3954 Worchester Dr
...t- n. " r . _ . . - . . , . . . , s+te53'.-I , rt,--crT-,rx-.r. 'j
CITY OF EAGAN Permit Na 923t) pa~ 11-19-67
9830 PNot Kpob Rod~l Meter No: Size:
P.O. Box ;!199 Reader No: pa~
Eagan, M:) SSi3~1°
Owner. Crand 4aks
Site Address:_ 3954 t•lorchester rrive L7 F!I Hi12a of Stone
Plumber. VallM Plumbiu- bri3ge
Conn. Chg: _ 52 S.(fOpci ~ Zoning: ~tl
Acct Dep: I5 , aQpd No. oi Units• 1
.
Permit Fee: _ 10. 0QDd
Surcharge: • 3ond I agres to comply wlth the City of Eagan
` Tr. Plant IiiO OQpci Ordinances.
Meter. :7 -pppd
Misc.: gY
WATER SERVICE PERMIT
k CITY OF EAQAN Permit No: W379 Data 11-19••87 ~
3830 PilolKp4iload B/P No: 78661
-25-37
Date: 10
; P.O. Box 21199 ~
Eagan#NN 4#127 ~
~
Owner. f C>rand OaRs
` Site Address: 3954 Worchester Drive L7 Bl ni11s of. Stone-- ~
l Plumber. Valleq Pluucbing bridge ;
~ MWCC: 525:?{)0 pci "e kl.
' O.Od d Zoning•
~ Ciiy Chg: p No. of UNts:
. i Acct Dep: IS.OO;sd
Permit Fee: 10 . GOfld I ag?se to ccmply wlth the City of Easan
~ Surchargac _ .50pd Ordinances.
; Misc.: gY i
, SEWER SERVICE PERMIT +
~
-
-
11-19-R7 ~
ClT1l OF EAtiAN Permit Na: 9230 Date:
3a3o Puoc K RoAi~ Meter No: 38.~ -3 9-3 /--3 siZe:
P.O. ~ox'li~89 Reader No:,-) ~ n 9~ $ 9 9 Date:
Esgsn, MM 55121
Owner. Grand Oalcs I
SiteAddress: 3954 t]o cheQte ive L7 Bl N lIs af Stoiie- ~
Plumber_ Valley Plumbtlt brQ ~e
Conn. Chg; 525.00 d~A/Iln~~~. Rl
ACCt D@p: 15,0 a 111
{Bc3f ~[?I~ies ~
PermitFee: 10.0 t ~iQ at ~ng~
Surchar St~ pNOi~E • Ettr IC - GAS Etc. 'I
g~ - Yrse to co~y with the City of Eayan
Tr. Plant
~ Meter. C-41 ~ Q4
Misc.: Br ~
WATER SERVICE PERMI
. . .
i
(Itx#i#iratie uf Mrrupanry ,
titp of (tagan
11pvwfttPtt1 pf g11wm iwPrnm
This CerliJcate issued pursuant to the requiremenls of Section 306 ojthe Unrforrn Brdlding
Code certifying that at the ttnre of issuance thrs structure ms in co?nplrance wrth the Yarious
ordinances of lhe City regulaliag building corrstrtection or use. For rhe following.•
ux cawswwn _9 ttx: lr.42 eag. FtnM r+o. 'trl 2
ooMP„Cy Type It3 zmq n~a;a R} Tya c,,,,A ``ri
o,,wo(e.Iwq rstenm CUXR W.M. Ci,l- Aaam450t ql itaY TACT ':i;, F-ACAN
e.w~s nabm 39 54 6J[N4 SM 17RIVE L.Mty T.7. S 1, IM 7 S~' SI~~2TD[~
p~ NAAC7-1 FI}?R
em7m,y p&W _
POST IN A CONSPICUOUS PLACE
CASH RECEIPT ~
CITY O%t EAGAN
3830 PILOT KNCB ROAD
EAGAN, MINNESOTA 55122
DATE 19
R[C61 V 6k
' FROM AMOUNT $ I
e oaLLwws
~oo
0 CASH CHECK
rOR
PUNO CODri AMOUNT
7
~
Thank You '
BY
i White-PsYen CoPY
. . Vellow-Postiny Copy I
Pink-Fils Copy
BLDG. PERMIT N0.
0 I-~321 -0 Bldg. Permit
01-3422 Plan Check
01-3445 Surch./Adm. i~
01-3446 SAC/Adm.
01-2155 Surcharge
17-3860 Road Unit
20-2275 SAC - i ;
20-3665 Water Conn.
20-3868 Water Trmt. 20-3716 Water Meter r=~7 ~
20-2252 Acct. IIep.
20-3713 Water Permit
20-3743 Sewer Permit
79-3866 Sewer Conn. !u,..' '
11-3855 Park Ded.
TOTAL
i
ARCHITECT CON•
ENGINEER TRACTOR UWNEFi
D Z C~ D Z 0 Dz ~ v a Q
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: n+cni j C m $ T m;0 » o fA 70 ~
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. . , . . , ,
PLUMBING PERMIT Fcr Otfice U,~a Only
CITY QF EAGAN PERMIT # ~
CONTRACT 3830 PILOT KNQB ROAD, EAGIANO MN 55122 RECEIPT #
PRICE pHONE 454-8100 DATE: ~/3 Sv
Site Address ~~"~y ur'=' N~te f BLDG. TYP~ WORK DESCRIPTION
Lot . Bbcic / Sec~b Res. ~ New ~
Mult. Add-on
~a . ~u t~~•. Comm. Repair
Name ,c Other
3 Address '7` wG'K [ e -ce 'D Q
~ C~y CA E r~ n1 Phone RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
- NO. FIXTURES TOTAL
~ Watar Closet - $3.00 $
L Name Bath Tubs - $3.00
c Address Lavatory - $3.00
~ CRY Phone Shov+rer - $3.00
Kitchen Sink - $3.00
UrinaVBidet - $3.00 ~
FEES Laundry Tray - $3.00
COMM.flND. FEE - 1% OF CONTRACT FEE Floor Drains -$1,50
APT. BLDGS. - COMM. RATE APPLIES Water Heater -$1.50
TdWNHOUSE & CONDO - RES. RA7E APLIIES Whirlpool -$3.00 ,
MINIMUM - RESIDENTIAL FEE $12.00 Gas Piping Outlets -$1.50 MINIMUM - COMM.IND./FEE $20.00 (MINIMUM -1 PER PERMIT)
STATE SURCHARGE PER PERMIT .50 Softener -$5.00
{ADD $.50 PER H 1 000 OF PERMIT FEE) Well -$10.00
Private Disp. - $10.00
' Rough Openings - $1.50
U. G. Sprinkler System - $12.00
SIGfYATURE OF PERMfTTE PERMIT FEE: ~ Z• p~-
STATES S/C:
FOR: CI7Y OF EAGAN GRAND TOTAL: ~ z• c~.
