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3959 Worchester Dr ContrINSPECTI(3N RECO~RD 01 NQ. CITY OF EAGAN PERMIT TYPE: t~~i fi 1 I~ 3~l~~ 3830 Pilot Knab Road Permit Number: i ah r Eagan, Minnesoia 55123 - Date Issued: (612) 681-4875 SITE ADaRESS: iOtt t 1 ~LUCt,2 APPLlCANT: ~ 9969 WiiRvtrSi'[n QR MANl~'1? . ~XCN~L MYi.f.~ 0f S1'014EARID" (612) s4a-0064 ~ ~ PERMIT SUBTYPE: TYPE OF WORK: ~ D f:#tfIM.IM~ F INlIL , i ~ I , 11rMARKSt 11ECE TPT ~ ji ~ - - - ~ _ - - - - - - ' P'Ofl11K NO. piflBk 110Nft Deb ~AOIM ~ I , SNV PLUMB{NQ I I , , HYAC I EI.EGTRIC : - i Ei.EC'I7iIC _ - - - I k"Vwwn Deb Vsp- comffmm Fodigsl ~ ~ Forndabon F?atrirp ~ l2- a ~ 144ugh Pbu- I i Qset Tesl Fk?v P1b9. Pbp. lnpsaor - FlotNy Plumber ~ ! Cof11L AAster ~ EnprJPlsn I Bkil;. FkW I Deck F4 1 DeCk FN?91 I YNeN Pr_ Olep. ~j ~CO~ Controi No. ~ ' ~SPEC~j'~IOl~ T- -7- 1 CITY OF EAGAN PERMIT TYPE: oultaxoo 3830 Pilot Knob Road Parmlt Number; 0l9100 Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDAESS: LOTt It ai.oCK , 2 APPLICANT: 3969 WOACti[BTER DR i?AMEI.CRAFT NILLS bF STWIIleItt!?pt (814) r21-6626 PERMIT SU9TYPE: TYPE OF WORK: , Llt'CK ItDDtTIQN T i f O41IMti FIMAL - lwMt tio. . Pwnlt Hws.r o.a r~ap~wn. s ' , SM! ~ PLUMB1Nti I . , I . NHAG I ~ ELEGTRIC i - ELECTRIC w~ oft rmp. coWAn«ft I r-o+~tlnga ~ : I I ~ Faxidalion ` ~ FOM-V ~ RdVh Aft Fbuph FA& leul ikrpNwx Fltil Ffip. _ FkW Pbg, P69- ~Mwckm - NOh Pk,mbar CauL 1iaet 6qr~ ft . Do& FMW ww F'r. obp: . i I ; p ~+g CITY OF EAGAN 169~ • . y.. . ~ ` ~ 1~+ • 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 i PHONE: 454-8100 ; BUILDING PERMIT Receipt # ? ~ / To be used for 8~ ~/GAA Est. Value 000 Date AUG 23 , 1989 Site Address 3954 ii01bCt188T8R DA Lot 11 Block 2 Sec/Sub. HIIA-S OF OFFICE USE ONLY a~ ~..1 PdfC@I NO. Occupancy ~ ~i FEES Zoning W Name $i~ ~s. i~ (na~,ai) const V~ BIAg. Permil 576.00 ; Address 14319 E70CSLSIOR LN (Allowable) w~ ~~pp p Surcnarge City Phone 733"'3152 # ol stories Length Plan Review Z~.oo o Name SAME Deptn ~ snc, city 100000 Address S.F.7otal - S7S~~ SAC, MCWCC ~ City PhOI1B S.F. Footprints _ 5W•00 On Site Sewage _ Water Conn ~ ~ W Name a, siie weu ~D.00 ~ W ~ Water Meter Address Mwcc System ~ City Phone Ciry Water ~ Deposit PRV Required _ S/W Permil MOO I hereby aCknowlege that I h8ve r. is appliCation and slate that lhe Booster Pump - gryy Surcharge 1'00 information is correct and, agree compFyi1h all applicable State of Minnesota StaWtes and Cot E an C}rQies. Treatment PI 22a•~ Signature of PermitAPPROVALS Road Unit 340000 SII.80~'t"fE N~lES IIIC alar,^~ A Building Permit is issued to: • - Park Ded. on the express condition that all work shall be done in accordance with all Ca,ncil ~ applicable State of Minnesota Statutes and City ot Eagan Ordmances. g~dy. pff. _ Copres • Variance - TOTAL 29871.50 Building OHicial , - wrmit No. Permit Haear aace rd.phone +M W.ATER ~ . SEWER ' PLUMBING H.VA.C. ELECTRIC Mopeetion Dab M". Commonts Footirgs I Fouidauon i IA'P Fr.mmy 18 aaoforiy Rough Pbg. R.0 Htg. Fueplace Final Hlg. C; • j' ~ ~ ~ Fu,al Pes. c«,sl. Me+er Plby. InspecEOr - Moury Pan„oer Engr.IPlan Bldg. Final Dedc Flg. Deck Final YVeY R. Oiap. ' . . . . ' M..ST _ .'t~ . . . - - z ~j w PERMIT# MECHANICAL PERMIT RECEIPT k CITY OF EAGAN ~3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE i/ r C PHONE: 454-8100 FOf Office USe Only: Site Address - - - BLDG. TYPE WORK DESCRIPTION Lot ~ ! Block~ ~ ~See/Sub Res. New Mult Add-on m Name ' Comm. Repair Address Other ~ ~c' City Phone FEES Name RES. HVAC 0-100 M BTU - $24.00 c Address ADDITIONAL 50 M BTU - 6.00 p Ciry Phone (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 BTU MINIMUM COMMERCIAL FEE - 20.00 Vent CFM STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # ' BEYOND S1,000) Other FEE SIGNATURE OF PERMITTEE - S/C: TOTAL• FOR: CITY OF EAGAN , _ _ . . ' - SEWEN dc WATER PERMfT OfFICE USE ONLY CITY OF EAGAN METER #`'y a'",30f° PERMIT DATE 8/ 2 4/ 89 3830 Pilot Knob Rd. CHiP # p 5'S 3 9 Eag8~1, MN 55122-1897 PERMIT ~ 10821 METER SIZE ~ )e0[/(-n'e4,P RECEIPT # C 3555 ~DATE ISSUE DATE - a~- F 5 B.P. RECEIPT DATE 8! 23 / 89 ~ . ~ _ PRV _ BOOSTER PUMP ' srrE nDoRESS 3~ S~ ~1or<~,•s~•~ , ' PERMIT REQUESTED LOT 4j_BLOCK _&_SEClSUB O.j lI sA S4o. r Ar~ c~.~ .e ~ Y_ SEWER A WATER _ TAPS APPLICANT: ADpRESS: - COMM/IND A-L RESIDENTIAL CITY, STATE JJJAJ ZIP _A_ NEW ~ EXISTING PHONE: • - Lawn Spr' kler Meters are to be Installed PLUMBER: ` A d o orr~ tic M ters on Water Line. ADDRESS: r it Q 'i for Deduct Meters. CITY, STATE 'v ZIP nn 4`/ PHONE: L/3.~"• 33 ~ 1 AGR E TD CO L WITN CITIf OF OWNER: ::ZdidR~.1Lonr• EAGAN ORDINAN ES ADORESS; ~ CITY, STATE ZIP pHONE; NATUR NEN METER ISSU D PLEASE ALLOW TWO WORKINCi DAYS FOR PFtOCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERINO DEPT. CASH RECEIPT ~ CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA'55122 DATE qECFROM ~!~.~1,'/ ' . ~ ? {J - '_-'C~- , i ' AMOUNT s jl )711 ~ ~ a ooLu?Rs ,oo a cAsf+ CHECK , wrto oaiECT " AMOUrrr i ~ Thank You BY C F 55 ~ wm-41ay- COPY vslbw-Poslirw Copy Pink--FYs Copy r+ s~=:. _ . _ , , , . • ~I . . ~ • _ , 4 (gertifira#p --o# (Orrupaury ~ titp of (Eagan ~ ~r~~ttt~tci a~ ~~u~ld~ng ~n~rrr~~rnc 77eis Certificate issued pursuant 1o the requirements ojSection 306 of the U?+ifonm Buflding Code certifying that at the tinte of issrcance tlus structure ww in compliance wlth the mrious ` ordinances of the City regulatfng building rn?rstruction or use, For the fallowing.