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3939 Worchester Dr IN5PECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot KnOb Road Permit Number: w4 7:s Eagan, Minnesota 55122-1897 Oate Issued: (612) 681-4675 - „ SITE ADDRESS: ` iO t: k' , APPLICANT: Ir,rNr-,i ra nR ~.r~ ruNr;r, r:aV i PERMIT SUBTYPE: TYPE OF WORK: r r;: f l I hd 1'~ I I 1! I il ! I I I ~•I D. ON 1 YPE D• ~~~~~,It ?h~ ! i f;i~ t INlil " ~ J Pe?mk No. Pertnk Holder Dab Telephone t ELECTFiIC PLUMBING / HVAC InspecUon Dm Insp. CannNnts FOOTINGS I FOUND I FRAMING I ROOFING I ROUGH PLUMBING I PLBG I AIR TEST ROUGH I HEATING GASS TEST VC INSUL GYP 80ARD FIREPLACE FIREPLACE I AIR TEST I FINAL PLBG FINAL HTG ORSAT TEST BLD(i FINAL I BSMT R.I. I BSMT fINAL I I DECK FT(3 I DECK FlNAL I I I I I J ~ IN5PECTION RECORD ~ CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: ~ Eagan, Minnesota 55122-1897 Date Issued: c; ; d, r, (612) 681-4675 SITE ADDRESS: APPLICANT• ~ ~z~ ? ' PERMIT SUBTYPE: TYPE OF WORK: r~ i • DATE INSPTR INSPECTION TYPE D• . I . ~ L~ J J Pertnk No. Pwmk HokN? Dsft TelsphoM 0 ELECTRIC PLUMBIN(3 HVAC rup"-tlon DsM h"p. Camrtwa FOOTINC3S FOUND FRAMING F100FIN(a ROUGH PLUMBING PLBC AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD RREPLACE FlREPLACE AIR TEST FINAL PLBG FlWI1L FiT(3 , ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL . DECK FTG DECK FlNAL G ~ ~ INSPECTION RECORD ~ C°"tr°' ' C1TY OF EAGAN PERMIT TYPE: "It«x'm 3930 PilC3t Knab Road Permn Number: *03VIUS Eagan, Minnegota 55123 pe#s Issued: (612) 681-4876 SITE ADDRESS: 10t: 001~, 604PPLtCANT. .4a iit utiF f 14f rit.tr l,rt PhA 1!~-14 M,krfi 4 tlFVtt. f-oNRf? tiTl ~ ~ r1f' °s~AME MRtI?f~i {'F~Y: j~ °tah~iA PERIIRIT SUBTYPE: TYPE OF WOHK: , s j,otl Mf u iff , r~ eti ~ 1 Mi, i fa A+1 r 1~I~i j {N4-11( of;i,+i t tfi1Al ~ 4 { At f ~ I i','KANf'. Pfa? CF'1 It a.~ c~Ft~?4kAr ficp ltIN ?ltiitil f'1Ff1t i , ~ . 7 : [:~f"J L rr" ~ . -L . y ~+,j~ 1~..-~~ 1 ~lw~ - ~ ? ~ r~. _~*f s"{ iy^;e"yIL~~ry~i~"~r~~"~~# ~ d~~ ~'~r"' r li~-L ~ ~ u i~~'~,~f,•Lr' ~!1,..~.,~w• f ii - ~•J 1 rl: r~`-'~ - ,e ~ ~ . ~i~`li ~ - 4 _ 'w.;+ yi!~ ' S'I " rT,j.+, 'y I u~~~i~~.'~..~-~~6,4-;`~• `j~-z:i- .~•„'t~5'~`r~i~ -~'r '.f~'.- ~4~~.•~pRri._`~_!'"..i t_ _ 4=~"~±'[:~._~ J _..t~'5~3#+e~i1 ; i_ 4iA`~, Z _ _ _ _ ~ ~ •r5 - l. PMlll~ N6. PyflllK Ibkf L1m 7eftphOIM 0 ww PLI.IM$INC3 HyAc a( rzoi , ECI'AIC EL ~ r, r ~ • , ~4~? f';~'~ EUBCTM - ~ oaft InmP' Caommm I ' FOO»' (J/~v Qz ~ ' I I j F„xftm FfWft I ~ FkxO Pft I oMOT" r i pdw pt)% Pb% limpec" -NonY pkwd•? i C41ot Mo" osa p} we~ ~ . Pr. aiw. I ~ L2" c ( ~ i , ~ ? a ~s a~emlicate of CccuPanc4 WU4 of cFagatt ~c~r~cKt of ~a~t~i~g ~»~pati~ r This Certificate issued pursuant to the requirements of rlet Uniform Buildiag Code cerrifying that at the time of issuance this stnrcture was in compliance with the various , ardinances of'the City regulafing bullrling constntction or sse. For the following: SF I7WG 1850 use ciassifiat;oo: sW Pbrniii rb. oauw-r TY~ ftfficl LAKLSR j/qg Qwncr of Building ' Addren I L, , HIIM WSIalmiLID[,E 7*77- t,~i~y - ~ 03/22/93 oue: Bnildin60 rwial POST IN A CONSPICUOUS PLACE Address 3939 woRCHEsrEt D?uve Zip 55121_ Lot IS Blk 2 Sub _Kaj,s oF sinrrFSxmm THESE ITEMS WERE / WERE NOT COMPLETE AT THE T E OF THE FINAL IIVSPECTION. Date: 03/22/93 Yes No Inspector. Final grade (6" from siding) Permanent steps (garage) Permanent s[eps (main entry) Permanent driveway Permanent gas Sod/Seeded grass ~ TraiUcurb damage Porch Basement finish Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shut-ofF of water supply to " the outside lawn faucet before freeze potential exisis. Contact engineering division at 681-4645 before working in rightof-way or installing underground sprinkler system. White - City Copy Yellow - Resident Copy Pink - Contractor Capy ~ e: ~a ~i /'s9 s v6 R b @@@t te Fire No Rou hdn lirspeclion qmretl I eceon Omer Tlwn Rwgh-0n (VOU u call Inspe or when reatly) ~ Reatly Now ~ Will Notity Inspeaor ~ Yes ? N. pale Reatl I? hcensed