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3971 Worchester DrPERMIT City of Eagan Permit Type:Building Permit Number:EA112306 Date Issued:08/07/2013 Permit Category:ePermit Site Address: 3971 Worchester Dr Lot:8 Block: 2 Addition: Hills Of Stonebridge PID:10-32990-02-080 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, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - James G Homan 3971 Worchester Dr Eagan MN 55123 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature s ~ ~ ~ ~ (gtr#t#tra#t of (Oxrupanry Citp of Cagan ~r~r~rtatetr~ of lugdiag itrsprcti,an Thls CudfiQate Lssueid pwrsucW to lJre r+eguiianwir ojSecdae 306 of !he Urrljorm Build'uV Code certljyisg dFat ar rke tune oJ'isrramae tbis saumne wxs tn c»mplimrce wtrh rlre ?arious oAd'rncncrs of rhe Qi[y resLlaaDig bugdg aonmucdon or use. For rlre fouowtng: tbt CWMT=d,s SF DWG/GAR Nk pamk No. 19177 OWWONCYTYP R-3 M-1 y.6gD,6. R-1 PD I~Wccft V-N Owww4wy„MWg THE ROTTLUND CO INCAd&m 5201 E RIVER RD 3971 WORCHESTER DR L-aw IBL B2, HILLS OF SMMRIDGE Dw-' AUGUST 28, 2991 swift offi" . Posr IN A ooNSPa$ous rucE _ . . . . . . . . . _ . . ~ • CITY OF EAGAN 'f 3830 Pflot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used tor S! diiQ/4AR Est. Value i1360000 pate JUNE S 1991 Site Address 3971 iORCH68T8R DRIVE LOt 8 BIOCk Z SeClSUb. H1LLS Of ~ OFFICE USE ONLY Parcel No. S'['OIIEB1t1DGE oocupancy R-3• M-1 FEES ¢ Name ~ ROTYU111D CO 1lIC zoN~ ~ !D i 7"0m (Actual) Const Bldg. Permit ~ ~ Address 3201 d Aiv88 RD ~~lowebley q~ 66,00 ° City F8IDLISY Phone 511-0304 r or stories s„rcrarge 49a.00 Length Plan Review o Name oepm 05 snc, city 100.00 Address S.F. Tolal _ City Phone S.F. FoolpriMa _ 'S~~ Mcwcc 'On Site Sewage Water Conn 6~ooo' Name W On Site Well - Water Meter 9s~w Address MwCC sysc.m ~ 30.00 i W City Phone City water 1j,_ ~~0~ PRV Required _ SNJ Permil ~.oo I hereby acknowlege that I have read Ihis application and state that the Booster Pump - S/yy Surcharge .50 inlormation is correct a(!d agree to cornply with all applicaWe St o1 276, Minnesota Statutes and City of EaganQrdinancll _ ~ ~ Trealment PI Signature of Permitee J~,>- APPROVALS ' - 3~~~ A Building Permit is issued to: ~~~LM 00 Planner Road Und - park Ded. on the express condition lhat 1 work shall be done in accordance with all Council applicable State of Minn@so Statutes and Ciry o} Eagan Qrdinances. Copies BIdg.Off. _ Building Ofiicial Variance - TOTAL 43 ~ .30 c _ ` Pennit No. Permit Floldet Da" TeIsphone N WATER ~ J i, SEWER PLuMewa ~rv / y9~ &a. H.vAc. ~C Ldo 3 • 7 y 9/ w".a+,,, oaft r„p. ca,w,.fft Fooarqs I l° 7 A~r Foundation S H cc Frarviireo 4 Rooling [R:o qh PIb9• 7- gh Htg. L~/l. .S replaoe Fnai Htg- orseai resc -p/ FinW Plbp. Plbg. hmpector - Notiy Ptumber Const. AAeter EngrJPten Bldg. Fir?al Dedc Flq. Deck Final Wed Pr. Disp. SEWER & WATER PERMIT ' OFFICE USE ONLY CITY OF EAGAN METER #4141 rV6 7 ck9'9 PERMIT DATE 6~ 5191 3830 Pilot Knob Rd. Eagan, MN 55122-1897 cHIP # 11 /fTD 7 7 9 D pERMIT # 12.L~4~ ~ METER SIZE 5 e Sk B.P. RECEIPT # :%13800 DATE ISSUE DATE B.P. RECEIPT DATE 6 5/91 _ PRV - BOOSTER PUMP SITE ADbRESS ' t PERMIT REQUESTED LO7 BLOCK 2-_SECJSUB °Fs Y ' SEWER - WATER _ TAPS APPLICANT: 's' h c? Q n t- t l u n r7 n_ jnf-, f COMMIIND X _ RESIDENTIAL ADORESS: 52 01 E River Road _ CITY, STATE r ric3ley, Mn. ZIp 55421 X NEW - EXISTING PHONE: 571-0304 ^ Lawn Sprinkler Meters are to be Instailed PLUMBER: va 1 l Pv Pliimhi.,f, Ahead of Domestic Meters on Water Line. ADDRESS: 61o(' rpp k r. a n p. Credit WILL NOT be given for Deduct Meters. c-- - n 52 CITY,STATEJordan, Mn ZIP 553 PHONE: 492-2121 l , 1 AGpEE TO CO PLY WITH CITY F OWNER: ''he Rottlun-:i Lc) I ns. EAGA ORDINANCE ~ ADDRESS: ~?n 1 F_ ~~l o r it.~a ~ CITY, STATE Pr i d t c? y - hl n ZIP 55A 21 P89NE IGNATU E WHE ETER ISSUED f-,'~ I./i f. . PLEASE'ALLOW TWO W6RKING DAYS FOR PROCESSING. CALL 4545220 FOA INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. SEWERS WATER PERMiT ' OFFICE USE ONLY CITY OF EAGAN METER # PERMIT DATE 6/5/91 3830 Pilot Knob Rd. Eagan, MN 55122-1897 CHIP # ~ PERMIT # 1204 - ~ METER SIZE B.P. RECEIPT # C13800 s'~~Ev.-.2 3w9 1 , ISSUEDATE B.P.RECEIPTDATE 615/91 4Yt~ f _ PRV _ BOOSTER PUMP ~ • SITE ARDRESS 397! " Drive PERMIT REGIUESTED LOT i~~BLOCK 2-SEC/SUB ' x SEWER Y WATER - TAPS APPLICANT: ThP 2titt1ixnd Gn Inr/ ADDRESS: 5201 E R i ver Road - COMM/IND _X RESIDENTIAL CITY, STATE F c x ci 1 ey , Mn. ZIP 55421 X NEW - EXISTING PHONIE: 5'i 1-0304 Lawn Sprinkler Meters are to be Installed PLUMBER: 'JA_ 1 1 AT F}.vmbi ng Ahead of Domestic Meters on Water Line. ADDRESS: f~ 1 0 CrPek r.~ nQ Credit WILL NOT be given for Deduct Meters. CITY, STATE Jord$n. Mn ZIP 'i.5'4 2- PHONE: 492-2121 I AGREE TO COMPLY WITH CITY 6F OWNER: rhQ FLAttZund EAGAN ORDINANCES ADDRESS: `i? 1 E. Fiver Rc,:rc+ CITY, STATE P r i A 7aM n ZIP 5 5.12.1 PHONE: 5 i 1--03bA SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. , . ~ CASH REC61P)", ~ . CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 a+TE aWuwr a oou.ARs - O CASH ~ CHECK ~I: i ~ i ~""~l I ~t i 1 + - , • _ -~1~ 6, t - FUND OBJECT AMOUNT r : ~ n l ~ x ~ . i_. ~ i_..i -r . C ' Thank You BV C 13800 Y = ~ C-MY INSPECTI4N RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: N•, 1 410 l' Eagan, Minnesota 55123 Date Issued: (612) 681-4675 ~ SITE ADDRESS: APPLICANT: ~ - ! i'~~~:r t~t I f l- ~~i .il . s li ~ ~~r~'• ~ „M~1i~ I t M t , 11. , I ;-ilf 1 i ~ i ~ ~ PERMIT SUBTYPE: TYPE OF WORK: ~ INSPECTION . D, i~~, ~ i i,i,~ i ~ . ~ J ~ Pe.mn No. w?mn Holder oat. Tebpnone r S/VN PLUMBING HVAC ELECTRIC ELECTRIC In~pectlon Dab Insp. Commsnts Footings I I Foundation Framinp Roofirv aoupn Plbg. Rough Hty Isul. Fireplace I Rnel Htg. Oraat Test Final Plby. P"• l^sPeca - NoW Plumber I Const. Meter I EnprJPlan Bldg. Final I oe& Feg. 5~2 ) ~ oeck Ffnal ~ weu I Pr. Disp. ~ I I ~ RESIDENTIAL ~ BUILDING PERMIT APPLICATION ' 3830 PILOT KNOB RDN 55122 g.0 ~ 14 651•681-4675 I 2- ~ NewConstruction Rmuirements RemadellReuairRequirements . 3 registerea site surveys shavirg sq. ft of lot sq. R. of house; and all roofed areas • 2 copies of plan (200/a maaimum btcoverage albwed) . 1 setof Energy Cafculatans for heated additions . 2 copes of plan showirg beam 8 window sizes; poured found design, etc.) • i sde survey for extenor additions 8 decks . 1 set oi Energy Cakulations • 3 coqes of Tree Preservation Plan if IM platted after 711l93 • Rim Jdst Detail Optbns sNection sheet (61dgs wiN 3 or less uniLS) DATE VALUATION (EXCLUDING LAND) ~ SO O'O JOB SITE ADDRESS 3?W IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNER ONe1~ ~6~/1-nJ TYPE OF WORK G-OWi,e- tr-t1ste- 07/Q~ FIREPLACE(S) _ YES _ NO APPLICANT V6tC& S~J~ESrTm~iJT3 (~pn/SG'• PHONE# ~57-42Y-5-ix9/ PAGER # CELL PHONE # FAX # NtIV RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category MINNESOTA RUI..FS 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submi - Energy Envelope Calculations Submitted MINNESOTA RULES 7672 - New Energy Code Warksheet Submitted gY __&n ~'2~ Plumbing Contractor: Phone Ik: Plumbing System Includes: Water Sottener Lawn Spiinkler Pee: $90.00 Water Heater No. oFRL Baths No. of Baths Mechanical Contractor: Phone # Ylechanical System Includcs: Air Conditioning Pee: $70.00 Heat Recovery System Sewer/Water Contractor: Phone # All above information must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Or ' nces. . Signature ot Applicanf /~,,~C[.a.,.•---~-- Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 1/01 OFFICE USE ONLY 0 Ot Foundation ? 07 05-plex ? 13 16-plex 0 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex 0 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OB-plex ? 18 Deck ? 23 Poroh (screened) O 36 MuIG ? 05 03-plex ? 11 10-plex ~ 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex PIbg--Y or _ N ? 25 Miscellaneous ~[r 31 New ? 35 Int Improvement ? 38 Demalish (Interior) ? 44 Siding r ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) 0 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement •Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation a("J DO. Occupancy ~ MC/ES System Census Code Zoning p-D City Water SAC Units ~ Stories Booster Pump Nbr. of Units ~ Sq. Ft. PRV Nbr. of Bldgs ~ Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) FinaUC.O. _ Footings (deck) 3o FinaVNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile ~ Roof _ Ice & Water _ Final - Other - - - Framing Pool Ftgs Air/Gas Tesu Final Fireplace _ R.I. _ Air Test _ Final _ Siding Stucco Stone o Insulation _ Windows (newlreplacement) Approved By4A6, Building Inspector ---_._--°----°-----------W Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total , • CITY OF EAGAN NO . 19 177 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE:454-8100 ~ ~ ~ Receipt # Tobeusedfor SF DWG/GAR Est.Value $136,000 pate JUNE 5 19 91 Site Address 3971 WORCHESTER DR1VE OFFICE USE ONIV Lot $ Block z Sec/Sub. HILLS OF Parcel No. STONEBRIDGE acupancy R-3, M-1 FEES s Name THE ROTTLUND CO INC Zoning R-1 PD $ 766.00 5201 E RIVER RD (Actuaq Const V~ gldg. Parmit ~ AddfeSS (Aliowable) VSd- Surchar9e 68.00 0 City FRIDLET PhOne 571-0304 Y ol Smries 498.00 Length 50 Plan Review zF Name SAME oevm 34_5 Sn0.cuy 100.00 $a Address S.F.ioial - 650. 