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3958 Worchester Dr , 12/13/88 CITY OF EAGAN Permit Na Date: 3930 Pilol Knob Rcsd Meter No: Size: _ P.Q: Bo*2t189 Reader fda Date: ~ (AP Eapan, MN 55121 Owner. MARVIN GEORGE BLDRS Slte Address: -A95A Lr1R!'.HF(;TFR nu L6 B1 HILLS OF STONF:- Piumber-- pt.VMCItITH Pt-B(' BR 1x'F Conn. Chp: $5 5n _ nQ nd Zoning R-1 Acct Dep: 1S-nn pd No. of Units: ~ PermR Fea in_ on nd Surcharge: 5n nd 1 agree to comply with the City al Eaysn Tr. Plant- 90A -m ~d Ordinances. Meter. _ 67 00PA Misc.: WATER SERVICE ERMIT i.^,t59 12/1318' j CITY OF EAGAN Permit No: Date; i 3830 Ppot Knol,' Road -AAeter N: Size: P.O. rOx 211$9 Rea: r Dat@: Eagsn, MN 55121 Owner. t'~?Rv-N GEORGE BLDRS Site Address: 195a FAR 1°sTEA DR• • L6. Bf, HILLS Plumber pLi'MdIJ'i'H PLBG 8~~~~ Conn. Chy: "1650.M pd Zoning: Acct Dep: 15.00 ad No. of Units: Permit Feac 10•00 pd Surcharge: •50 fld I agres to comply with ths City 01 Esyan Tr. Plant 204•00 pd Ordinances. Meter. b7. ~ Rd - Misc.: BY INATER SERVICE PERMIT CITY OF EAGAlN t r,Permit No: 11307 Date: 12/13/88 3830 pilot Kpob Rosd $/P Nq;} 89371 - Date: 11/23/8,5 P.O. Box 21199 Eagan, MN,55121 w.I2V1iV GEn:c-";L BLDRS Owner. 395B WQRC±iP.STER i)R., L6. B1, HIl.L.S OF STONE- Site Address: ~ r. ''LY~'~~ PL~ G Plumbe $550.00 MWCC: r" Zoning* Ci Ch ~ o r' No. of Units: of~ ~Y 9~ 15. Acct Dep: I agree to comply wlth the City of Eagan Permit Fee: ~ ~ . , Ordfnances. Surcharge: Misc.: By SEWER SERVICE PERMIT , • ~CASH RECEIPT ~ ~ CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN-, IUIINNESOTA 55122 z DATE 19 - X V "FF'10M r ~ C AMOUNT ~ a DOUuRs ? CASH ,p•-CHECK I I ~ ~1- ~ ' ~~i! C h~.S f-'I~ J , , FUND OBJECT AMOUIYT Thank You BY \J ~a _ l~i i ' rT 7 lARW9--PeYsin CACy Yslbw--Posfkq Gopy PNMc-fYS Copy CITY OF EAGAN 3830 Pflot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE:454-8100 BUILDING PERMIT Receipt*' 1-~ To be used for $P MG/GAR Est. Value $77,000 Date_ NUV 22 ~ Site Address 3958 WORCH&SM D OFFICE USE ONLY ' Lot Block Y 5ec/Sub. a OnSiteSewape Occupency 3 MWCC Syetem X Zoninfl PD $.-1 Parcel No. On Site Well (Actual) Canat V-~ a Name _ 24AIIYIN G80ACL EiJILDSAS. I2iC citywater ~(/?nowable) Y-t+i W PRV Required x of Stories = Address p 0 BOx 428 ~ City. PxIlIGET(1N Phone 389-3201 ~~ter Pump Length Depth 509 ~ °C Name sms S.F_ Tota1 ~ 0 ~ ~ Address Footprint S.F. ~ 'City Phone APPROVALS FEES W W Engr./Assess. Permit ~Z • ~ W Name --3.-e0 l'- z Planner Surcharge ~a Address 241.00 i W City Phone Council Plan Review Bldg. Off. SAC, City 1010•00 I hereby acknowledge that I have read this application and state that the VarianCe SAC, MWCC 550•00 information is correct and agree to comply with,all applicable State of Water Conn. 550.00 Minnesota Statutes and City Of EaQan Ordinano§. 6 Water Meter Signature of Permittee 325.00 Road Unft A Building Permit is issued`to: MARVU GEQM--bUjLDER5 Treatment P1 204•00 on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Parks Building Official ~ ' TOTAL ~ , 3S7 • ~ ~ CITY OF EAGAN ~ ~ . ~ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, M N 55121 ` PHON E: 454-8100 BUILDING PERMIT Receipt~ To be use-A #or Est Value $77p000 Date NOY 2; ,19$8 - Site Address 395' tii)k~_14~.S'FEk I)R OFFICE USE ONLY On Ske Sewaye Occupancy Q"3 i Lot ' Block Sec/Sub. MWCC Syatem X Zoning FD Parcel No. On Site Well (ACtual) Const i~-N a Name _ ~`~V;"~ -,EU~:(:B BIJILD11itB. IltC ciri water ~ (Allowable) V-11 z Address ~ 0SOX 428 PRV Required ~ of Stories ; K~ rr. 3a~--.~~v1 Booster Pump Length o City T 1= .