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3930 Worchester Dr ü ÿ þýý üûúùû úú øýýüüìöîýþ õ÷þüø ñââ þýö þýüû úöêé òøýû ú öøû úöêé øàêéùúë õý òýòñíýú ð þïýøî ëúøáëììëøïýøëøüøëè÷ø êêú ÿ÷ø÷øë ý úèò÷ø÷ú÷øè òøüëçøøøïýøü ê ÷ë ìëè îåñäåèã èã õø þýøìø æýåñäå èãâ è âã æýÿè ôó öòñ úú öêô Üìõþá ãñãìáàÛ ñâñöøìø ø ëýìàãã àãã ñ ßñÞã ìøü ê ììáøìúúìì÷øëøø øëú êìúúüþ ÷þýò ÷ íøè úúé øëþ ýøý þ ýø . . • ~r3„'~'°~ • a.~ CITY OF EAGAN 17574 ' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 : BUILDING PERMIT Receipt # To be used tor SF ~/GAR Est. value =134,000 Date MARCH Z , 1990 Site Ad ss 393 STBR DR Lot ~r ~ BIOCk Sec/Sub. NILLS OF OFFICE USE ONLY Parcel No. occupancy 3_~i FEES zw~+ny ~N ~ 59.00 THB xOT['LUfID CO INC ~ Name • (Actual) Const Bldg. Permit o Address 01 E RIYER Ra (Allowable) surcnarge 67•00 ' City FRID1.8Y Phone 571-0304 r of siones ~ 693,00 ~ Length Plan Review j $AME ~ Name Deatn - snG city 100•00 a ~i AddreSS S.F. Total - SAC, MCWCC ~ Clty Phone S F. Footprinls - b•j s'00 On Site Sewage _ Water Conn j ~W Name on steweu ~ ~ W W , Water Meter i= AddYe5S MWCC System 30.00 0 c~ ~ Acc1. Deposit g W City Phone cay water - PRV Required _ S/1N Permit 30~~ 1 hereby acknowlege that 1 have read this appliCatiOn and state that ihe Booster Pump - ~yy Surcharge intormation is correct and agree b comply with all applicable State of 252.00 i Minnesota Statutes and City of Eag4n Ordin nce8. . ~ Treatment PI , ' f` SignaWre of Permitee 1 APPROVALS Road Und gSS•OO ~ A Building Permit is issued to: THE ROTTLM (O• INC Ptanner - park Ded. ~ on the express condition that all work shall be done m accordance with all Cou^c'l applicable State of Minnesota Statutes and Ciry ol Eagan Ordinances. Bldj. OH. - Cop`eg ' Variance - TOTAL 3,401.50 Building Official ~ pennit No. PKmit Holder Date Telaphone N FWATTER i ~ SEIMER ' aLUM81NG / ~ . ~ -;/`//%i, od. 3 ~ H.V.A.C. pIQ~Q ~1O ~ ELECTRIC Mspectlon Date Insp. Comments Foolings I L ~ Foundation D~lG AG - S fc+- ~ Framirg Roofmg doz Fia+9h PIb9. Rough HOg. Q [Sul. Faeplace Final Ht9 _ e Fnal Pibg. Const. Meter Pibg. Inspecta - Notity Plumber Engr./Plan Bldg. Final peck Ftg. Deck Fnal Well Pr. Oisp. r°+~~~~~_-~_~ f~•~`:'~~flr~'~,~,~i'r'n' ,~v`i(S"'~ s' 6.;5 Y ~p ~?r aLVlA PLUMBING PERMIT ~ . . For Office v ly / ~ CITY OF EAGAN PERMIT * ~ y CONTRACT 3830 PILOT KNOB ROAD, EAGAN, MN 557 22 RECEIPT 3(r PRICE PHONE 4548100 DATE: y~- Site Address ~ ~ ` ~ ` ' ~ ` ' a • " ` BLDG. TY5E WORK DFCRIPTION Lot I u B I Sec/Sub ReS• New 5 L u- . y , Muit + Add-on Name V A ' COmm• Repa+r ~ V c yt . c Y LOther ~ Address c Cit y A', Phone y")'~~? ~ RES. PLBG. QNLY - COMPLETE THE FOLLOWING: - NO. FIXTURES qTOTAL ~ V Water Closet - $3.00 $ Name ~ Bath Tubs - $3.00 ~ Address a" % L Lavatory - $3.00 t ~ ~ ' I Shower - $3.00 C x ~ Phone ~ Kitchen Sink - $3.00 UrinaVBidet - $3.00 FEES Laundry Tray - $3,00 COMMJIND. FEE -1X OF CDNTRACT FEE Floor Drains -$1.50 APT. BLDGS. - COMM. RATE APPLIES Water Ffeater -$1:50 TOWNHOUSE & CONDO - RES. FiATE APLUES ' Whirlpool -$3.00 ~ MINIMUM - RESIDENTIAL FEE $12.00 ~ Gas Piping Oudets -$1.50 MINIMUM - COMM.IND./FEE $20.00 (MINIMUM -1 PER PERMI'n STATE SURCHARGE PER PERMIT .50 Softener -$5.00 (ADD $.50 S/C PER EACH $1,000 OF PERMIT FEE) Well - $10.00 . Private Disp. - $10.00 Rouph Openings - $1.50 v s SIGNATURE OF PERMffTEE PERMIT FEE: L4~ I STATES S/C: • FOR: CITY OF EAGAN GRAND TOTAL: , . . ±f..,,,~r' 'T!: . ' .