: .
~ ' CASH RECEIPT ~
- tITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
I
DATE ~ ~ • 19
R[C [I V [D
/ROM L
AMOUNT $ I-
e ooLLwws
,.e
? CASH ~CNECIC
sow
~u coo ~MOUNt -
. ~
Thank Yau
BY '
White-Psyers CopY
Yellow-Pottinp Copy
Pink-Flle CoDY
„a.~^a:r?q'A.~~.~~-.,n~ . ~1T.Ai..=+WC.'.:t".. .~!i~~. 'Vz'.~~_.y~TN.„~.-..-~..w~a~ir•~?- ,
CITY OF EAGAN > 15246
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE:454-8100 ` 4 .
BUILDING PERMIT Receipt # : ~ -
To be used tor USDlElR FINIEA Est. Value ;1 ,S00 Date /UJG 9 , 1990_
Site Address 3954 WOItCHESTER DR
OFFiCE USE ONLY
Lot 7 Block 1 SeGSub. OF
Parcel No. V~~L ULlUZ.,- Octupancy _ FEES
z«,iny
W Name Icb Hunttiagtoa (~tual) Const _ Bldg. Permit 35.00
# Address 395~? i~lorchoster Dt. (Allowable) _
0 C~,It ~g;Q Phone *52"7710 N ot Stories _ ~rcharge i~~
y length _ Plan Revlew
o Name Poss Constzuctioa oWa, - snC,city
~i Address 7830 110th $C • S.F. Total _
~ City Cottap Grow phone 459-6842 S.F. Faotprints _ SAC, MCWCC
~ On Site Sewage _ Water Conn
W'W Name On Site Welt _ Walef Me1eY
AddtBSS MWCC System
i W City PhOn Gry Water _ Acct. OeposA
J PRV Required _ S7W Permil
I hereby acknowlege that I have r6d this application and state that the Booster Pump _ ~~rcharge
information is correct and agree to comply with all applicable State of
Minnesota Statutes and Ciry of Eagan Ordinances. Treaiment PI
Signature of Permitee APPROVALS qoad Urnt
A Building Permit is issued to: F ~C-onstlLCt LOri Plan^ar - Park Ded.
on the express condition that all work shall be done in accordance with all Councll
applicable State of Minnesota Stalutes and City of Eagan Ordmances. gldg, pn. _ Copies
8uilding OftiCial Vanance - TOTAL 36•oo
1.....~ . - - _ _ - .
' PsnmR Mo. PermR Holder Date Telephorn M
~ WATER
, SEWER
PUIMBIWG ~ 0
H.VAC.
ELECTRIC 3 ~ D O o
Inspsction WAe In CommerHs
Foolirgs I
Foundafion
~~~ing ~~3 0 - rr ,E r~
Roolim
ROUO Pbs.
~ ?~3~ d 1 , ~~~c~'~.-- .io
Fina1 Htg.
Final Pbg.
Const. Meter P1bg. WsPecbr - NotifY Plumbsr
EngrAPlan
Bldg. Finel • ci. C ? 4. /'o
oeclc Ft9•
Deok Final
weu
Pr. Disp.
L
GK
, ; • ; CITY OF EAGAN ~ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
~ PHON E: 454-8100
BUILDING PERMIT Receipt ~
-t 71,:.(?i tiCT;'Pti.~t
To be used for Est Value Date ,19
Site Address 3954 "oURULi1 r.r< UR OFFICE USE ONLV
~
.4Lb vc' `.,."I1)xE;- onsiteSewape Occupancy i
Lot Block 1 ;i
SeC/Sub.
j~ j;,y; e~ MWCC Systam x Zoning Parcel Na On 5ite Weu (Actuaq Conat vn
a Name ' `w`y vLJLL Ci) Ciywater X (Allowabte) 1Jn
W ° A 0;; PRV Required * of Stories
o Cddress,~A,i. : Phone 4 ~~terPump Length
~ Depth ~ ~ ~
°C Name S.F. 7otal
.o
~ ~ Addres8 Footprint S.F.
~ City Phone APPROVAL8 FEES
r W Engr./Assess. Permit '~~1 • ili.
U y~
F W Name Planner 5urcharge
~3 Address
Council Plan Review
R W City Phone ~~.ls..
Bldg. Off. SAC, City
Variance SAC, MWCC
I hereby acknowledqe that I have read this application and state that the
information is correct and agree to comply with all applicable State of Water Conn.
Minnesota Statutes and City of Eagan Ordinances. b~.'..
Water Meter
Signature of Permittee ` Road Unit
A Building Permit is issued to: Treatment P1 t~p•
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and Ciry of Eagan Ordinances. Perks ~j-
Building Official - " TOTAL - ' ~ ~
- P~nnit No. Pwmit NoldK Dob TNephon~ s
Pl~mpiny
.
- ~
H.V.AC. C,~y -y-
Electric '(L' ~ 40
Softener
Inspectlon wte Insa• Commsnb
Footings I ~4 L .
Footings 11
Foundation
Framiny
Roofiny
Rough Plbg.
Rough Htg.
I su I.
Fireplace
Final Htg.
Final Plbg.
Bldg. Final
Cert.Oca ~
Temp. LP
Deck Ftg.
Dedc Final
Well
Pr. Disp.
