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4395 Woodgate Lane N CITY OF EAGAN WATER SERVICE PERMIT 3830 Ptbt Knob Road P.O. Bpx 21198 PERMIT NO.: 8135 Eayan, MN 55H1 Zoning: DATE: u , m No. of Unib: Owner. ' Address: Site Addess: 5-'Qr woo ga e Plumber. ' -71 •ner um ~ Meter ND" Cannection Charge: ~ Size: Account Deposft: ' Reader No.: Permit Fee: ' I agroe to comply wMh tNe Clty ot Eagan Surcharge: . . Ordtnances. Misc. Charges: ' B Totai: p me er y Date Paid: Date af Insp.: Insp.: CITY OF EAGqN 3830 Pilot K P• 0• Box 21199 ~oad 5INVICE P Eagan, MN 55121 Zonrn~; p~ DEaMrr No.: ~ ERIMR Owne r, No. of Un1ts; - r"s: i. Pf~ !'395 `~c,rth ~ ..oo .,~r. . ~+bsr, 1.~~~ncr ?I~e~~,{~,, `':'i'•._ t..3 ~~.~°~"yy?~-~3; ,r,77,, ~ai1 re Pk 3~ N fft°• c,ornftHan 1 Q'? oOpd Acmunt Ds vosrt: , Br A'^"1t 1'w: ~ of Su"~O/W: Mine. qogw ~ Tofal; Dam patd: - ~ c4nr oF E?oaN WATER SERVICE PERMIT 3830 Pllot Knob Rwd P.O. Sox 21199 1 f • PERMIT NO.: 8135 Esgan. MN 55121 OATE 11^ - 6 Zoning: Rl No. of Units: Owner. NuHome Const. Address: SiteAddess: 4395 North Woodgate Lane L3 Bl Mallar P Plumber. Hiltner Plumbing Meter No.: ~37E 495A Connection Charge: 500. OOpd Size: Account Deposit: 15 . OOpd Reader No.: Q~~ 93 ~Xq Permlt Fee: 10 . OOpd I iBroe to compfy wNh Ihe G of Eagan Surcharge: - . 54pd Ordinanc M1sc. Charges: 156.00pd TP Total: - 63 54nd meter ~ . Da1e Paid: Date of I p.: _.~,~,~l zrra_- InsP.: 01- CASH R EC E I PT ~ CITY 4F EAGAN 3830 PILOT KNOB ROAD EAGAAf, MINNESOTA 55122 t DATE 19 wecnveo RROM AMOUNT $ I ~ DOLLARi ~ loo ~ CASH ? CHECK FOR / ' I. ;)d / f y rUND CODE AMDUNT Thank You BY R ' 1 UVhita-Payen Copy Yellow-Posting CoPy Pink-File Gopy BLDG. PERMIT N0. 01-3's'1Bldg. Permit ~ 01-3422 Plan Check 01-3445 Surch./Adm. 01-3446 SAC/Adm. ri ~ 01-2155 Surcharge C, 17-3860 Road Unit G 20-2275 SAC 20-3865 Water Conn. 20-3868 Water Trmt. 20-3716 Water Meter 20-2252 Acct. Dep. 20-3713 Water Permit 20-3743 Sewer Permit 79-3866 Sewer Conn. 11-3855 Park Ded. ~ TOTAL , . , ~ . . . ....p...T--,. ,-.Qa.a . ~ . ~ 3830 PNot Knob Roadl P.O. BoEAGA 9, Eagan, MN 55121 N2 12 7-93 BUILDING PERMIT PHONE: 454-8100 Receipt M / -1 1 1 To be used tor SF DWG/GAR Est value $ 74, 0 00 Date OCTUBER 2 19 86 site Address ~ 3 9 5 NO WOODGATE LtJ Erect & occupancy R3 Lot 3 elock 1 secisub. 14ALLARD PARK 3 Remodel Cl 2oniny R1 Parcel No. Repair ? Type of Const uT~ Addition ? No. Stories Name NUr'HOME C4NST Move ? Length 45 " Demolish ? Depm d g = 7 8TH ST E o Address 2367 Int Impr. ? Sq. Ft City I.G.H. Phone 450-1724 Install ? a S~~ Approvals Fe~s o Name ~ a Address Assessment Permit $ 355.00 City Phone Water 8 Sew. Surcharge .37,0 0 Police Plan Review.~:5d ~W Name Fire SAC 575.00 ,,a Address Eng. Water Conn.--5-Qk.-O0 g W Ciry Pnone Planner Water Meter 63 . 50 Council Road Unit 290.00 Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe BIdg.Off. 9/23 86 Tr.pl. 156.00 intormation is correct and agree to comply with all applicable State oi Minnesota Statutes and City of Eagan Ordinances. APC Parks Signature o( Permittee VSr. DBte COpies Total $2 ,154 . 00 A Building Permit is issued to: W-HOME CONSTRUCTIU."1 on the express Condltion that all work shall be done in accordance with all applicable S~ate of Minnesota 3tatutes and City of Eagan Ordinances. Buildiny Official PMmR Ma PKmit Holdn DaM TNMhor» K Plpmbin9 N.YJ1.C. 6 Q,~ j~ / LJOL Eloctft sann~.. Intp~dlo~ DNft Insp. CanmwNs Foo*W I / s r ~ Footli?ps N FoundaUon F?~^9 uJ D Gai ~ Roo~eq R~o F4bg. R-10 Ma lnar. F~p~ ~i7 W.LP Fr,al Hq. Aw/ FkW v". ,a saq. FkW CoR. oca f poek FI¢ Oock Frmp. won Pr. Dbp. ..c~..~"T °'_4'..i{vt.~4,,.,,~r . , . .i.i'.po~t T` a. ~:1T...•f. ~ i.i ,Y.~'-'I. , 3 ' . , PERMIT # PLUMBIN(i PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE 7e CONTRACT PRICE PHONE 454-8100 Site Address ~~S • T~ BLDG. TYPE WORK DESCRIPTION lot Block 1 r Sec/Sub X ` Res. ~ New ~ Name ~t--T~ 4e P Mult Add-on ~ /0/3/ r~EAO c.AJ Address Comm. Repair c' City Phone Other NU-~4v~L ,~y7. NO. FIXTURES TOTAL Name Water Closet -$3.00 uC~ c AddressoX36 78 ~Bath Tubs -$3.00 • cc 0 City 2[J JfE,c e,pc,u t Nrl Phone Lavatory -$3.00 . o 0 7-Shower - $3.00 • v ° ~ Kitchen Sink - $3.00 GO FEES COMM/IND FEE - 1% OF CONTRACT FEE Urinal/Bidet - $3.00 =Laundry Tray - $3.00 MINIMUM - RESIDENTIAL FEE _$10,00 3; cv / Floor Drains - $1.50 y ° MINIMUM - COMM/IND FEE - 20.00 _Lyyater Heater - $1.50 STATE SURCHARGE PER PERMIT - -50 - Whirlpool -$3.00 " (ADD $.50 S/C IF PERMIT PRICE GOES TGas Piping OuUets -$1.50 L' BEYO 1.000.00) - SoRener - $5.00 Weti1 - $ti0.00 , Private Disp. - $10.00 ~ ~Rough Openings - $1.50 SIC'aNATURE OF PERMITTEE FEE , STATE S/C: ~ FOR CITY OF EAGAN GRAND TOTAL• t r~;`ry ~ I.. . : ry' i'~: 'Z='~T~~t'~"':~--_ 41~'~- : :JiO . . ~ ?'*t'. ~i . . : PERMIT If ~ MECHANICAL PERMIT RECEIPT M CITY OF EA(iAN 3830 PILOT KNOB ROAD, EA<iAN, MN 55121 DATE CONTRACT PRICE PHONE: 434-8100 Slte Address gLpG. TYPE WORK DESCRIPTION lot Block Sec/Sub U Res. ~ ~ New m Name , Mult Add-on Address ' Comm. Repair ~c City Phone`. pther ~ Name FEES c Address RES. HVAC 0-100 M BTU - $24.00 p City 'Phonel ADDITIONAL 50 M BTU - 6.00 , t ADD-ON AIR COND. 0-24 BTU - 12.00 TYP-E OF WORK ADDITIONAL 6 M BTU - 6.00 GAS OUTLETS - 1.50 EA. Forced Air BTU COMM/1ND FEE - 1% OF CONTRACT FEE Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00 Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00 Afr Cond. M BTU STATE SURCHARGE PER PERMIT - .50 Vent CFM (ADD $.50 5/C IF PERMIT PRICE GOES BEYOND a1.000.00) Gas Piping Outieb # Other FEE . -----r~. - ~ s/C. SIGNATURE OF PERMITTEE TOTAL: FOR: C(TY OF EAGAN I CITY OF EAGAN Remarks - - Addition Mallard Park Third Addition Loc 3 sik 1 Parcel_ #10 47252 030 01 owne? screec 4395 North Wood¢ate L.ane state Eagan, MV 55122 1?1 J improvement Date Amount Annual Years Payment Receipt Date STREET SURF, ' C) STREET RESTaR. GRADING ~ I SAN SEW TRUNK ~ f' * SEWER LATERAL WATERMAIN !71 * WATER LATERAL igRi WATER AREA ~ STORM SEW TRK Z * STORM SEW LAT 1981 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 13UILDING PER, SAC PARK , RESIDENTIAL ? ~ A BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT 5. 