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3966 Worchester Dr ~-T~ ..r. _ ~t. . . . ...-.~q~-. w . . .--..,r..,~~y,.,,y,.e• --.~ve+-.... +....,...r=:i I I ' CITY OF EAGAN Permit No: Date: 9-18-$7 3830 Pilot Knob Road Meter No: 3 Sixe: Sg °C IY P.O. B$x 21199 Aesds~F No: a- ~ Date: /a-I/-YZ ; Eagan, MN 5S121 ' Owner. Grand Oaks Site Address: 3965 Worchester Drive L4 B1 Hills of Stone- Plumber vallep FlumbinQ Bridge Conn. Chg: 525.00vd wgQ~i1169; Rl Acct Dep: 15 . 00 d p 1 Permit Fee: 10. ffiWe ~ ing ci!ll Lj, Surcharge: -16W f agree to comply with ihs Clty of Eagan Tr. Plant i$ 0• Blin$r~ap~c ~ Meter. . Ls 7 Misc.: gy ~ WATER SERVICE PER - . . • •r-. . . . ,.-,,A.r~ . C1T'Y OF EI?GAN Pdrmit Na: 9076 pstm 9-18-$7 ~ 3830 Pllot Knob Road Meter No: " Size: j P.O. Box~2119' ReBder No: Date: ~ Eayan, ..JN 53igl 1 Owner. Grand Qaks j ; Site Address:_ 3965 Worchester Drive L4 Bl Hi12s of 3toae ~ Plumber d811ey Pi pt,inR , ~rt~rye ~ { Conn. Chg: 525 . botd Zoning: 1 ' Acct Dep: 15. OOpd No. of Units: 1 Permit Fee: _ Z~• dOAd 5urcharge: • 50Pd I agree to comply wlth the City of Eagan j Tr. Plant- 1$0. ~4pd Ordlnsnces. j Meter. 67.nfl,p'T ~ Misc.: By j WATER SERVICE PERMIT , ' cirr oF EAGAN SEWER SERVICE PERMIT ! ~ 3830 Pllol Knob Road 1,3226 , P.O. Box 21199 ' PEF1MiT NO.: , Eayanj _~N 5b?[7_ r~ DATE: ~ Zoning: No. of Un(ts: ~ I Owner. i ' Addresa: i Site Address: ort es er Drive s o tone- ' Plumber a ~y ns Bridg,e . ~ _ _ . ' , I eyrae to comply wNh the Clty ot Eagan Connection Charge: 52 S.40nd , i Ordinences. Account Deposit: 15 .OQpd ' t Permlt Fee: - 10•00pe j Surcharge: - • 50Dd BY Misa Charges: i i Date of Insp.: Total: ; i In$P•: Date Pefd: j I II fger#i#traft uf Orrupanry Citp of tagan arprtrnm nf saaing icaprrtwn This Certificale issued pursuant m the reqairementr of Section 306 of the Uniforni Building Code cerlifying that ai the time of issuance thir structure was in compJlance with the various ordinances of the City regulating building construcrion or use. For the joUowing.• uW caM&MUM 5W W;= ewa. nanik No. 14179 occ,p,-Y Tym R's Zooivs nw,;u R 1 7~vw c-. Vn ow= cr ewwmg 4 rZUdC) C1Ak M7.17t . t-.? Add,,,, 4521 Sn RAl' ~,AGAA' I BoUngAdd,m 49f.6 S,Cp-EE'MI; TW,v: TOM;ry s k. B t, H1L.5 iF S3'WIR.TIIM i ~ns _ nacr. r7~t( i,4FYY 24, ' `~i ~I ~ PO3T IN A CONSPICUOl1S PLACE I I II ~ CASH RECEIPT ~ CrrY 'OF EAGAN ~ 3830 PILOT KNOB ROAD t • EAGAN, MINNESOTA 55122 na're• 19~ , ; . R«<~VIED •ROM AMOUNT ? C~.~' /d a ooLLwws ~ee ? CASH ~ CHECK rUND CODE AMOUNT Thank You BY 7 7 V 6 White-Payert CoPY Yellow-Postinp Copy Pink-File Cppy BLDG. PERMIT N0. 01-3210 Bldg. Permit r 0 ~ 01-3422 Plan Check a 41-3445 Surch./Adm. lv 01-3446 SAC/Adm. ~ 01-2155 Surcharge j J 3 oG 17-3860 Road Unit ~~JJ Q G *-2275 SAC J~~ 9 75 24-3865 Water Conn. A6- j2 20-3868 Water Trmt. 20-3716 Water Meter Q 20-2252 Acct. Dep. 20-3713 Water Permit 20-3743 Sewer Permit ~ L D a 79-3866 Sewer Conn. i 11-3855 Park Ded. ~ ; . TOTAL _ _ - CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 , , . BUILDING PERMIT Receipt 7o be used for S!' UWG/GAtt Est Value i~~ 9000 Date- Site Address 34ti6 WQ1iCHESTEit 1iri OFFICE USE ONLY , Lot 81ock 1 Sec/Sub. Fi 1LL.S OF s't'QldE- On Site Sewage Oc«,pancy ~ Parcel No. IDGE MWCC System %Zoning On Site Well (Actual) Const yn is Name VRAND OAK5 UE"VEL CO City Water k (Allowabie) Vn = Address 4521 Sd kAY iACg n PRV Required ~ of Stories 0 City '~AG~'~' Phone 452-81(~7 BoosterPump Length ~?f+ Oepth 48_ ¢ Name 5AME S.F. Total ,o I AddresS Footprint S.F. r City Phone APPROVAL$ FEES yVj W ~lame Engr./Assess._ Permit 3 3t~4. 5U i= iddr@SS Planner Surcharge 33.00 `W City Phone Council PlanReview 192.25 Bldg. OH. SAC, Ciry 100•00 ~ I hereby acknowledge that I have read this application and state that the Varlance SAC, MWCC 525.uU information is conect and agree to comply with all applicable State of WaterConn. 