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3970 Worchester Dr
~ ; 1 ~ r ` (gtrtifiratit af Orrupanry. titp of eagan loPpartmpltf of l1tflbt" iwPtIwIt This Cerfi*ate issued pursriant to the requirenrents of Sectlon 306 of the Unijorrn Building Code cerrrjying rhat ct the lrrne of issuonce rlus structure was nc compliance with tJre va?iaus ordinances of tlle City negulaling building construction or use For the following.u. a,.fim. _ SF =/GAR BM& Rnwt nw. :17144 O-UvWr TYx RUM z~ o~ i ,ya consL VN owamoreuamng M MTIIIIl+H1 OD.. IlNC. Amrc„ 5201 B. RIVFR RD., FRIDIEY , Ih.iainS Am~ 3970 WORCHMM DRTVE locw;ty L3 , B 1, HIILS CF SPQN.BRIDGE o.,e: FF.BECAItY I. I990 awz oe~ ` POST IN A CONSPICUOUS PIACE I I- E , SEWER A WATER PERMIT OFFlCE USE ONLY CrTIf OF EAGAN METEp ~ -R~ PERMIT DATE 10111189 3830 Pabt Knob Rd. 10991 Eagan, MN 55122-1897 CHIP PERMIT # METER SIZE B.P. RECEIPT #t - 4146 ISSUE DATE f' ~D ~9a g,p, RECEIPT DATE 14/ 6/ 39 DATE _ PRV - 800STEA PUMP SITE ADDRESS -LIE -'E L IM DRl VE PERMIT REQUESTED LOT "`BLOCK I SEC/SUB ~ ~ 'L c. E ILcetit t?ir 0E,F SEWER XL. WATER - TAPS APPLICANT: ADbRESS: 7L' ?Z--' --COMM/IND RESIDENTtAL CITY, STATE ryk c~. ZIP 17!-F-~ 17 NEW _ EXISTING PFlQNE: ' ? _ ~ , ~ , t~ Lawn Sprinkler Meters are to be Installed PLUMBER: V~l~s Ahead of Domestic Meters on Water line. ADDRESS: (412 r2Er= ic- Credit WILL NOT be given for Deduct Meters. CITY,STATE ZIP PHONE: 1 AGREE TO COMPLY WITH CITY OF OWNER: ~~•TT ~ r~ EAGAN ORDINANCES ADDRESS: ~ Z~ ~Jol CITY, STATE ZIP pHpNE; SIt3NATURE EN METEA ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 45i-8220 FQR INSPECTIONS. FaR STORM SEWER PERM , CONTACT EN{31N ~tIN D P,T/~~~~ ~~~~~x'° ,,~-r~„'d''. L ~4~. ~ ~ `1_ • ' ' ~~'yV . r , 1} . ~ CASH RECEIPIf ~ CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 oe,re i' ~ . •r ' ( ^ ~s ~:,77 snow ' ' 'T AMOUIVT L '•.J~~ 6 DOLURS ~ p CASk Q CHECK %1 Y' .l~ f l 1"'uJ i I ~ J ~ i'~ 1 f~. I i t ~i , f` ~ , FUND OBJECT AMOUNT Thank You ~ r BY %Ll:! C 4146 Pm*--File COPY . . i " - , . . . . . t a:a'~. . "d t _ , . . _ . . a - . , . . CITY OF EAGAN 44 1' 144 . ' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt To be used for $p DiiC/GAR Est. Value =122,000 Date O•'Z' s , 19114_ Site Address 3970 Mi0RC8BSTEx DR Lot 3 Block 1 Sec/Sub. HII.I.3 Of OFFICE USE ONLY Parcel No. bTUIMBRLDM occuPancy &'3~1 FEES Zoning PDa Name '~E it0'1TWrID CO. IlIC ~i 716.00 W (Acfual) Const Bldg. Permil ~ Address 5201 Q RIVSR RD (abw~ie) Surcharge 61.00 City FRIDLBY Phone 371-0304 # of Stones - Length _4Q, Plan Review 3~•~ =g Name gAM Depih " 309 SAC, City iQQ•DO AddreSS S.P. Total C11Y PhOfle S.F. Foolprints _ SAC, MCWCC S7s.~ r On Sile Sewage W81er Conn 580.00 °C Name on siie weu 90.00 W W - Waler Meter Address MWCC System i~ Clty PhOfle City Water ~ Deposit PqV Required _ S/W Permit Moo I hereby acknowlege that I have read Ihis application and state that the Booster Pump - SNY Surcharge 10 00 inlormation is correct and I ee to, comply with all applicable State o1 Minnesota Statutes and City Eagan O,dinaTreatmenl PI Z28•~ Signature of Permitee 3+'' I ti,~ f i h1J lT~- APPROVALS Road Unil 340390 A Building Permit is issued to: = WTTLM 00s INC Pianner - park Ded, on the express condition ihat all work shall be done in accordance with all Council applicable State of Minnesota Statutes and City of Eagan Ordinances. gldg. plf. _ Copies Variance - TOTAL 3'o".00 Building Official _ , PKmit No. PermN Holder Date Telephons * 1KATER SEWER PLUMBING 4 P. 1 H.v.n.c. ELECTRIC ~ Ec.*, /<19 ~ Inapection Date Insp. Commcnb Footings t (a Fowidation Framing Rooting R-0 Plbs. - -~O Rou9h Htg. L~t Isul. Frceptace Final Ht9 • C Final Pibg. ~ Canst. Meter Plhg. Inspecta - Notity Plumber Engr./Plan Q Bldg. final - D v Deck Ftg. Oedc Final wen ~ Pr. oisp. ~~~Tt.~~'tlw'~~l~~ ,?e.~ K ~i~'_'~:aiE~.'r'j~'M+'';. ,~~,r .~,~,~,q,~,~i , ti 7YCA'^~ _ PLUMBING PERMIT For Office Use Onty ' CITY OF EAGAN PERMIT# 7 CONTRACT 3830 pILOT KNOB ROAD, EAGAN, MN 65122 RECEIPT* PRICE PFIONE 454-8700 DATE: Slte Addrgss ° wOiC` c" 00- 8LDG. NRE WORK VSCRIPTION Lot 3 g~ Sec/Sub ReS' New ,~k e, S r~tic ~,r: i~Mult. Add-on Mk\ t -t riPb 1 Comm. Repair ~ Name pther , ,9a u c. ~ r l Address ~ u4 ~ y, J,, RES. PLBG. ONLY - COMPLETE THE FOLLOWINt3: c City Phone Na FIXTURES ~TOTAL S Water Closet - $3.00 $ Name " 1, - ` c`` ~ Bath Tubs - $3.00 ~ Aaaress . . ,i % Lav" - $3.00 t_ _ Shower - a3.00 City Phone ~ Kitchen Sink - ~.00. t_ UrinaVBidet - $3.00 ,3_ FEES Laundry Tray - $3.00 COMM./IND. FEE -1% OF CONTRACT FEE Floor Drains -$1.50 APT. BLOGS. - COMM. RATE APPLIES t_ Watar Heater -$1.50 TOWNHOUSE & CONDO - RES. RATE APLUES 1Nhirlpool -$3.00 MINIMUM - RESIDENTIAL FEE =12.00 Gas Piping Outiets -$1.50 MINIMUM - COMM.IND./FEE $20.00 (MINIMUM -1 PER PERIIIiT) STATE SURCHARGE PER PERMIT .50 Softener- $5.00 (ADD $.50 S/C PEA EACH $1,000 OF PERMIT FEE) wen -$1o.oa Private Disp. - $10.00 Rough Openings - $1.50 SIGNATURE OF PERMffTEE PERMIT FEE: STATES S/C: FOR: CITY OF EAGAN GRAND TOTAL: ' PERMIT # r • , r, _I • MECHANICAL PERMIT RECEIPT # CITY OF EAGAN ;.sy• , ' 3530 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE PHONE: 454-8100 For Office Use Only: Site Address BLDG. TYPE WORK DESCRIPTION Lot Block Sec/Sub Res. New m Name Mult Add-on ` Address Comm. Repair 9 Other c City Phone FEES ~ ~ Name RES. HVAC 0-100 M BTU - a24.00 c Addre9s ~ ADDITIONAL 50 M 8TU - 6.00 I p City Phone ; (RES. HVAC INCLUOES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIn - 1.50 EA. TYPE OF WORK COMM/IND FEE - 146 OF CONTRACT FEE Forced Air - M 8TU APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - FiES. RATE APPLIES BOiler M BTU MINIMUM RESIDENTIAL FEE - AtL ADD-ON & Unit Heater M BTU REMODELS - 12.00 Air Cond. M 8TU MINIMUM COMMERCIAL FEE - 20.00 Vent CFM STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # ~ BEYOND $1,000) Other , FEE - r . SIGNATURE OF PERMITTEE S/C: a TOTAL• FOR: CITY OF EAGAN INSPECTION RECORD ~ ~ CITY OF EAGAN PERMIT TYPE; 3830 Pilot Knob Road Permit Number: }s 1•' ; ~ ~ Eagan, Minnesota 55122-1897 Dafe issued: ~ (612).681-4675 ~ SITE ADDRESS: 1 i- M : 14) APPLICANT: . 11111" Hf' ir: rt Iip IipV 10 H I I i iti , c;1M FT i 111,t t.• y r• ; i t:~, tt ~ PERMIT SUBTYPE: TYPE OF WORK: INSPECTIOPI DA . D. f I L ~ Permk No. Pertnit Holder Date Telephone # ELECTRIC PLUMBING HVAC InspecUon Date insp. Commenta FOO7INGS FOUND FRAMING ROOFING ROUGH PLUMBING AIR TEST AOUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPIACE AlR TEST FINAL PIBG FINAL HTG ORSAT TEST BLDG FINAL D5MT R.I. I I r+SMT F1NAL i ~eCK FTG 7/C /Q~ II ~ i ( ) ! rCKFINAI 7I~/9`I Frk7 GtW-40LT70/t/S CITY OF EAGAN - 681-4675 DEPT. OF BUILDING INSPECTIONS Correction Notice I have inspected this structure and these remises and have found the followin ~ P 9 violations of city codes: S T1 h25 : 8" A?~i4~[. .~/sE 9 "ihini . Rt/N ~ .3i" IylIAI wiDTrl ~ N A. QpN ~ e u*p P?#*~ a - When corrections have been made, please - ~ call 681-4675 for inspection. /~8/~ ~379 Date 7 6kkk""'I_~'!4AI?-~~ Inspector City of Eagan DO NOT REMOVE THIS TAG • \ SEWER &WATER PERMIT OFFICE USE ONLY CITY OF EAGAN METER # f PERMIT DATE 10/ 11 / 89 3830 Pilot Knob Rd. * 10991 Eagan, MN 55122-1897 CHIP # PERMIT #E METER SIZE B.P. RECEIPT # ~ 4146 lSSUE DATE B.P. RECEtPT DATE 10 / 6/ 89 DATE _ PRV - BOOSTER PUMP SITE ADDRESS Dpo vr PERMIT REQUESTED LOT -BLOCK ,SEC/SUB Z~ SEWER X- WATER _ TAPS APPUCANT: ADPRESS: 2~~~ ' 12~ -COMM/IND ~RESIDENTIAL CITY, STATE ' = ` • ZIP ` NEW - EXISTING PHONE: Lawn Sprinkier Meters are to be Installed PLUMBER: Ahead of Domestic Meters on Water Line. ADDRESS: e: 'c- Credit WILL NOT be given for Deduct Meters. CffY, STATE ZIP PHONE: I AGREE TO COMPLY WITH CITY OF OWNER: EAGAN ORDINANCES ADDRESS: CITY, STATE ZIP PHONE: SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5720 FOR INSPECTIONS. FOR STORM , SEWER PERMITS, CONTACT ENGINEERING DEPT. . • CITY OF EAGAN N0- 17144 . ~ 3830 Pilot Kyb Rpad, P.O. Box 21-199, Eagan, MN 55121 . PHONE:454-8100 (1 o BUILDING PERMIT Receipt # \1 Tobeusedfor SF DWG/GAR Est Value $122,000 Date OCT 5 , i g,$9- Sile Address 3970 WORCHESTER DR L0t 3 BIOCk 1 S2C/Sub. HILLS OF OFFICE USE ONLY Parcel No. SFUNEBRTUGE- oocupancy R-3 M-1 FEFS Zo THE ROTTLUND C0, INC oing PD R-1 w Name (AcWal) Const V-N Bltlg. Permil 716.00 3 Address 5201 E RIVER RD (nuowame) V-N ° Cjty FRIDLEY PhOne 571-0304 A oI Siones Sumnarge 61.00 Lenglh ~Q PlanReview 35~.~0 .F Name SAME oepm 30' snGCny 100.00 AddrBSS S.F. iotal - SAC,MCWCC 575.00 City Phone S.F. Footprinis _ ~ On Sile Sewage _ Water Conn SAO. 00 Fw Name On Site Well _ Waler Meler 90. ~0 AddfB55 MWCCSysiem aw City Ph0n2 Ciry Water XX Acct. Deposit 30.00 PRV Required _ S/W Permii 20.00 I hereby acknowlege ihat I have read ihis applicauon and state that the Booster Pump - SiW Surcharge 1.00 inlormation is correct and ree to comply with all applicable State of M9 nesota SIaNtes and Civ 1 Eagan rdinan es TreatmeN PI 228. 00 Si nature ot Permitee ~ L l AFPROVALS Road Unit san. no A Building Permit is issued ro: - THE ROTTLUND C0. INC Pianner - park Ded on Ihe express condnion that all work shall be done in accordance with all Councii applicabte State of M./i;s~o~ta pStatwes and G~fly of Eagan Ortlinances. Bldg. ON. Copies Builaing Official ~\-G.~c ~ rn/J Variance - TOTAL 3,099.00 717 4 ~ x6~o 3equesl Date Fre No Rougbin Inspection Requiretl? ? Ready Now yw111 NoUfy Inspecta ~es 0 No W~en fleady? ~ I D licensed conhactor ? owner hereby request inspection of above electrical work at: i .be naaress (sveet aox or awie No ) ciry ~ `1 n Sectpn No Tavnship Nama or No. pange No County Inl c~ Occupad (PFINT) ~ Phone N. f^C.1 Paver Supplier Addmss EU..U 1 t Elactnol ConVactar (Cqmpany Neme) Conlractor5 Lcensa Na r'..1.Y1rLSk• Uzrh(c MaAing Mtlrass (ConVecbr w Owner Makmg InsWlatwn) 4 -83r6 AvP- t.Jb 1'ra5 rnQ M443 Authorizetl Sig^aWre (COniraclor/Ownei MaWig InStalietwn) Phone NumCer 3K Q WNNESOTA STATE BOARD OF ELECTiiICITV THIS INSPECTION FEQUEST WILL NOT GrigBS-MMway BIEg. - Room S173 BE ACCEPTED BV TME STATE BOARD 1821 Unlvorntty Am, SL Paul, MN 55100 UNLES$ PROPEF INSPECTION FEE IS Phom (612) 692-01300 ENCLOSED ~ a~(~ REQUEST FOR ELECTRICAL INSPECTION 1 ~ eraooooi-0~ , VpO / ? See mstruceons br completmg!nis to7on back ol yelbw copy gy~y ~ ~.1 ;4 0 "X" Be/ow Work Covered by This Request e Adtl Rep. TypeolBuilding AppliancesWired EquipmentWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Bmldmg Dryer Other (Specify) Comm./Industnal Furnace CLZ4xMitac oo Farm Air Condrtioner Olher (specily) Convacbr5 Remarks: Compute Inspecfion Fee Below: # Other Fee # ServiceEniranceSize Fee # Cvcuits/Feeders Fae Swimming Pool 0 to 200 Amps 0 to 100 Amps N Transformers Above 200 _ Amps Above 100 _ Amps Signs insoectors Use ony: ~ TOTAL Irriqation Booms Special Inspection AIarMCOmmunicauon Other Fee ~ j'" ( I, the Electrical Inspector, hereby RaugMn certify that the above inspection has p~~ai ~ oa been made OFFICEIISEONLY 4.-'~ Th. r¢quest vaiE 18 monlhs irom ir/~/gy . ~ 9s~9s~ 717 4 4 R¢quest Date ire No gh-~n InspecLan ~ ( ~Q ' epuiretl'+ ? Reaay Now 1dWill No1Ry Inspectar Wes ? No When Rendy? I p licensed coniractor ? owner hereby request inspection ot above electrical work aL Jab Atltlress (Streel, Box or Route No ) Gry 39r1c:) i~o~~chQ:,ler !Jr- Ea n Settion No Townshzp Name or No Renge No Cau/n~ry,., ~l l.