• un cbmdicuioa SF D,1G/GAR Uk. %,m;, ,,o. 16976 o-Up.,-Y Tra R3/M1 zoning nw,;a " PD/R1 rnc cooK VN SB.I= HM IIC. Ad&m 14319 EMISIM LAiE, EMEESI(R amU 3959 FARMSg'R IItIVE I'M,;,y L 1 I, B2. HILiS fF SMNEMUDdE a1, OGEM 26. 1989 POST IN A CONSPICUOUS PLACE \ CITY OF EAGAN N0- 16976 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 5512 " PHONE:454-8100 BUILDING PERMIT Receipt # a Tobeusedtor SF DWG/GAR Est.value $86,000 Date AUG 23 1989 Site Address 3959 WORCHESTER DR LOt 11 BIOCk z SBC/Sub. HILLS OF OFFICE USE ONLY P2fC21 N0. Occupancy R-3 M_1 FEFS Zoning PD R=1 w Name- SILHOUETTE HOMES. INC (nctuaqCOnst V-N 81dg.Permil 576.00 o Addr2ss 14319 EXCELSIOR LN (Allowable) V-N 43.00 Clty PhOne 753-3152 N oI Siones Swcharge Length 461 Plan Reviow 288.00 ;i:o Name SAME Depth 4!+~ Sn0. Cuy 100.00 0,¢ AddfBSS S.F.Totai _ ~ City Phone S F. Footprints _ SAC, MCWCC 575.00 ~ On Site Sewage _ Water Conn 580.00 ` Name ww On Sile Well 90.00 ti - WaterMeter ~6 AddreSS MWCCSystem x~ aw City Phone cuywater XX Accl.Oeposil 30.00 PRV Reqwred _ SM! Permil 20. nO I hereDy acknowlege lhat I ve r piLlicatio'n d state Ihat the Boos ter Pump - SiW Surcharge inlormation is correct an ree c licable State of Minnesota Slatutes antl C f a r Treaimem PI 228. 00 Signature ol PermitBe pPPROVALs Road Unil 340.00 A Building Permit is issued to: Pianner - park Dea. on Ihe express condition that all work shall be done in accordance with all Counal apphcable State ol M,(i~nnesota Statutes antl Gryo1 Eagan Ortlinances. Bitlg. OII. _ Copies .50 Building Ollicial ~1_~ DI fI , ~J Vanance - TOTAL 2- 871.50 v SEWER & WATER PERMIT OFFICE USE ONLY CITY OF EAGAN 3830 Pilot Knob Rd METER # PERMIT DATE 6 ` . Eagan, MN 55122-1897 CHIP N PERMIT # 108a l ~~'4ffl METER SIZE B.P. RECEIPT #C DATE - ISSUE DATE B.P. RECEIPT DATE 8 ~"I _ PRV - BOOSTER PUMP SITEADDRESS 31Sl UOf'tkaj'lvv Pcya. PERMITREQUESTED LOT-n--BLOCK-- SEC/SUB S'FotirGri4 .t ~SEWER XWATER _TAPS APPLICANT: S AOU rS ?UC, ADDRESS: 6Z00 re p Wd- -COMM/IND RESIDENTIAL CITY, STATE v N ZIP-=03 - PHONE: _ NEW = EXISTING ~ 'f • Law Spr' kle~ Meters are to be Installed PLUMBER: q p~I~ Nnh~i ~A d of o c e ers on Water Line. ADDRESS: K~atuM~ fVG ~ I t I O e n for Deduct Meters. I CITY,STATE ~.u t,tllY Yh~I zio S"S, p PHONE: 3~2-1 1 4 1 AGREE TO COM L WITH CITY OF OWNER: s/I4/DfNV NMI. EAGAN ORDINANCES ADDRESS: CITY, STATE ZIp PHONE: SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORqNG DAYS FOH PROCESSING. CALL 4546220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. i-~ DATE: 0/24/09 RE: 3959 [.'DaCHES72ft DA1Va, %.lfl. D2, H1L9S OP S"EOt,3BRSIIG2 ~ Your Sewer 8 Water Permit for the above property has been compieted. It will be held at the Public Works Garage (3501 Coachman Road) untA the meter is picked up. BE SURE TO CALL PUBLIC WORKS (4545220) FOR YOUR PERMANENT WATER TURN ON. 'IN _ Your Sewe! 8 Water Permit for the above property cannot be completed for the following reasons: . - Your Sewer & Water Permit for the above property has been completed, but the meter cannot be issued or occupancy allowed until further notice. - COMMERCIAI PROJECTS ONLY: Please pay for meter at City Hall. Meter size musi be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GpS, ETC. - REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, 8uilding Inspections Dept. DATE: 8/24/89 RE: 3959 6JORCHESZ6R DR1V6, L11, S2, H1LLS OF SYOWES8IQGE Yow Sewer & Water Permit for the above property has been completed. It will be held at the Public Works Garage (3501 Coachman Aoad) until the meter is picked up. BE SURE TO CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. a` - Your Sewei & Water Permit for the above property cannot be completed for the Tollowing reasons: . , I - 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 City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspector's - 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REOUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FON WATER TURN ON POLICY. Secretary, Buildmg Inspections Dept. a 4 077 C'oai~D A13v 9 Re uesi Date p Pno-No. n-in Inspedwn Nord, e retl~ 0 ReaOY NowLLV~'~~nen q aM?ecla Ve5 ~ NO I] hcensed contractor R-<owner hereby request inspection of above elec[ncal work aC Job3Addre5s 95 t9 t Box or R~„o, C,~ ar~ Section No Townsnip Name or No Range No, Counry OccuOam IPRINTIPhaire No. ~ £ / fn a~ Power SupPber Atltlreu EI¢Cincal onlracwr ICOmOany Namel CAnlractor'S License No O W/! K' Mahng Atl/tl~R'ss iConlracto~ or Owner Makmq Insullauan, / / ~ th rze0 $ignat re ICpnhactorr er Maimg Installalwn PM1O e NumEer e ~ 8,3-D MINNESOTA STATE BOARO OF ELECTRICITV THIS INSPEGTION REOUEST WILL NOT Grlggs-MlOwey Bltlg. - Faom 5-173 BE r1CCEPTED 8Y THE STA7E BOAFD 1821 Univenity Ave.. SL Faul. MN 55104 UNLESS PROPER INSPECTION FEE IS Glwne (612) 6424t800 ENCLOSEO EB REQUEST FOR ELECTRICAL INSPECTION -00001-OB pq ? See insimr,uonslOr,compleling Ihis farm on Dack of yellow copy ' 45077 ~~X" W Below Work Covered by This Request ew Atld~ ftep. 7ypeof8m7dmg AppliancesWired EquipmenlWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Bmlding ~ Dryer Other (Specify) F ommllntlusinal Furnace arm Au Condihoner Offier IspecAy) Conha<ror5 RemarRs ~Sn~~• j~~S~.. Compute Inspecfion Fee Below. # Other Fee # SeywceEMranceSize Fee # Qrcwt5lFeeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transtormers Above 200 _ Amps Above 100 _ Amps SgnS Inspectar's Use Only TOT L Irrigation Booms G G Special Inspection Alarm/CommunicaNon TNIS INSTALLATION MAV BE ORDERED DISCANNECTED IF NOT Other Fee COMPLETED WITHIN 18 MO ( a I, the Electrical Inspector, hereby Rouqn,n OF4 cerhfy that the above inspection has F,nai ~ been made q OFFICE USE ONLV Thrs request vaiC 18 months imm y~is/SY 9, LO ~S `3 3 9 ~ jj s~ ,~r&o Request at /3 Fl No Rough-m Insp h n Q~ Re iretl7 ? Reatly Now JI Notdy Inspector / U Yes ? No en Reedy? IAIcensed contractor ? owner hereby request inspection of above electrical work at: J0 0 AtlCrass (SVeel Box orIRouto ONO Qty _ ~ ~ ~ ~ Seclion No Township Name or No qange No County I' 14N ^ A Nq Occupan'j~AliL/fou~: Phone No '31~ ~ JJ Power Supq~qr~~ Atltlress U ~ o~ ~3n rvcr~t [a EI Party ~ ConyeGto~9,lyce ~ S 1~r ~ ~ 4 UY~ MaiO Atltlress (COntracror or Owner Making InslalWtion) 6 2/,,,1rW0W ST AuRwriz i ture (COnV or/Owner Making Installation) Phana Number MINNE TA D OF EL CTRICITY THIS INSPECTION REOLIEST WILL NOT Gtl ~Mltlway tlg. Hoom Sl BE ACCEPTED 8V THE STATE BOARD 1821 Un v Paul 5510C UNLESS PFOPEH INSPECfION FEE IS 0 Plw~ (612) 64bOB ENCLOSED. ~jr/8`C) REQUEST FOR ELECTRICAL INSPECTION ee-aoooI-o7 ~ ~ ~ Il Sea ins[rucLOns fofcompielinl form on back oi yellow copy. X" Befow Work Covered by This Request G~ 44339 r w Adtl flep . TypeolBwlding AppliancesWiretl EqmpmentWired Home Range Temporary Service Duplex Water Heater Electric Heahng Apt. Building Dryer Other (Specity) Comm /Industnal Furnace Farm Air Conditioner Other (spemty) ('qnlractorh Femarks: Compute Inspecfion Fee Belaw: # Other Fee # ServiceEntranceSrze F22gh # Circmts/Feetlers Fee Swimming Pool 0 to 200 Amps a to 100 Amps / Transformers Above 200 Amps Above 100 _ Amps $ign5 Inspector's Use Onty TOTAL Irrigation Booms ' Special Inspechon ~ y~ p D Alarm/Communicahon Other Fee I, the Electrical Inspector, hereby Rough-m ~ o_Z certify that the above inspection has o e been made. - OFFICE USE ONLY ~ This request roid 18 monfhs fmm _T/C >7 y/s/ /oiscZs p 0 4 8 9 8,~~ ~dr Request ozle Fve N. RougM1-in InspecUOn Requirea"+ ~eaay Now Will Notity Inspeclor ~:j V25 4 A-0 When Reatly? I---! hcensed cornractor ~J owner hereby request inspection of above electncal work at. Job AOCress ISlreel Box or Rome No ) Qry ~ 59J LAJOiCr- a . CAGAn Secuon No To~mship Name or No Range No. Co 1+ U~T4 Occuoanr(PA1NT Pnone No /Cr ~ 1083-~l0 Pi SuppLer Atlarass ct ' A ~P' -~iaCvn~nG Eladncol C r ICompany Nima) Conlraciors Lioense No ' k/ 5" MaiLng AaOress ICOnlractor o~ ner Maamg Installaton) 1 4mnonxea Sign lCOnvacioopwner ng Instana:ion) P one Number bss- c~3z MINNESOTA STATE BOARD Oi ELECTRICITY THIS INSPECTION RWUEST WILL NOT Griggs-MiEway 91tlg - Room 5-173 9E ACCEPTED BY THE STATE BOAR? 1821 Unrveritty Ave. SI Paul. MN SSIOC UNLESS PROPEP INSPECTION PEE IS Phone (612) 602-0800 ENCLOSED . , S.- ~ REQUEST FOR ELECTRICAL INSPECTION ""~esoaooi-oe ? See iretmcuons lor rmpleung ihis fonn on bac< ol yellow ropy '`r• a '~.~.~~...o 04898 "X" Below Work Covered by This Request l,je4AddTR ep. TypeofBuildmg ApphancesWiretl EqwpmenlWired I HOme Range TemporaryService Duplez Water Heater Elecinc Heating Apt Bwldmg Dryer Other (Specify) Comm/Industnal Furnace Farm Air Condilloner Omer syeoty) Conlraclors Remarks Compufe Inspection Fee Belowk Olher Fee # ServiceEnlranceSrze Fee # CucutlsiFeetlers Fee I Swimmmg Pool ~ 0 to 200 Amps 0 to 100 Amps ITradsformer5 Above 200 _ Amps Above 700 _ Amps Signs inspector§USeOnlyTOTAL IrrigationBooms G.p~ rjs Special InSpection AlarmrCommunicauon THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electncal Inspector, hereby R0O9n-'" o~~ certify that the above inspection has F,om aie been made ~ .r Jf~p OFFICE 115E ONLY ~ ThiS r¢Quest Witl 18 mONM151rOm 2004 RESIDENTIAL MECIIANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for. single family dwellings & townhomes/condos when perrrtits are required for each unit Date C/7 / /l0 / C~_00 4 Site Address 325-; / ( JQLL1 hC > 1 De-` Unit # ProperTy Owner s.J l f e Telephone # I ) q-50 - J 72 0 Contractor ) a Stree[ Address 2 ~ sT_ ~ City State J 'J 1 (V ' Zip e9 C]~ Telephone # Bond Expires: The Applicant is _ Owner ~Contractor _ Other Add-on or alteration to existing dwelling unit $ 30.00 furnace _Additional _Replacement air exchanger ~ airconditioner _New -K-eplacement other State Surcharge $ .50 Total SFP ~ 1 2004 $ O SG By I hereby apply for a Residential Mechanical Permit and acknowledge [hat th [ion is complete and accura[e; that [he work will be in conformance with the ordinances and codes of the City of Eagan an d with t e Mechanical Codes; that I understand this is not a wrt emvt [hat the work ill be in accordance wi[h the 't, but only an application for a permit, and work is not to s[art a p ved plan in the se work whic~qup~ a review an of pl ApplicanYs Printed Name d approv Applicant's Signature 2004 COMMERCIAL MECHANICAL PERMIT APPLICATION City OfEagan 3830 Pilot Kuob Road, Eagan MN 55122 Telephone # 651-675-5675 Please compkte for. commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling anit Date Site Street Address Unit k Tenant Name (if applicable) Previous Tenant Name Property Owner Telephone k ( ) Contractor Street Address City State Zip Telephone # ( ) Bond Expires: The