0 ~ City Phone S.F. Footpnnts _ SAC, MCWCC IN On Sile Sewage _ ~Nater COnn 660. o Name OnSiteWell - WaterMeter 95.OD Address MWCCSystem Xy 30.0~ Acct. Deposit , City Phone arywaier 7{~[- PRV Required - S/W Permil 30.OC I hereby acknowlege that I have read this application and state ihat the Booster Pump - SiW Surcharge • 50 inbrmation is correcl nd gro lo c,pl ith all applicable St of 276.00 Minnesota Slatules and y ol Ea an r inanc Treatment PI Signature ol Permitee APPROVALS qoa0 Uni1 370.00 A 8mlding Permrt is issu : T^ ROTTLUND CO Planner - park Ded. on tha express condition Iha II work shall be tlone in accordance with all Council applicable State of M s a ty utes and C f Eaga rdinances gld9, pff, _ Copies Vanance - 7O7pL 4,3 ,543. 50 Building Of(icml Address: 3971 WORCHESTER DR Lot$ Blk z Sec/Sub HILLS OF STONEBRIDGE These items were/were not complete at the time of the final inspection. g-,2p ` Yes No (i4 '61, Final grade (6" from siding) ~ Permanent steps - gaiage Permanent steps - main entry L--" Permanent driveway Permanent gas Sod/seeded grass ~ Trail/curb damage Porch ? Basement finish ~ Deck Please verify vith the builder tha removal of roof test caps from the plumbing system and the shut-of£ of vater supply to the outside lawn faucet before freeze potential exists. ~a White - City copy Yellow - Resident copy Pink - Contractor copy -4051 ALBANY C13., L9, B30 qTE 6/7191 3971 NOR::HESTER RD., L8, B1, RE: 4056 CAMHERidELL D&.. L2. B4, H1LLS OF SYONEBRIDGE 2Nb x 4098-FORROOKE + + Your Sewer 8 Water Permit for the above property has been completed. It will be held at ihe -j Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO i C.ALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. ~ . F Xur Sewer 8 Water Permit for the above property cannot be completed for the following t asons: P~O -.a a _ Your Sewer 6 Water Permit for the above property has been completed, but the meter cannot be issued or occupancy allowed until further notice. COMMERCIAL PROJECTS ONLY: Please pay for meter at Ciry Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. 9/ 9i ~ . p,0 1_228 Reouesl Date Fee No ugh-in lospenron ) wrenI 7R..d, 11NoLty I_enen Reatly+ 1 ficensed coNractor ? owner hereby request inspection of above electrical work ah JOb AtlOr?55 19rpM BOx or qOUI¢ No o ^ Qiy Senion No ~ Township Name or No. IqdnyB No. CouNy OccuOaR 'PRMT, L1KY-~"~+~~ I•LTYN.(~ Phone N0. Pow¢r pher Ntltlre55 ?wr'. Eiec:nc GQ varor 1COmpany Name) Con;ractor's License No go , ~ . 3 Stndmg Atlpres5lCOnvaclor o~ Owner Making Installation, 4u:nmizec Sigrawre ~CO~vau OwneP a' ng Inshar,alion, Pnone Numoe, ~ ~ 63-3gi~ MINNESOTA STATE BOAFD OF EIECTRICITY TMIS INSPECTION REOUEST WILL NOT Griqgg-MiOway Bidg - Room 5-173 BE ACCEPTED 6Y THE STATE BOFPD 1811 Unrversity Ave.. SL Paul. MN 55ID4 UNLESS PROPEq WSPECTION PEE iS Phone (613) 642-0800 FNci nccn REQUM'FOR ELECTRICAL INSPECTION ;i :1~a ee-oooai.oe ~ ?*;ee?isZmmmns br compieung mis lorm on back o: yellow mpy `ii =~'S X" Below Work Covered by This Request 14e.. TypeofBmltling AppliancesWnetl EqwpmentWired ~ ~HOme Range Temporary Service ~ ~ ~Duplex Water Heater Electric Heating Apt. Builtling Dryer Other (Specify) Comm.llntlustnal Fumace Farm Air Condi4oner Olnerlspei Gonvactors Remarks Compufe Inspeclion Fee Belown Other Fee b ServiceEntranceSize Fee x CircwtsiFeeders Fee Swimmmg Pool 0[0 200 Amps o to 100 Amps Transformers Above 200 _ Amps III ove 10 Amps SignS iinsvecror§ Use Oniy ~^G~ TpL Irngahon Booms B J o ISpemal Inspection lAlarm/Communicatwn THIS INSTALLATION MAY B RDER D CeNNECTED IF NOT Other Fee COMPLETED WITNIN 18 ~ S. I, the Electrical Inspector, hereby Aobgni e ~_Y certify that the above inspection has Finai ~ Da~e been made 42 OFiICE USE DNLV ~ y TNS reouesl voia 18 montns Irom ~ a 67173 ReQUest Oata Frza No. augh+n Inspec~ion ~ eqeirptl~ ~ Reatly Now )~I"/ill Notiy InspBLlor Ves ? No Vfhen Reetly? IA hcensed contractor p owner hereby request inspection of above electrical work at Jo0 ptlOress ISVeeI, BoM or Ra te No ) Qry 3 Cil t Sectqn No Townsliip Nama w No Range No County n Occupa IPRINTrp 1 ~ Phai» No. ti 1A Power plier qtltlress Eiecvc Lon actor ~GOmpa Nama~ ConVactor5 Licensa No Mai6ng AUeress (Gonlractor or Owner Making Installatqn) AutMnzetl SignaWre (Comraa wner Ma rg st lion) PM1One Number -3F/Q MINNESOTA STATE BOARO OF ELECiHICITY THIS INSPECTION REOUEST WILL NOT Gtlgg.