3931 Worchester Dr • . TZ+ i ~ . . . .
t , ~ CITY OF EAGAN • .~~0~3~'
` 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-6100
BUILDING PERMIT Receipt #
To be used lor SF DMG/GAH Est. Value $"r 000 Date 19-n-
SiteAddress 3432 VORCt:I;S:'Ei'. nh
OFFICE USE ONLY
Lot 1" Block ? Sec/Sub. R~3 F~s
Parcel No. ~u~y
Zoning PD
¢ Name R 3 I'! NOMEu (Actual) Const V-v Bidg. Permit 568.00
o Address SSlb 18CYP`t 5T i (Allowable) Y`-p Surcharge 42.00
City PRIOCt LAKE Phone 444-6900 M of 5tories 2$4W
Length 59, Plan Revfew •
aVame SAe~tC Dep?n 466 snc, ciry 100.00
Address S.F. Tolal SAc, MCwCC 575.00
~ City Phone S.F. Footprints - s~.~
On Site Sewage _ Water Conn
~ ~ W Name on Sne Weu 90.00
Water Meter
~ ~ AddrBSS MWCC System ~ 30.00
<W City Phone crtywater ~
PRV Required _ SNV Permit 20.00
I hereby acknowlege that I have read this application and state that the 8aosler PumP - SMr Surcharge 1•00
' intormation is correct and agree to compty with all applicable State of Z28
Minnesota Statutes and City;of Eagan Ortlitiances. 7reatment PI
Sgnature of Permitee ~~t~_•:' ~ APPROVALS Road UNt 32 5' UO
!i S kQt'4E5 Planner
A Building Permft is issued to: - Park Ded•
on the express condition that all worlc shall be done in accordance with all Co+ncil -
applicable State of Minnesota Statutes and City of Eagan Ordinances. g~. pry. _ Copies
' Vanance - TOTAL 2, ~ i 3 .:~V
Building Official
PWmN No. Pormit Holder Debe ToNphoot #
Y1/ATER
SEWER ~O ~I ~LUCG7LG ~ , / Y
PLUMBING
9509 3 9 7~
H.V.A.C. /c-2,~, 5 r 6~
r~ r
ELECTRIC
Nqp@ction 00te Msp. ' Oommwb
Foohngs I z ~S
Foundabon
Frammy ~
aoorng ;
Rau9h PIb9•
P"O H9-
Isul.
Fireptace
Final Htg.
Finel Plbg.
Conat. Meter Plbg. Inspector - Notity Plumber
Engr./Plan
B{dg. Final
Oeck Ftg.
Oedc Fnal ,
Well
Pr. Disp. .
K • ~ . PERMIT #
MECHANICAL PERMIT RECEIPT #
~ CITY OF EAGAN 42 777
3330 PILOT KNOB ROAD, EAGAN, MN 55122 DATE
~ CONTRACT PRICE: PHONE: 454-8100 For Office Use Only:
Site Address - 1 R HESTER DR. gLpa. TypE WORK DESCRIPTION
Lot Block Sec/Suib(ST-ONtf s• New
MutL t3(!K. VILLF HF A"7T ' Comm. Rdd-~n
Name ~
Address T" ' T c~ r.
Other
~ City ~AV G Phone ° -
FEES
Neme S'' RES. HVAC 0-100 M BTU - $24.00
Address ADDITIONAL 50 M BTU - 6•00
~ p City Phone ^ C NS RUCTIONj DES A/C ON NEW
40- 69 GAS OUTLETS (MINIMUM -1 PER PERMIT) - 1.50 EA. '
i TYPE OF WCRK . COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
I Forced Air M BTU 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
STATE SURCHARGE PER PERMIT - .50
Vent T CFM $ (ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Outlets N ~ BEYOND $1,000)
Other
FEE
SIGNATURE OF PERMITTEE
S/C: '
TOTAL: FOR: CITY OF EAGAN
r.