55122 U 651 tkwcmtdnwuonRou flw~wddlR~wkR~auinmmts ' c~- • 3 iegbiereA sib mrveys oawiiq e9. R d bt s9. R d hane. anKM mobd areas . 2 copiesot plan q- IL+- Q (20%marYnumldwvxaYe+boad) . lsetofEnxgyCabulationsforheatedaddtlons ~ . 2 oopies d plen uqwYg beam 8 wiMow sas; Doured foixq design, etc.J . 1 stte awvey fa eMeriw additlam 8 aedcs . 7 xt ot Enrgy Cdaletions . IrbNxb N Fwmsnred by aeptic sysbm br additlorti5 . 3 topfes of Tree Preaervatlon Plan i bt plethd aAer 71193 . Rim Joisl DeW Options xlectiai aMM (bldye wMh 3 a Nn units) DATE q- 12 I VALUAION ~ Q,DDO • Db JOB SITE ADDRESS 4~°I S ~1 ~N"b o d A Q-~ L a n~ IF MULTI-FAMIIY BUILDING, HOW MANY UNITS? PROPERTYOWNER Maleolm ZbyjU TYPE OF WORK Ntw de-~l~-- FIREPLACE(S) -fO_ 1_ 2 APPLICANT _'rv'o vi-"i-f_? LbY~~-~U,G-hny~ PHONE# ~15 L-~}4 D-~`~Sa ADDRESS Isb la gv t w-I-tv Dr, ZIPCODE SS2-78 PAGER # C LL PHONE # iPlZ- "1 D Z- D( In'7 FAX # NEW RESIDENTIAL BUILDING ONLY- FILL OUT C10MPLETELY Energy Code Category _ MINNESOTA RULFS 7670 CATEGORY 1 (check one) - ResidenGal Ventilation Catepory 1 Worksheet Submitted - Energy Envelope Calculations Submitted ~ _ MINNESOTA RULFS 7672 F771 ' ~ ~ r~ ~ ~II - New Energy Code Worksheet Submitted Plumbiny Conhoctor. Phone N• Plumbing System Includes: _ Water Softener _ Lawn Sprinkler `~~~e~~96: - _ Water Heater ~ No. of R.I. Baths _ No. of Baths Mechanical Confiocfor. Phone 1k Mechanical System Includes: _ Air Conditioning Fee: $70.00 _ Heat Recovery System Sewer/Water Contractor. Phone lk All above iMormalion must be submitted prbr W processing of application. I hereby acknowledge that I have read this application, state ihat the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Slynafure of Applkanf CeAificates of Survey Received _ Tree PreservaGon Plan Received _ Not Required _ Uptlaled trot OFFICE USE ONLY ~ O 01 Foundation O 07 Orplex ? 13 16plex O 20 Pool O 30 Accessory Bldg` O 02 SF Dwellirp O 08 OFrplex O 16 Fireplece 0 21 Porch (3-sea.) 0 31 Ext. Alt - Multi O 03 Ot of _ plex O 09 07-plex 0 17 Garape O 22 PorchlAddn. (4•sea.) O 33 Ext. Alt - SF O 04 02-plex O 10 08.0ex y~ D~ 18 Dedc O 23 Porch (xreaned) O 38 Multi O 05 03-plex O 11 101plex O 19 Lower Level O 24 SEwm Demape ? 06 04•plex O 12 12-plex Plbp_Y or_ N O 25 Mieoellaneous ~ 31 New O 35 Int Inprovertient 0 38 Demdieh pnterbr) O 44 Sidkig 0 32 Addition O 36 Move BWg. O 42 DenaAsh (FOUndatfon) O 45 Fire Repair O 33 Alleration O 37 Dsrtiolieh (BWpp 0 43 Reroof O 48 WUidowaJDoors O 34 Replxement 'Oemolitlon (Entin Bldy oniy) - Giw PCA handout to applieant Valuation IQ~G Oocupancy / C'3 MClES System Census Code L12 ` Zoning 4.-1 City Water SAC Units ~L Stories Booster PumP Nbr. of Units / Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered TypeofConst 4) Width REQUIRED INSPECTIONS Footings (new bldg) Fine1/C.O. Footings (deck) FinaVNo C.O. _ Faotings (addition) _ Plumbin8 Foundation _ HVAC Drain 7ile Roof _ Ice 8c Waur _ Final _ Otber _ pnmmg _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Fireplace _ R.I. _ A'v Tat _ Final _ Sidiag Stucco Stone Insulaaon _ Windows (ttwheplacement) Approved By ~ . Building Inspector Base Fee Surcharge Pian Review MCIES SAC City SAC W ater Supply 8 Storage S&W Pertnit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total I ihis ruqaesl void 18 months from ` n y(~ ~~W 77G0 64807L.. 3, ~ t {~-~10.'~`d I_0.~"l- J • Rpqu~. Ip Fire No. RHouPh-in?InsUer,tion rted ~fleady Now Will No~ily Insper b~ a- - 8 Ves ~No ~o~ When fleatly Licensed Eleclncal Contrector 1 hareby requesl insaectioa ol ebove ? Owner electricel work instelled et: Sveet Adtlress. Box or Houte No. Gty ~.39.~ WooaO 4 ~ ~C~ lGl~f ecUOn o. Township Nam or No. RnnBe o. Couuty ~q,kofct, Occu dnl IPHINT) Phone No. lu. f~orn Power SuDDlier AdGress a. Ele~ 4360 Electr"eal Convaetor ICompany Name) CnnUactoe's License No. dlcnd Ele~fr~c~ ~~~o-a. MailinB AdJress ICoMractor or Owner Makmg Instailauonl 500 W Co Q4 L"a Burhsv~ I~~ Authorized Signa[ure ICOn /Owner Makfn,lnstallationl Phnne Num er " g~- 96i~ MINNESOTA STATE BOARD OF ELEGTRIGITY TMIS INSVECTION REQUEST WILL NOT Uripys-MiAweV Bldy. - Noom N•191 BE ACCEPTED Bv TME STATE BOARD 1821 Universitv Ave.. St. Veul. MN 65104 UNLESS PflOPEP INSPECTION FEE IS Phane(612)642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPEC710N ~ EB-00001-05 Ii, See inatrucpons lor com0letinp this form on beck o1 vellow copv/ n A~ Q0 7 "X" Below Work Covered by Ihis Request i PAd Type oi BuiltlinB APOlioncee Wiretl Equiunient WireA Home Range Tempprary Servite Duplex Water Heater Lightiny Fixtures Apt: Buiidihg Dryer Electric HeTbn Commercial Bldy. Fumace Silo Unloader InAuSttial Bldg Air Conditioner Bulk Milk Tbnk Farm Otnrr oer,i y lner ISnncilvl 1.r uco y t cr Othur ompute Inspection Fee Below N Fae ServicaEnlrence5ixe H Fee Feaders/Sableaders b Fee Circmts U to 200 qm 5 0 to 30 qm s 0 tn 30 Am s Above 200 qm ps 31 to 100 Amps 7 31 to 100 qm s Swimming Pool Above 100_Am s Above 100_Am s Transrormers Irrigation Booms s'a Pdrtial•'Other_Eee Signs Special Inspection S ~ Nermrks /f TOT' v flouph-in ( U ~ie~~ the ElecVr 7b.v. nsoctorne~xFinal D ~ nspecuon hmetle. fMS repuesl vo1E 18 monlM Irom 6o"M s 3 Raquos~ eta rto No. Roughln Inspacllon Requlrad In ecu Olher Tlian flou8h-ln (YOU musl wll mspenor1 -wLhan reetly) eatly Now . WIII oll~y I pectot ? Ye9 'p'1V~ Deta Faetl I C?licensed contractor ? owner hereby request inspection of above elactrical work at: JoC ANdress (Slreel, Box or Poute No ) Cny ~ PJ 0-Z Af Sxeon No Township Neme or No, Ranqa No Caunty ~ l~Kol~ Occvpem IPRIM) 4 Phona No. ower SupPbe, Atltlress 4R1 L 19f2.c~//,~l4~a /1/1/i( , leclr¢el ConVac~or (COmpany Name) Canl~edofs 4cenee No ) r . E L° J3 O.-~ 4 MaJing Atltlress (Coniracbr or Owner Making Inslalletio " S. ~Gf~!• 7 Am~onzad S (Camractor/Ow r Ma ing Instellallon) Phone NumCer ^ Y-aO OS MMIGI OTA STATE BO D OF ELEC ICITY THIS INSPECTION REOUEST WILL N0T Grlggs-Mltlway Bitlg. - oam 5-120 BE ACCEPTED BY THE STATE BOAPD 1821 Univarslly Ava., 51. Paul, MN 551UA UNLESS PROPER INSPECTION FEE IS Phona(61Y]6C]-0800 ENCLOSEp yI~P y~ RE~UEST FOR ELECTRICAL INSPECTION ,@,~r°"'y~/Eey0~19 0 2~ ~ 3, See instructions lor completirg this fortn on back ol yBllow cOpy f . n :x" eelmw Work Covered by This Request ~•~w•~~ e Add E~ep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater ElecMc Heatin Apt. Building Dryer oad Menagement Comm./Industrial F nace Other (Specify) Farm ir Conditioner anar (sPearyl Comractor's Remads Compute lnspection Fee Below: # Other Fee # Service Entrence Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Am s 0 to 100 Am s Transformers Above 200_Am s Above 100 -Am s Si9S InsPfttorsUeeOnly. 700~ Irri ation Booms S ecial Ins ection Alartn/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, ihe Electrical Inspector, hereby Rougn-in Daie cenity that the above inspection has Final been made. OFFICE USE ONLY This request witl 1B monlRS trom CITY OF EAGAN p 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N- 12723 PHONE: 454-8100 BUILDING PERMIT Receipts_ ~f`l'I I I 7obeusedtor SF DWG/GAR Estvalue $74,000 Date OCTOBER 2 19 86 Site nddress 4395 NO WOODGATE LN Erect k5 R 3 u Occupancy Lot 3 Block 1 Sec/Sub. MALLARD PARK 3 Remodel ? 2oning Rl Parcel No. Repair ? Type oi ConSt V^ Addition ? No. Stories W Name NU-HOME CONST Move ? Length 5 z 2367 78TH ST E Demalish ? Depth 48 o Address Int. Impr. ? Sq. Ft City I.G.H. phone 450-1724 Install ? i o Name SAME APProvals Feea 0¢ Address Assessment Permit $ 355.00 • Ciry Phone Water 8 Sew. Surcharge 37 . 00 Police Plan Review_IJ7.50 _i Name Fire SAC 575_00 i a Address a i Eng. Water Conn._,2`Q4_._00 a w City Phone Planner Water Meter63.50 Council Road Unit 290.00 Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe Bldg. ott. 9/23/86 Tr. PI. 156.00 iniormalion is correct and agree ro comply with II a plica6le State of Minnesota Statutes and Cit of Eagan Ordinanc ~ APC Parks l'l.~ _ Var. Date Copies SignatureofPermittee ? i~ Total $2.154.00 A euilding Permit is issued ro: NU-HOME CONSTRUCTION on the express condition that all work shall be done in accordance with all applicab~le S~te of Minnesota tutes antl Ciry of Eagan Ordinances. Building Official t_~-~ r s- ; City of Eaian ; Permitg: I Pertnit Fee: ~ I 3830 Pilot Knob Road t E3 MN 55122 ' i~ Received: _°2 i 9an Phone: (651) 675-5675 Fax:(651) 675-5694 i ~ 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: '1 J `S I " ~j 0 o DN TenaM: Suite RESIDElJT / OWNER Name:. Wi-C oLM LUti1 6- -P,one: Address / City / Zp: Applicant is: _ Owner -L Contractor TYPEOF WORK Description ofwork: TEIkIL per, I ~ e - 5 1 7'f- ConsUucbon Cost: _117 00 1cD Multl-Family Buildinp: (Yes No ~ CONTRACTOR Name: ' License x: ~gRQLISLI ~ Address: ar cmy: _19trq ~ 1cAX~ _ scat6: rAw za: 55 Phane:C4J1'N;I•`~ ContactPecson: KQrw COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672 Energy Code . Reaidenmd venianon Catagory i wwksneec New Ener9r coda wonksneei Catp-gory gubmryped . submittetl (J submission type) • Energy Emebpe Cabilacore Submiued In the Isst 72 moMhs, has ths Cky of Eagan iawed e portnR }or a 9imilar plan Dased on a master plan4 _Yes _No If yes, date ard address of master plan: Licensed Ptumber: Phorre: Neehankal Contractor: Phone: Sewer 8 water Contractor: Phone: -"ys=~~h,.~ f nereby aoknowledga that Wc iMOlmatlon is omnpe0e ar%1 mauaDe; mat Ue Mn'k w10 b9 in eorAortnarwe wNh Ure adnaneas antl ca0es of Cie Gry ot Eagan, that 1 understand this is not a pertniL but only an applieaCaf fa a pem@, and work is not to ster[ witlwut a pertnH; tlo tlro work wig be in accordance wiM Ne epproved plan fn the ease ot work whiM requires a review azitl approvW ot plars. x M - CA-YV\ IMI.LCA x ApPlicaM's Printed Name Applicant's Sigreture Page 1 ot 3 2004 RE5IDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for. single family dwcllings & tovmhomes/wndos when pcrmi[s are required for each unit Date Site Address Unit # Property Owner Telephone (y~J) t Contractor L~ A ,(r/ Street Address 1ejj,,2 City ~f State Zip Telephone # B o n d k: ~PC6 ! Expires: Y4d -ii / The Applican[ is _ Owner _ Conhactor _ Other Add-On or alteration to existing dwelling unit $ 30.00 ? furnace _Additional _Replacement air exchanger ~ ~o air conditioner _New s/ Replacement other State Surcharge $ .50 Total $ I hereby apply for a Residen[ial Mechanical Permit and acknowledge that [he information is complete and accurate; [ha[ the work will be m conformance with the ordinances and codes of [he City of Eagan and with the Mechanical Codes; [hat I unders[and 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 app d plan in the case f work which requires a review and approval of plans rov . i ~ r~~ A)~ ~L~~~~J~.• App icant s Printed Name Applicant's Signature 2004 COMMERCIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone q 651-675-5675 Please complete for. commcrcial/industrial buildings multi-family buildings when sepurate permits are not required for each dwelling unit Date Site Street Address Unit # Tenant Name (ifapplicable) Previous Tenant Name Property Owner Telephone # ( ) Contractor Slreet Address City State Zip Telephone it ( ) Bond Expires: The Applicant is _ Owner _ Contracror _ pther Work Type New Construction _ Underground Tank _ Install _Remove `•see below Interior Improvement _ Install Piping _Processed _Gas Nature of Work: •`When instal7ing/removing underground tank, call for inspection by Fire Marshal and Plumbing /nspector Permlt FeCS: $70.50 Underground Innk insmllalionlremoval I 55050 M1linrmrun (includcs S[ate Surcharee) or Con[ract Value $ x I% Permit Fee • If ermit fee is $1,000 or less, add $.50 ~ S State Surcharge If ermit fee is over $1,000, add $.50 for every 51,000 eo rmit fee S 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; tha[ I understand this is no[ a permit; but only an application for a permit, and work is not to slart without a permit; that the work will be in accordance with [he approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name Applicant's Signature Approved 6y: , Inspector Date: • RESIDENTIAL BUILDING 4 r Permit Application VZ-o ~ y City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 New Construction Reouirements RemodellReoair Reaui2ments Office Use Onlv 3 registered site surveys showing sq. k. of lot, sq. ft of house; and all roofed areas 2 copies of plan CeA of Survey Reoi (2096 rnanimum lot coverage allaxed) 1 set of Energy Calalalions for heated additions 7ree Pres Plan Recd 2 copies of pWn showing 6eam 8 window sizes; poured found design, etc. 1 site survey for addiUons 8 decks Trce Pres Not Reqd 1 set of Eneqy Calcula6ons Adddion - indicate ifon-sile septre system _ On-site Septic System 3 cop'ies of Tree Preservation Plan if lot platted after 7/1193 Rim Joist Detaii Options seleclion sheet (bidgs with 3 or less un'As Date I D /r-) I / v~ Construction C!os1[ 5 lC~, Si[e Address C S `fYl ~ Ce&,Q LN ~CS1A.UniUSte # Description of Work C-x f 2.o (4 Lsi- Multi-Family Bldg _ Y_y v Fireplace(s) _ 0 ~ 1 _ 2 Property Owner Telephone # ( ) Contractor kxtri' mlp Address 40aFreaiOeHeedh8Ham0 City Lbnme N2~kMoAIig1 t State 2700 " i Fa,y'"'~y~113 Zip Telephone # ( ) esireaa-zsei COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Energy Code Category - Minnesota Rules 7670 Ca[eeorv 1 _ Minnesota Rules 7672 • Residential Ventilation Category 1 Worksheet . New Energy Code Worksheet submissiontype) Submitted Submi:tetl • Energy Enveiope Calculations Submitted Licensed Plumber Telephone ) Mechanical Contractor VIR Telephone ~ Sewer/Water Contractor 0 r D Telephone ) u Y I hereby apply for a Residential Building Permit and acknow e e that the information is complete and accurate; [hat the 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 permit; that the work will be in accordance with the approve lan in the case of work which requires a review and approval ofplans. U0 1LxA-- ApplicanYs Printed Name ApplicanYs Si ature OFFICE USE ONLY , Sub Types ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) O 37 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Muiti Misc. ? 05 03-plex ? 11 10-plex 0 19 Lower Level ? 24 Storm Damage ? 06 04-plex O 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvemenl ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alceratiori ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaUC.O. _ Faatings (deck) _ Final/No C.O. _ Footings (addition) _ Plumbing Foundation H V AC Drain Tile Other Roof Ice & Nater Final _ Pool _ Ftgs _ Air/Gas Tests _ Pinal _ Framing _ Siding Stucco S[one _ Fireplace _ R.I. _ Air Tes[ _ Final _ Windows (newlreplacement) Insulation _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit 8 Surcharge Treatment Plant License Search Copies Other Total , • ~ 4~iI~UI~ ~f { 1986 BOILDIAG PEAIiI? APPLICATI08 - CITY OF EAGAN HOYS: ALL CAtTfRACfOES MQST BB LICENSED f1ITH THE CITY OF EAGAN SIHGLE F6lQLY DWELLIIiGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS MOLTIPLE DWELLIAGS - RFSIDENTIAL EENTAL DBITS FOR SALS ONITS INCLUDE 2 SETS OF PLANS, CERTZFICATE OF SQRVSY - CHECB iiITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COTMRCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND ` , [ C~ To Be Used For: Valuation: Date: . r, Site Address `C~ ~ •5 /v • ~ U ~ OFFICE DSE ODiLY Lot Block Erect L~ Oceupancy ~ Remodel Zoning Parcel/Sub Type of Const ~ Addition !I of Stories Owner R/~n/~+. L c N•G Move _ Length ~ - Demolish _ Depth -4Z) Address Int.Impr. _ Sq Ft Install _ City/Zip Code Phone APPROVAIS FEFS Contractor Assessments Permit ~ l y'.,. Water/Sewer Surcharge ~ Address-~G7 Police Plan Review ~~2L...2.__ Fire SAC Cit /Z1 Code --1~Nrer U b Uye Y P ~ v Engr Water Conn Planner Water Meter C;S~ Phone Council Road Unit 79b Bldg Off -z3 ' 6 Treatment P1 Arch./Engr. APC Parks Variance Copies Address YpTAI, City/Zip Code Phone # NOTE: ADDRESSES FOR CORNER LOTS - CONTRACYOR/HOMEOWNER lIUST DESIGN6TE WHICH ADDRESS IS DBSIRED. NO CHANGES WII.L BE ALLOiiED ONCE HOILDING PERMIY IS ISSOED. l.~vx 52; & 35G ~ S~~j - 41MS -6 - • ~ 7.vx 7 z~ yvox /Z = S~ J~ _~v X S~ ' 23Z c5 37( ~ f 75 5 76. I CITY OF E NOA~f BUILDINU DEPAR7MENT ` k:XTERIOR ENVFS,OPE AYERA6E @'U" CAMPUTATION (To be eubmitted xith building permit application) One or Two Family Dwelling Owner Lo/J (o All Other Site Addrees A3qs N. Womia~~ W• 60I-k) JV1N _ Contractor Date /db Phone Ilv(V sa.-Pr. bPuT LI;.EAL r'r:ET OF I ~ E:t'OSED ',WLL k)oR~ 2~?EE7 fts above grade = _ Z172•00 TOTAL zX.°OSEED WALL ARF.A SQ. FT. J:, ~ZUE ::I.LL COP'STRU:TIOt+: "U" Value x Area Iietail . ~~U" • 043 x SQ. FT.,lI,(o7.4 • ~•(O (U)(A) : e; erence A_nn~ 'L • "U"_ ,/Q.p x SQ. FT. IZD• 49 = ( U) (A) T'-1~n • "UII x SQ. FT. !i9•SL= -70(U) from attached "ull x S@, F"P. _ (U)(S) sheets "U" x SQ. FT. - (U)(A) IIUII x sg. FT. - - (u) (A) ::Ib'DOSVS: "Q" Value x Area i•ie.:te & TYPe NSUL. S.W'T ~lpll_ .?;Z- x SQ. FT. i3 .60 a .07 (U) (A) n nUu x SQ. FT. - (U)(A) " "U" x 5@. FT. - (U)(A) n n npn x S@. FT. - (U)(A) DJORS: "Ull Value x Area :iz;.:e & Tyge ~TGfAX~)/_. iiUff •J T x SQ. FT. Z•OO = s (U)(A) „ ~~47~0 ~~2. IIUII_ 47 x sa. F'r. 534.00=~cu>ca) „ „ „U„ X sa. F-r. = cu~ cA~ x SQ. FT. _ (U) (A) TOTALS 217z•00 SQ, t'T. Z10.77 (U)(p) AVERp(}E "Ull , TJTAL (U)(A) VkLUES 21p.77 ~ DIVIDED BY TOTAL 'dl,LL ARe:A2172•00 ~~--i= AViRA6A~ "U" ,115 or less for 1&2 family dwellinge A.oOF/CEILING~ TOTAL AREA: Ilq(p Detail reference iDZI x S@. FT. !19(v = Zg./l (U) (A) from x SQ. FT. . (U)(A) nttacned sheets. x SQ. FT, a (U)(p) Describe onenings x SQ. FT. ~ (U)(A) in roof. "IIor x SQ. FT: - (U)(A) 'rJTAL (U) (p) VALUES DIVIDL•'D BY rY'4Ll~J J/1P_ 3q.~{ 25:11CV~> R00?/CEI;.Ii;G :1:-7A AVLRAGL•' "Ull ,025 for ventile:ted roofe. ~ C~n~f EX o E W,*L L f4.so X C~+41v+-Z& +z&) = 2,088, o 0 3.00. (Zo.~- s) = 84. ao Z,172 . o o 4- CovC. , lc7 x ~`f~?-9'lo tz(o+z/o) = qlo, q-p~ 3,ob ~ S = Z~.oo l20.48 ~ ~ o~ST• , S3 ~C ~9(vrg(o+ZCo t z!v} _ )19. sZ ~i~6DowS _ 1lnX3(o = 4•o X 4= 1l0,00 Z4X3ro = 6,o X (o = 3(0.00 ZpXQB = 6.7 X Z= J3.go Zo X foo = 8•`f- X 3= ZS,Zo Z4 X 48 = 8, o X(o = 9B.oo / 38. o(v 'DooA S 3= 5TL - eAi7. = Z 1, o a Z$ STL • r-~+m• = Zl . 0 0 ' 1'h?l0 Q- 2. _ 84• O O j WAU, la1Za,S r..~~~~. z17Z. o0 GE. S ~'owe • /zo 4S 1,9•SZ " 1'IIDW~i 138.bo -Sp4:Co0 u Doo~,S /z&.oo (0107• Z~X _ 9(~.00 ~ • --V1ALL SECTION-- ' Determining "Ulf valuee at Rooft Wall, Rimp and Conc. Block I ROOF/CEILIN4 R VALU] S 1.) Interior Air F'ilm 0,61 2.> 5/811 ayn. sa. .56 3.) Insulation Q,OD 4.1 . 5.) Exterior Air Film ,61 ~ 2 3 (STILL) 6 . ~lpn = 1/R= DZ '1'OTAL (R)=l~lj 7s . ~ - l ~ g WALL R VALll] 9 6.) Interior Air Film 0.68 7.) }ll aYP. Bd. .45 8.) Ineulation 19,00 . 9.) h~fSvILT-p4fgp io.> thasonite Siding ?67~ 10 11.) Exterior Air Film. .17 1 nUu = 1/R_.,OQ"3 TOTAL (R)=Z~.O _ 12 RIM R VALUI t~ 13 12.) Interior Air Film 0.68 130 Insulation f9,vo 14.) 2" Fir Rim Joiet 1,$$ 15• ) ~/~i'~ $url.T-N 1~ Z. 16.) Masonite Siding .6 1710 Exterior Air Film .17 - n . tio • •Oo npll = 1/R= 0 TOTAL ~R)=1¢ ~ • D FOUtIDATION . R VALUF 18.) Interior Air Film 0.68 21 . ~g t9.) 20.) 7t b°' 9 21.) 12" Concrete Block 1.28 e n 9n 22.) ~lLe{b ~~fyC~.i S.oO 23 •17 23.) EXterior Air Film .17 e ' liU,l _,/R= .14v ToTni, (a)= 7,13 ~ I . . TRI-LAND C0. SURVEYING SITE PLAN FOR : SEf2VICES 4655 NICGLS ROAD N U- HOME „ C 0 N ST. . EAGAN, MINNESOTA 55122 N 00° I I6 59" W 85.00 0 0 - r- si is DRAINAGE ~ I i UTILITY-- ~ EASEMEN 2 4 0 , m m o ~I,? ~ I v 9L,S o 10.0 ~ W . m o I z Z z7.5 I ~ 24.5 . ~ N GPa• a i O ~ N ~ I O 20.0 ~ I a' S ~ o I 8 - ~ _-------1 ~ ° - 80.401 . p %V79 a = 6 49 46 N 00 I I,59„ W NORTH WOODGATE LANE N ' PROPERTY DESCRIPTION I" 30 LOT , BLOCK I , MALLARD PARK THIRO ADDITION oeeordinp to tM reeorded ploe tMreoi DAKOTA C,,,rrr, M;n,,,,,r, ~ LEGEND o DENOTES IROtd MONUIdENT PROPOSED GARAf3E FLOOR ELEVATIOAI'Ol-(L_ a DENOTES WOOD FNB SET PROPOSED FIRST FLOOR ELEVATION L • DENOTES EXISTINCa SPOT PROPOSED BASEMENT FLOOR = 0.E VATION E LE VATI ON DENOTES PROPOSEO SPOT ELEVATION • ~ DENOTES DRAINAGE DIRECTION NOTE ~ VERIFY ALL FLOOR HEIGHTS WITH FINAL HOUSE PLANS I MrWy certify fhat this survey,plan or report was preparsd by me or under my 4wit'-L direct supervision and that I om a duly Bradley J wenson. Mn. Rt¢ Na 13235 ; Repisfered Land Surveror under iM ~o /~6 ? Laws of the Stote of Minnesota Date • CF114227 3 1999 BUILDING PERMIT APPLIC USEF ID: ~AN CITY OF EAGAI 3830 PILOT KNOB RD 651-681-4675 New Constructlon Reaulremenfs Remodel/Reoair Reouhemenh g S > 3 reglstered sMe surveys showing sq. M. of lot, aq. R. of hovfe J~! • ~ 2 copies of plan ond all rooled arecs (20% maxlmum lot coveraae allowed) 1 sef of energy calculatlons for heated addlNons i 2 copies ol plans (show beam R wlndow eizes; poured fnd. deslgn; etc.) 1 sRe survey lor exferlor addMloro S decb > 1 set of energy calculaflons > 3 copies of hee preservatbn plan H lot plaMed after 7/1/93 DATE: / ( / CONSTRUCTION COST: 0 0/ 3• ~ DESCRIPTION OF WORK: STREETADDRESS: y3J~ ~ LOT: _43 BLOCK: 1 SUBD./P.I.D. Name: ~oo,)6 ~AL C vI-At Phone 19-~L ~Oa l_ F~~ PROPERTY L°st Ftrn OWNER Street Address: ~A-~E LI-) cny 16A(w-) state: ~ zip: 5 Sla~- Company: /-F Phone (area code) CONTRACTOR Sfreet Address: ! License N Exp• City ~vr2sU5 Ui State: Ztp: 5 S 3 3 / ARCHITECT/ ENGINEER Company: Name: Telephone It: area code ( ) Street Address: Registration (k: C}ty State: Zip: Sewer 3 water Ilcensed plumber (reaulred for new conshucNon onNl: Penalty applies when address chonge and tof change Is requested once permit Is Is ed. I hereby acknowledge that I have read this applicatlon, stafe that the InformaHon c ect, gree to comply wHh all applicabl Sdate of Minnesota Statutes and CHy of Eagan Ordinances. • Slgnature of AppllcanY. OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes - No _ Not Required OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea. ? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened) ? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage ? 05 3-piex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous WORK TYPE ? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ?'43 Siding/Soffits/Fascia ? 32 Addition ? 36 Move Bldg. 0 40 Gas Insert ? 44 Windows/Doors ? 33 Alteration ? 37 Oemolish Bldg.' ? 41 Wood Stove ? 45 Fire Repair ? 34 Repair ? 38 Demolish (Interior) 0 42 Reroof ' Give PCA handout to applicant for demolition permit GENERAL INFORMATION Const. (Actual) Basement sq. ft. Census Code (Allowabie) Main level sq. ft. SAC Code UBC Occupancy sq. ft. No. of Units Zoning sq. ft. No. of Bldgs # of Stories sq. ft. MC/ES System Length sq. ft. City Water Width Footprint sq. ft. Booster Pump PRV Fire Sprinklered 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 c.r.TV or• e:ncAN CA:iN:f.l=1i: JS 7LfiifLPlAt.. N0~ 756 DFl'fE„ Oi /c?E,/39 77:Mt?: 1D:24: Si TLi : NAMrr, A7TEC F't001=:f.NG & CONaTfiUC'iION 32:1.0 9001 4842 SNCVL..:CN CT 111.25 2155 9001 4842 f:iHEVL.l:N C'i 2.50 321.0 90(]1 4395 WOOIIGAT'E L 167.25 2155 JOCIi. 4395 I400DGA'iF t_ 4.50 3210 9001 962 St.ID$ERRY LN 119..25 2155 9001 862 SUIiE4EfiRV t..N 2.50 T'oi:al. fiei'eipt Amount; :3."j9.'r.'.'.5 Ck:l.i422'i , USFR IIi: JAN M~X kcX~~kX~~k~ k~ WXc~Y m~k ~k~9F~ ~kk~~k~kM~X~~k~~X%~X~96 ~k~X %C~%YF X~St 3 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) 3830 PILOT KNOB RDN 55122 ' 651-681-4875 New Conshucflon Reavlremenfs g ey Remodel/Reoair ReauiremeMf p S :S > 3 reglsfered sNe surveya showing sq. fl. d lot sq. R. of house 2 coples ol plan and all roofed areas (20~ maxlmum lot coveraae allowed) 1 sef of energy calculaflons for heated addHlons ? 2 coples ol plaro (show beam 6 wlndow sizes; poured fnd. deslgn; etc.) 1 sRe survey for extedor addMions S deeb > 1 set of energy calculallons > 3 copies of hee preservafion plan H lol plaNed aHer 7/1/93 DATE: CONSTRUCTIONCOST: D/ 3' `'a DESCRIPTION OF WORK: G STREET ADDRESS: Y3 1 -1- Al It) ~ LOT: ~ BLOCK: ~ SUBD./P.I.D.#: Name: ~oo-'),6 !`'~AL C v~~ Phone Ik: ~SI' l9a I- PROPERTY ~ost F1tl} OWNER Sheet Address: city stare: zip: 55/a~- Company:AZT~c Phone B: 9IS= O~d r (area code) CONiRACTOR r C Sheet Address: AQ License N Exp. 1 0 3 f P City /i~r2su5 t>i~yE State: //i~- Zip: 5 S 3 3 7 ARCHITECT/ ENGINEER Company: Name: Telephone Ik: area code ( ) Sheet Address: Regiskation M: City State: Zip: Sewer 3 water Ilcensed plumber (reauired for new conshuctlon onivl: Penalty applies when address change and lof change Is requested once permH is is ed. 1 fiereby acknowledge that I have read this applicaflon, state that the InformaNon c ect gree to comply wHh all applicabl Siaie of Mlnnesota Sfatufes and Clty of Eagan Ordinances. ' Signaiure of Applicant: OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No _ Not Required OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea. 0 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened) ? 04 2-plex ? 09 7-plex 0 14 Apartments ? 19 Lower Level ? 24 Storm Damage ? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous WORK TYPE ? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ?'43 Siding/Soffits/Fascia ? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors ? 33 Alteration ? 37 Demolish Bldg.' ? 41 Wood Stove ? 45 Fire Repair ? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof ' Give PCA handout to applicant for demolition permit GENERAL INFORMATION Const. (Actual) Basement sq. ft. Census Code (Allowable) Main level sq. ft. SAC Code UBC Occupancy sq. ft. No. of Units Zoning sq. ft. No. of Bldgs # of Stories sq. ft. MC/ES System Length sq. ft. City Water Width Footprint sq. ft. Booster Pump PRV Fire Sprinklered 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 S1W Surcharge Treatment PI. Park Ded. . Trails Ded. Other Copies Total: SAC Units % SAC CITY USE ONLY L ~ BL ~ a RECEIPT#: S RECEIPT DATE: ..k _ 1997 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: . single family dwellings . townhomes and condos when permits are required for each unit ~ backflow preventer for underground sprinkler system FIXTURES EACH JOTAL Shower 3.00 x = Water Closet 3.00 x = Bath Tub 3.00 x _ Lavatory 3.00 x Kitchen-Sink 100 x = Laundry Tray 3.00 x = F 3.00 x ter 3.00 x 3.00 x = Gas Piping Outlet ' minimum -1 3.00 X = Rough Openings 1.50 x = Water Softemer ' for dwellings under construdion 5.00 X = Water Softener for existing dwelling 20.00 x = U.G. Sprinklef ' for dwelling under cansl 3.00 = U.G. Spdnkl2f ' forexisting tlwelling 20.00 AlterationS ' to existing reaidence 20.00 V1later Tum Around 20.00 = Private Disposal System ' Dak Cty lic. 75.00 = (new and returbished systems) Private Disposal Sysfems' nbandonmem 20.00 = STATE SURCHARGE .50 TOTAL c;le) 5° I hereby acknowledge that I have read this application, sta0e that the infortnatan is oortect, arM agrce tocnmpYy with all appliwble City of Eagan ordinances. It is the applicanPS responsibility to notiy tha property owner that the City of Eagan assumes no Iiability for any damages caused by the CIty during its nortnel operational and maintenance eGivities to the facilities constructe&urMar this pertnit within City property/right-af-way/easement. SITEADDRESS: - 5 ~n~ OWNER NAME: 1141A INSTALLER NAME: ,P{" R-f' r TELEPHONE CJ d' r/V STREETADDRESS: CITY: STATE: ZIP: ~ - SIGNATURE OF PER . EE ~******?#****t*******#*****###}#*f*Yew C I T Y O F E A A f~ *N~F' PAYMF'1~ OF FF~ AT TIME OF * * APPrscATioN mES Nar aarsri= * C ,*t APPROVAL OF PERAIIT. * APPLICATION FOR PERMIT ~ ~ . . * INSPF7GTION oF SES+ER ADID/OR WATER * itlmm.raTTONS WIIL NOT BE SQED- * SEWER AND/OR WATER CONNECTION ~ULED UMII+ PERMBT HAS BEE`1 * ~ » AePxxavID. * * . * . ~f f irf i**ff f#iirlrf f td*ff fkfikk*it##*iralff P ease Print 1) PROPERTY ADDRESS: 43gS /JO/(~77a LEGAL DESCRIPTION: _ j ~ ~ - . Lot Block Subd~ivision or Tax Parce ID ) IF EXQ5PING SIRCCIL'RE, DATE OF ORIGINAL BLILDING pERMIT ZSSL'ANCE: ~ PRFSENP 7ANING/PROPOSID C'SE: (I"1on Year ? COI"Y`gT2CIAL/1REI'AIL/OFFICE ~ R-1 SINGLE FAMILY f-7 IAIDL'STRIAI, ~ R-2 DL'PLEX (Ztm T-Inits) n INSTITL'TIpNAL/GpVF12RMTp C] R-3 TUS,INIIIOUSE (Three + Units) ( Onits) R-4 APARTNIENT`/CODIDOMINZC'M ( Units ) 2) NAME: ADDRESS: IO/ .Z y lY1 ~RQ /~1~. CITY, STATE, ZIP: GDrc,U /D!1A/~,/4 PHONE: F3~.9~ USC7~ 3) • c i: a• NAt~. For City Use . - Pltmbers License: ADDRESS: Active CITl'. STATE, ZZP: Expired ~ Not recorded PH0NE: MASTER LICENSE# Sta Initial 4) e =6 • • i~- ~K NAME: C/Jly2.L/ rc ~~2GT(.~J/J C_ows~- . ADDRFSS:_ CITY, STATE. ZIP:__-r ,ytJE.2 ~'iI`D?r PHONE:_ 7 .Z y 5) u r i r: • : ~ • 7. CONNECPION 1O' CITY SEWIIt IM CpNNECrION 1l7 CITY WA'I£R 6) • ~ PLFJaSE HOLD APPROVFD PERMIT FOR PICK-C~P BY ONE OF }1BC7VE P E MAIL APPROVID PII2MIT TO 1, 2, 3, q, pHpVE (Circle one) ' 7) r r. p. 86 'Y: ~ 1:1: M ~ ~ ~ I" N• J 1:~' i~ P Y01' • r. N~UIn 11 1 , y• LTt't •~•f IU ~ ' JI• • ' J~ 1 .n a \1 Il` Y4 . . FOR CITY USE ONLY PERMIT # ISSUED d~-3 S ' . Pd w/Bldg. Permit FEES: $ $ 1/J.4() SEWER PERMIT (ZNCLUDE SURCHARGE) $ $ 110.50 WATER PERMIT (ZNCLUDE SC'RCHARGE) $ lo~, ~U $ WATER METER/COPPERHORN/OC'TSIDE READER $ $ WATER TAP (INCLL'DE CORPORATION STOP) $ $ SEWER TAP $ $ ACCOUNT DEPOSIT - SEWER $ $ ACCOUNT DEPOSIT - WATER $ $ WAC $ 575-0~ $ sAc $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ ` LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: S TOTAL 7lll So~l RE EIPT RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN P[JBLZC RIGHT OF WAY? ~ YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE ENGINEERING ~ NO DIVISION. LIST AS A CONDITION. SLBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: Ao-u~ TITLE: DATE : TRI-LAND C0. SURVEYING SITE PLAN FOR : - SEE?VICES 4655 NICGLS ROAD NU - HOME CONST.. EAGAN, MINNESOTA 55122 N 00° I I0 59" W - - 85.00 8?~g 0 0 r- si is DRAINAGE ~ I t l1TILITY ~ EASEMEN 2 _ i pz o o i ~ OD ;~y v ~ i Z~. o w ~8 ~ o o~ ~ ti ~o.o i rn ao OD Z ~ m I ~ 24.5 27.5 I ~ m rµ.' 0 13 I O ~ ~ N~' eD I O ~ 20.0 I ~ SI o i$ - rn L -------i x 80.40 79 ~V - ~•6°49' 46 N 000 II'59" W NORTH WOODGATE LANE N PROPERTY DESCRIPTION I"= 30~ LOT , BLOCK -L-, MALLARD PARK THIRD ADOITION aecordinq to iM ncadsd plaf tMnof DAKOTA cwny, M~nne.wo L E~CaEN,Q o DENOTES IRON MONUMENT PROPOSED GARAOE FLOOR ELEVATION •/O ~ DENOTES WOOD HUB SET PROPOSED FIRST FLOOR ELEVATION DENOTES EXISTING SPOT PROPOSED BASEMENT FLOOR = 0.EVATION ELE VATI ON DENOTES PROPOSEO SPOT ELEVATION - ~ DENOTES DRAINAGE DIRECTION NOTE: VERIFY ALL FLOOR HEIGHTS WITH FINAL HOUSE PLANS I 1weby ceAlfy ihat ihls su?vey,plan or rsport woa preparsd by me or under my direct supervision and tnm I am u duly Bradley J wqnson, Mn. Re¢ No. 15235 ~ Repistersd Land Surveyor under the Laws of the Stots of Mfnnesota. Date: p~o ln' 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3530 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWclion Reouirements RemodeVRepair Reouirements OHice Use Oniv 3 registered site surveys showing sq. fl o( lot, sq. R of house, and all mofed areas 2 copies of plan CeR of Survey Re&P _ Y_ N (20% maximum lotwverage allowed) 1 set of Energy Calculations for heated atldiLons Tree Pres Pian Reoi. -_Y -_N. 2 mpies of plan showing beam 8 window sizes; poured found design, etc. . 1 site survey for adddions 8 decks Tree Pres Required ' _Y _ N 7setofEnergyCakvlafions Addifion - indicafeiloo-sttesepficsysfem On-si[eSepGcSystem"Y_114 3 wpies of Tree Preservation Plan if lot platted after 711193 Rim Joisl Detail Options selecUon sheet (bldgs wiN 3 or less units Date Construction Cost 7i 4 V Site Address ~S - W o o~y g~ L iv Unit/Ste # DescriptionofVVork i Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2 Property Owner Telephone # ( ((Z ) Z/o •7670 Contrac[or & AEMODELltVG. livi C~ Address 4100 €XG€6SI91i 8tE'B - ty State ST. LOUIS PARK, MN 55416 Zip Telephone Gj?~ $r Z3 Y-01 #0001050 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Energy Code CategOry . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (Jsubmissionrype) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously construcfed a building in Eagan with a similar plan? ^ Y _ N If so, 25% plon review fee applies. Licensed Plumber Telephone ) OCT ~ 1 2004 Mechanical Contractor Telephone ) Sewer/Water Contractor Telephone ) I hereby apply for a Residential Building-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 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 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 Applica~s Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 OS-plex ? 