-.T~ Phone Depth 501 .0 Name • ` S.F. Total ~ o i Address Footprint S.F. c~ ~ City Phone APPROVALS FEES ~ a Engr./Assess. _ Permit r' 2. Name --~s = Z Address Planner Surcharge Z Cit Phone Council Plan Review W Y ~ Bidg. ON. _ SAC, Ciry 1 hereby acknowledge that I have read this applicatfon and state that the Variance _ SAC, MWCC information is conect and agree to comply with all applicable State of Water Conn. Minnesota Statutes and City of Eagan Ordinances. Water Meter Signature of Permittee - - - - _ ; - - 325.v Road Unit A Building Permit is issued to:._ I•'U GEOR(iE B'Uii.DERS ZCI~. C ' on the express condition that all work shall be done in aCCOrdence with all Treatment P 1 ~ applicable State of Minnesota Statutes and City of Eagan Ordinances. Parks Building Official TOTAL - - - - - - - - - - - Psrmit No. Permit Holder Date TeIephone x Plumbing 1 ~ H. .,4.C. 6,,2 o Electric ~ ra cv Softener Inspoctlon Date Inap. Comments l Footings I '~~j3 W~ Footi~gs II Foundation Framing s g a F Sto ~ [c.-~1 Roofing Rough Pibg. Rough Htg. ~ Isul. Fireplace -AW Finel Htg. ~ p/ Sl~d-yc, ~ to at e i~~s ~ Final Plbg. 411!0&7C Bldg. Final 1//-~Y'9' ~ +c~. Cert. Oca ~l bs / Temp. LP 0Deck Ftg. ' Deck Final Well Pr. Disp. ~ . . . . _ . . . . . _ . _ . t . . • PERMIT # 42 `MECHANICAL PERMIT RECEIPT # ~Qx CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE CONTRACT PRICE PHONE: 454-8100 Site Addr,ess ' BLDG. TYPP WORK DES~CRIPTION Lot Block ~ Sec/Sub ' . • , ~ ~ . , ti,.. . Res. k' New ` m Name Mult Add-on ! Address r « Comm. Repair c Other Ciry Phone Name ~ . . ! i < • t_: ,eI , . - FEES RES. HVAC 0-100 M BTU S24.00 ` c Address j •J ADDITIONAL 50 M BTU 6.00 p City ~ Phone ' - ~ (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM -1 PER PEfiililin TYPE OF WORK APTABLDGSFE COMM. CONTRACT EE Forced Air - ~ M BTU TOWNHOUSE 8 CONDOS - RES. RATE APPLIES BOiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Unk Heater M BTU REMODELS - 12.00 Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00 Vent CFM STATE SURCHARGE PER PERMIT (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # BEYOND $1,000) Other FEE: , • S/C: " ' - SIGNATURE OF PERMITTEE TOTAL• ~ FOR CIN OF EAGAN,,,, 4'... . .z . _ ~...p-' . . ,~[']w~ . . . . - rMY^~~"'. . . . . . . ' . PERMIT# ' • ~ PLUMBING PERMIT CITY OF EAGAN RECEIPT 1t 3830 PILOT KNOB ROAD, EACiAN, MN 55122 DATE: 7 ~ CONTRACT PRICE: PHONE: 454-8100 ~ Site Address BLDG. TYPE . WORK DESCRIPTION ~ Lot Block ~ SeciSub Res. New ' Mult_ Add-on , ~ Name ij, i: Comm. Repair D '1,r. /A i. Ni Address Other c City'".:i,;;4t 4 d c v:. Phone RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NOj FIXTURES _ TOTAL ;7 , Water Closet - $3'.00 Name __TBath Tubs - $3.00 ~ Addre~ss - a , ~Lavatory - $3.00 ` p City Phone Shower -$3.00 Ki?chen Sink - $3.00 ' FEES Urinal/Bidet - $3.00 COMM/IND FEE - 1% OF CONTRACT FEE ZLaundry 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 Outtets - $1.50 STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIn (ADD $.50 S/C IF PERMIT PRICE GOES Softener -$5 00 BEYOND $1,000.00) We11 - $10.00 Private Disp. - $10.00 . Rough Openings - $1.50 SIGNATURE OF PERMITTEE FEE: STATE S/C: FOR: CITY OF EAGAN GRAND TOTAL: ' PERMIT # i MECHANICAL PERMIT RECEIPT # 2 CITY OF EAGAN 3630 PILOT KNOB ROAD, EAtiAN, MN 55122 DATE ~,!~aSIY=r CONTRACT PRICE: PHONE: 454-8100 For Office Use Only: Site Address "";y l -Pe. • •r~ ~ . ' BLD(i. TYPE WORK DESCRIPTION Lot 91ock $ec1S4b Res New . ~ 7 Mult Add-on Name • Address Comm. Repair a ~ Other c Ciry Phone FEES Name ` RES. HVAC 0-100 M 8TU - a24.00 c Address 7'~ ~~F.;"~`~''~~~ ADDITIONAL 50 M BTU - 6.00 p City Phone ~ L-TL`-^ (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA. TYPE OF WORK COMM/IND FEE - 1%OF CONTRACT FEE Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE 8 CONDOS - RES. RATE APPLIES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Unit Heater M BTU REMODELS - 12.00 Air Cond. M 8TU ' Z.