. PERMIT M
. ' ' PIUMBING PERMIT
CITY OF EAGAN RECEIPT p
3930 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: °
CONTRACT PRICE PHONE: I5I-8100 ~
A
Site Address ~ ~ ' ~ ' ~ • ' ' BLDG. TYPE WORK DESCRIPTION
Lot Block Sec/Sub Res. New
~
~ ~ ' • ~ Mult. Add-on
Name Comm. fiepair `
m -
Address ' ~ ' ` ' ' '9~ : Other
~
c Ciry -r4~'Q Phone RES. PL9G. ONLY - COMPLETE THE FOLLOWING:
FIXTURES TOTAL
Name -T-.Water Closet - $3.00
m ~ Bath Tubs - $3.00 ` 3 Address -.aL_Lavatory - $3.00 ~s p Ciry Phone ~ Shower - $3.00 :
~Kitchen Sink - $3.00
FEES Urinal/Bidet - $3.00
COMM/IND FEE - 1% OF CONTRACT FEE Z_Laundry Tray -$3.00 -r 'APT. BLDGS - COMM RATE APPUES J Floor Drains -$1.50
TOWNHOUSE 8 CONDO - RES. RATE APPLIES ~ Water Heater -$1 50
MINIMUM - RESIDENTIAL FEE - $12.00 Whirlpool - $3.00 '
MINIMUM - COMM/IND FEE -$20.00 =Gas Piping Outlets -$1.50 1 s
STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIT)
(ADO $.50 S/C IF PERMiT PRIQE GOES Softener -$5.00 :
BEYOND,$t, , ) ~ Well - $10.00 ~
Private Disp. - $10.00 ~
A Rough Openings - $1.50
SIGIQATURE OF PERMT TEE " FEE:
STATE S/C:
FOfi: CITY OF EAGAN GRAND TOTAL•
SEWEJA &-WATER PERMIT OFFICE USE ONLY
CITY OF EAGAN 1,12 G i fl 9
3830 PIIOt Kf10b Rd. PERMIT DAT ~0z
P.O. BOx 21199 1NATER PE MIT SEWER PERMIT 11387
76
7 B.P. RECEIPT # 906 "8
Eagan, MN 55121 METER #
READER At 6 B.P. RECEIPT DATE 1 i'' ~9
METER SIZE oc /C
ISSUE DATE PRV _ BOOSTER PUMP
SITE ADDRESS PERMIT REQUESTED
~ LOT _LL6LOCK d_"t.SEC/SUB Y
APPLICANT: ~ c v~EWER !WATER _ TAPS
ADDRESS: COMM/IND -`iaESIDENTIAL
CITY, STATE ZIP As_~3 ;li-
PHONE:, AAQ - ~Q _XNEW - EXISTING
~ PLUMB& LCLkZSicQ.'e-
ADDRESS: 2G ~ I AGRE O COMPLY WRH CfTY OF
CITY, STATE a Zip 55A'1 P~ EA pR=:.~ PF
iONE: `t C] Q.S. ~ 1)
n~
OWNER:
ADDRESS: TURE WH METER ISSU
CtTY, STATE ZIP
PHONE:
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMfTS, CONTACT
ENGINEERING DEPT.
. , ` ' _ ~ - ' _ _ i
SEWER b WATER PERIAIT OFFICE USE ONLY
CITY bF EAGAN PERMIT DATE
3830 PI IQ t K f 10 b R d. WATER PERMIT ~ !"11 - 4 SEWER PERMIT ~ 3' ~
~ P.O. BOX 21199 METER # B.P. RECEIPT 9%6 ~8
Eagan, MN 55121 READEFi # B.P. RECEIPT DATE t42UL9 ~
METER SIZE
ISSUE DATE - PRV _ BOOSTER PUMP
^
SITE ADDRESS 3 f 2~''~~ t. I n PERMIT RE~IUESTED
LOT ~2BLOCK _L SEC/SUB oL o t~ v~., c~1
~ P ~0 x
APPLICANT: EWER _WATER _ TAPS
ADDRESS: k. PAOMM/IND -L.~RESIDENTIAL
CITY, ST/Ft'E ~'(t 1.~• -L M ZIP ~ ~ S 1 a-
PHONE: _4NEW - EXiSTING
PLUMBEli: V4-<< t s'A<_
~ ADDRESS: GL`lLo`k 7~04t4 QAu t I AGREE TO COMPLY IyITH CITY OF
CITY, STATE ~ G- VIA Zip 5531 g ~qA~OROIl~F ~1CE$~
PHONE: Fo4 - -7 O
i'/1.t . i +
OWNER:
ADDRESS: SIGNATURE WHEN METER ISSUED
CITY, STATE ZIP
PHONE:
PLEASE ALLOW TWO WORKING DAYS FOR PFiOCESSING. FOR STORM SEWER PERMITS, CONTACT
ENGINEERING DEPT.
~
CITY OF EAGAN . 1.6067
~ - ~ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
• ' PHONE:454-8100
BUILbING PERMIT Receipt #
To be used tor 5F ~~~/GA$ Est. Value $$4.400 Date
Site Address 3931 iIORC}t$STER DR
LOt ! 6 BIOCk 2 Sec/Sub, STQHEBR7 drF OFFICE USE ONLY
ParCel NO. pcupancy R-3 H_-1 FEES
Zo,,;,,g PD
W Name 8& M H9Fik::+ lncwal? const vH sleg. Pe?mn 56Z. DU
~ Address 5516 180'TH ST E (Aiwwawe) Y-''~ surcnar9e l~2.