3,()() Minnesotp St&tutes and City of Eagan Ordinances. Water Meter 6~. UU Signature ~of Per~ittee • Road Unit 305.O0 A BuildingrPermit & issued to:~GKMD OA!(S.-L`TYEL_-Q4-_ Treatment P7 1RO.QU on the express condition that all work shali be done in accordance with all applicabie State of Minnesota Statuies and City of Eagan Ordinances. Parks D%,.31Z.~5 Building TOTAL ~ ' CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Esgan, MN 55121 PHON E: 454-8100 , BIJILDING PERMIT Receipt #t , + To be used for Est Value Date ,19 Site Address OFFICE USE ONLY Lot Block Sec/Sub. s On Ske 3ewape Occupancy ' u _ MWCC System Zoning ParCel No. On SRe Well (Actual)Conat 'Jr ¢ Neme CiryWater h (AUowable) yn Z Address PRV Required ~t of Stories ~ City Phone Booster Pump Lertgth Depth o Name S.F. Total . - Addre38 FootprintS.F. ~ City Phone APPROVALS FEES yVj W Name Engr./Assess. Permit - i = Address Planner Surcharge ~ W City Phone Council Plan Review '-Bldg. Otf_ _ SAC, City I hereby acknowledge that I have read this application and state that the Varfance SAC, MWCC information is correct and agree to comply with all applicable State of WaterConn. • Minnesota Statutes and City of Eagan Ordinances. Water Meter 1• Si natureofPermittee " 9 - - Road Unit A Building Permit is issued to:_ _ _ Treatment P1 ~ ° • on the express condition that all work shall be done in accordance wifh all Pe~ applicable State of Minnesota Statutes and City of Eagan Ordinances. _ TOTAL Building OfficiaL------------------_---------- ' Psrmit No. Permlt Holder Wb TeNphone * , _ P1'umbiny C- ~ i • /wz F+VAC. Ebct?ic Softener Inspection Oab Insp. Commtnb Footings I Footinga II Foundation Framinq Roofing Rough Plbg. ~ Rouyh Htg. ~ ~ IsuL j Fireplace Final Htfl. ~ Finat Plbg. Bldg. Final Cert Occ. _ Temp. LP Deck Ftg. Deck Final Well Pr. Disp. ! • , PERMIT M ~ ~ ' PLUMBINCi PERMIT ~ 5' CITY OF EAGAN RECEIPT # 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: /e CONTRACT PRICE PHONE: 451-8100 Site Address - BLDG. TYPE WORK DESCRIPTION Lot 1-4 Block I Sec/Sub Res. x New x ~ I Mult. Add-on m Name 11 ..s?- - +i~j Comm. Repair ~ Address Other c City 1.. G- Phone RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL --4-_Water Closet - $3 00 s ~ ~ Name ~ Bath Tubs - $3.00 3 Address __~I_Lavatory - $3.00 ~ p City Phone ~ - - • Shower - $3.00 _LKitChen Sink - $3.00 FEES UrinaliBidet - $3.00 COMM/1ND FEE -1%OF CONTRACT FEE I Laundry Tray -$3.00 APT. BLDGS - COMM RATE APPLIES ~ Floor Drains -$1.50 ' TOWNHOUSE & CONDO - RES. RATE APPUES j Water Heater -$1.50 MINIMUM - RESIDENTIAL FEE - $12.00 Whirlpool - $3.00 MINIMUM - COMM/IND FEE -$20.00 -LGas Piping Outlets -$1.50 STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIT) (ADD $.50 S/C IF PERMIT PRICE GOES Sottener -$5.04 BEYOND $1,000.00) Well - $10.00 ~ Private Disp. - $10.00 i Rough Openings - $1.50 ' SIGNATURE OF PERMITTEE FEE: STATE S/C: FOR CITY OF EAGAN GRAND TOTAL• , - . < . . < 'kZ77 ' PERMIT # MECHANICAL PERMIT IPT 3830 PILOT KNOB OAD, EAGAN, MN 55122 DATE lk 3 5/ CONTRACT PRICE PHONE: 454-8100 Site Address gLpr,,, TypE WORK DE~CRIPTION Lot Block 5ec/S b x NeW Y . ; _ - ~ Mult Add-on m Name Comm. Repair Address Other c City ~ Phone ~ Name c ' ' ' ) `1 LL' FEES RES. HVAC 0-100 M BTU - $24.00 c Address k~ ADDITIONAL 50 M BTU - 6.00 p City f- : Phone (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIn - 1.50 EA. TYPE OF WORK COMM/IND FEE - 196 OF CONTRACT FEE Forced Air 2r gTU APT. BLDGS. - COMM. FiATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES , Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON & I UniE Heater . M BTU - " - ' _ ~ - ftEMQDEIS_ 12.00 i Air Cond. M BTU • MWfMUM COMMERCIAL FEE - 20.00 I Vent CFM STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # BEYOND $1,000) Other ~r FEE S/C: "SIGNATURE OF PERMITTEE TOTAL• ` FOR