~ MINIMUM COMMERCIAL FEE - 20.00 Vent CFM STATE SUHCHARGE PER PERMIT - .50 (ADD $•50 5/C IF PERMIT PRICE GOES Gas Piping OuUets # BEYOND $1,000) OthEr -f _ FEE S! P R ITTEE S/C: ~ U TOTAL• ~J FOR: ITY OF EAGAN , : I i ~ I . i ~ , , . ; i ~ I i i ~ i I I ~ I ; , I~ 'f ~ CASH RECEIPT ~ CtTY OF EAG'AN 3830 PILOT KNOB ROAO EAGAN, MINNESOTA 55122 DATE 10 ~LL FROM • AM NT $ C/ a oouAas ,00 O CASH Q CHECK i Poa " ~ ~ ! V ~ FUND 08JECT ' AMOUHT r !!J ~ ~ AP6 or 0 Thank You ~ BY 7 P 4 wi,ae--P.,,m cwy v.wo-ft.n,p cM Pink--Fia Copy G. PERMITJVO, ze~,-C - i. 01-3210 Btdg. Permit 01-3422 Plan Check 01-3445 Surch./Adm. 01-3446 SAC/Adm. ~ i 01-2155 Surcharge ~ y 75-3860 Road Unit A 6- 20-2275 SAC ~ 20-3865 Water Conn. 20-3868 Water Trmt. 20-3716 Water Meter 20-2252 Acct. Dep. 20-3713 Water Pennit 20-3743 Sewer Permit 79-3866 Sewer Conn. 28-3855 Park Ded. TOTAL , . ~ ~ ~ r . ' fgpr#ifiratp of Mrrupanrg titp of eagan ar#rurttnrnf af %aing jwrrtinn This Cern'ficate issued pursuant lo the reqieirer?lents ojSection 306 of the Uniform Building Code certifying that at tlre tlme of issuance this strucurre ??as ire compliance with the various ordinances ojtlre City regulating brdlding construction or use. For the jotlowing.u,e cuWeau,,V DWGn'AR e4 temt rio. 15894 o-,p,ncy Type R31111 Zwe nW;u OUR I ryp rom vN OwncdBwmn~RVm* MR7 AITTiIY+R.~~ P-CL--B(7iL47S. PRII U= &„I&qpdd. 3958 GMM= BRIVE ~;n,II~,81 ~ HtT7 S~~It1NP:RUm3? Daoe: MY 18• 1969 Bu"ng - PQST IN A CONSPICUOUS PLACE . . i ~ C~ 33-11 B /j' FaquSSt Date Fne No R -in InspecLOn ~ t R~ etl7 ? Peetly Nav ~~spector C yveS ? No When Ready? I p licensed contractor ? owner hereby request inspection of above electncal work at Joo Atltlress (SVeol, Box or ou No I C'ily 3 ~ o R. ~,~/~"s7~sa 11 SecliOn No. Townshi0 Ndme or NO Range NO Gaun CD TA Occ) ntIPRINT~ a~IlaraS P(~Srk-z3z g Power SvoOliar Aoereu Eleclncal Conn q fqm Namel GonVactor5l¢ nse No. Madmg Ap ress nuactoror ner Makin I alla~ion) AmO re IC vactan nar h aim urllaUOn) ~ Phone Number MINNESOTrI STATE~ AP OF ELECTRIQTY THIS INSPECT~ EOUEST WILL NOT Grlgqe-MlEwoy BIEg. - Poom S-173 BE ACCEPTED BY THE STATE BOARD 1821 Univ¢reltY Ave, SL VauL MN 55100 UNLESS PROPER INSPECTION FEE IS Phone (612) 601-0800 ENClOSEO /a / Q ~ REQUEST FOR ELECTRICAL INSPECTION °,`4o;` ///111 , ~ y g See inshucuons tor mmpieur5 i~is form on back ol yelbw capy E8537 l~G '337 1 8 ""X" Below Work Covered by This Request ew Add Rep TypeoBUilding AppliancesWired EquipmentWired Home Ranqe Temporary Service Duplex Water Heater Eleciric Heating Apt. Bwitling Dryer Other (Specify) Comm /Indusinal Fumace Farm Av Condrtioner Otner (somry) Remarks Compute Mspection Fee Below: # Other Fee x Service EntranceSize Fee # CircuitsiFeeders Fee Swimminq Pool D to 200 Amps 0 to 100 Amps Transtormers Above 200 _ Amps 0_ Amps Signs insvacror5 Usa Oniy: TOTAL ~ Irrigation 8ooms Special Inspectton Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 S. f I, the Electrical Inspector, hereby Rouqn,n ~ a certify that ihe above inspection has Final been made. OFFICE USE ONLV This requesl voitl 18 mon[h51mm sI 2,4258 ~ - 9a W s..f- i ~A Request Date ' Fre No. , gh-in Inspectqn vWa~ ~ No XReadY Now ? Wen ReadyP~or 8 - 3 1 - 8 90 I[3Llicensed contractor ? owner hereby request inspection ot above electrical work at: ,b0 AdEress (Slreaq Bm oi Fouta No ) pty 3958 Worchester Dr. Eagan Seclion No. Township Name or No. Range No Counly Dakota OccuOent(PPINT) Cei Bronebere PhoneNo PowerSuppLer Atltlress EleancalComraclor(COmpany Name) Cont2ctor5 Ucense No. Hilite Electric, inc. 040445 Maibng Adtlress (COnhoctar ar Owrer Makrtg InsIalWLOn) 1953 Shawnee Road; Eagan, MN 55122 AuNOn ignatura (Conlr er Makin Ins~allatwn) Phone NumDer ~ 452-8886 MINNESOTA STATE BOARD OF ELECTRICITV THIS INSPECLION REQUEST WIIL NOT Grig9s-MlEway BMg. - Room S173 6E ACCEPTEO BV THE ST4TE BOARD 1021 Unlversity Avo., St. Peul, MN 55104 UNlESS PROPER INSPEC710N FEE IS Fhone (812) 642-08GO ENCLOSED. 