/City/Zip:_3 `�a � , •(.,� c� r2 C-(�S��R �/�. . � �- Applicant is: Owner L Contractor �. � � �y�� Description of work: ��c/< /S c�i/c� � �T Fa %� l� '� � ��,, �117�l J , :,,;�� :.. Construction Cost:,��b c�-v a # Multi-Family Building: (Yes /No�� ?� Company: /�7 f' jCi�.r,,"e lt Contact: /t f'r /� ��y � �' � ` 1�� p ' Address: �i�J 7 f-/Wl f /6 dt/. J�l1. �G�i City: /C � e� S c -� ��#"��' �� ;� �.° State:N_]d`�Zip: Phone:�/2��-�'�/7EmaiL• ° License#: Lead Certi�cate#: If the project is exempt from lead certification, please explain why: �l�ll.' �.� $�? �� COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING tn the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: , Sewer�Water Contractor: Phone: Fire Suppression Contractor: � " ' • � ' �- Phone: :; ��?��a�f'su��or��r�lo��ni��r�l`�r�r��s��is��;�� a��rf : ��,��"��r��r��ed�s�r��pr�a��,��c��c�'��#��`�'��Se�r��r �_ � � �:, �� ,.� .� ,�..: c��"e�� ' ,; _ �.. �e _.: �� _. .__. � ...�,�� .�� 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.qopherstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conforrr►ance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. x RfL r n S � X � ApplicanY Printed Na e A ic t's Signature Page 1 of 3 DO NOT WRITE BELOW THIS LINE /3/ �7 �� r� . '� SUB TYPES V _ Foundation _ Fireplace _ Porch(3-Season) _ ExteriorAlteration(Single Family) _ Single Family Garage Porch(4-Season) Exterior Alteration(Multi) _ Multi � Deck Porch(Screen/Gazebo/Pergola) 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 Window Water Damage _ Retaining Wall "`Demolition of entire buiiding—give PCA handout to applicant DESCRIPTION Valuation p�q� Occupancy ,ri �� MCES System — Plan Review Code Edition /� SAC Units — (25%_100%� Zoning n -, City Water _ Census Code �/3+� Stories -'- Booster Pump �. #of Units / Square Feet 2.�k PRV - #of Buildings l Length I,lj , Fire Suppression Required � Type of Construction _�_ Width �g, REQUIRED INSPECTIONS � • Footings (New Building) Meter Size: � Footings (Deck) Final/C.O. Required Footings (Addition) �L Final/No C.O. Required Foundation HVAC Gas Service Test Gas LineAir Test Roof:_Ice &Water _Final Pool:_Footings _Air/Gas Tests _Final Framing Drain Tile Fireplace:_Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick Insulation Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression: Rough In_Final Braced Walls Erosion Control `�� Other: Reviewed By: , Building Inspector RESIDENTIAL FEES 2 y� � A�G� �a.;r Base Fee /O 3 .--- G�- �� 3��d� Surcharge Plan Review �j?�� MCES SAC City SAC Utility Connection Charge S&W Permit 8�Surcharge Treatment Plant Copies TOTAL Page 2 of 3 .� • SUR�EYOR'� CEi��TIFICATE GRAND oAKs #467 1�1 �9g WORCHESTE R DRIVE �3�D�7 l.��c1�.� - - — �r N � N ��05,7>_- 85.00 N89°59�25"E �� C�aa,�) i � o �� -: ''� o � � ,;� ..�� 1 � o a� 5 � ��¢�4 �- 0�5 g � / l�i m ��4 a> � OVER.NAN4� M � m ,� - 16.00• ;� 4g.:•, _� «�bs'��J i7oo-• % W W � --� � 2s.o --- � in � I ,aY 5 #�� / 9� M M j r� � � g � S �� C�l7to�V RROPOSEDp p o O HOUSE � o O O � 26.0 `r I c� � � I ��GAR. � .-�-i- � , r- �' �' I �--'�'� ' -1 N � ��.� i i � �2.0 - 16.00' �ROIo�U) Utv,v ' 1700 • N �z p GK I � 19=7"�, lu� � �� . I �t 4 pr�cn � �� N — LO T `� �� s I '�DRAINAGE Q UTlLITY I EASEMENT PER PLAT� 5� � �5 I � h i � a .' C�U�'6, �ho`�'�', -- 85.03 N88°31 18 E / � � ti� ' '�� '; �a�� .�.`�� L_�.� �� .._. ��r:��/�✓_ H.:DtJB�D�t�ll." ..�...�_�i�V 1�Qt�3S ��Y�J�OIV � DENOTES PROPOSED SURFACE DRAINAGE O DENOTES IRON MONUMENT SET SCALE: 1 INCH � 30 FEET • DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR = 9o(n�3 FEET X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR — 90 3.5 FEET (000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK— �Ob.1 FEET WE NEREBY CERTIFY TO GRAND OAKS THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lot 2 , Block 3, HILLS OF STONEBRIDGE , according to the recorded plat thereof, DQkOta Caunty, Ml�(1@SOtQ (THIS LEGAL QESCRIPTION WILL BECOME VALID UPON FILING OF TNE PLAT OF HlLLS OF STONEBRIOGE.) IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVI THIS 2STN DAY OF S�PT� , 198�. PROPOSED ELEVATIONS SHON{N 4JERE ��G�!EQ: A �S . lL�., lNC. TAKEfd FROh1 THE DEVELOPD1ENT PLAN ^ FOR HILLS OF