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3955 Worchester Dr . ~ . (Itrfi#ira#e o# (Orrupanry titp of eagan loqrartnmi u.f #iwwng jwrrtina Tbis Certiftrnte issued parsaant w tbe requiremenGs of Section 306 of the Uniform Building Code cerrifying thal at tlie lime of rssuance tl& structure wns in contpliaRCe wrlh tJre ?+arious orrlinances of 1he City regulaW buMrg construction or use. For the following.. un cumdxo, S'F DWG/GAR 17153 M"'~. ~ r~. d~ R S H R3 I E1~ES ~ ~ PD I pN owm Addm 5516 180rIli ST E, PRIfJR I,l1IKE ~ 3955 ~ DRIVE ~L 12, ffi, F~.iS fd~ SZQ~ ~'1BER 12, 19~89 , e~,. o~ POST IN A CONSPICUOUS PLACE - ~~.y ..;`°~'.~.~:`.~p~..~'..~. .•zyk;al~AK`i:7'~.'~.«::T.r"!;x;~~...v.!'?,.t~;s~f~*i@T=". . . . . . - CITY OF EAGAN 17153 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # ~ To be used for S! DWG/GAR Est. value =77 ,000 Date DL`i 10 , 19g9-- Site Address 3935 WORCHtSTB1t DR Lot 12 Block 2 Sec/Sub. bi~ O~ OFFICE USE ONIY ParCel N0. Occupancy R-31-V--1 FEES zoning IPD R'" i W Name R$ dHOM (Actual) Const v~ BIdg.Permft s~•~ ~ Address SSIb 180TH 8? Q (nuow~ie) - s~«~~9e 33.50 City ~i~ ~U Phone ~0~-6900 # of stories 26d• Length 41 ~ Plan Review 00 o Name SAM oepin snc.city 100•00 00~ Address S.F. Tolal - s~S~~ sac, Mcwcc ~ City Phone S.F. Footprints - M0.00 0n Sile Sewage _ Water Conn ~ W W Name Ofl $1tB W9ll Water Meter ~ ; Address Mwcc system ~ 30•00 Q Z ~ ncct. oeposil <W City Phone City Water PRV Required _ SAN Permit I hereby acknowlege that I have read ihis application and state that the Booster Pump - gMl Surcharge 1•00 information is correct and agre e to with alb applicable State of Minnesota Stawtes and City-pi ~agancomQ i nces. " Treatment PI 228• 00 Signature ot Permilee APPROVALS Raad Unit 340•00 ~ A Building Permd is issuCd to: R K RmS Planner - Park Ded. on the axpress condition that all work shall be done in accordance wilh all Council _ applicable State of Minnesota Statutes and City ot Eagan Ordinances. gld9, pti _ Copies Variance TOTAL 2,806.50 Building Ofiicial - , - PermR No. Permit Hokler Date Telephone # W,,ATER O ~ SEI+VER v M BING H.v.A.C. ELEcrRnc /oic 8'9 wop.ee«, o,,. insp. comn,ems Fooeugs I l.t zi4s Foundaba, d c framing 4,1c- - - ~ P-firQ _ p 9- } Bwo Plbs• Rough Htg- IFAA. Firepla- ,nal ?t,. FwW Plbg - Const. Me1er Plbg. Inspedor - Notify Plumber EngriPlan ewg. Final Detk Ftg. Deck Fnal wea P?. oisp. ~ ..-r , . M._ • . . . -..:J~.r . ..y... . v.. PERMIT # . w V . MECHANICAL PERMIT RECEIPT # ~ 3830 PILOT K OB OAO, EAGAN, MN 55122 DATE CONTRACT PRICE PNONE: 454-8100 For Office Use Only: SiteAddress 95i WORCHES?'_F.R RQAI) gLpQ,TypE WORKDESCRIPTION Lot Block Sec/.Sub Res. X New x U.:~N V T LI.E iI&T C Mult Add-on Name !3 m 12481 ~ r~ Comm. Repair ~ Address ' ah~ - c City S'k ti'AGE Phone 89?-'~00r Name F. S i! H: i F` S hr FEES RES. HVAC 0-100 M BTU - $24.00 c Addres3 ADDITIONAL 50 M BTU - 6.00 p City Phone ~ (R~• HVAC INCWDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM -1 PER PERMIT) - 1.50 EA. TYPE OF WORK COMM/IND FEE - 196 OF, CONTRACT FEE Forced Air M BTU • APT. BLDGS. - COMM. RATE APPUES TOWNHOUSE 8 CONDOS - RES. RATE APPLIES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8 Unit Heater M BTU . REMQDELS - 12.00 Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00 S7ATE SURCHARGE PER PERMIT - .50 Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Oudets # \ BEYOND $1.000) Other FEE ~ S/C: SIGNATURE OF PERMITTEE - TOTAL• FOR: CITY OF EAGAN ~ . . _~~.__.__~_.~...__~ii.......~f_~ ..:r-ws~r~~~iAiN _..-±¢x~..~w~w..A ~w-- ._A~?.j'~~ 'i~?'~~w~'TC'.~~i"~^Ti• ~ r- w~+w a ' . PERMIT # , PLUMBING PEI1MIT RECEIPT # • CITY OF EAGAN 3830 PILOT KNOB ROAD. EAGAN, MN 55122 DATE: CONTRACT PRICE PHONE: 451-6100 Site Address ~ L dr !r~~''~' BIDG. TYPE WORK DESCRIPTION Lot A) Block ~ SeciSub •Res. T_ New -117' vult. Add-on m Name •Gomm. Repair m Address ~ ~ = ~ -Other c City P h o n e RE3. PLBG. ONLY - COMPLETE THE FOLLOWING: . M0. FIXTURES TOTA4_ Water Ctoset - $3.00 Name _ Bath Tubs - $3.00 3 Address ~ Lavatory - $3.00 ~ p Ciry Phone , ? 8hower - $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 APPUES / Floor Drains -$1.50 TOWNHOUSE 8 CONDO - RES. RATE APPLIES /Water Heater -$1.50 MINIMUM - HESIDENTIAL FEE - $12.00 Whirlpool - $3.00 MINIMUM - COMM/IND FEE - $20.00 ~ Gas Piping Outlets - $1.50 STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIT) (ADO $50 S/C IF PERMIT PRICE GOES Softener -$5.00 BEYOND $1,000.00) Well - $10.00 - t Private Disp. - $10.00 Rough Openings - $1.50 ~ ~-t • . SIGN RE OF PERMITTEE . FEE: ' STATE S/C: ''•FOR: CITY OF EAGAN ' GRAND TOTAL• _ . • . .Y , ' 'ti. . CITY OF EAGAN ; 454-8100 - DEPT. OF BUILDING INSPECTIONS I Correction Notice Located at I have this day inspected fhis structure and these premises and have found the following violations of city codes governing same: &'jaS- Uz.e/C ~ U.' ~.?.GC - 2 S ~~JiSS i NG - /~r.~l~F2 tu ~c.~'2 LG liL L sT Mi>3 i ?,/G - ~ ,tc~3 - •~v- ~ -..s When corrections have been made, please call 454-8100 for inspection. Date ///G Inspector City oi Eagan DO NOT REMOVE THIS TAG ~ SEWER & WATER PERMIT OFFICE USE ONLY CITY OF EAGAN PERMIT DATE 1 1/ A 9 3830 Pilot Knob Rd. 10998 f~0 BOX 21 199 WATER PERMIT SEWER PERMIT ~ Eagan, MN 55121 _~ME'ER ~ ~3~T B.P. RECEIPT # C ~~I6n 9,P~ISER # B.P. RECEIPT DATE 101101 9 METER SIZE 04X-nV(,'/ i ISSUE DATE _ PRV - BOOSTER PUMP , SITE ADDRESS PERMIT REQUESTED LOT ~BLOCK ~SEC/SUB APPLICANT: v..t -&SEWER -N-WATER _ TAPS ADDFdESS: _ COMM/IND ~ RESIDENTIAL CITY, STATE a- LL'- VA ZIP 'PHO+ E: yAO' VLOP L NEW _ EXISTING PLUMBER: ADDRESS: 1a1-Scl 11~0IR.c. N Av A— I AGREE CO ~Y WI CITY OF I GITY, STATE Vc^ Z~p fi53~4, EA N DIN ES: ~ PHONE: ~ OWNER: _<fUW1A. OLS ~lJ. I ' ADDRESS: SIGNATU E WHEN METE ISS D 'I CITY, STATE ZIP ~ i PHONE: r PLEASE ALLOW TWO %YORKING DAYS FOR PROCIESSING. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT~je~~.,?<' _e_~: , SEWER dc WATER PERMIT OFFICE USE ONLY CITY OF EAGAN PERMfT DATE I(! I u ~ 3&30 PIIOt KnOb Rd. yyATER PEFiMIT # SEWER PERMIT # P: O. B ox 2 1 1 9 9 METER # B.P. RECEIPT #E "~i• 1 Eagan, MN 55121 READER # B.P. RECEIPT DATE 10 ts4 l METER SIZE ' ISSUE DATE _ PRV _ BOOSTER PUMP SITE ADDRESS PERMIT RECIUESTED LOT-L L-BLOCK ! SEC/SUB APPLICANT: 4~ ~ S -2~SEWER k WATER _ TAPS ADDRESS: C&SI b -'I E - COMAA/IND RESIDENTIAL CITY, STARTE ZIP ~ P14ONE: 6`t~ n NEW _EXISTING It' PLUMBEtR: L.C'~C-~,'.~jc C.~ e. " ADDRESS: HES Zi Q51c, ^J AM -0- I A~EE Tp COM~LY WITJi CITY OF CITY, STATE ZIP EA N QEIDIN S: PHONE: . - 7 6c'~ / ~IZS W? tbM? ~ OWNER: _'tL t U4+_p CL't~ AaC • , ADDRESS: SIGNATURE WHEN METER ISSUED CITY, STATE ZIP PHONE: PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. . ' •I ~ CASH F4ECEIPff CITY 01~ EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 . ' i ~ DATE RKMnEO rnOM J - L- i AMa,Hr s j L~ L7 & DOLLARS lm ? CASH I~I CHECK FOR l:.c , j_; ~ ~:Jt~ t~.• T FUND OBJECT AMOUH(T 1 ~ 1 ~ r' ! , Thank You ' BY C 4160 YONOW-Poeft Ce,,, ~ _ wnr`--+"° c°°1' IN5PECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road ~ Permit Number: Eagan, Minnesota 55122-1897 Date Issued: ~ (612) 681-4675 SITE ADDR ESS: L' APPLICANT: i,• f~<<~~.~. i.~ri~~ i II? i , i.,~ n! ,,:I r: I 1( , IlF ~':I <ii4r r:i) f iir,t PERMIT SUBTYPE: TYPE OF WORK: INSPECTION DA • D. I ~ ~ v.M Nm wm,n nora.r QOW TNworw • ELECTRIC PLUMBING HVAC Inspectlon OoM Yfsp. Conrmnb FOOTINGS I FOUND I FRAMING ROOFlWG ROUGH PLUMBINO PLBG AIR TEST ROUGH HEATiN(3 TEST VC INSUL GYPBOARD FIREPLACE LOO, FIREPLACE AIR TES7 FINAL PLBG FlNAL HTG ORSAT TEST BLOG FINAL BSMT R.I. BSMT FINAL DECK FfG DECK FlNAL INSPECTIUN RECORD CITY QF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: • Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: ~ i im- !Ii 't i FCr IM i~•~ ~ , :~r•1 , i , Mitf; 1 1111,4I PERMIT SUBTYPE: TYPE OF WORK: INSPECTION . ''t?toll iN lif, I I f4li1 I ~ L ~ Permit No. Mrmq Fio1dM DeM TMmQlwne * S/W PLUMBING HVAC ELECTRIC ELECTRIC Inapwtlon Dop Insp. Commsnta FootiVs I Foundetlon Fra"ning ~ S - - - C D S4~ /D Rou9h Plbg. Rough FKy Isul. Fireplam Final Htp. Oisat Teet Rnal Plbg. Pb9. MePecto? - NoN K-kw Const. Meter ErgrJPlan Bldg. Final Deck F1p. Oedc Final wex Pc Disp. INSPECTION RECORD~ ~ CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: 1 1 tt 4 (612) 681-4675 SITE ADDRESS: } . APPLICANT: ~ 11,~lr~ t?! ~ i; ~~1 1•M1 I lt l; (hl.') fitifi 1911 PERMIT SUBTYPE: TYPE OF WORK: INSPECTION . - - ~ Psnnk No. PennK Holder Dsb Teleryhafs A SNN PLUMBING HVAC ELECTRIC ELECTRIC Irnpection Dew Insp. Commonts Footk?ge I Foundalion Framinp P4068 Rouph PIb9• Rough Ht9• Isul. FreplaCe Ffnal Htg. Orsat Test Final plbg. PIb9. lneper,ta - Plotlry Plurnber Const. Meter En9?JPlan BWg. Finel Declc Ftg. ~ Deck Firrel ~ ~ Well Pt. Disp. CITY OF EAGAN N2 17153 3830 Pilot Knob Road,P.O. Box 21-199, Eagan, MN 55121 ' BUILDING PERMIT PHONE:454-8700 Receipt # Y ~L' ~ Tobeusedlor SF DWG/GAR EsLValue $77,000 Date OCT 1 0 , 7989 Site Address 3955 WORCHESTER DR OFFICE USE ONLV Lot 12 Block 2 Sec/Sub. HILLS OF Parcel No. ST NEBRIDGE acuPancy R-3 M-1 FEFs Zoning PD R-1 w Name R S M HOMES (Aclual) ConSt V-N Bldg. Pcrmit 536.00 o Address 5516 180TH ST E (Allowable) -N swcnarge 38.50 City PRIOR LAKF. phone 440-6900 x of stones - Leryth 41' Plan Review 268.00 ~o Name SAME OePth 6 ~ snG ary 100.00 00 Address S,F. iotal °F - SAC,MCWCC 575.00 City Phone S.F. Footprinis - On Sne Sewage _ Waier Conn 580.00 u~ ww Name On Sile well _ Walar Meter 90.00 i~ Addf05S MWCCSsIem ~ u i Y Accl.Deposit 30•00 gw City Phone aiywaiar XX PRV Required - SNJ Permit 20. 00 I hereby acknowlege that I have r ad this a phcation nd state that the Boosier Pump - SiW Surcharge 1- 00 information is correct and a ree o com with a applica6lo State of Minnesota Statutes antl I gan O i nces 7reatment PI 228.00 Signature of Permitee APPROVALS Roatl Unit 340.00 A Building Permit is issu d to: R S M NOMES Pianner - park DeO. on the express conditio ihat all work shall be tlone in accordance with all CAUncA _ applicable State ol Minnesota StaNtes and Ciry of Eagan Ordinances Bldg. OII. Copies Building Ollicial 0mal' 4 Variance - TOTAL 2,806.50 ' DATE: 90/11/89 RE: 3954 P,t1i2[`NRST[?A nRiNn_ 112, B3, HiLLS OF S30NEBRIBGE R?L Your Sewer & Water Permit for the above property has been completed. It will be held at the Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. ~Your Sewer 8 Water Permit for the above property cannot be completed for the tollowing • jieasons: _ Your Sewer & Water Permit for the above property has been completed, but the meter cannot be issued or occupancy allowed until further notice. - COMMERCIAL PROJECTS ONLY: Please pay for meter at Ciry Hall. Meter size must be confirmed by Bill Adams or Duk House (Plumbing Inspectors - 