9S1,y C/. REQUESTFOR ELECTRICAL INSPECTION eaa0P00/1-0'72 1. See insVUCtions lor compleLrg Ihis iwm oa buck Y1 y`Ilow copy ~ /'~GJWV - P 2 4 2 5 8 X„ Below Work Covered by This Request e A tl R.P. - TypeotBuilding AppliancesWired EquipmeniWiretl Home Range Temporary Service Duplex Wa[er Heater Electric Heating Apt. Bwlding Dryer Other (Specdy) Comm./Industrial Furnace Farm X Air Conditioner Olher(specRy) Conhadw5 Remarks Central a/c Compute Inspecfion Fee Below: # Other Fee # ServiceEntranceSize Fee # CvcutlslFeeders Fee Swimming Pool 0 to 200 Amps 1 0 to 100 Amps 4. O Transformers Above 200 _ Amps Above 100 _ amps SignS Inspeclor4 Uso Only: TpTq~ Irriganon Booms f~ 6G 1 S. 50 Special Inspection Alarm/Communication Other Fee I, the Electrical Inspector, hereby Rough-in oate cerhty that the above inspection has O p~~ ~ n Final pale . Z/ been made. OFFICE USE ONLV Ths request voitl 18 months trmn Job #1046 ~ 132544 4 Raque9 Date Flre No, lHough Inspeclion i Reqwretl? Q ReaOy Now ? WII NoLy Inspeclor 12 - ? Yes ANO When Reatly9 IX licensed contractor ? owner hereby request inspection of above electrical work at: ~ Job AOdress (Stroet Box a Raute No ~ City , .5-g cTi2 0- rtF STE ! U Sectien No. Township Name or No Range No Cpun `b Occupant(PRINn Phone No. /)b*Ld/n! 660.26-E u11vs1e5 57z - 303 Power Suppiier Atlaress .4-Ko L ! c - .L7e'Pa"j I ElecViwl Contraclor(COmpeny Neme) Conhactor5 I-cense No. /h t- Mailirg AOdress (COnVector ar Owner Making InsWllatwn) Authonzetl Signeture (C Vacror/Owner Making Installation) Phone Number k9a -3ss5~ MINNESOT STpTE BOAflD OF ELECTfiICITY THIS INSPECTION REOUEST WILL NOT Grlgge-Mltlway BICp. - Room S113 BE ACCEPTED BV THE STATE BOARD 1821 Universlry Ave., St. Paul, MN 5510I UNLESS PROPER INSPECTION FEE IS Phone(612) 6i2-0800 ENCLOSED. REQUeST FOR ELECTRICAL INSPECTION r EB-00001-07 ~ V Ili, See instiaIXqns for compleLrg iM1is lorm on back ol yeliow copy. N -6254 4 K"X" Below Work Covered by This Request e aldtl Rep. TypBOfBuilding AppliancasWiretl EquipmeniWiretl Home JAIr ge Temporary Service Duplex r Heater Elediic Heating Apt. Building r Other (Specify) Commllndustrial ace Farm ' onditioner Olhrr ( specity) CamracYOrS Remorks: Compute Inspection Fee Below: # Other Fee # ServiceEmrance5ize Fee # Circuns/Feedere Fae Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps Ahove 10,0 Amps Signs inspeaw5 Use OMy: / TOTAL / Irri9ation Booms Special Inspection Alarm/Communication Other Fee I, the Electrical Inspector, hereby RougRm ~ oa~a certity that the above inspection has F,,,ai oa been made. OFFICE USE ONLY Ths request wd 1B montRS hom 9/88 5'oa0') ~ 62545 t Request Dale Fire No. ugh-in InspecUOn Inspectar ' ~ ~ eqmretl? ? Reatly Naw )(Will Notity ¢s ? No VJhen Reatly'! IIWicensed contractor ? owner hereby request inspection of above elecirical work at Jo0 Atltlress (Street, Boa or Route NoJ Gily S$ Lc) o eIfE57Si2 e 911G191"i"I Section No Tawnship Name or No Range No. County DliKa 770- OccupanilPRlMI Phone No. A~C-'d/ N 6rE02 b liiaoEns 3~z - 30 3' Pawer Supplier ACdress RJ(o iGb& 7,V-- 1G Fl/tlHiaGTZ-~ Elecvical Contrector (COmpany Name) Contrector5 Uceise Na /h*STf.2 tLg C /G Or/O !~~"'3 Mmhng Atldress (COntractor or Owrar Makirg IrrstalWtion) e- '/6 E /~Uy SfOr/~¢C•Fi ANlwr¢etl SignaWre (CanVadorft?xner Makmg Installalion) Phore NumOer ~!O - jSS MINNESOTA TATE BOAPD OF ELECTRI TV THIS INSPEGTION REOUEST WILL NOT GrlgBS-MlAway Bltlg. - Room S173 BE AGCEPTED BY THE STATE BOAiiD 1821 Unlvoniry Ave., SL Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 602-0800 ENCLOSED. /'//REQUEST FOR ELECTRICAL INSPECTION 9 : ee-ooom-o7 ` ? See instmclions lor eomplaGng *s lortn on bach of yellow wpy ~aQ ~ N 62545 "X" Be/ow Work Covered by This Request e Atltl Rep. Type of Building ApplmncesWired EquipmentWired Home Range Temporary Service Duplez Water Heater Elecinc Heating Apt Building Dryer Other (Specity) Comm./Industrial Furnace Farm Air Conditioner Other (speary) Canlractor5 Remerks. Compufe Inspection Fee Below: # Other Fee # ServiceEnlranceSize Fee # Qrcuits/Feeders Fee Swimming Pool 0 to 200 Amps 57 - 0 to 700 Amps Transformers Above 200 _ Amps Amps J j Signs inspactor5 Usa Only: . TAL • S Irtigation Booms Special Inspection Alarm/Communication ~ O[her Fee I, the Electrical Inspector, hereby Rotiqn-re ~ o e ~~ly i 9 certity that Ihe above inspection has oat been made. I OFFICE USE ONLY This request wid 18 monfis imm 20a6 RESIDENTIAL PLUMBING PERnnir aPPticaTioN CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date Site Street Address Unit # Property Owner Telephone # iContractor l._.