_ 7uti', ° ° _ . r, x t . ?R j~ ~ : _ ~ : :~T ~ ~
• , _ , ' PERMIT #
PLUMBING PERMIT
' . . , CITY OF EAGAN RECEIPT #
3830 PiLOT KNOB RpqD, EACAN, MN 55122 DATE:
CONTRACT PRICE: -4292 PHONE: 454-8100
Site Address y'` d,)1724 BLDG. TYPE WORK DESCRIPTION
Lot ',Z Block ,L- Sec/Sub Res. X_ New X
• ~ ~ Mult. Add-on
m Name ii . Comm. Repair
~ Address Other
c City Phone - RES. PLBG. ONLY - COMPLETE THE FOLLaWiNG:
- NO. FIXTURES TOTAL
~
Name c' 1-Water Closet -$3.00 $ i~;. c C7 c Address t/ ~~-gath Tubs -$3.00 r
3 Lavatory - $100 gep • c 4c
p Ciry Phone _,/-Shower - $3.00 -7ir, e, c
_,4-f-Kitchen Sink - $3.00
FEES Urinal/Bidet - $3.00
COMM/IND FEE -196 OF CONTRACT FEE _-4.Laundry Tray -$3.00
APT. BLDGS - GOMM RATE APPUES : __/_,Floor Drains = $1.50
~ TOWNHOIJSE & CONDO =RES. RATE APPLIES _/__._~Water Heater - $1.50 's c-
MINIMUM - RESIDENTIAL FEE - $12.00 Whfrlpool - $3.00
MINIMUM - COMM/IND FEE - $20.00 ._.,L_Gas Piping Outlets - $1.50
STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIn
(AOD $.50 S/C IF PERMIT PRICE GOES Sottener -$5.00
BEYONQ-$1,000.00) Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50 ~
SIGNATURE OF PERMITTEE FEE:
STATE S/C;
FOR: CITY OF EAGAN GRAND TOTAL:
, - - - - -
zt i . _ . ~ c il"~`!T'c:_ , n_7`.'~' . ',r p . 47~
PERMIT #
. ' MECHANICAL PERMIT r; C ~
CITY OF EAGAN RECEIPT # ~ ~ y
Z. ~ 3630 PILOT KNOB ROAD, EACAN, MN 55122 DATE
CONTRA PRICE PHONE: 454-8100
Site Address r BLDG. TYpE WORK DESCRIPTION
Lot ~2~ lock Ssc/Sub Res. New
Mult Add-on
m Name ~ Address Comm. Repair
I City T.J..l~s~ Phone ;4)zlj1gL
ah~
/
FEES
~ Name RES. HVAC 0-100 M BTU -$24.00
c Address ADDITIONAL 50 M BTU - 8.00
3 (RES. HVAC INCLUDES A/C ON NEW
p Ciry - --Phone - CONSTRUCTION)
GAS OUTLETS (MINIMUM -1 PER PERMIT) - 1.50 EA.
TYPE OF WORK COMM/INO FEE - 1% OF CONTRACT FEE
Forced Air JUU0 M BTU U APT BLDGS. - COMM. RATE APPLIES
TOWNHOUSE 8 CONDOS - RES. RATE APPLJES
Bofler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
Unit Heater M BTU REMODELS - 12.00
Air Cond. - M BTU ~ MINIMUM COMMERCIAL FEE - 20.00
Vent CFM STATE SURChFAFTGE PER PERM+T - ,gp
(ADD $.50 S/C IF PERMI7 PRICE GOES
Gas Piping Outlets # ~ BEYOND $1,000)
Other
FEE ~•5
j~ i
S/C: ~v SIGNAI'URE OF PERMITTEE
TOTAL• ~ ? ~ FOR= CITY OF EAGAN
PERMIT #
PLUMBING PERMIT RECEIPT M
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE PHONE: 454-8100
Site Addre BLDG. TYPE WORK DESCRIPTIQN
Lot Block Sec/Slub Res. New
I}Mull. Add-On '
m Name 1 ~ Comm. Repair
~ Addre Ga A X Other
c i ' Phone RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
, NO. FIXTURES TOTAL
Name U_n O Water Closet -$3D0 S
d C , ~ , Bath Tubs - $3.00
c . Addr Lavatory - $3.00
p City lJ Phone Shower -$3.00
Kitchen Sink - $3.00
FEES Urinal/Bidet - $3.00
COMM/IND FEE - 196 OF CONTRACT FEE Laundry Tray -$3.00
APT. BLDGS - COMM RATE APPLIES Floor Drains -$1.50
TOWNHOUSE 8 CONDO - RES. RATE APPLIES Water Heater -$1 50
MINIMUM - RESIDENTIAL FEE - $12.00 Whiripool - $3.00
MINIMUM - COMM/IND FEE -$20.00 Gas Piping Outlets -$1.50
STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIT)
(ADD $.50 S/C IF PERMIT PRICE GOES -2--Softener -$5.00
BEYON $1,000.00) Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
SI ATURE OF PERMITTEE FEE
STATE S/C:
FOR: CITY OF EAGAN GRAND TOTAL•
. RESIDENTIAL
BUILDING PERMIT APPLICATION d,
~ 9 ct ~ CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651•681•4675
NowCOntWCtion Rwuiroments RemodWRwa4Rwuinmenh
• 3 regokred sfle wrveys shwrirq e4. ri d bt sQ. ft ol house; anM mMeA areas • 2 oopies d pan
(20%muimum bt coveiape alGved) . 1 xt of Enaryy Celwletlons tor heated addpbns
. 2 capiea ot plan showirg beam E window sizes; poursd (axid daipq etc.) . t sHe surwy br ezbrior additiats 6 deds
. 1 set d Enerpy Calpdations . indkar a iame servea ey sepuc mcem wr aaainons
• 3 copies of Tree Preservalbn Plan if hl plalbd after 717193
. RNn Jdst Datai Oplbns selecfion slieel (bidga wlfh 3 or bn unib)
DATE OU ' ~4 At n, . VALU/~ION O~ 1•~D
JOB SITE ADDRESS J~qS~ ~~.~?~L J~'7llJt_) , eQA'0l1 FJSI~
IF MULTI-FAMILY BUILDING, HOW MA~NY7UN-IT-S?
PROPERTY OWNER . O1Jl,L_~
TYPE OF WORK ~1 ~,~Q.Q,L~,E./Y1LQ/l.f - lVu X~Od(~S FIREPLACE(S) _ 0_ 1_ 2
APPLICANT C~ PHONE# a5Z- 935-9(P([9
ADDRESS ECtO fl~a IU~~ 06-;IYJN `JJ`3`I3 ZIPCODE 55343
PAGER # CELL PHONE ~ FAX # 95z- 935-9551'f
NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY
Energy Cade Cateyory _ MINNFSOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envebpe Calculations Submitted
_ MINNFSOTA RULFS 7672
- New Energy Code Worksheet Submitted
Plumbiny Coniractor: Phone N:
Plumbing System Includes _ Water Softener _ Lawn Sprinkler Fee: $90.00
Water Heater I`Io. of R.I. Baths
No. of Baths
Meehanical Contraetor: Phone 0
Mechanical System Includes: _ Air Conditioning Fee: $70.00
_ Heat Recovery System
: Sewer/Woter Conhactor. Phone #
All above infortnation must ba submitted prior W processinp of applicafion.