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, EIECTRIC, GAS, ETC. - REOUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. " DATE: 10/E1/89 RE 3955 KD!1C11ESFER DR1VE. L12, $3, H1LLS OF STONEBRIDGE Your Sewer & Water Permit for the above property has been completed. It will be held at the Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. Wour Sewer & Water Permit for the above property cannot be completed for the following ' f'reasons: - . _ Your Sewer & Water Permit for the above property has been completed, but the meter cannat be issued or occupancy allowed until further notice. - COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TEIEPHONE, ELECTRIC, GAS, ETC. REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. i i.s~~y • ~ 9 ~~G 9 ~ 4020 (X G 'YCl~ Fequesl Oate Fre No. ugh-inlnspec0on Reqwrea'+ ? Featly Naw y Will Notity Inspector es ? No H'hen Reatly? licensed contractor ? owner hereby request inspection of above electrical work at: Job Address (Street, Box or Route No ) qry .S ~C~/ I-~c$ ~"C.r i^ UL!J! l(/1'7 Seaion No Township N.T. or No. Range No Couny Occupant(PR T) Phone No S , Power upPi Atltlress Gt Y~. ~~n r Elecincal ctw (COmpeny Name) Conva License No s- Maihng ress ConVactor or Owner Making Installation) 76. AutlrorizeE Si aWle(COnlraclorlOwner Making inslallat Phone N r MINNESOiA STATE BOARO Of ELECTiiICT' TMIS INSPECTION REOUEST WILL NOT Griggo-Mldway Bldg. - Room S173 BE ACCEPTED BV THE STATE 80AFD 1821 Univenily Ave., St. Paul, MN 5510C UNLESS PROPER INSPECTION FEE IS Phom (612)642-0900 ENCLOSED REOIJEST FOR ELECTRICAL INSPECTION i ee.00001o7 ? Sce insVUCUans for campleeng this lortn on back of yallmv copy ~ T4020 "X" Below Work Covered by This Request e Ac~d ep. - TypeolBUilding AppliancesWired EquipmentWired Home Range Temporary Service Duplex Water Heater Elecinc Heallng Apt. Building Oryer Other (Specify) Comm./Industrial Furnace Farm Air Conddioner Other (specity) ConVadorS Remarks. Compute Inspection Fee Below: # Olher Fee # ServiceEnirenceSiza Fee N Circuits/Feeders Fee Swimming Pool 0 to 200 Amps ' 0 m 100 Amps Transfortners Above 200 _ Amps Abova 700 _ Amps SigpS Inspectar5 Use Only' TOTAL Irrigation Booms 7 ~ Special Inspection AlarmlCommunication ?B Other Fee ~ I, the Electrical Inspector, hereby Rouqn-in . oate certify that the above inspection has Finai f oe~e been made. OFFICE USE ONLV This request witl 18 monNS from v/1S 7 ~ 58752 ~%F 2 6~0 Request DoleQ Fua No qough-in pec~ian ~ Fe mr + ? Reatly Now ~ Wili Notity Inspector Yes ? No When Ready7 I 01icensed contractor ? owner hereby request inspection of above electrical work atJob Atltlre.a (SVeet, Box or Route No ) Qry Section No 7ownshi0 Name or No. Range No. Counry Occupan~~P~~R Phone No. -~f'Yf f~~~')~eS Pawer SuXpp~~ Atltlress l ? / Eleclncal ConlractOr (COmpany Name) Contraclor5 cense No. So/4 Maiing Atltlress (Contactor or Owner Making Installa0on) CrJ Aulhonz¢d Sgn~ re(ConhaRONOwner Mabrg InstaNat Pho Number / MINNESOTA STATE BOAHO OF ELECTAICRY THIS INSPECTION REOUEST WILL NOT GrlggaMlGway Bltlg. - Poom ^s173 BE ACCEPTED BV THE STATE BOARp 1821 Unlversiry qve., St Paul, MN 55100 UNLESS PROPER INSPECTION FEE IS Phone (812) 6E2-0800 ENCLOSED ~OO/8Q REQUEST FOR ELECTRICAL INSPECTION r: Eaaooi-07 / ? See insVUpnns iw mmpletin9 this fortn on back oi yelbw mpy P. 58752 'X" Bc~low'Wo`rk Covered by This Request e AQQ ep„- TypeofBUiltling AppliancesWired EquipmantWiretl HDu ome Range Temporary Service plex Water Heater Electric Heating Apt. Building Dryer Other (Specity) Comm./Industrial Fumace Farm Air Condi[ioner Olher (speoly) ConVacYOtB Femarks Campute Inspection Fee Below: # Other Fee # ServiceEmrenceSize Fee # Cirwns/Feeders Fee Swimmmg Pool 0 to 200 Amps 0 to 700 Amps - Transformers Above 200 _ Amps Above 100 _ Amps SignS Inspector§ Use Ony. TOTAL ~ Irrigation Booms Special Inspection ~ AIarMCommumcation Other Fee I, ihe Electrical Inspector, hereby Rou9hm /,z , fe certifythattheaboveinspechonhas eO~O ~ been made. OFFICE USE ONLV f./ This requesl witl 18 monlhs from . Sll1'~~I~U7'`s G'erl~f~c~ll`e - ~ ~ SURVEY FOR: R.S.D:. I3omes Inc. i OESGRIBED AS: Lot 12, Block 2, (IILI,S OF S7'ONGBRTDGE. City of. Eagan, ~ Dakota County Plinnesota and r-eserving easements of record. ~ f 7 ~ 4 ~ s ~ I O ~ \ \ \ 9•~~, / ; ~ ~4 I 6 JS ~ ~ .p / Ar 3f . ~ \ \ I h ~ ~30 '~,y e~~>°\ 9Bi q.2pv / --T~ 4~• n N, r , w~ . eac ~6~ ~ 8 1 22 0~ ~ F f4 P~. ~ ti°' ~ . i S > ~ ! Q. f c4~ ~~'y Q [ a ~ 'n \ Jp i d $ ~~•`ry N 3000 / ~C/~ . v n q~ ~ I LOT SQUARE F OTAGE,-<.\ ;1.2; 364 . s: Y~r~_..~. _ PROPOSED ELEYAiIONS BENCFIMANN, ' ToD of Foundatlon . y00.4 Let ia44. ?Ik i~ elw.=84t.19 6oroye Floor . qoo.o Bosemsnt Floor =1 (Sc) % SA-T•Z I MIH. 9ETBACK REOIREMENiS ApProe Sower Ssrrlas Elov. . pid.. v.-:S To~ ` Propoied Elerollons I Q Front --iO Houll Slde -+0 m Eaisllnq ElevoNonf . Oralnoa• Dlracflonf Z R~ar -~S Oareqe elde - S o Denotes Oflfer Slahs O SCALE: 1 lnch e 30 issl P,. Fl.o. i 2: uc) ' .O ' i 110r6Dy elrllfy Ihel Ihb Mvq. plen er n0or1 waO DwPmH ?y mS JOB NO ; 10? /~IE'DLUND er undrt my dlreq supuvldan and Ihol I om n Auly peplsIneA BqR- 326 a Land 9urrrya undv IM lows ef 1hO l1aN el Mlnnnela. to 0001(: . P~6E~ P/enning Englneenng Sunreying ae~e.ne~..na,r~....1 n~~q~en re...a•es~w r.in++m.l~mwe~M' DOte: 9.zi,Fi9 D• CAOOfIL[, cwmcW: ~y J~ lln r~n, Ue~nq 4NI1a f2 6M2_ J~ "or . ~ ~ . EXTCRIOIt F.NVE[.Obli AVIiItAGC "U" C014PU7'ATIOt7 • . . ' GWWfR Si'CC ADD(tLSS ~ CONTRACTOft 'RS M ~O E S J~ C• - _ ~ oATE io [s ['~R P110r4E ~c~o -6~00 Detcrmine vorking squarc footaqc o[ each. . . ~ ' ~ ' ' . . 