contractor 0owner hereby request inspechon of above electrical work at: Job Atltlress (Sheel, Box or Route No ) Gty ~ S C`i SecL'on No Township Name or No Range Na, County \ Occupa^t (PRINT) P No ~i a-\b~ Power S ppher Atlaress ElMncal ConVaclor( ompany a e) ConVacbr'S 4canse No. Mali~g Atlaress (Co actor or Owner Making Ifrslalialion) Amhonzotl S9naWre COni or/Own Makng Insmllation) Phon Number ~a - MINNESOTA STATE OARD OF LECTPICITY THIS INSPECTION REOUEST WILL NOT Gdggs-Mltlway Bltlg. : Room 5128 II II I I I I I I I I II BE ACCEPTEO BY THE STATE BOARD 1821 Unlvera Wlty Ava., St. Paul, MN 55100 UNLESS PROPEfl INSPECTION FEE IS Phone (612) 2-0900 ENCLOSED. REOUEST FOR ELECTRICAL INSPECTION E&00001 09 See instmnions Ior complenng this lorm on back ol yellow copy ~3 t "X" Below Work,~red by This Request Ne Add Rep. Type of Building Appliances Wired Equipment Wired >CQ Home Range Temporary Service Duplez Water Heater Electnc Heating Apt. Building Dryer Load Management Comm./Industnal Furnace Other Specify) Farm Air Condihoner Olher ispecily) Comrzclor's Remarks: Campufe Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200_Amps Above 100 _Am s SignS inspector's Use ony Irrigation Booms Special Ins ection Alarm/Communication THIS INS LATION MAY BE ORDEF D DISCONNECTED IF NOT Other Fee CO ET JD>WIIYIN_lq MONTHS. I, ihe Electncat Inspector, hereby Rough.in oate , certdy ihat the above inspection has Finai • been made. OFFlCE USE ONLY Tpis rpQUOSI void 18 months from s744 &011 Li ~ jj RequeslDate Fi a o. Roug ' nspedion NOTICE: Vou Musl Call Eleclricel Inspec~or Requrzetl? II A Rough-In Inspecpon S-' Z$- ~ ? Yes 'NO Is Aeqmretl. I`),~licensed contraclor ? owner hereby request inspection of above elecirical work at: Job Atltlress (SVeel, Box oi Roule No ) City 39 9 -F.- -2 E~ Section No. Township Neme or No Range No Counry p ro i~.a-rn. Occupant(PRINn Pt+ane No. Cl- l..}pn_r'+ 50 ~ Power SuppLer Atltlress Eleclricel Conl2ctor (COmpany Nsme) CqnlreMOr's Licewa No. MaOin Atltlress (COnVaclo( or Ownvr aking Installalion) o u d l Ua v Au1M rz Sign Wre (COntractouPvner alW~g Installa ion) Phone Number ~ tis/ s MINNESOTp STATE BOAPO OF ELECTRIQTY THIS INSPECTION REQUEST WILL NOT Grlg9a-Mltlway BICg. - floom S473 BE ACCEPTED BV THE STATE BOARD 1821 Unlv¢rslry Avo., 51. Peul, MN 55104 UNLE55 PROPER INSPECTION FEE IS Phom (612) 642-0800 ENCIOSED. 5/~. ~~l+ REQUEST FOR ELECTRICAL INSPECTION es-ooaa,-oe b, See insimcbons for t~qmplefing Ws form on back ol yellow wpy, d ~ 48011 Be/ow Work Covered by This Request e Add Whiu. TypeoiBUilding ApphancesWiretl EqmpmentWired Home Range Temporary Service DUplex Water Heater Electnc Heating Apt. Building Dryer Load Management Comm./Industrial Fumace Other (SpecA ) Farm Air Conditioner Olher (specity) Contrector5 Remarks: Compute Inspechon Fee Below: # Other Fee # ServiceEniranceSrze Fee # Circuits/Feetlere Fee Swimming Pool O to 200 Amps 0 to 700 Amps Transtormers Above 200 _ Amps AEave-700 _ Amps Si9nS Inspepor5 Use Only TOTAL Irtigation Booms ~U Q~ ~Q SpeaallnspecLOn Alarm/COmmunication THIS INSTALLATION MAY BE O ERED CONNECTED IF NOT Other Fee COMPLETED WITHIN 16 MONTHS. I, the Electrical Inspecror, hereby R°"9mnn t oate certify ihat the above inspection has F,,,e] ~e been made. OFFlCE USE ONLY This request voi0 18 months irom 76 4 Re uesi Data No Foughi speclion / Reqmre ? eatly Now ~CI W~II Notity Inspector - ~ ~ ~5 as GNa WhenReatly7 I 2icRnsed contractor ? owner hereby request inspection of above elecirical work at: Job AtlCrBSS ISIreeL Box or Poute N ~ p y 3 d Searon No iownship Name or No. Range No. Counry O/IiI-Af~p -Z!