Applicant is _ Owner _ Contractor _ Other Work Type New Construction _ Underground Tank _ Install _Remove'*see below Interior Improvement _ Install Piping _Processed _Gas Nature of Work: "When installrng/removing underground lank, call for inspection by Fire Marshal and Plumbing Inspector PE7'fN[ F¢¢5: 570.50 Underground tank installationlremoval $50.50 Minimum (mcludcs Sta[e Sumharge) ar ContractValue $ x 1% _ $ PermitFee • If pe rmi[ fee is $1,000 ar less, add $.50 $ Sta[e Surchazge If ep rmit fee is over SI,000, add $.50 for every $1,000 ep rmit fee $ Total Fee I hereby apply for a Commercial Mechanical Permit and acknowledge Ihat the information is comple[e and accura[e; that the work will be in conformance with the ordinances and codes of the Ciry of Eagan and with the Mechanical Codes; tha[ 1 understand this is not a permit, but only an application for a permit, and work is not to start without a permiC; that the work will be in accordance with the approved plan in [he case of work which requires a review and approval of plans. ApplicanCs Printed Name ApplicanYs Signa[ure Approved By: , Inspecror Date: 1989 BUILDIBG YEAMTT iPPLICITION CIS2 OF EAGIN SINGLE FAMILY DNEI.LSSGS Ae TIPLE DHELLINGS COMMgRCI9L OF PLANS 2 3fiR5 OF PLINS 2 3ETS OF IACHITECTURAL ,.ASTERED SITE SORPEYS IBGISiBBED 3IiE SURYE2S - i S2HOCTQAAL PLANS s SET OF EREAGS CALCS. (CSECi 1TITB BLDG DI9.) 1 SET OF SPECIFICATIONS 1 SET OF ENEAG2 CiLCS. 1 SET OF EAEHGI CALCS. MILTIPLE DHELLINGS BENT?L DNITS POR SALE 09ITS / OF OBITS i0lEt 1DDRESSE4 FOA COAIPEA LOTS - CORTAACPOA/HOMEOiiNER MQST DFSI(iNliE YHICH ADDRFSS IS DESIAED. BO CHANGFS NILL BE ILLOVED ONCE BOILDIIiG PEAlSIT I3 ISSIIED.. SEHER 8 iiA'fER PEAHIt FEFS lPD ICCODIP! DEPOSIT 1BES iTII.L Bfi INCLIIDED WITH iHE HDILDINa PERtlTT FEE. PAOCFSSING TIlIE FOA SEWEA lND 1iATER PEAMI75 IS TUO DASS OtiCE l PERMTT HAS BEEB COMPLETED ZNDIC9TIHC A LICENSED PLOMIDER. PENALTY APPLIES NUNs PEFIHIT IS NOT PAID FOR IN SAME MOPITH IT IS REQUESTED. LOT CRANGE IS REOUESTED ONCE PERMIT IS ISSiIED. , [Uo 2 2 is8l To se Used For: Sp b~.JG G'192 vai ation: SG,DC-X~' nate: ~'a~ IS2 Site Address OFFICE DSB ONi.2 Lot fL Block o- Occupancy P"3 M-~ FEF.S • Zoning 'PD 1Z- I Parcel/Sub yILLs ~p Aetual Const V-nl Bldg. Permit 574, 00 Allo~rable V- N Surcharge N3.oz~ Owner plf~7ftl° l,~~i,p PS 57~. 1 of atories Plan Reviesr Length • SAC, City 100, 0 o Address -4U Depth L-144' SAC, lt1iCC S0S,oo S.F. Total Water Conn tg o.oo City/Zip Code Footprint S.F. Water Meter 40,00 ~ Acet. Depoeit 7r>>CJ-L) Phone On aite eewage S/W Permit Zo' o:) J / On aite well S/il Sureharge i,o~ tractor -~C/',CC~el~r !lIiCC System ? Sreatment Yl. :2 _7B.vo / City vater L/ Road Onit ? y01 00 Address Pl3B required _ Perk Ded. Booster Pump _ Copies S~ City/Zip Code J~qm ~ Pi'I sUBTOTkL JLPPROVAIS Penalty Phone 7~~ j/ Planner _ lOSAL Couneil Arch./Eogr. Bldg. Off. Variance Address City/Zip Code Yhone A GA~~ac~- Z4X2o X P-6 ,~~lr' : I 10LI i' I +Du~~~- J.' - II' I IJ . rN ~ 1 . ? ? I Z2i y_7U SILHOULTTE Ho"~~ SUFtVEYOR'S CERTIFICATE r / , Q7 ~ /\~\QyP~ \ / ' . \ q~ / J 0i .C `D4jy 1°t pG~~ e~ \ S ` oPPy~~~4 O~ ' $4 0 eO-~~ , o.~ 5 ~.P ~ 22• r`'~0~ / i c? p p o ` ~ ~ \ oQ Jy~ ~ I 20 `\1, ~ oo~ `~q I`' i P~ I o~. Ba}9 L) AO i~ O A, 9 ? ~ y~ P ° ~ O~' t. 7l!~ 0 F R~~ ~ ~ ~ ^i / +sA OQ. ~ ~~a4D~4H g98b i .~1'0 '2 ~ ~ ~ / oDC• Q ' \d~ o Q'~• t ~u°aoY ~ ~ ~ ~~W IPDD Date ' 'G EAGAIV~IVEER DEPT DENOTES PROPOSED SURFACE DRAINAGE O DENOTES IRON MONUMENT SET SCALE: 1 INCH - 30 FEET 0 DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR - q63,o FEET X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR - gqq, 2 FEET (000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK - qoZ. µ FEET WE HEREBY CERTIFY TO 51LNOQE1TE NoMES THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: LOT I) , BLOCK 2, HILLS OF STONEBRIDGE,ACCORDING TO THE RECORDED PLAT~THEREOF,DAKOTA COUNTY,MINNESOTA. IT DOES NOT PUFPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION I-HS I ST DAY~OF quV V gT , 1989. PROPOSED ELEVATIONS SHOWP~ I-IERE SIGNED: TAKEN FROM THE DEVELOPMENT PLAN JA E . I L,INi~ G Vn l FOR,FIILLS OF STONEBRIDGE., PRE- BY: PARED BY PIONEER ENGINEERING AND HAROLD C. PETERSON, LAND SURVEYOR LAST DATED' 8-26-87. MINNESOTA LICENSE NUMBER 12294 ~ co R. Hill, inc. m ~ mCA OW 0 N oL n James o b o ~0,. > Z~ m m~ PLANNERS / ENGINEERS / SURVEYORS ~ ~p p m cn .n < „ 9401 JAMES AVE. S. • BLOOMINGTON, MN. 55431 • 612-884•3029 ~ 0 0 h n ~ EXTERIOR ENVELOPE AVERAGE "U" C0MPUTATION gql4~` OWNER: DATE: S1TE ADDRESS: Lo--' Si c,c-r, 2 ' riioNr: CONTRACTOR: 5~ L~-~pUEj~E N I LL<, OF ':-~TtDNE8121`DE-E~`1~fN~'"v Uetermine workinq squarc fool.aqc of cach 1. Total exnosed~piall area..:.. sq. ft. x .11 = Z4~~S • 2. Total roof/ceiliny area..... IZZCv~ sq. ft, x.026 Total exposed wall area above floor= 2il0. . a. Total wali window area............... ~(o o.fo b. Total door area 3. c. Total sliding glass door area , d. Total fireplace wall area _ e. Total wall framing area (average 10%) f. Total rim joist area.............................................. IS"1,C g. net wall area above floor h. wall area above floor i. wall area above floor ~ .1. frame wall area at foundation ' Total exposed foundation ~ k.,.Total foundation window area . - " 1.. Total net foundation area above grade Uetermine "u" value of each wall segment (e.g. window, door, each separate wall section) a._ 7( b. 3$3 x „u„ ,39 = i3.2 Q~. X „u„ . . d. - X 1, ul, ~ , e. 2~~• X ;4ull ~ a~ _ f. 151.5 x „u„ ~ ,py = ~v~3 9• 1501•2 X l00• h. X iguil _ 1. . x nUu .j X uUu ~ ' If item R3 is the same k• X~ "U" = as, or less than itein M1, you have met the ~ • X "U"_ ? intent of SDC 6006 (c): 3 . .................................Total • .:..