I hereby acknowledge that I have read this application, state that ihe information i; qorrect and agree to e0mply
with all applicable State of Minnesota Statutes ond Ci1y of Eagan O ces.
Siynalure of Applko rdina~
nt i~
~Certificates of Survey Received _ Tree Preservation Plan Rece'rved _ No Required _
' ~ Updated 1101
OFFICE USE ONLY
O 01 Foundation O 07 05-plex O 13 16-plex O 20 Pool p 30 Accessory Bldg
O 02 SF Dwelling O OB O6•plex O 16 Fkeplace O 27 Porch (3eea.) O 31 ExR. Alt - Multi
? 03 01 of _ plex O 09 07-plex C3 17 Garape O 22 Porch/Addn. (4-sea.) 0 33 E)d. Att - SF
O 04 02-plex O 10 OB-plex O 18 Dedc O 23 Porch (screened) p 36 Multi
O 05 03-plex 0 71 10-plex O 19 Lower Level O 24 Stortn Damepe
? 06 04•plex O 12 12-plex Plbp_Y or_ N O 25 AMacellaneous
O 31 New O 35 Int Improvement O 38 Dertalish (IMerbr) O 44 Siding
? 32 Addition O 36 , Move &dp. 0 42 Demolish (Foundation) O 45 Fire Repair
O 33 Alteration O 37 Demolah (81dp)• 0 43 Reroof E3 46 Windows/Doors
O 34 Replacement 'DomollNon (Entln Bldp only) - Givo PCA handout to applleant
Valuation Occupancy MGES System
Census Code Zoning Cily Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (aew bidg) _ FineUC.O.
_ Footings (deck) _ FmeUNo C.O.
_ Footings (ad(hrion) _ Plumbing
Foundation HVAC
Drain Tile
Roof Ice & Water Finsl Other
_ Framing _ Pool _ Ftgs _ Au/Gas Tests _ Final
_ Fireplace _ RI. _ Air Test _ Final _ Sid'mg Shwco Stone
_ Insulaaon _ Windows (aw/replacement)
Approved By . Building Inspector
Sase Fee - / - - .v_.W
_LLL1lJa2_
Surcharge 50
Plan Review
MC/ES SAC
ciry sAC
Wafer Supply 8 Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Pertnit
Mechanical Permit
License Search
Copies
' Other °
Total I~ `
RESIDENTIAL 1_q--Oa Added as cid ~
' BUILDING PERMIT APPLICATION Uuluc~h')Y) i-o
pe ruh~ y 79N7
CITY OF EAGAN
3830 PILOT KNOB RD - 55122 ~
651-681-4675
NewConstruclion Reauiremenfs RemodeUReoairReauirements
• 3 registered sile surveys shaxing sq. fl. of lot, sq. ft of house; an~ll roofed areas • 2 copies of plan
(20%maximumbtcoveregealbwed) . lseto(EnergyCalcul ' nskrheatedadditions
• 2 copies of plan showing beam 8 window sizes; poured foufW desgn, eic.) . 1 site survey fw e r additions 8 decks
• lsetofEnergyCalculations . Indicate"rftro servedbysepticsystemforadditions
• 3 cop'ies of Tree Preservatbn Plan'rf bt platted a@er 71153
• Rim Joist Detail Options selection sheet (bldgs wBh 3 or less unifs)
DATE /01 'olI '6 VALUQ'ION
JOB SITE ADDRESS 3 5 D'L 1 IY)N
IF MULTI-FAMILY BUILDQING, HOW MANY UNITS? r~/~- I _
r
PROPERTY OWNER 176N../U.L ~/I,UYYI CXX~
iYPE OF WORK LULr)d01,0 ?I,I.I~Q.ILPR'n.P FIREPLACE(S) _ 0_ 1_ 2
APPLICANT MN C' P,H,/ONE# 4sa ~9~
ADDRESS . S~ _ .(TLl/K~ ~Y/fI/~.~ m/? ZIPCODE
PAGER # CELL PHONE # FAX # C/c~ •/c~' ~~`Y
NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY
Energy Code Category _ MINNFSOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
3-bd
_ MINNESOTA RULLS 7672 ~
- New Energy Code Worksheet Submitted `
Plumbing Confraetor: Phone
Plumbing System Includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00
_ Water Heater _ No. of R.I. Baths
_ No. of Baths
Meehanieal Contractor: Phone #
Mechanical System Includes: _ Air Conclirioning Fee: $70.00
_ Heat Recovery System
Sewer/Water Contractor: Phone #
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with aIl applicable State of Minnesota Statutes and City of Eagan Ordinanc 2 e~.n'
Stgnafure ofApplicant
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 1101
OFFICE USE ONLY
Y ~ .
0 01 Foundation O 07 05-plex ? 13 16-plex O 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling O 08 06-plex O 16 Fireplace O 21 Porch (3-sea.) O 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex O 17 Garage O 22 PorchlAddn. (4-sea.) O 33 Ext. Ait - SF
? 04 02-plex O 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level O 24 Storm Damage
? 06 04-plex O 12 12-plex Plbg_Y or _ N ? 25 Miscellaneaus
? 31 New ? 35 Int Improvement O 38 Demolish (Interior) 0 44 Siding
? 32 AddiGOn 0 36 Move Bldg. ? 42 Demolish (Foundation) 0 45 Fire Repair
? 33 Alteration ? 37 Dertwlish [Bldg)` ? 43 Reroof 0 46 Windows/Doors
? 34 Replacement •Damolilion (Entlre Bldg only) - Glva PCA handout to appllcant
Valuation Occupancy MC/ES System
Census Code Zoning Gity Water
SAC Units Stories Boaster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Lengih Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings(new bldg) _ FinellC.O.