City Pk I OR lr1KE Phone 440-6900 # a siwres -
59 ' Plan Review Ze4.40
length
} r m@ S AI-Z pepw 46, SAC City 100000
~ Addf@SS S.F. Total - SAC. MCWCC ~7S • W
~ eIh?, ~ Phone L S.F. Footprinis - 550.00
~ X On SitO.Saw Water Cann
Name - • r ` ; • ~~,,~n,~,.~+a WeM~~ - water Meter 90.00
2= Address Mrvvc( system xx Acct oeposit 30.00
City Phone ciy wacer E~
PRV Require0 _ S/W Pertnit 20.013P
I hereby acknowlege that I have read this applicafion and state that Ihe Booster Pump - S/W S~rcharge 1. UO
inlormation is correct and agree ro corrlply with all applicable State of
, Minnesota Statutes and City,of Eagan OKfiAances. Treatrtient PI 2 28 • OQ
sgnawre ot Permitee APPROVALS aoad unit 325.00
' A Building Permit is issued to: M 'ic)•'193 Planrter - Park Ded
on the express condition that all work shall be done in accordance with all Council
applicable State of Minnesota Statutes and City o( Eagan Ordinanoes. gldg. pff. _ Copies
Building Olticial Variance - TOTAL 2• 813 . OC
. _ INSPECTI~N REC~RD ^ i ~~t~No.- _
CITY OF EAGAN PERMIT TYPE: s, E~'~
3830. PilOt Kr?ob Rp~d Permit Number. ~ 1! 14
Eaga~t, Miht~esota 55123 Da#s Issued: / x
(st~ s~i-as~ ~
SITE ADDRESS: f ; t ~ t,, ~ , APPl1CANT: ' ~
~w3t ~w~~a~ait-t~`c~ t?A ~n~r~r ~
~~~~.g ot ~t~~MFHtt[L~(i~ t~s~a°) +~ht-~~~~ ~
PERI~II~T ~SUBTYPE: TYPE OF WdRK: a~ ~
I
I i 1~.) I I II~ i! I E/t J1 t I
f
~ ~ I
! I
f _'Y' . ~ ~ nii j '$~"f?~~~ . ~'f~ ~ `~~j ~?~~~t'i`.~D' L;r,?c.~, ~ i..yi w t1~` i
~ 1~~ . ~ . ~ . e7 ' i-' - ~ _ : ~~t~ T~'' r!~i<ir~? t~.r ~ t'~ 1 '~r r.~~.
r~~•[ - i. ~ ~1 3~ ~~r-
~ c ~ ''.y ~ ~ ~ I. M1r~ ~Rf ir'~~1. ~,~-}~i i7~:~~~ 1~-' Zl- ~~i*~ {i Y`~4 ~~',r , ~~~Cl~~i~ ~4-4 T.~ i ~ .
1`~t-'~r!_y .-i~`.~, .r~ +t~~{- ,y ~t i ~~~,~_r~ {~~ri~ ~ Y~ - 'f_~1 ykr._ 3-,~~'~t~~~1-•;~ r ~ ~:~~+y1'~~. t F ~~#t
_~L~Y~1`~~.~Q.t:a~~-fif"'~~~~~I~EL~r.t 1i,r_~f+_C=~'~~~isr-` t,:~[~ ~r_.tf+~_~:~'-~-T~~y~~ii4i'w~~'`~'_ ~J~"i~~~4'i~~~.~~
. i
PrrnNt Ils. hnnlt Holdw O~M AiNph~w A I
,
SJV?1 ~
MuMginG ~
~
Hvac I
I
ELECMC I
erccTm
kopm+m
F,,,*,o., I
~
~
~ i
~
wr. _
Arwa F#~. .
Chnnt Tisl
~
~ 14~1 Pbp. Pba. trpolor-sbMy Pftwibw I
,
I ConM. MMMr i
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Oft FVW ~
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. . , , ~.~~R ~ ` . ..e~ . . . -.av: : . . . . ~
~ ! •
` fgtr#i#iratr uf (Orrupanry
titp of Cagan
spprtpiPttl Of gliawo 3wPmQtl
This Certificate issued pursuant to the requiremenls of Section 306 of the Uniforrn Building
Code certifying tlrat at 1he time of rssuance tJris strncture was in conrpliance wilh the various
ordinances of the City regulating building construction or use. For 11te followrng.•
v.e ca.sirimtion SF M/CAR ft. Perm;t Na. 16067
' o,a,,,P,cy TAX R3/M1 Zoning Dwma PD Type Cook VN
0.,., of Bwdm R41 HQW ,,dden 5516 1801H ST E, PRIOR TAE
~ eudai nmm 3931 410RCHE5'IER Il[tIVE ~~..16, S2, HIILS OF SKNMID(£
•v AP[ZIL 27. 1989 I
POST IN A CONSPICUOUS PLACE
~ ~ ~
ClTY OF EAGAN N~ 16067
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ,a
PHONE:454-8100 ~jll~ Q U
BUILDING PERMIT aeceipt # / Vq ? 0
Tobeusedfor SF DWG/GAR EscValue $84,000 Date ~ v a~ , 191
Site Address 3931 WORCHESTER DR
LOt 16 BIOCk Z S2GSUb. STf7NF.RRT?(F OFFICE USE ONLY
Parcel No. oauPancy R-3 M=1 FEES
Zoning PD
w Name R S M HOMES (qctuapCOnst V-N Bldg Permd 568.00
3 Address 5516 180TH ST E (Allowable) V-N
Surcharge 42.00
0 City PRIOR LAKE phone 440-6900 d of stories
Lengih 59' PlanRevlew z84.00
ame S MF Depih 46' snG ary 100.00
ga Address SF.TOtal - SAC,MCWCC 575.00
~ City Phone sF Footpdnis -
On Site Sewage _ Wa1er Conn 550.00
ww Name On Sle Well Water m7eter 90.00
z- z AddreSS rnwCC System 7(7(
o~ Acct Deposn 30.00
aw Cdy Phone c'tywale` XX_
20.00
PRV Required _ SiW Permit
I hereby acknowlege that I have ead ihis applica[ion and state that the eooster Pump - SIW Surcharge 1.00
intortnahon is correct and a r o co , Qtf wi 4 all apphcable State of
Minnesota Statutes and Crt f gan (an ; Treatment PI 228.00
Signature ol Permitee APPROVALS Road Unit 325.00
A Building Permn is i ued to: R S M HOMES Planner - park Ded.