`l m Telephone Address IVI~l A)'City k~°i.^,LO l~ Statest / Zi The Applicant is: _ Owner ~ Contractor _Other I 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 andlor water heater at the same time. If you are instafling onlv a water softener and/or water heafer, 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 518" meter ls required) -Other. ~ i Water Softener Water Heater $ 15.00 _ new ~±replacement i L - Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30 00 State Surcharge $ 50 Tota I I hereby apply for a Residential Plumbing Permit and acknowledge that the iniormation is compfete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing 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 ac4or ncewith the approved plan in the event a plan is re a quired e reviewe and ap ro ed. App icanYs Printed Name A ican s Signature CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21 •199, Eagan, MN 55121 NO 15894 " PHONE:454-8100 BUILDING PERMIT fieceipt To be used tor SF DWG/GAR Est Value $77,000 Date NOV 22 ,19$$_ Site Addrel ~ 3958 WORCHESTER DR OFFICE USE ONLY Lot 'S Block 1 Sec/Sub. STONEBRIDGE OnSneSewage _ Occupancy R-3 M-i MWCC System X Zon{ng PD R-1 Parcel No. On Sile Well _ (AClual) Const V-N a Name MARVIN GEORGE BUILDERS. INC CiryWater X (Allowabie) V-N z Address P 0 BOX 428 PRV Requiretl _ # of Stones ; Booster Pum Len 1~ 4fi ~ o City PRINCETON phone 389-3201 P - 9 oeptn Sn' a Name SAME S.F.7otai 0 zi- o a AddreSS Fompnnt S.F. ~ City Phone pppqOVALS FEES w W Name Engr./Assess. Permit 482.00 ~z Pianner Surcharge 38.50 z ~ Address aw City PhOn2 Council PlanReview 1241.00 00.00 BIdg.Off. SA4 City I hereby acknowletlge that I have read this application antl state that Ihe Variance SAC. MWCC 550.00 intorma4on is correct antl agre omply with applicable State of Water Conn 550.00 Minnesota Statmes and City a n Ordinan . Water Meter 67.00 Signature of Permittee Road Unit _3 25.-00 A Builtling Permit is issue o:_MARVIN_GEO R-CE-BUILDERS- Treatment P1 204.00 on the express condition that all work shall be done in accortlance wilh al I applicable State of mnesota Statut~es a1nd City of Eagan Oftlinances. Parks BuildingOfficial~ ~,(/,{I~_tI -Tr~L-_ TOTAL 2,557.50 , r.~ \ , i 1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDAESSES FOR CORNER LOTS. - CONTRACTOR/HOMEOWNER MUST DESIGNATE WfiICH ADDAESS IS.DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS # OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS CONASERCIAL INCLUDE 2 SETS OF AFCHITECTUAAL & STAUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 7 SET OF ENERGY CALCULATIONS - `$Qy 1 8 1968 To Be Used For: Sin¢le family Valuation: Date: Site Address r7q ooo ~ OFFICE USE ONLY , Lot 6 Block I, On site sewage_ Occupancy R'J? M-1 M4ICC system ? Zoning D Pareel/Sub u<,,.. ..f ct„nov. •dgp On site well _ Actual Const V' City water 6,-, Allowable Owner PRV required _ # of stories ~ Booster Pump _ Length yS" Address p 0 a~•- 4?R Depth S.F. Total City/Zip Code Footprint S.F. Phone (ra L~) 7Rq_ i APPROVALS FEES Contractor G EngrlAssess Fermit y g2,aQ Planner Surcharge Address Council Plan Review Z U / , 00 Bldg. Off. 4~u ZZ SAC, City JQ0.OC~ City/Zip Code Variance SAC, MWCC 550,DO Water Conn D, 00 Phone Water Meter G,7?, Road Unit Areh./Engr. Same as owner Treatment P1 ~ C7y,00 Parks Address Copies j TOTAL City/Zip Code I Phone !I ' VALuAT toN ZZ Kz'4 ~ 5Z8 6 x y = ~Z 4) 50~ X ~y= 7b5~ ~Sm T- , ,26 x 40 = lo40 1o g X 13= 14144 I-IpUIS~ I%Zx 16 = / X 9= q a x~= iu 1138 XyR= 559 62 6q6Z r? I ~ ~ , . 1, e , f ' MINNESOTA STATE BUILDING CODE DIVISION , EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION OWNER MA-KV.LN . Co (DO KG C d)U 1 LO~R S SITE ADDRESS LOT fp+ 6L.GG1L {-JIl,L,S OF a.