~c~I-C3i~ Occupant (PRIM) ' Phone No R-c74-l-L~nc1 Pa/w~er ~$u~ppi,e.,r~, j~ AtlGress l..c~-~-r~Q Glj~'.c.Tll Eleancal'ConVacbr (COmpeny Name) Conlracmr5 License No ri Sn ' t MaiNng Atltlress (COnfreclor or Qmer MaWng Installetan) 4D8~-8-~'rv Ave- Nu mpS mrJ 55ei93 AuRmnzad Sgnature (Contraclor/Ownar Mebng InsGllahon) Plione Number ~ o; - 5i~-$bav MINNESOTA STATE BOANU OF ELECiRICRY THIS INSPECTION REQUEST WILL NOT Grfgga-Nldway Bbg. - Room.&1TJ BE ACCEPTED BY THE STATE BOARD 1821 Unhrenlry Ave., SL Peui, MN 55104 UNLESS PROPER INSPECTION FEE IS Vhona(811) 8a2-0800 ENCLOSED REQVSI'FOR ELECTRICAL INSPECTION r EB-00001-07 ? See msVUCimns for completing Ws lortn on back of yellow mpy. I i' 71744 "X" Below Work Covered by This Request ew Adtl Rep. " TypeofBUilding AppliancesWiretl EqwpmeniWiretl Home Range ii, emporary Service Duplex Water Heater Electric Healing Apt. Bwlding Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner Mer (speuty) Comracta5 Pemarks: Compute Inspection Fee Below: N Other Fea # ServiceEniranceSize Fee If Circuits/Feeders Fee Swimming Pool ' 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps Above 100 _ Amps Signs Inspector§ Use Onry: TOTAL Irrigation Booms Special Inspection Alarm/Communicalion Other Fee I, the Elecirical Inspecto5 hereby Rou9n-in Da~e certity that ihe above inspection has Fin~ been made. ~ OFFICE USE ONLY ' . This repuesl void 18 monihs"lrom DATE: }0li_,189 RE:3970 E'OACI3ZS'S3R DA1VE, l.3, Bl, HflLiS OP ST0=BR1B&E Rn Your Sewer & Water Permit for the above property has been completed. It will be held at the Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. ' Your Sewer & Water Permit for the above property cannot be completed for the following ~ reasons: _ Your Sewer 8 Water Permit for Ihe above property has been completed, but the meter cannot be issued or occupancy allowed until further notice. - COMMERCIAL PROJECTS ONLV: Please pay for meter at City Hall. Meter size must be - confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WARNING: BEFORE DIGGING, CAIL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TUHN ON POLICV. Secretary, Building Inspections Dept. DATE: 10/11/89 RE: 397Q MRCUL+S'dGR DRIVZ, L3, Bl, H1E.LS OF SR'0".IT'sDRIlDG3 ~ Your Sewer & Water Permit for the above property has been completed. It will be held at the Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. ~ Your Sewer 8 Water Permit for the above property cannot be completed for the following ~ reasons: . _ Your Sewer & Water Permit for the above property has been completed, bui the meter cannot be issued or occupancy allowed until further notice. - COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be - confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-6100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REOUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Seoretary, Building Inspections Dept. , 1489 HOII.DIBG AERMTT.APPLICATION ' CTfi OF EAGAN iqi44 3INGLE FAHILY DWELLINGS lOLTIPLE DMELLINGS C0M'lEBCIAL 2 3EfS OF PLANS 2 3ET5 OF PLANS 2 SETS OF 1RCHIiECTURAL 3 SEGZSTEEtED SITE SORVEYS 9EGIST6RED 3ITE 3QHVES3 - ! STEDCPOAAL PLANS 7 3ET OF ENEAGY C11LC5. (CHEC% llTl'H BLDG DI9.) 1 3Ef OF SPECIPIC9TIONS 1 3Ef 0F EMGZ C1LCS. 1 3ET OF EIiEAGI CIlLC3. !lULTIPLE DWELLINGS BENTLL DNTTS FOA SILfi OBTTS i OF IINITS POTEt 1DDRESSE9 FOH CORNER LOTS - COATAACTOR/HOMEOYNEA IiOST MSIGPASE IiHICH IDDAFSS IS DFSIAED. 80 CH?tiGFS WII.L BE AI.LONED ONCE SOILDING PERMIT IS I3SOED.. SEWER 8 ii9TER PERMIT FEES UPD 1CCOQNT DEP0.4IT T6fiS UiII.L BS INCLIIDED iTT!'6 SHE 80ILDINO PERMIT FEE. PROCFSSING TIME FOR 3EfiER 11QD WITEA PERMIIIS IS TNO DATS ONCE l PERMIT HAS BEEN COMPLEfED IpDIC?TIAG A LICEASED YLUMffiER. PENALT7G APPLIFS 6dfIENs PERMIT IS NOT PAID FOR IN SAME MONTH IT IS REQUESTED. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. QrT ' z 1989 To Be Used For: FArni~-t Yaluation: Dates 3ite Address 122 pc~t~'~ OFFICE OSfi ONLI Lot 3 Block l Occupancy Iz'3 M'1 FEES - Zoning '4''D R- l Pareel/Sub Actual Const v_N Bldg. Permit ~16~~n Allowable v- hJ Surcharge , 00 e~ Ormer 7E-& Onrci va~a lm. lnsr. i of stories 81an Aeviex 35A,0 Length ~10,00 SAC, City 001LO " lddress SZOI E_ 'LIvEe T?cL Depth 30,3 SAC, MiiCC S S,on S.F. Total Water Conn v, en City/Zip Code ~eG-qzj Footprint S.F. Aater Meter o.ou Acet. Deposit 3Q00 Phone On aite eexage S/li PermSt aD•oo On aite well S/W Surcharge 1.00 Coatractor 594ry c !lWCC 3ystem ? Treatment Pl. 228-00 C1ty vater Irr Road tlnit 4o, °O iddress PRV required _ Park Ded. ~Booster Pmp _ Copies City/Zip Code sUBT07ALL APPAOYAL3 Penaltq Phone Planner _ TO'fAL 9 il Couneil / lrah./Engr. Hldg. Off. Yeriance ~ Address City/Zip Code ~r ri Phone t V'o"--v io~ . * GARAC,E' - - • * 1' 1, ` • „ ~:'Zx2Z- yeyX 15= ~2~c~ ~srv~T ~lo~C 38 c1~B X tiy = 1~°32 Isr SsA1T= ~kro ~ I~ 1 ~ ~ Z X$`~ P S66 0 0 ZNt~ FL oo~z. a.~ k 30 9 IYt~ = t~ q5q x5~= y9 900 ~ Z 1 S~ Z ' 1~toI~1Y~e . ~ EXTERIOR :EnvELOPE AVERAGE "U" COMPUTATION OwtaER ~OT'~LV ND LO. SITE ADDRESS ~~O ~L~<~~ T~-• ` ` CONTRACTOR -S~LNIF" . DATE ,~-Z8-&t PHONE Determine working square footage of each. 1. Total exposed wall area .c~f 7 sq. ft, x 2 77~ 1? 2. Total roof/ceiling area /U3Z sq. ft. x'.OZ{o e, Y'i Total exposed wall area above floor a. Total wall window area b. Total door area S~ c. Total sliding glass door area - . d. Total fireplace wall area - e. Total wall framing area (average10%) \°ll f. Total net wall area above floor 1715 g. Total rim joist area 2 C Y Z Total exposed foundation area = te h. Total foundation window area . i. Total net foundation area above grade S3 • Determine "U" value of each wall segment. 