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3963 Worchester Dr . CITY OF EAGAN PermR No:~ Date: 3330 Pua Knoe aoad Meter No: :3~' S 3 9 3SizA; s/s j:? ~ •S!8 P.O. BoL21199 Reader No: v 3~~'f a g47 Dete: L(p Eagan,~N 55121 Owner, Crand 4aks SiteAddress: 3963 WorcheAter Ilrive L1+) I32 Iii11s of Stone— , Plumber Valle lumb . fz bridife WAKNJNfj Conn. Chg 525.00nd oning: n Acct DeP: is. ~;f re dig~ingC?lWgcA .kes I_ Permlt Fee: ld. (Xtt,11PNf1NF . FI FCTRIC - GAS EtC. Surcherge: _ 5(~Pd I,~~r oqq~'I~I wifh the Clty M Ea9sn ~ Tr. Plant 1^~)_ & d s v Y Meter. Mlsc.: WATER SERVICE PER _ . _ ?4~FtT*! . - . MAW~'' ,.::.tiTer-T'~. CITY OF EAGAN Permit No:9 ~ q2Date: Z 1-19 -;7 3630 PNot Knob Road Meter No: Slze: , P.O. Box '21199 Reader No: Date: Eayan, MN 5512f Owner. . r~.:_ f,aks SiteAddress: _ 3963 Worchester Drive L10 B2 ilill of "tone-- Plumber. Valley s 2umbiup_ hrt~1:7 c: Conn. Chg: 525. QOp:; Zonlng Acct Dep:- 15. 409:d No. of Units: Z Permit Fee: 10. 003zd Surcharge: - SOFd I agres to compy wMh tho Clty M Eagan Tr. Plant 180-00nd Ordlnanc". Metec &7 -ppPA nnisc.: Br WATER SERVICE PERMIT , - - - - - - - - CITY OF EAQAN Permit Na ' Dete: , 3830 PNot Knob Road B/P Na*' Date: 1 1- 1~_:••' P.O. Box 21199 I ~ Eagsn,VIN 55121 Owner rraz?d Oaks i SiteAddress: ~uorCt'tester ''r iv•• 7 I{} tt7 gtT 1 Q ~ trn~e-.. , , Plumber. rall i 11,11 artiing" 'zi~ ~ MWCC: S? 5_ n()uct Zoning• F' ~ citi cng: zoa. 00nd No. of Unita Acct Dep: 15 _ nr,.xi I agree to comply wRh thn Clty of E"an Permit Fee: 10. 0ond Ordlnances. . I Surcharge: • S0v~ ~ Misc.: Br ~ SEWER SERVICE PERMIT ~ , ~ - , ~ ~ ~ i . ~ (gtr#ifirate nf Orrupanry titp of Cagan loPpi"bltpttf of www" jWP.CYidtt Tkis Certificale usued pursuanl to the requiremenu of Section 306 of the Uniform Building - Code certifying tliat at 1he time ojissuance thrs structure was in compliance with the various ordinances of the City regulating building construction or use. For the following.• u,e cwff,,6,, SF /GAR mas. %Mk rb. 14419 oocup-y, .q,a R3 z..„t ota R 1 TYIX c- vn o. . reA&w MAIO QAKS MVEL Add,. 4521 S HAY LAKE BD, EAC'~21 esmrl naams 3963 WOMtE= DEtIVE LOM* _ L 10, B2, HILi.s 6F 5=PJDCE- D., JANfMtY 29, 1988 Budafift oWKW - - POST IN A CONSPICUOUS PU1CE ~ PERMIT M L-31L ti I ~ PLUMBING PERMIT ~ CITY Of EAGAN RECEIPT # 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRiCE PHONE: 454-9100 Site Address ?`r BLDG. TYPE WORK DESCRIPTION Lot Block SeciSub Res. New - - Mult. Add-on m Name Comm. Repair ~ Address Other c City Phone IzRES. PLBG. ONLY - COMPLETE THE FOLIOWING: NO. FIXTURES TOTAL „ 7 771 Water Cioset - $3.00 Z ~ Name ~ ~ Bath Tubs - $3.00 3 Address ~ 1 ' ' ' Lavatory - $3.00 p Ciy jN2M Ajphone 24~,- Shower - $3.00 ' Kitchen Sink - $3.00 FEES UrinaliBidet - $3.00 COMM/IND FEE - 196 OF CONTRACT FEE Laundry Tray -$3.00 APT. BLDGS - COMM RATE APPLIES Floor Drains -$1.50 TOWNHOUSE & CONDO - RES. RATE APPLIES Water Heater -$1.50 MINIMUM - RESIDENTIAL FEE - $12.00 Whiripool - $3.00 MINIMUM - COMM/IND FEE - $20.00 Gas Piping Outlets - $1.50 STATE SURCHARGE PEA PERMIT - .50 (MINIMUM - 1 PER PERMIn r-- (ADD $.50 S/C IF PERMIT PRICE GOES ___~Softener -$5.00 ' BEYOND $1,000.00) Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 SIGNATURE OF PERMITTEE FEE: STATE S/C: FOR: CITY OF EAGAN GRAND TOTAL• ~ r C~ 'Ao'v'CITY 4F EAGAN 14419 ' S • 3830 Pifot Kna6 Road, P.O. 8ox 21-199, Eagan, MN 55121 ! PHON E: 454-8100 ~ BUILDING PERMIT Receipt~ ; 17 4. ! 3`,>:; ; i To be usedfbr Est. Value Date OFFICE U$E ONLY Site Address ' I L:,s aF On Ske Sewaqe o~upancy i Lot Block ` Sec/Svb. T- . MWCC System Zoning Parcel No. On Site Well (Actuai) Const 1~- a Name City Water (Allowable) z Address i.A E PRV Required ~ of Storiea o , 4~~_}~~p~ Boosterpump Length City Phone Depth k ' 11 ` ` t96-3601 S.F.Total ~ a Name ~ Footprint S.F. ~ a Address ~ ~ City Phone APPROVALS FEES I 1- ac Engr./Assess. Permit W Name ~ W Planner Surcharge • z p Address u Council Plan Review < W City Phone Bldg. Off. SAC, City ~ I I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC intormation is corcect and agree to comply vyith all applicable 5t~te of Water Conn. Minnesota Statutes and City of Eagan Ordina(nces; ~r. Water Meter Signature of Permfttee } Road Unit + ~~V-''(/ly1 / A Building Permit is issued to: - Treatment P1 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 ~ Bullding Official TOTAL ~ . Permit ~ No. Permit Holdsr Date Talephone it Plumbin9 ~ , . ' H.V.A.C. ElectriC ' • L t~' ~ I Softener ln:p.ction osta Insp. Commsnts Footings I ~ Footings II , Fou ndatlon Framing ~j Roofing Rough Plbg. . Rough Htg. Isul. Fireplace Final Htg. Final Plbg. • . Bldg. Final Cert Occ. Temp. LP Oeck Ftg. Deck Final Well Pr. DisR. ~ , _ . . . . ` PERMIT M 7 U . . PLUMBING PERMIT ^ • CITY OF EAGAN RECEIPT ~i 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PAICE PHONE: 454-8100 Site Address L1.) u f v~ BLDG. TYPE WORK DESCRIPTION Lot Block ~ Sec/Sub Res. New X Mult. Add-on ? Name ~ Comm. Repair ~ Address Other c City 1,.