=e d " PERMIT M SC ' MECHANICAL PERMIT RECEIPT M i/2 i . CITY OF EAGAN DATE 3630 PILOT KNOB ROAD, EACAN, MN 55122 CONTRACT PRICE: PHONE: 454-e700 For Office Use Only: ~I Site Address BLD(i. TYPE WORK DESCPJPT10N Lot Block SeclSub Res New Name Mult Add-vn m Comm. Repeir .q Address ' pther c City Phone FEES Name RES. HVAC 0-100 M BTU - 524.00 c Address I ADDITIONAL 50 M BTU - e•00 p City Phone ~ (RES. HVAC INCLUDES A/C ON NE1M CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIn - 1.50 EA TYPE OF WORK COMM/INO FEE - 146 OF CONTRACT FEE ForGed Air G M BTU - APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE 8 CONDOS - RES. RATE APPUES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8 Unit HeHter M BTU REMODELS - 12.00 Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 Vent CFM (AOD $.50 S!C IF PERMIT PRICE GOES Gas Piping OuUets # _t- BEYOND $1,000) Other FEE: SIGNATURE OF PERMITTEE S/C: TOTAL• FOR: CITY OF EAGAN SEWER & WATER PERMIT OFFlCE USE ONLY CITY OF EAGAN METEq # l07 ro PERMIT DATE 03 / Ub r y0 3830 Pilot Knob Rd. Eagan,(1AN 551 22-1 897 CHIP # WATER PERMIT 11258 METER SIZE oG B.P. RECEIPT +IE C 664S ISSUE DATE B.P. RECEIPT DATM 3 / 0 S/ 90 _ PRV - BOOSTER PUMP SITE ADDRESS PERMIT REOUESTED LOT ' =~LOCK -L-SECJSUB ~ _ r~~= = ~t- ~ i~-~;r, APPUCANT: t', X- SEWER _X_ WATER _TAPS j ADDFiESS: COMM/IND _X_ RESIDENTIAL ~ CITY, STATE ZIP f-T:Uej I PHONE: _XL NEW - EXISTING ~ PLUMBER: ':.F•~c L )r_. _ ' ADDRESS: C -vEF v` `--~u I AGREE TO COMPLY WITH CITY OF ! ~ ~ EAGAN ORDINANCES: ~ CITY, STATE L-y~s ^ f I;c ZiP C4 , ~ PHONE: - z - ~-L? I OWNER: ; ADDRESS: F2'C' l r- `z tvf--V, SIGNATURE WNEN METER ISSUED CITY, STATE k~Z t~_e 1 o f _ PHONE: ZIP t t ,1 PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORIIA SEWER PERIYIIT 4CONTACT ENGINEERING DEPT. APPUCANT AND PLUMBER WILL BE NOTIFlED WHEN PERMIT IS PROCESSED. o . r (tertifirate pf Mrruvanry , Citp of eagan Wp"Aluent o# -suildiUg 3wrruntc 77jis Certifrcale issued pwsuane m the nequtrerrtents of Section 306 ojtlie Unljorm Buildixg Code certijl'in8 that at the tinte of Lssuance tlus slructure Kws in compliance with tJie various ordina,eces of the Ciry regudaring building construclion or use. For the foUowing.- U, Cb,,fimi,, SF DW/W BMg. P..;, No. 17574 O-P.-7 T~lx R3/M1 zoning Dieim PD/RI Tnx Cowt VN owner or e.~ IlHE ROT1T;kD 00. , INC. Aj6. 5201 E. RIVFR ItD., FRIIIEY .,kddm 3930 WM3FSM DiRiVE t-sik L! 6, B 1, HIMS OF S70MORIDGE cr. ' r' MAY 29, 1990 POST IN A CONSPICWUS PUCE i ' SEIMER de WATER PERMIT OFFICE USE ONLY CITY OF EAGAN METER # PERMIT DATE 03/u6/9G 3830 Pilot Kneb Rd. • - Eagan,.MN 55i22-1897 CHIP # WATER PERMIT # 11258 METER SIZE B.P. RECEIPT # C 651+3 ISSUE DATE B.P. RECEIPT DATE43/o5/90 _ PRV _ BOOSTER PUMP SITEADDRESS PERMITREQUESTED LOT It BLOCK ~ SEC/SUB F`su t ic- 4~( c, r ~NT: NZ A, _2L SEWER X WATER - TAPS ' • , c ~ ,~i .C_ APPLICA ~ ADDRESS: COMM/IND RESIDENTIAL ~ CIIY, STATE ZI P I'! PHONE: X NEW _ EXISTING PLUMBER: ADDRESS: ~C7 I AGREE TO COMPLY W(TH CITY OF ZIP EAGAN ORDINANCES: CIIY, STATE PHONE: (?5 ~ - z~ t i OWNER: ADDRESS: r k e v ~-k~ SIGNATURE WHEN METER ISSUED CITY, STATE ZIP PHONE: - r . fl PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. APPUGANT AND PLUMBER WILL BE NOTIFIED WHEN PERMIT IS PROCESSED. CASH RECEIPT ~ C~- • . CITY OF EAGAN _ 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE ~cVAo vnw ~UNT % a DOLuu3s ~m O CASH ? CHECK FOR . ~ l r7.