The URL can be used to link to this page

3922 Worchester Dr - - - -k. - ? ;87 3'9-88 Date: CITY OF EAGAN PermR No: - Q Slze c 3880 PMot Knob Road Meter No: 11 Datet , P.O. Box 21199 Reader Na i Epon, MN 56121 Owner. .-ri~,o i lR ut u~11,: ~,f St~n~- ~ Site Addres;x q ~,ol 1 Pr Plu ~r1d,~ Plumber Brue ~ rj Conn.Chg: 550.dOvd ~ 1 Acct Dep: 15 OOpd N~~ri6~~i ; ~ PermitFee: 10 ~~nt~ ..LC_.n mg~~i afl li ~C1 .rr: rn~lfli~i~ ~ ~COm ~w'' ~ . Surchar~ .5g Tr. Plant 204 . 00 d "tl In~1~s~~ I Meter. By Misc: WATER SERVICE PERMIT 1 Detec 3 5-88 CITY OF EAGAN Permit No:. . L_ 12.-F' `3830 p~t Knob Road B/ P. No:' 8I Z01 Date: p(X Box 21199 ~ Etiyan, MN 55121 4 Owner. . l-~rive Ll~y " BI `iills of Stor.a- ` i Site Addr • 392 '~yorchester br<,,, Plumber. raekmuellc- '~u: bin~ I ; p y I ~ 550 MWCC: pd Zoning• i ~ City Chg: No. of Units: Acct Dep: . I ayree to complr wflh tM CHy ol Eogan Permft Fee: 10 OOn~a - pnilnsnces. , Surcharge: .SOpd BY ~ ' Misc.: I SEWER SERVICE PERMIT ~ ~ _ . , - - _ --.V . • , ~ 3 9-8 patw - i, CITY OF EAGAN permft N~ Size: : 3830 Pllot Knob Rosd Meter No: 0 Date: { p O,.-8ox 21199 Reader No: Eagan, MN 55121 1 ;Tlp Q i Owner. t ~1~ _ : ~ ' Site Address: 272 - Plumber. R P1 ~ Conn. Chg: 550.0 Opd Zoning: 1 , , 1540pd No. of Unlts: ' Acct Dep: ~ Permit Feec 10~fte. S~pd I aqree to comPlY w~ ~e ~~~9°^ j Surcharge: Tr. Plant ,o b OOpd Ordlnances. 1 ~ Meter. Br ~ ' Misc.: WATER SERVICE PERMIT BLDG. PERMIZ'' A0 ; ~ . _ ~ ~ , • 01-3210 Bldg. Permit J , ,_,Cc 131-3422 Plan Check 01-3445 Surch./Adm. 01-3446 SAC/Adm. ` C._.. 01-2155 Surcharge `1 ,j-Y3-3860 Road Uni t - 2022275 SAC 20-3865 Water Conn. 20-3868 Water Trmt. Zf C-1 20-3716 Water Meter - i - 20-2252 Acct. Dep. 20-3713 Water Permit 20-3743 Sewer Permit 79-3866 Sewer Conn. ++--3855 Park Ded. TOTAL ~ • _ ~ I CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-189, Eagan, MN 55121 PHONE; 454-8100 BUILDING PERMIT Receipt ~ ~ • ; To be used for SE i4-r,/GA?. Est. Value ~83+ULIO Date FEBKUARY lU 19 i;v Site Address 3922 V(3XC'ri!': z'"ER DA OFFICE USE ONLY Lot elock 1 Sec/Sub. bX LL5 OE' STONE- On SRe 3ewafle Occupancy Parcel No. $R I M~E MWCC Syatem ~ Zoninq vn On SRe Well (Actual) Conat rt c Name w?LSLEY COlrSTRl;CT10N Ciry Water x (Alloweble) Vn ~ Address 9441 xXW~I SO PRV Raqulred * ot scories 4Z 1 0 Cityhp~ phone 4"-7042 Booeter Pump Len9th Depth _ 40 , ~ p. Name SAlIE S.F_ Total _ ~ ~ Address Footprint S.F. _ ~ City Phone APPROVALS FEES u W Name Engr./Aasess. Permit : ~ ~ W Planner Surcharge 41. 3c Address - Cit Phone Council Plan Review 353.~ . ~W Y BIdg.Off. SAC,City , I hereby acknowleage that 1 have read this application and state that the Variance SAC, M WCC _ S w• " infortnation is correct and agree to comply with all applicable State of WeterConn. _ 550•9Q Minnesota Statutes anti Ciry of Eagan Ordi "ces. ~ Water Meter 5ignature of Permittee , - . Road Unit 325 . A Building Permit is issued to: ~~5~•Y CUNS1~~R~1CT 1 UiY Treatment P1 2~•~ on the express condition that all work shall be done in accordance with all _ applicable 5tate of Mfnnesota Statutes and City of Eagan Ordinances. pW~ (Capy) ~7--~ ~00 Bu ilding Official TOTAL - - - . T-~ - - - ~ - . . . ._...,.r.r.,._.. . ~ CASH,RECEIAT ~ 4 CITY OF EAGAN 3830 PILOT KNOB ROAD , +E'AGAN, MINNESOTA 55122 . j DATE RECENM AMOUNT $ J' T 8 DOILARS im O CASH I~ CHECK . ~ ~ ~ • ~ L1~" O 1,L ~ - v .S ~ / FUND ME T qM(XJN7 DD /O a D D l ~J aS D~ Thank You ey i wMte-Payaa Copy 30 81751) ~ ~ - . CITIf OF EAGAN a 16 - ~ 3830 Pflot Knob Roed, P.O. Box 21-199, Eagan, MN 35121 PHO N E: 454-8100 BUILDING PERMIT ReCeipt #t Tobeusedfor EstValue "'i•~~•' Date r`2 •`t A ";y 1;? Site Address 3'•+~ 1 4..,i~~>;~,~ E i: i. OFFICE USE ONLY Lot Block ; Sec/Sub. a;•f u~ STUNE.- On 8Rs Sewaye Occupency DR Ih~'.•F. MWCC System - Zoniny Parce) No. On Slte Well (Actuai) Const :C01`4ti1<<CC71Ui, ciywater A (uioweae) Y" s Name W Yj,(;; J;;tl PRV R ~ Address equired * oi Stories ~ City Phone o ~ter Pump Length 41 -7042 ~ Depth °C Name S.F. Total Address Footprint S.F, ~ City Phone APPROVALS FEES ~ a Engr./As9ess. Permit ' Su~' • ~ ~ W Name = v Addf@SS Plenner Surcharge ~ ~ ''F'~ o= Councll Plan Revlew ~'t" ~ W City Phone sid9. oK. sac, city I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC inforrriation is corcect and agree to comply with all applicable State of Water Conn. Minneaota Statutes and City of Eagan Ord pances. Water Meter Signature of Permlttee - Road Unit ' • . • ~ '.~t.~Lt.; t:.~~S`it?lCy It,i~ A Building Permit is issued to: Treatment P1 on the express condifion thet all work shall be done in accordance with all ~?1(s ~ i, , y ; applicable State of Minnesota Statutes and City of Eagan OrdinanCeB. TOTAL Building OffiCial___ ; _ Permit No. Pormit Holdor Dee Tehphone • Plumbing H.V.A.C. C~',~ Electric 9 Sottener Inspection Date Insp. Commenb Footings I - Footings II Foundation Framinfl Roofing Rough Plbg. ~ Rough Htg. 3 4-e- - ' Isul. Fireplace Final Htg. Final Plbg, Bidg. Final Cert. Occ. Temp. LP Deck Ftg. Deck Final Well Pr. Disp. PERMIT # ' . MECHANICAL PEfiMIT RECEIPT # ' CITY OF EAGAN 3630 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: - CONTRACT PRICE "PHONE: 454-8100 Site Addrqss - BLDG. TYPE WORK DESCRIPTION Lot Block~-- 3ec/Sub, Res New Name • Mult Add-on m ~ . ~ Addr~, Vli~~ Comm. Repair Phone " 0~ Other AL c CIty1' AEL u N8m@ .~.Q r„ ~~.a~. ti,..i-t.t? FEES RES. HVAC 0-100 M BTU - a24.00 c Address AO ADDITIONAL 50 M 8TU - 6.00 p Ciry~~<"~ •-~-e1~ Phone G 6' ~C (RES. HYAC INCLUDES A/C ON NEW 2 .Tj CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIn - 1.50 EA. TYPE OF WORK COMM/IND FEE - 196 OF CONTRACT FEE Forced Air M BTU 2 p~ APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8 Unit Heater M BTU REMODELS - 12.00 Air Cond. M BTU MINIMUM COMMERCIAL FEE _ 20.00 Vent CFM STATE SURCHARGE PER PERMIT .50 Gas Piping Outlet9 # (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,080) Other FEE S/C: ~ SIGNATURE OF PERMITTEE I TOTAL• FOR: CITY OF EAGAN - ,x, - - .y..,,' s•-.'x!' . ,,~Yy~. t. '.y_ _.i~ ?'