-, Phone RES. PLBG. ONLY - COMPLETE THE FOILOWING: NO. FIXTURES TOTAL Name _.a-Water Closet - $3.00 ; Address i Bath Tubs - $3.00 ` -1-Lavatory - $3.00 p City f ~ Y6 Phone "IS' -'Shower - $3.00 : _1 Kitchen Sink - $3.00 FEES Urinal/Bidet - $3.00 COMM/IND FEE - 196 OF CONTRACT FEE I Laundry Tray -$3.00 ~ APT. BLOGS - COMM RATE APPUES _'~i Floor Drains - $1.50 - i - - TOWNHQUSE & CONDO - RES. RATE APPLIES :I_Water Heater -$1 50 MINIMUM - RESIDENTIAL FEE - $12.00 Whirlpool - $3.00 MINIMUM - COMM/IND FEE - a20.00 1 Gas Piping Outlets -$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) Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 SIGNATURE OF PEAMITTEE~ FEE STATE S/C: FOR: CITY OF EAGAN GRAND TOTAL: , _ - f. . PERMIT # ~ MECHANICAL PERMIT RECEIPT # • CITY OF EAGAN ' 3830 PILOT KNOB ROAO, EAGAN, MN 55122 DATE: CONTRACT PRICE: PHONE: 454-9100 Site Address ' BLDG. TYpE , WORK DESCRIPTION Lot L2 ~lock Sec/$ub Res. !L New - / Mult Add-on ~ m Name ~ Comm. Repair ~ .S Address ~ - c City Phone Other 1 FEES Name - ~ • ' ' ' ~ RES. HVAC 0-100 M BTU - $24.00 c Address ~ ~c4q. " ADDITIONAL 50 M BTU - 6.00 p City Phone CONSTRUCT ON) INCLUDES A/C ON NEW GAS OUTLETS (MINIMUM - 1 PER PERMIn - 1.50 EA. TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE Forced Air M BTU - APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES, RATE APPLIES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Unif Heater M BTU - REMODFI.S - 12.00 Air Cond. M BTU ` MINIMUM COMMERCIAL FEE - - 20.00 STATE SURCHARGE PER PERMIT - .50 Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # ~ -A) BEYOND $1,000) Qther ~ FEE: ~ i ~"-;:tx~? SIC: SIGNATURE OF PERMITTEE TOTAL• . , FOR: CITY OF EAGAN - • 'CASH RECEIPT ~ CITY OF EAGAN 3830 PILOT KNQB ROAD EAGAN, MINNES07X 55122 . • ~ DATE 19 w~c ci vco .eo.e i ~ - - " AMOUNT $ " I e~ ooLLwws ~ea ? CASH []~GHECK T ~ i ~ r ' ~ i . . . , . _ . . . . i lrUND COOE AMOUNT ~ C~ Thank You . BY ,yu : !1 wnita-Paver: covv ' Yellow-Pottinq Copy Pink-File Copy BLDG. PERMIT N0. C~~ 01-3210 Bldg. Permit ~ 01-3422 Plan Check J2 (C) ~ ~ r.*1-3445 Surch. /Adm. ~-701-3446 SAC/Adm. 61-2155 Surcharge 17-3860 Road Unit 20-2275 SAC ~ ~~1 `•j - ~ 20-3865 Water Conn. 24-3868 Water Trmt. 20-3716 kater Meter cJ ~ , 20-2252 Acct. Dep. ~ 20-3713 Water Permit ~ 20-3743 Sewer Permit a I c.~.. _-o ) ' 79-3866 Sewer Conn. r~' ^ 11-3855 Park Ded. ~ J TOTAL CITY OF EAGAN I ± ' d 3830 Pilot Knob Rosd, P.O. Box 21-199, Eagan, MN 55121 PHON E: 454•8100 BUILDING PERMIT Receipt ~ i A To be used for S~ ~~/GAR Est. Value $74 °000 Date NMLNBER 16 ,19 ~ Site Address 3963 W08CHES?ER DB OFFICE USE ONI.Y 10 Block 2 Sec/Sub. H T LL$ Og On Site Sewaqe Occupancy F 3 Lot 6-TONEBRIDGE MWCC Syetem x Zoning ParCel No. On 5tte Weil (Actual) Const m Name ~?Rs~?ND OAi~S DEY6L City Water X (Allowable) = Address 4921 50 ?tAY l.AKE itll PRV Requlred ik of Stories Booster Pump Length ~ 0 Ciry ~-AGE?N Phone 452-8167 ~6 Depth 'o Name `~At~ti 894-3601 S.F.Total v a Address Footprint S.F. ~ City Phone APPROVALS FEES Engr./Assess. Permit i 412.50 F W Name , planner Surcharge Z7 •00 . =Z Address -Z 0--6-. 25 ~ Z City Phone Council Plan Review 4 W 61dg. Off. SAC, City ~ Variance SAC. MWCC S25•~ I hereby acknowledge that I have read this applicatiortiand state that the s~ Sr informatipn is correct and agree to comply tfi all applica ate of WaterConn. Minnesota Statutes and City of Ea9an rdin nice . of Permittee 1 M~~ Water Meter Signature ~C- Road Unit 305.00 A Building Permit is issued to: CRANI1 ~~q DEVEL_CO_ 7reatment P7 i 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 r ~ f TOTAL Building Offlcial _ - ~ CASH'R'ECEIPT ~ ~ CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 • ~ , , , DATE 19 ' i waeetvito RwoM AMOUNT $ dk DOLLAR! ~oo ? CASH . ETCHECK . row .'y /'r ~ ,{~c' • . i , t ' ~ 2G,3 L ~ ~.1 ~ - ~ . . . I I rUNO CODE AMOUNT 3'74 " f G ' !+r/ ~ ~ J , I ~ ~ ? ~ J Thank You B Y 7m ' q . . t VYhite-Payers Copy Yellow-Postiny Copy Pink-File Copy RESIDENTIAL BUILDING PERMIT APPLICATION ~ Cl ~ y5D 16 CITY OF EAGAN 70, 3830 PILOT KNOB RD - 55122 'J 657-681-4675 Cpil4Cl IewConaWctianRwuinments RemodeNtmairRwuinmcn(s ~ 3 registered aRe surveys showing sq. R. of IU, sq. ft. M houae; and ell mofed areas • 2 copies of plan (20% mazimum Id coverape allowed) . 1 set o( Enargy Cakulalions for healed addffi" 2 copies of plan shoa'vg beam 8 wMMow sizes; pavad found desgn, etc.) . 1 site survey for exterbr additiors & decks 1 set of Energy Calculations . Indicate'rf Mme served hy septk system for add'4bns 3 copies of Tree Preservation Plan'rf lot qatted after 711193 Rim Joiel Detai Opliam selection shcet (bldgs x+lh 3 a kas wWS) )ATE "l-S-DJ VALUATION IOBSITEADDRESS 39103 Glorc4.sAr Ar"ue ~ 'Cagah . ,55ia3 F MULTI-FAMILY BUIIDI/N~G, HOW IM/ANY UNITS? 'ROPERTY OWNER ,(lavI'oI .ToL,.1;'5'nP17 'YPE OF WORK hek FIREPLACE(S) _0 Li _2 _3 %PPLICANT ~ ...i~ TLinson PHONE# 651 -Y~",Z?"j kDDRESS 3I~o.3 GJor~Lies~r &,`dt ~ E4/'hN ZIPCODE 55/~3 'AGER #k CELL PHONE # FAX # NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted _ MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbiny Coniractor: Phone N: Plumbing System Includes: _ Water Softener Lawn Sprinkler ree: $90.00 Water Hcater No. of R.I. Baths No. of Baths Mechanlcal Contraetor: Phone # Mechanical System Includes: _ Air Conditioning rec: $70.00 _ Heat Recovery System Sewer/Water Contractor: Phone N UI above information must be submitted prior to processing of application. 'i hereby ocknowledge that I have read this application, state that the information is co t, and agree to co ~ y with iII applicable State of Minnesota Statutes and City of Eagan Ordinance . c.X-) ~ Stynature ot Applicant . :ertificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updaled 1/01 OFFICE USE ONLY ~ . . ~ ] 01 Foundation ? 