-Mitlway BIEq. - Room S173 BE ACCEPTED BY THE STATE BOARD 1821 Unlverslry Ave.. St. Paul, MN 55100 UNLESS PFOPER INSPEUION FEE IS Mwne(612) 66E-0800 ENCLOSED rf/S/~/ REOUEST FOR ELECTRICAL INSPECTION eaowoi-0e ? M See inslluctions lor comp,~ng Ihis lorm on back 01 yellow copy "X" Below Work Covered by 7his Requesf IN 67173 ewAtJ R Typeof Bmltlmg AppliancesWired EquipmentWued Home Range Temporary Service • Duplex Water Heater Electric Heating ApL Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Condilioner Olhar(specdy) ConVactor5 Pemerks. Campute Inspechon Fee Below: # 01her Fee # ServiceErnrence5ize Fee # Grcuits/Feetlers Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps Above 100 _ Amps Sgns Inspactors Use Ony TOTAL Irrigation Booms Special Inspechon ~ AlarmlCommunication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rouqn-in oaie certity that the above inspeclion has F,,,e1 oei been made. ' ~ ~j-y OFFICE USE ONLY This repuesl voiE 18 monlins lrom ! 1991 B~tLDING PERMIT APPLICATION GYAY 3 0 • CITY OF EAGAN ~ SINGLE FAMiLY DWELLINGS HULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PIANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCUI.HTIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS # OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, IIIiT NOT PICKED i1P BY LAST WORKING DAI OF MONTH IN WHICH REQUEST IS MADE. IAT CHANGE IS REQUESTED ONCE PERMTT IS ISSUED. NOTE: ADDRESSES NO RCHCORNER ANGES ~LL BE CALT.OWED O ONCE MBUILUEINGUPERMITII ~0 ~SS-IS__ , VL ~ PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A IT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. iqAY ~ O IgSI o Be Used For:l5Dc~jY ~MYI • Valuation: =f~' Da ~ Site Address -72±. hr. OFFICE USE ONLY ' 13GOD a" ? Lot ~ Block ~ FEES Occupancy 3 M'1 Bldg. Permit 76bi0o H I `LS O i= Zoning D R-I Surcharge 69,Oo Parcel/Sub Actual Const y-N Plan Review 9s.0a Allowable y-N/ SAC, City /DO,OJ Owner -77/F- z0o&n.,,( 117e, # of stories SAC, MWCC iJ~ Length ~ Water Conn. Address r-,'Z) C ~rzcJ . Depth 34'~a. Water Meter ~5,~ao S.F. Total Acct. Deposit 30.00 City/Zip Code SS~{7 1 Footprint S.F. S/w Permit :dFa, Od S/W Surcharge 0 ~0 Phone On site sewage_ Treatment Pl. ,ry6,00 On site well Road Unit `•V1D,U') Contractor ~1J61E• MWCC System ~ Park Ded. City water ~ Trail Ded. Address PRV _ Copies Booster Pump _ City/Zip Code SUBTOTAL APPROVALS Penalty Phone Planner Lot Change Council TOTAL ~1 R0 Arch./Engr. Bldg. Off.~,~-/ Variance ' Address City/Zip Code Phone # agrees that all work shall be done in accordance with Signatu e of Contractor) all applicable State of Minnesota Statutes and City of Eagan Ordinances. 1/A L c.~ A-n e'-q Z 14L( o K(s ~ t~a ~ U~ [3S r'1T - ~ tX~~6 = r) kL( ID~y K~~= ~Lc~.~~~'~1'; I °V'Y 5"3 = S'7 2q 3 Z F j~ 1~~UJ•_ i?c7= ~07~ x = SL 76 -5 ~ Pioneer Enelneer~nv baiyvac r_o~ 2422EnterryriseQrire *pIQ EEFI unowaveraae.n~ LMrJ necaa MendotsHaigfits.MN54T2q * ID" 1mBrilg.. MAM«cu.u..oac~.c,aun~ccre *4r (812) 681-1914 ~ CertiflcateofSurvayfOt:~/7E QOTTLUlYD QMpqNy Z.4~~^ ~ h\ NorlrH ~ 'r~° ~'y ~ a ~ 114.~y`~ ~ .4 0, W N.h . Q~~'y ~'4^ ~ q• V' 5L~~ N. ~~t \ \ 10 ~ y4 sts ''-,t~ \o1f a n~•.'~''D gs ~ ?~~,~,(,y , ; ~ ~ _ , ~ . By D , +e rz.oYA1G = 900.0 Denoi`es rxislin¢ Flewfran Pavnoa . N.cws...........SEt'kVAT10N5 • soo.o pmoles prapabW E/rvatiarr ---'--pMoftsOmmu t{ulih~fas[~»mf CowerfFlnorE/evalion = 903.5 t)rnotes Dr4' rFfow rrows 7'op vr'BlockFJevafl'nn = 9t1 .z o Drnofes rnohumtnf GOrpk, Slab E7evairor7 =~~a•F 8earrn,V shown ore assu?r?ed ~OT COUN 8~, BLD ~K 2 l'"'~ . SusiEl?~,a0f17vTO~ESRIVGE 'ro 1 herA,r canny cMe ehy li.,.ey. den a rcpa.t wa. yy " or uM" mv dhe" pipe~yfOn ony {lyt I Mn duly Nev iSlwretl l7M $urveypt undN tM Iavn of Ihe StsH ol Mlnnesots. Oaletl thk ~'~'ay ot ",4 Y AD, 79 sca~e =1 ~ = 402d -A.-Sit~l 1_5. wF_ . f10. 1~l9I J X . . • 7'NE HfFMPToN . ' • ' ' F't17nier+ I't1VELnI'}' A6h:l(Ar,t: "u" CUMPII'PA'I'Iegu oll-N En S:?'L ADD?ESS ~c3T V~LOC~I~ Z E-'I ~ ' 1 ~-LS o ~ STb~.Jc~'$Rt p(r~. ccNTRAcTon iRDj7Z(J1vlo Ga, D:,TF _ PitoNE Determin vorkini; squnre footai-,c of each. 1. Total er.pesed wall aren VO-75r, Z sq. tt. x 0.11 _ 2Cts~, Z • 2. Total roof/ceiling a-ea /D (p~' sq. rt X 6,020 = 27 • . iotel esposed vnil aren nDove flo<+r = ZC~ ~ S a. Total wall vindov area Z 17.7 c b. Tota1 doo^ area . ~ • c• Total sliding gluss door area : d. Total fireplece wall nrea . e. Total wall ;raming area (average lOS) . f. Total net wall aren above floor Z z,p B• Total rim joist area To'lai eaposed founclntion Rrea Z~, h. Tetal foundc:<_on vindov a:ec • ' i. Total net fo;Lndation area above Z7, f.r.ade . . . . . . . . . . . . Deterr„ine °U" value o: each wall :ep;ment. (r 1 -7, / s °U° ~r 'T L - q 1 . 