_t' 'i• PERMIT # . PLUMB'ING PERMIT RECEIPT N CITY OF EAQAN 3e30 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: ~ CONTRACT PRICE PHONE: 454-e100 ~ ~ Site Ad5cess BLDG. TYPE WORK DESCRIPTION 'll Lot - c" Block Sec/Sub ~ Res. New - Name Mult Add-on Address • Comm. Repair ~ Ciry Phone ' 7vo"j` Other ~ . N0. FIXTURES TOTAL Name Water Closet - $3.00 : 3 Address . Bath Tubs - $3.00 p Ciry " Phone _-L.avatory - $3.00 Shower - $3.00 FEES Kitchen Sink - $3.00 COMM/IND FEE - 1% OF CONTRACT FEE Urinal/Bidet - $3.00 MINIMUM - RESIDEWTIAL FEE -$10.00 Laundry Tray - $3.00 Floor Drains -$1.50 MINIMUM - COMMlINO FEE - 20•00 We~ H~ter -$1.50 STATE SURCHARGE PER PERMIT - .50 Wh~~~~ (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping OuUets -$1.50 BEYOND $1,000.001 Softener - $5.00 Well - $10.00 ~ - Private Disp. - $10.00 Rough Openings $1.50 31GNATURE OF PERMITTEE FEE STATE S/C: FOR CITY OF EAGAN GRAND TOTAL: ~ INSPECTION RECORD 1-7 CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPUCANT: . ~~~~F{c»t~,rt?~ r~i< , r,~~ ~~t • I ' PERMIT SUBTYPE: TYPE OF WORK: ~~1 1; 1 i:~ . i•i 1~ i..~ 1 ~ DA • I i W I (•1 Pil~k?,'.: Il l ('/11;/11 f I t I ivt i f 1'~ kf fi ll l{+I i~ I~~I 11kd'i i 1 i~ f l t~ rsl llI 11. 1 I I L=_ ---------------------------~II Permk Ho. PermR Holdw Date Telaphone # ELECTRIC (J p PLUMBIN(d HVAC Inapactlon Dete Msp. Commonb I FOOTINGS FOUND FRAMING ROOFINCi ROUGH PLUMBING PLB(3 AIH TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARO FlREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL I BSMT R.I. I 85M'T FlMI1L I DECK FTO I OECK FlNAL I I I I I - RESIDENTIAL ~ BUILDING PERMIT APPLICATION CITY OF EAGAN ~ L~I 3830 PILOT KNOB RD - 55122 ~ 651-681-4675 Nxv ConsW etion Recuinmentc RortaNYRowkRwuinmenis • 3 registered sGe surveys sAowrtg sq. k of bt, sQ. R altwuse; arwliA rooted sraes • 2 oopies of P4n (20% marimum bl caveiage abwed) . 1 set of Eneqy Calcu{a6ons fa heatad additlons . 2 copies d qon showhg beam 6 window s¢es; poured faund design, etcJ . 1 sa survey taexkria sdtlifbns 8 dedfs . lxtotEnergyCalailaatlDns . YidimbdhortieservedbysepticsysWnforadd'~tions • 3 copies o1 Tiee Preservation Plan Y bt pWUeO aMr 711193 • Rim Joist DefaN Options sekclion slbet (bNigs wIN 3 or bss unBs) DATE _I ~lJ7 ~1 VALU/~ION JD / LIIn I.~ JOB SITE ADDRESS~ ~&fG F e_Sf~?^ br IF MULTI-FAMILY BUILDI~N~G, HOW MANY~ U"NITS? _ PROPERTY OWNER / 1~i1{~l5 yC7~fh J'~mr 1 i hK TYPE OF WORKn~, `Y- - KL7~t' L FIREPLACE(S) _ 0_ 1_ 2 APPUCANT _ I~YGC WWW ~XTieC' 1(:r5 PHONE#7It3' 755- I ADDRESS '1 pZn z ~ ~~Q • ELIn _16A1-,tA 5 ZIP CODE 3.3 PAGER N CEII PHONE N FAX # NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY Energy Code Category _ MINNFSOTA RULES 7670 CATEGORY 1 (check one) - Residenfial Ventilation Catepory 1 Worksheet Submitted - Energy Envelope Calculations Submitted _ MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbinp Contractor. Phone Plumbing System Includes: _ Water Softener _ Iawn Sprinkler Fee: $90.00 _ Water Heater _ No. of R.I. Baths _ No. of Baths Mechanical Contraetor: Phone ~ _.$74.00~ Mechanical System Includes: _ Air Conditioning Fee:r- _ Heat Recovery System " Sewer/Water Conhocior. Phon* i ' All above infortnation must be subrttttted prior to processirq of application. I hereby acknowledge that I have read ihis application, state that the information is correct, and agree to comply ~ with all applicabie State of Minnesota Statutes and City of Eagan ances. im aLo Slynalure of Applleant ~ . Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ ` Updated 1101 OFFICE USE ONLY O 01 Foundation O 07 OS-plex 0 13 16-plex O 20 Pooi O 30 Accessory Bldg 0 02 SF Dwelling O 08 08•plex O 16 Fireplace 0 21 Porch (3-se2,) O 31 Ext. Alt - Multi O 03 01 of _ plex O 09 OT-plex O 17 Gerape O 22 PorG?Addn. (4sea.) O 33 6ct. Alt - SF O 04 02-plex 0 70 Od-plex O 18 Deck O 23 Porch (screened) O 36 Multi ? 05 03•plex O 11 10-plex 0 19 Low9r Levei O 24 Slortn Damage 0 O6 04-plex O 12 12-plex Plbg Y or _ N O 25 ANecellaneous 0 31 New O 35 Int ImpmvemeM O 38 Dxnolish (Interior) O 44 Sidirg O 32 Addition 0 38 , Move Bldp. O 42 Derrplish (FoundaUon) O 45 Fire Repair O 33 AHeration O 37 Demolish (Bldy)• O 43 Reroof 0 46 WindowslDoors O 34 Replacement 'WmollGon (EnHn Bldp only) - Glw PCA handout to appticont Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Staries Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bidgs Length Fire Sprinklered Type of Const W idth REQUIRED INSPECTIONS _ Footings (new bidg) _ FinaVC.O. _ Footings (deck) _ FroaVNo C.O. _ Footings (addition) _ Phunbing Foundabon FIVAC Drain Tile Roof Ice & Water Final OtLer _ Framing _ Pool _ Ftgs _ Air/Gas Tests _ Fiml _ Fireplacc _ R.I. _ AQ Test _ Final _ Siding Sduw Stott _ Insuladon _ Windows (new/repLcement) Approved By . Building Inspector Base Fee Surcharge Plan Review MClES SAC City SAC Water Suppy 8 Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit " Mechanical Permit License Search Copies Other Total - - . _ R - - - li . ' GASH RECF.IPT r~ .1 • A ~ CITY OF EAGAN II 3830 PILOT KNOB ROAD , I ' EAGAN, MINNESOTA 55122 D/ATE 19 l/~' I AMOUNT I ~ h DOLLARS ' E]CASN ~ CHECK 1 . ~ ~ ~~o~ ~ 's,~~jf ?1 e~ C~l ~f l/~~ i.,ti/~:..,G~~ ~ ~ i ~J. ~ ~ ivrv cooe nn~oorvr / / il~ Il'? 