1. Total exposed wall acca 9$.O Et. x •ll =(P. 2. Total roof.ccilinq arca IID 4.0 sy. ft. x •025 ~ , rf.G ~l. Total exposed wall area above floor =/&9B.0 • a. Total wall window area fo1$•y b. Total door area #O•g e. Total sliding glass door'area 31.7. d,. Tocal fireplace wall area O c. Total wall framing area (averaqe 10e) )je & ~ f. Total net wa11 area above floor 1329. g. Tota1 rim joist area IIZ ,0 Total exposed foundation area = gQ, v . h. Total Eound3iion windov arca..• D i. Total net foundotion area above grade Determine "U" value oE cach wall seqment. a• I;L8•L/ x ,.U.. .g5 70 4p b- Yo~B x .07(o 311 c. ~/.Z. X ..U.. .SS = 17•2 a b x..U.. ~ O = d e I&8•8 X..U.• f 13z8 g_ K..U.. "•--~!Z.'°.----'~ . oLO 5.3 0e3 _ .7.y . . ~ ~ ] ......................................Tt)C]1 IC i[em q] is thc samc as, or /lc:u: than iGcm pL, you I~.ivu m.et cho intcnt uC SIfC GOOG(c)2. S(,GM 0/ 3 /)17q', t~t.w. (/g4~8~ ~A~6KT SOG 4 00 4 Co Z Total exposed rouf/ceiliny acca j. TOtal skylight area O k. Total roof/ceiliny framiny area (avcra(ju lU't.) ~10 1. Tota1 net insulated roof/ceilinq acea 9 9 3~_ ' Determinc "U" valur for cach roof/ccilinq scymenr.. j ~ x..~., o = Q x. / I b• y x•u- . " i. ~93x ,.U.. . oai 4 ......Total 1 3• (e Lf total of H4 is the same as, or less than N2, you liave met t1ic incent oE SBC 6006 (c) 1. CZ S. L~~++* 2 (Z 7. 1.) '.+..t %Q4 .r.w-~ ~ f9C. ~i00 (i CC~ / " . Alternate euilding Envelope Desiqn To utilize thc total envelope system mechocl, tlw values establish•:d by2thc sum of items Nl and 04 shall noG be greater than ttie suun of item; 91 and k?, • . z. z~.~. ~_z?y.y 3. r 4. Z3 •1i = Z0 3•L " r -hcsF 'A~C~ ; . t . % PE1Zl~~IIT ~ CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 029423 (612) 681-4675 Date Issued: 01 / 2 2/ 9 7 SITE ADDRESS: 3955 WORCHES7ER DR LOT: 12 BLOCK: 2 HILLS OF STONEBRIDGE P.I.N.: 10-32990-120-02 DESCRIPTIOPI: (GAS LOG) 8uilding Permit Type FIREPLACE ,BuiJ.ding Wdrk Type ALTERATION ' Census Code 434 ALT. RESIDENTIAL ~ - ~I Q:1~' REMARO(S: FEE SUMMARY: Base Fee $50.00 Surcharge $.50 Total Fee $50.50 ~ CONTRACTOR: - ,qpplicant - OWNER: PRACTICAI 3YSTEMS 14282826 WIL50N MARYBETW 14226 NORDEN AVE 3955 WORCHESTER DR ROGERS MN 55274 EAGAN MN 55122 (612) 428-2826 (612)683-0899 I hereby acknowledge that I have read this application and state L'hat the infiormation is correct and agree to comply with all applicab.le State of Mn. ~ Statutes and City of Eagan Ordinances. ~ _Loun R,n,'Jj 111~- APPUCANT/PEFMITEE SIGNATURE IS UED B SIG ATURE CITY OF EAGAN 19 413 3830 PILOT KNOB RD - 55122 4~ 1997 FIItEPLACE PERMIT APPLICATION 681-4675 DATE: PERMIT FEE: $50.50 DESCRIPTION OF WORK: _ CONSTRUCT Z,EW FIREPLACE ~ A.LTERATIONS TO EXISTING _ INSTALL GAS INSERT ONLY _ INSTALL GAS LINE ONLY ~J _ OTHER: ~~S f G 4'S L's- STREET ADDRESS: LAT BLOCK SUBD./P.I.D. bll7ll, ~ APPLICANT: (circle one only) OWNER CONTRACTOR I hereby acknowledge that I have read this application and state that the information is coaect and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. C--~~ PROPERTY NaznC: ~)50" Phone C~' 3- c}1 y 9 OWNER Signature: Street Address: z~ DY'' City: FG 'i State: n Zip: S S~~ FIREPLACE Company: Phone INSTALLER Signahue: Street Address: License City: State: Zip: GAS LINE Company: ~fa c J' C u,~ S~S 'ren C Phone L/ g:L INSTALLER Name: ~ sCeT1T S,Pa ~c ~ Signature: StreetAddress: 1~6 YdQ'i dr City: eac4 P , 5 State: n Zip: -~J 3 e~~ OFFICE USE ONLY BUILDING PERMIT TYPE 0 14 F'veplace WORK TYPE ? 31 New o 33 Alterations ? 32 Addition ? 34 Repau GENERAL INFORMATION Census Code. SAC Code REMARKS Chimney/flue must be inspected before concealing. ~ PERMIT cR 2M5 CITY OF EAGAN 4-Ii-Qq 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55123 Permit Number: 023326 (612) 681-4675 Date Issued: 0 4/ 18 / 9 4 SITE ADDRESS: 3955 WORCHESTER DR LOT: 12 BLOCK: 2 HILLS OF STONEBRIDGE P.I.N.: 10-32990-120-02 DESCRIPTION: Building Permit Type DECK Building Work Type NEW . REMARKS: FEE SUMMARY: Base Fee $30.00 Surcharge $.50 Lic. Search Fee $5.00 Total Fee $35.50 CONTRACTOR: - Applicant - sT. LIC. OWNER: MUELLER CONST R E 18861917 0006918 WILSON BERNIE 4909 W 109TH ST 3955 WORCHESTER DR BLOOMINGTON MN 55437 EAGAN MN (612) 888-1917 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. Statutes and City of Eagan Ordinances. APPLICANT/PERMITEE SIGNATURE ISSUED :51 NATURL INSPECTION RECORD CITYOFEAGAN PERMITTYPE: BuzLorNG 3830 Pilot Knob Road Permit Number: 023326 Eagan, Minnesota 55123 Date Issued: 0 4/ 1 B/ 9 4 (612) 681-4675 SITE ADDRESS: Lo T: 12 B L 0 C K: 2 APPLICANT: 3955 WORCHESTER DR MUELLER CONST R E HILLS OF STONEBRIDGE (612) 888-1917 PERMIT SUBTYPE: TYPE OF WORK: D E C K NEW INSPECTION D. . FOOTINGS FINAL F -1 L ~ CITY OF EAGAN ~ ~ 1994 BUILDING PERMIT APPLICATION 153 681-4675 3 . ~ 1.5 1 ?~_!~l ~ c, SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date y /_Z/ /I 47-,9 Valuation of work 5.5_0 C) ~ Site Address: 37S5 GcJoF'J)pSjP!` Or . STREET SUITE # Tenant Name: (commercial only) LOT 1~2' BLOCK o~ TSUBD. 5 P.I.D. # ~ Descri tion of work: The applicant is: ? Owner CH Contractor ? Other (Describe) Name Lr), l5o n Qern rc Phone Property LASi FIRST Owner qddress 39sS' c.voc: l, es4-e.,1 l~ r STREET STE p City fi~5~h State M N Zip Company 1`I j c.1 le ~ o,, 4- Phone f8cf~ J9/7 COnt1'8Ct01' Address !