~ O ant (PRINt) PM1Ona No 4 t l~ ~ v o • Pow r SuOpher L Atltlrass ~ Z~4 Qi 2/f7/ Elecincal Comrector iGompeny Name) Convetl ' L¢anse No s If -~-7 C:~<iE ~-~,(1- e oa,9 5-1 Matling Atloress (Concractor of Owner Ma4ing Installalion) S W jAumun,ea gna~ure ICoNrac~ONOwr r Making Insl Ilation~ Prione NumOer ~ 3 MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPEQION REOUEST WILL NOT Griqgs-MlEway BIEg. - Room 5-173 BE AGCEPTED BY TNE STATE BOARD 1821 Unlvarsity Ave., St Peul. MN 55104 UNLESS PFOPER INSPECTION FEE IS Vhone (612) 6C1-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION 4 = ee-oooo1-os 3_t , ? See insVUClions for wmpleling inis lorm on oacx ol yellow copy d 0 R14 ~ ';X" Below Work Covered by This Request e Atld Rep Typaof Bmitling AppliancesWired EquipmentWiratl Home Range Temporery Service Duplex Water Heater Electric Heating Apt. Building Dryer Other.(Specdy) Comm./Intlusirial Furnace Farm Air Condi6oner IOther(syeaty) Cqmraclor's Remarks Compute Inspection Fee Below' x Other Fee # ServiceEntranceSize Fee # Cvcwis/Feetlers Fae Swimming Pool 0 t0 200 Amps ~ 0 to 100 Amps TranSformers Above 200 _ Amps A 100 Amps Signs inspecmr's Use Oniy. / TOTAL Irrigation 8ooms ~ O~ Special Inspection . Atarm/Communication TMIS INSTALLATION MAV BE ERED C~N~IECTED IF NOT Other Fee COMPLETED WITHIN 18 MO H6, I, the Electrical Inspector, hereby Rouqn,n certity that the above inspection has F,,,ai oata ~ been made. OFFICE USE ONLY ' iNS requesi voia 18 montM1S irom 2005 RESIDENTIAL BUILDING PERMIT APPLICATION p City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Reouirements RemodelRteoair Reuuiremen[s Office Use Onlr 3 2gistered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan Cert of Survey Recd _ Y_ N (20%macimum lot coverage allowed) 1 set of Energy Calculations for heated addNOns Tree Pres Plan Real Y N 2 copies of plan showing beam & window sizes; poured found desiqn, etc. 1 site survey foradditions 8 decks Tree Pres Requi2d Y _N 1 set of Energy Calculahons Adddion - indicafe Hon-sde sepfic sysfem On-sAe Sephc System _ Y_ N 3 copies o(Tree Preservation Plan Alot platted after7J1l93 Rim Joisl Defail Opiions selection sheet (buildings with 3 orless units) Date , Construction Cost Site Address 393 9 L?O/LC~!'Pf~'f/~. F//l.. Unit/Ste # Descriptioo of Work Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2 Property Owner Afi~ LO~, Gj/JO(/-7 Telephone ) ~ Contracmr TWIN CITY HOME FMODELINO, WC. ~ Address ..9 1e4aDsk 0 51M City State r/Q 5n .1 Zip Telephooe # ( ) MN LIC. 2D515958 ` COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residential Venlilation Category 1 Worksheet • New Energy Code Worksheet (4 su6missionrype) SubmiUed Submitted . Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Telephone ~ Mechanical Contractor Telephone ) Sewer/Water Contractor Telephone ) I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan ' the case of work which requires a review and app val ;L4 /C-O N ~~"J ~ Applicant's Printed Name pplicant's Signature OFFICE USE ONLY Sub Types O 01 Foundation O 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg O 02 SF Dwelling ? OB 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 EM. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc. ? OS 03-plex ? 11 10-piex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Misceilaneous Work Types ' ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building• ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement 'DemollUon (Entire Bldg) • Give PCA handout to appllcant Valuation Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered ~ . Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaUC.O. _ Footings (deck) _ Final/No C.O. _ Footings (addition) _ Plumbing Foundation H V AC Drain Tile Other Roof Ice & Water Final _ Pool _ Ftgs _ AidGas Tests Final _ Framing _ Siding _ Stucco _ Stone _ Brick _ Fireplace _ R.I. _ AirTest _ Final _ Windows Insulation _ Retaining Wall Approved By: , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total CIYY OF EAGAN PERMIT C°" 1368 ~ 3830 Pilot Knob Road PERMIT TYPE: B u r i_ o r N c Eagan, MinnesoTa 55123 Permit Number: 001850 (612) 681-4675 Date Issued: 12 /9 g/g 2 SITE ADDRESS: 3939 WORCHESI'ER DR LOT: 001.5 BLOCKc 0002 HILLS OF STONEBRIDGE P.I.N.: 10-32990-150-02 DESCRIPTION: Bu.i.lding Permit Type SF DWG Buildinq'Wark Type NEW UBC Ocr.upanhy R-3 M-1 