~":iiui LnvC101>c nver:iye ..U.. CotaLwl'aC1on Pa(jC 2 oP q~. . ' Tolal exposed roof/cciling area ~ ZZev i Ir.:~ 'I i i'~I ,~i~ M. 7bl•al s}:yli.glit area ~ ~ j!I I•.J i~ • n. Total roof/ceilin9framin9 arna (avecage 104)... 'L Zp ~-,i • o. Tolal net insul.ated rooE/ccili.n9 area........... Uet•ermine "U" valuc for each roof/ccilin9 segmeiit ~ ' x ..U~~ ~ ~ M. n. X "U" . ~ . I o. I103 x'-u,' , OZ 22• 9 Tol-al L Z/^ i _ IP Lotal oL• 04 is Lhe same as, or les5 1:han 1i 2, ou Ik e mel thc inL•enC of S1eC 6006 (c) 1. ' AlternaEe Building Envel.ope Design ' 7b utilize the total envelope'system method, the values esL-ablished by the s:un of i.tens tl3 and 114 shall not be greaLer Lhan the sum oP iLems I!1 and 112. • + z. 31.9 2 2.4 . 3 + 9. ~1 1 ~ _ ~ `I7• Zd .q 222.~ i j ' • ` I I ' • ~ ~ s . I . i ~ . ~ • , °,I. , ~ PERMIT ' C°n ° 0100 CITY OF EAGAfV 3830 PiIv*nobRoad PERMITTYPE: eurLoiNs Eagan, Minnesota 55123 Permit Number: 000100 (612) 681-4675 Date Issued: 0 3/ 2 4/ 9 2 SITE ADDRESS: 3959 WORCHE3TER DR LOT: 11 BLOCK: 2 HILLS OF 3TONEBRIDGE DESCRIPTION: Building Permit 7ype DECK Building Work Type ADDITION ~ ~ . ~ . - . „ ~REMARKS: C 01`7g-3~- FEE SUMMARY: Base Fee $25.00 Surcharge $.50 Total Fee $25.50 CONTRACTOR: - Applicant - ST. D[UUNER: PANELCRAFT 17216628 0002179 MANLEY MZKE 3118 SNELLING AVE S 3959 WORCHESTER DR MINNEAPOIIS MN 55406 EAGAN MN (612) 721-6628 (612)683-0066 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. L - APPLICANTlPERMIT E SIGNA E ISSU~ED -~Y..E.l~GNA7 ~RE ~ INSPECTION RECORD I ControlNo. 0100 CITYOFEAGAN PERMITTYPE: euiLozNs 3830 Pilot Knob Road Permit Number: 000100 Eagan, M innesota 55123 Date Issued: 0 3/ 2 4/ 9 2 (612) 681-4675 SITEADDRESS: LoT: ii eLocK: z APPLICANT: 3959 WORCHESTER OR PANELCRAFT HILLS OF STONEBRIDGE (612) 721-6628 PERMIT SUBTYPE: TYPE OF WORK: DECK ADDITION INSPECTION . FOOTING FINAL F L ~ PERMIT N~ o~ CITY OF EAGAN ' 1992 BUILDING PERMIT APPLICATION 681-4675 NAR 1 g RECD 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 when typing of permit is requested, but not picked up by last working day of month in which re uest is made or lot chan e is re uested once ermit is issued. Date~ Valuation of work - Site Location: _3~ S? wJl~'CL~~j~>~ V STREET STE / Tenant Name: LOT BLOCK r 1 SUBD. ~~j~nT~ P.I.D. M Descri tion of work: NE~ DEC/< fl~ 2~'~1/Z ov- ~/~l'c3%/~'nGt= The applicant is: ? Owner_~0-CDntractor ? OtI1fP (Describe) Name /VIJLEY 1411CC Phone 3 6v~~ Property LAST FIRST Owner Address 3951 WO/'CES125_2 STREET STE N City E46&1) State F'r^~ Zip Company ^)C- LClfAF~1_ Phone 6-6'-2-e Contractor Address 31 19 }A)C-,1 ( I^~ X~~C~ 56--l License # UoO,Z 17E P C i ty H V G S State /~"`j Z i p 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 Eagan Ordinances. Signature of Applicant: ' OFFICE USE ONLY - ` BUILDING PERMIT TYPE ? 01 Foundation ? 06 Garage/Accessory ? 11 Res. Add./Porch ? 16 Agricultural 0 02 SF Dwg. ? 07 Fireplace O 12 Comn./Ind. New ? 17 Building Move [1 03 Two family /0 08 Deck O 13 Comm./Ind. Add ? 18 Demolition O 04 Multi-fam. T.H. ? 09 Basement Finish O 14 Cormn./Ind. Rem. O 20 Miscellaneous ? 05 Apt. Bldg. ? 10 Swim Pool ? 15 Public Fac. WORK TYPE ? 31 New O 34 Remodel ? 37 Move g 32 Addition ? 35 Repair ? 38 Demolish ? 33 Alterations ? 36 Tenant Finish ? 99 Undefined GENERAL INFORMATION Occupancy Basement sq. ft. MWLC System Zoning lst Fl. sq. ft. City Water Const. (Actual) 2nd F1. sq. ft. PRV Required (Allowable) Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler Length On-site well Census Code y3 y Depth On-site sewage SAC Code APPROVALS Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS ? Site 0 Footing ? Framing ? Insulation ? Wallboard ? Final ? Draintile ? Fireplace Permit Fee Z5, v.iuac;o,: s Surcharge So Plan Review License MWCC SAC City SAC Water Lonn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: 19-~n SAC % SAC Units - PERMIT C°" 1337 CIT~OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: R u I LOT: N G Eagan, Minnesota 55123 Permit Number: 001857 (612) 681-4675 Date Issued: 1 1/ 3 0/ 9 2 SITE ADDRESS: 3959 WORL'HES'fER C1R LOT: 11 BLOCK: 2 FIYLLS OF STONEBRIDGE DESCRIPTION: Building Wermit Type BASEMENT FINISH " Buildinq',Work Type ALTERATION UBC Occupan'ay R-3 i_ . . ; . _ - ~ \ . ~ ~ ~ A...._ • . ~ REMARKS: q RECEIPT # Cj OZ` u1 l FEE SUMMARY: Base Fee $35.00 Surcharge y,50 Total Fee $35.50 CONTRACTOR: OWNER: - Flpplicant - MANLEY MICHAEL 3959 WORCWESTER DR EAGAN MN 55123 (612)683-0066 I hereby acknowledqe that ] have read this application and state thrit chn intormation is correct and aqree to comply with ell applicable State or Mn. Statutes and City oY Eaqan Ordinances. L ~ • / ' /~.~~~iV.1LiC~1 ' APPLICANTlP MITEE SIGNATURE ~ xa"~ ISSUED SIGN E INSPECTION RECORD C°^ ° 1337 CITY OF EAGAN PERMIT TYPE: e u r i D I N G 3830 Pilot Knob Road Permit Number: 00 185I Eagan, Minnesota 55123 Date Issued: 1 1/ 3 0/ 9 2 (612) 681-4675 SITE ADDRESS: Lo r: 11 B L 0 C K: Z APPLICANT: 3959 WORCHESTER DR MANLEY MICHAEL HILLS OF STONEBRIDGE (612) 683-0056 PERMIT SUBTYPE: TYPE OF WORK: BASEMENT FINISH ALTERATION INSPECTION . FRAMING FINAL RFMARKS: RECEIPT 1k I ~ ~ L PERMIT M CITY OF EAGAN $g.5 !O REACTivAYE _ 1992 BUILDING PERMIT APPLICATION 681-4675 a Ov 2 4 RECo C(~lrr.