~TONEF3RiL]CvE CONTRACTOR M 'R9-uT.f,1 Gep (Z E[~11 14 PCS DATE PHONE De[ermine workinR square footaQe of each: 1. Total exposed wall area..... (-10 7'to sq. ft. x.~~ 2. To[al roof/ceiling area..... Cl~ q sq. ft. x,Q~~p = a .qQ Total exposed wall area above floor = ~-)(n -J ' a. To[al wall window area . . . . . . . . . . . . . . . p b. Total door area . . . . . . . . . . . . . . . . . . a, c. Total sliding glass door area. . . . . . . . . . . . ya d. Total fireplace wall area . . . . . . . . . . . . . . - e. Total wall framing area (average 10%). . . . . . . . f. Total net wall area above floor. . . . . . . . . . . 1).5 9 g. Total rim joist area . . . . . . . . . . . . . . . . lnj Total exposed foundation area h. Total foundation window area . . . . . . . . . . . . ~ i. Total ne[ foundation area above grade. Determine "U" value of each wall segment: a. 192_ X"U" b. Ll X IIU,, •a2J a L•~4' C. tia X„U„ , y a = i~1 c~`~ . d . g ~fUll - a ^ e. XflUff ~~'•J I I, ! 9 f. ~a~ X"U" ~ O~ Sb, JC.v A ' . , . . . X,fu" y 39 h. X $lU,l- ~ - 1. (o-7 X,,,,,, . o(,g e-7. 3 B 3. TOTAI . . . . . . . . . . . . . 1S~,'~-7 If item 03 is the,eame as, or less than item #l, you have met the inten[ of SBC 6006(c)2. To[al exposed roof/ceiling area = lU j . Total skylight area . . . . . . . . . . • . . . . . k. Total roof/ceiling framing area (AveragelOX) 1. Total net insulated roof/ceiling area . . . . . . . . ~ Detexmine "U" value for each roof/ceiling segment: X "U" ' ~ • ° k. ~ G X"U,. . oac0 a. 5 I. X,f„" . oaa 34. TOTAI . . . . . . . . . . . . . ° aa,3o If total of item 114 is [he same as, or less than item f12, you have met the intent of • SBC 6006(c)1. Alternate Building Envelope Design To utilize the total envelope system method, the values eatabliehed by [he sum of iteme , li3 and 114 shall not be greater than the sum of items ill and 1i2. 1. aoc~.3c~ +z. a5.9o a3a.ac~ 3. ~53,3-7 +4. aa,3o e S~~ LOT Sl1RVEYS COMPANY, INC¦ F g ND No' 23377 LAND SURVEYORS SCALE I" 20' 0- DENOTES IHON REGISTERED UNDER LAWS OF STATE OF M[NNESOTA MARVIN GEORGE BUILDERS 7601-73rd Avenue North 660•3093 A Denotes Wood Hub Set Minneapolis, Minneaota 65428 For Excavation Only Denotes Surface Drainage fiurnrgars (lpl~ftatt Job No. 88-127 Address: 3958 Worchester Drive t ooe- Denotes Proposed Elevation Denotes Existing Elevation 'Iype of Building - Split Level j 3. .1 Q/ / 30 U. Vn. ~ J `p \ 95 '%z - 5• Sp i .t Top of Block 39S,4 ~ 5 i/ a" \80 900, r Garage Floor / ~ H ~ 0 4b ~ B99• 4 Lowest Most Floor \ / 0/ \ ~ ~yiJ il B .(e O \ ~ . ag ' , C,w /4~ ~U i ~ . n. i ~ B~, 30 uw < o 0 78~ s` ~ ~ 2g ~es ~ u , / ` ~ .0 T h `e AO 0 ~9b ~t8'~-` .2• ~~6 O-, tr) 3Z \ ; / S \9yr b / r~^ Q O ~ So s \ a S` \y, . 5 . Y V a ~ Jx\~i ~ . ; 9OO 3 , ~ i 4 q1 Lot 6, Block 1, HILLS OF STCVEBRIDGE ° ~nr='f-~\ p r ~ by S DEPT The only easements ahown are trom plats of record or informatlon provided by n ' cllent. . We hereby certlry that thls Is a true and correct representatlon of e survey of the boundaries of the above descdbed land and the Iocation of all bulldinps and vis- Ible encroachments, If any, from or on sald land. Signed ~Surveyed by ua thls l Oth day of November 19 88 eymond A. Prasch, Minn. Reg. No. 6743 RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EACAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construction Reauirementa RemodellReoair Reauirements ~ .a C)~- • 3 registered site surveys showirg sq R. of lot, sq. f. of house; and all roofed areas • 2 copies of plan (20Yo mazimum lot cove2ge allowed) . 1 set of Energy Calcutations for heated additions • 2 copies of plan showing beam 8 window sizes; poured found design, etc.) . 