~ 6~ 17S'7 y~ ~ 7 S 7'7 FUND OBJECT AMOUNT ~G • ~ / d/ f r tiG 2r • , • S,GO Thank You ~ BY C '-64s ~ Frvk--Fft Coft CITY OF EAGAN N~ 17574 3830 Pilot Knnb Road; P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # k- L- yz To be used lor SF DWG/GAR Est. value $134, 000 Date MARCH 2 , iggQ_ Site Address 3930 WORCHESTER DR OFFICE USE ONLY Lot 16 Block 1 Sec/Sub. HILLS OF Parcel No o«uPancy R-3 M=1 FEFs zo„i„q PD R-1 w Name THE ROTTLUND C0. INC (AcNal)Consl V-N Bldg.Permit 759.00 3 Address 5201 E RIVER RD Anowame) V=N ° City FRIDLEY Phone 571-0304 aofStories Surcnarge 67.00 lenglh 62' Plan Review 493.00 io Name SAME Deplh 36 ~ snG ciiy 100.00 0,04 Addfess S F 7otal - SAC, MCwCC 600.00 City Phone s F. Footpriois _ On Sle Sewage _ Water Conn 625. 00 W w Name On Ste well 90. 00 w - Waler Meter Address Mwccsysiem XX iw Cdy PhOn2 Ceywaier XX Acct Deposit 30.00 PRV Required _ SlvV Permn 30_ no I hereby acknowlege ihat I have read this applicauon and state Ihat the Booster Pump - SiwSurcharge . 50 informauon is correct and agre o comply with all apphcable State oi Minnesota Statutes and City of E an Ordinanc s. Treatment PI 252 . 00 Sgnature of Permitee ~ ~ JA (h JAM5~& pPPROVALS RoadUnn 355.00 A euilding Permit is issued to: THE ROTTLUND CO INC Pianner - park Dad. on the express condtlron that all work shall be done in accortlance with all Councn applicabie State of Min~neso[a StaNtes antl Ciry oi Eagan Ordinances. gld9 011 Copies 6wldmgOlfiaal I,(~ 1n{il pAA I~1 Variance _ 7p7qL 3,401.50 ` 3/-~p C'/ic (0 37981/- ReW= Daie ' Fro No. Ra -in Inspecoon / Re? iretl? ~Reatly Now ? WAI NOWy I^sp¢tlor 3'~ ~ Q o Ves ? No When Reatly7 I(i licensed contractor O owner hereby request mspectwn of above electrical work at. Job AOaress iStree6 Box or Poule No I Gry 3 3 o b4V> Secimn No Townsni0 Name or No. Ranga No. Counly f\ /i.i Q'CUpdnt IPRI TI PhOnB NO. Powe' $eqplipr ' ~ Atltlre55 V / Eleclncal Conu mr(COmOany Name) Conhaclor3 l¢ense No I ~ ~ - Maibng Aaaress (COnVaclor or OwVer Making Installation, Aulnonxea Signawre ICOnVanon er Mak Installation) PM1Ono Numlder MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REOUEST WILL NOT Grlgga-MlEwey BIEg. - Hoom 5-113 BE ACCEPTED 8Y THE STATE BOARD 1821 Univenlty Ave, 51. Veul, MN 55104 UNLE55 PROPER INSPEGTION FEE IS P1wne (612) 6924800 ENCLOSED A 61 REQUEST FOR ELECTRICAL INSPECTION ea-00001 o~ 3/~yC 5 ~ See instmctwns for completing mis lorm on back ol yellow copy y.`d~.~..~~ ~G• V 3 7 98 1 "X" Below Work Covered by This Request ~ ew Ad0 Rep. TypeofBwlding AppliancesWired EqwpmeNWued Home Range i Temporary Service Duplex Water Heater Eleanc Hea6ng Apl Bmlding Dryer Other (Specdy) Comm /Industnal Furnace Farm Air Conditioner Other (spenty) ConVactar's Remarks' Compute Mspection Fee Below: # Other Fee M Serv¢eEnlranceSize Fee # Circwts/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps Above 100 _ Amps Signs Inspecior5 use Oniy: TOTAL Irrigation 8oom5 Special InspecLOn Alarm/COmmunication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, ihe Electrical Inspedor, hereby Rouqn,o oata cerOfy that the above inspecLOn has F,nei a~ ~ been made. v OFFICE USE ONLV Thrs repuest void 18 manths irom G3 7 9 8 c~ Re0uesl Da~e Fre No. IRou nlnspecoon ^ Re i ? Aeatly Now AWill Na~ily Inspuctor ` U Yes ? No Ydnan Reatly? I'~] Zcensed coniractor O owner hereby request inspection of above electrical work at: Jat, AaCress (Slreat Bov o.r R°~te No ~ Qty 3 O Seuion No TownsNp Name or No Raige No Co S Occopa (PRINT) Phona No Power S ier qpdress Elednc I Comracior (ComODany Nama) Cpnlractor5 Lcense No C+l.f(~ ' ~ ~ Mailing Ndtlress ICOnttac:ar or.Lhvner Making Installatmn) Aolbonzea Siqnalure IGonVactor w er M king Ins:allalio PM1One Number , - 3$~v MINNESOTA STATE BO/.flD OF ELECTqICITY TNIS INSPECTION REQUEST WILL NOT Gtlggs-MlEwey BIOg - Room S1lJ BE AGCEPTED BY THE STATE BOARO 1821 Univcrafly Ava. SL Paul, MN SAOC