on Ihe ezpress condition that all work shall be aone in accordance wRh all Council -
applicable State ot Minnesota Statute5 and City of Eagan OrdinanCes. Bld9Olf _ CoOies
2 813.00
BmldingOffiCial! ~I ~ Vanance - TOTAL ,
,~/~o/8"Y 7i~~r tl
N 99073/,i~ ~7-2 G.o
Re~vist DatB ~ ' Flre N. Rou 'in Inspeciwn
G qgy ~~9 ? ReaEy Now 4=0 bly Inspector
3- p Y. ? M.
Reatly7
I p licensed contractor ? owner hereby request inspection of above electrical work at:
Jab Ftltlress (Street, 0ox or Roule NoJ Qry
39 3 ) " G 'r,
Seclion N. Township Name or No Tge No. Counry
G
Occ'upant IPRINn , / Phone No.
S
~ 6 M',!t 5
PowerSupplier AOOress
/,7 kof~ h-,« 7"
Elxtncal C~omracmr (COmpany Nem~a) / Comra r5 Ucense No.
/y . t . ~ c ~r t G ~~c • ~i ~~l ~S_3
Ma~4ng AtlEress ~Conlractor or Owner Meking Insteilation)
G
Auliwnxed ~ignaWre (fqriVectOr/)wner Making Instailation) PMne Nu ~er
"0-46- 3 ~
MINNESOTA STATE BOARD OF ELECTHICIiY THIS INSPEGTION REOUEST WILL NOT
Gdggo-Midway Bldg. - floom S1l3 BE ACCEPTED BY THE STATE BOARD
1021 Univemiry Ava., SL Vaul, MN 55104 UNLE55 PROPER INSPECTION FEE IS
Phone (612) 6C2-WOD ENCLOSED.
(3/,-
~20/89 REQUEST FOR ELECTRICAL INSPECTION ~
? See instructions (or complelmg Ihis form on back oi yellow copy
9-' 9 9073 "X" Below Work Covered by This Request
ewAdd Rep. TypeofBwlding AppliancesWired EquipmentWued
Home Range Temporary Service
Duplex Wa[er Heater Electnc Heating
Apt. Building Dryer Other (Speciry)
Comm./Industrial Fumace
Farm ' Air Contlitioner
Other (speciy) Convamor~ RemaBS.
Coinpute Inspection Fee Below:
# Other Fee # ServiceEntrance5ize Fee # Qrouits/Feeders Fee
Swimming Pool 0 to 200 Amps ~ 0 to 100 Amps
Transtormers Above 200 _ Amps Above 700 _ Amps
Signs Inspecmrs Usa onlyy TOTAL
Irrigation Booms 77 !~-o
Special Inspection
Alarm/Communication f
Other Fee S(:
I, Ihe Elechical Inspector, hereby ROfgh"" ~ oa
certify that the above inspection has Fnal ~ Dat ~
been made. ~ ~O `
OFFICE USE ONLY
This request void 18 monihs from
~~ca':.7~rY 7
L5 05029 L/~ Z.~ • ~ oa
Fequest Dete ' Fire No. RougRin Inspectio
Reqwretl4 ? Ready Naw ~(WJI Notiry Inspeciw
Ves ? No ~ ~ ~'~+en Reatly?
I~-iicensed contractor p owner hereby request mspechon of above electrical work at
Job Atltlress (Slreet, Box or Raute N4.) G"y
$~v:lwn No. Townstiip Name or No qange No. Cou
I ~
C~
OccuPant.( IN(T1 Phana No.
. d .
Power $u Irer Address l' . L'~-- rn~~
Eleclnca Cqmracror (Compeny Namey CpnvaG( Ucense No.
~
Mallrtg Adtlr ss (COntredor or O.mer Meking Instellation) Q
7o7S 3 - v 14 . M.
Authon Signature (Con~mct / ner Malmg I sl Ilahon) Plione Numb¢r
'3C ~
~
MINNESOTq STATE BOAflD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
GHggsMlGway Bldg. - Noom St]3 BE ACCEPTED BV THE STFTE BOARD
1821 Unlvcrsity Ava., Sl Poul, MN 5510d UNLESS PflOPER INSPECTION FEE IS
Paone(612) 612-0800 ENCLOSED
REQUEST FOR ELECTRICAL INSPECTION M ea-o0am-07
? See instmdnns lor wmpleling this brm on back ol yellow rqpy 90 /f
~'n 8 2 g "X" Below Work Covered by This Request
e Add Rep. TypeolBuilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater ElecVic Heating
Apt Bwlding Dryer Other (Specity)
Comm./Industrial Fumace
Farm Air Conditioner
Other (speory) ConVactor5 Remarks:
Compute Inspection Fee Below:
# Other Fee # ServiceEntranceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 ~0 200 Amps /Z - 0 to 100 Amps
Transtormers Above 200 _ Amps A _ Amps
SignS Inspoqor9 Usc Onty. TOTAL
Irrigation Booms b
Special Inspection
Alarm/CommunicaUOn
Other Fee ,S$
I, the Electrical Inspector, hereby oa~e
certify that the above inspection has Feal
been made.