1 site survey for extenor additions & decks • 7 set of Energy Calculations • Indicate'rf home served by septic system foredditions • 3 copies of Tree Preservation Plan d bt platted after 711193 • Rim Joisl Detail Options selection sheet (bldgs with 3 or less umLS) DATE 5-7- GZ VALUATION 5 LAt-00 • L" 30 SITE ADDRESS MULTI-FAMILY BLDG Y~ TYPE OF WORK'~~-~~~-~~`E, FIREPLACE(S) 0_ 1_ 2 APPUCANT_ e.. STREET ADDRESS 7~:)439 Q~c~ St Su CITY saSev>>\J2--STATE'~-11P L2ED( TELEPHONE #(oS1--B'{'9--(3bCELL PHONE # FAX #,n_S l' ~-1~3~7 ~O2- l g PROPERTYOWNER TELEPHONE#~5k-108S COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNGSO"1'A RULES 7670 CATLGORY l MINNESO'fA RULLS 7672 (J submission rype) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor. Phonc # Plumbing system includcs: Water Soltcner _ Lawn Sprinklcr I'ec: $90.00 Water I-Icatcr No. of R.I. 13adis No. of 13aths Mechanical Coniractor: Phone # Mechanical system includes: Air Condiuoning I'ec: $70.00 I-Icat Rccoccry Systcm Sewer/Water Contractor: Phone # I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. ~ Slgnature of ~pplleaM _ - D~9 - OFFICE USE ONLY MAY p 2 ZppZ Y Certificates of Survey Received _ Tree Preservation Plan Received _ No equired _ Y ~ ~ ~Tna d 4/02 OFFICE USE ONLY ? 01 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 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement `Demolition (Entire Bldg only) - Giva PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning Ciry Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Canst Width REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaUC.O. _ Footings (deck) _ FinaVNo C.O. _ Footings (addition) _ Plumbing Foundation H VAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Smcco Stone _ Fireplace _ R.I. _ Air Tes[ _ Final _ Windows (new/replacement) lusulation _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total APFLICATION FOR PERMIT iNTE: pAYNQ•Nf OF FEE AT TIME OF ; . : APPLICATION DOFS NU1' CON- : SPI1[JIE APPRGVAL OF PIIiMIT. : • ~ C~~ x SEWER AND/OR WATER CONNECTIQN i INSPfZTION OF S59f72 ND/OR FL41F7t INSfALTATI0215 WII.L NJT BE °rErn.cn * S4 ' • ~[TR'IL PIIEMIT FIAS BF3N APPROVID. k ~.Y f~~~eiif~~i~~~w~i~We~~i~a~~~~~~~~~f~~? ~5+. C9tV OF cC1gCaQ9 (PLFASE PRINT 1) PROPERTY ADDRESS: SO 6&f7G {t I- LEGAL, DESQ2IPTION; Z& (Lot B ock Su-b ivision r'lax Parcel ) IF EXISTING STRL'CTL~RE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: Mont Year PRESENT ZONING/PROPOSID [)SE: Q CONA9Q2CIAL/RETAIL/OFFICE I~R-1 SINGLE FAMILY Q INDT-ISTRIAL ~ R-2 DUPLEX (3t,o Cnits) Q INSTIZVTIONAL/GOVEF2AIlMENT Q R-3 TOWNHOOSE (Three + Units) ( Lnits) Q R-4 APARTMENT/CODIDOMINIOM ( Units) 2) NAME: /'qOVt/;kI ci Lu~ c~ 9 A/ew ADDRESS: nG, ~9.(K S~2 CITY, STATE. ZIP: ~~~cceLo~J /91~ PxoNE: 31.2- 303 y For City Cse 3) NAME: r«.ouVtA tv/ Pl rurt~I.icense: • I~ ADDRESS: 7.Z40 zo c~ec*~-' A. Active Expired CITY, STATE, ZIP: ~l eQ,,, ~bu~_ Not recorded PHONE: ~.,~43-~7y7y4 MAS'I'ER LICENSE # 07,;Ld(oS Sta Inf~ itial 4) NA`E: 3~a4r~ec- P!I-Sa CZ) ADDRFSS: CITY, STATE, ZIP: PHONE: 5) 2MI-N2e STORM SESdER PERMIT - CONTACT ENGINEERING E2-C6NNE)CTION TO CITY SEWEE2 ~ONNECTION TO CITY WATER O TAPS 6) G(/.ul..l.-Q /9d4w~ ~~*,~.****«**+~+~***************«:r****,r**+~~+***,r,r**+~.*+**~:*+***~*+*+~*«**«~***+*,.*«***:*.****~+**% * * THE GOLD COPY OF THE PERNLiT WIIS, BE SELJf DIRDCl'LY TO PL~BLIC WORKS 'N FACILITATE METIIt PICK-OP. * *k PLEASE ALLOW ZWO WORKING DAYS FOR PROCFSSING. SOME70NE FROM TfJE CITY WILL CONPALT YOU IF 1HERRE ARE ANY PROSI,II•1S. **'k*******t***Y[******************t***********/r***********A'*#*tr***************#*********#*****Yt*****; FOR CITY USE ONLY . . PERMIT # ISSC'ED Pd w/Bldg. Permit FEES: $ $ K~ SEWER PERMIT (INCLUDE SURCHARGE) '7~ $ $ ~ D S WATER PERMIT (INCLUDE SURCHARGE) $ $ WATER METER/COPPERHORN/OC'TSIDE READER $ $ WATER TAP (INCLC'DE CORPORATION STOP) $ $ SEWER TAP $ $ /.S ACCOUNT DEPOSIT - SEWER $ $ ACCOUNT DEPOSIT - WATER $ $ WAC $ $ sac $ $ TRUNK WATER ASSESSMENT $ - $ TRONK SEWER ASSESSMENT $ - $ LATERAL BENEFIT/TRONK SEWER $ $ LATERAL BEN°FIT/TRUNK WATER $ O'Z Q Y~ $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ ~L7 / $ 51 v v TOTAL 993 O RECEIPT RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? ~ YES IF YES, THEN A"PERMIT FOR WORK L+IITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE ENGINEERING ~ NO DIVISION. LIST AS A CONDITION. SUBJECT -TtT-TAE-POLLORING CONDITIONS: APPROVED BY• - - T TTI; E DATE-.