8. ~lb Cl g~'U" e`7 cf i02.06 b: S~ x"u" ,07 = 3.Ct Z X liull a. - X llUlt e. X ~,U,l .Ocs7 ~..1 ~~6Z f. /7is X.~,U„ .0112 =~~003 ~ g. z g s~ X.,U„ .oszo h. g -'U'-~ S~f ~f .4f~ • 3 X~~U,~. eo~~ ay, a3 ' 3 ..........................,............Tota1 If item 0 3 is the same as, or less than item 61, you have met the inten[ of SBC 6006(c)2. • . hTotal exposed roof/ceiling area U 3 Z Total gross roof/ceiling area = /G 3 Z j. Total skylight area 6 k. Total roof/ceiling framing area ( z 1. Total net insulated roof/ceiling area ~6 v Determine "U" value for each roof/ceiling segment. x "U" s `lq = 206 `f k. (0 2 x llUll 6p2-7 = /e67 1. c/6 X"U" . O Z S 4o1 U 4 Total = 2 S.v ( If total of lt4 is the same as, or less than #2, you have met the intent of SBC 6006(c)1. To utilize the total envelope system method, the values established by the sum of items 113 and #4 shall not be greater than the sum of items #l and 1/2. i. 277a17 + z. zG.~3 = 3oyoav 3, 2+ 4. 2£~'.YI = 2`-13,2 J Cities Di ital ualitv 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. 1'uyc J o1 8 t1'~J ~'°e• 10~ of opaque wall area for ~ . ~ frame construction ~ . ~ I Construction 1_~ J R-Value 2: Interior air~film ' P 13 0.68 R 3. l x T ~ EASIC 9. 2 S/32 S hiTCr i4ALL 6: Exterior air film 0.17 • ~ Total FIG. 111 . TOPVIE[9 0F _ FRNSE I7ALL e019 -7 ' . ~ . 1. Interior air film 0,68 . . , . . . , 2. VL" f, 't' F~, (3 PL. D o SS • l~ I 3. Ff/L L l.'IG. i,2 9. 2 SZ3L ' SryT(r ~I 2 OG ' ------r--O ~ 5. 5/U/~fiG o VE~ FEL7- / o Z~ 6. FSCterior air film 0.17 Total 2 3, 6 Z' . I v . ~--•--~f],~ v~ a~~ Z ' . 1, Interior air £ilm 0. Ge ' ?tieral 2. p0 00 ~ ~'?-1 ~ • ~ I!,-----------------~ ' 3 ' 2 X 12'r r it io.-s 9. 2 5-/3 2 S }-I'r'CT 2 00~~ 5. V(Sziz ~~y~j ~1 µ /62 T~?~.'I 6. Exterior air film 0.17 I:`, j~ ~ t~ ~ 2 S.O S :)11'ICI~t•~~-.- ' ~ , L7. L~ 0~'-~: =1 J r . . • . „ . , U` . O `f U I ' 1. Interior air film 6 0.68 ~ .l•. . . . . cJU 3. =,r~1 1-U!< R I N C~ , n. iZ'~cawc, /~coctc_ /Q~Fs s. 6. Exterior air film 0.17 Totai 13o13 0'7 ~o e.`~ U' ~ , • /tr,~??~~i~ • ' rl~ ~ ' ~L i • ~ ~ ~ . ~~~r- ~ • ~~4 ` ~ ~ ~ . ! r , ( ~ ~rr ` . . i~ r ` V r ' ~ • . ~ I 1 ~ / 113 x t• ~ ~ ~ r~~ ' ' a ~ . - I ~1~ ~ Fzc. it~ = k • , - ~ ' ir( ~-~Y .U . • , ` ~ . . irc ~ - . o r f~• V ~ . . ~•:ROOP/CCILTNG Const•rucL'ion 12-Value r 1.~ Tntcrior air film ' 0.61. ' .s.~- ! 3 n a. sV~3" vr t- ~ ' ~ ~~~1„lTS'~ ` 3. C3LOw.v 3a,00 . 4• Exterior ai1 film cstiii 0.61 Total 3~'{ogp \i ~ L ~ , . ' . ' . . . ~ • V. °U?S • ~ , Venced Heat fLaw ' ~ . • ' • ' up . ~ ' • " . ~ ' • ' j • i , i ' ' , ' ~ ' I ~ ~ . , . , • , . . . FIG. t15' k' , . . ' . ~ ~ ~ • ~ ' ~ . ' . . . . • ~ ' . . ~ t~.~.f--- ' . ~ . . i • . . , . . . . . . 1. Interior air film 0.61 ,.,,,,.•_,.,~.,u,:~n _~'"_'•~tiL~- ~^n~-J.au,~ • 2. s/r~. C~Y1~ R Rp S S =--r-=~~ ~------r~ , 3. i,~Su~ ovE2 ri2u5S ~q . . 4,, Exterior air film sti. .b.L MM Total• ~ ~ lr • ~ . il =..oz? • . ~ ~ 1110 LG . ' . . . , . . . , • , • • , . ~ - • . Y.ecC F1047 up. .•vented • , , ~ ~ ~ • . ~ ~ . . • ~ ~ i ~ „FIG. ~~6.~..~.. . ~ . ~ ' ' : ~ , . . ' , • i . . . • . . . . ' . . FT ~v 1. Inside air filin 0.61 • . ' ~ g -:~.~°I 2. • i~~. ~ ~n1 !•1•°t-^~ • j . ' ' ~ • ~ 9n.O~1~.' r~.~y.~CC'..,~•' 4. l.; , . • 5. Outside air film 0, 3.7 ' ~ • ~ Tota1 •r ; . . . . . , . . , ~ ; , . . . . . . . HOi; ~TTED ' Not•c: Use additional sheets •if more space is " • neecled for cletails and calculal•ians. ~ • , • ~flow up ~ . ' _ ' F.T. ~ ~ : . , • . . r ~ • , , ~ • - 4( 2422 En[r.rprisc Drive * PIONEER IANOSURV[1'ORS- CIVILCNGINEERS ~ Mendota Heights, MN 55120 ~ eh/'7i. • ,~er ng.• L1INBILIINMERS- Il~Np9CqPEl1RCHIT[CTS 'C12, 681'1n1A J 1 V D Y ^ Y *T . r Certi(icate oi Sorvey for: TI ,E •`0TT LvND COMPQNY ~ ~ NoRtN M O Q• A~ ~ j0/` o,3 ¢4J . 46 D;~i' 9aLn { I~ a2 ¢ca~ U \ y Q 900 • b3 C. 9°6~7 . ~ M~' ~o i~ ~ t \Q(LP~p~' _ 9 -~2 ~ F~..., ti~,• 3*' \ s. ~o ~ \ rSL~' el0 ~ m _ \1 \ q~ ~ • 8. z3 ~ \ \ ~ ~ ~ xy y~ ~ y 36 ' RS ~ J 'rs~ ~ / io 6.8 \ j ~ ~98•/ o g~ ~t. Z ao ~G r~ ~Gp.l`7 E~~'pI1Q . 900.0 DmnfPs erishnb Efevafion PaocosEO NousE EcEVAriorvs . yoo.o omoles pronoHd Eltvat%on - Uenolfs Urivina e(uli/il fas[menf Lowesf F/no~- Elevalion = poa. 3 ~ benoles D?zrina~t Flow rrows Top of ' Bloclc Eleva/i'on = 908_ 3 _ o Omolrs monumCnl Gvrale Slob Elevafiotj 908-0 ge4ri'n~s shownorQ assurned ~ LOT 3, BLOCK 1 ~ NILtS OF STONEBRIdCf DilKoTA COUNTy, MrNN£SOTA SUBJfCT 7U ElISEMENTS OFqfCUGD I hereyy certlly Ihrt thif furvey, plan or report waf pr nrM by me or under my direct eunervision and that I am duly Registered Lnnd Surveyor unde, the levn ol the 51ate of Mlnneeon. Deted thiedey olZryf~6' A.D. 19 r ~ JCQIe~ j~~h: 401'lct ~I Q~II/Z.l~ Rf1RF.RT p, $IKICII L5. RE Nn. 1~11 L! 1 ` CITY OF EAGAN PERMIT 3830 Pilot Knob Road PERMIT TYPE: Eagan, Minnesota 55122-1897 Permit Number: 0 2 819 3 N G (612) 681-4675 Date Issued: 0 7/ 0 9/ 9 6 SITE ADDRESS: 3970 WORCHESTER OR LOT: 3 BLOCK: 1 HILLS OF STONEBRIDGE P.I.N.: 10-32990-030-01 DESCRIPTION: Building-Permit Type DECK ~Building W'ork Type NEW Census Code 434 ALT. RESIDENTIAL . REMARKS: FEE SUMMARY: Base Fee $45.00 Surcharge $.50 Total Fee $45.50 CONTRACTOR: OWNER: - Applicant - FREEDMAN DAVID 3970 WORCHESTER DR EAGAN MN (612)737-3278 I hereby acknowledge that I have read this application and state that the infiormation is correct and agree to comply with all applicable 5tate of Mn. L Statutes and City of Eagan Ordinances. ~ ~Q~ ICANTlPEF~~TU - ~SUEDUB~ Y~ IGNtiU E~ ~I, - 3 CITY OF EAGAN 4S •s~ ~ - 3830 PILOT KNOB RD - 55122 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 6814675 New Construdion Reouirements Remodel/Reoair Reavirements rG ? 