'i{ i ~ l i t , ~f( _ ! / ( ~ . I ~ Thank You ~ ~ e 7 White-Payers CoDY 2) Veilow-Posting Copy REQUEST FOR ELECTRICAL INSPECTION *k\ ee-ooooi-os C ~ See inslrucbons br compleLng this form on Wck ol yellow copy. ~//~/7~ "X" 8elow Work Covered by This Request Ne Add Rep. Type of Building Appliances Wired Equipment Wired ~ Home Range Temporary Service Duplex Water Heater Electnc Heatin ApL Building Dryer Load Management Comm./Industnal Fumace Other (Specify) Farm Air Conditioner- Othe, (spectly) Contracior's Remarks r,~; ~c ~ara9 ~ Campute Inspectian Fee Below., # Other Fee # Service Entrance S¢e Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transtormers Above 200 Amps A~ov 700 -Am s Si]fIS Inspeclor's Ose Only: C~Lo ~Irrigation Booms °G Special Ins ection Alarm/Communication THIS INSTALLATION MAV B D DISCONNECTED IF NOT Other Fee COMPLETED WI7HIN 18 MONTHS. I, ihe Electrical Inspector, hereby Rough-in oa+a certity that ihe above inspection has F~~~~ oai p been made. OFFICE USE ONLV ? Thrs repoesl voitl 18 monlhs Irom , CITY OF EAGAN N 2- 14 5 9 7 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE:454-8100 Receipt# U ~ p/^ ~ ~ ~ To be used for SF DWG/GAR Est. Value $83 , 000 pate FEBRUARY 10 19 88 Site Address 3922 WORCHESTER DR OFFICE USE ONLY Lot 18 Block 1 Sec/Sub. HILLS OF STONE- OnSireSawage _ Occupancy R3 BRIDGE MWCCSystem X Zoning Rl ParcelNo. OnSiteWell (ACtuapConst Vn a Name WESLEY CONSTRGCTION Ciry Water X (Allowable) Vn i Address 9401 XYLON SO PRV Required # of Stories o City MPLS phone 944-7092 Booster Pump _ Length 42 Depth 40 , p Name SAME S F. TOtal zi- Footpnnt S F. oa Address : City Phone pPPROVALS FEES l-, Engr./ASSess Permit $ 506.01 " W Name f i Planner SurChar9e 41.5( i ~ Address 253.0( a W City PhOnB CounCil Plan Review loo.o' Bldg. Oft. SAC, City I hereby acknowledge ihat I have read Ihis application and state that lhe Variance SAC, MWCC 5$0.0( inlormation is correct antl agree to comply with all applicable State of Water Conn. 550.01 Mmnesote StaNtes and Ciry of gan Ordi nc '~,~2~ water Meter 67.01 Signature of Permittee Roatl Unit 325.01 A Building Permit is issuetl to: WESLEY CONSTRUCTION Treatment Pi 204.01 oniheexpressCOnditionthatallwOrkshallbedoneinaCCOrdancewithall ~5~ applicable State of Minnesota Statutes antl City of Ea an Ordinances. ~ (CDpy ~ 70TAL 597.00 Building Official r - (Irrti#irate of Mrrupttnry Citp of (tagan OP}iUTtUtPril Uf Igltllb(IlJ J11B}1Pt11112i Tl+is Certificaie issuedpursuani m 1he requiremena ojSection 306 of the Unijorm Building Code certiJying tha7 at the time ojrssuance thrs structure was in compliance with the various ordrnartres ojthe Ci1y regu(aang building canstruclion or use. For the jo!/owing: ` ~ Uu CLmfiuuon Bldg. Rlmn No. i. Occupan<Y Type Zuwng Duurcr I TYpe Coml. `A o~orsuaaire Addom - 'S'7 Bw7diryAddr~ Imliry li(y . i , i ~ ` Buildin8 Olfitiel POST IN A CONSPICUOUS PLACE Thi< reauest voia 18 wnthsIrom 9 3 9 6 2.,~ / S flPnuest Dale Fire No. Fou h-in In Fevetl + sUer,uon ? ,t-y ~ Vl 1 -q) -pd e:~dv Now ~t11 Nolilv InSPeC /«a 06 Yes ~Nu r~lar When Peadv ~Licensetl Electrical CmmaC~or ? Owner 1 hereby re0uest insDection ol ebove electncel work inslallad ot: $vent Atltlress, Boz or Home No. y ~9s a G.J~ s rr~ D,el~/~ Ei~-G.q.v ecuon o. TownshiP Namc or No. Range No. Coun~y La T~ ~GcacK / ~lGt S~i~f L/i6E o?Jy OccvUant IPflINTI Phone No. Y~u S"2 -o.SS Powei S S uPPlie~ nA:~ u r 1?- £GEC G !~y /.sJ 1'a7-/ Electncal ConUacwr ICamv~ny Ndmel Conva<:mr's Licr,nse No, ~l"0e Address IContmctor or Owne~ MakinP ~~s~ailatwnl 1 +O6 3'iGt/rA6~ Auchorieed Sienature (Conhac1or/Oinor Maklr'4 fl'Sialla"on) Phone Number ~4 ~90 - 3 ~ s f MINNES TA STATE BOARD OF ECTqICiTY TMIS INSPECTION NEOUEST WILL NOT GriB9s•Midway Bldg. - Room N-191 BE qCCEPTED BV THE STqTE BOAHO 1821 Unrversitv Ave., St. Pnul, MN 55104 UNLESS PqOPEP INSPECTION FEE IS Phone(672)642-0800 ENCLOSED. n~~ REQUEST FOR ELECTRICAL INSPECTION W ee-oooot-os o</ /p Il, See inst ~cbons lor com0letine this lorm on beck ol vellow coCV. F/5 J~ 0;•- 9 3 9 6 2 -x" Below Work Covered by lhis Request Nov, FAaf Neo. Tyoe ol Bmldin0 Applinncea WveA EquiUa+ent Wued Home Ryige Temporary SCrvice Duplex Water Heater Lighbny Fixturos Apt. Bwlding Dryei Electnc Heatinc Commercial Bldy Fumace Silo Unluader Industrial BIAg. Air Conditioner Bulk Milk Tank Farm atn.i oeci v mc, lsncuFvl 1 qr pec~ty Iher Qlh~r ompute Inspection fee 8elow k Fee ServiceEnvaneeSiza n Fee Fexdere/SuMenders # Frte Cvcui~s ' U to 200 Am ps 0 to 30 Am s - 0 tn 30 Am ps Above 200 qmps 31 to 100 Amps - 31 to 100 Am s Swimming Pool Above 100_Amps Above 100_AmUs Transrormers Irrigavon Booms •,Sa Partial. 0[her Fee Signs SpecialinspecUOn $ s So TOTA Remirks E Roueh-in tha E Insoectoq M1ereby erli1V thet the nbovo Final ~ _ inspection hes been ~M~ ~~`.~:L.~y ~ mede. Thle repuesl volA 18 montb Imm 0-0, 9 936 Requesl le Fire No. Ro gIn Inspectton mr Ins on OIherThan R h-In 9 (YOU must call mspe r en reeay) ~ flaetly NOw ill Nouty Inspeclor 9 7~ ? Ves No Date Reatl I? licensed contractor &wner hereby request inspection oi above electrical work at. JoE Atltlress (Slreel, Box or Roule No ) qiy 3 9~a Gt,or +es 4r r Secnon No. Townsh~p Name or No, Fange N. County Occupent P n Phone No. Ja U~+kc Pmver Suppber Atltlress Electnc Comracmr(Company Name) Cqmraciors Lxcense No. O?11 ~°-0WY\2.?' Mailing tltlre s vector por Owner Making Inslallation) OU ` Aulh zed naWra (COnV Owner M kmp.ln t~Mdli n P~one Number ff 8 - 87415- MINNESOL STA BOAPD OF ELECTPICITY THIS INSPECTION REQUEST WILL NOT Grlggs-flfEway BIOg. - Foom S128 BE HCCEPTED BY THE STATE BOARD 1821 Univero0y Ave., SL Paul, MN 55f Od UNLESS PROPER INSPECTION FEE I$ Phone(61I)6A2-0800 ENCLOSED. #ILA-14Lp 2005 RESIDENTIAL BUILDING PERNIIT APPLICATION City Of Eagan CaUAd -lktC~v.. 3830 Pilot Knob Road, Eagan MN 55122 t. 00 Telephone # 651-675-5675 FAX # 651-675-5694 en-cc New Construdion Reuuiremenis RemodelfReoairReauirements Office Use Onlv 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan CeR ot Survey Reoi _ Y_ N (20°h maximum lot coverage allowed) 1 set of Eneyy Calculatians for heated additlons Tree Pres Plan Recd _Y _N, 2 copies of plan showing beam 8 window s¢es; poured found design, etc. 1 site survey for addNOns & decks T2e Pres Required _Y _ N lsetofEnergyCalculatbns Addrtion - indicafeilon-sttesepficsystem On-site Septic System _Y _N 3 copies of Tree P2servalion Plan if lot platted aRer 1/1193 Rim Joist Detail Options selectwn sheet (buildings vrith 3 orless units) Date -7_ os- Construction Cost Site Address da WO~ChQS't~' bri V-Z UnitJSte # L,a SSlol3 Description of Work L0~,~ Le Vi Multi-Family Bldg _ Y VN Fireplace(s) Y 0 2 PropertyOwoer iQ. U3r% 11 Telephone#(ty~o~ a3~- 5y~8 Contractor fi- Address City State Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Kules 7670 Categorv I Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheel • New Energy Code Worksheet (Jsubmissiontype) Submitled Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with o similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Telephone # ( ) Mechanical Contractor Telephone ) Sewer/Water Contractor 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 NIN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work wh requsrs' V. approval ofplans. ~ ~J I I'' a~ ~ JUL 0 E 2005 Applicant's Printed Name Applicant's tur By OFFICE USE ONLY Sub Types ? Ot Foundation ? 07 05-piex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 Otof_plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn.(4-sea.) ? 33 Ext.Alt - SF ? 04 02-plex ? 70 OB-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-pfex Ptbgl-Y or_ N? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demalish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair 'E~ 33 Alteration ? 37 Demolish Building` ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement "Demolition (Entlre Bltlg) - Give PCA handout to applicant Valuation 9'19 oOccupancy 3 MCES System Census Code Zoning Q( City Water SAC Units l Stories Booster Pump # of Units ~ Sq. Ft. PRV # of Bldgs ~ Length Fire Sprinklered Type of Const S N Width REQUIRED INSPECTIONS _ Foo[ings (new bldg) FinaUC.O. _ Footings (deck) L' FinalMo C.O. _ Footings (addition) ~ Plumbing Foundation c~- HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ AidGas Tes[s Final Y Framing _ Siding _ Stucco _ Stone _ Brick Fireplace R.I. AirTest Final Windows ~ Insulation _ Retaining Wall Approved By: '/i- '7-((-65- , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S8W Permit & Surcharge Treatment Plant License Search Copies Other Total 2005 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date ~ I I ~S I~ Site Street Address ' 3~aa hJdf'cJ,~'S'K~ VC F~ Unit# I a37-9vy~ Property Owner o h 1 Vt Telephone ) Contrector Telephone # ( ) Address City State Zip The Applicant is: ~Owner _ Contractor _Other Alteretions to existing dwelling $ 50.00 3Z~Add plumbing fixtures. This fee includes putting in a water softener andlor water heater at the same time. If ~ou are installinp onlv a water softener and/or water heater, do not complete this section. Move to the next section and check the appliance(s) you are installing. _Septic System Abandonment _Water Turnaround (add $125.00 if a 5/8" meter is required) Other: Water Softener _ Water Heater $ 15.00 _ new _ replacement Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge $ 50 Total $ ,S~J 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 plan in the event a plan is required to be reviewed and approved. .J~1.,.1-J; l ( di 4 ApplicanYs Printed N e ApplicanYs Si a ure ~~7 . 15•So 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAQ, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. ~ Date 23 ~ aL ~ WILLY,MELANIE q ~ ~ 3922 WORCHESTER DRIVE Site Street Address I, EAGAN, MN 55123 , Unlt # ~ ~ (ssi) 454-6095 Property Owner ` Telephone # ( ) . Contractor (612) 827-4033 Telephone # ( ) Address 2905 GARFIEI.D AVE. SO. cicy stace ziP r The Applicant Is: _ Owner ~j Contrector _Other Aiterations to existing dwelling $ 50.00 _Add fixtures to rooms, excluding water softener and water heater _Septic System Abandonment _Water Turnaround (add $121.00 if a 5/8" meter is required) Other: Water Softener ~ Water Heater $ 15.00 ~ replacement _ additional Lawn Inlgatlon System RPZ_ new _ repair _rebuild $ 30.00 State Surcharge $ .50 I: ~5 Total 5_~ 2 g 2004 g l S. SO ,y I hereby apply for a Re idential P mit and acknowledge that the information is complete and accurate; that the - wi1 e 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 plan in the event a plan is required to be reviewed and approved. J e-(t iV artol wv~l ~ ApplicanYs Printed Name Ap{7i T' Signature ~ i 1988 HUILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS / y INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WEiICA 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 CONMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS To Be Used For:- ;r;,,,,;?yg,,.:'d%„'=•,,,';Valuation: p3 0~ ~0 Date: ' Site Address OFFICE USE ONLY Lot if Block On site sewage_ Occupancy It" 3 MWCC system ~C Zoning -Z- I Parcel/Sub A On site well Actual Const V-N J ~j ~/City water r/ Allowable ~ Owner J ~ ~ ~ ~iT PRV required fi of stories Hooster Pump Length ~ Address Depth 40' S.F. Total City/Zip Code Footprint S.F. Phone -7 D j'-DL APPROVALS FEES Contractor Engr/Assess Permit S06.00 Planner Surcharge l~} ,Sv Address Couneil Plan Review 2 5 3•oU B1dg. Off. SAC, City 0~ D City/Zip Code Variance SAC, MWCC 55D,00 Water Conn 550.0 Phone Water Meter 617 00 Aoad Unit 13. 1OD Arch./Engr. Treatment P1 D ,pp Parks Address Copies • SD 1 TOTAL City/Zip Code Phone 7 vAW ATI oN , ~ ~ GAQA(TE ZZx2Z = ygy x12= SSOg I~AS'Ern~_~il ti IST FLODtZ - ~ 1` X Zv = 3zo zoxz~l-= y8o S x Li = z0 gzo x 5t~ - y~1560 zNp F-LbbR X31 ~3 91 II x 32 _3sz ~ ~ 1`6 = (3 6) Gs7 Uy= z~9o8 8Z276 - . e:1 l rc"~ •':v . EXTERIOR ENVELOPE AVERAGE "U" C01•IPUTATION 061NER SITE ADDRESS 6T IS, ZLCiclc I. H/LLS oF S7rWt13Ri-prtia CONfRACTOR /DATE -V;r0~~'? PfiONE Determine working square footage of each. 1. Total exposed wall area "?753 Y9 sq. ft. x_ii 2. Total roof/ceiling area F61171 sq. ft. x-026_ Total exposed wall area above floor a. Total wall window area _,9,2. ?Z b. Total door area . 3 77 -77 c. Total sliding glass door area d. Total fireplace wall area........................ .2 O e. Total wall framin area (avera e 10% ~ 9 9 f. Total net wall area above floor :49 g. Total rim joist area D 2S Total ezposed foundation area = _ ~z h. Total foundation window arca..................... 5,33 i. Toal net foundation area abcve grade l~ Determine "U" value cf each taall segment. a. 97-72 X ~~~~l e7l _ !13 b. 57,77 x"u" , 1.2.3__ - G5 3o xcoull e. 2o xliull . 7,2 = iy Ua. e. GO x "U" ~ 07 f. .-~OR'c X iluit g. .??S x 61U11 , a3_ ?S h. S. 33 x"u'l , s S~ _ ? 93 t. GG.~7 z 11u14 , 13 = N 3 .....................................Tota1 If item p3 is the same as, or less than item kl, you have rtiet the intent of 58C 6006(c)2. ' • WALL 56C:T:f1NS . NoTE: Use 15a df apaque wall.aree Por frame constructlon Construction R-Value l. SIIt~I'ior i .611 2. U/7 • Y.S' 3: S~ ine es sofr wcwA G. . t 4 g, / X/I ~1lli~/!~ 1rS~,l.?,t~«X ~.OA BASIC 6. Exterior air film = 0.17 WALL . 1bta1 IS.2 , 07 FIG. $1 ' TOPVIEFI OF pg~~ WALL l. Zntecior air film 0.68 ~ M 3. ~ ' -,17n' . ~ ' 4. t~iz ~ rc S rN6 >,OG S. /`,Y/1 ~i yYlr.?lOlO.Y S.,oO 6. Exterioz air f11m 0.17 FIG. R2 ToWl jG Interior air film 0.68 1. G' ~fT6Cr"Y/ /°40 3. / O 4. ? /r.~*1!~N~f a OG s,cc fscFc ~x ~ 3 s. ',r12 RSirJlii r~~.~ma'cY s o0 Peziphe:al 6. Exterior air f11m 0. 17 Total ~ - . .Lr • • ~ ' ~ ~ 03 , • u • P . o.Ge 10...~_ ' Q 1. Intcrior air film . \ 3 F00.7D?3'ICN • ~ ~p.• y • . ! y0[ll {dALI. ~ . , • • 3. (fe,4,ef ~ • d' • '0' . 4. . a . Tn~c 4?~ 'n ; ~ p~'• :~fj~• • 6. Exterior air film 0.17 Total 7 7Q . t-`~. . . . . ~ = . /3 SLAB ON GRADE ~ ` • ' f~~ rr . ; , ~ . ~ . ~ y 1~/r . • , ' F~• , V ~ 6•• ~ . _ I11 o ~ ' • _ 6 = • = /I/ /l1 ~ . . . _ il(~ . . ' ' • ~ ' r . FIG. #4 . r !!1 L FZG. 13 ` } X • % - d • /cr/i( _ lrr.: i~r = ~ ~ •P NOTE: Indicate tyoe, value, depth and ~ , • ' ~ placenent of insulation. o ~ . • • • b ~ PagQ Three • . , . ROOP/CEILING , Conal•ruction ~ R-Valuo Y ~ rt 1. Intorior air film 0.61 . ' 2. . Z;Ofb;W ~ 3. ~ ~ , TS~ o !!l/COIE ~d0 . 9 ~ il~fl 4. Fxtcrior air film (still 0. V~~1T ~II 1~Tocal 39, 8 fzv, • i ~ L(1 l • . . 0.?S . Vented Heat flow uP . . FIG. #5 . ' - 1. Interior ai Pilm 0.61 Z• 0.61 4. Er.teYior a 1 sti _ , ~ . . . . otal . ~ ~Y.eat flow up • vented In31.de ir film 0.61 2. 3, . tR.17 '•--~"~'~1.~1'~• I S. Outs air. f 0. 17 Total 1 1 Z . , . HOV-VENTED. NoCot' Use additional sliects if more spaca i: . • neee!ed for vetail5 and calculalions. ' . Hcat ' • . , flov up • • FT.n. 47 ' ~ , . Total exposed roaf/ceiling area = 191ew 3. 1'otal skylight area - k. Total roof/ceiling framing area(average 10%)...-~~ 1. Total net insulated roof/ceiling area........... Determine "U" value for each roof/ceiling segment. 1O 1 J. 4 y 11Y k. 9G. 5~ x°uii - ozG 1.: C4~ 7,(o x "u" , ozs = .21.6 9 4 ..................................Tota1 = 2 , 2 O If total of 04 is the same as, or less than #2, you have met the lntent af SBC 6006(c)l. Alternate Building Envelope Design To utilize the total envelope system method, the values esta6lished by the sum of items N3 and !'4 shall not 6e greater than the sum of items pl and ~2. t. 30z-9~ + 2. .25-1v6 a 3Z4B 3. /9y1 be + a. ~~,zo a .121 0IFW , S.URi/EYOR'S CERTIFICATE WESLEY CONSTRUCTION WESCOTT ROAD 0 0 ~ 85.00 N 89°59'25" E g 97.3 i o • o DRAINAGE 8 UTfIlTY L~ 5 EASEMENT PER PLAT 5 ~ I 6..0T 18 ~p n M M i- L} O 0 0 0 p ~ O Z Z , ~89~,5~ ~8985~ i i O 121.5F' 20.46 0• 19.54 p~ 21.50 ` ~ 00 \i t!') ' I PROPOSED ~ o N/ HOUSE o p a I 13.0 sss r 2t0 ~ v J ~ ~BaB.~~ 3.0 GAR. N ,.I 21.50 .21.50 t Lc~ . 5 - - (898,5) o ~ C T7.J) - L~ 85.00 N 89059'25"E = N N _ WORCHESTER DRIVE _ ~ DENOTES PROPOSED SURFACE DRAINAGE O DENOTES IRON MONUMENT SET SCALE: 1 INCH - 30 FEET i DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR = 899•8 FEET X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR =994,o FFET (000.0) DENOTES PROPOSED ELEVATION PROPOSEDQpOC EF BLOCK= 899Z FEET WE HEREBY CERTIFY 10 WESLEY CONSTRUCTION THAT THIS IS A TRUE AND CORP.ECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lot 18, 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 GR UNDER MY DIRECT SUPERVISION THIS gQD DAY OF FE31ZuA Ry . 19-%. , SIGNED: J,A~S /HILL, INC. i Jil'"Jrii1 iiCnL . ~ - P`LI~YUJCU -CLLLHi 1~Ul.~ TAKEtJ FROhI THE DEVELOf'P1ENT PLAN /iC.-~ V./~'LC~`„4fiyt] FOR HILLS OF STONE6RIDGE, PRE- gy i PAREO BY PIONEER ENGINEERING AND HAROLD C. PETERSON, LAND SURVEYOR LAST QATED 8-26-87.. MINNESOTA LICENSE NUMBER 12294 ~ N James R. Hill, inc. m ~ m ~ O ~ < U~ y~> o R°, o0 D Zm -ro W PLANNERS / ENGINEERS / SURVEYQRS o ~ 9407 JAMES AVE. S. • BLOOMINGTON, MN. 55431 • 612-884-3029 ~ ~ . PERMIT ~ ~ I CItI( OF EAGAN ~ R~' 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 026156 (612) 681-4675 Date Issued: 0 8/ 0 2/ 9 5 SITE ADDRESS: 3922 WORCHESTER DR LOT: 18 BLOCK: 1 HILLS OF STONEBRIDGE P.I.N.: 10-32990-180-01 DESCRIPTION: (3RD STALL) Building Permit Type GARAGE/ACCESSORY Building Work Type ADDITION REMARKS: A SEPARATE PERMIT IS REQUIRED FOR ANY ELECTRICAL WORK FEE SUMMARY: VALUATION $6,000 Base Fee $112.25 Surcharge $3.00 Total Fee $115.25 CONTRACTOR: OWNER: - Applicant - KOTTKE JAY 3922 WORCHESTER DR EAGAN MN 55123 (612)688-0745 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Mn. Statutes and City of Eagan Ordinances. L J PPLICANT/PE M'ISS~~Y.~IGNAI`14RE 1 ~ INSPECTION RECORD CITY OF EAGAN PERMITTYPE: auiLozNc 3830 Pilot Knob Road Permit Number: 026156 Eagan, Minnesota 55122-1897 Date Issued: 0 8/ 0 2/ 9 5 (612) 681-4675 SITEADDRESS:P.='N.: 10-32990-180-01 pppLICANT: LOT: 18 BLOCK: 1 3922 WORCHESTER DR KOTTKE JAV HILLS OF STONEBRIDGE (612) 688-0745 PERMIT SUBTYPE: TYPE OF WORK: GARAGEJACCESSORY ADDITION DESCRIPTION (3RD STALL) INSPECTION D. . r A FOOTINGS FRAMING FINAL REMARKS: A SEPARATE PERMIT IS REQUIRED FOR ANY ELECTRICAL WORK F L ~ CITY OF EAGAN 3830 PILOT KNOB RD - 55122 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 Naw Construeiion Reauirements RemodeVReoair Reavircments ? 3 repbtered siM surveys ? 2 copies ot plan ? 2 copie6 of plans (Inelude beam 6 window aizes; poured fid. deaign; etc.) ? 2 eke surveys (exterior aCCitions 8 decks) ? 7 enerpy alafationa ? t energy alculations for Matcd etlditions ? 