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3967 Worchester Dr ~ CITY OF EAGAN Permit Na Date; Date: , 3g30 ppot KaoltRNd B! P No: P.O. Box.2119~ 1 E E808M MM~i21 ~ 4 ~ C-rarir 0a:..' ~,:c~1•- Owner. 1 ~96' ~ Site Address: ~ Va1~~3 r~~•. , , ' Plumber. a? Zoning' 1. MWCC: , j 1"+C, No, of Units: , City Chg: _ I Acct Dep: 1 agrae to compiY wilh thw Cfty of Eagan : Permft Fee: Ordinances. Surcharge: By . Misc- ~ 8EWER SERVICE PERMIT ~ _ _ --~---d--- _ ~W-rr..~.,,n,. -rY.-.---^- g2~' aate: 11-19--87 , CITY OF EIIGAN Permit No: Size: ' 393p pllot Knob Roa+d Meter No: _ Datec ~ P.O. Box 21199,, Reader No: Eayan, MN 55127 ' Owner. Grancl Oaks ~.r,»e i_o B2 II _ ~ SlteAddress: ~nc.-~ n~aLeT- L= br~~ Plumber. Vn1 t AQ 1 _ i R1 i 525.00 +od - Zoning: 1 i ! Conn. Chg: 15 OOpd No. of Un Acck Dep: - ~ Permit F 10.0 Opd es: wllh 1hs City of Eapan Surcharge: • 54pd I a~ree to camply Tr. Plant 180.00 ~ Ordinsncea. i ~ Meter. By Misc.: ' ~ WATER SERVICE PERMIT - _~..,:>.~.a---~•~~- 11-19--87 Datec C1TY OF EAGAN Permft Na~3 S ze: ~ I 3830 PNot I~ o b Ro6d Meter No: - ! p,p-.$p4c31199 Reader No:~ ~ y 7 a~ s Da t~ Eagan, MN 55121 Gransl Oaks , Owner. Drt,l, L9 R7 IIit7 s of 5rc,ne- Site Address: i Plumber 525.00 pd _ on ng: ~ Conn. Chg: 15.00 p~efaLe_dl~lil~cF~bj~~'~~ Acct DeQ: , t Permit Fee: O~ ECTRiC GAS Etc. w'u Eagan Surcharge: ~~11ff ~ ^ 1 180.00 ~ Tr. Plant i Meter. BY ~c~~ ~ Misc.: 1NATER SERVICE PER IT . _ i . * (Itr#i#tra#e of Mrrupanr~ titp of Cagan lorpwftrttY o# NUldiM Jnwtrtinrc Thfs CerttJicate issrced pursuant to the requirements ojSecJion 306 of the Unifornr Building Code cerlifying lhat at the tiine of issuance rhis stracdrre mas in compliance witle the variaus ordnances of the City regulating building construction or use. For 1he followtng.• uK a..Amoa S[' DWG?GAR My. rtra;, rb. 14343 O-W~,, ryw R3 z..jM Dbi, R ) rya con& Vn o..r %".g (RAM QAIC.S IEVffi, aD Add,p, 4521 S HAY LAKE a],EAL'~aL BLacl;,g Addma 39b7 WOFCHESM DRNE Lmr 19. S2. IMIS CF SIAM= ~ aw .SAMIAia[ 21. 1485 POST IN A CONSPICUOU3 PUCE I ~ 0 CASH RECEIPT 0 w CITY~ CrF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 ~ DATE - 19 • ~ eeccrveo FROM AMOUNT $ I 4 DOLLARB +ee ~ CASH CHECK •OR ' i 1 f-' 'J• IJ (..I )U r lY•-~? ~~.i. PUND COOE AMOUNT d K 1 fl 7 Thank Yot Br ~ ~---r.-- . 7 Zi r,~ J rl White-Payers Copv Yellow-Poatinq CopY Pink-File CoPY BLDG. PERMI N0. 1~v ~ O 1- 210 B~~ 01-3422 Plan Check ~ 01-3445 Surch./Adm. ~ 01-3446 SAC/Adm. 01-2155 Surcharge ~ (Y 17-3860 Road Unit .S ~ 0 20-2275 SAC l ~ ~ i 20-3865 Water Conn. 20-3858 Water Trmt. 4) ~ l 20-3716 Water Meter ~p .r~, I 20-2252 Acct. Dep. 20-3713 Water Permit 20-3743 Sewer Permit I' 79-3866 Sewer Conn. 11-3855 Park Ded. , i i ~ 1 TOTAL _ - ~ . _ ! CITY OF EAGAN ~ ; ~ 3830 Pilot Knob Road, P.O. Box 21-198, Esgan, MN 55121 PH ON E: 454-81 QO ~ BUILDING PERMIT Receipt~ ~ To be used for SF p~~G~ Est. Value s~z Dete M'~d~~; 2~ ,t9~'7 I 39b7 ~rORCH~.STER n~ I Site Address OFFICE USE ONLY y 2 H I LLS OF S TOZIB- On 3Re Sewape Occupancy ~ 3 Lot 91ock Sec/Sub. MWCC System X Zoning Parcel No. yp I On Site Well (Actual) Const a Name V~'~U OAKS UFVBL CO Ciry Water x (Allowable) ~a ~ PRV Requfred ~ of 3toriea z Address '~S~ 1 ~ !#AY [.AICk o~ity ~'4~N Phone ~3Z-$`!~4 BoosterPump Length gU ~ Depth ~ ¢ Name 5w~ S.F. Total 0 A~dreSS FootprlntS.F. ~ ~ City Phone APpROVALS FEES yVj W NSm@ ~ Engr./Assess. Permit 4~r~ • w~ W ~57 QO Address Planner Surcharge • City ~ PhOne Council Plan Review 1 ~5 W Bldg. Ott. SAC, City I he'~eby acknowledge that I have read thfs application and state that the Variance SAC, MWCC 5~S•~ information ia correct and agree to comply with all applicable State of WaterConn. S2S.0~ Minnesqta Statutea and City of Eagan Ordinances. 67. ~ Water Meter SignAlurA of Permittee ~ _ ~ Road Unit 309. t14 A Building,,Permit IS issued to: GkANA OAKS D~VEL CO Treatment P1 180.(){j on the exp}ess condition that all work shal l be done in acCOrdance with all applicable State of Minnesota 5tafutes and City of Eagan Ordinances. Parks Building Officlal_ x ' TOTAL ~~~~s ~CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ~ PH O N E: 454•8100 BUILDING PERMIT ~ Rece+pt ~ To be used for Est. Value 172'+`"(.' Date 19 , ; Site Address 7 *04C. ` -'d OFFICE USE ONLY ' ~ 1; i Li.y c)F On 51te Sewaqe occupency Lot Block Sec/Sub. , MwCC system ~ zonin9 k L Parcel No. On Site Well (Actuel) Const Vil ac Name GP-k'11) UAKS Uti'-,L CC1 Cltywater A pulowable) vn W 4521 S ki E. ' ' PRV Required * of 3tories = Address ~ ~ City Phone 4 , ' ? BoosterPump Length ' Depth 14 " , p Name S.F.7otal ~ ~ Address Footprint S.F. 'X Ciry ,Phone APPROVALS FEES Engr./Assess. Permit ~ ~"5• ~1~ ~ W W Name = Z Address Planner Surcharge r Council Plan Revlew T_ ~W City Phone BIdg.OH. SAC,Ciry I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC information is correct and agree to comply with all applicable State of Water Conn. Minnesota Stetutea and City of Eagan Ordinances. Water Meter 677A Signature of Permittee Road Unit 3~ A Buildin Permit is issued to: '~~~h4 9 - - Treatment P1 on the express condition Ihat all work shall be done in accordance with al I epplicable State of Minnesota Statutes and City of Eagan Ordlnances. Parks Building OHicial _ _ TOTAL ~~r Pennlt No. Permlt Hold*r Oate TeNphone ~ Plumbiny ^C c JL, H.v.aC. C~~ ' 11X7 Electric Softener Imp.cewn D.a Insp. Commenb Footinfls I Footinys II Foundation Framinq Roofing Rough Plbg, y~7 7 .l . Rough Htg. ~71r 7 Zell Isul. ~ _ ~ ~ $ 5 S STr1d-.e~- Firepiace Final Htg. Final Plbg. ~ ~a6E 2 4 , Bldg. Final Cert Occ. 62 - Temp. LP DeCk Ftg. Deck Final Well Pr. Disp. . . . , 4. . .i. . ' ir . , . . , . ' PERMIT # `I U•~~ ' PWMBIN<i PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAO, EAt3AN, MN 55122 DATE: ,1!- Ln CONTRACT PRICE: PHOME: 454•8100 Site Address ~ • f~y BLDG. TYPE WORK DESCRIPTION Lot Block SeciSub Res. ,!r New ~ X ~ ` Mult. Add-on m Name Cornrn. Repair ~ Address Other c Ciry IZZjjA" 1ti Phone - RES. PLBG. ONIY - COMPLETE THE FOLLOWING; NO. FIXTURES TOTAL Name - -~LWater Closet - $3.00 ! L~.G v ` _~Bath Tubs - $3A0 c- 3 Address , - ~.;,~Lavatory - $3.00 l - t- p Ciry P h o n e - ~ _-,4-Shower - $3.00 Kitchen Sink - $3.00 3• c FEES Urinal/Bidet - $3.00 COMM/IND FEE - 1% OF CONTRACT FEE _.~_Laundry Tray -$3.00 ' APT. BLDGS - COMM RATE APPLIES i_7LF.loor Qrains - $1.50 TOWNHOUSE 8 CONDO - RES. RATE APPUES __~L_Water Heater -$1 50 ~ J~MINIMUM - RESIDENT4AL FEE - $12.00 Whirlpool - $3.00 ! MINIMUM - COMMIIND FEE - $20.00 -/_Gas Piping Outlets - $1.50 STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMM (ADD $.50 S/C IF PERMIT PRICE GOES Softener -$5.00 ; BEYOND.$1,000.00) Well - $10.00 7 Private Disp. - $10.00 ~ ' i' ~ Rough Openings - $1.50 G~ - SIG~VATURE OeF~EE FEE: - -'S - ~ STATE S/C: ~ ~ FOR: CITY OF EAGAN GRAND TOTAL: • . . " PERMIT # • MECHANICAL PERMIT RECEIPT # CITY OF EAGAN ,j 3930 PILOT KNOB ROAD, EAGAN, MN 55122 DATE CONTRACT PRIGE: PHONE: 454-8100 Site Address - gLpG, TY7 WORK D IPTION LotBlock - 2 Sec/Sub Res. New . ~ Name Aric MuR Add-on Comm. Repair Address - c City 1 i i:`~.~~ „ c, t Phone Other ~ Name FEES ' . RES. HVAC 0-100 M BTU _$24.00 3 Address ~ ADDITIONAL 50 M BTU 6.00 O C~tY ~ Phon@ ~ ~ t (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM -1 PER PERMIT) - 1.50 EA. TYPE OF WORK COMM/IND FEE - 14'a OF CONTRACT FEE Forced Air 5~- " M BTU l 1 ~ TOWN O SE 8 CO DOSTE EAPPLIES S. RATE APPLIES ~~ler M BTU MINIMUM RESIOENTIAL FEE - ALL ADD-ON 8 _ Unit Heater M BTU REMODELS - 12.00 Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00 Vent. CFM STA1~E SUfiQHAAGE PER PERMIt _ ,gp (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # BEYOND $1,000) Other FEE S/C: SIGNATURE OF PERMITTEE TOTAL• ` t FOR; CITY OF EAGAN . . , . . . . . . . , r-~ s PERMIT N MECHANICAI PERMR , RECEIPT CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 59122 DATE: CONTRACT PRICE PHONE: 454-8100 For Office Use Only: ~ 5ite Address BLDG. TYPE WORK DESCRIPTION Lot y Block SeclS,ub Res. New ' Mult Add-on m Name Comm. Repafr Address Other City Phone FEES ~ Name RES. HVAC 0-100 M BTU -$24.00 ; c Address ADDITIONAL 50 M BTU - 6.00 p Ciry Phone (RE3. HVAC INCLUDES A/C ON NEW CONSTRUCTION) 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 8 CONDOS - RES. RATE APPUES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Unit Heater M BTU REMODELS - 12.00 AIr Cond. M 6TU MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping OuUets # BEYOND S1,000) Other ' FEE SIGN PF,F3 S/C: TOTAL• FOR: CITY OF EAGAN . i//431-Y 17 REQUEST FOR ELECTRiCAL INSPECTION ~ Ee1-C00001-06 Il' Sao insqucbons faF comvletine this larm on pack ol vellow coov. 10-- 6 5 9 3 H "X'' Below Work Covered by lhis Request dJ Nep. TVpe of Builtl~n0 Apo'mncea WrteE Equiyment Wired Home Ranye Teniporary Serv,e Duplex Water Heater LiqhUny Fixtures Apt. Bwldmg Dryer EleCtnC Heahn Commercial Bldy. Fumace Silu Unloeder InduStrial Bldg. Air CondiUOner Buik Milk Tenk Farm otn, oeci v 1hcr (Sn.