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3911 Worchester Dr ñý ðð ÿ ÿþþýüðüúû ùýýþþîûûø þÿ ãâ æþü ãïïã ÿþ þýüûúùí æø ýûúù ûúùíù ùâý ø ý øãåýùú ä þóý ë æò ù ùù æÿò ôý ôò ù öá æü é þ ý ùüýæ ù é ø üôè óý üúö æôúòô é ëêãßêéé öù þý ò àýêãßêéïéï àýãÿé õô óò ùù òñü òý þò ãï ò ñ÷ã ñ÷ãì ðïîì ò üúö ò òç ò ùù òòæ ô ôùúöòùùüþ æñ þý øúæ å é ùùá ôþ ý ýúþ ý » .~~'i- . . . . , . . ' i - ~ttcate a~ ~ccu~ranc~ . Y 7his Cer#icate issaeed purriant m t/u rrquimnents oj the Uniform BWilding Code ti certifying tlat at doe tiiwt of isaance drrs stnrcture was in canpliance with the vurious • t - oydi»ancu of the Ciry nSulatmg brildirtg constnuction or use. For the following: ~ I Uw ~ SF DWG ffik Pa Na 741 . CODIL or BOMs b uVm Add~ BRIA ial' FX'~1N ~ Laalty • • ~ 10/12/q2 ! s.ilis a~ PUST N A OONSPKXIOUS PLACE NE i - - - _ . . . . INSPECTION RECORI) Contro' ' CItY OF EAGAN ~ - pERMiT TYPE: fj+' i 1 16 114110 3830 Pilot Knob Road Penmit Number: 000141 Eagan, Minnesota 55 i 23 Date issued: ! (612) 681-4675 'I SITE ADDRESS: i~+ r ~ ~ APPLICAIVT: i R s'Aiz 1-.,s~ 141. ; i; b #?4'l! ? ?_tI; F3i~tfi +ai t.a<4 4 ~ PERMIT ~SUBTYPE: TYPE OF WORK: ~ r~~~r; NF.u I ~ FM ~ i tiw FitAM r Nti tMSULAI I f.lm !"IMAi ~ FtREP1.ACE_ OFMANKStOECEII''t 0 9614 PLpR. ~ TdM NES9XAM PtOQ. r ~s ~ ~t r s- . wrn~t Ku, v«+nk No*er o.» rw.prwn. A . sm ' PLUMBING HVAV 4 ~ } ! ELECTHIC' EIECTRIC ~(I.~l'~Q'' - {CL•l.~. L"Mo~ Dra ihap. Ca~mNnb FooWW l F°un&n°" FrBminy u PAWrD Ra+yh F69• ~ / - fto H4 ~ic11%- Pnpkwo Finel Hlp. orsaR Teet t Fll* plbq' D-/ - PRip. MwDsctor - Notlrr Pkunbw Cornd. Metnt EnprJPlan eiaa. F:irW Do* F4 ~ ~ . oedc Final vVin Pr. oiW Address: 3911 UU~rffgTER DRIVE Lot I Blk 3 Sec/Sub p7I,LS OF STONEB?tID(E These.items were/were not complate at the time of the final inspection. Date: 10/22/92 Yes No , IngPector. Final grade (6" from siding) ? Permanent steps - garage v Permanent staps - main entry ? Permanent driveway Permanent gas Sod/seeded grass ~ Trail/curb damage v Porch Basement finlsh L/ Deck Please veri£y vith the builder tha ramoval of roof test caps from the plumbing system and the shut-off of vater supply to the outside Lawn faucet before freeze potential exists. ~ Whice - City copy Yellow - Resldent copy Pink - Contractor copy 1 S654 ;Ii 18 a ~ o °°r Requ st Oa1e f Fire No Rougn-in Insoectmn Reqwred, ? Ready Now ill NoLfy Inspector ~ ;es G No When Ready'+ I licensed contractor L3 owner hereby request inspection of above elecirical work at: Job Atldress (SUeet. 6ax or Route No Ciry - ~ a- o a"--) Section No Township Name or No Range No Coun O up n11PRINT) Phone N. Pawe uppber k_j Adtlress ~ ~ panyNa me7 ~ Convacmr5 Lmense ~ Ele -i Convactm (ComJ e7Z Meilinq Adtlre s IGonVactor or Owner Making Installalion) s e AutM1Onzetl ignawra 'ConVaclon ner Ma4ing Installalici ~ PM1Ona Number 61, 4 --_lo3Co MINNESOTA STATE BOARD OF ELECTHIQTV THIS WSPEGTION REOUEST WILL NOT Griggs-MiCway Bltlg - Room S173 BE NCCEPTED BV THE STATE BOARD 1821 Unrvers0y Ave , St Paul. MN 55104 UNLESS PROPER INSPECtIDN FEE IS PM1One(612)6<Y-O800 ENCLOSED ~ (j 9~~ REQUEST FOR ELEC7RICAL INSPECTION ~.°1.%~'"y@^~a ee-ooooi-0s J 6~~~ • See msimcnons for mno;eLng t1is lorm an Eack ot yellow ropy 1, y-~ /DGIv~~ Below Work Covered by This Request e HPtYfie~p.~ TypeofBmltling AppliuncesWUetl EquipmentWired Home Range Temporary Service Duplex Water Heater Electric Heating Apl Bwlding Dryer Other (Specdy) Comm./Industrial Fumace Farm Air Condtlioner O:her (syeafy~ Concranori Remarks Compute Inspecfion Fee Below: # ONer Fee F ServireEnirenceS2e Fee # Circuits/Feetler5 Fee Swimming Pool 0 to 200 Amps - to 100 Amps Transformers Above 200 _ Amps AOOVe 100 _ Amps Signs mspecmr's Use Ony TOTAL Irrigation 8ooms -7 ~ ~ Spemal Inspedion l~ ~ Alarm/Communicanon THIS INSTALLATION MAY BE ORD SCONNECTED IF NOT Other Fee - COMPLETED WIT MO S f I, the Electrical Inspector, hereby Ro°9n"" ~ oa'e certify that the above mspection has F,nai ~ been made. r oare ~ J?? ~r OFFICE USE ONLY This request voitl 18 monlns Irom p~63500 -I ii ~ Reduesl Dare ~ / = PougRin Inspecuo ~ p~ Feqwretll ~ ~eatly Now ? WAI Noufy Inspector •r 9Ves No When Reatly+ Ix'licensed contractor ] owner hereby request inspection of above electrical work ar Jao Amress ISVeet Bm or Rame No ) Qry 3`i11 Worgnlkesfer C~- 5¢Ction NO TOwn5hi0 Name or No Range No. Counly o«uvaoi iPaiNn anone ruo. H- 681_03?Z t) o.,n Lv,+- ie~s w- _~-EQ6e Powar SuopFer U Adtlress Elecncal Gonvactor ICompany Namel ConVamors License No 02E7,5-4 EICGEr-,~~ G~ G2.2G~{ tdelbnq naciess (COn;racmr or Owner Mekmg instanauoni 5(c,0s 7-7"''l'AL,c '5~> m~1s ni AWbonzatl $iqnaNre I woer Ma*ing InsIDlleLan) Phona Number C 7z-~ -696~ MINNESOTA STATE BOARD OF ELECTqICITY TMIS INSPECTION FEOUEST INILL NOt Griggs-Midway BICg - Room S173 A BE NGCEPTED BV THE STATE 80ARD 1821 Unrversity Ave. SL Paui MN 55104 y UNLE55 PROPER IhSPECTION FEE IS Ppone (612) 6E2-0800 ENCLOSEO L/ REQUEST rAR ELECTRICAL INSPECTION •°°~°'"~ea~-oo~om~-oa~,/..s ? See msimctions lor completing ihis lorm on back ot yellow cooY Q "X" Below Work Covered by This Request ~'~`•'°r ew AHd flep~ " TypeofBwlding AppiiancesWired EqmpmentWiretl ~HOme Range Temporary SerViCe Duplex Water Heater Elecinc Heating Ap~. Builtlinq Dryer Other (Specify) Comm./Industnal Fumace Farm Air Condihoner O;nerjsyeC,ty) Conlractor'S Remarks. AML cen~%.I Compute Inspection Fee Below: n Other Fee ~ ServiceEnlranceSae Fee # QrcwislFeetlers Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transtormers Above 200 _ Amps Above 100 _ Amps SIJnS Inspecmr's Use Only \ TOTAL Irngauon Booms SpeCial InspeCtion AlarmiCommunicaiion THIS INSTALLATION MAV BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. 1. ihe Elecirical Inspecror, hereby Ro.qn-,n oa~e certify Ihat the above inspection has F,,,ai ( oa~a been made. a~$ OFFICE USE ONLV ? Tnis requesi vool 18 months Imm 011014 - ' o'7~d"O C 02 65~`~O ~ ReQUesi Daie ~ ire No ouBh-In In secvon ReQw Inspectmn Other Than ough-ln ~ / O ~ ~VOU m n iroceno. wnen reaayl 0 qeatly NOw Will NOtify Inspectar Ves ? Na Dete ReaC 10 licensed contractor ($~wner hereby request inspection of above electrical work at Job Atl7reI5veet BoK or R me No.) Cny / rG~~ ~ r~ Seclion N. Townsbip Name or N. Rarge No. County Oc i~PqINT~ GhOne N0. Powor Supplier Atloress ElecvKal Comreclor (C m ny Name) CqnVactorS L¢ense No orne ow n Madmg Aaaress iCOmraaor or e• inaw~ng insianaiwn7 C)V Aui zec SignawreaCOmranon0 Making nsialiaiionl Phone Number ~Q ~S"(-o37Z MINNESOTA STATE BOAHO OF ELEC ITY THI$ INSPECTION RWUEST WILL NOT Grlggs-MlOway BIOg. - Poom 5473 BE ACCEPTED BY THE STATE BOAPD 1821 Universiry 4ve. St Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Vhone(612) 643-0800 ENCLOSED. 111019 7 'R61]UEST FOR ELECTRICAL INSPECTION ;5=~ Qa EB-00001-08 q ? See instmctions for compleLng this lorm on bec4 ot yellow coOY a~ CUO 2 5 6 5 "X" Below Work Covered by This Request ~u~~ ew Atltl Rep. TypeotBuilding ApphancesWiretl EqmpmentWired Home Range Temporary Service Duplex Water Heater Elechic Heating Apt. Builtling Dryer Load Menagement Comm./Indusirial FurnaCe Other (SpeCily) Farm Air CondRioner Otner (si ConVactor's Remarks-~ I 5s,,, p;s Compute Inspection Fee Below: N Other Fee # ServiceEniranceSize Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transtormers Above 200 _ Amps Abov t00 _ Amps Signs , lnspecior5 Use Only TOTA Irrigauon Booms ~ Special Inspection Alarm/Communicauon THIS INSTALLATION MAV BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 78 MON7 S / ( I, the Electrical Inspectoc hereby Rou9n-in ~ ac certity that the above inspection has oaie been made. OFFICE USE ONLY ~ This reCUesl voitl 1B monihs Imm 'X CIl'Y OF EAGAN PERMIT C°"t 0593 3830 Pilot Knob Road PERMIT TYPE: eui LoiNc Eagan, Minnesota 55123 Permit Number: 000741 (612) 681-4675 Date Issued: 0 6/ 0 9/ 9 2 SITE ADDRESS: 3911 WORCHE3TER OR LOT: 1 BLOCK: 3 HILLS OF STONEBRIDGE DESCRIPTION: Building Permit Type SF DWG Building Work Type NEW UBC Occupancy R-3 M01 Construction Type VN 2oning PD R-1 Building Length 41 Building Width 46 ` u REMARKS: RECEIPT N C Ol CjD_7( S&W PLBR. = TOM HESSIAN PLBG. Y FEE SUMMARY: VALUATION E93,000 Base Fee $608.00 MISC FEES $1.610.50 Plan Review $395.20 Total Fee ;3,360.20 Surcharge $46.50 SAC ;700.00 SAC 8 100 SAC Units 1 Subtotal $1,749.70 CONTRACTOR: - Applicant - sT. lI OWNER: PARISH MKTG S DEVEL CORP 14526644 000105 PARISH MKTG & DEVEL CORP 3799 BRIARW000 LN 3799 BRIARWOOD LN EAGAN MN 55123 EAGAN PIN 55123 (612) 452-6644 (612)452-6644 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Mn. Statutes and City of Eagan Ordinances. L APPLI ANT/PERMITEE SIGNATURE ISSUL~D BY: SIGNATURE INSPECTION RECORD I Control No. 0593 CITYOFEAGAN PERMITTYPE: euiLoiNG 3830 Pilot Knob Road Permit Number: 000741 Eagan, Minnesota 55123 Date Issued: 06 f 09 / 92 (612) 681-4675 SITEADDRESS: Lor: i BLOCK: 3 APPLICANT: 3911 WORCHESTER DR PARISH MKTG & DEVEL CORP HILLS OF STONEBRIOGE (612) 452-6644 PERMIT SUBTYPE: TYPE OF WORK: SF DWG NEW INSPECTION D. . FOOTIN6 fRAMING INSULATION FINAL FIREPLACE REpIARKS: RECEIPT N S&W PLBR. e TOM HESSIAN PLBG. ~ F ~ r----- ~ PERMIT # CITY OF EAGAN . 