/SOq 41i0954 License #G4/cf Exp.2/3JAS c;ty looM rq~~o„ state M~J z;p 615-19 -t 2 Architect/ Company Phone Engineer Name Registration # Address " City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been 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 Ea9an Ordinances. Signature of Applicant: OFFICE USE ONLY ~ BUILDING PERMIT TYPE ? 01 Foundatian ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish ? 02 SF Dwg. ? 01 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool ? 03 5F Addition 0 08 S-Plex ? 13 Garage/Accessory ? 18 Comm./Ind. ? 04 SF Porch ? 09 12-Plex 0 14 Fireplace ? 19 Coimn./Ind. Misc. ? 05 SF Misc. ? 10 Multi. Add'1. Eg 15 Deck O 20 Public Facility ? 21 Miscellaneous WORK TYPE J@ 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish ? 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) Basement sq. ft. MWCC System (Allowable) lst F1. sq. ft. City Water UBC Occupancy 2nd F1. sq. ft. PRV Required Zoning Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler Length On-site well Census Code yTy Depth On-site sewage SAC Code o~ APPROVALS Census Undit o Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS ? Site 0 Footing ? Framing O Insulation ? Wallboard 10 Final ? Draintile ? Fireplace Permit Fee v.iua:ta,: $ Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: SAC % SAC Units 1 ? 1 Sl~rr~cf~vr~s G'ert~f~c~tl`e - , SURVEY FOR: R.S.PI. Ilomes Inc. i OESGRIBED AS: Lot 12, Block 2, IIILI,S OF S'I'ONGBRIUGG. City of Eagan, ; Uakota County blinnesota and reserving easements of record. ~ i A 11 I ~ \ 4• ~ ~ 0~° / ~ o,>.F ~ ~ z2 I 4P i ~t+/ y ~ ~•°o ~~p ^ A J ~ ~ oo \s ,,e~ • ei y.2 f~ 4~ ~v ~ \ / \ oC ~ ~ ti 2'6 ~ h G~S/ 8 °O --n ~ 47 $,N v ' v ~ h e, ry, JO~ / V~ I ~ ? ~ k / •~(i~(y ~/jii ~n v 1 .D. 1 LOT SOUARE F OTAGE = 12,364 PP.OPOSED ELEVAilUNS 6EtiC11MARK~ ` -t N iap of foundalion . qoo.4 Let i 3 4 4, tI k i s e/e.~. n gqt.7q 6aroye Floor . qpo.o ' Baesmsnl Floor st1 (S°) : 8417•2- Approe. Sewer Servlee Eler. . eW.. v.- ~j I MIM. 9ETBACN REQIflEMENTS' ~ ProOofed Elsrallons ~ O Front Han~ SIOo -10 mExnlinp Elsvotlone ~ , . Oralnap• Olretllonf Oarope SlM- S o Oenotee OINe1 Slohe O SCALE: t Ineh a 30 Fsel FS.e«....n Fl.e. 31 2: uc] I hu*EY eerllly lhol fAb gurvey. Plon a nDart wes pnpanA !y mo JOB NO.; ~ /NIEDLUND er unJer my Alqcl supOrvlden anJ tAal I om a euir ReOIlIareA gqR- 32~ ~ lonA 9urroYa unCU Ihe lors ef IM llale el Mlnn~~sla. fA Planning Engiiieering Surneying SOOR: oAOE- /4/ G8 p ' HO~f~~i~uw.wAuI~w~~ MavnYq1 .YM.r~a~/NA I~IN'1y+A ~Ir M Cii~ q Oale:. Cl~. tAoo iil[ , cwcccm: , Jotfls~ U ren, lk~n~• sNl7a QSMZ ~~p cy~~,,],_ 7~s PERMIT ~ CIT'"~OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: e u= Lo Z N s Eagan, Minnesota 55123 Permit Number: 022691 (612) 681-4675 Date Issued: 12 / 0 8/ 9 3 SITEADDRESS: 3955 WORCHESTER DR LOT: 12 BIOCK: 2 ~A\CA~ HII.LS OF STONEBRIDGE P.I.N.: 10-32990-120-02 1 DESCRIPTION: (CLOSETS & DOORS) Building Permit Type BASEMENT FINISH Building Work Type NEW . . ~ rl REMARKS: , FEE SUMMARY: Base Fee $35.00 Surcharge $.50 Total Fee $35.50 CONTRACTOR: - Applicant - sT. 'zc. OWNER: JOSEPH CONST, MNRTIN 14366828 0005447 WILSON BERNIE 8130 ST CROIX TR S 3955 WORCHES7ER DR HASTINGS . MN 55033 EAGAN MN (612) 436-6828 (612)683-0899 I hereby acknowledge that I have read this applical'ion and state that the information is correct and agree to comply wiT.h all applicable State of Mn. Statutes and City ofi Ea an Ordinances. - J AP LICANT/PERMI ESIGNATURE ISSUElATUREII I, ' INSPECTION RECORD CITYOFEAGAN PERMITTYPE: ButLozNG 3830 Pilot Knob Road Permit Number: 022691 Eagan, Minnesota 55123 Date Issued: 12 / 0 8/ 9 3 (612) 681-4675 SITEADDRESS: Lor: iz BLOCK: 2 APPLICANT: 3955 WORCHESTER OR JOSEPH CONST. MARTIN HTLLS OF STONEBRIDGE (612) 936-6828 PERMIT SUBTYPE: TYPE OF WORK: BASEMENT FINISH NEW DE9CRIPTiON (CLOSETS & DOORS) INSPECTION D. . FRAMTNG INSUlATION ROUGH IN PLBG FINAL ~ flEACT1VATE _ ,L GITY OF EAGAN h~l•~~ o ~ PERMIT / V'' ~~L'~ OM `C~ DD 1993 BUILDING PERMIT APPUCATION @ 6 1999 681-4675 SINGLE b MULTI-FAMILY 2 sets of plans, 3 registered site surveys, l copy of energy calcs. COMMERCIAL 2 sets of architectural 5 structural plans, 1 set of specSfications, 1 copy of energy calcs. Penalty applies: 1) when Permit is typed, but not picked up by last working day of month. in which request is made, Z) address is changed or 3) lot change 1_s requested once permit is issued. ~l~-l " •oa Date ~ , I 3 Valuation of rork Site Address: ~ry5~~ lUc2c~/ES7rryL ~l.2 iTREEi L7lITE 0 Tenant Name: (commercial only) IAT I BIACK FsuBD. ~ ° P.I.D. N Descri tion of work: TN'~cace~ ~ ~c aA~o PpOP- The applicant is: ? Owner Contractor ? Other co..oriee>. Name ,;_~C S J N 'B4.llUxi 4- A,1-k-N Ae,-PZ/ Phone LL'OfQ 9 Property LAST ?IpST Owner pddress _,~95 5 l,cloilzcw!~s TfF~ ilREET t7E 0 City ~Aj.7;, A-^J State Zip Company 0 rM2-(-7 :u .1CS4p'f t10usT_ Phone ~36 " C011tf8Ct0r Address X06 $T C2D,K 771•S~ License # s Y`f? Exp. City ty A-z,-77A/4~- S State 104/ , Z;p 5So3~ Company Phone ArchitecU Engineer Name Registration # Address City State Zip Sewer 6 water licensed plumber . Processing time for sewer 5 water permits is two days once area has been 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 - ;;f w'• ? „ _ 01 Foundation ? 