_ Foo[ings(deck) _ FinallNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile
Roof Ice & VJater Final Other
_ Framiog _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ F'ueplace _ R.I. _ Air Test _ Final _ Sidiug Stucco Stone
_ Insulation _ Windows (new/replacetnent)
Approved By , Building Inspector
G -
Base Fee _S io
Sur ci iarye • qo
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanicai Permit
License Search
Copies
Other
Total ~Q~
CITY OF EAGAN N°_ 1 4 3 6 2
3830 Pilot KAob Road, P.O. Box 21-199, Eagan, MN 55121
~`7 ~0(0I
BUILDING PERMIT PHONE:454•8100 Receipt u~~
Tobeusedfor SF DWG/GAR EstValue $71,000 Date OCTQBER 28 19 87
Site Address 3954 WORCHESTER DR OFFICE USE ONLY
Lot 7 Block 1 Sec/Sub. HILLS OF STONE- on Site Sewage _ Occupancy R3
Parcel No. BRIDGE MWCCSystem X zoning RL On Site Well _ (Actuap Const Vn
a Name GRAND OAKS DEVEL CO Ciry Water X (Allowable) Vn
~ Address 4521 SO HAY LAKE RD PRV Required _ # of StOries 52
p
City EAGAN Phone 452-8934 Booster Pump _ Lengih
DePth 42
s Name SAME S.F.TOtal
0
oQ Addfess FootpriniS.F.
u
: City Phone APPROVALS FEES
W w Engr./Assess. Permit $ 402.00
Name 35.50
t i Planner Surcharge
uZ5 Address 201.00
a w City Phone Council Plan Review
BIdg.Off. SAC,City 100.00
I here6y acknowledBe ihat I have read Ihis application and stale that the Vanance SAC, MWCC 525.00
inlormation is correct and agree 1o compty wrth a11 aoPlicable State ot water Conn. 525.00
Minnesota Statutes and City1of Ea n Ordinance . .
Signature of Permittee Water Meter 67.00
RoadUnit 305.00
A Building Permit is issued to:_GRAND OAKS_DEVEL_CO- Treatment Pi 180100
on the express condition ihat all work shall be done i n accortlance wrth all
applicableStateotMinneso Statutesan itco4~ganOrdinances. Parks
$z>340.50
BuildingOlfiaal TOTAL
r
CITY OF EAGAN No ~$246
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55721
PHONE: 45t-8100 n C/ 3
BUILDING PERMIT Recetpt # 9
7obeusedfor BASEMENT FINISH Est.value $1,500 Date AUG 9 , 1990
Site Address 3954 WORCHESTER DR
Lot 7 Block 1 Sec/Sub. HILLS OF OFFICE USE ONLV
PBfCQI NO. STONEBRTDGE- Occupancy _ FEFS
Zomng
w Name Rich HunninQton (ACIUapConst Bld .Permn 35.00
o Address 3954 Worchester Dr. _ 9
Eaean (Allowable) Surcharge 1-OD
City Phone 452-7710 aof Stones _
LQngth Plan Review
~o Name Foss t'on uc 'on Depth _ SAGCit
ga Address 783_ 0 ll~h St Y
S.F. Total
~ Ciry o age Crove Phone 459-6842 s F Fooiprincs _ sac, nncwcc
~Q On Site Sewage _ PJater Conn
ww Name OnSilaWell
ti - Waier Meter
~aAddfBSS MWCC System _
`<w City Phone Cnywalar _ AccLDeposit
PqV Required _ SNJ Permit
I hereby acknowlege that I have reatl this application and state that the Boosier Pump _
information is correct and agree lo comply with all a hcable State ol ShV Sumharge
Minnesota Statutes and Ciry of Eagan Ordinances Treaiment PI
SignaWre ot Permitee ,l n~ APPROVALS Road Unit
A Building Permit is issued to: FLs ConStiuCtiOn Pianner - parkDetl.
on the express contlilion ihat all work shall be tlona in accortlance with all Council
applicabie Stata ol Minnesota StatuleIs and Ciry of Eagan Ortlinances. gl~ pp Copies
BuildingOflicial ~[x~~ g/tA I m~ Vanance - TOTAL 36.00
Th" eenuest vol d v/~9 9aaa y
ie ~~~,tns i.om l
31617
RequrtsT Datv Fim N Rouph-i Insner~(on
5 Re~~wretl1 ReaDy Now Q WiII Nulily Inspoc-
~ 0ye5 o ior When Peady
LicenSetl Eleclncal Contractor I hereby repuest inspeclion of aGova
Owner elecvical work instelletl xt:
51,ee1 AtlAross, Bos o Houte No. Cnv
3 5q O T - ~ (2'~6r%
ectwil o. TownshiD Name or No. RanBe No. Counly
Occ nm (PRINT) Phoni, No.
1 CIB iU I tU TO 0
Power Supulier AdAress
Electrical Contractor (Company Name) Commr.toi's L,canse No.
v c O yal 5
MaJi p AtlJ~ess IConbactor or -Owner Makmq Insmilatmnl
/ 401 av , 6 v D m
Au[ho aetl pmture ( ontra ~ or/O ner Mak nB Installa~inn) Phune Nuynb~ c ~
~ - ~.J~
MINNESOT~ STATE 80 D OF ELECTRICITY TMIS INSPECTION FEQUEST WILL NOT
Grig9s-Mi wuy Bldg. - Poom N•191 BE ACCEPTED BY THE STATE BOAND
1821 Universitv Ave.. St. Pnul. MN 55100 UNLESS PROPEH INSPECTION FEE IS
o....... ~c».cnvncnn ENCLOSED.
-oe
REQUEST FOR ELECTRICAL INSPECTION r.9Ee-~aooooia 9
~ Sea instructions lor comple~ing this form on Eeck ol vellow coOV
31617 "X" Below Work Covered by lhis Request
Home Ru~~ye 7emporary Service
FInsomp,te TVpe ol8uibin0 AVOI mncee Wrtetl Equiu.,ent Wveit
Duplex Water Heater LiqhunG Fintwes
Api. Buildin~ Dryei Eleclric Heaiin
Commercial Bidy. Pumace S~lo Unloader
InAustrial Bldy. Air Conditioner Bulk Milk Tnnk
Farm otn..~ ucci v .mo~ ~SUCC~~vi
t n,r peci y Othm pihi:,
pectron nFee Belaw
N Fee Service EntrencaSiie B Fee Faxders/5uhlaeders N Pxo Grcuits
U to 200 qm>s 0 to 30 qm>5 0 tn 30 Am>s
Ahove 200 qmpy 31 ro IUO qmps 31 to 100 qm s
Swimminy Pool Above 100_Amps Above 100_P,mps
Transiormers Irrigation Boonis Partial. Other Fee
Signs Special Inspection 1
Rem~rks TOTAL F /~U
i
Nough-in I Date
Ft~~' I, the Electncal
. ~ Inspector, herobV
inal cerlify thnt tM1a above
t
~^(~KmsVection has Eeen
/ Z or~oee.