Construction Type V-N , Zoninq . PD 6uildinq Lenqth 43 Bui.ldinq Width 46 V'. . / i REMARKS: RECEIPT # C O o(CJ S~" S& W CONTRACTOft - TOM HESSIAN PLBG FEE SUMMARY: / VALUATION $98,000 Base Fee $630.50 MISCELLANEOUS __$1,610.50 Plan Review $409.83 Total Fee $3,399.83 Surcharge $49.00 SAC $700.00 SAC b 100 SAC Units 1 Subtatal $1,789.33 CONTRACTOR: - App].icant - sT. LzcOWNER: PARISH MKTG & DEVEL CORP 19526644 0001054 PARISH MKTG & DEV CORP 3799 BRIARWOOD LN 3799 BRIARWOOD I_N [RGAN MN 55123 EAGAN MN 55122 (612) 452-6644 (612)452-6644 I hereby ncknowledge that i have read this opplication and ,t,ate T.hat Y.he informLtion iG correct and eoreo L'o comply uith 11 1 ~pp~.LCUbI^ S~.,t.~ oi Ilin. Statutes and City ot Eaqan Ordinances. ~APPL CANT/PERM NATURE ISSUED BY' IGNA UR~- PERMIT ,N CIIY OF EAGAN ~3'Sq 03 . ReACTIVATE _ 1992 BUILDING PERMIT APPLICATION pa. 2 4REp ' 0 681-0675 CQL°.f fl-k SINGLE S MULTI-FAMILY 2 sets af plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set af specifications, 1 copy af energy calcs. Penalty applies when typing of permit is requested, but not picked up by last working day of month in which re uest is made or lot chan e is re uested once ermit is issued. Date 11 / 20 ~ 1992 yaluation of work Site Address: 3939 Worchester Drive STREET SUITE N Tenant Name: (commercial only) IAT 15 BIACK 2 sUBD. Hills of Stonebridge * Descri tion of work: Building single family home The applicant.is: M Owner M Contractor 0 Other (Describe) Name Parish Marketing & Development Corp. Phone 452-6644 Property LAST F,RS, Owner pddress 3799 Briarwood Lane STREET STE 1! City Eagan State Minn. ZiP 55123 ~ Company same Phone CO ntrBCtOf Address License # 0001054 Exp. City 5tate Zip Architect/ Company Phone Engtneer Name Reg9stration !1 Address City State Zip Sewer 5 water licensed plumber Tom Hessian PlLnnbing - 432-6898 Processing time f.or sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this applicdt9on and state that the information is correct and agree to comply with all applicable State of Mi nesota Statutes and City of Eagan Ordinances. . t Signature of Applicant: OFFICE USE ONLY , . , , BUILDING PERMIT TYPE 9 ~ ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging 11 iBaseaent Finish 0 02 SF Dwg. 0 07 4-Plex ? 12 Muiti. Misc. O 17 Swim Pool ? 03 Sf Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind. ? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc. ? 05 SF Misc. ? 10 Multi. Add'1. O 15 Deck 0 20 Public Facility O 21 Miscellaneous WORK TYPE ~?1 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish ? 32 Addition 0 34 Repair O 36 Move GENERAL INFORMATION Const. (Actual) v,~r Basement sq. ft. 13zy MWCC System k (Allowable) 7141 ]st fl. sq. ft. 3! Z9 City Water ~ UBC Occupancy v - 2nd F1. sq. ft. PRV Required Zoning pp Sq. Ft. total Booster Pump ~M of 5tories Footprint Sq. ft. Fire Sprinkler Length y3 On-site well Census Code oi Depth y 33 On-site sewage SAC Code APPROVALS Planning Building Assessments Engineering Yariance REQUIRED INSPECTIONS ? Site Footing fi]'Framing ~ Insulation ? Mallboard ~I Final O Draintile ? Fireplace Permit Fee Yeluetim: $ /oa0 Surcharge Plan Review Lor~-~J lCve~S , license G " MWCC SAC 2y.rY3 - /03Z 7 -2 ,e zo.r/G - 7J`/6 City SAL zkzz,5 yS Nater Conn. ~`1 x IW ~ Nater Meter ~ Acct. Deposit 'r S/W Permit 13Z9X lS= ~`J~S35 l~j~~ S/W Surcharge Treatment P1. . (~~Pev Z~Ye(S Road Unit Park Ded. Trails Ded. )OV32 Copies Other Total: SAC % SAC Units tjNHIJ11 (YM1L 1 II~J ` SURVEYOR'S CERTIFICATE ~ ~ , e'~9 \ ~m ~ fy v o y 3 a e ~c "~O •h / ~ (,S g~ m~• ~ ~ ~ N r'y ~pRK ~l ~ i/ ~ ~ ~ TOP PIP£ se tA ~r~ { N / I N - ~ eeeaK0 ~a.oo•;; ~ ~ ~ ~ ~ n 38,33 M gg€~ i \0~ ~ ~ ' ~ B / 4 N I ~ - 20 „s.o ~ ~lr3: . ~ ~ 0d"? ~ ~ a ~ 12.0 = o~ m 4 1~ M 28A ~ c < ~ ^ 20.33 ~ `12.00•:;i LOT 15 M - C.B. in y- 'm . ,,~22 tc 9t86 48.;7 I'-• - 3028 ~~~pJI mf ~ 146.28 S 62° 13 37 E e, M eee.r EAGAiV Ex~~7N REVIEWED ~ BY f )Alz / F= rDATE __/r - ~f- 5' Z RIRTC3 DEPT NOTE~ NO SPECFIC SbILS-I'NYESTiCAidON-?1A5 BEEN COMPLETeD ON TMI$ LOT BY TME SURVEYOR. TVE SNTAPILITY OF SOILS TO SUGPORT THE SPECIFIC HWSE PROPOSED ISNOTE: BU6.DING DIMFIJSIONS SHOWN ARE FOR HORIZOHD NOT TME RESPONSIBILITY OF THE SURVEYOR S yQ:7KAL LOC4TION OF STRIJCTURE ONLY. SBE - - DENOTES PROPOSED SURFACE DRAINAGE ot~aNSp~u$Cq E+51 IFOR ~ -Lp~'3O 13 ~ E~ a O DENOTES IRON MONUMENT SET 0 DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR 9 7-5 FFEET EET X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR 89.