07 OSplex ? 13 16plex ? 20 Pool 0 30 Axessory Bldg ] 02 SF Dwelling ? 08 06-plex ? 16 Fireplace 0 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ] 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Poroh/Addn. (4sea.) 0 33 Ext Alt - SF ] 04 02-plex O 10 08-plex OG18 Deck ? 23 Porch(screened) O 36 Multi ] 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ] 06 04-plex O 12 12-plex Plbg_Y or _ N O 25 Miscellaneous 31 New O 35 Int Improvement ? 38 Demolish (Interior) O 44 Siding ] 32 Addfion 0 36 AAove Bldg. ? 42 Demolish (Foundadon) O 45 Fire Repair ] 33 Alteration O 37 Demolish (Bldg)• ? 43 Reroof O 46 Windows/Doors ] 34 Replacement •Demolltlon (Entire Bldg onl» - Glva PCA handout W applicant 7aluation cZy a,,~'Occupancy MG/ES System :ensus Code ~ Zoning Q-n City Water iAC Units !J ~ Stories Booster Pump Jbr. of Units ~ Sq. Ft. PRV Jbr. of Bidgs Length Fire Sprinklered "ype of Const ~ Width REQUIRED INSPECTIONS Footings (new bldg) FimUC.O. Footings (deck) _)U FinaUNo C.O. r" Footings (addition) _ Plumbing Foundation HVAC Drain Tile Roof Ice & Water Final Otber _ Framing _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Fireplace _ R.I. _ Air Test _ Final _ Siding Stucco Stone _ Insulation _ Windows (uew/replacement) Approved By--z4--, Building Inspector 3ase Fee ~ iurcharge 'lan Review AC/ES SAC ;ity SAC Nater Supply & Storage 38W Permit 8 Surcharge "reatment Plant 'lumbing Permit Aechanical Permit .icense Search :opies Aher 'otal ti CITY OF EAGAN nJ° 14 419 3830 Pilot Knob Road, P.O. Box 21 •199, Eagan, MN 55121 BUILDING PERMIT PHONE:454-8100 Receipt C) --iL u Tobeusedt~r~ SF DWG/GAR EstValue $74,000 paSe NOVEMBER 16 1987 Site Addres J963 WORCHESTER DR OFFICE USE ONLY 10 2 HILLS OF On Site Sewage Occupancy R3 Lot Block Sec/Sub. STONEBRIDGE MWCC System X 2oning Rl ParCel No. On Site Well (ACtuap Const Vn . Name GRAND OAKS DEVEL Citywater X (Allowable) Vn W PRV Required # of Stories z Address 4521 SO HAY LAKE RD - o BoosterPump _ Length 52 City EAGAN Phone 452-8167 46 Depth o Name SAME 894-3601 S.F.TOtal O a AdtlrBSS Footprinl5 F U r City Phone APPROVALS FEES Engr./ASSess. Permit $412.50 Fw Name Planner Surcharge 37.00 r~ Address 206.25 s~ Cit Phone Council PlanRemew 100.00 a W Y Bldg Off. SAQ Qty I hereby acknowletlge that I have read ihis applica( on and state that the Variance SAC, MWCC 52$.00 inlormation is correct antl agree to comply with all ap fie261e Stale of Water Conn. 525.00 MinnesotaStatutesandCrtyofEaganq rdin n es Water Meter 67.00 Signature of Permrttee 1 Roatl Umt 305.00 A Building Permit is issued to. GRANII_QAK$ nFVET CQ_ 7reatment Pt 180.00 on ihe express contlihon that all workshall be tlone in accortlance with all applicable State of Minnesota atutes and C/jy of Eagan Ordmances Parks BuJdingOffiaal TOTAL S2,357.75 Tn,s ,Fn„esi vo,e rf~~/:~O 18 nanths from 'E 14 3 8 4 D , ~2 Rendest Uate Fire No. Ro ph-in Insuectinn Re wwAJ eaAy Nuw Q W,II Nntily Inspeo 7- ?y~,s lor Whe:n Feadv icensed Elecinc. I ConVacIur I hereby request unsOacbon ol above Owner eleelncel wark instelletl at: Sveei AAAress, Box or Route No. Cny 3Q ~ 0 7 YDR ri ec11011 o. ownship Name or No. Range No. Cowily 'D A Occvyant PqINTI Phonu No. ~O NN Y~ (o ~ Power Sup0her Address EIF ctncal Cony actor (omuany ie) Conimctor's Lmense No. l~?Tl J M:ul1ing Address IConvaeI or Owne-- ,~g inswilau~ I G/ Awhorized $iBnaWre IContra ur/Own r MakinB Installmionl Phoi e N per THIS INSPECTION HEQUCST WtLL NOT MINN Tp STA OAND OF ELECTflICITV GNg -Midwey B - Noom N-197 BE ACCEPTEO BY THE STATE BOAHD UN~ESS PHOPEN INSPECTION FEE IS 1621 Universitv Ava.. SL Veul. MN 55100 ENCLOSED. Phonnlfil9 642-0800 REQUEST fOR ELECTRICAL INSPECTION M. Ee-~o+oooi-^os - 0 Sae instmctmns lor complebng this lorm on bock ol yellow copv. E 14384 "X" Below Work Covered by 7his Request Fdtl NeO. TVGa ol Bmlding Apolmncna Wved En~~u~~em WireA Home Ranye Teinporary Service Duplex Water Heater. LiyhUny Fixtwes Apt. BwlAmg Dry¢i EIeC[nc HeaLn Conunerual Bidy. Fuinace Silo Unloader Industrial BIAy. ' Air CondiUOner Bulh Milk Tank Farm nnrr owv y Oihi;r ISi~oai:yl ~ C~ ucC~ Y mer Olher ompute Inspection Fee Selaw p Fee ServieeEMrence5ize n fne Faxdars~Sv~faeders b Fne Gvcuits U to 200 qmps 0 to 30 qm s 0 tn 30 Am>s Above 0 Amps 31 to 100 Amps 31 to 100 Am s Swimm,20ng Pool Above 100_Amps Above 1(10_Atnps Transrormei5 Irngation Boonis Paitial. Other Fee Signs Special InspecLOn 5/oI~ TOT EE Rem~ rks ` U Pough-in ~lu, I, th E ncnl IIISpBCtol, hprObV cnilrly thdt the nbove Fnal r inspeetio~+ hes bean meAe. TMa ropuesl volC 18 monitn Imm This rnnuest void1;~ ~G /~~•~7 ~y/Ju s $ , 1 pnth5 / OT D f 654963 '3~. Fe~uest Uate Fue o. qeup¢r ii ~InsVecuon (65Neadv Now Will Nolily Inspec- } nu ca< tl Nu ~ioi WhNn Reatly 'F41- icensed Electncal Contractor I haraby request inspacbon of ubove 0 p..er elecM1icnl work inslolled eD Streut AAdress. Boa or Ro te No. C'tY ,9(03 ~iPOf~ 1-5'a6ah ecuon o. Townshio Namr; or No. Hnnge No. County OccuoeM (PqINT) Phonc Ne. C~aks ~-~0 Power Supolier Atldress ~ L~ o f~D- 14-orm El,cu ° 1 Cnntrncmr IComUany Namel Contracmr"5 License No. As,aen r,l'e~~r"G ~~C. 05~19~'S-3 Mailinp AdJiess (ConVactm or Owner Makine~pstailauon) ~ ~ 7,.