CITY OF EAGAN . CITY OF EAGAN N° 1 4 1 79 3830 Pilot Knob Road, P.O. Box 21 •199, Eagan, MN 55121 BUILDING PERMIT PHONE:454-8100 Receipt nj77~J q To be used for SF DWG/GAR Est Value $66,000 Date /-/'/y7 ,19 p O Srte Address 3966 WORCHESTER DR OFFICE USE ONLY Lot 4 Block 1 Sec/Sub. HILLS OF STONE- OnSiteSewage _ Occupancy R3 BRIDGE MwCCSystem X zoning Rl Parcel No. Vn On Site Well (ACtuap Const e Name GRAND OAKS DEVEL CO Ciry water X (AUOwable) Vn - z Address 4521 SO HAY LAKE RD PFV Required _ # of Stories ° City EAGAN phone 452-8167 Booster Pump _ Length 44 oepth 48 , o Name SAME S.F.7otai o a Address Footprint S.F. U ¢ City Phone qppROVALS FEES ~ w Engr./ASSess. Permit $ 384. 50 ww Name tz Planner Surcharge 33.00 x- Address 192.25 a w Ciry Phone Councd Pian aeview Bldg.OfL SAC,City 100.00 Ihere6yacknowledgethallhavereadthisaOPlicationandstatethal[he Variance SAC,MWCC $25.00 iMOrmaLOn is correct and agree to compy wilh all applicable State of Water Conn. _525.00 Mmnesota Statutes and C7t~of Eaga di nces. Water Meter -¢7 , 00 /~~j Signature of Permntee/N(aL ~ _ Roatl Unit 3Q5.00 GRAND OAKS EVEL A Building Permit is issued lo:_ Treatment Pl ~$Q.,flO ontheeapresscondilionihalal workshalibedoneinaccortlan e thall applica6le State of Minnesot IaNtes and Cit oy, f Eagan Ordinances. Parks • TOTAL $2e311.75 Bwiding ONicial /~~~~C~ ~ This ruquest ~o~e - ~~(j~3e~ 18 rrqnths (mm ~ 213 9 9 Heneest tiatq Fire No. gOduh-in Insuecuon y'] Reqwred~ ~Reatly Now I-l} Will NuUiv Insoe[- ~D-I - (J ( Yes r-1NO ~or Wht,ri ReadV ~ Licensed Elecbical Contrectu, 1 harosy request inspactmn ol above ? Owner elechicel work installed et: Sveet AdAeess, Box or Ro ,e No. City 3~f(~Co Gc~Gi- • / .r- ~r. eclion o. Townsh~p Name or No. Fanee No. Coonty ~cCUU~tS Ph."4%52- 199 3 ~ FOW $upDli¢I AddIa55 ~-k~ ~6-(-~4~ -'c. Elecy ~ cal Contrac~or ICompany Namei Cnnhactor's License No. /S~~n -'~'/c I 'c ~r?c o~ q s= 3 Mailing tlJress (Comractor or Owner Mabnp Instailauon) 76 I-lz~ , Aulhori "fed Signamre (COn ructur/Ow r Makiny Installnjion) "Ph ne Numbe^r 3~G MIryNESOTA STATE BOARD OF EIECTRICITV THIS INSPECTION NEQUEST WILL NOT Giri89s-M'dway BICa. - Room N•191 BE ACCEPTED BY THE STATE BOAflD 1821 UniversiN Ave.. SL Pnvl, MN 55104 UNLESS PHOPEH INSPECTION FEE IS Phone (6121642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ea-aoooi-os 1 See msimctions tor completinB this toim on bqck ot yellow capy ~ 399 R" Be/ow Work Cavered by 7hrs Request FdJ Nep: 711O ol BwlEine Aoahoncea Wirea Enmromont Wved Home Ranye Temporary Service Duplex Water Heater Liqhtinp Fixtuies Apt. Bwldinn Drye, Electnc H¢a(in Commercial Bldy. Furnace Silo Unloadcr Induslrial Bldy Air Condinoner Bulk Milk Ttink Farm flnNi oaci v 00u1, Isucri~vl ~ n uccify the, piho, ompute lnspecuon Fee Below 11 p Fea ServieoEntreneaSrso n Fae Fexdere/5ubfueJers u frte Circuils 2 CTO 0 to 200 qm s 0 to 30 qm os 1Z 0 ta 30 Am Above 200 Amps 31 to 100 Ainps 31 to 100 Am s Swinttning Pool Alwve 100_Am>s Ahove 100_Am)s Transiormers Irrigauon BoortG Partia6'01her Signs SpeciallnsUection 5 Rem3rks TOTAL F ~ W ~ Rou6h-in Dane , c I, ihe Elactn al !Q•'/~J inspector, ~e.abv ceriJy thnt the abovo Final ~ D.ite inspettion hes been maaa. tMs repuest volG t8 montlu Irom ~l30.ao 2007 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan ' 3830 Pilot Knob Road, Eagan NIN 55122 (;Gt_U_J2_A 10Iit Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWCGon Reauirements RemodeVReoair Reauirements Offce ll5e 3 registered site surveys shovnng sq. R. M bt, sq. ft M house; and all roofed areas 2 copiw ol plan shaving fooLigs, beams, joists Ced of Survey Rerd _ Y_ N (20%manimum btcwerage allowed) 7 set of Energy Calalations for healed addi6ons Soils RepoA _ Y_ N 1 Soils Repotl if proposed building is to be placed on disNrbed sdl 1 site survey for addiLons 8 decks Tree Pres Plan Recd _ Y_ N 2 wpies of plan showing heam 8 vnndax sizes; poured found design, elc. Addition - indicate i(on-sRe sepfic sysfem Tree Pres Required _Y _ N isetofEneryyCalwlations Oo-siteSepllcSystem _ Y _N 3 copies W Tree Preserva6rn Plan A lot platted after 711193 Rim Joist DeFail Options selection sheet (buildngswAh 3 w less units) Minnegasco mechanical ventilatlon form Plans are considered ublic information unless ou state the are trade secret and the reason. Date 10 l a6b-7 / Construction Cost '~.