OFFICE USE ONLV '
This requesl wie 18 manlhs from
PERMIT # RECEIPT DATE:
~ EOOE RES1D£NTIAL PLUM$INfi ~ERMIT APPLICATION
cnY og KAs"
3830 Pu.oT KPOe RD D
$net,x, IIf~P 5518E APR 3 0 ZOOZ
e51-e81-4e75
Please complete for. single family dwellings, townhomes and condas when permils are required for ea
backflow preventer for irrigation system
SITEADDRESS: 2991 &-FC-S7E7'-L~ /JR,
OWNER NAME: TELEPHONE
(AREA CODE)
INSTALLER NAME: N • 0 ~ cS0/JL~L-/ ~~G TELEPHONE 71Zl -7CBO
' (AREA CODE)
STREET ADDRESS: S •
cirr: /YJiNN~ A~a<-/s STATE: 1221-1 ziP: ~h S~FD 7
_ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00
includes $40.00 County fee
Note: Additional consuftant fees may apply
• MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING:
_ Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00
_ Abandonment oT septic syslem.
_ Water tumaround - existing dwelling unit 516" meter if needed -$118)
Other:
_ RPZ: new installation/repair/rebuild $ 30.00
_ lawn irrigation system
ReplacemBnUadditional: _ watersoftener ~waterheater $ 15.00
State Surcharge $ .50
rotal S /5 5U
I herebyacknowledge that I have read this application, slate that the information is covect, &ae mpywitalappl ica I Cityof Eagan oidinances. It
is the applicanfs responsibilily to noUfy the property owner that ihe City of Eagan assumes ny~ges cau by the City during its normal
operetional and maintenance aclivities to the facilities constructed under this permit wiMigh wayleas ent.
' - aG-U7
SIGNATURE OF PERMITTEE 1/02
. :
. ~1989 BIIILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS 1 CQ O(.,, ri
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRFSSFS FOR CORNER LOTS - CONTRACTOA/HOMEOWNER MOST DESIGN9TE IiHICH ADDRFSS
IS DFSIRED. NO CHANGES WILL BE ALLOWED ONCE BDZLDING PERMIT IS ISSOED.
MIILTIPLE DWELLINGS BENTAL ONITS FOR SALE ONITS # OF ONITS
INCLUDE 2 SETS OF PLANS9 CERTIFICATE OF SIIRVEY - CHECS WITH BLDG. DEPT., 1 SET OF ENERGY
CALCULATIONS
CONIIMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
To Be Used For: Valuation: ~y60 b Date:
Site Address OFFICE USE ONLY
Lot Bloek a Occupaney 2'~/`~/- / FEES
Zoning =
Parcel/Sub Vk'A5 ~ S~d ~~~~«.Aetual Const VN Bldg. Permit S6~
n t-4 Allowable VN Surcharge _~yz
Owner # of stories Plan Review 2d5'
Length S 9 SAC, City 70
Address Depth e/10.37 SAC, MWCC S93-
S.F. Total Water Conn S S'2
City/Zip Code Footprint S.F. Water Meter 4G
Aect. Deposit 30
Phone '`0~00 On site sewage_ S/W Permit 20
On site well 5/W Surcharge /
Contractor -'5A V`^.~ MWCC System t/ Treatment P1. 2 Z
City water ? Road Unit 3z 5
Address PRV required _ Park Ded.
Booster Pump _ Copies
City/Zip Code TOT~ 15.00
APPROPALS
Phone Planner _
Council i
Mch./Engr. Bldg. Off. G 1 1~1$
Varianee
Address Council
City/Zip Code
Phone 0
NOTE: Sexer & Water Permit fees and account deposit fees xill be ineluded in the building
permit fee. Processing time for seWer and water permits is two days once a licenaed
plumber has applied for a permit at City Hall.
Nle- rn. . .
3 C~ -F Z` ` 9 3~ r •
zSf,G~,~.4 5 = Y3 ~>s ^ . .
.
J~~' /6 = sd '
lo~ IZ 9 Z
/ Z )3
6, a~
z ZX zo = 5'yo
~ Z,4-aS, 3 = 303
(akS = ?D
923 .lly = ~~f Zz
~owe~
7 G !!'fS ~ s yo
l 604-
/3 = g 3 0~
~
~ ~ ~d~
~
~
EXTG(t20it F.NVG[API: AVliltAGE "U" C0741'U7'ATIO7
' (WIJER
st•re ADDItLSS 3~~1 ~t"~. ~ v~.• -
~ CONTILICTOIt -e S M 40E 5 10C- _
DATE PIIONE qv) -(O l6V
' Detecmine vorking square footoqc oC cach.
1. Total exposed wall arca /jr98.0 ~q• ft. x
2. Total roof.ceilinq arca /)0 IJ-O sq. ft. x •025
1~.