~ 11-.'.!l SINGLE 3 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 capy of energy calcs. Penalty applies when typing of permit is requested, but not picked up by last working day of month in which re uest is made or lot chan e is re uested once ermit is issued. Date No? / ~'/olZ Yaluation of work ';X/000 -OU Site Address:_ L~-1 Dr1C/fr::S! P/'~< /U E_ STREET SU"7E _ Tenant Name: (commercial only) IAT 1& HIACR SUBD. HILL S Or- P.I.D. k ~ ST~Ni_61CjD6 ' Descri tion af work: D(L orv rJ , cE rw 9 /q-sr: MF_rv The applicant is: bg Owner ? Contractor O Other (Descri6c) Name _M~ M Au L~.~ l,1~cc ~Ifl~~ / ai c iss ~ Pho~~e, Property ~~ST F,RST Owner pddress 3~1 S~j W o2 c,,.es~~ D~ ~`~~°~?'3~`~( ~ STREET STE / City L-.Pr 6 fl-1J State 441J Zip 55 121 Company Phorie Contractor Address License # Exp. City State Zip ArchitecU Company Yv ~ A' Phone Engineer Name Reg9stration # Address City State Zip Sewer b Nater licensed plumber vlj Processing time for sewer 8 water permits is two days once rea has een approved. I hereby acknowledge that I have read this application and state that the informatfon is correct and agree ta comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature af Appl icant: = !//4~ OFFICE USE ONLY ~ BUILDING PERMIT TYPE a~ ~r O 01 Foundation 1:1 06 Duplex O 11 Apt./Lodging .916-Ba emtnt Finish ? 02 SF Dwg. O 07 4-Plex 11 12 Multi. Misc. ? 17 Swim Pool ? 03 Sf Addition ? 08 8-Plex ? 13 Garage/Accessory ? IS Comm./Ind. ? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc. ? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck O 20 Public Facility 11 21 Miscellaneous WURK TYPE Pf 31 New O 33 Alterations ? 35 Tenant Finish ? 37 Demolish ? 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) a6b Basement sq. ft. MWCC System (Allowable) lst F1. sq. ft. City Water UBC Occupancy ~ 2nd F1. sq. ft. PRV Required 2on1ng Sq. Ft. total Booster PumP of Stories Footprint Sq. ft. Fire Sprinkler Length On-site well Census Code ycg Depth On-site sewage SAC Code APPROVALS C"'Y~s Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS ? Site ? Footing OfFraming ? Insulation ? Wallboard 't Final 11 Draintile O Fireplace Permit Fee ,4*,Z) veimtim: g Surcharge Plan Review ~ License MWCC SAC City SAC Nater Conn. Water Meter . Acct. Deposit S/M Permit S/VI Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: SAC % SAC Units 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) W,J5 CITY OF EACAN 3830 PILOT KNOB RD - 55122 651-681-4675 New CanshucHan Reaulremenh Rertwtlel/Reoalr Reauiremenh a s royiirorotl ine wnays Whowlnp sq. H. d lot, fq. ft. of house 4 eoples of Plan and yU rooleC areas (20'6 mmdmum b1 eoveraae allowed) i aef a aneryy cacwanons ror nearea aaam«u a 2 copies of planf (show boam e window sixea; poured 1nd. tleslpn; efc.) 1 site wrvey for exfeAOr adClHOns a tlecka ? i wt ol awrpy odculafloru n J caples W e prewrvotlon plan Il lot plaMed afler 7/1 /9J , DAiE: ~ I .00 CON5fRUCTION COST: DESCRIPTION OP WORK: ivkl - STREET ADDRESS: hele5(J ~tCQ ~ V LOT: ~ BLOCK: 2- SUBD./P.I.D.B: Name: Phone o: bO l'4,,-51 '~Qj uo PROPERly {ost Flnt OWNER 3~~ V `~~ki-'I Sheet Address: Cify State: 11UIlp: ComPany: ~(X)~J"~~~GJ GOO 4 4.PhoneM: (area code) 24LJ CONiRACTOR W Ii1C License k Exp. Sheef Address: CRy ~ XG1~1~V I l~i Stafe: Zip: I ARCHITECT/ Name: ENGINEER Compcny: Telephone il: ( ) Sheef Address: Regishaflon i: qty Sfate: Zip: Sewedwater licensed plumber (ii Installira sewerlwaterPhonB # L~ I hereby xknowledye lhat I have read this applicatbn, slate Mat fhe tMo on Is correL^t, nd H ee comply wNh a0 appOcable Sfate of Minnesofa Statutes and CNy of Eapan Ordinances. \ Siynature of Applicant OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No _ Not Required OFFICE USE ONLY BUILDING PERMIT SUBTYPES ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 02 SF Dwelling ? 08 06-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Aft - SF ? 03 01 of _ plex ? 09 07-plex ? 18 Deck ? 23 Porch (screened) ? 36 MuRi ? 04 02-plex ? 10 08-plex ? 19 Lower Level ? 24 Stortn Damage ? 05 03-plex ? 11 10-plex Plbg _V ot_ N? 25 Miscellaneous O 06 04-plex ? 12 12-plex ? 20 Pooi O 30 Accessory Bldg. WORK TYPE ? 31 New ? 36 Move Bldg. ? 43 Reroof O 32 Addition ? 37 Demolish (Bldg)• ? 44 Siding ? 33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair ? 34 Repair O 42 Demolish (Foundation) ? 