~hD - Site Address Gt,i9T,Gl,u~t/'.,CA ~ UniUSte # Description of Work ~[(~iC • ' ' , t Multi-Family Bldg _ YI N Fireplace(s) 0 _ 1 _ 2 Properfy Owner Aft 4&~•K$G Telephone t! ( ) Contractor I-{/e Address gT,'~('~ ~,IU,C/2~/ 'TI2/MG ' City Gqlif'l{ State 4a%E&% wiu Zip pW.V43 Telephone #(1~51 ) 9777 7 9 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minneso[a Rules 7670 Cateeorv I _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation Calegory 1 Worksheet • New Energy Code Worksheet (4 submissiontype) Submiped Submitted • Energy Envelope Calculations Submitted In the last 12 monihs, has the City of Eagan issued a permit for a similar plan based on a master plan?, _ Y _ N If yes, date and address of master plan: Licensed Plumber_ _ n Telephone ) ~ Mechanical Contractor b L~a Telephone ~ OcT 0~ Sewer/WaterContractor Telephone ) I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work wiil be in conformance with Ihe ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application r a qermit, and work is not to start without a permit that the work will be in accordance with the approved ~case of work which requires a review and approval of plans. r2rG 5~a..~a~~ ApplicanYs Printed Name App ' ' 'gnahare . , DO NOT WRITE BELOW THIS LINE Sub Tvpes ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OB 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of_ plex ? 09 07-pfex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Att - SF ? 04 02-plex ? 10 08-plex 18 Deck O 23 Porch (screen/gazebolpergola) ? 36 Multi Misc. . ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex ? 25 Miscellaneous Work Tvaes p/3yryeW ? 35 Int Improvement O 38 Demolish Interior ? 44 Siding 32 Addition O 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 WndowslDoors ? 34 RCpIaCCment 'DemoltUon (Entira Bldg) -Give PCA hantlout to applicant DCSCfiptlon: Water Damage _ Yes i Valuation O00 Occupancy MCES System - Plan Review /t~~g 100% or _ 25% CensusCode Zoning CiryWater SAC Units Stories ~ Booster Pump # of Units Sq. Ft. PRV , # of Bldgs Length ~.Z Fire Sprinklered ~ Type of Const ~ W dth REQUIItED INSPECTIONS Footings(new bldg) _ Sheetrock ~ Footings (deck) FinaVC.O. _ Foo[ings (addition) ~ Final/No C.O. Foundation _ HVAC Drain Tile Other Roof Ice & Warer Final Pool F[gs AidGas Tests Fioal _ Framing _ Siding _ Stucco Lath , S[one Lath _Brick _ Fireplace R.I. AirTest Final Windows Insula[ion _ Re[aining Wall Approved By: 8 , Building Inspector - - - Base Fee _ / 3D ~ Surcharge Plan Review ~ MGES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total . , ,,-"S C E R T IF1 C A l' E GRAND OFlKS DEVELOPMEflT C0. wRSTE--_ _ DRIVE ~ - - N a =12017'52" ~ R= 403.78 ~ , - 86.67 N 5 ~ /y~.a47 id,i'. m 5 c~ ' 2 9_95 ` W i N/GAR. o j ' O N 0 " ~9020~ ~ m o I l %1 O V ~ 22. M ^ PROPOSED o I a~ vN OUSE ~ N / N 30 (2 Z,0J 4Q0 90 - 29_9 I a l... OT 4 ~ V_ ~ ~ ~ N ~ I ~y pFA7NAGE 9 U'TlLlrl'I L EASEMENT PER PLAT 5 ~ ~ - l ~ . ~ \ 0 R=5679.1-56 0= ° 14 16 122.71 0 n n {pODDROAD) _ R D. N0. 63 - EAGAN - R(EQlOEWED , SHEET 2 OF 2 SHEETS BUILDONG INSPECTIOfVS nG oco i PROJECT N0. BQOK / PAGE JAMES R. HILL, INC. 87522 Planners / Engineers / Surveyors FILE NO. 8200 Humboldt Avenue 5outh F O L D E R Blootnington, Mn. 55431 812-884-3029 ,itk RESIDENTIAL BUILDING PERMIT APPLICATION ~ CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-687-4675 New Conshuctlon HeauhemeMa HemodeVReoalr qeaulrements • 3 registered site surveys showing sq. 8. of bt, sq. tt. of hause; arMp_# roofed areas • 2 copies ol plan (200/. max'unum bt coverage albwed) • 7 set of Energy Cakulatlons for heated atld8mns . 2 copies ot Dlan showing beam & window sizes; poured tound design, etc.) • 1 sAe surveyfor eMerbr a0ditions 8 tlecks • 1 sel of EnergyCalculatbns • Intlicate it home servetl by septic system tor additbns • 3 copies of Tree Preservatbn Plan il bt platled afler 7l7193 • Rim Joisl Detail Options seledbn sheet (bltlgs wAh 3 or less unAS) DATE S` Z~-UZ VALUATION SITE ADDRESS MULTI-FAMILY BLDG _ V Y,N TYPE OF WOR ~ FIREPLACE(S) oCD _ 1_ 2 APPLICANT~a~aSt~sc~7~2., ~o~~v~a~ i oV-- ~ ~ - STREETADDRESS -C)CIN e\4"1Ltf STATETV\PZIP~~ TELEPHONE #LaQ3l-_13M-CELL PHONE # FAX t123' 02l c}- PROPERTY OWNER ~ Co~ Ec--JEL-- TELEPHONE # 10 k--' By b- 3~l3) COMPLETE THIS SECTION FOR %•NEW• RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINN (J submission type) • Residential Ventilation Category 1 Worksheet Submined • New ~ C h t~b d • Energy Envelope Calculations Submitted MAY 2 4 2002 Plumbing Conhactor: Phone # 5 Plumbing system includes: _ Water Softener _ Lawn Sprinkler ee: 590711,11 _ Water Heater _ No. of R.I. Baths , No. of Baths Mechanlcal Conhactor: Phone # Mechanical system includes: _ Air Conditioning Fee: $70.00 _ Heat Recovery System Sewer/Wafer Conhactor. Phone N I hereby acknowledge ihat I have read this applicatlon, state that the information is correct, and ogree to comply with all applicable State of Mlnnesota Statutes and City of Eagan Ordinances. ~ . \ Signafure of Ap ~ 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 Ofrplex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Parch (screened) ? 36 Multi O OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04plex ? 12 12-plex Pibg_Yor_N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement C] 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bidg. ? 42 Demolish (FOUndation) ? 45 Fire Repair ? 33 Alteration O 37 Demolish (Bldg)' O 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (EMire Bldg only) - Give PCA handou[ to applicaM Valuation Occupancy MClES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const W idth REQUIRED INSPECTIONS _ Footings(new bldg) _ FinaVC.O. _ Footings (dcck) _ FinaVNo C.O. _ Footing.s (addi[ion) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) Insulation _ Retaining Wall Approved By , Building Inspector Base Fee . Surcharge Plan Review MC/ES SAC Ciry SAc Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total ~ `~o~~. ~a~~ .r: - ~ Q~~ 1987 BDILDZNG PERMI? APPLIC9TION - CITY OF EAG9N ~ SINGLE FAMILY DWELLINGS ' ql 77 INCLIIDE 2 SEfS OF PLANS, 3 CERTIFIC9T6S OF SIIRVSY, 1 SST OF ENERGY CALCOLATIONS NOTE: 9DDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOANER MQST DESIGAAYE WHICH ADDRESS IS DESISED. NO CHANGES idILL HE ALLOWED ONCE HOILDING PERMIT IS ISSIIED. MOLTIPLE DiiE[.LINGS - R&SIDENTI9L RENTAL IIAITS FOR SALE OAITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SIIRVEY - CHECB WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COPffMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, ~ $2,000 LANDSCAPE BOHD SiNGCEf A wiiLy q ~ G 1 To Be Used For: ~ Valuation: °-2 Date: 0 Site Address 3 ~ f/,/ OFFICE OSE ONLY Lot H Block ~ On Site Sewage_ Occupancy MWCC System V' Zoning Parcel/SU~ • S'f'Dr~~,~'j rQ (~q ~ On Site Well _ Type of Const City Water ~ (Actual) v-N Owner GQ~,/u~ (Allowable) V-N ll of Stories Address Length 4 y.0 Depth y g.U City/Zip Code S.F. Total Footprint S.F. Phone APPR09ALS FE&S Contractor C(ZMA QA.C.S Assessments Permit 384.50 Water/Sewer Surcharge 3 3.06 Address S~~khPolice Plan Review 192•25 \ ' Fire SAC, City lo O, oo City/Zip Code 4g}gA-Engr SAC, MWCC 525100 /c (I,Planner Water Conn 52 $ 1 OO Phone Council Water Meter F,'T 00 ~ Bldg Off ~ 7 Road Unit 305100 Arch./Engr. APC Treatment P1 Fe-0,C) Variance Parks Address Copies TOTAL City/Zip Code - Phone ll S U P V E Y O R' S C E R T I F I C A T E cRnNo onKS oEvELoPMEN r co. 4 • DENOTES PROPOSED SURfAC[ DRAINAGE O DENOTES IRON MONUMENT SET SCALE: 1 INCH = 30 FEET • UENOTES IR0N MONUMENT FOUND' PROPOSED GARAGE FLOOR = 90 2.3 FEET .X000.0 DENOT[5 EXISTING EL[VIITION PROPOS[D L04![ST FLOOR = 699.5 FEET (000.0) DENOTES PROP05ED ELEVATION PROPOSCD TOP Of 6LOCK = yo z.7 F[ET 1 HEREDY CERTIFY TO GRAND 0l1KS DEVELOPM[NT C0. TIiAT THIS IS A TRUE AND CORRECT REPRESENTATION Of A SURVCY OF T11[ QOUNUARI[S OF: Lot 4, Block 1, FIILLS OF STONEBRIDGE, according to the recorded plat thereof, Dakota County, Minnesota. (THIS LEGFlL DESCRIPTION IJILL BECOME VALID UPON FILING OF THE PLAT HILLS OF STONEBRIDGE.) AfdD OF TIIE LOCATION OF A PROPOSED OUILDING. IT DOES NOT PURPORT TO SIIOW IMPROVEPIENTS OR EhICR011CIIMENTS, IF ANY, TIIER[ON. AS SURVEYED BY ME, OR UNDER P9Y UIRECT SUPERUISION, TI115 ~5-Tv4 DRY OF SEPT, , 1987. PROPOSED ELEVATIONS SI104IN 4JERE SIGNED: JAM R. HILL, IPIC. TAKEfJ FROP1 THE DEVELOPP1ENT PLAN FOR HILLS OF STONE[3RIDGE, PRE- PARED 6Y PIONEER ENGINEERING AND LAST DATED 8-26-87.. 4Y: IIAROLD C. PETERSUN, LAFID SURVEYOR SIIEET 1 OF 2 SHEETS DIINNESOTA LICENS[ N0: 12294 PflOJECT N0. BOOK / PAGE JAMES R. HILL, 1NC. 87522 Planners / Englneers / Surveyors FILE NO, • 8200 Humboldt Avenue Sauth ' FO L D ER Blootnlnpton, Mn. 55431 012-884-3029 SURVEYOR'S CERTIFICATE GRAND OAKS DEVELOPMEtIT C0. wSTER _ DRIVE to N d =12°I7152" h \ (`1010) R= 403. 78 " ~ - 86.67 ~ o 5~ . r`~ ~f ~,'8 roa ~ _ \ 5 iO (~ro!,,II. / N 24_95_ '(r1OZ,:O~ . i , I ~22. _24.52 LLJ I-N i N GAR. O . , O ~ N/ N I M N ~ ~902.0) I ' I OD 0 i % I i zZ. N ~ . I m PROPOSED O a ~ UJ ~ N HOU jN I 3~12 4 p ?9_69 (yOZ.O) - = 0). N L 0 T 4 N I I n ~ ~V DRAlNAGE 6 UTIL7TY' I . . EASEMENT PER PL4T g i ' . 5L o / \ \ o p = R=5679.56 I° 14 16 122.71 0 n 0 n ~ (DODD Rpqp) C0. RD. N0. 63 - , SHEET ? OF 2 SHEETS PROJECT N0. BOOK / PAGE JAMES R. HILL, INC. 87522 Planners / Engineers / Surveyors FILE NO. 8200 Humboldt Avenue Soulh FO L D E R BfooMlneton, Mn. 55431 812-884-3029 o • . ' ' . EXTERIOR ENVtLDPE AVEFAbE 'U' COMPl1TATTON GRAND 0AKS DEVELOPMENT COh1PANY MODEL u.• AREAU U X AREA ~ REOUIFED 1. TOTAL WALL AREA 1800 X.11 199 2. TOTAL ROOF ,ARFA 1196 J(.026 31.096 ACHIEVED AREA U U X AFFr1 A. W I NDDW AREA 106.66 .5 9` • i1b46 El. DOOR AREA 39. FJ .077 C. SLIDE GLASS AREA 13.44 .40 D. FIREPLALE AREA ' 4 0 o C. WG':LL FFAMG AREA 180' .041 7- _'.•B F. NFT WALL ARLA 1164.1 .049 -j 7.011<'9 - G. RZM JOIST AREA 119.52 .0436 5.211072 H. 1=0UND WINDOW AREA 0 C) C-) 1. FOUND AEOVE GkADE 96.48 . 135 13. ():'.4;i3 r 70TAL WALL AREA SDUO . LQJ.JOtC] J. SKYLITE 0 0 I:. ROOF FRAMt 719.6 .0'a2 3.0272 - L. NE7 ROOF AREA 1076.4 .025 26.41 4. T07AL ROOF AREA 1196 L-,C'•7372 SUM I.+2. 229.096 SUM 3.+4. 216..'.39U . *~+~~*+*+*******+**t*~~*~~****r****a , *f MATE: PAYMEW' OF FFE AT TINIE pF * , CITY OF EAGAiV * APPLicATioN DOES Nor CoNsmum * APPROVAL OF PEEiNIIT. * * APPLICATION FOR PERMIT * * * INSPDCrION OF SEWER APID/OR W'PFR ,*F * INsTALLATIONS WIIL NOT HE SCHm- * SEWER AND/OR WATER CONNECTION +1), UNTu PERMIT HAS BEEN * ~ APPROVID. r * t r * » - *,t**+*tt*~t*~********~,r*:********t*t P ease Pri~nt ~ 1) PROPERTY ADDRESS: G- G- /')"cac_F_~cc~ A4~c.-c~~ LEGAL DESCRIPTION: L y45 J ~~3t Ac~c~ - Lot Block Subdivision or Tax3Parcel ID#) - , IF EXISTING STRC(_MME, DATE OF ORIGINAL B[1ILDING'PERMIT ISSL'ANCE: : PRESENT ZONING/PROPOSID LISE: (Mon Year) El COMP'IERCIAL/REPAII,/OFFICE -ff-R-1 SINGLE FAMILY r7 IIIDC'STF2IAL ~ R-,2 DC~PLEX (74,o C~nits) n INSTI'1VTIONAL/GpVII2NMENp ~ g-3 1DWNiO0SE (Three + Units) ( units) q R-4 APARTNEN'P/CODIDOMINICT9 ( Units) 2) ~ DU1ME: 02n/b 0A<S a,onREss:_ q~'2.1 'S~. CITY, STATE, ZIP: ~4 6- A PHONE: • 3) ~ r~• I / NAPE: For CitY Use Plumbers License: ADORFSSc Active de Ekpired ~ CITY, STATE. ZIP: 1 '3 Z Not recorded PHONE: LMZ L/ 2,1 MASTII2 LICENSE# a/U St~itial 4) • • ia• NAhE: ADDRFSS: ' CITY. STATE, ZIP: PHONE: • 5) • a• : o ~ - [a-CON-NECTIDN 'IO' CITSC SEWER ~ ~~SITY WATII2 ~ OTfM ' . . 