$ (000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK -8 17 9 FEET WE HEREBY CERTIFY TO PARISH MARK ET ING THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: ~at ihefeof, Lot 15 , Block 2, HILtS OF STUNEBRIOGE, according to the recaded D Dokoto County, Mlnnesota. IT DOES NOT PURPORT TO SHOW IMPFiOVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS SURVEI'ED BY ME OR UNDER MY DIRECT SUPEAVISION THIS 6 TH DAY OF NOVEMBER , 1992• SIGN WJOHN R. HILL, INC. PROP09ED Oi1ADf3 SMD~MN WlRf TAK[N IIIDM T11L DLY[101M~IR PIaN IOR HILL! ~ s10?IMIOM Pr+lw~qao er r~onecn ¢NaiNef+ra C. LARSON, LAND SURVEYOR LA3T DAI~ II-5-97• MINNESOTA LICENSE NUMBER 19828 m~ o mFT s R. Hill, inc. ~o~ N ~ o <,oN> a~ o N~ ; Z° m~~ S / ENGINE ERS / SURVEY(?R: 0 m N 2500 W• . D. 42 0 BURNSVILLE. MN. 55337 • 812•890-604 LOT 6IIRVFY CSECICLIBT FOR RESIDENTIAL ~ BIISLDIN(~ PBRMIT 71PPLICIIT ON PROPERTY ~ LEQALs,.C ~ - Date o! 8urveys /4/&~y ~ CIIMENT BTAND ftDg 0" 0 0 • Registered Land Surveyor signature and company ~ 0 ~ • Building Permit Applicant ~ ? 0 • Legal description 0 1`-~ D • Address E~ a ? • North arrow and bar scale 6~, 0 0 • House type (rambler, walkout, eplit w/o, split entry, lookout, etc.) Hr 0 0 • Directional drainage arrows with elope/qradient t. Qe 0 • Proposed/existing sewer and water Bervices 6' 0 0 • Street name 0' 0 11 • Driveway ELEVATIO NS A#iating 0 0`~0 • Sewer service Er ? ? • Lot corners 0r 0? • Top of curb at the driveway 6`~0 ? • Elevations of any existing adjacent homes Proposed B'0 0 • Garage floor B' 0 0 • First floor , Gl~0 ? • Lowest exposed elevation (walkout/window) e,~ ? 0 • Property corners 9~ ? D • Front and rear of home at the foundation PONDING AREAB (if annl{c ble) 0 e Q : ~Lement line 0 0' ? . xwL 0 D' 0 • Pond # desiqnation ~ 0 • Emergency Overflow Elevation UMEN6ZON8 • C~0 0 • Lot lines ~ a ? • Right-of-way and street vidth (to back of curb) ~ 0 0 • Proposed home dimensions including any proposed decks, overhangs greater than 21, porches, etc. (i.e. all structures requiring permanent footings) ~ ~ ? • Show all easements of record and any City utilities within those easements 0? • Setbacks of proposed structure and setback of adjacent existing homes D 0 • Retainingw e' ements, if any - Reviewed: Na / Date October 1992 ~ f . L~xi.uaro..~ ! ~~l • ~ . • , EXTIitIIUlI F,NVLIAI'l: AVI:iNC.G "U" COt41'U7'AT1018 c,wilr•.n St'fli ADbIttS3 _ • CONTMC'fOR t l7~u - ~ Dl1TE PIIONE Detecmine vorklnq b(juaro Eootagu oE eacit. 1. Total exposed :+aLl arua 190d.0 sy. Et, z' •11 2. Total roof.ccil[nq arca .......1/3G, b sy. Ct, x .025 Total exposed wall area above Eloor ti/BqG.p. • a. Total wall window area b. Total'door a[ca...........................................---. - c, iotal sllding glass door'arca......... f d. Total Cireplace wall area O e.' Total wall framing acea (averaqa 10!) f. Total net wall area abovo Eloor q. Total rlm jolet area /Z 3. Total exposed Eoundation area ~ 73 S' h. Total foundation ulndow area ' U 1. Total net foundatLon acea above gcade ~r OctermLne "U" value of each wall seqmcnt. a. /b s. 3 x•'u" •~'S- - 3"7.9 t,. 39•G x~u. • 074 ~ 3•/ ~ x.-u. o d. O x -u-d i O . e. /Bvx "u" •/,ON. c._!5'0y./ x -u- . ia3.3.._._ ~ ~°Y.?__._. ° 3-..6'...._. X .•io. , . . . . . . . 