46 Windows/Doors ' Give PCA handout to applicant for demolition permit GENERAL INFORMATION SAC Code # of Stories sq. ft. No. of Units Length sq. ft. No. of Buildings Width Footprint sq. ft. Const. (Actual) Basement sq. ft. Census Code (Allowable) Main level sq. ft. MC/ES System UBC Occupancy sq. ft. City Water Zoning sq. ft. Booster Pump PRV Fire Sprinklered MISCELLANEOUS INSPECTIONS O Stucco/Stone APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MC/ES SAC City SAC Water Conn. . Water Meter Acct. Deposit S/W Permit ' S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: SAC Units % SAC i i~rt***ir**1c***rtrt*rt:F:t:Fiii**********i(***** CITY OF EAGAN CASHIER: JS TERMINAL NO: 773 DATE: 09/14/00 TIME: 09:04:51 ID: NAME: FOUR SEASONS ROOFING 3210 9001 3959 WRCHSTR DR 139.25 2155 9001 3959 WRCHSTR DR 3.50 Total Receipt Amount: 142.75 CR137288 USER ID: JAN ò ÿ ùý þýüýû ÿþüþü ûÿÿ ýîøí òúÿù üÿ íí ÿ ø úùø ÷ÿÿö ø ÷ÿ ö ø ÷ÿö ä õÿ äðÿ÷ýÿñÿ ÿ ÷ ÿ ÿ ÿááÞ÷ý Ûü úëý ÿçÿÿ ñ÷ ßÿñÿ îÿîñÿ ÿë ÿ ñÿÿÿ ýùÿ ñ èòýÿ ü ÷ÿü ûýò ò ýñü ÷ÿèýò òý ÷ÿýòÿ ýýè ý ùñàÿÿÿ ý ÿ ÿë ÿù ý üÿòýñ îñÿ è ý ÿçÿÿâïâèèá ÷û ú îý üÿý ÿéýýâïâèíèí éýýûè öõ øôó ÷÷ý ðÿÿ çÿÿ ýñÿýô üýüÿ ÷ í ðýöÿ ý ð ÿßÿôõý øÖ æêãêáá îÿ ÿù ý ÿüÿîýîýßÿ ÿýî ý÷÷ýý ýÿîýîÿò ñý ÿýýü ÿÿñ÷ îýý÷÷ýùÿúýÿ òôÿ ýúýÿ ý òþýüýÞ ýÿ è ÷÷ýä ÿ ñÿÿúüý ÿ ÿ úüý ÿ City of Eagan PERMIT 401° Permit Type: Building Permit Number: EA104937 • Date Issued: 06/18/2012 City of Elpll Permit Category: ePermit Site Address: 3959 Worchester Dr Lot: 11 Block: 2 Addition: Hills of Stonebridge PID: 10-32990-02-110 Use: Description: Sub Type: e-Windows/Doors Work Type: Windows/Doors-New/Replacement Description: House Census Code: 434 - Zoning: Square Feet: 0 Construction Type: Occupancy: Comments: Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes. Fee Summary: Valuation: 9,675.00 BL - Base Fee $4K $103.25 Surcharge - Based on Valuation $4K $2.00 0801.4085 9001.2195 Total: $105.25 Contractor: Home Depot At Home Services 656 Mendelssohn Ave. N Golden Valley MN 55427 (763) 542-8826 - Applicant - Owner: MATTHEW S KLEIN 5000 PLANO PKWY CARROLLTON TX 75013 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. Applicant/Permitee: Signature Issued By: Signature City af aau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Date: 3/18/13 Tenant: Matt Klein Use BLUE or BLACK Ink For Office Use Permit Fee: (0 Permit #: Date Received: Staff: ¥f -i -i3 2012 MECHANICAL PERMIT APPLICATION Site Address: 3959 Worchester Drive, Eagan. MN 55123 Suite #: RESIDENT I OWNER Name: Same Phone: 612-382-3403 Address / City / Zip: Same CONTRACTOR Name: K&S Heating, Air Conditioning & Plumbing LLC License #: 0153 Address: 4205 Hwy 14 W City: Rochester State: MN Zip: 55901 Phone: (507) 282-4328 Contact: Heidi J Brown Email: hbrown@ksheating.com TYPE OF WORK New XX Replacement Additional Alteration Derd olition Description of work: qCity NOTE: Roof mounted and ground mounted mechanical equipment is re. required to be screened by Code. Please contact the Mechanical Inspector for information on permitted screenhg methods. PERMIT:TYPE ::; RESIDENTIAL. Furnace COMMERCIAL New Construction _ Interior lmprovipment Unit ---Air Conditioner Air Exchanger_-__ Install Piping Processed _ ^ Gas Exterior HVAC Heat Pump ^ Under / Above ground Tank (_. Install / Remove) Other RESIDENTIAL FEES: $60.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State burned out appliances, ductwork, etc.) (includes Surcharge) $5.00 State Surcharge) = $60.00 TOTAL FEE $100.00 Fire repair (replace COMMERCIAL FEES: $75.00 Underground tank installation/removal $60.00 Minimum (includes (includes $5.00 State Surcharge) State Surcharge) $10,010, surcharge is $ 5.00 surcharge Increases by $.50 for each $1,000 Fee requires a $ 5.50 surcharge) OR Contract Value $ x 1% = $ Pe it Fee harge AL FEE - If the Permit Fee is less than = $ Su - If the Permit Fee is > $10,010, Permit Fee = $ T (Le. a $10,010-$11,010 Permit CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Ca1148 hours before you intend to dig to receive locates of underground utilities. www.nopherstateonecall.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 1 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 *ill be in accordance with the approved plan in the case of work which requires a review and approval of plans. Rick Keehn Applicant's Printed Name Applicant's Signature FOR OFFICE IJSE.;:: Required Inspections: Underground: • Rough In • Air Test Gas Service Test:: In -floor Heat .•- Final HVAC. Screening Reviewed By: abate: Use BLUE or BLACK Ink For Office Use 1 j Permit IZZ &3 j City of Eaing Edn I Permit Fee:~C~ I 3830 Pilot Knob Road j Eagan MN 55122 I Date Received: 1 Phone: (651) 675-5675 Fax: (651)675.5694 j Staff: I 1 I J 2014 RESIDENTIAL BUILDING PERMIT APPLICATION n I cpjl~I Date: i I L Site Address: 3 1501 W aVL/-, dc. it rya 4- ~ Unit Name: r;? 1~{ Phone: I Resident/ i Owner Address/ City/ Zip: v' tl Gil ft ►;,f Applicant is: Owner Contractor Tj/peOf Work Description of work: -.1i riLi Construction Cost: ; moo Multi-Family Building: (Yes / No ) Company: ~A to Wf 4 i iut0 t v-lflbontact: Contractor Address: t~ SP(Lu r J City: I ~ Pf State: Zip: C„!'I' g Phone: ll . ( Email: > t i h (►~E~.t.iPS ~ l License ole s%",3 Lead Certificate - ° i # I S ki 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: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: 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 the 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.ciopherstateonecall.org 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 ust be completed within 180 days of permit issuance. 