6) 11 • • i• E HOLD APPROVFD PERMIT FC)R PICK-UP BY ONE OF ABOVE e5 E MAIL APPROVID PERMIT TO 1, 2,~& 4. ABOIE 7' (Circle one) - Zy_-' • 7' ~ Y' I: ~ ~ I` ' ~ D ~1• . D P Y71• . . ~ . a~ • ~ ~ Y 1•~' h ~ ' M•h 1 11 ~I y• ~ % . FOR CITY USE ONLY ' • . . . PERMIT # ISSUED ~ / ~ Pd w/Bldg. Permit FEES: $ /0 •7Z' $ SEWER PERMIT (INCLUDE SURCHARGE) $ WATER PERMIT (INCLUDE SURCHARGE) $ G'-7 ' Cr-z $ WATER METER/COPPERHORN/OL'TSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ $ ACCOUNT DEPOSIT - SEWER $ $ ACCOL'NT DEPOSIT - WATER S $ wac S $ sr,c $ $ TRUNK WATER ASSESSMENT $ $ TR[!NK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: S $ TOTAL . -7 7 R RECEIPT ECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? ~ YES IF YES, THEN A"PERMIT FOR WORK SVITHIN PUBLIC Q ROADWAY" MUST BE ISSLED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: ~~t~tJ~c,c~ ~•-~cJ-~-O z TITLE: DATE: 9~ ~O A ~ / ~172'703 2007 RESIDENTIAL BUILDING rERMIFArrucATON City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 NewConshuction Reauiremenfs RemodeVRepair Reouirements OKce Use Onlv 3 registered site surveys showing sq. ft of lot, sq. fl. o( house; and all mofed areas 2 copies of plan showing fooUngs, beams, joists Certof Survey Recd ' Y_ N (20%a maximum lot coverege allowed) 1 set of Energy Calculafions for heated additions Soils RepoA ' - _Y _ N 1 Soils RepoA'rf proposed building is to be placed on disturbed soii 1 site survey tor additions & decks Tree Pres Plan ReW _Y _ N 2 copies of plan showing beam & window sizes; poured found design, etc AddAion - indicafe if on-sife sepfk system Tree Pres Required _ , Y_ N i sel of Energy Calculations Oo-site Seplic System ,Y _ N 3 wpies of Tree Preservalion Plan if lot platted aNer 717193 Rim Joist Detail Options selecfion sheet (buildings wifh 3 or less units) Minnegasco mechaniral ventilation form Plans are considered ublic information unless ou state the are trade secret and the reason. Date Construction Cost $/'],6,60 Site Address b~91~( 1~2~'C+j~c.~~l ~1'C7/? r~J 5~/_7 ~ Unit/Ste # DescriptionofWork Qr /Zc~s~ 'S/Q/,tfC~~ .dFZ'k~Qt'7~~_l7iVTir7/~~FP REI2L/f&C-Wc~v% . Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2 Property Owner IOA44{ eO&9l2 SE-~ Telephone # ( (p:57) 4/~,~ ~G0.2 Contractor 40007 771-6~- z/Z1CbF.% GT GC? Address %?D &Z/1/2V MA-tG City State ifi11(f Zip 5-4- Telephone ) v27/ -C99 7°/ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residential Venhlation Category 1 Worksheet • New Energy Code Worksheet (V submissionrype) Submitted Submitted • Energy Envelope Calculations Submitted In the last 12 monihs, has the City of Eagan issued a permit for a similar plan based on a master plan? _ Y _ N(f yes, date and address of master plan: Licensed Plumber Telephone ) Mechanical Contractor Telephone ) Sewer/Water Contractor Telephone J I hereby apply for a Residential Building 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 State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan i e se of work which requires a review and approval ofplans. i ApplicanYs Printed Name Appl ignature % DO NOT WRITE BELOW THIS LINE Sub Tvues ? 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 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (A-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo/pergola) ? 36 Multi Misc. ? 0503-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex ? 25 Miscellaneous Work Tvpes ? 31 New ? 35 Int Improvement ? 36 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair p 33 Alteration ? 