~ 6k~ ~3- Autho+ etl Sienaturq (Conbactor/O er Makiny Ins~allauon) I Phone Nun~ber MINNESOTA STATE BOAHD OF EIECTHICITY THIS INSPECTION REQUEST WILL NOT Griges-Midway Bltlg. - floom N•191 9E ACCEPTEO BY THE STATE BOAflD 1821 Uni~ers~~v Ave.. SI. Veul. MN 5510< UNLE55 PFOPER INSPECTION FEE IS ENCLOSED. Phone 16121 642-0800 REQUEST FOR ELECTHICAL INSPECTION y_ EB-00001-06 0 See instroctians for completng this form on bxck ol vellow copy. S 6MVJ96 3"x'' BeloW Work Covered by This Request Add neo. Twe o1 atnimme APPI'anCea w„aa Enunrmen, WveA Home Range Tem[wrary Scrvice Duplex Water Heater Lighllny Fiz[uies ~ ApL BwlAing Dryei Elecine He.+nn COmmeroial Bldy. Fumace Silo Unluader InAusvial BId3. Av Conditioncr Bulk Milk Tbnk Farm 01n, on,00 m,,, tsunc~~v1 1 , pecifv OThnr 01hcr ompute InspecUOn Fee Below p Fee ServmeEnVanceSizo h Fee Fexde~s/Suhfenders M Feo Cucuits 0 to 200 qm u 0 co 30 Am ps 0 tn 30 An > Aove 200 qmps 31 to 100 Amps 31 to 100 Am s inming Pool Atwv¢ 100-Amps Above 100_Amps Transtormers Irrigauon Boon.s ,Sd Purtial."Other Fee Signs Special Inspectiun Rerrw.ks $yj,*~5F-00 TOTAL F ~ • nouen-io ~ o;i,P 1, the Elact f , 1 Inspector, heroby ~ cerlily ~Mt Ihe abovo Final ^ D''«; Y~a(/lnspectmn has baen rtwEe. TMe reQUest voltl 18 monrtu Irom 2005 RESIDENTIAL MECHANICAL 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 permits are required for each unit Date 07 / /r / 05 sicewaaTesS 39!'A3 (t)or<_Aeskr 6Ut^i"ue uoita Property Owner v«f N' v~'~"s~'~ Telephone #((05/ Contractor `ahce Ae!!n p ; - Se/r .Z"u~./~~•~ S[reetAddress 394,3 City Zl~ah State {o/?/ Zip ?~S~z 3 Telephone # Bond Expires: The Applicant is /1( Owner _ Contractor _ Other Add-on or alteration to existing dwelling unit $ 30.00 x furnace _Additional XReplacement air exchanger ~ air conditioner _New XReplacement other Sta[e Surcharge $ 50 Total $ U• D I hereby apply for a Residential MechanicaJ Permit and acknowledge that [he information is complete and accurate; that the work will be in conformance with the ordinances and codes of [he City of Eagan and with [he Mechanical Codes; that I understand this is not a permit, but only an application for a permit, and work is not [o start without a permit that the work will be in accordance with the appr ved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name Applicant's Signa ure 2005 COMMERCIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please compiete for. commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit Date Site Street Address Unit # Tenant Name (if applicable) Previous Tenant Name Property Owner Telephone # ( ) 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 ofWork *`When installinglremoving underground tank, call for rnspection by Fire Marshal and P/umbing lnspector Perml[ F¢e5: $70.50 Undergmund tank installatioNremoval 550.50 Minimum (includes Stalt Surcharge) or ConVact Value S x 1% _ $ Permit Fee • !f ep rmit fee is $1,000 or Iess, add $.50 Sta[e Surcharge If eo rmit fee is over $1,000, add $.50 for every$1,000 Pe rmitfee $ TotalFee I hereby appty for a Commercial Mechanical Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with [he ordinances and codes of the Ciry of Eagan and with the Mechanical Codes, [hat 1 understand [his is no[ a permit, bu[ only an applica[ion for a permit, and work is not [o start wi[hout a permit; tha[ the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applican['s Printed Name Applican['s Signa[ure Approved By: , Inspecior Date: wb5 $/5.5o 2005 RESIDENTIAL PLUMBING PERMIT APPLICATION tl CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date 3 Ll 1 0 S SiteStreetAddress (D ~C~DY~PS~r DY. dUYV Unit# Property Owner vvV1 S0 r-\ Telephone # ( bS)) `Y S4-2la 5 1 Contractar Telephone # ( ~ Address City State Zip The Applicant is: ~ Owner _ Contractor _Other Alterations to existing dwelling $ 50.00 _ Add plumbing fixtures (excludes water softener and/or water heater--complete next section if installing these appliances). _Septic System Abandonment F u ~ D _Water Turnaround (add $125.00 if a 518" meter is required) 0 4 2005 Other: 'Y Water Softener k Water Heater $ 15.00 .*new ~ replacement Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge $ 50 Total $ 0 I 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 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 accordance with the approved plan in the event a plan is required to be reviewed and approved. 1~I-Yy1 ApplicanYs Printed Name ApplicanYs Signature RESIDENTIAL ~ S ~ Sc BUILDING PERMIT APPLICATION '33+" ~ CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construction Reauirementa RemodeUReoair ReauiremenM • 3 registered site surveys showing sq. fl. of lol, sq. ft. of howe; and all roofed areas • 2 copies of plan (20% maximum lol cove2ge allowed) . 1 set of Energy Calculations (or heated addihons • 2 copies of plan showing heam 8 window s¢es; poured found design, etc.) • 1 site survey for exterior addi6ons 8 decks • 1 set of Energy Catculahons . Indirate'rf home served by septic system for additions • 3 copies uf Tree Preservation Plan A lot platted after 711193 . Rim Joisl Detail Options seledion sheet (61dgs with 3 or less units) DATE U \S -UZ VALUATION SITE ADDRESS MULTI-FAMILY BLDG _Y -p-IV TYPE OF WORK'~~~-~~ FIREPLACE(S) 3~0 _ 1_ 2 APPLICANT n `~~rP s' 6tz~ oe- ~Cg. STREETADDRESS Z`Y 9 K~C4. ,k' _ CITY .