73. S . OJ'3 L./ ~ , . ~ . . . . • . . . . . . , ...........T~~tal ' IC itvm 11 ln tlio sumc aa, or lcuu tlian Ltum Il, yml baw: mtrt c11,3 1.11wnl of suc 6006(c)2. .01„3/Pa.7 ) L -0/ 19t7 -0"./ W-e'xts»/ 94r/,,,, SBc. Goola To al axposnd rooC/colllny araa ~ 14,26.0 i. TOtal akyllght arca.... . . ° k.' Total rooC/catliny Eraminy arua (avcra~jn l0't1 1. Total nut inuulaccd rooC/caLlirnq artia /O/7,,~_ • Duturmioe "U" valuu foc each roaf/cu[ling scymen<. g»U« o a v k. x «U.. • o~~ a x~~•~ ~ O~S . oiy. 3 4...~........_ ..t.......Total ~ ~ 7•1 , IF total of 14 ls tho same as, or less [han 02, you Iiave met thc intent of SBC 6006 tc) i. ~02 7, 7) soa oo Alternato eullding Envulope Daslgn To utlllza tlto total envalopu eystem meth«l, chc valizes iestablish.:d by t1la sum of Ltem9 13 and 14 shall not bo greatcr thun thc swn of Lcemy ML and $2. ~ . i. /9eP,7 + 3. 7 ~ . a.' 4 A6 Z . . . PERMIT UZ05~350 CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 0 2 6 9 7 3 (612) 681-4675 Date Issued: 01 / 19 / 9 6 SITE ADDRESS: 3939 WORCHESTER DR LOT: 15 BLOCK: 2 HILLS OF STONEBRIDGE P.I.N.: 10-32990-150-02 DESCRIPTION: Building Permit Type BASEMENT FINISH Building Work Type ALTERATIOIV Census Code 434 ALT. RESIDENTIAL REMARKS: FEE SUMMARY: Base Fee $50.00 Surcharge $.50 Total Fee $50.50 CONTRACTOR: - Flpplicant - ST. LIC OWNER: PETER50N CONST, CARL 16886564 0004275 ALBERTSON GUY 1574 LAKEVIEW CURVE 3939 WORCHESTER DR EAGAN MN 55122 EAGAN MN 55123 (612) 688-6564 (612)452-1659 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Mn. I- Statutes and City of Eagan Ordinances. 4'W05 -m~- APPLICANT/PERMITEE SIGNATl1RE ~ISSUED B :51 ATUR ICITY C913 OF EAGAN 3830 PILOT KNOB RD - 55122 V 1996 BUILDING PEaMIT APPLICATION (RESIDENTIAL) 681-4675 New Conslruetion Reauiremenls RemodeURepair Reavirements ? 3 regislered site surveys ? 2 copies of plan ? 2 copies of plans (include beam 8 wiMow eizes; poured fnd. design, etc.) ? 2 slte surveys (axterior additions 8 decks) ? t energy calwletions ? 1 energy ealculations for healed additions ? 3 wpies of tree proservetion plan H lot plattad aRer 7/1f93 required: _ Yes _ No DATE: / y" CONSTRUCTION COST: DESCRIPTION OF WORK: RySZ~~e 7L k-'"'s 4 STREET ADDRESS: 3 9 3`T /iJo lc~ .s~~ D~ . LOT C~ BLOCK ~ SUBD.IP.I.D. u r PROPERTY Name: ~-~~eifSo„ G4 y Phone OWNER M* ~ iIR6t D~- Street Address: 3929 City: E~y9-) State: Zip; CONTRACTOR Company: pl- 7~ ~s Phone Street Address: /S -7`I License City: Ca9 State: /~7^/ Zip: -sS ARCHITECTI Company: Phone ENGiNEER Name: Registration Street Address• City: State: Zip: Sewer 8 water licensed plumber: Penaity applies when address change and lot change are requested once permit is issued. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY RECEIVED Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes No OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Dupiex ? 11 Apt./Lodging ~16 Basement Finish ? 02 SF Dwelling o 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool ? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch ? 09 12-plex o 14 Fireplace o 21 Miscellaneous ? 05 SF Misc. ? 10 = plex ? 15 Deck WORK TYPE ? 31 iJew ,=33 Alterations ? 36 Move ? 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MCIWS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Slories sq. ft. Sooster Pump Length sq. ft. Census Code. zz,~/ Depth Footprint sq. ft. SAC Code O/ Census Bidg / Census Unit ~ APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MClWS SAC City SAC Water Conn. Water Meter Acct. Deposit SJW Pertnit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: % 5AC SAC Units , PERIVIIT c~~034 ~ ~ CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: '6~I D~ ~t~l~ Eagan, Minnesota 55122-1897 Permit Number: 025 5 5 i~ G (612) 681-4675 Date Issued: 0 5/ 0 9/ 9 5 SITE ADDRESS: 3939 WORCHESTER DR LOT: 15 BLOCK: 2 HILLS OF S70NEBRIDGE P.I.N.: 10-32990-150-02 DESCRIPTION: Building Permit Type DECK Building Work Type NEW ' ~ - , REMARKS: FEE SUMMARY: Base Fee $30.00 COPY $.58 5urcharge $.50 Total Fee $36.00 Lic. Search Fee $5.00 Subtotal $35.50 CONTRACTOR: - Applicant - s7. LIC. OWNER: PETERSON CONS7, CARL 16886564 0004275 ALBERTSON 6UY 1574 LAKEVIEW CURVE 3939 WORCHESTER OR EAGAN MN 55122 EAGAN MN 55123 (612) 688-6564 (612)452-1659 I hereby acknowledge that I have read this application and state that the inPormation is correct and agree to comply with all applicab2e State ot Mn. ~ Statutes and City of Eagan Ordinances. ~ APPLICANT/PEFMITEE SIGNATURE ~ ISSUEO SIG TUR~ , , CITY OF EAGAN ~ 3830 PILOT KNOB RD - 55122 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 New Construe[ion Reauirements BemodeVReoair Reauirementa ? 