TpbrepueslvolOlBmoNRalwm .1 -
' ~
This reQUest voltl ~3 pry ~ s
18 months Irom
oD r &59 3 9
Rnnuest Ua~e Frte No. pnllpT-in Insuer,lion
flequ ed? Oqeatly NuwOWill Nolify In5Pec-
1'es C] NO «>r WhNn ReaAy
Lncensed Electncal Contractor I heraby request inspecUOn ul ebove
? Ownpr electr¢al work installad aC
Slreet Address, Bo or Rovte o. ^ S
v
/I
.395e- l ~ all
ecbon o. Townsnip Name or Na. flend~ a. Coumy
R ko-~a
Occu¢.unt(PqINT) Phune No,
~ a~~ daA s
Power Supplier Atltlress
k a(~Ekc-6-1~ r
Elecbmal Contractor ICompany Nemel Contmr.toi's cnye No.
%sD~cn =3
Mailm9 A dress IComractor or Owner Makinp Ins[a~lauonl
767s
Aut zed S~gna~ e (Conv cior. 0 wppf Mnbng Installation) Phone Number
~
MINNESOTA STATE BOAPD OF ELECTRICITY THIS INSPECTION pEQUEST WIIL NOT
G,ioes-MiAwey elde. - Aoom N•191 BE ACCEPTED BY THE STqTE BOAND
1821 Universilv Ave.. St. Pnul. MN 55100 UNLE55 PROPEF INSPECTION FEE IS
Phone(612)642-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION ee-oo`
1 See instruchons for camOlelin0 this lorm on beck ol vellow capy
~ 7~lG~_
bH 3 g "X" Relow Work Covered by Ihrs Request ~
Fdd PeD. TYpe ol BuJEinB APPliante! WirlE Equiumeni Wired
Home Bange Temporary Service
Duplex Water Heater Liqhbnq Fiatmes
ApL BwlAing Dryei ElectriC HeaUn
Conunercial BIAy. FumdCe Silo Unloader
InAustrial Bldy. Air Conditioner Bulk Milk Tank
Farm tnri Peet v Oihur ISur.cilyl
ucu y ther Oiho,
ompute lnspection fee Be/ow
p Fee ServlcaEnhenceSixe Ii Fee Fentlens/5ublenJe,s b Fne Qrcu'm
) Z.,,q-7) U to 200 Am ps 0 ta 30 Am s (Z 0 in 30 11n >
Above 200 qmpy 31 to 100 qmps 31 to 100 Am s
Swimming Pool Abave 100-Amps Abave 100_P,m)s
TranStormers Irrigation BoomS Partial. Other F e
Signs Special InsPection $ t~p
_ TOTA EE .~t
Pemirks
0
NouBh-m ~ D:, te
p vhe E cvicn
t-;rq nsoactor, e1oey
cer~ily the~ the above
Final D" te ~1 -Pspection hes been
~ fmada.
Thle reQUast voltl 18 months Irom
,Y/to/so C901553
0 33544 ,7 0J100
Raquest Dare Fre No. ugh-in Inspgctqn
eqwretl'+ ? Ready N. ill Nolily Inspeclor
A ua L SG a-li ? No When Reatly7
I p licensed contractor B owner hereby request inspection of above electrical work at:
Job AtlCrecs (SVeet. Box or Roule No.l CiN
3`t'6-iiir 6tiv~2crlks7~e Q~vL ~ r?G~~~
$ec[ion No Township Name or No. Ranga No Counry
~
Occupam (PRINT)
Phona No
me wles 2,c v}tzD E. NGt~a q sa- -7~ r
Power Suppher Atltlrass
~~ka17~ ~~EC7~~c
Eleancal Comractor (COmpany Name) Comracior5 Licanse No.
Maihng AaGress ~Contraclor or Ownar Maxing Installalion)
Aol rrze niWre n'v^ar•ori n Inslallaoon) Phone Number
`
MINNESOTA STATE BOAPD OF ELECTR CITV THIS INSPECTION REOUEST WILL NOT
Grlggs-MlCwey BIEg - qoom 54]] BE ACCEPTED BV THE STATE BOARD
1821 Universlly pve, St peul. MN 55100 UNLE55 PROPER INSPECTION FEE IS
PhiOnO (612) 1142,MW ENCLOSED
REQUEST FOR ELECTRICAL INSPECTION
lli~ See in5tmclions lor compleling Nis lorm on back oi yellow copy F~6) ~ 5
„X'~Fe/ow Work Covered by This Request
G 33544
e Adtl ReR TypeofBwltling AppliancesWiretl EqwpmentWueO
Home Range Temporary Service
Duplez Water Heater Electric Heanng
Apt. Bwldmg Dryer Other (Specity)
Comm./Industrial Furnace
Farm Air Conditioner
Oiher (specily) ConVeclar5 Remerks
Compute Inspection Fee Below'
n Other Fee # ServiceEniranceSize Fee # Circuits/Feetlers Fee
Swimmmg Pool 0 to 200 Amps 0 to 100 Amps
hanstormer5 Above 200 _ Amps Above 100 _ Amps
Signs inwector5 use oniy 707 L
Irrigation eooms ~j • ~3~ S O
Special Inspection ~
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 M NS.
I, ihe Electrical Inspector, hereby RO1g"""
cerhfy that ihe above inspection has F,,,ai oata ~
been made.
OFFICE USE ONLY
This request mid 18 months lrom
f RESIDENTIAL
Srt BUILDING PERMIT APPLICATION 13 .75
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Conatructlon qeaulremeMa BemotleVNeoair Reau(raments
• 3 registered site surveys showing sq. tt. oi bt, sq. IL of house; and,~ll roofatl areas • 2 oopies of plan
(2(rmaximum bt cove2ge allowed) . 1 set ot Energy Calculatbns tor heated adtlAions
. 2 copiesot Dlan showing beam & window sizes; poured found tlesign, etc.) • 1 sfte survay lor exterior atltlAbns 8 decks
. 1 set of Energy Calculatbns • InOicate If home served by septic system lor additions
• 3coplesolTreePreservatbnPlan'rfbtplatledefier7/1193
• Rim Joist Detail Options selectbn sheet (pltlgs wtlh 3 or less unAS)
DATE ~Oa VALUATION ~aU
SITE ADDRESS MULTI-FAMILY BLDG _ Y
TYPE OF WORK Vll-m01/-2 a" ai,YJLaCL 6xj~ FIREPLACE(S) _ 0_ 1_ 2
APPLICANT &tOOF 11Y11/1l (GL (,6212oC1h~(jy-
STREETADDRESS S~~- CITY TEMVZiP
TELEPHONE#0 CELLPHONE# &427:i66-M'o F,vc# 9Q- Tgg_ F(11V
PROPERTY OWNER ZDn n I ei I a/YYl ~"J( a-t. TELEPHONE #6SI - 360S S1 50
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNFSOTA RULES 7670 CATEGORY 1 MI KJV** nII
(q submission type) . Residential Ventilalion Category 1 Worksheet Submitted • nergy Code Worksheet $U mitted
• Energy Envelope Calculations Submitted J U N 0 4 20 U
Plumbing Conhxtor: Phone # BY
Plumbing sys[em includes: Water Softener Iawn Sprinkler Fce: $90.00
Wa[er Hea[er No. of R.I. Baths
No. of Baths
Mechanical Contractar. Phone q
Vlechanica] system includes: Air Conditioning Fee: $70.00
_ Heat Recovery System
Sewer/Wafer Conhactor: Phone #
I hereby acknowledge ihat I have read ihis application, state that fhe information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinan~§
Signature of Applicanf VJ ~
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4l02
OFFICE USE ONLY
? 01 Foundation ? 07 OSplex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4sea.) ? 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 Pibg_Yor_N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteralion ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applfcaM
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) _ FinaVC.O.