-v1I STATEti~ZIP ~ -~3~(-~~ - TELEPHONE # I~S~TD~~S' ELL PHONE # FAX # lah 1-7 ~i3 ~02 PROPERTYOWNER ~s-a _ TELEPHONE# ~~~-y~Ll-Zlo~~• COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNLSOTA RULCS 7670 CATEG012Y 1 MINNLSO"I'A RUI.CS 7672 (q submission type) . Residential Ventila[ion Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbfng Contractor: Phone # Plumbing systcm includes: Water Sotiener Lawn Sprinkler Fee $90.00 Watcr Hcatcr No. of R.I. Baths n~ No. of 13aths ~ j? 1; 2002 ~IUI Mechanical Contractor: Phone~~#~ AU~ 16 Mechanical syslem includcs: Air Condilioning ~ Pee: $70. 0 Heal Recovery System ~ Sewer/Water Contractor: Phone # I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with al1 applicable State of Minnesota Statutes and City of Eagan Or inanc es.1 Signature of Applfca t. ~ h C ~ OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Multi ? 03 01 of`plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) O 33 EM.AIt-SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 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) - 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) _ FinaUNo C.O. _ Footings (addition) _ Plumbing Founda[ion HVAC Drain Tile Othei Roof _ Ice & Water _ Final _ Pool _ F[gs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Au Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total - C,+y C C frz k. ~ S ~ C~ ~ 3 DC~ ~,%vf- ~<..,.~6 /~u,ac% ~o QCi . ~54"'/ D"/X- s~ 1(ECE,..,~ci p CE Ol t 7 5-f UJAC. A-.rj&sr m,wf 0 vw. v O / 14C(- J~~" f wK. n ) n~f?t E"4 1-~ / 1 Eb f -41..C, NE i~ E w % s~~f~ ~ovb C~~cti Cv•~,~~ac,f Mvw+ ~ ~ ,ah,~( -~c ~FCC~nC ~qrjfsr~c5,~s. ~i ~/C FK GC~(r ~ l v - ~90 -!ov -o z 3S(o3 \^law cG, cs~,a..if NIvJ ~,riz~ . CUr;'t5 TO.~ CC.LrK/c O "-4 CITY OF EAGAN NOTICE OF SPECIAL ASSESSMENT Project #1OP491 '~i fo E The EAGAN CITY COUNCIL met on the 19th day of September, 1988, at the Eagan Municipal Center, 3830 Pilot Knob Road, Eagan MN, and approved and adopted the listed special assessments against the following described property: 10-32990-100-02 JOHN & SHELLEY MILLER 03963 WORCHESTER DR EAGAN MN 55123 The special. ascessmenT_s are: _ TOTAL ANNUAL FIRST YEAR FIRST YEAR TYPE OF IMPROVEMENT S A# PRINCIPAL PRINCIPAL INTEREST INSTALLMENTS SANITARY SEWER TRUNK 1711 521.46 34.76 58.66 93.42 LAT BENEFIT SAN SEWER TRK 1712 226.17 15.08 25.44 40.52 WATER TRUNK 1713 501.41 33.43 56.41 89.84 LAT BENEFIT WATER TRK 1714 256.55 17.10 28.86 45.96 STORM SEWER TRUNK 1715 926.07 61.74 104.18 165.92 STORM SEWER LATERAL 1716 1298.13 86.54 146.04 232.58 STREET 1717 377.97 25.20 42.52 67.72 TOTAL 4,107.76 273.85 462.11 735.96 You may pay any portion of these special assessments within thirty (30) days, specifically on or before the 19th day of October, 1988, without interest at the Eagan Municipal Center. After October 19, 1988, the first year's installment cannot be prepaid and includes interest from September 19, 1988, to December 31, 1989. , . . Notice of Special Assessment ' Page - 2 - Any unpaid portion will be collected in annual installments of principal and interest for the next 15 YEARS on your future property tax statemenCs which will be issued through the Dakota County Auditor's office. The annual installments include interest at the rate of 9 PER CENT per year on the unpaid balance. The proposed assessment roll is on file with the City Clerk. The assessments related to this project total $1,224,803 and the area is as follows: The East 3/4 of the Northeast qvarter (NE 1/4) of Section 23 and the West half (W 1/2) of the Southeast quarter (SE 1/4); the North half (N 1/2) of the South half (S 1/2) and the North half (N 1/2) of the Southwest quarter (SW 1/4) West of Dodd Road; the Northeast quarter (NE 1f4); and the Noxthwest quarte= (NSi 1f4), all in Section 24, including Lots 1 through 7, Block 1; Lots 1 through 22, Block 2; Lots 1 through 43, Block 3; Lots 1 through 20, Block 4; Lots 1 through 7, Block 5; Country Hollow and Lots 1 through 9, Block 1; Lots 1 through 6, Block 2; Lots 1 through 3, Block 3; Lots 1 through 8, Block 4; Lots 1 through 7, Block 5; Lots 1 through 25, Block 7, Lots 1 through 21, Block 8; Lots 1 through 16, Block 9; Lots 1 through 11, Block 10; Lots 1 through 13, Block 11: Lots 1. through ].Q, BJ.ocic 12; Lots 1 through 4, Blcck 13; Lots 1 through 6, Block 14; Lots 1 through 15, Block 15; Lots 1 through 14, Block 16; Lots 1 through 24, Block 17 and Lots 1 througtt 6, Block 18 and Outlots A, B, C, D, E, F, G, H, I, J, K, L, and M.of Bridle Ridge First; Lots 1 through 25, Block 1; Lots 1 through 17, Block 2; Lots 1 through 11, Block 3; Lots 1 through 26, Block 4; Lots 1 through 25, Block 5; Lots 1 through 31, Block 6; Lots 1 through 55, Block 7; Lots 1 through 13, Block 8; Lots 1 through 16, Block 9; Lot 1, Block 10; Lot 1, Block 11; Lots 1 through 3, Block 12 and Outlots A, B, C, D of Hills of Stonebridge, Township 27, Range 23, Dakota County, Minnesota. Written or oral objections will be considered; no apneal may be taken as to the amount of anv assessment unless a siened written objection is filed with the Clerk nrior to the hearing or oresented to the presidin officer at the hearin An appeal to district court may be made hy serving notice upon the Mayor or Clerk of the City within 30 days after adoption of the assessment and filing such notice with the district court within ten days after service upon the Mayor or Clerk. The City has a Senior Citizen deferment ordinance based on income and homestead status. Details are available by calling the Assessment Department, 454-8100. Please note that vou will receive additional notice on this matter onlv if the amount due is amended. If you have any questions about this statement, please call Special Assessments at the City of Eagan (454-8100). ~ City oP Eagan 3830 Pilot Knob Road Eagan, Minnesota 55122 . , EXTEkIOR ENVELGFE AQFRAGE 'l1' COPSPUTATTOtd . GFAND OAI,:C DEV't=LOPI"iEN7 COFiF'ANY PiOD[L ? , AREA , U U X AREA ~ REDUIFcD ' 1. TO7AL WALL AREA 1E300 X'.I1 173 - 2. 