STONEBRIDGE, PRE- BY, l� PARED BY PIONEER ENGINEERING AND HAROLD C. PETERSON, LAND SURVEYOR LAST DATED 8-26-87. . MINNESOTA LICENSE NUMBER 12294 � W ames R. Hi inc. m p T -�J p � m � � � � r r � c- O < � p D � — � �' � n � v� N � � � o � o -� D � �' m � Z PLANNERS / ENGINEERS / SURVEYORS � � ,o m � � � W 9401 JAMES AVE. S. • BLOOMINGTON, MN. 55431 • 612-884-3029 � 0 N 51-111C 161 - r.,0 EAGAN For Office Use ,i �% 0°r Permit#: / f�G `" -.4,0, Permit Fee: / 7G2 Date Received: I. / 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 �, (651)675-5675 I TDD:(651)454-8535 I FAX: (651)675 7 • 1�� Staff: ./i5friii buildinginspections(&cityofeauan.com APR 18 2019 2019 RESIDENTIAL = 1LDING PE , . IT APPLICATION Date: Site Address: Unit#: v "(`lJA .( y1CKo►�Name: Phone:C� -33g—33'U S O si U o) GJ o 4NCh rG57 IC D4 E 66-44-P-1NUJ575/2 3 Owner Address/City/Zip: Applicant is: Owner V ontractor --1 / / ii• a(1 çI07b,e, / 6- Description of work: jc i rc K 4:_>\I (<&—/I bbe(— Type of Work Construction Cost:$3 7J Gam) Multi-F/amily Building: (Yes /No /) Company:9re►J�(vG•"1 ( As-ro f1 R .�1 C n ct: (4-‘(i/N j"r Ho/-'1 c r ar Address:17A 13 f �-1-h�- �r PO Ei. City: -AAM/nl G- `a N State: 1r4 Zi-p:CC() 2 7 Phone: 5 7 2,'?Ema„_.il K6 Li I k �-E it.,� U �. ../' ' License#: �J/7e6 e6 7 ead Certificate#: 61i3 05 7 If the project is exempt from lead certification, please e plain why: C -/ �/ --' `�� 0 - Or COMPLETE THIS AREA ONLY IF •NSTRUCTING A NEW BUILDING In the last 12 months,has the City of Eagan issued a permit for a si ar plan based on a master plan? Yes No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE:Piens and supporting document that you submit aro considered to be public information. Pardons of 0e InfOnionliOrtairWhir classified.a*non-public if you Puucida sPasluo unisons that would permit the City to conclude that they ars-had* You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.cityofeaaan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. CALL BEFORE YOU DIG. 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.qopherstateonecall.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 rt v inl Si 6 t--r4 L/1 x =—`_ f Applicant's Printed Name pplicant's Signature DO NOT WRITE BELOW THIS LINE 9c 7 1Joectie- -1-t-g- �� . j_ -_50 --__s SUB TYPES —`Foundation _ Fireplace _ Porch (3-Season) _ Exterior Alteration(Single Family) Single Family X _ Garage _ Porch (4-Season) _ Exterior Alteration(Multi) _ Multi — Deck _ Porch(Screen/Gazebo/Pergola) _ 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 Window _ Water Damage Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation __49Occupancy 04, ft MCES System Plan Review Code Edition SAC Units (25%_100% ') Zoning (11 City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction V }J Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings(Deck) Final/C.O. Required Footings (Addition) i., Final/No C.O. Required Foundation Foundation Before Backfill X HVAC_Service Test Gas Line Air Test Y Hood Roof:_Ice&Water _Final Pool:_Footings _Air/Gas Tests _Final Framing 30 Minutes 1 Hour Drain Tile Fireplace:_Rough In _Air Test Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS Insulation Windows Sheathing Retaining Wall:_Footings_Backfill Final Sheetrock Radon Control Fire Walls Fire Suppression: Rough In_Final Braced Walls Erosion Control Shower Pan ,,� Other: 7 Reviewed By: 0V , Building Inspector RESIDENTIAL FEES6 Li )C1 Base Fee0 6 Surcharge C/ '16,,pc,\TP:er\ Plan Review MCES SAC (1' i ,i j \I City SAC Nikr Utility Connection Charge 1 - S&W Permit&Surcharge n Treatment Plantq ,t 9 '. y '0 Radio Meter Read I Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA155268 Date Issued:05/07/2019 Permit Category:ePermit Site Address: 3907 Worchester Dr Lot:2 Block: 3 Addition: Hills Of Stonebridge PID:10-32990-03-020 Use: Description: Sub Type:Residential Work Type:Alteration Description:Fixtures Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (miscellaneous)$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 - Justin M Hickson 3907 Worchester Dr Eagan MN 55123 Peine Plumbing & Heating P.O. Box 66 Vermillion MN 55085 (651) 463-0155 Applicant/Permitee: Signature Issued By: Signature