_ Footings (deck) _ FinaVNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Fina] _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
Insulation _ Retaining Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit 8 Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
SURVEYOR'S CERTIFICATE `FOR GRAND OA-KS;
WORCHESTERr"DRIVE
' - 899. / , . . ~ 896 4 ~
N 3 53 7SA E 896.5
ca9~.8)ae~~ 84,.9 6 700
1896.5
r,i c o
C9 17 9,3 B96.75
~T
~ 0 2 G O, ` /O~~ 5~ ~ O
' ~ . Nool
~ i _ _ /7.5 ' vl N
~
~ IU ~ oo ^yF (899,3) _s2.0 (899.%x
~.V
~ vl 401 0 0 ^ I
' \1
i'• ~ . ~ 1~-
-LOT 7
4
p~T
5L 5
189z~1 ~ ~ ° 1(892.~)
, ta"870/ 7892.2.
R=5679•56
895./
Y896.2
DODDoROAD
_ µ896.3 _ g95.2
~
PROPOSED ELEVATIONS Si;04;N b1ERE
TAKEiJ FROh1 THE DEVELOPPIENT PLAP!
FOR HILLS OF STONE3R?DGc, PRE-
PARED BY PIONEcR ENGINEERING AND
LAST DATED 8-25-87.
~
~ oT o ~o D yD James R. Hill, inc.
nm ~m ~ w
0 a o`~Z ~ Z m m~? PLANNERS / ENGINEERS / SURVEYORS
d N O m v 9401 JAMES.AVE. S. • BLOOMINGTON, MN. 55431 • 612-884-3029
0
q:3
1987 BDILDING PERMIT APPLICATION - CITY OF EAGAN
/lj
SINGLE FAMILY DWELLINGS
IPCLDDE 2 SEfS OF PLANS, 3 CERTIFICATES OF SQ(iVEY, 1 SET OF ENERGY C9LCQLATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOHNER MQST DESIGNAYE NHICH 9DDRESS
IS DESIRED. NO CH9NGES WILL BE 9LLOWED ONCE BQILDING PERMIT IS ISSQED.
MOI.TIPLE DLiELLINGS - RFSIDENTIAL RENTAL UAIITS FOR S9LE [TNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SIIRVEY - CHECH HITH BLDG. DEPT.,
t SET OF ENERGY CALCULATIONS
COMMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
To Be Used For: SF Valuation: 910eo Date: 10-26-87
Site Address -3954 Worctiester.Dr:? OFFICE USE ONLY
Lot •7' Bloek 1- pn Site Sewage_ Oecupancy
MWCC System Zoning
? jL -l
Parcel/Sub Hills of Stonebridge On Site Well Type of Const
City Water ? (Actual) V- N
Owner Grand Oaks Development Co.. (Allowable) V-N
li of Stories
kddress 4521 So. Hay Lake Rd, Length
Depth CfV
City/Zip Code Eagan 55123 S.F. Total
Phone 452-8934 Ardy Parish Footprint S.F.
APPROVAIS FEES
Contractor same ' Assessments Permit 4 D Z,bD
Water/Sewer Surcharge 35,SU
Address Police Plan Review 2 Ul,oo
Fire SAC, City /00,40
City/Zip Code Engr SAC, MWCC 525,0
o
Planner Water Conn 525 ,00
Phone Couneil Water Meter 6r7,00
Bldg Off Road Unit 30$, DO
Arch./Engr. APC Treatment Pl T Q~o.ou
Variance Parks
Address Copies
City/Zip Code TOTAL
Phone 4k
. . ,I, . . p ,
• . FXTEkIOR ENVELD?'E Al''LRAG E 'U' COl`SPUTRTTOfJ
GRAND OAKS DEVtLOPI'lEN7 COhiPANY
MODEL AREA U U X AREA
~ . .
FEGUIRED '
/i. TOTAL WALL ARL"A 1[)00 X'.I1 1?3 .
TGTAL ROOFARF:A 1196 X.026 31.096
ACHIEVED AREA U U X AREA
A. WINDOW AREA I1315.66 •5
D. DCiCJR AREA _~9. U . 077 0 0"46
C. SLI DE GLASS r'iFEA 13.44 .40 , D. FIREPLACE A'riL/a 0 0
f=. WF:LL FhAMC AREA 1R0 .041 ~~U
F. NFT WALL ARCA 1 164. 1 .04 9 57. 0,109
- G. RIM JOIST AREA 119.52 .0436 5.:11072
H. 1=0UND WIhDOW AREA U
I. FOUND AEtOVG CiRADE 96.48 . 1 Z1-5 13. U_'4EI
31 70l'AL P1r1LL AREA 1000 ' 105.5026
J. SKYLIT[ 0 0 cl
IC. f10UF FRAME 119.6 .032 3.0272
L. NET ROOF AREA 1076.4 .0=5 26•91
4. 1"OTAL ROOF AREA 1196 -.0•7372
SUM 1.+2. 229.U96
SUM 3. +4. 216. 2~9EJ
'CERYIFICATE ':FOR GRAND OAKS
~ DENOTES PROPOSED SURFACE DRAINAGE
O DENOTES IRON MONUMENT SET SCALE: 1 INCH - .3~ FEET
• DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR ~ 899.(o FEET,
X000.0 DENOTES EXISTING EIEVATION PROPOSED LOWEST FLOOR = 896.9 FEE7
(000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK-- 900,1 FEET
WE HEREBY CERTIFY TO GflAyO OA/FS THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Lot 7, B/ock N/LL S OF STONEBRIOGE, qccordin9 to the recorded
p/ot thereof, Dakoto County, Minnesotd.
