3565 Woodland CtCity of Eaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694 JUN 0 7 2011
RECEIVED
Use BLUE or BLACK Ink
Permit #:
59/
Permit Fee:
Date Received:
Staff:
2011 RESIDENTIAL BUILDING PERMIT APPLICATIO
Date: ? ^'
Site Address: Unit #:
J
47-11
RESIDENT /
OWNER
Name 4-1-7) r`'' 5cJ je ( Phone: 651- 41s-2-0 4 z
City p: 3 S- l� / S. V' b a C� f j G (-4- eel t, MeV 3—g' 2 3
Address / / Zi
d
Applicant is: Owner A Contractor
OF WORK
/
/4,,
Description
Description of work: e20,0 t kL6 �ta Scme.y� a s % ;Milli
OisTYPE
f f0aC- NDI 4711
Construction Cost: S"; OF�tMulti-Famil Building: si/ )
CONTRACTOR
Company: dell S Orn 6 EA ;Uzi-- i.L Contact: Pe -AAP -C" /4 apire) ✓'.
Address: 3S % /...,k rt -,o Al, /fr. PD. ?-4-7 City: Ze4 & els/-0
State: //V Zip: SS O (4 Z_. Phone: ry S (- -777— 3S"63
License #: 0 CD 0 2-.90 j Lead Certificate #(.0 j, `- %„ 12 ' n V ' '223 m
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
iAl/-/- 00 0A - r' /977
In the last 12 months,
Yes No If
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?
yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:;
Phone:
Phone:
Phone:
�n 1i i do a a5 � i�J rubmi G i a
art% r a -r �Y + �1a%�� � � ut y r vipf
4i K dude t� ey are er . i.. .-.,; �'"w✓`dz ,:.c c?'i'.:Y - .:$�Sja dib -¢'., , .a
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 rrdinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, a ork is not to start with.ut a permit' that the work will be in
accordance with the approved
plan in thejcase of work which requires a review and ap rr rr of plop..'
x , l�'t49 lS 4tco x Mir ( yaw
Applicant's Printed Name App icant's ignat re
Page 1 of 3
42 0ak
DO NOT WRITE BELO THIS gNg v9sw
SUB TYPES
Foundation
"Single Family
Multi
01 of _ Plex
Accessory Building
WORK TYPES
New
Addition
Alteration
Replace
Retaining Wall
Fireplace
Garage
Deck
Lower Level
Porch (3 -Season)
Porch (4 -Season) _
Porch (Screen/Gazebo/Pergola) _
Pool
DESCRIPTION
Valuation
Plan Review
(25%_ 100% (`
Census Code
# of Units
# of Buildings
_ Interior Improvement
Move Building
Fire Repair
Repair
;C(5 -to vo
Type of Construction v'6
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
X Footings (Addition)
Foundation
Drain Tile
Roof: Ice & Water Final
X Framing
Fireplace: 1 Rough In X Air Test xFinal
?( Insulation
Sheathing
Sheetrock
Reviewed By:
Storm Damage
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Gc- - Demo�rs u g ekcii
a
Reroof _ Demolish Interior L-• y
Windows Demolish Foundation 0100011
Egress Window Water Damage
*Demolition of entire building - give PCA handout to applicant
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
Siding: . Stucco La ' Stone Lat _Brick
Windows
Retaining Wall: _ Footings BackfillFinal
Radon Control
Erosion Control
, Building Inspector
Air/Gas Tests _Final
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
(,c,,vvr ons•
-r ')° r.
4
955;-`)(3°
Page 2 of 3
11011M • INN
1 •
NON
IMO Wier ng
LAND EURKYO14S
• wt. otoveERs
LAND PLANNERS• LANDSCAPE ARCHITECTS
Certificate of Survey for:
• (9944
:# 994.2-
EAG P 0
E
2422 Enterprise Drive
Mendota Heights, MN 55120
(812) 881-1914 FAX: eel --9488
625 Highway 10 N.E.
Blaine, MN 55434
(612) 783-1880 FAX:783-1883
R.A. KOT HOMES
3567 WOODLAND 40URT
--- 92.00 S89°50' 56"E
(ee-1.S)
ei
Dos
.41
�VF Y
BENCH MARKHT6 �V �
if
ELEV.=9102--- - ♦ r'
1, 44'
of
N
x904.5
I
ELEC, 1ELE.G
TV PEO8..,„.4
911.6
911.2
0
N
1`.
r
I
WOODLAND °
COURT
q-. •909.95
;- 9IS0
10.04
910.89 to, $°57'
0113
1111
( 915.0
31.47
BERM. M�IA{R�gK
1 ELVQ 9IZ.18-/
PROPOSED GRADES SHOWN PER GRADING PLAN SY: BR W
NOTE: BUILDING biMENSIONS SHOWN ARE FOR HORIZONtAL AND VERTICAL
LOCATION OF STRUCTURES ONLY. SEE ARCHITECTUAL PLANS FOR BUILDINO
AND FOUNDATION D MENSICNS.
NOTE: coNTRACfOR MuSt vtR;:Y DRIVEwAr DESIGN.
NOTE: NO SPECIFIC SOILS INVESTIGATION HAS BEEN COMPLETED ON THIS
LOT BY THE SURVEYOR. THE SUITABILITY OF SOILS TO SUPPORT THE
SPECITTO HOUSE PROPOSED IS NOT THE RESPONSIBILITY OF THE SURVEYOR.
LOT
x 000.00 Denotes Existing Elevation
( oao.00) Denotes Proposed Elevation
— —• Denotes Drainage Ec Utility Easement
Denotes Dralnoge Flow Direction
--Op-- Denotes Monument
Y -e--- Denotes Offset Hub
BLOCK
D
4
ono
1TENTS
SHOWN ON THE RECORDED PLAT.
REMINDS SHOWN ARE ASSUMED
PROPOSFI) HOUSE _ELEVATION
Lowest Floor Elevation: 906'
lop of Block Devotion: Y /C• 1
Garage Slob Elevation:
THE WOODLANDS FOURTFI ADDITION
DAKOTA COUNTY, MINNESOTA
We horeby certify. that .hie survey, pion or re7ort we prepared by me or under my direct supervIe o
vrde the taws of the Stole of Minnesota. Dated this 25tH day or_ APRIL ,,,,,,_..AD. 19
Scale: ' I inch
r -
3o feet
and the
NED
am duly registerd t d. SuLY yor
r
IONEER ENGIN ERING„A.A.
John C. Larson, C.S. Reg. No. 19828 1
~
1994 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PII.OT I£NOS RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. AL50, FOR TOWNHOMES AND
CONDOS VVHEN PERMITS ARE REQUIFtED FOR EACH UNTT.
- - - - - - -
NO. FIXTIJRES EACH TOTAL
~ SHOWER 3.IX0 '3 • ~
WATER CLOSET 3.00 1 Z• cs c~
5 BATH TUB 3.00 9. o c~
LAVATORY 3.00 t Cs • o c~
I KITCHEN SINK 3.00 3. o 0
LAUNDRY TRAY 3.00 3. O P
WATER HEATER 3.IX1 - r> o
HOT ~ FLOOR DRAIN 3.00 3• O U
GAS PIPING OUTLET • minimum - i 3.00 (cs • o
ROUGH OPENINGS 1.50
' WATER SOFTENER 5.00
PRIVATE DISP. • nak.cty. ue. 20.00
U.G. SPRINKLER • n~e unaa consL 3.00
ALTERATIONS • to acsung 20.00
WATER TURN AROUND 20.00
F5 a1- 9%wlc 3.00 3. o o,
STATE SURCHARGE .50
TOTAL:
SITE ADDRESS:
OWNER NAME:
INSTALLER: \Nl3r~ tz:
anDxEss: S~ 3 c) Cc~
CTTY: ~ STATE: ZIP CODE:
PHONE ( ~lZ-) ~L3- 373c~
Cl5 ~r~
SIGNA F PERMITTEE
X
Ts~.S~s,:.<~,;,,.,>.~r &'i:r'c'Aw:~£ `~~.U",:•.~`« p 3'~y.'", x~N,',~ ~f o 2:"'~~rgs~ i& . >.i
1994 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR ALL COMMERCIAL/INDUSTRIAL BUII,DINGS. ALSO FOR MULTI-
FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIl2ED FOR EACH
DWELLING iJNIT.
_ NEW CONSTRUCI'fON
ADD ON
REPAIR
WORK DESCRIPI'ION:
CONTRACT PRICE: E '
~ .
FEE: 1% OF CONTRACT FEE,
STATE SURCIIARGE: $.50 FOR EACH $1,000 OF FEE.
MINIMUM FEE: $ 25.00 CONTRACT PRICE X l% $
STATE SURCHARGE $
TOTAL $
SITE ADDRESS:
TENANT NAME: STE. #
OWNER NAME•
INSTALLER:
ADDRESS:
CITY- STATE: ZIP CODE•
PHONE
FOR:
CITY OF EAGAN AppLICANT
. . ~ INSPECTIUN RECORD
~ CIV OF EAGAN PERMIT TYPE:
38i30.P~ot,Kneb Road Permit Number: ~ ~ ~ • ~
EagarS;'IVlinnesota 55123 Date Issu;ed: ~ ~ ' ~
(612) 681-4675 ~
SITE ADDRESS: , 7 APPLICANT:
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION .
i ~a .r~ l,; l t+~hl ~ i?: i i t r1
II } 1 1'',
i<F MF11;h • .~I f•I +~I hlrlI I Ilt 11 tiA}PJI I it,,
F . ~
L
~
permit No, Permit Holdsr Date Telephona #
. S/W
PLUMBING
H1/AC /K'~ YvDS
ELECTRIC a s(9/ ..ft,
ELECTRI 9L/.~'f ~ /
Inspectbn Date Insp. Commenta
Footings I
7 (
Foundation
Framing
Roofing
Roug, Pibg.
Rough Htg.
~9Y ~ wor
Isul. ~ z
q
Freplece
Final Htg.
Orsal Test
Fnal Plbg. 13Plbg. Inspector - Notily Plumber
Const. Meter
EngrJPlan
Btdg. Final
Deck Ftg.
Deck Final
Well
Pr. Disp.