1 7J b. -7~ C. 39.91 X d. X e. 7I3. SC~o X ~lU,l ~.08 q = ~~.~0 r. r9ZZ,o~ 0,0¢3 . 2 43, Z X„~~„ h. X X „u„ . 3 . If item d3 is the sarne as, or lesa :.h:.n .ilen pl, you nnvc met the intent or sac 6006(c)2. Totnl exposed rooC/ceilinG aren ~ . . Total gross roof/ceiling arc:i J. Totel skylieht area k. Total roof/ceiling traming area 1. Total net insuleted roof/ceiling area Detex-mine "U" vnlue for cnch rouf/cei I int; aciment. x n U n _ ~ . k: X„u„ 2~7 = 2~ 8 7• • i. X.,~,, p.a2Z - 4 . Total ~ • o~ If total of N4 is the same as, or less than N2, you have met ttte intent of ssc 60o6(c)i. To utilize the to'lal envelope system method, Lhe values establi;hed by the sun of items N3 and 84 shall not be sreater.thnn the sum of iten:s B1 and N2. 1. + 2. _ • 3', + . . . r, . U _ J ° 6AIeUt-ATlo w-,7 (60NT). LOMf'ONt~ N-fZi R-VAtA4E a4~~ M AIF- Fi L,M 2 ' 19.0 eD o, 45 - AIg- rII.M, -_----p;Ccb - ~ L 23,O1 - , I ~Tc(AL . =-fFAMS WAu. C. ~'(L!D . LoMPC7 NLNTS ~ . . ~ Fz--VAI,U5 1 o_uT,!:,j0E Rig- RI.M. ~ 3~ hH~A'jH I N b, 2.O Cr _ 4 4- ~Xc. h'P.ID(FPAM Kk) - `t--~g-.--- J--.~~ o-~a~=--- _ . ~'fofAt~---1 ~ • I C~ _ ~~1~1• vl~w. ~SAL i -1~J41 P~. ~~Ur= ~0,12 X o.0~9~ t~o,Sb X o•043> = 0. o¢7 i - ~e~t~ ~ ~l-Jtit~u~. -._:I9•_o I N( of . S 2 ~5 ~DING-- - -o.Co2 i r~ o. o t ~-1 _ --V-'UN!1~- I °•e)i : i ~ - - I C ~ ~ o, ob: f /2 r3 . • . , . - @--~~r-~ ~ ; , 'OL H! 2 J= a 5.0_--- 40 Q I rz-~.. 3 4 S R° 3~-8-3---- - - - ~ = O, 0 27 ~ ~ ~~iI~F?~M: ~ , ; 3 ~'~-5:~ 3-- - ` 4' I1,~ =D.022 I 1 . f- ITYOF PAGAN PERMITPERMITTYPE: suzL o N 3830 Pilot Knob Road Eagan, Minnesota 55123 Permit Number: 021005 (612) 681-4675 Date Issued: 0 5/ 2 4/ 9 3 SITE ADDRESS: 3971 WORCHESTER DR LOT: 8 BLOCK: 2 HILLS OF STONEBRIDGE P.I.N.: 10-32990-080-02 DESCRIPTION: Building Permit Type DECK Building l:lork Type NEW ,UBC Occupancy , R-3 Building Length 14 Building Width ~ 17 11 REMARKS: FEE SUMMARY: Base Fee $25.00 COPIES $1.00 Surcharge $.50 Total Fee $26.50 Subtotal $25.50 CONTRACTOR: - APPlicant - ST. LIC. OWNER: JOSEPH CONST, MARTIN 14366826 0005447 HOMAN JIM 8130 ST CROIX TR S 3971 WORCHESTER OR HASTINGS MN 55033 EAGAN MN (612) 436-6828 I hereby acknowledge that I have read this application and state that the information is correct and a9ree to comply with all applicable State of Mn. Statutes and City of Eagan Ordinances. - ~ rv,n m,I ~h.11 APPLICANT/PERMITEE SIGNATURE ISSUED BY. SIGN TU ~ INSPECTION RECORD CITYOFEAGAN PERMITTYPE: BuzLoiNs 3830 Pilot Knob Road Permit Number: 021005 Eagan, Minnesota 55123 Date Issued: 0 5/ 2 4/ 9 3 (672) 681-4675 SITE ADDRESS: LoT : a B L 0 C K: z APPLICANT: 3971 WORCHESTER OR JOSEPH CONST, MARTZN HILLS OF STONEBRIDGE (612) 436-6828 PE pM~K SUBTYPE: TYPE OF WORK: NEw INSPECTION . FOOTSNG FINAL . - ~ - - - - -~~-1.~ ~ REACTIVATE _ 91Zt~;tU\V~D %.IIT Vt CAtaAfV PEFMIT # ~~Y 2 O 1993 993 BUILDING PERMIT APPLICATION 124 681-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month. in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date ?3 Valuatio," Site Address: 397/ _h,~. STREET SUITE Y Tenant Name: (commercial only) IAT ~ SIACK ~ SUBD. I n', P.I.D. * ~i'1, U rJ P,P9( ~ Gt Descri tion of work: c~ The applicant is; ? Owner Ql,<ontractor ? Other (Describe) Name Ho m? A-r./ Phone Property LAST FIRS, Owner Address 71 l,r/dI'---e-eg S7 c.st- STREET SiE M City ~4 irN-n/ State `"a`. Zip Company /Wa~Tr.L/ 2-os ~bp~ ~r:.vsT, oQju . Phone C011tf8Ct0r Address ~7/36 ~r-CX'a%ir 7° sn. License # 4WcS,37Exp.~ City 11~14S"n416i State AW/0 Zips-5 Architect/ Company Phone Engineer Name Registration # Address City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this aPplication and state that the information is correct and agree to comply with all applicable 5tate of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE 0 01 Foundation 0 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish ? 02 SF Dwg. 0 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool ? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind. 0 04 SF Porch 0 09 12-Plex ? 14 Fireplace ? 19 Comn./Ind. Misc. O 05 SF Misc. ? 10 Multi. Add'1. ^X 15 Deck ? 