1992 BUILDING PERMIT APPLICATION 'JUH o 2 aECO ~ ~ f 681-4675 ~ , SIN6LE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural.b structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies when typing of permit is requested, but not picked up by last working day of month in which re uest is made or lot chan e is re uested once ermit is issued. Date 6-2-92 Valuation of work Site Address: 3911 Worchester Drive STREET STE # Tenant Name: (commercial only) Lor 1 eLaK 3 ww, Hills of Stonebridge T_O. N Descri tion of work: Single Family Home The appl i cant i s: ? Owner [M Contractor 0 Other (Describe) Name Parish Marketing & Development Corp. Phone 452-6644 Property LAST FIRST Owner Address 3799 Briarwood Lane,Eagan,Minn. 55123 STREEi SiE Y ~~ty Eagan State Minn. ZiP 55123 Company Sa11e Phone Contractor Address License N0001054 Exp. Lity State ~ kzlZip ArchitecU Company , Phone Engineer Name Registration Address . City State Zip Sewer & water licensed plumber Tom Hessian PlumbinQ 432-689939 . Processing time for sewer S water permits is two days once area has been approved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all able State of Minnesota Statutes and City of Eagan Ordinances. , Signature of Applicant: \~~V, G ~ ~ OFFICE USE ONLY • . BUILDING PERMIT TYPE , O 01 Foundation ? 05 Apt. Bldg 009 Basement Finish ? 13 Lomm/Ind New 19 02 SF Dwg. ? 06 6arage/Accessory ? 10 Swim Pool ? 14 Comn/Ind Add ? 03 Two family ? 07 Fireplace ? 11 Res. Add. O 15 Cortm/Ind Rem ? 04 Multi-fam. T.H. ? 08 Deck ? 12 Res. Porch ? 16 Public Fac. . ? 11 Agricultural WORK TYPE W31 New ? 33 Alterations O 35 Move ? 32 Addition ? 34 Tenant Finish ? 36 Demolish GENERAL INFORMATION Const. (Actual V- N Basement sq. ft. MWCC System `fEs (Allowable; V-T lst F1. sq. ft. City Water YES UBC Occupancy R-3 M-1 2nd F1. sq. ft. PRV Required 2oning FD R-I Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler Length Tff- On-site well Census Code lol Depth 4 6. On-site sewage SAC Code APPROVALS Planning Building Assessments Engineering Yariance REQUIRED INSPECTIONS O Site ? Footing ? Framing ? Insulation ? Mallboard 0 Final ? Draintile O Fireplace Permit Fee 608,oo r.iuacia,: : 93,DOU~ Surcharge Li S79b GqRAGE ZZ )t Zo = Uyo X 16 ='7aqb Plan Review 3 .20 License MWCG SAC OD 13sM'?' yI k 26 c/0(0 6 oO c;ty sac lao.oo y K 1314 ; (sti) Water Conn. 6115,00 14 X IU~ l96 Mater Meter 95,oa fS N S~° ACtt. Deposit 30.00 S/W Permit 30,00 lZ~~x~s, 18~Zp S/W Surcharge SD (sT F~eoR Treatment Pl. 3 DO. o0 Road Unit 380,oa f3srrT= 1248 Park Ded. 2 K4.: Trails Ded. Copies ~26o x 53= GG~'?SD Other Total: S L/ O SAC % ~ UD ~ SAL Units _L ' . i a:: i_ • . . . . . EXTIiItIUlt F.NVEI.OI't: AVI:INGE "U" C0t41'U7'ATIOt! . uwi4r•.n ~ S1'Cli ADDItL•'SS LCT ~ hcK ~ HICCS C`F= ~~I~TZ41b(+i. r . . ~ CONTRJ1CTOft ~ifi[~tH MAs[i~FiiN6 ~ r~u DATE I'IIONE ' Detecminc vorklog squaro footaga oC cach. 1. Total exposed wall area /806.o sy. fc. x _ ~~1g 7 2. Total rooE.ceLlLnq area '//3G. O ~y. ft, x •025 ~8.~. • Total expoaed wall area above flooc - /BG}i.D a. Total wall windov area.................................. b. Total door arca.. . 9- c. Total sliding glass door'arca /F•~ d. Total Cireplace wall area D e.' Total aall framing area (averaga 10t) B f. Total net wall area abovQ flooc . 9- Total rim jotst area /Z 3.3 Total exposed foundatLon area = ~3.y h. Total foundation vtndov area U L. Total ne[ foundation area above gradc S- , DeterminQ "U" valuo of cach vell seqment. •.3'S-- a 3^7.9 d. ~O S. 3 X.. U. b. 39,G x~u° • 07l y. 3•/ . c. 7~. y X«U»' •.sr e j~.'t, o d. O x«V- 6 r p . . , e. /6 v x U. G r._ x-o- , ay,? sc• i-_.._ i,. O . t7 , C~ t . - 73.s---• , 06'3 G./ . , . , . ' , : • • . ' 1 ............_...'cocat 7 IC item N) Ls tlta samc aa, or lcein than item At, you Iwvo mut the (nWnl oc suc 6006 (c) z. "w s'3~'/P.~.7 ) .44,» -j-~t We-~.../ ~/6e t4~ sBc. Goolo ~'r~ ' Total exnosud coo!/ccllLny arQa ~ /42L.o J. T9ta1 skyllghG area 47 Y.. ToWI rooC/calllnq Eraminy acua (avcrayu 10't) L 1. Total net insulated roof/ccilinq area /O/a,~I_ • DetcrminQ "U" valuc Eor caeh roof/cciliug scymenr.. x»U,. o ~ k. g~U.. 1. /d/~ • y lf U•- ~ p~~ „ of,6; • 4 ......ToGal ~ 7•7 . If total of 04 is the same as, or less than 112, you liave met the intent oE SaC 6006 (c)1. l/02 77 ) ~ ,~S.e OZ <o18'Y ~Jy.~34Qt. „G~cLs~/~ SOG 'ro00 G ~J/ ' . ' Alternatc Butlding Envelope Design To utilize the total enveLopQ system methal, the valiics ustablish-:d by tlle sum oF items A) and 14 shall not bo greatcr than tlic sum of ltems NL and 02. . . i. /9~•7 . z. ze.y . 22b.y ' 3. . 4. Z/•7 ° /~~~1 ~ . N . 2z4..~ . . . , , , , hIA'r-27-'92 IdED 14:47 ID:?RI9E5 R H[LL IIJC TEL I40:612 990-E244 q697 F01 NDI/6 iURVEYOR'S CERTIFICATE PaaisH MARKETIN(i * WORCHESTER DRIVE 900.4 ~ 900.4 a9&a ~ N .5 N Ba s 92.60 N 690 59' 25" E 25 iw o or o p o S 70P OF PAPE ~ 8 G. Z ~a 10 =eo1.Ee_ M I &p / ~p g e8~e OF E I .76 W - M900_8 - w) @QQS--- - ~ O In 20.00 ~9GZ.o~ p 22. - 31.60 . 0 ~ M 1433o N~OARj4 I ~ N ~ O N m ~ O ~y M M/ M ~ ~ (b I-~-i Np S O m PROPOSE ~ L_~~ /HOU9 ~ i O I ~ N i I ~O N 13 'S p ~ ' 11 20_00%4 _ O 22.8 2000, .a ~ Y9df4 (voL.~ zso~b-- I ~ (D ~ LOT I o ~ i%NAfiraed'I1tiAT \j 'O .By - 62.25 °D• - 900 0 a N 88° 31' 18" E s ate ERTGI~TEBRING DEPT L - _ / i i i N E~ BULDIN6 DIMENlIpJS SHOWN AfiE PDR Iq11120NTAl B VERTICAL LOCATION 01' lTK1CTUI1! OKY. / AR611TEC1'UAL PUN9 FOR BUILDINO A rotN10ATlON OIMENSqN9. H07E: NO 9PECFIC 5014S IHVE976ATION HAS BEFII CO1ArLLrfED OH TMIS LOT BY THC lUpVEYOA. TI! fY1fAsILRY OF + DENOTES PROP05ED.•SURFACE DRAINAGE soiLs 1b SUPPORT TME 9rECIPIC ?~ous! rRor~oltD Is NOT TMe RHSPONSI91lITY OF 7MH SURVEYOR O DENOTES IRON MONUMENT SE7 SCALE: 1 INCH - 30 FEET • ?ENOTES IRON MONUMENT FOUND PROPOSED QARApE FLOOR - 4'p3• e FEET X000.0 DENOTES EXISTINO FLEVATION PROPOSED LOWEST FIOOR - gdtS. 3 FEET (000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BIOCK - 40S.4 FEET WE HEREBY CER7IFY Tn PARiSH M6RKETINO THAT THIS IS A TRUE ANd CORRECT REPRESENTATION OF A SURVEV OF THE BOUNDARIES OF: Lot I , Block 3, HILLS OF S70NEBftIDOE, aecordnq to the recorded plal ihereot, Odwto Couniy, Mlnnesota. IT DOES NOT PURPOR7 7o SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT A5 SHOWN. AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 27TH DAY OF MAY , 1992. ?ROPplpl) ORADES SHOWN WERE SIONE . JA ES R. HILL, INC. TAN(N FlIDM T11! DEVELOPIMNT PIAN r011 HILIS OF S10/~1100[ r' PIILTAIIlO 8V PIDIlHR ENOIN~[ftNO gy~ Lasr DAt'~ 11-5-87. JOHN C. LARSOIJ, LAND SURVEYOR MINNESOTA LICENSE NUMBEF 19828 m O m N`m ~ vyn W $ James R. Hill, inc. o ~ o w Z 0 ? ~ ~ ~ ~ PLANNERS / ENGINEERS / SURVEYORS o m - - - - - 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 9 651-681-4675 I ~ ( o J New Constructfon Reauirements Remodel/Reoair Reauirements ? 3 registered sMe suneys showing sq. k. ol loT, sq. It. of house 2 coples ol plan and all roofed areas (20% maximum lot coveraae allowed) 1 set of energy calculations tor heafed addMlons 2 coples of plans (show beam 3 wintlow sizes; poured fnd. deslgn; etc.) 1 s'rfe survey for exterlor addkions 8 decks 1 sef of energy cclculatlons > 3 coples of iree preservafion plan if lof platted aRer 7/1 /93 DATE: I Z'q "'ll CONSTRUCTION COST: ~ z~ ~DD'DD DESCRIPTION OF WORK: 069 STREETADDRESS: . 3q I I UVDI~I'wF.l ~f I VE. _ LOT: ~ BLOCK: 'J SUBD./P.I.D. 1A .~Uu C°~ < Name: L fAA1 I~NS IPA vhone W-aI-D372 PROPERTY lait\j - First OWNER M11 Street Address:_ {L cit~ rupfr1 state: -MAL_ ziP: 66123 CompanyAd1*F&6hlllD~ j baSTr~ Phone#: 5DZ'IDU (area code) CONTRACTOR Street Address: License # .52b~ Exp. City 1r1 State: Zip: ARCHITECT/ ENGINEER Company: Name: TcitYi'ivnc n: Ae24 COvE \ ~ Sireet Address: Registration City State: Zip: , 3ewer 8 water Ilcensed plumber (reauired for new constructlon onlv): l1enalty applles when address change and lot change is requested once permit Is Issued. I hereby acknowledge lhat I have read this applicatlon, stafe that the informatlon Is cortect, and agree t comply wHh all applicable State of Minnesota Siatutes and City of Eagan Ordinances. 4~ C "'l V ED Signature of Applican • L DEC 1 0 1999 OFFICE USE ONLY 'j - - C +Gate~ot- ed Yes No Tree Preservation Plan Received - Yes _ No _ Not Required OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 4-plex ? 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 ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened) ? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage ? 05 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 ' vIVQ i'CA llandout ;o applicant for dennoiiilon pe~roit GENERAL INFORMATION Const. (Actual) Basement sq. ft. Census Code (Allowable) Main level sq. ft. SAC Code UBC Occupancy sq. ft. No. of Units Zoning sq. ft: No. of Bldgs # of Stories sq. ft. MC/ES System Length sq. ft. City Water Width Footprint sq. ft. Booster Pump PRV Fire Sprinkiered APPROVALS Planning Building Engineering Variance Permit Fee ?J ~5 Valuation: $ Surcharge 1.~ Plan Review License MC/ES SAC aiy Shii. Water Conn_ Water Meter Acct. Deposit S/W Permit S/W Surcharge , Treatment PI. S Park Ded. Trails Ded. ~ Other Copies Total: SAC Units % SAC T,., r.';,;cxcW*:r'crtgc::c>;c~;:Y„",~~;~t,;~C=o:a::X;Y„Y,cv,c~;Scr~":;o1q;;8~Y,•7$;tM~ (:RSI-iIEI;: JG.[TY QF f_fiEANSNFlL N0: 936 DA'iE: 03/20/00 'i'IMF_r. i0qi CITY OF EAGAN ILl° NAMEr ALIIED ;=II'iE:SIIIEy INC. CASHSEFi: 7S TERMINAl. NO: 767 DATE: 12/10/99 TIME: 15:02:49 , ni 39I.:L I4;;L'I-'ES'I Ek' 60.00 ID: c'i ;ti 90f:1'I 39I.1, IAIURCI'I ~TI:Fr p,=;q NAME: t1ILWEST FiESTORATION G CONST 3210 3001 3911 WORChIESTEFi 83.25 2155 9001 3311 WORCHESTER 1.50 E.I.J.?O US;::.;, ?*.~c ,•~:,';;::;x;.;:c. 5::~;:;>kr:;k~~ To+,al Receip+ . Amoun+, : 84a75 CRi.2lQ43 USEft ID: JAN - Mq7 ( 2000 FIREPLACE PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD - 55122 651 681-4675 vace: i i r~[ r^c ~/S 4~ Description of Work: X Construct new Sreplace i)~Gas _Masonry _ Alterations to existing _ Install pas insen onlv _ Install pas line onlv Other Job address: 2"l' ~ U/(')rCkp,s~ar Pr/ U(z Lot: l Block: ~ Subdivision/P.I.D. 1(I s P i, e/ LI Applicant (circle one only): Owner Contractor Permit Fee: 560.50 Name: SkCI Y' • X. Phone#: 6v -,Vil' PROPERTY Last Ftrst OWNER StreetAddress: jq`( Wjrc_~aIer PripU (2 City q a tv State: Zip: ?-S~GY~ \IJ Company:_ icI Y e.$ r-ILol' //Tll~eG( /`1 ~ S Phone ~lo~ -~Q-~~''(J (area code) FIItEPLACE p ~ ~ r~ INSTALLER StreetAddress: 3«~i~p i.l . 11~w / City 14 G 1~ l~l S ~l ~ I I~ State: N& Zip: ~ Company: Phone (area code) GAS LINE ~ INSTAI,LER SueetAddress: City State: Zip: - 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 Eag O' ance~ . . C • Sign4ae OFFICE USE ONLY BUILDING PERNIIT TYPE ? 16 Fireplace WORK TYPE ? 31 New ? 33 Alterations ? 39 Gaz L'me D 41 Wood Stove O 32 Addition ? 34 Repa'v ? 40 Gas Insert GENERAL INFORMATION Census Code 434 SAC Code 01 REMARKS Chimney/flue must be inspected before concealing. j : ' ~ . >z; ~ . . :..r,•.....;,`;,r.:_..;o.. .;w..y..,y..yY;•,...,s.-ew....,,. . fi . . . . : . . ......r...<...~....,.. ..........:..3.: ~o:.:.::. . . . : . . ...,.....,....:.......:...,..,:~..~6<:`;~;:;ti.;~;'. _ ....:.....x.:,,. n.....:........ ~j 't~.".S:s:~....:...y........:...n:.,..,.:;. ~ :.........::.....>........;x~,.:...o:..;:::,..... ;ts._Y.3:`:i" c .n . . : . i".Ria., ,da:?~:3- ~^a2:...,....._.....i:iv.v:...•..'".. ~..~..i: ~i:iii~'~Xi'^) < <'i~ni':::'<'y'+.Ri:i'ii?S:'i~E~ y. . : . . ..:c:. , . r .:L. . n....m~:d5:.:.......c..:.c....:: i....::. ri' . . q . i°c:" ..f'>:.....:.. .q . . . ~r .......i:.i . . ' ............:n.f°X'.... ...n.n...:v......:.V.: ~..o. . . . . . . . . . . :."i.:..<.c.... ~x•.. . < .:a ' ~....a.n. e~. ,i....." j ~ . • . :.:\v.i.e..:.i..:[.~.p.:ar::.:...'.~o~.J:4>:)'~~afi. :.f:~ n~~. . .n. . ' t. :ap'[n. .y~~: ~~q. ~y I(~ ' • .;::.)y:..... cv"...:.....: i......v.n..nm..~.q.J..f ffm. ~Y.. . ~ • . • )i~.'t:'n..~ . .:~..p...~[~ ~.:ync~.y :~.y~.,.:,~..a.q.~..i.....~..:0 `::3,ui.~.i~~~:in'i 1994 MECHANICAL PERNIIT (RESIDENTIAI.) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 681-4675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIl2ED FOR EACH UNIT. - - - - - - - NEW CONSTRUCTION ADD-ON A/C ADD-ON FURNACE FIREPLACE INSERT DATE 3z Z 3z95' , FEES HVAC: 0.100 M BTU $ 24.00 ADDITIONAL 50 M BTU 6.00 GAS OUTLETS (MINIMUM 1 @ $3.00 EACH) ADD-ON/REMODEL (ExIS'I'ING CoNSTRUCI'ION) $ 20.00 STAT'E SURCHARGE .50 TOTAL Z 0- 510 STI'E ADDRESS: 39~~ !'1~OjCG/fi~,fD"^~ ~ • OWNER NAME: .~'f~'?.l ~i~~''~ TELEPHONE 6B/-' ~.~7z INSTALLER: l,//r?2tiL /fjd ~~yG ADDRESS:~,f~ S/l~f~+%?.s~~?~. CITY: STATE:,W,-P"' ZIP CODE: 5:T-IZ--;' TELEPHONE XGNATURE O ERMITTE . ~.r:r.. ~,H..... CITY:C75E't7NLY .M......._...._ .......:.:...:<~..~.~,_,<,<,.~.~;....~....<......,,.,;...,.,.....,.~ ~.~~.:p n.:>. i:..:: ~,:...:o. ;sr.,...:•{ u.. . e~. . . .~..LL"_ _ _ ..,..r. c. .~..~.m.::......:~ oz;..~....._.<dc,....:..:. oV.i ii. u.k. L;..: . . . . . .t.c.:,::i:.'::-.~..:_.v ..........c:..:~?.. :'.^~.::::.:.:-e:i:i..n : >.'v::.::.'e.cn.....:F". 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' f:: . 1994 MECHANICAL PERMTT (COMMERCIAI.) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 681-4675 PLEASE COMPLETE FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIl2ED FOR EACH DWELLING UNIT. - - - - DATE: CONTRACT PRTCE; $ NEW BUILDING INT'ERIOR IMPROVEMENT WORK DESCRIPTION: FEES 1% OF Cf1TVTRtS:GC FEE $ PROCESSED PIPING: $25.00 MINIMUM FEE: $25.00 STATE SURCHARGE $.50 FOR EACH $1,000 OF PERIVETT FEE. ~...;..w.~:....>~ TOTAL $ Sl l"E AllD1tr.SS: OWNER NAME: TELEPHONE T'ENANT NAME: (IMPROVEMENTS ONLl) INSTALLER: ADDRESS: CTTY: STATE: ZIP CODE: TELEPHONE SIGNATURE OF PERMITTEE CIT'Y INSPECTOR RE,',fTIVF,TE Nle CITY OF EAGAN PERMI( G~ ~f~'~E D 1993 BUILDING PERMIT APPLICATION ~U t 1 1993 681-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, I set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date u6 sT / / Flp3 Yaluation of work Site Address: 3911 (~oKIH leSTF2 L'2/UC STREET SUITE / Tenant Name: (commercial only) IAT ~ BLOCK 3 SUSD. P.I.D. * , ~~cLS cF ,S'7avEBR~o6f Descri tion of work: 't>Cr.i! The applicant is: 91 Owner ? Contractor ? Other (Deacribe) Name L-UiTSEtJS ,DpAtF L 3• Phone ~/-tl372 Property LAST FIRST 66 7-ffg'6~ Owner Address ~%11 Cn~di2«STF+: ~e,d~ STREET STE 0 City F,F6A.J State )NAJ z;P 5siZ3 Company Phone Co ntra ctor Address License # Exp. City State Zip ArchitecU Company Phone Engfneer Name Registration # Address City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this apPlication and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant(::~::), 2. ~t \1_ OFFICE USE ONLY ~ f BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ?]jb seme t Finish 0-6?--SFBMg-r ? 07 4-Plex O 12 Multi. Misc. O 17 Swim ooj ? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind. ? 04 SF Porch ? 09 12-Plex lace ? 19 Comm./Ind. Misc. O 05 SF Misc. ? 10 Multi. Add'1. .15 Deck ? 20 Public Facility ? 21 Miscellaneous WORK TYPE K 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish O 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual ) ' Baseme.^.t sq. f±. MW.CC System (Allowable) lst F1. sq. ft. City Mater UBC Occupancy ~p- -_3 2nd F1. sq. ft. PRV Required Zoning Sq. Ft. total Booster Pump d of Stories Footprint Sq. ft. Fire Sprinkler Length Z2 ~ On-site well Census Code Depth z 5, On-site sewage SAC Code APPROVALS ° Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS ? Site 1;~ Footing ? Framing 0 Insulation ? Wallboard ~ Final ? Draintile 0 Fireplace Permit Fee ~n1~G v.imt;on: S Surcharge Plan Review License F1WCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: SAC % SAC Units aaioa =URVEYO„R'S CER7IFICATE PAFiISH MCRKETIN(i , WORCHESTER DR_IVE 897 900.4 ~ K)0.4 M4 ~o N N 9T.5 901.0 - I 2'3 ( 900.~ . - - ; W BENCH MaRK gEryCH MAirK 7901.d8PIPE M I ~ I 0 TOP OF PIPE I o I p -9YB.76 W O Q to , , , 0 22.0 O M' 14.33m N~OAR./N I . (n Q d a. 7 ~ ~_,(___5.0 ~ ~ ~ xwy o 1 I~-j VFI~ $ d ' M / HOU3 ~ ' ~ 2 N I i i3 5 a 2~.5/ ~I ~ i ~ ~.K ~ f ~I ~ ~ I Zz~ ~ a ~o~~s~r~ e I 41-4su~ 1`kt3/ Q` ? - 62.25 ym. soo.o N 886 31' 18" E as i ii N E: BULCINO DiMFN91pNS BNbXN ARE FOR IIDqI'LONTAI, 9 VEi1TICAL LDCATION OF 3T11UCTVRE OMIY. ![E / ARWI7EC1'UaL PL1N! IOg~BU1LMN0 a 1btA1DATlON OIM[N'JpN9. / NOYE! HO 9PECFIC 40145 INVE4TaATIOH HAS BEEN CCMPLlTED (IN 901L4 IIbL$UPfVRTH MEV ~IC 1~df f10USE /Iq ~ POrtD 1 + DENOTES PROPOSED SURFACE DRAINAGE NoT THE r+EspoNSi91LITY OF TNE SURVEroR O DENOTES IRON MONUMENT SET SCAL'E: 1 INCH - 30 FEEr • DENOTES IRON MONUMENT FOUND PROPOStD pARAOE FLOOR -Tv3, o FEEf X000.0 DENOTES EXISTIN4 ELEVATION PROPOSED LOWEST FLOOR - gdt,s- 3 FEET (000.0) DENOTES PROPOSED ELEVA710N PROPOSED TOP OF BLOCK- 403,4. FEE7 WE HEREBY CERTIFY TO PARiSH MARKETINO THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDAiilES OF: Lot I, Block 3, HILLS OF STONEBRIDGE, according to the recorded plat thereo(, Ldwfa Counfy, Mlnnesota. IT DOES NOT PURPORT 70 SHOW IMPqOVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS SURVEYFD 5Y MF On UNDER MY DIRECT SUPEF7VISION THIS 27TH DAY OF MAY .1992. SIGNE . JA ES R. HILL INC, PrrsA,lA ~enen~wn noAnre lavMAlu WQOF ~ q-31~ CTI'Y OF EAGAN L-2- B MECHANICAL PERMTT RECEIPT #&611 SUBD. (612) 681-4675 DA7'E CO a 9 .;2- c RESIDENTIAL PLEr\SE COMPI,ETE UPPER PORTTON ONLY FOR SINGLE FAMILY DWELI,INGS. ALSO, COMPLEI'E FOR TOR'NHOMFS/CONDOS WHEN SEPARATE PERMITS ARE REQUIRED FOR EACH DWELLING UNIT. OWNER: lC 1-1 SJ 1M( eL'~ FEFS STI'E ADDRFSS:3 O r~ ~ ADD ON/REMODEL (E717STING $ 15.00 CONS1'RUC170N ONL INSTALLER: HVAC: 0-100 M BTU ~ Up o 24.OOj rxorrE ~r: 12481 Rhode Island Ave. So. nnnlTTOx,, so ht s~[v ' 6.00 nnnxESS: ava e, gqa.n GAS OUTLEIS - MINIMUM i@ $3 EA. criy: „ ZIP: SURCHARGE: $ ~.so \ SIGNATURE: ,;2C~/!a TOTAL: says° % U ~ COMMERCIAL PLEASE COMPLECE THIS PORTICIN FOR AL[, COMMERCLIIJINDUSI'RIAL BUILDINGS. ALSO COMPLE7'E FOR APARTMENT BUILDINGS OR OTHER MULTI•FAMILY BUILDINGS WHEN SEPARATF PERMTfS ARE NOT REQUIRED FOR EACH DWELLING UNIT. R'ORK DESCRIPTTON: CONTRACf PRIC& FEFS 196 OF CONTRACI' FEE. STATE SURCAARGE IS $.50 FOR EACH $1,000 OF PERMTf FEE. a PROCFSSED PIPING - $25.00 $ MIHIMUM FEE • $25.00 OWNER: TOTAL: $ SITE ADDRESS: TENANT: , , . , . : • SUI1'E At: ~ , , ;r ' . . . . . , : . . . : . < - : ;:3.E;i">:,....:.':f' . . . INSTALLER: ADDRFSS: , - . . . . CITY: ZIP: s~...... PHONE C17T SIGNATURE: SIGNATURE: CITY OF EAGAN FOR CITY USE ONLY ' 3830 PILOT KNOB ROAD EAGAN, MN 55122 PERMIT # PHONE: (612) 454-8100 RECEIPT # PLUMBTNG:Y~~1' DATE: RESIDENTIAI.:: PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNZT. WORK DESCRJ.PTION COMPLETE THE FOLLOWING: ~ N0. FIXTURES EA. TOTAL NEW CONST ADD-ON MINIMUM 15.00 ADD ON ~ SHOWER 3.00 REPAIR _ -7 WATER CLOSET 3.00 ~ BATH TUB 3.00 -3 ~ LAVATORY 3.00 3 OWNER NAME: KITCHEN SINK 3.00 -3- LAUNDRY TRAY 3.00 3 SITE ADDRESS: C I HOT TUB/SPA 3.00 WATER HEATER 3.00 _T_ LOT:~ BLOCK 3 SUBD ~ Fb00R DRAIN 3.00 GAS PIPING OUT. 3 INSTALLER: , ING. ~ (MINIMUM - 1) 3.00 121 REDWOOD DRIVE ROUGH OPENINGS 1.50 ~ ADDRESS: ~ ABPI S '.4:66E*. Mill - oTHER - WATER SOFTENER 5.00 CITY: 2IP: _ URGVA DISP. 15.00 3.00 PHONE ~ 10( bO ~•S~ SUBTOTAL $ ST. SURCHARGE .50 SIGNATURE*OF PERMITTEE TOTAL: $ 30~ , ov CO?4fERCZALJiNDUSTRZALi: PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRZAL BUILDINGS AND MIJLTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. _ _ _ _ _ CONTRACT PRICE: FEES OWNER NAME: 18 OF CONTRACT FEE. STATE SU.;C:L^2CE - $.50 F^P. SITE ADDRESS: EACH $1,000 OF PERMIT FEE. IAT: BLOCK SUBD. $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 18 $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE (SIGNATURE) FOR: CITY OF EAGAN REACTIVATE ~ CITY OF EAGAN PERMIT 1993 BUILDING PERMIT APPLICATION lAu 681-4675 ~ U v SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date 3 / 23 Valuation of work Site Address: 39// c<~o~a-crr~Tc~ ~2 STREET SUITE M Tenant Name: (commercial only) IAT ~ BLOCK a suBD. P.I.D. IF Descri tion of work: ~SMf The applicant is: Owner ? Contractor ? Other (Desoribe) Name Lu 1T.7".s D4N16L Phone W/-U37Z Property LAST FIRST owner Address STREET STE y City F,74-6State AW Zip S'H;-12-3 Company Phone Cantractor Address License q Exp. City State Zip Architect/ Company Phone Engineer Name Registration # Address City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant~~ _ OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 foundation ? 06 Duplex ? 11 Apt./Lodging ~lC~jeme~nt Finish ? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim'Pool ? 03 SF Addition ? OS 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind. ? 04 SF Porch 0 09 12-Plex ? 14 Fireplace O 19 Comm./Ind. Misc. 0 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck E3 20 Public Facility ? 21 Miscellaneous WORK TYPE ~041 New ? 33 Alterations ? 35 Tenant Finish 13 37 Demolish ? 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION CPnSL. (A.r#udl) 8asement sq. ft. MWCL System (Allowable) lst F1, sq. ft. City Water llBC Occupancy 2_21 2nd F1. sq. ft. PRV Required Zoning Sq. Ft. total Booster Pump N of Stories Footprint Sq. ft. Fire Sprinkler Length On-site well Census Code Depth On-site sewage C Code u5 bldF , APPROVALS Planning Building Assessments Engineering Yariance REGIUIRED INSPECTIONS ? Site ? Footing ? Framing ? Insulation ? Wallboard ? Final 11 Draintile ? Fireplace Permi t Fee g Surcharge Plan Review License MWCC SAC City SAC Water Conn. IJater Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pl. Road Unit Park Ded. Trails Ded. Copies Other Total: SAC % SAC Units wT / sL,ocx 3 suBD. Aus xECEIPT # CITY OF EAGAN UNDERGROUND SPRIr(KLER SYSTEM PERMIT 1993 Date: 25 `c~ 3 _ Commercial project _ Residential project ~ Fatisting residence Area/address to be sprinklered: 39 f I (/J o 2c.++- C S`r c 2~. Installer: C7w J"4dL Street address: City, state & zip: Telephone Owner name• 1~ftN ~ F ~ ~ucTTEN s Street address: 32(1 City, state & zip: T-7A-6.4+?_ /W^J -5--T7 23 Phone _(w) 6C"2- CN) 6P/-o37Z Irrigation contractor, if different: Phone I hereby acknowledge that I have read this application and state that the information is conect and agree to comply with all applicable City of Eagan ordinances. 7zF -73 N ~ ~ ~ Signature of Permittee New service required Fee due: $ Calculated by: 2ao~4 CITY OF EAGAN UNDERGROUND SPRINKLER SYSTEM PROCIDURE 1993 1. Plans must be submitted to the City's engineering department for approval before installing a lawn sprinkler system. If digging in the boulevard, a right-of-way permit may be required. 2. Once plan is approved, it will be presented to the City's plumbing inspector for sizing of the meter. 3. Jerry Wobschall, Finance Department, will calculate permit fees as follows: a. Commercial proiect: $ 25.50 plumbing permit. $ 50.50 water permit fee only if new service is installed. $100.00 per tap if installed by City. Please wnsult with engineering department regarding feasbility of City installation (City will only install taps up to 1"). b. Residential proiect: 15.50 plumbing permit. S SQ,SQ yiatPr pe*mit fee ]f P?w cr.rvjrP ic inctallrd- $695.00 per connection - WAC. $324.00 per connection - water treatment plant. c. Existin res;dence: $15.50 plumbing permit -(not required if backflow preventor previously installed) however plan must still be presented for approval and an application must be filled out. 4. Once meter size is determined, building inspections clerk typist will contact utility billing clerk for cost and notify installrr of all costs associated with project. 1f new service lines are not required, one check may be written for meter and permit costs. No meter will be sold before all sewer and water inspections are rnmplete on a new service--(engineering department will advise utility billing clerk when meter czn be sold). Receipt will be coded to 20-3716 (meter portion only) with pink (:opy forwarded to utility billing clerk. 5. The installer is to contact building inspections division at 681-4675 for inspection of the inside water line and backflow preventor. The public works department may be reached at 681-4300 for water tum-on and set and seal of ineter. Inspection hours are 8:30 AM to 3:30 PM, Monday through Friday. Requesu for AM inypections should be made on the preceding work day. Requests for PM inspections wiJl be accepted until 12:00 noon that day. CITY OF NAGAN rage i oi ~ PERMIT . TO WORK WITHIN CITY PROPERTY/RIGHT-OF-WAY/EASEMENTS a 1. Location39// L~.LolyLoc/C,3 ~~«STFt I ~ . . 2. Nature of Work :I, S I'~w S~pb'~64~9~ O ~ 3. Indicate below items to be affected and include a sketch or plan of work to be done. Curb & Gutter Street Surface Trail/Sidewalk Trees: Pond/Wetlands Public Traffic Control Devices/Signs Private Drainage Utilities Structures/Buildings Other x 72y~c 4. Method of Installation or Construction 5. Work to start on or after: J 2 7 0/j and shall be completed by: 3o unless an extension granted to: by: DATE STAFF/DATE 6. Will detouring of txaffic be necessary? /v ff If necessary to detour traffic, describe suggested route: NIA DETOURS: The Director of Public Works shall be notified in writing at least 72 ours in advance of any detour being established, changed or discontinued. NAME OF APPLICANT i eL ~ I„U (TSENS PHONE 6h-037 Z (N) PLEASE PRINT ADDRESS 3 1 W"Ci+s s rF4 D2 E,a76,9+Q nM1 ST/Z 3 - STREET CITY STATE ZIP NAME OF PARTY OR ORGANIZATION PERFORMING WORK- 4PLi- CONTACT PERSON: EMERGENCY (24 HR.) PHONE ADDRESS DAY PHONE STREET CITY STATE ZIP The undersigned herewith accepts the terms and conditions of this permit by the City of Eagan as herein contained and agree to fully comply therewith to the satisfaction of the City of Eagan. Signed: ' itle: DATE: g2-Y143 i FOR CITY USE ONLY A AUTHORIZATION OF PERMIT FINANCIAL SECURITY: Nl/+ AMOUNT: TYPE: (Cash,bond,IAC,etc.) Fee: $ Nok_ Receipt No. Permit No. In consideration of agreement to comply in all respects with the regulations of the City of Eagan covering such operations, and pursuant to authorization duly given by said City of Eagan; permission is hereby granted for the work to be done as described in the above application, said work to be done in accordance with special provisions as hereby stated: APPROVED BY: DEPT. OF PUBLIC WORKS aY: ~~MA r 2-s;`9~3 /DATE ALL LEGAL REQUIREMENTS SHOWN ON REVERSE SIDE AND ON ALL "SPECIAL PROVISIONS" TO BE COMPLIED WITH! THE DATE WHEN WORK IS COMPLETED MUST BE REPORTED TO THE EAGAN CITY ENGINEER. fp N WoReN6srFa 094 '•„oh i ~ I ~ I - - - _ . - ~ zti -=r - - I ~ i I Qnoa j~7v~ - - I i I 3911 waR~MesT~ . ~ ~ ~ , REV[ WED 137 - I2 2S 4 ` N~~ ato p ~ s~~-~~ v 3rwf~ •<.,H r~1+M ; I? ri l 7~.'_ C 1 Z. S"~ Q R~ .~i10.~ 1 yc.] l 1 PERMIT City of Eagan Permit Type:Building Permit Number:EA162254 Date Issued:07/06/2020 Permit Category:ePermit Site Address: 3911 Worchester Dr Lot:1 Block: 3 Addition: Hills Of Stonebridge PID:10-32990-03-010 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 - Angish Mebrahtu 3911 Worchester Dr Eagan MN 55123--165 (651) 361-8995 Bayport Roofing And Siding Llc 2240 Edgewood Ave S, Suite 201 St. Louis Park MN 55426 (612) 235-7663 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA162254 Date Issued:07/06/2020 Permit Category:ePermit Site Address: 3911 Worchester Dr Lot:1 Block: 3 Addition: Hills Of Stonebridge PID:10-32990-03-010 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 - Angish Mebrahtu 3911 Worchester Dr Eagan MN 55123--165 (651) 361-8995 Bayport Roofing And Siding Llc 2240 Edgewood Ave S, Suite 201 St. Louis Park MN 55426 (612) 235-7663 Applicant/Permitee: Signature Issued By: Signature