-- December 14, 1988 MARVIN GEORGE BLDRS P.O. BOX 428 PRZNCETON, MN 55371 REt 3958 WORCHESTER DR., L6, B7, HII.IS OF STONEHRIDGE 3962 IiORCHESTER DR.p L5, B1o HII.IS OF STONEBRIDGE iIAANINGs BEFORE DIGGING, CALL LOC9L OTILITIFS - TELEPHONEO ELECTRIC, GAS, ETC. - REQOIRED BY LAW XX_ Your Sewer and Water Permit for the above property has been completed. It will be held at the Public Works Garage (3501 Coaehman Road) until the meter is picked up. BE SURE TO CALL Pi1BLIC WORBS (454-5220) FOR YOOR PERMANENT YTATER TOBN ON. _ Your Sexer and Water Permit for the above property cannot be completed for the following reason: _ Your Sewer and Water Permit for the above property has been completed, however, the meter cannot be issued or oecupancy allowed until further notice. Sincerely, 1~- Jan Severson Secretary JS Use BLUE or BLACK Ink For I Office Use J ~ . ( I I i Eapn I Permit ' 40111" C Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 1 _ / 3 I Phone: (651) 675-5675 1 Date Received: Fax: (651) 675-5694 1 staff: 457 2013 MECHANICAL PERMIT APPLICATION ❑ Please submit two (2) sets of plans with all commercial applications. Date: 1/10 13 Site Address: ~ Nc r'GG1P 5 4_e Or- to, 1(.4wN i Tenant: T t/G h50 i-, Suite M Resident/Owner Name: Phone: Address / Ciity/ Zip: 214, Name: AM Pnth c, 6A •-Iw~t D LL6 License#: V1136/6 3(/07 Contractor Address: U 'iP(~2c~i Sl 1~1 City: F_IasT State: ] Zi Phone: Iaac( -Cri Contact:( tAY Valh1~'e5~i" Email: V4+'tib1^~~56~~1 Cave-v 1 New Replacement Additional Alteration Demolition Type of Work Description of work: cerv_Iv h NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector for information on permitted screening methods. RESIDENTIAL COMMERCIAL Furnace New Construction Interior Improvement Permit Type Air Conditioner Install Piping Processed Air Exchanger Gas Exterior HVAC Unit i Heat Pump Under/Above ground Tank Install Remove) Other RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit (includes $5.00 State Surcharge) $100.00 Residential New (includes $5.00 State Surcharge) _ $ TOTAL FEE COMMERCIAL FEES Contract value $3U X.01 $55.00 Permit Fee Minimum $70.00 Underground tank installation/removal Permit Fee "If contract value is LESS than $10,010, Surcharge = $5.00 Surcharge" **If contract value is GREATER than $10,010, Surcharge = Contract Value x $0.0005 ***If the project valuation is over $1 million, please call for Surcharge TOTAL FEE 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 tart without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x (f-l{a 44 V /.Ltn & Lo,-e 1-1 x Applicant's Printed Name Applicant's Signature FOR OFFICE USE Required Inspections: Reviewed By: Date: Underground Rough In Air Test Gas Service Test In-floor Heat Final HVAC Screening PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA150113 Date Issued:06/21/2018 Permit Category:ePermit Site Address: 3958 Worchester Dr Lot:6 Block: 1 Addition: Hills Of Stonebridge PID:10-32990-01-060 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). 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 - William Evenson 2965 - 96th St E Inver Grove Hgts MN 55077 (612) 743-7603 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA167869 Date Issued:03/31/2021 Permit Category:ePermit Site Address: 3958 Worchester Dr Lot:6 Block: 1 Addition: Hills Of Stonebridge PID:10-32990-01-060 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. We encourage you to retain an electronic copy of photos until the project passes a final inspection. *Roof permits issued between December and March will be inspected in the spring or when weather warms up. 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 - Clayton Fandre 3958 Worchester Dr Eagan MN 55123 Minnesota Restoration Contractors Inc 12252 Nicollet Ave Burnsville MN 55337 (612) 280-4807 Applicant/Permitee: Signature Issued By: Signature