3 registered a@e surveys ? Y copies of plan ? 2 copies of plans (inUude beam 8 window sizes; poured fid. design; etc.) ? 2ske surveya (exterior additiona 6 decks) ? 1 energy ealwlationa ? t energy ulwlatlons for heatetl addrflons ? 3 copies of troe presenation plen N lot plaqed after 7/7193 requirod: _ Yes _ No h DATE: S- y' ~1s CONSTRUCTION COST: DESCRIPTION OF WORK: De c K STREET ADDRESS: 3939 N o`-c Z es'~ LOT ~ BLOCK ~ SUBD./P.I.D. /~~~~s aF S7G-'<<!~ .C PROPERTY Name: ~~~'p~~s° ^ Guy phone OWNER Street Address• 3 93 W~~~~s~ D City: State: Zip: ~S-S/a 3 CONTRACTOR Company: e,qr1 Phone 6 9~ 1? (DS~ y Street Address: Cu~~License q;) -7 s- City: 6aState: M/v Zip• $S/a~ ARCHITECTI Company: Phone ENGINEER Name: Registration Street Address• Ciry: State: Zip: Sewer & water licensed plumber: Penalty applies when address change and lot change are requested once permit is issued. I hereby acknowledge that 1 have read this application and state that the iniormation is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY T 3 ~C'~ [c; ~NI 1- 5 Certificates of Survey Received _ Yes _ No MI'n; i0 dIt~~'~J Tree Preservation Plan Received Yes No OFFICE USE ONLY „ . ~ BUILDING PERMIT TYPE 0 01 Foundation ? 06 Duplex o 11 Apt./Lodging o 16 Basement Finish 0 02 SF Dwelling ? 07 4-piex ? 12 Multi Repair/Rem. 0 17 Swim Pool ? 03 SF Addition ? 08 8-plex o 13 Garage/Accessory o 20 Public Facility 0 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous o OS SF Misc. ? 10 = plex G2(- 15 Deck WORK TYPE od--31 New ? 33 Alterations ? 36 Move ? 32 Addition o 34 Repair ? 37 Demoiition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. ~15 Depth Footprint sq. ft. SAC Code o( Census Bldg / Census Unit 0 APPROVALS Planning Building Engineering Variance ~ Permit Fee Valuation: $ ~Z aD Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S!W Pertnit SMI Surcharge Treatment PI. Road Unft Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units ` ? 1 rMmaii n..n~n.v ;A VEYOR'S CER'TIFICATE ~ ~ \ ry 6~ I : • p o o ~ ny yo~ o> >1 ~ ~ ° / \ N ? ~ ' .P i ' ~ OPC MPPE T s6 C, 2 ~ ~ IV ~ ; k N= eysa,~~; / rn 83933 sf N 89br7~ i N (o 2./~ 4 =a' , ~BA W ~C7 e ~ ~ .o I L 26.0 ~ ~ N N m~ M t e7~ . 20. ,•1 ~ . s ~ iz.oo•: , io M LOT 15 ~ _ C.B. 9975. 48.77 - swo .ZB ~ 146.28 S 62° 13' 37 E e9e.7 rr~ ~ E X I 1 G- r'3 Hb4 V E 0 t( aw' 4 i I_ A . I ` ~ y-SZ NL~iC{`t. HiDlG D'I'T HOTE: NO SPECFIC S61L5'INV£9i16ATlON-MAS BEEN COMR.ET2D ~..ti.l.•,lti.~:~ ON Tf11$ LOT BY TMf SURVEYOR. TFE SUITAP1LITY OF SOILS TO SUPPORT 7ME SPECIFIC HWSE PROPOSED ISNOTE: BUI.OINC DIMENSIOr15 SNONlN ARE FDR HORIZONTAL NOT TME RESPONSIBIIITY OF THE SURVEYOR S yQtTCAI LOCATION OF STRUCTUII[ OHLY. SEE • - DENOTES PROPOSED SURFACE DRAINAGE AR611TECTUAL Ra+s FOR BUiLp~ ~FOUNo^rION : O DENOTES IRON MONUMENT SET ou"ENSpNsSCALE: 1 INCH - 30 FEET 4p DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR - g97-5 FEET X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR-EQ98 FEET (000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK -917-9 FEET WE HEREBY CERTIFY TO PAR ISH MARK ET ING THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES Of: Lot 15 , Block 2, HILLS OF STUNEBRIDGE, aecordng to the recorded plat Thereof, Ddcota County, Mlnnesoto. 1T DOES NOT PURPORT TO SHOW VMPROVEMENTS Ofl EIJCROACHMENTS. EXCEPT AS SHOWN. AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 6 TH DAY OF NOVEMBER . 1992. SIGN : ME R. HILL, INC. PROPOlEO ORAD[! SNOWN WER[ TAKLN IIIDm T11[ 0!V[I.ONI[MT cr PI,AN f011 HILI! OI S1MI11111R0a! g; rqlrAR[o bV PqN[!R EN011N.[ANO JOHN C. LARSON, LANO SURVEYOR l.A3T OATm 1i-0-9'?. MINNESOTA LICENSE NUMBER 19828 F0or-N2" o )ames R. Hill, inc. ~ ° ~ PLANNERS ENGINEERS SURVEYORS 4 0ym~ R' 2500 W. CTY. RD. 42 ~ BURNSVIILE, MN. 55337 • 812•880•6044 ciTr use oNLY L BL ~ RECEIPT #:SO~-~Sv SUBD. ~ NA) DATE:.---7-l/ 1996 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 _ Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit FIXTURES EACH ~Q TOTAL Shower 3.00 x Water Closet 3.00 x 1A- _ Bath Tub 3.00 x = Lavatory 3.00 x Kitchen Sink 3.00 x = Laundry Tray 3.00 x = Hot Tub/Spa 3.00 x = Water Heater 3.00 x = Floor Drain 3.00 x = Gas Piping Outlet ' minimum - 1 3.00 x = Rough Openings 1.50 x = Water Softener 5.00 x = Private Disposal ' Dakota Cty. license 50.00 = (new and refurbished systems) U.G. Sprinkler " home under const. 3.00 = Alterations ' to existing 20.00 Water Turn Around 20.00 STATE SURCHARGE .50 TOTAL SITE ADDRESS: es OWNERNAME: ~ INSTALLER NAME: g ° '1-7~S STREET ADDRESS: Yr- 7V 776) CITY: 1-1,q c%chsac.k STATE: ZIP: ~CO ySO~ ~~t?`- ~/v"~^~ PHONE (,?/,f Je3 7 3`T~E~'F~E}~lOfiTT OFFICE USE ONLY L BL RECEIPT SUBD. DATE: 1996 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for. & all commerciaVindustrial buildings. . multi-family buildings when separate permits are = required for each dwelling unit. DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION ADD ON REPAIR DESCRIPTION OF WORK: IS WATER METER REQUIRED? _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING: WATER FLOW: GPM. ARE FLUSHOMETERS TO BE INSTALLED7 YES NO. FAILURE TO PROVIDE THIS INFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE. WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM7 _ YES _ NO. IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINKLER PERMIT. FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per $1,000 of permit fee due on all permits. CONTRACT PRICE x 1% STATE SURCHARGE TOTAL SITE ADDRESS: TENANT NAME: STE. # OWNER NAME: INSTALLER: ADDRESS: CITY: STATE: ZIP: PHONE SIGNATURE: APPLICANT OFFICE USE ONLY METER SIZE: " DATE: INSPECTOR: PERMIT City of Eagan Permit Type:Building Permit Number:EA165316 Date Issued:10/27/2020 Permit Category:ePermit Site Address: 3939 Worchester Dr Lot:15 Block: 2 Addition: Hills Of Stonebridge PID:10-32990-02-150 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 - Craig J & Pamela Mcquiston 3939 Worchester Dr Saint Paul MN 55123--165 Neighborly Property Group Llc 7401 Metro Boulevard Suite 350 Minneapolis MN 55439 (952) 797-6545 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA165846 Date Issued:11/23/2020 Permit Category:ePermit Site Address: 3939 Worchester Dr Lot:15 Block: 2 Addition: Hills Of Stonebridge PID:10-32990-02-150 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:PL - Permit Fee (WS &/or WH)$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 - Craig J & Pamela Mcquiston 3939 Worchester Dr Saint Paul MN 55123--165 Tony's Appliance 2090 County Road 42 West Burnsville MN 55337 (952) 435-2442 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA166132 Date Issued:12/14/2020 Permit Category:ePermit Site Address: 3939 Worchester Dr Lot:15 Block: 2 Addition: Hills Of Stonebridge PID:10-32990-02-150 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 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 - Craig J & Pamela Mcquiston 3939 Worchester Dr Saint Paul MN 55123--165 (612) 839-2780 Neighborly Property Group Llc 7401 Metro Boulevard Suite 350 Minneapolis MN 55439 (952) 797-6545 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA178240 Date Issued:08/08/2022 Permit Category:ePermit Site Address: 3939 Worchester Dr Lot:15 Block: 2 Addition: Hills Of Stonebridge PID:10-32990-02-150 Use: Description: Sub Type:Furnace & Air Conditioner 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 - Craig J & Pamela Mcquiston 3939 Worchester Dr Saint Paul MN 55123--165 Haley Comfort Systems 3708 Broadway Ave N Rochester MN 55906 (507) 281-0138 Applicant/Permitee: Signature Issued By: Signature