7GTAL RUGF Akf-A 1196 X.026 :1•"96 ACHIEVED " AREA U U a AF.-il A. WINDOUI AREA 106.66 .5 D. DGOR AREA ,9. U .071 0 S46 C. SLIDt GLASS r'iREA 13.44 .4(] 6.1'~12 , D. FIREPLACE Ar1LA C. WC:LL FRAME AREA 1nU .041 7.:0 F. NET WALL AREA 1164.1 • 04 9 57- - G. RZM JOIST AFcEA 119.52 .G47•6 5.211(')7'-' H. 1=CUND WIhDOW ARCA U I. FOUND AEOVE CiRADE 46.48 .13:5 1-~.U:4E1 7O1'AL WALL AREA IIIOp I IOJ. 5 026 J. SKYLI7E 0 0 (1 IC. ROOF FRAME 119.6 .032 3.027-2 L. NET RDOF AREA 1076.4 .025 26.41 4. TOTAL ROOF AREA 1196 -~•0• l-{72 SUM 1 . r2 229. 096 SUM 3.+4. 21b:<°9U RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Canehuctbn Feauhamema HemotleVHeoalr Reauirements • 3 regisieretl site surveys showing sq. fl, ot bt, sq. tL ol housa; and ~II rooted areas • 2 copies ot pl2n (200% maxanum bt cove2ge albwed) • 7 set of Energy Cakulatqns for heatetl aCdHions L • 2 copies of plan showing heam 8 window s¢es; poure0 tountl desgn, etc.) • 1 sAe survey for ex1erbradtlHbns & Oecks . 1 set of Energy Cakuletbns • Indipte H home served Dy septic system lor adtlAbns • 3 copie5 of Tree Preservation Plan ii Wt platled atter 711l93 ' • Rim,bist Detail Optbns seleclion sheet (bWgs wiN 3 or less unNS) DATE (7- 7` 0°Z VALUATION SITEADDRESS 3963 nre A as-k/' .U/i?< MULTI-FAMILYBLDG _Y X N NPE OF WORK ~ ,3rI SA6/ f~~.~uo, ~ r~~0.y FIREPLACE(S) _ 0 ) 1_ 2 ~d~aov APPLICANT T11,y?s6?1 STREET ADDRESS 396.3 (i1erc:Lslor &r CIN EaSa.-7 STATE110LP 551a 3 TELEPHONE #(n5/ - S/SS/-.~(059 CELL PHONE #&/2 - 7/0 - 5~600 FAX q PROPERTYOWNER Av,1,(/. TdLi"ses7 TELEPHONE# (05/-5~51/-~(05~ ° ° COMPLETE THIS SECTION FOR ^NEW• RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I MINNESOTA RULES 7672 (4 submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelopa Calculations Submitted Plumbing Conhacfor: Phone # Plumbing system includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00 _ Water Heater _ No. of R.I. Baths _ No. of Baths Mechanlcal Conhactor: Phone #i Mechanical system includes: _ Air Conditioning Fee: $70.00 _ Heat Recovery System Sewer/Water Conhacfor: Phone k I hereby acknowledge ThaT I have read this appiication, state ihat the informaTion is c ct Jqn. d.pg(en~c ly wlTh all applicable State of MinnesoTa Statutes and City of Eagan Ordln ces. UN 1 U Signafure of Applicanf By ~ ^ ^ OFFICE U5E ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 OFFICE USE ONLY ? 01 Foundation ? 07 OSplex ? 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 x 17 Garage ? 22 Porch/Addn. (4sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? OS 03plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04plex 0 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding .x 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) - Give PCA handout to applicant ~ Valuation Occupancy R_ 1 MC/ES System Census Code Zoning 02d City Water SAC Units ~ Stories ~ Booster Pump Nbr. of Units Sq. Ft. ~ PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const %~/v Width REQUIRED INSPECTIONS _ Footing.s (new bldg) FinaVC.O. Footings (deck) FinaUNo C.O. g Footings (addition) _ Plumbing ~ Foundation _ HVAC Drain Tilc Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final Framing _ Siding Smcco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By , Building Inspector - - Base Fee Surcharge • 5~~ 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 ~ ~URVEYOR"S CERTIFICATE GRAND OAKS DEVELOPMENT C0. # 471 1 J (4 N /0 g2 °y sN ~ ~ A~ ` s \ A /p \ h~q~ ys O \ o \ \ ~ V' \O\ A ~'l~~o~l y2• 'S-oG$~pb\ ~ CIO \i1~l.wb cl I $ ~ \ 9P o 0'1° I - h o 0 6 CP ~ \~;14'6 x3 t N 0 ~ bS~~'`w / / ~ ( O~ • ~ ~ ~`FFy ~~C;; °'o ' ~ v? ~ 00 y3~~\ i • o 0 ~O • 1 t ~ i ..1 ' J 1~~ ` 3 , g g8 ~ OR Q~ ~ D ~4 ~ DENOTES PROPOSED SURFACE DRAINAGE O DENOTES IRON MONUMENT SET ' SCALE: t INCH - 30 FEET • DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR - qob.4 FEET X000.0 DENOTES ffX1STING EIEVATION PROPOSED LOWEST FLOOR - t~03, &n FEET (000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK -901n FEET WE HEREBY CERTIFY TO GRAND OAKS DEVELOPMENT THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lot 10, Block 2, HILLS OF STONEBRIDGE, according tothe recorded plot thereof, Dakota County, Minnesoto IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS SJ°VEYEC .°,Y PAE OP UPJDEP, P.~Y DIRECT SU°E?NISIO P-ti,°i IZT. N DAY Ci i10J1 i•~~~ ~l. , i~j~ . SIGNED: J/j E". I, INC. PROPOScD EL,EUATIONS 5I{04(N 41ERE v TAKEfd FROh1 THE DEVELOPMEYT PLAP! FOR HILLS OF STONEBRIDGE, PRE- BY: •n J PARED 6Y PIONEER EYGINEERING AND H OLD C. PETERSON, LAND SURVEYOR LAST DATED 8-26-87.. MINNESOTA LICENSE NUMBER 12294 N m o T~~0 O ? a ~ James R. Hill, inc. rm~~ o~ o N Z ~ ~ u, m~~ PLANNERS / ENGINEERS / SURVEYORS _ O m Z j 9401 JAMES AVE. S. • BLOOMINGTON, MN. 55431 • 612•884-3029 P O N . I SURVEYOR°S CERTIFICATE GRAND OAKS DEVELOPMENT C0. # 471 (4 ~ 1 / v-~ 0A 71 y o 3~ ~ / ~ 9O9y \ /~N ' ' 19 - \ 9~ ~ ~ \ \ A/~ 0. \ 1T 0 Q ~ . o / q0io' Gs ~jt~` o \ 9P O o~~ /~/\~7 3av ~ 2fO~O ~ O~ 1 N1 ~ ,~~j iO P~ A' . N o' o~ ~0 / \ V yo 0 oy3~t i ` - ~~D4 0 gg Q~ ' ~ ! a \ R y^g39g651~ o~' D R ~ ~ ~ DENOTES PROPOSED SURFACE DRAINAGE O DENOTES IRON MONUMENT SET SCALE: 1 INCH - 30 FEET • DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR - y~A FEET X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR - go3.t- FEET (000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK - 90I, FEET WE HEREBY CERTIFY TO 6RAND OAKS DEVELOPMENT THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lot 10, Block 2, HILLS OF STONEBRIDGE, according tothe recorded plat thereof, DakoTa County, Minnesota IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS SURVE`,'ED gY ME OP U":DER MY DIRECT °,U!'EP,VI.