UNLE55 PROPER INSPECTON FEE IS PM1OneI61]~6<]-0800 ENCLOSEO. ~e~/~ REQVf ST FOR ELECTRICAL INSPECTION ee-ooom-o7 - No See in5tmcuons for compietmg Nis lorm on back ol yellow mpy 749 G``j 3 7 g 82 "X" Be/ow Work Covered bY This Re9uest e Adtl Rep. TypeoBmlding AppliancesWired EqwpmenlWirad Home Range Temporary Service Duplex Water Heater Eleciric Heating Apt. Bmlding Dryer Other (Specity) Comm /lndustrial Furnace Farm Air Conditioner Other (spxiry) Convacior's Remorks Compute Inspechon Fee Below# Other Fee M Serv¢eEntrance Srze Fee # Circuns/Feeders Fee Swimming Pool 0 to 200 Amps to i00 Amps ' b TranSformers Above200_Amps Abov Amps S1905 Inspector5 Use Only J TOTAL Irriganon Booms Speciallnspecllon Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 1 NTH I, the Electrical Inspecior, hereby Rouqn,o oai J~ certity that the above inspection has Final Date i. J• been made y ~ OFFICE USE ONLY - - Tnis reQUesl mitl 18 montM1S Irom , DATE. 03/06/90 ,i] ??t>~ l qE 3930 EJORCNESTER DR x Youi Sewer & Water Permit for the above property has been completed. It will be held at the " Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO ~CALI PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. _ Your Sewer & Waler Permit for the above property cannot be completed for the following reasons: ~ Your Sewer & Water Permit for the above property has been completed, but the meter cannot + be issued or accupancy allowed until further notice. _ COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. DATE: 03/06/90 RE: 3930 HORCHESTER DR x Your Sewer & Water Permit for the above property has been completed. It will be held at the Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO " CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. - Your Sewer & Water Permit for the above property cannot be completed for the following reasons. C Your Sewer & Water Permrt for the above properry has been completed, but the meter cannot be issued or occupancy allowed until further notice. - COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARIMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept RESIDENTIAL ~.~3 as~ BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construction Reauirements RemodellReoair Requiraments . 3 regislered site surveys showirg sq. fl. of lot, sq. ft. of house; and all roofed areas • 2 copies of plan (20%mazimum lol coverage allowed) . 7 set of Eneryy Calculations for heated additions . 2 copies of plan shovnng 6eam & window s¢es; poured (ound design, etc.) • 1 site survey for extenor addi6ons & decks • 1 set ol Energy Calculalions . Indicate if home served by septic system for additions • 3 copies of Tree Preservation Pian rf lot platled atler 711193 ~ • Rim Joist Detail Options selection sh t(bidgs 'th 3 orless units) DATE VALUATION /5~ SITE ADDRESS _~~fl~'~~~/l • MULTI-FAMILY BLDG _Y _N TYPE OF WORK Q-- FIREPLACE(S) _ 0_ 1_ 2 APPLICANT ' STREETADDRESS ~CITY STATE ~ZIP TELEPHONE #7~3 ;3a/ S 5L CELL PHONE # FAX # PROPERTYOWNER TELEPHONE#l~I -6/ff O77`a / - COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MWNL507'A HULliS 7670 CA17I:GORY 1 MINNESO'fA RULLS 7672 (q submission type) • Residentlal Ventilation Calegory 7 Worksheel Submitted • New Energy Code Worksheet Submitted • Enerqy Envelope Calculations Submitted Plumbing Contractor: Plumbing syslem includcs: Water Soltcner Lawn Spiinklcr Fee $90.00 Water Hcaler iVo. of R.I. 1jaUis No. of Badis - p ~ r~ F~ r~ r' I ~ Mechanical Contractor. Phone # IV1echmiical systein includes: Air Condiuoning I II I ee: 19 1~ VwoI L Heat Rccovcry Systcm IUU LJ Sewer/Water Contractor: Phone # - ' I hereby acknowledge that I have read this application, state ihat the informati n"'s correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinance Signature of Applicant . - OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 OFFICE USE ONLY ? 