-9 -
1N5YLU'1'lUN KLUUKD
A38 ITY OF EAGAN PERMIT TYPE:
30Pilot Knob Road Permit Number:
Eagan,_Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: ' APPLICANT:
I~~! ~ I ktE~~( F: f
PERMIT SUBTYPE: TYPE OF WORK:
~ ~ , ~ . ~ ,~~i~ ~ , ~ . •
INSPECTION .
~ t f: i r t~s i~ c: , i, ~ i! ;;I+r~ir
• . , _i_ r±1 _ !L' . . r:.
~ J
Permit Holder Date Telephone #
PLUMBING
HVAC
Inspection Date Insp. Commenta
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TE5T
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT - -
TEST
BLDG FINAL
DOMESTIC
METER
IFRIGATION
METER
FLUSH
MAINS
CONDUCTIVITY
TEST
HYDROSTATIC
TE5T
BSMT R.I.
BSMT FINAL
DECK FfG D~ - ~ -
DECK FINAL
INSPECTION RECORD
CI'TY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number. ~.~?~i t~~
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
35&5
~!~~~~11! l1!`l~! ~ ~ ~tl 1! ~ I+~~+I . I i!t
PERMIT SUBTYPE: TYPE OF W4RK:
INSPECTION .
i
;:.I f~111<f rl ;l J 11~:I~ ( 1 1'i i; M 1 I I', I~ i~~~f l l s I~ ~si1, r+h{Y I t t'i. l k i l A) UOF7w
~ ~ J
PermR No. Permk Holder Date Telephone N
S/VN
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspection Dato Insp. Comments
Foonngs 1 _Zo
Fourxietion
framing
RooBng
Rough Plbg. q~z!- 9 y ~a ~/I
i
Rough Htg.
Isul.
Freplace
Final Htg.
Orsa! Test
Flnal Plbg. Plbg. Inspec.KOr - Notify Plumber
Const. Meter
Engr./Plan
Bidg. Final
Deck Ftg.
Deck Final
weli
Pr. Di .
.
µ y .
i
"
i
Wertificate of cccupanc~
,
r` ~e~arhacut o~ ~xitb~cg ~u~~ectiau
Tfeis Certif cate issued pursuant to the requiremenls of the Uniform Building Code
certijying that at the tinie of issuance this structune was in compliance with the various
ordinareces of the City regulating burlding consnuction ar use. For the followeng:
Use Qassificalioa: SF DW Bidg. Pcrmit No. 2350c)
o-M" Tya R3/M 1 zoning District RI Type Consi. VN
o. of e.ila„g R A K02 H04FS IlVC Adde,, 7401 UPPER H&M LT. APPLE VAiLEY
Building Add2ss 3565WOCULA~ ~M iocaiay1,7p B1 ~ Tflg WOCDL1NDS 4M
i DaDe: 7/
Buildiu6 O(ficial
POST IN A CONSPICUOUS PLACE
~
Address 3565taoomArID COU!tr Zip 55123_
Lot ~ Blk I Sub nE woonr ArIDS 41x
THESE ITEMS.WERE / WERE NOT WMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: Yes No Inspector:
Final grade (6" from siding)
Peimanent steps (garage) '
Pertnanent steps (main entry) ?
Petmanent driveway ~
Permanent gas
j~
Sod/Seeded grass f/
Trail/curb damage
Porch
Basement Snish ~
Deck
Please verify with the builder the removal of roof test caps from the plumbing system and ihe shutoff of water supply to
the ou4side lawn faucet before freeze potential exists.
Contac[ engineering division at 681-4645 before working in rightof-way or installing underground sprinkler system.
White - City Copy Yellow - Resident Copy Pink - Coniractor Copy ~
51 ~251p~ao~ a-
Request Date Fre No. RougRin Inspection NOTICE: Vou Musl Call Eleclrical Inspector
Required? Ii A Rough-In Inspection
~O by ?Yes ?NO IsRequiretl.
I CXlicensed contractor ? owner hereby request inspection of above elecfrical work at:
Job AOdress (Street, or ou~e Na.) City
35 b !,{100 0 4-N 'o (.L e T -LA .rN
Section No, ownship Name or No. Ranqe No. Cou
K o r~
Occupa [(PRINT) Phone No
~.A. t ~Iom~ ' ~7-'7s.13
Power lier Atldresrs
~1'KAT7r FECYKrC..
Elecinc ontrector (Cwnpeny Name) Conirac~or5 License No.
~qs~ ~cre r~ rc 7n~e (~f~l %'~32.
Mailing Atltlres3 Conirador or Owner Making Installetion)
PD cx Zl I P~<e l/~Fkt~f 5.<<i/ZY
Authoi SigneNre (CO cior/QVner Makirg Instalietion) ' P45~ hone Nu3 mbBr
MINNESOTA STATE BOAHU OF EIECTFICITY THIS INSPECTIDN REQUEST WILL NOT
Grlggs-Midway Bitlg. - Roam 5i BE ACCEPTED BYTHE STATE BOARD
iBYI University Ave., St. Paul, MN 55100 UNLESS PROPER INSPECTION FEE I$
Phane(61Y)602-0B00 ENCLOSED.
RE~UEST FOR ELECTRICAL INSPECTION
25191 /}psooomq-oe
See insVUCtions for.compl~g IDis torm on back of yellow copy
"X'~Below Work Covered by This Request
,
ew Ad6 Rep. TypeofBuiltling AppliancesWired EquipmentWired
me Fiange Temporary Service
Duplez Water Heater Eiectric Heating
Ap[. Building Dryer Load Managemem
Comm.AndusVial Furnace Other(Specify)
Farm Air Conditioner
Other(speciy) Conveclor5 Remarks:
Compufe Inspection Fee Be/ow:
# Other Fee # ServiceEmranceSize Fee # Circuits/Feeders Fee
Swimming Pool D to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
SignS Inspedor5 Use Only: 1 tpTAL
Inigation Booms
Special Inspection S~
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rough-in ^ oaie
certify that the above inspection has F;,,ai ( o
been made.
OFFlCE USE ONLY
This request w10 18 monihs from
MECHANICAL (RESIDENTIAL) ~ ~ ~
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
Please comptete for; Single Family Dwellings
Townhomes and Condos when permits are required for each unit
nate /0 3
Site Address -~Q~~ C c~Q(a~~~ • Unit #
Property Owner Telephone #((~'S~ )Q'~ 7-00_(O Z
Contractor
12481 Rhode Island Ave. So.
StreetAddress SAUaQe MN 55378-112:2 City
State Zip Telephone ~t (GS-2) R"1
The Applicant is _ Owner ~ Contractor _ Other
Add-on, modification or alteration to existing dwelling uni[ $ 30.00
furnace replacement
air exchanger
~ air conditioner
other
State Surcharge $ 50
(t~
Tot~ ' AUG 1 1 200` I~`~~
I hereby apply for a Residential Mechanical Permit and aclmowledge that the information is complete and acc~t~'; that the work will
be in conformance with the ordinances and codes of the City of F;ugan and with the Mechanical Codes; that I understand this is not a
pemut, but only an application for a pemut, and woxk is not to start without a permit; that the work will be in accordance with the
ap roved plan in the case of work whicb requires a review and apfroval of plans.
l~lff, frSllCt ~`1Cc ~1 0 j'-,f~ ~am) a
ApplicanYs Printed Name Applicant's Signature ~
MECHANICAL (COMMERCIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
Plcase comple[e for. commerciaUindus[rial buildings
multi-family buildings when separa[e permits are not required for each dwelling unit Date
Site Address Unit #
Tenant Name (if applicable) Previous Tenant Naroe
Property Owner Telephooe # ( )
Contractor
Street Address City
State Zip Telephone # ( )
The Applicank is _ Owner _ Contractor _ Other
Work Type
New construction Underground Tank _Install _Remove
Interior Improvement Call for inspection during installationlremoval of tank
Processed Piping
Nature of Work:
Pe1'mit Fe0 $50.50 Minimum Fee (includes Stale Surcharge)
Contract Value $ x 1% = $ Permit Fee
• If parmit fee is $1,000 or less, add $.50 ~ $ State Surcharge
If permit fee is over $1,000, add $.50 per
$1,000 Permit Fee
$ Total Fee
I hereby apply for a Commercial Mechanical Permit and acknowledge that the information is complete and accurate; that the work
will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is
not a permit, but only an application For a permit, and work is not to start 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.
ApplicanYs Printed Name Applicant's Signature
Approved By: , Inspector Date:
*dtV oF eagen
PATRICIA E. AWADA
Mayor
PAUIBAKKEN
BEA BLOM9UIST
PEGGY A. CARLSON
SANDRA A. MASIN
a4LLgUSt IQ, 2000 CouncilMembers
THOMAS HEDGES
City Adminisirator
HUGEL
r-T
565 WOODLAND CT
EAG
RE: MOISTURE PROBLEMS
LOT-7,-BLOCK 1, THE WOODLANDS 4TH
Deaz Mr. & Mrs. Schugel:
On July 28, 2000, I met with you to investigate possible reasons for your continued moisture
problems. My inspection revealed the following:
• All windows and doors on the rear elevation of the house were missing drip caps, which
could causeleakage.
• The front of the home has a brick veneer with no flashing and may be a source for moisture
intrusion.
A moisture report you obtained from a private firm revealed that some interior walls have a high
moisture content. I suggest checking the integrity of the insulation and sheathing in these areas.
Replacement of insulation and sheathing would require a building permit.
I hope this information is helpful to you. If you have any further questions, please feel free to
give me a call at 651-681-4683.
Sincerely,
~ L-,
J Craig Novaczyk
Building Inspector
JCN/j s
MUNICIPAL CENIER THE LONE OAK TREE MAINTENANCE FAdLITV
3830 PILOT KNOB ROAD TF{E SVMBOL OF STRENGTH AND GROWfH IN OUR COMMUNITV ~ COACHMAN POIM
EAGAN, MINNESOTA 55122-1897 EAGAN, MINNESOTA 55122
PHONE: (651) 681 -A600 PHONE: (651) 68I d300
cnx: (651) 6e1-4612 Equal OpporfunRy EmploYer FaX: (651) 6e1-4360
roO: (asi) 454-e535 www.d"feapan.com roo: tusq 454-8675
PERMIT
~k GITY OF FAGAN
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55123 Permit Number: 024419
(612) 681-4675 Date Issued: 0 8/ 2 2/ 9 4
SITE ADDRESS:
356K WOODLAND CT
LOT: 7 BLOCK: 1
THE WOODLANDS 4TW
DESCRIPTION:
Btlilding~'-Permit Type SWIM POOL
Building Wdr.k Type NEW
%Building Length 40
8uilding Width 20
>
S\ J
~ l(
,
. r
, ~
1 ~ vv ;1'
REMARKS:
A SEPARATE PERMIT IS REQUIRED FOR ANY ELECTRICAL WORK
FEE SUMMARY:
VALUATION $10,000
Base Fee $117.00
5urcharge $5.00
Total Fee $122.00
CONTRACTOR: - Applicant - ST. LIC. OWNER:
VALLEY POOLS INC 18941480 0004421 SCHUGEL TIM
651 CLIFF RD 3567 WOODLAND CT
BURNSVILLE MN 55337 EAGAN MN 55123
(612) 894-1480 (612)452-0062
I hereby acknowledge that I have read this application and state that the
in mation is correct and agree to comply with all applicable 5tate of Mn.
5t t tes and City of Eagan Ordinances.
L ~
' -Ne n 84J ~ rn tl
I APPLICANT/PER EE SIGNATURE ISSUED BY: IGN URE
INSPECTION RECORD
CITYOFEAGAN PERMITTYPE: auxLorNG
3830 Pilot Knob Road Permit Number: 024419
Eagan, Minnesota 55123 Date Issued: 0 8/ 2 2/ 4 4
(612) 681-4675
SITE ADDRESS: Lo T: 7 B L 0 C K: 1 APPLICANT:
3567 WOODLAND CT VALLEY POOLS ZNC
THE WOOOLANpS 4TH (612) 894-1980
PERMIT SUBTYPE: TYPE OF WORK:
SWIM POOL NEW
INSPECTION D. . D•
FOOTINGS FINAL
~
'
REMARKS: A SEPARATE PERMIT IS REQUIRED FOR ANY ELECTRICAL WORK
L : . J
~ ' CITY OF EAGAN
~t , . ' 1994 BUILDING PERMIT APPLICATION ~ 12z,90
681-4675
y o
f energy
SiNGLE & MULTI-FAMILY 2 sets of plans, 3 registered LAU
calcs. COMMERCIAL 2 sets of architectural & str of
specifications, 1 copy of ene
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 ar 3) lot change is requested once permit
is issued.
Date / l(o S4_ Valuation of work - I o,6.00
Site Address: Co~1-F l.~T~T,~c~ ~ ~ ~m !i .
STREET SUITE #
Tenant Name: (commercial only)
LOT -7 BLOCK I SUBD -
. ~P.I.D. # -put
Descri tion of work:
The applicant is: ? Owner Lkfontractor ? Other (Deseribe)
Name~churroL_ *)l~ Phone CC? -00(02
Property LAST FlRST
Owner Address _,"Mo'7 Wbt'kUAgon c~ •
S7REET STE #
City C Aaitrl State 1'" rJ Zip $S 12~
Company a Phone ~q~-ly8'U
Contractor Address (gSl License # Exp.
Zip SS3"A '7
City ~ 7P~~~,Il 5tate 'h'1+O
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 ha e read this aPplication and state that the information is
correct and agree to comp y wi h all applicable State of Minnesota Statutes and City of
Eagan Ordinances. Signature of Applicant: ~
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging 16 ~ement Finish
? 02 SF Dwg. 0 07 4-Plex ? 12 Multi. Misc. Ly'17 Swim Pool
? 03 SF Addition ? 08 8-Plex 0 13 Garage/Accessory ? 18 Comm./Ind.
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc.
? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility
? 21 Miscellaneous
WORK TYPE
L`l 31 New ? 33 Alterations O 35 Tenant Finish ? 37 Demolish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MWCC System
(Allowable) lst Fl. sq. ft. City Water
UBC Occupancy 2nd F1. sq. ft. PRV Required
Zoning Sq. Ft, total Booster Pump
# of Stories Footprint Sq. ft. Fire Sprinkler
Length 2Vx %to On-site well Census Code
Depth On-site sewage SAC Code
APPROVALS eensus Unit
Planning Building Assessments
Engineering Variance
RE(IUIRED INSPECTIONS
? .Site ~1 Footing ? Framing ? Insulation
? Wallboard PT Final ? Draintile ? Fireplace
Permi t Fee veiuacton: g
Surcharge ~
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment Pl.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
SAC %
SAC Units
. ~ , - -
202 ~ntetprise Drlve
M/endo a Nreylghte, MN SStQ/~
UND SU1lK',U114 . qNL fNCMVAa lOii) V9i-1914 PAXIUS1^9488
* dn "dwr Ng Lnwo ruMcas. UH09CIpE AIICIX7EC7S 625 HlghWay 10 N,E. - -
* Blalne, MN 58431
(02) 783-1980 FAX:783-1993
Ger-tificate of Survey for: R.A. KOT NOMES _
3567 WOODLAND CO RT
(8r'r'i,Z) 92.00 S89°50'56"E
694 2- o
N ' - ,
~ -z~ORAIPIAOE Q U7ILITY ~g
EASEMENT PER PLAT
~ ~
N
6 ,.w ~
A. 7 ~r
/F I~o pctFa Tb 8E I O
12 c K wcr aa , O
5
~
9U9.91 ( ~
/
1:7
i)PIOMAN~Kg 90Ak 2
O
FC4 tE1.E.Q
6t'~
f f S Q O .
~~5~ ~ ~e.~,s J ` I
9 1( .8 `-...2.0 G.Q
tA ',6.0
911,2 SEhVICE
•p ; r s (i o .
,
~cOL~,~ ;a33~. ~
I
~ ` 4
CQU~3 iST S1i,2 r ~ f
eiv,s - 507
BEtlCR MnRK
j R~ nr• H~
V.=912. B~,w
PHOPOSE6 GkAbQ4 hH0WN PEk GHAOII7C PIAN BY: IlOTE: BUhDIFIC DIMENSIONS SHOIIM AFE FOA HOM20R1e.L ANp vLRV44
I.!+Ch110N OP 97RUCR1RE5 ONLY, SEE ARCNIIECTUAL PUIJS ftlk. tlUIL01N9
AND FWNOA110F) DIMEN31!MJS.
NOTE: CONiRACTOR MU5i vEhIFV ORNCSVAv JESiCN, 11413 CERtIFICAtE 60ES NOT PUrtpprtt 70 SmqV! EASEIAENI9
tID7Es NO ShECIFIC SOIL9 IHVESil0ATIOH N/,5 gEEN GOMPl6fEb ON THi$ 07NER 1NAN 7NOSE SHOWN ON n1E RECOADED PlA1.
I.OT 9Y 1LIE SURyEYOR. 1}IE SUIIABILITY C:~ $bILS 10 SUPPWii 1IIE 8EARI1,109 SNONN AP,E A94UTAE0
SpECItIC NWSE DROPOSEP 14 NOf iF{E p,ESPON5181UIY OF THE SUROEYOit.
PRC7POSED HOUSE ElEVA11UN
x ovo.oo Dt3n0199 ExfsUng Etevatfon 90G v
( aoo.on y f%enotas Froposed EIevaUon Lowesk Flaar Elevaklan:
'ilenoke9 Urnlnoqe k UUlily EasAmenf /
- GenotPs Dratnoge Flow DirecFien top of Biock Elevotlon:
Uenotes Menumenk
Uenotes Oifset Hub Gnroge Slab Elevaiion: U34
LOT ~ BLOCf\ 1 'fNE WQObLANUS POl1RTH AUUITION
pANOYA COUNtr, MI14NESO7A
tvt nv•,by ceUly 1ha1 :I.y a!nvdy, ntnn o• rsaorl was Prspo:ed Fy me oe Vncftr my dlrRCt super~t~;o )NEbl,0NEER nm doly .-7:.~e•d 1 n9.5actib`yo.
iht le.f cf thr Sinln ol A11~~f5oFa. Odled lhie 25Tf1 d7y o/ APp,L..~„h.D. 19 r` J+
S FJr.ir ERMGA.
(`.!Yt~
PERMIT
, CIT-Y OF EAGAN
3830'~ilot Knob Road PERMIT TYPE: B U I L D I N G
Eaga* MinnesOta 55122-1897 Permit Number: 0 3 3 0 6 6
(612) 681-4675 Date Issued: 0 9/ 0 9/ 9 8
SITE ADDRESS:
3565 WOODLAND CT
LOT: 7 BLOCK: 1
THE WOODLANDS 4TH
P.I.N.: 10-75879-070-01
DESCRIPTION:
ADD TO EXISTING DECK
6 u31d~r7L~t_Permit Type DECK
Building Wtzrk Type ALTERATION
,Census Code 434 ALT. RESIDENTIAL
-
~ ' ~
C~ ,
-
~
i . . .
REMARKS:
PLAN REVIEWED BY BILL ADAMS.
FEE SUMMARY:
-~ase Fee $50.00
Surcharge $.50
Total Fee $50.50
~
CONTRACTOR: - Applicant - Sr. Lzc. OWNER:
DESZGNER DECKS INC 14786885 20092021 SCHUGEL TIM
2682 WAMMEL RD 3565 WOODLANO CT
* DINA MN 55340 EAGHN MN 55123
12) 478-6885 (651)452-0062
I hereby acknowledge that Z have read this applicaCion and state thaC the
information is correct and agree to comply with a11 applicable State of Mn.
Statutes n Gity af Ea an Ordinances.
PPLICAN ERMITEE SIGNATU ISSUED : SIGN
s *
.
P
CI7V rF EAI;AN
CA':il-I:CCfi: `:i TF_.RMINA1_ N0; 796
UA'fEc 03/09/9£S T.T.ME:: 1.5 a4F.a:t
FD
NAMF. nESIGPlFfi UECY.S INC
32f 0`_300;. 3561 WOODL.ANTl C 50.00
205 9001 3565 WOODLRND C 0.50
r
c ~
Tp~F,a]. F<nr..t~a:ipt Aa~o~.arvC: ~C].5.
Cfi09'i'1Hi.
USEI; ID: NANCY
~%~~k>XYF~k%;~C~~ 'rFX~~X~kX~~krFM"~K~k~'F~%~c?k7k'MVt~X ~~XAp:icYR~K~%7K~ v~Ac
- . y
~
1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
' . ' CITY OF EAGAN
w ~ 3830 PII.OT HINOB RD - 55122
33 0(o e81-4e75 Ca"'S 3~
Naw Construction Reauireme~ RemodeVReoair Reauirements
? 3 registered site surveys ? 2 copies of plan
? 2 wpies of plans (inGUde beam 8 window saes; pourad fid. design; etc.) ? 2 site surveys (exterior addRions 8 tledcs)
? 7 energy calculations ' ? 1 energy calculations tor heated addidons
? 3 copies ot tree preservation plan H lot platted aRer 711/93 ~
required: _ Yes No
G
DATE: ZG I~~ CONSTRUCTION COST; ~n`ad
DES RIP ON OF WORK: ~
STRE ADDRESS: W d o c~t1qlz 4,1
LOT: ~ BLOCK: 4
Name: Phone
PROPERTY Last First /
owrrEx Street Address:3SG S Gt10e~( - l
City 15~6~eh State: v7l °l GI - Zip: 3.
Company: 1~S1GI4P// Phone ?~,e' C2M-
CONTRACTOR ~ ~G ~~Oa / ?
/
Street Address: 26 License
City State.° ! l Zip:
ARCHITECT/ L?
ENGINEER Company: (::~//n 'C Phone
Name: Registration
Street Address:
city State: Zip:
Sewer & water licensed plum6er (new construction onty): . Penalty applies when address chang
and lot change is requested once permit is issued.
I hereby acknowledge that I have read this applica6on and sfate that the information is cortect 96d agree to comply with all applicabl
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received Yes - No AUG 2 6
Tree Preservation Plan Received - Yes - No _ Not Requi u
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
D 02 SF Dwelling ? 07 4-plex O 12 Multi Repair/Rem. ? 17 Swim Pool
0 03 5F Addition ? 08 8-piex ? 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch ? 09 12-plex ? 1~,-Firepiace ? 21 Miscellaneous
? 05 SF Misc. ? 10 _-plex C" 5 Deck
WORK TYPE
? 31 New M'33 ARerations ? 36 Move
O 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MClWS 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. ~
Depth Footprint sq. ft. SAC Code '
Census Bldg
Census Unit
APPROVALS
Planning Building ~ Engineering Variance
Permit Fee Valuation: $ ~2 c,262
Surcharge ~
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acd. Deposit
5/W Permit S/W Surcharge
Treatment PI.
Park Ded.
Traiis Ded.
Other
Copies
Total:
°k SAC
SAC Units
~~QQJ1`~a ~fpi6 7.02 ~ntwprl3e Drive
y4 ~p ,2~ Mendo u Ilelgliktq. AAN 55120
' ' • (812) 681-1914 FAX:6B1-m8
4J4~ . ,.wr nO - urro rDa' RIERS.~UUelcMF Jkhr,iftTEcu
~ * 625 Highwoy 10 N,E.
8loine, MN 55d31
~ (8f2) 783--1880 FAX:793-1b83
Certific(ile oC Survey for: R.A. KOT Nt7ME5
3567 WUUULAND~~-CY7t RTi -
92.00 S89°50'56"E - ta13 -11s)
N ~ s 0 ~ - ~
~ ~~.onairtncE d unurv
/ EASEMENT PER PLAT----
? I N
~1,ry F ~ku,l L1nFA 'CD 8E o
Q.
/
!4a VS
i
909.511
i !
'rXil MMK
nh OF HUB / 901A 2 Lr' i
G+9
FC, tElEA ~ ~---~~G` O
heos. n~ a ti , F ni
, + aa Ay ~~ssP`&' . A
p
-•`-..q!is~ I ~ 'P. y~n ' • 1.9`5
v
91I. ~ i
IYb:-- ~ 911,0 ~o.°y : l I
9I1.2~ ~ 9CItVh:E ~ \ _ ~ 1
~ 1NV.~9020~t
~d~{7 ~ ' \ •.~1h C°~ 4)` f,_ rf ~ i? ~
•a~ r"'..- x A tC L06 911.0
~
v ) ` 1
- 10.6~ .
10ObLQND ~
CQUI~'T` «ID. r; ~K3~ ~10.~9 ~-je~-~~ H ~ -
sil.z , 4
910.6 31.AT ~ ; ~r'J5,oo ~ . - - '
8E7CHrMN K',
~
FROPOSEn GRAbE4 §IfOWN PEp GHAtlING PIAN 6Yi gn~ ROtE: 6Ut1,pMIC biNEH5ION4 SlIbJM APE FOA NOnIZ011t4 ANO vERV.01. I.nCAlION OP 91(11JC1UNES M4IY. SEE ARCHIIECIVAL PLAN3 FOk. eU1lbIN0 ~
IND FWHOAOd4 UIMu19fM1S,
NoiE: CONII1ACfOR MVSf VC1iIfY pRIVCWAV JCSiCIJ, J W„w ~~qV! EASEIIOiEI RO $hECIFIC SqLS PN'?ES11GAf1011 IU•5 BEEN COMt'LEIEI> 017 1NIS 4#y0M ~IE.IRECORDEO PUt.
LOT 9Y 1f1E SURYEYOR. 111E SUIIABRIiY l`:% S01L3 10 SUPPORI TIIE BfAP11409 4VMWN AP,E ASSUTAED
SOECIkIC HWSE PROCOSEO i5 NOi DIE P•ESPOfISI81UIY OF TRE SURY6'T012.
FROPOSEO HQUSE ELEVATIQN _
z oaaoa bianates Exlsting Elevntiori 90G (J
( ono.uo ) r'nnetes ProPosed Elevotlon Lowest Floor ElevaUon:
_ --10enote0i brninoge k Utllily Easamen!
---y- Uenotes brolnoge Flow Direclton iop of Blook Elevallm- Ilf i
--p.--- Uenotas IAonument d
oPn~te9 orr99t r+on Garoge Slob Elevolbn: ~ j~~
LOI 7 , 13LOCK 'rNE woobLnNDs roualtl AbDiriaN
pANOYA COU147Y, FAINNESDTA
tv. he..,Ay ~aIdy Ihol :hi. .ov.:Oty, olv. o• ...arl wee Prnpa.yA by me o' oldor y 00,0 eu0erd~;o ~nd tlw om duly ..y..u.,{ 1 nQ. Sur.rbyo,
, _ r.
,•.de• ih! to.,f ol Iq, :lnln ol AIInnFSA~e. Oaled fhlf Z5~ ol APRI_ „A.p. 19 8. )
S GNEb• ~ION~ER EIJr.n ~RING,,P.A,
, .
x„ fro+ SY. ,..t, ,
, PERMIT
1~~SIF EAGAN
30 Pilot Knob Road pERMITTypE: BuI~.orNG
, Eagah, Minnesota 55123 Permit Number: 0 2 3 5 0 9
(612) 681-4675 Date Issued: 05 / 16 / 94
SITE ADDRESS: ~
356~ WOODLAND CT „/J
LO7: 7 BLOCK: 1 ~f~~
THE WOODLANpS 4TH ~
P.I.N.: 10-75879-070-01
DESCRIPTION:
Building'Permit Type SF DWG
Euilding Work Type NEW
U8C Occupancy . R-3 M-1
Construction Type V-N
Zoning ~ R-1
Building Length ` 85
Building W3dth `36
Building stories 2
~i.,. ~ . _
" i
),1
L u
REMARKS:
S& W PLBR - MATTHEW DANIELS PLBG
FEE SUMMARY:
VALUATION $283,000
Base Fee $1,280.00 MISCELLANEQUS $1s828.50
Plan Review $832.00 Total Fee $4,862.00
Surcharge $141.50
SAC $800.00
SAC % 100
SAC Units 1
Subtotal $3,053.50
CONTRACTOR: - Applicant - sT. LrC. OWNER:
KOT WOMES, R A 16879513 0001506 R A KOT HOMES INC
7901 UPPER NAMLET CT 7901 UPPER HAMLET CT
APPLE VALLEY MN 55124 APPLE VALLEY MN 55124
(612) 687-9513 (612)687-9513
I hereby acknowledge that I have read this application and state that the
information is correct and agres to comply with all appl3cable State of Mn.
Statutes and City ofi Eagan Ordinances.
L J
Q
APPLICANT/PERMITEE SIG AT E ~~~IG e URE I~
I CITY OF EAGAN ~7~!AYO
1994 BUILDING PERMIT APPLICATION
~ 681-4675 1994
• ~ Q.~,f/_~_;, ~ ~1, ~ ~ L• O~J
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 4~_ / 4 Valuatian af work
Site Address: L f A
StREET SUITE #
Tenant Name: (commercial only)
LOT -:7--- BLOCR P.I.D. #
Descri tion of work:
The applicant is: ~ Owner OZL Contractor ? Other (Deseribe)
Name - ILoT i--6w~~S _ INC - Phone L(6? - 9S 13
Property LAST FIRST
Owner qddress ~M-b( c1~~Y~Jr.n__
`STREET STE #
City State YV`0.J Zip 5S 12
Company k~'S A-e7oJc Phone
Contractor Address License #aooiSoto Exp.
City State Zip
Architect/ Company 05 L_ ( Phone Gm 9S IS
I
Engineer Name~~l.E.. r ;aA~l Registration #
Address '
City lSc. State Zip
Sewer & water licensed plumberNI:;A') Usm'StELS Pwn1A Processing time for
sewer & water permits is two days ce area has been a praved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to co y with all icable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant.
1
OFFICE USE ONLY
BUILDING PERMIT TYPE
AW.r..r
r ,
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish'
El 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. 0 17 Swim Pool
? 03 Sf Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind.
? 04 SF Parch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc.
? 05 SF Misc. ? 10 Multi. Add'l. ? 15 Deck ? 20 Public facility
? 21 Miscellaneous
WORK TYPE
0 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) VAI Basement sq. ft. /09 MWCC System
(Allowable) vN lst F1. sq. ft. ~ City Water ~
UBC Occupancy 73 M1 2nd F1. sq. ft. PRV Required
Zoning ~ Sq. Ft. total Booster Pump
# of Stories z Footprint 5q. ft. Fire Sprinkler
Length On-site well Census Code
Depth On-site sewage SAC Code a/ .
Census Bldg /
APPROVALS Census unit ~
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS
?.Site f1~ Footing ,0- Framing -EE1 Insulation
? Wallboard ~ Final ? Draintile ? Fireplace
Permit fee vaiuae;p,: g 3 C:bo
Surcharge f? s~+ rM~%~ G'a
y
Plan Review ip ~ ~Gy zZ~ 7SZ
License yy
MWCC SAC -
City $AC /aY 96 ~2x7 ~ ZUz
Water Conn. ~ G'Pa- 9• S: 3y' kg
Water Meter
Acct. Deposit 7
S/W Permit
S/W Surcharge
Treatment Pl. i5 ~iH%54404 1y3~~
Road Unit 17s k z = 3S
Park Ded. ~yXa o
Trails Ded.
Others xa rZ 9.r fog ~ 183~~_ /
Total: ~ ~Z
z~ .h/z "
SAC % lG,r~ - 9G ~o; z= 30
$QC Un1tS 157~.25XSY=
~~.~~,riY ~ lG3.3p 1U,ri3 ; 130
So
Z d1 ~ 75,
9 ~
= ~ve 6 y~=
zo,~
z~y ~ : 13z ~ 2
. ,
EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION
OWNER TIM & THERESE SCHUGEL PLAN NO. 9-0226-4
SITE ADDRESS LOT 7, BLK 1, WOODLANDS 4TH
CONTRACTOR_R.A. KOT HOMES, INC. DATE 5/4/94 PHONE 687-9513
DETERMIME WORKING SQUARE FOOTAGE
5284.15
1. Total exposed wall area 5349.14 sq.ft. x.11 588.4054
2. Total roof/ceiling area 2220 sq.ft x.025 57.72
3. Total floor cant, area 392 sq.ft. x 0.05 19.6
(over unheated enclosed areas)
4. Total floor cant. area 132 sq.ft. x 0.025 3.3
(over unheated exposed areas)
5. Total exposed wall area above the floor. 4862.15
a. Total wall window area ....................650.5443
b. Total door area 55.6278
c. Total sliding glass door area 71.1022
d. Total fireplace area 0
e. Total wall framing area (ave. 10%)........ 486.215
f. Total net wall area above the floor....... 3598.661
g. Total rim joist area 422
TOTAL EXPOSED FOUNDATION AREA 64.99
h. Total foundation window area 0
i. Total net foundation area 64.99
Determine "U" value of each wall segment.
a. 650.5443 x"U" 0.5 = 325.2722
b. 55.6278 x"U" 0.06 = 3.337668
c. 71.1022 x"U" 0.5 = 35.5511
d. 0 x"U" 0 _ 0
e. 486.215 x"U" 0.090334 = 43.92186
f. 3598.661 x"U" 0.043215 = 155.5169
9. 422 x"U" 0.040683 = 17.16843
h. 0 x"U" 0.5 = 0
i. 64.99 x"U" 0.076161 = 4.949733
6 .........................Total 585.7178
If item #6 is the same as or less than item #1 you have met the current
energy codes. 2 MCAR 1.16008 A AND O.
TOTAL EXPOSED ROOF/CEILING AREA 2220
j. Total skylight area 0
k. Total flat roof/ceiling framing area...... 222
1. Total net flat roof/ceiling area.......... 1998
Determine "Ull value for each roof/clg. segment
j. 0 x uUu p- 0
k. 222 x"U" 0.025549 = 5.671947
1. 1998 x"II" 0.021801 = 43.55788
a"
7 ...................................Tota1 49.22983
' If item #7 is the same as or less than item #2 you have met the
energy code. 2 MCAR 1.16008 A AND O.
TOTAL FLOOR CANT. AREA (enclosed). 392
o. Total floor cant. framing area (ave. 100). 39.2
p. Total net insulated floor/cant. area...... 352.8
Determine "Ull value for each floor/cant. segment.
0. 39.2 x"U" 0.043879 = 1.720053
P. 352.8 x"U" 0.024254 = 8.556876
8 ...................................Tota1 10.27693
If item #8 is the same as or less than item #3 you have met the
energy code. 2 MCAR 1.16008 A AND O.
TOTAL FLOOR/CANT. AREA (exposed) 132
q. Total £loor/cant. framing area (ave. 10$). 13.2
r. Total net insulated floor/cant. area...... 118.8
Determine "Ull value for each floor/cant. segment.
q. 13.2 x"U" 0.044346 = 0.585366
r. 118.8 xIfU" 0.024396 = 2-898268
9 ...................................Tota1 3.483634
If item #9 is the same as or less than item #4 you have met the
energy code. 2 MCAR 1.16008 A AND O.
I HEREBY CERTIFY THAT I HAVE CALCULATED THE "U" FACTORS AND "R"
VALUES HEREIN AND THAT THE BUILDING HER SCRIBED MEETS OR EXCEEDS
THE STATE OF MINNESOTA ENERGY CONSE ION
(si na ure)
~
(I ate)
~ ` . .
DETERMINE "U" VALUES"
THRU STUD WITH SIDING & S.R.
Interior Air...... 0.68
Sheet Rock........ 0.45
Thermo-Break...... 0
Stud.. 6.93
Sheathing......... 2.06
Siding............ 0.78
Exterior Air...... 0.17
Total "RII Value............ 11.07
1/R = "U" Value............ 0.090334
THRU INSULATION WITH SIDING & S.R.
Interior Air...... 0.68
Sheet Rock........ 0.45
Thermo-Break...... 0
Insulation........ 19
Sheathing......... 2.06
Siding............ 0.78
Exterior Air...... 0.17
Total "R" Value............ 23.14
1/R = "U" Value............ 0.043215
THRU CEILING MEMBER
Interior Air...... 0.68
Sheet Rock........ 0.58
Ceiling Member.... 4.35
Insulation........ 32.92
Still Air......... 0.61
Total "R" Value............ 39.14
1/R = "U" Value............ 0.025549
THRU CEILING INSULATION
Interior Air...... 0.68
Sheet Rock........ 0.58
Insulation........ 44
Still Air......... 0.61
Total "R" Value............ 45.87
1/R = "U" Value............ 0.021801
.y. .
r
THRU CONCRETE BLOCK
Interior Air...... 0.68
conc. Blk......... 1.28
Insulation........ 11
Sheet Rk. (opt.). 0
Exterior Air...... 0.17
Total "R" Value............ 13.13
1/R = "U" ..................0.076161
THRU RIM JOIST
Interior Air...... 0.68
Insulation........ 19
Rim Joist......... 1.89
Sheathing......... 2.06
Siding............ 0.78
Exterior Air...... 0.17
Total "R" Value............ 24.58
1/R = "U................. 0.040683
U" value for window........ 0.5
U" value for doors......... 0.06
U" value for Patio Drs..... 0.5
THRU CANT. @ MEMBER (enclosed)
Interior air...... 0.68
Finish Flooring... 1.23
Sheathing......... 7.2
Plywood........... 0.93
Joist............. 11.56
Sheet Rock........ 0.58
' Still Air......... 0.61
Total "R" Value............ 22.79
l/g = nUn ..................0.043879
,
T,ItttU CAN'P. @ iN9ULA't'ION (enc.Losed)
Interiot Air...... 0.69
Finish P].oorinq... 1.23
sheathing 7.2
Plywodd 0.93
IheUlgEion........ 30
sheet hock........ 0.59
stili Air......... 0.61
Totgl "Wi V81ue............ 41.23
1/R - 'lUu ..................0.029254
THRU CANT: @ MEMBER (exposed)
Intorinr Ait:..... 0.6e
Fi.nistt Floorinq. . . 1.23
, Undetlayment..:... o
plyWotldi:...... 0.93
Joibti,,. 11.56
sitegthirfg:........ 1.2
soffiti,........ 0.78
~xt~riarAir...... 0.17
Total ~ift'l VEilUe............ 22.55
i/R = i+Uii...... .........0.044346
TNttU CAN'P. @ INSULATIDN (Pxposed)
interitir nir...:.. 0.6e
Finigh V].oorinq.,. 1.23
vnd@rlayment.:.... o
plyacitld.,......... 0.93
lnsuiatidn....... . 30
shtitiEhing.:....... 7.2
soffita:l.,. 0.18
Extmrinr Ait.:.... 0.17
'CotAi Otth ValUe.:..... 40.99
:..:..............0.024396
LOT SIIRVEY CHECRLIST FOR RESIDENTZAL
-J' Pyu BOILDIN(i ERMIT APP ICAT ON
< T
~ ~ PROPERTY LEGAL•
~1r R~. d ~
a < ~ Date of 8urvey:
~
s 2 QOCIIMENT STANDARDS
M-10 0 • Registered Land Surveyor signature and company
d-~0 0 • Bui3ding Permit Applicant
e~-0 0 • I,egal description
a--d p • Address
~0 ? • North arrow and 49cm scale
• House type (rambler, walkout, split w/o, split entry,
lookout, etc.)
p~p ? • Directional drainage arrows with slope/qradient t.
I3~0 0 • Proposed/existing sewer and water services
9^ ? 0 • Street name
Q--0 0 • Driveway
ELEVATIONB
Existina
B~~ 0 • Sewer service
C~ 0 0 • Lot corners
PJ'0 ? • Top of curb at the driveway
00--0 • Elevations of any existing adjacent homes
prooosed
~ 0 • Garage floor
0 • First floor
~ 0 • Lowest exposed elevation (walkout/window)
? • Property corners
0 0 • Front and rear of home at the foundation
PONDING AREAS (if annlicable)
? Q~ • Easement line
O E3 • NwL
o a • xwL
p ~p • Pond # designation
0 er 0 • Emergency Overflow Elevation
DIMENSIONB
~ p • Lot lines
0 • Right-of-way and street width (to back of curb)
e--0 0 • Proposed home dimensions including any proposed decks,
overharigs greater than 21, porches, etc. (i.e. all
structures requiring permanent footings)
17 13 0 • Show all easements of record and any City utilities within
those easements
e'-'El 0 • Setbacks of proposed structure and setback of adjacent
existing hom
?G--ff • Retainin 1 ireme , if any Reviewed• J `
N e / D e
October 1992
E 5N I .7 PT = 4+10.1?
- g~ Rc
` L16" " RSV ~ rl I I I ~
t16x
3 P CL 52 10' TYP. 46°25' - - - - -t- - ~ a+c
~ ~ z+oo 9
~
~ M 8 -
~
h - tiH, 10 ~
y 50' ROW +I ~ •
A ~ MH 11 /
0
10
SEE SHT. ~5
P
p = 28'13'35" 7
R = 790.00
L = 93.60
8
~
I ~
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f~:~0M,=~ ELc1lR710NS. i 1'' ; QIJn :-o [-oR
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:
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: . : . : : . . . . . . . . . . . . . . . . . . . . . . . . . . . . : • :
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T R--1642-B N1H o :
~ o
CAST R=1642-8 : • : : 890 : . : . .
97:00 : : :RE _ 9iY9.95 : . , . . . ~ . . . . . . : . . .
::.....:..IE* $97:20........:._.......:.........:........:::::::::W ~
~ ~~~i';o;JAF3'~~.ri : 61 • c~' :
: ' o. :~-:~~1(a';n!
: 0 ~ c, ~ ~.~~.i, :r ~~cr:ti~~~~9 : o o . . .
. . . . . . . . . . . N . . . . . . o. n .+n ~ ' 4~, (l -1 . . . . . . i . . . .
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r n ~ .
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. P1l~RF.OSES. : : . . . . . . . . . . . : . . . . . . .
. . . . . . : : : . . . : . : . . . : . . . : : : . : . . : : : : : . . . t ,,,y' ~ t l~P', • • ' : . . ' ' ' : :
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: 8so : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : :
. o
16 " P' 16° BF VALVE
~G ;
(USE ZokL,VAGED PLUG) 16" x 6" / ' • ~
REDUCER
~
~
'6" RSV
~
~
X° ~ 6" x 6" TEE
42'- 6" DIP CL 52
HYDRANT
HYDRANT 'j
o = 28002'o3'
~
R = 275.00
L ~ 134.55
+
i 6" - 11 1/4° BEND
Sc= SHT. 4 20' UT1L:"y~
EASEME`e 7
MK,r(3
/O" iFf~ A^WCURACY 0F U1'i`,` ~^-.'\ilONS < -
0~ ~:4i'~~ ELEVATIOf15. TH1~3 :i FOR
zi~ E~l7-~RE,4TIOM PURPO, AfVD ~
"KPI;:>oNs uSiNG OULC . . iHE ~
10 6tio ^n14ATI0P• HESITE. 4 ~
~ ~
~
~ ~ ~
2422 Entetprl§e Drive
Mendota He;qhts, MN 55120
*olbIIND WRKMR4 • GNL ENGM/EERS (g12) 681-1914 FAX:881-9488
onto Itiooer n0 Lexo rurmees. uNeecarE MtCwhcrs 625 Nlghway 10 N,E.
At 'k Bloine, MN 55434
* (812) 783--1 B8(1 FAX: 783-1883
Certificate of Survey for: R.A. KOT HOMES
3567 woOflLAND URr
(89A,9) - 92.00 S89°50'56"E ~ f80 -1.5)
i~ esa.z~ o
N Ep°G~'e
Yd E ~ / eAIME~ PERrILIT
E ~
PLAY°~ s
S~~ I w
N
ti~'~ ~ 7 ~
I o
/ N
5
908.91 oa.5 V
~ xs e I
OFSJCHMMK ~ ~ ~~;}13.fA ~
t~ 99&2
4--
ELEV 9 10. 2-~-
~ o \ d} c9P v ~
ELEC
N ,IELE.B ~ O""
PED3.- 911. ~91 . 19
g`S J 1 3 p~'P0.~ 1~'~ x 908.9
, p ~9 ~ ~ ~ O I
~r,
NYD.-- 911.8 ...,2p a
911.2 ya
902.03! i 2.0
~ ~0+ 909.98
~ 111 \ 28
c,
~ptA~a' .'f• p~'i~2oet s i.( ~ i
WVWLW`I~ O ~ ~p ~QJI2. 1 1033 10,33~, ~ ~
C~~~~ (alo•, ~i 910b9 4
; ei i. ~
- _ 31.47 155 -0Q
BIpEI~pCif MARK ~
~ ELE~~ 91H2.18'~ B R W
PROP03E0 CAAOES SHONM PER CRADINC PUN BN `
NO1E: BUIIDINC E1MENS1045 SHO'MJ ARE FON HOPoZONtAL ANO VCRtICAL ~
I.OCA110N OF S7NUC7URES (M1LY. 5EE ARCHITECNAI PLANS FOR 9UILOINO
AND FWNOATIOH DIAIENSIONS. Y~p
n C~6#7E~ ~+PO~t~T ~RfMI.IENTS
NOTE: CONTAACfOR MUSY VERIfV pRIVEWAY DE4tGN. y'~
ttOlE: NO SPEdFIC SqLS INVEStICATION NAS BECN CtlMPLEtEb ON THIS 0 N'n10 5HOWN ON IH6 RECOROED PLAi. -
LOT BY THE SURVEYOR. THE S1,11TABILRY OF SOILS TO SUPPORT THE BEARiNCS SMOWN ARE A55UAIEU
SPECitiC HWSf PROGp5E0 i$ NOi THE RESPONSIBILItY OF THE SURVE'lOH.
PROPOSFI7 HA USE,ELEVATION
x aoo.oo Danotes Existing Elevatlon
( 000.00 ) Oenotes Proposed Elevatlon Lowest Floor Elevatlon: 906`o
-J Denotes Dralnage & Utlliiy Easement
.4
-T- Denotes Drainoge Flow Dtrection Yop of Block Elavation: 713"
i - Denotes Idonument
--a- Denote9 Offset Hub Garoqe Slab Elevatlom 114- 1
LOT ~ iBLOCK i THE woadu>Nds FouaT?+ aeditioa
pANOTA COUNTY, MINNESOTA
we hereby eerli~y Iho{ :hii aurvey, plon ot reoort woe prepored by me or unde, my dirGd euperdylo and tba am duly reqillird l~. Sury~yor
ord~ihe Ia«s ol tha Slole of Minnesoto. Dated thie z`JTH d9y o( APaI~- A.O. 198 - ~i
S GNED• IONEER ENGI ERIN~¢,A,
^
S+ca1~: InCh - 30 feet ~y ~
, • ~.w . " John C. larson, I..S. Reg. No. 19828
i _
CITY USE ONLY
PERMIT RECEIPT DATE:
8008 itESSID$RTIAL M$CH!lNICAI. PEiiMIT APPLICATIOR
crrY og Ee?sm
S$SO {'II.OT KAOB RD
f:A6AA MlY 55122
651-6$1-4678
Please complete for: ? single family dwellings
Lnwnhomes and condos when permits are required for each unit.
Date: F- >0 0
SITE ADDRESS: 3 6-6 !l (/(.l Ora d. I k~ ~
OWNER NAME: rt Vin TELEPHONE
INSTALLER NAME. SU.Y"GLSU I(Ip I`I~~~~e ¢~IC ~-~C TELEPHONE
STREET ADDRESS: l I)lT (M-~j
CITY: c)(~ ~-Q STATE: I~ ZIP: S'S 3
Place a check mark next w the permit work type
Add-on, modification or alteration to existinst dwelling unit 30.00
. furnace replace D~ ~2 0p2 ~
• air exc anger P~G
• air conditioner
• other
Nature of work: a_e4 gy
State Surchar e $ .50
TOtal $
SIGNATURE OF PERMITTEE
I t/o2
CITY USE ONLY
PERMIT RECEIPT DATE:
APPROVED BY: , INSPECTOR
EOOE COMMEEtC1AL 14IEGHlkNIClkI. PERM1T FtPPLICATION
CI1'Y OP EAHi4N
S$SO PILOT KNOB fiD
EAHAN,MN 551 EE
651-6$1,4675
Please complete for: all commercial/industrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE:
SITE ADDRESS:
OWNER NAME: PHONE
TENANT NAME (IIviPROVEMENTS ONLY):
WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME:
INSTALLER:
STREET ADDRESS:
CITI'; STATE: ZII':
TELEPHONE
WORK TYPE: New conshuction Install U.G. Tank
_ Interior Improvement Remove U.G. Tank
_ Processed Piping
SpecifyNature of Work:
When installing/removing underground tank, cal! 651-681-4675 for inspection by Fire Marshal and
Plumbdng inspector.
Fees: 1% of contract price OR $50.00 minimum fee, whichever is greater.
Underground tank removaUinstallation = muiimum fee
Contract price: $ x 1°/a (Base Fee)
State surcharge calculate at $.50 for each $1,000 Base Fee
TOTAL $
SIGNATURE OF PERMITTEE
Updated 1/02
~ U G~ 5 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
arr oF EAcM
~-4 ~A L--~ 3830 PILOT KNOB RD - 55122
851•881-4875
New Canshucibn Reaulrementa
? 3 reglaferetl Nfe wneys thowlny aq. H. ot bt, aq. ft. of houae 2 copiea o1 ptan
and gQ roofetl areaa 110% mmgmum lot coveraae cllowed) 1 set of energy Cdculafiom for heatetl addltlons
> 2 coples ot Plans (alww 6eam 8 wintlow sizes; aourec ma aeWgn; erc.) 1 sfRe wrveY !or extedor adc8tlom 8 tlecks
> t aet a enerpy eaicwanons
> 8 coples of hee preaervalbn plan If IW plaMed atfer 7/1/93
DAiE: d b O CONSfRUCfION COST:
.
DESCRIPTION OF WORK: ~ g
STREET ADDRESS: q>
`
LOT: ~ BLOCK: ~ SUBD./P.I.D.
Name: r 4t u 4.21 1 U-. Phone
PROPERTY war Flro
OWNER 3 0 C-~
Sheet Address:
Clty State: nP:
%5-2 _ ~~'2-OJ 3d
Company: ~Tk~2 S -Qe?- Phone
(area code)
COMRACTOR Sheef Address: --o ~l I`"9`~ S f ~ License # l~'~ ExP.
Cly A'd ~ Vci I Stata: LP: 2
ARCHITECT/ "
ENGINEER Company: L' ~«Name: a ~
Telephone#: ) $9~-6 S ~ O
Sheet Addresa: ReglshaHon
CI1Y &go~ Vf ~~?c Stafe: ~jf' 1J Lp: 1
SeweNwater licensed plumber (N installina sewerlwaterPhone U
I hereby ackrrowledge ftwt I have read fhis apPlkalbn. atate tlwf ihe infonnation b cortec and pree to comPlY wNh atl aPP~~ S~f
of MinnesoM SMhites and Cffy of Eagan Ordlnances.
Signalure of Applicant
- O USE ONLY - _ "
Certificates of Survey Received Yes No i T 1 ZQ~~
~
Tree Preservation Plan Received _ Yes _ No Not Required OC
L
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
? 01 Foundation p 07 05-piex ? 13 16-plex ? 21 Porch (3-sea.) ? 31 Ext Alt - Muw
? 02 SF Dweiling p 08 06-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) O 33 Ext. AR - SF
? 03 01 of _ plex ? 09 07-plex ? 18 Deck ? 23 Porch (screened) ? 36 Mufti
? 04 02-plex ? 10 OS-plex ? 19 Lower Level ? 24 Storm Damage
? 05 03-plex ? 11 10.plex Plbg _Y or _ N ? 25 Miscellaneous
? 06 04-plex ? 12 12-plex ? 20 Pool ? 30 Aacessory Bldg.
WORK TYPE
? 31 New 13 36 Move Bldg. ? 43 Reroof
? 32 Addition ? 37 Demolish (Bldg)' O 44 Siding
? 33 Alteration O 38 Demolish (Interior) ? 45 Fire Repair
? 34 Repair ? 42 Demolish (Foundation) [3 46 Windows/Doors
' Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
SAC Code # of Stories sq. ft.
No. of Units Length sq. ft.
No. of Buildings Width Footprint sq. ft.
Const. (Actual) Basement sq. ft. Census Code
(Aliowable) Main level sq. ft. MC/ES System
UBC Occupancy sq. ft. City Water
Zoning sq. ft. Booster Pump
PRV
Fire Sprinklered
MISCELLANEOUS INSPECTIONS
O Stucco/Stone
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
SAC Units
% SAC
Anoarvevs wr Lnw
:HAMMARGREN 7301 Oxms LwNe, Smre 360
MrvueAeous, MN 55439
~ Teieenurve (952) 644-9033
, MEYER,P.A. TLLECOPIER (15I) 8440I14
email: office@hammarlaw.com
DAVID D. HA`A'vIARGREN
PAUL T. MEYER*
NICHOLAS L. KLEHR
' LaxWCn Pnmasw~.. F.nuveee
VIA CERTIFIED MAIL - RETURNRECEIPT REQUESTED
September 17, 2002
Eagan City Hall
Attn: Building Depart.
3830 Pi?ot Knob Road.
Eagan MN 55122
Re: Tim & Theresa Schugel
3565 Woodland Court
Eagan, MN 55123
Dear Sirs:
I am an attorney representing Tim & Theresa Schugel, owners of a single-family home at 3565
Woodland Court, Eagan Minnesota. Pursuant to Minn. Stat. Ch. 13, the Government Data
Practices Act, I am requesting access to any and all files, documents or information in the City's
possession relating to or arising out of the design and construction of the Schugel home at 3565
Woodland Court. This request includes, but is not limited to, the following:
L Applications for any and all building permits and the permits themselves.
2. All plans, drawings or other documents submitted to the City in connection with the
construction of the home plus any comments or orders issued by the City.
3. All inspection records and noYes.
4. All correspondence, notes, memos or other documents in the City's files relating to
this l:ome.
If all items can be copied and sent to my office for under $200.00, please have them copied and
mailed to the attention of my legal assistant, Janice Danielson. Further, please phone Janice at
(952) 844-9033, with the applicable charges and she will be certain payment is made
accordingly. If the copying costs will exceed $200.00, please phone Janice to discuss the matter
further.
Thank you for your prompt attention to this request.
ard
~ ~
David D. Hammargren~
~ i.~....~t ~ eLUrae~ +dtt 2mg
spr -FSTCO I ~3S< 2X1 6FP .2 2- g.} 70d mils ~ eeeh ~id~e ahor¢.~ 2) D- 0 SJ 22- 4- 1 9) ~ 6
1E~: 2s% SFY 5171VMM 2a aoaStima1 Ta I=taade uqUel UMVAced ?J 5-1G- B b7 6- 1 lO) O- O- D
Jiil C7C~IDESS~T C~oeOa Cs as~3 ~ Le a9pL~s et 7r5 T]ec..~ aap Le 9aiial 3) 31- e-15 Tl 14-iQ-12
emtt•••••••ary }~eni mlas mG+eH atlom+ria_ mdye cE wentiL 12] mila spWoed 9' M.M. 0 17- D- 8 i) 32- 0- D
~
Tr2LI5S ~"A~~ ~~c a ~~ee 9ua ee .~en xosrn xav a~,~ n.~ m c+o~a ~s
osnc ~ven =oqaur° M aW an examnliCs la• . not rta sona.iay ¢*m*Ce- m
34
AD1~ V~LlLT TL) ~"~(3S5 fi~S ~).1 ~ .P ~.i- a-ss a- s- i
a
I fieirbT ctttifp ;hat th:s plan. apecificacioc:, vr
~ 7'qyfjfi5tc1c.Y $It?[z5 -,r-io 7Zwss PrS KaQUI960.
[-llT jJi.lT" t307TOM G ' PtAJD W;aSS pf~ fZEXi~G+ ~=T'' erundermy dii,eet
)AKr~<, 3 St~"1fNK O 2x4 #2 SPr= £ '~7 7,~rJ Gi~tl~ STGWU.~Gc~r ~ 1 '~v~ision and rhat I am a dulr Rm'se^red
~ lJ.1.s71}f1-('-) --FaSPF UA565 RS SNdw~V. (Cv7 7U EAP. J T~Fir.1 pmfessiczlg Engum= under tbe iaws oi the
g fiPPLv GD Eltt'. ~ PG'fW~D Dp EQU~kL C.5: S, "7o -14. ,GE OF S:ate of Ni i NW r."sa7~
T2 ~ A T 4 t.OC'.sr T,-o .us hs s ri7 rVA; i.z-c i N 6 CgNS 77? u c 7r4l-)
i~+?Y!t'.~-!Uc fy?' !}LL- GD,UI~GTI~G 5uK'~/°~=~S.41J0 TSfciLiN(- Ae.A.
N:4)'-s fi-P=T !PA sr,445G46°~ r~4~iu. ~ 71 Zrr/9 tReg. NQ IZ-4-6
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x ; + 3X4A I5X4.8
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,
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~ 17 :-9 ZtF
i I 1 - os ~
--x--
i° ` 484 s^B f~~ s...3 384,8 Sm
o ,
~ 1fi0 9 8 1 E~
1273! 6_Oe` I2T3i 3.46"
~ i ~ Y 22~-1 -~+l
~
E3CCERwf +'V-cEUtE. SHCIVPN AL.i, t'L.A1PS 70 IRE '£AXI47S 36,49w Sl
z: WARXMG. ixs&D ALl, NOT$S On' TSffi S'mT. 7C Fi.s 4" P~ ~Deogmd by= •i(LI
CD: A PY Of+ TffiSDRAWIIt"PCi BE G T~$CF$dG OOkTRACI'OR 7C Dad 7.o gv[
BRACING WAG ~GN D°
DC Lim p£ i
6J " p~tbc+`~~izbuRdid~'aaAmdsc~ uaP~btslrv.Thep~v~mYS9'~9"~~ ~
$C Dai 4d &D9ic 7-~?1~
TDTAE. ~
~T
~~amm~.r~aa.~~.~~e..rsr. a~~a.mes~s~n.r~ xemam.sr.~w~...ce.rr IIMD DIa, FsC: LLi
^7 9~~iAt~tZPt~. F.qsefrrE~mm~. ~cah~~d+vy~AS~+sai~aarrmc~avs
avmnncsearsia~ ~ze.~r~a~. rce.m.~.~ m~~be+~~am~rere~~.+.me~..~ gpACING: 240 SeW QISL"-17
- :~osoia.~a•sL.~.a~~siew. ~.~.va.as.r~s~~~~a+~
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~
~m~ ONLY
.r.... ~:a ..>~.w.-,.. .:v:.:.x;....~:.:. ~::..~.:.;:.......:.:.~:R.:.'...' ::..v . ».}:.n:.:.i.Kt:.. .....3
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~~i: ~i3kkY£: x ~ ? ' k$ ..'tE~3;. f~~~b:w4t~A.'~$yiy ISF~(~.1 £~.3~~ trikwel~~'~' ~.YJ~ £ . p:bf
,
` r . . 8£ 3's ~ ~acb 3.n..a.. i£Y~3, w., ' S E E~` s i i ti
1994 MECHANICAL PERMTT (RESIDENTTAL)
CITY OF EAGAN •
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNTT.
~ NEW CONSTRUCTION
ADD-ON A/C
ADD-ON FURNACE
FIREPLACE INSERT
DATE d~ - I `-C' 4
FEES
HVAC: 0-100 M BTU $ 24.00
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS (MINIMUM 1@$3.00 EACH) J
ADD-ON/REMODEL (ExlsTUVG CoNS'rxuCTION) $ 20.00
STATE SURCHARGE .50
TOTAL
STI'E ADDRESS:"5b~(~~~ ~oIAXiI ~l.Utd ba+
OWNER NAME:~ TELEPHONE
INSTALLER: ~~Q.. kAnw A Yo c_
ADDRESS: ~ I C
T
CITY: STATE: ZIP CODE: ~~G 7
TELEPHONE ~QC~I J ~J
D
SIGNATURE OF P RM E
sr Ys 'f 3if<s s &3° ~s4.~3 s c s. E=a r;~iL#=r~. L< F~ss . s~,~
F¢: 4 3 ~
S
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• f E£ F 3 f f dp¢ ~ A P ~4 Y3 ~ n[~ tdpu$: d
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1994 MECHAIVICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR ALL CONIMERCIAL/INDUSTRIAL BUILDINGS. ALSO COMPLETE
FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUII.DINGS WHEN SEPARATE
PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNTT.
- - - - - - - - - -
DATE: CONTRACT PRICE: $
NEW BUILDING
INTERIOR IMPROVEMENT
WORK DESCRIPTION:
FEES
1% OF q;~ FEE $
PROCESSED PIPING: $25.00
MINIMUM FEE: $25.00
STAT'E SURCHARGE $.50 FOR EACH $1,000 OF ,:<~R' FEE.
TOTAL $
SIT'E ADDRESS:
OWNER NAME: TELEPHONE
TENANT NAME: (IMpROVEMENTS ONL1)
INSTALLER:
ADDRESS:
CITI': STATE: ZIP CODE:
TELEPHONE
SIGNATURE OF PERMITTEE CTTY INSPECTOR
RESIDENTIAL BUILDING
Permit Application
City Of Eagau
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construdbn Reauirements RertrodeVtteoair Reauirements Office Use OnN
3 registered sile survays showirg sq. R of l04 sq. ft of hause; and all roofed areas 2 mpies of plan CeA o( Survey Recd
(20% mazimum lot caverage allowed) 7 set of Eneryy Cakulations tor heated addNOns Trce Pres Plan Recd
2 copies of plan showing beam & window sizes; poured found Oesign, etc. 1 site survey for addNOns & decks Tree Pres Not Reqd
1 set of Eneyy Calalations Addition - irMlcate BonsRe septic system _ On-site SepGc System
3 copies of Tree Preservafion Plan if lot pMatted aRer 711193
Rim Joist Defail Options selectlon sheet (bldgs wiN 3 or less unds Date Y l ~ 3 Construction Cost 3t
SiteAddress 56s~ W0Gd a+'1e/ C_oUr~. Unit/Ste #
~ •v~ S/~3
DescripNon of Work ~~UG G o ~PPa ,
Multi-FamilyBldg _ Y!N Flreplace(s) _ 0_ I _ 2
Property Owner ~~j p,,? ~sa` sL/L vae/ Telephone )
.
Contractor ~deCj
Address ,3 G~ ~yf~ ~vt ~L City
5[ate Zip ~ < Telep6one # ( r7g.2~ -:3 (p UP-'
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Ene~gy Code Category , Residentlal Ventilation Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
• Energy Envelope CalalaUons Sub ' d
~
Licensed Plumber Telephone )
Mechanical Contractor Telephone # ( )
Sewer/WaterContractor Telephone#( )
G -
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that khe work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
pertnit; that the work will be in accordance with the approved plan in the case of work which tequires a review and
approval ofplans. ~
Applicant's Printed Name Applicant's Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex 0 13 16-plex ? 20 Pool ? 30 AccessoryBldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 Ot of _ plex ? 09 07-plex ? 17 Garege ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04plex ? 12 12-plex PI6g_YOr_N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bidg)' ? 43 Reroof ? 46 Windows/Doors
? 34 ReplaCement •Demolition (Entire Bldg) - Give PCA handout to applicant
Valuatlon Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Staries Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinallC.O.
_ Footings (deck) _ FinallNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas TeSU _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ RI. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By , Building Inspector
-
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search Copies
Other
Total
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 3565 Woodland Ct
Lot: 7 Block: 1 Addition: The Woodlands 4th
PID:10- 75879- 070 -01
Use:
Description:
Sub Type: e- Fireplace
Work Type: Gas Fireplace (new)
Description:
Census Code: 434 - Occupancy:
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Fireside Hearth & Home
20802 Kensington Blvd
Lakeville MN 55044
(952) 985 -6675
PERMIT
City of Eaan
Chimney /flue must be inspected prior to concealing. Smoke detectors are required in all sleeping rooms prior to final
inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required. Battery operated types are
acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector.
CHRISTA WEGWART
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total: $90.00
Applicant/Permitee: Signature
- Applicant -
Construction Type:
Owner:
Timothy J Schugel
3565 Woodland Ct
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$88.50 0801.4085
$1.50 9001.2195
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.
Issued By: Signature
Building
EA081720
01/18/2008
ePermit
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 3565 Woodland Ct
Lot: 7 Block: 1 Addition: The Woodlands 4th
PID:10- 75879- 070 -01
Use:
Description:
Sub Type: e- Fireplace
Work Type: Gas Fireplace (new)
Description:
Census Code: 434 - Occupancy:
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Fireside Hearth & Home
20802 Kensington Blvd
Lakeville MN 55044
(952) 985 -6675
PERMIT
City of Eaan
Chimney /flue must be inspected prior to concealing. Smoke detectors are required in all sleeping rooms prior to final
inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required. Battery operated types are
acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector.
CHRISTA WEGWART
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total: $90.00
Applicant/Permitee: Signature
- Applicant -
Construction Type:
Owner:
Timothy J Schugel
3565 Woodland Ct
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$88.50 0801.4085
$1.50 9001.2195
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.
Issued By: Signature
Building
EA081880
02/04/2008
ePermit
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 3565 Woodland Ct
Lot: 7 Block: 1 Addition: The Woodlands 4th
PID:10- 75879- 070 -01
Use:
Description:
Sub Type: e- Reroof
Work Type: Replace
Description: House & Garage
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Walker Roofing
2274 Capp Rd
St Paul MN 55114
(651) 251 -0910
Permit closed without required inspection(s). Letter sent to applicant on 3/16/09. (pf)
If there is no ice protection inspection prior to final, you must meet inspector with ladder and flat bar. Pictures are not
acceptable in lieu of inspections.
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total:
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Construction Type:
Occupancy:
$88.50 0801.4085
$1.50 9001.2195
$90.00
Owner:
Timothy J Schugel
3565 Woodland Ct
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Issued By: Signature
Building
EA083235
05/28/2008
ePermit
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 3565 Woodland Ct
Lot: 7 Block: 1 Addition: The Woodlands 4th
PID:10- 75879- 070 -01
Use:
Description:
Sub Type:
Work Type:
Description:
Census Code:
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Krech Exteriors Corporation
5866 Blackshire Path
Inver Grove Hgts MN 55076
(651) 688 -6368
e- Windows/Doors
Windows/Doors-New/Replacement
House
434-
Applicant/Permitee: Signature
PERMIT
City of Eaan
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.
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Construction Type:
Occupancy:
$88.50
$1.50
Total: $90.00
- Applicant -
Owner:
Timothy J Schugel
3565 Woodland Ct
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
0801
9001
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
Building
EA089104
05/11/2009
ePermit
*City of Eatall
Date:
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
cc,
Use BLUE or BLACK Ink
For Office Use
1r'
Permit #:
Permit Fee: ✓� V
Date R
Staff:
2011 RESIDENTIAL PLUMBING PERMIT APPLICA
✓1 S�� L Site Address: 35-4‘ D(c)
J
Tenant: Suite #:
RESIDENT / OWNER
Name: i (10%-‘ $ ti - y Phone:
Address / City / Zip; 3.,70(,,� ( C.c..d-.
CONTRACTOR
Name: �pv1✓'� OfS PL.) � C Jcense #: 6 I683 PI/i/l
Address: 1 0 '1 SSI-, (4, City: ` i-- Ukt c.42l
- t
State: 1M,1%\ Zip: 55 0g7._ Phone: (01—L - Z`3 —G9) Q
� tt
Contact: .....)4,1,/\ Email: v . • _ - .. /► u F ,
TYPE OF WORK
New 14 -Replacement Repair Rebuild Modify Space Work in R.O.W.
_ _ _
Description of work:
PERMIT TYPE '
RESIDENTIAL
Water Heater
Water Softener
Add Plumbing Fixtures Main / Lower Level)
Lawn Irrigation ( RPZ / PVB)
Water Turnaround
_
Septic System
New
Abandonment
RESIDENTIAL FEES:
$55.00 Minimum Water
Heater, Water Softener, or Water Heater
(includes $5.00 State Surcharge)
Fixtures, Septic System Abandonment, Water
(add $166.00 if a 5/8" meter is required)
New ($10.00 per as built) (includes County fee
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
,a2d
Turnaround* (includes $5.00 State Surcharge)
and $5.00 State Surcharge)
$5.00 State Surcharge)
TOTAL FEES $
burned out appliances, ductwork, etc.) (includes
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
x O1/ti'''‘ ivy 4QJS
Applicant's Printed Name
FOR OFFICE USE
Required inspections: Under Ground __,_Rough -In
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA132226
Date Issued:07/31/2015
Permit Category:ePermit
Site Address: 3565 Woodland Ct
Lot:7 Block: 1 Addition: The Woodlands 4th
PID:10-75879-01-070
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
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 -
Timothy J Schugel
3565 Woodland Ct
Eagan MN 55123
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA143066
Date Issued:06/01/2017
Permit Category:ePermit
Site Address: 3565 Woodland Ct
Lot:7 Block: 1 Addition: The Woodlands 4th
PID:10-75879-01-070
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Timothy J Schugel
3565 Woodland Ct
Eagan MN 55123
(612) 810-1024
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA146115
Date Issued:10/09/2017
Permit Category:ePermit
Site Address: 3565 Woodland Ct
Lot:7 Block: 1 Addition: The Woodlands 4th
PID:10-75879-01-070
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
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 -
Timothy J Schugel
3565 Woodland Ct
Eagan MN 55123
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA167526
Date Issued:03/18/2021
Permit Category:ePermit
Site Address: 3565 Woodland Ct
Lot:7 Block: 1 Addition: The Woodlands 4th
PID:10-75879-01-070
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. We encourage you to retain an electronic copy of
photos until the project passes a final inspection.
*Roof permits issued between December and March will be inspected in the spring or when weather warms up.
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 -
Timothy J & Therese Schugel
3565 Woodland Ct
Saint Paul MN 55123--245
(612) 309-6244
Walker Roofing Company
2270 Capp Rd
St Paul MN 55114
(651) 251-0910
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA177589
Date Issued:07/08/2022
Permit Category:ePermit
Site Address: 3565 Woodland Ct
Lot:7 Block: 1 Addition: The Woodlands 4th
PID:10-75879-01-070
Use:
Description:
Sub Type:Fixtures
Work Type:Replace
Description:Bathroom(s)
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.
All tiled shower bases require a water test.
Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087
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 -
Timothy J & Therese Schugel
3565 Woodland Ct
Saint Paul MN 55123--245
Spring Plumbing Llc
8220 Ravenrock Road
Rockford MN 55373
(763) 614-7963
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA177766
Date Issued:07/18/2022
Permit Category:ePermit
Site Address: 3565 Woodland Ct
Lot:7 Block: 1 Addition: The Woodlands 4th
PID:10-75879-01-070
Use:
Description:
Sub Type:Single Fam
Work Type:New
Description:Bath fan
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
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 -
Timothy J & Therese Schugel
3565 Woodland Ct
Saint Paul MN 55123--245
Heating & Cooling Two
18550 Cty Rd 81
Maple Grove MN 55369
(763) 428-3677
Applicant/Permitee: Signature Issued By: Signature