•r.'tv) -01 n,r uccifv thcr RInompagepecUOn Fee Below C Fae ServiceEmranceSize n Fee Fwxders/Subleadars a Poo Circwts 'Z U to 200 qm ~s 0 to 30 qm ps ~j 0 in 30 !1n >s C~j Above 200 AmpS 37 to 100 Amps 31 to 100 Am Swinvning Pool Above 100_Ampy AbOVe 100_Amps Transiormer5 Irrigation Booms Pdihal.Oth ee Signs Specialinspection RerrNrks tqC' TOTAL EE flouBh.~ny . ~he Elec O in soector, ne.ooy Final eeeblv thnt the bove ~ inspection has baen medo. Thia re0uest vol0 18 monihs trom CITY OF EAGAN N° 1 4 3 4 3 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 r BUILDING PERMIT PHONE:454-8100 Receipt x-195so 7o be used for SF DWG/GAR Est. Value $72,000 Date OCTOBER 23 87 19 Site Address 3967 WORCHESTER DR OFFICE USE ONLY Lot 9 Block 2 Sec/Sub. HILLS OF STONE- On Site Sewege _ Occupancy R3 BRIDGE MWCC System X Zoning R1 Parcel No. yn On Ste Well _ (Ac[ual) Const a Name GRAND OAKS DEVEL CO City Water X (Allowable) Vn z Address 4521 S HAY LAKE RD PRV Required _ n o( Slories o City EAGAN phane 452-8934 eooster Pump _ Length 50 Depth 48 , o Name SAME S.F iotai ~Q Address FootpnnlS.P. ~ City Phone qPpROVALS FEES Name Engr./ASSess. Permit $ 405.50 W W i= Address Planner Surcharge 36.00 Cit Phone Councii PlanReview 202.75 a~' Y BIdg.Olf. SAC, City 100.00 1 herebyacknowledge Ihat I have read this app6cahon and slate ihal ihe Variance SAC, MWCC 525.00 information is correct antl agree to comply with all applicable Stale of Water Conn. $25.00 Minnasota Statutes and Cdy.pfPag Ordinan es. 67. 00 Lf~ i , Signature of Permittee "~~~F~- WatRoaaer Unit Meter ~0.:2.00 A Bwlding Permit is issuetl to: GRAND $ VE _GO Treatment P7 180.00 ontheezpressconditionthatallwor shall6etlonei dancewilhall apphcable State of Minnesota Sta s pan~tl ~City,o~l E n Ordinances. Parks BuddingOfhaal 70TAL $2,346.25 I! ~ This requesT vmd /~//~/~'I~ 18 nnnths fmm ~ ~ 6 5 9 3 8 ;Z6 o cz A~/ T, I',, °z' AequeSl Uato Rre No. Rouph~m Insuer.don Repwretl? ONe Av Nuw ~WiII Nouly Insnec- r~ Ves ?No lor When ReatlV ~L.censed Elecvical Contractor I hereby request ms0ection ot eDove pN,ny, electncel work mstolled ot Sveet AAtlress, Bo~ or No. City 3er~~ Rout~CAe.s&r 5. ' a 2 ecuon o. Township Name or Nn. Range No. C~n~unty Occup n IPRINT) Phwne No. Power SupVlieyr Address j-- D/ G?~'G Electi cal Contrar.m ICOmoanv Namel CunVar,toi's Liccnse No. jg5 /L/1 o~nc O~- _S'-3 MaJinp dJre55 IContmclor or Owne Makinp Instailauonl 6 ~s ~ - s <i Au~~ zed Siynamre ICome cm ~Owner king bstallauonl Ph ib N mber THIS INSPECTION NEQUEST WILL NOT MINNESOTA STpTE BOAflD OF ELECTHICITY Grigqs-Midwny BItlO. - Room N•191 BE ACCEPTED BY THE STATE BOAflD 1821 Univarsirv Ave.. Se Paul, MN 55104 UNLESS PROPEP INSPEGTION FEE IS "'°"L642-0800 ENCLOSED. RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 ~ New Construction Reauiremante RemoCellReoair Re7uiremente • 3registered site surveys showing sq. 7. cf ct. sq. fl. ol house; and all rooted areas • 2 copies ol plan (20°b ma.rimum iot coverage allowea) . t set ol Enerqy Calculauons for heated aedurons • 2 co0ies ol plan showing beam 3 Nmaow ;¢es: poured fcund aesgn, etc.) . 1 srte survey lor extenor addiuons 8 oecks • 1 set ol Energy Calculaiions . Intlicate d home served by septic system for atldilions • 7 copies of Tree Preservalion Plan rt lol;lar,ed aRer 717193 • Rim Joist Cetatl Op[ions seleclion sheei itings with 7 or less unds) DATE VALUATION SITE ADDRESS J7~al / 1,Jd`c45~r MULTI-FAMILY BLDG _ Y _ N TYPE Of WORK FIREPLACE(S) _ 0_ 1_ 2 APPLICANT STREET ADDRESS / 77/S j,2 R AvZ CITY STATE_ZIP TELEPHONE # C E L L PHONE # FAX # PROPERTYOWNER Ze~' TELEPHONE# COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ \I[\\'4JO"l'.\ NI:Lt:S 7670 G\"14:GOR1' I MINVI:SO'C.~ RI;L4:S 7672 (d submission rype) . Residential Venhlation Category 1 Worksheet Submitted • New Energy Code Worksheet Submittetl • Energy Envelope Calculations Submittetl Plumbing Contractor: Plionc ~ Pluiubiug systcm includcs: Walcr Softcncr I.awn Spnnklcr Pec: 590.00 Watcr Heatcr No. of R.I. Baths No. ol Badis Mechanical Contractor: Phone N Mcclrulic:] syAcm induclrs: :\ir Condiuoning Pcc: $70.00 I-fcat Rccovcn' Scslcm Sewer/Water Contractor: Phone M I hereby acknowledge fhat I have read this application, state fhat the information is gree,,to comply with oll applicable State of Minnesofa Statutes and City of Eagan Ordinan s. FtQ ~ r` SignatureofApplicanf ~ G 2 97 c P? i L i ' , OFFICE USE OvLY Certificates of Survey Received _ Tree Preservahon Plan Received _ Not Required _ Updatetl 4102 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dweliing 13 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Multi O 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch(screened) ? 