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3919 Worchester Dr INSPECTION RECORD CITY OF EAGAN PgRMIT TYPE: 3830 Pilot Knob Road Permit Number: ~ Eagan, Minnesota 55123 Date Issued: (612) 681-4675 I SITE ADDRESS: APPLICANT: liIiI.i !ti ~It'H 1'~k ,r~ . i r ~IAI<1 I•', h ~ ' ft 1 t t ' ~it i uNl r<I; I I~~,I i i , ~~r . ;i ~ , ; PERMIT SUBTYPE: TYPE OF WORK: iri i, 11 r.ti 1 -11 INSPECI • . ` I!%r~i~{ i Id~~ ~ I~ I i i• • ~ ~ I ' ~ ~ I•I i°I~.~I ,1 I 111;71lI C'1 I{MI 1'~ (lltl I~I Illl~;ii I~ i I~ii llN~' i'i lll+ll:t?'a~~ ~~if I i i i I~ I~ HI i{i1e~f ~ I ~ ~ 1 PermR No. Permft Holder Deh Telephons # S/W PLUMBINCi HVAC ELECTRIC a~ 9.41 ~~O I ELECTFiIC I In"fttion Date Inap. Commo?b II Foolings I I Foundation Framwq I RooHng I Rauph Ptb9, I Rou9h FIt9. Isul, I I Freplace Fnal Htg. Oreat Test Fnal Plbg. Plbg. Inspecla - NotifY Plumbsr Conet. Meter EngrJPlan I -41111dg. Final ~ - C- ~C ~it~/~'~j- ~/A?S ~ . I ~ Dock Ftg. Deck Final t~ II Wsll I Pr. Diep. ' I I ~ . INSPECTION RECORD " CITY OF EAGAN PERMIT TYPE: .'3830 Pilot Knob Road Permit Number: ~ t•~ ~Eagan, Minnesota 55123 Date Issued: tti ? r (612) 681-4675 ~ SITE ADDRESS: l„ t { j; l t APPLICANT: i ~ I . I itfil i:i i.. I.' ) W.4 i PERAAIT SUBTYPE: TYPE OF WORK: INSPECTION .A • .A i I,' I t'~ 1 V 1 HIl~~I•1 i, lti:/1 I 1 1 l' ~ I ~ ~ PwmK No. PGmit Holdr 006 TNptwrM • i S/IN I PLUMBIN(3 I I HVAC Ii ELECTRIC I ELECTRIC 'I ImPwtlon Dtb Imp. Con~nKb FooHrps I I Foundation I~ Frarnknp P40firv Raigh Plbg• Fiaph FMy Isul. FkepleCe Fmel H6p. Orsat Tesf Final Plbg. Pb9. Inepedor-No1Uy Pkwrbsr Const. Me1er Enpr.fPFen Bldp. FkW Deck Ftg. Deck FWwW ~ 9/9 I w«l 1 I Pr. Disp_ ~ ~I ~ - - . ! INSPECTIaN RECORD Control No. ~ ' GITY OF EAGAN W.AMvAlm Fm MsMxr FirnsH 10l9WPERMIT TYPE: i+ll i 1(1 f I 3830 Pflot Knob Road BFDM DESI~ & BUILD 99'1-3875 Permft Number. 40414 41 i Eagan, Minnesota 55123 Date Issued: 06105192 ~ (612) 681-4675 ~ ~ SITE ADDRESS: ~ o~ f t t+ ~~r 3 t• APPLICAPVT: ~ . 3•)19 IJ0kG1IFS7fN Irp VART':,11 11RTIi ti r3!°VF1 C.ukP I HIt1-, ('6l ':10MFlIVtDUR rt,l.°) 4 6.-66 4 4 E f ! PEfqIA%~UBTYPE: TYPE OF W4RK: t I~: i i~ f uti 1 i NCi r ~ ~ttAMtMH IMAU4.ATT0[q i i'l MAL f IEtCPI.AI.-E I f M F M A 1~ K 5 a R F~: t• 1 1' 1' ~ f: t,! F' I H N 100 N!°+ 1. # 01 P1 C3 t i ~ j - - - - - ~ - PMUM M? rwl~lt NoMl.r Drh TIYphwwf • . 9~~' F ~J ! `la' ` ~ ` . _ . , < . rr;,, - y,_ nn v.,--~ . P11.1~~ . ~K ~i9'~uS~~ - Y' P~ ~ ~ • ^ d ~ ~ ~ , l ' z _ r' ~ i~ ~~".~-•4.,~ . f f~'~ ~ kwp+aen o.» m.p. caeWAMw G ~ Pw..,..y r / ' R,* Pta ~ Ro`* ?fep. i I Fl'SptWs / y a~ ?ag. l' 1 . . ~ . . . 41V~ , Fmsl Pbq. 73 _ Plbp. trMp.~rior - Noly P1wnbw CotMd. M~ BWg. F^" ~ tt1B WON pr. olop. # - 9Z ,41 le , (ger#i#iraft nf (Orrupanry . ` titp of Cagan . ' ~r,pubmttt o# Tuaing jnwrtfinn ! - M Cera'frcate iss+aad pursuanllo tlu re+grrFir.inents ojSeclion 306 ojtlu viriforin Bui&ft Code certiJyq*g lJku at tke tiine of Lssaanoe 11k1s strucdrne wns in complJahem wit/e !he ra»ous or*nwnors of ILe GYtJ' &W&ft &9+t8 coRSAncion or um- For the foUowing: u,e cbmwm,,, SF DWG oe,, p..A N,, 414 ` aWEP„7 7* R3/M I y„i,i n+a;a PD Ty" c,,,,., VN o.m de.as.. PARIgi MARQ7ING & DAEL ,ft„ 37qq &tIAFbM IN. FACM 3q 19 WTOESM IAtIVO L.Wky L I. B2, HILLS OF SIUEBRID(~'E ~ q/4/Q2 POST IN A OOWSPICtlOl13 PU1CE ~ 'Addtess: 3919 WO_R;IIESTE2 DR Lot I Blk Z Sac/Sub HnLS OF SIONEBRID(E These items were/were not complete at the tima of the final inspection. pate: 9/4/92 Yes No Final grade (6" from siding) l~ Permanent steps - garage Permanent stepa - maln entry v Permanent drivavay Permanent gas Sod/seeded grass f~ Trail/curb damage ~ Porch t~ Basement finish Deck Please verify vith the bullder the temoval of roof test capa from the plumbing system and the shuC-off of vater aupply to the outaide lavn faucet before freeze potential exlats. m Knn~oww~ White - Clty copy Yellow - Reaident copy Plnk - Contractor copy d 43361'/~/~~ . w_ Fequest Da" Fire No, ough-in Inspection Re'qu~v'e4~P 0 Ready Now '~JI.llent7Tspector 3 ~ p~c~ L