Total exposed wall area above flooc
• a. Total wall windov area /01 B•y
b. Total door area ~/o•g
c. Total slidinq glass door'arca 3f. 2
d. Total Cireplace wall area O
e. Total wall Eraming area (average lOt)
f. Total net wall area above floor 13 z 8•$
g. Total rim joist area II Z.o ,
Total exposed foundation arca = 134•° ~
h. Total foundation vindov area O
i. Total neC foundation area above gradc 89.0
Determine "U" value of cach wall seqment.
a. I~B.y x ..U..
n. Yo.B X ..U„ o7o _ 3•r
C. 31. a x..U. , sS = 17•z
a. d x^u~ ~ o = o
e. X..U.. 20. 2
x ..U,.
.
,,._1~2•0 ..Ll° . oy~ _ s•3
• -.-.0•----- . 0. . ' . ~
- 89•0 .083 -7- y
. ' 1 ............._...Tocal 179.(Q--
IC itmn MJ i, thc samc as, oc less thari item kl, you hovc met chw intuni
o[ suc 6006(c)2. -j 3 ~74. G $4-w -A I (18&•8)
. `44L+?4 ~ SQL 00 (i ~c.) ZTotal exposed rooE/cciliny acea = IIO 4. 0__
j. T4ta1 skylight area O
k.' Total roof/ceilinq Eraminy icaa (avcro(jc lU'l.) 110 •Y .
3.S[_
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" i. ~93.x ..U.. o~i = ~0•8
4 . ......Total = ~ ~i
If total oE 64 is the same as, or Less than 02, you have met ttic intent of
SBC 6006 (01. .9,(w., CL S• C., 9'Qi'`~ ~ 2 (2 7' li) „"''f %{i4 'e~w'9&4
~ ftSa (.oov ~~1. -
Alte[nate Building Envelope Ocsign '
To utLlize the total envelope system method, clic valucs ~~seablish•:d by thc
sum of items A3 and 44 shall not bc gzeatcr than ttie sum o: items 9.1 and e2.
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SURVEY FOR: F.. S. A!. Ilomes, Inc.
DESCRIBED AS: Lot 16, Block 2, HILLS OF STONEDRIDGF., City of Eagan, Ilakota Cotmty,
Dlinnesota and reserving easements of record.
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c.B. REVIEWED 893~
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sa lo? ~ t 9.
TOD Of fOUndOf10n • 89'I.6
Oarope Floor . e 41 'i N 8tiK 2 , Qona
8memsnf Floor : 6944- Tws 419.d1 1u4,- 11119.16
Approw. Sewer Sxvla ENv.. MIN. SETB0.CK REOIREMENTS
Proposod Eterolions ~ Q
Exi~tinp Elevallons ~ Fronf - 30 Mawe BIAe -1o
Drolnope Dlreetlons t...... Reor - iS Oorepe Qide- 5
Dsootes Oflset Stoke ~ p BCAIE: ! Inch . 30 Fsst ,
s n.ner eenry rom~na..w"r. vbn x r•oe.t .es x.var.e w T. JOB NO.:
/~EDLUND e.,~.. m,.a.t, .~.h,m ~,hat , am a~l. R.a.l...a g9a_?
Land lurwpa vnMr Ilie krs sf 1M ltale of Mlneuola.
OOOIf:
P/snning Eng/ngsdng Sumeylng ~ 3*
no~ un reew~a+rw.. rwr.a. e~ne
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lW41H 42
~ - ' PERMIT ~ C°nt ° 1035
CITY OF EAGAN
~ Pilot Knob Road PERMIT TYPE: B U I L D I N G
3830
Eagan, Minnesota 55123 Permit Number: 0 01413
(612) 681-4675 Date Issued: 0 9/ 0 9/ 9 2
SITE ADDRESS:
3931 WORCHESTER OR
LOT: 16 BLOCK: 2
HILIS OF STONEBRIDGE
DESCRIPTION:
'Building Permit Type DECK
Building Work Type NEW
UBC Occupancy R-3
Building Length 24
Building Width ~ 14
- , ~~',J~ A"/ . A • ~.':i! . -
REMARKS:
FEE SUMMARY:
Base Fee $25.00 COPY $.50
Surcharge $.50 Total Fee $26.00
Subtotal $25.50
CONTRACTOR: - Applicant - sT. LI OWNER:
SABR CONST 18913024 000515 BAKER JEFF
7319 UPPER 146TH 3931 WORCHESTER DR
APPLE VALLEY MN 55124 EAGAN MN
(612) 891-3024 (612)687-9951
I hereby acknowledge Chat 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.
~ -
~~'/~~%~~C?~~~... ~n~,r~ rL r,ll ]rtlf
APPLICANT/PERMITEE SIG ATU E (IS UED Y IGNAT RE
INSPECTION RECORD ~ C°"t 1035
CITYOFEAGAN PERMITTYPE: aurLoiNs
3830 Pilot Knob Road Permit Number: 001413
Eagan, Minnesota 55123 Date Issued: 0 9/ 0 9/ 9 2
(612) 681-4675
SITE ADDRESS: Lo T: 15 B L 0 C K: 2 APPLICANT:
3931 WORCHESTER DR SABA CONST
HILLS OF STONEBRIDGE (612) 891-3024
PERMIT SUBTYPE: TYPE OF WORK:
DECK NEW
INSPECTION . .A
FOOTING FINAL
F
L
-
PERMIT k~ CITY OF EAGAN Cb•
a.EaC7IVaTE _ 1992 BUILDING PERMIT APPLICATION
681-4675
SINGLE 6 MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural 6 structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies when typing of permit is requested, but not picked up by last working day
of month in Nhich re uest is made or lot chan e is re uested once ermit is issued.