°,fON h11S IZ?N CAY Of- j~pvC-,'r~~ i9L3 j. SIGNED: J9ME . I , INC. ~ PROP05ED ELEVATIONS SI104;P1 L1ERE TAKEfJ FROh1 THE DEVELOPP1ENT PLAM FOR HILLS OF STONEBRIDGE, PRE- BY PARED 6Y PIONEER EiNGIPJEERING AND H OLD C. PETERSON, LAND SURVEYOR LAST DATED 8-26-87.. MINNESOTA LICENSE NUMBER 12294 _ -0 m -T1 T p) 77 ~ 70 o E Om~0 O Z-N ~James R. Hill inc. o m Z ° N~ ~ m ~ Z PLANNERS / ENGINEERS / SURVEYORS „m o m _ < Z 9401 JAMES AVE. S. • BLOOMINGTON, MN. 55431 • 612-884-3029 a 0 N . . . , . APFLI^vATION FOR PERMIT aNDTE= pAYhiFNf OF Eg AT TIME OF ; ; npPC.xCATIoN oos nCFr ccr}- : STIILJIE APPRGJAL OF PE77bIIT. ~ ..'SEW ER AND/OR WATER CONNECTION ~ I~~ON OF SEWER ANDiOR wh"ER : itisrAtuTioras wna, nvr se scmtn.en ; [!NPIL PIIthIIT WS BM APPROVm. : caty oF ecicjan (PLEASE PRINT i) PROPERTY ADDRFSS: _"l 2(l: 1~ (0 <.-LA c- s fie lZ -Dk f U~. i•FY:AT, DESQ2IPTION; 0 7- /o ,a41 c C~ ~/tliG1s v{- STa eG~,~ ic Lot B ock S ivision or Tax Parcel ID IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMiT ISSUANCE: Mont Year PRESENT ZONING/PROPOSID C!SE: Q COM[IERCIAL/RETAIL/OFFICE 9R-2 R-1 SINGLE FAMILY INDLSTRIAL DUPLEX (3tao L~nits) Q INSTITUTIONAL/GOVERDA7ENT Q R-3 TOWNHOUSE (Three +.Onits) ( Units) Q R-4 APARTMENT/CONIDOMINIUM ( Onits) 2) NPN1E: E•t.l~ ADoRMs: CITY, STATE, ZIP: ,lt4~J PHONE: For City Ose 3) • NAME: Plu7i re: ADD12ESS: Active Expired CITY, STATE, ZIP: 2 o/ZC Q,,) ,.M ,J S.515 2, tvot recorcled PHONE: MASTER LICENSE # ~O A4 ~ Sta In~f-'itia~ 4) 111567 ~ ~NAME: ~lZl,, '.J c( ` Jc.~ (CS ADDRESS: S 4,~,~ e a CITY, STATE, 2IP: PHONE: 5) s ~u~• ~ a •~•'S ? _ • a'ZCONNECTION CON[~CTION TO CITY SEWER 10 CITY WATER ~ dIHER taL i 6) ~?iT~ ~~1~~ ~ ~ • ~ cJ / S / S ~ ******~***~**~******************,r**+***~******+********~**+****~~*,r***~**+*+~****,.*+*****+*********# * THE GOLD COPY OF 11IE PERNIIT WIIS, BE SENf DIRECI'LY TO PUBLIC WORKS TO FACILITATE METEE2 PICK-UP. ~ *k PLEASE ALS,OW 'IS+10 WORKING DAYS FOR PROCESSING. SOMEONE EROM rfilE CITY WILL CONfACT YOU IF 74ERE ~ * ARE ANY PROBI.EMS. ,*a ~*******+*+*~*+*********~:**~*~*******,r*++*~*«*****sr*~~+r*****,r************~r,t****+***~#**,rart~r**+; . FOR CITY USE ONLY PERMIT # ISSUED ~ ~ • ' Pd w/Bldg. Permit FEES: $ $ SEWER PERMIT (INCLUDE SURCHARGE) $ $ WATER PERMIT (INCLUDE SURCHARGE) $ $ WATER METER/COPPERHORN/OC'TSIDE READER $ $ WATER TAP (INCLC'DE CORPORATION STOP) $ $ SEWER TAP $ $ ACCOUNT DEPOSIT - SEWER $ $ ACCOUNT DEPOSIT - WATER $ $ WAC $ $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TR[JNK WATER $ $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ $ TOTAL RECEIPT RECEIPT DOES UTILITY CONNECTION REQUIRE,EXCAVATION IN PUBLIC RIGHT OF WAY? F--j YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE ENGINEERING ~ NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITZONS: APPROVED BY: TITLE: DATE: r ' , ~ • - . ~ / 1987 BQILDING PERMIT 9PPL CATION - CITY OF EAGAN . SINGLE FAMILY DWELLINGS IHCLIIDE 2 SEfS OF PLANS, 3 CERTIFICATES OF S[JItVEY, 1 SET OF ENERGY CALCQL6TIOHS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOidNER MOST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BOILDING PEAMIT IS ISSIIED. MITLTIPLE DWELLINGS - RFSIDENTIAL RENTAL i1F1ITS FOR SALE UAIIYS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SDRVEY - CHECK WITH BLDG. DEPT., 7 SET OF ENERGY CALCULATIONS COLMMRCIAL INCLUDE 2 SETS OF ARCHITECTUEtAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 7 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND To Be Used For: SF Valuation: ~ I600= Date: 11-12-87 Site Address 3963 Worchester Dr. OFFICE USE ONLY Lot 10 Block 2 On Site Sewage_ Occupancy R-3 MWCC System V/ Zoning R_1 Parcel/Sub Hills of Stonebridge On Site Well Type of Const City tiater v, (Actual) \/-N Ownet^ Grand Oaks Development (Allowable). V-N IP of Stories Address 4521 So.Hay Lake Rd Length ,5Z' Depth City/Zip Code Eagan 55123 S.F. Total Footprint S.F. Phone 452-8167 or 894-3601 Ardy Parish AppROVALS FEFS Contractor same Assessments Permit q1Z.$0 Water/Sewer Surcharge 37,00 Address Police Plan Review 20 6 Fire SAC, City 00.00 C3ty/Zip Code Engr SAC, MWCC 5 2 S.DO Planner Water Conn SZ 50 Phone Council Water Meter 6ri .DO Bldg Off i~/~,y Road Unit p3 5•OQ Arch./Engr. APC Treatment Pl 1130.00 Variance Parks Address Copies TOTAL City/Zip Code Phone # . i "~~t'RIVEYOR'S LERTIFICATE GRAND OAKS DEVELOPMENT C0. # 471 \I 1J f r~ 1, 1 / 1o , y ou / 2'' cv ~ F s O- 0 ip 0 Y v 9~ O '501~ ~ / ~/\g 3av ~ l~ \ O~c~9\.~ i.0 26p0 I nr1 ~ \ \ o ,q \90p of" • ~ ~ ~ As.,•,. ~ / ~o ~l. o 'Q \ \\~'?L O`~',~., / ~ o u~o oo ,h 'yo 3~ \ .,a,~-~ 9 3 ~ ~tr•:, 4of ~ Ao ~Z F=`5o53986~ - R~ oa~ D~~Q/ / Lw / ~ DENOTES PROPOSED SURFACE DRAINAGE O DENOTES IRON MONUMENT SET SCALE: t INCH - 30 FEET • DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR - 9ob•Q FEET X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR - go3.