06 Du lex 0 11 A t./Lod ing r~'6 B ' p p g .~.1t"semeAte Finish ? 02 SF Dwg. 0 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool ? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory O 18 Comm./lnd. ? 04 SF Porch O 09 12-Plex ? 14 Flreplace ?.19 toiom./Ind. Misc. O 05 SF Misc. ? 10 Multi. Add'1. O 15 Deck ? 20 Pub11c Fuility ? 21 Mlscellaneous WORK TYPE O 31 New ,Q 33 Alterations ? 35 Tenant Finish ? 31 Demolish ? 32 Addition O 34 Repair O 36 Move GENERAL INFORMATION Const. (Actual) Basement sq. ft. MWLC System SAllowable) lst fl. sq. ft. City Mater UBC ccupancy 2nd F1. sq. ft. PRV Required Zoning Sq. Ft. total Booster Pump i of Stories Footprint Sq. ft. Fire Sprinkler length On-site well Census Code v 3 y_ Depth On-site sewage SAC Code a7 APPROVALS Planning - Building Assessments Engineering Yariance REQUIRED INSPECTIONS ' ? Site ? Footing ? Framing [B Insulation ? Mallboard ID Final ? Draintile O Fireplace Permit Fee v.imcid,: g/S 00 Surcharge Plan Review License MWCC SAC City SAG Water Conn. Water Meter Acct. Deposit S/M Permit S/M Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. M ies er Total: SAC % SAC Units CITY USE O\LY LOT ~ BL ~ RECEIPT Sl.'BD. RECEIPT DATE: % " % 97^ i11LLaz'1'~NICi1'iL 1"'T.MI 1`1ZXS1LEN UAL) CITY OF EA6AN seso PaoT Ktvos Ru p g' ~~l SAfiAN MN 551 EE ~~d•` ~ q ~ (631) 681-4675 5 ° Da[e: Complete this section onlv if you are installing HVAC in single family, townhomes or condos under construction and not owner /occupied • HVAC: 0-100 M B T U $ 30.00 ADDITIOIr'AL 50 M BTU 6.00 • Gas outlets (minimum of one required @$3.00 ea.) • State Surcharge: .50 • TOTAL: 3(2) , S ° Complete this section oi~lv if you are remodeling, adding to, or repairing existing single family dwellings, townhomes, or condos. Please indicate if it is a new item, replacement item, or repair. _ New Replacement _ Repair _ Other _ Furnace _ Air conditioning _ Air exchanger, i.e. Vanee system, etc. _ Other 9A~~~o &Aj.~ Reneiirder: Call 68I-4675 for inspections. $ 30.00 State Surcharge: .50 Total: ~ $30.50 SITE ADDRESS: O\\"NER NAME: PHONE I\STALLER \'AME: PHONE ~ ~ l 3 -~L+1 ~Q STREET ADDRESS: l5~ O 5 ~~ky CITY. STATE: 1`~~.N ZIP:~~ SIGNATURE OF PERMITTEE Ja POR.\i5 BLDNECH PER.b(IT (RES) - 1999 CITY USE ONLY L BL _ RECEIPT SUBD. RECEIPT DATE: APPROVED BY:, INSPECTOR 1999 M£CfiANICAL P£RMI'C (COMM£RC1kL) CITY OF EAfiAN 3830 PiLOr xiuoe [tn E4fiAN, MN 55122 (651) 681-4675 Please complete for: ail commerciallindustrial buildings multi-family buildings when separale permits are nQt required for each dwelling unit DATE: CONTRACT PRICE: WORK TYPE: _ NEW CONSTRUCTION Rv'TERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: 1% of contract price OR 530.00 minimum fee, whichever is greater. Processed piping - 530.00 CONTRACT PRICE x 1 % PROCESSED PIPI.NG PEIL'vIIT FEE STATE SURCHARGE (5.50 per 51,000 ofpermit fee due on all pecmits.) TOTAL STTE ADDRECS: OWNER NAIvIE: PHONE TEN.4NT NAME (LN4PROVEMENTS O\'LY): INSTAI.LER: ADDRESS: PHONE CITY: STATE: ZIP: SIGNATURE OF PERIvIITTEE LOT: ~ BLOCK: ~ SUBD./P.I.D#: VV.,,_SUI/1 ~InA~'J~t~.fA(a ~ 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) t~ 3L-~3 CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 New Construction Requirements Remodel/Repair Requirements t v-7-oo ? 3 regiztered site surveys showing sq. ft. ot lot, sq. k. of house 2 coptes af plan and all roofed areas (20% maxtmum lot coveraqe allowed) 1 set of energy calculations for heated additions D 2 copies of plans (show beam 8 window sizes; poured tnd. design; etc.) 1 sMe survey for exterior additions 3 dec~~ ~ ? 1 set of energy calculatlons Q ? 3 coples of hee presenatlon plan If lot plaMed affer 7/1/93 ? Rim Joist Detail Optlons selection sheet (buildinas wNh 3 or less unRsl DATE: I 1-L-00 CONSTRUCTION COST: ~ G F~UL7 DESCRIPTION OP WORK: LL RE e- Rcb.~-, Fi ~.115rF If muHi-family bldg., how many unih? ~ STREETADDRESS: ~~lSS Wp2C({S~Tc~ Name: QUUL.E~t_-r Gi4vt{~ Phone LS! -4R<[- 1qf~ PROPERTY tast Flrst OWNER StreetAddress: '~A S~S7 u..JU2G~iGTZ~ 1~i- City _ C(tci ~fh.) Siate: rAX ~ Zip: ~SV~3 co 12-' Company: :RiLb STo-ic- Cv.ATgLeTicr-i Phone#: 6;;::Pr 5io '1533 (area code) CONTRACIOR ,I Street Address: 4 3i~ th~&w~ AN4 ~ License Ik 2023?L47 Exp. 3 0 ctty ~3~rNSat~~ state: /m~ zip: 551-22 ARCHRECT/ ENGINEER Company: 4??tkAir- Name: Telephone N: ( ) Sheet Address: RegistraTion Cily Stafe: Zip: Sewer/waterlicensedplumber(ifinstallinasewerlwater): Phone#: I hereby acknowledge that I have read this applicotion, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Appllcant: OFFICE USE ONLY Certificates of Survey Received _ Yes _ No KIQU c 6 2000 Tree Preservation Plan Received _ Yes _ No _ Not Required ~ OFFICE USE ONLY ? 07 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 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 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck O 23 Porch (screened) ? 36 Mulli ? 05 03-plex ? 11 10-plez bf19 Lower Level ? 24 Storm Damage ? 06 04•plex ? 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 42 Demolish (Foundation) ? 45 Fire Repair ? 32 Addition ? 36 Move Bldg. 0 43 Reroof ? 46 Windows/Doors ~V33 Alteration ? 37 Demolish (Bldg)' ? 44 Siding ? 34 Replacement ? 