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS
SURVEYED BY ME OR UNDER MY D!RECT SUPERVISICN THIS 23 DAY OF OCTOBcn', 19 87
SIGNED: S. HILL, INC. n
l_.. ~
BY:
HAROLD C. PETERSON, LAND SURVEYOR
MINNESOTA LICENSE NUMBER 12294
~ ~ ii ~O ~ m W y~
= o James R. Hill inc.
N p'T' ten x u~ 0 0 >
~
~ m o W~' ; o y m mZ
a pLqNNERS / ENGINEERS / SURVEYORS
Z C, ~ m W
N O m J <
9401 JAMES AVE. S. • BLOOMINGTON, MN. 55431 • 612-884-3029
N
O
N
i~~4 (e
1990 BUZLDING YERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL
2 SETS OF PLANS 2 SETS OF PIANS 2 SETS OF ARCHITECTURAL
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.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHAnGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEA' COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
auc o 7 Reco
To Be Used For: A/y. 01;5A. Valuation: ~ Date: _ ~-7- 20
Sice Address L~ ~)C-2g~SP
/OFFICE USE ONLY
Lot ~ Block ~R1JC- FEES
Occupancy
~f Zoning
Parcel/Sub y.~~)~( Actual Const Bldg. Permit
~ Allowable Surcharge
Oioner H L~L,,,, # of stories Plan Review
Length SAC, City
Address 39Sy wI~es~'e Urn>E Depth SAC, MWCC
S.F. Total Water Conn
City/Zip Code ~SA r-) Footprint S.F. Water Meter
Acct. Deposit
Phone ysa-' 77/() On site sewage_ S/W Permit
L L On site well S/W Surcharge
Contractor ro S S Co C7 N i..,~. '"f ; a.j MWCC System _ Treatment P1.
City water Road Unit
Address _2$ jp 110+i, S~- PRV Park Ded.
1 Booster Pump Copies
City/Zip Code GofI~9qe SUBTOTAL
Phone ys9- .~,gy~ S's~~d APPROVALS Penalty
Planner TOTAL
Council
Arch./Engr. Bldg. Off.
Variance
Address
City/2ip Code
Phone 4
*.:x.:...w:::..ww-
APFLICATION FOR PERMIT s~.N31'E= PASMENr OF FEE AT TIME OF
. ; r,enLxcnTTON ooES cxrr cow- ;
~ SPINPE APPfi(iJAL OF PkItM1IIT. i
SEWER AND/OR WATER CONNECTION + INse~aN oF mqER ANn/ox vuTea
itzsrncuzzoKS wu.c Nar ee arrrx,rsn ;
• ~[TII'IL PER6IIT HAS BgN APPROVID. ~
*x~+i:tr~r~ete~:trriw++*+t~:.rka.».aie
.
ity oF eagcsn
(PLEASE PRINT 1) PROPERTY ADDRESS:
LFGAL DESCE2IPTION:. L~~ T 7 f3L~c~ K( lLLs c~ SL
-7LOt Bloc S vision or Tax Parcel ID
IF EXISTING STR=TRE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE:
Mont Year
PRESENT ZONING/PROPOSID OSE:
Q CONIlIETtCIAL/RETAIL/OFFICE f R-1 SINGLE FP.AIILY
Q INDOSTRIAL R-2 DOPLEX (3Wo Cnits)
~ INSTIZ[7TIONAL/G0VERN[v]ENT ~ R-3 TC)WNHOUSE (Three + Units) ( Units)
~ R-4 APARTMENT/CODIDOMINILM ( Onits)
2) ~ NAME c i S
ADoREss: ~.5a~ s Lr~kf .~~C
CITY, STATE, ZIP: ~Q .4J SS"jZ.3
PHONE: J~ :?-Lj
For City Use
3) NAME: l , e'l ~ plumbers License:
ADdRESS: /pkC 4&J C~ Actired
CITY, STATE, ZIP: ~
c- c ak_] M,'j 553 S Z Not rewrded
PHONE: 2_ i Z I MASTEEt LICENSE L, Sta Initla
4) erggfl~~
ruME: c~
ADDRESS: ~J 6 n~ L cL S ( L~
CITY, STATE, ZIP:
PHONE:
5) s a ~a7 i : •3n . ~a~
CONNECTION TO CITY SEWER /CONNECTIO[V TO CITY WATER O OTHII2
- -
6) 105 =ej, N V 0
****~r*******ir****rt**************ir*****Yr***********k*k*kk*******Yr**Yr*************1*******kik**1******Y
THE GOID COPY OF THE PEf2NIIT WILL BE SENP DIRFx'PLY 10 PLBLIC TORKS TC) FACILITATE NIE,TER PICK-[7P.
* PLEPSE 11LSAW 'IWb FARKING DAYS FbR PROCFSSING. SOh1EtONE FROM TM CITY WILL CONTACi` Y00 IF 1SIII2E `k
* ARE ANSf PROBI,EMS. }
~*~***+*~***r.~****~~**,~***~***++**t**~*****+t************+*********~~*,r********~******~**~**r+*+*~*~
.-FOR -CITY USE ONLY .
PERMIT # ISSUED
Pd w/Bldg. Permit FEES:
$ $ SEWER PERMIT (INCLUDE SURCHARGE )
$ $ ~O WATER PERMIT (INCLUDE S[.'RCHARGE )
$ 67,19 D $ WATER METER/COPPERHORN/OUTSIDE READER
$ $ WATER TAP (INCLUDE CORPORATION STOP)
$ $ SEWER TAP
$ $ /~i•C' ~ ACCOUNT DEPOSIT - SEWER
$ $ ACCOUNT DEPOSIT - WATER
$ $ wAc
S ~z $ sac
$ $ TRUNK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRUNK WATER
$ I 0 U v~ $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
$ ~3 ~7 7 U v S !~7' U'J TOTAL
. i 7
REC IPT RECE PT
DOES UTILITY CONNECTION REQUIRE,EXCAVATION IN POBLIC RIGHT OF WAY?
F__j YES IF YES, THEN A"PERMIT FOR WORK SVITHIN PUBLIC
ROADWAY" MUST BE ISSUED BY THE ENGINEERING
E-3 NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE: Ilf/I 946 7