No wnen ReaEy> I ' nsed contractor ? owner hereby request inspec6on of above elecirical work atJob Atlaress (SVeeL Box or Route No ) pty 39(9 w0~'GheS~er F0. Sac~ion No Township Name or No qange No Counry ,~ti k o t~. Occupanl(PRWT1 Phone No dre~ C~ l.lGj(_ Power Suppliar qtltlress Eienncal Comractor ~Company Name) Comracror's Lmense No. CA 00632 Mailing AO@ess (COniractor or Owner Maxinq Installation) 15q l~O 't v e- GJ Aulhonzed Si re ICOnVaqonOw Md' g stalli Phone Number, 6 6i MINNESOTA STATE BOAR OF ELECTPICITY THIS INSPECTION FEOUEST WRL NOT GrIggn-MlCwey Bbg. - Room 5493 BE FCCEPTED BY THE STATE BOARD 1021 UNVersNy Ave. SL Peul. MN 55100 UNLESS PROPER INSPECTIpN FEE IS 'Phona (61E) 643-0900 ENCLOSEO A 3 REOUEST FOR ELECTRICAL INSPECTION ~eeopoq~.o~ ?$ee msiruclions fo, compleLng 111S lorm on Ceck ol yellow coOX k~~- LS 336 1' "X" Be%w Work Covered by This Request ~w~ ew Atld Rep. TypeoBmltling ApplianceSWireO EquipmentWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industnal Furnace Farm Air Conditioner ' Oiner IsVeaNl Comretlo,f ek-,zV ~ . ^ Compule /nspection Fee Below: h' Other Fee 8 ServiceEniranceSze Fee # Circwts/Feetlers Fee Swimrtiing Pool 0 to 200 Amps 0 to t00 Amps Translormers Above 200 _ AmpS Above 100 _ Amps Signs Inspeclor5 use only: TOTAL Irrigation Booms ,~l( l Special Inspection - ` ~ Alarm/Communication THIS INSTALLATION MAV BE ORDERED DISCONNEC ED IF NOT Other Fee COMPIETED WITHIN 78 MONTHS. ' ' ( I, the Electrical Inspecror, hereby R°",,n-'" i ` - 9 certify that ihe above inspection has been made. oata • ~ ~q ~ ,1- OFFICE USE ONLV Tnrs repuest voitl ~8 monlns Imm 2007 RESIDENTIAL PLUMBING PeRMiT aPPUCATioN , CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please com lete for modifications to existin residential dwellin s. Date I z9:z / Site Street Address ~l//~~j e_s~~ze,~z ~fQ Unit # Property Owner h2AP, a44,oS Telephone # vs-/~ _ Contractor Lp~~> Telephone# e_G)~29,;2 Address~l~ 6,.,iQJoCity z94~ 94?S' i//,~2P State_&A) Zip~~ The Applicant is: Owner & Occupant Licensed Plumbing Contractor Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee $ 100.00 Per as-built $ 10.00 Fire Repair (replace burned out fixtures, etc.) $ 90.00 I This fee a lies when extensive lumbin re airs are made to a buildin . Al:erations to existing dwelling $ 50.00 _ Add plumbing fixtures to main level lower level. This fee includes installation of a water softener and/or water heater at the same time. If you are installing on/v a water softener and/or water heater, do not complete this section; move to the next section and place a checkmark next to the appliance(s) you are ~d D installing. vo~ M lS ~ U _Septic System Abandonment IUI _WaterTurnaround (add $136.00 if a 5/8" meter is required) I~ ~ ppR 1,2~07 Other. ~ Water Saftener _ Water Heater $ 15.00 _ new X replacement _ Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 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 in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved lan in the event a plan is required to be reviewed and approved. Ap li nPs Printed Na e A licln s Signature 2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: single family dwellmgs & townhomes/condos when peamts ue reqmred for each unit Date (y /pL// 05- Site Address 1~/[~ Unit # Property Owner Telephone # ( ) Contractor O'Connor Plumbing, Heating ei Cooling Street Addre City 7904 Vermillion St State Nastings, MN 55033 I Telephone ) Bond Eapires: The Applicant is _ Owner ~ Contractor _ Other Add-on or alteration to existing dwelling unit $ 30.00 furnace _Additional _Replacement air exchanger airconditioner _New ~ Replacement other State Surcharge $ 50 rotal $ ~ U I hereby apply for a Residential Mechanical Pernut and aclmowledge that the information is complete and accurate; that the work will be in wnformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; 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 wtuch requues a review and approval of plans. Applicant's Printed