37 Demolish Building• ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant D05GriptiOfl: WaterDamage_Yes Valuation Qccupancy MCES System Plan Review _ 100% or _ 25% Code Edition Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS Footings(new bldg) _ Sheetrock Footings(deck) _ FinaUC.O. Footings (addi[ion) _ FinaVNo C.O. Foundation HVAC ~ DrainTile Other ^ Roof Lce & Water Final Pool Ftgs Air/Gas Tests Fina] _ Framing _ Siding _ Stucco Lath _ Stone Lath _Brick _ Fireplace R.I. Air Test Final Windows Insulation _ Retaining Wall Approved By: , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search ' Copies Other Total SurteiF: RESIDENT OWNER Name: CO L �y�, f Phone: �j r� Address /City Zip: lY{ Z(: 3 f 0 Q CM f� dY t y CONTRACTOR Name: C.J f e7 J& o f V V /�fdl Lic se 14 L z- 3 V� Address: /9 V i4/e L/ 5.1- l City: tf',v7 s 3 State:il Zip: 3 {T4 h Phone: 57 0 f 3`7-- `'r 2 7 Contact Person: TYPE OF WORK PERMIT TYPE New Replacement Add' Tonal Alteration Demolition Description of work: i- 1 j itufrnA et 7 d 4 C P SY4 RESIDENTIAL Furnace Ai w t f 1' tl a �r 5f 4 J✓ If 4 I" fi r• 9 p. 'f £F 1•"� {*1 31 ,k e 6.� d a i COMMERCIAL New Construction interior Improvement Air Conditioner install Piping Processed Air Exchanger Gas Exterior HVAC Unit Heat Pump Under Above ground Tank Install Remove) Other i When installing!removing tank(s), call for inspection by Fire Marshal and Plumbing inspector RESIDENTIAL FEES: $50.50 Minimum Add -on or alteration to an existing unit (includes $_50 State Surcharge) out appliances, ductwork, etc.) (includes $_50 State Surcharge) 0 TOTAL FEE $90.50 Fire repair (replace burned COMMERCIAL FEES: $70.50 Underground tank installation/removal $50.50 Minimum (includes If perrnit Fee is less than $1,000, If Permit Fee is $1,000, surcharge OR State Surcharge) surcharge is $.50. increases by $.50 for each $2,000 Permit Fee requires a $1,00 surcharge). Contract Value x 1% Permit Fee State Surcharge $1,000 Permit Fee (i,e. a $1,001 I hereb aCk I d TOTAL FEE Dec 10 2009 8:57AM O'Connor's One Hour 44 City of Eaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675-5694 Tenant: y now a ge that this rnformaUon rs complete an accurate, that the work wifl be in co unde d this is not a permit, but only an application for a permit, and work is not to start wi pia h case of work wh' quires a r iew and approval of plans. x Applic 651 437 -5943 rmance with the ordi t a permit; that the Permit Permit Fee: 2009 MECHANICAL P RMIT A PLI ATION Date: Site dre 3 J ts r i1 p.2 S�So Date Received: Staff: J aj,ces and codes of the City of :.an; that mil be in a ordance wit e approved PERMIT City of Eagan Permit Type:Building Permit Number:EA138390 Date Issued:08/24/2016 Permit Category:ePermit Site Address: 3966 Worchester Dr Lot:4 Block: 1 Addition: Hills Of Stonebridge PID:10-32990-01-040 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please leave printed pictures of house wrap on site for the final inspection. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. 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 - Mark Lacourse 3966 Worchester Dr Eagan MN 55123 (612) 840-3431 Homestead Remodeling & Consulting Llc 6053 Hudson Rd, Suite 340 Woodbury MN 55125 (952) 994-6102 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA165297 Date Issued:10/27/2020 Permit Category:ePermit Site Address: 3966 Worchester Dr Lot:4 Block: 1 Addition: Hills Of Stonebridge PID:10-32990-01-040 Use: Description: Sub Type:Reroof Work Type:Replace Description:Includes Skylight 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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Mark Lacourse 3966 Worchester Dr Saint Paul MN 55123--165 Homestead Remodeling & Consulting Llc 6053 Hudson Rd, Suite 340 Woodbury MN 55125 (952) 994-6102 Applicant/Permitee: Signature Issued By: Signature