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3923 Worchester Dr ; ''~'Y. . • „f ° . . , . .?y':;:-~-:'F: . , . Fi E ~ . , . i CITY Qf EAGAN Permit No: Date: 9-12 ~f' Q ; 383(r Pilot Knob Road Meter No: '_W7~~ Z3~ Size: IQmdC 1~.0. Box 21199 ~ ~ Reader No:l~sW V'6 Date: ~ d-.2 7-S ~ Eagan, MN 55121 i Owner. `i~FSley Const. Site Addre~3 444-3- Worchester Dr L17 B2 Hills of Stnhridge Plumber ~ Bruckmueller Plumhinc., ~ Conn. Chg: 550.00pd Zoning: F-i Acct. Dep: 15 • Q0Pd No. of Units: 1 Permit Fee: ' . )Oprl Surcharge: . SGi'd I ayree to comply with the C1ty ot Eagan Tr. Plant •'~~')d Ordinances. Meter. noE,a Misc : WATER SERVICE PERMIT CI TY OF EAGAN PerA No: 9017 Date: 9' 12-58 : 3830 Pllot Knab Road Ideler Naf` Size: P.O. Box 21199 Reader No: ~ Eapan, MN 55121 Date: ~ ~ Owner. ' Coast. ~ Site Address: ircheatar Dt I,17 B2 Hills og gtnbrid e j ` Plumber BracvmuelIar Plunbin ~ Conn. Chg: 550.000 ~ Zoning: ~ Acct Dep: p No, of Units: • , Permit Fee; - P [ Surcharge: I ayre* to comply with the Clty ol Eaysn ! I Tr. Plant - ' Ordlnances. ~ Meter. 67, (?Qnd I Misc.: ' By WATER SERVICE PERMIT - - . ~ CM OF EAGAN Permit No: Date: ~ ~ ~ry I 3- 3.~ 9. ~ . ~ ' . \'Ci830 Pllot Knob Road g/,p No; ? ~ ^ Date: ' P.O. Box 21199 Eayan, MN 55121 ! ~ ~ j Owner. i Site Addre , r- Worche8tr_r T`r LI7 B2 HiIZs of StnbXidge ' Plumber. e-11-er P. t1Rlli r n i MWCC: Zoning- = City Chg: No. of Units: 1 ~ ~ Acct Dep: -0Q T'd 1 agree to compty wRh the Gty of Eagan ~ ~ Permit Fee: Ordinances. j Surcharge: Misc.: By i SEWER SERVICE PERMIT C ~ . . ~ . ' ~ CITY OF EAGAN ~ 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 oaTE aECaveo , . mow~ _ ~ ,vWuW ~ ? 8 OOLLARS lm ? CASH 'td, CHECK ~ ~i. FUND 08JECT AMOUNT a ~ Thank You BY Wtvw--Pa~ C<)vr Yek--posb^9 CoPY Pirdc-FAe Capy ~ CITY OF EAGAN ` 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 35121 PHONE:454-8100 BUILDING PERMIT Receipt To be used for SF OWG/GAk Est. Value $132,W(? Date SEP7EMBER 7 " Site Address 3923 WUaCHESY'ER DR OFFICE USE ONLY 17 Z Sec/Sub. HII.I~$ OP On site Sewape occupency R3 ~ot aiock 5~~~I~E Mwcc system x Zoning FD Parcel No. On Site weli (Actual) Conat Vn a Name Wgai.ex caNsr City Water x (Allowable) vn , i 9~01 ~YLON Ayg ~O PflV Required it of Stories Address 8ooster Pump Length ~ ° City Phone 45Z-0S8T oapth 36 -1 p Name SAmit S.F. Total ~ S;0 Address Footprlnt S.F. ~ City Phone APPROVALS FEES ~W Name Engr./Assess. _ Permit ; 678•00j W 66.00 Address Planner Surcharge 5 W City Phone Councll _ Plan Review i~• Bldg. OH. SAC, City • 1 hereby acknowledge that I have read thls applicahon and state that the Variance _ SAC, MWCC 550•00 inlortnatlon is correct and agree lo comply with all applicable State of WaterConn. 5~•~ ~ Minnesote Statutes and City of Eagan Ordinances. water Meter 67,00 Signature of Permlttee Roed Unit _325 00 A Building Permit is issued ta_ _WESLEY CONST 704~ p~j Treafinent Pt • on the express Condition that all work shall be done In aCCOrdance wlth all r- e,pplicable State of Minnesota Stetutes and City o( Eagan Ordinances. Par~ $2$79•00 Building Official _ TOTAL ~ ~ CASWRECEIPT ~ CITY OF EAGAN 3830 PILOT KNOB ROAD w EAGAN, MINNEVOTA 55122 w,rE ~ • ~ AMOUNT $ - ? a ooLLnas ? cAsr+ o &ECK FM. _ t • r , . _ . RJND OB.IECT AMOUNT ~ 1 I l i , Thank You 8Y T'r; !+C r' r yyww--payws cvv YsAOwr--POStlrp C,apy PinN--FAe Gopy CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21 •199, Esgan, MN 58121 K`~ ~ PHONE:454•8100 I BUILDING PERMIT Receipt To be used for Sp DK/CAt Est. Value $132 ,OOC Date SkP?SMERY 1 ,19 A.F. ~ Site Address 3923 WQRCNBg1'ER DP. OFFICE USE ONLY = R3 On 5Re Sewaqe Occupancy ~ Lot 17 BloCk Z SeC/Sub. SiDC$ MWCCSyatem x Zoning PD ! Parcel No. On Site Well (Actual) Conat V~ - a Name fIESLL?Y CORST cib water X (nnowable) W? = Address 9~i ~~t; 80 PRV Required * or storiea ~ ~ City. ~~PL-S Phone 652~587 Booeter Pump Length so Depth 38 , p Name SA" S.F. Total ~ o ~ Address Footprint S.F. ~ ?