38 Demolish (Interior) • Demolition (Entire Bldg only) permit • Give PCA handout to applicant VALUATION Occupancy /V`.Y MC/ES System Census Code Zoning 90_ City Water SAC Units ~L Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const s-y Width INSPECTIONS REQUIRED _ Footings: New Bldg ~ Insulation _ Windows - new/replacement _ Footings: Deck Final/C.O. _ Siding _ Footings: Addition a~2 FinaWo C.O. Smcco/Stone Foundation Fireplace: _ r.i. _ air test final Roof: _ ice & water _ fmal :J7 Framing PooC _ flgs _ air/gas tests _ final APPROVALS Planning Building Engineering Variance Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Suppiy 8 Storage S8W Permit 8 Surcharge Treatment Plant Park Dedication Trails Dedication License Search r' Capies Other Total: 2000 FIREPLACE PERMIT APPUCATION CITY OF EAGAN 3830 PILOT KNOB ROAD - 55122 651 681-4675 Date: 10Z -7 -6 0 Description of Work: _ Construct new fireplace _Gas _Masonry _ Alteratians to existing ? Install ras insert onlv _ Install gas line onlv Other Job address: _-3q5S ' AlorcAeslew jLap~. • Lot: Block: Subdivision/P.I.D.#: l115 X ~ Applicant (circle one only): Owner Contractor Permit Fee: 560.50 Name: Woadti C,Phone PROPERTY Lazt Fast OWNER ~GJSS Street Address: VVOYches~~ Ciry State: M'U Zip: Company: Phone#:"1,S~-8QU'D7S (area code) FIREPLACE vv,~ ' t~l/ I~ ~ I'3 INSTALLER Street Address: City A Y1. 5 V 1 ~ leo, State: A/J Zip: SS33 7 Company: axm/ L.(~ 2 Phone (azea code) GAS LINE INSTALLER Street Address: Ciry State: Zip: I hereby acknowledge that I have read 's application and state the information is correct and agree to comply with all applicable State of Mi esota S tute Ci .of Eag Ordinances. I(A S' a ue UC, ~ y~; OFFICE USE ONLY BUILDING PERMI'f TYPE ? 16 F'veplace WORK TYPE ? 31 New ? 33 Alterations ? 39 Gas Line ? 41 Wood Stove • ? 32 Addition ? 34 Repair ? 40 Gas Insert GENERALINFORMATION Census Code 434 SAC Code Ol REn4ARKS Chimney/flue must be inspected before concealing. , . e toaa8 ~ RESIDENTIALBUILDING -7 ~ Permit Application City OfEagan 3830 Pilot Kuob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Consiruction Reouirements RemodellReoair Reouirements ORce Use Onlv 3 registered site surveys showing sq. ft. ot lot sq. ft. o( house, and all roofed areas 2 copies of plan Cert of Survey Recd Y N (20% maximum lot coverage allowed) 1 set of Energy Calculalions for heated additions Tree Pres Plan Recd Y N 2 copies of plan showing beam & wmdow srzes; poured found design, etc. 1 site survey for addi6ons 8 tlecks iree Pres Reqd Y N 1 setof Energy Calculallons AddRion - indicafe don-site sep6c system On-site Septic System _ Y_ N 3 copies of Tree PreservaGon Plan rf lot platted after 717/93 Rim Joist Defail OpUons selecUon sheet (bldgs with 3 or less units Da[e 10 C~on'}s~truction Cost lY 3 ~ Site.4ddress _j_)p_we_~ Unit/Ste # Description of Work 10 ~ IV/i~l ft f Multi-Family Bldg _ Y k N Fireplace(s) 0 _ 1 _ 2 Property Owner -~I ~ Telephone # Contractor RMA HOME SERVICES INC. Home Deopt Installed Sales Address 3200 Cobb Galleria Pkwy., S[e. #200 City State Atlanta, GA 30339 rp Telephone ) -763-542-8826 BC-20268257 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Mm~esota Rules 7670 Cateeorv 1 Mmnesota Rules 7672 Energy Code Category . Residenhal VenGlation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submittetl • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan2 _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Tefephone ) Mechanical Contractor Telephone D _Ff~ ~ Ii~ ~ Sewer/WaterContractor Telephone#( ~ i )nnn I hereby apply for a Residential Building Permit and acknowledge that the informa sy-is complet~-a~al raYe; 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 in the case of wark which requires a review and a roval of plans. A f2&12~s-~ Applicant's Pnnted Name Ap eanYs ignature s OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 36 Mulii Misc. ? 05 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage ? 46 04-plex ? 12 12-plex Plbg_V or _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition 0 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)` ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement `Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaVC.O. _ Footings (deck) _ Final/No C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ AidGas Tests _ Fina] _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ AirTest _ Final _ Windows (new/replacement) _ ?nsulation _ 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 Installed - Yef o~~e er~~ Siding and Windows _ LIMITED POWER OF ATTORNEY _ m COUNTY OF COBB STATE OF GEORGIA KNOW ALL PEOPLE BY THESE PRESENTS: THAT I, David N. Katz, a resident of Montgomery County, Pennsylvania ("Principal"), and a licensed contractor of RMA Home Serviccs, Inc., DBA Home Depot Installed Sa1es loca±ed at 660 Mendelssehn Avenue North, Cm(den Valle;-; T~r 55427, having a license number of BG 20268257, do hereby appoint, name and constitute Elder-Jones Building Permit Service, Ina ("Agent") as my true and lawful attorney-in-fact and do authorize and grant said attorney-in-fact for me and in my name, place and stead the power to execute, acknowledge, sign and detiver (in such form as may be required by the municipality) a permit application, or any other instrument(s) which may be necessary and appropriate, in order to obtain the proper permit(s) from the City of Eagan, Minnesota for the installation, maintenance and repair of windows and siding (tfie "Work"). The powers conveyed to the