36 Multl ? OS 03-plex ? 11 10-plex O 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Oemolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg only) • Give PCA handout to appflcant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Staries Baoster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ EinaVC.O. _ Footings (deck) _ FinaWo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tesa _ Final _ Framing _ Siding Stucco Stone _ Fiteplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ [nsulation _ Retaining Wall P,pproved By , Building Inspector Base Fee Surcharge Plan Review MClES SAC City SAC Water Supply 8 Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total PERMIT# 'Sa D y-) RECEIPTDATE: b~ ~~aa 8008 ftESIDENTIl4L PLUM$INfi PEiiMiT APPLICATION cmt og EAsM 3930 Pu.or K?vos ftn EAeAx, 11uv ssi$Y 651-661-4675 Please complete for: single family dwellings, townhomes and condos when permits are required for each unit, backflow preventer for irrigation system SITEADDRESS: c3 7 4 rCL s %a'- OWNER NAME: : Q ~,Z S TELEPHONE (AREA CODE) INSTALLER NAME: TELEPHONE n (AREA CODE) STREET ADDRESS: 7~/ r'~c~~ 01 CITY: STATE: ZIPs~~° Y~~ _ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00 includes $40.00 County fee Note: Additional consultant fees may apply • MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING: _ Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00 _ Abandonment of septic system. _ Water turnaround - existing dweliing unit 5/8" meter if needed -$118) Other: _ RPZ: new installation/repair/rebuild $ 30.00 _ lawn irrigation system Replacement/additional: " water sokener _ water heater $ 15.00 State Surcharge $ .50 rotal $ I hereby acknowledge thal I have read this application, state that the information Is cortect, and e to complywith all plicable Cityof Eagan ordinances. It is the applicant's responsibility to notify the property owner that the City of Eagan assumes n I' ility for any dam ~ caused by the City during its normal operational and mainlenance activities to ihe facililies constructed under this permit wi in op ri bo ~/easement. SIGNATURE OF PE MI E 1l02 1987 BUILDING PEEtPffT APPLICATION - CZTY OF EAG9N SINGLE FAMILY DWELLINGS INCLQDE 2 SETS OF PLANS, 3 CERTIFICAYES OE SORVEY, 1 SET OF ENERGY CALCQLAYIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOME041NER MOST DESIGBATE W9ICH ADDRESS IS DFSIRED. NO CHANGES WILL BE ALLOWED ONCE BOILDING PERMIT IS ISSIIED. MULTIPLE DWELLINGS - RFSIDENTIAL RENTAL U?IITS FOR SALE ONITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SUI2VEY - CHECK iIITH HLDG. DEPT., 1 SET OF ENERGY CALCULATIONS C0LMMRCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND SIIJGLE FAMILY T~WE IN To Be Used For: Valuation: T2,bco Date: ZQ •--)-Z • g~ Site Address 3 (o C& OFFICE QSE ONLY Lot ~ Block On Site Sewage Occupancy R-3 MWCC System w,' Zoning R_i Parcel/Sub On Site Well Type of Const City Slater v (Actual) V-N Owner 1,0 ¢dS (Allowable) V-N ll of Stories Address Length SD' Depth City/Zip Code S.F. Total Footprint S.F. Phone ApPR0o9LS FEFS Contractor Assessments Permit 'q05.50 Water/Sewer Surcharge 3G.00 Address Police Plan Review 20 2.`75 Fire SAC, City ! DO , DO City/Zip Code Engr SAC, M47CC 525.00 Planner Water Conn $Z5100 Phone Council Water Meter 6I1. 60 Bldg Off i (073 Road Unit ,30$.00 Arch./Engr. pPC Treatment P1 IS O,OD Variance Parks Address Copies ~ City/Zip Code TOTAL Phone 11 ~ 5 lV R V E Y O R' S C E R T I F I C A T E GRAWD OAKS UEVELOPMENT CU. Y N ~ , , ~ s 5 . 10~ FPy~ ~O ~ 1 'q' s oQ~~~ LOT o 1''~99 9m~~, Q ~ ~so d Q'°e0y 4, 0-o nl`'•. \ o M . ti0 Aa Z,0 ^ 1o ~L '3a~ ~~1;,.: 0• G 0g/~ A0~v\ NN O ~ ~02~ 3 ~ ~o 99 ~~5 DENOTES PROPOSED SURFACE DRAINAGE 0 DENOTES IRON MONUMENT SET SCALE: 1 INCII = 30 FEET • UENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR = qIN,o FEET .X000,0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOUR = qp$,Z FEET (OOU.O) DENOTES PROPOSEU ELEVATION PROPOSED TOP Of 6LOCK ° 911•4 FEET I IIEREDY CFRTIFY TO GRAND OAKS DEVELOPMENT C0. TIIAT TIIIS IS A TRUE lIND CORRECT REPRESENTATION OF A SUR4EY OF TIIE DOUNDARIES OF: Lot 9, 61ock 2, HILLS OF STONEQRIDGE, according to the recorded plat thereof, Dakota County, Minnesota. ArID OF TIIE LOCATION OF A PROPOSEO DUILDINf. IT DOES NOT PURPORT TO SIIOW 1MPROVCt•1EPITS. OR [14CRUACIIh1EN7S, IF ANY, THEREUN. A5 SURVEYED DY h1E, OR UNDER P1Y DIR[CT SUP[RVISIOfI, 1IIIS v55 DAY OF OCTOBER , 1987. S1GPlED: JA P R, IIILL, IPIC. PROPUSED ELEVATIONS SH041N 41ERE TAKEfJ FROPi THE DEVELOPMENT PLAN J~ FOR HILLS OF STONEBRIDGE, PRE- C- V v PARED BY PIONEER ENGINEERIN6 AND DY; LAST DATED 8-26-87.. 1111ROLD C. PETERSON, LAflD SURVEYOR PIINNCSOTA LICENSE N0: 12294 FROJECT NO. BOOK / PADE JqMES R. HILL, INC. 87592 Planners / Engineers / Surveyors FILE NO, 8200 Humboldt Avanue Soutli FOLDER Blootnlnpton,Mn. 65431 012-ee4-302e Cities Di ital Qualitv Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. ] , . . .:~7,.. . , EXTERIOR ENVELOPc AVCFAGE 'U' COMPUYATTON , GRAND 0AK3 DEVELDPMENT COhiAANY ° MODEL 0AF:EA U. _ U X AREA ^ REOUIRED . / 1. TOTAL WALL AREA 1800 X.11 199 - 2. TGTAL ROOF AkEA. 1196 X.026 :31.096 ACHIEV[D AREA U U X AREA A. WINDOW AREA 106.66 •5 9•`•7•` G. DCiOR AREA 39. Fi .077 -7. 06,46 C. SLIJE GLASS AREA 13.44 .40 6.,!-~17. . D. FIREPLACE A'rtLA U V r-. WC:LL FFAME AREA 180' .041 7.~B F. NET WALL AREA 1164.1 .049 57•04,1'" - G. RIM JOIST AREA 119.52 .0436 5.211072 H. FOUND WINDOW AREA U C) 1. FOUND AEOVE GkADE 56.48 .135 13.U:4Ll 70TAL-. WALL AREA I800 / I05. JO2G J: SKYLITE 0 0 cl K. R00F FRAME 119.6 .032 3.e2712 L. NET ROOF AREA 1076.4 .025 26.91 4, l"OTAL ROOF AREA 1196 =0.7372 SUM 1.+2. . 229.096 6UM 3.+4. 216.2340 SURVEYOR'S CERTIFICAT`vC cRnNo onKS uEvcLoPwEN-r co. ~ Y Q •0 0 1 + S LOT o9>i'`09 r' n l~ 9 ~ p so \ :<1\p03 \ ~ ~O y,~0 .__p n, ~•y ' . O 0 O 3~ / ti+ /F.9 .`9~9 I \ `'o . 9p pQ- pQ, / /0 \(Q py6 / .yQ 4 acaG p^ / 90. 9 0..~..:, a~ ~V ¢ i ~ t,,-:.,.;• ~ ~ o•,. 110 ~ ~ ~f q,i;~''.;o so,, ;;,,t;.% ~oA,' ~ O !y 3, , ~ 02 t / *9 REVISEO 10-27-87 2s / / oy -w- DENOTES PROPOSED SURFACE DRAINAGE 0 DENOTES IRON MONUMENT SET SCALE: 1 iNCli - 30 FEET • UENOTES iRON MONUMENT FOUND' PROPOSCD GARAGE FLOOR - q~1,o fEET .X000.0 DENO'fE5 EXISTING ELEVA7ION PROPOSED LOWEST F100R - 90$.2 FFET (000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF DIOCK = 911•4 FC[T I IIERE4Y CERTiFY TO GRAND OAKS DEYELOPMENT C0. TIIAT THIS IS A 7RUE lINO CORRECT REPRESENTATIOIq OF A SURVEY OF TIIE OOUNDARIES OF: Lot 9, 61ock 2, HIlLS OF STONEQRIIIGE, according to the recordecl plat tliereof, Dakota County, P1innesota. , AtID OF TIIE LOCATION OF A PROPOSED 13U1f.DING, IT p0E5 NOT PURPORT TO SIIOW IMPROV[P1ENT5. Olt EWCRUACIIh1EN'fS, IF ANY, THEREON. AS SURVEYED 4Y h1E, OR UNDER h9Y DIR[CT SUP[ItVI510M, 1IIIS 2iss DAY OF OCTO4ER , 1987, SIGPIED: J/1P R IIILL, IPlC. PROPOSED ELEVATIONS 5H04JN 41ERE TAKEtd FROD1 THE DEVELOPD1ENT PLAPI ~ • FOR HILLS OF STONEBRID6E, PRE- PARED BY PIONEER ENGINEERING AND 4Y' LAST OATED 8-26-87..• IIAROLD C. PETERSON, LAPID SURVCYOR MINNE50TA LICENSE N0: 12294 PROJECT NO, e00K•/ PAOE JAMES R. HILL, 1NC. 87592 249/04 Planners / En. ' gIneers / Surveyors FILE NO. • 8200 Ftumboldt Avonuo Soutli FO L D ER Blootninpton, Mn. 55431 012-1384-3029 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) ~ gy 75 CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-881-4875 New CanshucHon Reaulremenh 7j~ V'~ I Remodel/Reoatr ReaWremenh > 3 reyltteroC slte wneys Ywwlny tq. ll. of lof, aq. B. of house 2 copiea of plan antl gp rooled areaa =96 ma*Jmum lof covemae allowedl 1 set o1 eneryy cdculatlons tor heated additlons > 2 coples of plam (ahow beam d wlndow sizes: poured Intl. tleslyn; efc.) 1 sife survey for exteAOr addl8ons a decb > 1 sef of en6rpy CGICUIallons o, d > J coples of hee preaervallan plan II lot platted aRer 7/1/93 DATE: (a' I ' L)C) CONSiRUCTION C05T: DESCRIPTION OF WORK: TicA/1 ciT A REkaoF No~SC AnACIie/J /?IQGE _ STREET ADDRESS: ~J 9 G~ wo 2C NFS' T~`~L ~ 2 LOT: ` BLOCK: ~ SUBD./P.I.D. S: IlLI IS o~ v Name: L-4FANS ELLCi? PhoneM: (Os-I68U30117 PROPERTY laat flnt OWNER SheetAddre3s:-:?,76} (,J62CFSC-STr2 fl2 c1ty Ef16.4n/ state: Mzlp: S.St23 Company:m5(.,2S-•+soas kcb,Fs.rv ~ Pr,onaa: 6iz_ ~90 l89'9 ~2 Fn+a ~EL~?~ G t C (area code) COfJTRACTOR SheetAddress: o2/6'5i"/Z ?uO(u LJcenseNZ680-49(l Exp.3• 31"2wl City 26kS2nJ S JTLCL State: MA) UP: ARCHITECT/ ENGINEER Company: Name: ' Tetephone t: ( ) Sheet Address: RegishaHOn M: Cly State: UP: Sewer/water licensed plumber (N InsWllina sewer/waterl: PMne ( t hereby ackrawledfle Ifwf 1 have read thb applkalion, afate ttwl Me infortnafion b cortect, and agree to comply wNh an applieabte Sfate of Minnesofa Statufes and Cify of Eapan Ordinances. Siflnafure of Applicanhy,N-- i OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Recelved _ Yes _ No _ Not Required OFFICE USE ONLY BUILDING PERMIT SUBTYPES ? 01 Foundation ? 07 05-plex ? 13 16-ptex ? 21 Porch (3-sea.) ? 31 Ext. Alt - Muw ? 02 SF Dwelling ? 08 06-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 03 01 of _ plex ? 09 07-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 04 02-plex ? 10 08-plex ? 19 Lower Level ? 24 Stortn Damage ? OS 03-plex ? 11 10-plex Plbg _YOr_N ? 25 Miscellaneous ? 06 04-plex O 12 12-plex O 20 Pool ? 30 Accessory Bldg. WORK TYPE ? 31 New 0 36 Move Bldg. ? 43 Reroof ? 32 Addition O 37 Demolish (Bidg)' ? 44 Siding ? 33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair p 34 Repair ? 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. Ciry Water Zoning sq. ft. Booster Pump PRV Fire Sprinklered MISCELLANEOUS INSPECTIONS ? 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/VN Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: SAC Units % SAC APFLICATION FOR PERMIT iNME= PAIQIIWP OF FEE AT TIME OF x' y ~ APPLICATION DOES NdP CCJN- i STINIE APPf26JAL OF PfFMIT. ~ SEW ER AND/OR WATER CONNECTIQN + Ic~sP~aN oF s~.Mnc.n/ox wr~Tm ~ xtu~'nc«.TTaas wua, riar ae sc~nu[tn ; II'1L PERMIT HHS BFT~IJ APPROVID. -39(0 (PLEASE PRINT , 1f)c1tVoFeaqan 1) PROPERTY ADDRESS: i,FY;AT, DESQ2IPTION: . Zn T / GLS c~~ ~?c rtd .a'r d yr- (Lot7$lock S vision or Tax Parcel ID IF EXISTING STRC'CT[7RE, DATE OF ORIGINAL BUILDING PMMZT ISSUANCE: Nbnt Year PRESENT ZONING/PROPOSID USE: Q CODM9ERCIAL/RETAIL/OFFICE IJ R-1 SINGI,E FAMILY Q INDL~STRIAL F----]R-2 DUPLEX (Tw-o Cnits) Q INSTI'IS)TIONAL/GOVII2NMENT Q R-3 TOWNIIIOOSE (Three + L'nits) ( Units) Q R-4 APARTMENT/CODIDOMINIUM ( Onits) 2) NAP'lE: ~ .Za .(~Lf ~a .~S' LL~f'r.-C ~i~-r r.? ~ rDDxsss: Lu t~ CITY, STATE, ZIP: Z.3 PHONE: S~Z-C? 17 For City Use 3) NAME: ~ L zz Pl rs License: ADDRESS: Active Expired CITY, STATE, ZIP: _T;.. ,J-1 LJ s' Sa 5 2 Not recorded PHONE: MASTEEt LICENSE #.D O/ 7^~'1 G• St Initia o ~ 4) NAME: ADDRESS: S G A~ c ti S C 2. ~ CITY, STATE, ZIP: PHONE: 5) ~ ~ a •a~Tf r : .t ~e CONNECTION TO CITY SEWER CONNECTION TO CITY WATER a OTHER ~ 6) r~.sy?~:r~ ~ C... v l FS 19 ~'I * . THE GOID COPY OF THE PERhffT WILL BE SENP DIRDGTLY 'PD PUBLIC WORKS 7U FACILITATE MEPER PIQC-[JP. *k PI,F.ASE P.LLAW Z4J0 WORKING DAYS FOR PROCFSSING. SOMEANE FROM TfIE CITY WILL CONi'ACT Y00 IF TfIERE * * ARE ANY PROBLEMS. '~***~**~**+******~*********~~****~+***~****~*****+~*********~*******++**~************~*~***********y .-F'OR CITY USE ONLY ~ . PERMIT # ISSUED 3 i- Pd w/Bldg. Permit FEES: $ $ SEWER PERMIT (INCLUDE SURCHARGE) $ $ WATER PERMIT (INCLUDE SURCHARGE) $ WATER METER/COPPERHORN/OUTSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ ACCOUNT DEPOSIT - SEWER $ C$-- f5 • GZ~ ACCOC'NT DEPOSIT - WATER s 5 Z S~ s wAc $ ~ Z SAC $ $ TRCiNK WATER ASSESSMENT $ S TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BEN°FIT/TR[iNK WATER $ ID D'CrZI $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ N2 7 $ .4F~ TOTAL 7f.s-Sp . -7 RECEIPT RECE PT DOES UTILITY CONNECTION REQUIRE, EXCAVATION IN PUBLIC RIGHT OF WAY? Q YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: DATE: ////2 /t 7 7 7 i~-2- r 'so_sa 2007 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 pemits are required for each unit Date -6- / _-~7 / o Z Site Address 39l Unit # PropertyOwner f rZ 7~Z~ Telephone#(~ps~) Contractor ~y~j~(~Q/~ cL.ti["~• Street Address ~r$B,.S ~5~9-,~ L~ • d} /Q/ City Ga//.Lc Yr i State Zip Telephone 9s~ )-,/3/ Bond Expires: ~ f5, ~ D -7 The Applicant is _ Owner 41"Contractor _ O[her Fire repair (replace burned out appliances, ductwork, ete.) $ 90.00 ' This fee applies when extensive mechanical repairs are made to a building. Add-on or alteration to existing dwelling unit $ 50.00 ? furnace Additional L-DR r~~pI acrtent _ New air exchanger D~0 L5 L1 V D z--~air conditioner ~ MAY 16 2007 " heat pump other State Surcharge $ .50 Total $ ,S(} , I hereby apply for a Residential Mechanical Permit and acknowledge tha[ the information is complete and accurate; that the work will be in conformance wi[h the ordinances and wdes of the City of Eagan and with the Mechanical Codes; that I understand this is not a permit, but only an application for a permit, and work is not to start wi[hout a permit; that the work will be in accordance witli the approved plan in the case of work which requires a review and approval of plans. Z6012 N e4v(A) Applicant' Printed Name `~pplic s Signature RESIDENT I OWNER Dugan, 1VI J J 1 Z3 Name: 6513532741 gone: Address City Zip: CONTRACTOR ,r,, Name: NORBLOM PI i t 1MBING G License O(.P 152..4 prri Address: (612) 8274033 City: 2905 GARFIELD AVE. SO State: Zip: MINNEAPOLIS, MN 55408 Phone: I Contact Person: i�� r TYPE OF WORK New X Replacement Repair Rebuild Space Work in R.O.W. Description of work: r�` 9(4 1' hea eI V V heater PERMIT TYPE RESIDENTIAL 1 Water Heater Water Softener Lawn Irrigation Add Plumbing Fixtures RPZ PVB) Main Lower Level) Septic System Water Turnaround New Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water (includes $.50 State Surcharge) Fixtures, Septic System Abandonment, Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation $50.50 Add Plumbing *Water Turnaround $100.50 Septic System $90.50 Fire Repair (replace Water Turnaround* (includes $.50 State Surcharge) fee and $.50 State Surcharge) etc.) (includes $.50 State Surcharge) TOTAL FEES (add $165.00 if a 5/8" meter is required) New ($10.00 per as built) (includes County burned out appliances, ductwork, City of Eagan 2009 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: OA j Tenant: red equi Ind 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 Site Address: Ellen Lafans 3967 Worchester Drive x Je nte 1 �'orbt onv Applicant's Pri Name DEC 14 200 I h ere b y ac t hat 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. er v rouna Kou A icant's Signa cure Are Permit I I Permit Fee: 0 Date Received: 1 Staff: L Suite PERMIT City of Eagan Permit Type:Building Permit Number:EA137139 Date Issued:06/20/2016 Permit Category:ePermit Site Address: 3967 Worchester Dr Lot:9 Block: 2 Addition: Hills Of Stonebridge PID:10-32990-02-090 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - 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: 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 - Richard S Lafans 3967 Worchester Dr Eagan MN 55123 (651) 688-7049 J Carver Construction Inc 1345 Schletti St St. Paul MN 55117 (651) 645-5488 Applicant/Permitee: Signature Issued By: Signature City of Eau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 AUG 0 3 2016 r Use BLUE or BLACK Ink For Office Use I {1\ Permit #: �✓ Q / 9 7 Permit Fee: /c 9 ' 62 7 ( 0 Date Received: 3 Staff: j 2016 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit #: Name: Ellen 5 genu �yyr Address / City / Zip: Applicant is: Description of work: WOches Owner Contractor Phone: (off'/ (� -- 70'?? Re - d e C k/rd- Construction Cost: /1 0C1_ • (1,) Multi-FamiI ' Building: (Yes / No Company: (_a 'i eras hack C pn SiPvt 'WOf1 l/16Contact: Jahr ///f/`a i t S Address: 30S012 10 City: ?PI nCe ` 'vn State: l N Zip: cs-3 "'1( Phone: License #: 13C (0 To 21-11 Lead Certificate #: NAT FJ 2 ( 19 6- t" If the project is exempt from lead certification, please explain why: 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: Fire Suppression Contractor: Phone: docuir) assified ;os non- z�nciude`that theyare trade sec 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.000herstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota, tate Building Code must be completed within 180 days of permit issuance. 0l40, > c4,� Applicant's Printed Name Appli s Signature Page 1 of 3 361&-7 Cts(Actig- SUB TYPES Foundation Single Family Multi 01 of _ Plex F� O NOT WRITE BELOW THIS LINE /307 .” Fireplace Garage >cDeck (_ Lower Level Porch (3 -Season) Porch (4 -Season) WORK TYPES New _ Interior Improvement Addition _ Move Building _ Alteration Fire Repair / ' Replace _ Repair Retaining Wall DESCRIPTION Valuation Plan Review (25%_ 100%( ) Census Code # of Units # of Buildings Type of Construction REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Roof: _Ice & Water _ Framing 30 Minutes Fireplace: _Rough In Insulation Sheathing Sheetrock Fire Walls Braced Walls Shower Pan Reviewed By: Final 1 Hour Air Test Porch (Screen/Gazebo/Pergola) Pool Occupancy Code Edition Zoning Stories Square Feet Length Width Final Siding Reroof Windows Egress Window Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Accessory Building Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building — give PCA handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Suppression Required Meter Size: Final / C.O. Required X Final / No C.O. Required HVAC _ Gas Service Test Gas Line Air Test Pool: _Footings _Air/Gas Tests _Final Drain Tile Siding: _Stucco Lath _Stone Lath _Brick Windows Retaining Wall: _ Footings _ Backfill Final Radon Control Fire Suppression: _Rough In _Final Erosion Control Other: , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Al` /0 (00 Page 2of3 /30/617 ,SURVEYOR'S CERTIFICATE GRAND OAKS DEVELOPMENT CO. :-r �-�---.DENOTES PROPOSED SURFACE DRAINAGE 0 DENOTES IRON MONUMENT SET • DENOTES IRON MONUMENT FOUND' .X000.0 DENOTES EXISTING ELEVATION (000.0) DENOTES PROPOSED ELEVATION REVISED Io -27-87 SCALE: 1 INCH - 30 PROPOSED GARAGE FLOOR - c)11.0 PROPOSED LOWEST FLOOR - q 8.7. PROPOSED TOP OF BLOCK * 911.4 I HEREBY CERTIFY TO GRAND OAKS DEVELOPMENT CO. THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lot 9, [clock 2, HILLS OF STONEBRIDGE, according to the recorded plat thereof, Dakota County, Minnesota. FEET FEET FEET FEET AND OF THE LOCATION OF A PROPOSED BUILDING, IT DOES NOT PURPORT TO SHOW IMPROVEMENTS. OR ENCROACHMENTS, IF ANY, THEREON. AS SURVEYED BY ME, OR UNDER MY DIRECT SUPERVISION, TI I I S WA DAY OF OCTOBER , 1987. PROPOSED ELEVATIONS SHOWN WERE TAKEN FROM THE DEVELOPMENT PLAN FOR HILLS OF STONEBRIDGE, PRE- PARED BY PIONEER ENGINEERING AND LAST DATED 8-26-87... SIGNED: JA`1ES RJ HILL, INC. BY: HAROLD C. PETERSON, LAND SURVEYOR MINNESOTA LICENSE NO: 12294 PROJECT NO. 87592 FILE NO. FOLDER 4 BOOK'/ PAGE 249/04 JAMES R. HILL, INC. Planners / Engineers / Surveyors 8200 Humboldt Avenue South Bloolnington, Mn. 55431 012-884-3020 Use BLUE or BLACK ink i r For Office Use 11011 City of Permit Fee: I I 1 q 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone:(651)675-5675 Fax:(651)675-5694 Staff: 2017 RESIDENTIAL BUILDING/� PERMIT APPLICATION Date: 11 f'L1,t j q. Site Address: 39'401 UJrCJ.k b fit-tom.. Unit#: Name: ..ti-CV) L, 4A.S Phone: (PSS -353- P- ti/ Resident) Ut' Owner Address/City/Zip: CS i 4t,,' 0t9, Applicant is: Owner Contractor f� Remove all flue tile liners and reline fireplace, using 10"stainless steel liner system (U.L. Listed with ''J manufacturer's lifetime limited warranty); remove concrete wash and provide concrete crown with overhang and drip ledge as outlined in article"TOPS TO LAST A LIFETIME"cby Jack Pixley;install a stainless rain cover. V0.\ LI Company: hack. i x k9 SW.De f S Contact: S'bi441 Address:$' b ` C,e 1. C'c ILC..2 (J L S� city: (,r3 Lae ? VK. Contractor (051-43?-4 t5D State:NN t1{N Zip: Sr 3iPhone Email: UP�i;c'lim7�-eC Ctl'y" License#: r)CLp 1\11:‘16 33 to/ Lead Certificate#: 1*-3 PI J 7 -a if the project is exempt from lead certification, please explain why: 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: c 3 Fire Suppression Contractor: Phone: NOTE:Plans and supporting documents that y oasubmtt are,considered tote public fnfisMration. .Por ions of the information may be classified as nonpublic-If you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.00pherstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan;that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit;that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. x ArA.co,%gnscrka ( SI-4 33- 4 35tt x („) Applicant's Printed Name ApplIcant's Signature Page 1 of 3 ..sq ' lc s7e-`00 &1 WRITE BELOW THIS LINE (1.) 7 SUS TYPES Foundation Fireplace Porch(3-Season) Exterior Alteration(Single Family) jo Single Family Garage Porch(4-Season) Exterior Alteration(Multi) Multi Deck Porch(Screen/Gazebo/Pergola) 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 '' Repair Egress Window Water Damage Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION Valuation `/ 2i-Doz. ." Occupancy 71.--R.6.— \ MCES System Plan Review Code Edition j'11 II Zo 1 5- SAC Units (25%_ 100% y ) Zoning 2,-( City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction 3 Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) )( Final/ No C.O. Required Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test Roof: Ice &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 Windows Sheathing Retaining Wall: _Footings_ Backfill_ Final Sheetrock Radon Control Fire Walls Fire Suppression: _Rough In_Final Braced Walls Erosion Control Shower Pan )(, Other: ) 1% ' n 7 Reviewed By: j O VIA (1) st (-(y,q' , Building Inspector RESIDENTIAL FEES Base Fee Surcharge u dh Pe Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit& Surcharge Treatment Plant Copies 3 c( Zs-4. TOTAL Page 2 of 3