01 Foundation ? 07 OS-plex ? 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 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bidg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const W idth REQUIRED INSPECTIONS _ Footings(new bldg) _ FinaUC.O. _ Footings (deck) FinaVNo C.O. _ Footings (addition) _ Plumbing Foundation H V AC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacemen[) _ [nsula[ion _ Re[aining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MGES SAC City SAC Water Supply & Storage S8W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total 1990 BUILDING PERMIT APPLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTUR.AL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS ' 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS # OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. ~ ~c rl r-• - NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGN~T%WHICH~A Dy~3J~5' ~ DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS/`SSf ED. ~ L5 IIII PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A k;~13T 90 2ETJf~.QMPL&T PERMIT MUST SHOW A LICENSED PLUMBER. v To Be Used For: Valuation: Date: 77--z.(o'9C> ` Site Address ~~~~j (kR=9nWt?ST~SZ~O OFFICE USE ONLY 13y,o00- Lot A,(.Sp Block ~ FEES Occupancy R 3 M-I Zoning D R- Parcel/Sub Actual Const V-N Bldg. Permit 759,00 Allowable V- N Surcharge 670 0 Oconer T~~ ~^~"T'TC!~~77 Cc~. IA~ # of stories Plan Review . 31p Length l~Z SAC, City ~OC). 00 Address E'Zfj1 F, R(yEp L,ovn Depth 36r SAC, MWCC (^QQIp~ S.F. Total Water Conn (.,251 0~ D City/Zip Code g¢if-J~~ ~ ~G4~.t Footprint S.F. Water Meter 10 J Acct. Deposit O~QJ Phone On site sewage_ S/W Permit 30,00 On site well S/W Surcharge '9~0 Contractor $~/~17r MWCC System y~ Treatment Pl. G5Z~D0 City water d/ Road Unit 355,Do Address t~ PRV Park Ded. Booster Pump _ Copies City/Zip Code SUBTOTAL APPROVALS Penalty Phone 1\ Planner _ TOTAL ~ Council / Arch./Engr. , Bldg. Off. `2(Zb \ " Variance Address 'tCity/2ip Code Phone # V l/A A'-1 O ~j ~ . _ C~A~ . ~Zx ~s a41,y a3x~~= So~ '74q ~ x i5~ 11I~id 3S?~T, - „ - ~ax 2-7 zgx /qXZZ = ~Oc~ Zx-7 = ri2o x~~D: lT2ooo 133,7 r7y , }K ~ 2422 Enterprise Drive PIONEER Mendota Heights, MN 55120 y LAND Sl1RV EYORS • CI V ll ENGI NEERS r eni('~I~Iee~1;n(7 1~1N0 FLIINNERS • LANOSC0.PE /1RCHRERS ~ CO ~ - ~ n ~ ~ Jy J vo a * ~ 1 T T CertificateofSurveyfor: TNE QOTTLUND COMPANy I• l. 5CD N11%• 4s5 C ROAD ~ 891~`~ NoarN y~-----------------~rs 9°ly ' i i ~ I / \ I f • ~ ~t ~ I' o~ o o d` '~r sc.o ~ Qa r I z.o` ~ MoUSe 0 a~ lii \ b' m ~ a UnR. 21.33 1 r ~ ~ I M N+2 z.c7 ~ ' ~F 695'89' ~t,o G. 897.Z I ~ ~ A g ~ K°, 51 t)e, vtr- - - - - - _ _ i y m ' 89G.z , F~7 '(L_- \7 ~ ~30. 27 bq5' 457 . 7~\¢8 . . _ s~_.~... E9'S9't5''W. d= 1409a ~a Z6 BY ~ wo,ecKc-5rc9 n1,71 vc Rv~~~IN6x DEPT * 900.0 Denoles exisfino flevafron PROpUSED NUUSE ELEyATlONS . 900.o Dmofes propoHd Elevation Lowesf F/oot- Eleval~on S~9•o Deno(es Dratnae (utilrl Easement denoies Drnina eFlow rrows Top of'Bloclc Elevabon = 897- a o Det1oles monument Gar04z 5/ab Elevafron °89J- s BQQrr15 shown ore assurned LOT /6 , BLOCK NlLcs oF STONEBRIDGE DnKOrA CouNTY, MINNF_$OTA SUBJECT 7D EllSEMENTS OFRE"cORD I hrreby certlly thal thB survey, plan or report was prepared by o unr7r.r my direct supoprv,is,ion and Ihr[ I am ~iuly Registr.red Land Surveyor under the laws ol Ihr Slate ol Minnesota. Dated this~ Aay of n A.D. 19~, ~ 1e , 1 ind! , 7 SCQ ~ ; - - /~~`--d} '~O ROnE~tl P SIKIf.i~ L.5 REC.IY~. 