20 Public Facility ~ 0 21 Miscellaneous WORK TYPE p 31 New ? 33 Alterations 0 35 Tenant Finish ? 37 Demolish O 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) Basement sq. ft. MWCC System ~ (Allowable) lst F1. sq. ft. City Water UBC Occupancy 2nd F1. sq. ft. PRY Required Zoning Sq. Ft. total Booster Pump of Stories Footprint Sq. ft. Fire Sprinkler Length ~ On-site well Census Code ~ Depth ~ 0n-site sewage S C Code ~ APPROVALS ~1 ~•rw.~ 1 ~ Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS ' O Site ~ Footing ? Framing ? Insulation ? Wallboard Il Final O Draintile ? Fireplace Permit Fee o~• oo Y•tuotia+. S Surcharge o Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Oeposit S/W Permit S/W Surcharge Treatment Pl. Road Unit Park Ded. Trails Ded. Copies 1•Go Other Total : SAL % SAC Units ~ # 2422 Enterprist QriVe PIQ EEI4 ~,,,,,,,t,,,R,.avIL oemNeeas Mendoti Neights. MN S8T2O {912) 681-1914 Certiikateo}Survsyfor:~7WE QQTTLUND CI~MPANY "`v'• \ /4~ } ~ Co h\ NOR7N ~1 / ? p ~a IT ~y ~ y 9p¢.4 y~ ~ ~ , o~i~ ~qb W /o ~S '~~i tih (/~~v ~ i ' 'TS~ ~ soo.n Drnofrs rrrshnQ Etewfion PROPUSE~ NOVS~' E~~VRTIONSA` ; . soo.n Denoia prypn~d Elevation > -"'--Drno%s pmrno tI utiJil) fostmtnf Lowest F/oor flevafion = 903.5 ~ benofes Drq"rFlow /Irrows Top or'Bloc%FJevofinr) = 9rr.z ~ o Denoles monumenf Gorak, S/ab E!'evation = -110.9 8earin~rs shown are assurped ~ LOT 81 BLOCK 2~/,Il~tt ~S ~oF ~$T4NEBRIDCE I OaKorA couNTT', M!~°~'FSOT~a I I ne~en cae+r enst my +v,sv. plan w.eoo.+ w. DY ~ or wde..nr dNet svpwrnWOn a.d Mtt I inn l{uhr Repis1ned l7M ~rveYw I.... w ehe aca. e~ r,annesoe.. a~.a ~M. x `'ener ~Nt A Y ao. 19 ~ ~ , i 9 $CU/e 40fid , S~IIG.SS !-_V'V OpEAtII.S~K~ ~ S.oC .rp.]~t9i I ~ I ~ ~ CITY OF EAGAN FOR CZTY USE ONLY 3830 PILOT KNOB ROAD EAGAN, MN 55122 PERMIT # PHONE: (612) 454-8100 RECEIPT DATE: #=011~~ PI.UH$TNG:;P.EYt~tIT O 9 RESSD~i~S2AI::; PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS 6 . . TOWNHOMES/CONDOS WHEN PERMITS ARE REQUTRED FOR EACH UNIT. WORK DESCRIPTION COMPLETE THE FOLLOWING: N0. FIXTURES EA. TOTAL NEW CONST ~ ADD-ON MINIMUM 15.00 ADD ON ~ SHOWER 3.00 3 REPAIR _ 3 WATER CLOSET 3.00 `1 a BATH TUB 3.00 G 3 LAVATORY 3.00 9_ OWNER NAME: ^PNn NIl_ KITCHEN SINK 3.00 3 I LAUNDRY TRAY 3.00 3 SITE ADDRcSS: ~c111 _.'oz hcs~~ HOT TUB/SPA 3.00 /,(d;Q,@e, I WATER HEATER 3.00 7 LOT:~ B1ACK SUBD. FLOOR DRAIN 3.00 '3 GAS PIPING OUT. INSTALLER: \Ifallc 4 16 C 1 (MINIMUM - 1) 3.00 :3 3 ROUGH OPENINGS 1.50 ADDRESS : ~ 1 u CE'cz V C_. _ OTHER WATER SOFTENER 5.00 CITY: 3o2c5 n_ ZIP: 2l 3i:) _ PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 PHONE it : ~ SUBTOTAL S ST. SURCHARGE .50 SIGNATURE OF PERMITTEE TOTAL: $ COMMHRCZAL/iNDUSTRIAZ:PLEASE COMPLETE TAIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL SUILDINGS AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNZT. ° CONTRACT PRICE: FEES OWNER NAME: 18 OF CONTRACT FEE. STATE SURCHARGE e $.50 FOR SITE ADDRESS: EACH $1,000 OF PERMIT FEE. IAT: BLOCK _ SUBD. $25.00 MINIMUM.FEE. INSTALLER: CONTRACT PRICE x 18 $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE (SIGNATURE) FOR: CITY OF EAGAN \A , CITY OF EAGAN FOR CITY USE ONLY -±9,? 3830 PIIAT KNOB ROAD EAGAN, MN 55122 PERMIT # PHONE: (612) 454-8100 RECEIPT # U ~ . - oCwICAxi PEItMlT DATE : It~SID$NxIAx.,! PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMZLY DWELLINGS & _ TOWNHOMES/CONDOS WHEN PERMITS ARE REQUZRED FOR EACfl UNIT. WORK DESCRIPTION FEES NEW CONST ADD-ON MINIMUM $15.00 ADD ON HVAC 0-100 M BTU 24.00 REPAIR _ ADDITIONAL 50 M BTU 6.00 GAS OllTLETS - MINIMUM 3.00 OF 1 PER PERMIT OWNER NAME•. \ V~9 ~`~~%l1_.\U~~, SUBTOTAL: ~ ADDRESS: STATESURCHARGE: .50 LOT: ~ BLOCK a U D.~ ~.e. TOTAL; G FIdC~ `H~G. INSTALLER: 9303 Plyrtlfluth Avo Np frlOan Valley, MN. 55427 ADDRESS: SIGNATURE OF PERMITTEE CITY: ZIP: PHONE #:1 COMMERCTAY.JTNAVSTRIAI:: PLEASE COMPLETE THIS PORTION FOR ALL COMt~iERCIAL/INDUSTRIAL BUILDINGS, ~ ~APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: FEES OWNER NAME: 18 OF CONTRACT FEE. STATE SURCHARGE _ $.50 FOR SITE ADDRESS: EACN $1,000 OF PERMIT FEE. PROCESSED PIPING - $25.00 LOT: BLOCK _ SUBD. $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 18 $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE (SIGNATURE) FOR: CITY OF EAGAN ~ . n . BOULEVARD TREE PLANTING OFFICIAL PERMIT PART III APPLIGA~~iT INFORMAI'ION: APPLICANT NAiM: -J A M ES A nf D b 0 ts N R -Nv M(j- N ADDRESS: 30I-11 Lvv2CbI-ESi E2 t) (LO EAC-,lk+J MN 55123-16SS TELEPHONE: to"-°l i Z 1 ADDRESS OF PROPERTY TO BE PLANTED: 3q7I. D2 OWNER OF PROPERTY (If different from Applicant): sa.,, aS ~,bove TREES TO BE PI.AiNTED: Distance Tree Varietv Size cation from curb Example: , Marshall's Ash 1 1/2" dia. 15 feet south of driveway 11' 1. ('Glacc Niii sp,-„re `seedkni fl alonc, S+nwC-b~ictyz'~r IU2 apPro7(~vna~+'~y ~2~ QQ4,/`~ . 5rK~ ~-i,l spro« 6,1 srcdil ~ 3. 4. DiAGRAM: Please attach a rough diagram of your lot and the right-of-way area showing the location of struc2ures, buildings, driveway, street edge or curb, and location of tree(s) to be planted. Pltasa noi-e *iat -fhesc 11 Sttal„ys h4ve already bten PI ah4ed alo~q S{vr.~h,tdqe N. We w~ ll v,~ave i-1-,ewl ir, ~ 01o6er h o ~sc re~vired lo1 fl^e Ptr.,.,'-t g iven , W~ ~~aN ON i'I-nnirrq 'n"Crvi I~4Fri^ dCPZVI~~v~q 0 V1 W~i iek GV1CS J ~ SUrv~~c, AGREEbENM I agree to plant the boulevard trees according to the above stated conditions. I have read and understand che Ciry Ordinance pertaining to tree planting and maintenance and understand its contents. A copy of the ordinance is attached to and made a part of tlus permit herewith. I understand that the Ciry of Eagan assumes no liabiliry or responsibility for injury or damage to persons or property however caused through the issuance of this pezmiL All work done under this permit shall be performed without cost to or obligadon by the City of Eagan. Signature oi Applicant Da e L$ignamre of ProQern+ Owner Date (Please keep information sheet (Part IV) and return this signed portion to City Hall, 3830 Pilot Knob Road, Eagan, N[lY 55122.) FOR CTTY USE: Property I.D. # i 6 -3 a 9 q o r Z v Pv LotBlock Subdivision f./, (,r , ren F.S'~r-o a td'" ~f' .r/ Applicarion Rewrd_~ ~ Reviewed by: ,g eering Dat Reviewed by: S- t0-Ci{ Ciry F e te Date Recorded by: Dat I'wp:blvdttee.pla Rcv. 9/20/90 jAf~o At~ p U a NNA ft-B"<tJ k -s • e~t~.-~,.. ((ti -it,s,.t ~ .,.~u ~ ~ 6.~. l ~ tiack. Gn,., C~4 revr-J a~y kz,)-- $viow .in.ovn.t ov. YAN,OL rI-1N 0 6 a O ~ a ~ 8 ~ ~ _ a ~ 3971 m ~ ° LL,10(~Ct'tC-~TE~ ~ 'D (L c~ • r t~ c WvReH~~~ Dl~ PERMIT# / RECEIPTDATE: ~I ~D • RESIBEN1'IAL PLUMSINC PEMIT APPLICATION C11'Y OE Ed4fiRN 8$30 PILOT KNO[i RD E.4fiRN, MN 55122 651-681-4675 Please complete for: ~ single family dwellings 1 townhomes and condos when permits are required for each uni[ : 6ackflow preventer for irrigation system SITE ADDRESS: 377I WOQZGwllrS~ 4119A OWNER NAh1E: : J/ Pl XyYIA /CJ 7ELEPHONE (AREA CCIDE) INSTALLER NAME: W~pjZ.EL M6CNAA)1C&,TELEPHONE 6s1 166-5 STREET ADDRESS: 1?6-9 S/~j*kIIV Er_ )e, (AREA CODE) CITY: G.L},r./}AI STATE: NlU ZIP: 66-127- Place a check mark next to the permit work type New residential dwelling unit under construction and not owner/occupied $ 90.00 ~ Add-on, modification or alleration to existin dwelling unit, including: $ 50.00 • abandonment of septic system • new installation/repair/rebuild of RPZ • lawn irrigation system • waterturnaround r1 Nature of work: J~IN/S~~I QS~T k/ K/ y _ Septic Systeni, new/refurbished - $ 225.00 • includes County & Consulting Inspector fees • requires MPC license State Surcharge I m~~~(~ 50 rotal JAN 17 2 01$IL~t~,0,So Reminder: Be sure to schedule inspections of alterations, i.e. vi+ater heaters,.`at_e_r-sditeners, etc. I hereby acknowledge Ihat I have read lhis application, state that Ihe informahon is correct, and agree to compty with all apphcable Ciry of Eagan ordinances. It is the apphcanCs responsibdity to notify the property owner that Ihe City of Eagan assumes no liability for any damages caused by the City during its normal operahonal and maintenance activities to the facililies constructed untler this peNt withi y property/right-of-way/easement. 67 ) , C JA"AAA&~- SIGNATURE OF PERMITTEE , Updated 1101 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA120081 Date Issued:01/15/2014 Permit Category:ePermit Site Address: 3971 Worchester Dr Lot:8 Block: 2 Addition: Hills Of Stonebridge PID:10-32990-02-080 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Deb Larson 8815 209th St Lakeville, MN 55044 Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087 Surcharge-Fixed $5.00 9001.2195 $60.00 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 - James G Homan 3971 Worchester Dr Eagan MN 55123 (651) 686-9179 Drain Pro Plumbing 8815 - 209th Street W Lakeville MN 55044 (952) 469-6999 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink For Office User (� ::::e: City of Eaaall 1 11 3830 Pilot Knob Road f ' , Eagan MN 55122 Date Received: -' Phone: (651)675-5675 RECEIVED ,1/1/ Fax: (651)675-5694 Staff: :rr MAY 10 2017 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 54c)' \"3- Site Address: 9.'.4 1 rd \es( . Unit#: Name: Ac 41jrMfi I` Phone: -6s,c— yi4ce �`4s e n t L ^.. .� ,_ v owner Address/City/Zip: ( + ` vim 1/14bre Applicant is: Owner Contractor Description of work: ((CJ f...Aa4..../_J Y ig— / TyPtt O # #m Construction Cost: Multi-Family Building:(Yes /No ) lz, 0 Company: s - • &_ • e e...((.3‘e...((.3‘ c C_ Contact: 12r t-.tt-' 1�.. Contractor Address: 3� [cGr City: n � ,,II �-7J r ' , State:/V 'hZip:SS6`G-7 Phone: (Z`��6.I3JEmail: ) 7 (44ii C L/U ' ` License#: gcs6ecrqs Lead Certificate#: --- If the project is exempt from lead certification, please explain why: ,7k-0--es - (` D_- /3vrt. i f,;,i 9/ 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: f ants!pat ou submit are;consideredl o be ublic i • »atio s f NOTE:Plans and su orcin ® � . �' the info nation m be . fled as b ub c If you Pl° c reeso t l a C� ' ' cone;. that they are tract" �.* , KK 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.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and co•- of the • of Eagan; that I understand this is not a permit, but only an application for a permit, and wor not to start without a permit; that t — 'i I be in accordance with the approved plan in the case of work which requires a review and approv of laps. Exterior work authorized by a building permit issued in accordance with the Min sota - ate Buil.' : Code ,be comp -ed w'hin 180 days of permit issuance. cc a x1��. 3J)f X t/ x -/i e 1 Applicant's Printed Name .p, ican - -z W W Page 1 of 3 392/ lo,)orcitester 0( DO NOT WRITE BELOW THIS LINE 4 /Lf3. D g' SUB TYPES Foundation Fireplace Porch(3-Season) _ Exterior Alteration(Single Family) Single Family _ Garage _ Porch(4-Season) Exterior Alteration(Multi) Multi , Deck Porch(Screen/Gazebo/Pergola) 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 Iiaoo Occupancy '46,- / MCES System Plan ReviewCode Edition /49/5# SAC Units (25%_100%_ Zoning A--/ City Water Census Code 1/31 Stories / Booster Pump ---, #of Units / Square Feet ,°L y/0 PRV -- #of Buildings I Length /t Fire Suppression Required Type of Construction ' Width /G REQUIRED INSPECTIONS Footings (New Building) Meter Size: ye 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: Reviewed By: , Building Inspector RESIDENTIAL FEES via „y D 1,a i54G/0 3Ge ' � Base Fee X03 �' !fi► Surcharge Plan Review G74--=-- MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of 3 t11��tawrta --o - 2422>=ntetprise Drive *P*1 . E_EQ --- t.A�tvaim,tvato•C vrt-421011 Mendota Heights.MK 31 i no i �.. t-wno rlAN tens•LAtottocopt onctn, * * f8121 681-1914 - Certificate of Survey fon: rL LiND COMPANY \ 7gd,.i • • "' 2 '. o sr.t Nom 14 �' \ 'r,,,,, /f ```1 ';F ' A late, / N. -,�►�, ca it, `,, \ \2.1* -s./ 4. P tip--, LG C t p� K ay -- _ W ``'' V • _t‘ am - 4'4°‘ v � A- , . .10'oft10 0 (+ ://:4:::. . „0. 7., - bt / 10,1‘cfr \ A \ „,..... e 'i,, i 4. tere, '/, *�_ ;�' .4. py (tkl° tI may` t 44fr<4;241 a # 41 i% • 11P Vo• ,, .. r e'-' rt) iv O. , -:7 1 L...-g. : BY: f 1 alte CV %if i:„ '-g. 11 t'-'3 DATE: 5/ 2.11/t BUILDING II aS,;-L: ji---4jjj/ CTIONS DIM. /J~r�'�//7�/:1�.� 900.0 Denotes exrstin Elevation P+avoo . N.•. sw�Eir,�Vo doors [s0o.)oenofes �d Elevation --wt., A__Denotes mat tllili,�` Easement Lowest Floor Elevalwnn = 903.5 Denotes Om* now Arrows Top c.'Block E-levali 'It.z_ o Denotes monument Qaro§e S `lab neva/on = 4/6-9 8earrn rs Aomori ars assumed LOT S ) 9LOCI( 2 I I-/lit 5 OF Sro WEMRIOQ( / 0AKoT4 COUNTY, MrnWESOTA . gilefeCT TO EASEMENTS OF RECCIOD 1 ht'rebv coin,"thin this t4*+e f.Peon or moon was Di br e or omit*row dveet su0ervbfon sod tbet I ego duly Repi;tPred livor Survt:yot undlova sr(be loof Ow Stott of MInnesote.Voted el*_, ,or It"t 4 Y A.D.t9 4 1 5—C-CIAJ,Lni-Sh 2 4.---- gl' / $�fJ�.B .otiEAt Pi.saki 1 S.it£,r+o.34.91 .4 - T -- -- --- -- - _.._ ., +w PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA161824 Date Issued:06/15/2020 Permit Category:ePermit Site Address: 3971 Worchester Dr Lot:8 Block: 2 Addition: Hills Of Stonebridge PID:10-32990-02-080 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 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 - James Tstes G Homan 3971 Worchester Dr Eagan MN 55123 (651) 434-4964 One Hour Heating & Air 11825 Point Douglas Rd S Hastings MN 55033 (651) 437-4177 Applicant/Permitee: Signature Issued By: Signature