°G- City Phone APPROVALS FEES t' ~a Engr./Assess. Permit ~ 678•001 y~ W Name ~ , ~ = Planner Surcharge • ; _ - Address u= Cit Phone Council Plan Review 339' ~k ~ W y Bldg. Off. SAC, City 1~• I hereby ecknowledge that I have read this application and state that the Variance SAC, MWCC C~ information is correct and agree to comply with all applicable State of Water Conn. _ gw • Vq Minnesota Statutes and City of Eagan Ordinances. Water Meter Signature of Permittee Road Unit 325• 0(i A Building Permit is issued to:_ -W3UY CONBT. Treatment P1 204.00 on the express condition that all work shall be done in accordance with all , epplicable State of Minnesota Statutes and City of Eagan Ordinances. Parks . ~js~7~•~U Building OHicial TOTAL - - - - _ _ - - - ! " Permlt No. Permlt Holdor Dst* TNephone ~t Plurtibing i H.V.A.C. ~ Co d Electrlc ,3 9~ 5 ~99 s~ Softener Drte Inap. Comments Foor/7 F ooFouFra"21I41 Insp!Htg. RooRouQ~. Rouc, Isul. FireFina Final Plby. Bldy. Final Cert Occ. 1; Temp. LP Deck Ftg. Deck Final Well Pr. Disp. il ~ ~ . . , PEFiMIT li 9~ i • PLUMBIN(3 PERMIT i CITY OF EAGAN RECEIPT 11 ~ 3830 PILOT KNOB ROAO. EA(iAN, MN 55122 DATE: ~ CONTRACT PRICE PHONE: 454-8100 ~ Site Address BLDG. TYPE WORK DESCRIPTION ; Lot ' Block ~ Sec/Sub Res. New > y • ~ ' f Mult. Add-on m Name Comm. Repair ~ Address •r ~ ~ ' ~ ~ Other c City Phone RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAI j ~Water Closet - $3.00 ~ Name Bath Tubs - $3.00 ' - c Addr8S3 ~ Lavatory $3.00 ~ p Ciry Phone Shower - $3.00 F ' Kitchen Sink - $3.00 ' FEES Urinal/Bidet - $3.00 ' COMM/IND FEE - 1% OF CONTRACT FEE -7_Laundry Tray -$3.00 APT. BLDGS - COMM RATE APPLIES _TFloor Drams -$t.50 TOWNHOUSE 8 CONDO - RES. RATE APPLIES 7-Water Heater -$1.50 MINIMUM - RESIDENTIAL FEE - $12.00 Whiripool - $3,00 MINIMUM - COMM/IND FEE - $20.00 -7_Gas Piping Outlets - $1.50 ' ' STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIn (ADD $.50 S/C IF PERMIT PRICE GOES Softener -$5.00 BEYOND $1,000.00) Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 • ' . ` r~•.• ~ ~ SIGNATURE OF PERMITTEE FEE: STATE S/C: I FOR: CITY OF EAGAN GRAND TOTAI: ~ , PERMIT # MECHANICAL PERMIT RECEIPT # 812&r~ . . • a CITY OF EAGAN ~e" 3530 PILOT KNOB ROAD, EAGAN, MN 56122 DATE `1 17 1 CONTRACT PRICE _ P ONE: 454•8100 ~ite Address Ryo 5BLDG. TYP~ WORK DESCRIPTION Lot Bloc Sec/Sub Res. New c? y c- Muit Add-on m Name >e~~ h L E ~ Comm. Repair ~ Addre c City 4" rLb Phone 6' I 3~ a a+ FEES ~ Name tSL E Y wl. ' L D k5, RES. HVAC 0-100 M BTU -$24.00 c Addy3)ss ADDITIQNAL 50 M BTU - 6.00 p Ci~~tO~'A Phone ~ ~ z (p~• HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIIYIUM - 1 PER PEFiiNM - 1.50 EA. TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES Boller 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 STATE SURCHARGE PER PERMIT - .50 Vent CFM (qUD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # BEYOND $1,000) , Other FEE > > S" " ' ` , , r. , r~ "~'.c.~. • ! S/C: SIGNATURE OF PERMITTEE . TOTAI: , FOR: CITY OF EAGAN . . . . .._c.s..._c:,~ ...v...,...-..:.ti - .~_,~Y:,:..-_~..~..._.sc~...,.. ..::.._._~...~v CITY OF EAGAN 3830 Pilot Knob Road, P.O. 8ox 21-199, Eagan, MN 55121 N? 15568 BUILDING PERMIT . . PHONE:454•8100 Receipt n --7I 9 9 Tobeusedfor SF DWG/GAR Est.Value $132,000 Date SEPTEMBER 7 ,19_$8- Ste Address 3923 WORCHESTER DR OFFICE USE ONLY On Site Sewage _ Occupancy R3 Lot 17 Block 2 Sec/Sub. HILLS OF STONEBRIDGE MWCC System X Zoning PD ParCelNo. OnSileWell IACtuapConst Vn a Name GIESLEY CONST Cirywater X (Allowable) vn z Address 9401 XYLON AVE SO PRV Required _ x of Stories a City MPLS Phone 452-0587 BoosterPump _ Lengm 50 oeocn 38 , o Name SAME s.F.7otai ~ a AddrOSS FOOtprint S.F. : City Phone pppROVALS FEES W w Engr./Assess. Permit ~ 678.01 Name 66.01 r i Planner Surcharge i, Addr055 CounCil Plan Review 339.0~ aw City Phone 100.01 BIdg.Off. SAC, City 1 here0y ecknowletlge that I have read this application antl state ihat Ihe Variance SAC, MWCC 550.01 inbrmation is correct and agr lo compy with all appliwble State of Water Conn. 550.01 Minnesola Slatutes and City O~ Meter 67.01 Signature of Perm Water ntee - Road Unit 325.01 n Bwlding Permit is issuetl to _;LEY CONST Treatment P1 204.01 on the express contlition ihat all wo(k shall be tlone in accordance wit h all applicable State ot Minnesota Stat s and City of[5/)q an,Ordqmances. Parks Building Ollicial - TOTAL $Z~H~~J.OC _ BLDG. PERMIT NO. f S S L(J Lot I`"L 1 eJ2 ~~l~ gS , y, 013210 Bldg. Permit ~ 01-3422 Pian Check - 39 cc) ~ ~ 01-3445 , Surch./Adm. I 3a 01-3446 SAC/Adm. 0 ~ 01-2155 Surcharge ~ 75-3860 Road Unit ~ 20-2275 SAC - Y4 =,z) L 20-3865 water Conn. 5 C) O 43 20-3868 Water Trmt. -q- 20-3716 Water Meter ~ ~ 20-2252 Acct. Dep. !D 20-3713 Water Permit ~ 20-3743 Sewer Permit ~ ~ 79-3866 Sewer Conn. 28-3855 Park Ded. TOTAL Or ~ fter#ifirtttr n# Orrupttnry Citp of Cagan 19p,pttrtmmr ~ Butiamg Amppdtrm This Certificate issued pursuant to the requirements ojSection 306 ojlhe Unijorm BuiJding Code cerliJying lhat atlhe lime ojissuance this struclure was in compliattce wilh the various ordinances oJthe City reguladng building conslruction or use. For the jo!lowing: UxClamfiotion BId6.Portni( N. =-lJCf• O¢uP.-Y TYPe 7nning Dislnct 7ype Con¢ L`^:• -~~•q:'•~ Iy' rr..."' O/, ~t e n o~ .1 eoaain, . •.~..,__.i:ClI.Q~Add. ,'JL :'"T C.IL• , euaatrenaa.rss : °?~t ..'C-C?,.'.~i L.ety : -~7, ,?l33 C. w~c i'6Ul~iE~13' 1 v:C~ Bwiding 6iRcul POST IN A CONSPICUOUS PUCE This request void 18 momhs fmm ~ d Y ?E 39145 n Henuest Uare n Rre No. 'RouNn-in Insuecuon V ) Reqvuetll E]ReaAy Nuw~Will Nol~(y Insoec es ? N. toi When FeaAY KLicensea Elecvical comnctor I ne.ebv reauest insaoction oi aeova ? Owner elecbicel work inslelled el: Stieet Address. Bon or Route No. Ci1y 3 9 z s •~~e~ ~ s f.o.L ~ eclmn o Townsh, o Name or No. Q. No. Cmvndy OccuuantlPHINTI Phone No. f_s Cf. dv,., s-Yze. c Power Sapoher Atldress Elecuical Contrncto, IComUanv Namel Convnr,lo,'s Lwense No. ~~~~iu~._ O S/o 7 !/P-3 MaJinq AdJress ICOMruehor oe Owner MakinB ~~smilauonl /Pl b Au[horized $ig^ twe IContrac~orwner Mnkiny Inslailationl Phnne Num .r J-f..._ o- 35 S s MINNESOTA SiATE 00AFD OF EL TflICITY TMIS INSPECTION REQUEST WILL NOT Griaes-M.dway Blda. - Aoom N491 BE ACCEPTED BY THE STqTE BOAHD 1821 Universitv Ave.. St. Paul. MN SSlOi UNLESS PNOVEN INSPECTION FEE IS Phenel6121642-OSOO ENClO$ED. 9/'dY REQUEST FOR ELECTRICAL INSPECTION 4P.% ee-ooopoi-os ~ See insbucqons lor completing this lorm on bock ot vellow copy. E 3 9 1 4.5 "x' BeloW Work Covered by 7his Request Nev4Addj Hep. lvoe oi Bmlamg Aaoliancns Wlrea Eqmymem wired Home Ranye Temporary Service Duplex Water Healer Liqhtiny Pixtules ApL Bwldfing Dryei Electnc Heabn Commeraal Bldy. FumaCe Silo Unloadr:r Industrial Bldg Air Conditioner Butk Milk Tenk Farm Otner ocu v) ihm tsneni~vl ~ l., u"Irv mi,, oinn, ompute lnspect~on Fee Below p Fee ServiceEnVeneaS¢a H Fee Fexdois/Subfenders u Fon Cucuits S~ U t0 200 Am ps 0 to 30 Am s ~ 0 to 30 F~m ~y A6ove 200 qinps 31 to 700 AmpS - 31 to 100 Am Swimming Pool Atwve 100_Ainpy Above 100_Am~r.: Transformer5 IrrigaLOn Boorris , 5'O PertialOtM1er Fee Siyns Special Inspeciion Remarks 5 51~ ~ TOTAL FE flouBh-in Dn~t; Q ~ns ~~a Electnc C/! a(f Ipeeeor. neioey erli'y ~hnt 1M1e abpve Final te mspection has been rtnde. fhif reduest void 18 moniRS irom 2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 C9 Telephone # 651-675-5675 Please complete for. single family dwellings & townhomes/condos when permits arc required for each unit Da[e '7% / '6 1 Si[e Address 3q a 3 W~~~},~/1 Unit # Property Owner a Jar~ C('jZA.Ly Telephone #(Gr-1 ) 4oS ^ J 7 0-7 Con[ractor O'COIIIIOr ~ I PlumWng, Heating SC Cooling Street Addrese City 1904 Vermillion St. ( State I Nastings, MN 55033 Telephone #&S` )~--7-4iT7 l Bond Expires: The Applicant is _ Owner ~ Contractor _ Other Add-on or alteration to existing dwelling unit DN~/~ ow $ 30.00 ~ ~ 1< furnace _Additional Replacement SEP 1 'y 2004 air exchanger _ airconditioner _New _Replacement Q ~ other ~ State Surcharge ~ 50 ~1S ,rb Total $ ~V . I hereby apply for a Residen[ial Mechanical Permi[ and acknowledge that the informa[ion is complete and accurate; tha[ [he work will be in conformance wi[h the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I undetstand 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 aceordance with the approved plan in the case of work which requires a review and approval of plans. Applic6tt' 'nted Name Appli a s Signature 2004 COMMERCIAL MECHANICAL PERMIT APPLICATION Ciry Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Plcase completc for. commcrcial/industrial bufldings mulli-family buildings when separotc permits are not required for each dwelling unit Date Site Street Address Unit # Tenant Name (if applicable) Previous Tenant Name Property Owner Telephone # ( ) Contractor S[reet Address City State Zip Telephone # ( ) Bond 1€: Expires: The Applicant is _ OwTer _ Con[ractor _ Other Work T}•pe New Construction _ Underground Tank _ Install _Remove "see below Interior Improvement _ Install Piping _Processed _Gas Nature of Work: ••When installing/removing underground tank, call foi inspection by Fire Marshaf and Plumbing fnspector Pefmlt Fees: $70.50 Undergound mnk installation/remw•al 550.50 Alinimum (inciud,s SIa1e Surchargc) or ContractValue $ x 1% = S PermitFee • If eP rmit fee is $1,000 or less, add $.50 State Surcharge If ep rmi[ fee is over $1,000, add $.50 for every $ 1,000 permit fee $ Total Fee I hereby apply for a Commercial Mechanical Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the 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 Ihe work will be in accordance with [he approved plan in [he case of work which requires a review and approval of plans. Applican['s Printed Name Applican['s Signa[ure Approved By: , Inspector Dare: . ' 1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS / INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 7 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTAACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. ? ~ MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS 0 OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OE SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS CONAfERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS To Be Used For: Valuation: 3Z 4G'O Date: Site Address 3°J 22 ~,FJarf~fs'~`er D~ OFFICE USE ONLY Lot /.7_ Block ~ On site sewage_ Occupancy •~3~-I ~ MWCC system C/ Zoning Parcel/Sub ~/~~S nr S/OtJC.~1P•Ir~~,P On site well Actual Const I/N , . S City water T-~Allowable ~lN Owner W•~5~.~v C~a usT PRV required _!I of stories Booster Pump _ Length S~) Address XvJoiv 4-e J~ Depth 3R S.F. Total City/Zip Code /{'/,~/5 Footprint S.F. `l i Phone % So2 p S,f] APPROVALS FEES Contractor Engr/Assess Permit Planner Surcharge Address Council Plan Review 3 3 i B1dg. Off. SAC, City U City/Zip Code Variance SAC, MWCC $-G Water Conn S S" ! Phone Water Meter Road Unit 2 ~ Arch./Engr. Treatment P1 De/ Parks Address Copies I TOTAL City/Zip Code Phone # /~j c ( 7 ~ 2 = 3 9 z 3~ly • y 9 ' c' ~ G . r r.r l 3 - ~ do ~ ) 31 ~ 3'i~ EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION 06lNER SITE ADDRESS • CON FRACTOR F'fLF DATE PNONE _ Determine working square footage of each. 1. Total exposed wall area -Z965- sq. ft. x_1L =~32~.3Sf 2. Total roof/ceiling area sq. ft. x_026 Total exposed wall area above floor = -:2/00b _ a. Total wall window area . _/l1'f~,Z b. Total door area ff 77 c. Total slidin g glass door area 3~ _ d. Total fireplace wall area Zp e. Total wall framin9 area (average 10%)............ -260. p" f. Total net wall area above floor ~L_ g. Total rim joist area . ~ ' Total exposed foundation area = /4 y h. Total foundation window arca ,SS i. Toal net foundation area abcve grade JOO, y__ Determine "U" value cf each taall segment. a. /~l - 9.2 x fluis -L',9 h. 37 x~~U" . 1z c. 30 X„U., , sz d. • 20 X „uid e. 2GD.~0 X -,u-- , U9 = -513-''/7 f. .209~• 51 z °u° a = 03-9y ~ y. ~73 x ,iu„ , °y n. 3.ss x liuii ,ss = 9S i._/Dp ~S x „U., = ir._os 3 .....................................Tota1 ' .2 1 313 If item A3 is the same as, or less than item ql, you have met the intent of SRC 6006(c)2. WALL SCCT:nNS NM'E: Use 15% oP opaquc. wall~.area for fzaoe constructlon Construction R-Value 1. rio i f 0 6 2.- Pt'G~rr.Jon1 3. S%inahes sofr tvoocl ' 4. UE ~ ~SiG-1 />r 7 0 ' BASIC WALL 6. Exterior air film = 0.17 Total ~?q FIG. N1 TOPVIEiV OF ' FRAttE WALL 1. Intcrior air film 0.68 2. VY . 3. :r 4. --'•-~'l~ 5, %~i,,y~ ~ ~•f,jt.~:- ~ 6. Exterior air film 0.17 FIG. $2 - Total ;~13,~7 ~ 1. Interior air film 0.68 L 1z° i%~>E IlJ 191r:Ci 3. 'l 50 CL ~ScA L_=.~ i 4. 15=; •r/.,' ~/"i ~.["G , 5. 6. Exterior air.Film y;• ^ v. i -Larr 0.17 It'<, ~ TOtdl :,i~ r~~. ~ , , ~y~,. t, , v 1. Interior air film 0.68 v . 'GO:~O~TICN • A p 2. 'tsst,"%;,, 7•Gv 6'ALL ~ ~ A• 3 3. ' d • o 'p. ~T~ . • 4. U y ~n, • c• i~` ` 5. ~:i''/,.• 6. Exterior nir Pilm 0.17 j.~A . . : Total r SLAB ON GRADE . • i • . ~ . . ~ a ~ • ~ ~ . . • - . R 1(/r ~ • ~ - ' 1!I _ ` . o'' t' ' • _ . ~ ~ ~I . i(/~(/ l ~ r FIG. 04 !ft X d~ of FIG. N3 ~ - • a > X X ,4 , NOTE: Indicate tyoe, value, denth and placenent oP insulation. . • • ; Paqo Three ROOF/CEILING . . . - , . . • . - . ' - . ConsCruction ~ R-Value ~ 1. Interior air film 0.61 2 dwafl, /H i Millii 3. : ~GO 4 Fxtciior air film (still ObI VIIiT I., 1~III 111 Total • " ~ \J ' . ' ? ~.~5 , Vented Heat f1oW , up - • FIG. AS - 1. Interior ai film 0.61 •n•f/:•..~~~:,t~i!nn.1~^y_~``~~.c.__~ ~e?e _a~ 1. 3. 4. Er.tr.rior ai il sl- . . . , utal . ~ ~ _ - . ~ 2~0 ~ Y.eac Ilort up ; vented• ..FIG. 16' . . u" 1. Iu3i.de ir film O.61 2. • .r . ~a,a~,•1° t• 3. • . :~•i7:J'.-°rS,'-..~: 4. ~S-`-~' •I".':•'::••'~'~ S. Outs Cf air fi sq 0.17 \ Total 1 ' 1 2 , . . NOV-PCNTEp. NoLes' Use additional shects if more space i • needed for details aud calculations. ' . Hea[ ' • . , flov up , • FT.r. 07 , . . Total exposed roof/ceiling area = //9B J. Total skyllght area . ` k. Total roof/ceiling framing area (avera9e 10%).._ 1. Total net insulated roof/ceiling area........... / 0 7F•2 Uetermine "U" value for each roof/ceiling segment. J. X fluti _ = 3// k. //9 b X"U" . 026 t.: 147b2 x liuli . oZs = 9e a ..................................Totat If total of q4 is the same as, or less than #2. you have met the intent of S8C 6006(c)1... Alternate Building Envelope Design To utilize the total envelope system mathod, the values established by thc sum of items N3 and N4 shall not be greater than the sum of items Bl and #2. , 1. '32~i, 3S + 2, 3i, ~S ~ 3s9. 90 s. -L*, 93 + a. 30• o7 90 SL'RVEYOR'S CERTIFICATE WESLEY CONSTRUCTION WORCHESTER - D R, ~ N 4 R/o/9 48 " 896.1 97.91 N 890 59'25"E - a25p~2• 89c..4)~ ; ~a% - - - -i ~96 1or O 5 cr ~ S t m ' ' 44.85 ess.7a18.00.':~~'$~~~0~ a - ass.si 12'Z.0 0 893.9~__ 3 ' I o 1a99.o) ; / Q GAR. N 28.0 ~ \ / O W M Mi 20 PROPOSED0 06 ~ o \HOUSE 48.0 27.06 ~d' Z B96.2 t~. o) 896.0 I ~ (V N I LOT 17 R~ C E _ B I 'SAME'YT FR~ /Ty / BY ` • - - P ~ <ar 095.9! ~ ~ate v'AGAN ENGIN£LRI~NG DE' : LOT COR. FALtS ON CATCH BASIN S?O~ 893.0 L i~ `~~\•G ~ - DENOTES PROPOSED SURFACE DRAINAGE O DENOTES IRON MONUMENT SET SCALE: 1 INCH = 30 FEET • DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR = 898.3 FEET X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR m Syo.b FEET (000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK - g58•7 FEET WE HEREBY CERTIFY TO WESLEY CONSTRUCTION THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: RECORDED PLAY THEREOF, DAKOTARCOUATY,MINNESOTATHE IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS SURVEYED BY ME OR UNDER MY DIRECT SUFERVISION THIS 157 DAY OF SEPTEMBER, 1988. SIGNED: JA L, INC. ~ PROPOSEO ELEVATIONS SHOWN 4fERE TAKEN FROPI THE DEVELOPMENT PLAPI BY FUR HILLS Of STONEBRIDGE, PRE- HAROLD C. PETERSON, LAND SURVEYOR PARED 8Y PIONEER ENGINEERING AND LAST DATED II-5-87 MINNESOTA LICENSE NUMBER 12294 . N James R. Hi , inc. m 9~~ m O O O p ~ D ~ r~ \ O ~ ° Z 0 ~ ~ ~ ~ ~ m O M p Z PLANNERS / ENGINEERS / SURVEYORS m N m ~ 9401 JAMES AVE. S. • BLOOMINGTON, MN. 55431 • 612-884-3029 S N O n APFLICATION rOR PERMIT__ :NDTE= p^Y7MTr oe erE Ar TTME oe ; ; ArPCSraTT«a oos rnr cnN- ; ~ 3YS7VIE APPAGJAL OF PIItMIT. ` y!~ f i ~ SEWER AND/OR WATER CONNECTION : INseBMa" oF M4ER nra/ox wATm ; IIISPAI.i1f1ZOL`1S WII.[. N(YT HE e['F711RFn • • [RJPIL PIItFffT H}lS HFa] APPAWID. ~ _ • lftrff1f1t1iiIlYMiff~~fliiYYff~ffitlffY dtV oF eagcon (PLEASE PRINT 1) PROPERTY ADDRFSS: 3yZ3 ~OielsPS~P/ Q? LF]GAL DESCRIPTION:. Z- 17 - 2 N~%/3 0~ P (Lot B ock Subdivision or Tax Parcel ID IF EXISTING STRCCI4.IRE, DATE OF ORIGINAL BLILDING PMMIT ISSUANCE: Nnnt Year PRESENT 7ANING/PROPOSID USE: Q CONA7Q2CIAL/RETAIL/OFFICE R-1 SINGLE FAMILY Q INDDSTRIAL ~ R-2 DOPLEX (3tva C'nits) Q INSTI'IL'TIONAL/GOVERNMENT Q R-3 TC7ANHOOSE (Three + Units) ( Units) Q R-4 APARTNIENP/COPIDOD7INIUM ( Onits) z) NAME: //1/Pr/Pk ADoRESs: 99ol x~ioH ~~P CITY, STATE, ZIP: ~~~o vy~ i ir y~na~ T PHONE: / n For City Use 3) 71: 7• NAME: P1umT~ers License: r,DoREss: 375 v Active J(~ol/ iP~cl~~ /Ji Expired CITY, STATE, ZIP: Not recordea PHOrE: Ggff -G7 S o MASTER LICENSE # 32 3,C H. St Ia ~itl naT ~ • 4) NAME: ADDRESS: CITY, STATE, ZIP: PHONE: 5) ~ ~ • u~ • o ..i [~a' CONfIECPION TO CITY SEWER ~ CONNECTION TO CITY WATEF2 O OTHER 6) ~~:r¦ /.~~~.~~~1< ~ q~y / g ~ * THE GOID COPY OF THE PEFtMIT WILL BE SENP DIRECMY 'PD PUBLIC WDRKS 70 FACILITATE METEEt PICK-UP. PLEASE ALI,OW 'IW WORKING DAYS FOR PROCESSING. SOMBONE FROM TEE CITY WILL CONPACI' YO[] IF 'I4IQ2E : * ARE ANY PROSLEh1S. # ~*~r,r*~r**,t****~*r**,t,r*~++*~**s+****#***+r«+**+~**r+*xr*~,r+****,r*+r**rt*******,tr*r+*,t*******~+r,r***~+; FOR CITY USE ONLY PERMIT # ISSUED ' Pd w/Bldg. Permit FEES: $ $ /O -<--a SEWER PERMIT (INCLUDE SURCHARGE) $ $ -rd WATER PERMIT (INCLC'DE SCRCHARGE) " 7`c-a $ WATER METER/COPPERHORN/0[,'TSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ ACCOC'NT DEPOSIT - SEWER $ ACCOC'NT DEPOSIT - WATER a` S/~ • a-v S wAc $ 571 6f-6 $ S AC $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRCNK SE[9ER $ $ LATERAL BENEFIT/TRC'NK WATER $ $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ 7/' e-D $ ,57- Gr a TOTAL 7l ~ 7Z RE EIPT RECEIPT DOES UTILITY CONNECTION REQpIRE EXCAVATION IN POBLIC RIGHT OF WAY? ~ YES IF YES, THEN A"PERMIT FOR WORK [VITHIN PC'BLIC Q ROADWAY" MUST BE ISSUED By THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWZNG CONDITIONS: - APPROVED BY: ~~•~ti~t TITLE: DATE : I 4,111' City Date: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 RECEIVE. APR U 4 2012 /65075 Use BLUE or BLACK Ink For Office Use 7 Permit #:)t 3t 07 Permit Fee: 70—C: Date Received: Staff: C� // 2011 RESIDENTIALG}BUILDING` PERMIT APPLICATION l -02 - l� Site Address: 3 913 WO� e1 f Pit J Unit #: Name: (»,2r) ¥ % I' ( hQ ., Phone: 6-S7 ' W8 " "\i/S/P/ Address / City / Zip: Applicant is: Owner Contractor Description of work: • Ail_ a 1A.'t, Construction Cost: 15006 ,C1) Multi -Family Building: (Yes / No y ) Company: �,(.,�{-n1 / l atinc. l ,i.p,, _ -4r, Contact: ( L'/d;V /1/462,I) Address:1 / /'/ p()/�? City: ��C State: Zip: 5:5-0 /11 Phone: 6'57- %� l ' 42k.0(76, 6, Lead Certificate #: rV h 0 76 c P GZ License #: c<Uo/ %A/d If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued-a.prmit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: `�. Phone: Mechanical Contractor: Phon—. Sewer & Water Contractor: Phone: 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.aoaherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. 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. Applicant's Printed Name KCAla Applicant's Signature Page 1 of 3 411' City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink For Office Use Permit#: CoS-3 o; Permit Fee: Date Received: Staff: INFLOW & INFILTRATION PERMIT APPLICATION Plumbing / Sewer & Water Date: Site Address: Tenant: Suite #: Name: r , v Address / City / Zip: �.,`?� 5 :,`",- (I) 0 ry Name: Address: City: State: Zip: Phone: Contact: Phone: License #: Email: PLUMBING (Within the building envelope) SEWER & WATER (Outside the building envelope) Sump Pump Repair Repair Other: Other: c Description of work: kL)\ C'�°/�� � �� jot 'c' / QV -CI .Q 4 FEES $60.00 / Each (includes $5.00 State Surcharge) TOTAL FEE $ *Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit I/1 repair costs for reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors can be found by visiting www.citvofeaqan.com/inflow, or City Hall at 3830 Pilot Knob Rd. CALL BEFORE YOU DIG. Call Gopher State One CaII 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.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be i accordance with the approved plan in the case of work w ' . - equires a revie nd approval of plans. xAfr Applicant's Printed Name Applicant's Siature Required Inspection Gity of Eaau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 RECEIVED j - 2 It 11116 105.25 Use BLUE or BLACK Ink For Office Use 5940 Permit #: SDatePermit Fee: / O5 d5- Date Received: l / nt (( 11 Staff: 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: July 23rd 2014 Site Address: 3923 Worchester Drive. Eagan, MN 55123 unit#: Name: Jim/Mary Coates Phone: (651)208-4187 ,.,.. r Address /city /zip: 3923 Worchester Drive. Eagan, MN 55123 Applicant is: Owner X Contractor 1 Garage Replacement into existing openings, no structure change. Description of work: Construction Cost: 3,132.00 Multi -Family Building: (Yes / No ) Company: Custom Remodelers, Contact: Inc. Karli Anderson 474 Apollo Drive Lino Lakes Address: P City: MN 55014 (651)784-2646 karlin.a@customremodelersinc.com State: Zip: Phone: Email: CR001748 NAT 27064-1 License #: Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) House is Built in 1988. 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? No If yes, date and address of master plan: _Yes Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: d 34' a'ro t .y5 t #n 2 (S E p� 4' w ,. ..�E4, k /. 4Ss+.#,5'i, ' 5 CALL BEFORE YOU DIG. can 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.aoaherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minn'sgta Stateiding Code must be completed within 180 days of permit issuance. x Karli Anderson Applicant's Printed Name x ark dt A'plicant s Signature Page 1 of 3 -11-41.N0 (jO.o0 CityofEagaii 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 JUL206 Use BLUE or BLACK Ink For Office Use Permit #: 767-a Permit Fee: Q Date Received: Staff: 2016 MECHANICAL PERMIT APPLICATION CIPlease submit two (2) sets of plans withall commercial applications. I Date: / Li j r 1/ Site Address: V v Z3 3 Yt CS -1-W P r - Tenant: Suite #: J Qp t Name: 3a,rnrs and 1 l Ct.i� C oafe5 Phone: Les 1- 2S- J o i .! J Address / City / Zip: ick O n f 'S 11 k w F � Name: One- ti hu r tiro h9 ia.( T r License #: til B c r .39 1 Address: h City: I1OLi Van IIIOn 9- asci MS State: Zip: Phone: 111J 55033 1051— y 31— L111 7 Contact: vii(.s,,,t Parch it Email: 14r1Cis'7h 10Dhti rhesa-vi(;Lpros .cow , s$ New Replacement Additional Alteration Demolition Description of work: F• `�,pi"5 # 'N e ara"- "�-k'y'} -i"' i�41 - k.' .`-f j,, - - .l.P..t3k :#7aR` " ode ! ,i 'i i Y# AnlcaI l � 1 1W"�. t ..mom-b�.,A ` , p 5 "afrf Xw� n, "�iFnbi ':.w�V- 4�rrh�Z.. aiXf��'kr b i�i@t!m RESIDENTIAL /Furnace ir Conditioner COMMERCIAL New Construction Interior Improvement Install Piping Processed Air Exchanger Gas Exterior HVAC Unit Heat Pump Under/Above ground Tank ( Install / Remove) Other _ RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit, includes State includes State Surcharge Surcharge /� = $ cq lJ TOTAL FEE $100.00 Residential New, COMMERCIAL FEES $60.00 Permit Fee Minimum Contract Value $ x .01 = $ Permit Fee $70.00 Underground tank installation/removal Surcharge = Contract Value x $0.0005 If the project valuation is over $1 million, please call for Surcharge = $ Surcharge = $ TOTAL FEE I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x Vass � Ma K> � Applicant's Printed Name )6/A,(A4)44 144 Applicant's Sign FOR OFFICE USE Required inspections: Underground ` . Rough In Air Test Reviewed By: bate: Gas Service Test = Indoor Heat Final - HVAC Screening (veea j els )p`e / l%f41 /1-1'2-11 3830 Pilot Knob Road 1 Eagan MN 55122 Phone: (651) 675-5675 1 buildineinspectionst citvofeaean.cam Use BLUE or BLACK Ink For Office Use Permit #: 1141e t Permit Fee: Date Received: Staff: J 2017 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: ) J 19-0 i Site Address: 3 a 3 w re li e.r 4e.- r r J Tenant: Suite #: CUs+e.r Name: 142rs PA,,., 5) N f e , i(xi Phone: GS Tn License #: y 3-5-8 )0C Address: P-40 /3 o x a / 7 City: Qa State: /a1A./ Zip: S SI a 2 Contact: li-"I i Phone: (,1 / d) — ? Z S Z Email: r-,; Neff, 0 1/6ew _ Replacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W. RESIDENTIAL Water Heater Lawn Irrigation ( RPZ / _ PVB) Septic System uNew Abandonment e>') h -e f'h 4-t Water Softener Add Plumbing Fixtures ( Main / _ Lower Level) Water Turnaround RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener (includes State Surcharge) $60.00 Lawn Irrigation (includes State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround" (includes State Surcharge) *Water Tumaround (add $280.00 if a 3/4" meter is required) / $115.00 Septic System New (includes County fee and State Surcharge) TOTAL FEES $ (.a t''od CALL BEFORE YOU DIG. Call Gopher State One CaII 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.gopherstateonecali.orq 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.citvofeaaan.comJsubscribe. I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. X - r x i�j.✓� Applicant's Printed Name Applicant's Signature .`1442 ;I�ft EAGAN RECEIVED MAR 1 3 2019 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651) 675-5675 1 TDD: (651) 454-8535 I FAX: (651) 675-5694 buildinginspectionsna,cityofeagan.com Date: • For Office Use /34 Permit #:/�1 (4 Permit Fee: '' Date Received: 3' 13- Staff: 2019 RESIDENTIAL 11P��LUMBIN PE MIT APPLICATION /-11-' -f1' Site Address: .l;J \� r' • �VYL 55a3 uite #: Re'side+vnr Re's Name: Address t Com (. ► \ � � %�l/J ft7 Phone: ba915 - (-4,T- / City / Zip: �!�—� �//j) i C t; Contractor ' Name: Address: State: Contact: ' r t\/40r°^.--/ 4rldi,�' ai �l License #: 4Q k 0, CT" U ` �. City: �.1 / f `' k) Phone: Zip: AlV (� ,,`('`l i OaL( l Of\. � � P511 Email: Type• of Work-, � New Replacement Repair Rebuild i Modify Space _ Work in R.O.W. — —_ _ Description of work: _ Description Water ater Heater Lawn Plumbing Irrigation( RPZ / _ PVB) Softener Add Fixtures ( Main / _ Lower Level) Septic System Description: New Connection to City Water from Well _ Abandonment RESIDENTIAL FEES $60.00 Water Heater, Water Softener, $60.00 Lawn Irrigation (includes $60.00 New fixtures, adding or removing $60.00 Septic System Abandonment $100.00 New Residential (fee collected $115.00 New Septic System (includes $60.00 Connecting to City Water *Sewer & Water Permit or Water Heater and Softener (includes State Surcharge) Radio Read = $540 TOTAL FEES $ State Surcharge) piping (includes State Surcharge) with Building Permit) County fee and State Surcharge) from Well* + $290 for Meter and $190 for also required for connection charges CALL BEFORE YOU DIG. Call Gopher State One CaII 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.gooherstateonecall.orq 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.citvofeagan.com/subscribe. 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 wi h the approved pl n in the ase of ork which requires a review and approv I of plaanns�� VJ ` v, r 1��x Applicant's Printed Name x Applicant's Signature Page 1 of 2 f For Office Use // I e o : ��C� Lig -J E AG N Permit#: I Permit Fee: I Date Received: I 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 I (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: buildinoinspectionse.citvofeaqan.com 2019 RESIDENTIAL PLUMB ING PERMIT APPLICATION a7 Date: 7/77// 9" Site Address: �9a �i�/4-7/ 4 4:9,1(k,l Tenant: / Suite#: Name: G- SP."- e'er Phone: ReSiiientO ►l7er Address/City/Zip: _ '5 • Name: A,' i/ License#': 7f'1��6- Contractor Address: 6 'e7 c )? City: state://,7/0/ Zip: &-` / Phone: /��� -��--Z Contact: / it.r1 i Email: 'e'lil/i/-4-7,.,%9/ C' ,i/C•02.c� —New Replacement _Repair _Rebuild _Modify Space _Work in R.O.W. Type®f.W©ryfk: Description of work: Water Heater Lawn Irrigation L RPZ/_PVB) Water Softener Add Plumbing Fixtures( / Main/ / Lower Level) DesoliPticlik Septic System / / 5 Description: s si`B// / a/ fGt _ New Connection to City Water from Well Abandonment RESIDENTIAL FEES $60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge) $60.00 Lawn Irrigation (includes State Surcharge) $60.00 New fixtures, adding or removing piping (includes State Surcharge) $60.00 Septic System Abandonment $100.00 New Residential (fee collected with Building Permit) $115.00 New Septic System (includes County fee and State Surcharge) $60.00 Connecting to City Water from Well*+ $290 for Meter and $190 for Radio Read = $540 *Sewer&Water Permit also required for connection charges TOTAL FEES $ CvD 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.000herstateonecall.orq 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.citvofeasian.com/subscribe. 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 n 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 la x 4P,'"? Applicants Printed Name Applicants Signature Page 1 of 2 PERMIT City of Eagan Permit Type:Building Permit Number:EA167977 Date Issued:04/05/2021 Permit Category:ePermit Site Address: 3923 Worchester Dr Lot:17 Block: 2 Addition: Hills Of Stonebridge PID:10-32990-02-170 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 - James D & Mary L Coates 3923 Worchester Dr Saint Paul MN 55123--165 Renewal Andersen 1920 County Road C West Roseville MN 55113 (641) 264-4088 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA175929 Date Issued:04/22/2022 Permit Category:ePermit Site Address: 3923 Worchester Dr Lot:17 Block: 2 Addition: Hills Of Stonebridge PID:10-32990-02-170 Use: Description: Sub Type:Furnace Work Type:Replace Description: Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 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 - James D & Mary L Coates 3923 Worchester Dr Saint Paul MN 55123--165 One Hour Heating & Air 15191 Boulder Ct Rosemount MN 55068 (651) 437-4177 Applicant/Permitee: Signature Issued By: Signature