Agent by this Limited Power'of Attorney are limited solely to the express powers delineated herein and apply solely to the Work. This Limited Power of Attomey shall ehpire and automatically be revoked on the 21 st day of May, 2004, which date is one year from the execution hereof. Further, the powers conveyed by this Limited Power of Attorney may be revoked by Principal at any time by express revocation and shall also be revoked by the Principal's death, disability, incapacity or incompetence. P.NI WII'NESS WHEREOF this Limited Power ofAttorney is ?:>ecirtcd this 21st day of May, 2003 David N. Katz SWORN TO AND SUBSCRIBED BEFORE ME by David N. Katz on this 21 st day of May, 2003. Notary POic in for the State o eorgia b1y Commission Expires: January 21, 2006 396816.v3 Proudly sold, furnished and installed by RMA Home Services, Inc., a Home Depot authorized contractor. 3200 Cobb Galleria Parkway, Suite 200 • Atlanta, GA 30339 • Phone (770) 779-1300 • Fax (770) 984-0709 • Toll free (800) 79-DEPOT r . . 1989 }3DIr,TTAG PEHMIT APPLICATION - CITY OF E9GAN SINGLE FAMILY DWELLINGS 1911143 INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTEt ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNEB MOST DESIGN9TE iIHICH ADDRfiSS IS DFSIRED. NO CHANGES WILL BE ALLOWED ONCE HIIILDZNG PEAHIT IS I330ED. MULTIPLE Di1ELLINGS AENSAL ONITS FOR SALE ANITS i OF OBIT3 INC(.UDE 2 SETS OE PLANS, CERTIFICATE OF SURVEY - CHECK iiITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMASERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS ppT 0 5 1989 To Be Used For: Valuation: .~Ar~A6Date: ie1rjW, Site Address I5`J (l~JVt.CUeS'~.e+., r~r~l - OFFICE DSE ONLY F Lot Block a D~ Occupancy R 3 M- I FSfiS n Zoning Py 2-1 Parcel/Sub p! ~jNplJe.~U.t'QL`~ Actual Const V-N_ Bldg. Permit 5&o,00 Allowable V-N Surcharge Owner QSM ~'l7~'es 0 of stories Plan Review 2~8,oo Length SAC, City ) 00 ,00 Address ~«p F-, Depth yh' SAC, MWCC ,525,D0 p S.F. Total Water Conn ,SBo,w City/Zip Code ~McC9k.'- Footprint S.F. Water Meter 90.00 p Acet. Deposit ,~A,oo Phone b~0C) On site sewage_ S/W Permit 20,0D On site well S/W Sureharge I,uo Contractor MWCC System f/ Treatment P1. 229,00 City water ? Road Unit Ua.ao Address PRV required _ Park Ded. Booster Pump _ Copies ~ City/Zip Code TOT9L APPROVALS Phone Planner / Council VY Arch./Engr. Bldg. Off. Var iance Address Council City/Zip Code Phone U NOTEs Sexer 6 Water Permit fees and account deposit fees will be included in the buildiag permit fee. Processing time for sewer and water permits is two days onee a licenaed plumber has applied for a permit at City Fiall. . . ~ VA L.U AT I ON CsA'2AC~E ~ ~ ~ ~ , ~ ZZ - X ZO =i CI O X I f9 X IL4= Zqq y x s = (ys) ie 6S `~~~I - hy°~~o t'I D k S~ I o 65' 2x? ~ 14 ~~LXIV = 15 (y_ x so - Sy~oo ~~~i~ 2006 RESIDENTIAL PLUMBING PeRMiT aPaucaTioN 16,:? I 6 3 ~y CITY OF EAGAN 17- S/vI 3830 PILOT KNOB ROAD, EAGAN MN 55122 ~ rs S~ 651-675-5675 C4e~,~ Please complete for modifications to existing residential dwellings. Date 1 Oer I o(o_ Site Street Address 3y~;,s I-vo Po l, es fc Or Unit # PropeRyOwner &rLq4__ 14 0 l/I•SA Telephone#(CS1)a07-y7~'/`/ --r Contractor/ "IL6 v~ rC a id/ Lns P(vm k" na Telephone# (95eZ) 73) -76 76 Address (OS Ia4~ _4~r S CityNc.y2 /S ,*nS State~/~ Zip SS 3~/3 ~ - The Applicant is: _ Owner I~C_Contrector _Other Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee $ 100.00 Per as-built $ 10.00 Alterations to existing dwelling $ 50.00 _ Add plumbing fixtures. This fee includes installation of a water softener and/or water heater at the same time. !f you are insta!ling onlv a wafer softener and/or water heater, do not complete this section; move to the next section and check the appliance(s) you are installing _Septic System Abandonment _Water Turnaround (add $130.00 if a 5/8" meter is required) Other _ Water Softener X Water Heater 15.00 _ new X replacement Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge $ 50 Total $I S. SQ I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate, that the work will be in conformance with the ordinances and codes of the City of Eagan and the p{umbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approv . ~5~ ~Ll~v~rP Applicant's Printed Name plicant's Signature City of Eaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: / / Zt/g61 Permit Fee: /a - Date Received: Staff: 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 10 —37-/ Site Address: g-!cC i02L41 Unit#: Name: *pi -PO )-c040 sc+-1 Phone: Address / City / Zip: 36'&c- Orcti , ► O DQ / C �(S� P C J icx3' Applicant is: Owner y Contractor TYPE OF WORK Description of work: Construction Cost: 7i CPi P Multi -Family Building: (Yes / No X) CONTRACTOR.: Company: 4 ° i f29O 6k S Contact: �cci Address: 7b -Th I -'V`1 ST �) Su rri (t O City: P'eL€ U$-y-,,,u'�i State: r41 Zip: „O -y Phone: /,) 7 z-077 License #: C&T c T {7 Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. x zc�Pc1 I�SLk CS - Applicant's Printed Name x Applicant's Si ' na ' re Page 1 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA172353 Date Issued:09/27/2021 Permit Category:ePermit Site Address: 3955 Worchester Dr Lot:12 Block: 2 Addition: Hills Of Stonebridge PID:10-32990-02-120 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 - Brian P & Jessica K Hornisch 3955 Worchester Dr Eagan MN 55121 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature