4383 Woodgate Lane N
CITY OF E%GAN WATER SERVICE PERMIT
3830 Pliit nnc5 Rosd
P. O. Box 21199 PERMIT NO.: 5 5 i:
Esgan, MN 55121 p^TE; 7-2-64
Zoninp: `tl NQ. of Units:
aAdd r. F arnsworth-McC ure Gonst
ress:
:
Addmsc 438 Lane L B Ma ar ar r
Pfumbsr. `ht wrl P ~
AAetK No.: ~ U I I ion Chorys: p
rZ,+
vT4F • b-N t S t oeposrt: 15.00 Pd
itaad~ No.: t Fee: _ 10.00 pd
I.rw ee oawpy wK dn Clti .f L".. nd,aros: . 50 d ~
Ono..woN. ~C t•x ,8,-1..~ Misc. Chorpm p meter
Total:
~
Bv Dob Paid:
of Insp.: Intp.:
a
CITY OF EAGAN WqjE1t SERVICE P
3830 Pifut Knob Rosd ER~lIIT'
P. O. Box 21199 PERMIT NO.: 5 5 60
Esgan, MN 551R2i Di1TE: 7-2 -64
Zoninp: N . of Untts:
pN,~r; Farnswort -Mc ure ~onst
Address:
Stta Addnss: %JGJ No W gsta e ar ar r
~ Plumber. Southto~n Plb
AAefer No.: Connecticn CFwrge; •
Slu: Account Deposir. _ Y5.00
pd
Reoder No.: Penmit Fee: - 10.00 pd
oerm ~ ~ "'m ~ ~f' ~ f•7•¦ SurcFw.ps; . 50 d
MiSe. Chorp.:: • D me er
Totol:
BY DoM Pold:
Dote of Ir?sp.:
, Insp.:
CITY OF EAGAN SEVUER SERVICE P ~
3830 Pilot Knob Roa~l
P. O. Box 21199
Eagan, MN 551~~~T NO.: _
zw,rno: u.4TE:
Owrwr. 8Y'A8V0=' C urA C;oIId[its:
AddroSS:
Slts Address: ° ° R a n• ar a x
' Plumber:
1 Mn* to oeayy whb No Gh, of ugen Connketian Chorm: 425.00 pd
, o~•••e••• Acaou^r oepodt: • p -
Pem,it Fee; p
~ By Surd,orw: P
IVUsc. Cho
; dote of Irmp.: Totol: rom
~ i?s°_' oaft Paw: I
- ~
CASH RECEIPT ~
CITY OF EAGAN
P. o. Box 21-199
EAGAN, MINNESOTA 55121
DATE 19
Rsc cIvea
FROM
AMOUNT $
r a ooLLwws
oo
? CASN ~ CHECK
FOR
j ~i ? yT "~-i .(~~~~vW ~ ~.~-yjt~t~.~-ci
FUND COOE AMOUNT
J 3 7y3 /J U v
LJ U cJ
Ly ' ~ v J
Thank You ~
BY
White-Payen CoPY
Yellow-Posting Copy
Pink-File Copy
~ CASH RECEIPT ~
CITY OF EAGAN •
P. 0. BOX 21-199 ~
~
EAGAN, MINNESOTA 55121 i
DATE L/ f 19 ~
N<CEWW
FROM
AMOUNT V $ ~
8 DOLLARS
~ ~oo
? CASH j~LGiZCK
- 1 • ~ .
,UND - O g pMOUNT
3Y`i~
G>
41,
y
Tha ou' 3~1
BY
r.~ ~~a C
White-Payers Copy
Yellow-Postinp CopY
Pink-Fila CopY
1-7
CITY OF EAGAN
3830 Pilot Knob Rosd, P.O. Box 21-199, Eagan, MN 55121 1~ Q 9
& PHONE: 454-8100
dU1LDING ,PERMIT aeceipr #
Tg y,e.a io, SF DWG/GAR Est, yalue $65, 000 pote JUNE 19 lq 84
4383 ND..Y100DGA'.rE LN R3
Site Addreas E~ pccupo~y
Lot 6 Blcek 1 W/Sub. A~ALLARD PK 3 qlter R
10-47252-060-0~ ~ Z~i~ N A
Parcel No. Repcir ? Fln Zone
m Neme FiXRNSWORTH-MCCLURE CONST Enlarge p Type of Consc. V
~ 92 HENNEN RD move O # Stories6$
Address Demolish ? Length
City BUR"SVILLFhone 890-7830
Grode ? Depth 3 4 Sq. Ft.
SAME ApProvals f*at
Name
tu Address Assessment Pe?mit .(}0
'
u~ CitY Phona Water !L Sew. Su?chor~ 42.50
Poliu Plan check 194.00
PW Name Firo S11C 525.00
Add.eaa 470.00
Enp. Water Conn.
~W City Phona plonner Woter Meter 63.00
Council Rood Unit 260.00
1 hercby acknowled9s thot I hove read this epplicetion and state that g~~ Off_
the informotion is Corrett ond ree,to ply with oll applicOblt $1, 942. ~J~
Stote of Minnesoto Stotutes Ci 8rdinar?cts. . ^PC Total
Sipnatum of Permiftee
FARNSWORTH-M CLURE CONST
A Buildlny Pem?it Is fuued to: on M+t express condition thar
oll work sF+oll be done in ucw ~ oll itob Stqls' oE. ~nesoto Statutes and Gty of Eopen Ordinonces.
Building Offlclol
~
Permit No. Pe?mit Holder Mise. PKmit No. Holder
Plumbiny C4 ~ lZ It
H.VA.0. L'~ N
YWII
WMr
Ditp.
S~w~r
eMeaie La.k a, , Y ~f
Irapfttion Dab Insp. Othn
Footi~
Foundetion
FnrninY
~
RouM~ Plba
Rouoh HVA
Irtwlation
Final Plbq.
t
Final HVAC
j•L -
Fiml
Water JLocation:
1ANII -
SOwAr -
Pr. Diw.
;
Receipt MECHANICAL PERMIT•' Permit No. '
CITY OF EAAAN '
Fee ~
Fill in numbered wacss SjC
Type or Print /egibly Tot.
1. Date 1 • 2, installation Cost 2, 4A5 . 00
3. Job Address 4383 North Lot Blk. ~ 7ract
4. Owner Farnsxorth-McClure
5. Contractor Kleve HeatinQ & 11/C Inc .phone 94 ].-4 211.
6. Addreu 13075 Pioneer Trail
7. City F:clen Prairie State '.ninnesota Zip -
8. Building Type: Residential Commercial ? Institutional O
9. Work Description: New Q Add O Alter ? Repair O
10. Describe "•evi Hou^e t;eatinn Fuel Type Natural C'as
11. No, EQuipment BTU - M. Ea. No. Eouiament CFM
T,ennox ^~o<iel ~ 20?i 1?.)
Forcedq~ r - Air Handlin
T 1 9:
Mfg.
Boilers Mech. Exhaust
Mfg.
Unit Heater
Mfg. Other
Air Cond.
Mfg.
~ Gas, P'iping Outlets fuz nac<i o lv
12. I hereby certify that the above information is true and oorrect, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : for
Rouyh Flnal
Inspections: Date Insp. Dete Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-8100
Receipt PLUMBIN~ tAGAN ERMIT Permit No.
CITY UF F
ee
FilJ in num red spaces SIC •
Type or Pri' i legibly
Tot.
1. Date ' <<) 2. Installati n Cast
1
3. Job Addressy Blk. TractM.411~v~ s~1YlI~
4. Owner r
5. Contractor )uli ` ~ 11 i u /1G Phone ~(r.(f:•..1~~'~7
c'
6. Address ~ C 2)(L -J:X-
7. City Y\~ I e ~ V State'
i~
8. Building Type: Residential )(1 C04mercial ? Institutional O
1
9. Work Descxiption: New V Add Alter ? Repair ?
10. Describe
11. No. Fixtures j No. Fixtures
~ Water Closet I Cesspool/Drainfield
Bath tubs ` Septic Tank
_L Lavatory ~ Softner
~ Sh°wer Well
/ Kitchen Sink
Urinal/Bidet Other
~ Laundry Tray j `
Floor Drains
Drinking Ftn. 4
51op Sink
Gas Piping Outlets I
~i
12. I hereby certify that the above inform ion is true and correct, and I agree to
comply with all ordinances and codes overning this type of work.
~
Signed : for
Rough ~ Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered an 4approved.
Approved CITY OF EAGAN 464-8100
CITY OF EAGAN Remarks
Addition Mallard Parlrshi*d add;tien Lot 6 eik 1 Parcel #10 47252 ObU 01
Owner street 4383 North Woodgate Lane stete Eagan, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. 539.71 A014022 -B-S
STREET RESTOR.
GRADING
'
SAN SEW TRUNK ki=
i c
* SEWER LATERAL 7 6$2.50 A014022 6_8-84
WATERMAIN
* WATER LATERAL
WATER AREA
r
STORM SEW TRK y74 1981
467.74 93.58 A014022 6-8-84
* STORM SEW LAT 1981
CURB & GUTTER
SIDEWALK
STREET LIGHT
RO IT $260.00 #44202 6-19-84
WATER CONN. $470.00 "
BUILDING PER. ~qisg
SAC .OO
PARK
DALE: '
'NoC15E LIX.,~T/ON ONLOT SNOL.lN ON ~
sneE, I OF ^~RA~JINEIS. CIr0F'EFIMN 1 4fn 2 sets of plans,
1 C fficate o£ Su:ve}- s•
~F PWEI~%W- BUILDING PERMIIT APPLICATION 1 set of energy caiculations.
~inocE~.a.~ v ao
Zb Be Used Far Valuation SS~p0.o - Date NAJsy 31, I984
Site Address: 63 Wrpp&pm Lp~a OFFICE USE ONLY
V*v
Lot Co Block Sec./Sub.3Rp 6a„
°L'u. reK Erect X occupancy R-3
Parcel /Q - 7 ~a2~oZ - Q 60 -61 Alter Zoning 9-1
Repair Fire Zone N A
Enlarge _ Type of Const. SL
owner: Move # stories
Address: t29 zi 4ENusu Za.b Deimlish Front (08 ft.
~ 5533 7 Grade Depth 34 ft.
CitY/ZiP Code: /lAu_
~~zuSViu~
Phone BclO -783D p,ppPOVALg FEEg
Contractor: ~j~,¢u5t~o~-rK-/~lcCwtE LSY Assessments Permit 388> • °O
Water/Sewer Surcharge 4 2,~--
Address: I7-9Zi kv40Eu F4240 Polioe Plan Check I~~}, ~
Gity/Zip Code: I~Q~„sV i u-E }.ilu. - j.CC337 Fire SAC 525.
Phone 870 '7B3D b'g. water Conn. 4-70.°-0
Planner Water Meter l03•v
Arch /Eng : Council / Road Unit 2(.0.
Bldg. Off. LW'
Ilddress: p,pC
City/Zip Code:
Phone 'IT)Tp,L n-/ C~~ S C~
Z`1 x 4~0 =?'>3Q x 54 =-7203~
Z Z x 24- " 5Z g X ( I = ~60 `b
. 7-7 &Q4
~
•
~
~
~
CP
,
;
,
,z ,Ue o y~f2Yo ~I~sl~~~
T1ei"9`G950 L~~~ nu~,c.ea,",~ P~~
1 Renuest D' e Fre No. R uql, -inInsUacuon
. 7 1 ~ qo red~ ~Reaclv Now~Wili Nuulv bisprsc-
O-~ ~Yes ?Nu lui Whnn ReadV
Li~m 'eA Elecini,al Coniractm I haruby request mspecbon of abave
? Owne, electncnl wak instnllud nt:
Svetn Atlilrnss, 0os or Poute No. Cltv
4l 83 ~Ua T G1ou.D6•4-TZ,' 4,anj iF ,E•G6q,o
ection n Townshio Nnmc ur Nn. RanO~ No. Counry
rJvko;q
OcGunantIPFINTI Phnne No.
,'A NSwaiQrf M cC4. w E C•,v.1'T'.
Pawer Supphar Address
~deo?.Q ELecYKI C ~Aqhi.J<7"D~ 10`I•J
Electncal Contrar.mr ICUmpany Namel Cnmrnr,mr's Lmunse No.
~ AKE !i e w ELC-Z. i c ~'ie J y v i
Mailinp AdJruss IContractor or Owner MakinFl Inswllationl
6!/ t 1°/ c c r Bu R 4 flt,' .P ° 1~ e a HiA6~'~ ? n/ 6b"'fdd
Phone Nump~u
Authorizetl Signalure (Commcwr~ nr Making Installatmn)
SSe ~J ~S_
THIS INSPECTION REQUEST WILL NOT
INNESOTA STATE BO OF ELECTNICITY
Gripgs-Midwev BIAg. - Room N•191 BE ACCEPTED BV THE STATE BOAflO
1821 Universitv Ave., SL Paul, MN 55104 UNLESS VNOPEN INSPECTION FEE IS
- . ENCLOSEO.
y(( ~ YU REQUEST FOR ELECTRICAL INSPECTION es-ooooi-oa
T 9'~ 1 9 5 O' See instrvctions lor cnmpleteng this lorm on hack of Vellow copV.
, ,
Below Work Covered Gy This Request
u Add Ne0. Tvpa ol Bmlding APpliancos WveA Eqmpmant Wiretl
Home Ranye Temporary Service
Diq)lex Water Heater Liyhtinq Fixtwes
Apt. Building Dryer Electnc Heatinc
Cummercial BIdG. Furnace Silo Unloader
InduSViai BIAq. Air CondiLOner Bulk Milk Tank
Parm O~her pucn v 'hJy~As, uth,;, ISnor.ilvl
PDJii+- om,,
Campute lnspecrran fee Below
k Fee ServiceEntmnceSize H Fee Fextleis/Subleenors u Fev Circaits
0 to 100 Am i5 0 to 30 Am ps O~ 0 to 30 Am os
/,00 101 to 200 Amps 31 tu 100 Amps 31 to 100 Am s
Above 200 q~n~y Above 100_Amps labove 100_Amps
f ,043 Transrormer56G Remote Control Circ. ,5 Parua6'Other Fce
Siqns Special Inspeciion S Sb 46- Rentiiks TOTAL ~ ~
J~
Rough-in U.ne I, uia E nl
• ~pnctor, heroby
ertify thnt tbe ebuve
flllall te ~ i115pBCtiOlt hp5 he811
U- y re:,d..
ihis ruqvr,st voiJ ,
18 nanths hom
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55721 7~7
1~1 ? 9186
PHONE: 454-8100
BUILDING~PERMIT rteceiPt # 7y
To ba uwd for SF DWG/GAR Est. Value $$5,000 pate JUNE 19 iq 84
SrceAddress 4383 NO WOODGATE LN Eect Occuponcy R3
Lot 6 Block 1 Sec/Sub. MA-LLARD PK 3 qlter ? Zoning R1
Parcel No. 10-47252-060-01 Repolr ? Fire Zone NL/A
Enlarge ? Type of Const. V
FARNSWORTH-MCCLURE CONST
W Name Move ? # Stories
Z Address 12921 HENNEN RD Oemoiish ? Length 68
~ City BURNSVILLPhone 890-7830 Grode ? Depth 34 Sq. Ft.-
$AM$ ADDrorals Feet
o Name
Z1- Assessment Permit $ 388.00
Ou Address
C.tY Phane Water 8 Sew. Surcharge 42.50
Police Plan check 194.00
Uw Name Fire SAC 525.00
470.00
x~ Address Enp. Water Conn.
'W City Phone Plonner WaterMeter6..3_•00
Councll Road Unit 260 _ 00
I hereby ocknowledge thof I have read this applicotion and stote that Bldg. Off.
ihe inlormofion is correcf and 9re to comDly with oll opplicoble AP~ Totol ~.r94~.5~
Stote of Minnewta $mtutq~Eo9en"Ardin~ .
Signoture of Pertnitte T
A Bullding Permir Is issued to: FARNSWORTH-MCCLURE CONST on the express conditlon thni
oll work sholl be done in accor nte oll Dliw le St ic~newta Sfatutes ond Ciry oh Eagan Ordinonces.
Building Officiol
S U
2004 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date
Site Street Address Unit #
Property Owner Telephone# (~S\) _(10~4tO
Coniracior ZvCS-+ a;: qL Zo~9ct
Address SLAR ~ City
State V1~ Zip ~ L}
The Applicant is: _ Owner _&ontractor _Other
Alteretions to existing dwelling $ 50.00
_Add fixtures to rooms, excluding water softener and water heater
_Septic System Abandonment
_Water Turnaround (add $121.00 if a 5/8" meter is required)
Other.
Water Softener ~ Water Heater $ 15.00
replacement _ additional
Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00
State Surcharge $ 50
m
L_~ , 'Ll
7otal MAY 2 4 2004 $15. 5U
I hereby apply for a Residential Plumbing Permit and ac 11at the inf rmation is complete
and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the d plan in
the event a plan is required to be reviewed and approved.
)a n 7J ~
ApplicanYs Printed Name Applicant's Sig ature
i /
CERTJFICATE OF SURVEY
fpR
Far-nsworih Construcfion
~ Na~°yaor'~ I bo
~ 4500 I
r------------------------------, f;
i ~
~ I
'zu
V~ o' i w o~j
o S~ ~ p v
~ ~n ~ I 1n ~ i-•
OD OD
y.
k^ 60
I / qS, 00
I S 89°48O/"W
Droinaqe B Utility Easement aAown ihua+
I I
sl '
4--~ o
Lot 6, Block .1 ~
Mallard Park Third Addition BEING 5.00 FEET IN MIDTH WLESS
Dakota County, P4innesota OTHERMiSE INDICATEO AND ADJOINING LAT
LINES ANO 10.00 FEET IN MIOTM ANq
ADJOINING STREET LINES AS Sf1p11N ON 1HE
pLAr.
~ I Mv,r eiNff AM? nHs rwr we r4fAM4
~ Ir mo, r. wMr iq I/recl sylrrlrlNr, aN
/AI? / dw & 4b Nu08hn1/ LM/ .9rrq'u?
30 o 30 ,a a.o a,a Aemuor..
~.~,.~.o„~.~.,..
SCALE N
FEET
rwwiYru wro~wwu -
1rr 14. q1q
na.?-=-~ q.a ,~.J268t_
aIELO DOW PaaE~ DRAWN 61',
~
- ~ MINNESOTA STATF RUILDING CODE DIVISION ~
• ~ . EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION
OwNER QrLpH ~AitUSWO~Ti~I~
SITE ADDRESS LoT S LOGIL I J1/I4 L 1~1~D P.4~IC 3¢DAparno~u CNO ~p7D6A7E LA1JE,
CONTRACTOR YA1ZwSwbfL7N - WG CLU[LE DATE PHONE S90'SQ03
Determine working•square footage o£ each. 22 4 ~8 ~
1_ •Total exposed;-wall area 26gg sq. ft. X~;
2....TOtal..roof/ceiling area ~?j21 sq. ft. X .PAF.o7b- ~ .c)
7'otal ex ~~j$f~- 3 4 3~ x
posed wall area above.floor -
A. Total wall window area
- - - . . . . .
B. Total door area__......_. gg
C. Total sliding glass door area
D. Total fireplace wal~l area p- '
E. Total wall frazing area .(ave7age l00).......... 159
.•----.--•F. .TOtal net wall area above f.loor..
~ G. Total rim joist area.._....____._._ 304.
. _ 1
. ...-.Total exposed foundation area
.
H. Total,.foundation window area
1. Total net^foundation area abpve orade........... Determine ."U"'."value of each wall segment. -
a• 19~ x•,u" 4l4 = 81.14
b. s8 X.,U.. 4.0~
C. go X„U.,
a. -o- X IV. -o- - -o-
e• }58 x"u" , 12 = 1 S.~./~
. ~ f. 109,2 x „U., .0'1 = `I1..44
.
9'56* ..X ,.U" , b4 = 12.1~0
h_ "O- X ..U.. -p -1
i. 150 X „U" .4-1 = 'lO. So '
3.•••••••••••••••-•••••••••-•-......Total = 211.~ ?
If item 43 is the same as, or less than item ql, you have met the intent of
SBC 6006(c)2.
l ? . Total exposed roof/ceiling area = ~3Z1
j. Total skylight area - p-
k. Total roof/ceiling framing area (average l0e)...... 1 3 Z
1. Total net insulated roof/ceiling area 11 E61
Determine "U" value foi each roof/ceiling segment.
' j. -o - X .1u. ^ o - _ - o -
k. 132 x„o.. , lL = '21. IZ
X „U^ ,o~ = 23•~(S
9 TOtal = 44,10 s
If total of H9 is the same as, or less than H2, you have met'the intent o£ _
SBC 6006(c)1._
Alternate Building Envelope Design _
To utilize the total envelope system method, the values established by the
sum of items 113 and @9 shall not be gzeater than the sum of items #1 and #2.
1. 229 . i 8 + 2. 34.3.5 = 25~.53 ?
s. Z 1 I- 46 + q. 44 •RP = 25~. 36 ~ -
•
' ! a 00
y^1
~a 2/8~}
~~YCITY OF EAGAN
~ / APPLICATION FOR PER~~1IT
~ `ll U
~ - SELIER AND/OR 69ATLR CONNECTIODI
(PLEASE P3IHi)
1) PP.OPII:PY ADDRESS:
i.FT ;L DFSC2I°T?CV:
(LOt/Block/Subclivisicn or PraJc Parcel I.D. Number)
i S='=_:G ST^L'CP RE, Dl'?:: G^ ORIGl.:AL EiiIIr^,L`:G ?--=.ST IcS~?~~~:
R-i S:~iGL:: FP~=
~ R-2 GUPL,E.l' ('?~;Z7 UiVITS)
? R-3 TCI.,iLN?HCUSE (TIII2EE ~ WZTS) ( LP;I^'SJ
? ?2-4 App.RT=:':'/CCmCi L?IL;1 ( Ul'IITS i
Q COhiM=CI1;L/'r2EI'r1II,/OFFICE
p I'imUSTRI?_L
INSTITTJTT20.'VAL/GC~/'E.R,~1fE~]', r
.
2) APPLI=' (PLEASE PRI4f)
-/L--4 FAVt1 -')I..odtr4-IPr
aDnREss:
CTTY, STi;'I'.F.', ZIP: ~2,Uu t1.`li~i lIP ~ 4~) SS 33 i
PHONE: 5S~1C7 - ~~~~1
3) PILmE.ou,C NALME: (PL'cASE P8INi) FOR CITY USE ONIY
V ' Pl(1HBERS LICE45E:
ADDRESS: Attive
CITY, STATE, ZIP: Expired
PHONE: S~(p(0-,~f~~J PLU98ER LICENSE N Nat oi Hecord
. ` arr lnltld
4) OCC.'lJpAJN'j`/Cr,-!NE-TZ (PLEASE PNINf)
NAhIE'
ADDRESS:
CITY, STATG, ZIP:
PHONE:
5) INDIG,TG S^MICIi PERMiT IS BEP:G REQ[JESTID:
(2 CY::LL"=ION 'In CZTY SES=
U] CC:INECPIGV 'PO CITY S%'ATER
? UPF=(PLEASE DESCRiBE)
6) I`pIG=IE O:w.:
? PL.°`,SE F?OLD APPRWp PERMIT FOR PICi:-UP BY ONE OF ABCn/E
? PLZaSE ::-%IL AP°ROMc.~i PEF-%LIT 'IC) 1, 2,o 4 FIBOVE
(Circle one)
7) SZ='I[.;E:
DATE:
. r •
F 0 R C I T Y U S E O N L Y
PER_MIT ISSUED
F°L'S: $ ~n'SE::Ec: n=n%tr'^ (Z:ICL;=_
$ Jo ,S(~ WATER PERftIT (ZPICL'JDE SURC?!ARGE)
S (o3-6U WAT£R METEP./COPPERHORN/OUTSID: RE:,uER
S L+7AT°R TAP (I\CiUDE CORPORAT?O.I STCP)
$ SE:IE.°. .AP
$ l5 •t31J ACCOU?7T DEPOSIT - SEi?ER
$ /5 • W ACCOUNT DE?OSIT - tJAT°_g
$ 4-70 -00 saac
" s S z-S• OL) sAc
$ TRUViC ?•.'AT°D ASSF'SSPl^;;T
$ TRii`7ti SEivER ASSESSMENT
$ Lcl^tE°.AL BED?EFIT/TRWK SET.iER
$ LATERAL BEi1EFIT/TRUNii I•IAT°R
$ OTHER
$ TOTAL
$ -71• Sv A;•iOU:]T PAID/RECEIPT
DOES UTILITY CONYECTION REQUIRE EXCAVATION IN PUBLIC RZGiiT OF S4AY?
~ YES IF YES, THEN A"'PERMIT FOR S90RK WITHIV
PUBLIC ROADSdAY" MUST BE ISSUED BY THE
[`J NO EDIGINEERIp1G DIVISION. LIST AS A CONDI-
~ TION.
SUIIJECT TO TfIG FOLLO?9IDIG CO.^IDITIONS:
n
APPROVED BY: k ~!i`~, TTT*e: ( . C]C.
DATE:
dn., z-
,W
r! wm _
ef T"7- [ f^~ (L fAT l CALCULATIC4S
rotal Hea, Lbs~~ ~ , l ~ m ota Btu Illput ~ qll windows a doorf sro ww;tMrstrippd
Roan I "LOth • " W A. N • Ht. ' FI. c ~ Room 6i,th. ~ !t. ann.
Wqin 1 Ho.o LI 4 1. Aru WWI M~ 1 Mo.ol LInmM6 M'
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City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4383 Woodgate Lane N
Lot: 6 Block: 1 Addition: Mallard Park 3rd
PID:10- 47252- 060 -01
Use:
Description:
Sub Type: e - Air Conditioner
Work Type: New
Description: Air Conditioner
Comments:
Fee Summary:
Contractor:
Haley Comfort Systems
122 West 3rd St
Hastings MN 55033
(651) 437 -0338
Quesetions regarding elec
445 -2840
Larry Leacock
15966 Fennel Ct.
ME - Permit Fee (Replacements)
Surcharge -Fixed
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
cal permit requirements should be directed to Mark Anderson, State Elec
- Applicant -
Owner:
Robert L Spearman
4383 Woodgate Lane N
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$50.00 0801.4088
$0.50 9001.2195
$50.50
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
Mechanical
EA089351
05/27/2009
ePermit
cal Inspector, (952)
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Use BLUE or BLACK Ink liti„
r For Office Use
i �j CA
Eaau
Permit#: / `_ff.(1
City of Permit Fee: 70.' `
3830 Pilot Knob Road ^ 1y
Eagan MN 55122 JUN 2 ''' _! Date Received: /0'l��r�
Phone: (651)675-5675
Fax: (651)675-5694 Staff:
2017 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: �� i l Site Address: Unit#:
•
Name: �l(plc i � �L ice\ Phone:,C5(_3j 3 )-215 21S
Resident! i �3) Ai A Th' (-- J
Owner I Address/City/Zip: Tyi2(s
i
$ Applicant is: Owner )(-.—Contractor
Description of work ' � ✓VL. Q.Ka4 .. ,mr.
Type of Work
), , Construction CosP.
. Com' Multi-Family Building:` (Yes /No )
, Company: N. K 4 cui'5 (Un >4i/14.(-416, t(Ctantact: l 27(� t-t_ I
Contractor
Address:LI l l 2._ t S' (( Irk. 1( City: -i �'CC/
State:4 '1k./ Zip: f(0 Phone:G51 22(D � .24f,ail: Wi`OVC-4.. 3 ee:0,-,C0(4. it.r.../Afi
License#: C �-7 2-3 (q
Lead Certificate#:
If the project is exempt from lead certification, please explain why:
•/9a/4.r' /� ?4t' ~`
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified}as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets,• k
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.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
xl/J(L-LLt6t& x : 6?41
Applicant's Printed Name Applicant's Signature
Page 1 of 3
�-iSg� OC �}- -- /A- /'DO NOT WRITE BELOW THIS LINE /`1-3 g----?. .
c�
SUB TYPES
Foundation Fireplace Porch(3-Season) Exterior Alteration (Single Family)
lit 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 Ali Fire Repair Windows Demolish Foundation
Replace Repair Egress Window Water Damage
Retaining Wall *Demolition of entire building—give PCA handout to applicant
DESCRIPTION
Valuation Ap 4,_ 7 Occupancy f'c -/ MCES System —
Plan Review Code Edition a(j/y SAC Units _
(25%_ 100% V) Zoning R.^/ City Water —
Census Code Ij/3 41 Stories Booster Pump —
#of Units I Square Feet PRV
#of Buildings I Length Fire Suppression Required _
Type of Construction Zs Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final/C.O. Required
Footings (Addition) * Final/ No C.O. Required
_ Foundation Foundation Before Backfill *- HVAC_Gas Service Test Gas Line Air Test
Roof:_Ice 82Water _Final Pool: Footings _Air/Gas Tests _Final
- Framing V30 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 WI Pi/I%) Oa,
Base Fee '3 3 9
Surcharge PilY # h'L pi/;, g ave-709
j G PA, ' --
Plan Review A AO '-5-'i-
MCES SAC
City SAC A® 014
Utility Connection Charge
S&W Permit& Surcharge
Treatment Plant
Copies 353 $.Q/
TOTAL
Page 2 of 3
AG �� For Office Use �1
4% 6/ :::::e( " ,
: -
4.
.....„„,, GAN
Date Received:
i6if
3830 PILOT KNOB ROAD I EAG N, MN 55122-1810 'RECEIVED
(651)675-5675 I TDD:(651)454 8535 I FAX:(651)675-5694 Staff:
buildinginspections(a�cityofeagan.com AUG 0 6 2018 L
2018 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: cl)(//P f2OI t3 Site Address: `� 83 L3 0 4✓109Af Unit#:
tr.° '+ Name: jo�A) �7/ Phone 4 /+ J 6 2275
/#
Resident43gv3 t %V
OWner 0Address/City/Zip:
„ Applicant is: Owner ContractorQ fil
vjE, Eos k_ / A 1JO1LwS
Description of work: 0 k R
'Type of Work - / v 1/t% S
Construction Cost: /000 Multi-Family Building:(Yes /No p` )
65) (2.2_c '-'3/2(p
m
Copany is NZi`1/1::)f- P C.01-5 06,4. Contact:
cli
Address: (3 t 1.9-9� —s-(-, Cerit"Ct/ L fc.cJ �f�-yContractor 55110 Phone:651-224,- f2�mail: Pn6iA E—S e �H'leq, `
etx./1/
.. b.:.....,.., .. State: Zip:
License# V-12) (0,1 Lead Certificate#:
If the project is exempt from lead certification, please explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan?
•
Yes No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
NOTE:Plans and supporta gi'iloc encs that yo ubmiitareryconsidered to 4e p`ub�fpf ,ation Portions of d orh i : ie
classified as non-public if you pro ide pecific reasons that would permit the City fo co e at hey a de-secrets.
You may subscribe to receive an e ectronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeagan.com/s bscribe.
Exterior work authorized by a build ng permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
CALL BEFORE YOU DIG. Call Gop er 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 und-rground utilities. www.aopherstateonecall.orq
I hereby acknowledge that this infor ation 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 permit, but only an application fora permit, and work is not to start without a permit; that the work will be in
ac ord' ce ith the approved n i e case of work which requires a review and approval of plans.
i
App' ant's Printed Name 4 Applicant's Signature
L-1- c- ,--sL'3w c] LA AI . /�i�
DO NOT WRITE BELOW THIS LINEi
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
F 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 44( atj//b, _ _- Occupancy J...: 4.-, 1,
( MCES System
Plan Review Code Edition /) 20! SAC Units
(25% 100% ) Zoning '-( City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
,(a Footings (Deck) Final I C.O. Required
Footings (Addition) e Final I No C.O. Required
Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test Hood
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 "A 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: 4 b /»/7111 7'..4 - , Building Inspector
RESIDENTIAL FEES ) t,f X/9 /'j?
Base Fee t 2,0 2- / Y'7'
Surcharge ,
Plan Review Z X q
MCES SAC )( uea 17°
City SAC 1_ —Cf ,�►,} 457"
jc�
Utility Connection Charge fir' 1 `--'' {
S&W Permit&Surcharge 7�l
Treatment Plant
1
,x;400 5 'fr -lee y�a�a .
Copies
TOTAL
Page 2 of 3
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