3 regislered aite eurvays ? 2 copies of plan ? 2 copias of plans (InUude beam & window sizes; poured (nd. design; elc.) ? 2 slle surveys (exterior additions B decks) ? 1 energy wlculalions ? 1 energy ealculations (or heated adtlilions ? 3 wpias of tree preservation plan H bt plaried efler 7/1/93 required: _ Yas No DATE: CONSTRUCTION COST: ~ <aw `CaC)YV~ DESCRIPTION OF WORK: /SDVT 1Z)A) Ta r-XJSP&I 2M f F S~TREET ADDRESS: W~-0~a ~~EL ~ ~ LOT 3 BLOCK ~ SUBD./P.I.D. LLL^ 4 C~~--Tr AA~ 4T)Av/~) Phone PROPERTY Name: 11.81 OWNER 1 ~ ~ StreetAddress~~0 WMICNEST~,~ City: State: Zip:,-<~)y~ coN7RACroR Company: Phone Street Address: License City: State: Zip: ARCHITECTI Company: IS ~1T Phone ENGINEER Name: Registration Street Address• City: State: Zip: Sewer 8 water licensed plumber: Ncv lgPPLx1%9jLC Penalry applies when address change and lot change are requested once permit is issued. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. ~ Signature of Applicant: , OFFICE USE ONLY =E!~ Certificates of Survey R eceived Yes No Tree Preservation Plan Received Yes No OFFICE USE ONLY ~ BUILDING PERMIT TYPE ? 01 Foundation o 06 Duplex ? 11 Apt./Lodging o 16 Basement Finish ? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. 0 17 Swim Pool ? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous ? 05 SF Misc. ? 10 = plex ~15 Deck WORK TYPE ~ New ? 33 Alterations ? 36 Move 32 Addition ? 34 Repair o 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. v Depth Footprint sq. ft. SAC Code a/ Census Bldg ~ Census Unit APPROVALS Pianning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units 105 Site Plan . I Existing House I o w Proposed . ~ Deck 1. 25' EF > 75' (Not to scale) 78' . ' 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) cirv oF encwn 3830 PILOT IOVOB RD - 45122 651•681-4875 Naw Coruhuellon Reaulromenh 13 q7O~ Remodel/Reoalr Reauiremenb D 3 roplsrorad dro wrvays dawiny sq. fL d W. +V. R. W house 7- 1). G O 2 coPles o} plan antl Qn rooled araa: (20% maxlmum bt covemae allowetl) 1 se10l onerpy cdeWaflons for liectetl addlHOns D 2 coplei of plans (shoW boam R wlntlow tizaf; poured W. daqpn; e1C.) 1 tlfe turvey lor axleda OtltliHOna A tlaCka D 1 ta1 of arwrpy taleWadonf D J caWes o1 froe ProwrvaMan plm M bt plaMetl aflar 7/1/93 DATE: /~Od coNsrRUCnoN cosr: ct 7, • S~ DESCRIPTI N OF WORK: TC'o('? STREET ADDRESS: 70 I.f J!)(Z C'~ c s rC-2'rv i ll e 14 tjm ~j LOT: ~ BLOCK: 1 SUBD./P.I.D.1f: o s-. Name: ~R<~_C-A/n ar--) bA ?iS Pnone #:195I- 05 i - K33 PROPERTY laat Firs1 OWNER Sheet Address: 3 9 19 td d(~ 2I'1/F Cly fft~ Aij Stafe: M lJ ' Zip: . Company: (b YF't e)aa i PS T~JPCi~one C (area code) CoNTR?CroR / 9~er~ rsus rrz~A~0G/4'Sfreet Address: Ucense NFZ 74 Exp. Cify oZLI"Z Stafe: ' Lp: 101 ARCHRECT/ ENGINEER Company: Name: Telephone N: ( ) Sheet Address: Regishaflon N: CHy Sfate: Lp: Sewerlwater Iicensed plumber (H Inatallina sewer/waterl: Phone I hereby acknowledye Ihaf I have read Ihis apptlcaHon, sfafe thaf the infortrwlbn is ca?ed, and ayree b comply wHh atl apPgcable 5?ate ot Minnesota Slalufea and Cify of Eapan Ordinances. Siynalure of ApplicanY. OFPICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No _ Not Required OFFICE USE ONLY BUILDING PERMIT SUBTYPES O 01 Foundation ? 07 05-plex O 13 16-plex O 21 Poroh (3sea.) ? 31 EM. Alt - Mutti ? 02 SF Dweiling O 08 06-plex ? 17 Garage O 22 Porch/Addn. (4-sea.) ? 33 Ezt. Alt - SF ? 03 01 oi _ plex ? 09 07-plex ? 18 Deck p 23 Porch (screened) O 36 Mutti ? 04 02-plex ? 10 08-plex ? 19 Lower Level ? 24 Stortn Damage ? OS 03-plex ? 11 10-plex PIDg _V or_ N 0 25 Miscellaneous ? 06 04-plex ? 12 12-plex ? 20 Pool O 30 Accessory Bldg. WORK TYPE ? 31 New ? 36 Move Bldg. 0 43 Reroof ? 32 Addition O 37 Demolish (Bldg)' ? 44 Siding O 33 Alteration O 38 Demolish (Interior) O 45 Fire Repair O 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors • Give PCA handout to appUcant for demolition pertnit GENEFU1L IFIFORMATION SAC Code # of Stories sq. ft. No. of Units Length sq. ft. No, of Buildings Width Footprint sq. ft. Const. (Actual) Basement sq. ft. Census Code (Allowable) Main level sq. ft. MC/ES System UBC Occupancy sq. ft. City Water Zoning _ sq. ft. Booster Pump PRV Fire Sprinklered MISCELLANEOUS INSPECTIONS ? Stucco/Stone APPROVALS Planning Building Engineering Variance Permit Fee J~~ ~ S Valuation: $ Surcharge `--.U 0 Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: SAC Units % SAC PERMIT # '~1 / 1g ( 1 RECEIPT DATE: ! o ~ RESII}ENTIAL PLUM$IRH PEiM1T l4PPI1CATION crrY oF E,ariax 3930 Pv.or Krros ftn EAfiAN, MN 551 EE 631-891-4675 Ptease complete for > single family dwellings % townhomes and condos when permits are required for each unit : backflow preventer for irrigation system SITEADDRESS: Wncc_Y\`eS~(' OWNER NAME: : ~ ~cAffy'j„r\ TELEPHONE (AREA CODE) INSTALLER NAME: TELEPHONE =9 ha G (AREA CODE) srREeT a,DoRess: 60512th Avenue Sauth Hopkins, MN 55343 C ITY: STATE: Z I P: Place a check mark next to the ermit work t e New residential dwelling unit under construction and not owner/occupied $ 90.00 "1~ Add-on, modification or alteration to existin dwelling unit, including: $ 50.00 • abandonment of septic system • new installation/repairlrebuild of RPZ • lawn irrigation system ~p • water turnaround P~ Nature of work: pinpg~ ¦ Y1Ler yNea~PI Septic System, new/refurbished - $ 225.00 • includes County & Consulting Inspector fees • requires MPC license State Surcharge $ 50 U'; ~ SO Tota I Reminder: Be sure to schedule inspections of alterations, i.e. water heaters, water softeners, etc. I herebyacknowledge tnat I have read this application, state lhat the information is correct, and agree to complywith all applicable City of Eagan ordinances. It is the applicant's responsibiliry to noti(y the property owner lhat the City of Eagan assumes no liability for any damages caused by the City during rts normal operational and maintenance acnvities to the facilities conslrucled under lhis permit within City ~p t-obway/easement. IG VATURE OF PER TEE Updated 1101 City of Eapp 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For:Office Use Permit #: /4b c7` -oh Permit Fee: Date Received: Staff: 2011 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 1 --(O ( Site Address: O ©CZ�FtEQT R �F�` Tenant:-CUP-Sv Suite #: RESIDENT / OWNER Name: VP6.