Date Z/ G _ Valuation of work _v~~~•OG
Site Address: -W31 ~/pre,*ST-~r v,c
,STREET SUITE K
Tenant Name: (commercial only)
LOT BIACR ~ SUSD. & F.I.D. *
Descri tion of work:
The applicant is: O Owner 11 Contractor O Other (Describe)
Name _231f J-~ Phone ~o ?7-995/
Property LASr FIRST
Owner Aaare55 _ 3 9 3 v-e
STREET STE /
City State Zip
Company Co S Phone
Contractor Address _;73P_~ -P-'License # 5/.57 Exp.
,
City 14. V, State /N Zip
ArchltecU Company Phone
Eng(neer Name Registration M
Address
City State Z;p
Sewer 8 water licensed plumber Processing time for
sewer 3 water permits is two days once area has een approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
~
OFFICE USE ONLY
BUILDING PERMIT TYPE ? ~ ~
O 01 Foundation ? 06 Duplex ? 11 Apt./Ladging ~*ff'IfrBatement Finish
rJ 02 SF Dwg. ? 01 4-Plex ? 12 Multi. Misc. O 17 Swim Pool
O 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory O 18 Comm./Ind.
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc.
? 05 SF Misc. ? 10 Multi. Add'1. (2~1 5 DecC> O 20 Public Facility
O 21 Miscellaneous
WORK TYPE
3~~1 N~ O 33 Alterations ? 35 Tenant Finish ? 37 Demolish
32 Addition O 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MWCC System
(Allowable) lst F1. sq. ft. City Nater
UBC Occupancy 2nd Fl.'sq. ft. PRV Required
Zoniny Sq. Ft. total Booster PumP
N of Stories Footprint Sq..ft. Fire Sprinkler ~
Length ~ On-site well Census Code
Depth 1 On-site sewage SAC Code
APPROVALS
Plannircg Building Assessments
Engineering Yariance
REGIUIRED INSPECTIONS
O Site E~.Footing ? Framing ? Insulation
? Nallboard ~ Final O Draintile ? Fireplace
Permit Fee 04 Yalmtim: f
Surcharge ~
Plan Review ~
License
MWCC SAC
Ctty SAC
liater Conn.
Nater Meter .
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded. .
Trails Oed.
CoPies
Other
Total:
SAC %
SAC Units
- . ,
sur~ve~or"s eertilicate
SURVEY FOR: R. S. M. tiomes, Inc.
DESCRIBED AS: Lot 16, Block 2, HILIS OF S'InNEBRIDGE, City of Eagan, 1okota Coimty,
Minnesota and reserving easements of record.
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~.8• REVIEWED 2 ~
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PROPOSED ELEVAtIONS' BENCHMARK-
N San. M,M. ' lo~- L,~e t k t
ToD of FounOOtlon ¦ b9'1•v
Ooro e Floor ¦ 2,
Bafement floor : 8144- 9'w.94 iue.. sa~.sr.
Approt. Sowet Serrlel ENv.. MIN. SETBACK REOIREMENTS
Oropop0 Elerotlona ~ O .
ERosllna Elevoliom ~ frenf - 30 Neuse 61Ae -1o
Orolnap• Dlretllons 1..,,.? Reer - i5 Oofeae $1" ' S
WnofII Ottser Stoke ~ O 8CALE: ! lneb • 30 foot ,
I Mnly terpry Mst fM~ wrv". phn M ryerl wa proMrN Mr wa .10! NO.t
/~IEDLUND K A, ak.c, .~.u~ ~ ,h.r I .m . MN.~... 69R-.
Une lurvo/a unMw IM Nwn N 1M MIsN M MlnnnoH.
~OOK:
P/ennlnp Englnesdnp Sumsylny
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RESIDENT OWNER
Name: C. L� i Phone: �I I Citc('�(�f
1
Address City Zip:r i I V•- )e \`tt 7 lam'
CONTRACTOR
Name: BU RNSVI e E HEATING Ail, lif License #.l.(1 I A t 1
Address: 3451 W. Burnsville Parkway
Suite 120
City: gjngvi1IP., MN 55337 State: Zip:
��rr
Phone: �'1S? c (L-1 CO c-- Contact Person: 0-
TYPE OF WORK
New Replacement Additional Alteration Demolition
Description of work: Li N, *t_U. 'J tC t f t. L.2 1 ,ti d
j
NOTE: Both roof mounted and ground mounted mec)anicat equipment is required to
be screened by City Code. Please contact the Mechanical Inspector or one of the
Planners for information on permitted screening methods.
PERMIT TYPE
RESIDENTIAL
X Furnace
COMMERCIAL
New Construction Interior Improvement
Install Piping Processed
Air Conditioner
Air Exchanger
Gas Exterior HVAC Unit
Heat Pump
Under Above ground Tank Install Remove)
X Other 1t 1 LI
When installing /removing tank(s), call for inspection by Fire
Marshal and Plumbing Inspector
RESIDENTIAL FEES:
$50.50 Minimum Add
or alteration to an existing unit (includes $.50 State Surcharge)
out appliances, ductwork, etc.) (includes $.50 State Surcharge)
TOTAL FEE
$90.50 Fire repair (replace burned
COMMERCIAL FEES:
$70.50 Underground tank
$50.50 Minimum (includes
installation /removal OR
State Surcharge)
surcharge is $.50.
increases by $.50 for each
$2,000 Permit Fee requires a $1.00 surcharge).
Contract Value x 1%
Permit Fee
If Permit Fee is Tess than $1,000,
State Surcharge
If Permit Fee is $1,000, surcharge
$1,000 Permit Fee (i.e. a $1,001-
TOTAL FEE
City otEaRan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5675
Fax: (651) 675 -5694
2009 MECHANICAL PERMIT APPLICATION
Date: AC C C t Site Address: 3 '1 U_?C IyC 3k
Tenant: 1 �C
I h ereby 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 Gc �tc� 1(
Applicant's Printed Name
x
A
Applicant's Signature
For Office Use
Permit
Permit Fee:
Date Received:
Staff:
Suite
l
Reviewed B y: Date:
Required Inspections: Under Ground Rough In Air Test Gas Service Test In -flo Heat Final
Exterior HVAC Screening Inspection
FOR OFFICE USE
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For Office Use 0
,%.% tii •• ,,..-,
Permit*
. _. _4_
I
%„,.... .... 0
Permit Fee: ./..7 1
....----t- REC-PIrs ' i
1,
Date Received: (4, —/"( • Is' I
3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810 0 I
(651)675-56751 TDD (651)454-8535f FAX (651)675-5694 JUN 14 e'old Staff: , I
buildinoinspectionsacitvofeacan.com LI 1
4-
2018 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 06/14/2018 Site Address: 3931 Worchester Dr
unit#:
Name" Douglas 84 Linda CcIrPman Phone: 319-461-4027
.
Address I City I Zip:
3931 Worchester Dr, Eagan 55123
if& \
i -
Applicant is: _ Owner X Contractor
Description of work: Bathroom Remodel
Construction Cost 7000 Multi-Family Building:(Yes____/No X )
Great Lakes Window 84Siding
Company: Contact Derek
Address: 14690 Galaxie Ave City: Apple Valley
State:. Zip:MN Phone:
55124 952-891-3400 Email: dereic.glwsco@grnail corT1
.
License#: BC060427 Lead cettmcate It: NAT-23297-2
If the project is exempt from lead certification,please explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes,date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor Phone:
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 wwwcityofeaaan.comIsubscribe.
Exterior work authorized by a building permit Issued in accordance with the Minnesota State Building Cede meet be completed within 180
days of permit issuance.
CAL BEFORE YOU DIM Ceti Gopher state One Cali at(651)454-0002 for protection against underground utility damage. Call 48 hours before you I
intend to dig to receive locates of underground utilities. wwwsioolierstateonecall I
I hereby acknowledge that this information iscompleteand accurate;that the work.°11will be in conformance with the i
Eagan;that I understand this is not a but only an application for a permit and work is ni,. -rt I. out.t't npearicrmeit athixiatc°t4:38wootfttr*wilicli:bY inofi
accordance with the approved plan in the rework which requires a review and approval of pia .
)(Derek Brouillet
x .1
Applicant's Printed Name Applicant's S
or
I
DO NOT WRITE BELOW THIS LINE / �QO/
SUB TYPES 3 . . ( o hc-- ---k - Lit _
_ Foundation _ Fireplace Porch(3-Season) _ Exterior Alteration(Single Family)
( 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
—( 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 �� 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 Suppression Required
Type of Construction Width
REQUIRED INSPECTIONS
_ Footings (New Building) Meter Size:
T Footings(Deck) Final/C.O. Required
Footings (Addition) )f Final/No C.O. Required
Foundation Foundation Before Backfill r HVAC_Gas Service Test Gas Line Air Test
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
1... 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: I , Building Inspector
RESIDENTIAL FEES
Base FeeVrc II
Surcharge
,i54,,.„
Plan Review
MCES SACvtcf Q
City SAC
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
Copies e0 j 1 /} ,� 2(069
°TOTAL V IJ
(4, Page 2 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA150963
Date Issued:08/01/2018
Permit Category:ePermit
Site Address: 3931 Worchester Dr
Lot:16 Block: 2 Addition: Hills Of Stonebridge
PID:10-32990-02-160
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description: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 -
Douglas P Corpman
3931 Worchester Dr
Eagan MN 55123--165
(651) 274-6547
Cities 1 Plumbing & Heating
787 Hubbard Ave
St. Paul MN 55104
(651) 274-6547
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA163431
Date Issued:09/01/2020
Permit Category:ePermit
Site Address: 3931 Worchester Dr
Lot:16 Block: 2 Addition: Hills Of Stonebridge
PID:10-32990-02-160
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 -
Douglas P Corpman
3931 Worchester Dr
Eagan MN 55123--165
Minnesota Restoration Contractors Inc
12252 Nicollet Ave
Burnsville MN 55337
(612) 280-4807
Applicant/Permitee: Signature Issued By: Signature