14891 U l ~ 'EXTERI02h.i v. Z lOPE AVERAGE "U" CUIdYUTATION i OWNER SITE ADDRESS CONTRACTOR ;W5 A M•' DATE 2 Z~c~ PHONE S 7I"' : 0~C~ j~ Determine working square footage of each. 1. Total exposed wall area 28S& sq. ft. x _~2~.3~ 2. Total roof/ceiling area /IFjD sy. ft. x r026 Total exposed wall area above floor =alf 9 (10_ a. Total wall window area , b. Total door area c. Total sliding glass door area 0_ ~ d. Total fireplace wall area ? e. Total wall framing area (average 10%) 2 f. Total net wall area above floor , g. Total rim joist area Total exposed foundation area = ffi h. Total foundation window area -7 i. Total net foundation area above grade Determine "U" value of each wall seUment. a. 2 J~ 3 X"U" b. 3 e X „U,, , 4 7 = ;2. (c G C. ~p X ,.U„ . 1/6 = 27.60. ~ d. X olUil e. 2/5- g iiUil ~ O87 = ~ gr7 ~ f. 1930 x.lfull , o`f2 = g. 3/ 2 X „U~~ ~ 0*0 - 12.4 8 h. 7 X ~'Ll't i. X flUll 3 ......................................Tota1 - Z O.7g If item I1 3 is the same as, or less than item Ill, you have met the intent of SIIC 6006(c)2. Total exposed roof/ceiling area Total gross roof/ceiling area j. Total skylight area ? k. Total roof/ceiling framing area ~ 1. Total net insulated roof/ceiling area Determine "U" value for each roof/ceiling segment. J C~ g '-U" f'~ k. 7 1 }t 'lUll /•9 2 1. /io 9 X'tU" 6025 = 2-173 4 Total = . If total of Il4 is the same as, or less than I/2, you have met the intent of SBC 6006(c)1. To utilize the total envelope systezn method, the values established by the sum of items !13 and #4 shall not be greater than the sum of items Itl and 1i2. 32o.3S + z. 30:68 = 3S/,Q3 3. 290. 7 q + 4. 29.6s =,r3.za. ~5~ Yuyu J UI: 4 101'B: Use 10% ot- opaque wall area for irame construction ' • ~ Construction . R-Valve -~J Interior air' film 0.68 .2. ~C_Y P 13 R 1~5 3 3. 1u6-, s-r[ibS (00$8 T L 9. 2 5-/3 2 S N 7'C. ASIC • Z..OC-~ 5. $/O/./iC+ UVE/< FEG7- WALL / a ? ~o 6: Exterior air film 0.17 Total FIG. II1 TOPVIEIP OF ' FI27tt1C S771LL o0'3 -7 . ' . 1. Interior air Pilm 0.68 . . ~ • . , 2. 1 3aZ D o Y5 -Q 3. FUL L u/~ c~ ~~v5~t bU 4. 2 32- /YT 2 O ' i!'ZG. 42 5. 6-6- OVE.C' FEL7- ! a1 1^'b' 6. Exterior air film 0.17 Total 2 3, (.Z ~~.._.---------.----r~ ~ v ~ 1, Interior air film 0. 68 ' )ye.-al ^ 2. ' /.USVL . ~yo00 3, '2 X_ 12'f I`/l }p r: ~~~~::~.LI . • _ 9. 25 ~3 2 S1-z ao~ siaitiv v v~rz ~ ~zT 5. I ~G•:~,~ n N • • . . /°z~ Y.~Y ^r•J, 6. Exterior air film 0.17 iITIChi• Total 25.O5 e • 1. . . .~-,e`10C\ r: F~ l. Interior air film 0.68 s. • -~~.~.vsvc: ~i Uo • ' J' _ .I . . 3. 2x4 Fc~R R i t~ C~ 4. /2O.•t-c, 13 COCfc. 5 . 6. Exterior air film 0.17 .i - ~ ~ ~ . . • Tot/a/i /3ei3 I/= s~'7('0 ~ f ` ' ~ - '!6 ~ ~ / ~ ~ . . L/7- _ i ~ ~1~ ~ _ ~ii 113 a3 F1c. ir4 iri . ~y y ` _Jr f ' (C( . _ , . . ROOP/CEILTNG . • 'i . ~ Construcl:ion ' R-Valuc ~ ~3 . 1. ~ Intcrior air film . 0.61. ' z. s/R" 6,Y1- f3 ZO oS8 3. [3L0~-.v : v ' J ~,Oa ~ ~I • 4. Exterior air film (still) 0, • yEIT! Total 3C7. 60. '.enced Hea[ £1ow.' up ~ : , . i ~ , . . FIG. $5 j' , ~ . ~ . . . . I • ' , . • ' . . ' 1. Interior air film 0.61 +J+_~~;•..~.~-:7,uis+i.•ot_.:~ry~ _...0.^c~nti 2. _C"/r" 3. i,vSuL ovc_i' r/'U55 3~}~~1 4., Exterior air film still~"(r~,T lt ' • . Total J?6r71 G ''1~1i ~ iluli i i ~ ! U~ . . ~ . ~ ~--@ 1163 G- . . ~ : . . ~ . • • , . . , . • ~ . I Y.enc flow vp • i , .•vented, , ~ ~ ~ • . . , • ~ ~ • • • ' : i • ~ . FIG. #6 . ~ . . . . . , . - . , . . . ~ 3 5 u 1. Insi.de ai.r film 0.61 • ~~.