13 16-plez ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 27 Porch (3-sea.) O 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchfAddn. (4-sea.) O 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Yor_N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building• ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Oemolition (Entira Bidg) • Give PCA handout to appliwnt Valuation Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS Footings(new bldg) _ FinaUC.O. Footings (deck) _ FinaUNo C.O. Fooangs (addition) _ Plumbing Foundahon _ HVAC Drain Tile Other Roof Ice & Water Final _ Pool _ Ftgs _ Au/Gas Tests Final Framing _ Siding _ Stucco _ Stone _ Brick Fireplace _ R.I. _ Au Test _ Final _ Windows Insulation _ Retaining Wall Approved By: , Building Inspector Base Fee Surcharge Plan Review MGES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total ~ . , City of Eap I Permit#: j ~ A tD ~ Permit Fee: ~qI 3830 Pilot Knob Road E2gan MN 55122 j Date Received: j Phone: (651) 675-5675 Fax: (651) 675-5694 i Stae: i 2008 RESIDENTIAL BUILDING PERMQIT APPLICATION Date: ~11~~ Site pddress: " t~- I 5 ~ UV Bov1aWl li /..f / Tenant: Suite RESIDENT / OWNER IN... Lim Phone: Address / City / Zip: Applicaat is _ Q+mer Conhaclor TYPE OF WORK Description of work: Construction Cost: Multi-Family Building: (Yes No ~ CONTRACTOR Name: CQOEbdCO License#: r/~3!i9QLIDq Addreu: GL Aiiii ; Ciry: ~;r-H IICkyl1ir _State: fY11Y Zp: SSQK~ Phone: CO "rJI ' 43 I-"I32O Cantact Person: KQre11 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672 Energy Code . Residential Ven0lation Category 1 Worksheet ! New Energy Code Workshcet Category Sueminea suwnined (4 Submission type) • Energy Envelope Calculations Submitted In the last 72 months, has the Cky of Eagan issued a pertnit }or a Simllar plan basCd on a mOSter plan? _Yes No +If yes, date and address of master plan: Licensed Plumber: Fhone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: JT~~-.s-.:.~ii- x s ..c,~;s ttlre~ii~ftr - K 'C' :il i~~5v'C*K%~T"~"i ..rtirv .r~."'"~t 1 nereby acknovAetlge that thfs Infofmatlon is complete and accumte; fhal the work wlll be in cronfortnance xith the ordinances and codes of the City of Eagan; chat t underslarnl Ihis is not a pertnit, bul only an application for a pertnit, and work is not to start without a pertnit; that the vrork will be in acrnrdance witti Me approved pian in the case of work which requires a review anC approvai of plaru. x x Applicant s Prin d a ApplicanYs Signatur Page 1 of 3 ïû þ ý ü ÿþþ ý üúûüúûû ùýýþþ ôëýø ñ ê ÿ ÿþ÷ ûúùø÷öõ ô õ ø÷öóò ÿ öõ ô ñ ûðñ ø÷öñ úï ú û óúîù íîóúîù ûð ì ÿë þ í þ ý üîêê êê îéèõûçæ õôåäêãâãâ öù ûú ýéáäêãàãàê Û ú ââã õôôó ÷òñ öö îöúîùýñ îíý íãüÝàêõý ó þ ý ñóêêþ ý ñóêê èêåê ù÷ òý ÿ öö ÿ ï î ÿ ý îö÷ò öö ùû ïñÿ û úÿ ÷ïþ ý ë ÿã öö æ îûý ú ÿÿú÷ûý ú V'_ 4~) 6 Use BLUE or BLACK Ink For Office Use I I (I j Permit I City of Eap Y+ pos. 3830 Pilot Knob Road I Permit Fee: I I Eagan MN 55122 Date Received: 13 I Phone: (651) 675-5675 I Fax: (651) 675-5694 1 Staff: _ j 2013 RESIDENTIAL BUILDING PERMIT APPLICATION c- Date: LI-M I'- Site Address: C~ l Unit { Name: Phone: (pf r Q Cl to Resident/ Owner Address / City / Zip: i Applicant is: Owner ontractor _.I.. ;Description of work: rv A--- 014 Type of Work - 3 , Construction Cost. Multi-Family Building: (Yes / N Company: 'E,(-q al yam.-} U -T-Ar Contact: 1 IG-, Address: Contractor - i't-S'IrI t~E's City: ~ II(,~'kj,+er 4 State:(hN _ Zip: Phone:- ~J 9- 0 License Lead Certificate #:NOgT-105-<25 a) - If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information,' Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. 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.ooaherstateonecall om I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed.within 180 days of permit issuance. x-_ in . Li n A Y1~, Applicant's Printed Name x-=~7r Applicant s Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA125950 Date Issued:08/08/2014 Permit Category:ePermit Site Address: 4395 Woodgate Lane N Lot:3 Block: 1 Addition: Mallard Park 3rd PID:10-47252-01-030 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please leave printed pictures of house wrap on site for the final inspection. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Malcolm R Long 4395 Woodgate Lane N Eagan MN 55122 Weatherguard Construction 10860 60th St N Stillwater MN 55082 (651) 439-4320 Applicant/Permitee: Signature Issued By: Signature For Office Use • :,* Permit#: /5 r Permit Fee: Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 Staff: buildinginspections@cityofeagan.com L 2018 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: Site Address: y 3 A lP Dv cti," Tenant: Suite#: Resident/Owner Name: Phone: Address/City/Zip: Name: SCJ(,* t� • (j L14 CLicense#: Address:. � q 7 (,) f W �f A)'"city: r i ^� W��'C`Q Aft- Contractor State: 1(4/ Zip: 55-3-502" Phone: 6/2 `.0,12--) ` ,P1 Contact: 1),N Email:_50•U i'14 fait( 2gt O(ZA6) (t v" Type of o —rk New —Replacement _Repair _Rebuild Modifiy Space^ _Work in R.O.W. Description of work: /{reg J S�u- J �Jw`\AEI)a� "AUCC Lc(J> -�-U� RESIDENTIAL Water Heater Water Softener Lawn Irrigation( RPZ/_PVB) Permit Type Add Plumbing Fixtures( Main/_Lower Level) Septic System New Water Turnaround Abandonment RESIDENTIAL FEES: $60.00 Water Heater,Water Softener, or Water Heater and Softener(includes State Surcharge) $60.00 Lawn Irrigation(includes State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment,Water Turnaround*(includes State Surcharge) *Water Turnaround(add$280.00 if a 3/4"meter is required) $115.00 Septic System New(includes County fee and State Surcharge) TOTAL FEES$ CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeagan.com/subscribe. I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordina•ces and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and •rk not - start "i out a it; that the work will be in accordance with the approved plan in the case of work which requires a review and appro al .f pins. / Iib Sc,LI k ./ Applicant's Printed Name Appl an's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-In Air Test Gas Test Final Meter Related.Items: Meter Size Radio Read Manometer Staff: