The URL can be used to link to this page

3914 Worchester Drdlly otEaean 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 MAR 1 0 2011 R E 1"E D phi Use BLUE or BLACK Ink V'3 44 L 2011 RESIDENTIAL BUILDING PERMIT APPLICATION /-Z-L4 ini /°9 G IP't,� Date: ✓0 ! I Site Address: *' / W'61<Crt �-A Lf`. Unit #: �'- RESIDENT / OWNER Name:,"k-- f 1'(/ O 7 Phone: .b.Ci "' 3A— /(o 7 ?c� yl �,� Address / City / Zip: J f, S AbS ! PA. Applicant is: Owner Vontractor TYPE OF WORK Description of work: / rC i-e4V/ %t.) /J4C.' e``a (‹C -i1,01) 6 °L' / Construction Cost: 2-4000. Multi -Family Building: (Yes / Nov ) CONTRACTOR Company: St )HHOL.M &--MCt 1.. /fir' Contact:/�+'��1�`&V/nj S1K-41`/HOL/ Address: /76 /3 T ` i Si Ao . City: TtAlG'1-v^) MZip:5 29 Phone: G 2 --V?g State: " �? `-2( / / License #: 24)4i3 , / 16 7 Lead Certificate #: f vA 7� J 2 (7 — If the project is exempt O - ( q.5a;— o -- 33a 8 from lead certification, please explain why: (see Page 3 for additional information) In the last 12 months, If COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit fora similar plan based on a master plan? yes, date and address of master plan: __Yes _No Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: NOTE: Plans and supporting documents that you submt are considered to be public Inforrnaa#mr. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are bade secrets. 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.aopherstateonecall.org 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. Applicant's Printed Name Page 1 of 3 GOachee-t-orL be-, go DO NOT WRITE BELOW THIS UNE SUB TYPES Foundation \/ Single Family Multi 01 of _ Plea Accessory Building WORK TYPES New Addition X, Alteration _ Replace Retaining Wall Fireplace — Garage Deck Lower Level DESCRIPTION Valuation Plan Review (25%_ 100% ) Census Code # of Units # of Buildings Type of Construction Interior Improvement Move Building Fire Repair Repair V IS Porch (3 -Season) Porch (4 -Season) Porch (Screen/GazebotPergola) Pool Occupancy Code Edition Zoning Stories Square Feet Length Width REQUIRED INSPECTIONS _ Footings (New Building) Footings (Deck) _ Footings (Addition) Foundation Drain Tile _ Roof: _Ice & Water _Final ( Framing Fireplace: ,Rough In _Air Test _Final _16Insulation . Sheathing Sheetrock Reviewed By: IAA��l7.L _ Siding Reroof Windows _ Egress Window Storm Damage Exterior Alteration (Single Family) — Exterior Alteration (Multi) Miscellaneous _ Demolish Building* _ Demolish Interior Demolish Foundation Water Damage *Demolition of entire building – give PCA handout to applicant r-gC I D.7 MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Meter Size: Final / C.O. Required Final / No C.O. Required HVAC Gas Service Test Gas Line Air Test Other: Pool: _Footings _Air/Gas Tests _ _ Siding: Stucco Lath _._Stone Lath _ Windows _ Retaining Wall: _ Footings — Backfill _ Radon Control Erosion Control , Building Inspector Final Brick Final RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL r'ti i"U rI5 (- 0)__ )( 2-0 (---koqo 11 "j►O ov JJrt. Page 2 of 3 ~ CITY CfF EAGAN Permft Na Date: 1-1 ?-8 F 360 Pilof Knob Road Meter No• 7 SFzac d P.O. Box 21198 Reader No: O pete _ ' Eayan, MN 55121 Grand Oaks Owner. SiteAddress: 3914 1;orcheGrer D ivP L20 P1 1ti71q o Stone-- 1 Plumbei^ Vall~ I b -e Conn. Chg 550. 00 c? ~ Rl Acct Dep: 15 di ing ca I~~<«~a 1 Permit Fee: 10 LE T Surcharga • ~ .a 10 9% Wtom ~ Tr. Plant ~ • ~ p~ ~ ~o ~ °T Eagan DMinances. Meter. n~lr.ri Misc.: g WATER SERVICE PER CITY OF EAGA11 permit No~ 9329 paW I-12-88 i 3630 Pllot Knob Road Meter No: ~ Size: ~ P.O. Bo)r21199 Reader No: Date: Esyan, MN 55121 ; Owner. Graiid Ox!_s Site Addreas:_ 3914 Waathester Drive L20 B1 Ht7 7 s of cr,,,,,~ J~ Plumber v&11!!q Plunbinr brid;,e 1 Conn. Chg: 550. OOpd Zoning: Acct. Dep: - Z 5: ~ P No. ol Unib: 1 ~ Permit Fee: 01>d Surcharge: . Qpd I ayree to comply with the Cltr of Eagan Tr. Plant04•202d Ordinances. Meter. _ 67 _ (]0,,:! : ; j Mfsc.: gy ~ WATER SERVICE PERMIT ~CITY OF pApA N Permit No: 1t)477 j 3830 Pilot ICpob Road Date: , B/PNo: E~504 s Data P.O. Box 2`1199 ' Eaqan, MN 55121 , Owner. Grnnd 'Qalca i i ~ SlteAddreas: 3914 wortilpBre= f.Yive L?0 Bi iii'ls af Stus ? . Plumber._ VaI ~ay`.Pltsmb in~ r L. ~ MWCC: _ 550 ppncl ~ ~ Zoning• City Chg: _ 100 . 00FA - ~ Acct DeP:_ 15.00 p4 No. of Units: : Permit Fee: 10.00pd I agrOs to complp yrlth ft qty ot Eapan 'I ' Surcharge: - Oblnnnas. ~ Misc.: ~ BY ~ ` y SEWER SERVICE PERMIT - ` - - - - - ~ . ~ CASH RECEIPT ~ CITY ' Ot y EAGAN ~ 3830 PILOT KNOB ROAD _ EAGAN, MINNESOTA 55122 DATE /I 19 R[C61V6D ~1 ' / ' A • FROM AMOUNT $ e~ DoLLwws ~oo ? CASH ~ CMECK ?R / ~ ~ ~ L_c ~.L :J rUND CODE AMOUHT ~ ~ Thank You ~ r ~ - , B Y ~L-- 1Mhite-FeYen CoPY . ~ ..i ~ J 4 Yellow-Postinp CoPY Pink-File Copy ~ BLDG. PERMIT N0. fjU 2: 2 ~ , 01-3210 Bldt; PermitL ~ ~ GO 01-3422 Plan Check ' / (G 01-3445 Surch./Adm. 01-3446 SAClAdm. 01-2155 Surcharge 71--1,3860 Road Unit ~X J- G 20-2275 SAC ,20-3865 Water Conn. e L 20-3868 Water Trmt. 20-3716 tiater Meter 20-2252 Acct. Dep. 20-3713 Water Permit 20-3743 Sewer Permit 79-3866 Sewer Conn. 0-3855 Park Ded. ~ i ~ ` TOTAL '~J ~ G~ , CITY OF EAGAN A 3830 Pilot Knob Road, P.O. Box 21 •189, Esgan, MN 55121 / BUILDING PERMIT PHONE:454-8100 Receipt * 905V`,7 To be used for SY DWG/GAR Est. Value ;68•000 Date JANUAkY 11 ,19 88 Site Address 3414 HORCltES1'Hit DR OFFICE USE ONLY Lot 2V Block I Sec/Sub. dILLS 0IP On Site Sewage Occupancy ' DGE Mwcc syscem ~ zonin9 ~ PeroBl No. On Site Wall Type ot Conat Ciy Water (Actuan a Name G~~ ~S DRVEL CO (AUowable) W s of Storiea ; Address 3988 ~I; S~ 0 Lenyth ~ ° City Phone Depth 42 S.F. Total , p yame SAMa Footprint S.F. Addresa APPROVALS FEES (tity Phone qssessmenta _ Permit 4 438.00 U Q Water/Sewer _ Surcharqe W w Name • Pollce _ Plan Review ~ i AddreBS • Fire _ SAC. City i _ Engc _ SAC, MWCC g W City Phone Planner _ Water Conn. 0 Council _ Water Meter ' I hereby acknowledye that 1 have read thia application and atete 81dy. Off. _ Road Unit • thattheinformationiscorrectandapreetocomplywithallapplicable APC _ TreatmentPl ~-GO , Stete of Mlnnesota Statutea and Cfty of Eagen Ordinances. Variance _ Parke Slgnature of Permlttee • c. Copies I TOTAL $2. 48'~ ~ A Buildinp Permit is iasued to: aRMlO aAK$ UVEL CO on the expreas condition that all work shall be done in accordancg.with all applicable State pf Minnesota Statutes end City of Eapan Ordinances. Building Offlcfal ,f i ~ r ~ ~ CASH RECEIPT ~ CITY OF EAGAN 3830 PILOT KNOB ROAO EAGAN, MINNESOTA 55122 ) I DATE 19 I wcectveo 1~ FROM\Y: - _ . " Lf~C.wy r ~ L. ~ . AMOUNT $ " : I & OOLLARi ee ~ CASN CHECK 3 ~ : J } : J . L.Y/V i'` • rUNO CODE AMOUHT ao 7 -3 /D (Ic) 3 7 .3 i ~3 K4-( e z Thank You . ~ Bv . J -4} 4 wnite-Peyen Coov YNlow-Postinp Copy Pink-File Copy CITY OF EAGAN ~3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHON E: 454•8100 BUILDING PERMIT Receipt ~ Tobeusedfor ~ ;.'"),Jt~+« EstValue 4hf,,~;_1G Date ,i17":A':!' ll 3y14 WORCNE: Tt.n OFFICE USE ONLY Site Address , j , Lot Block t Sec/Sub. RiIL~.t, (:P OnSiteSewags Occupancy , NFbhlilfi~ MWCCSyatem _ 2onlny Parcel Na On Slte Well Typa ot Const y~.. City Water (Actual) ~ c Name ~AIiS UEVQL CG (Allowable) = Address 3146h ~ c' ~ of Storles ~ lenytn Clty Phone Depth S.F. Total 8me Footprint S.F. q Address APPROVALS FEES Clty PhOne Asaesements _ Permit Water/Sewer _ Surcharqe ~ W~ Name Police _ Plan Review ~ W M n Addrees Fire _ 3AC, Ctty Enpr. _ SAC, MWCC ~ ~ W Cfty Phone Planner _ Water Conn. ~ Council _ Water Meter 1 hereby acknowledye that I heve read thia application end state Bld¢ Off. _ Road Unit thattheinfom?ationfscorrectandaQreetocompywithallapplicable APC _ TreatmentPt State oi Minnssota Statutes and Cfry of Eagan Ord,inances. Varience _ Parka Copiea Siynature of Permittee TOTAL ' . : r I A Bufldinp Permit is isaued to: on the express condition that all wo?ic shall be done in accordance with all applicable State of Minnesota Stetutes and City of Eapan Ordinanced ! Building Official ~ PormR No. Permit Mold*r Dots ToNphone ~f Plum6iny H.V.AC. 1~ ("I "alu Electrk V ~ C • ~0 ,C~ ' c Softener Inap,ectlon Date Insp. Commenh Footings I Footings II Foundation Framin 9 ~ ~ r c: o r . c f s c._ '.t.2 ' ~ ~ Roofing /Yo 04lC: 404wa'n z,;w4.hV.O -r-d Rough Plbg. Rough Htg. ~ - T E-_7,? A - Isul. Fireplace Final Ht¢ Final Plby. ~7 ~ Bldg. Final Cert Occ. Temp. LP Deck Ftg. Deck Frmg. Well Pr. Disp. . ,Y~ t i •t_ . ' . . . , . r ' ` PERMIT # ~,^f -7 10 '~me 73 . ` • MECHANICAL PERMIT RECEIPT # CITY OF EAGAN ~ ~3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE PHONE: 454-8100 $ite Address BLDG. TYPE / WORK DESC ION Lot Block I Sec/Sub Res. New ; ~ Name Mult Add-on Comm. Repalr Address y t r , Other c City- ~hone - - r FEES , L 1'f' (Ili-' Name RES. HVAC 0-100 M BTU -$24.00 3 Address ~ADDITIONAL 50 M BTU - 6.00 O CitY Phdne 5 (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA. TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE 8 CONDOS - RES. RATE APPUES Boifer M BTU , MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Unit Heater M BTU REM6DELS - 12A0 Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00 Vent CFM STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # BEYOND $1,000) Other FEE $/C: r 1~ SIGNATURE OF PERMITTEE TOTAL• ~4-, ' FOR: CITY OF EAGAN ~ r • • , . . , , . - F ~y ~ . . " ' PERMIT K l ) PLUMBING PERMIT Tl CITY OF EAGAN RECEIPT tl - 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: PHONE: 454-e100 Site Address BLDG. TYPE WORK DESCRIPTION Lot ~LZ Block f SeciSub Res. New Mult. Add-on ~ Name Comm. Repair ~ Address fz'l Other c Ciry Phone RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NQ. FIXTURES JOTAk ~Water Closet - $3 00 ~ Name ~Bath Tubs -$3.00 _ 3, o 0 ~ Address Lavatory - $3.00 O Ciry Phone Shower - $3.00 i -,I-Kitchen Sink - $3.00 ~ m o F FEES - 53.00 COMM/IND FEE - 1% OF CONTRACT FEE ,Urinal,Bidel Laundry Tray -$3.Q0 -jr~ 42 G= , APT. BLDGS - COMM RATE APPUES Floor Drains -$1.50 /'sC. ~ TOWNHOUSE & CONDO - RES. RATE APPLIES -/-water Heater -$i.50 / ~-,!F C) ~ 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 PERMIT) (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 PERMITTEE FEE: 2 J m ~ sTarE sic: o FOFi: CITY OF EAGAN GRAND TOTAL• -~i `6 ra~ PERMIT # ~ - MECHANICAL PERMIT ~ CITY OF EAGAN RECEIPT # A K' 3830 PIIOT KNOB ROAD, EAGAN, MN 55122 DATE: - CONTRACT PRICE PHONE: 454-8100 j ~ Site Addy~ss ! 1 / t - , ` BLDG. TYPE . WORK DESCRIPTION j Lot _ f7. Bipck, 6#C/Su.b pe& New ~ . ` Mult Add-on m Comm. Repair Address aher ~ o city Goideii . 40°oa . Name ' e f o t i I ~4- , ~ RES. HVAC 0-100 M BTU~S - $24.00 3 Addre,9s ~ ~ ;"t~' ~ ' ADDITIONAL 50 M BTU - 6.00 r; O City Phone (RES• HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA. , TYPE OF WORK COMM/IND FEE - 196 OF CONTRACT FEE : ForCed Alr M BTU f, APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON & I Unit Heater T M BTU REMODELS - 12.00 ' Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00 . Vent CFM STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S1C IF PERMIT PHICE GOES Gas Piping Outlets # BEYOND $1,000) , Other , FEE: ~ S/C: SIG TOTAL• ~ d•-5 G Ia~ ~ FO : OF EAGAN I ~ CITY OF EAGAN NO- 1 4 5 4 8 3830 Pilot Knob Rnad, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT ' I PHONE: 454-8100 Receipt # ~3 O SDq To be used for SF DWG/GAR Est. Value $66,000 Date JANUARY 11 19 88 Site Address 3914 WORCHESTER DR OFFICE USE ONLY 20 1 HILLS OF OnSiteSewage Occupancy R3 Lot Block Sec/Sub. MWCCSystem Zoning R1 STONEBRIDGE Wae ell X T(ype1UeConst Vf1 Pafcel NO. COit Site a Name GRAND OAKS DEVEL CO (Allowable) --V-n- w t of Stories = Address 3988 WORCHESTER DR NO Length 44 a City EAGAN phone 452-0747 Depth 48_ SF. Total , o Name SAME FootPrint S.F. ~Q Address APPROVALS FEES i City Phone Assessments Permit $ 438.00 F, Weter/Sewer _ Surcherge 3 T.-o o w WW Name Police _ Plan Review 27 9_ n0 Fire _ SAC,City ~0 Ua AddreSS Engc _ SAC,MWCC 0 aw City Phone Planner _ WaterConn. 55f1_(10 Council _ WaterMeter 67-(10 I hereby acknowledge Ihat I have read this application and Stete Bidg. Off. _ Roatl Unit 325.00 thattheintormationisconectandagreetocomplywithallapplicable APC _ TreatmentPl 904_00 State of Minnesota Statutes and City ofrdinences. Varience _ Parks Copies Signature of Permittee TOTAL 00 q w~ G A Building Permit is issued to: GRAND OAKS DEVEL CO on the express condition that all work shall be done in accordan,c,~ it~/ ~h, a~ll~a M~""'~` E.ica State f Minnesota Statutes and City of Eagan Ordinances Building Official f Tlfs rr,auesi void ~'~~_~G'/ 18 w nnths Irorti ~ . 4389 La•o t3~ tikeed S ~lo.oo Benuev Daee Fire No. F h-in InsVCr,unn R ~reA, Rcatly Now Q Wili Nouty Inspec- ~ - Quyty ~ tor When Rcady TUcenSeA Eleclncal Conlrac\or I hereby request inspection ot above Owner elecbical work installed ot Street AdAress, Box or Houte No. 0 Gtv / O L- T ectmn o. Townshrp Name or No. Ranpu No. Covn Or,cupantlPfllNTI Fhone No. - Power upplier AAtlress Elccbica1 ConUa lor (Com any Nam Conber,loi_s Licnnsc No, Mailine AdJress IComra=akin stailatlonl Audnr ature I(Convactor~0 r an I ~dll tiunl Phone N mber ~ - 5 MINNESOT TATE BOAN ELECTqICITY TMIS INSPECTION qEQUEST WILL NOT Griggs-M' eV Bldg. - R m N-191 0E ACCEPTEO BY THE S1ATE 90AND UNLESS PflOPEfl INSVECTION FEE IS 1821 Universitv Ave.. 5t. Vaul. MN 55104 on....... aevnenn ENCIOSED. REQUEST FOR ELECTRICAL INSPECTION es-ooooi-os 0 See instruc4ons br comoletinB lhis form on bnck o1 vallow copy. L /E 1 4,~ 9 '"X" Below Woik Covered by 7his Request d'~~~ RI'S.AAddIR.p.1 Tvpe of Bwl ainy aooiinnewa wi.ee Equiment Wired Home Ranye Temporary Service Duplex Water Heater Liyhbny Fixhnes Apt. Building Drye, Electrlc Heatin Commeraal Bldg. Fumace Silo Unlo-nder IndusVial Bldg. Air Conditioner Bulk Milk Tank Farm Othr~ oe~~ v .ihc. iSUOC. tvl -UT'it r Sucu/y iher Olh~;r pecuon fee 8e1ow p Fea ServiceEnVenceSize n iee Fexdors/Subieeders M Fmr C".uits U tp 200 qm ps 0 to 30 qm ps 0 tn 30 Am )s Above 200 qmps 31 to 100 qmps 37 to 100 Am s Swimmin~ Pool Above 100_Amps Above 100_A2ps Tran5lormeB IrrigaUOn Booms Paitial.'Other Fee ~O' $igns Speaal Inspection $ TOTA F~ fle ~rks Roueh-in I, the Electncnl Insoector. hareby certdy thet the ebove Final mspection hes been maae. Tnmrepuaslvo101Bmontlofwm ^This re0uest voitl 18 months hom 0 7 611/- Reqvesl Date Fre o. RouGh-ii;InsUer.iwn 'y/ Re uired ~ ~HC. dy Nuw I(I WiII Nnufy InSUec- I_/ lL/~~O Yus ?N. T to, When ReaAv Licensed Eleancal Contnctor I hereby request insDaction oi above ? Or,neu eleclncal work insislled at' Sveet AAifress, Bon or Route No. C'ty .3 iy f-a a n e..tmn o. Township Name or No. RnnBa No. Cownv • rl ~ e f ?I Occvyqm (PflINT) Phone Nc. V/ r Power SuUOiier Adtlress~ 07` ~arm~,G 7Vn Elecvical Contraetor ICOmuany Name:l Conb:ictor's Llcrnse No. w / s- 3 Mailinq A J(ess (COmractor or O ner MabnB ~nilb~ion) 6 ?s - mn Author+ ed St~r ICo actoJO r MakinB InsWllatioN hone Number vo.W'z t MINNESOTA STATE BOAflO OF ELECTflICITY TMIS INSPECTION flEQUEST WILL NOT Gngas-Mitlwey elde. - Room Nd91 9E FCCEPTED BY TME STATE BOAHD_ - 1821 Umvers,tv Ave.. St. Pxul, MN 55104 UNLESS PROPER INSPECTIOM-« ENCLOSED. I ' PJ/,5'/,Q9k REQUEST FOR ELECTRICAL INSPECTION 94^ ee-ooooi-os ~w 7 0 See inshoctions lor comoletirg this form on bacM ol yellow coCV. ~t ' 1t3 611 '"X" Below Woik Covered by 7his Request Ad~l Rev. Tvoe oi 8uildmg Aoo1 1ancea Wirotl Eqmumeni Wire,f Home Range Temporary Scrvice Duplr,x Water Heater Lrt7h[iny Fiziurts Apl. Building Dryei Electric Heahn Commercial Bldy. Fumace Silo Unlonder Industrial Bldg. Air Conditioner Bidk Milk iank Farm otne, oeu v .tner Isnrufvl t .r uccrlY ther ompute Inspection Fee Below N Fee ServieeEnvance5ize b Fee Fextlaes/5ubfaxders N Fmn Cueurts 1 /Z.GU 0 to 200 qmps 0 to 30 qm s 20 to 30 F~n;>s Above 200 Amps 31 to 100 Ainps 31 to 100 Am m Swimming Pool Above 100_Am s Above 100_Amps Transiormers Irrigabon Boorris Partial.'Other Fee Sig~s Special 6ispection Remarks TOT L FFE RouBh-in the E gPOC'or Final , he"oby ~certily that the abovo insoeciiol, nas oeen ~ea. mis reQuest volE 18 monlM Imm 50. ~a 2007 RESIDENTIAL MECHANICAL PERMIT APPLICATION City OfEagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for single family dwellings & townhomes/condos when permits are required for cach unit Date /0 / lb / 6 7 Site Address 30/17 U/VV~'i(/tLPYC.f1 Av Unit # Property Owner Telephone N(4~-j Contrector O'ConnoPs One Hour 1904 Vermillion St. Street Addrv Hastings, MN 55033 City State Telephone # Bond !w-~ Sk ~ `~!0 Expires: The Appiicant is _ Owner ',4ontractor _ Other Fire repair (replace burned out appliances, ductwork, ete.) $ 90.00 This fee applies when extensive mechanical repairs are made to a building. Add-on or alteration [o exis[ing dwelling uni[ $ 50.00 V/~ furnace _Additional IZReplacement _ New air exchanger iz air conditioner heat pump other State Surcharge $ .50 Total $ I hereby appty for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; tha[ [he work will be in conformance with Ihe ordinances and codes of the City of Eagan and wi[h the Mechanical Codes, that standt,-t~ a ~ permit, but only an application for a permit, and work is not to start without a pertnit [hat the work will g'S-rac`ordane ~e approved plan in the case of work which requires a review and approval of plans. T g g 2007 Applica t's Printed Name Appli anPs Sf nature gY 7y ~a~ ~CC ~ '70. ~ c2~~tESIDENTIAL BUILDIN G PERNIIT APPLICATION P~ CA-S h City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Constmctlon Renuiremenis RemodeV2eoair Reauirements Offic'e Use"Onl'v 3 registered site surveys showing sq. R of IoL sq. ft. of house; and all roofed areas 2 copies of plan Cerf o(SurJepReod _N _;N (20% mazimum lotcoverage allowed) 1 sel of Energy CalculaEons for heated addNOns 7ree Pres Plan Recd : _Y ..N, 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for addNOns & decks ~Tree Pres Requi2d,' ,-Y ;N 1 set of Energy Calculations Adddion - indcafe i(on-site septic system On„sile Septic Syus,te~_~~ ,,;,_Y ;_N 3 copies of Tree Preservation Plan if lot platled aRer 717193 Rim Joist Detail Optlons seleGion sheet (bldgs wAh 3 or less unifs J n~ ~S ~7 ~ si /-t v Q Date / -0-/ b(o 1 Construction Cost Site Address ?9 /y {A10 / C h PS+ P/' I)y' Unit/Ste # Description of Work ko- 9 16C f 49x ~A JQ cfl Multi-Family Bldg _ YX N Fireplace(s) _ 0 2 PropertyOwner 'lD.yS(n dQ -t7~ /le Telephone#t6,$"h aOQ (0 v3a'V Contractor 40 CArX m n B"YQ/ L~ ~D38 9 D Zl ~2C .0 3-3/ " O Address .39(60 o~ 3a &f' City State ~ Zip 5~ v~ / Telephone #(~a^~ q q? COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Ivlinnesota Rules 7670 CateEOrv 1 _ Minnesnta Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (Jsubmissiontype) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously construcied a building in Eagan with a simitar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Telephone # ( ) AUu 1' Z Ub , J I~ Mechanical Contractor J Telephone ) Sewer/Water Contracior 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 pernut, 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 pians. DwuY%e ~rd Applicant s Printed Name Applicant's Si ature OFFICE USE ONLY ~ Sub Types , ? 01 Foundation ? 07 05-plex O 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OB 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Exl. Alt - Multi ? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 EM. Alt - SF ? 04 02-plex ? 10 08-plex r767, 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm 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 -237, 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolitlon (Entire Bldgl - Give PCA handout to applicant Valuation ~ o(.9~ 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 lh?_ Width REQUIRED INSPECTIONS Footings(new bldg) FinaVC.O. 7N Footings (deck) ~ FinaVNo C.O. _ Footings (addi[ion) _ Plumbing Foundation HV AC Drain Tile Other Roof _ Ice & Water _ Final _ Pool Ftgs _ Air/Gas Tests Final _ Framing _ Siding _ Smcco _ Stone _ Brick _ Fireplace _ R.I. _ AirTest _ Final _ Windows _ Insulation _ Retaining Wall Approved By: Z , Building Inspector Base Fee Surcharge n~,!,"~/~ PlanReview MC/ES SAC City SAC Uhlity Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total • ` , t P' I F I C AT E GRANO OAKS DEV. C0. WESCOTT ROAD I a o U') ~ I 85.00 N89059'25"E ~ o a ; 903.4) 5~ DRA/NAGf 9 UTfLlTY ~ ~ EASEMENT PER PLAT LOT 20 3 3 io rb ~p O O ° o - 20.50 40.0 " 20.50 ' 0 - O Z Z I y, PROPOSED ~ HOUSE 1 ~ O ~ ~ / W 0 \J R 22.0 1 m~ Oa a.o (90'/l) ; ~[j ~ - ' /y M p I ~ _J R p 1n R. ' I J \ \ \V ~ N N ~ I v •1 ~ • ; ~.SO 20.50 .0 \ . 9aV•I 0 o 5 L S w~ ~ 5 4 M > ~ 85.00 N 89059' 25" E ' N N WORCHESTER DRIVE DENOTES PROPOSED SURFACE DRAINAGE O DENOTES IRON MONUMENT SET SCALE: 1 INCH m 30 FEEf • DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR - 9o11. H FEET X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOfi - 90/• G FEET (000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK - 9uv. 8 FEET WE HEREBY CERTIFY TO GRAND OAKS DEV. CO. THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lot 20, Block I, HILLS OF STONEBRIDGE according to the recorded plat thereof, Dakota County, Minnesota. IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS DAYOF January,1988. SIGNED: J FS R HIZL, INC. PROPOSED ELEVATIONS SHObIN 41ERE TAKEN FROP1 THE DEVELOPMENT PLAM FOR HILLS OF STONEBRIDGE, PRE- BY: PARED BY PIONEER ENGINEERIN6 AND HA OLD C. PETERSON, LAND SURVEYOR LAST DATED 8-26-87. MINNESOTA LICENSE NUMBER 12294 _ ~ o m~,T~o 0 m (p James R. Hill, inc. o ~ m" o < o D - r m-" ~ o m~ Z PLANNERS / ENGINEERS / SURVEYORS oZo-j D Z ~ ~ < ° AVE. S. • BLOOMINGTON, MN. 55431 • 612-884-3029 ` O m 9401 JAMES a 0 " 1788 BbILDING PE MIT A /PL- CI OF EAGAN SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOft CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS # OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COPRMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS To Be Used For: , u An, Valuation: 26i:Z73~_ Date: 7- gS( Site Address 1~ 661000_ OFFICE USE ONLY Lot PQ Block On site sewage_ Occupancy R"3 MWCC system ~ Zoning R- 1 Parcel/Sub On site well Actual Const V-N City water ~ Allowable Owner PRV required _ # of stories Booster Pump Length _y Address 3S A~< Depth S.F. Total City/Zip Code E~ r lFootprint S.F. Phone n v-) q rl APPROVALS FEES Contractor !S0,,A 0 4c (.~l~,n a .e_ Engr/Assess Permit 14 za -co Planner Surcharge ,DO Address Council Plan Review Z I9•00 Bldg. Off. Gj=j g SAC, City I pp,00 City/Zip Code Variance SAC, MWCC OD Water Conn Phone Water Meter 00 Road Unit 2 -00 Arch./Engr. Treatment Pl O .00 Parks Address Copies L TOTAL City/Zip Code Phone 1I , . . EXTcRiOR GNVELOFE A<<(_RAGE 'U' C0MPU"fATTOfJ GRAND DE.VELOPI`IENT COhiF'ANY ' P10DEL C] ' AREA U. U X AREA ti . kEQUIFcD /1. TOTAL WALL AREA i000 X'.11' ~9 B - 2. TGTAL ROOF ARF:A . 1196 X. U26 =+1 • C'95 ACHIEVED AREA U U X AR.-fd A. W I NDOW AFEA 106.66 0. DOOR AREA 1-:19. U . 077 06,16 C. SLIDt GLASS AREA 13.44 .QJ b.~-~l;. D. FIREPLACE A'riLA • 0 o F. WF:LL FhAMG AREA 1R0 . G41 F. NET WALL ARCA 1164.1 .049 57.0,1,iy G. RIM JOIST AFfEA 119.52 .0436 5.:11072 H. 1=CU\D WTNDOW AREA 0 I. FOUND ADOVE GRADE 46.48 . 131 5 13 .u:?4El -fOl'AL WALL AREA 1800 ~ IOJ. JO.L J: SKYLiTE 0 0 I:. f100F FFtAMt 119.6 . U32 3• E727 2- L. NET RDOF AREA 1076.4 .025 26.91 4. TOTAL ROOF AREA 1146 ~-.O. 7z72 SUM 1.+2. 229.096 9 fJ SUM 3.+4. 216.2~ SJRVEYOR'S CERTIFICATE GRAND OAKS DEU. CO. WESCOTT ROAD ~ ~ o 0 ~ ~ I ~ 85.00 N89°59'25" E p o ` 903.4) I - ~ 5~ DRA/NAGE 8 UTIL/TY~ ~ 5 N ~ EAS£MENT PER PLAT LOT 20 M I ~'l M O C9ov.~) O 0 ' zo.so ao.o ' zo.so • °0 O Z i (re, PROPOSED ~ ~ Z ~ - o HOUSE N / o Q i~ ~ / 22.0 O m ? ~ OO a I 4A a~ ~ I ~ M O GAR. \ L 20.50 22.050.. 9W.1 °0 5 1 B a~ ~ 5°c 0 ° g 3 ; M 901.6)\, ~ d c 0 ~i 898,'7~ -no 85.00 N 89°59' 25" E ' N N WORCHESTER DRIVE _ f- DENOTES PROPOSED SURFACE DRAINAGE O DENOTES IRON MONUMENT SET SCALE: 1 INCH - 30 FEET * DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR = 9os/ H FEET X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR = 90/• G FEET (000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK = 9vv. S FEET WE HEREBY CERTIFY TO GRAND OAKS DEV. CO. THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lot 20. Block I, HILLS OF STONEBRIDGE according to the recorded plat ihereof, Dakota County, Mfnnesota. IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS DAY OF January, 1989. SIGNED: J Fl R HI L, INC. PROPOSED ELEVATIONS SHO4;N YIERE TAKEN FROP1 THE DEVELOPP1ENT PLAPI ~ FOR HILLS OF STONEBRIDGE, PRE- BY: PARED BY PIONEER ENGINEERING AND HA OLD C. PETERSON, LAND SURVEYOR LAST DATED 8-26-87. MINNESOTA LICENSE NUMBER 12294 0 m~T~D ~ ° o James R. Hi :MN. n0 0 0 0~ D o m~ W Z pLANNERS / ENGINEEORS 0 O m 9401 JAMES AVE. S. • BLOOMINGTON-3029 ~ 0 ~C~~ cl 3 ~ 1999 BUILDINC PERMIT APPLICATION (RESIDENTIAL) H6 ' 3830 PILOT KNOB RDN 55122 651-681-4675 NewConstru r Remodel/Reoalr Reauirert~f~ f,) D 3 regittered ske surveys showing sq. M. of lot, fq. R. of house 2 coples of plan and 2D roofed areas (20% maximum lot eoveraae allowed) 1 fet of energy calculaflons for heoted atltlHionf D 2 coples of plans (fhow beam 6 window shes; poured fnd. deslpn; etc.) 1 sMe survey lor exterlor eddlNons t decks ' D 1 set of energy calculWlons D 3 coples of hee presenaHon plan tl lot plaffed aMer 7/7/93 p DATE: CONSTRUCTION COST: DESCRIPTION OF WORK: Rara-~ STREETADDRESS: 2/117 LOT: BLOCK: SUBD./P.I.D.Ik: N Name: :,~-2orn6 z-;411:-- Phonek: 7z) 6r PROPERTY Last F~rst OWNER 1-iJp>L.c.InC3'i~c~L Street Address: 32/~ City State: Zip: -5~12-7 Phone 'Z Fj y,5~ eo KO Company: (area code) CONTRACTOR SheetAddress: JI-s~3 kl2.,,p Ucensek zO1391,~o ExP ciy ~r µ rc,~s l j~ stare: zip. .5 S33 ? ARCHITECT/ ENGINEER Company: Name: Telephone k: area code ( ) StrFet Adaress: City State: Zip: Sewer S water Iicensed ptumber (reaulred for new conshucflon onlvl: , Penalty applles when address change and lot change is requested onee permR Is Issued. ~ 1 hereby acknowledge thaf I have read this appllcaHon, stale thaf the informatlon Is cortecf, and agree to comply wkh all applicabl State of Minnesota Statutes and Cify of Eogan Ordinances. Signafure of Appllcant: V~0 OFFICE USE ONLY ~of Survey Received _ Yes _ No ~O\I I L 19J~~ Tree Preservatiori Plan Received _ Yes _ No _ Not Required ~ I ~ r ~_'J OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 02 SF Dwelling O 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea. O 03 1 of _ plex 0 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 S-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 rl 34 Repair ? 38 Demolish (Interi,)rl 7 42 F=roof ' Givc: PCF, hantloui:o applicard ioi ue.,nuiiilv, , Fltiiili~ 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 Sprinklered APPROVALS Planning Building Engineering Variance Permit Fee ~ a Valuation: $ Surcharge C) Plan Review License MC/ES SAC , City SAC ~ Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. - Park Ded. Trails Ded. ~ Other Copies Total: 1 aR.ac~ SAC Units °h SAC 5~ ~9J9~$UILDING PERMIT APPLICATION (RESIDENTIAL) 5~~2 S CITY OF EAGAN 3830 PILOT KNOB RD - 55122 ~ 651•681-4675 New ConshucTion Reauirements Remodel/Reoair Reauirements ? 3 regisfered sRe surveys showing sq. k. of loi, sq. R. of house 2 copies of plon and all roofed areas (20% maximtom lot coveraae allowed) p~ ~e 1sef of energy calculatlons lor heated addNlons ? 2 copies of plans (show beam R wlndow sizes; poured Ind. design; etc.) 690 tll1flH~~q~,ey lor exterlor addNlons a decks ? 1 set of energy caleulations ? 3 copies ot hee preservat(on plan H lot plaffed alter 7/1 /93 DATE: CONSTRUCTION COST: DESCRIPTION OF WORK: STREETADDRESS: 39~`7 k.) o2cN.~~~- 72 • LOT: av BLOCK: ~ SUBD./P.I.D. YhI ~~DY~C-Y~SlV1YL-C _P Name• i~'FtC ~c /Lomc Phone 4~ y- 70 6 ( PROPERTY Last flrst OWNER Street Address: 3q 11~ City !±9R^) State: Ztp: ~ Com'any: 24,-G~oo Phone #k: o510 ' (area code) CONTRACTOR Street Address: License M-?ui39/1~ Exp. City State: Mt' zip: SS ?3 7 ARCHITECT/ ENGINEER Company: Name: Telephone if: area code ( ) Sireel Address: Registration i'r: _ Cffy State: Zip: 'Sewer S water Ilcensed plumber (reauired for new conshucflon onlvl: Penalty appltes when address change and lot change is requesfed once permR Is Issued. I hereby acknowledge ihat I have read this applicatlon, state that the IntormaHon Is conect, and agree to comply wRh all applicabl Siate of Minnesota Statutes and CMy of Eagan Ordinances. Signature of Appilcant: 1~~J I r`/O1 lAa F' i~ ,um u - OFFICE USE ONLY Certificates of Survey Received _ 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. (4sea. ? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck 0 23 Porch (screened) ? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage ? 05 3-plex ? 10 B-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 E: I.A DCpur C: 38 r'•?i,^;G!~ /!.:ip, Ipi i 0 Qi ?~.tr~[~f ' Give PCA nandout to applicant for demclition permit ~ GENERAL INFORMATION • Const. (Actuai) 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 Sprinklered APPROVALS Planning Building Engineering Variance Permit Fee ~ 3-I as Valuation: $ Surcharge C) c) Plan Review License MC/ES SP.C City SAC Water Conn. Water Meter Acct. Deposit ' S/W Permit ~ S/W Surcharge / Treatment PI. Park Ded. Trails Ded. Other Copies Total: a ti`~ a 5 SAC Units % SAC . . APFLICATION 1=0R PERMIT iNDM: PAYhENf OF FEE AT TIME OF ; . ; nreLicaazon oots Nar car ; STINIE APPFZVAL OF PIIiFIIT. ~ Y ~ ~ SEWER AND/OR WATER CONNECTION : INSPFZTICN OF SAdIt APII1/OR WATFR ; f t IIYSTALSATIO[YS WII.L NOf BE F[^Evn.zn ~ . • ~ [!CICIL PIItFIIT FI1U BENS] APPROVID. : f~r~ilffatfffhh!lfftff*rihtfflw'~ettf#+ ~ MV oF eagn c~ (PLEASE PRINT 11 PROPERTY ADDRES.S: T•FY:AT• DE5C1?IPTION:. ~L a{ ~a.UC~,tia ~ on </iLLs -otJBloc S ivisi or Tax Parcel ID ) IF EXISTING STRL'CTURE, DATE OF ORIGINAL BUILDZNG PERMIT ISSOANCE: Nbnt Year PRESENT ZONING/PROPOSID USE: Q COMh]ERCIAL/RETAIL/OFFICE ~ R-1 SINGLE FAMILY Q INDUSTRIAL R-2 DDPLEX (3Wo L~nits) a INSTITUTIONAL/GOVERN[IENT Q R-3 TOWPII-IOOSE (Three + Onits) ( Units) Q R-4 APARTMENT/COAIDOMINIUM ( Onits) z) NAME' t~DREss: _~'[fs$ Lc~o2el~es-reiz dtf,~c czTY, STATE, zzP: .~t' J PxorrE: y5a -n ~ ~l ~l ~ For City Lse 3) • u:~: NAME: Pl erLm s License: ADDRESS: (~'/7FP IC ~oo Active Expired CITY, STATE, ZIP: Not recordeC PHONE: ;?-I MASTER LICENSE # a n f~- M St . Imtia 4) •~~a,• a• NAME: .A n-, K S ADDRESS: c tn.o 25 FL&el4~- CITY, STATE, ZIP: PHONE: 5) ~ ~ , m • . ou . e a~ ~ CONNECTION TO CITY SEWER E% COIVNECTION TO CITY WATER O dPfER 6) ~Tm ~ 7 *********k~r**i(****rtR:F*****t**************#**i(rtk*~riF*****i**k*****************:F**********************Y * y * Z4IE GOLD COPY OF THE PERNIIT WILL BE SENP DIRECTLY TO PUSLIC WURKS TO FACZLITATE METER PICK-DP. ~ ~ PLEASE ALLOW 1i40 WURKING DAYS FOR PROCFSSING. SOP7EONE FROM TEiE CITY WILL CONi'AGT YW IF 74IQ2E * ARE ANY PROBI,EhLS. ; *****************4'**********************************************************************:F**********y . fOR -CITY USE ONLY PERMIT # ISSUED 9. 329 --i ' Pd w/Bldg. Permit FEES: $ $ SEWER PERMIT (INCLUDE SURCHARGE) $ $ WATER PERMIT (INCLODE SURCHARGE) $ /•/yc7 $ WATER METER/COPPERHORN/OC'TSIDE READER $ $ WATER TAP (INCLC'DE CORPORATION STOP) $ $ SEWER TAP $ $ /.S ACCOUNT DEPOSIT - SEWER $ $ ACCOONT DEPOSIT - WATER $ $ WAC $ ~S D C'0 $ sac $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ ~D •~9 n $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ $ S CZ) TOTAL RECEIPT RECEIPT DOES UTILITY CONNECTION REQUIRE, EXCAVATION IN PUBLIC RIGHT OF WAY? ~ YES IF YES, THEN A"PERMIT FOR WORK LVITHIN PUBLIC ROADWAY" MLST BE ISSUED BY THE ENGINEERING ~ NO DIVISION. LIST AS A CONDITIO[V. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: DATE: ~/~ov /f f City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 3914 Worchester Dr Lot: 20 Block: 1 Addition: Hills of Stonebridge PID:10- 32990 - 200 -01 Use: Description: Sub Type: Work Type: Description: Census Code: Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 3,000.00 Contractor: Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264 -4777 e- Windows/Doors Windows/Doors-New/Replacement House 434- PERMIT City of Eaan BL - Base Fee $3K Surcharge - Based on Valuation $3K Applicant/Permitee: Signature - Applicant - Construction Type: Occupancy: Permit Type: Permit Number: Date Issued: Permit Category: A framing inspection is required when installing a Bay or Bow window or if the opening is altered. Smoke detectors are required in all sleeping rooms prior to final inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required. Battery operated types are acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector. Total: $90.00 Owner: Joshua A Redetzke 3914 Worchester Dr Eagan MN 55123 $88.50 0801.4085 $1.50 9001.2195 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 with all applicable State Issued By: Signature Building EA083791 06/25/2008 ePermit ì ý ïï þýüýû ÿþþ ýüûùïûúù øýýþþùíõ÷þÿ õ ðú ü ãã ÿ ÿþõ úù ø÷ öó é á ùø÷ öø÷ öó é ô óéï ÷ý õù á ù íù÷ýø Üü úÞùý ì ÷â Þù ý æðý üóó÷ ü ûýððýü þ ÷ æáýððý ÷ ýð ýýæ áý ä ý Þù øýó ü ðýø æ ý çååæ åæå ôø úù ýü ý çæ ãæã Ûýùýûæ óò õñð ÷÷ý ï óý Ú ùýï ñ ãáùøïýáö ãö ï þýüýòô ë è øýó ü ý ýâ ý ý÷÷ýý ý ý ðý ýýü ÷øó ýý÷÷ý úý ðò ýúýù ýáøðþýüýíý æ ÷÷ýé úüýù ù øúüýù PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA162211 Date Issued:07/02/2020 Permit Category:ePermit Site Address: 3914 Worchester Dr Lot:20 Block: 1 Addition: Hills Of Stonebridge PID:10-32990-01-200 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard Water Heater 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. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Joshua A Redetzke 3914 Worchester Dr Eagan MN 55123 (651) 226-4322 Apple Valley Plumbing Llc 15615 Fairfield Dr Apple Valley MN 55124 (612) 387-1207 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA162211 Date Issued:07/02/2020 Permit Category:ePermit Site Address: 3914 Worchester Dr Lot:20 Block: 1 Addition: Hills Of Stonebridge PID:10-32990-01-200 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard Water Heater 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. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Joshua A Redetzke 3914 Worchester Dr Eagan MN 55123 (651) 226-4322 Apple Valley Plumbing Llc 15615 Fairfield Dr Apple Valley MN 55124 (612) 387-1207 Applicant/Permitee: Signature Issued By: Signature EAGAN 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651) 675-5675 I TDD: (651) 454-8535 I FAX: (651) 675-5694 build i ndinspectionsacitvofeadan.com Date: RECEIVED JUL 14 2020 r For Office Use .t M90 Permit* //ja.�� 4'� Permit Fee: /7? ' Date Received: Staff: 2020 RESIDENTIAL BUILDING PERMIT APPLICATION Site Address: Unit #: Resident/ Owner Type of Work 4 Contractor Name: tvsn Adel, L Address / City / Zip: 3 4 I'f Litt, s Applicant is: Owner Contractor Phone: 6 s I.3/ L- 111), Fro o Description of work: O-t c,Adt[/si IC/J (144)C" Construction Cost: 451AAA., GJ Multi -Family Building: (Yes / No ) Company; k.1 P . a Contact `' D4VI cL Address: eC, 00 1 `f5 tom. OL - I a 64 CA' City: ]' G/M !� po►. Phone: 30 [7f Email: (,k f�•r' ' S aL /J C t 4vv - co, f3 C 637 3 q � 3s�q J License #: State/v,VI/Zip: Lead Certificate #: If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING 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: Mechanical Contractor: Sewer & Water Contractor. Phone: Phone: Phone: Fire Suppression Contractor: Phone: NOTE: Plans and supporting documents that you submit are`cons/dered to be public Information. Portions of the information may be classified as non-public if you provide specltic reasons that would permit the City to conclude that they are trade secrets. 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.citvofeactan.com/subscribe. Exterior work authorized by a building permit issued In accordance with the Minnesota State Build - t be completed within 180 days of permit Issuance. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection agains damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.00pherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will • ' the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, a without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and plan ga>d Applicant's Punted Name nderground util' in conformance work is not to s royal of plans. ode m plicanY ature DO NOT WRITE BELOW THIS LINE /-zs 'SUB TYPES Foundation Single Family Multi 01 of Plex WORK TYPES New Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25%_ 100%) Census Code " # of Units # of Buildings Type of Construction Fireplace Garage Deck Lower Level Interior Improvement _ Move Building Fire Repair _ Repair Porch (3-Season) Porch (4-Season) Porch (Screen/Gazebo/Pergola) Pool Occupancy Code Edition Zoning Stories Square Feet Length Width REQUIRED INSPECTIONS _ Footings (New Building) Footings(Deck) Footings (Addition) Foundation Foundation Before Backfill Roof: _Ice & Water _Final _ Framing 30 Minutes 1 Hour Fireplace: _Rough In Air Test _Final Insulation Sheathing Sheetrock Fire Walls Braced Walls Shower Pan Reviewed By: Siding Reroof Windows Egress Window _ Exterior Alteration (Single Family) _ Exterior Alteration (Multi) Miscellaneous Accessory Building Demolish Building* _ Demolish Interior Demolish Foundation Water Damage *Demolition of entire building - give PCA handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Suppression Required Meter Size: Final / C.O. Required " Final / No C.O. Required ®� HVAC _ Service Test Gas Line Air Test _ Hood Pool: _Footings Air/Gas Tests _Final Drain Tile _ Siding: _Stucco Lath _Stone Lath Brick _ EFIS Windows _ Retaining Wall: _ Footings _ Backfill _ Final _ Radon Control _ Fire Suppression: _Rough In _Final _ Erosion Control Other: , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Radio Meter Read Copies TOTAL aft A a Page 2 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA165653 Date Issued:11/12/2020 Permit Category:ePermit Site Address: 3914 Worchester Dr Lot:20 Block: 1 Addition: Hills Of Stonebridge PID:10-32990-01-200 Use: Description: Sub Type:Reroof Work Type:Replace Description:Includes Skylight 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 - Joshua A Redetzke 3914 Worchester Dr Saint Paul MN 55123--165 Minnesota Restoration Contractors Inc 12252 Nicollet Ave Burnsville MN 55337 (612) 280-4807 Applicant/Permitee: Signature Issued By: Signature