~,~Ra+, °;s•°:~~`' : '3. ' : °^".Q?V'~~' • _ . ~ ..'t . . . a 4. ~l ~ ~ ' S. Outside air film r / Total 0.17 % • H0;7-~"PEp ' Notc: Use additional siieets •iP more space is ' reeded for clet•ails and calculations. ~ . ~Hent ' . ~ • . • , , flow up . F.T,f;. ~A7 ~ ' . , • . ~ p~IGG~ i ~ ~97 I U 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) C ~b cirr oF eacnN Yv1 s' 9 3830 PILOT KNOB RD - 55122 arG ~ 851-681-4675 n ~ New CanshucHOn ReaWremenh Remodel/Reoalr Reaulremenh n J ropltprotl Yfo wrvaYS showlnp iq. IL of bt. W. Q. of house 2 coplea of plan and 90 roofed aroas (20% mmdmum lot ooveraae allowed) 1 tef of oneryy cdculallons for heatetl atlcDMau D 2 coplet of plans (show baam d Mntlow tius; poured hd deslyn; efc.) 1 site wrvey ror axteAOr adClMans a dacb a 1 wt of arwrpy cdcwanons n S coplet of haa Prasarvaflon plan H bf plalled aftar 7!1 /93 ~ DATE: zm"? I~ p~ d vJ CONSiRUCTION COST: (D r/ ~ DESCRIPTION OP WORK: ~~/~,CU STREET ADDRESS: ~v c/3 v ttic>?~ (f sTe,-? LOT: BLOCK: SUBD./P.I.D. li: ,~l II (7 1 U~~~G r! q~1•~ Name: Sel/G / P 3~y/v Phone o: Ci 5/ l'i ~ 7UU PROPERTY taa Pirst OWNER 3~30 ~O~~YP Sheet Address: STPl? c„,, S?ate: ,11,4 /1/ Lp: ss ~a ~ phone a: Company. (area code) COMRACTOR Sheef Address: llcense S 2L/39/ 4<4p. Cly _13 (WNfi,LLz State: lJ'f y Zip: ~ 3317 ARCHITECT/ ENGINEER Company: Name: Telephone N: ( ) Sheet Address: Reglshaflon I?: CHy Sfafe: Zip: SeweNwater licensed plumber (H insWlllna aewer/waterl: Phone (_J I hereby acknowledpe Maf I have read fhis applicalbn, state Haf the InfomnaMOn k oortect, and opree to compy wNh a0 appOcable Sfate of IiAfnnewta Sfafutes and Cily of Eapan Ordinancea ' ~ Sipnature of AppllcanY.~~ OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No _ Not Required ~ OFFICE USE ONLY BUILDING PERMIT SUBTYPES p 01 Foundation O 07 OS-plex ? 13 16-plex ? 21 Poroh (3-sea.) ? 37 Ext Alt - Muki O 02 SF Dwelling O 08 06-plex ? 17 Garage ? 22 PorohlAddn. (4-sea.) ? 33 Ext. Alt - SF ? 03 01 of _ plen ? 09 07-plex ? 18 Deck ? 23 Poroh (screened) O 36 MuRi p 04 02-plex ? 10 08-plex ? 19 Lower Level O 24 Stortn Damage ? OS 03-plex O 17 10-plex Plbg _Yor_N ? 25 Miscellaneous ? 06 04-Plex O 12 12-plex [3 20 Pool ? 30 Accessory BkJg. WORK TYPE O 31 New ? 36 Move Bldg. ? 43 Reroof O 32 Addition ? 37 Demolish (Bidg)• ? 44 Siding ? 33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair ? 34 Repair O 42 Demolish (Foundation) ? 46 Windows/Doors • Give PCA handout to applicant for demolition pertnit GENERAL INFORMATtON SAC Code # of Stories sq. ft. No. of Units Length sq. ft. No. of Buildings Width Footprint sq. ft. Const. (Actual) Basement sq. ft. Census Code (Allowable) Main level sq. fl. MC/ES System UBC Occupancy sq. ft. City Water Zoning sq. ft. Booster Pump PRV Fire Sprinklered MISCELLANEOUS INSPECTIONS ? Stucco/Stone APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge . Treatment PI. • Park Ded. Trails Ded. ' Other Copies Total: , SAC Units % SAC Si:'c n:;':r,"`:YY,c,::CCt;;",• SN;Y......"y,yr,p.g,,,,,,,,;,, CI TY 0" r!` P.! Y,f~Xt~CXo;ca4X(nYgc~7F~kg:)XxnXB:%~Y,oX):cXtY,okY,(Y~~kX(#)kX~Y,c7;twXC~CY(Y,( CSTY OF EAGAN rq,i_.~ ;_.;i CASHIf_R: J5 ;.n/~ ;,i~:', • . TEI:HTNAL NOa 687 PATE: 03/07/00 T:f.ME; 09:1(:)c53 ,V:•17r~~_ C"ni IDa NP,ME: AZTEC R001=TNG AND CONSTRUCTI:ON 7')OI y v9:'Q ~~'^IiC~i ST'i' r1 n p 3210 3001 3930 WOfiCNESTEIi 139.25 `7 2155 900:1. 3330 WOIiCHESI'Efi 3.50 r-•~ ` ' F'f).`'(J T'ota:l. Receipi: Amoilnt: _ 142.75 CF'1243J.3 USEF SD: ;iAN ~ : . . . C) 1999 FIREPLACE PERMIT APPLICATION I v- `-A CITY OF EAGAN 3830 PILOT KNOB ROAD - 55122 651 68 ] -4675 Date: "1-~O % Description of Work: ? Construct new fireplace _Gas _Masonry _ Alterafians to existing _ Install gas insert onlv _ Instal] gas (rrre oidr _ Other Job address: 1 J v V V QY- ( ~e~,_~? Lot Block: Subdivision/P.I.D.#: Applicant (circle one only): Owne Conhac[or Permit Fee: $60.50 evl~-e~ . ~ Name:3 l. Ny~ Phone U Jl4U d'6-7TV PROPERTY Last First OA,NER d-.~l Street Address: City v~ State: I/ rj Zip: . Compan Phone I[) G D~S ~ (area code) FIREPLACE v~ ~ INSTALLER Stree ress: Ciry Stace: -fi2 / "Lip: Z 53~ Company: Phone GAS LINE (area code) INSTALLER Street Address:_ _ City State: Zip: i I hereby acknowledge that I have re .this application and state the info ation is conect and agree to ~ comply with all applicable State of innesot St utes an City f Eag Or ' ances. r S na re J'.,l f1 OFFICE USE ONLY BUILDING PERAfIT T]TE ? 16 Fireplace NVORI: T1'PE ? 31 New ? 33 Alterations ? 39 Gas Line ? 41 Wood Stove ? 32 Addition ? 34 Repair ? 40 Gas [nsert GENERAL INFOR.AtATION Census Code 434 SAC Code 01 RE11.4RKS Chimneq/tlue must be mspected before concealing. , I r PERMIT City of Eagan Permit Type:Building Permit Number:EA112092 Date Issued:07/29/2013 Permit Category:ePermit Site Address: 3930 Worchester Dr Lot:16 Block: 1 Addition: Hills Of Stonebridge PID:10-32990-01-160 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 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 - John H Sevlie 3930 Worchester Dr Eagan MN 55123 (651) 808-5482 Pella Northland 15300 25th Ave N #100 Plymouth MN 55447 (763) 355-1300 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA153078 Date Issued:11/19/2018 Permit Category:ePermit Site Address: 3930 Worchester Dr Lot:16 Block: 1 Addition: Hills Of Stonebridge PID:10-32990-01-160 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. 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 - Nikolas J Lewandowski 3930 Worchester Dr Eagan MN 55123 (612) 384-5136 Pronto Heating & Air Conditioning 7415 Cahill Rd Edina MN 55439 (952) 835-7777 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA163899 Date Issued:09/15/2020 Permit Category:ePermit Site Address: 3930 Worchester Dr Lot:16 Block: 1 Addition: Hills Of Stonebridge PID:10-32990-01-160 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Nikolas J Lewandowski 3930 Worchester Dr Eagan MN 55123 Minnesota Restoration Contractors Inc 12252 Nicollet Ave Burnsville MN 55337 (612) 280-4807 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA166486 Date Issued:01/13/2021 Permit Category:ePermit Site Address: 3930 Worchester Dr Lot:16 Block: 1 Addition: Hills Of Stonebridge PID:10-32990-01-160 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please leave printed pictures of house wrap on site for the final inspection. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. When a weather barrier is installed or 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 - Nikolas J & Emily B Lewandowski 3930 Worchester Dr Eagan MN 55123 (612) 387-6848 Minnesota Restoration Contractors Inc 12252 Nicollet Ave Burnsville MN 55337 (612) 280-4807 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA166982 Date Issued:02/17/2021 Permit Category:ePermit Site Address: 3930 Worchester Dr Lot:16 Block: 1 Addition: Hills Of Stonebridge PID:10-32990-01-160 Use: Description: Sub Type:Residential Work Type:Alteration Description:Basement Fixtures Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Nikolas J & Emily B Lewandowski 3930 Worchester Dr Eagan MN 55123 Applicant/Permitee: Signature Issued By: Signature