6 i Applicant's Printed Name Applican ' Signature Page 1 of 3 159 Uov~umk,-7 Dr. W DO NOT WRITE BELOW THIS LINE 14=3Vk3 SUB TYPES _ Foundation _ Fireplace _ Porch (3-Season) _ Exterior Alteration (Single Family) _ Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Multi) _ Multi _ Deck _ Porch (Screen/Gazebo/Pergola) T Miscellaneous 01 of ` Plex Lower Level _ Pool _ Accessory Building WORK TYPES New Interior Improvement _ Siding _ Demolish Building* _ Addition Move Building _ Reroof _ Demolish Interior Alteration _ Fire Repair _ Windows Demolish Foundation _ Replace r Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation /0 000 .e, Occupancy rzG - MCES System Plan Review Code Edition law? SAC Units (25%_ 100% d!) Zoning R - / City Water Census Code J/3 y Stories - Booster Pump # of Units / Square Feet - PRV # of Buildings Length - Fire Sprinklers Type of Construction T_XA Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/ C.O. Required Footings (Addition) Final / No C.O. Required Foundation JJL HVAC _ Gas Service Test Gas Line Air Test Roof: -Ice & Water `Final Pool: _Footings -Air/Gas Tests -Final Framing Drain Tile Fireplace: -Rough In -Air Test -Final Siding: -Stucco Lath Stone Lath -Brick Insulation Windows Sheathing Retaining Wall: _ Footings _ Backfill _ Final Sheetrock Radon Control Fire Walls Erosion Control Braced Walls Other: Reviewed By: , Building Inspector RESIDENTIAL FEES ~~qr Base Fee / 91 ?S Surcharge C/~X) Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA139609 Date Issued:10/31/2016 Permit Category:ePermit Site Address: 3959 Worchester Dr Lot:11 Block: 2 Addition: Hills Of Stonebridge PID:10-32990-02-110 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 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 - Michael Carr 3959 Worchester Dr Eagan MN 55123 Northland Home Exteriors Inc 24078 Greenway Rd, Suite 10 Forest Lake MN 55025 (651) 464-0234 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA150431 Date Issued:07/09/2018 Permit Category:ePermit Site Address: 3959 Worchester Dr Lot:11 Block: 2 Addition: Hills Of Stonebridge PID:10-32990-02-110 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 1,500.00 Fee Summary:BL - Base Fee $1500 $62.50 0801.4085 Surcharge - Based on Valuation $1500 $0.75 9001.2195 $63.25 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 - Michael Carr 3959 Worchester Dr Eagan MN 55123 Applicant/Permitee: Signature Issued By: Signature .-m i v J „e--7--, � For Office Use t, ° ao ,�' Permit#: /-610` —/ a, EAGANi�a .� Permit Fee: „._____,,, RE aEj ,7c, Date Received: �� " 16. 3830 PILOT KNOB ROAD 1 EAGAN, MN 55122-1810 i M ^ ° (651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 Staff: , buildinginspectionsCo�cityofeaoan.corn hi I 0 9 2018 L • ..1 J 2018 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 0:-1-• 10 '2pt,b Site Address: - 17‘1 lrtiiOrCI�-i-Cir� e- ). G(lUnit#: .,....._�..-__._�.....�._.._._.. Name. l`�tiCl..� � ,�.0 Cr��,.,,_ ..,, ,....,n,.�...._._, .. (o�,.m .,...w .. 3-r Resident/ r l Phone: 7.-Lc-t- 2 C�5" Owner I Address/City/Zip: - 1 # I F i a ci. (13 k.Applicant is: Owner Contractor Type of Work ; Description of work: Lire.(45; \I)\ mow `cis l r b e Construction Cost `tatMulti Family Building: (Yes /No)C ) • Company: /"' Contact: Contractor Address: I / City: State: Zip: Phone: Email: License#: Lead Ce rti6cate#. If the project is exempt from lead certification, please explain why: apa. 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? I 1 Yes No If yes,date and address of master plan: 1 Licensed Plumber: Phone: I 1 Mechanical Contractor: Phone: 1 l Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as no»public if you provide specific reasons that would Aer_nit tireCity to conclude that :.,,M,..� .,,..a,.. .,,, ,�-,� . ,.,. ,,_.,.._ ..s... _ .,�.��..,.. their are trade secrete. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update onWthe City's website at www.cityofeagan.com/subscribe. 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. 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.gopherstateonecall.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 appprovedd plan in the case of work which requires a review and approval of pia . x Applicant's Printed Name Applicant's Signature -z99 bitogeh6- 7/612-- 1°4 /3/ o9 1 DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Fireplace Porch(3-Season) : Exterior Alteration(Single Family) 44 Single Family _ Garage _ Porch(4-Season) Exterior Alteration(Multi) _ Multi _ Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous 01 ofAccessory Building ^Plex _ Lower Level _ Pool _ WORK TYPES New _ Interior Improvement _ Siding Demolish Building* — Addition Move Building _ Reroof _ Demolish Interior Alteration — Fire Repair _ Windows _ Demolish Foundation Replace Repair Egress Window _ Water Damage _ Retaining Wall *Demolition of entire building–give PCA handout to applicant DESCRIPTION Valuation90_10 Occupancy y 1/ MCES System Plan Review Code Edition A L Iv A at .1SAC Units (25% 100% ) Zoning I j City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction J i 1 Width REQUIRED INSPECTIONS 1/ Footings(New Building) Meter Size: Footings(Deck) Final I C.O. Required Footings(Addition) 'A Final/No C.O.Required Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test Hood Roof:_Ace &Water _Final Pool: Footings Air/Gas Tests _Final Framing 30 Minutes 1 Hour Drain Tile Fireplace: Rough In. Air Test _Final Siding:`Stucco Lath Stone Lath _Brick_EFIS Insulation Windowsk�,.o�, , Sheathing Retaining�ll:-Footings—Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression: Rough In_Final Braced Wails Erosion Control Shower Pan •�` Other: Reviewed By: i /f ,Building Inspector RESIDENTIAL FEES Base Fee ,/,�` ",4 Surcharge '(.../ 6411 Plan Review MCES SAC City SAC o Utility Connection Charge /� r S&W Permit&Surcharge 4 Treatment Plant Copies TOTAL VV t y ` Page 2 of 3 rif7PC/