3 wpfes ot tree presenstion plan 'rf bt platled efter 7l7/93 mquired: _ Ves _ No ~ DATE: -i/3 ) I 4S CONSTRUCTION COST: DESCRIPTION OF WORK: A, ck rG. uC C`~~,1'J~w f 3r~ ec~,r 6~. ~ 1') ~ STREET ADDRESS: LOT I g BLOCK SUBD./P.I.D. PROPErtrY Name:_ Phone#: L0$g-O~yS OWNER uat rwn Street Address 3 q City: State: rn~Q Zip: 5 5 CoNTRAC7oR Company: J 0. ILo +-~ke. Phone Street Address: 39 aa. vJoY~o`ta--,~,~-e License City: State: rnVJ Z;p• ss, a 3 ARCHITECT/ Company: Phone ENGINEER Name: Registration Street Address- City: State: Zip: Sewer & water licensed plumber. Penalty applies when address change and lot change are requested once permit is issued. 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 ~ Ec M Certificates of Surver Received Yes No Tree Preservation Plan Received _ Yes _ No OFFICE USE ONLY . , BUILDING PERMIT TYPE ~ 0 01 Foundation o 06 Duplex ? 11 Apt./Lodging o 16 Basement Finish ? 02 SF Dwelling a 07 4-plex ? 12 MuRi Repair/Rem. ? 17 Swim Pool 0 03 SF Addition a OS 8-piex 13 Garage/Accessory o 20 Public Faciliry a 04 SF Porch o 09 12-plex ? 14 Firepiace o 21 Miscellaneous a 05 SF Misc. 0 10 _-plex o 15 Deck WORK TYPE 0 31 New ? 33 Alterations o 36 Move 4p~32 Addition o 34 Repair o 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MCNVS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. 8ooster Pump Length sq. ft. Census Code. y1g Depth Footprint sq. ft. SAC Code or Census Bidg ~ Census Unit v APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MCNVS SAC City SAC waterConn. Water Meter 2S. 33 X Acct. Deposit S/W Permft S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies . ~ Total: °r6 SAC SAC Units WESLEY CONSTRUCTION S. CERTIFICATE . , WESCOTT ROAD - e . ~ n I . , , ' I ~ > . . :..I. . ( ~8nN) ,85.00 N 89059'25"E ' . . ' 697•3 ~ r o i or+arNacE a unurr 1i ' ` S ~~EASEMENT PER PLAT ~ I LOT 18 ~ o o o o o z O - - Q i 'I21.50 " 20.46 N I j54 a i 21.30 O q /P ROPOSED n I . HOUSE ri i 1(j ~ v ~ 13.0 -2.0 ° I ss ~ o ~ o ~a as{ D ~898.7 a a 1° GAR. ' o / N .0 6 \ G,92.96 ~ . 21.50 ~ - - - N 22A ~AO-'j"anl r s (B98,s);. : o°, Is (3T7. a) 'N; 1.~•;~^``~'~o 111. ~(396. G~ ' 85.00 N 8905925"E ~ h N WORCHESTER DRIVE N ~ DENOTES PROPOSED SURFACE DRAINAGE O DENOTES IRON MONUMENT SET SCALE: 1 INCH - 30 FEET 0 DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR - 098, 8 FEET X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR - 394,0 FEET (000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK - 899. Z FEET ~ /x'! Cw b.W>.C.1E , WE HEREBY CERTIFY TO WESLEY CONSTRUCTION THAT THIS IS A TRUE AND CORRECT 'REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lot 18, Block I, HILLS OF STONEBRIDGE , accordinp to the recorded plat thereof, Dakota County, Mlnnesota. IT DOES NOT PURPORT TO SHOW IMPAOVEMENTS OR ENCRCACHMEtJTS, EXCEPT AS S'riOWN. AS 3URVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS Rp DAY OF FE9RuA Ry ,1g%. '-Pfc9P6sEfF-EtEVATIO1V5-Si;G:;N-}lERE SIGNED: JILL.INC. TAKEN FR01•1 THE UEVELOPMENT PLAPI-v -FOR HILLS OF STONEBRIDGE, PRE- BY: _ PARED BY PIONEER EN6INEERING AND HAROLD C. PETERSON, LANq SURVEYOR LAS7 DATED 8-26-87. . ' MINNESOTA LICENSE NUMBER 12294 y N ~ ~o m o m~m ~ D )ames R. Hill inc. 0 , ~ ~ ~ °'o m ai ~ m PLANNERS / ENGINEERS / SURVEYORS ~ I I 9401 JAMES AVE. S. • BLOOMINGTON, MN. 55431 • 672•884-3029 „ / • r ~ ~04 y y~ a ~ LOT I 6~ BLOCK L SUBD. Ja ~ RECEIPT 0 SNA DATE 9 I 1995 CITY OF EAGAN IRRIGATION PERMIT (FOR BACKFLOW PREVENTER) COMMERGAL INSTALLATIONS: FORM MUST BE COMPLETED BY LICENSED PLUMBER Date: 1111g /9 S Commercial GPM Residential (boulevards) GPM ~ Existing residential Area/address to be irrigated~ 39 ZZ c~c 6 ex 0,0,r'\ ry, Z3 Installer: + ke Owner 19'~ Plumber ? Street address, 39 a.a- LJ n ~ ,L~ City, state & zip code: ~ a qc;.~ . m?.> 55' 'Z3 Phone 19 88- b-7 4~ ~ Owner Name, J 0.~+ K Street addresq• 3922- W --0;,-e City, state & zip code: ~Gtiav\ , rrlru SSl23 Phone Co'V9-b-I45 lrrigation contractor, if different than installer:- Telephone Oyo 1 'ba., 4- I hereby acknowledge that I have read thts application, state that the informatlon is correct, and agree to comply with all applicable City of Eagan ordinances. It !s the applicanYs responsibility to notify !he property owner that the City of Eagan assumes no Ilabflity for any damages caused by the City dur(ng its normal operational and malntenance activities to the facllities constructed under this permit within City propertylrtght-of-wayleasement. KpOlicariYs signature Title Approved by: Date: PRV ? Yes ? No New service 0 Yes ? No Meter Size 8 Cost i ~ Fees due: 070 Calculated by: S~iT 9l ~ ce C ~ S V P~ PROCEDURE FOR IRRIGATION SYSTEMS - 1995 An irrigation permit is required - please contact Protective Inspectfons at 681-4675. Fees ~ Commercial proJect: $25.50 irrigation permit to cover installation of backflow preventer. $50.50 water permit fee onlv ii new service is installed. $300.00 per tap if installed by City. Residential project: $20.50 irrigation permit to cover installation of backflow preventer. $50.50 water permit fee if new service is installed. $750.00 per connection - WAC. $372.00 per, connection - water treatment facility. Existing res(dence: $20.50 irrigltion permit to cover installation of backflow preventer -(not required rf backflow preventer previously installed). Meter charge: If gallons per minute are less than 25, a 1" meter will be required at a cost of $170.00. If gallons per minute are more than 25, a 2" turbo with strainer will be required at a cost of $800.00. This information is to be supplied by the designer of the system. No meter wfll be sold before all sewer and water fnspecttons are complete on a new service. If new service lines are not reauired, one check may be written for meter and permit costs. Receipt will be coded to 20-3716 (meter portion only) with pink copy forwarded to Utility Billing Clerk. The installer is to contact Protective Inspections at 681-4675 for inspection of the inside water line and backflow preventer. The Public Works Department may be reached at 681-4300 for water turn-on and set and seal of the meter. Inspection hours are 8:30 a.m. to 3:30 p.m. Monday through Friday. Requests for A.M. inspections should be made on the preceding work day. Requests for PM inspections will be accepted until 12:00 noon. - ysZ- 7~sz P~ N 1~ 0 ~4 e a . ******f****f****ff**#*i*****##i#***# C I T Y O F E A A N PAYMh:t1C OF FEE AT TIME pE' : * ; ArrracATIoN noFS rAm oorsizTum " . ' ,*t APPROVAL OF PERNIIT. * * APPLICATION FOR PERMIT * * . * IIZSPDC.TION OF SUM ADID/Ot VWM *F nNsrar.raTrONS WSI.L NOT BE SCEgD- w • SEWER AND/OR WATER CONNECTION *ULID [JWII, PmPffT AAS BFM * * * APPRdVID. • * s r * • * » . **.*+*++r,t*r.*,e*t,r,r****t,r+*,r«*,rrt,r*** P ease /Print~ 1) PROPERTY ADDRESS: 3~J 2 7 ~pr~~jPJfPi ///l/!/a LEGAL DESCRIPTION: L 7 /j- (Lot/Block Subdivision or Tax Parcel ID j- , IF E7QSTING S"IRL'C.'IL~RE, DATE OF ORIGINAL H[.'II,DING.PERMZT ISS['ANCE: (Mon Year PRFSELJP ZONING/PROPOSID C'SE: COT4ERCIAL/REPAiL/OFFICE ~ R-1 SINGLE FAMILY 0 IND-'STRLAL ~ R-2 DL~PLEX (Zt„o Units) n INSTI'Ii~TIONAL/GOVERIz0NT ~ R-3 70WNHOC~SE (Three + Units) ( Units) . ~ R-4 APAR'IMEN'P/CObIDOMINIOM ( Units) 2) NAME: ADDRESS: A/O / X v lo,, Av P CITY, STATE. ZIP: ~~ot~~z...•, ~a ~~n PHONE: Gj yc/ - 70 ~ 3) • NAME: For City Use . Plumbers License: ADDRFSS: ACtiVe Expired ~ CITY, STATE, ZIP: I_-p~6./P~i Not recorded PHoNE: G? 5 v MASTEl2 LICEf1SE# ~ Z3 G /47 Staff Initial 4) • • . i~- tuuME: . ADDRESS: , CZTY, STATE, ZIP: . PHONE: 5) 111~. • : o • a~ • CON[gCPION 1O CITY SE.WER ~ CpNNBCrION 70 CITY WATII2 0 pTF4M 6) ° ' ~ PLEP,SE HOLD APPROVFD PERMZT FC)R PICK-UP BY ONE OF ABOVE - Q PLEASE MAIL APPROVID PERMIT TD 1, 2, 4. ABOVE (Circ e one) » ~ j/,v / s~ •`1- ~~/Y' ~ YU u ~ r~-r~. ~ i¦ I ~ 7~ ! I ~ • 17 ~~'r'`i u r ~ ~ .~FOR -CITY USE ONLY . PERMIT # ISSUED Pd w/Bldg. Permit FEES: $ $ ~SEWER PERMIT (INCLODE SURCHARGE) $ SZ' WATER PERMIT (INCLPDE SURCHARGE) $ $ WATER METER/COPPERHORN/OOTSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ $ ACCOUNT DEPOSIT - SEWER $ $ / S•t d ACCOUNT DEPOSIT - WATER $ SS G • l WAC $ ~ SG • G ~ $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ I-a /1i G t $ A l I•' TOTAL -S/ZD/ (-1756 RECEIPT RECEIPT DOES UTILITY CONNECTION REQLIRE EXCAVATION IN PUBLIC RIGHT OF WAY? Q YES 'IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSLED BY THE ENGINEERING 13 NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: ~,t-o-~2-~- ,~.~e j`-, • TZTLE: DATE : , ~ For"OTfice Use ~ City of Ea~a~ j Permrt# D D 03'S I I Pertnit Fee 3830 Pilot Knob Road Eagan MN 55122 ~ Date Received: Phone: (651) 675-5675 Fax: (651) 675-5694 i Staff: i 2009 RESIDENTIAL BUIL ING PERMIT APPLICATION Date: 1 Z.~-C~l Site Address: ~272 ~(1prwrt-T=L'~~~ I/ ~ Tenant: Vl //.G y Suite RESIDENT / OWNER Name: ~c Phone: 41 Z' Z~~- / 7Y l~ Address I City / Zip: 72 Applicant is V Owner _ Contractor TYPE OF WORK Description of work: 2d6, Lel~ Construction Cost: Multi-Family Building: (Yes_ / No icense CONTRACTOR Name: ~Pzra Address. City: State Zip: Phone: Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672 Energy Code . Residenlial Ventilation Category 1 Workshee[ • New Energy Code Worksheet Category Submitted Submitted (4 Submission type) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master pian? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents ihat you submif are considered to be public information. PoRions of the information may be classified as non-public if you provide specific reasons fhaf would permit the City to conclude that the are trade secrets. I hereby acknowledge that this infortnation is complete and accurate, that the work will be in conform nce with he 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 n o sta hout a permit; thal the work will be in accordance with the approved plan in lhe case of work which requires a review and approval la s L~ x ~ C,M.un ~ x ApplicanYs Plrinted Name Applican s i nature Page 1 of 3 DO NOT WRITE BELOW THIS LINE , SUB TYPES Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage ~ Single Family _ Garage _ Porch (4Season) _ Exterior Alteration (Single Family) Multi Deck Porch (Screen/GazebolPergola) Exterior Alteration (Multi) 01 of Plex Lower Level Pool Miscellaneous Accessory Building WORK TYPES _ New _ Interior Improvement _ Siding _ Demolish Building' Addition _ Move Building _ Reroof _ Demolish Interior ~Alteration _ Fire Repair _ Windows _ Demolish Foundation _ Replace _ Repair _ Egress Window _ Water Damage 'Demolition of entire building -give PCA handout [o applicant DESCRIPTION Valuation 0a, Occupancy MCES System Plan Review Code Edition SAC Units (25%_ 100%_) Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) _ Sheetrock Footings (Deck) Final / C.O. Required _ Footings (Addition) ~ Final I No C.O. Required Foundation HVAC Drain Tile Other: Roof: _Ice & Water _Final _ Pool: _Footings _Air/Gas Tests _Final ~ Freming 41 Siding: _Stucco Lath _Stone Lath _Brick Fireplace: _Rough In _Air Test _Final _ Windows ~ Insulation _ Retaining Wall Meter Size: Reviewed By: Buiiding Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC 6,o J City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Foron~e~se i Of Ea l~Il MAY 1 8 2~09 ~ Permitu: g~~ ~ ~ ~ Permit Fee: ~ 3830 Pilot Knob Road ~ Eafcin MN 55122 j oate Received: Pho;,e: (651) 675-5675 Fax: (651) 675-5694 I Staff: 2009 MECHANICAL PERMIT APPLICATION Date:S' V \ Site Address: Z)r ' Tenant: ~ 1 7f 11~ ll~J 1 l,\! Sulte#: RESIDENT / OWNER Name: , )2~)o ~iI,\/ Phone~ni ~l, - a -:~~n ' qU U Address / City / Zip: , YI2Q CONTRACTOR Name: RI IRNSVII I F HFATIN(; R A!(',JNC License y lae~ i~cg) I~-1-3 nddress: 3451 W. Bumsville Parkway ciry: Bumsville. MN 55337 State: Zip: Phon . S Contact Person: 6Loo. TYPE OF WORK - New -XReplacement _ Additional _ AlteraGon _ Demolition DeSCrlptian of work: NOTE: Both roof mounted and ground mounted mechanlcal equlpment fs requPred to be screened by Clty Code. Please contact the Mechanlca! lnspector or one of the Planners forlrt?ormatlon on rmltted screertln methods. PERMIT TYPE RESIDENTIAL COMMERCIAL ~ Furnace _ New ConstrucUon _ Interior Improvement Air Conditloner - Install Piping - Processed ~ Air Exchanger _ Gas _ Exterior HVAC Unit _ Heat Pump _ Under / A6ove ground Tank L Install Remove) " When installing/removing tank(s), call for inspectlon by Fire Olher Marshal and Plumbing Inspector RESIDENTIAL FEES: $50.50 Mlnimum Add-on or alteration to an existing unit (inciudes $.SO State Surcharge) $90.50 Fire rBpBir (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) $ v.J TOTAI FEE COMMERCIAL FEES: $70.50 Underground tank installation/removal OR Contract Value $ x 79'0 $50.50 Minlmum (includes State Surcharge) _ $ Permit Fee - If Pe i Fe~ is lesa than $1,000, surcharge is $.50. - If Permi Fee is >$1,000, surcharge increases hy $.50 for each State Surcharge $1,000 Pertnit Fee (i.e. a$1,001-$2,000 Permi[ Fee requires a$1.00 surcharge). $ TOTAL FEE I hereby acknowledge that this informahon is complete and accurate; ihat the mrk will be in conformance with the ordinances and wdes ot Ihe Ciry of Eagan; ihat i understand this is not a permit, bu[ only an application for a permit, antl mrk is not to start without a pertnit; that the mrk will be in accordance with lhe approved pl in Ihe case of mrk wfiich requires a review and approval of plans. x ~ L a _ l~li x` ~~;._~~t~1~i ~l Applicant's Pr nted Name App IcanYs Signature FOR OFFICE USE Reviewed By: Date: Requlred InspeCtions: _Under Ground _ Rough In _Air Test _Gas Service Test _In-floor Heat _Final Exterior HVAC Screening Inspection City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 3922 Worchester Dr Lot: 18 Block: 1 Addition: Hills of Stonebridge PID:10- 32990 - 180 -01 Use: Description: Sub Type: Work Type: Gas Fireplace (new) Description: Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 3,000.00 Contractor: Fireside Hearth & Home 20802 Kensington Blvd Lakeville MN 55044 (952) 985 -6675 Applicant/Permitee: Signature PERMIT City of Eaan e- Fireplace Construction Type: Census Code: 434 - Occupancy: Chimney /flue must be inspected prior to concealing. 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. Andrew Hoffman BL - Base Fee $3K Surcharge - Based on Valuation $3K Total: $90.00 - Applicant - Owner: John W Willy 3922 Worchester Dr Eagan MN 55122 Permit Type: Permit Number: Date Issued: Permit Category: $88.50 0801.4085 $1.50 9001.2195 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Issued By: Signature Building EA087870 12/29/2008 ePermit r ForOffice Use �� f/) EAGAN 4* 0s Permit#: �� I r IAC' t. Permit Fee: nECEIVE Date Received: / c � I 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 �l (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 JUN 2 5 2019 Staff: buildinginspectionsecityofeagan.com l BY: 2019 RESIDENTIAL BUILDING PERMIT APPLICATION Date: o/�/9 Site Address: 37-22 kiale//Siff"/ Pew-, g'% ,,A/ Unit#: • Name: 2o,geow,4 5 - /9 f Phone: l/��- SSS 730' Resident/ ��,/ Owner Address/City/Zip: 39-22 ("Golds 5 ( 2' '. 717 / Applicant is: Owner Contractor kg V / It I`s t -i' (J- 1' )iW;d 6 - Type of Work Description of work: RP/met �X�5T7.v� Tvfj`S-M ek-"Y 7-n-G-, Amu), Construction Cost: ' 'g la CO Multi-Family Building:ld/ (Yes /No ) Company: POd k'rz /4h'?'t(JA�)( Contact: 1<<M rOcle Tz contractor Address: 27�0 79 CT� r�7— City: JN vPt 610✓E /%'p4 State: _ Zip: 5'5076 Phone: 7:0 mail: KPO(2e 1TZa)(r/y7,4r* , (,'O? License#: 8C. 756(0 26 Lead Certificate#: If the project is exempt from lead certification, please explain why: Wo 05 t &'I(..T /„r /98$ , No P41N r- 5c,�,�,o� j ts4 5copp oft ?eos 7-. 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: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOT' Plods 4014clgowiseigs(tugsail arevonskiiitsd to best. Pottl atts of the Mtorrsatlon may be c as *S`n tiblo# i tu,s +e c reasons`that Would pent' ' to corn**that they**trade sus. 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.citvofeasaan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit Issuance. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.00aherstateonecall.orq ' I hereby acknowledge that this information is complete and accurate;that the work will be in conformance wit 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 st- out 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 pl. s. 4/4, x P-% tnn POAder r T Applicant's Printed Name Applic.nt's Signature 1 DO NOT WRITE BELOW THIS LINE -3 9c2d 1,06RZC h6s La / -6. 3)q g--` SUB TYPES _ Foundation _ Fireplace _ Porch(3-Season) Exterior Alteration(Single Family) 10 Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi) Multi — Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous 01 of_Plex _ Lower Level _ Pool _ Accessory Building WORK TYPES New _ Interior Improvement _ Siding _ Demolish Building* _ Addition _ Move Building _ _ Reroof Demolish Interior I Alteration _ Fire Repair _ Windows _ Demolish Foundation Replace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION Valuation I Z� Od 0.'— Occupancy Si?C - 1 MCES System Plan Review Code Edition Int✓l zo lc SAC Units (25%_ 100% ) Zoning R- 1 City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction V 1j Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) ?° Final/No C.O. Required Foundation Foundation Before Backfill yo HVAC_Service Test Gas Line Air Test_Hood Roof:_Ice &Water _Final Pool:_Footings _Air/Gas Tests _Final Framing 30 Minutes 1 Hour Drain Tile Fireplace:_Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS P Insulation Windows Sheathing Retaining Wall:_ Footings Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: 7 rn /92; ic/j,4 , Building Inspector RESIDENTIAL FEES Base Fee in/ai yyl d M tie< Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Radio Meter Read Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA164388 Date Issued:09/28/2020 Permit Category:ePermit Site Address: 3922 Worchester Dr Lot:18 Block: 1 Addition: Hills Of Stonebridge PID:10-32990-01-180 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 - Michael Salonga 3922 Worchester Dr Eagan MN 55123 Minnesota Restoration Contractors Inc 12252 Nicollet Ave Burnsville MN 55337 (612) 280-4807 Applicant/Permitee: Signature Issued By: Signature