Name Applicant' natu j'~' • ~ i I II ~ I L- - 2005 CONTMERCIAL MECHANICAL PERMIT APPLICATION City OfEagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete Cor commerciaUindustrial buildings multi-family buildmgs when separale permits are not required Cor each dwelling unit Date / / Site Street Address Unit # Tenant Name (if applicable) Previaus Tenaot Name Property Owner Telephone # ( ) Contractor Street Address City State Zip Telephone # ( ) Bond Ezpires: The Applicant is _ Owner _ Contractor _ Other Work T}•pe New Construction _ Underground Tank _ Install _Remove **see below Interiorlmprovement _ InstallPiping _Processed _Gas Nature of Work: ""When installing/removing underground tank, call for inspection by Fire Marshal and Plumbing lnspector PCI'flll[ r' CCS: 370.50 Underground tank ins[allation7rcmoval $50.50 bfinimum (includes S[a[e Surcharge) or ContractValue $ x 1% _ $ Permi[Fee . If permit fee is $1,000 or less, add $.50 $ State Surcharge If permit fee is aver $1,000, add $.50 Cor every $1,000 permit fee $ Total Fee I hercby apply Cor a Commercial Mectianical Pcnnit and acknowledge thal tlie infonnation is complete and accurate; Ihat the work will be in conformance with the ordinances and codes of [he City of Eagan and with the Mechanical Codes; 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 m accordance with the approved plan m the case of work which requires a review and approval of plans. ApplicanCs Printed Name ApplicanPs Signature Approved By: Inspector Date: PERMIT ~ C°" 0382 CITY OF EAGAN PERMITTYPE: euiLoiNs 3830 Pilot Knob Road Eagan, Minnesota 55123 Permit Number: 000414 (612) 681-4675 Date Issued: 0 5/ 0 5/ 9 2 SITE ADDRESS: 3919 WORCHESTER OR LOT: 1 BLOCK: 2 HILLS OF STONEBRIDGE DESCRIPTION: Building Permit Type SF OWO Building Wo,rk Type NEW UBC Occupancy , R-3 PI-1 ~ Construction Type VN Zoning PD Building Length 41 Building Width 46 ~ J% REMARKS: RECEIPT 8 SSW PLBR. = TOM HESSIAN PLBG. FEE SUMMARY: VALUATION ;83,000 Base Fee $563.00 MISC FEES $1,610.50 Plan Review ;365.95 Total Fee $3,280.95 Surcharge j41.50 SAC $700.00 SAC 8 100 SAC Units 1 Subtotal $1,670.45 CONTRACTOR: - Applicant - ST. LIC. OWNER: PARISH MKTO & DEVEI CORP 14526644 0001054 PARISH MKTG & DEVEL CORP 3799 BRIARWOOD LN 3799 BRIARW000 LANE EAGAN IqN 65123 EAGAN MN 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 J y~ APPLICANT/PERMITE~TURE IS~ DpBV: GN TURE ~ FERMITJ CITY OF EAGAN ~3a~ °9 S C( 1992 BUILDING PERMIT APPLICATION S~ d~ lp ~ 681-4675 2 l SINGLE 6 MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural 8 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 4-28-92 Valuation of work C~ j Oco 0 Site Address• 3919 Worchester Drive STREET STE N Tenant Name: Lor 1 BLOCK 2 Suao, Hills of Stonebridge p,I,D. 0 Descri tion of work: Building Single Family Home The applicant is: ? Owner El Contractor 13 Other (Deseribe) Name Parish Marketing & Development Corporation PhOne 452-6644 Property LAST FIRST Owner Address 3799 Briarwoal Lane STREET STE M City Eagan State Minn. ZiP 55123 Company GamP Phone C011tf8Ct01' Address License N 0001054 Exp. City State Zip ArchitecU Company Phone Engineer Name Registration N Address City State 2ip Sewer & water licensed plumber Tom Hessian Plumbing 432-6898 , 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 St f Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: 1 urrn.c uac UrvLT BUILDING PERMIT TYPE ? 01 Foundation ? 05 Apt. Bldg ? 09 Basement Finish ? 13 Public Fac. 13 02 SF Dwj. ? 06 Garage/Accessory ? 10 Swim Pool ? 14 Agricultural O 03 Two family ? 07 Fireplace ? 11 Res. Add./Porch ? 15 Miscellaneous ? 04 Multi-fam. T.H. O OB Deck 0 12 Comn./Ind. WORK TYPE 121 31 New ? 34 Repair ? 37 Demolish O 32 Rdditlon ?*35 Tenant Finish ? 99 Undefined O 33 Alterations O 36 Move - GENERAL INFORMATION Const. (Actual I//// Basement sq. ft. MWCC System k (Allowable; U41 lst fl. sq. ft. City Mater UBC Occupancy 2nd F1. sq. ft. PRV Required Zoning ~ Sq. Ft. total Booster Pump # of,Stories Footprint Sq. ft. F9re Sprinkler Length Z On-site well Census Code ~ Depth V1, 33 On-site sewage SAC Code o/ APPROVALS Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS O Site ID Footing 0 Framing Insulation O Wallboard ED Final ? Draintile O Fireplace Permit Fee v,tu.t;a,: s Surcharge +-vpi l, J Plan Review 3%s. 9s z ' z 7, 4~r Y i - MWCCnSAC City SAC Mater Conn. / Mater Meter ~ 7o jo Acct. Deposit 3r~ 1_ S/M Permit 30 3~ S/W Surcharge ,So 3~ Treatment P1. 306 Road Unit 3 80 Vark Ded. Trails Ded. ~ Copies z ~l Other ~ Total : -55 1tv • Li ~ SAC % SAC Units . SURVEYQR'S CERTIFICATE PAaisH MARKETING WORCHESTER DRIVE N ~ 90.00 N89°59'25"E 25 t, (6~~54 ~ ° y g -O Po ~ f rn SED ~ a ~o I ; oArvewnv G ~ ar ~ I' (84g,9) _ 22-0 r~y . ~ - irt 1 I I ~ \ 10 ` F oD GAR. - . ~ ~r ~ N / I M ~ I pn I I I ae +oUS~D 2 ~h ~m I I gi /R?~~ M 1~i I T ' ;..1.52.34 22.5 N - 19.OD - ~ (e9e, 1) I b r ;,o I'~ a LCfr I ~ N 2g / f4 4 !Nqc f I 1 n FNr Fq 1 /08 r4 ~ I W E 0 ~f~J s\\ ~ < By - - 0.2 EAGAId kRIGINEE¢gG6`'p Ep!f NOTQ: NO 9PMFIC SOILS INVES71GA710N H4S 9EEN COMPLETED NOTE: ,BUILOINO pMEN410N4 SMOWN ARE , ON TNIS LOT BY THE SVRVErOR. Ti£ SVITABILIIY OF ppq ~pp~=OHfAL Byp~ TKAL ~ SOILS TO 9UPPORT THE 9PECIFIC HOU3F VpOPOS60 IS ATION OF STRUCTi11iE ONLY. SEE~ NOT TME RE9PONSIBIIITY OF TH[ SURVEY00. ARCXITfCiUAL PLAN9 fUR bUll,pINC ~ DENOTES PROPOSED SURFACE DRAINAGE B FOUNDATION DIMFNSiONS. ' O DENOTES IRON MONUMENT SET SCALE: t INCH - 30 FEET • DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR - g99,2 FEET X000.0 DENO7ES EXISTINO EIEVATION PROPOSED LOWEST FLOOR - Q,q i, 5 FEET (000.0) DENO7ES PROPOSED ELEVaTION PROPOSED TOP oF BLOCK - 999.~, FEET WE HEREBYCERTIFY TO PARISH MAPoCETING THAT 7HIS 15 A TRUE AND CbRRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lot I Block Z, HILL.S OF STONEBRIDGE, accordlnq to the recaded plaf iherear, Dakota Caunty, Mlnnesota IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS SURVEVFD BY ME OR UNDER MY DIRECT SUPE VISION THIS 23RD DAY OF APRI , 1g92 PROPOSED ELEVATIONS SHOWN 41ERE SIGN JA R. HILL, INC. TAKEN FR0M TNE pEVELODMENT PLAPI C, ~r FOR HILlS OF STONEBRiDGE, PRE- g • PARED BY PIONEER ENGINEERINd ANO ,10HN C. LARSON, LAND SURVEYOR LAST OATED 8-26-87.. MINNESOTA LICENSE NUMBER 19828 James R. Hill inc. m pmfV ~ 0 mN?cn vD ~ - d z N~ ~ o`" m x Z PLANNERS / ENGINEERS / SURVEYOR' °rn ° ' ~Z > Z~ ~ ~ 0 m N N { 2600 W. CTY. RD. 42 • BURNSVILLE, MN. 55337 • 612•890-804 • ' Lt x~.vGT-o," . ' _ . _ . ~ . ~ li!(TLiItIOlt F.NVE[AI'1: AVt:ItACE "U" COf111U7'ATIOfJ . GWUfR S1'fli ADDItL•'S;; - . CoN2rsnCrott 2AfisH DATE i'llOt~6 Detecmine vorkinq square footagc oC eacli. 1. ToWI exposed wall arca /BoG.o sq. ft. x ~~1g 7~ ' 2. Total roof.ccilinq arca "sq. ft. x •025 Total exposed wall arca above floor =1'80G.0 • a. Total wall vindow area.' b. Total door area c. Total sliding glass door'area ~ cl. Total fizeplace wall area D c. Total wall framing area (averaqe 10!) /Bo•G f. Total net wall area above floor ~j~0 Y•/_. q. Total rim joist area /Z 3•3 Total exposed foundation arca ~ 73 S h. Total foundation vindov area ~ i. Total net foundation area above grade Determine "U" value of each wall seqment. a. /a s. 3 x.. u.. •~-r = S7y b. 39•4 x..U.. , 074 3./ c. 7G. y x..U. o . a. o x -u-~ o = a . e. /B v• b x"u" -/d r. x ~u- . oy,? ~~3.3.._._ .o.Y.~__.._ = ._...-r.~'. _ . , . . . - ' 3 roeal IC item MJ is thc samc aa, or lc!sr. than item NL, you Iwve met r.lW i,ntent or suc Goo(,(c)2. 7 /9e. 7~ Total exposed rooE/cciliny acea = //,;z 4, 0 J. TOtal skylight acea ~ l:. Total roo[/ceiling Eraminy icca (avcrayc 101) 4 1. Total nct insulated rooE/ccilinq acc:a 1013•~t _ Dc[crminc "U" valuc for cach rooE/cciLin<j scymenr.. j O X..U.. o ~ . k. //J: G g«U.. 1. /b x-u" , O~~ s vt.s . 3 4 ......Tota1 = ~ 9•~ If total oE 14 is the same as, or less than 02, you liave met tlic intene of sec 6006 (c)i. (a7,7 (~~B.y "V~ s4& . soa ~~o ~ cc>i . Alternatc euilding Envelope Design To utilize the total envelope system meth«l, tlic values establish•:d by tllc sum of items R3 and 04 shall not be greater than tlie sum of items ql and 62. ze. y e zZb.y . 1. l9e. 7 * z. 3. .4. n,, ~ / f Z. ~ ? ZG . y , ~ ~ 3 jt / z 2D y' y ~ ; ~ . ( . t--~ S/~i! . . . PERMIT CSTY OF EAGAN PERMIT TYPE: ~ 3830 Pilot Knob Road B U I L D I N G Eagan, Minnesota 55123 Permit Number: 023073 (612) 681-4675 Date Issued: 0 3/ 0 9/ 9 4 SITE ADDRESS: 3919 WORCHESTER DR LOT: 1 BLOCK: 2 HILLS OF STONEBRIDGE P.I.N.: 10-32990-010-02 DESCRIPTION: Building Permit Type BASEMENT FINISH Building Work Type ALTERATION . ~ / / ~ - ~•~~/~''/~''/~i ~ i=' _ ~ ~ J.~\` ~•~\;i1~, t REMARKS: ~ SEPARATE PERMITS ARE REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK FEE SUMMARY Base Fee $35.00 Surcharge $.50 Lic. Search Fee $5.00 Total Fee $40.50 CONTRACTOR: - Applicant - sT. LIc. OWNER: UNGER CONST, CHARLES F 18902499 0004815 ORR CHRIS 2317 121ST ST E 3919 WORCHESTER DR BURNSVILLE MN 55337 EAGAN MN (612) 690-2499 (612)454-6649 I hereby acknowledge that I have read this application and state that the infiormation is correct and agree to comply with all applicable State of Mn. Statutes and City of Eagan Ordinances. APPLICANT/P MITEE SIGNATUFE ISSUED BV: SI NATURE CITY OF EAGAN ' 3 1994 BUILDING PERMIT APPLICATION - 2.3 0 681-4675 ' ~ lJ~ • - - -----------zn -PI;- SIN6LE & 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 /V7' Valuation of work ~1360. cJ Site Address: IA,~~~cl~s~e~ STREET SUITE N Tenant Name: (commercial only) LOT __L_ SLOCK 2 SUBD. P.I.D. # l!G! ~i Descri tion of work: i ` k(,la.~s F/eC/v,?c v~ r~'/~~ The applicant is: ? Owner 16 Contractor O Other (Describe) Nameooq,CG"~s y Phone '15 ~/6(Wf Property LAST FIRST Owner qddress 3119 ~~~Yrl,~ste.- l:>r^• SiREET STE ll City ea ceN, State 14W, Zip , Company Phone F~+fe 6'fF'7/S'~ Contractor Address ,?3r> iz~sr S,~ F: License #oc0;a1s Exp.3-3i-93' City l~i~~-hs?~'l<~ State /111/~ Z i p 6S337 Company Phone Architect/ 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 ,R'16 Basement Finish ? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. O 17 Swim Pool ? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind. ? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc. ? 05 SF Misc. O 10 Multi. Add'1. ? 15 Deck O 20 Public Facility ? 21 Miscellaneous WORK TYPE O 31 New B 33 Alterations 0 35 Tenant Finish ? 37 Demolish ? 32 Addition 0 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) Basement sq. ft. MWCC System (Allowable) lst F1. sq. ft. City Water UBC Occupancy 2nd F1. sq. ft. PRV Required Zoning Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler Length On-site well Census Code ~ Depth On-site sewage SAC Code -7 APPROVALS Census Unit Planning Building Assessments Engineering Yariance REQUIRED INSPECTIONS ?.Site ? Footing ,13 Framing 0-Insulation ? Wallboard 17 Final ? Draintile ? Fireplace Permit Fee v.imcia,: $ Surcharge Plan Review License F.0 MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit 5/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: SAC % SAC Units PERMIT C2~~ s 3/ CITY OF EAGAN = "0 ~ 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N Eagan, Minnesota 55123 Permit Number: 0 2 0 8 0 6 (612) 681-4675 Date Issued: 0 4/ 3 0/ 9 3 SITE ADDRESS: 3919 WORCHESTER DR LOT: 1 BLOCK: 2 HILLS OF 3TONE8RIDGE P.I.N.: 10-32990-010-02 DESCRIPTION: INCLUDES DECK Building Permit Type SF PORCH Building Work Type NEW , Building Length 16 Building Width 9 REMARKS: SEPARATE ELECTRICAL PERMIT REQUIRED FEE SUMMARY: VALUATION $5,000 Base Fee $72.00 COPY $.50 Surcharge $2.50 Total Fee $75.00 Subtotal $74.50 CONTRACTOR: OWNER: - Applicant - ORR CHRIS 3919 WORCHESTER DR EAGAN MN (612)454-6649 I hereby acknowledge that I have read th3s application and state that the infiormation is correct and agree to comply with all applicable State ofi Mn. Statutes and City oP Eagan Ordinances. ~ -a - APPLICANT/PERMITEE SIGN UFiE ISSUEfi BV: SIG RE REACTI''IATE Fui CIGeOvVED CITY OF EAGAN P=rUti7 •r` 993 BUILDING PERMIT APPLICATION APR , ~ 6 ~93 681-4675 D~5 d b ~ SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural 8 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 9 3 Valuation of work ~Cx;' 0 Site Address: 3919 Worc.~-S~o-~. ~t' eR6An1 ,/1an1 S5/23 STREET SUITE Y Tenant Name: (commercial only) LOT I_ BLOCK Z SUSD. N:t-(.SOW SToNE &~46o P.I.D. * Descri tion of work: P ~ q' ~eC The applicant is: Owner ? Contractor ? Other (Describe) Name n B IQ Phone 415'V-66Y`T Property LAST FIRST Owner Address ~9?4 worcAiLS-G.4, Or STREET S7E k City ki-AGA1V State AnltJ Zip SSIa3 Company _e~,LfLF Phone Co ntractor Address License # Exp. City State Zip Architect/ Company Phone Engfneer Name Reg.istration # 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 Minnesota Statutes and City of Eagan Ordinances. ~ Signature of A„licant: OFFICE USE ONLY . , BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish ? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 11 Swim Pool ? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind. g 04 SF Porch ? 09 12-Plex 0 14 Fireplace ? 19 Comm./Ind. Misc. O 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility O 21 Miscellaneous WORK TYPE g 31 New O 33 Alterations ? 35 Tenant Finish ? 37 Demolish ? 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION ~ " ' f "r'~` Const. (Actual) Basement sq. ft. MWCC System (Allowable) lst F1. sq. ft. City Water UBC Occupancy 2-~ 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 7/- Depth ~ On-site sewage SAC Code APPROVALS . . . ` ~ ; ~ Planni Building • As4essments ng Engineering Variance . . . REOUIRED INSPECTIONS Sc28E.j PoRc% q(-5o I6K I'S,9X6' DEZ< ? Site - f! Footing"• EgrFraming''•'i' ? Insulation 0 Wallboard JZ Final ? Draintile 0 Fireplace Permit Fee ~2.00 retmcim: S 5000 ~ Surcharge z .50- A-C Plan Review license ~~X9 =/yN X ZS= 3r.0 0 MWCC SAL C i ty SAC Water Conn. Water Meter Acct. Deposit y soD o,fS'aO0 S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies ~ Other Total: SAC % SAC Units _ 4VEYQR'$ CERTIFICATE PAaisH MARKETINO WORCkiESTER DRIVE ; N (V ~ - 90.00 N89°59'25"E zs ,em~.SQ o -iqo ~ ap q 6 °o % , . . Q p0 URVEWAV ~ O~ t \ 25 10 I OAR. . I ~ In ~ 30 r m n I nn a ~ tM I I PRFIOUSED ~ h ^m ~ cA~ a ~ o 34 22.3 , eJ . 9.ODI- ~i. No ry , n. ~ T ;,o ~ o Lclrr- I I N _ _8 ~ f4SA,E/,Nq~E I 1n \ ENr EA T~G~TY q A,4) 10e U P. ~.~~a r4 ` R47- ~ R'f ~ 1-6 Z' r oA~E F1lGAN GINEEAft"b~EP NOT&! NO SExFiC SOILS INVESTIGA?ION H45 9EEN COMPLETED NOTE~ .BU~LDINO pMEN410N4 SItOWN ARE ON TNI9 LOT 9Y YNE 9URV~VOR. TIE 3UTABILIIY OF ppp {~pp~=OMAI L1 Wti1C~4. l,pC-' SOIl4 TO 9UPPpRT THE BPECIPIC HOU9! PIIOPOlHO IS ATION OF STRVCTWtE ONLr. sEE, NOT TH( RE9PpN31WLITY OF 7H[ SuqVEYOfR ' ARCHITECTUAL PU1N9 IVp bUIlDIN6 • DENOTES PROPOSED SURFACE DRAINAGE e FourioArioN oiMer+sioNS. O DENOTES IRON MONUMENT SET SCALE: 1 INCH - 30 FEET • bENOTES IRON MONUMENT FOUND PROP05ED OARAOE FLOOp - gqq,Z FEET X000.0 bENO7E5 EXISTINO ELEVATION PHOPOSEd LOWEST FLOOR - gq P. S FEET (000.0) dENOTES PROP05ED ELEVATION PHOPOSED TOP OF BLOCK - 999, (a FEE7 WE HEREBY CERTIFY TO PAR ISH MAFbcErING THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lof I Block z, HILLS OF STONEBRIDGE, accordlnq to the recarded pbt iher8o~, Qdkola CWnty, Mlnneeota IT DOES NOT PURPdRT TO SHOW IMPROVtMENTS OR ENCpOACHMENTS, EXCEPT nS SHOWN. AS SUnVEVFD BV ME OR UNDEA MY DIRECT SUPE VISION THIS 23RD DAY OF APRI , 1g92 PRdPOSED ELEVATION$ SHOWN 41ERE SIaN 6: JA R. HILL, INC. ~ TAKEN FROM THE pEVELODMENT PLAPI FOR HILLS OF STONEBR(DGE, PRE- g. .,.t . PIIRED BY PIONEER ENGINEERING APlD JOHN C. LARSON. LAND SURVEVOR LA57 DATED 8-26-87.. MINNE507A LICENSE NUMBER 19828 xT~ o o s A oW$ Jarnes R. Hill, inc. - 0 ~Nn ~ 0 w> * ~ b z N~ ~ o, m x Z pLANNERS / ENGINEERS / SURVEYORJ O~ O ~ O m ~ N ~ . 2600 W. CTY. RD. 42 i BURNSVILIE. AAIJ. 55337 i 812•890-80A PERMIT N CITY OF EAGAN REACTIVATE ~ 1992 BUILDING PERMIT APPLICATION 4 f ~ 681-4675 ~~'i 0 RECn ~ SINGLE 5 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 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 f0 / ZO ~ fZ Valuation of work 465DO- Site Address: 5g17 L)O"STI=4 JJ2 C.f 6d/Q STNEET SUITE A Tenant Name: (commercial only) IAT BIACK ~ F. I q P.I.D. M (71,~ ;~?~~.~IY11-~ ~'i Descri tion of work: ~~t115t-t 340 LcvE(_ The applicant is: ? Owner M Contractor ? Other (oes«ine) Name _fokk Gffki S vnacie.46_1 6647 Property LAsT FIRST Owner Address _S~'II ~l (~cJo2c~rc3t ~ D~- , STREET STE 1! City State M~ Zip Company 20Tc--li.) ?JES/ ~ U?Utl~ Phone bF^3?7.5 Contractor Address 664 (4-~- ~ ~ License L2:')Axp. ~L City,~POIF f/fFI /i:+ State /i'W- Zip ~2_04 ArchitecU Company Phone Engtneer Name Registration N Address City State Zip Sewer 6?vater licensed plumber Processing time for sewer 8 water permlts is two days once area as 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: BUILDING PERMIT TYPE OFFICE USE ONLY f O 01 Foundation O 06 Duplex O 11 Apt./Lodging ~.16 Basement Finish ? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool ? 03 SF Addition ? 09 8-Plex ? 13 Garage/Accessory ? 18 Cortm./Ind. ? 04 SF Porch ? 09 12-Plex O 14 Fireplace ? 19 Coiren./Ind. Misc. ? 05 SF Misc. ? 10 Multi. Add'1. ?.15 Deck O 20 Public Facility 0 21 Miscellaneous WORK TYPE 31 New ? 33 Alterations O 35 Tenant finish ? 37 Demolish ? 32 Addition ? 34 Repair O 36 Move GENERAL INFORMATION Const. (Actual) Basement sq. ft. MWCC System (Allowable) Ist F1. sq. ft. City Water UBC Occupancy K 3 2nd Fl. sq. ft. PRV Required Zoning Sq. Ft. total Booster PumP / of Stories Footprint Sq. ft. fire Sprinkler Length On-site well Census Code Depth On-site sewage SAC Code `---_y APPROVALS 12~:°SkS:4i•i.d a Planning Building Assessments Engineering Yariance REQUIRED INSPECTIONS ? Site O Footing ~Fram9ng ? Insulation ? Mallboard Final ? Draintile O Fireplace /111 Permi t fee L3~ g Surcharge Alaa4tpv License Awee-m City SAC Water Conn. Mater Meter . Acct. Deposit S/W Permit S/M Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: SAC % SAC Units L~ BL CITY USE ONLY RECEIPT#: SUBD. .XXKs RECEIPT DATE: 73/9 7 At jLe-o~ 1997 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please compiete for: . single family dwellings ~ townhomes and condos when permits are required for each unit ~ backflow preventer for underground sprinkler system FIXTURES EACH NQ TOTAL Shower 3.00 x = Water Closet 3.00 x = Bath Tub 3.00 x = Lavatory 3.00 x = Kitchen Sink 3.00 x = Laundry Tray 3.00 x = Hot Tub/Spa 3.00 x = Water Heater 3.00 x = Floor Drein 3.00 x = Gas Piping Outlet " minimum - i 3.00 x = Rough Openings 1.50 x = WaterSoftenef ' far dwellings undar construction 5.00 x = Water SoRener ' for existing dwelling 20.00 X = U.G. Spfinklef ' for dwelling under const. 3.00 - U.G. Spnnkler ) •rorexistinydweuing 20.00 = 2m,~d Anerations to existlng residence 20.00 = Water Turn Around 20.00 = Private Disposal System ' Dak cry iie. 75.00 = (new and rafurbished systams) Private Disposal Systems ' ntandonment 20.00 = STATE SURCHARGE .50 TOTAL ~~D. SC7 I hereby acknowledge fhat I have read this applieation, siate that the infortnation is cortect, and agree to comply with all applicable City of Eagan ordinances. It is the appliwnYs responsibility to notity the property owner that the City af Eagan assumes no liability for any damages caused by the Ciry during ifs nortnal operational and maintenance adivdies to the facilities construcMd under this pertriR within Ciry propertylright-of•way/easement. ~ SITEADDRESS: > 919 OWNER NAME: ( j~CA S INSTALLERNAME: 4GCJCd'Ifyd Q~~~~~~ ~kfk,rTELEPHONE#: STREET ADDRESS: *520 -~"e CITY: ~~c-e Wtl( STATE: ZIP: ~SD SIGNATURE OF PERMITTEE v N N city or Ea 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 2009 MECHANIC Date: 2-1 V Site Address: Tenant: is Printed Name FOR OFFICE USE RESIDENT OWNER CONTRACTOR TYPE OF WORK PERMIT TYPE Address City Zip: itiS Phone: 33 (f_ 11,5Y S( —t 4 C// Contact Person: Lid #A 4 '7 (e :2 Description of work: Additional Alteration Demolition e SC/' a I RESIDENTIAL Furnace Air Conditioner Air Exchanger Heat Pump Other COMMERCIAL New Construction Interior Improvement Install Piping Processed Gas Exterior HVAC Unit Under Above ground Tank Install Remove) **When installing /removing tank(s), call for inspection by Fire Marshal and Plumbing Inspector RESIDENTIAL FEES: $50.50 Minimum Add -on or alteration to an existing unit (includes $.50 State Surcharge) $90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) V TOTAL FEE COMMERCIAL FEES: $70.50 Underground tank installation /removal OR $50.50 Minimum (includes State Surcharge) If Permit Fee is Tess than $1,000, surcharge is $.50. If Permit Fee is $1,000, surcharge increases by $.50 for each $1,000 Permit Fee (i.e. a $1,001- $2,000 Permit Fee requires a $1.00 surcharge). Contract Value x 1% Permit Fee State Surcharge TOTAL FEE plican 's Signature Required inspections: Reviewed By �te, Under Ground Rough In. Air Test Gas Service st _In floor Heat in Exterior HVAC Screening Inspection Suite I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and c I understand this is not a permit, but only an application for permit, and work is not to start without :?permit; that the work wit be in plan in c as of work which requires a revi w and ap•r• al of plans. X Applic L x A RM T AP LICATION Fir WOO Use Permit °2 91 3Z Date Received: 0 /D Permit Fee: Staff: es of the City of Eagan; that ccordanc- with the approved J x CityofEaffall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 2009 RESIDENTIAL PLUMBING ERM APPLICATION Date: I O\ Site Address: 3 1 WO Vj v i V L- Y Tenant: RESIDENT OWNER Name: r1 ISM'' r 1 u s o I i '33(-4 —145 WI: Address City Zip: 3 (1' erg f i f= a frx CONTRACTOR Nam tl ,,,,.r 4,,e- T 3 ,,,r,6,,.., Q Nf pa-IN 7 License .3R3 ?3PM Address: :t rJ 9b (I t-AM o IILJ n) ST' City: 1`�A 'N45 Phone: C5 43 1- 1 1 PERMIT TYPE TYPE OF WORK New x Replacement Descri Water Softener Contact Person: ,E ,4 �/,t//4' Repair Rebuild Modify Space Work in R.O.W. tion of work: R IDENTIAL Water Heater Lawn Irrigation Add Plumbing Fixtures RPZ PVB) Main Lower Level) Septic System Water Turnaround New Abandonment Permit Permit Fee: Date Received: Staff: Suite State: Mww Zip: S5: 33 RESIDENTIAL FEES: $50.50 Min imum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge) *Water Turnaround (add $165.00 if a 5/8" meter is required) $100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEES I hereby acknowledge that this information is complete and accurate; that the work will b Eagan; hat I understand this is not a per it, but only an application for a permit, a acco a with the approved i in the se of work which requires a review and app Applic s Printed Name conformance w is not to sta f plans. x A cant's Signature Z) he ordinances and codes of the City of thout a p rmit; that the work will be in J ions er Ground Rough-in ø ÿþ ýüü ûþúûúþ ùüüïþöõìüý äëýûÿ ó ýüõ ýüûúù÷éìõüúù ÷úù÷éìãéìÞùï ùäü õüõôóôðüù òÿ ýñüø ïùîïïñüïûïí ëÿééùÿþëëïÿ ü ùíõëëùëí õûïêñüûéÿëïïí øçóæçí íô ôù ýüÿèüçóæçí í èüóþ í óò õñð ùù äïùäïýîååÿ åîíãó ÷ öèåãôß ÿåãó áßóàô ûéÿ îùùëïÿïùéùùûý ëåýüõë ÿðí ùùì üýÿü PERMIT City of Eagan Permit Type:Building Permit Number:EA163733 Date Issued:09/10/2020 Permit Category:ePermit Site Address: 3919 Worchester Dr Lot:1 Block: 2 Addition: Hills Of Stonebridge PID:10-32990-02-010 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 - Timothy E Seifert 3919 Worchester Dr Eagan MN 55123 Minnesota Restoration Contractors Inc 12252 Nicollet Ave Burnsville MN 55337 (612) 280-4807 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA174555 Date Issued:02/03/2022 Permit Category:ePermit Site Address: 3919 Worchester Dr Lot:1 Block: 2 Addition: Hills Of Stonebridge PID:10-32990-02-010 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 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 - Timothy E & Elizabeth L Seifert 3919 Worchester Dr Eagan MN 55123 Renewal Andersen 1920 County Road C West Roseville MN 55113 (641) 264-4088 Applicant/Permitee: Signature Issued By: Signature