---) cv SSGRJ Phone: CDC( �� 6 6 a Z. Ce Address / City / Zip: CONTRACTOR Name: S L-- License #: Address: City: State: Zip: Phone: Contact: Email: TYPE OF WORK _ New _ �¢ Replacement Repair Rebuild Modify Space Work in R.O.W. Description of work: 1410&---1 R 1 cGZ ^,—...___ PERMIT TYPE RESIDENTIAL Water Softener Water Heater Add Plumbing Fixtures ( Main / Lower Level) Lawn Irrigation ( RPZ / PVB) Septic System Water Turnaround New _ Abandonment RESIDENTIAL FEES: $55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $35.00 Lawn Irrigation $55.00 Add Plumbing *Water Turnaround $105.00 Septic System $95.00 Fire Repair (replace (includes $5.00 State Surcharge) Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) (add $166.00 if a 5/8" meter is required) New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) TOTAL FEES $ 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. wwrw.gopher ateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will n conformanc vith the ordinances and codes of the City of Eagan;�that I understand this is not a permit, but only an application for a permit, d works not to s art without a permit; that the work will be in acardance with the approved plan in the case of work which requires a review and ap ov I o plans. Vk VU vet's�©I� Applicant's -Printed Name Applicant's Sig atu FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough -In Air Test Gas Test Final CllyofEaii 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 RECEIVED DEC 13 2011 Use BLUE or BLACK Ink For,011kei se ,: 1022-(v 2010 MECHANICAL PERMIT APPLICATION .. /1-2-e-(1 Ski Address: ° 39-10 Tenant Tek) b (. t a_ncs waiet. rerryiJo Suite d: RESIDENT / OWNER Name: fl174, -Aelr 7 Phone: Address 1 City 1 Zip: CONTRACTOR Name: THE SNELLING COMPANY, INC. Address: 1400 CONCORDIA state: STzpAUL, MN 55104 Phone: 651-646-7381 contact Email: License 8: City: TYPE OF WORK New Replacement Additional Alteration Demolition Description of work: NOTE: Roof mounted and ground mounted mechaniordsquipment is required to be screened byClty Code. Please contact the Mechanical bespeciow1ar Infos matfon on pfd screening methods. PERMIT TYPE z. RESIDENTIAL Fwreace AirCondtoner Air Exchanger Heat Pump Other New Construction Install Piping Gas COMMERCIAL Interior Improvement Processed _ Exterior HVAC Unit Under f Above ground Tank (_ instal i _ Remove) —'" When installing/removing tadc(s), cal for iron by Fits Marshal and Phsnbing Igor RESIDENTIAL. FEES: $55.00 Minimum Add-on or alteration to an existing unit (includes -55.00 S St rc rge) $95.00 Fire repair (replace burned out appliances, ductwork, etc.) (insides $5.00 State Surcharge) $ TOTAL FEE COMMERCIAL FEES: $75.00 Underground tank installation/removal OR Contract Value $ x 1% $55.00 Minimum (includes State Surcharge) - lithe Penni Fee is fess than $10,010, surcharge is $ 5.00 - If the Permit Ft Is > $10,010, stxchge int by. $.50 for each $1,000'Permik Fee (.e, a $10,010$11,010 Pemdt Fee requites a $ 5.50 surcharge) _ $ Permit Fee $ Surcharge = S TOTAL FEE CALL BEFORE YOU DIG. CaII Gopher State One CaII at (est) 454-0002 for protection against underground utility damage. CaU 48 hours before you intend to dig to receive locates of underground utirlfies. www.qopherstateonecall.org I hereby midge that this induration is complete and accurate; that the wok win. . be Eagan; that I understand this is not a permit, but only an application fora permit, and work with approved plan in the case of work which requires a review and approval of plans. 14,k j Applicanrs Printed Name FOR OFFICE USE Reviewed Bir.. - - Required Ins s: Under Ground Rough in _Air Test Gas Service Test In- loor H Exterior HVAC Screening Inspection liar City of aaau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 RECEIVED DEC II22011 Use BLUE or BLACK Ink L For Office Use Permit #: /1) /- Permit Fee: / /1 354, Date Received: Staff: 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit #: Name: ICi j i's;i_: Sit=a SSC 3. ) Address / City / Zip: ?°1 A 0 VI1/43® C -AA Applicant is: v Owner Contractor Description of work: 1 t k t 0 -y - Construction Cost: $ I C O Multi -Family Building: (Yes / No "iJ' ) Phone: (S) '1L 0 6 0 2 ( Company: 4'I= L_► = Contact: Address: City: State: Zip: Phone: License #: Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: sand support ncg docurrf nts t y u s 6 �#ars sidered >to be tc info n ` rfiorts orni tfiff� ci (tied s non pu l ityouproV 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.qopherstateonecall.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 Minpesot State Buildi g Code must be completed within 180 p F day s of ermit issuance. x 1 PQtii vew5s�-% Applicant'sinted Name Applicant's signature Page 1 of 3 70 thleskie- DO NOT WRITE BELOW THIS LINE /69 SUB TYPES Foundation _ Fireplace Single Family _ Garage Multi _ Deck _ 01 of Plex _ Lower Level Accessory Building WORK TYPES New Addition Alteration, Replace Retaining Wall DESCRIPTION Valuation /L Pian Review (25%_ 100% V) Census Code # of Units # of Buildings Type of Construction Porch (3 -Season) _ _ Porch (4 -Season) _ Porch (Screen/Gazebo/Pergola) _ Pool n-c-Ak vv Wv I/ - _ Interior Improvement Move Building Fire Repair Repair Occupancy Code Edition Zoning Stories Square Feet Length Width REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: _Ice & Water _Final Framing Fireplace: _Rough In Air Test _Final Insulation Sheathing Sheetrock Reviewed By: Siding Reroof Windows Egress Window Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous _ Demolish Building* _ Demolish Interior _ Demolish Foundation Water Damage *Demolition of entire building — give PCA handout to applicant sMN 7 (1 MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Meter Size: Final / C.O. Required Final / No C.O. Required HVAC Gas Service Test Gas Line Air Test Other: Pool: _Footings _Air/Gas Tests _Final Siding: _Stucco Lath _Stone Lath _Brick Windows Retaining Wall: _ Footings _ Backfill _ Final Radon Control Erosion Control , Building inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL rtlivvt- Page 2 of 3 v ' , For Office Use.I it) ::::ea: ig,(41 REC Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 MAY 1 201$ Staff: buildinainspections aC�citvofeagan.com L 2018 RESIDENTIAL BUILDING PERMIT APPLICATION C ' -")-\" Date: May 15, 2018 Site Address: 3970 Worchester Drive unit#: Name: TJ Svensson Phone: 651-260-6026 Resident/ 3970 Worchester Drive ()Writer Address/City/Zip: Applicant is: X Owner Contractor Description of work: Construct detached pergola Type-of Work Construction Cost: 1,900 Multi-Family Building:(Yes /No X ) Company: Self Contact: Address: City: Contractor State: Zip: Phone: Email: License#: Lead Certificate#: If the project is exempt from lead certification, please explain why: N/A 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: NOTE:Pians and supporting dfocutr encs i are chasidaretttb±fi+ r t * ',. classified as non-public if you provers specific rets that would the. f t hhi _, _ - You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeagan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)4540002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.aocherstateonecall.orq 1 hereby acknowledge that this information is complete and accurate;that the work will be in conformance wi the ordinancnd codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, an o i- not to start out a pe e ait; that the work will be in accordance with the approved plan in the case of work which requires a review and ap oval .f p1-ns. x TJ Svensson x �' 1. 1\/1Applicant's Printed Name Appli is Si; 'ature`,' -'Y'll () (id C)r"C kg si-se(-1) y/ I in Zig) DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) Single Family _ Garage Porch(4-Season) _ Exterior Alteration(Multi) Multi _ Deck tG 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 ( s06. Occupancy .221Z C- I MCES System Plan Review Code Edition kVtut 2 i$ SAC Units (25%_100% '14) Zoning City Water Census Code Stories Booster Pump #of Units Square Feet 2-eer PRV #of Buildings Length /(o Fire Suppression Required Type of Construction U 5. Width 2.0 REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings(Beck)- , 'eP S°/4 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: Reviewed By: 1 O� 112'14/.7,./i- , Building Inspector RESIDENTIAL FEES Base Fee Z e Surcharge Plan Review fr/ re MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of 3 , , L ?t/51) *- 2422 Enterprise LLL Drive * PIONEER LAND SURVEYORS•CIVIL ENGINEERS Mendota Heights, MN 55120 engineering,. LAN@-PLANNERS•LANDSCAPE ARCHITECTS f (6 2) 681-1914 *�` - Certificate of Survey for: THE ROT T'LUND COMPANY Nor2T 1 M "c\- . °1- A, ' - - -',7 ‘11°° ��14 '» 5 • f-,- • V 1oa ° 3 741- :-P... .6 q . loo•b3 Y,c` 9C6�� ,a '�C� ..41". 6. tj '' \ ) h5 _ci06.7 • / S 105,0„‘ ADe \ .a-1 9' - , tiv \' J ' jE T\ rs `-j \ v b �- rt 1.‘,11_0 p,11 ,c0O. it ce \ m N X 1/),9<4 q _ \ -8•\23 9 ' \ \`\ \ ,, o/ S / N "9.95t \ h .?6 'R6 N '5'.1-i. N / io • ie-q-3.) . N / N j N / ��<^ b 9 - f3.- --------- e , ..,,,,. .. W. ---- 0.- ,,-- .,,, ''-)''' ' ;.)ate - , < 900.0 Denote; exislinFlevahon PROPOSED INUUSE ELEVATIONS II .C900.0�Denotes propoRd Elevation — - - - - -- ------_ Denotes Urtnna e i Wilt!), Easement lowest F/nor Elevation poo. 3 ,_ denotes Drains e Flow /•lrrows Top or'8loc4 Eleva/,ori ,. 908. 3 o Deno/es monument Girca4e slab Elevation : 908-o gearines shown are assumed o LOT 3 , BLOCK 1 , I-/ILLS OF STONESRWGE DAKOTA COUNTY, MINNESOTA SUBJECT TU EASEMENTS OF RCCOQ1 I hereby certify that this survey, plan or report was pre ared by 'mee/oor under� my direct supervision and that I am duly Registered Land Surveyor under the laws of the State of Minnesota.Dated this Z 7Uday of ,.,I'" fe _'(4--3 A.D. 19 gq 77 A Sia/e : 1;R gip,et _ ,,,,Ai ,Z,(1-21 > ' Q7//Z. 5 7 RORERT LE O 1 EAGAN FEB 20a020 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651) 675-5675 I TDD: (651) 454-8535 I FAX: (651) 675-5694 buildincinspections ancityofeaaan.com r For Office Use Permit #: W'9.1-1 Permit Fee: 3a), 3 Date Received: Staff: 2020 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit #: Co-vcd 1-6-" Resident/ Owner Name: TD�.� `®R SVt�1� ® 0 Phone: G SI " 60 60014 �l Address / City / Zip: �i10 UJC V C H ECW Applicant is: V Owner Contractor Type of Work Description of work: �R i�T I AL_- tI i S it cv i� .� Construction Cost: S 6 ©0 Multi -Family Building: (Yes / No ) Contractor Company: S L—i Contact: Address: City: State: Zip: Phone: Email: J -j5 u @ A SS c,ri a ydi L 6t,,e c,, License #: Lead Certificate #: If the project is exempt from lead certification, please explain why: K.-\ COMPLETE THIS AREA ONLY IF CONSTRUCTING A In the last 12 months, has the City of Eagan issued a permit for a similar plan based Yes No If yes, date and address of master plan: NEW BUILDING on a master plan? Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Fire Suppression Contractor: Phone: Phone: Phone: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeaaan.com/subscribe. Exterior work authorized by a building permit Issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. CALL BEFORE YOU DIG. Call Gopher State One Call at (661) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.aopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with th= 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 s = rt with • ut 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 pla 1 � 75P_N �V sSe4J Applicant Printed Name x Applicant's Sign DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Single Family Multi 01 of _ Plex WORK TYPES New Addition Alteration Replace Retaining Wall 3 flD 1, orek( sriOit )( Fireplace _ Porch (3-Season) Garage Deck XLower Level Porch (4-Season) _ Porch (Screen/Gazebo/Pergola) Pool 16e),d-LO Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Accessory Building Interior Improvement _ Siding _ Demolish Building* Move Building _ Reroof — Demolish Interior Fire Repair _ Windows — Demolish Foundation Repair DESCRIPTION Valuation 9� ate_ Plan Review (25%_ 100% K ) Census Code # of Units # of Buildings Type of Construction REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Foundation Before Backfill Roof: _Ice & Water _Final Framing 30 Minutes 1 Hour Fireplace: _Rough In Air Test Insulation Sheathing Sheetrock Fire Walls Braced Walls Shower Pan X Egress Window _ Water Damage *Demolition of entire building — give PCA handout to applicant Occupancy Code Edition M40,01S (ZE Zoning (1 1 Stories Square Feet Length Width Reviewed By: RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Radio Meter Read Copies TOTAL Final I MCES System SAC Units City Water Booster Pump PRV Fire Suppression Required Meter Size: Final / C.O. Required Final / No C.O. Required HVAC _ Service Test Gas Line Air Test _ Hood Pool: _Footings Air/Gas Tests _Final Drain Tile Siding: _Stucco Lath _Stone Lath _Brick _ EFIS Windows Retaining Wall: _ Footings _ Backfill _ Final Radon Control Fire Suppression: _Rough In _Final Erosion Control Other: , Building Inspector riAsa VA.; v; f"cru".... eve t .act ,,", 4- lit»- o rS 4- 911 59, ;;:2;? St, r39 5f. 1- g t9 St. Ft-. i nls4 Page 2 of 3 EAGAN 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651) 675-5675 I TDD: (651) 454-8535 I FAX: (651) 675-5694 buildinginspections cacitvofeagan.com (If 20 r For Office U /l v Permit*/v �7 Q? , I� Permit Fee: / Q /' Do Date Received: Staff: 2020 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 6/24/2020 Site Address: 3970 Worchester Drive J Unit #: Resident/ Owner Name: TJ Svensson Phone: 651-260-6026 3970 Worchester Drive, Eagan, MN 55123 Address / City / Zip: 9 Applicant is: ✓ Owner Contractor g — A _y Type of Work Description of work: Replace patio door; rebuild deck Construction Cost: 4,000 Multi -Family Building: (Yes / No ✓ ) Contractor Company: Self Contact Address: City: State: Zip: Phone: Email: License #: Lead Certificate #: If the project is exempt from lead certification, please explain why: In the last 12 months, Yes No COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? If yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Fire Suppression Contractor. Phone: Phone: Phone: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeagan.com/subscribe. Exterior work authorized by a building permit issued In accordance with the Minnesota State Building Code must be completed within 180 days of permit Issuance. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.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. alwaval�TJ DN. Svensson m=rJ Svensson, o, ou, TJ Svensson I�1yyr X .3 X A Dete: 202008240835 4 S Applicant's Printed Name Applicant's Signature DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation _ Single Family Multi 01 of _ Plex WORK TYPES New Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25%_ 100%_) Census Code #of Units # of Buildings Type of Construction Fireplace Garage Deck Lower Level Woache-(e/L_ tDtz _ Porch (3-Season) Porch (4-Season) Porch (Screen/Gazebo/Pergola) _ Pool _ Interior Improvement Move Building Fire Repair Repair Occupancy Code Edition Zoning Stories Square Feet Length Width REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Foundation Before Backfill Roof: _Ice & Water _Final �Q Framing 'A 30 Minutes 1 Hour Fireplace: _Rough In Air Test _Final Insulation Sheathing Sheetrock Fire Walls Braced Walls Shower Pan Reviewed By: Siding Reroof Windows Qe" po• / _ 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 Final / No C.O. Required HVAC _ Service Test Gas Line Air Test _ Hood Pool: _Footings Air/Gas Tests _Final Drain Tile Siding: _Stucco Lath _Stone Lath _Brick _ EFIS Whys 16e� 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 Radio Meter Read Copies TOTAL 19? . ' Page 2 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA163402 Date Issued:08/31/2020 Permit Category:ePermit Site Address: 3970 Worchester Dr Lot:3 Block: 1 Addition: Hills Of Stonebridge PID:10-32990-01-030 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. 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 - Hakan Torbjorn Svensson Po Box 650043 Dallas TX 75265-5 Specialty Work Services Llp 3320 Upper 147th St W Rosemount MN 55068 (612) 978-5458 Applicant/Permitee: Signature Issued By: Signature