&~ FEET (000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK - 90 (o FEET WE HEREBY CERTIFY TO GRAND OAKS DEVELOPMENT THAT THIS IS A TRUE AND CORRECT REPRESENTATIQN OF A SURVEY OF THE BOUNDARIES OF: Lot 10, Block 2, HILLS OF STONEBRIDGE, according to The recorded plat thereof, Dakota County, Minnesota IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS citRvcycn ove1`nniin"r_r' hi.ni!ncnr oi..iPER`r,~.nvy ns~/~•~ rJn I>-rii . ~ vv r .a...~ ni ~~v.J w ~ n iJi\i'v1= I`~Gili•~:•lCj`- SIGNED: JP~ME . I , INC. ~ PROPOScD ELEVATIONS Sii041Pd 41ERE TAKEtd FROht THE OEVELOPP1ENT PLAP! FOR HILLS OF STONEBRIOGE, PRE- BY~ ~'U PARED 6Y PIONEER ENGIiIEERING AND H OLD C. PETERSON, LAND SURVEYOR LAST DATED 8-26-87.. MINNESOTA LICENSE NUMBER 12294 ~ o ~ Z ~ o m ~ O T m ~ ~ ~ O ~ i - ~ m _ ~ - James R. Hill, inc. O m Z N~ a p N D C 2 A o Z> ZU, PLANNERS / ENGINEERS / SU RVEYORS ~ _ O m J = < ' Z 9401 JAMES AVE. S. • BLOOMINGTON, MN. 55431 • 612-884-3029 a 0 „ 4 111/1° City of Eaaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 Applicants Printed Name OCT 0 6 2009 Use BLUE or BLACK Ink Permit Permit Fee: 1 Q 2 0 Date Received: Staff: 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Cfill Date: 10" x -Q9 Site Address: 3 (e)e)rcl1 eae r I�t ire Tenant: ht4 /6, Z1/0/5o1.-7 Suite RESIDENT OWNER TYPE OF WORK CONTRACTOR Name: it vid 11. ��ivaSmy+ Address City Zip: 3% 3 (.Js relit 6 'kr Applicant is: X Owner Contractor Phone: 0/ -.75(5 -765Y 6434.-1, MN 6.3W- Description of work: 1Iof 5 4 r0 9 .e Construction Cost 4f g 3t?c) Ski Multi- Family Building: (Yes No Name: 5mtet& k5 OW IJet License Address: City: State: Zip: Phone: Contact Person: 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 1No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor Phone: Sewer Water Contractor: Phone: 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 approved plan in the case of work which requires a review and approval -f plans. x ba1s;d b. Tti ,iSa� /4 Applicants Signe re Page 1 of 3 SUB TYPES Foundation Fireplace Garage Deck Lower Level Single Family Multi 01 of Plea Accessory Building WORK TYPES New Addition Alteration Replace Retaining Wall DESCRIPTION Valuation 42_0_ Plan Review (25 100 %4) Census Code #of Units of Buildings Type of Construction V REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Insulation Meter Size: Reviewed By: RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit Surcharge Treatment Plant Copies (.0Nch.c4.6-,e_ DA Interior Improvement Move Building Fire Repair Repair TOTAL DO NOT WRITE BELOW THIS LINE Porch (3- Season) Storm Damage Porch (4- Season) Exterior Alteration (Single Family) Porch (Screen/Gazebo/Pergola) Exterior Alteration (Multi) Pool Miscellaneous Occupancy Code Edition Zoning Stories Square Feet Length Width Foundation Drain Tile Roof: Ice Water Final Framing Fireplace: Rough In Air Test Final Siding Reroof Windows Demolish Building* Demolish Interior Demolish Foundation Egress Window Water Damage *Demolition of entire building give PCA handout to applicant t ✓i'i �1 2 v 7 Srro /9 MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Sheetrock Final C.O. Required y Final No C.O. Required HVAC Other: Pool: Footings Air /Gas Tests Final Siding: Stucco Lath Stone Lath Brick Windows Retaining Wall: Footings Backfiil Final Radon Control Erosion Control Building Inspector Page 2 of 3 SHEET I OF I I FILE NO. FOLDER I PROJECT NO. 87621 a I BOOK /PAGE I i 1 1 DATE ll -1Z a� I DRAWN BY H.P. VAUGHN 7 CO PROPOSED ELEVATIONS SHOWN WERE TAKEN FROM THE DEVELOPMENT PLAN FOR HILLS OF STONEBRIDGE, PRE- PARED BY PIONEER ENGINEERING AND LAST DATED 8- 26 -87.. s b)okciles-tue_. CERTIFICATE J r_ SIGNED: N DENOTES PROPOSED SURFACE DRAINAGE 0 DENOTES IRON MONUMENT SET IP DENOTES IRON MONUMENT FOUND X000.0 DENOTES EXISTING ELEVATION (000.0) DENOTES PROPOSED ELEVATION INC. WE HEREBY CERTIFY TO GRAND OAKS DEVELOPMENT THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lot 10, Block 2, HILLS OF STONEBRIDGE, according to the recorded plat thereof, Dakota County, Minnesota IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS SURVEYED BY ME OR UNDER MY DIRECT SUPERYISI00_N -E- IS 1171-1 DAY O �v�7JL i i i I�-• 1937. BY GRAND OAKS DEVELOPMENT CO. 471 i 50 ri e Ot5 1* 3 <TO SCALE: 1 INCH 30 PROPOSED GARAGE FLOOR 500.4 PROPOSED LOWEST FLOOR 9 0 3, to PROPOSED TOP OF BLOCK 9010 8 HAROLD C. PETERSON, LAND SURVEYOR MINNESOTA LICENSE NUMBER 12294 5�3 FEET FEET FEET FEET James R. Hil l, inc. PLANNERS ENGINEERS SURVEYORS 9401 JAMES AVE. S. BLOOMINGTON, MN. 55431 612- 884 -3029 PERMIT City of Eagan Permit Type:Building Permit Number:EA175964 Date Issued:04/25/2022 Permit Category:ePermit Site Address: 3963 Worchester Dr Lot:10 Block: 2 Addition: Hills Of Stonebridge PID:10-32990-02-100 Use: Description: Sub Type:Reroof & Siding Work Type:Replace Description: 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. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to Valuation: 10,000.00 Fee Summary:BL - Base Fee $10K $191.75 0801.4085 Surcharge - Based on Valuation $10K $5.00 9001.2195 $196.75 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 - David D & Kimberly S Johnson 3963 Worchester Dr Saint Paul MN 55123--165 All Craftsmen Exteriors Llc 1020 East 146th St Ste 226 Burnsville MN 55337 (952) 898-4680 Applicant/Permitee: Signature Issued By: Signature